bluuebunny/crossref_metadata_2025 huggingface dataset:
Tuberculosis Screening for People With Chronic Conditions
Authors: Brett Kendra , Severn Melissa
Published: September 2021

Five guidelines were identified that provide recommendations about screening for tuberculosis in people with chronic conditions. These guidelines cover populations with HIV, psoriasis vulgaris, solid organ and stem transplants, chronic inflammation, and compromised immune systems.

Three guidelines recommend regularly screening for latent and active tuberculosis in people diagnosed with HIV or those taking medication that suppresses their immune system.

One guideline for patients with psoriasis recommends using interferon-gamma release assay and a chest X-ray to rule out tuberculosis infection before immunosuppressant treatment is initiated and during treatment.

Two guidelines recommend using both the interferon-gamma release assay and the tuberculin skin test at the same time to screen for latent tuberculosis infection in people with HIV, people with or who need an organ or stem cell transplant, and in people taking medication that suppresses their immune system.

One guideline for people living with HIV recommends using a rapid nucleic acid amplification test to confirm clinical suspicions of active tuberculosis in these patients.
TINGKAT PENGETAHUAN IBU HAMIL TRIMESTER III TENTANG PERDARAHAN PERSALINAN KALA IV DI KLINIK ROMANA TAHUN 2021
Authors: BrSitepu Aprilita , Sitorus Trymei
Published: September 2021

Perdarahan persalinan kala IV ialah perdarahan yang jumlahnya  500 ml yang dimana terjadi setelah bayi lahir pervaginam sampai 2 jam. Tujuan penelitian ini untuk mengidentifikasi Tingkat Pengetahuan Ibu Hamil Trimester III Tentang Perdarahan Persalinan Kala IV berdasarkan umur, paritas, pendidikan, pekerjaan. Penilitian ini bersifat deskriptf dengan populasi 30 dan sampel 20 Ibu Hamil Trimester III. Pengukuran tingkat pengetahuan menggunakan kuesioner dengan dengan teknik Accidental Sampling. Analisis data Univariat dengan menghitung presentase. Didapatkan dari hasil penelitian bahwa Tingkat Pengetahuan Ibu Hamil Trimester III paling banyak dalam kategori cukup yaitu 10 orang (50%), sedangkan paling sedikit berpengetahuan kurang yaitu 3 orang (15%). Berdasarkan umur sebagian besar responden berpengetahuan cukup berumur 20-35 tahun sebanyak 18 orang (90%) dan sebagian kecil responden berumur <20 dan >35 tahun yaitu masing-masing 1 orang (5%). Berdasarkan paritas mayoritas responden berpengetahuan cukup yaitu multipara 11 orang (55%) dan minoritas berpengetahuan cukup yaitu primipara 4 orang  (20%). Berdasarkan pendidikan mayoritas responden berpengetahuan cukup adalah SMA yaitu 12 orang (60%), dan minoritas responden berpengetahuan cukup adalah Diploma dan Sarjana yaitu masing-masing 4 orang (20%). Berdasarkan pekerjaan mayoritas responden berpengetahuan cukup adalah tidak bekerja yaitu 11 orang (55%), dan minoritas responden berpengetahuan cukup adalah yang bekerja yaitu 9 orang (45%).
Changes of Anthropogenic Precursor Emissions Drive Shifts of Ozone Seasonal Cycle throughout Northern Midlatitude Troposphere
Authors: Bowman Henry , Turnock Steven , Bauer Susanne E. , Tsigaridis Kostas , Deushi Makoto , Oshima Naga , O'Connor Fiona M. , Horowitz Larry , Wu Tongwen , Zhang Jie , Parrish David D.
Published: September 2021

Abstract. Simulations by six CMIP6 Earth System Models indicate that the seasonal cycle of baseline tropospheric ozone at northern midlatitudes has been shifting since the mid-20th Century. Beginning in ~ 1940 the seasonal cycle increased in amplitude by ~ 10 ppb (measured from seasonal minimum to maximum), and the seasonal maximum shifted to later in the year by about 3 weeks. This shift maximized in the mid-1980s, followed by a reversal – the seasonal cycle decreased in amplitude and the maximum shifted back to earlier in the year. Similar changes are seen in measurements collected from the 1970s to the present. The timing of the seasonal cycle changes is generally concurrent with the rise and fall of anthropogenic emissions that followed industrialization and subsequent implementation of air quality emission controls. We quantitatively compare the temporal changes of the ozone seasonal cycle at sites in both Europe and North America with the temporal changes of ozone precursor emissions across the northern midlatitudes and find a high degree of similarity between these two temporal patterns. We hypothesize that changing precursor emissions are responsible for the shift in the ozone seasonal cycle, and suggest the mechanism by which changing emissions drive the changing seasonal cycle: increasing emissions of NOX allow summertime photochemical production of ozone to become more important than ozone transported from the stratosphere and increasing VOCs lead to progressively greater photochemical ozone production in the summer months, thereby increasing the amplitude of the seasonal ozone cycle. Decreasing emissions of both precursor classes then reverse these changes. The quantitative parameter values that characterize the seasonal shifts provide useful benchmarks for evaluating model simulations, both against observations and between models.
The role of emission reductions and the meteorological situation for air quality improvements during the COVID-19 lockdown period in central Europe
Authors: Matthias Volker , Quante Markus , Arndt Jan A. , Badeke Ronny , Fink Lea , Petrik Ronny , Feldner Josefine , Schwarzkopf Daniel , Link Eliza-Maria , Ramacher Martin O. P. , Wedemann Ralf
Published: September 2021

