bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison Of Isoconazole Nitrate Versus Nystatin For The Treatment Of Otomycosis
Authors: Kausar Amna , Chaudhry Sadia , Qammar Nighat , Akram Ansa Umara , Alamgir Ashar , Hussain Wajid
Published: November 2023

Objective: To compare the efficacy and local adverse effects of Isoconazole Nitrate versus Nystatin for the treatment of patients having Otomycosis 
Sudy Design: Group experimental study.
Study Setting & Duration: Department of Otolaryngology, Head & Neck Surgery at Rawalpindi Teaching Hospital, Rawalpindi.  Duration of study was 6 months after approval by Ethical Committee from Feb 2023 to july 2023
Materials and Methods: Total of 64 patients were selected.  The study participants were individuals who, according to operational definitions had Otomycosis and who had presented for evaluation at the Department of Otolaryngology Rawalpindi teaching Hospital, Rawalpindi. They also met all inclusion and exclusion criteria requirements and these requirements were strictly adhered to in order to control confounders and bias. Isoconazole nitrate ointment was used to treat patients in Group A and Nystatin ointment was used to treat instances in Group B.  Patients were chosen by randomization using lottery method. SPSS 28 was used to determine the frequencies in the data.
Results: 64 individuals (32 cases in each group) were chosen for the study by the ENT outpatient clinic. Out of which 33 (51.6%) being female and 31 (48.1) being male. The age ranged from 12 to 80 years, with a mean age of 44.29 ±19.13. After two weeks, there was a substantial improvement in 25 (39.06%) of the group A patients (p=0.08), a moderate improvement in 7 (10.9%), and a minor improvement in 5 (7.81%) patients (p=0.37) while in group B exhibited a substantial improvement in just 19 (10.9%) (p=0.08), a moderate improvement in 9 (39.0%) (p=0.38), and a small improvement in 7 (42.19%) (p=0.37). After four weeks 21 (32.81%) in Group B showed insignificant improvement, while 26 (40.63%) in Group A exhibited better improvement than Group B. The treatment for group A, which included isoconazole nitrate, was substantially more successful than the Nystatin treatment for group B. Isoconazole was found insignificantly more effective than   (p=0.08). The  majority of patients in both groups didn't notice any adverse  .
Conclusion: Nystatin was shown to be significantly less efficacious than isoconazole nitrate ointment in treating otomycosis.
RATIONAL CONTROL BY TEMPERATURE IN VORTEX ENERGY SEPARATOR UNDER DESTABILIZING EFFECTS
Authors: Kulik Anatoly , Dergachov Kostiantyn , Pasichnik Sergiy , Sokol Dmytro
Published: November 2023

The focus of this study is the arrangement of a rational control technique used to maintain the airflow temperature in a vortex energy separator (VES) under destabilizing effects. The objectives include the development of tools for the rational control of temperature in the cold and hot air flows of a VES. Methods used: Discrete state space, production rule statement, resolution of two-valued predicate equations, dichotomous trees, diagnosis, and recovery of dynamic objects. Problems settled: the studied features of the vortex energy separation process, architecture, and operation links of the rational control system were considered, mathematical models were deduced, and tools for diagnosing and recovering the efficiency of the vortex energy separator as a rational control object were developed. The scientific novelty of the study lies in the formation of instrumental tools to provide rational control of the airflow condition in the VES, where the control object is subjected to the substantial influence of various destabilizing effects.
THE WAYS OF INTRODUCING AI/ML-BASED PREDICTION METHODS FOR THE IMPROVEMENT OF THE SYSTEM OF GOVERNMENT SOCIO-ECONOMIC ADMINISTRATION IN UKRAINE
Authors: Ivashchenko Tetiana , Ivashchenko Andrii , Vasylets Nelia
Published: November 2023

The objective of the article is to develop and test in practice a mechanism for constructing AI/ML-based predictions, adapted for use in the system of government socio-economic administration in Ukraine. Research design is represented by several methods like qualitative analysis in order to identify potential benefits of AI use in different spheres of government administration, synthesis to generate new datasets for the experiment, and abstraction to abstract from the current situation in Ukraine, population displacement, uneven statistics reporting. Among empirical methods are prediction and experimental methods to construct a mechanism for the implementation of AI/ML prediction methods in public administration, develop a high-level architecture of the AI/ML prediction system, and create and train the COVID-19 prediction neuron network. A holistic vision of the AI/ML-based prediction construction mechanism, depending on data taken from state official online platforms, is presented, in addition, the ways of its possible practical application for the improvement of the national system of state socio-economic administration are described. The main condition and guarantee of obtaining accurate results is access to quality data through platforms such as Diia, HELSI, national education platforms, government banks, etc. The findings of the research suggest that wide implementation of AI/ML-based prediction technologies will allow the government in perspective to increase the efficiency of the use of budgetary resources, the effectiveness of the government target programs, improve the quality of public administration and to better satisfy the citizens’ demand. Future studies should be done to overcome the limitations of the approach: find a way to protect and extract sensitive information from government platforms, fight neural network bias, and create a more perfect system that is able to make multiparameter predictions and is also self-improving on the basis of the obtained results.
AGN STORM 2. IV. Swift X-Ray and Ultraviolet/Optical Monitoring of Mrk 817
Authors: Cackett Edward M. , Gelbord Jonathan , Barth Aaron J. , De Rosa Gisella , Edelson Rick , Goad Michael R. , Homayouni Yasaman , Horne Keith , Kara Erin A. , Kriss Gerard A. , Korista Kirk T. , Landt Hermine , Plesha Rachel , Arav Nahum , Bentz Misty C. , Boizelle Benjamin D. , Dalla Bontà Elena , Dehghanian Maryam , Donnan Fergus , Du Pu , Ferland Gary J. , Fian Carina , Filippenko Alexei V. , González Buitrago Diego H. , Grier Catherine J. , Hall Patrick B. , Hu Chen , Ilić Dragana , Kaastra Jelle , Kaspi Shai , Kochanek Christopher S. , Kovačević Andjelka B. , Kynoch Daniel , Li Yan-Rong , McLane Jacob N. , Mehdipour Missagh , Miller Jake A. , Montano John , Netzer Hagai , Panagiotou Christos , Partington Ethan , Č. Popović Luka , Proga Daniel , Rogantini Daniele , Sanmartim David , Siebert Matthew R. , Storchi-Bergmann Thaisa , Vestergaard Marianne , Wang Jian-Min , Waters Tim , Zaidouni Fatima
Published: November 2023

