bluuebunny/crossref_metadata_2025 huggingface dataset:
Monopolar vs. Bipolar Trans Urethral Resection of Prostrate (TURP) - A Comparative Outcome Analysis in Benign Prostatic Hyperplasia - A Single Centre Experience in Western Odisha
Authors: Panigrahi Sucheta , Pattajoshi Acharya Suryakanta , Mahapatra Sanjay Kumar , P Raja Kumar Subudhi , Sahu Biswajit
Published: September 2021

BACKGROUND In this study we wanted to compare the clinical outcomes in terms of symptom improvement and perioperative results of monopolar and bipolar trans urethral resection of prostrate (TURP) for benign prostatic hyperplasia (BPH) and evaluate the advantages of bipolar transurethral resection over the monopolar resection. METHODS A total of 150 patients who underwent trans urethral resection of prostate (TURP) surgical procedure, (n = 75 for monopolar TURP) and (n = 75 for bipolar TURP) for BPH enrolled between December 2018 to November 2020 at the Department of Urology in VSSIMSAR, Burla, Odisha. RESULTS Significant differences were found in operating time in minutes (45.11 ± 4.029 vs 41.99 ± 5.020, P < 0.025) between monopolar and bipolar TURP. The mean sodium falls in post-operative period in bipolar and monopolar TURP was 7 Meq and 3 Meq respectively which was statistically significant (P - value less than 0.05). Bipolar TURP is equally effective as monopolar in reducing the international prostate symptom score (IPSS), improvement in quality of life, maximum urinary flow rate. Trans urethral resection (TUR) syndrome was reported in two patients who had undergone monopolar resection without any incidence in bipolar group. 3 patients in monopolar group developed clot retention compared to 1 in bipolar group in post-operative period. Fall in haemoglobin (Hb) and packed cell volume (PCV) was more with monopolar group but insignificant. CONCLUSIONS Bipolar TURP is safe and equally effective as monopolar TURP with advantage of shorter operative time and absence of dilutional hyponatremia and TUR syndrome, but needs large randomized trials with long follow up to confirm its efficacy and safety. KEYWORDS Monopolar TURP; Bipolar TURP; Benign Prostate Hyperplasia
Transversus Abdominis Plane Block Vs. Paravertebral Block for Post-Operative Analgesia Following Inguinal Herniorrhaphy - A Cross-Sectional North Indian Sub-Population Study
Authors: Chand Trilok , Gupta Amrita , Saxena Avanish Kumar , Agarwal Pulkit , Maheshwari Shanu
Published: September 2021

BACKGROUND Inguinal hernia is a frequently encountered surgical problem. General anaesthesia carries the risk of possible airway complications. Regional blocks improve acute post-operative pain, decrease post-operative visual analogue scale (VAS) score and patient can mobilise early. The purpose of this study was to compare the effectiveness of transversus abdominis plane (TAP) block vs. paravertebral (PVB) block for post-operative analgeia in inguinal hernia surgeries. METHODS We conducted a research on 64 patients of age > 18 years with American society of Anaesthesiologists (ASA I – III) to undergo unilateral inguinal herniorrhaphy. Patients were randomized into two groups. Group T received TAP block in which 20 ml of 0.25 % bupivacaine was injected and Group P underwent PVB in which 5 ml of bupivacaine (0.25 %) at each segment from T10-L1 was injected slowly (total dose of 20 ml). Post-operative VAS score, time for first rescue analgesia, total diclofenac requirement, total anti-emetic requirement and complications if any was noted. RESULTS The demographic data of both the groups were comparable. Also, pre and postoperative heart rate, blood pressure, IV fluids, ephedrine use, operative time and complications were statistically insignificant. As compared to group T, group P had lower VAS score from 2nd – 12th hour which was statistically significant (P < 0.05). Although more time is required to perform paravertebral block but the time for request of first rescue analgesia was quite prolonged in paravertebral block. Time of ambulation in group P was significantly lower than group T. CONCLUSIONS PVB requires more time to perform due to multiple site of injection, the comparison of both techniques in the present study revealed that PVB showed relatively higher efficacy in the management of post-operative pain, early ambulation and had significant reduction in dose requirement of additional analgesia (diclofenac) and antiemetics (ondansetron) over tap block. KEYWORDS Paravertebral Block, Transversus Abdominis Block, Inguinal Hernia
3 Months Old Post-Traumatic Stiff Elbow Following Terrible Triad Injury - A Case Report and Review of Literature
Authors: Sahoo Sisir Kumar , A Ganesh , Oza Nikhil Kumar Sureshkumar , Mishra Spandan , De Indraneel
Published: September 2021

Stiff elbow is a common problem associated with terrible triad injuries which if not managed properly can lead to significant functional limitations. Here we are describing a case of post-traumatic stiff elbow following terrible triad who presented to us after taking native treatment primarily. He was treated with open arthrolysis and prophylactic ulnar nerve decompression along with rigorous physiotherapy including dynamic splinting with hinge elbow bracing. The results were satisfactory in achieving a functional range of movement according to the patient's vocational need. This study aims to present the prompt management of post-traumatic stiff elbow case along with functional improvement postoperatively in a decisive way. Terrible triad injuries are a group of the rare and severely unstable fracturedislocations following which the chance of recurrent instability, elbow stiffness, and functional limitations increases coherently.1 To perform normal daily activities, painless motion at the elbow joint is very much necessary and critical. Following a traumatic insult, a cascade of events can lead to a decrease in the normal arc of motion and also cause stiffness of the elbow joint.2 Over the last two decades, there has been a lot of speculation revolving around the management of terrible triad injuries.3 Van Riet et al had documented that the majority of the terrible triad injuries need to be managed surgically whereas the non-operative treatment is reserved for a few selected cases. 4 The ones which were not managed adequately had higher chances of turning up into stiff elbow. Post-traumatic elbow stiffness is one of the dreaded complications following terrible triad injuries.3 The aim of managing the case of post-traumatic stiff elbow is to have a painless, near-normal range of motion which can help the patient to do daily activities by himself. We are presenting a case of post-traumatic type- 4 stiff elbow following native bandage treatment and how prompt management has led to satisfactory results.
A Cross Sectional Study on the Psychological Impact of Covid-19 Pandemic on Schoolteachers in Andhra Pradesh
Authors: Godasi Ganga Raju , Mohammed Abdul Salaam , Donthu Raj Kiran , Nunna Jaya Prakash
Published: September 2021

