bluuebunny/crossref_metadata_2025 huggingface dataset:
Teaching Telemedicine: The Next Frontier for Medical Educators
Authors: Alcocer Alkureishi Maria , Lenti Gena , Choo Zi-Yi , Castaneda Jason , Weyer George , Oyler Julie , Lee Wei Wei
Published: April 2021

The COVID-19 pandemic has pushed telemedicine to the forefront of health care delivery, and for many clinicians, virtual visits are the new normal. Although telemedicine has allowed clinicians to safely care for patients from a distance during the current pandemic, its rapid adoption has outpaced clinician training and development of best practices. Additionally, telemedicine has pulled trainees into a new virtual education environment that finds them oftentimes physically separated from their preceptors. Medical educators are challenged with figuring out how to integrate learners into virtual workflows while teaching and providing patient-centered virtual care. In this viewpoint, we review principles of patient-centered care in the in-person setting, explore the concept of patient-centered virtual care, and advocate for the development and implementation of patient-centered telemedicine competencies. We also recommend strategies for teaching patient-centered virtual care, integrating trainees into virtual workflows, and developing telemedicine curricula for graduate medical education trainees by using our TELEMEDS framework as a model.
Barriers to the Adoption of Electronic Medical Record System in Ethiopia: A Systematic Review (Preprint)
Authors: Emwodew Delelegn , Tariku Binyam , Desalegn Abel , Seid Endris
Published: April 2021

BACKGROUND

Electronic Medical Records (EMRs) have been an important tool in improving patient safety, improving the quality of health care, and increasing health efficiency. Various countries have gone through the local application of EMRs to various health care organizations in national implementation and integration of EMRs. Ethiopia lags far behind in this regard, as only a few hospitals have implemented EMR.

OBJECTIVE

This study aimed to identify barriers to the adoption of EMRs in Ethiopia through systematic literature reviews.

METHODS

We searched for relevant articles using three search engines (PubMed, Semantic Scholar, and Google Scholar). The search method focuses on peer-reviewed, empirical studies conducted in Ethiopia. The final set that met the inclusion criteria was nine studies. The authors extracted, analysed, and summarized empirical results related to EMR barriers in these studies.

RESULTS

This systematic review identified the following 19 barriers to EMR adoption: lack of EMR training, lack of access to computers, lack of computer literacy, lack of knowledge of EMR, lack of technical assistance, lack of EMR manual, negative attitude with EMR, limited internet access, lack of management support, electric power interruption, lack of perceived system quality, lack of perceived information quality, user resistance to change, the complexity of the system, performance expectancy, effort expectancy, social influence, lack of IT qualification, and lack of confidence with computer typing ability.

CONCLUSIONS

The most common barriers identified in the literature are: lack of EMR training, limited computer access, lack of computer literacy, lack of EMR knowledge, lack of technical support, and absence of an EMR manual. These six barriers alone contain 56.8% of the barriers reported in the literature. As this study summarizes the available evidence regarding barriers to the adoption of EMR in Ethiopia, future research will build on the current evidence and will focus on building an appropriate framework for EMR adoption in Ethiopia.
Extraterritorial Reference of China’s Labor Market Flexibility Adjustment
Authors: Fuxia Gao , Xinpeng Xu , Yunning Huang , Lina Luo
Published: April 2021

China’s labor market is facing a policy and legal dilemma of balanced flexibility and security adjustment. Under the condition of the continuous development of new economic conditions such as sharing economy and platform economy, the new employment pattern of the labor market presents new challenges to the current legal system. It is of great significance to optimize and perfect China’s existing labor policies and regulations by studying the experience of representative countries such as the United States, Japan, and Germany in labor market regulation and drawing on their scientific adjustment model.
Community Action: A 360° Approach to Understand and Prevent Violence against Women and Child Marriage in Punjab, India
Authors: K Manmeet , K Nimran , Khanna Poonam , Tu Christianna , Talboys Sharon , Singh Tejinder P. , Sandhu Amandeep Kahlon , Panesar Hema , Rastogi Harsh
Published: April 2021

Violence Against Women (VAW) is a public health concern. It affects the physical, mental, sexual, and reproductive health of women. Despite rising levels of education and pro-women laws across India, VAW is a major concern in the state of Punjab. The aim of the study outlines the design and implementation of a community-developed VAW intervention. A 360° approach was used to view the complex interplay between individual, interpersonal, community, and societal factors associated with VAW. Focus Group Discussions (FGDs) were used to identify community perceptions on VAW in the Fatehgarh Sahib District of Punjab. A community-based intervention named JAGO was designed and developed among a population of about 20,000 in 25 villages of Punjab. Operational meetings, IEC campaign, street plays, photography, gender sensitization workshops, painting competition, home visits, and village-level celebrations and pledge presentation ceremonies were also conducted.The results and best practices gained through this community-led intervention can serve as a model for other prevention of VAW initiatives, both in India and other like-culture communities. An important lesson learned from this initiative was that community action is more acceptable and there should be open discussion for the culturally sensitive issues.
DC/DC-ПРЕОБРАЗОВАТЕЛИ СЕРИИ QAExxU-K С УЛУЧШЕННОЙ ОПЦИЕЙ HOLD-UP
Authors: Кузнецов А.
Published: April 2021

DC/DC-преобразователи серии QAExxU-K с улучшенной опцией hold-up от компании P-DUKE Technology представляют собой полноценное интегрированное решение для любых систем питания
DELTA DESIGN – СОВРЕМЕННАЯ ОТЕЧЕСТВЕННАЯ САПР ЭЛЕКТРОНИКИ СКВОЗНОГО ЦИКЛА
Authors: Гимеин А.
Published: April 2021

