bluuebunny/crossref_metadata_2025 huggingface dataset:
Laparoscopic and Seldinger techniques for the treatment of concomitant gallstones and choledocholithiasis. A retrospective study.
Authors: Song Ruijin , Feng Li , Liu Xueyi , Yang Bo , Gong Ming , Qiao Tie
Published: June 2023

Abstract. This study aimed to determine the efficacy and safety of a mini-mally invasive combined approach for concomitant stone clearance of choleli-thiasis and choledocholithiasis. FromNovember 2018 to March 2021, 30 pa-tients were enrolled in this retrospective study that compared two methods of treating combined cholelithiasis and choledocholithiasis. The study comprised two groups: 15 patients in Group A underwent combined laparoscopic and Seldinger techniques for complete stone clearance, retaining the gall bladder in situ. In Group B, 15 patients underwent laparoscopic cholecystectomy and choledocholithotomy with T-tube drainage. The rates of successful completion of the operations, procedure-related complications, length of hospitalization, hospital cost, and patient satisfaction were compared between the two groups. The two groups had no differences in general patient characteristics, and all procedures were successfully completed. Compared to Group B, patients in Group A had a shorter operative time (84 vs. 105 min), less blood loss (10 vs. 28 mL), were less expensive, and had a shorter postoperative recovery. A single patient in group B developed bile leakage. The satisfaction rate was 93% in Group A, in contrast to 80% in Group B. The combined use of laparoscopic and Seldinger techniques to achieve complete stone removal in patients with con-comitant cholelithiasis and choledocholithiasis was demonstrated to be safe and successful.
Risk factors for the prognosis of patients with decompensated hepatitis B cirrhosis and their predictive values.
Authors: Li Li , Zhang Jihui , Yuan Peng , Song Jianjun , Lu Zhenhui , Zhao Guozhong
Published: June 2023

Abstract. We aimed to investigate the risk factors affecting the progno-sis of patients with decompensated hepatitis B cirrhosis and their predictive values.The clinical data of 149 patients with decompensated hepatitis B cir-rhosis, treated from August 2015 to June 2019, were analyzed retrospectively. They were divided into death and survival groups during a one-year follow-up. Their baseline data were compared, and the risk factors affecting death, corre-lations among risk factors, and predictive values of these factors for death were analyzed. Survival analysis was conducted. During a one-year follow-up, 103 pa-tients survived, and 46 died. High neutrophil-lymphocyte ratio (NLR), red cell distribution width (RDW), the model for end-stage liver disease (MELD) score, the Child-Turcotte-Pugh (CTP) score, and low serum sodium were independent risk factors for death in patients with decompensated hepatitis B cirrhosis. NLR correlated positively with CTP and MELD scores (r=0.346, p=0.0001, r=0.243, p=0.0003, respectively). Likewise, the RDW had positive correlations with CTP and MELD scores (r=0.417, p=0.0001, r=0.413, p=0.0003, respectively). Se-rum sodium was negatively correlated with CTP and MELD scores (r=-0.484, p=0.0001, r=-0.476, p=0.0001, respectively). The survival rate was high in patients with NLR<7.38, RDW<16.15%, serum sodium>146.31 mmol/L, CTP score<10.26 points, and MELD score<11.31 points (p=0.0001). NLR, RDW, serum sodium, MELD, and CTP scores had high death predictive values.NLR, RDW, serum sodium, CTP score, and MELD score can be considered as critical indices for evaluating and predicting the prognosis of patients with decompen-sated hepatitis B cirrhosis.
Hallazgo intraoperatorio de hernia de Amyand: reporte de caso y revisión de literatura.
Authors: Buitrago Delia , Rojas-Rivas Susan , González-Delatorre Aguasanta , Terán-Angel Guillermo
Published: June 2023

Abstract. Amyand’s hernia is an inguinal hernia that contains the cecal appendix inside. It is a rare entity and its discovery is generally made intraop-eratively. We present the case of a older male adult, with a soft tumor, with pro-gressive increase in volume, in the right inguinal region accompanied by local pain, reducible at rest. During surgery, a hernial sac was found with an enlarged cecal appendix inside it, with signs of inflammation. An appendectomy was per-formed. The hernia sac was reintroduced and the posterior wall of the inguinal canal was repaired (Lichtenstein and Bassini mixed technique). Postoperative evolution was satisfactory.
Batı Akdeniz Bölgesi Domates Güvesi Tuta absoluta (Lepidoptera: Gelechiidae) Popülasyonlarında Endosimbiyont Bakteri Türlerinin Belirlenmesi
Authors: KAVAK Merve , KOÇAK Erhan
Published: June 2023

Çalışma kapsamınsa, Batı Akdeniz Bölgesi’nde Antalya, Muğla, Isparta ve Burdur illerinden 11 lokasyondan toplam 55 adet Domates güvesi Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae) bireyi toplanmıştır. Söz konusu böcek türünde endosimbiyont bakterilerden Wolbachia, Rickettsia ve Spiroplasma taraması yapılmıştır. Bu bireylerde endosimbiyont bakteri olan Wolbachia, Rickettsia ve Spiroplasma’nın varlığı ve bulunma oranı PCR reaksiyonlarından sekans yapılarak belirlenmiştir. Sonuç olarak, Rickettsia ve Spiroplasma’nın T. absoluta için dünya ve Türkiye genelinde ilk kayıt olduğu belirlenmiştir. Bu zamana kadar bulunamayan Spiroplasma ve Rickettsia çalışmamızda yüksek oranda değer göstermiştir. Batı Akdeniz Bölgesi’nde Domates güvesinde Wolbachia, Ricketsia ve Spiroplasma bulunma oranları sırasıyla %76.3, %78.1 ve %90.9 olarak belirlenmiştir.
Bimbingan Belajar Berbasis Science Edutaiment Untuk Meningkatkan Minat Belajar Matematika Pada Masa Pandemi
Authors: Kurniawati Kiki Riska Ayu , Negara Habib Ratu Perwira , Santosa Farah Heniati , Negara Habibi Ratu Perwira
Published: June 2023

