bluuebunny/crossref_metadata_2025 huggingface dataset:
FATORES DE RISCO E A COINFECÇÃO POR TUBERCULOSE NO AMBIENTE HOSPITALAR
Authors: Farias Luciane Pereira Marciano , Moreira Kevilyn Maria Sarges , Silva Isabelle Coelho daSilva , Progenio Emanuelly Barbosa , Baia Vitor Ferreira
Published: December 2021

Introdução: Considerada como problema de saúde pública, a tuberculose (TB) manifesta-se por meio do contato com gotículas. Desta forma, se relacionada a fatores hospitalares como o tempo de internação, exposição do paciente a sala com vários leitos e diferentes patologias respiratórias a contaminação pulmonar e extrapulmonar poderá ocorrer de forma mais acentuada. A doença afeta 10 milhões de pessoas anualmente, considerada como uma das principais causas mortalidade, devido a evasão dos pacientes de tratamentos propostos pela equipe de saúde, o que aumenta a possibilidade de respostas imunológicas graves. Pacientes hospitalizados possuem sintomas mais exacerbados como tosse produtiva e perda excessiva de peso. Objetivo: Descrever os fatores de riscos hospitalares relacionados à coinfecção por tuberculose. Material e métodos: Revisão da literatura na forma descritiva, com recorte temporal entre os 5 últimos anos. Coletando produções por meio das plataformas de bases PEDro, PubMed e Scielo, utilizando os Descritores em Saúde (DECS) em inglês Tuberculosis”, “Mycobacterium tuberculosis”, ”Hospitalization”, incluindo produções sistemáticas e ensaios clínicos randomizados, relacionados aos fatores de risco hospitalar que podem levar a um quadro de infecção por tuberculose. Resultado: Conforme as buscas, a saúde pública lida com uma grande barreira relacionada ao tratamento da TB como o tempo de internação, exposição dos pacientes a patologias respiratórias e a resistência da bactéria em relação aos medicamentos. Entretanto, notou-se que a resistência do paciente ao tratamento realizado para tuberculose também é considerado um fator importante para o aumento das taxas de mortalidade, no ambiente hospitalar o paciente poderá evoluir com outras comorbidades e o estado nutricional, o que dificulta a eficácia dos medicamentos. Portanto, os casos leves aos graves devem ser observados pelo sistema de saúde para identificar a eficácia do medicamento e o motivo que pode gerar sucesso ou não no tratamento, evitando novamente a infecção. Conclusão: Diante do exposto, evidencia-se que o sistema público de saúde ainda terá que investigar o que ocasiona essa resistência dos pacientes ao uso dos antibióticos. Entretanto, continuar proporcionando meios de tratamento que seja adequado a cada paciente e considerando a importância da vacinação, BCG que é oferecida pelo SUS.
EXAMES DE INVESTIGAÇÃO PRECOCE DO CÂNCER DE COLO UTERINO: UMA REVISÃO LITERÁRIA
Authors: Ferreira Shirley Cristina Reis , Santos Giovana Rodrigues , Kornin Alan , Alencar Adriano Rocha
Published: December 2021

Introdução: O câncer de colo uterino está relacionado principalmente as alterações causadas por subtipos oncogênicos do papilomavírus humano (HPV). Os subtipos 16 e 18 estão envolvidos em 70% dos casos. Essa patologia apresenta considerável impacto na população feminina, pois, no Brasil, é o quarto mais incidente em causa de mortalidade e também ocupa a quarta posição em incidência ao nível mundial. Objetivos: analisar meios de investigação precoce do câncer de colo uterino no intuito de prevenir morbidade e mortalidade. Material e Métodos: Foi realizada uma pesquisa bibliográfica de natureza qualitativa e de caráter exploratório na base de dados Pubmed e Scielo utilizando os descritores neoplasias do colo do útero, técnicas e procedimentos diagnósticos. Os critérios de inclusão foram artigos publicados nos últimos cinco anos. Resultados: Os métodos de investigação precoce do câncer de colo uterino encontrados foram papanicolau, HPV testing e careHPV testing system. O método mais utilizado é o teste de rastreamento Papanicolau, analisa possíveis anormalidades celulares na junção escamocolunar do colo uterino, apresentando sensibilidade aproximadamente de 98% e sensibilidade de 55 a 80% na detecção de câncer invasivo e contribui para a redução das taxas de incidência e de mortalidade por meio do aumento da cobertura e da organização do programa de rastreio. O HPV testing realiza análise de DNA, importante na identificação dos tipos oncológicos, o uso combinado com Papanicolau aumenta a sensibilidade do exame e é recomendado pelo FDA em mulheres de 30 a 65 anos a cada 5 anos. O careHPV testing system analisa a reação em cadeia da polimerase (PCR), é mais fácil de aplicar, rápido e de menor custo. Conclusão: O câncer de colo uterino é uma neoplasia maligna que pode ser prevenida por métodos de investigação aplicados de forma adequada. Apesar do HPV testing e careHPV testing system serem encontrados nesta pesquisa como meios de detecção do patógeno causador da doença mais eficazes, o meio de investigação mais acessível à população geral no Brasil é o papanicolau. Entretanto, esse método de rastreamento encontra diminuição de eficácia em países com sistema de saúde precário.
IMPACTO DA COVID-19 EM PACIENTES COM HANSENÍASE
Authors: Silva Renata Albuquerque da , Freitas Dyanne Katya Pereira , Souza Rafaela Vieira de
Published: December 2021