Компания «ЭРЕМЕКС» разработала САПР Delta Design, которая отвечает современным требованиям разработчиков РЭА и реализует сквозной цикл проектирования изделия с поддержкой российских ГОСТов. В статье рассмотрен основной функционал и возможности этой САПР.
EXPLORING THE NATURE OF COMPACT RADIO SOURCES ASSOCIATED TO UCHII REGIONS
Authors: Masqué J. M. , Rodríguez L. F. , Dzib S. A. , Medina S. N. , Loinard L. , Trinidad M. A. , Kurtz S. E. , Rodríguez-Rico C. A.
Published: April 2021

We present Very Large Array 7 mm continuum observations of four ultracompact (UC) HII regions, observed previously at 1.3 cm, in order to investigate the nature of the compact radio sources associated with these regions. We detect a total of seven compact radio sources, four of them with thermal emission, and two compact radio sources with clear non- thermal emission. The thermal emission is consistent with the presence of an ionized envelope, either static (i.e., trapped in the gravitational radius of an associated massive star) or flowing away (i.e., a photo-evaporative flow). The nature of the non-thermal sources remains unclear and several possibilities are proposed. The possibility that most of these compact radio sources are photo-evaporating objects, and the remaining ones more evolved objects, is consistent with previous studies on UCHII regions.
RESULTS OF OBSERVATIONS OF MAXIMA OF PULSATING STARS
Authors: Peña J. H. , Huepa H. , Piña D. S. , Guillén J. , Rentería A. , Paredes J. D. , Muñoz R. , Donaire J. , Benadalid T.
Published: April 2021

The systematic study of some HADS stars, recognized as variables for decades, has allowed us to provide data on their secular variations through O-C analysis. However, some of the data have large gaps without observations. This is our motivation for continuously observing these stars as part of the research carried out by the “Grupo de Astronomía Observacional del Observatorio de Tonantzintla” (GAOOT). This article is our third compilation of times of maxima for pulsating stars. These observations have been carried out at the Observatorio Astronómico Nacional de Tonantzintla (TNT) and San Pedro Mártir (SPM), México and for the first time we also present data from the Complejo Astronómico de Cota Cota, Bolivia (Universidad Mayor de San Andrés) and the Observatorio Astronómico Centroamericano de Suyapa, Honduras (Universidad Nacional Autónoma de Honduras).
Western Hegemony and Russia’s Eurasian Turn
Authors: Paikin Zachary
Published: April 2021

According to some perspectives, it is difficult to imagine the collective West developing further relations with Russia beyond the regulatory and systemic – rather than the social – so long as their political systems remain divergent. At the same time, continued elements of Russian “Europeanness” raise fundamental questions about the future role and pre-eminence of liberal states – including Canada – in the contemporary international order, seeing as the Western-led liberal order appears to have failed to become synonymous with global order itself. As such, Russia remains a good case study for probing the extent to which a future world order must root itself in a monist frame in today's pluralistic world. This paper will seek to explore this question from a perspective rooted in the English School of international relations, with the aim of deriving conclusions regarding the liberal international order's ability to maintain its hegemonic position in global international society.
Quantum-inspired algorithms for multivariate analysis: from interpolation to partial differential equations
Authors: García-Ripoll Juan José
Published: April 2021

In this work we study the encoding of smooth, differentiable multivariate functions in quantum registers, using quantum computers or tensor-network representations. We show that a large family of distributions can be encoded as low-entanglement states of the quantum register. These states can be efficiently created in a quantum computer, but they are also efficiently stored, manipulated and probed using Matrix-Product States techniques. Inspired by this idea, we present eight quantum-inspired numerical analysis algorithms, that include Fourier sampling, interpolation, differentiation and integration of partial derivative equations. These algorithms combine classical ideas – finite-differences, spectral methods – with the efficient encoding of quantum registers, and well known algorithms, such as the Quantum Fourier Transform. When these heuristic methods work, they provide an exponential speed-up over other classical algorithms, such as Monte Carlo integration, finite-difference and fast Fourier transforms (FFT). But even when they don't, some of these algorithms can be translated back to a quantum computer to implement a similar task.
Evaluation of Spermatogenic Action in the Management of Oligospermia
Authors: Nisargandha Milind Abhimanyu , Parwe Shweta Dadarao
Published: April 2021

Infertility is the major reproductive health problem in today’s era. About 15% of couples have infertility problems which 40% are related to the male factors. The oligozoospermia is a condition related to infertility which is associated with low sperm concentration. An objective of this study was to observe the effect of ayurvedic medicine on infertile men and to observe changes in sperm concentration, sperm motility and sperm morphology in the subjects before and after treatment. The interinstitutional study was conducted in the Physiology department, J N Medical College and Panchakarma at Wardha. Patients were also referred from department obstetrics and gynecology, Mahatma Gandhi Ayurved College Hospital and Research Center Salod. All the patients were informed regarding the procedure and the semen sample was collected. It was analyzed as per WHO guidelines. The patients having oligozoospermia were explained about the treatment pattern. They were called again for analysis of semen samples after 3 months and 6 months duration. Oligospermia is the condition in which sperm count <20 Millions/ml. On observation, the results in patients before the treatment showed very less count of the sperm concentration, abnormal morphology and reduced motility was found. After the 3 and 6 months of the treatment percentage of sperm concentration, sperm motility and increased sperm morphology. The treatment of the patients was given oral Ayurvedic medicine in improvement of above said parameters. The conclusion of this study was the Ayurvedic formulation can be used in oligozoospermia patients.
Studying and mapping the soils of the southern part Sea of Okhotsk sector of the Kunashir island, Kuril islands
Authors: Grischchenko M.Yu. , Khlyustova V.V. , Izyumnikova E.A. , Kalimova I.V.
Published: April 2021

