bluuebunny/crossref_metadata_2025 huggingface dataset:
Period-Prevalence and Risk Factors for Delirium in a Tertiary Referral ICU: A prospective cohort study
Authors:   MD, FCICM, Staff Specialist, Intensive Care Unit 2 Senior Registrar, Martinez FE , Ho VW ,   MBBS, FANZCA, Senior Registrar, Anaesthetics Department, Brogan G ,   BMedSci, MBBS, Senior Registrar, Intensive Care Unit, Department of Anaesthesia, Intensive Care and Pain Medicine, John Hunter Hospital, Newcastle, NSW, Pickering C ,   MBBS, FCICM, Senior Registrar, Intensive Care Unit, Department of Anaesthesia, Intensive Care and Pain Medicine, John Hunter Hospital, Newcastle, NSW, Leung G ,   MBBS, FANZCA, Senior Registrar, Anaesthetics Department, Parrey J ,   MBBS, FANZCA, Senior Registrar, Anaesthetics Department, Charlton A ,   MBBS, FCICM, Senior Registrar, Intensive Care Unit, Department of Anaesthesia, Intensive Care and Pain Medicine, John Hunter Hospital, Newcastle, NSW
Published: November 2021

Background: Delirium is common in intensive care and leads to increases in morbidity, mortality, Intensive Care Unit (ICU) length of stay, and hospital length of stay. Certain risk factors predict the appearance of delirium. Study Objectives: To determine the rates of delirium, the rate of risk factors, and their relationship to the occurrence of delirium in an adult ICU. Methods: Single-centre, prospective, observational study. Demographic and treatment data were collected. The Confusion Assessment Method for ICU (CAM-ICU) was performed twice daily to assess for delirium continuously during a 3-week period. Statistical analysis was used to determine the relationship between risk factors and the occurrence of delirium. Results: 86 patients were screened, 44 patients were included, and 260 patient-days were analyzed. The incidence of delirium was 42.9%, the prevalence of delirium in ICU was 50%. Urinary catheters and use of opioids were the most common factors with a positive association for occurrence of delirium. Exposure to daylight and sleeping for more than 4 hours at night were the factors most commonly associated with a lack of delirium. Conclusion: The rates of delirium in ICU were high and risk factors occurred frequently. Addressing modifiable risk factors, including the promotion of adequate sleep, could improve outcomes.
Letter to the Editor
Authors:   Consultant Acute Medicine, Surrey and Sussex Healthcare NHS Trust., Smallwood N
Published: November 2021

I read the recent article by Apsey et al with interest, which recommended "the potential benefits of thrombolytic therapy in massive and submassive pulmonary embolism". This would appear to go against current NICE guidance which states "Do not offer pharmacological systemic thrombolytic therapy to people with PE and haemodynamic stability with or without right ventricular dysfunction". Both recent NICE and European pulmonary embolism (PE) guidance are clear that only high-risk PE (previously called 'massive') should routinely be thrombolysed.
”Sårbare” barn som deltakere i kvalitativ forskning: Forskningsetikk og etisk forskning
Authors: Strandbu Astrid , Thørnblad Renee
Published: November 2021

Forskning som inkluderer barn berører forskningsetiske dilemmaer særlig knyttet til forholdet mellom beskyttelse og deltakelse. I denne artikkelen diskuteres dette i relasjon til forskningsetiske retningslinjer for samfunnsvitenskap og humaniora. Med bakgrunn i egen forskning innen barnevernfeltet og andres kvalitative forskning synliggjøres utfordringer knyttet til at bestemte grupper er forhåndsdefinerte som spesielt sårbare for forskningsdeltakelse. Forskningsetiske retningslinjer legger føringer for forskningsdesign og for inkluderingekskludering av utvalg, og dermed også for kunnskapsproduksjonen. Dersom barn og andre ”sårbare” grupper i større grad skal være representert i forskning må forskningsetiske retningslinjer legge til rette for dette.
Barnet som symbol og barn som religiøse aktører: Nye utfordringer i religionshistoriens møte med barndomsforskningen
Authors: Preston Nora Stene
Published: November 2021

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Developing and integrating enhancement strategies to improve and restore fisheries
Authors: Lorenzen Kai , Leber Kenneth M , Loneragan Neil R , Schloesser Ryan W , Taylor Matthew D
Published: November 2021

Fisheries enhancements are management approaches involving the use of aquaculture and habitat technologies (in the broadest sense) to enhance or restore fisheries. The technologies most commonly used include hatchery rearing and release of aquatic animals and provision of artificial
structures such as artificial reefs. Both are associated with distinct fields of knowledge and communities of practice. Recent calls to expand and broaden the role of aquaculture and habitat enhancements in marine conservation and an increasingly integrated view of living marine resource management
have led to an aspirational broadening of concepts in this area. The 10th William R and Lenore Mote Symposium and 6 th International Symposium on Stock Enhancement and Sea Ranching aimed to advance and integrate knowledge across enhancement technologies and practices. Substantial
progress was noted in multiple technical areas such as understanding the potential and limitations for rearing organisms fit for release into the wild, and the design of artificial reefs to enhance local fish abundance. Crucial higher-level goals such as effectively enhancing or restoring
fish abundance and fisheries at the stock level continue to receive insufficient attention across the enhancement sciences. Integration of enhancement strategies provides opportunities and challenges including a need to recognize, cross-discover, and engage other distinct areas of knowledge
and communities of practice. A quick reference guide is provided to facilitate this process.
Urdu-18 Moral Teachings and Values in Divine and Non-Divine Religions
Authors: Begum Nazia
Published: November 2021

