bluuebunny/crossref_metadata_2025 huggingface dataset:
COVID-19 Crisis in Africa: Revisiting the Contributing Factors
Authors: Eze Ugochukwu A , Ndoh Kingsley I , Kanmodi Kehinde K
Published: October 2021

The COVID-19 pandemic has been a major threat to people and healthcare systems around the world. Each region of the world has had unique factors such as culture, demographics, socioeconomic and the political landscape that has either fueled or mitigated the severity of the pandemic. For example, the 2021 Indian Kumbh Mela festival fueled a devastating wave of the pandemic in India. Similarly, the pandemic in the United States has in part been fueled an epidemic of disinformation that led to a growing number of anti-vaxxers, and those who are opposed to COVID-19 prevention guidelines set by agencies like the Centers for Disease Control and Prevention. In Africa, burial practices in Liberia and the Democratic Republic of Congo once fueled the Ebola epidemic. Likewise, in the context of COVID-19, there are factors that are unique to Africa that may have either fueled or mitigated the severity of the pandemic. The anti-COVID-19 measures in many African countries significantly affected household income without commensurate deployment of palliative measures to cushion the effect. Fortunately, the pandemic has run a relatively milder course in sub-Saharan Africa—defying earlier devastating projections. Therefore, to be prepared for the next pandemic, African governments must involve critical stakeholders such as religious and traditional leaders, strengthen current disease surveillance systems and invest in systems that encourage private investments in local vaccine manufacturing.
The Share of Pollution from Land Sources in PM Levels in the Region of Danish Straits, North and Baltic Seas
Authors: Rogulski Mariusz , Badyda Artur , Firląg Szymon
Published: October 2021

The aim of the study was to determine air pollution over the sea surface (North Sea and Baltic Sea) comparing to concentration in the closest land areas to examine the impact of ships on the level of PM concentration. The analysis is based on the measurements made during the two weeks cruise of the tall ship Fryderyk Chopin from Edinburg to Kołobrzeg. The highest pollution levels were observed in locations distant from the coast, especially over Baltic Sea, with increasing concentrations when other ships approaching. The article attempts to assess the possibility of migration of pollutants to these areas from land-based sources, and thus indicate the degree of their participation in the level of pollution present at sea.
LEGAL CERTAINTY OF LAND TITLE IN FACILITATING FOREIGN DIRECT INVESTMENT IN ACEH PROVINCE, INDONESIA
Authors: Luqyana Dina , Yahya Azhari
Published: October 2021

Law Number 25 Year 2007 on Capital Investment facilitates services and/or licensing of Land Rights to Use for investment. Article 22(a) stipulated that land Rights to Use (HGB) can be granted up to 95 years for land cultivation rights, up to 160 years for building use rights, and up to 140 years for land Rights to Use. However, land Rights to Use regulated in Qanun Number 14 Year 2017 on Aceh's Assets Management is only five years subject to certain conditions and requirements for extension. It is clear that there two legislations available in Aceh in terms of facilitating land license for investment. Therefore, a research question raised is which law is applied by the Government of Aceh to speed the process of land license for the investor? This study uses normative legal research by relying on primary and secondary legal resources. Primary legal resources were collected by analyzing related legislations, while secondary legal resources were obtained by reviewing associated literature. The result shows that in facilitating land license for investors in Aceh, the Government of Aceh applies Qanun Number 14 Year 2017 on Aceh's Assets Management instead of Law Number 25 Year 2007 on Capital Investment. This Qanun stipulated that land license for investors is given for five years with specific requirements for extension. This short period for a land license causes legal uncertainty for investors and decreases their motivation to invest in Aceh Province. It is suggested that this Qanun should be amended to be in line with national legislation, namely law Number 25 Year 2007 that provides a longer period of land license for investors. Keywords: Legal certainty; Land license; Foreign Direct Investment.
PROTECTION ON FREEDOM OF THE PRESS FOR FOREIGN JOURNALISTS AND JOURNALISTIC VISA IN INDONESIA
Authors: Aiza Fianka , Farsia Lena
Published: October 2021

This study analyses how Indonesia enforces the law to protect the freedom of the press for foreign journalists and imposes strict visa regulations on them. The method used to conduct this research is the normative legal method. This study shows that Indonesia upholds human rights such as freedom of expression, but there are no specific legal rules to uphold such rights over foreign journalists. Rules are only available on the enactment of a journalistic visa. Therefore, it is recommended for Indonesia's Lawmakers to compose a new Law to uphold the rights and obligations of foreign journalists while they are in Indonesia and develop a monitoring body for foreign journalists so that Indonesia can ensure the protection of freedom of the press and the national security. Keywords: Foreign journalists; Freedom of Press; Journalistic Visa.
Legal Protection For Brand Right Owner Famous For His Brand Immediate
Authors: Berutu Chris Anggi Natalia , Elfira Sheila , Tambuwun Monica Sheren , Sitohang Ericson Sebastian
Published: October 2021