Abstract. The lockdown measures taken to prevent a rapid spreading
of the coronavirus in Europe in spring 2020 led to large emission
reductions, particularly in road traffic and aviation. Atmospheric
concentrations of NO2 and PM2.5 were mostly reduced when
compared to observations taken for the same time period in previous years;
however, concentration reductions may not only be caused by emission
reductions but also by specific weather situations. In order to identify the role of emission reductions and the meteorological
situation for air quality improvements in central Europe, the meteorology
chemistry transport model system COSMO-CLM/CMAQ was applied to Europe for
the period 1 January to 30 June 2020. Emission data for 2020 were
extrapolated from most recent reported emission data, and lockdown adjustment
factors were computed from reported activity data changes, e.g. Google
mobility reports. Meteorological factors were investigated through
additional simulations with meteorological data from previous years. The results showed that lockdown effects varied significantly among
countries and were most prominent for NO2 concentrations in urban areas with 2-week-average reductions up to 55 % in the second half of March. Ozone concentrations were less strongly influenced (up to ±15 %) and
showed both increasing and decreasing concentrations due to lockdown
measures. This depended strongly on the meteorological situation and on the
NOx / VOC emission ratio. PM2.5 revealed 2 %–12 % reductions of 2-week-average concentrations in March and April, which is much less than
a different weather situation could cause. Unusually low PM2.5
concentrations as observed in northern central Europe were only marginally
caused by lockdown effects. The lockdown can be seen as a big experiment about air quality improvements
that can be achieved through drastic traffic emission reductions. From this
investigation, it can be concluded that NO2 concentrations can be
largely reduced, but effects on annual average values are small when the
measures last only a few weeks. Secondary pollutants like ozone and
PM2.5 depend more strongly on weather conditions and show a limited
response to emission changes in single sectors.
Modelling forest ruin due to climate hazards
Authors: Yiou Pascal , Viovy Nicolas
Published: September 2021

Abstract. Estimating the risk of forest collapse due to extreme climate events is one of the challenges of adapting to climate change. We adapt a concept from ruin theory, which is widely used in econometrics and the insurance industry, to design a growth–ruin model for trees which accounts for climate hazards that can jeopardize tree growth. This model is an elaboration of a classical Cramer–Lundberg ruin model that is used in the insurance industry. The model accounts for the interactions between physiological parameters of trees and the occurrence of climate hazards. The physiological parameters describe interannual growth rates and how trees react to hazards. The hazard parameters describe the probability distributions of the occurrence and intensity of climate events. We focus on a drought–heatwave hazard. The goal of the paper is to determine the dependence of the forest ruin and average growth probability distributions on physiological and hazard parameters.
Using extensive Monte Carlo experiments, we show the existence of a threshold in the frequency of hazards beyond which forest ruin becomes certain to occur within a centennial horizon. We also detect a small effect of the strategies used to cope with hazards. This paper is a proof of concept for the quantification of forest collapse under climate change.
Impact of bioenergy crops expansion on climate-carbon cycle feedbacks in overshoot scenarios
Authors: Melnikova Irina , Boucher Olivier , Cadule Patricia , Tanaka Katsumasa , Gasser Thomas , Hajima Tomohiro , Quilcaille Yann , Shiogama Hideo , Séférian Roland , Tachiiri Kaoru , Vuichard Nicolas , Yokohata Tokuta , Ciais Philippe
Published: September 2021

Abstract. Stringent mitigation pathways frame the deployment of second-generation bioenergy crops combined with Carbon Capture and Storage (CCS) to generate negative CO2 emissions. This Bioenergy with CCS (BECCS) technology facilitates the achievement of the long-term temperature goal of the Paris Agreement. Here, we use five state-of-the-art Earth System models (ESMs) to explore the consequences of large-scale BECCS deployment on the carbon cycle and carbon-climate feedback under the CMIP6 SSP5-3.4-OS overshoot scenario, keeping in mind that all these models use generic crop vegetation to simulate BECCS crops. We show that an extensive cropland expansion for BECCS causes ecosystem carbon loss that drives the acceleration of carbon turnover and affects the estimates of the absolute values of the global carbon-concentration β and carbon-climate γ feedback parameters. Both parameters decrease so that global β becomes less positive, and γ – more negative. Over the 2000–2100 period, the land-use change (LUC) for BECCS leads to an offset of the β-driven carbon uptake by 12.2 % and amplifies the γ-driven carbon loss by 14.6 %. A human choice on land area allocation for energy crops should take into account not only the potential amount of the bioenergy yield but also the LUC emissions, and the associated loss of future potential change in the carbon uptake via the β and γ feedbacks. The dependency of the estimates of β and γ on LUC is very strong after the middle of the 21st century in the SSP5-3.4-OS scenario but it also affects other SSP scenarios and should be taken into account by the integrated assessment modelling teams and accounted for in mitigation policies so as to limit the reductions of the CO2 fertilization effect where BECCS or land use expansion of short vegetation is applied.
Spatially distributed impacts of climate change and groundwater demand on the water resources in a wadi system
Authors: Mahmoodi Nariman , Kiesel Jens , Wagner Paul D. , Fohrer Nicola
Published: September 2021