The AGN STORM 2 campaign is a large, multiwavelength reverberation mapping project designed to trace out the structure of Mrk 817 from the inner accretion disk to the broad emission line region and out to the dusty torus. As part of this campaign, Swift performed daily monitoring of Mrk 817 for approximately 15 months, obtaining observations in X-rays and six UV/optical filters. The X-ray monitoring shows that Mrk 817 was in a significantly fainter state than in previous observations, with only a brief flare where it reached prior flux levels. The X-ray spectrum is heavily obscured. The UV/optical light curves show significant variability throughout the campaign and are well correlated with one another, but uncorrelated with the X-rays. Combining the Swift UV/optical light curves with Hubble Space Telescope UV continuum light curves, we measure interband continuum lags, τ(λ), that increase with increasing wavelength roughly following τ(λ) ∝ λ
4/3, the dependence expected for a geometrically thin, optically thick, centrally illuminated disk. Modeling of the light curves reveals a period at the beginning of the campaign where the response of the continuum is suppressed compared to later in the light curve—the light curves are not simple shifted and scaled versions of each other. The interval of suppressed response corresponds to a period of high UV line and X-ray absorption, and reduced emission line variability amplitudes. We suggest that this indicates a significant contribution to the continuum from the broad-line region gas that sees an absorbed ionizing continuum.
PEARLS: JWST Counterparts of Microjansky Radio Sources in the Time Domain Field
Authors: Willner S. P. , Gim Hansung B. , del Carmen Polletta Maria , Cohen Seth H. , Willmer Christopher N. A. , Zhao Xiurui , D’Silva Jordan C. J. , Jansen Rolf A. , Koekemoer Anton M. , Summers Jake , Windhorst Rogier A. , Coe Dan , Conselice Christopher J. , Driver Simon P. , Frye Brenda , Grogin Norman A. , Marshall Madeline A. , Nonino Mario , Ortiz Rafael , Pirzkal Nor , Robotham Aaron , Rutkowski Michael J. , Ryan Russell E. , Tompkins Scott , Yan Haojing , Hammel Heidi B. , Milam Stefanie N. , Adams Nathan J. , Beacom John F. , Bhatawdekar Rachana , Cheng Cheng , Civano F. , Cotton W. , Hyun Minhee , Kikuta Satoshi , Nyland K. E. , Peters W. M. , Petric Andreea , Röttgering Huub J. A. , Shimwell T. , Yun Min S.
Published: November 2023

The Time Domain Field (TDF) near the North Ecliptic Pole in JWST’s continuous-viewing zone will become a premier “blank field” for extragalactic science. JWST/NIRCam data in a 16 arcmin2 portion of the TDF identify 4.4 μm counterparts for 62 of 63 3 GHz sources with S(3 GHz) > 5 μJy. The one unidentified radio source may be a lobe of a nearby Seyfert galaxy, or it may be an infrared-faint radio source. The bulk properties of the radio-host galaxies are consistent with those found by previous work: redshifts range from 0.14–4.4 with a median redshift of 1.33. The radio emission arises primarily from star formation in ∼2/3 of the sample and from an active galactic nucleus (AGN) in ∼1/3, but just over half the sample shows evidence for an AGN either in the spectral energy distribution or by radio excess. All but three counterparts are brighter than magnitude 23 AB at 4.4 μm, and the exquisite resolution of JWST identifies correct counterparts for sources for which observations with lower angular resolution would misidentify a nearby bright source as the counterpart when the correct one is faint and red. Up to 11% of counterparts might have been unidentified or misidentified absent NIRCam observations.
Neutral Hydrogen (H i) 21 cm as a Probe: Investigating Spatial Variations in Interstellar Turbulent Properties
Authors: Mittal Amit Kumar , Babler Brian L. , Stanimirović Snežana , Pingel Nickolas
Published: November 2023

