bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation des connaissances, des attitudes et des pratiques des gargotiers de la commune III du district de Bamako par rapport à la contamination des aliments en 2017
Authors: Kouyaté M
Published: July 2021

Introduction : Les personnes qui manipulent les aliments ne comprennent pas toutes le rôle qu'elles doivent jouer pour la protection de leur santé et celle des consommateurs. La présente étude visait à évaluer les connaissances, les attitudes et les pratiques des gargotiers (gargotières) sur la contamination des aliments afin de proposer des solutions d'amélioration de leurs compétences. Matériel et méthodes : C'est une étude transversale à visée descriptive, qui a allié la recherche quantitative et qualitative. Le questionnaire a été administré à 27 employés et 21 employeurs. L'entretien a concerné 20 employés et 20 employeurs. L'observation a porté sur 20 gargotes. Résultats : Notre étude a révélé que 55% des employeurs contre 90% des employés ignoraient l'existence des textes régissant la vente des aliments. Moins de 50% des enquêtés avaient le certificat médical. Au total, 59,3% des employés et 57,1% des employeurs ont affirmé que les aliments peuvent être contaminés à tout moment ; 67,5% des enquêtés disaient que la bonne conservation des aliments, le lavage des mains, l'entretien du matériel et des locaux protègent les aliments contre la contamination. Les aliments étaient conservés à l'air libre dans 45,0% des gargotes. Les 92,6% des employés et 90,5% des employeurs affirmaient que les troubles digestifs sont liés aux aliments contaminés suivis de la fièvre typhoïde pour 66,7% des employés contre 47,6% des employeurs. Les déchets étaient éliminés avant et après service dans 10% des gargotes. Conclusion : La plupart des enquêtés ignorait les textes régissant la vente des aliments, les maladies liées à l'alimentation. Les notions de contamination et de prévention n'étaient pas bien connues.
Observance thérapeutique, correction des facteurs de risque et éducation thérapeutique 6 mois et 1 an après un infarctus du myocarde
Authors: Diall IB , Diallo BA , Furber A
Published: July 2021

La maladie coronaire reste une cause de mortalité très fréquente. La correction des facteurs de risque à réduit considérablement la mortalité liée à cette pathologie. Les objectifs de notre étude étaient d'étudier les évènements cardiovasculaires hospitalier à 6 mois et à 1 an après un infarctus du myocarde, analyser l'ordonnance de sortie et les traitements suivis par les patients (observance thérapeutique), vérifier la correction des facteurs de risque cardiovasculaires et tester le niveau d'information des patients vis à vis de leur maladie. L'étude rétrospective incluait 75 patients hospitalisés au CHU d'Angers du 1er/01/03 au 1er/04/03 ayant tous présenté un syndrome coronarien aigu avec un sus décalage du segment ST et une élévation des CPK et troponine. Le recueil des données cliniques et paracliniques était fait à la phase hospitalière. Le suivit à 6 mois et à 1 an s'est fait par appel téléphonique des patients et médecins impliqués dans la prise en charge. Peu d'événements cardiovasculaires ont été observés aucours du suivi. L'HTA et le diabète étaient corrigés chez les patients mais 25% continuaient à fumer. Plus de la moitié des patients étaient sous IEC, Béta- bloquants, Statines et Anti-agrégants plaquettaires avec augmentation du taux de prescription des IEC, Béta- bloquants et Statines à 6 mois et 1 an, mais baisse du taux de prescription des Anti-agrégants. Quant à l'éducation thérapeutique elle était satisfaisante dans seulement la moitié des cas.
Evaluation du statut nutritionnel et des attitudes relatives à l'hygiène dans la commune de Bamba (cercle de Bourem – région de Gao) au Mali
Authors: Doumbia A , Traoré CAT , Berthé D , Maiga H , Tessogué J , Ag Iknane A
Published: July 2021

Introduction : Notre objectif était d'évaluer le statut nutritionnel et certaines attitudes relatives à l'hygiène dans la commune de Bamba.
Matériel et méthodes : Notre étude s'est déroulée du 15 février au 5 mars 2008 au niveau la commune de Bamba dans le cercle de Bourem, région de Gao. Il s'agissait d'une étude transversale descriptive par sondage en grappes à deux degrés. L'étude a porté sur 604 enfants de 6-59 mois et 376 mères. La balance électronique a été utilisée pour mesurer le poids et la toise de Shorr pour la taille. Les données ont été collectées à l'aide de questionnaires avant d'être saisies et analysées sur logiciel EPI-INFO 6.04, ENA et SPSS 13.0.
Résultats : Nous avons observé que le nombre garçons étaient légèrement inférieurs aux filles avec un ratio de 0,8. Le fleuve constituait la principale source d'approvisionnement en eau des ménages aussi bien en saison sèche (53,9 %) qu'en saison pluvieuse (55 %). La plupart des enfants (71,2 %) se lavaient les mains avant de manger même s'ils le faisaient dans un seul récipient. Nous avons observé des carences nutritionnelles notamment  l'émaciation avec 14,2% [IC à 95 % (±0,89)], le retard de croissance 32,5% [IC à 95 % (±1,03)] et l'insuffisance pondérale 37,6% [IC à 95 % (±1,13)].
Conclusion et recommandation : Le niveau d'hygiène et les carences nutritionnelles se sont avérés très préoccupants selon les résultats que nous avons observés. Des enquêtes ultérieures seront nécessaires en vue de mieux comprendre les connaissances attitudes et pratiques des populations au niveau de la commune.
Profil de consommation alimentaire des ménages dans la région de Mopti en Février 2016.
Authors: Ouologuem TÉNIN , Ag iknane A , Diarra S , Drame M , Diarra Y , Coulibaly D , Tounkara S , Drame A
Published: July 2021

