bluuebunny/crossref_metadata_2025 huggingface dataset:
SANAL MAĞAZA ATMOSFERİ UNSURLARI VE INSTAGRAM MAĞAZA ATMOSFERİ UNSURLARININ KARŞILAŞTIRILMASI INSTAGRAM MAĞAZA ATMOSFERİ UNSURLARINI BELİRLEMEYE YÖNELİK BİR ARAŞTIRMA
Authors: KARAKURT Çağlar
Published: December 2021

İnternet ve diğer iletişim teknolojilerine yönelik gelişmelerin artması neticesinde bu alanları kullanan bireylerin sayısında da artış olmuştur. Bu gelişmeler bireylerin birbirleriyle iletişim ve etkileşim kurabilecekleri sosyal medya platformlarının da oluşmasına sebebiyet vermiş neticesinde sosyal medya uygulamalarının kullanım oranları dünya genelinde inanılmaz boyutlara ulaşmıştır. Sosyal medya ortamları, kullanıcıların çeşitli bilgi, fikir, ilgi alanı, deneyim vb. konuları internet ya da mobil sistemler üzerinden paylaştıkları alanlar olması dolayısıyla birçok işletmenin de ilgisini çekmiş; sonuç olarak işletmeler de bu alanları tüketicileri cezbetmek ve pazarlama faaliyetlerini yürütmek için kullanacakları kanallar olarak değerlendirmişlerdir. Son yıllarda sosyal medya uygulamalarını bir satış kanalı olarak kullanan mağazaların sayısı da gittikçe artmıştır. Bu amaçla kullanılan uygulamaların başında Instagram gelmektedir. Daha fazla tüketiciye ulaşmak ve daha fazla satış gerçekleştirmek isteyen işletmeler için sosyal medya mağazalarının hangi özelliklerinin tüketicileri daha fazla çektiği konusu önemli hale gelmiştir. Bu noktada geleneksel mağazaların tüketicileri çekmede kullandıkları mağaza atmosferi unsurları, sanal mağazalar için de kullanılmıştır. Bu unsurları inceleyen araştırmaların büyük bir kısmı, işletmelere ait web siteleri üzerinden çalışmalar yürütmüşlerdir. Sosyal medya mağazalarının ve web sitelerinin atmosfer unsurlarının birçok noktada farklılık göstereceği düşüncesiyle yapılan bu çalışma, sanal mağaza atmosferi unsurları ve Instagram mağaza atmosferi arasındaki farklılıkları keşfetmek ve Instagram mağaza atmosferinde öne çıkan unsurları belirlemek amacıyla yapılmıştır. Daha önce bu alanda yapılan çalışmaların sınırlı olması ve Instagram mağaza atmosferi üzerine bir çalışmanın bulunmaması dolayısıyla çalışma, ikincil verileri kullanarak keşfedici bir araştırma sunmaktadır. Literatürden elde edilen bulgular ve analizlerin yorumlanması sonucunda Instagram mağazalarının atmosfer unsurlarının birçoğunun diğer elektronik mağazalardan farklı özellikte oldukları ortaya çıkmıştır. Bu farklılıkların genel itibariyle kanalla ilişkili farklılıklar oldukları görülmektedir. Bu açıdan bakıldığında, Instagram ve benzeri sosyal medya uygulamalarındaki mağazalar için atmosfer unsurlarının, literatürde mevcut olan elektronik mağaza atmosfer unsurlarından farklı olarak ele alınması gerekmektedir.
Tác động của tăng trưởng cho vay bất thường đến rủi ro ngân hàng thương mại Việt Nam
Authors: Anh Nguyễn Thuý , Nga Lê Hồng , Đạt Nguyễn Thành
Published: December 2021

Nghiên cứu này nhằm đánh giá ảnh hưởng của tăng trưởng cho vay bất thường đối với rủi ro của ngân hàng Việt Nam, sử dụng dữ liệu bảng cân bằng, bao gồm 390 quan sát của 30 ngân hàng từ năm 2007 đến năm 2019. Bằng phương pháp hồi quy gộp (Pooled OLS), mô hình hiệu ứng cố định (Fixed effects model), mô hình hiệu ứng ngẫu nhiên (Random effects model) và phương pháp GMM (Generalized method of moments. Kết quả cho thấy, tăng trưởng cho vay bất thường bước đầu đã giúp các ngân hàng giảm bớt rủi ro. Tuy nhiên, mối quan hệ này là hình phi tuyến tính và không đồng nhất. Kết quả cho thấy, việc theo đuổi cho vay quá nhiều có nhiều khả năng dẫn đến việc ngân hàng phải chấp nhận rủi ro lớn hơn. Từ kết quả nghiên cứu bài viết đưa ra một số gợi ý nhằm hạn chế rủi ro ngân hàng đó là việc theo đuổi cho vay quá nhiều có nhiều khả năng dẫn đến việc ngân hàng phải chấp nhận rủi ro lớn hơn.
Đo lường các yếu tố ảnh hưởng đến chất lượng dịch vụ chuỗi cửa hàng tiện lợi trên địa bàn Thành phố Hồ Chí Minh
Authors: Tân Văn Đức
Published: December 2021

Nghiên cứu nhằm đo lường chất lượng dịch vụ chuỗi cửa hàng tiện lợi  trên địa bàn TPHCM. Trên cơ sở đó, tác giả đề xuất một số hàm ý chính sách và quản trị nâng cao chất lượng dịch vụ chuỗi cửa hàng tiện lợi này. Mô hình nghiên cứu đề xuất kế thừa từ mô hình nghiên cứu RSQS của Dalholkar và cộng sự (1996) và được kiểm định bằng phương pháp nghiên cứu định tính kết hợp nghiên cứu định lượng. Nghiên cứu định tính được thực hiện bằng kỹ thuật thảo luận nhóm tập trung, gồm 4 nhóm khách hàng và các chuyên gia bán lẻ. Nghiên cứu định lượng nhằm kiểm định mô hình nghiên cứu và các giả thuyết nghiên cứu, dữ liệu nghiên cứu được thu thập bằng hình thức phỏng vấn bảng câu hỏi, được thu thập từ 1000 khách hàng. Kết quả nghiên cứu cho thấy, chất lượng dịch vụ chuỗi cửa hàng tiện lợi  trên địa bàn TPHCM gồm các thành phần được xếp theo thứ tự quan trọng giảm dần: Uy tín, Tiện lợi, Trưng bày, Nhân viên phục vụ, Thái độ, Sự đồng cảm, Chính sách.
الخوارج و الحكم عليهم في ضوء الحديث : سيخرج قوم في آخر الزمان
Authors: خالد بن محمد بن راجح أبو القاسم
Published: December 2021

الخوارج و الحكم عليهم في ضوء الحديث : سيخرج قوم في آخر الزمان

I have looked into the condition of the Islamic natiqn , I found a kind of extremism and exaggeration for some of its youth.