Menjamin minar belajar agar tetap baik selama mas pandemic menjadi hal penting untuk dilakukan.  Tujuan penelitian ini untuk meningkatkan minat belajar matematika siswa dengan menggunakan metode scince edutaiment. Tahapan dalam melaksanakan kegiatan berupa: Observasi, wawancara, mengidentifikasi masalah, mencari solusi, sosialisasi, dan melaksanakan kegiatan pembelajaran dengan metode scince edutaiment. Hasil kegiatan menunjukkan minat belajar matematika siswa pada masa pandemic dengan memberikan bimbingan belajar menggunakan metode scince edutaiment meningkat 45% dari yang sebelumnya.
Human resource accounting and organizational productivity of listed manufacturing firms in Nigeria
Authors: Ogundajo Grace Oyeyemi , Nwaobia Appolos N , Uhuaba Okezie , Phillips Rhoda Temitope
Published: June 2023

In many developing economies, studies have shown that meeting organizational productivity seems complex and characterized with several factors affecting the productive inputs, due to infrastructural deficits and extent of employees’ motivations capable of impeding productivity. Beyond these, adequate human resource accounting has been identified as a possible solution. However, the extent to which human resource accounting could impact on organizational productivity remains uncertain. Consequently, this study investigated the effect of human resource accounting on organizational productivity of listed manufacturing companies in Nigeria. An ex-post facto research design was employed, while from a population of 66, the study selected 20 manufacturing companies listed in Nigeria as of 31 December 2021, using purposive sampling technique. Data were extracted from the financial statements of the selected companies for a period of 15 years spanning from 2007 to 2021. Using panel data analysis, the study found that human resource accounting had a positive significant effect on organizational productivity of the listed manufacturing companies in Nigeria. Based on the results, the study recommended that managers should consider appropriate incentives capable of improving employees’ productivity and adopt adequate human resource accounting models to enhance organizational productivity.
Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients
Authors: Oh Back Min , Seok Hyun , Kim Sang-Hyun , Lee Seung Yeol , Park Su Jung , Kim Beom Jin , Kim Hyun Jung
Published: June 2023

Objective To determine correlations of alternation motor rate (AMR), sequential motor rate (SMR), and maximum phonation time (MPT) with the severity of dysphagia in subacute stroke patients.Methods This was a retrospective chart review study. Data of 171 subacute stroke patients were analyzed. Patient’s AMR, SMR, and MPT data were collected from their language evaluations. Video fluoroscopic swallowing study (VFSS) was done. Data of dysphagia scales including penetration-aspiration scale (PAS), American Speech-Language-Hearing Association National Outcomes Measurement System (ASHA-NOMS) scale, clinical dysphagia scale (CDS), and videofluoroscopic dysphagia scale (VDS) were obtained. AMR, SMR, and MPT were compared between a non-aspirator group and an aspirator group. Correlations of AMR, SMR, and MPT with dysphagia scales were analyzed.Results AMR ("ka"), SMR, and modified Rankin Scale were significant associated factors between non-aspirator group and aspirator group, while AMR ("pa"), AMR ("ta"), and MPT were not. AMR, SMR, and MPT showed significant correlations with PAS score, ASHA-NOMS scale, CDS, VDS oral, and VDS pharyngeal scores. The cut-off value for distinguishing non-aspirator group and aspiration group was 18.5 for AMR ("ka") (sensitivity of 74.4%, specificity of 70.8%) and 7.5 for SMR (sensitivity of 89.9%, specificity of 61.0%). AMR and SMR were significantly lower in before-swallow aspiration group.Conclusion Articulatory diadochokinetic tasks that can be easily performed at the bedside would be particularly helpful in determining the oral feeding possibility of subacute stroke patients who cannot undergo VFSS, which is the gold standard for dysphagia assessment.
Analysis of COVID-19 Database for Defining the Most Important Symptoms
Authors: Salih Mohanad A. , Hamad Murtadha M. , Jasim Wesam M.
Published: June 2023

In Wuhan, China, COVID-19 was found at the end of 2019. The virus quickly spread to every country in the world. In order to offer enough treatment at the appropriate time, implementing detection strategies for patient status (Negative, Positive) is one of the top issues for managers and decision-makers in modern hospitals of all sorts.. Enhancing the standard of medical treatment may help to stop a COVID-19 pandemic. A summary of the health care provided to comparable individuals may be obtained by grouping patients with similar characteristics and symptoms. In most cases, algorithms are employed in medical machine learning. This article creates an electronic questionnaire. It covers every nation in the world and is promoted online utilizing Twitter and other networking sites. In the course of getting ready to prepare COVID-19 data, the raw COVID-19 data including non-applicable occurrences is handled after the feedback interpretation and analysis process is complete, after the questionnaires were distributed, and after all the findings have been collated. The patient state is predicted using these traits and symptoms, either positively or negatively.
Barrier Performance of Spray Coated Cellulose Nanofiber–Montmorillonite (MMT) Composites
Authors: Shanmugam Kirubanandan
Published: June 2023