Introdução: A hanseníase é uma doença infectocontagiosa causada pelo agente etiológico Mycobacterium leprae, esta patologia é endêmica em muitos países e afeta, principalmente a tecido epitelial e os nervos periféricos. A Covid-19, Síndrome Respiratória Aguda Grave Coronavírus 2 (SARS-CoV-2), é uma doença recentemente descoberta que afeta principalmente o sistema respiratório humano. Há uma preocupação no monitoramento de pacientes com hanseníase durante a pandemia de Covid-19, pois a rotina dos atendimentos em saúde foi alterada com restrições a serviços não essenciais e recomendações de isolamento social. Objetivo: Identificar os possíveis impactos que a coinfecção M.leprae-SARS-CoV-2 pode ocasionar em pacientes portadores de eritema nodoso leproso (ENL). Materiais e Métodos: Foi realizada uma revisão bibliográfica da literatura sobre a temática em artigos publicados no período de 2019 a 2021. Foram utilizados artigos indexados nos bancos de dados: Lilacs, Medline; SciELO e Pubmed. Foram considerados todos os estudos experimentais, observacionais e revisões bibliográficas nacionais e internacionais publicadas. As palavras-chaves utilizadas foram: Covid-19; Hanseníase; Neutrófilos; Covid e ENL. Os artigos mais relevantes foram utilizados na elaboração deste resumo. Resultados: Pacientes com ENL frequentemente apresentam sintomas semelhantes a pacientes com Covid-19, como disfunção olfatória, lesões hepáticas, altos níveis de marcadores NET (redes extracelulares de neutrófilos) séricos, alteração na relação neutrófilo/linfócito e neutrofilia. Pacientes com hanseníase podem ter níveis elevados da DHL e tratamento com talidomida, independentemente da dose, sobretudo em associação com corticosteroides devem, ser considerados como pacientes de maior risco ao desenvolvimento de formas graves da COVID-19. Estudos até o momento publicados não detectou pacientes coinfectados com hanseníase nas formas graves da doença. Conclusão: Há registro da diminuição de casos de Hanseníase, mas há uma preocupação com a subnotificação decorrente da restrição dos atendimentos de saúde na pandemia. Além disso, as consequências de uma coinfecção M.leprae-SARS-CoV-2 ainda estão sendo investigadas e é necessário que sejam tomadas medidas de prevenção e proteção, como vacinação, campanhas de conscientização, divulgação de informações e principalmente, monitoramento de pacientes com hanseníase.
Toelichting evenwichtige belangenafweging in de jaarverslaggeving 2020 door Nederlandse pensioenfondsen
Authors: Kevelam Wilfred , Laning Anne
Published: December 2021

Besturen van pensioenfondsen zijn op grond van de Pensioenwet verplicht om de belangen van de bij het pensioenfonds betrokken deelnemersgroepen en werkgever(s) evenwichtig af te wegen en hierover verantwoording af te leggen. Het intern toezichthoudend orgaan is belast met het toezien op de evenwichtige belangenafweging door het bestuur. In dit artikel hebben wij de kwaliteit van de verantwoording over de evenwichtige belangenafweging beoordeeld in de jaarverslaggeving over 2020 van vijftig Nederlandse pensioenfondsen. Wij concluderen dat de toelichtingen ten aanzien van de evenwichtigheid van het gevoerde beleid over het algemeen beperkt zijn en daarmee voor verbetering vatbaar. Ook hebben wij op basis van een vereenvoudigd model de mate van evenwichtigheid van het gevoerde beleid inzichtelijk gemaakt. Hieruit blijkt dat zogenoemde herverdelingseffecten tussen de verschillende deelnemersgroepen bij de meeste fondsen beperkt zijn. Er lijkt geen verband te zijn tussen de kwaliteit van de verantwoording over de evenwichtigheid en de mate van deze herverdelingseffecten.
Gemeinsam für Klimaschutz und Artenvielfalt
Authors: Schirmacher Henrike , Huber Daphne
Published: December 2021

SPD, Grüne und FDP sind am Ziel. Der Koalitionsvertrag ist unterzeichnet. Olaf Scholz (SPD) wurde zum Bundeskanzler gewählt, sein Kabinett vereidigt. Die Grünen Cem Özdemir und Steffi Lemke wollen an einem Strang ziehen und die Klimakrise und den Erhalt der Artenvielfalt angehen. Zur Seite stehen Ihnen kompetente StaatssekretärInnen.
Trocas interacionais no estudo de gêneros: focalizando o gênero profissional résumé
Authors: Bork Ana Valeria Bisetto
Published: December 2021

O presente artigo objetiva apresentar parte dos resultados de uma pesquisa sobre o gênero profissional résumé, em que discussões ocorridas ao longo de um curso de escrita acadêmica são apontadas como responsáveis pela apropriação do gênero em estudo. Para tanto, trazemos os aportes teórico-metodológicos do Interacionismo Sociodiscursivo, das capacidades de linguagem e do estudo de gêneros. A análise das interações e intervenções orais realizadas tem como base as categorias dos modos de participação dos interlocutores na interação em eventos de comentários sobre textos em progresso (GARCEZ, 2010). Com base nos dados de pesquisa apresentamos uma expansão do rol de categorias com uma descrição de andaimes identificados nas trocas interacionais.
Perspectivas ontológicas e éticas da (inter)subjetividade
Authors: Gomes Ricardo Lima , Sampaio Maria Cristina Hennes
Published: December 2021

O presente ensaio tem por objetivo investigar os questionamentos filosóficos acerca da noção de (inter)subjetividade. Para esse fim procedeu-se a uma análise dialógica do pensamento de três importantes filósofos dos séculos XIX e XX, respectivamente: Soren Kierkegaard, Mikhail Bakhtin, Martin Heidegger. Enquanto o primeiro parte da distinção entre objetivo e subjetivo, para defender uma radicalização do pensamento subjetivo, Heidegger e Bakhtin enfatizam a  coexistencialidade do homem e a responsabilidade ontológica. Para Heidegger (2005), as estruturas originárias do Dasein são o ser-no-mundo, o ser-com e a co-pre-sença – o que nos permite concluir que antes da própria pre-sença, os outros já estariam co-pre-sentes no ser-no-mundo –, ou seja, o ser-com-o-outro, determina existencialmente o Dasein. Quanto a Bakhtin (2016), são nos momentos comuns de uma arquitetônica, constituída por um conjunto de mundos concretamente individuais, que reside a (inter)subjetividade, ou seja, as várias arquitetônicas concretas são a ponte ontológica da ética individual bakhiniana.
Strategic Effects of Service Innovation on Financial and Market Performance
Authors: Kocak Bilgin Yasemin , Adiguzel Zafer
Published: December 2021