L'alimentation est influencée par les caractéristiques sociodémographiques et économiques. C'est dans ce contexte que la présente étude d'évaluation de la qualité du régime alimentaire des ménages et les facteurs associés dans la région de Mopti en Février 2016 a été réalisée. Il s'agissait d'une analyse secondaire des données de l'Enquête Nationale de Sécurité alimentaire et nutritionnelle (ENSAN) de Février 2016 du Mali pour la région de Mopti. La méthodologie de base était le sondage en grappe à deux degrés. L'analyse des données a été effectuée sur (SPSS) version 21.0. Des tests de khi-carré de Pearson et de régression logistique ont été réalisés avec un niveau de confiance de 95%. Notre étude avait concerné 148176 ménages à 91% ruraux et 99,2% de résidents. Les chefs de ménages (CM) étaient très majoritairement des hommes (93,5%), mariés (93,9%). Près de 46% des hommes CM étaient sans instruction contre 76% de femmes. Le score de consommation alimentaire (SCA) des ménages était acceptable dans 67% et un score de diversité alimentaire (SDA) de 95,9%.Le régime quotidien était composé de céréales, légumes, huiles et sucres. Les ménages à diversité faible consommaient les céréales et huiles. Ceux à diversité moyenne consommaient en plus des légumes et du sucre. Ceux à diversité élevée consommaient en plus, des légumineuses, viandes/abats et lait. Le SCA et le SDA étaient statiquement liés (p=0,000) au niveau socioéconomique, au milieu de résidence, au niveau d'instruction, au statut matrimonial et l'âge du chef de ménage. Le SCA était lié au statut du ménage et au sexe du CM. Le régime était monotone dans l'ensemble de la région, d'où l'intérêt de renforcer la sensibilisation des ménages à une diversification de la consommation alimentaire.
Evaluation de la surveillance épidémiologique de la rougeole : Analyse de la base de données du district sanitaire de Koulikoro de 2012-2018
Authors: Coulibaly Hamadou , Sangho Oumar , Sogodogo Seydou , Keyembé Ken , Dakouo Hyacinthe
Published: July 2021

Introduction : La rougeole est une maladie éruptive fébrile, due à un virus (Morbillivirus). L'absence de résultats d'analyse sur la rougeole dans le district, nous a conduit à l'analyse des données de surveillance épidémiologique de la rougeole de 2012 à 2018, les objectifs étaient de décrire les caractéristiques de la maladie en temps lieux et personnes et d'identifier les facteurs associés à la survenue de la rougeole. Matériel et méthodes : Nous avons conduit une étude transversale, à l'aide des fiches de notifications, le cahier de déclaration, la liste linéaire et les fiches du laboratoire de 2012 à 2018, saisie et analyse sur Epi Info 7.2. Résultats : Dans notre étude, nous avons retrouvé n=48 cas suspects notifiés de 2012 à 2018 dont 6% des cas positif (IgM+), le sexe masculin était le plus représenté n=27 (56) P=0,38, les sujets âgés de 15 ans et plus ont représenté la totalité des cas positifs (IgM) n=3 (100) P=0,0002, les sujets (suspects et confirmés) n=6 n'étaient pas vaccinés contre la rougeole P=0,0002, les cas suspects et confirmés n=31 (64,5) provenaient de la ville de Koulikoro. Conclusion : L'analyse de la base, nous a permis de retrouver trois cas suspects et confirmés dans le district. Les hommes étaient plus concernés que les femmes. Tous les cas avaient au moins 15 ans et aucun n'était vacciné contre la rougeole. Cette situation nécessiterait un renforcement de la vaccination de routine et une étude sur une plus longue période pouvant s'intéresser aux facteurs déterminants.
Évaluation surveillance de la rougeole, CSCom Central de Tominian, 2009 à 2018
Authors: Togola OB , Ballayira Y , Traoré B , Kayembé Ken , Sangho O , N'Diaye H , Ouattara S , Yacouyé H
Published: July 2021

Introduction : Au plan mondial, le nombre de cas de rougeole a augmenté de 300% lors des trois premiers mois de 2019 comparativement à la même période pour 2018. Les faibles couvertures vaccinales de l'aire de santé de Tominian Central, la notification de cas suspects par le district en 2018 et les récentes épidémies de rougeole survenue dans la région constituent une préoccupation sanitaire locale. Cette étude a pour but d'évaluer le système de surveillance de la rougeole de l'aire de santé de Tominian Central. Méthodes : Nous avons conduit une étude transversale utilisant les données de surveillance de la rougeole de 2009 à 2018 de l'aire de santé de Tominian Central. Nous avons appréciés les attributs d'organisation et de fonctionnement, utilité, sensibilité, réactivité, simplicité, sensibilité, représentativité et la qualité des données. Les agents chargés de la surveillance de la rougeole ont été interviewés. Résultats : À l'exception du cabinet médical, il existait un système de rapportage des données de la surveillance de la rougeole et la preuve de leurs transmissions au niveau supérieur est vérifiable. Le personnel du CSCom et du cabinet médical chargé de la notification n'ont réalisée aucune action de santé publique dans la surveillance de la rougeole. Un seul cas suspect de rougeole a été notifié par le Centre de santé de référence. Conclusion : Le système de surveillance de la rougeole de Tominian Central apparaît comme étant fonctionnel, moins utile, moins sensible, moins représentatif, moins réactif. Des efforts supplémentaires sont nécessaires pour le dynamiser.
O Negócio da Justiça Eleitoral: Processo Eleitoral
Authors: Anjos Gilberto Kilian dos
Published: July 2021