The paper deals with compilation of a large-scale soil map for the site of “Kurilsky” nature reserve, located in the southern part of Kunashir island, the Greater Kuril ridge. The islands make a remote and poorly studied area, and the soil is one of the least examined components of the local geosystems. The zonal soils here are cambisoil, but the variety of soil-forming processes characteristic of the island provides a comparative diversity of the cover. Modern volcanism affects the formation process significantly, although its role is sometimes overestimated. The study is based on field surveys performed in the considered area in 2014–2019, during which descriptions of soils were compiled according to standard methods. The map was compiled using a multispectral image of high spatial resolution from the Pleiades-1B satellite and topographic maps. Thus, the abundance of soils from different levels and divisions does not make a significant effect on the general heterogeneity of the territory soil cover due to the small area of intrazonal soils.
Geoinformation mapping to analyze the spatio-temporal data of agricultural production in Siberian regions
Authors: Aleschenko V.V. , Aleschenko О.А. , Dobryakova V.A. , Idrisov I.R. , Rudoy Е.V.
Published: April 2021

The study deals with opportunities of assessing geoinformation mapping to identify prospective areas of interregional specialization for a macroregion as a new political and economic unit of Russia. The spatial assessment method for such Siberian regions’ agricultural specialization is proposed and tested. The study covers 392 rural municipal districts, united in sixteen entities of the Russian Federation and located in four macro-regions. The analysis of the rural muni- cipalities’ productivity indicators for 2007–2018 was carried out for 26 types of crop products and 5 types of livestock ones using methods of mathematical and cartographic modeling, which enabled identifying 16 perspective food interregional clusters in South Siberian, 12 ones – in the Angara-Yenisei and 1 – in the Ural-Siberian macroregion. A Web-cartographic product “Geoportal of agricultural specialization of Siberian macroregions” was developed for solving application tasks of spatial analysis and determining the state policy measures for the development of interregional agricultural cooperation in Siberia.
INVESTIGAÇÕES EM EDUCAÇÃO EM SAÚDE: A PROMOÇÃO DA SAÚDE A PARTIR DOS TERMOS ALFABETIZAÇÃO, LETRAMENTO E LITERACIA
Authors: Miranda Nathália , Martins Liziane , Dionor Grégory
Published: April 2021

Os termos “alfabetização”, “letramento” e “literacia” são defendidos, no meio científico, de formas diversas e são de difícil elucidação e classificação, devido a inúmeras interpretações e, surgem a partir da necessidade de se discutir e propor ações para o estímulo da formação científica dos cidadãos, no contexto educacional. Diante desse cenário, buscamos, através deste trabalho, compreender como estes termos são utilizados no contexto brasileiro, bem como suas relações com a promoção da saúde, a partir de uma análise de artigos presentes em Periódicos (A1 e A2) e nas atas do Encontro Nacional de Pesquisa em Ensino de Ciências (ENPEC). Encontramos apenas 02 artigos que, apresentam, de fato, ações voltadas para a promoção da saúde (do tipo médica e socioambiental). De modo geral, identificamos, a partir de nossa investigação, a existência de uma lacuna entre a teoria e a prática e que o termo alfabetização pode possuir ações de nível de sofisticação inferior às do letramento.
CONHECIMENTOS DE ESTUDANTES DO CURSO DE ENGENHARIA AGRÍCOLA E AMBIENTAL SOBRE A BIOTECNOLOGIA ATRAVÉS DO ENSINO E DA MÍDIA
Authors: Mancebo Sueli Soares de Sá , Lima Neuza Rejane Wille
Published: April 2021

O conhecimento sobre a relação entre as ações da biotecnologia e da conservação ambiental torna-se essencial na formação de estudantes de Engenharia Agrícola e Ambiental porque este envolve importantes implicações econômicas, sociais e éticas. O objetivo do estudo foi avaliar o conhecimento de estudantes de uma turma de primeiro período de um curso de Engenharia Agrícola e Ambiental sobre a importância da Biotecnologia na produção agrícola e na preservação do ambiente, avaliando-se, também, a eficácia da palestra. Foram aplicados dois questionários intercalados pela apresentação da palestra intitulada “Biotecnologia, Engenharia Agrícola e Ambiente”, que teve duração de 30 minutos e expôs 26 projeções com 10 diagramas e textos curtos. Os resultados indicaram que os 50 estudantes que participaram da pesquisa (21 do gênero feminino e 29 do gênero masculino, com idades variando entre 17 e 30 anos, que resulta numa média = 20,3 ± 2,6). Em torno de 90% sabiam sobre impactos positivos e negativos da Biotecnologia, à exceção das questões de saúde, como a existência de alergias a produtos transgênicos. Foi demonstrado que esses conhecimentos eram advindos de aulas assistidas no Ensino Médio e de informações veiculadas pela mídia, tais como internet, jornais e revistas. Essas fontes do conhecimento, entretanto, não lhes forneceram informações sobre a origem da Biotecnologia na sociedade humana. Uma análise qualitativa indicou que os estudantes demonstram interesse pelo tema, uma vez que foi relatado que as atividades realizadas foram importantes para aprimorar sua formação profissional.
ESCOLA INDÍGENA, ALFABETIZAÇÃO E LÍNGUAS
Authors: Téchio Kachia Hedeny , Wieczorkowski Juscinete Rosa Soares
Published: April 2021

