bluuebunny/crossref_metadata_2025 huggingface dataset:
Guerras do Século XXI: Considerações sobre Guerras Híbridas e Lawfare
Authors: Tonietto Marileia , Ramina Larissa
Published: April 2022

O artigo trata das estratégias utilizadas pelos Estados Unidos com o fim de manter e expandir sua hegemonia conquistada no pós-guerra fria. Aborda a ideia de guerra híbrida e discorre acerca do lawfare ou guerra jurídica, práticas estas que imprimem novas feições aos conflitos geopolíticos globais, consistentes em estratégias de intervenção nos Estados soberanos, distintas das utilizadas nos embates bélicos convencionais. A partir desses conceitos, analisa o emprego de tais práticas de guerra no cenário contemporâneo. Destaca-se a América Latina, em países cujas políticas de Estado não se alinhavam aos interesses dos externos. Notadamente o Brasil atuou com protagonismo dos militares, mas também do sistema judiciário, além do alinhamento com políticas neoliberais e subserviente aos Estados Unidos, a militarização da política, movimento essencialmente oposto ao fortalecimento do Estado democrático de direito. O ponto em comum observado no âmbito dessa estratégia de guerra - que se presta a definir o espectro ideológico dos governantes que assumirão o comando de cada Estado alvo, suas estratégias também se orientam para as disputas eleitorais – é o combate à corrupção. Sob tal fundamento, e contando com o aparato do sistema de justiça local, tornam-se inelegíveis lideranças políticas, vilipendiam-se reputações e corrompem-se democracias não consolidadas.
Legal Frameworks for Financial Corruption in the State of Kuwait
Authors: Al Azemi Melfi Mohammad , Alazemi Mohammad M.
Published: April 2022

The study aimed to identify the legal frameworks shaping financial corruption in Kuwait. Corruption is a serious disease, rapid in contagion and spread, and slow in diagnosis and treatment, and it requires considerable effort, time, and cost to combat and reduce it. It does not require only specific steps, but rather it necessitates the existence of legitimate and legal foundations. Thus, this study deals with the legal foundations for financial corruption in Kuwait from two perspectives, namely, the legal frameworks for financial corruption and the scope of criminalization of financial corruption in Kuwait. The qualitative approach was used by analyzing official reports, collecting data and figures through a range of means such as interviews and observations, and measuring the corruption index during the past ten years in Kuwait. The results of the research found a high level of a financial corruption index in Kuwait, which has been intensifying during the past ten years through various manifestations, such as money laundering, manipulation and abuses of sovereign funds to invest in suspicious projects, real estate fraud against citizens, and issues related to the investment of the Public Institution for Social Security’s funds (pension funds), etc. Finally, the research concluded with a set of recommendations and proposals at the criminal level about the seriousness of financial corruption on the individual and society level, in addition to the required development and the government's efforts to address the phenomenon of the spread of financial corruption in this country.
WHAT DETERMINES THE MEDIUM AND HICH TECHNOLOGY PRODUCTS EXPORTS: THE CASE OF GERMANY
Authors: Karakostas Emmanouil
Published: April 2022

High-tech products are a key element of today's international trade. Ever-increasing technological development and constant globalization have made high-tech products indispensable. Innovation is the cornerstone of the production of medium and high-tech products. A key element to mention is that high-tech products are part of many intermediate goods. Germany is an example of a country specializing in the production of such products. The question that arises is what factors are the factors that drive the exports of high-tech products. One answer could be spent on research. Of course, in order for expenditure on R&D to be fully considered a key factor, it must be implemented through entrepreneurship in the real economy. It could also be foreign direct investment. However, there may be cases where foreign investments are a factor in the diffusion of know-how. Because of these ambiguities, a more complete framework for analysis should be created. This study will attempt to create a framework of analysis for exports of high-tech products using Germany as a case study. The methodology applied is the multiple linear regression - ordinary least squares (OLS).

Keywords: Medium High-Tech Products, Exports, OLS.
Otizm Spektrum Bozukluğunda Beslenme Tedavisi
Authors: ÇAĞIRAN İbrahim Hakkı , YILMAZ Dursun Alper
Published: April 2022

Otizim spekrum bozukluğu nörolojik hastalıklar grubunda yer almaktadır. Bu hastalığın bilinen bir tedavisi bulunmamaktadır. Bu hastalığa dönük tedavi yöntemleri, davranışsal farklılık ve diğer semptomları azaltmayı amaçlayan uygulamalardır. Beslenme tedavisi bu yöntemler arasında yaygın olarak kullanılmaktadır. Bağırsak geçirgenliğinin artmış olması nedeniyle OSB’de uygulanan diyet tedavisi beyin-bağırsak iletişimini düzelterek davranışlar üzerinde etkili olabilir. Özellikle yaygın olarak kullanılan karbonhidrat kısıtlı diyetler septomların azalmasında önemli etkisi olmaktadır. Ek olarak protein kaynaklarından olan gluten ve kazein’den fakir diyetlerinde OSB’de görülen faklılıkların iyileşmesinde etkili olabilir. Bu derleme makale gluten ve kezeinden fakir diyetin otizm spekrum bozukluğu üzerine etkisini araştırmak amacıyla yazılmıştır.
Covıd-19 Bilgi Düzeyinin Sağlık Çalışanlarının Tutum Ve Davranışlarına Etkisi
Authors: KILINÇ Nur Özlem , ERCİ Behice
Published: April 2022

