bluuebunny/crossref_metadata_2025 huggingface dataset:
A prospective study of colonic tumors and accuracy of CT pneumocolon in staging colonic carcinoma
Authors: Anand Shrikant Gajakos  , Vikas R Lonikar  , Jyoti K Tapadia
Published: April 2023

Background: Preoperatively, reliable diagnosis of the amount of dissemination of a colorectal cancer not only reveals the probable outcome but also aids care. There have been few studies on the use of spiral computed tomography (CT) pneumocolon for pre-operative staging of colorectal cancer.
Aims and Objectives: Therefore, the present study was undertaken to evaluate colonic masses and determine the accuracy of spiral CT pneumocolon in staging colonic carcinomas.
Materials and Methods: This prospective and hospital-based study was conducted for 2 years of period at the Department of Radiodiagnosis and comprised 75 patients who were sent for CT abdomen. All patients of all ages referred for CT examination with symptoms and/or clinical suspicion of colonic cancer, suspected colonic tumor, blockage, or stricture on barium studies or colonoscopies, or worrisome sonographic abnormalities, including colonic wall thickening and other features indicative of colon cancer were included in the study.
Results: The predominated gender is male (63%) than female (37%). The observations reveal that, in malignant diseases, bleeding per rectum was the most prevalent symptom, while discomfort in the abdomen was the most common symptom in benign pathologies. CT pneumocolon correctly diagnosed cancer in all 57 patients, although three benign lesions were incorrectly categorized as malignant. The sensitivity and specificity for differentiating benign from malignant lesions were both 100% (57/57) and 83.3% (15/18).
Conclusion: CT pneumocolon looks to be a non-invasive and quick inquiry that clearly displays the lumen of the colon, wall of the colon, surrounding structures, extraluminal component of colonic lesions, and metastases and gives useful information preoperatively.
Assessment of neutrophil and platelet-to-lymphocyte ratio as inflammatory markers in type 2 diabetes mellitus patients
Authors: Jyotindra Kumar Sahu  , Rajeeb Kalita  , Rajeev Gandham  , Ravikanth Medikonda
Published: April 2023

Background: Diabetes mellitus (DM), metabolic disease, and its prevalence are increasing in India. DM causes micro- and macrovascular complications. Inflammation is one of the contributing factor in the pathophysiology of DM.
Aims and Objectives: This study aimed to evaluate neutrophil and platelet-to-lymphocyte ratio (PLR) in T2DM patients.
Materials and Methods: This study was carried out in Biochemistry Department, Lt. B.R.K.M Government Medical College, Chhattisgarh, India. In this study, 150 type 2 DM patients were considered as cases and 150 normal subjects were considered as controls. Baseline data was collected from subjects. All subjects underwent physical and clinical examination. Fasting and post prandial venous blood samples were collected. FBS, PPBS, renal profile (urea, creatinine and uric acid) were estimated in serum sample. EDTA samples were used for complete blood count (CBC). Neutrophil-to-lymphocyte ratio (NLR) and PLR ratio were calculated from CBC values. HbA1c was estimated using whole blood sample. Blood pressure and BMI were recorded.
Results: In this study, mean age of 61.2±4.0 years, systolic blood pressure 136.2±14.4 mmHg, diastolic blood pressure 100.1±12.5 mmHg, BMI 28.1±2.6 (kg/m2), FBS 180.7±22.3 mg/dL, PPBS 289.3±33.2 mg/dL, HbA1c 8.1±0.7%, serum urea 39.1±8.3 mg/dL, creatinine 1.1±0.2 mg/dL, uric acid 7.1±2.0 mg/dL, lymphocytes 18.3±3.0%, NLR 8.1±3.1, and PLR 20.3±7.1 were significantly increased in cases than controls.
Conclusion: Elevated ratios of NLR and PLR may serve as markers of inflammation in T2DM. These are inexpensive and helpful to assess the inflammatory status in T2DM.
Various unusual presentation of acute appendicitis in adult. A case series
Authors: Barman Amalesh , Panja Madhusudan , Samanta Riddhisundar , Ranajit Bari
Published: April 2023

Acute appendicitis is common abdominal condition in our day to day surgical practice. Classical features include periumbilical pain that migrates to the right iliac fossa, anorexia, fever, and tenderness and guarding in the right iliac fossa. However, in our present study, three atypical presentation of acute appendicitis is demonstrated in clinical practice. These three cases do not have classical features of murphy’s triad, that is, nausea, vomiting, fever, and cardinal sign of positive Mcburney’s tenderness. Our three atypical cases are: (1) A 38 year old obese male patient who presented with features of umbilical inflammation with serous discharge due to presence of acute inflamed appendix in pre-existing small umbilical hernial sac. (2) A 49-year-old male medicine seller presented right sided scrotal pain with same sided inguino-scrotal swelling for short duration due to presence of inflamed swollen tip of appendix at bottom of right hemi-scrotum in pre-existing inguinal hernia. (3) A 81-years-male gentleman presented with anorexia, weakness, abdominal fullness, and bilateral pedal edema. He did not have pain abdomen, fever, and right iliac fossa tenderness. Imaging modalities confirmed the acute appendicitis in three cases. Diagnosis of appendicitis in absence of typical features is to be made from pre-occupied knowledge and with help of imaging studies.
Sociodemographic profile, clinical presentations, environmental factors, and laboratory parameters of dengue patients: A retrospective study from Mizoram, India
Authors: Varte Zorinsangi , Sailo Lalnuntluanga , John Lalliandinga Tochhong  , Lalruatsanga David , Zothantluanga  , Hnamte Lalrinmawia , Anusuya Ganesh Shanmugasundaram
Published: April 2023

