bluuebunny/crossref_metadata_2025 huggingface dataset:
A ANÁLISE ECONÔMICA DO DIREITO EM SUA PERSPECTIVA TRANSNACIONAL COMO MEIO DE FOMENTO DAS POLÍTICAS DE AUSTERIDADE
Authors: Polis Gustavo , Staffen Márcio Ricardo
Published: August 2021

O presente trabalho busca discorrer acerca do Direito inserido nas relações do mundo “sem fronteiras”. Nesta senda, observa-se como problema de pesquisa a ser aqui enfrentado: os agentes privados transnacionais, ao difundir a mundialmente a Analise Econômica do Direito, fomentaram as políticas de austeridade?. Através do método indutivo, baseado em pesquisas e análises bibliográficas, tem-se como objetivo discorrer como se dá a confecção do direito em cenários transnacionalizados perpassando pela influência exercida pelos diferentes atores da globalização no processo legislativo em escala mundial, em especial naquilo que diz respeito a difusão da ideia de austeridade por meio do uso da Análise Econômica do Direito.
DESENVOLVIMENTO RURAL, POLÍTICAS PÚBLICAS E CIDADANIA: A AGRICULTURA FAMILIAR A PARTIR DO AGIR COMUNICATIVO
Authors: Sousa Marana Sotero de , Maia Fernando Joaquim Ferreira
Published: August 2021

O presente estudo tem por objetivo analisar a cidadania e o desenvolvimento do meio rural brasileiro a partir da elaboração de políticas públicas direcionadas para este setor, especialmente aquelas elaboradas para a agricultura familiar. A cidadania no meio rural pode ser visualizada a partir da ação comunicativa orientada para o consenso mútuo, realizada no mundo da vida do agricultor familiar, isto é, em sua unidade de produção, sendo possível verificar o início da criação de políticas públicas voltadas para o meio rural, havendo, portanto, uma estreita ligação entre as noções de desenvolvimento rural e cidadania. Para a obtenção dos objetivos pretendidos, o presente estudo necessitou realizar uma conexão com o pensamento do filósofo Jürgen Habermas, utilizando seus conceitos e noções sobre o agir comunicativo voltado para o entendimento mútuo, bem como sua ideia de mundo da vida. Ao final, a pesquisa denota a importância das políticas públicas direcionadas para a agricultura familiar para a efetivação do desenvolvimento e da cidadania do meio rural brasileiro, os quais são concretizados quando da elaboração de políticas públicas emancipatórias e não meramente políticas públicas de subordinação, na medida em que são formuladas, pensadas e aplicadas a partir do consenso mútuo entre os atores sociais rurais promotores do real desenvolvimento, qual seja, o agricultor familiar.
DEFERÊNCIA JUDICIAL PARA COM AS ESCOLHAS ADMINISTRATIVAS: RESGATANDO A OBJETIVIDADE COMO ATRIBUTO DO CONTROLE DO PODER
Authors: Lírio do Valle Vanice Regina
Published: August 2021

A judicialização incremental das escolhas públicas trazida por uma Constituição comprometida com a aplicação de direitos humanos abre o sistema a uma subjetividade indesejada entre os agentes investidos de função de controle – nisto se incluindo julgadores. Este artigo tem por objetivo propor um novo conceito de deferência para com as escolhas administrativas antecedidas de planejamento como critério a orientar a adjudicação. A proposição se faz a partir de pesquisa documental e bibliográfica. Tem-se em conclusão que a análise deferente exige conhecimento do curso de ação administrativa objeto de controle judicial; verificação de que o curso de ação desenhado esteja sendo efetivamente implementado; e um exercício dialógico com a racionalidade administrativa quando da impugnação das escolhas públicas. A proposta se alinha com a necessária consideração das capacidades institucionais e efeitos dinâmicos da decisão judicial pretendida; ela igualmente incrementa a justificação, como atributo necessário não só à adjudicação, mas também à anterior escolha administrativa.
RULE OF RESCUE E ASSISTÊNCIA FARMACÊUTICA NO BRASIL: O CASO DAS DOENÇAS RARAS
Authors: Michel Voltaire de Freitas , Martini Sandra Regina
Published: August 2021

O artigo explora o rule of rescue como um critério para decisões de incorporação de tecnologias em sistemas de saúde. O conceito de rule of rescue é importante na decisão de incorporação de medicamentos órfãos, destinados a doenças raras, casos em que o exame da custo-efetividade das drogas nos parâmetros mais restritos da medicina baseada em evidências, determina a sua rejeição. Propõem-se duas questões: em primeiro lugar, se o rule of rescue exerceu impacto na doutrina produzida no campo do direito sanitário no Brasil, a partir de uma revisão bibliográfica das fontes. Em segundo lugar, investiga-se se a rule of rescue exerceu influência nas recomendações de incorporação de medicamentos pela Conitec, sobretudo no campo das doenças raras, no período compreendido entre 2012 e 2018. Na primeira parte do trabalho, é apresentado o processo institucional de incorporação de medicamentos no Brasil e o tema da incorporação dos medicamentos órfãos. Na segunda parte, parte-se para as questões propostas. A metodologia empregada para avaliar o impacto doutrinário do princípio é a da revisão bibliográfica, focando nos periódicos especializados em direito sanitário no Brasil. Com relação ao segundo problema, buscou-se identificar as recomendações da Conitec que envolviam doenças raras, e, nesses relatórios, foram identificados, no tópico da discussão, a fundamentação da conclusão pela incorporação ou não, buscando identificar a presença do rule of rescue. As conclusões indicam que os fundamentos da incorporação e da não incorporação não levam em consideração nenhuma forma de rule of rescue, o que sinaliza para uma possibilidade de aperfeiçoamento desse processo.
PESSOA COM DEFICIÊNCIA E ATUAÇÃO PROCESSUAL:
Authors: Mendes Saldanha Paloma , David Araujo Luiz Alberto
Published: August 2021

