bluuebunny/crossref_metadata_2025 huggingface dataset:
Randomized Controlled Study to Evaluate Prophylactic Properties of Ayurvedic Treatment Protocol in Refractory and Chronic Migraine Patients
Authors: Prakash Vaidya Balendu , Chandurkar Nitin , Prakash Vaidya Shikha , Sharma Shakshi , Tiwari Sneha
Published: April 2021

Background: Migraine is a disorder marked by recurrent episodes of headache. There is a subset of migraine patients who remain refractory to the conventional prophylactic and abortive therapies. This study aimed to assess the therapeutic role of an ayurvedic treatment protocol in patients who had chronic/ refractory migraine. Methods: This single-center, open label, randomized, controlled clinical trial compared the efficacy of ayurvedic treatment protocol to conventional treatment. Included patients were 18-65 years of age and met the diagnostic criteria for chronic/ refractory migraine. The patients were randomized in a 1:1 ratio to the ayurvedic treatment or conventional therapy at the baseline and were followed at regular intervals for 360 days. The primary outcome was reduction in the number of headache days in the last 3 months and the secondary outcomes were a reduction in the visual analog scale (VAS) score and migraine disability assessment score (MIDAS) as compared to the baseline. Results: Patients (n=154) were randomized to the two treatment groups with similar baseline demographic and clinical characteristics. The patients in ayurvedic treatment group had a greater reduction in the number of headache days, VAS score and MIDAS score at day 360 (p<0.05). Further, there were no reported medication-related adverse effects in either group. Conclusion: Ayurvedic treatment protocol is well tolerated and is associated with significant improvement in symptoms of chronic refractory migraine.
Concepção e divulgação de um e-survey para pesquisa em administração aplicada em enfermagem
Authors: Francisco Quevellin Alves dos Santos , Martinez Maria Regina
Published: April 2021

Design and divulgation of an e-survey for research in nursing administration Análise do processo de concepção e divulgação de um e-survey desenvolvido como instrumento de coleta de dados para um estudo quantitativo, descritivo, de corte transversal, do tipo survey, que resultou na dissertação de mestrado “Participação dos gestores de enfermagem na gestão de pessoas: um estudo do tipo survey”. As etapas da elaboração do e-survey foram: concepção, divulgação e envio do questionário através de uma rede social entre os anos de 2018 e 2019. As pesquisas on-line aproximam pesquisadores-participantes, porém garantem privacidade e comodidade. Para estas pesquisas é primordial a definição de um trajeto metodológico, pois os resultados obtidos podem ser usados para tomar decisões importantes no âmbito da prática da enfermagem.Palavras-chave: Inquéritos e Questionários; Enfermagem; Serviços On-Line; Pesquisa em Enfermagem; Internet ABSTRACTProcess analysis the conception and dissemination of an e-survey developed as a data collection instrument of a quantitative, descriptive, cross-sectional Survey study, which resulted in the master dissertation “Participation of nursing managers in management. of people: a Survey study”. The stages of the preparation of the e-survey were conception, dissemination and sending of the questionnaire through a social network between 2018 and 2019. Online surveys bring research participants closer together but guarantee privacy and convenience. For this research it is essential to define a methodological path because the results can be used to make important decisions in the scope of nursing practice.Keywords: Surveys and Questionnaires; Nursing; Online services; Nursing research; Internet
Um presente de despedida da minha mãe
Authors: Wayman Katherine A.
Published: April 2021

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Mapeamento das competências de técnicos de enfermagem em um hospital público
Mapping the skills of nursing technicians in a public hospital
Authors: Da Cruz de Souza Eduardo Neves , Hortelan Michele dos Santos Dos Santos , De Almeida Maria De Lourdes , De Souza Thalita Correa , Justino Eveline Treméa , Faller Jossiana Wilke
Published: April 2021

RESUMOObjetivo: Realizar o mapeamento das competências de técnicos de enfermagem que atuam em uma unidade de internamento clínico de um hospital público do município de Foz do Iguaçu – Paraná. Método: Pesquisa de caráter qualitativo, realizado em etapas: análise documental das competências requeridas, entrevista semiestruturada e mapeamento de competências. A coleta de dados ocorreu em abril e maio de 2019. Resultados: Foram entrevistados 27 técnicos de enfermagem. A partir de questões norteadoras, emergiram ideias centrais, como: desenvolvimento das técnicas básicas de enfermagem; realização de atividades administrativas e necessidade de busca por aperfeiçoamento profissional. Conclusão: A identificação das competências descritas no perfil profissiográfico divergem com àquelas expressas pelos técnicos de enfermagem; assim como das competências técnicas expressas não foram encontradas como requeridas pela instituição na análise do perfil profissiográficos. Espera-se que o mapeamento de competências possa vir auxiliar as instituições hospitalares a elaborar novas estratégias de desempenho dos profissionais e reestruturar a atuação de cada.Palavras-chave: Competência Clínica; Unidade de Internação; Unidade Hospitalar de Clínica Médica. ABSTRACTObjective: To perform the mapping of the skills of nursing technicians who work in a clinical inpatient unit of a public hospital in the city of Foz do Iguaçu - Paraná. Method: Qualitative research, carried out in stages: documentary analysis of the required skills, semi-structured interview and skills mapping. Data collection took place in April and May 2019. Results: 27 nursing technicians were interviewed. From guiding questions, central ideas emerged, such as: development of basic nursing techniques; carrying out administrative activities and the need to seek professional improvement. Conclusion: The identification of the competencies described in the professional profile differs from those expressed by nursing technicians; as well as the technical skills expressed were not found as required by the institution in the analysis of the professional profile. It is hoped that the mapping of competencies can help hospital institutions to develop new performance strategies for professionals and restructure the performance of each.Keywords: Clinical Competence; Inpatient Unit; Medical Clinic Hospital Unit.
O credenciamento como ferramenta de apoio na auditoria em saúde
Authors: Werle Tatiana Souza da Silva , Andrade Antonio Rodrigues de
Published: April 2021

