bluuebunny/crossref_metadata_2025 huggingface dataset:
ATRIAL FIBRILLATION AND ADHERENCE TO ORAL ANTICOAGULATION: REVIEW OF CLINICAL CASES
Authors:   Grodno State Medical University, Dzeshka M.S. , Boyko S.L. ,   Grodno State Medical University, Shpak N.V. ,   Grodno State Medical University, Snezhitskiy V.A. ,   Grodno State Medical University
Published: February 2021

Prevalence of atrial fibrillation (AF) is continuously increasing. Stroke in AF patients is the most unfavorable complication of arrhythmia, clinical course being severer, neurological deficit pronounced, and mortality higher compared to stroke patients without AF. Oral anticoagulation (OAC) results in significant reduction of stroke and systemic embolism but at the same time is compromised by haemorrhagic complications. High adherence to treatment is essential for effectiveness and safety of OAC. Nonetheless, poor adherence to treatment in case of chronic diseases requiring drug regimen remains unresolved. Social, economic and demographic factors, patient’s psychological markers, inertia of the healthcare system, formalism in the implementation of recommendations in routine clinical practice, violation of the continuity between inpatient and outpatient care, limited resources and other factors lead to low adherence among patients with AF. Refusal of OAC, intermittent treatment, delayed medication with OAC, failure to follow recommendations for the control of modifiable risk factors associated with anticoagulant therapy, are transformed into a high level of cardiovascular and cerebrovascular events in patients with AF. This article presents an analysis of three clinical cases of patients with complicated AF, discusses treatment from the standpoint of evidence-based medicine, the role of low adherence in the development of complications, and obstacles to increasing adherence.
CARDIOPROTECTIVE EFFICIENCY OF THE COMBINED APPLICATION OF REMOTE ISCHEMIC PRE- AND POST-CONDITIONING IN RATS IN CASE OF MIOCARDIAL ISCHEMIA/REPERFUSION
Authors:   Belarusian State Medical University, Sevrukevitch V.V. , Vismont F.I. ,   Belarusian State Medical University
Published: February 2021

The cardioprotective efficacy of the combined use of remote ischemic preconditioning (RIPreC) and remote ischaemic postconditioning (RIPostC) in experimental myocardial ischemia/reperfusion was studied in rats. Experimental myocardial ischemia/reperfusion was reproduced by a 30-minute occlusion of the left coronary artery followed by a period of 120-minute reperfusion. Remote ischemic conditioning was reproduced by short-term occlusion of both femoral arteries followed by reperfusion of the extremities beginning at the following time points: RIPreC– 25 minutes before the end of the myocardial ischemia period, RIPostC - 10 minutes after the end of the myocardial ischemia period, RIPreC + RIPostC– 25 minutes before the start and 10 minutes after the end of myocardial ischemia. It was shown that the combined use of RIPreC and RIPostC had a comparable cardioprotective effect in comparison with each of these methods taken separately. Possible reasons explaining the lack of potentiation of the cardioprotective effect of the combined use of RIPreC with RIPostC can presumably be attributed to: 1) achieving maximum cardioprotection, i.e. the impossibility to further reduce the area of myocardial ischemia, 2) the effect on similar intracellular cardioprotective mechanisms in different conditioning modes.
MEDICAL PREVENTION OF POST-TRANSFUSION COMPLICATIONS AFTER TRANSFUSION THERAPY APPLIED IN CASE OF SEVERE OBSTETRIC BLOOD LOSS
Authors:   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Karpenko F.N. , Novik A.V. ,   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Rasyuk E.D. ,   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Pasyukov V.V. ,   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Bordakov V.N. ,   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Vaganova T.V. ,   Republican Scientific and Practical Center of Transfusiology and Medical Biotechnologies of the Ministry of Health of the Republic of Belarus, Karpenko O.V. ,   Belarusian State Medical University
Published: February 2021

The article presents an analysis of the modern approach to the treatment of acute obstetric hemorrhage. Some features of the preparation of leukodepleted and pathogen-reduced blood components are shown and indications for use in severe obstetric blood loss are determined. It has been shown that the pathogen reduction of blood components leads to a decrease the level of coagulation factors (coagulation factor VIII, fibrinogen in fresh frozen plasma) by 20-30 %, the activity and number of platelets by 15-20 % in platelet concentrate, does not affect the morphological usefulness of platelets. A "package" of blood components for the provision of emergency transfusion therapy for obstetric bleeding has been calculated. The need for a given quantity of blood components was determined – 2.3 "packages" per 1000 births. The proposed "emergency obstetric care packages" and the organization of their centralized delivery to medical healthcare organizations ensure a high degree of readiness of the blood service to comply with the "golden hour" rule for treating acute severe obstetric hemorrhage and minimize post-transfusion reactions and complications when using them. Pathogen-reduced blood components are expensive. Therefore, their use in clinical practice is indicated for the decreed contingents of recipients: for organ and tissue transplantation, in neonatology, oncohematology and for recipients with “multiple transfusions of blood, its components”, in cardiac surgery and obstetric practice.
HERBAL MEDICINES FOR TREATMENT OF CARDIOVASCULAR DISEASES MARKETED IN THE REPUBLIC OF BELARUS
Authors:   Belarusian State Medical University, Kurs I.L. , Gurina N.S. ,   Belarusian State Medical University
Published: February 2021

