bluuebunny/crossref_metadata_2025 huggingface dataset:
PENERAPAN PENDEKATAN KONTEKSTUAL MELALUI ZOOM CLOUD MEETING UNTUK MENINGKATKAN PEMAHAMAN KONSEP MATEMATIS
Authors: Sustiningsih Sustiningsih
Published: March 2021

Artikel ini bertujuan untuk meningkatkan kemampuan pemahaman konsep matematis dengan pendekatan kontekstual melalui zoom cloud meeting. Sasaran pada best practices ini adalah pada kelas V SDN Gajahkumpul semester 1 tahun pelajaran 2020/2021 yang berjumlah 15 siswa. Metode yang digunakan adalah deskriptif kualitatif.. Hasil best practices menunjukkan bahwa penggunaan pendekatan kontekstual melalui zoom cloud meeting dapat meningkatkan kemampuan pemahaman matematis. Berdasarkan penilaian rubrik kemampuan matematis, didapatkan hasil sebanyak 67 % atau 10 siswa dapat memahami konsep matematis pada materi debit. This article aims to improve the ability to understand mathematical concepts with a contextual approach through zoom cloud meetings. The target of these best practices is in grade V SDN Gajahkumpul in semester 1 of the 2020/2021 school year, which amounts to 15 students. The method used is descriptive qualitative. Best practice results show that using a contextual approach through zoom cloud meetings can improve mathematical comprehension skills. Based on the rubric assessment of mathematical abilities, 67% or 10 students were able to understand mathematical concepts in the discharge material.
DATAMART BASADO EN EL MODELO ESTRELLA PARA LA IMPLEMENTACIÓN DE INDICADORES CLAVE DE DESEMPEÑO COMO SALIDA DEL BIG DATA
Authors: Zerpa Héctor , García Richard , Izquierdo Henry
Published: March 2021

En un entorno de producción los procesos de toma de decisiones son importantes debido a los impactos que estos generan sobre otros procesos. Para tal fin resulta conveniente acceder a la información almacenada en los grandes almacenes de datos a través de un modelo menos complejo, los Datamarts. Un Datamart permite optimizar el proceso de aprovechamiento de la información, a través del agrupamiento de los factores de interés que inciden sobre un hecho o hechos en particular. Así pues, se realizó una investigación del tipo proyectiva y estableciendo como objetivo general el desarrollo de un Datamart basado en el modelo estrella, orientado hacia los modelos de sistemas productivos agropecuarios. La optimización del proceso de extracción y visualización de los datos almacenados en el Datamart, fue llevada a cabo a través de la implementación de un cubo OLAP. Utilizando herramientas de software como SQL Server Management para el diseño de la base de datos, el entorno de desarrollo integrado Visual Studio para la ejecución y diseño de los procesos de extracción, transformación y carga de los datos, y de Power BI como herramienta de Inteligencia de Negocio para la generación de informes y visualizaciones dinámicas de los indicadores establecidos.

Palabras Clave: datamart, data warehouse, base de datos, inteligencia de negocio.

Referencias

[1].B. Mazon, A. Pan and R. Tinoco. Análisis de Datos Agropecuarios. 1ra. Ed. Ecuador: UTMACH, 2018.

[2].A. De Mauro, M. Greco y M. Grimaldi. “Una definición formal de Big Data basada en sus características esenciales. Revisión de la biblioteca”, Library Review, vol. 65 no. 3, pp. 122-135, Abril 2016.

[3].P. Muñoz. “Desarrollo de una arquitectura de Big Data para registros mercantiles”. Trabajo de grado, UCV, Caracas, 2016.

[4]. Z. Jourdan, R.K. Rainer y T.E. Marshall. 2Business Intelligence: An Analysis of Literature. Information System Management”, IEEE Engineering Management Review, vol. 25, no 2, p. 121-131, Marzo 2008.

[5].W.H. Inmon. Building the Data Warehouse. 3ra. ed. New York: Wiley, 2002.

[6].C. J. Date. Introducción a los sistemas de bases de datos. 7ma. ed. México: Pearson Educación, 2001.

[7]Cubo OLAP. (2020, mayo 10). Wikipedia. [En línea] Disponible en: https://es.wikipedia.org/wiki/Cubo_OLAP. [Último acceso: 13 de marzo de 2020].

[8]B.R. Dario. Data Warehousing: Investigación y sistematización de conceptos. Hefesto: Metodología propia para la construcción de un Datawarehouse. 1ra. ed. Cordoba: Argentina, 2010.
Valoración de propiedades físicas del pet y maderas como alternativa para el uso en fortificación minera
Authors: Feijoo Calle Ernesto Patricio , Núñez Rodas Leonardo Aníbal
Published: March 2021

El siguiente trabajo tiene como objetivo determinar si el polietileno de tereftalato (PET) reciclado, con la adición de agregados finos (arena), es una alternativa efectiva al uso de madera, en estructuras de fortificación en pequeña minería subterránea, evaluando las propiedades físicas de resistencia a la compresión, resistencia a la flexión, resistencia al pandeo y resistencia al corte. Para conseguir este propósito fue necesario el diseño y elaboración de probetas compuestas por el PET reciclado y una carga reforzante de arena utilizada para la construcción, así mismo se elaboraron probetas de las maderas más usadas para fortificación, eucalipto, teca y pino. Los datos y cálculos respectivos permitieron elaborar fichas técnicas en las que se describen la composición, características y observaciones que se recopilaron de cada muestra elaborada y tratada. Los resultados son concluyentes en las diferentes propiedades físicas y se hacen recomendaciones para una nueva etapa de investigación.