O presente artigo traz como temática algumas peculiaridades sobre a atuação das pessoas com deficiência numa relação jurídica processual. O estudo foi realizado a partir de uma revisão de literatura da área jurídica e sociológica, acrescida da análise de legislações pertinentes ao tema, no intuito de alcançar seu objetivo quanto a definição da atuação da pessoa com deficiência num processo judicial como exercício de direitos fundamentais constitucionalmente garantidos e que hoje possuem respaldo em algumas ferramentas tecnológicas, digitais ou não, disponibilizadas no Judiciário brasileiro. Como resultado, a pesquisa traz a percepção quanto à existência de limites impostos (práticas jurídicas discriminatórias) e postos (potencialidades) às pessoas com deficiência, mesmo sendo o Brasil signatário de um Estatuto extremamente avançado e de ter a Convenção de Nova York com força de emenda constitucional em seu ordenamento. Por fim, aspira-se o crescimento do direito antidiscriminatório como ponto fundamental para o começo da finalização das práticas que insistem em criar situações que impossibilitam a atuação dos sujeitos processuais.
NOVOS TEMPOS, VELHO REMÉDIO? OS RISCOS DA CLÁUSULA DEMOCRÁTICA NO SISTEMA INTERAMERICANO DE DIREITOS HUMANOS
Authors: Ramos Andre de Carvalho
Published: August 2021

Este artigo analisa criticamente a promoção da democracia pelo olhar do direito internacional, com base no mecanismo interamericano da chamada "cláusula democrática", com foco em sua atuação tanto diante da ruptura "clássica" da democracia (golpe militar) quanto das novas crises geradas pelo uso de julgamento políticos para interromper mandatos de presidentes tidos como impopulares.
HERANÇA DIGITAL: A REVERBERAÇÃO DE UMA NEÓFITA REALIDADE NO ORDENAMENTO JURÍDICO PÁTRIO
Authors: De Brito Silva Raquel Torres , Angélica Gonçalves Cavalcanti Dias Clara
Published: August 2021

Como fruto da insofismável evolução societária e, adentrando-se na realidade notória do ordenamento jurídico pátrio, é possível contemplar o clamor social em decorrência do reconhecimento legislativo de um direito que ganha acentuado destaque: á herança digital. Pelo exposto, qual é a relevância do direito á herança digital no cenário pátrio? Mister se faz ressaltar que o objetivo cerne da presente pesquisa será o de explanar algumas salutares considerações sobre a sucessão digital e suas principais peculiaridades e implicações hodiernas, de modo a demonstrar sua importância como fruto de uma sociedade hipermoderna que encontra-se em constante evolução e que necessidade de regulamentação expressa e defesa em torno da temática. Abordam-se as técnicas de ponderação e interpretação extensiva nos casos dos conflitos do direito á privacidade do falecido vs. o direito a sucessão digital dos herdeiros sucessores. Ademais, concluiu-se que, alguns projetos de lei (PL), a exemplo da PL nº 4.099/2012, tendem a adaptar a realidade pátria a essas novas exigências. Todavia, a herança digital e sua defesa concreta ainda carecem da devida regulamentação em prol de cristalizar sua previsão efetiva. Acerca da relevância desse assunto, são fomentados breves apontamos com o uso de doutrinas, monografias e artigos que tratam dos pontos em apreço, utilizando-se, para atingir o presente fim, o método dedutivo-qualitativo.
EM BUSCA DO PLURALISMO JURÍDICO GLOBAL
Authors: Antonov Mikhail
Published: August 2021

Globalização não é um termo descritivo para retratar a realidade contemporânea do direito; ela funciona principalmente como uma concepção regulatória para reforçar certas regularidades da evolução social para que sejam respeitadas por estudiosos, juristas e políticos. Os reflexos jurídicos em tempos de globalização não representam o direito como é, mas descrevem o direito necessário para que a humanidade encontre os perigos dos tempos de transição. Rejeitando por unanimidade o modelo Hobbesiano, os pluralistas apresentam as sociedades humanas como entidades auto-organizadas capazes de produzir suas próprias normas autônomas, independentes da vontade e da discricionariedade dos indivíduos particulares. Os fenômenos resumidos sob o título de pluralismo jurídico não têm originalidade histórica ou social. Pluralismo jurídico não revela novos direitos sociais ou regularidades, não provê um esquema explicativo novo (em vez disso, apenas muda as palavras do esquema antigo), e os desafios da globalização são apenas relativamente novos. Ao menos a realidade referida a esses termos esboça um clima intelectual renovado que oferece novos eixos aos discursos. Desse ponto de vista, o problema do pluralismo jurídico e a questão da globalização, não são desprovidos de interesse científico, e discussões sobre o tema podem efetivamente contribuir para o progresso do conhecimento social. Mas, de todas as possibilidades, não é razoável esperar que da substituição dos termos e dados factuais, se possa obter um conhecimento inovador sobre a inter-relação entre direito e sociedade.
EFFICIENCY OF MANAGEMENT DECISIONS IN LOCAL GOVERNMENT BODIES
Authors:   State Institution ", Sych Tetiana ,   Luhansk Taras Shevchenko National University"
Published: August 2021

