bluuebunny/crossref_metadata_2025 huggingface dataset:
ИССЛЕДОВАНИЕ КИНЕТИКИ ОСНОВНЫХ АТМОСФЕРНЫХ СОСТАВЛЯЮЩИХ ВО ВРЕМЯ ВЫСЫПАНИЯ ВЫСОКОЭНЕРГИЧНЫХ ПРОТОНОВ В СРЕДНЮЮ АТМОСФЕРУ ЗЕМЛИ
Authors:   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия, Кириллов А.С. , Белаховский В.Б. ,   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия, Маурчев Е.А. ,   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия, Балабин Ю.В. ,   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия, Германенко А.В. ,   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия, Гвоздевский Б.Б. ,   ФГБНУ «Полярный геофизический институт», г. Апатиты, Россия
Published: December 2021

В настоящей работе рассмотрена кинетика триплетных (A3Σu+, B3g, W3Δu, B'3Σu–, C3u) состояний молекулярного азота и синглетных (a1Δg, b1Σg+) состояний молекулярного кислорода на высотах средней атмосферы во время вторжения высокоэнергичных протонов. При этом были учтены процессы прямого электронного возбуждения вторгающимися в атмосферу высокоэнергичными протонами и вторичными электронами, процессы спонтанного излучения, а также перенос энергии возбуждения молекул между электронно-возбужденными состояниями N2 и О2 при молекулярных столкновениях. Константы скоростей переноса энергии возбуждения между электронно-возбужденными состояниями молекулярного азота и кислорода при столкновениях с молекулами N2 и О2 были теоретически рассчитаны согласно квантово-химическим приближениям. Впервые рассмотрена кинетика синглетных состояний О2 на высотах средней атмосферы как с учетом прямого возбуждения высокоэнергичными протонами и вторичными электронами, так и с учетом процессов переноса электронного возбуждения с метастабильного молекулярного азота N2(A3Σu+,v=0) на состояния Герцберга О2 и перераспределения энергии возбуждения между колебательными уровнями синглетных состояний при неупругих молекулярных столкновениях. Показано, что доминирующий вклад в возбуждение O2(a1Δg) и O2(b1Σg+) вносят процессы прямого электронного возбуждения.
The "difficult" patient and tongue thrust
Authors: Pitcher Laurence
Published: December 2021

This article was published in Dental Survey, December, 1976, pp. 27-33, and is reprinted here with permission of the Editor of "Dental Survey.
The role of myofunctional therapy in speech pathology
Authors: Pierce Roberta
Published: December 2021

In recent years, there has been a trend toward increased awareness of oral myofunctional disorders by members of the speech pathology profession. We will look briefly at the historical involvement of speech pathologists in the diagnosis and treatment of oral myofunctional disorders.
Triassic marine reptiles and other fossil vertebrates from the area of Godech, Western Bulgaria
Authors: Nikolov Vladimir , Dochev Docho , Metodiev Lubomir , Dimitrov Dimitar , Velyanova Gergana , Hristova Latinka
Published: December 2021

Hitherto, the popular understanding was that the Bulgarian fossil record of Mesozoic tetrapods (four-limbed vertebrates) has been restricted to the Upper Cretaceous. In this contribution we report on the discovery of isolated bones of marine reptiles and teeth of various vertebrates from the Middle Triassic carbonate rocks outcropping near the town of Godech, Western Bulgaria. A revision of the currently held orthodoxy that Bulgaria is mostly a barren land when it comes to Mesozoic tetrapods is urged.
HMông Students’ Sources of Funds of Knowledge: A Case Study of Kinh Primary School Teachers’ Practices
Authors: Tran Ha Thi Thanh , Le Hung Thai
Published: December 2021

Teachers working with ethnic minority students who have different language and cultural background from their own may have little knowledge of their students in out-of-school context. This lack of students’ knowledge and resources outside of the school may lead to deficit thinking regarding this non-dominated group as intellectually and academically deficient. Underachievement and low study engagement by HMông ethnic minority students in disadvantaged primary schools in Vietnam evidence a need for more effective teaching practices to support these minority students’ learning and reduce inequality within their educational environment. The funds of knowledge (FoK) approach attempts to overcome teachers’ perceptions of ethnic minority students and their knowledge through learning about these students’ FoK and incorporating these insights into the teaching practices. The purpose of this study is to explore how Kinh teachers identify HMông students’ sources of FoK in order to support their teaching/learning practices. This research employs qualitative educational research method together with case study method to examine the way Kinh primary teachers identify HMông students’ sources of FoK. The findings indicate that Kinh primary teachers identified HMông students’ different sources of FoK that the teachers could beneficially be drawing on to empowering HMông children’ participation, achievement and Kinh teachers’ teaching practices.
ANALISIS PELAYANAN ADMINISTRASI DAN TANGGUNG JAWAB PETUGAS TIKET KAPAL JASA TRANSPORTASI LAUT TERHADAP KEPUASAN PENUMPANG PADA PT. PELAYARAN NASIONAL INDONESIA CABANG SURABAYA
Authors: Widyawati Nur , Zulviana Ira
Published: December 2021

