bluuebunny/crossref_metadata_2025 huggingface dataset:
HIPERPLASIA SUPRARRENAL CONGÊNITA: SINTOMAS E SEUS DESAFIOS
Authors: Lima João Luiz Silva de , Morais Sabrina Karen Meneses , Grassioli Lucas Guimarães , Neto Humberto Arruda Carneiro , Carneiro Vyctor Mont`Alverne Napoleão
Published: December 2023

O objetivo do estudo acima é analisar, de acordo com a literatura científica, os principais sintomas e medidas preventivas para o diagnóstico da hiperplasia suprarrenal congênita. Trata-se de uma revisão integrativa da literatura que tem caráter de estudo descritivo e abordagem qualitativa, em que a enquente foi realizada no sistema biblioteca Virtual em Saúde do Ministério da saúde utilizando os seguintes descritores: 17 Caproato de alfa-hidroxiprogesterona, neonatal, triagem e hiperplasia adrenal congênita. Inicialmente foram encontrados 234 resultados sem filtros. e aplicações ulteriores foram reduzidas para 45 estudos, e destes os títulos resultantes foram lidos na base de dados, restando apenas 09 artigos para a amostra na síntese qualitativa final. A partir da análise da literatura foi estabelecido que a hiperplasia hiperadrenal (CHS) é uma doença gênica que afeta as glândulas supra-renais. Isso resulta na produção insuficiente de hormônios esteróides. As glândulas supra-renais são essenciais para o funcionamento do corpo pois produzem hormonas responsáveis ​​pela regulação de diversas funções importantes. Portanto, se o HSC não for tratado apropriadamente, podem ocorrer complicações graves, como crise salina e desequilíbrio hormonal. Essas complicações podem exigir hospitalização e impactar negativamente na qualidade de vida da criança. Através do estudo constatou-se que a implementação de estratégias de triagem neonatal, a conscientização e educação pública, bem como o acesso adequado a exames laboratoriais, são essenciais para a identificação precoce e tratamento da HAC. Esperançosamente, com pesquisas contínuas e empenhos colaborativos. Isso criará melhores opções de tratamento. e um melhor prognóstico para crianças que sofrem de HSC.
Screen Time dan Aktivitas Fisik dengan Asupan Energi Pada Remaja Obesitas
Authors: Islami Septi Nur , Yanti Rusmini , Hariati Niken Widyastuti
Published: December 2023

Kota Banjarbaru memiliki prevalensi obesitas sebesar 3,60%, dan sudah mendekati nilai nasional yaitu 4,0%.  Pola makan yang buruk, umur, aktivitas fisik, asupan energi, genetik, dan sedentary lifestyle merupakan faktor penyebab obesitas.  Obesitas bisa terbentuk akibat kurangnya aktivitas fisik, disebabkan kebiasaan remaja yang hanya dilakukan aktivitas di dalam rumah, seperti kegiatan menatap layar. Penelitian ini bertujuan untuk mengetahui hubungan screen time dan aktivitas fisik dengan asupan energi pada remaja obesitas di SMK Negeri 1 Banjarbaru. Jenis penelitian ini adalah observasional analitik dengan rancangan cross- sectional. Sampel adalah siswa SMK Negeri 1 Banjarbaru yang mengalami obesitas sebanyak 45 orang. Pengumpulan data screen time, aktivitas fisik, dan asupan energi dengan wawancara kuesioner, dan dianalisis dengan menggunakan uji korelasi Rank Spearman. Hasil uji statistik Rank Spearman menunjukkan ada hubungan bermakna antara screen time dengan asupan energi (p-value= 0,005) dan ada hubungan antara aktivitas fisik (p-value = 0,000) dengan asupan energi remaja obesitas. Kesimpulan dari penelitian ini bahwa terdapat hubungan antara screen time dan aktivitas fisik dengan asupan energi pada remaja SMK Negeri 1 Banjarbaru.
Tingkat Kemandirian Lansia dalam Pemenuhan Activity Daily Living di Panti Sosial Tresna Wredha “AGAPE” Tondano
Authors: Runtu Andro Ruben , Enggune Meilita , Kaunang Djoise
Published: December 2023

Kemandirian merupakan dimana sikap individu untuk bersikap mandiri dalam menghadapi berbagai situasi. Activity Daily Living (ADL) ialah tindakan menyelesaikan pekerjaan, jadwal, keseharian serta sebagai tindakan mendasar untuk merawat diri sendiri sehari- hari. Tujuan Penelitian ini untuk  mengetahui bagaimana Tingkat Kemandirian Lansia dalam Pemenuhan Activity Daily Living (ADL) di Panti Sosial Tresna Wredha (PSTW) “AGAPE” Tondano. Penelitian ini menggunakan metode kuantitatif menggunakan desain deskriptif dengan teknik total sampling dan didapatkan 36 subjek. Pengumpulan data menggunakan koesioner dan dianalisis menggunakan univariat. Setelah dilakukan analisi data didapatkan ketegori mandiri yaitu sebanyak 34 subjek (94%), sedangkan yang memiliki kemandirian tergantung/dibantu sebanyak 2 subjek (6%). Oleh karena itu disimpulkan terdapat lansia yang memerlukan bantuan di Panti Sosial Tresna Wredha (PSTW) “AGAPE” Tondano. Saran perlu mempertahankan dan meningkatkan tingkat kemandirian lansia, sehingga dapat melakukan aktivitas secara mandiri dan memeriksakan kesehatan di fasilitas kesehatan yang ada.
Sikap Remaja terhadap Perilaku Perjudian
Authors: Putri Triyana Harlia
Published: December 2023