The article considers the factors influencing the efficiency of management decisions made by local government bodies in the modern conditions of public administration reform and the development of local self-government in Ukraine. The author outlines the features of this problem, the main features of state-management decisions, the essence of the concepts "effect", "efficiency of management decisions", the main approaches to the study of the problem of decision-making are highlighted. The main attention is paid to the direction of research, which takes into account the human factor. The main ideas of the representative of this direction - the Nobel laureate D. Kahneman, presented in the book "Noise", are considered. This work raises the issue of system errors among those who make decisions. The views of the domestic scientist O. Maltsev on the designated problem and the provisions of D. Kahneman's book are presented. The results of the analysis by scientists of the influence of the human factor and psychological characteristics of management decision-making on the efficiency of decisions are reflected. The conclusions of scientists regarding the need to take into account the qualities of a decision- making person and his professional training are summarized. The main characteristics of the personality that influence decision-making are given from the domestic scientific literature on public administration problems. In accordance with these ideas, the requirements for the positions of civil servants, local self-government bodies, as well as the modern practice of training specialists and managers in this field are considered. It is concluded that the primary importance for making effective decisions by local government bodies is the use by specialists and managers of modern technologies for developing and making management decisions, the development of their personal qualities for making management decisions in the process of training and obtaining specialized management education in universities.
INFLUENCE AND FACTORS OF FORMATION OF PUBLIC RISK MANAGEMENT MECHANISMS IN CONSTRUCTION PROJECTS
Authors:   Ph.D. of science in Public Administration, Serviceman, Prav Roman
Published: August 2021

The issues of economic development in conditions of high risks are becoming highly relevant. Modern trends in the development of the construction industry, as a multiplier of the economic development of the state, form a new system of requirements for the management of operational processes and strategic vectors of the construction industry, both at the macroeconomic level and at the level of individual regional systems and individual enterprises. The trend in the development of society and their influence on the formation of trends in the construction industry were analyzed in the article, taking into account their significant impact on the formation of risk management mechanisms for construction projects. Technologization processes were identified among the main trends in the development of the economy. They directly affect not only the operational work on the implementation of the construction project, but also form the need for personnel of appropriate qualifications, a decrease in the need for labor and an increase in the need for highly qualified specialists with the skills of working in the information technology system and automated construction management systems. The technology of commissioning modular housing, its advantages and disadvantages is considered in detail. The development of green construction is highlighted as a separate trend, which is an important factor in sustainable development and ensuring the competitiveness of construction enterprises. A new trend in the development of regional construction systems has been identified, namely, entry into the traditionally segmented regional markets of foreign investment construction companies, which create additional competitive factors for domestic enterprises. Accordingly, according to certain trends, risk systems were formulated, which are relatively new for the construction market, respectively, an analysis of the mechanisms for their minimization and avoidance was developed. The article analyzes the risks of the construction sector in accordance with the analysis of trends and tendencies in the development of the construction industry. For each block of risk elements, possible forms of response and warning have been identified. According to the analysis, recommendations are given for managing the risks of construction companies. The analyzed risks are considered from the point of view of the formation of mechanisms of state regulatory policy in order to form an effective construction system at the state and regional levels.
ORGANIZATIONAL AND LEGAL ASPECTS OF STATE REGULATION OF SCIENTIFIC ACTIVITIES IN UKRAINE
Authors:   Private Higher Education Institution “Academy of Recreational Technologies and Law”, Melnychuk Olha
Published: August 2021

The article is the result of the comprehensive investigation of legal and organizational aspects of state regulation in the field of scientific and technical activities. Science is a decisive factor in the progress of society and source of economic growth of the state. It is undeniable that in the modern world the value of science prompted the importance of reliable and substantial state support of this sphere. State establishes the recognition of science as a socially significant industry and the maintenance of science as the basic principle of scientific policy and the priority state task. In the article the legislation on scientific activities is represented normative and legal acts, namely: the Constitution of Ukraine, the laws and the subordinate acts of Ukraine. In this paper defined legislative support of the process of state regulation of research activities, in particular examines the development of the system of state regulation of research. The focus is determined on the list of basic legal acts, which were reflected the standards that regulate social relations in the sphere of science. In addition, for obtaining the appropriate results were conducted researches of their certain provisions and submitted proposals for improvement of the current legislation on issues of scientific and technical activity with the purpose of their further use in a practical way. In this article were analyzed the unexplored problems associated with the current state and prospects of the legislative support for public administration of the research activities, including the necessity of amending the legislative support of scientific activities to ensure more effective use of scientific, technical and human resources in Ukraine. The proposals concerning improvement of the public regulation of the scientific and scientific-technical activity in Ukraine have been developed. Scientific research thoroughly reveals the main content of the public administration of the research activities and offers practical recommendations for improving the process.
Immune Reconstitution Inflammatory Syndrome Associated with Hepatosplenic Candidiasis in a Patient with Acute Myeloblastic Leukemia: Possible Pathogenesis and Treatment in the Light of Current Knowledge
Authors:   Pediatric Hematology and Oncology, Faculty of Medicine, Istanbul Medeniyet University, Turkey, Z Bicakci , D Koca ,   Hematology and Oncology Specialist, Pediatric Hematology and Oncology, Faculty of Medicine, Istanbul Medeniyet University, Turkey, G Bozbeyoglu ,   Department of Radiology, Faculty of Medicine, Istanbul Medeniyet University, Turkey
Published: August 2021