A educação escolar indígena vem sendo construída por povos indígenas do país desde a promulgação da Constituição Federal (1988), que oportunizou, por meio de suas leis, o direito a uma educação diferenciada e de acordo com suas culturas tradicionais. Este artigo apresenta diálogos e reflexões referentes às escolas indígenas de Rondônia, sua língua materna e o processo de alfabetização através da escrita produzida por professores indígenas do curso superior de Educação Básica Intercultural. A metodologia utilizada foi a pesquisa bibliográfica com base na análise de 07 (sete) TCC’s de autores indígenas do Curso de Educação Básica Intercultural da Universidade Federal de Rondônia-UNIR, que discorrem sobre a escola indígena, alfabetização, língua materna e pesquisas referentes às leis que regulamentam e norteiam a educação indígena. Os resultados revelaram que a história dos indígenas é marcada por diversas ações pedagógicas diferentes, que trazem uma visão sobre a formação da identidade cultural da criança indígena. Com a inserção de um novo modelo escolar, as etnias passaram a participar de aulas na escola formal. A maioria dos indígenas são bilíngues, existindo ainda membros que falam apenas a língua materna, uma forma de preservação da identidade cultural da etnia. Conclui-se que a educação escolar formal contribuiu, de forma geral, para a interação dos povos indígenas com diferentes culturas. Uma das maiores conquistas foi a aquisição de conhecimentos relacionados à legislação vigente, empoderando os nativos na luta por seus direitos. As considerações finais enfatizam e corroboram com inúmeros autores quanto à necessidade de respeitar a cultura indígena, assim como as demais, uma vez que cada uma tem seus valores, saberes e histórias, requisitos fundamentais na identidade de um povo.
O ENSINO DE CIÊNCIAS PARA CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA SOB A PERSPECTIVA HISTÓRICO-CULTURAL
Authors: Martins Ingrid da Silva , Pereira Grazielle Rodrigues
Published: April 2021

Esta pesquisa teve como objetivo analisar o desenvolvimento sociocomunicativo de um grupo de crianças com transtorno do espetro autista (TEA) dos anos iniciais do Ensino Fundamental mediante a realização e aplicação de oficinas sobre Saúde Bucal por meio de uma pesquisa qualitativa realizada em uma escola de educação especial. A coleta de dados deu-se a partir de entrevistas semiestruturadas com as professoras responsáveis pelos alunos, e também houve a utilização um diário de campo durante a aplicação da oficina. Para a realização da oficina, foram desenvolvidos maquetes e objetos lúdicos relacionados à higiene bucal. A mediação aconteceu por meio de uma conversa e depois por uma contação de história. Os resultados evidenciaram ausência de aulas de Ciências, uma vez que a escola privilegia a alfabetização. Durante a oficina, observamos diferentes formas de interação com os objetos e com a mediadora, em que o contato visual e a interação com os objetos foram as formas de comunicação não verbal mais frequentes ao longo da atividade. Sendo assim, constatou-se que, apesar do TEA ser um distúrbio do desenvolvimento neurológico, na qual uma das características reside no déficit das habilidades sociocomunicativas, as crianças participantes responderam de modo satisfatório, mesmo que de forma não verbal.
AVALIANDO O TEMA SAÚDE BUCAL NOS LIVROS DIDÁTICOS DE CIÊNCIAS DE UMA ESCOLA MUNICIPAL DE MANAUS – AM
Authors: Rebelo Vieira Janete Maria , Gomes Andressa Coelho , Figueira Andria Raiane Barbosa , Quadros Larissa Neves
Published: April 2021

Os livros didáticos são considerados ferramentas eficazes para promover a saúde bucal no ambiente escolar, representando importantes meios para auxiliar a condução do processo ensino-aprendizagem, bem como facilitar a memorização dos conhecimentos, favorecer a aquisição de competências disciplinares ou transversais e a apropriação de habilidades. O objetivo do estudo foi avaliar o conteúdo de saúde bucal nos livros didáticos de Ciências aprovados pelo Programa Nacional do Livro e do Material Didático (PNLD) do Ensino Fundamental I adotados em uma escola municipal da cidade de Manaus-AM. Uma análise de conteúdo temática simples proposta por Bardin (1979) foi realizada com base nos livros didáticos de Ciências: Ápis – Descobrir o mundo (1°, 2° e 3° ano) e Projeto Buriti (4° e 5° ano), sendo as informações coletadas registradas em uma ficha previamente elaborada. Os temas selecionados foram: A - relação da saúde geral com a bucal, função dos dentes e dentição decídua/permanente; B - higiene bucal e instrumentos para sua realização; C – doenças bucais (cárie e gengivite) e seus determinantes e; D - uso de fluoretos. Por conseguinte, qualificados em termos de satisfatoriedade, aceitabilidade, insatisfatoriedade e inexistência, segundo critérios científicos atuais. Nos livros analisados, observou-se escassez quanto aos conteúdos referentes à saúde bucal, havendo a predominância do critério de inexistência, seguido do critério de insatisfatoriedade. Apenas o livro do 2º ano apresentou conteúdo satisfatório para a categoria A, abordando a importância da saúde bucal e troca de dentes decíduos para permanentes. Conclui-se que conteúdos referentes à saúde bucal foram encontrados de forma escassa e até inexistentes em alguns livros, necessitando-se de uma reavaliação deste material. Recomenda-se que os responsáveis pelo conteúdo dos livros didáticos e os profissionais da saúde estejam alinhados quanto ao desenvolvimento dos temas para que as crianças possam ser providas de uma educação em saúde bucal adequada no ambiente escolar.
APLICAÇÃO DOS CONHECIMENTOS DE NANOCIÊNCIA E NANOTECNOLOGIA NA ELABORAÇÃO DO JOGO DE TABULEIRO: “DETETIVE NANOMETÁLICO”
Authors: Peixôto Laila Roberta Viana , Rodrigues Angélica Alves Pereira , Fernandéz Clara Couto , Rocha Thereza Christina Teixeira , Carneiro Rita Terezinha de Oliveira
Published: April 2021

