bluuebunny/crossref_metadata_2025 huggingface dataset:
Portal venous pressure in non-cirrhotic bilharzial patients undergoing elective splenectomy, can it affect mortality? A prospective study
Authors: Tourky M , Youssef A , Salman M , Abouelregal T , Tag El-Din M , Moustafa A , Taha A , El-Mikkawy A , Saadawy A , Salman A
Published: November 2021

Background and study aims: To evaluate the impact of intra- operatively measured portal vein pressure (PVP) on mortality in non-cirrhotic bilharzial patients undergoing splenectomy.

Methods: The present study is a prospective study that was conducted in Egypt from April 2014 to April 2018. Adult patients with non-cirrhotic bilharziasis who were scheduled to undergo splenectomy were included. Studied cases were divided into a survival cohort and a non-survival cohort. The main objective was the correlation between the incidence of mortality and intraoperative PVP.

Results: The present work comprised 130 cases with a mean age of 51.8 ± 6.4 years old. The in-hospital mortality rate was 22.3%, with sepsis as a major cause of death (37.9%). In term of the association between preoperative variables and mortality, survivors had statistically significant lower portal vein diameter (13.6 ± 1.8 versus 15.2 ± 1.8mm; p<0.001) and higher portal vein velocity (14.2 ± 1.8 versus 10.4 ± 2.3 cm/sec; p<0.001) than non- survivors. The survived patients had significantly lower PVP (13.9 ± 1.1 versus 17.7 ± 2.7; p <0.001). A cut-off value of ≥14.5 mmHg, the PVP yielded a sensitivity of 86.2% and a specificity of 69% for the prediction of mortality. The association analysis showed a statistically significant association between mortality and postoperative liver function parameters.

Conclusions: High intraoperative PVP is linked to early postoperative death in non-cirrhotic cases undergoing splenectomy. Our study showed that PVP > 14.5mmHg was an independent predictor of death and showed good diagnostic performance for the detection of early postoperative mortality.
Role of enteroscopy in the diagnosis of whipple’s disease
Authors: Mascarenhas Saraiva M , Ribeiro T , Costa Pereira T , Andrade P , Cardoso H , Macedo G
Published: November 2021

Whipple’s disease is a rare chronic systemic infection caused by Tropheryma whipplei. The widespread infection by this rod is responsible for the protean clinical manifestations of the disease, although its classical form is notable for the prevalence of abdominal symptoms such as chronic diarrhea and abdominal pain. Whitish-yellow patches, suggestive of lymphangiectasia, are typically observed in the duodenum during upper endoscopy. The diagnosis of this condition is supported by the identification in duodenal biopsies of Periodic acid-Schiff staining within lamina propria macrophages. Nevertheless, a significant portion of patients do not have lesions within the range of conventional upper endoscopy. Therefore, other endoscopic procedures such as video capsule endoscopy and enteroscopy may be useful to detect more distal lesions. The authors describe a case where the combined used of both techniques allowed the unmasking of this disease.
PENGGUNAAN LEMBAR KERJA BERUPA TEKA TEKI SILANG DALAM UPAYA MENINGKATKAN HASIL BELAJAR IPA KELAS IX
Authors: SYAHREZA ACHMAD
Published: November 2021

This study was aimed to determine the effect of crossword puzzles on improving science learning outcomes for grade IX at SMPI Integral Luqman Al Hakim Batam. The research method was arranged in a quasi-experimental way. There are 2 types of data obtained, namely (a) primary data in the form of student answers in working on student worksheets containing exercises in the form of crossword puzzles, (b) secondary data in the form of literature studies, interviews, and learning reflections. The results of this study indicate an increase in learning outcomes, so that in the future it becomes one of the choices of work and innovation in the development of student worksheets that contain practice questions.
ABSTRAKPenelitian ini dalam rangka untuk mengetahui pengaruh teka teki silang terhadap peningkatan hasil belajar IPA kelas IX di SMPI Integral Luqman Al Hakim Batam. Metode penelitian disusun dengan quasi experiment. Terdapat 2 tipe data yang diperoleh, yaitu (a)data primer berupa jawaban peserta didik dalam mengerjakan lembar kerja peserta didik berisi latihan dalam bentuk TTS, (b)data sekunder berupa studi literatur, wawancara, dan refleksi pembelajaran. Hasil penelitian ini menunjukkan adanya peningkatan hasil belajar, sehingga kedepannya menjadi salah satu pilihan karya dan inovasi pada pengembangan lembar kerja peserta didik yang memuat latihan soal.
VALORIZAÇÃO DOS PROFISSIONAIS DE CONTABILIDADE COMO CONSULTORES
Authors: Lopes João Guilherme Mazzaro , Zanetoni Thiago Okumura , Lopes Tiago de Oliveira , Boreli Daniela
Published: November 2021

