bluuebunny/crossref_metadata_2025 huggingface dataset:
L’«abeurador» del Palau de Foixà (Maçanet de la Selva), el calcatorium de la vil·la de l’Hort d’en Bach
Authors: Nolla Brufau Josep Maria , Tremoleda Trilla Joaquim , Llinàs Pol Joan
Published: September 2024

L’existència d’una peça de pedra en forma de receptacle a l’era del Palau de Foixà, que apareix en fotografies antigues, i que es va recollir en la publicació dels resultats d’una monografia arqueològica de la vil·la romana de l’Hort d’en Bach, al terme municipal de Maçanet de la Selva, no s’havia pogut atribuir fins ara a una funció concreta. Gràcies als paral·lels que aporta un llibre recent de Yolanda Peña, hem pogut associar la peça esmentada al receptacle que recollia el resultat del premsa en un calcatorium de la vil·la. Un element determinant és la decoració, en forma de cap de lleó, que decorava el broc de sortida.
LA VOCACIÓN JURÍDICA DE FRANZ KAFKA
Authors: Pérez de los Cobos Francisco
Published: September 2024

Son tantos los testimonios que nos han llegado de la aversión de Kafka por el Derecho, de la tortura que para él representó su desempeño profesional como funcionario, que hablar de “la vocación jurídica de Kafka” parece una provocación. Pero, sin embargo, su práctica como jurista tuvo una influencia determinante en su obra creativa y en la conformación de su universo literario. El autor cree que la jurídica es una de las claves fundamentales de lectura de la obra de Kafka, en quien ve, sobre todo, un sagaz analista de las relaciones entre el poder y el Derecho.
UNA MIRADA A LA RECEPCIÓN DE LITERATURA JURÍDICA HISPANOAMERICANA EN LA ESPAÑA DE LA SEGUNDA MITAD DEL XIX
Authors: González Clapham José Antonio
Published: September 2024

La pervivencia (o introducción) de literatura jurídica española en las aulas y despachos de letrados hispanoamericanos, a partir de la década del 1820 (en la que se concluye la mayoría de los procesos que derivarían en la independencia política de España de los actuales Estados americanos), ha sido abordada -bien como objeto de investigación-, o bien al servicio del análisis de otros asuntos, que la han acreditado con suficiencia. El presente artículo propone un relato en el sentido opuesto, quizá menos evidenciado: ¿existen evidencias sobre la recepción en la España del XIX de literatura jurídica hispanoamericana? En caso de que así fuere, las interrogantes son múltiples: ¿Qué obras recibieron atención, y por parte de quién? ¿Con qué intensidad se dio? ¿Qué juicio se emitió sobre dichas obras, y qué noticias se da sobre sus autores? ¿Se prestó atención a toda clase de publicaciones, incluidas las revistas? En las líneas subsiguientes intentamos esbozar una respuesta, empleando, como fuente primaria, la íntegra colección decimonónica de la publicación periódica de carácter jurídico más importante de la época: Revista General de Legislación y Jurisprudencia.
Cancer Therapy Breakthrough: Drug or Medicine?
Authors:   TANLUN Medical Research Inc., Beijing, China, Tsung Kangla
Published: September 2024

We have been hoping for breakthrough in the “war on cancer” for long (decades), and we expect it will come one day with the discovery of a “miracle drug”. With time lapsing and repeated showing the same limited effects of new drugs, that expectation is gradually fading. What if the miracle drug does not exist by theory? As this opinion/perspective argues, breakthrough in cancer management does not have to be a drug, it may well come from the science behind using current drugs or treatments. We have been ignoring cancer medicine for long and it is time to bring up our attention to it because it can be demonstrated that using existing means, but with different ways of selecting and using them, we may significantly increase (double or triple) patient survival while significantly decreasing the cost for achieving such goals. If that is not a breakthrough, I don’t know what else is. Thus, all we have to do is to find out ways to bring it to cancer clinics everywhere. The first step is to change our concept and acknowledge its significance. That is the purpose of this writing.
تأثير وحدات تعليمية وفق انموذج نيدهام في تعلم بعض المهارات الدفاعية الفردية بكرة اليد للطلاب
Authors: Asst. Lec. Hussein Abdul Hadi Mahdi
Published: September 2024

هدف البحث التعرف على تأثير وحدات تعليمية وفق أنموذج نيدهام في تعلم بعض المهارات الدفاعية الفردية بكرة اليد للطلاب، ومن خلال ملاحظة الباحث لأداء الطلاب في الوحدات التعليمية الخاصة بالكرة اليد للمرحلة الثالثة بجامعة القادسية-كلية التربية البدنية وعلوم الرياضة، كونه أحد طلبة الدكتوراه ولاعب منتخب وطني بكرة اليد ونادي الكرخ الرياضي فقد لاحظ قلة النماذج الحديثة المستخدمة في عملية التعلم للمهارات ضمن المنهج التعليمي حسب علم الباحث، إذ إن هذا الأنموذج يعد من النماذج الحديثة في عملية التعلم ويساعد على المشاركة للطلاب في العملية التعليمية بحيوية ونشاط، لأنه مبني على أفكار ومبادئ النظرية البنائية، وهذا الانموذج يساهم بسرعه عملية التعلم من خلال مراعاة الفروق الفردية والاختصار بالجهد، أما عن منهجية البحث وإجراءاته الميدانية فقد حدد مجتمع البحث بطلاب المرحلة الثالثة لكلية التربية البدنية وعلوم الرياضة/لجامعات القادسية ، والبالغ عددهم (153) طالباً ، وتم سحب عينة منهم بالطريقة العشوائية البسيطة (القرعة) بقوام (44) طالباً , إذ مثلت نسبة (28%) من مجتمع البحث .
Growth and Yield of Lentil as Influenced by Zinc and Boron Management
Authors: Kumar A , Biswas P K , Rahman A
Published: September 2024

