bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of clinicomicrobiological profile of infections in patients admitted to the intensive care unit
Authors: Kaur Harmandeep , Gupta Veenu , Mahajan Rajesh , Chaudhary Jyoti
Published: May 2023

Background:

In the absence of precise microbiological data, treatment is started with broad-spectrum antimicrobials, without discrimination as to the likely causative microorganisms resulting in ineffective therapy and increased antimicrobial resistance. The study was planned to know clinicomicrobiological profile of infections in patients admitted to ICU.

Methods:

This prospective study was conducted for one year (January to December 2020). All the patients admitted to the medical ICU with evidence of infection after 48 h of admission were included in the study. The specimens received were cultured and the antimicrobial susceptibility pattern was determined according to standard protocol. The detailed clinical profile and risk factors were noted in these patients to correlate to the outcome. The data obtained were statistically analysed.

Results:

Over a period of 1 year, 1039 patients were admitted to the medical ICU and infections were present in 105 patients with an infection rate of 10%. A total of 122 bacterial infections were characterised and 131 isolates were obtained. The most common isolate was Klebsiella spp.(24.4%), followed by Acinetobacter baumannii (22.9%) and Pseudomonas spp.(19.1%).

Conclusions:

As the use of antibiotics has increased, it has led to increased antimicrobial resistance and knowledge of antimicrobial resistance patterns and the result of culture reports provides guidance for the treatment, thus improving the outcome of the patient.
Clinical spectrum of admitted patients undergoing Xpert MTB/RIF® testing for tuberculosis evaluation at a tertiary care hospital
Authors: Singh Sehmeet , Ahluwalia Srishti , Ahluwalia Saumya , Singh Akashdeep , Ahluwalia Archana
Published: May 2023

Background:

The introduction of Xpert MTB/RIF® has revolutionised the diagnosis of tuberculosis (TB) by reducing time to the identification and detection of drug resistance.

Methods:

We prospectively studied clinical profile of admitted patients who underwent Xpert MTB/RIF® for the diagnosis of TB in the Department of Medicine and Allied Specialties at our tertiary care teaching hospital in Ludhiana.

Results:

During the period from January to December 2018, 140 patients (mean age 55.7 ± 16 years; male: female = 1.5:1) were included. Type 2 diabetes mellitus was the most common comorbid disease (n = 37; 26.4%). The most common presenting complaints were fever, breathlessness and cough with expectoration. Overall, 61 admitted patients were discharged with a diagnosis of TB; 26/61 (42.6%) tested Xpert MTB/RIF® positive (bacteriologically confirmed); the remaining 35 (57.4%) were clinically diagnosed along with the ancillary supportive investigations. The remaining 79 patients had a non-TB diagnosis. In extrapulmonary TB, Xpert MTB/RIF® had low detection and positivity rate as compared to other ancillary investigations for TB.

Conclusions:

Xpert MTB/RIF® was useful in the diagnosis in 42.6% of cases. When Xpert MTB/RIF® was negative, TB was diagnosed empirically on the basis of clinical, radiological and ancillary laboratory investigations. Xpert MTB/RIF® positivity with the clinical background suggesting that TB makes the diagnosis rapidly and with a high degree of confidence.
Outcome of Single Stage Anterior and Posterior Surgery for Tuberculous Paraplegia
Authors: Yadav Krishan , Mohan Patel Jeegar , Daga Rahul Ghanshyamdas , Sadaria Mohan
Published: May 2023

ABSTRACT

Background:

Morbidity and mortality from tuberculosis, a significant infectious illness, are expected to rise worldwide. The projected number of new cases rose from 7.5 million in 1990 to 11.9 million in 2005, a 58.6% increase in 2011. The widespread belief that TB is no longer a public health concern is unfounded; on the contrary, the link between HIV/AIDS and antibiotic resistance has further exacerbated the crisis that already existed. Similar to the nations in sub-Saharan Africa, India is now considered a Group IV country, with an annual risk of infection between 1% and 2.5%. 2. Although 60% of TB cases occur in people who are HIV-positive, only 3–5% of cases in HIV-negative individuals are skeletal. The most frequent type of articuloskeletal tuberculosis is spinal tuberculosis.

Aim:

1. The goal of this study is to evaluate the neurological outcome of anterior debridement, fusion, posterior instrumentation, and early rehabilitation in individuals with spinal cord injuries. 2. The goal of this study is to determine the prevalence of pressure ulcers, hypostatic pneumonia, and urinary tract infections urinary tract infections (UTIs) among these individuals. 3. The goal of this study is to determine the frequency of graft-related problems. 4. See how well these individuals are able to keep their corrected deformities from returning.

Materials and Methods:

Patients who had simultaneous anterior (anterior debridement and bone grafting) and posterior (posterior instrumentation and fusion) procedures were followed prospectively.

Result:

Thirty patients’ films were examined. In addition, cord edema was suggested in 13 of the patients based on the presence of strong signal intensities there. Myelomalacia signs were seen in one patient, but he or she went on to make a complete neurological recovery. The average duration of operation was 355 minutes, and this included the time needed to position the patient for the two separate procedures.

Conclusion:

There was an 89.5% rate of neurological recovery with an average corrected loss of 6.98 degrees (0.20 degrees to 35.90 degrees), and the complication rate was acceptable in the group analyzed.
Effect of Root Canal Taper on the Ability of Endodontically Treated Teeth using the TruNatomy and Protaper Next File Systems to Resist Fracture
Authors: Patel Niharika , Ahmad Zeeshan Heera , Ali Shah Shahzad , Sharma Ankita , Ehsan Aliya , Singh Harmeet , Babaji Prashant
Published: May 2023

ABSTRACT

Objectives:

This research was done to evaluate how the root canal taper affects the Endodontically Treated Teeth (ETT) prepared with the TruNatomy and Protaper Next file systems in terms of fracture resistance.

