bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Plant Density, Zinc Added to Phosphorus Fertilizer Sources and Location on Selected Yield Parameters of Soybean
Authors: Gonyane M.B. , Sebetha E.T.
Published: December 2021

Background: Soybean [Glycine max (L.) Merrill] is an annual herbaceous leguminous grain crop which is cultivated mainly for its oil and protein. The objective of the study was to determine the effects of plant density and zinc added to phosphorus fertilizer sources on soybean yield performance under different environmental conditions. Methods: A field trial was executed in two sites during the 2018/19 and 2019/20 summer planting seasons. The experimental design involved a 2 × 2 × 5 factorial fitted into a randomized complete block design (RCBD) with four replications. The experiment consisted of two plant densities, a lower plant density of 66 666 plants/ha and a higher plant density of 111 111 plants/ha. The five different types of fertilizer treatments were single superphosphate, monoammonium phosphate, zinc sulphate added to single superphosphate, zinc sulphate added to monoammonium phosphate and control. Result: The results showed that plant density has a significant effect (P less than 0.05) on soybean number of pods per plant and the field biomass yield. Soybean planted under lower plant density conditions produced a significantly larger number of pods per plant during both planting seasons, whereas higher plant density conditions resulted in a higher soybean field biomass yield during the 2018/19 planting season. It was observed that soybean treated with monoammonium phosphate had higher seed mass.
An assessment of sentencing approaches to persons convicted of white-collar crime in South Africa
Authors: Magobotiti CD
Published: December 2021

Assessing court sentencing approaches to persons convicted of white-collar crime is a complex task. For the purposes of this article, this research task involved assessing the appropriateness of sentences imposed within the proportionality principle during the period 2016 to 2021 in South Africa. This further involved the empirical use of both qualitative and quantitative methodologies, in order to determine how commercial courts – in this case, the Bellville Commercial (Regional) Court – impose a sentence on white-collar criminals. The article establishes that, in South Africa, categories of white-collar crime such as corruption, racketeering, fraud and money laundering are increasingly reported by the media, independent institutions and government. There is a public perception that courts are generally lenient in sentencing white-collar offenders. This article aims to determine the appropriateness of a sentence, within the principle of proportionality, for white-collar criminals, in order to deter this type of crime.
The effect of communication skills training on marital intimacy and marital conflict among young couples: An experimental study
Authors: Torfi Amidpour Shams al-Din , Charkhabi Morteza , Hayati Davoud , Paola Francesco De
Published: December 2021

This study aimed to evaluate the effectiveness of communication skills training on improving marital intimacy and reducing marital conflicts among young couples using a cognitive behavioural therapy approach. Data were collected from a sample of 20 couples in Iran who were selected by purposive sampling method. To select them, first, they had to complete at least 2 years of marriage and, second, they should be willing to voluntarily participate in our training course. The selected sample was divided into experiment and control groups using the random assignment method based on a pre-test–post-test plan. The experimental group was trained in communication skills training via 8 weekly based sessions. During this period, no intervention was given to the control group. The hypothesis analyses using the covariance analysis showed that the communication skills training enhanced marital intimacy and reduced marital conflicts in all levels. The findings showed that CBT-based communication skills training can positively affect the family relationship between young couples.
 
Keywords: Communication skills, marital intimacy, marital conflicts, couple, training.
La columna como reflejo de la identidad periodística de Rosa Montero
Authors: Kolankowska Małgorzata
Published: December 2021

El objetivo del artículo es indicar las características del columnismo de Rosa Montero sobre la base de La vida desnuda y Maneras de vivir. El trabajo analiza la temática, las técnicas de persuasión y la actitud de la periodista con respecto a sus lectores, así como el modo de construir los artículos de opinión. El ensayo demuestra que Montero encuentra inspiración en sus experiencias personales, rutina diaria, noticias, cartas. Dichas inspiraciones la conducen a unas reflexiones de carácter universal. Es consciente de su voz y sabe que sus lectores comparten sus opiniones y tratan sus columnas como un espacio en el que se sienten seguros y dirigidos por la periodista. Sus columnas se convierten en espacios del encuentro.
Defender lo “natural”. Identidad(es) lésbica(s) en “Así es” de Victorina Durán
Authors: Salinas Carmen Gaitán
Published: December 2021

El tercer volumen de las memorias de Victorina Durán, titulado Así es, constituye, ante todo, una reivindicación de las identidades de género no heteronormativas en la España del siglo XX. La escenógrafa, artista, crítica de arte, docente y dramaturga defendió en este texto la naturalidad de sentirse atraída por otras mujeres, haciendo frente a las críticas del sistema patriarcal, que históricamente ha oprimido y castigado a quienes escapaban a la norma. A lo largo de este trabajo nos proponemos, en primer lugar, contextualizar el momento de finalización de redacción de estas memorias, que no es casual, y, por otro lado, analizar la(s) identidad(es) lésbica(s) narradas en Así es.
Gestione clinica della malaria nel paziente HIV positivo.
Authors: Iannuzzi et al. Francesca
Published: December 2021

