bluuebunny/crossref_metadata_2025 huggingface dataset:
Inpatient Outcomes of Cerebral Venous Thrombosis in Patients With Malignancy Throughout the United States
Authors: Vazqez Sima , Das Ankita , Spirollari Eris , Brabant Paige , Nolan Bridget , Clare Kevin , Dominguez Jose F. , Dangayach Neha , Amuluru Krishna , Yaghi Shadi , Chong Ji , Medicherla Chaitanya , Nuoaman Halla , Patel Neisha , Mayer Stephan A. , Gandhi Chirag D. , Al-Mufti Fawaz
Published: September 2024

Background and Purpose Cerebral venous thrombosis (CVT) is associated with a high degree of morbidity and mortality. Our objective is to elucidate characteristics, treatments, and outcomes of patients with cancer and CVT (CA-CVT).Methods The 2016–2019 National Inpatient Sample (NIS) database was queried for patients with a primary diagnosis of CVT. Patients with a currently active diagnosis of malignancy (CA-CVT) were then identified. Demographics and comorbidities were compared between CA-CVT and CVT patients. Subgroup analyses explored patients with hematopoietic cancer and non-hematopoietic cancers. Stroke severity and treatment were explored. Inpatient outcomes studied were discharge disposition, length of stay, and mortality.Results Between 2016 and 2019, 6,140 patients had a primary diagnosis code of CVT, and 370 (6.0%) patients had a coexisting malignancy. The most common malignancy was hematopoietic (n=195, 52.7%), followed by central nervous system (n=40, 10.8%), respiratory (n=40, 10.8%), and breast (n=40, 10.8%). These patients tended to be older than non-CA-CVT and were more likely to have coexisting comorbidities. CA-CVT patients had higher severity scores on the International Study of Cerebral Vein and Dural Sinus Thrombosis Risk Score (ISCVT-RS) and increased complications. In a propensity-score matched cohort, there were no differences in inpatient outcomes.Conclusion Malignancy occurs in 6% of patients presenting with CVT and should be considered a potential comorbidity in instances where clear causes of hypercoagulabilty have not been identified. Malignancy was linked to higher mortality rates. Nonetheless, after adjusting for the severity of CVT, the outcomes for inpatients with cancer-associated CVT were comparable to those without cancer, indicating that the increased mortality associated with malignancy is probably due to more severe CVT conditions.
Ethnic Differences in the Safety and Efficacy of Tenecteplase Versus Alteplase for Acute Ischemic Stroke: A Systematic Review and Meta-Analysis
Authors: Koh Jin Hean , Lim Claire Yi Jia , Tan Lucas Tze Peng , Sia Ching-Hui , Poh Kian Keong , Sharma Vijay Kumar , Yeo Leonard Leong Litt , Ho Andrew Fu Wah , Wu Teddy , Kong William Kok-Fai , Tan Benjamin Yong Qiang
Published: September 2024

Background and Purpose Tenecteplase is a thrombolytic agent with pharmacological advantages over alteplase and has been shown to be noninferior to alteplase for acute ischemic stroke in randomized trials. However, evidence pertaining to the safety and efficacy of tenecteplase in patients from different ethnic groups is lacking. The aim of this systematic review and metaanalysis was to investigate ethnicity-specific differences in the safety and efficacy of tenecteplase versus alteplase in patients with acute ischemic stroke.Methods Following an International Prospective Register of Systematic Reviews (PROSPERO)- registered protocol (CRD42023475038), three authors conducted a systematic review of the PubMed/MEDLINE, Embase, Cochrane Library, and CINAHL databases for articles comparing the use of tenecteplase with any thrombolytic agent in patients with acute ischemic stroke up to November 20, 2023. The certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. Two independent authors extracted data onto a standardized data collection sheet. A pairwise meta-analysis was conducted in risk ratios (RR).Results From 34 studies (59,601 participants), the rate of complete recanalization was significantly higher (P<0.01) in Asian (RR: 1.91, 95% confidence interval [CI]: 1.30 to 2.80) versus Caucasian patients (RR: 0.99, 95% CI: 0.87 to 1.14). However, Asian patients (RR: 1.18, 95% CI: 0.87 to 1.62) had significantly higher (P=0.01) rates of mortality compared with Caucasian patients (RR: 1.10, 95% CI: 1.00 to 1.22). Caucasian patients were also more likely to attain a modified Rankin Scale (mRS) score of 0 to 2 at follow-up (RR: 1.14, 95% CI, 1.10 to 1.19) compared with Asian (RR: 1.00, 95% CI, 0.95 to 1.05) patients. There was no significant difference in the rate of symptomatic intracranial hemorrhage (P=0.20) and any intracranial hemorrhage (P=0.83) between Asian and Caucasian patients.Conclusion Tenecteplase was associated with significantly higher rates of complete recanalization in Asian patients compared with Caucasian patients. However, tenecteplase was associated with higher rates of mortality and lower rates of mRS 0 to 2 in Asian patients compared with Caucasian patients. It may be beneficial to study the variations in response to tenecteplase among patients of different ethnic groups in large prospective cohort studies.
DNA AND RNA SEQUENCING TECHNIQUE –ADVANCE IN DIAGNOSIS OF DRUG RESISTANT INFECTIONS, CANCER MANAGEMENT, REPRODUCTIVE HEALTH & GUT MICROBIOME
Authors: Dave Rajal
Published: September 2024

