bluuebunny/crossref_metadata_2025 huggingface dataset:
GNSS-and-GIS based android integration of mobile based virtual guide application ExpLahore for walled city Lahore, Pakistan
Authors: Rahim Aaysha , Naqvi Najam Abbas
Published: September 2021

The expansion of technology by utilizing Global Navigation Satellite Systems (GNSS) integrated with Geographic Information System (GIS) has made life much easier and handy. Global interactions have given birth to tourism and intra-culture programs.  Many foreigners as well as local tourists prefer to explore the sites on their own instead of a guide, this is quite adventurous but can be tedious too and brings along a lot of security risks. This research is based on design and development of an android application considering “Walled City, Lahore, Pakistan”. The application will help tourist geotag their information. This application has been developed with the fact to provide precise position through GNSS, the coordinates have been refined using ArcGIS and QGIS and placed in application using Android Studio and Adobe Illustrator. GIS allowed creating interactive queries, analyzing spatial information and map creation, shape file extraction and 99% precise coordinates than maps we use. In travelling world, geotagging is a great and trending feature that allows user to share their exact position. The application will locate user’s coordinates (Latitude and Longitude), current satellite count, precision, altitude, time and day. The guidance application helps user find the correct possible route to the monuments of walled City, Lahore. Information and precise location of 14 place groups of Lahore city, as well as precise route to them is also a feature of the application.
ملخص البرنامج التدريبي: المعماريون الأوروبيون في القاهرة
Authors:   مركز طارق والي العمارة والتراث
Published: September 2021

يأتي هذا الإصدار واحداً من مخرجات برنامج التدريب الصيفي لطلبة العمارة على توثيق التراث المعماري «المعماريون الأوروبيون بالقاهرة» ، والذي استهدف تقديم أهم المفاهيم والمصطلحات التي تتعلق بالتراث بشكل عام والتراث المعماري بوجه خاص لطلبة العمارة، وتمكين المشاركين من النظر إلى الموضوع بنظرة شمولية وفي الوقت نفسه ذات خصوصية مرتبطة بواقعنا وهويتنا. ويأتي البرنامج كجزء من مشروع « لطائف القاهرة، قاعدة معلومات التراث المعماري» وهو مشروع لتسجيل وتوثيق عمارة وعمران القاهرة في الفترة من بداية القرن التاسع عشر وحتى منتصف القرن العشرين. هذا السجل هو عرض لملامح النتاج التطبيقي الذي قام به المتدربين بأنفسهم خلال فترة عمل البرنامج تحت إشراف فريق عمل مركز طارق والي العمارة والتراث.
REDUÇÃO DA VISCOSIDADE DO BIODIESEL DE Ricinus communis L. (MAMONA) POR ACETILAÇÃO QUÍMICA
Authors: Silva Carmem Cícera Maria da , Moraes Leila Cristina Konradt , Santos Júnior José Ribeiro dos , Castro Thiago Luis Aguayo de
Published: September 2021

O óleo da semente de mamona (Ricinus communis L.) é utilizado para a produção de biodiesel devido a sua resistência e ao fato de não competir com a produção alimentícia, contudo a elevada concentração de ácido ricinoleico em sua composição química conferem ao óleo de R. communis algumas características atípicas, como a elevada viscosidade. Portanto, esta pesquisa objetivou analisar a reação de acetilação dos ésteres ricinoleicos como alternativa de reduzir a viscosidade do biodiesel de R. communis. O óleo das sementes de R. communis foi caracterizado e transesterificado por via metílica avaliando o tempo reacional (30 minutos e 60 minutos), posteriormente foi realizado a acetilação utilizando o anidrido acético como reagente e piridina como catalisador. Realizou-se ensaios físico-químicos do óleo e biodiesel e RMN de 1H e 13C do óleo e biodiesel acetilado. As propriedades físico-químicas estavam dentro das especificações, com exceção de densidade e viscosidade. A análise por RMN de 1H e 13C demonstraram a presença majoritária de ácido ricinoleico no óleo de R. communis e comprovaram a eficiência da reação de acetilação. A acetilação reduziu a viscosidade em 30,45% pelo método A e 32,66% no B. A acetilação química se apresenta como uma alternativa para a redução da viscosidade do biodiesel de R. communis.
BULLETIN OF THE INSTITUTE OF ECONOMICS OF NAS OF BELARUS
Authors: - -
Published: September 2021

Содержит научные статьи отечественных и зарубежных ученых по актуальным проблемам экономической теории, экономики и управления народным хозяйством, финансов, денежного обращения и кредита, бухгалтерского учета и статистики, математических и инструментальных методов экономики, мировой экономики.
Адресован научным работникам, преподавателям, докторантам,
аспирантам, студентам вузов, а также всем, кто интересуется проблемами современной экономики.
Sistem Pendukung Keputusan Kelayakan Sertifikasi Guru Pada SD Negeri 016402 Bandar Pasir Mandoge Menggunakan Metode SAW
Authors: Gultom Yati Rosella , Azhar Zulfi
Published: September 2021