Aim. Marketing research in the segment of herbal medicines for the treatment of the diseases of the cardiovascular system in the Republic of Belarus. Methods. The study of the healthcare market was carried out using analytical and statistical methods by analyzing data from the State Register of Medicines of the Republic of Belarus (as of 01.01.2020) and the database of sales of medicines and biologically active food additives «IQVIA» (data on the sale of medicines for 2019). Data processing was carried out using the Microsoft Office Excel 2016 software package. Results. As of 01.01.2020, 51 herbal medicines from group C (according to the anatomical-therapeutic-chemical classification «Cardiovascular system») were registered in the Republic of Belarus by 29 manufacturers from 10 countries. Most herbal medicines for treatment of cardiovascular diseases are imported (54.90%). According to originality criterion generic herbal medicines from this segment prevail, both in terms of the number of registered names (78.43%) and sales volumes in cash (53.86%) and in kind (96.49%). In terms of composition, monocomponent herbal medicines prevail (56.86%). Among monocomponent medicines the majority of herbal medicines for the treatment of cardiovascular diseases are domestic (31.37% of the total number of registered herbal medicines for the treatment of cardiovascular diseases), while among the combined ones the greater part is imported (33.33%). In terms of sales in kind, monocomponent herbal medicines prevail (74.98%), whereas in monetary terms combined ones predominate (40.65%). Conclusion. It is a promising perspective for domestic enterprises to develop combined herbal medicines for the treatment of cardiovascular diseases in order to provide the population with more affordable medicines from this segment, as well as to implement the principles of import substitution in the healthcare market of the Republic of Belarus.
THE ROLE OF X-RAY ENDOVASCULAR SURGERY IN THE TREATMENT OF OBLITERATING ATHEROSCLEROSIS OF THE LOWER EXTREMITY ARTERIES IN ELDERLY AND SENILE PATIENTS
Authors:   Brest Regional Hospital, Mshar S.V. , Yanushko V. ,   Republican Scientific and Practical Centre «Cardiology»
Published: February 2021

Obliterating atherosclerosis ranks third in the system of cardiovascular disease. With age the incidence of peripheral artery disease increases and makes 3-5% in general population. The most difficult group of patients with peripheral artery disease (PAD) or obliterating atherosclerosis is elderly patients. Currently there is a tendency to increase the life expectancy and aging of the Belarusian population. Elderly and senile patients with obliterating atherosclerosis (PAD) are characterized by a multi-level lesion and damage to the distal parts of the arterial bed, an increase in the number of comorbidities, a high risk of cardiovascular death, and seeking medical help often at the stage of critical lower limb ischemia. Patients at high risk of cardiovascular complications with intermittent lameness are subject to conservative treatment. When developing a clinic for critical lower limb ischemia, due to the low effectiveness of conservative methods of treatment, it is worth considering revascularization of the lower limb arteries. Open surgical methods of treatment are associated with a high risk of complications and mortality. X-ray endovascular methods of treatment of patients of the older age group are characterized by a lower risk of complications, lower injury rate. The use of low-injury x-ray endovascular and hybrid methods of treatment in elderly and senile patients can improve the results of treatment (reduce the frequency of amputations, reduce the risk of complications, improve the quality of life).
ST-ELEVATION MYOCARDIAL INFARCTION AND ACUTE ISCHEMIC KIDNEY INJURY
Authors:   Belarusian State Medical University, Brankovskaya E.Yu. ,   6th City Clinical Hospital, Kartun L.V. ,   Belarusian State Medical University, Hodosovskaya E.V. ,   Belarusian State Medical University, Mitkovskaya N.P. ,   Belarusian State Medical University
Published: February 2021

The aim of the study was to investigate specific clinical manifestations, homeostasis indices and parameters of the cardiovascular system in patients with acute ST-elevation myocardial infarction (STEMI) and acute ischemic kidney injury. Methods. 173 patients with STEMI participated in the study. The study group consisted of 111 patients with acute ischemic kidney injury associated with myocardial infarction (MI); 62 patients with MI and normal kidney function were enrolled in the comparison group. Clinical, anthropometric, laboratory, and instrumental diagnostic methods were used. Results. Compared with patients of the MI and normal kidney function group, those with MI and acute ischemic kidney injury had a higher average heart rate, required more prolonged vasopressor and/or inotropic therapy, and more frequently developed tachyarrhythmias with adverse prognostic impact and postinfarction aneurysms. The study revealed that patients of the MI and acute ischemic kidney injury group demonstrated more severe dilatation of the left ventricle (LV), more pronounced reduction in myocardial LV contractility according to echocardiography results; they developed multivessel coronary artery disease more frequently. Furthermore, patients of this group had a higher incidence of infarction-associated artery damage located in the proximal segments of major coronary arteries and more frequently developed thrombotic occlusion in the infarction-affected artery. Patients with MI and acute ischemic kidney injury had higher levels of inflammatory, myocardial necrosis, hemostasis and neurohormonal activation markers. Higher concentration of neutrophil gelatinase-associated lipocalin (uNGAL) was observed in patients with MI and acute ischemic kidney injury; moreover, in 14,1% of patients belonging to this group, elevated levels of this marker preceded the diagnostically significant increase in creatinine concentration and decrease in glomerular filtration rate. Conclusion. In patients with MI, the development of acute ischemic kidney injury was accompanied by more severe clinical manifestations, prognostically adverse indicators of early LV remodeling and coronary arteries disease, enhanced inflammatory processes and neuroendocrine system activity, as well as by elevated levels of myocardial necrosis and blood coagulation activity markers. The present study suggests applying uNGAL as an early marker of acute ischemic kidney injury in patients with MI.
Local evaporation controlled by regional atmospheric circulation in
the Altiplano of the Atacama Desert
Authors: Lobos-Roco Felipe , Hartogensis Oscar , Vilà-Guerau de Arellano Jordi , de la Fuente Alberto , Muñoz Ricardo , Rutllant José , Suárez Francisco
Published: February 2021