This cross-sectional study was conducted to determine the effect of healthcare workers’ COVID-19 knowledge level on their attitudes and behaviors. The population consisted of 1794 healthcare workers of a city hospital in Eastern Anatolia, Turkey. The study was conducted on a sample of 310 healthcare workers, as determined by power analysis, who were selected by accidental sampling. Data for the study were collected during February 2021 through a four-part online questionnaire that investigated sociodemographic characteristics, COVID-19 knowledge, attitudes towards COVID-19, and COVID-19-related behaviors. The average age of the participants was 34.50  8.36 years, and the mean years of work experience was 11.94  8.89. COVID-19 knowledge level was positively correlated with and explained 46% of variation in attitude towards COVID-19 and 28% of variation in COVID-19-related behaviors.
We conclude that healthcare workers’ COVID-19 knowledge level positively affected their attitudes and behaviors towards COVID-19.
Symptom Changes in COVID-19 Patients in the Disease Process and Differences in Symptoms According to Some Demographic and Clinical Characteristics
Authors: AKOVA İrem , KUZU Firdevs , KILIÇ Esma
Published: April 2022

The purpose of this study was to evaluate the change of symptoms in COVID-19 patients over a ten-day period and their differences according to some characteristics. This retrospective epidemiological study was conducted using the records of all patients who were found to be positive for COVID-19 between September 2020 and November 2020 in Sivas. Of the 9985 COVID-19 cases, 4159 (41.7%) were between the ages of 19-40, 5327 (53.4%) were women, 9227 (93.4%) received outpatient treatment, 7019 (70.3%) had no chronic disease, 8552 (85.6%) were non-smokers. Headache, fever-chills, joint pain were the most common symptoms on the first day of disease, while cough, fatigue, and loss of smell were the most common on the tenth day. Headache, joint pain, fatigue, cough, waist-back pain, loss of smell/taste and runny nose were in forefront in the 19-40 age group. Fever-chills were more common in male, while many of the other symptoms were more common in female. Headache, throat ache, loss of smell/taste, and diarrhea were common in patients with no chronic disease. Cough, nausea-vomiting, and abdominal pain were predominant in non-smokers. Those at the young age group, female, those without chronic diseases and non-smokers can also develop COVID-19 symptoms.
Semen Collection, Cryopreservation and Artificial Insemination in Dogs
Authors: KALKAN Oğuzhan , UÇAR Ömer
Published: April 2022

Today, the methods of artificial insemination, that have recently become a biotechnological phenomenon, have being used in dogs especially for those partners that are largely unable to mate because of differences in their body sizes. Artificial insemination is likely only by diluting the semen collected in order to protect it from the environmental conditions, by using some short- and long-term preservation methods and by transferring it into the females with proper techniques. Therefore, in this brief review, some data about the approach to the male at the time of semen collection, as well as the collection itself (digital manipulation, conic plastic rubber along with hand massage, and electrical stimulations (the electro-ejeculator)), dilution (Tes, Bes, Hepes, Pipes, Tris, Tes/Tris and commercial extenders, at 1:1-1:5 dilution rate), short (at +4 oC) - and long-term (in ampoule, pellet and straw) frozen storage (within liquid nitrogen, at -196 oC) of semen and artificial insemination methods (intravaginal catheter, Norwegian intrauterine catheter, endoscopic intrauterine and surgical intrauterine technique)) are given in dogs.
UM ESTUDO EPISTEMIOLÓGICO DA APLICAÇÃO DA GESTÃO ESTRATÉGICA DE PESSOAS NAS EMPRESAS
Authors: Alves Epifânio Bruna , Lucio Batista Cazarotti Mauro , Costa Pinto Paula , Nogueira de Oliveira Rodrigo
Published: April 2022

A Gestão Estratégica está relacionada ao caminho seguido pela empresa que pretende alcançar sucesso por meio de uma estrutura bem organizada. O presente trabalho foi realizado com o objetivo de verificar a gestão estratégica utilizada pelas empresas e suas ações para ampliar o sucesso da organização. O presente trabalho foi realizado por meio de uma pesquisa bibliográfica. Como instrumento utilizou-se uma técnica de cunho quantiqualitativo. A análise dos dados bibliográficos permitiu verificar que a estratégia alinhada a um treinamento bem planejado e programado, contribui e muito para que a empresa alcance o sucesso almejado. Atualmente, em uma sociedade cada vez mais globalizada e competitiva e, em um mercado de trabalho cada vez mais disputado, a capacitação dos recursos humanos das instituições torna-se uma realidade em nosso cotidiano, pois necessário se faz aperfeiçoar o quadro de colaboradores da empresa, a fim de que os objetivos da instituição sejam alcançados. Portanto, é notória a importância deste trabalho para o progresso da empresa em estudo. O resultado da pesquisa sugere que os gestores devem observar a gestão estratégica da empresa e que sejam previamente planejados para que supram as reais necessidades dos colaboradores em suas respectivas funções alinhados junto com a empresa.
DIREITO ADMINISTRATIVO DISCIPLINAR MILITAR: CONSELHO DE DISCIPLINA E CONSELHO DE JUSTIFICAÇÃO DISCIPLINAR NO ÂMBITO DO EXÉRCITO BRASILEIRO
Authors: Lucio Batista Cazarotti Mauro
Published: April 2022

