bluuebunny/crossref_metadata_2025 huggingface dataset:
Frecuencia e indicaciones del parto por cesárea en un hospital docente de Lima, Perú
Authors: Barrena Neyra Mayra , Quispesaravia Ildefonso Pierina , Flores Noriega Monica , Leon Rabanal Cristian
Published: April 2021

Introducción. La cesárea es una operación reservada inicialmente para casos en los que el parto eutócico puede comprometer la vida de la gestante o del producto. Por diversas razones, se ha aceptado a la cesárea como método de parto de elección, aumentando su frecuencia. La OMS estableció un margen de tasa de cesáreas de 15% para las cesáreas primarias, ya que valores mayores no representan una disminución en la morbimortalidad fetal. Mundialmente se ha evidenciado tasas de hasta 21% (países europeos) y, en el Perú, 36% en el año 2015. Objetivos. Determinar la frecuencia e indicaciones más frecuentes de cesáreas en un hospital público docente de Lima. Métodos. Estudio descriptivo, tipo serie de casos, de pacientes sometidas a cesárea y sus indicaciones. Se incluyó a pacientes sometidas a cesáreas, electivas o de emergencia, desde enero 2013 hasta diciembre 2017. Resultados. La cesárea fue realizada con una frecuencia de 50,2%, siendo las indicaciones más frecuentes una cesárea previa y la desproporción cefalopélvica. Conclusiones. El estudio halló que se superó la tasa de cesáreas recomendada por la OMS. La indicación más frecuente en el período estudiado fue la cesárea previa.
Pruebas para el COVID-19 en la gestante y su interpretación
Authors: Pacheco-Romero José , Ciudad Raynaud Antonio , Guzmán Changanaquí Alfredo
Published: April 2021

En la publicación de Lorena Campodónico Olcese et al. 'Administración de parto eutócico en paciente con COVID-19 en Lima, Perú '(1), leemos en el informe de caso el siguiente comentario sobre los resultados de la prueba para COVID-19: "... dado que hay un porcentaje de portadores asintomáticos, ... universal El cribado con ambas pruebas se realiza en la clínica a todos los pacientes ingresados. para parto vaginal o cesárea. Solicitar los beneficios de ambas pruebas el diagnóstico de pacientes en los que la prueba de RT-PCR molecular puede ser imperceptible por baja carga viral, que ocurre aproximadamente dos semanas después de la inicio de los síntomas. Por otro lado, los anticuerpos IgM e IgG alcanzan o comienzan sus picos en la segunda o tercera semana del inicio de los síntomas y declinar alrededor de la quinta a séptima semana. "" En la sala de partos, un rápido análisis de sangre (CELLEX SARS-CoV-2 IgG / IgM Rapid Test) y una prueba nasofaríngea Se tomó una prueba molecular con hisopo (RT-PCR SARS-CoV-2) para COVID-19. El resultado de la prueba rápida fue IgM (+) IgG (-). Una semana después del parto, los resultados fueron IgM (+) IgG (-) y prueba molecular negativa, y se informó una TC de tórax como normal."
Arteria subclavia derecha aberrante aislada. Reporte de un caso
Authors: Monzón Castillo Eli Pedro , Tejada Martínez Gabriel
Published: April 2021

La arteria subclavia derecha aberrante (ARSA) es la anomalía del arco aórtico más común. La probabilidad de hallar un ARSA durante un estudio ecográfico es de alrededor de 1%. En aquellos fetos con ARSA, la probabilidad de tener otros hallazgos cardiacos y/o extracardiacos o una anomalía cromosómica es elevada. La prevalencia de la relación del ARSA con el síndrome de Down es de aproximadamente 20%, por lo que este marcador puede contribuir al asesoramiento del síndrome de Down en el segundo trimestre y probablemente en el primer trimestre. La recomendación ante el hallazgo de ARSA es realizar un estudio detallado de la anatomía fetal en busca de otros marcadores de aneuploidías y realizar ecocardiografía fetal. La realización de estudios invasivos quedará limitado a aquellas situaciones en donde además del ARSA se encuentren otros marcadores u otras condiciones que aumenten el riesgo de síndrome de Down. Sin embargo, ante el hallazgo de ARSA aislado, el incremento en el riesgo es igual a cero, pudiendo considerarse una variante de la normalidad.
Características de la infección en gestantes y puérperas por SARS-CoV-2, en el hospital nacional del Callao, Perú
Authors: Zumalave Grados Isabel , Lacunza Paredes Rommel , Benavides Zavala Gerson , Aliaga Yauri Max , Paredes Loli Luis , Sembrera Erika , Vasquez Alexander , Heredia Alejandra , Chacaltana H. Jesús
Published: April 2021

Introducción. Se conoce que las gestantes son más susceptibles a infecciones respiratorias, pero el comportamiento en la infección por SARS-CoV-2 recién se está conociendo. Objetivo. Describir las características epidemiológicas de las gestantes y puérperas infectadas con SARS-CoV-2 en el Hospital Nacional Daniel Alcides Carrión, Callao, Perú. Métodos. Estudio descriptivo transversal. Se seleccionó todas las gestantes hospitalizadas entre el 1 de mayo y el 31 de julio del año 2020 con diagnóstico de infección por SARS-CoV-2, mediante la prueba rápida serológica o la prueba RT-PCR. Resultados. Durante el periodo de estudio se tamizó a 671 pacientes; 308 gestantes y 9 puérperas fueron diagnosticadas de infección por SARS-CoV-2. Los síntomas más comunes fueron tos (57%) y disnea (35%). El 95% fue asintomática, 2% tuvo enfermedad leve, 1% moderada y menos del 1% severa. Solo se registró una muerte materna. 69% de los partos fue por vía vaginal y 31% vía cesárea. Conclusiones. En nuestro hospital, el comportamiento de la infección por SARS-CoV-2 en la gestante no difirió mayormente de lo encontrado para la población general de la misma edad.
Virus papiloma humano y factores asociados en pacientes con citología desconocida atendidas en el norte de Perú
Authors: Iglesias-Osores Sebastián , Serquén-López Luis Miguel
Published: April 2021

