bluuebunny/crossref_metadata_2025 huggingface dataset:
Calidad microbiológica de queso costeño artesanal expendidos en la comuna cuatro de Valledupar-Colombia
Authors: Prada Herrera Juan Carlos , Vizcaíno Bermejo Margarita Rosa , Bolaños Contreras Carla Cecilia , Jiménez Ochoa Tatiana , García Cindy
Published: April 2023

Las enfermedades de transmisión alimentaria constituyen un problema de salud pública creciente en todo el mundo. Los principales agentes causantes de enfermedades transmitidas por alimentos (ETAS) en Colombia son Salmonella spp., Listeria monocytogenes, Escherichia coli, Aeromonas spp., Vibrio spp y S. aureus, los cuales ocupan los primeros lugares de los reportes anuales de la red de vigilancia en salud pública en Colombia. El queso costeño es autóctono de la Región Caribe Colombiana, se produce de forma artesanal utilizando leche cruda como materia prima y elaborado bajo las mínimas condiciones higiénicas sanitarias, transformándolo en un medio propicio para la proliferación de microorganismos. El objetivo de esta investigación fue determinar la calidad microbiológica del queso costeño fresco expendido en la comuna cuatro de Valledupar-Colombia. Esta investigación se realizó en dos etapas y una de ellas fue la Caracterización de Análisis de Peligros y Puntos de Control Críticos (APPCC) en los expendios de queso fresco en Valledupar y Determinación de la calidad microbiológica en queso costeño artesanal de los expendios de Valledupar. Los datos analizados sugieren que la presencia de microorganismos indicadores de la calidad microbiológica en el queso costeño fresco implica un riesgo para la salud de los consumidores. Se recomienda a los productores y comerciantes que cumplan con las medidas higiénico-sanitarias para la manipulación y procesamiento de este tipo de productos.
Procesos de gestión del talento humano en la gerencia educativa, caso en la unidad educativa 11 de octubre
Authors: Araujo Bedoya Gabriel Jose , Campozano Alcivar Juliana Evelina , Guerra Delgado Liliana Rebeca , Martinez Ferrin Dina Elizabeth
Published: April 2023

El presente trabajo tiene como objetivo analizar los procesos de gestión del talento humano en el sector educativo gerencial de las unidades educativas. Cuando se habla del talento humano se hace referencia a personas con habilidades y capacidades. Gestionar adecuadamente el talento humano permitirá a una Institución Educativa crecer y consolidarse en el campo educacional, por esto, el área encargada de llevar a cabo esta tarea es de vital importancia dentro de una organización. La finalidad de los procesos de gestión del talento humano actualmente en las organizaciones ha trascendido de forma vertiginosa a medida que en los procesos de toma de decisiones define un liderazgo a la vanguardia y notablemente capacitado en aptitudes y actitudes. Es importante el desarrollo de este trabajo porque contribuirá al conocimiento de uno de los factores más álgidos y trascendentales de la administración, brindando nuevos enfoques para el buen desenvolvimiento, de tal manera que se logren los objetivos trazados, especialmente, en el ámbito administrativo.
Inteligencia emocional en el aula: una revisión de prácticas y estrategias para promover el bienestar estudiantil
Authors: Moreno Quinto Neoryery Margarita , Roldán Paredes Braulio Fabricio , Mena Moreno Ines  Margoth , Mayra Elizabeth Castillo López  , Rodriguez Barreiro Birna Liccia
Published: April 2023

El presente artículo de revisión tiene como objetivo analizar la importancia de la inteligencia emocional en el aula en Latinoamérica, a partir de la revisión de artículos originales y de revisión publicados en Scopus, Scielo y Latindex en los últimos 5 años. Se seleccionaron al menos 20 artículos para su análisis comparativo y presentación en un resumen analítico. La metodología utilizada en la revisión de artículos consistió en la búsqueda en bases de datos, la selección de artículos relevantes, la extracción de información relevante de los artículos seleccionados y la presentación de los resultados de manera sistemática y clara en tablas. Los resultados obtenidos a partir de diferentes metodologías y enfoques, indican que la inteligencia emocional puede ser un factor relevante para mejorar el bienestar emocional, el rendimiento académico y el clima emocional en el aula en estudiantes de secundaria y universitarios en Latinoamérica. Se discuten las implicancias prácticas y los desafíos a futuro en la promoción de la inteligencia emocional en el contexto educativo en Latinoamérica. En conjunto, los hallazgos de esta revisión sugieren que la inteligencia emocional es un elemento clave para el desarrollo integral de los estudiantes en Latinoamérica
Tendederos virtuales feministas: acciones en el espacio digital contra el acoso y hostigamiento
Authors: Sarilin Ronzón Alamilla , Castellanos Suárez Viviana , Estrada Álvarez Carlos Mario
Published: April 2023