Then I studied the purified Sunnah and I found a relation between the extremists of this age and the dissidents, therefore I aimed to discover the properties of the dissidents and their beliefs and the vicious of their method and their bad behaviour and the reasons of their appearance and their failure to understand the religion and their deviation from the moderate method of Islam.

.They were blind to see or seemed blind to see the texts coming in Qura'n and Sunnah which explain how to ask for grace and forbid the abominable .

Youth see it as an execuse to see infidels from Jews and Christians, disbelievers, infidels and pagans and their domination in Muslim's interests and their interference in the affairs of Islamic countries and the fate of their people which led to their complaint and feeling of their youth and cultured and people of solicitude of grievance and degradation.

This study is concluded by some conclusions and recommendations
أثر شرب الماء الممغنط على بعض الخصائص الإنتاجية و الطبيعية لألبان أبقار الهجين السودانية
Authors: حسن خوجلي محمد,الطيب أحمد,يوسف إسحاق سليمان،   البشير،   منال
Published: December 2021

أثر شرب الماء الممغنط على بعض الخصائص الإنتاجية و الطبيعية لألبان أبقار الهجين السودانية

تم اختيار 25 بقرة متماثلة في موسم الحلب الرابع و في الشهر الثالث من الولادة، ثم قسمت إلى خمس مجموعات بحيث تحتوي كل مجموعة على خمس بقرات.

تم تحديد نسبة الدهون و البروتين و الرماد و المواد الصلبة الكلية في ألبانها و ذلك قبل شرب الأبقار للماء الممغنط، و لمعرفة أثر شرب الماء الممغنط تم تركيب جهاز مغنطة الماء لمدة أربعة أسابيع ثم تم أخذت ألبان من المجموعات الخمسة و تم تحديد النسب المذكورة أعلاه إضافة إلى الحموضة و العد و البكتيري و التخثر و كمية اللبن المنتج في اليوم بحيث يتم مقارنة النتائج قبل و بعد شرب الأبقار للماء الممغنط.

و بدراسة المكونات الكيميائية للبن الأبقار قبل و بعد شرب الماء الممغنط تبين وجود فروق معنوية عند احتمالية (P < 0.05) في نسبة دهن اللبن و رماد اللبن لم توجد فروق معنوية في نسبة المواد الصلبة الكلية و البروتين عند احتمالية (P > 0.05) و عند دراسة بعض الخصائص الفيزيائية لوحظ وجود فروق ذات دلالة معنوية عند احتمالية (P < 0.05) في درجة حموضة اللبن، و كذلك في الزمن الكلي للتخثر، أما بالنسبة للعد البكتيري و إنتاج اللبن اليومي فلم يظهر التحليل الإحصائي أي فروق معنوية عند احتمالية (P > 0.05).
BLOOD BIOCHEMICAL INDICES OF SEED BULLS WHEN USING MINERAL SUPPLEMENT BASED ON MARAL ANTLER PRESS-CAKE
Authors:   Altai State Agricultural University, Afanasyeva A.I. , Sarychev V.A. ,   Altai  State  Agricultural  University, Chebakov S.N. ,   Altai State Agricultural University
Published: December 2021

The seed bulls used for artificial insemination should be in good health, have outstanding genetic characteristics, have high sexual activity, and the biological products ob-tained from them should have high quality indices. One of the possible methods of increasing semen production is the introduction of dietary supplements into the diet. The intro-duction of new feed and biologically active supplements into the diet may cause both positive and negative changes in metabolic processes. Monitoring the biochemical status of blood allows detecting not only metabolic disorders in highly productive animals but also a lack of vitamins, mac-ro-and microelements. The research goal was to study the effect of a natural biostimulant (mineral supplement) made from maral antler press-cake on the blood biochemical indices ofBlack Pied seed bulls in the breeding company AO “Plempredpriyatiye Barnaulskoye”. Along with the basic diet, the seed bulls of the trial group received the natural biostimulant (mineral supplement) based on maral antler press-cake; the daily dose -15.0 g per head, for 30 days with 10 days’ interval after each application. The supple-ment was thoroughly mixed with compound feed before feeding. The mineral supplement is of powder form and contains a complex of vitamins, minerals, amino acids and other biologically active substances. The use of a mineral supplement increased the amount of total protein and al-bumin by 7.15% and 18.3%, respectively. The blood glu-cose level in the seed bulls of the trial group was higher by 12% and cholesterol by 17.1% than in the blood of the con-trol group animals. Cholesterol of the seed bulls may be used as a structural material or a precursor in the synthesis of sex steroid hormones. The level of total calcium, alkaline reserve at the end of the experiment increased in the seed bulls when using the mineral supplement made from maral antler press-cake in the diet by 4.8% and 8.1%, respective-ly, as compared to the control group.
BASIC NUTRIENT CONSUMPTION AND REMOVAL WITH RAPESEED SEEDS WHEN APPLYING DIFFERENT FERTILIZER COMBINATIONS
Authors:   Altai State Agricultural University, Antonova O.I. , Vepryntseva K.R. ,   Altai  State  Agricultural  University, Komyakova Ye.M. ,   Altai State Agricultural University
Published: December 2021