Interstellar turbulence shapes the H i distribution in the Milky Way (MW). How this affects large-scale statistical properties of H i column density across the MW remains largely unconstrained. We use the ∼13,000 deg2 GALFA-H i survey to map statistical fluctuations of H i over the ±40 km s−1 velocity range. We calculate the spatial power spectrum (SPS) of the H i column density image by running a 3° kernel and measuring the SPS slope over a range of angular scales from 16′ to 20°. Due to GALFA’s complex observing and calibration strategy, we construct detailed estimates of the noise contribution and account for GALFA beam effects on the SPS. This allows us to systematically analyze H i images that trace a wide range of interstellar environments. We find that the SPS slope varies between ∼ −2.6 at high Galactic latitudes and ∼ −3.2 close to the Galactic plane. The range of SPS slope values becomes tighter when we consider H i optical depth and line-of-sight length caused by the plane-parallel geometry of the H i disk. This relatively uniform, large-scale distribution of the SPS slope is suggestive of large-scale turbulent driving being a dominant mechanism for shaping H i structures in the MW and/or the stellar feedback turbulence being efficiently dissipated within dense molecular clouds. Only at latitudes above 60° do we find evidence for the H i SPS slope being consistently more shallow. Those directions are largely within the Local Bubble, suggesting that the recent history of this cavity, shaped by multiple supernova explosions, has modified the turbulent state of H i and/or fractions of H i phases.
Chapitre 4. El mundo del derecho y las ciencias de la vida: sociedad del riesgo, derecho y democracia
Authors: Byk Christian , Masello Silvia
Published: November 2023

Le face-à-face entre le monde du droit et les sciences de la vie est lourd d’implicite : crainte qu’il n’ouvre la voie à des affrontements liberticides ou espoir qu’il pourra apaiser les peurs sociales nées de l’intervention humaine sur le vivant. On attend donc du droit qu’ils organise un ordre juridique susceptible de gouverner les activités relevant des sciences de la vie. Or, cette demande de protection et de sécurité juridiques apparaît bien excessive au regard des capacités du droit. Elle exprime en fait une angoisse sociale à la mesure de la crise que vit notre civilisation.
Malraux contre l’ éducation ou contre l’ Éducation nationale ? Sociologie historique d’une occasion manquée. Premier volet : Les raisons stratégiques d’un abandon
Authors: Pire Jean-Miguel
Published: November 2023

Résumé Selon tous les historiens, autant par conviction personnelle que par stratégie institutionnelle, Malraux aurait délibérément choisi d’écarter l’éducation comme champ d’action de son ministère. Mais comment une telle position peut-elle s’accorder avec l’importance qu’il attribue à l’art et à la culture dans la société ? Malraux rejetait-il l’éducation en tant que telle ou bien l’orientation que le système scolaire de son temps donnait à celle-ci ? La première partie de l’article, Les raisons stratégiques d’un abandon, détaille les raisons stratégiques pour lesquelles Malraux abandonne l’éducation artistique et culturelle à l’Éducation nationale. Pourquoi agit-il ainsi en dépit du sentiment de sa légitimité sur le chantier de la transmission ? Pourquoi décide-t-il d’ignorer l’évidente complémentarité de ce chantier avec son grand dessein visant la démocratisation de l’accès à la culture ? Son choix apparaît d’autant plus paradoxal que Malraux est convaincu de l’incapacité pour l’Éducation nationale d’assurer cette mission. La relation instrumentale et superficielle que la scolarité d’alors entretient avec l’art constitue à ses yeux l’une des causes de la difficulté ressentie par nombre de contemporains visà- vis de la culture artistique et de sa puissance existentielle.
Interprétation et engagement
Authors: Esquenazi Jean-Pierre
Published: November 2023

Résumé L’article détermine le lieu social de l’interprétation des oeuvres culturelles ou artistiques, à travers l’exemple de l’interprétation par Sartre de Citizen Kane, le film d’Orson Welles : la déclaration qui qualifie l’oeuvre (un film intellectuel, une comédie, etc.) ouvre la voie à la description de l’oeuvre et au jugement à son propos : tous deux s’interpénètrent et se déterminent l’un l’autre. À partir de la définition de ce cadre, le texte examine le problème de l’engagement de l’interprète envers l’oeuvre, dont le point de départ est l’émotion ressentie. Il propose une compréhension sociologique des thèses proposées par Arthur Danto et Paul Ricoeur afin d’en proposer une compréhension : il y a engagement de l’interprète à la condition que le monde de l’oeuvre devienne comme une métaphore de son propre monde.
Model Development of Android-Based Learning in Vocational High School
Authors: Elida  , Dony Novaliendry  , Noper Ardi  , Erni Marlina Binti Saari  , Nurindah Dwiyani
Published: November 2023

This study aimed to develop an Android-based learning model for subjects of Creative Products and Entrepreneurship for catering students at Vocational Schools. The study analyzed the validity of Android- based learning models and analyzed practicality and the effectiveness of Android-based learning models for Creative Product and Entrepreneurship subjects for catering students at SMK Negeri 9 Padang. Based on the validity assessment of material experts, media experts, linguists, and practitioners, the average score of material aspects is 4.78 (Very Eligible), the media aspect is 4.22 (Very Eligible), and the language aspect is 4.23 (Very decent). The results of practicality tests for teachers and students, as well as the effectiveness test of the use of Android-based learning media on students of Creative Product and Entrepreneurship subjects conducted using a questionnaire, obtained a practicality value of 4.55 (feasible) and effectiveness of 4.62 (feasible).
Introduction to Architecture and Technological Advancements of Education 4.0 in the 21st Century
Authors: Pattnayak Jui , Jayakrishnan Balaji , Tyagi Amit Kumar
Published: November 2023