Next generation sequencing technology (NGS) is the latest sequencing platform that assesses the whole genome, either DNA or RNA in a single process in very short time. Technique is similar works like capillary electrophoresis in which enzyme DNA polymerase incorporates fluorescently labelled-deoxyribonucleotide triphosphate (dNTPs) into DNA strand. Whole process carried out during DNA synthesis. Added nucleotides are recognized through excited fluorophore. Compared to other traditional method, NGS can sequence many DNA fragments with high accuracy.
NON-TUBERCULOUS MYCOBACTERIA
Authors: Gota B.V. Apoorva
Published: September 2024

Mycobacteria is classified into 4 groups based on the species causing human disease, growth rate, capability of causing tuberculosis (TB), and non-pathogenic mycobacteria.
THE ROLE OF NITROUS OXIDE INHALATION SEDATION IN DIVERSE DENTAL AND MEDICAL SETTINGS
Authors: Deshpande Dr. Anshula , Baishya Dr. Simron
Published: September 2024

Nitrous oxide is a colorless and odorless gas that is administered through a mask placed over the patient's nose. The gas is mixed with oxygen to create a controlled and safe blend, typically ranging from 20% to 70% nitrous oxide, with the remainder being oxygen. The effects of Nitrous oxide inhalation sedation (NOIS) are rapid, with the onset occurring within minutes of inhalation. It induces a state of conscious sedation with the effects typically mild to moderate and produces a sense of euphoria and relaxation, helping patients feel more at ease during procedures. It is particularly beneficial for individuals experiencing anxiety or fear associated with treatments. NOIS has proven to be a valuable and versatile tool in healthcare for a wide range of patients undergoing different medical and dental interventions. It is often used for pediatric patients, anxious adults, or individuals with special needs.
FUTURISTIC TRENDS IN PERIODONTICS
Authors: Deshpande Dr. Neeraj , Shah Dr. Aayushi
Published: September 2024

With the advancement in medical science and digitalization, the ability to diagnose, anticipate, and treat periodontitis may be improved by a number of novel technologies that have been or are being developed. Periodontal regeneration may be possible with the use of more recent therapeutic approaches. Patients with persistent periodontal disease will benefit from the pursuit of novel or updated techniques to control the disease. More attention is being paid to the creation of more accurate and focused diagnostic tools for periodontal disorders, in addition to innovative treatments. The results of these tests will enable clinicians to assess a patient's level of disease activity and the potential for attachment loss. With the innovation of various biomarkers and diagnostic probes the disease activity can be monitored at the micro level and accordingly, the best treatment can be provided. With the newer surgical techniques, a more precise and minimally invasive surgical procedure is possible in periodontal regeneration and dental implants.
COMBATING ANTIMICROBIAL RESISTANCE – A ONE HEALTH APPROACH
Authors: Das Dr. Dipmala , Gupta Dr. Pratima
Published: September 2024

AMR (Antimicrobial Resistance) is a multidimensional problem that endangers both human and animal health. Improving global surveillance of antimicrobial resistance and decreasing consumption of antibiotics in humans and animals can contribute reducing antimicrobial resistance. The One Health approach is a comprehensive strategy that recognizes the interconnectedness of human health, animal health, and environmental health in the fight against AMR. Understanding the exact burden of the AMR is a challenging task. In the year 2017, Union Ministry of Health and Family Welfare started India′s National Action Plan (NAP) for creating Awareness for antimicrobial resistance with goals of raising awareness, boosting surveillance, improving infection prevention and control, undertaking research and development, supporting investments, and collaboration among different sectors to combat AMR. AMR spread through the triad of environment, animal and man. Resistant microorganisms and genes are spreading very rapidly and widely through food chains and environment. In accordance with the Global Action Plan for Anti- Microbial Resistance has been implemented throughout India over six years in a phase wise manner to fight against AMR. The necessity of the hour for significant community engagement is to promote awareness and advocacy regarding AMR. Enhanced surveillance and strategies based on evidence, interdisciplinary collaboration, judicial antimicrobial use, new research must be implemented through regional, national and international policies. In this chapter, threats of AMR and steps to tackle this menace of AMR with the help of One health approach have been discussed along with future perspectives of intersectoral involvement and engagement.
NEWER MODALITIES IN PREVENTION AND MANAGEMENT OF OBESITY
Authors: Rajappan Dr. Remesh , Verma Dr. Snehalata , Gautam Dr. Sandhya
Published: September 2024

The issue of obesity has grown to epidemic proportions nowadays. Over 50 genes linked to obesity have been found in genome-wide studies. Obesity significantly raises mortality and morbidity risks at any age. Current management involves lifestyle changes, medications and surgical interventions. Additionally, novel strategies such as advanced drug delivery, vaccines, gut microbiome modulation, and gene therapy are being explored to combat obesity. The potential of Artificial Intelligence to transform obesity management is also being recognized.
RADIOLOGY RENAISSANCE: UNVEILING THE TAPESTRY OF TECHNOLOGICAL TRANSFORMATION
Authors: G. Nair Dr. Megha
Published: September 2024

