bluuebunny/crossref_metadata_2025 huggingface dataset:
Boletín Económico Regional : Suroriente, III trimestre de 2021
Authors:   Sección de Sucursales Regionales de Estudios Económicos, Guerrero Margaret
Published: December 2021

Durante el tercer trimestre de 2021, la región Suroriente presentó un resultado favorable en la gran mayoría de las actividades económicas. Se registraron crecimientos en todas las variables relacionadas con construcción y comercio, incluida la ocupación hotelera; igualmente se presentaron avances en el transporte, particularmente en el aéreo, así como en el sistema financiero y créditos aprobados por Finagro. También crecieron los ingresos de remesas, junto a las señales de recuperación del comercio exterior. Por su parte, el desempleo evidenció descenso y la inflación reiteró el alza que viene presentando desde meses anteriores.
Lead Accumulation of Siam Weed (Chromolaena odorata) Grown in Hydroponics Under Drought-stressed Conditions
Authors:   Department of Biology, Faculty of Science, Srinakharinwirot University, Bangkok, Thailand, Srirueang Chanaradee , Gongseng Nuttamon ,   Department of Biology, Faculty of Science, Srinakharinwirot University, Bangkok, Thailand, Saeng-ngam Sukhumaporn ,   Department of Biology, Faculty of Science, Srinakharinwirot University, Bangkok, Thailand, Jampasri Kongkeat ,   Department of Biology, Faculty of Science, Srinakharinwirot University, Bangkok, Thailand
Published: December 2021

The phytoremediation potential of Siam weed (Chromolaena odorata) was tested in lead (Pb) contaminated nutrient media with 5% (w/v) of polyethylene glycol (PEG) 6000 induced drought stress conditions. The plant was treated with 0, 5, 10, 20, and 50 mg/L Pb for 15 days. Different concentrations of Pb or in combination with PEG had no effect on plant growth parameters. Drought reduced water content (WC) (p<0.05), but did not affect the reduction of chlorophyll content and photochemical efficiency in plant tissues after 15 days of treatment. Under drought conditions, plants showed the largest Pb accumulation in roots (5,503.7 mg/kg) and exhibited the highest uptake at 50 mg/L solution (18.24 g/plant), but the translocation factor values (TFs) of Pb from root to shoot were all less than 1. Under both drought and non-drought conditions, the bioconcentration factor values (BCFs) decreased with increasing Pb concentrations. According to BCFs and TFs, C. odorata may be promising for phytostabilization of Pb. Based on high biomass, tolerance, and Pb uptake, the result of this hydroponic study test reveals that C. odorata has a good potential for developing Pb phytoremediation strategies in drought-stressed conditions.
Biodegradation of chlorpyrifos by bacterial genus pseudomonas putida
Authors: CUCİ Yakup , ÇELİK Sait
Published: November 2021

Chlorpyrifos is an solid organophosphorus pesticide widely used in agriculture. It is relatively stable to hydrolysis in neutral pH and acidic aqueous solutions. Stability decreases with increasing pH. Chlorpyrifos practically insoluble in water, but highly soluble in most organic solvents such as acetone xylene and methyl bromide. It is an effective skin, stomach and respiratory insecticide and is effective against aphids, spider mites, soil bugs and house pests. It is also highly toxic bees and fish. Most pesticides are complex organic molecules and are persistent in the environment, either biota or accumulate in the environment. In pesticide-used areas, the pesticide itself or its residues are transported by rain and irrigation water and mixes into groundwater. The effects caused by the pesticide are closely related to the level of accumulation. During the studies, contamination of chlorpyrifos has been found about 24 km from the site of its application. There are many physico-chemical and biological approaches to remove organophosphorus pesticides from the ecosystem, among them most promising is biodegradation. In this study, the biodegradation potential of chlorpyrifos with P. Putida was investigated in the batch stirred reactor. In the optimum conditions, the maximum pesticide removal rate was determined as 1.51 mg/g. d. m.o.h.
Bazal Vasküler Tonusun Düzenlenmesinde Rol Alan Mekanizmaların Sıçan Torasik Aort Modelinde İncelenmesi
Authors: ŞAHİNTÜRK Serdar , İŞBİL Naciye
Published: December 2021

Bu çalışmada, endotelyal nitrik oksit sentaz (eNOS)/nitrik oksit (NO), siklooksijenaz (COX), AMP ile aktive olan protein kinaz (AMPK), mitojen ile aktive edilen protein kinaz (MAPK) ve apelin reseptörü (APJ) sinyal ileti yolakları ile potasyum kanallarının vasküler tonus üzerindeki etkisinin belirlenmesi amaçlandı. Wistar Albino erkek sıçanların torasik aortlarından elde edilen 4 mm’lik damar halkaları izole organ banyosu sistemine yerleştirildi. Damar gerimi 1 gram olarak ayarlandı. Sinyal ileti yolaklarının ve potasyum kanallarının bazal damar tonusu üzerindeki etkilerini belirlemek için 1 saatlik dengelenme periyodunu takiben inhibitör madde uygulamaları yapıldı. İnhibitör madde uygulamalarından önceki ve sonraki periyodlardaki gerim değerleri kaydedildi. Nω-Nitro-L-arginin metil ester ve tetraetilamonyum uygulamaları bazal damar gerim değerlerinde istatistiksel olarak anlamlı düzeyde artışa neden oldu (sırasıyla: p < 0,001; p < 0,05). İndometazin ve dorsomorfin uygulamaları bazal damar gerim değerlerinde istatistiksel olarak anlamlı düzeyde azalmaya neden oldu (p < 0,05). F13A ve U0126 uygulamaları bazal damar gerim değerlerinde istatistiksel olarak anlamlı düzeyde bir değişikliğe neden olmadı. Bu çalışmanın verileri eNOS/NO, COX ve AMPK sinyal ileti yolakları ile potasyum kanallarının bazal vasküler tonus regülasyonunda önemli birer etken olduğunu göstermektedir. Buna karşın MAPK ve APJ sinyal ileti yolaklarının sıçan torasik aortundaki bazal vasküler tonus düzenlenmesinde önemli birer faktör olmadığı düşünülmektedir.
A controladoria aplicada na gestão de estoque dentro das indústrias
Authors: Oliveira Fabiane Félix de , Silva Felipe de Oliveira , Bardales Ketty Tavares , Roberto José Carlos Alves , Serra Meg Rocha da Cunha , Lopes Nelânia Ferreira
Published: November 2021