The reason for the emphasis on innovation and strategy was the need for organizations to be successful in performance criteria and growth aspirations against competitors. The fact that the competition continues to increase day by day and the entrance to the market is becoming more difficult in every sector shows the fact that companies need to improve their innovation skills in order to ensure sustainability in national or international activities. In the research, the effects of service innovation activities on financial and market performance, as well as strategic analysis and strategic orientation, are examined in banks which have a significant position in the service sector. The surveys were collected from 358 (white-collar) employees at the expert level, after the research model and the sector to be researched were determined. SPSS 25 and AMOS programs were used in the analysis, and the Sobel Test and Hayes process were used for mediation variable analysis. According to survey data, service innovation has a positive impact on both strategic orientation and strategic analysis, as well as financial and market performance. In addition, it is understood that strategic analysis and the mediation effect of strategic orientation variables exist.
Digital Transformation Strategy: The LEGO Case
Authors: Yenidogan Tugba Gurcaylilar , Gul Saba
Published: December 2021

The purpose of this paper is to shed light on the digital transformation of LEGO and to figure it out in innovation-oriented growth decisions. To this end, the study here examines the transformation process of the company from diversification to smart specialization strategy in more detail. Besides, where digital architecture for toys requires many innovations at the same time, authors discuss what LEGO does to add value. More importantly, the typologies of innovation strategy elucidate the changes and improvements that foster digital transformation.
DIŞ TİCARET YAPAN FİRMALARIN KUR RİSKİNE KARŞI KORUNMA YÖNTEMLERİ: MALATYA ÖRNEĞİ
Authors: ŞİT Ahmet , DANACI Mehmet Cem
Published: December 2021

Bu çalışmanın amacı Malatya ilinde dış ticaret yapan firmalarından döviz kur riskine karşı korunma durumlarının araştırılmasıdır. Dış ticaret yapan firmalar için yönetim riski, Pazar riski…vb risklerinin yanı sıra özellikle dalgalı kur politikasını benimseyen ülkelerde kur riski daha önemlidir. Bu amaçla Malatya dış ticaret yapan 55 firmaya anket çalışması uygulanmıştır. Anket soruları Pearson Korelâsyon ve çoklu doğrusal Regresyon analizleri yöntemleriyle analiz edilmiştir. Çalışma sonucunda anket çalışmasına katılan firmaların % 62’si döviz kur riskine karşı herhangi bir korunma yöntemi olmadığı, işletmenin kullandıkları para birimi ile hukuki yapısı arasında eş yönlü, işletme faaliyet süresi ile ters yönlü ilişki olduğu sonucuna ulaşılmıştır. Ayrıca Döviz kur riskine karşı korunma yöntemleri benimseyen firmaların Faaliyet Süresine, ankete katılanların Eğitim Durumuna Göre anlamlı farklılık gösterdiği; Döviz kur riskine karşı korunma yöntemleri olmayan firmaların Firma Büyüklüğüne, faaliyetlerinden dış ticaret oranına, Firmanın Hukuki Yapısına Göre anlamlı farklılık gösterdiği görülmüştür.
OS DESAFIOS E POSSIBILIDADES DA IGUALDADE DE GÊNERO DENTRO DO CONTEXTO ESCOLAR
Authors: Pereira Edilson Raniere Gonçalves , Siqueira Lady-Anne Pereira , Silva Talita Mirella Ferreira da
Published: December 2021

O presente artigo se debruça em torno de uma pesquisa bibliográfica que trata sobre a formação de indivíduos sociais para a construção da igualdade de gênero no contexto social. A revisão bibliográfica traz pontos de importante discussão, colocando a escola como agente responsável pelo trabalho em prol do respeito à diversidade e do combate à qualquer forma de preconceito e discriminação. A abordagem enfatiza diversos grupos sociais que são marginalizados dentro da sociedade e destaca a importância de não somente a escola fazer um trabalho de conscientização, mas também responsabiliza a família e os grupos de amigos assim como demais instituições sociais pelo dever de serem protagonistas neste processo de construção de um ambiente social mais igualitário e livre de qualquer forma de preconceito. Contribuíram com a pesquisa autores como Carvalho ( 2019), Dinis ( 2008), Fronza (2017), Lins e Machado ( 2016), Picirili ( 2019), dentre outros autores que foram essenciais com as discussões postas.
ANALISIS KINERJA KARYAWAN PERUSAHAAN TEXTILE PADA MASA PANDEMI
Authors: Hawik Hawik Ervina Indiworo
Published: December 2021

The ipurpose iof ithis istudy iwas ito idetermine ithe ieffect iof icompensation, iwork istress iand ileadership ion iemployee iretention idue ito ia idecrease iin iturnover iintention iat iPT. iApparel iOne iIndonesia iSewing iSection. iThe itype iof iresearch ithat iwill ibe iused iis iassociative iwith ia iquantitative iapproach. iThe ipopulation iin ithis istudy iwere iemployees iof ithe isewing isection iof iPT. iApparel iOne iIndonesia, itotaling i478 ipeople, iwhile ithe isample iused iin ithis istudy iwas i100 irespondents iusing ia inon-probability isampling itechnique iwith ipurposive isampling itype. iThe imethod iof idata icollection iis ithrough ithe idistribution iof iquestionnaires iwhile ithe ianalysis iused iin ithis istudy iis imultiple ilinear iregressio

The iresults ishowed ithat ithe ivariable iinfluence iof icompensation, ijob istress iand ileadership ihad ia ipositive iand isignificant ieffect ion iturnover iintention iand ithe iresult iof ithe iadjusted iR isquare ivalue iin ithe iregression imodel iwas iobtained iat i0.785, iwhich imeans ithat i78.5 ipercent iof ithe ivariable iturnover iintention ican ibe iexplained iby ithe ivariables iof icompensation, iwork istress iand ileadership. iwhile ithe iremaining i21.5 ipercent iis iexplained iby iother ivariables ioutside iof ithis istudy.
Bimodality in ensemble forecasts of 2 m temperature: identification
Authors: Bertossa Cameron , Hitchcock Peter , DeGaetano Arthur , Plougonven Riwal
Published: December 2021