Acquired immune deficiencies caused by different etiologies, promote invasive fungal infections. When this immunity begins to improve, it can induce an excessive inflammatory response defined as Immune Reconstitution Inflammatory Syndrome (IRIS). Hepatosplenic Candidiasis (HSC) can be considered a form of IRIS syndrome as it occurs following neutrophil recovery in patients treated for acute leukemia. Differentiating IRIS from a single fungal infection or treatment failure due to a similar clinical picture is a real diagnostic problem. Misdiagnosis and subsequently ineffective treatment with antifungal therapy instead of anti-inflammatory drugs, may lead fatal course of the disease. A deep and prolonged neutropenia developed after the first induction chemotherapy in our two and a half-year-old male patient who was followed up in our clinic with the diagnosis of Acute Myeloblastic Leukemia (AML). Our patient had fever, abdominal pain as well as his Gamma Glutamyl Transferase (GGT) and Alkaline Phosphatase (ALP) levels increased during neutropenia recovery. He was diagnosed with hepatosplenic candidiasis, by observing ‘target like abscesses’ on dynamic Magnetic Resonance Imaging (MRI) taken for his newly developing symptoms and laboratory findings while recovering neutropenia. After his first and third induction chemotherapy courses, his fever persisted although antifungal therapy, steroid treatment was initiated considering IRIS. After his re-intensification course, because of the same flare-up symptoms, we started immunglobulin in addition to steroid. With methylprednisolone and intravenous immunoglobulin, his symptoms improved and significant regression was observed in the lesions ‘target-like abscesses’ on MRI and in the laboratory values. Result: IRIS should be considered for patients with hepatic candidiasis whose have persistent fever despite appropriate antifungal therapy. Glucocorticoid should be started first for an anti-inflammatory effect.
Can Supportive Periodontal Therapy Curbe the Surge in COVID-19?
Authors:   Department of Preventive Dentistry, Majmaah University, Saudi Arabia, JT Thomas , T Thomas ,   Department of Restorative Dental Sciences, Majmaah University, Saudi Arabia
Published: August 2021

The advent of new variations and the outbreak of pandemic COVID-19 has pushed research among global health professionals to limit the spread of the coronavirus through periodically updated norms and standards of preventive treatment. Dentists have been limited in their practice to emergency care since 2019, as salivary droplets and infectious aerosols from asymptomatic carriers can cross, contaminate the environment. Exaggerated immune responses in patients with poor dental hygiene act as a double-edged sword, manifesting clinically as increased periodontal pockets degrading the tooth supporting tissues, tooth mobility, and tooth loss. SARS- CoV 2 has been discovered in the dental biofilm of infected individuals, according to recent research. Deep periodontal pockets have been identified as a favorable niche for viral survival. This article covers some current study updates and highlights the significance of educating the public, particularly the older population, about maintaining good oral hygiene and minimizing COVID-19 transmission through supportive periodontal treatments.
The Ape Lottery: Chimpanzees Fail To Consider Spatial Information When Drawing Statistical Inferences
Authors: Eckert Johanna , Rakoczy Hannes , Duguid Shona , Herrmann Esther , Call Josep
Published: August 2021

Humans and nonhuman great apes share a sense for intuitive statistics, making intuitive probability judgments based on proportional information. This ability is of tremendous importance, in particular for predicting the outcome of events using prior information and for inferring general regularities from limited numbers of observations. Already in infancy, humans functionally integrate intuitive statistics with other cognitive domains, rendering this type of reasoning a powerful tool to make rational decisions in a variety of contexts. Recent research suggests that chimpanzees are capable of one type of such cross-domain integration: The integration of statistical and social information. Here, we investigated whether apes can also integrate physical information into their statistical inferences. We tested 14 sanctuary-living chimpanzees in a new task setup consisting of two “gumball machine”-apparatuses that were filled with different combinations of preferred and non-preferred food items. In four test conditions, subjects decided which of two apparatuses they wanted to operate to receive a random sample, while we varied both the proportional composition of the food items as well as their spatial configuration above and below a barrier. To receive the more favorable sample, apes needed to integrate proportional and spatial information. Chimpanzees succeeded in conditions in which we provided them either with proportional information or spatial information, but they failed to correctly integrate both types of information when they were in conflict. Whether these limitations in chimpanzees' performance reflect true limits of cognitive competence or merely performance limitations due to accessory task demands is still an open question.
Comparative study of two supraglottic airway devices- LMA Supreme and I-Gel in adult patients undergoing general anaesthesia at a tertiary hospital
Authors:   Resident Doctors, Department of Anaesthesiology, Breach Candy Hospital Trust, Mumbai, INDIA., Shafi Shaikh Noorulhaque Mohammad
Published: August 2021