A field experiment was conducted at Sher-e-Bangla Agricultural University, Dhaka-1207, Bangladesh, during the period from November 2021 to March 2022 to evaluate the influence of micronutrients management on growth and yield of two lentil varieties viz., BARI Masur-8 (V1) and Binamasur-8 (V2) and 6 micronutrients management (no fertilizer - F1, recommended fertilizer dose (RFD) (40-90-40-55 Kg ha−1 of urea-TSP-MoP-Gypsum) with 10 Kg ha−1 ZnSO4 as basal - F2, RFD with zinc (Zn) as foliar spray - F3, RFD with Zn and boron (B) as foliar spray - F4, 50% RFD + 50% cow dung (5 t ha−1) - F5 and 50% RFD + 50% cow dung + Zn and B as foliar spray - F6). No significant effect had found for variety except 1000-seed weight but micronutrients management along with interactions significantly effects on all studied parameters of lentil. The higher 1000-seed weight (34.16 g) was recorded in BARI Masur-8. The highest plant height (37.09 cm), number of branches plant−1 (7), dry weight of root plant−1 (159.17 mg), dry weight of shoot plant−1 (3319.33 mg) and number of pods plant−1 (62) was observed at F6 treatment. The highest 1000-seed weight (31.68 g) were recorded at F2 treatment. The highest weight of nodules plant−1 (10.33 mg at 60 DAS), seed yield (2.62 t ha−1), straw yield (2.12 t ha−1) and biological yield (4.74 t ha−1) were found at F3 treatment. The highest plant height (38.45 cm), number of branches plant−1 (7), number of pods plant−1 (63), seed yield (2.91 t ha−1) and harvest index (58.65%) were recorded at V2F6 whereas the highest weight of nodules plant-1 (26 mg), straw yield (2.22 t ha−1) and biological yield (5.02 t ha−1) were found at V1F3 but the highest 1000-seed weight (34.87 g) at V1F1. The highest number of seeds pod−1 (1.83) was found at V2F1. So, two varieties showed similar performance on yield. Foliar application of Zn has the potentiality to increase seed yield. The variety Binamasur-8 with 50% RFD + 50% cow dung + Zn and B (F6) as foliar spray could bring maximum yield (2.91 t ha−1) of lentil followed by treatment F2, F3, and F4.
Bangladesh Agron. J. 2024, 26(2): 34-40
Determination of Appropriate Sowing Date on Fibre Yield and Yield Attributes of Jute (Corchorus olitorius L.) var. BJRI Tossa Pat-8 (Robi-1)
Authors: Ferdous J , Sarker M Y , Alim M A
Published: September 2024

The experiment was conducted at Jute Agriculture Experimental Station (JAES), Manikganj; JRRS, Rangpur and JRSS, Jashore to determine the optimum sowing date of jute var. BJRI Tossa Pat-8. The experiment was laid-out in RCBD with three replications and variety O-9897 used as control. Crops were sown on five different dates i.e., 20 March, 30 March, 10 April, 20 April and 30 April regarded as treatment. Crops were attained recommended cultural practices and harvested at 120 days after sowing. The results showed that BJRI Tossa Pat-8 (Robi-1) sown on 10 April to 20 April gave significantly higher fibre and stick yields at Manikganj (3.37 t ha−1 and 6.33 t ha−1 respectively); Rangpur (3.11 t ha−1 and 5.22 t ha−1, respectively) and Jashore (3.96 t ha−1 and 5.57 t ha−1, respectively) with an average 14% higher than control.
Bangladesh Agron. J. 2024, 26(2): 27-33
Determination of Optimum Nitrogen Level for Maximizing Yield of Two HYV Boro Rice Varieties in Bogura Region, Bangladesh
Authors: Tonmoy S M M S , Roy T K , Sannal A , Razu M A U , Rana M M
Published: September 2024

Application of N fertilizer is very crucial for rice, but both excessive and mild reduced productivity. A field experiment was conducted during the Boro 2021-2022 season to find out the optimum dose of N fertilizer for higher yield. The trial was conducted in a factorial RCBD design with three replications. Factor A: Two varieties of rice viz. BRRI dhan89 and BRRI dhan100 and B: Five Nitrogen levels i.e., 0, 90, 120, 150, and 180 Kg ha−1. Yield and yield-contributing traits varied significantly with N levels. BRRI dhan89 outyielded BRRI dhan100 due to its varietal potential and longer life cycle. The highest tiller number hill−1, panicle number hill−1, panicle length, filled grain panicle−1, grain yield, biological yield and harvest index and lowest spikelet sterility were obtained from 120 kg N ha−1 irrespective of variety. The result revealed that the combination of both varieties with 120 kg N ha−1 followed by 90 Kg N ha−1 in maximizing rice productivity while avoiding excess use of N fertilizer.
Bangladesh Agron. J. 2024, 26(2): 41-48
Effect of Bispyribac-Sodium and Spacing on The Weed Control and Performance of Aromatic Rice Varieties
Authors: Bushra F T Z , Sourav T A , Sarker S C , Masum S M
Published: September 2024

Rice (Oryza sativa L.), a staple grain, serves as a fundamental dietary component for billions by providing carbohydrates, vitamins, and minerals, supporting livelihoods, and stimulating national economies. A field experiment was led from July to December 2019 at the Sher-e-Bangla Agricultural University’s agronomy field in Dhaka, Bangladesh, to determine how a post-emergent herbicide and spacing impacts aromatic rice varieties' growth, yield, and weed control. The investigation consisted of three factors, i.e., weed control treatments: weedy check (no weeding) and Bispyribac-sodium WP @ 150 g ha−1, aromatic rice varieties: Kalizira and BRRI dhan37 and spacing: 20 cm × 15 cm, 25 cm × 15 cm, 20 cm × 20 cm, and 25 cm × 25 cm in a split-split plot design with three replications. Thirteen dissimilar types of weeds invaded the experimental plots. Among them, Monochoria vaginalis was the most prevalent weed at 30 and 60 DAT (24.67 and 19.67 weed population m−2 and 15.24 and 13.02% relative weed density sequentially). Among all the factors, the application of Bispyribacsodium WP (W1), BRRI dhan47 (V2, grain yield 2.99 t ha−1) and 20 cm × 20 cm (S3, grain yield 2.87 t ha−1) spacing provided promising results. According to the findings, BRRI dhan37 planted at 20 cm × 20 cm spacing, along with the suggested application of Bispyribac-sodium WP could provide the best result.
Bangladesh Agron. J. 2024, 26(2): 56-66
Exploring variations in dengue symptoms: a comparative study of 2013, 2019, and 2023 in a tertiary care hospital of Bangladesh
Authors: Wahiduzzaman Miah , Lita Arifin Islam , Hassan Raian Md , Siddiki Md Adib , Yasmin Abida , Hossain Md Tanim , Shaon Shakil Ahmed
Published: September 2024

