bluuebunny/crossref_metadata_2025 huggingface dataset:
Socio-economic background affects the educational literacy of Wanni people: with special reference to the Nuwarakalawiya
Authors: Harshani K.R.N. , Siriwardena A.S.
Published: May 2021

The main objective of this research is to identify the economic and social impact on the literacy of the Wanni people identified through that research gap. The research methodology utilizes inscriptions and primary literature sources, research reports by various researchers and administrative reports of British Nationals, and interviews with 173 families in 35 villages in the Wanni region. The data are analyzed and focused on the social and economic impacts of collecting data on children in school, employment, housing and infrastructure, health, and food. The social, economic and political problems they face are a major factor in the growth or decline of a particular community, and it can be confirmed that the socio-economic factors they face play a major role in determining the educational literacy of the people of Wanni.
The professional prestige of librarians among the other professions: A literature review based on Sri Lanka
Authors: Ananda Tissa R.D.
Published: May 2021

Library Profession has a history around 5000 years. It began with the origin and gradual development of ancient scripts writing tradition and its related materials. Library service in Sri Lanka began as a community contribution with a religious origin. Origin of library profession commenced in 19 century however, it was developed as a highly accepted profession in the 20th century. There are several factors involving the progress and development of a profession. Social recognition is one of the leading factors. The principal objective of the study is to investigate the hierarchy of the Professional prestige of librarians to study with reference to Sri Lankan literature
Bibliometric analysis of the most cited articles in urolithiasis
Authors: Murugathas Komathy , Navaneethakrishnan S.
Published: May 2021

Urolithiasis is a common kidney disease affecting people in the world. The study aimed to carry out a bibliometric analysis of the most cited articles in urolithiasis and to identify the impact of research, active journals, productive country, and productive institution. The top most cited 100 publications indexed in the Scopus database were retrieved as study sample. The period of the study was limited up to the year 2019. The study gives an understanding of the global research trend and the impact of research publications among the scientific community. Twenty-five percent (25%) of the most cited articles were published between the years 2004 and 2007.The average citation per article was 542. The United States was the most productive country in the world regarding the research in this field. The Emory University of Atlanta in the United States was the highest contributing institution on urolithiasis research. Internationally more prominent weekly published general medical journals such as New England Journal of Medicine and Lancet, were the most active journals publishing mostly cited articles in urolithiasis. The findings of this study is useful to the researchers, who involve in research in urolithiasis. The study provides intellectual milestones in urolithiasis research reflecting the characteristics of the most cited published literature.
The Social role and the responsibilities of Public Libraries and Librarians in Transforming Society
Authors: Wickramarachchi Ayomi Priyantha
Published: May 2021

Transforming society essentially requires a change in social role and responsibilities of Public libraries and librarians. They need to deviate from their traditional roles, reach out to society with socially inclusive community programmes to address the issues related to education, literacy, culture, health and social wellbeing. These programmes will develop lifelong learning skills in the community making users confident and technically savvy to face the ever-increasing social challenges. The purpose of this paper is to evaluate and discuss the changing social role and the responsibilities of Sri Lankan Public librarians in transforming society in the context of rapid and ever-changing nature of Information Communication Technologies, unprecedented situations and the impact from social media. The automation of Public libraries has entrusted the librarian with additional responsibilities of updating the technological skills of the diverse community. Moreover, the librarian's reach out to the disadvantaged groups with appropriate Community Outreach Programmes, utilising social networking media. The changing social role of librarianship with new responsibilities are discussed through library websites, literature reviews, interviews, questionnaire methods and research studies completed by LIS professionals on relevant topics. The findings reveal that Public libraries make a valuable contribution to the user community by connecting users with ICT to pursue their educational and social goals. Finally, it suggests that libraries need to contribute with new Community programmes using the latest technology to build up the necessary resilience in the community against the increasing unprecedented threats such as the recent CoviD 19.It must be emphasized that the government and relevant information authorities need to support the libraries financially and professionally in achieving the intended goals during the transformation.
Continuing professional development of Public Librarians: with special reference to Ampara District of Sri Lanka
Authors: Masroofa M.M.
Published: May 2021

This paper presents research carried out to investigate the status of Continuous Professional Development (CPD) of public librarians of Ampara district and the factors influencing their continuous professional development that leads to professionalization. All public Libraries (n=58) in the Ampara district are considered as population and 50% of them (n=28) were selected as sample, by using the purposive sampling technique. The questionnaire was used as the research instrument. Both qualitative and quantitative data analyzing techniques have been carried out to generate reliable results. This study resulted that public librarians in this region have faced several types of hindrances in their professional development during the prevailed civil unrest for three decades in the island. Besides, some personal and institutional factors have retarded their professional development up to some extent. However, the Postwar situation has provided them a path to some extent of CPD during the last ten years. This study concluded that there is room for professional development of public librarians and necessary steps have to take to educate them, giving a good exposure with other library professionals and expertise, networking with other librarians and professional organizations. Therefore, this study recommends that relevant institutions and authorities have to collaborate and plan workshops, training, and other professional short courses to educate them and to provide the opportunity to take part in such programs, national and international conferences.
Disentanglement of Cape fur seals (Arctocephalus pusillus pusillus) with reversible medetomidine-midazolam-butorphanol
Authors: Gardner Brett R. , Spolander Brandon , Seakamela S. Mduduzi , McCue Steven A. , Kotze Pieter G.H. , Musson Maryke
Published: May 2021