Brand equality can cause harm to brand owners. Therefore, the legal protection of trademarks is very important. In this study, the authors will analyze the Supreme Court Decision No. 7K/pdt.sus-HKI/2016 whose purpose is that the consequences of the law of imitation of famous brands can be known and know the legal protection for owners of well-known brands if their brands are imitated. This research is descriptive and classified as normative legal research and uses existing data. Based on research, the famous brand ST. REGIS belonging to the plaintiff entered the list of registrants in Indonesia first, therefore the defendant's mark REGIS@the Peak at Sudirman has been registered with unfavorable conditions. The defendant's mark is essentially the same as the plaintiff's mark for similar and dissimilar services, as a result, the defendant's mark must be removed from the general register of marks. According to the law, Sheraton Internasional as the owner of the famous ST.REGIS brand won against REGIS@ the Peak at Sudirman.
Form of Abuse of The Position of Notary in Participations for Making a Sales Buying Agreement Which Causes Loss
Authors: Riski M.Haris Aulia , Purba Hasim , Suprayitno Suprayitno , A T.Keizerina Devi
Published: October 2021

As a public official, a notary has to implement the provisions in article 16 paragraph (1) letter of the Notarial Act in performing his position to prepare autenthic deeds; a notary is also obliged to act honestly, be independent, be impartial and secure interest of the parties concerned in the authentic deeds prepared by the notary; which is watched and witnessed by all parties so that their aims are set forth in the deeds.
El acceso a la justicia para los consumidores en el comercio electrónico globalizado B2C. ¿Mito o realidad?
Authors: Ortega Hernández Rolando Joaquín
Published: October 2021

Today, the ubiquity of the Internet raises the need to study the behavior of consumers and users from a transnational perspective, not even placing them in a region or continent, but as an essential element of world economic development. For this reason, consumer trust in cross-border e-commerce is a challenge for many political and economic global operators. It is therefore essential to create alternative methods of conflict resolution, global and harmonized to ensure the legitimate rights of consumers and users, access to justice in the broad sense, and access to, both individually and collective effective judicial protection. In this paper the concept of access to justice will be analyzed from the perspective of the consumer in e-commerce and its materialization through the Online Dispute Resolution. In particular, the legal implications that it has for cross-border electronic commerce will be analyzed, the fact that the consumer subscribes with the buyer, arbitration clauses, prior to the emergence of the conflict, without the need to be ratified. For this reason, the alternative to a contradictory method complemented with mediation will be studied, different from arbitration but that does not undermine the rights of consumers by undermining their right to effective judicial protection.
Clinical epidemiological characteristics of patients diagnosed with SARS-CoV-2. Hospital I Florencia de Mora EsSalud – La Libertad, 2020
Authors: Tejada-López Yeny , Goicochea-Ríos Evelyn del Socorro , Guzmán-Aybar Olga Y.
Published: October 2021

Introduction: the SARS-CoV-2 pandemic affected a large part of the population of La Libertad, among them, the population of Florencia de Mora whose hospital played an important role in the care of patients diagnosed with COVID-19. Objective: to determine the epidemiological clinical characteristics of patients diagnosed with SARS-CoV-2 treated at the care center. Methods: Retrospective observational descriptive study, with a population of 2622 patients treated in the COVID-19 triage, taking into account the molecular test and the rapid serology test for the detection of SARS-CoV-2. Results: SARS-CoV-2 was detected in 74.90% (1155) of patients. The months with the highest number of cases were June and July with 29.4% (340) and 37.4% (432), respectively. The predominant age group was 27- 59 years with 77.9% (900) and males with 57.5% (664). Regarding the clinical profile, the most frequent comorbidity was hypertension with 6.9% (80), obesity and overweight with 3.7% (43) and the most frequent symptoms were cough 62.9% (726) and odynophagia 55.7% (643). Conclusions: 75 out of 100 screened patients had SARS-CoV-2, predominantly males, the age group of 27-59 years, hypertension, obesity and overweight as comorbidity, cough and odynophagia as the most frequent symptoms.
Relationship between the approval of the adoption of children by homosexuals and the attitude towards homosexuality among medical students and graduates
Authors: Tipula Mamani Marco A. , Cruz Aquino Lincol M. , Vásquez Suyo María I. , Placencia Medina Maritza D.
Published: October 2021

Introduction. Due to changes in the composition of the family and society, the adoption of children by homosexuals is becoming more frequent. It has been found that opposition to this request is often associated with homophobia. In Peru, no studies exist on these aspects. Objective: To determine the correlation between adoption approval and attitude towards homosexuality in medical students and graduates, Lima, Peru. Method: The observational and cross-sectional study was carried out. 205 people over 21 years of age participated. The Attitude Toward Homosexuality Scale (EAH-10) and the question “Should homosexual couples be allowed to adopt children like heterosexual couples?” were used. The relationships were made with the Pearson (r) and Spearman (rs) correlation coefficient. Results: Quantitatively, a negative and significant correlation was found between the response with the attitude towards homosexuality (r = -0,727; rs = -0,718) and a positive and significant correlation with the number of homosexual friends (r = 0,402; rs = 0,399). 57,6% indicated approval of the question posed. Greater intolerance attitudes were found in men than in women (r = 0,328; p = 0,000). A multiple linear regression model showed that attitude towards homosexuality, sex, and number of homosexual friends are good predictors of acceptance of homosexual adoption. Conclusion: The response was significantly correlated with attitudes of homophobia and with the number of homosexual friends. Furthermore, homophobic attitudes were higher in men.
WhatsApp assessment for communication and organization of group work in resident physicians
Authors: Villar Meza Luisa E. , Gutiérrez Crespo Hugo F. , Matzumura Kasano Juan P.
Published: October 2021

