bluuebunny/crossref_metadata_2025 huggingface dataset:
Physiotherapy in the digital age: A narrative review of the paradigm shift driven by the integration of artificial intelligence and machine learning
Authors: Mohapatra Avilash , Mohanty Patitapaban , Pattnaik Monalisa , Padhan Srikanta
Published: October 2024

A variety of physical impairments and functional restrictions are assessed and treated in the practice of physiotherapy. Subjective measures, rater variability, and restricted access to high-quality care are some of the unavoidable problems that contemporary physical therapy practice approaches must overcome. In light of these challenges, cutting-edge technologies such as artificial intelligence (AI) and machine learning (ML) are demonstrating remarkable efficacy in tackling these issues head-on. The focus of this review is to explore how the integration of AI and ML might change physical therapy practice and education in the age of digital communication. It delves into the challenges accompanying this integration and considers future prospects in this domain. A literature search was conducted using data base PubMed, Google Scholar, Web of Science, and Scopus with keywords such as ‘physiotherapy’, ‘artificial intelligence’, and ‘machine learning’, limited to English articles from 2014 to 2024. Results were imported into reference management software, duplicates removed, and relevant articles were screened and assessed for inclusion, with reasons for exclusion documented. Emerging technologies like AI and ML use algorithms to examine patient data and make automatic decisions, enhancing areas such as virtual reality therapy (VR), tele-rehabilitation, clinical decision support, individualized rehabilitation and physical function evaluation. These advance technologies optimize physical therapy and improve outcomes, but further research is needed to address obstacles like bias and data privacy to ensure responsible implementation. AI and ML can revolutionize physical therapy by improving therapy precision, patient monitoring, optimization and individualized therapy plan. However, it’s crucial for physiotherapists to balance technological advancements with compassionate, patient-centred approach.
Prevalence of diabetes mellitus-related complications and their impact on health-related quality of life in Singapore
Authors: Tan Bernard Chin Wee , Abdin Edimansyah , Koh Yen Sin , Asharani PV , Devi Fiona , Roystonn Kumarasan , Sum Chee Fang , Subramaniam Tavintharan , Chong Siow Ann , Subramaniam Mythily
Published: October 2024

Introduction:

One in three Singaporeans is at risk of developing DM (DM) in their lifetime. The majority of those with DM experience other comorbidities that often affect the course of their DM. This study explored: (a) the prevalence of DM-related complications, (b) their sociodemographic correlates, and (c) their association with health-related quality of life (HRQOL).

Methods:

Participants with DM (n = 387) were recruited from a population-based survey. Type 2 DM was self-reported as diagnosed by a doctor. The DM-related complications and comorbidities were assessed using the DM knowledge questionnaire and chronic conditions checklist. Short-Form health survey was used to examined HRQOL. Multiple logistic regressions were performed to examine the association between DM-related complications and sociodemographic factors and body mass index. Multiple linear regressions examined the association of complications with HRQOL.

Results:

Approximately 31.6% of the participants had DM-related complications. The top three complications were nephropathy (54.4%), neuropathy (42.2%) and retinopathy (40.8%). Younger participants (aged 18–49 years) and those with higher education were less likely to develop DM-related complications. Physical HRQOL was adversely affected in participants with any chronic condition, DM for 4–9 years, DM-related neuropathy, lower leg/foot ulcers and gangrene. Mental HRQOL was adversely affected by gangrene. Younger participants had better physical HRQOL.

Conclusion:

Physical HRQOL is adversely affected when individuals develop DM-related complications. Understanding the sociodemographic corelates of DM-related complications could aid clinicians in identifying and assisting at-risk populations to prevent adverse outcomes. Educating individuals on the risk of developing DM-related complications could encourage better DM management.
Repeated intravesical injections of platelet-rich plasma are safe and effective in the treatment of interstitial cystitis/bladder pain syndrome
Authors: Yu Wan-Ru , Jiang Yuan-Hong , Jhang Jia-Fong , Kuo Hann-Chorng
Published: October 2024

ABSTRACT

Objectives:

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a challenging chronic inflammatory condition affecting the urinary bladder, with limited treatment options. This study aims to assess the clinical efficacy of repeated intravesical platelet-rich plasma (PRP) injections for promoting urothelial regeneration and reducing inflammation in patients with IC/BPS and investigate its correlation with subjective and objective treatment-related outcomes.

Materials and Methods:

Four monthly intravesical PRP injections were given to 98 patients with non-Hunner-type IC/BPS. Treatment outcomes were assessed using a global response assessment (GRA) score 3 months posttreatment. In addition, clinical symptom scores, pain severity, voiding diary data, uroflowmetry parameters, and GRA scores were compared before and after treatment and between different treatment outcome groups (satisfactory: GRA≥2 unsatisfactory: GRA<2). Baseline urine biomarkers were analyzed to identify potential treatment outcome predictors.

Results:

After four PRP injections, 54 (55.1%) patients reported satisfactory outcomes. Lower urinary tract symptoms, bladder pain, urinary frequency, anxiety, and flow rate significantly improved from baseline (P < 0.05) in all patients, regardless of the treatment outcome. All patients experienced improved treatment outcomes and increased maximum bladder capacity with successive PRP treatments, and no major complications were reported. Urine biomarkers indicated elevated inflammation and oxidative stress biomarkers in patients with IC/BPS compared to controls.

