bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise sistemática das variações anatômicas dos seios da dura-máter para prototipagem e impressão 3D com base em neuroimagem
Authors: Kalkmann Gabriela Ferreira , Nascimento Isabela do Prado , Chagas Caroline Okuyama , Foggiatto José Aguiomar , De Oliveira Luciane Bittencourt Carias , Mello Neto Heraldo de Oliveira , Bettega Silvio Gomes , Veronez Djanira Aparecida da Luz , Moratas Leiliane de Cássia
Published: August 2022

Os seios da dura-máter correspondem a um complexo sistema venoso especial responsável pela drenagem venosa do encéfalo. Apresentam um padrão anatômico de desenvolvimento e configuração morfológica. No entanto, ocorrem variações anatômicas de interesse clínico que devem ser levantadas para minimizar complicações cirúrgicas já que os seios venosos são importantes pontos de referência para a realização de técnicas cirúrgicas de acesso ao cérebro. Sendo assim, com propósito de contribuição pedagógica, este ensaio foi feito com base em um estudo de revisão integrativa da literatura que tem como objetivo desenvolver um levantamento das principais variações anatômicas relacionadas à formação, trajeto e drenagem venosa dos seios da meninge dura-máter. Para a coleta de dados, foi utilizada a plataforma PUBMED além da literatura médica clássica consultada. Como termo de busca foi utilizado (“Cranial Sinuses” [Mesh]) AND (variation or variations) e filtro “humans”, totalizando 100 artigos científicos com um recorte temporal de 10 anos entre 2010 até 2020. Como critérios de inclusão, foram selecionados artigos que possuíam base estatística das variações anatômicas mais frequentes. Como critérios de exclusão, estavam pesquisas que relatam patologias, vasos sanguíneos não relacionados, descrição de técnicas operatórias, relação com nervos cranianos e malformações fetais. A análise dos dados indicou que as variações anatômicas mais frequentes encontram-se relacionadas a dominância direita no seio transverso; ao seio sigmóide; e a presença de seio occipital oblíquo e seio falcial; além da diversidade no padrão da confluência dos seios. Quanto ao direcionamento da drenagem venosa dos seios da dura-máter constatou-se a dominância direita a partir do seio transverso e seio sigmóide em confluência à veia jugular interna em indivíduos adultos. Ademais, o levantamento das variações anatômicas mais frequentes dos seios da dura-máter serviu como base para o desenvolvimento de modelamento e impressão tridimensional (3D), com o propósito de contribuir como material didático na formação de excelência dos acadêmicos do curso de Medicina e auxiliar no planejamento de neurocirurgias.
Desafios e possibilidades no desenvolvimento de competências digitais: relatos de professores
Authors: Machado Álvaro Lima , Santos Carolina Coutinho Moreno , Lessa Dionei de Souza , Coutinho Maria Livia Astolfo , Santos Renata Astolfo Coutinho , Correia Silvia Luiza Almeida
Published: August 2022

O estudo relata desafios enfrentados pelos professores e suas tentativas de superação, durante o ensino remoto, no desenvolvimento de competências digitais. A pesquisa utilizada foi a qualitativa, de natureza descritiva e reflexiva, com base na análise dos autorrelatos docentes e nos pressupostos teóricos Moreira (2010), Silva e Behar (2019) e Kenski (2012). Os resultados revelaram que, independentemente do nível de ensino, os professores enfrentaram dificuldades no desenvolvimento de competências digitais, seja no uso diário ou em sua apropriação para uso pedagógico; que as TDICs devem ser assumidas de forma intencional, crítica e reflexiva, não apenas instrumental; que existem dificuldades dos docentes no desenvolvimento de ensino e avaliação por competências. Apontam lacunas formativas dos docentes e as necessidades de desenvolvimento de políticas públicas e institucionais que passem a considerar a complexidade, as incertezas, o ensino e avaliação por competências envolvendo as TDICs como elementos estruturantes para definição de estratégias de formação continuada na perspectiva de construção de uma cultura docente e institucional. Também, apontaram inúmeras dificuldades quanto à participação dos alunos, sejam nas aulas síncronas ou no desenvolvimento, acompanhamento e consecução das atividades nos ambientes virtuais de aprendizagem, sejam pelas condições adversas de estudo em sua residência, dificuldades de acesso à internet, de responsabilidade, organização e disciplina nos estudos. Por fim, salientamos que o desenvolvimento das competências para lidar com as TDICs no ensino não significa necessariamente que a aprendizagem esteja garantida, uma vez que esta depende do professor, mas também do aluno e das condições de trabalho e de estudo.
Pengembangan E-Book Multimodal sebagai Bahan Ajar Interaktif dalam Pembelajaran Kimia
Authors: M Munawwarah , J Jusniar , Side Sumiati , N Nurhayati
Published: August 2022

Pengembangan berbagai bahan ajar dilakukan untuk mendukung proses pembelajaran agar berlangsung secara afektif. Bahan ajar yang tepat dibutuhkan agar aspek makroskopik, sub-mikroskopik, dan simbolik dapat disampaikan secara terpadu pada materi kimia. Pengembangan bahan ajar berupa e-book Interaktif ini dilakukan menggunakan metode 4STMD (Four Step Teaching Material Develoment). Bahan ajar yang telah dikembangkan menggunakan pendekatan SETS (Science, Environment, Technology, and Society) pada materi materi Elektrokimia. E-Book ini mengandung unsur multimodal yang menyampaikan aspek multipel representasi secara terpadu. Hasil validasi dan uji kepraktisan menunjukkan bahwa bahan ajar valid dan praktis digunakan baik pada guru maupun peserta didik.
Medical Prevention of Miscarriage in Women with Ovarian Endometriosis in Reproductive Age
Authors: Гутикова Л.В. , Кухарчик Ю.В. , Павловская М.А. , Шульга А.В.
Published: August 2022