Judi merupakan permainan yang umum dilakukan oleh remaja hampir di seluruh dunia. Namun, berbagai permasalahan perjudian dapat mengancam kesehatan masyarakat, untuk itu penting untuk mengevaluasi sikap remaja dalam berjudi yang menjadi alasan remaja memutuskan untuk berkontribusi dalam perjudian. Penelitian ini bertujuan untuk mengetahui sikap terhadap perilaku perjudian pada remaja. Penelitian ini menggunakan pendekatan cross sectional, jumlah populasi adalah 594 siswa SMP yang seluruhnya berpartisipasi dalam pengisian kuesioner, sehingga sampel diambil dengan menggunakan teknik total sampling. Instrumen yang digunakan dalam penelitian ini adalah skala Sikap terhadap perjudian (ATGS-8). Penelitian ini melaporkan mayoritas berada pada usia 14 tahun, berjenis kelamin perempuan, mayoritas merupakan remaja dengan riwayat keluarga berstatus ekonomi sedang, mayoritas memiliki riwayat keluarga tidak pernah berjudi dan tidak pernah mengonsumsi rokok dan minuman beralkohol. Hasil ATGS-8 menunjukkan bahwa separuh remaja menggambarkan sikap negatif, namun memiliki kecenderungan netral terhadap perjudian sebesar 52,5% atau rata-rata sikap sebesar 23,14 (±3,31). Penelitian ini melaporkan bahwa separuh remaja menggambarkan sikap negatif, namun cenderung netral terhadap perjudian.
PENGARUH BEBAN KELUARGA, STRATEGI KOPING DAN SELF EFFICACY TERHADAP KEMAMPUAN KELUARGA DALAM MERAWAT PASIEN SKIZOFRENIA DI WILAYAH KERJA PUSKESMAS BAROS KOTA SUKABUMI
Authors: Kusumah Rani Indriani
Published: December 2023

Jumlah gangguan jiwa setiap tahunnya mengalami peningkatan yang sangat signifikan dan terus bertambah. Skizofrenia termasuk gangguan psikotik kronis yang memiliki dampak tidak hanya masalah bagi penderita namun berdampak juga bagi keluarganya sehingga kemampuan keluarga sangat diperlukan dalam merawat anggota keluarganya. Kemampuan keluarga dipengaruhi oleh beban keluarga, strategi koping dan self efficacy. Tujuan penelitian untuk mengetahui pengaruh beban keluarga, strategi koping dan self efficacy terhadap kemampuan keluarga dalam merawat pasien skizofrenia di wilayah kerja Puskesmas Baros Kota Sukabumi. Penelitian ini menggunakan metode korelasional dengan pendekatan cross sectional. Populasi dan sampel adalah seluruh keluarga yang merawat pasien skizofrenia di Wilayah Kerja Puskesmas Baros Kota Sukabumi sebanyak 30 responden menggunakan teknik pengambilan sampel total sampling. Instrumen yang digunakan pada variabel beban keluarga menggunakan Zarit Burden Interview (ZBI), untuk self efficacy menggunakan instrumen General Self Efficacy, untuk strategi koping menggunakan Brief COPE, sedangkan untuk mengukur variabel dependen yaitu kemampuan keluarga mengacu pada kuesioner dan lembar observasi yang dimodifikasi dari FAD (Family Assesment Device). Analisis statistik dalam penelitian ini menggunakan analisis regresi sederhana dan analisa multivariat menggunakan analisis regresi berganda. Hasil penelitian menunjukan bahwa terdapat pengaruh beban keluarga, strategi koping dan self efficacy terhadap kemampuan keluarga dalam merawat pasien skizofrenia di wilayah kerja Puskesmas Baros kota Sukabumi.
Enduring association between irritable bowel syndrome and war trauma during the Nicaragua civil war period: A population-based study
Authors: Peña-Galo Edgar M , Wurzelmann Daniel , Alcedo Javier , Peña Rodolfo , Cortes Loreto , Morgan Douglas
Published: December 2023

BACKGROUND

Psychosocial and physical trauma are known risk factors for irritable bowel syndrome (IBS), including in war veterans, whereas war exposure in civilians is unclear. Nicaragua experienced two wars, 1970-1990: The Sandinistas Revolution (1970s) and The Contra War (1980s). Our aim was to investigate the role of exposure to war trauma in the subsequent development of IBS in the context of an established health surveillance system (11000 households).

AIM

To investigate in a civilian population the relationship between exposure to war trauma and events and the subsequent development of IBS in the context of an established public health and demographic surveillance system in western Nicaragua.

METHODS

We conducted a nested population-based, cross-sectional study focused on functional gastrointestinal disorders based on Rome II criteria. 1617 adults were randomly selected. The Spanish Rome II Modular Questionnaire and Harvard Trauma Questionnaire were validated in Nicaragua. War exposure was assessed with 10 measures of direct and indirect war trauma and post-war effects. Multiple exposures were defined by ≥ 3 measures.

RESULTS

The prevalence of IBS was 15.2% [Female (F) 17.1%, Male (M) 12.0%], war exposure 19.3% (F 9.3%, M 36.7%), and post-traumatic stress disorder (PTSD) 5.6% (F 6.4%, M 4.3%). Significant associations with IBS in the civilian population were observed (adjusted by gender, age, socioeconomic status, education): physical and psychological abuse [adjusted odds ratio (aOR): 2.25; 95% confidence interval: 1.1-4.5], witnessed execution (aOR: 2.4; 1.1-5.2), family member death (aOR: 2.2; 1.2-4.2), and multiple exposures (aOR: 2.7; 1.4-5.1). PTSD was independently associated with IBS (aOR: 2.6; 1.2-5.7).