This chapter delves into the transformative landscape of radiology in 2023, depicting a convergence of technological innovations reshaping the core of medical imaging. The narrative unfolds a tapestry woven with eight pivotal trends, encompassing the fusion of artificial intelligence (AI) and medical imaging, the ascendancy of blockchain technology, and the emergence of cutting-edge imaging techniques. The partnership between AI and radiology marks a paradigm shift, elevating diagnostic precision to unprecedented levels while alleviating physician burnout and staffing shortages. Web-based enterprise imaging, off-site cloud storage, and advancements in CT and MRI technologies epitomize this evolution, fostering seamless collaboration and streamlined efficiency across healthcare systems. AI's integration manifests through automated detection algorithms, streamlining time-consuming processes, and quantifying biomarkers, enhancing diagnostic capabilities and expediting patient care. Meanwhile, blockchain technology fortifies data security and empowers patients by granting control over their medical information. Insights into innovative imaging techniques, including photon-counting CT, dynamic cine MRI, and dark-field chest radiography, underscore the pursuit of precision and comprehensive diagnostic tools in radiology. Ultimately, this chapter encapsulates radiology's role not merely as a scientific domain but as an orchestrator of transformation, envisioning a future where technological advancements, patient-centric care, and diagnostic precision converge to redefine the landscape of healthcare
MULTISENSORY ENVIRONMENT IN PEDIATRIC CLINICS
Authors: Deshpande Dr. Anshula , Dori Dr. Sneha
Published: September 2024

Pediatric clinics play a crucial role in providing comprehensive healthcare for children. However, traditional clinical settings often lack engagement and may induce stress or anxiety in pediatric patients. Introducing multisensory environments (MSE) within these clinics presents an innovative approach to enhance the healthcare experience for children. Incorporating MSEs in pediatric clinics aims to create therapeutic atmospheres conducive to relaxation, distraction, and emotional regulation for young patients. The incorporation of multisensory environments in pediatric clinics represents a promising avenue for enhancing the overall healthcare experience for children, fostering a nurturing environment that prioritizes their emotional and psychological needs alongside medical treatment.
The Role and Challenges of Women in Realizing Harmonious Families Towards Society Era 5.0 from an Islamic Law Perspective
Authors: Distiliana Distiliana , Herlinsi Herlinsi
Published: September 2024

This study aims to determine the Role and Challenges of Women in Realizing a Harmonious Family towards Society era 5.0. This research is descriptive qualitative research with the type or nature of literature research or literature research, as for the technique used, namely, researchers collect data related to research in the form of books, manuscripts, articles, previous research reports, and newspapers both online and offline and so on. The research results showed that women are creatures created by God (Allah) who have the nature of menstruation, pregnancy, childbirth, and adjustment. Society 5.0 is a concept of changing social, economic, and educational life in the digital era, where almost all human work will be replaced by machines. The roles and challenges of women in realizing a harmonious family towards Society 5.0 are life changes, managing households, educating children, supporting husbands' work, and fighting for gender equality. The challenge is the role—double, gender inequality, work-family balance, unfettered internet access, and changing values and morals.
Competitividade da indústria automobilística do Brasil: uma análise dos veículos leves
Authors: Nascimento Renata Cristina Andrade do , Pereira Rafael Mesquita
Published: September 2024

Este trabalho tem como objetivo principal analisar a competitividade da indústria automobilística brasileira de automóveis leves e suas partes no mercado internacional. Para este fim, a partir de dados do portal Comex Stat, vinculado ao SISCOMEX (Sistema Integrado de Comércio Exterior), e do UN Comtrade (The United Nations Comtrade), será calculado o Índice de Vantagens Competitivas Reveladas (CR) com o intuito de verificar o comportamento da competitividade da mencionada indústria e seus segmentos entre os anos de 2000 e 2020. Em geral, os resultados indicam que o setor automobilístico brasileiro apresentou vantagens competitivas reveladas apenas no período inicial de análise. Em relação aos automóveis leves e suas partes, verificou-se competitividade revelada apenas no segmento de chassis do país, enquanto as demais partes, peças, acessórios e carroçarias, apresentaram desvantagem competitiva revelada durante grande parte dos anos analisados. Estes resultados indicam, então, que nos últimos anos o setor automobilístico de automóveis leves do Brasil apresentou desvantagem competitiva no mercado internacional, em geral.
O discurso do Empreendedorismo sob a perspectiva da Análise do Discurso Crítica
Authors: Pereira Fernando Batista , Santos Carolina Vaz
Published: September 2024

O objetivo deste artigo é discutir a disseminação do discurso sobre o “empreendedorismo” no contexto das relações de trabalho contemporâneas no Brasil, a qual vem sendo feita de forma acrítica e sem questionamentos, associando o tema ao desenvolvimento econômico e ao sucesso pessoal. Para isso, utilizou-se da Análise do Discurso Crítica, de Fairclough e Wodak, assim como análise de microdados trimestrais da Pesquisa Nacional por Amostra de Domicílios Contínua (PNAD Contínua, do Instituto Brasileiro de Geografia e Estatística - IBGE) do mercado de trabalho brasileiro para o período de 2015 a 2021. Os resultados indicam que o processo de desindustrialização e financeirização da economia levaram a uma precarização do trabalho, fazendo com que o discurso do empreendedorismo emergisse no bojo das reformas neoliberais das últimas décadas, em particular a reforma trabalhista de 2017.
Uso de drone para a estimativa do material combustível em formações campestres no Cerrado
Authors: Souza Igor Viana , Silva Francisca de Cássia Silva da , Batista Antonio Carlos , Santos Gil Rodrigues dos , Coelho Maria Cristina Bueno , Giongo Marcos
Published: September 2024