Под нашим наблюдением находились 63 пациентки с эндометриоидными кистами яичников и наличием репродуктивных планов, которым было проведено двухэтапное комбинированное лечение: лапароскопическая цистэктомия с последующим назначением противорецидивной терапии с учетом иммуногистохимических данных (матриксная металлопротеиназа-9, циклины В1 и D1, иммуногистохимический индекс). У пациентов, получавших агонисты гонадотропин-рилизинг гормона, частота рецидивов составила 16,67%, а 27,8% женщин забеременели, выносили и родили здоровых доношенных детей. Среди пациентов, получавших в послеоперационном периоде дидрогестерон и диеногест, частота рецидивов составила 13,6 и 17,39%, а частота наступления беременности и рождения детей – 63,6 и 73,9% соответственно. Ни у одной из забеременевших женщин не было зарегистрировано угроз прерывания беременности.

We observed 63 patients with endometrioid ovarian cysts and the presence of reproductive plans, who underwent a two-stage combined treatment: laparoscopic cystectomy followed by anti-relapse therapy taking into account immunohistochemical data (matrix metalloproteinase-9, cyclins B1 and D1, immunohistochemical index). In patients treated with gonadotropin-releasing hormone agonists, the relapse rate was 16.67% and 27.8% of women became pregnant, carried and gave birth of healthy full-term babies. Among patients treated in the postoperative period with dydrogesterone and dienogest, the recurrence rate was 13.6 and 17.39%, and the pregnancy and childbirth rates were 63.6 and 73.9%, respectively. None of the pregnant women had a threatened miscarriage.
Binary Logistical Regression as an Optimal Model for Prognosis of the Result of in Vitro Fertilization
Authors: Исмайлова М.К.
Published: August 2022

Введение. Разработка предикторов эффективности для лечения бесплодия с помощью экстракорпорального оплодотворения (ЭКО) является одной из важнейших задач современной медицины. Несмотря на многочисленные исследования, единой точки зрения относительно значимости влияния того или иного фактора на результаты ЭКО пока нет.Материалы и методы. Обследовано 518 пациенток, обратившихся по поводу бесплодия в Центральную клинику города Баку, которые были разделены на две группы: пациентки с наступившей беременностью, т. е. с положительными результатами ЭКО ИКСИ – основная группа (n=234), и пациентки с отрицательными попытками ЭКО ИКСИ – группа пациенток (n=284), у которых беременность после процедуры ЭКО ИКСИ не наступила.Результаты. Среди большого количества признаков у женщин с различными исходами ЭКО были выбраны критерии, четко отличающиеся в сравниваемых группах. Эти параметры были использованы при факторном анализе. На основании результатов факторного анализа были выделены основные параметры для прогнозирования исходов ЭКО у бесплодных женщин с помощью логистической регрессии.Заключение. Разработанная модель прогнозирования логистической регрессии позволяет точно спрогнозировать исход ЭКО по определенным параметрам в 86,93% случаев.

Introduction. Development of the predictors of effectivity of treatment of infertility by means of extracorporeal fertilization is one of the most important tasks of the modern medicine. Despite of the numerous researches there is not a unique point of view regarding significance of impact of any factors on the ECO outcomes yet.Materials and methods. We have examined 518 patients applying on account of infertility to the Central Clinic of Baku city. All patients were divided into two groups: the patients with onset pregnancy i.e. positive ECO ICSI results – main group (n=234) and patients with negative ECO ICSI efforts – control group (n=284) which did not get pregnant after the ECO ICSI procedure.Results. The criteria precisely differing in the compared groups were chosen among the big quantity of signs at the women with various ECO outcomes. These parameters were used at the factor analysis. Basing upon the result of the factor analysis there were assigned the main factors for forecasting the ECO outcomes of infertile women by means of logistic regression.Conclusion. The developed model of forecasting the logistic regression allows precisely forecasting the ECO outcome upon certain parameters in 86.93% cases.
Informe Técnico 2021
Authors: González Alejandro Héctor , Pérez María Teresa , Barletta César Martín , Jaime Claudio Javier
Published: August 2022

La información presentada en este informe se corresponde al SIED-UNLP (Sistema Institucional de Educación a Distancia de la UNLP). En la actualidad el SIED-UNLP se ha visto atravesado por los dos años de aislamiento y distanciamiento social, lo cual requirió incorporar actividades, servicios y expandir sus acciones hacia el interior de toda la UNLP. El trabajo actual es trasversal a las diferentes secretarias de presidencia, a las UUAA y colegios de la universidad. Este informe nos permite sistematizar año a año la información del SIED-UNLP de manera de contar con datos organizados que permitan ver el funcionamiento, expansión y nos guie en la toma de decisiones.
Migraine
Authors: Пирадов Михаил Александрович
Published: August 2022

Учебное пособие для студентов стоматологических факультетов медицинских вузов, клинических ординаторов, слушателей факультета дополнительного профессионального образования.
ISBN 978-5-9737-0031-7
В пособии описываются основные клинические формы, приводятся критерии диагностики и дифференциальной диагностики мигрени. Представлены современные и актуальные сведения об этиологии и патогенезе мигрени. Изложены и систематизированы принципы лечения и профилактики мигрени.
Пособие подготовлено в соответствии с требованиями Федерального государственного образовательного стандарта высшего образования к минимуму содержания и уровню подготовки для обучающихся по специальности 31.05.03 – стоматология с квалификацией выпускника «Врачстоматолог общей практики», рабочими учебными и дополнительными профессиональными программами повышения квалификации непрерывного медицинского образования неврологов, стоматологов и врачей других специальностей лечебного профиля.
Пособие предназначено для студентов стоматологических факультетов медицинских вузов, клинических ординаторов, слушателей факультета дополнительного профессионального образования, врачей-неврологов, стоматологов и других специальностей лечебного профиля.
Función psicoterapéutica del deporte y actividades motrices sobre la salud mental de poblacionales migratorias y en riesgo de exclusión
Authors: Tarqui-Silva Leonardo
Published: August 2022