Cellulose nanofibers are one of the most promising nanomaterials for developing high-performance paper-based packaging. This nanomaterial has renewable, recyclable, biodegradable and eco-friendly substrates in nature. While cellulose nanofiber layers have very lowest oxygen permeability when comparing with synthetic plastics, their water vapour permeability is significantly higher than that of conventional packaging plastics, such as Low-Density Poly-ethylene (LDPE). Water vapour permeability has been decreased by forming composites of cellulose nanofibers and inorganic nanoparticles, such as Montmorillonite (MMT) clay. However, the addition of the nanoparticles further reduces the already poor drainage when layers are formed through vacuum filtration. The method for spray-coating a cellulose nanofiber-montmorillonite layer is developed to produce composite. It improves both the ease of preparation and reduces the water vapour permeability. The effect of high-pressure homogenization treatment to the suspension before composite preparation on the barrier performance is also investigated. The permeability could be reduced below that achieved with vacuum filtration by adding up to 20 wt. % Montmorillonite and dispersing Montmorillonite with two passes in a high-pressure homogeniser. With Montmorillonite addition above 20 wt. %, the water vapour permeability started to increase due to aggregation of the Montmorillonite. At the optimal addition level, the best performance achieved with spraying was a water vapour permeability of 8.3 x 10-12 g/m.s.pa. The air permeability of composite is evaluated to be less than 0.003 μm/Pa.s. This value confirms an impermeable composite for packaging applications. Considering the barrier performance, spray coated nanocomposites can perform as an effective barrier material and a potential alternative to synthetic plastics.
Netiquette of Online Communication of the Bachelor of Elementary Education Students in UM Panabo College
Authors: Ponte Apple L. , Balaquinto Quimberly M. , Gaerlan Danica Mae B. , Tacadena Jeanilyn E.
Published: June 2023

This study sought to determine the extent of netiquette practices demonstrated by students in the Elementary Education program of UM Panabo College. Furthermore, the study also sought to establish if there is a significant difference in the extent of online communication netiquette if analyzed by student classification (freshmen, sophomore, junior and senior). The main variable of the study was the netiquette of online communication. The researchers used the quantitative-descriptive design in determining the extent of netiquette practices. The statistical treatment employed in the study were mean and ANOVA. Results show that the f-value is 2.84 and the p-value of 0.04 of which is less than 0.05. The result implies that the null hypothesis is rejected. Therefore, there is significant difference in the extent of online communication netiquette for students in the Elementary Education program of UM Panabo College if analyzed by student classification.
Batang Ama: The Untold Stories of Single Teenage Fathers
Authors: Sarah Cariño
Published: June 2023

This research tries to establish a significant value in the lived experiences of single teenage fathers. Researchers used Interpretative Phenomenological Analysis (IPA) as the lens to understand the lived experiences of single teenage fathers. Using data from individual interviews, data analysis produced a synthesis of five individual cases. According to France’s (2009) with the use of individual interviews, it is a valuable method of gaining insight into people's perceptions, understandings and experiences of a given phenomenon and can contribute to in-depth data collection. Overall results showed superordinate themes centering on single teenage fathers’ (1) Experiences as a teenage father, (2) Peer Adjustment, (3) Acceptance, and (4) Insights gained from experiences. Theoretical and practical reflections of lived experiences stated in the context are discussed. A call for a phenomenologically guided approach is needed for understanding the behavior and mental needs for single teenage fathers.
Implementasi Progressive Web App Menggunakan CodeIgniter Pada Sistem Penjualan Toko Aneka Snack
Authors: Hasim Dheo Septavian , Kosasi Sandy , Ayu Y I Dewa , David David , Kuway Susanti M
Published: June 2023

Toko Aneka Snack memiliki kebutuhan untuk dapat meningkatkan penjualan dan menjangkau konsumen lebih luas, serta mempermudah pelanggan untuk melakukan pembelian barang tanpa harus datang langsung ke lokasi toko. Riset ini bertujuan buat menciptakan suatu web penjualan online menggunakan fitur Progressive Web App yang bisa diakses oleh bermacam device ataupun platform dengan loading time yang cepat, bisa membagikan notifikasi supaya konsumen bisa mengenali data terkini tentang Toko Aneka Snack. Penelitian ini berbentuk studi kasus serta metode penelitian yang digunakan merupakan metode User Experience, dimana metode pengumpulan informasi yang digunakan antara lain observasi, wawancara, serta studi kasus permasalahan guna mendapatkan teori- teori yang berkaitan dengan penelitian seperti perancangan aplikasi. Perancangan aplikasi menggunakan metode extreme programming. Penelitian ini menghasilkan adalah sistem penjualan online dengan menerapkan Progressive Web App yang bisa diakses tanpa butuh mengetik alamat url, serta service worker yang sanggup mengatasi request pada saat jaringan tidak ada walaupun eksekusi waktu yang diperlukan dalam mengakses aplikasi lebih lama dikarenakan pemasangan service worker, tetapi aplikasi yang diakses lebih cepat ketika dalam kondisi offline sebab informasi dimuat dalam cache service worker.
Suara Perlawanan: Bagaimana Mahasiswa Menggunakan Pembangkangan Sipil pada Unjuk Rasa Tolak Kenaikan BBM di Indonesia
Authors: Yusuf Raidah Intizar , Hamdi Andini , Fitriana Rahmah
Published: June 2023

This research aims to analyze the forms of disobedience that occurred in protests against increased fuel prices in September 2022. The study uses qualitative methods such as interviews, news analysis, and literature review to understand how civil disobedience was used by students as a form of political activism. Findings show that the students employed tactics such as road blockades, gas station boycotts, and tanker/truck takeovers as forms of disobedience. These actions align with the principles of prudence, communication, publicity, and non-violence in the theory of civil disobedience. The study concludes that despite the use of civil disobedience, the protests did not lead to policy reform and highlights the need for strong leadership, support, and determination for success in a protest.
The Principal's Business In Improving the Quality of Islamic Education (Case Study at SDIT AZ Jambi City)
Authors: Arsul Ariza , Johanna Anne , Congzhao Huang
Published: June 2023