In the 21st century, Education 4.0 has transformed the field of architecture and revolutionized educational practices. Education 4.0, characterized by the integration of emerging technologies, offers new possibilities for architectural education and design processes. This chapter provides an overview of the key concepts and advancements associated with Education 4.0 in the context of architecture. This chapter explores the impact of technologies such as virtual reality (VR), augmented reality (AR), artificial intelligence (AI), and building information modeling on architectural education. This chapter highlights the benefits of these technologies, including enhanced visualization, immersive experiences, collaborative learning, and data-driven design. It also discusses the issues and challenges associated with implementing Education 4.0 in architectural education, such as the need for faculty training, technological infrastructure, and ethical implications. This work discusses the importance of recent technological advancements and preparing architecture students for the smart era.
Assessing the Impact of Student Employability Using Decision Tree Classifier in Education 4.0
Authors: Singh Richa , Srivastava Nidhi
Published: November 2023

After graduation, student employability is a crucial issue that has an impact on people's lives, society, and the economy as a whole. Employers are looking for applicants in the present employment market who not only have the required technical abilities but also have the flexibility to adapt to shifting work conditions. In this study, investigate how a decision tree classifier machine learning approach affects graduates' employability in education 4.0. For this, a dataset is used for employability that contains a variety of variables, like academic achievement, real-world experience, and soft skills. Using the decision tree classifier approach to assess the dataset, predictions are then made regarding the factors that would affect employment after graduation. This study finds that the decision tree classifier, when compared to other machine learning algorithms, is more accurate and better suited for use in improving student employability by identifying the key competencies and characteristics needed for various job roles and matching them with qualified candidates in education 4.0.
A Study of the Impact of COVID-19 on Education and Teachers' Resilience
Authors: Malayankandy Usha Ajithkumar , Siyal Saeed
Published: November 2023

This study investigated teachers' perception of the impact of COVID-19 on education. Their perceptions were analyzed in three aspects: barrier to access, opportunities, and learning outcomes. This study employed a descriptive design with a mixed approach. A self-developed survey questionnaire was used to elicit the responses of 119 school teachers from eights schools in Tamil Nadu, India. This study's findings revealed that the pandemic had impacted adversely the access, opportunities, and outcomes of education. The independent variables like age, years of experience, and subject taught did not influence perceptions of teachers. The findings show no correlation among perception of barrier to access, opportunities, and outcomes. Though more than half of the teachers didn't agree on the effectiveness of online education, they could show the right attitude toward using technology to teach online. The current crisis, COVID-19, highlighted the role of the internet and technology in education.
Management Consulting in Healthcare as an Innovative Means of Addressing an Organizational Cultural Crisis
Authors: Baez Maria D. , Huff Allison J. , Burrell Darrell Norman , McLester Quatavia , Springs Delores , Quisenberry William L. , Omotoye Elizabeth I. , Daryousef Marlena , Zanganeh Kiana S. , Richardson Kevin , Jones Laura A.
Published: November 2023

An increasing number of reports of sexual harassment in the workplace and medical education is challenging the current state of medical education and healthcare. The trauma and long-term consequences of sexual harassment are well documented, yet the issue of sexual harassment has been overlooked mainly in healthcare, leading to a culture of silence and a lack of meaningful and practical solutions. These dynamics represent a significant crisis. This chapter examines the prevalence of sexual harassment in the healthcare and medical education workplace and explores the need for innovative solutions and prevention strategies. The chapter concludes by discussing potential innovative solutions and prevention strategies developed by a management consulting group at Sunshine Health Regional Hospital and Medical Education Training Center, which has experienced a sexual harassment crisis. The intent is to find innovative solutions to influence the world of practice.
Measuring Throughput and Latency of Machine Learning Techniques for Intrusion Detection
Authors: Yaokumah Winfred , Baidoo Charity Y. M. , Owusu Ebenezer
Published: November 2023

When evaluating the effectiveness of machine learning algorithms for intrusion detection, it is insufficient to only focus on their performance metrics. One must also focus on the overhead metrics of the models. In this study, the performance accuracy, latency, and throughput of seven supervised machine learning algorithms and a proposed ensemble model were measured. The study performs a series of experiments using two recent datasets, and two filter-based feature selection methods were employed. The results show that, on average, the naive bayes achieved the lowest latency, highest throughput, and lowest accuracy on both datasets. The logistics regression had the maximum throughput. The proposed ensemble method recorded the highest latency for both feature selection methods. Overall, the Spearman feature selection technique increased throughput for almost all the models, whereas the Pearson feature selection approach maximized performance accuracies for both datasets.
Human Face Mask Detection Using YOLOv7+CBAM in Deep Learning
Authors: Gao Xinyi , Nguyen Minh , Yan Wei Qi
Published: November 2023

COVID-19 and its variants have affected millions of people around the world. Wearing a mask is an effective way to reduce the spread of the epidemic. While wearing masks is a proven strategy to mitigate the spread, monitoring compliance remains a challenge. In this chapter, the authors propose a mask detection method based on deep learning and convolutional block attention module (CBAM). In this chapter, they extract representative features from input images through supervised learning. In order to improve the recognition accuracy under limited computing resources. They choose YOLOv7 network model and incorporate CBAM into its network structure. Compared with the original version of YOLOv7, the proposed network model improves the mean average precision (mAP) up to 0.3% in face mask detection process. Meanwhile, the method improves the detection speed of each frame 73ms. These advancements have significant implications for real-time, large-scale monitoring systems, thereby contributing to public health and safety.
The Role of AI in Improving Interaction With Cultural Heritage
Authors: Casillo Mario , Colace Francesco , Gupta Brij B. , Lorusso Angelo , Santaniello Domenico , Valentino Carmine
Published: November 2023

