bluuebunny/crossref_metadata_2025 huggingface dataset:
Indicator of responsible consumption in hospitality companies: proposal of theoretical bases
Authors: De Souza Claudio Alexandre , Balbinot Zandra
Published: July 2021

ABSTRACT

Studies indicate that there is demand for services performed responsibly. This study aims to present theoretical bases for the proposal of an indicator of responsible consumption for hospitality companies. It is the outcome of desk and documentary research on scientific bases for corporate social responsibility and sustainability indicators for hospitality companies. This research identifies the urgent need to review the way that corporate social responsibility actions are handled in this sector. It also identifies a need for change in the way that the social relationship with the client stakeholder is conceived from its inception. The research also confirms the importance of discovering different ways to act effectively towards sustainability. This study presents a theoretical proposal as a basis for Indicators of Responsible Consumption in Hospitality Companies (IRCHC). The specific goals of this research include: to present a theoretical proposal of IRCHC that adds value to CSs; to make sustainable the lifecycle of responsible service; to respect all sustainability dimensions; to have strategic applicability for HCs; and to be easily understood by involved parties.

 

RESUMEN

Los estudios indican que existe una demanda de servicios realizados de forma responsable. Este estudio tiene como objetivo presentar las bases teóricas para la propuesta de un indicador de consumo responsable para las empresas de hostelería. Es el resultado de una investigación documental y de gabinete sobre las bases científicas de los indicadores de responsabilidad social corporativa y de sostenibilidad para las empresas de hostelería. Esta investigación identifica la necesidad urgente de revisar la forma en que se gestionan las acciones de responsabilidad social corporativa en este sector. También identifica la necesidad de cambiar la forma en que se concibe la relación social con el cliente desde su inicio. La investigación también confirma la importancia de descubrir diferentes formas de actuar eficazmente hacia la sostenibilidad. Este estudio presenta una propuesta teórica como base para los Indicadores de Consumo Responsable en Empresas de Hostelería (IRCHC). Los objetivos específicos de esta investigación son: presentar una propuesta teórica de IRCHC que añada valor a las EF; hacer sostenible el ciclo de vida del servicio responsable; respetar todas las dimensiones de la sostenibilidad; tener aplicabilidad estratégica para las EF; y ser fácilmente comprensible para las partes implicadas.
Heterogeneity of non-cystic-fibrosis bronchiectasis in multiethnic Singapore: A prospective cohort study at a tertiary pulmonology centre
Authors: Young Si Ling , Puan Youxin , Chew Si Yuan , Mohamed Haja Mohideen Salahudeen , Tiew Pei Yee , Tan Gan Liang , Koh Mariko Siyue , Lee Ken Cheah Hooi
Published: July 2021

Introduction: Non-cystic fibrosis bronchiectasis (NCFB) is a highly heterogenous disease. We describe the clinical characteristics of NCFB patients and evaluate the performance of Bronchiectasis Severity Index (BSI) in predicting mortality. Methods: Patients attending the bronchiectasis clinic between August 2015 and April 2020 with radiologically proven bronchiectasis on computed tomography were recruited. Clinical characteristics, spirometry, radiology, microbiology and clinical course over a median period of 2.4 years is presented. Results: A total of 168 patients were enrolled in this prospective cohort study. They were predominantly women (67.8%), Chinese (87.5%) and never-smokers (76.9%). Median age of diagnosis was 64 years (interquartile range 56–71) and the most common aetiology was “idiopathic” bronchiectasis (44.6%). Thirty-nine percent had normal spirometries. Compared to female patients, there were more smokers among the male patients (53.8% versus 8.5%, P<0.001) and a significantly larger proportion with post-tuberculous bronchiectasis (37.0% vs 15.8%, P=0.002). Fifty-five percent of our cohort had a history of haemoptysis. Lower body mass index, presence of chronic obstructive pulmonary disease, ever-smoker status, modified Reiff score, radiological severity and history of exacerbations were risk factors for mortality. Survival was significantly shorter in patients with severe bronchiectasis (BSI>9) compared to those with mild or moderate disease (BSI<9). The hazard ratio for severe disease (BSI>9) compared to mild disease (BSI 0–4) was 14.8 (confidence interval 1.929–114.235, P=0.01). Conclusion: The NCFB cohort in Singapore has unique characteristics with sex differences. Over half the patients had a history of haemoptysis. The BSI score is a useful predictor of mortality in our population. Keywords: Bronchiectasis, exacerbations, gender, haemoptysis, mortality, Reiff score, sex
Síndrome trófico trigeminal
Authors: Lertora María , Della Giovanna Patricia , Cabrera Hugo Néstor , García Sandra
Published: July 2021

El síndrome trófico trigeminal es una entidad infrecuente de úlceras faciales autoprovocadas caracterizada por la tríada compuesta por la presencia de una úlcera a nivel del ala nasal asociada a grados variables de anestesia y parestesias que se da como resultado del daño del nervio trigémino o sus ramas a nivel central o periférico secundario a múltiples causas. Reportamos tres casos de este síndrome en seguimiento en nuestro centro.
Placas redondeadas eritematovioláceas en el dorso de las manos
Authors: Giménez Yolanda Luján , Mancinelli María Clara , Feola Hernán Agustín , Verea María Alejandra
Published: July 2021

Se presenta un caso clínico de dermatosis neutrofilica del dorso de las manos en formato  ¿cual es su diagnóstico?  con un revisión bibliográfica de esta entidad desde su descripción hasta la fecha.

