bluuebunny/crossref_metadata_2025 huggingface dataset:
Cerebral venous thrombosis related to the use of combined oral contraceptives
Authors: Vilella Amanda Mendes Clemente , Mattos Letícia Luísa
Published: December 2021

Background: Cerebral venous thrombosis (CVT) is a rare condition (less than 1% of stroke). It occurs in the younger population (less than 50 years old), 3 times more common in women, especially those of reproductive age. Objectives and methodology: Narrative review to correlate CVT with the use of combined oral contraceptives (ACO). The following databases were used: Pubmed, Scielo and Medline. Results: A systematic review had 11 studies included showing that the use of OAC increases the chances of developing CVST (central venous sinus thrombosis). Among the 9 studies that reported odds ratios, the combined probability of developing CVST in women of reproductive age who use OAC was 7.59 times the probability of developing CVST compared to those who do not take oral contraceptives (OR = 7.59, 95 CI % 3.82-15.09). A retrospective study of 37 female adolescents was diagnosed with CVT, 22 (59%) of whom used OAC and the remaining 15 had other etiological factors. The data indicate that adolescents using OAC to treat hirsutism, menstrual dysfunction or polycystic ovary syndrome may also have some risk factors for thrombosis, such as hereditary coagulopathy. The coexistence of these diseases mentioned with the use of OCA can increase the risk of CVT. Conclusions: The two main studies analyzed concluded the association between the use of ACO and cases of CVT in women. It’s necessary to be attentive to suggestive signs and symptoms in this population, as they are common to other pathologies, making the diagnosis of CVT difficult.
Post-traumatic vertebral artery dissection
Authors: Pastorio Indianara Keila , Curti Nayara Christina de Lima , Domingos Francine de Paula Roberto , Hirayama Sayuri Aparecida , Araújo Lorena Dias , Almeida Rafael de , Silva Marilia Pires de Sousa e , Delfim William de Souza
Published: December 2021

Introduction: Vertebral artery dissections are responsible for 2% of all ischemic strokes and correspond to more than 25% of events in young adults. Its main etiologies, such as spontaneous and traumatic, which compromise the structural integrity of the arterial wall, allowing blood to accumulate between the layers of the vessel as an intramural hematoma, which can progress to stenosis or luminal occlusion in stroke. Case report: We attended a woman, 29 years old, who suffered a mild trauma in the cervical region during weight training in the gym presenting symptoms hours after the accident, a sudden headache of strong intensity irradiated to cervical, which evolves to a picture of cerebral ischemia characterized by changes in balance and coordination. The diagnosis was confirmed through complementary examinations of cranial tomography and angiotomography and treatment was composed by a combination of aspirin and clopidogrel with favorable evolution of the condition. Conclusion: The report illustrates that the change in cerebral circulation due to ischemia can occur either suddenly or even days after the injury, and it is likely that many cases classified as “spontaneous” without identifying the cause, may have been caused by minor trauma. In general, there is a good prognosis if early recognition and correct management.
Chemical thrombolysis with extended 15-hour window in a patient undergoing perfusion CT scan with Rapid CT protocol: a case report
Authors: Gramasco Hendrick Henrique Fernandes , Foloni Maria Clara , Sousa Rebeca Aranha Barbosa , Frigo Yasmim Nadime José , Santos Mateus Felipe dos , Anastácio Guilherme Drumond Jardini , Trivellato Stella de Angelis , Santos Daniel Fabiano Barbosa dos , Goulart Lilian Audi , Rocha Myrian Mathildes Sá de Deus , Nakao Natália de Castro Fim , Modolo Gabriel Pinheiro , Freitas Carlos Clayton Macedo de , Bazan Rodrigo
Published: December 2021

Context: Recently, with the advance of neuroimaging modalities, the windows of reperfusion therapy in patients with acute stroke have been reviewed and extended, especially for mechanical thrombectomy. Case report: 81 year old patient, previously hypertensive and dyslipidemic, fully functional (modified Rankin scale = 0), admitted to the emergency room of a tertiary hospital with global aphasia, right hemiparesis, right homonymous hemianopsia and severe hypoesthesia of the right upper limb, scoring 26 on the NIHSS, with report of having contacted family members for the last time 15 hours before admission. She was treated according to the institution’s acute stroke protocol, and underwent non-contrast brain computed tomography (CT), perfusion CT with Rapid CT protocol and cerebral artery + neck angio-CT, which ruled out bleeding and showed an ASPECTS of 8, an estimated ischemic core volume of 17 mL, and an area with hypoperfusion of 118 mL (perfusional mismatch of 101 mL), besides occlusion of the M1 segment of the left middle cerebral artery. Thus, she was submitted to chemical thrombolysis, with a decrease in NIHSS score to 15 and evolving without complications upon hospitalization. Conclusions: In patients with uncertain ictus, the use of advanced neuroimaging modalities, such as perfusion tomography with Rapid CT protocol, may assist in the indication of reperfusion therapies safely.
Avaliação epidemiológica de mulheres com lesão precursora de câncer de colo de útero de alto grau (neoplasia intraepitelial cervical graus II/III)
Authors: Viana Giovana Novaes , França Gustavo Neves , Travassos Ana Gabriela Álvares
Published: December 2021

