bluuebunny/crossref_metadata_2025 huggingface dataset:
IOT BASED BATTERY MONITORING SYSTEM FOR ELECTRIC VEHICLE
Authors:   Electrical and Electronics Engineering & Bannari Amman Institute of Technology, M Mr. Rohith , L Nirmal , Bose K Suresh Chandra , A Stephen Sagayaraj
Published: October 2023

The rapid adoption of electric vehicles (EVs) represents a critical step towards reducing greenhouse gas emissions and achieving sustainable transportation solutions. One of the key components in an EV is its battery, which plays a pivotal role in determining the vehicle's performance, range, and overall efficiency. Ensuring the health and longevity of EV batteries is essential for promoting EV adoption and optimizing their operational capabilities. This project presents an IoT-based Battery Monitoring System (BMS) designed to address the challenges associated with monitoring and managing the batteries in electric vehicles. The system leverages the power of Internet of Things (IoT) technology to continuously gather real-time data from the EV's battery pack. The IoT-based BMS consists of various components, including battery sensors, microcontrollers, wireless communication modules, and cloud-based data analytics. Battery sensors collect data on parameters such as voltage, current, temperature, and state of charge (SoC) from individual cells within the battery pack. In conclusion, this project presents an innovative IoT-based Battery Monitoring System that has the potential to revolutionize the way we manage and maintain electric vehicle batteries. Key Words: Battery pack, Electric vehicle Voltage, State of charge, Vehicle performance.
Peak to Average Power Ratio Reduction in UFMC System Using Pre -Coding and Nonlinear Companding Techniques
Authors: Journal IJSREM
Published: October 2023

Universal Filtered Multi-Carrier (UFMC) is a versatile fifth-generation communication technology that can be utilized in Internet of Things and Machine-to- Machine (M2M) communication to enhance connectivity and efficiency because of its spectral efficiency, low power consumption, reliability, and flexibility. The Internet of Things and Machine-to-Machine (M2M) communication enable devices to talk to each other, gather data, and make the world smarter and more efficient. However, the drawback of UFMC systems is they exhibit a very high peak -to-average-power-ratio which causes system Lower and latency on communication. Therefore, to lower the high peak -to-average-power-ratio of the UFMC system, this project proposes an efficient hybrid PAPR reduction approach that combines both non-linear companding techniques and precoding techniques. Key Words: Peak-to-average power ratio (PAPR), Hybrid PAPR reduction Techniques, Precoding Techniques, Non- Linear Companding Techniques (NCLTs), Universal Filtered Multi-Carrier (UFMC).
Knowledge, attitude, and practice of using food labels among medical students: A cross-sectional study in Haiphong, Vietnam
Authors:   Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam, Minh Duc Cap , Thi Duyen Pham ,   Hong Phuc General Hospital, Haiphong, Vietnam, Van Hoa Ho ,   Laval University, Canada, Thi Tham Nguyen ,   Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam, Khac Tan Chu ,   Faculty of Public Health, Haiphong University of Medicine and Pharmacy, Haiphong, Vietnam
Published: October 2023

Food labeling is an essential tool that provides consumers with dietary guidelines. The increased use of food labels can improve people’s health and prevent nutrition-related problems. In Vietnam, more evidence is needed regarding the practice of reading of food labels, particularly among medical students. A cross-sectional study was conducted using a self-administered structured questionnaire from January 25 to February 30, 2022, on 1,120 medical students at Haiphong University of Medicine and Pharmacy in Vietnam. The study revealed that only about 20% of respondents understood the information on ingredients, nutritional facts, and allergens. 99.1% of respondents believed that food labels are helpful for consumers. 80% of respondents considered reading food labels necessary or very necessary. Only 2.9% strongly believed, and 33.8% believed in food labels. When purchasing foods, the percentage of respondents who often and always read food labels was 23% and 7.5%, respectively. Nearly 80% of respondents often or always prioritize buying food with labels. In addition, the price was the most critical factor in product choice for 78.7% of respondents. Multivariate logistic regression analysis showed that type of residence and nutrition knowledge were associated with reading food labels. Few Vietnamese medical students read food labels despite considering it necessary. Medical training programs should emphasize the importance of reading food labels for future doctors to improve the population’s health.
Ejecución Presupuestal y Cierre de Brechas en la Provincia de Anta-Cusco, 2019-2021
Authors: Loaiza Quispe Katerin , Sanchez Cruz David
Published: October 2023

Introducción: En la ejecución presupuestaria se ejecutan procedimientos para movilizar los recursos acordes a los objetivos establecidos por los gobiernos, sin embargo, considerando que los recursos con los que cuentan son limitados, es fundamental realizar intervenciones en sectores prioritarios. Empero, a pesar de la inversión que realizan los gobiernos, las brechas aún persisten y la problemática de la ejecución y cierre de brechas afecta el desarrollo y crecimiento de distintos países a nivel internacional.
Objetivo: Determinar de qué manera la ejecución presupuestal de inversiones influye en el cierre de brechas de la Provincia de Anta- Cusco, 2019-2021. Método: la investigación fue aplicada, no experimental, la unidad de análisis estuvo conformada por 59 proyectos con asignación presupuestaria durante el periodo de estudio. Se usó la técnica de análisis documental.
Resultados: La ejecución presupuestal no fue eficiente, ya que, en el distrito de Ancahuasi, en el periodo 2020 - 2021, no se asignó presupuesto a los proyectos de salud, y la ejecución no alcanzó el 100% del PIM, en el distrito de Anta, el monto programado para los años 2020 y 2021, disminuyó en comparación al 2019 y tampoco se alcanzó el 100% de ejecución presupuestal. El cierre de brechas no fue óptimo, ya que, se tienen brechas por cerrar importantes en la función agropecuaria.
Conclusión: La ejecución presupuestal de inversiones influye de manera positiva en el cierre de brechas, esto mediante la prueba Rho de Spearman, con un p- valor de 0.00, y un coeficiente de correlación (rho= 0.657).
Régimen de visitas, frente al principio del interés superior de los niños, niñas y adolescentes
Authors: Lascano Garces Alexander Andrés , Rodríguez Salcedo Eliana del Rocío
Published: October 2023