Em busca de alternativas para aprimorar o controle e gerenciamento das ações de prevenção aos incêndios, novas técnicas para quantificação do material combustível têm sido estudadas. Para reduzir os custos e tempo gasto em campo, o uso de sensores multiespectrais e câmera RGB (Red, Green e Blue) vêm se destacando como ferramentas úteis e eficazes na estimativa do material combustível. Nesse contexto, objetivou-se neste trabalho avaliar a viabilidade da utilização de um sensor multiespectral e câmera digital RGB aerotransportada por um multirrotor, para estimativa de carga de material combustível em área de Cerrado por meio de regressão linear. O trabalho foi conduzido em área de formação savânica, onde foram avaliadas 40 amostras de carga de material combustível em parcelas de 1 m², coletando-se também imagens, mediante a um aerolevantamento, para obtenção de variáveis de reflectância, índices de vegetação e variáveis descritivas do modelo tridimensional. A equação ajustada para prever o conteúdo de material combustível (MCT) na área de estudo revelou-se relevante, com significância estatística (p < 0,001), um coeficiente de determinação (R²) de 0,70 e R² ajustado de 0,65. Ao analisar a influência das variáveis no modelo, observou-se que, embora a densidade de pontos no modelo (DPM) apresentasse correlações superiores entre as variáveis, o índice de vegetação NDVI exerceu uma influência mais significativa, evidenciada pelo seu maior peso na equação ajustada.
Janja e Michele: a disputa simbólica das primeiras damas
Authors: Wainberg Jacques Alkalai
Published: September 2024

Este estudo empírico avalia o enquadramento emocional de títulos e matérias jornalísticas das figuras de Janja e de Michele Bolsonaro. Avalia também a disputa simbólica que as duas primeiras-damas travam através da mídia. O resultado das análises de discurso mostra que não há uma vitoriosa. Resulta o ensinamento de que as esposas de Lula e de Jair Bolsonaro são agora vetores simbólicos relevantes às causas dos seus partidos, o PT e o PL.
Obituario de Pedro Felix [Pierfelice] Ravenna, ¿un gigante olvidado?
Authors: Deble Leonardo Paz
Published: September 2024

Durante los últimos meses he estado buscando información y ayuda para sacar a la luz el obituario de Pedro Felix [Pierfelice] Ravenna, uno de los botánicos más importantes de la segunda mitad del siglo XX y principios del XXI. Su trabajo no se limitó al análisis de ejemplares de herbario, sino también a numerosas excursiones principalmente por América, que dieron como resultado la descripción de nuevos taxones, principalmente de Alliaceae , Amaryllidaceae e Iridaceae, como así también otras monocotiledóneas (Agavaceae, Bromeliaceae, Gilliesiaceae, Herreriaceae, Hyacianthaceae, Icacinaceae, Liliaceae, Maranthaceae, Orchidaceae, Tecophyllaceae, Velloziaceae) y dicotiledóneas (Apiaceae, Asteraceae, Bignoniaceae, Bombacaceae, Brassicaceae, Caryophyllaceae, Cucurbitaceae, Fabaceae, Fagaceae, Valerianaceae, Verbenaceae). Además de eso, también contribuyó con floras regionales de la Argentina, Chile, Paraguay y Brasil. También cabe destacar la reciente publicación póstuma de  (Familia Iridaceae y parte de Amaryllidaceae) 2. Mi más sincero agradecimiento por la información brindada al ingeniero agrónomo y botánico chileno Jorge Macaya-Berti, quien por motivos personales no pudo participar en la elaboración conjunta del texto según el propósito inicial, y a mi amigo personal, uno de los más virtuosos botánicos argentinos de la actualidad Héctor Alejandro Keller, por su ayuda con la traducción del texto al español, la lectura crítica y sobre todo con la resolución de partes del manuscrito y especialmente con la estructuración de la parte final del texto, que consideré muy apropiada. El texto presentado, que sigue el orden cronológico de las publicaciones de Ravenna, es desarrollado mediante comentarios y enriquecido con notas al pie de página. Estas últimas son secuenciales y siguen dos patrones: comentarios adicionales y nota del autor. El primero presenta información adicional sobre el texto, mientras que el segundo proporciona comentarios personales hechos por mí sobre temas específicos.
Experiência docente na mediação de entrevistas via rádio: diálogos sobre Educação Ambiental e Educação do Campo
Authors: Freitas Rafael Almeida de
Published: September 2024

No presente artigo, apresento entrevistas mediadas via rádio, promovidas por meio de um projeto de extensão universitária em parceria com uma rádio local, no contexto da Região da Zona da Mata Mineira. Relato as temáticas da Educação Ambiental e Educação do Campo na perspectiva da comunicação e divulgação científicas, baseado nas contribuições do rádio como tecnologia de informação e comunicação que contribui para o desenvolvimento crítico da população e possibilita aproximações entre a universidade e a comunidade local. Discuto como as entrevistas via rádio podem contribuir com as práticas de (in)formação e comunicação, baseado em experiências vividas enquanto docente mediador de duas entrevistas realizadas durante os anos de 2021 e 2022 no programa “Hora da UEMG”, pela rádio Educativa FM 96,7, no contexto pandêmico de afastamento e isolamento social. O programa é vinculado a um projeto de extensão registrado na Universidade do Estado de Minas Gerais – Carangola, no qual atuei como colaborador. A experiência enquanto mediador evidencia e ratifica a importância do rádio como dispositivo de (in)formação e comunicação, possibilitando nesse caso diálogos sobre Agricultura Familiar e Meio Ambiente, Educação do Campo e Educação Ambiental. Sinalizo para a relevância da atividade de mediação em aspectos da formação e atuação docentes, com destaque para a docência universitária e para o desenvolvimento da população acerca dos saberes compartilhados e da compreensão crítica do rádio enquanto tecnologia e veículo de informação e comunicação.
Nós por nós mesmas: cuidados destinados às mulheres negras na Atenção Primária à Saúde
Authors: Oliveira Quésia Alcântara , Vasconcellos Erika Antunes , Santos Vanessa Thamyris Carvalho dos
Published: September 2024