Over the years, artificial intelligence techniques have been applied in several application fields, exploiting data to execute different tasks and achieve disparate objectives. Therefore, the cultural heritage field can utilise AI techniques to improve the interaction between visitors and cultural assets. Then, this work aims to present the background related to the principal AI techniques and provides an overview of the literature aimed at improving the user cultural experience. This overview focuses on AI integration with tools aimed to enhance the interaction among visitors and cultural sites, such as recommender systems, context-aware recommender systems, and chatbots. Finally, the most common measure used for estimating the accuracy of the AI methodologies will be introduced.
Machine Learning Approach for Robot Navigation Using Motor Imagery Signals
Authors: Das Pratyay , Shankar Amit Kumar , Ghosh Ahona , Saha Sriparna
Published: November 2023

Electroencephalography (EEG) signals have been used for different healthcare applications like motor and cognitive rehabilitation. In this study, motor imagery data of different subjects' rest vs. movement and different movements is categorized from a publicly available dataset. The authors have first applied a lowpass filter to the EEG signals to reduce noise and a fast fourier transform analysis to extract features from the filtered data. Utilizing principal component analysis, relevant features are selected. With an accuracy of 95.02%, they have classified rest vs. movement using the k-nearest neighbor algorithm. Using the random forest algorithm, they have classified various movement types with an accuracy of 96.45%. The success in differentiating between movement and rest raises the possibility that EEG signals can recognize a user's intention to move. Accurately classifying different movement types opens the possibility of navigating robots accordingly in the real-time scenario for people with motor disabilities to assist them with robotic arms and prosthetic limbs.
A Mixture Model for Fruit Ripeness Identification in Deep Learning
Authors: Xiao Bingjie , Nguyen Minh , Yan Wei Qi
Published: November 2023

Visual object detection is a foundation in the field of computer vision. Since the size of visual objects in an images is various, the speed and accuracy of object detection are the focus of current research projects in computer vision. In this book chapter, the datasets consist of fruit images with various maturity. Different types of fruit are divided into the classes “ripe” and “overripe” according to the degree of skin folds. Then the object detection model is employed to automatically classify different ripeness of fruits. A family of YOLO models are representative algorithms for visual object detection. The authors make use of ConvNeXt and YOLOv7, which belong to the CNN network, to locate and detect fruits, respectively. YOLOv7 employs the bag-of-freebies training method to achieve its objectives, which reduces training costs and enhances detection accuracy. An extended E-ELAN module, based on the original ELAN, is proposed within YOLOv7 to increase group convolution and improve visual feature extraction. In contrast, ConvNeXt makes use of a standard neural network architecture, with ResNet-50 serving as the baseline. The authors compare the proposed models, which result in an optimal classification model with best precision of 98.9%.
Empowering Safety by Embracing IoT for Leak Detection Excellence
Authors: Bhati Neha , Duggar Ronak , Saber Abeer
Published: November 2023

Improvements in connectivity and data analysis enabled by the internet of things (IoT) are set to revolutionize various sectors, with a particular emphasis on making workplaces safer. Manual leak inspections, which can be both time-consuming and dangerous, are quickly being replaced by IoT-driven devices. These systems are more than just an improvement in technology; they usher in a new paradigm with their ability to monitor in real time, issue immediate alerts, and locate leaks with pinpoint accuracy. Because of the benefits that IoT provides, several sectors are making the switch from more traditional practices. Leak detection enabled by the internet of things represents a step toward safer, greener production. The promise of improved worker safety and environmental sustainability lies at the heart of the internet of things, which should be rapidly adopted by businesses.
AVALIAÇÃO DA QUALIDADE DA RESPOSTA SEXUAL EM MULHERES DE UMA FÁBRICA TÊXTIL DO MUNICÍPIO DE MANDAGUAÇU
Authors: Coqui Rafael Bruna , Moraes Oliveira Camila , Rafael Ognibeni Luciana Cristina
Published: November 2023

A disfunção sexual (DS) é um transtorno que pode alterar a resposta fisiológica e afetar o desejo sexual podendo ser influenciada por diversos fatores. As fases da resposta sexual englobam o desejo, a excitação, o orgasmo e a resolução, e qualquer alteração em uma dessas fases pode cursar com uma disfunção. Diante disso, o objetivo deste estudo foi avaliar o perfil e a resposta sexual de mulheres que trabalham uma Fábrica Têxtil no município de Mandaguaçu – PR. Trata-se de uma pesquisa realizada em 10 mulheres com vida sexual ativa e idade entre 19 a 46 anos, por meio de aplicação de 2 questionários, sendo um semiestruturado, elaborado pela dupla, contendo informações como dados pessoais e fatores que podem influenciar na DS. E também a aplicação do questionário Female Sexual Function Index (FSFI), que foi traduzido para a língua portuguesa (do Brasil), o qual avalia os domínios da sexualidade feminina:  desejo, excitação, lubrificação vaginal, orgasmo, satisfação e dor.
PERFIL EPIDEMIOLÓGICO DOS PACIENTES NEUROLÓGICOS USUÁRIOS DE CADEIRA DE RODAS ATENDIDOS NA CLÍNICA ESCOLA DE FISIOTERAPIA DO CENTRO UNIVERSITÁRIO INGÁ
Authors: Da Silva Perreira Beatriz , Vilvert da Silva Maria Izabel , Cordeiro Vilar Mendes Fernando
Published: November 2023