BACKGROUND COVID-19 is a novel disease caused by Coronavirus. It was declared a pandemic by WHO in March 2020. To reduce the impact of the disease lockdown was imposed by various governments. This has a psychological impact on various groups of people. Schoolteachers are no less affected. There is scarcity in our understanding of the psychological impact among schoolteachers. This study is an attempt to understand the psychological impact among schoolteachers. We wanted to study the psychological impact of the COVID-19 pandemic on schoolteachers. METHODS The study was a cross-sectional one and conducted using online Google forms. A total of seventy-nine schoolteachers were included in the study analysis. The data were analysed using R language; nonparametric tests like Mann Whitney U and Kruskal Wallis test were used. The data obtained were tabulated and discussed. RESULTS Nearly half the sample belongs to 46 to 55 years, males constitute 57 %, majority of the participants were married, there was an equal distribution from a rural and urban background and teachers working in Government setup were 86 %. Females had significantly higher levels of depression and stress. Married had significantly higher levels of depression. Moderate to severe levels of depression, anxiety and stress were seen in 2.6 %, 10 %, and 2.5 % of the participants. CONCLUSIONS The study has found an increase in psychological impact among the schoolteachers. But the reported increase is less than that observed during the peak of the pandemic. Females have more depression and stress compared to males. KEYWORDS COVID-19, Mental Disorders, Pandemic, Schoolteachers
Cytopathological Spectrum of Lesions in the Axilla - A Population Based Study from a Tertiary Care Centre in North-East India
Authors: Gatphoh Soram Gayatri , Venkatesh Badrinath , Devi Khagokpam Ambala
Published: September 2021

BACKGROUND The axilla is a triangular space between the lateral wall of thorax and the upper part of arm. The component of axilla can give rise to different diseases ranging from developmental and reactive to neoplastic. Various mesenchymal tissues present in the axilla can give rise to different lesions. Fine needle aspiration cytology (FNAC) is a safe, quick, easy, and a cheap diagnostic tool to decipher the benign or the malignant nature of the swelling. Imaging techniques and FNAC, both used individually or coupled, improve the accuracy of diagnosis and help in avoiding unnecessary invasive procedures. The most common lymph node lesion in axilla is benign reactive lymph node hyperplasia. It is caused by inflammation of the lymph nodes or the adjacent organs, such as the breast or lung. METHODS The present study is a retrospective review of swellings aspirated from axillary region. FNAC was performed following strict aseptic precautions. Inadequate aspirates were excluded from the study. The aspirated sample was blown on clean glass slides and smears were made using squash preparation. Smears were fixed using air dried and alcohol fixation method. Smears were stained with Giemsa stain, and the alcohol - fixed smears were stained with haematoxylin and eosin and Papanicolaou stains. Cytological smears were evaluated for adequacy, cellularity, type of cells, arrangement of cells and nuclear as well as cytoplasmic features. RESULTS A total of 191 axillary swelling were aspirated during the study period. Out of which 148 (77.5 %) cases were females and 43 (22.5 %) cases were males. Most common lesion was lipoma followed by axillary tail of breast. CONCLUSIONS Various pathological processes may affect the axilla. There is overlap in the imaging findings of these diseases. FNAC is a diagnostic tool which is required for conformation of diagnosis of axillary lesions. KEYWORDS Axillary Swelling, Fine Needle Aspiration, Lipoma
Proportion and Clinical Profile of Thyroid Ophthalmopathy in Patients with Graves’ Disease Presenting at a Tertiary Care Centre in Kerala
Authors: K.Y Liya , Hyder Naina Jabeen , Sidhan Neeta , Ankan Shaji
Published: September 2021

BACKGROUND Thyroid eye disease is a relatively rare condition, with an incidence of 2.9 to 16.0 cases per 100 000 population per year. Approximately 50 % of patients with Graves’ disease (GD) develop clinically apparent thyroid eye disease. It may cause severe damage to vision and orbital architecture. It is the most frequent cause of unilateral or bilateral proptosis in adults. METHODS A cross sectional study of 80 patients with GD was carried out in association with thyroid clinic of Government Medical college Thiruvananthapuram for a period of 1 year from April 2017 to March 2018. Subjects who have a prior diagnosis of Graves’ disease including those who are on antithyroid drugs were included in the study. Patients who are sick due to other systemic diseases like cardiac failure and end stage renal disease were excluded. RESULTS Eighty patients with mean age of 45.31 years were studied. Out of them, 66% were females and 34% were males. Ophthalmopathy was present in 38.8%.Majority had mild and bilateral disease (61.2 %). Only a small percentage had sight threatening disease (6.4 %).The mean age of patients with ophthalmopathy was 47.93. Major population with ophthalmopathy was females. Majority of patients with ophthalmopathy (64.5 %) retained a good visual acuity better than 6 / 9. Lid retraction was the most common manifestation among patients with Graves’ ophthalmopathy that is 74.2% followed by exophthalmos (64.5 %) and eye movement restriction and soft tissue involvement (58.1 %). Diplopia, optic nerve dysfunction were rare (3.2 %). Only 19.3 % patients had active disease according to clinical activity score. Major clinical sign of activity was redness of conjunctiva. Maximum no. of patients with active disease had a clinical activity score of 4. Smoking showed a significant association with the severity of ophthalmopathy. (p value 0.001) There was a significant association between age and activity of disease. (p value 0.021). No association was found between duration of disease with presence or severity of ophthalmopathy. There was no association between co- morbidities with presence or severity of ophthalmopathy. No association was found between hormone status and presence or severity of ophthalmopathy. CONCLUSIONS Our results indicated that the prevalence of ophthalmopathy in our population with GD evaluated at our tertiary care centre was similar to that reported in the Caucasians of European origin. Clinically active and sight threatening ophthalmopathy was uncommon. KEYWORDS Graves’ Disease, Ophthalmopathy
Clinical Profile of Myopic Patients as a Risk Factor for Primary Open Angle Glaucoma - A Prospective Observational Study in Gorakhpur, Uttar Pradesh
Authors: Jaiswal Ram Kumar , Yadav Ramyash Singh , Ranjan Mridula , Wahi Dipti , Rai Chiranji
Published: September 2021