La presente investigación exploró y planteó al deporte, actividades motrices y lúdicas, como valiosos recursos psicoterapéuticos de prevención e intervención socioeducativa en sectores poblacionales en riesgo de exclusión e inmigración, promoviendo elementos sociosanitarios dentro de estos grupos. Destacan los resultados socioculturales, colectivos y personales, producto de las virtudes psico-rehabilitadoras de estas actividades motrices, facilitando adicionalmente, el desarrollo integral de poblaciones infanto-juveniles. Método: Dentro de la presente investigación bibliográfica-documental se realizó una búsqueda teórica de un total de 75 artículos, seleccionando los 30 principales publicados desde el 2017 hasta el 2022, de las bases de datos Scielo, MEDLINE, Dialnet, Psicodoc, PsycArticles, y principales repositorios documentales de establecimientos de educación superior, donde destacan 6 tesis doctorales y 2 de maestría. Resultados: Se evidencia que las actividades lúdicas, físicas y recreativas estructuradas desde una visión psicoterapéutica, constituyen estrategias que actúan como mecanismos de intervención y prevención de la salud psicológica, físico-emocional de las poblaciones en condiciones de movilidad y riesgo de exclusión. Conclusión: Un requerimiento trascendental antes de aplicar estas propuestas, lo constituye el generar unas condiciones de interculturalidad base en la población migrante, establecer un ambiente propicio de adaptabilidad a la nueva región, para luego de manera acertada y progresiva, introducir las distintas intervenciones.
Reporte de caso: Miofibroblastoma mamario paratesticular
Authors: Salazar Arenas Miguel Ángel , Díaz Gallegos Fernando , Postigo Mac Dowall Mauricio , Ruiz Ballón Mónica
Published: August 2022

Existe una variedad de tumores epiteliales, mesoteliales y de tejidos blandos que pueden desarrollarse en la red testicular y paratesticular. Se presenta el caso  clínico de paciente con tumoración paratesticular derecha: Miofibroblastoma Mamario Paratesticular. Importante recalcar la variedad de origen embrionario para el desarrollo de estos tumores, así como el diagnóstico oportuno para el tratamiento y seguimiento resolutivo.
Do gesto à linguagem indireta
Authors: Muraro Júlia Tozzi , Furlan Reinaldo
Published: August 2022

O objetivo do artigo é compreender a noção de linguagem e expressão em Merleau-Ponty, de modo a evidenciar como se dá a gênese de sentido linguístico. Primeiro, optamos em expor o estado da questão na Fenomenologia da Percepção. Introduzimos o corpo como potência expressiva e significativa de mundo, e a linguagem como expressão atrelada ao caráter gestual da palavra. Em seguida, apresentamos a expressão da linguagem após a apropriação feita por Merleau-Ponty da linguística de Saussure. Por fim, enfocamos a articulação entre o sentido gestual da palavra e o caráter sistemático da língua: o sujeito falante, enquanto potência de atualização e criação de sentido, assume a língua à qual pertence, ao mesmo tempo em que a língua forma sua possibilidade de expressão.
Paradigma SDGs dalam Manajemen Zakat di Indonesia
Authors: Gabriele Lailatul Muharromah  , Mustofa
Published: August 2022

The government has made efforts to realize the achievement of seventeen Sustainable Development Goals (SDGs) programs, one of which is through zakat. This study aims to determine the SDGs paradigm in zakat management that has been applied by the Zakat Management Organization (OPZ) in Indonesia. In this study, the research method used is library research. Sources of data were obtained from books, research journals, as well as from internet sites containing discussions by the research objectives. The results of the study indicate that the SDGs paradigm has been applied in the zakat management of OPZ in Indonesia. So that zakat management can be aligned with the SDGs goals.

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Pemerintah telah melakukan upaya untuk mewujudkan pencapaian tujuh belas program Sustainable Development Goals (SDGs), salah satunya melalui zakat. Penelitian ini bertujuan untuk mengetahui paradigma SDGs dalam pengelolaan zakat yang telah diterapkan oleh Organisasi Pengelola Zakat (OPZ) di Indonesia. Dalam penelitian ini, metode penelitian yang digunakan adalah penelitian kepustakaan. Sumber data diperoleh dari buku, jurnal penelitian, serta dari situs internet yang berisi pembahasan sesuai dengan tujuan penelitian. Hasil penelitian menunjukkan bahwa paradigma SDGs telah diterapkan dalam pengelolaan zakat OPZ di Indonesia. Sehingga pengelolaan zakat dapat selaras dengan tujuan SDGs
RETROSPECTIVE ANALYSIS OF OBSTETRIC EMERGENCIES REFERRED TO A TERTIARY CARE CENTER IN INDIA
Authors: Ramesh Kedia Noopur , Dube Rajani , Jhancy Malay
Published: August 2022