Los tendederos son artefactos en los que se cuelgan las vestiduras después de lavar para que se sequen, sin embargo, este mecanismo toma otro sentido cuando se habla de acoso y hostigamiento. En los tendederos virtuales se extiende y desplega la emocionalidad ante el hartazgo de estas conductas, en estos espacios se secan o airean las emociones y estados afectivos que provocan este tipo de comportamientos. El objetivo de este artículo es realizar una revisión sistemática de estas situaciones que son producidas mayormente desde los varones hacia las mujeres y que, en muchas ocasiones, no está sujeta a evaluaciones ni validaciones de terceras personas a causa del sistema patriarcal en el que nuestra sociedad está sometida. En este trabajo se analizó el papel de los diferentes colectivos feministas del país en las redes sociales al hacer públicas las denuncias y cómo han logrado hacer visibles los diferentes casos que llegan a sus perfiles y la forma en que incitan a las demás mujeres que han atravesado experiencias similares a levantar la voz y la manera en que esa cohesión ha logrado que a algunos agresores fuesen removidos de sus puestos e incluso, alcanzado sentencias legales acordes a sus delitos.
Factores personales y automedicación en estudiantes de medicina humana en Cajamarca, Perú – 2023
Authors: Lumba Palacios K. , Torres Sevillano L. , Bazualdo Fiorini E. , Saldaña Saldaña D. , Vásquez Castillo L. , Pajares Huaripata E.
Published: April 2023

Objetivo: Esclarecer los factores asociados a dicha práctica y conocer cuál es la prevalencia de la automedicación en el año 2023. Material y métodos: El estudio es cuantitativo, de tipo transversal y diseño correlacional. Se evaluó a 172 estudiantes, los cuales fueron seleccionados por muestreo por conveniencia y una p significativa menor a 0.05. Resultados: se halló una prevalencia de automedicación de 83,7 % en los estudiantes, la cual está relacionada con diferentes factores, los demográficos dentro de los cuales la edad tiende a hacer más significativa con un (p = 0,0478) ; factores económicos, siendo más significativo el ingreso mensual con valor de (p = 0,0437); factores sociales, siendo significativo el colegio donde estudiaron con un valor de (p = 0.0269) y finalmente los factores culturales donde tiene más significancia el año de estudio ( p =0.0214), el establecimiento al que acuden (p = 0,0403) y por la  recomendación de quien la hacen  ( p = 0,0145) . En cuanto a la caracterización de la automedicación se tiene que la frecuencia de automedicación es cada 2 a 4 meses (59,10%), la molestia más frecuente es el dolor (72,3%) y la gripe (59,1%); los medicamentos más frecuentes son los analgésicos (56,3%), y antigripales (52,5%); e indicaron que no tienen tiempo para ir al médico (44%). Conclusión: Existieron diversos factores personales asociados a la práctica de automedicación en estudiantes de medicina, encontramos la edad, ingreso familiar, el colegio donde estudio y el año de estudio, el establecimiento al que acuden, y la persona que recomienda.
Estructura, productividad de madera y regeneración natural de Juglans neotropica Diels en la Hacienda la Florencia del Cantón y provincia de Loja
Authors: Vaca Llivigañay¬ Jason Alejandro , Palacios Herrera Byron Gonzalo
Published: April 2023

Actividades antrópicas han alterado drásticamente ecosistemas naturales, lo que ha provocado que especies como Juglans neotropica Diels (Nogal) se encuentre actualmente en peligro de extinción. El objetivo fue generar información de la estructura, productividad y regeneración natural de la especie en estado silvestre. Se estudió un remanente de bosque de la especie, ubicado en la hacienda La Florencia perteneciente al cantón Loja, Ecuador. Se realizó un inventario forestal en un área efectiva de 14 hectáreas, se registraron todos los individuos con diámetros ≥ 10 cm de diámetro a la altura del pecho (DAP1.30). Se midieron las variables como DAP1.30 cm, altura comercial (HC) y total (HT) en metros. Mediante el índice de Morisita y el protocolo de Lamprecht se analizó la estructura vertical y horizontal respectivamente. Para la productividad de madera todos los individuos se clasificaron en potenciales y comerciales con base en el diámetro mínimo de corta (DMC). Para la regeneración natural se instalaron cuatro parcelas, donde se registró el latizal alto, bajo y brinzales. El valor del índice de Morisita fue de Iδ = 1.26; en cuanto al componente arbóreo, la altura máxima fue de 32.40 m y la mínima de 10.32 m. La productividad de madera resultó en 141.17 m³ ha-¹ de volumen total y 76.22 m³ ha-¹ de volumen comercial. Además, se registró la existencia de 13 individuos en todas las categorías de regeneración. La especie se encuentra en un estado de sucesión con poca regeneración natural y, por ende, actualmente en peligro de extinción.
Clima organizacional y rendimiento laboral del personal del ITCA
Authors: Navarrete Pilacuán Martha Patricia , Galarraga Montalvo Nuria Janeth , Araujo Vílchez Ismenia , Carlos Carmona Graterol  , Morocho Núñez Ernesto Washington
Published: April 2023

El objetivo de esta investigación fue entregar una perspectiva acerca de la relación existente entre el clima organizacional y la satisfacción laboral del personal de una institución de educación superior. La investigación fue de tipo explicativa y descriptiva, con enfoque mixto, aplicado a una población finita compuesta por cuarenta y cinco colaboradores. Se empleó la técnica de la encuesta y como instrumento el cuestionario con escala Likert, orientados a identificar la correlación existente entre las dimensiones de análisis que fundamentan el clima organizacional, como: autorrealización, involucramiento laboral, supervisión, comunicación y condiciones laborales, vinculadas como fuerzas intrínsecas de motivación a las dimensiones relacionadas con la satisfacción laboral como: orientación a resultados, relaciones interpersonales, iniciativa, trabajo en equipo y organización. La estadística mostró que el clima organizacional se encuentra influenciado por tres dimensiones consideradas en el rendimiento laboral como: la orientación a resultados, las relaciones interpersonales y el trabajo en equipo, ya que tienen una correlación positiva alta que contribuye al logro de las metas propuesta en la institución y a mejorar la calidad del servicio prestado, aspectos importantes a ser desarrollados en el marco de la gestión institucional.
Queratitis por acanthamoeba spp., reporte de un caso
Authors: Melo Orta Diego , Martinez Neria Magda
Published: April 2023

