bluuebunny/crossref_metadata_2025 huggingface dataset:
Perbedaan Derajat Osteoartritis Sendi Lutut pada Hasil Radiografi Posisi AP Supine dan AP Erect di Instalasi Radiologi Rumah Sakit Akademis Jaury Jusuf Putera Makassar
Authors: Iskandar A.AR.Rakhmansya , Achmad Rusman , Amin Imran
Published: August 2021

Osteoarthritis is a degenerative joint disease that is associated with damage to joint cartilage. One way to diagnose mild pain or the onset of OA early is to do a rontgen examination. The aim of the study was to determine the differences in the degree of osteoarthritis of the knee joint AP position erect with the AP supine position. This research was conducted in the hospital. Academic Jaury Jusuf Putera Makassar April - June 2019. This type of research is descriptive analytical, data collection techniques using questionnaires, sampling techniques carried out by accidental sampling analysis. Data analysis using statistics Presentation of data is presented in the form of graph tables accompanied by narration. Based on the results of the study it can be concluded that the Erect Position has an assessment score with an average of 7.20 while the Supine position with an average of 8.00. From the results of the statistical test obtained p value (0.455)> 0.05 means that there is no statistically significant difference in scores between Erect and Supine positions. It is expected that the radiology officer chooses the right projection that is in accordance with the patient's general condition. If it is possible for the patient to be examined with the projection of AP Weight-Bearing Standing, the officer uses the projection, otherwise the officer can use the AP Supine or AP Erect position because the two positions have no significant differences based on the results of the existing research.
Efektivitas Rancang Bangun Alat Fiksasi Pada Pemeriksaan Os Femur Di Instalasi Radiologi RSUD H. Padjonga Dg. Ngalle Takalar
Authors: Iskandar A.AR.Rakhmansya , Salam Nurbety , Basra Yusran
Published: August 2021

Radiology Fixation Tool is a tool made from a specially designed iron plate which is expected to be able to function which contains a report that can be used by the radiologist who handles patients with a femur pryection examination table for non-cooperative patients.This study was designed to obtain information about os femur fixation design assistance in the Radiology Installation of H. Padjonga Regional Hospital, Ngalle Takalar, to obtain information about fixation devices that are made very effective or effective for tool design, patient care, and required radiographic results.This research was conducted in April - May 2019. The type of this research is Deskritiptif where the population and samples that are the object of this research come from radiology radiographers at RSUD H. Padjonga Dg. Ngalle Takalar as many as 8 respondentsBased on the results of data collection using a questionnaire in the Radiology Installation of H. Padjonga Hospital in Ngalle Takalar in terms of the Design Tools Obtained results of 100 percent or according to the excellent category of this tool, it is very easy, easy and easy to use for users. For aspects of the Patient Acceptance aspect, the results are 95 percent or in a very good category. While for the Radiographic Results aspect, the results obtained are 75 percent or in the Good category.Preferably the procurement of radiological fixation devices is a necessity. With a fixation tool, it can reduce image sharpness due to movement / thus helping radiographers to produce high quality photos.
Tatalaksana Pemeriksaan Thorax Pada Bayi Dengan Kasus Berat Badan Lahir Rendah (BBLR) Di Instalasi Radiologi RS Islam Faisal Makassar
Authors: Wahyuddin Wahyuddin , Iskandar AR.Rakhmansyah , Tul Ma’rifa Nur Halisa
Published: August 2021

LBW is one indicator to see how the degree or health status of children, so it plays an important role to monitor how the health status of children from birth. This study aims to find out how to administer Thorax Examination in Infants with a West Low Birth (BBLR) case at Faisal Makassar Islamic Hospital. In the research method, the writer uses qualitative research with a descriptive approach. From the results of the research conducted it can be concluded that the management of Thorax examination in infants with cases of Low Birth Weight (LBW) in Faisal Islamic Hospital Makassar Antero Posterior projection (AP) is said to be enough to optimally diagnose the doctor's reading results namely bilateral pneumonia.
Potensi Ekstrak Etanol Daun Sirih (Piper Betle L.) Sebagai Pengganti ADP (Adenosine Diphosphate) Pada Pemeriksaan Agregasi Trombosit
Authors: Sukeksi Andri , Rahmawati Rizqi Yogania
Published: August 2021

Adenosine diphosphate (ADP) reagent is often used in the examination of platelet aggregation, yet has limitations in terms of price and availability. Natural source namely betel leaf (Piper betle L.) are believed to be used as a substitute for ADP because betel leaf have the characteristics of styptic (to resist bleeding), vulnerary (to heal skin wounds), and anti-inflammatory (to preserve inflammation) (Moeljanto & Mulyono, 2003). The aim of this study was to determine the potential of betel leaf on the examination of platelet aggregation. The method used in this research included the betel leaf extraction using ethanol as solvent with an evaporator. The extract obtained was used as a substitute for the ADP reagent in platelet examination in the form of determining the percentage of platelet aggregation in 16 human blood samples, with a population of students at the University of Muhammadiyah Semarang. The final results showed that the addition of betel leaf extraction to the 16 blood samples examined gave an average value of platelet aggregation percentage which was higher (65%) than the mean value of platelet aggregation using ADP reagent mixing (57%). Both results fall within the normal value range, namely 50-70%. It can be concluded that betel leaf extract has the potential to be used as a replacement reagent for ADP in the process of examining platelets, especially in determining the percentage value of platelet aggregation.
Analysis of Nathaniel Character in the Film Entitled ‘Enchanted’ by Kevin Lima
Authors: Garwan Hellaisna Nur'Aini
Published: August 2021

Abstract

Nathaniel is one of peripheral characters in the movie entitled ‘Enchanted’. In the beginning of the movie, he was the antagonist one. He is the accomplish of Queen Narissa. Nathaniel experienced a moment that open his eyes so that he against Queen Narissa. The change of Nathaniel’s character drew researcher’s attention so that she was interested in discussing his character.

