bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGENALAN BAHASA INGGRIS MELALUI MEDIA PEMBELAJARAN ANIMASI INTERAKTIF
Authors:   Universitas Nusa Mandiri, Prihatin Titin , Lia Andharsaputri Resti ,   Universitas Bina Sarana Informatika
Published: March 2022

Bahasa Inggris menjadi bahasa standar international untuk berkomunikasi antar penduduk berbagai negara. Banyak sekolah formal maupun informal dan orang tua yang mulai mengajarkan pada anak pentingnya Bahasa Inggris. Kendala yang biasanya terjadi saat belajar diantaranya tidak mudah menarik minat dan perhatian anak untuk belajar serta mengikuti instruksi yang diberikan, karakteristik anak yang berbeda-beda, mudah bosan, cara belajar dan media pembelajaran yang monoton. Metode penelitian yang dipaparkan yaitu teknik pengumpulan data (observasi, studi pustaka) dan model ADDIE (Analysis, Design, Development, Implementation, Evaluation). Tujuan penelitian ini untuk memudahkan anak-anak dalam mengenal Bahasa Inggris dan membantu guru atau tenaga pendidik dalam melaksanakan proses belajar sehingga lebih efektif dan efisien serta tercapainya tujuan pembelajaran. Dari pengolahan data kuesioner, hasil penelitian yang diperoleh yaitu terdapat 87% suara yang setuju jika media pembelajaran animasi interaktif ini memberikan manfaat pada anak-anak dan juga guru dalam penggunaannya.
ALGORITMA BEST FIRST SEARCH MENENTUKAN LINTASAN JALUR TERPENDEK PADA KOTA WISATA BUKITTINGGI
Authors:   AMIK KOSGORO SOLOK, Afero Yosdarso
Published: March 2022

Searching merupakan sebuah metode yang sering digunakan dalam penyelesaian kasus pencarian rute terpendek, salah satu metode yang sering digunakan yaitu metode Best First Search Dengan proses kerja menggunakan sistim fungsi heuristik. Permasalahan pada kasus ini adalah pencarian rute terpendek dengan menggunakan pencarian dengan sistim grap mengubah titik kota satu dengan kota yang lainnya untuk menyatakan jalur jarak antar kota. Tujuan Penelitian ini adalah menentukan jalur terpendek agar para wisatawan mudah mencari lokasi serta penghematan waktu dan biaya dalam mengunjungi Objek Wisata yang ada di Kota Bukittinggi. Kelebihan Algoritma Best First Search mudah menemukan solusi untuk mengukur jarak antar titik yang akan dikunjungi, Dengan menggunakan algoritma ini akan menemukan solusi yang Optimal. Penggunaan BFS pada Sistim Informasi geografis bisa dijadikan sebagai jalur untuk membantu dalam Pengambilan sistim keputusan. Hasil penelitian penentuak rute terpendek diperoleh nilai Jarak Tempuh sebanyak 12,3 km, waktu tempuh 70 km dan lama kunjungan 270 menit.
SISTEM PERAMALAN PERSEDIAAN BARANG MENGGUNAKAN METODE BROWN EXPONENTIAL SMOOTHING
Authors:   Institut Bisnis dan Teknologi Pelita Indonesia, Nora Marlim Yulvia , Hajjah Alyauma ,   Institut Bisnis dan Teknologi Pelita Indonesia
Published: March 2022

Usaha dagang yang bergerak dibidang jual beli spare part sepeda motor banyak sekali beredar baik dikota-kota besar maupun daerah. Karena tingkat penggunaan sepeda motor juga meningkat. Sehingga para pengusaha melihat usaha jual beli spare part juga menjanjikan. Ud maju utama salah satu usaha bergerak dibidang jual beli spare part motor. Terjadinya penumpukan barang dan mengakibatkan menambahnya biaya produksi serta permintaan barang juga berubah dari waktu ke waktu. Terkadang juga terjadi barang kosong. Sehingga terkadang usaha mengalami kerugian. Oleh sebab itu dibutuhkanlah sebuah sistem informasi utuk meramalkan persediaan baran. Agar lebih tepat maka peramalan persediaan barang menggunakan metode Double Exponential Smoothing (DES) dengan parameter (α) 0.1, 0.2, 0.5 dan 0.9. Pada penelitian ini menggunakan 2 jenis barang yaitu oli dan ban luar dan data 12 periode (bulan) waktu lampau. Hasil dari DES kemudian dianalisa tingkat keakurasiannya menggunakan Mean Absolute Deviation (MAD), Mean Sequare Error (MSE) dan Mean Absolute Percentage Error (MAPE). Hasil dari penelitian menunjukan bahwa untuk jenis barang oli parameter dengan nilai terbaik yaitu α 0.2 dengan nilai 9.51 % dengan prediksi tinggi sedangkan untuk jenis barang ban luar parameter α 0.1 dengan nilai 9.49 % dengan prediksi tinggi. Dalam membangun sistem informasi menggunakan teknik pemodelan Unified Model Langguage (UML) menggunakan usa case diagram dan class diagram. Diharapakan sistem informasi peramalan persediaan barang menggunakan metode DES dapat membantuk pimpinan dalam memperkirakan pemasanan barang sehingga tidak terjadi lagi penumpukan barang ataupun terjadinya barang kosong, serta menghindari terjadinya kerugian.
vejez, el envejecimiento y las personas mayores en la formación docente en Educación Física
Authors: Di Domizio Débora Paola , Buffone Gabriel , Marracino Miriam , Dalto Carlos , Cuenca Valeria
Published: March 2022

