bluuebunny/crossref_metadata_2025 huggingface dataset:
ATENDIMENTO PSICOLÓGICO EM AMBIENTE UNIVERSITÁRIO: uma experiência de acolhimento das demandas psicopedagógicas
Authors: Ribeiro Diogenes Antonio Pascini , Junior Gilmar Antoniassi
Published: August 2021

O presente artigo tem por objetivo relatar a experiência vivenciada pelo graduando em psicologia nos anos de 2017 e 2018, atuando em um Núcleo de Atendimento Psicopedagógico que foi ofertada em instituição privada do ensino superior. O relato faz um apanhado da reflexão acerca da implementação da proposta do apoio emocional e educacional no ambiente universitário. Foi possível perceber por meio do trabalho desenvolvido através do Núcleo de Atendimento Psicopedagógico o quanto os universitários necessitam de um suporte para as diferentes demandas da vida pessoal que refletem no ambiente universitário.
TERAPÊUTICA MEDICAMENTOSA PRESCRITA CONFORME QUEIXA INICIAL E SINAL/SINTOMA A USUÁRIOS DO CENTRO DE ATENÇÃO PSICOSSOCIAL INFANTO-JUVENIL
Authors: Damo Nevoni Goretti , Wackernagel Samira Raquel de Farias , Santos Ana Beatriz dos , Sônego Arthur Mandalis , Mees Wallace
Published: August 2021

A prescrição e o consumo de medicamentos psiquiátricos por crianças e adolescentes é um dos motivos de preocupação para a sociedade brasileira. Estes medicamentos, prescritos para o tratamento de transtornos mentais e sofrimento psíquico, são recursos terapêuticos comumente utilizados no atendimento a usuários de Centros de Atenção Psicossocial Infanto-juvenil (CAPSi). O objetivo deste estudo foi descrever a terapêutica prescrita conforme a queixa inicial e sinais/sintomas de usuários do CAPSi de Blumenau. Para tal, foram analisados e coletados dados de prontuários de crianças e adolescentes, de ambos os sexos, de agosto a dezembro de 2018. Em relação aos resultados encontrados, o sexo masculino foi o mais frequente, 58,3% (n=28) e a faixa etária mais prevalente foi entre 13 anos a 18 anos de idade 75% (n=36). O principal medicamento prescrito como forma de tratamento foi a Risperidona 22,10% (n=21). As queixas iniciais mais comuns foram agressividade e ansiedade 8,88% (n=08). O sinal/sintoma mais comum foi a ansiedade 13,40% (n=13). De acordo com a literatura, as substâncias mais prescritas encontradas nesta pesquisa podem beneficiar o tratamento das queixas e dos sinais/sintomas das crianças e adolescentes com sofrimento psíquico. As substâncias Risperidona, Cloridrato de Fluoxetina e Oxalato de Escitalopram são as principais substâncias prescritas aos usuários do CAPSi. Estas substâncias prescritas por especialistas e utilizadas de maneira racional podem beneficiar o tratamento dos usuários. Desta maneira, é fundamental destacar a importância de ampliar a discussão sobre prescrições de medicamentos não disponíveis no SUS, pois o principal medicamento prescrito não consta na REMUME.
Economic Considerations of Legal Delimitation: Evidence from Judicial Verdicts in Bangladesh Courts
Authors: Miah Mohammad Dulal , Usman Mohammed , Suzuki Yasushi
Published: August 2021

The literature on law and economics argues that economic considerations have an important implication for consistent and efficient legal practices. In line with this tradition, this paper aims to analyse legal verdicts through the lens of transaction cost to ascertain if judicial decision takes social cost into account. In so doing, the research draws upon the literature of transaction cost theory, which examines the implications of transaction cost for legal verdicts. Data for the analysis consist of legal verdicts collected from Bangladesh. The paper shows that judicial decisions are influenced by economic matters, especially social and transaction costs. When the issue of these costs is clear, judges take this into consideration in deciding who should own what rights. This research contributes to the literature of law and economics by providing new information, which is believed to help regulators, policymakers, and legal practitioners in deciding value-creating property rights.
Relationship Between Vitamin D Deficiency and the Amount of Sun Exposure in Young Women
Authors: KARAGÖL ŞÜKRİYE TAŞÇI , turhan sevil , Coskun Hulya , Bostan Yusuf , yıldız Raziye
Published: August 2021

Abstract Objective: Vitamin D is an essential vitamin for bone
mineralization and its deficiency adversely affects many systems,
predominantly the musculoskeletal system. A lack of synthesis in the
skin is the key step that predominantly causes vitamin D deficiency.
Vitamin D synthesis can be affected by numerous factors including
geographical region of residence, seasons, monthly average daily global
horizontal solar radiation (MADGHSR), monthly average daily sunshine
duration (MADSD), ethnic group of the individual. The study aimed to
investigate the relationship between vitamin D level and MADSD and
MADGHSR values in young women. Methods: The retrospective study included
women aged 15-45 years, who presented to Secondary Care Hospital for
general health screening. Vitamin D levels were classified according to
age groups, months, seasons, MADGHSR and MADSD values. Results: The mean
vitamin D level was 17.3±7.3 ng/mL in summer and was 15.9±7.5 ng/mL in
winter (p=0.001). Vitamin D deficiency (<20 ng/mL) was
detected in 68.1% as opposed to 75.1% of women in summer and winter,
respectively (p<0.001). A weak correlation was found between
vitamin D level and age (r=0.082, p=0.002), MADGHSR (r=0.062, p=0.006),
and MADSD (r=0.075, p=0.001). Conclusion: The individual and
environmental factors with the MADGHSR, MADSD have a direct effect on
sun exposure. The traditional and religious clothing habits of our
participants constituted the most important factor contributing to their
low vitamin D levels. We propose that routine vitamin D supplementation
at optimal doses will be an appropriate approach in populations similar
to the population studied in the present study.
Antihyperglycemic Algorithms for Type 2 Diabetes: Focus on Nonglycemic Outcomes
Authors: Solis-Herrera Carolina , Cersosimo Eugenio , Triplitt Curtis
Published: August 2021