Objetivos: identificar os principais problemas enfrentados pela auditoria em saúde e demostrar como o processo de credenciamento impacta diretamente na qualidade da assistência prestada. Método: revisão integrativa da literatura, realizada em duas bases de dados e uma biblioteca virtual, de acesso aberto, tendo como critério de inclusão: responder à questão norteadora. A amostra final foi composta de 14 artigos. Resultados: da síntese das evidências, emergiram oito categorias aos quais demonstraram a ausência dos seguintes critérios: anotações de enfermagem, definição de protocolos, avaliação da qualidade, satisfação do usuário, definição de materiais e medicamentos, adoção de pacotes e requisitos mínimos necessários a contratação. Conclusão: o serviço de auditoria desempenha papel vital na elaboração dos processos de credenciamento, sendo importante que os gestores de contratos e os auditores estejam interligados em prol de identificar os pontos fracos e dirimir as deficiências, buscando contribuir para que a organização atinja o máximo de sua eficiência.Palavras-chaves: Auditoria; Qualidade; Saúde; Eficiência. ABSTRACTObjectives: to identify the main problems faced by the health audit and to demonstrate how the accreditation process directly impacts the quality of care provided. Method: integrative literature review, carried out in two databases and a virtual library, open access, with the inclusion criterion: answering the guiding question. The final sample consisted of 14 articles. Results: from the synthesis of the evidence, eight categories emerged which demonstrated the absence of the following criteria: nursing notes, definition of protocols, quality assessment, user satisfaction, definition of materials and medicines, adoption of packages and minimum requirements necessary for contracting. Conclusion: the audit service plays a vital role in the elaboration of the accreditation processes, being important that the contract managers and the auditors are interconnected in order to identify the weaknesses and resolve the deficiencies, seeking to contribute to the organization reaches maximum efficiency. Keywords: Audit, Accreditation, Health, Efficiency.
Os 50 anos da Academia Nacional de Medicina e inflexões na qualidade da atenção à saúde
Authors: Berwick Donald M.
Published: April 2021

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Satisfação profissional, qualidade de vida e absenteísmo em um hospital público: uma revisão
Authors: Viana Andressa Cristine Buranhaem , Martins Islane Cristina
Published: April 2021

Introdução: O estudo do absenteísmo na área da saúde é fundamental, visto que, a ausência do servidor ao trabalho pode gerar prejuízo ao usuário do sistema público de saúde, ao próprio servidor ausente, ao servidor presente e à instituição. Objetivo: Realizar uma revisão integrativa da literatura a fim de compreender a relação entre a satisfação profissional, a qualidade de vida e o absenteísmo dos trabalhadores de um hospital público. Materiais e Métodos: Foi feita uma busca de referência com os descritores “Satisfação no trabalho”, “Qualidade de vida”, “Absenteísmo” e “Hospitais Públicos” nas bases de dados Periódicos CAPES, Google Acadêmico e PUBMED. Pelos critérios de elegibilidade, 5 estudos se adequaram aos parâmetros estipulados. Resultados: Os 5 estudos analisados encontraram relação entre o absenteísmo e a satisfação profissional, de forma estatística ou observacional. Quanto à qualidade de vida, 40% da amostra encontrou relação entre os dois fatores. Conclusão: Existe relação entre o absenteísmo e a satisfação profissional e essa relação é inversamente proporcional. No que tange a qualidade de vida, a relação entre os dois fatores não é uma unanimidade. Uma das limitações verificadas no estudo é a variedade de conceitos para definir satisfação profissional e qualidade de vida.Palavras-chave: Satisfação no trabalho, Qualidade de vida, Absenteísmo ABSTRACTJob satisfaction, quality of life and absenteeism in a public hospital: a reviewIntroduction: The study of the absenteeism in the health area is fundamental, since the absence of the server in the work can cause impairment to the user of the public health system, to the absent server itself, to the present server and to the institution. Objective: Carrying out an integrative literature review to understand the relationship between job satisfaction, quality of life and absenteeism from workers in a public hospital. Materials and methods: It were made a reference search with the descriptors "job satisfaction", "quality of life", "absenteeism" and "public hospitals" in the “Periódico Capes”, Scholar Google and PubMed databases. According to the eligibility criteria, 5 studies were adapted to the stipulated parameters. Results: It was found a relationship between absenteeism and job satisfaction from the 5 studies analyzed, either statistically or observationally. As for quality of life, 40% of the sample found a relationship between the two factors. Conclusion: There is a relationship between absenteeism and job satisfaction and this relationship is inversely proportional. With regarding to the quality of life, the relationship between the two factors is not an unanimity. One of the limitations found in the study is the variety of concepts to define job satisfaction and quality of life.Keyword: Job Satisfaction, Quality of life, Absenteeism.
Eläinhenget – Keskustelu eläinten kuolemattomista sieluista spiritualistisessa Light-lehdessä Britanniassa 1887
Authors: Kaartinen Marjo
Published: April 2021