Em termos de reflexão acerca do planejamento estratégico, muito se debate no tocante à diretriz correta sobre o negócio da Justiça Eleitoral, ou seja, o norte de atuação primordial do trabalho dessa Justiça Especializada na sociedade contemporânea. De fato, algumas definições sobrelevam, tais como direitos políticos, processo eleitoral, soberania popular, regime democrático, dentre outras. No entanto, o estudo em tela objetivará a demonstração dos possíveis acertos e desacertos das descrições em apreço, como a síntese da atividade de uma Justiça que se preocupa, sobretudo, com uma clientela diferenciada: o eleitorado. Certo que, ao contrário do título do trabalho, não se quer estabelecer uma verdade absoluta, mas, sim, o estímulo ao pensamento quanto ao negócio da denominada Justiça Especializada. Vale dizer que o estudo aponta argumentos para se chegar à conclusão acerca da noção mais apropriada do negócio da Justiça Eleitoral.
Da Legitimidade Ativa do Eleitor para a Ação de Impugnação de Mandato Eletivo
Authors: Berenhauser Alexandre Roberto , Sá Edmar
Published: July 2021

A Constituição Federal de 1988, ao dispor sobre a ação de impugnação de mandato eletivo (AIME), não estabeleceu, expressamente, diversos aspectos a ela relacionados, entre os quais a legitimidade para propô-la, o rito adequado a ser seguido em sua tramitação, seus prazos e os recursos cabíveis. Não foi editada, até o momento, nenhuma norma infraconstitucional que regulamente tal instituto previsto na Carta Magna.

Diversos problemas decorrem da falta de definição desses aspectos por parte da Constituição Federal e da legislação infraconstitucional, como, por exemplo, se o eleitor teria a legitimidade ativa para intentar tal ação.

O Tribunal Superior Eleitoral (TSE), em algumas oportunidades, já se pronunciou em relação a esse tema, estabelecendo que o eleitor não possui legitimidade ativa para a AIME. Estaria o entendimento do TSE correto ao restringir a legitimidade do eleitor onde o texto constitucional não o fez?
Uma Abordagem sobre os Direitos Políticos dos Indígenas no Marco das Normativas Internacionais e Brasileira
Authors: Santano Ana Claudia
Published: July 2021

Ainda que tenham sido vítimas de diversos atentados contra a sua existência, os povos autóctones seguem fazendo parte da pluralidade brasileira, tendo direitos e deve- res assegurados pela Constituição de 1988. Dentre esses direitos estão os políticos, vitais para dar voz a esses grupos. No entanto, em- bora esse tema tenha sido tratado nos âmbitos do Direito Constitucional e nos Direitos Humanos, o Direito Eleitoral ainda carece de estudos específicos, na contramão do interesse crescente sobre o assunto. Assim, este breve ensaio tem como objetivo trazer um apanhado geral dos direitos políticos dos autóctones, partindo do disposto na Convenção 169 da OIT, para logo acrescentar as normas constantes nos sistemas onusiano e interamericano. Após, serão expostas as regras brasileiras tanto no âmbito constitucional quanto na legislação ordinária, trazendo algumas impressões vindas desde a aplicação dessas regras pela Justiça Eleitoral. Essa análise de regramento virá acompanhada de algumas decisões judiciais que demonstram como isso vem ocorrendo nos últimos anos proferidas tanto na esfera interamericana quanto pelo Poder Judiciário brasileiro.
O Precedente Judicial como Fonte Primária do Direito Eleitoral
Authors: Cyrineu Rodrigo
Published: July 2021

Ao longo dos últimos anos, o Poder Judiciário vem exercendo, cada dia mais, o seu papel de “guardador das promessas” constitucionais, para parafrasear Antoine Garapon. Com isso, sua atuação se acentuou significativamente. Em paralelo, os legisladores estão elaborando leis cada vez mais enxutas e com textos mais abertos, propiciando um maior espaço interpretativo às Cortes. Atento a isso, o artigo se propõe a revisitar o papel dos precedentes no sistema brasileiro.
A Lei da Ficha Limpa entre o Discurso da Moralidade e os Interesses dos Congressistas: uma análise da aprovação da Lei Complementar n. 135/2010 a partir da teoria da escolha racional
Authors: Peccinin Luiz Eduardo , Copi Lygia Maria
Published: July 2021

Chamada de iniciativa popular, a chamada “Lei da Ficha Limpa” – Lei Complementar n. 135/2010 incrementou subs tancialmente o sistema de inelegibilidades já existente na Lei Complementar no 64/1990. O presente artigo tem como objetivo analisar o processo de sua aprovação no Congresso Nacional com fundamento na teoria da escolha racional aplicada à Ciência Política, a fim de compreender o comportamento e os interesses dos atores políticos envolvidos. Especificamente, a proposta é de verificar, através de manifestações públicas dos congressistas, o que motivou a aprovação da Lei: a busca pela suposta moralidade política ou a sua re eleição. Mediante uma metodologia fundada na revisão bibliográfica da doutrina especializada no tema, bem como em notícias da im prensa acerca do assunto à época dos fatos, faz-se um estudo desse processo pelas lentes do institucionalismo racional. Para além de analisar o processo de aprovação desta lei específica, o artigo contribui por demonstrar os interesses em jogo nas arenas do processo legislativo como um todo.
Tempo Mínimo de Propaganda Eleitoral em Rádio e TV: por um jogo justo
Authors: Zunino Neto Nelson
Published: July 2021

