bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS LITERASI MATEMATIS PESERTA DIDIK BERDASARKAN DOMINASI OTAK
Authors: Muzdalipah Ipah , Rustina Ratna , Patmawat Hety , Yulianto Eko
Published: September 2021

Literasi matematis merupakan kemampuan yang sangat penting karena berkaitan dengan peran dan kegunaan matematika dalam kehidupan sehari-hari. Penelitian kualitatif ini bertujuan untuk mendeskripsikan proses literasi matematis peserta didik berdasarkan dominasi otak. Teknik pengambilan data dalam penelitian ini menggunakan think aloud methods. Teknik pengumpulan data berupa tes literasi matematis, pengisian angket dominasi otak, dan wawancara tidak terstruktur. Instrumen yang diberikan yaitu soal literasi matematis dan angket dominasi otak. Subjek penelitian ini yaitu peserta didik kelas XI di SMAN 5 Kota Tasikmalaya. Teknik analisis data yang digunakan yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa peserta didik yang memiliki dominasi otak kiri dapat memenuhi ketiga proses literasi matematis dengan detail, cenderung menggunakan cara analitik dan logis. Sedangkan peserta didik yang memiliki dominasi otak kanan dapat memenuhi ketiga proses literasi matematis dengan cara memvisualisasikan permasalahan tersebut ke dalam gambaran sederhana yang dipahami peserta didik.  Kata kunci: Dominasi otak, literasi matematis, think aloud methods
A Magyar Nemzeti Bank új kötelező gépjármű-felelősségbiztosítási indexének módszertani háttere
Authors: Merész Gabriella , Holczinger Norbert , Nagy Koppány
Published: September 2021

A magyarországi kötelező gépjármű-felelősségbiztosítás (KGFB) piaci folyamatainak pontos bemutatása, egyben a közvélemény tájékoztatása és a verseny élénkítése érdekében a Magyar Nemzeti Bank kidolgozta a KGFB-díjszint jelzésére szolgáló indexet. A módszer átfogó képet ad az átlagdíjak változásáról, hiszen a Központi KGFB Tételes Adatbázis adatait felhasználva nemcsak a biztosítót váltó állományt fedi le, hanem a maradó szerződéseket és az új belépőket is. Az állományösszetétel változásának kiszűrésével csökkenti a szezonális hatásokból és a trendekből fakadó torzítást. Ezenfelül a becsült átlag-kárváltozás figyelembevételével azt is képes szemléltetni, hogy a kárnagyságváltozáshoz képest mennyivel változott a díj. Tanulmányunkban bemutatjuk a KGFB-index számítása során alkalmazott statisztikai és módszertani megfontolásokat, egyúttal ismertetjük a hazai KGFB-állomány releváns jellemzőit.
A CSOK-támogatást igénylők vizsgálata az előzetes gyermekvállalás és az ingatlanszerzés mértéke szempontjából egy hitelintézet adatai alapján
Authors: Plöchl Kata , Obádovics Csilla
Published: September 2021

A szerzők egy hitelintézet 2016–2020 közötti adatbázisát vizsgálva arra keresik a választ, hogy a Családi Otthonteremtési Kedvezményre (CSOK) pályázók milyen mértékben veszik igénybe a támogatást előre vállalt gyermek után, az milyen társadalmi csoportok számára nyújt nélkülözhetetlen segítséget a lakásszerzéshez, és mely jövedelmi szint és ingatlanérték esetén indukálja a leginkább a második otthon megszerzését. Klaszteranalízissel megállapítják, hogy a legszerényebb jövedelemmel és kisértékű ingatlannal rendelkező csoportok körében a legjellemzőbb a gyermek előrevállalása. A támogatás számukra nyújtja a legnagyobb segítséget az otthonteremtésben, a támogatási összegből viszont kis mértékben részesülnek. Az igénylők 8 százaléka a támogatás segítségével meglévő ingatlanja mellé újabbat vásárolt.
Impact of the COVID-19 pandemic on the life habits of the nursing staff working in intensive care units of hospitals in the city of Campos dos Goytacazes-RJ
Authors: Bicalho Tamires , Peçanha Passos Ana Paula , Marques Aline , Magalhães dos Santos Carolina
Published: September 2021

The COVID-19 pandemic remains a major public health challenge. Most patients infected with the SARS-CoV2 virus are critical patients requiring admission to intensive care units (ICU) and qualified nursing care. However, the experiences of nurses from China and Italy showed that one of the biggest obstacles in the care of patients with the disease occurred within the scope of the organization of trained and qualified teams, staff dimensioning, management of supplies and equipment, and attention to the mental health of these professionals. Faced with this pandemic scenario, professional nurses face important challenges concerning care and the quality of nursing services in intensive care. The objective of this research will be to identify the impact caused by the COVID-19 pandemic on the life habits of professionals from the Nursing teams who work in the Intensive Care Units in the municipality of Campos dos Goytacazes-RJ. This is a cross-sectional study to be carried out between October and December 2021. Data collection will be carried out through an online questionnaire (Google Forms®) whose sample will consistof professionals from the Nursing teams (nurses and nursing technicians), working in the Intensive Care Units of Private and Public Hospitals in the city of Campos dos Goytacazes-RJ. Subsequently, the data obtained will be analyzed using descriptive statistics in the SPSS® software. This study aims to contribute to improving the quality of life and health of nursing professionals working in ICUs and, consequently, the quality of care and patient safety. Furthermore, it is expected that the results corroborate the need to implement health protection strategies for these professionals in the context of the pandemic.
Cognitive stimulation in the elderly using low-cost games
Authors: Dodde Nassar Maria Eduarda , de Souza Ramos Everton , Botacini Peixoto Maria Luiza , Pimenta Facin de Campos Lilian , Magalhães dos Santos Carolina
Published: September 2021