SD Negeri 016402 Bandar Pasir Mandoge sering menghadapi kesulitan dalam menentukan layak atau tidaknya seorang guru dalam mengikuti proses sertifikasi dengan memenuhi nilai kriteria yang sudah ditentukan. Jumlah guru yang banyak, maka proses penilaiannya memerlukan waktu yang cukup lama dalam mendapatkan hasil penilaiannya. Disamping itu pihak sekolah tersebut tidak memiliki sarana untuk melakukan evaluasi terhadap pencapaian kriteria pada masing-masing guru terkait dengan sertifikasi. Berdasarkan permasalahan tersebut, maka diperlukan untuk membangun suatu sistem informasi yang sesuai yang dapat membantu pihak sekolah SDN 016402 Bandar Pasir Mandoge dalam menentukan kelayakan guru dalam mendapatkan sertifikasi guru. untuk meningkatkan mutu guru dengan syarat dan kriteria yang telah ditentukan. Metode penelitian dilakukan  dengan observasi di lingkungan sekolah dengan analisis menggunakan metode sistem pendukung keputusan Simple Additive Weighting (SAW). Sistem  aplikasi ini dapat  mempercepat  proses  penentuan  Guru-Guru  yang  berhak mengajukan sertifikasi dengan lebih cepat dan akurat. Sistem dapat mengurangi kesalahan dalam penentuan Guru-Guru yang berhak mengajukan sertifikasi.
Secondary dispersion haloes in the gold-bearing weathering crust of the Vasilkovskoe gold deposit, Northern Kazakhstan
Authors: MILYAEV Sergei
Published: September 2021

The formation conditions and characteristics of secondary dispersion haloes in the gold-bearing weathering crust of a gold-sulfide-quartz deposit are considered. The fraction < 0,1mm is demonstrated to be preferable for lithochemical prospecting for the Vasilkovskoe type gold mineralization. The secondary dispersion haloes of gold, identified based on analyses of this fraction, are characterized by the maximum size and productivity.
Theological Studies of Paul’s Teaching Based on 1 Thessalonians 4:13-18 For the Elderly Congregation in The church
Authors: Sihite Franseda , Wahyuni Sri , Sukarna Timotius , Daliman Muner
Published: September 2021

The purpose of this study how to face death itself. For this reason, the readiness to accompany and teach about the overall condition of death and after death according to the Bible really makes a person ready to respond to a situation. The research used descriptive quantitative methods with field research study approach. This implementation of the Teaching of the Apostle Paul Preparing dying based on 1 Thessalonians 4:13-18 in the Elderly in the Church is in the category of being declared accepted. It is known from the results of calculations using Confidence Interval statistics at a significance level of 5% resulting in Lower Bound and Upper Bound 119.2812 – 122.0299. This shows that the Level of Implementation of the Teachings of the Apostle Paul Preparing dying based on 1 Thessalonians 4:13-18 in the Elderly in the Church is in the "medium" category. This is supported by the conclusions drawn from the first hypothesis compared with the results of calculations for each dimension (D1 – D3) as exogenous variables that show a more specific level of endogenous Variables that both state the level in the "medium" criteria.
MONTE-CARLO APPROACH FOR MEASURING ADJUSTING COST RISKS VALUES OF RESIDENTIAL BUILDING PROJECT’S WHOLE LIFE CYCLE FROM CLIENTS’ PERSPECTIVE IN THE UNITED ARAB EMIRATES
Authors: Sadek Ahmed
Published: September 2021

Purpose – Although projects’ experts always take into consideration the related cost-risks. They are experiencing the challenge of not being able to finish the project within the estimated budget. Latest cost-risks studies concentrated on modelling and estimating risks at the preconstruction stage. This article aims to approach Monte-Carlo simulation using stochastic mathematical modelling to measure cost-risks error (i.e., adjusting cost-risks).

Methodology – The approach of this research is solely quantitative. It is using statistical modelling and simulations to ensure the accuracy and precision of the developed Monte-Carlo model. However, this study is utilizing Microsoft Office Excel Software Mersenne twister algorithm to generate random numbers to ensure most accurate Monte-Carlo approach. The mathematical equations system is built into Excel.

Findings – The research outputs are considered significant in project management body of knowledge. This is because of the resulted evidence that is proving the applicability to measure cost risks error using Monte-Carlo simulation. This study presented cost risks and differentiated between contractors’ and clients’ views.   

Unique contribution to theory, practice and policy – The originality of this article comes from providing the first Monte-Carlo approach for measuring projects’ cost-risks error from client’s perspective. The theoretical-implications, practical-implications, and limitations are presented in the conclusion for future research.
The effect of stump ligation techniques on operative time in laparoscopic appendectomy
Authors: Kutluer Nizamettin , Aksu Ali , Aday Ulaş , Burhan Kanat Hakan , Böyük Abdullah , Doğan Serhat
Published: September 2021

Introduction

We aimed to evaluate the effect of stump ligation techniques on operative time in laparoscopic appendectomy.

Material and methods

The patients who underwent laparoscopic appendectomy in our General Surgery Clinic between January 2016 and August 2018 were retrospectively reviewed. The effects of stump ligation techniques used in the operations on operative times were evaluated.

Results

Sixty consecutive patients were screened and 3 groups, 20 patients in each group, were formed based on stump ligation techniques. Extracorporeal knotting – loop ligation was used in Group 1; intracorporeal knotting was used in the Group 2; hem-o-lok clip was used in Group 3.There was no statistically significant difference between the groups in terms of gender distribution and mean age. However, there was a significant difference between the hem-o-lok clip group (Group III) and the intracorporeal knot group (Group II) in terms of operative time. Group III had a shorter operative time. The Group III patients had the shortest operative time, while the Group II patients had the longest operative time (p < 0.05).