Palabras Clave: Fortificación, PET, minería, reciclaje.

Referencias

[1]B. Gnauk, C. Frundt, Iniciación a la Química de los Plásticos, Barcelona, Hanser, 1989.

[2]R. Modernos, Ciencia y Tecnología de los Materiales Plásticos. Madrid, CSIC, 1990.

[3]R. Gómez, J. Gil Bercero, Los Plásticos y el Tratamiento de sus Residuos. Universidad Nacional de Educación a Distancia, 1997.

[4]M. Casanova, W. Vera, W. Leighton, O. Salazar, Guía de Edafología. Santiago, Universidad de Chile, 2004.

[5]I. Vinueza, Ecuador Forestal, http://ecuadorforestal.org/fichas-tecnicas-de-especies-forestales/ficha-tecnica-no-15-eucalyptus-globulus-labill/, 2003.

[6]I. Vinueza, Ecuador Forestal, http://ecuadorforestal.org/fichas-tecnicas-de-especies-forestales/ficha-tecnica-no-6-guayacan, 2012.

[7]E. Criollo, Mejoramiento de la calidad de la madera a utilizar en fortificaciones interior mina, Tesis de Grado, Universidad del Azuay, Ecuador, 2017.

[8]D. Rodríguez, Determinación del Uso de Plástico PET como Alternativa al uso de Madera en Fortificación Minera, Tesis de Grado, Universidad del Azuay,Ecuador, 2018.

[9]A. Rivera, Alternativas del uso de maderas en fortificación minera bajo diferentes condiciones de humedad, Tesis de Grado, Universidad del Azuay, Ecuador, 2018.

[10]A. Botina, Alternativa de uso del PET con agregados (arena) en Fortificación Minera, mediante la caracterización de Resistencia a la Flexión, Tesis de Grado,Universidad del Azuay, Ecuador, 2019.
MENINJAU ULANG SISTEM PEMBINAAN NARAPIDANA KORUPSI DI INDONESIA
Authors: Nimerodi Gulo
Published: March 2021

Indonesia continues to improve its efforts to eradicate corruption which is in fact an extraordinary crime. Corruption requires extra treatment not only in the process of law enforcement but also the process of fostering corruption inmates. So far, the existing laws and regulations have not clearly regulated the concept of good coaching, especially for corruption convicts as a result of corruption inmates are still free to use resources and influence to be able to obtain various facilities that actually conflict with existing regulations. The problems that will be raised in this article are: First, how is the system of guiding corruption inmates in several countries? Second, how is the concept of fostering corruption prisoners better for Indonesia. This article uses a normative approach through the study of literature or literature. This article concludes the model of fostering prisoners in particular corruption prisoners in Penitentiary has not run as expected. Departing from the comparison of prisoner development models in various countries, we need a different approach to fostering models both for public inmates and corruption accordingly. It is necessary to improve and synchronize efforts to foster corruption inmates, both institutional structures, the substance of RI Law No.12 of 1995 and the culture of stakeholders to be able to provide adequate solutions for fostering corruption inmates.
Recurrent venous and arterial thrombosis during anticoagulant treatment in a patient with immune thrombocytopenic purpura exacerbation
Authors: Poparlan Georgiana , Mihalcia Mirela Mihaela , Mitu Ovidiu , Tarniceriu Cristina , Statescu Cristian , Onofrei Viviana , Al Namat Razan , Buburuz Ana Maria , Costache Irina Iuliana , Petris Antoniu Octavian
Published: March 2021

Treatment of patients with immune thrombocytopenic purpura (ITP) associated with recurrent venous and arterial thrombosis can represent a major challenge. We present the rare case of a 56-year-old female who was first diagnosed with severe ITP at the age of 36. She required corticosteroid therapy and splenectomy in evolution. However, in the last three years she had several episodes of recurrent venous thromboembolism for which she required different anticoagulant therapies despite severe thrombocythemia. The patient also developed acute myocardial infarction treated by primary percutaneous coronary intervention that was complicated with acute intrastent thrombosis. Thus, maximal antiplatelet therapy was mandatory. For ITP, the patient received intravenous steroids, platelet transfusion as well as eltrombopag. Moreover, the patient also suffered from a haemorrhagic uterine fibroma that required surgery. Thus, a close multidisciplinary approach was needed for the successful treatment of this patient.
THE ROLES OF PUBLIC LIBRARIES IN INFORMATION SERVICE PROVISION TOWARDS ACHIEVING SUSTAINABLE DEVELOPMENT GOALS IN KADUNA STATE, NIGERIA
Authors:   College of Medical Science, Ahmadu Bello University, Zaria, Umar Musa , Hassan Uman ,   Department of Library & Information Science, Kano University of Science and Technology, Mannir Mustapha ,   Kashim Ibrahim Library, Ahmadu Bello University, Zaria, Abubakar Aliyu ,   The Academy Library, Nigerian Police Academy, Wudil, Kano, Umar Mohammad ,   Arewa House Historical Research Library, Arewa House, Kaduna
Published: March 2021