Introducción: El régimen de visitas frente al interés superior del niño, niña o adolescente, es en la actualidad una presión social entre los padres, ya que en muchas ocasiones, tanto el padre, como la madre incumplen estos procesos que han sido dictaminados por un juez, al momento de resolver sobre las visitas hacia el menor de edad, por ello, la entidad encargada de conocer estos asuntos de vulneración del derecho a visitas, será la Junta Cantonal y analizado el caso se correrá traslado hacia las Unidades Judiciales de la Familia para que ellas conozcan sobre la vulneración del Derecho a las visitas. Objetivo: Analizar el régimen de visitas frente al principio del interés superior de los niños, niñas y adolescentes. Metodología: Análisis de antecedentes históricos y bibliográficos, así como una revisión exhaustiva de numerosos artículos de investigación publicados en revistas científicas, que encaminan a desarrollar el mismo bajo un enfoque cualitativo. Conclusión: la importancia de precautelar el desarrollo integral del niño, niña o adolescente debe definir sus capacidades y puedan ser productivos para sí mismos, su familia y la sociedad, protegidos legalmente por el Estado.
Gender in Facebook during the Local Electoral Campaign for Bucharest City Hall in 2020. The self-construction of the candidates
Authors:   University of Bucharest, Ghinet Elena-Irina
Published: October 2023

Abstract: Romanian politicians have been using Facebook profiles as a digital tool. This study aims to analyze the gender dimension in the local electoral campaign for Bucharest City Hall in 2020 and to establish how the candidates portray themselves on their Facebook pages by going against hegemonic views. One of the focuses of the study in on gender and social media personalization and the second one is on building a personal political brand during the electoral campaign through gender identification. The hypothesis is that new media, (interactive, social, multimodal, user-centered, and circularly networked) play key role in this new communicative paradigm and they may become an important discursive space for redefining gender stereotypes and reproducing (new) social identities. The analysis focuses on the media and digital tools and on to what extent gender influences the self-personalization in digital campaigning. According to the analysis, the woman candidate engages in a particularly gendered form of personalizing by presenting herself through social media in caregiving roles. At the same time, the two candidates (both female and male) for Bucharest City Hall, used a mixed strategy of gender adaptiveness. On the one hand, the candidates use and present gender stereotypes in their self-presentation, in order to benefit from existing voter expectations and norms. On the other hand, they use a bending or overturning stereotype strategy as an alternative one. Keywords: election campaign; female politicians; male politicians; multimodality; social media; new communicative paradigm; gender stereotypes; digital identity, SC-CDS, personalization.
Searching of Literature Through Medical Subject Headings (MeSH): An Update
Authors:   Assistant Professor in Statistics (Biostatistics), Department of Community Medicine, Sri Venkateshwaraa Medical College Hospital & Research Centre, Ariyur, Pondicherry, Vasudevan Senthilvel
Published: October 2023

Medical subject headings (MeSH) thesaurus is a controlled and hierarchically organized vocabulary produced by NLM (National Library of Medicine). It is very useful for indexing, cataloging, and searching biomedical and health related information. MeSH type of terms is very useful to the purpose of indexing a journal, cataloging, and searching of biomedical articles and books easily. These are hierarchical display so that broader and narrower are displayed as ‘descriptors’. This type of descriptors is organized in 16 categories. One user has thoroughly understood of the National Library of Medicine’s Medical Subject Headings (MeSH) that will be increased the efficiency and precision of both new and old MeSH users’ literature searching skills using PubMed. From this I have concluded that this MeSH will be very much useful to the physicians because they are using Evidence Based Medicine (EBM) and it will increase their literature searching habit and it is free to use. Furthermore, a detailed review article is needed to find any difficulties are there in MeSH using and to create awareness with new researchers in medical field. Keywords: medical subject headings, national library of medicine, indexing, cataloging, searching, biomedical, health information, researchers
MODELS AND MECHANISMS OF PUBLIC-PRIVATE PARTNERSHIP IN ESTABLISHING EFFECTIVE COOPERATION OF THE STATE AND BUSINESS
Authors: Ataniyazova Maksuda
Published: October 2023

The article analyzes the models and mechanisms of public-private partnerships, the problems of implementing projects based on public-private partnerships in our republic in the present and the prospects for the development of the PPP market in the future. Based on the results of the research, concluded that it is necessary for the state to exercise constant control over PPP projects to effective use of budgetary funds in the implementation of projects, as well as to assist business representatives in order to attract them to such projects.
Irish migration and return: continuities and changes over time
Authors: Cawley Mary , Galvin Steven
Published: October 2023

