bluuebunny/crossref_metadata_2025 huggingface dataset:
Quality analysis of water level series obtained by altimetric radar satellite along the São Francisco River
Authors: Martins Luana Kessia Lucas Alves , Maillard Philippe , Pinto Eber José de Andrade , Moreira Daniel Medeiros
Published: August 2021

ABSTRACT Radar altimeters are instruments carried on space missions and allow for determination of heights, particularly in oceans and ice sheets. The use of altimetry data on continental waters involves several challenges, such as the revisit frequency (typically 27 to 35 days), an accuracy of decimeters, data handling and processing, particularly for narrow rivers such as the São Francisco River (width<1km). Radar satellite altimetry has advantages over the conventional in situ monitoring network, including in terms of spatial coverage and global altimetric reference of data. Thus, altimetry data should be used as a complementary and/or alternative source to in situ data. In this context, this study consolidates and evaluates the altimetric series of five different altimetry missions: Envisat in two orbits, Saral, Sentinel 3-A, and Sentinel 3-B. The altimetry water level time series of 17 Virtual stations were compared with leveled gauging stations series to calculate absolute and relative errors. Ultimately, the errors varied from 0.13 m to 0.36 m in the best cases (41%), in line with recent literature. Sentinel-3 satellites showed the best RMSE absolute/relative results: 0.95/0.49 m (S-3A) and 0.96/0.52 m (S-3B). The second best RMSEs was Envisat-X (1.39/0.50 m), then Envisat (1.87/0.56 m) and Saral (1.74/0.60 m).
Physical therapy evaluation in the immediate post-operative period of patients with lower limbs amputation assisted at the hospital bedside
Authors: Sarmento Tuane , Luz Soraia Cristina Tonon da , Oliveira Elaine Ferreira de
Published: August 2021

Abstract Lower limb (LL) amputation compromises the individual's quality of life and functionality, requiring immediate rehabilitation through the assistance of a multi-professional team. This research describes the sociodemographic and physical-functional profile of the LL amputee, evaluated at the hospital bedside in the immediate postoperative period. This is a descriptive and cross-sectional study in which patients from the Unified Health System were evaluated, who underwent LL of any etiology in a public hospital. The collection was designated through notifications from the hospital staff regarding cases of newly amputees, totaling fourteen subjects. The average age of the participants was 44 years old, being 86% male. The etiology of the predominant amputation was automobile trauma due to motorcycle accidents and transtibial level. From the perimetry, it was found that 43% of the individuals presented edema in the stump when compared to the contralateral limb. Regarding stump pain, 93% of subjects reported feeling, while 78% reported feeling phantom pain and phantom sensation. Concerning normal muscle strength in the amputated limb, it was present in only 1% of patients, in contrast to the intact limb was present in 48% of individuals for any muscle group. In bed mobility, 32% of individuals had complete independence. In unipodal orthostatism, no patient was able to stand independently. From the collected data it was possible to conclude that the physical therapist should pay attention to the muscular strength, bed mobility, and static balance of the amputee to avoid muscle contractures and facilitate prosthesis.
“Semente para Luta”: ativismos, direito à saúde e enfrentamentos de pessoas LGBTI na pandemia da covid-19
Authors: Kauss Bruno , Polidoro Maurício , Costa Adriano , Canavese Daniel
Published: August 2021

Resumo Este trabalho investiga como a saúde de pessoas lésbicas, gays, bissexuais, travestis, transexuais e intersexuais (LGBTI) tem sido afetada no contexto da pandemia da covid-19, por meio da percepção de ativistas da sociedade civil organizada, no Estado do Rio Grande do Sul (RS), Brasil. Realizou-se uma análise qualitativa, que reporta dados preliminares de um estudo maior sobre a Política Nacional de Saúde LGBTI. O levantamento foi feito entre maio e julho de 2020, com a aplicação de entrevistas realizadas online. O enfoque se deu sobre as percepções, as experiências individuais e coletivas de ativistas sobre a temática da saúde LGBTI, em meio ao atravessamento da pandemia da covid-19. Constataram-se efeitos sobre a mobilização comunitária; o acesso aos serviços de saúde; a saúde mental; e as situações de violência e proteção social. Conclui-se que as intervenções coletivas de pessoas LGBTI são fundamentais em contextos de crise sanitária e dão suporte à garantia do direito à saúde e preservação de políticas públicas a esta população.
Entre apropiaciones, resistencias e intentos de conversión religiosa. Niños y niñas indígenas ante propuestas escolares católicas en Argentina
Authors: García Palacios Mariana , Szulc Andrea
Published: August 2021

Resumen Desde el comienzo de los procesos de conquista y colonización de los pueblos indígenas en Argentina, la Iglesia Católica desempeñó un rol crucial, destinando gran parte de sus esfuerzos evangelizadores hacia los niños y niñas de tales pueblos. Esto ha implicado en distintas regiones el desarrollo de una red de escuelas confesionales en las que, de diversas maneras, se ha procurado transmitirles conocimientos y significados religiosos. Nuestro propósito en este artículo es analizar comparativamente las propuestas contemporáneas de distintas congregaciones de la Iglesia Católica hacia los/as niños/as mapuche y tobas/qom, indagando, a la vez, los modos en los que los/as propios/as niños/as recepcionan dichas propuestas. Como tales procesos distan tanto de ser homogéneos como de ser lineales, concluiremos planteando una reflexión antropológica sobre los conceptos de apropiación y agencia infantil.
Café-com-leite, piques e gigantes: brincando no acampamento Canaã (MST - DF)
Authors: Belisário Gustavo
Published: August 2021