Introducción. El virus papiloma humano es el causante del cáncer de cuello uterino, uno de los cánceres más comunes en las mujeres. Objetivo. Determinar la prevalencia del virus papiloma humano y los factores asociados en mujeres con citología desconocida. Métodos. En pacientes de ginecoobstetricia con citología desconocida atendidas en el Hospital Regional Lambayeque, en la costa norte del Perú, entre abril y junio 2019, se realizó la extracción de ADN para identificar el virus del papiloma humano basada en el método de salting out. Se procesaron las muestras mediante reacción en cadena de la polimerasa y se amplificaron para los primers MY09 y MY11, y PC04/GH20. Se empleó el análisis bivariado mediante la prueba de chi cuadrado y t-student. Resultados. Se encontró que 29,9% de las pacientes atendidas en el área de gineco-obstetricia con citología desconocida tuvieron el virus del papiloma humano. No se encontró diferencia estadística significativa entre la infección por virus del papiloma humano con la edad, edad de primera relación sexual, promiscuidad, número de partos vaginales, lesión de cuello uterino, antecedente de ITS, uso de anticonceptivo hormonal, uso del condón y tabaquismo.
La incógnita del coronavirus, la gestante, su niño – Continuación
Authors: Pacheco-Romero José
Published: April 2021

expansión en el mundo y las graves consecuencias que traería. Se ha ido conociendo al virus morfológicamente y su accionar en el ambiente y en el organismo del ser humano, su mayor predisposición de enfermar a poblaciones vulnerables, como el adulto mayor, poblaciones con comorbilidad como obesidad, diabetes, hipertensión e inmunodepresión, predilección por el sexo masculino, mayor prevalencia en países con mayor pobreza, promiscuidad, zonas deprimidas económicamente, entre otros. Se ha tenido que improvisar y descartar diversos tratamientos en aquellos pacientes con enfermedad COVID-19 moderada y severa. Eventualmente se está disminuyendo la frecuencia de muertes con medidas de protección personal, distanciamiento social, cuarentena de emergencia, y combinación de medicamentos y administración de oxígeno. Pero aún no hay cura, y se está a la expectativa en la aparición de la vacuna. Con relación a la mujer, ella es comprometida en menor proporción y severidad por la enfermedad COVID-19, pero debe cumplir las medidas de prevención, especialmente si es frágil y tiene comorbilidades. Se ha postergado temporalmente su evaluación preventiva y las intervenciones quirúrgicas si no son de emergencia. En la gestante se está encontrando aumento de prematuridad, gestaciones frustras, lesiones placentarias y presencia del virus en anexos placentarios, con casos de morbilidad severa y muerte maternas. En este artículo se hace una puesta al día resumida sobre la situación de la enfermedad COVID-19 en el mundo y el Perú, enfatizando el cuidado de la mujer y de la gestante.
Embarazo ectópico tubárico seis años después de una histerectomía
Authors: Asencio Aguedo Angélica Yeyli , Huaquipaco Polanco Ana Del Rosario , Reyes Morales Omar Lorenzo
Published: April 2021

El embarazo ectópico en pacientes histerectomizadas es un evento poco común y rara vez se considera en el diagnóstico diferencial en mujeres con esa condición. Se comunica el caso de una paciente de 30 años con antecedentes de histerectomía realizada hacía 6 años, que se presentó en el servicio de urgencias con evolución de tres días de dolor abdominal bajo. La ecografía mostró un saco gestacional con embrión y presencia de líquido libre en el fondo de saco Douglas. El examen histológico de la muestra operatoria reveló vellosidades coriónicas y un embrión dentro de la trompa uterina.
Mastitis no puerperal en centro de referencia en Medellín (Colombia)
Authors: Bonilla-Sepúlveda Óscar Alejandro
Published: April 2021

Objetivo. Describir los datos sociodemográficos, manifestaciones clínicas y tratamiento en pacientes diagnosticados con mastitis no puerperal. Métodos. Estudio descriptivo, retrospectivo de una base de registros médicos institucional, entre el 1 enero de 2016 y el 31 diciembre de 2019. Se recopilaron las variables demográficas, clínicas y de tratamiento, que fueron analizadas utilizando estadística descriptiva. Resultados. La prevalencia de mastitis no puerperal fue 3,8%. Todos los casos se presentaron en mujeres de raza mestiza, con edad media al diagnóstico de 40,4 años. El motivo de consulta más frecuente fue por cambios inflamatorios mamarios en 84,8% (n= 28), seguido por presencia de masa en 12,1% (n= 4). El 33,3% (n= 11) de casos tuvo asociación con tabaquismo. El 97% recibió antibióticos como tratamiento inicial (n= 32) y en 7 casos (21,2%) se realizó drenaje ecoguiado; ningún caso tuvo drenaje por mastotomía y en una paciente (9%) se efectuó resección tipo cuadrantectomía. Hubo resolución de la mastitis en 97% de los casos (n= 32), en 4,4 meses promedio, y 7 pacientes (21,2%) tuvieron recurrencia. Conclusiones. En este estudio, la mastitis no puerperal afectó a mujeres en la cuarta década de la vida con cambios inflamatorios y dolor. La evolución fue crónica con algunos episodios de recurrencia. Casi siempre se resolvió la mastitis con manejo antibiótico y en algunas con drenaje ecoguiado. Hasta un tercio de los casos mostró asociación con tabaquismo.
Situación de la mujer y la gestante en el Perú. Perspectivas desde la Sociedad Peruana de Obstetricia y Ginecología
Authors: Ciudad Reynaud Antonio , Pacheco-Romero José
Published: April 2021