CONCLUSION

An enduring association was observed in the Nicaragua civilian population between specific civil war-related events and subsequent IBS. Civilian populations in regions with extended armed conflict may warrant provider education and targeted interventions for patients.
Electronic Word-of-Mouth and Social Media Marketing on Brand Image and Purchase Intention
Authors: Kartika Tasia , Pandjaitan Dorothy
Published: December 2023

Electronic Word-of-Mouth (eWOM) and Social Media Marketing are widely used by consumers to gather information about a product. Information obtained from various sources on the internet will affect consumer perceptions of brand image, risk and encourage consumer buying interest. This study aims to examine the effect of electronic word-of-mouth variables, and social media marketing on purchase intention with brand image as an intervening variable. This research was conducted quantitatively on 150 respondents. The research was conducted on all Lampung people who know about Bittersweet by Najla Lampung on Instagram and have made purchases through e-commerce. The method used is Structural Equation Model with SmartPLS 3.3.3 software in 2023. Statistical results after hypothesis testing show that each variable, namely: These results indicate that hypotheses one, two, three, four and five are proven, and it can be concluded that electronic word-of-mouth has a positive and significant effect on brand image and purchase intention, and social media marketing has a positive effect on brand image and purchase intention and is significant to brand image and significant to purchase intention. Meanwhile, brand image has a positive and significant effect on purchase intention.
Implementasi Metode PCQ – Queue Tree Pada Router Mikrotik Untuk Meningkatkan Quality Of Service Jaringan Internet Di Desa Renah Semanek
Authors: Mahfuzi AR Walad , Abdullah Dedy , Juhardi Ujang , Marhalim Marhalim , Pallas Raymond
Published: December 2023

Abstract_Bandwidth management is a network management technique in an effort to provide fair and satisfactory network performance, which regulates computer networks so that bandwidth is used optimally and evenly. The internet network located in Renah Semanek Village has problems such as unstable internet connection, unequal internet distribution, making it difficult for everyone to access the internet. This study aims to stabilize the internet connection by dividing the maximum possible bandwidth across all clients, so that users will get an equal amount of bandwidth. This implementation has been tested and proven to improve Quality of Service (QoS) on Rt Rw Net. The results of the implementation of the PCQ-Queue Tree method get an increase in QoS value seen from the upload and download parameter testing, initially the internet connection was not divided equally.
Penerapan K-Nearest Neighbor Untuk Klasifikasi Tingkat Kelulusan Pada Siswa Sma Negeri 11 Kota Bengkulu
Authors: Supriadi Dofey , Yupianti Yupianti , Suryana Eko
Published: December 2023

Abstract-Bengkulu City 11 Public High School is one of the State Senior High Schools in Bengkulu City. The student's pass rate refers to the final score obtained for each subject, then calculates the average score to get the student's pass rating. So far, the school does not have an application that can help provide a predictive picture of student graduation. Where this needs to be done in order to evaluate the teaching and learning system so that students are able to face the final exam given The K-Nearest Neighbor application for classifying graduation rates for students at State Senior High School 11 Bengkulu City can help provide an informational description of the graduation rate for students at State High School 11 Bengkulu City and can provide information on the results of the classification results for high school graduation rates. State 11 City of Bengkulu. Based on the results of the tests that have been carried out, the functional application of the graduation rate classification of students at the Bengkulu City 11 State Senior High School is going well as expected.
Perancangan E-Tajwid Berbasis Android Di RTQ (Rumah Tahfiz Qur’an) Raudhatul As Salimy Gobah Tilatang Kamang
Authors: Arianda Fried , Efriyanti Liza , Zakir Supratman , Khairuddin Khairuddin
Published: December 2023

Abstract—This research is motivated by the lack of support for learning media in conveying recitation learning material. One effective and efficient way to increase interest in learning recitation is by designing an Android-based learning media. So that users, especially children aged 8 to 12, are able to read the Qur'an properly and correctly. Learning media for recitation are now available in several forms, including in the form of books, interactive CDs, and e-learning. Books have limitations that they can only display information in the form of text and images, are easily damaged by water or torn, and are difficult to carry around. The Interactive CD form has drawbacks for accessing it because you have to use computer media, the computer requires electrical power. The aspect of mobility is lacking because computers are not easy to carry everywhere. With the above constraints, we need a tool that will facilitate the process of learning to read the Qur'an. The tool meant here is the design of a mobile-based recitation learning media application

In designing this internship information system, researchers used DDD-E. Media development using the DDD-E model consists of (1) Decide or set program goals and materials, (2) Design or design, namely creating program structures, (3) Develop or developing is producing media elements and making media appearance, (4) Evaluate or evaluate, namely checking the entire design and development process. The resulting media were tested for the validity, practicality and effectiveness of the product using a questionnaire to assess the product aimed at media experts, teachers and students.