The purpose of this research is to identify and to find out inner conflict which influences Nathaniel’s actions and thoughts later in the movie ‘Enchanted’. Researcher used library research to analyze this film. Structural approach was used by researcher in order to collect data as well.

Researcher found out that Nathaniel had interesting personality. He was so in love with Queen Narissa so he would anything for her. Nathaniel was also good at disguise and could adapt in totally different environment. His character was very different from the main character. Even though in the beginning of the movie Nathaniel was described as antagonist, in the end of the movie he changed his thought and defensed for the main character. That move showed everyone had good side in his/her heart. People can change over time.

Keywords: character, film ‘Enchanted’, Nathaniel.
Malignant granular cell tumor of the ulnar nerve: A case report of long-term follow-up and literature review
Authors: Morinaga Sei , Yamamoto Norio , Hayashi Katsuhiro , Takeuchi Akihiko , Miwa Shinji , Igarashi Kentaro , Yonezawa Hirotaka , Asano Yohei , Saito Shiro , Nojima Takayuki , Tsuchiya Hiroyuki
Published: August 2021

Background: The incidence of malignant granular cell tumor, an extremely rare Schwann cell-derived tumor with a poor prognosis, is reported to be approximately 0.2% of malignant soft tissue tumors. We report a case of a malignant granular cell tumor originating from the ulnar nerve.Case presentation: A 71-year-old woman presented with a mass in her right forearm. Magnetic resonance imaging showed a tumor with homogenous intensity of T1 and heterogeneous hyperintensity of T2, continuous with the ulnar nerve. Incisional biopsy revealed a malignant granular cell tumor, and marginal excision of the tumor was performed. Histologically, the tumor size was 9.2 cm and consisted of eosinophilic, granular polygonal to round and spindle-shaped cells, with vesicular and prominent nucleoli, and increased mitosis. Immunohistochemically, the tumor cells were positive for S-100 protein, CD68, H3K27me3, TFE3, and SOX10 and negative for smooth muscle alpha-actin, desmin, cytokeratin AE1/3, epithelial membrane antigen, and synaptophysin. The Ki-67 positivity rate was 12%. These findings were consistent with those of malignant granular cell tumors. In addition, no metastasis or recurrence was observed 15 years after the excision.Conclusion: Surgical resection is the standard treatment option. In our case, the diagnostic criteria for malignant granular cell tumors were histologically met. Patients with malignant granular cell tumors have a poor prognosis. However, no metastasis or recurrence was observed in this case 15 years after the surgery.
Avaliação do dano psíquico associado ao depoimento especial
Authors: Faizibaioff Danilo Salles , Tardivo Leila Salomão de La Plata Cury
Published: August 2021

O Depoimento Especial de crianças e adolescentes vítimas de violência sexual vem sendo realizado por psicólogos judiciários. O objetivo deste artigo é discutir um modelo de avaliação psicológica prévia ao depoimento, voltada à ocorrência de danos psíquicos ou revitimização a ele associados. Para tanto, apresenta-se síntese reflexiva da experiência profissional dos autores em processos criminais envolvendo violência contra crianças e adolescentes, debatida à luz da literatura especializada nas áreas da Avaliação Psicológica e Psicologia Forense. Na dimensão intrapsíquica do dano, sugere-se a avaliação de fantasias, ansiedades e mecanismos de defesa da criança associados ao depor. Na dimensão intersubjetiva, aprecia-se seu nível de desenvolvimento cognitivo, raciocínio moral e vinculação ao entrevistador. Observou-se a aplicabilidade das técnicas projetivas temáticas – CAT-A, TAT e Procedimento de Desenhos-Estórias – para avaliar tais constructos, utilizando-se vinhetas clínico-forenses para ilustrar o raciocínio avaliativo. Conclui-se que proteger a criança do processo penal é proteger o próprio processo penal.
Avaliação da implementação do depoimento especial: construção de um instrumento
Authors: Pelisoli Catula Da Luz , Dell'Aglio Débora Dalbosco
Published: August 2021

O Depoimento Especial - DE tornou-se o procedimento padrão de oitiva de crianças e adolescentes vítimas e testemunhas de violência no Brasil. Este trabalho objetivou a construção de um instrumento para a avaliação das condições de implementação do DE, a partir de quatro etapas: Na etapa 1 foi realizado um estudo qualitativo, para conhecer os aspectos que possibilitam e que dificultam a efetivação do DE, por meio de um questionário online respondido por 36 entrevistadores forenses brasileiros; Na etapa 2 construíram-se os itens do instrumento, com base na literatura e nos conteúdos previamente emergidos; Na etapa 3 ocorreu a estruturação e organização do instrumento; e na etapa 4, o conteúdo foi avaliado por dois juízes com ampla experiência prática e teórica. Essas etapas possibilitaram a qualificação e adequação do instrumento para avaliar as condições de realização do DE na realidade brasileira e pode contribuir para seu processo de implementação.
The Impact of Environmental Knowledge and Awareness on Sustainability Performance of Organizations: The Mediating Role of Employee Green Behaviour
Authors: S. Neruja, , Arulrajah A. Anton
Published: August 2021

