bluuebunny/crossref_metadata_2025 huggingface dataset:
Drivers for nonhome discharge in a consecutive series of 1502 patients undergoing 1- or 2-level lumbar fusion
Authors: Ogura Yoji , Gum Jeffrey L. , Steele Portia , Crawford Charles H. , Djurasovic Mladen , Owens R. Kirk , Laratta Joseph L. , Brown Morgan , Daniels Christy , Dimar John R. , Glassman Steven D. , Carreon Leah Y.
Published: July 2020

OBJECTIVE

Unexpected nonhome discharge causes additional costs in the current reimbursement models, especially to the payor. Nonhome discharge is also related to longer length of hospital stay and therefore higher healthcare costs to society. With increasing demand for spine surgery, it is important to minimize costs by streamlining discharges and reducing length of hospital stay. Identifying factors associated with nonhome discharge can be useful for early intervention for discharge planning. The authors aimed to identify the drivers of nonhome discharge in patients undergoing 1- or 2-level instrumented lumbar fusion.

METHODS

The electronic medical records from a single-center hospital administrative database were analyzed for consecutive patients who underwent 1- to 2-level instrumented lumbar fusion for degenerative lumbar conditions during the period from 2016 to 2018. Discharge disposition was determined as home or nonhome. A logistic regression analysis was used to determine associations between nonhome discharge and age, sex, body mass index (BMI), race, American Society of Anesthesiologists grade, smoking status, marital status, insurance type, residence in an underserved zip code, and operative factors.

RESULTS

A total of 1502 patients were included. The majority (81%) were discharged home. Factors associated with a nonhome discharge were older age, higher BMI, living in an underserved zip code, not being married, being on government insurance, and having more levels fused. Patients discharged to a nonhome facility had longer lengths of hospital stay (5.6 vs 3.0 days, p < 0.001) and significantly increased hospital costs ($21,204 vs $17,518, p < 0.001).

CONCLUSIONS

Increased age, greater BMI, residence in an underserved zip code, not being married, and government insurance are drivers for discharge to a nonhome facility after a 1- to 2-level instrumented lumbar fusion. Early identification and intervention for these patients, even before admission, may decrease the length of hospital stay and medical costs.
Development of Professional Identity in Journalism Students Using Liberal Education Methods
Authors: Avdonina N. S.
Published: July 2020

In the conditions of robotization and automation of journalistic activities, journalists need to develop professional competencies that will allow them to perform the tasks of complex individual and collective creative activity, namely, authoring and editing. A modern journalist is primarily an author, a creator of meanings and values, and only then a relay of information. Changes in working conditions and the profession affect the understanding of oneself, a specialist has to rediscover the image of himself in the profession and the image of the profession itself, which is the core of professional identity. Modern universities are looking for innovative models of training journalists. One of such innovative educational systems can be so called liberal education. In Russian universities, journalism education according to the principles of the liberal education system is organized at the RANEPA, Novosibirsk State University, Tyumen State University, NArFU named after M.V. Lomonosov. However, there is a lack of research on the topic of the effectiveness of liberal education in the context of the formation of professional identity. The article discusses the results of using methodologies from the liberal education system to develop professional identity at the university for students in the direction 42.03.02 “Journalism” in the disciplines “Introduction to World Journalism”, “History of Foreign Journalism”, “History of Foreign Journalism: XX Century” and “International Journalism”. The goal was the introduction of liberal education techniques, namely, analytical writing, in-depth, slow reading and joint work on media projects, which contribute to the formation of professional identity of future journalists who are ready to work in the new conditions of a digital society. The author analyzes her own experience in using the above methods. As the main research method, a content analysis of student activity products is used.
Hospital Staff’s Attitudes Toward and Knowledge About Dementia Before and After a Two-Day Dementia Training Program
Authors: Schneider Julia , Schönstein Anton , Teschauer Winfried , Kruse Andreas , Teichmann Birgit
Published: July 2020

Background: The outcomes of hospitalized People with Dementia (PwD) are likely to be negative due to, among other key causes, negative staff attitudes and limited staff knowledge regarding dementia. Targeted interventions have been shown to positively change the attitudes of the hospital staff while also increasing their overall knowledge of dementia. However, training effects are often short-lived and frequently long-term effects are not examined in studies. Objective: To examine whether attending a dementia training program changes the attitudes of hospital staff toward PwD and/or increases their knowledge levels about dementia, and whether or not these changes are stable. Methods: The training program lasted two days and N = 60 attending hospital staff members agreed to participate in the study. Data were assessed with questionnaires prior to the training, 3 months, and 6 months after the training. German versions of the Dementia Attitude Scale (DAS-D) and the Knowledge in Dementia (KIDE) scale were used. Additionally, data about perception of PwD and confidence in dealing with challenging behavior were collected and analyzed. Results: After the training program, participants showed a significantly better attitude toward PwD as measured by DAS-D. These time-effects occurred in both DAS-D subscales (“dementia knowledge” and “social comfort”). Although a positive trend could be seen in the KIDE scale, no statistically significant increase occurred over time. Conclusion: Specialist training programs seem to be promising in positively changing attitudes toward and increasing knowledge about PwD with long-term effects. Further research should address the effects of attitude change in patient care.
Computational Modeling of Catecholamines Dysfunction in Alzheimer’s Disease at Pre-Plaque Stage
Authors: Caligiore Daniele , Silvetti Massimo , D’Amelio Marcello , Puglisi-Allegra Stefano , Baldassarre Gianluca
Published: July 2020