Se trata de un paciente masculino de 58 años, oriundo de Paraguay, con antecedentes personales de hipertensión arterial, accidente cerebro vascular sin secuelas y tabaquismo (ex fumador 15 cigarrillos por día durante 30 años)

Consultó por dermatosis dolorosa en dorso de ambas manos y en codo izquierdo de 7 días de evolución. Se encontraba en estudio por cuadro de meses de evolución caracterizado por diarrea crónica, pérdida ponderal de 25 kg, artralgias en rodillas y episodios febriles.
Melanomas de diámetro pequeño: papel de la dermatoscopia y seguimiento con dermatoscopia digital
Authors: Salerni Gabriel Esteban , Alonso Carlos
Published: July 2021

Antecedentes: El reconocimiento de melanomas de pequeño diámetro (MPD) a menudo plantea un desafío

Objetivos: Analizar el rol de la dermatoscopía y el seguimiento con dermatoscopía digital en el diagnostico de MPD

Diseño: Análisis retrospectivo, observacional, descriptivo de una serie de 50 MPD diagnosticados entre 2015 y 2019.

Resultados: Entre los MPD, 9 fueron motivo de consulta del paciente (MMC), 30 se detectaron durante el control rutinario de nevos (MMCR) y 11 fueron diagnosticados por cambios observados durante el seguimiento con dermatoscopía digital (MMDD). Cerca del 45% de los MMC fueron clasificados correctamente como lesiones malignas según la “regla ABCD de dermatoscopía”; esto se observó sólo en el 20% de los MMCR y en ninguno de las MMDD. El algoritmo “caos y pistas” condujo a la extirpación en casi el 90% de los MMC, el 60% de los MMCR y el 50% de los MMDD. Los porcentajes de melanoma in situfueron: 55% entre los MMC, 73,3% entre los MMCR y 72,9% entre los MMDD. En los melanomas invasivos, el grosor de Breslow medio fue de 0,62 mm en el grupo MMC, 0,5 mm en el MMCCR y 0,4 mm en el MMDD

Conclusiones: El uso rutinario de la dermatoscopía permite la detección de melanomas con bajo índice de sospecha que los pacientes podrían desconocer. El uso del seguimiento digital permite la detección de melanomas incipientes que carecen no sólo de criterios clínicos sino también dermatoscópicos de malignidad.
Tungiasis: presentación familiar de una ectoparasitosis infrecuente
Authors: Leone Alejandro , Cardillo Stagno Fiorella L. , Rossi Cynthia L. , Taboada Valeria , Giuliani Andrea
Published: July 2021

La tungiasis es una ectoparasitosis transitoria cuyo agente causal es la hembra grávida de la pulga de la arena Tunga penetrans. Clínicamente, se manifiesta como pápulas blanquecinas con un punto central negro, dolorosas, que suelen afectar los pies. El diagnóstico es clínico y epidemiológico. El tratamiento de elección es la extracción mecánica del parásito, junto con la aplicación de un antibiótico tópico. Presentamos 3 casos de tungiasis en una familia que había realizado un viaje reciente a una zona endémica.
Una noche con Venus, una vida con Mercurio
Authors: Malah Verónica Andrea , Carbia Sergio
Published: July 2021

El doctor Saldaña le debía dinero perdido en la mesa de juego, por lo que lo atendía gratis y no le cobraba los preparados que él mismo fabricaba. Aarón no recurría a él porque no le cobrara sino porque Saldaña aplicaba un nuevo método para curar el morbo francés. “Una noche con Venus, una vida con Mercurio”, había expresado el médico después de confirmar el diagnóstico. Sin embargo, la novedad de su profilaxis se centraba en el uso del arsénico –a más de los emplastos, ingesta y vapores de mercurio–, cuya sudoración despedía un ligero aroma a albaricoque.
Authority by representation – a rule lacking a theory: A reappraisal of Makate v Vodacom (Pty) Ltd 2016 (4) 121 (CC)
Authors: Pretorius CJ
Published: July 2021

In Makate v Vodacom (Pty) Ltd 2016 (4) 121 SA (CC) the Constitutional Court had to consider the difficult question whether an agreement to negotiate compensation at a later date for an employee who had invented something for his employer was enforceable, where in the absence of later agreement the issue would be referred to the Chief Executive Officer of the employer for final determination. Although the court answered this in the affirmative, the more pressing issue for present purposes was whether the representative of the employer who had negotiated the agreement with the employee had the necessary actual or apparent authority to conclude the agreement. In dealing with the matter of authority, the apex court took an unconventional approach to ‘ostensible’ or ‘apparent’ authority: Whereas the basis of such authority has traditionally been seen as the doctrine of estoppel, the court held that the expressions ‘apparent authority’ and ‘ostensible authority’ have no bearing on estoppel as such, but rather refer to a form of actual authority arising from a representation of authority by the principal in respect of the agent. This article examines the court’s approach in that regard and concludes that, although the decision attracts criticism from a conceptual viewpoint, there is merit in such an approach if it is adapted and defined purely in terms of the reliance theory.
Bona fides and ubuntu – A response to Dale Hutchison
Authors: Barnard-Naudé J
Published: July 2021

