bluuebunny/crossref_metadata_2025 huggingface dataset:
Observation of the rock slope thermal regime, coupled with crackmeter stability monitoring: initial results from three different sites in Czechia (central Europe)
Authors: Racek Ondřej , Blahůt Jan , Hartvich Filip
Published: September 2021

Abstract. This paper describes a newly designed, experimental, and affordable rock slope monitoring system. This system is being used to monitor three rock slopes in Czechia for a period of up to 2 years. The instrumented rock slopes have different lithology (sandstone, limestone, and granite), aspect, and structural and mechanical properties. Induction crackmeters monitor the dynamic of joints, which separate unstable rock blocks from the rock face. This setup works with a repeatability of measurements of 0.05 mm. External destabilising factors (air temperature, precipitation, incoming and outgoing radiation, etc.) are measured by a weather station placed directly within the rock slope. Thermal behaviour in the rock slope surface zone is monitored using a compound temperature probe, placed inside a 3 m deep subhorizontal borehole, which is insulated from external air temperature. Additionally, one thermocouple is placed directly on the rock slope surface. From the time series measured to date (the longest since autumn 2018), we are able to distinguish differences between the annual and diurnal temperature cycles of the monitored sites. From the first data, a greater annual joint dynamic is measured in the case of larger blocks; however, smaller blocks are more responsive to short-term diurnal temperature cycles. Differences in the thermal regime between the sites are also recognisable and are caused mainly by different slope aspect, rock mass thermal conductivity, and colour. These differences will be explained by the statistical analysis of longer time series in the future.
Soil organic carbon mobility in equatorial podzols: soil column experiments
Authors: Merdy Patricia , Lucas Yves , Coulomb Bruno , Melfi Adolpho J. , Montes Célia R.
Published: September 2021

Abstract. Transfer of organic carbon from topsoil horizons to deeper horizons and to the water table is still little documented, in particular in equatorial environments, despite the high primary productivity of the evergreen forest. Due to its complexing capacity, organic carbon also plays a key role in the transfer of metals in the soil profile and, therefore, in pedogenesis and for metal mobility. Here we focus on equatorial podzols,
which are known to play an important role in carbon cycling. We carried out
soil column experiments using soil material and percolating solution sampled in an Amazonian podzol area in order to better constrain the conditions of the transfer of organic carbon at depth. The dissolved organic matter (DOM) produced in the topsoil was not able to percolate through the clayey, kaolinitic material from the deep horizons and was retained in it. When it previously percolated through the Bh material, there was production of fulvic-like, protein-like compounds and small carboxylic acids able to percolate through the clayey material and increase the mobility of Al, Fe and Si. Podzolic processes in the Bh can, therefore, produce a DOM likely to be transferred to the deep water table, playing a role in the carbon balances at the profile scale and, owing to its complexing capacity, playing a role in deep horizon pedogenesis and weathering. The order of magnitude of carbon concentration in the solution percolating at depth was around 1.5–2.5 mg L−1. Our findings reveal a fundamental mechanism that favors the formation of very thick kaolinitic saprolites.
Vol. 1 Núm. 118 Periodico Meta Universitaria
Authors: UNIMETA Corporación Universitaria del Meta
Published: September 2021

! La educación no puede detenerse!. La corporación Universitaria del Meta, una vez que se implementaron medidas para contrarrstar la pandemia, como el aislamiento social obligatorio que implicó el cierre momentáneo de las instituciones de educación superior, de inmediato se puso manos a la obra.
Sátiras de Abu Bakr Al-Gazar
Authors: Gimeno Cristina
Published: September 2021

En el presente artículo se analiza de manera didáctica la poesía satírica de Abū Bakr al-Ğazzār, autor cuasi desconocido del periodo andalusí de Saraqusta, que vivó entre los siglos XI y XII. Entre sus obras destacan sus sátiras por lo agudo de las críticas contra su vital adversario, Abū l-Ḥasan ‘Alī. Ello vendrá precedido de una breve caracterización del género de la sátira y una explicación del periodo que enmarque la lectura.
The Mediating Effect of Change of Direction Speed in the Relationship between the Type of Sport and Reactive Agility in Elite Female Team-Sport Athletes
Authors: Domaradzki Jarosław , Popowczak Marek , Zwierko Teresa
Published: September 2021

The main aim of this study was to examine the mediating effect of the change of direction speed (CODs) on reactive agility (RA) in female players participating in different team sports (TS). In total, there were 31 elite female players from the Polish national basketball (n = 12, aged 24.98 ± 3.38) and handball (n = 19, aged 27.34 ± 4.68) teams participated in this study. Two experiments using the ‘five-time shuttle run to gates’ test with similar movement patterns were used to determine the players’ RA and CODs. A simple mediation model was utilised to investigate the potential mediation role of CODs and its effect on RA. The results revealed a primary, statistically significant effect of TS on RA (B = 0.796, p = 0.005), which decreased and became statistically insignificant after including the CODs variable into the model of mediation analysis (B = 0.337, p = 0.192). The RA test results were mediated by changes in CODs (B = 0.764, p < 0.001). Likewise, TS affected CODs (B = 0.602, p = 0.016). The general conclusion is that the relationship between TS and RA is not inherent. The direct effect of TS on RA disappears in the presence of the mediator CODs. Study results confirm the relevance of using the mediation analysis to apply in sport training. Identification of the critical ingredients of the athletes’ agility performance can improve training programs by focusing on effective components.
Investigating the Importance of Tunnel Lighting and its Role in Reducing Traffic Accidents
Authors:   Electrical Power Engineering Department, Ghazni Technical University, Afghanistan, Danishmal Massoud , Serat Zainullah ,   Energy Engineering Department, Ghazni Technical University, Afghanistan
Published: September 2021