Conclusions

We can speculate that hem-o-lok clip among the stump ligation techniques reduces the cost, is a safe method and shortens the operative time. However, prospective randomized studies with a large sample size comparing different techniques are needed to determine the ideal treatment procedure. At the same time, stapler use may be considered in cases where the base of the appendix is too inflamed or necrosed. It is known that the use of a stapler and endoloop is more expensive than all other techniques. However, the most important issue for the surgeon is patient safety; therefore the most appropriate technique should be preferred.
A high prevalence of low bone mineral density in children with glycogen storage disease type III
Authors: Mogahed Engy , El-Moslemany Mariam , Aboueleyoun Ihab , Musa Noha , Abo-Elsoud Mohamed , El-Raziky Mona
Published: September 2021

Introduction

Glycogen storage disease III (GSD III) is an inborn error of carbohydrate metabolism that involves mainly the liver and skeletal muscles with rare potential systemic complications as osteoporosis. The aim of work of the current study was to screen children with GSD III for osteoporosis using Dual-emission-X-ray absorptiometry (DXA) scan and to measure associated parathormone (PTH) and vitamin D. Our secondary objective is to correlate between the degree of osteoporosis and the muscle state as well as the metabolic control.

Material and methods

This cross sectional study included 25 GSD III pediatric cases. The liver biochemical profile, creatine kinase (CK), vitamin D2, PTH levels were tested in addition to electromyogram (EMG), echocardiography and DXA. Twenty-five age and sex matched normal healthy controls were subjected to vitamin D2 analysis and compared to cases.

Results

The mean ±SD age of the patients was 10.52 ± 3.1 years ranging between 5-18 years. Twenty-one patients (84%) had elevated CK levels, 14 patients (56%) had myopathy and three (12%) had sensory polyneuropathy and almost half of the patients had a mild degree of cardiac muscle hypertrophy. Ten patients (40%) had elevated PTH levels. Twenty-one patients (84%) and 96% of the controls had vitamin D2 deficiency. Thirteen patients (52%) had low BMD; two of them had osteoporosis. Patients with high CK levels significantly had low BMD (P= 0.04).

Conclusions

Pediatric GSD III patients have a significant prevalence of developing low BMD. It is strongly associated with myopathic changes but not significantly related to metabolic control.
Bioinformatics analysis of the differentially co-expressed genes and immune cell infiltration features associated with pulmonary arterial hypertension
Authors: Liu Wenshi , Zheng Dongdong , Lv Wenjing , Hua Ying , Huang Rong , Li Xiaofei
Published: September 2021

Introduction

This study aimed to identify novel differentially co-expressed genes and to investigate the features of immune cell infiltration in PAH.

Material and methods

The GSE113439 and GSE117261 datasets were acquired from the Gene Expression Omnibus database. And the differentially expressed genes between PAH and control groups were identified based on the GSE117261 dataset. Weighted Gene Co-Expression Network Analysis (WGCNA) was adopted to analyze the pre-processed data. Functional enrichment analysis was then carried out to explore the biological functions of these genes modules. The differentially co-expressed key genes modules were in-depth verified by GEO2R analysis. The immune infiltration in PAH was investigated by Cell type Identification By Estimating Relative Subsets Of RNA Transcripts (CIBERSORT).

Results

WGCNA analysis found 15 differentially co-expressed genes modules, amongst which module blue indicated that it exhibited the strongest positive link to PAH, whereas module green presented the strongest negative association with PAH. The Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis indicated that the genes in module blue were largely enriched in Lysosome, Complement, and coagulation cascades, and others, while the genes in module green were primarily enriched in the Chemokine signaling pathway, Platelet activation, etc. Integrin subunit alpha M (ITGAM) was identified as the differentially co-expressed key gene. Immune infiltration analysis by CIBERSORT showed that the differences between PAH and control groups or between PAH subgroups.

Conclusions

ITGAM was considered a promising biomarker to discriminate PAH from the control. Obvious differences were observed in immune infiltration between patients with PAH and normal groups.
The Basic Psychological Need Satisfaction and Frustration Scale. Adaptation and associations with well-being and mental health disorders in a Polish sample
Authors: Tabiś Katarzyna , Poprawa Ryszard , Barański Maciej , Dworzańska Julia
Published: September 2021

Background

This study aimed to validate a Polish adaptation of the Basic Psychological Need Satisfaction and Frustration Scale (BPNS&FS) and determine the significance of need satisfaction and frustration for mental health. The scale measures satisfaction and frustration of basic psychological needs: autonomy, competence, relatedness. The meas-urement of these needs has an important role in the explanation of psychological well-being and risk of disorders.

Participants and procedure

This study aimed to validate a Polish adaptation of the Basic Psychological Need Satisfaction and Frustration Scale (BPNS&FS) and determine the significance of need satisfaction and frustration for mental health. The scale measures satisfaction and frustration of basic psychological needs: autonomy, competence, relatedness. The meas-urement of these needs has an important role in the explanation of psychological well-being and risk of disorders.

Results

CFA confirmed the validity of measurement for two independent dimensions: satisfaction and frustration of each need. The BPNS&FS is characterized by good reliability parameters. Criterion validity was confirmed by significantly positive relations of needs satisfaction with happiness resources, and negative relations with symptoms of mental health disorders, psychache, and the risk of alcoholism. Need frustration has opposite relations with the above vari-ables. The validity was also supported by significantly higher need frustration among alcoholics, compared to a normative sample. Women differed significantly from men in lower autonomy and competence satisfaction and higher relatedness satisfaction.

Conclusions

The Polish version of the BPNS&FS is a valuable and reliable measurement tool. It has been confirmed that both the satisfaction and frustration of needs have important consequences for well-being and mental health.
Sacralization may be associated with facet orientation and tropism but not degenerative changes of the lumbar vertebrae
Authors: Can Tuba Selcuk , Yilmaz Behice Kaniye , Ozdemir Sevim
Published: September 2021

Introduction

In this retrospective study, we aimed to investigate the possible effects of transitional vertebra anatomy on facet joint tropism and orientation by evaluating lumbar magnetic resonance imaging (MRI) studies performed at our institution.

Material and methods

We included 84 patients with sacralization of the L5 vertebra and an equal number of patients with a radiology report within normal limits as the control group in our study. We compared facet tropism (FT) and orientation between both groups.