A demanda de procura dos serviços contábeis tem caído absurdamente, docentes da área acreditam que esse fato é justificado a partir da hipótese de que a educação contábil esteja desatualizada, principalmente ao que tange aos professores, motivo no qual existe grande necessidade de mudanças relevantes.  Nota-se que a necessidade de novas competências aos profissionais da área contábil, principalmente as que estão associadas às habilidades da área tecnológica. observou a necessidade de novas competências aos profissionais da área contábil, principalmente as que estão associadas às habilidades da área tecnológica. Vale evidenciar que a compreensão a cerca dessas lacunas é evidenciada em todas as áreas de atuação das ciências contábeis, principalmente na contabilidade financeira e gerencial. O desenvolvimento desse trabalho foi motivado a partir da grande necessidade de evidenciar a atividade deliberada do profissional contábil sobre a empresa ao qual presta serviços e ressaltar diversos fatores que podem contribuir para organização. Por meio de uma revisão de bibliográfica de cunho descritivo, buscou-se compreender a necessidade brasileira quanto à atuação da consultoria contábil na rotina empresarial.
DISPENSAÇÃO DE ANTIDEPRESSIVOS CONTROLADOS PELA PORTARIA 344/1998, EM FEIRA DE SANTANA – BA NO PERÍODO DA PANDEMIA DO COVID-19
Authors: Lima Diego Rafael Sampaio , Moura Monique Barbosa , Oliveira Reinaldo de Almeida , Oliveira Rodrigo Inácio Novais de , Carneiro Vinícius Mendes de Souza
Published: November 2021

Este estudo investigou a prevalência e o aumento da venda de medicamentos antidepressivos na cidade de Feira de Santana-BA, no período de março de 2019 a fevereiro de 2021, fazendo recortes temporais entre março/2019 e fevereiro de 2020 como período pré-pandemia e março de 2020 a fevereiro de 2021 como período de pandemia. Os dados mostram que medicamentos como a Amitriptilina 25 mg, fluoxetina 20mg, escitalopram 10 mg e a sertralina 50 mg que já eram bem utilizados como medicamentos antidepressivos, mas que durante a pandemia esse número cresceu. Os fatores que podem estar associados a esse crescimento são o isolamento e o distanciamento social, a insegurança financeira como consequência de lockdown e o medo da morte causada pelo vírus foram impostos pela pandemia de covid-19. Os resultados obtidos contribuíram também para a avaliação das concentrações e classes de medicamentos dispensados entre as datas citadas acima, demostrando a análise entre as vendas sob dispensação de medicamentos antidepressivos.
INTERAÇÃO ENTRE ANTICONCEPCIONAIS ORAIS COM ANTIBIÓTICOS: UMA REVISÃO INTEGRATIVA
Authors: Aquino Andrey Gonçalves de , Rios Davy Gonçalves
Published: November 2021

Este estudo teve como objetivo analisar na literatura científica sobre a relação na interação medicamentosa entre antibióticos e anticoncepcionais. Foi feito uma revisão sistemática da literatura em diversas bases de dados, com o intervalo temporal entre 2008 e 2021. Anticoncepcionais orais são o método mais difundido e usado no mundo e considerado um método reversível muito eficaz, já os antibióticos são compostos naturais ou sintéticos capazes de inibir o crescimento, ou causar a morte bactérias. A interação medicamentosa desses dois fármacos se dá principalmente por dois motivos, o primeiro deles é causando a morte das bactérias do cólon, as quais são fundamentais para a farmacocinética dos contraceptivos orais, e o segundo é acelerando a biotransformação, diminuindo a concentração sérica, reduzindo a eficácia e requerendo ajuste na dosagem de diversas drogas metabolizadas no fígado.
SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM PARA GESTANTES COM PRÉ ECLÂMPSIA E/OU ECLÂMPSIA: REVISÃO INTEGRATIVA DA LITERATURA
Authors: Souza Mariana Antunes Carvalho de , Silva Maria Aparecida Xavier Moreira da
Published: November 2021

A Síndrome Hipertensiva Específica da Gestação (SHEG) se caracteriza como um distúrbio que promove intensas alterações fisiológicas na gestante podendo ocasionar a morte da mãe e do bebê. Esse estudo traz como objetivo principal descrever o papel do enfermeiro na elaboração da Sistematização da Assistência de Enfermagem e do Processo de Enfermagem para paciente gestante com pré-eclâmpsia e/ou eclâmpsia. Trata-se de uma pesquisa de revisão integrativa da literatura que foi realizada no período entre março à outubro de 2021. A amostra foi composta por 33 publicações. Os resultados apontam que as gestantes em pré-eclâmpsia e/ou eclâmpsia apresentam como necessidades de assistência de enfermagem as necessidades psicobiológicas, psicossociais e psicoespirituais. Mediante essas necessidades foram identificados os seguintes diagnósticos de enfermagem para atendimento dessas gestantes: Risco de função cardiovascular prejudicada, Risco de binômio mãe-feto perturbado, Risco de infecção, Risco de sangramento, Conforto prejudicado, Ansiedade, Dor aguda e Náusea. A pesquisa evidenciou que gestantes com eclâmpsia e/ou pré-eclâmpsia correm um grande risco de vir a óbito, não somente elas como também seus bebês.  O papel do enfermeiro na aplicabilidade da SAE é de suma importância e que, quando realizada de forma adequada, a SAE permite ao enfermeiro a identificação precoce de riscos ou alterações que esta gestante esteja sofrendo, com indício de pré-eclâmpsia ou eclâmpsia, na qual pode se ter um desfecho favorável, evitando a ocorrência de óbito materno-fetal. Desta forma, a SAE pode instrumentalizar o enfermeiro para uma abordagem assistencial, direcionando cuidados específicos para essas pacientes, evitando-se resultados negativos.
OS DESAFIOS DA ANAMNESE E EXAME FÍSICO NA SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM -SAE: REVISÃO INTEGRATIVA DE LITERATURA
Authors: Moraes Andressa Melo de , Vasconcelos Deize Viana , Imbiriba Thaianna Cristina Oliveira
Published: November 2021