Efforts of Principals in Improving the Quality of Islamic Education at SDIT AZ Jambi. The background of this study is that Islamic educational institutions, especially schools, still experience obstacles in improving the quality of education. This can be seen from various aspects ranging from curriculum objectives, educational personnel, learning methodologies, infrastructure facilities, and evaluation, as a whole still contains problems that until now have not been completely solved. Therefore, in improving the quality of Islamic education in schools, strong leadership from the principal is needed. The purpose of this study is to evaluate: 1) the efforts of principals in improving teacher professionalism, 2) the efforts of principals in improving the quality of educational infrastructure, 3) the efforts of principals in improving the quality of learning processes, and 4) the efforts of principals in improving student achievement at SDIT AZ Jambi. This research uses descriptive- qualitative methods and approaches by using three research instruments, namely interviews, observations, and documentation studies. The results show that: 1) SDIT AZ Jambi has experienced a good improvement in quality. Under the leadership of a reliable principal, SDIT AZ Jambi can now become one of the Islamic educational institutions that are at the forefront and able to produce high -performing outputs. 2) The efforts of principals in improving the quality of education, namely: a) improving the professionalism of teachers by creating rules for teachers, placing teachers according to their abilities, giving trust and motivation, conducting coaching. b) improve the quality of infrastructure facilities through the improvement of infrastructure facilities, cooperate with other institutions/agencies in the procurement of infrastructure facilities. c) improve the quality of the learning process by developing an Islamic educational model, improving learning methods, managing the quality of the curriculum. d) improve student achievement by holding consolidation activities, additional lessons, cooperation with learning guidance institutions, guiding teachers to create effective learning, creating a disciplined school culture, providing various extracurriculars, sending students in various competitions.
Social support by communities for older adults in Malaysia
Authors: Marzuki Abdul Aziz , Nor Nik Norliati Fitri Md , Rashid Siti Masayu Rosliah Abdul , Ghazali Suriati
Published: June 2023

Purpose: Positive developments in the socioeconomic field have led to a reduction in mortality and fertility rates and an increase in the lifespan of individuals. This has reduced the young population and increased the old population.  Senior citizens are being neglected, and loneliness is getting worse every day because of these circumstances. Therefore, in order to address the problem, there is a pressing urgency to identify how to provide support to older adults so that they can continue their daily lives easily without any problems or obstacles that can limit their activities. Social support refers to support in terms of emotions, friends, information, care, and management.

Design/Methodology/Approach:  A total of 397 questionnaire forms were distributed by purposive sampling to older adults aged 60 years and above in the Perak state and analyzed using descriptive statistical tests to obtain frequency, mean, and percentages for Social Science (SPSS) software.

Findings: The results of the study showed that the older adults majorly agreed with the form of social support which was provided by the community. However, based on the social support, older adults are more likely to feel accompanied by neighbours, friends, or individuals. The study discovered that older persons prefer to be to be actively involved in the society, since this also enables them to deal with severe difficulties, circumstances, and fears. This preference is demonstrated by the total degree of social assistance provided and the daily activities of the older adults. 

Conclusion: The availability of social support indirectly contributes to the well-being of older adults by addressing the neglect and loneliness they may face, enabling them to maintain active and fulfilling lives. It promotes active aging by fostering social connections, enhancing mental and emotional health, and empowering older individuals to participate fully in society.

Contribution to Literature Review: Social support, encompassing community support, emotional support, peer support, and information support, contributes significantly to the well-being of older adults. These forms of support help address the issues of neglect and loneliness faced by older adults, enabling them to actively age and lead fulfilling lives. The literature highlights the importance of social support systems in promoting the well-being of older adults and emphasizes the need for comprehensive support from various parties to meet the growing needs of the aging population. The literature on social support for older adults has important policy implications for promoting their well-being and addressing the challenges they face such as strengthening community support systems and encouraging peer support programs.
SUCESS OF EXCLUSIVE BREASTFEEDING AT THE 30TH DAY OF CORRECTED AGE PRETERM INFANTS UNDER KANGOROO CARE
Authors: De Lins e Silva Paula Barros , Cruz Laura Luísa de Carvalho , Maia Claudia Rodrigues Souza , Camargo Juliana Dantas de Araújo Santos , Chaves Geísa Andrea de Menezes
Published: June 2023

Objective: Breastfeeding is associated with multiple benefits for preterm infants. Kangaroo care is a strategy geared towards making the aforementioned practice successful. This study examined the rate of exclusive breastfeeding (EBF) at the 30th day of corrected gestational age (CGA) appointment and the maternal and neonatal factors associated with this outcome in preterm infants assisted by kangaroo care. Methods: A cross-sectional study was conducted on very low birth weight (below 1500g) newborns and/or those with gestational age below 33 weeks, born from January 2019 to February 2020 and monitored in the outpatient follow-up. For EBF yes (G1) or no (G2), bivariate and multivariate analyses were performed. Results: 87 (100%) patients attended the 30th day of CGA appointment, 43 (49.4%) on EBF, 30 (34.5%) on breastfeeding and 14 (16.1%) on formula only. The median gestational age and birth weight were 31 weeks (29-32) and 1370g (1190-1670), respectively, and 51 (58.6%) patients were female. There was no difference in the bivariate analysis of maternal age, preeclampsia, route of delivery, antenatal corticosteroid use, birth weight, neonatal morbidities, length of hospitalization, chronological age, and anthropometry at the 30th day of CGA between the G1 and G2 groups. In multivariate analysis, gestational age above 30 weeks (RC3.11/p=0.034) and breastfeeding duration above 30 minutes (RC3.77/p=0.013) were determinants of EBF. Conclusion: Successful breastfeeding rates were observed in 2020 in this at-risk population, especially compared to previous years' results from this and other institutions. The newborn's longer breastfeeding time, one of the strategies of kangaroo care, was shown to be a protective factor for the maintenance of EBF in this outpatient follow-up, and special attention should be given to those born under 30 weeks, who showed a higher risk of weaning.
MASTITE GRANULOMATOSA CRÔNICA: AVALIAÇÃO CLÍNICA, MÉTODOS DE INVESTIGAÇÃO DIAGNÓSTICA E DESFECHOS TERAPÊUTICOS
Authors: Furtado Josmara Ximenes Andrade , Medeiros Francisco das Chagas , Andrade Jesusmar Ximenes , Pires Neto Roberto da Justa , Eleutério Junior José
Published: June 2023