O presente estudo desmistifica os conceitos sobre o Conselho de Disciplina e do Conselho de Justificação no âmbito do Exército Brasileiro. Utilizou-se como metodologia à pesquisa qualitativa descritiva. Por meio de uma pesquisa documental, por pesquisas em legislações pertinentes como a Constituição Federal da República do Brasil de 1988, o Decreto-lei nº 1.002/69, Lei Federal nº 5.836/72, Lei Federal n.º 2.556/74, Lei Federal n.º 9.299/96. A parte bibliográfica desenvolvida foi por meio do posicionamento dos autores como Assis (2007), Silva (2009), Beê (2008), entre outros. Considera-se que é notório que o conselho de disciplina julga as transgressões dos militares praças sendo elas leve, média ou graves, contudo, o conselho de justificação, em lei, apenas dita as regras de natureza grave dos oficiais que são submetidos. Sobre isso evidencia que há uma diferenciação na apuração entre praças e oficiais. Contudo a imparcialidade em ambas situações de apuração de crimes militares prevalecem em leis formais castrense e caso não se tenha previsão é aplicado o código penal e código de processo penal nas transgressões disciplinares militares. Por fim a pesquisa é de suma importância no meio militar, aos praças e oficiais, para buscar entender mais sobre os dois institutos de conselhos dentro do âmbito militar do Exército Brasileiro.
Estudio de viabilidad económica para la instalación de un sistema de monitoreo de calidad de aire en base a una red sensorial
Authors: Sampietro-Saquicela José Luis , Izquierdo-Obando Joseph Eli , Pico-Plaza Maribel Trinidad , Plata-Cabrera Carlos Simón , Solis-Charcopa Karla Fernanda , Intriago-Mera Rafael Anibal , Quintero-Estrada Andrea Katherine , De La A Salinas Leonela Del Rocio , Quintero-Quiñónez Mariana Gabriela
Published: April 2022

El presenta artículo permite conocer el coste beneficio y la causalidad de la implementación de una red sensorial de medición de calidad de aire.  La implementación médiate la definición de la matriz de marco lógico, nos permite enmarcar los objetivos planteados hacia una estructura operativa. La estructura será basada en indicadores que permitan cuantificar los procesos de implementación y evaluación. La tecnología hacia la que se apunta es de Software libre, para que se permita la escalabilidad del sistema sin estar ligado a estándares industriales costosos, respetando la legislación ambiental. La definición y distinción del tipo de coste permitirá a futuros autores enmarcar esta información para la implementación de proyectos de desarrollo. Se define de igual manera un porcentaje de avance en función de lo que causa la contaminación y se define entidades que pudiesen ser responsables de pilotos, enmarcados en la colaboración activa de la academia como eje rector del avance y desarrollo técnico apuntalado hacia el bienestar de la comunidad.
Delitos informáticos en Ecuador según el COIP: un análisis documental
Authors: Aparicio-Izurieta Viviana Vanessa
Published: April 2022

El presente articulo está enfocado a un análisis documental acerca de los delitos informáticos con mayores índices de frecuencia en el Ecuador y las sanciones establecidas en el COIP, mismo que es un compendio de reglas jurídicas de carácter penitenciario, o sea un compendio legislativo que instituye delitos y penas bajo el reglamento penitenciario ecuatoriano. Para el desarrollo de este trabajo se incluye una descripción teórica de cada uno de los delitos informáticos y las penalizaciones establecidas en el reglamento, además de describir cuáles son los fines más comunes al momento de realizar estos delitos y los mecanismos tecnológicos utilizados en los mismos. Para concluir se investiga que métodos o que propuestas tiene el estado nacional para asegurar la seguridad y confidencialidad de la información en cada una de las instituciones públicas o privadas, además de analizar si nuestro país cuenta con organismos especializados o leyes que logren dar una debida defensa a los múltiples sistemas informáticos y ciudadanos víctimas de estos delitos.
Trabajador social: una mirada humanista en la formación profesional
Authors: Castillo Caicedo Lourdes Ximena , Rodríguez Enriquez Mariuxi de los Ángeles , Holguin Cedeño Carlos Andrés
Published: April 2022

La Universidad del siglo XXI, ha despojado al estudiante de la enseñanza tradicional; enfocándose en los actuales momentos hacia una educación con criterios de desempeño, que brinde la posibilidad de posesionarse de una serie de competencias en los diferentes ámbitos del campo profesional. Por lo tanto, el presente artículo se enfoca en analizar el perfil profesional, de la carrera de Trabajo Social en la Universidad Técnica “Luis Vargas Torres de Esmeraldas, requeridas en el ámbito de la profesión. Este trabajo incluye, la revisión teórica documental que hace referencia a la formación profesional.
El uso de las redes sociales en el aprendizaje
Authors: Rivera Merino Daniel , Calle Chumo Rafael Norberto , González Romero Lourdes
Published: April 2022

Las redes sociales históricamente han sido consideradas espacios de socialización cuyo objetivo se centra en el ocio y la distracción, sin embargo, en la actualidad su uso va más allá y han incursionado en el contexto educativo. Por lo expuesto se ha planteado como objetivo de análisis el determinar el uso pedagógico que docentes y estudiantes les dan a las redes sociales en sus actividades académicas en la Universidad Casa Grande en el año 2021. Para ello se ha propuesto una investigación exploratoria-descriptiva con enfoque cuantitativo, siendo el instrumento de indagación el cuestionario conformado por 15 ítems valorados bajo escala de Likert. Así los resultados del estudio demostraron que tanto estudiantes como educadores hacen uso de redes como WhatsApp, Google +, Instagram y YouTube para actividades académicas como el intercambio de información, facilitar la comunicación, cargar tareas, así como para mantenerse al tanto de temas relativos a su formación.
Neuropsicología e intervención en estudiantes con necesidades educativas especiales
Authors: Saritama Enrique Quinto , Folleco Calixto Leslie , Guevara Jesús Castro , Coellos Loaiza Siamara Patricia , Vilela Honores Diana
Published: April 2022