Penelitian ini bertujuan untuk mengetahui pengaruh pelayanan administrasi dan tanggung jawab terhadap kepuasan penumpang. Penelitian ini merupakan penelitial kuantitatif. Populasi yang digunakan adalah seluruh penumpang yang menggunakan jasa transportasi laut pada PT. Pelayaran Nasional Indonesia dengan jumlah sampel yang digunakan sebagai penelitian sebanyak 56 penumpang, untuk menganalisis data digunakan teknik analisis regresi linier berganda. Hasil perhitungan menggunakan analisis regresi linier berganda. Pada uji t, diperoleh nilai koefisiensi regresi untuk masing-masing variabel bebas adalah -,005 untuk pelayanan administrasi (X1) dan 0,399 untuk tanggung jawab (X2) nilai koefisiensi regresi yang positif menunjukkan bahwa hubungan dari masing-masing variabel bebas adalah positif.  Hasil uji t pada variabel pelayanan administrasi menunjukkan thitung sebesar -0,34 lebih kecil ttabel sebesar 0,401 (α sebesar 0,973 > 0,005) sehingga secara parsial pelayanan administrasi sebagai variabel bebas X1 tidak berpengaruh terhadap kepuasan penumpang sedangkan tanggung jawab sebagai variabel bebas X2 memberikan pengaruh positif terhadap kepuasan penumpang yaitu dengan dengan thitung 3,105 lebih besar dari ttabel  2,005 (α sebesar 0,003 < 0,05). Uji ANOVA pelayanan administrasi (X1), tanggung jawab (X2) berpengaruh signifikan secara simultan terhadap kepuasan penumpang (Y) dengan  nilai α sebesar 0,010 < 0,05.
Tinjauan Teologis Konsep Keselamatan Menurut Roma 10:9 dan Implikasinya Bagi Penginjilan Masa Kini
Authors: Baskoro Paulus Kunto
Published: December 2021

Safety is fundamental part of human life. The issue of the doctrine of salvation is a never-ending discussion. Because this is closely related to a belief in life in the future. Yet not many people take seriously the importance of salvation. There are some people who say salvation is matter of later, what important now is to focus on life in this wolrd. So it very necessary for every believer to take responsibility for preaching the gospel of salvation. Because of what is happening now, many believers are more focused on living tn the present. Many believres do not take their evangelistic mandate seriously and consistenly, even though the content of salvation is extraordinary and veru clear. As a believer, preaching the gospel is a task that is most basic and even become a believer’s lifestyle. Because salvation in Jesus is an important principle whose end is eternal salvation. The context of this discussion is focused on the theological overview of the concept of through writing, namely, First, believers understand how important the meaning of salvation is for everyone. Second, belivers fulfill the call to carry out the great commission in all aspects of life; Third, every believer always has creativity in conveying the gospel message to everyone who does not believe in Jesus.
HISTORICAL STAGES AND CURRENT TRENDS IN THE DEVELOPMENT OF LOCAL SELF-GOVERNMENT IN KAZAKHSTAN
Authors:   Institute of History of the State, Kazakhstan, Sheriyazdanov Baurzhan
Published: December 2021

The article provides a comparative legal and chronological analysis of the Law of the Republic of Kazakhstan "On local government and self-government" and the corresponding articles from the text of the Constitution. The priority directions of the ways of reforming the conceptual foundations of local government and self-government in Kazakhstan are analyzed. The research used general scientific and special methods of scientific knowledge. Among the results obtained, we will point out the following: proposals have been developed to improve legislation; recommendations on amendments to the Constitutional Law "On elections in the Republic of Kazakhstan" were proposed; reflects the advantages of a mixed electoral system; criteria for the election of deputies of maslikhats have been put forward.
A Descriptive Study to Assess the Knowledge regarding Bacterial Infections among Mothers of under five in Selected Community Areas of Kerala
Authors: Daniel Aksa. P. , Thomas Alphonsa , Mol. S Amina , Raju Ancy. B. , Mol Aneesha , J Jyothilakshmi.
Published: December 2021

A descriptive study to assess the knowledge regarding bacterial infections among mothers of under-five in selected community areas of Kerala. The objectives of the study were: a) to assess the knowledge regarding bacterial infections among mothers of under-five in selected community areas in Kerala b) to find out the association between knowledge regarding bacterial infections among mothers of under-five with selected demographic variables such as age of mother, type of family, area of residence, educational status, occupation, immunization of the child and source of information. A quantitative approach was used in the study. Purposive sampling technique was used. Sample consisted of 100 mothers of under-five residing in selected community areas of Kerala. The researcher collected the data using self- structured questionnaire regarding knowledge of bacterial infection. The tool was found to be reliable. The study result shows that 04% of sample had poor knowledge, 25% had average knowledge, 16% had good knowledge, 32 % had very good knowledge and 23% had excellent knowledge regarding bacterial infection among mothers of under-five in selected community areas of Kerala and there was significant association between age in years, type of family, area of residence, educational status at 0.05 level of significance. Based on the findings the investigators have drawn implication which were of vital concerns in the field of nursing practice, nursing administration and nursing education for future development.
A Study to Assess Perception of Nursing Students about the Effectiveness of Objective Structured Clinical Examination (OSCE) during Perineal Care Procedure in the selected College of Metropolitan City
Authors: Kshirsagar Shweta Saisagar
Published: December 2021

Aim: 1. To conduct OSCE 2. To assess the perception of nursing students about OSCE 3. To compare the perception of nursing students between traditional evaluation (TE) and Objective Structured Clinical Examination (OSCE). Material and methods: The research approach and design were Qualitative Descriptive. The subjects were 30 students of 4th year Basic BSc Nursing. OSCE conducted under 4 stations namely Hygiene, Execution, Interaction, and Feedback. Data was collected using Demographic data profile; Clinical checklist for hand washing, perineal care SOP; related viva and opinionnaire. Data were analyzed using descriptive and inferential statistics. Results: Hygiene- 16.69% (5) had excellent, 66.6% (19) had Very good, 19.98% (6) had Good score & none of them had an Average or poor score in hand washing. Execution- 73.26% (22) had excellent, 16% (5) had Very good, 9.99% (3) had Good score & none of them had an Average or poor score in vital signs assessment. Interaction- 56.61% (17) had excellent, 43.29% (13) had Very good score &none of them had a Good, Average or poor score in viva. Feedback- 10 Opinionnaire on personal perception about OSCE administered to participants. 100% (30) of them had positively responded. Conclusion: OSCE proved to be an excellent method of clinical evaluation than traditional evaluation.
Article on Tay-Sachs Disease
Authors: Bhende Bhawana. B.
Published: December 2021