Results

In both the sacralization group and the control group, the facet orientation angle showed a significant increasing trend from the L1-L2 level to the L5-S1 level (p < 0.001). The orientation angle of the L5-S1 level was higher in the sacralization group compared to the control group (p < 0.01). In the evaluation of FJ orientation between the sacralization and control groups, we found that coronal orientation was significantly more frequent at the L5-S1 level in the sacralization group. When the 2 groups were compared with regard to tropism at each spinal level, the sacralization group had a significantly higher FT frequency at the L5-S1 level (p < 0.001).

Conclusions

To our knowledge, this is the first study to evaluate the relationship between sacralization and facet joint tropism. However, there were no relationships between facet degeneration, disc degeneration/herniation, and sacralization. Our results indicate that, although patients with sacralization and controls had similar characteristics in most assessments, they demonstrated significant differences at the L5-S1 level in terms of orientation and tropism.
Is early diagnosis of myofascial pain syndrome possible with the detection of latent trigger points by shear wave elastography?
Authors: Ertekin Ersen , Kasar Zehra S. , Turkdogan Figen Tunali
Published: September 2021

Introduction

The aim of the study was to investigate the contribution of shear wave elastography to the diagnosis of myo­fascial pain syndrome (MPS) of the upper part of the trapezius.

Material and methods

Ethical committee approval was obtained for the study. Thirty volunteer women with trigger points in the upper part of the trapezius muscle and 30 healthy women with a similar age distribution were included in the study. The patient group performed a self-stretching exercise program for 4 weeks. No intervention was applied to the control group. Muscle stiffness values of both groups were evaluated with shear wave elastography (SWE), and pain levels of all volunteers were evaluated by the Visual Analogue Scale at the beginning and the end of the study. The statistical analyses were performed using SPSS version 18.0.

Results

There was a significant decrease after the treatment in terms of upper trapezius muscle stiffness and the pain levels in the patient group (p < 0.001 and p < 0.001). In the patient group, there was a moderate correlation between the decrease in the pain level and the reductions in muscle stiffness (r = 0.595). In control group, there was no significant difference in terms of both muscle stiffness and pain levels before and after treatment (p > 0.05).

Conclusions

SWE is a reliable method for detecting latent trigger points in MPS, and it can be used for evaluating the response to treatment.
Risk and prognostic factors of post-catheterization pseudoaneurysm
Authors: Michimoto Kenkichi , Takenaga Shinsuke , Matsui Yo , Enoki Keitaro , Nozawa Yosuke , Higuchi Takahiro , Sakamoto Hiroshi , Noda Yasuto , Morooka Satoru
Published: September 2021

Introduction

To evaluate the risk and prognostic factors of post-catheterization pseudoaneurysm (PPA).

Material and methods

To identify the risk factors for PPA occurrence, clinical findings were compared between 22 consecutive patients with radiologically confirmed PPAs (PPA group) and 300 randomly extracted patients without PPA, who underwent transarterial angiography or intervention (sample group) between 1 January 2015 and 31 March 2020. The PPA group was further divided into those treated successfully with mechanical compression (group A) and those requiring ultrasound-guided thrombin injection after compression failed (group B). Univariate and multivariate analyses were used to compare patient demographics, preoperative laboratory findings, procedure details, PPA diameter, and time interval between the procedure and compression between groups A and B to evaluate the prognostic factors of PPA.

Results

The PPA group demonstrated significantly elevated prothrombin time international normalized ratios (PT/INR) (odds ratio [OR]: 6.27, 95% confidence interval [CI]: 2.020-19.5; p = 0.00151) and more frequent popliteal access (OR: 14.2, 95% CI: 1.040-195.0; p = 0.0467) compared to the sample group, and radial access decreased the risk of PPA (OR: 0.382, 95% CI: 0.0148-0.987; p = 0.0468). One of the 22 PPAs resolved spontaneously, and 11 others (52.4%) were successfully treated by mechanical compression. An interval exceeding 24 hours between the procedure and compression was the only significant prognostic factor (p = 0.0281) between groups A and B.

Conclusions

Elevated PT/INR and popliteal access may predispose patients to PPA; close consideration of the site of access may lower the risk of refractory PPA.
RESISTÊNCIA ANTIMICROBIANA DE PSEUDOMONAS AERUGINOSA EM AMBIENTE HOSPITALAR
Authors: Silva Leidyanne Karolaine Barbosa da , Silva Esaú Simões Da , Nascimento Rhana Cavalcanti Do , Lima Maria Joanellys dos Santos
Published: September 2021

