bluuebunny/crossref_metadata_2025 huggingface dataset:
Characterization of Heart Diseases per Single Lead Using ECG Images and CNN-2D
Authors: Aversano Lerina , Bernardi Mario Luca , Cimitile Marta , Montano Debora , Pecori Riccardo
Published: May 2024

Cardiopathy has become one of the predominant global causes of death. The timely identification of different types of heart diseases significantly diminishes mortality risk and enhances the efficacy of treatment. However, fast and efficient recognition necessitates continuous monitoring, encompassing not only specific clinical conditions but also diverse lifestyles. Consequently, an increasing number of studies are striving to automate and progress in the identification of different cardiopathies. Notably, the assessment of electrocardiograms (ECGs) is crucial, given that it serves as the initial diagnostic test for patients, proving to be both the simplest and the most cost-effective tool. This research employs a customized architecture of Convolutional Neural Network (CNN) to forecast heart diseases by analyzing the images of both three bands of electrodes and of each single electrode signal of the ECG derived from four distinct patient categories, representing three heart-related conditions as well as a spectrum of healthy controls. The analyses are conducted on a real dataset, providing noteworthy performance (recall greater than 80% for the majority of the considered diseases and sometimes even equal to 100%) as well as a certain degree of interpretability thanks to the understanding of the importance a band of electrodes or even a single ECG electrode can have in detecting a specific heart-related pathology.
Simultaneous Quantification of Twelve Compounds from Bamboo/Wood Vinegar by Gas Chromatography-Mass Spectrometry
Authors: Wang Jianjun , Zhang Bao , Xun Hang , Yao Xi , Tang Feng
Published: May 2024

Bamboo vinegar is a liquid biomass with a huge yield and complex chemical composition. At present, the relative quantification of bamboo vinegar has been investigated in most studies. To analyze twelve compounds from bamboo vinegar simultaneously, gas chromatography-mass spectrometry and an external standard method were used to develop an analytical method. In this method, chromatographic separations of all compounds were above 1.5. The linear range was between 0.100 and 10.000 mg/L, and the coefficient of determination (R2) was between 0.9981 and 0.9997, indicating a good linear relationship. The limit of detection (LOD) was between 0.004 and 0.780 mg/L; the limit of quantitation (LOQ) was between 0.016 and 3.120 mg/L; the relative standard deviations (RSDs) of instrument precision and method stability were less than 8%; the recovery rate was between 89.25% and 113.77%, and its RSD was between 0.44% and 5.70%. Using this method, fourteen bamboo vinegars and six wood vinegars were analyzed, and it was found that the content of propionic acid, phenol, and 2-methoxyphenol was higher in most samples. In addition, the differences in physicochemical properties between distilled bamboo vinegar and its original solution after atmospheric distillation were investigated.
Radiometric Infrared Thermography of Solar Photovoltaic Systems: An Explainable Predictive Maintenance Approach for Remote Aerial Diagnostic Monitoring
Authors: Qureshi Usamah , Rashid Aiman , Altini Nicola , Bevilacqua Vitoantonio , La Scala Massimo
Published: May 2024

Solar photovoltaic (SPV) arrays are crucial components of clean and sustainable energy infrastructure. However, SPV panels are susceptible to thermal degradation defects that can impact their performance, thereby necessitating timely and accurate fault detection to maintain optimal energy generation. The considered case study focuses on an intelligent fault detection and diagnosis (IFDD) system for the analysis of radiometric infrared thermography (IRT) of SPV arrays in a predictive maintenance setting, enabling remote inspection and diagnostic monitoring of the SPV power plant sites. The proposed IFDD system employs a custom-developed deep learning approach which relies on convolutional neural networks for effective multiclass classification of defect types. The diagnosis of SPV panels is a challenging task for issues such as IRT data scarcity, defect-patterns’ complexity, and low thermal image acquisition quality due to noise and calibration issues. Hence, this research carefully prepares a customized high-quality but severely imbalanced six-class thermographic radiometric dataset of SPV panels. With respect to previous approaches, numerical temperature values in floating-point are used to train and validate the predictive models. The trained models display high accuracy for efficient thermal anomaly diagnosis. Finally, to create a trust in the IFDD system, the process underlying the classification model is investigated with perceptive explainability, for portraying the most discriminant image features, and mathematical-structure-based interpretability, to achieve multiclass feature clustering.
Begging for Knowledge in Senegal: Conflicting Understandings and Interests of the Dominant Anti-Trafficking Approach and Quranic Education
Authors: Boiro Hamadou , Einarsdóttir Jónína
Published: May 2024

Diverse actors, including foreign and national states, international agencies, donors, non-governmental organisations (NGOs), and private ventures, demand, fund, and implement anti-trafficking activities worldwide. Bissau-Guinean Quran schoolboys begging in Senegalese cities are defined as victims of child trafficking, and their teachers as traffickers. This article aims to explore the Quran teachers’ understanding of begging and their response to being accused of child trafficking. It rests on data collected during anthropological fieldwork in Guinea-Bissau and Senegal since 2009, including interviews and participation in religious events. The Quran teachers, some of whom admit colleagues might exploit their students, highlight four aspects of begging: allowing poor populations economically to study the Quran; contributing to humbleness, humility, and empathy with underprivileged groups; redistributing resources across generations; and allowing the acquisition of knowledge, liberation, and power. They maintain that the NGOs are profiting from funds provided to “rescue” the students and act as real traffickers, and together with funders, they aim to eliminate Islam. Embedded in layers of coloniality, the Quran teachers keep their position as community leaders. Banning begging is bound to fail if the anti-trafficking NGOs ignore their understanding of meaningful suffering and begging, including the economic and religious aspects of alms-seeking and its reciprocal nature.
Study on the Performance Optimization of Plant-Growing Ecological Concrete
Authors: Zhuang Peiyuan , Yan Xinjun , Wang Xuehu , Liu Jiaqi
Published: May 2024