With the COVID-19 pandemic, we were confined to the home environment as a measure to prevent the spread of the SARS-CoV-2 virus. In this context, the elderly, being from the risk group, went up to their homes and were often forced to abandon their daily activities, which are great allies in maintaining their autonomy and independence. However, social and physical isolation, especially among the elderly, is a serious public health concern and can lead to increased risk of cardiovascular, neurocognitive and mental health problems. In this context, the present study aims to promote the use of teleworkshops with the elderly, during the isolation imposed by the COVID-19 pandemic, in order to investigate theimpacts generated by this tool in the routine of the elderly. A field study with a qualitative approach will be developed with 20 elderly people, both genders, who are fulfilling social isolation. Initially, online training will be conducted through videos recorded by researchers on how to participate in teleworkshops. These, in turn, will take place twice a week, for one months, always with the guidance of a researcher. Before the teleworkshops, there will be pre-test questionnaires and, after the post-test questionnaires, together with a geriatric depression scale containing 15 questions to assess the participants' cognitive development. Pre-test and post-test questionnaires will be prepared on the GoogleForms platform, with questions related to sociodemographic characteristics and teleworkshops, and will be made available online via WhatsApp. The data will be through SPSS software. Cognitive stimulation activities with characteristics of games and playfulness are objectives that have been used with the intention of seeking to maintain the elderly's abilities, in their cognitive health and socialization as factors that guarantee their quality of life. Thus, the present study aims to contribute to the promotion of the maintenance of mental and cognitive health of the elderly, which was granted due to a COVID-19 pandemic in the city of Campos dos Goytacazes / RJ.
The importance of physiotherapy in the puerperium
Authors: de Carvalho Teixeira Karen , Motta Pontes Manoela , Lopes de Nogueira Alberto Maria Luiza , dos Anjos Rodrigues Thayane , Matos Chicayban Luciano
Published: September 2021

The gestational period promotes changes in the woman's body, so that the baby can develop in a healthy way in the uterus. These transformations can interfere in a woman's daily life. Physiotherapy promotes re-education of the abdominal muscles, analgesia in the perineum region, restoration of gastrointestinal function, in addition to helping them with psychological changes. To verify the benefits of physiotherapy in the puerperium. A non-systematic review of the literature was carried out, through randomized clinical trials, published between 1999 and 2018. The search involved the databases PubMed, MEDLINE, SciELO, LILACS and PEDro. The following keywords were used: postpartum physiotherapy. 6 RCTs were included. There was a significant decrease in pain in the treatment group in four studies, increase in strength of the pelvic floor muscles (PFM) and decrease in urinary incontinence in two studies, but 3 postpartum women presented voiding symptoms; in another study, there was a decrease in the score related to anal incontinence; in another study, immediate physiotherapy after delivery reduced abdominal diastasis. Postpartum physiotherapy, through an exercise program, contributes to pain reduction, increase in pelvic floor strength, decrease in urinary incontinence, anal incontinence and abdominal diastasis.
Treatment of chronic wounds with 10% papain gel: a pilot study
Authors: Barros Thomas , Magalhães dos Santos Carolina , Marques Aline
Published: September 2021

Any interruption in the continuity of the skin, whether to a greater or lesser extent, is considered a wound and can be classified as acute or chronic. In Brazil and several parts of the world, the chronic wound is seen as a barrier to public health because, in addition to raising the cost for the health service, the patient is susceptible to numerous losses in quality of life, which can have social impacts, economic and psychological. For this reason, the investigation of alternative and low-cost technologies for the treatment of wounds is imperative. The study aimed to describe the use of 10% papain gel in the treatment of wounds arising from amputation processes, characterize the sociodemographic profile of individuals and trace the clinical profile of the patients involved in the study. For this, a pilot study was carried out in a Health Unit in the city of Campos dos Goytacazes/RJ, which works in welcoming patients with chronic wounds of different etiologies. The sample consisted of two individuals, of both sexes, with chronic wounds resulting from recent amputation processes in the lower limbs, treated with a 10% papain gel between April 19 and June 21, 2021. In clinical development, is considered the treatment of wounds with 10% papain gel and measurement of wound area using ImageJ software. Statistical analysis of data was performed using SPSS version 23 software. The sociodemographic results obtained showed that 100% of the sample was composed of patients of economically active age (±51.5 years), both living in areas far from the location where they undergo the treatment of the lesions (±28.5 km), requiring of great displacement to change dressings, which can hinder access to the Health Service. As for the characterization of the clinical profile, 100% of the sample had hypertension and diabetes undergoing treatment for both pathologies, with recent surgical amputation (less than 6 months) at the wound site. Regarding wound healing, patient A showed a reduction in wound area (cm2) of 37.54%, and patient B of 40.53%. Treatment with 10% papain gel was presented as a viable and low-cost alternative compared to the usual coverage offered by the public sector, representing an effective savings of 42% when comparing therapies with similar results. It is suggested that further studies be carried out to expand the scope of evaluation of the alternative therapy proposed by this study.
Caracterização das principais formas de tratamento sepse em pacientes internados em unidade de terapia intensiva
Authors: Júnior Adilson Mendes de Figueiredo , Afonso Carla Caroline Lobo de Souza , Silva Carlos Kayque Araújo da , Costa João Victor Tavares da , Figueiredo Ana Carolina Pinto de , Frazão Juliane de Matos , Passos Matheus Willame dos , Barreto Luciana Pinheiro da Paixão , Rocha Sabrina Macambira Guerra da , Santos Christian Boaventura dos
Published: September 2021

