bluuebunny/crossref_metadata_2025 huggingface dataset:
Features of mahagment of a patient with a new coronaviral infection in the observator on the basis of student’s dormitory
Authors: Kuznetsova Olga Yu. , Meltser Alexandr V. , Lubimova Anna V. , Pleshanova Zhanna V. , Zamyatina Olga S. , Donetskov Nikita V. , Osinskaya Zoya R.
Published: August 2020

The article is devoted to the peculiarities of clinical manifestations and the severity of a new coronary virus infection in a university student transferred to an observatory organized in a hotel-type hostel to prevent the spread of COVID-19 among students living in hostels. The data on the epidemiological history of the patient, the results of clinical observation and examination are provided. The tactics of managing a patient with a suspected of COVID-19 on an outpatient basis, symptoms that determine the indications for hospitalization, the results of examination and treatment in a hospital, and further observation at the observatory are considered.
A new coronavirus infection can lead to a rapid deterioration in the condition of young patients, which does not correlate with indicators indicating lung damage on the 5th day of the disease. Persistent hyperthermia and severe weakness with anorexia can be indicators of the complicated course of the disease, including the development of hyperactive inflammatory syndrome. Hypochromic anemia can be another disease, which is an unfavorable background for the development of COVID-19. The course of the new coronavirus infection in young patients requires careful attention and further study.
Using the scenario approach in anti-corruption management processes (on the example of the construction industry)
Authors: Shults Vladimir L. , Kulba Vladimir V. , Shelkov Aleksey B. , Chernov Igor V. , Timoshenko Andrey A
Published: August 2020

This study discusses the methodological and applied problems of increasing the effectiveness of the anti-corruption management process. An analysis of the essence and forms of corruption, as well as their negative impacts on the socioeconomic development of the society is offered.

To increase the effectiveness of anti-corruption problem-solving and assess the decision-making process pertaining to management, a scenario analysis is proposed.

The analysis of basic multigraph models of anti-corruption management focuses on the construction industry, using functional symbolic graphs.

According to the results, it is more effective to look more broadly at the criminological problem of combating corruption by linking its solution to developments in the fields of economics, sociology, and psychology.

The current publication is considered a new approach to the development of specific measures to counter this type of crime.
USSR: creation and collapse of the empire in the context of «risk society»
Authors: Mordovcev Andrey Yu. , Mamychev Aleksey Yu. , Mordovceva Tatayna V.
Published: August 2020

The article identifies and analyzes the risk factors associated with the formation and collapse of the USSR as a recreation of the Imperial political and legal space, a type of national and supranational socio-political and legal identity. The authors consider the various processes of integration and disintegration of state actors in the context of the risk society paradigm, recognizing its methodological foundations. Both the emergence and collapse of the USSR are responses to the escalating risks and crises of the Russian political and legal systems, and a way out. When considering such problems, it is impossible to eliminate mental and cultural archetypes, historic state and legal experience, and the place and role of personality in history, especially within the nations contradictory history. In this regard, the article analyzes the positions of leadership of the RSFSR and the Ukrainian SSR in the matter of national legal policy that influenced the collapse of the USSR.
Tonsillektomi spesmenlerinin Histopatolojik Retrospektif Analizi
Authors: AYDIN Sedat , BOLDAZ Eren
Published: August 2020

Amaç: Tonsillektomi, özellikle pediyatrik yaş grubunda sıkça yapılan bir ameliyattır. Tonsillektomi spesmenlerinin rutin histopatolojik incelemesinin gerekliliği ise hala tartışmalı bir konudur. Çalışmamızda kliniğimizde son 5,5 yılda tonsillektomi operasyonu olmuş 12 yaş ve üstü hastaların tonsil materyallerinin histopatolojik dağılımını ve rutin patolojik incelemenin gerekliliği sorgulanmaktadır.Gereç ve Yöntem: Hastanemiz kulak burun boğaz kliniğinde 2013 ocak ayı ve 2018 temmuz ayı tarihleri arasında çeşitli endikasyonlar ile tonsillektomi operasyonu olmuş 856 hastanın (452 erkek, 404 kadın; ortalama yaş: 34.6, yaş aralığı: 12-92 yaş) anamnezi, şikayetleri, fizik muayene sonuçları ve patolojik sonuçları incelenmiştir.Bulgular: 856 hastanın patoloji sonuçları değerlendirildiğinde; 50 hastada (%6) malignite saptanmış olup bu hastaların 36’sında (%4) lenfoma, 11’inde (%1) skuamoz hücreli karsinom (SCC), 2’sinde (%0.2) adenokarsinom metastazı (akciğer ve pankreas adenokarsinomu metastazı), 1’inde (%0.1) malign melanom, 1’inde (%0.1) nöroendokrin tümör metastazı olduğu görülmüştür. Çalışmaya dahil edilen hastaların hiçbirinde rastlantısal malignite saptanmamıştır.Sonuç: Literatürdeki çoğu çalışmada en sık görülen tonsil malignitesi skuamoz hücreli karsinom ikinci en sık görülen tonsil malignitesi ise lenfoma olarak belirtilmiştir. Çalışmamızda bu bilginin aksine %72’lik bir oranla en sık görülen tonsil malignitesi lenfoma, ikinci en sık görülen tonsil malignitesi ise skuamoz hücreli karsinom (SCC) olarak bulunmuştur. Lenfoma saptanan 36 hastanın 19’unda (%52) ise Diffüz Büyük B Hücreli Lenfoma (DBBHL) alt tipi görülmüş olup bu oran literatür verileri ile uyumlu bulunmuştur. Malignite saptanmış olan hastaların hepsinde malignite risk faktörü (asimetrik büyümüş, ülsere olmuş veya obsturiktif boyutlara ulaşmış tonsil dokusu, boyunda şişlik, yutma güçlüğü vs) olduğu görülmüş olup ve 856 hastanın hiçbirinde rastlantısal malignite saptanmamıştır. Sonuç olarak tonsillektomi spesmenlerinin rutin histopatolojik incelenmesi gerekli olmayabilir ancak risk faktörü taşıyan hastalarda mutlaka histopatolojik inceleme yapılmalıdır.
İntravajinal Mizoprostolün Gebelik Sonlandırılmasında Etkinliğinin Değerlendirilmesi
Authors: YENER Cem , ATEŞ Sinan , SAYIN Cenk , GÖRMEZ Süheyla , VAROL Füsun
Published: August 2020