Introdução: O câncer de colo de útero é a neoplasia mais comum do aparelho reprodutor feminino e pode ser evitado em virtude de suas longas condições pré-malignas, programas de triagem, vacinação, bem como tratamento efetivo das lesões precursoras. Objetivo: Descrever as características clínicas e sociodemográficas de mulheres com lesão precursora de câncer de colo de útero de alto grau (neoplasia intraepitelial cervical graus II/III), acompanhadas em serviço de referência de infecções sexualmente transmissíveis/vírus da imunodeficiência humana, no período de 2014 até 2016, em Salvador, Bahia. Métodos: Estudo de corte transversal cuja população é composta de mulheres que realizaram biópsia de colo de útero no Centro Estadual Especializado em Diagnóstico, Assistência e Pesquisa entre 2014 e 2016, em Salvador, Bahia. As mulheres cujos exames anatomopatológicos concluíram pólipo cervical foram excluídas. Os dados de interesse foram coletados pela revisão de prontuários a partir da identificação das pacientes no livro de registro da anatomia patológica. A análise foi conduzida por meio do software IBM SPSS 20.0. O estudo foi aprovado pelo Comitê de Ética e Pesquisa da Universidade do Estado da Bahia. Resultados: As mulheres com lesão intraepitelial de alto grau são majoritariamente adultas (67,4%), pretas ou pardas (86,5%) e solteiras (76,4%). Os principais resultados do estudo demonstraram maior vulnerabilidade das mulheres infectadas pelo vírus da imunodeficiência humana às lesões precursoras de alto grau (p<0,001). O histórico de gestação também constituiu fator de risco para a amostra estudada (p<0,001). Conclusão: A compreensão do perfil dessas mulheres possibilita o direcionamento dos esforços às suas vulnerabilidades individuais, sociais e programáticas, garantindo maior resolutividade das ações e impacto efetivo na morbimortalidade.
Acesso à atenção às hepatites virais na região sul-mato-grossense
Authors: Gleriano Josué Souza , Almeida Elton Carlos de , Ferreira Janise Braga Barros , Chaves Lucieli Dias Pedreschi
Published: December 2021

Introdução: Para garantir o acesso, é imprescindível uma rede de atenção que articule resposta às necessidades do usuário. Objetivo: Avaliar o acesso aos serviços de saúde de atenção às hepatites virais. Métodos: Pesquisa avaliativa (Certificado de Apresentação de Apreciação Ética: 01481918.0.0000.5393) considerando a rede de serviços de atenção à saúde do Cadastro Nacional de Estabelecimentos de Saúde da região de saúde sul-mato-grossense e as entrevistas com responsáveis pela gestão da área de hepatites virais da Secretaria de Estado da Saúde e profissionais responsáveis dos serviços de referência da região sul-mato-grossense. Para análise utilizou-se a análise temática. Resultados: A região de saúde é composta de 19 municípios. Possui sete serviços, sendo um (14,2%) Centro de Testagem e Aconselhamento/Serviço de Assistência Especializada, dois (28,5%) Serviços de Assistência Especializada e quatro (57,3%) Centros de Testagem e Aconselhamento, estando um localizado na penitenciária masculina. Apenas esses serviços ofertam teste rápido, e a atenção é centralizada em um Serviço de Assistência Especializada, que é a referência para coleta de exames, carga viral e genotipagem, como tambémd o tratamento. Os outros dois Serviços de Assistência Especializada manifestaram dificuldades de alocação de médico que assumisse esse agravo, por isso não atendem à demanda de hepatites. Tentou-se descentralizar a atenção, no entanto aspectos burocráticos e falta de incentivo da gestão estadual limitaram o processo de microrregionalização da atenção. Percebem-se barreiras geográficas no acesso pela distância de deslocamento do usuário até o serviço de referência, além da burocratização do acesso ao tratamento, principalmente para a hepatite C. A centralidade na dispensação da medicação acontece na capital do estado, o que faz o usuário deslocar-se para solicitar e assinar os termos de liberação. Conclusão: Os serviços de saúde possuem características distintas na região de saúde quanto à organização dos serviços para o acesso a eles. Existe um vazio de busca ativa de casos pela não descentralização de testagem nos outros municípios, além de aspectos que dificultam o acesso ao tratamento.
Estudo de soroprevalência de coinfecção por vírus da imunodeficiência humana-sífilis em idosos atendidos no Ambulatório de Imunologia do Hospital Universitário Gaffrée e Guinle
Authors: Rodrigues Mariana Munhoz , Lima Dulcino Pirovani , Rodrigues Luciane Cardoso dos Santos , Rangel Isabelle de Carvalho , Azevedo Beatriz Pereira de , Carvalho Ricardo de , Cony Andrea , Cunha Luiz Henrique de Castro , Ribeiro Luiz Claudio Pereira
Published: December 2021

Introdução: Observa-se um aumento da incidência de coinfecção por vírus da imunodeficiência humana-sífilis em pacientes idosos, emergindo como desafio para o Brasil no sentido do estabelecimento de políticas públicas e estratégias que garantam o alcance das medidas preventivas. Objetivo: Estimar a soroprevalência e o risco de coinfecção, correlacionar a idade e a contagem de linfócitos T CD4 com o risco de coinfecção, a importância dos testes utilizados no diagnóstico, detalhando a sensibilidade e especificidade de cada um e esclarecer a necessidade de se realizar testes treponêmicos e não treponêmicos. Métodos: Estudo retrospectivo de uma subcoorte de pacientes vivendo com HIV em acompanhamento no ambulatório de imunologia do Hospital Universitário Gaffrée e Guinle. Foram analisados prontuários médicos de 97 pacientes idosos vivendo com HIV. Os dados coletados foram sexo, idade, estado civil, vulnerabilidade, escolaridade, contagem de linfócitos T CD4, teste não treponêmico e treponêmico para sífilis. Resultados: Dos 97 prontuários analisados, 47 eram de pacientes do sexo feminino (48,5%) e 50 do sexo masculino (51,5%), com idade média de 70±6,2 anos. Do total de pacientes, 70% não eram casados, 73% eram heterossexuais, 68% apresentavam oito ou mais anos de estudo e 94% deles estavam em uso de terapia antirretroviral. Do total de prontuários examinados, 98% apresentavam o teste não treponêmico não reator, enquanto 42,3% apresentavam reatividade para o teste treponêmico. Conclusão: Foi observado que quanto maior a idade maior o risco de coinfecção. Houve diferença estatisticamente significante entre homens e mulheres quando comparados com o teste treponêmico: homens apresentaram um risco aproximadamente 3,5 vezes maior que as mulheres. Foi verificado que cada ano adicional de vida a partir dos 60 anos aumenta em 10% o risco de apresentar teste treponêmico reativo. Em relação à contagem de linfócitos T CD4, a cada aumento de 100 linfócitos T CD4, foi notado um acréscimo de 20% no risco de apresentar reatividade no teste treponêmico.
Conhecimento de homens em situação de rua acerca das formas de transmissão de infecções sexualmente transmissíveis/HIV
Authors: Freitas Vívien Cunha Alves de , Oliveira Tyane Mayara Ferreira de , Fernandes Andrea Rodriguez Lannes , Ribeiro Samila Gomes , Soares Paula Renata Amorim Lessa , Siqueira Cícero Mendes , Vasconcelos Karla Vanessa Pinto , França Francisca Elaine de Souza , Rodrigues Victor Caetano , Pinheiro Ana Karina Bezerra
Published: December 2021

