bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Aerobic Versus Anaerobic Exercise on Energy Expenditure in Young Healthy Individuals
Authors: Vasava Divya , Vyas Harita
Published: August 2022

Introduction: Energy is expended by individuals engaging in physical activity. It can be calculated after performing aerobic or anaerobic exercise. Energy expenditure index based on heart rate and walking speed has been termed Physiological Cost Index (PCI) by McGregor. The 6 Minute Walk Test is sub-maximal test for assessing energy expenditure. Need of study is to find effect of aerobic and anaerobic exercise on energy expenditure and compare post exercise effect so, that it could be given to any individual for physical fitness in near future according to ones need.
Method: Interventional study, convenient sampling, sample size of 36 subjects. Inclusion criteria: 18-25 years both male and female having BMI (18.5 -24.9 kg/m2). Exclusion criteria: any cardio-respiratory diseases, neurological or orthopedic conditions, not willing to participate. Pre intervention: PCI of subjects assessed by 6mwt and values were put in McGregor’s equation. Subjects were randomly divided into aerobic and anaerobic groups. The exercise protocol was of 4 weeks, 5days/week. Post intervention PCI was calculated.
Results: Statistical analysis was done by using SPPS version 16, keeping the level of significance 5%. Paired t-test was applied for within group analysis and unpaired t-test applied for between group comparison. Within group analysis showed statistically significant improvement in PCI values (p<0.05). Between group analysis showed higher improvement in anaerobic exercise group in comparison to aerobic exercise group.
Conclusion: Present study concluded that 4 weeks of aerobic and anaerobic exercise showed improvement on physiological cost index but higher improvement was seen in anaerobic exercise group.

Key words: aerobic, anaerobic, energy expenditure, healthy individuals.
Strategy of Djakarta Lloyd Ltd Post State Equity Participation for Performance Improvement
Authors: Pratiwi Gempita , Syarief Rizal , . Harianto
Published: August 2022

Djakarta Lloyd Ltd is an Indonesian commercial shipping company that was established in 1950. As a State's Owned Enterprise that received State Equity Participation (PMN), Djakarta Lloyd Ltd is expected to improve its business scale, performance, and contribution. The objectives of this research are defined as follow 1) Analyze the financial performance of Djakarta Lloyd Ltd after State Equity Participation injection, 2) Analyze internal and external factors which affect Djakarta Lloyd Ltd performance after State Equity Participation injection, 3) Formulate alternative strategy towards performance in adherence to internal and external factors' impact on Djakarta Lloyd Ltd after State Equity Participation injection, and 4) Formulate strategy to be prioritized so as to achieve performance targets set by Djakarta Lloyd Ltd after State Equity Participation injection. This research uses primary and secondary data in qualitative as well quantitative.
From 2017-2020, Djakarta Lloyd Ltd produces Z-Score of 1.2 or below cut-off point Z<1.81. According to cut-off criteria, Djakarta Lloyd Ltd can be categorized as an entity in a state of bankruptcy. In contrast, the result from DuPont analysis on financial performance based upon 5 assessment indicators generates a score of 3.02. The number is above average of 2.5 which indicates Djakarta Lloyd Ltd is currently deemed capable to respond to opportunities and threats. Furthermore, IFE matrix score of 3.04 implies that Djakarta Lloyd Ltd internal control management is above average exhibiting a strong fundamentals. Referring to AHP, there are 15 strategic priorities generated with the highest component of of 0.174 is to conduct periodical internal and external financial audit in intensive manner to understand whether State Equity Participation injection is in accordance with preliminary assessment, and contribute to the company.

Keywords: AHP, Djakarta Lloyd Ltd, State Equity Participation, SWOT
SPECIFFICATIONS OF PREPAREDNESS OF BASKETBALL PLAYERS ON WHEELCHAIR
Authors: Davtyan Y. , Davtyan A.
Published: August 2022

The research was conducted among the basketball players in wheelchairs of the Central Sports Club "CSKA" and ‹‹LES FOXSES›› sports clubs. The research was conducted in 3 trial. The first trial was held in September of 2020․ The second trial was held in January of 2021. The third trial was held in January of 2022.The research and team trainings were held at the formerly known as "Republican Sport Development Complex Center", from September 2020-March 2022.
The results of the tapping test showed that before and after training, the results show changes from the first 5-seconds tapping test to the last 5-second test.
For example, when testing before training, the first 5-second test of the basketball players of the "CSKA" club, presented results 36․8 taps, whereas the final 5-second test resulted in 27.4. Results showed the same changes after training resulting in 36․9 taps in the first 5-second test and 24․4 in the final.
Penghidupan Kembali Perpustakaan Sebagai Sarana Penerapan Budaya Membaca Santri Pondok Pesantren Miftahul Ulum Suren Ledokombo Kabupaten Jember
Authors: Asy'ari Hasyim
Published: August 2022

Perpustakaan pesantren merupakan institusi pengelola koleksi perpustakaan secara profesional dengan menggunakan sistem yang baku guna memenuhi kebutuhan pengguna. Perpustakaan Pesantren merupakan jantung bagi lembaga, nilai suatu Pesantren juga bergantung pada perpustakaannya. Perpustakaan Pesantren dituntut untuk memberikan layanan yang berkualitas tinggi dalam memenuhi kebutuhan dan harapan penggunanya. Adapun tujuan dari kegiatan pengabdian ini adalah pemberdayaan komunitas berbasis pesantren dalam menumbuh kembangkan atau menghidupkan kembali minat baca santri melalui pengelolaan dan manajemen perpustakaan. Sedangkan metode atau streategi yang digunakan adalah metode Asset Based Community Development atau biasa disebut dengan ABCD. Adapun hasil dari kegiatan pemberdayaan ini adalah: a) santri Pesantren Miftahul Ulum baik putra maupun putri diberbagai wilayah mulai gemar membaca, hal ini ditunjukkan dengan kunjungannya ke perpustakaan dan berdiskusi disana; b) pengurus perpustakaan pesantren sudah menata dan memenej tata letak buku sesuai dengan bidang keilmuannya, mendata buku-buku, mencatat data peminjaman buku oleh santri; c) jadwal piket jaga perpustakaan yang dibagi menjadi dua clauster, clauster pertama pada tiga hari awal setiap minggu dijaga oleh santri putrid dan tiga selanjutnya dijga oleh santri putra