Background: Life-threatening events associated with pregnancy are called Obstetric emergencies and they can occur at any time during
pregnancy, labor, delivery, or even after delivery. Timely and proper obstetric care saves lives of the pregnant women and their babies daily,
throughout the world. Complications of childbirth cannot be prevented in some cases but they can be treated promptly and effectively. Lack of
facilities at primary health care centers can result in signicant maternal and neonatal morbidity and mortality in such cases. This study aims to
identify the various obstetric emergencies referred to a tertiary care center and the different reasons for such referral. This retrospectiveMethods:
clinical descriptive study was carried out in the Tertiary Health Care Centre (Sheth Vadilal Hospital, Ahmedabad, Gujarat, India) recruiting a total
of 100 patients who presented with various obstetric emergencies from September 2013 to September 2015. 86% of patients wereResults:
between 21 to 30 years of age. The highest number of indication of referral was due to anaemia(15%), followed by previous caesarean
section(12%), preeclampsia(11%), meconium-stained liquor(10%), preterm rupture of membranes(9%), oligohydramnios (7%), postdate(5%),
malpresentation (6%) and Obstructed labour(4%). Other indications of referral were cord prolapse (1%), maternal diabetes (1%), polio(1%) and
cardiac disease(1%). The main reasons for referral to higher centers included a lack of OT facilities and blood products. The cost factor is
responsible especially in those cases who are referred from the private sector. Regular antenatal care can help prevent many obstetricConclusions:
emergencies. Improvement of health care in women before pregnancy can go a long way in preventing all pregnancy complications including a
majority of obstetric emergencies. Also, better health facilities and trained staff at Primary Health Care Centre are vital for improved delivery of
maternal and child health care services.
WOMEN AND CARDIOVASCULAR DISEASES IN INDIA – TIME TO ACT
Authors: Sakshi Shivam , Kaushik Monika , Bhattacharya Madhulekha , Basa Sudipta
Published: August 2022

Cardiovascular diseases (CVDs) are the leading cause of death globally and account for 32% of global deaths. Of these deaths, 85% are due to heart
attack and stroke. In India, CVDs accounted for 27% of total deaths in 2017. CVDs affect Indians in their most productive mid-life years compared
to later ages of the western population. Early age of onset, rapid progression, and the high mortality rate are particular causes of concern for CVD in
India. Globally, ischaemic heart disease accounts for a third of all female deaths and is a cause for concern. Even the Lancet Women and
Cardiovascular Disease Commission, 2021 has highlighted cardiovascular diseases as the leading cause of death in women. In India, the proportion
of DALYs for CVDs amongst women has changed from 2.9% (in 1990) to 6.6% in 2016. Women are cared only during pregnancy and the
immediate post-partum period, in other times their problems are overlooked. The modiable risk factors such as tobacco , alcohol consumption
and obesity have increased in women since 2013. The diagnosis of heart disease is often missed out in the Indian women because of their inability to
express their ailments openly, compounded by factors like low socio-economic status, lower educational attainment and constrained access to
medical care. Estimates suggest that almost 52% of all NCDs can be managed in primary care. The Indian government (GOI) is addressing the
preventive aspect of NCDs through Primary Health Care at the Health & Wellness Centers and promote healthy lifestyles by targeted
communication and screening at community level especially for the vulnerable, such as the women and elderly. Ayushman Bharat under GOI is
being implemented to reduce out of pocket expenditure incurred towards management of non-communicable diseases amongst poor.
ANALYSIS OF THE METABOLIC SYNDROME AND ITS ASSOCIATION WITH CART IN HIV POSITIVE INDIVIDUALS RECEIVING VARIOUS CART REGIMENS WITH REVIEW OF LITERATURE.
Authors: S. Joshi Kavita , U. Saraf Udit , Y. Gujarathi Rushabh
Published: August 2022

Context: Many endocrine and metabolic disorders are seen in patients with HIV infection. Various comorbidities have been reported at a higher
rate in HIV positive individuals, some at an earlier age. Since metabolic syndrome and its determinants are slowly developing, studies are needed in
this regard. The study aimed to analyze various parameters associated with the metabolic syndrome in HIV positive individuals and stratifyAims:
subjects based on their treatment regimens, and present a brief comparison based on the same. A cross sectional studySettings and Design:
involving 155 participants was conducted at a tertiary care centre in Western India. Detailed history and clinicalMaterials and Methods:
examination was carried out. Routine investigations were done and parameters of interest to the study were then analysed based on AHA/NHLBI
denitions. Univariate analysis of all parameters. Multiple logistic regression for statistically signicant parameters.Statistical Analysis used:
Results and Conclusion: Deranged HDL cholesterol was the most common component of the metabolic syndrome seen amongst all participants
(53.8%) which was signicantly higher in the treatment naïve group (P = 0.001). The difference between the prevalence of metabolic syndrome
between the ART naïve group and patients receiving ART was not signicant. Males had a signicantly higher prevalence of metabolic syndrome
than females (26.3%>12.4%, P = 0.026). There was a signicant difference in the prevalence between the Zidovudine and Tenofovir treatment
groups(P=0.02). Patients on the TLE (Tenofovir, Lamivudine, and Efavirenz) regimen had the lowest prevalence (4.2%) of metabolic syndrome.
The Effect of Intrinsic Motivation on Nurse Job Satisfaction at Royal Prima Hospital Medan in 2022
Authors: Dianrui Guan
Published: August 2022