Introduction: New communication technologies allow new opportunities to optimize medical work. Objective: To determine the assessment of WhatsApp for communication and organization of group work among resident physicians during a healthcare management course. Methods: Descriptive, prospective, cross-sectional study. The population consisted of 140 resident physicians who participated in a healthcare management course in 2019 and 2020. A non-probability convenience sample of 132 participants was obtained. We applied the instrument to assess WhatsApp for regulating group work, through the dimensions “WhatsApp for organizing group work” and “WhatsApp as a communication system for group work”, with a reliability of 0.92. Based on the scores assigned to this dimension by the participants, we divided them into three groups: low, medium and high rating. Results: Resident physicians from eight specialties participated: psychiatry, internal medicine, otolaryngology, clinical pathology, cardiovascular surgery, anatomic pathology, legal medicine and pediatric ophthalmology. The average age was 33.37 years. 86.4% of residents use WhatsApp daily. Activity planning and sending text messages and brief instructions had favorable scores. Both dimensions scored 47.36% in the low rating group, 46.35% in the high rating group and 39.3% in the medium rating group. The global result showed a predominance of the high and low rating groups. Conclusion: The majority of resident physicians use WhatsApp as a non-formal communication tool, helpful for sending messages, developing group tasks and planning activities. Additionally, resident physicians and professors consider WhatsApp to be a useful app, and it could facilitate knowledge acquisition.
Socioeconomic characteristics and costs of rare and orphan diseases in Peru, 2019
Authors: Claussen Portocarrero Grecia , Gutierrez Aguado Alfonso
Published: October 2021

Introduction: The rare and orphan diseases (ROD) constitute a current challenge due to the lack of investigation. Objective: Describe the socioeconomic characteristics of rare and orphan diseases (ROD) in Peru, 2019. Methods: Descriptive observational design. The information was obtained from FISSAL administrative records, and an intentional sample of 20 patients was taken to carry out the questionnaire on ROD. For the economic records, a review of the public budget of the MEF was made. The data analysis was descriptive and inferential. Results: There were 454 patients with a total of 49 ROD; of these, the most representative age groups were schoolchildren and young adults (18% each), and the most frequent diagnosis was Tetralogy of Fallot (22%). The questionnaire on ROD reports a median of 7 months in the delay of diagnosis and between 3 and 5 doctors were visited. Likewise, 30% considered that it generated a high to very high expense. It was calculated that the ROD budget constitutes 2.25% of the total budget for high-cost diseases. Likewise, the ROD budget was different between 2014 and 2019. Conclusions: The population with ROD in Peru is not large; however, it requires greater attention to access to health services and a greater budget allocation.
Epidemiological statistics of adolescent suicide during confinement due to the Covid-19 pandemic in Ecuador
Authors: Guarnizo Chávez Andres Joaquin , Romero Heredia Nathaly Alejandra
Published: October 2021

Introduction: Adolescent suicide is a public health problem that has been neglected due to the pandemic and confinement. Objective: To describe the characteristics of adolescent suicide, during the period of confinement due to pandemic in the year 2020 in Ecuador. Method: An observational, descriptive, cross-sectional, retrospective study was carried out, with the information from the database of violent deaths of the Ministry of Government, from March 17 to September 13, which lasted through the state of emergency. The analysis was carried out by province, sex, age, suicide method and frequency in days after the event occurred. The suicide mortality rate (per 100,000 inhabitants) was estimated for each province. Results: During confinement due to a state of emergency in 2020 in Ecuador, 97 suicides were registered among adolescents between 10 and 19 years of age. The highest number was estimated in males between 15 and 19 years of age, with the most frequent age being 19. The most frequent day of removal of corpses was on Mondays, and the preferred mode of suicide was by hanging with 81 reported cases. followed by intoxication and poisoning. Conclusions: No increases were found in the suicide mortality rate during the state of emergency in 2020. However, it must be considered that the context of COVID-19 has increased the burden of psychological suffering, which may lead adolescents to think about suicide.
Parapharyngeal Schawannnoma. Case Report
Authors: Moyano Navarro Enrique , Inostroza Fernández Manuel , Sotelo Jiménez Pedro P. , Vargas Carrillo Ethel , La Torre Zúñiga Alan , González Domínguez Luis
Published: October 2021

