bluuebunny/crossref_metadata_2025 huggingface dataset:
The Association of Glycemic Control Medication Regimens and Preoperative Fructosamine Among Total Joint Artrhoplasty Patients
Authors: Tischler Eric H. , Lizcano Juan D. , Shohat Noam , Tarabichi Majd , Restrepo Camilo , Parvizi Javad
Published: October 2024

Background:

Although glycated hemoglobin A1C (HbA1c) has classically been used for glycemic control screening before surgery, fructosamine, a short-term glucose variability indicator, has been reported to be a more accurate predictor of postoperative periprosthetic joint infection among patients with diabetes mellitus (DM). Given the variability of diabetic medication management, this study aims to identify the associated effect of glycemic control medication regimen (GCMR) on the incidence rate and associated odds of abnormal preoperative fructosamine levels among diabetic primary total knee arthroplasty or total hip arthroplasty patients.

Methods:

Between 2017 and 2018, consecutive series of total hip arthroplasty and total knee arthroplasty patients were identified, and the final cohort included only diabetic patients. All patients reported preoperative HbA1c and fructosamine levels. GCMR categories included insulin, metformin, and other. Independent risk of GCMR and abnormal fructosamine levels (>293 µmol/L) were identified using multivariable logistic regression, while controlling for preoperative baseline factors including HbA1C.

Results:

Among 420 patients, 15.7% (66/420) were diabetic, of whom 22.7% (15/66) reported an abnormal fructosamine level. Among patients requiring GCMR, 24.0% (18/75), 56.0% (42/75), and 77.7% (58/75) reported using insulin, other, and metformin, respectively. Multivariable logistic regressions demonstrated that insulin-dependent patients with DM reported a 1.71 (95% confidence interval [CI], 0.096 to 30.213, P = 0.716) increased odds of abnormal fructosamine levels compared with nonactive GCMR patients, whereas patients managed with metformin and other glycemic control medications reported a protective 0.48 (95% CI, 0.418 to 5.407, P = 0.549) and 0.32 (95% CI, 0.216 to 4.508, P = 0.393) decreased odds of abnormal fructosamine levels, respectively.

Conclusion:

In this study, insulin and other GCMR medications exhibited a trend for increased and decreased odds of having abnormal preoperative fructosamine levels while controlling for baseline HbA1c level compared with patients with DM without active GCMR. This association may be explained by multifactorial short-term glucose variability in insulin users, indicating the continued need and optimization of short-term glycemic variations instead of HbA1c.
Associations Between Patients' Primary Language and Outcomes and Patient Engagement Process Metrics for Total Joint Arthroplasty
Authors: Busigó Torres Rodnell , Restrepo Mejia Mateo , Stern Brocha Z. , Moucha Calin S. , Poeran Jashvant , Hayden Brett L.
Published: October 2024

Introduction:

Previous research has indicated language-based disparities in outcomes after total hip and knee arthroplasty. In this study, we examined the relationship between primary spoken language and outcomes and patient engagement process metrics in a multihospital academic health system.

Methods:

This retrospective cohort study included patients who underwent elective primary total hip or knee arthroplasty in 2018 to 2022. Primary language was categorized as English, Spanish, and Other. Associations were examined between language and perioperative outcomes (same-day discharge, extended hospital length of stay, nonhome discharge, 30-day hospital returns, 90-day readmissions, and 90-day combined complications), and engagement-related metrics (preoperative joint class attendance and patient-reported outcome measure [PROM] completion). We report adjusted odds ratios (ORs) and 95% confidence intervals (CIs).

Results:

Among 8,220 patients (7.9% Spanish and 5.1% Other non-English), we found no notable associations between language and same-day discharge, nonhome discharge, 30-day hospital returns, 90-day readmissions, or 90-day complications. Other (versus English) language was significantly associated with decreased odds of extended length of stay (OR 0.49, 95% CI, 0.32 to 0.76, P = 0.001). In patient engagement, Other (versus English) language was associated with significantly decreased odds of preoperative class attendance (OR 0.72, 95% CI, 0.54 to 0.95, P = 0.02). Spanish (versus English) primary language was significantly associated with decreased odds of preoperative and 1-year PROM completion (OR 0.34 to 0.75, P ≤ 0.001), and Other (versus English) primary language was significantly associated with decreased odds of preoperative PROM completion (OR 0.59, 95% CI, 0.47 to 0.73, P < 0.001).