Background: Alzheimer’s disease (AD) etiopathogenesis remains partially unexplained. The main conceptual framework used to study AD is the Amyloid Cascade Hypothesis, although the failure of recent clinical experimentation seems to reduce its potential in AD research. Objective: A possible explanation for the failure of clinical trials is that they are set too late in AD progression. Recent studies suggest that the ventral tegmental area (VTA) degeneration could be one of the first events occurring in AD progression (pre-plaque stage). Methods: Here we investigate this hypothesis through a computational model and computer simulations validated with behavioral and neural data from patients. Results: We show that VTA degeneration might lead to system-level adjustments of catecholamine release, triggering a sequence of events leading to relevant clinical and pathological signs of AD. These changes consist first in a midfrontal-driven compensatory hyperactivation of both VTA and locus coeruleus (norepinephrine) followed, with the progression of the VTA impairment, by a downregulation of catecholamine release. These processes could then trigger the neural degeneration at the cortical and hippocampal levels, due to the chronic loss of the neuroprotective role of norepinephrine. Conclusion: Our novel hypothesis might contribute to the formulation of a wider system-level view of AD which might help to devise early diagnostic and therapeutic interventions.
Plasma Tau Variants Detected by a Novel Anti-Tau Monoclonal Antibody: A Potential Biomarker for Alzheimer’s Disease
Authors: González Andrea , Guzmán-Martínez Leonardo , Maccioni Ricardo B.
Published: July 2020

Background: A major drawback in Alzheimer’s disease (AD) is the lack of validated biomarkers for routine clinical diagnostic. We have reported earlier a novel blood biomarker, named Alz-tau®, based on variants of platelet tau. This marker evaluates the ratio of high molecular weight tau (HMWtau) and the low molecular weight (LMWtau) tau. Objective: To analyze a potential novel source of antigen for Alz-tau®, plasma tau, detected by immunoreactivity with the novel monoclonal antibody, tau51. Methods: We evaluated tau variants in plasma precipitated with ammonium sulfate from 36 AD patients and 15 control subjects by western blot with this novel monoclonal antibody. Results: The HMW/LMWtau ratio was statistically different between AD patients and controls. Conclusions: Plasma tau variants are suitable to be considered as a novel antigen source for the Alz-tau® biomarker for AD.
Escitalopram Alleviates Alzheimer’s Disease-Type Tau Pathologies in the Aged P301L Tau Transgenic Mice
Authors: Wang Yan-Juan , Gong Wei-Gang , Ren Qing-Guo , Zhang Zhi-Jun
Published: July 2020

Background: The inhibition of tau hyperphosphorylation is one of the most promising therapeutic targets for the development of Alzheimer’s disease (AD) modifying drugs. Escitalopram, a kind of selective serotonin reuptake inhibitor antidepressant, has been previously reported to ameliorate tau hyperphosphorylation in vitro. Objective: In this study, we determined whether escitalopram alleviates tau pathologies in the aged P301L mouse. Methods: Mice were intraperitoneal injected with either escitalopram or saline for 4 weeks, and a battery of behavioral tests were conducted before tissue collection and biochemical analyses of brain tissue with western blot and immunohistochemistry. Results: Wild-type (Wt) mice statistically outperformed the aged pR5 mice in the Morris water maze, while escitalopram treatment did not significantly rescue learning and memory deficits of aged pR5 mice. Tau phosphorylation at different phosphorylation sites were enhanced in the hippocampus of aged pR5 mice, while escitalopram treatment significantly decreased tau phosphorylation. The levels of phosphorylated GSK-3β and phosphorylated Akt were significantly decreased in the hippocampus of aged pR5 mice, while escitalopram administration markedly increased the expression level. The aged pR5 mice showed significant decreases in PSD95 and PSD93, while the administration of escitalopram significantly increased PSD95 and PSD93 to levels comparable with the Wt mice. Conclusion: The protective effects of escitalopram exposure during advanced AD are mainly associated with significant decrease in tau hyperphosphorylation, increased numbers of neurons, and increased synaptic protein levels, which may via activation of the Akt/GSK-3β signaling pathway.
Smart teaching mode based on particle swarm image recognition and human-computer interaction deep learning
Authors: Long Shirong , Zhao Xuekong
Published: July 2020

The smart teaching mode overcomes the shortcomings of traditional teaching online and offline, but there are certain deficiencies in the real-time feature extraction of teachers and students. In view of this, this study uses the particle swarm image recognition and deep learning technology to process the intelligent classroom video teaching image and extracts the classroom task features in real time and sends them to the teacher. In order to overcome the shortcomings of the premature convergence of the standard particle swarm optimization algorithm, an improved strategy for multiple particle swarm optimization algorithms is proposed. In order to improve the premature problem in the search performance algorithm of PSO algorithm, this paper combines the algorithm with the useful attributes of other algorithms to improve the particle diversity in the algorithm, enhance the global search ability of the particle, and achieve effective feature extraction. The research indicates that the method proposed in this paper has certain practical effects and can provide theoretical reference for subsequent related research.
Research on legibility of English text based on improved decision tree and intelligent interactive system
Authors: Liu Xiaomin , Yang Zhaogui
Published: July 2020