The results of the product test that the author did obtained a validity test from 1 validator obtained a value of 0.86 with a very valid category, a practicality test from 2 practicums obtained a value of 0.95 with a very high category, and the effectiveness test of 31 assessors obtained a value of 0, 88 with very effective category. So that the E-Tajwid application can be used as a support in learning the science of recitation
PREDICTING THE DEVELOPMENT OF THE TECHNOLOGICAL BASIS FOR THE WARS OF THE FUTURE
Authors: Berezhnyi A. , Trystan A.
Published: December 2023

Technological progress in the field of military technology is developing rapidly, requiring constant work on the development of new systems and strategies. The article demonstrates that the growing role of artificial intelligence and autonomous systems is defining a new level of efficiency and complexity in military operations. The article assesses the use of biotechnology in the defence sector, which defines a new level of strategic importance for the development and maintenance of military power. Space, hypersonic and quantum technologies will be considered, as well as aspects related to the use of 3D printing in a military context. The possibility of using new materials that can be produced using methods from nanotechnology or synthetic biology will be assessed. The benefits of using “green” hydrogen in the military industry and the challenges of implementing this technology are presented. The concept of digital contact tracking technology is explained, and strategic and tactical applications of hyper-precision positioning technology are presented. The results of the study show that the level of protection and security of future citizens is directly related to the ability to predict dominant technologies and technological trends, to assess their impact on the future and, on this basis, to develop a strategy for the transformation of new technologies.
A IMPORTÂNCIA DA FISIOTERAPIA NA REABILITAÇÃO CARDIOVASCULAR NO PACIENTE PÓS-INFARTO AGUDO DO MIOCÁRDIO: REVISÃO DE LITERATURA
Authors: Vitor Juliana , Tamanini Guilherme , Vianna Jacqueline
Published: December 2023

O Infarto Agudo do Miocárdio (IAM) é um evento de origem cardíaca com característica isquêmica, acarretando diversos efeitos deletérios aos indivíduos acometidos, evidenciando os principais comprometimentos: atenuação do rendimento cardíaco, redução da massa muscular, oscilação dos reflexos cardíacos e, principalmente, diminuição da capacidade funcional. A Fisioterapia, por sua vez, por meio da Reabilitação Cardiovascular em todas suas fases de intervenção, demonstra numerosos benefícios ao paciente após IAM. Foi realizado um levantamento bibliográfico utilizando os descritores “reabilitação cardiovascular”, “infarto agudo do miocárdio”, “fisioterapia” (“cardiovascular rehabilitation”, “acute myocardial infarction”, “physiotherapy”). Diante do material obtido, ficam claros os efeitos positivos decorrentes da Reabilitação Cardíaca, como melhora na capacidade funcional, redução de fatores de risco, melhora na qualidade de vida, e a identificação precoce de sinais e sintomas que precedem graves complicações.
DESENVOLVIMENTO DE UM SISTEMA EXPERIMENTAL PARA OBTENÇÃO DE DADOS CARACTERÍSTICOS DO MOTOR E DA BATERIA UTILIZADOS EM VANTS PARA APLICAÇÃO DE TÉCNICAS DE IDENTIFICAÇÃO DE SISTEMAS
Authors: Pinto Vandilberto Pereira , Pinheiro José Lucas da Silva , Sousa José Cleilton do Nascimento , Sousa Lígia Maria Carvalho , Lima João Pedro Magalhães de
Published: December 2023

O uso de Veículos Aéreos Não Tripulados (VANTs) em diversas aplicações tem se tornado comum devido à sua agilidade e facilidade nas manobras. Os VANTs normalmente utilizam um motor brushless por serem leves, compactos, capazes de fornecer um torque significativo e uma ampla faixa de rotação. Para o desenvolvimento do trabalho foi construído um sistema experimental para obtenção de dados característicos do motor brushless A2212-13T de 1000kv, bem como da descarga da bateria Lipo 3S 12C de 11.1V. Este trabalho tem como objetivo encontrar a modelagem matemática do conjunto motor-hélice para descarga da bateria e velocidade do motor utilizando técnicas de identificação de sistemas. Foram aplicadas as estruturas de modelos ARMAX (Autoregressive moving average with exogenous input), OE (Output Error) e o NARX (Nonlinear AutoRegressive with eXogenous inputs) a partir de dados obtidos experimentalmente. Como resultados pode-se destacar que o modelo não linear NARX apresentou a maior acurácia comparando-o com os outros dois modelos.
Контент-маркетинг как стратегия усиления бренда в цифровой среде
Authors: Morgacheva I. N.
Published: December 2023

В монографии рассмотрены тенденции развития контент-маркетинга в цифровой среде. В работе описаны функционалы контент-маркетинга, представлена экосистема веб-контента в рамках рынка высоких технологий, изложены предложения по разработке контент-стратегии продвижения товаров и услуг. Раскрыта сущность инструментов контент-маркетинга, дана оценка роли контента для эффективной деятельности организаций. Отдельное внимание уделено оценке эффективности контент-маркетинговой деятельности с точки зрения бренд-маркетинга. Материалы издания могут быть полезны студентам всех уровней и форм обучения по направлениям подготовки «Маркетинг», «Менеджмент» и «Экономика», преподавателям и научным работникам профильных учреждений, а также руководителям предприятий и специалистам-практикам, изучающим современные направления маркетинга в различных областях применения. Также книга рекомендуется широкому кругу читателей, интересующихся развитием технологий воздействия на интернет-пользователей.
Entwort, en lugar de una respuesta [Antwort]. Descoyuntamiento y torcedura de las lenguas
Authors: Bornhauser Niklas , Cattaneo Gianfanco
Published: December 2023

Respuesta de Niklas Borhnauser y Gianfranco Cattaneo a los comentarios de su leading article en el simposio.
Living Together: Inventing Moral Science, de David Schmidtz
Authors: Spector Ezequiel
Published: December 2023

Reseña de Ezequiel Spector del libro Living Together: Inventing Moral Science, de David Schmidtz,
Monster Radiative Shocks in the Perturbed Magnetospheres of Neutron Stars
Authors: Beloborodov Andrei M.
Published: December 2023