BACKGROUND Myopia is a complex trait including both genetic and environmental factors as well as gene-environment interactions. It has been recognized as a risk factor for development of glaucoma. Both Myopia and raised IOP are known to increase mechanical stress at optic nerve head leading to glaucomatous nerve damage. This study intends to evaluate the clinical profile of myopic subjects and its correlation with Primary open angle glaucoma (POAG). METHODS A prospective observational study done from November 2019 to December 2020 after taking proper informed consent and ethical clearance. 164 eyes of 96 patients studied were divided into three groups, Group 1: low myopia (< -3.00D), Group 2: moderate myopia (-3.00 D to -5.75 D), Group 3: high myopia (≥ -6.00 D). A complete ocular examination was performed. Intraocular pressure was measured using Goldmann applanation tonometer. Visual field analysis using Humphrey automated perimetry was done in patients with suspected primary open angle glaucoma (POAG). Angle parameters and central corneal thickness (CCT) were measured using anterior segment optical coherence tomography (AS-OCT). RESULTS 164 eyes of 96 Myopic subjects were studied with no dropout during study period. Mean age was 46.05 yr. (range: 25-75 yr.). The refraction ranged from -0.50 DS to -17.00 DS. There was no statistically significant difference between Intraocular pressure (IOP), Central corneal thickness (CCT), corrected IOP and Nasal and Temporal Trabecular-iris Angle (TIA) between male and female of same age group. Mean IOP and mean CCT were found to vary significantly with age and with higher degree of myopia. Corrected IOP, Nasal and Temporal TIA increase significantly with higher degree of myopia. Cup-disc ratio (CDR) was found to be significantly higher in patients with moderate to high degree of Myopia. CONCLUSIONS Myopia is an important risk factor for development of primary open angle glaucoma, with its incidence increasing in patients with moderate to high myopia. KEYWORDS Myopia, Primary Open Angle Glaucoma, Intraocular Pressure, Central Corneal Thickness, Trabecular Iris Angle
Prólogo. BioDiseño, Innovación y Transdisciplinariedad
Authors: Arruda Amilton , Langella Carla
Published: September 2021

Este Cuaderno ofrece la oportunidad de revisar la evolución del proyecto bioinspirado a la luz del estado actual del arte, en el que se ubican las aportaciones propuestas, que constituyen los resultados de este camino evolutivo pero también una oportunidad para prefigurar los distintos caminos que conducen al futuro. En la historia de la cultura del diseño, la naturaleza siempre ha ofrecido inspiraciones preciosas, tanto formales como funcionales, capaces de generar nuevas soluciones técnicas y expresivas incluso a problemas de diseño muy complejos.
Symbiotic Design and Natural Systems. Biotechnical Methodologies and Biomorphic Methodologies
Authors: Parra Paulo
Published: September 2021

¿Cómo se extrae el conocimiento operativo de los sistemas biológicos y se aplica rigurosamente en la práctica del proyecto? ¿Podemos hablar de metodologías biológicas, es decir, de metodologías proyectuales de la naturaleza? ¿Y estos métodos se pueden aplicar en metodologías técnicas? ¿Existe un evolucionismo tecnológico igual que el evolucionismo biológico?. La naturaleza siempre ha sido, de múltiples formas, una fuente de inspiración para el hombre. Sin embargo, según el autor, hay dos enfoques fundamentales de estos usos que conviene distinguir aquí. Son, por un lado, un enfoque más estructural y funcional, como Biónica y Morfología Estructural, para lo que se propone el nombre de Metodologías Biotécnicas y, por otro lado, un enfoque más formal, como son los casos de Streamlining y Biodesign, para que se propone con el nombre de Metodologías Biomórficas. Estas dos metodologías son fundamentales en la definición de “Diseño Simbiótico”, que tiene como objetivo identificar los procesos simbióticos aplicados por los sistemas biológicos y proponerlos como elementos importantes en el diseño integrado de sistemas tecnológicos. Desde este punto de vista, la relación entre el ser humano y los objetos se propone como un sistema simbiótico, en el que el Diseño se asume como un elemento articulador. Esta cosimbiosis, que permite una cooperación íntima, reduce la distancia entre los sistemas biológicos y los sistemas tecnológicos y proporciona una nueva unidad de proyecto para el siglo XXI.
Prólogo
Authors: Los Santos Gabriel , Stiegwardt Tomás , Díaz de Sabatés Gabriela , Sabatés Marcelo
Published: September 2021