Human resources, especially nurses, are the most dominant workforce in carrying out tasks in the management of hospital organizations, therefore, as the driving force for organizing hospital activities, nurse job satisfaction is very important to get attention from hospital leaders and management. The purpose of this study is to determine the effect of intrinsic motivation on nurse job satisfaction. This type of research is non-experimental quantitative research with a descriptive approach (cross-sectional survey) and associative analysis. The study was conducted at Royal Prima Marelan Hospital in March 2022. The population in this study was all nurses who worked at Royal Prima Marelan Hospital with a total of 151 nurses. The sampling technique used in this study was the Slovin Technique with a confidence level of 95%, and an error rate of 5%, obtained 139 samples. Chi-Square's analysis found that the variables of responsibility (p-value=0.023), award (p-value=0.002), achievement (p-value=0.006) had a value of < 0.05, thus Ho was rejected Ha accepted. Likewise, with multiple regression analysis, the intrinsic factor variable has a p-value of <0.05, and the most influential variable is the reward variable with an OR of 5,105. Conclusion partially and simultaneously the variable intrinsic factor of nurses affects job satisfaction The OR value obtained is 5,105 meaning that with the appreciation of employees, it has a 5.1.05 times chance of affecting the level of job satisfaction of nurses at Royal Prima Marelan Hospital.
أثر إستراتيجية العصف الذهني في تنميّة مهارات القراءة الناقدة لدى طلبة الصف السادس الابتدائي في الأردن، واتجاهاتهم نحو القراءة
Authors: منسي غادة
Published: August 2022

هدفت الدراسة الكشف عن أثر إستراتيجية العصف الذهني في تنميّة مهارات القراءة الناقدة لدى طلبة الصف السادس الأساسي في الأردن، واتجاهاتهم نحو القراءة. ولتحقيق أهدف الدراسة، صممت الباحثة أداتي الدراسة؛ وهما: الاختبار التحصيلي، ومقياس الاتجاهات. تكوّنت عيّنة الدراسة من (125)  طالبًا وطالبًة من طلبة الصف السادس الأساسي، تمّ اختيارهم قصدا من مدرستين، تم تقسيمهم إلى مجموعتين؛ تجريبية درسوا باستخدام إستراتيجية العصف الذهني، وتكوّنت تلك المجموعة من ( 65) طالبًا وطالبًة: ( 33) طالبًا و(32 ) طالبًة، والمجموعة الضابطة درست بالطريقة التقليدية، وتكوّنت تلك المجموعة من (60) طالبًا وطالبًة:(32) طالبًا و(28) طالبًة، للعام الدراسي ٢٠١4-٢٠١5. واستخدمت الباحثة المعالجات الإحصائية الآتية: المتوسطات الحسابية، والانحرافات المعيارية، وتحليل التباين المصاحب، والمشترك. وأظهرت النتائج وجود فروق ذات دلالة إحصائية في اختبار القراءة الناقدة، تعزى لأثر إستراتيجية التدريس/ العصف الذهني، وجاءت الفروق لصالح المجموعة التجريبية، كما أكدت النتائج تحسنًا في اتجاهات الطلبة نحو القراءة. وفي ضوء ما أسفرت عنه الدراسة من نتائج؛ أوصت الباحثة بمجموعة من التوصيات.
Management Accounting Relevance: Practice, Variance and Current Research Agenda
Authors: Alsharari Nizar
Published: August 2022

This paper aims to discuss the relevance of management accounting by considering the practice variance and current research agenda. It also aims to review the relevant literature on management accounting and its alternative perspectives. It provides a comprehensive basis for the research of management accounting change conducted in terms of theories used, influential factors, systems applied, dynamics and aspects of change. This paper helps to understand the concerns of current mainstream in management accounting literature and the importance of this subject. It introduces a comprehensive view about the relevance of institutional theory in the management accounting literature. By reviewing a subset of the accounting literature published during the period 1980 - 2015, this paper updates accounting literature with a focus on management accounting research. The study contributes to the existing accounting literature by presenting the discussions of management accounting change and alternative perspectives. It also explains the possible application of different theoretical perspectives in the management accounting.
How to Improve Patients' Perceived Quality of Sleep During Hospitalization Through a Multicomponent “Good Sleep Bundle”: A Prospective Before and After Controlled Study
Authors: Ragonese Barbara , Denotti Valeria , Re Vincenzina Lo , Vizzini Giovanni , Corso Brigida , Arena Giuseppe , Girgenti Rosario , Fazzina Maria Luisa , Tuzzolino Fabio , Pilato Michele , Luca Angelo
Published: August 2022

Introduction

Despite sound evidence on the importance of sleep for human beings and its role in healing, hospitalized patients still experience sleep disruption with deleterious effects. Many factors affecting patients' sleep can be removed or minimized. We evaluated the efficacy of a multicomponent Good Sleep Bundle (GSB) developed to improve patients' perceived quality of sleep, through which we modified environmental factors, timing of nighttime clinical interventions, and actively involved patients in order to positively influence their experience during hospitalization. Methods: In a prospective, before and after controlled study, two different groups of 65 patients each were admitted to a cardiothoracic unit in two different periods, receiving the usual care (control group) and the GSB (GSB group), respectively. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index (PSQI) at the admission, discharge, and 30 days after discharge in all patients enrolled. Comparisons between the two groups evaluated changes in PSQI score from admission to discharge (primary endpoint), and from admission to 30 days after discharge (secondary endpoint). Results: The mean PSQI score difference between admission and discharge was 4.54 (SD 4.11) in the control group, and 2.05 (SD 4.25) in the GSB group. The mean difference in PSQI score change between the two groups, which was the primary endpoint, was 2.49 (SD 4.19). This difference was highly significant (p = 0.0009). Conclusion: The GSB was associated with a highly significant reduction of the negative effects that hospitalization produces on patients' perceived quality of sleep compared with the usual care group.
Perception of the Disclosure of Adverse Events in a Latin American Culture: A National Survey
Authors: Romano Thiago Gomes , Ramos Joao Gabriel Rosa , Almeida Viviane Martins , de Oliveira Lima Helidea , Pedro Rodolpho
Published: August 2022

Introduction

Adverse events are common and are responsible for a significant burden in the healthcare setting. Such issues can vary according to the local culture and relevant policies. The current literature on the subject primarily addresses Anglo-Saxon cultures; this study focused on understanding the perception of disclosure in a middle-income country in Latin America.