Abstract. We investigate the influence of regional atmospheric circulation on the evaporation of a saline lake in the Altiplano region of the Atacama Desert. For that, we conducted a field experiment in the Salar del Huasco (SDH) basin (135 km east of the Pacific Ocean), in November 2018. The measurements were based on surface energy balance (SEB) stations and airborne observations. Additionally, we simulate the meteorological conditions on a regional scale using the Weather Research and Forecasting model. Our findings show two evaporation regimes: (1) a morning regime controlled by local conditions, in which SEB is dominated by the ground heat flux (~0.5 of net radiation), very low evaporation (LvE  500 W m−2. While in the morning evaporation is limited by very low turbulence (u*~0.1 m s−1), in the afternoon strong winds (u*~0.65 m s−1) enhance the mechanical turbulence, increasing the evaporation. We find that the strong winds in addition to the locally available radiative energy are the principal drivers of evaporation. These winds are the result of a diurnal cyclic circulation between the Pacific Ocean and the Atacama Desert. Finally, we quantify the advection and entrainment of free-tropospheric air masses driven by boundary-layer development. Our research contributes to extend our understanding of evaporation drivers in arid regions and how large-scale processes affect directly local ones.
Unraveling a black box: An open-source methodology for the field
calibration of small air quality sensors
Authors: Schmitz Seán , Towers Sherry , Villena Guillermo , Caseiro Alexandre , Wegener Robert , Klemp Dieter , Langer Ines , Meier Fred , von Schneidemesser Erika
Published: February 2021

Abstract. The last two decades have seen substantial technological advances in the development of low-cost air pollution instruments using small sensors. While their use continues to spread across the field of atmospheric chemistry, the air quality monitoring community, as well as for commercial and private use, challenges remain in ensuring data quality and comparability of calibration methods. This study introduces a seven-step methodology for the field calibration of low-cost sensors using reference instrumentation with user-friendly guidelines, open access code, and a discussion of common barriers to such an approach. The methodology has been developed and is applicable for gas-phase pollutants, such as for the measurement of nitrogen dioxide (NO2) or ozone (O3). A full example of the application of this methodology to a case study in an urban environment using both Multiple Linear Regression (MLR) and the Random Forest (RF) machine-learning technique is presented with relevant R code provided, including error estimation. In this case, we have applied it to the calibration of metal oxide gas-phase sensors (MOS). Results reiterate previous findings that MLR and RF are similarly accurate, though with differing limitations. The methodology presented here goes a step further than most studies by including explicit, transparent steps for addressing model selection, validation, and tuning, as well as addressing the common issues of autocorrelation and multicollinearity. We also highlight the need for standardized reporting of methods for data cleaning and flagging, model selection and tuning, and model metrics. In the absence of a standardized methodology for the calibration of low-cost sensors, we suggest a number of best practices for future studies using low-cost sensors to ensure greater comparability of research.
Four-dimensional NOE-NOE spectroscopy of SARS-CoV-2 Main Protease to facilitate resonance assignment and structural analysis
Authors: Robertson Angus J. , Ying Jinfa , Bax Ad
Published: February 2021

Abstract. Resonance assignment and structural studies of larger proteins by NMR can be challenging when exchange broadening, multiple stable conformations, and back-exchanging the fully deuterated chain pose problems. These difficulties arise for the SARS-CoV-2 Main Protease, a homodimer of 2×306 residues. We demonstrate that the combination of four-dimensional (4D) TROSY-NOESY-TROSY spectroscopy and 4D NOESY-NOESY-TROSY spectroscopy provides an effective tool for delineating the 1H-1H dipolar relaxation network. In combination with detailed structural information obtained from prior X-ray crystallography work, such data are particularly useful for extending and validating resonances assignments, as well as for probing structural features.
AUDIT STRUKTUR GEDUNG BANK X KOTA BANJARMASIN
Authors: Janizar Syapril , Setiawan Felix , Harun Saputra Denah
Published: February 2021