Introdução: A dificuldade de acesso ao serviço de saúde da população de rua, associada à falta de conhecimento, aumenta a vulnerabilidade aos diversos agravos, com destaque para as infecções sexualmente transmissíveis. Objetivo: Identificar o conhecimento de homens em situação de rua acerca das formas de transmissão de infecção sexualmente transmissível/HIV. Métodos: Estudo transversal, com amostra de 15 homens, realizado nos meses de novembro e dezembro de 2020 no Refeitório Social, equipamento de assistência social destinado ao acolhimento de pessoas em situação de rua, localizado na cidade de Fortaleza, Ceará. Os critérios de inclusão foram: ser maior de 18 anos, considerar-se vivendo na rua e ser assistido pelo equipamento social. Não participaram aqueles que visivelmente estavam sob efeito de alguma substância psicoativa. Todos os participantes assinaram o Termo de Consentimento Livre e Esclarecido. Utilizou-se um questionário elaborado com perguntas sobre formas de transmissão de infecções sexualmente transmissíveis/HIV. Para a análise estatística, os componentes descritivos, por meio dos cálculos das frequências absolutas e relativas, foram elencados. Resultados: A média de idade dos participantes foi de 48 anos. Em relação à situação conjugal, 66,6% (n=10) não possuíam parceiros fixos. Quanto às perguntas sobre as formas de transmissão de infecções sexualmente transmissíveis/HIV, observou-se que a maioria (>60%) conhecia as diversas formas de transmissão, entretanto obteve-se o maior percentual de erros no item sobre o risco de infecções sexualmente transmissíveis ao ser picado por inseto, mosquito ou pernilongo, no qual sete participantes (46,6%) afirmaram não saber e/ou concordar com a afirmativa. Conclusão: Apesar dos resultados satisfatórios, permanece a necessidade de ações inclusivas para esse público, levando em consideração a vulnerabilidade que os permeia em seus diferentes aspectos, sejam esses socioeconômicos, sejam culturais e políticos, os quais favorecem suscetibilidade às infecções.
Emergencia de aislamientos de neisseria gonorrhoeae con alta y baja resistencia a la azitromicina en Argentina
Authors: Gianecini Ricardo Ariel , Cuenca Noelia , Gonzalez Melisa , Cristaldo Paula , Oviedo Claudia , Galarza Patricia
Published: December 2021

Actualmente, la azitromicina (AZM) en combinación con una cefalosporina de espectro extendido (ceftriaxona o cefixima) se recomienda como terapia empírica de primera línea para el tratamiento de la gonorrea. Sin embargo, la emergencia de aislamientos con baja (CIM: 2-8 μg/mL) y alta (CIM: 8805,256 μg/mL) resistencia a AZM pone en riesgo la efectividad de esta estrategia de tratamiento. El objetivo fue evaluar los fenotipos de resistencia y características epidemiológicas de aislamientos de N. gonorrhoeae con resistencia a AZM entre 2015-2019. Se estudiaron 4.037 aislamientos de N. gonorrhoeae. La CIM de los aislamientos se realizó de acuerdo al CLSI M07-A10. Datos epidemiológicos fueron relevados de la ficha epidemiológica de derivación al PROVSAG. Aislamientos con baja resistencia a AZM (CIM: 2-8 μg/mL) se incrementaron del 0,1% (2015) al 4,2% (2019) (p706,05). Además, aislamientos en 2018 (n=1) y 2019 (n=3) mostraron alta resistencia a AZM (CIM: 8805,256 μg/mL). Los aislamientos circularon mayormente en las provincias de Córdoba y Buenos Aires (CABA/provincia de Buenos Aires). En Córdoba el porcentaje de resistencia a AZM se incrementó del 2,8% (2016) al 10,8% (2019). Mientras que, en CABA se observó un incremento del 0,6% (2015) al 4,5% (2019) (p706,05). El 91,1% de los aislamientos correspondió a pacientes masculinos y el 8,9% femenino. Un 78,2% de los pacientes la edad fue <30 años. En Argentina, a partir del 2015 se observa un incremento de aislamientos con baja resistencia a AZM. Además, aislamientos con alta resistencia son evidenciados después de 15 años. Los aislamientos estuvieron circunscriptos a una acotada región geográfica. Sin embargo, en Córdoba el porcentaje de resistencia fue superior al 5% recomendado por la OMS para la utilización de un antimicrobiano como terapia empírica. Los hallazgos obtenidos sostienen la necesidad de una vigilancia continua de AZM, y la elaboración de estrategias de salud pública para el control de la diseminación de estos aislamientos.
EVOLUŢIA RELAŢIILOR ECONOMICE DINTRE ROMÂNIA ŞI STATELE SUBSAHARIENE ÎNAINTE DE DECEMBRIE 1989 ŞI ÎN PRIMELE DOUĂ DECENII DE TRANZIŢIE
Authors: POPESCU Alba-Iulia Catrinel
Published: December 2021