As lesões neurológicas desencadeiam dependência funcional, e a utilização de cadeira de rodas (CR). Trata-se de um estudo transversal observacional, descritivo, retrospectivo e quantitativo, com objetivo de analisar o perfil epidemiológico dos pacientes neurológicos usuários de CR, pelas fichas de avaliação. Foram analisados 20 prontuários, 13 do sexo masculino e 7 do feminino, com média de idade 54±20,1, com diagnóstico clinico predominante de acidente vascular encefálico (AVE) 7 (35%), e queixa principal de dor 18 (45,6%). Conclui-se que o perfil desse paciente é: idade 60 a 69 anos, cadeira de rodas manual, sexo masculino, diagnósticado com AVE, queixa de dor, equilibrio em sedestação, autonomia na alimentação e dependência no banho, com incontinência urinária, e continência fecal.
Determinantes da tributação efetiva sobre o lucro de bancos da B³
Authors: Arruda Souza Henriques Caio , Mateus Alexandre Costa dos Santos
Published: November 2023

Objetivo: Investigar, sob um caráter exploratório, se a tributação efetiva sobre os lucros dos bancos brasileiros de capital aberto, representada pela ETR, poderia ser explicada pelo Tamanho, Endividamento, nível de PCLD, Intensividade de Capital e Lucratividade.Método: A análise foi empreendida com a utilização de um único modelo econométrico, cuja técnica aplicada foi a de dados em painel. A pesquisa compreendeu o período de 2010 a 2019 e considerou uma amostra que contemplou 24 bancos listados na B3.Originalidade/Relevância: Reside no estudo do setor bancário brasileiro e a utilização de demonstrações financeiras no padrão Cosif para os bancos presentes na amostra da pesquisa, visto que o tributo sobre o resultado financeiro do setor bancário é calculado pelo governo brasileiro nesta base contábil própria do Banco Central.Resultados: Indicaram que o Tamanho apresentou relação negativa e o Endividamento relação positiva, ambas estatisticamente significativas, com a Effective Tax Rate (ETR). Para as demais características analisadas não foi possível verificar qualquer relação.Contribuições: O presente estudo levanta questões que merecem ser enfrentadas, de modo a contribuir com a compreensão dos determinantes da tributação dos bancos, como por exemplo possíveis causas da relação positiva entre a ETR e o Endividamento ou entre a ETR e o Tamanho da firma. Uma constatação periférica é o fato de que, assim como já observado em outros estudos, a tributação efetiva média observada para o período estudado teria sido em torno de 26,72%, exibindo um nível inferior à nominal, cuja alíquota é de 45%.
Efeito da cadeia de valor nas práticas ambientais, sociais e de governança: uma análise em empresas listadas no IBOVESPA
Authors: Gomes Rocha Ferreira Lucas Benedito , Da Silva Giordani Mikaéli , Kroenke Adriana , Hein Nelson
Published: November 2023

Objetivo: Analisar o efeito da Cadeia de Valor nas práticas Ambientais, Sociais e de Governança (ASG) entre as empresas pertencentes ao índice Bovespa. A Cadeia de Valor corresponde a um conjunto interconectado de atividades que agregam valor as empresas, sendo que por meio da Inovação Aberta seria possível capturar dimensões adicionais do desempenho, como as práticas ASG.Método: Pesquisa descritiva, documental e com abordagem quantitativa por meio da Regressão Linear de Mínimos Quadrados Ordinários. A amostra do estudo correspondeu a 64 empresas não financeiras pertencentes ao índice Bovespa, durante o período de 2016 a 2020.Originalidade/Relevância: A originalidade da pesquisa consiste em investigar a questão da pesquisa do ponto de vista da inovação aberta, além de buscar evidencias acerca de fatores estratégicos das empresas que permitem maximizar o desempenho organizacional por meio da formação de cadeias globais de valor e a geração de melhorias sustentáveis.Resultados: Os resultados apontam uma relação positiva e significativa entre a Cadeia de Valor e as práticas ASG, revelando que empresas com maiores relações fornecedor-cliente possuem incentivos para desenvolver iniciativas estratégicas para as práticas ASG. Adicionalmente, o teste de sensibilidade confirma os achados da análise principal, ao verificar individualmente cada uma das práticas.Contribuições teóricas/práticas: No âmbito teórico, contribui ao utilizar a inovação aberta para investigar a questão de pesquisa. Sob o ponto de vista prático, contribui ao demonstrar que as capacidades originadas em decorrência do envolvimento na cadeia de valor possibilitam práticas socioambientais. Pesquisas futuras podem analisar setores específicos, bem como utilizar outras medidas para Cadeia de Valor e formas de mensuração para as práticas ASG.
A relevância da divulgação dos critérios de materialidade nas decisões de investidores
Authors: Correa Pepinelli Camargo Rita de Cássia , Alberton Luiz
Published: November 2023