Se ha estimado la razón de mortalidad materna (MM) en Perú para el año 2020 en 81,6 por 100 mil nacidos vivos, alejándose negativamente de la curva descendente de muertes maternas que de 114,2 por 100 mil nacidos vivos el año 2004 había disminuido a 55,1 por 100 mil NV en 2019(1). Perú tiene a la fecha el mismo número de casos de muerte materna que en el 2012(2). Ha habido un considerable atraso en el objetivo de reducción de la mortalidad materna, para conformar con los Objetivos de Desarrollo del Milenio(3). La explicación de esta situación adversa es la infección COVID-19, que ha azotado al mundo desde principios del año 2020.
Embarazo ectópico abdominal: reporte de dos casos
Authors: Elías Estrada José Carlos , Huerta Sáenz Igor Hermann , Campos Del Castillo Katherine Belén , Coronado Arroyo Julia Cristina , Flórez Mendoza Armando
Published: April 2021

Presentamos dos casos de embarazo ectópico abdominal de 16 y 26 semanas, evaluados con ecografía y resonancia magnética. Ambos casos ingresaron con cuadro de abdomen agudo quirúrgico, el de mayor edad gestacional con descompensación hemodinámica por hemoperitoneo secundario a desprendimiento placentario. La presentación clínica conllevó a la resolución por laparotomía y extracción del feto y del tejido placentario, terminando el primer caso en histerectomía por compromiso trofoblástico de la superficie uterina y órganos adyacentes. El neonato de 26 semanas falleció luego de 4 meses, por sepsis tardía. La sospecha clínica por amenorrea y dolor abdominal intenso son criterios importantes, y los estudios de imágenes, especialmente la ecografía transvaginal y pélvica, son las principales herramientas diagnósticas.
Vulvitis de Zoon en mujer en edad fértil. Reporte de un caso
Authors: Ruipérez Pacheco Estefanía , Ramírez Mena Mar , Coronado Martín Pluvio
Published: April 2021

La vulvitis de Zoon o vulvitis de células plasmáticas es una enfermedad inflamatoria crónica infrecuente, caracterizada por placas eritematosas bien delimitadas y brillantes que pueden afectar cualquier localización de la vulva. Suele presentarse en mujeres posmenopáusicas y plantea un difícil diagnóstico diferencial. Se insiste en la necesidad de realizar biopsia vulvar para obtener un diagnóstico histológico de certeza. Se presenta el caso de una paciente de 36 años y se comenta las opciones terapéuticas actuales descritas en la literatura.
TESTING THE EMPIRICS OF WEAK FORM OF EFFICIENT MARKET HYPOTHESIS: EVIDENCE FROM LAC REGION MARKETS
Authors:   Escola Superior de Ciências Empresarias – Instituto Politécnico de Setúbal, Portugal, Santos Hortense , Dias Rui ,   Escola Superior de Ciências Empresarias - Instituto Politécnico de Setúbal, Portugal & CEFAGE, Universidade de Évora, Portugal, Heliodoro Paula ,   Escola Superior de Ciências Empresarias – Instituto Politécnico de Setúbal, Portugal, Alexandre Paulo ,   Escola Superior de Ciências Empresarias – Instituto Politécnico de Setúbal, Portugal
Published: April 2021

The new coronavirus disease (Covid-19) evolved quickly from a regional health outbreak to a global collapse, stopping the global economy in a unprecedented way, creating uncertainty and chaos in the financial markets. Based on these events, it is intended in this paper to test the persistence of profitability in the financial markets of Argentina, Brazil, Chile, Colombia, Peru and Mexico, in the period between January 2018 to July 2020. In order to perform this analysis where undertaken different approaches in order to analyze if: (i) the financial markets of Latin America are efficient in their weak-form during the global pandemic (Covid-19)? ii) If so, the persistent long memories cause risks between these regional markets? The results suggest that the returns don’t follow the i.i.d. hypothesis, from dimension 2, reinforcing the idea that returns of stock indexes have a non-linear nature or a significant non-linear component, exception made to the Argentina market, which was expected in virtue of the Ljung-Box (with the return squares) test results, and ARCH-LM. Corroborating the exponents Detrended Fluctuation Analysis (DFA), indicate the presence of persistent long memories, namely into the following markets: Colombia (0.72), Chile (0.66), Brazil (0.58) and Peru (0.57). The Argentina market does not reject the random walk hypothesis, while the Mexican market suggests some anti-persistence (0.41). This situation has implications for investors, once that some returns can be expected, creating arbitration opportunities and abnormal income, contrary to the supposed from the random walk hypothesis and information efficiency. The t-test results of the heteroscedasticity form the two samples suggest that there is no risk transmission between these regional markets, with the exception to the BOVESPA / BOLSAA MX markets, that is, the existence of persistent long memories in the returns does not imply the risk transmission between markets. These finds allow the creation of strategies of diversification inefficient portfolios. These conclusions also open space for the market regulators to implement measures that guarantee a better informational information of these regional markets.
The Influence of Altering the Morphology of the First Mandibular Molar on Functional Mandibular Movements: A Pilot Study
Authors: Oancea Luminita , Vâlsan Ioana Monica , Oancea Luminita , Păuna Mihaela Rodica , Gagiu Catalin , Petre Alexandru Eugen
Published: April 2021