Decolonizarea Africii Subsahariene a reprezentat o oportunitate speculată inteligent de regimul comunist de la Bucureşti. Spre deosebire de celelalte state comuniste, înregimentate curentului ideologic impus de Moscova, România a promovat o politică externă independentă şi a căutat să stabilească relaţii economice cu toate statele în curs de dezvoltare, indiferent de orientarea lor politică. Dar evenimentele din decembrie 1989 au schimbat radical politica României faţă de statele subsahariene. Articolul de față propune o analiză a modului în care au evoluat relaţiile economice dintre România şi statele subsahariene înainte de evenimentele din decembrie 1989 şi în primele două decenii ale tranziţiei spre economia de piaţă.
Investigating Trends in Elder-Elder Caregiving in the United States: 1997–2014
Authors: VanDeMark SooYoung H
Published: December 2021

Introduction

Caregiving is a difficult field to study due to the subjective nature of the data. Insufficient research exists exploring the situation of elder-elder caregiving (where the caregiver is 64 years old or older and caring for a care recipient, who is also 64 years old or older). This article investigates this relationship to better understand changes in caregiving specific to this population.

Methods

Statistical tests were performed on publicly available data sets from the National Alliance for Caregiving. Data sets were collected via telephone and internet surveys in 1997, 2004, 2009, and 2014, from a random sample of caregivers.

Results

Nine hundred eighty-nine responses were analyzed. ANOVA and post-hoc tests found a significant statistical difference (p < 0.0001) between the mean age of elder-elder caregivers for all years when compared to 2014. The largest increase in mean age of elder-elder caregivers was from 70 years old in 2004 to 74 years old in 2014. No correlation was found between elder-elder caregiver age and level of burden experienced due to caregiving. The average length of time of elder-elder caregiving was approximately five years.

Conclusion

The lack of prior investigation on this population may be concealing the needs of elder-elder caregivers. Further research could help society prioritize education and inform action plans to assist elder-elder caregivers, so that (a) they have a higher quality of life near the end of life, and (b) their caregiving workload does not shift to institutional health care settings.
TRANSFORMATIONAL LEADERSHIP IN IMPROVING LECTURER PERFORMANCE AT MUHAMMADIYAH HIGHER
Authors: Saipul Wakit  , Indah Yuliana  , Indah Yuliana
Published: December 2021

The transformational leadership style in higher education has four indicators carried out by the rector. These indicators include exemplary attitudes, inspiring motivation, intellectual stimulation and the rector's consideration for lecturers. Practically, the purpose of this article is to find out how the rector provides examples, inspires motivation and individual considerations in improving the performance of lecturers at Muhammadiyah universities. The operational research method uses a qualitative approach with a phenomenological case study design. Data collection activities were carried out by means of observation, interviews with informants, and extracting information from documents. To ensure the validity of the research data, several methods are used, namely credibility, transferability, dependability and confirmability. The results of the study explain that transformative leadership in Muhammadiyah universities objectively has provided an example with several things that are applied in attitudes, ideas, behavior and performance. While motivation is carried out by the Chancellor of the lecturers in several ways, namely through behavior, technical ability, supervision and policy. In stimulating the intellectuals of lecturers in several ways, namely to think modern and relevant, think forward and continue to make changes as well as productive, innovative, creative in carrying out tasks and performance. In individual consideration, the Chancellor is more humane towards lecturers, both in the work environment and in the community.
ANALYSIS PROVISION OF DIRECT INCOME COMPENSATION AND INDIRECT INCOME COMPENSATION ON THE PERFORMANCE EMPLOYEES COMPANY INSURANCE
Authors: Said Khaerul Wasif
Published: December 2021

This study aims to analyze the effect of direct financial compensation and indirect financial compensation on the performance of insurance company employeeS.The sample used is 73 employees. The research technique amalysis use is t is multiple linear regression analysi. The results of this study indicate that partially direct income compensation has an effect on employee performance with a value of sig. 0.000 while the indirect income compensation has the same direct effect on employee performance with sig. 0.015. Meanwhile, direct income compensation and indirect income compensation on the performance of insurance company employees have an effect of 74%. The limitations of this study only discuss 3 variables, namely direct income compensation and indirect income compensation and employee performance. It is hoped that this research can be useful for insurance companies and become a reference for further research regarding the analysis of the provision of direct income compensation and indirect income compensation on the performance of employees company insurance.

Keywords: Direct income compensation, indirect income compensation, performance employee performance, insurance
REAL-TIME AMERICAN SIGN LANGUAGE RECOGNITION WITH NEURAL NETWORKS
Authors: Arifullah Mohd , Khan Fais , Handa Yash
Published: December 2021

Actual-time signal language translator is a crucial milestone in facilitating communication among the deaf community and the general public. Introducing the development and use of yanked sign Language Spelling Translator (ASL) based on the convolutional neural network. We use the pre-skilled Google Net architecture educated inside the ILSVRC2012 database, in addition to the ASL database for Surrey University and Massey university ASL to apply gaining knowledge of switch in this task. We have developed a sturdy version that constantly separates the letters a-e from the original users and any other that separates the spaced characters in maximum cases. Given the limitations of the information sets and the encouraging consequences acquired, we are assured that with similarly studies and further facts, we can produce a totally customized translator for all ASL characters. Keywords: Sign Language, Image Recognition, American Sign Language, Expressions signals, CNN
Pengaruh Kualitas Produk, Citra Merek Dan Celebrity Endorser Terhadap Keputusan Pembelian Smartphone Melalui Minat Beli Sebagai Variabel Intervening
Authors: Dewi Retry
Published: December 2021

