bluuebunny/crossref_metadata_2025 huggingface dataset:
Endoscopic Versus Open Radial Artery Harvesting Used in Coronary Artery Bypass Grafting, Our Experience at Queen Alia Heart Institute
Authors: Albkhoor Bashar , Hyasat Bahi , Altaani Haitham , Alnawaiseh Khaled , Altarbsheh Salah , Alshwabkeh Ziad , Anzeh Razi Abu , Alfawares Safwan , Alqaisi Abdallah , Alnaser Mohammad Yanal , Jaber Said
Published: April 2021

Coronary artery stenosis bypass by using radial artery is good techniques which have longer outcomes. In coronary artery bypass grafting (CABG) the radial artery has several advantages. The radial artery has a thick muscular wall which is more susceptible to contraction from the competitive flow. As compared to the open harvesting technique endoscopic harvest of the radial artery has long lasting cosmetic results it also reduces the post-operative complications. The purpose of the study is to compare the two harvesting techniques and compare the short term and long term results related to intra-operative and post-operative outcomes Methods: This is retrospective study (In Queen Alia Heart Institute, Amman ,Jordan) to compare endoscopic radial artery technique versus open technique by reviewing patients files through a period between June 2013 and June 2018. Total 50 patients of CABG surgery was selected they were divided into two groups. Group A includes endoscopic radial harvest (n= 10) and Group B includes open harvest (n=40). Data was collected on predesigned Performa. Data were entered and analyze through IBM SPSS 22.0 Results: There was insignificant dissimilarity between the pre-operative outcomes between groups. The Post-operative outcomes were almost same in both groups except hand numbness (P-value<0.005). The comparison of intraoperative outcomes like harvest time between both groups indicate that the mean harvest time in group A was shorter than group B (39.20 + 3.73 Vs 51.90 + 2.09, P-value=0.000). The operative time in group A was higher than the group B (306.0 + 11.6 Vs 278 + 4.25 p-value=0.00). The hospital stays in both groups were insignificantly different (p = 0.09) Conclusions: Endoscopic radial artery harvest is best suited technique for CABG surgery as it significantly decreases the harvest time as well as hospital stay. It is also proven that it is safer, less painful and better wound appearance technique with exceptional outcomes based on positive surgical experience.
Association between Patients with Metabolic Syndrome and Other Various Factors Defining Metabolic Syndrome: A Cross-Sectional Study
Authors: PG Basavaraj , Yenkanchi Ashok P , Galagali Chidanand
Published: April 2021

Background: Risk factors can lead to clinical conditions, like metabolic syndrome, that predisposes the development of cardiovascular diseases.
Objective: The goal of this population-based, prospective and non-randomised cohort study was to study the association between patients with metabolic syndrome and other various factors defining metabolic syndrome.
Methods: All the patients referred to the department of Medicine, Al-Ameen Medical college hospital and District Hospital, Vijayapur, Karnataka, India over a period of twenty-two months extending from December 2013 to September 2015 were considered in this study.
Results: In the current study, out of 100 patients, 62.9% patients had metabolic syndrome with positive family history of hypertension, diabetes mellitus. 70.8% patients had metabolic syndrome with positive history of smoking. 64.3% patients had metabolic syndrome with positive history of alcohol .73.9% patients had metabolic syndrome with positive history of IHD. 87% of the patients with metabolic syndrome had SBP> 130 mmHg, and 78.85% patients had DBP>85 mmHg. And metabolic syndrome was observed in 71.8% patients on anti hypertensive drugs. The mean level of total cholesterol, LDL cholesterol, triglyceride is increased whereas the mean level of anti-atherogenic HDL cholesterol is low in subjects with MS. At least one lipid abnormality was present in > 95 % of cases. Around 81% subjects with BMI <25 (out of 38) had metabolic syndrome and 58% subjects with BMI>25(out of 62) had metabolic syndrome.
Conclusion: All the components defining the metabolic syndrome correlated positively with the abdominal obesity. Systolic blood pressure values were significantly higher than diastolic blood pressure in subjects with abdominal obesity. Metabolic syndrome has multiple risk factors determined by various aspects like the race, the life style, geographical factors larger study is needed to understand the correlation between various components defining it. A healthy lifestyle, that includes avoiding tobacco exposure and proper weight control, must be encouraged in this high-risk population.

Keywords: Cardiovascular diseases; Overweight; Risk factors; Smoking.
Empowerment of Digital Based Msmes In Communities in The New Normal Era
Authors: Nurhavina Diana
Published: April 2021

One of the most useful programs that can be carried out in the new normal era is to empower digital-based Micro Small and Medium Enterprises (MSMEs) to maintain the country’s economic sector. Empowering digital-based MSMEs is an important effort in advancing the economic sector and surviving in the new normal era for small and medium-sized people. The method used in this research is a literature study. Where the author focuses on all literacy studies and online news which will be the main material in research and analysis explanations. There are 3 cases to be taken. Each case will be collected according to the required data criteria. Then the three will be analyzed with the support of library sources and the new normal concept and the digital economy. The results of the analysis will then be explained and presented respectively to answer the questions that have been written in the research problem formulation. So that valid data is compiled which is supported by literature sources in explaining the phenomena that occur. The research results obtained from this research itself are in the form of 3 cases regarding several companies implementing CSR community empowerment programs in the form of digital-based MSMEs. Efforts are being made and monitoring and evaluation are made to ensure that the empowerment or program can run smoothly. The several impacts obtained from the empowerment of digital-based MSMEs on the community are, 1) Improvement of the quality of society, where the provision of education by companies results in the development of good knowledge and affects their quality and performance, 2) The development of business is expanding, from provision The knowledge that has been given as well as the increased self-quality ultimately affects new thinking to achieve greater business development, 3) Increased independence which results in the emergence of a strong mentality towards business competition in any situation so that it can compete and adapt to any company both nationally or even internationally.
The Exemplifications in Sushrut Samhita – ancient methods of teaching and learning.
Authors: SANTOSH PATIL SAYALI PATIL
Published: April 2021