Materials and Method:

Forty recently extracted mandibular premolar teeth were used in this research, which was classified into four groups at random. Groups 1a and 1b used TruNatomy 4% and 6%, respectively, while groups 2a and 2b used the Protaper Next 4% and 6% file systems, respectively. The root canals were cleaned, shaped, and sealed using cold lateral compaction. The root canals were then fixed in standardized autopolymerizing acrylic resin blocks and tested for vertical root fracture using a universal testing machine. Newtons were used to measure the forces needed to cause fractures. Data were statistically analyzed.

Results:

In comparison with other groups, group 1a (TruNatomy 4%) displayed greater fracture resistance (423.322.43 Newtons), and group 2b (Protaper Next 6%) displayed the least fracture resistance (264.512.76 Newtons).

Conclusion:

Protaper Next file system had lower fracture resistance than TruNatomy file system. With the use of greater taper instruments, a notable decrease in the fracture resistance of ETT was observed.
A Finite Element Analysis of Stress Allocation around Three Types of Abutment–Implant Interfaces
Authors: Devanna Raghu , Awinashe Vaibhav , Priyadarshi Siddharth , Ramaiah Vardharajula Venkata , Gupta Aashi , Jain Amol
Published: May 2023

ABSTRACT

Objectives:

This study examined the effects of stress distribution at three abutment–implant interfaces on various implant systems.

Materials and Methods:

Group I: tri-channel internal connection (Nobel Biocare), Group II: 1.5-mm deep internal hex (BioHorizons Co. Birmingham, USA), and Group III: ADIN Touareg, to create computerized models of implants and mandibular modeling software, close fit WP, ANSYS Version 14.0 for finite element analysis (FEA), Hypermesh 12 for meshing and CATIA were used. A top-notch scanner was used to scan the implant. CATIA software created computerized models using all the aforementioned data. By applying bonded state on the abutment–implant borders and four various load conditions within the implant system, finite element method modeling was carried out. The computerized model was imported into the ANSYS program. To compare the groups, a statistical analysis was conducted.

Result:

Through the use of three-dimensional FEA, the samples were assessed. Stress was found to be utmost in Group I, followed by Group III and Group II, at 80 N, 80 N with a 15° tilt, 250 N, and 250 N with a 15° tilt, and the divergence was statistically inconsequential.

Conclusion:

The tri-channel internal connection displayed the highest stresses compared to the internal hex within the constraints of the current study.
Opioid-Based vs Opioid-Free Anesthesia in Breast Cancer Surgery
Authors: Naik Shraddha , Bhosale Avinash , Kale Dhanashree , Patil Pradeep B.
Published: May 2023

ABSTRACT

Introduction:

Breast cancer is the most widely recognized malignant growth in ladies in India and accounts for 14% of all tumors in women. Modified radical mastectomy (MRM) is a surgery done for breast cancer. It leads to about 30% chances of postoperative nausea and vomiting (PONV) and 40% pain in the immediate postoperative period.

Objectives:

Changes in blood pressure after intubation, waiting time for postoperative pain medication, and possibility of adverse effects.

Methodology:

After the approval of ethical committee, the study was conducted in the procedure and possible complications associated with the procedure were explained to patients. Written informed consent was obtained from each patient.

Result and Conclusion:

We conclude that opioid-free anesthesia is “more effective in reducing the incidence of postoperative nausea and vomiting, produces stable hemodynamics, and reduces incidence of side effects when compared with opioid-based general anesthesia in patients undergoing breast cancer surgeries.”
Intraarticular Distal End Radius Fractures Treated with Volar Locking Plate Variations
Authors: Gaonkar Nishant , Patil Nitin , Kolekar Anupam
Published: May 2023

ABSTRACT

Introduction:

“Distal end radius fractures” account for almost 16% of all fractures and are the most common kind of upper limb fractures treated in hospital emergency departments. “Distal end radial fractures” occur more often in younger people due to high-energy trauma than in older people due to low-energy trauma. When comparing women and men of the same age, proximal end radii fracture are more prevalent in women than men owing to significant osteoporosis and a higher tendency for accidents in older women.

Methodology:

This was a prospective interventional study in which participants were divided in to two groups.

Result and Conclusion:

Both groups in the study had comparable range of motion, with the exception of the forearm”, where the “variable angle volar locking plate” excelled. The risk of complications was low in both approaches. Thus we conclude that when it comes to treating “displaced intra-articular distal end radius” fractures, the variable angle volar locking plate is superior than the Ellis locking plate.
Assessment of Metal Ions Levels in Blood of Dental Implant Patients
Authors: Sharma Vivek , Agrawal Sneh , Sharma Deepak , Thorat Rohit , Srichand Reema , Dalave Pranita
Published: May 2023

ABSTRACT

Background:

Dental implants use has significantly increased and the concentration of metal ions into blood may have detrimental effect of human body. The present study aimed to determine metal ions levels in blood of dental implants patients.

Materials and Methods:

48 patients scheduled for dental implant surgery was assessed for measurement of titanium and aluminum pre-operatively and post-operatively at 6 weeks, 3 months, 6 months, and 1 year.