This paper seeks to find the ethical teachings of Divine and Non-Divine religions. Without religion, humans do not have guidelines in their lives. It also finds a universal approach to morality on the context of four world religions, namely: Hinduism, Judaism, Christianty and Islam.All these religions emphasized to uphold the highest ethical teachings and values to produce good will in the human society. All religions aim at moral upliftment of man for spreading positivity. Islam differs from all religions in providing a complete code of life. For this, the life of the Holy Prophet Muhammad ﷺ is the complete code of life and the best example for all
Urdu-19 Inorate,literary style, manner and procedure of the commentary of "Lame-ud-durari" (Sharh-e-Sahih Bukhari)
Authors: Shah Muhammad Usman , Ahmed Manzoor
Published: November 2021

The reseach article contains discussion about the literary style, manner and procedure of the commentary Lame-ud-durari Sharh e Saheeh Bukhari.Each and every commentator has his own style in determining and elaborating a book.Mawlana Rashid Ahmad Gangoohi has his own way of explaining.He has speciality in brief summary of a special context.This article deals with the charachteristic qualities of Mawlana Rashid Ahmad Gangoohis commentary.His commentary is remarcably comprehanssive.He has the falicity to discusss pecific details briefly.He has given relationship to the previous hadith.hehas done remarkable research of the Abu Hanifa sect as well as other sects and has presented specific example in this regard in his commentary.Thus he has made the literary style and manner of Lame-ud-durari very clear and lucid.
Urdu-8 Prediction in the holy Ghazwat of Muhammadi Arabi (S.A.W) and righteousness of his Hadiths
Authors: Jan Syed Hidayatullah , Uddin Salah , Ahmad Manzoor
Published: November 2021

The present study deals with all the verified prognostication of the Holy Prophet that He presented in the battle of (Ahzab). Moreover, The Prediction of the victory of Faras and Rome, the prediction of the battlefield of the slain in the war of Badar, similarly, prediction of the victory of Khyber through the hand of Hazrat Ali (R.A), As well as the prediction of a companion being infernal before his death above all the prediction of Hazrat Ibn.e- Abbbas’ ransom and that proved absolutely right one by one. Furthermore, on one side it proved the legitimacy of him while on the other hand righteousness of The Holy Hadiths of the Prophet. In this article, all those prognostication are collected that are narrated thoroughly.
A CRENÇA EM LOBISOMENS: VISÕES ACERCA DA METAMORFOSE DE HOMENS EM LOBO
Authors: Da Silva Gabriela Pereira
Published: November 2021

O seguinte artigo busca apresentar por meio de uma revisão bibliográfica as principais visões acerca da crença em lobisomens e seus desdobramentos durante os séculos, visto que possuímos fontes sobre a licantropia desde a Antiguidade até a Idade Moderna. Para realização das leituras utilizaremos os conceitos de Roger Chartier, A. J. Gurevich e Stuart Clark. Analisando especificamente o tema da licantropia, apresentarei obras de Carlo Ginzburg, Sabine Baring-Gould, Claude Lecouteux e outros. Estas páginas fazem parte de um projeto de pesquisa em andamento intitulado “Licantropia: uma análise cultural acerca da crença em lobisomens no tratado De la lycanthropie, transformation et extase des sociers (1615) de Jean de Nynauld”.
A ficção afrofuturista na educação decolonial brasileira
Authors: Dias Nathaly De Moraes
Published: November 2021

A corrente afrofuturista, desenvolvida no século XX, ganha cada vez mais espaço no meio artístico e intelectual com afro-diaspóricos de diferentes lugares da África e América que procuram destacar suas experiências frente às instituições que procuram silenciá-los. Com este alcance a corrente pode ser inserida em uma educação decolonial brasileira a partir da Lei nº 10.639/2003 que estabelece o ensino de História e Cultura Afro-brasileira colaborando para a inserção do negro na história política, econômica e social mas também em sua história individualizada como sujeito afrodiaspórico, oferecendo pertencimento e perspectiva de um futuro melhor. Para isto proponho o uso de produções cinematográficas afrofuturistas para compreensão desse passado e continuidade para um futuro negro pois o “afrofuturismo é a ideia radical de que negros existem no futuro” (Nátaly Neri).
Motivación a la lectura en niños de edades tempranas
Authors:   Universidad Tecnológica Indoamerica, Ayala Mendoza Asdrúbal Emilfo , Arcos Tasigchana Jenny Maribel ,   Universidad Tecnológica Indoamerica
Published: November 2021

The action of reading is a complex skill in order to understand the written text. Children tend to present problems when reading, generating difficulties in reading comprehension and affecting their educational performance, the responsibility of stimulating children to read lies with parents, school and society. The objective of this research is to identify those motivational practices towards reading at early ages, exposed by different theoretical references, extracted from updated primary sources, in which positive results are evidenced for the reading habit of children. This research was carried out with a qualitative approach, at a descriptive level, with the documentary bibliographic type, with an analysis of references. The results show that the motivating practices for reading at early ages are those applied by teachers, as well as the imitation of children with parents who have reading habits. Dialogic reading that generates the role of narrator in the child and the use of bibliographic material as a promoter of the relationship between the child and the text. Reading is of vital importance for the promotion of the student's academic quality, magic methods to stimulate reading do not exist and motivating the child properly will have a positive result in his or her intellectual and academic development. The teacher as motivator is the support for the child to assume the reading process; the family is in charge of stimulating reading activity in early childhood; story reading involves children as active readers and writers; the use of library material generates a relationship between the child and the text; and dialogic reading creates an environment of equal reading motivation.
Emprendimiento para la carrera de educación inicial
Authors:   Universidad Tecnológica Indoamerica, Pazmiño Cárdenas Erika Margarita , Andino Sosa Ivonne Augusta ,   Universidad Tecnológica Indoamerica, Romero Coronel Karla Fabiola ,   Universidad Tecnológica Indoamerica, Becerra Sarmiento María Fernanda ,   Universidad Tecnológica Indoamérica, Pazmiño Cárdenas Ivonne Anabel ,   Pontificia Universidad Católica del Ecuador
Published: November 2021