Background: Mizoram is one of the states in India with high cases of dengue for the year 2022. There is very limited data regarding the sociodemographic profile, clinical presentation, environmental factors, and laboratory parameters and outcome of infection of dengue patients in Mizoram.
Aims and Objectives: The present study was aimed to study factors and the proportion of patients getting admitted with dengue fever (DF), DF with warning signs and severe dengue.
Materials and Methods: The data collected retrospectively from the medical records of the patients admitted in three private hospitals and two governmental hospitals during the time period from July to November 2022. Descriptive analysis was carried out and categorical outcomes were compared between study groups using Chi-square/Fisher’s Exact test. Mean values were compared between study groups using ANOVA (>2 groups). P<0.05 was considered statistically significant.
Results: Out of 189 patients, 103 (54.50%) were male and majority were aged >14 years 166 (87.83%). Mean age was 42.08. Majority 157 (83.07%) belonged to urban population. DF were 137 (72.49%), severe dengue 10 (5.29%), and with warning signs of severe dengue 42 (22.22%). Most common symptoms observed were fever 181 (95.77%) followed by myalgia 95 (50.26%). Severe dengue was reported more among females 7 (70%), DF was more common among males 71 (51.82%) (P=0.041). DF was more common in patients from urban 113 (82.48%) versus rural 24 (17.52%) (P<0.001). Mortality was 1.59%.
Conclusion: Health education and integrated vector control measures need to be intensified to prevent future dengue outbreaks in Mizoram.
TINJAUAN POSMODERNISME: LIBERALISASI CHARTERED ACCOUNTANT DARI BELENGGU KAPITALISME
Authors: Retna Safriliana
Published: April 2023

Artikel ini bertujuan untuk memberikan pencerahan pandangan posmoderisme dalam profesi akuntan di Indonesia dalam kolonialisme barat. Chartered Accountant sebagai profesi akuntan di Indonesia menjadi korban kapitalisme di Asia Tenggara, pemberlakuan Masyarakat Ekonomi ASEAN (MEA) menjadi tantangan bagi akuntan di Indonesia. Profesi akuntan yang merupakan jasa profesi, mempunyai persaingan yang sangat ketat di Negara Asia Tenggara. Lahirnya IAI Kompartemen Akuntansi Syariah menjadi awal liberalisme dalam melawan kolonialisme akuntansi barat, karena akuntansi yang diterapkan di Indonesia yang mayoritas muslim menjadi titik terang dunia akuntansi. Diharapkan IAI Kompartemen Aksyar dapat menjadikan Indonesia mempunyai kemampuan memperbaiki kondisi akuntansi di Indonesia.
Pandangan sebelah mata tentang diskusi Akuntansi Uang Kripto (Cryptocurrency Accounting) di Indonesia
Authors: Sugeng Hartanto  , Berlina Yudha Pratiwi  , Arisona Ahmad
Published: April 2023

Penelitian ini ditujukan untuk mengetahui permasalahan yang akibatkan oleh keberadaan cryptocurrency dan bagaimana cara mengatasinya. Penggunaan berbagai literatur dari jurnal sebelumnya ditambahkan sebagai kajian kritis terhadap permasalahan yang ada. Penggunaan regulasi merupakan salah satu bentuk pemecahan masalah yang muncul. Perkembangan cryptocurrency semakin cepat, dan kehadirannya diakui secara global. Hasil dari penelitian ini adalah terdapat beberapa peraturan yang mengatur tentang transaksi cryptocurrency namun masih perlu adanya pengaturan teknologi yang lebih menekankan pada keamanan penggunaannya. Keseimbangan antara regulasi dan norma dalam transaksi cryptocurrency juga sangat diperlukan untuk mendukung perkembangan cryptocurrency. Jika salah satu konteks ini hilang, pengguna cryptocurrency akan merasa tidak nyaman, pengguna akan cenderung menghindari transaksi cryptocurrency dan cryptocurrency secara bertahap akan dilupakan.
Pengaruh Struktur Modal, Profitabilitas, Likuiditas dan Pertumbuhan Penjualan Terhadap Nilai Perusahaan Food & Beverage
Authors: Diandra Putri A  , Diah Ekaningtias
Published: April 2023

Penelitian dalam hal ini bertujuan untuk menguji pengaruh struktur modal, profitabilitas, likuiditas dan pertumbuhan penjualan terhadap Nilai Perusahaan food & beverage yang terdaftar di Bursa Efek Indonesia. Manfaat dalam penelitian ini untuk membantu para calon investor dalam menerima informasi pertimbangan dengan adanya struktur modal, profitabilitas, likuiditas dan pertumbuhan penjualan pada sub sektor food & beverage dan dapat memberikan solusi terbaik dalam mengambil suatu keputusan investasi. Penelitian dalam hal ini menggunakan penelitian kuantitatif, jenis data yang digunakan adalah data sekunder. Teknik analisis yang digunakan adalah analisis deskriptif, asumsi klasik, regresi linier berganda, koefisien determinasi, uji F dan uji t. Teknik pengambilan sampel penelitian menggunakan teknik purposive sampling, dalam hal ini populasi penelitian ini adalah perusahaan sub sektor food & beverage yang terdaftar dalam Bursa Efek Indonesia dalam periode 2019-2021. Sampel penelitian pada sub sektor food & beverage didapatkan dari (IDX) periode 2019-2021. Secara partial menunjukkan bahwa variabel struktur modal, profitabilitas, likuiditas dan pertumbuhan penjualan berpengaruh secara positif terhadap nilai perusahaan.
CSF dynamics in long-standing overt ventriculomegaly in adults
Authors: Pirina Alessandro , Jusue-Torres Ignacio , Desestret Virginie , Albini Riccioli Luca , Jouanneau Emmanuel , Palandri Giorgio , Manet Romain
Published: April 2023

OBJECTIVE

Long-standing overt ventriculomegaly in adults (LOVA) is a form of chronic hydrocephalus and its pathophysiology and treatment remain debated. An analysis of CSF dynamics in this condition has rarely been reported. The aim of this study was to analyze hydrodynamic characteristics of patients with suspected LOVA to discuss its pathophysiological mechanisms and the importance of CSF dynamics analysis for diagnosis and treatment of these patients.