Anaesthesia in pinnipeds is considered a much higher risk than in most terrestrial mammals because of their frequent proximity to water and physiological and anatomical adaptations related to diving, which also influence their anaesthesia management. Anaesthetising and immobilising entangled seals does not allow for selection of animals that are at a safe distance from the water’s edge. Medetomidine-midazolam-butorphanol (MMB) sedation was trialled on eight entangled Cape fur seals (CFS) (Arctocephalus pusillus pusillus) to determine if it was safe to use on animals that entered the water post-darting. The MMB was given at an estimated dose of 0.03 mg/kg, 0.2 mg/kg and 0.2 mg/kg, respectively, via remote darting. Sedation was reversed with intramuscular atipamezole (0.15 mg/kg) and naltrexone (0.4 mg/kg) to antagonise the effects of medetomidine and butorphanol, respectively. Moderate sedation was achieved in six animals. Six of the animals entered the water after being darted. There was a single mortality and a single animal that was too lightly sedated for capture. The preliminary results indicate that MMB produces suitable sedation for disentanglement of CFS. Additionally, MMB might be suitable for application to field-based biological research.
Clinical and Surgical Outcomes of Enneking Stage III Aneurysmal Bone Cysts of the Spine
Authors: Pandey Sanjeev Kumar , Gandham Edmond Jonathan , Prabhu Krishna
Published: May 2021

Objective:

To study the clinicoradiological characteristics and surgical outcomes in patients with aggressive aneurysmal bone cyst (ABC) of spine.

Materials and Methods:

In this retrospective study, data was collected from patients with aggressive ABC of spine managed between January 2007 and December 2016. Clinical findings, radiological, and histological characteristics were studied. Follow-up was done either in the outpatient clinic or through a telephonic interview.

Results:

Seven patients (mean age, 15.6 years, range, 6–23 years) diagnosed with Enneking stage III aneurysmal bone cyst of the spine were included in the study. Local pain with restriction of movement was the most common presenting complaint (100%). Four patients presented with myelopathy. Thoracic spine was the most common site of involvement (43%). Of the patients, 71% had involvement of all three columns. All patients underwent surgical management; gross total resection in four patients (57%) and subtotal in three patients (43%). Of the seven patients, six required instrumented fusion. None of the patients developed any perioperative complication except for one patient who developed transient hip flexion worsening. Two patients received conformal radiation therapy (RT) postoperatively. The follow-up ranged from 40 months to 108 months (mean follow-up was 4.5 years). There were no recurrences. At last follow-up, all patients were alive and had significant improvement.

Conclusions:

ABC of the spine is found predominantly in the pediatric population. Intralesional en bloc resection with instrumented stabilization provides effective and fast relief from pain, early mobility, good surgical, and long-term outcomes. Conformal RT following a planned subtotal excision prevents the progression of the disease.
Symptomatic pseudoaneurysms following laparoscopic cholecystectomy
Authors: Lampropoulos Charalampos , Markopoulos George , Tsochatzis Stylianos , Bellou Aggeliki , Amanatidis Theofilos , Kehagias Dimitrios , Papadopoulos George , Kehagias Ioannis
Published: May 2021

Background:

Laparoscopic cholecystectomy (LC) has been associated with an increase in the incidence of biliary and vascular injuries. Pseudoaneurysms (PAs) following LC are rare life-threatening events with limited available experience regarding diagnosis and treatment.

Materials and Methods:

An extensive review of literature during a 26-year period (1994–2020) using MEDLINE® database and Google Scholar® academic search engine revealed 134 patients with at least one symptomatic PA following LC.

Results:

Nearly 81% of patients with PAs become symptomatic during the first 8 weeks following LC. The most common symptoms were gastrointestinal bleeding (74%) and abdominal pain (61%). In 28% of cases, there was a concomitant bile duct injury or leak from the cystic duct stump, whereas in about one-third of cases, PAs presented following an uneventful LC. The most common involved arteries were the right hepatic artery (70%), the cystic artery (19%) or both of them (3%). Trans-arterial embolisation was the favoured first-line treatment with a success rate of 83%. During a median follow-up of 9 months, the mortality rate was 7%.

Conclusion:

Clinicians should be aware of the PA occurrence following LC. Prompt diagnosis and treatment are essential.
New learning area in laparoscopic gastrectomy for gastric cancer
Authors: Yüksel Cemil , Çulcu Serdar
Published: May 2021

Background:

Laparoscopic gastrectomy cannot be performed routinely in many centres, because there is still no standardisation in the centres where it is performed, and therefore, new learning areas are needed for residents working in these centres for surgical training. These areas are various courses, video training sets and video platforms watched over the internet. The most frequently used platforms are YouTube® and WebSurg®. Our aim is to compare these two online video platforms in terms of laparoscopic gastrectomy and to evaluate the contribution of video platforms to surgical training and whether they have sufficient technical quality.

Materials and Methods:

We made a search on YouTube® and WebSurg® using the keyword 'laparoscopic gastrectomy' on 13 November 2020. A total of 143 videos were analysed, 111 of them on YouTube® and 32 on WebSurg®. All these videos were examined by two surgical oncologists experienced in laparoscopic gastrectomy and using laparoscopy in their daily practice.

Results:

The average video duration was 53.54 min in the YouTube® group and 18.20 min in the WebSurg® group, and this difference was found to be statistically significant between the two groups. According to the LGSS based on surgical procedures, the average score of WebSurg® videos was 10.37 and of YouTube® videos was 5.55, and there was a statistically significant difference between the two groups.