Abstract. Bimodality and other types of non-Gaussianity arise in ensemble forecasts of the atmosphere as a result of nonlinear spread across ensemble members. In this paper, bimodality in 50-member ECMWF ENS-extended ensemble forecasts is identified and characterized. Forecasts of 2 m temperature are found to exhibit widespread bimodality well over a derived false-positive rate. In some regions bimodality occurs in excess of
30 % of forecasts, with the largest rates occurring during lead times of 2 to 3 weeks. Bimodality occurs more frequently in the winter hemisphere with indications of baroclinicity being a factor to its development. Additionally, bimodality is more common over the ocean, especially the polar oceans, which may indicate development caused by boundary conditions (such as sea ice). Near the equatorial region, bimodality remains common during either season and follows similar patterns to the Intertropical Convergence Zone (ITCZ), suggesting convection as a possible source for its development. Over some continental regions the modes of the forecasts are
separated by up to 15 ∘C. The probability density for the modes
can be up to 4 times greater than at the minimum between the modes, which lies near the ensemble mean. The widespread presence of such bimodality has potentially important implications for decision makers acting on these forecasts. Bimodality also has implications for assessing forecast skill and for statistical postprocessing: several commonly used skill-scoring methods and ensemble dressing methods are found to perform poorly in the presence of bimodality, suggesting the need for improvements in how non-Gaussian ensemble forecasts are evaluated.
Ensanche de Barcelona. Una visión crítica de los remontes y añadidos en los edificios del “Quadrat D´Or”
Authors: Zaar Miriam-Hermi , García Ávila Manuel Blas
Published: December 2021

El Plan Cerdà para el Ensanche de Barcelona comprendió varias fases, en las que estuvo sometido a diferentes ordenanzas. Este proceso urbanístico influyó decisivamente en la morfología de los edificios que fueron construyéndose. El objetivo de este artículo es elaborar un análisis estético de los remontes y añadidos realizados en los edificios del Quadrat d’Or, su área central caracterizada por una arquitectura espléndida. Para ello examinamos 298 edificios y clasificamos las ampliaciones de sus fachadas, según patrones estéticos fundamentales, como la armonía del añadido respecto al edificio existente, el resultado de la aplicación de diseños que contrastan con la obra original, los añadidos semiocultos y los remontes impropios o antiestéticos. La metodología adoptada ha sido la agrupación de las fachadas afectadas en siete tipologías, ateniéndonos al resultado estético y a su presencia global e integral, esto es, clasificando las intervenciones en los edificios por su aspecto final.
Brown Tumors of the Mandible Revealing Hyperparathyroidism: About Two Cases
Authors: Zouaghi Hela , Touil Dorsaf , Chebil Raouaa Belkacem
Published: December 2021

The diagnosis of osteolytic lesions of the jaws can be challenging.
Case Reports: Two cases of brown tumor of hyperparathyroidism were reported. A 76- year-old female patient presented with indolent swelling of her right lower jaw measuring approximately 5 cm /6 cm. The panoramic radiograph showed a well-defined osteolytic radiolucency involving the entire mandibular symphysis. Blood investigations revealed High level of parathyroid Hormone (PTH): 102pg/ml. The diagnosis of a brown tumor of hyperparathyroidism was suspected. A parathyroid technetium scintiscan revealed abnormally high uptake at the lower pole of the thyroid lobe interpreted as hyperplasia of right inferior parathyroid gland with possible brown tumor of the mandible. Second case: A 36- year-old female patient presented for the replacement of her missing teeth. Her medical history revealed chronic renal failure and a recent surgical excision of an Osteitis fibrosa cystica of her fifth left proximal phalange. Panoramic radiograph showed multiple well defined osteolytic lesions of the mandible. The diagnosis of a brown tumor of the mandible secondary to hyperparathyroidism was suspected. Laboratory investigations showed increased PTH level, serum hypocalcemia and hyperphosphatemia and vitamin D deficiency. The patient was referred to the department of endocrinology for further investigation and the correction of PTH level. At Six months follow up all the lesions disappeared on radiological control.
Discussion: Brown tumor of hyperparathyroidism is a metabolic disorder causing bone resorption that can affect the jaw bones. Clinical symptoms depend on the size and the location of the lesion. Radiographically, it appears as radiolucent unique or multiple well-defined intra-osseous radiolucency. Biological examination is the key to the diagnosis and it is marked by high level of parathyroid hormone (PTH).

Key words: Jaw, Tumors, Osteitis Fibrosa Cystica, Hyperparathyroidism, Diagnosis.
PENGARUH PERAN KEPALA SEKOLAH DAN BUDAYA ORGANISASI TERHADAP KEUNGGULAN SEKOLAH
Authors: Ikbal Taufik
Published: December 2021

The role of the principal and organizational culture has a strong influence on school excellence. Principals who are professional and good organizational culture will have a positive impact and fairly basic changes in reforming the education system in schools. This study aims to determine the effect of the role of school principals on school excellence and organizational culture on school excellence in SD Muhammadiyah throughout Bandar City. Lampung. This research uses associative quantitative research with a total population of 123 teachers and a sample of 94 teachers. The data collection technique uses a questionnaire. The data were analyzed using simple linear regression analysis and multiple linear regression analysis. The results showed that the influence of the principal's role and organizational culture on school excellence was 59.4% while the remaining 40.6% was influenced by other factors. So it can be concluded that the better the role of the principal and organizational culture on school excellence, the higher the school excellence.
MANAJEMEN KEMAHASISWAAN DALAM MENCIPTAKAN PERGURUAN TINGGI UNGGUL
Authors: Fachri Moh , Mubarak A Faizul , Subairi Subairi
Published: December 2021