O presente trabalho buscou apresentar a importância da controladoria no processo de gestão de estoque industrial e no auxílio aos gestores na tomada de decisão, através de pesquisa exploratória e revisão bibliográfica, buscando, desta forma, explicar a relação das funções de controladoria e o funcionamento desta, dentro da estrutura organizacional de estoque nas indústrias. Para alcançar o tema proposto nesta pesquisa, surgiu o seguinte questionamento: De que maneira a controladoria direcionada à gestão de estoque pode auxiliar na continuidade do negócio? Tem como objetivo geral analisar como a controladoria direcionada à gestão de estoque pode gerar informações adequadas para o processo decisório, auxiliando na continuidade da organização. Para isto, foram realizadas pesquisas de fundamentação teórica sobre controladoria, gestão, métodos de estoque, dentre os demais temas apresentados, bem como seus conceitos e definições de autores da área. Por fim, concluiu-se, através das informações apresentadas, que a controladoria pode auxiliar no processo da gestão de estoques a de tomada de decisão
МЕТОДИЧЕСКИЕ АСПЕКТЫ АНАЛИЗА РЕЗУЛЬТАТИВНОСТИ МАРКЕТИНГОВОЙ ДЕЯЛЬНОСТИ ПРЕДПРИЯТИЙ ПЕРЕРАБАТЫВАЮЩЕЙ ПРОМЫШЛЕННОСТИ В СФЕРЕ ВНЕШНЕЙ ТОРГОВЛИ
Authors: Пармакли Дмитрий , Запша Галина , Бахчиванжи Людмила
Published: December 2021

Проанализирована динамика основных финансово-экономических показателей маркетинговой деятельности перерабатывающих предприятий агропромышленного комплекса, функционирующих в сфере внешней торговли. Подчеркнута необходимость использования особого подхода при анализе динамики показателей предприятий, для которых характерна низкая устойчивость производства. В связи с этим предлагается проводить расчеты среднегодовых скользящих показателей, которые позволят сглаживать экстремальные значения. Маркетинговый анализ динамики финансово-экономических показателей рассмотрены на примере предприятий Республики Молдова и Одесской Области Украины по данным их деятельности за 2014-2020 годы. Освещена методика анализа показателей в динамике. Широко использован графический метод исследования в маркетинговом анализе, который позволил выявить среднегодовые значения темпов роста показателей на основе уравнений трендов и сформировать банк моделей как составляющих элементов маркетинговой информационной системы.
Who Works When? The Case of South Korea
Authors: Song Yoo-Jean , Lee Yun-Suk
Published: November 2021

Although Korea’s long working hours are well-known, the work schedules of individuals with different socioeconomic characteristics have not been studied. This paper examines the timing of paid work and socioeconomic characteristics associated with work schedules in Korea. Using data from the Korean Time Use Survey (KTUS) 2014 and based on the analysis of employed people aged from 19 to 64, we found that a higher proportion of men work every hour of the day as compared to women. Women tend to start work late in the day, but a similar proportion of women and men work in the afternoon and evening. About 5 % work during non-standard hours, such as in the evening, at night, and in the early morning, and this percentage increases on the weekends. As in previous literature, divorced men and women or single women tend to work more during non-standard hours during weekdays and weekends. Both occupation and employment status are related to working non-standard hours, showing that women in service sectors and working as an unpaid employee at the family business, and men working in manual labor are more likely than people in other occupations to work during non-standard hours or weekends.
O ensino da sistematização da assistência de enfermagem sob a ótica docente
Authors: Decco Marques Silva Bruna , Lima Moraes Lucas , Vithória Martins Silva Stephanye , Andrade Pereira Meier Denise
Published: December 2021

Objetivou-se compreender a percepção dos docentes sobre o ensino da Sistematização da Assistência de Enfermagem (SAE). Estudo qualitativo, realizado com 15 docentes do curso de enfermagem de uma universidade pública do norte do Paraná. Foram realizadas entrevistas individuais, semi-estruturadas, audiogravadas, transcritas na íntegra e submetidas à análise de conteúdo de Bardin. As questões perscrutaram a compreensão dos docentes sobre a SAE, a inserção da temática nos módulos e sugestões para o fortalecimento do ensino da SAE. Emergiram três categorias de análise: “O conceito da SAE”; “O ensino da SAE nos módulos”; e “Propostas para o fortalecimento da SAE no Currículo Integrado”. Verificou-se que o ensino da SAE está presente na maioria dos módulos, entretanto, há uma cisão na forma de ensino entre os docentes das diferentes áreas. O estudo vai de encontro à literatura quanto à necessidade de padronização do ensino da temática na formação dos discentes.
Autentikasi Hadith-Hadith Kitab Al-Nikah Daripada Kitab Bulughul Maram Karya Al-Hafiz Ibn Hajar Al-Asqalani
Authors: Mohd Muhiden Abd Rahman  , Mohd Bakhit Haji Ali
Published: December 2021