The United Nations Sustainable Development Goals (SDGs) is explicitly and directly linked to access to information and knowledge. This paper examines the roles of public libraries towards achieving sustainable development goals in Kaduna state. Three objectives were set out to be accomplished by the study. A survey research design was adopted using a questionnaire as a data collection instrument. A total of 2903 registered users of public libraries in the Kaduna State constituted the study population, while the study sample was collected using a stratified sampling technique. A sample of 2038 was drawn from the user population of 2903, where 30% out of the sample was drawn from the six (6) selected libraries, amounting to 611 for questionnaire administration. A total of 433 (71%) questionnaires were duly completed and returned. The findings arising from the study revealed that current awareness service, library instruction services, selective dissemination of information as well as indexing and abstracting were the services provided by the libraries covered by the study. The study also indicated that public libraries are active in achieving the Sustainable Development Goals (SDGs) in Kaduna State. For example, looking at the findings, Sustainable Development Goal 4: i.e. the provision of a safe and inclusive space for lifelong learning was identified as the leading role played by the public libraries covered by the study with 174 (40.2%) responses. SDGs 3: i.e. the provision of health information and literacy to the community on pregnancy, malaria, cholera and SDGs 8: i.e. the provision of training on the use of ICT as well as assistance on online job application processes, were also identified in the study as fundamental roles played by the libraries with the same response rate of 146 (33.7%). While looking at the challenges faced by the public libraries, the study reported lack of funds, lack of current materials, language barrier, lack of trained personnel and lack of Internet access were complained by the respondents as a hindrance to effective use of information resources. Given the above challenges, the study, therefore, recommended that issues relating to funding, staffing, information resources, innovative services, infrastructure all need to be addressed by taking proper measures. When these issues are resolved, it will go a long way towards achieving the (SDGs) in Nigeria and Africa at large.
IMPLICATIONS OF PUBLIC POLICIES ON THE DEVELOPMENT OF SMALL AND MEDIUM SCALE ENTERPRISES (SMES) IN NIGERIA: THE CORONAVIRUS IMPACT
Authors:   Department of Business Administration,  University of Abuja, Abuja, Nana Bature , Onum Ojobi ,   Department of Business Administration,  University of Abuja, Abuja
Published: March 2021

The advent of the coronavirus disease (Covid-19) pandemic brought about a lot of difficulties to businesses especially the small and medium enterprises (SMEs) because of the government’s imposed lockdown and, restrictions on movements and interaction. Thus, several public policies were and are being developed to help sustain and develop these entities. Consequently, this study examined the implications of the Covid-19 pandemic influenced public policies on the organic and internal developments of some selected SMEs in Nigeria, particularly in the Federal Capital Territory, Abuja. The study administered copies of the 5-point Likert scale questionnaire on 250 SMEs randomly but equally selected from five different sectors including ICT, vehicle spare parts, poultry farming, fashion designing, carpentry and woodwork; and 194 copies representing 77.6% were retrieved. Subsequently, the gathered data were analyzed using the simple percentage and version 24 of the multiple regression statistical techniques. Consequently, the study found that the Covid-19 pandemic influenced public policies have significantly impacted on the developments of these selected SMEs in Nigeria. Thus, it was recommended that the government should sustain and improve on related public policies and actions in order to continue to aid the establishments, sustenance and developments of SMEs in the country.
MACROECONOMIC VARIABLES AND STOCK MARKET MOVEMENT IN NIGERIA (1988 – 2019)
Authors:   Department of Business Management, Baze University, Abuja, Nigeria, O. Olaolu , C. Nwankpa ,   Department of Banking & Finance, Nasarawa State University, Keffi, Nigeria
Published: March 2021

The goal of this study was to analyse empirically the effect on the stock market movement of five selected macro-economic variables, including the exchange rate, inflation rate, interest rate, crude oil price, and foreign portfolio investment. For the movement of the stock market, stock market capitalizations were used as a reference. Information from the annual time series covering the period between 1988 and 2019 was used. The analysis started with examining stochastic characteristics of each time series by testing their stationarity using Augmented Dickey Fuller (ADF) test. The findings show that only equity market capitalization and crude oil price was found stationary at level, while the other time series were found stationary at first difference. The bounds cointegration test procedure indicates that the variables have long-run equilibrium relationship amongst themselves. Analysis from the study showed that foreign exchange rate, interest rate, inflation rate, crude oil, and foreign portfolio investment are all significant in determining the performance of equity market capitalisation. They were all found to have a significant effect on stock market movement in Nigeria. Based on these findings, the study recommended that there is need to formulate sustainable macro-economic policies to curtail depreciation of the Naira, high inflation, and interest rate while attracting long-term foreign portfolio investors into Nigeria. Aggressive diversification of the economy should be made from its mono-cultural dependence on oil whose price over which Nigeria has no control.
“END-SARS”AGITATION IN NIGERIA: A CORRELATIVE DISCOURSE OF UZO NWAMARA’S DANCE OF THE DELTA
Authors:   Department of Theatre Arts Education, School of Arts and Social Sciences, Federal College of Education, Technical, Omoku, Onelga, Rivers State, Nigeria, Amiriheobu Frank , Ordua Victor ,   Department of Educational Psychology, Guidance and Counseling, School of Education, Federal College of Education (Technical),  Omoku Onelga, Rivers State, Nigeria, Watts Ekperi ,   Department of Music Education School of Arts and Social Sciences Federal College of Education (Technical) P.M.B 11 Omoku, Onelga, Rivers State, Nigeria, Owunari George ,   Department of Music Education School of Arts and Social Sciences Federal College of Education (Technical) P.M.B 11 Omoku, Onelga, Rivers State, Nigeria
Published: March 2021