This paper aims to analyze the student management carried out by Nurul Jadid University in creating a superior university. This study uses a qualitative approach to the type of case study research. The data collection technique is done through interviews, observation, and documentation. The results showed that student management in creating superior universities at the University of Nurul Jadid Paiton Probolinggo was carried out through systematic planning involving the existing academic community. The planning is based on the results of internal and external analysis of the institution, which is followed up by determining the implementation strategy, program implementation, and evaluation system used for continuous improvement so that the institution's competitive advantage can be achieved.
THE EFFECT OF PRINCIPALS' MANAGEMENT STYLES ON TEACHERS' PERFORMANCE IN PRIVATE PRIMARY SCHOOLS IN OMDURMAN LOCALITY IN SUDAN
Authors: Onia Saifaldin Idris , Elkhder Elzain
Published: December 2021

The aims of this study to identify the predominant management style practiced by principals in private primary schools in Omdurman locality; to analyse the relationship between management styles and teachers' performance; and to examine the effect of management style practiced by principals on teachers' performance. The study employed survey research designs using a questionnaire. 45 of teachers were selected using simple random sampling. The results indicate that the democratic management style is the predominant style practiced in private primary schools in Omdurman locality. Laissez-faire and autocratic management styles were not practiced by principals in private primary schools in Omdurman locality. The study also revealed that management styles were low and positively correlated with the teachers' performance. Management style had an effect on teachers' performance by the contribution of the democratic management style that caused 25.1% of the variance in the teachers' performance. The study recommended schools principals should be encouraged to continue on democratic management style with taking into account other management styles according to the situation.
Giáo dục môi trường cho trẻ thông qua các hoạt động ở trường mầm non
Authors: Trần Hồ Uyên
Published: December 2021

Giáo dục bảo vệ môi trường là rất cần thiết. Đây là một việc lâu dài, phải được thực hiện trong hệ thống giáo dục quốc dân và bắt đầu ngay từ lứa tuổi mầm non. Giáo dục môi trường cho trẻ ở trường mầm non được tiến hành theo quan điểm lồng ghép vào toàn bộ quá trình chăm sóc, giáo dục trẻ. Bài báo làm rõ nội dung giáo dục môi trường cho trẻ, phân tích khả năng lồng ghép những nội dung này vào các hoạt động vui chơi; học; lao động; ăn, ngủ, vệ sinh cá nhân; và hoạt động tham quan của trẻ ở trường mầm non làm cơ sở cho giáo viên lựa chọn nội dung và hoạt động để lồng ghép phù hợp.
Nghiên cứu khả năng thủy phân vỏ trái ca cao bằng acid ứng dụng trong sản xuất ethanol sinh học
Authors: Huỳnh Xuân Phong , Phạm Thiếu Quân , Nguyễn Ngọc Thạnh , Ngô Thị Phương Dung
Published: December 2021

Với thành phần chứa hơn 40% là cellulose, vỏ trái ca cao là nguồn nguyên liệu thích hợp cho quá trình thủy phân để thu được dung dịch có chứa glucose, một nguồn carbon thích hợp cho quá trình lên men ethanol. Nghiên cứu nhằm đánh giá khả năng thủy phân loại nguyên liệu này và bước đầu ứng dụng trong lên men ethanol sinh học. Kết quả cho thấy quá trình thủy phân vỏ trái ca cao khô ở 90oC đạt hiệu suất 63,79% sau 8 giờ bằng acid HCl 0,75 M và hàm lượng đường khử đạt 7,22% (w/v). Dịch thủy phân được lên men bằng chủng nấm men Saccharomyces cerevisiae VLK06 trong 5 ngày, lượng ethanol thu được 4,31% (v/v). Kết quả cho thấy tiềm năng trong việc sản xuất ethanol sinh học từ một nguồn phế phẩm nông nghiệp là vỏ trái ca cao.
Nhận thức của người đân về tác động của nuôi tôm thâm canh đến môi trường hệ sinh thái rừng ngập mặn tại Khu bảo tồn thiên nhiên đất ngập nước Thạnh Phú, tỉnh Bến Tre
Authors: Nguyễn Công Tráng
Published: December 2021

Nghề nuôi tôm nước lợ tại vùng ven Khu bảo tồn thiên nhiên đất ngập nước Thạnh Phú, tỉnh Bến Tre những năm gần đây đã góp phần phát triển kinh tế cho địa phương. Nhưng sự phát triển này đã có những tranh luận trái chiều của các nhóm người có liên quan về lợi ích và thiệt hại của nó đến môi trường. Bài viết này dựa vào số liệu điều tra các nhóm người khác nhau, phân tích nhận thức của họ về những tác động bất lợi của nuôi tôm đến hệ sinh thái rừng ngập mặn tại Khu bảo tồn thiên nhiên đất ngập nước Thạnh Phú, tỉnh Bến Tre, qua đó giúp nhà quản lý có những quyết định xác đáng hơn trong việc hoạch định phát triển nghề nuôi tôm hướng tới mục tiêu cân đối giữa sản xuất và bảo tồn hệ sinh thái.
INVESTIGATION OF LIGHT INTENSITY OF LIGHT CURING UNITS AFTER DIFFERENT PERIODS OF USE
Authors:   Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine, Medical University of Varna, Bulgaria., Georgiev Georgi , Dikova Tsanka ,   Department of Dental Materials Science and Propaedeutics of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Varna, Bulgaria., Panov Vladimir ,   Department of Conservative Dentistry and Oral Pathology, Faculty of Dental Medicine, Medical University of Varna, Bulgaria.
Published: December 2021