Parapharyngeal tumor lesions present a low incidence, representing between 0,5 and 0,8% of all head and neck tumors. Approximately 80% show benign behavior. The uniqueness of these lesions derives from their complex anatomical situation and the symptoms with which they usually appear, being in most cases nonspecific and almost always derived from the compressive effect produced by the lesion on the oropharynx and the oropharynx. Schwannomas of the parapharyngeal space are very rare tumors that originate from the sheath of schawnn, generally slow growing, and are usually asymptomatic. Treatment is surgical, often complex due to the anatomical location.The case of a 42-year-old female patient with a diagnosis of Schwannoma in the left parapharyngeal region, demonstrated by incisional biopsy, is presented; undergoing surgical treatment, which was carried out without complications.
Standardization and validation of a western blot for the diagnosis of human immunodeficiency virus
Authors: Miranda Ulloa Eduardo F. , Romero Ruiz Soledad , Amorín Uscata Bernardina , Serrano Segura Kevin , Briceño Espinoza Ronal , Cárdenas Bustamante Fany
Published: October 2021

Objectives: To standardize and validate a western blot test for the diagnosis of human immunodeficiency virus. Methods: A prospective observational study was carried out during 2017 and 2018. The western blot test was standardized, using the polyacrylamide gel electrophoresis technique with sodium dodecyl sulfate (SDS PAGE), being the nitrocellulose blot strips prepared with an Optimal HIV-1 antigen concentration of 2.71 µg / mm. The western blot was validated in the laboratory against 400 reference samples (300 sera and 100 plasmas): 200 positive and 200 negatives for antibodies against HIV-1, being the reference test the Immunoblot of the Fujirebio brand. Diagnostic performance parameters were estimated using Epidat v3.1 and Excel. Results: Eight important bands of the HIV-1 antigen were identified: p17, p24, p31, p39, gp41, p55, p66, and gp120. According to the Consortium for the normalization of serology for retroviruse, those that were taken as specific diagnostic bands were: p24, p31, gp41, and gp120. The sensitivity, specificity, positive and negative predictive value and validity index against sera were: 96.7%, 96.0%, 96.0%, 96.6%, 96.3%; and against plasmas: 98.0%, 100.0%, 100.0%, 98.0%, 99.0% respectively. No false positives and negatives were found, but some were undetermined. Conclusion: The development of this western blot test with proprietary technology presented similar diagnostic performance to the reference test, without showing cross-reactions, being useful for confirming HIV.
Jaw region endometriosis: case report
Authors: Contreras Gala Katherine L. , Villafuerte Rozas Mónica
Published: October 2021

Introduction: Endometriosis is a chronic gynecological disease, which refers to the presence of endometrial glands and stroma outside the uterine endometrium. This entity has a frequency of 10 to 15% in women of reproductive age, and its most common site of presentation is the ovary. At the extrapelvic level, the most common location is the gastrointestinal and genitourinary location. However, it can occur in any location. Presentation: The case of a 40-year-old female patient with a face tumor in the mandibular region is described, presenting with a disease time of 2 years. Among the important antecedents, two months before the appearance of the tumor region, the patient underwent endodontic surgery of a lower molar tooth, contiguous to the mandibular. Likewise, one month before the appearance of the tumor, the patient underwent an exploratory laparoscopy for electrofulguration of endometriotic foci in the uterine myometrium. The patient underwent a surgical resection of the tumor in the mandibular region described; and after reviewing the histological and immunohistochemical slides at the institution, the diagnosis of endometriosis was established. Conclusion: Extrapelvic endometriosis is rare in our country, and its diagnosis requires experience and visual training in the recognition of normal endometrial tissue. The presentation of this case was considered important because it would be the first case reported in Peru and in the world, of an endometriosis located in the mandibular region.
Atrial Fibrillation that required Cardioversion in the Post Anesthetic Recovery Unit in Ambulatory Surgery. A case report
Authors: Céspedes Morón Miryam Elizabeth , Ruiz Roque Rosina , Chipa Ccasani Fredy
Published: October 2021

In recent years, the profile of patients who can undergo ambulatory surgery procedures in independent ambulatory surgical centers has changed. It is very important to consider the availability, skills and experience of the care staff, as well as the integral study of the patient, the resolution capacity of these centers and evaluations with quality care indicators to obtain optimal results. The present case was of a 34-year-old male, first presentation of rapid and symptomatic atrial fibrillation documented in the immediate postoperative period. Patient care, diagnostic strategy and treatment were described, since the patient required electrical cardioversion.
Accuracy of ASGE 2010 predictive criteria for high risk of choledocholithiasis: a single center experience in the Colombian Caribbean
Authors: Muñoz-Murillo Willfrant J. , Lozada-Martinez Ivan D. , Suarez-Causado Amileth , Bolaño-Romero Maria P. , Rodriguez-Gutierrez Maria M. , Picón-Jaimes Yelson A.
Published: October 2021