Background: Dengue fever remains a major public health issue in Bangladesh, with repeated outbreaks. This study compares dengue symptoms in a tertiary care hospital during 2013, 2019, and 2023. The purpose of this study is to evaluate the variations in dengue symptoms among Bangladeshi dengue patients from 2013 and 2019 to 2023. Methods: This was a cross-sectional study, conducted on 100 dengue positive patients, admitted between 1st January to 7th August 2023, to the Medicine Department, Holy Family Red Crescent Medical College and Hospital, Dhaka. Demographic data, sign and symptoms and laboratory investigation reports were collected. These data were compared with a previously published study from the same institute comparing dengue symptoms between 2013 and 2019 among admitted dengue patients. The study employed a convenience sampling method for participant selection, and data analysis was carried out using SPSS version 26. Results: Analysis of 100 sero-positive dengue cases reveals a predominant occurrence in the 20 to 40 age group (51%), with the mean age of patients being 34.5 years. Among these cases, a higher prevalence is observed in males (62%) compared to females (38%). Symptomatology exhibits variations over time, with fever being consistently present. Other symptoms such as headache (90%, 23% and 12%), retroorbital pain (45%, 3% and 16%), skin rash (16%, 4% and 1%) and constipation (32%, 1% and 5%) showing fluctuations, respectively in 2013, 2019 and 2023. Notably, a significant proportion of patients in 2023 exhibit normal ultrasound findings (53%). Conclusions: In conclusion, our study provides a comprehensive analysis of Dengue infection dynamics over a decade, highlighting significant variations in clinical manifestations, laboratory findings, and abdominal ultrasound results among Bangladeshi patients. The findings suggest that Dengue remains a considerable public health concern, with fluctuations observed in symptomatology, including fever and other associated symptoms, and changes in laboratory parameters over time.
BIRDEM Med J 2024; 14(3): 131-136
Retrospective analysis of surgical management options of hepatolithiasis in a tertiary care centre in Bangladesh
Authors: Ahmed A H M Tanvir , Hassan Muhammad Rafiqul , Raihan Hossain Mohammad Sabbir , Arefin Mirza Shamsul , Islam Md Anisul , Rashid Md Mamunur
Published: September 2024

Background: Hepatolithiasis (HL) is the presence of stones in the bile ducts proximal to the confluence of the hepatic ducts. It is endemic in the Asia-Pacific region. The etiology of hepatolithiasis is not fully understood but genetic, dietary and environmental factors are thought to be contributory. Malnutrition and low socioeconomic conditions are associated with a high incidence of intrahepatic stones. This study aimed to analyze the demographic and clinicopathological factors, appraise the role of surgical management and analyse the postoperative outcomes of HL in a tertiary care centre in Bangladesh. Methods: This study was conducted in the Department of Hepato-Biliary-Pancreatic Surgery and Liver Transplant (HBPS & LT), BIRDEM General Hospital, Dhaka, Bangladesh. Retrospective data of all patients operated for HL from January 2011 to December 2022 were analyzed with regard to clinical parameters, biochemical parameters and different types of surgical management. Results: A total of 52 patients underwent surgical treatment for HL. Of the patients, 65.4% were female and 34.6% were male. Of the patients, 94.2% had abdominal pain, 57.7% had fever and 28.8% presented with jaundice. A total of 30.8% of patients had a history of previous biliary surgery. Liver atrophy was present in 38.5% of cases. Hepaticojejunostomy (HJ) alone was done in 36 (69.2%) patients, hepatic resection with bilioenteric anastomosis was done in 10 (19.2%) patients and hepatic resection with T-tube placement in common bile duct (CBD) done in 6 (11.5%) patients. Endoluminal access loop was done in 2 (3.8%) patients. On followup visits, 60% of patients were asymptomatic. There was no postoperative mortality. Conclusion: Results from present study revealed encouraging results with minimal post operative complications and no mortality.
BIRDEM Med J 2024; 14(3): 137-142
Sturge-Weber Syndrome: a case report
Authors: Begum Shahanaz , Quadery Mushnad
Published: September 2024

Sturge-Weber syndrome is a rare congenital, non-familial sporadic condition also known as encephalotrigeminal angiomatosis, is a phakomatoses consisting of neurological, skin and ocular manifestations. Symptoms reported varies in severity and age of onset but it is commonly detected in infancy. The Ophthalmic feature of this disease consists of glaucoma and is also associated with vascular manifestation of the conjunctiva, epi-sclera, choroid and retina. In the present case, a 19-year-old male presented with a port wine stain on the right side of the face, leptomeningeal angioma, ocular hypertension, temporal hemianopia of the left eye and choroidal hemangioma with macular scar of the right eye, seizure and weakness of the left side of the body. The purpose of presenting the case is to illustrate both the characteristic presentation and to underline the importance of its diagnosis in the clinical ophthalmological practice.
BIRDEM Med J 2024; 14(3): 166-169
Các yếu tố quyết định việc chuyển đổi chiến lược sinh kế để thích ứng với biến đổi khí hậu của hộ gia đình ở vùng ven biển Bắc Trung Bộ
Authors: Đỗ Thị Ngọc Thúy , Vũ Thị Hoài Thu
Published: September 2024

Sinh kế hộ gia đình ở vùng ven biển dễ bị tổn thương và cần chuyển đổi chiến lược sinh kế để thích ứng với các tác động ngày càng tăng của biến đổi khí hậu. Việc đánh giá các yếu tố quyết định việc chuyển đổi chiến lược sinh kế để thích ứng với biến đổi khí hậu đóng vai trò quan trọng. Bằng việc sử dụng số liệu điều tra hộ gia đình và mô hình hồi quy Logit, bài viết chỉ ra rằng độ tuổi của chủ hộ, thu nhập của hộ và điều kiện tiếp cận với các dịch vụ công là những động lực chính thúc đẩy các hộ gia đình chuyển đổi sinh kế để thích ứng với biến đổi khí hậu ở vùng ven biển Bắc Trung Bộ. Trong quá trình chuyển đổi sinh kế, chính quyền địa phương cần tích cực giới thiệu những mô hình sinh kế mới phù hợp với năng lực và trình độ của hộ gia đình, tăng cường hỗ trợ hộ gia đình tiếp cận các dịch vụ công cơ bản, đồng thời đa dạng hóa các nguồn hỗ trợ tài chính cho các hộ gia đình.
Đánh giá thực trạng vốn xã hội trong các hợp tác xã trồng trọt ở Đồng bằng Sông Cửu Long giai đoạn 2015-2022
Authors: Nguyễn Trung Đông , Lê Hữu Quang , Khúc Hoàng Giang , Lưu Nguyên Trung
Published: September 2024