The return of first generation migrants to the Republic of Ireland (RoI) is well documented since the 1980s, based on studies that adopt both structural and more humanistic approaches but continuities and changes over time in the reasons for leaving and returning are underexplored as themes per se. This paper focuses on the latter dimensions, using information relating to forty-two returnees’ reasons for migration and return (and repeat migration in some instances) discussed with reference to the wider literature. All of the sample interviewees migrated from the RoI, spent at least one year resident outside the island of Ireland and returned to live in the RoI for at least one year. Although a relatively small sample, their migration histories cover an extended period of time from 1947 to 2010 that offers scope for comparison with published sources. The evidence illustrates both changes and enduring continuities in the reasons for leaving and returning and associations with transnational ties which merit further attention.
Private Spaces, Public Interest: State Regulation of Farm Households in Early Twentieth Century Ireland
Authors: Crampsie Arlene
Published: October 2023

For farm households across Ireland, the late nineteenth and early twentieth centuries were nothing short of a revolutionary period. While the increase in state control and supervision of aspects of Irish life had been expanding throughout the 1800s, it was only in the later part of the century that this attention began to shift from the wider land and landscape to focus on the previously sacred private space of the family home. The Victorian preoccupation with improvement, particularly in relation to standards of hygiene and sanitation, would result in a raft of biopolitical legislation that impacted all families but was felt most strongly by farming households across the country. Public health and sanitation legislation ordered the eviction of animals from inside cottages, the removal of manure heaps from outside doors and introduced regulations for the sale or even provision of dairy produce. This paper will examine these and other changes introduced by the state in the period leading up to the First World War, investigating the role of local government in their implementation and using local authority records to reveal the practical consequences of this incursion of agents of the state onto private property and into private lives.
Strangers in the Shadows – An Exploration of the ‘Irish Boarding Houses’ in 1950s Leicester as Heterotopic Spaces
Authors: Maye-Banbury Angela
Published: October 2023

Existing research regarding the Irish immigration experience in England tends to focus on the push and pull factors which promoted the search for a better life ‘across the water’ (Garrett, 2000; Ryan, 2008) or the specific mental and physical health experienced by the Irish resident in England (Aspinall, 2002; Raftery et al., 1990). This paper adopts a different stance. Using Foucault’s concept of heterotopias (Foucault, 1986; 1994;) as a heuristic, the paper focuses on the ‘boarding houses’ of Leicester, England in the 1950s and 1960s in which many Irish men lived upon their arrival in England. Drawing on Irish men’s oral histories, I consider how these quintessential properties may be construed as worlds within worlds, placeless places and non-homes. The spatial and other strategies deployed by the landlords/ladies as a means of disciplining and controlling the lodgers are exposed. The paper also explores how the distinctive vernacular landscapes of the boarding houses were laden with multiple juxtapositions, including the interface between materialism and maternalism and productive/non-productive labour. The distinctive existentialist form of temporality evoked by men’s stories of boarding house life suggests that the passage of time was accumulated but never recorded.
Bull Island: characterization and development of a modern barrier island triggered by human activity in Dublin Bay, Ireland
Authors: Mathew Sojan , Pellicer Xavi , Caloca Silvia , Monteys Xavi , Zarroca Zarroca , Jiménez-Martín D.
Published: October 2023

Yet to be updated..............
Let off Steam: Exploring the Anger in the English Proverbs
Authors:   Sanata Dharma University, Indonesia, Nugraha Danang Satria
Published: October 2023

This study explores the complex relationship between language and emotion, specifically focusing on how anger is depicted in English proverbs. Using a unique combination of Cognitive Semantics Analysis (CSA) and Qualitative Methodology (QM), this research uncovers the underlying cognitive structures that shape the expression of anger in a diverse range of proverbs. The study identifies and analyzes how anger is conceptualized and communicated across various contexts by examining linguistic patterns, metaphors, and cultural nuances. The proverbs displayed a cohesive set of linguistic patterns that intensified the emotional impact of anger-related expressions. The findings provide insight into the cognitive mechanisms behind the creation of anger-related proverbs and offer a deeper understanding of the micro-cultural and social dimensions that influence these expressions. Through our analysis of English proverbs, we found a complex web of cognitive structures and metaphors that underlie the expression of anger. This investigation contributes to cognitive linguistics, emotion studies, and cultural analysis, providing a more comprehensive understanding of the intricate relationship between language, emotion, and cultural cognition.
The Influence of Implementing the Geography Virtual Laboratory (Geovlab) on Interest and Increasing Academic Achievement Abilities
Authors:   Departement of Social Science Eduaction, Universitas Negeri Surabaya, Indonesia., Perdana Parsetya Sukma , Sri Murtini Sri Murtini ,   Departement of Social Science Eduaction, Universitas Negeri Surabaya, Indonesia., Leli Anggareni Leli Anggareni ,   Departement of Social Science Eduaction, Universitas Negeri Surabaya, Indonesia., Armawati Hidayati Armawati Hidayati ,   Departement of Social Science Tadris, Institut Agama Islam (IAI) Al-Fatimah Bojonegoro, Indonesia
Published: October 2023

Purpose: This research aims to examine the effect of implementing a virtual geography laboratory (Geovlab) on students’ interest and increasing academic achievement. Patients and methods: The type of research used is experimental research. The research was conducted at SMA Plus Al-Fatimah Bojonegoro, East Java, Indonesia. The subjects of this research were 60 students. The research instruments used to collect data were interest questionnaires and cognitive measurement tests. Data analysis was tested using percentages and paired sample t test statistics. Results: Based on the analysis of research results, it shows that there are students who have a high interest in using Geovlab and there is a significant average difference between pre-test and post-test in cognitive aspects of academic achievement. Conclusion: Geovlab allows students to learn geography interactively. They can explore geographic maps, simulations, and models that help them understand geographic concepts better than traditional textbook-only learning.
Optimalisasi Pengalaman Belajar Siswa SD melalui Media Pembelajaran Interaktif Berbasis Web
Authors: Novitasari Dewi , Kurniawati Rikke
Published: October 2023