Objetivo: Caracterizar as principais formas de tratamento da sepse em pacientes internados na Unidade de Terapia Intensiva (UTI). Métodos: Trata-se de uma revisão de literatura descritiva de abordagem qualitativa de doze trabalhos encontrados através dos descritores: Enfermagem, Sepse e Unidade de Tratamento, nas bases de dados da Medline, LILACS e BDENF. Resultados: Os resultados apontaram para o fato de que as intervenções clínicas de enfermagem também podem diminuir o custo do tratamento nas UTIs. O número médio de intervenções também costuma ser alto em UTIs. As interações medicamentosas são um dos maiores problemas relacionados a medicamentos nas UTIs e os intensivistas dão menor prioridade ao seu significado em comparação aos enfermeiros. Erros de medicação deve ser um motivo potencial para problemas relacionados a medicamentos. É daí vem à relevância deste estudo relacionado à intervenção em pacientes com quadro clínico de sepse na UTI. Considerações finais: Essas recomendações e contribuição da literatura podem reduzir significativamente os atrasos no tratamento definitivo e pode reduzir ainda mais a mortalidade de pacientes com quadro clínico de sepse.
Determinantes da interrupção precoce do aleitamento materno: uma revisão narrativa
Authors: Azevedo Bruna Abaliac , Ataíde Rita de Cássia Natividade
Published: September 2021

Objetivo: Analisar na literatura científica sobre as motivações e os principais motivos que podem gerar o desmame precoce. Revisão bibliográfica: Amamentar é um processo que envolve interação entre mãe e filho, trazendo uma série de consequências benéficas, não apenas para o estado nutricional da criança, como para seu desenvolvimento cognitivo-emocional. Além disso, atua na defesa contra infecções, impactando na saúde do lactente em longo prazo. E ainda promove a saúde física e psíquica da mãe. Apesar de todas as comprovações científicas confirmarem a superioridade da amamentação sobre outras formas de nutrir a criança, do empenho de inúmeros organismos nacionais e internacionais e das campanhas promovidas, a prevalência do aleitamento materno no Brasil, em especial da amamentação exclusiva, está distante da recomendada. Considerações finais: É fundamental que os profissionais de saúde sejam capacitados para orientação e empoderamento das mães, oferecendo um suporte ativo, inclusive emocional, fornecendo referências precisas e desmitificando alguns tabus.  Igualmente importante são as políticas de saúde voltadas à orientação sobre temas que geram dúvidas e incertezas durante a gravidez, incluindo a importância da amamentação exclusiva até os seis meses de vida do bebê e demonstrando os malefícios do desmame precoce.
Development, validation, and testing of a physiotherapist initiated checklist of items for implementing pulmonary rehabilitation in Nigeria
Authors: Mohammed Jibril , Thornton Judith
Published: September 2021

Objectives:

Pulmonary rehabilitation (PR) program is beneficial to patients with chronic respiratory diseases. However, PR services are limited or non-existent in many resource limited settings of the world, including Nigeria. Equally important, is lack of local guidelines or checklists to support the implementation of these programs. This study was aimed at developing, validating, and testing a physiotherapist initiated checklist of items for implementing of PR in Nigeria.

Materials and Methods:

A panel of experienced cardiopulmonary physiotherapists was constituted to draw-up and agree on a list of items that they consider necessary for implementing of PR. The resulting items were collated as a checklist of items. The checklist was then locally validated by presenting it to a wider group of respiratory health-care professionals including chest physicians, nurses, occupational therapists, dieticians, and clinical psychologists, practicing within the study area. Each item was rated from strongly agree to strongly disagree on 5-point Likert scale. Thereafter, the performance of the items of the checklist was subjected to testing by assessing whether each item was addressed in the British Thoracic Society (BTS) PR guideline. This was done by rating each item with either a “yes,” “no,” or “not fully” to whether our checklists are included and described in the BTS guideline. Supporting evidence profile was also stated for some items, if applicable.

Results:

A consensus was reached by the panel of physiotherapists to arrive at a 16-item checklist. Each item was further provided with specific details and/or examples that are relevant for instituting PR in a Nigerian setting. All items on the checklist were considered valid by other respiratory health-care professionals, with a rating consensus agreement of between 80% and 100%. Furthermore, the testing of checklists based on inclusion and description in the BTS guideline showed that six items were addressed fully in the BTS guideline (rated “yes”), six were partially addressed (rated “not fully”), while four were not addressed (rated “no”).