The purpose of this study is to determine the variable product quality, brand image and celebrity endorser partially to the purchase decision of a smartphone’s, to determine the variable product quality, brand image and celebrity endorser partially on the purchase intention of a smartphone’s, as well as to determine the variable product quality, brand image and celebrity endorser partially on the purchase decision a smartphone’s through purchase intention as an intervening variable. The method used uses a quantitative research approach. The sample in this study 100 students of Muhammadiyah of University Ponorogo. The sampling technique using cluster rondom sampling. The result of this are the variable product quality, brand image and celebrity endorser partially affect the purchase decision of a smartphone’s, the variable product quality, brand image and celebrity endorser partially affect the purchase intention of a smartphone’s, as well as to determine the variable product quality, brand image and celebrity endorser partially affect on the purchase decision a smartphone’s  through purchase intention as an intervening variable.
PENGARUH PERIKLANAN TERHADAP KUNJUNGAN WISATAWAN PADA DESTINASI WISATA LADANG BUDAYA TENGGARONG
Authors: Rimbawati Yasintha Eka
Published: December 2021

Tourism marketing is one of the most important activities for the order market a product. Every company will do marketing with different ways and cconcepts to attract people’s attention. Advertising becomes one of the important promotion methods for PT. Wahana Ladang Budaya to increase tourist visits. The purpose of this study is to analyze whether promosi (X) affect the level of kunjungan wisatawan (Y) on Ladang Budaya Tenggarong attractions. This type research is quantitative research. Data in obtain sourced from people who visit Ladang Budaya Tengarong attractions by taking a sample of 100 people and the data obtained is sourced from the manager of the Ladang Budaya Tenggarong attractions, with data collection techniques, namely literature study and field studies consisting of questionnaire techniques that have been tested for validity and its reliability. This research method uses simple linear regression analysis method. The results of data processing showed that the results of the regression equation were not experiencing data abnormalities or can be said to be normal data. Results statistical testing shows that the promosi variable has a positive effect to the level of kunjungan wisatawan. T test results indicate that the promosi variable (X) Partially significant effect on the level of kunjungan wisatawan to revisiting the tourism object of the Ladang Budaya Tenggarong. Sugesstions to the manager of the Ladang Budaya Tenggarong is that can continue to improve existing promotions, so that the community can be more get to know more and can follow the latest news about Ladang Budaya attractions.
أدب الطفل لبناء الطفل الاسلامي
Authors: Dr. Lubna Farah
Published: December 2021

The most important foundation of education is character development, and character education is described as a curriculum specifically developed to teach children about the quality and traits of good character. Children's literature can be meant in building Islamic character. Discussion focuses on how literature can be brought into the curriculum in helping to develop character traits in a meaningful manner. Children's literature gradually forms character traits and attitudes that everyone is proud to acknowledge. There is considerable disagreement about what children’s literature is, in particular, “good children’s literature” very little appears to have been written about the problems that can be associated with character-building literature. Children's literature is also used by health professionals for therapeutic purposes (bibliotherapy) to prevent unhealthy habits and addictions, or address psychosomatic disorders. Finally, storybooks and web-based/digital literature can be an effective vehicle for health content, to encourage the adoption of healthy lifestyles among Muslim children. Children’s literature provides an avenue for students to learn about their cultural heritage and the cultures of other people.
A Study of Financial Development Impact on Economic Growth: A Comparison Between Egypt and Saudi Arabia
Authors: Al-Otaibi Dirar Abdul-Hamid Al-Toum , Abdul Aziz Hossam Hosney , Abdel-mawgoud Shady Mohamed Shawky
Published: December 2021

Economic growth is always seen as one of the chief economic goals countries try to achieve, in order to develop its economics. Economic growth takes different forms following the varying economic theories, and it's mostly defined as achieving increase in average share of individual from the real gross national income at certain time period. One of the most frequently used indexes to measure economic growth is: Measuring economic growth based on the expected – no the real – income, especially in countries that possess rich resources. And based on gross domestic product at fixed price and one year, and the average individual share from real income.
Spatial-Wave Structure of Controlled Disturbances in 3D Supersonic Boundary Layer
Authors: Kolosov Gleb , Panina Aleksandra , Kosinov Aleksandr , Yermolaev Yuri , Semionov Nikolay
Published: December 2021

Results of experimental investigation of controlled disturbance excitation in the boundary layer of thing swept wing at Mach number M = 2 are presented. Regions of the linear and nonlinear natural pulsation development are determined. For the first time spatial-wave structure of controlled disturbances generated by local pulsation source is studied in detail in the linear region of laminar-turbulent transition. It is found, that maximum of artificial oscillation amplitude is localized in normal direction regarding to the swept wing surface as for spatial distributions as well as for most powerful part of wave spectra
Mathematical Modelling of Deciduous Tree Ignition by Ground Lightning Discharge Taking into Account Localization of Reactive Wood
Authors: Baranovskiy Nikolay , Kuznetsov Geniy
Published: December 2021

Physical and mathematical statement and results of the numerical simulation of a problem about deciduous tree (birch) ignition by ground lightning discharge are presented. The problem is considered in flat statement in cylindrical system of coordinates. Heat transfer features taking into account localization of reactive wood are considered. The parametrical analysis is carried out and conditions of tree trunk ignition in a typical range of parameters of influence of positive discharges are obtained
Experimental Techniques of the Study of the Vortex Disturbances Structure Caused by Point Injection on the Swept Wing Leading Edge
Authors: Tolkachev Stepan , Gorev Vasily , Zharkova Galina , Kovrizhina Valentina
Published: December 2021

