bluuebunny/crossref_metadata_2025 huggingface dataset:
Crisis of meaning in connection with mental distress of a modern man
Authors: Kristovič Sebastjan
Published: October 2021

In contrast with the contemporary spirit, which directs a person towards
their own needs, satisfactions, and desires, logotherapy views the person and its life as an assignment. Man is not an individual "for himself" (according to Freud, the main internal motivational force is "the will of pleasure" and "the will of power" according to Adler), but a
being of sense or a being for someone or something. According to Frankl, the purpose is defined as tasks, which life sets us in a precise
moment and in a precise situation. These are tasks requiring a responsible reaction and a specific realisation of values. Each of them is unique. Each individual is responsible for a task, and only he can respond to it in a responsible man-ner. In this sense, life can be seen as a chain, whose links are the tasks themselves. Each in-dividual is unique, with a unique goal in life, which consists of individual, equally unique tasks. The centre of logotherapy is future - tasks and meanings. The founder of logotherapy is Viktor E. Frankl, who was a doctor of medicine and doctor of philosophy, and a professor of neurology and psychiatry at the University of Vienna. The third psychotherapeutic school in Vienna - logotherapy - is based on a holistic approach to an individual, which means that it analyses a person on a physical, mental, and spiritual level. Spiritual dimension is, among others, a place of realisation of responsibility and freedom or space of realisation of actual possibilities and tasks. Existential crisis, exis-tential vacuum, and noogenic neuroses are issues and mental
problems, which originate from the spiritual dimension. This means failing to perceive and failing in life as an assignment. The empirical part of the research, which is based on the psychometric instrument LOGO-test, performed on two hundred re-spondents, gave us the results that even 24 percent of respondents are in various mental distresses and
seriously existentially endangered. The paper highlights the most problematic areas and causes for such mental distress. The COVID-19 pandemic only deepened and revealed this crisis of meaning.
Social constructionism and the effects of media's portrayal of Nigeria's economic recession on foreign direct investment
Authors: Ehondor Beryl Annette , Edosomwan Aifuwa
Published: October 2021

Although Nigeria has the largest economy in Africa, it has been bedeviled by various issues in recent times, which has led to its experience of an economic recession. Its over-dependence on foreign products, the activities of militants and pipeline vandals in the Niger-Delta, poor economic planning and the delayed budget signing are some of the issues that have being credited to the fall into recession. However, some economists have suggested that Nigeria’s economy has the potential to rise from the recession and have identified the inflow of foreign direct investments as one of the key factors that will contribute to the rise. On the other hand, the media’s reporting of Nigeria’s recession seems to have caused mixed reactions from among the public who worry about their daily bread. Potential investors, both local and foreign, are also not left out in the expression of uncertainty. Since they rely on the media to provide information on the situation of the Nigerian economy, the power of the media in the making or marring of the government’s encouragement of FDI to boost the economy
cannot be underestimated. The power of the media, which appears to be able to determine or construct the position and perception of individuals/organisation follow it can be relat-ed to the theory of social constructionism. So-cial constructionism suggests that the media’s have the capacity to selectively reproduce and construct the reality of any situation – in this case, Nigeria’s recession. However, it also acknowledges that the meanings offered by the media can be negotiated or rejected by those to whom it is directed. This study explores the capacity of the media’s construction of Nigeria’s economic recession to influence the inflow of foreign direct investments.
Volunteer Teaching of High School Students: We Will See You Again
Authors: Dong Xiahua , Yuan Chujie , Liu Kairan , Liu Yixiao , Li Luoyifu
Published: October 2021

Since February 2006, responding to Chinese Government’s police, Three Support and One Assistance, short-term volunteer teaching has burgeoned in China. However, the effect of short-term volunteer teaching is rather concerning and unsatisfactory. We conduct our research from three parts: literature review, quantitative research, and qualitative research. Three major concerns are identified from literature review: inappropriate motivation, unprofessionalism, and inconsistency. An interview with a humanitarian organization Nuannuan is conducted to find the possible solution. Based on it, the hypothesis is that longterm and organized volunteer teaching is more effective so the solution could be a long-term volunteer teaching alliance. Two surveys are used to test the feasibility of the solution by analyzing children of migrant workers’ attitudes and high school volunteers’ attitudes. The results show that children are willing to participate and volunteers are willing to teach in the long-term. The hypothesis is proved and the solution is an establishment of a volunteer teaching alliance among all high school students in Beijing.
Estrategias de afrontamiento del ciberacoso desde la perspectiva de la víctima en adolescentes mexicanos de secundaria y bachillerato
Authors: Sandoval Martínez Josefina , Luna Bernal Alejandro César Antonio , De Gante Casas Alejandra
Published: October 2021

El Inventario de Estrategias de Afrontamiento del Ciberacoso desde la perspectiva de la Víctima (IEAC-V) es un instrumento que mide el grado en que los adolescentes se inclinan a utilizar siete tipos de estrategias para hacer frente a posibles situaciones de ciberacoso en caso de llegar a ser víctimas: estrategias agresivas, denunciar, ignorar y desviar la preocupación, buscar apoyo, reunir pruebas, evitar al agresor y desconectarse. El presente trabajo aporta nueva información relevante acerca de la validez de este instrumento a través de un análisis factorial confirmatorio. La muestra se conformó por 992 adolescentes estudiantes de secundaria y bachillerato con edades de 12 a 20 años. Los resultados mostraron adecuadas cargas factoriales, coeficientes de determinación e índices de bondad de ajuste. Se encontraron también adecuados índices de confiabilidad así como diferencias estadísticamente significativas por género, edad y grado escolar. Se discuten estos y otros resultados en el contexto de la literatura psicológica sobre estrategias de afrontamiento del ciberacoso en la adolescencia.
Alfabetización digital en la educación básica en México: análisis documental del plan de estudios
Authors: Reyes William
Published: October 2021