Amaç: Çalışmamızın amacı Trakya Üniversitesi Tıp Fakültesi Doğum Kliniğinde Mayıs 2016 –Aralık  2018 tarihleri arasındaki 2,5 yıllık zaman aralığında terminasyon yapılan gebeliklerin endikasyonlarının dağılımını değerlendirmek ve 10 (on) hafta üzeri gebelik sonlandırmasında dört saatte bir intravajinal ve yirmi dört saatte bir vajinal yolla uygulanan sırasıyla 400 μg ve 600 μg mizoprostolün etkinliğini karşılaştırmak. Gereç ve Yöntem:Retrospektif dosya incelemesi şeklinde planlanan çalışmamızda kliniğimizde terminasyon kararı verilen 10 (on) hafta üzeri gebeliklerin sonlandırılma endikasyonları ve uygulanmakta olan mizoprostol tedavi protokollerinin etkinliği incelendi. 18-45 yaş arası, 10 (on) hafta ve üzeri olan gebeliklerin sonlandırılmasının planlandığı toplam 128 kadının dosyası değerlendirildi. 63 hastaya (Grup 1) 4 saat ara ile tekrarlanan 400 μg vajinal yolla mizoprostol uygulandı. 65 hastaya (Grup 2) 24 saat ara ile tekrarlanan 600 μg vajinal yolla mizoprostol uygulandı. Her iki grupta yeterli uterin kontraksiyon elde edilene kadar doz tekrarlanıp 48 saat sonrasında abortus/doğum gerçekleşmemesi halinde yöntem başarısız olarak kabul edildi.  Bulgular: Çalışmamızda termine edilen 128 hastanın terminasyon endikasyonları belirlendi. Gebelik terminasyon endikasyonları: Missed Abort ve IUGR (in utero mort fetus) 32(%25), santral sinir sistemi anomalileri 30(%23,4), anhidramniyoz 28(%21,8), kromozal anomaliler 11(%8,5), kardiyak anomaliler 7(%5,4), çoklu sistem anomalileri 6(%4,6), kas iskelet anomalileri 5 (%3,9), gastrointestinal ve genitoüriner sistem anomalileri 5(%3,9), teratojen ilaç kullanımı ve radyasyona maruz kalma 4(%3,1) bulundu.  Grup 1 olgularda 48 saatte abortus oranı (%90.4) idi. Grup 2 olgularda 48 saatte başarı oranı ise (%92,3) bulundu.Sonuç: İlk trimester ve ikinci trimesterde yapılan obstetrik ultrasonografi fetal yapısal anomalilerin tanısında tek yöntemdir. Santral sinir sistemi anomalileri fetal anomaliler içerisinde en büyük grubu oluşturmaktadır. Hastanemizde 10 (on) hafta ve üzeri gebelik sonlandırılmasında kullanılan mizoprostolün etkili ve güvenilir olduğu düşünülmektedir.
Wrestling with Fire: Indigenous Women’s Resistance and Resurgence
Authors: Nelson Melissa K.
Published: August 2020

Indigenous activist movements are often articulated through the concepts of struggle, resistance, and resurgence. Indigenous women activists often tie these concepts to vocabularies of responsibility and obligation. Nelson examines the root meanings, contested uses, and pragmatic roles of struggle and resistance in Indigenous women’s activism, including her own experiences as a Native woman and scholar-activist. She articulates this struggle through the concept of “wrestling with fire,” which serves not only as a metaphor for activism, but also as a unique approach by Indigenous women who have specific responsibilities to the natural elements. Real fire and the fire of activism can bring both destruction and renewal, and these interrelated and complex processes have always played important roles in indigenous land management, culture, and spirituality. An ethnopoetic analysis on the role and power of fire in ecological processes and Indigenous oral literatures concludes the essay, with a proposal for how to incorporate Indigenous ways of being in reciprocal relationship with the regenerative power of fire.
Survei Tingkat Kebugaran Jasmani Atlet Puslatcab Senam Lantai Usia 10-12 Tahun
Authors: Huslah Huslah , Hariyanto Eko
Published: August 2020

Tujuan penelitian ini untuk meneliti dan mengkaji tingkat kebugaran jasmani Atlet Puslatcab Senam Lantai Kota  Malang Usia 10-12 Tahun, dalam penelitian ini menggunakan menggunakan rancangan survei bentuk deskriptif kuantitatif. Pengambilan data menggunakan instrumen dalam bentuk tes instrumen tesnya adalah Tes Kebuaran Jasmani Indonesia (TKJI). Teknis analisis data menggunakan presetase Berdasarkan hasil tes tingkat kebugaran jasmani Atlet Puslatcab Senam Lantai Kota  Malang Usia 10-12 Tahun maka diperoleh hasil 4 peserta (20%) pada kategori Baik Sekali, 14 peserta (70%) pada kategori baik, 2 peserta (10%) pada kategori sedang. Berdasarkan hasil analisis tersebut maka disimpulkan bahwa tingkat kebugaran jasmani Atlet Puslatcab Senam Lantai Kota  Malang Usia 10-12 Tahun masuk pada lingkup baik.
TATHBÎQU THORÎQOTU "STUDENTS TEAMS-ACHIEVMENT DIVISIONS" LITARQIYATI MAHÂRATI AL-QIRÂ'ATI WA AL-KITÂBATI FÎ AL-MADRASAH AL-MUTAWASSITHAH
Authors: Sholehuddin Muhammad , Nurhidayati Nurhidayati , Ainin Moh.
Published: August 2020