In the context of different fertilizer combination applica-tion (urea-ammonia liquor KAS-32, liquid complex fertilizer ZhKU, and compound NPK fertilizerDiammophoska) N89P26K26S14, N70P26K26S14, N73P39K13S14, N89P39K13S14, N87P37S14and N71P37S14, we revealed increased removal of CaO to 15.6-20 kg ha as opposed to 13.8 kg ha in the con-trol; MgO to 12.3-16 kg ha compared to 10.2 kg ha in the control. Taking into account Ca and Mg removal without return, it requires the introduction of compound fertilizers containing these nutrients into the fertilizer system. Nitro-gen removal was 110.3-165.5 kg ha compared to 102.6 kg ha, and sulfur -10.9-12.8 kg ha compared to 7.8 kg ha in the control. The S/N ratio ranged from 8.9-15.4 compared to 14 in the control. For the most part, it was equal to 10.7-12.9 which was indicative of satisfactory sulfur supply to oil seed rape crops and the need to increase sulfur dose to 21-28 kg ha. The largest removal of all nutrients was found inthe variants with N73P39K13S14and N71P37S14; the highest yield was formed with N73P39K13S14with N:P:K removal ratio of 1:0.39:0.21
EFFECT OF NEEDLES DIET SUPPLEMENT ON GEESE PRODUCTIVE QUALITIES
Authors:   Altai State Agricultural University, Khaustov V.N.
Published: December 2021

The quantity of young geese for fattening depends on the geese parent flock and its reproductive qualities. There-fore, an important technological point is the organization of balanced feeding of the parent flock. The research goal was tostudy the effect of needles diet supplement on the egg production of geese. The experiment was carried out in the peasant farm enterprise “KFKh Shuvaeva Marina Anatolyevna” on the geese of the parent flock of the Lindovskaya breed. To achieve this goal, two groups of 1000 geese were formed. The first group was the control and received the basic diet which nutritional value corre-sponded to the standard; the second group was the trial group, and its basic diet contained 0.5% of the needles feed supplement. This supplement was obtained by extru-sion and contained 199 mg of carotene per kg. The use of the needles supplement in geese diets of the parent flock at a dose of 0.5% increased the gross hatching egg yield per laying female housed by 10.14 and 11.1, respectively. At the same time, the economic effect from 1 head of the parent flock made 77.4 rubles.
INDIVIDUAL AND GROUP INDICES OF VELVET ANTLER PRODUCTION OF MARALS FOR THE PERIOD OF THEIR ECONOMIC USE
Authors:   Altai State Agricultural University, Kazantsev D.A. , Rastopshina L.V. ,   Altai  State  Agricultural  University, Kypchakov M.A. ,   Altai State Agricultural University
Published: December 2021

Maral breeding is a promising direction of animal hus-bandry in the Altai Region and the Republic of Altai. Breed-ing of highly productive maral stags is based on the proper organization of breeding work which is not possible without an accurate evaluation of individual and group indices of velvet antler weight. In this regard, the research goal is to study individual and group indices of velvet antler produc-tion of marals for the period of their economic use depend-ing on the age. It was found that the velvet antler weight increased by 6.3 kg over the entire study period, and there was a decreasing tendency of the productive index in thir-teen-year-old marals by 800 g. It was found that in the maral stag herd in 2021, the maral stag born in 2008 with velvet antler weight of 18.8 kg became the record holder. The main criteria for culling were decreased velvet antler production and fatness; the age of those animals was from eleven to fourteen years. In this regard, it was found that individual highly productive thirteen-year-old maral stags could consistently produce high-weight velvet antlers dur-ing the period of their economic use. To improve the quali-tative composition of marals, at breeding time, it is neces-sary to evaluate and select high-productive stags from six to twelve years old individually in dynamics and cull low-productive ones regardless of age.
THE IMPACT OF ALZHEIMER’S DISEASE ON EMOTIONAL PROCESSING
Authors: Silva Rogeria Cristina , Carvalho Raquel Luíza , Dourado Marcia Cristina
Published: December 2021

Background: Emotional processing involves the ability of the individual to infer emotional information. There is no consensus about how Alzheimer’s disease (AD) affects emotional processing. Objective: We aim to systematically review the impact of AD on emotion processing Method: We conducted a search based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The literature search was performed using the electronic databases MEDLINE (Pubmed) and Science Citation Index (ISI). The following descriptors were used in the review process: emotion or emotional processing, cognition or cognitive functions and Alzheimer disease or Alzheimer’s disease. This systematic review was recorded in the International Prospective Register of Systematic Reviews (PROSPERO) under the number CRD42018115891. Results: We identified 425 articles, 19 of which met our criteria. Visual emotional stimuli were the most used among studies. Most studies used tasks of emotional naming, discrimination, identification and correspondence. The results were contradictory. Many studies reported that individuals with AD were impaired on emotional perception tasks, while others results reported preserved skills. The relationship between emotional processing and cognition is also unclear. Some studies suggested that general cognitive performance affects performance in emotional perception tasks among people with AD, but other studies have shown deficits in recognizing emotion, regardless cognitive performance. Conclusions: Studies are scarce, present contradictory results, and report impairment in emotional processing in relation to cognition. Moreover, analyzes of correlation between emotion processing and cognitive functioning failed to reveal clear relationships.
18-FDG PET ANALYSYS FOR DEMENTIA DIAGNOSIS- BASELINE RESULTS FROM A REFERENCE CENTER IN RECIFE, BRAZIL
Authors: Ramos Júlia Xavier , Zacarias Bruno , Barbosa Breno , Brandão Simone
Published: December 2021

Background: Positrons emission tomography associated with computed tomography- PET/CT using the 18 F-fluorodeoxyglucose is a well-established exam for the medical evaluation of dementia, mainly helping in differential diagnosis to determine the specific type of dementia. Objectives: To describe the role of the PET/CT in the differential diagnosis of dementia in patients. Methods: a single-center, descriptive and records-based analysis of patients with Dementia evaluated in a clinic of Neurology at Recife and referred to PET/ CT due to diagnosis uncertainty, between 2020-2021. Results: 29 patients were included. The mean age was 65 years-old and 62% were female. Alzheimer’s dementia was the main diagnostic hypothesis (41.3%). PET/CT was suggestive of Alzheimer’s in 24%, Frontotemporal dementia in 21% and Lewy Bodies Dementia in 17% of patients. PET/CT results disagreed from clinical hypothesis in 21% o and in 10% it was inconclusive. In 38% it corroborated the clinical suspicion. Conclusions: in this sample the use of PET/CT FDG contributed to improve diagnostic accuracy in a significant subset of patients, mostly in the scenery of diagnostic uncertainty or atypical syndromes such as earlyonset dementias. A larger sample size and the continuation of this research will give us more information in the near future.
THE INFLUENCE BETWEEN ALZHEIMER’S DISEASE AND HEALTHY EATING: A SYSTEMATIC REVIEW
Authors: Siqueira Fernando , Siqueira Vanessa , Falcão Lucas , Bezerra Arthur , Silva Carlos
Published: December 2021