Esta investigación se inicia a partir del análisis de los documentos que integran el plan de estudios de educación básica en los Estados Unidos Mexicanos, con la finalidad de determinar el grado de integración de la alfabetización digital (AD). Para llevar a cabo esta investigación se definieron nueve dimensiones y se establecieron indicadores (palabras claves) que sirvieron como términos de búsqueda en los documentos oficiales. A partir de los registros analizados se observó que todas las dimensiones de la alfabetización digital consideradas se encontraban en el plan de estudios de nivel básico, siendo el pensamiento crítico la dimensión de mayor presencia y el pensamiento computacional la dimensión con menor presencia. Los resultados obtenidos permiten afirmar que la alfabetización digital se encuentra entre los puntos considerados importantes en la formación del estudiantado de nivel básico.
Enfoque de capacidades y ética profesional en la formación universitaria para la democracia: el caso de las carreras de negocios y humanidades de una universidad privada en México
Authors: López-Calva Juan Martín , Méndez Escarza Claudia Rebeca
Published: October 2021

Esta investigación se sustenta en la aportación teórica del enfoque de capacidades de la filósofa estadounidense Martha Nussbaum como fuente de criterios éticos de la formación universitaria que orienten la formación profesional hacia la construcción de sociedades auténticamente humanas y con su conceptualización de distinción entre lo que llama educación para la renta y educación para la democracia. A partir de estos rasgos se construyó una guía de entrevista semiestructurada que fue aplicada a una muestra de ocho académicos de una universidad privada, quienes tienen a su cargo la dirección de programas de licenciatura en las áreas de Negocios y de Humanidades, para conocer la manera en que conciben y están llevando a la práctica la formación de futuros profesionistas en sus respectivas disciplinas. Se encontraron algunas diferencias en la comparación entre ambas áreas, pero los resultados muestran en general una orientación hacia la educación para la democracia en las carreras de ambos campos disciplinares, con un mayor énfasis y claridad en las de Humanidades, lo cual puede deberse a la comprensión y adhesión al ideario y la misión de la universidad en la que se realizó el estudio o al uso de un discurso institucional aprendido.
Microlearning: innovaciones instruccionales en el escenario de la educación virtual
Authors: Salas Díaz Fabiola , González Bello Edgar Oswaldo , Estévez Nénninger Etty Haydeé
Published: October 2021

El microlearning hace referencia a un aprendizaje breve, conciso, frecuentemente digital y móvil; por su versatilidad en medios y formatos, así como por las posibilidades de aplicación bajo distintas pedagogías, representa una alternativa de innovación instruccional conectada con las prácticas de la era digital, demandada por la educación virtual en escenarios de educación superior. El propósito del estudio fue comprender el desarrollo de innovaciones relacionadas con enfoques teóricos utilizados como sustento analítico del microlearning para entornos virtuales; se hizo diferencia de las etapas del proceso innovador a partir de elementos del conocimiento reportados por la producción científica. Se utilizó un enfoque metodológico teórico documental dirigido a recopilar, analizar y categorizar las investigaciones durante las distintas etapas de la innovación. Los hallazgos manifestaron un escaso uso de teoría para sustentar las investigaciones, aunque también destacaron los estudios situados en una etapa de gestación de la innovación, en la que los aportes al conocimiento empírico fueron sobre análisis teóricos y modelos de implementación. Se concluyó que el análisis y la perspectiva evolutiva de los avances en microlearning ofrecen bases para sustentar teóricamente las innovaciones instruccionales, necesarias desde la perspectiva de los estudiantes, por la creciente interacción tecnológica a la que están expuestos.
Rancang Bangun Sistem Informasi Pengelolaan Data Occupational Health and Safety Handling PT.CPL
Authors: Henderi Henderi , Mulyati Mulyati , Anggrahini Yunia Riska
Published: October 2021

Pelaksanaan program Occupational Health and Safety Handling (Program K3/ Kesehatan dan Keselamatan Kerja) pada suatu perusahaan dapat membuat produktivitas dan kinerja karyawan semakin meningkat. Pekerjaan akan diselesaikan dengan baik jika karyawan memiliki rasa aman dan nyaman ditempatnya bekerja. PT.CPL (Cipta Perdana Lancar) penanganan Occupational Health and Safety Handling-nya belum maksimal, permasalahan terjadi dikarenakan masih terdapat beberapa kekurangan, salah satunya pada sisi sistem informasinya sehingga pada pelaksanaannya menjadi belum rapi dan belum terstruktur selain itu masih banyak kekurangan-kekurangan lainnya. Untuk itulah diperlukan pembaharuan sistem informasi yang lebih akurat dan sistem yang cepat menangani permasalahan Occupational Health and Safety Handling di perusahaan tersebut. Untuk melengkapi penelitian ini maka diperlukan beberapa metode, diantaranya untuk metode pengumpulan data membutuhkan Pengamatan langsung, kemudian berlanjut dengan interview kepada Stakeholders dan mencari sumber teori penelitian dengan studi pustaka. Metode analisa penelitian ini memakai Analisa SWOT serta penggambaran desain sistemnya dengan UML yang berorientasi objek. Metode-metode yang digunakan tersebut sebagai dasar dari rancang bangun penelitian ini yang kemudian menghasilkan sebuah Sistem Informasi Pengelolaan Data Occupational Health and Safety Handling yang dibuat dengan berbasis Web sebagai solusi dari masalah-masalah yang terjadi di PT.CPL tersebut.