Abstract. Understanding current and possible future alterations of
water resources under climate change and increased water demand allows for
better water and environmental management decisions in arid regions. This
study aims at analyzing the impact of groundwater demand and climate change
on groundwater sustainability and hydrologic regime alterations in a wadi
system in central Iran. A hydrologic model is used to assess streamflow and
groundwater recharge of the Halilrood Basin on a daily time step under five
different scenarios over the baseline period (1979–2009) and for two future
scenario periods (near future: 2030–2059 and far future: 2070–2099). The
Indicators of Hydrologic Alteration (IHA) with a set of 32 parameters are
used in conjunction with the Range of Variability Approach (RVA) to evaluate
hydrologic regime change in the river. The results show that groundwater
recharge is expected to decrease and is not able to fulfill the increasing
water demand in the far future scenario. The Halilrood River will undergo
low and moderate streamflow alteration under both stressors during the near
future as RVA alteration is classified as “high” for only three
indicators, whereas stronger alteration is expected in the far future, with
11 indicators in the high range. Absolute changes in hydrologic
indicators are stronger when both climate change and groundwater demand are
considered in the far future simulations, since 27 indicators show
significant changes, and the RVA shows high and moderate levels of changes for 18
indicators. Considering the evaluated RVA changes, future impacts on the
freshwater ecosystems in the Halilrood Basin will be severe. The developed
approach can be transferred to other wadi regions for a
spatially distributed assessment of water resources sustainability.
Soil bacterial community triggered by organic matter inputs supports a high-yielding pear production
Authors: Wang Li , Ye Xiaomei , Hu Hangwei , Du Jing , Xi Yonglan , Shen Zongzhuan , Lin Jing , Chen Deli
Published: September 2021

Abstract. The roles of microorganisms in enhancing crop production have been demonstrated for a range of cropping systems. Most studies to date, however, have been confined to a limited number of locations, making it difficult to identify general soil biotic and abiotic characteristics underpinning the yield-promotion across various locations. This knowledge gap limits our capacity to harness soil microbiome to improve crop production. Here we used high-throughput amplicon sequencing to investigate the common features of bacterial community composition, ecological networks and physicochemical properties in six yield-invigorating and adjacent yield-debilitating orchards. We found that yield-invigorating soils exhibited higher contents of organic matter than yield-debilitating soils and harboured unique bacterial communities. Greater alpha diversity and higher relative abundances of Planctomycetes and Chloroflexi were observed in yield-debilitating soils. Co-occurrence network analysis revealed that yield-invigorating soils displayed a greater number of meta-modules and a higher proportion of negative links to positive links. Chloroflexi was recognized as a keystone taxon in manipulating the interaction of bacterial communities in yield-invigorating soils. Structural equation modelling showed that soil organic matter, beta diversity of bacterial community, and network connector (Chloroflexi) were key factors supporting high-yield pear production. Altogether, we provide evidence that yield-invigorating soils across a range of locations appear to share common features, including accumulation of soil organic matter, higher microbial diversity, enrichment of key taxa like Chloroflexi, and maintaining a competitive network. These findings have implications for science-based guidance for sustainable food production.
Spectral Induced Polarization imaging to investigate an ice-rich mountain permafrost site in Switzerland
Authors: Maierhofer Theresa , Hauck Christian , Hilbich Christin , Kemna Andreas , Flores-Orozco Adrián
Published: September 2021

Abstract. Spectral induced polarization (SIP) measurements were collected at the Lapires talus slope, a long-term permafrost monitoring site located in the Western Swiss Alps, to assess the potential of the frequency dependence (within the frequency range of 0.1–225 Hz) of the electrical polarization response of frozen rocks for an improved permafrost characterization. The aim of our investigation was to (a) find a field protocol that provides SIP imaging data sets less affected by electromagnetic coupling and easy to deploy in rough terrains, (b) cover the spatial extent of the local permafrost distribution, and (c) evaluate the potential of the spectral data to discriminate between different substrates and spatial variations in the volumetric ice content within the talus slope. To qualitatively assess data uncertainty, we analyze the misfit between normal and reciprocal (N&R) measurements collected for all profiles and frequencies. A comparison between different cable setups reveals the lowest N&R misfits for coaxial cables and the possibility to collect high-quality SIP data in the range between 0.1–75 Hz. We observe an overall smaller spatial extent of the ice-rich permafrost body compared to its assumed distribution from previous studies. Our results further suggest that SIP data help to improve the discrimination between ice-rich permafrost and unfrozen bedrock in ambiguous cases based on their characteristic spectral behavior, with ice-rich areas showing a stronger polarization towards higher frequencies in agreement with the well-known spectral response of ice.
Evolution of the Amundsen Sea Polynya, Antarctica, 2016–2021
Authors: Macdonald Grant J. , Ackley Stephen F. , Mestas-Nuñez Alberto M.
Published: September 2021