Methods

In this descriptive study conducted from June–August, 2021, an online self-administered survey about disclosure practice used a convenience sample of 995 Brazilian healthcare professionals.

Results

Based on two different outcomes presented following a hypothetical adverse event (outcome 1: death; outcome 2: no permanent damage), 77.9% of participants fully agree that disclosure should be performed in both scenarios. Although 67.1% claimed that disclosure changes the perception of the institution by those involved, only 8.3% fully agree that there would be a reduction in trust regarding the institution. Despite only 11.5% of participants fully agreeing that disclosure increases the chance of legal action against professionals and institutions, 92.7% fully or partially agree that judicialization was possible in scenario 1, and 72.4% agree it was possible in scenario 2. Of the participants, 64.2% claimed they already faced a “disclosure” situation, and 44.3% fully believe that the person directly involved in the adverse event should participate in the disclosure.

Conclusion

In this sample of professionals from a middle-income country in Latin America, the practice of disclosure was considered ethical, and the majority of respondents affirmed that it should always be performed. Nonetheless, this call for transparency collides with participants' perception of a higher risk of legal action when disclosure is performed after a negative outcome situation.
Risk Factors Associated with Falls and Fractures Following Prescription of Opioids Among Privately Insured Patients with Osteoarthritis
Authors: Silverman Stuart , Schepman Patricia , Rice J. Bradford , Beck Craig G. , Pajerowski William , White Alan G. , Thakkar Sheena , Robinson Rebecca L. , Emir Birol
Published: August 2022

Background: While prior research has shown that patients with osteoarthritis (OA) who are prescribed opioids have higher rates of falls and fractures following drug initiation, there is a limited body of work establishing a comprehensive model of factors that influence the risk of falls or fractures among these patients.

Objective: Opioids are associated with negative clinical outcomes, including increased risk of falls and fractures. This study assessed the frequency, treatment characteristics, and risk factors associated with falls or fractures among patients with OA taking opioids.

Methods: Optum Healthcare Solutions, Inc data (January 2012–March 2017) were used to identify patients over 18 with at least 2 diagnoses of hip and/or knee OA, and at least 90 days’ supply of opioids. Patients with cancer were excluded. Falls or fractures outcomes were assessed in the 36-month follow-up period after the date of the first opioid prescription after first OA diagnosis. Demographic, treatment, and clinical characteristics associated with falls or fractures were assessed using logistic regression.

Results: Of 16 663 patients meeting inclusion criteria, 3886 (23%) had at least 1 fall or fracture during follow-up. Of these 3886 patients, 1349 (35%) had at least 1 fall with an average of 3 fall claims, and 3299 (85%) patients had at least 1 fracture with an average of 8 claims during follow-up. Spine (15.8%) and hip (12.5%) fractures were most common. Median time to fall or fracture was 18.6 and 13.9 months, respectively. Significant (P<.05) risk factors associated with at least 1 fall or fracture during the follow-up period included alcohol use (odds ratio [OR], 3.41), history of falling (OR, 2.19), non-tramadol opioid use (OR, 1.31), age (OR, 1.03), benzodiazepine use (OR, 1.21), and at least 1 osteoporosis diagnosis (OR, 2.06).

Discussion: This study is among only a few that clearly identifies the substantial impact and frequency of falls and fractures associated with prescribing non-tramadol opioids to patients with OA. Findings suggest that fall or fracture risks need to be considered when managing OA pain with opioids.

Conclusion: Falls and fractures impose a major clinical burden on patients prescribed opioids for OA-related pain management. Falls or fracture risks should be an important consideration in the ongoing treatment of patients with OA.
Inhibiting Webshell Attacks by Random Forest Ensembles with XGBoost
Authors: Sasikala D. , Chandrakanth D. , Sai Pranathi Reddy C. , Jitendra Teja J.
Published: August 2022

Malign websites effectively endorse the evolution of web illicit events and force the progression of Web services. As an efficient outcome, there is powerful enthusiasm to create systemic resolutions in inhibiting the client from the call onto such Websites. Knowledge-centered Random Forest outfits with XGBoost tactic is recommended for categorizing Websites into 3 categories: Benign, Spam and Malicious. This practice evaluates the Uniform Resource Locator in the situation deprived of accessing the matter of Websites. Thus, it wipes out the run-time expectation and the likelihood of uncovering clients to the browser aimed susceptibilities. As a consequence of involving Random Forest Ensembles with XGBoost, it realizes superior enactment on expansive view and publicity correlated with blacklisting amenity. Preprocessing is performed in order to improve the quality of the data subsequently, analyze certain algorithms, thereby explore the best model are the facts discussed in this research. Work also continues to probe how well this chosen archetypal will operate in the future ahead.
Deployment of Artificial Intelligence with Bootstrapped Meta-Learning in Cyber Security
Authors: Sasikala D. , Venkatesh Sharma K.
Published: August 2022