Kata Kunci : Sistem Informasi, Occupational Health and Safety Handling, Web.
Implementasi Customer Data Management Dalam Meningkatkan Retensi Pelanggan IndiHome di PT Telkom
Authors: Fitriyani Indah Pratiwi , Hendriyani Chandra
Published: October 2021

Agilitas pelanggan dan pesatnya perkembangan teknologi membuat perusahaan harus melakukan berbagai macam strategi salah satunya adalah meningkatkan retensi pelanggan agar pelanggan tidak beralih ke kompetitor. Oleh karena itu, perusahaan harus mengenal karakteristik pelanggannya secara spesifik diantaranya melalui pengolahan database pelanggan seperti Customer Data Management. Optimalisasi Customer Data Management dapat membuat perusahaan memahami kebutuhan dan keinginan dari pelanggan. PT Telkom sebagai salah satu Badan Usaha Milik Negara yang memiliki produk IndiHome yang merupakan market leader di Indonesia terus berusaha mempertahankan pangsa pasarnya agar pelanggannya tidak berpindah ke provider lain. Untuk menjaga retensi pelanggan PT Telkom merancang dan membuat strategi agar brand awereness IndiHome dapat terus meningkat dengan membuat program-program loyalitas pelanggan. IndiHome juga meningkatkan layanan dengan menambah variasi program atau channel TV Kabel, serta memberikan pelayanan yang cepat tanggap terhadap keluhan pelanggan sehingga citra perusahaan dan tingkat kepercayaan pelanggan semakin meningkat terlihat dari pangsa pasar dan kontunitas pelanggan menggunakan produk IndiHome. Customer Data Management berperan penting dalam perusahaan dengan kemampuan menganalisa data maka perusahaan dapat menciptakan kelangsungan bisnis di era digital saat ini dan data yang telah diperoleh dapat menjadi landasan keputusan dalam mengambil kebijakan bagi perusahaan.

Kata Kunci: Customer Data Management, Retensi pelanggan, IndiHome
Pengaruh Lingkungan Kerja Terhadap Kinerja Pegawai Di Masa Pandemi Covid 19 (Studi Kasus Pada Pegawai Kelurahan Salembaran Jaya)
Authors: Sunarya Po. Abas , Padeli Padeli , Dwi Oktavionita Siti Dian Cahya
Published: October 2021

Pandemi covid-19 sangat berpengaruh terhadap lingkungan kerja sehingga kinerja pegawai instansi pemerintahan desa yang menjadikan kurang optimal dalam bekerja. Kinerja pegawai dalam pelayanan masyarakat di Kelurahan Salembaran kurang maksimal karena pelayanan masyarakat oleh pegawai Kelurahan Salembaran Jaya terkendala karena faktor penyesuaian dengan protokol covid-19 sehingga terjadi perubahan pelayanan masyarakat yang menjadikan kinerja pegawai kurang maksimal dan optimal dalam bekerja. Kegiatan-kegiatan para pegawai juga dibatasi karena harus mengikuti protokol covid-19 yang sudah diterapkan untuk menghindari penyebaran virus covid-19. Dalam hal ini kebersihan ruangan menjadi faktor yang harus diperhatikan agar seluruh pegawai benar-benar merasa nyaman dan aman dengan selalu mematuhi protokol yang ada sehingga dapat meningkatkan kinerja para pegawai yang menjadikan tujuan dari instansi pemerintahan desa dapat tercapai secara maksimal. Penelitian ini mempunyai tujuan yaitu untuk menunjukkan adanya pengaruh lingkungan kerja terhadap kinerja pegawai pada instansi pemerintahan desa yaitu Kelurahan Salembaran Jaya. Kegiatan analisis menggunakan metode kuantitatif dengan melakukan beberapa pengujian. Hasil akhir penelitian ini memberitahukan adanya pengaruh signifikan antara lingkungan kerja dengan kinerja pegawai.

 

Kata Kunci : Pandemi Covid-19, Lingkungan Kerja, Kinerja Pegawai, Kelurahan Salembaran Jaya
PENGARUH PENGGUNAAN APLIKASI GOOGLE MAPS TERHADAP MINAT BELAJAR GEOGRAFI PESERTA DIDIK DI SMA NEGERI KOTA LANGSA
Authors: Taufik Hidayat  , Sihotang Zidan
Published: October 2021

Penelitian ini bertujuan untuk menganalisis hubungan regresi antara penggunaan aplikasi Google Maps terhadap minat belajar Geografi peserta didik di SMA . Penelitian ini merupakan penelitian survey dengan populasi peserta didik SMA Negeri di Kota Langsa . Teknik Sampling yang di gunakan adalah Random Stratiffed Sampling . Data dianalisis menggunakan IBM SPSS 22 melalui analisis regresi linier. Hasil penelitian menunjukkan bahwa Penggunaan Aplikasi Google Maps berpengaruh secara signifikan terhadap minat belajar peserta didik pada mata pelajaran Geografi di SMA Negeri Langsa . Hal ini dibuktikan dengan nilai F hitung = 41.583 > 3.160 atau (F hitung > F tabel) sehingga H 0 di tolak dan H 1 diterima. Yang artinya terdapat pengaruh posistif dan signifikan Penggunaan Aplikasi Google Maps terhadap minat belajar Geografi Peserta Didik. Sehingga Peneliti merekomendasikan para guru/para pengajar untuk memanfaatkan penggunaan Aplikasi Google Maps dalam pembelajaran Geografi untuk meningkatkan minat dan hasil belajar Geografi peserta didik.
Lead acetate induced toxicities and antitoxic effect of Vitamin E and selenium in mice
Authors: Jahan M. S. , Islam M. S. , Gautam M. , Bhuiyan M. E. R.
Published: October 2021

Background: The experiment was conducted to evaluate the effect of different dosages of lead in the hematological parameters of mice and to observe the antitoxic role of Vitamin E and Selenium in induced lead toxicities. Moreover, the toxic effect of lead in the reproduction of female mice was also examined.