This paper is a response to Dale Hutchison’s recent arguments about the role of fairness in contract law after the Constitution. From the point of view of transformative constitutionalism, the paper argues that the fairness ‘debate’ in the South African law of contract should be approached as what it so patently is, namely, as evidence of a deep ideological conflict that has existed in our law of contract for a very long time, and that this debate now exists within the context of a larger debate about the appropriate transformative reach of the Constitution. The argument takes the form of two ‘dangerous supplements’ to Hutchison’s discourse. The first of these supplements contends that indeterminacy is a symptom of the common law itself, rather than a result of contract law’s contact with the Constitution. The second dangerous supplement suggests a responsible judicial engagement with bona fides and ubuntu, one that can exploit the strengths of both the common law and the Constitution and that understands good faith and ubuntu to be ‘inter-linking’ constitutional values that should be enlisted in unison or at least in resonance when it comes to the question of fairness in our contemporary law of contract. In conclusion, I offer a reading of Hutchison’s own politics of contract law and contend that his is an altruistic politics committed to the standard form. I contend that this politics of contract law is consistent with a transformative understanding of the post-apartheid legal order. ‘Law, like every other cultural institution, is a place where we tell one another stories about our relationships with ourselves, one another, and authority. In this, law is no different from the Boston Globe, the CBS evening news, Mother Jones, or a law school faculty meeting. When we tell one another stories, we use languages and themes that different pieces of the culture make available to us, and that limit the stories we can tell. Since our stories influence how we imagine, as well as how we describe, our relationships, our stories also limit who we can be’.
The future of the doctrine of economic duress in South African contract law: The influence of Roman-Dutch law, English law and the Constitution of the Republic
Authors: Bhana D
Published: July 2021

In England, the contractual doctrine of economic duress is an important mechanism for curbing abuses of superior bargaining power. In contrast, in South Africa, the courts are yet to articulate a definitive doctrine. In this article, I argue for a twenty-first century South African doctrine of economic duress that is delineated primarily in terms of South Africa’s foundational constitutional value of equality. For this purpose, I consider English contract law and show how it is a concern for ‘equity’ that has been central to its treatment of economic duress. I then highlight the normative limitations of the English doctrine, but argue that the English legal experience of economic duress remains valuable for corresponding developments in the modern South African commercial context, especially in light of the latter’s post-apartheid constitutional framework, which provides the normative content of baseline standards that must inform its doctrine of economic duress.
Some thoughts on the consequences of illegal contracts
Authors: du Plessis J
Published: July 2021

Few topics in the law of contract have generated as much debate as determining the effects of contracts that infringe statutory or common-law rules. While South African law has in some respects adopted remarkably progressive positions in these debates, especially by displaying flexibility in determining when parties may claim restitution, it also still applies some constructs, rules or maxims in a manner that impedes determining the appropriate consequences of infringing rules or illegality. In this regard it is argued (i) that the concept of an ‘illegal contract’ should be treated with caution, since different commentators automatically link it to different consequences; (ii) that the continued reference to a construct styled the par delictum rule is not helpful when determining whether duties of restitution arise from these contracts; and (iii) that the ex turpi maxim creates the misleading impression that tainted contracts are invariably unenforceable, whereas the reality may be quite different.
The contract-delict interface and harm-causing omissions
Authors: Fagan A
Published: July 2021

Dale Hutchison co-authored two excellent articles on the contract– delict interface. Their focus was primarily on breaches of contract causing pure economic loss. This article extends the investigation to omissions which are in breach of contract and which cause physical harm to person or property. At the centre of the investigation is the Supreme Court of Appeal’s (majority) judgment in the case of Chartaprops 16 v Silberman 2009 (1) SA 265 (SCA). A harm-causing omission will be wrongful, for the purpose of delictual liability, only if it was in breach of a specific duty. To date, our law has recognised only a small number of such specific duties. The Chartaprops judgment seems to recognise another, arising – in a way which is not clearly explained in the judgment – from the contractual duties by which the harm-causer and certain third parties are bound. In a series of steps, this article develops an account of that duty, culminating in the following formulation, which is meant to capture both the duty’s ground and its content: ‘If a person has contracted with another person to perform a task and knows (or ought to know) that the other person has contracted with him to perform that task in order to discharge a delictual duty owed by the other person to one or more further persons, then he owes those further persons a specific duty, the breach of which constitutes a wrong for the purposes of Aquilian liability, not to cause harm to them by negligently having contracted with the other person to perform that task and then failing to perform it.’
Pengaruh Kepimpinan Distributif Terhadap Motivasi Guru: Suatu Pemerhatian Awal
Authors: Krishnan Indira A/P
Published: July 2021

Amalan kepimpinan adalah antara salah satu elemen penting yang dalam menentukan kecemerlangan murid dan sekolah. Justeru itu, artikel ini memberi fokus pada ulasan tentang kepimpinan distributif dalam kalangan kepimpinan sekolah. Selain membincangkan konsep kepimpinan, teori-teori yang berkaitan, artikel ini turut membincangkan pengaruh kepimpinan distributif ke atas motivasi guru berdasarkan literatur lepas.
8. sınıf öğrencilerinin doğa kavramına ilişkin bilişsel yapıları
Authors: ELVAN Özlem , KARATEKİN Kadir
Published: July 2021

Doğa sevgisi ve doğayı koruma duygusu çevresel değerler içinde yer almaktadır. Bu değerlerin çocuklarımızın ve gençlerimizin eğitiminin her aşamasında, onlara doğru anlatılması ve bu anlamda sağduyu kazandırılması toplumsal bir gerekliliktir. Zira toplumun en küçük ve en temel parçası bireydir. Bu sağduyuya, bireylere ancak iyi ve etkili bir çevre eğitimi vererek sahip olabiliriz. Bunun en etkili ve en rasyonel yolu ise eğitim sistemi içerisine giren tüm bireylere doğa eğitiminin verilmesidir. Doğa ile ilişkili tüm kavramların bilinmesi ve bu kavramların günlük yaşam ile ilişkilendirilmesi doğa eğitimi için önemli bir başlangıç noktasıdır. Bunun için öğrencilerin doğa kavramına ilişkin bilişsel yapılarını ortaya çıkarmak önemlidir. Bu çalışmanın amacı da 8. sınıf öğrencilerin kelime ilişkilendirme testi ile doğa kavramına ilişkin bilişsel yapılarını tespit etmektir. Bu amaca ulaşmak için Türkiye’nin her coğrafi bölgesinden seçilmiş ikişer ilde (Ankara, Kırşehir, Samsun, Kastamonu, Malatya, Ağrı, Şanlıurfa, Batman, Antalya, Mersin, İzmir, Manisa, İstanbul ve Yalova) öğrenim gören 8. sınıf öğrencilerine doğa anahtar kavramı ile ilgili bir kelime ilişkilendirme testi uygulanmıştır. Öğrencilerin doğa anahtar kavramına verdikleri cevaplar doğrultusunda doğa ile ilgili sahip oldukları kavramlar tespit edilerek incelenmiş ve öğrencilerin bilişsel yapıları ortaya çıkarılmıştır. Araştırmanın sonucunda öğrencilerin zihinlerinde doğa kavramıyla ilgili bilişsel yapının zayıf olduğu ve doğa kavramını daha çok doğal çevre, değerler ve ihtiyaç kategorileri ile ilişkilendirdikleri tespit edilmiştir. Doğa kavramının öğrencilerin bilişsel yapılarında illere göre de bir farklılık gösterdiği görülmüştür.
Right Ventricle and Cardiac Resynchronization Therapy. Spectator or Actor?
Authors: Deaconu Silvia , Deaconu Alexandru , Vijiiac Aura , Acostachioaiei Alexandra , Dorobantu Maria
Published: July 2021