El texto que presentamos toma algunos de los argumentos teóricos que dan sustento al Proyecto Promocional de Investigación y Desarrollo Los contenidos acerca de la vejez en la formación de profesorxs y licenciadxs1 en Educación Física. Diagnóstico preliminar en Argentina y países latinoamericanos. El proyecto ha sido aprobado recientemente por la Secretaría de Ciencia y Técnica de la Universidad Nacional de La Plata y se encuentra radicado en el Área de Estudios e Investigaciones en Educación Física de la Facultad de Humani-dades y Ciencias de la Educación. Este proyecto es llevado adelante por investigadorxs nóveles y quiere constituirse en un aporte al campo académico de la disciplina. Existe un supuesto compartido entre lxs actores del campo de la Educación Física de que esta temática constituye un área de vacancia en la formación, lo que impide pensar inter-venciones educativas para todas las edades. En esta línea nos proponemos como obje-tivo analizar y distinguir los contenidos sobre la vejez, el envejecimiento y las personas mayores en el ámbito de la formación docente en Educación Física de Argentina y otros países latinoamericanos. Diferentes organismos internacionales proponen modificar la formación profesional para avanzar hacia sociedades más inclusivas, ya que la carencia de políticas de formación inicial para atender la heterogeneidad y diversidad de los su-jetos tiene como consecuencia que los currículos de la formación de educadorxs todavía no se ajustan a las necesidades de lo social.
PENYALAHGUNAAN KEADAAN DALAM PERJANJIAN PENGIKATAN JUAL BELI APARTEMEN SEBAGAI PEMBATAS PEMENUHAN AZAS KESEIMBANGAN
Authors: Sari Dalimunthe Siti Nurul Intan
Published: March 2022

Pelaksanaan jual beli apartemen banyak dilakukan dengan cara memesan terlebih dahulu unit apartemen yang akan dibeli yang dituangkan dalam Perjanjian Pengikatan Jual Beli (PPJB) sebagai pengikatan sementara, dikarenakan apartemen belum lunas, belum selesai dibangun, ataupun sertifikat yang belum pecah. Namun, dalam pelaksanannya, banyak PPJB apartemen yang menimbulkan wanprestasi di kemudian hari yang berujung pada gugatan yang dilakukan oleh pembeli (konsumen). Pada prakteknya, pembuatan PPJB Apartemen dibuat oleh salah satu pihak yaitu pihak pengembang, sehingga tidak terdapat keseimbangan kehendak dari para pihak. Perjanjian selain harus mememnuhi syarat-syarat sah perjanjian dalam Pasal 1320 KUHPerdata, juga harus memberlakukan asas-asas dalam perjanjian, salah satu asasnya keseimbangan. Tujuan dari penelitian ini adalah untuk mengetahui pemenuhan asas keseimbangan dalam PPJB apartemen.  Penelitian ini menggunakan metode yuridis normatif dan pendekatan perundang-undangan dan pendekatan konseptual. Hasil dari penelitian ini, bahwa dalam PPJB Apartemen terdapat penyalahgunaan keadaan karena keunggulan ekonomi dari pihak pengembang terhadap pihak pembeli dimana isi perjanjian yang dibuat oleh pengembang hanya menguntungkan pihak pengembang yang posisi tawarnya lebih tinggi dan merugikan pembeli yang tidak ikut serta dalam menentukan isi perjanjian, sehingga tidak terpenuhinya asas keseimbangan dalam PPJB apartemen. Penentuan isi PPJB apartemen yang dilakukan secara sepihak oleh pihak pengembang, lebih banyak menguntungkan pengembang saja, sehingga menyebabkan sering terjadinya wanprestasi yang merugikan pihak pembeli dan menimbulkan gugatan dari pembeli di kemudian hari.
GAGASAN RESTRUKTURISASI KEWENANGAN NOTARIS DALAM YURISDIKSI EKSTRATERITORIAL INDONESIA
Authors: Wahyu Utomo Hatta Isnaini
Published: March 2022

Meningkatnya peluang transaksi perdagangan barang dan jasa dalam lingkup global di era Masyarakat Ekonomi ASEAN (MEA) ini harus direspon dengan kemampuan negara memberikan perlindungan hukum bagi masyarakat Indonesia yang terlibat dalam pasar bebas MEA. Notaris diharapkan mampu memberikan pelayanan akan jasanya tidak hanya di tingkat regional tetapi juga nasional bahkan global. Hal tersebut melahirkan gagasan tentang optimalisasi peranan Notaris. Penelitian ini menggunakan metode penelitian hukum normatif yang dilakukan untuk mencari pemecahan masalah atas permasalahan hukum yang ada. Pendekatan penelitian yang digunakan adalah pendekatan undang-undang (statute approach) dan pendekatan konseptual (conceptual approach). Hasil penelitian ini menganalisis tentang landasan politis, filosofis dan sosiologis dalam gagasan perluasan wilayah jabatan notaris serta konsep globalisasi pelaksanaan tugas jabatan notaris dalam yurisdiksi ekstrateritorial.
Comparison of ASP.NET Core and Spring Boot ecosystems
Authors: Rozaliuk Teofil , Kopyl Petro , Smołka Jakub
Published: March 2022

The article describes a comparative analysis of the ASP.NET Core and Spring Boot framework ecosystems. The research was carried out on the basis of implemented two applications with identical functionality, which use the PostgreSQL database engine. In the implementation of the application, appropriate ORM tools were used to perform database operations, ie Spring Data and Entity Framework Core, technologies enabling the implementation of authentication and authorization (Spring Security and ASP.NET Core Identity) and several additional libraries that simplify the entire process of building the application. The criteria of comparison were the ease and intuitiveness of a given tool in the implementation of the application, the offered possibilities of the tools implementing authentication and authorization mechanisms, the efficiency of database operations, the general structure of the application and basic code metrics. Based on the research, it was found that  Spring Data technology is a faster tool than Entity Framework Core, while Spring Security, unlike Asp.Net Core Identity, is less integrated into the framework ecosystem.
Comparative analysis of interface sketch design tools in the context of User Experience
Authors: Kowalczyk Edyta , Glinka Agnieszka , Szymczyk Tomasz
Published: March 2022