Tay–Sachs disease is a genetic disorder that results in the destruction of nerve cells in the brain and spinal cord..also known as GM2 gangliosidosis or Hexosaminidase A deficiency) is an autosomal recessive genetic disorder. In its most common variant known as infantile Tay-Sachs disease it presents with a relentless deterioration of mental and physical abilities which commences at 6 months of age and usually results in death by the age of four.It is caused by a genetic defect in a single gene with one defective copy of that gene inherited from each parent. The disease occurs when harmful quantities of gangliosides accumulate in the nerve cells of the brain, eventually leading to the premature death of those cells. There is currently no cure or treatment. Tay- Sachs disease is a rare disease. Other autosomal disorders such as cystic fibrosis and sickle cell anemia are far more common. TSD is an autosomal recessive genetic disorder, meaning that when both parents are carriers, there is a 25% risk of giving birth to an affected child.
Xây dựng và đánh giá câu hỏi trắc nghiệm khách quan
Authors: Võ Công Danh , Bùi Ngọc Quang
Published: December 2021

Bài viết mô tả các cơ sở lý thuyết cho việc xây dựng và đánh giá câu hỏi trắc nghiệm khách quan và trình bày cái nhìn tổng quan về phương pháp trắc nghiệm bao gồm các khái niệm cơ bản, lịch sử hình thành, ưu và nhược điểm, các bước xây dựng ngân hàng câu hỏi trắc nghiệm, công thức đánh giá chất lượng câu hỏi thi… Tác giả cũng liên hệ thực trạng của việc xây dựng ngân hàng đề thi tại Trường Đại học Khoa học xã hội và Nhân văn, Đại học Quốc gia Thành phố Hồ Chí Minh để nhận diện các tồn tại và đề xuất một số kiến nghị, hướng đến việc áp dụng tối ưu phương pháp đánh giá này tại Trường.
Sử dụng bảng GSP và phương pháp ROC để phân tích và lựa chọn câu hỏi trắc nghiệm khách quan
Authors: Nguyễn Phước Hải
Published: December 2021

Bài viết đề xuất phương pháp phân tích và lựa chọn câu hỏi trắc nghiệm khách quan dựa trên bảng GSP và phương pháp ROC với trường hợp cỡ mẫu lớn. Trong nghiên cứu này, phương pháp đề xuất đã được so sánh với lý thuyết ứng đáp câu hỏi. Kết quả nghiên cứu đã cho thấy phương pháp này không chỉ có thể sử dụng phân tích và lựa chọn câu hỏi trắc nghiệm khách quan, mà còn có thể cải thiện chất lượng và hiệu quả của việc thiết kế câu hỏi để xây dựng ngân hàng câu hỏi trắc nghiệm khách quan.
Các yếu tố tác động đến sự hài lòng của bệnh nhân điều trị nội trú đối với chất lượng dịch vụ khám chữa bệnh - Nghiên cứu điển hình tại Bệnh viện Đa khoa huyện Phú Tân, tỉnh An Giang
Authors: Trần Minh Hiếu , Lâm Thu Phượng
Published: December 2021

Nghiên cứu này xác định được 3 yếu tố tác động sự hài lòng của bệnh nhân điều trị nội trú tại Bệnh viện Đa khoa huyện Phú Tân, bao gồm: (1) Đáp ứng, (2) Năng lực phục vụ và (3) Cảm thông, trong đó yếu tố đáp ứng có tác động mạnh nhất đến sự hài lòng của bệnh nhân. Kết quả phân tích hồi quy cho thấy 54.2% sự biến thiên của mức độ hài lòng được giải thích bởi các yếu tố trên. Kết quả kiểm định sự khác biệt chỉ ra rằng không có sự khác biệt về đánh giá mức độ hài lòng theo một số biến nhân khẩu học.
Khảo sát hấp phụ As(V) trong dung dịch nước bằng vật liệu zeolite biến tính bằng Mn
Authors: Bùi Văn Thắng , Trần Thị Xuân Mai
Published: December 2021

Zeolite và zeolite biến tính bằng Mn (Mn/Zeolite) được sử dụng làm vật liệu để hấp phụ As(V) trong nước. Vật liệu Mn/Zeolite có khả năng hấp phụ As(V) tốt hơn zeolite chưa biến tính và ít chịu ảnh hưởng bởi pH của dung dịch. Động học hấp phụ As(V) trên vật liệu tuân theo mô hình động học biểu kiến bậc 2 với hệ số tương quan cao (R2 > 0,99). Dung lượng hấp phụ cực đại As(V) tính theo phương trình Langmuir trên Z-1.2 và MZ-2.5 là 7,96 và 18,64 mg/g.
Tham gia TPP: cơ hội và thách thức đối với ngành dệt may Việt Nam
Authors: Tôn Thất Viên
Published: December 2021

Theo đánh giá của các chuyên gia kinh tế, Hiệp định Đối tác xuyên Thái Bình Dương (TPP) có thể tạo ra sự thay đổi lớn trong thương mại dệt may toàn cầu và Việt Nam đang đặt rất nhiều kỳ vọng ở thị trường rộng lớn này, đặc biệt là thị trường Mỹ. Tuy nhiên với hiệp định TPP nói riêng và FTA nói chung không đơn thuần chỉ đưa lại các cơ hội tốt cho Việt Nam. Muốn biến cơ hội thành hiệu quả kinh tế cho Việt Nam thì ngành dệt may cần khắc phục trước những thách thức phải đối mặt từ hiệp định như cắt giảm thuế quan, mở cửa thị trường dịch vụ, đáp ứng yêu cầu lao động, môi trường... Bài viết đánh giá những cơ hội và thách thức này, đưa ra một số gợi ý chính sách.
Thực trạng và giải pháp phát triển đội ngũ cán bộ quản lý các trường trung học phổ thông Tỉnh Đồng Tháp theo chuẩn hiệu trưởng
Authors: Phạm Minh Giản , Đặng Thị Thu Liễu , Huỳnh Thanh Hùng
Published: December 2021