METHODS

This retrospective cohort study, conducted between May 2018 and October 2022, included adult patients aged > 18 years investigated in a department of neurosurgery through a lumbar infusion study for suspicion of LOVA (n = 23). These patients were then compared with a control cohort explored for suspicion of idiopathic normal pressure hydrocephalus (iNPH; n = 30). Clinical symptoms, radiological findings, and hydrodynamic parameters were analyzed. The authors specifically compared two hydrodynamic parameters: resistance to CSF outflow, or Rout, which relies on CSF resorption, and pressure-volume index (PVI), which reflect overall craniospinal compliance. The lumbar infusion study was considered pathological (confirming the diagnosis of chronic hydrocephalus) when at least one of these two parameters was altered.

RESULTS

Rout was significantly less frequently increased (cutoff ≥ 12 mm Hg/ml/min) in patients with LOVA (52%) than in those with iNPH (97%; p < 0.001). In contrast, PVI was impaired (cutoff ≤ 25 ml) in both cohorts, i.e., in 61% of patients with LOVA and in 83% of patients with iNPH. Overall, the rate of pathological lumbar infusion study in LOVA (87%) was not statistically different than in iNPH (100%). However, PVI was the only impaired parameter most frequently found in those with LOVA (35%) compared with those with iNPH (3%; p = 0.002).

CONCLUSIONS

This study suggests that there is a differential CSF dynamics pattern when comparing patients with LOVA versus those with iNPH. A higher proportion of patients with LOVA showed isolated compliance impairment. These findings highlight the utility of CSF dynamics analysis for the evaluation of patients with suspected chronic obstructive hydrocephalus such as LOVA. Future research with larger case series may help define diagnosis and treatment algorithms of chronic obstructive hydrocephalus based on CSF dynamics analysis, in addition to clinical and radiological criteria.
Third ventricular choroid plexus papilloma: a pure neuroendoscopic approach
Authors: D’Souza Preston , Frank Thomas S. , Mohanty Aaron
Published: April 2023

Pure endoscopic technique in resection of intraventricular tumors is an emerging technology. This case demonstrates resection of a multicentric choroid plexus papilloma in a 2-month-old child. This child had two district tumors: one located in the left atrium and another in the third ventricle. Initial microsurgery was performed to resect the left atrial tumor. With the tumor noted to be not very vascular at initial surgery, the third ventricle tumor was resected with a GAAB neuroendoscope and NICO Myriad. A gross-total resection was achieved. At 3 years’ follow-up, the child remains tumor free and developing without any functional deficits.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.1.FOCVID22145
Woman in Kurdish Literature, Rangdan and Mlwanka's poem collections by Sherko Bekas an Example
Authors: Abdulla Kanyaw Bakr , Abdulla Shwana Noori
Published: April 2023

This research “Woman in Kurdish Literature, Rangdan and Mlwanka's Divans by Sherko Bekas as Example” aims to explore two factors, which are : “Women and Sherko Bekas poems”. On one hand, women are  as an component of the basis of literature, and on the other hand, the same component, but in the poetry of Sherko Bekas especially in the poem collections of “Milwanka and Rangdan” which have been taken as examples. Many prepared indexes might be paid enough attention in the poems of Sherko Bekas and have been made elements of many researches. But generally, working on the position of women and existence of this genre of nature, and contributing the status and value of women in Kurdish literature and more specifically in the poem collections of Sherko Bekas, were the main reasons of choosing this research. The descriptivism criteria have been applied in the research which contains variety of critics and view points about the subjects, then analysis and explaining coequal and different opinions in the poems of Sherko Bekas and further analysis of texts in these terms.
Minaret, Importance in Islamic civilization
Authors: Hussein Ikram Sherwan , Hama Arif Zryan Salar
Published: April 2023

Islamic minaret is considered one of the most important and prominent architectural structures in mosques, and it did not exist at the beginning of Islamic civilization during the era of the Prophet (peace be upon him) because of the preoccupation with spreading the Islamic call/Da’wa and the simplicity of Islamic architecture in the early first century H., after the extensive Islamic conquests in the reign of Omar Ibn Al-Khattab. When the Muslims met the Christian and Zoroastrian and other societies, they were getting acquainted with the great civilizations of this period, including the Christian Romans, the Zoroastrian Persians, the Buddhists, and the Hindus in India and the Far East. Each of these civilizations had an impact on Muslims, especially in the field of architecture. When the Muslims saw the churches of the Levant with high towers, where bells were hung, they used it as a means to call and gather their followers to pray and perform their worship or announce the death of a member of their community. Also, the Muslims built minarets inside or beside the mosques to call the Muslims and remind them of the time of prayers.
Descriptive and Vegetative Characterization of fifteen ecotypes of Snake Gourd (Trichosanthes cucumerina L.) in Nigeria
Authors: Osuagwu Ann N. , Aguoru C. U. , Omoigui L. O. , Olasan J. O.
Published: April 2023