Introdução: Pseudomonas aeruginosa é uma bactéria gram negativa que causa principalmente pneumonias, a mesma está associada a grande parte das infecções intra-hospitalares que podem ocorrer em um período de 48h após a entrada na unidade de saúde, ou até 10 dias após a alta médica. Raramente causa problemas em pacientes saudáveis, entretanto, é uma das responsáveis por morbidade e mortalidade nos imunocomprometidos, como os portadores de fibrose cística. Objetivo: Este trabalho possui como objetivo realizar uma breve revisão sobre a resistência da P. aeruginosa a antimicrobianos em ambiente hospitalar. Métodos: Foi feito um estudo literário nos idiomas inglês, espanhol e português, nas bases de dados: Pubmed, BDTD e ScienceDirect, utilizando os descritores “Pseudomonas aeruginosa”, “Mortalidade Hospitalar”, “Farmacorresistência Bacteriana Múltipla”, durante o período de 2019 a 2021. Resultado: A P. aeruginosas é conhecida coma uma bactéria super-resistente a diversos antimicrobianos e o seu genoma é considerado relativamente grande (5.5 a 7 Mbp) quando comparado a Escherichia coli e Mycobacterium tuberculosis, o que pode ser justificado pela existência de genes como MP, VIM, OXA, MexAB-OprM, MexCD-OprJ, MexEF-OprN e MexXY-OprM que codificam proteínas que oferecem resistência a antimicrobianos como a classe de β-lactâmicos e aminoglicosídeos. Pacientes de Unidade de Terapia Intensiva estão mais propensos a contrair a bactéria, no Brasil o número de infecções causadas por P. aeruginosas resistente chega a 36,6%, sendo o seu fenótipo mucoide um fator importante para a virulência, a produção de muco através da P. aeruginosa forma um biofilme que oferece resistência aos fármacos, e dificulta a ação natural do sistema imunológico. Com a alta resistência, uma ação bastante eficaz para o tratamento dessa bacteriose seria a utilização de bacteriófagos líticos específicos, que são vírus que infectam a bactéria causando lise celular, representando assim, uma ótima alternativa biológica para o tratamento desta infecção. Conclusão: A alta resistência da P. aeruginosa no ambiente hospitalar é uma causa preocupante para os profissionais de saúde, uma vez que as terapias conhecidas para tratamento dessa bactéria não são capazes de acompanhar a evolução da mesma, sendo assim se faz necessário mais estudos de desenvolvimento de terapias inovadoras para o combate dessa bacteriose.
EFEITOS DA VENTILAÇÃO NÃO INVASIVA DURANTE O EXERCÍCIO EM PACIENTES COM DPOC
Authors: Barros Jessé Sales de , Castro Mariana Andrade Jaques De , Nascimento Luiz Valdean Sobrinho
Published: September 2021

Introdução: A doença pulmonar obstrutiva crônica (DPOC) é caracteri­zada por uma obstrução progressiva que causa uma limitação do fluxo aéreo, e seu sintoma mais comum é a dispneia. Dessa forma, ela acontece durante a execução de atividades físicas, o que proporciona um quadro de sedentarismo e inatividade física. Consequentemente, ocasiona uma maior de­manda ventilatória. Com o intuito de reduzir a dispneia durante os exercícios, tem sido utilizado um suporte de ventilação não-invasiva (VNI), que determina uma pressão positiva nas vias através de uma interface, possibilitando uma melhor tolerância ao exercício físico a esse paciente. Objetivo: Verificar frente a literatura a respeito dos efeitos da Ventilação não Invasiva durante o exercício em pacientes com DPOC. Materiais e Métodos: Revisão de literatura sistemática. A busca de estudos para a síntese foi realizada no PubMed e PEDro no período de março de 2021. Os descritores utilizados para a busca foram: “Fisioterapia”, “ventilação não invasiva”, “DPOC”. Como critério de seleção foram escolhidos estudos observacionais ou de intervenção, em idiomas inglês e português publicados entre 2014 a 2020. Revisão Bibliográfica: O efeito da Ventilação Não-Invasiva sobre a função respiratória, e a tolerância ao exercício em pacientes com DPOC têm sido discutidos em vários estudos. A dispneia acarreta o sedentarismo contribuindo para a limitação ao exercício nos pacientes com DPOC, isso sugere um suporte ventilatório para diminuir a dispneia e melhorar a tolerância ao exercício físico. Foram analisados 30 artigos, e após a observação de critérios de elegibilidade, foram escolhidos 6 artigos para a síntese. Uma maior proporção dos artigos pesquisados mostrou a eficácia da ventilação não invasiva reduzindo a atividade eletromiográfica do diafragma, mantendo os níveis de ventilação e promovendo repouso dos músculos da respiração, diminuindo a dispneia e aumentando a Plmáx e o ganho de tolerância a atividade física. Considerações Finais: Diante os resultados, podemos constatar que muitos pacientes portadores de DPOC apresentam intolerância aos exercícios e piora da dispneia, ocasionando, na maioria das vezes, incapacidade para realizarem atividade física de forma segura, justificando, assim, a importância da aplicação de um suporte ventilatório não-invasivo com pressão positiva em pacientes com um certo grau de limitação.
SAÚDE DA MULHER: BUSCA ATIVA COMO FERRAMENTA EFICAZ NA COBERTURA CITOPATOLÓGICO
Authors: Sousa Suely de Moura Santos de
Published: September 2021

Introdução: No atual contexto da Pandemia do COVID 19 muitas ações e serviços deixaram de ser realizadas, comprometendo a qualidade da assistência na Atenção Primária em Saúde. O rastreamento de algumas doenças importantes para Saúde Pública ficou em segundo plano, como a detecção precoce do câncer do colo de útero, visto que ainda, é uma patologia de elevada incidência e prevalência no País, com altas taxas de mortalidades. Cabe salientar, que o câncer cervical, cuja detecção de lesões precursoras é empreendida através do exame preventivo (Papanicolaou). As chances de cura podem alcançar 100%, caso aja diagnóstico antecipado. Além do que, a coleta desse exame faz parte da rotina das unidades saúde família, as quais devem criar estratégia, visando aumentar o rastreamento na faixa etária preconizada, e consequentemente, no diagnóstico precoce. Objetivo: Descrever como foi realizado a busca ativa das mulheres para realizar o exame citopatológico nesse cenário. Material e método: Trata-se de estudo qualitativo do tipo relato de experiência direcionado para mulheres sexualmente ativas, na faixa etária 25 a 64 anos, com exame preventivo atrasados há mais de cinco anos, desenvolvido em uma Unidade de Saúde da Família da Zona Rural do Município de Cascavel-PR de 27 julho a 20 de agosto 2021. Resultados: A equipe fez um levantamento prévio da relação de mulheres com o perfil epidemiológico desejado, logo, observou-se 47 mulheres necessitavam realizar o procedimento. Então houve a estratificação desse grupo, dando prioridade para aquelas cuja última coleta havia sido há 5 anos, 4 anos, assim, sucessivamente. Após esse mapeamento, começou o processo de agendamento, por via telefone e whatsapp, sendo bem aceito pelas mulheres, elas demostraram preocupação com a saúde. Correlacionaram o fato de estar com preventivo atrasado com atual contexto pandêmico. A partir dessa busca ativa, houve forte adesão, contabilizando o comparecimento de 27 mulheres no período. Conclusão: A Estratégia Saúde da Família por conhecer seu território pode implementar busca ativa do público alvo, favorecer acesso seguro e resolutivo, além da efetividade na redução do câncer uterino.
ASPECTOS INERENTES ÀS DIFICULDADES NA IMPLANTAÇÃO DOS PROTOCOLOS DE SEGURANÇA DO PACIENTE
Authors: Nunes Tainá Soares , Duarte Marli Teresinha Cassamassimo , Welter Aurea
Published: September 2021