Vi è un’estesa sovrapposizione geografica tra malaria e infezione da HIV nell’Africa Sub-Sahariana e, in minor misura, nel Sud-Est Asiatico.
In Europa e Nord America i casi di malaria nei pazienti HIV positivi sono limitati ai viaggiatori in aree malariche senza idonea profilassi.
La co-infezione malaria-HIV (CMH) comporta un aumento della viremia e una riduzione del numero dei linfociti CD4+, l’incremento della parassitemia e della frequenza di gametocitemia persistente, più frequenti complicanze da malaria grave e mortalità più elevata.
La CMH in gravidanza aumenta il rischio di complicanze perinatali (parto pre-termine, aumentata
mortalità neonatale, anemia grave).
Nella scelta del trattamento antimalarico è necessario tenere in considerazione le numerose interazioni farmacologiche con la terapia antiretrovirale.
In generale gli inibitori delle proteasi e gli NNRTI sono i farmaci con il maggior numero di interazioni farmacologiche con le terapie di combinazione a base di derivati dell’artemisinina.
L’allungamento del tratto QT è l’evento avverso più frequente e che richiede un monitoraggio ECG più attento nei pazienti in trattamento antiretrovirale.
Il paziente con infezione da HIV necessita pertanto un attento monitoraggio degli effetti collaterali in corso di terapia e rivalutazione nelle settimane successive per assicurarsi l’efficacia del trattamento antimalarico.
Vania Markarian. Universidad, Revolución y Dólares. Dos estudios sobre la Guerra Fría cultural en el Uruguay de los sesenta
Authors: Pis Diez Nayla
Published: December 2021

Este ar´tículo reseña: Vania Markarian. Universidad, Revolución y Dólares. Dos estudios sobre laGuerra Fría cultural en el Uruguay de los sesenta. Montevideo: Penguin Random House, 2020, 344 pp.
MAFLD AND NAFLD: is there the need for redefining the risk of cardiovascular disease and mortality?
Authors: Lombardi Rosa , Cespiati Annalisa , Francione Paolo , Cinque Felice , Fargion Silvia , Fracanzani Anna Ludovica
Published: December 2021

Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease worldwide and is characterized by a high burden of metabolic alterations. It exposes patients to increased morbidity and mortality, mostly driven by cardiovascular (CV) complications. Despite its large use, the nomenclature NAFLD has some limitations, due to the exclusion of patients with hepatic fat and concomitant other liver diseases or moderate alcohol consumption possibly contributing to hepatic damage. Therefore, a new and more inclusive definition of fatty liver has recently been proposed, namely metabolic associated fatty liver disease (MAFLD). It comprises patients with hepatic steatosis and associated metabolic comorbidities, without exclusion of other liver diseases. As for the nature of the new definition of MAFLD, it could be speculated that an increased risk of cardiovascular complications should be expected. Therefore, our review aims at answering the question about possible differences in cardiovascular risk and mortality in patients with NAFLD compared to MAFLD. We selected 8 studies out of 1130 by searching in the PubMed database. Data from literature seem to report an increased risk of CV events and mortality in patients affected by MAFLD compared to NAFLD, possibly due to the metabolic burden and coexistence of other liver diseases typical of MAFLD. However, further prospective studies are warranted to confirm this preliminary hypothesis.
Relationship of Age and Parity with The Incidence of Perineum Rupture in Borneo Citra Medika Pelaihari Hospital
Authors: Amelia Rizky Yusnida , Budinurdjaja Pribakti , Nizomy Ihya Ridlo , Noor Meitria Syahadatina , Sidarta Singgih , Susila I Made Gede Darma
Published: December 2021

Perineal rupture is a laceration on the perineum during delivery process (excluding iatrogenic rupture such as episiotomy). Several provinces in Indonesia in 2017-2018 reports that 1 in 5 cases of perineal rupture is shown to be fatal, one of many contributing factors in perineal rupture is age and parity. This study aims to find the relationship between age, parity, with perineal rupture on per vaginam (spontaneous) deliveries in RSIA Borneo Citra Medika, Pelaihari. This search use cross-sectional, analytic observational study that was conducted at RSIA Borneo Citra Medika from January to December 2017 with simple random sampling utilizing secondary data from medical record, total 208 samples. The result is perineal rupture was found on 16 (11.51%) samples with age <20 years old and >35 years old and on 123 (95.69%) samples with age 20-35 years old. Chi-square analysis showed no association between age and perineal rupture (p>0.05). Perineal rupture was found on 70 (50.35%) samples with primigravida and on 69 (49.65%) samples with multigravida. Chi-square analysis showed a strong association between parity and perineal rupture (p= 0.000). The conclusions are there was a significant relationship between parity with perineal rupture and there wasn’t significant relationship between age with perineal rupture.
Meta Analysis: Relationship of Tuberculosis Patient Contact, Density And Ventilation Area With Tuberculosis Events
Authors: Riza Muhammad , Husaini Husaini , Lahdimawan Ardik , Adhani Rosihan , Noor Meitria Syahadatina
Published: December 2021

Tuberculosis is one of 10 causes of death in the world. In 2018 TB sufferers in Indonesia reached 840 thousand people, the third-highest figure in the world after India and China. The purpose of this study was to analyze the relationship between contact with tuberculosis patients, occupancy density and ventilation area with tuberculosis’ incidence. This study used meta-analysis, the articles’ sources were from Google Scholar, PubMed and DOAJ published from 2011-2020. There were 12 articles that met the conditions for contact-free variables with tuberculosis patients, 12 articles of occupancy density, and 10 articles of ventilation area variable. The results were contacting with tuberculosis patients had 5.93 times more of getting tuberculosis compared to people who had no contact with tuberculosis patients, people who lived in densely populated areas were 2.41 times more getting tuberculosis compared to people living in occupancy that is not crowded, people who live in dwellings with a non-standard ventilation area were 2.14 times more getting tuberculosis when compared to people who live in an area where the ventilation area meets the standard. The conclusion of this study is tuberculosis patient contact, occupancy density, and ventilation area with the incidence of tuberculosis have a significant relationship.
Meta-Analysis: The Influence of Knowledge, Education, and Husband's Support on The Selection of Long Acting Contraception Methods
Authors: Rahmi Nurul Aulia , Akbar Izaak Zoelkarnain , Ilmi Bahrul , Noor Meitria Syahadatina , Adhani Rosihan
Published: December 2021