Conclusions:

Today, video platforms have started to play a major role in surgical training. Of these platforms examined, WebSurg® is superior to YouTube® in terms of education and quality, but these platforms still have some deficiencies and need regulation.
Chronic Anticholinergic Toxicity Discovered in a Pharmacogenomics, Polypharmacy Patient
Authors: Schuh Michael J. , Crosby Sheena
Published: May 2021

Objective: To report a case of chronic anticholinergic toxicity in a referred, pharmacogenomics (PGx), polypharmacy patient. Summary: The patient is a 67-year-old male who was referred to the polypharmacy service for a PGx consult. This patient has had
episodic fever of unknown origin, general cutaneous vasodilation, tremors, jerks, and brain fogginess which have been unexplained. He has seen specialists from infectious disease, rheumatology, endocrinology, and neurology with no contributory condition causing these symptoms, so he was referred
for PGx testing and evaluation by the polypharmacy pharmacist. Conclusion: This case demonstrates the importance of pharmacist-patient consultations and how a PGx consult may expose polypharmacy medication-related problems of greater significance than the PGx indication
for the consult. In addition, the case demonstrates positive interprofessional collaboration between pharmacists and physicians to more effectively solve complex medication-related problems that may not be easily diagnosed through objective lab or diagnostic testing.
Impact of a Pharmacy-Led Transitions of Care Program Within a Primary Care-Based Accountable Care Organization
Authors: Joseph Tina , Hale Genevieve M. , Moreau Cynthia , Kourtakis Stephanie L. , Wolowich William R.
Published: May 2021

Objective: To assess the impact of pharmacist-led transitions of care program on 30-day readmission rates in the accountable care organization (ACO) primary care setting. Design: Retrospective cohort study. Setting: Two primary care provider
(PCP) offices with an ACO in South Florida. Patients, Participants: Adult Medicare patients who completed a post-discharge follow-up visit at two primary care offices within an ACO from July to December 2017. Interventions: To supplement postdischarge
visits with a PCP, the pharmacy services were also provided two days per week with a PCP. The comparator groups were patients who only saw a PCP or those who saw a PCP and pharmacist. Main Outcome Measurements: The primary outcome was hospital readmission or emergency department
visit within 30 days. Results: A total of 190 subjects were included. There were 113 patients in the PCP group and 77 patients in the PCP/pharmacist group. There was a reduction in the primary outcome when comparing the PCP-only versus PCP/pharmacist groups (6.2% versus
3.9%; P = 0.74). Conclusion: Involving pharmacists in patient transitions of care in the primary care setting may be beneficial as previous studies have demonstrated. Further studies evaluating pharmacy services in emerging health care models are needed in order to most
effectively utilize the expertise of the pharmacy team.
Preterm Neonatal Mortality and its predictors in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: a retrospective cohort study
Authors: Yared Asmare Aynalem  , Hussien Mekonen  , Tadesse Yirga Akalu  , Bereket Gebremichael  , Wondimeneh Shibabaw Shiferaw
Published: May 2021

BACKGROUND፡ Preterm neonatal death is a global problem. In Ethiopia, it is still high, and the trend in reduction is slower as compared to child mortality. Preterm neonatal birth is the leading cause. The magnitude and associated factors are also not well documented. Therefore, this study aimed to estimate the incidence of mortality and its predictors among preterm neonates in Tikur Anbesa Specialized Hospital (TASH).METHODS: An institution-based retrospective cohort study was conducted among 604 preterm neonates admitted to Tikur Anbesa Specialized Hospital. Data were collected by reviewing patient charts using systematic sampling with a checklist. The data entry was done using EpiData version 4.2, and analysis was done using Stata Version 14.1. Kaplan-Meier and log-rank tests were used to estimate the survival time and to compare it. Cox proportional hazard was also fitted to identify major predictors. Hazard Ratios (HRs) with 95% Confidence Intervals (CI) were used to assess the relationship between factors associated with the occurrence of death. Finally, statistical significance was declared at p-value < 0.05.RESULTS: In this study, a total of 604 patient charts were reviewed; of these, 571 met the inclusion criteria and were recruited to the study. A total of 170(29.7%) preterm neonates died during the follow-up period. The median follow-up time of preterm neonate under the cohort was 21 days (IQR: 4, 27). The incidence rate was 39.1 per 1000-person day. Rural residency (AHR: 1.45 (95% CI: 1.1,4.8)), Maternal diabetic Mellitus (AHR:2.29 (95%CI: 1.43,3.65), neonatal sepsis (AHR:1.62 (95% CI: 1.11,2.37), respiratory distress (AHR:1.54 (95% CI:1.03,2.31), extreme prematurity (AHR:2.87 (95% CI:1.61, 5.11), and low APGAR score (AHR:3.11 (95% CI:1.79, 5.05) was found to be predictors .CONCLUSION: The rate of preterm neonatal mortality is still an important problem. Having maternal gestational Diabetic Mellitus, neonatal sepsis, respiratory distress, and low Apgar score were major predictors for preterm neonatal mortality. Therefore, efforts have to be made to reduce the incidence of death and for timely management of mothers with Diabetic Mellitus. Healthcare professionals should also work on early diagnosis and treatment of preterm neonate with sepsis, respiratory distress, and low Apgar score.
Evaluation of Pathogenic Bacteria Associated with Fresh Produce obtained from Selected Markets in Abeokuta
Authors: Afolabi OR , Oloyede AR , Ibrahim TA
Published: May 2021