The design stage plays a significant role in software development. Making skeleton models helps to understand the specification and requirements of the product. Design tools, as well as any other tools, should focus on User Experience. The aim of the publication is to compare tools for sketching interfaces taking into account User Experience. The main criterion for the evaluation of the tools was a test consisting in measuring the time and distance of a computer mouse during the execution of a given application sketch in 8 selected tools. Then, the respondents assessed the possibilities and experiences resulting from working in a given tool. This was supplemented by the assessment of the technical criteria. Ultimately, the best and the worst tools were selected according to the research subgroups. The level of education has been proven to influence the evaluation of interface sketch design tools.
Urgensi Pemenuhan Hak-Hak Konstitusional Warga Negara Era Pandemi Covid-19 di Indonesia
Authors:   Fakultas Hukum Universitas Muhammadiyah Surabaya, Supriyono Supriyono , Sholichah Vavirotus ,   Fakultas Hukum Universitas Muhammadiyah Surabaya, Irawan Anang Dony ,   Fakultas Hukum Universitas Muhammadiyah Surabaya
Published: March 2022

Abstract: Purpose: This study aims to determine the constitutional rights of citizens that need to be protected and fulfilled by the state. And to know the rules related to the protection and fulfillment of the constitutional rights of citizens during the Covid-19 pandemic. Method: The research methodology used in this research is normative juridical by statute approach and conceptual approach. Results: This research resulted in an explanation of the fulfillment of the constitutional rights of citizens during the Covid-19 pandemic. The most crucial constitutional rights of citizens to be fulfilled are health rights, economic rights, and education rights. The non-fulfillment of the safety and constitutional rights of citizens is a form of denial of the mandate of the 1945 Constitution of the Republic of Indonesia. Limitation: The scope of the research is limited to fulfilling the constitutional rights of citizens during the Covid-19 pandemic. Contribution: The authors hope in the future, it is hoped that a more in-depth study can be carried out on research on the constitutional rights of citizens, especially in emergency conditions such as the Covid-19 pandemic.
Penerapan Karakter Religius Dan Tanggung Jawab Melalui Pengembangan Materi Bahasa Indonesia Di Kelas III Madrasah Ibtidaiyah Nurul Mun’im Probolinggo
Authors: Fawaid Achmad , Kholil MS Moh
Published: March 2022

Penelitian ini bertujuan untuk menanamkan karakter Islam dengan mengembangkan materi membaca intensif bahasa Indonesia pada kelas 3 Madrasah Ibtidaiyah Nurul Mun'im Probolinggo. Dari hasil penelitian ini akan dihasilkan produk bahan ajar berupa buku ajar bahasa Indonesia materi membaca intensif berbasis karakter Islam untuk madrasah ibtidaiyah/ sekolah dasar kelas 3. Metode yang digunakan dalam penelitian ini adalah Research and Development (R&D) atau penelitian pengembangan dengan menggunakan model pengembangan Walter Dick dan Lou Carey. Instrumen pengumpulan data yang digunakan berupa tes soal, angket, dan rating scale. Penanaman Islam pada bahan ajar Indonesia dilakukan dengan mengintegrasikan nilai-nilai Islam, relegius dan karakter pada materi, baik secara pertunjukan dan dimunculkan melalui ilustrasi gambar, narasi, serta kegiatan pembelajaran yang dilaksanakan. Hasil penilaian dan analisis semua siswa kelas 3 di MI Nurul Mun'im Probolinggo sudah menunjukkan perkembangan dan bahkan membudayakan karakter religius dan tanggung jawab
The Case for Effective Environmental Politics: Federalist or Unitary State? Comparing the Cases of Canada, the United States of America, and the People’s Republic of China
Authors: Fisch Justin
Published: March 2022

Federalism, by its nature, is a segmented system of governance. The Canadian and American constitutional orders are divided along very clear lines of jurisdictional authority between levels of government. Environmental issues, by their nature, are holistic in scope—they transcend borders, governments, jurisdictions, and authorities. For this reason, one might assume that a unitary state would be better positioned to tackle them. Is this justified? This Article examines the Chinese unitary state, in comparison to the federalist systems in Canada and the United States of America, to discern whether a unitary government can better manage issues plaguing the environment.
Interpretation of infarct location in relationship to perfusion territories using territorial arterial spin labeling in a patient with multiple infarctions: A case report
Authors: Hong Yuehui , Zhou Lixin , Hou Bo , Fan Xiaoyuan , Ni Jun
Published: March 2022

We, herein, describe a 50-year-old man with steno-occlusive cerebrovascular disease and multiple infarcts that were expected to be within the perfusion territories of the basilar artery (BA) and left internal carotid artery. However, territorial arterial spin labeling (T-ASL) perfusion magnetic resonance imaging showed that the infarct lesions were only located in the perfusion territory of the BA and confirmed the stroke etiology of large artery atherosclerosis. This case implies that the diagnostic information provided by T-ASL is valuable for identifying the symptomatic perfusion territories and stroke etiology. This technique is, therefore, able to guide therapeutic management in patients with multiple infarcts.
Potrauminio streso sindromas su antriniais psichoziniais simptomais
Authors: Bukauskaitė Gintarė , Jaras Algirdas
Published: March 2022

Potrauminio streso sindromas (PTSS) – tai psichikos sutrikimas, sąlygotas trauminių išgyvenimų [1]. Traumine patirtimi gali būti ypač grėsmingi [2, 3], ir kasdieniai įvykiai [4], kuriuos asmuo patiria kaip fiziškai ir (arba) emociškai žalojančius arba pavojingus gyvybei [5]. Vis labiau pripažįstama, jog žalojantys tarpasmeniniai santykiai (pavyzdžiui, santykiai šeimoje) gali būti psichologinės traumos ir PTSS priežastimi [5]. Neretai be PTSS diagnostiniuose kriterijuose minimų simptomų pacientai išsako patiriantys psichozės simptomatiką [8]. Dėl simptomų persidengimo pasitaiko, jog pacientams su PTSS ir antriniais psichozės intarpais klaidingai diagnozuojamas šizofrenijos spektro sutrikimas [17, 20]. Straipsnyje aprašomas klinikinis atvejis, kai pacientei po išgyventų psichotraumuojančių įvykių pasireiškė psichozės simptomatika. Nepakankamai įvertinus anamnestinius faktus ir klinikinių simptomų pobūdį buvo klaidingai diagnozuotas šizoafektinis sutrikimas. Tiksli diagnostika svarbi veiksmingo gydymo skyrimui.
Evaluación de la calidad de vida en pacientes en tratamiento crónico con hemodiálisis en Colombia
Authors: Barrios-Puerta Zorayda , Del-Toro Rubio Moraima , Fernández-Aragón Shirley , Manrique-Anaya Yolima
Published: March 2022