Conclusion:

Repeated PRP injections are safe and effective for reducing symptoms and bladder pain and improving bladder capacity in a majority of IC/BPS patients, with better outcomes observed in patients with a mild form of bladder inflammation. These results support PRP as a promising novel bladder therapy for IC/BPS.
Does tilt-retrograde intrarenal surgery enhance stone clearance and offer better surgical ergonomics in patients with renal calculi? A prospective randomized control study
Authors: Ramachandran Arvind , Meyyappan Vivek , Sekar Hariharasudhan , Thiruvengadam Gayathri , Krishnamoorthy Sriram
Published: October 2024

Introduction:

Retrograde intrarenal surgery (RIRS) is the standard treatment for renal calculi. Direct visualization and fragmentation are its major advantages. The variable stone clearance rates and the ergonomic challenges faced by urologists are a few limitations. Table tilt enhances stone clearance and improves surgical ergonomics by facilitating better access to stones and reducing procedural strain.

Subjects and Methods:

In this prospective study, patients with intrarenal calculi were randomized into standard lithotomy RIRS (S-RIRS) and table-tilted RIRS (T-RIRS) groups. Specified table tilts were suggested for each of the stone locations. The outcomes with regard to stone clearance, operative and lasing time, and ergonomics were studied.

Results:

About 100 patients were studied, with 50 in each group. The overall operating time and lasing time in the T-RIRS group were less than that in the S-RIRS group (P < 0.001). The complication rates were the same in both groups. Most surgeons felt that the surgical ergonomics was better in the T-RIRS group (P < 0.001). When stone-free status was analyzed, seven patients in the S-RIRS group and one in the T-RIRS group had residual stones. The mean Borg category-ratio 10 (CR-10) scores in the S-RIRS and T-RIRS groups were 4.18 and 2.20, respectively (P < 0.001).

Conclusions:

This is the first study to document the distinct advantages of T-RIRS and its benefits on surgical ergonomics. T-RIRS resulted in significantly shorter operative and lasing times, particularly for stones in lower calyces. Surgical ergonomics, assessed by the Borg CR-10 scale, were significantly better in the T-RIRS group. T-RIRS should become a standard of care for patients undergoing RIRS.
Guidelines and consensus: Jejunoileostomy for diabetes mellitus-surgical norms and expert consensus (2023 version)
Authors: Shen Ji-Wei , Ji Chun-Yong , Fang Xue-Dong , Yang Bo , Zhang Tian , Li Zheng-Cai , Li Hua-Zhi , Liu Zhi-Yi , Tang Jun , Liao Chuan-Wen , Lu Ji-Zhou , Yang Xuan , Zhang Xin-Guo
Published: October 2024

Diabetes mellitus (DM) is a group of diseases characterized by high blood glucose caused by insufficient absolute or relative secretion of insulin. Once diagnosed, patients need long-term treatment with hypoglycemic drugs. Currently, the existing first-line hypoglycemic drugs do not provide effective treatment for DM and its complications. In the past, the first generation and the second generation of weight loss surgery, such as gastric bypass and sleeve gastric surgery, had strict body mass index requirements. Moreover, post-surgery, patients are prone to fluctuating hypoglycemia, gastroesophageal reflux, and dumping syndrome. Hence, the curative effect of this type of surgery was compromised to a certain extent. Jejunoileostomy is a third-generation surgery for patients with DM, which has been shown to improve glucose and lipid metabolism, without changing the original gas-trointestinal tract structure. Different from previous weight loss surgeries, jejunoileostomy has been clinically observed to delay the development of DM-related complications. Additionally, the postoperative complications are mild and do not affect the patient’s quality of life. Based on our clinical observations from multi-center large samples, our team developed a consensus on the operative period and perioperative management of jejunoi-leostomy as a reference for clinical researchers.
Autophagy-dependent ferroptosis may play a critical role in early stages of diabetic retinopathy
Authors: Sun Wen-Jie , An Xue-Dong , Zhang Yue-Hong , Tang Shan-Shan , Sun Yu-Ting , Kang Xiao-Min , Jiang Lin-Lin , Zhao Xue-Fei , Gao Qing , Ji Hang-Yu , Lian Feng-Mei
Published: October 2024

Diabetic retinopathy (DR), as one of the most common and significant microvascular complications of diabetes mellitus (DM), continues to elude effective targeted treatment for vision loss despite ongoing enrichment of the under-standing of its pathogenic mechanisms from perspectives such as inflammation and oxidative stress. Recent studies have indicated that characteristic neuroglial degeneration induced by DM occurs before the onset of apparent microvascular lesions. In order to comprehensively grasp the early-stage pathological changes of DR, the retinal neurovascular unit (NVU) will become a crucial focal point for future research into the occurrence and progression of DR. Based on existing evidence, ferroptosis, a form of cell death regulated by processes like ferritinophagy and chaperone-mediated autophagy, mediates apoptosis in retinal NVU components, including pericytes and ganglion cells. Autophagy-dependent ferroptosis-related factors, including BECN1 and FABP4, may serve as both biomarkers for DR occurrence and development and potentially crucial targets for future effective DR treatments. The aforementioned findings present novel perspectives for comprehending the mechanisms underlying the early-stage pathological alterations in DR and open up innovative avenues for investigating supplementary therapeutic strategies.
Near field tsunamis on volcanic islands: blueprint for risk management using Stromboli as a test bed
Authors: Bonilauri Emmie M. , Harris Andrew J. L. , Cerminara Matteo , Lacanna Giorgio , Mangione Domenico , Paris Raphael , Aaron Catherine , Esposti Ongaro Tomaso , Ripepe Maurizio
Published: October 2024