Kata Kunci: Perpustakaan, budaya membaca santri
La repercusión de la ciencia y la técnica en la existencia humana
Authors: Pradenas Mera Alfredo
Published: August 2022

El autor de este artículo advierte que el conocimiento tiene como preocupación ya no el estado natural de las cosas, sino el de las situaciones anómalas. Hay un tránsito, por lo tanto, desde la epistemología de lo natural hacia una epistemología de lo alterado, de lo anómalo respecto del orden descubierto de lo real. La alteración procede de la intervención humana y rebasa las posibilidades que la naturaleza tiene de asimilar el error dentro de los cánones de su propio ensayo. Esta naturaleza alterada abriría un universo de problemas inéditos, y el giro hacia la epistemología de las anomalías sería la opción más honesta del realismo crítico contra la racionalidad instrumental, en la medida en que comprende y asume la responsabilidad ética en torno a la existencia.La ciencia y técnica se desarrollan primero sobre la base de un modelo epistemológico del orden, desde el cual, las concepciones de lo real y el límite ontológico del mundo se definen por el límite del saber. Luego, la repercusión científica y técnica, sumado a los cambios sociales y económicos, han promovido un giro radical hacia la epistemología de las anomalías, para la cual, la realidad es una construcción y el futuro virtual y previsible del mundo en riesgo se constituye en el nuevo leimotiv del conocimiento y de la acción, asumiéndose la responsabilidad ética en torno a la existencia humana.
Ciudadanía, democracia y bioética
Authors: Arévalo Vera Ana
Published: August 2022

El tema central del artículo es el de la ciudadanía democrática y las condiciones posibilitadoras para su realización. El "ciudadano democrático", concepto interpretado desde la acepción de "sujeto" de Alain Touraine, es un individuoactor, capaz de construir proyectos de vida propios, ser agente participante y potencialmente transformador de su medio social y/o cultural. Las posibilidades para la realización de dicho sujeto dependen, por un lado, de las condiciones de la democracia entendida fundamentalmente como voluntad y cultura democrática, así como, de los modos de educación tendientes a la formación del juicio moral en seres humanos en desarrollo. Finalmente, se propone la reflexión bioética como una valiosa instancia y herramienta pedagógica para contribuir a la formación de sujetos autónomos en un contexto democrático.
Raíces de la bioética en la tradición ético-filosófica occidental, y actuales desafíos
Authors: Escríbar W. Ana
Published: August 2022

Se revisan los antecedentes de la bioética en la tradición ético filosófica occidental analizando la teleología en la ética aristotélica, la deontología en la ética kantiana y situando las causas del surgimiento de la bioética en las condiciones de la ética filosófica a partir de la Ilustración. Se sigue el desarrollo de esas dos líneas de pensamiento a través de Alasdair MacIntyre en lo que respecta al neo-aristotelismo y de Jürgen Habermas en relación al procedimentalismo, presentándose la ética de Paul Ricoeur como un intento de síntesis entre ambas; se destaca la importancia de esa síntesis para la reflexión bioética y se fundamenta la necesidad de que dicha disciplina asuma
Una aproximación del tema de la vida sexual en la Torá (1)
Authors: Tapia Adler Ana María
Published: August 2022

El presente artículo forma parte de un trabajo mas amplio cuyo objetivo es el de examinar la valoración de la vida y la sexualidad en el Judaísmo. Para poder hablar acerca del tema se requiere revisar las fuentes del Judaísmo. La fuente primigenia es la Torá (=Enseñanza) escrita, conocida comúnmente como Pentateuco. La tradición judía señala que junto con haberle sido entregada la Torá escrita a Moisés, Dios le hizo entrega de la Torá Oral, que explicita las normas establecidas en la anterior. La Enseñanza Oral está contenida en el Talmud.
Reflexiones en torno a la clonación
Authors: Holzapfel Ossa Cristóbal
Published: August 2022

El autor reflexiona acerca de las consecuencias éticas vinculadas al éxito en la experimentación en clonación, que ha dado como resultado a Dolly, el primer cordero clonado a partir de la célula de una oveja adulta. Las investigaciones desarrolladas por el Dr. Ian Wilmut, del Instituo Roslin de la Universidad de Edimburgo, no sólo abren perspectivas para la ciencia, sino que plantean nuevos desafíos para el pensar ético. Centrándose en el tema específico de la clonación humana, el autor analiza algunas de las posibles utilizaciones y alcances desde la perspectiva del pensamiento contemporáneo (Heidegger, Baudrillard ). Finalmente profundiza en lo que verdaderamente merece ser pensado: la racionalidad instrumental que sustenta el desarrollo científico - tecnológico y la tendencia de esta racionalidad de inhibir a la razón reflexiva, haciendo cada día más escasas las preguntas esenciales en torno al por qué y para qué del desarrollo técnico.
Revista Chilena de Humanidades No. 17
Authors: Oses Darío
Published: August 2022

La reflexión sobre la Universidad en los nuevos escenarios de la cultura postmoderna, los procesos de globalización, los nuevos roles del Estado y la institucionalización de las teorías y prácticas neoliberales, cobra cada vez mayor relevancia para el trabajo académico. De ahí el especial interés de este número de la Revista Chilena de Humanidades, que publica los aportes que un grupo de cinco profesores chilenos y siete extranjeros hicieron al seminario "La Universidad Latinoamericana: Tradición y De safíos".
Acuerdos del Consejo
Authors: Bello Andrés , Sanfuentes Salvador
Published: August 2022