The bacterial quality of eight types of fresh produce obtained from selected markets in Abeokuta was determined. Two hundred forty (240) samples of fresh vegetables were examined for aerobic plate counts, coliform counts, and presence of Escherichia coli, toxigenic Staphylococcusaureus, Salmonella spp and Listeria spp. The aerobic plate counts ranged from 2.80 log10 cfu/g to 15.60 log10 cfu/g with the inner parts of cut- water melons having the highest value. Total coliform counts ranged from 0.0 to 11.80 log10 cfu/g. Pathogenic bacteria isolated were Escherichia coli,Staphylococcus aureus, Salmonella spp, Listeria spp, Shigella dysenteriae, Klebsiella pneumoniae, Enterobacter aerogenes, Bacillus spp, Pseudomonas aeruginosa and Streptococcus spp. These pathogens were mostly found at the outer leaves/ parts of the vegetables and render unsafe for human consumption. This study shows that the outer parts/ leaves of fresh produce are heavily contaminated with pathogenic bacteria and the fresh produce should be pre- treated thoroughly, so as to reduce the risk of food- borne outbreaks.Keywords · Pathogenic bacteria · Bacterial quality · Coliform counts
Suboptimal Utilisation of Resources in Sub-Saharan African Higher Education Institutions: the Case of Teaching Space at Makerere University
Authors: Ssempebwa J , Owolabi SO , Bakkabulindi FEK
Published: May 2021

Many higher education institutions in Sub-Saharan Africa are underfunded.Consequently, they are operating with encumbering resources constraints that threaten quality assurance. Accordingly, they are working to expand the availability of these resources. Notwithstanding, it is taken for granted that once available, these resources are optimally utilized and that, in instances expanding their availability is not possible, compromising on some elements of the quality of higher education is inevitable. The problem is that this presumption could disguise inadequacies in the utilization of the resources, with the consequence that the institutions’ need for the resources is exaggerated. Preoccupation with expanding the availability of resources could also stifle the innovation of creative ways of making the best use of the resources available. This means that the institutions need to evaluate their utilization of these resources—to pinpoint their need for the resources and potential for quality assurance. This paper reports the findings of a study that responded to this need, taking the case of teaching space at Makerere University. The objective ofthe study was to verify the hypothesis that the University is teaching space constrained. The findings were that the resource is overly underutilized albeit this was disguised by occasional overutilization of the same space, a concomitance that only multidimensional evaluation could unearth. Accordingly, the study gives credence to the hypothesis that shortages of resources at the University, and similar institutions, are ostensible. Therefore, it is recommended that these institutions subject their utilization of resources to rigorous evaluation.Keywords · Resources management · Higher education funding · Educational administration
Microbiological Safety of Ready-to-eat Foods Sold in Primary Schools in Abeokuta, South-West Nigeria
Authors: Afolabi OR , Oloyede AR , Obuotor TM , Adegoke LM , Adeleke AO , Komonibo TO
Published: May 2021

A study was conducted to assess the microbial safety of ready-to-eat (RTE) foods sold in private and public primary schools in Abeokuta, South-western Nigeria. One hundred and sixty RTE food samples were collected from forty food vendors in thirty primary schools and analysed microbiologically. Socio-economic status and their knowledge of food safety were assessed using the structured questionnaires. Total bacterial counts, total coliform counts and total fungal counts of RTE foods in public primary schools ranged from 6.27 log10cfu/g to 6.47 log10cfu/g, 6.00 log10cfu/g to 6.28 log10cfu/g and 5.85 log10cfu/g to 6.16 log10cfu/g respectively while those of private primary schools ranged from 6.30 log10cfu/g to 7.47 log10cfu/g, 6.15 log10cfu/g to 6.54 log10cfu/g and 5.60 log10cfu/g to 6.70 log10cfu/g respectively. Bacteria isolated from these samples were Bacillus cereus, Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus aureus, Proteus spp, Enterobacter aerogenes, Shigella dysenteriae and Escherichia coli while the fungal isolates includeAspergillus niger, Aspergillus fumigatus, Rhizopus spp, Penicillium  viridicatum, Mucor spp and Fusarium spp. RTE foods sold in both private and public primary schools were found to be highly contaminated. Inappropriate storage conditions, inadequate knowledge of food safety, attitudes and practices of the food vendors are the factors that may allow the food contamination. These findings demonstrate that ready-to-eat foods vended in public and private primary schools in Abeokuta, South-western Nigeria constitute an hazard to the pupils’ health. Provision of health education to the vendors and enforcing implementation of appropriate hygienic practices would improve food quality.Keywords · Ready-to-eat foods · Microbial safety · Primary schools
Assessment of the resettlement compensation satisfaction of wood workers at Sokoban, Kumasi
Authors: Quagraine V. K. , Oppong R. A. , Twumasi-Ampofo K.
Published: May 2021

Resettlement has been one of the strategies used to pave way for development and redevelopment of infrastructure in major cities of Ghana in the past few decades. Resettlement is usually characterized by displacement of people and their livelihoods. In Kumasi, resettlement has physicallydisplaced over 10,000 people mostly traders, in and around the Central Business District. Kumasi has undergone significant development in the past two decades in the areas of road and housing construction, resulting in the resettlement of some commercial neighborhoods including the wood merchants from Anloga to allow for the construction of the south-eastern section of the ring road from Oforikrom (Anloga) to Nhyiaeso. This study assessed the outcome of involuntary resettlement of wood merchants from Anloga to Sokoban Wood Village in terms of compensation, improvement in working space and the impact on the timber trade. The study used mixedmethods: it relied on the administration of questionnaires and interviews to gather data from respondents for analysis as well as the use of dependent sample T-test for hypothesis testing to evaluate the change in livelihood that resulted from the resettlement programme. The study revealeda significant improvement in the livelihood of the displaced workers after the resettlement.Keywords: Resettlement, Infrastructure, Compensation, Satisfaction, Livelihoods
The determinants of pottery demand in Ghana
Authors: Nortey S. , Amoanyi R. , Essuman A.
Published: May 2021