Until recent time, the Nigerian space is besieged with issues emanating from “End-SARS” agitation, masterminded by some aggrieved youths who publicly protest to seek redress in fundamental issues that are affecting the Nigerian front in the 21st century. These issues include police brutalities, corrupt governance, hardship, weak political system, incessant killings, poverty, tribalism, divide, and rule system, and suffering. Their means of agitation include public demonstrations, blockade of governmental establishments, and disruption of governmental and non-governmental economic and social activities. This further paves room for hoodlums to acerbate their heinous and malicious acts, which includes likes of youth restiveness, shop breaking, theft, looting, and destruction of properties. These malicious dichotomies unequivocally increase the pain, suffering, hunger, and death of the people and threaten the existence of the Nigerian state. The study, therefore, aims at identifying the cause and effect of “End-SARS” agitation in the Nigerian space, drawing reference from Uzo Nwamara’s Dance of the Delta. To achieve this, Textual Analytical Approach and Social and Behavioural Change Communication Theory are employed as guides. Uzo Nwamara as a new generational Nigerian playwright strives in his plays to address issues of terrorism, youth restiveness, political bigotry, and tribal sentiments. Amongst the major suggestions, the study insists that job opportunities should be made available to the Nigerian youths as that would help decrease the rate of crime which paves room for the establishment of SARS and other crime-related agencies that are positioned to tackle crimes in the Nigerian state.
ARTS, CULTURE AND TOURISM AS VERITABLE INSTRUMENTS OF A STABLE NIGERIAN POLITY: THE NEED FOR AN INCLUSIVE PUBLIC POLICY
Authors:   Department of Public Administration Veritas University Abuja, Dominic Shimawuah
Published: March 2021

Like in most other nations of the world, the round leather game (football) is one sport that triggers the display of solidarity among Nigerians irrespective of tribe, religion and other social affiliations. Another experience of a similar magnitude of show of solidarity in this country is the Festivals of Arts and Culture which also displays the potentials in tourism. This study examined the potentials of Arts, Culture and Tourism as instruments of unification of Nigerians for purposes of a stable Nigerian political environment as well as the need for an inclusive public policy. Data was obtained from secondary materials while the mode of analysis was content analysis. The secondary materials include – books, journals, periodicals, newspapers, the internet, etc. The sociological and anthropological modernized theory, Durkheim (1997) was adopted as the theoretical framework of the study. Findings showed that, the Festivals of Arts and Culture across this country are often associated with so much fanfare, enthusiasm, relaxation, show of solidarity, oneness, that people tend to forget their social identities, groups, ethnicities, religions and other social inclinations. Hence, this paper suggested that government evolves an inclusive policy that would regularize and formalize the organization of Festivals of Arts and Culture in this country. The paper came to the conclusion that such festivals with great potentials for the unification of nationals should be harnessed for purposes of the peaceful co-existence of all Nigerians. The paper noted that this could only be realized through a well-articulated and inclusive public policy on Arts, Culture and Tourism.
HOTEL PROPERTY VALUATION IN A PANDEMIC ECONOMY: A STRATEGIC STUDY OF IMO CONCORDE HOTEL OWERRI IN 2020
Authors:   Department of Estate Management, Federal Polytechnic Nekede, Owerri, Okoronkwo Chikezie , Oladejo Esther ,   Department of Estate Management, Nnamdi Azikiwe University Awka, Henry Okoronkwo ,   Department of Civil Engineering Nnamdi Azikiwe University Awka
Published: March 2021

Of all classes of real estate, the hotel property is so unique in character and structure that assigning a value becomes the most intriguing aspect of the profession of Estate Surveying and Valuation. The uniqueness of the property rests partly on its distinctive outlay as against the business potential. Incidentally, most valuations of this property rely on the propensity of the property to produce acceptable returns to pay off the cost of investment and the management. Being that as it may, the quantum of externalities that play varying roles in shaping the final value of a hotel property is such that any professional must be careful not to circumvent even the minutest of considerations. It is all too known that the value of real estate rises and falls with the character of the neighbourhood and region where it is located. Hotels values are not different and in addition rise and fall with the whim of fashion and the fortunes of the region of location. This study examined not just the different methods and approaches to the valuation of a hotel property but also explored the benefits of other micro economic parameters that play significant roles in establishing the basis of any monetary index that could be referred to as value by conducting a comprehensive review of the hotel itself in comparison with its competitive market to confirm whether the hotel is under- or over performing against its competitors the intention being to have a grasp of the income-generating ability of the property upon which the application of a capitalization rate will convert the estimated cash flows into an estimated value. Though a 5 star hotel was used as case study, the outcome is applicable to all hotels carrying on business in Nigeria and other parts of the world. The study recommends among others that Estate Surveyors and Valuers involved in the valuation of hotels need to be skilled in reading financial statements and translating them into stabilized net-operating income because as much as hotel properties are physically different, in different locations, and with different management; volatility of the hospitality market and the external factors are bound to affect value. The study revealed that in so much as the travel patterns of lodgers were affected by the Covid 19 pandemic bringing with it a crash in the income-generating potential, the value of hotels was not so affected especially with relation to furniture, fittings and equipment.
MINORITY REVOLTS AND UPRISING IN THE NIGER DELTA
Authors:   Department of Political Science Faculty of Social Sciences,  Niger Delta University Amassoma, Bayelsa State, Nigeria, Sinikiem Johnson , Kalama John ,   Department of Political Science Federal University Otuoke, Bayelsa State, Nigeria
Published: March 2021