Ayurveda is regarded as one of the ancient most science which is having it’s root of origin in vedic literature. In vedic period, the teaching and learning were dependant on Guru Shishya Parampara were-in the knowledge was given by the teachers to the disciples direcly by speech. The literatures were made easy to understand with help of describing and comparing the principles with examples such as exemplifications. Exemplification means giving specific, vivid examples for the purpose of adding more information to explain, define and illustrate a general idea and to elaborate the main idea. Exemplification make the literature easy to understand and it plays a very important role in learning and teaching in Ayurvedic Samhitas. In Ayurved exemplification is called as Drushtanta. Drushtanta is a part of Tantrayukti. Tantrayukti means a logical compilation of a text. Tantrayukti is very essential to understand the science in correct way. Better understanding of Shastra is only possible with the knowledge of Tantrayukti. It provides knowledge of writing techniques, explains hidden meaning. Sushruta-Samhita is not merely a surgical text. It is a comprehensive encyclopedic work on Ayurveda as a whole including its fundamental principles  This article will help readers to know more about Drushtanta and it’s application in Sushrut Samhita.
A A review of role of Rajanyadi Churna as potential immune-modulator in Kaumarabhritya
Authors: Pillai Sreeja , Paradkar Hemant , Pathrikar Anaya , Pillai Sandeep
Published: April 2021

The present pandemic situation has alarmed mankind to formulate and implement effective and practical tools  to defend and confront any unexpected breakout of infectious diseases. It emphasizes the need to correct and sharpen the innate immune  mechanisms, particularly under the circumstances of long waiting periods and uncertainty with vaccines. Revisiting the Ayurvedic principle of agni and bala to correct and  enhance innate defence mechanisms in ways that can make the body ready to defend any situation of challenge. The paper explores the possibilities  of the use of Rajanyadi Churna in Kaumarabhritya.
Perspectives of Pharmacovigilance of AYUSH Drugs among Teaching faculty, Post graduate students and Interns of three different Ayurvedic Teaching Institute in Amravati District of Maharashtra state – A cross sectional survey.
Authors: Paymalle Dr. Laxmikant , Amaley Dr.Krantikumar , Joshi Dr.Dnyanesh
Published: April 2021

Pharmacovigilance helps to prove the system safe, more scientific in the terms of modern terminology. It is an absolute requirement to ensure public safety and to promote the AYUSH systems of medicine. Pharmacovigilance program launched in the India by Department of AYUSH, Ministry of health and family welfare, on 29/09/2008. Though it is helpful for development of system and government emphasized for implementation of it in root level, till date there is lack of awareness about this program among teaching faculties of AYUSH system. So to find out level of perspective of Pharmacovigilance in Teaching faculty, Post graduate students and Interns of Three different Ayurvedic Institutes in Amravati districts present study was carried out in November 2020. Method:A structured and validated questionnaire with some miner modification used3 and distributed in the form of Hard copy among Teaching faculty, Residential medical officer and Interns of Three Ayurvedic colleges in Amravati District of Maharashtra state. Total of 50 teaching faculties with 62% of Lecturer cadre, 32% are of Reader and 2.50%   of Professor Cadre responded to the questionnaires, with this one medical officer also responded to the questionnaire. Total 12 PG (Post graduate students) of different department take participation in the study while 88 Interns recorded their response in this study, so total participants in this study are 150 (n=150).Result:52% (78) of participants aware of Pharmacovigilance program for Ayurvedic drugs in India and44% (66) of participants actually know exactly where the National Pharmacovigilance center for AYUSH Drugs is situated. Only 11.33% (17) of participants responded correct answer to question where the International Pharmacovigilance center for AYUSH drug is situated. In this study 58.66% (88) of participants accept that Ayurvedic drugs have adverse effect. Only 32.66% (49) participants responded that they are encountered with adverse event due to Ayurvedic drug in there clinical practice and out of which only 12% (18) of participants reported the adverse event. 18% of participant’s familiar with standardized format for reporting ADR.Only 3.33% of participants give the example of Ayurvedic drugs banned due to ADR. Only 5.33% of participants attended the CME or training program about Pharmacovigilance of Ayurvedic drugs.Conclusion: Over all result shows the lack of awareness towards Pharmacovigilance program of AYUSH drugs in faculty and students of all Ayurvedic colleges in Amravati. Also Bletonism to point out adverse drug reaction (ADR) caused due to Ayurvedic drug and report it to the authorized center in standardized format. So to increase awareness about PV it should be include in Syllabus and more CME, Seminar and workshop should organized for students, teaching faculty and private practioner.
An observational study of Atyambupan as Hetu (nidan) in diabetes mellitus (Madhumeha) and its preventive treatment
Authors: Kandikattiwar Dr. Priyanka
Published: April 2021