The descriptive and vegetative characterization of fifteen ecotypes of Trichosanthes cucumerina L (snake gourd) in Nigeria was carried out. The field study was done in two locations Markurdi and Umudike to evaluate the descriptive and vegetative characters of fifteen ecotypes of T. cucumerina from Middle Belt of the country, the South-South, South Eastern part and South Western part of Nigeria. Randomized Completed Block Design was adopted for the experiment at the exploration farm of Michael Okpara University of Agriculture, Umudike and Federal University of Agriculture, Makurd at the same growing season. Descriptive and vegetative analysis was done using Minitab 16. The qualitative vegetative characteristic of snake gourd accessions vigour levels ranged from low, moderate and high. Leaf colour was from deep/pale/light green, stem colour was light, pale and deep green. The mean of the vegetative characters ranged from 2.7660-1575 ±0.48-99; cumulative variation percentage 7.65-64.75;. The germination percentage of all the accessions was significant (p<0.05). CRS – IKM (100+00), Osu – OSH – 2 (91.67±4.82).EKT – OYE was higher than Ben-MKDI (58.36±8.34). The plant height among the accessions was not significant, block was significant (P≤0.05). Leaf sizes (cm) of all the accessions were not significant (P>0.05), while main vine length (cm) at 5% probability was not significant and their treatment interaction was insignificant (P>0.05). The main vein length was highest in ABI-UKW with 636.0±164.0, followed by EKI-OYE 514.0±84.3 and least from RIV-ELE 275.7±26.4. The fruit colour at ninety days (90) of ten (10) accessions of snake guard was orange green or strip orange green and remaining accessions was milky green or light green. The fruit shape was long, thick and cylindrical. The seed colour was speckled russet.
KAMPANYE DIVERSIFIKASI PANGAN LOKAL MAJEMUK WUJUD BELA NEGARA GENERASI MUDA MENUJU KETAHANAN PANGAN NASIONAL MELALUI TEKNOLOGI INFORMASI
Authors: Zevic Farell Fillyanno , Kuntjoro Yanif Dwi , Hutauruk Jones
Published: April 2023

Rendahnya tingkat ragam konsumsi pangan atau pola pangan harapan (PPH) disebabkan oleh tidak tercapainya target ketersediaan pangan, kesulitan akses pangan lokal, dan kurangnya kesadaran masyarakat akan ragam pangan lokal, serta minimnya informasi terkait pemasaran pangan lokal. Hal ini menjadi paradoks, mengingat Indonesia dikaruniai lahan yang luas dan subur. Ini merupakan ancaman nonmiliter, ketidakterpenuhinya kebutuhan pangan di suatu bangsa akan berpotensi menimbulkan ketidakstabilan ekonomi dan politik. Tulisan ini akan mengkaji bagaimana memperkuat diversifikasi pangan lokal guna mengurangi ketergantungan terhadap impor pangan dari luar negeri dan menuju ketahanan pangan nasional oleh generasi muda dengan pemanfaatan teknologi informasi. Metode yang digunakan ialah dengan cara pendekatan kualitatif eksploratif, dengan cara studi literatur dan menganalisis fenomena, kejadian atau keadaan pangan nasional terutama produksi dan konsumsi pangan lokal. Dari penelitian diperoleh hasil bahwa kampanye diversifikasi pangan lokal dapat dilakukan melalui iklan layanan masyarakat seperti poster, foto, komik, film pendek, lagu, jingle ataupun podcast. Seluruh kampanye ini dikemas dengan bahasa yang menarik dan kekinian ala anak muda, sehingga hal ini akan menarik perhatian masyarakat terutama generasi muda. Generasi muda yang memiliki semangat tinggi dan dengan jumlahnya yang mendominasi di Indonesia menjadikan generasi muda sebagai agent of change menuju ketahanan pangan. Dengan pemanfaatan teknologi tersebut kampanye diversifikasi pangan akan mudah dan cepat dilakukan. Hal ini merupakan impementasi kesadara bela negara dalam kontes mendukung kemandirian pangan, kedaulatan pangan dan pemenuhan gizi rakyat Indonesia yang disertai dengan perbaikan ekonomi pelaku usaha pangan lokal.
THE LINGUISTIC SIGNIFICANCE OF TAMALAY IN MALAYSIA
Authors: PAL THAMBURAJ KINGSTON , VARADARAJAN VAISNAVI
Published: April 2023

Malaysia has now become one of the important developing countries having many regional languages. The study has aimed to analyse the linguistic significance of Tamalay language in Malaysia. A survey approach has been used for collecting data about the Tamalay language. The transforming behavior status of English in Malaysian communities, “Malaya” has renamed as “Bahasa Malaysia”, and become the official language of Malaysia and replaced English as a major source of instruction in colleges and schools. As a consequence of deterioted command on English in rural areas, the emergence of code-switching, Manglish and other variations are significantly seen in Malaysia. The Malay language is unquestionably an appropriate language within Austronesian vernacular or Malayo-Polynesian family. This article is meant to talk about Tamalay as a growing language within Malaysia. There are millions of Tamils living in Malaysia; therefore, it is necessary to identify the significance of Tamalay language. The article has also contributed to evaluate the usage of Tamalay language and its effects on the transparency of English language for the speakers in Malaysia and their cultural phenomenon.
Implementasi Media Pembelajaran Berbasis Teknologi IT dalam Mengatasi Keterbatasan Pendidikan di Era 5.0 pada Sekolah Dasar
Authors: Indana Zulfa Putri , Ni’mah Mamluatun , Fitri Amalia Nur
Published: April 2023

As learning develops, the problems of educators also develop. This Saast is the biggest concern in managing learning using IT-based learning methods in the Era 5.0. The fundamental problem is the ability to identify problems (proble-matics). The research carried out is library (Library Research). The technique of collecting data is by analyzing from several sources in the form of educational report books issued by state agencies or private educational support institutions, teacher articles and articles that focus on education which are accredited nationally and locally. The data is collected, coded or grouped and analyzed using an IT learning method approach with a proven level of success. The results of this research and analysis reveal several problems, namely, 1. The competence of teachers who lack IT skills is in accordance with the development of learning in the 5.0 era. 2. Mastery of the method with adequate implementation eva-luation references, so that it is not able to manipulate learning to get maximum results. 3. Competency development that has not been qualified.