Since the COVID-19 pandemic declared by the World Health Organization, the work environment in the education sector has been affected, especially at the early education level, due to the suspension of face-to-face classes, the introduction of virtual education and, in some cases, the closure of educational institutions. From this perspective, the purpose of this study is to describe university teacher training in the field of entrepreneurship in the Early Childhood Education program at public and private universities in Ecuador. The information was collected through a broad epistemological analysis, as well as the curricula, the graduate profile and the projected labor field of the career that are related to entrepreneurship as part of academic training. The results reveal that of the 30 universities that offer this career, 13 include entrepreneurship as a subject in their curricula, 6 relate it to their projected field of work and 4 include it in their graduate profile. This shows the limited consideration of entrepreneurship in the training of initial education professionals, which distances them from the real needs of today's rapidly changing labor field. In the future, it is necessary to review the syllabus of this subject to verify the development of entrepreneurial competencies.
Tumor desmoplásico de células pequeñas y redondas. Presentación de caso y revisión de la literatura
Authors: Rendón Toro Juan Camilo , Aguirre Dávila Gydnea Lourdes , Puerta Rico Ángela María , Arias Luis Rodrigo , Arias Ramírez Daniela , Ayala Juan Francisco
Published: November 2021

El tumor desmoplásico de células pequeñas y redondas (TDCPR) es una neoplasia maligna rara, con curso clínico agresivo y mortalidad elevada. Se presenta el caso de un hombre de 21 años de edad, quien consultó por dolor abdominal de intensidad moderada, irradiado al flanco derecho, fiebre y pérdida de peso. En tomografía abdominal con medio de contraste se documentó una gran masa intraperitoneal con áreas de necrosis central y extensión a la pelvis, además de lesiones hepáticas de aspecto neoplásico secundario. El diagnóstico se confirmó mediante biopsia percutánea guiada por ultrasonido, que mostró extensa infiltración por tumor maligno, constituido por células con núcleos vesiculosos de cromatina clara, citoplasma eosinófilo e inmunohistoquímica compatible con dicho tumor. En este artículo se hace una confrontación del caso con los hallazgos descritos en otras series publicadas en la literatura y una revisión clínica del tema.
Excursión diafragmática en adultos sanos: valores de normalidad. Estudio de prevalencia analítica
Authors: Zedan Alfredo , Prada Mancilla William Andrés , Rey Pedro
Published: November 2021

Introducción: la excursión diafragmática por ultrasonido es una herramienta que permite valorar  adecuadamente al paciente con patología crítica de la vía aérea, con derrame pleural y lesiones  neurovasculares que generan patrones restrictivos sobre el tórax. Realizar la valoración dinámica  del diafragma antes y después de un procedimiento permite conocer los cambios en la historia  natural de la enfermedad. Por esto, es primordial conocer los valores de normalidad de la población  de estudio, y cómo interfiere con las demás variables antropométricas de los pacientes. Materiales  y métodos: estudio de prevalencia analítico para la medición de variables normales de la excursión  diafragmática y la correlación con variables antropométricas de pacientes sin patología pulmonar  o diafragmática. Resultados: muestra aleatoria simple de 50 diafragmas con una distribución  del 68 % de mujeres, con edad media de 39 años y una mediana del perímetro abdominal de 78  cm. El grosor del diafragma fue de 3,4 mm en inspiración y 2,6 mm en espiración. La media de la  excursión diafragmática fue de 15 mm. La correlación de Kendall entre la excursión y las variables  antropométricas tuvo un valor de rho= 0,94 (Spearman). Conclusiones: los valores de normalidad  de la excursión diafragmática son muy variables según la población estudiada, con relación clínica  entre las variables antropométricas. Esto nos permite recomendar practicar una valoración dinámica  del diafragma antes y después de cada procedimiento para evaluar los cambios significativos en  los valores de excursión diafragmática.
Infarto medular en paciente con aneurisma de aorta descendente con hematoma intramural
Authors: Rifaldo Juan Guillermo , Cuervo Catalina , Abreo Diego , Lozano Andrés , Muñoz Juan Pablo
Published: November 2021

La isquemia medular (IM) es una emergencia médica causada por hipoperfusión o embolismo de la arteria espinal. El inicio de los síntomas es abrupto, y su presentación clínica y gravedad es amplia, dependiendo del segmento medular comprometido. Entre las causas más frecuentes están la enfermedad ateroesclerótica, las cirugías vasculares aórticas y, menos comúnmente, la disección aórtica (DA). La IM conlleva secuelas graves y alta mortalidad. Este artículo describe el caso de un paciente con infarto medular agudo como primera manifestación de un hematoma intramural (HIM) en un aneurisma de aorta torácica.
Hallazgos ecográficos normales y complicaciones de implantes mamarios en Colombia
Authors: Múnera Orozco Valentina , Saldarriaga Jaramillo Ximena , Mejía Soto Catalina
Published: November 2021