The provision of appropriate reading materials is a prerequisite and key to effective reading activities. It is necessary for the learner to select reading materials that stimulate his reading motivation, cause reading interest and conform to his or her own abilities, which can improve the learner’s reading ability. Therefore, how to provide learners with personalized reading materials that meet their ability level and meet their learning needs has gradually become the focus of educational technology research. From the perspective of English text reading experience, this paper studies the information cognition characteristics and operational behavior of mobile terminals and introduces the concept of legibility into the field of information presentation research. Moreover, this study carried out the classification research and feature analysis of information presentation legibility and explored the interaction between reading experience and the legibility of information presentation. In addition, this study studied the performance of the algorithm by experimental analysis. The results show that the research model has certain effects in the difficulty recognition of English text.
Interactive system design of entrepreneurship education based on internet of things and machine learning
Authors: Yuan Liu
Published: July 2020

The rapid development of cloud computing, internet of things and entrepreneurship education has enabled more young educators to choose an online education platform for education and teaching. Moreover, applying cloud computing technology with more advantages such as large storage, strong computing power and high stability to the construction of online education platform is an inevitable result. This paper applied the advantages of cloud computing to the development and implementation of entrepreneurship education online education platforms. In terms of curriculum setting, colleges and universities should add and improve sustainable entrepreneurship courses. Education departments should optimize the curriculum system of entrepreneurship education, improve the structure of students’ entrepreneurship knowledge, and take corresponding measures to achieve the positive development of sustainable entrepreneurship education.At the same time, the overall architecture, functional modules and details of the cloud-based online education platform were further explored, which provides a more complete theoretical basis for the research and design of the platform. Through comparative experiments, the research shows that the proposed algorithm has certain effects.
Quantitative analysis of enterprise chain risk based on SVM algorithm and mathematical fuzzy set
Authors: Sun Gebing
Published: July 2020

Under the guidance and practice of lean production, just in time production and other advanced theories, the relationship between enterprises is becoming more and more closely. In order to cope with more fierce market competition, manufacturing enterprises began to strengthen cooperation with partners in the supply chain, gather resources, improve competitiveness and jointly fight against competitors. In these decades, the competition among enterprises is gradually replaced by the competition among supply chains. In this paper, the author makes quantitative analysis of enterprise chain risk based on SVM algorithm and mathematical fuzzy set. Support vector machine (SVM) is a machine learning method, has strong generalization ability and accuracy. By analyzing dexterity affects the normal operation of the supply chain risk factors, we use simulated annealing –mathematical fuzzy of the risk evaluation, it indicates that the model in risk assessment is applicable through empirical research. According to the data obtained, the simulated annealing –support vector machine evaluation model were trained and tested; the explanation on the choice of kernel function of the process of construction of the evaluation model, the parameters of the model to determine some key problems.
Research on sports retrieval recognition of action based on feature extraction and SVM classification algorithm
Authors: Li Xiao , Geng Shengkai
Published: July 2020

The feature extraction speed of the traditional athlete motion retrieval algorithm is slow, and it often takes dozens of minutes or even hours to analyze a video. The speed of this feature extraction obviously cannot meet the needs of big data video analysis. In response to these two problems exposed by Action Bank under large-scale data, this paper proposes to apply the template learning method based on spectral clustering to Action Bank, which replaces the cumbersome manual selection template step and is easy to generalize to different databases. Moreover, in view of the disadvantage of slow speed of extracting Action Bank features, this paper proposes a fast algorithm for accumulating Action Bank. In addition, this study uses the lookup table method instead of the time-consuming steps of the correlation distance calculation in template matching, which greatly accelerates the time of feature extraction. Finally, this study design experiments to analyze the performance of the algorithm. Through research, it can be seen that the algorithm of this study can be applied to athletes’ sports retrieval and has certain recognition effects.
Circular intuitionistic fuzzy sets
Authors: Atanassov Krassimir T.
Published: July 2020

In this paper an extension of the Intuitionistic Fuzzy Set called Circular Intuitionistic Fuzzy Set is introduced and studied. Some of the relations and operations over C-IFS are established.
Status and development prospects of the feed industry in the Russian Federation
Authors: Dorohov Aleksey , Chilingaryan Narek
Published: July 2020

Abstract. Purpose. Analysis of the state and forecast of possible scenarios of the development of the feed industry in the Russian Federation. Methods. The following research methods were used in the work: analysis, comparison, induction and deduction, strategic forecasting. The studies were carried out on the basis of materials presented on the information resources of the Federal State Statistics Service, the Ministry of Agriculture of Russia, the Federal Customs Service of Russia, the Union of Feed Makers of Russia. Based on the analysis of the condition, trends and patterns of development of the feed industry, possible scenarios of changes in the industry are predicted under certain conditions. Results. The production volumes of compound feeds, premixes and protein-vitamin-mineral supplements in the Russian Federation for 2011–2018 are given. The dynamics of changes in the number of pigs, cattle and production volumes of poultry meat is shown. More than half of compound feeds in Russia are produced by 25 enterprises, and the components from which premixes are made are imported. The average prices for compound feeds for pigs, cattle and poultry for 2013–2018 are presented. In 2018, 4.5 million tons of feed were exported from Russia, of which 3 million tons are meal and cake from sunflower, soybean, rape, as well as beet pulp, only 110 thousand tons of finished mixed feed were exported. The data on gross grain harvest in the Russian Federation as the main filler of animal feed are given. The development of the feed industry will be facilitated by an increase in the sown area of promising crops with a high content of protein - soy and lupine. Scientific novelty. The main problems that hinder the development of the feed industry are identified and three development scenarios are proposed - pessimistic, optimistic and most likely. The directions of the work of feed mills and science, as well as measures of state support that promote the development of the industry in an optimistic development scenario, are proposed.
Development of competition in the market of social services of rural settlements of Sverdlovsk region in the methodology of regional standard
Authors: Mokronosov Aleksandr , Ogorodnikova Ekaterina , Plakhin Andrey
Published: July 2020

