bluuebunny/crossref_metadata_2025 huggingface dataset:
Enzymatic Synthesis of Human Milk Fat Substitute - A Review on Technological Approaches
Authors: Abdi Hasibuan Hasrul Abdi , Sitanggang Azis Boing , Andarwulan Nuri , Hariyadi Purwiyatno
Published: August 2021

Human milk fat substitute (HMFS) is a structured lipid designed to resemble human milk fat. It contains 60–70 % palmitic acid at the sn-2 position and unsaturated fatty acids at the sn-1,3 positions in triacylglycerol structures. HMFS is synthesized by the enzymatic interesterification of vegetable oils, animal fats or a blend of oils. The efficiency of HMFS
synthesis can be enhanced through the selection of appropriate substrates, enzymes and
reaction methods. This review focuses on the synthesis of HMFS by lipase-catalyzed interesterification and provides a detailed overview of biocatalysts, substrates, synthesis methods, factors influencing the synthesis and purification process for HMFS production. Major challenges and future research in the synthesis of HMFS are also discussed. This review can be used as an information for developing future strategies in producing HMFS.
A Bayesian network approach for geotechnical risk assessment in underground mines
Authors: Mishra R. , Uotinen L. , Rinne M.
Published: August 2021

Underground mining gives rise to geotechnical hazards. A formal geotechnical risk assessment can help to forecast and mitigate these hazards. Frequentist probability methods can be used when the hazard does not have many variables and a lot of data is available. However, often there is not enough data for probability distributions, such as in the case of new projects. The risk assessment is often subjective and qualitative, based on expert judgement. The purpose of this research is to present the use of Bayesian networks (BNs) as an alternative to existing risk assessment methods in underground mines by combining expert knowledge with data as it becomes available. Roof fall frequency forecasting using parameter learning is demonstrated with 1141 sets of roof fall data across 12 coal mines in the USA. The prediction is nearly identical for individual mines, but when multiple mines are evaluated it is difficult to find a single best fit distribution for annual roof fall frequency. The BN approach with TNormal distribution was twice as likely to fit the observed data compared to the Poisson distribution assumed in the past. A hybrid approach using BN combining multiple probability distribution curves from historical data to predict annual roof fall is proposed. The BN models can account for variability for multiple parameters without increasing the complexity of the calculation. BNs can work with varying amounts of data, which makes them a good tool for real-time risk assessment in mines.
Analysis of Patient Handoff between Providers at a Tertiary Urban Medical Center
Authors: Metzinger Candice , Antonios Samer , Kallail K James , Okut Hayrettin , Zackula Rosey , Cline Brianna
Published: August 2021

Introduction. Few studies have quantified the total number of attending and consulting physicians involved in inpatients’ care, and no other research quantifies the total number of all providers participating in inpatients’ care. The purpose of this study was to calculate the number of attending hand-offs, the attending encounter time, and the total number of providers participating in inpatients’ care for all admitted patients at a tertiary urban medical center.

Methods. The study design was an observational retrospective cohort. Subjects included pediatric and adult patients who were admitted to and discharged from Ascension Via Christi St. Francis (AVCSF) in Wichita, Kansas between November 01, 2019 and January 31, 2020. Data were abstracted from the Cerner Electronic Medical Record. Variables included: patient demographics, admitting diagnosis, diagnosis related group (DRG), admission service, and duration of inpatient stay. Provider variables abstracted included provider type and provider specialty. Categorical variables were presented as frequencies and percentages, while continuous variables were presented as means ± standard deviation.

Results. The sample included information from 200 patient charts. Patients’ ages ranged from 5 to 94 years, with a mean of 61 years. Approximately 52% were female and 74.9% were admitted to a surgical service. The length of all inpatients’ stays ranged from less than 1 day to 31 days, with a mean of 4 days. Seventy-six different DRGs were recorded. The most frequent attending specialties for medical patients were hospital medicine, internal medicine, general surgery, and interventional cardiology. Consulting physicians had more patient encounters than any other healthcare provider. For all inpatients, an average of two attending physicians participated in care over the duration of their stay with a range of one to six attending physicians. There was an average of one hand-off between attending physicians. Patients had an average of five consulting physicians, two resident physicians, two physician assistants, and two nurse practitioners during a stay. There was an average of 10 total providers, with a range of one to 46 total providers participating in care.

Conclusions. Understanding the provider data surrounding an inpatient stay is a foundational step in assessing the quality of the provider-inpatient encounter and potential areas for improvement. In this study, the average number of attending physicians and handoffs was reasonable; however, the total number of providers involved in care was relatively high. Assessment of staffing and scheduling requirements by hospital administration could identify areas of improvement to reduce the potential for medical error caused by multiple providers being involved in patient care.
Impacto das medidas de restrição social da pandemia da COVID-19 na participação social de pessoas com htlv-1: estudo transversal
Authors: Nascimento Hayre Santana , Nélo Vívian de Jesus Silva , Fonseca Erika Pedreira da , Matos Isabela Guimarães
Published: August 2021