The study examined the origin of minority revolts and uprising in the Niger Delta region of Nigeria in order to ascertain the factors responsible and the actors involved. The study observed that the foundation for revolts and uprising in the Niger Delta region were laid by the colonial masters during the pre-colonial and colonial era. The study relied on secondary sources of data and the basic human needs theory as its theoretical framework. The data obtained were analysed qualitatively. Findings from the study revealed that unequal level of trade, alienation, marginalization of the aborigines etc. accounts for minority revolts and uprising in Nigeria’s oil-rich Niger Delta region. However, sustainable peace and development could return to the Niger Delta if conscious effort is made to review all existing development policies and programmes in the regions with a view to charting a new course for the people of the region. Policies and laws that will aid and accelerate development in the Niger Delta should also be given accelerated hearing and treated as an issue of national importance.
A CRITICAL DISCOURSE OF GIRL-CHILD MARRIAGE/SLAVERY IN SELECTED NIGERIAN FILM
Authors:   Department of Theatre Arts Education, School of Arts and Social Sciences Federal College of Education (Technical) P.M.B 11 Omoku, Onelga, Rivers State, Nigeria, Amiriheobu Frank , Ordua Victor ,   Department of Educational Psychology, Guidance and Counseling, School of Education, Federal College of education (Technical), Omoku, Onelga, Rivers State, Nigeria, Watts Ekperi ,   Department of Music Education, School of Arts and Social Sciences, Federal College of Education (Technical), P.M.B 11, Omoku, Onelga, Rivers State, Nigeria, Christian Ojobah ,   Department of educational Foundation, School of Education, Federal College of Education (Technical), P.M.B 11, Omoku, Onelga, Rivers State, Nigeria
Published: March 2021

Until recent past, girl-child slavery/marriage, guided by unscrupulous African culture, has posed as major practice in the Nigerian state in the 21stCentury. This cankerworm, manifesting through early marriage, money marriage, commercial sexual exploitation, domestic servitude, and other forms of abuses on the women folk, weakens women participation in economic, political, religious, and social development, thus, increases the issues of pain, suffering, sickness, and death of the people and underdevelopment to the Nigerian 5state as portrayed in Stephanie Linus Dry. Dry is a 21st century film that interrogates girl-child marriage/slavery, money marriage, discrimination, deprivation and inequality against the women. Amongst the major findings is that girl-child marriage/slavery has provided impetus for dramatic and argumentative representations by critics and dramatist over the years, yet, the menace is highly prevalent in the Nigerian state in the 21st century, mostly in the Northern regions. The study therefore aims at interrogating the cause and effects of girl-child marriage/slavery in the Nigerian state in the 21st century. To achieve this, Radical Feminism Theory and Content Analytical Methodology are used as guide. More so, the study recommends that any culture, tradition, or norm that is responsible that for girl-child marriage/slavery in the Nigerian space should be abolished for equity and development to be ascertained.
Security of Virtual Private Network
Authors:   Deptt. of Computer Science, H.M.V. College,Jalandhar, Punjab, india., MEHTA PARDEEP
Published: March 2021

The world has changed a lot in the last couple of decades. Instead of simply dealing with local or regional concerns, many businesses now have to think about global markets and logistics. Many companies have facilities spread out across the country or around the world, and there is one thing that all of them need a way to maintain fast, secure and reliable communications wherever their offices are. Until fairly recently, this has meant the use of leased lines to maintain a wide area network (WAN). A WAN had obvious advantages over a public network like the Internet when it came to reliability, performance and security. But maintaining a WAN, particularly when using leased lines can become quite expensive and often rises in cost as the distance between the offices increases. As the popularity of the Internet grew, businesses turned to it as a means of extending their own networks. First came Intranets, which are password-protected sites designed for use only by company employees. Now, many companies are creating their own VPN (virtual private network) to accommodate the needs of remote employees and distant offices.
URDU: شریعت اسلامیہ کی روشنی میں مسلم ـ مسیحی معاشرتی تسامح :واقعہ گوجرہ(2009ء)کے محرکات کا تنقیدی جائزہ
Authors: Farooq Dr. Muhammad Ajmal , Chishti Dr Ihsan Ullah
Published: March 2021

This paper highlights the interpretation of Shariah from the viewpoint of community’s need or interests for coexistence of Christians and Muslims in a society. A case study of Gojra incident is presented with lessons learnt from this event. History witness’s coexistence of Christians and Muslims since existence of both religions. Therefore, coexistence refers to divine as well as prophetic directions and reflects to living followers with multiple socio-cultural societies of the world. Religion is often considered as a reason of conflict and has been a major driving factor of several past and current tensions among the Christian-Muslim societies. This ultimately spreads tensions in the entire community and pollutes its environment. However, religion escorts integrity in a society by establishing peace and reconciliation procedure. With the passage of time, violence under the umbrella of holy causes is gradually rising. Slaughtering in the name of God is a primary driver of violent conflicts nowadays. Same situation exists in Christian and Muslim communities in Muslim majority countries especially in Pakistan. The mentioned factors flame the conflicts among Christians-Muslims like at Gojra, Pakistan. This tragic incident took lives of seven Christians and injured 20. Moreover, more than 75 Christian houses were burnt by patrol or chemical.  This research is intended to investigate many key questions associated with this incident to address this event in a more scientific and professional manner.
Prevención primaria y secundaria de muerte súbita en un hospital de la Seguridad Social de Costa Rica: reporte del registro de pacientes con desfribilador automático implantable, 2007-2011
Authors: Arguedas Jiménez Hugo , Gutiérrez Sotelo Oswaldo
Published: March 2021

"Diversos estudios han demostrado la eficacia de los desfibriladores automáticos implantables en la prevención de la muerte súbita cardiaca... La aplicación de dicha evidencia debe ser evaluada mediante registros...El objetivo de este estudio fue describir las principales características epidemiológicas y clínicas y las complicaciones de los pacientes a quienes se les implanta un desfibrilador automático implantable en un hospital de tercer nivel en Costa Rica..."
Análisis de utilización de medicamentos en personas adultas mayores
Authors: Chaves Carolina Vargas , Campos Desirée Sáenz
Published: March 2021

