bluuebunny/crossref_metadata_2025 huggingface dataset:
Correlation of Clinical Presentations and Imaging Findings with Flow Dynamics in Carotid-Cavernous Fistula Patients at Dr. Hasan Sadikin Hospital, Bandung
Authors: Adam Achmad , Widjaya Ingrid Ayke
Published: July 2022

Background: Carotid cavernous fistulas (CCFs) have variable clinical presentation, imaging, and angiographic findings. The study aims to investigate the association of clinical presentations and radiological findings with flow dynamics from digital subtraction angiography (DSA) of CCFs patients.
Methods: CCF patients who underwent DSA at Dr. Hasan Sadikin general hospital from January 2017 – December 2019 were included in this study. Patient’s characteristics, clinical presentations, and imaging results were retrieved from the patient’s medical record and radiology database. Fractures, proptosis, extraocular muscle thickening, superior ophthalmic vein dilatation, cavernous hyperdense lesion, and infarct are expected to be identified from imaging results. DSA identified types of flow dynamic based on Barrow classification and venous drainage patterns. Numeric data were analyzed by using Mann Whitney test, while categorical data were analyzed with Fisher’s exact test.
Results: Twenty-eight patients were included in the study, with patients’ mean age was 30.5-year-old (range: 14- to 61-year-old), consisting of 19 males (67.9%) and 9 females (32.1%). In approximately 75% of the cases, the cause of CCF was a history of trauma. Patients with high flow CCFs were associated with the findings of cavernous sinus hyperdense and proptosis than patients with low flow. Patients who are presented with more than 1-year-long duration of symptoms were more likely to have more than 1 draining vein, compared to patients who are presented with < 1-year-long duration of symptoms.
Conclusions: History of trauma, longer duration of symptoms, and the presence of a hyperdense cavernous lesion on head CT scan results require further angiographic study prior to endovascular intervention.
Analysis of Reduce Waste Activity Across Generations in Medan City
Authors: Indirawati Sri Malem , Salmah Umi , Arde Lanova Dwi
Published: July 2022

BACKGROUND: The condition of solid waste in Medan City is very worrying. 37.3% of waste in Indonesia comes from household activities. The residents of Medan city produce 5,616 m3/day or 2,000 tons/day of waste, the increasing of waste reaches 2%-4% annually and was not transferred to landfill. This condition created problems for the environment both in terms of esthetics, as well as public health problems. The government has issued regulations to limit household waste and reduce and recycle household waste. Community participation is very much needed in the waste problem.

AIM: The research aim was to analyze reduced activity across the generations.

METHODS: This research was an descriptive survey and used cross-sectional design to measure reuse actions. The data were collected from three generations X, Y, and Z, it was 600 respondents as sample. This study was located in Medan City with 15 sub-districts. The techniques of data collection were using cluster sampling. The techniques of data collection was using cluster sampling. The questiontionare used in this study consist of waste management knowledge and reduce action questions. The type of data is numeric and data analyzed by ANOVA test.

RESULTS: The study shown characteristics of the sample by sex; 30.5% male, 69.5% female. The level of education in this study was 18.2% primary education, 71.5% secondary education, and 10.3% higher education. Meanwhile the characteristics by age was 26.8% Gen X, 32.4% Gen Y and 40.8% Gen Z. Amount 42.8% of the sample had taken the reduced action. Generation Z has the most dominant percentage (41%), followed by Generation Y (32.3%) and Generation X (26.8%). The result of analyze reduce action in across generations using ANOVA Test shown p = 0.001.

CONCLUSIONS: The reduced action was dominated by Generation Z (42.8%). The most frequent reduce action was the used of towels and old bed linen which are cut into small pieces to be used as rags and the lest was preferred to buy second-hand clothes instead of buying new clothes. There were differences in reduced actions between generations. Each generation is expected to have awareness and cooperation in reducing actions, especially Generation Z, which is an agent of change in reducing the volume of waste. The understanding of each generation toward waste management needs to be improved through health promotion.
Residents’ Perception of the Educational Program “Family Medicine” in Kazakhstan: A Focus Group Study
Authors: Koshmaganbetova Gulbakit , Zhamaliyeva Lazzat , Abenova Nurgul , Dilmagambetova Gaukhar , Zhylkybekova Aliya , Tanbetova Ziyash , Akhmetzhanova Moldir , Tautanova Aidana
Published: July 2022

Целью данного исследования было: восприятие обучения, мнение резидентов, обучающихся по программе «Семейная медицина», и определение потребности резидентов программы «Семейная медицина».   Методы . В этом качественном исследовании были проведены четыре полуторачасовых фокус-группы с 24 ординаторами, обучаемыми по программе резидентуры по семейной медицине Западно-Казахстанского университета, и результаты были проанализированы с использованием тематического анализа. Результаты. Анализ появления пяти тем и 14 вопросов подтем, которые были классифицированы по областям для обсуждения в фокус-группах: восприятие особенности ФМ, Мотивация доходов, Преимущества и внешний вид категории товаров, Жалобы и проблемы, пожелания по просмотру программ, идеальное значение имеют. Выводы. Это исследование выявления наличия жителей, которые ранее не учитывались в достаточной мере. Компетенции и содержание программы будут изменены в соответствии с назначением резидентов.
Anthropometric Kit Development for Stunted Early Detection among Children Under-two Years Old: Providing a Portable Body Length Measurer
Authors: Wigati Maria , Nurlita Aphrodite N. , Gunawan I Made A. , Hendarta Narendra Y. , Hasanbasri Mubasysyir , Helmyati Siti
Published: July 2022