Methods: A total of 72 (48 male and 24 female) Swiss albino mice were used in the experiment. After adaptation, 42 male mice were selected for hematological studies and divided into seven groups (n=6) where Group A represented healthy control mice and Group B, C, and D were treated with lead acetate at the rate of 0.5mg/kg, 1mg/kg and 2mg/kg respectively. Similarly, three other groups B+, C+, and D+ were treated with lead acetate plus Vitamin E and Selenium at the rate of 2ml per liter drinking water. A total of 24 female mice were divided into four groups (n=6), group E represented control mice and Group F, G, and H were treated with lead acetate at the rate of 0.5mg/kg, 1mg/kg, and 2mg/kg for three weeks followed by matting and treatment was continued for another one week of gestation. Blood sample was analyzed from the hematological study group.

Result: The lead treatment caused a dose-dependent decrease in the value of Hb and PCV significantly whereas the value of TEC and TLC were significantly decreased in Group C and D in relation to Control. The value of ESR increased significantly in a dose-dependent manner in Group D in relation to Control whereas MCV and MCH values were significantly decreased than that of control. The value of TEC, Hb, PCV, ESR, and TLC improved in the Lead plus Vitamin E- Selenium treated group as compared to the Lead treated group but, only Group C+ showed significant improvement as compared to Group C. The value of neutrophil and monocyte were significantly decreased were as lymphocyte and eosinophil were significantly increased relative to control. There was a dose-dependent effect of lead in pregnancy of female mice with the highest effect (premature delivery and infant mortality) on high dose treated mice.

Conclusion: It can be concluded that lead has a great impact on hematological parameters and has an effect on various systems of the body. Premature birth and abortion are major effects of lead toxicity. Our results suggest that hemolysis of RBC and or impairment of erythropoiesis may be caused by lead toxicity and the hematological values can be restored by the use of Vitamin E plus Selenium.
Correlation between Thyroid-stimulating Antibody Level Change and Extraocular Muscle Thickness Change in Thyroid Eye Disease
Authors: Kwak Jeeyoung , Lee Dong Cheol
Published: October 2021

Purpose: To investigate the changes in extraocular muscle thicknesses by variations in the thyroid stimulating antibody (TSAb) level in patients with thyroid eye disease (TED).Methods: A total of 67 TED patients were enrolled. They were divided into two groups: an experimental group with clinically significant elevated TSAb levels (≥140 IU/L) and a control group (TSAb <140 IU/L). All of the lateral, medial, superior, and inferior rectus muscle thicknesses were measured with the aid of anterior segment optical coherence tomography (OCT). The average thicknesses for both eyes were recorded for each patient based on the values measured at the ends of the muscles (which become vertically thinner from the points of tendon attachment). We measured changes in TSAb levels and extraocular muscle thicknesses after two follow-up periods and sought correlations among these parameters.Results: At the initial visits, the inferior rectus muscle thickness was positively correlated with the TSAb level in the experimental group (p = 0.045, r = 0.478). None of the medial, superior, or lateral rectus muscle thicknesses were so correlated. On follow-up, the variation in TSAb level correlated negatively with changes in lateral rectus muscle thickness (p = 0.038, r = -0.357). The superior rectus muscle thickness tended to be negatively correlated with the TSAb level, but statistical significance was not attained (p = 0.146, r = -0.669). The thicknesses of the inferior and superior rectus muscles did not change over time.Conclusions: In TED patients, TSAb variations seem to reflect the extent of periorbital tissue edema, thus correlating negatively with especially lateral rectus muscle thickness changes.
Changes in Intraocular Pressure and Factors that Influence such Changes after FS-LASIK and SMILE
Authors: Kim Bu Ki , Chung Young Taek
Published: October 2021

Purpose: We compared the intraocular pressure (IOP) changes and the relationships thereof with corneal biomechanics after small incision lenticule extraction (SMILE) and femtosecond laser-assisted laser in situ keratomileusis (FS-LASIK).Methods: A total of 234 eyes of 117 patients who underwent FS-LASIK surgery and 244 eyes of 122 patients who underwent SMILE surgery were included in this retrospective study. Data were collected preoperatively, and at 1, 3, and 6 months postoperatively, including IOP measured via non-contract tonometry, central corneal thickness (CCT), and mean keratometry (Km), flat keratometry (Kf), and steep keratometry (Ks) data obtained using a dual Scheimpflug analyzer. Between-group differences were compared. Simple linear regression analysis was used to determine the relationship between changes in the IOP and the various parameters.Results: The IOP changes were 5.41 ± 2.28 mmHg in the FS-LASIK group and 4.77 ± 2.38 mmHg in the SMILE group, thus significantly different (p = 0.004). The IOP did not change significantly from 1 to 6 months after FS-LASIK but increased significantly from 12.07 ± 1.77 mmHg at 3 months postoperatively to 12.77 ± 1.89 mmHg at 6 months postoperatively after SMILE (p = 0.002). All of the preoperative spherical equivalent and IOP, and changes in the Km, Kf, Ks, and CCT, were significantly associated with the IOP changes in both groups. The preoperative IOP evidenced the strongest relationship with the IOP changes in both groups (R2 = 0.414 in the FS-LASIK group, R2 = 0.292 in the SMILE group).Conclusions: The IOP fell significantly after FS-LASIK and SMILE surgery, significantly more so after FS-LASIK than SMILE. The preoperative IOP exhibited the greatest influence on the IOP decreases after both FS-LASIK and SMILE.
Characteristics and Outcomes of Endogenous Endophthalmitis in Patients with Long-term Steroid Use
Authors: Chae Woo Jung , Lee Seung Woo
Published: October 2021