Abstract. Polynyas are key sites of ice production during the winter and are important sites of biological activity and carbon sequestration during the summer. The Amundsen Sea Polynya (ASP) is the fourth largest Antarctic polynya, has recorded the highest primary productivity and lies in an embayment of key oceanographic significance. However, knowledge of its dynamics, and of sub-annual variations in its area and ice production, is limited. In this study we primarily utilize Sentinel-1 SAR imagery, sea ice concentration products and climate reanalysis data, along with bathymetric data, to analyze the ASP over the period November 2016–March 2021. Specifically, we analyze (i) qualitative changes in the ASP's characteristics and dynamics, and quantitative changes in (ii) summer polynya area, (iii) winter polynya area and ice production. From our analysis of SAR imagery we find that ice produced by the ASP becomes stuck in the vicinity of the polynya and sometimes flows back into the polynya, contributing to its closure and limiting further ice production. The polynya forms westward off a persistent chain of grounded icebergs that are located at the site of a bathymetric high. Grounded icebergs also influence the outflow of ice and facilitate the formation of a 'secondary polynya' at times. Additionally, unlike some polynyas, ice produced by the polynya flows westward after formation, along the coast and into the neighboring sea sector. During the summer and early winter, broader regional sea ice conditions can play an important role in the polynya. The polynya opens in all summers, but record-low sea ice conditions in 2016/17 cause it to become part of the open ocean. During the winter, an average of 78 % of ice production occurs in April–May and September–October, but large polynya events often associated with high winds can cause ice production throughout the winter. While passive microwave data or daily sea ice concentration products remain key for analyzing variations in polynya area and ice production, we find that the ability to directly observe and qualitatively analyze the polynya at a high temporal and spatial resolution with Sentinel-1 imagery provides important insights about the behavior of the polynya that are not possible with those datasets.
Circumglobal Rossby wave patterns during boreal winter highlighted by wavenumber/phase speed spectral analysis
Authors: Riboldi Jacopo , Rousi Efi , D'Andrea Fabio , Rivière Gwendal , Lott François
Published: September 2021

Abstract. The classic partitioning between slow-moving, low-wavenumber planetary waves and fast-moving, high-wavenumber synoptic waves is systematically extended by means of a wavenumber/phase speed spectral decomposition to characterize the day-to-day evolution of Rossby wave activity in the upper troposphere. This technique is employed to study the origin and the propagation of circumglobal Rossby wave patterns (CRWPs), amplified Rossby waves stretching across the Northern Hemisphere in the zonal direction and characterized by few, dominant wavenumbers. Principal component analysis of daily anomalies in spectral power allows for two CRWPs to emerge as dominant variability modes in the spectral domain during boreal winter. These modes correspond to the baroclinic propagation of amplified Rossby waves from the Pacific to the Atlantic storm track in a hemispheric flow configuration displaying enhanced meridional gradients of geopotential height over midlatitudes. The first CRWP is forced by tropical convection anomalies over the Indian Ocean and features the propagation of amplified Rossby wave packets over northern midlatitudes, while the second one propagates rapidly over latitudes between 35° N and 55° N and appears to have extratropical origin. Propagation of Rossby waves from the Atlantic eddy-driven jet to the African subtropical jet occurs for both CRWPs following anticyclonic wave breaking.
RISCO DE LESÕES POR PRESSÃO EM IDOSOS NO DOMICÍLIO
Authors: Vanderley Isabel Cristina Sibalde , Nascimento Bárbara Angélica Bispo Fernandes do , Morais Laís Campelo de , Souza Camilla Valeriano Cazuza de , Santos Glacineide Cecília dos , Moraes Germanna Yamina Ribeiro de Sousa , Ehrhardt Sandra Brotto Furtado
Published: September 2021

Objetivo: analisar os fatores associados ao risco de desenvolvimento de Lesões por Pressão nos idosos atendidos pelo Serviço de Atenção Domiciliar. Método: trata-se de um estudo quantitativo, descritivo, do tipo transversal realizado no Serviço de Atenção Domiciliar com pessoas maiores de 60 anos. Realizou-se a coleta dos dados por meio de questionário sociodemográfico e clínico semiestruturado e Escala de Braden. Analisou-se os dados a partir do Teste Exato de Fisher e a Razão de Verossimilhança com nível de significância de 5%. Resultados: observou-se associações entre risco de desenvolvimento de lesão por pressão e a escolaridade (p=0,001), renda (p=0,024), idosos acamados (p<0,001), portadores de Síndrome de Imobilidade (p<0,001), diagnóstico de úlcera vascular (p<0,001), Acidente Vascular Encefálico (p=0,009) e Demência (p<0,001). Conclusão: evidenciou-se que diferentes fatores interferem no risco de desenvolvimento de lesão por pressão nos idosos, sobretudo como resultado de fatores individuais e sociais.
AVALIAÇÃO DE PUBLICAÇÕES SOBRE PARTO E NASCIMENTO NO FACEBOOK
Authors: Lima Tamyris Ana Lyana Pereira Oliveira , Santos Lydia Vieira Freitas dos , Oliveira Isabelly Gomes de , Lima Vanessa Kelly Da Silva , Sousa Leilane Barbosa de
Published: September 2021