The pottery industry in Ghana has been experiencing low demand for its products due to the influx of plastic products and other substitutes. Empirical studies reveal that consumers prefer these traditional products for their domestic and aesthetic uses. This paper examined the determinants of pottery demand in Ghana. Two pottery centres each in five regions in Ghana in addition to 1421 pottery consumers were randomly selected for the study. Using descriptive statistics under the qualitative and quantitative research designs, the study revealed that price of pottery products and their availability play a very significant role in determining demand. Results on quality and perceived purpose or function of pottery products are however mixed. Keywords: Pottery; demand; determinants; Ghana
Análisis empírico sobre el rendimiento académico de los estudiantes en la asignatura de inglés con el uso de Voscreen
Authors: Narváez Carrión César Rafael , Larrea Astudillo Nelly Carolina , Cruz Báez Estafanía Cruz , Analuisa Maiguashca Jessica
Published: May 2021

La tecnología es parte importante de la sociedad actual y una interesante herramienta para mejorar el aprendizaje, su uso responde a la naturaleza lúdica que la caracteriza. El objetivo de la presente investigación es conocer si existe una correlación entre el uso frecuente de la aplicación VoScreen y el rendimiento académico de los estudiantes de idioma inglés de la Universidad Estatal de Bolívar, Ecuador. Esta investigación cuantitativa experimental, se basa en un muestreo no probabilístico intencional, aplicado durante un periodo de dieciséis semanas a un total de 270 estudiantes universitarios de diferentes edades y pertenecientes a diferentes carreras. Se analizó el uso o no de la aplicación VoScreen y los resultados obtenidos al final del periodo académico, constatando la investigación correlacional entre el uso de la aplicación y la obtención de mejores calificaciones al término del periodo académico. Finalmente, una encuesta aplicada reflejó la alta aceptación de la aplicación.
Potentials of Protected Areas as Carbon sinks and Implication on Climate Change in
Cameroon
Authors: P Ajonina Usongo
Published: May 2021

Cameroon has 115 000 km2 land area designated as Protected Areas (PAs), providing society with many
ecosystem services including climate change mitigation. The study was aimed at examining the potentials of
inland and coastal PAs as carbon sinks and implication on climate change mitigation in Cameroon between 1978
and 2014. Data for the study was obtained from both primary and secondary sources. Remote Sensing and
Geographic Information System (GIS) techniques were used in the analysis of satellite imageries. The land cover
change trajectory revealed a drop in the rate of conversion of dense forest within inland PAs compared to coastal
PAs. Results reveaked carbon sequestration within inland PAs between 1978 and 2014 and the PAs were able to
absorb166,590.73 tonnes/ha CO2 from the atmosphere and build up carbon resulting to the amelioration of the
local and regional climate of the area with a positive impact on global climate change. Within the coastal PAs,
there was 71,418.48 tonnes/ha CO2 emission through 1978 – 2014 with resulting negative impacts on the climate.
The constraints to effective PA management identified were human and capital resource problems, hostility of
the local population, delayance in law enforcement and poverty. To ensure their roles in climate moderation there
should be a better forest policy implementation within PAs in Cameroon by making available more capital and
human resources to PAs management to enable them cope in the face of growing anthropogenic threats.
Research on the risk control of Jingdong logistics Company
Authors: Jin Haishui
Published: May 2021

Risk control is the focus of logistics company risk management. However, because the risk control is a very complex
project, many logistics companies have not achieved the ideal effect of risk control. As a new type of logistics service,
the third party logistice service plays an important role in China's logistics service market with the expansion of the
demend for logistics service. On the basis of elaborating the current situation of Jingdong logistics company risk control,
this paper focuses on identifying and analyzing the main risks faced by Jingdong logistics company, and then puts
forward targeted measures to control the risks of Jingdong logistics company. It is hoped that this study can provide
useful reference for the risk control of the third party logistics enterprises.
Malária no Piauí: espacialização dos casos no período de 2008 a 2013
Authors: Santos Antonio Carlos dos , Valladares Gustavo Souza , Hassum Izabella Cabral , Chagas Mauro Fernando Barbosa , Cronemberger Mônica da Silva Pinto
Published: May 2021

A malária é uma doença infecciosa, aguda, febril transmitida pela picada da fêmea de mosquito do gênero Anopheles. No Brasil, a região amazônica é endêmica para transmissão da malária onde ocorrem 99,6% dos casos. O estado do Piauí notificou no período de 2008 a 2013, 279 (duzentos e setenta e nove) casos do agravo, sendo 112 (cento e doze) autóctones todos em sua maioria residentes na zona rural e 169 (cento e sessenta e nove) importados. Este estudo tem como objetivo realizar análise da espacialização dos casos de malária no Piauí do ano de 2008 a 2013. Os resultados obtidos através dos dados do SINAN e por meio do uso do SIG foram seis mapas espacialização da doença no estado com o número de caso absolutos, ano a ano, durante o período estudado. Na discussão identificou-se que o padrão de distribuição espacial dos surtos de casos de malária está concentrado na porção noroeste do Piauí na fronteira com o Maranhão. Após as análises, conclui-se que todos os 58 municípios que registraram malária no Piauí na série temporal do estudo, estão localizados e aglomerados em área vulnerável e receptiva para a transmissão da doença.
Promoção da saúde da mulher: representação social de enfermeiras
Authors: Silva Victória Agna Alves Nascimento da , Pereira Renata Martins da Silva , Oliveira Clarissa Ferreira Pontual de , Silva Dyene kelly Leopoldina Rodrigues da
Published: May 2021