The population is expected to increase by 8,5 billion persons in 2030 and 10,9 billion persons in 2100, population is growing at a rate of around 1,1% per year.  One of population growth control by birth control with contraception. The most effective contraception is long-acting contraception, however, on IDHS (Indonesian Health Demographic Survey) only 13% of currently married women use long-acting contraception. Many factors affect contraceptive use among married women, such as knowledge, education, and husband’s support. The purpose of this study was to determine the effect of knowledge, education, and husband's support on the selection of MKJP. This study used meta-analysis with the search engines by Google scholar, PUBMED, science direct, and ProQuest. The study was selected using PRISMA and it was evaluated by AMSTAR. Data synthesis was conducted by STATA 16.0. The results of this study obtained by knowledge [OR = 0,99; 95% Cl : 0,90-1,08, p = 0,000; I2 = 74,8%], education [OR = 0,84; 95% Cl : 0,77-0,92, p = 0,000; I2 = 86,3%], and husband’s [OR = 0,94; 95% Cl : 0,69-1,20, p = 0,000; I2 = 81,5%]. This means that knowledge, education, and husband’s support have an impact on the use of long-acting contraception.
The Overview of Dengue Hemorrhagic Fever Based on Larva Free Index, Education Level, and Population Density
Authors: Afifah Afifah , Fakhriadi Rudi , Setyaningrum Ratna , Musafaah Musafaah , Rosadi Dian
Published: December 2021

One of the diseases that still has the potential to become an epidemic in Indonesia is Dengue Hemorrhagic Fever (DHF). Banjarbaru City is a dengue-endemic area with a high number of new cases (IR) of dengue during 2016-2018 consecutively. In 2018, Banjarbaru City's IR DBD was the second highest after Hulu Sungai Selatan Regency at 105.24 per 100,000 population. The purpose of this study is to describe the incidence of dengue hemorrhagic fever based on the review of larva free index, education level, and population density in the City of Banjarbaru in 2018-2019. The population in this study is demographic data and health data in the City of Banjarbaru in 2018-2019. The sample of this research is the data on dengue cases, larva free index data, education level data, and population density data for the City of Banjarbaru in 2018-2019. Descriptive data analysis used frequency distribution tables and cross-tabulations. The results showed descriptively low larva free index showed a low incidence of DHF (2018 (18.75%) 2019 (11.11%), high levels of education showed a high incidence of DHF (2018 (20%), 2019 (20%), and high density indicates a high incidence of DHF (2018 (18.75%) in 2019 (12.5%).
REB’s statistical series: surveys of industrial enterprises
Authors: Aukutsionek S. , Batyaeva A. , Dyomina N. , Egorov A. , Matveev A.
Published: December 2021

Industrial indexes of the Russian Economic Barometer cover a wide range of economic indicators of Russia’s industrial enterprises. The article presents the basic statistical data collected on a monthly, quarterly and semi-annual base by the Russian Economic Barometer through direct surveys of industrial enterprises’ managers. Regular extension of rows allows to consider the dynamics of more than 100 series of indicators, to conduct a comparative analysis of data collected since 1991.
THE IMPACT OF GLOBALIZATION ON SUPPLY AND DEMAND IN THE CRUISE INDUSTRY
Authors: Perucic Doris
Published: December 2021

The paper investigates how globalization processes have reshaped the de-territorialisation of capital, labor and the tourist destination. The fact that cruises as a form of tourism supply are not tied to just one destination has contributed to a more rapid development of globalization processes in the cruise industry. The growth in demand and the economy of scale have caused the appearance of gigantism. Ships have become floating hotels or destinations similar to on-land resorts, and the ports visited have become part of the program offered onboard. Today, ships that carry few thousand people including passengers and crew, and offer a multitude of facilities, can be viewed as a global microcosms, considering that the passengers and crew come from various countries around the world. The multinational atmosphere onboard is frequently marketed as part of the cruise experience. This is further strengthened by the fact that a ship does not usually sail under the flag of its country of domicile, but rather under a flag of convenience that allows the company to lower considerably their running costs and access to global laborforce markets. Today, cruising is worldwide, demands show high growth rate, new markets are emerging, new cruise regions are developing, and the profile of cruise passengers is changing. Multinational companies cover almost all cruise regions, and the sector is dominated by three corporations that control more than 75% of the market.
THE PRESENT POSITION AND FUTURE PROSPECTS OF THE GERMAN LANGUAGE IN CROATIAN TOURISM
Authors: Blazević Nevenka , Blazević Maja
Published: December 2021