O presente artigo objetiva relatar as experiências desenvolvidas em um grupo de cuidados como ferramenta de suporte psicológico às mulheres negras na Atenção Primária. Este nível de atenção é responsável por integrar, organizar, reordenar e coordenar um conjunto de ações voltados ao cuidado dos usuários e usuárias do sistema Único de Saúde. Trata-se de estudo qualitativo, descritivo, do tipo relato de experiência, tendo como locus uma Unidade de Saúde da Família do sul da Bahia, a qual recebe um Programa de Residência Multiprofissional. O desenvolvimento deste trabalho pode contribuir para o campo da psicologia e das políticas públicas, à medida que tece reflexões teóricas sobre a importância de um olhar político-racial na saúde e fomenta tecnologias de cuidado às mulheres negras na Atenção Primária.
Despertando conhecimento e conexões: jornada pela história do sono e a arte de dormir - relato de prática extensionista
Authors: Andrade Michael Jackson Oliveira de , Mourão Bruna Machado , Dias Matheus de Souza , Silva Emilly Francianne Lamêgo da , Macedo Nayara Letícia Silva , Sousa Déborah Conceição de Carvalho , Ribeiro Francimara Diniz , Pinto Alexandra Nayara Alves
Published: September 2024

Este artigo descreve a exposição "Entre Sonhos e Realidade: uma Jornada pela História do Sono e a Arte de Dormir", que abordou a temática do sono, explorando sua relação com a história e a arte. A exposição ofereceu uma perspectiva única sobre a percepção e compreensão do sono ao longo do tempo e como isso influencia nosso entendimento atual. A criação da exposição envolveu a organização cuidadosa de vários objetos em categorias para facilitar o manuseio. As atividades incluíram uma coleção de pinturas retratando a história do sono, poesias, uma caixa temporal dos sonhos, um mural com dicas para a higiene do sono e higiene circadiana, e um céu noturno com o tema de aurora boreal. A exposição teve um impacto significativo no público, promovendo mudanças de percepção, aquisição de conhecimento, despertar de emoções e reflexões sobre o sono.
Pengaruh Kemiringan Spindel Dan Kecepatan Putaran Spindel Terhadap Getaran Mesin Frais Universal Knuth UFM 2
Authors: Romiyadi Romiyadi
Published: September 2024

— In milling process with spindle slope, the milling process requires energy from milling machine. The greater the spindle slope estimated to be the greater energy required by the milling machine. Therefore, the machining vibration that occurs was estimated to be very big. This study aimed to determine the influence spindle slope to machining vibration in milling machine with variations of spindle speed. This study used Milling Machine Knuth Universal UFM 2 with vertical milling approach. The slope spindle used was 300, 450 and 600. The machining process parameters varied was the spindle speed, while feed and depth of the cut were constant. The study results show that the greater the spindle slope, the greater the machining vibration on the up milling process and the down milling processes for all spindle slope. Similarly with the influence of spindle speed to machining vibration in milling process.
Pengaruh Arus Pengelasan Terhadap Kekerasan Hasil LasPelat Baja Karbon S45c Dengan Proses SMAW
Authors: Swasono Tulus , Azriadi Emon
Published: September 2024

Welding is a process of joining two or more metals which is widely applied in the industrial world. To get good welding results, it is necessary to choose the right amount of current. In this study, variations in the amount of current used were 60 A, 70 A and 80 A for welding S45C carbon steel plates, using the SMAW welding method. The results of the welding were then tested for hardness using the Rockwell HRB scale method in the weld metal, HAZ, and base metal areas. From the results of this study, the hardness value in the weld metal area was higher than the hardness value in the HAZ and base metal areas. And a good current used in welding S45C carbon steel plates is a welding current of 80 A.
Pengaruh Kualitas Pelayanan Puskesmas Terhadap Kepuasan Pasien BPJS Menggunakan Metode Service Quality
Authors: Erinda Cahya Herani  , Ismi Mashabai
Published: September 2024

Lopok Health Center is one of the government agency health centers. The problem that occurs at the Lopok Health Center is complaints from patients. This study aims to measure patient satisfaction with service quality, knowing the GAP value. The measurement of the quality of puskesmas services uses the service quality method with five dimensions, tangibles, reliability, responsiveness, assurance and empathy using a Likert scale. The results of service quality calculations obtained GAP values of tangibles dimensions (-0.6075), reliability (0.115), responsiveness (-0.08), assurance (-0.035), and empathy (-0.1825) which showed that the quality of puskesmas services given less in accordance with the expectations of the patient's wishes.
Analisis Pengendalian Kualitas Produk Base Plate Kereta Api Dengan Menggunakan Metode Seven Tools Di PT Sinar Semesta
Authors: Ahmad Sobirin  , Ari Zaqi Al Faritsy
Published: September 2024

PT Sinar Semesta is an industrial company engaged in metal casting, one of which is Base Plate which is located on Jl. Raya Solo-Yogya Km. 26 Klepu, Ceper, Klaten. The problem that arises at PT Sinar Semesta is product quality that needs to be improved so that it can compete with other products on the market. Therefore to improve product quality, PT Sinar Semesta needs to be directly supported by all parties in the company and all operators, especially the production operators. This study used the Seven Tools Quality with the results of the research that in January - December 2021 PT Sinar Semesta produced 2091 Base Plate products, with a total of 301 defects. There were three types of defects studied in January - September 2021, namely perforated with 95 defects in Base Plate products, porous  defects with 139 defects, and rough surface defects with 67 defects with a defect percentage of 31.56%, 46, 17%, and 22.26%.
Analisisis Risiko Bahaya Keselamatan Dan Kesehatan Kerja Dengan Menggunakan Metode Hirarc Dan Fmea Pada Proses Finishing
Authors: Dwi Kurniawan  , Widya Setiafindari
Published: September 2024