Objetivo : avaliar criticamente conteúdos de publicações sobre nascimento e nascimento em páginas sobre o assunto na rede social facebook®.  Método : estudo quantitativo, descritivo, realizado no Brasil entre os meses de março e abril de 2019. Foram publicadas oito páginas e selecionadas como cinco publicações recentes sobre nascimento e nascimento, analisadas criticamente de acordo com o instrumento que buscou verificar as estatísticas de seleção na escolha do tipo de parto, uma concordância com a literatura dos conteúdos das publicações; os tipos de publicações, período das postagens e localização dos criadores das páginas; e como repercussões das publicações. Esses dados foram tabulados usando o Microsoft Excel® 2016. Resultados :das 40 publicações, apenas três não apresentadas que pudessem indicar um tipo de partição específica, 28 infladas sobre a partição normal, dez apresentadas embasamento científico e 34 estavam de acordo com a literatura. Conclusão : a maioria das publicações estava em concordância com a literatura e, quanto às repercussões, apesar do grande número de curtidas e compartilhadas, com poucos comentários. Essas informações podem ser usadas na construção de um estreitamento de relações entre a tecnologia e a saúde, para tornar o facebook® um aliado na promoção da saúde.
POSICIONAMENTO DE PACIENTES ORTOPÉDICOS SEGUNDO A NURSING OUTCOMES CLASSIFICATION
Authors: Silva Marcos Barragan da , Silva Mariana Palma da , Engelman Bruna , Figueiredo Manoela Schmarczek , Almeida Miriam De Abreu
Published: September 2021

Objetivo: avaliar o posicionamento de pacientes ortopédicos segundo a Nursing Outcomes Classification. Método: trata-se de um estudo quantitativo, descritivo, longitudinal, realizado em um hospital brasileiro, com 20 pacientes ortopédicos, submetidos à artroplastia total de quadril, que foram acompanhados por até quatro dias de pós-operatório. Realizou-se a avaliação de quatro indicadores do resultado Nursing Outcomes Classification - Posicionamento do Corpo: autoiniciado (0203) por meio da escala Likert de cinco pontos e, para a análise, foram empregados os testes t de Student, Equações Estimativas Generalizadas e Post Hoc de Bonferroni. Resultados: realizaram-se 76 avaliações e a média do resultado Posicionamento do Corpo: autoiniciado (0203), na primeira avaliação, foi de 2.01±0.25 pontos (Muito comprometido). Alcançou-se, na última, por este resultado, média de 4.73±0.08(Levemente comprometido), p<0.001. Conclusão: demonstrou-se uma melhora progressiva no posicionamento de pacientes ortopédicos. Acredita-se que a NOC é uma ferramenta clinicamente útil para a avaliação dos resultados do paciente durante a implementação do Processo de Enfermagem na prática clínica.
SAÚDE DO HOMEM E DETERMINANTES SOCIAIS NA SAÚDE COLETIVA
Authors: Palmeira de Morais Jessica Lorena , Rosenstock Karelline Izaltemberg Vasconcelos , Maia Catarina Maria Andrade Figueiredo Guimarães , Santana Jancelice Dos Santos
Published: September 2021

Objetivo: verificar a produção científica online acerca da atenção à saúde do homem sob a luz da reflexão de seus determinantes sociais no âmbito da Saúde Coletiva. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa de abordagem qualitativa, descritiva e exploratória realizada na Biblioteca Virtual em Saúde (BVS) e o Google Acadêmico, com recorte temporal de 2005 a 2019, desenvolvido entre janeiro e maio de 2019. Analisaram-se os estudos em seis fases e apresentados em forma de figuras e sínteses. Resultados: constatou-se que os determinantes sociais são, em grande parte, responsáveis pela iniquidade ao acesso nos serviços de saúde. O homem tem dificuldade em reconhecer suas necessidades voltadas para saúde, mascarando suas fragilidades e por considerarem que o cuidado não é uma prática masculina, não considerando a prevenção da saúde como um critério predominante em suas vidas. Considerações finais: observou-se a necessidade de que os homens reflitam sobre a masculinidade para compreensão dos comprometimentos de sua saúde.
Molecular Epidemiology and Clinical Risk Factors of Rotavirus Diarrhea: Single Center 5-Year Experience
Authors: Soydan Ekin , Çağla İlknur , Düzgol Mine , Apa Hurşit , Devrim İlker , Bayram Nuri
Published: September 2021

Objective: Acute gastroenteritis due to the rotavirus is one of the common causes of morbidity and mortality in children under five years of age. The objective of this study was to evaluate the epidemiological, clinical, and laboratory data of rotavirus diarrhea in hospitalized children under five years of age. Methods: All children between one month and 60 months old ages who were hospitalized in Health Sciences University Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital during September 2013 to August 2017 and diagnosed as acute gastroenteritis with rotavirus antigen test positive in feces were included in the current study. Data of the patients were collected retrospectively from medical records. Results: A total of 100 patients were evaluated.The median age of the patients was 13 months (IQR 5-45 months) and 54 patients were male and 46 were female.The highest hospitalization rate was in December, followed by November, and in October. The most common type of G9P (8) serotype was detected in rotavirus serotype analysis by PCR. Breastfeeding infants had milder clinic findings in comparison to the older ones. It was found that clinical findings were milder and Vesicari score was lower in infants who had breast milk. Vesikari score was found to be high in children with severe clinical findings. Conclusion: Rotavirus infection is important for all ages.In case of fever, increased numbers of vomiting and diarrhea, and higher Vesikari system scores may be associated with the severe clinical forms. Determination of rotavirus serotypes and clinical monitoring of genotypic changes are required.
The Effects of Low FODMAP Diet on the Quality of Life and Gastrointestinal Symptoms in Children with Irritable Bowel Syndrome. A Pilot Study
Authors: Altınok Ecem İpek , Ömür Ecevit Çiğdem , Akişin Zeynep , Ata Teneler Aslı , Bağ Özlem
Published: September 2021