Quartz-tungsten halogen light curing units (LCUs) have been the main source of light for the polymerization of resin based composites (RBCs) for several decades. Since the beginning of the 20th century, however, their use has been reduced due to the invention and improvement of LED LCUs. Various factors can cause a decrease in the light intensity of LED LCUs, one of which is diode aging. The aim of the present paper is to study the change in light intensity of LCUs after different periods of intensive use. For this purpose, the light intensity of 94 regularly used LED LCUs aged between 1 and 10 years was measured with a digital radiometer. The devices were used in conventional mode with maximum light intensity. It was found that regardless of the type and model of LCU, there is a direct relationship between the time of use and light intensity - the longer the operation period of a device is and the more used it is, the lower its intensity is. The decrease in light intensity as devices age is different for different models, as well as for different devices of the same model. In the studied LCUs with a 10-year period of use, 77.5% have light intensity lower than the required minimum of 400 mW/cm2, which makes them unusable. It can be concluded that dentists should regularly monitor and measure the light intensity of their LCUs, especially as they age, to ensure the longevity of their restorative procedures.
Covid-19 Salgının Dünya Ekonomisi Üzerindeki Etkisinin Değerlendirilmesi
Authors: KÜÇÜKBAY Füsun , UYSAL Doğan , ÇIRAK Ayşe Nur
Published: December 2021

Tüm dünyayı etkisi altına alan Covid-19 salgını insan ilişkilerini ve küresel ticareti derinden etkileyerek küresel bir ekonomik kriz haline gelmiştir. Salgının bulaş hızının fazla olmasından dolayı ülkeler birçok kısıtlama ve karantina tedbirleri uygulamıştır. Ancak bu tedbirler sonucu piyasa dengesi bozularak arz ve talep şoklarının aynı anda yaşanmasına neden olmuştur. Karantina süresi boyunca internet alışverişleri artmış ve dijitalleşemeyen birçok firma iflas etmek zorunda kalmıştır. Bu durum birçok ülkenin stagflasyona girmesine sebep olmuş ve işten çıkarma, ücretsiz izin kullandırma gibi riskleri yaşatmıştır. Salgın aynı zamanda ülkelerin büyüme oranlarını düşürerek birçok ülkenin küçülmesine de sebebiyet vermiştir. Çalışmada Covid-19 salgınının ekonomi üzerindeki etkileri analiz etmek için Avrupa, Asya, Kuzey Amerika, Güney Amerika, Merkez Amerika ve Ortadoğu ülkeleri verileri kullanılmıştır ve veriler IMF’den alınmıştır. Salgının etkilerini daha net görebilmek için çalışmada salgın öncesi dönem (2019) ve salgın dönemi (2020) baz alınmıştır ve eşleştirilmiş t-testi ve wilcoxon testi kullanılarak istatistiki yöntemlere yer verilmiştir.
The Usage of Economic Position in Understanding Indonesia’s Economy and the Pandemic Effects
Authors: Verico Kiki
Published: December 2021

Before the global pandemic hit the economy in 2020, Indonesia had experienced two contractions in 1963 and 1998. These contractions come with hyperinflation, while the recent contraction of 2020 has not. This paper attempts to analyse the C-19 pandemic 2020 effects on the economy, which generates contraction but has a low inflation rate. On the opposite, the Asian Financial Crises (AFC) of 1998 caused negative economic growth andskyrocketing inflation. This paper applied descriptive data analysis and showed that the AFC affected the aggregate supply while the pandemic impacted the aggregate demand. This paper offers the usage of the proportion of inflation rate and economic growth rate and the annual sectoral growth rate comparison to describe Indonesia’s economic position and the pandemic effects.
Adaptive proximal scaphoid implant (APSI): a systematic review of the literature
Authors: Mosillo Giuseppe , Basso Morena Anna , Balato Giovanni , Bernasconi Alessio , Coviello Antonio , Tamborini Federico , Poggetti Andrea , Smeraglia Francesco
Published: December 2021

Scapholunate advanced collapse collapse (SLAC) is a challenging topic for hand surgeons. The adaptative proximal scaphoid implant (APSI) (Bioprofile-Tornier) is a pyrocarbon ovoid shaped interpositional implant, that allows adaptive mobility during motion. The aim of this systematic review is to analyze the clinical and radiological outcomes of APSI implants and possible complications. We performed a literature search combining the following key-words: “APSI”, “Scaphoid’s proximal pole”, “implant”, “scaphoid avascular necrosis”, “SLAC”, “SNAC”, “pyrocarbon”, “prosthesis”, and “spacer” with no limitations for year of publication. We selected seven studies considered relevant to our systematic review. All studies described an improvement in the grip strength and the flexion extension arch compared to pre-operative values. The percentage of patients who reported progression of osteoarthritis (OA) with APSI was 17.3%, and implant’s mobilization has a rate 5.1% (8/156). In conclusion the APSI implant is a reliable alternative for the treatment of SNAC wrist and SLAC wrist.
ON THE ISSUE OF TREATMENT OF SEVERE TRAUMATIC BRAIN INJURY IN THE ELDERLY AND SENILE
Authors: Мирзабаев М.Ж. , Дюсембеков Е.К. , Макежанов Е.С.
Published: December 2021

Проведено исследование клинического течения очаговых травм головного мозга у больных пожилого и старческого возраста. Проведен анализ лечения больных в возрасте 60-82 лет(основная группа) и 18-59 лет(контрольная). Для исключения влияния взаимного отягощения отобраны больные только с изолированными внутримозговыми повреждениями. Результаты исследования показали, что очаговые повреждения головного мозга у лиц пожилого и старческого возраста относится к тяжелым травмам центральной системы с неблагоприятным прогнозом. Этому способствует не только травмирующий фактор и его воздействие на мозговую ткань, но и вторичные нарушения мозгового кровообращения вокруг патологического очага, вследствие первичного атеросклеротического поражения сосудов головного мозга.