INTRODUÇÃO: O presente estudo tem como objetivo investigar os desafios da anamnese e exame físico na sistematização da assistência de enfermagem – SAE do município de Monte Alegre – PA. Trata se de um estudo descritivo com abordagem do tipo qualitativos que busca investigar os desafios da anamnese e exame físico na sistematização da assistência de enfermagem. A anamnese e o exame físico são etapas do processo de enfermagem, apresentando como instrumento de grande valor para a assistência de enfermagem. Portanto, o processo de enfermagem apresenta desafios para estabelecimento de todas as suas fases. OBJETIVO: O presente estudo tem como objetivo investigar os desafios da anamnese e exame físico na Sistematização da Assistência de Enfermagem. MATERIAIS E MÉTODOS: Trata-se de um estudo interativo, descritiva de abordagem qualitativa. Seguiu a coleta de dados em etapas, estabelecimento da questão da pesquisa, busca na literatura, categorização dos estudos, interpretação dos resultados e apresentação da revisão realizadas nas bases de artigos em plataforma digital. RESULTADOS E DISCURSÕES: O desenvolvimento das etapas do processo de enfermagem vem enfrentando dificuldades, as quais enfermeiros e instituições procuram superar. Portanto há estratégias que podem ser aproveitadas pelos profissionais enfermeiros e instituições de saúde para a implementação e consolidação na prática profissional. Estas estratégias destacam a implementação e desenvolvimento de ações em educação permanente, informatização da assistência, e apoio das instituições de ensino superior. CONCLUSÃO: Diante disso, o processo de enfermagem, permite organizar e planejar as ações de enfermagem a partir da tomada de decisão do enfermeiro.
PERFIL EPIDEMIOLÓGICO DA DOENÇA DE CHAGAS NA BAHIA
Authors:  Brasileiro Aline de Oliveira , Silva Neto Gercino Gomes  , Ferreira Henrique da Silva , Brito Vinicius Gabriel Rodrigues  , Carneiro Vinicius Mendes Souza 
Published: November 2021

Este estudo teve como objetivo discorrer sobre o perfil epidemiológico da Doença de Chagas na Bahia. Para isso, buscou-se analisar os dados de prevalência da DC, no período de 2018 a 2020, bem como verificar o estrato social onde a doença ocorre, além de explanar sobre a taxa de mortalidade pela doença no Brasil, em especial no estado da Bahia. Tratou-se de um estudo descritivo, de corte transversal, realizado com dados secundários. Foi evidenciado que a taxa de mortalidade pela DC foi considerada alta nos municípios de Cruz das Almas, Jacobina, Santo Antonio de Jesus, Itaberaba, Barreiras e Guanambi. A região norte da Bahia foi a que registrou maior variação em relação aos casos da doença. A forma mais recorrete de transmissão da doença foi por via oral. Quanto à proporção de óbitos da doença com base na raça e cor revelou que a cor parda.
Summertime productivity and carbon export potential in the Weddell Sea, with a focus on the waters adjacent to Larsen C Ice Shelf
Authors: Flynn Raquel F. , Bornman Thomas G. , Burger Jessica M. , Smith Shantelle , Spence Kurt A. M. , Fawcett Sarah E.
Published: November 2021

Abstract. The Weddell Sea represents a point of origin in the Southern Ocean where
globally important water masses form. Biological activities in Weddell Sea
surface waters thus affect large-scale ocean biogeochemistry. During
January–February 2019, we measured net primary production (NPP), nitrogen
(nitrate, ammonium, urea) uptake, and nitrification in the western Weddell
Sea at the Antarctic Peninsula (AP) and Larsen C Ice Shelf (LCIS), in the
southwestern Weddell Gyre (WG), and at Fimbul Ice Shelf (FIS) in the
south-eastern Weddell Sea. The highest average rates of NPP and greatest
nutrient drawdown occurred at LCIS. Here, the phytoplankton community was
dominated by colonial Phaeocystis antarctica, with diatoms increasing in abundance later in the
season as sea ice melted. At the other stations, NPP was variable, and
diatoms known to enhance carbon export (e.g. Thalassiosira spp.) were dominant. Euphotic
zone nitrification was always below detection, such that nitrate uptake
could be used as a proxy for carbon export potential, which was highest in
absolute terms at LCIS and the AP. Surprisingly, the highest f ratios
occurred near FIS rather than LCIS (average of 0.73±0.09 versus 0.47±0.08). We attribute this unexpected result to partial ammonium
inhibition of nitrate uptake at LCIS (where ammonium concentrations were 0.6±0.4 µM, versus 0.05±0.1 µM at FIS), with elevated
ammonium resulting from increased heterotrophy following the accumulation of
nitrate-fuelled phytoplankton biomass in early summer. Across the Weddell
Sea, carbon export appears to be controlled by a combination of physical,
chemical, and biological factors, with the highest potential export flux
occurring at the ice shelves and lowest in the central WG.
Dynamics of the Great Oxidation Event from a 3D photochemical-climate model
Authors: Jaziri Adam Yassin , Charnay Benjamin , Selsis Franck , Leconte Jérémy , Lefèvre Franck
Published: November 2021