The response surface regression model of plant-growing ecological concrete is established based on the factors of the water–binder ratio, fly ash content, and design porosity, with 28-day compressive strength, connectivity porosity, and pH value as response variables. Based on optimizing the mix proportion with the regression model, different dosages of acetic acid are used as excitation agents to increase the compressive strength and reduce the alkalinity of plant-growing ecological concrete to enhance its service life and vegetation performance. The results show that the compressive strength of plant-growing ecological concrete with a water–binder ratio of 0.3, a fly ash content of 26%, and a design porosity of 22% was 10.32 MPa, the connectivity porosity was 20.00%, and the pH value was 11. After the addition of acetic acid at 0.4% of the mass of the cementitious material, the compressive strength increased by 40.29%, and the pH value decreased by 6.33%. This study proposes a cost-effective means and provides data support for the engineering application of plant-growing ecological concrete.
Integration of Sustainability in Risk Management and Operational Excellence through the VIKOR Method Considering Comparisons between Multi-Criteria Decision-Making Methods
Authors: Yazo-Cabuya Eliana Judith , Ibeas Asier , Herrera-Cuartas Jorge Aurelio
Published: May 2024

In the current context, organizations face an important challenge in managing risks related to environmental, social and governance (ESG) issues. This research presents a general method for prioritizing organizational risks with a focus on sustainability based on the characterization of five typologies of organizational risks and their respective sub-risks, based on an analysis of global reports. Subsequently, paired surveys are administered to a group of experts from various sectors, who assign importance to the organizational sub-risks. Their responses serve as the basis for the prioritization of these risks, using the VIšekriterijumsko KOmpromisno Rangiranje (VIKOR) method, which highlights the following most relevant organizational sub-risks for each type of risk: (1) Lack of ethics in the conduct of business (geopolitical risk); (2) Deficit in economic growth (economic risk); (3) Chemical safety (social risk); (4) Massive data fraud or theft incidents (technological risk); and (5) Water depletion (environmental risk). Additionally, a sensitivity analysis is performed to determine the robustness of the results of the VIKOR method and then compare the correlation coefficients with respect to the results obtained in previous studies for the AHP and ANP methods. Finally, we propose the implementation of a model to manage organizational risks, which are addressed proactively through an integral vision, allowing for continuous improvement and alignment with corporate strategy by means of an operational excellence management system (OEMS).
Assessment of Sustainable Mobility Patterns of University Students: Case of Cameroon
Authors: Fondzenyuy Stephen Kome , Jackai Isaac Ndumbe , Feudjio Steffel Ludivin Tezong , Usami Davide Shingo , Gonzalez-Hernández Brayan , Wounba Jean Francois , Elambo Nkeng George , Persia Luca
Published: May 2024

The transition to sustainable mobility is a recognized socio-economic and environmental challenge, particularly among young adults. In addressing the gap in the literature on young adults’ travel behaviors, especially in Cameroon, this paper investigates the transport mode choices, influencing factors, and barriers to sustainable mobility of students at the National Advanced School of Public Works, Yaoundé (NASPW). Data were collected through online questionnaires with 360 valid responses. Findings revealed that most students used multiple modes of transport for commuting, with moto-taxis being the most common. Accessibility, vehicle speed, and flexibility appeared as the most important reasons for the preferred transport modes, while driver’s license possession, safety perceptions, speed, and proximity were significant predictors for mode choice. Demographic factors were found to influence transport preferences, with distinct clusters prioritizing different aspects. Barriers to public transport were primarily long waiting times and congestion, while active mobility was hindered by distance, infrastructure, and weather. The usage of public transportation was encouraged by its affordability and reduced travel time, whilst active options were preferred due to cost savings and health benefits. To promote sustainable mobility for campus travel, it is crucial to encourage active modes, develop mass transport systems, and raise awareness through symposia and conferences among students and staff.
A Review of N-(1,3-Dimethylbutyl)-N′-phenyl-p-Phenylenediamine (6PPD) and Its Derivative 6PPD-Quinone in the Environment
Authors: Li Yi , Zeng Jingjing , Liang Yongjin , Zhao Yanlong , Zhang Shujun , Chen Zhongyan , Zhang Jiawen , Shen Xingze , Wang Jiabin , Zhang Ying , Sun Yuxin
Published: May 2024

As an antioxidant and antiozonant, N-(1,3-Dimethylbutyl)-N′-phenyl-p-phenylenediamine (6PPD) is predominantly used in the rubber industry to prevent degradation. However, 6PPD can be ozonated to generate a highly toxic transformation product called N-(1,3-Dimethylbutyl)-N′-phenyl-p-phenylenediamine quinone (6PPD-quinone), which is toxic to aquatic and terrestrial organisms. Thus, 6PPD and 6PPD-quinone, two emerging contaminants, have attracted extensive attention recently. This review discussed the levels and distribution of 6PPD and 6PPD-quinone in the environment and investigated their toxic effects on a series of organisms. 6PPD and 6PPD-quinone have been widely found in air, water, and dust, while data on soil, sediment, and biota are scarce. 6PPD-quinone can cause teratogenic, developmental, reproductive, neuronal, and genetic toxicity for organisms, at environmentally relevant concentrations. Future research should pay more attention to the bioaccumulation, biomagnification, transformation, and toxic mechanisms of 6PPD and 6PPD-quinone.
Measuring the Effects of an Anti-Food-Waste Digital Application from the Operators’ Perspective in Urban Contexts
Authors: Lagorio Alexandra , Mangano Giulio
Published: May 2024