Nhà giáo và cán bộ quản lý giáo dục là lực lượng nòng cốt quyết định chất lượng giáo dục. Phát triển đội ngũ cán bộ quản lý giáo dục nói chung, cán bộ quản lý trường trung học phổ thông nói riêng luôn là nhiệm vụ quan trọng hàng đầu trong chiến lược phát triển giáo dục. Bài viết đề cập đến thực trạng phát triển đội ngũ cán bộ quản lý theo Chuẩn hiệu trưởng trên địa bàn tỉnh Đồng Tháp trong thời gian qua và đề xuất giải pháp phát triển đội ngũ cán bộ quản lý trong thời gian tới.
Tầm quan trọng của giáo dục đối với nền kinh tế tri thức
Authors: Huỳnh Hiền Hải
Published: December 2021

Giáo dục đã khẳng định được vai trò ngày càng cao trong nền kinh tế tri thức. Tri thức góp phần đáng kể vào sự tiến bộ của khoa học kỹ thuật, từ tác động đến sự tăng trưởng và phát triển kinh tế, đặc biệt là nền kinh tế tri thức. Các thành phần chính của một nền kinh tế tri thức đã phụ thuộc nhiều hơn vào khả năng trí tuệ, tri thức so với các nguồn lực vật chất hay tài nguyên thiên nhiên khác. Trong nền kinh tế dựa trên tri thức, đổi mới được thúc đẩy bởi sự tương tác từ các nhà sản xuất và người sử dụng trong việc trao đổi các kiến thức đã được hệ thống hóa, mô hình tương tác này đã thay thế các mô hình tuyến tính truyền thống của sự đổi mới.
Thực trạng thể chất nam sinh viên năm thứ nhất các trường cao đẳng tại tỉnh Sóc Trăng
Authors: Đặng Minh Thành , Nguyễn Quang Vinh , Thái Thái Giác Nhiên
Published: December 2021

Bài viết tập trung làm rõ thực trạng thể chất nam sinh viên 18 tuổi tại tỉnh Sóc Trăng; thông qua việc tổng hợp và so sánh giá trị trung bình các tiêu chí đánh giá thể chất nam sinh viên 18 tuổi tại tỉnh Sóc Trăng và trung bình thể chất Việt Nam (TBTCVN) 18 tuổi; từ đó, đánh giá thể lực nam sinh viên năm nhất các trường cao đẳng tại tỉnh Sóc Trăng theo quyết định 53/2008/QĐ-BGD&ĐT của Bộ Giáo dục và Đào tạo.
Đặc điểm vi học và bước đầu khỏa sát thành phần hóa học thân cây Vọng cách (Premma serratifolia L., Verbenaceae) và lá Vông nem (Erythrina variegata L., Fabaceae)
Authors: Huỳnh Anh Duy , Nguyễn Bá Quân , Nguyễn Thị Kim Huyền
Published: December 2021

Trong bài báo này, đặc điểm vi học và thành phần hóa học của thân cây Vọng cách và lá Vông nem đã được khảo sát. Từ bột thân cây Vọng cách lần đầu báo cáo được 6 cấu tử gồm: lông che chở đa bào, mảnh bần, mạch vạch, mạch xoắn, mạch mạng và mạch điểm; Từ bột lá Vông nem mô tả được 4 cấu tử gồm: tế bào khí khổng, mảnh gân lá có tế bào hình chữ nhật thành mỏng, tế bào mô cứng và mạch vòng. Bên cạnh đó, từ phân đoạn dichloromethane thân cây Vọng cách, bằng kỹ thuật sắc ký cột kết hợp các phương pháp phổ học, đã phân lập được hợp chất b-sitosterol. Từ phân đoạn ethyl acetate lá Vông nem lần đầu tiên công bố sự hiện diện của hợp chất uracil.
Khảo sát ảnh hưởng của nồng độ carboxymethyl cellulose đến khả năng sinh trưởng, tồn tại và kháng nấm của vi khuẩn Lactobacillus trên chủng nấm mốc Lasiodiplodia pseudotheobromae
Authors: Nguyễn Thị Ngọc Trúc , Đỗ Thị Hiền , Nguyễn Phan Thảo
Published: December 2021

CMC (Carboxymethyl cellulose) được sử dụng tạo màng bao gói để bảo quản trái cây, nhằm giữ được độ tươi mà không ảnh hưởng đến chất lượng của thực phẩm. Các chủng vi khuẩn Lactobacillus spp.đặc biệt là L.plantarum CC6, L.fermentum DC2 và L.fermentum DG2 được chứng minh có hoạt tính kháng nấm cao. Nghiên cứu đã sử dụng kết hợp CMC và ba chủng vi khuẩn Lactobacillus spp. nhằm tăng hoạt tính kháng nấm Lasiodiplodia pseudotheobromae gây bệnh trên trái cây đặc biệt chôm chôm sau thu hoạch để kéo dài thời gian bảo quản. Kết quả khảo sát cho thấy các chủng vi khuẩn Lactobacillus spp. ở 13oC phát triển tốt hơn nhiệt độ phòng. Kết hợp với 1% CMC ở nhiệt độ phòngvà 1,5% CMC ở 13oC  vi khuẩn L.fermentum DC2 và L.plantarum CC6 có khả năng phát triển và kháng nấm bệnh tốt nhất.
Khảo sát ảnh hưởng của vi khuẩn nội sinh cây lúa đến sinh trưởng của một số giống lúa trồng phổ biến vùng Đồng bằng sông Cửu Long ở giai đoạn mạ
Authors: Nguyễn Thị Pha , Trần Văn Bé Năm , Trần Đình Giỏi
Published: December 2021