Magnetospheres of neutron stars can be perturbed by star quakes, interaction in a binary system, or sudden collapse of the star. The perturbations are typically in the kilohertz band and excite magnetohydrodynamic waves. We show that compressive magnetospheric waves steepen into monster shocks, possibly the strongest shocks in the Universe. The shocks are radiative, i.e., the plasma energy is radiated before it crosses the shock. As the kilohertz wave with the radiative shock expands through the magnetosphere, it produces a bright X-ray burst. Then, it launches an approximately adiabatic blast wave, which will expand far from the neutron star. These results suggest a new mechanism for X-ray bursts from magnetars and support the connection of magnetar X-ray activity with fast radio bursts. Similar shocks may occur in magnetized neutron-star binaries before they merge, generating an X-ray precursor of the merger. Powerful radiative shocks are also predicted in the magnetosphere of a neutron star when it collapses into a black hole, producing a bright X-ray transient.
New formulas of convolved Pell polynomials
Authors: Abd-Elhameed Waleed Mohamed , Napoli Anna
Published: December 2023

The article investigates a class of polynomials known as convolved Pell polynomials. This class generalizes the standard class of Pell polynomials. New formulas related to convolved Pell polynomials are established. These formulas may be useful in different applications, in particular in numerical analysis. New expressions are derived for the high-order derivatives of these polynomials, both in terms of their original polynomials and in terms of various well-known polynomials. As special cases, connection formulas linking the convolved Pell polynomials with some other polynomials can be deduced. The new moments formula of the convolved Pell polynomials that involves a terminating hypergeometric function of the unit argument is given. Then, some reduced specific moment formulas are deduced based on the reduction formulas of some hypergeometric functions. Some applications, including new specific definite and weighted definite integrals, are deduced based on some of the developed formulas. Finally, a matrix approach for this kind of polynomial is presented.
The change of the COVID-19 pandemic on medical education in Korea: a national survey of medical schools
Authors: Na Seung-Joo , Yoon Bo Young , Yeo Sanghee
Published: December 2023

Purpose: This study aims to investigate how medical schools in Korea managed their academic affairs and student support in response to the coronavirus disease 2019 (COVID-19) pandemic and their plans for the post-COVID-19 era.Methods: An online survey was conducted, and a link to a questionnaire was distributed to all the administrators of the 40 medical schools in Korea. The final analysis data involved responses from 33 medical schools and 1,342 students. Frequency analysis, cross-tabulation analysis, Fisher’s exact test, and one-way analysis of variance were applied for statistical analysis.Results: Regarding instruction methods, most medical schools in Korea transitioned from in-person learning to video-on-demand learning (51.5%) and real-time online learning (42.4%). Among the school leaders, 36.4% planned to continue offering online classes combined with in-person classes beyond the end of the pandemic. Among the students, the online class concentration and participation score was 3.0 points or lower, but the class understanding score was 3.6 points, above a moderate level.Conclusion: Students cited the shorter times needed to attend school and being able to take classes repeatedly as advantages of online classes, and over one-third of medical schools intended to continue with a hybrid of in-person and online learning even after the COVID-19 pandemic restrictions end.
Successful emergency medical service training with virtual field trips using video during the COVID-19 pandemic: the Official Development Assistance Project in Uzbekistan
Authors: Kim Ki Jong , Lee Yoo Bin , Jeon Woo Chan , Lee Ji Sook , Kim Hoon , Oh Minkyung , Yoon Bo Young
Published: December 2023

Purpose: The coronavirus disease 2019 pandemic saw many restrictions on the provision of emergency medical service (EMS) training through actual field trips (AFTs), requiring a search for alternatives. This study aimed to assess trainees’ reactions to virtual field trips (VFTs) and determine the characteristics of instructional design for successful VFTs using edited videos and expert interviews.Methods: This study evaluated Uzbekistan trainees’ reactions to the VFT of EMS training using questionnaires in three categories: satisfaction, relevance, and engagement. Factors of satisfaction and dissatisfaction were identified through open-ended questions.Results: A total of 286 trainees responded to the survey during 15 educational sessions conducted from 2020 to 2022. The trainees’ responses to the VFT were positive. Overall mean scores were 4.65±0.49, 4.63±0.50, and 4.63±0.50 out of 5 points for satisfaction, relevance, and engagement, respectively. The trainees reported that the most interesting and helpful videos concerned the introduction of an EMS training curriculum and the observation of training facilities, such as the simulation centers of educational institutes. The leading causes of satisfaction were (1) authenticity of the VFTs, (2) easy-to-understand content, and (3) relevance to the job. The trainees suggested that Uzbek or Russian voice-overs would be better than subtitles in the video clip for focusing on VFT.Conclusion: In situations where AFTs are not available, VFTs using edited videos and expert interviews are a good alternative to EMS education. Based on these results, it is possible that AFTs could be replaced by VFTs using qualified videos with designed instructions as a distance learning method under specific conditions.
Hybrid learning as alternative approach to improve Indonesian medical students’ attitude towards clinical skills during COVID-19 pandemic
Authors: Nugraha David , Melbiarta Rezy Ramawan , Visuddho Visuddho , Rimbun Rimbun , Sakina Sakina , Herawati Lilik , Ummah Fithriyah Cholifatul , Rejeki Purwo Sri , Romdhoni Achmad Chusnu
Published: December 2023