[Selama pembelajaran berkembang, permasalah pendidik juga berkembang. Saat ini tentang terbesar adalah kompetensi dalam pengelolaan pembelajaran menggunakan metode pembelajaran berbasis IT di era 5.0. permasalahan mendasar adalah kemampuan mengidentifikasi permasalahan-permasalahan (problematika). Penelitian yang dilaksanakan adalah kepustakaan (Library Research). Teknik pengumpulan data yaitu dengan menganalisis dari beberapa sumber yang berupa buku-buku laporan pendidikan yang dikeluarkan oleh lembaga negara atau lembaga swasta pendamping pendidikan, artikel keguruan dan artikel-artikel yang berfokus pada pendidikan yang terakreditasi nasional maupun lokal. Data-data yang dikumpulan, dikoding atau dikelompokkan dan dianalisis menggunakan pendekatan metode pembelajaran IT dengan tingkat keberhasilan yang sudah teruji. Hasil dari penelitian dan analisis ini terdapat beberapa problematika yaitu, 1. Kompetensi guru yang kurang menguasai IT sesuai dengan perkembangan pembelajaran di era 5.0. 2. Penguasaan metode dengan referensi evaluasi pelaksanaan yang memadai, sehingga tidak mampu merekayasa pembelajaran untuk mendapatkan hasil maksimal. 3. Pengemba-ngan kompetensi yang belum mumpuni]
DYNAMIC ASPECT OF FORECASTING DEMONSTRATIVE-PROTEST CRIME
Authors:   Department of the Ministry of Internal Affairs of the Russian Federation in Krasnogvardeisky district Saint Petersburg, Saint Petersburg, Russian Federation, ILYIN ILYA ,   Northwestern Institute of Management of the Russian Presidential Academy of the National Economy and Public Administration
Published: April 2023

When using demonstrative-protest crime, the author realizes the possibilities of the theory of cycles for the knowledge of its essence. The concept of «cycle» in this case can be used in two aspects: dynamic and structural. This article changes the dynamics of demonstrative-protest crime, observed by the cycles of protest activity, which in turn depends on the cycles of political activity. In the conditions of stable development of society, these cycles are formally set by constitutional provisions on the turnover of government bodies, which are carried out by elections. It is no coincidence that the peaks of protest activity are precisely in the year of such elections. However, political activity and election-related activity are not coinciding phenomena. Political activity is on a par with economic, financial and other social activities that are covered by global cycles of social development-equilibrium, destabilization, loss of equilibrium and new equilibrium. These phases have their own formation mechanisms and fundamental determinants, and therefore do not coincide with the formal frequency of elections. Cycles are observed at the turning points of changes, on the features of destabilization and changes in the state, the usual arrangement of events occur, as they occur, the protest activity of citizens and demonstrative protest crime increase.
PENGARUH EDUKASI SELF MANAGEMENT HIPERTENSI DENGAN MEDIA BOOKLET TERHADAP KEPATUHAN DIET PADA PENDERITA HIPERTENSI
Authors: Aminah Siti , Maryati Sri , Amelia Kiki Rizki , Nabila Noviyandra Salsa
Published: April 2023

Hypertension is a health problem that is quite high for most of the world's population, including Indonesia. Therefore, there is a need for self-management education efforts to increase the application of healthy behavior and adherence to the hypertension diet. This study aims to determine the effect of self-management education using booklet media on dietary adherence in hypertension sufferers. This study used a one group pretest-posttest design, which involved 16 hypertensive patients selected by accidental sampling technique. After collecting data on dietary adherence before and after the intervention, data analysis was then performed using the Mc. Nemar test. The results of the analysis showed a p-value of 0.001, so it was interpreted that there were differences in adherence to the hypertension diet between before and after giving self-management education. It was concluded that self-management education is effective for increasing dietary adherence in hypertensive patients.Keywords: hypertension; self management; dietary adherence ABSTRAK Hipertensi menjadi suatu masalah kesehatan yang cukup tinggi bagi sebagian besar penduduk dunia termasuk Indonesia. Oleh karena itu perlu adanya upaya edukasi self management untuk meningkatkan penerapan perilaku sehat dan patuh terhadap diet hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi self management dengan media booklet terhadap kepatuhan diet penderita hipertensi. Penelitian ini menggunakan rancangan one group pretest-posttest, yang melibatkan 16 penderita hipertensi yang dipilih dengan teknik accidental sampling. Setelah terkumpul data tentang kepatuhan diet sebelum dan sesudah intervensi, selanjutnya dilakukan analisis data menggunakan uji Mc. Nemar. Hasil analisis menunjukkan nilai p = 0,001, sehingga diinterpretasikan bahwa ada perbedaan kepatuhan diet hipertensi antara sebelum dan sesudah pemberian edukasi self management. Disimpulkan bahwa edukasi self management efektif untuk meningkatkan kepatuhan diet penderita hipertensi.Kata kunci: hipertensi; self management; kepatuhan diet
Development of intra-organizational projects in the real sector of the economy
Authors:   Department of Management and Marketing in Sports Financial University under the Government of the Russian Federation, Korneeva I. V. , Gushchina E. A. ,   Faculty "Institute of Online Education" Financial University under the Government of the Russian Federation
Published: April 2023