Falsification of hadiths has spread tremendously among society as the dissemination of fabricated hadiths has been normalised among the public and Islamic and religious scholars. This issue is not a new phenomenon but has been evolving since the hadiths were transmitted orally and developed through writing such as books and so on. It is also a well-known fact that hadith scholarship's contribution via writings includes written materials from the current and past Islamic and religious scholars, including Siamese scholars. This article aims to discover the authenticity of hadiths in ‘Kitab al-Nikah’ from the book of ‘Bulughul Maram min Adillat al-Ahkam’ written by al-Hafiz ibn Hajar (m. 852H). Even though al-Hafiz Ibn Hajar mentioned the majority of the sources for the hadiths, yet there are some hadiths which sources are left unmentioned. He also divided the hadiths into thematic points, although few hadiths have not been categorised under suitable themes. All of the hadiths will be analysed in terms of their authenticity, tanasub and suitability in terms of nikah. In order to identify the status and authenticity of the hadiths, a specific method will be used: takhrij (retrieval) based on the theme of the hadiths. A descriptive method will be used to analyse the hadiths in the tanasub point of view and the suitability of the hadith towards certain themes. The research showed that 86% of the hadiths found in ‘Kitab al-Nikah’ are authentic and based on authorised and muktabar books of hadiths. In addition, 95% of the hadiths chosen were relevant and suitable with the theme of nikah.
Sumbangan Dato' Salehuddin Bin Omar dalam Pendidikan al-Quran di Malaysia
Authors: Khairul Anuar bin Mohamad  , Sedek bin Ariffin  , Mohd Zaini Zakaria
Published: December 2021

The long-serving principal of Darul Quran (DQ) who has contributed to Quranic Education in Malaysia is Dato Sallehuddin Omar. His service as the principal of DQ began from 1980 to 1993. This al-Quran figure has made a significant contribution to Quranic education since his return from Egypt in 1976 until now. The study was to look at his educational background from the primary level until he successfully obtained a bachelor’s degree. It also looks into his in-depth education in the field of Quran and Qiraat as well as his major contributions in Quranic education. Hence, his involvement in the study of the Quran is studied starting from reciting, memorizing the Quran and gaining deeper understanding in the learning of Qiraat. The study was written according to the author's interview method with this figure in several meeting sessions. In addition, it also refers to the author's interviews with some of his successful students and refers to the writings of some of his students with him during the figure's visit to their place. This study has found that Dato Sallehuddin Omar is a figure who has contributed a lot to the development of al-Quran education in Malaysia. He has proposed to the PSD to upgrade the tahfiz certificate to the Tahfiz Diploma. Apart from that, he has also made a great contribution in publishing the Mushaf Rasm Uthmani in which the address of waqf is referred to the book of Manar al-Huda.
Pembelajaran Menggunakan Kaedah Brainwriting Dalam Membantu Murid Menguasai Kemahiran Menulis
Authors: TIONG YOKE NEE , AMRAN M. SYAWAL
Published: December 2021

Kemahiran menulis memerlukan koordinasi dari segi kognitif dan linguistik untuk menghasilkan penulisan yang baik dan mudah difahami oleh pembaca. Maka boleh dikatakan kemahiran menulis merupakan antara kemahiran bahasa yang rumit dan susah dikuasai oleh murid. Secara umum, murid masih lemah dalam penulisan tidak kira dari segi aspek penjanaan idea, pengembangan idea dan juga pemikiran kreativiti. Kegagalan murid menguasai kemahiran menulis masih menjadi isu yang hangat dan sering dipertikaikan dalam masyarakat. Kertas konsep ini bertujuan menerangkan penggunaan kaedah Brainwriting dalam membantu murid menguasai kemahiran menulis. Kaedah Brainwriting merupakan pembelajaran koperatif yang memerlukan kerjasama antara ahli dengan memberikan ruang kepada murid berkongsi idea secara bertulis. Dalam pada itu, kertas konsep ini mendedahkan prinsip-prinsip dan cara pelaksanaan kaedah Brainwriting dalam penulisan. Isu-isu penulisan turut dibincang secara menyeluruh untuk memberikan gambaran jelas tentang masalah-masalah yang dihadapi oleh murid dalam menguasai kemahiran menulis. Kertas konsep ini juga meneliti perkaitan antara kaedah Brainwriting dengan Teori Konstruktivisme Sosial Vygotsky. Implikasi penggunaan kaedah Brainwriting dalam kemahiran menulis juga ditinjau dan dijelaskan berdasarkan kajian-kajian lepas yang berkaitan. Kertas konsep ini diharapkan boleh menyedarkan para pendidik dan pihak sekolah tentang peranan mereka dalam mewujudkan persekitaran pembelajaran yang menyeronokkan bagi membantu murid menguasai kemahiran menulis. Bukan itu sahaja, kertas konsep ini juga memberi informasi kepada Kementerian Pendidikan Malaysia (KPM) untuk membuat perancangan reformasi dan inovasi dalam bidang penulisan.
Exploring ESL Students’ Current Competency and Needs in Academic Writing Skills at University
Authors: Zakaria Nur Yasmin Khairani , ABDULLAH AMELIA , ABDUL RABU SITI NAZLEEN
Published: December 2021

Mastering academic writing is one of the skills to be acquired by all university students. Ability to master academic writing skills enables university students to be more competent in presenting ideas and information related to their field. Inability to master required skills in academic writing will consequently impact the students’ performance in fulfilling the graduation requirement. Generally, students in higher learning institutions (HLIs) are constantly struggling with unfamiliar styles and mechanisms in academic writing. The current situation subsequently resulted students’ incompetency in presenting their ideas and discussion. In this study, the researchers aim to discover the students’ expectation for an academic writing skills course and their current competency academic writing skills. An adapted questionnaire from Choo (1998) was used as the main instrument in this study to 65 undergraduate TESL students in public higher learning institution (HLI) in Malaysia. Analysis of data was done quantitatively using statistical software. Results from the analyses revealed that more than half of the respondents (76.9%) agreed that academic writing skills are regarded as complex skills to be acquired. In addition, the results also yielded that almost half of the respondents (46.2%) believed that literature review section is the most difficult section in an academic paper. Results from this study will be able to guide future researchers and educators in producing more teaching and learning related to academic writing mastery.
Surabaya Arts Center: A Formation of Musical Orchestration Taste in Balai Pemuda (Youth Hall)
Authors: Wardhana Muhammad Kusuma
Published: November 2021