Purpose: Altering the tooth morphology is a frequent clinical situation and it requires replacing the lost tooth substance by direct/indirect treatment methods. The purpose of this study is to identify the optimal study group size to quantify the extent to which the change in dental morphology influences the amplitude and path of the mandibular movements at the condylar and dental level.
Materials and Methods: The study was performed on 10 young participants, without associated joint pathology, with healthy complete dentition. The Zebris JMA System (Zebris Medical GmbH, Germany) condylograph were used. The condylar and occlusal parameters were registered, before and after the composite occlusal modification on the right first mandibular molar was made and data were synthesized as Excel Data. The SPSS2 software was used for statistical analyses, a descriptive analysis of the pair differences was performed, Kolmogorov-Smirnova and Shapiro-Wilk tests were applied to verify the normality, paired sample test for 0,05 level of significance and 80% power was applied to determine the proper sample size.
Conclusion: The results show a change in movement parameters at both condylar and dental level: the sagittal motion of the condyle on both sides tends to have a more vertical trajectory, the incisal guidance in protrusion and the guidance in the lateral movement on the modified part are steeper, lateral movement guidance on the other side is shallower, a tendency of retrusion is noted in both condyles. Respecting original dental morphology is essential for functional harmonious integration of the restoration.
Os primeiros passos na carreira docente: um estudo com professores moçambicano
Authors: Deixa Geraldo , Rosalino Subtil  , Sidómio
Published: April 2021

O artigo tem como finalidade caracterizar o processo de inserção na carreira docente de professores moçambicanos. Para o desenvolvimento da pesquisa colocamos a seguinte questão: Que traços evidenciam o processo de inserção na carreira docente no contexto moçambicano? Foi aplicado um questionário à 29 professores do Ensino Básico da cidade de Quelimane. Os resultados obtidos revelam que a carreira docente é uma profissão complexa que exige uma colaboração e sensibilização dos gestores. Portanto, a fraca colaboração a nível institucional coloca em risco a construção da identidade do professor.
Tetanic stimulation of the pudendal nerve prior to transcranial electrical stimulation augments the amplitude of motor evoked potentials during pediatric neurosurgery
Authors: Takatani Tsunenori , Motoyama Yasushi , Park Young-Soo , Kim Taekyun , Hayashi Hironobu , Nakagawa Ichiro , Kawaguchi Masahiko , Nakase Hiroyuki
Published: April 2021

OBJECTIVE

Reportedly, tetanic stimulation prior to transcranial electrical stimulation (TES) facilitates elicitation of motor evoked potentials (MEPs) by a mechanism involving increased corticomotoneuronal excitability in response to somatosensory input. However, the posttetanic MEP following stimulation of a pure sensory nerve has never been reported. Furthermore, no previous reports have described posttetanic MEPs in pediatric patients. The aim of this study was to investigate the efficacy of posttetanic MEPs in pediatric neurosurgery patients and to compare the effects on posttetanic MEP after tetanic stimulation of the sensory branch of the pudendal nerve versus the standard median and tibial nerves, which contain a mixture of sensory and motor fibers.

METHODS

In 31 consecutive pediatric patients with a mean age of 6.0 ± 5.1 years who underwent lumbosacral surgery, MEPs were elicited by TES without tetanic stimulation (conventional MEPs [c-MEPs]) and following tetanic stimulation of the unilateral median and tibial nerves (mt-MEPs) and the sensory branch of the pudendal nerve (p-MEP). Compound muscle action potentials were elicited from abductor pollicis brevis (APB), gastrocnemius (Gc), tibialis anterior (TA), and adductor hallucis (AH) muscles. The success rate of monitoring each MEP and the increases in the ratios of mt-MEP and p-MEP to c-MEP were investigated.

RESULTS

The success rate of monitoring p-MEPs was higher than those of mt-MEPs and c-MEPs (87.5%, 72.6%, and 63.3%, respectively; p < 0.01, adjusted by Bonferroni correction). The mean increase in the ratio of p-MEP to c-MEP for all muscles was significantly higher than that of mt-MEP to c-MEP (3.64 ± 4.03 vs 1.98 ± 2.23, p < 0.01). Subanalysis of individual muscles demonstrated significant differences in the increases in the ratios between p-MEP and mt-MEP in the APB bilaterally, as well as ipsilateral Gc, contralateral TA, and bilateral AH muscles.

CONCLUSIONS

Tetanic stimulation prior to TES can augment the amplitude of MEPs during pediatric neurosurgery, the effect being larger with pudendal nerve stimulation than tetanic stimulation of the unilateral median and tibial nerves. TES elicitation of p-MEPs might be useful in pediatric patients in whom it is difficult to elicit c-MEPs.
Long-segment posterior cervical decompression and fusion: does caudal level affect revision rate?
Authors: Hines Kevin , Wilt Zachary T. , Franco Daniel , Mahtabfar Aria , Elmer Nicholas , Gonzalez Glenn A. , Montenegro Thiago S. , Velagapudi Lohit , Patel Parthik D. , Detweiler Maxwell , Fatema Umma , Schroeder Gregory D. , Harrop James
Published: April 2021

OBJECTIVE

Posterior cervical decompression and fusion (PCDF) is a commonly performed procedure to address cervical myelopathy. A significant number of these patients require revision surgery for adjacent-segment disease (ASD) or pseudarthrosis. Currently, there is no consensus among spine surgeons on the inclusion of proximal thoracic spine instrumentation. This study investigates the benefits of thoracic extension in long-segment cervical fusions and the potential drawbacks. The authors compare outcomes in long-segment subaxial cervical fusion for degenerative cervical myelopathy with caudal vertebral levels of C6, C7, and T1.