Abstract. From the Archean toward the Proterozoic, the Earth's atmosphere underwent a major shift from anoxic to oxic conditions, around 2.4 to 2.1 Gyr, known as the Great Oxidation Event (GOE). This rapid transition may be related to an atmospheric instability caused by the formation of the ozone layer. Previous works were all based on 1D photochemical models. Here, we revisit the GOE with a 3D photochemical-climate model to investigate the possible impact of the atmospheric circulation and the coupling between the climate and the dynamics of the oxidation. We show that the diurnal, seasonal and transport variations do not bring significant changes compared to 1D models. Nevertheless, we highlight a temperature dependence for atmospheric photochemical losses. A cooling during the late Archean could then have favored the triggering of the oxygenation. In addition, we show that the Huronian glaciations, which took place during the GOE, could have introduced a fluctuation in the evolution of the oxygen level. Finally, we show that the oxygen overshoot which is expected to have occurred just after the GOE, was likely accompanied by a methane overshoot. Such high methane concentrations could have had climatic consequences and could have played a role in the dynamics of the Huronian glaciations.
GNOM v1.0: An optimized steady-state model of the modern marine neodymium cycle
Authors: Pasquier Benoît , Hines Sophia K. V. , Liang Hengdi , Wu Yingzhe , John Seth G. , Goldstein Steven L.
Published: November 2021

Abstract. Spatially distant sources of neodymium (Nd) to the ocean that carry different isotopic signatures (εNd) have been shown to trace out major water masses, and have thus been extensively used to study large-scale features of the ocean circulation both past and current. While the global marine Nd cycle is qualitatively well understood, a complete quantitative determination of all its components and mechanisms, such as the magnitude of its sources and the paradoxical conservative behavior of εNd, remains elusive. To make sense of the increasing collection of observational Nd and εNd data, we develop the global neodymium ocean model (GNOM) v1, the first inverse model of the global marine biogeochemical cycle of Nd. The GNOM is embedded in a data-constrained steady-state circulation that affords spectacular computational efficiency, which we leverage to estimate biogeochemical parameters via systematic objective optimization. Owing to its matrix representation, the GNOM model is additionally amenable to novel diagnostics that allow us to investigate open questions about the Nd cycle with unprecedented accuracy. The GNOM is open-source and freely accessible, is written in Julia, and its code is easily understandable and modifiable for further developments and experiments.
Machine-learning approach to crop yield prediction with the spatial extent of drought
Authors: Diaz Vitali , Osman Ahmed A. A. , Corzo Perez Gerald A. , Van Lanen Henny A. J. , Maskey Shreedhar , Solomatine Dimitri
Published: November 2021

Abstract. Crop yield is one of the variables used to assess the impact of droughts on agriculture. Crop growth models calculate yield and variables related to plant development and become more suitable for crop yield estimation. However, these models are limited in that specific data are needed for computation. Given this limitation, machine learning (ML) models are often widely utilised instead, but their use with the spatial characteristics of droughts as input data is limited. This research explored the spatial extent of drought (area) as input data for building an approach to predict seasonal crop yield. This ML approach is made up of two components. The first includes polynomial regression (PR) models, and the second considers artificial neural network (ANN) models. In this approach, the purpose was to evaluate both types of ML models (PR and ANN) and integrate them into one operational tool. The logic is as follows: ANN models determine the most accurate predictions, but in practice, issues regarding data retrieval and processing can make the use of equations, i.e. PR, preferable. The proposed approach provides these PR equations to perform such calculations with early and preliminary input. The estimates can be further improved when the ANN models are run with the final input data. The results indicated that the empirical equations (PR) produced good predictions when using drought area as the input. ANN provides better estimates, in general. This research will improve drought monitoring systems for assessing drought effects. Since it is currently possible to calculate drought areas within these systems, the direct application of the prediction of drought effects is possible to integrate by following approaches such as the one presented or similar.
The impact of wind on the rainfall–runoff relationship in urban high-rise building areas
Authors: Gao Xichao , Yang Zhiyong , Han Dawei , Gao Kai , Zhu Qian
Published: November 2021

Abstract. Wind drift has a significant influence on the rainfall–runoff relationship in urban high-rise building areas since the
oblique rainfall caused by the wind drift can interact with the building
walls. However, the impact of the rainfall inclination angle on the
rainfall–runoff process in urban high-rise building areas has not been studied. In this study, the relationship between wind and the
rainfall–runoff process in such areas was explored. A theoretical framework has been developed to describe their relationship, including a computational
fluid dynamics (CFD) method to obtain the relationship between wind speed
and rainfall inclination and a newly derived equation to describe the
relationship between rainfall inclination and the runoff coefficient.
Subsequently, a laboratory scale model experiment was conducted to verify the proposed framework. The main results are that (1) the runoff coefficient calculated by the proposed theoretical framework is highly consistent with
that obtained from the laboratory experiment, (2) the runoff coefficient of urban high-rise building areas increases with wind speed and the increase
rate is linear with the tangent of the rainfall inclination angle, and (3) the change in the runoff coefficient for the experiment with larger raindrop is
0.047 when the wind speed increases from 0 to 5.9 m s−1, while that for the
experiment with smaller raindrop is 0.064, which means that the rainfall
with larger droplets is less influenced by the wind.
Evaluation of basal melting parameterisations using in situ ocean and melting observations from the Amery Ice Shelf, East Antarctica
Authors: Rosevear Madelaine Gamble , Galton-Fenzi Benjamin Keith , Stevens Craig
Published: November 2021