Presentamos el caso clínico de una paciente de 13 años de edad, con el antecedente de nadar con frecuencia en un rio, tratada inicialmente como una queratitis bacteriana sin éxito, fue manejada en nuestro servicio como una queratitis por acanthamoeba y resolvió con éxito su cuadro clínico bajo este régimen de tratamiento. Este agente se ha identificado en un 85% de aislamientos en biopsias corneales en pacientes con lentes de contacto blandas o semi-blandas, esta patología es infrecuente, de difícil diagnóstico y tratamiento, su prevalencia estimada oscila entre los 1-9 casos por 100.000 habitantes. A pesar de nuestros avances en quimioterapia antimicrobiana nos enfrentamos a una comprensión incompleta de la fisiopatogenia, retraso en el diagnostico e intervenciones terapéuticas oportunas.
Server Hardware Market in Russia: Analysis of Competition before the Events of 2022
Authors: Zabegaeva V. E. , Volodin S. D.
Published: April 2023

The server is the main element of the IT infrastructure of any enterprise. Currently, there is a growing demand for server equipment in the world due to the growth of innovations, the construction of data centers and an increase in data volume. The current geopolitical situation has significantly affected the Russian server market – almost all major international vendors have left the country or suspended their deliveries. This situation led to a shortage of server equipment in Russia, which was the impetus for the further development of domestic manufacturers. This article presents the results of the analysis of the server hardware market based on data collected by the IDC analytical company on the number of servers sold by each vendor from 2018 to 2020. As the main tool, the SV (strength/variety) matrix was used to assess the level of dominance in the industry, which is based on concentration indices, Linda and the modified Hall-Taidman coefficient. The analysis of individual quadrants of the SV matrix showed that the Russian server equipment market from 2018 and 2019 from the Red Ocean quadrant, which indicated that companies were fighting for market shares, moved to the B4 quadrant, that is, the industry became highly concentrated – a natural oligopoly was observed in the server equipment market. With the departure of foreign companies from 2022, the distribution of player shares will be significantly changed, which determines the interest of studying competition in the server equipment market in the future period.
Idiopathic axillary web syndrome: a case-based review of an unusual disorder
Authors: CÜCE İsa , KONCA Sinem Kübra , YILDIZHAN Rıdvan , KAFADAR İbrahim Halil , DEMİR Hüseyin
Published: April 2023

Axillary web syndrome (AWS), which frequently develops following axillary lymph node dissection, can also be caused by several other conditions, such as infection or strenuous exercise. In recent years, idiopathic cases have also been reported. We report the case of a 27-year-old female who presented with pain, tension and a taut rope-like structure in the left armpit area. She also had a limited shoulder range of motion in abduction and forward flexion. We diagnosed the patient with idiopathic AWS based on a detailed clinical history and manifestations. The patient completely recovered without any sequelae by therapeutic interventions, including nonsteroidal anti-inflammatory drugs and physical therapy. Through a systematic review of the literature, four additional cases of idiopathic AWS were identified. This study aimed to investigate the similarities and differences between idiopathic and typical AWS cases.
The frequency of co-positivity of anti-smooth muscle antibody and anti-nuclear antibodies and their contribution to the diagnosis of autoimmune hepatitis
Authors: YURTTUTAN UYAR Neval
Published: April 2023

Aim: Autoimmune hepatitis (AIH) is a chronic disease observed especially in women. The International Autoimmune Hepatitis Group recommends scoring systems for diagnosis using clinical and laboratory data. All scoring systems gave points to autoantibodies as anti-nuclear antibody (ANA) and anti-smooth muscle antibody (SMA) positivity. This study investigates the impact of the co-positivity of the ANA and SMA antibodies on the autoimmune hepatitis diagnosis.

Material and Method: We monitored 78 autoimmune liver disease (autoimmune hepatitis, AIH) suspected patients with positive SMA antibody and then further tested for ANA between 2014 and2021. SMA test was screened at 1/40 and 1/100 titers and patients who were positive were taken to further dilution. The ANA test was screened at a titer of 1/40 and 1/160, a positive result was found to be repeated with advanced dilutions. All patients’ autoantibody scores of simplified AIH diagnostic system were calculated.

Results: Seventy eight patients with positive SMA antibodies screened for ANA test with 1/40 and 1/160 titer, only 2 patients was found to be negative. The most frequently observed ANA pattern is cytoplasmic linear fibrils (68% ). The 95% ANA positive results was examined at a screening titer of 1/160. The 95% SMA positive results was found at a screening titer of 1/100. The autoantibody scores of 76 patients were +2, patient’s scores were +1.