METHODS

A retrospective analysis identified 369 patients who underwent PCDF. Patients were grouped by caudal fusion level. Reoperation rates for ASD and pseudarthrosis, infection, and blood loss were examined. Data were analyzed with chi-square, 1-way ANOVA, and logistic regression.

RESULTS

The total reoperation rate for symptomatic pseudarthrosis or ASD was 4.8%. Reoperation rates, although not significant, were lower in the C3–6 group (2.6%, vs 8.3% for C3–7 and 3.8% for C3–T1; p = 0.129). Similarly, rates of infection were lower in the shorter-segment fusion without achieving statistical significance (2.6% for C3–6, vs 5.6% for C3–7 and 5.5% for C3–T1; p = 0.573). The mean blood loss was documented as 104, 125, and 224 mL for groups 1, 2, and 3, respectively (p < 0.001).

CONCLUSIONS

Given the lack of statistical difference in reoperation rates for long-segment cervical fusions ending at C6, C7, or T1, shorter fusions in high-risk surgical candidates or elderly patients may be performed without higher rates of reoperation.
Analysis Application of Altman (Z-Score) Method and Springate (S-Score) Method to Assess Financial Distress Potential at PT Anugerah
Authors:   Politeknik Negeri Bali, Ciptaningsih Kadek Mega , Karman I W ,   Politeknik Negeri Bali, Istiarto Istiarto ,   Politeknik Negeri Bali
Published: April 2021

The emergence of potential financial distress is an early indication of a decline in the company's financial condition. The purpose of this research is to determine the potential of financial distress at PT Anugerah, so that it will help management anticipate the potential financial distress in the company. In this research, the assessment of financial distress potential uses the Altman (Z-score) method and Springate (S-score) method. The type of data in this research is quantitative and qualitative sourced from secondary data and obtained through interviews, documentation, and observation. The data analysis technique used is a qualitative/descriptive analysis technique. The results of research study are the financial distress potential of PT Anugerah by using the Altman (Z-score) method in 2016-2019 shows PT Anugerah is in a non-financial distress condition, because the score is in the condition of Z’’> 2.6. Furthermore, PT Anugerah financial distress potential using the Springate (S-score) method in 2016-2019 shows that PT Anugerah is in a non-financial distress condition, because the score is at S > 0.862.
Audit of Human Resources Management in Vouk Hotel & Suites Bali
Authors:   Politeknik Negeri Bali, Rahayu Ni Wayan Bunga Niti , Yasa I B Anom ,   Politeknik Negeri Bali, Suprapto P Adi ,   Politeknik Negeri Bali
Published: April 2021

Human resource is the main pillar for a company to realize the company’s vision, mission, and goals. This research aimed to assess (evaluate) the programs and resource management system in Vouk Hotel & Suites Bali. The data sources used were primary and secondary data. The primary data source was taken from structured interview and questionnaire distribution, meanwhile the secondary data source was taken from regulation book, standard operating procedure (SOP), percentage absenteeism, and employee service income in 2019 at Vouk Hotel & Suites Bali. The obtained data was analyzed by using descriptive qualitative method with four steps of analysis in audit management, namely: preliminary audit, review and management control testing, follow-up audit, and recommendation. The result of the research indicated the weaknesses of several human resource functions, those are planning, employee training & development, employee performance appraisal, and given compensation. Based on the indicating weakness of the research, therefore, some improvement recommendations were given.
Analysis of Management Accounting Systems Affecting Energy Efficiency, Environmental Uncertainty and Environmental Performance of Small and Medium Enterprises
Authors:   STIE Bank BPD Jateng, Setiawan Eko Riyan , Izzaty Khairina Nur ,   STIE Bank BPD Jateng
Published: April 2021

The purpose of this study was to analyze the management accounting system in influencing energy, environmental uncertainty and environmental performance in SMEs in Grobogan Regency. The population of this study is SMEs in the grobogan registered at the Grobogan Regency Cooperative and SME Office with a sample of 60 SME owners. The analytical tool used is Smart PLS 3.0. The results of this study are a positive management accounting system on energy efficiency, a positive negative management accounting system on environmental planning, a positive management accounting system supporting environmental improvement. The results of the fourth hypothesis confirm positive energy efficiency on Environmental performance. Subsequent results indicate environmental policy.
Is There a Characteristic Autonomic Response During Outbursts of Combative Behavior in Dementia Patients?
Authors: Deutsch Curtis K. , Patnaik Pooja P. , Greco Frank A.
Published: April 2021

We sought to determine whether skin conductance level could warn of outbursts of combative behavior in dementia patients by using a wristband device. Two outbursts were captured and are reported here. Although no physiologic parameter measured by the wristband gave advance warning, there is a common pattern of parasympathetic withdrawal (increased heart rate) followed approximately 30 seconds later by sympathetic activation (increased skin conductance). In the literature, a similar pattern occurs in psychogenic non-epileptic seizures. We hypothesize that similar autonomic responses reflect similarities in pathophysiology and that physical activity may partially account for the time course of skin conductance.
Are trunk muscles weaker in adolescent females with adolescent idiopathic scoliosis compared with their healthy counterparts?
Authors: Minjollet Lénaïc , Abelin-Genevois Kariman , De Chelle Gautier , Sakoun Liza , Pujol Anne , Blay Grégoire Le , Bernard Jean-Claude
Published: April 2021

BACKGROUND:

Adolescent Idiopathic Scoliosis (AIS) requires complex medical care because of multiple consequences especially on daily activities. Muscular involvement is part of the problem and may be treatable.