Artikkeli tarkastelee brittiläisen, spiritualistisen Light-lehden keskustelua eläinten hengistä ja sieluista vuonna 1887. Artikkeli osoittaa, miten spiritualistien kokemusperäinen tieto siitä, että tuonpuoleisessa oli ihmishenkien lisäksi myös eläinten henkiä, vahvisti keskustelua eläinten roolista ihmisten maailmassa. Keskusteluun liittyi nopeasti myös eläinsuojelullinen ja antivivisektionistinen vire.
The Unfinished Business of Anna Kingsford – Towards an Enchanted Animal Ethic
Authors: Goldsmith Mitch
Published: April 2021

This article takes seriously the claim made by 19th century antivivisectionist Anna Kingsford that experiments on animals constitute a type of malevolent sorcery, more specifically a demonic blood sacrifice. In so doing, the paper follows the work of Pignarre and Stengers in their explication of sorcery and how to “get a hold” of its operations despite its stupefying powers. To that end, I will investigate the pragmatic potential of understanding experiments on animals in this way, and more broadly, following the work of posthuman and material feminists, as a type of onto-theological phenomenon of spacetimemattering (in Karen Barad’s terms). This understanding will pay particular attention to the intra-active exclusions that haunt the laboratory space and, following a neo-Spinozist feminist approach, I will explicate the ways in which the human-animal power relations within the laboratory inhibit the creation of joyful multispecies “common notions.” In order to respond to the ghostly presences which haunt the laboratory space, and to affirm joyful, multispecies relations for “as well as possible worlds” (Puig de la Bellacasa), I will finally argue for an affirmative multispecies politics of what Rosi Bradiotti calls “zoe-centered egalitarianism” through a posthuman politics of “grace,” or “the leaving be of nonhumans” (MacCormack) which I frame as an enactment of an enchanted animal ethic.
Marcello the Dog and More-Than-Human Family in Elina Brotherus's Self-Portraits from the Series Carpe Fucking Diem
Authors: Salmia Tiina
Published: April 2021

This article examines the possibilities of visual culture to open new perspectives on interspecies relations by analyzing self-portraits from visual artist Elina Brotherus’s photography series Carpe Fucking Diem (2011–2015). Brotherus has suggested that this series talks “about a failure to have a family with kids and give normality the finger”. The self-portraits can be seen to address this “failure” to have a normative nuclear family, while simultaneously questioning the desirability of the norm itself through Brotherus’s relationship with her pet dog, dachshund Marcello. The article explores the more-than-human notions of kinship and family in Carpe Fucking Diem, drawing on Donna Haraway’s concept of companion species, as well as discussions on new materialism and posthumanism. The concept of companion species deconstructs human exceptionalism and the boundaries between human and animal, and indicates that the physical and affective co-becomings between humans and the non-human significant others co-evolve with each other in complex and asymmetrical ways. In affective and embodied readings of three self-portraits and one video work from the Carpe Fucking Diem series, I examine how Elina Brotherus’s self-portraits call into question the normative notions of family as human-centered and heteronormative.
Democratic Practices at School. Theoretical and Research Ascertainments
Authors: Nikolaou Sousanna Maria
Published: April 2021

The modern democratic society must ensure the realization of the ideal democracy through the education of the youth with knowledge-skills and critical thinking and finally through the education of democratic citizens. A democratic citizen is defined as a citizen who is personally responsible, participatory, and oriented towards social justice and has the will to work for the realization of democratic ideals. The key issues the study focuses on are: What school practices contribute to the preparation of democratic citizens? What is meant by the open / positive climate of the classroom and how is it related to the strengthening of citizenship according to research data? The main purpose of the study is to reflect and raise awareness about the democratic conditions we must ensure in schools, to avoid the erosion of institutions and the rejection or loose commitment to the rules of democracy.
Lirismo, sensibilidad y unidad en «Detenimientos» (1948) de Javier Sologuren
Authors: Guizado-Yampi Renato André
Published: April 2021

La poesía de Javier Sologuren (Lima, 1921-2004), autor fundamental de las letras peruanas del siglo XX, se caracteriza por su constante renovación expresiva. Su segundo cuadernillo de poemas, Detenimientos (1948), nace de la reelaboración de los principios de su escritura anterior, y perfila algunos rasgos que se perpetúan en su obra posterior. Sin embargo, los críticos solo lo han abordado someramente. Este artículo ofrece una mirada de la propuesta estética del cuadernillo. Por medio del análisis estilístico y de la interpretación de los poemas, se indaga por la concepción de lirismo, la visión del mundo y sensibilidad del enunciante y los principios expresivos que dan a Detenimientos unidad y solidez.
PREDIKSI PENGADAAN DAN PENGELOLAAN INVENTORI JARINGAN SYARAF TIRUAN ALGORITMA BACKPROPAGATION PADA PERUM BULOG
Authors: Murty Ethan Mahesa
Published: April 2021