This paper presents an empirical study focused on the use of TooGoodToGo smartphone applications by urban food retailers and HoReCa sector owners, evaluating their satisfaction levels with using this app and identifying the most relevant business levers that might convince other operators to adopt anti-waste programs and more sustainable behaviors. To this end, a survey questionnaire is administered to a sample of respondents. Data are statistically analyzed using the Kruskal–Wallis test to consider the different perspectives of the identified subsamples. The results reveal that business operators claim to have a high level of satisfaction with exploiting the service provided by the app and that it is a lever for increasing the number of customers served, even if there is not a high positive effect on revenue. However, retailers with more years of operations, who can be considered more experienced, can better exploit the opportunities of the TGTG business. This study contributes to a better understanding of the benefits of using web application services to decrease waste from urban food retailers. Consequently, levers for convincing new operators to adopt the service and their role in increasing customer awareness are identified and discussed.
Virologic Response and Reinfection Following HCV Treatment among Hospitalized People Who Inject Drugs: Follow-Up Data from the OPPORTUNI-C Trial
Authors: Malme Kristian Braathen , Stene-Johansen Kathrine , Klundby Ingvild , Backe Øystein , Foshaug Tarjei , Greve Maria Helseth , Pihl Charlotte Meinich , Finbråten Ane-Kristine , Dalgard Olav , Midgard Håvard
Published: May 2024

Treatment of hepatitis C among people who inject drugs (PWID) may be complicated by loss to follow-up and reinfection. We aimed to evaluate sustained virologic response (SVR) and reinfection, and to validate complete pharmacy dispensation as a proxy for cure among PWID enrolled in a trial of opportunistic HCV treatment. Data were obtained by reviewing the electronic patient files and supplemented by outreach HCV RNA testing. Reinfection was defined based on clinical, behavioral, and virological data. Intention to treat SVR ≥ 4 within 2 years after enrolment was accomplished by 59 of 98 (60% [95% CI 50–70]) during intervention conditions (opportunistic treatment) and by 57 of 102 (56% [95% CI 46–66]) during control conditions (outpatient treatment). The time to end of treatment response (ETR) or SVR ≥ 4 was shorter among intervention participants (HR 1.55 [1.08–2.22]; p = 0.016). Of participants with complete dispensation, 132 of 145 (91%) achieved ETR or SVR > 4 (OR 12.7 [95% CI 4.3–37.8]; p < 0.001). Four cases of reinfection were identified (incidence 3.8/100 PY [95% CI 1.0–9.7]). Although SVR was similar, the time to virologic cure was shorter among intervention participants. Complete dispensation is a valid correlate for cure among individuals at risk of loss to follow-up. Reinfection following successful treatment remains a concern.
Highs and Lows in Calicivirus Reverse Genetics
Authors: Álvarez Ángel L. , Arboleya Aroa , Abade dos Santos Fábio A. , García-Manso Alberto , Nicieza Inés , Dalton Kevin P. , Parra Francisco , Martín-Alonso José M.
Published: May 2024

In virology, the term reverse genetics refers to a set of methodologies in which changes are introduced into the viral genome and their effects on the generation of infectious viral progeny and their phenotypic features are assessed. Reverse genetics emerged thanks to advances in recombinant DNA technology, which made the isolation, cloning, and modification of genes through mutagenesis possible. Most virus reverse genetics studies depend on our capacity to rescue an infectious wild-type virus progeny from cell cultures transfected with an “infectious clone”. This infectious clone generally consists of a circular DNA plasmid containing a functional copy of the full-length viral genome, under the control of an appropriate polymerase promoter. For most DNA viruses, reverse genetics systems are very straightforward since DNA virus genomes are relatively easy to handle and modify and are also (with few notable exceptions) infectious per se. This is not true for RNA viruses, whose genomes need to be reverse-transcribed into cDNA before any modification can be performed. Establishing reverse genetics systems for members of the Caliciviridae has proven exceptionally challenging due to the low number of members of this family that propagate in cell culture. Despite the early successful rescue of calicivirus from a genome-length cDNA more than two decades ago, reverse genetics methods are not routine procedures that can be easily extrapolated to other members of the family. Reports of calicivirus reverse genetics systems have been few and far between. In this review, we discuss the main pitfalls, failures, and delays behind the generation of several successful calicivirus infectious clones.
Glaucoma treatment and deprivation: time-series analysis of general practice prescribing in England
Authors: Hooper Jeremy , Fenerty Cecilia Helen , Roach James , Harper Robert Anthony
Published: May 2024

Background

Despite advances in glaucoma management, topical eyedrop treatment has been paramount, with prostaglandin analogues (PGAs) being first-line agents. While late presentation is linked with deprivation, there is no recent research examining associations between deprivation and prescribing within primary care.

Aim

To explore PGA prescribing in general practice over a 6-year timeline, assessing associations with deprivation.

Design & setting

Analysis of NHS Business Services Authority (NHSBSA) data for general practice prescribing in England from April 2016–March 2022.

Method

Glaucoma treatments by GP prescribers were extracted, identifying ~9.11–9.58 million prescriptions/annum. Data were linked to Index of Multiple Deprivation (IMD) quintiles of GP practices. Crude rates per 1000 population were calculated using population data from NHS Digital. Time-series analyses facilitated comparison in prescribing nationally and in deprived areas. Autoregressive Integrated Moving Average (ARIMA) modelling facilitated measurement of synchrony between time series using cross correlation.

Results

PGAs and fixed combination eyedrops accounted for approximately two-thirds of glaucoma-related prescribing. Prescriptions per month increased slightly over a 6-year timeline, but rates per 1000 population reduced in 2020–2021 during the COVID-19 pandemic. The number of PGA prescriptions dispensed in deprived areas was lower than all other quintiles. Cross-correlation analysis indicates a lag of ~12 months between average PGA prescribing nationally versus more deprived areas.