Type 2 diabetes management continues to increase in complexity as more pharmacologic medication classes become available and high-quality clinical trials are completed. Because many antihyperglycemic agents could be appropriate for a given patient, expert treatment guidance is indispensable. Algorithms can help to guide clinicians toward initiating more evidence-based therapy and critically thinking about patient-centered factors that may influence their medication choices. High-quality cardiovascular, renal, and heart failure outcomes trials completed in the past several years have changed the paradigm of how we think about antihyperglycemic agents. Considerations for atherosclerotic cardiovascular disease, heart failure, and renal insufficiency now figure prominently in treatment algorithms for type 2 diabetes, and the results of recent outcomes trials have significantly transformed algorithmic guidelines published by diabetes, endocrinology, and cardiology associations.
Lessons Learned From Major Clinical Outcomes Trials Involving Sodium–Glucose Cotransporter 2 Inhibitors
Authors: Wojeck Brian S. , Inzucchi Silvio E.
Published: August 2021

Diabetes is a known risk factor for the development of cardiovascular and chronic kidney disease. Sodium–glucose cotransporter 2 inhibitors are glucose-lowering medications that have been demonstrated to improve clinical cardiovascular and renal outcomes. This article reviews recent large clinical trials involving these medications and explains their impact on type 2 diabetes treatment guidelines.
Sodium–Glucose Cotransporter 2 Inhibitors and the Kidney
Authors: DeFronzo Ralph A. , Abdul-Ghani Muhammad
Published: August 2021

Diabetic kidney disease (DKD) accounts for about half of individuals entering end-stage renal disease programs. Patients with DKD frequently have associated microvascular complications and are at very high risk for developing macrovascular complications. Comprehensive treatment involves slowing or preventing the decline in glomerular filtration rate (GFR) and preventing macrovascular and further microvascular complications. Maintaining an A1C <6.5% represents primary prevention; in established DKD, tight blood pressure control is essential. ACE inhibitors/angiotensin receptor blockers (ARBs) and sodium–glucose cotransporter 2 (SGLT2) inhibitors can be used in combination to slow the rate of decline in GFR. This article reviews the general approach to DKD treatment and summarizes renal outcomes in four cardiovascular outcomes trials of SGLT2 inhibitors. Together, these trials provide conclusive evidence that SGLT2 inhibitors, added to an ACE inhibitor or ARB, slow the progression of DKD.
The Effectiveness of Thermal Mode of 448 KHz Capacitive Resistive Monopolar Radiofrequency in Continuous Wave in Patients with Chronic Rotator Cuff Tendinopathy: A Clinical Trial
Authors: D Stasinopoulos
Published: August 2021

The aim of the present clinical trial was to compare the clinical results of the use of an exercise program with those of an exercise program and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in continuous wave in patients with chronic rotator cuff tendinopathy. Patients were allocated to two groups by drawing lots. Pain, function and strength were measured. An exercise programme and thermal (thermia or hyperthermia) mode of 448 kHz Capacitive Resistive Monopolar Radiofrequency in continuous wave, had reduced the pain and improved function and strength in patients with chronic rotator cuff tendinopathy at the end of the treatment and at the follow-ups. Future well-designed randomised controlled clinical trials are needed to establish the effectiveness 448 kHz Capacitive Resistive Monopolar Radiofrequency in the management of chronic rotator cuff tendinopathy.
Limited Effect of Generalized Systematic Lockdown on Urgent Orthopedic and Limb Trauma Surgery in a Geographical Area Mildly Affected by the First of SARS-CoV-2 Pandemic: A Multicentric Study (Limited Effect of Lockdown in an Area Mildly affected by the Pandemic)
Authors: VILLATTE Guillaume
Published: August 2021

Purpose: The SARS-CoV-2 pandemic led to a systematic lockdown of populations in many countries along with the reorganization of care systems to respond to this unprecedented health crisis. This study determined (i) the number of urgent surgical operations carried out during the lockdown in a region of France mildly affected by the SARS-CoV-2 pandemic, and (ii) the types of surgery concerned (main characteristics). Methods: A retrospective, comparative, observational, multicentric study of urgent orthopedic and limb trauma surgery during lockdown was conducted. It included three reference care centers of which two were teaching hospitals. A comparison was made with data for the same period in 2019. For each patient, the following data were collected: date of surgery, age, sex, place of residence, and standardized descriptors used to classify the injury anatomically, context in which the injury occurred, and SARS-CoV-2 PCR status. Results: 1098 patients underwent surgery against 1266 over the same period in 2019, a non-significant difference of −13.3% (p = 0.11) [−39.2% in Week 13 (p = 0.02), +7.6% in Week 19 (p = 0.16)]. Except for bone injuries of the hand and wrist (+13.4%, p = 0.07), a decrease in activity was observed for all anatomic locations, and especially for the distal radius (−55.8%, p = 0.001), ankle (−40.5%, p = 0,01). The context in which the injury occurred changed, with in particular a significant decrease in the number of sport accidents (−80.0%, p < 0.001) and road traffic accidents (−41.8%, p = 0.04), and an increase in DIY and gardening accidents (+62.7%, p < 0.001). Conclusion: The decrease in emergency surgery was much less marked in this geographical area mildly affected by the pandemic. Health policy that sets ways to ensure continuity in the care needed by the population must be adapted locally when a global health crisis strikes. Level of proof: 4 – Descriptive epidemiological study.
The costs and benefits of overtourism perspectives of residents of cities and resorts
Authors: Żemła Michał , Szromek Adam R. , Orzeł Sylwia , Para Jakub
Published: August 2021