Abstract. The purpose of this article is to analyze the forms of stimulating competition among social market participants in rural settlements of the Sverdlovsk region. Research methods. The method of studying the factors of development of competition in the market of social services of rural settlements within the framework of the Standard for the Development of Competition in the constituent entities of the Russian Federation involves the decomposition of the general objectives of the Standard in the blocks for assessing the competitive environment by market participants and consumers. The information base of the study is formed on the basis of interrogation methods for obtaining information on the results of the implementation of the Standard and covers rural areas of the Sverdlovsk region. The results of the study. The study confirms the use of infrastructural and institutional stimulation of competition in the social services market in rural areas, based on the methodology of the procedures of the regional Standard for the Development of Competition. The results of using this methodology to stimulate competition show unsatisfactory results for the rural social services market. Scientific novelty. The study confirms the use of the methodology of infrastructural and institutional stimulation of entrepreneurial activity in the procedures of the regional Standard for the Development of Competition. Accordingly, the standard does not take into account the properties of the “quasi market” characteristic of the social services market. At the same time, the features of the distribution process when paying for social services provide additional tools to stimulate competition. The authors of the article give a model of using the properties of the “quasi market” to solve the main barrier for entrepreneurs of rural settlements of the Sverdlovsk region expressed in the need to provide activities with their own premises. The compensation mechanism will create a steady demand for the services of organizations investing in the creation of premises for the implementation of their activities.
School Based 4-H Programming: Incorporating Family Engagement into Your Program
Authors: Spero Vanessa
Published: July 2020

Family engagement in 4-H programs allows family members, youth, and the community to become more aware, cohesive, and invested in youth development. This 4-page fact sheet, written by Vanessa Spero-Swingle and published by the UF/IFAS Florida 4-H Youth Development Program, discusses how to incorporate family engagement into your 4-H school programming. For the purposes of Florida 4-H, a school-based program can be defined as school enrichment (offered to groups of youth, taught by Extension staff or trained volunteers, and designed to support the school curriculum), an in-school club following a more traditional club approach during school hours, or an after-school club operating directly after school hours. https://edis.ifas.ufl.edu/4h401
Guidelines for Establishing and Maintaining Farm-Based Weather Stations in Haiti
Authors: Staub Caroline G. , Eisenstadt William R. , Blanc William , Monval Nicole , Fraisse Clyde W. , Lusher William , Braun George , Staudt Lee
Published: July 2020

Weather can significantly influence the success or failure of agricultural enterprises. Monitoring weather conditions can provide critical decision-making information. This new 4-page publication provides Haitian farmers with basic guidelines for installing and maintaining an on-farm weather station. Written by Caroline G. Staub, William Eisenstadt, William Blanc, Nicole Monval, Clyde W. Fraisse, William Lusher, George Braun, and Lee Staudt, and published by the UF/IFAS Department of Agricultural and Biological Engineering, May 2019.  http://edis.ifas.ufl.edu/ae532

Adapted for Haitian audiences from Your Farm Weather Station: Installaton and Maintenance Guidelines (https://edis.ifas.ufl.edu/ae502)
Design and Construction of a Constant Head Infiltrometer
Authors: Bashyal Mahesh , Mulvaney Michael J. , Bean Eban Z.
Published: July 2020

This new 8-page document details the construction procedure for a Mariotte siphon constant head infiltrometer using readily available materials. Written by Mahesh Bashyal, Michael J. Mulvaney, and Eban Z. Bean, and published by the UF/IFAS Agronomy Department, June 2019.  http://edis.ifas.ufl.edu/ag433
Tetraploid Induction and Establishment of Breeding Stocks for All-Triploid Seed Production
Authors: Yang Huiping , Guo Ximing , Scarpa John
Published: July 2020

Triploid-tetraploid breeding technology has been applied to commercial oyster aquaculture worldwide. Triploid oysters are becoming the preferred aquaculture product because of their fast growth, better meat quality, and year-round harvest. Tetraploids are essential for triploid oyster aquaculture because commercial production of all-triploid seed depends on the availability of tetraploids for reproductive materials. This 8-page fact sheet written by Huiping Yang, Ximing Guo, and John Scarpa and published by the UF/IFAS School of Forest Resources and Conservation, Program in Fisheries and Aquatic Sciences, conveys basic knowledge about tetraploid induction and breeding to commercial shellfish culturists and the general public. http://edis.ifas.ufl.edu/fa215
Strategies to Fund Your Child’s College Education: Using Savings and Tax-Advantaged Vehicles
Authors: McCumber Jessica , Ruiz-Menjivar Jorge , Gillen Martie , Ellis Sarah M.
Published: July 2020