Sản xuất lúa ở Đồng bằng sông Cửu Long chủ yếu sử dụng phân bón hóa học làm tăng giá thành sản phẩm và ảnh hưởng xấu đến độ phì của đất. Nghiên cứu đã được thực hiện nhằm đánh giá sự ảnh hưởng của 04 dòng vi khuẩn nội sinh NS01, NS08, NS17 và NS25 có khả năng tổng hợp NH4+ và hòa tan lân trong dịch nuôi đến sinh trưởng của các giống lúa IR50404, OM4900 và OM5451 ở giai đoạn mạ. Kết quả cho thấy giống lúa IR50404 chủng với dòng vi khuẩn NS25 cho kết quả tốt nhất ở các chỉ tiêu theo dõi bao gồm hàm lượng diệp lục tố, chiều cao cây, chiều dài rễ, số rễ và khối lượng chất khô. Giải trình tự vùng gen 16S rDNA, xác định được dòng NS25 thuộc chi Bacillus.
Một số hạn chế và các giải pháp nâng cao hiệu quả hoạt động của mô hình nuôi cá bè kết hợp với du lịch tại làng bè nuôi cá thành phố Mỹ Tho tỉnh Tiền Giang
Authors: Nguyễn Công Tráng
Published: December 2021

Bên cạnh những lợi ích to lớn đạt được, mô hình nuôi cá bè kết hợp với du lịch tại Mỹ Tho đang gặp phải một số hạn chế nhất định. Kết quả nghiên cứu cho thấy, những hạn chế chủ yếu của mô hình là cá nuôi chậm lớn (96,77%), gia tăng sự ô nhiễm nguồn nước (12,9%) và mất trộm tài sản (9,65%). Những hộ nuôi cá cũng đề xuất một số giải pháp góp phần khắc phục các mặt tồn tại và nâng cao hiệu quả hoạt động của mô hình trong thời gian tới như can thiệp kỹ thuật vào quy trình nuôi cá, thay đổi phương thức hoạt động của các dịch vụ và nâng cao ý thức của du khách. Đây là nghiên cứu đầu tiên về mô hình nuôi cá bè kết hợp với du lịch tại Tiền Giang.
A correlation of PI-RADS score and pathological grading outcome post radical prostatectomy: A retrospective review
Authors:   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Pripatnanont Wichaya , Opanuraks Julin ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Prasopsanti Kriangsak ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Santi-ngamkun Apirak ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Ratchanon Supoj ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Tantiwongse Kavirach ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Panumatrassamee Kamol ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Sowanthip Dutsadee ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Published: December 2021

Objective: To investigate the correlation between the PI-RADS score and the pathologic Gleason score in the final pathological grading and to detect risk factors associated with the outcomes. Materials and Methods: Data from January 2017 to September 2019 were reviewed. Inclusion criteria included patients who had undergone standard protocol prostate magnetic resonance imaging (MRI) in King Chulalongkorn Memorial Hospital and underwent radical prostatectomy during the period. Data collected were age, PI-RADS score, Gleason score (GS), prostate-specific antigen (PSA), prostate size, PSA density, lesion size, and extraprostatic extension (EPE) evident in MRI. Results: One hundred and eight patients were included. PI-RADS was significantly associated with GS (Chi-Square p = 0.039). The percentage of significant tumors found in PI-RADS 3, 4, 5 were 66%, 86% 90% respectively. Analysis of independent risk factors only found PI-RADS 5 to have a statistically significant association with GS ≥ 7 (OR6.67 (1.24-35.71) p = 0.03). The cut-off value of lesion size ≥ 15 vs < 15 and PI-RADS 4 had a higher odds ratio than other parameters (OR 3.89 (0.82-18.41) p = 0.09, OR 3.29 (0.79-13.86) p = 0.11 respectively). Conclusion: The PI-RADS scoring system was found to be highly associated with Gleason’s grading score. No association was found between any significant risk factor and significant prostate cancer. Lesion size could be used to combine with the PI-RADS scoring system in the detection of significant tumors. A high percentage of significant tumors were found with a PI-RADS 3 score and it may be worth taking a biopsy in the case of a PI-RADS 3 lesion.
Comparison of open and laparoscopic radical cystectomy as regards long-term oncological outcomes for bladder cancer
Authors:   Division of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand, Sirikul Thanachai , Sriplakich Supon ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand, Amantakul Akara ,   Division of Urology, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Published: December 2021

Objective: Recently, the laparoscopic technique has become widely accepted as a minimally invasive modality which reduces morbidity and provides similar oncological outcomes to open surgery. However, the number of clinical trials comparing laparoscopic and open radical cystectomy are limited. The objectives of this study are to compare the long-term oncological outcomes between open radical cystectomy (ORC) and laparoscopic radical cystectomy (LRC) for bladder cancer. Materials and Methods: Out of 144 radical cystectomy patients admitted to our institute from January 2006 to December 2016, 87 patients were categorized as being in the LRC group, and 57 patients in the ORC group. Baseline characteristics, perioperative variables, and pathology results were collected retrospectively. Oncological outcomes including overall survival (OS), recurrence-free survival (RFS) and cancer-specific survival (CSS) were analyzed and compared between the two groups. Results: The mean age of the patients was 64.19 ± 9.89 years in the ORC group and 61.90 ± 10.47 years in the LRC group. The most frequent urinary diversion procedure in both groups was ileal conduit. All pathology results between the LRC group and the ORC group showed no statistical significance. The median follow-up duration was 57.18 ± 44.68 months in the ORC group and 53.96 ± 34.97 months in the LRC group. There was no statistically significant difference in overall survival (OS), recurrence-free survival (RFS) and cancer-specific survival (CSS) between the groups (p = 0.322, 0.946, and 0.528, respectively). Conclusion: Our study demonstrated that the long-term oncological outcome of LRC is comparable to ORC in the management of bladder cancer. LRC is an alternative option to open radical cystectomy and is safe, effective, and feasible. However, further large comparative studies with adequate long-term follow-up are recommended to support our results.
Nocturia and effect on the quality of life. A study at Ramathibodi Hospital
Authors:   Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, Kanammit Potchara , Boonchan Threechada ,   Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, Sirisreetreerux Pokket ,   Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, Viseshsindh Wit ,   Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, Kochakarn Wachira ,   Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Published: December 2021