La neuropsicología e intervención en estudiantes con necesidades educativas especiales, es un tema que ha sido investigado a nivel internacional en los últimos años, sin embargo, su práctica aún no es frecuente debido al desconocimiento de los educadores al respecto, es así que el presente estudio plantea como objetivo analizar la importancia de la neuropsicología e intervención en estudiantes con necesidades educativas especiales. Para ello se planteó una metodología descriptiva cuantitativa siendo el método de recopilación de la información, la indagación bibliográfica y documental en base a tres temas respecto a las necesidades educativas especiales: conceptualización, formación docente, e intervención. Los resultados demostraron que las concepciones en torno a las necesidades educativas especiales han evolucionado no sólo en cuanto al uso de los términos sino en el alcance de la atención a los estudiantes que la presentan, existiendo normativas que los amparan y protegen el derecho de inclusión. Por otra parte, se identificó que la mayor limitante en la intervención neuropsicológica obedece al desconocimiento de los educadores sobre el tema y su deficiencia en la implementación de nuevas estrategias educativas. En el caso de la intervención, se destacan sus beneficios en la práctica de enseñanza-aprendizaje a favor de un aprendizaje significativo, inclusivo y que otorga calidad de vida a los estudiantes.
Trabalho e educação na sociabilidade do capital
Authors: Favaro Neide de Almeida Lança Galvão , Semzezem Priscila
Published: April 2022

Esta publicação, organizada pelo GEPTESC, registrado na UNESPAR, campus Paranavaí, representa um ato de resistência em relação à atual conjuntura vivenciada. O momento tem sido marcado por uma série de retrocessos no trabalho e no campo da ciência, da universidade e do ensino público e gratuito, o que tem representado no cotidiano de estudantes, trabalhadores e trabalhadoras um duro golpe. Nesse sentido, concebe-se que é imprescindível auxiliar em uma produção de conhecimento que contribua no desvelamento desse processo social. O GEPTESC lançou-se, assim, à tarefa coletiva de realizar análises que levam em consideração os aspectos econômicos que fundam o modo de viver nessa sociedade, regida pela lógica do capital. O título dessa coletânea representa o projeto de pesquisa do GEPTESC, em curso, que congrega seus integrantes nesse desafio teórico-político.
Technology-Facilitated Domestic and Family Violence: Protecting the Privacy and Safety of Victim-Survivors
Authors: Bennett Moses Lyria , Breckenridge Jan , Gibson Joshua , Lyons Georgia
Published: April 2022

Technology and privacy can be a double-edged sword for those experiencing domestic and family violence (DFV). Technology can be a mechanism for abuse and coercive control but is also offered to victim-survivors as a ‘solution’ to reduce risk and protect their safety. In theory, the law protects the privacy rights of victim-survivors, but poor practice and lapses in security mean that their information is often shared with those who seek to harm them. Perpetrators, particularly alleged perpetrators, also have a right to privacy, making it more difficult to protect victim-survivors. This paper analyses technology-facilitated domestic and family violence (TFDFV) through a privacy lens—drawing on privacy and DFV literature (and the little that lies at the intersection) and doctrinal analysis of Australian and New Zealand privacy and related laws applied to TFDFV. Recommendations are provided to better protect victim-survivors at the intersection of safety, technology and privacy. While the paper focuses on the Australian and New Zealand context, it hopes to motivate similar questions in other jurisdictions.
Reflexões e breve histórico sobre estudos e ações sobre Geodiversidade e Conservação da Memória da Terra no Brasil
Authors: Mansur Katia Leite
Published: April 2022

Em 1991 fomos brindados com o belíssimo texto da Declaração Internacional dos Direitos à Memória da Terra. De lá para cá, acompanhando uma emergente discussão mundial, podemos perceber, claramente, que houve também um progressivo aumento no Brasil dos estudos e ações relacionados à geodiversidade e à conservação da memória da Terra. Este artigo busca percorrer um pouco da história e sobre o avanço obtido destes temas no Brasil. Foram utilizadas 150 referências bibliográficas e o texto foi dividido em nove itens (ou atos) cada um relacionado a um dos artigos da Declaração. Inicialmente foram identificados alguns dos pioneiros brasileiros, autores, projetos, publicações e eventos que abriram caminho para o cenário que hoje descortinamos. No item sobre geodiversidade buscou-se mostrar questões metodológicas de mapeamento quantitativo e qualitativo, relacionando-as a projetos. Sobre patrimônio geológico / geopatrimônio e seu estudo, foram incluídas algumas tipologias que se destacam, como os sítios paleontológicos e geomorfológicos; além dos museus e coleções; monumentos pétreos e inventários. No item sobre geocomunicação e geoturismo foram abordados os conceitos relacionados às Geociências e o público, incluindo geoturismo em áreas naturais e urbanas, e projetos de educação não formal. A abordagem da sustentabilidade foi o ponto de partida para a análise das iniciativas relacionadas aos geoparques e geoconservação. Este “ato” foi dedicado aos avanços institucionais alcançados por parte das entidades representativas, sejam técnico-científicas ou profissionais, e empresas privadas com finalidade especifica de geoconservação e geoturismo. O tema das políticas públicas buscou mostrar como as instituições brasileiras, governamentais e acadêmicas vêm desempenhando suas atribuições para a pesquisa, promoção e conservação da geodiversidade com valor patrimonial. O último item fecha a discussão apontando a necessidade de incorporação de conceitos de geoética e geoconservação na formação dos geocientistas e da importância da educação para seguirmos avançando.
TREINTA AÑOS DE GEOCONSERVACIÓN EN ESPAÑA
Authors: Carcavilla Luis , Cabrera Ana , Díaz-Martinez Enrique , Luengo Javier , Vegas Juana
Published: April 2022