A enfermeira no cotidiano de seu trabalho tem a responsabilidade de cuidado do indivíduo, da família e de toda comunidade. Ela é responsável, junto à equipe multiprofissional, por ampliar o acesso da população de igualitária aos serviços de saúde. Para isto conta não somente com conhecimento clínico, mas também com a responsabilidade social para impulsionar mudanças de comportamento frente a manutenção da saúde de mulheres assistidas. Propiciando uma atenção em que haja a predominância da promoção da autonomia da usuária sobre sua saúde e prevenção de agravos. O objetivo da pesquisa foi identificar a representação social atribuídas pelas enfermeiras ao seu cuidado destinado a mulheres na atenção básica. Trata-se de uma pesquisa de campo com abordagem qualitativa do tipo descritiva e que utilizou a Teoria das Representações Sociais para a análise dos dados. Foi desenvolvida no município de Angra dos Reis (RJ) em Unidades de Estratégia de Saúde da Família. Foram entrevistadas 10 enfermeiras.  Os resultados demonstraram que 90% das participantes se sentem realizadas com sua profissão. 70% disseram ter papel importante como promotora do cuidado e se sentem como referência para a promoção do cuidado, apesar de encontrar obstáculos culturais e de questões de gênero para praticar o cuidado às mulheres. Conclui-se que a formação de vínculo e o olhar minucioso para as necessidades de cada mulher individualmente pode promover um cuidado qualificado e gerar satisfação tanto às clientes quanto às enfermeiras na prática de sua profissão.
Prevalência de sobrepeso e obesidade em escolares: revisão sistemática de literatura
Authors: Cantanhede Anderson Dos Santos , Mariano Eder Rodrigo
Published: May 2021

A obesidade é um dos problemas de saúde mais graves e crescentes que afeta a população mundial. Atualmente, é considera um problema de saúde pública, especialmente pelo fato do aumento de sua prevalência em crianças e adolescentes. No Brasil, percebem-se dados preocupantes em todas as regiões, fundamentalmente entre escolares. As causas da obesidade são de etiologia multifatorial, sendo as principais delas a inatividade física e a alimentação inadequada, rica em gorduras. O objetivo deste estudo foi analisar a prevalência de sobrepeso e obesidade em escolares de forma a traçar estratégias de prevenção a essa enfermidade. Tratou-se de uma pesquisa de revisão sistemática da literatura com escolares de 6 a 10 anos que teve como base de dados artigos e periódicos publicados eletronicamente nas bases de dados: Scielo, Pubmed, Lilacs e Biblioteca Virtual em Saúde no período compreendido entre janeiro de 2002 e janeiro de 2013.  Estudos apontam que devido ao avanço tecnológico e a transição nutricional no Brasil as crianças tem se tornado mais vulnerável ao risco de sobrepeso e obesidade visto que vivem mais tempo usando o computador, assistindo televisão ou vídeo game, preferem alimentos ricos em gorduras e açúcares e realizam pouca atividade física. O estudo também revelou uma maior prevalência de sobrepeso e obesidade em meninos e nas escolas privadas. Com a obtenção destes resultados evidencia-se a importância de implantar programas educacionais, voltados especialmente à formação de hábitos alimentares mais saudáveis e a prática regular de atividades físicas, desde a infância.
Aleitamento materno: Conhecimento prévio de adolescentes nulíparas
Authors: Lima Elaine Andréa Ramos , Vieira Alberto Calson Alves , Oliveira Halley Ferraro , Bispo Ana Jovina Barreto , Lopes Izailza Matos Dantas
Published: May 2021

Introdução: O Ministério da Saúde (MS) define o Aleitamento Materno Exclusivo (AME) como a alimentação do recém-nato com leite materno, diretamente do seio ou ordenhado, sem acréscimo de outros alimentos artificiais, água, chupeta ou mamadeira. O AM promove uma oferta adequada e essencial de nutrientes para o crescimento e desenvolvimento das crianças, além de proteger contra infecções e outras doenças, aumentando as chances de sobrevida. Objetivo: Avaliar o conhecimento prévio de adolescentes nulíparas sobre o Aleitamento materno. Metodologia: Pesquisa transversal, analítica, descritiva, com abordagem qualitativa. O universo do estudo foi composto por 107 estudantes do sexo feminino de duas escolas do município de Aracaju/ SE. Para a coleta de dados foi utilizado um questionário elaborado pelo autor baseado na literatura. Resultados: Observou-se que 81,3% conheciam a definição de aleitamento materno. Todas (100%) consideraram que o leite materno é importante para o desenvolvimento do bebê. O tempo mínimo de amamentação exclusiva mais assinalado pelas adolescentes foi o intervalo entre 3 a 6 meses (52,3%).  Além disso, 81,3% referiram que existe leite materno fraco e 67,3% alegaram que a amamentação pode levar a queda dos seios. Em relação a alimentação complementar, 85% das participantes ressaltaram que o “gogó”, ou seja, as fórmulas prontas, alimenta mais a criança que o leite materno e apenas, 36,4% sinalizaram que a mamadeira e a chupeta atrapalham a amamentação. Conclusão: Concluiu-se que é necessário intervenções efetivas em ambiente escolar, a fim de promover a futura prática do aleitamento materno.
Avaliação das relações familiares durante a gravidez: quais instrumentos são utilizados?
Authors: De Mendonça Révora Silvério , Vera Ivania , Lopes Renata Silva , De Alcântara Gizelda Vasconcelos Vieira , De Souza Ligia Maria Maia
Published: May 2021