El camino de la heroína: hacia un nuevo tejido conceptual en el infinito telar narrativo de la red, amplía desde una perspectiva interdisciplinaria e internacional los postulados de los volúmenes anteriores. Este tercer volumen continúa explorando los modelos teóricos y las aplicaciones concretas que reformulan el rol y los atributos de la heroicidad en diferentes narrativas, a través de las distintas maneras en la que se manifiesta la travesía de la Heroína. Nuestro proyecto de investigación, análisis y reflexión va de la mano de los temas pilares de este concepto que son género y diversidad: Es un libro cuyos textos muestran la riqueza y generosidad del pensamiento de las Américas, ya que atraviesa el continente de norte a sur, y suma también producciones académicas de emblemáticas instituciones europeas.
El arte y la diversidad funcional: Nuevos sistemas digitales desde la creación y para la creación
Authors: Cuesta Marta Rico , Durán Domínguez Guadalupe
Published: September 2021

Las tecnologías, a lo largo de la historia, han sido empleadas para mejorar las habilidades y rendimiento de las diferentes acciones o actividades que se plantean las personas; pero este valor se incrementa cuando el individuo prescinde o tiene dificultades para utilizar alguna/s parte/s de su cuerpo; ya sea por dificultades funcionales, anatómicas o fisiológicas, o venga dado por un fallo neuronal que afecte a una, varias o todas las acciones que el ser humano pueda desarrollar. Ante esto, el arte puede ser un vehículo de expresión que canaliza sentimientos y emociones, que visibiliza los diferentes modos de vida y ayuda a mejorarlos; favoreciendo la inclusión y modificando la imagen, en ocasiones estereotipada, que recae sobre las personas con diversidad funcional.
Del genocidio de Ruanda a Black Earth Rising: un viaje al corazón del infierno
Authors: F. Gruber Mónica V.
Published: September 2021

La violencia no se gesta en un país en un abrir y cerrar de ojos; es un proceso que corroe a sus habitantes y los enfrenta en luchas fratricidas. El caso de Ruanda no es una excepción. Se trata de un país africano que había sido colonia belga. Sus colonizadores segregaron a las dos etnias mayoritarias: los hutus (85% de la población) y los tutsis (que representaban el 15 % restante), otorgándole privilegios a estos últimos. En 1956 cientos de ellos fueron masacrados por los hutus. Ruanda declaró su independencia en 1962 y los hutus llegaron de este modo al poder. Un golpe de estado los sacudiría en 1973 y Juvénal Habyarimana –de origen hutu– se proclamó cabeza del gobierno. Los tutsis se organizaron entonces en guerrillas, constituyendo el Frente Patriótico Ruandés (FPR). Las tensiones interétnicas se exacerbaron. Medio millón de ruandeses refugiados hallaron asilo en Zaire, Uganda, Tanzania y Burundi, corrían por entonces los años ’80. En 1993, en un intento por echar paños fríos a la situación imperante, se creó un gobierno de transición en el que se incorporaron ambas etnias. El gobierno y el FPR llegarían finalmente a un acuerdo de paz. Sin embargo, la demora y la resistencia para ponerlo en funcionamiento desembocaron en un atentado contra la vida de Habyarimana, el 6 de abril de 1994. ¿Atentado del Frente Patriótico o de los extremistas del “Poder Hutu” que se oponían al acuerdo? La controversia atraviesa este luctuoso episodio. A lo largo de tres meses –desde abril hasta julio– entre 800.000 y 1.000.000 de personas fueron asesinadas, 250.000 mujeres fueron violadas, 95.000 niños fueron ejecutados y aproximadamente 400.000 quedaron huérfanos en uno de los deleznables genocidios del pasado siglo. Hutus y tutsis, escribirían con sangre esta terrible historia.
Consideraciones dialógicas de los contenidos físicos museísticos convertidos en formatos virtuales a través del diseño
Authors: Mayoral Erika
Published: September 2021

Las exposiciones de los museos en la actualidad constituyen historias con un principio y un desarrollo para llegar a un final, esto facilita la comprensión de una narrativa que fue delimitada previamente para tener un sólido argumento curatorial. Tanto la lectura como el contenido temático de los museos son aspectos posibles de percibir en los discursos expositivos planteados en las salas de exhibición con recorridos que incluyen múltiples objetos junto con soportes audiovisuales tanto analógicos como digitales. A través de una gran labor museológica dichos recintos habilitan espacios para que sus visitantes experimenten, de diferentes formas, tanto los tópicos como las historias que desean narrar, y uno de sus grandes aliados ha sido el diseño. Esta herramienta sintetiza relatos, historias e información de manera eficaz, como por ejemplo, el uso del diseño en las líneas de tiempo. Tal relación dialógica entre el contenido museístico y el diseño ha sido expandida de tal manera que se han llegado a crear museos y exposiciones virtuales, de tal manera que a partir de un “clic” en una computadora o celular es posible dar un recorrido en exposiciones nacionales e internacionales. Esto ha otorgado retos inmensos de adaptación de los relatos museísticos físicos a páginas web con diseños y soportes digitales atractivos que han ido evolucionando junto con la propia tecnología.
STRATEJİK İLETİŞİM VE HALKLA İLİŞKİLER: KIRGIZİSTAN’DA HALKLA İLİŞKİLER UZMANLARININ STRATEJİK ROLÜ BENİMSEMELERİNE YÖNELİK BİR ARAŞTIRMA
Authors: ARTYSHEVA Meerim
Published: September 2021