La situación de la geoconservación en España ha cambiado mucho en los 30 años que han pasado desde la Declaración de Digne sobre los derechos de la memoria de la Tierra. Hace 30 años había una buena base metodológica y se habían realizado diversos estudios pioneros, pero faltaba un desarrollo metodológico sólido, un marco legal y una buena implantación de la geoconservación en el mundo académico y en las administraciones. La tarea de numerosos centros de investigación, sociedades científicas y universidades ha ido creando un importante entramado que permiten afirmar que la geoconservación goza de buena salud en España. Esto no implica que la situación no deba y pueda mejorar, pero al volver la vista atrás se observa que ha sido mucho el camino andado y en especial las iniciativas nacionales, que han situado a España como uno de los países que lideran en el desarrollo de la geoconservación a nivel global, exportando sus experiencias de éxito a otros países. Así, el análisis de la evolución de la geoconservación durante las más de tres décadas transcurridas muestra que desde el principio ha existido participación española en los principales avances conceptuales, metodológicos y de puesta en práctica, y que estos aportes han ido aumentando progresivamente hasta la actualidad. A escala de país, destacan especialmente (1) la participación en organizaciones internacionales como ProGEO, la IUGS y sobre todo en la IUCN, (2) la contribución al desarrollo del proyecto Global Geosites, (3) la promoción y desarrollo de geoparques tanto en España como en otras partes del mundo, (4) la participación en publicaciones internacionales de relevancia, y (5) la promoción de las tareas de los servicios geológicos relacionadas con la geoconservación (Díaz Martínez, 2021).
The Speech Act of Invitation: A Contrastive Analysis of Moroccan Arabic and American English
Authors: Choraih Mohamed Amine
Published: April 2022

The present study has highlighted the similarities and the differences between American English (AE) and Moroccan Arabic (MA) in terms of the speech act of invitation. In fact, several strategies have been used to make, accept, and decline an invitation. The study’s data has been collected via two online questionnaires using Google Forms. In fact, there is one questionnaire which was used to collect data from Americans who speak English as their mother tongue and another one for Moroccan whose mother tongue is Moroccan Arabic. Both questionnaires comprise a number of parts. The first part is where personal information is provided. As a matter of fact, the participants are asked about their region and city as well as their age and sex. They are also asked about their level of education. The second part is composed of four situations for each questionnaire. The participants have to answer in American English when filling out the questionnaire designed in English, whereas others have to answer in Moroccan Arabic when filling out the one in Arabic. The results have shown that there are some similarities between MA and AE in terms of the speech act of invitation. Therefore, it is worthwhile to note that in both AE and MA, there are some indirect and direct strategies which are used to make an invitation. In fact, there are many strategies shared by both MA and AE which indicates that there are similarities. However, there are also some differences given that each language has its own socio-cultural background.
PENGEARUH KUALITAS PRODUK, KUALITAS PELAYANAN, PERSEPSI HARGA DAN PROMOSI TERHADAP KEPUTUSAN PEMBELIAN INDIHOME PADA PT.TELKOM METRO
Authors: Fuadi Slamet , Wijayanti Elly , Suyadi
Published: April 2022

Penelitian ini dilatar belakangi dengan naik turunnya jumlah pelanggan IndiHome pada PT. Telkom Metro pada tahun 2017-2020.Adapun yang menjadi permasalahan dalam penelitian ini adalah apakah kualitas produk, kualitas pelayanan, persepsi harga dan promosi mempengaruhi keputusan pembelian produk IndiHome.Tujuan penelitian ini adalah untuk mengetahui apakah variabel-variabel tersebut memperkuat pengaruh keputusan pembelian IndiHome pada PT Telkom Metro.Metode penelitian yang digunakan adalah penelitian kuantitatif dengan menggunakan data primer berupa wawancara dan kuisioner. Dalam penelitian ini didapatkan 92 responden  dalam perhitungan penelitian ini menggunakan program SPSS 17.Hasil penelitian ini menunjukan bahwa, 1) kualitas produk berpengaruh positif dan signifikan terhadap keputusan pembelian IndiHome, 2) kualitas pelayanan tidak berpengaruh dan tidak signifikan terhadap keputusan pembelian IndiHome, 3) persepsi harga berpengaruh negatif dan tidak signifikan terhadap keputusan pembelian IndiHome, 4) promosi berpengaruh positif dan signifikan terhadap keputusan pembelian IndiHome, 5) secara silmutan variabel kualitas produk, kualitas pelayanan, persepsi harga dan promosi berpengaruh terhadap keputusan pembelian Indihome di PT Telkom Metro.
Utilidad del ácido ursodesoxicólico para la prevención de la litiasis vesicular y sus complicaciones en pacientes sometidos a bypass gástrico
Authors: Acosta Florencia , Muriel María Emilia , García Manuel , Martínez Lascano Fernando , Foscarini José María , Esquivel Carlos Martín
Published: April 2022