Traffic safety is a major concern worldwide. Road accidents are the ninth leading cause of death in the world. Tunnel accidents are less common than road accidents. However, the severity of the accidents is more severe. One of the key factors in preventing accidents in road tunnels is proper lighting system. Failure to pay attention to this issue causes the phenomenon of black hole when approaching the tunnel, visual mismatch inside the tunnel and the phenomenon of glowing hole when leaving the tunnel. The creation of these factors has increased the risk potential at the entrance and exit of the tunnel up to 4 times the middle area of the tunnel. At the entrance to the tunnel, the reflection of sunlight from the surroundings and the lack of sufficient light usually cause some vision problems. It may lead to drivers' eyes not adapting to changing the brightness level at the tunnel entrance, thus increasing the risk of road accidents in this area. The aim of this study was to evaluate the lighting safety in very long road tunnels based on the visual adaptation of drivers in the tunnels. In this paper, first, generalities about tunnel safety are stated and using the CIE88-2004 standard, the required luminosity in the threshold, transition, interior and exit areas of the tunnel is designed. Finally, solutions are proposed to increase the safety of tunnels.
Prevalence of Ocular Surface Disorder and Dry Eye in Patients with Glaucoma using Topical Antiglaucoma Medications
Authors: Ingle Santosh Yadawrao , Biswas Saswati
Published: September 2021

Background: The main aim of the study is to establish the prevalence of ocular surface disorders in glaucoma patients treated with topical antiglaucoma medications.
Methods: Investigation of 50 eyes of 25 patients has been performed using two or more antiglaucoma medications for six months, and compared with 50 eyes of 25 normal subjects without any ocular problem. After one year each patient was evaluated by Schirmer’s (SCH) test-I Tear break-up time (TBUT), Corneal staining score.
Results: The mean values in the glaucoma cases and control groups respectively were as follows: Schirmer’s test-1 (7.63 ± 2.64mm / 12.86 ± 1.93mm; p= 0.001), Tear breakup time (9.44 2 ±.76 sec / 11.8 ± 1.88 sec; p=0.001), Corneal staining score (5.7 ± 2.33 /1.1 ± 0.58; p=0.001).
Conclusion: Patients on antiglaucoma therapy have a greater prevalence of ocular surface disease and dry eye. The causative factors were medications with preservatives and longer treatment duration.

Keywords: Antiglaucoma medication, dry eye, ocular surface diseases (OSD), Schirmer’s (SCH) test, Tear breakup time, Corneal staining score.
Effect of Current Ratio and Debt to Equity Ratio on Price to Book Value with Return on Equity as a Mediation Variable in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016-2018
Authors: Minah Lina , Toni Nagian , Simorangkir Enda Noviyanti
Published: September 2021

The purpose of this study was to determine and analyze the effect of current ratio (CR) and debt to equity ratio (DER) on price to book value (PBV) with return on equity (ROE) as a mediation variable in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. This research was conducted on Property, Real Estate and Building Construction Sector Companies listed on the Indonesia Stock Exchange in 2016–2018. This research was conducted on Property, Real Estate and Building Construction Sector Companies listed on the Indonesia Stock Exchange in 2016–2018. The population in this study is the Property, Real Estate and Building Construction Sector Companies that have gone public and are listed on the Indonesia Stock Exchange for the 2016-2018 period, with a total of 81 companies. The research population according to the purposive sampling criteria were 44 companies. Hypothesis testing is done by statistical test t (t-test). Based on the results of hypothesis testing conducted with the SmartPLS tool, CR has significant effect on PBV in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. DER has an significant effect on PBV in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. CR has significant effect on ROE in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. DER has no significant effect on ROE in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. ROE has significant effect on PBV in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. ROE has significant effect on mediating the effect of the CR on PBV in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018. ROE has no effect in mediating the effect of the DER on PBV in Property, Real Estate and Building Construction Sector Companies on the Indonesia Stock Exchange for the Period 2016–2018.

Keywords: Current Ratio, Debt to Equity Ratio, Price to Book Value, Return on Equity.
An Elementary Mathematical Model for MMT (Modern Monetary Theory)
Authors: Tanaka Yasuhito
Published: September 2021

In recent years, a school of economics called MMT (Modern Monetary Theory) has been attracting attention, but it has not been analyzed theoretically or mathematically. This study aims to provide a theoretical basis for the skeleton of the MMT argument, while maintaining the basics of the neoclassical microeconomic framework, such as utility maximization of consumers by means of utility functions and budget constraint, profit maximization of firms in monopolistic competition, and equilibrium of supply and demand of goods. Using a simple static model that includes economic growth due to technological progress, we will argue that: 1) a continuous budget deficit is necessary to maintain full employment when the economy is growing, and that this deficit does not have to be covered by future surpluses; 2) Inflation is caused when the actual budget deficit exceeds the level necessary and sufficient to maintain full employment. In order to avoid further inflation, it is necessary to maintain a certain level of budget deficit; 3) A shortfall in the budget deficit leads to recession and involuntary unemployment. To recover from this, a budget deficit that exceeds the level necessary to maintain full employment is required. However, since a continuous budget deficit is necessary after full employment is restored, the deficit created to overcome the recession does not need to be covered by future budget surpluses, nor should it be.
Figurative Language in Layla Al-Atrash’s Nesa’a Ala Al-Mafareq: A Stylistic Analysis
Authors:   MA in Linguistics and Translation, The Islamic University, Gaza- Palestine, Hijazi Eman Abedelkareem
Published: September 2021