Lately, RV dysfunction has emerged as a significant prognostic factor in heart failure with reduced ejection fraction (HFrEF). More so, recent data show a specific pattern of RV contraction in LBBB patients that is corrected by CRT, but not in patients with RV failure. The importance of RV evaluation in CRT patients is still under debate. Establishing the role of RV function in the setting of CRT may help identify patients with high risk of adverse events. Moreover, the changes induced by CRT upon RV may lead to a better understanding of the mechanisms behind CRT effects and may facilitate novel criteria for optimal selection of CRT candidates.
Cardiac Amyloidosis: from Heart Failure to Multiple Myeloma, a Case Report
Authors: Horumba Mihaela , Lacau Smarandita , Vintila Ana-Maria , Ciomag Raluca Ianula
Published: July 2021

Cardiac amyloidosis is an underdiagnosed condition associated with a poor prognosis, likely leading to heart failure, malignant arrhythmias and death. A high index of suspicion should be maintained in regards to clinical, electrocardiographic and echocardiographic changes, as the “gold standard” for diagnosis, endomyocardial biopsy is often unavailable. Another challenge resides in the limited treatment options, with a relative contraindication to the use of betablockers, calcium channel blockers, angiotensin-converting enzyme inhibitors and digoxin. We are presenting the case of a patient with heart failure, in whom echocardiography with speckle tracking and cardiac magnetic resonance played an important role in diagnosing cardiac amyloidosis and underlying multiple myeloma. Despite a poor prognosis based on biomarkers (troponin and NTproBNP) and global longitudinal strain, as well as ineligibility for stem cell transplant the patients survived for another 5 years.
Thyrotoxicosis and Heart Failure – a Case Report
Authors: Cotoban Alexandru-George , Vintila Vlad Damian , Constantinescu Cristina , Nica Antonia , Suran Berenice Maria Claudia , Vinereanu Dragos
Published: July 2021

Introduction

Heart failure (HF) with reduced ejection fraction is a complex condition requiring comprehensive diagnostic work-up and management.

Case presentation

A 62-year-old male presented with resting HF and multiple syncopes. Medical history: former smoker, type 2 diabetes, advanced peripheral artery disease. Physical examination: congestive HF, obesity, discrete exophthalmia, grade 1 goitre, BP 110/70 mmHg, HR: 180 bpm. ECG: atrial fibrillation (AF), 180 bpm, RBBB, ST depression in anterolateral leads. CXR: pulmonary congestion, right pleural effusion. Blood analysis: D-dimer >5ng/ml, NTproBNP 12.900 pg/ml, hsTnI 550 ng/L, low TSH, fT3, fT4 4xULN. Cardiac echo: LVEF 20%, diffuse hypokinesis. HF symptom improvement with decongestion and rate control medication. Methimazole started on day 3. Intermittent conversion to sinus rhythm (SR) on day 7. ECG Holter (day 8–9): alternating moderate/high-rate AF and SR, 5–8 second sinus pauses and 1 syncope. LVEF 35% (day 9). Dual-chamber pacemaker implanted on day 10. Discharged on day 18. 2-months follow-up: LVEF 45%, NTproBNP 1.100 pg/ml, SR, HR 65–70 bpm, NYHA I HF.

Conclusion

Cardiac and non-cardiac aggravating factors can contribute to HF worsening. Unmasking these factors is essential, as specific treatments can markedly improve the patient's clinical status.
O EL NIÑO E A LA NIÑA E SUAS INFLUÊNCIAS NO CLIMA DE BOM JESUS PIAUÍ – BRASIL
Authors: Mainar de Medeiros Raimundo , Vieira de França Manoel , Morant de Holanda Romildo , Liana Freire Pereira Marcia , Rodolfo de Araújo Wagner , Saboya Luciano Marcelo Fallé
Published: July 2021