The clinical course of focal brain injuries in elderly and senile patients was studied. The analysis of treatment of patients aged 60-82 years (main group) and 18-59 years (control). To exclude the influence of mutual burden, patients with isolated intracerebral injuries were selected. The results of the study showed that focal brain damage in the elderly and senile age refers to severe injuries of the Central system with an unfavorable prognosis. This contributes not only to the traumatic factor and its impact on brain tissue, but also secondary disorders of cerebral circulation around the pathological focus, due to the primary atherosclerotic lesions of the cerebral vessels.
DISC HERNIA - DIFFERENTIAL DIAGNOSTICS, OPTION OF PSEUDOTUMOROUS FLOW
Authors: Алиев М.А. , Мирзабаев М.Ж. , Караваев В.С.
Published: December 2021

Грыжа диска (ГД) является распространенным заболеванием и наносит большой вред как физическому, так и психическому здоровью пациентов, страдающих этим заболеванием. Главным этиологическим фактором заболевания служит дегенерация диска. В настоящее время общее определение грыжи межпозвонкового диска в клинической медицине довольно запутанно. В настоящее время общее определение грыжи межпозвонкового диска в клинической медицине довольно запутанно. Окончательный диагноз ГД основывается на совокупности анамнеза, клинических симптомов и результатах визуализации.

Herniated disc is a common disease and causes great harm to both the physical and mental health of patients suffering from this disease. The main etiological factor of the disease is disc degeneration. Currently, the general definition of a herniated disc in clinical medicine is quite confusing. Currently, the general definition of a herniated disc in clinical medicine is quite confusing. The final diagnosis of HD is based on a combination of anamnesis, clinical symptoms, and imaging results.
EPIDEMIOLOGICAL ASPECTS OF ACUTE APPENDICITIS ACCORDING TO THE CENTRAL CITY CLINICAL HOSPITAL OF ALMATY
Authors: Малгаждаров М.С. , Мадьяров В.М. , Турбекова М.Н.
Published: December 2021

В статье проанализировано 1759 случаев острого аппендицита по данным историй болезней пациентов, проходивших лечение на базе Центрального городской клинической больницы с 2015 по 2017 гг. Выявлены основные эпидемиолгические аспекты данной патологии.

The article analyzes 1759 cases of acute appendicitis according to the case histories of patients treated at the Central City Clinical Hospital from 2015 to 2017. The main epidemiological aspects of this pathology have been identified.
INTERNAL CAROTID ARTERY STENTING WITH SIMULTANEOUS THROMBECTOMY IN TANDEM OCCLUSION WITH ACUTE ISCHEMIC STROKE
Authors: Кастей Р.М. , Дюсембеков Е.К. , Жуков Е.С. , Калдыбаев С.Т. , Никатов К.А.
Published: December 2021

Механическая тромбэктомия в настоящее время является золотым стандартом в лечении острого ишемического инсульта при окклюзии крупных сосудов передней циркуляции мозгового кровообращения. Однако проблема лечения так называемой тандемной окклюзии - это одновременная окклюзия или критический стенозэкстракраниальной части внутренней сонной артерии (ВСА) в комбинации с окклюзией крупныхвнутримозговых сосудов передней циркуляции мозгового кровообращения в настоящее времяостается актуальной. В данной статье представлен клинический случай успешного лечения тандемной окклюзии внутренней сонной артерии и средней мозговой артерии путем проведения механической тромбэктомии с одномоментным стентированием внутренней сонной артерии. Однако для разработки единого стандарта лечения тандемных окклюзийнеобходимо проведение дальнейших исследований.

Mechanical thrombectomy is currently the gold standard in the treatment of acute ischemic stroke with occlusion of large vessels of the anterior circulation of cerebral circulation. However, the problem of treating the so-called tandem occlusion is simultaneous occlusion or extracranial part of the internal carotid artery (ICA) critical stenosis in combination with occlusion of large intracerebral vessels of the anterior cerebral circulation currently remains relevant. This article presents a clinical case of successful treatment of tandem occlusion of the internal carotid artery and middle cerebral artery by mechanical thrombectomy with simultaneous ICA stenting. However, further research is needed to develop a unified standard for the tandem occlusions treatment.
THE INFLUENCE OF RISK FACTORS ON THE FIVE-YEAR SURVIVAL OF ONCOHEMATOLOGICAL PATIENTS
Authors: Косанова А.К. , Рамазанова Р.М. , Шерияздан Ж.С. , Сабырбаева Г.А. , Жандарова М.А. , Абилдаева А.Д. , Самут З.А.
Published: December 2021

Проведен анализ 5-летней выживаемости у пациентов с гемобластозами на примере г. Алматы. Регрессионный анализ зависимости продолжительности жизни от степени злокачественности опухолевого процесса выявил прямую и статистически значимую корреляцию (r=0.199, p=0.031572). Зависимость же продолжительности жизни от коморбидных состояний (r =-0.069, p=0,497398) и развившихся осложнений (r=-0.046, p=0.622379) не установлена.

We analyzed the 5-year survival rate in patients with hemoblastosis using the example of Almaty. Regression analysis of the dependence of life expectancy on the degree of malignancy of the tumor process revealed a direct and statistically significant correlation (r=0.199, p=0.031572). The dependence of life expectancy on comorbid conditions (r =-0.069, p=0.497398) and developed complications (r=-0.046, p=0.622379) has not been established.
BRAIN DEATH DIAGNOSIS IN SEVERE TRAUMATIC BRAIN INJURY (TBI)
Authors: Дюсембеков Е.К. , Халимов А.Р. , Танашева Л.Н. , Курмаев И.Т. , Жайлаубаева А.С. , Николаева А.В. , Мирзабаев М.Ж.
Published: December 2021

Проведено клинико-неврологическое и инструментальное исследование смерти мозга у 23 пациентов с тяжелой черепно-мозговой травмой за 2020 год. Результаты исследования показали, что летальность в первые 72 часа была в 14 случаях - 60,9%. Досуточная летальность составила 9 случаев - 39,1 %. Пациенты трудоспособного возраста составили 83%. В большинстве случаев клиническая картина смерти мозга осложнялась наличием травм лица, спонтанными или индуцированными автоматизмами, ушибом легких при сочетанной травме. В данной статье описаны виды клинических исследований, используемых в диагностике смерти мозга, в сложных случаях дополнительных подтверждающих тестов.