INTRODUÇÃO: O vírus linfotrópico de células T humana tipo 1 (HTLV-1) é classificado como retrovírus e pode estar diretamente associado às doenças neurológicas. Por ser uma doença negligenciada pelas autoridades sanitárias e governamentais num panorama mundial, ainda existe uma carência de evidências científicas que investigam o impacto do HTLV-1 no âmbito da participação social dessa população. OBJETIVO: Analisar o impacto da pandemia da COVID-19 na participação social de indivíduos com HTLV-1. MATERIAL E MÉTODOS: Trata-se de um estudo observacional do tipo transversal realizado com indivíduos com HTLV-1 vinculados à Associação HTLVida. A coleta de dados foi realizada através de entrevistas via videoconferência; a primeira entrevista teve como objetivo explorar as características clínicas e sociodemográficas dos participantes, já a segunda investigou a participação social dos indivíduos comparando dois períodos (antes e durante a pandemia de COVID-19), através da aplicação do Questionário de Integração na Comunidade (QIC). RESULTADOS: Foram entrevistados 11 indivíduos, com predominância do sexo feminino (72,7%), com mediana de idade de 57 (52-66) anos. No que tange os resultados referentes à participação social avaliada pelo QIC, observou-se a manutenção do escore do domínio de integração no ambiente doméstico, uma diferença de 3.00 pontos no domínio de integração no ambiente social, uma diferença de 2.00 pontos no domínio de integração no ambiente do trabalho e escola, além de uma diferença de 6.00 pontos no escore total do QIC. CONCLUSÃO: Identificou-se uma diminuição da participação social de indivíduos com HTLV-1 durante a pandemia da COVID-19, quando comparado ao período prévio de início da pandemia.
Power Losses and Efficiency in Transformers
Authors:   Instytut Napedow i Maszyn Elektrycznych KOMEL, GLINKA Tadeusz
Published: August 2021

Energy efficiency of transformers has been defined in the paper. The continuous progress noted in technology of electrical steel used for transformer laminations results in decreased lossiness and increase of flux density saturation in the core. Therefore, conditions are established for decreasing core weight and, to a lesser degree, decreasing winding weight as well. The examples of idle and load power losses have been provided for distribution transformers manufactured in 1960s and for those manufactured now. The European Commission [8] and European Standards have ruled that further decrease in power losses and increase in efficiency of newly-installed transformers must come into effect by 1st July, 2021.
Nuclei isolation of snap-frozen and cryopreserved ventricles at embryonic day 8.0 - 9.5 for massive single-nuclei RNAseq v2
Authors: Thi Hai Yen Tran not provided
Published: August 2021

A primitive ventricle at embryonic day 8.0 - 9.5 composes of approximately a thousand cells. This protocol describes a pipeline to pool multiple snap-frozen or cryopreserved ventricles and isolate a large number of nuclei for single-nuclei RNAseq. This protocol allows to profile 8,000 - 10,000 single nuclei of ventricles at embryonic day 8.0 - 9.5.
Apodos como nominación. Identificación y constitución de subjetividad en la adolescencia
Authors: Bolaños Diego Fernando
Published: August 2021

Se presentan argumentos y recortes de una experiencia de investigación – intervención de orientación clínica psicoanalítica realizada en Colombia y Argentina (2013 - 2016) con el objetivo de explicar cómo algunas Agrupaciones Juveniles de Ciudad funcionan como dispositivos en la constitución de la subjetividad de adolescentes que las integran. Para ello se diserta sobre nominación, nombre propio y su función, sustitución del nombre, risa y humor; centrándose en la sustitución del nombre con apodos y su relación con laconstitución de la subjetividad se halló que es en el registro de lo imaginario en dónde se ubica el sustento de tal relación e impacto como sucede con el nombre propio y su función y que la risa con despliegue de humor al apodarse están también relacionados con ese sustento.
Ataque de pánico y motivos de consulta en psicoanálisis
Authors: Vargas Castro David Andrés
Published: August 2021

En razón de una investigación que estamos realizando sobre los motivos de consulta en una institución psicoanalítica en la Ciudad Autónoma de Buenos Aires, el presente artículo tiene como propósito plantear la hipótesis de por qué el ataque de pánico se presenta como el motivo de consulta más frecuente. Para ello, iniciaremos con una descripción de la crisis de angustia freudiana y su derivación en el panic attack del DSM, pasando luego a distinguir entre ataque de pánico y otras presentaciones clínicas como fobia, síntoma conversivo y depresión. Finalmente, plantearemos que, en razón de las características del ataque de pánico, éste adviene como causa eficiente para demandar tratamiento.
Anorexia mental y suicidios no violentos
Authors: Vargas Castro David Andrés , Abínzano Rodrigo Valentín
Published: August 2021

En el presente trabajo abordaremos algunas articulaciones entre la anorexia mental y los llamados “suicidios no violentos” en dos momentos de la enseñanza de Lacan. Inicialmente, realizaremos una delimitación de lo “violento” y “no violento” para, en un segundo tiempo, poder abordar la elaboración del suicidio ligada a éste último tipo. Posteriormente, ubicaremos la anorexia en los desarrollos ulteriores de Lacan en torno a la operación de separación. Esto nos permitirá destacar la homología estructural de estas elaboraciones en coordenadas distintas de la enseñanza de Lacan. Finalmente, extraeremos algunas consecuencias éticas de lo planteado para la dirección de la cura de este tipo de presentaciones de padecimiento subjetivo.
Acting out y pasaje al acto. Hacia una ética del acto suicida
Authors: Jiménez Betancourt Raúl Antonio , García Valdez Ricardo
Published: August 2021

El presente artículo es resultado de una investigación doctoral sobre el suicidio en un recorrido que va de Freud a Lacan, siguiendo el hilo conductor de una pregunta que no presupone el deseo de vivir como natural. A partir de la revisión y articulación de tres conceptos (acting out, pasaje al acto y acto) en la enseñanza de Lacan se realiza una propuesta divergente al manto de moral y psicopatologización que se extiende –aun en ocasiones dentro del mismo psicoanálisis– sobre el suicidio. Se franquean los límites de la clasificación para desplegar la superficie hacia una ética del acto suicida.
Las pasiones del ser según Lacan
Authors: Abínzano Rodrigo Valentín , Mazal Nicolás
Published: August 2021