BACKGROUND: One of the keys to stunting reduction, a condition of lower height or length compared to their age, is the measurement of children in the community. However, the infantometer as the gold standard is not accessible by all community health workers (CHWs). AIM: The aim is to develop a stunted early detection tool (SEDT) for Indonesian children under-two years old. MATERIALS AND METHODS: This qualitative study was conducted as the first phase of the development process and focused on the experts’ judgments of the prototype. Experts’ judgments were recorded qualitatively. There were five in-depth interviews with anthropometric, health promotion, and media design experts. Rogers’ Diffusion of Innovations Theory and thematic content analysis were used to analyze the relative advantages, compatibility, complexity, and observability. RESULTS: The prototype of the SEDT consists of two tools, including a length mat to measure children’s length and a circular disc that helps CHWs classify the nutritional status of the children according to length for age length-for-age Z-score. Most experts agreed that the SEDT is a good instrument for the early detection of stunting among children under 24 months. The tool is designed to be portable, child-friendly, compatible, and easy to use. Although its development has the potential to help CHWs fulfill their responsibilities, major changes were needed specifically to improve the tool’s stability and design. CONCLUSIONS: This analysis gives broad information about the SEDT’s potential as a SEDT considering its relative advantages, complexity, compatibility, and observability. Further research is important to validate potential users’ responses in a representative population.
How is the Elderly’s Capability to Use Smartphones in Banda Aceh
Authors: Nurhasanah Nurhasanah , Asmawita Hanifa , Khairani Khairani , Hadi Nurul , Nurhidayah Irfanita , Febriana Dara , Putra Ardia
Published: July 2022

BACKGROUND: Smartphone is one form of technology that is increasing that provides many benefits for the elderly such as the many applications adapted to improve the quality of life of the elderly; one of them is the existence of health applications.

AIM: The purpose of this study was to determine how the ability to use smartphones in the elderly in Banda Aceh, which includes the ability to use the basics of the software, communication, data and file storage, internet, calendar, entertainment, privacy, and security, and software troubleshooting and management.

MATERIALS AND METHODS: This study used a descriptive exploratory with a cross-sectional study design. The sampling technique is non-probability sampling using the snowball sampling method with as many as 400 older people. The research data were analyzed using descriptive statistics, namely, the distribution of frequencies and percentages.

RESULTS: The results of the research in the capable component contained the primary use of mobile devices (99.5%), entertainment (95.3%), and the internet (86.3%). While the part that respondent is less capable, there are privacy and security (94.5%), data and file storage (81.7%), communication (79.5%), calendar (59.7%), as well as troubleshooting and device management soft (50.5%).

CONCLUSION: From the study finding, it is expected that nursing services can improve the ability of the elderly in fulfilling the IADL. One of them is utilizing existing smartphone applications and providing nursing interventions for the elderly using smartphones.
Potential Protective Effect of Zingiber officinale in Comparison to Rosuvastatin on High-fat diet-induced Non-alcoholic Fatty Liver Disease in Rats
Authors: Ramadan Osama Ibrahim , Nasr Mohamed , El-Hay Osama M.M. Abd , Hasan Abdulkarim , Abd-Allah Ezz-Eldin E. , Mahmoud Mohammed E. , Abd-Allah Fatma M. , Abuamara Tamer M. M. , Hablas Mohammed G. A. , Awad Moaaz M. Y. , Diab Mahmoud , Taha Ahmed M. , Radwan Mohamed K. , Abulkhair Nancy H. , Abdel-Hady Alsayed A.
Published: July 2022

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is a common liver disease affecting nearly 25% of adults worldwide with related risk factors including obesity, metabolic, and inflammatory diseases. Many therapeutic remedies of natural or synthetic properties were used.

AIM: This study aimed to investigate and compare the effects of ginger/rosuvastatin (ROSU) on the liver of rats with induced NAFLD.

MATERIALS AND METHODS: Forty adult male albino rats were used in this study and divided into four equal subgroups, Group I, control received the standard rat chow diet and given normal saline (1 ml/kg/day), Group II, high-fat diet (HFD) group, Group III, received HFD+ ROSU (15 mg/kg/day), and Group IV, HFD+ Zingiber officinale (10% W/V) for 6 weeks. At the end of our experiment, the rats were sacrificed then blood samples were collected for biochemical analysis of lipid profiles and liver enzymes, liver specimen was prepared for light and electron microscopic examination, and measurement of tissue level of malondialdehyde.

RESULTS: NAFLD caused degenerative changes and lipid deposition in liver cells as evidenced by microscopic results and laboratory tests. Treatment with ginger/ROSU alleviated those changes.

CONCLUSION: Ginger and ROSU could ameliorate liver functions in NAFLD and ginger effect is superior to ROSU.
Quand la comparaison permet de revisiter la question des modèles académiques nationaux – Avant-Propos
Authors: Crespy Cécile , Leresche Jean-Philippe
Published: July 2022

Cette introduction vise à esquisser la contribution du dossier thématique aux débats sur l’internationalisation des politiques d’enseignement supérieur et de recherche, en questionnant en quoi les réformes entreprises et/ou la conduite de l’action publique, dans différents pays, sont redevables de la circulation d’idées, de dispositifs ou de modèles internationaux. Pour ce faire, l’introduction revient sur la manière dont la littérature permet de problématiser ces circulations, les groupes d’acteurs qui s’en saisissent, les espaces privilégiés et d’appréhender ce qui se joue en termes d’appropriation ou de résistance. Les contributions rassemblées privilégient des enquêtes empiriques et comparatives, entre projets, pays, territoires infra-étatiques mais aussi entre zones d’intégration régionale, en considérant, non seulement l’espace européen mais aussi l’Amérique du Sud. Si les organisations internationales sont des vecteurs de ces circulations, les échanges bilatéraux sont aussi manifestes et montrent la diversité des univers de référence, loin de l’imposition d’un modèle unique et de l’hypothèse d’une convergence internationale. À travers les articles mobilisés, le dossier montre de la différenciation, mais peut-être surtout une politisation de ces politiques.
¿El amor por la religión o la religión del amor? Revisando el Ġazal de Ibrāhīm ibn Sahl
Authors: Friedman Rachel
Published: July 2022