PT Asian Isuzu Casting Center (AICC) is a company engaged in the Casting manufacturing industry. Work accidents at PT Asian Isuzu Casting Center (AICC) in 2021 to 2022 there are 8 cases of work accidents, namely the occurrence of hand injuries caught between the roller and the product on the finishing machine line A in August 2022, while in July 2022 in the processing section production of shotblast 2, with a wound The ring finger of the victim's right hand was caught in a pendulum plate which came off while helping with repair maintenance with the victim being lightly injured. In this study, the Hirarc method was used to identify an accident risk that could occur, and the Fmea method was used to analyze a system or material failure and evaluate the effects of the failure. The results of hazard identification show 7 potential hazards that have been identified. At every finishing post. for the Fmea method there are 4 potential hazards at each finishing post. From the results of observations and observations in the field carrying out repair controls such as installing signs on each production line so that the data can serve as a reminder when the operator is working, such as providing special lines for forklift operations (administrative control), safety controls for employees and safety helmets to minimize falling products (PPE), and control of the use of gloves, Provision of APAR in the work area.
Pengukuran Kualitas Produk EQ Spacing Dengan Metode Statistic Quality Control (SQC) Dan Fault Tree Analysis (FTA) Di PT Sinar Semesta
Authors: Rudi Setiadi  , Ari Zaqi Al Faritsy
Published: September 2024

PT Sinar Semesta is an industrial company engaged in metal casting. The problems that arise at PT Sinar Semesta are what type of disability is the most dominant and what factors influence the type of disability. The purpose of this research is to find out the types of product defects, and the solutions that can be taken to overcome these problems. This study uses the Statistical Quality Control (SQC) method used to control quality from the initial process to the finished product and Fault Tree Analysis (FTA) is used to determine what factors cause defects in the product. Based on the results of a pareto chart analysis from November 2021 to October 2022, the total production was 3008 products, there were 838 defective products. There are two types of defects in the Eq Spacing product, including defects in the tail of rats obtained at a percentage of 91.53% with a cumulative percentage of 91.53% and water defects obtained at a percentage of 8.47% with a cumulative percentage of 100%. Factors causing defects with the greatest weight are careless operators and fatigue for the proposal obtained, namely supervising workers so that accuracy can be maintained.
Pengaruh Marketing Mix 7P Terhadap Minat Beli Konsumen Di Dodolan Coffee Solo
Authors: Apnes Nur Setiyawan  , Indah Wahyu Utami  , Fery Wisnu Saputro
Published: September 2024

The current business development is quite rapid, especially in the coffee shop business so that the competition between businesses is also increasing, so there is a need for a strategy to attract consumers. The 7P marketing mix strategy is a strategy that can increase product sales by increasing product competitiveness in order to get maximum profit on target. This study aims to determine the marketing mix strategy, as well as the variables that can influence consumer buying interest at the Dodolan Coffe coffee shop. Data collection through interviews, questionnaires, observation and literature study. The results of the study from 95 respondents obtained that from the F test the marketing mix variable 7P simultaneously had a significant effect on purchasing decisions for Dodolan Coffe products of 0.000 <0.05 and the calculated F value was 66.947 > F table 1.86. Other results using the T Test on the decision to buy Dodolan Coffee products, there are 3 variables (People, Promotion, Process) that are influential so that it must be considered, then there are 4 variables (Place, Product, Price, Physical Evidence) that have no effect so they are not a top priority in increasing consumer purchasing power.
Robustness of prestressed reinforced concrete structures under special impacts
Authors: Fedorova Natalia , Iliushchenk Tatiana
Published: September 2024

The purpose of the study was to develop the principles of the theory of robustness of reinforced concrete structural systems of buildings and structures with prestressed elements and methods of protecting them from progressive collapse under special impacts. To achieve this, the article presents the results of studies of monolithic reinforced concrete frames of multi-storey buildings and reinforced concrete frames, with prestressed elements in transcendent states caused by special effects, are given in the article. The current state of the problem of robustness of building frames under special impacts is considered. A method for calculating the reinforced concrete frame of a multi-storey building with prestressed elements has been developed and its static-dynamic deformation has been studied to determine the robustness parameter. The parameters of deformation and destruction of prestressed reinforced concrete multi-story frame frames of buildings under design and beyond design impacts are experimentally determined. The results of the experimental study of frame structures are compared with the results of studies of similar structures without prestressing. The obtained results of the study can be used in the development of methods for protecting the frames of multi-storey buildings from progressive collapse.
Psychological insights into language acquisition: Effects on speaking performance
Authors: Banupriya S. , Aravind B. R.
Published: September 2024