Halkla ilişkiler yaklaşımı kurumun stratejik paydaşlarını analiz eden, her paydaş grubunun önemsediği konuları belirlemeye çalışan, karşılıklı anlayış ve simetrik iletişime dayanan, kurum misyonu ve hedefleri doğrultusunda hareket eden bir anlayış tarzıdır. Dolayısıyla halkla ilişkiler uzmanları halkla ilişikiler programlarını stratejik iletişim kavrayışı çerçevesinde geliştirmeli ve yürütmelidir. Bu kapsamda halkla ilişkiler uzmanları bir takım stratejik rolleri üstlenmektedir. Stratejik rolleri benimseyen uygulayıcılara halkla ilişkiler stratejisti denir. Bu çalışmanın temel amacı Orta Asya ülkelerinden biri olan Kırgızistan’da halkla ilişkiler uzmanlarının stratejik rolleri ne derece benimsediklerini tespit etmektir. Kırgızistan’da halkla ilişkiler alanının gelişmekte olmasıyla birlikte, ülkede birçok kurumlarda halkla ilişkiler faaliyetleri, alanında eğitim görmüş uzmanlarla yürütülmektedir. Küreselleşme sürecinin eğilimleri, müşteri odaklı anlayıış ve yeni iletişim teknolojilerin büyük oranda kullanılması gibi faktörler de ülke çapında mevcuttur. Bundan dolayı Kırgızistan’daki halkla ilişkiler uzmanlarından stratejik yaklaşım kapsamında çalışmalar yürütmeleri beklenmektedir. Araştırma verileri halkla ilişkiler uygulayıcılarıyla derinlemesine görüşmeler yapılarak toplanmıştır. Veri analizi sonucunda Kırgızistan’da halkla ilişkiler uygulayıcılarının çoğunun stratejik rolleri üstlenmedikleri ortaya çıkmıştur. Ancak araştırma ülkede bu konuda yapılan ilk çalışma olduğu için literatüre katkı sağlama açısından büyük önem taşımaktadır.
The ban on headless XP-movement is not narrow syntactic
Authors: Muñoz Pérez Carlos
Published: September 2021

This paper argues that the ban on headless XP-movement should not be captured in narrow syntactic terms. That is, there is no constraint in the syntactic computation preventing remnant movement of a phrase from which the head has been extracted, i.e., so-called Takano’s Generalization is wrong. This is demonstrated through a case study of the emphatic doubling construction in Rioplatense Spanish, which requires a derivation proceeding exactly along these lines. It is further argued that the relevant prohibition should be stated as a condition that applies at PF: A preliminary conjecture on the nature of this prohibition is also offered.
Determinantes do desempenho esportivo na ginástica de trampolim
Authors: Ferreira Ana Luíza , Carrara Paulo , Oliveira Kerly Priscila Jesus de , Vianna Júnior Newton dos Santos , Werneck Francisco Zacaron
Published: September 2021

Introdução: encontrar crianças com elevado potencial esportivo é uma importante etapa para o processo de formação esportiva, pois é o primeiro passo na descoberta de novos talentos visando o alto rendimento. O objetivo foi investigar os determinantes do desempenho na ginástica de trampolim e sua importância atribuída de acordo com os aparelhos da modalidade. Metodologia: participaram 40 experts (treinadores, gestores e árbitros) de ginástica de trampolim com experiência nacional e internacional. Os experts responderam sobre a importância atribuída aos fatores antropométricos, físico-motor, técnico, tático, psicológico e socioambiental. Avaliaram a importância dos fatores e indicadores de desempenho nos aparelhos trampolim acrobático, tumbling e duplo minitrampolim. Resultados e discussão: os determinantes do desempenho em ordem de importância decrescente foram: físico-motores, técnicos, psicológicos, táticos, antropométricos e socioambientais, com variação entre os aparelhos. Os indicadores de desempenho: massa muscular, velocidade, agilidade, flexibilidade, equilíbrio e força rápida de membros superiores apresentaram diferenças entre os aparelhos. Conclusão: revelou-se a opinião dos experts sobre quais os fatores e indicadores de desempenho são os mais importantes na ginástica de trampolim com implicações na detecção e seleção de talentos.
A educação física na área das linguagens e as relações com a BNCC em tempos de distanciamento social
Authors: Bielavski Jeniffer da Silva , Fernandes Nicolas , Medeiros Francine Muniz , Machado Roseli Belmonte , Fonseca Denise Grosso da
Published: September 2021

Este estudo trata da Educação Física na Área das Linguagens durante as aulas remotas. Objetivo: Compreender como ocorre a organização das aulas de Educação Física, enquanto componente curricular da Área das Linguagens, e quais relações se estabelecem junto a Base Nacional Comum Curricular (BNCC), no Rio Grande do Sul, frente ao cenário do ensino remoto emergencial, consequente à pandemia de COVID-19. Caminhos de pesquisa: De viés qualitativo, realizada com professores de Educação Física atuantes na Educação Básica do Estado do Rio Grande do Sul, através de envio de questionário pelo Formulário Google. A análise das informações indicou duas categorias principais: Educação Física enquanto componente da Área das Linguagens em tempos de distanciamento social e utilização da BNCC pelos professores de Educação Física durante o distanciamento social. Reflexões e considerações: Foi possível identificar que os professores participantes da pesquisa encontraram diversas dificuldades no enfrentamento dos novos desafios impostos pelo distanciamento social. Sobretudo, na forma de planejar e desenvolver um trabalho coletivo com as demais disciplinas da Área das Linguagens, assim como a necessidade de adaptações para que se mantenha um trabalho apoiado na Base Nacional Comum Curricular nas aulas de Educação Física.
Narrativas da floresta
Authors: Lourenço Daphne
Published: September 2021