Nanociência é o estudo de estruturas que apresentam dimensões nanométricas, enquanto a Nanotecnologia destina-se às diversas aplicações dessas estruturas. As aplicações tecnológicas obtidas pela Nanociência e Nanotecnologia (N&N) são as mais promissoras do século XXI e ainda há muito a ser explorado. As nanopartículas metálicas (NPMs) se destacam entre as demais nanopartículas devidas as suas propriedades e características, porém ainda são pouco conhecidas em determinadas áreas do meio acadêmico. O ensino por investigação estimula a criatividade e proporciona integração entre os discentes e docentes. A elaboração e a execução de games são recomendáveis devido a sua eficiência na relação ensino e aprendizagem. Nosso objetivo foi elaborar um jogo de tabuleiro para estimular e propagar o conhecimento sobre as nanopartículas metálicas (NPMs). Após aula expositiva, as equipes foram orientadas na elaboração de um jogo com material de baixo custo. Com base na literatura, foram elaboradas perguntas sobre as características e aplicações das NPMs. O tabuleiro e as regras foram projetados com base no jogo Detetive (Estrela®). O processo de elaboração do jogo foi valioso na aprendizagem sobre NPMs, pois envolveu os graduandos com o tema proposto, abordando aspectos de prática considerados inviáveis de serem executados devido à realidade orçamentária das instituições públicas, além de ter proporcionado um momento de interação lúdica entre os graduandos. Em virtude da escala nanométrica das partículas estudadas no escopo da disciplina de Nanotecnologia, suas aulas práticas requerem infraestrutura, equipamentos e insumo que oneram o orçamento das universidades, inviabilizando sua realização. Portanto, a elaboração e execução de games são indicados no ensino desta ciência, haja vista o envolvimento dos alunos em sua realização.
Consequências do produtivismo na vida docente
Authors: Ferreira Carla Guimaraes , Gurgel Cláudio Roberto Marques
Published: April 2021

Este trabalho tem como objetivo verificar como professores de uma grande universidade pública brasileira apreendem o produtivismo acadêmico e como percebem o impacto do mesmo nas suas aulas e em sua saúde. O artigo advém de estudo na Universidade Federal Fluminense (UFF) sobre a demanda institucional de alta produtividade, caracterizada principalmente pela exigência do aumento de artigos científicos publicados, em paralelo à intensificação das atividades, em geral. A pesquisa de campo foi o principal recurso metodológico utilizado, para o que foi aplicado um questionário. O tratamento dos dados foi qualitativo e a análise das respostas obtidas teve como base a revisão da bibliografia sobre a temática – o produtivismo acadêmico. Concluiu-se que, na percepção da maioria dos entrevistados, a universidade, ambiente de aprendizado e investigação, vem seguindo a lógica produtivista de mercado, a qual tem impactado negativamente as aulas tanto na graduação, quanto na pós-graduação, além de comprometer o desenvolvimento profissional e a saúde dos professores.
Recurrent, refractory hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis in a patient with acute kidney injury and suspected Guillain-Barre syndrome.
Authors: Pattan Vishwanath , Chiu Ken , Samoa Raynald
Published: April 2021

Hypokalemia can be multifactorial. When the primary driver of
hypokalemia is obvious it is easy to miss other contributing causes that
could be vital to optimal patient management and outcomes. Our case
report highlights the importance of recognizing recurrent, refractory
hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis.
Representations and narratives of F to M Gender Dysphoric subjects: Self, Body and psycho-traumatology in comparison with M to F transsexualism
Authors: Merlo Emanuele
Published: April 2021

The present study was aimed at extending the method previously used with M to F gender dysphoric patients, to F to M individuals. In particular, the aim of the study was to highlight global and particular representations of the subjects. The study involved 10 gender dysphoric subjects in F to M transition, aged between 18 to 26 years old. Rorschach and the Thematic Apperception Test were administered with particular attention to the detection of psycho-traumatic indexes. The data reached through the extension of the method to F to M subjects revealed a continuity between the two groups. Referring to Self-representation, the subjects produced mainly objectual responses, indicative of a global representation affected by the current physical condition. In terms of Body representation, the subjects provided answers demonstrating the presence of partiality and fragmentation, indicative of a body representation supporting the term dysphoria. Approximately 30% of the subjects' responses indicated the presence of consistent psycho-traumatology. In comparative terms, F to M subjects provided quantitatively and quantitatively similar answers to M to F subjects, with a greater number of fragmentary responses and a lower presence of psycho-traumatic indexes.
The social and the psychological impact of endometriosis on the Romanian urban population
Authors: Baciu Iulia , Irimie-Ana Alecsandra , Panaitescu Anca , Peltecu Gheorghe , Gica Corina , Gica Nicolae
Published: April 2021