Abstract: This study aims to describe the implementation of Student Teams - Achievement Divisions (STAD) to improve the reading and writing skills of students in grade VII Madrasah Tsanawiyah Darul Falah Singosari and describe the improvement in students' reading and writing abilities with the Student Teams - Achievment Divisions (STAD) method. This study uses a qualitative approach to the type of Classroom Action Research (CAR) which is carried out with several cycles. Each cycle is carried out in two meetings consisting of 4 stages, namely (1) planning, (2) implementation, (3) observation, and (4) reflection. Data analysis of the application of this method by comparing the scores obtained by students in cycle 1 and cycle 2. Indicators of increasing students' reading ability can be seen in the increase in the average value of students in the first cycle with enough category with a percentage of completeness 57.89%, while in the second cycle is sufficient with a percentage of completeness 63.15%. Indicators of increasing students' writing ability can be seen in the increase in the average value of students in the first cycle with a good category with a percentage of completeness of 52.63%, while in the second cycle is good with a percentage of completeness of 68.42%.المستخلص: تهدف هذه الدراسة إلى وصف تنفيذ "Student Teams – Achievment Divisions" (STAD) لتحسين مهارات القراءة والكتابة لدى طلاب الصف السابع. تستخدم هذه الدراسة منهجًا نوعيًا لنوع بحث الفصل الإجرئي الذي يتم تنفيذه مع عدة دورات. يتم تنفيذ كل دورة في اجتماعين يتكونان من 4 مراحل ، هما (1) التخطيط ، (2) التنفيذ ، (3) الملاحظة ، (4) التفكير. 1 أظهرت النتائج أن تطبيق طريقة "Student Teams – Achievment Divisions" (STAD) يمكن أن يحسن قدرات الطلاب على القراءة والكتابة. يمكن ملاحظة مؤشرات زيادة قدرة الطلاب على القراءة في الزيادة في متوسط قيمة الطلاب في الدورة الأولى مع فئة كافية مع نسبة اكتمال بنسبة 57.89 ٪ ، بينما في الدورة الثانية كافية مع نسبة اكتمال 63.15 ٪. يمكن ملاحظة مؤشرات زيادة قدرة الطلاب على الكتابة في الزيادة في متوسط قيمة الطلاب في الدورة الأولى مع فئة جيدة بنسبة اكتمال بلغت 52.63 ٪ ، بينما في الدورة الثانية جيدة مع نسبة اكتمال 68.42 ٪.الكلمة الرئيسية: طريقة "Student Teams – Achievment Divisions" (STAD)، مهارة القراءة، مهارة الكتابة
DEVELOPING NAHWU LEARNING MODEL BASED ON “TRANSLATE SELF-REVIEW” (TSR)
Authors: Irhamni Irhamni , Khasairi Moh. , Ahsanuddin Mohammad
Published: August 2020

This article aims to describe the understanding of TSR and its meaning in the context of community language learning and experimental learning. For this reason, literature review and FGD are used as research methods. The TSR model learning method is learning based on translating the mother language into the target language. The TSR learning model has meaning that is relevant to the principles of Charles A. Curran's community language learning model and experiental learning from David Kolb. Artikel ini bertujuan untuk menggambarkan pemahaman Translate Self-Review (TSR) dan maknanya dalam konteks pembelajaran bahasa komunitas dan pembelajaran eksperimental. Untuk alasan ini, tinjauan literatur dan FGD digunakan sebagai metode penelitian. Metode pembelajaran model TSR adalah pembelajaran yang didasarkan pada penerjemahan bahasa ibu ke bahasa target. Model pembelajaran TSR memiliki makna yang relevan dengan prinsip-prinsip model pembelajaran bahasa komunitas Charles A. Curran dan pembelajaran pengalaman (eksperimental) dari David Kolb.
AL-MUCHASSINAT AL-MA'NAWIYYAH FI AL-JUZ`I ATS-TSALATSINA MIN AL-QUR`AN AL-KARIM
Authors: Fauzan Moh , Nawawi M. Syatibi , Hanafi Yusuf
Published: August 2020