The global competition on the tourist market and the internationalization of the tourist industry intensify the need for language learning. Knowledge of foreign languages is the most important prerequisite of the quality service in the tourist industry. The structure of foreign guests in Croatia classified by emitting countries proves that the part of the German speaking guests in comparison with other language communities is the most prominent one, so that German is the most important foreign language for the communication in Croatian tourism. Although its learning in Croatian educational institutions compared to English has been neglected, it has been learnt by all pupils in vocational schools for hotel and tourism industry. In Croatian tourism English as the language of the global communication can not satisfy all communication needs in tourism.
OPTIMAL COMBINATION OF MARKETING INSTRUMENTS AS A BASIS FOR TOURIST DESTINATION STRATEGIC MANAGEMENT
Authors: Županović Ivo
Published: December 2021

The marketing mix concept is understood as a certain combination of the instruments that form a tourist offer. Marketing mix enables integration of marketing activities,in order to satisfy the needs of tourist clients,but also in order to achieve the goals of tourist subjects business. Marketing instruments optimising is necessary during the adaptation to certain tourist segments.A suitable marketing mix is not just a simple sum of different instruments but an optimal combination of certain strategies of integrated tourist product, prices, promotion and distribution.
TOURISM DESTINATION MANAGEMENT COMPANY (DMC): A CENTRAL ACTOR OF A DESTINATION AS A MILIEU
Authors: Magaš Dragan , Bašan Lorena
Published: December 2021

Today in Croatia, discordant views can be encountered at local and regional levels regarding responsibilities for the development of towns, municipalities and counties as tourism destinations. This underlines the necessity of establishing a superior tourism organisation that would integrate the interests of local authorities, tourism organisations, tourism supply providers and residents, and that would, on the one hand, possess the legitimate authority, knowledge and vision needed for destination development, while, on the other hand, it would be accountable for the destination’s development.
TRICOEPITELIOMA MÚLTIPLO EM CRIANÇA - RELATO DE CASO
Authors: Silva Thiago Henrique , Vidal de Oliveira Victor , Leonardo Sangalli Thiago , Fernandes de Sousa Thácila , Ribeiro Guedes Virgilio , Fernandes da Costa Nilo
Published: December 2021

Resumo: Introdução: Os tricoepiteliomas são tumores benignos raros originados do folículo piloso, apresentam-se como lesões únicas ou múltiplas. Os casos já relatados iniciam na infância e aumentam em número e tamanho durante a vida adulta.  O objetivo do artigo é apresentar essa patologia de baixa incidência e diagnóstico desafiador. Desenvolvimento: É apresentado o caso de paciente de 9 anos do sexo feminino, acompanhada desde os 5 anos, com queixa de múltiplas pápulas da cor da pele, bem delimitadas, circulares, dispostas difusamente em região facial, com surgimento a partir dos 3 anos. As análises dermatoscópica e anatomopatológica foram coerentes com o diagnóstico de tricoepitelioma múltiplo. Considerações Finais: É preciso fazer diagnósticos diferenciais subsequentes com tumores malignos, pois existe na literatura relato de transformação maligna para carcinoma basocelular em lesões mais antigas. O tratamento habitual é a exérese da lesão, mas deve ser individualizado, avaliando as chances de recidiva, o potencial de lesão cicatricial e impacto estético.
Carcinoma epidermoide intraoral em Palmas, Tocantins: uma análise de incidência
Authors: Duran Marquez de Souza Paula , Pereira Vaz Filho Hugo Henrique , Olegário de Araújo Ronyere , Zambaldi da Cruz Eduardo , Abdalla Rosa Cristiano , Garcia Rosa Ana Cláudia
Published: December 2021

O carcinoma epidermoide oral (CE) é um neoplasma com diferenciação escamosa originado no epitélio das mucosas da cavidade bucal, além de ser a neoplasia maligna de cabeça e pescoço mais comum, excluindo-se os carcinomas de pele não-melanomas. Os Registros de Câncer de Base Populacional (RCBP) são sistemas de informações relacionados ao Instituto Nacional do Câncer (INCA), específicos para a oncologia, que coletam, classificam e analisam os casos novos de câncer diagnosticados em moradores de uma área geográfica específica, permitindo conhecer a incidência de câncer daquela área. O presente trabalho objetivou realizar uma análise do RCBP da cidade de Palmas, Tocantins, Brasil, em um período de seis anos (2008-2013), comparado com o número de casos diagnosticados em um único serviço de atendimento municipal (Centro de Especialidades Odontológicas- CEO), no mesmo intervalo de tempo (2014-2019). Em ambos os casos, houve prevalência entre homens acima de 50 anos, o que confirma os dados epidemiológicos da OMS e do INCA relacionados ao CE. Em relação à raça, no RCBP houve predomínio da raça parda, enquanto no CEO houve predomínio da raça branca, possivelmente pelo maior número de casos em CE de lábio. Em relação à localização das lesões, no RCBP houve predomínio de CE em base de língua, enquanto no CEO houve predomínio de lesões em outras localizações. Diante destes resultados, acredita-se que (1) embora o RCBP seja um meio confiável de registro de câncer, os dados referentes à incidência de CE na população de Palmas podem estar subestimados, já que, em um mesmo intervalo de tempo, um único serviço da cidade (CEO) registrou o mesmo número de casos notificados no último RCBP; ou (2) houve um aumento real incidência de CE na população de Palmas, o que poderá ser evidenciado com a próxima divulgação de dados de registro do RCBP no período correspondente aos registros do CEO (2014-2019). Desta forma, ressalta-se a importância dos exames anatomopatológicos para a confirmação diagnóstica e a necessidade da notificação da doença pelos profissionais aos setores responsáveis, o que permite uma ampla coleta de dados epidemiológicos para o desenvolvimento de ações que minimizem os riscos do CE.
VALIDAÇÃO DE VÍDEO PARA EDUCAÇÃO DE IDOSOS HIPERTENSOS
Authors: MIRANDA CAROLINA GALGANE LAGE , SILVEIRA DE CASTRO MAURO , SOARES-SOBRINHO JOS´E LAMARTINE
Published: December 2021

