bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ectopic pregnancy in the ampulla of the fallopian tube at 16 gestational weeks: lessons from a case report
Authors: Chibuoke Ngene Nnabuike , Lunda Ongombe 
Published: December 2020

Background: It is uncommon to find ampullary tubal pregnancy in the second trimester.
Methods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal pain and no vaginal bleeding. The patient had a normal pulse of 82/minutes, haemoglobin concentration of 6.3 g/dl and ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an abdominal pregnancy.
Results: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative fol- low-up. Histology of the lesion confirmed tubal pregnancy.
Conclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage.
Keywords: Abdominal pain; ampullary tubal ectopic pregnancy; Bezold–Jarish-like reflex.
Opportunistic fungal infections in persons living with advanced HIV disease in Lagos, Nigeria; a 12-year retrospective study
Authors: Oladele Rita , Ogunsola Folasade , Akanmu Alani , Stocking Katie , W Denning David , Govender Nelesh 
Published: December 2020

Introduction: Nigeria has a large estimated burden of AIDS-related mycoses. We aimed to determine the proportion of pa- tients with AIDS-related opportunistic fungal infections (OFIs) at an urban antiretroviral treatment (ART) centre in Nigeria.
Methods: A retrospective analysis of a cohort of ART-naïve, HIV-infected patients, assessed for ART eligibility and ART- experience at the PEPFAR outpatient clinic at Lagos University Teaching Hospital over a 12-year period (April 2004-Feb- ruary 2016) was conducted.
Results: During this period, 7,034 patients visited the clinic: 4,797 (68.2%) were female; 6161 patients had a recorded base- line CD4 count, and the median CD4 count was 184 cells/µl (IQR, 84-328). A baseline HIV-1 viral load (VL) was recorded for 5,908 patients; the median VL was 51,194 RNA copies/ml (IQR, 2,316-283,508) and 6,179/7046(88%) had initiated ART. Some 2,456 (34.9%) had a documented opportunistic infections, of whom 1,306 (18.6%) had an opportunistic fungal infection. The total number of OFI episodes was 1,632: oral candidiasis (n=1,473, 90.3%), oesophageal candidiasis (n=118; 8%), superficial mycoses (n=23; 1.6%), Pneumocystis pneumonia (PJP) (n=13; 0.8%), and cryptococcal meningitis(CM) (n=5; 0.4%). 113 (1.6%) were known to have died in the cohort.
Conclusion: Approximately 1 in 5 HIV-infected patients in this retrospective cohort, most of whom had initiated ART, were clinically diagnosed with an OFI. Improved access to simple accurate diagnostic tests for CM and PJP should be pri- oritised for this setting.
Keywords: Opportunistic fungal infections; ART Adherence; Advanced HIV disease.
KANAL İSTANBUL İÇİN EMNİYETLİ BİR SEYİR ÖNERİSİ: ENTEGRE RÖMORKÖR–BARÇ SİSTEMİ
Authors: BAYIRHAN İrşad 
Published: December 2020