At Stromboli, coastline populations are exposed to near-field tsunami generated by flank collapses. Landslides on the Sciara del Fuoco can generate waves arriving in the village in less than a few minutes. Due to the hazard posed on Stromboli by tsunami, we have focused our research on answering three key questions in terms of mitigation: (1) How can a tsunami be detected and characterized in real-time? (2) What will be the likely event scenario and on-island impact of the resulting tsunami? (3) When and where will the tsunami arrive, and what is the evacuation capacity? To this end, we have convolved a method to assess escape times from tsunami-exposed coastal areas, with wave travel times and inundation assessments output from numerical simulations. Here we review the local situation in terms of hazard, risk and mitigation measures, and assess progress to date in preparing for tsunami on Stromboli to explore a blueprint for management actions at any near-field tsunami-exposed community.
Rare consequences of a single fist punch to the orbital region – a description of two cases = Rzadkie konsekwencje pojedynczego uderzenia pięścią w okolicę oczodołu – opis dwóch przypadków
Authors: Toruńska Ewa , Engelgardt Piotr , Szwajkowska Maria , Krzyżanowski Maciej
Published: October 2024

A direct punch with a clenched fist to the face most often results in soft tissue damage, which is usually not serious enough to be considered a severe health impairment. This article presents two cases in which a single punch to the orbital region led to a blowout fracture. The first case resulted in additional displacement of the right lens into the vitreous body, secondary glaucoma and retinal detachment. In the second case, the victim sustained retinal concussion and subretinal haemorrhage due to choroidal rupture at the level of the macula resulting in temporary, almost complete loss of vision. Such injuries, although possible, are not typical of the mechanism described. In both cases, the effects meet the legal definition of impairment of the functioning of a bodily organ or disturbance of health lasting longer than 7 days within the meaning of the relevant article of the Polish Penal Code. Additionally, in the second case, we deal with exposure to direct danger – loss of vision in one eye (another severe disability) within the meaning of the relevant articles of the Polish Penal Code
PELAKSANAAN PENDIDIKAN ENTREPRENEURSHIP DI PONDOK PESANTREN DAR ASWAJA ROKAN HILIR
Authors: Mursal Mursal
Published: October 2024

Salah satu langkah yang tepat dilaksanakan sebuah pesantren dalammengembangkan kemajuan pesantren adalah dengan mengembangkan pendidikanentreprenership. Pendidikan entrepenersip bertujuan mengembangkan kemandiriansatntri, dimana dengan pendidikan tersebut santri diharapkan lebih bisa mandiri danbisa bertahan hidup dalam menghadapi dunia nyata. Metode peneltian dalam penelitianini adalah dengan menggunakan penelitian kualitatif, pengumupulan datamenggunakan observasi, wawancara dan dokumentasi. Adapaun hasil penelitia bahwapelaksaaan pendidikan entrepreneur di Ponpes Dar Asawa telah terlaksana hal inidapat dilihat adanya pelaksanaan pelatihan perkebunan, perikanan dan budidaya.Kendala yang dihadapi diantaranya kendala pembiayaan, sumber daya manusia, waktuyang dibutuhkan, lahan dan lain lain.
PELAKSANAAN PENDIDIKAN ENTREPRENEURSHIP DI PONDOK PESANTREN DAR ASWAJA ROKAN HILIR
Authors: Mursal Mursal
Published: October 2024

alah satu langkah yang tepat dilaksanakan sebuah pesantren dalammengembangkan kemajuan pesantren adalah dengan mengembangkan pendidikanentreprenership. Pendidikan entrepenersip bertujuan mengembangkan kemandiriansatntri, dimana dengan pendidikan tersebut santri diharapkan lebih bisa mandiri danbisa bertahan hidup dalam menghadapi dunia nyata. Metode peneltian dalam penelitianini adalah dengan menggunakan penelitian kualitatif, pengumupulan datamenggunakan observasi, wawancara dan dokumentasi. Adapaun hasil penelitia bahwapelaksaaan pendidikan entrepreneur di Ponpes Dar Asawa telah terlaksana hal inidapat dilihat adanya pelaksanaan pelatihan perkebunan, perikanan dan budidaya. Kendala yang dihadapi diantaranya kendala pembiayaan, sumber daya manusia, waktuyang dibutuhkan, lahan dan lain lain.
INFLUENCERS: THE IMPORTANCE OF PERSONAL BRANDING ON INSTAGRAM
Authors: Muflih Hafizh , Fikriyasin Cikal Aji , Falah Muhammad Bilal , Imawan Khaerudin , Erawati Dedet
Published: October 2024

In the era of globalization, social media is considered an effective tool of mass communication. In this study, a qualitative approach is employed to analyze the Instagram account of Gantar Surapati using a visual approach methodology. The results show that the visual communication techniques employed in this study are essential for understanding, reading, and interpreting the meaning behind images, photographs, videos, and other forms of visual communication. The research demonstrates how content can shape a positive personal brand and provides practical guidance for influencers on improving their brand presence by resonating with their audience. This line of research could help further refine strategies for creating lasting and credible personal brands in the rapidly evolving digital landscape. This study contributes to the understanding of effective content creation for personal branding on social media, specifically Instagram. This is what attracts the researchers to study it and becomes the focus of problems in research related to the use of Instagram as a medium to build and improve personal branding.
Hacia una educación innovadora: tendencias y desafíos en la integración de las TIC
Authors:   Universidad de San Carlos de Guatemala, Machuca Coronado Brenda Alicia
Published: October 2024