Purpose: Hybrid learning has been chosen as an alternative method in the conduction of clinical skill lectures during coronavirus disease 2019 (COVID-19) pandemic since students need to learn skills applied in emergency situations. This study aims to analyze students’ attitudes between hybrid and online learning methods.Methods: A non-randomized study was conducted between hybrid group (HG) and online group (OG) on three courses (intravenous [IV]-line insertion, nasogastric tube [NGT] insertion, and neonatal resuscitation). We developed a preformed validated questionnaire to assess students’ attitudes in five domains (willingness, understanding, capacity, self-efficacy, and intended behavior). The questionnaire was applied at the pre- and post-intervention.Results: A total of 100 participants were included (n=49 in HG, n=51 in OG). Post-course attitudes were significantly higher in online (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) and hybrid (IV-line, p=0.000; NGT, p=0.000; resuscitation, p=0.000) groups compared to their pre-course. There were no significant differences in post-course attitude between groups (IV-line, p=0.072; NGT, p=0.163; resuscitation, p=0.146). Normalized-gain scores of all subjects were higher in HG (IV-line, p=0.012; NGT, p=0.085; resuscitation, p=0.033).Conclusion: In conclusion, hybrid learning could be considered as a better alternative in clinical skill lectures to maximize students’ attitudes, especially during COVID-19 pandemic.
Contestations of energy transitions in peri-urban areas: The solar parks of the Vall d’Albaida (Spain)
Authors: Wilzing Marleen , Vaselli Alessandra , van Herwaarden Declan J.H. , Walma Kornelis , Hommes Lena , Sanchis-Ibor Carles
Published: December 2023

The European transition to renewable energy sources is increasingly reconfiguring land use in rural and peri-urban areas. These processes of change have diverse local social, ecological, and economic implications, and trigger divergent responses that range from outright contestation and protest, to welcoming and accommodating renewable energy projects. This paper analyses the dynamics and responses to the construction of large-scale solar plants in the peri-urban and rural landscape of Vall d’Albaida (Valencia, Spain). Through the analysis of grey literature, media reports and semi-structured interviews with diverse actors involved in, or affected by, photovoltaic power stations, this study dissects how processes of enclosure, encroachment, exclusion, and entrenchment take place simultaneously, conditioning a wide range of responses from stakeholders. While some activists openly challenge the projects, numerous local residents and farmers accommodate the construction. The reasons for the latter include economic motivations that relate to the wider context of the agricultural sector in the region; untransparent project trajectories and decision-making; a lack of resources to contest or a limited responsibility felt to openly contest. Through the analysis of both contestations and accommodations, as well as the underlying processes, the paper expands the current debate on local implications of the renewable energy transition in peri-urban areas.
Les (dé)règlements de l’inquisitoire : la gestion des conflits et l’organisation de la justice brésilienne dans une perspective comparée
Authors: Geraldo Pedro Heitor Barros
Published: December 2023

Cet article explore les différences entre les
manières de rendre la justice au Brésil et le déroulé des audiences de
première instance en France. Je propose deux distinctions pour la
compréhension des pratiques judiciaires liées au procès, avec, d’une
part, la mise en valeur de l’accès à la justice par les actes et les
actes de l’accès, et d'autre part, l’organisation des audiences
judiciaires sous la forme d’audiences de cabinet ou en présence d’un
public. Je soutiens enfin que la justice brésilienne s’organise de
manière à servir les fins du procès.
Une cuisine juridique : les « assaisonnements » et les (mauvaises) saveurs de la production de preuves documentaires dans les procédures de pension de retraite rurale devant les Cours fédérales spéciales
Authors: Angelo Jordi Othon , Baptista Bárbara Gomes Lupetti
Published: December 2023

Cet article vise à analyser la production de
preuves documentaires dans les procédures de pension de retraite
rurale, dans les tribunaux fédéraux spéciaux, à Sobral, au Brésil. Nos
recherches nous ont permis de constater que les juges occupent une
position centrale dans la production et la classification des
documents, dans la mesure où ils les valorisent et les hiérarchisent
d’une manière singularisée, contribuant ainsi au maintien de la
structure de libre conviction et de la logique inquisitoire du système
procédural brésilien.
Les premiers enfants eugéniques brésiliens : concours d’eugénisme et vision héréditaire de « l’élite raciale » au Brésil (1928-1929)
Authors: Carvalho Leonardo Dallacqua de , Barbosa Everton Vieira
Published: December 2023

Dans le cadre des préceptes de l’eugénisme galtonien, des concours eugéniques ont été organisés au Brésil afin d’élire et de diffuser le « profil national idéal ». En s’appuyant sur des revues et des journaux spécialisés, cet article aborde la perspective eugénique déployée dans ces événements, son importance pour le mouvement eugénique brésilien et le rôle de l’Inspection d’Éducation sanitaire au cours de la première moitié du XXe siècle.
Les migrations transfrontalières au Moyen Âge. Les Occitans en Catalogne Neuve (xiie-xiiie siècles)
Authors: Catalán Núria Pacheco
Published: December 2023

Au xiie siècle, les conquêtes entreprises par les comtes catalans sur al-Andalus se sont accélérées. Depuis 1146 la péninsule Ibérique faisait partie des territoires de la deuxième croisade. Tortosa, dans la Nouvelle Catalogne, a été le premier territoire conquis, en 1148, sous ce nouveau statut. Quoique le document de capitulation stipule des conditions favorables aux Sarrasins, seule une petite partie d’entre eux a décidé de rester. Par conséquent, le comte a octroyé les possessions de ceux qui étaient partis aux colons chrétiens qui avaient participé à la conquête, parmi lesquels quelques Occitans. Le but de cet article est d’analyser le rôle joué par les Occitans dans la conquête de la Nouvelle Catalogne. Nous étudierons spécialement les motivations de la migration et l’importance de la frontière dans cette affaire.
Les effets des frontières sur les réseaux de marchands et colporteurs alpins (XVIe-XVIIIe siècle)
Authors: Fontaine Laurence
Published: December 2023