The article presents studies of the current state of the domestic accessories market, providing the population with high-quality vital goods, an analysis of the main trends and consumer preferences, the main players in this niche. An intra-organizational project for the development and introduction of a new line of umbrellas to the market is considered.
Comparing Idiographic and Nomothetic Approaches in Management Sciences Research
Authors: Dzwigol Henryk
Published: April 2023

The article aims at providing guidance on choosing the appropriate research approach for different research contexts by comparing the importance of using appropriate methods and techniques in both idiographic and nomothetic approaches based on the results of international research. To achieve the intended goal of the article and answer the research questions, the results of quantitative research (a survey) were used. There was questioned an international group of experts consisting of scholars in the field of management sciences. The obtained research outcomes provide a more thorough understanding of current research trends. Additionally, they indicate the significance of various methods and techniques in the research process in management studies and highlight the current convergence of idiographic and nomothetic approaches in favor of combining research procedures, methods, and techniques. The contribution to the theory of management sciences focuses mainly on presenting recommendations regarding the selection of appropriate approaches to the research process emphasizing the role of methodological triangulation and indicating significant methods that increase the reliability and quality of the research.
Concepção ambiental de educadores ambientais em Unidade de Conservação
Authors: Marques Jean Dalmo , Batista Brian Kelley Lima , Leão Jean Dinelly , Tokusato Tais Tiyoto , Oliveira Fernanda Miranda de
Published: April 2023

O objetivo da pesquisa foi identificar as concepções ambientais dos educadores ambientais pertencentes ao Projeto Academia Ambiental e suas contribuições para a formação do sujeito ecológico. Para tanto, foram entrevistados cinco educadores ambientais. As concepções ambientais identificadas foram amplamente relacionadas a(o) refúgio, ecossistema, espaço ocupado, interação biótica e abiótica com abordagem multidisciplinar. As dificuldades enfrentadas são a gestão administrativa, acesso à tecnologia, ampliação do projeto e o estabelecimento da pandemia. A adoção de uma postura crítica é de suma importância, pois proporcionará uma abordagem multifatorial com vistas numa sociedade sustentável.
Histórias em Quadrinhos e Educação Ambiental: contribuições da Saga Monstro do Pântano para o Ensino Superior
Authors: Gonçalves Luis Emanuell de França , Pereira Ana Lúcia Feitoza Freire , Barros Cristiane Saboia , Moreira Junior Francisco Amilcar , Andrade Marcus Vinicius Freire
Published: April 2023

As histórias em quadrinhos surgem como importantes recursos educacionais para discutir situações no ambiente acadêmico, dentre elas, as contribuições para a Gestão Ambiental. Desse modo, o objetivo do estudo é investigar as contribuições das histórias em quadrinhos da saga Monstro do Pântano para trabalhar a temática de Educação Ambiental no Ensino Superior. O estudo é classificado como qualitativo, do tipo exploratório, o qual utilizou a análise da história em quadrinhos a partir da seguinte proposta metodológica: análise textual, análise contextual e análise qualitativa. Entre os principais resultados, foi identificado que a saga Monstro do Pântano aborda temáticas de Educação Ambiental que podem ser discutidas no Ensino Superior.
Ensuring implementation of the agreement on the provision of legal servicesand features of judicial management of the process
Authors:   Yaroslav Mudryi National Law University, Gusarov Kostiantyn
Published: April 2023

The article deals with the issue of ensuring implementation of the agreement on the provision of legal services. Taking into account the constitutionality of the right to receive professional legal assistance, particular aspects of the legal nature of the agreement on the provision of legal services are analyzed. The specificity of the subject circle of this agreement is noted, taking into account the possibility of being an ordering party of legal services for a minor. At the same time, non-fulfillment of the terms of the specified agreement may not always be the basis for legal liability, because of the difficulty of proving guilt in improper fulfillment of its terms by one or both parties. In addition, there is a certain complexity of proof in collection of full payment on the provision of legal services by the executor. Taking into account the rules of mandatory representation of a person's rights and interests by a lawyer in courts, the following feature of the subject composition of the agreement on the provision of legal services is noted. Thus, for the provision of legal assistance in a number of legal relationships for the representation of rights and interests (for example, in executive proceedings, when providing legal advice, in minor civil court cases), the participation of a lawyer is not mandatory. Therefore, the provider of legal services can be not only a lawyer, but also any legal entity: both physical and legal. In the latter case, according to the author, there are so-called "subcontracted" legal services, in which the material legal relationship is established by an agreement on the provision of legal services between the ordering party of legal services and their executor - a legal entity. And proof in a dispute with a similar subject composition is complicated by a rather confusing circle of rights and obligations under the triangle "ordering party-executor-provider" of legal services. The article also contains references to case law materials, which gives it a practical orientation. At the same time, scientific interest in the issues of providing legal assistance, in particular by lawyers, is explained by numerous research publications in domestic and foreign publications.
Gravidez ectópica em cicatriz de cesárea: um raro relato de caso
Authors: Lombardi Welington , Lombardi Luciana Borges , Silva Flávia Vicentin , Marcinkevicius Jéssica Aparecida , Giorjão Paola Alexandra Reghine , De Freitas Carla , Borges João Ramalho , Marchetti Laura de Oliveira
Published: April 2023