Cybersecurity is an extensive and vivacious domain in the commercial progression of the ecosphere. By up-to-date inhabitants, networking settings and assets, cybersecurity fits with the exigent task to realize the necessities of the imminent populace. Intelligent cybersecurity / intellectual smart cybersecurity has risen as a pioneering tool to deal with latest ambiguities in programmed cybersecurity enduring capability by bringing together Artificial Intelligence (AI) in Cybersecurity Computerization. The mechanism that enterprises in this cutting-edge technology handles the mechanism capability to acquire via depleting Bootstrapped Meta-learning and reinforced with rewards as Supreme Cybersecurity vintages, besides least resource utilizations as well as time limits.
AI empowered cybersecurity technology is a vital constituent of the imminent cybersecurity revolution ahead. During this operation, a proficient computerization of AI application in the arena of cybersecurity sustenance is ready for attaining the supreme output welfares as results, also inhibiting the real assets. Setting the precise real-time issues are trailed by cracking it for affluence and escalation or magnification of cybersecurity thus by prominent universal preeminent impending cybersecurity. A meta-learning/AI-based automated security strategy is vital in the protection of critical infrastructure, users and assets disinclined to outbreaks.
MECANISMO DE LESÃO, MÉTODOS CIRURGICOS E REABILITAÇÃO DE LIGAMENTO CRUZADO ANTERIOR
Authors: Bezerra Thiago Augusto Rochetti , Diniz Fabricio Russo , Januario Flavia Eduarda Pereira , Duarte Jordana Montalvão , Ferreira Ana Paula de Souza Barbosa , Brandão Ítalo Carraro , Silva Junior Alexandre Esteves da
Published: August 2022

As lesões do ligamento cruzado anterior (LCA) encontram-se entre as lesões mais frequentes no desporto. As lesões de LCA ocorrem por um trauma de torção do joelho, o mecanismo mais ocorrente é quando o paciente esta com seu pé fixo ao chão e realiza uma rotação de tronco, este mecanismo é um dos mais comuns dentro do esporte justamente por isso os atletas amadores e profissionais são os que mais sofrem com este tipo de lesão. O objetivo deste trabalho foi o de realizar revisão da literatura em relação aos mecanismos de lesão, cirurgia e reabilitação do ligamento cruzado anterior. Este levantamento bibliográfico correspondeu a revisão caracterizada por delineamento de estudos conduzidos com abordagem sistemática e descrição objetiva da evidência sumarizada sobre processos de lesão e reabilitação de ligamento cruzado anterior.
Online Teaching Performance and the Aftermath of COVID-19: Results and Reflection from the Pilot Study
Authors: Yuhertiana Indrawati , Rahmawati Aulia , Sucahyati Diarany , Izaak Wilma Cordelia
Published: August 2022

The pandemic of COVID-19 that has been running for more than two years has changed the face of higher education. Various obstacles and challenges in teaching forced the entire academic community to adapt to the biggest health crisis. The research is a pilot study or introduction that aims to see how lecturers interpret their teaching performance during the pandemic and how they reflect on their teaching as an evaluation material. The method used here is a focus group discussion with eight lecturers from UPN Veteran East Java, Jakarta, and Yogyakarta, using thematic analysis to process the data. Three major thematics were found, namely, mental wellbeing, knowledge transfer, and creative pedagogies. It is recommended to conduct research with a larger scale of participants to be able to compare the performance of lecturers at UPN. The pandemic condition makes mental health a priority not only for the students but also the lecturers. Therefore, the combination of teaching creativity and the enhancement of technology are expected to reduce stress and burnout for both parties. It is recommended to further and scale up the number of research participants to have a more comprehensive understanding of how the pandemic impacted the learning process in higher education institutions.
Characterization of Asafoetida Resin Silver Nanoparticles and Efficacy of Antioxidant, Antimicrobial Inhibition
Authors: Kumarasamy Suresh , Subramaniam Saranyadevi , Ranganathan Muthusamy , Rathinavel Thirumalaisamy , Alagarsamy Parameswari
Published: August 2022

Background: In recent years, biological precursor-based synthesis, particularly plant-based green synthesis, has piqued interest in the field of nanotechnology. The plant-based approach is a promising technique for the biosynthesis of nanoparticles. 

Aim of the study: Biosynthesis nanoparticles (AgNPs) using the ethanolic extract of a resin exuded from Ferula asafoetida (resin) and evaluate its anti actinobacterial, and antioxidant properties. 

Method: Ferula asafoetida resin was collected and processed for ethanolic extraction by soxhlet apparatus. Preliminary phytoconstituents were quantified by GC MS and NMR. Consequently, the biosynthesis of silver nanoparticles was carried out with ethanolic extract. Characterization studies of synthesized Asafoetida AgNPs were done by UV Vis spec, XRD and SEM. Bioactivity of As-AgNPs was evaluated for anti-actinobacterial activity against selected Streptomyces toxytricini D2, Streptomyces tritici D5 and antioxidants properties were proved by Antioxidant assays. 

Result: Ferula asafoetida resin ethanolic extract can be successfully used for the biosynthesis of Ag NPs. It showed excellent antioxidant activity, including DPPH and hydroxyl radical scavenging abilities comparable to standard ascorbic acid antioxidants. Characterized silver nanoparticles have moderate antimicrobial properties.