It is never too soon to explore funding options for college educations, whether your child is a newborn or is in middle school. You are more likely to be prepared to fund your child's education if you start planning earlier. This new 4-page document describes and discusses several accounts that allow you to pay for college while taking advantage of tax and savings opportunities. Written by Jessica McCumber, Jorge Ruiz-Menjivar, Martie Gillen, and Sarah M. Ellis, and published by the UF/IFAS Department of Family, Youth and Community Sciences, June 2019.
Covalent Adaptable Networks (CANs)
Authors: Alabiso Walter , Schlögl Sandra
Published: July 2020

Thermosets are known to be very reliable polymeric materials for high-performance and light-weight applications, due to their retained dimensional stability, chemical inertia and rigidity over a broad range of temperatures. However, once fully cured, they cannot be easily reshaped or reprocessed, thus leaving still unsolved the issues of recycling and the lack of technological ﬂexibility. Vitrimers, introduced by Leibler et al. in 2011, are a valiant step in the direction of bridging the chasm between thermoplastics and thermosets. Owing to their dynamic covalent networks, they can retain mechanical stability and solvent resistance, but can also ﬂow on demand upon heating. More generally, the family of Covalent Adaptable Networks (CANs) is gleaming with astounding potential, thanks to the huge variety of chemistries that may enable bond exchange. Arising from this signature feature, intriguing properties such as self-healing, recyclability and weldability may expand the horizons for thermosets in terms of improved life-span, sustainability and overall enhanced functionality and versatility. In this review, we present a comprehensive overview of the most promising studies featuring CANs and vitrimers speciﬁcally, with particular regard for their industrial applications. Investigations into composites and sustainable vitrimers from epoxy-based and elastomeric networks are covered in detail.
The Cultivation of the Core Literacy of English Discipline in Senior High School based on “Post-method” Theory
Authors: Li Xingyuan
Published: July 2020

The Curriculum Standards for General High School English (2017 edition) (hereinafter referred to as the Curriculum Standards) clearly states that the specific goal of general High school English curriculum is to cultivate and develop students’ core qualities such as language ability, cultural awareness, thinking quality and learning ability after receiving high school English education. The cultivation of core literacy is a hotspot in the current research of basic English education. However, most researches are based on traditional English teaching methods and tend to apply traditional teaching methods to experimental studies in primary and secondary school classrooms, and few of them study how to cultivate students’ core literacy from a theoretical perspective. This article will discuss the cultivation of core literacy of English discipline based on the “post method” theory proposed by B. Kurumaravadivelu. Meanwhile, advice on cultivation of the core literacy of English discipline in high school based on post-method theory will be given.
Peran Risiko Sanksi Pajak Pada Pengaruh Good Governance dan Whistleblowing System Terhadap Kepatuhan Wajib Pajak.
Authors: Utama M. Rizki , Hidayatulloh Amir
Published: July 2020

Tujuan penelitian ini adalah untuk menganalis pengaruh good governance dan whistleblowing system terhadap kepatuhan wajib pajak. Selain itu, penelitian ini juga untuk menganalis pengaruh good governance dan whistleblowing system terhadap kepatuhan wajib pajak jika dimoderasi oleh risiko sanksi pajak. Responden dalam penelitian ini berjumlah 104 responden yang berasal dari 22 propinsi. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling, dengan kriteria wajib pajak orang pribadi yang memiliki NPWP. Teknik analisis data dalam penelitian ini menggunakan Partial Least Square dengan bantuan alat WarpPLS. Penelitian ini memperoleh hasil bahwa kepatuhan wajib pajak dipengaruhi oleh good governance dan whistleblowing system. Akan tetapi, penelitian ini tidak dapat membuktikan bahwa risiko sanksi pajak memoderasi pengaruh good governance dan whistleblowing system terhadap kepatuhan pajak. Hal ini karena risiko sanksi pajak merupakan salah satu variabel independen yang dapat memengaruhi kepatuhan wajib pajak.
Pengaruh Kejelasan Sasaran Anggaran, Pengendalian Internal, dan Sistem Pelaporan Terhadap Akuntabilitas Kinerja Instansi Pemerintah di Kecamatan Wilayah Jakarta Selatan
Authors: Aprilianti Dewi , Wulan Mulyaning , Kurniawan Herwin
Published: July 2020

Penelitian ini bertujuan untuk mengetahui pengaruh Kejelasan Sasaran Anggaran, Pengendalian Internal, dan Sistem Pelaporan terhadap Kinerja Instansi Pemerintah di Kabupaten Jakarta Selatan. Sampel dalam penelitian ini adalah Kecamatan Jakarta Selatan, yaitu Kantor Kecamatan Cilandak, Jagakarsa, Kebayoran Baru, Kebayoran Lama, Mampang Prapatan, Pancoran, Pasar Minggu, Pesanggrahan, Setiabudi, dan Tebet. Penelitian ini menggunakan analisis regresi linier berganda yang melibatkan 10 Kantor Kecamatan Wilayah Jakarta Selatan sebagai sampel. Data yang digunakan adalah data primer dengan melakukan survei. Pemrosesan data menggunakan analisis regresi linier berganda. Analisis menunjukkan bahwa pengaruh Kejelasan Tujuan Anggaran, Pengendalian Internal, dan Sistem Pelaporan secara parsial dan simultan memengaruhi dan secara signifikan memengaruhi Kinerja Instansi Pemerintah.
Dor Orocraniofacial em Praticantes de Lutas de Contato
Authors: Araújo Altino Juliane , Renato Guerino Marcelo , José Nepomuceno Montenegro Eduardo , Das Graças Rodrigues de Araújo Maria , Das Graças Paiva Maria
Published: July 2020