"Antecedentes: los adultos mayores están expuestos a medicación múltiple, tienen dificultad con el cumplimiento de los esquemas y mantienen medicamentos almacenados en sus casas, lo que conlleva al uso inadecuado con riesgos para la salud. El objetivo del estudio fue analizar la utilización de medicamentos a nivel domiciliar, por personas mayores de 65 años que viven en Pavas."
Cariotipos en pérdidas gestacionales, primeros 31 casos estudiados en Costa Rica
Authors: Volio Isabel Castro , Morales Fernando Ortíz , Bourrouet Luisa Valle
Published: March 2021

"El Laboratorio ha recibido 31 muestras de restos de abortos desde 2005. Para 24 casos se tiene información acerca de la semana de edad gestacional en que se tomó la muestra. Todos los casos fueron pérdidas gestacionales tempranas, excepto uno con 26 semanas de embarazo. El promedio de edad gestacional para los casos de abortos tempranos fue de 8 semanas y 6 días. Todas las muestras tenían algún grado de contaminación bacteriana. Sin embargo, de 31, solamente no se lograron cultivos celulares en 7 muestras muy contaminadas. La tasa de fracaso de los cultivos fue, por lo tanto, del 22%. De los 24 cariotipos obtenidos, 15 fueron 46, XX, 3 fueron 46, XY y 6 resultaron anormales, para un 25% de cromosomopatía en estas muestras. Es posible que el porcentaje de cromosomopatía encontrado esté subestimado, debido a la contaminación de las muestras con células maternas. El tiempo promedio de respuesta del Laboratorio, para el 90 % de los casos, fue de 24 días."
Síndrome carcinoide cardiaco
Authors: Sánchez Luis Alberto Laínez , Alfaro Lidiette Esquivel
Published: March 2021

El síndrome carcinoide cardiaco es una patología muy infrecuente que ocurre en el 50% de los pacientes con síndrome carcinoide maligno, y es caracterizado por la fibrosis de las válvulas tricúspide y pulmonar, así como del endocardio ventricular derecho, lo cual puede provocar una insuficiencia cardiaca derecha, que repercute directamente en el pronóstico de estos pacientes. Se reporta el caso de un masculino de 29 años, portador de síndrome carcinoide con metástasis hepáticas, referido para valoración cardiológica por presentar disnea de pequeños esfuerzos, con posterior diagnóstico de síndrome carcinoide cardiaco. Se discuten las características clínicas, diagnóstico y tratamiento de esta patología tan infrecuente.
Prevalencia y factores de riesgo de enfermedad ateroesclerótica sistémica
Authors: Ávila Pablo Miranda , Morales Hubert Fernández
Published: March 2021

El propósito del estudio es determinar la prevalencia y factores de riesgo de la enfermedad ateromatosa sistémica (cerebrovascular, coronaria, enfermedad arterial periférica) en pacientes ambulatorios mayores de 50 años, atendidos en la consulta externa de un servicio de Neurología en hospital de tercer nivel de atención.
Blaesoxipha plinthopyga (Diptera: Sarcophagidae) como responsable de miasis nosocomiales en Costa Rica
Authors: Arguedas Ólger Calderón , Luna Sileny , Miranda Guiselle , Troyo Adriana
Published: March 2021

Se presentan dos casos de miasis nosocomiales, ocurridos en hospitales costarricenses, cuyo agente etiológico identificado fue Blaesoxipha plinthopyga (Diptera: Sarcophagidae).
Historia del Hospital Nacional de Niños "Dr. Carlos Sáenz Herrera"
Authors: Baixench Carlos Arrea
Published: March 2021

En 1954 se presenta en el mundo una epidemia de poliomielitis, que abarca los Estados Unidos de Norteamérica y El Caribe, y llega a Costa Rica, donde hace estragos en la pequeña población de menos de 800 000 habitantes. El país se convulsiona al tener 50000 niños afectados, de los que 152 mueren y más de 1000 quedan con lesiones paralíticas. El Hospital San Juan de Dios se mostró incapaz de atender a tantos pacientes y el pánico se sentía en el ambiente: se cerraron escuelas y los niños no salían de sus casas por temor a contagiarse.
Caracterización clínica de familias costarricenses con trastorno afectivo bipolar
Authors: Rojas Javier Contreras , Vorst Henriette Raventós
Published: March 2021

La heterogeneidad clínica del trastorno afectivo bipolar tipo I constituye uno de los principales desafíos en el diagnóstico de dicha enfermedad. Se necesitan múltiples fuentes de información que permitan definir el perfil clínico, demográfico y comorbilidad con otras enfermedades psiquiátricas. El estudio tiene como objetivo analizar las características clínicas, sociodemográficas y curso del trastorno, en familias costarricenses con uno o más miembros afectados.
Oxigenación por membrana extracorpórea (ECMO), primer caso en Costa Rica
Authors: Ramírez Carlos Dobles , Segura Donato A. Salas
Published: March 2021

La oxigenación mediante membrana extracorpórea es una terapia de apoyo para pacientes con falla pulmonar o cardiaca terminal, sea como abordaje definitivo mientras los órganos sanan, o temporal mientras aparece un donador adecuado. Se reporta aquí el primer caso en que se usó en el país.
Mucopolisacaridosis II: nueva mutación patogénica en gen IDS
Authors: Elizondo Eugenia Pérez , Gualandri Alejandra Acosta , Hernández Mildred Jiménez
Published: March 2021