Objective: To investigate the impact and the incidence of nocturia on the quality of life of patients in Ramathibodi Hospital. Materials and Methods: This study was a hospital-based cross-sectional study to measure the QoL of nocturia patients using a Nocturia Quality-of-Life questionnaire (N-QoL). Cronbach’s alpha coefficient was used to explore internal consistency. Pearson’s correlation coefficient (r) was used to determine the strength of the relationship between the scores for each item. Uni- and Multivariate analyses were used to explore the significant parameters. Results: One hundred and fifty-five nocturia patient were included in the study analysis. Most of the questionnaire respondents were male (80.65%) and the vast majority had at least 1 underlying disease requiring long-term follow-up by a physician (86.45%) with a median urination of 3 times per night and a 3 hour median first urination after retiring to bed. From our study questionnaire, most patients responded that they had moderate to good quality of life with a minor inconvenience from nocturia, requiring them to nap during the day on some days. An increasing frequency of urination per night and a first urination of less than 2 hours after retiring is significantly related to low levels of energy the next day, sleep deprivation, worry over treatment options, overall inconvenience and a reduction in quality of life. Conclusion: Our study demonstrated nocturia patients experience a significant reduction in quality of life, and a decrease in quality of sleep. The incidence of urination in the night and the timing of the first urination after bed had more impact on overall quality of life.
Rethinking farmer knowledge from soil to plate through narrative inquiry: An agroecological food systems perspective
Authors: Bendfeldt Eric , McGonagle Maureen , Niewolny Kim
Published: December 2021

This paper illustrates how farmer knowledge is generatively constructed and framed within an agroecological context to address the complexities of our food system more fully. For some, farmer knowledge is a hidden asset below the surface that acts as a reserve for sustaining and fortifying food system possibilities. We interviewed 12 self-identified smallholder farmers in Virginia using narrative inquiry as a dynamic methodology to explore the rhizomatic quality and mycorrhizal nature of smallholder farmers’ knowledge and experiences of soil, conservation, and place. The narrative inquiry method offered a participatory research approach to analyze how farmers perform their work in ways that extend across and are entangled with other domains of the food system that reflect agroecological values. Five primary themes were identified from the narrative inquiry data analysis by drawing upon the whole measures of community food systems as a values-based framework. Our findings illustrate how farmer praxis is reflective of and influenced by the ecological and sociopolitical ethos of land, food, health, and liberation. For scholar-practitioners, this research emphasizes the current claim for reevaluating and reconceptualizing research and outreach responses to mounting food system crises. The construction and expansion of farmer knowledge are not linear but rhizomatic and mycorrhizal in quality; therefore, scholar-practitioner responses to understanding and engaging with farmer knowledge systems should be amenable to a diversity of culturally dynamic sys­tems of knowing that embody socio-eco relations and networks. Like others, we argue that an over­emphasis on essentialist “best practices” and tech­nocratic problem-solving does not adequately help us see these generative possibilities from soil to plate. Thus, we recommend that food system practitioners and researchers emphasize engaged listening, storytelling, and generative—not extrac­tive—approaches as an epistemological frame for expanding our understanding of agroecology and food systems change.
Can the ketogenic diet help in the treatment of childhood epileptic encephalopathies? A literature review
Authors: Souza Felipe dos Santos , Rivelli Alvaro Moreira
Published: December 2021

Introduction: Epileptic encephalopathies are entities where epileptic activity is so intense that it contributes to cognitive and behavioral impairment. There are several syndromes that fall into this category such as: West syndrome, Ohtahara syndrome, Dravet syndrome, Doose syndrome and Landau-Kleffner syndrome. Objective: presentation of the clinical indications of the ketogenic diet (CD) as a therapeutic measure in childhood refractory epilepsies, demonstrating the efficacy and side effects expected from this practice. Methodology: a narrative review of the scientific literature (PUBMED and SCIELO) was carried out, with a selection of articles published in the last ten years, also considering renowned magazines and newspapers in the areas of Clinical Neurology, Neuropediatrics and epilepsy. Results: A randomized and controlled clinical trial, conducted in children aged 2 to 16 years with refractory epilepsy, demonstrated that after 3 months, 38% of patients using CD had more than 50% reduction in seizures, compared with four ( 6%) of the control group (p <00001). Corroborating this finding, a Brazilian study demonstrated that 60% of patients with refractory epilepsy and using CD had more than 50% reduction in seizure frequency and 10% were seizure-free. Conclusions: The use of the ketogenic diet demonstrated a favorable result in children with epilepsy refractory to drug treatment. In cases of deficiency in the type 1 glucose transporter and deficiency of pyruvate dehydrogenase, CD should be the treatment of first choice. In cases such as Dravet’s Syndrome, West’s Syndrome, Ohtahara’s Syndrome, Lennox- Gastaut Syndrome and DC Dose Syndrome is part of the therapeutic arsenal.
Effects of theanine on cognition
Authors: Dias Yves Henrique Faria , Moreira Mariana Vanon , Muffato Bárbara Gomes , Tubenchlak Ana Luíza Badini , Dutra Leonardo Moreira , Rezende Maria Clara Lopes , Dutra Milla Giancristofaro , Zanetti Bernardo Valle , Campos Leandro Véspoli
Published: December 2021