This study aims to describe the patterns of al-Mukassinȃt al-Ma'nawiyyah in Al-Qur'ȃn on Juz 30, namely: : (1) al-Tauriyyah, (2) al-Tibȃq, (3) al-Muqȃbalah, (4) Ta’kîd al-Madah bi mȃ Yusybih al-Dzam, (5) Ta’kîd al-dzam bi mȃ Yusybih al-Madah, and (6) Uslûb al-Hakîm. The research method used is descriptive qualitative method. The results of the study show that al-Mukhassinȃt al-Ma'nawiyyah in the Qur'an at Juz 30 are al-Tibȃq, al-Muqȃbalah, and Ta'kîd al-Madah bi mȃ Yusybih al-Dzam. And not found the existence of al-Tauriyyah, Ta'kîd al-dzam bi mȃ Yusybih al-Madah, and Uslûb al-Hakîm. Al-Tibȃq is in 26 places, al-Muqȃbalah is in 19 places, and Ta'kîd al-Madah bi mȃ Yusybih al-Dzam is in 1 place. Al-Tibȃq is more numerous than al-Muqȃbalah and Ta'kîd al-Madah bi mȃ Yusbihu al-Dzam, because al-Tibȃq is simpler than both, and al-Muqȃbalah is more than Ta'kîd al-Madah bi mȃ Yusybih al -Dzam because he is simpler than him, Tibȃq al-Ijab more than Tibȃq al-Salb. Al-tibȃq is found that there are times when there are antonyms between two nouns, two verbs, and two different words, most of which are bantonyms between two nouns. Al-Muqȃbalah has found that there are antonyms between two meanings, three meanings and four meanings, most of which are antonyms between two meanings. Whereas Ta'kîd al-Madah bi mȃ Yusbih al-Dzam only exists in 1 place, which is to determine the nature of praise for something after that it brings the letter istitsnȃ 'followed by another nature of praise. Whereas the second purpose of Ta'kîd al-Madah bi mȃ Yusybih al-Dzam is to exclude the compliments of the denounced reproach. يهدف هذا البحث إلى وصف أساليب المحسّنات المعنوية في الجزء الثلاثين من القرآن الكريم، وهي: (1) التورية، و (2) الطباق، و (3) المقابلة، و (4) تأكيد المدح بما يشبه الذم، و (5) تأكيد الذم  بما يشبه المدح، و (6) أسلوب الحكيم. المنهج المستخدم في هذا البحث هو الوصف الكيفي. من نتائج البحث يعرف أن المحسّنات المعنوية في الجزء الثلاثين من القرآن الكريم هي: الطباق، والمقابلة، وتأكيد المدح بما يشبه الذم. وليس هناك التورية، وتأكيد الذم  بما يشبه المدح، وأسلوب الحكيم. الطباق فيه في 26 موضع، والمقابلة فيه في 19 موضعا، وتأكيد المدح بما يشبه الذم فيه في موضع واحد. الطباق أكثر من المقابلة وتأكيد المدح بما يشبه الذم لأنه أبسط منهما، والمقابلة أكثر من تأكيد المدح بما يشبه الذم لأنه أبسط منه. الطباق فيه نوعان هما: طباق الإيجاب وطباق السلب، وطباق الإيجاب فيه أكثر من طباق السلب. الطباق فيه يكون الجمع بين اسمين، وفعلين، وحرفين، ومختلفين، والأكثر يكون الجمع بين اسمين. والمقابلة فيه إما مقابلة بمعنين، أو بثلاثة معان، أو بأربعة معان، والأكثر هو المقابلة بمعنين. وتأكيد المدح بما يشبه الذم فيه نوع واحد فحسب، هو أن يثبت لشيء صفة الذم  ثم يؤتى بعدها بأداة استـثناء تليها صفة ذم أخرى. وليس هناك النوع الثاني منه، وهو أن يسـتثنى من صفة مدح منفية صفة ذم.
Determinación de las propiedades dielectricas de los combustibles, sus mezclas y del suelo, así como su impacto en un uso eficiente de los recurso energéticos y en la determinación de la contaminación ambiental.
Authors: García Reina Francisco , Méndez García Amarilys , Martínez Ibáñez Lázaro
Published: August 2020

El estudio de las propiedades dieléctricas de los materiales es una de las principales herramientas usadas actualmente para su caracterización, tanto estructuralmente como desde el punto de vista de las interacciones moleculares. En nuestra Universidad se ha venido utilizando en el estudio de los combustibles y sus mezclas: gasolina-alcohol y biodiesel-Diesel fósil, ya que permite determinar los mecanismos de interacción molecular presentes en las mezclas, tanto de sustancias polares como apolares, lo cual determina las concentraciones óptimas de los componentes en la mezcla, en cuanto a su estabilidad, energía libre, entropía, entalpía de la evaporación, así como la energía de cohesión y de los mecanismos de relajación dieléctrica. Estas propiedades de los combustibles son las que determinan, en primera instancia, la eficiencia de la combustión. Por otro lado, la misma técnica aplicada a los suelos permite determinar la humedad y lo que es más importante, la contaminación de los mismos por combustibles y lubricantes. Luego, con el mismo montaje experimental se pueden determinar las propiedades estructurales y dinámicas de los combustibles, sus mezclas y lubricantes, las cuales están estrechamente relacionadas con el uso eficiente de estos, así como la contaminación de los suelos por estos mismos agentes químicos. Se presentan los resultados de la caracterización dieléctrica y su relación con las energías de interacción molecular, de las mezclas alcohol-gasolina, biodiesel-Diesel fósil y la determinación de la influencia de la humedad y de la contaminación por combustibles en las propiedades dieléctricas de los suelos.
Carrera 50, Barranquilla: Arquitectura, cultura y tradición
Authors: Hernandez Paola Ivama , Rueda Pineda Andrés
Published: August 2020

La carrera 50, en el ámbito de movilidad vehicular, es un eje vial importante en la ciudad de Barranquilla. Por tanto, el Distrito decidió emprender un proyecto para la transformación de esta carrera, construyendo un par vial, que permitiera mejorar la movilidad vehicular en la ciudad de norte a sur y viceversa, así como el mejoramiento y disponibilidad de espacio público adecuado. Durante el año 2015 y 2016, se realizaron una serie de fotografías en las cuales se buscó captar las edificaciones que se encontraban en Barrio Abajo y que iban a ser derrumbadas para dar comienzo al Par Vial de la carrera 50. El objetivo de este artículo es realizar un recuento del valor arquitectónico, histórico, cultural  y urbano que tiene y que ha tenido la carrera 50 a lo largo de estas décadas, presentando una breve reseña histórica de Barrio Abajo y la carrera 50, presentando una serie de fotografías que reflejan las edificaciones y/o viviendas antiguas demolidas en la construcción del proyecto del par vial y la transformación de la carrera 50 en un nuevo eje de movilidad vehicular y un nodo cultural para la ciudad de Barranquilla.
Civilización y rivera
Authors: Vicente Pablo Mariano
Published: August 2020

De acuerdo con las posibilidades técnicas de su tiempo, G. Carrasco despliega en la publicación de su trabajo un amplio abanico de formatos informativos: gráficos y cuadros estadísticos, mapas, esquemas, fotografías, litografías y dibujos. Las imágenes, que parecen cumplir un rol de ilustración y complemento, son utilizadas para presentar espacios urbanos significativos, como instalaciones portuarias, ferroviarias o edificios representativos, con predominio de las escenas de la ciudad de Rosario. Este trabajo se propone abordar la incorporación de esas imágenes urbanas en las diferentes ediciones de esta publicación, con el objeto de indagar acerca de los criterios elegidos para su utilización, asumiendo que cumplen con un rol de relevancia en la construcción del discurso.
NUEVAS TENDENCIAS PARA UNA LOGÍSTICA SOSTENIBLE CON EL MEDIO AMBIENTE
Authors: Hernandez Palma Hugo , Pitre Redondo Remedios , Sánchez Martínez Norma
Published: August 2020