This study looks into how well form-focused instruction coupled with listening-based teaching strategies might improve English as a Second Language (ESL) students’ speaking abilities. The relationship between vocabulary proficiency, attentive listening abilities, and active participation in speaking tasks among ESL learners is the main emphasis of the study. Data from the pre- and post-test outcomes of 72 ESL students were analysed quantitatively using statistical techniques. Pre-test results showed a variety of skill levels from basic to intermediate and maybe higher, with participants categorized into “Beginning,” “Developing,” and “Bridging” groups. The effectiveness of the interventions was demonstrated by the post-test findings, which showed that speaking abilities at all competence levels increased with the use of instructional techniques and speaking practice procedures. The study emphasizes the importance of cognitive and affective components in language acquisition from a psychological standpoint. While form-focused education aids in the internalization of vocabulary and grammatical structures, listening-based teaching strategies activate students’ auditory processing talents, which are essential for language learning. These techniques probably lessen cognitive overload and improve recall because they encourage active listening and involvement. A positive attitude toward language acquisition and increased self-efficacy can also be fostered and anxiety reduced in pupils by the organized and encouraging learning environment. The study highlights how important it is to implement effective teaching strategies that blend form-focused education with content-rich, literature-based instruction to enhance ESL students’ speaking ability. The findings provide useful data that aids in curriculum designers and language instructors in modifying their pedagogical approaches in accordance with students’ proficiency levels, leading to more targeted and efficient language learning experiences. Subsequent research endeavours may explore the enduring consequences on the enhancement of linguistic proficiency and delve more profoundly into specific domains of teaching methodologies. All things considered, this study contributes to the ongoing discussion in language instruction and offers practical guidance to ESL instructors worldwide.
The PROPHESYS Cohorts Evaluated Standard Treatment with Peginterferon Alfa/Ribavirin for Chronic Hepatitis C
Authors: Garrepalli Saritha
Published: September 2024

Dual peginterferon/ribavirin therapy remains a viable option for patients with chronic hepatitis C, because of the high cost of Direct-acting Antiviral Agents (DAA). We assessed real-life practice and treatment outcomes in Hungarian treatment-naive HCV genotype 1-infected patients who received peginterferon alfa-2a/ ribavirin treatment.
Biological Active Compounds from Plants of Subarctic Origin
Authors: Ravi Putta
Published: September 2024

Several plants are reported to be produced various biological active compounds. Lichens from the extreme environments such as high altitude, high UV, drought and cold are believed to be synthesized unique types of secondary metabolites than the other one. Several human pathogenic bacteria and fungi have been muted into drug resistant strains. Various synthetic antioxidant compounds have posed carcinogenic effects. This phenomenon needs further research for new effective drugs of natural origin. This manuscript aimed to screen new source of biological active compounds from plants of subarctic origin.
ՀՀ ՎԵՐԱՔՆՆԻՉ ՔԱՂԱՔԱՑԻԱԿԱՆ ԴԱՏԱՐԱՆԻ ՀԱՅԵՑՈՂՈՒԹՅՈՒՆՆ ԻՐ ԼԻԱԶՈՐՈՒԹՅՈՒՆՆԵՐԸ ԿԻՐԱՌԵԼԻՍ ՄԱՍ 2. «ՍՏՈՐԱԴԱՍ ԴԱՏԱՐԱՆԻ ԴԱՏԱԿԱՆ ԱԿՏԵՐԻ ԹԵՐԻ ԿԱՄ ՍԽԱԼ ՊԱՏՃԱՌԱԲԱՆՎԱԾ ԿԱՄ ՀԻՄՆԱՎՈՐՎԱԾ ԼԻՆԵԼՈՒ ԳՆԱՀԱՏՄԱՆ ԱՌԱՆՁՆԱՀԱՏԿՈՒԹՅՈՒՆՆԵՐՆ ՈՒ ՉԱՓԱՆԻՇՆԵՐԸ»
Authors: MANUKYAN MARIAM
Published: September 2024

Within the framework of scientific research, an attempt is made to determine the existing criteria for assessing whether the judicial acts of the lower court are incomplete or unfounded or justified, and to propose new criteria that will be more targeted/relevant in each specific case.

And also in this context, to present the scope of discretion of the RA Civil Court of Appeal (hereinafter also the Court of Appeal) in the matter of choosing its powers and answer the following question: does the Court of Appeal have legislative duties and/or should not have them in terms of justifying the choice of its own powers.

The main goals of this work are:

• As a result of a systematic analysis, to identify the criteria for choosing the powers of the RA Court of Appeal and their features,

• Conduct a legal analysis by defining the existing criteria for assessing whether the judicial acts of the lower court are incomplete or improperly substantiated or justified.

• Propose new criteria for assessing whether the judicial acts of the lower court are incomplete or unfounded or justified, which would be more targeted/relevant in each specific case.

• Presentation of broad and narrow interpretations of specific articles of the RA legislation, their disclosure and justification.

• Identification and justification of comments aimed at overcoming legal uncertainty.

Problems of the scientific paper answered the following questions:

1. What are the existing criteria for assessing whether the judicial acts of the lower court are incomplete or unfounded or justified? Are the existing criteria sufficient for such an assessment.

2. Is the discretion of the Court of Appeals of the Republic of Armenia absolute in the matter of the selection of powers defined by the Civil Procedure Code of the Republic of Armenia, in the event that a specific power may be applied (there is a legal possibility) in the context of the factual circumstances of the case?

3. Shouldn’t the RA Court of Appeals have a legislative duty to justify the choice of its powers to be exercised as a result of the examination of the appeal filed against the judgment defined by the RA Civil Procedure Code and/or does the RA Court of Appeals not currently have such a legislative duty?
ՅԱՏՐՈԳԵՆ ՀԱՆՑԱԳՈՐԾՈՒԹՅՈՒՆՆԵՐԻ ՍՈՒԲՅԵԿՏԻՎ ԿՈՂՄԻ ՈՐՈՇ ԱՌԱՆՁՆԱՀԱՏԿՈՒԹՅՈՒՆՆԵՐ
Authors: SARGSYAN ADELINA , HAKOBYAN ANUSH
Published: September 2024

This article provides criminal-legal and criminological characteristics of the subjective side of iatrogenic crimes committed by medical workers. Based on the analysis of various academic works and judicial practice of the Republic of Armenia, it is concluded that the crimes committed by medical workers, as a rule, are based on negligence. At the same time, it is noted that there is an increased degree of public danger of crimes committed due to the frivolity of medical workers. It is concluded that it is necessary to consolidate the norm of careless co-infliction of harm as a result of consistent actions of medical workers. Materials from judicial practice on iatrogenic crimes, the results of sociological surveys conducted in various regions of the Republic of Armenia served as the empirical basis for the study.