Background: The LMA Supreme is a supraglottic airway device made of medical grade PVC and is latex-free. The I-Gel is a new supraglottic airway device with a non-inflatable cuff, composed of soft gel like, transparent thermoplastic elastomer. The main aim of present study was to compare the LMA Supreme with the I-Gel LMA in terms of the success of insertion of the device, hemodynamic changes and postoperative device related complications. Material and Methods: Present study was a prospective, randomized, comparative, observational study conducted in patients admitted for various elective surgeries, were randomly divided (by envelope selection) as I-Gel LMA and Supreme LMA insertion for general anaesthesia. Results: The mean age in group I and S were 41.26 ± 10.22 and 44.86 ± 10.1 years respectively. The mean body weight in Group I was 55.51 ± 9.61 kgs and in Group S it was 53.12 ± 9.65 kgs. There was no significant difference in the age, gender, body weight, ASA Grades of the patients between Group 1 and Group 2 .Statistically there was no significant difference in the SAD Sizes, Surgical Procedures, ease of insertion in both the groups. The basal heart rate was, mean SBP, mean basal DBP, mean basal MAP and mean SpO2 were comparable in both groups. Blood Tinged SAD was noted in 6 patients in both group I (I-Gel) and group S (SLMA). None of the patients in group I (I-Gel) out of 43 patients had Lip or Dental Injury, whereas 2 patients in group S (SLMA) out of 43 patients had Lip or Dental Injury. Only 4 of the patients in group I (I-Gel) out of 43 patients had Sore Throat within 24 hours post removal of SAD, whereas 6 patients in group S (SLMA) out of 43 patients had Sore Throat within 24 hours post removal of SAD. Conclusion: Both LMA Supreme and I-Gel can be used effectively and comfortably in selected adult patients during general anaesthesia. Both LMA Supreme and I-Gel are easy to insert, both are almost inserted in first attempt, no significant difference in hemodynamic changes during usage is noted.
A comparative study of clonidine versus dexmedetomidine in attenuation of stress response to laryngoscopy and intubation
Authors:   Assistant Professor, Department of Anaesthesiology, SUT Academy of Medical Sciences, Thiruvananthapuram, Kerala, INDIA., V Divya , Jampala Karthikeya ,   Associate Specialist, Department of Anaesthesiology and ICU, Steppinghill Hospital Stockport, Manchester, USA., K Radhika ,   Professor and HOD, Department of Critical Care Medicine, GG Hospital, Thiruvananthapuram, Kerala, INDIA.
Published: August 2021

Background: Endotracheal intubation produces various cardio vascular complications. Sometimes these complications lead to mortality. Various anaesthetic drugs are tried before intubation to reduce the haemodynamic changes. The present study aimed to evaluate the clonidine versus dexmedetomidine in attenuation of stress response to laryngoscopy and intubation. Materials and Methods: The study was done in Department of Anaesthesia , Sree Gokulam Medical College and Research Foundation, Trivandrum, Kerala. A total of 50 patients included in the study based on the inclusion and exclusion criteria and divided into two group each of 25. G-I received Clonidine (2mcg/kg) and G-II Dexmedetomidine (0.5mcg/kg). Drugs are given to respective groups 10 min before induction. Demographic data (age and gender) and clinical data (heart rate, SBP, DBP and MAP) was recorded. SPSS (20.0) version was used for analysis. Results: Group-I and II not showed any significant difference on comparison of demographic data. Comparison of mean heart rate between the group-I and II not showed any significant difference. SBP (PI, AL), DBP (PI) and MAP (PI) showed significant difference when compared between the group-I and II. Conclusion: Dexmedetomidine in the dose of 0.5µg/kg, given 10 minutes before laryngoscopy and intubation is better choice than clonidine in attenuating the haemodynamic responses to laryngoscopy and intubation.
Comparative study of adductor canal block versus femoral nerve block for effect on quadriceps muscle strength and postoperative pain in the patients undergoing Total knee replacement surgery
Authors:   Assistant Professor, Anaesthesiology, Kamineni Academy of Medical Sciences and Research Centre, LB Nagar, Hyderabad, INDIA., Priyanka Karri Laxmi , Nakka Abhiram ,   Senior Resident, Anaesthesiology, Kamineni Academy of Medical Sciences and Research Centre, LB Nagar, Hyderabad, INDIA.
Published: August 2021

Background: Total knee replacement (TKR) patients experience severe pain during the early postoperative period1 as it involves extensive bone resection and soft tissue manipulation. The objective of this prospective, randomized, comparative study is therefore to compare the adductor canal block (ACB) with femoral nerve block (FNB) on quadriceps muscle strength preservation and analgesic efficacy in the patients undergoing TKR. Material and Methods: Present study conducted in ppatients of age group 35-70 years, ASA physical status class I, II and III patients posted for unilateral TKR. 50 ppatients were randomized equally by block randomization technique. Group 1 received Adductor Canal Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr), Group 2 received Femoral Nerve Block (15 ml bolus of 0.18% ropivacaine followed by infusion at the rate of 8-10ml/hr) with electromechanical infusion pump for 24 Hours. Results: Gender, BMI distribution between two groups doesn’t have significant difference. Out of 50 patients in our study 19.6% (9) patients were ASA I, 75% (39) were ASA II and 5.4% (2) patients were ASA III. Heart rate, systolic blood pressure and diastolic blood pressure were measured preoperatively, post-operative at 6-8 hrs, at 12 hrs. and at 24 hrs. The difference in those parameters at any given time was not statistically significant. ACB is similar to FNB with respect to quadriceps muscle strength measured by MRC grading at 6 hours. However ACB is very effective in preserving the quadriceps muscle strength measured by MRC grading at 12 and 24 hours with a statistically significant ‘P’ value of 0.0001. Conclusion Adductor canal block makes early rehabilitation after total knee replacement without the risk of inpatient falls.
Comparison of pre-treatment with low -dose midazolam versus low- dose etomidate for prevention of etomidate induced myoclonus and pain at intubation - A randomized controlled study
Authors:   Lecturer, 2Assistant Professor, Department of Anaesthesia, Government Medical College, Jammu, INDIA., Sharma Neha
Published: August 2021