Abstract. Ocean driven melting of Antarctic ice shelves is causing grounded ice to be lost from the Antarctic continent at an accelerating rate. However, the ocean processes governing ice shelf melting are not well understood, contributing to uncertainty in projections of Antarctica's contribution to sea level. Here, we analyse oceanographic data and in situ measurements of ice shelf melt collected from an instrumented mooring beneath the centre of the Amery Ice Shelf, East Antarctica. This is the first direct measurement of basal melting from the Amery Ice Shelf, and was made through the novel application of an upwards-facing Acoustic Doppler Current Profiler (ADCP). ADCP data were also used to map a region of the ice base, revealing a steep topographic feature or “scarp” in the ice with vertical and horizontal scales of ~20 m and ~40 m respectively. The annually-averaged ADCP-derived melt rate of 0.51 ± 0.18 m yr−1 is consistent with previous modelling results and glaciological estimates, and there is significant seasonal variation in melting with a maximum in May and a minimum in September. Melting is driven by temperatures ~0.2 °C above the local freezing point and background and tidal currents, which have typical speeds of ~3.0 cm s−1 and 10.0 cm s−1 respectively. We use the coincident measurements of ice shelf melt and oceanographic forcing to evaluate parameterisations of ice-ocean interactions, and find that parameterisations in which there is an explicit dependence of the melt rate on current speed beneath the ice tend to overestimate the local melt rate at AM06 by between 200 % and 400 %, depending on the choice of drag coefficient. A convective parameterisation in which melting is a function of the slope of the ice base is also evaluated and is shown to under-predict melting by 20 % at this site. Using available observations from other ice shelves, we show that a common current speed-dependent parameterisation overestimates melting at all but the coldest, most energetic cavity conditions.
Persistent, Extensive Channelized Drainage Modeled Beneath Thwaites Glacier, West Antarctica
Authors: Hager Alexander O. , Hoffman Matthew J. , Price Stephen F. , Schroeder Dustin M.
Published: November 2021

Abstract. Subglacial hydrology is a leading control on basal friction and the dynamics of glaciers and ice sheets. At low discharge, subglacial water flows through high-pressure, sheet-like systems that lead to low effective pressures. However, at high discharge, subglacial water melts the overlying ice into localized channels that efficiently remove water from the bed, thereby increasing effective pressure and basal friction. Recent observations suggest channelized subglacial flow exists beneath Thwaites Glacier, yet it remains unclear if stable channelization is feasible in West Antarctica, where surface melting is nonexistent and water at the bed is limited. Here, we use the MPAS-Albany Land Ice model to run a suite of over 130 subglacial hydrology simulations of Thwaites Glacier across a wide range of physical parameter choices to assess the likelihood of channelization. We then narrow our range of viable simulations by comparing modeled water thicknesses to previously observed radar specularity content, which indicates flat, spatially extensive water bodies at the bed. In all of our data-compatible simulations, stable channels reliably form within 100–200 km of the grounding line, and reach individual discharge rates of 35–110 m3 s−1 at the ice-ocean boundary. While only one to two channels typically form across the 200 km width of the glacier in our simulations, their high efficiency drains water across the entire lateral extent of the glacier. No simulations resembled observed specularity content when channelization is disabled. Our results suggest channelized subglacial hydrology has two consequences for Thwaites Glacier dynamics: (i) amplifying submarine melting of the terminus and ice shelf, while (ii) simultaneously raising effective pressure within 100 km of the grounding line and increasing basal friction. The distribution of effective pressure implied from our modeling differs from parameterizations typically used in large-scale ice sheet models, suggesting the development of more process-based parameterizations may be necessary.
Taking JEMCA to the world stage
Authors: Schaffner Francis
Published: November 2021

2021 is a landmark year for the Journal of the European Mosquito Control Association (JEMCA)! In the last 12 months we moved from self-publishing to the professional publisher Wageningen Academic Publishers (WAP). This is intended to gain efficiency in the submission, reviewing and publishing process, and also to get better indexed and evaluated, the final aim being to link authors and readers, promoting dissemination of science, improving knowledge on vectors and addressing related challenges.
The Effect of COVID 19 Pandemic on ClinicalPractices and Education in Cukurova University Faculty of Dentistry
Authors: Soygun Koray , Uçar Yurdanur
Published: November 2021

Purpose:The aim of this study was to evaluate the strategy of Cukurova University Faculty of Dentistry in clinicalmanagement and education during COVID 19 pandemic and report the effects of the coronavirus outbreak that affectedthe whole world. Methods:The number of patients, income and expenditure rates were compared between March-November 2019 andMarch-November 2020. The effect of COVID 19 pandemic on education was evaluated by comparing the preclinical andclinical course methods and assessment-evaluation methods before and during the pandemic period. Comparisons weremade considering the theoretical and the practical training, feedback and student evaluation methods. Results:The number of patients and income levels in March 2020 was approximately 50% of the income in March 2019.A dramatic decrease was observed in the number of patients and income-expense levels in April and May. Althoughnormalization has started by October 2020, clinics have been working with a performance of approximately 40%compared to 2019. Cukurova University Faculty of Dentistry does the online dental training using Microsoft Teams.Practical applications are thought using videos and photographs. Feedback is important in practical training. For thisreason, students are asked to prepare a powerpoint presentation with pictures taken in a pre-determined format andsubmit the presentation through the software. The lecturer gives feedback using the Microsoft Teams program. Onlineexams (multiple choice, structured open ended or oral) are conducted using the same software. Conclusion:Cukurova University, Faculty of Dentistry is affected by COVID 19 pandemic. However, the minimal impactof COVID 19 pandemic has been targeted. Therefore, the effective clinical arrangements and rapid adaptation to thedistance learning was needed. Pandemic gave us a new vision for dental practices which will be used in the postpandemic period and help us reconsider our previous working habits.
Incidencia de la política criminal en la seguridad. Especial referencia a la delincuencia organizada y transnacional
Authors: Gavilán Rubio María
Published: November 2021