Kajian ini bertujuan agar kondisi eksisting struktur Gedung Bank X Kota Banjarmasin masih mampumenahan beban yang terjadi dan dapat memenuhi masa layannya dengan baik sesuai dengan standardperaturan yang berlaku. Dalam kajian ini pemeriksaan struktur diuraikan pemeriksaan struktur diuraikanmulai dari pemeriksaan secara visual, pemeriksaan struktur bangunan yang bersifat tidak merusak(undestructive) dengan melakukan pengujian kuat tekan beton menggunakan alat Hammer Test,pengujian jumlah tulangan, jarak tulangan dan selimut beton menggunakan alat Rebar Locator/ CoverMeter dan pemeriksaan verticality/ketegakan bangunan. Selain itu dari hasil pemeriksaan strukturbangunan tersebut dilakukan analisa dengan melakukan pemodelan elemen struktur bangunan eksistingyang menggunakan alat bantu atau Software analisa struktur. Hasil akhir dari kajian ini adalahmemberikan rekomendasi perbaikan struktur sesuai dengan tingkat kerusakan yang terjadi.
Italy COVID-19 Governmental Response
Authors: S. Abdellatif Omar , Behbehani Ali
Published: February 2021

The International Health Regulations (2005) are legally binding on 196 States Parties, Including all WHO Member States. The IHR aims to keep the world informed about public health risks, through committing all signatories to cooperate together in combating any future “illness or medical condition, irrespective of origin or source, that presents or could present significant harm to humans.” Under IHR, states agreed to strengthen their public health capacities and notify the WHO of any such illness in their populations. The WHO would be the centralized body for all countries facing a health threat, with the power to declare a “public health emergency of international concern,” issue recommendations, and work with countries to tackle a crisis. Although, with the sudden and rapid spread of COVID-19 in the world, many countries varied in implementing the WHO guidelines and health recommendations. While some countries followed the WHO guidelines, others imposed travel restrictions against the WHO’s recommendations. Some states refused to share their data with the organization. Others banned the export of medical equipment, even in the face of global shortages. The UN Compliance Research group will focus during the current cycle on analyzing the compliance of the WHO member states to the organizations guidelines during the COVID-19 pandemic.
Patient care in medical oncology
Authors: Dhar Himani , Sivajohan Brintha
Published: February 2021

Dr. Sanatani is a medical oncologist at the London Regional Cancer Program at Victoria Hospital. Originally interested in general medicine, he then changed routes to medical oncology. We had the opportunity to talk to Dr. Sanatani about the field of medical oncology at LHSC, in Canadian healthcare, and the significance of the patient-physician relationship within the field.
It’s All in the Details
Authors: Vinokurtseva Anastasiya , Kassay Andrea
Published: February 2021

Cancer is estimated to affects around half of Canadian population in their lifetime. Often a fatal disease, it costs billions to Canadian healthcare system yearly. Cancer diagnosis, and subsequent prognosis and treatment, all require characterization of tumor cell morphology and genotype, which is conventionally done using invasive biopsy methods. However, less invasive modalities exist and include liquid biopsy – sampling of body fluids for cancer cells and cellular material. It is less invasive compared to majority of conventional practices and yields a variety of biomarkers for further laboratory analysis. Analytical techniques including aptamers – a synthetic analogue to antibodies with increased affinity to target, allow for robust analysis of molecular data. This article discusses directions of research and current applications of these innovations and implications to diagnosis in clinical practice.
Mucosal melanoma of the oral cavity
Authors: Ruicci Kara Marie , Wunder Meaghan
Published: February 2021

Primary mucosal melanomas of the head and neck region are uncommon but aggressive malignancies. These lesions arise from melanocytes located in mucosal membranes, predominantly in the nasal cavity, paranasal sinuses, and oral cavity. Mucosal melanomas account for less than 4% of all melanoma cases and are often missed, due to their occult initial presentations. This is in contrast to cutaneous melanomas, which constitute approximately 85% of melanoma cases and present on surfaces exposed to ultraviolet (UV) radiation. The mainstay of treatment for mucosal melanoma is surgical resection with adjuvant radiotherapy for patients with high-risk features. Despite advancements in surgical techniques, radiotherapy, and even systemic therapies, patients with mucosal melanoma face unfavourable prognoses (5-year disease-free survival <25%) with high rates of locoregional recurrence and/or distant metastases. The present case addresses a 47 year-old man who presents to Otolaryngology with an apparent mucosal melanoma involving the upper lip. This patient was informed of a pigmented lesion on the mucosal surface of the upper left lip three years prior by his dentist. Although largely asymptomatic, the lesion has increased in size. The patient undergoes surgical resection with clear margins and reconstruction. He continues to follow-up to monitor for disease recurrence, having denied adjuvant radiation. This case illustrates the diagnosis and approach to mucosal melanomas and highlights some of the key distinctions between mucosal and cutaneous melanomas.
Vampiros Narcisistas: en los límites de la representación fotográfica
Authors: Jiménez Gloria , Marinas Leyre
Published: February 2021