Conclusion

The rate of PGA prescribing in primary care was substantially lower in deprived versus affluent areas, with delayed uptake of PGAs in more deprived areas of ~12 months. Further research is needed to explore reasons for this discrepancy, permitting strategies to be developed to reduce unwarranted variation.
'Will anybody listen?' Parents’ views on childhood asthma care: a qualitative study
Authors: Lange Daniel , Lindenmeyer Antje , Warren Kate , Haroon Shamil , Nagakumar Prasad
Published: May 2024

Background

Asthma is the most common chronic disease in children, resulting in considerable morbidity and healthcare utilisation, especially in geographical areas with high deprivation. Parents play a pivotal role in children’s asthma management.

Aim

To explore the views of parents whose children have asthma, regarding barriers and facilitators to receiving adequate asthma care.

Design & setting

A qualitative study conducted in an urban, multi-ethnic setting with high socioeconomic deprivation and paediatric asthma-related hospital admissions.

Method

The study used a pragmatic approach underpinned by a perspective of critical realism. Parents of children with asthma were recruited through purposive and convenience sampling, and data were collected through semi-structured interviews. Transcripts were analysed using thematic analysis, facilitated by NVivo12 software.

Results

Ten parents participated in nine interviews. Six themes were identified relating to the following: (1) the establishment of a new life dynamic following a diagnosis of asthma; (2) the turbulent and drawn-out process of asthma diagnosis; (3) the roles and expectations of the partnership established between parents and healthcare services; (4) the importance of schools in asthma management; (5) sources and access to relevant information; and (6) the importance of social support networks. Parents frequently felt unsupported and misunderstood, particularly during the diagnostic process.

Conclusion

Unmet parental educational and emotional needs, particularly around the time of diagnosis, were identified as a key barrier to adequate asthma management. Deeper understanding of gaps in support can instruct asthma care delivery and inform co-produced interventions, thus improving asthma outcomes in children.
IMPORTANCE OF THE CLINICAL LABORATORY IN THE DETECTION OF DIABETES MELLITUS IN GERIATRIC PATIENTS
Authors: Lissette Estefanía Laguatasig Moposita , Víctor Hernán Guangasig Toapanta , María Cecilia Delgado García , Jeanneth Alexandra Oña Rodríguez
Published: May 2024

La Diabetes Mellitus tipo 2 (DM2) una patología de progresión gradual, que genera complicaciones multiorgánicas en órganos y sistemas vitales, por el aumento excesivo de glucosa en sangre (hiperglucemia), este hidrato de carbono es esencial en el organismo para la producción de energía en forma de ATP y mantiene su equilibrio gracias a la insulina secretada por el páncreas. En pacientes geriátricos con DM2, existe una disfunción de esta hormona reguladora por ausencia de respuesta de las células a la misma. El Servicio de Laboratorio Clínico se ha convertido en la piedra angular para la detección, seguimiento y diagnóstico de patologías de importancia clínica como la DM2. Las pruebas de laboratorio clínico usadas en el diagnóstico de DM2 son: hemoglobina glucosilada (A1C), glucosa en ayuno (FPG) y test oral de tolerancia a la glucosa (OGTT).
THE RISK PERCEPTION OF THE DRUGS CONSUMPTION IN ADOLESCENTS IN A SECONDARY SCHOOL FROM A MUNICIPALITY IN DURANGO, DGO.
Authors: Ana Beatriz Antuna Canales , Yareli Nohemí Aguilar Hernández , Isaías Iván Briceño Rodríguez , Martha Lilia Parra Domínguez , David Jahel García Avendaño , Miriam Karina Ortiz Rivas
Published: May 2024

Introducción. Uno de los factores de riesgos que preocupan a la población adolescente, en México, es el consumo de drogas que representa uno de los principales problemas de salud en la población. Objetivo. Describir la percepción de riesgos para el consumo de drogas en adolescentes de una secundaria del municipio de Durango. Metodología. El tipo de diseño de este estudio es descriptivo de enfoque cuantitativo. Se estudiaron a 124 adolescentes de una secundaria del municipio de Durango. Se utilizó una cédula de datos para medir las variables sociodemográficas y la escala básica BIP que mide el nivel de riesgo que percibe el usuario con respecto a los riesgos asociados al consumo de drogas, el cual está vinculado con las creencias sobre las consecuencias negativas que pueden producir dicho consumo y con la frecuencia de este, realizándose dos mediciones. Resultados: De los 124 estudiantes encuestados el 91.93% tiene una edad de 14 años y solo el 8.06% cuentan con 13 años. En cuanto al sexo predominaron las mujeres con un 52.41%, contra el 47.58% personas de sexo hombre. Desde la primera medición se puede apreciar una leve diferencia entre la percepción del riesgo de consumo de drogas en hombres y mujeres, teniendo los hombres una percepción del riesgo de consumo de drogas más elevada, siendo esta más evidente en la segunda medición, predominando los hombres en ambas mediciones con una percepción del riesgo de consumo de drogas más alta. Conclusión. Se observó un aumento en ambos sexos de la percepción del riesgo de consumo de drogas después de acudir a talleres, lo cual pudiera influir en el adolescente para el no uso y consumo.
EDUCATIONAL INTERVENTION IN ADOLESCENTS WITH LIMB-GIRDLE MUSCULAR DYSTROPHY AND ANXIETY.
Authors: Kimberly Estefanía Dorantes Bernal , César Omar Díaz Adame , Angeles Paulina Ramos Zamudio , Alexia Lilibeth Barajas Pérez , Itzel Alondra Martínez Félix , Roberto Joel Tirado Reyes , Daniel Roberto Bernal Osuna
Published: May 2024