Conclusion: SMA antibody positivity is accompanied by a high rate of ANA antibody positivity but the co-positivity didn’t effect diagnostic score systems. On the other the co-positivity could be a sign of another associated autoimmune diseases.
An examination of the relationship between self-compassion, temperament types and cognitive flexibility according to deceiving tendency
Authors: DEMİRCİ Onur Okan , GÜLER Kahraman
Published: April 2023

Aim: The aim of this study was to examine self-compassion, temperament types and cognitive flexibility characteristics of individuals residing in Istanbul, Turkey aged between 16 and 85 years who never cheated and who cheated at least once. Material and Method: The sample of this study consists of 93 individuals who never cheated and 83 individuals who cheated at least once, residing in Istanbul, Turkey aged between 16 and 85 years. The sample was selected by using simple random sampling. The sample was administered Sociodemographic Form, Deception Tendency Scale (DTS), Self-Compassion Scale (SCS), Temperament Evaluation of Memphis, Pisa, Paris, San Diego-Autoquestionnaire (TEMPS-A) and Cognitive Flexibility Scale (CFS). First, it was checked whether there was a normal distribution or not. For this, skewness and kurtosis values were checked. This study was carried out by the relational screening model, one of the quantitative research methods. Statistical evaluations were analyzed using SPSS (Statistical Package for Social Sciences) 25.0. Results: The results of this study showed that there was a significant difference between self-compassion components: self-judgment, common humanity, isolation, and over-identification scores of individuals with and without tendency to deceive (p
Who Does What? Analysing Gender Division of Labour in Cocoa Households in the Asante Akim North Municipality, Ghana
Authors: Mohammed Rubaba , Owusu-Mensah Esther , Tham-Agyekum Enoch Kwame , Ankuyi Fred , Bakang John-Eudes Andivi
Published: April 2023

In a typical cocoa farming household, the question of who among the different genders does what needs to be assessed. This is because it is often thought that males do the majority of work in the household. In bringing balance to this argument, this study used the Caroline Moser framework to assess the gender division of labour in cocoa households in the Asante Akim North Municipality in Ghana. In using a mixed methods approach, questionnaires were administered to three hundred (300) respondents and a focus group discussion was organized for a group of 12 (six males and six females) in the Municipality. The study found that most of the women were responsible for performing the reproductive roles whilst the males performed the majority of the productive roles and the community management roles. Limiting women to the performance of reproductive roles can be detrimental to the development of society at large, most especially in a situation where few women take part in productive and communal developmental. Women should therefore be encouraged and allowed to partake in all community activities and decision-making procedures to ensure there is no gender inequality.

Keywords: Cocoa Farmers, Community Managing Roles, Gender Division of Labour, Productive Roles, Reproductive Roles, Households
Modulation of the Blazhko Cycle in LS Her
Authors: Wilhelm Ronald , Carrell Kenneth , Means Hannah H. , Popowicz Adam , Bernacki Krzysztof , Frąckiewicz Mariusz , Szczepański Marek , Dustor Adam , Lockett Jaylon , Taylor Jill , Youngquist Stasha
Published: April 2023

We present analysis of the RR Lyrae star, LS Her, and confirm the previously reported modulation to its Blazhko cycles. We performed Fourier analysis on two sectors (Sector 24 and 25) of data from the Transiting Exoplanet Survey Satellite (TESS) spanning 53 days. We find LS Her to have a primary pulsation period of 0.2308 day and a Blazhko period of 12.7 days in keeping with previously reported results. We also identified sideband frequencies around the Blazhko multiplets suggesting the Blazhko cycle is modulated on a timescale of 112 days. Analysis of the Blazhko effect using the TESS data clearly shows a changing amplitude and phase throughout the four Blazhko cycles. We compared our modeled results, which were based on our TESS frequency analysis, to TESS data (Sector 51) taken ∼700 days later and found our modulation model was not a good representation of the data. We then coupled our TESS analysis with the modulation frequency results from Wils et al. and found excellent agreement with the Sector 51 data. To further test this result we obtained ground-based, V-magnitude observations of LS Her in the summer of 2022. This data also showed excellent agreement with our coupled modulation model. We have verified that LS Her is a Blazhko star with a modulated Blazhko period of 109 days, stability over the 862 days of observations, and possible stability lasting over 15 yr. We discuss the ramifications of the modulation for other Blazhko stars that show Blazhko effect changes over time.
A rare cause requiring consideration in the differential diagnosis of neck masses: tularemia
Authors: Sahin Abdulkadir , Kilic Korhan , Sakat Muhammed Sedat , Aktan Bulent , Altunok Hazal , Kesmez Can Fatma
Published: April 2023

Introduction: Tularemia is a zoonotic disease caused by the Gram-negative coccobacillus Francisella tularensis. It is frequently overlooked in the differential diagnosis of neck masses because of its rarity. The purpose of this study is to report cases diagnosed with tularemia among patients presenting to our clinic with neck masses and to share our experience.
Methodology: Patients presented to our hospital with cervical masses and diagnosed with tularemia were included in this retrospective study. Medical files of all patients were evaluated, and physical examination findings, titration values, date of diagnosis, location of the abscess or mass, place of residence, occupation, drinking water sources, sedimentation (SED), C-reactive protein (CRP), and white blood cell (WBC) values were recorded.
Results: Seventy-six patients were included in the study. Forty patients (52.6%) were living in rural villages and 36 (47.4%) in urban areas. Thirty-one (40.8%) were engaged in animal husbandry and 29 (38.2%) in agriculture. In terms of drinking water sources, 59 patients (73.6%) obtained water from the mains, while 10 (13.32%) used well water. The most frequently observed clinical findings were swelling in the neck, sore throat, lethargy, and fever. Neck swelling frequently occurred in levels II and III.
Conclusions: Since tularemia is rare and there are no specific clinical findings, diagnosis may be problematic. Ear, nose and throat (ENT) specialists should be familiar with the clinical symptoms of tularemia in the head and neck region and should consider a preliminary diagnosis of tularemia in the differential diagnosis of persistent neck masses.
The burden of appendicitis and surgical site infection of appendectomy worldwide
Authors: Yang Lin , Zheng Rongshou , Li Hong , Ren Yan , Chen Hui
Published: April 2023