AbstractThis research will explain how taste can be formed and developed from a musical arts community called Pusat Olah Seni Surabaya (POSS), where this community always holds practices in musical arts in the Balai Pemuda area. By using Pierre Bourdieu's aesthetic taste, which is formed through the aspects of habitus, capital, and the realm contained in this phenomenon, the researcher sees that this POSS activity is an attempt to build a taste for music orchestration as a form of resistance from the lower class to upper-class culture.Keywords: Habitus; Capital; Domain; Taste; Subculture
SAMOMORILNOST V POLICIJI
Authors: BLAŽINA BRUNO
Published: November 2021

Povzetek
Znanstvene ugotovitve kažejo na veliko verjetnost ponovitve samomora policista, ki je enkrat že poskušal storiti samomor, in problematizirajo zanesljivost psiholoških pregledov glede odločanja o omejitvi dostopa do orožja. Predstavljena je dobra praksa spoprijemanja s problematiko samomorilnosti med pripadniki Slovenske vojske, ki bi lahko pomenila vzorec za izvajanje ukrepov za zaščito policistov. Od leta 1991 se število samomorov v policiji postopoma zmanjšuje, kljub temu pa se od leta 2009 do 2020 zmerno povečuje, predvsem zaradi številčnejših samomorov v obdobju od leta 2018 do 2020. S statistično metodo Hi-kvadrat smo ugotovili, da številčnost samomorov v obdobju od leta 2018 do 2020 ni statistično značilna glede na obdobje od leta 2009 do 2017 oziroma je ta mejna.
Ključne besede Samomor, samomorilnost, policija.

Abstract
The current scientific findings show a high probability of a recurrence of a suicide attempt with a police officer, who has already tried to commit suicide. They problematize the reliability of psychological examinations for limited firearm access. The article presents good practice of confronting the issue of suicide among members of the Slovenian Armed Forces, which could serve as a model for the police officer protection measures. Since 1991, the number of suicides in the police has been gradually decreasing. However, in the period 2009-2020, the number has been moderately increasing, mainly due to the higher number of suicides in the period 2018-2020. With the statistic method Chi-squared test, we have established that the number of suicides in the period 2018-2020 is not statistically significant in comparison to the period 2009-2017, or its significance is borderline.
Key words
Suicide, suicidality, police.
VIOLENT ACTS AGAINST HEALTHCARE INSTITUTIONS AND WORKERS IN HUNGARY
Authors: RÁCZKEVY-DEÁK GABRIELLA
Published: November 2021

Povzetek
Namen te presečne kvantitativne raziskave je ugotoviti, katera oblika nasilja je v madžarskih zdravstvenih ustanovah najpogostejša. Z njo želimo oceniti, ali se v teh ustanovah izvaja usposabljanje za komunikacijo, simulacijo in samoobrambo. Cilj je ugotoviti, ali bi se zaposleni udeležili takega usposabljanja, ter oceniti povezanost med usposobljenostjo (komunikacija, simulacija, samoobramba) in stopnjo samozavesti. Žrtve večine nasilnih dejanj pacientov so zdravstveni delavci. Najpogostejša oblika agresije pacientov in njihovih svojcev je verbalna agresija, vključno z zbadanjem, verbalno zlorabo in grožnjami z zlorabo. Podatki kažejo, da zgolj usposabljanje v komunikaciji ni dovolj za dvig samozavesti pri zdravstvenih delavcih. Treba jim je zagotoviti orodje, kot so na primer praktične vaje po usposabljanju iz samoobrambe ali simulacija, saj to olajša komunikacijo zaposlenega.
Ključne besede
Agresija, zdravstvo, preventiva, usposabljanje, samoobramba, samozavest.

Abstract
The present cross-sectional quantitative research aims to gain a sense of which form of violence is the most common in Hungarian healthcare institutions. It aims to assess whether communication, simulation, and self-defence training is provided in institutions, to find out whether workers would participate in such training, and to assess the relationship between training (communication, simulation, self-defence) and confidence. Healthcare workers are affected by most acts of violence coming from patients. The most common type of aggression on the part of patients and relatives is verbal aggression, including teasing, verbal abuse, and threats of abuse. The data show that communication training alone is not enough to make health workers confident. They should have a tool in their hands, e.g., practice after self-defence education, simulation practice, as this makes it easier for the employee to communicate.
Key words
Aggression, healthcare, prevention, training, self-defence, confidence.
Minorities in Turkey I: Law and Reform
Authors: Oran Baskın
Published: November 2021

Here I uncover the relationship between the term “Turk” (an ethno-religious term that, in some usages covertly, in some overtly, avers that Turkey is the land of ethnic Turks, and that only Muslims are considered Turk), and the concepts of race and religion. A critical period for the advancement of human rights and minority rights in Turkey occurred in the early 2000s, when the parliament adopted a series of reform packages in order to harmonize the country’s laws with those of the European Union (EU). I propose to examine a case of these most radical democratic reforms carried out since the establishment of the republic, in order to understand how these reforms have been put into practice. I also trace the deviation from these reforms after 2005, by examining the subsequent laws and practices that undo or undermine them, and discuss their implications, particularly for Kurds in case of the deterioration under the state of emergency (Olağanüstü Hal, or OHAL), declared in response to the July 15, 2016 coup attempt.
Clinical Outcomes and Cost of Ventilator Weaning and Endotracheal Extubation Guided by An Established Ventilator Weaning Protocol in Patients Undergoing Elective Cardiac Surgery
Authors: Innok Supanan , Dokphueng Witchuda , Udol Kamol , Slisatkorn Worawong , Sawasdiwipachai Prasert
Published: December 2021