Perum Bulog is a state-owned public company in food logistics field. Perum Bulog has a duty to stabilize food availability in Indonesia. The most consumed food by Indonesians is rice. It is estimated that the total national rice consumption reaches 30.25 million tons of rice. In this way, Perum Bulog must be able to meet their rice stock to maintain national food stability. However, in fact, in 2019 as many as 20 thousand tons of domestic rice had gone bad and caused the company to lose up to 167 billion. Thus, it is important to make predictions to determine the amount of rice stock in the future. One of the prediction techniques that can be used is prediction using Artificial Neural Networks. This study aims to determine the future rice stock of Perum Bulog using Artificial Neural Networks. Perum Bulog merupakan perusahaan umum milik negara yang bergerak di  bidang logistik pangan.  Perum Bulog memiliki tugas untuk menstabilkan ketersediaan pangan di Indonesia. makanan pokok yang paling sering dikonsumsi masyarakat Indonesia adalah beras. Diperkirakan jumlah konsumsi beras nasional mencapai 30,25 juta ton beras. Dengan begitu Perum Bulog harus dapat memenuhi stok beras mereka untuk menjaga kestabilan pangan nasional. Namun, nyatanya dilapan pada tahun 2019  sebanyak 20 ribu ton beras dalam negeri mengalami pembusukan dan membuat perusahaan rugi hingga 167 miliar. Dengan begitu pentingnya melakukan prediksi  untuk mengetahui jumlah stok beras dimasa depan. Salah satu teknik prediksi yang dapa digunakan adalah prediksi menggunakan jaringan syaraf tiruan. Penelitian ini bertujuan untuk mengetahui stok beras masa depan Perum Bulog menggunakan jaringan syaraf tiruan.
PENGARUH BAHAN TAMBAH RD260, E7016, ER705-6 PADA PENGELASAN OXY- ACETYLENE TERHADAP KEKUATAN TARIK PADA PLAT BORDES TIPE ST-37
Authors: Setiawan Didik , Putra Wawan Trisnadi , Ahmad Nanang Suffiandi
Published: April 2021

This study aims to test the performance of the steering system, transmission, and electric braking system of the Urban Concept Warek V.1.1 type. The basic assumption of electricity is designed with the Urban Concept type (four vehicles like the current car) which is adjusted to the regulations for the Energy Saving Petite Contest (KMHE), which is held by the Indonesian government through the Ministry of Research, Technology and Higher Education. In the steering system design using the Ackerman type steering system, the transmission system uses a chain deive differential while the braking system uses hideelik discs. In the test results, the steering system has a maximum turning angle of 45 ° with a radius of less than 6 meters, for the transmission system in the test engine rotation speed (n,) is 589,867 rpm and electric meter rotation is 642.6 rpm with average speed - Average. 53 km / hour. The amount of deceleration of the braking system is 4.901 and 1.47 s for the braking time.
Sustentabilidad en los edificios religiosos del siglo XVII y XVIII en México. Análisis comparativo por bioclima en tres casos de estudio
Authors:   , Castorena Espinosa Gloria María
Published: April 2021

This thesis researches the main architectural elements of sustainability in the religious-educational buildings of the seventeenth and eighteenth centuries in three locations in Mexico: Querétaro, Oaxaca and Tepotzotlán. The purpose is to identify and promote their implementation in contemporary constructions. Different research techniques and bioclimatic analysis’ tools have been used to evaluate daylighting, ventilation, insolation and thermal performance of materials in some of the most relevant architectural elements. The three cases of study are located in places with diverse climates of the Mexican Republic; therefore, design strategies and criteria adopted are different. However, in all cases, an adequate response to weather conditions and the use of natural resources is measured for comfortable indoor conditions and sustainable operation. Large buildings built by three of the most relevant religious orders in the colonial period: The Franciscans, Dominicans and Jesuits were selected. Therefore, they have some common architectural elements and other distinctive elements of the place and order to which they belonged. This work also analyses the eco-technologies used in them; applying the most advanced physical, scientific and constructive principles of the time to implement daylighting, natural ventilation, passive cooling, water recovery and treatment systems, food production and drying, among others.
El empleo de modelos tridimensionales, en el desarrollo de productos, auxiliares en el proceso de diseño y desarrollo de la creatividad. Un caso de estudio
Authors:   , Alvarado Quezada Antonio
Published: April 2021

La siguiente investigación pretende abordar algunas problemáticas dentro de la formación de profesionales del diseño, específicamente en la etapa del proceso creativo y su vínculo con las nuevas tecnologías, que actualmente se ven disminuidas al contemplar más la parte técnica que la conceptual, provocando que ambas partes no coexistan de manera eficiente, por lo cual se requieren herramientas didácticas que propicien un mayor desarrollo creativo para proponer diseños con soluciones más dinámicas e innovadoras. Con el propósito de conocer más a fondo el papel que juegan los modelos y las tecnologías de modelado en el proceso de diseño, además de comprobar la forma en la que ha ido cambiando la conceptualización creativa del mismo, y el grado de impacto que han ocasionado estos cambios, es necesario un arduo trabajo y una continuidad considerable, sin dejar de lado en ningún momento las disciplinas relacionadas cómo la Psicología y la Pedagogía, ya que esta vinculación ofrece un mayor entendimiento de las necesidades existentes en el proceso creativo. Justificar en la realización de la presente investigación, radica en entender cómo los métodos de estimulación de la creatividad son importantes y necesarios para la formación en las áreas de diseño, esto con la finalidad de justificar la implementación de las propuestas para la generación de conceptos tridimensionales. El cambio que se ha generado en los procesos de diseño debido a la utilización de los modelos, maquetas y las tecnologías de modelado, y el papel que estos juegan en el proceso creativo, así como en la conceptualización y en el desarrollo de un producto o proyecto de diseño han permitido que los resultados de la actividad proyectual resulten más creativos.
Toxoplasma gondii infection in feline renal transplant recipients: 24 cases (1998–2018)
Authors: Ludwig Hilary C. , Schlicksup Michael D. , Beale Lynn M. , Aronson Lillian R.
Published: April 2021