Mastite granulomatosa (MG) é uma condição inflamatória crônica de difícil diagnóstico e tratamento. OBJETIVOS: Identificar etiologia e desfechos terapêuticos da tuberculose mamária (TM) e MG idiopática (MGI). METODOLOGIA: Estudo retrospectivo com 76 mulheres (55 TM e 21 MGI), entre 2007 e 2017, baseado em achados clínicos, histológicos, laboratoriais (Ziehl Neelsen [ZN], cultura e PCR) e terapêuticos. As variáveis foram analisadas pelo teste qui-quadrado, exato de Fisher, t de Student e o Kappa a concordância entre diagnóstico presuntivo e definitivo de TM e MGI. RESULTADOS: Não significância estatística entre variáveis clínicas no diagnóstico de TM/MGI; associação positiva encontrada na evidência de células gigantes multinucleadas de Langhans à histologia. Sensibilidade da cultura para identificar o bacilo da tuberculose foi 10%, ZN em aspirado mamário 7,1% e 3,3% no ZN à histologia. O diagnóstico baseado na presunção (sem evidência do bacilo) apresentou concordância de 98,1% e coeficiente de Kappa 0,95; falha terapêutica em 10 (18,1%) casos de TM e 9 (42,8%) de MGI. CONCLUSÃO: O diagnóstico de TM e MGI baseado na presunção foi considerado ótimo e confiável pelo teste de concordância. A sensibilidade dos métodos microbiológicos foi baixa, mas necessários na definição etiológica e redução da falha terapêutica.
UMA ANÁLISE COMPARATIVA ENTRE OS MODELOS DE MATURIDADE DE PROCESSOS DE SOFTWARE MPS-BR E CMMI: DESCOBRINDO AS DIFERENÇAS E SEMELHANÇAS
Authors: Carr Caroline Nunes , Carr Renato Ferreira , Do Nascimento Caio Martins , Mendes Gleisson Amaral , Da Silva Ismael Henrique Miranda , Magalhães Alefe Filipe Biondes , Santos Armando José de Sá
Published: June 2023

Este artigo apresenta uma comparação dos modelos de maturidade MPS-BR (Melhoria de Processo de Software Brasileiro) e CMMI (Capability Maturity Model Integration). O objetivo geral foi comparar os processos de maturidades dos modelos, bem como veriﬁcar as suas vantagens e desvantagens entre os referidos modelos. Para chegar nos resultados utilizamos a metodologia de abordagem qualitativa, aplicando técnicas de revisão bibliográﬁca e triangulação de dados. Como resultado, foi possível notar que o modelo MPS-BR possui algumas vantagens em relação ao modelo CMMI ao ser empregado em empresas de pequeno e médio porte.
FEIRANTES NA PANDEMIA: FORMAS DE RESISTÊNCIA E PERCEPÇÃO DA CRISE ECONÔMICA
Authors: Campos Neto Armindo de Arruda , Araújo Gabriel Gonçalves Rodrigues , Montanha Henriett Marques , Rodrigues Alice Gonçalves de Campos , Da Silva Rita Santana Ramos
Published: June 2023

A pandemia da covid-19 acarretou séria crise econômica mundial, principalmente para classes mais vulneráveis como os profissionais liberais. Diante disso, este estudo teve como objetivo identificar o atual perfil sociodemográfico de feirantes, suas buscas de apoio socioeconômico e de recolocação profissional e suas atribuições às causas pela crise. Para isso, foi enviado um questionário diagnóstico em um grupo do WhatsApp de feirantes em Cuiabá, Mato Grosso, obtendo uma amostra de 44 voluntários com 55,1% de mulheres, maioria entre 51 a 60 anos (32,6%), alta religiosidade (72,7%) e com 31,8% de participantes já contaminados pelo coronavírus. A pandemia aumentou o número de feirantes com menos de um salário mínimo (de 2,2% para 24,40%) e surgiram também pessoas sem rendas (6,8%). A família foi o maior aporte afetivo e econômico e a internet o recurso mais utilizado para retomar as atividades ou buscar novo emprego. A chegada da pandemia foi a mais citada como responsável pela crise (47%), seguida pela ineficiência política (35,3%), retração econômica mundial (33,3%) e pelo próprio comodismo e falta de persistência (6,81%). Estes resultados sugerem uma vulnerabilidade socioeconômica dos feirantes durante a pandemia da covid-19.
A QUESTÃO DA MULHER NA VISÃO TOMISTA
Authors: Rolim Thatyanna Lima , Lima Thalyta de Paula Pereira
Published: June 2023

O presente artigo tem como finalidade discutir algumas das ideias medievais sobre a sujeição da mulher, particularmente aquelas encontradas na Suma Teológica, obra de Tomás de Aquino. Trata-se de fazer algumas considerações sobre as influências e consequências destes escritos para a desvalorização intelectual da mulher, sujeita ao domínio masculino. Assim, o objetivo central do artigo é mostrar que a propagação destes pensamentos contribuiu para o fortalecimento do patriarcado e relegou a mulher a uma condição supostamente menos digna; gerando nela a necessidade de lutar por reconhecimento intelectual e para ter seu lugar na sociedade.
SEDIMENTARY DEPOSITION OF METALS IN SEDIMENTS FROM ILHA GRANDE BAY, RJ (BRAZIL)
Authors: Da Cunha Tatiana Santos , Matta Patrícia dos Santos , Gurova Tetyana , Macêdo Maria Iaponeide Fernandes
Published: June 2023