A distribuição do tempo de propagan-da eleitoral em rede de rádio e televisão obedece a critérios de proporcionalidade entre os partidos, de acordo com a quantidade de parlamentares no Con-gresso Nacional. O problema não está na propor-cionalidade, que é parâmetro validamente adotado pelo legislador, mas na falta de um piso. O tempo mínimo de propaganda é relevante porque pode re-presentar uma afronta direta ao que seria razoável. A exposição ínfima equivale à falta de exposição, pela impossibilidade de transmissão eficaz de uma ideia. A propaganda nessa condição será uma não-propa-ganda. O cerceamento da propaganda eleitoral não é uma violação ao direito do candidato apenas mas, muito além, constitui supressão do direito do elei-tor de ser informado, de conhecer os players e suas ideias. Por isso a garantia do direito de propaganda deve ser um norte para a questão, por compor a base do equilíbrio do pleito. A igualdade formal há de ceder à proporcionalidade definida pelo legislador, mas não pode suprimir por completo as condições mínimas, porque estaria a afetar negativamente a le-gitimidade do processo eleitoral. A questão se põe então em torno de encontrar o limite do razoável, o tempo mínimo a ser garantido a qualquer candidato. E esse critério pode ser encontrado no instituto do direito de resposta, que tem base constitucional e vem regulado pela lei como um mecanismo de reparo a manifestações indevidas. Pois a lei define que o direi-to de resposta será exercido de forma proporcional à ofensa, mas estabelece um piso, um tempo míni-mo, que é de um minuto, a ser garantido ainda que a ofensa tenha sido em prazo inferior. A mens legis aqui teve por premissa considerar que em menos de um minuto não é possível razoavelmente transmitir uma mensagem, uma ideia. E essa é uma referência importante, dentro do mesmo subsistema legal elei-toral, orientada pelos mesmos princípios e calcada na mesma garantia do direito de informação, de modo que pode ser perfeitamente adotada. Em conclusão, o limite mínimo para o tempo de propaganda eleito-ral pode ser empregado como forma de garantia dos princípios referidos e em decorrência de uma inter-pretação conforme a Constituição Federal.
Análise da Decisão Judicial sobre Infidelidade Partidária (Adin n. 50.81/2015) a partir da Teoria Argumentativa de Neil Maccormick
Authors: Melo Rocha Katarina Karol Brazil de , Moraes Filho José Filomeno de
Published: July 2021

O presente artigo tem por objetivo analisar a decisão do Supremo Tribunal Federal sobre infidelidade partidária (Ação Direta de Inconstitucionalidade no 5081), a qual assentou que não se deve aplicar a sanção de perda de mandato aos cargos majoritários, tal como constava da Resolução no 22.610/2007, do Tribunal Superior Eleitoral, sob pena de violação ao princípio democrático (art. 1o, parágrafo único da Constituição) e à soberania popular (art. 14, caput, também da Constituição), ambos intrínsecos ao Estado Democrático de Direito. Na análise será utilizada a teoria de Neil MacCormick, no que tange à argumentação racional e aos processos de justificação utilizados para fundamentar as decisões judiciais.
Tutela de Evidência: aplicabilidade e casuística no direito processual eleitoral
Authors: Luiz Fernando Vieira , Pontin Rafael Covolan , Vasconcellos Luiz Marina de Oliveira de
Published: July 2021

O presente trabalho tem por objetivo analisar a aplicabilidade da tutela de evidência no direito processual eleitoral e verificar utilização do instituto pelas Cortes Eleitorais, com ênfase no Tribunal Superior Eleitoral. Para tanto, expõe o sistema de tutela provisória contido no Código de Processo Civil, discorrendo sobre os requisitos e hipóteses de cabimento da tutela de evidência. Após, descreve a atuação da Justiça Especializada no que toca ao uso desta técnica processual que se destina à melhor distribuição do ônus do tempo no processo. Por fim, conclui que o emprego da tutela de evidência no processo eleitoral é possível no aspecto teórico e importante na prática jurídica como forma de regular de forma equânime o ônus do tempo em situações de quase certeza, dispensando o requisito da urgência.
Relationship between Job Stress and Job Performance among Nurses Facing Covid-19 Virus in Zahedan Teaching Hospitals In 2021
Authors: Sheikh S. , Poudineh Z. , Poudineh ZAHRA , Sshahbazi A. , Abdi Z.
Published: July 2021

Introduction: Coronavirus is an infection disease with respiratory symptoms and it is a virus that can be transmitted between humans as a mutated virus. Coronavirus-19 disease can lead to stress and anxiety among hospital staff. At present, one of the most important factors affected the occupational performance of the treatment staff and their ability to perform the overshadowed tasks effectively is Covid-19 disease. Therefore, this study was conducted to investigate the relationship between job stress and job performance of nurses in the covid-19 epidemic from the perspective of nurses in Zahedan teaching hospitals in 2021. Materials and Methods: This descriptive-analytical study was performed by available sampling method. Data were obtained using forms collected during three months in the inpatient ward of covid-19 in Zahedan teaching hospitals. The research samples were 235 nurses working in different wards of the hospital participated in this study and answered the three-part questionnaire containing demographic and job information, stress resulted by covid-19 and job performance. The collected data were statistically analyzed using SPSS software, version 20. There were used the descriptive and analytical statistics including frequency, mean, standard deviation and t test. Results: Most of the participants in this study were women (68%) under the age of 30 (59.4%). There is a significant relationship between the effect of Covid-19 on job stress and job performance. Thus, the effect of Covid-19 on job stress is direct, i.e. with the greater effect of Covid-19, the amount of stress increases by 39% ) p = 0.00, r = 0.39(. The effect of Covid-19 on the job performance was inversely so that with increasing the effect of Covid-19, job performance decreased by -20% (-r= 0.20, p=0.01). The findings showed there is a significant relationship between stress resulted by Covid-19 and the job performance. Discussion: The level of stress in nurses working in Covid-19-related wards in Zahedan teaching hospitals is moderate. It seems that paying attention to nurses' education to deal with critical situations similar to Covid-19 and increasing personal protective equipment can be effective in preventing nurses from developing stress and anxiety, and then their job performance will be improved. Keywords: Nurses, Covid-19, Job stress, Job performance
Histomorphological Effects of Sodium Arsenite on Cervix of Rats: Experimental Study
Authors: Mir A. , Butt H. A. , Yasmeen M. , Mir U. Z. , Butt W. A. , Abbasi S. , Laique T.
Published: July 2021