1. Forma en que deben dirijir sus trabajos a la Universidad los que aspiren a los premios anuales de las Facultades, e indivisibilidad de dichos premios  p. 972. Juramento que deben prestar los miembros de la Universidad al tiempo de su incorporación  p. 983. Exámenes de los Farmacéuticos  p. 994. Modo de suplir las faltas de los Secretarios de las Facultades  p. 1005. Recepción en la Universidad de los nuevos miembros que el Gobierno nombrare asta completar el número designado por la lei   p. 1006. Junta provincial de educación para Valparaíso e inspecciones de sus departamentos  p. 1017. Facultad e los inspectores de educación para nombrar sostitutos   p. 102 8. Nombramiento de la junta provincial e inspectores de educación de Coquimbo  p. 1029. Inspectores de educación de los Departamentos de la Provincia de Santiago  p. 10310. Junta provincial e inspectores de educación de Colchagua  p. 10411. Junta provincial e inspectores de educación de Talca  p. 10412. Cédulas para el sorteo del ramo sobre qe a de recaer el examen de Bachiller en la Facultad de Umanidades  p. 10513. Cédulas para el sorteo del ramo sobre qe a de recaer el examen para obtener el grado de Licenciado en Umanidades  p. 10714. Cédulas para el examen de Bachiller en Leyes  p. 10815. Junta de educación e inspecciones de la provincia del Maule  p. 11016. Junta de educación e inspecciones de la provincia de Valdivia  p. 11117. Solicitudes de los alumnos de los colejios  p. 11118. Entrega de títulos a los que se graduaren de Bachilleres o Licenciados   p. 11219. Autorización de los acuerdos del Consejo  p. 11220. Cédulas para el examen de Bachiller de Matemáticas  p. 11321. Cédulas para el examen de Licenciado en Leyes  p. 11422. Junta de educación e Inspecciones de la provincia de Aconcagua  p. 11523. Junta de educación e Inspecciones de la provincia de Concepción  p. 11524. Junta de educación e inspecciones de la provincia de Chiloé  p. 116
Acuerdos de las Facultades: Facultad de Teolojía
Authors: Universidad de Chile Anales de la
Published: August 2022

1. Designación de tema para el premio de 18442. Elección de nuevo miembro3. Designación de tema para el premio de 18454. Elección de nuevo miembro
Democracia em alerta: a face obscura do ciberespaço e suas implicações para o direito
Authors: Teixeira Alexandre Peres , Paixão Liziane
Published: August 2022

O ciberespaço é fruto da genialidade humana e veio para melhorar a qualidade de vida da sociedade. Seu potencial benéfico é inquestionável e tem revolucionado não apenas a ciência, mas também as relações interpessoais. As plataformas de redes sociais figuram, atualmente, como o lugar no qual grande parte do planeta vive. São milhões de interações diárias, que abandonam uma quantidade imensa de dados órfãos, para formar o que se conhece como Big Data. Com ferramentas analíticas especiais, comportamentos humanos são mapeados, com a finalidade de facilitar as relações de consumo. Entretanto, o pleito eleitoral de 2016, nos Estados Unidos da América apresentou para o mundo a face obscura do ciberespaço, que permite que operações cibernéticas maliciosas possam ser executadas, com emprego de técnicas de propaganda e largo uso de ferramentas de análise de Big Data. As operações maliciosas perpetradas pela Rússia, bem como a participação da empresa privada Cambridge Analítica, na campanha eleitoral de 2016, colocaram as democracias de todo planeta em alerta e provaram que o ciberespaço possui um lado obscuro que pode ser usado tanto contra a soberania popular, por meio da manipulação da construção da livre vontade e violação da privacidade, como contra a soberania da nação, por meio de sua violação.
Studying the efficiency of the swim up from pellet technique in improving sperm parameters and reducing the levels of antisperm antibody and interleukins for infertile men
Authors: Ahmad Sahar Shehab , Al-Murshidi Sahib Yahya
Published: August 2022

Studying the efficiency of the swim up from pellet technique in reducing antisperm antibody and some cytokine levels in seminal plasma. Semen samples were collected from oligozoospermic and Normozoospermic who attended a fertility center. The collected samples of normozoospermia patients were (15 (and oligospermia patients were (13). antisperm antibody, interlukine-1, interlukine-6, and zinc levels were evaluated in seminal plasma before and after semen processing for all study groups. The results revealed that there was a statistically significant decrease (p < 0.05) in antisperm antibody, interleukin 1Β (IL-β), interleukin (IL-6), and zinc. After sperm preparation by swim up from pellet compared with before sperm preparation, The result illustrates there was a statistically significant decrease (p < 0.05) in sperm concentration and leucocytes count while there was significant increase (p>0.0.5) in progressive motility, normal morphology after preparation by swim up from pellet compared with before the preparation. In concluded Processing by swim-up techniques decreases sperm concentration, and also shows an increase in sperm normal morphology and progressive motility in normospermia, oligospermia, and asthenospermia groups. Antisperm antibody, interleukin 1 (IL-), interleukin 6 (IL-), and zinc levels are all reduced.
Clinical relevance of chest pain during dobutamine stress echocardiography
Authors: Elkorashy Amr Mohammed Elsayed , Attia Wael Mohamed , Mageed Mohamed Ali Mohamed Abdel
Published: August 2022