Conclusion:

A checklist of items for the implementation of PR in Nigeria was successfully developed, validated, and tested. Nevertheless, there may be a need to develop a full guideline before instituting PR in view of the potential disparities with existing/established guidelines.
Prepontine placement of an intrathecal baclofen pump catheter for treatment of dystonia
Authors: Gianaris Thomas , Holland Ryan M. , Villelli Nicolas W. , Lee Albert E.
Published: September 2021

Background:

Cerebral palsy with medically refractory spasticity and dystonia is a condition that often benefits from intrathecal baclofen pump therapy to treat these symptoms. In this case report, an intracranial baclofen catheter was placed in the prepontine space to improve withdrawal symptoms in a patient unable to undergo new lumbar catheter placement due to infection.

Case Description:

A 22-year-old female with past medical history of cerebral palsy presented with baclofen pump failure and was unable to undergo placement of a new lumbar baclofen catheter due to an infection in her lower back precluding safe and efficacious catheter placement. It was decided the patient would benefit from intrathecal baclofen administered in the prepontine space as a means to avoid a lumbar catheter and thus bypass this prior infection site. An endoscopic third ventriculostomy (ETV) was performed with the endoscope and the distal end of the baclofen pump catheter was fed through this ETV into the prepontine space. Placement in the prepontine space was confirmed by a follow-up head computed tomography. There was a significant improvement in autonomic symptoms and spasticity. By postoperative day 5, the patient was surgically and medically cleared for discharge.

Conclusion:

In cases of severe baclofen withdrawal due to dysfunctional pumps, immediate reversal is preferred but may not be feasible due to factors such as infection. This case report has demonstrated that prepontine catheter placement can be effective for the administration of baclofen to reverse withdrawal symptoms in these types of patients.
Nunca ha estado la filosofía más cerca de nosotros: la pandemia del COVID-19, epistemología y ética
Authors: Braun Gutiérrez Ricardo
Published: September 2021

En este artículo demuestro la importancia de la discusión tanto académica como política de la filosofía en relación con la pandemia, con énfasis en los problemas epistemológicos y éticos. En un sentido popular, la filosofía produce la impresión de ser una tarea seguramente importante e interesante para sus practicantes, pero inútil para la mayoría de las personas. Nada más lejos de la realidad. Por el contrario, como lo demuestro, nuestra concepción de la actividad científica, del manejo de los datos y resultados de la investigación sobre la pandemia es el resultado de una larga tradición filosófica preocupada por la interrogante acerca de la obtención del conocimiento, si este fuera posible. En línea con las conclusiones que David Hume ofreció hace más de doscientos años, seguimos confiando discretamente en nuestras inducciones con un nivel de probabilidad, pero nunca de certeza. A eso tenemos que añadir las conclusiones que recientemente incorporan teorías como la del “efecto cisne negro”. Se exploran, además, las consecuencias éticas que suponen las decisiones políticas, y se concluye que, en este y otros casos en el futuro, mejor será pensar como filósofos, no como políticos tradicionales.
Nawa Isco Iki. Cantos amazónicos (2020)
Authors: Cabel Andrea
Published: September 2021

Reseña bibliográfica de "Nawa Isco Iki. Cantos amazónicos" (2020) de José Antonio Mazzotti. Hipocampo Editores.
El imperio visible. Expediciones botánicas y cultura visual en la Ilustración hispánica (2016)
Authors: Castillo Zevallos Silvia
Published: September 2021

Reseña bibliográfica de "El imperio visible. Expediciones botánicas y cultura visual en la Ilustración hispánica" (2016) de Daniela Bleichmar. Fondo de Cultura Económica.
Reliquias del pasado. El coleccionismo y el estudio de las antigüedades precolombinas en el Perú y Chile, 1837-1911 (2019)
Authors: Kuroki Tupayachi Raúl
Published: September 2021

Reseña bibliográfica de "Reliquias del pasado. El coleccionasimo y el estudio de las antigüedades precolombinas en el Perú y Chile, 1837-1911" (2019) de Steganie Gänger. Instituto Francés de Estudios Andinos; Instituto Riva Agüero.
Islamic Corporate Social Responsibility and Patronage of Non-interest Cooperative Societies in North-central, Nigeria
Authors:   Department of Marketing, University of Ilorin, Ilorin, Nigeria, Ismaila Mustapha Yusuf , Ahmed Yahaya Abdulhameed ,   Department of Business Administration, University of Ilorin, Ilorin, Nigeria, Olamilekan Abduazeez Sodiq ,   Department of Marketing, University of Ilorin, Ilorin, Nigeria, Abdulganiyu Olowo Ahmed ,   Department of Marketing, University of Ilorin, Ilorin, Nigeria
Published: September 2021