La mamoplastia de aumento con implantes y la reconstrucción mamaria posmastectomía son algunos de los procedimientos quirúrgicos más frecuentes en cirugía plástica. Los implantes mamarios se encuentran entre los dispositivos médicos con mayor cantidad de informes por eventos adversos en el país. La extracción del implante es el estándar de oro ante la sospecha de la ruptura del mismo; sin embargo, hay poca claridad respecto a qué estrategias e imágenes son las adecuadas para la evaluación no invasiva de estos. La ecografía de alta resolución ha mostrado ser una alternativa para la evaluación inicial. Debido a la variabilidad de los implantes es necesario reconocer sus características imagenológicas. En este artículo se presentan los hallazgos ecográficos de los implantes, incluyendo aquellos que se pueden generar por marquillas o distintivos propios de la marca, y los propios de las complicaciones más comunes asociadas a ellos.
Hallazgos radiológicos craneofaciales en acromegalia
Authors: Acosta Rosas Luis Manuel Alejandro , Wilches Vanegas Catalina
Published: November 2021

La primera descripción médica de la acromegalia se hizo en 1886, por el neurólogo francés Pierre Marie. Esta enfermedad, poco frecuente, generalmente la causa un adenoma hipofisario, que activa un fenotipo característico de sobrecrecimiento, causa desproporciones craneofaciales y complicaciones sistémicas en especial en los sistemas cardiovascular, respiratorio y metabólico, secundario a los niveles excesivos de hormona del crecimiento y factor de crecimiento similar a la insulina. La detección radiológica de estos hallazgos craneofaciales, mediante estudios por tomografía y resonancia magnética, son de gran importancia, puesto que brindan a estos pacientes un diagnóstico precoz de la enfermedad, lo cual conlleva instaurar un tratamiento oportuno de esta patología.
Cuerpos extraños de presentación atípica: presentación de casos
Authors: Lubinus Badillo Federico Guillermo , Rey Carlos A. , López Martínez Luis Andrés , Villarreal Ibáñez Erick Daniel , Vera Campos Silvia Nathalia
Published: November 2021

Objetivo: Presentar casos de cuerpos extraños de manifestación no convencional diagnosticados de manera incidental en distintos tipos de estudios imagenológicos en pacientes que no referían ni mostraban clínica sugestiva de cuerpo extraño. Material y métodos: Se analizaron las imágenes en el archivo del servicio de radiología e imágenes diagnósticas de pacientes que acudieron a la Fundación Oftalmológica de Santander —Clínica Carlos Ardila Lülle (FOSCAL)— a quienes se les diagnosticó un cuerpo extraño de manera incidental mediante distintas modalidades de imagen. Resultados: Se informa de cuatro casos clínicos de pacientes en quienes se encontró de forma incidental un cuerpo extraño, en diferentes localizaciones anatómicas y distintos estudios imagenológicos, como radiografía y tomografía computarizada. Conclusiones: La naturaleza de los cuerpos extraños es diversa; principalmente son de origen vegetal. La clínica dependerá del tamaño, localización y composición del cuerpo extraño. Su diagnóstico es difícil debido a que pueden tener densidades radiográficas similares a los tejidos circundantes. El estudio de elección dependerá siempre de la región y el tejido afectado, así como el material del cuerpo extraño. La tomografía computarizada es el estudio de elección; tiene limitaciones en la detección de cuerpos extraños de origen vegetal y en algunos casos solo la exploración quirúrgica permite el diagnóstico y tratamiento.
Síndrome de la apófsis odontoides coronada, una manifestación inusual de dolor cervical: presentación de un caso
Authors: González Rojas Pedro Pablo , Pérez Restrepo Jonathan , Mantilla Hernández Juan Felipe
Published: November 2021

Las enfermedades por depósito de cristales de pirofosfato dihidratado de calcio o hidroxiapatita se pueden manifestar en cualquier articulación y cuando se acumulan en la columna cervical pueden causar dolor. El síndrome de la apófisis odontoides coronada es una rara condición clínica que consiste en la calcificación en forma de corona de los ligamentos que rodean a la apófisis odontoides. Se describe el caso de un hombre de 70 años de edad con una semana de cervicalgia, cefalea y fiebre, que ingresa por sospecha de patología neurológica. Se realiza TC de cráneo que documenta calcificaciones lentiformes del ligamento transverso del atlas. Se instaura manejo con corticosteroides y antiinflamatorios no esteroideos, con mejoría. Una adecuada anamnesis, junto con estudio por imagen, evita procedimientos innecesarios y permite incluir esta entidad en el diagnóstico diferencial del dolor cervical agudo.
Análisis bibliométrico de la Revista Colombiana de Radiología
Authors: Moreno Mejía Mauricio , Reyes Gavilán Pablo , Vasco López Vanesa , Aroca Mejía Alberto , Herrera Nicolás
Published: November 2021