Para tratar los efectos de la actual problemática mundial, en referencia al cuidado del medio ambiente, se han establecido políticas e iniciativas para revertir estas consecuencias, a través de la reducción de la contaminación y protección de los recursos naturales para lograr una eficiencia económica y ecológica. Por lo citado, se estimó relevante analizar los estándares que están implementando las entidades oficiales y empresas privadas, a nivel mundial, para el cuidado del medio ambiente, y las prácticas corporativas integradas en el proceso logístico para mitigar los impactos negativos de las industrias al ecosistema y así propender por una economía sostenible. Para ello se empleó una revisión documental, con base en una metodología de tipo cualitativo, descriptivo, que permitió esbozar las principales características de las prácticas más comunes aplicadas en el ámbito de los procesos logísticos.
CARACTERÍSTICAS DEL LIDERAZGO INNOVADOR QUE IMPULSAN LA CULTURA DE LA INNOVACIÓN EN LAS UNIDADES DE EMPRENDIMIENTO DE LAS INSTITUCIONES DE EDUCACIÓN SUPERIOR DEL DEPARTAMENTO DEL ATLÁNTICO
Authors: Fontalvo Winston , Cienfuegos Molina Rodrigo
Published: August 2020

El presente artículo tuvo como objetivo describir las características del liderazgo innovador que impulsan la cultura de la innovación en las Unidades de Emprendimiento de las Instituciones de Educación Superior del departamento del Atlántico, Colombia. Recurriendo a los postulados teóricos de autores como Lyons (2011), Hellriegel, Jackson & Slocum (2009), o Castrillón (2011), entre otros. La Investigación respondió a una investigación de tipo descriptiva con un diseño no experimental, de campo, transeccional; la población estuvo compuesta por Dieciocho (18) Unidades de Emprendimiento de las Instituciones de Educación Superior del Departamento del Atlántico. Seleccionando mediante un muestreo intencional una muestra de nueve (9) Unidades de Emprendimiento. Se empleó un cuestionario de 32 ítems con escala Likert, validado por cinco (5) expertos y con una confiabilidad de 0,94 con el coeficiente alpha de Cronbach. Los hallazgos encontrados, mostraron que las características del liderazgo innovador se encuentran moderadamente presente en la cultura de la innovación, lo cual se corrobora con lo reflejado en los indicadores de espíritu Intraemprendedor, trabajo en equipo y toma de decisiones.
TENDENCIAS Y CARACTERÍSTICAS DE LOS MERCADOS PARA LA EXPORTACIÓN E IMPORTACIÓN DE DISPOSITIVOS BIOMÉDICOS
Authors: Briceño Díaz Freddy , Calderón Jiménez Stefanny , Molina Sánchez Vanessa María , Torres Pimiento Danilo , Borja Roncallo Gisella , Cantillo Guerrero Ernesto
Published: August 2020

El presente artículo vislumbra un estudio de mercado realizado en la ciudad de Barranquilla Colombia, el cual permitió conocer las inclinaciones, estados y características de la demanda con respecto a los productos de bioingeniería. Se realizó una recolección de información (primaria y secundaria) sobre los futuros clientes, competidores, mayores distribuidores, oferta y demanda del sector de los dispositivos biomédicos, todo esto con el fin de determinar las tendencias más significativas, el comportamiento y la manera de cómo incursionar en el mercado. Este análisis sirvió para determinar la viabilidad de incursionar una incubadora de negocios en el campo de la bioingeniería.
Postoperative outcome in thoracolumbar spinal tuberculosis: a retrospective study
Authors: Abu Shaji U. , Kollannur Lijo J. , K. Sreenath
Published: August 2020

Background: Spinal tuberculosis is the most common location of extra pulmonary tuberculosis. ATT alone may not be suitable in all situations, especially when treating patients with risk of instability, progression of neurologic deficit, and failure of medical treatment. Surgical intervention is a major treatment modality for symptom relief in spinal tuberculosis.Methods: The aim of this study was to assess the immediate post-operative outcome in surgically treated patients with dorsolumbar spine tuberculosis at Department of Neurosurgery Government Medical College, Thrissur. All operated patients of dorsolumbar spinal tuberculosis during 2014 September to 2019 august were included under study.Results: A total of 57 patients were included in the study. The mean age of the patient was 42.77 years. There were 40 males (70.2%) and 17 females (29.8%). 55 (96.5%) out of 57 patients were having sensory symptoms. 41 (71.9%) out of 57 patients were having motor symptoms. Bladder involvement 23 (40.4%) and bowel involvement 15 (26.3%) were also noted in the study. Sensory symptoms improvement in post-operative period was noted in 46 (80.7%). Motor symptoms improvement was observed in 23 (56.1%) out of 41. Bladder symptoms improved in 6 (26.1%) out of 23. There is improvement in clinical symptoms, neurological function immediately after surgery. Surgical patients have faster improvement and can be mobilized earlier. Improvement in sensory symptoms (96.5%), motor symptoms (56.1%) and bladder symptoms (26.1%) were noted in our study in the immediate post-operative period.Conclusions: There was significant immediate relief in symptoms and morbidity of patients undergoing surgical treatment for dorsolumbar spine tuberculosis.
Medicalización psiquiátrica en tres prisiones femeninas brasileras: un abordaje etnográfico sobre los itinerarios de criminalización, patologización y farmacologización
Authors: Ordoñez-Vargas Laura , Cortés-García Claudia Margarita
Published: August 2020