ABSTRACT:-
It is common lifelong health disease. India had more diabetics than any other country in the world, according to the International Diabetes Foundation, although the country has now been surpassed in the top spot by China. Diabetes currently affects more than 62 million Indians, which is more than 7.1% of the adult population. The average age on onset is 42.5 years. Nearly 1 million Indians die due to diabetes every year1. According to WHO Diabetes is a Life style disorder. The main cause of diabetes is there is restless lifestyle, stress, unnatural dietary factor. It has turned out biggest silent killer today’s in world. In Ayurveda diabetes can be correlated with Madhumeh which is a Vata predominant disease. Causes of Madhumeh are Diwaswap, Atyaambupan(excessive water intake), Guru, Madhur, Shita, Snighatdh, Ahara Sevan2 etc. Now a day most of people think drinking large amounts of water is helpful for proper skin health, Digestion, and Health, etc? Claims have been made that excessive drinking water gives you a radiant skin, and healthy while others people say it has no effect and it causes many disease and side effect .so here is effort to highlight the Atyambupan (Excessive water intake) as Nidan of Diabetes given in Ayurvedic text as well as occurring at present and make aware the society to prevent the disease through Nidanparivarjan.
dr. Physiological study of doshas in dincharya and ritucharya w.s.r biological clock
Authors: Saini Mukesh
Published: April 2021

According to ayurveda biological clock organizes your entire day as per the Ayurvedic clock. Every day, human body cycles through three doshas-Vata, Pitta and Kapha. One dosha is dominant at one particular time. Thus, tuning the body as per the qualities and timings of doshas can ensure harmony in life. According to Ayurvedic concepts, body is made up of three types of Doshas, viz. Vata, Pitta, Kapha. Balancing between Doshas leads to health whereas the imbalance leads to disease condition. At specific time in each day, or seasons or at given age the balance between Tridosha is in constant flux. Balancing of Doshas is possible with ‘Dinacharya’ and ‘Rutucharya’, which will lead to syncing of the inner biological clock. Thus, the lifestyle disorders could be managed with changes in the lifestyle with least medical intervention. Rhythmicity is a ubiquitous phenomenon. Rhythmic temporal patterns are considered and important factor in therapeutics as effective treatments should work in conjunction with body’s clocks. Te concept of chronobiology is well evidenced by the cyclic alterations of dosas in the body. The Ayurvedic way of living as well as healing has been developed keeping in mind these biological clocks so as to maintain a balanced state of dosas in the present paper an attempt is made to review the ayurvedic concept of chronobiology and chronotherapy. Circadian rhythm is the cyclical 24-hour period of human biological activity. Within the circadian (24-hour) cycle, a person usually sleeps approximately 8 hours and stays awake for 16 hours. During the wakeful hours, mental and physical functions are most active and tissue cell growth increases. During sleep, voluntary muscle activities nearly disappear and there is a decrease in metabolic rate, respiration, heart rate, body temperature, and blood pressure. In Ayurveda, this concept is based on three Doshas- Vata, Pitta, Kapha - which predominantly govern our daily routine life. These Doshas maintain the integrity of our body by creating, assimilating & diffusing strength. In this article, efforts will be made to correlate the Doshic influence which affects the human body.
Clinical Effects Of Ekal Aushadhi And Aushadhi Yoga In Sukhaprasava– A Review
Authors: Dongre Vedshruti , Makim Rita
Published: April 2021

Woman is a very beautiful creation of God and motherhood is a wonderful power given to her. Along with the joy of becoming a mother, there is also the fear of suffering during childbirth. World Health Organization (WHO) has been warning about the rising rate of C-section and recommends that countries should maintain a  rate of 10-15% of total deliveries for LSCS. As per, National Family Health Survey 2015-2016 (NFHS –4), the Caesarean rates at population level in India seem to be average of 17.2%. Ayurveda elaborates types of Aahara, Vihara and Upchara for the antenatal care and during labour; to make the delivery of woman a pleasant experience. Many herbal drugs for Sukhaprasava has been suggested by many procedures which can be easily available. Even a single drug can modify the very painful delivery to Sukhaprasava
A CONCEPTUAL STUDY ON GRAHANI DOSHA WITH ITS AYURVEDIC MANAGEMENT.
Authors: Date Dr. Tejas
Published: April 2021

In Ayurveda, Grahani Dosha is one among the Mahagadas. In modern science, Grahani Dosha included into digestive disorders. It’s prevalence about 69% in current time because of faulty dietary habits, sedentary lifestyle, stress and side effects of modern drugs. This cause leads too many digestive diseases. The organ Grahani is the seat of Jatharagni (digestive fire) both are interrelated. It’s supported and nourished by the strength of Agni. Normally, it receives the in- gested food, which is retained by restraining the downward movement (Grahanati). After diges- tion it releases the food through sides of lumen to next Ashaya i.e. Pakvashaya. In abnormal conditions due to weakness of Agni, it gets vitiated and releases food in indigested form. When Agni is not proper the food will not be digested properly and this undigested food gets fermenta- tion and acts like poison in the body. It’s called Ama. Ama Utpatti leads to Grahani Dosha. Ag- nimandhya is important factor in the Samprapti of the disease Grahani Dosha. So it should be mainly treated for Agnivardhana by Drugs with Deepana (which enhances digestive power) and Pachana (digestive) qualities.
The Effect of Mahish Mutra Ghanvati in Udar-jatodakawastha- A Case Study
Authors: AGHAV SATISH
Published: April 2021