Resumo Este artigo busca compreender as brincadeiras em sua endogenia (Mafeje, 1971, 1991). A partir das brincadeiras de queimada, do pique-esconde, do dominó com crianças que participam de ocupações do acampamento do Movimento dos Trabalhadores Sem-Terra, busco levar a sério os significados conceituais de café-com-leite, guardar caixão e licença. Argumento que a maneira de pensar as brincadeiras pode mudar perspectivas da disciplina antropológica. O artigo foi desenvolvido a partir de uma etnografia no acampamento Canaã (MST), localizado no Distrito Federal, e na ocupação que o movimento fez na Praça do Buriti para pressionar o governo Rollemberg (2015-2018) por políticas de reforma agrária.
A cidade e as crianças: desenhos e caminhos a partir do Morro do Estado (Niterói, RJ)
Authors: Gonçalves Beatriz Soares
Published: August 2021

Resumo Este artigo propõe interlocução entre os estudos urbanos envolvendo crianças e a reflexão sobre políticas urbanas que considerem as multiplicidades de seus habitantes de forma mais democrática e inclusiva. O artigo aborda metodologicamente o uso do desenho na pesquisa etnográfica, promovendo a análise densa de narrativas e desenhos elaborados por crianças, de 6 a 12 anos (e um adolescente de 13 anos), moradoras do Morro do Estado, Niterói (RJ). O recurso serviu para a comunicação com as crianças e para disparar conversas, as estimulando a refletirem sobre os temas de seu cotidiano e sua visão sobre a cidade. Ao mesmo tempo, produziu conhecimento sobre o bairro, a cidade onde moram, suas ambiguidades e desejos.
“Mãe, Maria nunca existiu! Me chama de João?” Uma análise etnográfica das relações de família e medicalização nas experiências de “crianças trans”
Authors: Costa Novo Arthur Leonardo
Published: August 2021

Resumo Este trabalho se volta às experiências de famílias de crianças que vivem conflitos identitários com as normas de gênero, analisando o caso etnográfico de uma família das camadas médias de Pernambuco no curso de processos de medicalização em torno do diagnóstico de Disforia de Gênero na Infância. O objetivo é refletir sobre as condições sociais e culturais em que explicações e práticas das ciências médico-psi se tornam uma alternativa para reorganizar as relações familiares em torno do conflito vivido pela criança. Exploro, por um lado, a dimensão dos valores de família e infância mobilizados nos conflitos e dilemas da interlocutora e seu filho e, por outro, as práticas de tutela familiar e médica sobre crianças e sobre experiências e identificações de gênero em conflito com as normas sociais.
Educação e arte: dez anos de trajetória do GT24
Authors: Pereira Marcos Villela
Published: August 2021

RESUMO O trabalho apresenta um panorama do Grupo de Trabalho Educação e Arte da ANPEd, a partir do recorte das suas matrizes de referência. Detive meu olhar sobre os objetos ou as temáticas a que se vinculam os trabalhos e as referências utilizadas. Tomado o conjunto de trabalhos apresentados entre 2007 e 2017, da 30ª à 38ª Reunião, visei à identificação dos objetos, das linguagens e das áreas temáticas. Após, inventariei as referências lançadas nos 165 trabalhos, resultando em 3.225 entradas. Por fim, tomando as entradas de autores do campo da educação e arte, busquei identificar as obras mais lançadas. Os achados podem ser tomados como rastros ou indícios das escolhas teóricas realizadas nesse GT. A intenção é conhecer quais as ferramentas teóricas que o GT vem construindo e utilizando nesses dez anos para exercer a crítica, fomentar a criação de conceitos e analisar experiências no campo da educação e arte.
Sociedade da aprendizagem, Instituto Nacional de Cinema Educativo (INCE) e TV Escola: governamento dos sujeitos via curtas-metragens de animação
Authors: Farias Bruno da Mata , Cazetta Valéria
Published: August 2021

RESUMO Abordaremos, neste texto, o limiar das políticas públicas audiovisuais brasileiras com finalidades educativas e escolares. Foram selecionadas duas animações: “H2O”, lançada em 1962 e produzida para o Instituto Nacional de Cinema Educativo (INCE); e “De Onde Vem?”, realizada em 2002 pelos canais de televisão TV Escola e TV PinGuim. Com um intervalo de quarenta e dois anos entre uma e outra, as animações foram analisadas desde suas enunciações verbais e imagéticas com o propósito de evidenciar deslocamentos e rupturas discursivas concernentes à sociedade da aprendizagem. Para tanto, buscamos conectar dois ferramentais teórico-metodológicos, quais sejam, a desmontagem didihubermaniana com a análise discursiva de inspiração foucaultiana.
Status Pemanfaatan Energi Baru Terbarukan dan Opsi Nuklir dalam Bauran Energi Nasional
Authors: Ruslan Ruslan
Published: August 2021