Results:

Out of 48 patients, males were 22 (45.8%), and females were 26 (54.2%). The mean ± SD titanium metal levels in blood pre-operatively was 2.34 ± 0.47 mg/dl, at 6 weeks was 2.35 ± 0.48 mg/dl, at 3 months was 2.37 ± 0.52 mg/dl, at 6 months was 2.37 ± 0.42 mg/dl, and at 1 year was 2.38 ± 0.51 mg/dl. A non-significant difference was seen (P > 0.05). The mean ± SD aluminum metal levels in blood pre-operatively was 4.4 ± 0.12 mg/dl, at 6 weeks was 4.45 ± 0.14 mg/dl, at 3 months was 4.7 ± 0.13 mg/dl, at 6 months was 4.7 ± 0.21 mg/dl, and at 1 year was 4.8 ± 0.17 mg/dl. A non-significant difference was seen (P > 0.05).

Conclusion:

A non- significant increase in titanium and aluminum ions level in blood of patients receiving dental implants was observed.
Aicardi syndrome
Authors: Greeshma MG , Nair Mohandas , Salim Safi
Published: May 2023

Aicardi syndrome is a rare neurodevelopmental disorder occurring primarily in female children. It is thought to have X-linked dominant inheritance and the affected male foetuses do not survive to term. A 3-year-old girl child with refractory infantile spasms and corpus callosal agenesis was found to have chorioretinal lacunae in the left eye on fundus examination. A clinical diagnosis of Aicardi syndrome was made which was confirmed with intracranial imaging.
Ultrasound biomicroscopy: An invaluable asset in glaucoma
Authors: Snehi Sagarika , Singh Ashok Kumar , Kaushik Sushmita
Published: May 2023

Ultrasound biomicroscopy (UBM) is a non-invasive and high-resolution approach to studying anatomical characteristics and relationships among various anterior segment components. This imaging approach provides real-time cross-sectional images even in opaque corneas. It is especially valuable to assess lesions and document anatomical abnormalities, i.e., irido-cilliary complex, zonular abnormalities, and mass lesions in the anterior segment. This review article gives an overview of the UBM imaging technique and its applications to various types of Glaucoma.
Delayed presentation, deeper peril: Ophthalmia nodosa
Authors: Bhatia Agrima , Kumar Pawan Gampa , Mohan S. , Trehan Hemant Singh , Reddy Sridhara
Published: May 2023

Ophthalmia nodosa is an ocular inflammatory reaction due to the lodging of foreign bodies such as caterpillar spines and tarantula hair. Initial manifestations include edematous eyelids, conjunctival injection associated with multiple corneal abrasions. Subsequent migration of insect hair anteriorly to posteriorly may result in nodular conjunctivitis, iridocyclitis, vitritis, and even panophthalmitis. We report a case of ophthalmia nodosa in a military recruit who presented to us 1 week after the injury. By the time, he presented the setae were deep-seated leading to significant ocular manifestations and was initially managed conservatively before actively intervening to remove the setae.
Keratoprosthesis
Authors: Arya A. H. , Jacob Dimple R.
Published: May 2023

Keratoprosthesis (Kpro) is considered as the last resort for bilateral endstage corneal blindness. Commonly performed Kpros are Boston Type 1 and 2 Kpros, Modified Osteoodonto Kpro, OsteoKpro, and Pintucci Kpro. These procedures require an exclusive setup, longterm follow-up, and postKpro care. There is always a significant long-term risk of complications of infection or extrusion of the device with these procedures as the keratoprosthesis is a foreign body. Most common complications of Kpro procedure are postoperative glaucoma, retroprosthetic membrane, sterile melts, and endophthalmitis.
Management of ocular surface irregularity with scleral contact lenses: Experience from a tertiary eye care center
Authors: Jabbar Aneeta
Published: May 2023

Purpose:

This review focuses on the optical and therapeutic benefits which can be offered to patients by evaluating them for scleral contact lenses, and the purpose of this study is to select the indications and to find out how efficient the scleral contact lenses are in treating severe corneal ectasias, highly irregular astigmatism and ocular surface diseases (OSDs) which are otherwise difficult to manage. This retrospective observational case series study analyzed a database of 50 consecutive patients (69 eyes) fitted with scleral lenses between January 2017 and December 2019. All consecutive eyes which were given scleral contact lens trials were analyzed.

Results:

The study population included 34 males and 16 females, with ages ranging from 7 to 80 years. The mean follow-up was 12 months. The mean wearing time in the successful wearers group was 12.2 hours per day (range 10–16). Vision improvement (optical purpose) was the reason for the fitting in 48 eyes (67.60%), and OSD management (therapeutic purpose) in 23 eyes (32.39%). In the former group, 56.52% (n = 26) had keratoconus, and 43.48% (n = 20) had irregular astigmatism other than keratoconus. Among the OSD patients, 56.52% had Steven Johnson syndrome (SJS) sequelae, 17.39% had severe dry eye, 17.39% had chemical injury sequelae, and 8.69% had xeroderma. Keratoconus patients achieved visual acuity of more than 20/32 in 92.3% of eyes. Among the SJS patients, 69.23% had more than 20/40 (38.46% had 20/20).

Conclusion:

There is compelling evidence in the literature that scleral contact lenses can provide good results for the challenging patient groups described in this review. We have experienced that scleral contact lenses expand the management of corneal pathologies, especially in OSDs.
Comparison of Bupivacaine and Lidocaine in the Treatment of Posttonsillectomy Pain in Pediatric Patients
Authors: Swain Santosh Kumar , Sahu Ansuman
Published: May 2023

Background:

Tonsillectomy is one of the most common surgeries performed on children of all ages. Posttonsillectomy pain is frequently severe and long-lasting, increasing morbidity, and putting the patient, parents, relatives, and even hospital staffs under stress.

Objective:

The goal of this study was to see how effective topical bupivacaine and lidocaine in the tonsillar fossa are at controlling postoperative pain in pediatric tonsillectomy.