This study aims to analyze Layla Al-Atrash’s Nesa’a Ala Al-Mafareq stylistically to address the issue of an identity crisis and self-alienation by shedding light on the Arabic narrative discourse that is used by Al-Atrash in the selected novel. The stylistic analysis focuses on casting lights on how the five protagonists of the selected novel employed their feminist narrative discourse to represent their suffering and how the old cultural and social values affect their lives. To achieve the aim of the study, the researcher relies on Geffrey Leech's (2006) theory of figurative language to analyze the novel. Accordingly, this study is considered as the first study focusing on analyzing the language used by Al-Atrash linguistically in light of the stylistic analysis of figurative speech such as a simile, metaphor, hyperbole, personification, and metonymy. The researcher used both qualitative and quantitative approaches with (SPSS) program for statistics. The results showed that Al Atrash succeeded in utilizing her feminist narrative discourse linguistically to introduce the catastrophic situation the woman has in the masculine society. Taking into consideration metonyms with the highest rates (189) indicating the problems that the Arab woman encounters without finding a solution. Although hyperbole (126= 23%) refers to the writer's trial to support the readers with the perfect image of a woman’s life and why she surrenders to reality and accepts the outdated conventions and traditions.
Las crisis sacerdotales de San Agustín
Authors: Luis Vizcaíno Pío de
Published: September 2021

Las crisis sacerdotales no son algo nuevo en la Iglesia. San Agustín mismo las sufrió. Sus escritos nos dejan constancia de tres: una al inicio de su ministerio (cf. Conf. 10,43,70), otra hacia la mitad del mismo (cf. En. in. Ps. 54,8) y otra en los años finales (cf. Ep. 209,10). En el artículo se estudian las características de cada una y el modo cómo el santo las superó.
Charles R. Darwin entre albaceas, taxidermistas, probetas, cátedras, escaños parlamentarios y ... púlpitos (I)
Authors: Díez Barroso Santiago
Published: September 2021

Si hay un tema siempre candente y que por definición no puede tener fecha de caducidad, es el de la Evolución. Además se presta, por excelencia, a un tratamiento transdisciplinar. Como en una gigantesca ‘calda’ en su interior bullen en suspensión especímenes de casi todos los dominios científicos. La remembranza del 150 aniversario de la publicación de El Origen de las Especies (1859) de Charles R. Darwin, -un autodidacta discreto, pacífico, honrado y apasionado investigador-, nos brinda la oportunidad de acercarnos al hontanar de un debate, que tuvo y tiene mucho de ideológico y que abrió -y mantiene abiertos- muchos frentes, algunos insinuados en el título del presente artículo.
El quiasmo en el Praeceptum de san Agustín (I)
Authors: Luis Vizcaíno Pio de
Published: September 2021

En el presente artículo el autor estudia los quiasmos detectados en el primer capítulo del Praeceptum agustiniano. Precede una presentación de la figura retórica.
Comparison of Antihyperlipidemic Activity Temu Mangga’s Rhizomes and Ketepeng Cina’s Leaves Infusion
Authors:   Pharmacy Department, Sari Mulia University, Nugraha Dyan , Magfirah Noor Wildiati ,   Pharmacy Department, Sari Mulia University, Henjani Novia ,   Pharmacy Department, Sari Mulia University
Published: September 2021

Statins are first line therapy of antihyperlipidemia. It reduced LDL levels more than 50%. However, a serious side effects such as rhabdomyolisis which can lead to kidney failure. On other side, people often consumed boiled water of Temu Mangga’s Rhizome and/or Ketepeng Cina’s Leeaves as antihyperlipidemic. Both of them has a potential as adjuvant therapy. Purpose: To compare antihyperlipidemic activity of Temu Mangga’s Rhizome and Ketepeng Cina’s Leaves as alternative treatment. Method : Test animals were induced with High Fat Diet Food (HFDF) for the first 15 days, and with Temu Mangga’s Rhizome and Ketepeng Cina’s Leaves for the next 15 days. Study group: Simvastatin (positive control), Na CMC 0.5% (negative control), 450 mg/Kg BW; 900 mg/Kg BW; 1.800 mg/Kg BW of Temu Mangga’s Rhizome and 225 mg/Kg BW; 450 mg/Kg BW; and 900 mg/Kg BW Ketepeng Cina’s Leaves. Results: Temu Mangga 360 mg/200 gram BW was not significantly different from positive control in reducing total cholesterol, triglycerides, LDL and increasing HDL. Ketepeng Cina’s Leaves 180 mg/200 gram BW had the best effect, but it was not comparable to the positive control. Conclusion: 1.800 mg/Kg BW Temu Mangga’s Rhizome showed better antiyperlipidemic activity than 900 mg/Kg BW Ketepeng Cina’s Leaves.
Relationship between Loneliness and Self-Efficacy Among Persons with Schizophrenia in Indonesia
Authors: Larasati Yunanto Anandya Dewi , Panggabean Eva Chrisma Angelina , Sari Sri Padma , Locsin Rozzano C. , Ito Hirokazu
Published: September 2021