2011 yılında resmi olarak açıklanan “Kanal İstanbul”; gemi trafiğinin rahatlatılması amacıyla tasarlanmış, İstanbul Boğazı’na alternatif bir suyolu projesidir. Gemi trafiğinin rahatlatılması hususundan asıl kasıt, İstanbul metropolüne yönelik önemli oranda risk oluşturan tanker trafiğinin Kanal İstanbul’a aktarılmasıdır. Belirlenen ebatlar doğrultusunda projeye yapılan eleştirilerin temelinde ise bir başka risk unsuru olan emniyetli seyir olanakları konusu ve bu anlamda ortaya çıkan daha düşük tonajlı taşımacılığın ekonomiklik ölçütü ön plana çıkmaktadır.
Aslında, Dünya’daki tüm yapay kanallarda (canal), doğal su geçitlerine (channel) nazaran proje oluşturulmadan evvel optimum geçiş yönetimi konusunda deniz taşımacılığının tarafları arasında benzer kaygılar yaşanmakta ve gerekli projeksiyon çalışmalar yapılmaktadır. Aynı şekilde Kanal İstanbul için de bu tür çalışmalar yapılmış ve simülasyonlar navigasyon anlamında doğrulanmıştır. Burada kaygı yaratan asıl konu, simülasyonlarda esas alınan ebatlarda bir geminin mevcut filo ile kıyaslandığında ticari ve teknik anlamda ne ölçüde etkin olacağı sorunudur. Ancak böyle bir su geçidinin optimum kullanımı, bir takım ulaştırma mühendislik stratejileri ve kanal kullanımının rekabetçi ve çevreci yönünü ön plana alan bir sistem ile çözülebilir.
Bu çalışmada henüz yapımı tamamlanmayan Kanal İstanbul için en ideal taşıma sisteminin, entegre römorkör–barç sistemi (ITBS) olacağı düşünülmüştür. Dünya kanal ve suyolu taşımacılığında yaygın bir şekilde kullanılan ITBS sisteminin, mevcut su yollarının optimum kullanımına katkısı ve çevreci oluşu, bu çalışmanın ana motivasyon kaynağı olmuştur. Konu hakkında detaylı literatür çalışması yapılmış, bu taşıma şeklinin dünyadaki örnekleri incelenmiş ve Kanal İstanbul için kullanılabilir formu belirtilmiştir. Ayrıca Kanal İstanbul hakkında yapılan eleştiriler çalışmanın sorunlar kümesini oluşturmuş, bu sorunlara ise önerilen taşıma sisteminin kullanışlılığı ile makul çözümler sunulmuş, sistemin avantajları açıklanmıştır.
Trabalhos apresentados no II painel de debates do grupo “Escrevendo a Defensoria Pública”.
Authors: Alves Cleber Francisco , Gonçalves Filho Edilson Santana , Rocha Jorge Bheron 
Published: December 2020

Em novembro de 2019, na cidade de Rio de Janeiro, foi realizada a segunda edição do PAINEL DE DEBATES do Grupo “ESCREVENDO A DEFENSORIA”, durante o qual foram apresentados trabalhos de Defensores Públicos de diversas regiões do Brasil, dos mais variados ramos da instituição, incluindo-se membros das Defensorias Públicas dos Estados e da Defensoria Pública da União. Foram admitidos à participação quaisquer interessados, desde que membros das referidas instituições, mediante a apresentação de “comunicações livres”, realizadas oralmente, sobre temas que haviam sido indicados em resumos escritos, previamente apresentados e aprovados pela comissão avaliadora. Para maior difusão e intercâmbio de ideias, esses resumos estão sendo agora publicados na Revista da Defensoria Pública da União. Os trabalhos apresentados no I Painel de Debates (que foi realizado em 2017) também foram publicados, no 11º número da Revista da Defensoria Pública da União. Há registro de que os trabalhos que fizeram parte daquela publicação foram citados em trabalhos científicos, o que revela o potencial estratégico do Painel para a pesquisa e divulgação institucional. O Grupo “Escrevendo a Defensoria” foi criado através do aplicativo de comunicações eletrônicas WhatsApp e é formado por Defensores Públicos e Defensoras Públicas engajados na produção científica, com desdobramentos não apenas teóricos, mas - e principalmente – práticos.
FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA RANTAI PASOK DI INDUSTRI PERTAMBANGAN
Authors: Safitriani Dewi 
Published: December 2020