Conclusion:

Our findings highlight language-based disparities in patient engagement metrics but comparable outcomes. Differences in findings compared with past literature may be related to institution-specific language-related support systems. There is a need for additional resources to support patients' active participation in their care, regardless of their primary spoken language.
Ekplorasi Etnomatematika Kain Tenun Kampung Bokuna di Kecamatan Wewewa
Authors: Dona Yunita , Lede Yulius Keremata , Making Samuel Rex Mulyadi , Lubur Dorothea Novia Ludo
Published: October 2024

In general, the North Wewewa Wewewa Woven Fabric of Bokuna Village is passed down from the ancestors and followed until now this Woven Fabric has beautiful motifs made based on daily life and also from nature. Ethnomathematics is a bridge between culture and mathematics, ethmomathematics is adapted by cultural groups to see that the culture contains mathematical aspects. This research aims to find out the concept of geometry in Woven Fabrics. The data collected is in the form of documentation, interviews, and observation results. The type of research used in qualitative descriptive is to describe the mathematical elements contained in woven fabrics. Data collection uses observation and interviews. Data analysis is carried out qualitatively with the stages of data reduction, data presentation, and conclusion drawing. The results of the analysis show that Woven Fabrics are sacred crafts that are inherited from ancestors or from generation to generation. In the study, the researcher found several one-dimensional and two-dimensional buildings. The geometric shapes found by the researcher are: rectangular shape on the entire shape of the woven fabric, an equilateral triangle shape on the mamuli motif, an isosceles triangle shape on the flower motif, a bele ketupat shape on the star motif, a rectangular shape on the entire woven fabric, a square shape on the butterfly motif
Will new tram lines enhance the connectivity and walkability? A case study of Sakarya
Authors: Halimergün Yavuz , Özden Abdulkadir , Adahi Şahin Süleyman Nurullah , Kocaman Hakan
Published: October 2024

This study investigates the impact of planned tram lines on walkability and accessibility in Sakarya, utilizing Geographic Information Systems (GIS) for spatial analysis. The research evaluates the catchment areas of proposed tram stops, assessing their suitability and coverage, and examines how these areas integrate with existing public transport routes. By calculating time-oriented catchments for 5, 8, and 10-minute walking distances, the study identifies service gaps and redundancies in the public transport network. The findings reveal that the new tram lines will enhance accessibility by extending coverage to high-density areas and potentially reducing the demand on existing bus services. The analysis also highlights the overlap between bus transit lines and tram stops, suggesting optimizations to improve network efficiency. The results offer valuable insights for urban planners, aiming to optimize Sakarya’s public transport system to be more inclusive and sustainable. This study contributes to urban mobility planning by providing a detailed understanding of how new tram lines can improve connectivity and support sustainable urban development.
Co-benefits: experience and lessons from the US electric sector
Authors: Biewald Bruce , Johnston Lucy , Fisher Jeremy
Published: October 2024

Past experience in the US indicates that a focus on reducing individual types of pollutants can result in success for the targeted pollutants, yet allow continued growth in other pollutants, most notably CO2. The electric industry has demonstrated the capacity to make large investments in controlling emissions, as well as in developing new generation sources. In the absence of multi-pollutant regulations, investments in specific emissions controls may subsequently prove non-useful as new pollutants are regulated. The most effective approach to achieving co-benefits is to anticipate future regulatory constraints and invest in non-polluting technologies and energy efficiency. However, estimating the emissions avoided due to energy efficiency is not straightforward. In the United States, "displaced" emissions are spatially and temporally non-uniform due to the distribution of energy production and energy market dynamics. Emissions data exist to understand this variation and may be used to target programs. Analysis of program results reveals that energy efficiency programs exhibit economies of scale. The case of Southwest Connecticut provides an example of a co-benefits approach to addressing conflicting results of several policies. Efficiency programs have a high potential to reduce both carbon emissions as well as other pollutants. Significant consideration must be given to techniques to account for the emissions benefits of these programs.
Les métaux dans les particules atmosphériques : les isotopes peuvent-ils aider à discriminer les pôles d’émission potentiels ?
Authors: Widory David , Petelet-Giraud Emmanuelle , Le Bihan Olivier , Le Moullec Yvon , Quetel Christophe , Snell James , Van Bocxstaele Marleen , Hure Audrey , Canard Evelyne , Joos Eric , Forti Laurent , Bullen Tom , Johnson Tom , Fiani Emmanuel
Published: October 2024