Introducción: La terapia de hemodiálisis a pesar de sus beneficios en la sustitución de la función renal, conlleva afectaciones sobre la calidad de vida del paciente en todas sus dimensiones. Objetivo: Identificar la calidad de vida de pacientes en tratamiento con hemodiálisis en una Institución de salud en Cartagena, Colombia, durante 2019. Materiales y Método: Estudio descriptivo transversal de asociación. Población: Adultos con insuficiencia renal crónica en tratamiento con hemodiálisis en una Institución de Cartagena. La muestra fue de 164 pacientes. Se aplicó encuesta sociodemográfica y la versión en español del Kidney Disease and Quality of Life (KDQoL-SF). Resultados: Aspectos sociodemográficos: mujeres (56,1%), de 50–59 años (38,4%), en unión libre (42,7%), de familias nucleares (72,6%), urbanos (70,7%), bachilleres (45,1%), estrato 2 (47,6%), con 2 hijos (29,3%), en tratamiento <1 año (25%) y 4–10 años (25,6%); con asociación estadística entre el estrato socio-económico uno y tener más de un año de tratamiento, mostró riesgo de valorar el estado de salud de regular a malo (p=0,019), sumado a presentar entre mucha (24,4%) y poca (36,6%) limitación, al subir escaleras con dificultad (23,8%), sumado el dolor causado por la enfermedad que genera bastante dificultad en el trabajo (36,6%). Conclusiones: Se afirma que el personal de salud de la Institución es un factor activo en mantener la calidad de vida de los pacientes en terapia dialítica a medida que aumenta sus años en tratamiento.
Amamistatins isolated from Nocardia altamirensis
Authors: Steinmetz Till , Hiller Wolf , Nett Markus
Published: March 2022

Four new phenolic siderophores were isolated from the actinomycete Nocardia altamirensis along with the known natural product amamistatin B and a putative biosynthetic shunt product. The structures of all compounds were elucidated through 1D and 2D NMR analyses as well as mass spectrometry. The iron-chelating properties of the retrieved metabolites were evaluated in a chrome azurol S assay.
Feasibility of At-Home Vibrotactile Data Collection in Children and Adolescents: Study of Mild Traumatic Brain Injury
Authors: Stokoe Mehak , Bell Tiffany , Mauthner Micaela , O'Brien Heidi , Ip Amanda , Tommerdahl Mark , Yeates Keith , Harris Ashley
Published: March 2022

Remote testing has become a desireable option as it helps reduce participant burden, can be more convenient and enables longitudinal data collection to track symptom recovery. Recently, advances in testing have enabled researchers to test somatosensory processing and brain function. Using tactile testing modalities such as vibrotactile stimulation to the fingertips can provide information about cortical inhibition, for example, without the need for invasive testing procedures. In the current manuscript, we present our initial experience for ‘at home’ tactile testing. We demonstrate 1) it is possible to develop an ‘at home’ testing battery with multiple tasks that is comparable to ‘in lab’ testing; and 2) it is feasible to collect this data remotely and repeatedly to monitor longitudinal changes.

Participants included pediatric concussion patients and orthopedic injury (OI) controls, 8-18 years of age at time of participation, and were recruited ~10 days after injury. Testing was conducted on a 2-digit vibrotactile stimulator hand-held device and was based on previously used protocols. Stimulation was delivered to the left index and middle finger. Data quality of tasks was visually inspected to ensure data followed a pattern of converging values of thresholds over time. A total of 19 participants were recruited in this study; 11 concussion and 8 OI. Participants in the concussion group were 12.8 ± 2.2 years old (36.4% female) and participants in the OI group were 11.6 ± 2.5 years old (57.1% female) at the time of injury. Results from paired sample t-tests comparing task performance did not detect significant differences between the data collected from the home session and at the lab visit for the concussion group.

Our results demonstrate that vibrotactile sensory testing can provide a non-invasive, objective measure of central nervous system functioning without relying on subjective questionnaires. This work demonstates it is possible to perform this testing remotely. Our data with children and adolescents demonstrates they are capable of completing these tasks at home; we therefore expect this at home testing protocol could easily be administered in other populations.
Communication Skills: The Resonance of Personality
Authors:   Department of English Language, Deanship of Preparatory Year and, Supporting Studies, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, Rachamalla Dr. Sana Ali , Hans Dr. Anjali ,   ELPD Trainer cum Content Writer, Chandigarh University, Mohali, Punjab, India
Published: March 2022

Personality has variously been defined by various scholars down the centuries. There may be some common components of personality in a particular society. Such traits of mass personality go to make the myths or common assumptions for beginning to understand personality. Individual personality can be best understood through heredity, environment, mutual interaction and the composition of individual brain. This understanding of personality can be gathered by an expert only through communication in all its forms viz. verbal and non-verbal communication; body language; facial expression: and other identifiable hints dropped consciously or unconsciously by the individual. This paper attempts to demonstrate the significance of communication skills in resonating the basic traits of an individual’s personality.
Giảm đau ung thư vùng chậu bằng tiêm cồn tuyệt đối diệt đám rối hạ vị dưới hướng dẫn của cắt lớp vi tính và robot Maxio: Nhân 3 trường hợp
Authors: Dinh Gia Khanh
Published: March 2022