Introduction: Chest pain is a common presentation in emergency units in daily life. Dobutamine stress echocardiography (DSE) was considered an early non-invasive method that help stratifying the risk for development of CVD. However, many patients experience chest pain shortly after DSE. Methods: 150 patients admitted to catheter unit in Cardiology Department at Al-Azhar university Hospitals between June 2021 and June 2022 with chest pain despite negative DSE. They all underwent coronary angiography. Results: 150 patients were included in the study. Their mean age was 50.99 ± 8.29 years old. 56.7% of patients were males. 24.7% of patients were diabetic. After PCA, 15.3% of patients had severe coronary arteries stenosis. We found that 6% of patients had severe stenosis of Left anterior descending and right coronary arteries (p<0.001). In addition, DM with other risk factors was significantly associated with development of severe stenosis of coronary arteries (P<0.001). Conclusion: 15.3 % of patients with chest pain following DSE had significant coronary arteries stenosis on PCA. DM was associated with that stenosis. That is why, in patients with negative DSE and chest pain, further investigations are required. Special emphasis should be directed to patients with more than one risk factor including diabetes mellitus.
Diagnostic presentations of different pleural effusion patients to a tertiary care centre
Authors: Meher Sasmita , Meher Bhanjan Kumar , Brahma Sujeet Kumar , Dhone Pravin G. , Rai Neeta
Published: August 2022

BACKGROUND-Pleural effusion is defined as collection of fluid between the two pleural covering. OBJECTIVE-To evaluate the different etiologies of pleural effusion according to laboratory report. METHODOLOGY-Data was collected  in a nonprobability convenience technique with descriptive cross- sectional study in  indoor patient of pulmonary medicine department of  Balangir Bhima  Bhoi medical college from 2017  nov to 2020 nov,202 patients  included in this technique.Diagnosis was confirmed by chest -x-Ray, and USG Chest in some cases, .Pleural fluid is aspirated from all and  analysed  with necessary investigation  carried out ,like pleural fluid cytology, Biochemical and culture .computed tomography ,echocardiography and  connective tissue profile for evaluating the underlying cause of pleural effusion. RESULT- Out of 202 patients 145 (73%) were male and 57(26)% were female Mean age was 44.8years with 19,832 SD .Among patients of pleural effusion most common cause was tuberculosis (65.3%). followed by Para pneumonic effusion/empyema (11.4%), malignancy both metastatic and primary accounted for (15%), heart failure also showed its presence in 5% of cases. Connective tissue disorder was found to be the cause in only one case (0.5%). In one case (0.5%) pleural effusion remained undiagnosed.
A new surgical approach for pilonidal sinus disease
Authors: Shemy Ahmed Mohamed Abd Elkafy El , Mostafa Magdy Mahmoud , Ayoup Mohammed Fathy Labib , Mohamed Hisham Ahmed
Published: August 2022

Background: Different techniques, including conservative therapy and a fasciocutaneous rotation flap, are utilized to treat pilonidal sinus illness. This study's objective was to assess the effectiveness of "de- epithelialization technique" as a novel method for managing pilonidal sinus condition. Patients and Methods: Forty patients with pilonidal sinus illness who had de-epithelialization therapy were assessed. Age, gender, BMI, number of operations, length of hospital stays, visual analog scale scores, complications, and recurrent rates for each patient was assessed. Results: In this research, there were 37 male patients and 3 female patients. The patients' average age was 26.52 years, and their average BMI was 24.58. The average procedure lasted 63.23 minutes, and the majority of patients were released the same day. Healing times for wounds ranged from 9 to 14 days. Two individuals with high body mass indices had wound dehiscence and infection. Post-operative hematoma was found in only one patient. Throughout the follow-up period, no patient had seromas or a recurrence. Conclusion: With satisfactory cosmetic results and recurrence rates, "de-epithelialization" may be used in conjunction with other therapies for pilonidal sinus illness. Keywords: De-epithelialization, flap, natal cleft, pilonidal sinus disorder, sacrococcygeal area.
Evaluation of varying feeds quality on the performance of arbor acre breed of broiler chickens reared in Niger delta, Nigeria
Authors: Kperegbeyi J. I Kperegbeyi J. I , Onwumere-Idolor, O. S Onwumere-Idolor, O. S
Published: August 2022

The quest for balanced and affordable protein makes broiler rearing increasing monotonic economically. It is highly nutritious and it creates employment opportunities as a result of its quick returns on investment and readiness to the market within a short period. The experiment was conducted at the Animal Production Departmental Demonstration Farm (APDDF), Faculty of Agriculture, DSUST, Ozoro, to evaluate BWT and morphometrics of Arbor Acre (AA) broiler chickens. BWT and morphometrics were recorded from one hundred (100) AA broiler chickens. Day-old chicks were purchased at Amo farm in Enugu State. The experimental design was RCBD. There were four (4) replications which consist of 25 birds per treatment. The experiment lasted for six (6) weeks. The findings were based on the feeds quality among feed products on an average of six (6) weeks old. Result showed that there was a significant (P˃0.05) difference among the experimental feeds. The Jake starter mash had superiority in BWT of birds over other feed products. The BWT and morphometric traits were superior in all the birds fed starter mash.
FARMACOECONOMIA COMO UM MEIO PARA TOMADA DE DECISÕES NA ATUAÇÃO DOS FARMACÊUTICOS NA GESTÃO HOSPITALAR: UM REVISÃO INTEGRATIVA
Authors: Silva José Danubio Soares da , Aguiar Annalu Moreira , Marques Ana Emília Formiga , Borges Karla Deise Morais , Gonçalves Jamile Dias
Published: August 2022