OBJETIVO: Identificar las tendencias y desafíos de la integración de las Tecnologías de la Información y Comunicación (TIC) en la educación. MÉTODO: Se realizó una revisión bibliográfica de la literatura publicada entre 2019 y 2024, utilizando como palabras clave "TIC", "educación", "tendencias", "desafíos" e innovación. Se seleccionaron 16 artículos de revistas científicas indexadas y los datos recopilados fueron analizados y categorizados utilizando la técnica de análisis de contenido. RESULTADOS: Las Tecnologías de la Información y la Comunicación siguen desarrollándose, proporcionando continuamente nuevas oportunidades para optimizar la calidad y la eficiencia del proceso educativo. Estas tendencias incluyen tanto la incorporación de herramientas tecnológicas concretas como la aplicación de métodos pedagógicos innovadores que explotan al máximo el potencial de las TIC para mejorar el aprendizaje de los estudiantes. Sin embargo, persisten desafíos como la resistencia a su implementación, la falta de formación docente y la necesidad de garantizar la ética y la equidad en su uso. CONCLUSIÓN: La integración exitosa de las TIC en la educación requiere una sólida formación docente, el uso de enfoques innovadores y el respeto por los aspectos éticos y de equidad. Los educadores deben estar capacitados para utilizar estas tecnologías de manera efectiva para aprovechar su potencial en la personalización del aprendizaje y la mejora de los resultados académicos. Además, las políticas educativas deben diseñarse para promover la inclusión digital y garantizar el acceso igualitario a estas herramientas para todos los estudiantes.
Un enfoque eficaz de modelo SARM para la educación
Authors:   Universidad de San Carlos de Guatemala, Reynoso Juárez María Inés
Published: October 2024

OBJETIVO: Analizar el enfoque eficaz para la educación modelo SARM. MÉTODO: Con base en revisión documental bibliográfica ese presenta esta investigación hermenéutica consultando a siete artículos científicos. RESULTADOS: El Modelo SARM ofrece muchas ventajas a los  estudiantes y profesores entre las que se puede mencionar el aumento de  la participación y la motivación de los estudiantes la integración efectiva de la tecnología puede hacer que los cursos sean más atractivos y relevantes para los estudiantes, aumentando su interés y participación  Los estudiantes desarrollan habilidades tecnológicas que son esenciales en el mundo actual, la tecnología permite que el aprendizaje se adapte a las necesidades individuales de los estudiantes y proporcione recursos y actividades a su propio ritmo y nivel. El Modelo SARM puede ser utilizado con herramientas digitales facilitan la colaboración entre estudiantes y profesores tanto dentro como fuera del aula los estudiantes adquieren habilidades críticas y de resolución de problemas que los preparan mejor para los desafíos futuros en la educación superior y el mercado laboral. CONCLUSIÓN: La flexibilidad del modelo permite que se ajuste a las necesidades específicas de cada clase y estudiante, optimizando el uso de la tecnología para mejorar el aprendizaje. también el modelo permite que se ajustarse a las necesidades específicas de cada clase y estudiante, optimizando el uso de la tecnología para mejorar el aprendizaje.
Retos que enfrenta los TICS, MOOCS, XMOOCS como inteligencia artificial en ámbito de la educación
Authors:   Universidad de San Carlos de Guatemala, García Escobar José Miguel
Published: October 2024

OBJETIVO: Identificar Retos que enfrenta los TICS, MOOCS, XMOOCS como inteligencia artificial en ámbito de la educación MÉTODO: Se realiza un estudio descriptivo y un alcance explicativo con el fin de realizar este artículo, utilizando búsqueda de referencias bibliográficas que permitieron hacer interpretaciones. RESULTADOS: Se encontraron plataformas virtuales gratuitas que ayudan a los estudiantes universitarios a cambiar el paradigma de los antiguos salones de clase con los salones que utilizan la inteligencia artificial como las TICS, los MOOCS, MOOCS, CHAT GPT y OPENI CONCLUSIÓN: Las diversas plataformas disponibles que proyectan el futuro del avance de la Inteligencia Artificial en el ámbito educativo resultan sumamente interesantes, aunque en ocasiones pueden parecer inaccesibles para ciertos contextos. No obstante, parece poco probable que los sistemas de enseñanza computarizados lleguen a suplantar completamente la labor docente en las instituciones educativas
Gestión de la calidad educativa en la Facultad de Ciencias Médicas USAC, a través de la implementación de la educación virtual en procesos académicos y administrativos
Authors:   Universidad de San Carlos de Guatemala, García Marroquín Vilma Estela
Published: October 2024

PROBLEMA: La Facultad de Ciencias Médicas de la USAC ha evolucionado su enfoque educativo desde 2010, cuando comenzó a integrar plataformas virtuales, hasta el punto de adoptar la educación virtual como respuesta a la pandemia en 2021. OBJETIVO: Determinar gestión de la calidad educativa en la Facultad de Ciencias Médicas USAC, a través de la implementación de la educación virtual en procesos académicos y administrativos. MÉTODO: se basó en la recopilación, reflexión y organización de la información proporcionada, se consultó artículos para la fundamentación teórica y científica. RESULTADOS: Hubo desafíos en la capacitación y dominio tecnológico, se implementó el método TPACK para integrar eficientemente la tecnología en la enseñanza. A pesar de las dificultades, se evidenció una mejora en el aprendizaje teórico y práctico de los estudiantes en entornos virtuales. Sin embargo, la transición no estuvo exenta de obstáculos, como la falta de recursos tecnológicos y capacitación que afectó la calidad del aprendizaje y la participación estudiantil. La evaluación externa, junto con la autoevaluación institucional, se convirtió en un componente crucial para garantizar la calidad educativa. La acreditación sirvió como catalizador para mejorar la infraestructura tecnológica, la capacitación docente y la equidad en el acceso a recursos. CONCLUSIÓN: La implementación exitosa de la educación virtual en la Facultad de Ciencias Médicas no solo mejoró la accesibilidad y calidad del aprendizaje, sino que también promovió una cultura de mejora continua en todos los aspectos de la educación médica, destacando el compromiso con la excelencia académica y administrativa.
Tecnología en la educación moderna
Authors:   Universidad de San Carlos de Guatemala, Sicán Ruano Rubén Amalekí
Published: October 2024