Objetivos: Describir las estadísticas y los indicadores bibliométricos de la Revista Colombiana de Radiología desde su primer número, en 1989, hasta el último de 2018. Materiales y métodos: Se revisaron todos los números de la Revista tanto impresos como en versión digital. Se creó una base de datos en el software de referencias JabRef con todas las publicaciones encontradas. Cada referencia, aparte de la información de autores, volumen, número, año de publicación y resumen, contiene datos de filiación institucional, localización geográfica, tipo de publicación y tema. Por medio de un análisis estadístico simple se examinaron los indicadores de producción, como cantidad de publicaciones por número, año, autor, filiación institucional, localización geográfica, tópico y tipo de publicación. Para los indicadores bibliométricos de impacto se realizaron búsquedas de las citaciones sobre la producción de la revista en bases de datos y buscadores. Resultados: En total fueron 902 referencias. El año de más publicaciones fue el 2011 y el tipo de publicación más frecuente fue el de presentación de caso. Las áreas con más publicaciones fueron imagen corporal y neurorradiología. Las ciudades en Colombia con más publicaciones fueron Bogotá y Medellín. Las instituciones que más publicaron fueron la Pontificia Universidad Javeriana, Hospital Universitario San Ignacio y la Fundación Santa Fe de Bogotá y Universidad El Bosque. Conclusiones: La Revista Colombiana de Radiología es la principal publicación sobre radiología en el país. La Revista cuenta con una considerable cantidad de publicaciones de diferente tipo y tema. Este análisis bibliométrico podrá servir de insumo para tomar decisiones respecto al futuro de la Revista.
Cambios en la densidad mineral ósea y en la composición corporal en pacientes obesos sometidos a cirugía bariátrica
Authors: Jaimes Niño Sara , Valencia Sergio , Triana Gustavo , Romero Javier Andrés
Published: November 2021

La obesidad es un problema de salud pública que afecta de forma significativa a la población mundial, aumentando los índices de morbilidad y mortalidad. A pesar de que existen múltiples tratamientos para la obesidad, el más efectivo a largo plazo es el quirúrgico. Las cirugías bariátricas, como el bypass gástrico en forma de Y-de-Roux y la manga gástrica, han logrado no solamente rebajar la masa corporal a expensas de la reducción de la masa grasa, sino que han disminuido la prevalencia de comorbilidades como diabetes mellitus tipo 2, dislipidemia, hipertensión arterial, entre otras. Sin embargo, las cirugías bariátricas también han demostrado tener efectos negativos sobre el índice musculoesquelético y la densidad mineral ósea, variables que deben ser tenidas en cuenta durante la valoración prequirúrgica y las recomendaciones posquirúrgicas. A partir de los resultados del estudio se puede inferir que la cirugía bariátrica ocasiona osteopenia/osteoporosis y sarcopenia a largo plazo basados en la disminución estadísticamente significativa del contenido mineral óseo (CMO) y del tejido magro libre de grasa a corto plazo, por lo cual se propone un seguimiento a largo plazo (mayor de 12 meses) de dichos pacientes.
Analysis of Barriers and Drivers for BIM Adoption
Authors:   Robert Gordon University, UK, Hamma-adama Mansur Hamma ,   Kaduna Polytechnic, Nigeria,   Robert Gordon University, UK, Kouider Tahar , Salman Huda
Published: November 2021

Research on 'digitalization and collaboration' in the construction industry has been gaining momentum in the recent academic engagements. Despite its existence in many industries (i.e. financial services, retailing, publishing and travelling) for over ten years, it is yet to catch up by the construction market; this is due to several challenges whose existence are more dynamic and contextual than generic to various countries. The problems are defined in many studies across borders, but their impacts varied with countries. This case is equally the same to drivers toward the adoption of BIM. This study analyses barriers and drivers to BIM adoption in the Nigerian construction industry from adopters and non-adopters perspectives as to allow an informed decision in developing a strategy for macro BIM adoption. Primary data fetched from professional stakeholders through an online questionnaire survey were analysed using SPSS software and Microsoft Excel. This investigation reveals the most significant barriers against BIM adoption as Lack of expertise, Lack of standardization and protocols to mention but a few. And, most influential drivers from both adopters and non-adopters as Availability of trained professionals to handle the tools, Proof of cost savings by its adoption, BIM Software affordability, and awareness of the technology among the industry stakeholders. The adopters and non-adopters groups have nearly equal Percentage Disagreement (PD) and Percentage Agreement (PA) for both the barriers and drivers to BIM adoption. Thus, this suggests that the adopters are still at the early stage of BIM adoption, so have nearly the same perceptions with the non-adopters. The study recommends proper consideration of the established barriers and drivers while developing any strategy for effective BIM adoption. Further face-to-face (interview) study is necessary to explore more and in-depth challenges to adoption of BIM in the industry; and as the industry is getting more aware of the BIM, periodic evaluation of the critical barriers and drivers is vital.
MAPEAMENTO DO JOGO: POLÍTICA DO CORPO EM JOGOS DA SÉRIE DE GAMES RESIDENT EVIL
Authors: Santos George Lima
Published: November 2021