OBJECTIVE:

To analyze trunk muscle strength using an isokinetic dynamometer in female adolescents with AIS one year after orthopedic treatment by brace and compare the findings to a matched group of an asymptomatic cohort.

METHODS:

The trunk flexors and extensors strength was measured using an isokinetic dynamometer at 60, 90 and 120[Formula: see text]/s. Peak Moment (PM), Mean Power (MP) and the flexor/extensor ratio in 100 patients aged 14 to 18 years old were compared to a control group ([Formula: see text] 32) of asymptomatic age-matched females. In the AIS group, correlation analyses were computed to search for contributing factors to isokinetic performances, including morphological characteristics of patients, as well as clinical and radiological characteristics of the scoliosis.

RESULTS:

The trunk flexors in the AIS group were significantly but moderately (15%) weaker across speeds compared to their control counterparts at all speeds. No parallel weakness was noted for the extensors. While the MP of AIS patients was significantly weaker than that of the controls, 33% for flexors and by 31% for extensors, no significant differences were observed for the F/E ratios. The correlational analyses has indicated that weight and BMI were contributing factors at all speeds.

CONCLUSION:

Adolescents with AIS had weaker trunk extensors and mostly flexors compared to healthy females. Within this AIS population, weight and BMI seem to have a negative impact on muscular performances, whereas clinical and radiological characteristics of the scoliosis do not seem to contribute.
A snapshot of potential: Using situational assessments to capture the moment
Authors: Short Jessica
Published: April 2021

BACKGROUND: A contributing factor to the higher unemployment rates of adults with disabilities is the limited opportunities to gain insight into employment options. Assessments are often used to learn a job seekers skills, preferences, and support needs. Situational assessments in real work settings create hands-on experiences with a variety of work tasks and work environments which better inform the employment choices of job seekers. METHODS: This article explores situational assessments and introduces a tool designed for the employment support professional conducting the assessment to capture information necessary to make more informed employment choices. RESULTS: This article defines situational assessments while introducing a person-centered tool to support employment support professionals to effectively document and analyze the observations of each situational assessment.
Entrepreneurship as an employment option for people with disabilities: Adding information to your job development toolkit1
Authors: Svidron Lisa M.
Published: April 2021

BACKGROUND: Traditional job development for people with disabilities involves placement of individuals into currently open community-based positions or customized positions in the community. OBJECTIVE: When an individual expresses the desire to be self-employed and grow their own business, job developers are unaware of the opportunities available to assist in the process. Entrepreneurship or self-employment has been achieved by many notorious businessmen throughout time. These businessmen all have a disability in which they have learned to embrace their strengths and receive assistance for their weaknesses. CONCLUSIONS: Lessons can be learned from the top businessmen to assist job developers in developing self-employment and entrepreneurship for their individuals to build a better job development toolbox.
What is the most appropriate way to analyse the WHODAS 2.0 score?
Authors: Castro Shamyr S. , Ferreira Anderson Fuentes , Sampaio Edgar G.M. , Araujo Camilla M. , Dantas Thaissa H.M. , Dantas Diego de Sousa
Published: April 2021

BACKGROUND: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a practical, generic and widely used tool to assess the functioning and disability in several settings and health conditions. Although the use of categorical variables is common, this choice to present data could separate persons with very close functioning profiles into different categories. PURPOSE: This study aims to compare different ways of expressing the WHODAS score and give elements for the researcher to understand and choose the most appropriate way to statistically analyse the WHODAS scores. METHODS: A methodological study with secondary data of one hundred ninety-five women. The WHODAS score was analysed in different ways and associated with sociodemographic characteristics, lifestyle, and health aspects. The Poisson regression was chosen with the final WHODAS score in four variations (continuous, dichotomous, polytomous, and quartiles), and the presence of chronic disease. RESULTS: The analysis showed statistical significance in the univariate analysis for the adjustment variables and all the variations of the disability variable. The distribution analysis of the prevalence ratio and the AIC evidenced that the WHODAS score as a continuous variable had the lower AIC and statistical significance, as well as the most significant area under the ROC curve. CONCLUSIONS: These results show that the use of the continuous variable is the most indicated and that the categorization of the WHODAS score should be avoided.
Injury prevention knowledge and beliefs of Irish dancing teachers: An international survey
Authors: Cahalan Róisín
Published: April 2021

OBJECTIVES: Injury in Irish dancing (ID) is pervasive and comparable to that in other elite dance genres. There is an absence of formalized education or training for ID teachers to understand and address this issue. This study investigated the injury prevention knowledge and beliefs of registered ID teachers internationally. METHODS: An online survey based on an existing questionnaire by the Fédération Internationale de Football Association (FIFA) was adapted to reflect relevant research in ID and other dance genres. It was piloted with seven ID teachers internationally. Participants, who were registered ID teachers were recruited through official ID governing bodies and the networks of the Principal Investigator. RESULTS: Two hundred and thirty participants from eleven regions internationally completed the survey. A robust knowledge of the anatomical areas most often injured was displayed, with conflicting opinions on the incidence, location and causes of injuries in males and females. There was a clear appreciation of the vast array of risk factors potentially associated with injury, with warm-up, load management, physical strength, conditioning and flexibility all highly rated. There was lesser insight into important factors such as sleep, nutrition, and general and psychological health. Most teachers rated their injury prevention knowledge and practices as moderate/good but available educational resources as poor/fair. CONCLUSIONS: There is a need for education and training in numerous areas of injury prevention by multidisciplinary healthcare practitioners and other professionals, in partnership with the ID community, to ensure a clearer understanding of the biopsychosocial nature of injury prevention and performance optimisation.
Protocol for a feasibility randomised controlled trial comparing cognitive functional therapy with usual physiotherapy care in people with persistent low back pain
Authors: Newton Christopher , Singh Gurpreet , Nolan David , Booth Vicky , Diver Claire , O’Neill Seth , O’Sullivan Kieran , O’Sullivan Peter , Logan Pip
Published: April 2021