PROBLEMA: La tecnología avanza constantemente y de esta forma el ser humano realiza cambios en su vida, en el ámbito educativo no es la excepción ya que muchos avances tecnológicos se utilizan en los procesos de enseñanza lo que permite la mejora educativa. Para determinar como la educación ha cambiado a través de la tecnología y explorar los desafíos que esto conlleva. MÉTODO: Se realizó una revisión bibliográfica de artículos científicos publicados a partir del 2016 utilizando el paradigma constructivista, se consultaron 40 artículos y se extrajeron datos de 15 de estos. RESULTADOS: Se evidenció que la tecnología ha transformado la educación permitiendo romper barreras y brindando información en la palma de la mano; sin embargo, se encontraron algunos desafíos como la falta de acceso a internet y equipo tecnológico propio, la alfabetización digital y falta de políticas y legislación lo cual es importante analizar para no limitar o segmentar los beneficios. CONCLUSIÓN: Además, se encontró que para garantizar su efectividad se deben usar modelos de adaptación para que los docentes y estudiantes logren las competencias deseadas. La tecnología no puede ni debe ser apartada de la educación y se debe incluir en todos los niveles, los desafíos de la alfabetización tecnológica, accesibilidad y legislación deben ser abordados para crear oportunidades y para garantizar el beneficio para todos los participantes los modelos de transformación permiten una transición escalonada y satisfactoria.
O brincar compreendido e percebido por professoras da Educação Infantil no retorno das atividades presenciais
Authors: Bozzato Lucas Vargas , Antualpa Kizzy Fernandes , Nunes de Quadros Lauryn , Costa Andrize Ramires
Published: October 2024

Este estudo busca refletir e compreender o brincar após as medidas emergenciais de distanciamento da pandemia na Educação Infantil. Utilizando uma abordagem qualitativa descritiva, realizamos entrevistas semiestruturadas com duas professoras da cidade de Campinas/SP. no retorno das atividades presenciais. Para a análise e interpretação dos resultados, recorremos à técnica de análise de conteúdo. Como aporte teórico, utilizamos a teoria do "Brincar e se-movimentar”, de Elenor Kunz, que destaca o brincar como uma atividade dialógica, inerente à condição da criança e, por isso, peça fundamental das culturas infantis. Para compreendermos como as professoras perceberam o brincar, apresentamos e discutimos suas trajetórias profissionais, suas compreensões do fenômeno brincar e suas percepções no retorno presencial das atividades. Como resultados, destacamos a compreensão e percepção sobre o brincar como uma forma potencial de atuar sobre o mundo e de representar o contexto de vida das crianças naquele momento.
USINA DE BELO MONTE E A VIOLÊNCIA NO ESPAÇO ESCOLAR: UM ESTUDO DA AÇÃO POLICIAL NA VISÃO DOS ALUNOS DA ESCOLA ESTADUAL DE ENSINO MEDIO POLIVALENTE DE ALTAMIRA
Authors: Mota Salmo de Matos , Silva Kleber Queiroz da , Sousa Samara Nascimento de , Silva Aline Soares da , Silva Daniel Augusto da Silva e
Published: October 2024

A construção de grandes empreendimentos hidroelétricos na Amazônia, como a Usina de Belo Monte, tem causado impactos socioambientais significativos, destacando a exploração predatória da região em prol de interesses capitalistas. A pesquisa tem como objetivo geral analisar a interação da polícia com a comunidade escolar na visão dos discentes da Escola Polivalente de Altamira, em decorrência da construção da Usina de Belo Monte. Os objetivos específicos são identificar os motivos que distanciam a polícia da comunidade escolar e verificar se houve aproximação entre a polícia e a escola. O problema de pesquisa, formulado como pergunta, é: "Como os discentes da Escola Polivalente de Altamira avaliam a atuação da polícia no espaço escolar?" A metodologia adotada foi de caráter bibliográfico, complementada por um questionário direcionado aos alunos do 1º ano, visando capturar suas percepções sobre a atuação policial na escola. Os resultados indicam que a construção da Usina de Belo Monte trouxe graves problemas para o espaço urbano e escolar de Altamira, destacando a necessidade de uma maior integração entre a escola e a polícia para a solução dos problemas vivenciados.
TRATAMENTO NÃO OPERATÓRIO DE PACIENTES POLITRAUMATIZADOS: ESTRATÉGIAS E DESAFIOS
Authors: Savio Roger William , Espindola Gabriel Rossetto , Serpa Gustavo Samuel de Moura , Pianissoli Lícia Gobeti
Published: October 2024