Antes de las redes sociales, de Instagram y de Pinterest, de la sobreexposición de nuestra cotidianeidad (ya sea en directo o manipulando el espacio-tiempo), el valor documental de una imagen era objeto de miedos, debido a la novedad del invento, y admiración, a causa de la magia de la captura instantánea. Al igual que ocurría con los retratos pictóricos en los que se plasmaban sobre lienzos a monarcas, bodegones, hazañas bélicas o escenas mitológicas, las reacciones ante una imagen fotográfica siempre han dependido de la utilización de la foto y de la época en la que se ha realizado. Pero, la aparición de la cámara fotográfica supuso un cambio en las formas de ver, mirar y proyectar. Las imágenes capturadas se democratizaron, sólo era necesario una cámara. Por ello, el avance histórico que supuso la fotografía como elemento científico y documental todavía hoy es evidente, palpable, observable. Y es que, la fotografía, nos ayuda a mostrar cómo vemos lo que vemos, nos aporta reconocimiento y conocimiento, memoria e identidad. Valiéndonos del ensayo de Joan Fontcuberta, El beso de Judas: Fotografía y verdad (2002) como eje de la investigación, realizamos un breve repaso histórico y semiótico de los usos específicos que se la ha dado a la fotografía desde el daguerrotipo hasta ahora y su influencia en la educación visual de la sociedad.
Avaliação higiênico-sanitária da água, bebedouros e manipuladores de alimentos em escola municipal
Authors: Del'Arcos Thales , Santos Milena do Nascimento , Gonçalves Marcilei Guilhermina Siqueira , Villanoeva Camila Nair Batista Couto , Dell'Isola Ana Teresa Péret
Published: February 2021

Muitas crianças têm a alimentação escolar como principal refeição durante o dia, porém muitas escolas brasileiras não possuem um programa de higienização que visa estabelecer o procedimento operacional pela qual as instituições evitarão as contaminações diretas e cruzadas e bem como preservarão a saúde dos alunos. Portanto, este trabalho teve como objetivo a avaliação microbiológica da água e das condições higiênico-sanitárias de bebedouros, torneiras e manipuladores de alimentos em escola municipal. As amostras foram coletadas em três repetições e analisadas em triplicata. Os resultados foram avaliados com o auxílio do software SPSS 21.0®. Realizou-se a pesquisa de coliformes totais e termotolerantes na água e micro-organismos mesófilos nas superfícies. A água das caixas d’água apresentou resultados satisfatórios e está de acordo com a legislação. A qualidade higiênico-sanitária das superfícies e dos manipuladores foram insatisfatórias. Esse cenário pode ser melhorado por meio de treinamentos contínuos e maior sensibilização e engajamento de toda a equipe escolar.  

Palavras-chaves: Água. Microbiologia. Higiene. Alimentos. Escola.
A interface de ensino-extensão em um grupo de gestante: impactos na formação profissional
Authors: Cabral Gabrielly Stefany Loiola , Darc Carmen  Serrano , Games Amanda Karoliny Ferreira , Sousa Bruna Mendes de , Galdino-Júnior Hélio
Published: February 2021

O período gestacional é cercado por dúvidas e mitos e uma ferramenta que pode mitigar o problema nas unidades de saúde são os grupos. O objetivo deste trabalho é relatar a experiência de alunos do Programa de Educação Tutorial da Faculdade de Enfermagem em uma extensão para a implantação de um grupo de gestantes em uma unidade de saúde da família e apontar os impactos da ação na formação do enfermeiro. A metodologia constituiu de um relato de experiência da vivência na consolidação do grupo de gestantes. A percepção dos alunos foi verificada por meio da análise de conteúdo proposta por Bardin (2011). As gestantes reconheceram a importância do grupo, expondo dúvidas e mitos que são transmitidos de geração a geração. Os estudantes referiram que a atividade os aproximou da prática profissional, favorecendo o desenvolvimento de habilidades importantes para sua atuação profissional. Estes dados reforçam a importância do intercâmbio entre comunidade, serviço de saúde e universidade.
Educação em saúde para estudantes sobre câncer de mama: relato de experiência
Authors: Mairink Ana Paula Alonso Reis , Gradim Clícia Valim Côrtes , Panobianco Marislei Sanches
Published: February 2021

O câncer de mama é um problema de saúde pública, sendo o segundo tipo de câncer mais comum e frequente em mulheres. O objetivo deste estudo foi relatar a experiência de preparar estudantes do curso técnico em enfermagem de um Instituto Federal de Educação, Ciência e Tecnologia para se tornarem facilitadores no processo de educação em saúde na prevenção do câncer de mama. Trata-se de relato de experiência sobre ação de educação em saúde com o tema câncer de mama. A ação de educação em saúde foi visualizada positivamente pelos estudantes, no sentido de crescimento acadêmico e profissional, pois aproximou-os do assunto e possibilitou refletir sobre a importância de serem agentes promotores de saúde e de prevenção de agravos nas suas atuações profissionais. Já a comunidade, ganhou empoderamento para reconhecer precocemente alterações nas mamas, conscientização sobre a importância de hábitos e estilos saudáveis de vida e realização da mamografia.
Acesso à (des)informação no Brasil no contexto de pandemia
Authors: Batista Jandré Corrêa
Published: February 2021

O posicionamento oficial brasileiro em face da pandemia do “novo coronavírus” (Sars-CoV-2), marcado pelo discurso anticiência e pela desinformação, é explorado neste artigo sob a perspectiva da Constituição Federal e das construções jurídicas internacionais de proteção ao direito humano fundamental à informação. Situa-se a violação desse direito, pelo seu caráter instrumental, como determinante para o acesso a outros direitos humanos fundamentais, no caso concreto: o direito à saúde e à vida. Trata-se especificamente acerca da conduta do executivo federal, por sua máxima autoridade, em prol de medicamentos redirecionados ao tratamento da Covid-19, mesmo sem suficiente fundamentação científica, particularmente a cloroquina/hidroxicloroquina. Além de suas consequentes violações aos direitos humanos, discute-se sobre os limites jurídicos e científicos da liberdade de expressão.
The Effects of Work Stress on Employees Performance in the Banking Sector of Cameroon: Case of NFC Bank PLC Cameroon
Authors: Felici Banyi Tabi , Grimbald Ndah , Cornelius Wutofeh Dr. Wuchu , Jong Ketuma Henry
Published: February 2021