Background: Loneliness in persons with schizophrenia have shown associate with depression and promotes suicide among persons with schizophrenia. Individual and environmental factors are also recognized as related factors. The environmental factors are lack of social scope and support. While one of the individual factors is self-efficacy. Objective: To determine the level of loneliness among persons with schizophrenia in Indonesia, and to evaluate the relationship of loneliness with sociodemographic characteristics and clinical factors, and to assess the modifying effects of self-efficacy. Methods: This study was a correlational study with 132 respondents. Correlation analyses were performed to examine the relationship between loneliness and self-efficacy using The UCLA Loneliness Scale and General Self-Efficacy Scale (GSE) questionnaire to collect the data. Results: This study found that the mean of loneliness among persons with schizophrenia score was 46.05 (SD = 7.16). There were no relationships between several sociodemographic characteristics and clinical factors to loneliness, however, there was a negative correlation between self-efficacy and loneliness among persons with schizophrenia (ρ = -0.180, p-value = 0.04). Conclusion: There was a correlation between self-efficacy and loneliness among persons with schizophrenia. Therefore, it is recommended that mental health professionals provide sources of self-efficacy to minimize loneliness in this population. Keywords: loneliness; self-efficacy; schizophrenia, mental illness
Management in Mitral Valve Replacement with Pulmonary Hypertension and Thyroid Storm: A Case Report
Authors: Wicaksono Satrio Adi , Sudrajat Mohammad , . Mochamad , Rakhmatjati Pradana Bayu , Utami Sulistiyati Bayu , Nurcahyo Widya Istanto
Published: September 2021

Introduction: We reported a case of patient after mitral valve replacement (MVR) with pulmonary hypertension (PH) and thyroid storm that is rare, but life-threatening condition. Case Illustration: A 57-year-old-male with a subclinical hyperthyroidism underwent MVR due to severe mitral regurgitation (MR) and high possibility for PH. He showed atrial fibrillation with normal left ventricular ejection fraction (LVEF). In the intensive care unit (ICU), four hours postoperatively, he developed thyroid storm with heart rate of 226 times/min, temperature 39oC, and thyroid function showed low TSH (<0.05 uIU/mL), high fT4 (25.4 pmol/L), and high T3 (3.3 nmol/L). He was administered with propranolol, propylthiouracil, hydrocortisone, and lugol. Discussion: Trauma of cardiac surgery might trigger thyroid storm in this patient. The post-operative period represented a high-risk time for PH patients, moreover with thyroid storm. Therapy for thyroid storm was multimodal, including anti-thyroid, beta blockers, iodine, and glucocorticoid. Hemodynamic goals were avoidance of elevation in pulmonary vascular resistance (PVR), avoidance of myocardial depressants and maintenance of systemic vascular resistance (SVR), myocardial contractility and preload. Conclusion: Thyroid storm and PH complicating MVR was rare, but life-threatening. Comprehensive management could decrease morbidity and mortality of thyroid storm. Keywords: mitral valve replacement surgery; pulmonary hypertension; thyroid storm
The study of Effective Factors on Breast Cancer in Ardabil
Authors: Adham Davoud , Malek Abazari Eslam Moradi-Asl,
Published: September 2021

Background: The prevalence of breast cancer is about one third of all cancers in women constitute the second most common cancer after lung cancer and the most common cause of cancer death among women. Because of high prevalence, study of effective factors on breast cancer in Ardabil area is a very important. Method: In this case-control study, 100 women were selected from the breast cancer clinic that referred to hospitals in the Ardabil city in 2014 year. In addition, 100 healthy women were that referred to health centers in Ardabil city, selected for cluster and were considered as the control group. For statistical analysis and investigation of the influencing factors on breast cancer used to classification tree models. Results: The analyses indicated that, 83 women from case group and 80 women from control group were married. The most common age for patients whit breast cancer was 15-49 years old with average 32/8 year and (SD= 8.3).40% of women whit breast cancer were less than 30 years. None of the women did not have breast secretions in the control groups but 43 women in case groups have breast secretions. Conclusion: The identification of risk factors in this study can be programmed to prevent and control breast cancer. Keywords: Cancer, Breast, Ardabil
Effect of Pulley Therapy on Genurecurvatum in Children with Unilateral Cerebral Palsy: Randomized Controlled Trial
Authors: Hamouda Merhan M. , Mohamed Nanees E. , Abd el-Nabie Walaa A.
Published: September 2021

Objectives: Genu recurvatum commonly represents a more challenging problem that interferes with activities of daily living in children with cerebral palsy. This study aimed to investigate the effect of pulley therapy on genu recurvatum in children with unilateral cerebral palsy. Methods: Forty children with unilateral cerebral palsy aged from 3 to 6 years were randomly allocated into two equal groups: control group and study group. Both groups received designed physical therapy program in addition, study group received pulley therapy program instead of using free weights in control group for strengthening hamstring and tibialis anterior muscles. The program's protocol applied for one hour, three times per week for three successive months for each group. Degree of genu recurvatum was assessed pre- and post-treatment by using digital goniometer while, muscle strength of hamstring and tibialis anterior was assessed by using Lafayette manual muscle tester device. Results: Both groups showed significant improvement of all measured variables post treatment. The significant improvement after treatment in degree of genu recurvatum and muscle strength was obtained in favor to study group (p<0.05). Conclusions: Pulley therapy may be used within the rehabilitation program of children with unilateral cerebral palsy to treat genu recurvatum. Key words: Unilateral cerebral palsy, Hemiplegia, Genu recurvatum, Progressive resistance training, Pulley therapy.
Combination of Dexmedetomidine and Bupivacaine for Caudal Anesthesia In Children
Authors: E.M. Nasibova , SH Poluxovr.
Published: September 2021