The costs and benefits of tourism development and their perception by destinations’ residents have been a subject of research for many years. Although relevant studies considered the effects of overtourism, resident perceptions of overtourism impacts were not analyzed in a comparative context of different types of destinations. Large cities, for example, require different tourism development approaches and tools as they differ from other destinations, especially tourism resorts. This study therefore examines residents’ perceptions of overtourism by focusing on two important yet different destinations in Poland, Cracow and Białka Tatrzańska. The results confirm significant differences in how residents perceive the impact of overtourism with the biggest difference being evident on how the benefits of tourism development are perceived. The chapter draws conclusions that can contribute significant insights on the management of tourism in different types of destinations.
Well being experiences in nature An emerging form of tourism
Authors: Font Barnet Alba , Nel-lo Andreu Marta Gemma
Published: August 2021

Tourism is a dynamic, constantly evolving activity that requires detecting consumer trends so that companies and destinations can adapt by offering new and improved competitive products and experiences. For the post-COVID-19 era, dominant projected trends suggest that consumers will be more attracted to authentic, environmentally responsible experiences in less touristy destinations and wide-open spaces. Natural areas and protected spaces rank among the clearest beneficiaries of such trends because they combine relaxation with environments conducive to social distancing as well as offering direct, positive impacts on human health and well-being. For all of those reasons, such spaces not only have the potential to offer new experiences closely related to well-being and the search for overall health but also face challenges to that end. Against that background, this chapter examines experiential tourism in relation to improved holistic well-being and provides examples of experiences in protected natural areas worldwide that offer physical, mental, social, environmental, spiritual, and/or emotional well-being.
Characteristics of a Group of Obese Tunisian People and Results of a Weight Management Intervention
Authors: Oueslati Insaf , Safi Eya , Temessek Aroua , Htira Yosra , Ben Mami Faika
Published: August 2021

Background and aims: Overweight and obesity are increasing worldwide. The aim of this study was to determine the characteristics of a group of obese and overweight Tunisian adults and the results of a weight management intervention

Methods: this is a prospective study that included 58 Tunisian adults. at baseline, they undertook dietary intake assessment, arthrometric measurements and biological tests, then after 3 weeks of healthy diet and physical activity.

Results: this study included 8 men and 50 women. The mean age was 44 years ±10.68. The mean BMI for men and women was respectively 37.86kg/m2±7.6 and 34.77kg/m2±4.77. Abdominal obesity affected all but one participant. Hyperglycemia affected 20.7% of participants, 43.1% had hypercholesterolaemia and 19% had hypertriglyceridemia. vitamin B1, folate and vitamin C intake was insufficient respectively in 82.8%, 75.9% and 89.7% of participants. More than 80% were not consuming enough calcium. An insufficiency in iron intake was observed in half participants. The body weight and BMI after 3 weeks were significantly lower than measurements at baseline, P=0.00. There was a nonsignificant beneficial effect on glycemia and lipidic profile.

Conclusion: Overweight and obese people are subjects to obesity-related diseases and deficiencies in micronutrients. A persistent healthy lifestyle can reduce weight and related morbidities.
Analisis Pengaruh Memutuskan Menabung dengan Brand Image sebagai Variabel Mediasi
Authors: Mustofa Nur Huri , Wati Winna Widyo
Published: August 2021

Tujuan dari penelitian ini mengetahui seberapa kuat â€œPengaruh CSR, Shariah Governance, Dan Kualitas Pelayanan Terhadap Keputusan Menabung Dengan Brand Image Sebagai Variabel Interveningâ€ pada Bank Rakyat Indonesia (BRI) Syariah KCP Ungaran. Dalam penelitian ini menggunakan metode kuantitatif. Metode pengumpulan data ini dilakukan melalui penyebaran kuesioner terhadap nasabah Bank BRI Syariah KCP Ungaran. Sampel yang diambil sebanyak 100 responden, dengan teknik random sampling. Hasil dari Uji Ttest menunjukan bahwa dalam penelitian ini variabel CSR, Shariah Governance, dan Kualitas Pelayanan berpengaruh positif dan signifikan terhadap Keputusan Menabung dan juga variabel CSR, Shariah Governance, dan Kualitas Pelayanan berpengaruh positif dan signifikan terhadap Brand Image. Dan juga dari uji Ftest variabel CSR, Shariah Governance, dan Kualitas Pelayanan berpengaruh positif dan signifikan terhadap Keputusan Menabung dan terhadap Brand Image. Dari Uji Path dengan menggunakan Sobel Test bahwa variabel brand image juga mampu memediasi variabel CSR, Shariah Governance, dan Kualitas Pelayanan terhadap keputusan menabung.
To problem of using aluminum electrodes to maintain corrosion protection of steel hulls of ships and vessels
Authors: Yastrebov Dmitry Pavlovich , Belov Oleg Aleksandrovich , Shvetsov Vladimir Alekseevich , Ushakevich Andrey Pavlovich , Kuznetsov Gleb Valerievich , Tarabanov Bogdan Vladimirovich
Published: August 2021