O intenso contato nas lutas predispõe às lesões na região da cabeça e podem desencadear dor orocraniofacial. Objetivo: Identificar e analisar a dor orocraniofacial em praticantes de lutas de contato, além do histórico do trauma, lesãodentária e presença de disfunção temporomandibular (DTM). Métodos: Foram recrutados noventa lutadores amadores e profissionais, de ambos os sexos, submetidos a uma entrevista sobre o histórico da prática de luta e ao Índice Anamnésico de Fonseca (IAF). Resultados: Apresentaram faixa etária de 31,97±7,83 anos, altura 1,74±0,80 m e peso 81,92±16,9 kg. Foi observado que 57,68% dos participantes apresentaram dor orocraniofacial, onde 50% apresentaram traumas nesta região, 21% apresentaram lesão dentária e 63,5% apresentaram algum grau de disfunção temporomandibular. Conclusão: Foi possível identificar que as lesões orofaciais em praticantes de luta de contato constituem-se em um problema real e atual e pode estar relacionada com a presença de trauma orocraniofacial e lesão dentária. Além disso, pode desencandear em alguns casos a disfunção temporomandibular. Deste modo, atletas e treinadores, profissionais da área e a população em geral necessitam de maiores informações a respeito deste tema em prol de maiores conhecimentos e consequentemente uma maiorprevenção e proteção para os traumatismos faciais.
Regime Disciplinar Diferenciado
Authors: Prado Silva Eduardo , Bernardo Toneti Thiago , Da Silva Dias Thiago , Antônio de Oliveira Santana Maurício , Cavichioli Brito André
Published: July 2020

Aplicar uma pena que restrinja os direitos de um preso como forma de reparação a um “mal” causado por ele, ou de um risco que ele impõe não só a unidade prisional onde está inserido, mas à sociedade como um todo se apresenta consoante comas necessidades atuais. Em outras palavras, submeter um preso provisório ou condenado que haja de forma dolosa, apresente risco para a segurança interna da unidade em que está inserido ou ainda há indícios de participação em organização criminosa aum regime com regras mais duras e isolamento é necessário, válido e legal na finalidade de impedir que um novo crime seja cometido ou responder de forma proporcional ao um crime já praticado. O presente trabalho vai explorar os aspectos e questio -namentos à cerca da Lei nº. 10.792/2003 que instituiu na Lei de Execuções Penais a possibilidade da aplicação do Regime Disciplinar Diferenciado, bem como a problemática que permeia o assunto não no objetivo de exaurir esses questionamentos, mas com o intuito de colaborar com a discussão.
Análise dos Efeitos do Diodo Laser de Al-Ga-In-P (Alumínio- Gálio-Índio-Fósforo) com Potências de 1 J/Cm2 e 5 J/Cm2 na Dor Induzida Pela Hipotermia Quando Aplicada nos Acupontos Ig4 (Hegu) e Ig15 (Jianyu)
Authors: Izabela Sobral de Oliveira-Souza Ana , De Oliveira Lucena Laiza , Das Graças Paiva Maria , Netto Maia Juliana , Rocha de Siqueira Gisela , Guimarães de Alencar Geisa , José Nepomuceno Montenegro Eduardo
Published: July 2020

Lasers de baixa potência atuam diminuindo a inflamação e como consequência, a sensibilidade à dor. Com o intuito de eliminar o desconforto durante os estímulos nos acupontos pelas agulhas, foi introduzido o estímulo por radiação Laser nos pontos de acupuntura, nascendo a Laser acupuntura. Esse estudo teve como objetivo verificar a influência da ação do Diodo Laser de Al-Ga-In-P (Alumínio-GálioÍndio-Fósforo) com potências de 1 J/cm2 e 5 J/cm2 aplicados nos acupontos IG4 e IG15 aplicados ipsilateral e contralateral ao membro estimulado pela hipotermia. Trinta e seis voluntários de ambos os sexos foram divididos em três grupos: Laser com potência de 1 J/cm2 nos acupontos IG4 e IG15, Laser com potência de 5 J/cm2 nos mesmos acupontos e Controle (sem intervenção). O estudo consistiu em três ciclos: hipotermia sem Laser (Pré-Tratamento), hipotermia com Laserterapia (Tratamento) e hipotermia pós Laserterapia (Pós Tratamento). A latência do limiar de dor e a intensidade da dor foram mensuradas em todos os ciclos. Para a análise dos dados da latência do limiar da dor foi aplicado o teste de Anova um critério acompanhado do teste T de Student pareado como post hoc. O teste de Friedman foi aplicado para análise da intensidade da dor. O nível de significância adotado neste estudo foi de p<0,05. Os resultados foram, estatisticamente significativos em relação à latência do limiar de dor nos grupos 1 J/cm2 e 5 J/cm2. Quanto à intensidade da dor, nenhum dos grupos apresentou significância estatística.
A Violência Contra a Mulher nas Pegadas do Movimento Feminista
Authors: Brito dos Santos Karine
Published: July 2020