A farmacoeconomia é um ramo de análise econômico na área da saúde que relaciona segurança, qualidade, análises clínicas de eficácia e diversos processos em saúde, com o aspecto de custo econômico. Diante das dificuldades e limitações de recursos dos hospitais públicos brasileiros, dentre elas estão relacionadas o aumento da perspectiva de vida e os fatores de riscos que afetam a saúde da população. Com isso, esta pesquisa teve como objetivo buscar de que forma a farmacoeconomia pode auxiliar aos farmacêuticos na tomada de decisões na gestão hospitalar. Foi utilizado como método de pesquisa a revisão integrativa da literatura. A busca dos artigos foi realizada nas bases de dados Pubmed e na BVS, indexado as bases: MEDLINE e LILACS, utilizando os descritores (DeCS): farmacoeconomia, tomada de decisões, análise de custo benefício, análise de minimização de custo, análise de custo-utilidade e análise de custo-efetividade. Para os critérios de inclusão foram considerados: artigos publicados em português, inglês e espanhol, disponíveis na íntegra, no período entre 2010 a 2019, que estão em conformidades com o tema proposto. E nos critérios de exclusão: artigos de revisão de literatura, teses, dissertação ou que apresentou custo para o acesso. Foram encontrados 431 artigos, onde 361 na PubMed e 70 na BVS, após os critérios de inclusão e exclusão, foram selecionados 8 artigos. De acordo com os artigos analisados, a farmacoeconomia como meio para tomada de decisões é muito importante, pois fornecem informações relevantes para ajudar os farmacêuticos na gestão hospitalar a fazerem as escolhas apropriadas.
O USO DE BENZODIAZEPÍNICOS EM IDOSOS E O RISCO DE DEPENDÊNCIA: UMA REVISÃO INTEGRATIVA
Authors: Pereira Jonathan Freires , Aguiar Annalu Moreira , Marques Ana Emília Formiga , Mendes Rafael De Carvalho , Soares Charles Lelis
Published: August 2022

Os benzodiazepínicos (BZDs) foram lançados no ano de 1960 com a finalidade de substituir os barbitúricos que apresentavam maior risco de dependência. Com o passar do tempo descobriu-se seus efeitos adversos e com o uso indiscriminado, os BZDs também apresentaram dependência com o seu uso prolongado. A população idosa tem um risco aumentado de adquirir dependência com doses usuais e com menos tempo de uso. O objetivo da pesquisa foi avaliar a dependência de benzodiazepínicos na população idosa. A coleta de dados foi realizada nas bases de dados online Biblioteca Virtual de Saúde (BVS), Público/editora MEDLINE (PUBMED) e Scientific Electronic Library Online (SCIELO), utilizando os descritores (Decs): dependência/ dependency/ dependencia, benzodiazepínicos/ benzodiazepines/ benzodiazepinas, idoso / elderly/ anciano e uso irracional/ irrational use/ uso irracional. Foram utilizados os seguintes critérios de inclusão: artigos disponíveis na íntegra em português, inglês e espanhol, publicados no período de 2009 a outubro de 2020. Como critérios de exclusão estavam artigos de revisões, relatos de casos informais, capítulos de livros, dissertações, teses e textos não científicos. Resultando em 463 artigos científicos, onde 8 cumpriram os critérios de inclusão e exclusão nas seguintes bases de dados: 3 no PUBMED, 4 no BVS e 1 no SCIELO, foram evidenciados nos artigos obtidos a dependência em idosos. A população idosa apresentou dependência conforme o consumo do medicamento. O risco variou mediante a idade do usuário como também o tempo de uso, o que torna necessário elaborar estratégias para diminuir o risco de uso prolongado de BZDs.
TÉCNICAS SUSTENTÁVEIS PARA O USO DE ÁGUA NA PRODUÇÃO DE PEIXES
Authors: Batista João Marcos Monteiro
Published: August 2022

O principal intuito das inúmeras técnicas de criação de peixes, cada vezes mais sofisticadas e economicamente sustentáveis, é criar peixes em um menor volume de água possível, com reutilização dos efluentes, sem comprometer o bem-estar animal e minimizando o impacto ambiental da atividade. Juntamente com essa modernização vem os estudos que tem como objetivo principal trazer novas técnicas sustentáveis na utilização de água pela aquicultura, portanto, aumentando a produtividade e eficiência alimentar das diferentes espécies de organismos aquáticos. Esses tipos de sistemas de criação de peixes e organismos aquáticos vem ganhando espaço, dentre as técnicas de criação, isso devido ser uma forma de cultivo que depende de pequena área para implante, como é o caso do sistema de recirculação (RAS), o aquaponico e o bioflocos (BFT), ambos são métodos de criação que visam uma alta taxa de lotação em um reduzido volume de água em comparação aos sistemas convencionais de criação de peixes. Com base neste contexto podemos concluir que a utilização de técnicas inovadoras de criar peixes pode contribuir para reduzir os impactos ambientais, melhorar a eficiência alimentar e o desempenho produtivo dos peixes, além de contribuir com o bem estar dos animais.
EFEITOS INDIRETOS DA ACUPUNTURA EM PACIENTES COM CÂNCER DE MAMA: UMA REVISÃO DE LITERATURA
Authors: Lopes Oliveira Naila , Oliveira Carneiro Danrley , Nonato Ferreira Oliveira Walker
Published: August 2022

INTRODUÇÃO: Câncer de mama é um tumor maligno causado pela desordem de células e crescimento acelerado das mesmas. Sua incidência foi de aproximadamente 2,1 milhões casos e 627 mil óbitos no ano de 2018. Seu tratamento agressivo pode causar desordens psicossomáticas resultando em problemas como depressão e ansiedade. A acupuntura é uma técnica relaxante da Medicina Tradicional Chinesa que visa estimular pontos específicos com estímulos na pele utilizando agulhas, esferas, sementes e até mesmo eletricidade; sua peculiaridade de maior relevância é minimizar sintomas de doenças sem o uso de terapias medicamentosas. Esse estudo tem como objetivo elucidar, através de uma revisão de literatura, a eficácia da acupuntura como meio de tratamento no alívio da dor e a melhora da qualidade de vida de pacientes com câncer de mama. METODOLOGIA: Trata-se de uma revisão sistemática de literatura qualitativa, sendo utilizadas as bases de dados: Scielo, Pubmed, Google acadêmico e Science.gov. e os descritores acupuntura, câncer, câncer de mama, medicina tradicional chinesa, terapia alternativa. Os critérios: artigos publicados entre 2010 a 2021; textos em Inglês e Português; abordagem do assunto de forma clara. RESULTADOS E DISCUSSÃO: Foram encontrados 50 artigos relacionados à temática abordada, sendo incluídos 26 para referencial deste estudo. Os estudos relatam a importância da aplicação da acupuntura em pacientes com câncer de mama, principalmente no alivio de distúrbios mentais ocasionados pelas fortes dosagens de medicamentos, pelo tratamento agressivo ou até mesmo pela baixa autoestima.
PACIENTES PORTADORES DE FIBROMIALGIA: DESAFIOS E IMPACTOS NA QUALIDADE DE VIDA
Authors: OS SANTOS ALVES PALOMA RAYANE , MARQUES ANA EMÍLIA FORMIGA
Published: August 2022