The authors put forward a proposal regarding the consolidation in the Criminal Code of the Republic of Armenia of one of the main manifestations of negligence of medical workers, namely, professional ignorance, characterized by a person’s lack of relevant professional knowledge, skills, and abilities.

Taking into account the lack of special knowledge in the field of medicine among law enforcement officers and the difficulties encountered in the investigation of iatrogenic crimes, the authors proposed the organization of professional retraining courses for investigators, as well as the creation of specialized units for the investigation of iatrogenic crimes.
ԴԱՍՏԻԱՐԱԿՉԱԿԱՆ ԲՆՈՒՅԹԻ ՀԱՐԿԱԴՐԱՆՔԻ ՄԻՋՈՑՆԵՐԸ ՀԱՅԱՍՏԱՆԻ ՀԱՆՐԱՊԵՏՈՒԹՅԱՆ ՆԱԽԿԻՆ ԵՎ ՆՈՐ ՔՐԵԱԿԱՆ ՕՐԵՆՍԳՐՔԵՐԻ ՀԱՄԱՏԵՔՍՏՈՒՄ (ՀԱՄԵՄԱՏԱԻՐԱՎԱԿԱՆ ՎԵՐԼՈՒԾՈՒԹՅՈՒՆ)
Authors: KHACHATRYAN HRIPSIME
Published: September 2024

The author devoted his work to a comparative legal analysis of the issue of importance for the prevention of juvenile delinquency and the resocialization of juveniles, and compulsory educational measures in the context of the former and current criminal codes.

As a result of the conducted research, quantitative and qualitative changes in compulsory educational measures were touched upon, and the positive and negative meanings of these changes were discussed. In particular, the current legislation provides for five compulsory educational measures instead of the previous four, in addition, warning as a compulsory educational measure is generally excluded, and the remaining three are either supplemented or modified in content. Two new measures were envisaged: completion of studies, continuation of studies, admission to work through the mediation of a municipality and participation in a special educational, sports, cultural or social program or event or rehabilitation program in a rehabilitation institution. The first measure was not envisaged for by previous legislation as an independent measure, but was applied in the context of restricting leisure freedom and establishing special requirements for the behavior of juveniles, and the second measure is an innovation in the legislation of the RA.

The results of the study were summarized by the author in the format of conclusions and suggestions of practical importance.
Mulheres grávidas deficientes: panorama sobre a assistência pré-parto disponível no Brasil e no mundo
Authors: Colin Stelzner Mariana , Cinelli Milton José
Published: September 2024

As experiências vividas durante a gestação podem influenciar a qualidade da maternidade. Em se tratando de mulheres grávidas deficientes, os desafios são ainda maiores. O presente trabalho teve como objetivo identificar, através de uma busca sistemática, estudos sobre as práticas de auxílio e apoio  para o preparo das gestantes deficientes e profissionais da saúde relacionados ao parto, afim de estabelecer uma quadro da situação atual de como essas mulheres estão sendo amparadas no Brasil e no mundo. Como resultado, verificou-se que a maioria dos estudos relatam as experiências tanto das mulheres grávidas deficientes quanto dos profissionais da saúde, as necessidades de ambos em relação às suas interações, e poucos se discute sobre soluções para essas necessidades, demonstrando a relevância dessa discussão.
Story of a Death Foretold
Authors: Conceição Lucas , Avelar Mariana
Published: September 2024

On 30 August 2024, the Brazilian Supreme Federal Court Justice Alexandre de Moraes suspended X (former Twitter) in Brazil. The decision follows a critical deterioration of the relationship between Elon Musk and Brazilian authorities, which became confrontational in April and hit an all-time high point of contention when the tech billionaire closed X's Brazilian office in mid-August. While Musk's attitude towards the Brazilian rule of law can be defined as delinquent, entitled, and anarchist, the Supreme Court’s decision to ban the platform in the country and establish hefty fines for any Brazilian attempting to use a VPN to access it is also controversial. Within the complexity of democratic erosion and digital policy in Brazil, the judicial expansion of power vis-à-vis the struggle against disinformation has been observed at least in the last five years, and the lack of a general legal framework regulating digital platforms supports these immediate but many times inefficient and legitimacy eroding measures.
Stressfaktor Staatsexamen
Authors: Giglberger Marina
Published: September 2024

Das Erste Juristische Staatsexamen zählt aufgrund der Menge des in einem Block geprüften Stoffumfangs und der damit verbundenen langen Prüfungsvorbereitung zweifellos zu einer der anspruchsvollsten Prüfungsphasen des deutschen Hochschulsystems. Das JurSTRESS-Projekt konnte mithilfe moderner biopsychologischer Methoden und einem detaillierten, longitudinalen Design bestätigen, dass die Vorbereitung auf die Erste Juristische Staatsprüfung eine sehr belastende Zeit für die Studierenden darstellt. Besonders bedenklich sind dabei die hohen Raten an zu mindestens einem Messzeitpunkt auffälligen Werten in den Dimensionen Ängstlichkeit (48%), Depressivität (19%) und chronisches Stresserleben (59%).