Background: Caudal anesthesia is one of the most popular, reliable and safe methods of pain relief in children and can provide pain relief for various surgical procedures below the navel. Aim: To evaluate the efficacy and safety of the caudal use of dexmedetomidine in caudal anesthesia in children. Methods: The subject of the study was 46 children with physical status I and II class of the American Society of Anesthesiologists (ASA), aged 0 to 12 years, who underwent elective surgeries below the navel, such as hernia repair, orchiopexy, hypospadias repair, epispadias, etc. Results: The duration of caudal analgesia was determined from the moment the anesthetic was injected until the moment the child first complained of pain or the time when the first postoperative analgesia was required. The average duration of postoperative caudal analgesia in patients of group A was 4.21 ± 0.88, while in patients of group B this duration was 10.18 ± 0.85 hours. Conclusions. Our results show that the addition of dexmedetomidine to the local anesthetic for caudal block significantly increases the duration of analgesia and reduces the need for analgesics. More data is also needed on the neurological safety of dexmedetomidine. Key words: dexmedetomidine,caudal block, bupivacaine.
Mental Disorder in Obesity
Authors: Kardis Mahesa Permana , Fitrikasari Alifiati
Published: September 2021

Background: Obesity is a condition of incompatibility between body weight and height that shows a value above the normal range of body mass index. Obesity has an impact on the individual's psychological developmental processes. Limitations of Research on the relationship between obesity and mental disorders lead researchers to be interested in knowing whether there are incidents and types of mental disorders in obese individuals. Objective: To investigate mental disorders in individual with obesity. Methods: This was an observational and cross-sectional study. A total of 45 respondents who met the inclusion criteria according to WHO Asia Pacific obesity criteria (BMI ≥ 25 Kg/m2) were screened using MINI ICD 10. Statistical analysis using Mann-Whitney Test and Fisher’s Exact Test to determine the relationship of mental disorders incident with the demographic characteristics of respondents. Gamma and Mann-Whitney tests were used to determine the relationship between mental disorders types with the demographic characteristics of respondents. Results: There were eight of 45 respondents experiencing mental disorders. The study found that three respondents were diagnosed with general anxiety disorder, three with depression, one with distimia, and one with mania at past. There was no significant relationship between mental disorders incidents and demographic characteristics. The relationship between types of mental disorders with a history of mental disorders in the nuclear family showed significant results. Conclusion: There were mental disorders in obese individuals. Most mental disorders diagnosis were depression and general anxiety disorder. Keywords: Obesity, Mental disorder
Subtle Clinical Manifestation in SLE: Clinically and Laboratory Diagnosis and Follow Up
Authors: Limijadi Edward Kurnia Setiawan , Suromo Lisyani B.
Published: September 2021

Systemic Lupus Erythematosus (SLE) cases in pediatric are uncommon, compared to adult patients, who are mostly undetected at primary healthcare, especially with subtle clinical manifestations. Detection is necessary as early as possible so that further progressivity can be controlled. A 12-year-old child came with a rash on the face confirmed by a physical examination as malar rash and discoid rash. Laboratory results showed a positive antinuclear antibody (ANA) and double-stranded DNA (dsDNA) while complete blood count, liver function test, kidney function test and urinalysis were found within normal limits. Based on those findings we conclude that the diagnosis was SLE with subtle clinical manifestation. Evaluation needs to be done at least every 6 months as a scoring of the activity of disease and organ damage. The evaluation includes signs and symptoms, laboratory work-up such as complete blood count, organ function test, urinalysis, and immunologic parameters. Keywords: systemic lupus erythematosus, pediatric, subtle clinical manifestation
Frequency of Ischemic Heart Disease in Patients of End Stage Renal Disease
Authors: Akhtar Muhammad Farhan , Siddque Hafiz Muhammad Waqas , Nazir Talha , Khan Ubaid
Published: September 2021

Introduction: The disease burden of Chronic Kidney Disease (CKD) is increasing every day and adding the burden on our healthcare system. Many patients are being treated by hemodialysis due to a very limited recourses available. Cardiovascular complications such as ischemic heart disease (IHD) are very common in patients who are being treated by hemodialysis and one of the leading causes of death in these patients. Objective: Frequency of IHD in the patients of ESRD. Methodology: Cross-sectional type of study was piloted for duration of three months from April 2019 to June 2019 in Nephrology Department Mayo Hospital Lahore. Eighty one patients were recruited who fulfilled the inclusion criteria i.e. patients suffering end stage renal disease on maintenance hemodialysis through non-probability, convenient sampling. A standard questionnaire was used to collect the data. All the data was analyzed by using SPSS (software package for statistical analysis) version 20. Results: The study was carried out among 81 patients with diagnosis of Chronic Kidney Disease on the maintenance hemodialysis. Most patients in study were falling in the range of 21-60 years. The study included 46 (56.8%) males and 35(43.2%) females. The frequency of Ischemic Heart Diseases in these patients was found to be 56.8% (46/81 cases). Conclusion: Both genders are equally affected. The frequency of IHD in patients of end stage renal disease who are on hemodialysis is observed to be high, but not as much high as observed in previous studies. Both genders are affected almost equally. Key Words: Ischemic Heart Disease, End stage renal disease, chronic kidney disease, Hemodialysis
“Bioética Global” de Potter: ponte para o futuro ou pinguela para o passado?
Authors: Ribeiro Carlos Dimas
Published: September 2021