A fibromialgia é uma patologia cujo principal sintoma é a dor crônica e difusa no corpo. Muitos indivíduos portadores de tal doença não possuem um substrato anátomo-patológico e causa de dores bem definidos, associados à distúrbios psicológicos. Apesar da sua subjetividade, existem meios que associados ao uso das medicações, como a prática de exercícios que diminuem as queixas de dor paciente. Objetivo: Analisar e correlacionar como os sintomas da fibromialgia interferem no dia a dia dos portadores e assim identificar quais benefícios a prática de atividades físicas podem trazes melhorias para estes. Métodos: Realizou-se busca na SCIELO  e LILACS, com as seguintes palavras chaves: “fibromialgia” e “ qualidade de vida”. Os critérios utilizados para inclusão foram artigos relevantes e relacionados ao tema e as palavras chaves com textos completos ;estudos do tipo revisão sistemática; língua inglesa e portuguesa, publicados nos últimos 5 anos. Os critérios de exclusão foram: textos incompletos; estudos do tipo revisão sistemática; monografias; artigos que se referiam ao uso específico de medicamentos; artigos que se referiram a outras patologias como doença de base. Resultados: Após a seleção final, realizou-se a leitura dos títulos dos 22 artigos encontrados, dos quais 16 foram excluídos por não manterem relação direta com abordagem do tema proposto, restando 6 artigos para realização da revisão. Conclusão: Diante das pesquisas, foi possível concluir que a fibromialgia acomete principalmente mulheres e seu sintoma mais marcante é a dor crônica que, na ausência de exercício físicos ou aeróbicos dificultam uma boa qualidade de vida
AVALIAÇÃO DA QUALIDADE DE VIDA EM DOENTES RENAIS CRÔNICOS HOSPITALIZADOS
Authors: VINHAL Lucieli Boschetti , LOPES Larissa Gonçalves , MORAIS Elizabeth Rodrigues de
Published: August 2022

Objetivos: Avaliar a qualidade de vida (QV) de doentes renais crônicos hospitalizados em tratamento dialítico, identificar quais dimensões estão mais comprometidas e verificar se há relação entre a QV e as características clínicas dos pacientes. Métodos: Trata-se de um estudo de caráter transversal e analítico, em que participaram da pesquisa 51 pacientes com doença renal crônica (DRC) hospitalizados em tratamento dialítico. Foram utilizados os seguintes instrumentos para coleta de dados: Ficha de coleta contendo dados epidemiológicos e Questionário de qualidade vida: instrumento Kidney Disease and Quality of Life – Short Form (KDQOL-SFTM), composto de 80 itens. Resultados: A média de idade foi  de 61,68 ±14,52 anos, variando de 29 a 89 anos e houve predominância do sexo masculino (72,5%). Em relação à qualidade de vida o escore total do KDQOL-SF foi de 35,30 ±14,84, indicando uma qualidade de vida ruim. Os principais domínios afetados foram os de desempenho físico e desempenho emocional, com médias de escore de 5,88 ±19,74 e 7,18 ±24,32, respectivamente. Os domínios que obtiveram maior escore foram os de encorajamento do pessoal da diálise (95,00 ±11,18) e função sexual (92,50 ±11,18). Correlacionaram-se de forma importante a variável idade e os domínios: função física (r-0,55, p<0,01) e função sexual (r-0,89, p<0,05). Conclusão: A qualidade de vida dos portadores de DRC hospitalizados encontra-se afetada, sendo os domínios de desempenho físico e desempenho emocional os mais comprometidos. Além disso, há uma relação entre a QV e as características clínicas dos pacientes, sobretudo em relação a idade e o tempo de hospitalização.
DETERMINAÇÃO E ANÁLISE DA COMPOSIÇÃO NUTRICIONAL DA LENTILHA VERMELHA (LENS CULINARIS) E COMPARAÇÃO DE SEU TEOR DE PROTEÍNAS COM OUTRAS LEGUMINOSAS
Authors: TABOADA Dina Victoria Ramirez , DEGI Jenifer Ferreira , RAKSA Juliana Patyk , DE SOUZA Luana Michalos , BERGOLD Marla Peyerl , BALBI María Eugenia
Published: August 2022

Neste artigo foram realizadas várias análises a fim de obter a composição química e informações nutricionais sobre a lentilha vermelha (Lens culinaris) com o objetivo de compará-la com outras leguminosas. A lentilha vermelha é um alimento nutritivo e rico em proteínas, o que faz com que seja uma boa alternativa na substituição ou complementação de carnes, pois além de rica em proteínas o cultivo da lentilha também gera menos impacto ambiental. Já na comparação com outras leguminosas, ela apresenta um bom teor de proteínas e um baixo teor de lipídios, o que pode ser benéfico em dietas com restrição de gorduras. Outro ponto positivo é que a lentilha vermelha leva metade do tempo para ser cozida comparada com a lentilha marrom, que é a variedade mais comum.
LGBTI Lives and Rights in Timor-Leste.
Authors: Niner Sara
Published: August 2022