Purpose: This study interrogates the extent of implementation of economic and philanthropic dimensions of the Islamic Corporate Social Responsibility (ICSR) concept by Shar¯ı‘ah based cooperative societies with the primary purpose of ascertaining its effect on members’ rate of patronage of non-interest cooperative societies in Nigeria. Methodology: Partial least squares structural equation modelling (PLSSEM) with bootstrap processes were used to analyse the data collected from 210 members of the selected non-interest cooperative societies operating in the North-central region of Nigeria. Findings: The study’s results revealed that h. al¯al products and h.al¯al investments positively affect the members’ patronage rate of non-interest cooperative societies. In addition, it was discovered that Islamic philanthropic responsibility influenced the image/reputations of non-interest cooperative societies. Significance: This study is among the few studies that have examined the effect of corporate social responsibility on members’ patronage from an Islamic perspective. The import of the study stems from the fact that it broadly investigated the extent of implementation out of the six dimensions of corporate social responsibility. Limitations: The main constraints of the study are predicated on the fact that it was conducted in a region of the country and the study’s inability to isolate other factors which might have contributed to members’ patronage of non-interest cooperative societies. Implications: The study’s findings can aid the management of noninterest cooperative societies and other similar institutions in formulating strategic policies and programmes geared towards operating and promoting h.al¯al investment opportunities and supporting the indigent members of the communities through corporate charities/donations.
LABORATORY EXPERIMENTS-PART 1 BIOCHEMISTRY
Authors: K Gopi
Published: September 2021

The main purpose of this book is focused on laboratory practical skills are related to the life sciences including Biochemistry, Microbiology and Biotechnology. In the advanced Biological (life sciences) science practical skills and instrumentations are important to the students who studying life science in the area of Biochemistry microbiology and Biotechnology.
Propriedades psicométricas da Philadelphia Mindfulness Scale considerando fumadores e não fumadores portugueses
Authors: Rodrigues-Fernandes Hugo , Pereira Helena P. , Almeida Luís , Teixeira Carla M. , Vasconcelos-Raposo José
Published: September 2021

O mindfulness, enquanto processo psicológico, tem sido alvo de um interesse crescente por parte da investigação científica. O objetivo do presente estudo foi o de examinar a confiabilidade, validade fatorial e medição da invariância (fumadores e não fumadores) de uma versão portuguesa da Philadelphia Mindfulness Scale (PHLMS). Na pesquisa participaram 315 adultos portugueses entre os 18 e os 62 anos (M = 23.14; DP = 7.286), sendo 110 fumadores e 205 não fumadores. A confiabilidade para a dimensão consciência foi de .861 e de .868 para a subescala aceitação. A análise fatorial confirmatória apresentou um modelo ajustado a dois fatores sem necessidade de eliminação de itens. A análise multigrupos suportou a invariância do instrumento entre fumadores e não fumadores. Os resultados evidenciam boas propriedades psicométricas para a utilização da PHLMS no contexto de investigação em amostras de adultos portugueses.
Venous Chimney Procedure: A Novel Technical Solution to Prevent Iatrogenic Budd– Chiari Syndrome Following Retrohepatic Vena Cava Injury
Authors: Heldenberg Eitan , Hebron Dan , Kessel Boris , Galili Ofer , Zoarets Itay , Klein Yoram , Assif Aiya
Published: September 2021

Traumatic inferior vena cava (IVC) lesions account for approximately 25% of abdominal vascular injuries and are among the most challenging and lethal lesions sustained by trauma patients. Whether caused by blunt or penetrating mechanisms of injury, the overall mortality rate is up to 92%; as many as 50% of  the patients with those injuries die before reaching medical care, and the mortality rate among patients who arrive to a trauma center, with signs of life and/or receive operative treatment, ranges between 20% and 57% (1).

Retrohepatic Vena Cava (RHVC) injuries (RHVCI) are extremely rare and as such both the treating trauma surgeon, as well as the vascular surgeon, lacks the necessary experience to deal with such complicated injuries. The mortality rates secondary to these injuries are extremely high, even with damage control management concepts application. Improving the outcome of these injuries remains a significant challenge of modern trauma care (2, 3).

The treatment of RHVCI confronts the treating surgeon, with major obstacles, which raises from the anatomic location of the RHVC at the posterior aspect of the liver and the abundancy of bridging veins between the RHVC and the liver. These anatomic obstacles creates a major technical challenge of gaining proximal and distal control, in proximity to the injured RHVC. This many times necessitates abdominal as well as thoracic exposure in order to gain proper control.

The average trauma, as well as the vascular, surgeons are not familiar with handling such complex injuries. This is even truer as referred to the new generation of vascular surgeons, whose experience with open vascular surgery, mainly in such extreme situations, decreases with the increasing usage of endovascular techniques (4).   

 The advancements in endovascular techniques have introduced new alternatives to traditional open repair strategies. In many cases, RHVCI treatment requires exploration of a retro-hepatic hematoma, which might be the single thing that prevents free venous rupture and as such, it should be avoided.  Venous balloon occlusion is a novel endovascular strategy that may be particularly advantageous in those circumstances as a bridging maneuver, for proximal and distal control, during hybrid repair. Our case in unique since it highlights the option of total endovascular treatment, using arterial treatment concepts, to treat this extremely challenging injury.
Endovascular Versus Open: Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta or Thoracotomy for Management of Post-Injury Noncompressible Torso Hemorrhage
Authors: Roberts Derek Jason , Cotton Bryan A. , Duchesne Juan , Ferrada Paula , Horer Tal M. , Kauvar David , Khan Mansoor , Kirkpatrick Andrew W. , Ordoñez Carlos , Perreira Bruno , Priouzram Artai , Brenner Megan L.
Published: September 2021