O objetivo desse artigo é refletir sobre a “Bioética Global” de Potter, em particular sua concepção da relação entre os seres humanos e a natureza. Num primeiro momento, é feita uma breve apresentação e se discute algumas críticas sobre a “Bioética Global”. Serão abordadas três das pontes que essa perspectiva pretende construir: ponte entre ciências e valores, ponte entre ser humano e natureza e ponte entre saúde individual e saúde do ecossistema. Num segundo momento, defende-se uma abordagem bioética alternativa da relação entre os seres humanos e a natureza, estabelecendo um diálogo entre, por um lado, o pensamento marxista, em particular sua ontologia da espécie humana, e, por outro, a Perspectiva dos Funcionamentos, como concepção ética.
Reflexões de uma médica durante a pandemia
Authors: Mallet Ana Luisa Rocha
Published: September 2021

A pandemia do coronavírus levou a mudanças de comportamento em todo o mundo. Nesse artigo, são apresentadas reflexões de uma médica sobre alguns temas que estiveram presentes durante os primeiros 100 dias de isolamento social: a insensibilidade da elite política e econômica do país, a vida na quarentena dos médicos que permaneceram atendendo em ambulatórios, a discussão sobre a formação médica no cenário de uma instituição privada e uma pública, a percepção da questão ética, o momento de maior tristeza, com a morte de uma criança que traz todas as marcas da desigualdade social e do racismo existente no Brasil. Discute ainda algumas perspectivas do pós-quarentena com uma esperança que as ruas voltem a ser ocupadas de uma forma mais democrática, acreditando que isso só será possível a partir de jovens comprometidos com um mundo mais criativo, tolerante e inclusivo.
Comunicação de Más Notícias nos Cuidados Paliativos Oncológicos: Revisão Integrativa
Authors: Souza Endi Evelin Ferraz de , Nevesa Luciene Miguel Lima , Gregório Ana Paula Alves , Gouvêa Mônica Villela
Published: September 2021

Paliativo é o termo utilizado para o cuidado multidisciplinar quando a doença ameaça a vida. Classifica-se quando o tratamento curativo não é mais possível. Neste cenário o paciente e familiares se deparam com notícias difíceis, modificando a perspectiva de futuro. Artigo com objetivo de apresentar revisão integrativa sobre a Comunicação de Notícias Difíceis (CND) nos Cuidados Paliativos Oncológicos (CPO).  Realizou-se revisão de literatura através da estratégia PICO. Os textos selecionados foram submetidos à análise temática, emergindo três categorias: experiências com protocolos para comunicação de notícias difíceis; habilidade em comunicação de más notícias durante a formação; e importância das equipes e experiências ligadas à qualificação de trabalhadores. Observou-se relato e avaliação positiva de protocolos de CND. Os estudos reforçam a necessidade de investimento na formação de profissional. A análise indica a necessidade de pesquisas envolvendo a interprofissionalidade.
Síndrome de Charles Bonnet: os mistérios do cérebro
Authors: Rodrigues Daniella Achilles Mello , Onga Karen Sakane , Meyas Gabriel Alverca , De Queiroz Valéria
Published: September 2021

A Síndrome de Charles Bonnet (SCB) é uma condição na qual há ocorrência de alucinações visuais em indivíduos que apresentam alguma patologia ao longo das vias visuais. Estes pacientes geralmente mantém cognição intacta e insight da irrealidade das alucinações. O tratamento é baseado em abordagem multiprofissional com reforço ao paciente quanto à benignidade das alucinações, porém quando estes métodos falham, a terapia medicamentosa tem se mostrado pouco promissora. Neste trabalho será apresentada uma revisão acerca da síndrome e o relato de caso de um paciente que obteve boa resposta ao tratamento farmacológico com Clobazam 10mg/dia.Palavras-chave: Síndrome de Charles Bonnet, Benzodiazepinas, Alucinações
Amamentação: Uma questão (bio)ética?
Authors: Gomes Cristiane Santos , Koifman Lilian
Published: September 2021

Este estudo tem por objetivo analisar como algumas teorias éticas fundamentam a importância do aleitamento materno e como podem auxiliar nas tomadas de decisões em alguns conflitos sobre esse assunto. Para tal, apresento situações factíveis sobre aleitamento materno sob a ótica do principialismo e utilitarismo. O artigo se propõe a contribuir para a reflexão ética nas tomadas de decisões baseada nas correntes abordadas como forma de justificação das escolhas morais. Aponta ainda a necessidade de se incluir o tema como conteúdo transversal na estrutura curricular dos cursos da área de saúde.Palavras chaves: Aleitamento Materno; Ética; Tomada de decisões.
A pandemia e as favelas: um retrato da desigualdade e da injustiça social
Authors: Pinto Gabriela Bertti da Rocha , Lopes Lucas Nascimento Ferreira
Published: September 2021