The article highlights the test results of a non-standard reference electrode made of a stripped of insulation strand of aluminum wiring, which were conducted on board an auxiliary marine vessel PM-15. The potential of the ship’s hull was measured at the same control point using three reference electrodes: silver chloride electrode No. 1; aluminum electrode No. 2; aluminum electrode No. 3. The vessel’s hull potential was measured over five days. All three reference electrodes were used daily. With the help of each electrode, fifty parallel measurements of the potential of the ship’s hull were carried out with a time interval between measurements of 5 seconds. To assess the accuracy of the measurement results, they were processed statistically. The factors that must be taken into account in the development of technologies for manufacturing non-standard reference electrodes are listed: using available inexpensive materials; avoiding expensive equipment in manufacturing the reference electrode; eliminating complex methods of storage of reference electrodes on ships. There has been given a diagram of measuring electrical circuits including the steel hull, a bulwark, a multimeter, a clamping device, switches, a silver chloride reference electrode, aluminum wires, etc. The results of the study can be used on sea-going vessels to organize the control of the protective effect of the hulls of ships and vessels in the absence of standard reference electrodes.
Biomechanical parameters characterising the foot during normal gait
Authors: SEUL Arina , MIHAI Aura , CURTEZA Antonela , COSTEA Mariana , SÂRGHIE Bogdan
Published: August 2021

The biomechanical analysis allows to understand the normal and pathological gait, the mechanics of neuromuscular control, and last but not least, allows the visualisation of the effects of footwear on human gait or feet. Biomechanical analyses are very important for the footwear development process, as they can identify the incorrect loading of the foot or the incorrect gait pattern, thus avoiding the occurrence of deformations. This paper aims to create an average representative model of barefoot loading based on an extended group of participants by applying an optimal procedure for measuring biomechanical parameters. The variation of four basic biomechanical parameters, namely force, pressure, contact time and contact area, was measured using a pressure platform and a specialised software system. The data was collected from 32 healthy females, without particularities regarding foot health and the practice of performance sports, aged between 18 and 30 years, divided into three size groups – 36, 37 and 38. The T-Student test was applied to verify if there are significant differences between the left and right foot. Statistical indicators for each parameter were calculated, in order to characterize and establish the degree of variation of the obtained values, as follows: mean, standard deviation, minimum and maximum values, the amplitude of variation and coefficient of variation (CV). The study results confirm that the obtained mean values can be used as input data to load the foot and perform virtual simulations of footwear products.
Enzymatic activity of alkaline protease from Bacillus cereus TD5B and its application as sheep skin dehairing agent
Authors: FITRIYANTO Nanung Agus , MUSTHOFIYAH MUSTHOFIYAH , MUHLISIN MUHLISIN , PERTIWININGRUM Ambar , KURNIAWATI Novita , PRASETYO Ragil Adi , AZKARAHMAN Aldyon Restu , ERWANTO Yuny
Published: August 2021

This study aims to determine the enzymatic activity of extracellular alkaline protease from Bacillus cereus TD5B and its potential application as a sheep skin dehairing agent. The B. cereus TD5B was screened for extracellular alkaline protease production on skim milk agar media, while its alkaline protease activity and the application were measured at 1%, 1.5%, and 2%. The application of alkaline protease from B. cereus TD5B as a sheep skin dehairing agent was observed through histological examination and physical properties measurement after chrome-tanning with lime and Na2S as control. The study was conducted in a completely randomized design, and the quantitative data were analyzed using Duncan’s Multiple Range Test. The results showed that a clear zone was seen surrounding B. cereus, indicating the bacteria’s proteolytic activity. The protease activity measurement showed that 2% of alkaline protease had the highest enzymatic activity at 144.75 U/mL/min. The highest tensile strength of sheep leather was obtained after dehairing at 1% alkaline protease concentration (350.26 kg/cm2), even though the highest elongation was obtained at 2% (34.92%). In contrast, different concentrations showed similar shrinkage temperatures at 90°C. This study concludes that the optimum alkaline protease concentration from Bacillus cereus TD5B as a sheep dehairing agent was 2%.
Effect of badminton shoe sole on the lunge skill performance: in the viewpoint of coordination
Authors: LIU Guanchun , LI Yuqi , HUANG Quting , ZHOU Jin , LAM Wing-Kai
Published: August 2021

Badminton lunge requires rapid coordination between the knee and ankle joints and it is accompanied by fast contact between the shoe’s sole and the floor. Phase angle analysis is a protocol with high resolution and relating to the coordination, but how the shoe’s sole would affect the lunge performance was not clear in terms of coordination. Thereby, the aim of this study was to applied phase angle analysis to insight the lunge process, then to disclose the effect of badminton shoe’s sole on the lunge skill performance. Eleven elite badminton players performed five left-forward maximum lunge trials with wearing Rounded Heel Shoe (RHS), Flattened Heel Shoe (FHS), and Standard Heel Shoes (SHS). The motion capturing system was used to measure the knee and ankle kinematics information. The Phase Angle (PA), continuous relative phase (CRP) and variability of continuous relative phase (VCRP) between the knee and ankle joints were then calculated for both forward lunge phase and recovery phase in each of the three shoes. Current findings indicated that players wearing RHS had certain advantages on better movement coordination than other shoes, as indicated by better PA and CRP. The findings of this study would be helpful to understand the coordination of badminton lunges and explain the synergy between the lower extremity ankle and knee joint to minimize the possibility of injury in badminton. Furthermore, the coordination between the knee and ankle joints was greatly affected by the structure of the shoe heel design.
Epileptic Seizure Detection using Deep Ensemble Network with Empirical Wavelet Transform
Authors: Panda Sreelekha , Das Abhishek , Mishra Satyasis , Mohanty Mihir Narayan
Published: August 2021