Introdução: O tratamento não operatório (TNO) tem se mostrado uma alternativa eficaz para pacientes politraumatizados, especialmente em casos de lesões abdominais, torácicas e espinhais. Com o avanço das técnicas de monitoramento e cuidados intensivos, o manejo conservador emergiu como uma opção viável, reduzindo intervenções cirúrgicas desnecessárias e suas complicações associadas. No entanto, sua eficácia depende de uma seleção criteriosa dos pacientes e da capacidade de monitoramento contínuo. Este estudo revisa as evidências atuais sobre o TNO, comparando-o com abordagens cirúrgicas em termos de desfechos clínicos, complicações e tempo de recuperação. Métodos: Realizou-se uma revisão sistemática de 14 estudos publicados entre 1998 e 2024, utilizando descritores como "Multiple Trauma", "Nonoperative Treatment" e "Intensive Care". Foram incluídos estudos prospectivos, retrospectivos, ensaios clínicos randomizados, revisões sistemáticas e meta-análises. As variáveis extraídas incluíram idade, sexo, gravidade das lesões (ISS), tipo de lesão, intervenção (TNO ou cirurgia) e desfechos clínicos (mortalidade, complicações, tempo de hospitalização e readmissão). Resultados: A análise indicou que o TNO é eficaz em pacientes com lesões esplênicas e fraturas de costelas leves a moderadas, com taxas de sucesso superiores a 80% em casos bem selecionados. Pacientes com fraturas espinhais tratados de forma conservadora apresentaram um risco aumentado de complicações tromboembólicas, enquanto a fixação cirúrgica em traumas torácicos severos reduziu significativamente as complicações pulmonares (OR: 0,68; IC 95%: 0,52-0,89). O tempo de hospitalização foi ligeiramente maior em pacientes tratados de forma conservadora, porém a mortalidade foi semelhante entre os grupos operatório e não operatório. Conclusão: O TNO é uma abordagem viável e segura em pacientes politraumatizados selecionados, desde que haja infraestrutura adequada para monitoramento intensivo. A decisão entre tratamento operatório e não operatório deve ser baseada na gravidade das lesões e nos recursos disponíveis. Mais pesquisas são necessárias para padronizar os critérios de seleção e melhorar os protocolos de tratamento conservador.
El rendimiento deportivo mediante técnicas de fisioterapia: un análisis de la producción científica en Scopus
Authors: Romero-Carazas Rafael , Visurraga-Camargo Luis Antonio , Gamarra-Castillo Fabricio Paul , Bazualdo-Fiorini Enzo Renatto , Espiritu-Martinez Antony Paul , Callupe-Cueva Paulo Cesar
Published: October 2024

La fisioterapia contribuye a la rápida recuperación del deportista y, a su vez, le permite seguir rindiendo al máximo. El objetivo del estudio fue realizar un análisis de la producción científica en Scopus sobre el rendimiento deportivo mediante técnicas de fisioterapia desde el 2005 al 2024. En la realización de este estudio se utilizó un método bibliométrico cuantitativo. Para generar los indicadores de producción científica, se seleccionaron datos de 69 publicaciones analizadas en Scopus a partir de palabras clave en inglés como: sports AND performance y physiotherapy AND techniques. Una indicación del creciente interés en esta área es el aumento del 59,4% en el número de trabajos publicados en el período de 2018 a 2023. Estados Unidos ocupa el primer puesto en producción científica global, con un 20,5%; además, la revista BMC Musculoskeletal Disorders publicó tres documentos, siendo el autor principal Takla, A. (n=35) el más citado. Se concluye que existe una tendencia dinámica en la variedad temática, autoría, fuentes y recursos accesibles dentro del campo de la investigación basada en la fisioterapia sobre el rendimiento deportivo. Por lo tanto, este estudio bibliométrico podría allanar el camino para otros estudios.
Eficiência de utilização e exportação de nutrientes por grãos de cultivares de soja em lavouras de elevada produtividade
Authors:   , Araujo Gutemberg Porto de
Published: October 2024

No seguimento dos anos evidenciou-se o crescimento significativo da produtividade de soja por conta das tecnologias aplicadas em nutrição mineral de plantas, melhoramento genético, manejo do solo e de sua fertilidade. A criação e atualização de um sistema de recomendação de corretivos e fertilizantes com base em balanço nutricional no sistema solo-planta, a exemplo do sistema FERTCALC® - SOJA, é instrumento altamente importante para a racionalização da fertilização da cultura. No módulo-planta desse sistema, há o cálculo da exportação de nutrientes pelos grãos, com base em dados obtidos de cultivares “antigas” da cultura. Os objetivos deste trabalho foram: avaliar a composição química mineral e a eficiência de utilização de nutrientes nos grãos de cultivares atualmente utilizadas em lavouras de soja de alta produtividade, sob manejo intensivo, versus a das cultivares “antigas”; avaliar a existência de correlação entre os teores de nutrientes nos grãos e a produtividade de cultivares atuais de soja; obter as quantidades de nutrientes exportáveis com base na produtividade de grãos para as cultivares atuais de soja e compará-las com as quantidades exportáveis para as cultivares “antigas”; contribuir para a atualização do módulo-planta (módulo Requerimento) do sistema de balanço nutricional FERTCALC® - SOJA. Foram obtidas estatísticas descritivas para a produtividade e teores de nutrientes nos grãos e utilizou-se o teste t para comparar os teores de nutrientes das cultivares atuais com as “antigas”. Realizou-se, também, análise multivariada por componentes principais aplicada aos dados de eficiência de utilização de nutrientes nos grãos das cultivares atuais Conclui-se que: a) não há correlação entre os teores de macronutrientes e micronutrientes nos grãos e a produtividade das culturas atuais, exceto para o fósforo (P); b) há diferenças entre as cultivares atuais e as “antigas” em relação aos teores médios de nutrientes nos grãos, sendo o sentido e a magnitude das diferenças variáveis conforme o nutriente e a fonte bibliográfica, com reflexos nas estimativas de quantidades exportáveis de nutrientes em função das produtividades de grãos de soja.; c) os resultados deste trabalho contribuem para o aprimoramento do módulo-planta (módulo Requerimento) do FERTCALC® - SOJA. Palavras-chave: soja-nutrientes; soja-cultivares; soja-produtividade; soja- requerimento nutricional; soja-recomendação de adubação.
THE IMPORTANCE OF WRITING SKILLS FOR EFL LEARNERS: COMMON ERRORS AND WAYS OF IMPROVING
Authors: Е. Kozhakhmet  , Saule Tulepova  , I. Stepanov
Published: October 2024