Ayurveda emphasizes that all the diseases are the result of weak state of Agni. Improper functioning of Agni leads to various metabolic disorders. Ascites describes the condition of pathologic fluid collection within the abdominal cavity .According to Ayurveda Udar-Jatodakawastha can be corelated with ascites as the sign and symptoms are same. Mandagni,Ajirna and malavrudhi are the reasons behind udar-jatodakawastha. In this article a case study of Udar-Jatodakawastha in which Mahishmutra Ghanvati has been given over a period of 14 days resulted in the reduction of the abdominal girth, decreases in weight without any treatment emergent adverse effect and reduction of all symptoms. Mahishmutra Ghanvati causes deepan, pachan, srotorodhanashnam and virechan(Malavishodhana).
THE EFFECT OF LEHA KAMALA IN THE MANAGEMENT OF BAHUPITTA KAMALA A CASE STUDY
Authors: Keskar Shreeraj
Published: April 2021

Kamala is described under Raktavaha Srotas & Yakrit-pliha is the mula sthan of Raktavaha Srotas. Acharya Charaka said that Kamala is next stage of pandu mainly cause due to frequently consumption of Ushna (hot), Tikshna (spicy) food i.e. Pittaprakopak Ahara (increasing level of Pitta) but Sushruta and Vagbhata have accepted Kamala (Jaundice) not only as one of the complications of Pandu Roga (Aneamia) but also in association of other diseases. Due to these factors vitiation of Pitta (bile), Rakta (blood) and Mamsa (muscles) Dhatu occurs. Symptoms like yellowish discoloration of skin (Twak pitata), sclera (netra pitata), urine (Mutra pitata), stool (Purisha pitata) etc. are clinical symptoms of Kamala. Ayurveda believes in treating disease at its root cause from within. The present article is a case report of 56 years old male, farmer by profession visited in OPD and then admitted in IPD of Dr. M.N. Agashe Dharmarth Rugnalalaya, Satara on 07/12/2020 having complaining of Netra pitata (icterus), Mutrapitata (Yellowish urine), Adhmana (pain in abdomen), Sakashta mutrapravrutti (painful micturition), Padashotha (Bipedal edema), Mukhapaka (Mouth ulcer) from last 4 days. He was on antihypertensive drug regularly. He was having Arsha (bleeding hemorrhoids), also having h/o Kamala 2 years ago. The patient was treated with Ayurveda management under IPD and then OPD basis for 3 weeks. This helps to achieve complete curative and prophylactic management of Bahupitta Kamala through Ayurveda.
Ayurvedic management of Jalodar (ascites) -A case study.
Authors: Karhale Nitin M.
Published: April 2021

Ascites is the accumulation of fluid in peritoneal cavity. It is the most common manifestation of liver dysfunction. In modern science still there is no sure treatment which cure the patient of Ascites totally. it gives only symptomatic relief with time dependent recurrence. In such type of cases ayurvedic treatment therapy gives result without any side effects. In Ayurveda there are 8 types of udarroga are mentioned, and this case will be correlated with Jalodara.. A 45 yrs male patient came to OPD with abdominal distension, bipedal edema, anorexia, icterus, general weakness etc since 1month .He was given nitya virechana with abhayadi modaka and ayurvedic shamana chikitsha as well as restricted diet plan for 3 months with cow milk. after two months of treatment marked improvement was noted in all Symptoms of the patient. Hence it was concluded that ayurvedic management are useful in Jalodara.
A A Review on Ayurvedic concept of significance of Nidra in Lifestyle Disorders.
Authors: Syed Mehrukh Fatima
Published: April 2021

Many new disorders have come up in recent years due to rapid changes in lifestyle of people, collectively called as lifestyle disorders. According to the Ayurveda,   man is said to be healthy whose Dosha, Dhatu, Mala & Agni are in the state of equilibrium along with mental, sensory and spiritual pleasantness and happiness. Ayurveda emphasizes on physical & mental fitness with prevention of disease & preservation of health in a comprehensive manner. There are many unhealthy practices followed by people in their day to day life which badly affect their health, one of them is lack of sleep or disturbed sleep pattern.
  “Early to bed & early to arise makes a man healthy, wealthy & wise.” This proverb has a great significance. Ayurveda believes in saying it. Trayopstambha ( Ahara, nidra, Brahmacharya) is key to health and disease on which our life and vitality is based. It focus on daily regimen (Dincharya) that can avoid lifestyle disorders. Nidra plays an important role in physical and mental health. Ayurveda has prescribed certain rules, in regard to diet and sleep, called seasonal regimen (Rutucharya).  Present article emphasized on role of Nidra in promotion of maintenance of health and well being and prevention of lifestyle disorders.
Scientific Review of Tribhuvan Keerti Ras a potent Ayurvedic Herbomineral Combination against viral infection.
Authors: Rajput Sandeep Kisan
Published: April 2021