Arsenic contamination among heavy metals in ground water is a health hazard due to its toxicological concern, affecting millions of humans globally. Purpose: To observe and analyze the histomorphological effects of sodium arsenite on cervix of rat. Study Design: Laboratory based experimental study. Methodology: Present study held at department of anatomy, College of Physician and Surgeon Pakistan, Regional Centre Islamabad, in two principal groups, group A (control) and group B (experimental). The animals of B were administered sodium arsenite by oral gavage daily for 14 days while group A were administered only distilled water daily for 14 days. The animals of both groups were sacrificed after day 14th of drug administration. The cervix was processed for paraffin embedding and stained with Haematoxylin and Eosin (H&E). Statistical analysis: Data analyzed by SPSS 22.0v. Student’s t-test was applied to determine the significance. P-value ≤ 0.05 was considered significant. Results: The histological evaluation of experimental group animals showed decrease in cervical canal’s luminal area, hyperplasia of cervical epithelium and decrease thickness of cervical muscles. Conclusion: The nature of histomorphological effects observed in cervix showed that these changes may be due to oxidative stress produced by the formation of free radicals, decrease levels of serum estradiol, progesterone and by the denaturation of proteins. Key Words: Arsenic, Cervix, Free Radicals, Hyperplasia and Oxidative stress.
Varicose Veins Among Different Occupational Background in City of Mosul-Iraq
Authors: Mahmood H. J. , Ibrahim R. H. , Abdulghani M. F. , Al-Zaidy Z. F.
Published: July 2021

Background and aim: The Objectives of the present study to determine the VV among people with different background occupations in the City of Mosul, Iraq. Materials and method: A cross-sectional study was performed at Mosul Teaching Hospital between November 2019 and February 2020. Two hundred people who were physically examined represented different jobs in Iraqi society (Nurses, address, Policemen, and teachers). A physical examination was conducted of all participants who agreed to engage in this study. Results: The overall prevalence rate of VV among different occupational backgrounds in the City of Mosul is 19.5%. The study found that the percentage of men (50.5%) and women (49.5%). Most of the patient was beyond to age group (41-45) years and the mean age of the participants was (39.1+3.1). According to the BMI, the results indicated that most subjects belong to a class<30 (77%). Conclusions: The nurses will seek to prevent excessive extended occupational standing and using sitting or walking when appropriate. As a result, an improvement in clinical practice may reduce the incidence of vascular disease. Keywords: Varicose, Veins, Occupational
The Effect of Hypothyroidism on the Development and course of Heart Failure
Authors: Tokmachev R. E. , Budnevsky A. V. , Kravchenko A. Y. , Shkatova Y. S. , Chernik T. A. , Krasnikova Y. A.
Published: July 2021

Thyroid gland dysfunction is a risk factor for development of cardiovascular diseases. From all types of thyroid gland dysfunction hypothyroidism is the most common. Increasing of thyroid-stimulating hormone level can influence the clinical course of chronic heart failure (CHF) because of its extrathyroid effects - namely - influence on lipide metabolism, endothelial function of vessels and blood pressure. Also CHF itself can make negative impact on a thyroid gland functioning, therefore pathophysiological "vicious circle" is formed. Manifest hypothyroidism is associated with an increased risk of general and cardiovascular mortality and frequency of hospitalizations of CHF patients. Association between subclinical hypothyroidism and heart failure is less studied. Figuring out the mechanisms of influence of thyroid gland hypofunction on systolic and diastolic function of myocardium may be important for effective treatment of heart failure and improvement of clinical outcomes. MeSH words: heart failure; hypothyroidism; thyroid-stimulating hormone (TSH); review.
A Prospective Study on Impact of Anemia and Iron Supplementation in Pregnancy, Baptist Hospital, Bangalore, India
Authors: Khoshdel Z. , Tomas S.
Published: July 2021

Aim: A prospective study on Impact of Anemia and Iron Supplementation in Pregnancy, Baptist Hospital, Bangalore, India Methodology: the prospective observational study was conducted for 6 months from September 2016_Febrry to 2017. All inpatients women who are pregnant and anemic. The patient data collection was used to collect all the details like inpatient number, age, sex, social history, history, laboratory data, diagnosis, therapeutic management. All inpatients diagnosed anemia in pregnancy and pregnant women without anemia. Fulfilling the inclusion criteria will be enrolled into the study and their prescriptions will be analyzed on daily basis. The prescription guidelines, Micromedex, interaction checker, drug interaction database, and Stockley's drug interaction book 8 edition. The drug interaction in prescription was collected and then compare with guidelines. When the analysis of prescription was completed then all data entered into the appropriate software and the results were gained. Results: The present study was focused to find out the presence of anemia in 110 pregnant women who were admitted to gynecology and OBG wards of BBH (Bangalore Baptist Hospital). Presence study showed that anemia was Confirmed in 50 patients. Of these 28(25.4%) of them diagnosed as mild anemic, 20 (18.1%) Of them with Moderate and 2(1.8%) of them as severe anemic patients. The result of this study showed that LBW is higher in anemic women 19(25%) compared to non-anemic 17(21%). Conclusion: The present study showed from a total of 110 patients were included in this study, anemia was confirmed in 50 patients. Of these 28(25.4%) of them diagnosed as mild anemic, 20(18.1%) Of them with Moderate and 2(1.8%) of them as severe anemic patients. More low-birth-weight (LBW) babies were born to anemic mothers. Anemia in pregnancy may be reduced by proper Iron and folic acid supplementation which can be improved through providing proper ANC services. Has also a recognizable association with fetal outcome. Keywords: Anemia, Iron, anemia, iron supplementation, pregnancy, low birth weight.
Mental Health and Obesity: A Narrative Review
Authors: Sopian M. M. , Abbas S. , Teoh S. H. , Khan E. , Hami R. , Din S. A. T.
Published: July 2021