Objective: To compare successful early extubation rates, complications, and cost before and after the use of anestablished ventilator weaning protocol in patients undergoing elective cardiac surgery.Materials and Methods: Subjects were adult patients undergoing elective cardiac surgery who were clinically stablewithin 2 hours after surgery. The control group underwent conventional ventilator weaning at the discretion of theirattending staff. The intervention group underwent protocol-guided ventilator weaning. The primary outcome wasa successful early extubation (within 6 hours after surgery). Secondary outcomes were complications from weaningto 24 hours after surgery, and the relevant cost related to respiratory and cardiovascular care within 24 hours afteradmission to the postoperative intensive care unit.Results: The primary outcome occurred in 37 out of 65 patients (56.9%) in the intervention group and in 5 out of65 patients (7.7%) in the control group (adjusted odds ratio 20.6; 95% confidence interval 6.7–62.9, p<0.001). Thecomplication rates were not statistically different between the intervention and control groups (26.2% vs. 20.0%,p=0.41). The relevant cost, approximated by the service charges, related to respiratory and cardiovascular care wassignificantly less in the intervention group than in the control group (median 2,491 vs. 2,711 Thai baht, p<0.001).Conclusion: The use of the established ventilator weaning protocol after elective cardiac surgery was associated witha higher rate of successful early extubation and lower cost related to respiratory and cardiovascular care comparedto the conventional practices of ventilator weaning and extubation. The rates of overall complications were notsignificantly different.
Cost-effectiveness Analysis Comparing Vonoprazanbased Triple Therapy with Proton Pump Inhibitorbased Therapy in the Treatment of Helicobacter pylori Infection in Thailand
Authors: Lertsirimunkong Jadesada , Thavornwattanayong Wiwat , Napuk Yosita , Ajcharoen Watcharapong , Chaisitsanguan Vipavee , Wachiranukornkul Supasuta
Published: December 2021

Objective: Helicobacter pylori (H. pylori) infection is one of the leading causes of gastrointestinal diseases such as dyspepsia, peptic ulcers. Thailand has a 45.9% prevalence of the infection and an increasing rate of resistance to clarithromycin, leading to standard treatments being less successful. Vonoprazan represents a novel drug offering a new treatment regimen. Although vonoprazan has been available in Thailand since 2019, its cost-effectiveness has not been studied previously.Materials and Methods: This study analysed the cost-effectiveness of vonoprazan-based triple therapy compared with PPI-based therapy, in treating clarithromycin resistant H. pylori, by using the markov model from a societal perspective.Results: The total cost of vonoprazan-based triple therapy, levofloxacin-PPI based triple therapy and concomitant-PPI therapy were 784,932.08 baht, 783,863.65 baht and 783,874.55 baht respectively. The quality-adjusted life years (QALYs) of vonoprazan-based triple therapy, levofloxacin-PPI based triple therapy and concomitant-PPI therapy were 25.1118 years, 25.1147 years and 25.1054 years respectively. The cost-effectiveness ratio (CER) of vonoprazanbased triple therapy, levofloxacin-PPI based triple therapy and concomitant-PPI therapy were 31,257.50 baht/ QALYs, 31,211.35 baht/QALYs and 31,223.34 baht per QALYs respectively.Conclusion: Therefore, levofloxacin-PPI based triple therapy was found to be the most cost-effective regimen and the dominant strategy compared with concomitant-PPI or vonoprazan-based triple therapy. It provided higher QALYs and lower treatment costs. Levofloxacin-PPI based triple therapy should be the first choice of an alternative strategy in treating clarithromycin-resistant H. pylori. The results of this study can be used by policymakers to help inform their decisions.
The Way of Laryngoscope Disinfection: A Survey of Practice in Various Hospitals and Clinics
Authors: Rubaiat Molla Md , Lateef Kazi Ashkar , Quader Abdul , Khurshid Husain Md
Published: November 2021

Background and Aims: During general anaesthesia, laryngoscope is a common equipment for intubation used by anaesthesiologists. Laryngoscope has been identified as a potential source of cross infection. Though guidelines exist for appropriate disinfection practices, recent reviews suggested that current methods of disinfection areless effective and compliance is poor with the established protocols. We conducted a questionnaire-based survey to study the current disinfection practices being followed by a cross section of anaesthesiologists.

Methods: A simple questionnaire containing 14 questions was distributed amongst anaesthesiologists through online as well as direct contact. Data were analyzed with percentage analysis.

Results: Out of 150 anaesthesiologists, 120 submitted the completed questionnaires. Residents constituted 41% and 46% were consultants. Eighteen (12%) used only tap water for cleaning and 132 (88%) used a chemical agent after rinsing with water. Out of 132, 76 (51%) used detergent/soap solution, 29 (19%) would wash and then soak in disinfectant or germicidal agents (glutaraldehyde, povidone iodine and chlorhexidine) and 18 (12%) would wipe the blade with an alcohol swab. With respect to disinfection of laryngoscope handles, 70% respondents said they used an alcohol swab, 18% did not use any method, 9% were not aware of the method being used, while 3% did not respond.

Conclusion: Our results indicate wide variation in methods of decontamination of laryngoscopes. Awareness regarding laryngoscope as a potential source of infection was high. We need to standardize and implement guidelines on a national level and make available resources which will help to improve patient safety.