Materials and Methods:

This prospective study was done between May 2017 and June 2022 at a tertiary care teaching hospital. There were 126 patients enrolled in this study, with 77 boys and 49 girls. The age ranges of the patients were between 3 years and 16 years. All of the children were divided into three groups after their parents gave their informed consent. In Group 1, 42 patients received topical infiltration of 0.25% bupivacaine hydrochloride with 1:200,000 epinephrine at the tonsillar fossa just after the removal of the tonsil from the tonsillar bed. Group 2 included 42 children and received topical infiltration of lidocaine hydrochloride with 1:100,000 epinephrine in the tonsillar bed. Group 3 included 42 patients and received infiltration of 0.9% normal saline into the tonsillar bed just after tonsillectomy.

Results:

There was no statistically significant difference in the mean pain scores between the bupivacaine and lidocaine groups (P > 0.001). The difference between the two groups’ mean pain scores compared to the saline group was statistically significant (P < 0.001). None of the participants in the two groups experienced reactionary and secondary hemorrhage.

Conclusion:

Bupivacaine and lidocaine infiltration into the tonsillar bed just after tonsillectomy is effective for controlling posttonsillectomy pain in the pediatric age group.
Sightings of Cetaceans during JARE - 56 in the Indian Sector of the Southern Ocean
Authors: Öztürk Bayram , Watanabe Kentaro , Öztürk Ayaka Amaha
Published: May 2023

The cetacean observation was made during the 56th Japanese Antarctic Research Expedition (JARE - 56) cruise on the icebreaker SHIRASE, from 30 November to 15 December 2014 and from 15 February to 9 March 2015, in the Indian Ocean Sector of the Southern Ocean. A total of 28 sightings with 64 individuals of four cetacean species, humpback whale, (Megaptera novaeangliae), fin whale (Balaenoptera physalus), Antarctic minke whale (Balaenoptera bonaerensis), and killer whale (Orcinus orca), are reported. The most sighted species was the humpback whale (13 sightings) and the maximum number of individuals in a group was six for the same species. All sightings were made higher than 60 degrees South, close to the Antarctica coast.
SISTEMA DE MENSURAÇÃO DE DESEMPENHO, ESTRATÉGIAS GENÉRICAS E SUPORTE DO ECOSSISTEMA DE NEGÓCIOS: efeitos no desempenho de startups
Authors: Vasconcellos Sandra Mara Lazzaretti , Frare Anderson Betti , Cruz Ana Paula Capuano da , Barbosa Marco Aurélio Gomes
Published: May 2023

Explorar elementos internos (controle e estratégia) e externos (suporte de ecossistemas) que contribuem para o sucesso das startups é uma demanda contemporânea da literatura. Diante disso, o estudo objetiva analisar as combinações entre uso (interativo e diagnóstico) do sistema de mensuração de desempenho (PMS), estratégias genéricas (liderança de custos e diferenciação) e suporte do ecossistema de negócios que levam startups ao alcance de alto ou baixo desempenho. A amostra contempla 101 startups sul brasileiras, e os dados são analisados por meio da fuzzy-set qualitative comparative analysis (fsQCA). Essa técnica permite compreender combinações de condições que são relevantes para determinado output. Os resultados sugerem que nenhuma condição, de maneira singular, é necessária para o alcance do alto desempenho. Entretanto, existem três (seis) combinações de condições que levam as startups a um alto (baixo) desempenho. Isso sugere vários caminhos que apresentam equifinalidade e que as startups se baseiam para alcançar resultados iguais. Os achados contribuem ao explorar as maneiras do uso (interativo ou diagnóstico) do PMS em startups, assim agregando novas evidências para o fluxo de estudos que analisou as práticas e sistemas de mensuração de desempenho nessas organizações. Além disso, o estudo postula a interface assimétrica entre o uso do PMS e as estratégias genéricas de Porter. Para a prática organizacional, são fornecidos insights sobre “receitas” que levam ao sucesso (alto desempenho), além de informações sobre configurações que levam a um fracasso (baixo desempenho). Isso é relevante para que gestores tomem decisões e atribuam ênfase adequada aos controles e a estratégia, dependendo de seu contexto e prioridades.
FATORES MACROECONÔMICOS, INDICADORES DO FUNDO E TIPO DE GESTOR: O que influencia a captação líquida dos fundos de investimento no Brasil
Authors: Tavares Vitor Borges , Penedo Antônio Sérgio Torres
Published: May 2023

As análises deste estudo tiveram como objetivo entender a captação líquida de três das principais classes de fundos de investimento do mercado brasileiro, de ações (investimento majoritário em renda variável), multimercado (envolve vários fatores de riscos, sem o compromisso de concentração em determinado fator) e renda fixa (investimento predominante em renda fixa), sob a perspectiva das diferenças entre os fundos exclusivos para investidores qualificados ou profissionais e o fundos não exclusivos, bem como entre os fundos geridos pelos cinco maiores bancos do país e os fundos geridos por outras empresas. Desse modo, esta pesquisa forneceu evidências não reportadas sobre a captação líquida de classes de fundos de investimento do mercado brasileiro, um dos maiores do mundo. Estudos anteriores focaram, geralmente, em apenas uma classe de fundo, predominantemente, a de ações. Além de analisar três das mais importantes classes de fundos, a pesquisa considerou aspectos importantes do mercado brasileiro: a exclusividade do investidor e a gerência dos fundos por parte dos maiores bancos do país. Os testes foram realizados de forma agregada no nível da classe, por vetores autoregressivos (VAR), e no nível do fundo, via regressões múltiplas com dados em painel, superando as limitações dos modelos de VAR, utilizando dados trimestrais, do período de 2001 a 2019, da captação líquida e outros indicadores dos fundos e de fatores macroeconômicos. Em suma, os investidores qualificados ou profissionais, no médio prazo, são menos sensíveis ao retorno e consideram mais informações macroeconômicas para tomar suas decisões de investimento em fundos, comportamento similar ao dos investidores em fundos de ações não geridos pelos cinco maiores bancos do país. Evidenciou-se, também, que fundos com maior patrimônio captam menos, proporcionalmente, e com maior retorno anterior captam mais.
COMPOSIÇÃO DOS CONSELHOS DE ADMINISTRAÇÃO, REDES SOCIAIS CORPORATIVAS E EFICIÊNCIA DOS INVESTIMENTOS
Authors: Dos Santos José Eliton
Published: May 2023