TÓM TẮT

Đau là triệu chứng lâm sàng phổ biến ở bệnh nhân ung thư, trong đó có ung thư vùng chậu như đại trực tràng, cổ tử cung, buồng trứng, di căn ung thư. Diệt đám rối hạ vị giúp ngăn chặn dẫn truyền cảm giác đau hướng tâm từ vùng chậu về trung ương thần kinh, là phương pháp hiệu quả giảm đau ung thư tại chỗ. Plancarte và cộng sự (1990) lần đầu tiên báo cáo điều trị thành công diệt đám rối hạ vị cao trong phẫu thuật. Từ đó đến nay đã có nhiều phương tiện hỗ trợ trong việc tiếp cận đám rối hạ vị, giúp nâng cao hiệu quả của kỹ thuật. Không có biến chứng nghiêm trọng. Chúng tôi muốn báo cáo và đưa ra một số nhận xét về ba trường hợp diệt đám rối hạ vị điều trị đau do ung thư vùng chậu dưới hướng dẫn của cắt lớp vi tính và robot Maxio tại Trung tâm chẩn đoán hình ảnh, bệnh viện TƯQĐ 108

ABSTRACT

PELVIC CANCER PAIN RELIEF BY HYPOGASTRIC PLEXUS BLOCK USING ABSOLUTE ALCOHOL INJECTION UNDER COMPUTED TOMOGRAPHY AND MAXIO ROBOT GUIDANCE: REPORT OF THREE CASES

Pain is a common clinical symptom in pelvis cancer patients including: colorectal cancer, cervical, ovary, metastasis. Hypogastric plexus block helps block afferent pathways of pain sensation from the pelvic region to the central nervous system, which is an effective method for relieving cancer pain. Plancarte el al(1990) first reported success in the hypogastric plexus block in surgery. Heretofore, there have been many means of support in approaching the hypogastric plexus, helping improve the efficacy of this technique. No major complication is observed. We report and discuss 3 cases of the hypogastric plexus block for treating pelvic cancer pain under computed tomography and Maxio robot guidance at Diagnostic Imaging Center of 108 Military Central Hospital.
Gravitational-wave Emission from a Primordial Black Hole Inspiraling inside a Compact Star: A Novel Probe for Dense Matter Equation of State
Authors: Zou 邹 Ze-Cheng 泽城 , Huang 黄 Yong-Feng 永锋
Published: March 2022

Primordial black holes of planetary masses captured by compact stars are widely studied to constrain their composition fraction of dark matter. Such a capture may lead to an inspiral process and be detected through gravitational-wave signals. In this Letter, we study the postcapture inspiral process by considering two different kinds of compact stars, i.e., strange stars and neutron stars. The dynamical equations are numerically solved, and the gravitational-wave emission is calculated. It is found that the Advanced LIGO can detect the inspiraling of a 10−5
M
⊙ primordial black hole at a distance of 10 kpc, while a Jovian-mass case can even be detected at megaparsecs. Promisingly, the next generation of gravitational-wave detectors can detect cases of 10−5
M
⊙ primordial black holes up to ∼1Mpc and Jovian-mass cases at several hundred megaparsecs. Moreover, the kilohertz gravitational-wave signal shows significant differences for strange stars and neutron stars, potentially making it a novel probe to the dense matter equation of state.
The Turbulent Properties of the Sub-Alfvénic Solar Wind Measured by the Parker Solar Probe
Authors: Zhao L.-L. , Zank G. P. , Telloni D. , Stevens M. , Kasper J. C. , Bale S. D.
Published: March 2022

For the first time, Parker Solar Probe (PSP) observed the sub-Alfvénic solar wind where the solar wind bulk speed drops below the local Alfvén speed for an extended period of time. Here, we report on the turbulent properties of the sub-Alfvénic region. We analyze the turbulence correlation length and the energy transfer and compare the results with nearby super-Alfvénic regions. As the Alfvén speed is larger or comparable to the solar wind speed in the intervals studied, we use a modified Taylor’s hypothesis to account for wave propagation. We find that the wave propagation speed affects the analysis of the correlation lengths of the forward and backward propagating
z

± modes. In the sub-Alfvénic region, the correlation length of the
z

− mode is shorter than that of the outward propagating
z

+ mode, although the correlation time of the
z

− mode is about 10 times larger than that of the
z

+ mode. For the energy transfer, we use both incompressible and compressible formulations to calculate the energy flux based on third-order structure functions. The incompressible energy cascade rates for the forward and backward propagating modes are computed separately using the modified Taylor’s hypothesis. The averaged compressible cascade rate is higher in the sub-Alfvénic interval than the nearby downstream super-Alfvénic region, which may be due to the lower fluctuation amplitude in the latter super-Alfvénic interval. Longer incursions of the PSP in the sub-Alfvénic winds in the future will give us better statistics.
A Journey, Not an Event – Implementation of Shared Governance in a NHS Trust
Authors: Thompson Barbara , Hateley Paul , Molloy Rebecca , Fernandez Shirley , Madigan Alison , Thrower Carol , Cain Alison
Published: March 2022

This article describes the implementation of a trust-wide shared governance structure in Barts and The London National Health Service Trust in the United Kingdom. Barts and The London is a large teaching trust, employing over 6,500 staff. The implementation process is described in detail and is followed by details of the current shared governance structure, an overview of the evaluation of the structure, and the objectives of each of the four nursing teams: the Quality, Management, Education, and Clinical Practice Teams. Also included are examples of the achievements of each of the teams and a personal account of one nurse who joined the Trust after shared governance had been implemented.
Multiple spinal intramedullary cavernous angiomas with bleeding episode mimicking an intramedullary tumor
Authors: Utomo Sri Andreani , Bajamal Abdul Hafid , Parenrengi Muhammad Arifin
Published: March 2022