A Gravidez Ectópica (GE) refere-se a uma complicação na gestação em que ocorre a implantação do blastocisto em um local extra-uterino. Sua incidência varia de 1,2 a 1,4% de todas as gestações e possui etiologia ainda incerta. Entre os tipos mais comuns de GE destaca-se a tubária, totalizando 95% dos casos, seguida da ovariana (3,2%) e a abdominal (1,3%). Outros tipos descritos e extremamente raros são a gravidez cervical (0,15%) e a gravidez em cicatriz de cesariana (0,0005%). Os métodos diagnósticos mais utilizados para a determinação precoce da GE são os sintomas clínicos, como o sangramento vaginal e a dor abdominal baixa, a determinação do nível do hormônio β-hCG e a ultrassonografia transvaginal (US-TV). Com o advento e disseminação do US-TV, tornou-se possível o diagnóstico precoce e o tratamento mais conservador nos casos de pacientes hemodinamicamente estáveis, com β-hCG abaixo de 10.000 mUI/ml e sem batimentos cardíacos fetais, através do uso de um quimioterápico, o metotrexato. Este trabalho tem como objetivo relatar um caso de uma paciente que deu entrada no serviço de urgência, com quadro de gravidez ectópica em cicatriz prévia de cesárea e que obteve sucesso com tratamento clínico conservador com uso de metotrexato em dose única e cujo controle semanal de gonadotrofina coriônica humana beta (beta-hCG) confirmou sua negativação, evitando, dessa forma, um tratamento cirúrgico mais agressivo.
Ondas de choque associado à radiofrequência no tratamento da Hidrolipodistrofia Ginóide
Authors: Boton Tamiris Helena , Bordinhon Maristela , De Souza Damaris Suelen Vitorino , Ozelim Isabela Rocha , Fernandes Gabriela Fioruci , Andreiv Ana Paula
Published: April 2023

A Hidrolipodistrofia Ginóide (HG) ocorre na derme, principalmente nos membros inferiores, a qual se caracteriza por uma superfície de pele irregular. A radiofrequência é um aparelho de alta frequência que promove o aquecimento da derme e hipoderme. A terapia extracorpórea por ondas de choque são ondas acústicas e mecânicas. O objetivo deste trabalho foi verificar o efeito da terapia extracorpórea por ondas de choque e ainda verificar o efeito da associação da terapia extracorpórea por ondas de choque com a radiofrequência na HG. Participaram do estudo 11 mulheres com idade média de ± 28,11 anos. Após seleção das voluntárias, todas foram submetidas a uma avaliação com exame de imagem, fotografia e classificação do estágio da HG no início e final. O protocolo de tratamento foram 04 sessões, 01 vez por semana, aplicou-se no glúteo e coxa direita radiofrequência até a pele ficar com hiperemia, cerca de 40ºC, em seguida ondas de choque; e no glúteo e na coxa esquerda apenas as ondas de choque. Nos resultados, houve diminuição estatisticamente significante na classificação da HG, houve diminuição na espessura da hipoderme, septos verticais e orifícios de abertura. Concluímos que associação da terapia de ondas de choque com a radiofrequência foi mais efetiva do que apenas a ondas de choque na hidrolipodistrofia ginóide.
O gerenciamento da dor sob o enfoque da equipe de enfermagem e do paciente oncológico
Authors: Turatti Patrícia , de Faveri Fabiano
Published: April 2023

A dor é diariamente relatada pelos pacientes oncológicos, compreender que a dor é algo subestimado envolve o entendimento quanto a necessidade da sua correta avaliação diagnóstica, na intervenção e acompanhamento dos resultados do tratamento. Objetivo: analisar o gerenciamento da dor sob o enfoque da equipe de enfermagem e pacientes oncológicos. Métodos: trata-se de um estudo descritivo com abordagem qualitativa, onde foi realizada uma pesquisa com profissionais de enfermagem e com pacientes, de uma unidade de internação oncológica. A amostra se deu por conveniência, sendo aplicado um questionário elaborado pelos próprios pesquisadores. Os dados foram analisados mediante o uso da análise de conteúdo. A pesquisa foi aprovada no Comitê de Ética em Pesquisa da FSG Centro Universitário, sob o CAAE nº 07168919400005668. Resultados: Após análise dos dados oriundos das respostas da equipe de enfermagem, evidenciaram as seguintes categorias: realização da avaliação da dor do paciente, estratégias e intervenções utilizadas, dificuldades encontradas, preparo da equipe para avaliação da dor e a dor como indicador de qualidade assistencial. Em relação aos pacientes, observou-se que a dor variou entre moderada, intensa e insuportável, não ouve relatos de cuidados diferenciados para proporcionar o alívio da dor, sentiam-se confortáveis sem evidenciar necessidades de outras intervenções, somente a terapia medicamentosa. Conclusão: nota se que a equipe de enfermagem avalia a dor no paciente oncológico, porém, não instiga maneiras alterativas no alívio da dor, a analgesia foi a principal conduta por parte da enfermagem.
Análise epidemiológica do tratamento cirúrgico de torção testicular no Brasil entre 2011 e 2021
Authors: Ferreira Karine Coelho da Silva , Alves Maria Eduarda Tesch Ferreira , Da Silva Marcelle Alves Torres , Cruz Julia Almeida , Fernandes Daniel de Souza
Published: April 2023