O conhecimento do regime climático sazonal para uma região é de suma importância, pois ações de planejamento, urbanas e rurais são impactadas de diferentes formas e intensidades. Neste intuito, objetiva-se determinar a influência dos fenômenos El Niño e La Niña na precipitação, evapotranspiração, deficiência, excedente hídrico e temperatura em Bom Jesus-PI. Utilizaram-se séries de dados meteorológicos, do Instituto Nacional de Meteorologia, com temperatura e precipitação anual efetuou-se o balanço hídrico. A análise de dispersão dos valores médios térmicos e pluvial foi utilizada na avaliação dos elementos sinóticos em relação aos fenômenos El Niño/La Niña, utilizou-se das avaliações dos valores extremos e das anomalias climáticas, caracterizadas como a variação maior do que o desvio padrão. A atuação dos El Niño/La Niña não está relacionada a aumentos e/ou redução dos índices pluviais, salienta-se que no sistema de classificação, a La Niña tem as classes muito seco e normal, com maiores significâncias. Sobre a atuação da La Niña, que entre 1977 e 2006 as precipitações máximas diárias ocorreram de modo isolado, com chuvas superiores da média histórica. O episódio mais intenso do El Niño aumentou a temperatura das águas do oceano Pacífico em 2,5 °C em novembro e dezembro, na série histórica de 1977 a 2006, provocando precipitações máximas diárias isoladas. Os fenômenos climáticos El Niño e La Niña não comprometem a dinâmica climática causando mudanças significativas no regime das chuvas.
FUNCIONAMENTO DO CENTRO DE MATERIAL E ESTERILIZAÇÃO DURANTE A PANDEMIA DA COVID-19.
Authors: Oliveira Wenderson Laelcio da Silva , De Melo Marcos Vinicius Santana , Ferreira Douglas Henrique  da Silva , Barbosa Beatriz Ferreira , Freitas Maria Carolina  Cabral , Bezerra Laís de Carvalho Santos , Almeida Filipe , Portugal Wanuska Monique , De Pontes Costa Lenio José , Neves Giselda bezerra Correia
Published: July 2021

O presente artigo tem como intenção mostrar o funcionamento do Centro de Material e Esterilização (CME) durante a pandemia da COVID-19, buscando responder sobre as mudanças no setor, novas recomendações, esclarecer dúvidas a respeito do funcionamento de um CME, das atribuições do enfermeiro, suas competências e o posicionamento dos órgãos competentes a respeito do assunto.
Duración del catéter urinario pos-RTUP como factor de riesgo para estenosis de uretra
Authors: Cerda-Guerrero Enrique , Hernández-Manzo David , Ramírez-García-Luna Sofía , Gutiérrez-Aguilera Elizabeth , Zubieta-Huerta Antonio , Cabeza-Bucio Eduardo , Rodríguez-Rivera Arturo
Published: July 2021

Antecedentes: La estenosis de uretra es una entidad urológica que se presenta con relativa frecuencia, siendo una causa común de síntomas urinarios bajos (SUOB) con una prevalencia del 0.6%. En la actualidad existe controversia acerca de la modalidad de energía como factor de riesgo para el desarrollo de estenosis de uretra. Diversos autores han publicado datos contradictorios sobre la estenosis de uretra post resección transuretral de próstata (RTUP).

Material y métodos: Se revisaron los expedientes de los pacientes sometidos a RTUP bipolar y monopolar en el Hospital General de Occidente en el período de 1 de enero de 2018 al 31 de diciembre del 2018, se investigó la cantidad de pacientes con presencia de sintomatología urinaria pos-RTUP; determinada por la presencia de sintomatología moderada (>8 puntos) en el cuestionario IPSS (International Prostate Symptom Score) y la determinación de estenosis de uretra mediante uretrograma retrogrado o el registro de haber sido sometidos a uretrotomía interna posterior a la RTUP. El objetivo principal fue determinar la incidencia de estenosis de uretra en pacientes sometidos a RTUP en el Hospital General de Occidente en el periodo comprendido del 1 de enero de 2018 al 31 de diciembre de 2018.

Resultados: Se revisaron los expedientes de 113 pacientes, asignados en 2 grupos de pacientes de acuerdo con la modalidad de energía utilizada; energía monopolar (A) 59 pacientes (52.2%) y energía bipolar (B) 54 pacientes (47.8%), se analizaron 16 variables; 8 categóricas y 8 continuas.

Se encontró una incidencia de 6.7% de estenosis de uretra en el grupo de energía monopolar y un 5.5% de estenosis de uretra en el grupo de energía bipolar, no se encontró un aumento significativo en la incidencia de estenosis en el grupo de energía bipolar.

Conclusiones: Al comparar cada una de las variables de manera aislada, solo la duración de la sonda se asoció de manera estadísticamente significativa (p <0.05) con la aparición de estenosis de uretra, reportamos un riesgo de estenosis de 0.7% al utilizar sonda durante 2 días, 3% con 5 días elevándose a 46% con el uso de sonda por 12 días.

El uso de sonda transuretral posterior a la RTUP por tiempo prolongado demostró ser el factor de riesgo más importante para la aparición de estenosis uretral.
Necesitamos un enfoque renovado en los mensajes de salud pública con respecto a la salud sexual y reproductiva
Authors: Del Rosario-Santiago Marcos
Published: July 2021

El embate de la pandemia del covid-19 ha presentado a los Estados Unidos y a otros gobiernos una rara oportunidad para detener una epidemia silenciosa de una década: el aumento continuo de las infecciones de transmisión sexual.
Adenocarcinoma de células claras en divertículo de uretra femenina. Reporte de un caso y revisión de literatura
Authors: Halún Treviño Antonio Nassim , González Bonilla Eduardo Alberto , Barrera Juárez Eduardo , González Oyervides Roberto
Published: July 2021

Descripción caso clínico: Femenino de 64 años, sin antecedentes de importancia, valorada por síntomas urinarios bajos y hematuria de 1 mes de evolución. En los estudios radiológicos se encuentra una imagen compatible con una tumoración uretral en la resonancia magnética. Se realiza uretrocistoscopía encontrando una tumoración dentro de un divertículo de uretra, se le realiza resección transuretral y posteriormente exenteración pélvica anterior. Histopatológicamente se reportó un adenocarcinoma de células claras dentro de un divertículo uretral proximal. No se realizó adyuvancia, permanece en seguimiento y vigilancia, actualmente libre de recidiva.