Eu sou Daphne Lourenço, médica de família e comunidade, carioca, que veio para o Parque Indígena Xingu, localizado no estado do Mato Grosso, para trabalhar no enfrentamento da pandemia de Covid-19. Os relatos a seguir são referentes a experiências em diferentes aldeias do Alto Xingu, porção sul do território, área onde o vírus entrou no parque e se espalhou rapidamente. Por conta da precária rede de atenção à saúde nessa região do país e situações de preconceito contra os indígenas vividas nos hospitais das cidades do entorno do parque, a maioria dos pacientes optou por não sair da aldeia quando doentes, independente da gravidade. Dentro das aldeias os recursos são limitados, temos acesso ao oxigênio e algumas medicações venosas, mas em alguns casos não foram suficientes. Usar o EPI completo e lavar as mãos constantemente também são grandes desafios. O calor e a pouca disponibilidade de água encanada por perto são barreiras no dia a dia. Compartilho um pouco dos meus sentimentos com vocês.
O desencontro das tecnologias
Authors: Cesarino Pedro de Niemeyer
Published: September 2021

Este artigo é um ensaio sobre diferentes concepções de conhecimento e suas relações com aparatos tecnológicos. Através da descrição de uma situação específica (um workshop sobre digitalização da tradição oral organizado por mim para xamãs e professores do povo Marubo da Amazônia Ocidental), este artigo explora as divergências entre a produção xamânica do conhecimento (possibilitada pelos adornos corporais e pelo estabelecimento de conexões de parentesco virtual) e o estabelecimento de arquivos digitais.
Uma gestão escolar compartilhada entre humanos e encantados no colégio estadual indígena tupinambá serra do padeiro (CEITSP)
Authors: LeBouler-Pavelic Nathalie
Published: September 2021

Pretendo nesta apresentação evidenciar o papel dos encantados – principais entidades da cosmologia tupinambá – como “agentes educativos” na educação indígena tupinambá de forma geral, mas também na educação escolar indígena, no âmbito do Colégio Estadual Indígena Tupinambá Serra do Padeiro (CEITSP), localizado na aldeia Serra do Padeiro, na Terra Indígena Tupinambá de Olivença. Apontarei, assim, para o fato de que a transmissão de saberes na Serra do Padeiro, tanto aquela de caráter informal quanto aquela sistematizada no âmbito da educação escolar indígena, é indissociável das ações dos encantados. Ao levar em consideração os trabalhos desenvolvidos tanto no Nordeste brasileiro quanto a literatura referente à Amazônia, evidenciarei como a gestão escolar do CEITSP é compartilhada com os encantados, uma vez que “trabalham”, de várias formas, no/para o Colégio e de que forma além desta particularidade, o CEITSP atende também estudantes não indígenas. Chamarei então a atenção para as relações interétnicas entre Tupinambá e não indígenas, bem como entre humanos e encantados neste contexto.
Cosmopolíticas interculturais
Authors: Durazzo Leandro , Fiori Ana Letícia de
Published: September 2021

Este artigo propõe conexões parciais entre os modos dos Sateré-Mawé, povo do tronco Tupi habitante do Baixo Amazonas, de manejo dos dispositivos de interculturalidade na produção de utopias políticas e educacionais guiadas pelo complexo do Guaraná no contexto da formação no Ensino Superior, e os modos dos Tuxá, do Submédio São Francisco (BA), de, por meio do “complexo ritual da ciência”, articular a autodemarcação de suas terras, projetos de revitalização linguística e o estabelecimento de redes cosmopolíticas heterogêneas. Evidenciamos como projetos políticos e educacionais dos coletivos indígenas, conquanto se enredem pelas constrições das estabilizações jurídico-estatais da sociedade nacional que enquadram enunciados por direitos, acionam também agências múltiplas de diferentes regimes ontológicos, que desestabilizam categorias e promovem encontros os mais diversos. Assim, se os projetos linguísticos e político-pedagógicos dos Tuxá instauram uma dimensão de estudo ao conhecimento da ciência, na qual relações marcadas pela cautela com os encantados, seres mais-que-humanos, são determinantes para o acesso à língua e ao complexo ritual por meio do qual se compreende a força do território; a busca sateré-mawé pelo acesso à universidade potencializa e energiza redes e práticas políticas que se desenrolam há séculos, atualizando os atributos da chefia e ao mesmo tempo modos de relação com os brancos, mediados pelo professor waranã-sese (o guaraná verdadeiro em oposição ao waranã-rana) e prefigurados nas dicotomias inscritas no Puratig (o remo mágico que se encontra em analogias com a Bíblia, as cartilhas escolares e a Constituição Federal). Em ambos os contextos etnográficos, elementos festivos e rituais – a Dança da Tucandeira para os Sateré-Mawé, a ciência para os Tuxá – delineiam enquadramentos interétnicos ao serem performados em diferentes contextos com intensidades distintas, mas também delimitam saberes restritos, esotéricos, para os quais outras concepções de tradução e compreensão se fazem necessárias.
THE RELATION BETWEEN QUALITY AND QUANTITY OF SLEEP WITH BLOOD GLUCOSE LEVELS IN WOMEN CHILDBEARING AGE
Authors: Istigfarin Afdhila , Purwanto Bambang , Sa’adi Ashon
Published: September 2021

Abstract Background: The quality and quantity of sleep can affect blood glucose levels, so it is at risk of hyperglycemia. Hyperglycemia in women childbearing age can affect the cycle of menstruation and fertility. Based on previous research shows that more than half of students have poor sleep quality and found an increase in blood glucose levels in students who sleep less than 7 hours. This study aims to analyze the relationship between quality and quantity of sleep with blood glucose levels in women of childbearing age. Methods: This research method was observational analytic with cross sectional design. The number of samples was 43 students with a purposive sampling technique. The independent variable is the quality and quantity of sleep measured using the PSQI questionnaire, while the dependent variable is the blood glucose level which is checked during fasting for at least 8 hours. Analysis using the spearman rho statistical test. Results: The results showed that 27.9% of students had good sleep quality, including 4.6% with low blood glucose levels and 23.3% with normal blood glucose levels. 72.1% of students have poor sleep quality, including 65.1% with normal blood glucose levels and 7% with high blood glucose levels. The results of the analysis between sleep quality with blood glucose levels obtained rs = 0.345 and p value = 0.023, while the quantity of sleep with blood glucose levels obtained rs = 0.359 and p value = 0.018. Conclusions: The quality and quantity of sleep is significantly associated with blood glucose levels. Women childbearing age should maintain quality and quantity of sleep to prevent increased blood glucose levels. Health workers need to pay attention to the quality and quantity of patient’s sleep especially in women childbearing age.
Inflammation in Depression
Authors: Rahmawati Novi Agung , Karimah Azimatul , Amin Mustafa M
Published: September 2021