Background: Alzheimer’s Disease (AD) is a neurodegenerative disease responsible for neuronal losses that affect mainly the cortex and hippocampus, which begin to shrink in size, damaging cognitive functions. This process affects cholinergic neurons, influencing acetylcholine (ACH) levels, a memoryrelated neurotransmitter. Glucose metabolism and low thiamine levels appear to be affected by AD. Consequently, diabetes becomes a disease associated with AD and the thiamine deficiency levels depress the use of glucose by the brain. Thus, nutrition may have a role in preventing dementia through the treatment and prevention. Objective: To summarize the knowledge about this topic by reviewing articles and analyzing if healthy eating influences the development of AD. Methods: Selection of articles from the Scielo database. Results: Inflammation contributes to the pathogenesis of AD. The effect observed in patients with adherence to the Mediterranean diet translates into a decrease in inflammatory markers at the plasma level. One of the symptoms, memory loss, can be prevented by a micronutrient named thiamine, a precursor of ACH, it is found in the leguminous. The Mediterranean diet has been shown to attribute a neuroprotective activity which goes with its anti-inflammatory effect. Conclusion: AD starts by its multifactorial etiology that consists of genotype and phenotype. Nutrition would be efficient as a preventive and a therapeutic alternative among other.
Adesão a realização de testes rápidos na rede cegonha no estado do Rio Grande do Norte: impacto da pandemia pela COVID-19
Authors: Silva Juliana Kelly Batista da , Romero Renata Olívia Gadelha , Santos Jamira Martins dos , Moreira William Caracas , Nóbrega Luciana Maria Bernardo , Leadebal Oriana Deyze Correia Paiva , Nogueira Jordana de Almeida
Published: December 2021

Introdução: A Rede Cegonha, instituída no âmbito do Sistema Único de Saúde, é uma estratégia que, por intermédio de redes de atenção, visa assegurar à mulher o direito ao planejamento reprodutivo e à atenção humanizada a gravidez, ao parto e ao puerpério. A ampliação do acesso e da melhoria da qualidade do pré-natal na Atenção Básica se apoia na oferta e na execução dos testes rápidos para vírus da imunodeficiência humana, sífilis e hepatites virais. Objetivo: Descrever adesão à realização de testes rápidos na Rede Cegonha no estado do Rio Grande do Norte. Métodos: Foi realizado estudo descritivo, transversal, com dados secundários do sistema de controle logístico de insumos laboratoriais do Rio Grande do Norte. Resultados: Nos anos de 2019 a 2020, 264.503 testes rápidos foram realizados em gestantes. Em 2020, em virtude da pandemia da COVID-19, o estado do Rio Grande do Norte obteve redução de 2,3% (130.721) de todas as testagens realizadas. Ao analisar as testagens para o vírus da imunodeficiência humana, nos três primeiros meses de 2021, percebe-se uma redução de 184,1% (1.149) de testes realizados comparados ao mesmo período de 2020. Quanto à testagem rápida para sífilis, houve uma redução de 349% (1.047) e a testagem para a hepatite B sofreu uma redução de 131% (424). Como não há registro específico da testagem para hepatite C na Rede Cegonha, essa informação não foi divulgada neste trabalho. Conclusão: A redução na cobertura de testes rápidos para as infecções sexualmente transmissíveis na Rede Cegonha impacta diretamente na falta de diagnóstico em tempo hábil nas gestantes, na atenção adequada ao pré-natal e em riscos de transmissão vertical. Diagnósticos tardios na gestação podem levar complicações a criança, como doenças congênitas, aborto e parto prematuro do recém-nascido.
Perfil epidemiológico e carga viral de pessoas vivendo com vírus da imunodeficiência humana/aids na região centro-sul do estado do Paraná de 2012 a 2019
Authors: Mantey Nórton Ramsés Canossa , Mantey Jacques Magnos Canossa , Müller Erildo Vicente
Published: December 2021

Introdução: Os casos de vírus da imunodeficiência humana/aids tiveram aumento principalmente entre jovens do sexo masculino, e tal fato se deve, provavelmente, à menor aderência ao tratamento. Objetivo: Descrever o perfil epidemiológico de pessoas vivendo com vírus da imunodeficiência humana/aids em tratamento antirretroviral no município de Ponta Grossa (PR). Métodos: Trata-se de um estudo de coorte retrospectivo com dados oriundos de prontuários de pessoas vivendo com vírus da imunodeficiência humana/aids no período de janeiro de 2012 a junho de 2019, no serviço de atenção especializada do município de Ponta Grossa. As variáveis de interesse no estudo foram: faixa etária, sexo e carga viral da última consulta de cada paciente. Foram incluídos no estudo os prontuários com: data de nascimento, resultado do exame da carga viral, sexo e data da consulta. Resultados: No período analisado foram coletados dados de 922 pacientes. Verificou-se que 55,63% eram do sexo masculino. A faixa etária predominante foi de 40-49 anos (28,4%), seguida por 30-39 anos (28%). Foi observado que 77,02% das mulheres e 73,10% dos homens tiveram carga viral abaixo de 200 cópias/mL ou indetectável. Na análise por faixa etária, foi verificada carga viral abaixo de 200 cópias/mL ou indetectável em 88% de idosos (+60), em 80,36% na faixa de 50-59 anos, em 77,48% na faixa de 40-49 anos, em 71,32% da faixa de 30-39 anos e em 64,63% da faixa de 0-29 anos. Conclusão: Há a necessidade da continuidade e expansão do atendimento diferenciado para as diferentes faixas etárias e sexos, visto que a adesão ao tratamento, refletido na carga viral, é diferente entre os grupos, o que sugere abordagem diferenciada entre homens e jovens para verificação da adesão e uso correto da terapia antirretroviral.
Atuação do enfermeiro do município de Valença no contexto de vírus da imunodeficiência humana/aids
Authors: Gomes Elisângela do Nascimento Fernandes , Silva Gilcélio Nunes da Costa
Published: December 2021