STATUS PEMANFAATAN ENERGI BARU TERBARUKAN DAN OPSI NUKLIR DALAM BAURAN ENERGI NASIONAL. Peraturan Pemerintah Nomor 79 tahun 2014 tentang Kebijakan Energi Nasional (KEN) mentargetkan pemanfaatan Energi Baru Terbarukan (EBT) dalam bauran energi nasional paling sedikit 23% pada tahun 2025 dan paling sedikit 31% pada tahun 2050. Pada tahun 2019 realisasi pemanfaatan EBT baru mencapai 9,15% atau baru mencapai 39,8% dibandingkan dengan target pada tahun 2025. Sementara itu di dalam KEN energi nuklir ditetapkan sebagai pilihan terakhir dalam pemenuhan kebutuhan energi nasional. Penelitian ini bertujuan untuk mengetahui status pengembangan EBT di Indonesia dikaitkan dengan pencapain target yang telah ditetapkan dalam KEN dan opsi pemanfaatan energi nuklir dalam pemenuhan kebutuhan energi nasional. Metode yang digunakan dalam penelitian adalah studi referensi atas data sekunder dari bahan pustaka/publikasi/dokumentasi, untuk selanjutnya dilakukan komparasi terkait studi yang dilakukan tersebut dan dilakukan analisa kuantitatif dan kualitatif atas beberapa indikator atau parameter yang ditetapkan. Hasil penelitian menunjukkan realisasi penyediaan energi primer, pemanfaatan EBT dan penyediaan pembangkit tenaga listrik sampai dengan tahun 2019 masih lebih rendah daripada yang ditargetkan. Untuk mencapai target yang ditetapkan dalam KEN pada tahun 2025 dan 2050 perlu ada perbaikan arah kebijakan dan konsistensi dalam pelaksanaannya. Energi nuklir diperkirakan bisa dimanfaatkan setelah tahun 2030 untuk memenuhi kebutuhan energi nasional dan mengurangi emisi gas rumah kaca.
Penyerapan Karbondioksida Oleh Kolom Molecular Sieve Pada Sistem Pemurnian Helium Dalam Peluit
Authors: Sriyono Sriyono , Kusumastuti Rahayu , Salimy Djati Hoesen , Irianto Djoko , Butar Butar Sofia L , Hafid Abdul , Subekti Muhammad , Setiadipura Topan , Sunaryo Geni Rina
Published: August 2021

PENYERAPAN KARBONDIOKSIDA OLEH KOLOM MOLECULAR SIEVE PADA SISTEM PEMURNIAN HELIUM DALAM PELUIT. Peluit adalah desain konseptual reaktor daya yang dirancang berdasar teknologi High Temperature Gas-cooled Reactor (HTGR), dengan siklus konversi daya tidak langsung. Pendingin primer Peluit adalah gas helium dan harus dijaga kemurniannya dari pengotor CO2 dibawah 0,6 parts per million by volume (ppmv) berdasarkan persyaratannya. CO2 terbentuk karena reaksi oksigen atau air dengan karbon di teras pada saat kejadian water/air ingress. Dampak CO2 terhadap sistem, struktur dan komponen (SSK) adalah terjadinya reaksi dekarburisasi pada tabung steam generator. Dalam sistem pemurnian helium Peluit, komponen penyerap CO2 adalah kolom molecular sieve jenis 5A. Penelitian ini bertujuan mendemonstrasikan simulasi proses penyerapan pengotor CO2 pada kolom molecular sieve sepanjang ketinggian kolom yang dirancang sehingga hasil penyerapan menghasilkan konsentrasi batas maksimal pada pendingin primer tidak terlampaui. Metodologi yang digunakan adalah pemodelan perhitungan dengan software Matlab dengan metode penyerapan adalah metode Henry. Tinggi kolom diasumsikan 200 cm, diameter kolom 50 cm, laju aliran gas helium adalah 5% dari aliran utama pendingin primer setara dengan 3,0 kg/s, dan konsentrasi pengotor CO2 adalah 40 ppmv. Berdasarkan simulasi diketahui bahwa setelah 5 detik, gas helium bersih sudah keluar dari ujung kolom dengan konsentrasi pengotor CO2 tersisa 4×10-5 ppmv. Dengan hasil ini menunjukkan bahwa kolom molecular sieve mampu membersihkan pengotor CO2 dengan efisiensi 99,99% dan dapat disimpulkan bahwa molecular sieve tipe 5A cocok digunakan pada sistem pemurnian helium Peluit.
Detection of COVID-19 case clusters in Québec, May–October 2020
Authors: Lebel Germain , Fortin Élise , Lo Ernest , Boivin Marie-Claude , Tandonnet Matthieu , Gravel Nathalie
Published: August 2021

Objectives

The Quebec Public Health Institute (INSPQ) was mandated to develop an automated tool for detecting space-time COVID-19 case clusters to assist regional public health authorities in identifying situations that require public health interventions. This article aims to describe the methodology used and to document the main outcomes achieved.

Methods

New COVID-19 cases are supplied by the “Trajectoire de santé publique” information system, geolocated to civic addresses and then aggregated by day and dissemination area. To target community-level clusters, cases identified as residents of congregate living settings are excluded from the cluster detection analysis. Detection is performed using the space-time scan statistic and Poisson statistical model, and implemented in the SaTScan software. Information on detected clusters is disseminated daily via an online interactive mapping interface.

Results

The number of clusters detected tracked with the number of new cases. Slightly more than 4900 statistically significant (p ≤ 0.01) space-time clusters were detected over 14 health regions from May to October 2020. The Montréal region was the most affected.

Conclusion

Considering the objective of timely cluster detection, the use of near-real-time health surveillance data of varying quality over time and by region constitutes an acceptable compromise between timeliness and data quality. This tool serves to supplement the epidemiologic investigations carried out by regional public health authorities for purposes of COVID-19 management and prevention.
Aspergilloma and Idiopathic Pulmonary Fibrosis: A Rare Coexistence
Authors: BİRCAN Haci Ahmet , AKCAN Ahmet
Published: August 2021

Pulmonary aspergilloma (mycetoma) usually is a

saprophytic fungal infection due to aspergillus species

which is colonized and grows into pre-existing cystic/

cavitary lesions resulting from pulmonary tuberculosis

or fibrotic sarcoidosis, or other fibro-cavitary diseases

including interstitial lung diseases. Idiopathic pulmonary

fibrosis (IPF) is a rare, chronic, progressive

fibrotic lung disease, characterized by the histological

pattern of usual interstitial pneumonia. Heavy smoker,

diabetic, a 69-year-old male patient was admitted to

our clinic with complaints of dry cough, fever, dyspnea

on exertion and weight loss. The diagnosis was made

as coexisting of pulmonary aspergilloma and IPF according

to findings on HRCT. Hereby, we wanted to

present this rare case regarding of coexisting of the

development of Aspergillus infection and idiopathic

pulmonary fibrosis in the light of the literature.
İzmir Orman Bölge Müdürlüğü fıstıkçamı (Pinus pinea L.) meşcereleri için gövde hacim tablolarının düzenlenmesi
Authors: ÖZÇANKAYA Niyazi , BATUR Mustafa , KİRACIOĞLU Özgür
Published: August 2021