This study examined the impact of environmental knowledge & awareness of employees on sustainability performance of organization among 173 commercial bank employees in Batticaloa Region of Sri Lanka. It explored environmental knowledge & awareness of employees associated with employee green behaviour and the possible mediating role of employee green behaviour between environmental knowledge & awareness and sustainability performance of organization. Multiple regression analysis demonstrated that the environmental knowledge & awareness of employees were significantly associated with green behaviour among the employees of surveyed banks. It was also established that the association of environmental knowledge & awareness of employees and sustainability performance of the bank is partially mediated by employee green behaviour. This study contributes to fill out the research gaps exist in the area of study to some extent and offers practical implications for the managers of banks to establish efficient and constructive mechanisms and encourage the bank’s staff to implement environmental policies into actions.
Un itinéraire anthropologique
Authors: Goulet Jean-Guy A.
Published: August 2021

Dans cette rétrospective, l’auteur trace les grandes lignes de son itinéraire comme anthropologue depuis l’obtention de son doctorat à l’Université Yale. Il raconte d’abord comment il a découvert dans l’anthropologie le métier qui lui permettrait de répondre à une question qui lui est venue tôt dans la vie : « Que serais-je devenu si ma naissance et mon éducation étaient survenues parmi les “Autres” ? » Il souligne ensuite à quel point sa carrière comme anthropologue a été, du début à la fin, nourrie par l’apprentissage de deux langues autochtones lors de deux terrains intensifs, d’abord chez les Wayuu de la Colombie (septembre 1975 à décembre 1976), puis chez les Dènès Tha’ du Nord-Ouest albertain, six mois par année, de janvier 1980 à la fin de juin 1984. Cet apprentissage l’a rapproché des anciens et a rendu possible sa participation à leurs rituels d’offrande – ce qui l’a conduit à contribuer au développement de l’anthropologie expérientielle. Ses nombreuses présentations et publications abordent différents thèmes importants dans le champ des études autochtones : questions épistémologiques et éthiques, ainsi que méthodologie, ethnogenèse, cérémonies, chamanisme, revendications territoriales, autonomie gouvernementale, identités de genre, conceptions de la vie et de la mort et réincarnation. Il décrit aussi comment ses apprentissages chez les Dènès Tha’ lui ont inspiré des initiatives significatives en tant que directeur du Centre autochtone à l’Université de Calgary, de 1988 à 1991, et doyen fondateur de la Faculté des sciences humaines à l’Université Saint-Paul de 1997 à 2005.
Parenté et organisation sociale chez les Wayùu
Authors: Mancuso Alessandro , Kerbiriou Anne-Hélène
Published: August 2021

Dans cet article, l’auteur revient sur certaines questions concernant le domaine de la parenté et de l’organisation sociale des Wayùu de la péninsule de La Guajira, dans la zone frontalière du nord de la Colombie et du Venezuela. Prenant pour point de départ le désaccord entre Goulet et Saler sur l’existence de catégories et de groupes de lignages et sur la place de ceux-ci dans le monde social des Wayùu, il opte pour le point de vue de Saler, à savoir que ces catégories peuvent être considérées non seulement dans les mythes au sujet de l’origine de la société wayùu, mais aussi dans les différents concepts qui réfèrent à l’ancestralité utérine commune d’un groupe de gens apparentés, ainsi que dans les processus de développement, de reproduction et de subdivision des groupes matrilinéaires. La seconde partie de l’article aborde un certain nombre de questions suscitées par l’information ethnographique au sujet de la terminologie de la parenté chez les Wayùu : les différences entre les rapports des chercheurs ; la possibilité de choisir entre plusieurs options terminologiques lorsqu’il s’agit, soit de s’adresser à un même parent, soit de l’évoquer ; et l’interprétation des corrélats sociaux aux caractéristiques de type Crow. L’auteur avance que, dans l’étude de l’organisation sociale des Wayùu, la plupart de ces questions exigent d’être approchées de façon diachronique autant qu’historique, de pair avec une approche ethnographique.
Peculiarities of the structure of the headline complex in the youth sports media
Authors: Murzina Ol'ga Viktorovna
Published: August 2021

This article reviews the headline structure on the online news portals that are dedicated to sport events. The object of this research is a typical model of heading complex, while the subject is the specificity of text heading strategy during a notable sport event, such as the Olympic Games in Tokyo. The article employs the method of continuous sampling of headlines, classification and interpretation of the acquired material, comparative analysis, as questionnaire-based survey of young journalists – students of the faculty of Journalism. The answers of respondents indicated that these information portals have become a traineeship for the students majoring in sports journalism. The novelty of this article is defined by the following factors: most common headline structure on the sports information portals consists of two simple sentences; there are four types of relationships between the parts of headline. The author determines the reason for the dominance of the two-part headline complex: on the one hand, it is explained by the general evolution of headlines of the Internet media – from drawing attention towards purely informative, which virtually replaces reading of the material. On the analyzed Internet portals, this is complemented by the tendency towards copying the structure of the post in social media: the image and short description it, which can unfold to a larger text upon the desire of the reader. It is assumed that namely the prevalence of young journalists in sports media and the focus on young audience that follows sports events t leads to the increase of headlines of such type.
Re Cervo. Intervista a Antonella Astolfi
Authors: Bonuado Krizia , Quadri Demis
Published: August 2021