A pandemia de COVID-19 no Brasil auxiliou a destacar ainda mais o debate da crise sanitária em vigor no país e, especificamente no Rio de Janeiro, a diferença na condição social da população de favela e a estrutura discriminatória do município ficaram ainda mais evidentes. Com isso, o artigo teve o objetivo apresentar um panorama das desigualdades vividas pelos moradores de favela que foram agravadas durante esse momento. Para tal, identificou-se a população vulnerada no contexto de pandemia no município do Rio de Janeiro e foi pontuado a falta de direitos básicos direcionado a ela. Através do exposto no artigo, nota-se a falta de ações que favoreçam a mitigação da desigualdade e uma política de estado solidamente instaurada em bases racistas com intuito de extermínio de determinada população.
O ódio indisfarçável contra negros, indígenas, pobres e seus idosos - a necrofilia colonialista outrocida (NCO) no Brasil
Authors: De Moraes Wallace Dos Santos
Published: September 2021

O objetivo deste artigo é analisar as posturas do governo brasileiro e a sua indisfarçável simpatia pela morte/aniquilamento de negros, indígenas, pobres e seus idosos. Necro-Estado e liberalismo econômico compõem o pior dos mundos para as novas senzalas e florestas brasileiras. Como forma de representar tais ações, apresento o conceito de Necrofilia Colonialista Outrocida (NCO).
Aumento da Adiposidade em Adolescentes em Uso de Risperidona
Authors: Silva Débora Guerra e , De Aguiar Aline Silva , Fonseca Vilma Aparecida Da Silva
Published: September 2021

Introdução: Antipsicóticos atípicos (AA) causam alterações cardiometabólicas. Objetivo: Comparar o estado nutricional de adolescentes conforme o tempo de uso de AA. Métodos: Estudo com adolescentes em tratamento no CAPSi. Foi calculado o Índice de Massa Corporal (IMC). Numa subamostra de adolescentes (n= 13) em uso contínuo de risperidona, avaliou-se o percentual de gordura corporal (%GC). Resultados: Os adolescentes em uso de AA por mais de 1 ano apresentaram o IMC mais alto [Med: 24,5 (16,3 – 43,2 kg/m2)]. Cinco adolescentes em uso de risperidona apresentaram IMC ≥ 25 kg/m2, indicativo de excesso de peso. O %GC  foi acima do esperado para a idade [Mediana%GC 27,05% (11,1 - 35,3)], não aumentando após 1 ano. Conclusão: Em população de baixa renda atendida em serviço público o uso de antipsicóticos está associado à obesidade com o tempo de mais de um ano de uso.  Palavras chaves: risperidona; antipsicóticos; adolescentes; aumento de peso; avaliação nutricional.
Pazopanibe e Bevacizumabe no Tratamento do Carcinoma de Células Renais Metastático: Análise do Impacto Orçamentário
Authors: Xavier Fabíola Ramos , Mosegui Gabriela Bittencourt Gonzalez , Vianna Cid Manso de Mello
Published: September 2021

Analisou-se o impacto orçamentário (IO) do tratamento farmacológico de primeira linha do câncer renal metastático (CCRm) empregando-se: (a) pazopanibe; (b) bevacizumabe associado ao interferon-α, na perspectiva do SUS, por 2 anos. Simulou-se uma população com pacientes acima de 50 anos, de ambos os sexos, virgens de tratamento. Levantou-se os custos dos medicamentos, testes diagnósticos, tratamentos adjuvantes, manejo das reações adversas, consultas médicas, exames laboratoriais e hospitalizações, por valor unitário e a quantidade utilizada. Os cálculos empregaram a Planilha Brasileira de Impacto Orçamentário de Tecnologias da Saúde. O valor final mensal do tratamento do CCRm empregando-se pazopanibe e bevacizumabe associado foi de R$ 5.781,24 e R$ 16.832,88, respectivamente. O IO do bevacizumabe no SUS, empregando-se o método epidemiológico, corresponde a R$ 146.818.944,59. Mesmo sendo a estratégia farmacológica mais custosa, os custos associados ao manejo de suas reações adversas são menores.Palavras-chave: Neoplasias renais, Tratamento Farmacológico, Avaliação da Tecnologia Biomédica, Custos e Análise de Custo
Mente estendida: a defesa de sistemas acoplados através do externalismo ativo
Authors: Mochcovitch Diogo
Published: September 2021

Este artigo tem por objetivo apresentar um mapeamento do externalismo ativo, suas consequências para a tese da cognição estendida e, consequentemente, a mente estendida. Para tal, contextualizo onde está inserida a discussão do externalismo, apresento os externalismos clássicos e, em seguida, os contraponho com o externalismo ativo. Argumento que é determinante para a compreensão do externalismo ativo que o processo cognitivo não esteja localizado apenas nos limites corporais do sujeito cognoscente. Proponho que os conceitos de sistemas acoplados, o princípio de paridade e funcionalismo, norteadores do externalismo ativo, quando conjugados, são capazes de fornecer um experimento mental da mente estendida.
Determinants of Trading Volume in Karachi Stock Market
Authors:   Capital University of Science and Technology, Islamabad, Zahoor Musawwar , Bilal Saeed Muhammad ,   FAST University Islamabad, Haider Hashmi Shujahat ,   Capital University of Science and Technology, Islamabad
Published: September 2021