BACKGROUND: Combined physical and psychological programmes (CPPP) are recommended for people with disabling low back pain (LBP). Cognitive Functional Therapy (CFT) is a physiotherapist-led low intensity CPPP with positive effects in previous studies. The clinical and cost effectiveness of CFT has not previously been evaluated in a randomised controlled trial (RCT) in the United Kingdom (UK) National Health Service (NHS). Before a definitive RCT can be completed it is necessary to determine if completing such a study is possible. PURPOSE: To determine the feasibility of completing a definitive RCT, that will evaluate the clinical and cost-effectiveness of CFT in comparison to usual physiotherapy care for people with persistent LBP in the UK NHS. METHODS: A pragmatic two-arm parallel feasibility RCT comparing CFT with usual physiotherapy care for people with persistent LBP will be completed. Sixty participants will be randomly allocated to receive CFT or usual physiotherapy care. The primary outcome will be feasibility of completing a definitive RCT. Participant reported outcome measures will be recorded at baseline, three, six and twelve-month follow-up, including disability, pain intensity, quality of life and psychosocial function. Data will be analysed descriptively. A qualitative process evaluation will explore the acceptability of the research processes and interventions. DISCUSSION: The rationale and methodological design of a mixed methods feasibility RCT is presented. This study aims to inform the planning, design and completion of a future definitive RCT in the UK NHS. The results will be disseminated through peer reviewed open access journal publication.
Prevalence of SARS-CoV-2 infection and risk factors in health care workers
Authors: Wojczyk M , Kowalska M
Published: April 2021

ABSTRACT
The COVID-19 pandemic verifies the preparation of medical care in individual countries in terms of the fluent of guaranteed medical services provided to the people in need. Due to the easy spread of SARS-CoV-2 virus when in direct contact with the patients, health care workers are at an increased risk of infection. Nurses and auxiliary staff, as well as medical doctors, were most frequently infected. The prevalence of infection depends on the adopted reporting method, including the diagnostic test used to recognize the infection, the nature of the work performed, but also on the gender, knowledge, and individual behavior of employees while performing their professional duties. It ranges from 5-30% depending on the country and the occupational group, and the highest rates were recorded in the initial phase of the pandemic. A review of the literature shows the lack of a uniform, transparent system of reporting infections in health care workers, which makes a reliable assessment of the epidemiological situation in this area difficult.

STRESZCZENIE
Pandemia COVID-19 weryfikuje stan przygotowania systemów opieki zdrowotnej w poszczególnych krajach w zakresie płynności gwarantowanych świadczeń medycznych udzielanych osobom potrzebującym. Z uwagi na łatwość rozprzestrzeniania się wirusa SARS-CoV-2 w bezpośrednim kontakcie z pacjentem, pracownicy medyczni znajdują się w grupie zwiększonego ryzyka zakażenia. Najczęściej zakażeniu ulegały pielęgniarki i personel pomocniczy, a także lekarze. Częstość rozpowszechnienia zakażeń zależy od przyjętego sposobu raportowania, w tym testu diagnostycznego stosowanego do rozpoznania zakażenia, od charakteru wykonywanej pracy, ale także od płci, wiedzy i indywidualnych zachowań pracowników przy pełnieniu obowiązków zawodowych. Kształtuje się w zakresie 5-30% w zależności od kraju i grupy zawodowej, największe częstości odnotowywano w początkowej fazie pandemii. Przegląd piśmiennictwa wskazuje na brak jednolitego, przejrzystego systemu raportowania zakażeń u pracowników medycznych, co sprawia, że wiarygodna ocena sytuacji epidemiologicznej w tym zakresie jest utrudniona.
Comparative analysis of the chemical composition of plant materials of some representatives of the genera Narcissus L. and Camassia Lindl.
Authors: Reut Antonina , Biglova Aygul' , Allayarova Irina
Published: April 2021

Abstract. Purpose. Heavy metals can have a negative effect on plants, animals and humans if their concentration exceeds certain limits. Therefore, it is important to establish the characteristics of the accumulation of heavy metals and to determine the elemental composition of aboveground (leaves) and underground (bulbs) organs in plant samples of 8 varieties of Narcissus hybridus hort. (Actaea, Arctic Gold, Cassata, Quail, Sir Winston Churchill, White Lady, Calgary, Pink Parasol) and Camassia cusickii S. Wats. in the urbanized environment of the city of Ufa (Republic of Bashkortostan). Methods. The study of the elemental composition of the samples was carried out according to the method of quantitative chemical analysis “Determination of As, Pb, Cd, Sn, Cr, Cu, Fe, Mn and Ni in laboratory samples of food products and food raw materials by the atomic absorption method with electrothermal atomization No. M-02-1009-08”. Scientific novelty. This work is the first to analyze the results of the content of individual elements in aboveground and underground organs in samples of cultivated floral and ornamental plants in the forest-steppe zone of the Bashkir Ural. Results. It was found that the content of nickel, copper, cadmium, lead, magnesium, iron, chromium in all the samples studied does not exceed the standards specified in the State Pharmacopoeia of the Russian Federation (SP RF). The arsenic content exceeds the standards specified in the SP RF by 3.4 times. Revealed a high intensity of biological absorption of copper. The peculiarity of the accumulation of individual elements by different taxa of the studied plants is noted. It has been established that the concentrations of As, Cu, Pl, Mn, Fe in the aboveground organs are higher than in the underground part of plants; the ratio of the content of Ni, Cr, Cd in aboveground and underground organs is the same. As a result of these studies, it was recommended to use the studied cultivars as a phytoremediator of arsenic.
A 2021–2027 programozási időszak EU-forrásai és a lehetséges magyar allokáció
Authors: Nyikos Györgyi , Erdei-Derschner Katalin
Published: April 2021