L’article voudrait montrer, à partir de l’exemple des migrations marchandes alpines, que la frontière est un acteur qui agit sur tous les aspects de la vie des migrants. Dans un premier temps, on montrera qu’elle est une ressource et que les migrants savent jouer des différences entre les institutions des diverses villes et États pour s’installer, ouvrir des dépôts et développer leur commerce. La contrebande est bien évidemment également au cœur de leur utilisation de la frontière. On soulignera ensuite que si la guerre peut fermer les frontières et arrêter les flux, les armées sont toujours de bonnes clientes qui attirent les marchands migrants. Dans un troisième temps, on analysera la manière dont le jeu avec les frontières transforme les manières de vivre des migrants, les relations villageoises ainsi que leur perception d’eux-mêmes.
Formes d'appréhension des fragilités matérielles
Authors: Vinck Dominique , Tanferri Mylène , Fischer Elodie
Published: December 2023

Lors de la Fête des Vignerons, un événement culturel pluriséculaire qui se répète tous les 20 à 25 ans, de nombreux matériaux et technologies sont éprouvés et travaillés afin d’être intégrés comme composantes d’une performance scénique de grande ampleur. Ces technologies et matériaux participent de la dramaturgie et constituent autant de ressources mobilisées pour créer une esthétique et des émotions. L’analyse proposée porte sur l’engagement, sur l’espace scénique, d’un tapis de LED aux dimensions inégalées. Cette analyse s’appuie sur plusieurs années d’enquête ethnographique portant à la fois sur la conception et la réalisation du dispositif scénique et de la performance, et sur le travail dans les régies son, lumière, vidéo et télévisuelle. L’article documente les formes d’appréhension des matériaux et des défaillances et des surprises qu’elles produisent, tenant compte de ce que ce tapis doit subir et de ce qu’il fait subir à d’autres actants, dans le travail des régies qui le surveillent et le réparent. Il rend compte de différentes formes de préoccupation partagée et du caractère relationnel des fragilités matérielles qui émergent dans l’action.
The Worm and the Ecologist: Experiencing Planetarity with Frank Herbert’s Dune
Authors: Patoine Pierre-Louis
Published: December 2023

This article explores how Frank Herbert’s 1965 novel Dune offers occasions for the development of an ecological, Gaian sensitivity, pushing the human sensorium towards the planetary (in relation to, and contradistinction to, the global, colonial, and imperial imaginaries) by using tools typical of fantasy and science fiction, such as world-building, immersion, sensationalism, terrain navigation, non-modern epistemologies, oneiric possession, geological actants, dragon-like giant sandworms, and human-eating birds. In the novel, these motifs assemble to form thick situations, in which immersed, empathic readers can experience aspects of planetary ecology, thanks to embodied cognition and its sensory and motor simulations.
Empirical Investigation for Assessing the Causality of Entrepreneurship Ecosystem With Entrepreneurial Behavior and Attitudes Across Countries
Authors: Singh Ajay Kumar , Jyoti Bhim
Published: December 2023

This chapter measures the causal association of the entrepreneurship ecosystem (EE) with entrepreneurial behavior and attitudes (EBA) in 47 countries using log-linear regression equations. Entrepreneurship ecosystem index (ENECIN) and entrepreneurial behavior and attitudes index (ENBEATIN) are used as representative variables for EE and EBA, respectively, in regression analysis while ENECIN and ENBEATIN are the composite indexes of 12 and 11 indicators, respectively, using principal component analysis. These indicators are reported as key determinants of EE and EBA as per the global entrepreneurship monitor (GEM). There was a high level of diversity in EE and EBA across countries. EE has a positive impact on EBA and vice versa. The causation of EE and EBA with control variables is detected using the Granger causality test. The findings of this chapter are beneficial for global policymakers to implement appropriate policies to reinforce EE and EBA.
Indian Psychology
Authors: Sathiyaseelan Anuradha , Balasundaram Sathiyaseelan , Patangia Bishal , Soumya R. R.
Published: December 2023

Knowledge dissemination has been a hallmark of Indian tradition for millennia, particularly in the area of human biology and behavior. Westernization and globalization, however, have caused a gradual erosion of this rich heritage, resulting in waning interest among the populace. As a discipline, Indian Psychology faces a number of formidable challenges. The number of preconceived biases within society, the Westernized educational system, and the shortage of faculty with expertise in Indian psychology hinder the recognition and dissemination of the field. A dearth of research studies directly related to Indian psychology is also hindering its development and recognition. Emphasis was given on the importance of thorough research to substantiate its contributions to the understanding of human cognition, behavior, and consciousness. Promoting Indian psychology as an important and respected field requires dispelling misconceptions and fostering awareness. Through collaboration and increased research, Indian psychology can rightfully claim its place within the global academic community.
Effect of Spiritual Leadership on Intention to Quit
Authors: Baykal Elif
Published: December 2023

Spiritual leadership is a holistic leadership approach through which organizational members can experience their connection with their spiritual realities. With the help of spiritual leadership, employees can find the inner motivation to show the necessary altruism to serve for the common good and vision. Thus, they find the opportunity to experience meaning in their workplace. This study has focused on spiritual leadership and its possible effects on person-organization fit and turnover intentions among Turkish academicians. Moreover, in this study, the mediator effect of person-organization fit in the relationship between spiritual leadership and turnover intentions has been examined. The research model has been investigated among academicians from various Turkish universities. In the related field research, 190 usable surveys were obtained, and the research data has been examined in SPSS 20. Results showed spiritual leadership has a negative effect on turnover intentions and person-organization fit acts as a mediator in this relationship.
Existence of Therapeutic Techniques in Indian Psychology
Authors: Akila S. , Benadict Savitha
Published: December 2023