Epileptic seizure attack is caused by abnormal brain activity of human subjects. Certain cases will lead to death. The detection and diagnosis is therefore an important task. It can be performed either by direct patient activity during seizure or by electroencephalogram (EEG) signal analysis by neurologists. EEG signal processing and detection of seizures using machine learning techniques make this task easier than manual detection. To overcome this problem related to a neurological disorder, we have proposed the ensemble learning technique for improved detection of epilepsy seizures from EEG signals. In the first stage, EEG signal decomposition is done by utilizing empirical wavelet transform (EWT) for smooth analysis in terms of sub-bands. Further, features are extracted from each sub. Time and frequency domain features are the two categories used to extract the statistical features. These features are used in a stacked ensemble of deep neural network (DNN) model along with multilayer Perceptron (MLP) for the detection and classification of ictal, inter-ictal, and pre-ictal (normal) signals. The proposed method is verified using two publicly available datasets provided by the University of Bonn (UoB dataset) and Neurology and Sleep Center - New Delhi (NSC-ND dataset). The proposed algorithm resulted in 98.93 % and 98 % accuracy for the UoB and NSC-ND datasets, respectively.
Satisfaction with Democracy in Perspective: Anchoring Today By Looking Back and Forward
Authors: van Houwelingen Pepijn , Dekker Paul
Published: August 2021

The question of how satisfied people are with the workings of their national democracy has oft en been criticized but is still the international standard measurement of satisfaction with democracy (SWD). In this paper we explore the benefits of adding questions about remembered and expected satisfaction ‘ten years ago’ and ‘ten years from now’, as were asked in the ISSP citizenship surveys of 2004 and 2014. Based on the data from seventeen European countries, we find that national samples:

■ do not show universal ‘nostalgia’,

■ produce good guesses of past satisfaction but show no futurist insights,

■ give retrospective judgments that do not correlate well with changes in expert opinions,

■ give retrospective judgments that do not correlate well with changes in the share of the populist vote.

At the individual level we find:

■ that in almost all countries expected satisfaction with democracy ten years from now is a better predictor of political trust and feelings of political efficacy than satisfaction with democracy today,

■ that in almost all countries expected satisfaction with democracy ten years from now is a better predictor of the preference for populist voting (in one national case study),

we note that Poland is the only country in our sample where citizens were, in 2014, retrospectively more positive about the development of their democracy, probably due to the severe economic conditions Poland faced in 2004.

Overall, we do not find evidence for the relevance of retrospective judgements, but some evidence for the relevance of prospective judgements. We recommend further research into individual changes in present satisfaction and perceptions of these changes to better understand the frames of reference of ‘satisfaction with democracy today’.
Multimodal analgesia in primary bone tumors
Authors: Bratu Angelica , Cursaru Adrian , Comanelea Adina , Şerban Bogdan , Cîrstoiu Cătălin
Published: August 2021

Introduction: A worrying increase in the number of bone tumors that appear at younger ages justifies the efforts aimed at optimizing perioperative management practices in orthopedic tumor surgery. Pain control is critical in the prognosis and postoperative outcome of these procedures.

Material and methods: Our study included a group of 11 patients diagnosed with bone malignancies. These patients were hospitalized in the Orthopedic Clinic of the University Emergency Hospital Bucharest. Under our supervision, they underwent surgical treatment of the tumor under combined general anesthesia and epidural anesthesia for the pelvic limb, and general anesthesia only for the upper limb. We performed perioperative pain management with multimodal analgesia (continuous epidural analgesia with ropivacaine 0,2% and fentanyl 2 mcg/ml in association with systemic analgesics). Following this procedure, we measured the intensity of the postoperative pain at intervals of 48 hours and one week after surgery and compared with preoperative pain intensity using the visual analogue pain scale (VAS).

Results: Multimodal analgesia (epidural analgesia associated with systemic analgesics – paracetamol, COX2 inhibitor, gabapentinoids) was performed well in the postoperative pain of the tumor prosthesis, with a significant decrease in VAS from a mean value of 7.63 preoperatively to an average of 3 in the first 48 hours postoperatively. After the removal of the epidural catheter, which also coincided with patient mobilization, the level of pain registered a slight increase to a mean value of 3.23.