En el presente artículo vamos a analizar como la delincuencia organizada y transnacional, que supone un flagrante ataque a los derechos humanos y la ruptura del orden público y la paz social, forman parte de los Objetivos de Desarrollo Sostenible y ponen de manifiesto que para su erradicación se hacen necesarias políticas criminales adecuadas, políticas criminales modernas y multidisciplinares, transversales que no centren su atención únicamente en el ámbito punitivo y retributivo del derecho penal, si no que se sirvan de otras disciplinas como la sociología, respetando el principio de intervención mínima que ha de caracterizar al derecho penal. Así mismo hemos visto la interrelación e impacto que tiene esta cuestión en la seguridad ciudadana, partiendo la política criminal en España y en concreto en el ámbito de la seguridad ciudadana y el orden público, teniendo en cuenta cuestiones como el factor territorial del delito. Por último, hemos propuesto como abordar la política criminal en la delincuencia organizada y trasnacional con especial referencia al delito de trata de seres humanos.
Ciudadanía fragmentada: entre la representación y la deliberación
Authors: Minguijon Jaime , Tomás-del Río Eva María , Gastón Faci Diego
Published: November 2021

¿Responden las percepciones y comportamientos de la ciudadanía a los requisitos planteados por la democracia deliberativa? Este trabajo realiza un análisis de la magnitud y profundidad de la crisis de la democracia representativa, para, a partir de las claves que caracterizan este complejo contexto, indagar en las propuestas planteadas para combatir esta crisis. Entre ellas, destacan un conjunto de propuestas en torno a la democracia deliberativa, que suponen pasar de una concepción de ciudadano pasivo, que se limita a emitir el voto cada cuatro años, a un ciudadano activo que se implica en el discurrir cotidiano de los asuntos públicos.
Posteriormente, se aborda el objeto central de este trabajo: identificar la mayor o menor predisposición de la ciudadanía española a desarrollar las percepciones y comportamientos que exige una democracia deliberativa. Para ello, se radiografía la ciudadanía española a través de un análisis de datos secundarios procedentes de los últimos barómetros del CIS.
Los resultados del análisis evidencian la existencia de una ciudadanía fragmentada que adopta una heterogeneidad de posiciones en el contínuum representación-deliberación.
Evidencia científica y alimentos funcionales: la regulación de las declaraciones de salud en la Unión Europea
Authors: López Mas Roberto
Published: November 2021

Este artículo plantea una caracterización del proceso regulador europeo de las declaraciones de salud, así como un análisis de la controversia generada en torno a sus requisitos metodológicos y evidenciales de fundamentación científica. A partir de la revisión de regulaciones, reglamentos y artículos científicos relevantes, se estudian las políticas epistémicas adoptadas por la Agencia Europea de Seguridad Alimentaria, su posible impacto en distintos ámbitos y las propuestas de estrategias alternativas presentadas por enfoques críticos. Desde la regulación, se ha definido una jerarquía evidencial y metodológica que otorga una importancia crucial al establecimiento de causalidad mediante ensayos controlados aleatorizados para la autorización de las declaraciones. Este estándar de prueba puede ser inadecuado para el estudio de los efectos de los ingredientes en las ciencias de la nutrición, el impulso a la investigación, el desarrollo y la innovación de los alimentos funcionales y la mejora de la salud individual y pública. Se concluye que la Agencia Europea de Seguridad Alimentaria puede necesitar reconsiderar las políticas epistémicas adoptadas hasta el momento, a través de la revisión de la priorización de sus objetivos reguladores y el análisis del conjunto de las consecuencias de cada nivel de prueba en los diferentes contextos.
Silicon and aluminum in Bulgarian coals
Authors: Kortenski Jordan , Zdravkov Alexander
Published: November 2021

The presence and distribution of Si and Al in 19 Bulgarian coal basins and deposits, belonging to 8 coal provinces, were studied. Coals are of different rank (lignite to anthracite) and age (Late Carboniferous to Pliocene). The presence of both studied major elements depends strongly on: i) their concentration within the basin’s provenance; ii) the extent of terrigenous supply; iii) environmental acidity during peat formation; and iv) the presence and composition of epigenetic mineralization within the coal seams. Because of the presumed abundant terrigenous supply, the concentrations of both Si and Al are higher than the world average for most of the studied coals. Exceptions are the Maritsa-West, Burgas, Staniantsi, Oranovo, Chukurovo and Pernik Basins, for which reduced terrigenous supply can be suggested. For most of the basins, both Si and Al demonstrate good positive correlation with the ash yields, thus arguing for predominant inorganic affinity. Relatively low Si/Al ratios (typically <2) and good positive correlation between Si and Al (ro>0.6) imply the predominant role of the clay mineral assemblages as the main source of the elements in coal. Quartz is presumed to have dominant role only in Maritsa-West Basin. Poorer or negative correlations with the ash yields in part of the studied basins (i.e. Svoge, Maritsa-West, Sofia, Burgas and Dobrudzha Basins) suggest either mixed or predominantly organic affinity of the elements. Release of Si and Al from the clay minerals during the peat formation/diagenesis and subsequent formation of organo-metallic complexes is considered to responsible for such affinity.
Sevima Edlink social learning network for nursing science students at STIK Binahusada Palembang
Authors: Agus Wahyudi
Published: November 2021