Objetivo: Em um contexto de assimetria informacional a auditoria independente assume o papel de monitorar as ações do gestor e reforçar a confiança nos relatórios financeiros apresentados aos investidores. Nesse processo de monitoramento um conceito fundamental aplicado nos trabalhos de auditoria é a materialidade. Assim, os relatórios financeiros são influenciados pelos critérios de materialidade utilizados pelos auditores. Diante disso, o objetivo deste artigo foi avaliar a relevância da divulgação de critérios de materialidade da auditoria nas decisões de investidores.Método: Para isto, foi realizado um quase-experimento com 238 indivíduos (112 com experiência e 126 sem experiência em investimentos) com auxílio do software Qualtrics®.Resultados e Contribuições: Em linha com estudos anteriores, os resultados indicaram que a percepção do que é tolerável (material) pelo investidor, diverge substancialmente daquilo que é praticado pelos auditores, quando os critérios de materialidade utilizados são não conservadores. Foi possível constatar ainda, que os investidores pesquisados atribuem relevância para divulgação de critérios de materialidade da auditoria, uma vez que tal divulgação implicou na mudança de decisões de investimentos tomadas anteriormente sem o conhecimento destas informações. Que a relevância dessa divulgação é ainda maior quando trata de critérios de materialidade que superam os toleráveis pelos investidores. Os resultados permitem concluir que os investidores podem estar subestimando a materialidade utilizada pelos auditores ao deixar de incorporar em suas decisões ajustes relevantes na análise dos relatórios financeiros. E, que a divulgação dos critérios de materialidade pelos auditores oferece uma noção aos investidores acerca dos limites do alcance da auditoria enquanto mecanismo de monitoramento entre gestor e investidor.
Os efeitos da operação lava jato sobre o volume de negociação no mercado acionário brasileiro
Authors: Magalhães Filho Silvio da Costa , Costa Fábio Moraes da , Monte-Mor Danilo Soares
Published: November 2023

Objetivo: Analisar os efeitos das divulgações de notícias das investigações da operação Lava Jato no volume de negociação das empresas brasileiras.

Método: Para avaliar os efeitos das divulgações das operações sobre o volume anormal de negociação, utilizou-se a metodologia de estudos de eventos destacando a semana da operação como evento de análise, no período de 2014 a 2017, compreendendo da primeira a quadragésima segunda fase da operação Lava Jato.

Originalidade/Relevância: A pesquisa utiliza uma abordagem que analisa o volume de negociação em resposta às notícias de corrupção, o que pode complementar os estudos anteriores que focaram principalmente nas mudanças de preços. Isso amplia o conhecimento sobre o comportamento do mercado diante da divulgação de notícias de corrupção.

Resultados: Os resultados indicam que a Lava Jato provocou efeitos no mercado financeiro brasileiro aumentando o volume de negociação das empresas citadas na operação, e para as empresas que atuam no setor das empresas citadas evidenciou-se um efeito negativo no volume de negociação. Tais resultados sugerem que notícias de corrupção afetam o comportamento dos investidores que diante das incertezas do mercado e reagindo de forma mais eficiente às notícias tendem a comprar ou vender com mais facilidade provocando uma anormalidade nos volumes negociados.

Contribuições teóricas/metodológicas/práticas: Os resultados contribuem para a literatura atual ao identificar os efeitos das notícias de corrupção no volume de negociações das empresas envolvidas e apresentam evidências da existência de transferência informacional no mercado brasileiro. Esses achados fornecem informações importantes para investidores, analistas e empresas que buscam uma melhor compreensão dos impactos das notícias de corrupção no ambiente de negócios. Além disso, os resultados podem ser relevantes para o desenvolvimento de políticas e práticas mais eficazes de governança corporativa e ainda para auxiliar na tomada de decisões por parte dos investidores.
The effect of health education in improving the knowledge and attitudes of integrated service post cadres about early detection of high‑risk pregnancies in the working area of the Mamajang health center, Makassar city, Indonesia
Authors: Fauziah Ayu B. , Moedjiono Apik I. , Masni Masni , Seweng Arifin , Sukri Sukri , Hidayanty Healthy
Published: November 2023

Maternal mortality can be reduced by strengthening the process of early detection of high-risk pregnancies. However, the lack of knowledge related to high-risk pregnancy is still an obstacle. This study aims to analyze the effect of health education on the knowledge and attitudes of cadres about early detection of high-risk pregnancy in the working area of Health Centre Mamajang Makassar City. Experimental research with a pretest protest design with a control group, involving 80 cadres spread across 20 Integrated Service Posts who were divided into four treatment groups. There was an increase in mean knowledge between the intervention group (P=0.000) and the control group (P=0.002). There was also an increase in attitude between the intervention group (P=0.000). However, there was no improvement in attitude (P=0.475) in the control group. The intervention group through combined video+booklet had the highest mean knowledge score (6.65-13.90) than the groups that received intervention through video (6.60-12.69) or booklet alone (6.75-12.07), respectively. On attitude, the highest average attitude score in the intervention group was the combined video+booklet group (22.0-35.8), video (21.22-34.65) and booklet alone (22.25-34.55). While the average score of the control group on knowledge (6.00-6.95) and attitude (22.60-23.05). The role of health education by involving a combination of both video and booklet media is appropriate as an effort to influence Integrated Service Post cadres in increasing knowledge and attitudes about the early detection of high-risk pregnancies
Correlation between Usual Source of Care and Medication Adherence in Patients with Hypertension
Authors: Kang Han-Kil , Sung Nak-Jin
Published: November 2023