Objetivo: determinar a qualidade do material audiovisual, dirigido a pessoas hipertensas. Métodos: estudo descritivo, transversal. Um painel de 10 especialistas analisaram o material educativo, mediante formatos de avaliação, elaborados pela Organização Panamericana da Saúde e adaptação do método avaliação de material educativo impresso, AVALMEI, Brasil. A avaliação também foi realizado por 10 usuários, mediante os tributos preconizados por DOAK. A análise realizada foi a categorização preconizada pela OPAS associada a base qualitativa para apresentação dos itens em discordância. Além da distribuição de frequência relativa, para a comunidade, em conformidade com proposto por DOAK e colaboradores. Resultados: a análise de formato para avaliação de material audiovisual, por profissionais de saúde foi realizada com 7 componentes, total de 32 itens, com 50% dos resultados na categoria de “usar com está” e 50% “necessita reformas”. Todas as sugestões que contribuíam com os objetivos do vídeo foram realizada no material. A análise da comunidade sugeriu boa aceitação e compreensão para os cinco tributos preconizados. Conclusão: o material registrou aceitação pelos usuários e expertos, podendo ser considerado uma ferramenta didática válida para educação de pacientes hipertensos.
MANEJO DO TRABALHO DE PARTO PREMATURO
Authors: Soares Nayara Pettine Dias , Ruiz de Moraes Fábio Roberto , Martins Aires Marcelo Augusto , Borges Corrêa Bichuete Isabela
Published: December 2021

INTRODUÇÃO: A prematuridade é definida como o nascimento do produto da concepção antes de 37 semanas de idade gestacional e é responsável pelas principais causas de morbidade infantil, especialmente no período neonatal. DESENVOLVIMENTO: Esse artigo revisou fontes literárias clássicas da obstetrícia e pareceres das sociedades médicas interessadas no tema e tem por finalidade trazer à luz as principais medidas farmacológicas na condução do trabalho de parto prematuro. O diagnóstico de trabalho de parto prematuro usualmente é clínico: documentação de contrações uterinas rítmicas e regulares capazes de promover a plasticidade do colo uterino (apagamento, dilatação ou ambos). A coleta detalhada da história clínica, o exame obstétrico e a pesquisa por sinais e sintomas que possam sugerir outros diagnósticos diferenciais são essenciais para o diagnóstico correto e manejo apropriado. CONCLUSÃO: Ao considerar a epidemiologia e a carga que a prematuridade exerce sobre o sistema de saúde, é de suma importância o correto diagnóstico e a datação da idade gestacional, a qual será o parâmetro para as intervenções melhor estabelecidas até o momento.

Palavras-chave: trabalho de parto prematuro; diagnóstico; manejo clínico.
ANÁLISE DE CONTAMINAÇÃO DE ABAIXADORES DE LÍNGUA PRÉ-USO EM UNIDADES BÁSICAS DE SAÚDE LOCALIZADAS EM GURUPI-TO
Authors: Maciel Lima Ana Karoline , Zvicker da Silva Débora , Lopes Alencar de Carvalho Adalberto , Esperidião Santos Segundo Ademir , Phernanddo Nolêto Arruda Hyággo , Alves dos Santos Émelin
Published: December 2021

Introdução: Os abaixadores ou depressores de língua são instrumentos utilizados na Medicina e na Odontologia com a função de abaixar a base superior da língua permitindo a inspeção da boca e da orofaringe. Apesar da alta aplicabilidade do instrumento, não há protocolos ou uma padronização para seu armazenamento e/ou manipulação. Objetivo: Verificar a presença de contaminação por bactérias em abaixadores de língua pré-uso em Unidades Básicas de Saúde (UBS) do Município de Gurupi, no estado do Tocantins. Métodos: Trata-se de um estudo primário, analítico, observacional, transversal e de prevalência. Resultados: Foram coletados 66 abaixadores de língua em todos os consultórios médicos de todas as UBS’s dessa urbe. Em todas as UBS’s houve pelo menos uma positivação de teste microbiológico em meio Ágar-Sangue, sendo que em nenhuma se verificou a positivação do teste em meio MacConkey. Os abaixadores encontravam-se em diversas condições de armazenamento. Discussão: Verificou-se a presença de contaminação de abaixadores de língua por bactérias em todas as UBS’s pesquisadas, sendo que o crescimento microbiano nas placas de Ágar Sangue e não nas de Ágar MacConkey pode sugerir a presença de enterococos e estafilococos. A identificação de tais patógenos e de seu potencial iatrogênico constitui campo de pesquisa para estudos posteriores. Conclusão: Os abaixados de língua são uma ferramenta amplamente utilizada na prática clínica, no entanto, a presença de contaminação bacteriana nos mesmos pode sugerir a necessidade de criação de novos protocolos de armazenamento para prevenir que a utilização desses instrumentos corresponda a um ato iatrogênico. 