Ayurved is main branch of science, the main aim of Ayurvedic medicine is to cure disease from its root cause and maintain healthy lifestyle. Tribhuvan Keerti ras is compound drug used in a Sannipataj Jwar, Viral fever .Content of Tribhuvan Keerti ras having properties such as expectorants, antiviral, reducing infection of upper respiratory tract. In Ayurveda tribhuvan keerti is most useful medicine which has reference in over classical text books. The content of Tribhuvan keerti medicine has been explained in literature of our classical text as well as in Pharmacopeia .Tribhuvan keerti has antiviral activity so we can use tribhuvan keerti as a antiviral drug.
Review on Nidanas of Medoroga
Authors: Sardar Monali
Published: April 2021

Today most of the people are obsessed with loosing weight. Obesity is defined as the condition where one is at least 20% more than the ideal bodyweight. Obesity is caused by a sedentary lifestyle, lack of physical activity, an irregular diet and sleep pattern and stress. Everybody is busy and living a stressful life. As a result of growing challenges of modernization, man has responded by readjust in his customary behavior. He has tried successfully to maximize his intellectual and physical capabilities for deriving highest amount of productivity. Man has adapted himself to the fast-paced by modifying his dietary and lifestyle preference to suit the modern era.
A Review on Mansa Ahara as Hetu (cause) in some diseases as described in Brihatrayi.
Authors: Singh Pragya
Published: April 2021

Ayurveda emphasizes on prevention of disease and maintenance of health through close attention to balance one’s life, right thinking, diet, lifestyle and the use of herbs. The aim of Ayurveda   is not only the treatment of diseases but also to provide complete health including both mental and physical. Health of a person depends on the type of food one eats, one’s mental status and one’s lifestyle.  Although Food is a very important aspect of one’s life, it is still being neglected at some point of time. Now a days, we are susceptible to  many lifestyle disorders like diabetes, obesity ,thyroid  as we are not eating balanced diet or we are not able to lead a balanced Lifestyle. According to Ayurveda, Ahara   nourishes the mind, body and soul and hence, Ahara is one of the three Upstambhas (Pillars) of Life in Ayurveda. Diet includes everything what we eat or drink. It is the cause of very existence. Energy, Color and Ojasa (Saar tatva of all Sharira Dhatus i.e. body tissues of every Living being on this earth).Diet is cause of birth, maintenance and destruction of all forms of Life on this earth. Hence, we can say that Diet helps us to acquire constant or unhampered growth, energy, well-being-Health, color, proper functioning of Indriyas (sense organs). Improper or unhealthy diet leads to deterioration of health. In this review article, mansa yoga (food prepared with mansa) has been described and if they are not taken properly and in proper way, they may be the cause of certain diseased conditions. This literary study is basically based on the description of Mansa Yoga in all the three samhitas (i.e. Brihatrayi). In these Samhitas, it has been mentioned that if Mansa Yoga is not taken in a proper way, they may lead to certain diseased condition. It has been tried to go through these Samhitas thoroughly and the references has been brought to the light where Mansa Yoga has been mentioned as the cause of certain diseases. Further, the discussion has been done in order to explain these references and later, a conclusion has been made in this Literary study.
Implementasi Pengajaran Rasul Paulus Tentang Nasehat Hidup Bersatu Dan Merendahkan Diri Seperti Kristus Berdasarkan Filipi 2:1-30 Dikalangan Gembala Sidang GPdI Se- Jawa Tengah
Authors: Sitanggang Esra
Published: April 2021

The purpose of this study is to determine the level of implementation of the teaching of the Apostle Paul about the Advice to Live Together and Humble Yourself Like Christ Based on Philippians 2: 1-30 Among Pastors of the GPdI Council in Central Java. At the same time, the dominant dimensions and backgrounds determine the implementation of the Apostle Paul's Teaching among the Pastors of the GPdI Council in Central Java. The methodology used in this study is a quantitative method using a questionnaire and literature review. The literature contains the exegesis of Bible verses from Philippians 2: 1 - 30 which are contained in the dimension of advice to live together which is described in 9 supporting indicators and the dimension of advice to humble oneself like Christ which is explained in 8 supporting indicators. The results of this study indicate that: 1. The level of implementation of the Apostle Paul's Teaching on the Advice to Live One and Humble Yourself Like Christ Based on Philippians 2: 1-30 Among the Pastors of the GPdI Council in Central Java is in the high category; 2. The dominant dimension is to humble oneself like Christ (D2) and the dominant background is the number of congregations.
Peran Pendidikan Etika Kristen dalam Media Sosial di Era Disrupsi
Authors: Waruwu Mesirawati , Arifianto Yonatan Alex , Suseno Aji
Published: April 2021

The limitless development of social media, its meaning and function have begun to shift, no longer as a means of establishing relationships, communication, but at the stage of losing the role of ethics and morals, even disputes have occurred triggered by debates from communicating in social media. The purpose of this study is to describe the role of Christian ethics education in relation to the impact of social media development in the era of disruption. Using descriptive qualitative methods with literature literature can find solutions for believers in facing moral decadence due to social media abuse by knowing the era of disruption and ethical challenges from the wrong use of social media can affect moral decadence so that Christian ethics education on a biblical basis can bring modern humans. Believers in particular have become bright in social media and their use in accordance with Christian faith in this era of disruption.
Customer profile analysis of the mail-order pharmacy MedicineGo using the example of the German mail-order pharmacy MedicineGo
Authors: Gaebert Tim
Published: April 2021

Pharmacies in transition - digitalisation measures, connection to the telematics infrastructure and the oligopoly position of leading mail-order pharmacies. Not only meeting the technical implementations in the digital transformation, but also satisfying customers are important issues for public pharmacies. While retail pharmacies have access to data on their regular customers, we know little about customers of mail-order pharmacies. As the trend to order medicines online grows, mail-order medicines will take on an increasingly important role. It is expected that the planned introduction of electronic prescriptions in Germany in mid-2021 will lead to a further increase in online sales.