Bu çalışmada İzmir Orman Bölge Müdürlüğü (OBM) sınırları içinde kullanılmak üzere, varlığı ve ekonomik değeri ile önemli bir orman ağacı türü olan fıstıkçamı (Pinus pinea L.)’nın tek ve çift girişli dikili kabuklu gövde hacim tabloları düzenlenmiştir. Bu amaçla, İzmir OBM genelinde 275 adet örnek ağaçta ölçü yapılarak gerekli veri elde edilmiştir. Ağaçların 44’ü kontrol, 231’i model geliştirme grubu olarak ayrılmıştır. En uygun hacim için modellerin belirlenmesinde Ortalama Hata, Ortalama Mutlak Hata, Hataların Standart Sapması, Açıklanan Varyans Yüzdesi, Toplam Hata Yüzdesi, Ortalama Mutlak Hata Yüzdesi ve Ortalama (Vasati) Ayrılış Yüzdesi gibi başarı ölçütleri yanında artık değerlerin analizlerinden yararlanılmıştır. Seçilen hacim modellerinin, α=0,05 anlam düzeyinde İzmir OBM fıstıkçamı ormanlarında kullanımlarının uygun olduğu anlaşılmıştır. İzmir OBM tek girişli gövde hacim tabloları “logV=β0+β1*logd+β2*(logd)4+β3*(1/d)”, çift girişli gövde hacim tabloları ise “logV=β0+β1*log(d2h)+β2*(1/(h+6))2+β3*(1/dh)” denklemleriyle düzenlenmiştir.
Akdağ kütlesinin bazı toprak özelliklerinin model tabanlı dağılım haritaları
Authors: CELİK Nejat , ÖZKAN Kürşad , MERT Ahmet , TÜRKKAN Mehmet
Published: August 2021

Bu çalışma Kütahya-Simav yöresinde yer alan Akdağ Kütlesi’nde bazı fiziksel toprak özelliklerinin haritalanması amacıyla gerçekleştirilmiştir. Toprak özelliklerinin dağılım modellerini elde etmek için regresyon ağacı tekniği (RTT) kullanılmıştır. Toprak kireç içeriği (10-30 cm), toprak derinliği ve genel toprak taşlılığına ait ağaç modeller elde edilememiştir. Elde edilen ağaç modellerden, hem eğitim seti (ta) hem de test seti (tb) sonuçlarına göre, en yüksek açıklanan varyans (R2) değerlerine sahip toprak özellikleri sırası ile Kil2 (R2(ta)=0,384; R2(tb)=0,313), Kum2 (R2(ta)=0,370; R2(tb)=0,280), Kil1 (R2(ta)=0,495; R2(tb)=0,236) ve Kum1 (R2(ta)=0,404; R2(tb)=0,233) içerikleri olmuştur. Ayrıca bu toprak özelliklerinin tamamına ait ortalama mutlak yüzde hata (MAPE) değerleri kabul edilebilir kestirim geçerliliği anlamına gelen 50 değerinin altında kalmıştır. Diğer toprak özelliklerinin ağaç modellerinde eğitim ve özellikle test R2 değerleri düşük veya çok düşük çıkmıştır. RTT ile elde edilen dağılım modelleri çalışma alanı boyunca yaygınlaştırılmış ve böylece toprak özelliklerine ait dağılım haritaları çıkartılmıştır.
Production of Docosahexaenoic Acid, DHA using Different Modes of Cultivation by Aurantiochytrium sp. SW1
Authors: Syed Abdul Rahman Shariffah Nurhidayah , Kalil Mohd Sahaid , Abdul Hamid Aidil
Published: August 2021

Thraustochytrids, such as members of the genus Aurantiochytrium, are rich in docosahexaenoic acid (DHA, C22:6n-3) and represent a promising source of omega-3 fatty acids which plays a vital role in the enhancement of human health, particularly for neurological and visual functions. Different modes of cultivation (batch, fed-batch and repeated-batch) by Aurantiochytrium sp. SW1 were studied for effective docosahexaenoic acid (DHA) production. In this study, three different modes of fermentation were carried out in 1 L shake flasks with a working volume of 500 mL, incubated at 30 ºC and 200 rpm. Batch cultivation significantly exceeds the rest of cultivation modes, achieving maximal lipid and DHA concentrations of 11.22 g/L and 5.87 g/L, respectively, and DHA productivity of 0.061 g/L/h. Lipid and DHA concentration of the repeated-batch process decreased through the cycles for all three different types of replacement ratio (80, 90 and 95%). The average decrease percentage of DHA concentration for cycle one and cycle two were 21.76 and 32.52%, respectively. However, the fatty acid composition of lipids obtained in the cycles remained consistent with 16:0 and DHA being the most abundant fatty acids indicating that this mode of fermentation is highly useable for industrial applications.
Potential of Hibiscus sabdariffa Linn. Polyphenol-Rich Extract in Improving Diabetes-Induced Vascular Functional and Structural Abnormalities in Rats
Authors: Jubaidi Fatin Farhana , Zainalabidin Satirah , Lai Ying , Mohammed Yusof Nur Liyana , Budin Siti Balkis
Published: August 2021