Introdução: A segurança do paciente pode ser definida como a ausência ou redução do risco de sofrer danos desnecessários no decorrer da prática assistencial dos cuidados de saúde. Os eventos adversos relacionados à assistência são importantes causas de morbimortalidade no mundo e possuem impacto considerável na área da saúde, gerando prejuízos não somente para o paciente, como também para os profissionais, que sofrem danos éticos e morais, além de prejuízos na interação profissional-paciente. Nesta pespectiva o Brasil, por meio do Ministério da Saúde no ano de 2013, criou o Programa Nacional de Segurança do Paciente (PNSP), com o intuito de promover e apoiar a implementação de iniciativas voltadas à segurança do paciente.Objetivo: Evidenciar as dificuldades apontadas na literatura para adesão aos protocolos de segurança do paciente. Almeja-se que os resultados deste estudo sejam capazes de subsidiar gestores e trabalhadores no planejamento e implantação de estratégias de segurança do paciente, e, consequentemente na prevenção de danos e agravos, oriundos do cuidado à saúde. Metodologia: Trata-se de uma revisão integrativa da literatura científica, em que se utilizou os descritores em ciências da saúde: Adesão; Segurança do paciente; Protocolo; Enfermagem e Dificuldade, por meio do dos cruzamentos (Adesão AND “Segurança do paciente” AND Protocolo) e também (“Segurança do paciente” AND Enfermagem AND Dificuldade) nas bases de dados LILACS, BDENF e MEDLINE, em que houve ao final a seleção de 27 artigos que responderam ao objetivo deste estudo. Resultados: O estudo evidenciou com maior frequência que dentre as dificuldades para desenvolvimento prático dos protocolos de segurança do paciente, incluem-se a sobrecarga de trabalho, dimensionamento inadequado dos profissionais de enfermagem, falta de materiais e a falta de comunicação, tornando evidente o déficit de promoção de treinamento para os profissionais que rotineiramente tem o potencial de aplicação dos protocolos. Conclusão: Salienta-se a necessidade de fortalecer a educação permanente e continuada, com foco em capacitar as equipes de saúde no desenvolvimento das ações propostas nos protocolos de segurança do paciente, bem como aprimorar o engajamento da gestão com o apoio na implementação dos protocolos nos diversos ambientes de cuidados à saúde.
RELAÇÃO ENTRE O USO DE ANTICONCEPCIONAIS ORAIS E A OCORRÊNCIA DE TROMBOSE VENOSA PROFUNDA
Authors: Ferreira Bianca Caroline , Papa Luciene Patrici
Published: September 2021

Introdução: A trombose é uma doença multifatorial, que ocorre quando existe desequilíbrio da hemostasia sanguínea. Trata-se de uma alteração dos componentes de coagulação do organismo, levando a formação de um trombo no interior de veias, vasos ou artérias. Alta taxa de incidência de eventos trombóticos acomete principalmente as mulheres que fazem uso de anticoncepcionais, devido à presença de estrógeno na composição, o qual promove o aumento dos níveis sanguíneos dos fatores de coagulação. O uso de contraceptivos oral é um método muito utilizado para a prevenção de gestação não planejada, porém, demonstra uma associação de risco cardiovascular. Objetivo: verificar a relação do uso de anticoncepcionais orais com a trombose venosa profunda, com auxílio de revisão sistemática de literatura. Método e materiais: Este estudo trata-se de uma revisão de literatura e as bases de dados utilizados foram Scielo, Pubmed e Google Acadêmico, sendo utilizados artigos dos últimos 10 anos. Resultados: Os anticoncepcionais orais possuem em sua composição dois hormônios sintéticos, o estrogênio e o progestágeno e estão relacionados ao desenvolvimento da trombose. Essa relação pode ser explicada devido aos estrógenos e progestágenos diminuírem a capacidade de coagulação sanguínea e aumentarem a capacidade pró- coagulante da cascata de coagulação, interferindo assim na hemostasia. O uso de anticoncepcionais orais tem sido responsável por 9% a 18% dos casos de trombose em mulheres, o risco de ter trombose venosa aumenta de 3 a 6 vezes ao tomar contraceptivo oral. O anticoncepcional oral causa resistência às proteínas C-reativas, as quais são anticoagulantes naturais do organismo, causando desequilíbrios no sistema circulatório. Vários estudos relatam que o uso de contraceptivos orais por mulheres que possuem pré-disposição genética ou associada a outros fatores como o tabagismo, alcoolismo, obesidade, doenças cardiovasculares, entre outros, elevam o potencial para o desenvolvimento de trombose venosa profunda. Conclusão: Percebe-se que existe relação entre o uso de anticoncepcionais orais com a ocorrência de trombose venosa profunda devido aos hormônios contidos nesse.
DESAFIOS NO PROCESSO DE COMUNICAÇÃO DE MÁS NOTÍCIAS A PACIENTES ONCOLÓGICOS
Authors: Miranda Gabriele Oliveira Sant' Ana de , Silva Anderson Avelino Da , Silva Rebeca Santos Da
Published: September 2021