Vốn xã hội đóng vai trò quan trọng với hoạt động của hợp tác xã. Nhận diện thực trạng vốn xã hội của hợp tác xã để khai thác, sử dụng vốn xã hội vào các hoạt động sản xuất kinh doanh là rất cần thiết. Dữ liệu được thu thập từ điều tra, phỏng vấn tại 31 hợp tác xã, các cơ quan quản lý ở địa phương. Phỏng vấn hộ thành viên và phỏng vấn chuyên sâu lãnh đạo hợp tác xã nhằm đo lường các tiêu chí vốn xã hội của hợp tác xã. Kết quả: Mạng lưới, mối quan hệ ở mức bình thường, 80% thành viên chỉ tiếp xúc, gặp gỡ với vài thành viên; 50% tin tưởng vào mức độ khả thi của mục tiêu và lợi ích của hợp tác xã. Mức độ tuân thủ các giá trị, nguyên tắc của hợp tác xã ở mức bình thường. Có 65% thành viên tham gia vào tất cả các hoạt động sản xuất, kinh doanh của hợp tác xã. Khuyến nghị có giải pháp khai thác, sử dụng vốn xã hội phù hợp để nâng cao hiệu quả hoạt động của hợp tác xã.
Nexus from Practical Kitchen to Work: CLIL
Authors: Akay Emel , Yılmaz Burcu
Published: September 2024

Content and Language Integrated Learning (CLIL) is an innovative educational approach integrating subject matter instruction with language learning objectives. Originating in Europe during the mid-1990s, CLIL has gained prominence for its dual-focused educational model, emphasizing content mastery and language proficiency. This paper explores the foundational principles of CLIL, encapsulated in the 4Cs framework: Content, Communication, Cognition, and Culture. It highlights the multifaceted benefits of CLIL, including enhanced language skills, improved cognitive abilities, heightened cultural awareness, and increased student engagement. A significant focus of this paper is the application of CLIL in vocational education especially in the gastronomy and the culinary arts programs. Given the globalized nature of today’s workforce, proficiency in English is crucial for vocational students across fields such as tourism and hospitality. By integrating English language instruction with vocational training, CLIL improves language skills and aligns educational outcomes with industry requirements, thereby enhancing employability. This paper demonstrates the effectiveness of CLIL in real-world settings, underscoring its potential to revolutionize vocational education. By preparing students with the dual competencies of vocational expertise and language proficiency, CLIL equips them for successful careers in an interconnected world.
Survival Trend in Colorectal Cancer in African American Patients Over the Last Decades
Authors:   Department of Surgery - Ascension Genesys Hospital - Grand Blanc, MI, USA, Wasfie Tarik , Niyangoda Vihangi ,   Medical Students - Michigan State University College of Osteopathic Medicine - East Lansing, MI, USA, Dholakia Hemal ,   Medical Students - Michigan State University College of Osteopathic Medicine - East Lansing, MI, USA, Roach Erica ,   Medical Students - Michigan State University College of Osteopathic Medicine - East Lansing, MI, USA, Freeman Harold ,   Department of Surgery - Harlem Medical Center - College of Physicians & Surgeons of Columbia University - New York, NY, USA
Published: September 2024

African American (AA) patients with colorectal cancer (CRC) had a lower survival rate than white Caucasians (WC) regardless of the stages of the disease. To follow the trend in survival over the years, we look at data on our CRC survival during 1963-1985 and followed the current published data on CRC survival. This is a retrospective analysis of patients with colorectal cancer seen in an inner-city teaching hospital serving mostly AA populations between 1963-1985. Data collected and analyzed were age, sex, race, insurance carriers, stage of cancer at presentation to treatment, treatment provided, and survival rate at 5 and 10 years. There were a total of 803 patients. Of those, 754 (94%) patients were African American with the mean age of the group being 68 years. Females made up 56% of the sample population and with 47% of the patients presented with rectal bleeding and bowel obstruction. Thirty-two percent of these patients were uninsured. Only 634 patients went for surgery with or without chemoradiation therapy. The TNM stages were as follows: stage 1-16%, stage 2=21%, stage 3=30%, and stage 4=32%. Of the 635 patients treated, 96 (15%) patients were lost to follow-up, and the five-year survival rate was 16%, and the 10- year survival rate was 7%. Recent published data showed the five-year survival rate from colon cancer improved slightly among AA diagnosed in early 2000 with CRC but has not reached the level of that of white patients in both male and female (AA male 22.7 and female 14.8 versus white male 15.8 and female 11.3, per 100,000 with p-value less than 0.001). These findings suggest that disparities in survival between AA patients with colorectal cancer remain high compared to WC, despite the efforts to close the differences by increased screening and improved accessibility to healthcare services. Therefore, we should develop additional strategies to close the gap
Perfil epidemiológico de sífilis congênita no Nordeste do Brasil entre 2018 e 2022
Authors: Santos Fabrine Majestade da Silva , Santos Ninalva de Andrade
Published: September 2024