The article contains the results of thermoanemometry on the curvilinear surface and liquid crystal thermography techniques for the investigation of the flow stability on the swept wing leading edge. The numeric results of the velocity disturbance distribution in the boundary layer near the attachment line were received with a help of the thermoanemometry technique. It was found out, that the boundary layer become less stable, when a stationary vortex modifies the flow. The liquid crystal thermography technique allowed to expand the workspace for investigations up to 70 from the attachment line, to receive the visualization pictures of disturbed flow for several regimes of blowing, to reveal an influence of the blow velocity on dimensions and trajectory of stationary disturbances, which were induced by injection. The results of visualizations are in a good agreement with thermoanemometry results
Air Blowing Into Boundary Layer Of A Flat Plate With Length-Dependent Permeability
Authors: Kornilov Vladimir , Boiko Andrey , Kavun Ivan , Popkov Anatoliy
Published: December 2021

A generalized analysis of the results of numerical and experimental studies of air blowing into a turbulent boundary layer through finely perforated surface consisting of alternating permeable and impermeable sections of varying length providing a sudden change in the flow conditions at the boundaries of these sections is presented. The air blowing coefficient Cb determined by the mass flow rate per unit area of the active perforated sample varied in the range from 0 to 0.008. It is shown that as Cb grows, the maximum reduction in the mean surface skin-friction coefficient CF, which is the value through the permeable area of perforated sample, reaches about 65 %. When keeping the equal mass flow rate Q for all tested combinations, the mean skin-friction coefficient remains constant, independent of geometrical parameters of permeable and impermeable sections. Increasing the length of the last permeable section leads to the growth of relaxation region which is characterized by the reduced skin friction values on the impermeable part of the flat plate.
A Thought Never Unfolds in One Straight Line
Authors: Vesters Christel
Published: December 2021

Whether we conceive of exhibitions as narratological spaces with grammar and syntax,[1] or as intellectual working spaces,[2] the fact is that our understanding of exhibitions has shifted from static, temporary constellations of art objects gathered in a dedicated space, to performative sites where the art objects become agents, interacting among themselves, with their audiences, and with the various discursive contexts that are implicitly or explicitly present or presented. Furthermore, exhibitions are increasingly understood as sites for knowledge production, for research, and as having their own discursive agency. They are not merely the outcome of a curatorial research done by a dedicated expert, but in and of themselves sites where various modes of research and various modes of thinking are enacted. Much like we can think about, with, and through art, we can think about, with, and through exhibitions. In tandem with this new understanding of exhibitions, or rather of its ontological potential, the idea of the curatorial as a new epistemological paradigm is rapidly taking hold.
Redistributing Knowledge and Practice in the Art Museum
Authors: Walsh Victoria
Published: December 2021

Looking back to the rise of institutional critique in the 1980s and New Institutionalism in the 1990s, the Foucauldian project to critically analyze the structural organization of power and knowledge in institutions seems historic when one considers the current relation between the art museum and the academy. Today, the ability to move across these two institutions—and particularly the art school and the art museum—has never been so open and fluid, nor the practices at one level so close, at least in the United Kingdom. For the development of formal research practices in the art museums now effectively parallels those of the university: initiating and leading research projects funded by the public and private sectors, running doctoral programs, supporting fellowships, developing research centers, hosting seminars, and organizing conferences for specialist audiences.
Nexus between Price Earnings (P/E) Ratio and Financial Performance of Commercial Banks: Dynamic Panel Evidence from Bangladesh
Authors: Lalon Raad Mozib , Mahmud Tanvir
Published: December 2021

This paper aims to reveal the relationship between the determinants of financial performance and stock performance measured with reference to the Price-Earnings (P/E) ratio. It examines Panel Data of 10 years covering from 2010 to 2019 of seven Private Commercial Banks (PCBs) of Bangladesh enlisted in the Dhaka Stock Exchange (DSE). Several hypotheses and econometric models have been estimated with the Pooled Ordinary Least Squares (Pooled OLS), Generalized Least Squares (GLS), Fixed-effect, and Random-effect, followed by various diagnostic tests to examine the validity of the models selected for this study. Finally, the One-step Generalized Method of Moments (GMM) method has been adopted. The empirical investigation shows that among the entire set of the variables, only the Net Profit Margin (NPM) ratio has a significant impact on the P/E ratio under Random-effect, GLS, and Pooled OLS. Finally, the model developed for the One-step GMM method has revealed that the inclusion of the Lagged P/E ratio, Leverage, NPM ratio, Net Interest Margin (NIM) ratio, Asset Utilization Ratio, and Non-Performing Loan (NPL) ratio have a statistically significant dynamic impact on the P/E ratios of the PCBs.
However, the Liquidity ratio and the Loans to Asset ratio divulged no statistical significance under any of the estimated models.
The Linkage between Chittagong and Dhaka Stock Exchanges
Authors: Tasfiq Muhammad Shahidullah , Jahan Nasrin
Published: December 2021