Este artículo analiza los procesos de medicalización psiquiátrica de las mujeres dentro de tres prisiones femeninas brasileñas, desde los campos de la salud mental, la antropología del confinamiento y los estudios de género. Se llevó a cabo un estudio cualitativo de carácter etnográfico (de octubre de 2006 a febrero de 2007) con observación participante, conversaciones informales, entrevistas semiestructuradas y relatos de vida. Entendidos como dispositivos estatales de poder, los procesos de medicalización psiquiátrica están marcados por tres itinerarios: criminalización masiva de mujeres, patologización (de la criminalidad femenina) y farmacologización psiquiátrica (en especial, a través de la administración de fármacos psicoactivos). Estos procesos instauran un círculo vicioso que perpetúa o produce los trastornos psiquiátricos que pretende curar, alimentando el uso y consumo de drogas (ilícitas-lícitas-ilícitas) y su vinculación con la ilegalidad, y permiten ver cómo el género, intersectado con otras categorías de diferenciación, influye en la producción de enfermedades mentales, las cuales deben ser tratadas como un problema de salud pública que se extiende más allá de los muros de las prisiones femeninas.
Criminal Protection of Environment-Organized Crime and Effective Regret
Authors: Vukusic Ivan
Published: August 2020

This paper analyzes special criminal offences of environment endangering through national and international legislation. How social aspect is important in criminal law because of prevention of injury, legislator predicted provision of effective regret if person acts as individual perpetrator or as part of criminal organization. That is key reason why paper analyzes effective regret prescribed in Criminal Code of Croatia in Special part (Head protecting environment and Head protecting public order). Mostly, environment will be injured by act of individual, but nowadays, environment is valuable resource that enables to gain large profit and as such is aim of criminal organizations. Legislator punishes mostly stadium of environment endangering, so paper reflects nature of provisions against environment on possibility of effective regret (instrument of stopping injury of legal good (material completion of criminal offence against environment)). Paper analyzes also UN Palermo Convention and EU Framework Decision against organized crime, specially provisions about conspiracy (when exists no criminal organization) and criminal organization and on end their comparison with legislation of Croatia. De lege ferenda is noted that Framework Decision must incriminate conspiracy established for only one criminal offence, and not for only two or more, because one criminal offence can have characteristics of organized crime as well. Paper concludes that it is necessary to predict effective regret by more criminal offences of environment endangering because it represents best way of legal good protection. If person acts as part of criminal organization, it should be sufficient that content of effective regret presents certainly prevention of commission of criminal offence without disclosure of criminal organization because protection of legal good (environment) should have an advantage over punishment of perpetrator.
A CAPACIDADE DE SE ADAPTAR
Authors: Lisiane Ilha Librelotto Lisiane Ilha Librelotto Lisiane Ilha Librelotto , Magnago Rachel Farvezani , Ferroli Paulo César Machado
Published: August 2020

Esse volume reúne os melhores artigos avaliados de forma dupla-cega, aprovados para a oitava edição do ENSUS 2020 – VIII Encontro de Sustentabilidade em Projetos: caminho para os Objetivos de Desenvolvimento Sustentável. O ENSUS mostrou-se resiliente e ágil para manter a tarefa de divulgar a ciência, sendo a primeira edição totalmente remota do evento e ainda a primeira externa à Universidade Federal de Santa Catarina (UFSC) após a retomada do evento em 2016.O evento foi realizado na Universidade do Sul de Santa Catarina (UNISUL) no Espaço Virtual de Aprendizagem (EVA) junto ao Programa de Pós-graduação em Gestão e Ciências Ambientais da Unisul e possibilitou uma experiencia salubre de divulgação da ciência. O Know-how adquirido com as edições anteriores, permitiu a composição do modelo replicado no ENSUS remoto: a identidade visual, modelos de submissão, templates de apresentação, palestras, apresentações orais e pôsteres de artigos submetidos, ou seja, as rotinas de funcionamento estão de tal forma consolidadas que facilitam muito os trabalhos.
MAPEAMENTO DE ÁREAS VULNERÁVEIS À INUNDAÇÃO COM USO DO SIG E DA ANÁLISE MULTICRITÉRIO: O CASO DA BACIA HIDROGRÁFICA DO RIO UNA EM PERNAMBUCO
Authors: Leal Fernanda Cláudia Barboza da Silva , Barbosa Ioná Maria Beltrão Rameh , Aquino Joás Tomaz de
Published: August 2020

O descompasso entre o gerenciamento dos recursos hídricos e o planejamento do uso do solo resulta na ocupação desordenada nas margens dos rios comprometendo a qualidade de vida da sociedade. A bacia hidrográfica do rio Una possui um histórico de inundações, evidenciando a grande importância de monitoramento de áreas de risco, as quais se têm como objetivo identificar no presente estudo. O mapa de vulnerabilidade à inundação foi desenvolvido com auxílio da metodologia proposta por Saaty (1980) aliado à álgebra de mapas realizada num sistema de informações geográficas. Na análise hierárquica de processo, as variáveis que mais influenciaram foram a declividade e a hipsometria, seguidas do uso do solo e, por último, da pedologia. Os resultados obtidos demonstraram que as áreas de maior vulnerabilidade à inundação compreenderam principalmente a faixa de menor altitude no exutório da bacia e próximas à margem do rio. Problemas relacionados com inundações podem ser minimizados adotando-se medidas estruturais e medidas não estruturais aliadas à técnicas de geoprocessamento.
RESÍDUO HOSPITALAR E SEU IMPACTO: UMA REVISÃO DA LITERATURA
Authors: Rambo Adriano Andrade , Dutra Ana Regina de Aguiar , Cubas Anelise Leal Vieira
Published: August 2020

A multiplicidade e complexidade dos potenciais impactos ambientais dos resíduos hospitalares convergem para uma discussão a nível mundial. Nesse sentido, o presente estudo teve por objetivo identificar os impactos ambientais causados pelos resíduos hospitalares, por meio de uma revisão atual da literatura em periódicos científicos, nacionais e internacionais, em quatro bases de dados com as palavras-chave predeterminadas. Vários impactos ambientais puderam ser identificados, os quais podem comprometem a saúde, a segurança e o bem-estar da população, as atividades sociais e econômicas, a biota, as condições estéticas e sanitárias do meio ambiente e a qualidade dos recursos ambientais. Conclui-se que as águas residuárias hospitalares estão atualmente em evidência, sendo amplamente discutidos devido a presença de resíduos químicos, fármacos e de microrganismos patógenos resistentes.
The Paradoxical Effects of Hurricane Katrina on Births and Adverse Birth Outcomes
Authors: Harville Emily W. , Xiong Xu , David Maya , Buekens Pierre
Published: August 2020

Objectives. To review the trends in pregnancy outcomes after Hurricane Katrina and assess effects of the disaster on research and public health related to pregnant women.