Szakmai és politikai viták kereszttüzében alakul a  2021–2027 programozási időszak EU-költségvetése és a források felhasználási rendszere. A „szokásos”  bonyolult politikai és szakmai egyeztetési és jogalkotási folyamat a Covid-helyzetre tekintettel  további elemekkel bővült, hiszen a krízis  megoldásához szükséges eszközök kialakítása is a  jelen időszak feladata. A különböző programokat és  eszközöket eltérő szabályok mentén, de koherens  rendszerben kellene megvalósítani. A többéves  pénzügyi keret, az új eszközök, valamint a források  felhasználási szabályairól szóló szabályozások  egyaránt véglegezés alatt vannak, illetve jelentős  politikai vita zajlott a kapcsolódó jogállamisági  feltétel miatt. A fő irányok ismerete mellett még  mindig sok a nyitott kérdés és bizonytalanság,  mindazonáltal párhuzamosan egyidejűleg zajlanak a  tervezési előkészületek is, amelyek a kialakuló  eszközök segítségével biztosíthatják majd a  különböző horizontális és ágazati fejlesztések és  intézkedések végrehajtását.
ОСОБЛИВОСТІ УПРАВЛІННЯ ГАЛУЗЯМИ І ПІДПРИЄМСТВАМИ АПК
Authors: Мустафаєв Азіз Агасалімович
Published: April 2021

Formulation of the problem. This article discusses the features of management of industries, enterprises and activities in the agro-industrial complex. The problem under study occupies a key position in the field of periodic improvement of agribusiness management. The purpose of the study is to identify and take into account the features of various factors in the management of the agro-industrial complex: natural and climatic, economic, industrial, biological and other. The subject of the study is a more detailed study of management in the agro-industrial complex, the disclosure of essential phenomena and functional features in the practical management. Research methods. Various methods are used: introduction of new methods; development of new models that take into account the aggregate features of the agro-industrial complex; scientific abstractions; analysis and synthesis; historical and logical method; system approach; observational approach. The hypothesis of the study is various recommendations on taking into account and using industry-specific features of the agro-industrial complex. Presentation of the main material. The main focus of the study is on the peculiarities of agro-industrial management. It is determined that the management mechanisms of the agro-industrial complex should take into account the characteristic features and functional properties of its industries and enterprises. The originality and practical significance of the study consists in the development of a single concept that will take into account industry and other specifics in the practical development of the agro-industrial complex. Conclusions and prospects for further research consist of a qualitative transformation of the management activities of the agro-industrial complex in the future.
A Evolução das Políticas de Gestão de Pessoas no Setor Público
Authors: Rangel Tuanny da Silva , Freitas Priscila Moret de
Published: April 2021

O presente trabalho aborda os principais tópicos relacionados à Gestão de Pessoas (GP). Este estudo tem como pontos a evolução do gerenciamento de pessoas nas organizações; os efeitos do planejamento estratégico no delineamento da GP; as especificidades do setor público e suas particularidades limitantes na aplicação da GP; a elaboração do recrutamento e seleção de pessoas e a forma como essas práticas são aplicadas na administração pública. O objetivo deste artigo é evidenciar os principais temas relacionados à gestão de pessoas e as limitações encontradas na aplicação desta função nas organizações públicas. Como metodologia foi adotada a revisão bibliográfica, explorando os conceitos de gestão de pessoas com o cruzamento de leis que regem o sistema de recursos humanos brasileiro. Conclui-se que a área de gestão de pessoas deve adaptar-se ante as limitações das leis, bem como gerir de maneira flexível para chegar próximo ao que se encontra nas empresas privadas.
O surgimento e a importância da língua espanhola
Authors: Batistella Marta Aparecida Abraão
Published: April 2021

O espanhol é uma língua em plena pujança, sabemos que é um idioma falado por mais de 420 milhões de pessoas, é a segunda língua mais dialogada do mundo ocidental, é oficial em mais de 21 países. Este trabalho é uma pesquisa qualitativa, com o intuito de estudar e refletir sobre como o ensino do espanhol está no contexto educacional brasileiro, e mostrar o quanto é necessário o acesso às informações sobre o surgimento e a importância do espanhol na esfera globalizada com intuito de sensibilizar nossos estudantes e despertá-los para que seus interesses no que tange à língua espanhola, não sejam apenas para prestar o vestibular ou o Exame Nacional do Ensino Médio (ENEM), mais que estes vejam a dimensão e as oportunidades sociais, culturais e políticas, inclusive no âmbito de trabalho que esse dialeto oferecerá dentro e fora do país, pois o Brasil faz parte dos países integrantes do Mercado Comum do Sul (MERCOSUL), o aprender de uma língua estrangeira faz com que o estudante se prepare para ser um cidadão pró-ativo nessa sociedade, o que é de suma importância para o país.