The industrial development of coastal regions in recent decades and the lack of studies of these systems have led to the need to develop studies on metal contamination that distinguish impacted areas from conserved areas and which can be used to evaluate contamination processes through the study of historical records of deposited material. In the present study, geochemical sedimentary analysis predicts the evolution of the entry and behavior of metals in the Enseada do Abrão in Ilha Grande Bay. Sedimentary evidence was collected to assess concentrations of metals and organic matter and to correlate them with factors possibly controlling their deposition, identifying their respective sources. Furthermore, through 210Pb dating, the deposition of both metals and organic matter in recent decades can be monitored. To this end, analyses of basic compounds (total organic carbon and total nitrogen) and metals (Al, Ba, Cd, Cr, Cu, Fe, Mn, Ni, Pb, V and Zn) were performed. The data obtained were normalized using Al as the reference element, and average values for shale were used as a baseline for enrichment factors and to calculate the geoaccumulation index. It was possible to estimate sedimentation rates and metal fluxes through 210Pb dating. It could be observed that despite increasing development the analyzed sediments did not have increased concentrations of metals. Furthermore, the concentrations of the elements studied were found to be below the values ​​found in affected areas. Al did not show correlations with other metals, and the enrichment factor did not show increased concentrations of metals in the most recent layers, nor were there many values ​​that would suggest enrichment originating from anthropogenic contribution throughout the studied profile. Based on the values ​​of IGeo, it can be observed that the metals present are within their baseline levels and do not exhibit a significant anthropogenic contribution. The metal fluxes did not show increasing values. These evaluations suggest the absence of contamination in the studied area, and the area can thus still be considered to be one not impacted by metals of anthropogenic origin. This discovered record is useful as a basis for monitoring activities that have expanded in recent decades.
Comments on Kämmerer, et al. (2023) regarding RT-PCR Testing
Authors: Franchi Fabio , Tomsic Jerneja
Published: June 2023

Kämmerer et al., (2023) reviewed the trustworthiness of Reverse Transcription – Polymerase Chain Reaction (RT-PCR) and sought to solve the serious problems that remain challenging its use and the significance of its application for the diagnosis of COVID-19 infections. They proposed certain modifications which they argued will enable more precise and trustworthy diagnostic results. However, this paper has a clear focus on the technical aspect of RT-PCR, which is only one piece of the COVID-19 puzzle, while there are other equally important pieces still missing. In order to establish what could correctly be judged as a true positive diagnosis, one sharply distinct from a false positive diagnosis, it is necessary to consider additional details. We believe their recommendations amount only to a partial solution to the deeper problems their work implicates. We propose to look at the larger perspective: to start from the very beginning, that is the definition of COVID-19 disease.
XONOBODDA DAVOLASH-SOG‘LOMLASHTIRISH VA REKREATSION TURIZMNING SHAKLLANISHI VA RIVOJLANISHI TARIXIGA DOIR MULOHAZALAR
Authors: Madaxanov Akmal , Madaxanov Akbarjan , Xalilov Izzatillo
Published: June 2023

Maqolada O‘zbekiston Respublikasining eng olis xududida  joy-lashgan – Xonobodda davolash-sog‘lomlashtiruvchi va rekreatsion turizmning shakllanishi va rivojlanishida shahar va uning yaqin atrofida mavjud bo‘lgan  tabiiy shifobaxsh omillar muhim rol o‘ynaganligiga doir ma’lumotlar keltiriladi. O‘zlarining ona shahriga bo‘lgan mehri, aql zakovati bilan, bu еrda betakror sog‘lomlashtirish majmuasini  yaratayotgan insonlarning fidokarona mehnatlari haqida tarixiy ma’lumotlar bayon etilgan.
NEVROLOGIK SINDROMLAR VA ASAB TIZIMINING KASALLIKLARI TARQALISHI
Authors: Babadjanova Zamira
Published: June 2023

Asab tizimining kasalliklari o‘lim holati bo‘yicha yurakning ishemik kasalligidan keyin ikkinchi o‘rinni egallagan holda, 127,2 mln kishida, ya’ni Yevropa aholisining 25,8% ida uchraydi. Jahon sog‘liqni saqlash tashkilotining ma’lumotlariga ko‘ra «...nevrologik xastaliklar-serebrovaskulyar kasalliklar, tarqalgan skleroz, epilepsiyalar, periferik asab tizimining kasalliklari va Parkinson kasalliklari sonining doimiy o‘sishi kuzatilmoqda». Birlamchi tibbiy bo‘g‘inda tibbiy yordamni, ayniqsa aholiga oilaviy shifokorlarning nevrologik yordam ko‘rsatishini optimallashtirish bilan bog‘liq ko‘plab masalalar dolzarbligi muhim ahamiyat kasb etadi.
КЕТОНОМИЧЕСКИЙ СИНДРОМ И ЕГО БАЛЬНАЯ ОЦЕНКА ПОСЛЕ БАРИАТРИЧЕСКОЙ ОПЕРАЦИИ
Authors: Сұлтанов Қ.У. , Оспанов О.Б. , Рысбеков M.M.
Published: June 2023

Ранний послеоперационный период после хирургического бариатрического вмешательства, подобно тяжелому течению диабета 2 типа, сопровождается резким снижением запасов гликогена в печени о образованию кетонов.

При резком снижении массы тела за счет липолиза значительно увеличивается содержание жирных кислот в плазме, соответственно увеличивается их воздействие на печень [1]. Это приводит к увеличению синтеза триглицеридов, а также к дальнейшему окислению жирных кислот с образованием кетонов. В результате концентрация кетонов может значительно возрасти. Патологическая кетонемия (ацетонемия) значительно возрастает при дальнейшем нарушении баланса, когда скорость синтеза кетоновых тел превышает скорость их утилизации периферическими тканями организма [2].