ICT is a valuable tool to enhance teaching and learning. The online class is Sevima Edlink, an android-based application that is devoted to the world of education which aims to provide a learning space that bridges the teachers and the students in learning activities that can be done anytime and anywhere with more flexible learning time. The features in this application that facilitate interaction between the teacher and the students namely: discussion forums, sharing features, assignments in class, info, events, and surveys. The research method used is qualitative research. The participants were the students of STIK Bina Husada in the academic year 2019/2020, majoring Nursing Science Study Program who were taking English 1 subject. There were19 students and in the 2nd semester. The use of this application was started on Tuesday, March 10, 2020, and ended on April 28th, 2020. This study aims to introduce the students’ Sevima Edlink application and describe their English performance or mid-semester result test as the evaluation. In general, the research on "Sevima Edlink Social Learning Network for Nursing Science Students at STIK Bina Husada Palembang" went as expected. The students were enthusiastic about using the Sevima Edlink application. The writer pointed out several weaknesses of the Sevima Edlink application, one of them is network coverage because not all of the students are in Palembang city. Based on the mid-semester test result, majority of the students were in a good category, or it can be said that Sevima Edlink is one of useful platforms that can be used the teacher or lecturer to do his/her instruction
The English speaking anxiety of public health students of STIK Bina Husada Palembang
Authors: Agus Wahyudi
Published: November 2021

The learning process is an adaptation method dole out by people to grasp and master the science. During this learning period that the individual adjusts himself to the changes that occur quickly and surely. Speaking publically will cause anxiety as a result of each activity dole out by humans contains a tendency to develop anxiety. Horwitz (2001) expresses that one-third of the scholars who study foreign languages expertise a minimum of at a median level. The subjects were 13 students of the sixth semester who took English for Public Health in the academic year of 2020/2021. The frequency and the English speaking anxiety level became the purpose of this study to be found out. To collect the data English speaking anxiety questionnaire was used. The first questionnaire results showed that 2 students (15%) answered very often, 4 students (30%) often, 6 students (46%) rarely, and 1 student (7%) never felt anxious when speaking English. The second questionnaire showed that 2 students (15%) in high category, 10 students (76%) in medium, and 1 student (7%) in low anxiety. In accordance to the students’ answer, it is hoped that scholars understand that it is natural to form mistake in form
The anxienty of speaking English ability in ICT usage as media TEFL on nursing students of STIK Bina Husada Palembang
Authors: Arief Pamuji
Published: November 2021

The objective of this research was to find out the description of the anxiety of speaking English ability in ICT usage as media TEFL on nursing students of STIK Bina Husada Palembang. , The sample of this research was taken by using a totaling sampling technique with 18 nursing students of the 3rd semester. The data was obtained from questionnaires and speaking tests in one day. Then from the data analysis, it’s obtained that there was based on a questionnaire from 18 students, the study result showed that 1 student never felt anxiety and 2 felt very often. The use of ICT helps them more confidence that form 1 students become 1 student who was in high and 6 in low anxiety level rather than the use of face to face learning that students had a high level in anxiety. The result of the study also obtained the scoring of students’ speaking that all of the students got upper 60 and the highest score from 18 students was 97. The participation of students in zoom or google meetings can be assumed that ICT usage can help the students more active because they can find many sources to develop their knowledge easily and make them more confident.
Deixis in the novel Murder on the orient express
Authors: Atika Pertiwi  , Cita Hikmah Yanti
Published: November 2021

This study which entitled “Deixis in The Novel Murder on the Orient Express by Agatha Christie” Deixis described the relationship between language and context and the objectives of this study were (1) to find out the utterances of a major character, M. Poirot, and types of the deixis in The Novel Murder on the Orient Express by Agatha Christie. (2) to describe the reference of each type of deixis in the Novel Murder on the Orient Express. This study applied the descriptive qualitative method. The result of this study showed that there were three types of deixis found in the utterances of a major character, M. Poirot in the novel Murder on the Orient Express, namely personal deixis (73 data), temporal deixis (18 data), and spatial deixis (9 data). The referent of the personal deixis found referred to all passenger in the Orient Express, temporal deixis refers to the time of utterance was uttered and the murder of Ratchett occurred, spatial deixis referred to the Orient Express itself.
Applying flower writing strategy to the tenth graders in writing descriptive text
Authors: Yuliana  , Rachmanita
Published: November 2021

Writing is regarded as a challenging subject in school. At the same time, it was a critical skill for students to master because it is so important in this age of globalization. This study aimed to find out whether or not the Flower Writing Strategy was effective to be used in teaching writing descriptive text. The quasi-experimental method was used in this study. The sample of the study was 68 students taken by using the purposive sampling technique. The data was gained by using a written test. The data were analyzed by using a t-test. Based on the result of the independent sample t-test, it was found that t-obtained (3.439) was higher than ttable (1.9955) and pvalue (0.001) was less than άvalue (0.05). It meant that the null hypothesis (Ho) was rejected and alternative hypothesis (Ha) were accepted. Hence, Flower Writing Strategy was effective to be used in teaching descriptive text.
A importância do periódico Avanços em Medicina na divulgação internacional do conhecimento científico
Authors: Valença Marcelo Moraes , Andrade Juliana Ramos , Cunha Ligia Cristina Câmara , Cruz Fernando
Published: November 2021