On Saturday 17 May 2014, a special initiative by the SPASS (Sinergie fra Pratiche Artistiche e Spostamenti Sostenibili / Synergies between Artistic Practices and Sustainable Mobility) research group of the University of Applied Sciences and Arts of Southern Switzerland (SUPSI) was presented between Intragna and Locarno, involving the public in an itinerant staging of Carlo Gozzi’s Re cervo (King Deer), as part of the hypothesis of a link between art, culture and sustainability issues. In the interview, the Accademia Teatro Dimitri’s voice teacher Antonella Astolfi reflects on the experience.
Il silenzio come esperienza trasformativa. L’importanza del silenzio nella meditazione e in ambito professionale
Authors: Caroni Sebastiano
Published: August 2021

The article is motivated by the lack of studies which address silence as a context- dependent phenomenon; that is, as a phenomenon whose meaning arises within specific contexts, situations and physical spaces. Accordingly, I address the ways in which the phenomenon of silence plays an essential role in particular professional and vocational domains. The analysis leads through some thoughts and considerations of people who work or are active in specialized fields that have a significant connection with the practice and the experience of silence. I especially examine areas such as meditation, teaching, health professions, and other professional and even – to some extent – artistic practices.
Il paesaggio sonoro campano tra contemporaneità e nuove forme di progettualità turistica
Authors: Citarella Germana
Published: August 2021

Full awareness of landscape occurs when it is holistically perceived. In other words, when there is osmosis between subject and object in terms of our observing, touching, breathing and listening to the same. Contemporaneously, the diminished attention paid to information provided by acoustic perception has had the effect of generating a propensity for looking rather than listening. The contribution intends to illustrate the soundscape of Campania through the tammurriata. It is not just one of the many forms of popular music expression, but the dance contains the focal points of a complex experience of collective participation, resulting in a significant tool for territorial knowledge, capable of promoting alternative forms of tourism and sense of community.
Progettare il silenzio. Una lettura acustica dell’ex villaggio sanatoriale Morelli a Sondalo
Authors: Mocchi Martino
Published: August 2021

The sanatorium Morelli was built in Sondalo during the fascist era (1932-1940). The strong visual impact of the structure is counterbalanced by a delicate acoustic approach, made necessary by the need to create silent places for supporting medical treatments. The project of “silence” is not only the result of a punitive stance, which simply intends to reduce sound emissions, but above all the effect of a positive attitude, aiming at selecting specific sounds, in accordance with the social and environmental characteristics of place. This produces the sense of participation and identification of the users, generating collective cares and protection. That of Morelli, indeed, is a relevant lesson for the contemporary reflection, with a view to finding good strategies for soundscape design.
I suoni di Mantova come strumenti di interpretazione del paesaggio. Tra turismo sostenibile ed educazione al patrimonio culturale
Authors: Pecorelli Valeria , Zuccoli Franca , Alessandra De Nicola , Squarcina Enrico
Published: August 2021

This article presents an educational experience in schools held by academics in the UNESCO site of Mantova and Sabbioneta. It is the result of a wider, interdisciplinary study – sponsored by MOBARTECH, an Italian research project – aimed at the co-construction of knowledge to foster understanding and interpretation of the cultural landscape from the point of view of the local community. The project led to the creation of a toolkit for citizens and tourists in which sound was the protagonist of several activities. Here we critically present insights and reflections on heritage, landscape and the sound in education.
Alla ricerca di un metodo: Open Space Technology
Authors: Rocca Lorena , Mocchi Martino
Published: August 2021

Il confronto da cui hanno preso forma alcune delle riflessioni presentate in questo numero è stato promosso attraverso uno strumento di lavoro partecipativo: l’Open Space Technology 2. Si tratta di un metodo d’interazione che scommette sulla spontaneità, lasciando ai partecipanti la definizione dei temi da trattare.
Musica di paesaggi sonori. Enunciazione, risignificazione, comunicazione
Authors: Sillano Carlotta
Published: August 2021

The paper – rapidly retracing some fundamental stages in the history of sound studies – questions the relationship between soundscape and music language and proposes a reflection on the resulting ontologies of sound. In the traditional conception of soundscape studies, musical language should contribute to a re-orchestration of environmental sound and should promote awareness and active listening of extra-musical sounds. However, every music composition or performance that draws on this kind of acoustic material, inevitably transforms its fruition. Immediacy is in fact impossible and each perception produces a new meaning. The article highlights the value of subjective perception and creative processes in the multidisciplinary discussion about soundscape.
Binocular rivalry reveals an out-of-equilibrium neural dynamics suited for decision-making
Authors: Cao Robin , Pastukhov Alexander , Aleshin Stepan , Mattia Maurizio , Braun Jochen
Published: August 2021