The overall issue of stress management in National Financial Credit (NFC) Bank in Cameroon is so essential that it plays a critical role in ascertaining and ensuring a stress free financial services industry. It is the ultimate dream of every employer to have a stress free job environment. Thus having the right attitude to execute the job in order to increase productivity has not always been the case. The purpose of this study was to establish the relationship between the effects of work stress and job performance in the Cameroonian banking sector. Specifically, the study sought to explore the views of employees at National Financial Credit Bank regarding the issue of stress, its impact on employee performance and its management.  Descriptive survey design was adopted as the most appropriate design for the study. The purposive and convenient sampling techniques were used to select all the heads of departments in the bank and the other bank employees for the study respectively. A sample of 50 respondents participated in the study. A questionnaire was designed based on a five point-likert Scale used in data collection. Five causal relationships were hypothesized and findings show that there was significant and positive correlation between employee performance and Work stress. Organizational level stress and group level stress as a mediating variable between individual level stress and work performance have a positive statistical significant effect on the performance of workers. This can be seen in table 13 (harmonized test of hypotheses) where the P_value for the stated hypotheses are significant within a 99% confidence interval level. The limitation of this study is that it was purely a quantitative based study. Future research should focus on using qualitative approaches to give an in-depth understanding on the causes of stress, the effects of stress and how stress management strategies can be designed to work. This study can offer useful information and insights for clarifying certain corporate concepts and can help to shape the development of future theory as well as the procedure for data collection and testing.
A Case Study: Enhancing the Learning Process and the Quality of the Students' Work in Online Courses Using Multiple High Impact Practices and Civic Strategies
Authors: Ramadan Awatef A. Ben
Published: February 2021

Background: Employing High Impact Practices (HIPs) in the curriculum will keep the students engaged and will boost their learning outcomes. Study Aim: Explore the students’ feedback on two HIPs practices and measure the impact of the studied HIPs on the course’s outcomes. Methodology: Two HIPs strategies were applied to the graduate students of an advanced online eight –week course. A cross-sectional study by conducting an online Survey-Monkey survey to assess the studied HIPs. The interventions were the group leadership and scaffolding the course’s final project strategies. Results and Discussion: 53% (n=17) of students responded. 53% very liked and liked the leadership group HIP. 82% found the leadership group HIP helpful to present and establish discussions with their classmates. 76.5% either strongly agreed or agreed that the group leadership HIP helped them as presenters and discussion moderators, as well as in handling the weekly assignments. 52.94% agreed and strongly agreed that the leadership HIP helped them, as an audience, to understand the curriculum and assisted them in handling the weekly assignments and projects. 94.12% agreed or strongly agreed that the dissemination of the final project's sections on the weekly assignments helped them understand and write the final project effectively. The average final project grades of the class under study was 97% in comparison to 90% of the same course the instructor taught in Spring 2018.Conclusion: Introducing HIPs strategies will make the students feel that they owned the learning process and enhanced their creativity, self-confidence, and self-efficacy skills.
The Pennsylvanian System in the Sacramento Mountains, New Mexico, USA: Stratigraphy, Petrography, Depositional Systems, Paleontology, Biostratigraphy and Geologic History
Authors: Lucas Spencer G. , DiMichele William A. , Krainer Karl , Barrick James E. , Vachard Daniel , P. Donovan Michael , Looy Cindy , Kerp Hans , Chaney Dan S.
Published: February 2021

Pennsylvanian sedimentary
rocks in the Sacramento Mountains, New Mexico, comprise an ~1 km thick
stratigraphic section. The Morrowan-Desmoinesian Gobbler Formation was
deposited by shallow marine processes in and near the Alamo clastic trough. In
this trough, the Desmoinesian-Missourian Gray Mesa Formation (Bug Scuffle
Member, Gobbler Formation) is a relatively thin unit (Space History Member)
representing the glacioeustatic Amado event. The Missourian-Virgilian Beeman
Formation includes the lower, siliciclastic Indian Wells Canyon Member and
overlying, carbonate-rich Horse Ridge Member. The Virgilian Holder Formation
consists of algal bioherms (Little Dry Canyon Member) overlain by the mixed
carbonate-siliciclastic Mill Ridge Member. The Virgilian-Wolfcampian Bursum
Formation is mixed siliciclastic-carbonate strata that represent shallow marine
and nonmarine paleoenvironments. Animal and plant remains occur throughout the
section. Unit age determinations are primarily based on conodont faunas
recovered from the Gobbler, Gray Mesa, and Beeman Formations. Many conodont
faunas correlate with Midcontinent cyclothems. Extensive algal and
foraminiferal fossils also were identified in limestones from the section and
contributed to age determinations. The Beeman Formation in particular contains
an extensive Missourian macroflora. The macroflora is of “mixed” composition,
containing typical wetland elements intimately intermixed with taxa indicative
of seasonally dry habitats. A seasonally wet-dry background climate is
indicated. It is unlikely that drought-tolerant plants were transported
exclusively from “uplands.” Some plant remains have arthropod-feeding evidence.
Previous analyses identified late Paleozoic ice-age glacioeustasy as the
primary depositional driver of Pennsylvanian sedimentation in the Sacramento
Mountains. We question this because of problems with those analyses and because
of ample evidence of local tectonics and microclimate changes as important
drivers of sedimentation in this area. Three Pennsylvanian Ancestral Rocky
Mountain orogeny tectonic pulses can be identified in the Sacramento Mountains:
Morrowan-Atokan, Missourian, and late Virgilian-Wolfcampian.
EPP, Labeling and Word Order in Arabic
Authors: Alahdal Ameen
Published: February 2021