Introduction. Rapid weight loss after bariatric surgery is a risk factor for the development of gallstones and its complications. The administration of ursodeoxycholic acid could be a preventive alternative. Aim. To compare the incidence of gallstones in patients treated and not treated with ursodeoxycholic acid and, secondarily, to evaluate the rate of cholecystectomy in each group. Materials and methods. Observational, retrospective cohort study of two non-randomized populations of patients undergoing gastric bypass surgery. The first population was collected retrospectively and the second prospectively and consecutively. Group 1 (without intervention) underwent surgery between January 2016 and December 2018 and did not receive medication, and group 2 (with intervention): operated between May 2019 and October 2020, to whom ursodeoxycholic acid was administered at 600 mg/day for six months. In all cases, abdominal ultrasound was performed at six and twelve months after surgery. Results. In group 1 (n = 73), 21 patients (28.7%) presented an ultrasound finding of gallstones at 6 months, 2 at 12 months (2.73%), for a total of 23 patients (31.5%). In group 2 (n = 32), 4 patients (12.5%) presented a diagnosis of gallstones in the first follow-up period and 1 case in the second, for a total of 5 patients (p = 0.067). Eighteen cholecystectomies were performed due to clinical manifestations related to gallbladder pathology: 17 cases in Group 1 (24.65%) and 1 in Group 2 (3.12%), with a statistically significant difference (p ≤ 0,0435). Conclusion. We have observed a lower incidence of gallstones in the group that received ursodeoxycholic acid, which was clinically relevant, without reaching statistically significant differences. On the other hand, a significant decrease was observed in the number of cholecystectomies one year after bariatric surgery.
Detección y vigilancia pospolipectomía de pólipos colónicos
Authors: Laudanno Oscar , Pucci Betiana , Brayer Santiago
Published: April 2022

Colorectal cancer is a major cause of morbidity and mortality worldwide. Their prevention is based on screening the average risk population (age 50-75, asymptomatic without personal and family history) and the identification of high-risk groups. The vast majority arise from premalignant polyps (adenomas, serrated lesions). Endoscopic polypectomy is effective in reducing colorectal cancer incidence and mortality. The adenoma detection rate is the most important quality measure in colonoscopy and is inversely correlated with the risk of interval cancer and mortality. Over the last years, several new technical-quality recommendations and new devices became available to improve polyp’s detection and new post-polypectomy surveillance guidelines have been published. The quality and findings of the baseline colonoscopy will determine surveillance intervals. On the other hand, the newest guidelines from the United States recommend colorectal cancer screenings begin at the age of 45 based on new epidemiological data. However, not all countries followed this recommendation. The purpose of this review is to analyze techniques and devices to improve the adenoma detection rate, new post-polypectomy surveillance guidelines and the age to start and stop colorectal cancer screening. Contextualize data in Argentina and discuss the relevant ongoing research.
Empoderamiento y calidad de vida en adultos con enfermedad celíaca en El Salvador. Estudio transversal
Authors: Zaldivar Espinal Karla Maria , Peña Amado Salvador , Serrano-Vela Juan Ignacio
Published: April 2022

Introduction. Celiac disease is a chronic disease with worldwide distribution. In the person-centered health approach to chronic diseases, the concepts of empowerment and quality of life become relevant. Aim. To determine the degree of empowerment and quality of life of adults with celiac disease in a sample from El Salvador, as well as the correlation between both measures. Materials y methods. Descriptive cross-sectional study. Salvadoran adults with diagnosis of celiac disease confirmed by duodenal biopsy were surveyed online. Sociodemographic and clinical data were required from the participants. A validated questionnaire in Spanish for the empowerment of people with chronic diseases was applied because there is no specific empowerment questionnaire for people with celiac disease. A validated quality of life questionnaire in Spanish for people with celiac disease was also used. Results. Thirty-six people were included in the study, of whom 86.1% were females, with a median time since diagnosis of 7.0 years [5.0-10.0]. Seventy-five percent reported a strict adherence to the gluten-free diet. The median empowerment score was 185.0 [176.25-195.0] out of 235 points and the median quality of life score was 72.5 [54.0-79.75] out of 100 points. The Spearman correlation between empowerment and quality of life was positive and statistically significant (rho = 0.444; p = 0.007). The people evaluated in this study have a good level of empowerment and quality of life. Conclusion. There is a moderate positive correlation between empowerment and quality of life for adults with celiac disease in this study.
Teduglutida en pacientes adultos con falla intestinal crónica por síndrome de intestino corto: protocolo de manejo con base en recomendaciones de expertos
Authors: Solar Héctor , Crivelli Adriana , de Barrio Silvia , Buncuga Martin , Manzur Alejandra
Published: April 2022

Chronic intestinal failure due to short bowel syndrome is a severe and complex disease that requires a specialized multidisciplinary treatment. Parenteral nutrition is the fundamental support in these patients; however, in the long term, complications associated with it may develop that contraindicate its continuity. In this context, an isolated or combined intestinal transplant (liver-intestine) is the last alternative to recover intestinal sufficiency. Since 2012 was introduced in the world, the use of semisynthetic GLP2 peptide, called teduglutide, changed the course and prognosis of this disease. Argentina is the Latin American country with the most experience in the use of this enterohormone, with results comparable to those of other international centers. This article summarizes the expert recommendations for the use of teduglutide in patients with chronic intestinal failure due to short bowel syndrome.
Síndrome de Lemmel: una causa infrecuente de colangitis aguda
Authors: León Moreno Julio Francisco , Wong Nano Carmen Danella , Dominguez Vega Steve Jose Francisco
Published: April 2022

Lemmel syndrome is a rare entity that causes biliary obstruction due to compression of the common bile duct by a periampullary diverticulum. It can manifest as acute cholangitis and is often underdiagnosed. However, once identified, it can be successfully treated with endoscopic retrograde cholangiopancreatography, being one of the most used methods. Lemmel syndrome should be considered in elderly patients with a diagnosis of periampullary duodenal diverticulum, once the presence of choledocholithiasis and pancreatobiliary neoplasms have been ruled out.
Prevalencia de eventos trombóticos en pacientes con enfermedad inflamatoria intestinal con seguimiento en un centro de referencia de la Ciudad de Buenos Aires. Estudio de corte transversal
Authors: Perez Tomas Manuel , Sánchez María Belén , Etchevers María Josefina , Sobrero María Josefina , Cruz González Sueyro Ramiro , Mulinaris Ana Belén , Posadas Martínez María Lourdes , Vázquez Fernando Javier , De Paula Juan Andrés , Marcolongo Mariano Martín
Published: April 2022