El poeta andalusí Ibrāhīm ibn Sahl (609/1212-649/1251), que se convirtió del judaísmo al islam, escribió poemas pertenecientes al subgénero de la poesía amorosa conocida como al-ġazal al-ʿuḏrī sobre los amados Moisés, y con menor frecuencia Mahoma. Las investigaciones sobre Ibn Sahl se han centrado, tradicionalmente, en la cuestión acerca de si la conversión histórica al islam fue sincera o si sus poemas sobre Moisés reflejan un anhelo oculto por el judaísmo. Este artículo problematiza esta cuestión, prestando atención a lo que se sabe de las circunstancias históricas en las que vivió Ibn Sahl y por medio de una discusión crítica del fenómeno de la conversión. Luego redirijo la conversación sobre la poesía de Ibn Sahl: en lugar de tratar de comprender la sinceridad de la conversión de Ibn Sahl a través de su poesía este artículo lee sus poemas como textos literarios, con atención a sus juegos de palabras, imágenes e intertextualidad. El análisis de la poesía de Ibn Sahl, que presta mucha atención a esta significativa intertextualidad, ilumina la red de referencias religiosas que hay en ella y las formas en las que funcionan dentro de la poesía. La conclusión, tras la lectura atenta de poemas seleccionados del dīwān de Ibn Sahl, es que el mérito de estos poemas y las características que los han hecho atractivos para el público proceden de las formas en que mantienen la posibilidad de diferentes interpretaciones, por lo que continuamente avivan la curiosidad del público, así como su uso, que induce a los portentos del lenguaje figurativo, la intertextualidad y los juegos de palabras.
Finite element analysis of the springback behavior after V bending process of sheet materials obtained by Differential Speed Rolling (DSR) method
Authors: Taşdemir Vedat
Published: July 2022

The Differential Speed Rolling (DSR) process is a severe plastic deformation method used in the production of microstructured materials with both high deformation and superior mechanical properties. This study has focused on determining the springback behavior and formability of the materials obtained by using the DSR method after the V bending process. Rolling processes were carried out at 4 different rolling speed ratios (1.0, 1.33, 1.66, and 2.0), 25% thickness reduction ratio, and 2 different rolling temperatures (room temperature and 580 °C). Then, the rolled sheet materials were bent using 3 different bending die angles (60°, 90°, 120°). As a result of this study, the greatest plastic deformation was reached at a speed ratio of 2.0 at 580 °C. Again, the lowest springback was obtained at 580 °C. As the die angle increased, the springback decreased. Springback has occurred in the bending process of all sheet materials obtained by rolling. In the bending process of the unrolled sheet material, both spring-forward and springback events were observed depending on the die angle.
Zones de production de céramiques dans la péninsule Arabique entre le vie siècle av. J.‑C. et le xive siècle ap. J.‑C.
Authors: Lesguer Fabien
Published: July 2022

Les études étaient jusqu’à présent lacunaires à propos des lieux de production de la céramique sur la péninsule Arabique et des outils de production de celle-ci. De nouvelles opportunités de recherche se sont cependant ouvertes dans la région depuis quelques années, facilitant l’accès à des sites abritant des ateliers de potier. Des ateliers ont ainsi été fouillés dans la ville caravanière de Thāj (du ive siècle av. J.‑C. au ive siècle ap. J.‑C.) proche des côtes du golfe Arabo-Persique, dans la ville d’al‑Yamāma de l’oasis d’al‑Kharj (ixe‑xe siècles ap. J.‑C.) au centre de l’Arabie Saoudite ou sur le site portuaire de Qalhāt (xiiie‑xive siècles ap. J.‑C.) dans le sultanat d’Oman. De plus, d’autres zones de production ont été identifiées au Yémen, à Bahreïn, et aux Émirats arabes unis. Il s’agit donc de faire un premier état des lieux des zones de production sur la péninsule et des technologies de production qui y sont utilisées.
De la science comme classification à la classification comme pratique scientifique : quelques réflexions à partir de deux cas mathématiques
Authors: Lê François , Paumier Anne-Sandrine
Published: July 2022

Dans cet article introductif, plusieurs pistes de réflexion sur le sujet de la classification sont présentées. En partant de déclarations de Henri Poincaré assimilant science et classification, nous proposons d’aborder la question classificatoire en nous concentrant sur la pratique des scientifiques. Deux exemples mathématiques sont ensuite examinés — le premier se rapporte à des points de vue de membres du groupe Bourbaki, tandis que le second a trait à des travaux classificatoires de surfaces dites « cubiques » datant du xixe siècle —, invitant notamment à considérer avec attention les relations interdisciplinaires pouvant exister autour des questions de classification.
Reflexões sobre a gestão ambiental das Unidades de Conservação no estado do Amapá
Authors: Brito. Daguinete Maria Chaves , Drummond. José Augusto Leitão
Published: July 2022