Introduction: Appendicitis is a global abdominal disease and is often treated by appendectomy. Surgical site infection (SSI) is a common complication after an appendectomy that causes a significant burden on health systems. This study aimed to evaluate the trends and variations in the burden of appendicitis by year, region, socioeconomic status, and health expenditure and to assess associated SSI by appendicitis burden, surgical approach, and type of appendicitis.
Methodology: Data on Disability-Adjusted Life Years (DALYs) and the human development index were collected from the Global Burden of Disease (GBD) Study and the United Nations Development Programme, respectively. Studies on SSI after appendectomy using the uniform definition and published in 1990-2021 were retrieved.
Results: Between 1990 and 2019, the global age-standardized DALY rate of appendicitis decreased by 53.14%, with the highest burdens in Latin America and Africa. The burden of appendicitis was significantly negatively correlated with HDI (r = -0.743, p<0.001) and health expenditure (r = -0.287, p<0.001). Among 320 published studies on SSI after an appendectomy, 78.44% of studies did not report criteria for SSI diagnosis or adopt a uniform definition. In total, 69 studies with uniform SSI definitions were included. Studies with uniform SSI definitions were recorded poorly in regions with a heavy burden of appendicitis. The SSI of appendectomy was positively correlated with open appendectomy and complicated appendicitis.
Conclusions: Uniform SSI definition, promotion of laparoscopic technology, and establishment of SSI special management are needed to decrease the burden of SSI after an appendectomy, especially in developing countries.
Brain abscess caused by Paenibacillus lactis
Authors: Inkov Kehayov Ivo , Miroslavova Angelova Polina , Dimitrov Kitov Borislav
Published: April 2023

We present a case of a 30-year-old male patient who was admitted to our institution with a 4-month history of persistent headache, pain in the left half of the face and the left ear. The initial magnetic resonance imaging detected an inflammatory process in the left pyramid interpreted as petrous apicitis. Subsequently, he developed generalized seizures. Follow-up computed tomography scanning with contrast enhancement demonstrated newly-formed brain abscess in the basal region of the left temporal lobe. The patient underwent microsurgical evacuation and resection of the abscess. Microbiological examination isolated Paenibacillus lactis as a causative microorganism. During the postoperative period, the patient further developed life-threatening meningitis that was successfully managed with prolonged intravenous antimicrobial treatment. Six-months follow-up examination confirmed complete neurological recovery with no signs of recurrence based on Magnetic Resonance Imaging (MRI). To the best of our knowledge, this is the first reported case of brain abscess caused by Paenibacillus lactis in the medical literature.
Microorganisms grown in urine cultures and antimicrobial resistance patterns: A randomised retrospective analysis from a tertiary hospital
Authors: Demir Canan , Metin Salih
Published: April 2023

Introduction: Patients in intensive care units (ICU) are 5-7 times more susceptible to infection than other groups, which increases the prevalence of hospital-acquired infections and associated sepsis accounting for 60% of deaths. Gram-negative bacteria are the most common source of urinary tract infections that cause morbidity, mortality, and sepsis in the ICU. The aim of this study is to detect the most commonly grown microorganisms and antibiotic resistance in urine cultures in the intensive care units of our tertiary city hospital, which has more than 20% of the ICU beds in Bursa By this way, we suppose that we will contribute to surveillance studies in our province, our country.
Methodology: Patients who were admitted to Bursa City Hospital adult ICU for various reasons between 15.07.2019 and 31.01.2021 and had growth in urine cultures were retrospectively screened. The urine culture result, growing microorganism, antibiotic used, and resistance status were recorded and analyzes were performed according to hospital data.
Results: Gram-negative growth was observed in 85.6% (n = 7707), gram-positive growth in 11.6% (n = 1045), and candida fungus growth in 2.8% (n = 249). Resistance to at least one antibiotic in urine cultures was observed for Acinetobacter (71.8), Klebsiella (51%), Proteus (47.95%), Pseudomonas (33%), E. coli (31%) and Enterococci (26.75%), respectively.
Discussion: Developing a health system leads to longer life expectancy, longer intensive care treatment, and more frequent interventional procedures. In terms of being a resource for empirical treatments, early initiation of empirical treatments to control the urinary tract infection disrupts the patient's hemodynamics and increases mortality and morbidity.
Enjeux et promesses des stablecoins décentralisés
Authors: Bertucci Louis , Choukroun Sébastien , Prat Julien
Published: April 2023

Cet article propose une analyse économique des stablecoins mettant en évidence les liens avec la finance traditionnelle. Même s'il existe des stablecoins dont l'arrimage est garanti par un tiers de confiance, cet article se concentre principalement sur les stablecoins gérés directement par un système d'incitations sur une blockchain décentralisée. Nous mettons en évidence les enjeux de gouvernance et de liquidation des stablecoins décentralisés, qui sont au cœur du système de maintien de leur valeur. Enfin, nous discutons des risques associés à ces stablecoins , notamment les mécanismes entraînant une perte de stabilité. Classification JEL : E49, G23, G29.
Concevoir une monnaie numérique de banque centrale : partenariat public-privé et complémentarité avec les espèces
Authors: Aufauvre Nathalie , Aranega Pierre-Alexandre
Published: April 2023