O presente artigo tem como objetivo compreender o ponto de vista feminista quanto à contribuição desse movimento social para o enfrentamento da violência contra a mulher. Para tal foi realizada uma pesquisa documental com base no livro “Violência contra as mulheres – Uma história contada em décadas”, organizado por Brazão e Oliveira. A análise crítica de cada capítulo foi realizada à luz da literatura feminista, articulando saberes de diferentes campos do conhecimento, notadamente da Psicologia, Sociologia e Antropologia. Esse resgate histórico permitiu lançar olhares sobre o ponto de vista feminista na crista da onda da luta em prol dos direitos humanos das mulheres, suscitando reflexões sobre a centralidade da temática da violência contra a mulher na agenda feminista, o papel dos meios de comunicação nesse contexto, e os esforços para desconstruir estereótipos de gênero que legitimam historicamente a violência baseada no gênero. O panorama traçado permite uma visão crítica da empreitada feminista na luta pelo fim da violência contra a mulher, possibilitando um resgate cronológico dos principais marcos históricos das conquistas do movimento feminista nesse campo. Ao percorrer a trilha do movimento feminista ao longo dedécadas de luta, um solo fértil de possibilidades se abre no sentido de (re)pensar as políticas públicas de enfrentamento dessa questão, sem perder o fio da meada histórico que a sustenta.
Psicomotricidade
Authors: Paula Zorzan Ana , Iracema Chernhak Angelita
Published: July 2020

O presente artigo tem como objetivo a apresentação de abordagens referentes à importância da psicomotricidade para o desenvolvimento infantil, tendo como base as opiniões de vários autores e estudiosos da área. Ressalta-se, neste âmbito, agrande contribuição dos jogos para o despertamento de habilidades na criança. As ênfases dão-se em torno das possibilidades dadas à criança em descobrir-se, ajudando-a a construir sua identidade e a compreender o mundo que a rodeia relacionando movimento, intelecto e afetividade, propiciando-se seu desenvolvimento de forma global. Realizado através de pesquisa teórica e científica, este artigo busca trazer informações e estudo sobre a psicomotricidade, destacando a contribuição dos jogos no desenvolvimento da criança.
COVID-19: Recommendations for Optimum Patient Management and Surgeons’ Safety
Authors: Bar Debashish , Alam ABM Khurshid , Rahman Fatema , Rahman AZM Mahfuzur , Suzana Nawreen
Published: July 2020

The novel coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV- 2), has evolved rapidly as a global pandemic stretching the healthcare systems worldwide to their limits. This pandemic has resulted in significant changes to surgical practice across the world. Surgeons need to react immediately to this unexpected clinical challenge in a customized and dynamic approach to the selection, screening, planning, and conduct of surgery for their patients. This current literature will review various international society guidelines to provide a set of recommendations to safely accommodate the exponentially rising cases of SARSCoV- 2 infected patients without compromising the care of emergency surgery and oncological patients or jeopardizing the well-being of hospital staff. The recommendations include guidance for selection and screening of patients during different phases of COVID-19 spread throughout the country. Personal protective equipment requirements for safety measures are also reviewed for each phase as minimum requirements. We also provide recommendations on the patient prioritization for surgery, selection of surgical techniques to reduce transmission and exposure risk, operating room set up and conduct of general surgery. During the COVID-19 pandemic, every surgical unit needs to follow clear guidelines to ensure both patient and staff safety. These current guidelines may assist to provide guidance to units in developing their own protocols.

J Bangladesh Coll Phys Surg 2020; 38(0): 116-121
Coronavirus Disease 2019 (COVID-19): An Opportunity to Understand the Health System
Authors: Faiz MA
Published: July 2020

Abstract not available

J Bangladesh Coll Phys Surg 2020; 38(0): 1-2
Psychological Assessment of Doctors Working in a Pandemic Condition in Dhaka Medical College Hospital
Authors: Mahmud Imran , Azad Khan Abul Kalam , Mamun Abdullah Al , Hoque Mohammad Mahfuzul , Mallik Md Uzzwal , Md Moniruzzaman - , Saha Shukdeb , Mark Sayeef Hossain Khan , Rahman Md Mujibur
Published: July 2020

Introduction: The outbreak of COVID-19 is taking an unprecedented mental toll on health workers worldwide. So it comes as no surprise that the mental well-being of health care workers of Bangladesh too is in serious jeopardy. This survey was aimed to assess the immediate psychological impact on doctors working in largest Covid-19 dedicated facility in Bangladesh, Dhaka Medical College Hospital.

Methods: This cross sectional study was conducted in a single-centre with response received from participating doctors between 31st May to 3rd June, 2020. Mental health variables were assessed via the Athens Insomnia Scale (AIS) and Hospital Anxiety Depression Score (HADS).

Results: We received 192 completed questionnaires (response rate, 64.43%) among whom around 50% of the participating doctors reportedly have depression and anxiety symptoms respectively. Among them 104 doctors (54.17%) responded to have insomnia. Around 56% of the responding subjects perceived the highly contagious nature of the SARS-CoV-2 as the most striking threat of COVID-19.

Conclusion: Agonizing disease process, high death toll, highly contagious nature of the responsible virus is taking a serious mental toll on physicians in the background of their heightened concern about personal health and family health, scarcity in PPE and adequate hospital facility. Psychological protective measures implemented by the hospital could be helpful.

J Bangladesh Coll Phys Surg 2020; 38(0): 50-55
A Case Series of 100 COVID-19 Positive Patients Treated with Combination of Ivermectin and Doxycycline
Authors: Alam Mohammed Tarek , Murshed Rubaiul , Bhiuyan Elias , Saber Sadia , Alam Rafa Faaria , Robin Rishad Choudhury
Published: July 2020

Background: A definitive treatment of SARS CoV-2 is yet to arrive and the human death toll rises exponentially globally. In this health emergency, it might be useful to look into the old therapies which could be effective against the virus. In vitro research showed Ivermectin could decrease the concentration of coronavirus 4000 to 5000 folds in living lung tissue.