Relevancia: Los carcinomas de uretra son neoplasias poco comunes y que estos se originen en un divertículo son raros. Estos tipos de tumores son de comportamiento agresivo y se requiere de un tratamiento agresivo para poder ofrecer la mayor probabilidad de curación.

Implicaciones clínicas: No existe un tratamiento estandarizado, el tratamiento quirúrgico mediante una uretrectomía radical o una exenteración pélvica anterior con o sin adyuvancia sería la opción terapeútica más aceptada.

Conclusiones: El adenocarcinoma de células claras que se origina de un divertículo de uretra es una enfermedad poco común, usualmente se presentan de forma localmente avanzada; para lo cual no se cuenta con un tratamiento o seguimiento estandarizado.
Detección de antígeno prostático específico (PSA) para el cáncer de próstata (CaP): recomendaciones principales
Authors: Pérez Laura , García-Perdomo Herney Andrés
Published: July 2021

El cáncer de próstata es el tipo de cáncer más frecuente diagnosticado en los hombres. Específicamente en Estados Unidos, corresponde a la segunda causa de muerte por cáncer. El uso generalizado de antígeno prostático específico desde principios de la década de 1990 ha aumentado significativamente su incidencia. Sin embargo, el cribado del cáncer de próstata sigue siendo uno de los temas más controvertidos en la literatura urológica. La evidencia científica más reciente sugiere que el cribado no afecta la mortalidad por todas las causas y solo un pequeño efecto en la mortalidad específica de la próstata. Al mismo tiempo, existen riesgos asociados con la biopsia y el tratamiento del cáncer de próstata, como incontinencia urinaria, infección y disfunción eréctil. Las recomendaciones actuales proponen la toma de decisiones compartida con los hombres, aunque existen diferencias notables, especialmente en lo que respecta a las edades adecuadas de detección y los intervalos de seguimiento.
Integrating Tier-1 module suppliers in car sequencing problem
Authors: Jung Emrae
Published: July 2021

The objective of this study is to develop a car assembly sequence that is mutually agreed between car manufacturers and Tier-1 module suppliers such that overall modular supply chain efficiency is improved. In the literature so far, only constraints of car manufacturers have been considered in the car sequencing problem. However, an assembly sequence from car manufacturer imposes a module assembly sequence on Tier-1 module suppliers since their assembly activities are synchronous and in sequence with assembly line of that car manufacturer. An imposed assembly sequence defines a certain demand rate for Tier-1 module suppliers and has significant impacts on operational cost of these suppliers which ultimately affects the overall modular supply chain efficiency. In this paper, a heuristic approach has been introduced to generate a supplier cognizant car sequence which does not only provide better operational conditions for Tier-1 module suppliers, but also satisfies constraints of the car manufacturer.
Product Quality Evaluation Method (PQEM): A Comprehensive Approach for the Software Product Life Cycle
Authors: Falco Mariana , Robiolo Gabriela
Published: July 2021

Project managers, product owners, and quality assurance leaders need to visualize and understand the entire picture of the development process as well as comprehend the product quality level, in a synthetic and intuitive way in order to facilitate the decision of accepting or rejecting each iteration within the software life cycle. This idea is extremely important nowadays, due to the fact that time is a key resource and it should be managed wisely to obtain a feasible quality level for each software deliverable. This article presents a novel solution called Product Quality Evaluation Method (PQEM) to evaluate a set of quality characteristics for each iteration of a software product. PQEM is based on the Goal-Question-Metric approach, the standard ISO/IEC 25010, and the extension made of testing coverage in order to obtain the quality coverage of each quality characteristic. The outcome of PQEM is a single value representing the quality per each iteration of a product, as an aggregated measure. Even though a value it is not the regular idea of measuring quality, we believe that it can be useful to use this value to understand easily the quality level of each iteration. An illustrative example of the method was carried out with a web and mobile application, within the healthcare environment.
A Generalized Approach to Data Supply Chain Management – Balancing Data Value and Data Debt
Authors: Maranca Roberto , Staiano Michele
Published: July 2021

The “data supply chains” (DSCs), which are connecting the point where physical information is digitized to the point where the data is consumed, are getting longer and more convoluted. Although plenty of frameworks have emerged in the recent past, none of them, in the authors’ opinion, have so far provided a robust set of formalised “how to”, that would connect a “well built” DSC to a higher likelihood to achieve the expected value. This paper aims at demonstrating: (i) a generalized model of the DSC in its constituent parts (source, target, process, controls), and (ii) a quantification methodology that would link the underlying current quality as well as the legacy “bad data” to the cost or effort of attaining the desired value. Such approach offers a practical and scalable model enabling to restructure at its foundation some practices of data management priming them for the digital challenges of the future.
Credit Card Fraud Detection using Supervised and Unsupervised Learning
Authors: Gowda Vikas Thammanna
Published: July 2021

In the present monetary situation, credit card use has gotten normal. These cards allow the user to make payments online and even in person. Online payments are very convenient, but it comes with its own risk of fraud. With the expanding number of credit card users, frauds are also expanding at the same rate. Some machine learning algorithms can be applied to tackle this problem. In this paper an evaluation of supervised and unsupervised machine learning algorithms has been presented for credit card fraud detection.
Distracted Driver Behaviour Recognition with Computer Vision using Deep Convolutional Neural Network in Real World Application
Authors: Ananthi M. , . P Bharathram , . L Rahul Narayanan
Published: July 2021