L'introduction d'une monnaie numérique de banque centrale (MNBC), de détail pour les particuliers ou « de gros » pour les transactions interbancaires, soulève la question des bouleversements que cette nouvelle forme de monnaie de banque centrale pourrait apporter à l'écosystème des paiements. Au travers de l'exemple du projet Eurosystème de l'euro numérique « de détail », le présent article montre que le modèle traditionnel de la monnaie et son architecture à double étage, avec la monnaie de banque centrale (les espèces et les dépôts des banques commerciales auprès de la banque centrale) et la monnaie de banque commerciale, est préservé. Grâce à une distribution des rôles et des dispositifs appropriés pour sa mise en œuvre, cette nouvelle forme de monnaie de banque centrale sera complémentaire aux autres formes de monnaie. L'introduction d'une MNBC « de gros » a pour sa part vocation à continuer d'offrir l'actif de règlement le plus sûr dans le cadre de la finance « tokenisée ». Classification JEL : E42, E58.
Comment les stablecoins et les MNBC peuvent rebattre les cartes dans les services financiers et les paiements
Authors: Martz Isabelle
Published: April 2023

La technologie des blockchains rend possible une nouvelle économie dite « économie tokenisée », avec des actifs numériques d'un nouveau type. Mais le monde « tokenisé » est encore peu mature dans ses dimensions technologiques, légales, réglementaires, et aussi ses usages, avec des enjeux encore nombreux : cybersécurité, partage et protection des données, sujets technologiques d'interopérabilité et de mise à l'échelle (scalabilité), tentations de forte recentralisation par certains acteurs publics ou privés, impacts systémiques mondiaux (financiers, environnementaux, sociaux), besoin d'éducation et d'accompagnement de l'évolution des compétences. Si le champ d'application des blockchains est très large, les premiers cas d'usages se développent dans les services financiers et les paiements, où les technologies décentralisées semblent présenter un fort potentiel. Les banques ont des places à y prendre pour construire les fondamentaux de cette nouvelle économie ; elles sont légitimes et peuvent y assurer la sécurité, la confiance et l'interopérabilité entre solutions nouvelles et traditionnelles. En dépit des incertitudes réglementaires et d'un manque de maturité technologique, elles doivent commencer à expérimenter et prendre place, car pour elles comme pour les autres acteurs économiques, ne rien faire n'est pas une option. Classification JEL : E42, G21, O33.
Stablecoins et monnaies numériques de banque centrale : un enjeu géostratégique pour le Système monétaire international
Authors: Lubochinsky Catherine , Rojas-Breu Mariana
Published: April 2023

Cet article analyse les effets potentiels de l'émergence des stablecoins et des monnaies numériques de banque centrale (MNBC) sur le Système monétaire international, en particulier en termes de domination du dollar. Il est montré que les stablecoins devraient renforcer, plutôt qu'affaiblir, le rôle dominant du dollar, via leur ancrage qui tend à favoriser une dollarisation accrue des agents privés à l'échelle internationale. L'analyse des MNBC distingue les MNBC de gros des MNBC de détail. Les MNBC de gros sont susceptibles d'engendrer des altérations de la hiérarchie monétaire internationale par leur utilisation potentielle dans les paiements transfrontaliers, selon l'implication des principales puissances dans la conception de ces MNBC. Les MNBC de détail ne devraient pas avoir d'effet majeur sur la configuration monétaire internationale, mais elles pourraient avoir à terme une incidence indirecte, notamment via leurs effets sur le secteur bancaire et donc sur la performance relative des économies. Classification JEL : E42, E58, F33.
Réapprendre les leçons de la Guerre froide : le « retour dans le futur » de la Suède dans sa politique de sécurité et de défense
Authors: Lundqvist Stefan , Chamba Nathalie
Published: April 2023

Cet article examine comment la Suède est en train de réapprendre trois leçons de la Guerre froide à la lumière des transformations en cours dans ses conditions de sécurité régionales. Il compare et met en contraste les dynamiques et les politiques de sécurité de trois ères distinctes : la Guerre froide, la période d’après-Guerre froide, et la période d’après 2014. Il identifie dans l’évolution de l’environnement sécuritaire de la Suède les changements qui expliquent le calendrier et l’enchainement de ces adaptations. Cet article examine également les fondements de la politique de neutralité ambiguë de la Suède pendant la Guerre et pourquoi elle différait des politiques de la Finlande, du Danemark et de la Norvège. Il conclut que la Suède réapprend trois leçons de la Guerre froide : a) les conflits armés sur son territoire vont dégénérer en une guerre sur toute la péninsule scandinave et la Finlande ; b) elle a besoin d’évaluations réalistes pour planifier sa défense ; et c) le concept de « défense totale » est la clé pour maintenir le niveau de résilience sociale nécessaire afin de décourager des tentatives russes visant à attaquer, contrôler ou exploiter son territoire. Alors que la période d’après-Guerre froide est souvent considérée comme un vide et une anomalie dans l’histoire de la politique de sécurité de la Suède, cet article établit que le processus qui a fait abandonner à la Suède sa politique de neutralité dans les années 1990 sert en fait de pont stratégique pour l’implémentation actuelle d’un élément de transparence dans sa politique de sécurité. Si la sécurité sur le flanc nord de l’OTAN devait se détériorer, la Suède se rapprocherait sans doute davantage de l’OTAN.
Le Parti Communiste Malais et la Guerre froide
Authors: Hara Fujio , Chamba Nathalie
Published: April 2023