O Amapá é o estado da federação brasileira que tem a maior parcela do seu território sob a tutela de áreas protegidas, especialmente sob a tipologia de unidades de conservação. Essas áreas são administradas por regramentos especiais e têm como principal finalidade a proteção de espaços com características socioambientais específicas. Este artigo aborda estes espaços protegidos com base nas características dos seus processos de gestão e manejo. O objetivo é analisar a gestão das unidades de conservação amapaenses com ênfase no seu gerenciamento e manejo. Os procedimentos metodológicos combinaram coleta de dados, tendo como base as técnicas de pesquisas bibliográfica, documental e legal, e a abordagem da pesquisa qualitativa. Foi constatado que estas áreas presentes na espacialidade amapaense, independentemente da sua esfera de gestão e da categoria de manejo, apresentam realidades e especificidades que limitam o alcance dos seus objetivos de preservação e conservação da natureza, como: dificuldades de elaborar e aprovar os planos de manejo, documento fundamental para a gestão das áreas; adversidades nos processos relativos às questões fundiárias, o que torna as unidades territorialmente vulneráveis; e questões relativas à degradação ambiental, expressas em invasões que provocam desflorestamentos e viabilizam a agropecuária e a pesca predatória.
As obras de infraestrutura estratégicas para a organização do espaço amapaense
Authors: Margarit Eduardo
Published: July 2022

Este texto tem como objetivo apresentar uma sistematização de informações acerca do reordenamento territorial provocado pela implantação de obras de infraestrutura estratégica no Amapá. Para tanto, foram coletados dados primários e secundários sobre a organização do espaço no Amapá e realizada revisão bibliográfica sobre o assunto. O resultado dessas análises é apresentado ao longo do texto em mapas contendo a representação cartográfica do fenômeno de reordenamento territorial provocado pelas obras analisadas. A estrutura do texto é a seguinte: apresenta-se inicialmente o processo de transição da hegemonia dos rios para a integração rodoviária no Amapá. Em seguida, no segundo tópico, é apresentada a complementariedade do transporte rodoviário e hidroviário na integração do Amapá. O terceiro tópico analisa como as obras de infraestrutura no âmbito do Programa de Aceleração do Crescimento (PAC) vem promovendo o desenvolvimento de atividades econômicas no Amapá. No quarto tópico é feita uma análise da dinâmica de seletividade espacial do grande capital no cerrado amapaense. Já o quinto e último tópico apresenta uma proposta cartográfica de leitura da atual dinâmica de organização do espaço no Amapá por meio de arranjos socioeconômicos.
O contexto e as perspectivas da exploração mineira no Amapá
Authors: Rauber Alexandre , Palhares José
Published: July 2022

Este artigo aborda a performance da produção mineral no estado do Amapá. Para tanto, perspectivaram-se as relações entre a produção minerária, a compensação financeira e os impactos socioambientais gerados por esses empreendimentos. Os dados foram obtidos da série histórica dos Anuários de Mineração do Departamento Nacional de Produção Mineral (DNPM), do Sistema de Informações Geográficas da Mineração (SIGMINE/DNPM), de dados fornecidos pela Agência Nacional de Mineração (ANM) e do Diagnóstico do Setor Mineral realizado pelo Instituto de Pesquisas Científicas e Tecnológicas do Estado do Amapá (IEPA/AP). As tendências e perspectivas na configuração e pressão exercidas pela exploração minerária amapaense encontram-se, sobretudo, na unidade de paisagem Floresta. Plantas industriais de exploração minerária potencializam significativos impactos socioambientais no seu processo de exploração – desvelando o processo de exploração de acumulação por espoliação – no que se refere ao aumento do lobby para as modificações do Plano de Manejo e à flexibilização para a mineração na área da Floresta Estadual do Amapá (FLOTA/AP), bem como sobre o desbloqueio de concessões e licenciamentos de operação sobre as Unidades de Conservação Integral, as Terras Indígenas e a Reserva Nacional do Cobre e Associados (RENCA).
Disputas socioterritoriais no Amapá: conflitos por terra, água e florestas
Authors: Lomba Roni Mayer , Schweitzer Alejandro Fabian
Published: July 2022

Este artigo analisa os conflitos socioterritoriais entre movimentos sociais ligados à terra frente aos grandes projetos de desenvolvimento presentes no estado do Amapá. É estruturalmente construído no debate das estratégias de luta social dos sujeitos envolvidos, normalmente negligenciados nas políticas de desenvolvimento econômico. Utilizamos para isso dados estatísticos sobre conflitos e população, realizamos entrevistas qualitativas com lideranças dos movimentos sociais e construímos mapas temáticos. Concluiu-se que há um projeto econômico traçado no estado, amparado por políticas públicas que beneficiam grandes empreendimentos e, por consequência, geram a destruição dos territórios tradicionais do lugar e do ambiente.
Crônicas de ensino e pesquisa em trabalho de campo na fronteira entre Brasil e Guiana Francesa (França)
Authors: Silva Gutemberg de Vilhena , Caldas Yurgel , Filho Camilo Pereira Carneiro , Porto Jadson
Published: July 2022

Este texto objetiva analisar o papel do trabalho de campo para a formação discente e para a coleta de dados relativos a projetos de pesquisa em Geografia. Para tanto, há considerações sobre a importância deste procedimento de pesquisa a partir de duas atividades realizadas na fronteira que o Brasil compartilha com a França na América do Sul (a Coletividade da Guiana Francesa). A primeira consideração foi acerca de um ciclo de palestras com instituições de segurança de ambos os países e um percurso de reconhecimento da paisagem no baixo rio Oiapoque por meio de voadeiras, e a segunda, uma missão de pesquisa no médio e alto rio Oiapoque, entre a cidade de Oiapoque e a localidade de Vila Brasil, no lado brasileiro, para entender os efeitos da pandemia de Covid-19 na circulação de mercadorias e pessoas naquela região.
COMMUTERS e MARAUDERS: tipologia de criminosos em série a partir de padrões de deslocamento para cometimento de delitos
Authors: Faria Antônio Hot Pereira de , Diniz Alexandre Magno Alves , Alves Diego Filipe Cordeiro
Published: July 2022