Introdução: Levando em consideração que a comunicação é um meio fundamental para o tratamento de pacientes em situações diversas, nos deparamos com a realidade de conflitos éticos quando se trata da transmissão de más notícias para o paciente oncológico. Algumas dificuldades se fazem presentes desde a confirmação do diagnóstico, considerando que o conhecimento do paciente quanto ao seu quadro clínico é extremamente importante para que o mesmo venha colaborar com o tratamento. Objetivo: Levantar questões éticas e profissionais envolvidas no processo de comunicação de más notícias em cuidados oncológicos, além de buscar responder à demanda de produção de conhecimentos nessa área. Material e métodos: O presente estudo consiste em uma revisão integrativa realizada em base de dados eletrônicas como Scielo e revistas científicas, onde foram selecionados artigos conforme o objetivo da pesquisa. Resultados: O processo de comunicação de más notícias é uma tarefa que demanda habilidade dos profissionais de saúde, pois envolve não só a ética, mas também a humanização na assistência à saúde e suporte emocional do paciente e de sua família, que por sua vez tem estreita relação com o progresso terapêutico. Desse modo, a busca pela melhoria do processo de comunicação verbal e não verbal, torna-se extremamente necessário para proporcionar um melhor acolhimento ao paciente, permitindo a percepção dos seus sentimentos e sensações perante o seu quadro. Também deve ser considerado a busca pela interação com outros profissionais sobre às dificuldades enfrentadas no dia a dia ao lidar com tais situações, promovendo um espaço de troca de experiências. Conclusão: Conclui-se que uma equipe preparada implica diretamente na atitude do paciente, evidenciado a importância do estabelecimento de vínculos, esclarecimento de dúvidas conferindo-o autonomia e melhoria da qualidade de vida.
TIPOS HISTOLÓGICOS PREVALENTES DO CÂNCER DE MAMA NA REGIÃO OESTE DO PARANÁ
Authors: Pazini Heloísa Martendal , Linden Dylson Junyor Neckel , Michelon Isabella Cristina , Bortolazzi Letícia
Published: September 2021

Introdução: Este artigo tem como objetivo elencar e comparar os tipos histológicos do câncer de mama na região Oeste do Paraná, composta pelas microrregiões Cascavel, Foz do Iguaçu e Toledo no período de 2015 a 2019. Ob: Serão observados estatisticamente os números de casos de Cânceres de Mama por tipo histológico que se mostram mais prevalentes na região oeste do Paraná. Com a coleta dos dados e a observação dos tipos histológico do câncer de mama, é possível que sejam elaborados planos quanto à prevenção e diagnóstico precoce. MATERIAL E MÉTODOS: Para o levantamento de dados foi utilizada a plataforma do Instituto Nacional de Câncer onde são disponibilizados dados em forma de tabela através do Integrador RHC (Registro Hospitalar de Câncer) comparando número de casos por tipo do caso e tipo histológico. RESULTADOS: Dos dados coletados foi verificado que em Cascavel, o carcinoma ductal infiltrante apresentou 996 casos, carcinoma lobular SOE apresentou 37 casos, o carcinoma sem outra especificação (SOE) apresentou 29 casos. Foz do Iguaçu tem como carcinoma prevalente o carcinoma ductal infiltrante com 360 casos, o carcinoma intraductal não infiltrante com 19 casos e o carcinoma SOE com 11 casos. Já Toledo não apresentou casos de câncer de mama. CONCLUSÃO: Visto que no oeste do Paraná a maioria das mulheres foram diagnosticadas com câncer de mama entre os 55-59 anos, o planejamento de estratégias para a detecção precoce faz-se fundamental nesta região. É importante orientar essa população sobre a prevenção primária e realização de exames preventivos antes dos 50 anos, principalmente em casos de histórico familiar da doença. A importância do autoexame, que é feito com a palpação mensal das mamas, e o exame clínico das mamas são fundamentais porque podem detectar alguns sinais ou alterações nas mamas, como: abaulamentos, retração e secreção nos mamilos, vermelhidão, e nódulos.
Life at Court: Luisa Roldán in Madrid 1689–1706
Authors: Hall-van den Elsen Catherine
Published: September 2021

Catherine Hall-van den Elsen considers the career of Luisa Roldán (1652–1706),
one of Spain’s most renowned female artists, who was appointed Escultora de
Cámara (sculptor to the Royal Chamber) to both Kings Carlos II and Felipe V. As
the daughter of a well-known Sevillian sculptor, Roldán developed her skills in a
busy workshop that produced life-sized polychrome wood sculptures. But when
the artist arrived in Madrid with her family in late 1688, she found an uncertain
economic environment and a very different market, with reduced demand for the
sculpture with which she was familiar. Roldán set about identifying an alternative
product to suit the tastes of the royal and noble residents of Madrid’s Corte y
Villa, proving herself an able interpreter of religious and political environment.
Developing an Interactive Storybook Application ‘Jack and the Dirty Smelly Beast’ for English Language Proficiency among Children
Authors: Fakhrani Arpin Indah , Hayati Mohamad Yatim Maizatul
Published: September 2021