Purpose: To investigate the clinical characteristics and treatment outcomes of endogenous endophthalmitis (EE) in patients with a history of long-term oral corticosteroid (LTOC) use.Methods: This study was a retrospective review of the medical records of 17 patients (20 eyes) who were diagnosed and treated for EE from LTOC use from March 2004 to December 2019.Results: The mean age of the patients was 70.0 years, and 58.8% were men. Bilateral involvement was observed in three patients (17.6%). Predisposing medical conditions for steroid use were arthritis (6, 35.3%), renal disease (5, 29.4%), lung disease (5, 29.4%), and dermatologic disease (1, 5.9%). The most common causative agents were Gram-positive organisms (60.0%). All patients were treated with systemic antibiotics and vitreous tapping with intravitreal antibiotics or antifungal injection. Pars plana vitrectomy with intravitreal injection of antibiotics was performed in 11 eyes (55.0%). The initial best-corrected visual acuity (BCVA) of 20 eyes was 1.83 ± 0.79 and final BCVA was 0.70 ± 0.98 (p < 0.001). We analyzed the correlation between final visual acuity and initial visual acuity, causative organisms, sepsis, and vitrectomy. The results indicated a poor visual acuity prognosis for the patient group with sepsis.Conclusions: Our study revealed that LTOCs can induce EE. Gram-positive bacteria were the most common causative organisms of EE from LTOC use. The patient group with sepsis showed a worse visual acuity prognosis than the other groups.
The Efficacy and Safety of Preservative-containing and Preservative-free Brimonidine-Timolol Fixed Combination in Normal Tension Glaucoma
Authors: Kim Bo Kyung , Kim Si Nae , Kim Joon Mo
Published: October 2021

Purpose: To analyze the efficacy and safety of preservative-containing and preservative-free 0.2% brimonidine tartrate and 0.5% timolol maleate fixed combination drug in normal tension glaucoma.Methods: Fifty-one patients (84 eyes) who were diagnosed with normal tension glaucoma and with preservative-containing or preservative-free brimonidine-timolol fixed combinations alone were analyzed retrospectively from January 2017 to February 2020. Intraocular pressure (IOP) was measured four times a day (9 a.m., 11 a.m., 2 p.m., and 4 p.m.) before and at 6 months after applying eye drops. We analyzed and compared the effect of lowering IOP and the occurrence of intra or extra-ocular adverse effects.Results: A significant mean IOP reduction was shown in both groups: -1.95 ± 2.50 mmHg (-12.26 ± 15.87%) in the preservative-containing group and -1.60 ± 2.06 mmHg (-10.54 ± 13.94%) in the preservative-free group at 6 months after eyedrop instillation. The IOP was lowest in both groups at 11 a.m. There were no significant differences between the two groups in lowering IOP. Serious adverse effects causing discontinuation of the eye drops were not observed.Conclusions: Both preservative-containing and preservative-free brimonidine-timolol fixed combinations are effective in lowering IOP in normal tension glaucoma patients and are considered to be effective as eye drops without serious adverse effects.
Exophiala Endophthalmitis after Cataract Surgery
Authors: Kim Tae Hwan , Shin Moon Kyung , Kwon Yoon Hyung
Published: October 2021

Purpose: To report a case of Exophiala endophthalmitis after cataract surgery, which has not been reported previously in Korea.Case summary: A 70-year-old woman visited the hospital 7 days after cataract surgery in her right eye with unilateral vision impairment. At the time of the visit, visual acuity of the right eye was hand motion, and the fundus was not clearly observed due to numerous inflammatory cells with hypopyon in the anterior chamber. With an initial diagnosis of suspected bacterial endophthalmitis, vitrectomy was performed immediately with intravitreal injection of antibiotics and steroid. On day 14 after vitrectomy, inflammation in the anterior chamber and vitreous opacity worsened, and complete vitrectomy, including of the vitreous base, and removal of the intraocular lens and capsule was performed. Exophiala was detected in the biopsy specimen on day 6 after the second surgery, and the patient was discharged with a prescription for voriconazole eye drops. On day 23 after the second surgery, the best-corrected visual acuity in the right eye had improved to 1.0, and there was no evidence of endophthalmitis recurrence and no observed additional abnormal findings of the fundus until 6 months after second surgery.Conclusions: In a case of fungal endophthalmitis that occurred after cataract surgery, good results were obtained by vitrectomy involving complete removal of the peripheral vitreous body, including the intraocular lens and lens capsule, which was the basis for growth of the fungus in the early stage of endophthalmitis.
Streptococcus infantarius Endophthalmitis after XEN Gel Stent Implantation
Authors: Kim Dong Seon , Kim So Hee , Choi Youna , Choi Seung Kwon , Lee Jae Jung , Park Sung Who , Byon Ik Soo
Published: October 2021

Purpose: To report a case of Streptococcus infantarius endophthalmitis related to the use of a XEN® Gel Stent.Case summary: A 75-year-old male was referred to our practice with a diagnosis of endophthalmitis 55 days after XEN® Gel Stent implantation. He had primary open-angle glaucoma. Visual acuity was 20/50. Slit-lamp examination revealed conjunctival injection and anterior chamber inflammation with hypopyon. Fundus examination showed inflammatory cells with exudative materials in the vitreous. The aqueous sampling for culture of causative micro-organisms was followed by removal of the XEN® Gel Stent, along with anterior chamber irrigation and intracameral and intravitreal injection of antibiotics. Streptococcus infantarius was isolated after 5 days. Vitrectomy, anterior chamber lavage, and intravitreal injection of antibiotics were additionally performed to control the intraocular inflammation. Sixteen days after vitrectomy, the intraocular inflammation disappeared. The choroidal detachment was resolved 34 days after vitrectomy. Visual improvement was limited to 20/100 at 6 months.Conclusions: XEN® Gel Stent-related bacterial endophthalmitis was successfully treated by implant removal, vitrectomy, and proper intraocular antibiotic treatment.
Acute Noninfectious Endophthalmitis after Removal of Silicone Oil and Posterior Capsulectomy in Proliferative Diabetic Retinopathy
Authors: Kim Jaehyun , Kim So Hee , Choi Youna , Choi Seung Kwon , Lee Jae Jung , Park Sung Who , Byon Ik Soo
Published: October 2021