Introdução: O programa de infecções sexualmente transmissíveis por vírus da imunodeficiência humana/aids vem investindo muito para diminuir a vulnerabilidade da população às infecções sexualmente transmissíveis, prevenir novas infecções, promover a qualidade de vida, reduzir o preconceito, a discriminação e os demais impactos sociais negativos das infecções sexualmente transmissíveis/vírus da imunodeficiência humana/aids. O enfermeiro é um profissional essencial para o desenvolvimento das ações propostas pelo programa. Cabe a ele desenvolver e gerenciar as ações de promoção e prevenção a essas infecções. O Brasil é um exemplo do acesso a medicamentos de ponta para tratamento da doença, porém, quanto à redução dos casos e ao controle da doença, os dados epidemiológicos mostram aumento significante do vírus da imunodeficiência humana no Brasil. Objetivo: Compreender as ações de promoção e prevenção de vírus da imunodeficiência humana/aids desenvolvidas pelos enfermeiros das unidades de saúde do município. Métodos: (entrar aqui)Trata-se de uma pesquisa de campo, com abordagem quantitativa, que recebeu o parecer de aprovação nº 2.766.809 do Comitê de Ética em Pesquisa com Seres Humanos da Faculdade de Medicina de Valença (RJ). Métodos: O estudo foi realizado em 22 unidades de saúde de Valença e participaram 19 enfermeiros. Para a coleta dos dados, utilizaram-se formulário demográfico e questionário semiestruturado. Resultados: Percebe-se que há um aumento da infecção do vírus da imunodeficiência humana no município, com a prevalência no sexo masculino. Há uma boa cobertura de unidades básicas, o que favorece o bom desenvolvimento das ações de promoção e prevenção em todo território. A ação educativa é a principal ação desenvolvida, porém fragilidades foram apontadas pelos participantes, como baixa adesão aos testes rápidos e à terapia antirretroviral, estrutura física inadequada, grande demanda de serviço e quantidade deficiente. Conclusão: Há a necessidade de reorganização e planejamento dos serviços oferecidos para melhorar a assistência de enfermagem e a qualidade no atendimento, tornando efetivas as ações de promoção e prevenção do vírus da imunodeficiência humana/aids para redução dos índices de infecção no município.
Experiência no enfrentamento ao surto de sarampo no estado do Amapá - perspectiva do projeto de integração de ações entre Atenção Primária à Saúde e Vigilância em Saúde
Authors: Brito Rosa Maria Guimarães , Carvalho Josenir , Codenotti Stefano Barbosa
Published: December 2021

Introdução: A Atenção Primária à Saúde possui papel fundamental na vigilância em saúde de doenças imunopreviníveis, sobretudo pelo protagonismo em ações de vacinação, detecção de doenças de notificação compulsória, assistência ao indivíduo e acompanhamento e monitoramento do perfil epidemiológico no território. No Brasil, os últimos casos de sarampo foram registrados em 2015, rendendo ao país a certificação de eliminação da circulação do vírus do sarampo pela Organização Mundial da Saúde em 2016. Entretanto, em 2018 houve a reintrodução do vírus do sarampo no território nacional em decorrência principalmente do intenso fluxo migratório de países vizinhos, aliado às baixas coberturas vacinais. O Amapá, desde setembro de 2020, vem enfrentando um surto da doença, necessitando de intervenções urgentes e integradas para enfrentamento ao surto. Objetivo: Relatar a experiência das apoiadoras do Projeto Força Tarefa no enfrentamento ao surto de sarampo no Amapá. Métodos: Relato de experiência na perspectiva do apoio ao projeto de integração, de setembro/2020 a março/2021. Resultados: Atuação do apoio nas reuniões com as coordenações de Vigilância em Saúde e Atenção Primária à Saúde dos municípios do estado para delinear estratégias de vacinação considerando o surto e a pandemia de COVID-19. Participação na elaboração de documentos técnicos como o plano de enfrentamento ao surto de sarampo, diretrizes para operacionalização da estratégia de varredura e atualização da caderneta vacinal no estado do Amapá, plano de operacionalização da varredura e multivacinação dos municípios de Laranjal e Vitória do Jari, elaboração de mídias para compartilhamento digital com orientações sobre a varredura. Atuação no acompanhamento da ação de varredura e na sala de situação de enfrentamento ao surto de sarampo, sempre trazendo a perspectiva da integração. Conclusão: As apoiadoras conseguiram desenvolver um trabalho bastante relevante e consistente no território, contribuindo para as ações e proporcionando a integração das ações entre Atenção Primária à Saúde e Vigilância em Saúde, além dos Conselhos de Secretarias Municipais de Saúde e demais apoiadores do território.
Frequency of Socio-Demographic Factors and Variety of Substances used by Drug Induced Psychotic Patients in Tertiary Care Hospital
Authors: Khan Taimur , Khan Imran , Kamran Khan Muhammad , Asif Shakil , Ali Kazmi Syed Azhar , Shoaib Irfan Muhammad
Published: December 2021