Pengembangan media pembelajaran multimedia interaktif berbasis situs web bagi siswa Sekolah Dasar (SD) sangat penting untuk memaksimalkan pengalaman belajar siswa, meningkatkan keterlibatan dan keterampilan siswa yang relevan dalam era digital. Penelitian ini bertujuan untuk mengembangkan media pembelajaran multimedia interaktif berbasis situs web bagi siswa SD. Studi kasus penelitian pada mata pelajaran tema ke-empat tentang berbagai pekerjaan dengan validasi ahli materi, ahli media, angket guru dan angket peserta didik. Obyek penelitian adalah siswa-siswi SD kelas IV di SDN Plumbungan, Sidoarjo. Penelitian ini menggunakan model pengembangan ADDIE dengan lima fase yaitu analysis, design, development, implementation dan evaluation. Hasil dari penelitian ini menunjukkan bahwa pengembangan situs web mendapat hasil validasi dari ahli media sebesar 94% pada kategori sangat baik. Hasil dari ahli materi sebesar 89,6% pada kategori baik. Hasil dari angket guru sebesar 100% pada kategori sangat baik. Hasil dari angket peserta didik pada pertemuan pertama, kedua, dan ketiga yakni mencapai 85,9% pada kategori baik; 93,5% pada kategori sangat baik; dan 96,9% pada kategori sangat baik.

The development of website-based interactive multimedia learning media for elementary school students is very important to maximize student learning experiences, increase student engagement and skills that are relevant the digital era. This study aims to develop web-based interactive multimedia learning media for elementary school students. Research case studies on the fourth theme subject on various jobs validated by material experts, media experts, teacher questionnaires and student questionnaires. The object of the research were fourth grade elementary school students at Plumbungan Elementary School, Sidoarjo. This study uses the ADDIE development model with five phases, namely analysis, design, development, implementation and evaluation. The results of this study indicate that the website development received validation results from media experts of 94%, very good category. The results of material experts were 89.6%, good category. The results of the teacher's questionnaire were 100%, very good category. The results of the student questionnaire in the first, second, and third meetings reached 85.9%, good category; 93.5%, very good category; and 96.9%, very good category.
Differential approach to stroke aphasia and primary progressive aphasia using transcranial magnetic stimulation: A systematic review
Authors: Pérez‑Martínez Verónica , Zorzo Candela , Méndez Marta
Published: October 2023

Language disorders can occur as a consequence of stroke or neurodegenerative disorders, among other causes. Post‑stroke aphasia (PSA) and primary progressive aphasia (PPA) are syndromes that, despite having common features, differ in the brain mechanisms that cause their symptoms. These differences in the underlying functional neuroanatomical changes may influence the way they are addressed by different non‑invasive brain stimulation techniques and, in particular, by repetitive transcranial magnetic stimulation (rTMS). The aim of this systematic review is to evaluate the efficacy of rTMS in the treatment of PSA and PPA, as well as the differences in the approach to these disorders using rTMS. To this end, a total of 36 articles were found in the Web of Science, Scopus, and PubMed. The results obtained suggest that whereas in PSA, the selection of the stimulation paradigm is based on bi‑hemispheric functional reorganisation models with a tendency towards the application of inhibitory rTMS in the contralateral right hemisphere, in PPA, the application of excitatory rTMS in functionally compromised areas seems to show promising changes. It is concluded that rTMS is a potential treatment in the therapy of both disorders, although differences in the underlying brain mechanisms differentiate the rTMS approach in each case.
Desprescribir para curar: análisis de prevalencia de polifarmacia en tres cupos de Atención Primaria (póster)
Authors: Lilaram Lachmandas Vanisha , Navarro González Yaiza , Rufino Delgado M.ª Trinidad
Published: October 2023

OBJETIVOS
Analizar la prevalencia de pacientes mayores de 65 años con 10 o más fármacos en su receta electrónica en tres cupos de Atención Primaria (AP), determinar el perfil de los pacientes, describir los grupos de fármacos más prevalentes y valorar criterios de desprescripción más frecuentemente detectados.

MATERIAL Y MÉTODOS
Estudio observacional descriptivo transversal y retrospectivo. Se incluyeron 188 pacientes mayores de 65 años de tres cupos de Atención Primaria de una zona básica de salud que tenían 10 o más fármacos en su receta electrónica en abril de 2022. Se excluyeron pacientes paliativos, oncológicos o institucionalizados. Se recogieron variables demográficas, número de fármacos, grupo farmacológico, y criterios de desprescripción (criterios STOPP). Se accedió a la historia clínica para recoger las variables. Análisis estadístico: se estimaron descriptivos y frecuencias. Programa estadístico SPSS versión 26. Posibles limitaciones: errores de registro, automedicación o beneficiarios de mutuas; validez externa limitada por restringirse a pacientes de tres cupos. El estudio fue aprobado por el comité ético local.

RESULTADOS
El total de pacientes mayores de 65 años fue 1.159; de ellos tenían prescrito ≥ 10 fármacos 188, siendo la prevalencia de polimedicación del 16% (intervalo de confianza [IC] 95%: 15,26%-16,74%). Fueron mujeres un 61,7%, la edad media fue 78,10 años (DT: 7,61; rango: 66-97). La media del número de fármacos fue 12,48 (DT: 2,56; rango: 10-24). Los antihipertensivos fueron el grupo farmacológico más prescrito (87,8%), seguido de inhibidores de bomba de protones (85,6%) e hipolipemiantes (75,5%), entre otros. Los criterios STOPP más detectados fueron los relacionados con la desprescripción de benzodiacepinas (44,7%), así como el criterio de desprescribir medicamentos con una duración superior a la indicada (33%).