O objetivo da presente dissertação é fazer um mapeamento do jogo, a partir do qual questionamos as unidades discursivas das imagens e dos sons que compõem jogos eletrônicos, considerando os tipos de corpos que neles assumem posições sociais e institucionais, como também os sujeitos que se constroem nesse tipo de ambiente, produzindo posicionamentos bastante específicos. Tomamos como corpus teórico-analítico os três primeiros jogos pertencentes à série de games Resident Evil (conhecida no Japão como Biohazard), que foi concebida e dirigida por Shinji Mikami, desenvolvida pela editora de videogames Capcom (Capsule Computer Co. Ltd.) e cunhou o gênero horror-sobrevivência para videogames. Nessa perspectiva, considerando os procedimentos teóricos-metodológicos que compõem o método arquegenealógico, pensado com e por Michel Foucault, iremos seguir três passos: primeiro, fixaremos as condições de existência para os três videogames da série RE em termos de condições de possibilidade, de proveniência para sua emergência e de fatos de discurso, observando o momento, o lugar de emergência e seus princípios de classificação em relação a outros jogos; segundo, descreveremos e analisaremos as materialidades e suas descontinuidades que compõem os videogames e dão estatuto a eles de unidade discursiva; e, por último, examinar como essas unidades discursivas determinam na configuração dos corpos e de seus traços morfológicos tanto dos personagens do jogo quanto do jogador no jogo que são dados a ver nas imagens e sons dos videogames analisados. O que disso se pode provisoriamente concluir aqui é que os postulados foucaultianos sobre o discurso disponibiliza pressupostos teórico-metodológicos para pensar o funcionamento dos videogames. Nesse entrecruzamento de discursos emergem procedimentos que criam posicionamentos para os sujeitos que se põem em jogo. Assim sendo, tratamos de discursos em torno de um corpo que se quer sobrevivente, mas que, porém, se depara com a ameaça de não se permanecer em vida, possibilitando posições para serem ocupadas pelos sujeitos. Como isso se dá nos videogames é o que essa dissertação pretende trazer à luz.
PROBLEMATIKA JATUH CINTA : Sebuah Tinjuan Filosofis
Authors: Gunawan Leo Agung Srie
Published: November 2021

Falling in love is the most phenomenal event in the history of human being.Discussion of falling in love is never finished talking about it. When lovers arefalling in love, they long for a perfect happiness in their heart. The onlypossibility to achieve this happiness is that the lovers live together as amanifestation of the unity of love. This union that is lived by them is expectedto take place in eternity. In the experience of falling in love, a couple of humanbeing, as if, live â€œacross this worldâ€ in which they are tasting the divine life intotal happiness, perfect unity, and eternal life. Actually, the total happiness isexperienced as a partial happiness. This has the effect that the perfect unity isonly a dream because the unity is experienced in its imperfection. Furthermore,the eternity of love is only a romantic love in changing continuously. It is theexperience bringing falling in love with its serious problems. However, thosewho fall in love are really human beings who are still in their limitations.
Peningkatan Pemahaman Penyidik BPOM dan Strategi dalam Pengawasan Post Border: RIA Framework
Authors: Apriansyah Tofa , Khotimah Khusnul , Munandar Adis Imam
Published: November 2021

Potensi ancaman masuknya Obat dan Makanan tanpa izin edar masih menunjukan menunjukan dominasi yang mengkhawatirkan, dengan rata-rata per-tahun sebesar 70,5% dari 13 jenis perkara Obat dan Makanan pada periode tahun 2015-2017. Pemahaman PPNS BPOM menjadi krusial pada fungsi penindakan. Penelitian ini bertujuan untuk menganalisis pemahaman PPNS BPOM dan memformulasikan strategi yang tepat dalam pengawasan post border. Penelitian menggunakan pendekatan mixed methods dengan metode survei dan studi kasus. Regulatory Impact Analysis (RIA) Framework digunakan sebagai pola pikir dengan pendekatan analisa intelijen. Hasil penelitian menunjukan bahwa pemahaman PPNS BPOM masih harus ditingkatkan hingga diperoleh pemahaman yang sama dan merata di seluruh Indonesia. Asimetris informasi antar BPOM dan DJBC dihilangkan dengan melakukan pelatihan bersama. Kesadaran akan pentingnya kerjasama dengan DJBC dan kebutuhan informasi sebelum Obat dan Makanan keluar dari kawasan pabean menunjukan perlunya langkah strategi kolaborasi pengawasan post border. Pertukaran informasi intelijen merupakan strategi prioritas pengawasan post border yang dapat dibangun dari kolaborasi BPOM dan DJBC.

 

Potential threat of non-registered entry of imported Drug and Food showed alarming domination, with an average annual rate of 70.5% of 13 types of Drug and Food cases in the 2015-2017 period. Understanding of Indonesian-FDA investigator is crucial in the enforcement function. This study aims to analyze the understanding of Indonesian-FDA investigator and formulate an efficient and effective control strategy. The study uses a mixed-methods approach using survey methods and case studies. The Regulatory Impact Analysis (RIA) Framework is used as a mindset with an intelligence analysis approach. The results show that the understanding of Indonesian-FDA investigators still needs to be improved so that an understanding is equal and evenly distributed throughout Indonesia. Asymmetric information between Indonesian-FDA and DGCE is eliminated by conducting joint training. Awareness of the importance of collaboration with DGCE and the need for information before Drug and Food leave the customs area shows the need for collaborative post-border surveillance strategic steps. The exchange of intelligence information is a priority strategy for post border control that can be built from the collaboration of Indonesian-FDA and DGCE.
A ecologia política no estudo da segregação urbana: um estudo de caso da estruturação de muros na periferia de Lima, Peru
Authors: Abarca Aura Luz Fernandez , Morais Lucia Maria
Published: November 2021