La distrofia muscular de cinturas pertenece a un grupo de trastornos cuya característica común es el desgaste y la debilidad muscular. La prevalencia de este tipo es de aproximadamente 1 en 123.000 personas, se considera la cuarta causa genética más importante de distrofia muscular, se desarrolla desde los primeros años de vida y se diferencia de otros tipos La desnutrición se diferencia en que afecta a ambos sexos. Las consecuencias más comunes de esta condición están relacionadas con la actividad cardíaca, respiratoria y muscular, según el subtipo. La carga emocional que supone para los pacientes y familiares el desconocimiento de la enfermedad impulsa la urgente necesidad de investigación en salud familiar en los sistemas de salud para comprender mejor la salud de estos grupos sociales. Objetivo: Implementar una intervención educativa con base en la evaluación tanto individual como familiar de un paciente que padece distrofia muscular de cinturas y ansiedad. Metodología: Consistió en realizar un estudio de salud familiar en un paciente adulto, abordando la evaluación familiar en cuatro etapas. En la primera etapa se identificó al paciente, seguida por el estudio de la estructura familiar y la revisión del historial médico en la segunda etapa. En la tercera etapa se identificaron los riesgos para la salud familiar y se analizó la dinámica familiar. Por último, en la cuarta etapa del estudio de salud familiar, se aplicaron instrumentos de evaluación familiar y se desarrollaron intervenciones educativas siguiendo los enfoques de Doherty y Baird. Resultados: La intervención educativa, derivada de la evaluación integral de la familia y la implementación de planes de cuidado, generó un incremento significativo en la participación del paciente en las consultas de medicina familiar, lo que tuvo como resultado una disminución en los niveles de presión arterial.
HISTIOCYTOSIS X AS A DIFERENTIAL DIAGNOSIS OF BILATERAL CYSTIC LUNG DISEASE
Authors: Patricia Íñiguez de Heredia Monforte Patricia Íñiguez de Heredia Monforte , Jorge Romero Martínez , Carlos Murillo Arribas , Pablo Diego Previtera González
Published: May 2024

La Histiocitosis de células de Langerhans es una patología infrecuente de predominio en varones jóvenes con una relación estrecha con el tabaco. Clínicamente es una enfermedad muy variable, con predisposición a la afectación pulmonar que suele debutar con tos y sensación disneica, aunque no es raro el debut con un neumotórax en estos casos. Las pruebas de imagen (radiografía de tórax y el TAC) van a ser pruebas complementarias fundamentales para llegar al diagnóstico, aunque será determinante la biopsia para el análisis microscópico e inmuno-histoquímico. Esta enfermedad suele tener un curso benigno, aunque se ha demostrado un aumento de la incidencia de tumores asociados y una posibilidad de evolucionar a una insuficiencia respiratoria grave e incluso el fallecimiento.
EFFECTIVENESS OF AN EDUCATIONAL INTERVENTION ON EXCLUSIVE BREASTFEEDING IN HEALTH PERSONNEL IN A PRIMARY CARE UNIT
Authors: Dra. Dalia Isabel Juárez Juárez Dra. Dalia Isabel Juárez Juárez , Dra. Arlette Juliette Reyes Pintor Dra. Arlette Juliette Reyes Pintor , MIC. Carmela Reséndiz Dáttoly. , Dra. Abigail Contreras Gómez , Dra. Verenice Sanjuana Alatriste Bueno Dra. Verenice Sanjuana Alatriste Bueno
Published: May 2024

Antecedentes: La Lactancia Materna (LM), es importante para el buen desarrollo del recién nacido, además refuerza el vínculo entre la madre y los hijos, generando beneficios como la reducción de enfermedades agudas, respiratorias y las gastrointestinales, así como la desnutrición. Por lo que es importante que el personal de salud tenga suficiente conocimiento sobre LM para asesorar y educar a las madres en cualquiera de las áreas de las unidades de primer nivel de atención. Objetivo: Determinar la efectividad de una intervención educativa sobre Lactancia Materna Exclusiva en el personal de salud la UMF No. 61 Córdoba, Ver. Material y métodos: Estudio longitudinal, analítico, cuasi experimento. Se realizó en la Unidad de Medicina Familiar No. 61 de Córdoba, Veracruz; incluyendo 71 participantes (médicos y enfermeras), a quienes se les aplicó el test ECoLa en dos momentos, antes de recibir una intervención educativa sobre LM y posterior a ésta. Se utilizó estadística descriptiva. Resultados: La categoría de predominio fueron los médicos familiares con un 56.33%, seguido de los auxiliares de enfermería general con 12.67%. Al realizar el comparativo entre los resultados globales de ambas evaluaciones, podemos observar que la intervención educativa obtuvo resultados satisfactorios al incrementar el nivel de conocimiento relacionado a la Lactancia Materna en el personal de salud, encontrando que el nivel de conocimiento excelente cambio de un 1.40% a un 42.25%, el nivel bien pasó de un 5.6% a un 35.21%, el insuficiente de 36.6% a 12.6% y el muy insuficiente de 56.3% a un 9.85%. Conclusiones: Es necesario brindar capacitación continua con respecto a LM, además de dar a conocer la normativa nacional e internacional vigente relacionada, ya que una vez realizadas las intervenciones educativas se puede observar que los resultados relacionados al nivel de conocimiento mejoran considerablemente.
ACADEMIC FACTORS THAT INFLUENCE LEARNING DURING CLINICAL PRACTICES IN NURSING STUDENTS
Authors: Mejías Marianela , Guarate Coronado Yeisy Cristina , Jiménez Peralta Ana Lucía , Sivinta Mora María José
Published: May 2024