CONCLUSIONES
Es elevado el número de mayores polimedicados. La prescripción prolongada de benzodiacepinas y de otros fármacos son aspectos a mejorar, siendo necesario herramientas de ayuda a la desprescripción.

CEI
Comité de Ética de la Investigación con Medicamentos del Complejo Hospitalario Universitario de Canarias (provincia de Santa Cruz de Tenerife). CHUNSC_2022_78.
Diferencias en las características clínicas y el seguimiento de los pacientes diagnosticados de COVID-19 en Atención Primaria en 2020 en función de la edad (póster)
Authors: Nieves Sanchís Miguel Ángel , Fernández Pérez M.ª José , Calleja Argudo Sergio , Martínez González Ana , Bernad Carbonell Fernando , Ayuso Raya M.ª Candelaria
Published: October 2023

OBJETIVOS
Conocer las manifestaciones clínicas y el seguimiento de la COVID-19 en niños/jóvenes y adultos diagnosticados en Atención Primaria en 2020.

MATERIAL Y MÉTODOS
Diseño: serie de casos. Emplazamiento: Atención Primaria. Participantes: 853 pacientes diagnosticados de COVID-19 en 2020 por criterios clínicos o con apoyo de exploraciones complementarias, y seguidos por sus pediatras/médicos de familia. Variables: se obtuvo la siguiente información de la historia clínica: edad, sexo, datos clínicos y número de consultas. Análisis estadístico, con SPSS 25.0: estadística descriptiva, comparación de proporciones y medianas. El punto de corte para los grupos de edad se estableció en 18 años. Limitaciones: sesgo de información al recopilar datos de historias clínicas. Aspectos ético-legales: el proyecto fue aprobado por el comité ético de investigación con medicamentos (CEIm) del área.

RESULTADOS
Resultados: el rango de edad de los pacientes fue 0-92 años, mediana: 45 y rango intercuartílico (RI): 27-58; 13,1% eran 18 años precisaron ingreso hospitalario con significativa (p = 0,05) mayor frecuencia: 14,3% versus 4,1% en menores. Ninguno de estos últimos ingresó en la unidad de cuidados intensivos (UCI).

CONCLUSIONES
La gran mayoría de pacientes presentaron un cuadro clínico leve. Las complicaciones que precisaron asistencia hospitalaria fueron más frecuentes en los de más edad.

CEI
CEIm del Área de Albacete.
E-consulta: ¿cuáles son los principales motivos de consulta? (póster)
Authors: Ferrer Moret Sílvia , Mañas Guallarte Cristina , Veledo Álvarez Helena , Pou Giménez M.ª Antònia , Jerez Ortiz Silvia , Quintela Salvans M.ª Carmen
Published: October 2023

OBJETIVOS
Conocer cuál es el perfil de paciente que utiliza la e-consulta, los motivos de consulta más frecuentes y el tiempo requerido por el profesional sanitario para la resolución total de este tipo de consultas médicas virtuales.

MATERIAL Y MÉTODOS
Estudio descriptivo en un centro de salud urbano. Se revisan todas las e-consultas dirigidas a una agenda de enfermería y a una agenda de medicina de Atención Primaria durante diciembre de 2022. Análisis estadístico descriptivo. Trabajo aprobado por la comisión de ética del centro.

RESULTADOS
Se revisan 175 e-consultas. Edad media: 54,8 años. Mujeres: 58,6%. El 68,3% de los usuarios tienen < 65 años. Los principales motivos de e-consulta fueron: 33,8% por solicitud de recetas; 15,2% relacionadas con la baja laboral; 15,2% por patología aguda de salud; 10,3% aportan resultados de pruebas; 7,6% son consultas sobre patología crónica; 4,1% solicitan cita presencial; 4,1% relacionadas con vacunación. El motivo mayoritario de consulta a medicina y también a enfermería fue la solicitud de recetas. Un 53,1% de las e-consultas fueron resueltas por el profesional sanitario en un tiempo inferior a 5 minutos.

CONCLUSIONES
La e-consulta es un tipo de visita virtual que las personas usuarias de centros de salud tienen a su disposición para contactar con sus profesionales sanitarios de referencia. Este servicio lo utilizan personas de todas las edades, siendo las mujeres las que lo usan de una forma ligeramente superior. Los motivos de consulta más frecuentes son la solicitud de recetas, problemas de salud agudos y temas relacionados con la baja laboral. Poco más de la mitad de estas consultas son resueltas por el profesional sanitario en un tiempo inferior a 5 minutos. Las agendas de los profesionales sanitarios deben tener asignado un espacio y un tiempo adecuados para la correcta resolución de las e-consultas.

CEI
Comité de Investigación.
Evaluación de la satisfacción de usuarios y médicos con respecto a la atención domiciliaria en el ámbito de la Atención Primaria (póster)
Authors: Suárez Caballero José Ángel , Pérez Paramio M.ª Teresa , Padrón González Carmen Naira , Medina Delgado Sara , Suárez Santana Adrián
Published: October 2023

OBJETIVOS
Valorar las características organizativas de la atención domiciliaria (AD) en Atención Primaria (AP), así como el grado de satisfacción de personas usuarias y/o cuidadoras y médicas y médicos de familia (MF) que intervienen en ella. Además, se pretende conocer las dificultades que encuentran ambos grupos de estudio para realizar o recibir la AD, así como propuestas de mejora de dicho servicio.