OBJECTIVE

To evaluate the effects of Toxoplasma gondii infection in feline renal transplant recipients with a preoperative seronegative or unknown serostatus (SN-UNK) for T gondii and the efficacy of lifelong prophylactic treatment of T gondii infection in feline renal transplant recipients with a preoperative seropositive serostatus (SP) for T gondii.

ANIMALS

24 cats with various serostatuses for T gondii before undergoing renal transplantation.

PROCEDURES

Medical records of cats that had undergone renal transplantation from 1998 through 2018 were reviewed. Two groups of cats were identified. Before renal transplantation, the SN-UNK group cats were seronegative for T gondii (n = 4) or serostatus for T gondii was unknown (4). The SN-UNK group cats received immunosuppressive therapy but were not maintained on prophylactic treatment of T gondii infection. The SP group cats were seropositive for T gondii (n = 16) prior to initiation of immunosuppressive therapy and renal transplantation and were managed after surgery with prophylactic treatment of T gondii infection.

RESULTS

All 8 SN-UNK group cats developed T gondii infections after initiation of immunosuppressive therapy and renal transplantation; T gondii infections were fatal in 6 cats. Of 16 SP group cats, 1 developed a nonfatal T gondii infection resulting in an allograft rejection episode. No SP group cats, which were managed postoperatively with prophylactic treatment, developed a fatal T gondii infection.

CONCLUSIONS AND CLINICAL RELEVANCE

T gondii infection resulted in morbidity and death in immunosuppressed cats not receiving prophylactic treatment of T gondii infection after renal transplantation. Seropositive cats were acceptable candidates for renal transplantation when lifelong prophylactic treatment of T gondii infection was provided.
The Characteristic Medicinal Plants of Different Vegetation Types from the Niraj Valley, Romania
Authors: Domokos Erzsébet , Csizmadia Beáta , Elekes Tímea , Kárp Andrea Krisztina , Domokos József
Published: April 2021

In this study the medicinal plants of some representative vegetation types from a human-modified Eastern European landscapes were investigated. The studied territory is part of a Special Protection Area for bird species. The following sampling areas were included in the study: humid grasslands; mountain hay meadows; semi-natural dry grasslands; Sub-pannonic steppic grasslands; fringe communities of mesothermophilic forest edges; grey willow scrubs; thickets of willow; forests of white willow; hornbeam-beech, oak-hornbeam, and sessile oak forests; scrubs of blackthorn and hawthorn; Subcontinental peri-Pannonic scrubs. The ordering of medicinal plants on the basis of presence/absence data and the abundance data presented the grouping in the following typical communities: to the deciduous forests, to the coppices and scrubs, and to the grasslands and meadows. A total of 208 medicinal plants were found from which 37 species are included in the European Pharmacopoeia, and 13 in the Romanian Pharmacopoeia. The existing list of medicinal plants of the Niraj Valley in the scientific literature was completed with 33 taxa. The medicinal plants containing tannins (18.93%) were in higher percentage followed by those with essential oils (10.68%), flavonoids (10.68%), saponins (9.71%), alkaloids (7.77%), mucilages (6.80%), coumarins (5.34%). However rational (sustainable) exploitation of these natural resources is necessary.
The Nyárády Erazmus Gyula’s Herbarium in the Debrecen University’s Plant Collection
Authors: Bartók Katalin , Takács Attila
Published: April 2021

After the publication of the book entitled “Recollection of Gyula E. Nyárády” (2016), the interest of his inheritance increased significantly. His left behind herbarium was estimated to have 55,000 sheets (1988), while till 2016 its number increased up to 85,000. The herbarial investigations are taking place over the Romania’s borders too, such as in the plant collection of the Debrecen University. With this occasion, we have studied the part collections of Rezső Soó (40,000 specimens), the Zoltán Siroki’s (20,000 specimens), together with the kryptogame (3,000 bryophytes) ones. In the Debrecen University plant collection we found 166 plant species collected and determined by E. Gy. Nyárády, among them 154 are superior plant and 12 are moss. In the Soó collection 112 plants arose from E. Gy. Nyárády, 69% of them are from Slovakia, 29% from Romania and 1% from Poland. The Slovakian collections took place in the 1905-1916 period, the most of them (34 species) are from 1910, being collected in Késmárk and Tatra’s region, where E. Gy. Nyárády was secondary school teacher. The Romanian collections took place in the 1905-1942 period, the 33 species mainly arise from the high mountains (especially Rodna Mountains), as well as from the Transylvanian Plain. We have found three endemic species among them: Festuca carpathica Dietr., Koeleria transsilvanica Schur (syn. Koeleria macracantha ssp. transsilvanica (Schur) A. Nyár., and Thymus pulcherrimus Schur. In the Siroki collection there are 42 plant sheets, originated from Slovakia, from 1908-1913 period. The four Romanian plants came from the Rodna Mountains. The Kryptogam Herbarium contains 12 Romanian moss species, collected between 1925 and 1929, most of them being from Székelyudvarhely (Odorheiu Secuiesc). The genus Carex occurs most frequently in the Nyárády-collection, due to his increased interest to sedges, forming 39% of the studied species. In accordance with the labels, in his collecting trips he was occasionally accompanied by Béla Husz (1911, Szepes) and Ádám Boros (1929, Korond).
Spindle Cell Melanoma Harboring a Nodule of Epitheloid Cell Melanoma Component: A Study of a Diagnostically Challenging Case
Authors: Bartos V , Farkasova A.
Published: April 2021