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) has become the gold standard for diagnosis and treatment of choledocholithiasis. The American Society for Gastrointestinal Endoscopy (ASGE) in 2010 proposed stratifying patients into 3 risk levels; however, studies have found controversial results about the predictive parameters of these diagnostic criteria. The objective of this study is to determine the performance of the high-risk predictive criteria of the ASGE 2010 in the diagnosis of choledocholithiasis in a Colombian Caribbean population. Methods: Retrospective cross-sectional study, which included patients with suspected choledocholithiasis, and who were taken for evaluation by ERCP, meeting the criteria proposed by the ASGE of high probability. The result obtained was compared with the presence of choledocholithiasis on ERCP, from which values and 95% confidence intervals were estimated for sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratio. Results: A total of 118 patient data were included in this study. The median age of the patients was 46 years (IQR= 31; 17- 89); 78% (n= 92) were female. 65.3% (n= 77) were older than 55 years. The ERCP result was positive in 81.4% (n= 96) of the patients. The presence of an altered liver profile (90%) was found to be the most sensitive test, clinical cholangitis (86%) the most specific, the presence of duct lithiasis by US (85%) was the test with the highest positive predictive value, and the presence of duct lithiasis by US (35%) was the test with the highest negative predictive value. Conclusions: The predictive parameters of the ASGE 2010 criteria for the diagnosis of choledocholithiasis show variability with respect to the performance proposed in the guidelines.
Factors associated with depression anxiety and stress in the context of covid-19 pandemic in police officers of metropolitan lima, Peru
Authors: Apaza Llantoy Katherine D. , Cedillo Ramirez Lucy , Correa-López Lucy E.
Published: October 2021

Objective: To determine the factors associated with the development of depression, anxiety and stress in the context of the COVID-19 pandemic in police officers in Lima, Peru. Methods: Analytical cross-sectional study conducted in 210 police officers who were administered the Depression Anxiety and Stress Scale-21 (DASS-21) in October 2020, as well as a form, via Google Forms, to obtain sociodemographic and clinical data. A bivariate and a multivariate analysis were performed using crude and adjusted prevalence ratios, with a confidence interval >95% and a significance level of p≤0.05. Results: Depression, anxiety and stress prevalence rates were 11.43%, 10% and 7.62%, respectively. In the bivariate analysis, anxiety was associated with the number of children (cPR:3.18; 95% CI [1.10-9.17]; p:0.032) and history of disease (cPR:2.50; 95%CI[1.08-5.75]; p:0.031). For depression and stress, no significantly associated factors were found. In the multivariate analysis, an association between depression and age (aPR:2.50; 95%CI[1.02-6.10]; p:0.044) was found, as well as an association between stress and emotional situation (aPR:3.10; 95%CI[1.08-8.95]; p:0.034), COVID-19 diagnosis (aPR:3.18; 95%CI[1.02-9.92]; p:0.045) and history of disease (aPR:4.19; 95%CI[1.22-14.36]; p:0.022). Conclusions: A low prevalence of depression, anxiety and stress was observed in the study population. In addition, according to the multivariate analysis, the risk factors for stress were being single, having been diagnosed with COVID-19 and having a history of disease, while being 40 years old or younger was a risk factor for depression.
The social representations of patients of Quechua origin with Type 2 Diabetes about their disease and treatment in two hospitals in Cusco
Authors: Figueroa Mujica Ramón , Yábar Torres Guisela
Published: October 2021

Objectives: To achieve an approximation the social representations of patients about their disease. and about its treatment. Methodology: This is a qualitative study on social representations based on the interpretive paradigm and through an in-depth interview, for which a guide of topics or categories was used, based on the objectives of the study. The study population was made up of patients treated in the Endocrinology Units of the Antonio Lorena and Regional Hospitals of Cusco, diagnosed with type 2 diabetes and of Quechua origin evidenced by their mother tongue. The sample is non-probabilistic for convenience, the representativeness of the discourse was sought for this, reaching 30 interviews based on the saturation criterion. The information analysis included 1. The transcription (from oral Quechua to written Quechua) and the translation of the interviews and 2. The computerized processing of the interviews, for which purpose the RQDA (Research qualitative data analysis) computer program was used. Results: The ideas that patients have about the cause of their disease and the changes that it produces reflect the influence of Modern Medicine and Andean and Popular Medicine. On the other hand, for the treatment of their disease, they consider it useful to combine the medications that have been indicated in the health service with the resources of Andean and Popular Medicine (medicinal herbs and other natural products). Conclusion: The patients in our study have an intercultural approach to approach and treat.
Echocardiographic parameters related to pulmonary arterial hypertension in patients with chronic myeloid leukemia under dasatinib treatment
Authors: Poot Noh Karla , Hernández Jiménez Ernesto , Juárez Santiesteban María del Rayo , Zaqoya Martínez Patricia , Monliel Jarquin Alvaro J. , García Galicia Arturo , Herrera Solano David E.
Published: October 2021