L’étude de la population atmosphérique par les aérosols intègre des questionnements scientifiques nés de problématiques à la fois locales (qualité de l’air, impacts sur la santé) et globales (apports de contaminants aux écosystèmes, impact sur l’évolution du climat). Les particules fines, en particulier les PM2,5, constituent une priorité des pouvoirs publics, à l’échelle Européenne, ainsi qu’au niveau Français, à la suite du Grenelle de l’Environnement. Leur rôle en tant que vecteurs, entre autres, de métaux lourds potentiellement toxiques (tels que le plomb ou le cadmium) n’est étudié que depuis relativement peu de temps. Cet article montre que l’utilisation récente des isotopes de ces métaux, mercure, cadmium et zinc, s’avère un bon outil de discrimination des principaux pôles d’émission de particules. Ceci ouvre alors la porte pour leur application en tant qu’outils de traçage des sources de pollution atmosphérique particulaire.
Identification des sources de PM10 sur un site sidérurgique par des méthodes statistiques
Authors: Khlaifi Anis , Ionescu Anda , Candau Yves
Published: October 2024

L'objectif de cette étude est l’identification des principales sources contribuant aux niveaux environnementaux de poussières en suspension PM10 à partir des analyses des métaux trace effectuées en un point d’échantillonnage localisé à l’intérieur d’une usine sidérurgique. Selon les informations relatives à ce site, l’une des principales sources est le parc à scories, pour laquelle nous disposons d’une analyse chimique, qu’on utilisera dans un but de validation. Une trentaine d'échantillons a été prélevée sur le site et a été analysée pour 18 métaux trace. L'utilisation de la méthode « récepteur » PMF n'a pas permis d'identifier avec certitude un seul profil qui serait attribué à la source parc à scories ; il en résulte plusieurs profils qui peuvent être associés aux différentes opérations effectuées dans le parc à scories. En dehors des résultats obtenus, ce papier se propose de mettre en évidence les difficultés engendrées par la conception de cette campagne de mesure, afin de permettre une réflexion lors de la conception de nouvelles campagnes expérimentales.
Relations source-récepteur transcontinentales identifiées avec un modèle Lagrangien de dispersion et une analyse en clusters
Authors: Paris Jean-Daniel , Stohl Andreas , Ciais Philippe , Ramonet Michel , Nedelec Philippe
Published: October 2024

Le transport des polluants à longue distance peut provoquer une dégradation de la qualité de l’air loin des sources d’émissions. Nous décrivons ici une technique récemment développée pour l’analyse des mesures de polluants, qui permet l’identification systématique de relations source-récepteur à travers un jeu d’observations. Cette technique utilise un modèle lagrangien de dispersion de particules (MLDP). Les MLDP calculent des rétropanaches qui représentent la sensibilité aux émissions potentielles (SEP) pour des mesures individuelles. Les SEP peuvent être regroupées selon leurs ressemblances en utilisant un algorithme de clustering. La classification des SEP peut informer sur l’impact de différents modes de transport à longue distance sur les mesures, et permet de déconvoluer le mélange atmosphérique de l’impact des émissions de surface. Nous appliquons notre méthode à des mesures au-dessus de la Sibérie, et constatons qu’un excès de ~ 20 ppb de monoxyde de carbone (CO) par rapport aux concentrations de fond est expliqué par le transport à longue distance d’émissions provenant de la combustion de biomasse au Kazakhstan, et que ~10 ppb d’excès de CO sont associés à des émissions européennes. Nous mettons en avant l’avantage de notre méthode par rapport aux méthodes traditionnelles pour l’établissement de relations source-récepteur dans les études du transport à longue distance.
Caractéristiques et origines principales des épisodes de pollution hivernaux aux PM10 en France
Authors: Favez Olivier , Petit Jean-Eudes , Bessagnet Bertrand , Meleux Frédérik , Chiappini Laura , Lemeur Sébastien , Labartette Claire , Chappaz Claire , Guergnion Pierre-Yves , Saison Jean-Yves , Chrétien Ève , Pallares Cyril , Verlhac Stéphane , Aujay Robin , Malherbe Laure , Beauchamp Maxime , Piot Christine , Jaffrezo Jean-Luc , Besombes Jean-Luc , Sciare Jean , Rouïl Laurence , Leoz-Garziandia Eva
Published: October 2024