O objetivo desta pesquisa é analisar a relação da composição dos conselhos de administração e da formação de redes sociais corporativas com a eficiência dos investimentos nas empresas brasileiras não financeiras de capital aberto listadas na Brasil, Bolsa, Balcão (B3) no período entre 2010 e 2020. Os dados da pesquisa foram extraídos da base de dados Economática e dos formulários de referências das empresas disponíveis no site da Comissão de Valores Mobiliários (CVM). Os resultados mostraram que a proporção de membros independentes, a expertise financeira, o tamanho dos conselhos e a formação de redes sociais corporativas contribuem para as empresas não se afastarem do nível ideal de investimentos, melhorando assim a eficiência na aplicação dos recursos. No entanto, a dualidade do CEO eleva o afastamento do nível ideal de investimentos e a proporção de mulheres nos conselhos e a indicação dos membros pelos controladores apresentaram resultados dúbios, portanto inconclusivos. Na prática, os resultados contribuem com literatura que trata das implicações da composição dos conselhos de administração, bem como apresentam novas evidências dos fatores que explicam a eficiência dos investimentos. A pesquisa pode interessar aos investidores em geral, uma vez que a eficiência dos investimentos é fator fundamental para o sucesso (fracasso) das empresas, e desta forma estes devem considerar importantes a forma como os conselhos de administração são formados bem como a existência de relacionamentos com o ambiente externo através de redes sociais corporativas.
Relação do risco de continuidade operacional e o valor das ações listadas na B3
Authors: Cescon José Antonio , Gallina André Sekunda , Lima Nilton César , Silva Jorge Luiz Rosa da , Ferreira Júlio César
Published: May 2023

Este estudo buscou identificar se a existência de menção de risco de continuidade da empresa com patrimônio líquido negativo (PLN), no relatório de auditoria, provoca alteração no valor de mercado desse ativo, em relação ao índice do mercado na data da divulgação das demonstrações contábeis. A população deste estudo foi composta por empresas listadas na Brasil Bolsa e Balcão (B3) que estiveram ativas, com PLN em, pelo menos um ano no período de 2010 a 2020. De um total de 412 empresas ativas em 2020, 73 apresentaram PLN no período do estudo (17,7%). Das 73 empresas, 17 foram excluídas por não possuírem dados de suas cotações no mercado financeiro no período, constituindo-se assim a amostra final em 56 empresas (ativas). Utilizou-se da estatística descritiva, teste estatístico (t), e de modelo de regressão utilizando a técnica de dados em painel para analisar as relações das variáveis na forma cross-section, bem como na sua dinâmica time-series. Os resultados demonstram que a diferença entre a variação (delta) do índice do mercado e a variação (delta) da ação para empresas que tem menção de risco de continuidade em seu parecer de auditoria sugerem que é diferente em relação as demais empresas, e que para o mercado brasileiro, a ocorrência de menção de risco de continuidade no parecer de auditoria pode provocar alteração no valor desta ação. Além disso, para empresas que reportaram prejuízos no período esse delta é maior, indicando que o mercado penaliza empresas com resultados adversos, talvez por acreditar que seu potencial de valorização futuro é menor, o que afeta a rentabilidade do papel em relação ao mercado.
TURİZM VE BLOK ZİNCİRİ KAVRAMLARINA YÖNELİK BİBLİYOMETRİK BİR ANALİZ
Authors: GÜVENOL Buğcan , GÜLER Mehmet Emre
Published: May 2023

Endüstri 4.0 ile birlikte atılım gösteren teknolojik gelişmeler içerisinde Blok zinciri teknolojisi de zaman içinde gelişim göstererek sağladığı faydalarla birçok alanı etkilemektedir. Bu alanlardan bir tanesi de turizm endüstrisidir. Turizm, yapısı gereği dinamik ve diğer sektörlerle iş birliği içinde olan bir endüstridir. Literatür incelendiğinde turizm ve blok zinciri teknolojisi kavramlarıyla gerçekleştirilen araştırmaların arttığı görülmektedir. Bu bağlamda araştırmanın amacı, blok zinciri ve turizm konulu çalışmaların bibliyometrik özelliklerinin belirlenmesidir. Bu amaç doğrultusunda, Scopus veri tabanından çeşitli parametrelere göre araştırma başlığında veya anahtar kelimelerinde “turizm” ve “blok zinciri” kavramlarının birlikte yer aldığı 108 yayın R programı ile bibliyometrik yöntemler kullanılarak analiz edilmiştir. Genel olarak, konu ile ilgili yayın sayılarının arttığı, araştırmaların farklı kaynaklarda yer aldığı, araştırmalarda yazar ve ülke iş birliklerinin olduğu, eş atıf ve doğrudan atıfların oluşması ve alana yönelik temaların ortaya çıkması araştırmanın bulguları arasındadır. Bu bağlamda araştırma, blok zinciri teknolojisinin turizm alanındaki mevcut durumunu geniş bir bakış açısıyla sunmaktadır.
Teaching Democratic Humility to Improve Classroom Discussion
Authors: Kendall Kason
Published: May 2023