A Sífilis Congênita (SC) ocorre pela transmissão transplacentária do Treponema pallidum da gestante para o filho. Com isso, o objetivo principal desta pesquisa é descrever o perfil sociodemográfico e epidemiológico da sífilis congênita na região Nordeste do Brasil no período de 2018 a 2022. A proposta metodológica utilizada consiste em um estudo epidemiológico, retrospectivo e descritivo, construído mediante coleta de dados secundários disponíveis nas plataformas do Ministério da Saúde (MS), o Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis (DCCI) e o Sistema de Informação de Agravos de Notificação (SINAN) do Sistema Único de Saúde (SUS) disponível no portal Datasus. Foram notificados no período estudado, 29.431 casos de Sífilis Congênita no Nordeste do Brasil, sendo que a maior concentração dos casos foi em 2021 (n=8.052) e o estado com maior incidência foi Pernambuco (n=8.021), seguido do menor com 1.359 casos, o Piauí. Verificou-se também que as taxas de detecção de SC desta pesquisa sobrepuseram a taxa de incidência mundial, que corresponde a 4,98 casos/1000 nascidos vivos. A partir dos dados verificou-se que ainda existe aumento gradual de acometimentos por SC, o que traz a reflexão a respeito da qualidade assistencial às gestantes. Para tanto é necessário medidas de educação em saúde, bem como melhorias na assistência prestada a este grupo populacional.
Oxandrolone use causes dyslipidemia in resistance-training practitioners
Authors: Greboggy Dênis de Lima , Pereira Ericson , Oliveira Tiago Franco de , Batista Thiago Beltrami Dias , Oliveira Sarah Eller Franco de , Birk Letícia , Barros Leonardo Cesar Santos de , Jesus Julia Souto de , Martins Pamela , Auler Flavia , Chaves Maria Heloisa Madruga , Werneck Renata Iani , Tiboni Fernanda , Barros Marlene Maria Tourais de , Rosa Edvaldo Antonio Ribeiro , Santos Milena Fernandes dos , Parolin Salma Ali El Chab , Carneiro Everdan , Gama Yesudian Yamada da , Ignácio Sérgio Aparecido , Brancher João Armando , Scheeren Eduardo Mendonça , Marins Mariana Hornung , Johann Aline Cristina Batista Rodrigues
Published: September 2024

Objective: This study investigated blood and salivary parameters in male resistance-training practitioners (RTP) using oxandrolone (OG) and compared with references values and control group (CG), in triplicate. Methods: Blood, saliva, and urine were collected from 22 individuals (OG, n = 11 / CG, n = 11) and analyzed: before oxandrolone (OX) consumption (T1), at cessation of OX use (T2), and three months after cessation of OX use (T3). Complete blood count, lipid profile, metabolites, and enzymes were analyzed from blood samples. Salivary flow, pH, triglycerides, urea, aspartate animotransferase, alanine aminotransferase, phosphorus, and calcium were analyzed from saliva. Urinalysis was used for toxicological screening. Results: A reduced hdl cholesterol level was observed in the og group (24 mg/dL) compared with the reference value (>40 mg/dL) at T2. HDL levels return to normal after cessation AT T3 (49 mg/dL, >40 mg/dL). A higher triglyceride level (177 mg/dL) was verified in OG group compared with the reference value (<175 mg/dL) at T3. Conclusions: The results of this study suggest that oxandrolone use is associated with changes in lipid profiles, including lower HDL levels and higher triglyceride levels, which are characteristic of dyslipidemia. however, while these findings indicate an association, they do not establish definitive causality. further research, including well-controlled longitudinal studies, is needed to confirm the causal relationship between oxandrolone use and dyslipidemia.
Aplicação do Escore de Osso Trabecular para avaliação do risco de fratura de fragilidade em mulheres com Diabetes mellitus tipo 2
Authors: Cardoso João Gabriel Cisneiros , Soares Estéfano Lelis Santos , Cunha Andrey de Oliveira , Macêdo Vitor Manuel Schitini de , Souza Ana Flávia Silveira de , Cardoso Maria Eduarda Cisneiros , Pereira Francisco de Assis
Published: September 2024

Objetivo: Avaliar o Escore de Osso Trabecular e o risco de fraturas maiores e de quadril por meio do FRAX®  Brasil ajustado pelo TBS em mulheres com Diabetes Mellitus tipo 2 (DM2) na pós-menopausa. Materiais e Métodos: Estudo transversal realizado no setor de densitometria óssea (DXA) de clínica privada. Foram elegíveis para o estudo 124 mulheres submetidas à realização de DXA e escore do osso trabecular (TBS). Estas foram agrupadas no  Grupo Controle (GC) sem DM2 e Grupo Diabetes (GD) com DM2, pareados para idade, peso e altura. Resultados: Os fatores clínicos que apresentaram maior frequência foram osteoporose secundária e fratura prévia. Entre as fraturas, a do antebraço teve maior frequência. A média do TBS foi maior no Grupo Controle: GC = 1,338 ± 0,08 vs GD 1,279 ± 0,1 p <0,002. O FRAX® Brasil ajustado pelo TBS detectou maior risco para fraturas no Grupo Diabetes. Houve correlação negativa entre idade e o TBS nos dois grupos (r = -0,25 p < 0,004). Conclusão: O uso do TBS e do FRAX® Brasil ajustado pelo TBS em mulheres na pós-menopausa com DM2 foi capaz de identificar menor TBS e maior risco de fraturas mesmo em indivíduos sem diagnóstico densitométrico para osteoporose.
Fibrinolíticos no tratamento da pneumonia complicada em pediatria: Uma revisão integrativa
Authors: Melo Isabela Catarina Pessoa de , Rocha Caio César Otôni Espíndola , Vieira Tatiana Pontes , Dantas Maria Eduarda Teles
Published: September 2024

Introdução: A Pneumonia Adquirida na Comunidade (PAC) é uma infecção pulmonar significativa, especialmente em crianças menores de cinco anos, com alta mortalidade em países em desenvolvimento. Complicações graves, como derrame pleural e empiema, são frequentes e estão associadas à piora clínica e prolongamento do internamento. Objetivo: Este estudo tem como objetivo realizar uma revisão integrativa da literatura, visando avaliar as indicações e a eficácia da terapia fibrinolítica em casos de pneumonias complicadas na pediatria. Metodologia: Este estudo realizou uma revisão integrativa da literatura utilizando as bases de dados LILACS, SciELO, e MEDLINE via PubMed, com descritores "fibrinolíticos", "pneumonia complicada", "efusão pleural" e "crianças", considerando artigos publicados entre 2020 e 2024. Resultados: Foram identificados 98 artigos, dos quais 9 atenderam aos critérios de inclusão e foram analisados. Discussão: A terapia fibrinolítica tem potencial para reduzir o tempo de hospitalização e as complicações associadas ao tratamento do derrame pleural e do empiema em crianças. Contudo, a heterogeneidade dos dados e as discordâncias nos resultados dos estudos desenvolvidos indicam a necessidade de mais pesquisas clínicas para estabelecer protocolos mais seguros e eficazes. Conclusão: Apesar dos avanços no tratamento da PAC complicados, ainda há lacunas significativas na literatura que limitam a compreensão plena da eficácia da terapia fibrinolítica. Estudos adicionais são necessários para fornecer dados mais consistentes e orientações claras sobre o manejo dessas complicações em pediatria.
Manejo da parada cardiorrespiratória para estudantes do Ensino Médio e pré-vestibular no Município de Rio Verde, Estado de Goiás (GO), Brasil
Authors: Pereria Luan Queiroz Fernandes , Carvalho João Felipe Cardoso , Kubelke Lucas Reis , Gomes Alisson Gabriel Costa
Published: September 2024