Background: Theanine is an amino acid present in green tea capable of acting on certain neurological parameters. In this perspective, the literature points to possible effects of this amino acid on cognitive function. Objectives: To investigate the effects of theanine on cognition. Methods: A literature review was conducted on PubMed using the descriptors “Theanine” and “Cognition”, as well as their variations obtained in MeSH. In addition, we selected studies carried out on humans in the last five years. In this process, 25 articles were found, of which three were chosen to compose the scope of this abstract. Results: Evidences suggested that the administration of theanine sharply reduced the reaction time to visual stimuli - one of the main components tested in the attentional assessment. In addition, another study pointed out that, since the chemical structure of theanine is similar to glutamate, it is able to act decisively as a neurotransmitter linked to memory, potentiating it in healthy adults and in elderly people with cognitive decline. Finally, the third article correlated the use of theanine with greater accuracy in tasks of rapid information processing and the reduction of mental fatigue - factors that can reinforce the ability to concentrate. Conclusions: Studies have shown that theanine acts positively on the parameters of attention, memory and concentration, contributing significantly to the improvement of cognitive function.
Influence of insomnia on cognition
Authors: Dias Yves Henrique Faria , Dutra Leonardo Moreira , Moreira Mariana Vanon , Muffato Bárbara Gomes , Tubenchlak Ana Luíza Badini , Rezende Maria Clara Lopes , Dutra Milla Giancristofaro , Zanetti Bernardo Valle , Campos Leandro Véspoli
Published: December 2021

Background: Insomnia is a disorder characterized by difficulty in initiating and maintaining sleep, affecting about 20% of the world population. As a consequence, this disorder brings a significant loss of quality of life for the affected individuals, triggering the questioning about its influence on cognitive performance. Objectives: To investigate the interference of insomnia on cognition. Methods: During April of 2021, a literature review was carried out in the PubMed database, using the descriptors “Insomnia” and “Cognition”, in addition to their respective variations in MeSH. We selected studies carried out in humans and published in the last five years. Results: A total of 317 articles were found, of which four were selected to produce this abstract. The studies showed a significant relationship between sleep restriction caused by insomnia and worsening cognitive activity. In this sense, the fragmentation of rest and the difficulty of reaching deeper stages of sleep altered the cognitive efficiency of the affected patients, causing impaired performance in aspects such as attention, memory, learning capacity, perception and ability to solve problems. Performance was assessed through subjective and objective tests - composed of patient reports and practical tests, respectively. Despite the negative relationship established, one of the studies reports that certain domains of cognition were preserved, such as psychomotor and verbal functions. Conclusions: Insomnia adversely affects individuals’ cognitive performance, resulting in losses in the patient’s life.
Acute Disseminated Encephalomyelitis after endophthalmitis in immunosuppresed patient
Authors: Miyahira Clara Kimie , Correa Beatriz Medeiros , Barreira Raphael Palomo , Torres Thomas Zurga Markus , Miranda Natália Figueiredo , Cutolo Natasha Soares , Marques Thiago da Cruz , Rossette Vanessa Moraes , Nogueira Eduardo de Almeida Guimarães
Published: December 2021

Context: Acute Disseminated Encephalomyelitis (ADEM) usually happens after an infectious event, vaccination reaction and with history of immunosuppression. Clinical features can be varied: headache, fever, seizure, blurred vision, ataxia, motor deficits and mental confusion. Case report: A 35-yearsold woman, in a social risk situation, complained about pain and blurred vision, history of cocaine abuse, victim of sexual and physical abuse and recent Measles vaccination. She had corneal ulcer with bilateral endophthalmitis and optic nerve infection. Despite intravitreal injections of Vancomycin + Ceftazidime, patient had to eviscerate the left eye. After surgery, patient evolved with mental confusion and paraparesis, CSF cell 69, lymphomonocyte, proteins 257, MRI showed central bulbar hyperintensity, lesions in the dentate nucleus and periaqueductal of gray substance in T2 / FLAIR, thoracic and lumbar spine with demyelinating pattern, extensive longitudinal myelitis. Patient obtained clinical improvement after treatment with Methylprednisolone 1gr for 5 days. It is important to discard other hypothesis: transverse myelitis, neuromyelitis optica, multiple sclerosis and systemic lupus erythematosus. The diagnosis is clinical and radiological with multifocal and confluent areas of hypersignal on MRI, CSF analysis reveals high protein and lymphocytic pleocytosis. Treatment with Methylprednisolone is the first choice and then Plasmapheresis. Conclusion: there are several risk factors for the development of ADEM correlated with a rapid and aggressive evolution in this patient.
Study of underreporting of cases of meningitis during a Covid-19 pandemic in the state of São Paulo
Authors: Oliveira Paloma Fernandes de , Silva Matheus Gomes Diniz e , Teles Daniel Rocha Diniz , Soares Sabrina de Freitas Barros , Segundo Antônio Fernando Soares Menezes
Published: December 2021