La práctica clínica es un requisito indispensable para la formación en Enfermería, el objetivo de la presente investigación fue determinar los factores académicos que influyen en el aprendizaje durante las prácticas clínicas en estudiantes de enfermería. Métodos y materiales: Se realizó un estudio descriptivo, transversal, con una muestra de 442 estudiantes de enfermería matriculados en los IV, V y VI semestres del periodo octubre 2022 a Marzo 2023. Se aplicó el cuestionario Kezkak sobre percepción de estrés a estudiantes de enfermería en prácticas clínicas, los análisis se desarrollaron con estadística descriptiva. Resultados: Los estudiantes tuvieron edades comprendidas entre los 18 a 25 años (94%, 410 estudiantes), en su mayoría 331 (76%) eran mujeres. Entre los factores académicos se encontraron: 238 (54%) experimentaron falta de competencia, 213 (49%) estudiantes sintieron contacto con el sufrimiento, 209 (48%) estudiantes reaccionaron a la relación con tutores y compañeros, 211 (48%) estudiantes experimentaron impotencia e incertidumbre, 238 (54%) sintieron que no pudieron controlar la relación con el enfermo, 209 (48%) experimentaron implicación emocional, 186 (42%) estudiantes sintieron que se dañó la relación con el enfermo, 176 (40%) experimentaron que el enfermo busca una relación íntima y 189 (43%) sintieron sobrecarga. Conclusiones: entre los factores académicos que influyen en el aprendizaje durante las prácticas clínicas en estudiantes de enfermería se encuentran: la falta de competencia y no controlar la relación con el enfermo.
LITERATURE REVIEW ON THE ANESTHETIC MANAGEMENT OF MORBID OBESITY PATIENTS.
Authors: David Guallar García , María Mercedes García Domínguez , Laura Herrero Martin , Lorien Bovio Albasini , Ani Khachatryan Sirakanyan , Nuria Céspedes Fanlo
Published: May 2024

El manejo anestésico de pacientes con obesidad mórbida demanda una atención especializada y adaptada. Aspectos clave incluyen la evaluación preoperatoria exhaustiva para identificar comorbilidades, la consideración de la anestesia regional cuando sea apropiado, y el ajuste de las dosis de medicamentos anestésicos según el peso real del paciente. Es crucial mantener una monitorización continua de la función cardiovascular y respiratoria, dada la mayor incidencia de complicaciones en estos pacientes. Asimismo, se debe abordar cuidadosamente el manejo de la vía aérea, anticipando posibles dificultades y utilizando técnicas avanzadas según sea necesario. La posición durante la cirugía debe ser meticulosamente planificada para evitar complicaciones relacionadas con la obesidad. En el postoperatorio, se requiere una monitorización rigurosa, ya que la recuperación puede ser más lenta en pacientes obesos. La prevención del tromboembolismo venoso es esencial, así como la colaboración interdisciplinaria entre diferentes especialidades. Este enfoque integral garantiza una atención personalizada y minimiza los riesgos asociados con la obesidad mórbida durante y después del procedimiento.
NEUROLOGICAL AND PSYCHIATRIC DIAGNOSES OF COVID-19 IN DOCTORS AND NURSING STAFF QUALIFIED AS: YES WORKING DISEASE.
Authors: Gerardo Jiménez Hernández
Published: May 2024

Los profesionales de la salud al ser los primeros en atender la emergencia en COVID-19 trajo como consecuencia que esta epidemia sea considerada un riesgo laboral que cumple con el estatuto legal de ser: En ejercicio de su labor y con motivo del trabajo así mismo cumple con la relación “causa-efecto-trabajo-daño”, por lo tanto las unidades hospitalarias designadas como centro de concentración de padecimiento de COVID 19 por su alta transmisibilidad afectó a los profesionales de la salud presentando afecciones a nivel neurológico y/o psiquiátricos. Objetivo general: Identificar los diagnósticos neurológicos y psiquiátricos de COVID-19 en médicos y personal de enfermería calificados como: si enfermedad de trabajo. Material y método: El protocolo es de tipo observacional, descriptivo, transversal, retrolectivo. En el Hospital General Regional Orizaba N°1, Veracruz. Se estudiaron a 252 trabajadores entre médicos y personal de enfermería con contrato de base, que hayan laborado en área COVID durante el periodo de febrero del 2020 a julio de 2022, se identificaron a los profesionales de la salud que llegaron a contagiarse por SARS CoV-2, así como los principales diagnósticos neurológicos y psiquiátricos. Se recolectó la información mediante una hoja de recolección de datos realizada ex profeso para este trabajo, se usó el programa de GraphPad Prism 8 para realización de frecuencias, tablas y porcentajes, donde se tabularán resultados calculando porcentajes. El tiempo a desarrollar el presente estudio está considerado de enero a septiembre de 2023. Resultados: En una muestra de 252 que presentaron un riesgo de trabajo calificado, por contagio de COVID-19, se observa que el sexo mayor infección fue femenino correspondiente a 170 (67.5%), la categoría más infectada fueron el personal de enfermería siendo 145 (57.5%), se encontraron 102 trabajadores con Long-COVID que presentaron persistencia de sus síntomas neurológicos y psiquiátricos. Siendo los neurológicos los más se observó una persistencia de los síntomas neurológicos por 14, 21 o 28, demostrando que la cefalea la de mayor frecuencia a los 14 días, al igual que la ageusia, y los síntomas como la fatiga a los 21 y 28 días. Respecto a los síntomas psiquiátricos el más prevalente a los 14, 21 y 28 fue la ansiedad. Conclusión: Los riesgos de trabajo calificados en los profesionales de la salud se demostró que los síntomas neurológicos y psiquiátricos de COVID-19 prevalecen más allá del tiempo en que se da por finalizada la fase aguda siendo un riesgo de trabajo
Kemerdekaan Indonesia Perspektif Hadist Dalam Pemikiran Kh. Hasyim Asy’ari
Authors: Rosadi Moh Iqbal , Muhid Muhid , Nurita Andris
Published: May 2024