Non-compressible torso haemorrhage (NCTH) (i.e., bleeding from anatomical locations not amenable to control by direct pressure or tourniquet application) is a leading cause of potentially preventable death after injury. In select trauma patients with infra-diaphragmatic NCTH-related hemorrhagic shock or traumatic circulatory arrest, occlusion of the aorta proximal to the site of hemorrhage may sustain or restore spontaneous circulation. While the traditional method of achieving proximal aortic occlusion included Emergency Department thoracotomy (EDT) with descending thoracic aortic cross-clamping, resuscitative endovascular balloon occlusion of the aorta (REBOA) affords a less invasive option when thoracotomy is not required for other indications. In this manuscript, we review the innovation, pathophysiologic effects, indications for, and technique of EDT and partial, intermittent, and complete REBOA in injured patients, including recommended methods for reversing aortic occlusion. We also discuss advantages and disadvantages of each of these methods of proximal aortic occlusion and review studies comparing their effectiveness and safety for managing post-injury NCTH. We conclude the above by providing recommendations as to when each of these methods may be best when indicated to manage injured patients with NCTH.
Non-Occlusive Mesenteric Ischemia After Resuscitative Endovascular Balloon Occlusion of the Aorta for Out-of-Hospital Cardiac Arrest due to Massive Gastrointestinal Bleeding
Authors: Tanizaki Shinsuke , Matsumoto Takeo , Murasaki Misaki , Hayashi Minoru , Maeda Shigenobu , Ishida Hiroshi
Published: September 2021

Background: Resuscitative endovascular balloon occlusion of the aorta (REBOA) has been used as a method of controlling intra-abdominal bleeding in case of hemorrhagic shock and an adjunct to improve traditional advanced cardiac life support in nontraumatic cardiac arrest. Partial REBOA is proposed as an alternative method that regulates low volume continuous blood flow across the area of occlusion with the aim of minimizing ischemia-reperfusion injury.

Case Presentation: An 82-year-old male suffered an out-of-hospital cardiac arrest due to massive gastric bleeding. He was initially resuscitated with partial REBOA but died of non-occlusive mesenteric ischemia (NOMI). The possible causes of NOMI were the patient’s age, the low flow state with prolonged cardiopulmonary resuscitation, the lower proximal-to-distal gradient of partial REBOA, and the longer time of total occlusion.

Conclusion: Further studies may be required to determine the optimal distal pressure during partial REBOA to limit the burden of mesenteric ischemia.
Parametric Prosthetics : Creating a digital workflow for individualised design
Authors:   , Mutambu Tinofara
Published: September 2021

Digital design technologies and data collection methods are increasingly being used to cater for personal specification of products and services.

The current process of fitting and making below-knee prosthetics is labour intensive and time consuming. Whilst artificial limb service providers have begun to implement digital technologies, opportunities for individualised prosthesis using parametric modelling and additive manufacture remain unrealised.

In response this thesis develops a digital workflow which acts as the tailor in the prosthetic design process. Together with additive manufacture the capability of parametric variation is examined as a demonstration of future possibilities.

The research looks at innovative ways to visualise future products in the form of a fully 3D printed prosthesis that challenges existing methods. Using field research, design experiments, parametric software and simulated anthropometric models a range of virtual and physical lower limbs were constructed.

The resulting prototypes were evaluated against current methods of making and workflows and engaged with experts in the industry. The outcome reveals new economic and aesthetic possibilities for the wide diversity of people requiring lower limb prosthesis whilst enhancing the innovation prospect of service providers.
Application of Virtual Reality in the Teaching of Interior Design
Authors: Han Xiao
Published: September 2021

With the rapid development of computer technology, a new technology – virtual reality has arisen at this historical moment. This technology mainly creates a real scene through simulation so as to reflect the changing form of objects. As a complex art form, the characteristics of interior design cannot be displayed only through pictures and words but with the effective application of virtual reality, the development of interior design can be promoted. This article mainly analyzes the current teaching situation of interior design and puts forward specific application strategies of virtual reality in the teaching of interior design, which have guiding significance in improving the teaching effect of interior design.
Teaching Exploration of Ma Shuilong’s Ancient Chinese Poetry Art Songs – “Spring Silkworms are Dead,” “Loneliness,” and “Falling Flowers”
Authors: Yue Li
Published: September 2021

Ma Shuilong was a famous composer in Taiwan, both at home and abroad. In 1986, the publication of his concerto, Bangdi, made him the first Chinese composer to have a full performance at the Lincoln Arts Center in New York. In the field of vocal music production, “Ma Shuilong Songs Collection” reflected the mutual infiltration and integration of Chinese and Western elements, especially the combination of modern techniques and classical poetry so that Chinese ancient poetry art songs would emit unique artistic conception. In view of his three works, this article elaborates the oriental connotation in their creation through the study of the poetries involved and further extracts the characteristics of the creation and singing of ancient poetry art songs in order to provide significant references for the teaching of Chinese art songs.
Reliability and Validity Research on the Reading Part in TEM-8 (2016-2021)
Authors: Liang Liqiao
Published: September 2021

TEM-8 is one of the most important exams for higher education (English major) students in China. By collecting and analyzing relevant reliability and validity data of recent TEM-8 (2016 to 2021), the reliability and validity of the examination (reading part) can be understood. This article discusses the exam’s developing trend and provides suggestions for language teachers as well as exam candidates.
Spiritual Inheritance: A Case Study of Henan Opera
Authors: Wang Xiao
Published: September 2021