Methods. We reexamined the 2004–2006 vital statistics data from Alabama, Louisiana, and Mississippi, assessing what the risk of adverse pregnancy outcomes in the population would have been under varying risk scenarios.

Results. We saw a reduction in number of births as well as in low birth weight and preterm birth. If the number of births had stayed constant and the relative higher risk in the “missing” births had been between 17% and 100%, the storm would have been associated with an increased risk instead of a decrease. Because the relative decline in births was larger in Black women, the higher risk in the “missing” births required to create a significant increase associated with the storm was generally not as great as for White women.

Conclusions. Higher exposure to Katrina may have produced a reduction in births among high-risk women in the region rather than increasing adverse outcomes among those who did give birth.
Leisure Activity Engagement Among the Oldest Old in China, 1998–2018
Authors: Feng Qiushi , Fong Joelle H. , Zhang Wei , Liu Changxi , Chen Huashuai
Published: August 2020

Objectives. To examine the trends of leisure activity engagement among the oldest old in China for the past 2 decades.

Methods. Our panel data came from the Chinese Longitudinal Healthy Longevity Survey, which systematically asked respondents about their current participation in leisure activities over a 20-year period. The final sample contained 66 789 interviews from 1998 to 2018. We applied generalized estimating equations regression models in our analysis.

Results. Compared with 1998, odds ratios of television watching among Chinese oldest old individuals increased by about 2 to 3 times in 2018. Meanwhile, the odds ratio of exercise declined by 24%, mostly in men; playing cards and mah-jongg declined by about 30% for men. Results also showed that reading became less popular in the oldest old, and Chinese women tended to do more housework than before.

Conclusions. Our findings indicated that Chinese oldest old persons have become more sedentary and solitary in the past 2 decades. The negative trend in leisure activity engagement among the elderly Chinese population warrants policy attention, and the urgent development of public health interventions is required to reverse such trends.
Trends in Extreme Distress in the United States, 1993–2019
Authors: Blanchflower David G. , Oswald Andrew J.
Published: August 2020

Objectives. To investigate changes from 1993 to 2019 in the percentage of US citizens suffering extreme distress.

Methods. Using data on 8.1 million randomly sampled US citizens, we created a new proxy measure for exceptional distress (the percentage who reported major mental and emotional problems in all 30 of the last 30 days). We examined time trends for different groups and predictors of distress.

Results. The proportion of the US population in extreme distress rose from 3.6% in 1993 to 6.4% in 2019. Among low-education midlife White persons, the percentage more than doubled, from 4.8% to 11.5%. Regression analysis revealed that (1) at the personal level, the strongest statistical predictor of extreme distress was “I am unable to work,” and (2) at the state level, a decline in the share of manufacturing jobs was a predictor of greater distress.

Conclusions. Increasing numbers of US citizens report extreme levels of mental distress. This links to poor labor-market prospects. Inequality of distress has also widened.

Public Health Implications. Policymakers need to recognize the crisis of an ever-growing group of US citizens in extreme distress.
Thinking Through Improvisation: Do General Improvisation Studies Belong in a Liberal Arts Curriculum?
Authors: Poccia Dominic
Published: August 2020

Thinking Through Improvisation implies two meanings: 1) carefully examining all that improvisation encompasses including how it is practiced, and 2) using improvisation to generate ideas or performances. Using a First Year Seminar course I taught for 20 years, I illustrate how a general course in improvisation can introduce students to improvisation as a way of thinking in diverse fields and can strengthen liberal arts skills in critical and creative thinking. Interdisciplinary and multicultural approaches are readily incorporated as are a range of activities including writing, critical reading, performance, and creative problem solving. Risk taking, trust, creativity, adaptability, teamwork, respect for knowledge, abstract and practical thinking and the joy of creative discovery are explored through discussion and practice of improvisation. Scientific explanations of improvisation are compared to subjective experiences of improvisational performance. These activities lay a groundwork for creative explorations of the discipline-oriented curriculum in the range of fields subsequently encountered by liberal arts students.
The Crime Victims' Rights Act: Rhetoric or Reality?
Authors: Sattler Patricia Lynne
Published: August 2020

Crime victim’s rights legislation including the Victim and Witness Protection Act of 1982 (VWPA) and the Crime Victims’ Rights Act of 2004 (CVRA) brought attention to the plight of the crime victim and called on justice professionals and the public to recognize victims’ value, worth, and role within a justice model that seeks to hold offenders accountable and increase public safety. The CVRA was the first federal policy to grant participatory rights to victims of crime; it served as a model statute for states enacting similar legislation. Beyond the eight participatory rights, implementation and administration of the CVRA is recommended but not required by law enforcement, prosecutors, or the judiciary. Instead, these justice professionals are encouraged to “make a good faith effort” in delivering these rights to victims of crime. This paper tells the story of the victims’ rights movement before utilizing the Narrative Policy Framework to analyze the CVRA.  Highlighting several key issues of relevance to the social work profession, a call to action is issued for social workers and policymakers to shift current narratives and more clearly define who constitutes a victim, how these rights are to be implemented and by whom, and to develop enforcement mechanisms.
Level of awareness of Saudi medical students of the internet-based health-related information seeking and developing to support health services
Authors: Aldebasi Bader , Alhassan Abdulaziz I. , Al-Nasser Sami , Abolfotouh Mostafa
Published: August 2020

Background

Background. Many studies are available in literature about e-health in Saudi Arabia, however, data is limited to a few organizations and does not necessarily reflect the the current and potential use of e-health for health care organizations in the country. The aim of this study was to determine the level of awareness of Saudi medical students of the internet-based health-related information seeking and developing to support health services and significant predictors of their practice.