Democratic discussion in the classroom has been viewed as a way to increase consensus, however the spread of false and misleading information through social media and influencers can make classroom discussions problematic. This electronic text analysis study will highlight the social media site of Quora and posts related to the Gulf War. Posts related to the Gulf War will be critically analyzed and their potential impacts will be examined This study will also analyze the posts and potential impacts of a conservative influencer named James Lindsay. The study will analyze specific polarizing posts that Lindsay has made on Instagram and highlight the potential impacts on classroom discussions of some of these posts. A purpose of the study is to analyze negative potential impacts of social media on student’s views and on classroom discussions. The study also highlights two potential solutions to overcoming these negative potential impacts. One solution is to use Stanford History Education Group’s Civic Online Reasoning, and another solution is to explicitly teach Democratic humility. With democratic humility, individuals learn not to make hyperbolic claims about their beliefs. Students could also be taught when learning about democratic humility, the importance of suspending judgement until they have gathered sufficient information on the topic.
Education for Democracy in the Social Media Century
Authors: Knowles Ryan Thomas , Camicia Steven , Nelson Lorissa
Published: May 2023

Social media has provided challenges and opportunities for education for democracy. There have always been structural elements of communication that are hidden and perpetuate inequalities. Social media has accelerated and empowered these hidden structures through algorithms. In this argumentative essay, we examine how critical media literacy can uncover hidden power structures and support education for democracy. Critical media literacy can help students identify exclusionary, inaccurate, missing, and polarizing elements of social media while examining and discussing issues and events. Seen through this lens, social media provides opportunities for education for democracy. Critical media literacy and education for democracy provide opportunities for increasing civic engagement and renewal.
Wirtschaft kompakt
Authors: Lendel Constantin , Groß Hermann , Andreas Heinz , Schreiber Bernd
Published: May 2023

Das wirtschaftliche Basiswissen der Oberstufe mit den relevanten Theorien und Modellen kurz und prägnant erklärt. Mit vielen Tabellen und Schaubildern. Aufgebaut an den Akteuren des Wirtschaftskreislaufs und somit für alle Bundesländer geeignet. Einführendes Grundlagenkapitel. Ideal zum Nachschlagen, zur Vorbereitung auf Prüfungen und Abitur; aber auch für Lehrer, um sich schnell in das neue Fach Wirtschaft einzuarbeiten und auch um Unterricht und Klausuren vorzubereiten. Mit operatorenbasiertem und nieveaudifferenziertem Fragenteil am Ende jedes Kapitels zum Üben oder zum Erstellen von Klausuren. Ein umfangreiches Stichwortverzeichnis erleichtert die Suche.
A HIPERTENSÃO ARTERIAL COMO A CONHECEMOS NOS DIAS DE HOJE
Authors: Pinto Andrea , Saraiva Dora , Marques Ermelinda
Published: May 2023

A elevada prevalência da Hipertensão Arterial (HTA) determina a necessidade de investigar as evidências científicas mais atuais no domínio dos fatores de risco, diagnóstico e tratamento. Este estudo tem como principal objetivo compilar os conteúdos essenciais desta temática, dando a conhecer a HTA nos dias de hoje. Foi realizada uma pesquisa bibliográfica exaustiva, onde são identificados vários fatores de risco que podem aumentar no desenvolvimento de HTA. Salientam-se os fatores de risco modificáveis e os emergentes, como atitudes, comportamentos e estilos de vida, que quando corrigidos e controlados desempenham um papel ativo na prevenção da doença. O diagnóstico precoce é essencial para a prevenção de complicações associadas à doença e para que o tratamento seja efetivo. Este envolve as alterações do estilo de vida em todos os doentes e terapêutica farmacológica para a maioria. Os estudos evidenciam que as alterações efetivas do estilo de vida podem ser suficientes para atrasar ou prevenir a necessidade de terapêutica farmacológica nos doentes com hipertensão grau I. As alterações no estilo de vida podem também aumentar os efeitos da terapêutica anti-hipertensora nos doentes tratados, o que traz implicações para a prática clínica.
A Feasibility Study for Utilizing a Peer-teaching Experiential Learning Activity to Alter Student Perceptions of Attributes Present in Effective Clinical Instructors
Authors: Barlow Susan , Elam Penelope , Elam Stephen , Eagler Lee Ann
Published: May 2023

Purpose: Many physical therapists are requested to assume the role of a clinical instructor (CI) after only one year of clinical practice. The purposes of this study are to assess the feasibility of an activity that introduces students to the responsibilities of a CI and to determine if this activity had any impact on student perceptions of attributes that are present in an effective CI. Methods: Second year DPT students enrolled in a course that utilizes case-based learning and peer-teaching activities participated in this study. Participants completed the McGill University Clinical Tutor Evaluation survey both pre- and post-learning activity. Survey results were analyzed for mean composite scores, changes in survey items ranking, and statistically significant differences in survey item responses both pre- and post- activity. Results: Mean composite scores for the McGill survey as well as mean ranks for each of the 25 survey items were identified both pre and post activity. Statistically significant differences were found by comparing student responses from surveys taken pre- and post-activity. Conclusion: The results of this study suggest that a peer-teaching experiential learning activity was feasible for influencing student perceptions of important attributes of an effective CI. These findings indicate that incorporation of similar activities into DPT entry-level curricula may aid in educating students about the responsibilities of a CI.
Can YouTube Videos be Helpful in Promoting Self-Performed Denture Hygiene?
Authors: Degirmenci Kubra , Saridag Serkan
Published: May 2023