Background: Melanoma is a very heterogeneous human neoplasm. In addition to four major (conventional) histologic subtypes a number of uncommon variants do exist.

Objective: An unusual case of a spindle cell melanoma (SCM) containing a demarcated nodule of conventional epitheliod cell melanoma component is described.

Material and Methods: A 71-year-old man manifested with a protuberated ulcerated skin tumor arising on the right forearm. The resected biopsy was analyzed immunohistochemically with a variety of anti-human antibodies.

Results: The tumor consisted of a highly cellular mass of spindle-shaped cells without any significant intratu-moral fibrosis. In addition, a nodule of epithelioid cell tumor component was present within the lesion. The spindle cell component showed a disperse reactivity for S100 protein and was negative for other melanocytic markers. It exhibited a very high mitotic activity and proliferation Ki-67 index. No melanin pigment was detected. In contrast, the epithelioid cell component was strongly positive for S100 protein, Melan-A/MART-1, HMB-45, and PNL-2. The mitotic and proliferation indices were much less pronounced and melanin deposits were visible. A diagnosis of a non-desmoplastic SCM harboring a nodule of epithelioid cell melanoma component was established.

Conclusion: SCM often posses a diagnostic dilemma because its histomorphology is atypical and its immunohistochemical profile may differ from other subtypes of melanomas. The present paper points out this uncommon histopathological entity that may sometimes be encountered in dermatopathological practice and that requires more complex diagnostic approach.
The Making of a Holy Nation: Pastoral Activity, Pilgrimage to Jerusalem, and Nationalism in Interwar Romanian Orthodoxy
Authors: Pacurar Gheorghe Gelu
Published: April 2021

After the end of World War I and the creation of Greater Romania, various actors tried to influence the official policy of the state by proposing political visions suitable to consolidate the Romanian identity and character of the country. The Orthodox Church, one of the most vocal of these actors, envisioned a variety of activities and programs with the goal of promoting the future development of the country alongside religious principles. In particular, in 1925 the Metropolitan of Ardeal organized the first “mass” pilgrimage to the Holy Land in the history of the Romanian people. Among the participants was Iosif Trifa, a close collaborator of the Metropolitan and the initiator and organizer of a widespread spiritual movement called the Army of the Lord. During the pilgrimage Trifa wrote notes that later constituted the basis of his travelogue Pe urmele Mântuitorului [In the Footsteps of the Savior], a book that, I will suggest, proposes a national – spiritual model for the building of the new political project inspired by the mythical image of the holy places. Trifa vested these pastoral concerns with political preoccupations that ultimately claimed the Holy Land as an ideal pattern for Greater Romania. Through a gradual literary process that morphed Palestine into the Christian Holy Land and reclaimed it for Orthodox Christians only, Trifa established a close connection between the holy sites and Romania by presenting the group of pilgrims and their itinerary as a symbol of the nation walking in the footsteps of Jesus Christ. A close reading of the narrative will show that Trifa aimed at using it as an exhortation to prompt Romanians’ commitment to Orthodoxy as the only successful solution to the national project.
Influence of solar activity on ambient dose equivalent H*(10) measured with thermoluminescent dosimeters in Slovenia
Authors: Zorko Benjamin , Korun Matjaž , Črnič Boštjan , Vodenik Branko , Gobec Sandi
Published: April 2021

Ambient dose equivalent H *(10) is measured to assess general population exposure to ionising radiation. From its spatial and time variations it is possible to identify sources of exposure. In Slovenia, semi-annual H *(10) is measured routinely with thermoluminescence dosimeters at 66 locations around the Nuclear Power Plant (NPP) Krško and at 50 other locations covering the rest of Slovenian territory. Since the Chernobyl accident contamination had ceased to contribute to ambient dose equivalents, we have been calculating correlation coefficients between annual mean number of sunspots and annual H *(10). These correlation coefficients were calculated for five locations in western Slovenia and for five annual H *(10) extracted from measurements around NPP Krško. Their ranges between –0.64 and –0.38 suggest a clear negative correlation between solar activity and H *(10). Mean annual H *(10) averted by solar activity in the past two solar maxima reached 0.070 mSv around NPP Krško (155 m.a.s.l.) and 0.132 mSv and 0.180 mSv at Kredarica (2515 m.a.s.l.). Quantifying the influence of the solar activity on the ambient dose equivalent helps us to better understand exposure of the general population to ionising radiation.
Characterisation of twelve newly synthesised N-(substituted phenyl)-2-chloroacetamides with QSAR analysis and antimicrobial activity tests
Authors: Bogdanović Aleksandra , Lazić Anita , Grujić Slavica , Dimkić Ivica , Stanković Slaviša , Petrović Slobodan
Published: April 2021