In ambiguous or conflicting sensory situations, perception is often ‘multistable’ in that it perpetually changes at irregular intervals, shifting abruptly between distinct alternatives. The interval statistics of these alternations exhibits quasi-universal characteristics, suggesting a general mechanism. Using binocular rivalry, we show that many aspects of this perceptual dynamics are reproduced by a hierarchical model operating out of equilibrium. The constitutive elements of this model idealize the metastability of cortical networks. Independent elements accumulate visual evidence at one level, while groups of coupled elements compete for dominance at another level. As soon as one group dominates perception, feedback inhibition suppresses supporting evidence. Previously unreported features in the serial dependencies of perceptual alternations compellingly corroborate this mechanism. Moreover, the proposed out-of-equilibrium dynamics satisfies normative constraints of continuous decision-making. Thus, multistable perception may reflect decision-making in a volatile world: integrating evidence over space and time, choosing categorically between hypotheses, while concurrently evaluating alternatives.
Qualifications of Instruction Sequence Failures, Faults and Defects: Dormant, Effective, Detected, Temporary, and Permanent
Authors:   Informatics Institute, Faculty of Science, University of Amsterdam, Science Park 904, 1098 XH Amsterdam, the Netherlands, Bergstra Jan
Published: August 2021

Starting out from the survey of instruction sequence faults from [6] program faults are classified according to the conventional criteria of being dormant, effective, detected, temporary, and permanent. Being retrospectively approved is introduced as an additional qualification. For this theoretical investigation the context is simplified by contemplating instruction sequences as a theoretical model for programs, and by assuming that instruction sequences are supposed to compute total transformations on finite bit sequences of a fixed length only. The main conclusion which can be drawn from this work concerns the notion of dormancy. First of all it is noticed that the unconventional notion of a dormant failure is both plausible and amenable to a straightforward and convincing definition. The conventional notion of a dormant fault, however, is much harder to grasp and the definition of a dormant fault which is provided in the paper may be disputed. The notion of a dormant fault seems to admit no convincing intuition. All faults are defects but not the other way around. The idea of a fault exclusively depends on an instruction sequence and a specification of which it is considered to be a candidate implementation. In the presence of a design, however, in addition to faults, the notion of a deviation from design (DFD) defect arises, which constitutes a class of defects many of which are not faults. For DFD defects the notion of dormancy admits a straightforward and convincing definition.
A chaos theory inspired, asynchronous two-way encryption mechanism for cloud computing
Authors: Peechara Ravinder Rao , V Sucharita
Published: August 2021

Data exchange over the Internet and other access channels is on the rise, leads to the insecurity of consequences. Many experiments have been conducted to investigate time-efficient and high-randomized encryption methods for the data. The latest studies, however, have still been debated because of different factors. The study outcomes do not yield completely random keys for encryption methods that are longer than this. Prominent repetition makes the processes predictable and susceptible to assaults. Furthermore, recently generated keys need recent algorithms to run at a high volume of transactional data successfully. In this article, the proposed solutions to these two critical issues are presented. In the beginning, one must use the chaotic series of events for generating keys is sufficient to obtain a high degree of randomness. Moreover, this work also proposes a novel and non-traditional validation test to determine the true randomness of the keys produced from a correlation algorithm. An approximate 100% probability of the vital phase over almost infinitely long-time intervals minimizes the algorithms’ complexity for the higher volume of data security. It is suggested that these algorithms are mainly intended for cloud-based transactions. Data volume is potentially higher and extremely changeable 3% to 4% of the improvement in data transmission time with suggested algorithms. This research has the potential to improve communication systems over ten years by unblocking decades-long bottlenecks.
O papel da emoção no sensemaking: relatos de experiências transformadoras em estudantes de empresas juniores da Universidade Federal de Sergipe
Authors: Garcia Adrianne , Montenegro Ludmilla Meyer , Araújo Gracyanne Freire de
Published: August 2021

O objetivo deste artigo é fundamentar a importância da emoção no sensemaking. Essa fundamentação baseia-se teoricamente na noção de sensemaking e emoções e se utiliza de uma pesquisa empírica realizada com estudantes de empresas juniores da Universidade Federal de Sergipe. Coletamos os relatos desses estudantes por meio de entrevistas semiestruturadas sobre suas experiências nas empresas juniores, o que permitiu que o papel da emoção no sensemaking fosse descrito e discutido. Os resultados apontam para a emoção como um elemento ativo das experiências dos estudantes e que atua como um gatilho na criação de novos sentidos. Além disso, os resultados contribuem para aperfeiçoar o eixo teórico das pesquisas sobre emoção e sensemaking e oferece uma reflexão sobre como as emoções são importantes para o processo de sensemaking.
Reflexo do planejamento tributário no endividamento das empresas não financeiras listadas na Brasil Bolsa Balcão (B3)
Authors: Da Fonseca Ayanna Karoline , Mendes Sirqueira Deylane , Alves de Macena Araújo Risolene , Santos Garcia Inajá Allane
Published: August 2021