Objetivo: O objetivo do presente artigo é apresentar um estudo sobre o reconhecimento de uma Parada Cardiorespiratória (PCR) e, da realização da ressuscitação cardiopulmonar (RCP) abrangendo a população leiga (aqueles que não são profissionais da saúde. Sabendo disso, seria possível que a implementação de aulas sobre manejo da PCR em ambiente extra-hospitalar em colégios e pré-vestibulares poderiam tornar a população leiga mais preparada para lidar com essa situação. Metodologia: Trata-se de uma pesquisa-ação de campo com observação participante dos pesquisadores, onde houve um envolvimento primário com os propagadores do conhecimento acerca da PCR com o público-alvo. Resultados e discussão: Estudos indicam que o principal público que assiste a essas PCR – paradas cardiorrespiratórias são leigas, principalmente, adolescentes e crianças, e muitas vezes, por falta de conhecimento a respeito, não chamam o socorro a tempo. Qualquer pessoa, mesmo que não seja profissional da saúde, pode realizá-los, desde que esteja treinado para prestar o atendimento inicial, estabilizando a vítima, mantendo as funções vitais e evitando assim o agravamento de sua condição até a chegada da assistência médica especializada. Considerações Finais: O simples fato de conseguir identificar uma PCR, ligar para o 192 e pedir o DEA já está sendo um grande avanço da comunidade. Tendo em visto que em nosso país ainda não foi adicionada a cultura de ensinar primeiros socorros desde a base de ensino das crianças, ainda temos muito que evoluir.
Tratamentos de parestesia do nervo alveolar inferior após exodontias de terceiros molares impactados
Authors: Almeida Danilo Eustaquio de Oliveira , Oliveira João Paulo Cardoso de , Silva Leandro Borges da , Guedes Cizelene Do Carmo Faleiros Veloso , Pereira Tulio Silva
Published: September 2024

Cirurgias de terceiros molares em consultórios odontológicos são intervenções rotineiras, que demandam habilidades profissionais para a sua realização, visando evitar intercorrências tanto no trans operatório quanto no pós operatório. As parestesias do nervo alveolar inferior são uma das complicações que podem ocorrer após a extração dos terceiros molares, tendo em vista a proximidade das raízes com o canal mandibular onde está inserido este nervo. O nervo alveolar inferior é  responsável pela sensibilidade dos lábios, queixo e dentes inferiores. Durante os procedimentos cirúrgicos este nervo pode ser comprimido ou lesionado, resultando assim numa sensação de formigamento, dormência e até mesmo a perda da sensibilidade, denominado parestesia. A Parestesia pode ser parcial ou total dependendo da gravidade da lesão e da possibilidade ou não de reversão da condição. O objetivo geral desta pesquisa é apresentar os proncipais métodos diagnosticos desta condição, as técnicas de tratamento existentes, bem como sua efetividade para o tratamento das parestesias do nervo alveolar inferior após a exodontia de terceiros molares, através de uma revisão narrativa da literatura. A literatura investigada aponta que os métodos de diagnósticos da pasrestesia são feitos através do teste clínico neurosensitivo que são divididos em mecanoceptivos e nociceptivos. Em relação aos tratamentos não se tenham chegados a uma conclusão sobre o ideal, o uso de anti-inflamatórios, antineuríticos e compostos vitamínicos do complexo B com associação da laserterapia geralmente são os mais escolhidos.
Antimoniato intralesional para tratamento de leishmaniose tegumentar: Uma revisão de literatura
Authors: Silveira Aline Valério Barbosa , Candido Rafaela , Franciscato Caroline
Published: September 2024

Introdução: A leishmaniose é uma infecção parasita protozoária endêmica. Sendo a leishmaniose tegumentar o subtipo mais prevalente na América Latina. Estima-se que sejam diagnosticados cerca de 1 milhão de novos casos anualmente. A patologia caracteriza-se inicialmente por uma pápula no local da picada do inseto que cresce até formar uma lesão ulcerada. Método: Revisão literária com buscas nas bases de dados Scielo e PubMed, critérios de inclusão e exclusão foram aplicados, resultando em 24 artigos, todos aqui discutidos. Resultados e Discussão: A terapêutica de primeira linha consiste no uso de antimoniatos sistêmicos, no entanto, muitos pacientes apresentam efeitos colaterais ao tratamento, necessitando a interrupção do uso. Assim, em busca de uma alternativa terapêutica, o uso de antimoniato intralesional tem se mostrado com eficácia semelhante ao tratamento sistêmico, sendo indicado para pacientes com poucas lesões, com tamanho menor do que 3 cm de diâmetro. Estudos apontam que o uso de antimoniato intralesional apresenta pouco ou nenhum efeito adverso, levando a cura inicial e definitiva em mais de 50% dos pacientes. Além da eficácia comprovada, estudos apontam outras vantagens das aplicações intralesionais, como: menores doses de antimônio, cronograma terapêutico flexível e aplicações mais espaçadas. Conclusão: A terapêutica com antimoniato intralesional apresenta resultados satisfatórios, com altas taxas de cura e poucos efeitos adversos. Protocolos médicos mundiais são recomendados.
Impacto da pandemia de COVID-19 nas infecções relacionadas à assistência à saúde na Unidade de Terapia Intensiva de um hospital brasileiro
Authors: Wesselovicz Rubens Miguel , Campos Thamires Neves de , Tonon Pedro Henrique Cury , Bail Larissa , Ito Carmen Antônia Sanches , Arcaro Guilherme , Montes Elisangela Gueiber
Published: September 2024