In this study we screened twelve newly synthesised N-(substituted phenyl)-2-chloroacetamides for antimicrobial potential relying on quantitative structure-activity relationship (QSAR) analysis based on the available cheminformatics prediction models (Molinspiration, SwissADME, PreADMET, and PkcSM) and verified it through standard antimicrobial testing against Escherichia coli, Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), and Candida albicans. Our compounds met all the screening criteria of Lipinski’s rule of five (Ro5) as well as Veber’s and Egan’s methods for predicting biological activity. In antimicrobial activity tests, all chloroacetamides were effective against Gram-positive S. aureus and MRSA, less effective against the Gram-negative E. coli, and moderately effective against the yeast C. albicans. Our study confirmed that the biological activity of chloroacetamides varied with the position of substituents bound to the phenyl ring, which explains why some molecules were more effective against Gram-negative than Gram-positive bacteria or C. albicans. Bearing the halogenated p-substituted phenyl ring, N-(4-chlorophenyl), N-(4-fluorophenyl), and N-(3-bromophenyl) chloroacetamides were among the most active thanks to high lipophilicity, which allows them to pass rapidly through the phospholipid bilayer of the cell membrane. They are the most promising compounds for further investigation, particularly against Gram-positive bacteria and pathogenic yeasts.
Chemical and biological characteristics of propolis from Apis mellifera caucasica from the Ardahan and Erzurum provinces of Turkey: a comparative study
Authors: Arslan Mehmet , Sevgiler Yusuf , Güven Celal , Murathan Zehra Tuğba , Erbil Nurcan , Yıldırım Deniz , Büyükleyla Mehmet , Karadaş Şakire , Çelik Rima , Rencüzoğulları Eyyüp
Published: April 2021

The aim of this study was to compare the biological activities of ethanolic propolis extracts of Apis mellifera caucasica obtained from Ardahan and Erzurum provinces of Turkey. Samples were tested for antioxidant, anticytotoxic, anticarcinogenic, antibacterial, and antifungal potentials using different techniques. Propolis samples from the two provinces had different mineral and organic compositions related to their geographical origin. The ferric reducing antioxidant power (FRAP) test showed superiority of Ardahan propolis over the Erzurum. Regardless of origin and the presence of mitomycin C in the culture medium, propolis enhanced human peripheral lymphocyte viability, which depended on the duration and propolis concentration. Antiperoxidative activity on MCF-7 breast cancer cells was concentration-dependent. Erzurum propolis showed the highest anticarcinogenic activity at the concentrations of 62.5 μg/mL and 125 μg/ mL, which dropped at higher concentrations. All propolis samples also showed antibacterial activity against the tested human pathogens similar to ampicillin and penicillin controls, except for Pseudomonas aeruginosa. However, they did not exert any antifungal activity against Candida albicans and Yarrowia lipolytica. In conclusion, propolis samples from both provinces showed promising biological activities, but further research should focus on finding the right concentrations for optimal effect and include the cell necrosis pathway to get a better idea of the anticarcinogenic effects.
Interaction of Landscape and Settlement Structures in the Danube region
Authors: Vitková Ľubica , Lemak Olena
Published: April 2021

The importance of the identity and quality of urban spaces is currently one of the major professional problems - especially in relation to the rapidly developing urbanization of European settlements. The primary task of urban planners is to support and develop the potential of towns and cities and the quality of their urban structure. At the same time, the formation and transformation of urban structures requires an increasingly consistent approach in terms of sustainable development. A special area of research is the study of the cultural potential and uniqueness of the material and spatial structure of towns and cities and their surroundings. In this respect, it is important to monitor the optimization of the city’s macro and micro spaces through an extended analysis of the evaluation of urban and vegetation structures and their historical, cultural and environmental value. By monitoring these factors, we can optimize the processes taking place in the settlement structure, which affect the vitality and identity of urban spaces. A special area is also the monitoring of the projection and penetration of the landscape structure into the urban space. The harmonization of urban and landscape elements can also contribute to the sustainability of tourism. The evaluation of selected towns and cities in the Danube area and their surroundings in terms of the peculiarity of the image of the urban and landscape structure can help to better use the potential of individual settlements and their parts.
Disaster risk management: management framework and technical process of settling disaster damage claims
Authors: Păvălașcu Narcis , Gabor Manuela Rozalia
Published: April 2021

Risk assessments are performed at multiple scales, from the global level to the community levels. These levels have their own spatial data objectives and requirements for hazard inventories, environmental data, triggers or causal factors and risk elements. The new catastrophic risk management systems include multiple approaches: i.e. vulnerability related approach, indicator-driven approaches, multiple risk approaches and spatial risk visualization. Multi-risk assessment is a complicated procedure that requires spatial data on several different aspects and a multidisciplinary approach. This paper provides an overview of the catastrophic risk management framework and the technical process for settling claims.
The Psychological Contract for Healthcare Workers
Authors: Grama Blanca
Published: April 2021