Introduction: The use of dasatinib in patients with CML has improved life expectancy and follow-up with transthoracic echocardiography (ECOTT) for early detection of PAH allows modifications to the treatment. Objective: To determine the echocardiographic parameters and echocardiographic probability for PAH in patients with CML treated with dasatinib. Methods: Correlation, cross-sectional, retrospective, single-center study; patients with CML treated with dasatinib were included. Spearman and Pearson correlation was used. Results: 16 patients were analyzed, mean age 53.5 years; 62.5% men, 37.5% women. The dasatinib dose was 50 mg / day in 18.7%, and 100 mg / day in 81.2%, mean pulmonary arterial pressure (mPAP) 26.3 mmHg, mean maximum tricuspid regurgitation velocity (VmxRT) 2.9 m / s, mean pulmonary artery systolic pressure (PSAP) 41 mmHg. 56.2% had right ventricular diastolic dysfunction (RVDD). 43% were categorized as low probability for PAH, 18.7% intermediate, and 37.5% as high. Relationship between PAPm and VmxRT with p = 0.012. Relationship between mPAP and RV diastolic function, with p = 0.002. Relationship between probability for PAH and mPAP, with p = 0.008. Conclusion: The echocardiographic parameters PAPm, VmxRT, PSAP, DDVD and echocardiographic probability for PAH are useful and necessary for the diagnosis of PAH. The determination of all these parameters should be carried out early and as a follow-up, since a considerable positive relationship was found for each one with the presence of PAH, which is not dependent on the treatment time or the dose of dasatinib.
Association between educational level and knowledge on transmission of hiv/aids in adolescent women in Peru-ENDES 2019
Authors: Amado Cornejo Nathalie , Luna-Muñoz Consuelo
Published: October 2021

Introduction: Knowledge about the transmission of HIV in adolescent women is important due to the great risk of contracting said infection. Objective: To determine the association between the educational level and knowledge about the transmission of HIV in female adolescents according to the ENDES year 2019. Methods: Quantitative, observational, retrospective, cross-sectional and analytical study based on the public availability data of the ENDES 2019. Results: Of the 4 668 women in the age range of 15 to 19 years. 30.6% had adequate knowledge about HIV and 69.4% had inadequate knowledge. No association was found between educational level and level of knowledge about HIV transmission. In the multivariate analysis, regarding the wealth index, being non-poor compared to being in extreme poverty has a positive influence on adequate knowledge about HIV (OR: 1.25 95% CI: 1.14–1.38). Conclusion: Knowledge about HIV transmission in adolescent women in Peru is not adequate, no association was found between educational level and knowledge about HIV transmission, nor with place of residence; but if an association was found with the wealth index.
Home hospitalization in children and youth with special health care needs (cyshcn): financial perspectives in hospital de alta complexidad, Chile
Authors: Prado Atlagic Francisco , Valdebenito Parra Carlos , Babaic Müller Niscka , Salinas Flores Pamela , Muñoz Berríos Fernando , Jáuregui Abraham Marie , Vargas Catalán Nelson A.
Published: October 2021

Introduction. The absence of home hospitalization (HH) of children and youth with special health care needs (CYSHCN) generates prolonged hospitalizations in closed care (CC). Objective: To compare the estimated cost of HH of high complexity CYSHCN versus the actual cost of the same patient in CC and its impact on hospital production. Methods: Descriptive and comparative study between costs of both hospitalization modalities of high complexity CYSHCN. From January to December 2016, non-oncological CYSHCN hospitalizations were registered by the Pediatric Service (PS) according to the Ministry of Health-Chile (MINSAL) norm. It was classified for clinical groups and similar consumption of resources according to groups related to diagnosis (DRG). The stay was adjusted, and financial analysis of both modalities (CC) and (HH) was performed to evaluate the impact on hospital production. Results: Of 3690 discharges, 126 (3.4%) were related to 27 CYSHCN, the average age was 4.6 years (± 5 SD) with technological dependencies to live. The mean CYSHCN stay was 16 days, compared with 5.9 for patients without special health needs. CYSHCN stays reached 2017 days (8.6%). Disregarding the CYSHCN discharges would have contributed 320 additional discharges, and his HH would have saved US $ 15 / day per patient, which for the total number of stays consumed would have been an annual saving of US $ 29170. Conclusion: HH has an estimated cost lower than the CA of high complexity CYSHCN, improves hospital productivity, and frees critical beds with financially viable investment.
First International University Course of Specialization in Lifestyle Medicine
Authors: De La Cruz Vargas Jhony A , Assaly Vania , Lapman Gabriel , García Nahúm
Published: October 2021

The Closing Ceremony and Awarding of Diplomas of the First International Course of Specialization in Lifestyle Medicine: Lifestyle Medicine Fundamentals, with a Focus on Primary Health Care, organized by the Chair of Lifestyle Medicine of the Universidad Ricardo Palma in collaboration with the Latin American Lifestyle Medicine Association, was held with great satisfaction.
West Siberian Uprising of 1921: Oblivion, Study, Memorialization
Authors: Shishkin Vladimir I.
Published: October 2021

The article is dedicated to commemorating the 100th anniversary of the 1921 West Siberian rebellion. It cut off Siberia, which was the main source of supplying food to Western Russia, from the European part of the country for almost three weeks. As a result, in late February – early March 1921, Soviet authorities found themselves on the brink of an abyss. In the Soviet period, this event was characterized as a major counter-revolutionary peasant rebellion, led by the underground Siberian Peasant Union, established by the Social Revolutionaries. This interpretation of the uprising contributed to its one-sided and, therefore, rather rapid oblivion and disappearance from public consciousness. The article highlights the names of the scholars who played a major role in debunking the Soviet myths about the West Siberian rebellion. Modern researchers have proved that the West Siberian uprising was predominantly spontaneous and was triggered by a combination of reasons caused by politics and the activities of the Soviet authorities. It was anti-communist in nature and its main demand was the restoration of true Soviet power but without the communists. At the same time, nowadays a partial shift in terminology, as well as in public consciousness, related to the awareness of the nature and essence of the uprising, becomes more noticeable. The article traces the first signs of recognition of the importance that has been given not only to the tragic end of the West Siberian rebellion but also to its heroic beginning. This was evidenced by the appearance in several settlements of new memorials of the uprising.
Palace Coups in Russia: Comparative Typologization
Authors: Stellner František
Published: October 2021