Cette synthèse dresse une analyse non exhaustive des dépassements du seuil réglementaire journalier de 50 µg/m3 pour les PM10 mesurés au niveau national par les Associations Agréées de Surveillance de la Qualité de l’Air (AASQA) au cours des quatre dernières années. Près des trois quarts de ces dépassements étant observés entre fin novembre et début avril, nous nous intéressons plus particulièrement ici à ces épisodes hivernaux (au sens large). La mise en œuvre de techniques analytiques permettant une prise en compte correcte des espèces semi-volatiles dans la composition des PM10 a coïncidé en mars-avril 2007 à la survenue de nombreux dépassements de seuil journalier s’accompagnant d’importants niveaux de nitrate d’ammonium (composé semi-volatil). Ce type d’épisode est régulièrement observé à cette période. Il s’explique notamment par la conjonction de conditions atmosphériques stables et propices à la condensation en phase particulaire des espèces labiles, et de la reprise des épandages agricoles, constituant une source majeure, au moins ponctuellement, de précurseurs gazeux azotés du nitrate d’ammonium. Ce type d’épisode, mettant également en cause les émissions anthropiques de combustion (dont les transports), est typiquement précédé entre novembre et février de fréquents dépassements pour lesquels le rôle des combustions de biomasse (incluant notamment le chauffage au bois individuel) peut être important. La période hivernale est également marquée par l’occurrence de phénomènes de transport longue distance se caractérisant par une augmentation des contributions du sulfate d’ammonium. Les sites de proximité automobile étant généralement les premiers concernés par les dépassements du seuil journalier en raison du surplus de concentrations provenant des émissions à l’échappement et des phénomènes de remise en suspension, le transport routier est également considéré comme un levier incontournable pour le respect des valeurs limites. Enfin, il est souligné que l’occurrence des différents types d’épisodes de dépassements dépend fortement des conditions météorologiques, de sorte qu’on observe une forte variabilité interannuelle du nombre de dépassements hivernaux : 2009 et 2011 (et 2012) étant significativement plus impactées que 2008 et 2010. Une bonne prévision de ces épisodes passe encore par l’affinage des cadastres d’émission et une meilleure compréhension du devenir dans l’atmosphère des émissions primaires (gazeuses et particulaires).
Énergie et santé : trois études au banc d’essai
Authors: Aurengo André
Published: October 2024

Après quelques rappels en épidémiologie, notamment sur les études cas témoins, la régression logistique, les incertitudes sur les expositions, la multiplicité des tests statistiques, la pratique de sous-groupes des populations étudiées, les biais d’anamnèse et la difficulté à mettre en évidence de très faibles risques, nous examinons trois études visant à mettre en évidence des faibles risques. Ces études portent sur le risque de leucémie ou de tumeur cérébrale après scanner cérébral dans l’enfance, et sur l’impact des centrales nucléaires et des lignes à très haute tension sur l’incidence des leucémies de l’enfant. Ces exemples montrent les faiblesses des études de ces témoins qui nécessitent une estimation rétrospective de l’exposition et des facteurs de confusion, l’intérêt des études de cohortes et l’inutilité de certaines études qui, compte tenu des études antérieures, n’ont pas la puissance suffisante pour répondre aux questions posées.
Froid, chauffage, santé
Authors: Gauthier Michel
Published: October 2024

Le froid constitue une agression à laquelle le corps humain doit faire face. Le confort moderne offre de nombreuses possibilités pour se défendre contre le froid, soit par des vêtements de mieux en mieux adaptés, soit en utilisant différents modes de chauffage qui sont de plus en plus performants mais ne sont pas sans générer des risques sanitaires. L’objectif de cet article consiste à détailler les risques induits pour pouvoir mieux les maîtriser.
Analyse de l’impact sanitaire d’un épisode de pollution : retour d’expérience sur la surveillance syndromique lors de l’épisode de mars 2014 et difficultés méthodologiques
Authors: Host Sabine , Karusisi Noëlla , Fiori Marie , Fouillet Anne , Caserio-Schönemann Céline
Published: October 2024