Hibiscus sabdariffa Linn. contains a high concentration of polyphenolic compounds and shows potentials in reducing vascular complications in diabetes mellitus (DM) patients. This study was aimed to determine the ability of H. sabdariffa Linn. polyphenol-rich extract (HPE) in improving vascular endothelial dysfunction and attenuating oxidative stress in type 1 DM. DM was induced in adult male rats and the rats were then divided into three groups; untreated DM (DM); DM with HPE supplementation (DM+HPE); and DM with metformin (DM+MET). Another group of non-diabetic rats served as the normal control group. These rats were left untreated for four weeks before being subjected to the supplementations for another four weeks. The thoracic descending aorta was isolated from the treated and untreated rats to measure the vascular reactivity, oxidative stress, and morphological alterations. The results showed that HPE supplementation significantly reduced the systolic blood pressure (SBP) and mean arterial pressure (MAP) in the DM+HPE group (p<0.05). HPE also showed a tendency to improve endothelium-dependent vasorelaxation compared to the untreated diabetic rats. Rats treated with HPE exhibited a considerable improvement in the activities of antioxidants and significantly attenuated oxidative damage (p<0.05). Histological findings showed that HPE supplementation improved morphological changes in the aorta. In conclusion, HPE supplementation reduces vascular abnormalities in DM condition probably via amelioration of oxidative stress.
Fast Improvised Influential Distance for the Identification of Influential Observations in Multiple Linear Regression
Authors: Midi Habshah , Sani Muhammad , Ismaeel Shelan Saied , Arasan Jayanthi
Published: August 2021

Influential observations (IO) are those observations that are responsible for misleading conclusions about the fitting of a multiple linear regression model. The existing IO identification methods such as influential distance (ID) is not very successful in detecting IO. It is suspected that the ID employed inefficient method with long computational running time for the identification of the suspected IO at the initial step. Moreover, this method declares good leverage observations as IO, resulting in misleading conclusion. In this paper, we proposed fast improvised influential distance (FIID) that can successfully identify IO, good leverage observations, and regular observations with shorter computational running time. Monte Carlo simulation study and real data examples show that the FIID correctly identify genuine IO in multiple linear regression model with no masking and a negligible swamping rate.
Resuming Clinical Teaching in the Era of COVID-19: Experiences and Protocols from a Dental School in Malaysia
Authors: Hussin Mohd Zamri , Farook Mohideen Salihu , Mohd Nor Nor Azlida , Hariri Firdaus , Kadir Kathreena , Zakaria Nor Nadia , Hassan Muhammad Kamil , Wan Hassan Wan Nurazreena
Published: August 2021

The rapid spread of the global pandemic COVID-19 had challenged the Malaysian Healthcare and Education Systems. Teaching and learning at dental schools across the country were drastically changed to online approach as the nation enforced Movement Control Order (MCO). However, translation of psychomotor skills still require hands-on approach to produce competent dentists upon graduation, but most dental schools were not prepared for the prevention of COVID-19 transmission that require more strict cross infection protocol. The aim of this paper was to describe the response by a dental school in Malaysia to COVID-19 in modifying the clinical teaching and learning, infrastructure, facilities, and clinical services, and enhancing the infection control protocol through risk assessment of COVID-19 transmission and prevention strategies. The paper also discusses the limitations of our approach, challenges in providing clinical services and supervision as well as implications of changes to our practice. In conclusion, COVID-19 has modified the delivery and implementation of clinical teaching and learning in Malaysia. However, within the limited fund and resources, dental teaching institutions need to adapt to the new normal clinical environment in order to ensure that dentals students graduate on time with sufficient clinical training.
IoT based a Smart Home Automation System Design: Simulation Case
Authors: ÖZDOĞAN Erdal , DAŞ Resul
Published: August 2021

Today, solutions developed with the Internet of Things have started to find more and more application areas to make human life easier. Internet of Things solutions, which include many different types of new technologies, will be very useful to use simulation tools before prototyping for the most appropriate technology selection. In this study, IoT-based smart home design applications have been developed and analyzed. In this context, 3 different scenarios have been developed for smart home automation system design in the Cisco Packet Tracer simulation environment, and the use of tools has been demonstrated with examples according to different scenarios.
Pemetaan sebaran dan deskripsi potensi obyek Wisata Umbul di Kabupaten Klaten
Authors:   Universitas Widya Dharma Klaten, Ria Anggraheny Kunthum , Farista Aristin Nevy ,   Universitas Lambung Mangkurat, Yuni Kartika Norma ,   Universitas Lambung Mangkurat
Published: August 2021

Tourism is an important sector in improving the economy of a region. Klaten Regency is known as 1001 umbul regency, of which the umbul tourism object is spread over 26 districts. This study aims to identify the distribution and potential of umbul tourism objects in Klaten Regency. This research is a quantitative approach with survei method, using spatial analysis, namely GIS and analysis of scoring and classification. Based on the results of this study, the distribution of umbul tourism objects in Klaten Regency is spread over seven districts, which form a straight line and are still in one aquifer network. The internal potential have high value, namely Umbul Brintik, Susuhan, Pelem, and Ponggok. The high external factors are owned by Umbul Susuhan,Ponggok, and Pelem. The potential for a combination of internal and external factors with a high value is owned by Umbul Brinta, Susuhan, Pelem, and Ponggok. Umbul Gedaren and Jolotundo still have moderate potential. Umbul Gedaren and Jolotundo still needto improve every element in internal and external factors so that these two tourism objects can be develop optimally. The potential of this umbul tourism object, if it is developed optimally, will later be useful for the people around the tour which can later improve the economy and welfare of the community.
Peran lingkungan keluarga dalam mengembangkan wirausaha muda
Authors:   Universitas Negeri Malang, Rohmah Adi Khofifatu , Idris Idris
Published: August 2021