Background: Etomidate a commonly used induction agent in anesthesia is associated with pain and episodes of myoclonus post induction. This study was designed to evaluate and compare Midazolam and low dose of Etomidate in prevention of these symptoms on injection. Methods: This prospective randomized controlled study was conducted on 90 patients allocated to three study groups. Group 1 patients received 0.015 mg/kg of Midazolam i/v diluted to 5 ml in normal saline, Group II received 0.03 mg/kg of Etomidate i/v diluted to 5 ml in normal saline and Group III received 5 ml normal saline intravenously as premedication. Five minutes after receiving the study drugs, patient was preoxygenated with 100% oxygen for 3 min along with anesthesia induction with 0.3 mg/kg etomidate injected intravenously over the period of 20-30 sec. The patients were observed for etomidate induced myoclonus and pain. Results: The incidence of myoclonus in Group II was least with 46.67% having no myoclonus as compared to group I and III where Majority of patients had grade 3 myoclonus (50%; Group I) and (46.67%; Group III). There was statistical difference between the groups in terms of myoclonus grading. Further, there was statistical difference between the groups in pain score with majority of group 1 patients having grade 3 (severe pain = 46.67%) pain and group 3 patients with 43.3% having severe pain. Group 2 on the contrary majorly reported no pain (46.6%). Conclusions: The current study indicated pre induction of etomidate in low dose as an effective strategy in prevention of EIM as compared to Midazolam.
A study of comparison between pre procedural ultrasound and real time ultrasound for spinal spaces
Authors:   Assistant Professor, Department of Anaesthesia, Akash Institute of Medical Sciences and Research Centre, Devanahalli, Bangalore, Karnataka- 562110, INDA., C Raghu K
Published: August 2021

Background: Use of thoracic epidurals for intra‑ and post‑operative analgesia for open abdominal surgeries has exponentially increased over the last decade. Spinal anaesthesia is used a landmark – guided midline approach, in these absent, indistinct or distorted in the presence of obesity, previous spinal surgeries, deformities, or degenerative changes associated with ageing. In the present study evaluates the efficacy of real‑time ultrasound (RUS)‑guided paramedian approach, and pre‑procedure ultrasound (PUS) landmark‑guided paramedian approach in obese persons. Methods: This is a Prospective Randomized Double-Blind Study conducted in Akash Institute of Medical Sciences and Research centre. Total 50 subjects (Group A – 25, Group A – 25). All the subjects included after informed consent, Along with Chest X- ray and ECG-for patients over 40 years of age. The primary end point was to attain a successful lumbar puncture. Variables like the number of attempts, the number of passes, the time taken for identifying landmark(s), and time for a successful lumbar puncture(s) were secondary end points and were recorded in both the groups. Results: This study was evaluated In real‑time ultrasound (RUS)‑guided paramedian approach, and pre‑procedure ultrasound (PUS) landmark‑guided paramedian approach in obese patients. There is a statistically high significant difference in PUS group than RUS Group. A P value < 0.002 is the statistically in between 2 groups. Conclusion: the space identification and number of attempts, passes and time consuming in pre procedure ultrasound when compared to real time ultrasound. This study suggest real time ultrasound is good for identification of space.
Contraception in Aotearoa: Shaped by and Shaping Family, Morality, Religion, Science, and Women's Reproductive Rights
Authors: Gilling Russyl
Published: August 2021

Throughout the history of contraception in Aotearoa, the position of women as contraceptive users has been shaped by society and legislation. At the beginning of the twentieth century, due to the racial fears of the time, legislators banned contraceptive use from the feared mortality of white New Zealanders. The eugenic and racial logics that drove the original prevention of access to contraceptives were also influential in the establishment of organisations like the New Zealand Family Planning Association that was able to work towards establishing birth control clinics. Family and religious morality played a major role in how people responded to contraceptive use. In 1954, they were mobilised in the Mazengarb Inquiry, condemning parents who did not fit into the narrow roles expected of them by the Inquiry members. They appeared again throughout the 1977 Royal Commission into Contraception, Sterilisation and Abortion. Family and religious morality not only shaped these investigations, but also the ways individuals responded to different aspects of contraception and the surrounding conversation. The personal morality of individual Members of Parliament shaped their position in the debate of the 1977 Contraception, Sterilisation and Abortion Bill and with how doctors and other medical professionals responded. This culminated in decision-makers and individuals in the public sphere imposing their own morality to justify conflating abortion and contraception, which resulted in doctors and other medical professionals controlling access to contraception. In Aotearoa, women’s ability to access contraception and contraceptive information, controlled and restricted by these political, legal, and moralistic forces as exemplified and focused by these key events, has shaped their position as contraceptive users.
Identifikasi Suara Pada Sistem Presensi Karyawan Dengan Metode Ekstraksi Ciri MFCC
Authors: Widodo Yuwono Fitri , Sunardi Sunardi , Fadlil Abdul
Published: August 2021

Biometrik adalah ilmu yang mempelajari pola ciri-ciri untuk mengenali atau mengidentifikasi manusia berdasarkan satu atau lebih dari bagian tubuh manusia, baik ciri-ciri kimia, fisik, maupun tingkah laku, seperti wajah, sidik jari, suara, geometri tangan, ataupun iris mata. Saat ini sudah berkembang teknologi menggunakan suara untuk dijadikan sebuah aplikasi yang memudahkan manusia. Proses identifikasi suara sangat diperlukan untuk mengetahui keakuratan suara berdasarkan ciri yang dimiliki, karena beberapa manusia memiliki kemiripan dalam berucap. Pada penelitian ini  bertujuan untuk mengetahui pola suara berdasarkan ucapan. Metode yang digunakan untuk identifikasi  suara  menggunakan metode ekstraksi firur Mel-Frequency Cepstral Coefficients (MFCC), merupakan metode ekstraksi fitur yang mendekati sistem pendengaran manusia dan mampu untuk mengenali pola ucapan.
Implementasi Circular Hough Transform untuk Pendeteksian Kebohongan pada Anak melalui Pergerakan Kornea Mata
Authors: Hermana Asep Nana , Dewi Irma Amelia , Yunus Rhyaldi
Published: August 2021