O objetivo deste estudo é investigar qual o reflexo do planejamento tributário no endividamento das empresas não financeiras listadas na B3. Para isso, utilizou-se o método da Regressão Quantílica e uma amostra com dados em painel, composta sob duas concepções do planejamento tributário: taxa de imposto efetiva (ETR) e ETR desembolsada (ETRCash). Sob a perspectiva da ETR, observou-se que, no menor quantil, empresas mais agressivas fiscalmente são menos endividadas do que aquelas que adotam planejamento tributário moderado. Enquanto, considerando a ETRCash, observou-se que  práticas de planejamento fiscal agressiva estão associadas ao endividamento das empresas dos quantis menores. Acredita-se que tais empresas, mesmo não sendo favorecidas com altos créditos de terceiros, se utilizam do endividamento como estratégia para pagar menos tributos.
Características da produção científica sobre orçamento: Uma análise bibliométrica no período de 2012 a 2018
Authors: Sena Thiago Rios
Published: August 2021

O presente artigo teve como objetivo analisar o atual perfil bibliométrico da produção científica brasileira sobre o tema orçamento, utilizando o Banco de Teses e Dissertações da CAPES como fonte de dados. Este trabalho se caracteriza como uma pesquisa descritiva e utiliza a abordagem quantitativa para mensurar características da produção acadêmica sobre o tema Orçamento nos trabalhos de conclusão de cursos de pós-graduação stricto sensu do período de 2012 a 2018. A análise dos 48 trabalhos buscou identificar aspectos metodológicos e acerca do conteúdo, além do nível de produção por IES. Os resultados apontam: a região sudeste como a mais prolífera; predominância da abordagem quantitativa e área temática voltada para administração pública; uso majoritário dos métodos de levantamento (survey) e arquivo/documental; utilização preponderante da literatura nacional como referência; e abordagem do tema sobre a percepção dos entrevistados acerca do processo orçamentário ou avaliação de aspectos relacionados à gestão, como a eficiência e execução orçamentária. Constatou-se ainda um aumento na média anual de produção no período analisado para períodos anteriormente estudados.
Doxorubicin-Induced Cardio Toxicity in Albino Rats Protected by Adansonia Digitata (Baobab) Leaf Extract
Authors: Olayemi Akintola Adebola , David Kehinde Busuyi , Adeoye Saka Waheed , Ajoke Oyewande Esther , Akinpelu Ayandiran Tolulope , Akinloye Ogundiran Mathew
Published: August 2021

Cardiovascular disease is the world's leading cause of death, killing 17 to 19 million people each year. The usage of traditional drugs was influenced by the need for effective medications for the treatment of cardiovascular disease without side effects. The current study investigated the cardio-protective effects of Adansonia digitata leaf extract on doxorubicin-mediated cardiotoxicity in laboratory rats. Thirty-five albino rats were divided into five groups, each consisting of seven rats. Group 1 was given filtered water as a control, while Group 2 was given saline and doxorubicin, Group 3 received doxorubicin and Vitamin E, and Groups IV and V were myocardial oxidative animals treated with Adansonia digitata leaf extract (150 and 300 mg/kg/wt) for two weeks. After the rats were sacrificed, their hearts were collected and homogenized for biochemical assays. The results on the activities of creatinine kinase (CK), lactate dehydrogenase (LDH), aspartate amino transferase (AST), nitric oxide synthase (NOS), superoxide dismutase (SOD), catalase (CAT), and malondialdehyde were determined. Histopathology examination was used in addition to assays to validate myocardial damage. In comparison to the control group, rats provided doxorubicin showed a significant increase in the activities of cardiac marker enzymes (CK, LDH, and AST), as well as a significant increase in malondialdehyde concentration with a concomitant decrease in antioxidant enzymes (SOD, CAT, and NOS), implying cardiotoxicity. In rats with doxorubicin-induced myocardial infection, pretreatment with Adansonia digitata leaf extract reduced myocardial damage, these biochemical results were confirmed by histopathology. Finally, the new study demonstrates that Adansonia digitata has cardioprotective properties.
Prevalence of Intestinal Parasites among the Malnourished Children in Enugu, Nigeria
Authors: Onyemelukwe N. F. , Maduakor U. C. , Uchenna C. A. , Okongwu U.
Published: August 2021

Intestinal parasitic infections (IPIs) have remained a serious challenge to developing countries. Infectious disease and nutritional deficiencies can impact adversely on the nutritional status of children. Hence, this study aimed at investigating prevalence of Intestinal parasitic infections among malnourished children in Enugu, Southeast Nigeria. It was a case-controlled study consisting of 164 malnourished children and 100 well-nourished subjects between the ages of 0-10 years whose caregivers gave their consent. Anthropometric measures were evaluated using the Gomez system of classification. Stool samples were analyzed using standard parasitological protocols. Of the 164 malnourished children 52(31.7%), 63(38.4%), 49(29.9%) had mild, moderate, and severe malnutrition respectively. Five species of helminths and three species of protozoa were detected. The overall prevalence was 51.8% among the malnourished and 12% in well-nourished children. The prevalence of IPIs among the control, mild, moderate, and severe malnutrition were 12%, 36.5%, 60.3%, and 57.1% respectively. Ascaris lumbricoides ranked highest 40(37.7%) followed by Hookworm 31(29.3%) and the least was Strongyloides stercoralis 4(3.8%) among the helminths while Cryptosporidium spp was the most prevalent protozoa 8(7.6%) and the least was Isospora spp. 2(1.9%). Mixed infections were detected in 3(7.5%) and 6(21.4%) among children with moderate and severe malnutrition respectively. Nutritional status was found to be a significant risk factor while gender and age were statistically insignificant P= 0.118 and P= 0.455 respectively. The study revealed that malnourished children are highly susceptible to IPIs. There is a need for integrated effort to address malnutrition and parasitic infections
Genetic Diversity of HIV-1 and Transfusion Safety : Systematic Review and Concepts Analysis
Authors: Mangala Christian , Fokam Joseph , Bangola Denis Maulot , Nkoa Thérèse
Published: August 2021