Objetivo: analisar o período pandêmico para obter o conhecimento do impacto das infecções relacionadas à assistência à saúde nas unidades de terapia intensiva e os mecanismos de resistência bacteriana envolvidos. Metodologia: trata-se de um estudo transversal descritivo com delineamento retrospectivo e análise do tipo caso-controle, por meio da coleta de dados do Núcleo de Controle de Infecção Hospitalar e em prontuários eletrônicos de pacientes internados em unidade de terapia intensiva, em um hospital universitário terciário no Sul do Brasil de janeiro de 2019 a dezembro de 2022. Resultados: o estudo analisou 540 prontuários de pacientes de UTI entre 2019 e 2022, com 151 coinfectados e 726 casos de IRAS. A maioria era do sexo masculino, com idade mediana de 61 anos, e hipertensão foi a comorbidade mais comum. As infecções mais frequentes foram pneumonia associada à ventilação (32%) e traqueobronquite (19%). A mortalidade aumentou de 34% (2019) para 51% (2022), e houve crescimento de microrganismos multirresistentes, especialmente gram-negativos. Klebsiella pneumoniae (16%) e Acinetobacter baumannii (15%) foram os microrganismos mais comuns. Conclusão: observou-se o aumento da mortalidade e a maior ocorrência de microrganismos multirresistentes decorreram desse período. Além disso, houve mudança no perfil bacteriano dessas infecções, tendo agora predomínio de microrganismos gram-negativos.
Perfil das infecções fúngicas no período pós-pandemia em um hospital dos Campos Gerais
Authors: Tonon Pedro Henrique Cury , Bahls Amanda , Wesselovicz Rubens Miguel , Bail Larissa , Ito Carmen Antônia Sanches , Gaspar Maria Dagmar da Rocha , Montes Elisangela Gueiber
Published: September 2024

Introdução: As infecções relacionadas à assistência à saúde ocasionam problemas de saúde pública em todo o planeta e os fungos têm se destacado cada vez mais nesse contexto, essencialmente após a pandemia de COVID-19 e do alerta de disseminação da espécie potencialmente multirresistente Candida auris. Objetivo: determinar o perfil das infecções fúngicas relacionadas à assistência à saúde no período pós-pandêmico. Metodologia: Trata-se de um estudo transversal retrospectivo realizado através da coleta de dados de pacientes em prontuários eletrônicos em um hospital no Sul do Brasil. Resultados: A prevalência de infecções fúngicas foi de 6%, maior no sexo feminino (68,5%), com uma taxa de mortalidade de 74% e associação com múltiplas comorbidades, dispositivos invasivos, antibioticoterapia e corticoterapia. A espécie de destaque foi Candida albicans, que representou 47,4% do total de infecções, além de ter sido encontrado um caso raro de infecção por Saccharomyces cerevisiae e de nenhuma cepa de Candida auris ser isolada. O uso de antibióticos esteve presente em 93,2% dos pacientes, de antifúngicos, em 30,1%, e de corticosteroides, em 38,4%. Conclusão: As infecções fúngicas relacionadas à assistência à saúde se associaram com o perfil de pacientes idosos, presença de comorbidades, internação em leito de unidade de terapia intensiva e apresentaram alta taxa de mortalidade.
Augustus Period Bridges of Cilicia Pedias (Plain Cilicia)
Authors: Göçmen İlkay
Published: September 2024

Cilicia, located in the southern part of Asia Minor, was historically divided into two distinct regions: Tracheia and Pedias, based on its topographic features. The term "Pedias" refers to the area extending from Soloi Pompeiopolis or the Lamos River to the Gulf of Iskenderun. Within this region, there are two stone bridges, attributed to the Roman period, that are situated close to each other and display similar architectural characteristics. The first bridge, known as the Kozan Bridge, is located in the Kozan District, while the second, called the Tozlu Bridge, is situated in the Kadirli District of Osmaniye.
The Kozan and Tozlu bridges share architectural similarities; however, uncertainties remain regarding their precise dating. The objective of this study is to resolve these uncertainties. To achieve this, the architectural features of the two bridges will be compared analogically with other examples, both within the region and across distant geographies once under Roman control. In addition to architectural analysis, the study will also consider ancient building practices in Cilicia and the broader political context of the period to determine when and for what purposes these bridges were constructed.
Enūma Anu-Enlil’de Geçen Bazı Güneş Kehanetleri ile İlgili Yorumlar
Authors: Duman Harun
Published: September 2024

Antik Mezopotamya’da Eski Babil döneminden itibaren yazılan Enūma Anu-Enlil, En önemli göksel inceleme ve kehanet serilerindendir. Bu seri 70 tabletten ve yaklaşık 7000 kehanetten oluşmaktadır. Kehanetler, gök cisimleri ve takımyıldızları ile ilgilidir. Bunlar; Ay/Nann Suen-Sin, Güneş/Utu-Šamaš, Venüs/İnanna-İştar, Jüpiter/Marduk, Mars/Nergal, Merkür/Nabu, Ninurta/Satürn, İşkur/Adad’tır. Bu serideki önemli kehanet bölümlerinden bir tanesi Güneş veya Utu/Šamaš ile ilgili kehanetlerdir. Utu/Šamaš, antik Mezopotamya inanışlarında Güneş tanrısıdır. Serinin 23-30 arası 8 tableti Güneş ile ilgili kehanetleri barındırır. Kehanetler genel olarak; Güneşin doğuşundaki veya batışındaki pozisyonu, diğer gezegen ve takımyıldızları ile birleşimi veya yakınlığı/uzaklığı, Güneşin rengi, Güneşin ışıklarının rengi ve Güneşin bulutlar veya bulut kümeleri ile doğuşu veya batışı ile ilgilidir. Antik Mezopotamya kâhinleri, kehanette bulunurken koşullu ve sonuçlu cümleler kullanmışlardır. Kehanette bulunmalarının sebebi ise hem dini hem de gelecekten haberdar olma isteğidir. Babil Yaratılış Destanı Enūma Eliš’te tanrı Marduk, Tiamat’ı öldürdükten sonra tanrılara ve tanrıçalara gezegenler veya istasyonlar vermiştir. Bu gezegenler bir bakıma tanrıların bir tezahürü sayılmıştır. Bu bağlamda dönemin insanına göre gezegenlerin hareketleri tanrılardan bir mesaj olarak algılanmıştır. Çoğu Kehanetin gerçekleşme ihtimali bilimsel olarak neredeyse imkânsızdır. Fakat dönemin siyasi, kültürel, sosyal ve ekonomik hayatı ile ilgili önemli bilgilere kehanetlerden ulaşmak mümkündür. Öte yandan antik Mezopotamya kâhinleri, kehanetleri toplumu kontrol ve itaat altında tutmanın bir yolu olarak kullanmışlardır.
Shifting temperature-abundance relationship for Bering Sea walleye pollock consistent with northward expansion during exceptionally warm conditions
Authors: Oke KB , Litzow MA , Mueter F
Published: September 2024