La mucopolisacaridosis tipo II es una enfermedad lisosomal producida por la deficiencia de la enzima iduronato 2 sulfatasa. Es una condición infrecuente de herencia recesiva ligada al X, que puede producir importante discapacidad progresiva. El análisis molecular es una técnica útil en la confirmación diagnóstica, que además permite detección de portadores asintomáticos, brindando la oportunidad de asesoría genética. Se presenta el caso de un paciente con mucopolisacaridosis tipo II, en quien se documentó una nueva mutación patogénica en el Gen IDS.
Prácticas que mejoran el trabajo en equipo en la medicina actual
Authors: Baixench Carlos Arrea
Published: March 2021

En el número de septiembre de 2012 de esta revista, escribí un artículo sobre la manera en que los médicos intentábamos trabajar en equipo. La experiencia acumulada de esa fecha hasta el momento, obliga a ampliar los conceptos en relación con el tema, ya que las instituciones de salud que han logrado formar unidades que trabajan en sintonía con esos principios, han mejorado en forma importante el aprendizaje, con innovaciones que aumentaron la calidad de la atención de los pacientes y permitieron lograr resultados óptimos.
Resección abdominoperineal isquioanal con reconstrucción de pared posterior de vagina con colgajo miocutáneo de músculo recto abdominal vertical
Authors: Chavarría José P. Rivera , Rodríguez José E. Murillo , Villalobos Alfredo Vargas
Published: March 2021

El colgajo del recto abdominal miocutáneo vertical, es un excelente colgajo que rellena el gran defecto en la pelvis luego de una resección abdominoperineal isquioanal, siendo libre de tensión y reduciendo significativamente la incidencia de complicaciones de la herida perineal y la estancia hospitalaria, con el cual se puede reconstruir la pared posterior de la vagina. Se reporta aquí el primer caso en Costa Rica de una resección abdominoperineal isquioanal, con reconstrucción de pared posterior de vagina con colgajo del recto abdominal miocutáneo vertical, practicada con éxito en una paciente de 62 años, con un adenocarcinoma rectal localmente avanzado con infiltración de pared posterior de vagina.
Sobrevida a los 28 días y condición mental y física de los pacientes egresados de una Unidad de Cuidados Intensivos de tercer nivel
Authors: Morales Faride Barrantes , Vargas Carolina Campos , Quirós María Fernanda Argüello , Segura Donato A. Salas
Published: March 2021

La sobrevida y la calidad de vida de los pacientes egresados de las unidades de cuidado intensivo, se ha vuelto una preocupación frecuente, por la alta incidencia de secuelas cognitivas y funcionales que padece esta población. Este trabajo presenta datos sobre la supervivencia y calidad de vida de un grupo de pacientes egresados de la Unidad de Cuidados Intensivos al momento del alta hospitalaria, y a los 28 días del egreso; es parte de una investigación mayor que dio seguimiento a los pacientes por espacio total de 6 meses.
Leishmanasis mucocutánea tratada con miltefosine
Authors: Tseng Fulin Yu , Valerín Roy Acosta
Published: March 2021

El miltefosine (Impávido ) es un medicamento de componente antineoplásico que ha encontrado efectividad muy alta contra la leishmaniasis mucocutánea y visceral en el mundo, y se ha convertido en una opción muy atractiva para pacientes con enfermedades de fondo y tratamientos de base que contraindican el uso de amoniato de meglumina (Glucantime ) o stibogluconato de sodio (Pentostam ).
Resultados cuantitativos de la implementación de la Escala Canadiense de Triaje y Severidad en el servicio de emergencias de un hospital nacional
Authors: Schmitz Gerald
Published: March 2021

La clasificación Canadiense de Triaje y Severidad está siendo utilizada en un número creciente de servicios de emergencias; sin embargo, la bibliografía médica ha evidenciado la problemática de su aplicación. Este estudio pretende analizar el resultado de implementar este sistema de clasificación en el Servicio de Emergencias del Hospital Calderón Guardia, con respecto a la mortalidad y otras variables.
Primer trasplante de intestino delgado en Costa Rica
Authors: Arias Mario Sánchez , Jara Vanessa López , Chavarría Sheila Araya
Published: March 2021

El primer trasplante de intestino exitoso realizado en humanos se llevó a cabo en 1988, en Alemania, por el Dr. Deltz. Sin embargo, no es hasta diciembre de 2013, cuando en Costa Rica, en el hospital “Dr. Rafael Ángel Calderón Guardia”, se efectúa el primer trasplante humano de intestino delgado del país y la región. Se reporta el caso de un masculino de 18 años que tuvo isquemia intestinal masiva, secundaria a herida por arma blanca en abdomen, con compromiso vascular. El injerto provino de donador cadavérico. La inmunosupresión se basó en baxiliximab, tacrolimus, prednisona y micofenolato mofetil. Se reintervino en 7 ocasiones por complicaciones quirúrgicas; desarrolló lesión renal asociada a tacrolimus, mielotoxicidad y trombosis venosa profunda de venas ilíacas. Se mantuvo por 29 días con nutrición parenteral total; se avanzó a vía oral normal a los 40 días del trasplante. Se evaluó el injerto mediante ileoscopias y toma de biopsias. Finalmente, después de 68 días, fallece debido a rechazo agudo severo del injerto.
¿Por qué la selección natural no ha eliminado las enfermedades?
Authors: De Céspedes Montealegre Carlos
Published: March 2021

La medicina evolutiva es la disciplina que trata de entender por qué la selección natural ha dejado al organismo vulnerable a las enfermedades. La selección natural no diseña a los organismos para ser saludables, solo en el tanto en que la salud procura el éxito reproductivo. Un gen que contribuye a lograr mayor progenie, se hará más común en la población aun si causa enfermedad, senescencia o muerte temprana.