PACIENTES Y MÉTODOS
Estudio descriptivo transversal a través del análisis de encuestas de satisfacción a personas usuarias de AD y a MF que la desempeñan. En las mismas se recaba información acerca del grado de satisfacción, funcionamiento habitual y condiciones para el desempeño de la AD. En un segundo tiempo, se crearon cuatro grupos focales donde se invitó a participar a MF que desempeñan su actividad laboral en los centros adscritos a la muestra de usuarios. Posteriormente, se hizo un análisis cuantitativo, con el objetivo de conocer mejor la realidad de este ámbito de la Medicina Familiar. Asimismo, se hizo un análisis cualitativo de los grupos focales y de las preguntas abiertas de las encuestas de usuarios y de MF.

RESULTADOS
Los usuarios de AD están muy satisfechos con la atención prestada por su MF, pero ven dificultades en la accesibilidad y la frecuencia de visitas. Los/las MF se ven limitados para dar una atención de calidad por falta de tiempo, recursos y la sobrecarga asistencial. Tanto MF como personas usuarias coinciden en las soluciones necesarias para mejorar la calidad de la AD: mayor frecuencia y tiempo para las visitas, más recursos y más coordinación con enfermería.

CONCLUSIONES
El desarrollo de la AD en el ámbito de la Atención Primaria requiere de una mejora de las condiciones de trabajo y un replanteamiento del modelo de gestión de esta, a tenor de los resultados obtenidos tanto de las encuestas realizadas a usuarios como a MF que prestan dicho servicio.

CEI
Aprobado por el Comité de Ética del Hospital Universitario de Gran Canaria Doctor Negrín: CEIm HUGCDN: 2021-279-1.
Evolución de las visitas presenciales y telefónicas al médico de familia de los pacientes con diabetes tipo 2 de Atención Primaria durante la pandemia por la COVID-19 (póster)
Authors: Zerolo del Torre Tomás , Delgado Estévez Juan Luis , Alonso Curbelo Melania Esther , Ramos de la Rosa Victoria , Quintero Hernández Belén , Expósito Legarza Lucía
Published: October 2023

OBJETIVOS
Conocer le evolución de las visitas al médico/médica de familia (MF), tanto presenciales (VPMF), como telefónicas (VTMF) de pacientes con diabetes tipo 2 (DM2) de un centro de salud docente durante la pandemia por la COVID-19.

MATERIAL Y MÉTODOS
Estudio descriptivo transversal con puntos de corte en 2019, 2020 y 2021. Revisión de historias clínicas de 525 pacientes con DM2, recogiendo sexo, edad, VPMF y VTMF. Comparaciones de K muestras relacionadas mediante la prueba de Friedman para variables identificadas como no paramétricas mediante el test de Kolmogorv-Smirnov, a un nivel de significación estadística p.

RESULTADOS
261 (49,7%) mujeres; 343 (65,3%) mayores de 65 años. Frecuentación expresada como (P25-P50-P75) en 2019, 2020 y 2021; p-valor. VPMF= (4-7-11), (2,5-5-8), (2-5-8); p.

CONCLUSIONES
Se observa una reducción consolidada en las VPMF durante los años pandémicos 2020 y 2021, que se puede atribuir tanto a la reorganización de la atención a pacientes crónicos como a su temor al contagio si acuden al centro de salud. Esta reducción de las VPMF se ve compensada por el incremento sostenido en las VTMF. Los hombres utilizan en menor medida tanto las VPMF como las VTMF durante todo el período estudiado, por lo que se debe valorar si constituyen un grupo diana para intensificar las intervenciones para pacientes con DM2.

CEI
CEIm del CHUC CHUNSC_2022_53.
Buchanan on Public Choice and Beyond
Authors:   Korea Public Choice Association, Yoon Yong J
Published: October 2023

This essay attempts to portray the story of public choice as an intellectual enterprise. I discuss James Buchanan’s perspective on public choice as collective decision making and politics as complex exchanges. To this foundation of public choice, Tullock introduced rent seeking which opened up a new dimension in public choice research. It allowed (us) to analyze the causes of government failure. Much work has been written on these subjects and will continue so (to be done). However, Buchanan’s work after his Nobel (1986) has not been much discussed as carefully as it should be. This is unfair to Buchanan as a thinker. To cover this, I discuss his work on generalized increasing returns and the economics of ethics.
Public Choice School’s Critique on Amartya Sen’s Impossibility of Paretian Libertarianism
Authors:   Korea Public Choice Association, Kim Haeng-Bum
Published: October 2023

Kenneth’s Arrow Impossibility Theorem revealed dismal prospect to democracy, Amartya Sen’s Impossibility Theorem of Paretian Libertarianism provoked deep pessimism to Libertarianism. This paper synthesize critique by Public Choice School on Sen’s theorem comprising three points. Firstly, Sen misunderstood individuals as picking ‘social states’, which he regarded as complete description of society including all individual positions on it. Actually, however, individuals just choose particular aspect. Secondly, Sen’s impossibility basically comes from externality of individual’s preference. Public Choice scholars revealed, by designing proper game model under externality, Pareto optimality comes along with libertarian choice. Thirdly, Sen’s Impossibility Theorem is just short-term equilibrium showing contradiction between Pareto principle and Libertarian principle. Buchanan proves that paradox can be resolved through mutual coordination between individuals who are under Paretian inferior equilibrium. This paper suggests some implication as follows. Firstly, Libertarianism in Sen’s sense is far from normal meaning of liberty. Without proper conceptual modification, his theorem needs to be renamed. Secondly, If Sen’s Impossibility Theorem under U-condition can never exclude some cases in which two principles can coexist, then his theorem can be renamed as “Impossibility of Sen’s Impossibility of Paretian Libertarianism”. Thirdly, Public Choice theorists properly proved Paretian Libertarianism is possible, showing Sen exaggerated the paradox. Then, as Arrow’s theorem can be interpreted as ‘Possibility’ Theorem, considering substantial stability of actual collective choice situation, Sen’s theorem also can be re-interpreted as ‘Possibility’ Theorem of Paretian Libertarianism. Two camps needs to confront each other again towards the empirical proof on it.
The genus Selaginella P. BEAUV. (Selaginellaceae, Lycopodiopsida) in Poland: The occurrence of three species as a result of the historical material verification
Authors: Szczęśniak Ewa , Gola Edyta M. , Szypuła Wojciech J.
Published: October 2023