Intramedullary cavernous angioma is a rare vascular malformation compared to cerebral cavernous malformation. The incidence of cavernous angioma is about 3 - 5% of all central nervous system lesions, 5 - 12% of all spinal vascular lesions, and 1% of all intramedullary lesions in pediatric patients. Although intramedullary cavernous angioma has the same histological picture as cerebral cavernous angioma, the natural history, and surgical approach are different from cerebral cavernous angioma. Due to its location in the eloquent area of the spinal medulla, a slight change in the size of the lesion can affect the neurological function of the patient. We describe a case of an intramedullary cavernous angioma with hemosiderin post bleeding, located in the cervical cord which was initially misdiagnosed as hemorrhagic ependymoma. On whole spine MR imaging we also found an intramedullary cavernous angioma in the lower thoracal cord at the T12 level with mild hemorrhage. Abdominal MRI showed cavernous angiomas in both kidneys. The patient underwent surgical treatment with removal of the lesion in the cervical cord and T12 level, with histopathologic findings consistent with cavernous angioma. No malignancy was detected. Post-surgery, the symptoms gradually improved. Symptomatic intramedullary cavernous angioma tends to bleed repeatedly and being unstable. Early diagnosis and surgical treatment can prevent rebleeding and more severe symptoms.
Financial Risk Early Warning Model of Listed Companies Under Rough Set Theory Using BPNN
Authors: Li Chengai , Jin Keyan , Zhong Ziqi , Zhou Ping , Tang Kunzhi
Published: March 2022

In order to reduce the risk of enterprise management, the financial risk early warning methods of listed companies are mainly studied. The financial risk characteristics of listed companies are analysed. With the help of rough set theory, the financial risk indicators are selected, and the financial risk early warning index system is established. The financial risk early warning model is constructed by using back propagation neural network (BPNN) algorithm based on deep learning. Finally, the accuracy and feasibility of the constructed neural network model are verified. The results show that rough set theory can be used to screen financial risk indicators and select important indicators, which can simplify the data and reduce the complexity of calculation. BPNN can calculate the simplified data and identify and evaluate the financial risk. Empirical analysis shows that the proposed method can shorten the training time of the model to a certain extent, and improve the accuracy of financial risk prediction.
(Con)viver com tuberculose/hiv os sentidos representados pelo processo de adoecimento: uma análise de discurso/ Live/cope with tuberculosis/hiv and the meanings represented by the illness process: a discourse analysis
Authors: Alessandra dos Reis Amanda , Ferraz de Araujo Alecrim Tatiana , Regina Zerbetto Sônia , Fredemir Palha Pedro , Martins Ruggiero Cíntia , Teresinha Protti-Zanatta Simone
Published: March 2022

Objetivo: analisar os sentidos produzidos pelo processo de adoecimento e como eles afetam as pessoas que vivem com tuberculose (TB) e o vírus da imunodeficiência humana (human immunodeficiency virus [HIV]). Método: trata-se de pesquisa qualitativa, com fundamentação teórico-metodológica da Análise de Discurso (AD) de matriz francesa, realizada em um centro de referência para infecções crônicas, no período de janeiro a julho de 2015. Utilizou-se um roteiro de entrevista semiestruturada para a coleta de dados primários. Para a coleta de dados secundários se recorreu ao livro de registro e acompanhamento de tratamento dos casos de TB; ao Sistema de Informação de Agravos de Notificação (SINAN); e ao sistema de controle de pacientes com TB. Resultados: foram entrevistadas 6 pessoas que realizam tratamento para TB e HIV e emergiram 3 blocos discursivos: “Tuberculose e HIV: sentidos circulantes”; “O vínculo paciente-profissional e utilização de incentivos na continuidade do tratamento”; e “Condicionantes que influenciam o processo de adoecimento”. Considerações finais: a concepção de que esses agravos acometem apenas determinados indivíduos se mantém circulante na sociedade, favorecendo o preconceito, diagnóstico tardio e dificuldade de adesão ao tratamento. Assim, fazem-se necessárias políticas públicas e ações de promoção à saúde por parte dos gestores e profissionais da saúde para contribuir com a (des)construção de saberes e o cuidado integral e longitudinal tanto daqueles que estão em tratamento quanto de seus familiares.
Fatores associados à doença renal crônica em idosos cuidadores de idosos/ Factors associated with chronic kidney disease in older adult caregivers of elderly people
Authors: Ricarte Bento Sirlei , Ottaviani Ana Carolina , Terassi Mariélli , Dos Santos Alves Élen , Hortense Priscilla , De Souza Orlandi Fabiana , Iost Pavarini Sofia Cristina
Published: March 2022

Objetivo: identificar os fatores associados ao desenvolvimento de doença renal crônica em idosos cuidadores de idosos. Método: estudo transversal, realizado no período de janeiro a setembro de 2019 com 111 idosos cuidadores familiares de idosos da atenção primária à saúde. Para a coleta de dados, foram utilizados o Questionário de Caracterização Sociodemográfica, de Saúde e do Contexto do Cuidado, a Triagem para Doença Renal Oculta, o Exame Cognitivo de Addenbrooke - Versão Revisada, a Escala de Depressão Geriátrica, o Inventário de Sobrecarga de Zarit e a Escala de Estresse Percebido. Foi realizada estatística descritiva e análise múltipla de regressão logística pelo método stepwise forward (p<0,05). Todos os preceitos éticos foram observados. Resultados: a amostra apresentou predomínio de mulheres, casadas, que ofertavam o cuidado ao cônjuge. Através da triagem para doença renal crônica, constatou-se que 99,1% dos participantes apresentaram alta predisposição para o desenvolvimento da doença renal crônica. Cada acréscimo no número de medicamentos aumenta 1,257 vezes a chance de os idosos cuidadores desenvolverem doença renal crônica. Conclusão: houve predominância de alta predisposição para doença renal crônica na amostra de idosos cuidadores, e o número de medicamentos em uso foi o fator associado a esta predisposição.
Desafios do profissional de enfermagem da estratégia de saúde da família: peça-chave não valorizada / Challenges of the nursing professional in the family health strategy: adepreciated key piece
Authors: Viana Vera Gardênia Alves , Ribeiro Maysa Ferreira Martins
Published: March 2022