O relacionamento familiar estruturado desempenha papel decisivo na prevenção e no tratamento de comorbidades, em especial no período gestacional. O objetivo deste estudo foi sistematizar o conhecimento produzido acerca dos instrumentos utilizados para avaliação das relações familiares de gestantes. Trata-se de revisão integrativa da literatura realizada nas bases de dados LILACS, SciELO, MEDLINE® e PubMed® publicados entre 1° de janeiro de 2009 a 16 de abril de 2019. Utilizaram-se os seguintes descritores controlados “family relations AND pregnant women AND surveys AND questionnaires”. Preencheram os critérios de inclusão 25 artigos. Destes, 64% foram classificados como estudos transversais. Dentre os instrumentos utilizados para avaliação das relações familiares de gestantes mais prevalentes estiveram o Autonomy and Relatedness Inventory, o Attachment Style Interview, The Pregnancy Experience Scale, o Family Relation Index e a Mini International Neuropsychiatric Interview. Em meio aos artigos selecionados, emergiram temáticas que apresentavam influência direta sobre as relações familiares, como violência por parceiro íntimo, promoção da saúde na gestação, depressão gestacional e binômio mãe e filho. Para cada objeto de estudo relacionado, foram utilizados questionários específicos e semiestruturados. Foram escassos os questionários específicos para o objetivo geral de avaliação das relações familiares durante o período gestacional. Torna-se imprescindível a adequação de questionários de fácil aplicação na prática clínica, que avaliem apropriadamente a qualidade das relações no período gestacional, adaptados à realidade brasileira.
STUDY TO EVALUATE THE EFFICACY OF MATRA VASTI OF PANCHTIKTA GUGGULU GHRITA IN SANDHIVATA (OSTEOARTHRITIS)
Authors: Neetu Sharma  , N.R.Singh
Published: May 2021

Sandhigata Vata is Vatapradhana Vyadhi, which needs a specific target of therapeutic intervention to slow down the process of Dhatu Kshaya and to pacify Vata. We can correlate Sandhigata Vata with osteoarthritis (OA) on the basis of clinical features. OA is defined as a chronic joint disorder with progressive softening and disintegration of articular cartilage and bone at joint margin called osteophytes and capsular fibrosis. Matra Vasti of Panchtikta Guggulu Ghrita is effective in the management of Sandhivata. Aim: To evaluate the efficacy of Matra Vasti of Panchtikta Guggulu Ghrita in the management of Sandhigata Vata (Osteoarthritis). Materials and method: Total 40 patients having signs and symptoms of Sandhivata were selected and randomly divided into two groups. In Group A (n=20), Laksha Guggulu 250mg 2tab for TDS and Group B (n=20) Laksha Guggulu in same dose with 50ml of Matra Vasti of Panchtikta Gugulu Ghrita for 16 days. Results: Statistical analysis of both groups comparison in right knee joint shows that there are no significant results in movement and swelling. In both group comparisons pain shows significant results. Conclusion: Matra Vasti of Panchtikta Guggulu Ghrita provided better results compared to Laksha Guggulu in the management of Sandhivata (Osteoarthritis).
ATIVISA (ACONITUM HETEROPHYLLUM WALL EX. ROYLE): A COMPREHENSIVE REVIEW ON PROPAGATION, TRADITIONAL USES AND PHARMACOLOGY
Authors: Gagandeep Kour  , Suresh Chaubey  , Dinesh Chandra Singh  , Rajesh Kumar Mishra
Published: May 2021

Aconitum heterophyllum Wall ex. Royle is considered an important medicinal plant in traditional system of medicine as the tuberous roots are used for curing different ailments. But over grazing, prolong seed dormancy and many other reasons have led to the exploitation of this plant, so conservation through various modes is the need of the hour. Aims: The present review aims for accounting extensive information on different methods of propagation, traditional uses and pharmacological activities of Aconitum heterophyllum. Review Methods: A literature search was done on Aconitum heterophyllum using relevant Ayurvedic and contemporary texts. Different scientific databases such as Pubmed, Scopus, EBSCO, Google Scholar Information were used to collect all information regarding propagation and pharmacology of this plant. Results: Available data has reported that this endangered plant can be propagated through various methods such as raising propagules from seeds and daughter tubers, and other plant tissue culture techniques. Plant has reported to have 0.79% of total alkaloids in roots, out of which Atisine (0.4%), Heteratisine (0.3%), histisine, heterophyllisine, heterophylline, heterophyllidine are some major alkaloids. It also possesses important pharmacological activities like anti-bacterial activity, anti-diarrhoeal activity, enzyme-inhibition activity, anti-inflammatory activity, hepato-protective activity and anti-spasmodic activity. Conclusion: The results of this review clearly suggests about the valuable traditional use of Aconitum heterophyllum in curing various ailments like diarrhoea, dysentery, bilious complaints, intermittent fever and diseases of children. Further research: Different traditional uses mentioned in Āyurveda texts need further validation through different experimental and clinical studies which is a recommendation of this review.
REVIEW ON AYURVEDA CONCEPTS ON THE REGIMEN OF FOOD AND DRINK CONSUMPTION
Authors: Nanayakkara Vidanagamage Yasangi Diloopa  , Edirimuni Rodrigo Hathishiya Sujatha Silva Ediriweera
Published: May 2021