Editorial
Long Covid e complicações que impactam na qualidade de vida dos sobreviventes
Authors: Santos Erlene Roberta Ribero dos , Tardieux Felipe Maia
Published: November 2021

A pandemia de COVID-19 assolou a humanidade tomando proporções nunca antes vivenciadas desde 2020, atingindo os países de maneira rápida e letal, ceifando vidas em todas as faixas etárias, deixando órfãos, gerando impactos envolvendo diversos aspectos econômicos, sociais, emocionais, epidemiológicos e demais em larga escala, evidenciando a fragilidade dos sistemas de saúde em vários continentes e deixando  efeitos que persistem após a infecção para os sobreviventes. Compreendendo essa situação a ser enfrentada pelos sistemas mundiais de saúde escrevemos essas notas com o objetivo de averiguar na literatura as complicações, sintomas e sequelas persistentes mais frequentes, no período de recuperação da infecção pelo SARS-CoV-2, apresentados pelos sobreviventes da Covid-19. As evidências encontradas revelam o comprometimento de vários sistemas biológicos a partir das complicações e sequelas deixadas pela infecção. Variam desde leves a incapacitantes e impactam diretamente na qualidade de vida dos sobreviventes, assim como nos custso diretos e indiretos para os sistemas de saúde dos continentes afetados pela pandemia. É necessário o desenvolvimento de maiores estuds para dimensionar os efeitos da long Covid para a sociedade.
Vitamin D and mental health during the Covid-19 outbreak
Authors: Albuquerque Oliveira Séphora Natércia , Rolim Neto Modesto Leite
Published: November 2021

The relationship between hypovitaminosis D and depressive disorder is well documented in the medical literature. However, the biological mechanisms by which vitamin D can modulate psychological distress are still unclear. Containment measures can decrease individual’s exposure to the sun, significantly increasing their needs for vitamin D, a nutrient already deficient in patients with depression. Therefore, it can be inferred that by ingesting the same amount of vitamin D, depressive individuals seem to obtain a lesser amount of this nutrient from the sun's rays when compared to healthy people.  We found the relationship between vitamin D and COVID-19 has been increasingly studied, mainly due to the changes that this substance can cause in the inflammatory process - especially in the release of cytokines, in SARS and in lung injuries. Despite the benefits, the existing observational studies on this exchange are not enough to definitively associate vitamin D as a protective factor for COVID-19.
Analysis of Financial Ratio to Predict Financial Distress in the Sub Sector of Plantation Company on Indonesia Stock Exchange Period 2010-2018
Authors: Sibarani Rosmei Yunita , Irawati Nisrul , Muda Iskandar
Published: November 2021

The decline of crude palm oil commodity prices and world demand in 2014 to 2016 lead to decline the capability of plantation companies performance. This is apparent from the declining sales capacity, increase of operating expenses, and inventory expenses and the impact is declining financial performance such as net profit. If this is allowed continuously then the consequences are the plantation sub sector companies possibly can get into the financial distress condition. This research aims to predict the level of financial distress condition and to know the relationship significance using Return On Asset (ROA), Return On Equity (ROE), Current ratio (CR), Debt to Asset Ratio (DAR), Current Liabilities to Assets Ratio (CLAR) and Debt to Equity Ratio (DER). The research population was plantation sub sector companies listed in Indonesia Stock Exchange. Researcher using purposive sampling in order to obtain a sample of 10 companies. This research uses secondary data from annual financial report of plantation sub sector companies in Indonesia Stock Exchange. Data were tested using logistic regression to explain the influence between these variables. The results of this research indicate that the Return On Equity (ROE), Current ratio (CR), Debt to Asset Ratio (DAR), and Debt to Equity Ratio (DER) did not significantly influence financial distress while Return On Asset (ROA), Current Liabilities to Assets Ratio (CLAR) significantly influence financial distress.

Keywords: Return On Asset (ROA), Return On Equity (ROE), Current ratio (CR), Debt to Asset Ratio (DAR), Current Liabilities to Assets Ratio (CLAR) dan Debt to Equity Ratio (DER) and financial distress.
The Effects of Competence and Motivation on Performance Mediated by Organization Commitment
(Case Study Indonesian Government Agencies)
Authors: Indradewa Rhian , Randi Stefano
Published: November 2021

Performance improvement in the context of government agencies is very important. There are several factors that can affect employee’s performance. These factors serve to ascertain whether the performance will be increased or decreased by involving these factors in performance appraisals. The aim of this study is to analyze the effect of competence and motivation on performance mediated by organization commitment. The population used in this study were employees in Indonesian government agencies. The respondents were 186 of Ministry of Home Affairs employees. The sampling technique used was the Convenience Sampling method. The analytical model used in this study was descriptive and Structural Equation Modeling analysis with LISREL Program. It is concluded that commitment of organization contributes to employee’s performance and is influenced by both, the employee’s competence and motivation, whereas the competence and the motivation do not give any effect to their performance.

Keywords: Competence, Motivation, Organization Commitment, Performance.