Conclusions: Multimodal analgesia is currently considered the gold standard in perioperative pain management. The use of multimodal analgesia during perioperative period in patients with bone tumors has been shown to decrease the length of hospital stay, improve surgical outcome, reduce the number of systemic complications, and improve the long-term prognosis of the patient. Efficacy of analgesia correlates with tumor site and vascularization.
Educação em saúde no cuidado de pacientes oncológicos com o uso da auriculoterapia no manejo da dor
Authors: Abdoral Patrick Roberto Gomes , Freire Adriana Esther Vicente , Santos Gabriel Figueiredo , Rodrigues Larissa Siqueira , Furtado Felix Ferreira , Oliveira Eduarda de Melo Rodrigues e , Rezek Paula Gabriela , Couto Mayra Herminia Simões Hamad Farias do , Silva Susanne Cristine Brito e , Miranda Cláudia Jeane Claudino de Pontes
Published: August 2021

Objetivo: Verificar o efeito da auriculoterapia no manejo da dor de pacientes oncológicos em tratamento quimioterápico. Métodos: Foram avaliados 12 pacientes no estadiamento II, III ou IV, submetidos a tratamento quimioterápico que apresentavam queixa álgica a partir da EVA-3. Foi coletado informações sobre o estado geral, caso o paciente se encaixasse nos critérios pré-estabelecidos o mesmo era convidado a participar do estudo. Para analisar o efeito da auriculoterapia no manejo da dor, utilizou-se o Teste T pareado para as variáveis referentes (EVA) antes e após as sessões. Resultados: Após a análise verificou-se diferença estatisticamente significativa na diminuição da intensidade da dor e consumo de analgésico por parte dos participantes avaliados. Quando perguntados sobre o uso de analgésicos antes das sessões, 41,67% relataram fazer uso. Após as sessões, quando feita a mesma pergunta, 16,67% relataram fazer uso. Conclusão: Portanto, a auriculoterapia é uma terapia complementar em saúde, promissora para o manejo da dor e redução do consumo de analgésicos por pacientes oncológicos, entretanto, novos estudos baseados em ensaios clínicos randomizados e controlados com amostras maiores e homogêneas devem ser realizados afim de evidenciar o aprimoramento dessa prática terapêutica.
Spontaneous resolution of a tentorial dural arteriovenous fistula fed by the artery of Wollschlaeger and Wollschlaeger after embolization of the main shunting point
Authors: Ishibashi Ryota , Maki Yoshinori , Ikeda Hiroyuki , Chin Masaki
Published: August 2021

Background:

Tentorial dural arteriovenous fistula (TDAVF) is a rare intracranial vascular shunt. A TDAVF can be supplied by the Artery of Wollschlaeger and Wollschlaeger (AWW). However, a limited number of cases of TDAVF fed by the AWW have been reported to date.

Case Description:

A 70-year-old woman complaining of the right motor weakness underwent magnetic resonance imaging. A vascular lesion beneath the cerebellar tentorium was incidentally found with chronic infarction of the left corona radiata. Angiographically, the vascular lesion was a TDAVF supplied by the bilateral posterior meningeal arteries. No other apparent feeders were detected. The TDAVF had a shunting point on the inferior surface of the cerebellar tentorium with venous retrograde flow (Borden type III, Cognard type III). To prevent vascular events, endovascular embolization was performed using n-butyl-2-cyanoacrylate. Following embolization of the shunting point, a residual shunt fed by the AWW was identified. The shunt supplied by the AWW was not observed preoperatively. Follow-up angiography performed 1 week later revealed spontaneous disappearance of the residual shunt. The patient was followed-up in our outpatient clinic, and no recurrence of the TDAVF was confirmed postoperatively.

Conclusion:

Detection of mild feeding from the AWW to a TDAVF can be elusive preoperatively. Following embolization of the main shunting point, residual shunting from the AWW can resolve spontaneously.
Особенности аддиктивных расстройств и аффективной симптоматики при шизофрении
Authors: Овчинников А.А. , Султанова А.Н. , Станкевич А.С. , Наров М.Ю. , Чут У.Ю. , Иоаниди Д.К. , Луговенко В.А.
Published: August 2021

Актуальность. Аффективная и аддиктивная патология широко распространена среди пациентов с расстройствами шизофренического спектра; коморбидность расстройств ограничивает социальную и профессиональную активность пациентов, неблагоприятно сказывается на семейном и социальном статусе, усугубляет тяжелые явления госпитализма и инвалидизации. Цель: выявление особенностей аддиктивных расстройств и аффективной симптоматики при шизофрении. Материалы и методы. Исследование проводилось в течение двух лет (2019-2020 гг.). Основную выборку составили пациенты (n=34) с диагностированной по МКБ-10 шизофренией (F20), с различными клиническими формами и длительностью заболевания, с преобладанием мужчин (n=32) по сравнению с женщинами (n=2), средний возраст обследованных составил 28,5±9,8 года. Для диагностики аффективной симптоматики использованы четыре стандартизованных психометрических метода: Госпитальная шкала тревоги и депрессии (ZigmondA.S., SnaithR.P., 1983 ‒HADS), Опросник для определения уровня и типа одиночества (Корчагина С.Г., 2008), Шкала диагностики агрессивности и враждебности Кука‒Медли (CookW.W., MedleyD.M., 1954), Шкала безнадежности А. Бека (BeckA.T. etal., 1974 ‒BHI). Изучение склонности к зависимостям проводилась по Методике диагностики склонности к различным зависимостям (Лозовая Г.В., 2007). Результаты. Выявлены высокая степень склонности к трем видам зависимости (любовная, лекарственная, здорового образа жизни), низкий и субклинический уровни выраженности тревоги и депрессии, легкая и средняя выраженность безнадежности, глубокое переживание одиночества, средняя степень наклонности к агрессия с тенденцией к низким показателям. Также была получена достоверная связь между одиночеством, религиозной зависимостью и сексуальной аддикцией.
Возможности применения нейропсихологических методов исследования при болезни Альцгеймера (на примере клинического случая)
Authors: Коцюбинская Ю.В. , Казаков А.В. , Матюшкина А.А. , Орлов И.А.
Published: August 2021