Purpose: The longevity and success of dentures depend on clinical factors and the appropriate application of various techniques as well as on patients’ denture hygiene. Recently, the Internet has become an attractive information source for individuals searching for answers to their questions on health-related subjects. The aim of this study was to evaluate the information provided by YouTube videos on denture hygiene and analyze their content in terms of scientific validity. Method: Various key words related to denture cleaning, hygiene, and care were used to search for videos on YouTube. Based on their scientific content, the included videos were classified as useful, misleading, or as a user experience video. The content of each video was qualitatively evaluated by two researchers. Results: Ninety-six videos were selected for analysis. Sixty-one (63.6%) videos were defined as useful, 20 (20.8%) were defined as misleading, and 15 (15.6%) were assigned to the user experience category. Although significant differences were not observed among the interaction index and viewing rate variables (p>0.05), the scores for overall quality were higher for the videos in the useful group than for the videos in the other two groups (pConclusion:YouTube is a dynamic source of both useful and misleading information. Therefore, it is essential that dentists provide proper denture hygiene instructions to their patients during patient visits.
The rare occurrence of the shore rockling Gaidropsarus mediterraneus (Linnaeus, 1758) (Osteichthyes: Gadiformes), in the South-Eastern Mediterranean, Turkey
Authors: Ergüden Deniz , Alagöz Ergüden Sibel , Uygur Necdet
Published: May 2023

On 26 October 2021, one specimen of shore rockling Gaidropsarus mediterraneus (Linnaeus, 1758) was captured from Konacik, Iskenderun Bay (Southeastern Mediterranean, Turkey) with a commercial trawler at a depth of 50 m. The specimen measured 27.5 cm in total length and weighed 114.8 g. The present paper reports the rare occurrence of this species in Iskenderun Bay, Turkey (southeastern Mediterranean Sea). All measurements, counts, and color descriptions of G. mediterraneus agree with previous descriptions. The present study discusses its conservation in the area and the Mediterranean Sea.
Aportes de las personas mayores a la inclusión social: Un estudio desde el envejecimiento activo
Authors: López-Marulanda Ángel Miro , Atehortúa-Arango Beatriz Eugenia , Restrepo-Bustamante Juan Miguel , Ríos-Gómez Lucelly , Agudelo-Cifuentes Nelson de Jesús , Bolívar-Santamaría Nora Carolina , Suárez-Urquijo Sandra Lavive
Published: May 2023

El presente libro pone su interés en avanzar en propuestas, fundamentadas en procesos investigativos, que contribuyan al mejoramiento de la calidad de la vida de las personas mayores, donde se trascienda el enfoque de atención primaria y asistencial, para diseñar, fomentar e implementar estrategias de inclusión social, que les permitan a las personas mayores ser reconocidas, respetadas e incluidas en diferentes ámbitos de la sociedad, protagonistas de un cambio con ellos y para ellos.
Los Humedales del Altiplano del Oriente antioqueño y su conceptualización
Authors: Quijano-Abril Mario Alberto , Villabona-González Silvia Lucía , García-Duque Juan José , Gómez-Hoyos Andrés Camilo , Benjumea-Hoyos Carlos Augusto , López-Cardona Yuri Catalina , Ortiz-Acevedo Luis Ferney , Medina-Tombé Mario Fernando , Ospina-Pavón Juan Guillermo
Published: May 2023

En los últimos años, el gobierno colombiano ha generado diferentes iniciativas con miras a la delimitación de los diversos tipos de ecosistemas estratégicos en todo el territorio nacional. No obstante, por su gran tamaño y complejidad geográfica, así como por diferentes factores sociales, esta no ha sido una tarea fácil. Como resultado de estas iniciativas y utilizando como herramienta una cartografía más detallada, hoy en día se cuenta con una delimitación más robusta de ecosistemas tales como páramos y bosques secos a escala de país. La actual presión que actividades productivas tales como minería, generación de energía eléctrica, urbanización, construcción de obras civiles, expansión de la frontera agrícola ejercen sobre los ecosistemas estratégicos es muy grave, más aún teniendo en cuenta que, a nivel local y regional, muchas de estas áreas únicas no se han delimitado y por esta razón no son incluidas en los planes de ordenamiento territorial. La región del Oriente antioqueño es una de las zonas de mayor crecimiento económico en el país, lo cual ha traído consigo una constante migración de personas y la necesidad de un incremento sustancial en los servicios ecosistémicos de provisión. Esta región es líder nacional en el ámbito industrial, generación hidroeléctrica y producción agrícola. El actual crecimiento económico y la mejora de las condiciones de vida de la región ha generado un costo ambiental bastante alto, lo cual se puede ver reflejado especialmente en las zonas más pobladas, las cuales se encuentran ubicadas a lo largo de la cuenca del río Negro, en una zona mejor conocida por sus habitantes como el Altiplano del Oriente antioqueño o la subregión valle de San Nicolás.
El mercado laboral en el Oriente Antioqueño: una caracterización de la oferta laboral en seis municipios
Authors: Rincón Zapata Carolina , Restrepo Ruíz Alba Lucía , Álvarez Valle William Albeiro
Published: May 2023