In order to attain specific language mastery, it is required to obtain four major skills of language such as writing, reading, listening, and speaking. One of the most complicated and highly required skills among all these four skills is writing, and since it is considered to be difficult, it is impossible to acquire this skill in a natural way for EFL (English as a foreign language) learners. Moreover, it is mostly accepted as the skill that has many complexities thus playing a determining role in linguistic output. For example, EFL learners frequently face difficulties in writing connected with such language components as vocabulary, grammatical structure, coherence and cohesion, spelling and punctuation. The following article aims to emphasize the significance of writing in learning a foreign language. It also attempts to highlight some common errors in students’ writings and to suggest extensive reading as an essential solution and effective way of developing writing skills.
THE IMPORTANCE OF HEDGING IN ACADEMIC WRITING
Authors: D. Shaikenova  , Тулепова Сауле
Published: October 2024

Academic writing in the English language must comply with certain rules and conventions accepted in the scientific communicative culture. Writers should be careful in expressing their statements and try to soften the claims to avoid being extremely categorical. One of the ways to achieve this is using hedging techniques. Therefore, teaching hedging strategy should become an obligatory aspect in the development of EFL (English as a foreign language) learners’ academic writing competence. The article presents definitions of hedging from different points of view, the importance of using this strategy and the diversity of hedging. This brief overview of hedging techniques aims to inform novice writing instructors of this indispensable part of academic writing and to highlight the significance of teaching them in academic writing classes.
Hydrogen Fuel Cell Technology
Authors:   Kuwait Institute for Scientific Research Petroleum Research Center, Ali Dalal
Published: October 2024

A hydrogen fuel cell generates energy by combining hydrogen and oxygen, making it a potential source of an electric power. The following paper presents the characteristics, operating theory, implementations, benefits, and drawbacks of the novel hydrogen fuel cell technologies available. It also covers the techniques for producing and storing hydrogen, which is the main fuel for a fuel cell. Additionally, a brief comparison of internal combustion vehicles (ICEV) and hydrogen fuel cell vehicles (FCV) is presented. The findings indicate that hydrogen fuel cell technologies have a general framework, a highperformance range of 40 to 60%, an optimal temperature range of 70 to 1000oC, and a reduced natural effect. At the end, a comparative study of five major power generating system is also performed.
Evaluation of Antioxidants and Serum Immunoglobulins in Young Adult Females with Striae Distensae
Authors:   Department of Biology/Microbiology, Federal Polytechnic Nekede Owerri, Nigeria, M Ogunewe Chidera , C Iwuamadi Ojiugo ,   Department of Health Services, Alvan Ikoku Federal College of Education, Owerri, Nigeria
Published: October 2024

Objective: Striae distensae constitute linear dermal scars that are accompanied by epidermal atrophy not yet associated with any significant medical problem, but can cause significant distress to its sufferers. The study aimed to analyze the relationship between antioxidants and total antioxidant capacity and Striae distensae in young female adults.
The impact of family history on corneal donation and transplantation attitudes: a survey-based study
Authors: Okka Berrin , Belviranli Selman , Adam Mehmet , Mirza Enver , Durduran Yasemin
Published: October 2024

Objective: To assess how having a first-degree relative who underwent corneal transplantation influenced people’s attitudes regarding corneal donation and transplantation.
Method: The cross-sectional study was conducted between March 15 and April 15, 2023, in the Ophthalmology outpatient department and cornea division of Necmettin Erbakan University Faculty of Medicine Hospital, Konya, Turkiye, and comprised first-degree relatives of patients who had undergone corneal transplantation in group A and controls matched age and gender without family history of transplantation in group B. All the participants filled out a 13-item survey form regarding socio-demographic characteristics and their perspectives on corneal transplantation and donation. Data was analysed using SPSS 20.
Results: Of the 263 subjects, 133(50.6%) were in group A; 78(58.6%) females and 55(41.4%) males with mean age 46.5±15.2 years. There were 130(49.4%) subjects in group B; 70(53.8%) females and 60(46.32%) males with mean age 44.3±15.8 years (p>0.05). There were 110(82.7%) participants in group A and 72(55.4%) in group B who knew what corneal transplantation meant (p<0.001). In group A, 81(60.9%) subjects wanted to donate their corneas after death compared to 40(30.8%) in group B (p<0.001). In group A, 108(83.7%) participants stated that a first-degree relative’s corneal transplantation positively affected their view of organ and tissue donation.
Conclusion: Individuals whose first-degree relatives had had a cornea transplant showed higher awareness of cornea transplantation and willingness to donate their corneas.
Key Words: Cornea transplantation, Keratoplasty, Transplant donors, Awareness, Family medical history.
Indicadores de pronóstico en pacientes ambulatorios diagnosticados de Insuficiencia Cardiaca
Authors: Gudiño-Gomezjurado Alvaro F. , Buitrón-Andrade René , Chicaiza-García Diana C. , Dávila-Vásquez Jorge L.
Published: October 2024