Pergerakan kornea mata kearah kanan merupakan ekspresi respon yang tidak disadari oleh anak saat mereka sedang berbohong. Pergerakan tersebut dapat dijadikan salah satu acuan untuk pendeteksian kebohongan. kornea mata dapat dideteksi menggunakan metode Circular Hough Transform.
Analisis dan Perancangan Sistem Informasi Manajemen Aset Rumah Sakit Berbasis Spatial
Authors: Lawalata Feibe , Sediyono Eko
Published: August 2021

Pengelolaan aset di rumah sakit merupakan hal yang penting untuk dilakukan demi keberlangsungan dan peningkatan kualitas pelayanan dari rumah sakit tersebut. Pengelolaan aset dapat berupa pencatatan, perawatan, hingga pengelolaan lebih lanjut. Pencatatan informasi aset yang dimiliki oleh rumah sakit sangat penting untuk dilakukan, dengan adanya informasi yang didapat dari pencatatan data aset maka rumah sakit akan dapat mengetahui secara pasti aset apa saja dan berapa tepatnya jumlah aset yang dimiliki oleh rumah sakit. Sistem informasi ini akan dibuat dengan mengunakan GIS dan akan diolah dengan Quantum GIS ditampilkan menggunakan Web yang berbasis GIS. Dengan Web-GIS yang di bangun ini, akan lebih membantu rumah sakit dalam pengelolaan aset dimasa yang akan datang.
Prediksi Harga Sembako di DKI Jakarta Menggunakan Artificial Neural Network
Authors: Syaidah Kholidah , Chrisnanto Yulison Herry , Abdillah Gunawan
Published: August 2021

Indonesia merupakan salah satu negara berkembang yang pertumbuhan ekonominya stabil. Hal ini dapat dilihat dari data statistik yang dikeluarkan oleh Badan Pusat statistik nasional. Pertumbuhan ekonomi yang stabil tidak diimbangi dengan stabilnya harga komoditas sembako di Indonesia khususnya di provinsi DKI Jakarta. Kondisi tersebut terlihat dari harga komoditas sembako (Sembilan Bahan Pokok) yang bergerak fluktuatif. Kenaikan harga BBM, cuaca serta adanya hari-hari besar menjadi faktor umum yang mempengaruhi harga komoditas sembako. Akibatnya harga komoditas sembako tidak dapat ditentukan karena kondisi-kondisi yang mempengaruhinya. Oleh karena itu, diperlukan model komputasi yang dapat memprediksi harga komoditas sembako di DKI Jakarta menggunakan metode yang memiliki akurasi yang baik. Pada penelitian sebelumnya pernah dilakukan penelitian prediksi harga dengan komoditas yang berbeda menggunakan metode Artificial Neural Network dengan akurasi 78% hingga 86%. Penelitian ini menghasilkan Sistem Prediksi Harga Sembako di DKI Jakarta menggunakan metode Artificial Neural Network. Dengan hasil terbaik didapatkan dengan parameter learning rate 0.01 dan toleransi error 0.01 dengan maksimum iterasi 500 yaitu akurasi sebesar 82% komoditas beras, 80% untuk komoditas Cabe dan 78% untuk komoditas bawang merah yang dihasilkan dari pengujian terhdap data uji.
DESAIN GAME EDUKASI UNTUK PEMBELAJARAN TEKNIK BERTAHAN HIDUP DI ALAM LIAR
Authors: Prasetyo Rasyid Ibnu , Yuniarti Rezki , Komarudin Agus
Published: August 2021

Indonesia merupakan negara yang memiliki banyak jenis daerah seperti pegunungan, hutan, dan pantai. Tinggal di daerah tersebut memiliki risiko tersendiri karena Indonesia berada di kawasan ring-of-fire dimana kawasan tersebut memiliki dampak bencana alam yang diakibatkan oleh gempa bumi dan erupsi vulkanik. Selain bencana, hewan yang hidup di setiap daerah juga berbeda seperti daerah pegunungan terdapat banyak anjing liar yang berkeliaran dan di hutan terdapat babi hutan yang dapat menyerang manusia. Oleh sebab itu pembekalan tentang alam dan hewan perlu disampaikan untuk mengurangi korban ketika terjadinya penyerangan oleh hewan liar, terjadi bencana, dan setelah terjadinya bencana. Game edukasi merupakan salah satu jenis media untuk menyampaikan pembelajaran secara tidak langsung tetapi pemain dapat mempelajari materi yang terdapat dalam game. Dalam merancang sebuah game terdapat framework untuk menyusun elemen yang ada dalam game. Salah satu framework untuk merancang game yaitu Mechanics Dynamics Aesthetics. Framework MDA dikembangkan sebagai kerangka kerja untuk memahami game melalui perspektif pengguna dan pengembang.
Penerapan Sistem Informasi Manajemen Perizinan Online (Simponie) Berbasis Website Dengan Menggunakan Ci Framework
Authors: Friandi Sendy Zul , Angga Tubagus , Hikmah Nurul , Budiman Fadjar , Fitria Sifa
Published: August 2021