CBMJ 2020 January: Vol. 09 No. 01 P: 04-10
COVID-19 Induced Immunosuppression resulting in Pulmonary Mucormycosis : A Long COVID sequalae
Authors: Talwar Dhruv , Kumar Sunil , Acharya Sourya , Madaan Sparsh , Hulkoti Vidyashree
Published: December 2021

With increasing incidence of Severe Acute Respiratory Distress Virus 2(SARS -CoV -2) in India, there has been growing reports of super infections in post covid 19 period. Long COVID refers to persistence of COVID19 symptoms for weeks to months. While most common manifestation of long COVID is fatigue and ill health, it may lead to development of life-threatening complications like Pulmonary Mucormycosis. We report a case of 54 year young, non-diabetic previously healthy male who had moderate COVID19 treated with low dose steroids and recovered completely, only to present with hemoptysis 3 months later on High Resolution Computed Tomography Scan of the Chest and Rhizopus fungi on bronchoalveolar lavage confirming Post Covid Pulmonary Mucormycosis in non-immunocompromised host. Patient was managed with dual antifungal therapy intravenous Liposomal Amphotericin B and Posaconazole for 3 weeks, followed by oral Posaconazole.
J MEDICINE 2021; 22: 150-154
Efficacy of Trans-nasal Endoscopic Sphenopalatine Artery Ligation in the Management of Recurrent Posterior Epistaxis
Authors: Mahbub Muntasir , Rahman Md Mahbubur
Published: November 2021

Background: Recurrent posterior epistaxis is a challenging problem for most otolaryngologists. Of the several proposed treatment modalities, endoscopic ligation of SPA (Sphenopalatine artery) provides a simple and effective solution with relatively minor complications.
Objectives: Aim of this study was to find out the success rate and complications of endoscopic ligation of SPA in the management of recurrent posterior epistaxis.
Materials and Methods: This was an observational study conducted from Jan 2019 to Jan 2021. Total 60 patients were included in this study. Inclusion criteria were - recurrent epistaxis (at least 4 episodes in last 2 months) with bleeding point not seen in anterior rhinoscopy, Failure of previous conservative management with medications and nasal packing, age between 18–60 years of both sexes. All the patients underwent trans-nasal endoscopic Sphenopalatine artery ligation, and patients were followed up for 12 weeks to identify repeated bleeding and to evaluate complications.
Results: In this study male to female ratio was 1.5:1. Mean age of study group was 44.66 (±8.62) years. No recurrent bleeding occurred in 51 (85%) and in 9 (15%) nasal bleeding occurred in the 2 months postoperative period. Anesthesia of incisor teeth occurred in 18 patients (30%), 22 patients (37%) complained about increased nasal crusting.
Conclusion: Endoscopic ligation of Sphenopalatine artery shows good outcome in prevention of further episodes of epistaxis in most patients. Although some minor complications can occur, these are manageable.
KYAMC Journal. 2021;12(3): 133-137
Superiority of Siriraj Stroke Score Over Guy’s Hospital Score in Diagnosing Acute Hemorrhagic Stroke at Bedside
Authors: Kabir Raseul , Pramanik Md Amjad Hossain , Haque SM Emdadul , Tabassum Muhatarima , Sultana Fateha
Published: November 2021

Background: The clinical diagnosis of stroke in a patient admitted in the intensive care unit (ICU) is undeniably challenging. Several point-based risk scores have been developed to predict clinical outcomes after ischemic stroke.
Objective: To assess the Siriraj stroke score and Guy’s Hospital stroke score in the clinical diagnosis of acute stroke.
Materials and Methods: All patients were subjected to Computed tomography (CT) scan head within 72 hours of admission. The sensitivity, specificity, positive predictive value was calculated for both the scores. Comparability between the scores and CT scan head finding was determined with the help of Kappa statistic program.
Results: Sensitivity of Guy’s Hospital stroke score for ischemic stroke is 100%, specificity is 96.4%, accuracy 97.1%, positive predictive value of 87.5% and negative predictive value 100%. The sensitivity of Guy’s Hospital stroke score for hemorrhage stroke is 96.4%, specificity is 100%, accuracy 97.1%, positive predictive value of 100% and negative predictive value 87.5%
Conclusion: Siriraj stroke score as a simple method of screening patients for intracerebral hemorrhage, as it is easier to use at bedside and has a greater accuracy in diagnosing hemorrhage than Guy’s Hospital score.
KYAMC Journal. 2021;12(3): 142-146
A 15 month - old Bangladeshi Baby With Very Severe Hypertriglyceridemia, Secondary to Glycogen Storage Disease
Authors: Ghosal Sharmistha , Naher Bodhrun , Noor Morium Alam , Islam Md Shahidul , Md Benzamin - , Mojumder Md Wahiduzzaman
Published: November 2021

Hypertriglyceridemia is increasingly identified in children and adolescents, due to improved screening and higher prevalence of childhood obesity. The etiologic origin can be primary (genetic) or secondary, but it is often multifactorial. Management is challenging because of the interplay of genetic and secondary causes and lack of evidence-based guidelines. In this case report a fifteen month old boy was incidentally found with hypertriglyceridemia while finding the cause of his abdominal distension and was managed with oral and intravenous medications.
KYAMC Journal. 2021;12(3): 182-186
Sistem Informasi Geografis Daerah Rawan Kriminalitas di Kabupaten Garut
Authors: Setiawan Ridwan , Salam Bardan
Published: November 2021

Tujuan dari penelitian ini adalah membangun sebuah Sistem Informasi Geografis dimana setiap tindakan kriminal yang bersifat umum ditampilkan di titik kejadian perkara, selain itu dibutuhkan pula sebuah kanal yang memungkinkan masyarakat untuk melaporkan kejadian yang perlu ditangani oleh kepolisian, dengan penelitian ini pula mencangkup fitur untuk masyarakat memberikan kritik dan saran kepada kepolisian guna evaluasi bagi kepolisian untuk meningkatkan pelayanan. Metodologi yang digunakan untuk mencapai tujuan tersebut menggunakan metodologi Rational Unified Proccess (RUP) yang tahapannya terdiri dari Inception, Elaboration, Contruction dan Transition serta pemodelan yang akan digunakan adalah Unified Modelling Language (UML) yang terdiri dari diagram Use Case Diagram, Activity Diagram, Squence Diagram, dan Class Diagram. Penelitian ini berfokus pada tindak kejahatan pencurian kendaraan bermotor dengan menggunakan data pada tahun 2019 yang berasal dari Kepolisian Kabupaten Garut. Hasil dari penelitian berupa sistem yang dapat melihat titik lokasi kejadian tindak kriminal pencurian kendaraan bermotor dan melaporkan tindakan pidana dan menyampaikan kritik dan saran kepada kepolisian oleh masyarakat yang dikelola oleh kepolisian.
Web Scraping Pada Web Media Digital untuk Membangun Aplikasi Android
Authors: Mulyani Asri , Kurniadi Dede , Hakim Ikbal Lukmanul
Published: November 2021