The LGBTI community in Timor-Leste has become more prominent in recent years due to the advocacy and activities of a small network of local and international organisations and the holding of a gay pride parade in the capital Dili in 2017 and 2018. While not criminalised, social stigma, discrimination, harassment and violence remains common for LGBTI people. The dominance ofan aggressive hegemonic masculinity combined with negative attitudes towards homosexuality espoused by the Catholic Church highlights the crucial work needed to combat a significant level of intolerance built by these conservative forces. Religious conservatism appears to largely be the logic behind these negative attitudes. Yet culture is dynamic and both internal and external progressive forces signal change and the acceptance of alternative SOGIEs. However, advocates and organizations representing LGBTI communities are woefully under resourced and much in need of more national and international solidarity and support to carry out their important work.
Volume prediction model for Chir pine (Pinus roxburghii Sargent)
Authors: Sharma D. , Nanda Rakhi
Published: August 2022

The study was conducted on Chir pine stand (Pinus roxburghii Sargent) at Barog range (R-31) under Solan Forest Division (H.P.) during the year 2004-2005, to develop volume prediction model based allometric relationships between stand volume and stem growth parameters (DBH and Height). Among various linear and non-linear function, both log-linear and power function performed comparatively better over other functions. In both the functions, DBH and Height parameters explained 99 per cent and 95 per cent of variation in the stem volume, respectively. However, the power function outperformed the log-linear function, when data were subjected to chi-square test of goodness of fit and thereafter using Theil-U test. The predicted volumes based on DBH and Height was cross validated and the DBH proved to be the best predictive parameter for stem volume estimation.
Genetic divergence analysis in Eucalyptus camaldulensis Dehnh.
Authors: Hegde Ramakrishna , Varghese Mohan
Published: August 2022

Eucalyptus camaldulensis Dehnh. is one of the important tree species used in modern plantation forestry programme. The genetic divergence analysis helps in assessing the genetic diversity within the species and also provide information for developing breeding plan, establishment of seed orchards and exploitation of heterosis through hybridization. In the present study attempts were made to assess the genetic diversity among the different open pollinated families of E. camaldulensis based on growth parameters at 24 months of age in three different locations.
Hvis behov kunne tale! En undersøgelse om narrative konstruktioner af behov i andet- og fremmedsprogsundervisning og behovenes kompleksitet
Authors: Unger Martin Carlshollt
Published: August 2022

This article investigates target and learning needs of three stakeholder groups: 1) consisting of transnational knowledge workers, who participated in a Danish course for occupational purposes Danish for knowledge workers, 2) the teachers, and 3) administrative staff at the University of Copenhagen. Through qualitative and quantitative analysis of data collected at the University of Copenhagen in 2017 – 2018, this study sought to analyse how learners in semi-structured interviews from a narrative perspective construct their target and learning needs based on their past and present experiences with language classes and their view on their own needs in future language classes.

The interview data indicate that the construction of target and learning needs is highly individual. Except for one participant, none of the informants were aware of their past target and learning needs. Instead there is a tendency to become more aware of their needs as adults. Additionally, through narrative reflection, the learners were able to construct their present and future needs, and it became clear that these needs are linked to an English-as-lingua-franca-discourse. The quantitative results indicate that the three informant groups seem to construct relatively comparable target and learning needs. Of the three groups, the teachers appear quite homogenous. The analysis of the data collected from learners and the administrative staff demonstrates the complexity of needs, with emphasis on language learning areas and content subjects. Overall, all three stakeholder groups define their target learning goals to primarily be topics concerning everyday life and culture.
Ntra. Sra. De Los Desamparados and Postcolonial Resistances
Authors:   University of Makati Makati City, Philippines, M. PIMENTEL BERNARDINO , DL RODRIGUEZ RICHARD , D. DEL ROSARIO RHIA
Published: August 2022

This paper exhibits narratives on Catholicism and Spanish colonialism in the Philippines – primarily executed by the state and political apparatuses of Spain. Accordingly, colonialism is only an accident to Catholicism and vice-versa due to the inevitability of resistance, which always exists in the dynamic network of power relations. Catholicism and colonialism are not absolutely and essentially inseparable with one another, since conflict between the two has been occurring since the colonial period and until today. There is a clear dynamic interconnectedness between Catholicism and colonialism, but Catholicism is not Spain as how colonialism is not Catholicism. More so, this paper used ethnography with a review of primary and secondary sources of historical data that argues the ‘emergence of consciousness to the socio-cultural and historical narrative of present-day downtown Santa Ana as a precolonial burial site called ‘Lamayan’ with its ancient mythology of ‘Diwata sa Bukal’. Furthermore, the Santa Ana Lao Ma is enshrined in the Taoist temple behind the Santa Ana Church; and the contemporary Filipinization of Ntra. Sra. de los Desamparados seen in Mandaluyong and Marikina are cases of post-colonial resistances that people find today. Keywords: Post-colonial Resistances, Power Relations, Catholicism, Virgin Mary
Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction
Authors: Orman Osman , Ertem Hakan , nkar Ethem , rk kahraman
Published: August 2022