El presente trabajo explora, localiza y repasa las menciones realizadas por Lacan en el correr de su enseñanza sobre las denominadas “pasiones del ser”. Por constituir éste un primer abordaje que conforma una investigación más extensa, se consideró inicialmente ubicar las menciones acompañadas de los efectos realizados por el rastreo. En primer lugar, se introduce el problema de las pasiones para la clínica psicoanalítica y en un segundo lugar se hace serie del rastreo al que referimos previamente, contextualizando las referencias y marcando similitudes y diferencias, en vías de generar un movimiento dialéctico entre las mismas. En un apartado final se exponen las conclusiones y las líneas de trabajo ulteriores.
Clinical management of Hypoplasic Amelogenesis Imperfecta: a challenge for multidisciplinary team. A case report
Authors: Acosta-de Camargo Maria Gabriela , Natera-Guarapo Alfredo Enrique , Mangles† John
Published: August 2021

Amelogenesis imperfecta (AI) refers to a group of rare genetic disorders that involve tooth development and are passed down through families. Hypoplasic AI phenotypes include the absence of enamel as a result of a defect in the secretory stage. This case report describes the diagnosis and treatment of a patient with hypoplastic AI. The clinical implications include sensitive teeth, functional problems, and aesthetic complaining. The diagnosis was done through history, clinical examination and imaging. The intervention was performed by Direct Resin Veneers. This treatment showed to improve occlusion, esthetics, and selfimage of the teenager. The satisfactory clinical result has made it possible to avoid more invasive and expensive treatments.
Os programas de formação de professores da Universidade Estadual Vale do Acaraú (UVA): aportes para refletir sobre A interiorização do ensino Superior
Authors: Campani Adriana , Holanda Virginia Célia Cavalcante de
Published: August 2021

Embora a interiorização do Ensino Superior seja, muitas vezes, discursada como sinônimo de expansão do mesmo, entendemos que ela mereça uma análise mais acurada frente aos seus desdobramentos. Nesse sentido, objetivamos nesse artigo problematizar a ideia de interiorização do ensino superior defendida pela política de descentralização da Universidade Estadual Vale do Acaraú (UVA) iniciada com a oferta de programas especiais de formação de professores a partir da Lei de Diretrizes e Bases da Educação Nacional (BRASIL, nº 9394/1996). Nossos estudos ancoraram-se na análise de documentos oficiais emitidos pelo Conselho Estadual de Educação do Ceará, órgão regulador da UVA, na análise de documentos institucionais, na análise de conteúdo dos discursos proferidos pelo Reitor da instituição e em entrevistas realizadas com parceiros co-gestores que participaram da operacionalização dos programas. Com base nessas fontes foi possível identificar os elementos impulsionadores da política institucional de descentralização e sua dinâmica de operacionalização. Compreendemos que os programas de formação de professores ofertados pela UVA não contribuíram com o fortalecimento da interiorização do Ensino Superior pela ausência de uma política de formação contextualizada, regionalizada e fundamentada em princípios pedagógicos para além da demanda da certificação e pela ausência de um planejamento estratégico institucional que viabilizasse acompanhamento e avaliação dos processos formativos experimentais.
Espacios recíprocos: sinergias entre antropología social y arquitectura. Herramientas para el análisis del verde urbano y el espacio público
Authors: Müllauer-Seichter Waltraud
Published: August 2021

El ensayo se centra en las experiencias de investigación antropológica desarrolladas en los últimos veinte años en diferentes ámbitos geográficos de Europa y América Latina, sobre el espacio verde, el espacio público urbano, el alcance de la participación ciudadana respecto a la toma de decisiones sobre el entorno vital y, finalmente, sobre el derecho legítimo de la opinión de los niños dentro de la modificación de espacios lúdicos. Tras la ejecución de diversos proyectos I+D+I de investigación, la combinación de técnicas y herramientas prestadas de disciplinas afines se analiza con la finalidad de indagar en la calidad de vida, el entorno vital y la percepción de las personas para explorar con éxito cuestiones sobre las convergencias en el espacio y el tiempo, las velocidades y las temporalidades de la ciudad. La idoneidad del uso de estas técnicas se refleja en la aplicación práctica en el marco del Máster en Educación Intercultural que lleva a cabo la Universidad Nacional de Educación a Distancia (UNED, España) con la Universidad Veracruzana (UV, México) y del Máster Universitario en Formación del Profesorado de Educación Secundaria de Ecuador.
La formación universitaria y la sensibilidad humana de frente al futuro
Authors: Varona Domínguez Freddy
Published: August 2021

El razonamiento que se expone en este trabajo se enmarca en la filosofía de la educación. Este estudio se desarrolló mediante la metodología documental, dada por el análisis crítico de textos y de información escrita, apoyado en principios del pensamiento complejo: complejidad versus simplificación, integración, y lucha contra el reduccionismo y la disyunción. Sus categorías básicas son formación universitaria, sensibilidad humana e indiferencia a través de las cuales salieron a relucir dos asuntos de gran actualidad, aparentemente carentes de vínculos entre sí, que llegan a tomar consistencia de tareas apremiantes en el quehacer con los futuros profesionales universitarios: la formación activa e integradora y el ataque a la indiferencia. Las reflexiones acerca de estos temas mostraron que entre ambos hay un aspecto común, la sensibilidad humana. De esta categoría se expone una elaboración teórica original y se destaca su importancia en la sociedad humana actual y en la formación universitaria.
Fundamentalismos, interculturalidad y procesos educativos. Construir puentes en lugar de muros
Authors: Sacavino Susana Beatriz
Published: August 2021

El presente trabajo parte de la realidad de los distintos fundamentalismos que vienen ganando fuerza en nuestras sociedades y sus consecuencias que favorecen actitudes y comportamientos de rechazo hacia los que consideran diferentes, amenazan los derechos humanos y la construcción de relaciones de acogida y respeto entre los distintos grupos sociales. El estudio tiene por finalidad profundizar en el concepto de fundamentalismo e identificar sus diversas modalidades. También propone cómo situarse en relación con esta problemática en la perspectiva de promover una sociedad plural y una educación ciudadana democrática e intercultural.  Integra el proyecto de investigación sobre Interculturalidad, Ecología de Saberes y Prácticas Educativas, desarrollado por el Grupo de Estudios Cotidiano, Educación y Cultura(s) del Departamento de Educación de la Pontificia Universidad Católica de Rio de Janeiro (PUC-Rio), con el apoyo económico del Consejo Nacional de Desarrollo Científico y Tecnológico (CNPq).