This article considers palace coups as one of the key phenomena of Russian political culture, which intertwined traditions and innovations, accidents and patterns, personal and corporate interests, prudence and adventurism. It analyzes methods and mechanisms by which the Russian autocrats of the late 17th – 18th centuries ascended to the throne. The ways of ascension to the throne were different, but they had one thing in common – compliance with clear rules of succession was very far from ideal, which was significantly different from most European monarchies. In monarchies where inheritance was legally fixed by the principle of primogeniture, it was much more difficult to carry out palace coups. There was no such mandatory legal norm for the Romanov dynasty. Palace coups in Russia did not lead to changes in the social and economic sphere or in the mechanisms of functioning of the state, with the exception of the political careers of individual dignitaries. The last palace revolution in the history of Russia took place in 1801 and symbolically completed the 18th century for it. Most of the changes on the Russian throne during the 18th century took place in the form of a “palace coup” with the participation of representatives of the dynasty and, as a rule, the highest dignitaries. Such methods of changing rulers reflected a certain instability of the supreme power, disputes about the ways of modernizing the country, the consequences of Peter the Great’s reforms and, in fact, intra-dynastic contradictions.
Epilepsia e depressão: abordagem na atenção primária como estratégia de saúde pública
Authors: Cintra Marcelo Pereira , Yuen Chan Tiel
Published: October 2021

Objetivo: Discutir aspectos significativos do manejo da epilepsia, associada à estados depressivos na atenção primária de saúde. Revisão bibliográfica: A epilepsia é uma afecção que repercute na qualidade de vida dos pacientes, sendo frequentemente associada à transtornos do humor, especialmente à depressão. No modelo adotado no sistema de saúde pública no Brasil com viés generalista, os pacientes com epilepsia também são atendidos primordialmente pelos serviços de atenção primária e a condução destes doentes acaba enfrentando obstáculos tanto no diagnóstico como no tratamento. A adoção de proposições já experimentadas anteriormente servem de referência para os diversos serviços de atenção primária permitindo uma oferta superior de cuidados de que carecem estes pacientes, bem como diminuir os ônus derivados da conduta inadequada observada frequentemente na prática neuropsiquiátrica por profissionais sem especialização. Considerações finais: Apesar da complexidade que envolve o assunto, já existem protocolos que permitem uma condução clínica adequada com redução de morbidades, melhora na qualidade de vida e redução nos custos implícitos decorrentes do surgimento associado destas entidades neuropsiquiátricas, especialmente na saúde pública do Brasil.
Specialists and generalists
Authors: Anokhov I. V.
Published: October 2021

The article considers labor specialization in terms of A.A. Bogdanov’s General Organizational Science (Tectology), whose methodology provides conclusions different from generally accepted A. Smith’s concept of labor division. The article’s goal is to investigate specialist’s characteristics and his difference from generalist.

In terms of tectology, the difference is the cause of any process or phenomenon. Labor specialization is also based on difference – the difference between initial resources and collective consumption. The depth of labor specialization is determined by the number of people and the volume of their consumption. Reaching the global market’s limits has led to a reduction of differences in most markets and a decrease in production profitability, which in the long term can lead to the curtailment of material and energy flows. A qualitatively new difference may be the difference between the values and meanings of humanity, on the one hand, and the dehumanized technosphere, on the other. Subjects capable of linking these differences are generalists, capable of combining an understanding of the technosphere as a system, an awareness of long-term cause-and-effect relations, and the values and meanings of humanity.

The scientific novelty of the findings obtained lies in studying labor specialization and the prospects of its transition to universalization and generalization.
Project management principles special aspects
Authors: Eremin V. V. , Firsov D. V. , Chernysheva T. K.
Published: October 2021

The modern vector of development of the national economy and its focus on programme-targeted organisation makes us consider the principles of organisation in public administration in a new way. Modern conditions and principles of public administration require the adaptation of fundamentally new methodological guidelines that can not only manage existing systems, but also stimulate the emergence of fundamentally new economic and social realities. Currently, financing of state programme takes about 70 % of the federal budget, however, the actual implementation of the laid down plans of state programme is far behind the planned targets.

Within the international practice of economies with a related organisational structure focused on the implementation of large programme projects, the focus on project management begins to occupy a dominant position in the practice of public management, especially in the field of strategic development.