This is a review conducted with the objectives of evolving the concepts of the regimens of the food consumption according to the Ayurveda. In comparison to the past decades, non communicable diseases are a burden to the present society. Non-healthy patterns and practices of the food consumption are proven as a major determinant factor to increase the non-communicable diseases. This has been proven by various studies. Hence, it is important to identify the healthy pattern and practices of food consumption. This review is based on the textual references in relation to Ayurveda medicine and journal articles. Ayurveda medicine which provided wide range of spectrum in food consumption, fulfilled with wholesome and non wholesome way of arrangement in the kitchen, qualities of the person who prepares the meals, methods of preparing meals, methods of offering the meal, way of selecting the meal, determining the quantity of food that is liable to be consumed, proper time for consuming food, things that should and should not be done before and after consuming meals, codes and ethics during the food consumption with conceptual justification based on the Ayurveda medicine. Some of these facts are proven by the modern science also. This knowledge can be utilized as a solution for the prevailing health burden in non-communicable diseases with a more advanced and scientific way.
EFFICACY OF MADHYAMA PANCHAMOOLA CHURNA IN KSHEENASHUKRA (OLIGOSPERMIA) - A CASE REPORT
Authors: Nagendra Chary.M  , Lalitha B.R  , T.Anil Kumar
Published: May 2021

Male infertility is a condition in which male inability to result pregnancy in fertile female partner. It accounts to 40-50% infertility. It is due to low sperm concentration, poor sperm motility and abnormal morphology of sperm etc. Ayurveda classical texts explained male fertility defects under eight types of Shukra dusti. Ksheenashukra is one among Shukradusti affecting lowered state of sperm concentration and it can be correlated to Oligospermia. There are number of single and combination of drugs mentioned to this condition. In present case study, a subject of 32 year old male attended the free male infertility medical camp with complaints of unable to conceive her partner even after unprotected intercourse since 4 years of married life. Semen analysis report reveals that low sperm count and low motility. This case was treated with Madhyama panchamoola churna along with Ksheera for 3 months. After the course of the treatment semen volume, sperm count, sperm motility, sperm morphology, total testosterone and sexual activity were enhanced. His partner conceived during the course of the treatment. The findings in study revealed that Madhyama panchamoola churna in Oligospermia with no adverse effects highlight the scope of Ayurveda medicine in male infertility disorders.
Elektronik Ticaret Alışverişinde Tüketicilerin Algıladığı Riskin Ölçümlenmesi: Çok Boyutlu Bir Yaklaşım
Authors: TUNCER İlhami
Published: May 2021

Özellikle pandeminin etkisiyle elektronik ticaret (e-ticaret) sektörünün önemi gittikçe artmaktadır. Sektördeki gelişime paralel olarak tüketicilerin karşılaştığı risklerde farklılaşmakta ve satın alım sürecinden büyük sorunlar oluşturmaktadır. Literatürde bu konu ile ilgili çalışmalar var olmasına rağmen belirli risk boyutlarına odaklanıldığı gözlemlenmiştir. Daha kapsamlı risk boyutları ile ilgili çalışmaların oldukça kısıtlı olduğu anlaşılmaktadır. Dolayısıyla bu çalışma literatürdeki bu boşluğa önemli katkı sunması düşünülmektedir. Bu çalışmada e-ticaret tüketicilerinin algıladığı riskin ölçümlenmesi amaçlanmıştır. Bu doğrultuda 230 katılımcıdan veriler elde edilmiş ve bu verilerin analizinde en küçük kareler yöntemi ile yapısal eşitlik modeli kullanılmıştır. Bu analiz sonuçlarına göre bütün boyutlar algılana risk ana yapısıyla ilişki iken, tüketicilerin için en fazla riski oluşturan boyutlar benzer olmayan ürün, yetersiz hizmet ve işlem başarısızlığı olmuştur.
Euthanasia Formulation Policy in Indonesia's Criminal Legislation and Implications for Patient Life
Authors:   Master of Law Studies Program, Faculty of Law Diponegoro University Imam Bardjo, S.H. Street, No. 1 - 3, Kampus Pleburan,Semarang 50241, Aswijati Indira Inggi
Published: May 2021

No religion is recognized in Indonesia that allows euthanasia to be carried out. Because indeed an action in English called mercy killing or murder based on mercy can also be said to be contradictory to its name, where in carrying out the manifestation of mercy it is precisely what is done is to take the life of man, the gift of the Almighty and should be respected and guarded. Formulation of Article 344 of the Criminal Code concerning euthanasia has a weakness, among others: The existence of elements: at the request of the person himself expressed with sincerity, which makes it difficult to prove and prosecute. Article 344 of the Criminal Code is about active euthanasia, whereas the law of passive euthanasia is not regulated. Delict euthanasia is an ordinary offense, and is not an offense, so it is demanded the tenacity and sharpness of the investigating apparatus and investigators to reveal whether an act of euthanasia has been committed.