The high percentage of students who are still struggling with the English language is worrisome, even though there are many well-planned strategies and education policies that are developed to resolve this problem. It is a universal belief that learning a foreign language at a young age through reading plays an important role. Accordingly, the aim of this research is to design, develop and evaluate an interactive storybook application combined with suitable multimedia elements and features to encourage children to read. The interactive storybook entitled 'Jack and the Dirty Smelly Beast' was developed using Instructional System Design (ISD) and Rapid Prototyping model. An experimental study was conducted with 17 respondents between the ages of 6 – 8 years to test the effects of the multimedia elements and features in improving children’s learning. Their responses were recorded and analysed using descriptive analysis. The findings showed that respondents agreed that learning experience improved significantly and attracted children to read when using this application. In conclusion, by using correct multimedia elements and suitable features in the interactive storybook application, it is envisaged that the children’s comprehension in learning a foreign language can be expanded. This research foresees there is enormous opportunity for literacy development in foreign language learning in the early ages through the creation of an interactive storybook application with suitable multimedia elements and features for children.
Marie: Validation of the Artificial Intelligence Model for Covid-19 Detection
Authors: Bento Valdirene , Frederico Salaroli Bruno , Santos Paula
Published: September 2021

Lung X-ray images, if processed using statistical and computational methods, can distinguish pneumonia from COVID-19. The present work shows that it is possible to extract lung X-ray characteristics to improve the methods of examining and diagnosing patients with suspected COVID-19, distinguishing them from malaria, tuberculosis, and Streptococcus pneumonia. More precisely, an intelligent computational model was developed to process lung X-ray images and classify whether the image is of a patient with COVID-19. In partnership with the municipality of Itapeva, Minas Gerais, we carried out patient analysis and, at the same time, we evolved the algorithms to meet the needs of health professionals and also expand support in tracking COVID-19 in the municipality. In this project we will describe cases and even signs and symptoms that were similar to the clinical performed by the doctor. The average recognition accuracy of COVID-19 was 0.97,4 ± 0.043.
Sentiment Analysis in Myanmar Language using Convolutional LSTM Neural Network
Authors: Yin Tun Thein Nwet , Mar Soe Khin
Published: September 2021

In recent years, there has been an increasing use of social media among people in Myanmar and writing review on social media pages about the product, movie, and trip are also popular among people. Moreover, most of the people are going to find the review pages about the product they want to buy before deciding whether they should buy it or not. Extracting and receiving useful reviews over interesting products is very important and time consuming for people. Sentiment analysis is one of the important processes for extracting useful reviews of the products. In this paper, the Convolutional LSTM neural network architecture is proposed to analyse the sentiment classification of cosmetic reviews written in Myanmar Language. The paper also intends to build the cosmetic reviews dataset for deep learning and sentiment lexicon in Myanmar Language.
Development and Feasibility of an Obesity Prevention Intervention for Adolescent African American Daughters and Their Mothers
Authors: Monique Reed  , Wilbur JoEllen , Tangney Christy , Schoeny Michael , Miller Arlene , Webber- Ritchey Kashica
Published: September 2021

African American (AA) girls and women having disproportionately higher rates of obesity than their racial/ethnic counterparts. There is an urgent need to address overweight and obesity in AA girls through preventive interventions that enhance lifestyle physical activity (PA) and improve dietary behaviors in middle adolescence. Middle adolescence represents a unique and important opportunity to strengthen the daughter/mother bond and improve healthy behaviors such as PA and dietary intake. Because of the developmental and cultural complexities of adolescence, it is essential to include mothers, however, this approach is understudied in the literature. This pre-pilot study--- Black Girls Move was conducted using a 12-week pre-post within-subjects design to assess a) feasibility of conducting the study b) feasibility of delivering the intervention and c) program satisfaction by AA 9th and 10th grade daughters and their mothers.  Twenty-two dyads were recruited, 14 dyads completed baseline assessments, however, only eight daughters and their mothers attended the first session and were retained for the entire study. All dyads had valid objective and self-reported PA data, however, two of eight daughters and one mother provided  self-reported dietary data that were considered invalid. All individual sessions were rated highly.  Excellent attendance, retention, and satisfaction among participants suggest that we succeeded in conveying the importance of healthy PA and dietary behavior change. This lifestyle intervention would be strengthened by modifications to recruitment and retention as well as incorporation of a computerized dietary assessment tool, a tailored dietary app for self-monitoring, and increased photo-based and group homework activities.
A brief staff training to increase children’s physical activity during an after-school program: Preliminary effectiveness and potential for dissemination
Authors: Mailey Emily , Garcia Jerica , Rosenkranz Richard
Published: September 2021

This two-part study aimed to first evaluate the preliminary effectiveness of a brief staff training intervention to promote physical activity among children attending an after-school program, and then to determine the feasibility of delivering the training to a larger number of sites. Two Boys and Girls Club after-school sites (intervention, control) participated in study 1. Accelerometer-measured physical activity of children and directly observed staff behaviors were assessed at each site in February and May 2019. Following baseline data collection, staff at the intervention site attended a brief physical activity promotion training, which emphasized expanding the quantity and enhancing the quality of physical activity opportunities. For study 2, the training was delivered to all staff, and they completed pre- and post-training measures of self-efficacy and intention to implement strategies to promote physical activity. In study 1, children at the intervention site decreased sedentary time by 14.8 min/day, and increased light and moderate-to-vigorous physical activity by 7.8 and 7.0 min/day, respectively, relative to the control site. Instances of staff encouragement significantly increased at the intervention site. In study 2, staff reported significant improvements in self-efficacy and intention immediately following the training. These studies provide preliminary evidence that a brief staff training intervention may increase physical activity among children attending an after-school program, and that the intervention can be integrated into existing training requirements. Future research is needed to replicate these findings across a wider range of after-school programs, and to explore systematic approaches to offering sustainable physical activity training regularly at scale.