Purpose: Here, we report a case of acute noninfectious endophthalmitis after removal of silicone oil (SO) and posterior capsulectomy in a patient with proliferative diabetic retinopathy.Case summary: SO removal and posterior capsulectomy were performed in a 61-year-old man who had undergone vitrectomy with combined cataract surgery, membrane peeling, laser photocoagulation, and SO injection to treat vitreous hemorrhage and tractional retinal detachment three months previously. The patient’s best-corrected visual acuity on the day after surgery was 20/50; it decreased to hand motion at five days after SO removal. Exudative membrane with hypopyon, anterior chamber cell (trace), and mild conjunctival injection were observed. The patient did not complain of ocular pain. Topical steroid was applied following a diagnosis of postoperative noninfectious endophthalmitis. The exudative membrane and hypopyon decreased after three days of treatment and had resolved completely after one month of treatment. The patient’s visual acuity improved to 20/50.Conclusions: Noninfectious endophthalmitis can develop after removal of SO and posterior capsulectomy. Topical steroid treatment is effective in such cases.
Spontaneous Closure of a Carotid-cavernous Fistula after Contrast-enhanced Orbit Computed Tomography
Authors: Kim Byung Jin , Park Hye Yeon , Shin Hye Young
Published: October 2021

Purpose: We report a case of spontaneous closure of a carotid-cavernous fistula (CCF) after contrast-enhanced orbit computed tomography (CT).Case summary: A 80-year-old female was referred to our clinic under suspicion of chronic angle- closure glaucoma because of persistently high intraocular pressure commencing one month prior. Slit-lamp examination revealed a conjunctival injection and corkscrew-like vessel dilatation in the left eye, and a high intraocular pressure. Dilated fundus examination revealed central retinal vein occlusion in that eye. Contrast-enhanced orbit CT revealed a dilated, superior ophthalmic vein in the left orbit, and she was transferred to our department of neurosurgery for digital subtraction angiography (DSA); this is the gold standard imaging modality for the diagnosis of direct and indirect CCFs. DSA was performed two weeks after orbit CT; however, no CCF was visible. Thereafter, the conjunctival injection and the elevated intraocular pressure improved gradually over eight months. We suspect that the CCF closed spontaneously.Conclusions: Our case highlights the fact that a CCF can close spontaneously after contrast-enhanced orbit CT; ophthalmologists may wish to bear this in mind.
As maloclusões concedem aos indivíduos um perfil de suspeito a um crime?
Authors: Santos Nathalia de Lima , Santos Camila Barreto Rangel dos , Lima Stefanni Olga Aguiar Sales , Canto Fernanda Michel Tavares , Cruz João Pedro Pedrosa , Andrade Ana Carolina Dias Viana de , Coqueiro Raildo da Silva , Pithon Matheus Melo
Published: October 2021

O objetivo desse estudo foi avaliar a influência das maloclusões classe I (diastema e apinhamento) em conceder aos indivíduos, um perfil de caráter suspeito a um crime, por agentes de segurança pública. Foi realizado um estudo transversal com agentes de segurança de ambos os sexos (n=100). Utilizou-se para o estudo imagens de retratos falados de um mesmo indivíduo com diferentes tipos de maloclusão: classe I com diastema e apinhamento e sorriso ideal. De posse dessas imagens criou-se um questionário dividido em duas partes. A primeira onde as imagens foram apresentadas todas juntas onde permitia a comparação entre elas; e a segunda onde cada imagem foi avaliada separadamente, seguida de perguntas e de uma escala visual analógica que apresentava uma barra com marcações que iam de 0 a 100, onde 0 representava o indivíduo não confiável, 50 confiável e 100 muito confiável. Através dos dados obtidos, seguiu-se a realização das análises estatísticas utilizando-se os testes qui-quadradro e de Friedman. O nível de significância adotado foi de 5% (α=0,05). O indivíduo com sorriso ideal foi associado pelos agentes de segurança como o mais propenso a cometer crimes, quando comparado aos indivíduos com diastema e apinhamento (p<0,001). O indivíduo com sorriso ideal foi associado pelos agentes de segurança como os mais propensos a cometer crimes, devido a exibir traços mais maduros, quando comparados a indivíduos com maloclusões classe I, que atribui-lhe característica morfológica infantil.
Acesso à saúde sexual e reprodutiva de homens trans em Alagoas
Authors: Silva Evylee Hadassa Barbosa , Silva Joyce Nayara Duarte da , França Alba Maria Bomfim de
Published: October 2021

Verificar como os homens trans em Alagoas acessam os serviços de saúde sexual e reprodutiva em Alagoas. Estudo exploratório, de corte transversal e abordagem quantitativa, sendo utilizada como fonte primária as informações de homens trans relacionadas ao acesso de saúde aos serviços sexuais e reprodutivos de homens trans em Alagoas. Os resultados mostram que, 66,6% declaram idade entre 18-24 anos, e 33,3% entre 25-35 anos. 40% possuem ensino superior completo, 40% ensino médio completo e 20% ensino superior incompleto. 60% possuem de 1-3 salários mínimos, 20% dispõem de 04 ou mais salário mínimo e os outros 20% até 01 salário mínimo. 60% acessam aos serviços de saúde através de plano de saúde particular, e 40% através do SUS. 60% não realizaram nenhuma consulta anual nos serviços de saúde sexual e reprodutiva, 20% realizaram ao menos uma consulta, outros 20% realizaram 2-4 consultas anualmente. Nenhum dos participantes alegou já ter realizado a cirurgia de redesignação sexual, mas 60% deles afirmaram que não sentem desejo de fazê-la, outros 40% sentem o desejo de realizá-la. O acesso à citologia e colposcopia foi relatado por 33,3%, outros 33,3% continuam tendo acesso, mas não realizam e, 33,3% não tem acesso aos serviços de citologia e colposcopia. O uso de hormonioterapia foi relatado por 80% dos participantes, já 20% afirmaram não fazer uso de terapia hormonal. A partir dos resultados obtidos, evidencia-se que o acesso aos serviços de saúde pelos homens trans se dá por meio da rede suplementar de saúde.
Efeitos da prática de Exercício físico e da dieta suplementar em pacientes com obesidade sarcopênica
Authors: Maciel Caroline Silva Mangueira , Alcântara Aruana Neves Salvador de , Alves Hirisleide Bezerra
Published: October 2021