Les études épidémiologiques menées depuis plusieurs décennies ont mis en évidence des relations à court et à long terme entre des indicateurs d’exposition à la pollution atmosphérique et des indicateurs de santé. Ces études ont notamment permis de démontrer que c’est l’exposition chronique à des concentrations moyennes de polluants atmosphériques qui pèse le plus en termes d’impact sanitaire, en intervenant dans le développement de diverses pathologies et en particulier des maladies cardio-respiratoires chroniques. À court terme, l’exposition à la pollution de l’air exacerbe les symptômes de pathologies (causées ou non par la pollution atmosphérique) et cela même en dehors de tout épisode ou « pic » de pollution de l’air. Toutefois, lorsque la population est confrontée à un tel épisode, elle peut à la fois ressentir certains symptômes plus fortement que d’accoutumé (irritation des yeux, du nez et de la gorge, etc.), et manifester des questions et inquiétudes concernant l’impact sur la santé proprement lié à ces pics de pollution. Par ailleurs, ces situations entraînent le déclenchement d’une procédure d’information et de recommandation, ou d’une procédure d’alerte par les préfets. Ces mesures qui visent en particulier à agir sur les sources de pollution et les comportements des individus, via, par exemple, la diffusion de recommandations sanitaires, ont pour but final de limiter l’impact sanitaire, notamment chez les personnes les plus fragiles (nourrissons et jeunes enfants, etc.). Or les répercussions sanitaires de ces épisodes de pollution sont difficiles à quantifier, et jusqu’à présent n’ont pas fait l’objet d’études en France.
Đánh Giá Hiệu Quả Mặt Trượt PID và Mạng RBF-NN Cho Mobile Robot
Authors: Trung Hieu Tran  , Viet Trung Nguyen  , Thuy Trang Tran Thi  , Thanh Tung Pham
Published: October 2024

Mặt trượt vi tích phân tỷ lệ và mạng RBF-NN cho Mobile robot được ứng dụng trong nghiên cứu này. Đây là robot có nhiều ưu điểm như cấu trúc đơn giản, tiết kiệm năng lượng, tốc độ di chuyển cao, và chi phí sản xuất thấp. Bộ điều khiển trượt sử dụng mặt trượt PID (PIDSS-SMC) được thiết kế sao cho ngõ ra thực tế của robot tiến về ngõ vào chuẩn và giảm hiện tượng chattering quanh mặt trượt. Mạng RBF-NN được sử dụng để xấp xỉ các thành phần phi tuyến trong ma trận Pw của bộ điều khiển PIDSS-SMC. Các trọng số của mạng được huấn luyện trực tuyến sử dụng giải thuật Gradient Descent. Lý thuyết Lyapunov được sử dụng để chứng minh tính ổn định của hệ thống. Ngõ ra thực tế của xw và yw hội tụ về xd và yd tham chiếu với sai số xác lập hội tụ về 0, thời gian tăng đạt 0,0832s và 0,0764s; thời gian xác lập là 0,1309s và 0,1226s; độ vọt lố là 0,0042% và 0,0055% tương ứng, và hiện tượng chattering được giảm.
Phương Pháp Đào Tạo và Phát Triển Nguồn Nhân Lực Trong Doanh Nghiệp và một số Khuyến Nghị
Authors: Song Hao Nguyen
Published: October 2024

Bài báo tập trung vào việc trình bày và phân tích các phương pháp đào tạo và phát triển nguồn nhân lực trong môi trường kinh doanh ngày nay. Phần cơ sở lý thuyết nhằm xác định tầm quan trọng của công tác đào tạo và phát triển nguồn nhân lực không chỉ ở quốc tế mà còn tại Việt Nam. Phần kết quả nghiên cứu tập trung trình bày các phương pháp đào tạo và phát triển về cả hai khía cạnh ngắn hạn và dài hạn. Bằng cách đánh giá và làm rõ các phương pháp này, bài báo hi vọng giúp các doanh nghiệp có cái nhìn tổng quan và cụ thể hơn về cách chúng có thể áp dụng để tăng cường năng lực và hiệu suất của người lao động trong môi trường làm việc. Các khuyến nghị trong nghiên cứu này bao gồm việc phát triển ứng dụng học tập trực tuyến, xây dựng trò chơi giáo dục, khuyến khích học hỏi liên tục, học từ kinh nghiệm thực tế, tạo môi trường làm việc mở và thân thiện, phát triển chương trình đào tạo kỹ năng mềm, và xây dựng chương trình phát triển sự nghiệp dài hạn. Điều này nhấn mạnh sự cần thiết của một chiến lược toàn diện và đa dạng trong việc phát triển nguồn nhân lực để đáp ứng nhu cầu ngày càng cao của môi trường kinh doanh hiện đại.
Phương Pháp Điều Khiển Tốc Độ Không Sử Dụng Cảm Biến Sử Dụng Kỹ Thuật MRAS Cải Tiến cho Động Cơ Cảm Ứng Ba Pha
Authors: Dao Trong Tran  , Hoang Bach Dinh  , Dinh Cuong Tran
Published: October 2024