Palavras-chave: Contaminação de Equipamentos; Bactérias; Doença Iatrogênica; Consultórios Médicos.
ENDOFTALMITE FÚNGICA: RELATO DE CASO
Authors: Souza Carvalho Melyssa , Fernandes de Sousa Thácila , Labre Tavares Murilo , Sales Santos João Vitor , Graciolli Giusepe
Published: December 2021

A endoftalmite é uma inflamação nos tecidos intraoculares causada por microorganismos que invadem o segmento posterior do olho, sendo os fungos a origem mais comum de endoftalmite exógena. Tal patologia se caracteriza como potencialmente destrutiva para a visão devido ao acometimento de estruturas, como retina, coroide e corpo ciliar. Esse trabalho busca relatar o caso de um recém-nascido a termo com endoftalmite após infecção do trato urinário e posterior sepse fúngica por Candida albicans. No diagnóstico, apresentou fundo de olho com lesão branca bem delimitada envolvendo a retina em pólo posterior do olho direito. Após tratamento e acompanhamento ambulatorial, foi identificada absorção completa da lesão ocular. Ressalta-se a importância do estudo de infecções fúngicas em neonatos devido à sua elevada mortalidade e morbidade, que inclui cegueira parcial e completa. O relato serve de embasamento para possíveis casos semelhantes, uma vez que o prognóstico depende, em grande parte, do diagnóstico e tratamento precoce.
MALACOPLAQUIA VESICAL, UM RELATO DE CASO
Authors: Bezerra Rafael , Plínio da Cunha Leal  , Ed Carlos Rey Moura  , Caio Marcio Barros de Oliveira  , Vinicius de Oliveira Wallim  , Benito Júnior Santos da Costa
Published: December 2021

Introdução: A Malacoplaquia é uma doença rara de característica inflamatória crônica, de diagnóstico histológico por achado de corpos de Michaelis-Gutmann. A apresentação macroscópica é de placas de consistência amolecida, coloração amarelada, com importante hiperemia na base da lesão. Relato de caso:  Paciente portadora de doença renal crônica, com enxerto renal recebido de doador falecido, realizando terapia imunossupressora. Durante consulta no terceiro ano após o transplante realizou ultrassonografia de vias urinárias com achado de bexiga de moderada repleção, com formações nodulares sólidas lobuladas de aspecto vegetante em assoalho e parede lateral direita, medindo 2,1 x 0,6 e 1,3 x 0,4 cm, respectivamente, acompanhado de debris na cavidade vesical. A paciente foi submetida a cistoscopia transuretral com biópsia das lesões que tiveram diagnóstico histopatológico de Malacoplaquia. Foi realizada nova cistoscopia transuretral para remoção das lesões após tratamento de cistite bacteriana com Meropenem. A paciente encontra-se atualmente sem queixas e aguarda nova cistoscopia para avaliar se houve retorno das lesões. Conclusão: Existem poucos casos relatados de Malacoplaquia em pacientes que realizaram transplante renal. Com este relato, os autores pretendem descrever um caso em que foi adotada a conduta cirúrgica como abordagem terapêutica e delinear algumas considerações urológicas sobre esta patologia.

Palavras-Chave: Malacoplaquia; transplante renal; imunossupressão; infecção urinária
STATUS KEBERLANJUTAN PENGELOLAAN EKOSISTEM MANGROVE DI KECAMATAN TARUMAJAYA, KABUPATEN BEKASI
Authors: Muhammad Haris Abiyyu , Hardjomidjojo Hartrisari , Kusmana Cecep Kusmana
Published: December 2021

Mangrove ecosystems provide various useful types of products and services to support the life needs of coastal communities. In the management of sustainable mangrove ecosystems, it is necessary to integrate activities in the ecological, economic, and social dimensions as it is known in the concept of sustainable development. This study aims to measure the sustainability status of mangrove ecosystem management in Tarumajaya District, Bekasi Regency. Data analysis is applying RAPFISH with the multidimensional scaling (MDS) method. The results show that the sustainability status of mangrove ecosystem management in Tarumajaya District, Bekasi Regency, obtains a multidimensional index value of 45.79% with less sustainable status, index value; and the sustainability status in each dimension, is 21.72% for the ecological dimension (unsustainable), 49.15% for economic dimension (less sustainable), 40.68 % for social dimension (less sustainable), and 63.68% for institutional dimension (quite sustainable). The influencing factors for the sustainability of mangrove ecosystem management consist of 16 indicators from the 4 dimensions tested. The results of statistical parameter validation and the results of the Monte Carlo test show that all of the dimension indicators analyzed in the management of sustainability of mangrove ecosystems have a significant role in explaining the diversity of mangrove ecosystems dimensional index value and have a high level of confidence.
ARAH PENGEMBANGAN BAMBU DI KABUPATEN NGADA: TINJAUAN LITERATUR
Authors: Putra Jaya Adisa
Published: December 2021

The approach of sustainable natural resource processing is increasing with the awarening development of global communities and the keys to socio-economic improvement. Bamboo is the types of plants that can be used to fulfill the resource needs and as another alternative to improving the economy engagement in rural creative industries. Bamboo is a well-known plant, especially for rural communities. Ngada is a center development of bamboo in Indonesia, it is because of the abundant potential of bamboo. The utilization of bamboo for the society in Ngada has become as a part of life and has been inherited by their ancestors and can be a focus for economic community development and as promising source of income. The use of bamboo by the society of Ngada in general as a source of household needs so that is an indicator that bamboo is worth more than just a plant. There are further utilization of bamboo that can be divided into: 1) The utilization of upstream subsystem; 2) The utilization of on farm subsystem; 3) The utilization of downstream subsystem, with many utilization areas of bamboo, allows this to be first stage to determining the policy in Ngada that focused on developing of bamboo.
On the Additive and Subtractive Representation of Even Numbers from Primes
Authors: Shehu Ali , Uka Jetmira
Published: December 2021