Objetivo: Comparar e analisar a eficácia do exercício físico e da dieta suplementar no tratamento da obesidade sarcopênica. Método: Revisão integrativa de literatura a partir de artigos publicados em periódicos indexados nas bases de dados: Biblioteca Vitual em Saúde (BVS) e US National Library of Medicine - National Institutes of Health (PubMed). Com o auxílio dos Descritores em Ciências da Saúde (DeCS) foram selecionadas as palavras-chaves: Obesity, Sarcopenia, Exercise e Dietary. Resultados: Após análise de artigos, verificou-se que 66,67% destes afirmaram que a combinação entre a prática de exercício físico e uma dieta suplementar resultam em boa eficácia no tratamento da obesidade sarcopênica, 11,11% observaram que a prática isolada de exercício físico, sobretudo o de força, tem resultado eficaz, 11,11% avaliaram apenas a suplementação proteica e a partir daí observaram resultados eficazes e 11,11% identificaram que os benefícios da prática isolada de atividade física eram os mesmos daqueles obtidos através da combinação da prática de atividade física e uso da dieta hiperproteica. Conclusão: Segundo os estudos avaliados, a prática de exercício físico atrelado a uma dieta hiperproteica culmina em um tratamento eficaz para obesidade sarcopênica. No entanto, faz-se necessário estudos mais apurados para que seja determinada uma conduta clínica que componha um protocolo adequado para o problema em questão.
Life-threatening reaction of a pediatric cancer patient to sodium hypochlorite
Authors: Wastner Bruna da Fonseca , Lessa Mariana de Souza , Sassi Laurindo Moacir , Pianovski Mara Albonei Dudeque
Published: October 2021

The use of sodium hypochlorite (NaOCl) as irrigation solution in endodontics is widespread and accidents of apical extravasation may occur, being in most cases mild to moderate situations of simple management. However, in immunosuppressed patients, the reaction may be exacerbated, with significant systemic changes and potentially life-threatening. Even so, there is a lack of information about the management of these special cases, especially in oncopediatric cases. Therefore, the aim is to report a case of severe reaction post-accident with NaOCl in a 13-year-old adolescent undergoing chemotherapy, with significant edema, gingival necrosis, cutaneous rash, edema of the extremities, pleural effusion, and bronchopneumonia, with a 30-day evolution. It is understood that several factors, including anatomical, may predispose this situation, which can occur even with expert and experienced professionals, not necessarily associated with poor practice. The authors raise the importance of further studies to discuss the real need and indication of the use of NaOCl as an irrigating solution for these patients and suggest the adoption of extra safety measures to avoid the occurrence of similar situations.
Prática do Direito Sistêmico: Importância no contexto judicial brasileiro e influência na Justiça Restaurativa
Authors: Busatto Liz Crstina , Fernandes Cleonice Terezinha , Tessari Rosilene Maria
Published: October 2021

Este artigo é resultado de uma pesquisa bibliográfica com o objetivo de apresentar um breve histórico da prática do Direito Sistêmico no Brasil enquanto ferramenta na aplicação de uma dinâmica de Justiça Restaurativa, evidenciando sua importância no contexto jurídico brasileiro atual. O estudo é parte de uma pesquisa de mestrado em andamento que investiga a atuação de 7 (sete) magistrados no Brasil acerca da prática do Direito Sistêmico. Apresenta a importância dessa prática, haja vista sua criação\adaptação por um juiz brasileiro, Dr. Sami Storch a partir das Constelações Familiares, procedimento terapêutico criado por Bert Hellinger. Ao longo da reflexão teórica, se propõe pensar no contraste entre Justiça Restaurativa e Justiça Retributiva, trazendo as ferramentas que podem ser utilizadas para o exercício da primeira, quais sejam: mediações, círculos da paz ou restaurativos, práticas participativas, direito sistêmico com o protagonismo deste último. Apoiado na Declaração da ONU - Organização das Nações Unidas – ONU – o texto mostra a regulamentação das práticas de Justiça Restaurativa no mundo, por meio de três resoluções nos anos de 1999, 2000 e 2002, cujos documentos servem de referência para o trabalho da Justiça Restaurativa nos países signatários do órgão. No Brasil, a Justiça Restaurativa tem seu marco legal com a Carta de Brasília, a qual manteve as características contidas na Resolução 2002/12 da ONU. Conclui-se que os princípios do Direito Sistêmico, portanto, constituem-se como prática da justiça restaurativa, sendo estas duas abordagens complementares. Ainda estamos longe de uma implantação generalizada, pois abordar o Direito Sistêmico compete aplicar a prática da ciência jurídica frente a este viés terapêutico, onde se vislumbra utilizá-lo para tratar questões geradoras de conflitos, principalmente durante a formação do bacharel em Direito.
Tratamento endodôntico de dente com necrose pulpar e lesão periapical com instrumentos Reciproc Blue e XP-Endo Finisher: relato de caso clínico
Authors: Louzada Lidiane Mendes , Alves-Silva Esdras Gabriel , Lemos Beatriz Isabel Nogueira , Barbos-Ribeiro Marlos , Nogueira Aline Vitória de Souza , Gomes Brenda Paula Figueiredo de Almeida , Arruda-Vasconcelos Rodrigo
Published: October 2021