Objetivo: Avaliar e caracterizar os elementos que geram e são gerados em um espaço social e ambientalmente segregado, com base em uma perspectiva ecopolítica, empregada neste estudo como uma ferramenta de interpretação interdisciplinar de problemas socioambientais.Metodologia: Metodologia de caráter descritivo e exploratório, com apoio em pesquisa bibliográfica e observação in loco. Foram realizadas entrevistas semiestruturadas com moradores da periferia da cidade de Lima, no Peru. Para a análise das informações levantadas, empregou-se a matriz Pressão, Estado, Impacto e Respostas (PEIR), a fim de gerar organogramas de diagnóstico de conflitos e problemas.Originalidade / relevância: Existe uma clara interseção entre parâmetros culturais, históricos e políticos que produzem mudanças ambientais nas cidades. O seguinte artigo contribui no estudo da segregação social e física como um gerador de impactos ambientais.Resultados: Os resultados mostram que o objeto pesquisado apresenta uma dinâmica ambiental e social complexa. Um muro foi estruturado ao longo das últimas décadas para dividir duas realidades da cidade. Neste sentido, houve segregação socioambiental, sendo este um fenômeno da urbanização contemporânea, com influências histórica, cultural e política.Contribuições sociais / para gestão: Salientar fatores não imediatos no espaço físico como a interação histórica da sociedade na cidade e no seu patrimônio ambiental. Propor uma compreensão mais holística através da Ecologia Política.
Social Pedagogy as an offer of master’s studies in Poland after the Second World War (1945-1950)
Authors: Żukiewicz Arkadiusz
Published: November 2021

The article presents graduate programs (Masters level) in the field of social pedagogy offered by Helena Radlińska and her colleagues at the University of Łódz after WWII. Socio-Pedagogical studies established at the Department of Social Pedagogy at the University of Łódz were supposed to prepare educational, social, and cultural workers in time of revival of Poland after 1945. The example of the educational model created at that time can serve as an inspiration in the development of contemporary programs of education rooted in the Polish socio-pedagogical tradition.
Studi Korelasi Sinyal Motorik Otot Wajah dan Sinyal Suara Ucap pada Artikulasi Fonem Vokal
Authors: Sadida Faza Lisan , Irawan Muhammad Rady , Mandasari, Miranti Indar , Suprijanto Suprijanto
Published: November 2021

Perubahan bentuk artikulator memiliki pengaruh pada suara ucap yang dihasilkan, sehingga setiap fonem memiliki karakteristik pola artikulasi yang berbeda. Penelitian ini meninjau hubungan otot artikulator wajah dengan sinyal suara ucap yang dihasilkan pada proses artikulasi fonem vokal. Digunakan 4 elektroda untuk merekam sinyal otot yang diletakkan pada otot depressor anguli oris dan zygomaticus major berdasarkan hasil analisa optical flow citra wajah saat mengucapkan fonem vokal. Dilakukan korelasi silang pada setiap pasang envelope sinyal EMG untuk mengetahui kecenderungan bentuk artikulator pada proses artikulasi. Diperoleh hasil bahwa setiap responden memiliki kecenderungan pola kontraksi pada otot artikulator yang unik, dan terdapat sinkronisasi untuk keempat titik artikulator yang ditandai dengan rendahnya nilai delay hasil korelasi silang untuk keempat pasang elektroda. Selain itu, dilakukan pula analisis total energi kontraksi yang dibutuhkan untuk menggerakkan, menahan serta mengembalikan posisi artikulator pada proses artikulasi. Berdasarkan analisa perbandingan energi, diperoleh hasil bahwa kontribusi otot depressor anguli oris lebih dominan dibandingkan otot zygomaticus major pada proses artikulasi fonem vokal.
Der Pflichtteil im Steuerrecht
Authors: Bachem Eberhard
Published: November 2021

Recently, a number of decisive tax court decisions have been issued on the subject of the compulsory portion and tax law. Can these be arranged in a system?

In order to answer this question, the author shows a structure that underlies the taxation of the compulsory portion and its deductibility as an estate liability. Particular attention is paid to the special tax features of the compulsory portion in the case of the so-called "Berliner Testament". Emphasis is also placed on a presentation of possible settlement waiver agreements, taking into account the effects on inheritance, income and real estate transfer tax. Finally, the results are summarized in several theses.
Lebzeitige Kapitalzuwendungen an Minderjährige auf Spar- und Girokonten am Beispiel der Schenkung und Kontoleihe
Authors: Baasch Jasmin
Published: November 2021

Capital gifts to minors on bank accounts during their lifetime are a recurring concern for the courts. Since 2019, the Federal Supreme Court differentiates between the internal and external relationship for questions arising in this context. Taking this new approach, the thesis investigates the determination of the account holder in the external relationship and the structuring of the internal relationship using the example of gifting and account lending. Finally, the liability in the case of parental dispositions of the assets assigned to the child is examined and the result is transferred to the dispositions of third parties. On the basis of the gained insights, practical suggestions are made to avoid potential disputes in the future.
Evolution of Thyroid Enhancement of Embryogenesis and Early Survival
Authors: Pataueg Arjay , T. Larson Earl , L. Brown Christopher
Published: November 2021

Iodine imparts protective antioxidant actions that improve the fitness of invertebrate organisms, and peptides carrying iodine initially appear to have served in a defensive capacity. Tyrosine carries multiple iodines in some echinoderms, and these peptides transferred to progeny serve both protective and signaling purposes. This parental relationship appears to be the most likely evolutionary basis for emergence of the vertebrate thyroid endocrine system, and its critically important development-promoting actions in larval and (later) fetal ontogeny. Thyroxine (T4) and Triiodothyronine (T3) induce settlement and stimulate transitions to alternative feeding modes in some echinoderms. This transgenerational relationship has been conserved and elaborated in vertebrates, including humans, which share common ancestry with echinoderms. Thyroid insufficiency is damaging or can be lethal to larval fishes; egg yolk that is insufficiently primed with maternal thyroid hormones (TH) results in compromised development and high mortality rates at the time of first-feeding. Maternally-derived TH supplied to offspring supports the onset of independent feeding in fishes (eye, mouth, lateral line, swim bladder and intestinal maturation) and survival by comparable developmental mechanisms in placental mammals. Fishes evolved precise control of TH secretion and peripheral processing; early metamorphic and feeding mode actions were joined by controlled thermogenesis in homeotherms.
Improving Higher Education Instructional Delivery in the Developing World: The Role of University Teachers as Digital Leaders
Authors: Salifu Inusah , Owusu-Acheampong Eugene
Published: November 2021