Este trabajo está estructurado en dos partes. En un primer momento hace una aproximación a lo que se entiende por fundamentalismo, su surgimiento y la gama plural de fundamentalismos existentes en la contemporaneidad. A partir de ese contexto, en un segundo momento, presenta algunas estrategias educativas para construir puentes de diálogo y acogida mutua entre personas y grupos socioculturales y étnicos distintos, en lugar de levantar muros de odio, rechazo y discriminación. En la conclusión se tejen algunas consideraciones para la deconstrucción de los fundamentalismos, en la perspectiva de afirmación de los derechos humanos y la ciudadanía intercultural.
Títeres en Pantalla: una estrategia metodológica para la expresión creativa y el aprendizaje interdisciplinar
Authors: Restrepo Acevedo Isabel Cristina , Martínez Jaramillo Ana María , Tabares García Alexandra Milena
Published: August 2021

El presente artículo da cuenta de la investigación Títeres, humanos y máquinas, un circuito interdisciplinario para el aprendizaje, el intercambio cultural y la expresión creativa. El objetivo principal fue desarrollar un Teatrino Tecnológico Híbrido (TTH), con el cual se facilitó la creación de títeres, escenarios y personajes entre niños y niñas de 4-9 años. Para ello, se trabajó bajo la metodología de investigación-creación, a través de una ruta procedimental dividida en tres etapas: Laboratorio de exploración, Laboratorio de creación y Laboratorio de implementación. De forma transversal, se desarrollaron mesas de trabajo en las que el grupo de investigadores generó la Estrategia Metodológica Títeres en Pantalla, esta partió de las premisas propuestas por el modelo pedagógico STEAM y que deriva los siguientes componentes: Un TTH, una secuencia didáctica de implementación, una página web y una versión expositiva del TTH. El proceso desarrollado en todas las etapas permitió examinar el potencial de la estrategia Títeres en Pantalla como un espacio de interacción digital que facilita un aprendizaje holístico y conectado con las realidades de los niños y niñas en un ambiente que va más allá del lineamiento de conceptos específicos disciplinares. Asimismo, la estrategia permitió que el niño actuara como sujeto con capacidades para desarrollar individual y colectivamente pensamiento creativo, en la medida en que pudo poner en escena sus reflexiones en un lenguaje sensible. Lo anterior brinda espacios de enseñanza interdisciplinar en los que los niños y las niñas abordan diversos problemas desde la complejidad de los elementos que los definen, un enfoque holístico para la comprensión y resolución de problemas contemporáneos y vigentes.
RACISMO E VIOLÊNCIA OBSTÉTRICA: A PROTEÇÃO INTERSECCIONAL DA MULHER
Authors: Resende Augusto César Leite de , França Júlia Marjorie Lima
Published: August 2021

O número de mulheres vítimas de violência obstétrica cresce de forma exponencial diariamente; estima-se que 62,8% das mortes são de mulheres negras, de modo que revela o racismo institucional nos hospitais. Contudo, o assunto é negligenciado e sua prática não reflete sanções relevantes, mas tão somente indenizações por dano moral. Dessa forma, o presente trabalho científico tem como objetivo principal apresentar, a partir de uma pesquisa doutrinária e legislativa, a viabilização da discussão a partir de uma visão interseccional e defensora dos direitos humanos, além de apresentar argumentos favoráveis à criminalização dessa conduta.
EDUCAÇÃO DOMICILIAR E A (IM) POSSIBILIDADE DE SUA APLICAÇÃO: UMA ANÁLISE DIANTE DO ATUAL CENÁRIO NO BRASIL
Authors: Camargo Caroline Leite de , Ferreira Junqueira Gabriel
Published: August 2021

O presente artigo visa discutir sobre a definição e a prática da educação domiciliar conhecida como homeschooling, analisando a situação atual no mundo e no Brasil, revisando a situação jurídica no país e o que a lei prevê. Será analisado se o tema apresenta legalidade quanto a Constituição Federal, a Lei de Diretrizes e Bases Educacionais (LDB), o Estatuto da Criança e Adolescente (ECA) e aos tratados internacionais ratificados pelo Brasil, além de discutir as mudanças apresentadas na educação em meio a pandemia de Covid-19, e se a regulamentação do homeschooling poderia melhorar a educação no país. Buscará discutir qual o direito e o posicionamento dos pais e do Estado acerca do tema, qual o papel de cada um diante dessa forma de educação, e se esse tipo de ensino é suficiente para atender as necessidades educacionais das crianças, sem prejuízos. A situação jurídica atual brasileira ainda é um pouco omissa acerca do tema, não existindo nenhuma lei específica sobre o homeschooling. Será feito uma revisão literária, buscando a opinião de doutrinadores e estudiosos do tema, reunindo as fontes de pesquisa que darão o embasamento teórico para o projeto e utilizando da análise de autores e doutrinadores, buscando referências para fazer a análise de dados. E também qual a posição dos doutrinadores e do STF em relação ao assunto, para tanto, se fará uso do método dedutivo.
MULHERES VÍTIMAS DE VIOLÊNCIA: COMO OLHAR PARA UM ATENDIMENTO COM FRAGILIDADES
Authors: Martins Veronezi Daiéllen , Costa Joana D'Arc Neves , Rodrigues Soares Flavinéia Cristina , Hiroshi Katsuragawa Tony
Published: August 2021