Aim: In this prospective study a combination of Ivermectin and Doxycycline will be evaluated therapeutically to treat COVID-19 patients. Methods: 100 COVID-19 patients were enrolled in this study with a predefined inclusion and exclusion criteria. RT- PCR of the SERS-CoV-2 will be done at designated government hospitals. The clinical features and response to treatment were noted according to a dedicated protocol.

Results: In this study male and female were 64 and 36 respectively, the age ranged between 8 to 84 years. Retesting was done between 4 and 18 days of starting medication. All patients tested negative and their symptoms improved within 72 hours. There were no noticeable side effects.

Conclusion: Combination of Ivermectin and doxycycline was found to be very effective in viral clearance in mild and moderately sick COVID-19 patients. Medical societies and institutions should undertake larger multi center studies to validate and recommend this combination therapy to include in national guidelines.

J Bangladesh Coll Phys Surg 2020; 38(0): 10-15
Comparison of Viral Clearance between Ivermectin with Doxycycline and Hydroxychloroquine with Azithromycin in COVID-19 Patients
Authors: Rahman Md Azizur , Iqbal Syed Asif , Islam Md Azizul , Niaz Md Kaisar , Hussain Tahmeed , Siddiquee Taufiqul Hasan
Published: July 2020

Introduction: The whole world is on the brink of collapse due to the outbreak of COVID-19 with no solution to treat these cases with any specific drug. Extensive search for the Vaccine or effective treatment is going on while alarming infection and death toll is rising every day.

Aim: The study will compare the effect of Ivermectin with Doxycycline and Hydoxychloroquine with Azythromicin on a selective group of COVID -19 positive patients.

Method: This is a comparative study that included 400 patients of COVID 19 positive patient who were divided in to two groups. Group- A Received Ivermectin with Doxycycline and the other group- B received hydroxichloroquine(HCQ) with azithromycin.

Result: Viral clearance is 132 ( 66%) on day 5 and 167( 83.5% ) on day 6. Among them 33(16.5%) remain PCR positive after 6th day of Ivermectin ingestion in Group A. Whereas there is154 ( 77.0%) viral clearance at 11th day and 163(81.5%) viral clearance at 12th day of Hydroxychloroquine ingestion in Group B. Among them 37 (18.5%) remain PCR positive after 12 day in group B. The P value is 0.000427 which is significant considering 5th day viral clearance of Ivermectin ingestion and 11th day of Hydroxychloroquine ingestion. But considering 6th day and 12th day the P-value is 0.59 which is not significant.

Conclusion: It appears Ivermectin and Doxycycline is safeand effective combination drug therapy in COVID- 19infected patients but need further extensive study to find out the scope of application on other groups of patients.

J Bangladesh Coll Phys Surg 2020; 38(0): 5-9
Analysed power quality of electrical system ahts vessel
Authors: Santoso Agus Dwi , Cahyono Ferry Budi , Laksana Widyo Tri , Nurfalah Yosi
Published: July 2020

A number of power quality issues including electrical harmonics, poor power factor, and voltage instability and imbalance impact on the efficiency of electrical equipment. To support that equipment operates optimally, electrical power is generated must be have good quality. This study has a purpose to examine the power quality of electrical system AHTS (Anchor Handling Tug Supply) vessel. This research was done by quantitative method. Computational techniques used by the software of Total Harmonic Distortion (THD), which shares characteristics and Electrochemical Impedance Spectroscopy (EIS). The result of this analysis indicated that Electrical system in VM INPOSH REGENT have quality power very good of utility systems during full way condition, however during maneuver, there was a particularly high harmonic from non-linier devices used as motor control, which functional a role propulsion. Based on the result above, it can be concluded that after filtering so that harmonic can correct until perimeter secure ABS standard, system is very good during maneuver long site and maneuver on DP system.
O consumo subcultural à luz da Teoria Cultural e da Filosofia da Diferença: a identidade e a identificação na esfera micro do gótico
Authors: Caetano Stella Mendonça
Published: July 2020

Dentro de uma sociedade de consumo acelerado muitos produtos são direcionados aos sujeitos sociais, no entanto, nem todos são adquiridos por eles. As relações de consumo não são isentas de atravessamentos que as modificam, direcionam ou redirecionam. Um desses atravessamentos é a identidade. O presente ensaio propõe uma reflexão em torno das dinâmicas culturais entre identidade e consumo a partir das perspectivas da Teoria Cultural, cujo principal nome é Stuart Hall, e da Filosofia da Diferença proposta pelos filósofos Deleuze e Guattari; entender como se se dão as interferências entre esses à nível subjetivo e, assim, contribuir para o debate acerca das possibilidades e formas de consumo no momento contemporâneo.  A partir das interseções entre as teorias e sob a ótica da identificação e singularização, concluímos que ambas apontam para o consumo subcultural enquanto uma atividade híbrida que, mesmo sendo reintegrada ao rizoma sistematicamente, também configura um rompimento com o mesmo. Por fim, o consumo subcultural é um elemento essencial na dinâmica de subsistência de grupos culturais, como o caso da subcultura gótica, analisada neste ensaio.