Objective: Irritable bowel syndrome is a disease that negatively affects life. Recently, diet therapies have been emphasized. Our study, the aim was to investigate the effect of low FODMAP (fermented oligo-, di-, monosaccharide and polyols) diet on the frequency of gastrointestinal symptoms and the effects on quality of life in patients with IBS. Method: 18 children aged between 7-18 years, who were diagnosed with IBS, followed by University of Health Sciences Izmir Dr. Behçet Uz Children’s Diseases and Surgery Training and Research Hospital the Child Gastroenterology, Hepatology and Nutrition Clinic were included in the study. The appropriate KINDL scale was applied at the time of application and 2 weeks after the end of the low FODMAP diet. GIS symptoms of the week 0 and 6 KINDL results were compared. KINDL scale was applied to the families before and after dieting and the results were compared. Results: The study was completed with 10 patients. The most common symptom was abdominal pain and it was present in all patients. All symptoms were found to decrease after diet but it was not significant. There was a significant increases in emotional well-being, family divisions and total KINDL results at the 6th week of diet in the children In parent KINDL scales, the results were not considered significant. Conclusion: Despite there was a decrease in GIS related complaints and increase in quality of life in IBS patients who underwent low FODMAP diet, it has been found appropriate to continue the study with larger patient groups for longer follow-up periods.
A New Experimental Allergic Rhinitis Model in Mice
Authors: Köse Şükran , Tatlı Kış Tuba , Diniz Gülden , Akbulut İlkay , Göl Serin Başak , Yılmaz Canberk , Özyazıcı Mine , Arıcı Mesut , Yurdasiper Aysu , Yılmaz Osman
Published: September 2021

Objective: Allergic rhinitis (AR) is an inflammatory disease of the nasal mucosa mediated by IgE after exposure to an allergen. The most well known related comorbidity of AR is asthma. This study was planned due to the need for an animal model for studies on AR-asthma coexistence. In this study, the frequency of AR accompanying in the asthma model created in mice,and the usability of the related model in AR studies will be investigated. Methods: In our study, 6-8 week-old, 18-20 g BALB/c mice were used. Chicken egg ovalbumin (OVA Grade V, Sigma) was administered through intraperitoneal (IP) route at doses of 10 μg on days 0 and 14. Mice were exposed to aerosolized 2.5% ovalbumin solution in sterile saline for 30 minutes 3 days a week for 8 weeks, starting 7 days after the last IP administration (21st day). After exposure to OVA, mice were observed for typical signs of AR including sneezing, runny nose, and nasal itching. The final diagnosis of AR was made by histopathological examination of the rhinotracheal tissues of mice. Results: In our study, all mice exposed to ovalbumin received histopathologic diagnosis of AR. Increased number of capillaries lymphocytes, polymorphonuclear leukocytes and eosinophilsper square millimetre of rhinotracheal tissues were calculated in the murine model of AR compared to the the control group. Conclusion: This study introduced a new AR model, not cited in the literature, and induced with the longest-term ovalbumin exposure in the literature. It was concluded that this model, known as the asthma model, can also be used to induce an AR model and can be used in studies investigating coexistence of allergic rhinitis and asthma.
LEARNING MATERIAL DEVELOPMENT AS A COPING STRATEGY FOR MANAGING STUDENT STRESS DURING THE PANDEMIC
Authors:   Universitas Negeri Medan, Indonesia, Dew Rosmala , Dalimunthe Raudah Zaimah ,   Universitas Sultan Ageng Tirtayasa, Indonesia, Asiah  ,   Universitas Negeri Medan, Indonesia, Matondang Ishaq ,   Universitas Negeri Medan, Indonesia, Sianipar Evans Libra ,   Universitas Negeri Medan, Indonesia, Dalimunthe Muhammad Bukhori ,   Universitas Negeri Medan, Indonesia
Published: September 2021

The research problem is the lack of teaching materials as a coping strategy to manage student stress. This study aims to develop effective teaching materials as a coping strategy to manage stress using the Eduda (Education of Drug Adversity) application. A coping strategy is one of the seven life skills that are trained in the Eduda application. Teaching materials are designed and developed on the Eduda application. The research and development design uses the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model. Participants of 29 students who attend SMAN 17 Medan. Data collection techniques used questionnaires, in-depth interviews, and training. Coping strategy teaching materials have passed expert validity from the material and media aspects. After the teaching materials have been successfully developed, training in the use of teaching materials is carried out through the Eduda application. The results show that the teaching materials for coping strategies effectively manage stress in learning during the pandemic. The training achievement supports this finding; as many as 27 (93%) students have achieved excellent managing stress. The implications of this research impact learning modes that must be flexible in technological and pay attention to coping strategies to overcome the adverse effects of learning during a pandemic
DEVELOPING STUDENTS’ CREATIVITY THROUGH RESEARCH
Authors:   Tiraspol State University, Republic of Moldova, Morari Natalia
Published: September 2021