Болезнь Альцгеймера (БА) является самой распространенной причиной когнитивного дефицита в результате утраты синаптических связей у лиц старше 65 лет, достигая в 80% случаев синдрома деменции. Несмотря на насыщенную и продуктивную историю изучения БА, остается множество пробелов, особенно в плоскости клинических особенностей течения БА. Цель исследования: клинический обзор, проведенный с современных позиций доказательной психиатрической практики, на основе наблюдения прогрессирующего течения когнитивного снижения при болезни БА. Приведен клинический пример нейропсихологического исследования пациентки с вероятностной БА (диагноз по МКБ-10: F00.1 Деменция при БА с поздним началом G30.1+) с интерпретацией полученных данных. Пациентка проходила терапию в «Центре лечения расстройств памяти» ФГБУ «Национальный медицинский исследовательский центр психиатрии и неврологии им. В.М. Бехтерева» МЗ РФ (Санкт-Петербург). Результаты комплексного нейропсихологического обследования пациентки указывают на интеллектуально-мнестическое снижение, зрительно-пространственные нарушения, зрительную предметную агнозию, вторичную акалькулию по префронтальному типу, пространственно-конструктивную апраксию, модально-неспецифические нейродинамические нарушения. Выявлены когнитивные нарушения умеренной степени выраженности. По результатам оценки по трем шкалам получены следующие баллы: краткая шкала оценки психического статуса (MMSE) ‒12 баллов, шкала (батарея) лобной дисфункции (FAB) ‒11 баллов, госпитальная шкала тревоги и депрессии (HADS) ‒13 баллов и 7 баллов. Топический диагноз поражения головного мозга: результаты нейропсихологического обследования указывают на патологическое функционирование лобных (префронтальных и медиобазальных) отделов обоих полушарийголовного мозга с вовлечением в патологический процесс теменно-затылочных структур, заинтересованности в процессе гипоталамо-гипофизарных и диэнцефально-стволовых структур головного мозга. Таким образом, нейропсихологическое исследование психических функций пациентов с расстройством памяти с позиции биопсихосоциального подхода детализирует не только когнитивный дефицит, но и степень утраты социальных функций.
Преемственность как научно-концептуальный футурологический подход к эпистемологии социальной психиатрии
Authors: Артемьев И.А.
Published: August 2021

В статье рассматриваются поисковые стратегические направления, которые сформировались в течение последних двух десятилетий в рамках развития многоуровневой преемственности в изучении социальных детерминант психического здоровья определенных социальных групп и общества в целом. В качестве основных были избраны такие универсальные и потенциально значимые показатели, которые оказывают брутальное влияние на полный комплекс социального развития всего населения вне зависимости от территориального (регионального, локального и др.) расположения, этнических и культуральных особенностей, материального благосостояния и социального статуса населения, а также прочих внешних и внутренних факторов, воздействующих напрямую и опосредованно. Изучалась взаимосвязь основных социально-демографических параметров, являющихся общими для всей популяции рассматриваемого региона, таких как миграция населения, безработица и распространенность психических расстройств, соотношение показателей бедности и денежных доходов населения с уровнем зарегистрированного алкоголизма и наркоманий в регионе.
Influence Of Pressing Time On Physical And Mechanical Properties Of Particleboards Made From Scots Pine (Pinus sylvestris L.)
Authors: VALYOVA Miglena , KOYNOV Daniel
Published: August 2021

This study presents the results of
investigations on some physical and mechanical properties of one-layer
particleboards made from Scots
pine (Pinus sylvestris L.). The size and  the ratio of the using particles were: 0.5-1 mm- 20 %, 1-3 mm- 60 % and 3-5 mm-20 %, respectively. Urea-formaldehyde resin was used as a binder. The effect of
different pressing time- 15, 30, 60 and 90 s.mm-1 on the some properties, such as: density, moisture content, water
absorption, thickness
swelling and bending strength
according to appropriate standards was evaluated. The best results were observed
at pressing time of 60 and 90 s.mm-1. The particleboards obtained under these
conditions can be used in the furniture industry.
Modeling and Simulation of Anti-Skid Control System of Railway Vehicle in Curved Track
Authors: TURABIMANA Pacifique , SOSTHENE Kazima , MUSABYIMANA Josee
Published: August 2021

The slipping of railway vehicle wheels during curve negotiation has been always a major problem in the railway transportation. One of the causes of these slippages is predicted to be the lack of proper curve radius which incites high creepages. The creepages cause override of proper wheel rail interaction while negotiating a curve. Before the days of modern automatic control systems, the skills of a driver set the braking deceleration and speed limits for proper curve negotiation. In case of a light rail transit system, with condensed population, there is a huge demand of transporting increased number of people. The increased train weight is again expected to have additional effects on the wheelset slipping when negotiating the curve and braking on a gradient curvature. Braking control method should be used to limit the creeppages before the train starts skidding. The aim of this paper is to model the anti-skid control of a train in curved track in two instances: when the train is braking on a gradient curve and when the train is negotiating a curved track. To achieve this objective, the lateral dynamics equations of motion of the wheelset are solved to predict the yaw angle and lateral displacements as well as their velocities. These quantities are used to calculate the creepages and creep forces. In return, they are input to the control model to limit the skidding. Computer simulation using MATLAB/Simulink is carried out to assess the feasibility of the control method. The results will be used to design proper control systems that the rail network in congested environment are able to use. Antiskid control offers other benefits such as increasing the lateral comfort by reduced lateral forces and limiting noise generated by skidding.
Estimativa de oferta de vitamina D em Programas dirigidos à população HIV/AIDS
Authors: Ciniglia Nathana , Vianna Lucia
Published: August 2021