Distraction of drivers while driving on roadways results in the death of 1.2 million people, approximately every year around the globe. Even though there are several improvements made in road and vehicle design, the total number of accidents is higher. In 2015, 3,477 people were dead and 3,91,000 were injured during motor vehicle crashes associating distracted drivers. Our paper is aimed to prevent and reduce the rate of motor vehicle accidents that are caused by human errors and distraction during driving. We study the different postures of the driver by means of the hand localization, skin segmentation and facial data. In our paper, we propose a reliable deep-learning CNN model that attains 92% accuracy.
Efficient Detection of Phising Hyperlinks using Machine Learning
Authors: Mishra Anshumaan , Fancy
Published: July 2021

Phishing is a type of Social Engineering cyber-attack, hackers use it to gain access to confidential credentials like bank account credentials details, details of their personal life like debit card details, social media credentials, etc. Phishing website links seem to seem just like the genuine ones and it's a tedious and troublesome task to differentiate among those websites. In this paper, features are extracted from a separate dataset of phishing and benign website URLs and then using the Machine Learning method we determine the phishing websites. We also rank the features based on the contribution of each feature used in determining the outcome of a URL link using built python libraries. Most of the phishing URLs use a large URL length when used for an attack. Hence, we proposed three machine learning models Random Forest, Support Vector Machine (SVM), Decision trees models for the efficient detection of phishing using fake URLs. The performance of the models is also compared among themselves using a confusion matrix to determine the highest performance. The implemented models have shown an accuracy of 84.81 (for Random Forest and SVM),83.96 (Decision tree)
Block Chain in Fake Product Identification System Using QR Code
Authors: Nila Udhaya , Luther Abalin , Vignesh Aathi
Published: July 2021

Every popular brand has fake manufacturers selling a counterfeited item at cheaper rates. Mostly counterfeiting medicine are selling to customer. For these factors combined with block chain technology can lead to an efficient comprehensive approach to reduce counterfeiting. Pharmaceutical organizations face many challenges regarding counterfeit medicines. Detecting fault medicines so that it will save public life. To discover the consciousness of the fake medication issue which requires an expanding security level for the appropriation of lawful pharmaceutical items. Manufacturing to user can be recorded, and the user is assured that the scans weren’t faked. The fake products can be identified by using QR code and it handles the product data
Pulling Data from Multiple Websites to Identify Best Deals on Auction Websites
Authors: Sharmila S Guru , Amalraj A Arul , K Subalakshmi
Published: July 2021

Robotic process automation(RPA)is an emerging tool of automation technology based on notion of software robots or Artificial intelligence(AI). If the customer wants to buy a Bluetooth speaker. He will go to flip kart and search the product. and see the prices as expensive. He will buy it .But the same product is cheaper in Amazon. So our project will give the best product based on the best price and best rating.
Sistem Informasi Pengarsipan Surat Kantor Desa Berbasis Web
Authors: Pradini Ayu Giska , Sudradjat Adjat
Published: July 2021

Abstrak: Pengelolaan arsip surat pada kantor desa belum sepenuhnya sesuai prosedur dan belum terstruktur. Selain itu, proses penerimaan hingga penyimpanan surat masih dilakukan secara manual. Dalam penyimpanan surat masuk maupun surat keluar masih berbentuk hard copy kemudian surat disimpan pada rak arsip. Untuk pencatatan surat dilakukan pada buku agenda. Selain itu untuk melakukan pencarian arsip surat membutuhkan waktu yang lama karena harus membuka terlebih dahulu kumpulan arsip satu per satu, sehingga ini kurang efisien. Dengan adanya sistem informasi pengelolaan arsip surat berbasis web ini diharapkan dapat mempermudah pegawai pada kantor desa dalam mengelola surat secara terstruktur dan terkomputerisasi. Dalam pembuatan sistem ini menggunakan metode waterfall dimana dalam pengerjaan setiap fasenya harus dikerjakan terlebih dahulu sebelum melanjutkan ke fase berikutnya. Dengan menggunakan website ini maka pegawai dapat melakukan proses pengelolaan agenda surat masuk, agenda surat keluar, disposisi surat, pengarsipan surat masuk dan surat keluar serta pengelolaan laporan arsip surat masuk dan surat keluar secara berkala. Kata kunci: sistem informasi, pengelolaan arsip surat, web Abstract: The management of mail archives at village office has not been fully compliant with procedures and has not been structured. In addition, the process of receiving and storing mail is still done manually. In the storage of incoming and outgoing mail is still in the form of hard copy and then the letter is stored on the archive shelf. For the recording of letters is carried out in the agenda book. In addition, to perform a mail archive search takes a long time because it has to open the archive sets one by one, so this is less efficient. With this web-based mail archive management information system, it is expected to facilitate employees in village office in managing letters in a structured and computerized manner. In the manufacture of this system using waterfall method where in the process of each phase must be done first before proceeding to the next phase. By using this website, employees can manage the agenda of incoming mail, outgoing mail agenda, letter disposition, archiving incoming and outgoing mail and management of incoming and outgoing mail archive reports periodically. Keywords: information system, mail archive management, web
CORPOREIDADES E MASCULINIDADES EM CONSTRUÇÃO
Authors: Lacerda Eugênia , Silva Francisca Islândia Cardoso da , Iwamoto Thiago Camargo , Nogueira Júlia , Almeida Dulce Maria Filgueira de
Published: July 2021

O artigo analisa experiências de corporeidades e masculinidades de homens praticantes da psicoterapia corporal denominada Core Energetics. A pesquisa de campo, com abordagem qualitativa, foi realizada com homens pertencentes a um grupo de psicoterapia corporal na cidade de Brasília/DF, Brasil. Os procedimentos de investigação adotados foram aplicação de questionário socioeconômico e entrevista individual. Para análise das informações coletadas, utilizou-se a técnica de análise narrativa. Verificou-se que padrões de masculinidades caracterizados, dentre outros, pela aversão à expressão de emoções e sentimentos, pela constante imposição de comprovação da heterossexualidade e pelo apreço à violência causam constrangimento aos participantes, que, em resposta às tentativas de interdição de suas subjetividades, adotam formas alternativas de masculinidades. Percebe-se que o trabalho psicoterapêutico favorece o questionamento e a reflexão acerca dos sentidos de masculinidades ao possibilitar a abertura de canais dialógicos entre as distintas formas existentes e seus impactos sobre os corpos.
DANÇAS INDÍGENAS NA EDUCAÇÃO FÍSICA ESCOLAR
Authors: Guimarães Denise , Impolcetto Fernanda Moreto
Published: July 2021