This paper analyzes the concept of creativity as a component part of the research activity, both having a universal character, applicable in all spheres of human activity. The creative process is carried out in 4 stages (preparation, incubation, lighting and evaluation), on the realization of which depends if the solution for the researched problem will be found. In the learning process, the student manifests himself at the level of productive creativity (one of the four types of creativity), which involves a process of creating useful things based on the skills and abilities acquired, although these things can be achieved at a low level of originality. The research conducted by students refers to new knowledge, experiences, life lessons, obtained independently, being argued theoretically (with the help of scientific studies) and practically (in the laboratory called "literary work"). Within the research activity, the 3 dimensions of the creative personality are developed: imagination, judgment, taste.
THE PROBLEM OF THE BANKRUPTCY CONCEPT DEFINITION IN THE CORPORATE SECTOR
Authors:   Technical University of Moldova, Muntean Neli , Muntean Iulian ,   Technical University of Moldova, Valuta Gabriela ,   Technical University of Moldova
Published: September 2021

The issue of the bankruptcy notion definition has a major importance in the context of the management practice and theory, internal planning and control of the company. The objectives of the article are to analyse the theoretical principles, highlight and systematize the most successful meanings and definitions related to the term of "bankruptcy", interpreting the economic content of such a category as "bankruptcy in the corporate sector". For this purpose, the method of analysis of the scientific literature was applied. The publications chosen as the research base were mainly selected from the Google Scholar and ResearchGate databases between 2016 and 2020. This study is one of the few researches that involves the analysis of the legal framework especially in the countries of the former Eastern bloc. The results show that the terms that are often used in the bankruptcy literature are: failure, insolvency and bankruptcy. These terms are sometimes used interchangeably, although formally each of them can be defined in a different way. At the same time, following the lexicographical analysis of the concept of bankruptcy in the sustainable development of a company, the authors proposed to visualize the correlation between bankruptcy, financial stability and sustainable development in the corporate sector.
INFLUENCE OF TECHNOLOGY ACCEPTANCE MODEL (TAM) ON CUSTOMER ADOPTION OF E-BANKING PRACTICE IN LAGOS STATE
Authors:   University of Lagos, Nigeria, Ladipo Patrick , Dixon-Ogbech Bolajoko ,   University of Lagos, Nigeria, Enyinnaya Nnenna ,   University of Lagos, Nigeria, Akeke Olushola ,   University of Lagos, Nigeria
Published: September 2021

This study was put together to examine the influence of TAM (Technology Acceptance Model) extension model on customer adoption of e-banking practice in Lagos state. Furthermore, to capture the extended model four (4) elements of innovation characteristics namely innovation relative advantage, innovation complexity, innovation compatibility and innovation information were added into original TAM model to determine their relationship with customer adoption. The study utilized descriptive research design and collected data through cross-sectional survey method. Validated questionnaires of four hundred copies were given to the needed respondents and the data collected were analyzed using both descriptive and inferential statistical tools. Results revealed a substantial relationship between the dimensions of TAM extension model and customer adoption. The study recommends that an innovation will do very well if the innovation is made to capture all the variables investigated in this study to ensure rapid diffusion/adoption of the innovation for the whole process to be successful.
TRAINING OF ENTREPRENEURIAL SKILLS FOR PERFORMANCE SPORTSMEN FOR THE DEVELOPMENT OF THE BUSINESS ENVIRONMENT IN THE REPUBLIC OF MOLDOVA (ASCERTAINING FRAMEWORK)
Authors:   State University of Physical Education and Sport, Republic of Moldova, Popa Ghenadie , Dorgan Viorel ,   State University of Physical Education and Sport, Republic of Moldova, Amelicichin Ecaterina ,   State University of Physical Education and Sport, Republic of Moldova
Published: September 2021

In order for the sports field to be in permanent development, it is considered particularly necessary to weaken a sports-professional continuity, which should reflect the manifestation of the volume of skills of performance athletes in the subsequent activity, after completing their career. They certainly know in detail the specifics of multi-annual training, strategies, technologies, training methodologies and, obviously, are considered the right people to become entrepreneurs in sports activities, thus promoting the field. This article describes some innovative ways that can be the basis for training entrepreneurial skills in performance athletes for business development in the Republic of Moldova. The study is focused on reporting the opinions of many specialists in the field, performance athletes, and obviously on the author's research, all aimed at establishing a special course of lessons in the reference discipline, which will provide the most eloquent information in the sense of high professional training to entrepreneurship.
UNPROFESSIONAL PHYSICAL EDUCATION OF PRIMARY SCHOOL TEACHERS AS PART OF THE COURSE "MOLDOVAN NATIONAL DYNAMIC GAMES"
Authors:   State University T.G. Shevchenko, Republic of Moldova, Samoliuc Olga
Published: September 2021

The article presents the results of the introduction into the process of unprofessional physical education of students, the profile "Primary education" of the "Moldavan national dynamic games" course. The program of the course included in addition to traditional practical classes also methodological, lecture, laboratory, seminary and independent classes. Methodist and practical classes were devoted to studying the method of holding Moldovan national dynamic games with children. The results of the experiment demonstrate the effectiveness of the program of the course and the method of applying Moldovan folk mobile games to form the following professional-applied competencies: knowledge of the theoretic and methodical bases on native dynamic games, the ability to organize and conduct game sessions at the proper level, the formation of a number of personal qualities necessary for the implementation of pedagogical support of the game process
EXPERIMENTAL STUDY ON THE MANIFESTATION OF CREATIVITY IN BEGINNER RUGBY (10-11 YEARS) THROUGH THE TORRANCE TEST
Authors:   State University of Physical Education and Sport, Republic of Moldova, Bulai Veaceslav
Published: September 2021