We demonstrate a new quantitative method to the sieve of Eratosthenes, which is an alternative to the sieve of Legendre. In this method, every element of a given set is sifted out once only, and therefore, this method is free of the Mobius function and of the consequential parity barrier. Using this method, we prove that every sufficiently large even number is the sum of two primes, and that every even number is the difference of two primes in infinitely many ways.
Mixed Solvents in Multi-Layer Ceramic Capacitors (MLCC) Elec-Tronic Paste and Their Effects on the Properties of Organic Vehicle
Authors: Gan Ruolong , Li Junrong , Cao Xiuhua , Huang Jun , Qian Liying
Published: December 2021

The copper end paste used in multilayer ceramic capacitors sintered in nitrogen atmosphere will lead to carbon residue of organic vehicle, which will lead to the reduction of electrode conduc-tivity and high scrap rate. With an attempt to leave no residue in the sintering, the compatibility of solvents and thickeners should be improved because it has an important influence on the hi-erarchical volatilization and carbon residue of organic vehicles. In this work, the volatility of different solvents was compared and several solvents were mixed in a definite proportion to prepare an organic vehicle with polyacrylate resins. The hierarchical volatility and solubility parameters of mixed solvents were adjusted effectively by changing proportions of different components, the thermogravimetric curves of resins and organic vehicles were measured by thermogravimetric analyzer, the effect of solubility parameter on the dissolvability of resins in the solvent and the residual of organic vehicles were studied. Results showed that the hierar-chical volatilization of solvents can be obtained by mixing different solvents; the intrinsic vis-cosity of the organic vehicle is higher and the thermal decomposition residue of polyacrylate resins is lower when the solubility parameters of mixed solvents and polyacrylate resins are closer. The low residual sintering of organic vehicles can be achieved by using the mixed solvent with hierarchical volatility and approximate solubility parameters as resins.
Nanometers-Thick Ferromagnetic Surface Produced by Laser Cutting of Diamond
Authors: Setzer Annette , Esquinazi Pablo D. , Buga Sergei , Georgieva Milena , Reinert Tilo , Venus Tom , Estrela-Lopis Irina , Ivashenko Andrei , Bondarenko Maria , Böhlmann Winfried , Meijer Jan
Published: December 2021

In this work, we demonstrate that cutting diamond crystals with a laser (532 nm wavelength, 0.5 mJ energy, 200 ns pulse duration at 15 kHz) produces a ≲20nm thick surface layer with magnetic order at room temperature. We have measured the magnetic moment with a SQUID magnetometer of six natural and six CVD diamond crystals of different size, nitrogen content and surface orientations. A robust ferromagnetic response at 300 K is observed only for crystals that were cut with the laser along the (100) surface orientation. The magnetic signals are much weaker for the (110) and negligible for the (111) orientations. We attribute the magnetic order to the disordered graphite layer produced by the laser at the diamond surface. The ferromagnetic signal vanished after chemical etching or after moderate temperature annealing. The obtained results indicate that laser treatment of diamond may pave the way to create ferromagnetic spots at its surface.
Trial Assay for Safe First-Aid Protocol for the Stinging Sea Anemone Anemonia viridis (Cnidaria: Anthozoa) and a Severe Toxic Reaction
Authors: Ballesteros Ainara , Salazar Janire , Marambio Macarena , Tena Jose , Garcia-March Jose Rafael , López Diana , Tellez Clara , Trullàs Carles , Jourdan Eric , Granger Corinne , Gili Josep-Maria
Published: December 2021

Anemonia viridis is an abundant and widely-distributed temperate sea anemone that can form dense congregations of individuals. Despite the potential severity of its sting, few detailed cases have been reported. We report a case of a severe toxic reaction following an A. viridis sting in a 35-year-old oceanographer. She developed severe pain, itching, redness and burning sensation, which worsened one week after treatment with anti-inflammatories, antihistamines and corticosteroids. Prompted by this event, and due to the insufficient risk prevention, lack of training for marine-environment users and lack of research into sting-specific first-aid protocols, we evaluated the cnidocyst response to five different compounds commonly recommended as rinse solutions in first-aid protocols (seawater, vinegar, ammonia, baking soda and freshwater) by means of the Tentacle Solution Assay. Vinegar and ammonia triggered an immediate and massive cnidocyst discharge after their application and were classified as activator solutions. Baking soda and freshwater were also classified as activator solutions, although with a lower intensity of discharge. Only seawater was classified as a neutral solution and therefore recommended as a rinse solution after A. viridis sting, at least until an inhibitory solution is discovered.
In-vitro and In-vivo Feasibility Study for a Mobile VV-ECMO and ECCO2R System
Authors: Strudthoff Lasse Johannes , Lüken Hanna , Jansen Sebastian Victor , Petran Jan , Schlanstein Peter , Schraven Lotte , Schürmann Benjamin Josef , Steuer Niklas Balduin , Wagner Georg , Schmitz-Rode Thomas , Steinseifer Ulrich , Arens Jutta , Kopp Rüdger
Published: December 2021