Мы описали это осложнение как «послеоперационный бариатрический ацетонемический синдром» (ПБАС) с клиническими и лабораторными данными.
ОПЫТ ЛЕЧЕНИЕ КОЛОРЕКТАЛЬНОГО РАКА В ЗОНЕ ПРИАРАЛЬЯ
Authors: Ходжиев Д.Ш. , Палванов Т.М. , Худайбергенов Ш.А. , Султанзада Н.Д.
Published: June 2023

В структуре онкологической заболеваемости колоректальный рак в мире занимает четвертое место, а удельный вес в общей структуре заболеваемости составляет от 2 до 10%. Ежегодно в мире регистрируется около 600 000 вновь заболевших. Несмотря на то, что рак ободочной и прямой кишки имеет многочисленные симптомы, до 80 % больных поступают в клинику с III и IV стадиями заболевания, а у каждого третьего больного из числа оперированных диагностируют отдаленные метастазы, преимущественно в печень (80%) и реже в другие органы (легкие, яичники, кости и головной мозг).
Sal die Suid-Afrikaanse konstitusionele demokrasie die huidige krisis wat die bestel in die gesig staar oorleef?
Authors:   Noordwes-Universiteit, Duvenhage André
Published: June 2023

Die belangrike vraag in hierdie ondersoek is of die regstaat (ook genoem konstitusionele demokrasie) in Suid-Afrika 28 jaar na die totstandkoming van die nuwe bedeling besig is om te misluk. Die hipotetiese vertrekpunt van hierdie navorsing is dat die regstaat suksesvol kan wees slegs indien die samehangende groter staat- en owerheidstrukture effektief en funksioneel is, die omgewing veilig en stabiel gemaak kan word vir die burgery, en die ekonomiese en sosiale toestande binne die samelewing hierdie owerheidsvorm, oftewel die regstaat, ondersteun. Die ondersoek bevind dat omstandighede binne die Suid-Afrikaanse politiek, ekonomie en samelewing nie bevorderlik is vir die bestendiging van demokratiese waardes nie, en dat ’n moeilike scenario in hierdie verband voor die deur staan. Trouens, getuienis wat gebied word dui daarop dat die regstaat en konstitusionalisme voor ernstige uitdagings te staan gekom het, wat risiko’s vir die voortbestaan daarvan inhou.
Poisson Stable Motions and Global Attractors of Symmetric Monotone Nonautonomous Dynamical Systems
Authors: Cheban David
Published: June 2023

This paper is dedicated to the study of the problem of existence of Poisson stable (Bohr/Levitan almost periodic, almost automorphic, almost recurrent, recurrent, pseudo-periodic, pseudo-recurrent and Poisson stable) motions of symmetric monotone non-autonomous dynamical systems (NDS). It is proved that every precompact motion of such system is asymptotically Poisson stable. We give also the description of the structure of compact global attractor for monotone NDS with symmetry. We establish the main results in the framework of general non-autonomous (cocycle) dynamical systems. We apply our general results to the study of the problem of existence of different classes of Poisson stable solutions and global attractors for a chemical reaction network and nonautonomous translation-invariant difference equations.
Use of a Ketogenic Diet in the Successful Management of a Dog With Refractory Epilepsy
Authors: Brewer David
Published: June 2023

Epilepsy is one of the most common neurological conditions seen in dogs. Idiopathic or primary epilepsy is diagnosed whenever an alternate structural, inflammatory, or metabolic cause cannot be confirmed. About 30% of dogs with idiopathic epilepsy will become refractory to standard treatments and still sustain a considerable incidence of seizures. Dietary changes have been investigated as aids in the treatment of seizures; however, using a ketogenic diet as a means of metabolic therapy has been minimally investigated in dogs. This report describes the successful use of a ketogenic diet in the management of epilepsy in a dog.
Nourishing Earth, Nourishing Ourselves. Part 1: Linking Plant Diversity With the Health of Livestock and Humans
Authors: Provenza Frederick
Published: June 2023

The foods we eat reveal the nature of our relationships with the places where we live. In this first of 3 papers, I highlight how the “taste of a place,” or terroir, enables animals to meet their needs for nutrients and self-medicate by learning to eat nourishing combinations of foods in utero and early in life and by metabolically mediated flavor-feedback associations that alter food preferences as needs arise. When domestic herbivores learn to forage in landscapes with diverse mixtures of plant species, phytochemically rich diets bolster their health and protect them from diseases through anti-microbial, antiparasitic, anti-inflammatory, and immune-boosting properties. Human benefits accrue as livestock assimilate some phytochemicals and convert others into metabolites that enhance the flavors of meat and dairy and promote human health. During the past century, to our detriment, the flavors of meat, dairy, and produce became bland, while ultra-processed foods became irresistible as farmers and ranchers emphasized yield and transportability over taste and phytochemical and biochemical richness. At the same time, the food industry learned how to produce ultra-processed “foods” that hijack preferences. They do so by linking artificial flavors with metabolically mediated feedback from cells and organs in response to refined carbohydrates and sugars that, together with artificial flavors, obscure nutritional uniformity and undermine health. Fossil fuel-based food production has come at great costs ecologically, economically, and socially. With the uncertain availability and prices of fossil fuels a concern and the transition to clean energy a necessity, we have an opportunity to grow nutrient-rich foods in ways that nurture our relationship with life on Earth. Veterinarians can help people realize fossil fuels and climate change are part of an interwoven complex of food- and environment-related sustainability challenges that affect health and welfare. As voices for One Health, we must all come to value the role of plant diversity in creating homes, grocery stores, and pharmacies for all life below and above ground, while fixing carbon and reducing methane, thus helping to abate warming climates.
FORMULASI DAN UJI STABILITAS FISIK EMULGEL TABIR SURYA EKSTRAK ETANOL KULIT BUAH JERUK NIPIS (Citrus aurantifolia) MENGGUNAKAN VARIASI NILAI HLB EMULGATOR
Authors: Widiastuti Rina
Published: June 2023