The research question is: What does the customer profile of a mail-order pharmacy look like? Thus, this study focuses on an economic customer profiling of a mail-order pharmacy using the example of the nationally operating mail-order pharmacy MedicineGo. Based on the assumption that younger people between 18 and 50 years of age prefer to use the internet as an ordering medium, due to a more savvy use of computers, a quantitative analysis of empirical data will present essential market research data. In order to interpret the results of the quantitative analysis and to establish causalities, additional expert interviews with the MedicineGo administrator and other employees of the mail-order pharmacy as well as a qualitative literature analysis were conducted by means of qualitative analysis.

By means of quantitative analysis, it was empirically shown that with regard to the customer profile of the mail-order pharmacy MedicineGo, 72% of customers use the direct web shop as a sales channel for their orders, the proportion of women is about ten percentage points higher than that of men, and the largest purchasing groups by number of orders are persons between 51 and 80 years of age. The quantitative analysis showed that older people (over 50 years) prefer to use the mail-order pharmacy, so another result of the study is that public pharmacies compete with mail-order pharmacies for the same customer group.
Exploring the Importance of Changing the Culture Within Healthcare Towards the Underreporting of Medical Errors: A Systematic Review
Authors: Augustine Lyndon Garvin
Published: April 2021

The ethical dilemma for the healthcare industry is that although they strive to keep patients safe, the culture reflects an underreporting of medical errors. Because of this, healthcare leaders have strived relentlessly to create a positive patient safety culture. A positive patient safety culture alludes to traits within a company that permit patient safety to be a goal, including open reporting, a no blame environment to incident reporting, dedicated leadership, continuous companywide learning, and a take charge recognition of safety warnings.Despite the efforts to create this type of safety culture, based on findings within this study, the conclusion is that leaders within the healthcare community have failed to foster this form of culture. Because of this, the objective of this study was to explore the importance of changing the culture within healthcare towards the underreporting of medical errors. In terms of methodology used to explore a culture change, the researcher performed a literature review. As for the results towards addressing a culture change, the researcher identified three barriers. Thereafter, the researcher provided resolutions to overcome these barriers.
On the locus and licensing of edge features
Authors: Nunes Jairo
Published: April 2021

Assuming Chomsky’s (2000; 2001) phase-based model, this paper deals with the issue of how the features that trigger successive cyclic A’-movement are lexically encoded and licensed. Modifying and expanding on work by Nunes (2014; 2016a), I argue that UG allows these “edge features” to be lexically hosted by phase heads (see Chomsky 2000) or moveable elements (see Bošković 2007) and that each choice has several intricate empirical consequences. In addition, I contend that like any other uninterpretable feature (see, e.g., Pesetsky & Torrego 2007), edge features may be intrinsically valued or unvalued and each of these choices may be associated with distinct types of allomorphy involving phase heads found across languages.
Constituent order in Serbian Sign Language declarative clauses
Authors: Raičević Bajić Dragana , Vermeerbergen Myriam , Schembri Adam , Van Herreweghe Mieke
Published: April 2021

Constituent order can encode grammatical relations in a language. The visual-spatial modality imbues sign languages with characteristics such as simultaneity or the use of space which raise the question of the appropriate unit of analysis in constituent order studies. In this paper, we provide empirical evidence on the order of core constituents in elicited declarative clauses for non-reversible, reversible and locative states-of-affairs in Serbian Sign Language (SZJ). Forty (near-)native deaf SZJ signers, ranging in age between 18 and 70 years old, participated in the data-collection. We consider linguistic and social factors in 810 clauses elicited for the purposes of this study. Our findings suggest that SVO is a preferred order in non-locative clauses with two overtly expressed arguments, whilst GROUND-FIGURE-LOCATIVE RELATION is the most frequent pattern in locative clauses. We argue that our results provide some support for the claim that sign language discourse can be analysed in terms of constituent order in the clause, but that other strategies typical of the visual modality such as the simultaneous expression of core constituents, and manual and non-manual features, the use of space, core argument incorporation into the form of the verb and core argument omission, complicate the traditional notion of sequential constituent order clause as a central grammatical element in SZJ and, by extension, in other sign languages. Consequently, the description of relations between core constituents calls for careful consideration and analysis of different types of data as a way of gaining a clearer insight into the nature of a sign language.
Uberização das relações de trabalho: uma abordagem transnacional a partir da interrelação entre Direito Público e Privado
Authors: Coutinho Raianne Liberal
Published: April 2021