The COVID-19 pandemic caused serious mortality and morbidity all over the world. SARS-CoV-2 infection can involve several different organ systems. Osteonecrosis has been reported in the femoral head of patients treated with corticosteroids due to COVID-19 similar to SARS-COV (severe acute respiratory syndrome) endemic in 2003. Being a tertiary hospital for osteonecrosis of femoral head (ONFH) for our country, we retrospectively analyzed OFNH patients for steroid administration for COVID-19 infection. Ten male and a female, mean age 38.7, total eleven patients (16 hips) who were treated with corticosteroids due to COVID-19 disease and had ONFH were found. Four of 11 patients were medical doctors. Cumulative dose of methylprednisolone in these patients was 1964.5 (+/-1083.2) mg. The mean daily dose of methylprednisolone was 289.4 (+/-182.6) mg. Free vascularized fibula reconstruction in 8 hips, core decompression in 3 hips and conservative treatment in 5 hips were done. Overall, visual analogue scale score for pain was decreased 2.9 points, Harris Hip score were increased 14.6 points and total hip range of motion were increased 45 degrees. The COVID-19 pandemic is an ongoing issue, and avascular necrosis of the femoral head should be considered in patients who present with hip pain at the late period after COVID-19.
A CASE REPORT OF NASOALVEOLAR CYST:AN AESTHETIC DEFECT IN LEFT ALAR REGION
Authors: Pawar Dr , Krishnan Dr , Ghate Dr , Moruskar Dr , Shah Dr
Published: August 2022

Nasolabial cyst is a rare condition. It accounts for about 0.7% of all cases of maxillofacial cysts, and only 2.5% of the maxillofacial non-odontogenic cysts. This cyst is frequently asymptomatic with the most usual sign being alar nose elevation. In spite of the low occurrence of nasolabial cysts, it is important to recognize the clinical characteristics of this lesion. The purpose of this case report is to review the literature and discuss the histomorphology of this condition, showing treatment by surgical excision.
EVALUATION OF HYPERBILIRUBINEMIA IN PATIENTS WITH APPENDICULAR PATHOLOGY
Authors: Ranjan Ravi , Prasad Vijay , IMAM MD , Chettri Babita
Published: August 2022

Background: The physiological obstruction of the bile flow associated with appendicular pathology leads to hyperbilirubinemia, which can be used as a predictive factor of appendicular perforation.
Objective/Aim : Primary objective of this study was
1. To evaluate hyper-bilirubinemia associated with appendicular pathology.
Secondary objectives of this study were
1. To evaluate elevated bilirubin level as an additional diagnostic marker for
severity of acute appendicitis.
2. To evaluate whether elevated bilirubin levels have a predictive potential
for the diagnosis of appendicular perforation.

Methods: The study was conducted in the department of Surgery, Central Referral Hospital, associated to Sikkim Manipal Institute of Medical Sciences, Gangtok. The study was designed as a prospective observational study spanning over a time of 12 months, with enrolment of patients from 12.05.2016 to 11.05.2017. A total of 52 patients with clinical diagnosis of features of acute appendicitis or appendicular perforation admitted in the surgical ward were included.
Results: Patients with appendicular perforation (n=14) were divided based on location of perforation:9(64.3%) had perforation at apex, 2(14.3%) at base and 3 (21.4%) had perforation at the body of appendix. Patient who had perforation at the apex of appendix had a mean total bilirubin of 1.84 mg/dl, 7 (77.8%) of these patients had elevated total bilirubin while an equal number had elevated direct bilirubin. Two (22.2%) had normal total bilirubin and value. Patients having perforation at base had a mean total bilirubin of 1.11 mg/dl and direct bilirubin of 0.56 mg/dl. Though one of these had elevated total bilirubin the other had normal value. On the other hand, both had elevated direct bilirubin. The patients having perforation on the body of appendix had mean total bilirubin and direct bilirubin 1.51 mg/dl and 0.57 mg/dl respectively. Both these patients had elevated total bilirubin and direct bilirubin. It was found that both total and direct bilirubin increased in cases having perforation of appendix, but these elevations was not statistically significant.
Conclusions: Based on the data obtained, the bilirubin levels cannot be used as an indicator for:

a) Severity of acute appendicitis
b) appendicular perforation.
A Study of Musculoskeletal Manifestations Among Post COVID Patients at a Tertiary Care Centre
Authors: Yadav Umesh , Yadav Chandra , Jain Harsh , Antil Priya , Seth Aditya , Devgun Radhika , Sheoran Ajay , Devgun Ashish
Published: August 2022

Introduction- Aside from other multisystemic symptoms, musculoskeletal symptoms are quite common in patients with COVID-19. Post covid there has been a rapid rise in diffuse complaints of myalgia and joint pain. This study was designed to calculate the prevalence of musculoskeletal symptoms in post-COVID 19 cases.
Material & Methods- This was a cross-sectional single-centre study carried out at Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. Patients aged more than 18 years who were diagnosed with COVID 19 without any previous history of musculoskeletal manifestations and a minimum of 21 days of negative RT-PCR report were included in the study.
Results- 249 patients with a history of Covid 19 participated in the study and presented with musculoskeletal manifestations. Lower back pain (37.3%) was the most common symptom in patients with post-covid musculoskeletal symptoms, followed by, shortness of breath (34.1%), arthralgia (33.7%), myalgia (31.4%), upper back pain (26.5%) and only a few patients with post-covid reactive arthritis (1.2%). Fatigue was reported by almost all the study subjects.
Conclusion- Generalised fatigue, diffuse muscle and joint pain are quite frequently seen in post COVID patients which amounts to a huge patient load presenting to Orthopaedic clinics.
Keywords- Covid19, Myalgia, Musculoskeletal, Arthralgia
Tubular Adenoma of the Breast presenting as Fungating mass: A Rare entity
Authors: Verma Surender , Gera Mridul , Garg Pradeep , Verma Anjali , Yadav Ashish , Rani Rashmi , Yadav Swaran
Published: August 2022

Tubular adenoma is a rare and benign tumor of breast occurring especially in young women of reproductive age. Grossly, they appear as solid circumscribed masses. Microscopically they are composed of tubular structures. We describe a case of this rare, benign tumor in a 26-year-old which was initially treated as fibroadenoma but later presented as fungating mass. Surgical excision was done and on histopathological examination confirmed features of tubular adenoma. Keeping a possibility of tubular adenomas in fungating masses of breast will help to go for more conservative approach rather than radical surgeries.