Background and Aim: Drug or substance abuse is still a major public health concern all over the world. Globally, the rate of fatal substances or drug overdoses has increased in recent decades, owing primarily to prescription drug overdoses, particularly opioids. The aim of the present study was to determine the frequency of socio-demographic factors and variety of substances used by drug induced psychotic patients in tertiary care hospital. Methodology: This retrospective study was conducted on 86 drug-induced psychotic patients attending the Department of Psychiatry at Khattak Medical Center Peshawar, Khyber Teaching Hospital Peshawar and Divisional Headquarter hospital, Mirpur AJK for duration of six months from January 2020 to June 2020. Patient’s demographic details and diagnosis of psychosis were collected and recorded in semi-structured proforma and ICD-10 DCR criteria respectively. Inclusion and exclusion criteria was followed for all the patients enrolled in this study. Socio-demographic details such as age, gender, identification number, educational status, marital status, occupation, socioeconomic status, and family types were all recorded. Results: Out of 86 patients, male and females were 67 (77.9%) and 19 (22.1%) respectively. The majority of the patients were between the ages of 16 and 26. Single patients outnumbered married patients by 37 (43.0%) and 49 (57%) respectively. According to education, the proportion of patients attending university, higher secondary school, secondary school, primary school, and illiterate was 14 (16.3%), 24 (27.9%), 26 (30.2%), 13 (15.1%), and 9 (10.5%) respectively. Patients were mostly unemployed 41 (47.8%). Regarding social status, the prevalence of higher, middle, and lower class was 12 (14%), 47 (54.7%), and 27 (31.4%) respectively. Among 86 patients, Schizophrenia, ATPD, and Mental and Behavioral Disorders were diagnosed in 40 (46.5%), 28 (32.6%), and 18 (20.9%) respectively. Conclusion: Our study revealed that substance abuse is common among drug-induced psychiatric patients. It was also discovered that unemployment could be one of the causes of substance abuse. Our study found a higher prevalence of schizophrenia. Keywords: Socio-demographic; Substance use; drug induced patients
Outcome and Incidence of Acute Kidney Injury among Hospitalized Children
Authors: Masood Shaheen , Farrukh Riffat , Rizvi Qamar , Shakoor Ibrahim , Naseer Amber , Sultana Sarwat
Published: December 2021

Background and purpose: Data on the epidemiology of acute kidney injury (ARI) in Asia come primarily from studies conducted in large tertiary hospitals with nephrology departments. Little is known about what happens in primary care settings without nephrology, especially in the paediatric population. The aim of this study is to describe the epidemiology, outcome and risk factors of ARF in children admitted in pediatric department. Place and Duration: In the Pediatric Medicine and Nephrology department of Abbasi Shaheed Hospital for one-year duration from August 2020 to August 2021. Methods: We prospectively examined children aged 2 to 14 whose guardians gave the consent for the study and were admitted in the Pediatric ward. We identified children with risk factors for AKI on admission and then tested them for AKI using the 2012 Creatinine-based Modified General Kidney Disease Improvement (KDIGO) criteria to improve overall outcomes. Participants with AKI were followed up to discharge. The subject of interest was the need and access to dialysis and renal recovery on discharge from the hospital. Results: A total of 74.3% (n = 116) out of the 156 patients admitted during the study period were at risk of ARF. Of the 156 registered participants, 51.9% (n = 81) were males with a mean age of 5 years. Although comorbid conditions were rare, sickle cell anaemia and malnutrition were the most common. Most of the children were hypotensive (n = 89; 57.1%), with mean systolic and diastolic blood pressures of 81 mmHg and 42 mmHg, respectively. The mean urine output was 0.79 ml / kg / hr. Thirteen patients (8.33%) had urine dipstick anomalies. Anaemia was common (n = 72, 46.2%) and 32 (20.5%) had severe anaemia. Leucocytosis was detected in 26.3% of patients, and a platelet count below 100,000 / mm3 in 24 (15.4%) patients. In total, 21 of 156 participants had AKI for an incidence of 13.5%. The only patient with an indication for dialysis (uremic encephalopathy and anuria> 24 hours) died without dialysis due to a delay in transfer to a dialysis centre (due to lack of resources). Of the 20 survivors in the AKI group, 15 (71.4%) had complete improvement in kidney function The median hospitalization time was significantly longer in participants with stage 3 AKI. Conclusions: ARF risk factors are very common in children admitted in the hospitals. At least one in 10 children presenting with AKI risk factors will have AKI. AKI is largely caused by community-acquired diseases that can be prevented, such as diarrheal diseases and malaria. Efforts should be made to educate about risk assessment, prevention, early diagnosis and treatment of AKI in children. Keywords: AKI; epidemiology; risk factors and outcome.
Sonographic Association of Polycystic Ovaries with Ovarian Arterial Pulsatility and Resistive Index
Authors: Naseem Sabahat Noumana , Manzoor Iqra , Farooq S. M. Y. , Sattar Mubbrah , Zainab Ansa , Batool Iqra , Hashmi S. , Abidin M. Zain ul
Published: December 2021

Aim: To evaluate the sonographic association of polycystic ovaries with ovarian arterial pulsatility and resistive index. Methodology: In Al Mustafa Trust Medical Centre Lahore, a comparative analytic study was conducted. 140 patients of age group 17 to 50 were included in this study with convenient sampling technique. All patients were females and 70 were with the history of PCOs and normal. Gray scale Ultrasound and Doppler was used to diagnose the PI and RI in normal and subject. Duration of study: 02- Aug-2021 to 14- Dec-2021 Results: 70 PCOs patients have hyperechoic ovarian stroma and other 70 shows normal echogenicity. In this study different age groups were selected with minimum age was 17 years and maximum age was 50 years. In PCO females the mean RI was 0.7333 and PI was 1.6303 and in normal females the mean RI was 0.8889 and PI was 2.7251. Out of 140 patients the mean volume of right ovary is 9.6557 cm3 and of left ovary is 9.7943 cm3. Our Study was significant at point 0.0001. Conclusion: It is concluded that ovarian Doppler ultrasound is a basic tool in the diagnosis of the PCOS and provide an insight into the pathophysiological state and degree of progression in the affected ovary. Keywords: Polycystic ovary syndrome, Doppler ultrasound
Additional effects of Thoracic manipulation on pain, shoulder disability and range of motion in Adhesive Capsulitis
Authors: Bilal Ubaidullah , Khalid Maria , Anwar Kinza , Arshad Hafsah , Ahmed Uzair
Published: December 2021