Pertambangan adalah rangkaian kegiatan pencarian, penambangan, pengolahan, pemurnian, pemanfaatan dan penjualan bahan galian melalui proses yang dilakukan dari hulu sampai hilir. Untuk menjalankan proses bisnis tersebut membutuhkan kinerja rantai pasok yang baik dipengaruhi informasi dan kemampuan kolaborasi. Dalam kegiatan manajemen rantai pasok (supply chain management) memiliki aliran proses yaitu informasi, barang/jasa dan aliran biaya. Manajemen rantai pasok memiliki peran penting didalam sebuah perusahaan sehingga masalah di suatu proses kegiatan dapat menghambat kinerja rantai pasok secara keseluruhan. Penelitian ini bertujuan untuk mengetahui pengaruh variabel bebas (independen) terhadap variabel terikat (dependen). Populasi dalam penelitian ini adalah karyawan PT Berau Coal dengan menggunakan sampel sebanyak 50 responden melalui kuesioner online. Data yang diperoleh akan di analisis menggunakan analisis regresi linier berganda dengan menggunakan data analisis Excel. Variabel proses produksi, perencanaan, proses optimisasi, model tata letak dan desain, model alokasi peralatan operasional, pengantaran produksi dan penanganan stok sangat berpengaruh positif dan signifikan terhadap kinerja rantai pasok pada industri perusahaan. Kegiatan alokasi peralatan operasional memiliki nilai signifikan terbesar, kemudian diikuti oleh proses produksi, pengantaran produksi dan penangan stok, model tata letak dan desain, perencanaan, dan proses optimisasi. Hasil hipotesis keseluruhan variabel bebas (independen) diterima karena nilai signifikannya < 0,05 yang menyatakan bahwa terdapat pengaruh yang signifikan antara variabel bebas (independen) dengan variabel terikat (dependen) serta koefisien determinan ( ) sebesar 0,556 menunjukan adanya pengaruh besar variabel bebas terhadap kinerja rantai pasok.
DETERMINASI PROFITABILITAS PERUSAHAAN MANUFAKTUR YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2015-2019
Authors: Martini Martini 
Published: December 2020

Profitabilitas dapat menggambarkan kemampuan sebuah perusahaan dalam menghasilkan laba (keuntungan) selama suatu periode tertentu. Profitabilitas suatu perusahaan dapat mempengaruhi kebijakan para investor atas investasi yang ditanamkan pada sebuah perusahaan. Kemampuan perusahaan dalam menghasilkan laba ini dapat menarik minat para investor untuk menanamkan dananya guna memperluas usahanya, begitu juga sebaliknya. Jika tingkat profitabilitas perusahaan rendah akan dapat menyebabkan para investor menarik dananya dari perusahaan. Penelitian ini bertujuan untuk mengetahui pengaruh debt to equity ratio, current ratio, firm size, dan pertumbuhan penjualan terhadap profitabilitas. Penelitian ini dilakukan pada Perusahaan Manufaktur manufaktur Sub Sektor Peralatan Rumah Tangga, kosmetik & Keperluan Rumah Tangga dan Rokok yang Terdaftar di Bursa Efek Indonesia Tahun 2015-2019 sebanyak 16 perusahaan. Sampel penelitian ini dipilih melalui teknik purposive random sampling. Metode analisis yang digunakan adalah analisis regresi berganda. Hasil penelitian ini menunjukkan bahwa debt to equity ratio, current ratio, dan firm size berpengaruh positif dan signifikan terhadap profitabilitas, sedangkan pertumbuhan penjualan tidak berpengaruh terhadap profitabilitas. Nilai profitabilitas yang diproksikan dengan Return On Assets ditentukan oleh variabel Debt to Equity Ratio, Current Ratio, Firm Size dan Pertumbuhan Penjualan sebesar 45.7%, sisanya dijelaskan oleh variabel-variabel lain diluar penelitian seperti Total Assets Turn Over, Assets Tangibility, Debt to Total Assets, Inventory Turnover.
AYURVEDA INTERVENTION IN FEMALE INFERTILITY DUE TO OVARIAN FACTOR - A CASE REPORT
Authors: Upasana Sharma  , Sushila Sharma  
Published: December 2020