Background: The genetic diversity of human immunodeficiency virus type 1 (HIV-1) is a real problem facing blood banks. This genetic diversity has a negative impact on diagnostic strategies within the transfusion chain by weakening the security of the donation. The objective of this study is to clarify the concepts emanating from the research project entitled : «Genetic diversity of HIV-1 and its effect on the residual risk in blood transfusion in Gabon».
Methods: This study was the result of a systematic review and a conceptual analysis of several studies that were systematically searched for in databases (PubMed, Google Scholar, and Medline), and whose object was focused on the genetic diversity of HIV -1 and its impact on transfusion safety. Indeed, the information relating to the concepts coming from the full articles was used. These were obtained by reading the most relevant articles. All relevant studies reporting data on HIV-1 genetic diversity and blood safety published in English between January 2012 and December 2020 have been identified for context. The method of conceptual analysis of « Walker and Avant (2005) » was used to clarify the different concepts of our study. The correlation test was used to show the relationship between the concepts.
Results: This systematic review and conceptual analysis study made it possible to determine the variables and to clarify the different concepts (HIV-1, Genetic diversity, Blood transfusion, Residual risk) essential for carrying out our research project entitled: "Genetic diversity of HIV-1 and its effect on the residual risk in blood transfusion". This model made it possible to show the effect of the genetic diversity of HIV-1 on the residual risk in blood transfusion using as model variables : viral load and serological markers (Antibodies and P24 Antigen). Knowledge of molecular strains (URF, CRF, subtypes) during this study made it possible to better identify the molecular strains most involved in the residual risk. Despite its complexity, this conceptual analysis contributed enormously to the understanding of the activities and the quantifiable and non-quantifiable components that participated in our study. Statistical analysis showed that the HIV-1 concept was significantly related to the other three concepts with P = 0.001. Likewise for the concept of genetic diversity was also significantly linked to the two other concepts with P = 0.003.
Conclusion: The genetic diversity of HIV-1 in the blood transfusion environment contributes significantly to the transmission of HIV from donor to recipient. The mastery of these molecular strains is essential for the various blood banks to ensure a safe blood supply.
Review on the Carbapenem Resistance Mechanisms of Klebsiella pneumoniae
Authors: Alhazmi Wafaa Ahmed
Published: August 2021

During the past years, the emergence of multi-drug resistance Gram-negative bacilli (MDR-GNB), including the carbapenem resistant Klebsiella pneumoniae (CRKP) has increased leading to a significant threat to public health care. Recent advanced molecular methods have improved our knowledge on how antimicrobial resistance mechanisms develop and transferred among bacterial strains. The MDR pathogens, particularly CRKP, utilize various mechanisms of resistance such as antimicrobial agent degradation, modification of antimicrobial target and alteration of cell membrane permeability. Here, the emergence of CRKP and the major antibiotic resistance mechanisms employed by CRKP will be reviewed and described. Understanding such mechanisms can be essential to develop new antimicrobial drug and help with individual treatment decisions to use alternative options to carbapenem and β-lactam antibiotics.
Prevalence of Depression among Type-2 Diabetic Patients-A Review
Authors: Algaows Faisal Suliman , Almisrea Sara Nasser , Alshammari Fahad Khalid , Barakat May Yahya , Alamri Abdulrahman Abdullah , Mesfer A. Alwagdani Shatha , Alahmadi Fahad Abdullah , Altuwaijri Abdulmohsin Mohammed , Naif Z. Alshammari Nada , Alawfi Raghad Ateegallah , Alqadeeb Maria Mahdi , Zarnogi Duja Naji
Published: August 2021

The global prevalence of DM is steadily increasing. Depression in patients with diabetes is more prevalent than in the general population. There is good evidence. The bidirectional link can be between diabetes and depression. The chronic nature of the illness and its various consequences can lead to depressive diabetes patients, while increased counter-rulatory hormones can cause the development of diabetic syndromes. Social and environmental variables which influence self-care burden patients and their families substantially. It can lead to depression. Depressed people with diabetes also may experience poor health, inadequate income, stigma and a lack of social support. The aim of the present study is to summarize previously estimated prevalence of depression in patients diagnosed with T2DM, and to identify sociodemographic, clinical and psychological factors associated with the occurrence of depression in diabetic patients in Saudi Arabia and worldwide.
A Drug Use Evaluation Study on Antidepressants in Psychiatric Patients at a Tertiary Care Teaching Hospital
Authors: Hadia Rajesh , Sanghani Bhumin , Sajan Sushin , Mathew Tiji , Rathod Trupal , Joshi Dhaval , Maheshwari Rajesh , Baile Sunil , Kardani Sunil , Rajput Hemraj Singh
Published: August 2021

Background: The pattern of prescribing Antidepressants to patients has been varying worldwide.

Objective: We aim to observe the prescribing pattern of antidepressants as well as assess its various outcomes in patients, the rationality of the prescriptions, and the prevalence of antidepressant usage.