Rapid climate change in high-latitude ecosystems presents a challenge to fisheries management, as ecosystems are exposed to novel climate conditions that might expose non-stationary climate-biology relationships. Recently, the eastern Bering Sea has experienced a series of warm years outside the range of previous observations, resulting in shifting species distributions. We tested whether exceptionally warm temperatures from 2014-2019 revealed temporal non-stationarity in the relationship between temperature and the local abundances of walleye pollock Gadus chalcogrammus, an ecologically and commercially important species. Using survey catch per unit effort (CPUE) as a local abundance proxy, we detected a gradual shift through time in the local abundance-bottom temperature relationship, but little evidence for a sharp transition associated with marine heatwave conditions. Because pollock have expanded their range into novel habitats in the northeast Bering Sea (NEBS), we tested whether our models, parameterized for the southeast Bering Sea (SEBS), had predictive skill in the northeast. Our models were generally able to identify areas of high and low CPUE, though they under-predicted the magnitude of abundance observed in the northeast during the warm years. Spatial associations between pollock and other species differed between the warm period (2014-2019) and previous decades (1982-2013) for 3 of 9 species, providing mixed evidence for non-stationarity. These findings contrast with results showing sharp rather than gradual changes in climate-biology relationships associated with climate transitions in nearby ecosystems. The same processes that govern walleye pollock abundance and distribution appear to apply to both the SEBS, historically the core of their distribution, and the NEBS.
PENGARUH TINGKAT SUKU BUNGA, JUMLAH BAGI HASIL, LQ 45, DAN RASIO KEUANGAN TERHADAP SIMPANAN MUDHARABAH PADA BANK SYARIAH DI INDONESIA
Authors: Sabarudin - , Sari Akhfi Mustika
Published: September 2024

Abstract: Growth of Islamic banks signaled that public confidence in Islamic banks increased. This study aimed to examine the effect of interest rates, LQ 45, financial ratios CAR, FDR, and BOPO of the mudaraba deposits. This research is explanatory research. Sampling technique using purposive sampling method. Classical assumption test performed prior to testing hypotheses include: test for normality, multicollinearity test, test correlation, and heteroscedasticity test. Hypothesis testing, which is used multiple linear regression. The results showed that the level of interest rates, LQ 45, FDR Financial ratio and BOPO is significantly negative effect on mudaraba deposits in Islamic banks in Indonesia. The amount of profit-sharing and financial ratios CAR positive and significant effect on mudaraba deposits in Islamic banks in Indonesia.Keywords: Interest Rate, Profit sharing, LQ 45 and Financial Ratios.Abstrak: Pertumbuhan bank-bank Islam mengisyaratkan bahwa kepercayaan publik di bank-bank Islam meningkat. Penelitian ini bertujuan untuk menguji pengaruh suku bunga, LQ 45, rasio keuangan CAR, FDR, dan BOPO dari deposito mudharabah. Penelitian ini merupakan penelitian penjelasan. Teknik pengambilan sampel menggunakan metode purposive sampling. Uji asumsi klasik yang dilakukan sebelum menguji hipotesis meliputi: uji normalitas, uji multikolinearitas, uji korelasi, dan uji heteroskedastisitas. Pengujian hipotesis, yang digunakan regresi linier berganda.Berdasarkan hasil penelitian menunjukkan bahwa tingkat suku bunga, LQ 45, rasio keuangan FDR dan BOPO berpengaruh negatif signifikan terhadap deposito mudharabah di bank syariah di Indonesia. Jumlah bagi hasil dan rasio keuangan CAR berpengaruh positif dan signifikan terhadap deposito mudharabah di bank syariah di Indonesia.Kata kunci: tingkat suku bunga, jumlah bagi hasil, LQ 45, rasio keuangan
Konsep Zakat sebagai Instrumen Finansial Islam dalam Usaha Pemulihan Kondisi Ekonomi
Authors: Samsidar  , Syamsurianto  , Wahyuddin  , Masse Rahman Ambo , Alwi Aulia
Published: September 2024

Zakat adalah bagian dari filantropi Islam, seperti halnya perintah yang diberikan dalam Alquran untuk menegakkan shalat. Jika ibadah mahdah memiliki dimensi horizontal maka zakat memiliki dimensi sosial. Dalam hal dimensi sosial ini, Jelas bahwa zakat harus diberikan kepada orang muslim yang memiliki harta yang cukup hingga nantinya dapat tesampaikan kepada masyarakat yang termasuk kategori mustahiq dalam zakat. Pendistribusian Zakat secara formal dengan tujuan untuk mengembangkan evektifitas serta efektivitas dalam administrasi zakat, serta untuk menggunakan keuntungan yang diperoleh dari zakat untuk menjamin kesejahteraan umat dan memerangi kemiskinan. Peneliti ini menggunakan metode penelitian pustaka. Dari hasil penelitian ini peneliti menjelaskan bahwa zakat tidak boleh digunakan untuk kegiatan ekonomi yang prioritas menguntungkan, selama mustahik yang wajib dibantu belum tersampaikan dalam memenuhi kebutuhan dasarnya, ketika zakat digunakan untuk kegiatan-kegiatan ekonomi, tujuannya adalah untuk membebaskan penerima zakat secara sosial ekonomi dan mengubah mereka dari penerima menjadi pembayar. Konsep ini dapat diterapkan dengan memberi penerima zakat kesempatan untuk mendirikan atau mengembangkan bisnis mereka sendiri dengan memberikan hibah untuk modal usaha, yang akan memungkinkan mereka juga mampu mendapatkan sumber pendapatan yang permanen.