Infertility is defined as inability of a couple to conceive after one year of regular unprotected sexual intercourse. Incidence of ovarian dysfunction in the form of Polycystic ovarian disease (PCOD) has become a leading cause of female infertility in today’s era. Polycystic Ovarian disease (PCOD) is a heterogeneous, multifactorial and polygenic endocrinal disorder. Acharya Sushrut explained about Bandhya Yonivya pada where Nashtartava is mentioned as the one and only symptom. In Ayurveda text word Aartava has been used extensively in different contexts; menstrual blood, ovum and ovarian hormones. Therefore Amenorrhea, anovulation, hormonal dysfunction can be considered as visible manifestations of Nashtartva. So, here an attempt has been made to explore Samshodhan (Virechan) as a possible line of treatment for Bandhya (Nashtartava). Material and method: Following is a case report of a female who was anxious to conceive after 4 years of active married life, along with H/O delayed menses. Her USG reports showed polycystic appearance of ovaries and anovulation was noticed in follicular study. During this case study evaluation of Shodhan therapy (Virechan) and Shaman therapy in infertility due to ovulatory dysfunction was done. Result: Before the treatment patient was a known case of infertility due to PCOD and after treatment she conceived and delivered a healthy female baby. Discussion: Line of treatment was to enhance potency of ovum and with the help of Virechankarma, regularize vitiated Vata Dosha, Shrotoshuddhi and Aartava janan. Conclusion: Ayurveda therapy can be used in patients of infertility due to PCOD for better outcome and no adverse drug effect was noticed.
Da construção do estereótipo de selvagem à representação do indígena brasileiro no livro didático de História
Authors: Santos Roberta Fernandes 
Published: December 2020

Este artigo aborda a maneira como se construiu o estereótipo de selvagem, fato responsável por negar aos indígenas seu direito à diferença e apagá-los como sujeitos de nossa história. Aborda também o revisionismo histórico das décadas de 1980 e 1990, destacando a Constituição de 1988 como responsável por recolocar o indígena na história, garantindo sua cidadania e reconhecendo seu direito à diversidade. Mais tarde, numa tentativa de superar estereótipos, foi aprovada a Lei nº 11.645/08, passando a ser obrigatório o ensino de história e cultura indígena nas escolas brasileiras. Nesse sentido, analisaremos uma coleção de livros didáticos para o Ensino Médio produzida em 2016, observando como é representada a cultura indígena nesses livros e verificando, em que medida, os antigos estereótipos estão sendo superados e dando lugar a um novo olhar sobre o indígena brasileiro.
Palavras-chave: Povos indígenas – História indígena – Lei 11.645/08 – Livro didático
PRESO POLÍTICO NO SÉCULO XXI: UMA ANÁLISE DA NARRATIVA TESTEMUNHAL DE IGOR MENDES EM A PEQUENA PRISÃO
Authors: Pimentel Guilherme Henrique Ferreira 
Published: December 2020

Vivemos num Estado que, apesar de democrático, sinaliza características de um Estado de exceção. Assim, utiliza as diretrizes do fazer democrático para que a marginalização de minorias se torne uma regra. Este artigo propõe discutir, dentro do contexto da literatura de testemunho e de cárcere, o livro A pequena prisão (2017), escrito por Igor Mendes. No dia 3 de dezembro de 2014, o até então graduando em geografia pela UERJ e ativista político Igor Mendes, foi preso por participar de manifestações durante a Copa do Mundo de 2014. Durante os quase sete meses que ficou preso no Complexo Penitenciário de Gericinó, no Rio de Janeiro, Igor vivenciou experiências que não poderiam ser silenciadas, encontrando na literatura uma maneira de não apenas rememorar os traumas, mas de denunciar as contradições do Poder Judiciário, das instituições penais e desvelar um mundo invisível: os porões da sociedade que são os presídios brasileiros.
Participation-Focused Strategy Use Among Caregivers of Children Receiving Early Intervention
Authors: Kaelin Vera C. , Bosak Dianna L. , Villegas Vivian C. , Imms Christine , Khetani Mary A. 
Published: December 2020