La selección natural no responde a un diseño predeterminado -no puede empezar de nuevo ni devolverse- actúa por un proceso de ensayo y error sobre estructuras previas, de manera que el cuerpo humano ha sido conformado con inevitables compromisos de diseño y trade-offs que se han mantenido, en el tanto en que no afecten en promedio la reproducción exitosa de la especie. El bipedalismo, por ejemplo, además de dar origen a la frecuente lumbalgia, obligó a un estrechamiento de la pelvis que, junto con un mayor desarrollo cerebral, determina un más alto riesgo de distocias y al nacimiento del niño, en un estado inmaduro en relación con los simios no humanos. La necesidad de la glotis para prevenir la asfixia, es un “parche” evolutivo en lugar de utilizar vías respiratorias y digestivas que no se entrecrucen; o bien una tráquea más alta “corregiría” para el riesgo de asfixia, pero haría prácticamente imposible el habla. El nervio óptico y los vasos sanguíneos delante de la retina, no solo obligan a un punto ciego, sino más trascendente, facilitan su desprendimiento.
The Structure of Kink Identity: Four Key Themes Within a World of Complexity
Authors: Vivid Jules , Lev Eliot , Sprott Richard
Published: March 2021

What is the structure of kink identity? Using a thematic analysis design, our study explored this question through 70 in-person interviews with adults 18 years and older living in Northern California who identified as kinky. Four key themes of kink identity emerged from our analysis: sex, power, headspace, and community. Although there were great variety and diversity in how these four themes were characterized -- both as separate and overlapping themes, we were able to conceptually group these themes into seven discrete subthemes based on how our 70 participants narrativized their kink experiences during interviews: (1) intertwining of kink and sex; (2) intense physical sensations (SM); (3) sensual experiences (fetish); (4) eroticizing power differentials; (5) fluidity vs stability of power role in kink activities and relationships; (6) community connections; and (7) headspace or altered states of consciousness. That our thematic analysis developed into these seven subthemes suggests that kink identity is a multidimensional structure of complex and diverse aspects.
Patient Navigation Programs for People With Dementia
Authors: Banerjee Srabani , Argáez Charlene
Published: March 2021

Patient navigation programs are generally community-based service delivery interventions (such as collaborative care, coordinated care, and case management) intended to enhance timely access to the diagnosis and treatment of individuals with chronic conditions, including dementia.

Overall, for coordinated care compared with usual care, clinical findings were either mixed or there were no between-group differences in terms of hospitalization, institutionalization, or nursing home admissions; quality of life; or symptoms. For coordinated care compared with usual care, there was no statistically significant between-group difference in mortality. However, there was evidence of improvement in terms of behaviour with coordinated care compared with usual care.

According to 1 economic evaluation, for patients with dementia, with the majority having no or mild cognitive impairment, collaborative dementia care management provided increased benefit (quality-adjusted life-years gained) at decreased cost.

Three guidelines were identified that provided recommendations for care coordination. One guideline recommends coordinated care for people living with dementia that is organized by a single-named health or social care professional. The second guideline recommends the use of digital technology to enhance care coordination in persons with mental illness. The third guideline recommends coordinated care for people with delirium, dementia, and depression.

Findings need to be interpreted in the light of limitations (such as lack of information in the study populations’ type of dementia, mixed findings in outcomes, and lack of information beyond 24 months of follow-up).
A biodiversidade e a governança verde no Brasil: soluções inovadoras na gestão dos recursos para a conservação e equidade
Authors: Vinha Valéria , May Peter
Published: March 2021

O Brasil é geralmente considerado como ator soberano essencial para envolver nos esforços de atingir os objetivos globais de conservação da biodiversidade, mesmo se for unicamente devido à proporção da biodiversidade terrestre que cabe dentro das suas fronteiras, em grande medida divido à hospedagem da área mais extensa de florestal tropical no mundo. Tal importância leva, inevitavelmente, ao surgimento de certa mitologia sobre a proteção da biodiversidade no Brasil, com respeito ao volume insuficiente dos recursos alocados e a necessidade de ações governamentais mais eficazes dedicadas a tais objetivos no país. Este trabalho busca expor alguns destes mitos e relacioná-los às falhas de políticas públicas que impedem o alcance de uma “governança verde”. Tais falhas incluem, entre exemplos discutidos, a falta de destinar receitas existentes para este propósito, assim como o desempenho fraco na utilização de incentivos pelo setor agropecuário para alavancar investimentos complementares na gestão do uso do solo por atores privados.
Uma análise da evolução dopensamento da CEPAL e da economia institucional ao longo do século XX
Authors: Miranda Cavalcante Carolina
Published: March 2021

Este trabalho analisa duas escolas de pensamento econômico originalmente americanas: a Economia Institucional e a CEPAL. Essas escolas de pensamento evoluíram ao longo do tempo e sofreram modificações em suas concepções originais. A partir do final da década de 1930, o institucionalismo vebleniano perderia espaço para o novo institucionalismo, de raiz neoclássica. Do mesmo modo, o pensamento cepalino evoluiu ao longo do tempo, moldando seu foco de pesquisa de acordo com o momento histórico a ser investigado. Por conseguinte, este artigo aborda semelhanças e diferenças entre o pensamento da CEPAL e da Economia Institucional, considerando a evolução de suas ideias ao longo do tempo.