Kulit buah jeruk nipis (Citrus aurantifolia) memiliki kandungan senyawa flavonoid dan vitamin C yang dapat digunakan sebagai penangkal radikal bebas, sehingga berpotensi untuk diformulasikan menjadi sediaan tabir surya dalam bentuk sediaan emulgel. Emulgel terdiri dari dua sistem yaitu sistem gel dan sistem emulsi. Stabilitas fisik emulgel dipengaruhi oleh emulgator.

Penelitian ini bertujuan untuk mengetahui pengaruh variasi nilai HLB emulgator tween 80 dan span 80 terhadap stabilitas fisik emulgel. Oleh karena itu. dalam penelitian ini digunakan variasi nilai HLB emulgator tween 80 dan span 80 dengan perbandingan yaitu F1: HLB 10 (2,7 : 2,3); F2: HLB 11 (3,1 : 1,9); dan F3: HLB 12 (3,6 : 1,4). Uji stabilitas fisik emulgel dilakukan dalam dua kondisi yaitu sebelum dan sesudah penyimpanan dipercepat dengan metode freeze thaw selama 5 siklus meliputi organoleptis, homogenitas, tipe emulsi, pH, daya lekat, dan daya sebar. Data diuji statistik pada tingkat kepekaan 95% menggunakan uji One Way Anova.

Berdasarkan hasil tersebut menunjukkan bahwa variasi nilai HLB emulgator tween 80 dan span 80 berpengaruh terhadap nilai daya sebar dan daya lekat dengan p-value 0,000 < 0,05. Berdasarkan analisis deskriptif menunjukkan bahwa semua formula tercampur homogen, memiliki tipe emulsi m/a dan pH 6. Pada nilai HLB 12 emulgator Tween 80 dan Span 80 (3,6 : 1,4) yang memberikan stabilitas fisik yang lebih baik, yaitu dengan tekstur yang tidak terlalu lengket saat diaplikasikan, terasa dingin dikulit, dan memiliki daya sebar yang paling luas.
EVALUATION EVALUASI APLIKASI PENDAFTARAN DAN KONSULTASI ONLINE NIMA MEDICAL AND REHABILITATION CENTER BERBASIS ANDROID MENGGUNAKAN SYSTEM USABILITY SCALE (SUS)
Authors: Fitriana Syarah Mazaya
Published: June 2023

Perkembangan teknologi informasi dan komunikasi telah merambah sampai bidang rekam medis, sehingga saat ini sudah mulai banyak fasilitas pelayanan kesehatan yang memanfaatkan TIK tersebut untuk merubah rekam medis manual/kertas menjadi rekam medis elektronik. Pandemi Covid-19 membawa tren baru dalam dunia kesehatan. Pembatasan sosial dalam skala besar guna menekan penularan virus berbahaya ini, telah mengubah perilaku pasien yang semula banyak melakukan pemeriksaan secara langsung menjadi pemeriksaan berbasis elektronik. Untuk mengukur kepuasan dan kemudahan pengguna aplikasi Nima Medical and Rehabilitation Center, aplikasi perlu dilakukan evaluasi dilihat dari kemudahan untuk dipelajari, kemudahan untuk digunakan, kepuasan dan efisiensi dengan menggunakan kuesioner. Metode yang digunakan dalam pengukuran kepuasan yaitu system usability scale. Hasil dari penilaian metode system usability scale pada aplikasi pendaftaran dan konsultasi online NIMA Medical And Rehabilitation Center ini mendapatkan sor 83 yang berarti aplikasi ini dinyatakan Acceptable, Tingkat grade scale masuk dalam kategori B, Adjective rating masuk dalam kategori excellent. Pada penilaian SUS Score Percentile Rank berada pada grade A sehingga aplikasi ini dapat digunakan dengan mudah oleh pengguna untuk untuk mendapatkan pelayanan konsultasi berbasis elektronik dan pendaftaran secara online
Perancangan dan Evaluasi Aplikasi Sistem Informasi Registrasi Online (SIREGOL) Berbasis Website Menggunakan System Usability Scale (SUS)
Authors: Yuli Fitriyah
Published: June 2023

Fasilitas pelayanan kesehatan adalah suatu alat atau tempat yang digunakan untuk menyelenggarakan upaya pelayanan kesehatan baik promotive, preventif, kuratif dan rehabilitative yang pelayanannya dilakukan oleh pemerintah atau masyarakat. Pandemic COVID-19 masyarakat takut mengunjungi rumah sakit karena mereka menilai bahwa rumah sakit memiliki potensi penyebaran virus corona. Sebagai dampak dari kondisi ini, masyarakat akan lebih memilih untuk mengurangi interaksi dengan fasilitas pelayanan kesehatan. salah satu alur pasien yang memungkinkan terjadinya interaksi antara pasien yang satu dengan pasien yang lainnya adalah di bagian pendaftaran. Untuk itulah agar masyarakat tetap dapat menggunakan fasilitas kesehatan namun tetap terjaga untuk tidak terjadi penularan, salah satu upaya yang dapat dilakukan adalah memangkas bottle neck di bagian pendaftaran yaitu membuat aplikasi registrasi online. Dengan registrasi online, pasien dapat melakukan pendaftaran dan dapat memantau antrian pemeriksaan dari rumah sehingga dapat menuju ke rumah sakit tanpa menunggu terlalu lama.