Background: Maintaining a usual source of care (USC), which is crucial for primary healthcare, encompasses initial contact, comprehensive services, coordinated care, and ongoing support. However, limited research exists on the relationship between USC and medication adherence in patients with hypertension. This study aimed to investigate the association between USC and medication adherence among patients with hypertension.Methods: Data from the 2nd Korea Health Panel Survey 2020 were analyzed. The final sample consisted of 3,318 participants aged 19 years or older diagnosed with hypertension. USC was categorized into three groups: no USC, place only (without a regular doctor), and regular doctor. Medication adherence was assessed using detailed items (dose, frequency, time, no stop) and a 4-point Likert scale. A logistic regression analysis was conducted with control for relevant variables.Results: Compared to the no USC group, the regular doctor group had significantly higher odds ratios (ORs) for overall perfect/high medication adherence rates: 1.70 (95% confidence interval [CI], 1.42–2.03) and 1.59 (95% CI, 1.14–2.20). Similar results were observed for each adherence item, including prefect dose (OR, 2.14; 95% CI, 1.73– 2.63), frequency (OR, 1.87; 95% CI, 1.53–2.28), time (OR, 1.72; 95% CI, 1.43–2.07), and no stop (OR, 1.56; 95% CI, 1.09–2.23)/high frequency (OR, 2.47; 95% CI, 1.21–5.01), time (OR, 2.30; 95% CI, 1.19–4.44). However, the place only group showed no significant differences in medication adherence except for perfect adherence to dose (OR, 1.35; 95% CI, 1.06–1.71).Conclusion: These findings provide evidence supporting the need for healthcare policies that encourage having a regular doctor in South Korea, which has a healthcare system with limited primary care.
Nurses' Use of Ultrasound Location for Puncturing Arteriovenous Fistulas in Hemodialysis
Authors: Khanoussi Ayoub , Naciri Mohamed
Published: November 2023

Puncturing an arteriovenous fistula (AVF) in chronic hemodialysis (HD) patients is a source of difficulty even for experienced dialysis nurses. The objective of this study was to compare the failure rate of AVF puncture by the usual technique (visual or by palpation) and after ultrasound location. This nonrandomized prospective single-center study was carried out at the Safi HD Hospital Center for 16 weeks in two successive phases, with the time between each phase dedicated to training nurses in locating punctures by ultrasound. We first evaluated 30 HD patients (300 HD sessions, i.e., 600 punctures) without ultrasound location, then the same patients (300 sessions, i.e., 600 punctures) using ultrasound location for all punctures. Ultrasound location carried out by a single nurse did not show a significant reduction in the rate of failure to puncture the AVF compared with the standard method (2.6% vs. 4%, P = 0.07). However, the rate of complications at the puncture site, recourse to medical advice, or mobilization of a second nurse were significantly reduced (P < 0.05). This single-center study showed no advantage of this approach for the effective cannulation of AVF in HD patients known to be not difficult to cannulate.
Nephrocalcinosis in a Transplanted Kidney: A New Sign of Chronic Tacrolimus Nephrotoxicity
Authors: El-Reshaid Kamel , Al-Bader Shaikha , Markova Zaneta
Published: November 2023

Calcineurin inhibitors are potent immunosuppressive drugs in solid-organ transplantation and multiple autoimmune diseases. Their use is associated with the acute impairment of glomerular filtration and chronic interstitial fibrosis. The latter is mediated by the accumulation of matrix proteins. In this case report, we present a kidney transplant patient with chronic and progressive allograft failure that was associated with nephrocalcinosis. He did not have hypercalcemic-hypercalciuric states such as hyperparathyroidism, sarcoidosis, and hyper-vitaminosis D; normocalcemic-hypercalciuric states such as distal renal tubular acidosis, medullary sponge kidney, excessive use of high-dose loop diuretics, and beta-thalassemia; hyperphosphaturic conditions; and hyperoxaluria. Moreover, his calcifications were limited to the transplanted kidney and spared the native kidneys and extrarenal tissues, and his renal function had improved and stabilized for 6 months after discontinuation of prolonged-release tacrolimus (Advagraf), indicating a cause and an effect phenomenon. Nephrocalcinosis was suspected after ultrasonography and confirmed by computed tomography scanning. Hence, allograft nephrocalcinosis may indicate chronic tacrolimus nephrotoxicity.
Exploring Adoption Disclosure Through Indian Adoptive Parents: A Qualitative Study
Authors: Kashika R. , Maheshbabu N
Published: November 2023

Background:

With the increasing rates of adoption and its acceptance in India, the question of whether to tell or not about the adoption to the adoptee always remains. Disclosure is a very important phase in the life of every adoptee and the adoptive parents.

Aim:

The aim of the study was to learn about the views of adoptive parents about the disclosure, assumed aftermath, and role of social support.

Methods:

The study used a qualitative research method which included a content analysis as a method of analysis and semi-structured interview method for data collection. The study included 8 Indian adoptive parents.

Results:

Through the findings, it was observed that there are various consequences that emerge out of the extent of disclosure, motives behind it, preferences, and aids to disclose which was explored in the study. These decisions of disclosure were viewed to be ruled by assumed aftermath by the adoptive parents they were both negative and positive. The need of social support system was highlighted by the participants was said to be playing an important role in the process.

Conclusion:

Overall findings show the diversity of the preferences, motives, aids to divulge and assumed aftermath thus providing scope for further exploration with the Indian adoptive parents and impact of the disclosure on adoptees.