The development and maturity of a person's business is influenced by many factors. Many factors also influence the development of pilot businesses that are started and carried out by students. One of the factors that play an essential role in influencing young entrepreneurs can come from their parents or family environment. This article aims to identify and how the family's role in motivating and developing young entrepreneurs' potential. This research is a qualitative descriptive study. In-depth interviews carried out data collection. The data obtained were then analyzed using interactive analysis techniques, which consisted of 4 stages: data collection, data reduction, data presentation, and concluding. The results showed that entrepreneurial students who had sufficiently developed businesses received much support from their families. Parents' role as a form of support for their children in entrepreneurship is social, instrumental, emotional, and other support. The concrete form of this support is supported in providing facilities for business development, accompanying and assisting the business carried out by their children, giving permission and trust in children. These results can be used as knowledge and input to parents about how they should support children in entrepreneurship.
America’s Failing Trade War With China: A Focus on Fentanyl
Authors: Hamilton Corinna K.
Published: August 2021

As this article will explain in detail, much of the fentanyl reaching the hands of Americans comes from The People’s Republic of China (“China”). However, as seen by the rise in overdoses, most efforts to control the invasion of fentanyl have been unsuccessful. Although the federal and state governments have attempted to curtail this crisis by imposing sanctions and urging China to regulate production and shipping of the substance, fentanyl continues to flood the streets of the U.S. Moreover, the economic interdependence between the two nations complicates the matter. Because of this interdependence, the U.S. must take control of the situation. The U.S. fentanyl problem will persist if Americans are not dissuaded from using the drug. We must focus on the demand, rather than the supply. This comment focuses on the rise of opioids and synthetic pain relievers, and the variety of attempts at decreasing the number of addicts and overdoses. Initially, the comment will discuss the history of the popular drug opium, opiates, and prescription opioids, discussing state and federal attempts at curbing the crisis that the U.S. faces. It will address the rise of synthetic opioids, such as fentanyl, and how and why it was created. Section two will discuss how fentanyl and its precursors are imported into the U.S. from China. Section three will discuss U.S. federal and state attempts at legislation to control the flow of fentanyl into the U.S. Section four will address the implications, or perhaps fuel to the fire, that the influx in the supply of fentanyl from China has had on trade relations, and how the trade linkage between the two nations obfuscates the situation. The comment will conclude by hypothesizing how the U.S. and China will recalibrate their relationship and recommend that to combat the fentanyl emergency, the U.S. needs to take steps to offer Americans with drug addictions the assistance they need.
Consideraciones bioéticas para la investigación científica de plantas medicinales contra el cáncer en México
Authors: Sánchez-Aguirre Oscar Antonio , Linares-Márquez Pascual , Sánchez-Medina Alberto , Cano-Asseleih Leticia Margarita
Published: August 2021

El presente artículo de reflexión revisa aspectos bioéticos en estudios científicos de plantas utilizadas en medicina tradicional para el tratamiento del cáncer en México. El conocimiento de las plantas medicinales documentadas en la medicina tradicional se relaciona con enfermedades como el cáncer. Esta enfermedad presenta altas tasas de mortalidad en el mundo, lo que incrementa la necesidad de nuevos fármacos para la quimioterapia. Aquí las plantas medicinales juegan un papel importante. Así, al ejecutar un estudio de plantas medicinales se deben considerar aspectos bioéticos fundamentales para la medicina tradicional como el muestreo, el estudio fitoquímico y biológico en líneas celulares de cáncer, basándose en la normatividad vigente, en estándares internacionales del Instituto Nacional del Cáncer y, principalmente, en los cuatro principios básicos de la bioética. Concluimos que es tarea de la comunidad científica avalar o desmentir el uso tradicional de las plantas medicinales para el tratamiento de enfermedades. El estudio de especies vegetales debe cumplir criterios donde la teoría, la investigación y la práctica ofrezcan soluciones a largo plazo y la protección ética de estas, del conocimiento tradicional y de los pacientes que recurren a esta alternativa.
A Randomized, Double-blind, Comparative Study of the Analgesic Efficacy of Perineural Dexmedetomidine as Adjuvant to Ropivacaine versus Ropivacaine Alone in Ultrasound Guided Saphenous Nerve Block after Anterior Cruciate Ligament Reconstruction Surgery
Authors: Dabir Shideh , Mosaffa Faramarz , Tanghatari Hamed , Hosseini Behnam
Published: August 2021

Background: The saphenous nerve block has been effectively used for pain treatment after knee surgeries, however, a single-shot saphenous nerve block with a long-acting local anesthetic usually provides a relatively short duration of postoperative analgesia. Dexmedetomidine is a highly selective alpha-2 adrenoceptors agonist and its perineural injection as an additive to local anesthetics has been shown to improve postoperative analgesia. The aim of this prospective, randomized double-blind study was to evaluate the effects of adding dexmedetomidine to ropivacaine on the quality of postoperative analgesia with ultrasound-guided saphenous nerve block after anterior cruciate ligament reconstruction surgery of the knee.
Methods: 40 ASA class I–II patients undergoing arthroscopic anterior cruciate ligament reconstruction surgery under general anesthesia were randomly divided into 2 groups of 20 patients each. At the end of surgery, ultrasound-guided saphenous nerve block was performed with either 10 ml ropivacaine 0.5% alone, or 1 µg/kg dexmedetomidine added to 10 ml of ropivacaine 0.5%. The total volume of injected solutions was increased to 12 ml by adding normal saline. The postoperative pain scores as well as fentanyl consumption through intravenous patient-controlled analgesia pump, hemodynamic parameters, sedation scores, and adverse effects were assessed every 1 hour to 6 hours and then every 2 hours to 24 hours.
Results: There were significantly lower postoperative pain scores in the ropivacaine plus dexmedetomidine group compared to ropivacaine alone group at all postoperative measured time points. The total amount of fentanyl consumption and sedation scores after surgery was significantly higher in group ropivacaine alone than in group ropivacaine plus dexmedetomidine. Systolic blood pressure and heart rate within 24 hours after surgery were significantly lower in the dexmedetomidine+ ropivacaine group than in the ropivacaine alone group. However, no bradycardia and hypotension were detected in any of the patients.
Conclusion: Perineural administration of 1 µg/kg of dexmedetomidine as an adjuvant to ropivacaine 0.5% for ultrasound guided saphenous nerve block significantly reduced pain scores and opioid requirements in the first 24 h after ACLR surgery compared to ropivacaine alone without any significant side effects.
Incidence and Management of Postoperativ Nausea and Vomiting: A Narrative Review
Authors: Khan Zahid Hussain , Hadi Anmar Hasan
Published: August 2021