Objectives. Our study assesses the social and psychological impact of the symptoms of endometriosis. Materials and methods. This crosssectional study was conducted from January 2014 to January 2016. The research involved two groups. The study instrument, the EHP-5 questionnaire, was completed by the respondents on the admission date or on the routine gynecological visit day. Results. Endometriosis has a negative social and psychological impact on women’s life, the most affected areas being work, fertility and sexual activity. Moreover, pain and the negative perception of self-image are major sources of distress. Conclusion. The symptoms and effects of endometriosis, especially chronic pelvic pain, mood changes and infertility, are significant negative factors in women’s life. The authors further conclude that the EHP-5 questionnaire can be more widely used to help select women who may need special attention in terms of their quality of life, thus helping gynecologists refer affected women to a health care professional.
D-dimer levels and acute pulmonary embolism development in COVID-19 patients
Authors: Ahmet Vural , Nedim Kahraman
Published: April 2021

Objective. To identify those who develop pulmonary embolism with Ddimer levels by evaluating pulmonary CT angiographies of patients who are followed up with suspicion of coronavirus disease 2019 (COVID-19). Methods. Patients who were followed up in a community hospital with suspicion of COVID-19 and underwent Pulmonary CT angiography examination were evaluated. Clinical and demographic parameters and DDimer values for patients with and without pulmonary embolism were evaluated in the pulmonary CT angiogram. Results. During the COVID-19 pandemic, Thorax CT examination was performed in our center for suspicion or follow-up of COVID-19 infection in 3396 patients. Pulmonary CT angiography was applied to 312 (9.2%) of these cases. Of these 312 patients, 141 were identified as COVID-19 patients. Acute pulmonary embolism was detected in 33 (23.4%) of 141 patients with COVID-19 and pulmonary CT angiogram. D-dimer levels (5964.97±4036.8 μg/L) of patients with COVID-19 infection and pulmonary embolism were significantly higher than D-dimer levels (972.4±1766.8 μg/L) of patients without pulmonary embolism. In patients with COVID-19 infection, a Ddimer value higher than 1013 μg/L was determined as a cut-off value with 100% sensitivity for the presence of pulmonary embolism. Conclusions. For those struggling with the COVID-19 pandemic, pulmonary embolism should be kept in mind if D-dimer values increase more than expected in the presence of respiratory distress that Thorax CT findings cannot explain.
Modes of birth and their impact on the psychological and physical health of women
Authors: Wieser Myriam , Gourounti Kleanthi , Sarantaki Antigoni
Published: April 2021

Objective. The aim of this review was to evaluate the literature concerning modes of birth and their impact on the psychological and physical health of women. Methods. A search was conducted in PubMed Central and Scopus to identify relevant studies in the literature. The searching phrases were “mode of birth” AND “maternal health”. No date restriction was applied. The languages were restricted to English, German, and Greek. Results. Women giving birth through assisted vaginal births, especially by means of forceps, had a higher risk of dealing with different health problems in the postpartum period. Caesarean sections are not able to prevent long-term problems related to incontinence or sexuality. Conclusions. The mode of birth has an impact on the health of women postpartum and in some cases in the long term. Therefore, the mode of birth should be chosen deliberately for each individual woman, while having in mind the possible risks of the different modes of birth. Additionally, further research is needed to highlight the prevalence of postpartum morbidity.
Acute chylous peritonitis due to idiopathic pancreatitis mimicking acute appendicitis
Authors: Bratu Dan , Mihetiu Alin , Davițoiu Dragoș , Băleanu Vlad , Andronache Liliana , Popescu Oana
Published: April 2021

The acute development and the accumulation of chyle into the peritoneal space is a rare condition and one needs to be able to distinguish it from chylous ascites, which is most commonly chronic and associated with related diseases. It is frequently idiopathic and additionally, clinical and imaging findings are nonspecific. In almost all cases, the diagnosis is made intraoperatively during laparoscopy or laparotomy, most diagnostic procedures being indicated by acute complaints pertaining to the abdomen. A 23-year-old man was admitted to the Emergency Department with abdominal pain, with right iliac fossa tenderness and peritonism. Laparoscopy was performed due to acute abdomen findings. Further exploration revealed chylous effusion with milky-like fluid. The peritoneal lavage and the insertion of drains were subsequent to the careful inspection of the cavity. The biochemical analysis of the peritoneal fluid was an important aid which provided the diagnosis of chylous peritonitis due to acute pancreatitis.
Postoperative complicated appendectomy revealing Crohn’s disease in a pediatric patient
Authors: Enculescu Augustina , Lupusoru Mircea , Cirstoveanu Catalin , Suceveanu Andra-Iulia , Andronache Liliana , Suceveanu Adrian-Paul , Voinea Felix , Puscasu Maria
Published: April 2021

Granulomatous appendicitis is a very rare entity in children. It is related to Crohn’s disease in only 5-10% of the cases. The diagnosis of Crohn’s disease is a real challenge in the pediatric population, especially when its initial manifestation is acute appendicitis. Herein, we present a 13-year-old boy admitted for acute appendicitis. The histopathological examination was conclusive for acute granulomatous appendicitis. The development of an entero-cutaneous fistula has complicated the postoperative evolution. The failure of the conservative management required ileocecal resection. The pathological examination revealed Crohn’s disease. The one-year follow-up on the patient din not reveal any complications. We strongly support the importance of the histopathological examination of the entirely removed appendix. Careful assessment of granulomatous appendicitis is needed in order to establish its possible etiology and to initiate the adequate treatment.
Linking the brain and bone through fat
Authors: Malinici Elisabeta , Sirbu Anca , Popa Miruna , Fica Simona
Published: April 2021