O presente estudo buscou investigar como os trabalhadores da saúde atuam frente à situação de casos de violência doméstica contra mulheres. A abordagem foi qualitativa e descritiva sobre os procedimentos adotados pela equipe de saúde durante a admissão de casos. Alguns profissionais de saúde relataram que apenas realizam os primeiros socorros e preenchem o prontuário de atendimento, encaminhando a vítima para acompanhamento social e psicológico na rede de saúde, enquanto que outros mapeiam, conjuntamente, a rede de suporte social existente e/ou que se pode acionar, e prestam atendimento ambulatorial e interagem com os demais membros da equipe interprofissionais. As maiores dificuldades assinaladas pelos profissionais de saúde que realizam o atendimento foram a falta de capacitações e a ausência de protocolo interinstitucionais para os casos de violência. O estudo possibilitou verificar que qualquer trabalhador de saúde bem instruído, seja médico, enfermeira, psicóloga, assistente social ou educador, pode acolher as mulheres em situação vulnerável. Além disso, a equipe interdisciplinar no âmbito da saúde, contribui muito para promover a recuperação e o resgate da autoconfiança e autoestima da mulher vítima de violência doméstica. Conclui-se que os profissionais apresentam algumas lacunas e carências referentes ao atendimento das vítimas de violência.

Palavras-chave: Violência doméstica. Saúde pública. mulheres agredidas. equipe interprofissionais.
The Innovation Function of Hybridization in Public Relations
Authors: Hoffjann Olaf
Published: August 2021

From content marketing and corporate publishing to storytelling and brand PR—the literature contains many examples of hybrid structures in strategic communication in general and more specifically in public relations (PR). The question that arises is which problem these hybrid structures solve. This article focuses on a systems theoretical basis on the function of these hybrid structures. Hybridization is understood as a process by which a social system adopts program structures of another system. Hybridization as a strategy assumes an innovation function in systems and facilitates learning. Hybridizations can be observed in PR on two logical levels: Firstly, PR is itself the result of a hybridization process. This is an example of how differentiated systems can originate from hybrid structures. Secondly, like every form of strategic communication, PR suffers from a lack of trustworthiness, attention and relevance of its communication objects. In order to be able to continue to influence decisions in the interest of those described positively, PR unscrupulously adopts structures of journalism, advertising and entertainment.
Disability Narratives in Sports Communication: Tokyo 2020 Paralympic Games’ Best Practices and Implications
Authors: Kolotouchkina Olga , Llorente-Barroso Carmen , García-Guardia María Luisa , Pavón Juan
Published: August 2021

The Paralympic Games have become a relevant social and communication tool for the enhancement of global awareness and understanding of disability. The increasing visibility of this kind of global sports event, as well as the efforts of public authorities to make their host cities more accessible, evidence a relevant shift to new urban barrier-free experiences and discourses concerning disability. This research is guided by an exploratory case study approach to assess the disability representation and narratives within the context of the 2020 Tokyo Paralympic Games. The examination of some innovative communication strategies fostering the visibility of disability reveals a series of effective practices implemented in Japan. The focus on the personification of para-athletes, the celebration of public events to experience first-hand para-sports disciplines, as well as the engagement of school-children and young people in para-sports initiatives are predominant in the communication efforts of Tokyo 2020 in the pre-games period.
Can Pop Culture Allay Resentment? Japan’s Influence in China Today
Authors: Wu Yuqing
Published: August 2021

In China, despite the traumatic collective memory relating to militaristic Japan during World War II, an increasing number of Chinese young adults have developed an obsession with Japanese culture, due to its export of anime, movies, pop music, and other popular culture. Based on interviews with 40 Chinese and Japanese young adults, this work examines how contemporary pop culture and historical war memories related to Japan influenced Chinese young adults, who had to reconcile their contradictory sentiments toward the Japanese government, people, and culture. The success of Japanese pop culture in China also shows how the allegedly apolitical, virtual sphere of entertainment has helped build Japan’s soft power through shaping a cool image of Japan in Asia and worldwide.
Researching the Complex, Hybrid, and Liminal Nature of Contemporary Promotional Cultures
Authors: Somerville Ian , Edwards Lee
Published: August 2021

This thematic issue invited submissions that address the challenges of researching the complex, hybrid, and liminal nature of promotional cultures and the published articles include studies which reflect on the structures, technologies, agents, representations, effects, and ethics of promotion. They are united by a central question: What strategies do we use to explore and attempt to understand the assemblages of technologies, texts, networks, and actors in contemporary promotion? We hope the collection of perspectives gathered here help to address the challenges of researching the digital, excavating promotional ideologies, confronting professions, engaging audiences through academic work, and confronting the risks and realities of research that can equally promote change or speak into a vacuum.
Siverek Bölgesinde Yetişen Kenger (Gundelia tournefortii) bitkisinin Ağır Metal, Fenolikasit ve Antioksidan İçeriklerinin Araştırılması
Authors: DAĞ Beşir
Published: August 2021