Nesse momento com a maior atenção dos serviços de saúde direcionada a atender a demanda criada pela COVID-19, há uma preocupação pelo impacto que a atual pandemia pode causar nessa população, principalmente deficiência de vitaminas e minerais. Com isso, o intuito desse trabalho foi identificar o conteúdo de vitaminas D nos Programas que envolvem distribuição de alimentos e analisar a oferta desta vitamina e o nível de adequação à RDA para esse grupo populacional. Foi conduzida uma busca de estudos nas bases de dados da Medline/Pubmed, Web of Science, Scopus, Embase, Lilacs, Livivo e Open Grey. Dos 259 resumos identificados, apenas 12 estudos selecionados para a extração de dados, no qual foram expostos em figuras de acordo com a caracterização, distribuição de indicadores usados e estimativa de colecalciferol nos alimentos distribuídos. Esse estudo reforça a importância das ações de Segurança Alimentar e Nutricional, além disso, sugere a incorporação de marcadores específicos do status nutricional de vitamina D em futuros Programas destinados a PVHIV visto a importância desta vitamina nesses indivíduos.
Um ensaio: enfermeira e cuidadora informal, a intersubjetividade do cuidar Um ensaio: enfermeira e cuidadora informal, a intersubjetividade do cuidar
Authors: Nascimento Carla
Published: August 2021

Eu dava banho na minha mãe – ela sempre gostava disso – e eu tratava ela com muito carinho. Ela morreu nos meus braços quando dava banho nela. E depois que ela morreu, eu fui ao médico e disse a ele que estava muito nervosa e tinha dor de barriga porque tinha cuidado durante sete anos da minha mãe com Alzheimer. E ele fez exames, e disse, “Isto não é nervos, é uma úlcera, de falta de alimentação. Ainda bem que sua mãe morreu agora, porque se tivesse resistido mais um pouquinho, ela teria levado você junto”. (in Brown, 2010)
Penerapan Kaidah Penyiaran di Stasiun D’Radio Jambi
Authors: Yonathan K.M  , Syarifuddin  , Mardalina  , Sururuddin
Published: August 2021

Radio development in Jambi City is very tight so it takes the ability to keep listeners listening to broadcasts. Radio broadcasters are the spearhead in a program that must be able to entertain and exist but still prioritize the applicable broadcasting rules. This study tries to describe the application of radio broadcasting rules at D'Radio Jambi station. The study used qualitative methods through observation, interviews, and documentation. Based on data analysis, the application of broadcasting rules by broadcaster D'Radio Jambi on the D'Viral entertainment broadcast program has been implemented well. The main broadcaster plays an important role in the success of the D'Viral program by the way it broadcasts. Entertaining and applying some broadcast rules such as Talk to one person, quality of speech, and mastery of vocabulary. Obstacles that are still faced are conveying messages, vocal technique constraints, broadcasters' ability constraints, and obstacles to knowing listeners. In general, some of the solutions that broadcasters do to overcome these obstacles are conducting broadcasting training, preparing broadcasts before broadcasting, and taking foreign language courses.
Agenda Setting Theory Pencalonan Walikota Jambi di Media Seru Jambi.com
Authors: Sobirin  , Muhaimin  , M. Junaidi  , Dian Mursyidah
Published: August 2021

This research is motivated by the reality of media coverage in constructing political figures for mayoral candidates who campaign through these media. Through the media agenda setting theory, the author examines the SeruJambi.com media in reporting Syarif Fasha as one of the candidates for the Jambi Mayor's candidate in 2018. The analysis goes through three things, namely: message framing, use of words and objectivity. The research method used is interpretive qualitative by emphasizing written sources in the form of documenting the contents of Syarif Fasha's news on the online media SeruJambi.com. The results of the study found that there was an imbalance in Seru Jambi.com in constructing the news of Syarif Fasha as one of the candidates for the Mayor of Jambi 2018. There is a message framing strategy in reporting the daily life of the candidate. The use of words with a simplification strategy from scientific language into everyday language, repetition of words as a pointer to the core idea of ​​the news, synonyms (similar words) by writing different words to prevent boredom. Similarity of topics to clarify a previous sentence, as a framing strategy to highlight the main idea of ​​the news
Dakwah Akhir Zaman Ustadz Zulkifli Muhammad pada Kanal UZMA Media TV
Authors: Siti Rohimah  , M. Saripuddin  , Adi Iqbal  , Zulqarnin  , Muhsin Ruslan
Published: August 2021

This research is motivated by a review by M Ilham Yunihandoko about the apocalypse, in his review it only describes the general picture. Second, the writings of Ustadz Abu Nida' Chomsaha Shofwan, a salafi cleric who lives in Yogyakarta and actively preaches on Youtube. His writings published in online articles stated that the issue of the signs of the apocalypse was deliberately raised, to remind us, because most people have forgotten about it. Third, is the Muslim Hadith, namely the news brought by the angel Gabriel about the signs of the apocalypse. This study aims to determine the truth of Ustadz Zulkifli Muhammad Ali's lecture about the end of time. This research is a library research or library research that is qualitative descriptive exploratory, qualitative because the research deals with data not numbers, descriptive because it collects and analyzes narrative data. The research was conducted on the youtube channel "UZMA Media TV Channel" with literary data collection techniques, namely digging library materials that are in line with the object of study.