Depression is a chronic condition that imposes a substantial burden of disability globally. Three principal neurotransmitters (norepinephrine (NE), dopamine (DA), and serotonin (5-HT)) implicated the pathophysiology and treatment of depression. Clinical studies have found a signiﬁcant association between numerous pro-inﬂammatory cytokines with depressive symptoms, endocrine, and neurotransmitter systems. Here, we detail our current understanding about the role of inﬂammation in depression, the mechanisms that are involved, and show how it is possible to innovate and develop new therapeutics of depression in the ﬁeld of neuroinﬂammation.
Association Between Residence And Disease Incidences In The Dr. Soetomo Hospital Psychiatric Clinic
Authors: Hidayat Firda Fauziah , Khairina Khairina , Utomo Budi
Published: September 2021

Background; The increasing mental disorders prevalence adds countries’ burdens. One of the mental disorder’s risks is residence. There is no research about the relationship between residence and ten most psychiatric diseases in Surabaya. Objective; This research aims to study the relationship between residence and ten most diseases in Dr. Soetomo hospital psychiatric clinic. Methods; This research method using observational-analytic design with a cross-sectional approach in Dr. Soetomo hospital psychiatric clinic. Data were taken from medical records based on inclusion and exclusion criteria. The research used a chi-square test with 95%CI. Results: The dominant districts where research subjects lived were education-related psychiatric examinations in Semampir, paranoid schizophrenia in Sawahan, mental disorders due to brain damage in Sawahan, moderate depressive episodes in Gubeng, MMR in Kenjeran, activity and behavior disorders in Sawahan, hebefrenic schizophrenia in Tambaksari, family-related psychiatric examinations in Tambaksari, atypical autism in Sukomanunggal and Semampir, MADD in Tambaksari. Distribution of patients’ residence based on five regions of Surabaya was East Surabaya as the dominant residence of paranoid schizophrenia, moderate depressive episodes, hebefrenic schizophrenia, atypical autism, MADD; North Surabaya as the dominaNt residence of education-related psychiatric examinations, MMR; South Surabaya as the dominant residence of paranoid schizophrenia, mental disorders due to brain damage, activity and behavior disorders, family-related psychiatric examinations. Chi-square test showed a significant relationship between residence and ten most diseases. Conclusion; There is a significant (goodness of fit) relationship between residence and ten most diseases in Dr. Soetomo hospital psychiatric clinic. Keywords: Mental disorders, Residence, Surabaya City
MANAGEMENT OF DEPRESSION IN CHILDREN WITH LUPUS ERYTHEMATOSUS SYSTEM
Authors: Subiantoro Risza
Published: September 2021

CASE REPORTMANAGEMENT OF DEPRESSION IN CHILDREN WITH LUPUS ERYTHEMATOSUS SYSTEMRisza Subiantoro*, Nining Febriyana**, Lestari Basoeki**, Endang Wasiki** *Participant in Specialist I Psychiatric / Psychiatric Education Program, Faculty of Medicine, Universitas Airlangga / Dr. Soetomo General Hospital, Surabaya, Indonesia Bumi Panua Hospital, Pohuwato, Gorontalo, Indonesia** Psychiatrist (Consultant), Teaching Staff at Department / SMF Psychiatry, Faculty of Medicine, Universitas Airlangga / Dr. Soetomo General Hospital, Surabaya, Indonesia  ABSTRACT            Depression is a comorbid in patients with Systemic Lupus Erythematus (SLE). Depression can affect up to 60% of adolescents who are comorbid. Depression in adolescents is likely many factors, etiology, psychological burden, chronic disease, effects of long term steroid treatment, social, cultural and genetic factors. Depression is frequently associated with poorer treatment outcomes and poor treatment and health care outcomes in individuals with SLE. In this case, we will discuss the available treatment options. Keyword: Child Depression, Erythematous Systemic Lupus, Management.
Fishing Crafts and Gears in Buug, Dumanquillas Bay, Philippines
Authors: Bitantos Bryan L. , Dela Cruz Lovena Grace Amor T. , Natuil Jay Pril M. , Sabado Wellmor John R.
Published: September 2021

Dumanquillas Bay is a body of saltwater and the major source of food located in the Southern Mindanao. It has been observed that marine resources and fish catch in the area are declining. This study assumed that fishing practices affect the decline of marine and fish catch in the bay. A study on the documentation of fishing practices in the area is reported here. Key informant interview (KII), focus group discussion, direct observation and document archival were used. Twenty-three (23) fishing practices were observed in the area. Based on R.A. 10654 or the Philippine Fisheries Code, five (5) fishing practices were identified in the bay which are illegal. These are “pahulbot sa lalum”, “pahulbot sa mabaw”, “panubli”, “panguryente” and “troll” that destroys sea grasses, coral reefs and the sea beds. The illegal fishing practices identified poses a threat to the marine resources. It implies weak implementation of fishing policies among the LGU’s and other concerned government institutions and NGA’s. Capacity building, CEPA campaign and committed implementation of the Philippine Fisheries Code (R.A. 10654) should be implemented by the PAMB and stakeholders in the community to manage the remaining coastal marine resources thereby uplifting the socio-economic status of the coastal community and achieve sustainability.
Travailler en élevage porcin en France : facteurs d’attractivité et contraintes
Authors: DEPOUDENT Caroline , HOSTIOU Nathalie , LE CLERC Lisa
Published: September 2021