This paper aims at determining the relationship between the two domestic stock markets of Bangladesh – the Chittagong Stock Market (CSE) and the Dhaka Stock Market (DSE). The daily stock price indices that represent the performance of the two stock markets are collected. In order to find out the interdependent relationship, the Engle-Granger Cointegration test, Granger Causality test, Impulse Response Function, and Variance Decomposition Analysis are employed in this paper. The main finding of this study is that both the stock markets are related in the long run. However, there is a one-way short-run effect from the DSE on the CSE market. The CSE market quickly responds to the shock in the DSE market. But, the DSE market is not responsive to the CSE market. The variance decomposition analysis shows that most of the shocks in the CSE market are explained by its own market. On the other hand, a small number of shocks in the DSE market are explained by the CSE market as well as its own market.
PENGARUH TERAPI NUTRISI PADA PASIEN POST OPERASI LAPARATOMI EKSPLORASI THREE OSTOMY DECOMPRESSION, JEJUNOSTOMY FEEDING, PERFORASI GASTER, LASERASI DUODENUM PARS IV ET CAUSA TRAUMA TUMPUL ABDOMEN, FISTEL ENTEROKUTAN DAN HIPOALBUMINEMIA
Authors: Thewakan Josephine , Bukhari Agussalim , Syam Nurbaya , Ashari Nur
Published: December 2021

Pendahuluan: Trauma merupakan salah satu penyebab utama kematian di negara maju dan berkembang. Meningkatnya metabolisme pada trauma, menyebabkan pemecahan massa tubuh tanpa lemak, yang dapat berkontribusi pada terjadinya malnutrisi, sehingga diperlukan terapi nutrisi yang adekuat. Laporan Kasus: Kami laporkan laki-laki, berusia 19 tahun dikonsul dari bagian bedah digestif, dengan asupan via parenteral dialami sejak 5 hari lalu karena dipuasakan post operasi. Riwayat demam dan muntah 6 hari lalu. Ada batuk dan sesak. Pemeriksaan fisik didapatkan kesadaran compos mentis, tanda vital dalam batas normal, terpasang NGT dekompresi, O2 via nasal kanul, drain cavum douglasi, gastrostomi dekompresi, serta jejunostomy feeding. Hari ke 10 post operasi ditemukan fistel enterokutan pada luka operasi. Hasil laboratorium didapatkan anemia, leukositosis, hipertrigliserida, hipoalbuminemia, deplesi berat sistem imun serta ketidakseimbangan elektrolit. Status gizi moderate protein energy malnutrition. Terapi nutrisi diberikan secara bertahap sesuai toleransi dengan target 2400 kkal dan protein 1,7-2 gr/kgBBI/hari via parenteral. Pada hari ke 28 perawatan mulai diberikan via oral dan parenteral untuk mencukupi kebutuhan. Selain itu, diberikan suplementasi Cernevit 1 ampul/24 jam/IV dan neurobion 1 ampul/24 jam/IM. Setelah 60 hari perawatan, pasien dapat makan sepenuhnya via oral dan luka fistel menutup. Kesimpulan: Terapi nutrisi yang tepat penting untuk meningkatkan hasil akhir pada pasien.
PERBANDINGAN STATUS GIZI MENURUT PENGUKURAN INDEKS MASSA TUBUH DAN PENGUKURAN PERSENTASE LEMAK TUBUH MENGGUNAKAN DXA SCAN DI RUMAH SAKIT X PEKANBARU
Authors: Lumban Toruan Rahel , Christianto Erwin , Masdar Huriatul
Published: December 2021

Background Obesity can occur due to the accumulation of excess fat in the body.Obesity has been declared as a global epidemic by the World Health Organization (WHO). In 2016, more than 1,9 billions adults were overweight. In 2018, it was found that 24,1% of adults in Riau Province were obese with an incidence higher in women than men.

Research Objectives This research is an analytical study to determine the comparison of nutritional status based on the data that has been collected from body mass index (BMI) measurement and body fat percentage measurement by DXA Scan, which was carried out on 364 adults aged 19-65 years.

Metodology The data that has been obtained from BMI measurement will be grouped to four categories and the data that has been obtained from body fat percentage will be grouped to five categories based on their gender. The bivariate analysis using paired T Test will be done to see the p value.

Conclusion From this study, it was found that most of the  subjects were obese. According to the BMI examination, about 50,27% of the subjects were  categorized as obese. Meanwhile, according to the body fat percentage measurement using DXA Scan, about 89,56% of subjects were included in the obese category. Based on the p value of 0,001 that obtained from the paired t test, it can be concluded that there are significant differences between these two methods.

 

Keywords : BMI, DXA Scan, nutritional status, obese
TERAPI NUTRISI PADA NEFROPATI DIABETIK, GAGAL JANTUNG KRONIK NYHA III, KARSINOMA SERVIKS, POST OPERASI URS BILATERAL, REPLACE DJ STENT
Authors: Ismail Andi Syurma Sari , Bukhari Agussalim
Published: December 2021

Nefropati Diabetik or Diabetic Kidney Disease (DKD) adalah perubahan struktural dan fungsional patologis spesifik yang terlihat pada ginjal pasien Diabetes Mellitus (DM). Nefropati diabetik menyebabkan berbagai perubahan pada kapiler dan arteri, penebalan membran endotel, trombosis dan inflamasi. Kondisi ini terlihat setelah satu atau dua tahun menderita DM. Diabetes mellitus juga dapat berkontribusi pada gagal jantung kronik dengan mekanisme sistemik, miokard, dan seluler. Semua faktor inilah yang dapat menyebakan malnutrisi. Ini adalah laporan kasus dari seorang wanita berusia 50 tahun, dengan keluhan tidak ada asupan oral yang didiagnosis dengan moderate protein energy malnutrition, nefropati diabetik, gagal jantung kronik NYHA III dengan karsinoma serviks dan pasca operasi URS Bilateral, Replace DJ Stent. Terapi nutrisi diberikan 720 kkal, ditingkatkan bertahap menjadi 2000 kkal sesuai kemampuan dan kondisi pasien, dengan komposisi 0,8-1 g / kg BB ideal / hari protein dan ekstrak ikan gabus, 45-50% karbohidrat dan 41-47% lemak diikuti dengan suplementasi seng (20 mg / hari), vitamin B kompleks, dan kurkumin. Terjadi peningkatan asupan energi dari 245 kkal menjadi 2.142,6 kkal diikuti dengan peningkatan hasil laboratorium seperti penurunan ureum / kreatinin (114 / 3,2 menjadi 84 / 2,05 mg / dl, penurunan leukosit (14.000 menjadi 7200 / µl), penurunan asam urat (13,1 hingga 7,3) mg / dl, penurunan kadar gula darah (199 menjadi 162 g / dl), peningkatan hemoglobin (6,7 hingga 8,2 g / dl), peningkatan kadar natrium (128 hingga 131 mmol / l) Kesimpulan: Terapi gizi yang adekuat selama 16 hari dapat memperbaiki kondisi, status metabolisme dan kualitas hidup pasien.
PERBANDINGAN BERAS RAGI MERAH DAN SIMVASTATIN DALAM MENURUNKAN PROFIL LIPID : EVIDENCE-BASED CASE REPORT
Authors: Dian Sarah Mutiara Dian Sarah Mutiara , Diana Sunardi
Published: December 2021