Aim: To determine the additional effects of thoracic manipulation on shoulder pain, shoulder range of motion (ROM) and disability in combination with conventional physical therapy exercises for individuals with adhesive capsulitis. Materials: A parallel, randomized controlled clinical trial was conducted. 32 patients (16 in each group), aged between 40‑60 years from both genders having shoulder pain, clinically diagnosed with adhesive capsulitis (Stage II and III), along with thoracic spine hypo mobility were included. Patients were randomized into conventional physiotherapy group (A) and thoracic manipulation group (B). Clinical trial was continued for two weeks with three sessions per week and a follow up was done at the end of 3rd week. Visual analogue scale (VAS), shoulder range of motion (ROM) and Disabilities of Arm Shoulder and Hand (DASH) score were used for outcomes measurement. Results: Intragroup comparison for shoulder ROM, DASH and VAS scores shows a significant (p value=≤0.001) for both groups. Intergroup comparison for shoulder ROM was improved significantly on post-intervention (p value=≤0.001). While intergroup comparison of baseline to end value for VAS showed insignificant result (p value=0.373). Conclusion: Additional effects of thoracic manipulation to conventional physical therapy underwent a greater improvement regarding shoulder range of motions and disability. Conventional physical therapy exercises and a combination of thoracic manipulation to conventional physical therapy exercises are equally effective for decreasing shoulder pain. Keywords: Adhesive Capsulitis, Pain, Frozen shoulder, Physical Therapy, Rehabilitation
Impact of Diabetes Mellitus on in Hospital Adverse Outcomes after First Episode of Acute Coronary Syndrome
Authors: Fahim ul Hassan Muhammad , Iqbal Nasir , Ijaz Bhatti Muhammad , Hanif M. I. , Abdullah H. A. , Tahir Sania , Javed Iqbal Usman
Published: December 2021

Objective: To determine the impact of diabetes on adverse outcomes amongst patients presenting for the first time with acute coronary syndrome. Study design: Cohort Study Methodology: A total of 340 patients were enrolled in this study. At presentation patients were divided in two equal age and gender matched groups with 170 patients in Group-A having diabetes and another 170 being non-diabetics in Group-B. Patients were followed up for period of index hospitalization and all adverse outcomes were noted in both groups as per operational definition. Results: Mean age in Group-A with diabetes was 54±12.7 years whereas in non diabetics it was56±13.12 years. In both groups there was male predominance with approximately 60% males and 40% females. In diabetic group, 38% patients had typical chest pain, 62% patients had dyspnea, 20% patients had cardiogenic shock while in non diabetic group, 20% patients had typical chest pain, 40% patients had dyspnea, 10% patients had cardiogenic shock. In diabetic group, 38% patients had heart failure, 10% patients died while in non diabetics 20% had heart failure and 5% patients died. Conclusion: This study concluded that in hospital adverse outcomes after first episode of acute coronary syndrome were more frequent in diabetic patients as compare to non diabetic patients. Keywords: Acute coronary syndrome, Adverse outcomes, First attack
Hafsa Kesgin, İslam Hukukunda Kürtaj
Authors: AKKURT Fatma Nur
Published: December 2021

İslam Hukukunda Kürtaj, Hafsa Kesgin tarafından kaleme alınmış, 200 sayfa, Kitabî Yayınları tarafından 2018 yılında baskısı yapılmış, beş ana bölüm ve sonuç kısmından oluşan bir kitaptır. Kitaptaki yazılar, “Kavramsal Çerçeve”, “Kürtaj Sorununa Yaklaşım”, “Diğer İnanç Sistemlerinde ve Modern Hukukta Kürtaj”, “İslam Hukukunda Kürtaj”, “Kürtaj Tartışmalarının İslam Hukuku İlkeleri Çerçevesinde Değerlendirilmesi” adlı beş ana başlık altında toplanmaktadır.
Yazar, giriş bölümünde kürtajın yani gebeliğin sonlandırılmasının geçmişten günümüze tartışma konusu olageldiğini ve dolayısıyla pozitif hukuk, İslam hukuku, tıp, sosyoloji, ahlak, felsefe gibi pek çok disiplinin ilgi alanına girdiğini belirterek kürtaj olayının az veya çok hayatın bütün alanlarını ilgilendirdiğini ileri sürmüştür. Yazar, kürtajın daha çok Batılı Feministler olmak üzere günümüzde kadın hakları bağlamında gündeme getirildiği, kadının özgürlüğünü kısıtlayıcı bir etken olarak görüldüğü, kadın haklarıyla yaşam hakkının (ceninin yaşam hakkının) karşı karşıya getirilip ikinci durumun yokluğunun savunulduğunu belirtmektedir. Yazar böyle tek taraflı bir perspektiften bakmanın yani sadece kadın hakları ya da sadece cenin hakkı açısından bakmanın meselenin tıkanmasına ve iki taraftan birinin hakkının ihlaline neden olacağını bu yüzden meselenin çift taraflı olarak ele alınması gerektiğini savunmaktadır. Ayrıca meselenin disiplinler arası olarak ele alınmasının daha geniş kitleye hitap etmesi açısından gerekli olduğunu vurgulamaktadır....
Predictive significance of pro-inflammatory interleukins at newborns with hypoxic-ischemic encephalopathy
Authors: Barycheva Liudmila Yur'evna , Idrisova Aminat Sultanovna , Kuzmina Ekaterina Sergeevna , Agranovich Oleg Vilenovich , Mezhidov Kazbek Sultanovich
Published: December 2021

Relevance. Hypoxic-ischemic damage to the central nervous system is accompanied by overproduction of pro-inflammatory interleukins in newborns. Perinatal inflammatory responses contribute to unfavorable outcomes.
Methods of investigation. The analysis of the cytokine profile in the blood serum was performed in 45 full-term newborns by the method of enzyme-linked immunosorbent assay within 4–96 hours after birth. 32 children had the signs of HIE stage 2, 13 children — HIE stage 3. Unfavorable neurological consequences were formed in 47,4% of children.
Research results. Revealed an increase in the levels of IL1β — 17,7 [13,6; 25,4] and IL6 35,2 [24,9; 45,0] in newborns with HIE. A significant increase in pro-inflammatory cytokines was found in patients with unfavorable outcomes compared with favorable ones. When predicting the disabling consequences of DIE, a high predictive value was established for IL1β and IL6.
Conclusion. In newborns with hypoxic-ischemic encephalopathy, an increase in serum IL1β and IL6 is observed. It is advisable to use an increase in IL1β >19,4 pg/ml (OR=12,80; 95% CI: 2,90–56,58) and IL6 >40,1 pg/ml (OR=11,33; 95% CI: 2,46–52,15).
A percepção das puérperas sobre a humanização da assistência ao parto em um hospital do Vale do Paranhana/RS
Authors: Sperb Valquíria Lucinéia dos Santos , Silva Thiago , Quadros Alexander , da Cruz Alves Julia , Ramos Amaranta Rangel , Guedes Monique Pereira
Published: December 2021