The article studies the special aspects of the project management formation and its scaling at the national level. The paper analyses the experience of implementing the principles of project management in public administration. At the same time, the authors highlight the main fundamental provisions of the successful implementation of projects and determine the key directions for improving the efficiency of project management.
EFFECT OF VARIETIES AND DIFFERENT SOURCES OF NITROGEN FERTILIZER ON YIELD AND YIELD CONTRIBUTING CHARACTERS OF BABY CORN
Authors: Kabir Md. Humaun , Hossain Md. Delwar , Rashid Md. Harun Or , Kobir Md. Shahriar
Published: October 2021

Maize as well as baby corn is an exhaustive crop in terms of nutrient and water uptake from soil hence soil health become deteriorate easily and as different amounts and forms of nutrient supply in baby corn affect the productivity of baby corn so combination of organic and inorganic sources of nutrient is beneficial for soil heath and to maximize the productivity of baby corn thus an experiment was conducted at the Agronomy Field Laboratory, Bangladesh Agricultural University, Mymensingh during November 2017 to February 2018 to investigate the effect of varieties and sources of nitrogen fertilizer on yield and yield contributing characters of baby corn. The experiment was laid out in randomized complete block design (RCBD) with three replications. The experiment consisted of two varieties viz., BARI Sweet corn-1(V1), Baby star (V2) and five sources of nitrogen fertilizer viz.,100% recommended N from urea(N1),75% N from urea + 25% N from cowdung (N2), 50% N from urea + 50% N from cowdung (N3), 75% N from urea + 25% N from poultry manure(N4),50% N from urea + 50% N from poultry manure(N5).Yield and yield contributing characters of baby corn were significantly influenced by variety, sources of nitrogen fertilizer and their interactions. The highest number of cob plant-1 (1.67), cob length (13.50 cm), cob girth(3.84 cm), cob yield with husk (14.66 t ha-1), cob yield without husk (3.52 t ha-1), and fresh fodder yield (42.50 t ha-1) were recorded when Baby star was fertilized with N2 (75% N from urea + 25% N from cowdung) treatment. Therefore, it may be concluded that Baby star is the promising baby corn variety when coupled with (75% N from urea + 25% N from cowdung) for maximizing baby corn production and improving soil health.
OPTIMIZATION OF A CLAY-SLATE FLUIDIZED BED DRYER FOR PRODUCTION OF FISH FEED
Authors: O. B Oduntan, , B. J Oluwayemi,
Published: October 2021

For feed producers who suffer from high intolerance to production costs, the only way to cope with the condition is to avoid devices that drive up costs. Extruded feed processed from a clay-slate dryer through a fluidized bed could be used to make fish feed. The aim of the study was optimise the process conditions on the clay-slate fluidized bed dryer operating at a commercial production of fish feed using the response surface methodology. The fish feed composition were processed at bed height (50-200 mm), drying air temperature (60–120°C), airflow velocity (0.66-0.70 m/s), drying time (10–90 min) and extrudates size (4–8 mm). Product quality parameters such as moisture ratio and dryer efficiency were determined and analyzed. Second-order polynomial equations, containing all the process variables, were used to measured process. Moisture ratio was influenced mostly by linear relationship temperature and drying time. The temperature and the quadratic temperature conditions significantly affected the efficiency of the dryer. For the fluidized bed drying of extruded fish feed, optimal conditions were set for the bed height of 185.76 mm, a temperature of 97.2°C, an air flow rate of 0.67, a drying time of 65.36 min and an extrudate size of 7.40 mm recommended. At these conditions the moisture ratio and efficiency were 0.86 and 74.39, respectively. The influence of the various components of the fluidized bed dryer on the drying rate must be better understood so that control systems can be developed to take full advantage of this technology.
PRESSUPOSTOS FREIREANOS, CTS E PLACTS NO ENSINO DE CIÊNCIAS: APROXIMAÇÕES E DISTANCIAMENTOS
Authors: Schwan Guilherme , Santos Rosemar Ayres dos
Published: October 2021

Aproximações entre o educador Paulo Freire e referenciais ligados ao enfoque Ciência-Tecnologia-Sociedade (CTS) começam a tomar maiores contornos, principalmente no Ensino de Ciências (EC). Este trabalho apresenta uma revisão bibliográfica de cunho qualitativo, através do repositório do Instituto Brasileiro de Informação em Ciência e Tecnologia (IBICT), no qual investigamos: de que maneira a articulação entre os pressupostos de Paulo Freire do enfoque (CTS) e o Pensamento Latino-Americano em Ciência-Tecnologia-Sociedade (PLACTS) estão sendo desenvolvidos, principalmente, no EC? Com o objetivo de discutir sinalizações e reflexões acerca de pesquisas que utilizam aproximações Freire/CTS na Educação, ligadas ao EC. Como método de análise do corpus, seguimos com a Análise Textual Discursiva. Seus resultados estão apresentados em quatro categorias: i) Diálogos na estruturação curricular sob aproximação Freire-CTS. ii) Busca da participação e democratização em processos decisórios diante de temas Científico-Tecnológicos. iii) Encontro com a educação problematizadora de Freire e a suposta neutralidade da Ciência-Tecnologia iiii) Divergências e desafios entre abordagens Freire-CTS. Portanto, entendemos que a referida aproximação aponta para mudanças, principalmente no EC, ao problematizar questões sociais, contribuindo na formação crítica dos sujeitos diante sua realidade.