Introduction. Inflammatory bowel diseases are systemic disorders that affect the gastrointestinal tract and may present multiple extraintestinal manifestations. Among them, thromboembolic disease stands out and has a great impact on the morbidity and mortality of these patients. The risk of thrombosis in patients with inflammatory bowel disease is almost twice that of the general population, as reported in the literature. Risk factors described for this association include: inflammatory disease activity, hospitalization, recent surgeries, disease extension, and treatments of these conditions. Aim. The main objective of this study was to determine the prevalence of thrombotic events in the population of patients with inflammatory bowel disease followed in a third-level hospital in the city of Buenos Aires and, secondarily, to evaluate the rate of thrombosis in hospitalized patients and in the outpatient population, as well as the associated clinical characteristics. Materials and methods. A descriptive cross-sectional study was conducted that included patients with a diagnosis of inflammatory bowel diseases (Crohn's disease and ulcerative colitis) with follow-up in our center, who developed thrombotic events in the period from January 2002 to December 2020. The electronic medical record was used as a tool to detect and analyze the population of patients diagnosed with inflammatory bowel disease and who suffered the event of interest. Results. A total of 1,753 patients with inflammatory bowel disease were included: 1,352 with ulcerative colitis and 401 with Crohn's disease. Thirty-six of these patients developed the event of interest, resulting in a prevalence of thrombosis in patients with inflammatory bowel diseases of 2.0% (95% CI:1.0-2.8%). Within this group, 77.7% (28) of the events occurred in the outpatient setting and 22.2% (8) in patients. Of the patients with thrombosis, 39.2% (11) had a history of recent hospitalization (in the previous 60 days) and, of this group, 54% (6) developed thrombosis within the first month of discharge. Conclusions. The prevalence of thrombosis, in our population with this condition, was 2%. Most thrombotic events occurred in the outpatient setting. This raises the need for further studies to determine the behavior of instituting prophylactic measures in this group, especially in patients who have required recent hospitalization.
Métodos diagnósticos para la detección de infección por Helicobacter pylori. ¿Cuál y cuándo deben solicitarse?
Authors: Chahuan Javier , Pizarro Margarita , Riquelme Arnoldo
Published: April 2022

Gastric infection by Helicobacter pylori has a variable prevalence worldwide. In Latin America, it can exceed 50% of infected people. It is associated with peptic ulcer, gastric cancer, MALT lymphoma, immune thrombocytopenic purpura, among other pathologies. There is no optimal diagnostic method, and its presence can be detected by both invasive methods that require an upper gastrointestinal endoscopy, and non-invasive methods. Within the invasive, we have the rapid urease test, histology, molecular tests such as polymerase chain reaction and culture. On the other hand, non-invasive tests include the breath test, Helicobacter pylori antigen in stools, polymerase chain reaction in stools and serology. Depending on the clinical scenario, the diagnostic test to be used, its benefits and weaknesses should be known. It is important to consider the age of the patient, their gastric cancer risk factors, the need for endoscopy for this or another reason, the availability of diagnostic tests and the cost, among others.
Revinculación de pacientes con hepatitis C en el contexto de COVID-19
Authors: Sotera Gisela Fabiana , Ferreiro Melina , Martes Margarita , Cordero Nancy , Salmon Jonathan , Sordá Juan , Daruich Jorge , González Ballerga Esteban
Published: April 2022

Hepatitis C virus infection is one of the main causes of morbidity and mortality worldwide. In Argentina, it is estimated that only 50% of infected people are diagnosed; of these, half have confirmed their diagnosis, and only 5% have access to treatment. The COVID-19 pandemic has exacerbated this situation, further decreasing access to treatment. In this context, we developed a program to reconnect and simplify the patient care cascade, in order to facilitate access to diagnosis, treatment, and monitoring of complications associated with hepatitis C virus infection. 24.2% of the re-engaged patients were candidates for treatment, and they received it in only 2 medical consultations, with an average time of 29 days between the initial consultation and the delivery of the medication. The results of our study show that approximately half of the patients with hepatitis C are not followed up by a specialist. Of the patients who had cirrhosis at the time of re-engagement, 60% had mild fibrosis prior to admission to the program. More than 80% of patients with cirrhosis could not be re-engaged. A commitment from the healthcare team is required to facilitate the reduction of the instances necessary to access treatment, and programs focused on education and assessment of the patient's psychosocial environment. This will make it possible to break down existing barriers.
Sycophantic Culture and the Sustainability of Democracy in Nigeria
Authors: Shishima Sarwuan Daniel
Published: April 2022

Since the return to democratic or civil rule in Nigeria in 1999, we have had the opportunity to take our cherished democracy through successful successive rebirths. Our democracy has been a major factor for the changes, development and growth which we share today. This democracy has also taught us to checkmate people placed in positions in our bid to fight poverty, ensure social cohesion, facilitate the development of our social services, deepen political participation and awareness, and above all, sustain the peace of one Nigeria. However, it is observed with great concern and urgency that there is this dangerous cancerous enigmatic culture which if not tackled, has the propensity to derail and crumble our gigantic efforts to build a better Nigerian democratic culture. This cancer is what I call “sycophantic culture” which is more dangerous than the coup makers. Hence, this paper argues that this sycophantic culture in our socio-economic and political lives is one of the biggest threats we face even as we shape our democracy. Using analytic, historical and expository stencils, the paper identifies the various shades and forms this culture has hindered the making of our national rebirth where merit strives, mediocrity is shunned, ethnic cleavages are integrated at a higher level and cheap religious sentiments down played. The paper concludes using Tiv system of moral justice which reveres the pride of truth telling as a strong panacea towards building an integrative Nigerian democratic variable culture.
Pelatihan Akuaponik dengan BUDIKDAMBER upaya Memenuhi Kebutuhan Protein Nabati dan Hewani di Lahan Terbatas Masyarakat Desa Kedunglosari
Authors: Hidayatulloh Muhammad Kris Yuan , Romadoni Dhini , Lestari Denok Fitri , Ummah Robithotul , Alfatah Dungo Abid
Published: April 2022