Despite many scholarly debates on Chinese opera, the study of how opera hit rock bottom remains scarce. Therefore, this article addresses this reason through a case study of Henan Opera. Informed by a systematic approach, there have been various improvements, good and bad criticisms, as well as affirmations in regard to opera. The lack of the Chinese opera spirit is the root of the difficulties in the development of Chinese opera.
Problems and Countermeasures of Working Capital Management in Company V
Authors: Liu Yunjie
Published: September 2021

Working capital is the premise for the production and operation of an enterprise and the basis for all financial management. The management of working capital has gained more attention by enterprises. The purpose of emphasizing the importance of working capital management is to enable enterprises to make full and efficient use of capital. There is a serious shortage of working capital in China’s home appliance manufacturing industry, and with the rapid development of home appliance manufacturing industry, the problem is becoming increasingly prominent. Therefore, improving the management level of working capital, optimizing the structure of capital, and improving the efficiency of working capital should become the most important part in the process of daily production and operation. This article selects company V as the research subject as it has representative problems in working capital management. Drawing on the theoretical method of taking elements as the core, this article focuses on the analysis of each working capital project and the development status of the company as a whole, determines the problems in the aspects of current assets and information communication in regard to the working capital management of company V, as well as puts forward several suggestions in terms of current assets management. In order to improve the working capital management level of company V, we hope that the improvement suggestions derived from the combination of theory and practical analysis can provide some reference for other enterprises in the household appliance manufacturing industry.
Analysis of the Risk Factors of Upper Limb Lymphedema after Breast Cancer Surgery and Nursing Care
Authors: Qian Linlin
Published: September 2021

Objective: To evaluate and analyze the influencing factors of upper limb lymphedema after breast cancer surgery, and to study effective nursing intervention measures. Methods: 500 cases of early breast cancer patients from October 2017 to December 2020 were selected, all patients underwent surgical intervention, retrospectively analyzed the basic clinical data of patients, and statistically analyzed the influencing factors of upper limb lymphedema. All patients with upper extremity lymphedema received high-quality nursing intervention, and the specific nursing effect was analyzed. Results: Logistic regression analysis showed that the risk factors of upper limb lymphedema after breast cancer surgery included hypertension, postoperative upper limb functional exercise, delayed healing of incision, radiotherapy and so on. After nursing intervention, the patients’ elbow 10cm, elbow 10cm, wrist size value and VAS score were better than those before nursing (P < 0.05). The quality of life score of patients after nursing intervention was significantly better than that before nursing (P < 0.05). Conclusion: Hypertension, postoperative upper limb functional exercise, delayed healing of incision, radiotherapy and other factors can induce upper limb lymphedema after breast cancer surgery. Effective nursing intervention can alleviate the condition of patients with upper limb lymphedema and improve their quality of life, which is worthy of comprehensive promotion.
Treating Ulcerative Colitis by Activating Blood Circulation to Dissipate Blood Stasis
Authors: Hu Yi , Yu Tao
Published: September 2021

Ulcerative colitis (UC) is a worldwide refractory bowel disease with unclear pathogenesis. Its lesions can lead to colorectal cancer over time. UC is classified as “diarrhea,” “dysentery,” and other categories in traditional Chinese medicine. Its etiology and pathogenesis in traditional Chinese medicine are complex, but it has been found that blood stasis plays an important role in its occurrence and development. Combined with modern research, the relationship between blood stasis and ulcerative colitis is analyzed in this article along with a discussion on the therapeutic effect of activating blood and removing blood stasis on the disease, aiming to provide new ideas for the treatment of UC.
Professor Xiaoyan Wang’s Experience in Treating Tinnitus with Qi Vacuity Pattern by Using Qi Monism
Authors: Yang Linlin , Liu Yihan , Wang Xiaoyan
Published: September 2021

Tinnitus refers to the abnormal sound hallucinations in the ear or inside the skull when the patient lacks outside sound. In recent years, the incidence of tinnitus is increasing gradually, which seriously affects the quality of life of patients. Reducing tinnitus symptoms is one of the main purposes of clinical treatment. Professor Xiaoyan Wang applied the monism of Qi, combined with the dialectics of the six channels and the therapeutic effect was remarkable.
Advances in Modern Pharmacology Research of Tabanus
Authors: Qu Yue , Hu Zhenyuan , Zhao Yue
Published: September 2021

Tabanus is a traditional Chinese medicine. In recent years, various protein active components derived from the Tabanus salivary gland have been explored, and many promising components were found to have therapeutic effect. The rich active components in its salivary gland have pharmacological effects, such as anti-platelet aggregation, anti-inflammatory, anti-infection, immunosuppression, anti-angiogenic, and anti-tumor effects. This paper summarizes findings from the related articles about Tabanus in recent years with a special focus on its pharmacological effects so as to provide reference for its further development and utilization.
Development of Segmentation and Classification Algorithms for Computed Tomography Images of Human Kidney Stone
Authors: Joseph Orobosa , Apena Waliu Olalekan
Published: September 2021