O objetivo do trabalho é analisar por meio de dados empíricos obtidos das fontes oficiais (boletins de ocorrência policial) os tipos de infratores em série atuantes em Belo Horizonte sob o ponto de vista dos seus espaços de atividade. A partir das abordagens teóricas sobre o assunto, o estudo definiu como objeto de estudo (criminosos em série) com o recorte espaço-temporal em Belo Horizonte, de 01/01/2011 a 31/12/2013 e as categorias de crimes e contravenções penais, conforme tipificação prevista na legislação brasileira com no mínimo 4 eventos no período analisado. Para a identificação entre as tipologias commuters e marauders verificou-se a distribuição espacial dos eventos e o local de residência dos autores, tendo como parâmetro a metodologia proposta por Canter e Larkin (1993). Os resultados indicaram que há um tipo específico de comportamento espacial para cada criminoso em série, não havendo uma predominância de tipologia em termos quantitativos. Não foi observado aumento do alcance criminal para uma série longitudinal de eventos. Em média, comprovou-se que os infratores que viajam distâncias maiores para cometerem seus delitos têm uma tendência concentrarem seus crimes em uma determinada área, o caso do commuter, ao invés de se espalharem por uma área específica, como parece ser mais típico de marauder.
Analyse de deux quartiers périphériques dans une ville moyenne brésilienne : un double contenu socio-spatial
Authors: Teixeira Vanessa Moura de Lacerda
Published: July 2022

L’habitat périphérique de la société contemporaine est le lieu de disparités socio-spatiales dans plusieurs villes moyennes brésiliennes. Beaucoup de lotissements populaires comme des lotissements aisés se situent dans la couronne périphérique, là où les infrastructures sont précaires, avec peu de desserte de transport en commun ou des établissements de commerces et services de proximité pour les habitants. Cet article propose de mettre en évidence les disparités socio-spatiales autant sur la forme que sur le contenu de deux quartiers périphériques d’une ville moyenne brésilienne. On remarque sur le plan spatial que l’éloignement du centre amène un changement dans les habitudes quotidiennes des habitants, notamment dans leur mobilité. Une réflexion à propos d’un processus de fragmentation socio-spatiale en cours à partir d’une analyse préliminaire de deux quartiers périphériques constitue le résultat de l’article.
Mapeamento da população em situação de rua na cidade do Rio de Janeiro: uma proposta metodológica
Authors: Junior João Grand , Gomes Gonzaga João Gabriel , Almeida Thácio Henrique’s
Published: July 2022

O tema da população em situação de rua se caracteriza como um debate central para a gestão pública das metrópoles contemporâneas. A pandemia da Covid-19 agravou o quadro de vulnerabilidades sociais no mundo, principalmente, nos países periféricos e semiperiféricos. Nesse contexto, a questão da população em situação de rua se torna ainda mais complexa e desafiadora para as cidades na medida em que se observa, de um lado, o avanço da precarização das condições de vida e, de outro, o solapamento da capacidade de produção de respostas efetivas pelo poder público municipal. Na cidade do Rio de Janeiro, a crise sanitária da Covid-19 intensificou a situação de crise econômica que já vinha dilapidando a cidade pós-olimpíadas, acentuando, assim, o quadro de crescimento da população em situação de rua. Com a missão de avançar na produção de informações qualificadas e de diagnósticos mais precisos para orientar a implementação de políticas públicas mais assertivas, a Secretaria Municipal de Assistência Social e Direitos Humanos e o Instituto Pereira Passos uniram esforços para realizar uma pesquisa de amplo alcance: o Censo de População em Situação de Rua.O presente artigo descreve a metodologia inédita elaborada para construção do mapa de população em situação de rua para o censo da cidade do Rio de Janeiro. A partir de uma abordagem de mapeamento participativo, buscamos traçar um retrato dinâmico e sistematizado sobre a configuração espaço-temporal da população em situação de rua na cidade do Rio de Janeiro, ressaltando as estratégias e os instrumentos elaborados.
Anomalous Left Atrial Chorda and its Association with Mitral Regurgitation
Authors: Madathil Thushara , Sudha L Sai , Gopal Kirun , Jose Reshmi L. , Neema Praveen K.
Published: July 2022

Anomalous left atrial chorda is associated with mitral regurgitation. A young woman presenting for mitral valve repair with the diagnosis of mid-segment (A2) of anterior mitral leaflet prolapse causing severe mitral regurgitation. Transesophageal echocardiography examination in pre-bypass period showed an anomalous chorda attaching A2 to the left atrial roof, tethering the anterior mitral leaflet toward the atrial wall. Surgical findings confirmed the abnormally attached chordae and an absence of normal chorda of A2 segment. The anomalous chorda was resected and neo-chordae placed between the A2 segment and papillary muscles and annulus strengthened with an annuloplasty ring.
Time Between Onset of Symptoms and Definitive Treatment in Children with Acute Appendicitis
Authors: Dimopoulou Anastasia , Yfanti Amalia , Argyropoulos Theodoros , Evaggelou Eleni , Dimopoulou Dimitra , Dimopoulou Konstantina , Iakomidis Emmanouil , Feizidou Paraskevi , Zavras Nikolaos
Published: July 2022

Purpose:

Any delay in treatment of acute appendicitis (AA) could lead to complications increasing morbidity and length of hospital stay (LHS). The aim of this study was to determine the time interval between onset of symptoms and seeking medical attention and definitive treatment in children with AA and its impact on LHS.

Materials and Methods:

A prospective study was conducted from December 2017 to March 2018. All patients diagnosed with AA and who underwent surgical procedure were enrolled. A questionnaire leaflet completed by parents was used to collect clinical data and information about seeking medical attention and children's management. Time was divided into six different intervals (1–2 h, 3–6 h, 7–12 h, 13–24 h, >24 h and >48 h) to estimate the time between onset of symptoms and seeking medical attention and time between hospital admission and surgical procedure. LHS was recorded.