Negara dan tanah air adalah unsur yang melindungi agama dari perpecahan, pertikaian, konflik dan permusuhan. Salah wujud kegagalan sebuah Negara ketika ia diatur dan hanya menjadi mainan pihak lain. Ketergantungan terhadap Negara lain menjadikan harga diri sebuah Negara jatuh terinjak-injak. Harga diri mereka dengan mudah dipermainkan dan darah mereka tak segan segan dikucurkan. Hingga denga terpaksa dan penuh rasa hina mau tak mau mereka mesti mengemis kebaikan Negara lain. Sebab kedaulatan Negara telah dirampas dan dipaksa untuk tunduk demi memenuhi keinginan Negara majikan. Hadirnya Negara memberikan ruang untuk melindungi agama dalam menjaga nilai nilai kemanusian, begitu juga seluruh agama yang dipeluk warganya. Salah satu nikmat dan anugerah besar yang diberikan tuhan adalah memiliki Negara yang aman dan nyaman yang jauh dari pertumpahan darah dan pertikaian. Oleh Sebab itu Negara merupakan alat yang sangat menentukan bagi tercapainya kemaslahatan, baik yang bersifat duniawi maupun ukhrawi. Negara merupakan payung yang memberi rasa aman sekaligus kesejahteraan bagi warganya. Selanjutnya guna mencapai berbagai tujuan bersama, disusunlah dasar Negara, undang-undang dan perjanjian sebagai aturan bernegara untuk ditaati bersama. Bela Negara adalah salah satu bentuk usaha dan upaya untuk tunduk dan memenuhi sebuah perjanjian (al-wafa’ bi al-‘ahd) yang menjadi acuan moralitas sebuah bangsa. Jadi pihak yang bertanggung jawab menyelesaikan polemic ini adalah para intelektual dan ulama.. sebab merekalah yang dianugerahi kedalaman ilmu hingga mampu menjelaskan argument yang dapat diterima oleh akal sehat. Untuk merawat dan menjaga Indonesia mutlak membutuhkan kehadiran orang-orang berilmu yang perannya sudah dibuktikan oleh catatan sejarah. Salah satu diantaranya Pahlawan nasional dan seorang ulama yaitu KH. Hasyim Asy’ari.
DESENTRALISASI ASIMETRIS DALAM PENGGUNAAN TANAH SULTAN GROUND TANPA SURAT KEKANCINGAN DI KOTA YOGYAKARTA : TANTANGAN ATAU SOLUSI
Authors: Putri Lucky Viara Wineeke
Published: May 2024

Indonesia menerapkan desentralisasi asimetris tertuang dalam Pasal 18B UUD 1945,dasar desentralisasi asimetris terletak pada kekhususan dan keistimewaan daerah, termasuk dalam sistem pengelolaan tanah di daerah keistimewaan. Daerah Istimewa Yogyakarta merupakan  daerah istimewa dengan dasar Undang-Undang Nomor 13 tahun 2012. Dalam pasal 7 ayat (2) disebutkan bahwa keistimewaan daerah istimewa Yogyakarta terdapat dalam bidang pertanahan tanah dengan status sultan ground sebagai penghargaan terhadap eksistensi sultan Yogyakarta. Penggunaan sultan ground harus disertai izin dari keraton Yogyakarta , dengan terbitnya serat kekancingan Penelitian ini hendak menelaah penerapan desentralisasi asimetris dalam sultan ground tanpa serat kekancingan . Jenis penelitian yang digunakan adalah penelitian normatif dengan pendekatan deskriptif dengan penelitian kepustakaan(library research) yaitu penelitian dengan bahan kepustakaan. Hasil penelitian ini adalah bahwa penggunaan sultan ground dilakukan secara turun temurun, serta kurangnya sosialisasi terhadap tata cara pengelolaan sultan ground menjadi tantangan bagi pemerintah daerah untuk mengatur daerah nya sesuai dengan desentralisasi asimetrris yang diamanatkan oleh Undang-Undang Dasar 1945.
KEPASTIAN DAN PERLINDUNAGN HUKUM TENAGA KERJA PASCA PUTUSAN MAHKAMAH KONSTITUSI TERHADAP UNDANG-UNDANG CIPTA KERJA
Authors: Al Azis Muhamad Irfan
Published: May 2024

Negara Indonesia adalah negara yang menganut sistem Demokrasi, disamping juga sebagai Negara yang berkedudukan Hukum. Pembentukan Undang-Undang merupakan upaya pemerintah agar tidak ada kekosogan Hukum, namun terdapat tumpang tindih hukum yang sangat menyimpang dalam ketenagakerjaan. Tujuan Penelitian ini untuk membuka mata para pembaca terkait kepastian perlindungan tenaga kerja, dibalik himpitan putusan MK terkait UU Ciptakerja. Penelitian ini merupakan penelitian hukum normatif atau penelitian hukum kepustakaan (doctrinal research), yaitu menggunakan bahan hukum Primer dan Skunder. Kedua bahan digunakan untuk mendapatkan bahan analisis yang komprehensif terkait permasalahan hukum yang di kaji. Dalam tahap penyusunan UU Ciptaker banyak menggunakan pendekan Omnibus Law, dengan prinsip yang berbeda jauh dari nilai-nilai ketenagakerjaan. Undang-Undang Cipta Kerja didalam penerapannya terus mengalami penolakan dari seluruh lapisan masyarakat, karena banyak substansi yang dianggap merugikan pekerja. Pilihan dalam Amar ini umumnya menawarkan perlindungan pekerja dan memastikan bahwa hak-hak mereka akan ditegakkan di pengadilan karena pembentukan hubungan hukum kontraktual dalam menjalankan kegiatan produksi didasarkan pada gagasan distribusi keuntungan yang adil dan merata. Semua kebijakan strategis yang luas, termasuk PP dan Peraturan Pelaksanaan UU Cipta Kerja, yang masih berlaku, harus ditangguhkan sampai pemberitahuan lebih lanjut. Hal ini dilakukan untuk mencegah berkembangnya barang hukum turunan hasil UU Cipta Kerja yang terkadang dinilai inkonstitusional.
Identification of mononucleosis by automatic and microscopic methods (clinical case)
Authors: Lytvynenko H. , Yeromenko R. , Mozghova L. , Fedorchenko A.
Published: May 2024