Background: Postoperative nausea and vomiting (PONV) is viewed as nausea and/or vomiting or retching that occurs in the Post- anesthesia care unit within the first 24–48 h after surgery. The incidence of these adverse reactions is between 30 and 80% following elective surgery based on the type of surgery and anesthesia, and predisposing patient risk factors. The most commonly used criteria in the perioperative assessment of the risk-score is Apfel which is a tool to evaluate PONV. The risk-score depends on Four variables: female gender, PONV history or motion sickness, postoperative opioids, and smoking status.  
Methods: Currently available evidence on MEDLINE, PubMed, Google scholar and Cochrane Evidence Based Medicine Reviews, in addition to the citation reviews by manual search of new anesthesia and surgical journals related to management post-operative nausea and vomiting were searched.
Results: This review of recent studies showed incidence and management of post-operative nausea and vomiting and way to prevent or reduce its incidence by using monotherapy or combination antiemetic therapy, multimodal approach and by using optimal anesthetic technique for reducing baseline risk PONV.
Conclusion: The causes of PONV are complex and multifaceted. Patient (gender, individual background, and medical condition); anesthesia type; and surgical procedure are all risk factors for PONV. PONV is better treated by preventing and/or minimizing PONV risk factors, as well as using prophylactic antiemetics in high-risk patients. There is no one PONV antiemetic drug or technique that is 100% appropriate for all patients at this time. If the first anti emetic is unsuccessful, a 2nd or 3rd anti emetic that targets a specific mid brain emetic receptor location may be needed. PONV prophylaxis should be considered for patients who have a low to high chance of contracting the virus, according to the scoring system. The patient may be treated with monotherapy or combination treatment of anti emetics, as well as non pharmacologic approaches and therapies to reduce baseline risk, depending on the severity of risk. A targeted multimodal solution beginning in the preoperative phase is more likely to ensure progress in the management of PONV, which increases patient care satisfaction while still being cost-effective.
Anaesthetic Management in a Child with Cutis Laxa for Bilateral Ureteric Reimplantation
Authors: Ramachandran Haripriya , Venkataramaiah Bhagya Dammaningala
Published: August 2021

Cutis laxa is a rare congenital multisystem connective tissue disorder. Patients with cutis laxa can present with distinctive facial features, pulmonary emphysema and right-sided heart failure. Anaesthetic management is important because of difficult airway and respiratory/cardiac abnormalities. We have reported the preoperative evaluation and anaesthetic management of a child with Cutis laxa with right cleft lip and palate.
Emergencies in Covid 19 Parturients: Anesthesia Concerns and Lessons Learnt
Authors: Panse Neha Amey , Adate Kavita Udaykumar , Maske Ketki Annasaheb , Dabral Nidhi Rajesh
Published: August 2021

Obstetric emergencies have always put the anaesthetist on nerves. More so in this era of novel coronavirus pandemic managing obstertric cases in emergency has been a diverse challenge. COVID 19 parturients presenting in emergencies have prompted us to redesign the strategies regarding their management.
Here we report a series of three obstetric cases presenting as emergency and emphasize on anaesthesia concerns in these COVID-19 positive parturients.
Effect of Oral Care Protocol on Dental and Gingival Plaque Index in Patients With Endotracheal Tube Admitted to the Intensive Care Unit
Authors: Ghaempanah Ali , Payami Bosari Mitra , Amini Abolfazl , Faghihzadeh Soqrat , Aghazadeh Zahra
Published: August 2021

Oral health is one of the most critical aspects of nursing care in critically ill patients. The study aimed to investigate the effect of oral health protocol on dental and gingival plaque index in patients with endotracheal tubes admitted into the ICU. This double-blind clinical trial was conducted on 70 patients admitted into ICU randomly by tossing a coin, and 35 patients were assigned to each of the experimental and control groups. Oral care was performed in the experimental group using the chlorhexidine (CHX) solution, toothpaste, and oral moisturizer protocol; in the control group, according to the routine method, 0.2% CHX was used twice a day. The data were collected at the time of inclusion and four days later, using the MGI and the O'Leary dental plaque index. The mean ages in the experimental and control groups were 38.4±14.4 and 41±14.5 years, respectively. In the experimental and control groups, 77% and 83% of the subjects were male, respectively. After the intervention, the mean gingival index in the experimental and control groups was 0.59±0.31 and 0.90±0.41, and the plaque index was 42.53±15.97 and 53.52±11.9, respectively. The differences before and after the intervention in each group and the difference between the two groups in both gingival and dental plaque indices were statistically significant (P=0.0001). The results showed that the oral health protocol was more effective in improving gingival and dental plaque indices than the routine (CHX) method.
The Effect of Sleep Health Education Based on Telephone Follow-up (Tele-nursing) on Sleep Quality Improvement in Postmenopausal Elderly Women
Authors: Moradi Maryam , Noori Reza , Khajavian Nasim , Basiri-Moghadam Kokab , Sadeghmoghadam Leila
Published: August 2021