Perkembangan teknologi dalam melakukan otomatiasi pada suatu pekerjaan tertenu sangatlah pesat pada era saat ini, efisiensi waktu dalam melakukan pekerjaan menjadi sangat tinggi, tidak terkecuali dalam melakukan penyalinan informasi dari website, jika pengambilan data dilakukan secara konfensional akan memakan waktu yang cukup lama serta banyak hal yang harus dilakukan, dengan memanfaatkan teknik web scraping pengambilan data atau penyalinan informasi dari website dilakukan secara otomatis yang mana akan memangkas waktu sangat banyak jika dibandingkan dengan penyalinan secara konfensional. Adapun salah satu pemanfaatan dari teknik web scraping adalah untuk membuat REST-API tanpa database dan di integrasikan ke mobile apps. sehingga tujuan dari penelitian ini untuk mengimplementasikan teknik web scraping unuk membangun aplikasi berbasi android. Adapun metodologi yang digunakan dalam penelitian ini adalah Rational Unified Process (RUP), tahapan yang dilakukan dalam metodologi ini mulai dari inception, elaboration construction, sampai dengan transition . Hasil dari penelitian ini adalah berupa aplikasi media digital berbasi android sebagai client-nya dan REST-API sebagai server-nya.
Pengaruh DER, Komisaris Independen, dan Kepemilikan Institusional terhadap ROE
Authors: Adhani Ida , Rahmawati Rahmawati
Published: November 2021

This study aims to estimate and analyze the factors that affect ROE (Y), either partially or jointly. In this study, the factors tested were DER (X1), Independent Commissioner (X2) and Institutional Ownership (X3). The research method used is multiple linear regression analysis, with purposive sampling method on 7 metal and similar sub-sector manufacturing companies listed on the Indonesia Stock Exchange for the 2015-2019 period. This study uses secondary data obtained from evidence, notes, historical reports compiled in the annual financial statements obtained from the internet site, namely www.idx.co.id. The statistical method used is inferential statistics, using multiple linear regression models. As for what is tested in the classical assumption test inferential statistics, R2 test, T test and F test. The test results show that the DER variable has a significant effect on ROE, institutional ownership has no effect on ROE, institutional ownership has no significant effect on ROE. The results of the F test show that DER, Institutional Ownership, and Independent Commissioner simultaneously have a significant effect on ROE.
Variabel Fundamental yang Mempengaruhi Struktur Keuangan dan Implikasinya terhadap Rentabilitas Ekonomi
Authors: Asmoro Wiwiek Kusumaning , Setianingsih Novie Astuti , Putranti Eti
Published: November 2021

Fundamental variables in this research are shown in the level of sales growth, asset structure, company size and retained earnings. The purpose of this study was to determine the effect of sales growth rate, asset structure, firm size and retained earnings on financial structure. In addition, the purpose of this study is to examine how these variables affect economic rentability. The population in this study is the Food and Beverage Industry Sub-sector listed on the Indonesia Stock Exchange for the 2016-2020 period as many as 15 companies. The sampling technique is using purposive sampling which is a technique in sampling with certain considerations. The sampling technique is carried out proportionally sampling with the type of Judgment Sampling. Data collection technique used is documentation technique with polling data type. The number of samples in this study were 11 companies, the data used in the form of financial statements of the Food and Beverage Industry Subsector obtained from the Indonesia Stock Exchange. The results showed that sales growth and retained earnings had a positive effect on financial structure, while asset structure and firm size had a negative effect. The results of research on economic rentability, sales growth variables and retained earnings also have a positive effect, while asset structure and firm size have a negative effect. So the findings of this study can be concluded that the growth rate of sales, retained earnings can improve the financial structure and economic rentability of the company.
A percepção da equipe de enfermagem em relação ao brinquedo terapêutico como alívio da dor e diminuição dos fármacos na enfermaria pediátrica
Authors: Silva Andreza da , Silva Lorrane Miranda da , Laia Eduarda Monforte da Silva , Machado Isabela Helena Martins , Duarte Aline de Oliveira , Teixeira Leandro Barbosa
Published: December 2021

O objeto de estudo é a percepção da equipe de enfermagem em relação ao brinquedo terapêutico como alívio da dor e diminuição dos fármacos em enfermaria pediátrica. A questão norteadora foi baseada na seguinte pergunta: Qual é a importância do brinquedo terapêutico na assistência de enfermagem à criança internada em uma enfermaria pediátrica? O objetivo geral foi demonstrar a importância da assistência de enfermagem diferenciada no setor de enfermaria pediatria utilizando o brinquedo terapêutico. Os objetivos específicos foram: descrever as dificuldades que as crianças enfrentam durante a hospitalização e enumerar as técnicas que facilitam a adaptação das crianças durante o processo de internação. Este trabalho de conclusão de curso consiste em uma revisão bibliográfica. A busca na literatura foi realizada nas bases de dados: Medical Literature Analysis and Retrieval System Online (MEDLINE); Base de Dados da Enfermagem (BDENF); e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), por meio da Biblioteca Virtual de Saúde (BVS). Conclui-se, nesta pesquisa, que o brinquedo terapêutico é uma ferramenta essencial na assistência de enfermagem na enfermaria pediátrica. Nesse contexto, quanto à fase lactante, o uso de jogos de exercício foi o mais adequado para esta faixa etária.
Ensino de Química e Deficiência Visual: mapeamento das pesquisas nos CINTEDIs (2014-2020)
Authors: Arenare Eleonora Celli Carioca , Mól Gerson de Souza
Published: November 2021