O objetivo do tratamento endodôntico é prevenir ou eliminar a periodontite apical através da limpeza, modelagem e obturação do sistema de canais radiculares. O preparo químico-mecânico é a etapa do tratamento endodôntico com maior capacidade de promover a redução de microrganismos presente no interior dos canais radiculares. Com o objetivo de superar desafios anatômicos, especialmente casos com curvaturas, novos tratamentos térmicos às ligas dos instrumentos endodônticos têm sido propostos para aumento da flexibilidade. O objetivo do presente relato de caso clínico é descrever os procedimentos endodônticos realizados com Reciproc Blue e XP-Endo Finisher em um incisivo lateral superior com necrose pulpar e presença de lesão periapical. Paciente do sexo masculino foi encaminhado à clínica de Pós-Graduação da Faculdade de Odontologia de Piracicaba – UNICAMP com necessidade de tratamento endodôntico. O exame clínico relevou resposta negativa ao teste de sensibilidade pulpar ao frio. Radiograficamente foi observado presença de restauração na face mesial e presença de lesão periapical. O tratamento endodôntico foi realizado sob magnificação através de microscópio operatório. Após anestesia local e abertura coronária, o tratamento endodôntico foi realizado utilizando instrumentos Reciproc Blue, com a técnica de desinfecção coroa-ápice. Foi realizada a patência e ampliação foraminal. O nível de instrumentação foi determinado em 1 mm além do forame apical. A substância química auxiliar empregada foi a clorexidina a 2% gel e solução salina estéril como solução irrigadora. Ao final do preparo químico-mecânico foi realizada a irrigação final com 3mL de EDTA 17%, sob agitação do instrumento XP-Endo Finisher por 1 minuto. Em seguida, o canal radicular foi obturado através da técnica de cone único utilizando guta-percha médium e cimento endodôntico (Endomethasone). O corte da guta-percha foi realizado com instrumento termoplastificador, 2 mm abaixo da junção amelo-cementária. O selamento coronário foi realizado com a colocação de coltosol na entrada dos canais radiculares, seguido da inserção da resina composta fotopolimerizável pela técnica incremental.
Percepção do abuso sexual na deficiência intelectual: uma revisão de literatura
Authors: Cardoso Andreza Lima da Silva , Domingos Edmilce de Fátima , Braga Kelvin Felix , Amaral Maristela da Silva , Amorim Ronilce Rozendo , Gomes Andréa da Silva , Silva Priscila Cristina Pereira de Oliveira da , Pessoa Marcelo Rodrigues
Published: October 2021

Introdução: A deficiência intelectual se caracteriza por um processo mental ou psicossocial abaixo da média, evidenciando que não apresentam desempenho esperado, tendo em vista, seu baixo desenvolvimento cognitivo, situação que pode prejudicar sua percepção acerca da realidade, sendo presa fácil para a prática de abuso sexual. Objetivo: Descrever por meio de estudos da literatura selecionada, situações de abuso sexual em pessoas com deficiência intelectual, tendo em vista, sua baixa capacidade de percepção da sua sexualidade. Sinalizando a fragilidade e vulnerabilidade do indivíduo portador de deficiência intelectual diante de situações de violência. Metodologia: Este estudo trata-se de uma Revisão Integrativa de Literatura, de abordagem qualitativa e descritiva, elaborada através da coleta de dados na Biblioteca Virtual em Saúde (BVS), no período de 2011 a 2020, seguindo os critérios de inclusão que foram textos completos e indexados na íntegra, disponíveis para leitura, em língua portuguesa, com recorte temporal de 10 anos. Como critério de exclusão foram descartados artigos em repetição ou que não estavam em concordância com a temática proposta. Após a aplicação dos critérios foram selecionados 08 artigos para compor este estudo. Resultados: Como resultado observou-se a importância do profissional em saúde na abordagem e no cuidado humanizado ao paciente com deficiência, vítima de abuso sexual e a urgência em discutir a sexualidade de pessoas com deficiência. Conclusão: É possível concluir que pessoas com Deficiência Intelectual necessitam de mais atenção de seus responsáveis e principalmente do poder público, através de políticas direcionadas evitando assim, possíveis abusos sexuais ou situações de violência.
Uso do Novo ILS (New Index of Learning Styles) para determinar os Estilos de Aprendizagem de discentes e docentes do Ensino Médio
Authors: Duarte Ana Carolina Oliveira , Nascimento Dandara Lorrayne do
Published: October 2021

Os Estilos de Aprendizagem (EA) refletem as preferências dos indivíduos e o conhecimento desses perfis possibilitam que o docente intervenha e use diferentes estratégias metodológicas favorecendo os processos de ensino e aprendizagem. O presente estudo teve como objetivo determinar os diferentes estilos de aprendizagem de estudantes, afim de categorizar e verificar as principais características da amostra para assim propor possíveis estratégias a serem utilizadas pelos professores. Utilizando o instrumento N-ILS, cuja proposta teórica define 16 diferentes perfis comportamentais, foi feito um mapeamento dos estilos de aprendizagem de 226 estudantes e 8 professores do ensino médio (1° ao 3° ano) em maio de 2021. Nesta pesquisa foi possível verificar que existem estudantes com diferentes EA e, também, diferentes níveis de preferência dentro dos polos. Além disso, observou-se que a maioria dos estudantes do ensino médio apresentam o seguinte estilo de aprendizagem: sensoriais (79,65%), visuais (56,19%), reflexivos (57,08%) e sequenciais (71,24%). Já os professores em sua maioria são: sensoriais, visuais ou verbais, ativos e sequenciais. Considera-se que a aprendizagem voltada às preferências do aluno favorece seu entendimento dos conteúdos, porém o docente deve saber como equilibrar suas metodologias de ensino quando necessário, para que eles possam adquirir diferentes habilidades. O conhecimento do perfil dos alunos traz benefícios para eles próprios, professores, escola e as futuras empresas, que receberão profissionais que desenvolveram suas capacidades de aprendizagem.