Tujuan kegiatan pengabdian kepada masyarakat dalam skema progrm penerapan teknologi tepat guna kepada masyarakat (PPTTG) yaitu (1) melatih masyarakat dalam penggunaan lahan yang terbatas; (2) menambah penghasilan tambahan bagi pemasukan keluarga; dan (3) menambah kesibukan bagi masyarakat yang tidak mempunyai kegiatan di rumah. Asset Based Community Delelopment (ABCD) digunakan sebgai metode dalam pelaksanan kegiatan pengabdian kepada masyarakat pada skema progra penerapan teknologi tepat guna (PPTTG). Metode ini sebagai  alternatif pemberdayaan masyarakat dengan menggunakan asset. Asset dalam konteks ini diberikan makna potensi yang dimiliki oleh masyarakat sendiri, dengan menggunakan potensi atau kekayaan yang dimiliki masyarakat dapat digunakan sebagai senjata pamungkas untuk melakukan program pemberdayaan. Hasil pelaksanan kegiatan dapat disimpulkan bahwa prosedur pembuatan BUDIKDAMBER dan dalam pemeliharaannya juga sangatlah mudah dari alat dan bahannya tidak sulit untuk dicari, sehingga dalam pembuatan BUDIKDAMBER dapat dilaksanakan tanpa ada hambatan. Dan dalam pemeliharaannya juga dapat dikontrol dengan baik. Diadakannya alat untuk menjadi alternatif kebutuhan pangan keluarga menggunakan BUDIKDAMBER. Dengan ini mampu memberikan manfaat di lahan yang terbatas, memenuhi kebutuhan protein nabati dan protein hewani di masyarakat.
By Mastering English Vocabulary Can Increase the Learning Quality of Reading Comprehension Narrative Text on X MMA and X MMB at SMKN 7 Mataram
Authors: Mursid Ahmad
Published: April 2022

The purpose of this study is to find out whether By mastering the students’ English vocabulary and their reading comprehension skills. This research is quantitative research. The population of the research was 49 students of the second grade of SMKN 7 Mataram. There were two classes of the second-grade students of SMKN 7 Mataram. The sample was taken by using simple random sampling and class of X MMA and X MMB was taken as the sample of the research from 38 classes. The aim of reading comprehension skill and vocabulary mastery test were used as the instruments to measure the level of students’ comprehension skill and vocabulary mastery in this research. Based on the result of the tests of 39 students as a sample and by applying the formula of person’ coefficient correlation.  The statistical analysis shows that the correlation coefficient between the students’ vocabulary mastery and their reading comprehension is also significant (p < .01; p = .000). After considering the result, therefore the null hypothesis (H01) is rejected and the alternative hypothesis (H1) is accepted. It can conclude that By mastering English vocabulary and their achievement in reading comprehension. The higher vocabulary mastery had gotten by the students, the higher reading comprehension had gotten by the students. This suggests that from the result of this research mean that teaching vocabulary is a necessity before teaching further reading comprehension skills.
Penerapan Metode Problem Based Learning dalam Meningkatkan Prestasi Belajar Administrasi Pajak pada Siswa Kelas XI Akuntansi SMKN 1 Mataram Tahun Pelajaran 2015/2016
Authors: Purwiniety Anjar
Published: April 2022

Tujuan penelitian ini adalah untuk mengetahui apakah dengan penerapan metode Problem Based Learning dapat meningkatkan prestasi belajar administrasi pajak pada siswa kelas XI Akuntansi SMKN 1 Mataram Tahun Ajaran 2015/2016. Subyek penelitian ini adalah seluruh siswa kelas XI Akuntansi SMKN 1 Mataram sebanyak 36 siswa. Teknik pengumpulan data menggunakan lembar observasi, angket, dan tes hasil belajar. Jenis penelitian ini adalah Penelitian tindakan kelas sehingga teknik analisis data menggunakan teknik analisis data kualitatif. Berdasarkan hasil penelitian dan pembahasan, maka dapat disimpulkan bahwa: (1) Penerapan metode pembelajaran Problem-Based Learning dapat meningkatkan prestasi belajar Administrasi Pajak pada siswa kelas XI Akuntansi SMKN 1 Mataram Tahun Ajaran 2015/2016. Jumlah siswa yang tuntas pada siklus sebanyak 20 siswa (55,56%) mengalami peningkatan menjadi  30 siswa (83,3%) pada siklus II. (2) Penerapan metode pembelajaran Problem-Based Learning dapat meningkatkan motivasi belajar siswa kelas XI Akuntansi SMKN 1 Mataram Tahun Ajaran 2015/2016.
La rendición de cuentas partidarias
Authors: Ferreira Rubio Delia M.
Published: April 2022

La rendición de cuentas es uno de los pilares que sostienen cualquierrelación de representación, sea ésta privada o pública. El concepto seemparenta con la responsabilidad de quien administra en nombre de otros y, por lo tanto, está sujeto a un control de sus actos. Rendición de cuentas,responsabilidad y control son elementos centrales de las democraciasmodernas basadas en la idea de representación.