O objetivo desta pesquisa é investigar como está se desencadeando o processo dos registros acadêmicos com relação ao ensinar e aprender Química com relação a Deficiência Visual nos CINTEDIs (2014-2020). Elegemos o mapeamento dos registros de publicações na temática em estudo, explanando de forma discursiva os dados que, em nossa concepção necessitam serem explorados por pesquisas futuras, para isso analisamos especificamente o foco temático Conteúdos Curriculares da disciplina Química.  Concluímos que a lacuna de estudo nesta temática é imensa, pois os trabalhos, não dão conta de abordar todos os Conteúdos dos Ensino Médio e nem de Ensino superior, trazendo linhas de tendências, já registradas no contexto brasileiro em outros eventos, com os seguintes conteúdos: Hidrocarbonetos, Tabela Periódica e Misturas, com focos específicos em criação de recursos didáticos inclusivos.
A educação inclusiva no município de Sento Sé/BA: uma análise a partir de múltiplos olhares
Authors: Santos Reinaldo Pacheco dos , Santos Helisandra dos Reis , Pacheco Clecia Simone Gonçalves Rosa
Published: November 2021

A educação inclusiva em nível mundial não é recente se olharmos para sua gênese a partir da Declaração Universal dos Direitos Humanos na década de 1940, contudo, em nível de Brasil, somente em 2015 se consolidou a Lei Brasileira de Inclusão. Tal estudo tem como base quatro questões norteadoras e objetivou identificar quais políticas educacionais inclusivas são desenvolvidas no município, investigando quais são as diretrizes que sustentam essas políticas, visando compreender como tem sido realizado o atendimento educacional especializado e os principais desafios encontrados. Trata-se de uma pesquisa com natureza quali-quantitativa, com caráter exploratório, bibliográfico e de campo. Os achados indicam que existem políticas de educação inclusiva no município, contudo, é imprescindível investir ainda mais em formação continuada para os docentes e em materiais especializados para o devido atendimento aos estudantes com deficiência.
Infecção odontogênica grave em paciente sistemicamente comprometida
Authors: Ardigueire Valeska Afonso , Mendonça Jose Carlos Garcia de , Santos Athilla Arcari , Figueiredo Francielly Thomas , Pelissaro Gustavo Silva , Paiva-Oliveira Janayna Gomes , Silva Júlio César Leite da , Jardim Ellen Cristina Gaetti
Published: November 2021

A infecção odontogênica é uma condição de saúde comum na clínica odontológica e pode representar em certas situações uma condição grave de saúde, com o potencial de disseminação por meio dos espaços fasciais da região de cabeça, pescoço e tórax, que necessitam de intervenções e tratamentos imediatos para não comprometer a vida do paciente. Algumas condições sistêmicas pré-existentes, como diabetes mellitus descontrolada, obesidade, alcoolismo e imunossupressão podem acentuar essas infecções. Neste relato de caso, apresentamos uma paciente de 24 anos de idade com uma infecção odontogênica severa, disseminada em hemiface esquerda, apresentando diabetes mellitus e hipertensão arterial sem tratamento, sendo atendida em ambiente hospitalar. Paciente apresentou dor exacerbada, disfagia e trismo. Ao exame intrabucal revelou higiene oral insatisfatória, limitação da abertura bucal acentuada, ausência do elemento 28, dente 38 apresentando pericoronarite e sinais de mordiscamento na mucosa jugal esquerda em virtude do edema. Aos exames laboratoriais alterações significativas foram constatadas. Foi iniciada antibioticoterapia intravenosa instituída pela equipe médica de Meropenem 3 vezes ao dia e Vancomicina duas vezes ao dia. Optou-se como tratamento a exodontia do foco infeccioso, drenagem de exsudato purulento via alveolar, irrigação abundante e aspiração de soro fisiológico 0,9%. Após melhora do quadro clínico, laboratorial e controle do estado glicêmico da paciente, a mesma recebeu alta hospitalar com controle ambulatorial periódico. Em ambulatório a paciente apresentou melhora em seu quadro, regredindo o aumento volumétrico e com leve endurecimento em face. Segue aos cuidados sistêmicos em ambulatório pela equipe médica. Deste modo, a infecção em pacientes com comprometimento sistêmicos, requer uma abordagem imediata e multiprofissional para garantir um bom prognóstico.
Estudos de custo da Doença de Parkinson no Brasil: uma lacuna científica evidente
Authors: Silva Sávio Luís Oliveira da , Quelhas Osvaldo Luiz Gonçalves , Vieira Neto Júlio , Leite Marco Antônio Araújo
Published: November 2021

O impacto financeiro da Doença de Parkinson na sociedade tem sido discutido amplamente nas últimas décadas e espera-se que aumente no futuro, juntamente com o envelhecimento da população. Contudo, a escassez de estudos de custo da doença no Brasil dificulta a realização de previsões e cálculos de estimativas futuras, prejudicando a avaliação do impacto econômico na vida do indivíduo e nos sistemas de saúde, tanto público quanto privado. O objetivo desta pesquisa é verificar se a escassez de estudos dessa natureza no Brasil é uma realidade, através de um levantamento sobre os estudos de custo com o tratamento da Doença de Parkinson realizados nos últimos anos. A revisão de literatura, realizada com base na busca por palavras-chave sobre o tema, identificou 27 artigos que atendiam aos critérios de inclusão e aos filtros de refinamento aplicados sobre o portfólio inicial. Destes somente dois estudos foram realizados no Brasil (um artigo original e uma revisão sistemática), o que comprova a falta de estudos sobre o tema no país.