Both mental health issues and obesity are widespread problems with major public health implications. Because of their increasing prevalence and the fact that they carry an increased risk for cardiovascular disease, a potential association between depression, anxiety, and stress and obesity has been presumed and repeatedly examined. As various studies concerning overweight and obesity have been published, the objective of this review is to appraise critically the literatureto clarify the association between mental health andobesity.More extensive research in this field is needed to improve management and minimize the chance of potential complications. Keywords: mental health, depression, anxiety, stress, obesity
Factors Contributing to Delayed Diagnosis of Congenital Heart Disease in Pediatric Population
Authors: Iqbal S. , Saidullah S. , Ahmed R. I. , Khan M. A. A. , Ahmed N. , Khan M. F.
Published: July 2021

Objective: To analyze various factors contributing to delayed diagnosis of congenital heart disease (CHD) in pediatric population. Study Design: Cross-sectional study. Place and Duration of the Study: Department of Pediatrics and Department of Cardiology, Sheikh Khalifa Bin Zayed Al Nahyan Hospital, Rawalakot from January to December 2020. Material and Methods: A total of 265 children of both genders aged up to 15 years and presenting for the 1st time with the echocardiography confirmed diagnosis of CHD were enrolled. A special proforma was designed and questions were asked from parents/guardians of all study participants. Socio-demographic profile along with improper referral status and inadequate health facilities were noted. SPSS version 26.0 was used for statistical analysis. Qualitative variables like gender, area of residence, literacy status, socio-economic status, types of CHDs, delayed diagnosis (yes/no) and reasons for delayed diagnosis were represented as frequency and percentages. Results: In a total of 265 children included in the study, there were 156 (58.9%) male. Majority of the children, 184 (69.4%) were less than 2 years of age. Body weight below 3rd centile was noted in 164 (61.9%) children. Maternal fetal echocardiography was done in 13 (4.9%). Acyanotic CHD was noted in 180 (67.9%) children while remaining had cyanotic CHD 85 (32.1%). Delayed diagnosis of CHD was noticed in 211 (79.6%) children. Most common factor contributing to delayed diagnosis of CHD was found to be delayed 1st consultation in 85 (40.3%). Delayed or missed diagnosis by the doctor was the 2nd most frequent factor contributing to delayed diagnosis of CHD noted in 52 (24.6%) children. Delayed referrals were observed in 42 (19.9%) children. Conclusion: Delayed diagnosis of CHD was noted among 79.6% cases. Acyanotic CHD was the commonest type of CHD in the present study. Most common factors contributing to delayed diagnosis of CHD were delayed 1st consultation, delayed diagnosis by the doctor and delayed referrals. Keywords: Congenital heart disease, fetal echocardiography, delayed referrals
Islamic communication system in Republic of Indonesia
Authors: Khurotin Anggraeni
Published: July 2021

The Indonesia is various cultures and language, Islam is a biggest religion in Indonesia, the communication form of Islam to understanding Islamic religion in various regions which has various culture and language. Islamic Communication system is a social action between Islamic organization with exchanging idea and raising the expectation of recognizing, understanding, acceptable to achieve specific goal (Da’wah) with multifaceted undertaking which require careful assessment of requirements, technology alternative, the allocation resources, economic impact and religion impact. The purpose of study is to describe and analysis Islamic communication system in Republic of Indonesia. The research method is done by library and information studies literature published was examined using content analysis method. The process included several steps: determining which journals and books met the inclusion criteria; selecting the research articles from the included journals and book; and extracting data from the relevant articles. As we know Indonesia has limit transportation and communication technology, very large area and has different language, culture and religion. The result of Islamic communication system is organization as problem solved on communication system. Islamic organization with multifaceted undertaking is required careful assessment on technology information, allocation resources, economic impact and religion impact. The role figure of leadership (usually namely Kyai) in communication is very important to connect with same organization. Interaction linkages between organizations will raise expectation on recognizing, understanding and acceptable.
Penerapan E-Commerse Dalam Penjualan Jamu Tradisional Al-Qomar
Authors: Iswanto Juni
Published: July 2021

Jika orang dulu dalam memasarkan produk usahanya harus pergi dulu ke pasar, tidak cukup disitu saja tetapi menjadi tempat yang cukup strategis untuk menawarkan dagangannya. Selain itu, sebagian mereka perlu tempat seperti ruko, lapak atau lainnya agar dagangan laku terjual. Tentu semua itu butuh tenaga, waktu dan biaya banyak. Seiring perkembangan teknologi ternyata mampu merubah cara berjualan. Kini para pedagang tidak perlu datang ke pasar dan menunggu toko atau lapak tapi cukup menggunakan media online sebagai sarana marketing. Cara ini dinamakan Electronic Commerce (e-commerce) adalah proses pembelian, penjualan atau pertukaran produk, jasa dan informasi melalui jaringan computer. Lebih mudahnya E – commerse adalah kegiatan transaksi jual beli yang dilakukan melalui media elektronik, seperti facebook, twitter, whats App, web site dan media lainnya. Hal inilah yang dilakukan IKM jamu Tradisional Al –Qomar untuk memasarkan produknya. Jual beli tanpa tatap muka secara langsung ini dapat menimbulkan hal-hal yang dapat memicu kejahatan khususnya penipuan. Oleh karena itu, bagaimana hukum Islam memandang proses E-Commerse Jamu Al Qomar.
Penerapan Akad Wadi’ah Pada Produk Simpanan Idul Fitri Di Lkma Syari’ah Amanah Mandiri Desa Sekarputeh Kecamatan Bagor Kabupaten Nganjuk
Authors: Sa’diyah Dewi Fitrotus
Published: July 2021