Abstract

Background: Dyslipidemia is major risk factor of non-communicable disease and nutraceutical like red yeast rice (RYR) may be helpful as alternative to lowering lipid profile in dyslipidemia.

Research objectives: This literature is to critically analyze the comparison RYR and simvastatin in lowering lipid profile.

Methods: A search for relevant literatures in PubMed, Scopus, Cochrane, and Science Direct was conducted. We assessing the relevancy and eligibility of the literatures. Three literatures were selected and critically appraised.

Results: There were no significant different between RYR and statin group for triglyceride (TG), high-density lipoprotein-cholesterol (HDL-C), especially the total cholesterol (TC)  and the low-density lipoprotein-cholesterol (LDL-C) level. Red yeast rice (RYR) show less fatigue side effect than statin.

Conclusions: Nutraceutical like RYR can be an alternative to lowering lipid profile especially TC level and LDL-C level and solution for patients who experience statin-associated myalgia.

Keywords: red yeast rice, monacolin K, simvastatin, lipid profile
Breves reflexiones sobre la convencionalidad y constitucionalidad de las medidas laborales previstas en el Decreto de Urgencia 016-2020
Authors: Cáceres Sifuentes Christian , Sosa Córdova Kimbherly
Published: December 2021

El presente artículo tiene como objetivo analizar la constitucionalidad y convencionalidad de las medidas relacionadas a la reposición, reincorporación e indemnización laboral previstas en el Decreto de Urgencia 016-2020. Para ello, se efectuará un estudio sobre la protección a la estabilidad laboral que regula nuestro ordenamiento jurídico, en concordancia con la normativa supranacional, así como, sobre diversos pronunciamientos y criterios interpretativos e integrativos emitidos vía jurisdiccional con los fundamentos y motivos que los sustentaron. En ese contexto, se procederá a concluir de manera motivada y fundamentada sobre la convencionalidad y constitucionalidad de las medidas previstas en el mencionado decreto.
Marco general e importancia de la actuación de los actores estratégicos que intervienen en la tramitación del procedimiento administrativo disciplinario de la Ley del Servicio Civil
Authors: Vilela Carbajal Jorge
Published: December 2021

El presente artículo tiene como finalidad -sobre la base de los informes técnicos emitidos por la Autoridad Nacional del Servicio Civil (SERVIR) y de las resoluciones expedidas por el Tribunal del Servicio Civil- brindar un panorama general de los actores estratégicos que intervienen en las distintas fases del procedimiento administrativo disciplinario, haciendo referencia a las funciones que realizan en su tramitación, lo cual se complementa con la experiencia práctica, y con énfasis en situaciones realizadas por las autoridades del procedimiento administrativo disciplinario que han devenido en causales de nulidad del mismo.
Plataformas Itinerantes de Acción Social – PIAS:
Authors: García Fernández Magaly , Ascencios Balbín Karina , Velarde Bazán Carlo Mario , Herrera Salazar Ramón
Published: December 2021

Las Plataformas Itinerantes para la Acción Social–PIAS surgen en 2012 como una iniciativa de la Marina de Guerra del Perú para acercar servicios públicos a zonas alejadas en la Amazonía en embarcaciones que navegan por las cuencas amazónicas. Desde 2017, el Ministerio de Desarrollo e Inclusión Social–MIDIS creó el Programa de Acción para la inclusión Social–PAIS, que unificó los programas sociales Tambos y PIAS con la finalidad de mejorar y ampliar su cobertura en zonas rurales y poblaciones de pobreza y pobreza extrema, como son la Amazonía y las localidades altoandinas. A lo largo de los años, esta iniciativa se ha fortalecido y ha logrado articularse con diversas instituciones del sector público, debido —entre otros aciertos— al enfoque intercultural y la gestión de recursos humanos al interior del proyecto. Actualmente son cinco embarcaciones que trabajan inclusive en contextos difíciles como el de la pandemia, y acercan a la ciudadanía a servicios públicos de calidad.
Caso de gestión pública: trabajo remoto y pandemia en el ministerio
Authors: Ascencios Balbín Karina , Velarde Bazán Carlo Mario
Published: December 2021

A raíz de las medidas dictadas por el gobierno para afrontar la crisis del covid 19 el Ministerio de la Presidencia organizó al personal para dar respuesta a las demandas de las entidades públicas a nivel nacional. Si bien el acompañamiento y respuesta del equipo técnico no se detuvo, sí hubo situaciones que pusieron en riesgo al personal del ministerio con el propósito de dar continuidad al servicio. En este contexto y debido al incremento de contagios, se estableció la modalidad de trabajo remoto que significó la reorientación de la gestión de los recursos humanos, materiales y tecnológicos. Así como, la búsqueda de la armonía entre el ámbito laboral y familiar.