Bu çalışmada Kenger (Gundelia tournefortii) bitkisinin, ağır metal, fenolik asit ve antioksidan içerikleri araştı-rıldı. Bitkinin hem kök hem de dikenli kısımlarından olmak üzere toplam 10 örnek alınıp öncelikle, kimyasal yaş yakma işlemi ile çözelti haline getirilip ağır metal ((Arsenik (As), Çinko (Zn), Kadmiyum (Cd), Kobalt (Co), Krom (Cr) Kurşun (Pb), Mangan (Mn), Nikel (Ni), ve Selenyum (Se)) derişimleri İndüktif Eşleşmiş Plazma-Optik Emisyon Spektrometre (ICP-OES) cihazı ile tespit edilerek, literatür verileri ile karşılaştırıldı. Ayrıca, kenger ör-neklerinin fenolik bileşik içerikleri Sıvı Kromatografisi- Kütle Spektrometresi (LC-MS/MS) cihazı ile kantitatif olarak tayini neticesinde 38 fenolik bileşikten, 28 tanesinin tespit edilebilir seviyenin altında olduğu, geriye kalan ve tespit edilebilir düzeyde olan 10 fenolik bileşik içesinde de özellikle kuinik asit (4.572 mg.L-1- 21.28 mg.L-1), ve gallik asit,(0.284, mg.L-1 - 2.182 mg.L-1) değerlerinin yüksek, diğerlerinin ise oldukça düşük seviyelerde seyret-tiği gözlemlenmiştir. Sentetik antioksidanlar (BHA, BHT ve Trolox) kullanılarak, ABTS+ (Serbest Radikal Gi-derme), DPPH (Söndürücü Radikal Giderme) ve İndirgeme Güç Yöntemleri kullanılarak bileşiklerin antioksidan aktiviteleri ölçüldü. ABTS+ ve DPPH yöntemlerinde, antioksidan bileşiklerden serbest radikallere doğru elektron geçişi sağlanarak absorban değeri ile antioksidan güç aktiviteleri ölçüldü. İndirgeme Güç yönteminde ise Fe3+ iyonun Fe2+ iyonuna indirgemesi ile absorban değeri ve antioksidan güç aktiviteleri UV spektrofotometre ciha-zıyla tespit edilerek değerlendirildi
Performance of Grid-Connected Rooftop Solar PV System for Households during Covid-19 Pandemic
Authors: Harahap Partaonan , Pasaribu Faisal Irsan , Siregar Chandra Amirsyah Putra , Oktrialdi Benny
Published: August 2021

As we know, the need for electrical energy is increasing along with population growth and technological developments. This increase was also triggered by the growth rate of the energy demand of 6.86% per year. Most of the energy needs come from non-renewable energy, which has limitations and is not environmentally friendly. Despite being affected by Covid, this period is a momentum to start the direction of clean energy policies. The utilization of solar power can be started by utilizing a rooftop solar power system on the roof of a hotel or on the roof of other industrial buildings. As one of the research and development institutions in the housing and settlement infrastructure sector, it tries to provide alternative technology solutions through an innovative technology called PV-roof. The results of the research show that the designed roof off-grid has an average voltage and current on the first day of 13 Volts and a current of 1.8 A, and on the second day, 12.4 Volts and a current of 1.6 A, while on the third day, 12.8 Volts and current of 1.8 A. If the use of 1 battery bears a load of 450 Watts for 2.7 hours, then for users less than 5 hours, the solar charger controller capacity is 12.12 A.
Pertanggungjawaban Hukum Proksi atas Kejahatan Internasional Melalui “Taylor’s Doctrine”
Authors: Pardede Josua Navirio , Hafizh Muhammad Razib Nur , Asih Wigati Taberi
Published: August 2021

Perkembangan teknologi dan hubungan internasional telah memaksa perubahan fundamental dalam perang atau konflik, dimana perang konvensional dianggap tidak relevan lagi digunakan ketika terjadi konflik antara para pihak yang terlibat (belligerent). Kondisi tersebut menjadikan konsep perang proksi yang dikenal juga sebagai konsep berperang secara tidak langsung (indirect involvemen) menjadi salah satu mekanisme berperang yang paling populer saat ini. Namun, pergeseran teknis-mekanis tersebut tidak menghilangkan fakta bahwa perang merupakan salah satu faktor utama pendorong terjadinya kejahatan internasional yang menjadi ancaman bagi nilai-nilai kemanusiaan universal. Bentuk perang proksi yang tidak langsung, tersembunyi dan cenderung tidak tampak menjadi tantangan bagi penegakan hukum internasional, khususnya dalam memetakan pertanggungjawaban kejahatan internasional yang dilakukan oleh proksi maupun pihak yang melakukan proxy intervention. Dengan menggunakan metode penelitian hukum normatif, penelitian ini melakukan analisis terhadap regulasi, konsep dan doktrin dalam hukum internasional, dalam hal ini “Taylor’s Doctrine” yang menyediakan konsep “aiding and abetting” untuk melihat relasi antara proksi dengan proxy intervention dalam kaitannya dengan pertanggungjawaban atas kejahatan internasional yang telah terjadi.
Reformulasi Pengaturan Sistem Kerja Pegawai Pemerintah Kota Yogyakarta Pada Masa Adaptasi Kebiasaan Baru
Authors: Wardhana Allan Fatchan Gani , Hakiki Yuniar Riza
Published: August 2021