Akad wadi'ah merupakan prinsip ekonomi Islam dalam menjalankan aktifitas perekonomian. Setiap lembaga keuangan Islam dituntut menjalankan aktifitas perbankan dengan prinsip-prinsip syari'ah Islam, terutama dalam hal pelayanan. Salah satunya dengan penerapan akad wadi'ah pada produk simpanan idul fitri yang ada di LKMA Syari'ah Amanah Mandiri. Wadi’ah adalah harta yang dititipkan kepada pihak yang mau mengamalkannya tanpa dibebani biaya sepeserpun. Seiring perkembangan zaman ternyata masyarakat memanfaatkan adanya konsep akad ini dengan menabung untuk keperluan Hari Raya Idul Fitri. Sudah rahasia umum jika perayaan Islam satu tahun sekali tersebut perlu banyak biaya. Tak pandang tua muda, kaya miskin, belum menikah atau sudah menikah pasti pengeluaran pada moment ini lebih banyak dari sebelumnya. Oleh karena itu, belakangan masyarakat menabung satu tahun ke depan untuk keperluan hari raya Idul Fitri. Hal ini menarik untuk diteliti dan ditinjau dari sisi ekonomi syariah.
Tarihte Küresel Salgın Hastalıklar ve Toplum Hayatına Etkileri
Authors: Kılıç Orhan
Published: July 2021

Tarihin izahı ve yorumunda dikkate alınması gereken önemli unsurlardan bir tanesi de salgın hastalıklardır. Salgın hastalıkların mahiyeti, korunma yolları ve tedavileri uzun süre tam olarak bilinmemiştir. İnsanlar salgın hastalığın mahiyetini öğreninceye kadar onu Tanrı’nın bir gazabı olarak görmüşler, çoğu zaman da üzerine bir kutsiyet yüklemişlerdir. Eski Çağ’dan günümüze kadar endemik, epidemik ve pandemik karakterli çok sayıda salgın hastalık yaşan-mış ve bu salgınlarda milyonlarca insan hayatını kaybetmiştir. Veba, sıtma, kolera, sarı humma, çiçek, grip, verem, tifo, tifüs ve frengi hastalıkları kitlesel ölümlere yol açan önemli salgın hastalıklardır. Ancak bunların hepsi aynı anda dünyanın birkaç kıtasını etkisi altına alacak ölçekte salgınlar üretememiştir. Sadece veba, kolera ve grip hastalıklarının insanları etkileyen ve küresel ola-rak bilinen pandemik salgın hastalıklar olduğunu söyleyebiliriz. Dünya, Eski Çağ’dan günümüze kadar, üç veba, yedi kolera ve bugünlerde yaşadığımız sal-gınla birlikte 10’dan fazla grip pandemisi yaşamıştır. Epidemik boyutta kalan ancak çok sayıda insanın ölümüne sebep olan çiçek, sıtma ve sarı humma sal-gınları da en az bu üç hastalık kadar etkili olmuşlardır.Yaşanan bütün küresel salgınların tahribatının yüksek olmasının sebebi, has-talığın tam olarak tanınmamasıdır. Bu yüzden ölüm oranları yüksek, yayılma alanları geniş olmuştur. Salgın hastalıklar; ekonomik, sosyal, psikolojik, kül-türel, siyasi, dinî, coğrafî ve daha birçok bakımdan toplumsal hayatı derinden etkilemiştir.
Health Services and Transformation of Health Servicesin the Post-pandemic Period
Authors: Özer Ali , Çetinkaya Fevziye
Published: July 2021

Maximizing the life quality of individuals and providing a high level of health services to people is the main goal of the health system. The externality feature of healthcare services requires the state to assume basic responsibilities in the provision of health care services. During the COVID-19 pandemic, handling health as a public service and the importance of service delivery with a philosophical perspective based on the principles of inclusiveness, equity, and solidarity has become evident. The health system, which has a dynamic structure, has experienced a much faster change and development process in the pandemic process. During the pandemic period, it is important to evaluate the positive and negative aspects of experiences in service delivery, to adapt the services to changing conditions, and to take an organizational and holistic approach in solving the problems.From a social perspective, treating the masses in infectious diseases is much more difficult and costly than preventing the occurrence of the disease. The importance of preventive health services and primary care service structuring within the health system is better understood in this process. In the post-pandemic period, It will be important to experience changes and transformations health system such as the solution of labour and infrastructure problems in the health service system, establishment of a system based on quality and efficiency, strengthening the production capacity of our country(Turkey) in all areas, bringing our country that meets both needs and exports, revising the medical education in line with the needs, increasing cross-sectoral cooperation and health literacy of the society. Most importantly, attempts should be started to establish the referral chain by seeing the opportunity of social perception about primary services during the COVID-19 pandemic period.
The Effects of COVID-19 Pandemic onAcademic Researches and Publications
Authors: Yalçın Haydar , Şeker Muzaffer
Published: July 2021

This study focused on data-based literature evaluation. For this purpose, various scientometrics and bibliometric analyzes were carried out on scientific documents about coronavirus. Within the scope of the research, social network analysis method was used in order to find answers to the questions sought. The research has made inferences about collaboration models. The dynamics for R&D studies carried out in the pandemic process, which concerns the entire world, are described through productivity, collaboration and funding dynamics. Attention was drawn to the points of use for policy development based on data. If we summarize the prominent results in the study; Although collaborative practices were observed in research and development activities, it was observed that collaborations remained mostly on a national or regional scale. High aggregate constraints (HAC) and low aggregate constraints (LAC) tables allow us to evaluate the positions of actors in coronavirus research in terms of social network analysis values. Coronavirus research has been shown to be a priority research topic on the agenda of the whole world (annual growth rate19.43%.). In coronavirus researches, teams formed in various geographies of the world and their leaders have been identified. Lau SKP, Du LY, Al-Tawfiq JA, Memish ZA are both in the publication performance list and in the network values list. Institutions addressed in China, where the first cases of the pandemic process were observed, undertook a significant share in terms of the number of publications. When we examine the inter-institutional collaboration models, we can say that the institutions do not have a structure prone to collaboration. EU, Wellcome Trust and European Community (EC) have also undertaken a considerable burden, while the University of Hong Kong has also undertaken a significant burden in terms of funding.
Volumetric modulated arc therapy (VMAT) craniospinal image-guided radiotherapy and chemotherapy for high-risk medulloblastoma in adults: A case report with analysis of the technique
Authors: A Nanos Christos , Abatzoglou Ioannis , I Koukourakis Michael
Published: July 2021

Introduction: Adult medulloblastoma is a rare disease. Due to the length of the body areas demanding irradiation, medulloblastoma is a challenging malignancy for the development of advanced radiotherapy techniques.