Introducción: la insuficiencia cardiaca constituye un problema de salud pública global, sin embargo, poco se conoce del comportamiento de esta patología en población latinoamericana y andina en particular. Métodos: se realizó un estudio transversal unicéntrico descriptivo con pacientes ambulatorios diagnosticados de insuficiencia cardiaca entre los años 2017 y 2021, en quienes se aplicó un análisis discrimínate, con el fin de establecer los indicadores pronósticos de mortalidad o supervivencia. Resultados: Sobre el universo de 301 pacientes, se realizó un muestreo aleatorizado de 277 pacientes. Se realizó un análisis discriminante multivariante, encontrándose mediante Lambda de Wilks diferencias significativas entre variables clínicas como presión arterial media, antecedentes de enfermedad cerebrovascular isquémica, antecedente de consumo de alcohol, número de hospitalizaciones, índice de masa corporal, colesterol total, triglicéridos y ácido úrico, además de variables ecocardiográficas como el   TAPSE, la fracción de eyección y los diámetros ventriculares izquierdos. Adicionalmente se realizó una correlación canónica de 0,56 y un M de Box no significativo (p= 0.892), lográndose una clasificación adecuada del 79,4% de los casos. Conclusiones: este estudio sugiere que diferentes marcadores clínicos y ecocardiográficos podrían predecir de manera razonable el pronóstico vital de los pacientes con insuficiencia cardiaca con características similares a la de este trabajo.
Carcinoma papilar de tiroides en quiste de conducto tirogloso: Reporte de caso
Authors: Bombon Marco Fabricio , Criollo Vargas Emilio , López Ramírez Itati
Published: October 2024

El conducto tirogloso (QCT) es una entidad que representa el 70% del total de las anomalías cervicales congénitas, su incidencia es común en pacientes de edad pediátrica, pero la persistencia en la población adulta solo constituye el 7%. Histológicamente se encuentra conformado por epitelio plano o columnar no queratinizado pseudoestratificado que podría tener la presencia ectópica de tejido tiroideo con células foliculares. Se presenta el caso de un paciente varón de 62 años, con antecedente patológico de hipotiroidismo de larga data que acude por presentar aparente masa cervical, que produce dolor moderado y aumento de volumen de cuello desde hace 10 años aproximadamente y que se exacerba en los últimos meses. Se realiza Cervicotomía exploratoria + exeresis de quiste de conducto tirogloso (mediante técnica Sistrunk), procedimiento confirma el diagnóstico histopatológico de quiste de conducto tirogloso + Carcinoma papilar de tiroides variante folicular asociado a pared de quiste ulcerado. Tuvo evolución post-operatoria favorable, no ha presentado recurrencia, tampoco se evidencia nódulos tiroideos ni adenopatías cervicales.
Mitral valve infective endocarditis as a manifestation of disseminatedCryptococcus neoformans infection: a case report
Authors: Flores-Alamos Oyuky , González-Guzmán Diego , Andrade-Ortega Antonio de Jesús , Ponce-Gallegos Jaime , Coyac-Cavazos Amayrani E. , Salinas-Ulloa César Yldifonso , Ponce-Gallegos Marco Antonio
Published: October 2024

Infective endocarditis is a disease that affects mainly the endocardial surface of the heart and cardiac valves (native or prosthetic). The main risk factors for developing infective endocarditis are male sex, older age, intracardiac shunts, prosthetic valves, rheumatic, and congenital heart disease, intracardiac devices, intravenous drugs use, immunosuppression, and hemodialysis. Streptococci and Staphylococci spp. have been the most frequent isolated organisms. On the other hand, the most common fungal organism in infective endocarditis is Candida albicans (24-46%), followed by Aspergillus spp. (25%), and a few cases by Cryptococcus neoformans, which are associated with higher rate of mortality. This case provides an interesting case of Cryptococcus neoformans native valve infective endocarditis in a young woman with stage IV chronic kidney disease and severe malnutrition.
The Role of Cultural Heritage in The Development of Tourism and Some Cultural Industries in Vietnam
Authors: Phuc Nguyen Phuong Hong , Yen Dinh Thi
Published: October 2024

Many nations now view the cultural industry as a significant role in the country's cultural life and as a vital economic sector supporting sustainable development. Vietnam has an affluent cultural history with diverse cultural identities and is valuable in every way. The development of various cultural industries benefits greatly from the resources provided by cultural heritages. In order to elucidate the significance of cultural heritage in the growth of particular cultural industries, such as music, film, and cultural tourism, we employ synthetic analysis techniques and field research in this article. According to the research findings, cultural heritages are becoming important resources for the growth of cultural tourism, giving travellers motivation to travel, learn, and carry out research. Cultural heritage also provides resources and inspiration for music and film production, meeting the public's needs for cultural entertainment. The article makes inferences about the value of cultural heritage; development constraints, and potential solutions for preserving and enriching cultural heritage within the cultural industry. It also provides ways to improve human resources in the fields of music, film, and cultural tourism.
Behind the Science
Authors: Harrison Katherine
Published: October 2024

Available Open Access digitally under CC-BY-NC-ND licence. Some of the largest quantities of data produced today occur as the result of experiments taking place at Big Science facilities. This book tells the story of a unique research journey following the people responsible for designing and implementing data management at a new Big Science facility, the European Spallation Source (ESS) in Lund, Sweden. It critically examines the idea of data as an absolute ‘truth’ and sheds light on the often underestimated, yet essential, contributions of these data experts. Providing a unique glimpse into the inner workings of Big Science, this book fills an important gap in science and technology studies and critical data studies.