Two species of the Selaginella genus were noted in Poland up to date, i.e. S. selaginoides and S. helvetica. The first species occurs in the Western Carpathians and the Western Sudetes, however, its Sudeten sites were less numerous than previously reported. The second species was one of the rarest elements in Polish flora. Two populations were reported in Silesia (SW Poland), but after 1945 the species was not confirmed in the nature and thus currently it is regarded in Poland as extinct. Its occurrence and locations were given in the literature based on the historical sources, yet without revision of herbarium materials. Our research on Selaginella vouchers, collected from the sites in Silesia and primarily identified as S. helvetica, showed that only one population represented S. helvetica, whereas the second one was identified by us as an alien American species, S. apoda. This is the first record of S. apoda occurrence in Poland out of cultivation, and the second in Europe. Accordingly, corrected maps of S. selaginoides, S. helvetica and S. apoda distribution in Poland together with the identification key to the species are presented.
Six Sigma methodology based on the PMBOK guide in the release management process in software developer enterprise
Authors: Gatto Dacyr Dante de Oliveira , Evangelista João Rafael Gonçalves , Da Silva Rosana Cordovil , Sassi Renato José
Published: October 2023

The objective of this work was to analyze the application of the Six Sigma methodology based on the PMBOK guide in the release management process in a software developer company. With the increasing complexity of the release management process in the software developer company, we saw the need to analyze the mapped process, and identify points of failure or improvement that could be fixed/improved. For the implementation of the Six Sigma methodology, it was defined that the PMBOK would be used as the guiding basis for the definition of which project management processes would be used. The methodology was used as a reference for quality methods and tools for application in the process carried out by the application infrastructure area. A qualitative approach was applied as a research methodology, with bibliographic research for the theoretical foundation and documentary research, making annotations about the observed process, as well as its results. By defining the project management processes, the project was executed in such a way as to provide the methodology to be applied assertively on the process, thus identifying the points of failure and improvement to be addressed, thus achieving the expected goal.
Ozonioterapia nas doenças osteoarticulares: relato de casos
Authors: Canile Cecilia Lomanto Barreto , Nascimento Tamires Alcazas Magalhães , Pereira Renata Junqueira
Published: October 2023

Introdução: A ozonioterapia é uma terapia secular, utilizada durante a primeira guerra mundial, por médicos ingleses e alemães, que implantaram essa terapia nos feridos de guerra. A terapia possuía o objetivo de regenerar e tratar feridas, sendo que os soldados tratados com ozônio apresentaram maior rapidez na cicatrização, menos risco de sofrerem amputações, com resposta mais rápida ao tratamento. O ozônio é um gás que se origina a partir de 3 átomos de oxigênio e é um potente oxidante. É importante ressaltar que o ozônio é naturalmente produzido no organismo humano, no processo de ativação de anticorpos, motivo pelo qual é considerado molécula biológica. Objetivo: Presente estudo consistiu em descrever casos da prática clínica, em pacientes acometidos por patologias osteoarticulares, que foram submetidos ao tratamento de ozonioterapia aplicado por distintas áreas e vias. Metodologia: Os casos relatados foram de 08 pacientes atendidos previamente em uma clínica particular, sendo os dados obtidos dos prontuários médicos com abordagem qualitativa. Resultados e Discussão: Para todos os casos observou-se melhora progressiva da amplitude de movimento, logo após a primeira aplicação da ozonioterapia. Todos os pacientes também relataram melhora na dor crônica e aumento da capacidade para realização de atividades da vida diária. Ao longo dos anos o ozônio tem demostrando ação analgesia, anti-inflamatória e antioxidante. Tornou-se uma terapia usual frequente, sendo implementada em diversas patologias, por distintas vias (subcutânea, intramuscular, intradiscal, intracavitária, intrauretral, vesical e em auto-hemoterapia ozonizada). No entanto, são escassas as evidências científicas que endossem a eficácia dessa terapia complementar. Conclusão: a ozonioterapia se mostrou eficaz e segura nos pacientes estudados, melhorando a dor crônica e as limitações funcionais decorrentes dos quadros clínicos de base, sem quaisquer relatos de reações adversas, na forma como o ozônio fora aqui aplicado.
Cirurgia robótica: de quem é a responsabilidade?
Authors: De Sousa Amanda Queiroz , Crozara Giovanna Lyssa de Sousa , De Castro Ana Paula Leal , Tierno Giovanna Veronez , Castro Maria Laura Gouveia , Carneiro Luiza Miranda
Published: October 2023