Results:

During the study period, 125 children were enrolled. Over half of the patients sought for medical assistance relatively soon (3–12 h) after the onset of symptoms, whereas 17.6% sought late healthcare (>24 h). The time between the medical examination and surgical procedure was <24 h in approximately 80% of the children. LHS was affected by time between onset of symptoms and seeking medical attention and time between medical examination and surgical procedure (P = 0.001 and P = 0.017, respectively).

Conclusions:

The majority of the children with AA admitted to hospital were treated relatively soon after the onset of symptoms. However, a significant proportion of children delayed to seek medical advice and undergo appendectomy, increasing LHS.
Hemophagocytic Lymphohistiocytosis Secondary to Classic Hodgkin Lymphoma in a Patient with Decompensated Chronic Liver Disease
Authors: Natarajan Kartik , Jacob Sheba , Prasad Satya , Pandurangan Prabhu , Palaniswamy Kallipatti Ramasamy
Published: July 2022

Hemophagocytic lymphohistiocytosis (HLH) is an aggressive and life-threatening syndrome of excessive immune activation. It is characterized by fever, cytopenias, splenomegaly, jaundice, neurological symptoms, and hemophagocytosis in bone marrow, liver, or lymph nodes. Secondary HLH is commonly associated with hematological malignancies, particularly non-Hodgkin lymphoma. We report a case of a patient with liver decompensation with spontaneous bacterial peritonitis and fever of unknown origin caused by malignant infiltration by classic Hodgkin lymphoma and secondary HLH. The patient was managed with modified dose of adriamycin, bleomycin, vinblastine, and dexamethasone and showed response post two cycles and is planned for two more cycles. The case highlights the importance of investigating persistent fever and accurately diagnosing and promptly treating HLH which can otherwise have a rapidly fatal course.
Psychological Issues in Adolescents
Authors: Nayak Ruma , Manoharan Margaret , Prasad Lilly , Gladston Santhi , Raghuram Menaka , Edwin Deena , Kanthi Esther
Published: July 2022

Adolescence is a critical period of development in a young person's life, marked by important biological, cognitive, emotional and social changes. It is also a period when adolescents become autonomous and independent and try to develop an identity for themselves. This phase involves many psychological challenges and issues. This article reviews the major psychosocial problems during adolescence.
Quality of life and its sociodemographic determinants in breast cancer patients
Authors: Surbhi  , Gupta Himanshu , Brar Gurmeet Kaur , Jalota Vineet
Published: July 2022

Background:

Breast cancer is the most common cancer in women worldwide. As the outcome of any cancer treatment is not only dependent on disease-free interval but also on the quality of life (QOL) of the survivor. Hence, this study was conducted to evaluate QOL of breast cancer patients and sociodemographic factors affecting QOL of patients.

Subjects and Methods:

A cross-sectional study was conducted among 50 breast cancer patients and 50 controls, which fulfilled the selection criteria. The sociodemographic profile and QOL using the World Health Organization QOL-BREF were analyzed using the descriptive statistical methods.

Results:

All the QOL indicators were statistically significantly (P = 0.0001) lower among breast cancer patients. QOL indicators were statistically significantly (P < 0.01) lower in young age. Not much difference was observed according to religion and these were significantly (P < 0.05) higher among the homemakers. There was no significant difference in all the QOL indicators according to the marital status of the cases. However, these were significantly (P < 0.05) higher among rural cases compared with urban one. The QOL indicators were statistically significantly (P < 0.05) higher among the cases living in joint families than nuclear. No difference was observed among different socioeconomic status.

Conclusion:

QOL was significantly lower among the breast cancer patients. Age, occupational status, type of family, and locality were the significant factors that affect the QOL of breast cancer patients. Hence, psychological and social support can play an important role in improving QOL of cancer patient.
Clinical profile and in-hospital outcomes of COVID-19 among adolescents at a tertiary care hospital in India
Authors: Ghosh Tamoghna , Suri Tejas M. , Jat Kana R. , Gupta Aditya K. , Bhatnagar Sushma , Tiwari Pawan , Mittal Saurabh , Mohan Anant
Published: July 2022

Introduction:

We aimed to describe the clinical profile and risk factors for severe disease in adolescents hospitalised with coronavirus disease 2019 (COVID-19)

Methods:

A retrospective analysis of an admitted cohort of COVID-19 patients was performed at a tertiary hospital in North India. Adolescents aged 12–18 years who were hospitalised during the first wave (March–December, 2020) and the second wave (March–June, 2021) were included. Data on the demographic details, clinical presentation, laboratory parameters, disease severity at admission, treatments received, and in-hospital outcomes were retrieved

Results:

The study included 197 adolescents with a median [inter-quartile range (IQR)] age of 15 (13–17) years, of whom 117 (59.4%) were male. Among these, 170 (86.3%) were admitted during the first wave. Underlying co-morbidities were present in nine (4.6%) patients. A total of 60 (30.9%) patients were asymptomatic. In the severity grading, 148 (84.6%) had mild, 16 (9.1%) had moderate, and 11 (6.3%) had severe disease. Fever (14.9%) and cough (14.9%) were the most commonly encountered symptoms. The median (IQR) duration of hospital stay was 10 (8–13) days, and six (3.1%) patients died in the hospital

Conclusion:

Adolescents admitted with COVID-19 had predominantly asymptomatic or mild disease, and the mortality rate was 3.1%.
Measurement of diffusion lung capacity (DLCO) in silicosis patients
Authors: Dixit Ramakant , Jalutharia Jitendra , Gupta Avinash , Mathur Reena , Goyal Mukesh , Gupta Neeraj , Chaudhary Pradeep , Tiwari Tarun
Published: July 2022