Pendant la Guerre du Pacifique, le Parti communiste de Malaisie mena la guérilla anti-japonaise la plus forte de l’Asie du Sud-Est. Il conduisit d’abord une lutte pacifique d’août 1945 à 1948, puis il débuta une lutte armée contre l’Angleterre en 1948. Il adopta ensuite une ligne pacifique modérée dans la deuxième partie des années 50, revint à une ligne dure en 1961 et retourna à la lutte armée contre le gouvernement malais en 1968. À partir de la fin des années 70, il chercha un moyen de négocier avec le gouvernement et conclut finalement le Traité de Paix avec le gouvernement en 1989. Les éléments les plus déterminants dans cette progression étaient, inutile de le dire, de nature locale et domestique. Mais les éléments extérieurs qu’étaient la Guerre froide entre le Bloc de l’Est et celui de l’Ouest, l’URSS (et le Vietnam) et la Chine, jouèrent aussi un rôle important.
L’ascenseur social est-il en panne pour les descendants d’immigrés ?
Authors: Piton Céline , Rycx François
Published: April 2023

Résumé  : Cet article analyse de façon détaillée les performances en matière d'emploi des immigrés de première et de deuxième génération en Belgique par rapport à celles des natifs. Les résultats montrent notamment que les immigrés de la première génération subissent une pénalité substantielle en matière d’emploi par rapport à leurs homologues natifs, mais aussi que leurs descendants continuent de rencontrer de graves difficultés pour accéder au marché du travail. Le rôle d’un grand nombre de variables modératrices, telles que le genre, l’éducation, le pays d’origine des immigrés et de leurs parents, la maîtrise de la langue nationale, la naturalisation, la durée de résidence et la raison de migration, est également discuté dans l’article.
L’efficacité des politiques d’intégration dans l’amélioration du taux d’emploi des personnes d’origine étrangère
Authors: Ruyssen Ilse , Piton Céline
Published: April 2023

Dans toute l’Europe, l’intégration des immigrés sur le marché du travail a tendance à être plus lente que celle des natifs. Cet article analyse empiriquement le rôle joué par les politiques d’intégration dans la réduction de cet écart dans les pays de l’Union européenne (UE). En nous appuyant sur l’indicateur de politique d’intégration pour migrants (MIPEX), nous constatons que les pays ayant des politiques plus développées en faveur de l’intégration des immigrés ne disposent pas nécessairement d’un taux d’emploi des personnes immigrées plus élevé. Cette constatation est due au fait que différents types de politiques ont des effets opposés : alors que les politiques favorisant le regroupement familial, luttant contre la discrimination et permettant la participation politique semblent augmenter l’intégration des personnes d’origine étrangère sur le marché du travail, une plus grande mobilité sur le marché du travail, ainsi qu’un accès plus large à la résidence permanente et à la nationalité sont négativement liés au taux d’emploi des immigrés. En outre, nos résultats confirment que l’intégration des immigrés sur le marché du travail varie en fonction de la composition des compétences de la population immigrée. Un plus haut niveau d’éducation favorise l’intégration. La composition de la population immigrée au sein d’un pays en termes de niveaux de qualifications, pourrait toutefois être également influencée par les politiques d’intégration dans les pays de destination potentiels, une hypothèse que nous testons également. Nous montrons que les politiques d’intégration agissent effectivement comme un facteur d’attraction. Cependant, il semble que les politiques d’intégration plus élaborées affectent principalement le nombre d’immigrés hautement qualifiés entrant sur le territoire, mais pas le nombre d’immigrés moyennement ou faiblement qualifiés. Des facteurs différents semblent donc être en jeu pour les personnes faiblement et moyennement qualifiées, mais une fois déplacées, nos résultats montrent que ce sont elles qui bénéficient le plus des politiques d’intégration.
Modified Definitional Grading: A Pilot Study
Authors: Enslein Terri W. , Wiles Brenda , Acosta Kaelene , Hoch Angel
Published: April 2023

Background:

Grades often are an unreliable means of determining content mastery due to poor grading systems and grade inflation. The use of a modified definitional grading system may be beneficial for assessing mastery of content in competency-based education in didactic nursing courses.

Method:

This mixed-methods pilot study examined grade-related data and survey results. Purposive sampling was used to recruit prelicensure freshman nursing students (
n
= 84) enrolled in a didactic nursing course. The aims were to explore student content mastery in a prelicensure didactic nursing course that used a modified definitional grading system and to evaluate course design elements well-suited for use with competency-based education.

Results:

Quantitative data showed improved individual and overall examination scores but did not significantly affect students' final course grade. Three themes emerged: motivation and diligence, stress, and highlighting of student weaknesses.

Conclusion:

A modified definitional grading system has the potential to add value and meaning to grades, improve study habits, and improve content mastery.

[
J Nurs Educ
. 2023;62(4):215–223.]
Enhancing Students' Cultural Competency in Tertiary Health Education Using Internationalization at Home: A Literature Review
Authors: Shan Shirley Huang Wai , Terry Daniel , Peck Blake
Published: April 2023

Background:

Internationalization at home (IaH) is a novel concept that aims to integrate intercultural learning into an academic curriculum to promote global collaborative learning and support cross-cultural engagement without leaving home. However, little is known about the experience and perceptions of tertiary health education students who have engaged in IaH. This literature review examines how intercultural learning via IaH can enhance students' sense and capacity of cultural competency.

Method:

A systematic database search of all published studies between 2001 and 2021 was conducted.

Results:

A total of 113 studies were screened for eligibility, and nine studies were included in the analysis. Three subthemes emerged from the overarching theme of enhancing cultural competence.