Infectious mononucleosis is an acute anthropogenic viral disease caused by the Epstein-Barr Virus (EBV). According to statistics from the Public Health Centre of the Ministry of Health of Ukraine, the number of cases in the period from 2018 to 2021 was 5,482; 5,467; 2,431; and 1,023; respectively. 5,467 people developed infectious mononucleosis in Ukraine in 2019. In particular, 863 cases were recorded in non-city dwellers, and 4,597 in children under 17. This indicates an increase in morbidity among urban residents, which determines the relevance of the study of infectious mononucleosis. The development of this disease is accompanied by fever, tonsillar pharyngitis, maculopapular skin rash and the appearance of atypical lymphocytes in the peripheral blood, which make up more than 10% of the total number of lymphocytes. Splenic rupture is the most dangerous complication of this disease. The article analyzes the clinical case of a child who complained of increased body temperature and enlarged lymph nodes. Attention is paid to the indicators of clinical blood analysis, namely to atypical mononuclear cells, which are an indicator of infectious mononucleosis. The results of a quantitative automated hematological analyzer with a microscopic (manual) method of diagnosis were analyzed. It has been established that if, when receiving the results on the analyzer, the indicators are outside the normal range, then it is necessary to use the microscopic method of counting, which will not only clarify but also expand the limits of diagnosis in making the final diagnosis. Thus, the increase in morbidity, difficulties in diagnosis and possibility of complications (splenomegaly and hepatomegaly) make it important to study infectious mononucleosis caused by EBV. This disease is an important scientific and practical problem of modern clinical laboratory diagnostics.

Keywords: infectious mononucleosis, Epstein-Barr virus, atypical lymphocytes.
ÜRETİM MALİYETLERİNİN FAALİYETE DAYALI MALİYET SİSTEMİ VE KISITLAR TEORİSİ ENTEGRASYONU YOLUYLA BİR ÜRETİM İŞLETMESİNDE İNCELENMESİ
Authors: Ever Demet , Demircioğlu Elif Nursun
Published: May 2024

Geleneksel maliyet sistemlerinin günümüz koşullarında yetersiz kalmasından dolayı çağdaş bir maliyet/yönetim muhasebesi aracı olan Faaliyet Dayalı Maliyetleme (FDM) Sistemi ve Kısıtlar Teorisi (KT) yaklaşımı önem kazanmaktadır. FDM, doğru bir şekilde ürün maliyeti sunmasının yanı sıra kaynaklar, faaliyetler ve ürünler arasındaki ilişkilerin detaylı bir analizini ortaya koymaktadır. Ancak FDM, üretim sürecinde bu kaynakların ve faaliyetlerin işletmeye yarattığı kısıtlara yönelik bilgi sağlamamaktadır. KT ise, üretim faaliyetleri gerçekleştirilirken işletmedeki kaynaklardan ne kadar yararlanılabileceğini ve bu kaynakların kapasitesinin önemi üzerine odaklanmaktadır ki bu sayede üretimde verimlilik sağlanabilmektedir. Literatürde ürün maliyetleri üzerine daha sağlıklı kararların FDM ile KT’nin birlikte kullanımı ile alınabileceğini ifade edilmektedir. Bu kapsamda bu çalışma ile FDM Sistemi ve KT yaklaşımının birlikte kullanımının Türkiye’de gıda sektörü alanında faaliyet gösteren bir un üretim işletmesinde üretim maliyetleri ve işletme kârlılığı üzerine etkilerinin araştırılması amaçlanmıştır. Bu amaçla doğrultusunda “Örnek Olay Çalışması” yöntemi tercih edilerek, işletmenin 2022 yılı Mayıs ayı verilerinden hareketle FDM ve KT yaklaşımları birlikte uygulanmıştır. Yapılan uygulamada; işletmedeki faaliyetler birim seviyesi faaliyetlerden oluştuğu için FDM sisteminin kullanımının ürün maliyetlerini etkilemediği sonucuna ulaşılmıştır, zira FDM sistemi ile geleneksel sistemle aynı sonucu vermiştir. Ardından, FDM’den elde edilen bilgilerden yararlanılarak KT’nin Beş Adım Sürekli İyileştirme Modeli uygulanmış ve işletmede var olan kısıtlar giderilerek işletme karlılığının arttırılmasına yönelik alternatif çözüm önerileri sunulmuştur.
1 × 4 nano-pixel power splitter designed using an electric profile correlation coefficient monitor method
Authors: Xie Yuzhuang , Jiang Haisong , Hamamoto Kiichi
Published: May 2024

The power splitter is one of the fundamental elements in a photonic IC. Among various power splitter structures, nano-pixel-based ones have attracted attention in recent years because of their flexible design capability. As there is no rigid design rule in nano-pixel layout, typically, inverse design algorithms are employed to realize the target function. In inverse design, general criteria are needed during the design process, and one typical criterion is the excess loss, however, there are no specific criteria for mode field evaluation. When designing a 1 × N power splitter, considering the power balance among the N output ports is crucial, therefore, we propose a correlation coefficient method to evaluate the output electric field profile. In this study, we adopted vector criteria including both an excess loss and correlation coefficient method during the inverse design process. As a result, the simulated results show all four 0th order modes and the output power to be 24.490%, 24.494%, 24.494%, and 24.490% with a low excess loss of 0.1 dB.