O objetivo deste estudo foi descrever e analisar o processo de construção de um material didático em forma de aplicativos para dispositivos móveis sobre danças indígenas para o segundo ciclo do Ensino Fundamental. De natureza qualitativa, utilizou-se o método da pesquisa descritiva de caráter bibliográfico, realizada em três etapas: Trajetória e seleção das Danças Indígenas; Escolha da plataforma para produção do material didático em forma de aplicativos; e Seleção dos conteúdos dos aplicativos. Os resultados apresentam quatro danças indígenas de diferentes regiões do Brasil, que foram selecionadas e passaram por um extenso processo de análise e transposição didática além da adequação às tecnologias, para se cumprir com objetivos educacionais nas aulas de Educação Física escolar. Aponta-se para a necessidade de estudos sobre esse tema, que contribuam para seu ensino na escola e que estabeleçam relação com um contexto de uso competente das tecnologias no campo educacional.
EFEITO RESIDUAL DO MÉTODO FNP SOBRE O DESEMPENHO DE RESISTÊNCIA DE FORÇA NO SUPINO HORIZONTAL
Authors: Rodrigues Lucas Marotta , Ferreira Renato Melo , Ungheri Bruno Ocelli , Soares Everton Rocha
Published: July 2021

O alongamento feito antes de exercícios resistidos pode reduzir a força do músculo alongado. Objetivou-se mensurar o efeito do método Facilitação Neuromuscular Proprioceptiva (FNP) sobre o desempenho de resistência de força no supino horizontal (SH). Avaliou-se o número de repetições máximas (nRM) e a percepção subjetiva do esforço (PSE) no SH, em 18 homens saudáveis (23,7±2,9anos), em três situações: I) SH sem alongamento prévio (controle); II) Alongamento FNP+SH após alongamento (FNP+SH); III) Alongamento FNP+5 minutos de intervalo +SH (FNP+5’+SH). O valor adotado para p foi <0,05. O nRM na situação FNP+SH foi menor do que na controle. Não houve diferenças entre o nRM da situação controle e da FNP+5’+SH, assim como entre FNP+SH e FNP+ 5’+SH. Adicionalmente, não houve diferença na PSE nas situações avaliadas. Conclui-se que o alongamento FNP pode reduzir o desempenho de força por até cinco minutos quando aplicado imediatamente antes do exercício SH.
MÉTODO TRADICIONAL VS. SÉRIE PAREADA AGONISTA-ANTAGONISTA PARA MEMBROS INFERIORES
Authors: Tozei William Peneda , Pereira Milton Amaral , Pinto Tayná Karine Sousa , Ferreira Renato Melo , Soares Everton Rocha
Published: July 2021

Objetivou-se comparar o volume total e número repetições máximas (nRM) que pode ser realizado nos exercícios Cadeira Extensora (EXT) e Cadeira Flexora (FLEX), variando ordem de execução, nos métodos tradicional (TRAD) e série pareada agonista-antagonista (SPAA). Avaliou-se (p<0,05) volume total e nRM de doze homens saudáveis (22,8±2,7anos), em quatro protocolos: TRAD1 (4 séries EXT + 4 séries FLEX); TRAD2 (4 séries FLEX + 4 séries EXT); SPAA1 (4 séries EXT e FLEX) e; SPAA2 (4 séries FLEX e EXT). O volume total do protocolo SPAA2 foi maior do que no TRAD1 e TRAD2. Foi observado maior nRM no FLEX em comparação com EXT em todos os protocolos utilizados. Conclui-se que dependendo do método adotado e ordem dos exercícios maior volume total pode ser realizado. Adicionalmente, o nRM que pode ser executado em um determinado exercício resistido parece ser influenciado pelo grupamento muscular utilizado.
EFEITO AGUDO DA CORRIDA COM OS PÉS DESCALÇO SOBRE AS COMPONENTES ANTEROPOSTERIOR E MEDIOLATERAL DA FORÇA DE REAÇÃO DO SOLO
Authors: Azevedo Ana Paula da Silva , Cardoso Filho Carlos Alberto , Lima Wilson Pereira , Colturato Maura de Arruda Botelho , Serrão Júlio Cerca
Published: July 2021

Este estudo investigou o efeito agudo da corrida descalço sobre parâmetros selecionados das componentes anteroposterior e mediolateral da Força de Reação do Solo (FRS) em corredores habituados ao uso do calçado esportivo. Setenta e um corredores recreacionais, inexperientes em corrida descalço, correram em velocidade auto-selecionada por uma distância de 9 metros em piso fixo equipado com plataformas de força, sob duas condições: calçados e descalços. Os picos de frenagem e aceleração da componente anteroposterior, bem como os picos mínimo e máximo da componente mediolateral foram obtidos. O pico de frenagem foi menor, enquanto o pico de aceleração foi maior na corrida descalço. Em contrapartida, a magnitude de ambos os picos mínimo e máximo foram maiores na condição descalço. Em síntese, a corrida descalço altera agudamente parâmetros selecionados das componentes anteroposterior e mediolateral da FRS relacionados à sobrecarga e ao desempenho de corredores habituados ao uso do calçado esportivo.