Conclusion:

IaH provides an effective and safe learning environment for students to engage in cross-cultural interactions and broaden their multi-cultural views and understanding.

[
J Nurs Educ
. 2023;62(4):199–206.]
Top-Ranked Nursing Programs: Curricula Content Analysis
Authors: Abbott Miriam R. B. , Fankhauser Kerry , Nininger Jami
Published: April 2023

Background:

Nursing curricula are in a constant state of evolution to meet stakeholder and population needs. Although general guidelines are available from accrediting organizations, particular curricular features are not mandated. Curricula from top-ranked nursing programs may provide some insight on best practices in curricular design.

Method:

Curricula from top-ranked undergraduate nursing programs were reviewed for common features using publicly posted institutional materials and quantitative and qualitative analysis.

Results:

Course requirements in general education, health assessment, pediatric, and mental health care were common across top-ranked programs. Notable differences in nomenclature and concentrations for adult health care were observed.

Conclusion:

Faculty and administrators may consider the research methodology and variations that were identified in this analysis as a basis for discussion when revising their curricula to meet the needs of future nurses.

[
J Nurs Educ
. 2023;62(4):233–235.]
Engaging Nursing Students in Mental Health Concepts Through Multiple Teaching Modalities
Authors: Carr Kayla , Rhodes Kathleen A. , Klamm Melissa M. , McElwain Sharon
Published: April 2023

Background:

Utilizing multiple active learning strategies may facilitate knowledge, critical thinking, communication, and attitude regarding mental health concepts in nursing students.

Method:

Faculty in an accelerated 12-month baccalaureate nursing program delivered mental health nursing concepts utilizing team-based learning (TBL), a video response assignment, faculty-led clinical in an inpatient psychiatric hospital, and a standardized patient simulation. Twenty-two nursing students (71%) voluntarily completed a faculty-derived instrument to evaluate the efficacy of each learning experience on knowledge, critical thinking, communication, and attitude.

Results:

Students favored in-person clinical (73%–91%) and TBL (68%–77%) in terms of the perceived effectiveness to improve knowledge, critical thinking, communication, and attitude toward the mentally ill. Standardized patient experiences (45%–64%) were not rated as favorably but did fare better than video-response assignments (32%–45%).

Conclusion:

Research is needed to provide a formal evaluation of mental health teaching modalities.

[
J Nurs Educ
. 2023;62(6):359–363.]
Bifurcations and chaotic behavior of a predator-prey model with discrete time
Authors: Hong Binhao , Zhang Chunrui
Published: April 2023

In this paper, the dynamical behavior of a predator-prey model with discrete time is discussed in terms of both theoretical analysis and numerical simulation. The existence and stability of four equilibria are analyzed. It is proved that the system undergoes Flip bifurcation and Hopf bifurcation around its unique positive equilibrium point using center manifold theorem and bifurcation theory. Additionally, by applying small perturbations to the bifurcation parameter, chaotic cases occur at some corresponding internal equilibria. Finally, numerical simulations are provided with the help of maximum Lyapunov exponent and phase diagrams, which reveal a complex dynamical behavior.
Annual Faculty Research Symposium 2022: Faculty of Allied Health Sciences, University of Peradeniya
Authors: Liyanage Esther , Tennakoon T. M. I. U. K. , Vidanapathirana G. U.
Published: April 2023

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UltraFluoro-Guided Low-Dose Caudal Anesthesia in Patients with Ankylosing Spondylitis: A Case Series Delineating the Technical, Safety, and Efficacy Considerations
Authors: Gupta M , Gupta P , Pruthi G , Kumar H
Published: April 2023

Airway and spine involvement in ankylosing spondylitis (AS) impose unique anesthetic challenges. Ankylosis and intervertebral space obliteration in AS make neuraxial anesthesia technically challenging and sometimes impossible. The anatomical variations of impalpable sacral cornu and complete or partially closed sacral hiatus in adults coupled with positioning difficulties, epidural space narrowing as well as an increased predilection for intraosseous or intravascular injection, and cauda equina syndrome complicate caudal anesthesia in AS. Combined ultrasound and fluoroscopic (ultrafluoro) guidance during caudal anesthesia improves accessibility and identifies and avoids any aberrant nonepidural injection. By providing a fluoroanatomical endpoint, i.e., local anesthetic (LA) contrast washout covering the concordant dermatomes, it reduces the amount of LA required and pressure build-up in already compromised epidural space. Ultrafluoro guidance improves accessibility, identifies, and avoids any nonepidural injection, and reduces the amount of LA required during caudal anesthesia in AS.
Isolated leishmaniasis at lower lip
Authors: Swain Santosh Kumar , Anand Nishtha
Published: April 2023

Leishmaniasis caused by Leishmania spp. is a vector-borne disease and transmitted by the Phlebotomus sand fly. Lip is an extremely rare site for this lesion. The lesion often begins as erythematous papules, and slowly enlarges and ulcerates. The diagnosis is usually based on clinical features and laboratory tests. Here, we reported a case of an isolated lesion of the leishmaniasis at the lower lip. The patient presented with an ulcerative lesion and initially not healed by conservative treatment such as antibiotics. Histopathological and smear examination confirmed the diagnosis. The isolated lesion of leishmaniasis at the lower lip is rare and often confusing, which challenges diagnosis. Clinicians should keep in mind about this isolated localised lesion as a differential diagnosis of chronic pathology of the lower lip so that delayed diagnosis and treatment can be avoided.