This study aimed to investigate the determinants of trading volume. For this purpose a sample of fifty firms listed at KSE had been considered. 50 firms based on capitalization were selected from non-financial sector covering a time period from 2005 to 2014. Descriptive statistics, Variance inflation factor, and panel data estimation model have been employed for the purpose of analysis. The findings revealed that determinants have significant effect on trading volume. It has been observed that abnormal return, volatility (systematic & residual risk), size, institutional holding, dividend yield, positive returns, and negative returns have positive effect on trading volume, while institutional holding has no effect on trading volume.
Determinants of Facebook Usage in Organizations and its Impact on Job Performance
Authors:   Capital University of Science and Technology, Islamabad, Zakariya Ramsha
Published: September 2021

Facebook is the most trendy social network to date whose popularity is rising swiftly nowadays in our society. The overall purpose of this research is to evaluate the determinants of Facebook Usage at the work place and its impact on the job performance of the employees. A sample of 250 employees was drawn from Call Centers in Rawalpindi and Islamabad with the purposive sampling technique. Data were analyzed through Pearson correlation, regression analysis and A. F. Hayes macros to measure the results. The findings suggest that Socializing through Facebook is positively associated with job performance while information sharing and self status seeking are not directly associated with job performance. Moreover, a positive association exists between Facebook usage and employees job performance which is shown to mediate the relationship between socializing, information sharing and self status seeking through Facebook and job performance of the employees.
Impact of Ethical Leadership on Whistle Blowing Intention Through Mediating Role of Moral Attentiveness: Moderating Role of Collectivism
Authors:   Capital University of Science and Technology, Islamabad, Pakistan, Tariq Awais
Published: September 2021

The focus of this research is to check the impact of leadership style on whistle blowing intention with the mediator and moderator. Using an assorted sample of 300 personnel from a variety of banks in Islamabad, the data for this field study were collected using convenient sampling technique. Ethical leadership positively influenced the process of the whistle blowing intention and provides an initiative to the employees that they can also raise their voice about any unethical conduct. Contrary to the prediction that moral attentiveness strengthens the positive role of ethical leadership verses whistle blowing relation. In addition, the cultural dimension collectivism also plays a moderating role and strengthens the relation between the moral attentiveness and whistle blowing intentions. In conclusion, this study offers significant contribution and serves to elicit comprehensive understanding of the organization to create full awareness among employees about whistle blowing intentions, providing ways by which they report the wrong doings in the organization.
Safety Leadership and Injuries: A Study on the Manufacturing Sector of Pakistan, Using Safety Climate as a Mediator
Authors:   Universiti Teknologi, PETRONAS, Mirza Muhammad , Isha Ahmad ,   Universiti Teknologi, PETRONAS
Published: September 2021

Safety literature is in agreement regarding the effective role safety-specific leadership plays in occupational safety but most of these studies are limited to Western/American context. The current study looks to fill this void by testing safety-specific leadership effectiveness in Pakistani context. Data were collected from 163 workers of manufacturing industry. The results confirmed that safety-specific leadership strengthens followers safety climate perceptions and thereby negatively affects occupational injuries. Practical implications, future research directions and limitations of the study are also discussed.
The Effect of Emotional Intelligence on Turnover Intentions; The Role of Employee Well-being, Engagement and Perceived Organizational Support
Authors:   International Islamic University, Islamabad, Akhtar M. Waheed , Ghufran Hafiz ,   International Islamic University, Islamabad, Fatima Tasneem ,   International Islamic University, Islamabad
Published: September 2021

This study investigated the mediating role of employee well-being and engagement in the relationship between emotional intelligence and turnover intentions. It also investigated the interactional effect of perceived organizational support in the relationship between emotional intelligence and mediators (employee well-being and engagement). Stratifying simple random sampling technique was used for data collection. 450 questionnaires were distributed among the employees of different banks at Islamabad and Rawalpindi. Data were analyzed through reliability testing, correlation and regression analysis. The results showed that employee well-being and engagement mediate the relationship between emotional intelligence and turnover intentions; whereas, perceived organizational support positively moderates the relationship between emotional intelligence and mediators as well. Managerial implication, limitation and direction for future studies are included in the paper.
Impact of Procedural Justice on Organizational Commitment with Moderating Effect of Pay Satisfaction
Authors:   Bahria University, Islamabad, Pakistan, Arif Khattak Muhammad , Ilyas Sindhu Muzammal , Haider Aftab ,   Bahria University, Islamabad, Pakistan,   Bahria University, Islamabad, Pakistan, Faiza Urooj Syeda ,   Federal Urdu University, Islamabad, Pakistan
Published: September 2021

The current study explored the relationship between procedural justice and organizational commitment with the moderating role of pay satisfaction. Furthermore, it also aimed to identify the impact of pay satisfaction on organizational commitment. The study was conducted based on the data collected from 400 employees from the telecom sector. The results of study revealed positive and significant impact of procedural justice and pay satisfaction on organizational commitment. It was also found that procedural justice plays a positive and significant role in enhancing organizational commitment behavior. Finally, the findings further suggested that pay satisfaction positively moderates the relationship between procedural justice and organizational commitment. Implications and suggestions are discussed for future research.