Over the past years, bone and adipose tissue have gained interest from researchers in the light of their secretory profiles, being able to produce active molecules, with the final effect of regulating energy homeostasis. Both adipocytes and osteoblasts originate in the pluripotent mesenchymal stem cell and this common origin has been proposed as the core of the fat-bone relationship. The central nervous system might be the third player in this association, capable of integrating signals. Numerous adipose tissue secreted factors that influence energy homeostasis and bone have been described: leptin, adiponectin, lipocalin 2, and inflammatory cytokines (e.g. IL-1, IL-6 and TNF-α). Similarly, osteocalcin, the most abundant bone protein, has been shown to elicit numerous central and peripheral endocrine functions. In this paper, we provide a review of the current literature regarding the bone-adipose tissue-central nervous system axis and a brief description of the several underlying molecular mechanisms.
Alcohol consumption and cognitive aging: can it be beneficial?
Authors: Velikova Margarita , Galunska Bistra , Dimitrova Raya , Stoyanov Zlatislav
Published: April 2021

We present a literature review which summarizes the data supporting one of the alternative perspectives on the effect of alcohol consumption on cognitive aging – the possible positive effect of low to moderate drinking. Some of the main theories about aging, the mechanisms of brain aging, and the pathogenesis of cognitive decline and dementia are briefly described. In this context, the putative mechanisms of the protective action of non-alcoholic components in alcoholic beverages or low doses of ethanol against oxidative stress, inflammation, mitochondrial dysfunction, brain insulin resistance, and production of amyloid-β peptides are presented. The review article does not favor the data selected and highlighted, but it aims at inspiring more interest and further research on the topic.
The analysis of risk factors associated with women's urinary incontinence; literature review
Authors: Balalau Denisa , Olaru Octavian , Bacalbasa Nicolae , Paunica Stana , Balan Daniela , Stanescu Anca
Published: April 2021

Urinary incontinence (UI) is a common condition among women. Approximately 50% of them had an involuntary loss of urine at least once in their lifetime. It can be present during sexual activity, contributing to sexual dysfunction and often associated with anxiety or even depression, thus having a negative impact on the quality of life. The incidence of UI is related to the existence of predisposing factors. The best known are: age, weight, family history, race/ ethnicity, number of pregnancies and mode of birth, history of genitourinary interventions and factors related to ordinary habits: smoking, caffeine consumption, oral contraceptives. Studies on middle-aged women have revealed that BMI, parity, age, hysterectomy, smoking, race/ ethnicity and diabetes are factors often associated with urinary incontinence. Future studies are needed to further explore the risk factors for urinary incontinence.
Non-dental oral cavity findings in gastroesophageal reflux disease: a systematic review and meta-analysis
Authors: Indre Madalina-Gabriela , Sampelean Darius , Taru Vlad , Cozma Angela , Sampelean Dorel , Milaciu Mircea , Orasan Olga
Published: April 2021

Gastroesophageal reflux disease (GERD) is known as the most prevalent gastrointestinal disorder in the United States, leading to substantial morbidity, although associated mortality is rare. Based on the appearance of esophageal mucosa on upper endoscopy, GERD is divided into erosive esophagitis (ERD) and nonerosive reflux disease (NERD). Heartburn and acid regurgitation are the typical symptoms of the disease, although some patients may present atypical manifestations such as epigastric pain, nausea, asthma, chronic cough, pharyngitis, laryngitis, sleep disturbances, otitis, and sinusitis. Other signs, such as oral mucosal lesions may result from GERD by direct acid or acidic vapor contact in the oral cavity. Oral manifestations such as tooth erosion, periodontitis, gingivitis, palatal erythema, ulceration, glossitis, oral acid burning sensation, halitosis, xerostomia have recently been reported in GERD patients. A considerable percentage of the patients are affected by oral manifestations before the onset of gastrointestinal symptoms, although in most cases the gastrointestinal signs and symptoms dominate the clinical picture. The injured oral mucosa negatively impacts the quality of life, especially functional limitation, physical inability and psychological disabilities, thus leading to social isolation. There is plenty of non-standardized information on the oral mucosal changes in GERD. In this context, we aimed at synthesizing and analyzing the current available evidence on non-dental oral cavity lesions and complaints that are present in patients diagnosed with GERD.
Revista Geon Vol 5 No 1 enero junio 2018
Authors: GEON Revista
Published: April 2021

En este número contamos con temas relacionados con la gestión financiera, como flujo de caja, manejo de inventarios, NIIF, NIA, en temas de organizacionales desde México nos aportan sobre comunicación, liderazgo y clima organizacional, y en temas de negocios la comprensión de la economía y la importancia de los pron´ósticos en las decisiones.
Kinetic and isotherm studies for nickel ions’ biosorption by jute fabrics
Authors: Ivanovska Aleksandra , Pavun Leposava , Dojcinovic Biljana , Kostic Mirjana
Published: April 2021