This paper looks at EPP and word order in Arabic in light of Chomsky’s Labeling Theory, proposed in POP and POP Extensions. In the current framework, EPP—the principle that SpecTP must be filled in—is eliminated. EPP-driven movement is reduced to labeling failure: if T fails to label the structure that arises after E-merge of the subject in Spec of vP [DP vP], then filling SpecTP becomes necessary in order to ‘strengthen’ (the labelability of) T. Chomsky postulates two types of T: Strong and weak. English-type languages, which show poor agreement inflection, have a weak T, and therefore impose the Fill-SpecTP requirement. On the other hand, NSLs, Chomsky claims, have a strong T which can label the TP structure, by virtue of having rich agreement inflection. This paper shows that Chomsky’s approach to EPP makes wrong predictions. Instead, a freezing effect account which also maintains a labeling system can explain the word order facts in Arabic. Crucially, the account proposed does not make resort to Chomsky’s parameter of strength or otherwise of T.
Organizational Challenges of Online Customer Co-Creation for Innovation: A Middle-Managers’ Perspective in the Italian Food Context
Authors: Rossi Carla
Published: February 2021

In a nutshell, co-creation is described as a way to open up a company to the outside world, helping to generate product innovations and to update brand meanings. Drawing on the online community and co-creation literature, this paper aims at contributing to exploring the main intra-organizational challenges of online customer co-creation for innovation, from the viewpoint of middle managers. The intent is to broaden the existing conceptual understanding of the main internal factors hindering customer co-creation but also of the practices that could be adopted to best manage the related challenges.

The study adopts a qualitative approach and is based on the results of eight in-depth, semi-structured interviews with digital and marketing managers, working closely with co-creation initiatives in the Italian food industry, with the aim of exploring intra-organizational challenges perceived by those who are directly involved in co-creation implementation.

The results complement existing literature by 1) offering a more longitudinal vision of the implementation process—and the related internal hurdles, 2) identifying the most appropriate coping strategies and 3) formulating some hypothesis that could support an interpretative model of the capabilities needed to start the process and managing it in a strategic perspective.
Service Research Methodology: From Case Study Research to Case Theory
Authors: Gummesson Evert
Published: February 2021

In this essay Prof. Evert Gummesson, Professor Emeritus at the Stockholm Business School (SBS) and pioneer in the studies in the fields of service, presented the use of case studies in academic research from a European perspective. The article was built through the perspective of service research that evolved to a strategic paradigm more recently. The essay stresses the importance and the proper use of case studies in academic research.
Financial effects of the corporative government and ethics in Mexico’s businesses: the case of Cemex and TV-Azteca
Authors: Sarabia Pablo Lopez
Published: February 2021

This article shows that the bad practices of the corporative government and the ethical absence can affect the financial performance of the companies  specially  its  market  value.  It  is  analyzed the  TV-Azteca  which  faces  a  swindle  demand for a rebuying of debt violating the regulation of the  versatile  market  of  the  United  States  specially the Sarbanes-Oxley Law, the econometric results show that the value and  the price of  the company have  decreased since  the beginning of the Securities and Exchange Commission (SEC) research.  The  Cementos  Mexicanos  (Cemex) is a company that developed an internal code of ethics and that adjusted  itself  to the  Código de Mejores Práticas Corporativas (Best Corporative Practices  Code),  besides  being  an  enthusiastic motivator of the  good practices  of the  corporative government.
Secondary Data in Research – Uses and Opportunities
Authors: Martins Fellipe Silva , Da Cunha Júlio Araujo Carneiro , Serra Fernando Antonio Ribeiro
Published: February 2021

We wrote this editorial – in both the Iberoamerican Journal of Strategic Management and Podium – thinking about future opportunities for research, especially in a topic that still has room for further development: the use of secondary data. Sports management research in Brazil, which is the key focus of Podium, has gained wide acceptance within the management research academia in Brazil. Along with this maturation process, this now reinforced area needs to step up its game (pun intended) in terms of methodological approaches. This means that both the qualitative and quantitative sides of the equation must now become more focused in improving results. In strategic management, on the other hand, the use of secondary data is now common and widespread, but not as much in Iberoamerican countries. In this editorial, we will focus more specifically on the use and opportunities in employing secondary data.
Dreptul societatilor in Romania, editia a IV-a
Authors: Sandru Daniel-Mihail
Published: February 2021