Methodology: A prospective observational study of a total of 56 subjects receiving antidepressants was performed at the Psychiatry. They were screened for their various outcomes on using antidepressants. The written form of the medical record sheet was used to preserve the patient's Data. Prescription pattern, treatment chart, abnormal vitals were noted. Morisky's adherence scale was used to assess the adherence of patients to prescribed drugs. Hamilton depression rating scale was used to measure the patient's depressive stage. They were screened for possible ADRs. The causality and severity assessment of the observed ADRs was done by the WHO-UMC scale and Hartwig-Seigel scale respectively. Statistical analysis was done for all relevant data.

Results: In our study, the age of patients varies from 18 years to 85 years. The maximum number of patients were from the age group of 31-40 years [28.57% (N=16)]. The 50% (N=28) of patients were diagnosed with Depressive mood disorder. A total of 169 drugs were prescribed out of which 52.07% (N=88) were Antidepressant drugs. Out of 88 Antidepressant drugs, 20% (N=18) patients received Venlafaxine, followed by 17% (N=15) Escitalopram. Out of 56, 26.78% (N=15) showed low adherence, 41.07% (N=23) showed medium adherence and 32.14% (N=18) showed High adherence.41.07% (N=23) patients were identified with drug use problems. Adverse drug reactions were suspected in 25% (N=14) patients. The most common type of Adverse reaction due to the drug was Weight gain (N=6 patients). Paroxetine drug was found with the highest number of ADRs 28.57% (N=4).

Conclusion: Most common antidepressant prescribed was Venlafaxine. Most Patients in the community included suffered from Depressive mood disorder with a maximum number of patients appeared from the age group of the thirties to forties. Patients due to their unstable mental status were adhering to therapy at medium levels. Drug use problem was identified commonly with patients on sedatives resulting them to either forget taking the pills or missing the dose. Patients generally had a common Adverse drug reaction of weight gain. Proper lifestyle modifications and patient counselling is required to benefit patient from treatment.
Intravascular Shunt in Management of Limb Trauma- A Review
Authors: Abood Hashem Bark Awadh , Alanazi Abdulaziz Munahi , Alhajraf Falah Bader , Alotaibi Wejdan Nawaf Mesfer , Alghamdi Bushra Saad , Alramadhan Shahd Ali H , Alharbi Daliah Abdulrahman , Alamri Asia Abdullah , Alhumud Salman Abdulrahman , Khojah Mohammad Nabil , Khalil Shda Fahad
Published: August 2021

Vascular injuries to the upper or lower limb in the context of significant soft tissue loss, fractures, or other life-threatening injuries are associated with a high amputation rate. Complex extremity vascular injuries in which acute arterial insufficiency combined with severe or prolonged shocks are unacceptable because warm, warm, skeletal muscle time is often exceeded before adequate revascularization, and are associated with extended ischemia periods or fractures or soft tissue wounds. Revascularizing the limb is essential for the success of the limb rescue. Selective intravascular temporary shunting hence allows better overall care of the patient and can therefore be predicted to increase both limb rescue and patient survival rates. The aim of this article was to review and summarize results of previous literature regarding effectiveness on intravascular shunting as management of limb trauma as well as reviewing its potential complications.
Comparison of Complications between Direct Trocar Insertion Versus Veress Needle for Creation of Pneumoperitoneum in Patients Undergoing laparoscopic Cholecystectomy: A Randomized Control Trial
Authors: Hamid Kamran , Ahmad Shabbir , Khan Bahzad Akram , Answer Muhammad Faheem , Latif Amer , Naqvi Syed Mazhar Ali , Bhatti Muhammad Afzal , Rana Muhammad Asim , Hafeez Muhammad Mansoor
Published: August 2021

Aim: To compare the outcomes in term of complication of Veress Needle Insertion (VNI) to Direct Trocar Insertion (DTI) for creation of pneumoperitoneum in laparoscopic cholecystectomy.

Design: Randomized controlled trial

Place and Duration of Study: The current analysis was conducted at Khawaja Muhammad Safdar Medical College Surgical Department, Allama Iqbal Memorial Hospital and Govt. Sardar Begum Teaching Hospital, Sialkot from September 27, 2017, to September 26, 2020.

Methodology: A total of six hundred and eight (n=608) patients, having age 30 to 75 years planned for laparoscopic cholecystectomy were included in this study. Patients were randomly divided into two groups, Group A (Direct Trocar Insertion), Group B (Veress Needle Insertion). Both groups had age and sex matched males and female. All trocars and veress needle used were disposable, with a safety shield. The primary outcome of our study was to compare the complications to assess the safety levels, while total time taken by the procedure and mean time for laparoscopic entry were the secondary end points. The collected data was analyzed by using software SPSS version 22. Chi-square test was used to check the significance of variance. P-value less than 0.05 remained the statistically significant.

Results: The complication rate in VNI group were significantly greater than the DTI group (p < 0.01), the duration of surgery between the two groups was not significantly different (p > 0.05), but we found statistically significant difference in mean laparoscope insertion time (DTI 3.4+ 1.4 versus VNI 4.8+ 0.7 minutes, p < 0.001).

Conclusion: From the results of our study, it can be concluded that the direct trocar insertion is a safe alternative to veress needle insertion in laparoscopic cholecystectomy as it is associated with fewer complications.