Case Report: We describe a volumetric modulated arc therapy (VMAT) technique applied under image-guided radiation therapy (IGRT) for craniospinal irradiation, offered to a patient with high risk medulloblastoma, together with cisplatin/temozolomide chemotherapy. Three areas of irradiation (cranial, thoracic, and lumbar) were defined, with shifting the gaps between them at a weekly basis (two shifts within the three weeks of therapy). The biological equivalent “normalized total dose” (NTD) to the craniospinal axis and the gaps between the three VMAT-treated areas were calculated for α/β-ratio of 2 Gy, and all the data from dose volume histograms (DVHs) are shown.

Conclusion: The technique is reliable delivering with safety and accuracy the desirable radiation dose, with biologically and oncologically acceptable dose-deviations within the field-gaps. The tolerance of the radiochemotherapy regimen was excellent.
Peramalan Penjualan Bulanan menggunakan metode Trend Moment pada Toko Suamzu Boutique
Authors: Amrullah Amrullah , Affandi Egi , Riansyah Wahyu , Sobirin Sobirin
Published: July 2021

beberapa perusahaan untuk mendorong para karyawannya untuk dapat memenuhi target penjualan. Banyak diperlukan strategi guna untuk memenuhi kebutuhan pelanggan yang bervariasi. Suamzu Boutique adalah sebuah Usaha Dagang (U.D) swasta yang bergerak dalam bidang penjualan pakaian selama ini mengalami permasalahan berupa penjualan pada bulan yang akan datang dikarenakan jumlah modal yang terbatas.Teknik peramalan dengan metode trend moment digunakan untuk mengetahui jumlahjumlah penjualan yang bulan yang akan datang pada  toko Boutique Suamzu. Denganmenggunakan data penjualan selama 2 tahun terakhir metode trend moment dapat melakukan predikisi penjualan selama 12 bulan ke depan.Metode Trend moment memprediksi jumlah Penjualan pada tahun 2020 di bulan januari diprediksi adalah sebesar Rp. 39,935,000.00- , hasil prediksi ini digunakan untuk peramalan bagi toko untuk menyelesaikan permasalahan tentang peramalan penjualan pada toko
Analisis Sistem Pendukung Keputusan Menentukan Kualitas Pelayanan Pada Hotel Grandhika Menggunakan Metode Customer Satisfaction Index dan Service Quality
Authors: Yakub Suardi , Ramadhan Puji Sari , Zahara Siti , Halim Jufri
Published: July 2021

Hotel GranDhika Setia Budi Medan adalah hotel yang telah mendapatkan Bintang 4 dan berlokasi strategis yang terletak dekat dengan Universitas Sumatera Utara. Disini, para tamu dapat menikmati akses mudah ke berbagai pusat Pendidikan, bisnis, dan tujuan wisata di ibu kota Sumatera Utara. Hotel GranDhika mempunyai 101 ruangan Superior, 7 Deluxe Balcony, 12 Deluxe Executive, dan 3 Junior Suite. Serta mempunyai beberapa fasilitas diantaranya Internet akses yang cepat, Kolam Renang, Laundry, dll. Dari sumber tripadvisor saya mendapatkan data bahwa dari 59 ulasan, Hotel tersebut telah  mendaptakan nilai 3.5 (sangat bagus) diantaranya yang paling menonjol adalah Lokasi, Kebersihan, Layanan. Data yang saya ambil dari traveloka dengan jumlah tamu 2.131 telah mendapatkan nilai 8.6 dari 10 (Impressive), penilaian yang paling menonjol adalah kebersihan dan keramahan. Aplikasi ini bertujuan untuk membuat sebuah keputusan menggunakan metode CSI (Customer Satisfaction Index) dan Service Quality dengan hasil dengan hasil yang didapat adalah 75,55% dan menunjukkan data tersebut yang berarti konsumen puas.
Implementation of a Cloud Computer-based Automatic Classification and Processing System for Large Data
Authors: Kim Andrew
Published: July 2021

Data technology is an important technology applied in the process of social development, which plays a very important role in data and information operation, storage and analysis. It is directly related to the accuracy of data operation and promotes the efficiency of the operation of a data platform to some extent. This paper analyzes cloud computing technology and large data processing, and puts forward a new automatic data classification and processing system, which can ensure the operation of the system more efficiently.
Consumer Purchasing Decision Improvement Model through Brand Image, Religiosity, Brand Ambassador and Brand Awareness
Authors: Kuncoro Wuryanti , Windyasari Hanifah Azhar
Published: July 2021

In several studies, theoretically, companies that have good brand ambassadors will produce good purchasing decisions. However, empirically, it does not guarantee that brand ambassadors are able to produce good purchasing decisions. This gap is interesting to study in depth. Based on theoretical studies and according to the viewpoint of previous research, the concept of brand awareness is expected to be a solution in overcoming research gaps in brand ambassadors and consumer purchasing decisions. Companies that use brand ambassadors that generate good brand awareness are companies that are able to increase consumer purchasing decisions. For this reason, 150 Tokopedia users in Central Java were researched and tested the linkages between research variables. This phenomenon study is expected to contribute to the development of science, especially marketing management.