Objetivo: conhecer como profissionais de enfermagem descrevem aspectos que interferem em sua atuação na Estratégia de Saúde da Família. Método: estudo descritivo, exploratório de cunho qualitativo com aporte na Teoria Fundamentada nos Dados. Participaram das entrevistas dez enfermeiras que atuam na Estratégia de Saúde da Família de três municípios do interior da Bahia-Brasil. A coleta foi realizada entre agosto de 2016 e agosto de 2017. Resultado: do processo de análise dos dados, emergiram três categorias que representam o modelo teórico intitulado “Desafios do profissional de enfermagem da Estratégia de Saúde da Família: peça-chave não valorizada”: a) O vínculo com a Estratégia de Saúde da Família, que retrata o envolvimento afetivo que o profissional desenvolve com a comunidade e como serviço; b) Muitas atribuições; c) Pouca valorização, que representa as barreiras que o profissional enfrenta para a atuação na Estratégia de Saúde da Família. Considerações finais: o excesso de trabalho e a desvalorização profissional desmotivam, geram frustração, comprometem a atuação e saúde emocional dos profissionais de enfermagem que atuam na Estratégia de Saúde da Família.
NARRATIVAS MEMORIALÍSTICAS E ARTE NA CENA DA PESQUISA PSICANALÍTICA DE FENÔMENOS SOCIAIS
Authors: Guerra Andréa Máris Campos , Moreira Jacqueline de Oliveira , Silva Ana Carolina Dias
Published: March 2022

No presente texto, deseja-se apresentar o proceder metodológico da pesquisa ‘Adolescências e leis’ (Fapemig, 2016-2018), afirmando o movimento que tenta alcançar uma topologia da horizontalidade ao considerar todos os saberes formais, informais, estéticos e pessoais envolvidos no processo. Nesse contexto, as narrativas memorialísticas erigem-se como estratégia de acesso à história dos sujeitos, jovens pobres moradores de territórios violentos. Essa estratégia considera a proposta da psicanálise, pois permite pensar a ficção através da qual toda história é contada. Após recolher as narrativas, o material registrado foi encaminhado para artistas convidados a transformar as histórias escutadas em obras artísticas e literárias. Em uma oficina devolutiva, envolvendo todos os atores (pesquisadores, coletivo de artistas e jovens), as obras foram entregues aos próprios narradores. Esse encontro possibilitou escutar os jovens das narrativas e capitanear pontos de real que retornaram pela via do traumático, da afirmação do desejo ou da repetição, indicando possíveis processos de ressignificação subjetiva e discursiva, bem como novos trajetos teóricos e metodológicos para o uso das narrativas memorialísticas.
EMOÇÕES VIVENCIADAS PELOS PSICOTERAPEUTAS-APRENDIZES NOS SERVIÇOS-ESCOLAS: UMA LEITURA PSICANALÍTICA
Authors: Gomes Andréa Kioko Sonoda , Reis Maria Elizabeth Barreto Tavares dos
Published: March 2022

Os atendimentos clínicos realizados nos serviços-escolas são permeados por uma série de experiências emocionais vivenciadas pela díade psicoterapeuta-aprendiz/paciente. Diante das diversas nuances da clínica psicanalítica, o psicoterapeuta-aprendiz vivencia experiências que refletem em sua subjetividade. Este estudo teve como objetivo investigar as vivências emocionais dos estudantes de graduação em psicologia durante os estágios em clínica psicanalítica e analisar as emoções percebidas em si mesmos pelos psicoterapeutas-aprendizes nos atendimentos em psicoterapia psicanalítica. Trata-se de um estudo clínico-qualitativo, utilizando-se o referencial teórico psicanalítico. Participaram 27 estudantes de psicologia, que realizavam atendimentos nos serviços-escolas de quatro Instituições de Ensino Superior. A coleta de dados foi realizada através de entrevistas semidirigidas, as quais foram submetidas à análise de conteúdo. Nos resultados observou-se a presença das vivências de ansiedade, medo, insegurança e nervosismo, presentes no processo psicoterapêutico. A identificação com as vivências emocionais dos pacientes e as dúvidas referentes à percepção das próprias emoções, foram importantes aspectos encontrados neste estudo. Tais resultados podem contribuir para a reflexão sobre a vivência desta experiência para o psicoterapeuta-aprendiz, a fim de melhor prepará-lo para os desafios da prática clínica psicanalítica.
SENTIDOS DA VIVÊNCIA UNIVERSITÁRIA PARA ESTUDANTES COM MAIS DE 40 ANOS
Authors: Zonta Graziele Aline , Zanella Andréa Vieira
Published: March 2022

As universidades brasileiras contam com um público de estudantes cada vez mais diversificado. Dentre eles, constam estudantes adultos(as) que ingressaram no ensino superior anos após a conclusão do ensino médio, destacando-se por serem mais velhos do que seus colegas de curso. Suas condições de vida e as possibilidades de permanência nessas instituições diferem daquelas de estudantes mais jovens, situação que exige o investimento em estudos sobre esse grupo específico. Nessa direção, este artigo analisa os sentidos sobre o processo de ingresso; sobre os desafios enfrentados no relacionamento com colegas; e sobre como estudantes que ingressaram na graduação após os 40 anos de idade vivenciam as práticas de ensinar e aprender na universidade. Os depoimentos de três estudantes desse grupo, que participaram de uma pesquisa-intervenção metodologicamente organizada no formato de oficinas de leitura e escrita, foram submetidos a uma análise de discurso de orientação bakhtiniana. Eles(as) relataram como realizam o enfrentamento das tensões que envolvem a inserção no campo discursivo universitário, dando destaque a embates no relacionamento com colegas mais jovens, à apropriação das novas tecnologias de informação e aos aprendizados propiciados pela participação no cotidiano acadêmico-universitário.
Benefits of Supply Chain Process Improvement Initiatives: A Structured Literature Review
Authors: Piyatilake A. , Vitharanage I. D. , Thibbotuwawa A. , Perera H. N.
Published: March 2022