Extracorporeal membrane oxygenation (ECMO) is an established rescue therapy for patients with chronic respiratory failure waiting for lung transplantation (LTx). The therapy inherent immobilization may result in fatigue, consecutive deteriorated prognosis and even lost eligibility for transplantation. We conducted a feasibility study on a novel system designed for the deployment of a mobile ECMO device, enabling physical exercise of awake patients prior to LTx. The system comprises a novel mobile oxygenator with a directly connected blood pump, a double lumen cannula, gas blender and supply, as well as control, and energy management. In-vitro experiments included tests regarding performance, efficiency, and blood damage. A reduced system was tested in vivo for feasibility using a novel large animal model. Six anesthetized pigs were first positioned in supine position, followed by a 45° angle, simulating an upright position of the patients. We monitored performance and vital parameters. All in-vitro experiments showed good performance for the respective subsystems and the integrated system. The acute invivo trials of 8h duration confirmed the results. The novel mobile ECMO-system enables adequate oxygenation and decarboxylation sufficient for, e.g., physical exercise of designated LTx-recipients. These results are promising and suggest further preclinical studies on safety and efficacy to facilitate translation into clinical application.
Strategies for the Mobilization and Deployment of Local Low-Value, Heterogeneous Biomass Resources for a Circular Bieconomy
Authors: Schipfer Fabian , Pfeiffer Alexandra , Hoefnagels Ric
Published: December 2021

The European Bioeconomy Strategy aims to strengthen and boost biobased sectors, unlocking investments and markets while rapidly deploying local bioeconomies across Europe and improving compliance with environmental and social sustainability goals. Current biomass provision structures and infrastructure might not be able to tap the sustainable potential of forestry-, agricultural residues and biogenic waste envisaged forming the biogenic feedstock base of the Circular Bioeconomy of tomorrow. Therefore, for the present paper, we assess mobilization strategies, their current status, opportunities, and barriers for local low value and heterogenous biomass resources. Based on discussions with bioenergy supply chain experts, we cluster mobilization measures into three assessment levels; the legislative framework, market structures and technological innovation. Scientific literature research on the respective keywords is performed, the European policy landscape mapped, and the results are enriched with anecdotal evidence, especially for recent and running projects and market developments that lack in published track records. We can identify research needs on all three assessment levels. Still, technological development and legislative frameworks are providing support for heterogeneous biomass mobilization. Market creation, however, represents a bottleneck. We provide novel perspectives, how physical- and virtual bio-hubs and crediting stake- and shareholder variety could create added-value based on sustainable primary economic activities and their cascading activities.
Environmental Accounting of the Yellow-Tail Lambari Aquaculture: Sustainability of Rural Freshwater Pond Systems
Authors: Fonseca Tamara , Valenti Wagner C. , Giannetti Biagio F. , Gonçalves Fernando H. , Agostinho Feni
Published: December 2021

Freshwater pond aquaculture is the prevailing fish culture system worldwide, especially in developing countries. Climate change outcomes and inadequate environmental practices challenge its sustainability. This study applies emergy synthesis to assess the environmental performance of freshwater pond aquaculture in Brazil, aiming to identify and propose practices towards sustainability. As a study model, nine semi-intensive lambari farms operating at three levels of management were evaluated: low (LC), moderate (MC) and high (HC) control. Results showed that the main inputs for LC were services (27-46%), feed (7-39%), and water (15-21%), while for the MC and HC farms, they were feed (35-49% and 17-48%, respectively) and services (33-39% and 26-36%, respectively). All farms required more than 60% of their emergy from purchased inputs, resulting in low emergy sustainability index (ESI = 0.1-0.5). Replacing animal protein and oil on diet composition by vegetal sources, using superficial water instead of springwater, increasing juvenile productivity, and controlling pond fertilization can lead all systems to higher efficiency and resilience, increasing sustainability.
Cross Entropy Covariance Matrix Adaptation Evolution Strategy Solving the Bi-Level Bidding Optimization Problem in Local Energy Markets with Renewables
Authors: Dabhi Dharmesh , Pandya Kartik , Soares Joao , Lezama Fernando , Vale Zita
Published: December 2021

Abstract: The increased penetration of renewables in distribution power systems has motivated researchers to take significant interest in local energy transactions. The major goal of Local Energy Markets (LEM) is to promote the participation of small consumers in energy transactions and providing an opportunity for transactive energy systems. Such energy transactions in LEM are considered as a bi-level optimization problem in which all agents at upper and lower levels try to maximize their profits. But typical bi-level problem is very complex as it is inherently nonlinear, discontinued and strongly NP-hard. So, this article proposes the application of hybridized Cross Entropy Covariance Matrix Adaptation Evolution Strategy (CE-CMAES) to tackle such a complex bi-level problem of LEM. The proposed CE-CMAES secured the 1st rank in Testbed-2 entitled, “Bi-level optimization of end-users’ bidding strategies in local energy markets (LM)” at international competitions on Smart Grid Problems, held at GECCO 2020 and WCCI 2020. CE method is used for global exploration of search space and CMAES is used for local exploitation as its adaptive step-size mechanism prevents its premature convergence. A practical distribution system with renewable energy penetration is considered for simulation. The comparative analysis shows that the overall cost, mean fitness and Ranking Index (R.I) obtained from CE-CMAES are superior to those obtained from the state-of-the-art participated algorithms. Wilcoxon Signed Rank Statistical test also proves that CE-CMAES is statistically different from the tested algorithms.