Pemerintah Kota Tangerang Selatan dalam melaksanakan kegiatan pelayanan publik yang secara online dan terbuka khususunya dibidang perizinan. Pada  Peraturan Daerah Kota Tangerang Selatan Nomor 61 tahun 2016 tentang Kedudukan, Struktur Organisasi, Tugas, Fungsi dan Tata Kerja dibentuklah Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu (DPMPTSP). Awal mula terbentuknya DPMPTSP dimana sistem masih berjalan manual dan masih terdapati praktek pungli dilakukan oknum calo. Untuk mengurangi praktek pungli DPMPTSP melakukan terobosan baru yakni membuat sistem informasi yang berbasis website mudah dijangkau secara online dan terbuka. Untuk implementasi Sistem Informasi Manajemen Perizinan Online (SIMPONIE) tersebut, peneliti menganalisis kendala yang ada pada Dinas Penanaman Modal dan PTSP dengan beberapa Metode yang terdiri dari Metode Pengumpulan data, Metode Konsep Analisa Sistem Menggunakan SDLC (Systems Development Life Cycle) tipe Waterfall, dan Metode Rancangan Sistem Menggunakan UML (Unified Modeling Language)  dan CI Framework.
Implementasi Digital Marketing pada Pengrajin Tas Anyam Desa Pesidi Kecamatan Grabag, Kabupaten Magelang
Authors: Hidayah Nur , Maulana Irfan , Suryawan Seto Priyambodo , Sa’diah Siti Nur Halimatus , Indriyani Sita , Rizka Latifur
Published: August 2021

People in Pesidi village have an additional livelihood as woven bag craftsmen. Many housewives become craftsmen because the production time is flexible and can be done at home. However, the problems faced by woven bag craftsmen include the lack of product innovation, conventional sales systems, low selling prices resulting in low income, craftsmen not having knowledge of digital marketing, and inventory buildup due to lack of sales. The purpose of this community service is to increase digital marketing knowledge and reduce the problems of woven bag craftsmen. The methods used are socialization to local government and craftsmen, training (lectures, simulations, and discussions), and assistance in making digital marketing. The results of the service are in the form of marketing innovation through digital marketing, an increase in income of 7%, an increase in the understanding of woven bag craftsmen about digital marketing, and product sales with an online system via email, Facebook, Instagram, and market places available on digital platforms.
PENGARUH FAKTOR PENENTU MINAT DAN KEPUTUSAN SISWA DALAM MEMILIH SEKOLAH DI SMK NEGERI 1 PEUREULAK
Authors: Mardiana Mardiana , Mariyudi Mariyudi , Rusydi Rusydi
Published: August 2021

This research aims to analyze the influence of servant leadership and communication competence on the facilitators performance of PKH in north Aceh with job satisfaction as the intervening variables. Sampling using the census method with total sample of 150 PKH facilitators in North Aceh. The tool analysis used is Structural Equation Modeling (SEM) with using AMOS. The results of this research show that servant leadership positively influences, but not significantly on job satisfaction and performance. Communication competence significantly and positively influences on satisfaction and performance. Job satisfaction significantly and positively influences on performance. Job satisfaction does not mediate the relationship servant leadership toward performance. Job satisfaction partially mediates the influence of communication competence toward performance.
Addition of silicate or organic fertilizer increases growth and yield of several varieties of maize in East Lombok, Indonesia
Authors: Tatik Andrayani Endang , Wangiyana Wayan
Published: August 2021

Many have reported that application of Silicon (Si) can alleviate environmental stress and increase grain yield of maize plants under stresses. This study aimed to examine the effects of adding organic or silicate fertilizer on several varieties of maize in rainfed area during a dry season, by conducting field experiment designed with Randomized Complete Block Design testing two treatment factors, i.e. maize varieties (V1= Bisi-2, V2= Srikandi, V3= Pioneer-27) and fertilizer combinations (F1= NPK only, F2= NPK+organic, F3= NPK+silicate). Results indicated that there were significant effects of fertilizer combinations and varieties on growth and yield of several maize varieties, in which the mean values were highest in maize plants fertilized with NPK+silicate fertilizers, except harvest index. Among the varieties, Pioneer-27 (hybrid) yielded the highest followed by Srikandi (open-pollinated) and Bisi-2 (hybrid) yielded the lowest grain weight per plant. However, there were interaction effects of the treatment factors, meaning that there were different responses between varieties of maize to application of organic or silicate fertilizer in addition to NPK fertilizer in terms of plant height, AGR (average growth rate) of plant height and dry grain yield per plant. Grain yield per plant of Pioneer-27 could be increased with application of organic (150.79 g/plant) or silicate (189.43 g/plant) compared with NPK only (133.99 g/plant), while that of Srikandi and Bisi-2 could only be increased by addition of silicate (113.83 g/plant in Srikandi and 103 g/plant in Bisi-2) compared with NPK only (93.77 g/plant in Srikandi and 82.59 g/plant in Bisi-2).
Vila Maria Zélia: patrimônio ambiental urbano?
Authors: Soukef Junior Antonio , Busnardo Filho Prof. Dr. Antonio , Degreas Helena Napoleon
Published: August 2021

cicatrizes urbanas uma vez que o rápido e agressivo processo de evolução da cidade fez desaparecer os elementos que compunham a paisagem histórica da cidade, como os registros de diferentes formas de