Objective:

This study was conducted to evaluate diffusion capacity of lung for carbon monoxide (DLCO) in patients with simple and complicated silicosis and to correlate abnormal findings detected, if any, with the computed tomography abnormalities in these patients

Methods:

This study included 56 patients with simple and complicated silicosis and without tuberculosis, in whom we performed DLCO as per standard technique. Various computed tomography findings, that is, presence, size and distribution of nodules associated with relative parenchymal and vascular markings, were recorded in the study subjects and classified into standard grading to be finally compared with DLCO. Visual grading score system was used to describe the extent of emphysematous changes based on the area of abnormally low attenuation, vascular disruption, bullae and so on and data were recorded

Results:

Results showed that 85.7% patients had small opacities of varying grades and 28.5% showed large opacities, with 16% of them having type ‘C’ large opacities. The mean DLCO (% predicted) of patients with category ‘0’ high-resolution computed tomography (HRCT) abnormality was 92.3 ± 6.8 (within normal limits), and this gradually decreased with increasing HRCT category to 44.2 ± 11.2 in grade ‘4’ of progressive massive fibrosis (PMF) patients in this study (P < 0.01). This reflects a significant inverse correlation between visual HRCT category and the DLCO % predicted (r > −0.89, P < 0.001). The mean DLCO (% predicted) was 51 ± 12.6 in patients with grade ‘1’ emphysema in HRCT, 53 ± 13.5 in grade ‘2’, 43 ± 6.4 in grade ‘3’ and 37.7 ± 6.3 in grade ‘4’; however, there was no correlation between emphysema grading and pulmonary functional index (r = −0.33, P = 0.15)

Conclusion:

This study observed significant abnormality in DLCO among silicosis patients and its strong correlation with the extent of radiological abnormality. HRCT finding of large opacities could be an important indicator of the severity of silicosis, as reflected by significantly reduced DLCO in such patients.
Vanishing lung syndrome masquerading as pneumothorax in a smoker
Authors: Talwar Dhruv , Andhale Amol , Acharya Sourya , Kumar Sunil , Talwar Deepak
Published: July 2022

A rare clinical syndrome, giant bullous emphysema, also known by the name of vanishing lung syndrome (VLS), is characterized by an X-ray of the chest showing disappearance of the lung. VLS is a chronic disease that progresses gradually and is usually seen in young male smokers, with other risk factors being alpha-1 antitrypsin deficiency and marijuana abuse. Giant emphysematous bullae are a pathognomonic presentation with a preference towards the upper lobe of the lungs. These emphysematous bullae may remain dormant for a long duration before presenting as worsening dyspnoea. Computed tomography is an essential tool to diagnose VLS. The treatment modalities include surgical and thoracoscopic resection of the bullae. We have reported a rare case of VLS in a 58-year-old chronic smoker managed conservatively.
Abducens paralysis—a rare complication of spinal anesthesia at an emergency department: a case report
Authors: Korkut Mustafa , Bedel Cihan
Published: July 2022

The sixth cranial nerve (CN VI) is a rare site of complication associated with spinal anesthesia and can produce secondary symptoms of ocular muscle palsy. A 38-year-old man was admitted to the emergency department with complaint of diplopia and limited lateral gaze in the first week after endoscopic urological surgery under spinal anesthesia. Isolated unilateral CN VI palsy was considered after excluding differential diagnoses. Ocular palsy and diplopia regressed with conservative treatment during follow-up, and the patient was discharged. This article aims to show that CN VI palsy is a rare complication of spinal anesthesia, which can be observed in the emergency department.
İstanbul as an Endless Space of “Urban Articulation”
Authors:   Ozyegin University, Faculty of Architecture and Design, Istanbul, Turkey, Hacihasanoglu Orhan
Published: July 2022

Turgut, H., Mutman, D., Canakcioglu, N.G, Bayraktar, I., Tunc, H., (Eds.) (2022). Istanbul as an Endless Space of “Urban Articulation” (Sonsuz Bir “Kentsel Artikülasyon” Mekânı Olarak İstanbul), İstanbul, Özyeğin University Publication, ISBN 978-605-5625-22-1
Kronik Ruhsal Hastalığı Olan Bireylerin Ağız ve Diş Sağlığı ile İlişkili Yaşam Kalitesinin ve Alışkanlıklarının Değerlendirilmesi
Authors: ÇELİK İNCE Sevecen , GÜNÜŞEN Neslihan
Published: July 2022

Giriş: Ağız ve diş sağlığı, sağlık hizmetlerinin önemli bir parçasıdır. Çünkü bireyin yemesi, konuşması, bedensel hastalığı yanında yaşamın birçok kişisel, sosyal ve psikolojik yönü ile bireylerin yaşam kalitesini etkilemektedir. Kronik ruhsal hastalığı olan bireylerin ağız ve diş sağlığı sorunlarının sağlıklı popülasyona göre daha fazla olduğu bilinmektedir. Amaç: Bu çalışmanın amacı kronik ruhsal hastalığı olan bireylerin ağız ve diş sağlığı ile ilişkili yaşam kalitesinin ve alışkanlıklarının değerlendirilmesidir. Yöntem: Bu araştırma tanımlayıcı tiptedir. Araştırmanın örneklemini amaçlı örnekleme yöntemi ile seçilen 67 kronik ruhsal hastalığı olan birey oluşturmuştur. Veriler Kişisel bilgi formu ve Ağız Sağlığı Etki Profili Ölçeği (OHIP-14-TR) ölçeği ile toplanmıştır. Bulgular: Araştırmanın sonucunda kronik ruhsal hastalığı olan bireylerin ağız ve diş sağlığına yönelik alışkanlıklarının yetersiz olduğu, ağız sağlığı yaşam kalitesi toplam puan ortalamasının 22.34 ± 8.81, DMFT indeksinin 5.13 ± 4.19 olduğu bulunmuştur. Sonuç: Sonuç olarak bu araştırmada kronik ruhsal hastalığı olan bireylerin ağız ve diş sağlığı yaşam kalitesinin ve alışkanlıklarının yeterli düzeyde olmadığı söylenebilir
Evaluation of self-reported knowledge and understanding towards a blended research course among pharmacy students: Objective Search Literature Evaluation (OSLE) method validation
Authors: Gillani Syed Wasif , Siddiqui Ammar A. , Elshafie Riham , Rathore Hassaan Anwer
Published: July 2022