Abstract
Importance: Evidence on common types of participation-focused caregiver strategies can help occupational therapy practitioners to take an evidence-based approach to designing participation-focused practice.
Objective: To identify and explore types of caregiver strategies to support young children’s participation in valued occupations in the home and community.
Design: Qualitative study using a subset of data collected online with the Young Children’s Participation and Environment Measure (YC–PEM). Narrative responses about strategy use were content coded to the family of Participation-Related Constructs (fPRC) framework using a deductive analytic approach to identify relevant types of participation-focused strategies used in the home and community. Responses were further analyzed within each relevant fPRC construct using an inductive analytic approach to identify the scope of strategies used for each construct.
Setting: Early intervention.
Participants: Caregivers (N = 106) of young children receiving early intervention.
Outcomes and Measures: Caregivers’ strategies to support their child’s home and community participation, provided by the YC–PEM.
Results: Caregivers most commonly adapted the child’s environment or context to support their child’s home and community participation (45.06%). The least common focus of caregiver strategies was the child’s activity competencies (11.16%). Three or more types of caregiver strategies were identified for each participation-related construct.
Conclusion and Relevance: Results indicated that caregivers used a range of strategies related to each of the participation-related constructs to support their child’s participation in home and community occupations, most commonly targeting the environment. Occupational therapy practitioners can select from this range of strategies when planning participation-focused early intervention with families.
What This Article Adds: This study yields new evidence on the scope of caregiver strategy use to support young children’s participation in home and community occupations. Occupational therapy practitioners can apply this evidence to anticipate common areas of caregiver strategy use in participation-focused practice with families in early intervention.
Barriers to healthy eating among overweight/obese physiotherapy students.
Do urban/rural residence or living with/without family have a link?
Authors: Ahmad Ahmad Mahdi , Zahran Magda Ramadan , Ali Heba Mohammed 
Published: December 2020

IntroductionThe role of students’ residence and living status in the perceived barriers to healthy eating warrants attention. This study aimed to assess whether these factors influenced the perceived barriers to healthy eating in physiotherapy students.MethodsA cross-sectional study was conducted in 3 Egyptian universities during the 2018 2nd semester; 404 physiotherapy students aged 18–22 years were recruited. They were overweight and obese, males and females, from all academic levels. The assessment tool was a validated questionnaire comprising 10 items designed to evaluate personal, social, and environmental barriers to healthy eating. A chi-squared test was used for statistical analysis.ResultsIn overweight students, there was a significant link between their residence and the perception of the barriers of lack of information, lack of enjoyment, lack of skills, high cost of healthy food, lack of friends’ support, lack of faculty staff support (<i>p</i> < 0.05). The living status was significantly related with the perception of the barriers of lack of information, lack of skills, lack of access to healthy foods, and high cost of healthy food in overweight students (<i>p</i> < 0.05). There was no significant association
between the perception of the barrier of lack of time and students’ residence or living status.ConclusionsResidence and/or living status influence the perception of several barriers to healthy eating in overweight physiotherapy students. These observations may aid efforts to promote healthier eating behaviours among overweight/obese students, particularly from rural communities or living away from the family.
Factors influencing quality of life in patients with asthma or chronic
obstructive pulmonary disease undergoing physiotherapeutic control
at primary care in Chile
Authors: Sacomori Cinara , Guerrero-González Mitzi , Cabrera-González Cristian , Moreno-Morales Sebastián , Torres-Varela José Miguel , Alegría-Martinez Bryan , Lorca P. Luz Alejandra , Da Roza Thuane 
Published: December 2020