Raw jute fabric was chemically modified with 1 % NaOH for 30 min, 17.5 % NaOH for 5 min or with 0.7 % NaClO2 for 30 and 60 min to study the influence of changes in the chemical composition of the fabrics and quantity of carboxyl groups on the biosorption capacity of the fabrics for nickel ions. The effects of contact time and initial concentration of nickel ions on the biosorption capacity of the fabrics were also investigated. The obtained results revealed that the biosorption of nickel ions can be explained by the pseudo-second- order kinetic model, while the experimental isotherm data fit better with the Langmuir model. The calculated ratios between maximal biosorption capacity (6.30?12.06 mg g-1) of the jute fabrics and carboxyl group quantity indicated that approximately half of the carboxyl groups of the fabrics? would be involved in binding nickel ions during biosorption. Therefore, the quantity of carboxyl groups can be used to predict the maximal biosorption capacity of jute fabrics toward nickel ions. In the case of oxidized jute fabrics, the lignin removal, and consequently increased content of cellulose and hemicelluloses, also contributed to a higher biosorption capacity.
Psychological impacts of COVID-19
Authors: Kamran Aziz , Naeim Mahdi , Rezaeisharif Ali
Published: April 2021

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Complementarity between Audited Financial Reporting and Voluntary Disclosure: The Case of Former Andersen Clients
Authors: Frankel Richard M. , Kalay Alon , Sadka Gil , Zou Yuan
Published: April 2021

Prior literature presents various perspectives on the role of financial reporting. One view is that mandatory periodic reporting disciplines managers and encourages timely voluntary disclosure. We examine this “confirmation hypothesis” using the shock to financial reporting quality experienced by Arthur Andersen clients forced to switch auditors. Consistent with the confirmation hypothesis, we find that former Andersen clients increase disclosure after they change auditors. They increase forecasting frequency and enhance forecasting precision and specificity. We present additional cross-sectional evidence that shows Arthur Andersen clients with larger increases in financial reporting quality increased their disclosure by relatively more, even within the sample of Arthur Andersen clients. We supplement our main findings with a battery of tests to reduce the possibility that alternative shocks and uncertainty drive our results. Our findings support complementarity between financial reporting quality and voluntary disclosures.
Fejezetek a ballisztika XV. századi történetéből : Az Orbán-ágyú
Authors: Laczik Bálint
Published: April 2021

A tanulmány, szakirodalmi források alapján a Konstantinápoly 1453-as ostrománál alkalmazott Orbán-féle ágyú ballisztikai sajátosságait vizsgálja. A szerző a tudományos ballisztika XVI. – XIX. századi fejlődésének néhány mozzanatát is bemutatja. Az Orbán-féle ágyú lőtábláinak rekonstruálására a naiv külballisztika differencia modelljét használja fel.
Ágyúnaszádok a Jangcén (1860-1949)
Authors: Sarus Ferenc
Published: April 2021

A hatalmas Jangce folyó már évezredek óta a kínai gazdaság egyik fő ütőere. Számos fontos nagyváros terül el mellette napjainkban is. Az alábbi írás a 19. század második felétől a II. világháborúig azt a kilenc évtizedet kívánja bemutatni, amely során a korabeli nagyhatalmak ún. ágyúnaszád-diplomácia alkalmazásával érvényesítették az érdekeiket a félgyarmati sorban lévő Kínával szemben.
Russlands rebeller: Protest og reaksjon i Putins Russland (2011–2020)
Authors: Hjermann Anni Roth
Published: April 2021

Russia’s Rebels: Protest and Reaction in Putin’s Russia (2011–2020), by Geir Flikke, is reviewed by Anni Roth Hjermann, advisor at the Norwegian Institute of Foreign Affairs.
The Russian Revolutions of 1917: The Northern Impact and Beyond
Authors: Kulavig Erik
Published: April 2021

Erik Kulavig reviews The Russian Revolutions of 1917: The Northern Impact and Beyond edited by Kari Aga Myklebost, Jens Petter Nielsen and Andrei Rogatchevski.
Uma Reflexão acerca da fé no imaginário religioso popular brasileiro a partir da música “Se eu quiser falar com Deus” de Gilberto Gil
Authors: Gonçalves Delmo
Published: April 2021

Resumo  O presente artigo busca refletir a fé com as riquezas do imaginário religioso brasileiro a partir da música, um de suas maiores expressões culturais na forma de construções poéticas. Através das músicas revelam-se as crenças e a religiosidade do Brasil neste caso especificamente a partir da música: “Se eu quiser falar com Deus” de Gilberto Gil. Considerando a riqueza imaginária com que se serve a religiosidade brasileira, observa-se que a música popular brasileira, se serve de toda esta riqueza em grande escala, dialogando com toda uma riqueza disponível a fim de se aproximar e falar de perto com a sociedade. Assim, o artista se faz humano e crente, ser comum, e ao mesmo tempo se vê no popular revelando-o como tal. Busca-se neste, refletir tal processo e, lendo a obra do compositor e cantor Gilberto Gil, sondar este imaginário religioso.
The Comic Genius in Shaw’s Drama
Authors: Mohammed Shawqi Ali Daghem , Samad Dr. Shaikh
Published: April 2021

George Bernard Shaw (1856 - 1950) the socialist, politician, economist, social reformer and the Nobel Laureate playwright, is one of the most venerable authors in the history of literature in general and the theater in particular. He is a great laughter making and thinking motivator, where his comedies always revealed the values of the time. His plays are enjoyable and resonating until today. In this respect, the current article aims to explore Shaw’s comic genius and his contributions to the art of comedy as a leading dramatist of the twentieth century. It reveals how he employs jokes and humour to deliver his philosophy and his intellectual judgment on life in a clever and amusing way. The paper describes the development of Shaw’s comic and technical style. It focuses on some of Shaw’s memorable comedies, which display his comic genius during his career.