Healthcare workers are more vulnerable to burnout due to the fact that they often face stressful situations that involve high levels of risk and emotional involvement, especially if they are exacerbated by patients they provide care to. The activity in the medical field is not only physically demanding, but also socio-emotional, being necessary a better understanding of the socio-emotional aspects present in the employment relationship. The health sector is facing continuous changes and reforms, periods of uncertainty when the fulfilment of the psychological contract is less probable. We propose the description of a relational model between the psychological contract with work engagement, burnout, organizational support and the intention to leave the organization for the medical staff. The results show that organizational support influences work-related outcomes and emphasizes the importance of examining organizational contexts, such as contract status, to understand the influence of support on work involvement and burnout.
Acute Mastoiditis - Beginning of COVID-19 Infection - Case Report
Authors: Chialda Mihaela
Published: April 2021

Particular onset of Sars-Cov-2 infection, by acute mastoiditis without symptoms specific to the case definition. Mastoiditis is part of inflammatory diseases of the middle ear and is important because of its frequency and life-threatening complications due to the close relationship between the middle ear and the cranial cavity. An acute middle ear inflammation may follow a serious course even if the tympanic membrane does not perforate. In the pathogenesis of acute suppurations of the middle ear, the Eustachian tube plays a major role in the appearance of inflammation and the development of the disease. The most common germ can be - a virus whose initial effect is congestion of mucosa and reduce resistance to biological defence by promoting rapid superinfection with Hemophilus Pneumococcus, Staphylococcus, and others. Sars-Cov-2 infection begins with respiratory phenomena and clinical and biological inflammatory syndrome. This article presents a case of Sars-Cov-2 infection with atypical onset of acute mastoiditis. The clinical importance lies in the fact that the virus can migrate from the nose and nasopharynx through its Eustachian tube into the middle ear and from here to the mastoid. The presence of the virus in the middle ear is almost constant even if the patient is asymptomatic. This requires precautions in all surgical maneuvers at this level in patients with Sars-Cov-2 infection.
Carpal Tunnel Syndrome Versus Vascular Access Induced Hand Ischaemia
Authors: Helgiu Alina
Published: April 2021

Hand pain is a common complaint in the hemodialysis patient on arteriovenous fistula. The problem is related to its etiology: nervous or vascular, which requires different therapeutic solutions. Ischaemic etiology involves a deviation of the distal flow in the anastomosed vein, with the decrease of the distal flow and the installation of distal ischaemia. Nerve etiology involves compression of the median nerve in the carpal tunnel. The purpose of the paper is to present a case study of diagnosis and treatment of median nerve compression in hemodialysis patient.
The Influence of Risk Factors on the Choice of Therapeutic Method in Peripheral Arterial Disease
Authors: Stoia Oana , Maniţiu Ioan , Bitea Ioan , Eminovici Gabriela , Teodoru Minodora
Published: April 2021

Peripheral arterial disease (PAD) is characterized by obstruction in the lower limbs, mainly due to atherosclerosis. The prevalence of the pathology in people under 40 years of age is 6% and 15-20% in the population over 65 years old.(1,2) Approximately 50% of the affected persons are, at the time of examination, asymptomatic.(3) The most important risk factors associated with this condition are smoking, diabetes mellitus (DM), high cholesterol and high blood pressure (HBP). The current study shows that, regardless of the association of risk factors or pre-hospital treatment, these patients do not benefit from a certain type of treatment (drug or interventional), which corresponds to the existing data in the literature, which do not document the choice of type of treatment depending on the patient’s age or comorbidities.
Clopidogrel and Ticagrelor Do Not Influence Platelet Indices After Percutaneous Coronary Intervention
Authors: Șuş Ioana , Hadadi Laszlo , Somkereki Cristina , Dobreanu Dan
Published: April 2021

Platelet indices have been linked to the severity and prognosis of coronary artery disease, but a very small number of studies assessed them under dual antiplatelet therapy after percutaneous coronary intervention (PCI). The aim of this study was to evaluate changes in mean platelet volume (MPV), platelet distribution width (PDW) and platelet-large cell ratio (P-LCR) in these patients. A number of 437 patients with stable coronary artery disease, 131 patients with non ST segment elevation acute coronary syndrome and 151 patients with ST segment elevation myocardial infarction were included in the study. There was no difference between the three groups regarding platelet indices prior to PCI. Follow-up data was available for 181 patients, at a mean follow-up time of 69 (46-98) days. MPV, PDW and PLC-R were similar to those prior to PCI in all three groups. Regarding the P2Y12 inhibitor, clopidogrel or ticagrelor, there was no difference at follow-up between platelet indices irrespective of the indication for PCI.
Preoperative Considerations in Order to Resume Elective Surgery During COVID-19 Pandemic
Authors: Vintilă Bogdan I. , Bereanu Alina Simona , Codru Ioana R. , Sava Mihai
Published: April 2021

The alarming spread of the novel Coronavirus necessitated the cessation of elective therapeutic procedures in most health-care facilities. This strategy has limited the spread of the virus, but with a huge socio-economic impact. For this reason, the resumption of elective surgery in the context of the coronavirus pandemic is a difficult, but necessary process. Addressing this delicate situation requires interdisciplinary collaboration, so as to ensure high quality medical care for all patients, with consideration to protection of the staff involved in the care of the surgical patient.