Objetivou-se identificar a percepção, as expectativas e o conhecimento das puérperas em relação à experiência do parto e em relação ao contato pele a pele com o seu bebê no momento imediato do nascimento. Trata-se de pesquisa qualitativa exploratório-descritiva, realizada com treze puérperas em um hospital da região noroeste do Estado do Rio Grande do Sul, no período de setembro a outubro de 2017. Utilizou-se entrevista semiestruturada como técnica de coleta dados os quais foram analisados mediante análise do tipo temática. Emergiram as seguintes categorias: percepções, expectativas e conhecimentos sobre o parto humanizado; contato precoce pele a pele entre mãe e filho; comunicação como componente do cuidado durante o parto. O suporte contínuo durante o trabalho de parto tem benefícios clinicamente significativos para mulheres e bebês, sendo um direito legislado onde todas as mulheres devem ter apoio a ser garantido pelos serviços de saúde.
Análisis iconográfico de sellos postales alegóricos a la Beata Venezolana “Madre María de San José”.
Authors: Sánchez Eduardo
Published: December 2021

Las fuentes históricas no escritas, tales como las iconográficas, brindan la oportunidad de analizar hechos y personajes de relevancia en el transcurso del tiempo. En este sentido, la filatelia o afición por coleccionar y estudiar los sellos postales, constituye una ventana abierta para el análisis y enriquecimiento del conocimiento sobre diversos aspectos de las actividades humanas, entre ellas, los cuidados de la salud en el contexto de la Enfermería. Por lo tanto, el objetivo del presente estudio se fundamentó en describir mediante un análisis iconográfico, la presencia de valores relacionados con el cuidado de Enfermería, representados gráficamente en sellos postales alegóricos a la Beata “Madre María de San José”. La metodología empleada fue iconográfica-iconológica, teniendo como referente a Erwin Panofsky. La unidad de análisis estuvo constituida por las ilustraciones de tres sellos postales. En el análisis, los elementos simbólicos y códigos presentes en las ilustraciones, fueron fáciles de interpretar en el contexto sociohistórico. También, se evidencia la presencia de cuidados y valores relacionados con la enfermería.
Determinantes que han propiciado el fenómeno migratorio venezolano hacia España.
Authors: Sánchez Eduardo , Bosch Esperanza
Published: December 2021

El presente artículo de revisión, forma parte de la primera etapa de una investigación que se encuentra actualmente en proceso. El objetivo se fundamentó en examinar los determinantes que han propiciado el fenómeno migratorio venezolano hacia España. Se realizó una recopilación y análisis de fuentes documentales e institucionales, destacándose que para el año 2020, más del 50% de las personas procedentes de Venezuela en España, están representados por mujeres con una edad promedio de 37,3 años y que existen determinantes políticos, económicos, gubernamentales y sociales que contribuyen con el proceso migratorio. Este fenómeno es complejo, variado y está relacionado por la implementación del proyecto político “Socialismo del siglo XXI”, la crisis económicay el incremento de la violencia generalizada. Los determinantes del proceso migratorio venezolano, se constituyen en un nicho de conocimiento importante para el estudio de la mujer que emigra, desde una perspectiva de género
La caridad desde una mirada hermenéutica
Authors: Fernández Alba
Published: December 2021

En el presente ensayo se presenta el término caridad desde la hermenéutica de diversos autores, quienes concuerdan que la caridad es una virtud, un acto de fe en comunión con Dios.
Perspectiva sobre el valor social de la enfermería
Authors: Sánchez Eduardo
Published: December 2021

El presente artículo se fundamenta en una entrevista realizada a una profesional de la enfermería con una larga trayectoria asistencial y académica. Se centró en la perspectiva de esta profesional sobre los valores y las actitudes profesionales como determinantes del valor social de la Enfermería. La técnica de recolección de información fue la entrevista semiestructurada, constituida por un guión de preguntas abiertas que permitieron obtener desde la perspectiva de la entrevistada, su visión sobre el fenómeno en estudio. Finalmente, tratar de comprender la realidad social y humana de una de las principales profesiones de las ciencias de la salud, permitirá la revisión tanto de sus bases teóricas como de su ejercicio profesional.
Derechos de obtentores de variedades vegetales en México
Authors: Arcudia Carlos
Published: December 2021

La adopción de un sistema de protección específico de variedades vegetales en México es fruto de los compromisos del Tratado de Libre Comercio para América del Norte (TLCAN). En punto al régimen jurídico la Ley Federal de Variedades Vegetales de México cumple con el Convenio de la Unión Internacional para la Protección de Obtenciones Vegetales (CUPOV) de 1978, esta contiene una definición de variedad vegetal; y, establece como requisitos para proteger una variedad la novedad, la distintividad, la homogeneidad y la estabilidad. El ámbito de protección es más extenso que el que exige el CUPOV de 1978. Ahora bien, en cuanto a los procedimientos administrativos, y más en lo referente a nulidad, revocación y -sobre todo- infracción; la legislación es endeble.
¿Qué opinan los académicos universitarios actores de la Ciencia, Tecnología e Innovación?
Authors: Esposito Concetta , Moreno Zahira
Published: December 2021

La Ley Orgánica de Ciencia, Tecnología e Innovación (LOCTI) 2005, fue legislada con el fin de estructurar el Sistema Nacional de Ciencia, Tecnología e Innovación (SNCTI) que está conformado por los actores que realizan actividades vinculadas al desarrollo científico, tecnológico e innovativo en el país. El objetivo de esta investigación es conocer la opinión de los académicos universitarios en relación con la LOCTI 2005, en vigencia desde 2006 y reformada en 2010. Considerando sus experiencias en la transferencia de tecnología, nuevos proyectos de investigación generados de la relación Universidad-Empresa y el aprendizaje entre ambos actores, se aplicó un cuestionario a los académicos de diversas universidades, responsables de proyectos LOCTI durante el 2005- 2010. Esto permitió recopilar su opinión sobre la gestión y resultados. Las conclusiones reportan aciertos y desaciertos en su aplicación y sugieren la reactivación de la LOCTI 2005 por su mejor funcionamiento en el fortalecimiento de la investigación y en los diversos sectores motores del desarrollo innovativo del país.