There is growing interest across industries to apply Business Process Improvement (BPI) initiatives in supply chains. Academic literature and standard industry practices indicate that these initiatives are undertaken subject to technological advancements. This paper aims to set the context for BPI initiatives by presenting the first structured literature review explaining how different organisations perceive the benefits, confront challenges, and realise critical success factors in the context of supply chain management. A tool-supported four-phase literature review approach was adopted as the methodology for this research and 81 papers were considered for analysis based on their relevance to the scope of this research. The analysis comprises benefits of different process improvement initiatives, classified under procurement process improvements, manufacturing process improvements, warehousing and distribution process improvements, and miscellaneous improvements. Furthermore, this study elaborates the general success factors and challenges that could be considered for any process improvement initiative. The paper concludes by summarising findings and suggesting future research directions to expand the role of BPI initiatives in decision-making.
The pathological change of the pulmonary and bronchial arteries in the tuberculous lungs
Authors: Kim Jin Sik , Hyun Won-Il
Published: March 2022

The pathological change of the pulmonary and bronchial arteries in the tuberculous foci was studied with the resected 60 pulmonary specimens.The results are as follows :a) Most of arteries in the exudative foci and granulation had the obliterative endartentis, and these, obliterations are seems to be caused by the cell infiltrations from the preiarterial tissue.b) Arteries in the productive and flbrous foci showed the thickening or the proliferation of elastic fibers in the media. and the recanalization of the obliterated lumen was found in some artery.c) pathological change of the endarteritis may be related to the loss of pulmonary function which comes from the tuberculous change in the lung though the pathological density on the chest X-ray showed improvement.d) Chemotherapy is not effective in these cases for the improvement of the endarteritis. The pathologic change of artery may be one of the reason that the chemotherapy is not effective for the fibrotic foci which involve the pathological change of the artery.e) The pathologic change of the bronchial artery is variable according to the pathological condition of the corresponding peribronchial tissue.
Isoniazid Metabolisms and its Clinical Implications in Koreans Part 1. Isoniazid Metabolic Pattern in Koreans, Part 2. the Clinical Implications of the Isoniazid Metabolisms in Koreans
Authors: Lee Hae Soo , Song Ho Seung , Lee Hyo Keun , Kim Ki Ho , Chung Hi Sup , Kim Chang Ki , Kim Taek Chae
Published: March 2022

Preliminary clinical observations indicate that that, in general, a persons to a rapid inactivator my demonstrates suboptimal response to isonse to isoniazid therapy. In contrast, the patients who belong to a slow inactivator is much more likely to achieve optimal response to isoniazid therapy. Furthermore, a significant relationship has been demonstrated between isoniazid metabolism and catalase cetivity, drug susceptibility of tubercle bacilli, and toxicity of isoniazid. Patients with high serum isoniazid values(i.e., slow inactivators) are more likely to excrete catalase-negative, isoniazid-resistants, whereas those patients are rapid inactivators and who have low serum isoniazid concentrations more often excrete catalase-positive, isoniazid sucilli. Peripheral neuritis is the most commonly observed toxic effect. Although patients who ar slow inactivators are more likely to experience maximal antimierobil results, they are also more likely develop peripheral neuritis. The purpose of this study is to determine the clinical implic-actions of the isoniazid metabolism ms in Korea. RESULTS1. Fourpundered and nity-seven pulmonary tuberculosis patients were treated with INH(4-16mg./kg.)-PAS(10-12gm.) and the clinical efficacies sere analyzed by the isoniazid metabolic patterns and its doses. 2. In minimal cases there were no significant differences between therapeutic efficacies and metabolic patterns of isoniazid. 3. In moderately advanced cases, particularly in rapid inactivators, high doses ef INH(8-16mg./kg.)-PAS were superior than conventional daily dose of INH(4mg./kg.)-PAS.4. Peripheral neuritis occurred more frequently in the high doses of INH(8-16mg./kg.) groups, predominantly in show inactivators. 5. Patents who are rapid inactivators excreted isoniazid-sensitive bacilli predominantly, whereas patients who are slow inactivators exerted isoniazid resistant bacilli predominantly. 6. Considering the clinical efficacy and toxicity, the optimal daily doses of isoniazid in moderately advanced and far doses of isoniazid in moderately advanced cased were 8-16mg./kg. in rapid inactivators, 4-8mg./Kg. in rapid inactivators, 4-8mg./Kg. in intermediate an slow inactivators.
The Immunizing Effect to M. Tuberculosis in Rabbits Vaccinated with Unclassified Mycobacteria
Authors: Kim Kyung Soo , Lee Wun Ki , Kim Doo Hi
Published: March 2022

The present study was carricd out to determine the immunizing effect of six strains of unclassified mycobacteria saprophytes and BCG, to M. tuberculosis in rabbits which were vaccinacd with the above three groups of strain.The unclassified mycobacteria was isolated from the patients’ sputa who were clinically dingnosed ashaving the so-called active pulmonary tuberculosis in Korea. The saprophytic strains includes M. for-tuitum, M. smegmatis and acid-fast bacilli isolated from soil. The result obtained is summarized as follow: BCG is more effective in immunity against infection with M. tuberculosis among the above three groups, and unclassified mycobacteria was found to have a partial immunity to M. tuberculosis, while saprophytes failed to show protective ability against M. tuberculosis as seen in the control group.
COVID-19 vaccination and penile Mondor disease. There is any relationship?
Authors: Fabiani Andrea , Filosa Alessandra , Maglia Daniele , Principi Emanuele , Stramucci Silvia
Published: March 2022

Dear Editor, the pandemic spread of Coronavirus 2 infection (SARS-CoV-2), determining the coronavirus disease 2019 (Covid-19), had devastating consequences globally with several waves affecting social and economic life. The use of masks, physical distancing, testing of exposed or symptomatic persons, contact tracing and isolation have helped limit the transmission where they have been rigorously applied; however, these actions have proved not sufficient to limit the virus spread [...].
Nested melanoma
Authors: Zardo Davide , Perasole Antonio , Massone Cesare
Published: March 2022

This case was presented at the on-line meeting on the ADOI platform held on October 27th 2021 by Dr Zardo.