A cirurgia robótica é uma técnica que envolve o uso de robôs para auxiliar ou realizar procedimentos cirúrgicos. Os robôs são operados por cirurgiões especializados que controlam os movimentos dos braços robóticos e instrumentos através de um console de computador. Além disso, é usada para realizar uma variedade de procedimentos hospitalares, no entanto, com o aumento da complexidade de algumas técnicas, essas novas tecnologias trazem riscos que precisam ser ponderados. Quando se pensa na falha ou nos eventos inesperados em um procedimento guiado na cirurgia robótica, quem é o responsável? E há quem pertence o dever de indenizar: o hospital, o médico operante ou o fabricante. O objetivo desse trabalho é realizar uma análise sobre as consequências, a responsabilidade dos erros e eventos adversos que podem ocorrer nos procedimentos robóticos. No presente estudo, foi realizado uma revisão literária de abordagem descritiva e qualitativa utilizando-se das bases de dados Google Acadêmico e Scielo. Os descritores utilizados foram “cirurgia robótica”, “erros” e “consequências”, no qual foram incluídos artigos no idioma português entre os anos de 2019 e 2020. Dos trabalhos encontrados, três foram inseridos no atual estudo por se encaixarem adequadamente no tema proposto. Visto que o cenário de novas tecnologias tem alterado significativamente a relação médico-paciente, o debate bioético sobre a cirurgia robótica – ainda incipiente – torna-se necessário. A implementação de robôs tem sido benéfica em procedimentos cirúrgicos minimamente invasivos nas áreas da urologia, ginecologia, cirurgia geral, torácica, abdominal e neurocirurgia, possibilitando menores riscos de complicações – como infecções, perda sanguínea e o tempo da cirurgia. Contudo, há impactos éticos e legais que devem ser ponderados na sua utilização, dentre eles: capacitação do profissional, consentimento informado ao paciente e limitações da tecnologia. A responsabilidade – pela indicação e pela execução do ato cirúrgico – envolve tanto o médico, ao receber treinamento específico e informar ao paciente sobre os riscos e benefícios do ato, quanto os fabricantes que fornecem os dispositivos robóticos. Isso porque mortes e lesões em pacientes, mau funcionamento das mãos do robô, ausência de instruções sobre a limpeza da máquina e o tempo de latência entre os movimentos realizados pelo cirurgião e a replicação pelo robô são situações que devem ser levadas em consideração. Em conclusão, a cirurgia robótica é uma tecnologia promissora que oferece muitos benefícios para pacientes e médicos. Entretanto, requer ponderações e reflexões sobre a forma de atribuição da responsabilidade entre os agentes envolvidos – desde médicos e sua equipe até fabricantes do robô, a fim de que os pacientes recebam um tratamento adequado. É necessário, também, uma avaliação constante do uso da tecnologia, com base em evidências científicas e princípios éticos sólidos.
Manejo não madeireiro de jatobá: a secagem como técnica para a formação de produtos
Authors: Da Silva Maycon Lima , Barbosa Isabella Ribeiro , Moreira Matheus Favaro , Mendonça Andreza
Published: October 2023

O fruto de jatobá apresenta mesocarpo elevado valores nutricionais, contudo, pouco se tem conhecimento sobre a aplicação do manejo partir da compreensão biométrica do fruto e do uso de técnicas de secagem que visem o enriquecimento nutricional e a formulação de novos produtos. Portanto, o objetivo deste trabalho foi realizar a formação e aceitação de subprodutos da espécie Hymenaea courbaril a partir do manejo e secagem do mesocarpo. O trabalho foi realizado a partir da secagem nas temperaturas de 60°, 70° e 80°C até atingirem as umidades de 10%, 8% e 6%, para posterior análise de proteína, fibra e cinzas. O Tratamentos que apresentaram melhores valores proteicos forma submetidos a formação de bolos para serem avaliados a partir dos seus teores proteicos e análise sensorial. Os menores teores de umidade apresentaram os melhores teores de proteínas e cinzas, sendo potencializados pela retirada de água livre. Os bolos produzidos com 25% de farinha de jatobá a partir tratamento realizado a 80°C e 6% de umidade apresentaram além de um maior teor proteico, uma boa aceitação. Assim, identifica-se que o manejo da secagem para a formação de produtos a partir do mesocarpo de jatobá deve acontecer a 80°C atingindo a umidade de 6%.
Linguisisme: Narasi Ketimpangan Bahasa Minoritas Sunda di Provinsi Jawa Tengah
Authors: Imelda
Published: October 2023

Dalam konteks provinsi Jawa Tengah yang tampaknya seragam dalam budaya (baca: bahasa), diduga memiliki persoalan karena kebijakan bahasa Jawa (dialek Jogja-Solo) di ranah pendidikan dipaksakan untuk diimplementasikan kepada masyarakat minoritas Sunda yang tinggal di perbatasan Provinsi Jawa Tengah–Jawa Barat. Persoalan tentang kesenjangan dalam kebijakan bahasa ini penting dikaji karena sebagai negara yang memiliki ratusan bahasa daerah dan mengakui keragaman bahasa (budaya) melalui simbol negara Bhinneka Tunggal Ika, sudah selayaknya keberagaman bahasa terakomodasi di dalam kebijakan pemerintah, salah satunya pendidikan. Artinya, sebagai negara yang mengakui keanekaragaman budaya dan bahasa, sudah seharusnya negara memberikan tempat bagi berkembangnya bahasa dan budaya masyarakatnya, tanpa memandang latar belakang etnis.
Tulisan ini akan mendiskusikan berbagai ketimpangan yang terjadi pada kelompok etnis minoritas Sunda di Provinsi Jawa Tengah, khususnya Kabupaten Brebes.