Methods. A cross-sectional survey of 440 medical students in Riyadh, Saudi Arabia, was conducted, during October/November 2019, using a previously validated questionnaire, to assess: (1) knowledge in three domains; e-health definition (13 statements), fields of application of e-health (8 statements), methods of using e-health (7 statements), (2) attitude toward using e-health (8 statements) and (3) reported practice of e-health in medical training (5 statements). A scoring system was used to calculate the total and percentage score of knowledge, attitude and practice for each student. Multiple regression analysis was applied to identify predictors of e-health practice. Significance was considered at p<0.05.

Results. Of 440 medical students surveyed, the majority were females (55.7%) and from families whose monthly income was more than 10,000SR (82.8%). Overall knowledge about e-health was unsatisfactory (percentage mean score, PMS=71.6%), with only 43.6% of students reporting satisfactory level. However, this level was satisfactory for fields of application (Percentage mean score-PMS=76.6%) and unsatisfactory for definition of e-health (PMS=70.7%) and methods of its use (PMS=65.7%) domains. Overall attitude towads e-health use was positive (PMS=82.3%), with nearly three-quarters of students (73.4%) reporting positive attitude. Generally, good level of practice of e-health was reported by students (PMS=84.3%), with more than three-quarters of students (78.4%) reporting good practice. Adjusting for age, gender, stream, educational grade and family monthly income, good practice was significantly predicted with higher knowledge (t=2.22, p=0.03) and attitude (t=2.11, p=0.04) scores.

Conclusion. This study provides basic information regarding medical students’ level of awareness of internet-based health-related information seeking and developing to support health services. More resources should be directed to elevate medical students’ knowledge and to motivate them to practice e-health using the available tools.
Exosomal miR-1290 promotes angiogenesis in hepatocellular carcinoma via targeting SMEK1
Authors: Wang Qiong , Wang Guanwen , Niu Lianjie , Zhao Shaorong , Li Jianjun , Zhang Zhen , Jiang Huimin , Zhang Quansheng , Wang Hang , Sun Peiqing , Xiang Rong , Chang Antao , Yang Shuang
Published: August 2020

Background: Hepatocellular carcinoma (HCC), the most common primary liver cancer, rely on the formation of new blood vessel for growth and frequent intrahepatic and extrahepatic metastasis. Therefore, it is important to explore the underlying molecular mechanisms of tumor angiogenesis of HCC. Recently, microRNAs have been shown to modulate angiogenic processes by modulating the expression of critical angiogenic factors. However, the potential roles of tumor-derived exosomal microRNAs in regulating tumor angiogenesis remain to be elucidated. Methods: MiRNome sequencing was performed to uncover the miRNAs that are dysregulated in HCC patient serum-derived exosomes. Expression levels of miR-1290 in tissues and cells were determined by quantitative real-time PCR. The effect of mir-1290 on proliferation was evaluated by CCK-8 assay. The angiogenic ability of cells were determined by transwell, wound-healing, tube formation and matrigel plug assays. SMMC-7721 xenograft tumor model was established in NOD-SCID nude mice using miR-1290 and NC antagomirs to determin the angiogenic effect of mir-1290 in vivo. Target protein expression was determined by western blotting. Dual luciferase reporter assay was performed to confirm the action of miR-1290 on downstream target genes including SMEK1. Results are reported as means ± S.D. and differences were tested for significance using 2-sided Student’s t-test.Results: In this study, our miRNome sequencing demonstrated that miR-1290 was overexpressed in HCC patient serum-derived exosomes, and we found that delivery of miR-1290 into human endothelial cells enhanced their angiogenic ability. Our results further revealed that SMEK1 is a direct target of miR-1290 in endothelial cells. MiR-1290 exerted its pro-angiogenic function, at least in part, by alleviating the inhibition of VEGFR2 phosphorylation done by SMEK1. Conclusions: Collectively, our findings provide evidence that miR-1290 is overexpressed in HCC and promotes tumor angiogenesis via exosomal secretion, implicating its potential role as a therapeutic target for HCC.
‘Motivational work’: a qualitative study of preventive health dialogues in general practice
Authors: Broholm-Jørgensen Marie , Langkilde Siff Monrad , Tjørnhøj-Thomsen Tine , Pedersen Pia Vivian
Published: August 2020

Background The aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention ‘TOF’ (a Danish acronym for ‘Early Detection and Prevention’) carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a digital support system for both general practitioners and patients, 3) an individual digital health profile for each patient, and 4) targeted preventive services in either general practice or a municipal health center.Methods The empirical material in this study was obtained through 10 observations of preventive health dialogues conducted in general practices and 18 semi-structured interviews with patients and general practitioners. We used the concept of ‘motivational work’ as an analytical lens for understanding preventive health dialogues in general practice from the perspectives of both general practitioners and patients.Results While the health dialogues in TOF sought to reveal patients’ motivations, understandings, and priorities related to health behavior, we find that the dialogues were treatment-oriented and structured around biomedical facts, numeric standards, and risk factor guidance. Overall, we find that numeric standards and quantification of motivation lessens the dialogue and interaction between GP and patient and that contextual factors relating to the intervention framework, such as a digital support system, the general practitioners’ perceptions of their professional position as well as the patients’ understanding of prevention —in an interplay—diminished the motivational work carried out in the health dialogues.Conclusion The findings show that the influence of different kinds of context adds to the complexity of prevention in the clinical encounter which help to explain why motivational work is difficult in general practice.