The phenomenon of globalization, increasing computerization, educational technologies, the volume of specific, scientific, technical and technological information are factors that generate the need for specialists who are able to creatively apply the achievements of scientific research in practical (sports) activities and therefore requires their adaptation to the requirements of modern society. The study of the manifestation of creativity in beginner rugby players (10-11 years old) has a special relevance for increasing the level of sports training of future performance athletes. The analysis of the literature reflects the fact that the differences in creativity are varied depending on the sport. In this context, the manifestation in creative rugby players of a creative behavior and its development through the application of synectic can be the subject of a separate research and effective practical recommendations.
THE METHODOLOGY OF APPLYING THE “DATA VOLLEY” PROGRAMME OF STATISTICAL ANALYSIS WITHIN VOLLEYBALL SPORTS COMPETITIONS
Authors:   ”Dunarea de Jos” University, Romania, Harabagiu Neculai
Published: September 2021

In volleyball as in other sports games, the statistical analysis of the competition is considered to be an important means of diagnosing performance in order to determine parameters for targeting the training process, ideas and strategies during competitions. In recent years, the volleyball game has become more and more dynamic, being characterized by the variety of game phases and the speed at which they alternate during competitions. As a result, the game has become increasingly difficult to follow, without having available new technological methods to help the coach track the multitude of game actions for each player or the entire team. At the international level, there are several performance evaluation methodologies, but in Romania, at senior level there are not many such methods of analysis and evaluation that give us complete and objective statistics on performance. At the moment, a very effective methodology from our point of view, which can be applied in the practice of volleyball, is the „Data Volley‟ statistical analysis. This program of evaluating performance is a very complex one and offers us many opportunities. Thus, in this paper, we propose the application of this statistical analysis software in the official competitions of the volleyball game, at senior level.
The effect of COVID-19 on Qatar and Italy stock exchanges
Authors:   Lebanese University, El Abiad Zouhour , Al Malak Mariam , Rifi Azzam
Published: September 2021

The aim of this research is to study the effect of Covid-19 on both Qatar and Italy stock exchanges between 2018 and 2020. Based on a sample derived from five different indexes from Qatar and Italy stock exchange (Banking index, Industrial index, Insurance index, Goods and Services index, Telecommunication index), the results reveal that Covid-19 has a negative effect on both stock exchange indexes. It is also revealed that Italy stock exchange was more volatile to changes caused by Covid-19 than Qatar stock exchange.
Hire the Best Available Candidate; but not Based Solely on “Cultural Fit”
Authors: Kalina Peter
Published: September 2021

The culture of an organization has a tremendous influence on outcomes. Culture drives strategy, operations, execution, and priorities. However, when it comes to hiring, culture is often prioritized over more objective criteria. There is a perceived need to make certain everyone hired “fits in.” Achieving workplace diversity begins with recruiting broadly. This paper describes why hiring focused predominantly on cultural fit is misguided and short-sighted. We describe why organizations should keep an open mind about what makes someone the “right” candidate, and why it behooves organizations to hire a few “square pegs.”
Los derechos económcos, sociales, culturales y ambientales
Authors: Barrantes Alexandra , Domínguez Montoya Álvaro , Bueno de Mesquita Judith , Motta Ferraz Octávio Luiz , Zúñiga Fajuri Alejandra , Casla Koldo , Valenzuela Verónica , Sugranyes Bickel Ana , Tapia Gómez Maricarmen , Henríquez R. Alfonso , Contreras Orrego Valentina , Silva Vicente , Dorsi Delphine , Delgado Schneider Verónica , Zapata Hassi Juan Francisco , Hervé Dominique , Cisterna Gaete Pedro , Costa Ezio
Published: September 2021

Este tomo profundiza en la importancia y las implicancias de incorporar los derechos económicos, sociales, culturales y ambientales dentro de la Constitución, para avanzar en la proposición de ciertos elementos esenciales que el proceso constituyente chileno debe tener en mente a lo largo de su desarrollo, siempre con cautela del carácter sistémico de las constituciones y la interdependencia de los derechos humanos. Adentrándose en derechos como la seguridad social, el trabajo, el estándar más alto de salud posible, la vivienda desde una perspectiva de un estándar de vida adecuado y la ciudad en el contexto de los DESCA, el tomo indaga en la utilización de nuevos instrumentos o enfoques para abordar el derecho a la educación, el derecho humano al agua y el saneamiento y el derecho a un medio ambiente sano, explorando incluso los aspectos de derechos humanos para hacer frente al cambio climático.
Educación, pandemia y TikTok
Authors: García-Hernández Carlos Eduardo
Published: September 2021

This paper examines the problem of how Gen Z students have had to violently migrate from an educational system within the classroom to one that only takes place online, involving such apps as TikTok that are now the main components of the academic processes. This paper also assesses the digital gap between students and teachers, who have had to adapt to these new circumstances in order to continue performing their didactic roles.