Background and Objective: Poor sleep is one of the most common problems in old age and menopause. The aim of this study was to investigate the effect of tele-nursing-based sleep health education on sleep quality in postmenopausal elderly women.
Materials and Methods: In this quasi-experimental study, 70 elderly people over 60 years of age who referred to urban community health centers of Gonabad City, Iran, and met the inclusion criteria were selected through a systematic sampling and were equally assigned into control and intervention groups. Participants completed a questionnaire that included the demographic questionnaire and Pittsburgh Sleep Quality Index (PSQI). After completing the pre-test in the intervention group, the sleep health education program was conducted as a face-to-face training session and a telephone follow-up during two months (12 follow-ups). The control group received routine health care. Post-test was performed in both groups after 2 months.
Results: We did not find any significant difference between two groups at bassline variables. Besides, there was no statistically significant difference in the mean score of sleep quality before intervention in the experimental and control groups (P = 0.127), the mean score of sleep quality after the intervention showed a significant difference between the two groups (P < 0.001).
Conclusion: The sleep health education program based on telephone follow-up can improve the sleep quality of postmenopausal elderly women. Therefore, teaching this non-pharmacological approach to health care workers, staff of community health centers, and caregivers is recommended to improve the sleep quality of postmenopausal elderly women.
Effectiveness of Internet-Based Cognitive-Behavioral Therapy for Insomnia during Quarantine of Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic: A Controlled Trial
Authors: Farrokhi Hossein , Shid Anbarani Behnaz , Seyyedzadeh Seyyed Iman , Taghavi Bojnordi Atiyeh , Amini Mahnaz
Published: August 2021

Background and Objective: In the late 2019, an acute respiratory syndrome [severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)] resulted in a pandemic coronavirus disease (COVID-19). This study was designed to compare the efficacy of internet-based cognitive behavioral therapy for insomnia (ICBT-I) with online relaxation training for management of insomnia during SARS-CoV-2 pandemic.
Materials and Methods: This controlled trial was conducted on adults (18-65 years) with the complaint of insomnia who called psychology call centers in Mashhad, Iran, from March to June 2020. Participants with insomnia symptoms starting after SARS-CoV-2 pandemic who had Insomnia Severity Index (ISI) scores of ≥ 15 were included in the study. Five weekly sessions of ICBT-I as the intervention were compared with 5 weekly online relaxation training sessions in the control group. ISI before and after 5 weeks of follow-up was compared in both groups.
Results: From a total cohort of 144 subjects included in the study, 98 were excluded and the remainder were allocated to 23 cases and 23 control subjects. During follow-up period, 5 individuals (21.7%) dropped out in each group. The mean ISI scores improved after therapy (20.6 to 8.5 and 21.8 to 13.0 for intervention and control groups, respectively).
Conclusion: ICBT-I significantly improved insomnia severity during home quarantine of SARS-CoV-2 pandemic. We suggest that ICBT-I could be an effective and feasible alternative in pandemic of an infectious disease. Clients accepted ICBT-I with a minor drop-out in our study.
Percepción del clima laboral de docentes y funcionarios de una Institución Educativa Municipal de la Ciudad de San Juan de Pasto
Authors: Matabanchoy Tulcan Sonia Maritza , Chaucanes Guerrero Jose Luis
Published: August 2021

El presente estudio evalúa la percepción del clima organizacional en docentes y funcionarios pertenecientes a una Institución Educativa Municipal en San Juan de Pasto mediante un diseño de tipo cuantitativo descriptivo con corte transversal, para ello se empleó el Instrumento del Departamento Administrativo de la Función Pública DAFP con una muestra conformada por 204 funcionarios entre docentes y directivos. Los resultados muestran que las variables Administración del Talento Humano y Medio Ambiente Físico se presentan como aspectos por mejorar; por otro lado, los factores que se presentan como fortalezas son: la Capacidad Profesional seguida por Trabajo en grupo y Estilo de Dirección. Se concluye que conocer las fortalezas y debilidades que hacen parte del clima de la organización es indispensable para generar estrategias de prevención e intervención, así como también potenciar y optimizar aquellos elementos que influyen de manera positiva con el fin de que favorezcan al bienestar de los funcionarios mejorando el clima organizacional y la calidad educativa.
Efecto de una guía de intervención grupal en las habilidades sociales, en una muestra de adolescentes colombianos
Authors: Frost Cruz David , Madero Valle Alejandra , Salomon Meza Sthefany Maria , Velasco Pinzón Diana María , Riveros Munevar Edgar Fernando , Méndez Sánchez Carolina
Published: August 2021

El objetivo del presente estudio fue determinar el efecto de la guía de intervención “Habilidades Sociales en Adolescentes, una Guía de Intervención Grupal diseñada para adolescentes de 12 a 17 años”, en una institución educativa pública en el municipio de Chía, Colombia. La muestra de participantes estuvo conformada por 56 jóvenes, que fueron divididos en un grupo experimental a quienes se les aplicó la guía, y un grupo de comparación, quienes no recibieron ningún entrenamiento. Se realizó aplicación pre-test y pos-test de la Lista de Chequeo de Habilidades Sociales de Goldstein a ambos grupos con el fin de determinar los efectos de la guía. Los resultados arrojaron diferencias significativas en las medidas del grupo experimental, evidenciándose una mejora en las habilidades sociales en este grupo, mientras que en el grupo comparación no se evidenciaron cambios significativos, demostrando la eficacia de la guía, recomendando su replicación en otros contextos.