Pandemi Covid 19 berdampak pada sistem dan manajemen kerja birokrasi. Ada perubahan kultur bekerja birokrasi dengan model WFH dan WFO. Sistem manajemen kinerja ASN selama pelaksanaan WFH dinilai belum efektif karena sistem kontrol yang belum terpusat bahkan sebagian sumber daya instansi dinilai belum siap menerapkan sistem WFH, tidak terkecuali di lingkungan Pemerintah Kota Yogyakarta. Kondisi saat ini, tatanan kebiasaan baru yang sedang diterapkan di lingkungan pemerintah telah memaksa seluruh lini untuk beradaptasi. Penelitian ini bertujuan menganalisis kondisi pengaturan dan menggagas reformulasi pengaturan sistem kerja birokrasi di Pemerintah Kota Yogyakarta pada masa adaptasi kebiasaan baru. Dengan metode penelitian yuridis normatif yang menggunakan data sekunder dari hasil studi kepustakaan (library research) dan didukung olahan informasi dari hasil survei dan Focus Group Discussion (FGD), penelitian ini menyimpulkan bahwa pengaturan sistem kerja melalui Peraturan Walikota Kota Yogyakarta Nomor 54 Tahun 2020 tentang Pedoman Tata Kerja Pegawai dalam Tatanan Normal Baru di Pemerintah Kota Yogyakarta mengadopsi 2 (dua) sistem kerja (model blended system), yaitu Work From Office (WFO) sebagai sistem kerja yang dilaksanakan di kantor dan Work From Home (WFH), sehingga guna meraih peluang dalam momentum reformasi birokrasi di masa pandemi, maka penelitian ini memformulasikan kerangka alternatif desain pengaturan sistem kerja WFO yang dikolaborasi dengan WFH sebagai satu kesatuan sistem kerja di Pemerintahan Kota Yogyakarta, yang meliputi penataan metode kerja, penataan jadwal kerja, penataan akses data/dokumen kerja, serta metode pemantauan/pengawasan dan evaluasi kinerja.
COVID-19 associated mucormycosis during the second wave of pandemic in South India
Authors: Thayyil Jayakrishnan , Divakaran Amrutha , Anikkady Navya
Published: August 2021

Background: The incidence of mucormycosis has risen more rapidly during the second wave compared with the first wave of COVID-19 in India. As with the other parts of the country, our state also experience surge of mucormycosis cases among COVID-19 patients admitted in our hospitals. The surge of COVID-19 associated mucormycosis (CAM) which was new for the whole medical community with no prior experience.  In this context a prospective descriptive study was conducted.Methods: The study was done at a public sector tertiary care hospital in Kerala, South India from April to June 2021 prospectively.Results: During our study period of three months total 40 cases were reported with diagnosis of mucormycosis. Sex wise 29 (72.5%) were males and 11 (27.5%) were females. The mean age was 55.8+16 years. Thirty three (83%) cases were confirmed to be CAM by real time reverse transcriptase polymerase chain reaction (RTPCR) test. Thirty one (79%) of them have got associated risk factor diabetes mellitus. Twenty six (65%) had undergone steroid treatment. Other associated risk factors were hypoxia 10 (25%), zinc supplement 30 (75%), steam inhalation 14 (35%), and intensive care unit (ICU) admission 6 (15%). All the cases were rhino orbito cerebral type. Majority 26 (65%) received medical and surgical treatment. The outcome wise 16 (40%) patients were discharged after cure and case fatality rate was 4 (10%).Conclusions: In our study CAM was highly associated with increasing age above 50, diabetes, steroid use and zinc supplementation. The health care workers and patients should be made aware of the importance of glycemic control, over use of steroids.
Evaluation of conservative management in uncomplicated acute appendicitis
Authors: M. Vignesh , Chejara Rajkumar , Arya S. V , Bhatia Ankit , Chaudhary Rohit , Raj Monish
Published: August 2021

Background: Appendectomy has been the treatment for acute appendicitis for years based on the understanding that acute appendicitis always leads to perforation and peritonitis. However, there is growing evidence that a significant proportion of patients can be successfully managed with conservative treatment without developing gangrene or perforation. Conservative treatment avoids discomfort, surgery-related morbidities and minimizes treatment cost.Methods: 60 patients taken up for conservative management were evaluated and followed up for 6 months. Study patients received intravenous antibiotics for 2 days. Repeated clinical and TLC monitoring were done. In patients whose clinical condition did not improve, appendectomy was performed. Follow-up at 10 days, 30 days, 3 months and 6 months were carried out to assess recurrence in conservatively managed patients.Results: In this study, the mean age was 25.65 years with a standard deviation of ±8.96 years. The incidence of uncomplicated appendicitis was 63.3% in males and 36.7% in females. Mean Alvarado score was 7.75 with a standard deviation of ±1.20. Failure of conservative management (conversion to appendectomy) was observed in 11.7% of patients and 4 patients (6.6%) had recurrence within 6 months. The overall treatment efficacy was 81.7%.Conclusions: In many cases, first attack of uncomplicated acute appendicitis can be treated successfully by conservative management. Treatment failure on primary admission as well as short-term recurrence up to six months after conservative treatment is low and acceptable. Incidence of complications like perforation and abscess formation are also statistically low.
Onlay and sublay mesh repair in incisional hernias: our experience from GSL medical college and hospital, Rajahmundry
Authors: Reddy Kovvuri Ramananda , Krishna Bikkina Gopala , Takalkar Anant A.
Published: August 2021

Background: The incidence of post-operative wound infection and wound-related complications due to mesh repair aimed at continuing research into the optimal method of treatment of these hernias. The two operative techniques most frequently used in case of ventral hernia are the onlay and sublay repair. However, it remains unclear which technique is superior. Objectives were to compare the morbidity and complications associated with onlay and sublay mesh repair in the management of incisional hernias.Methods: The present descriptive observational study was carried out in patients admitted in surgical wards at GSL medical college and hospital, Rajahmundry who are clinically diagnosed to have incisional hernia. The study was carried out from January to November 2019. Data was analysed with SPSS 23.0.Results: Seroma was seen in 12% and 8% respectively from onlay and sublay group and this proportion of seroma was more in onlay group as compared to sublay group (<0.05). Postoperative recurrence of hernia was seen in both groups equally. Number of days of hospitalization in sublay group was less as compared to onlay group. Deep surgical site infection (SSI) was seen in 8% and 4% respectively from onlay and sublay group.Conclusions: Sublay mesh repair has a lower rate of post-operative complications than onlay mesh repair, deep SSI leading to infection of mesh is higher in on‑lay mesh repair. Number of days of hospitalization in sublay group was less as compared to onlay group.
Comparison of the effects of volume-controlled ventilation and pressure-controlled ventilation modes on hemodynamics, respiratory mechanics and blood gas parameters in patients undergoing laparoscopic cholecystectomy
Authors: Inal Ferda Y. , Camgoz Yadigar Y. , Daskaya Hayrettin , Sen Oznur
Published: August 2021