Computed tomography (CT) scan diagnostics procedures adopt the use of image information retrieval system with the help of radiographer’s expertise. However, this technique is prone to errors. Significant height of accuracy is required in healthcare decision support, as 20% of CT scans are associated with error. The application of artificial intelligence (AI) can improve performance level, mitigate human error, and enhance clinical decision support in the context of time and accuracy. The study introduced machine learning algorithm to analyze stream of anonymous CT scans of kidney. The research adopted deep learning approach for segmentation and classification of kidney stone (renal calculi) images in Python (with Keras and TensorFlow) environment. A control volume of data along with 336 kidney stone images were used to train the deep learning network with 10 testing images. The training images were divided into two sets (folders) as follows; one was labeled as STONE (containing 167 images) and the other as NO-STONE (containing 169 images); 10 iterations were performed for model training. The network layers were structured as input layer in the following with 2-D convolutional neural network machine learning (CNN-ML), ReLU activation, Maxpooling, and fully connected (dense) layer including the sigmoid activation layer. The training adopted a batch size of 8 with 10% validation. The output result, upon testing the model, has an accuracy of 90%, sensitivity value of 80% and effectiveness of 89%. The segmentation and classification algorithm model could be embedded in future CT diagnostic procedure to enhance medical decision support and accuracy.
A, The Identifying the hermetic potential of khatami (Altheae officinalis) emergence and seedling growth of wild Pea (Pisum sativum subsp. elatius).
Authors: Khan Bilal Ahmad , Maqbool Rizwan , Parvez Sumbal , Parvez Sumbal , Nadeem Muhammad Ather , Khalid Burhan , Amin Muhammad Mohsin
Published: September 2021

Crop plants release biochemicals into surrounding environment that help in obtaining maximum yield of crop by acting bioherbicide at high concentration and plant growth hormone at low concentration. Therefore, this study was planned at Department of Agronomy in Weed Science Laboratory, University of Agriculture Faisalabad during Winter 2018 to evaluate the allelopathic effects of A. officinalis on weed Wild Pea (Pisum sativum subsp. elatius). The experiments were laid out under completely randomized design (CRD) having three replications. The aqueous extracts of C. verum. were used on radish and wild pea seeds at different concentrations (2.5%, 5%, 10%, 20%, 40% and 80%). Data regarding seed germination and seedling growth (shoot length, root length, shoot fresh weight, root dry weigh) of weed were recorded following standard procedures. Results Reveals that the aqueous extract of A. officinalis at higher concentration (80%) act as bioherbicide and produced inhibitory effects on R. sativus result in Maximum time to 50% germination (6.70 days) and mean germination time (10.00 days) while minimum germination index (4.70), germination percentage (66.60%), shoot length (49.8 cm), root length (8.16 cm), shoot fresh weight (10.00g) and root fresh weight (10.361g). While at lower concentration (10%) it shows hermetic effect and produce maximum germination percentage (90.00%), shoot length (84.7 cm), root length (66.2 cm), shoot fresh weight (82.20 g), root fresh weight (58.30 g) and germination index (8.21%) minimum time to complete 50% germination (4.33 days) and mean germination time (5.49 days) growth. In A. officinalis among different phenolic compound minimum Syringic acid (0.60%) and maximum Quercetion (12.3%) compound was found. Therefore, it was concluded from this study that aqueous extract of officinalis can be used as growth promoter at lower concentration while at higher concentration for environmentally friendly control of weeds.
INSECTICIDAL EVALUATION OF AQUEOUS EXTRACT OF INDIGENOUS PLANTS IN COMPARISON WITH SYNTHETIC INSECTICIDE FOR THE MANAGMENENT OF THRIPS Scirtothrips dorsalis (Thysnaoptera; Thripidae) IN TOMATO CROP
Authors: Usman Amjad , Gul Hina , Karishma Karishma , Zubair Seema
Published: September 2021

Insecticidal evaluation of aqueous extracts of indigenous plant extracts in comparison with synthetic insecticide against Thrips (Scirotothrips dorsalis) on tomato was conducted under natural field condition during spring 2019. Experiment consists of 8 treatments (neem extract, tobacco extract, garlic extract, datura extract, lantana extract, eucalyptus extract, flonicamid (synthetic insecticide) and control following RCB Design with 3 replications. Treatments were applied thrice after 15 days interval. Results revealed that the three times application of the tested treatments showed varying toxicity against S. dorsalis 24, 48, 72 hours and 7 days after spray applications while ladybird beetle and green lacewing were also significantly affected when recorded 7 days after spray application. However, Flonicamid 50%WG proved to be the most effective till 7th and had lowest pest population followed datura and neem extract. neem extract in all the three spray application . Garlic and eucalyptus also produced significant results compared to control. Neem, tobacco, datura and flonicamid were found to be comparatively more hazardous to ladybird beetle and green lacewing population compared to eucalyptus, garlic and lantana to in all three spray application. Tomato yield was highest with flonicamid (12533 kg/ha) followed by datura and neem (11810 kg/ha and 11300 kg/ha) respectively, while lowest (8133 kg/ha) in control. It is concluded from the current research that flonicamid performed better against S. dorsalis but comparatively more hazardous to natural enemies however lantana, garlic and eucalyptus extract showed better result against S. dorsalis and comparatively safe towards natural enemies thus recommended to be incorporated in IPM program.