A torção testicular (TT) consiste na rotação do cordão espermático em seu próprio eixo, o que reduz o suprimento sanguíneo local, promove isquemia testicular e pode evoluir para necrose do órgão quando não solucionado a tempo. Trata-se de uma emergência urológica, sendo a principal causa de escroto agudo na infância e adolescência. O risco de perda testicular por isquemia irreversível está diretamente relacionado ao tempo de evolução da torção, com maiores chances de preservação do órgão caso o tratamento cirúrgico ocorra nas primeiras 6 horas.
Risco de hemorragia cerebral em pacientes portadores de gliomas de alto grau e anticoagulados
Authors: Aires Rogerio , Pinho Maria Carla Vieira , Coque Alex
Published: April 2023

INTRODUÇÃO: a população mundial vem apesentando uma melhora na expectativa de vida e associado a este fato está um aumento na prevalência dos tumores em geral, principalmente os cerebrais. Os pacientes com câncer têm maior possibilidade de eventos trombóticos, mas como existe um receio de anticoagular estes pacientes devido à possibilidade de sangramento maciço intracraniano. OBJETIVOS: Avaliar a segurança do anticoagulante em pacientes com eventos trombóticos e submetidos a cirurgia para gliomas de alto grau.  MÉTODOS: foi realizado uma pesquisa no PUBMED com as seguintes palavras:  “glioma” e “hemorrhage” e “coagulation” não colocando qualquer filtro. Após ler atentamente os artigos, fazendo uso dos critérios de inclusão e exclusão, procedeu-se a análise estatística. RESULTADOS: Foram selecionados 30 artigos, mas somente dois foram avaliados. O total de pacientes nos dois artigos era de 669 pacientes portadores de gliomas de alto grau, sendo 523 no primeiro artigo e 146 no segundo; 120 pacientes foram anticoagulados e somente 17 (14,1%) tiveram hemorragia intracraniana. CONCLUSÃO: tendo em vista os resultados apresentados nesta pesquisa, o uso de anticoagulantes é seguro para o tratamento de eventos trombóticos em pacientes submetidos a cirurgia de gliomas de alto grau.
Study of the best condition for the use of combined drying technologies in artisanal noodle pasta, to improve the technological characteristic and consequent retention of nutrientes
Authors: da Silva Lucas Martins , Santos Magno Fonseca , Vargas Pamela Oliveira , Mussi Lara Poses , Pereira Nádia Rosa , Maradini Filho Antonio Manoel , Saraiva Sérgio Henriques , Teixeira Luciano José Quintão
Published: April 2023

Pasta is a popular food item that is produced in several shapes and dimensions. Therefore, the industry and research need updates regarding novel technologies applicable to the processing of new products. The aim of this work was to evaluate the effects of drying pasta arranged in nests using a convective dryer combined with a microwave oven and that influence the offer of a more nutritious product for the consumer. An experimental design was carried out in five assays with varying conditions of drying temperature and microwave oven power. After drying, moisture analyses were performed to assess whether or not the samples were in accordance with the legislation (moisture content not higher than 13%). Technological quality analyses were also carried out. Assay 5 (60°C / 107 W) led to the best drying condition, as indicated by the lowest loss of soluble solids and the shortest cooking time. Thus, this condition is considered ideal for conducting further research on the development and shelf life evaluations of pasta.
Síndrome inflamatória multissistêmica (MIS-C) e sua relação com infecção por COVID-19 na população pediátrica, uma revisão sobre fisiopatologia, curso clínico e tratamento
Authors: Reis Henrique Moletta , Besson Jean Carlos Fernando , Taborda Gabrielle Camargo , Cat Rubens
Published: April 2023

Desde o surgimento da pandemia por COVID-19 acreditava-se que a população pediátrica, quando infectada, teria uma evolução leve ou assintomática. Contudo, ao passo com que a pandemia se a alastrava, percebeu-se que uma pequena porcentagem dos pacientes desenvolveram uma condição inflamatória tardia semelhante à Doença de Kawasaki, a qual foi denominada Síndrome Inflamatória Multissistêmica (MIS-C). Estes quadros, englobam eventos como febre prolongada, até grave envolvimento do sistema respiratório, gastrointestinal e problemas neurológicos. Apesar de raro, esta síndrome exige atendimento médico imediato, uma vez que é potencialmente grave, sendo necessário tratamento imediato.
Sustentabilidade Corporativa garantida por uma Governança de Business Intelligence adequada às regulações da lei Sarbanes-Oxley
Authors: Sassi Renato José , Arrivabene Adriano , Vicente Cleber William , Passos Rogerio Lopes
Published: April 2023

As empresas buscam sua sustentabilidade desenvolvendo novas estratégias de negócios e motivadas pela globalização. Seu sucesso acaba atraindo investidores, pois corrobora com o retorno para seus investimentos. Nesse processo, a segurança das informações garante um alicerce estável para o desenvolvimento dos negócios. Na década de 90 a segurança das informações não despertava a atenção necessária dos gestores, fato que fez com que algumas empresas norte-americanas, que comercializavam seus papéis na New York Stock Exchange (NYSE) e National Association of Securities Dealers Automated Quotations (NASDAQ), puderam fraudar seus resultados financeiros. Essa situação gerou um impacto negativo no grau de confiança na governança corporativa mundial. Esse impacto motivou a criação da lei Sarbanes-Oxley (SOX) como um organismo regulador e monitorador da integridade das informações, obrigando a adequação dos processos por meio de controles e registros, afetando diretamente a área de Tecnologia da Informação (TI), principalmente com respeito às informações financeiras, envolvendo a governança de Business Intelligence (BI). Este trabalho analisa a governança de BI, atendendo as exigências da lei SOX e conclui que a adequação à lei gera mudanças notáveis nos processos, criando registros de controle e mapeamento das atividades, tornando-as rastreáveis, além da responsabilidade direta dos gestores nas atividades envolvidas.