Research has been done of 23 patients with а severe traumatic brain injury (TBI) in 2020. Outcomes of our research have indicated mortality in the first 72 hours was in 14 cases - 60,9%.And the first day lethality was 9 cases - 39,1%. The significant quantity of working age patients amounts to 83%. Generally, brain death in any patient with catastrophic brain injury and a bedside exam consistent with brain death complicated by facial injuries, spontaneous or induced automatism, lungs contusion with concomitant injury. The article describes types of clinical examination, used in the definition of brain death. In complicated cases, supplementary confirm tests.
IMC17 - Conferencia Internacional de Movilidad: «Retos para una sociedad inclusiva»
Authors: Matey García M. A.
Published: December 2021

Este Congreso, actualmente de carácter bienal, cuenta con el auspicio del IMC International Committee (Comité Internacional de la Conferencia de Movilidad), cuya finalidad es fomentar el debate e intercambio entre los involucrados en la Orientación y Movilidad (OyM) en todo el mundo, contribuyendo además a la divulgación de los avances de esta disciplina tan específica y trascendental para el desplazamiento autónomo de las personas con discapacidad visual. «Retos para una sociedad inclusiva» («Challenges for an inclusive society»), lema de la conferencia en esta edición, tuvo como uno de sus principales objetivos identificar las carencias de la OyM, en base a la Convención de las Naciones Unidas sobre los Derechos de las Personas con Discapacidad.
Un paso más en la comunicación de las personas con sordoceguera: el sistema Dactyls
Authors: Romero Rey Eugenio
Published: December 2021

Dactyls es un sistema de comunicación alternativo táctil, en el que se emiten y reciben los mensajes a través del tacto y siguiendo la estructura del lenguaje oral. Su operatividad se basa en el uso combinado del deletreo alfabético, a través del sistema dactilológico táctil utilizado en España por las personas con sordoceguera, y de signos y recursos táctiles tomados, en su mayoría, de la lengua de signos, así como otros creados al efecto en el propio sistema. Nace de alguna forma un sistema de comunicación que contribuye significativamente a aumentar las posibilidades de comunicación de las personas con sordoceguera y a permitir una mayor inclusión y acceso a la información y al contexto.
Juegos para Eva: recursos inclusivos cuando un alumno con ceguera participa en un juego motriz
Authors: Huguet Mora D. , Huguet Mora A. , Agustina Arias A.
Published: December 2021

Desde el Centro de Recursos Educativos de la ONCE en Barcelona se ha creado un nuevo recurso dividido en dos bloques como resultado del asesoramiento realizado a los especialistas de educación física de numerosos centros educativos, deportivos y de tiempo libre. El primero consiste en una serie de conceptos sobre la discapacidad visual y unos criterios generales de adaptación que facilitan la comprensión de los recursos inclusivos y ayudan a que los docentes ajusten estos recursos a su realidad y a las diversas variables que intervienen en los juegos. El segundo ofrece, a modo de ejemplo, 21 juegos adaptados con la mayoría de los recursos inclusivos del primer apartado. Se han distribuido los recursos en los diferentes juegos para ofrecer una visión general de las posibilidades de adaptación. Es importante tener en cuenta que cada uno de estos recursos podrían utilizarse en otros juegos; así pues, no hay solo una posibilidad de adaptación, sino diversas estrategias a utilizar en función de las variables que nos encontremos. En definitiva, con los recursos que se incluyen en los 21 juegos de ejemplo se podría adaptar cualquier juego motriz. Nuestro trabajo no es una mera recopilación de juegos adaptados, sino de un documento que permitirá aprender a utilizar recursos verdaderamente inclusivos, ya testados, que facilitarán la inclusión del alumnado con ceguera en los juegos motrices y que se podrán utilizar en la adaptación de cualquier otro juego.
Institutional and Political Determinants of Statutory Tax Rates: Empirical Evidence from Sub-Saharan Africa
Authors: Gupta Sanjeev , Mulas-Granados Carlos , Liu Jianhong , Salman Danial , Ross Kelsey
Published: December 2021

This paper investigates the extent to which institutional and political factors explain statutory tax rates in sub-Saharan Africa (SSA). In particular, it examines the effect of regulatory quality, political accountability, political fragmentation, the electoral cycle, and ideological orientation on corporate income tax (CIT) rates as well as top marginal personal income tax (PIT) rates during 1990–2017. Different from advanced economies, our results suggest that in SSA institutional (structural) factors are more important than political (conjunctural) ones. Better institutions (proxied by higher regulatory quality) are associated with lower tax rates, whereas weak political accountability (proxied by longer government tenures) and greater fragmentation (linked to polarization) lead to higher tax rates. The electoral cycle is weakly associated with higher CIT, and contrary to findings in advanced economies, the ideological orientation of the government does not appear to influence statutory tax rates in SSA.
Customer Information Management and Firm Competitive Advantage: The Application of Partial Least Square
Authors: Swallehe Omary
Published: December 2021

This study investigated the relationship between database marketing, or simply customer information management, and competitive advantage of the firms in tourism industry in Tanzania. The study used monthly data from July 1, 2016 to April 30, 2018. Customer information management initiatives investigated in this study were database marketing infrastructure, database marketing human resources capability, and the actual application of the techniques to achieve competitive advantage. Data for the study was collected in the cities of Arusha and Kilimanjaro as the two cities are regarded as main tourism destinations in the northern circuit. Data were collected from 215 tour operators and used Structural Equation Modeling (SEM) to analyze the collected data. It was found out that, there is a link between database marketing application and firm's competitive advantage by looking at the basic model fit and the indicator variables such as AGFI (Adjusted Goodness of Fit Index), GFI (Goodness of Fit Index), CFI (Comparative Fitness Index), RMSEA (Root Mean Square Error of Approximation) and CMIN/DF were all passed the criteria for best fit. This is to say firms that apply database marketing techniques stand a better chance to achieve competitive advantage than those firms which invest largely on demand generation through advertising and sales promotion.