Prezentul volum, Dreptul societatilor in Romania, reprezinta o varianta consolidata si adusa la zi a editiilor anterioare, publicate incepand 2006, „Dreptul societatilor comerciale” si „Societatile comerciale in Uniunea Europeana”. Lucrarea se completeaza cu Pacte societare. Clauze, pacte, intelegeri intre asociatii societatilor comerciale, Editia a II-a, Editura Universitara, Bucuresti, 2012 (din care am preluat fragmente in acest volum) si cu Libertatea de stabilire a societatilor in Uniunea Europeana. Culegere de legislatie si jurisprudenta, editia a II-a, Editura Universitara, 2014. Prezenta lucrare nu analizeaza aspecte de drept european al societatilor. Paradoxal, desi au intervenit modificari importante, atat calitativ cat si cantitativ, Legea societatilor nu a fost republicata. Este un dezavantaj atunci cand se lucreaza cu dispozitiile acesteia. In plus, de la ultima republicare a legii, din 2004, au intervenit peste 20 de modificari.
Language and Symbols in Contemporary Fiction
Authors: Marginean Alexandra
Published: February 2021

The method of analysis is, as usual in what I write, a mélange. I have resorted to identity studies, cultural studies, visual studies, iconology, space and city studies, interculturalism, as well as gender or minority studies. Also, psychology or sociology cannot be missing from an interest that is, primarily, in human identity and culture. This blended approach is the one I consider the most suitable, because I have always been of the opinion that the logic of the tools is, and/or should be, dictated by the elements that are present in the object of the study. It is those that point to certain kits, not the other way around. I have never established for my extensive researches one kit or another as a definite instrument set in stone when I have looked at a cultural product, as I feel that I would be implicitly bent towards partiality of interpretation, to a limited viewing angle. I believe it is important to allow the cultural object to speak, to have its own voice as it were, and only then see what avenues of analysis it opens and favors – I use here the verb “favors”, as the search for the ingredients of a work of art is also a question of ration, not only presence, i.e. we identify what is preponderant, where the scales tip more, towards what recurrent aspects. For the sake of the faithfulness and open mindedness owed to the object of my glance, I find it difficult to limit myself to only one theoretical approach, especially in a world in which boundaries have been, are, and will be questioned to an incredibly high degree. And I refer here chiefly to cultural boundaries, but not only to these.
Extratores para oráculos de teste de sistemas texto-fala utilizando recuperação de áudio baseada em conteúdo
Authors: Gil Victor Nunes , Oliveira Rafael Alves Paes de , Delamaro Márcio Eduardo , Nunes Fátima de Lourdes dos Santos
Published: February 2021

Ferramentas automatizadas para teste de sistemas computacionais têm sido desenvolvidas para aplicação em sistemas com saídas tradicionais. Sistemas com saídas complexas, como imagens e sons, ainda constituem um desafio. Este trabalho aplica técnicas de recuperação de áudio baseada em conteúdo no desenvolvimento de extratores de características visando a apoiar o teste de sistemas texto-fala. Os extratores desenvolvidos constituem complementos de um framework para apoiar a criação de oráculos de teste para sistemas com saídas complexas. Os extratores foram validados com sistemas reais e os resultados mostram que a abordagem é promissora para automatização de oráculos de teste para sistemas com saída sonora.
OS SUJEITOS DISCURSIVOS EM REPORTAGENS DE FEMINICÍDIO NO JORNAL O POPULAR
Authors: Santos Kamilla Cristina da Cunha , Moraes Ângela Teixeira de
Published: February 2021

Este artigo discute a construção dos sujeitos discursivos em reportagens sobre feminicídio no jornal impresso goiano O Popular. Por meio de uma pesquisa qualitativa, cujo método é a Análise de Discurso, busca-se analisar se há ou não mudança nessas construções discursivas após a promulgação da Lei do Feminicídio editada em 2015, com corpus jornalístico selecionado antes e depois dessa data. Parte-se de uma breve contextualização acerca do conceito de gênero e de feminicídio, perpassando a noção de discurso e disputas de poder, concluindo que há uma tímida modificação do discurso dos sujeitos acerca da construção do feminicídio no jornal em questão.
O LIVRO COMO DISPOSITIVO DE COMUNICAÇÃO INTERMUNDOS: EXPERIMENTO DE CO-CRIAÇÃO ESCRITA E BILÍNGUE DA ORALIDADE KAIOWÁ
Authors: De Oliveira Luciana
Published: February 2021

O artigo apresenta a experiência de co-criação de um livro bilíngue (em Guarani e Português), produzido em colaboração com o povo Kaiowá do território retomado de Guaiviry Yvy Pyte Ojere (Mato Grosso do Sul/Brasil) e suas lideranças espirituais e intelectuais. Metodologicamente, vale-se da co-presença em longa duração via etnografia multissituada como estratégia afectiva e intersubjetiva que, ao mesmo tempo em que descreve a experiência de comunicação entre mundos ( e não a descrição de um mundo sob a ótica de outro), opera como encontro de saberes. As relações entre oralidade e escrita, as escolhas editoriais bem como os esforços de tradução linguística são tomados como fóruns cosmopolíticos com vistas à produção de diálogos interepistêmicos, sublinhando um gesto de descolonização do livro a partir de sua apropriação contra-colonial.