IntroductionThe study aimed to determine if quality of life was affected by urinary symptoms, respiratory and emotional functions, or socio-demographic variables among people with chronic respiratory diseases who attended a healthcare visit in a primary care program in Santiago de Chile.MethodsThe observational cross-sectional study included 93 patients (62 with asthma and 31 with chronic obstructive pulmonary disease). Chronic Respiratory Questionnaire was used to assess the quality of life, and a self-report questionnaire reported the comorbidities (arterial hypertension, depression, diabetes mellitus, and lower back pain). The International Consultation on Incontinence Questionnaire-Short Form and the modified Medical Research Council dyspnoea scale served to assess urinary incontinence and respiratory symptoms, respectively. Data were analysed with hierarchical multiple linear regression.ResultsUrinary incontinence occurred in 31.2% of the participants, mainly while coughing or sneezing (<i>n</i> = 24). Around 66.6% of them self-reported their health status as regular/bad/very bad. The presence of urinary incontinence, depression, and higher dyspnoea (R<sup>2</sup> = 0.54) was associated with worse quality of life.ConclusionsUrinary incontinence, depressive symptoms, and higher dyspnoea negatively impact on the quality of life of people with chronic respiratory diseases and require more attention in clinical management and research.
Monitoring CO emissions of the metropolis Mexico City using TROPOMI CO observations
Authors: Borsdorff Tobias , García Reynoso Agustín , Maldonado Gilberto , Mar-Morales Bertha , Stremme Wolfgang , Grutter Michel , Landgraf Jochen 
Published: December 2020

Abstract. The Tropospheric Monitoring Instrument (TROPOMI) on the ESA Copernicus Sentinel-5
satellite (S5-P) measures carbon monoxide (CO) total column concentrations as
one of its primary targets. In this study, we analyze TROPOMI observations
over Mexico City in the period 14 November 2017 to 25 August 2019 by means of
collocated CO simulations using the regional Weather Research and Forecasting coupled with Chemistry
(WRF-Chem) model. We draw conclusions on the emissions from different urban districts
in the region. Our WRF-Chem simulation distinguishes CO emissions from the
districts Tula, Pachuca, Tulancingo, Toluca, Cuernavaca, Cuautla, Tlaxcala,
Puebla, Mexico City, and Mexico City Arena by 10 separate tracers.
For the data interpretation, we apply a source inversion approach determining
per district the mean emissions and the temporal variability, the latter
regularized to reduce the propagation of the instrument noise and forward-model errors in the inversion. In this way, the TROPOMI observations are used
to evaluate the Inventario Nacional de Emisiones de Contaminantes Criterio
(INEM) inventory that was adapted to the period 2017–2019 using in situ
ground-based observations. For the Tula and Pachuca urban areas in the north
of Mexico City, we obtain 0.10±0.004 and 0.09±0.005 Tg yr−1 CO
emissions, which exceeds significantly the INEM emissions of <0.008 Tg yr−1 for
both areas. On the other hand for Mexico City, TROPOMI estimates
emissions of 0.14±0.006 Tg yr−1 CO, which is about half of the INEM
emissions of 0.25 Tg yr−1, and for the adjacent district Mexico City Arena
the emissions are 0.28±0.01 Tg yr−1 according to TROPOMI observations versus
0.14 Tg yr−1 as stated by the INEM inventory. Interestingly, the total emissions
of both districts are similar (0.42±0.016 Tg yr−1 TROPOMI versus 0.39 Tg yr−1
adapted INEM emissions). Moreover, for both areas we found that the TROPOMI
emission estimates follow a clear weekly cycle with a minimum during the
weekend. This agrees well with ground-based in situ measurements from the
Secretaría del Medio Ambiente (SEDEMA) and Fourier transform spectrometer
column measurements in Mexico City that are operated by the Network for the
Detection of Atmospheric Composition Change Infrared Working Group
(NDACC-IRWG). Overall, our study demonstrates an approach to deploying the large
number of TROPOMI CO data to draw conclusions on urban emissions on sub-city scales
for metropolises like Mexico City. Moreover, for the exploitation of TROPOMI
CO observations our analysis indicates the clear need for further improvements
of regional models like WRF-Chem, in particular with respect to the prediction
of the local wind fields.