In the new millennium, therapies of Indian psychology have gained renewed interest as a distinct and holistic approach to understanding the mind and human behavior. The essence of psychotherapy existed in India since time immemorial submerged in social structures, religion, ancient scriptures, mystics, and alternate system of medicine including Ayurveda, Unani tradition, Siddha and Yoga, and so forth. The popularity of Indian psychology in the West has been driven by a growing interest in mindfulness, meditation, and other Eastern spiritual practices, which are increasingly being incorporated into Western therapy and wellness programs that focus on treating mental disorders and addressing individual problems. Numerous Western psychologists and therapists are beginning to incorporate Indian psychology techniques and principles into their practice. Indian psychology is one perspective in understanding mental health and is not a substitute for modern evidence-based approaches to mental health care.
Emerging Trends for Blockchain Technology in Smart Supply Chain Management
Authors: Ozbiltekin-Pala Melisa
Published: December 2023

Smart supply chain management aims to transact more efficiently, quickly, and flexibly by integrating artificial intelligence, big data analytics, machine learning, and other digital technologies into traditional supply chain management processes. With globalization and digitalization reaching significant dimensions, integrating digital technologies in business models is extremely important. In this way, blockchain technology offers a reliable and tamper-proof structure. With the rapid development of technology, the potential of blockchain in smart supply chain management is increasing. Businesses have to integrate blockchain technology into smart supply chain management. For this reason, it is necessary to know the emerging trends for blockchain technology in smart supply chain management. Therefore, the present study focuses on the blockchain technology on smart supply chain management. Accordingly, the aim is to identify emerging trends for blockchain technology on smart supply chain management by using Vosviewer from systematic literature review perspective.
Nursing Management of a Patient With Fulminant Myocarditis and Electrical Storm Receiving ECMO: A Case Report
Authors: Wu Xiaoxiao , Wang Xiaoyan , Luo Jinmei , Tian Fang , Bian Jin
Published: December 2023

Introduction

Fulminant myocarditis is a devastating disease with significant mortality and complications. The care of patients with fulminant myocarditis is rarely reported.

Clinical Findings

A 17-year-old female patient was admitted to the emergency department with dizziness, amaurosis fugax, and chest tightness. Initial assessment revealed elevated levels of troponin T (4.753 ng/mL), troponin I (49.540 ng/mL), creatine kinase (1306 U/L), creatine kinase–MB isoenzymes (75.71 ng/mL), lactate dehydrogenase (509 U/L), and N-terminal pro-B-type natriuretic peptide (6345 pg/mL). The patient had recurrent ventricular tachycardia and failed to maintain a sinus rhythm after multiple electrical cardioversions.

Diagnosis

Echocardiography revealed a left ventricular ejection fraction of 34%. Magnetic resonance imaging results confirmed the diagnosis of myocarditis.

Interventions

The patient received extracorporeal membrane oxygenation for 6 days, intra-aortic balloon pump support for 7 days, and mechanical ventilation for 5 days. Norepinephrine and dopamine were used to keep circulation stable, lidocaine and amiodarone were used to control heart rate, and glucocorticoids and immunoglobulins were used to modulate immunity.

Outcomes

The patient was discharged after 23 days. A month after discharge, echocardiography showed that the ejection fraction was 60%. The patient reported complete resolution of signs and symptoms of fulminant myocarditis at follow-up assessment.

Conclusion

This case report presents the activities of bedside nurses in caring for a patient with fulminant myocarditis and broadens the literature describing nursing interventions for patients with fulminant myocarditis.
Using a Fluid Resuscitation Algorithm to Reduce the Incidence of Abdominal Compartment Syndrome in the Burn Intensive Care Unit
Authors: Peters Jasmine , Won Paul , Herrera Julie , Gillenwater T. Justin , Yenikomshian Haig A.
Published: December 2023

Background

Patients with large burns must be carefully resuscitated to balance adequate tissue perfusion with the risk of end-organ damage. One devastating complication of overresuscitation is abdominal compartment syndrome. Reducing the volume of fluids given during resuscitation may reduce the incidence of abdominal compartment syndrome and improve outcomes.

Objective

To determine whether decreasing fluid resuscitation volume in a burn center reduced the incidence of abdominal compartment syndrome.

Methods

This retrospective cohort study involved all patients with severe burns (total body surface area ≥20%) who were admitted to a burn intensive care unit over 4 years (n = 166). Primary outcomes were required fluid volume, whether differences in the patient characteristics measured affected outcomes, rate of abdominal compartment syndrome, and incidence of abdominal hypertension. After the first 2 years, the Parkland fluid resuscitation algorithm was modified to decrease the volume goal, and patients were assessed for the incidence of abdominal compartment syndrome and related complications such as kidney failure, abdominal hypertension, and ventilator days.

Results

A total of 16% of patients resuscitated using the Parkland equation experienced abdominal compartment syndrome compared with 10% of patients resuscitated using the modified algorithm, a difference of 6 percentage points (P = .39). Average volume administered was 11.8 L using the Parkland formula and 9.4 L using the modified algorithm (P = .03).

Conclusion

Despite a significant decrease in the amount of fluid administered, no significant difference was found in incidence of abdominal compartment syndrome or urine output. Matched prospective studies are needed to improve resuscitation care for patients with large burns.