El libro da cuenta de los resultados obtenidos en la investigación "caracterización del mercado laboral en el Altiplano del Oriente antioqueño" que tuvo por objetivo analizar la oferta laboral en seis municipios de la subregión del valle de San Nicolas, mediante un estudio que indagó sobre variables determinantes de la oferta laboral, para brindar información e indicadores a las organizaciones, administraciones municipales, académicos y público en general interesado en el tema. La investigación se realizó como parte de una de las estrategias que tiene trazado el Observatorio del mercado laboral del Oriente antioqueño, constituido por la Universidad Católica de Oriente, la Universidad de Antioquia, la Cámara de Comercio, la Corporación Empresarial del Oriente y Comfenalco. Dicha estrategia busca proveer información de los principales indicadores de empleo y desempleo para la región, ya que el Departamento Nacional (Dane) realiza una caracterización general con base en datos de los principales centros urbanos del país, más no de forma especifica para la región. Adicionalmente, esta información busca dar un mayor soporte estadístico para la toma de decisiones locales frente al mercado laboral.
Yabás: heranças míticas em Ponciá Vicêncio, de Conceição Evaristo
Authors:   , Souza Leonardo Gomes de
Published: May 2023

A escritora Conceição Evaristo entrelaça, em sua literatura, memória ancestral e saberes mítico- religiosos afro-brasileiros, elementos que compõem a tradição oral negro-africana no Brasil. Diante disso, esta pesquisa se preocupa com as (re)leituras, produzidas por Conceição Evaristo, dos mitos de duas Orixás-mulheres, as Yabás Oxum e Nanã, no romance Ponciá Vicêncio (2003). Para tanto, utiliza-se, como perspectiva metodológica, da afrocentricidade aliada ao fazer da Mitologia e da Literatura Comparada em sua práxis interdisciplinar. Sendo assim, os mitos que envolvem Oxum a interrelacionam com as águas doces, o rio, além da fecundidade de maneira geral e, especialmente, no que toca às mulheres gestantes. Quanto a Nanã, seus mitos a representam como uma senhora idosa, demonstram a sua relação com a lama, com o barro como elemento fulcral da cosmogonia herdada, pelos afro-brasileiros, das tradições Yorubás. Há que se dizer que Ponciá Vicêncio, protagonista do romance, escolhe deliberadamente se afastar de tais elementos abundantes em sua comunidade, a terra dos negros. A obra se constitui de forma a evidenciar o enorme anseio da protagonista por retornar ao rio. Também é desejo de Ponciá o reconectar-se ao barro, elemento que os mitos descrevem como base para a criação do ser humano e material último a ser devolvido a Nanã, orixá apresentada pelos mitos vinculada aos ancestrais mortos, a sabedoria e a lama. Em nossa análise, buscamos evidenciar como Conceição Evaristo assume a tradição oral afro-brasileira como elemento basilar de suas escrevivências de forma a construir um romance entremeado pelas releituras dos mitos das Yabás Oxum e Nanã. Essa pesquisa se apoia nas trabalhos de Verger (2018); Prandi (2021); Burkert (2021) e Melo (2014; 2019). Palavras-chave: Conceição Evaristo. Ponciá Vicêncio. Mitopoética. Oxum. Nanã.
Sistem Kearsipan di Bagian Umum pada Kantor Kelurahan Bunga Tanjung, Kecamatan Datuk Bandar Timur, Kota Tanjungbalai
Authors: Raihan An Nisa’u , Irham Mawaddah
Published: May 2023

The motivation behind the review was to decide and describe the administration of documents at the Bunga Tanjung Village Office, Datuk Bandar Timur District, Tanjungbalai City. As well as to distinguish and describe the inhibiting variables in Archives Management in the Office. This study uses a strategy of subjective involvement and information assurance using a purposive testing procedure. In this review, the main resource person is the Head of Tanjung Balai Village, the witness is the staff who oversees correspondence and keeps documents with exploration concentrates, particularly Archives Management or records administration and its suppressing elements. Information collection methods used are perception, interview/interview, documentation. The information checking procedure used is an intuitive model investigation created by Miles and Huberman. The Document Management System in Bunga Tanjung District, Datuk Bandar Timur District, Tanjung Balai City was found that currently the management files have been completed properly, but not yet ideal and the overall administration includes recording or making, insertion, bookkeeping. with and contracting or destroying chronic The repressive elements are that positions have not been established, positions and foundations have not been neglected, there is no extraordinary archive of administrators (Arsiparis) and there are no copies in the archives.

Keywords: Archives, Records Management
Evaluation of Anti-Inflammatory Activity of Gum Resin Extract of Boswellia Serrata
Authors: Kumar Lokesh , Verma Rinkee , Sharma Gurdeep , Nishad Anamika , Sharma Sagar
Published: May 2023

The present investigations of gum resin extract of Boswellia Serrata were studied against experimentally anti-inflammatory activity studies. The work demonstrates that ethanolic gum resin extract and aqueous gum resin extract of Boswellia Serrata has anti-inflammation activity in mice and rat by carrageenan-induced inflammation and cotton pellet-induced granuloma. From the above observations we can conclude that ethanolic extracts and aqueous fum resin extract of Boswellia Serrata anti-inflammatory activity at both the dose level which is comparable with the standard. The ethanolic gum resin extract of Boswellia Serrata (200mg/kg), markedly increased the percentage of average mean increased in paw volume and weight in cotton pellet by the animals. The anti-inflammatory effect of both the doses (150-200 mg/kg in mice and 200-250 mg/kg in rat) showed significant activity and being that (200 mg/kg) showed higher activity. The inflammatory effects of ethanolic extract and aqueous gum resin extract of Boswellia Serrata may be attributed to any of or combination of chemicals present in the extract. Further studies are required to identify the active phytoconstituents responsible for the observed inflammatory effect of ethanol extract and aqueous extract. It is suggested and assumed that a further exploration of the present research work is needed to come up with an active anti-inflammatory.