The last couple of years have seen an increasing demand on university teachers, especially in the developing world, to apply innovations to their instructional delivery to meet students’ needs and cater to national aspirations. To succeed in this, a digital leadership initiative that ensures effective use of technology-mediated instruction is indispensable. This study used the context of Ghana to examine the kinds of digital technology tools university teachers in the developing world often used in their teaching as digital leaders and whether the tools were effective in promoting academic work. The study used the embedded mixed method design based on which 252 teachers of the country’s universities were accidentally selected to complete questionnaires. Data were analysed using descriptive and inferential statistics. The study mainly found laptops, mobile phones, and projectors as the commonest digital technology tools used in teaching by the participants, and they thought that the tools effectively promoted academic work. The findings have global implications because knowing the effectiveness of digital technology use in higher education teaching in Ghana could serve as a source of information on measures to mitigate the impact of the Covid-19 pandemic on the academic work of HEIs in developing countries.
Development and Characterization of New Functionally Graded Aluminium Alloys
Authors: Fracchia Elisa , Rosso Mario
Published: November 2021

Nowadays, aluminium alloys are adopted mainly to produce engineering and automotive components. The present investigation aims to design, cast and characterize novel functionally graded materials (FGMs) produced using Al-Mg and Al-Si alloys by gravity casting technique. Alloys were sequentially cast into a mould to obtain an FGM to realizing great mechanical and metallurgical bonding. Zn addition was further performed in FGM to increase the mechanical properties, thanks to the nucleation of the intermetallic phases MgZn2. Castings were subsequently mechanically tested by tensile tests, bending tests, hardness and microhardness measures to assess the products\' quality. Microstructural characterizations were performed along the FGM to assess the metallurgical bonding and evaluate the microstructures obtained. Fracture, microstructural and compositional analysis will highlight the quality of this new FGM proposed. Possible applications of these materials are suggested, as automotive pistons or structural components.
Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): Breast Imaging Perspective
Authors: Collado-Mesa Fernando
Published: November 2021

Breast implant-associated anaplastic large cell lymphoma is a rare disease first described in 1997. Since then, its incidence has continued to increase. Current estimated lifetime risk in women with textured breast implants range from 1:1000 to 1:30,000. Most cases present with rapid and dramatic breast swelling resulting from peri-implant fluid collection. Palpable mass, pain, and skin lesions also occur. A high index of suspicion in patients who develop a seroma around the breast implant more than one year after implant placement is required. The combination of clinical history, physical exam findings, and appropriate imaging workup can lead to a timely and accurate diagnosis. The disease has excellent prognosis when it is diagnosed earlier, and complete surgery is performed. Radiologists, particularly those involved in breast imaging, can play an essential role in early diagnosis. This chapter presents an overview of the disease, including relevant imaging findings.
Is the Death Instinct Silent or Clinically Relevant? From Freud’s Concept of a Silent Death Instinct to Understanding Its Clinical Manifestations
Authors: Diem-Wille Gertraud
Published: November 2021

When Freud introduced his concept of the death instinct in Beyond the Pleasure Principle (1920) he solved three theoretical problems which could not be explained by the one drive theory: masochism, repetition compulsion and the negative therapeutic reaction. The concept of two inherently opposed instincts remained one of the most controversial parts of Freud’s theory. For Melanie Klein, Freud’s idea of the death instinct was a powerful instrument in solving her greatest problems of integrating her clinical evidence of an earlier, very harsh superego. In Freud’s account, the superego was the manifestation at birth of the death instinct operating in destructiveness towards the person, as he had argued. In this way, Klein put – as Hinshelwood claims – clinical “flesh on the bones of Freud’s theory of the death instinct.” I will describe the development of Freud’s theory and how this was elaborated by Klein and her followers Bion, Esther Bick, Segal and Rosenfeld. With three clinical vignettes--from an Infant Observation, a child analysis and an adult analysis--the clinical use of the concept will be illustrated.
Freud and Binswanger: An Asymptotic Relationship
Authors: Veysset Philippe
Published: November 2021

The relationship between Freud and Binswanger can be thought as a productive misunderstanding. In search of institutional recognition, Freud sees in Binswanger above all a representative of classical psychiatry, moreover director of a prestigious institution, while the latter aspires to shatter this same psychiatry which seems to him marked by the discrediting of the patient. This misunderstanding will take the form of a doctrinal rather than a practical disagreement, centered on the notion of drive - too biological according to Binswanger - and in particular on the latter’s refusal of the drive origin of the ego and of the censorship. For Binswanger, psychiatry can renew itself from the inside by opening up to a philosophical, phenomenological, approach to the patient and his world, a world in which it is first necessary to enter through a patient-doctor co-journey in order to reconstitute the conditions for living together. For Freud, the therapeutic imperative proscribes such recourse to an external authority, the world of the philosopher being itself, by its closure on itself, suspect. In the end each of the respective thoughts of the two men will progress in contact with the other without ever a perfect agreement being able to take place.