Background: The objective of the study was to evaluate the impact of classroom versus online Modular object-oriented dynamic learning environment (MOODLE)-based teaching on objective search literature evaluation (OSLE) score, as well as to validate the OSLE method for the assessment of research skills in pharmacy students.  
Methods: The four-station OSLE method was used to assess the performance and self-reflection at the end of each delivery mode. The students were asked to voluntarily vote for the preference of delivery mode in research courses. A hierarchical regression analysis was performed for variables predicting the “preference” for class-based teaching and/or MOODLE-based learning. Internal face and content validation were performed with students and faculty members not involved in the course teaching. External validation was performed with three professors working in different colleges in United Arab Emirates (UAE), Saudi Arabia and Qatar.
Results: Thirty-five students completed the courses and showed significant improvement in self-reported reflection of pre-post knowledge and understanding. Findings suggested that 87.3% (110/126, 95%CI: 75.9 – 89.4, p < 0.001) achieved performance indicators and reported the OSLE method as an effective tool for the assessment of knowledge and understanding of research skills in pharmacy education. The predictive model suggested a strong positive effect associated with article appraisal, article application, self-reporting of knowledge and self-reporting of understating (R2 0.47, F-1.26, p < 0.001).    
Conclusion: The findings suggested the OSLE method as an effective tool of assessment in pharmacy education. A negative impact of MOODLE-based learning was found with self-reflection on knowledge.
Nexus Between the Energy Market, Industrialization, and Economic Growth in the Asia-Pacific Region
Authors: Mujtaba Aqib , Jena Pabitra Kumar
Published: July 2022

This study investigates the nexus between the energy market and its determinants in eight countries from the Asia-Pacific region over 1994–2018. The results show energy demand, prices, economic growth and industrialization positively affect the energy supply. On the other hand, energy supply and growth and industrialization positively affect energy demand, and energy prices negatively affects energy demand. The study also suggests policy implications.
Hourly Energy Prices in Spain: Evidence of Persistence Across Different Months
Authors: Martin-Valmayor Miguel Angel , Gil-Alaña Luis Alberiko
Published: July 2022

We examine the hourly structure of energy prices in Spain using 12 one-month-long series (from November 2020 to October 2021) of samples of hourly pricing (from 00:00 to 23:00) for each day of the month and applying a long memory approach with fractional integration analysis. Our results indicate that the series are highly persistent, with shocks having permanent effects with non–mean reversion properties, with no month-specific effects on the data series.
Does Bank Competition Necessarily Contribute to Higher Profits? The Case of Indian Banking
Authors: Rakshit Bijoy
Published: July 2022

This paper empirically examines an important research question of whether changes in bank competition have influenced the profitability pattern of Indian banking. Using the two-step system generalized method of moments, we examine the implications of bank deregulation measures on bank profitability for a set of 70 commercial banks in India over the period 1997 to 2017. The findings show that a higher degree of bank competition that has led to the contraction of the interest rates margin has negatively affected bank profitability. The findings also suggest important policy implications for the Indian banking industry.
Speaking to Power
Authors: Donnison David
Published: July 2022

Anyone working, or planning to work, as an advocate for people dealing with public services will want to read this book. Based on the experience of advocates and using case studies based on real practice issues, the accessible style of Speaking to Power will make it an enjoyable read for professionals, students and lay people alike.
MUHASEBE MANİPÜLASYONU YÖNTEMİ OLARAK YARATICI MUHASEBE
Authors: ALTINBAY Ali , ÜNAL Osman
Published: July 2022

Dünyada yaşanan finansal usulsüzlükler, finansal tabloları hazırlamakla yükümlü olan işletme yönetimlerine ve bunları denetleyen bağımsız denetçilere olan güveni sarsmıştır. Bu usulsüzlüklerin temel nedeni ise şirket yönetimlerinin kendi çıkarları doğrultusunda kasten yapmış oldukları muhasebe manipülasyonlarıdır. Çalışmanın ilk bölümünde muhasebe manipülasyonu hakkında kavramsal çerçeve incelenmiştir. Bu bağlamda hile, hata, hile üçgeni, hile karosu, muhasebe manipülasyonu ve muhasebe manipülasyonu yöntemleri açıklanmıştır. İkinci bölümde ise muhasebe manipülasyonu yöntemlerinden biri olan yaratıcı muhasebe kavramına ve yaratıcı muhasebe yöntemlerine değinilmiştir. Çalışmanın sonunda ise finansal usulsüzlükler kapsamında Enron skandalı örnek olay olarak incelenmiştir. Bu bağlamda Enron şirketinin uygulamış olduğu yaratıcı muhasebe yöntemlerine ve bunların sonuçlarına değinilmiştir. Finansal usulsüzlüklerin neden olduğu mali kayıplar ve hukuki süreçler çerçevesinde, muhasebe manipülasyonlarının en aza indirilmesi için gerekli önerilerde bulunulmuştur.