Introduction: In 2020, the World Health Organization declared the COVID-19 pandemic, which brought an overload on the health system. This also impacted the care of other diseases such as meningitis. Meningitis is classified into infectious and non-infectious meningitis, and its prognosis changes with the etiology. Objective: To assess notifications of meningitis in São Paulo compared to the country before and during the COVID-19 pandemic. Methods: An analytical epidemiological study was carried out, from the DATASUS platform, of meningitis notifications, from 2016 to September 2020 in the state of São Paulo in comparison to the country. Results: In 2020 there was a drop in meningitis notifications in São Paulo regarding the average of cases between 2016-2019, where 1,837 cases were reported in 2020, while the average of 2016-2019 was 6,800 notifications, a decrease of approximately 27%. What was also observed in the country, where in 2020, 4,718 cases were reported compared to the 2016- 2019 average of 16,603 cases, a drop of 28.4%. There was a slight increase in the mortality from meningitis in the state from 6% to 7%. Conclusions: Knowing that there was a significant drop in notifications of cases of meningitis in the state of São Paulo and in the country, we can suspect a correlation with the coronavirus pandemic. Therefore, there are some possibilities for this phenomenon: the population with meningitis, for fear of becoming infected, did not seek health services or the overload of health services to monitor patients with COVID-19 led to underreporting of meningitis cases.
Multisystem atrophy: a case report with clinical and functional findings relevant to functional Physiotherapy
Authors: Vaz Daniela Maria RIbeiro , Galanti Adrielle , Rodrigues Veronica Corrêa César , Borges Ana Paula Oliveira
Published: December 2021

Introduction: Multiple System Atrophy (MSA) is a severe neurodegenerative disease that has parkinsonian, autonomic, cerebellar, and pyramidal features. It is prevalent at 3.4 to 4.9 cases per 100,000 population, and is most common after the age of 60. It is called Striatonigral Degeneration, with a predominance of parkinsonian symptoms; it is known as Olivopontocerebellar Atrophy, with cerebellar symptoms, and Shy-Drager syndrome with autonomic symptoms. Physiotherapy plays an important role in the rehabilitation of kinetic- functional impairments. Objective: To report the case of a volunteer with SMA in order to highlight the neurological findings for neurofunctional rehabilitation. Methods: This is an observational, cross-sectional case report study that was conducted at the Clínica Escola de Fisioterapia da Universidade de Franca (UNIFRAN), with the approval of the CEP (CAAE 83164918.2.0000.5495), of a 55-year-old male individual, referred to physiotherapy, diagnosed with SMA. Neurological evaluation was performed in the sector, of sensitivity, movement, tone, reflexes, motor coordination, balance, gait and function. Results: The individual reports that 4 years ago he started having difficulty walking and talking. He was diagnosed with Parkinson’s disease. He underwent a new evaluation, arriving at the current diagnosis. In the physical therapy evaluation dysautonomia, dysarthria, dysdiadochokinesia, dysmetria, hypertonia by rigidity, akinesia and bradykinesia, trunk flexion posture, balance deficit, tetraparesis and fetinated gait were observed. Conclusion: The impairments found impair the patient’s ability to perform several ADLs. This study emphasizes the value of neurofunctional physiotherapeutic semiology for an effective therapeutic treatment that promotes independence and quality of life possible for the individual with SMA.
Meningitis: etiological and outcome panorama in Rio Grande do Sul in the 2019-2020 biennium
Authors: Azeredo Saulo Bueno de , Lemanski Francisco , Forcelini Cassiano
Published: December 2021

Background: Meningitis is the inflammation of the meninges and its outcome varies between etiologies. It is an endemic disease in Brazil with mandatory notification. Objectives: To analyze the number of diagnoses and outcomes of meningitis in Rio Grande do Sul (RS) in the 2019-2020 biennium. Design and setting: Cross-sectional epidemiological study using DATASUS database. Methods: Data from notified diagnosed meningitis in RS from 2019 to 2020 were included. The meningitis etiology was correlated with its outcome. Results: There was a 70% reduction in the absolute number of reported diagnoses of meningitis in the year 2020 (302) compared to 2019 (1,000). The most prevalent specified cause, in both years, was “viral meningitis”, corresponding to 29.9% in 2019 and 27.1% in 2020. There was no great variation in the incidence of etiologies from one year to another. Mortality was the outcome of 7% of patients in 2020 and 6.6% in 2019. Pneumococcus was the most related etiology to “death from meningitis”, responsible for 38% in 2020 and 28.7% in 2019. Conclusions: The number of meningitis diagnoses in RS fell from 2019 to 2020. The fall may be related to the COVID-19 pandemic. Besides that, even with the reduction in the number of diagnoses, mortality had increased.
Botulinum toxin type A in the treatment of Myofascial Pain Syndrome: A Systematic Review
Authors: Santos Gabriel Cerqueira , Lellis Caio de Almeida , Oliveira Bruno Coelho Duarte , Belchior Letícia Romeira , Figueiredo Caíque Seabra Garcia de  Menezes , Silva Ledismar José da
Published: December 2021

Introduction: Myofascial pain syndrome (MPS) is a regional painful condition characterized by the presence of trigger points in the affected muscles, and botulinum toxin type A (BoNT-A) is a possible therapeutic option. Objectives: To evaluate the safety and efficacy of botulinum toxin in the management of MSD. Design and setting: A systematic review conducted at the Pontifical Catholic University of Goiás. Methodology: A systematic review was conducted in the PubMed, IBECS and VHL databases: “(Myofascial Pain Syndromes OR Myofascial Trigger Point Pain) AND Botulinum toxin”. Randomized studies, clinical trials and case reports published in the last 10 years were selected. Results: Two randomized trials concluded that application of BoNT-A, regard less of the application site, did not show significant improvement in pain intensity compared to the control group. Also, another multicenter, random ized trial reported that application of ToNB-A to the masseter muscles did not result in improvement of SDM within three months of application. Finally, a clinical trial reported improvement in visual numeric scores of myofascial pain in the scapular girdle in subjects who received a second dose (P = 0.019). Conclusion: BoNT-A was not effective in improving SDM at any site of ap plication and in any dosage studied, except in a single study, therefore insuf ficient to state whether subsequent doses have better results.