Background: This study aimed to compare the changes induced by VCV and PCV modes in hemodynamics, respiration (airway pressures, gas exchange parameters) and metabolism (acid-base balance) in patients undergoing laparoscopic cholecystectomy.Methods: Patients were divided into two randomised groups as volume-controlled ventilation (VCV) group (VC) and pressure-controlled ventilation (PCV) group (PC). The following parameters were recorded at 3 different time points: T1: in supine position 10 minutes after induction of anaesthesia, T2: 15 minutes after CO2 insufflation in inverted Trendelenburg position (head 30 degrees up), T3: 10 minutes after CO2 desufflation. HR, SpO2, SAP (systolic arterial pressure), DAP (diastolic arterial pressure), MAP (mean arterial pressure), PetCO2 (end-tidal carbon dioxide pressure), Ppeak, Pplateau, Pmean, Vt (tidal volume) and compliance with the available data, the cases in both groups Vd, Vd/Vt ratios and P(A-a)O2 were calculated. Arterial blood gas parameters (pH, PaO2, PaCO2, SaO2, P(a-et)CO2) values were recorded.Results: It was found that Ppeak and Pplateau values were significantly higher in the VC group (p<0.05). It was found that compliance was significantly higher in the PC group (p<0.05) (p<0.01). In the postoperative period, it was found that PaO2 values were significantly higher in the PC group compared to the VC group (p<0.05). It was found that the P(A-a)O2 values of the PC group were significantly higher than those of the VC group during the desufflation phase (p<0.05).Conclusions: We think that PCV mode can be a good alternative for the prevention and correction of physiopathological changes due to laparoscopic surgery.
A prospective observational study on efficacy of modified rheumatoid arthritis protocol of rituximab (2000 mg) on patients of pemphigus
Authors: Singh Santosh Kumar , Satyaraj Prannav , Sachan Prasoon
Published: August 2021

Background: Rituximab (RTX), an anticluster of differentiation 20 antibody, targets B lymphocytes, has been shown in open series studies to be effective in treating pemphigus. The objective was to evaluate whether a modified rheumatoid arthritis protocol, in which the patient received four doses of 500 mg of rituximab at an interval of two weeks was safe and effective in pemphigus management.

Methods: It was a prospective observational study in which 46 pemphigus patients included and four doses of 500 mg of RTX at an interval of two weeks given and number of doses required for complete remission (CR), proportion of patient respond partially or doesn’t respond or relapsed after CR.

Results: We enrolled 46 patients in the study, 8 with pemphigus foliaceus (PF) and 38 with pemphigus vulgaris (PV). 20 were male and 26 were female followed up for 15±4.24 months (12-18). All patient responded to therapy. CR of 23 patient after 2 dose OF 500 mg RTX ,of 18 patient after 3 dose, 5 patient partial remission (PR) after 4 doses. All patient were on 100 mg OD azathioprine. PR, all have oral lesions got CR after 3 weeks of 4th dose. 3 patients relapsed MD 11±2.8 months (9-13 months)  and given additional dose of 500 mg RTX and got resolved in 3 weeks.

Conclusions: We found modified rheumatic arthritis protocol for RTX was shown to be effective in treatment of pemphigus patient and relapse cases with additional dose. Immunological assay were not performed to limit the study.

 
Filozoficzne i doktrynalne podstawy socjologicznej analizy osoby ludzkiej w pismach Leona Dyczewskiego
Authors: Jabłoński Arkadiusz
Published: August 2021

In the article I presented selected philosophical and doctrinal foundations of Leon Dyczewski’s thoughts on various aspects of human social life. I answered the question of whether there are any coherent ideological foundations for the sociological reflection of the Lublin sociologist. I argued in favor of the thesis that using the achievements of world sociol-ogy, Dyczewski maintained ideological coherence thanks to taking into account the category of the human person in his analyzes. I showed that he did not avoid certain tensions between treating a person as a person with metaphysical living bases and the sociological dimension of a person seen in relation to other people.
Oligomerization of ethylene to linear α-olefins in the presence of complex catalytic systems based on zirconium carboxylates
Authors: Gadjieva-Etayi K. Sh. , Khanmetov A. A. , Khamiyev M. D. , Bagirova Sh. R. , Seidova Kh. G. , Ibragimova M. D. , Aliyeva R. V.
Published: August 2021

The study considers the process of ethylene oligomerization in a medium of aliphatic and aromatic solvents in the presence of complex catalytic systems based on zirconium carboxylates, which were obtained from the fractions of naphthenic acids recovered from Baku oils and individual carboxylic acids. It was found that the catalytic activity and the molecular weight distribution (MWD) of the produced oligomeric products depend mostly on the solvent nature and the composition of zirconium complex. The ethylene oligomerization rate in the presence of catalytic systems based on zirconium carboxylates is 2–3 times lower in a medium of aliphatic solvents as compared to aromatic solvents; the obtained product has a narrow MWD and consists predominantly of С4-С10 fractions. Oligomeric products obtained in a medium of aromatic solvents have a broad MWD and in the presence of zirconium carboxylates comprise mostly С4-С18, while in the presence of zirconium naphthenates, С12-С18 and С20 fractions.