As plataformas digitais trazem impactos para o trabalho humano, em um fenômeno conhecido como crowdsourcing - ou uberização, como se tornou mais popular no Brasil. Nesse fenômeno, os trabalhadores são considerados pelas plataformas empresários autônomos. Não são, portanto, protegidos por nenhum direito trabalhista, uma vez que se tem dificuldades em se encaixar os tradicionais pressupostos da relação de emprego, juridicamente protegida, nessa forma de trabalho, principalmente no que tange à subordinação. No âmbito do Direito Comparado, no entanto, alguns países caminham para reconhecer a proteção ao trabalhador, como no caso do Reino Unido, por exemplo. Sendo o trabalho por meio das plataformas digitais um modelo de negócio crescente, sendo realizado por empresas multinacionais, é necessário pensar em formas globais de proteção ao trabalhador. Por meio da privatização da lei, atores transnacionais, como os sindicatos globais, podem ser importantes para se garantir a dignidade humana dos trabalhadores, por meio da realização de Acordo Marco Globais, por exemplo. É necessário que um projeto de futuro seja centrado no ser humano, o que somente pode ocorrer por meio de um sistema que valorize os direitos humanos, em especial dos trabalhadores.
A epistemologia de Imre Lakatos e sua (in)aplicabilidade à teoria econômica
Authors: Ventura Tailiny , Casonato Lucas
Published: April 2021

Este trabalho objetiva apresentar a metodologia dos programas de pesquisa de Lakatos (MPPC) e aplicações dele a algumas teorias econômicas. Investiga-se como essas utilizações consideraram a possibilidade de adequação destas distintas teorias na estruturação lakatosiana. Em seguida são analisadas algumas críticas existentes a esse procedimento, que consideram impraticável a MPPC para a ciência econômica. Dessa divergência conclui-se que a dificuldade inerente da aplicação de Lakatos à teoria econômica deriva do caráter subjetivo desta última enquanto ciência social, que permite a coexistência de diversas visões teóricas para o mesmo fenômeno econômico.
O anacronismo do conceito de ortodoxia na historiografia da economia brasileira
Authors: Cruz e Silva Victor
Published: April 2021

O termo ortodoxia é um conceito cujo conteúdo é geográfica e historicamente localizado. Esse artigo parte do pressuposto que a historiografia da economia brasileira trata o termo de maneira estática, mesmo em meados do século XX, quando as teorias dominantes, tanto a nível nacional quanto a nível internacional, diferiam daquela que constitui hoje o pensamento hegemônico. Esse argumento é ilustrado através da representação dada ao Governo Dutra (1946-1951) e da menção a outros poucos e breves exemplos. O objetivo é instigar um maior rigor no tratamento de conceitos fundamentais para a ciência econômica, como o conceito de ortodoxia. A conclusão a que essa pesquisa chega é que o termo ortodoxia é efetivamente utilizado de maneira estática e anacrônica pela historiografia da economia brasileira. Por vezes, isso leva à perda de informação acerca de determinados contextos intelectuais.
As políticas econômicas das ditaduras do Chile (1973-1982) e da Argentina (1976-1983) sob um ângulo comparativo
Authors: Resende Marcos Taroco
Published: April 2021

O objetivo do artigo é analisar as políticas econômicas das ditaduras militaresdo Chile e da Argentina nas décadas de 1970 e 1980 e seus resultados. Para alcançar o objetivo, realiza-se uma análise documental de dados estatísticos da CEPAL, dos bancos centrais e outras fontes, e ainda de alguns discursos de ministros, além de uma revisão da literatura especializada. A principal contribuição do artigo é a abordagem comparativa. Os resultados indicam que apesar de algumas características em comumdas políticas econômicas liberais de ambos os países, elas apresentam importantes diferenças entre si na aplicação e nos seus resultados econômicos. A principal diferença reside em um maior radicalismo no caso chileno, e maior pragmatismo na Argentina. Alguns dos as pectos que ajudam a explicar essa divergência são os condicionantes impostos pelos militares à aplicação da política econômica e a menor capacidade de blindagem do regime militar argentino em relação aos setores produtivos em comparação ao chileno.
Matriz de contabilidade social, resultado primário e pagamento de juros por setor institucional no Brasil
Authors: Vasconcelos Lucas Ferraz , Barbosa Filho Nelson
Published: April 2021

Este trabalho apresenta a distribuição da renda, do gasto e do financiamento dos principais agentes da economia brasileira, bem como o padrão de aquisição de seus ativos financeiros, a partir da construção de uma Matriz de Contabilidade Social (SAM) Vertical para o Brasil, conforme proposto por Barbosa-Filho (2018). Essa matriz permite a exploração de diversas linhas analíticas envolvendo as principais variáveis econômicas de fluxo e estoque, mostrando-se um instrumento de ensino e pesquisa em economia simples e intuitivo. Descrevemos a estrutura da SAM vertical brasileira para o ano de 2016 e analisamos o padrão de pagamento de juros entre os agentes econômicos e o comportamento do resultado primário dos setores institucionais ao longo do período 2000-16. Mostramos que a economia brasileira vem passando por um processo de profunda mudança estrutural de seu padrão de financiamento desde 2012, que foi intensificado pela recessão de 2015-16
Meat quality of cattle subjected to period of aging process: a cross-heifer study
Authors: Surita Lucy Mery Antonia , Gomes Marina de Nadai Bonin , Dauria Brayan Dias , Gomes Rodrigo da Costa , Pereira Marilia Williane Filgueira , Morais Maria da Graça , Duarte Marjorie Toledo , Ítavo Luis Carlos Vinhas , Ferraz André Luiz Julien
Published: April 2021