Conclusion: Currently, the biosynthesis of silver nanoparticles has fostered the development of a new generation of nanoproducts as well as increased scientific promise in the nanomaterial field. Asafoetida based AgNPs as novel materials can be utilized by antioxidant, antimicrobial inhibition
Akselerasi pengembangan pembelajaran jarak jauh untuk mahasiswa
Authors: Darmi Titi , Faizal Anwar  , Iqbal Miftakhul Mujtahid
Published: August 2022

Bencana covid 19 ini memaksa Perguruan Tinggi (PT) untuk menyelenggarakan Pembelajaran Jarak Jauh (PJJ) karena  belum terbiasa menggunakan teknologi digital pada sistem pembelajaran. Tujuan kegiatan ini adalah agar program studi sebagai pengelola dapat memanfaatkan teknologi dan mampu berdaptasi dengan lingkungan untuk menyelenggarakan proses pembelajaran secara daring. Metode kegiatan dilakukan dengan sosialisasi, pelatihan dan simulasi serta praktik. Hasil kegiatan 85% dosen di lingkungan program studi Administrasi Publik dapat menyelenggarakan PJJ melalui E-learning yang disediakan kampus dan Google Classroom. Solusi yang ditawarkan agar PJJ dapat terlaksana dengan optimal maka Universitas hendaknya memiliki  Learning Management System (LMS) yang mengadopsi model MOOC dan dosen diberi pelatihan untuk dapat membuat konten-konten materi ajar yang menarik.
Comparative study of metastasis of glioblastoma (glioma C6) implanted in the brain or skeletal muscle of rats
Authors: Дубровская Виолетта , Костеников Николай , Самойлович Марина , Кованько Елена , Шашкова Ольга , Терехина Лидия
Published: August 2022

The aim. The aim of the work was to establish the organotropy of metastases of glioblastoma (glioma C6) implanted intracranially or intramuscularly, as well as to determine the diameter of the blood vessels of the microvascular network in the organs of tumor-bearing animals. (rats).
Materials and methods. The objects of the study were: the brain, organs of the thoracic and abdominal cavities in rats. The studies were carried out on histological preparations visually and morphometrically from the 3 up to 14 day after implantation of the tumor.
Results. With both methods of glioblastoma implantation, metastases in the lang were diagnosed. An increase in the proportion (%) of microvessels with a wide diameter was recorded in all the organs studied and throughout the entire duration of the experiment.
Conclusions.
The organotropy of gliobolastoma metastases does not depend on the place of its implantation. The expansion of the microvascular network in the organs of tumor carriers is considered as a phenomenon related to the process of metastasis. The expediency of lung examination for the presence of metastases in patients with diagnosed glioblastoma multiforme is discussed.
PROTECTION OF THE SUBSOIL AND THE ENVIRONMENT DURING THE DEVELOPMENT OF GAS FIELDS BY THE METHOD OF DUAL COMPLETION
Authors: Деряев Аннагулы Реджепович
Published: August 2022

Решать вопрос о совместной эксплуатации пластов с использованием технологии ОРЭ желательно на первых стадиях разработки, что позволяет экономить значительные средства на бурение скважин. Кроме того, одновременно-раздельную эксплуатацию нескольких объектов одной скважиной необходимо планировать уже на стадии обоснования в проектных документах на разработку месторождения, где должно быть предусмотрено равномерное разбуривание месторождения (залежи), рациональное и эффективное использование утвержденных запасов нефти, газа и сопутствующих компонентов, - недопущение выборочной отработки, приводящей к потерям балансовых запасов, обоснованное выделение эксплуатационных объектов для самостоятельной разработки.

It is desirable to solve the issue of joint exploitation of reservoirs using EPR technology at the first stages of development, which allows saving significant funds for drilling wells. In addition, at the same time- separate operation of several facilities with one well should be planned already at the stage of justification in the project documents for the development of the field, where uniform drilling of the field (deposits), rational and efficient use of approved oil, gas and related components should be provided, - prevention of selective mining, leading to losses of balance reserves, reasonable allocation of operational facilities for independent development.
ON THE QUESTION OF THE FEATURES OF THE CRIMINALISTIC CHARACTERISTICS OF CRIMES IN THE SPHERE OF THE ECONOMY
Authors: Никоноров Максим Витальевич
Published: August 2022

В статье приводится анализ некоторых особенностей криминалистической характеристики преступлений в сфере экономики на современном этапе. Изучаются положения отечественной нормативно-правовой базы и юридической доктрины, определяются отличительные особенности отдельных структурных элементов криминалистической характеристики преступлений в сфере экономики, представлены авторские выводы по данному вопросу.

The article provides an analysis of some features of the forensic characteristics of crimes in the sphere of the economy at the present stage. The provisions of the domestic regulatory framework and legal doctrine are studied, the distinctive features of individual structural elements of the forensic characteristics of crimes in the economic sphere are determined, and the author's conclusions on this issue are presented.
THE IMPACT OF DIGITALIZATION OF THE ECONOMY ON DEMAND IN THE SERVICE SECTOR
Authors: Чеканова Алина Юрьевна , Сахбиева Амина Ильдаровна
Published: August 2022

В данной статье рассматривается тема развития цифровизации экономики и ее влияние на спрос и развитие в сфере услуг. В исследовании рассмотрены основательные изменения, происходящие под воздействием тенденций, и составлены характеристики сферы услуг на данный момент. В работе выделены важность и значение процессных инноваций в ходе трансформации в экономике, применение которых может привести к возрастанию спроса в сфере услуг. Актуальность данной темы обусловлена тем, что в настоящее время быстро развивается бизнес в сфере компьютерных технологий. Цифровизация представляет собой теорию экономической деятельности, основанной на цифровых технологиях, внедряемых в разные сферы жизни и производства. И эта концепция свободно внедряется во всех странах.

This article discusses the development of the digitalization of the economy and its impact on demand and development in the service sector. The study examines the fundamental changes taking place under the influence of trends and compiled the characteristics of the service sector at the moment. The paper highlights the importance and significance of process innovations in the course of transformation in the economy, the use of which can lead to an increase in demand in the service sector. The relevance of this topic is due to the fact that business in the field of computer technology is currently developing rapidly. Digitalization is a theory of economic activity based on digital technologies implemented in various spheres of life and production. And this concept is being freely implemented in all countries.