En France, 6 720 exploitants et conjoints actifs, et 5 990 salariés travaillent dans les élevages de porcs. Toutefois, le vieillissement de ces exploitants et la difficulté à trouver des salariés rendent primordiale la question de l’attractivité de ces métiers, afin d’assurer le renouvellement des générations. Cet article vise à présenter les conditions de travail des personnes travaillant en élevage de porc et à dégager des pistes d’améliorations. La plupart des éleveurs et salariés travaillent en équipe, avec un niveau de spécialisation croissant avec la taille de l’élevage. La productivité du travail est en hausse avec des charges de travail relativement raisonnables par rapport à d’autres productions animales. Travailler en production porcine relève de plusieurs motivations : entreprendre, travailler avec des animaux, réaliser des tâches techniques. Les conditions de travail offrent un certain nombre d’avantages : régularité dans l’organisation, horaires classiques, travail en équipe, rémunération attractive et localisation des emplois en milieu rural. Toutefois, la répétitivité de certaines tâches ou les contraintes physiques génèrent un risque de troubles musculo-squelettiques. Les remises en question des projets des éleveurs agrandissement, modernisation) ou de l’élevage en général peuvent également être source de stress. Afin de préserver les personnes qui travaillent dans les élevages et d’attirer de nouveaux entrants, il est essentiel d’intervenir sur le plan matériel et relationnel : bâtiments et équipements facilitant le travail, réduction des tensions liées à des projets par un développement des actions favorisant les liens entre agriculteurs, riverains et citoyens.
IL-10-Mediated Refueling of Exhausted T Cell Mitochondria Boosts Anti-Tumour Immunity
Authors: Ryan Dylan , Frezza Christian
Published: September 2021

Immunotherapy has underscored a revolution in cancer treatment. Yet, many patients fail to respond due to T cell exhaustion. Here, an intervention that restores mitochondrial function reversed the exhausted T cell phenotype to promote cytotoxicity and durable anti-tumour responses in vivo.
Euler-Bernoulli Beam Theory: First-Order Analysis, Second-Order Analysis, Stability, and Vibration Analysis Using the Finite Difference Method
Authors: Fogang Valentin
Published: September 2021

This paper presents an approach to the Euler-Bernoulli beam theory (EBBT) using the finite difference method (FDM). The EBBT covers the case of small deflections, and shear deformations are not considered. The FDM is an approximate method for solving problems described with differential equations. The FDM does not involve solving differential equations; equations are formulated with values at selected points of the structure. Generally, the finite difference approximations are derived based on fourth-order polynomial hypothesis (FOPH) and second-order polynomial hypothesis (SOPH) for the deflection curve; the FOPH is made for the fourth and third derivative of the deflection curve while the SOPH is made for its second and first derivative. In addition, the boundary conditions and not the governing equations are applied at the beam’s ends. In this paper, the FOPH was made for all of the derivatives of the deflection curve, and additional points were introduced at the beam’s ends and positions of discontinuity (concentrated loads or moments, supports, hinges, springs, etc.). The introduction of additional points allowed us to apply the governing equations at the beam’s ends and to satisfy the boundary and continuity conditions. Moreover, grid points with variable spacing were also considered, the grid being uniform within beam segments. First-order analysis, second-order analysis, and vibration analysis of structures were conducted with this model. Furthermore, tapered beams were analyzed (element stiffness matrix, second-order analysis). Finally, a direct time integration method (DTIM) was presented. The FDM-based DTIM enabled the analysis of forced vibration of structures, with damping taken into account. The results obtained in this paper showed good agreement with those of other studies, and the accuracy was increased through a grid refinement. Especially in the first-order analysis of uniform beams, the results were exact for uniformly distributed and concentrated loads regardless of the grid. Further research will be needed to investigate polynomial refinements (higher-order polynomials such as fifth-order, sixth-order…) of the deflection curve; the polynomial refinements aimed to increase the accuracy, whereby non-centered finite difference approximations at beam’s ends and positions of discontinuity would be used.
Vibration Analysis of Axially Functionally Graded Non-Prismatic Timoshenko Beams Using the Finite Difference Method
Authors: Fogang Valentin
Published: September 2021

This paper presents an approach to the vibration analysis of axially functionally graded non-prismatic Timoshenko beams (AFGNPTB) using the finite difference method (FDM). The characteristics (cross-sectional area, moment of inertia, elastic moduli, shear moduli, and mass density) of axially functionally graded beams vary along the longitudinal axis. The Timoshenko beam theory covers cases associated with small deflections based on shear deformation and rotary inertia considerations. The FDM is an approximate method for solving problems described with differential equations. It does not involve solving differential equations; equations are formulated with values at selected points of the structure. In addition, the boundary conditions and not the governing equations are applied at the beam’s ends. In this paper, differential equations were formulated with finite differences, and additional points were introduced at the beam’s ends and at positions of discontinuity (supports, hinges, springs, concentrated mass, spring-mass system, etc.). The introduction of additional points allowed us to apply the governing equations at the beam’s ends and to satisfy the boundary and continuity conditions. Moreover, grid points with variable spacing were also considered, the grid being uniform within beam segments. Vibration analysis of AFGNPTB was conducted with this model, and natural frequencies were determined. Finally, a direct time integration method (DTIM) was presented. The FDM-based DTIM enabled the analysis of forced vibration of AFGNPTB, considering the damping. The results obtained in this study showed good agreement with those of other studies, and the accuracy was always increased through a grid refinement.