The aim of this study was to evaluate the effects of aging on meat quality of crossbred heifers. Qualitative and quantitative evaluations of carcasses and meat of 148 crossbred heifers with an average age of 13 months and 407.5 ± 29.22 kg body weight at slaughter were performed. After cooling for 24 h, the carcasses were evaluated for hot carcass weight, pH, conformation, physiological maturity, finishing, fat distribution, and length. Characteristics, such as pH, color, marbling, exudation, as well as cooking losses, percentage of ether extract, and shear force were evaluated in meat at time zero and after seven days of aging. The carcasses displayed satisfactory results for parameters such as pH at 24 h of cooling (pH24), finishing, distribution of fat, and subcutaneous fat thickness (5.58, 3.27, 2.40, and 6.62 mm, respectively). The meat had a low marbling score (5.08) and percentage of ether extract (1.71), indicating that the meat was relatively lean. Exudation and cooking losses showed similar results at zero and seven days of aging. The meat subjected to seven days of aging showed higher lightness and hue (40.98 and 0.77, respectively) and tenderness of 5.25 kg. These results indicated that aging affected meat color and shear force parameters; the meat of cross-heifers was softer but less red after maturation.
Avaliação das taxas de permeabilidade intra-lote auxiliada por imagens de RPA
Authors: Oliveira Filho Paulo Costa de , Milian Emilene Eidam , Souza Viviane Fernades de , Teleginski Evandro
Published: April 2021

The urbanization process of the municipality of Irati-PR occurred in an intense and accelerated way, being unavoidable the ground waterproofing through buildings, pavements of the streets, walks and patios. Due to this process, several factors of the natural environment are modified, for example, the soil reduces the infiltration capacity, implying an increase in the surface runoff rate and its velocity, contributing significantly to floods occurrence. Therefore, the work objective is to evaluate the urban environmental quality in a neighborhood of the Irati city, Paraná State, using very high spatial resolution images. The vectorization technique on screen allows mapping the permeable areas within the lots and estimating in square kilometers their occupation. With the percentage of permeability, the comparison with the minimum permeability rate required by municipal legislation can be carried out. The study result showed that of the 82 lots analyzed, 47.56% are irregular with the legislation. Through the results obtained, the conditions of each court were evaluated concerning the confrontation with the current legislation.
The study of precast pavers production from concrete blocks waste
Authors: Silva Junior Vasni Oliveira da , Pavão Victor Mateus , Camacho Pontremolez André , Costa Bruno de Medeiros , Cendes Saragosa Gerson , Bardella Paulo Sérgio
Published: April 2021

This work presents part of a study whose main objective is to observe the behavior of the physical and mechanical properties of the materials (raw material) and of products made for the civil construction from the precast concrete industry, such as concrete blocks and pavers for interlocking floors. Through the investigation, was identified the potential of using the concrete blocks waste of the production as aggregates added to the concretes utilized to produce pavers. Thus, it is expected that this work contributes as a basis for obtaining scientific and technical knowledge regarding the materials and procedures that must be adopted for the manufacture of pavers, allowing their production for commercialization.
Patient Engagement Technologies in Orthopaedics: What They Are, What They Offer, and Impact
Authors: Kavolus Joseph J. , Moverman Michael A. , Karas Vasili , Iorio Richard
Published: April 2021

The modern era is an increasingly digital and connected world. Most of the Americans now use a smartphone irrespective of age or income level. As smartphone technologies become ubiquitous, there is tremendous interest and growth in mobile health applications. One segment of these new technologies are the so-called patient engagement platforms. These technologies present a host of features that may improve care. This article provides an introduction to this growing technology sector, offers insight into what they may offer patients and surgeons, and discusses how to evaluate various platforms.
Impact of Level of Evidence on Citation of Orthopaedic Articles
Authors: Scott Bryan L. , Dirschl Douglas R. , Landy David C.
Published: April 2021

Introduction:

Level of evidence grading has become widely used in orthopaedics. This study reviewed clinical research articles published in leading orthopaedic journals to describe the association between level of evidence and number of future citations, which is one measure of an article's impact in the field.

Methods:

The first 100 clinical research articles published in 2014 by each of the Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, and the American Journal of Sports Medicine were reviewed for level of evidence and article characteristics. Web of Science was used to identify the number of citations of each article over the following 5 years. Univariable analyses and multivariable linear regression were used to describe the associations.

Results:

Three hundred articles were evaluated. Univariable analysis revealed no association between level of evidence and number of citations, with a median number of citations for level 1 articles of 23 (interquartile range [IQR], 14-49), level 2 articles 24 (IQR, 13-47), level 3 articles 22 (IQR, 13-40), and level 4 or 5 articles 20 (IQR, 10-36). Univariable analyses showed weak associations between other article characteristics and citations. Even after adjusting for other variables, the standardized regression coefficient for level 1 versus level 4 or 5 was only 0.14 and the overall model had a poor fit with an R2 of 0.18.

Conclusions:

Among clinical research articles published in leading orthopaedic journals, no notable association was found between level of evidence and future citations.

Clinical Relevance:

Readers of the orthopaedic literature should understand that no association was found between level of evidence and future citations. Additional work is needed to better understand the effect level of evidence has on clinicians and researchers.