Trong bài báo này, một phương pháp điều khiển không sử dụng cảm biến tốc độ (Speed Sensorless) dựa trên hệ thống đáp ứng mô hình tham chiếu cải tiến (RF_MRAS) được áp dụng để ước tính tốc độ rô-to và tham số điều khiển trong kỹ thuật điều khiển định hướng từ thông (FOC) của động cơ cảm ứng ba pha (IM). Tốc độ ước tính này được cải tiến bằng cách tăng cường thêm khâu ước tính điện trở sta-to (Rs) trong mô hình RF_MRAS để nâng cao hiệu suất của phương pháp điều khiển khi Rs thay đổi trong quá trình vân hành. Phương pháp điều khiển đề xuất giúp hệ thống hoạt động với tốc độ chính xác, độ vọt lố thấp, có thể nhanh chóng chuyển đổi trạng thái tốc độ theo ý muốn, dòng điện khởi động thấp và mô-men mở máy khá nhỏ. Cùng với sự kết hợp khâu ước tính điện trở stato giúp cho hệ thống có thể hoạt động ổn định kể cả khi thông số trong động cơ bị thay đổi. Các kết quả thử nghiệm trên mô hình hoạt động trong môi trường MATLAB/SIMULINK đã chứng minh tính hiệu quả của phương pháp đề xuất trong các điều kiện hoạt động khác nhau của động cơ cảm ứng ba pha với tốc độ ước tính bám rất tốt so với tốc độ đặt, kể cả khi tốc độ đặt vào thay đổi nhanh chóng.
Is cloud computing the future of bioinformatics?
Authors:   St Aloysius (Deemed to be University) Institute of Management and Information Technology (AIMIT), Mangaluru, India, Hanna Khadeeja , N Hemalatha ,   St Aloysius (Deemed to be University) Institute of Management and Information Technology (AIMIT), Mangaluru, India
Published: October 2024

Bioinformatics is defined as the application of computational and analytical tools to collect and interpret biological data. With the advancement in technology and biological research, a vast amount of data is being produced, necessitating large-scale storage and processing capabilities. Sequencing instruments lack sufficient storage capacity. Cloud computing offers an efficient solution to these challenges, with low management costs. Cloud computing involves storing and accessing data “over the Internet,” providing a scalable and flexible system for addressing storage and processing problems. It allows anytime, anywhere access to applications, data sharing, and resources, removing the need for researchers to manage computing clusters. In the field of bioinformatics, cloud computing can provide services such as probe sequencing, quality control, and reporting for next-generation sequencing (NGS) data and other bioinformatics tools. Over the years, cloud computing has become integral to many bioinformatics solutions. Major companies such as Microsoft, Google, and Amazon offer cloud-based platforms, and some cloud-based bioinformatics systems include Apache Hadoop, Dryad, Azure, and BioNimbus. However, concerns have been raised regarding data management, infrastructure, and environmental performance. Overall, cloud computing has the potential to revolutionize bioinformatics, making it more accessible to researchers and professionals. In this research paper, we explore how the introduction of cloud computing has impacted the field of bioinformatics.
Connections Across the Globe: The Colonial Project of Gender and the Modern/Colonial System of Gender in conversation.
Authors: Wallace Leandro A.
Published: October 2024

The current paper serves as a first approach to the possible connections and relationships between the theories that emerge from the lived experiences in Abya Yala and the continent of Australia. I will approach the Sistema Moderno/ Colonial de Género as proposed by la Maestra M. Lugones and the Colonial Project of Gender by Prof. S. O’Sullivan as the main theories put in conversation. From their understandings, as well as propositioned by theorists from both territories, I will propose a path to be able to retrieve and recognize the resistances to the colonialities, as they appear in video games, by queer Indigenous people.
INFLUENCE OF EXTRACTIVE AGENTS ON DENSITY AND VISCOSITY OF LIQUID PHASE DURING RECTIFICATION OF ISOPROPANOL-WATER MIXTURE
Authors:   Kazan National Research Technological University, MALYGIN A.V. , KLINOV A.V. , KHAIRULLINA A.R. , SAFINA A.R. ,   Kazan National Research Technological University
Published: October 2024

In this work, the dynamic viscosity and density of three-component mixtures consisting of a binary azeotropic mixture of isopropanol-water and an extractive agent were investigated. Three points of the profile of concentrations in the liquid phase in the extractive separation column of isopropanol-water mixture in recalculation on the pseudobinary mixture were selected for research: the first point - 95/5 % wt. %; the second point - 5/95 % wt. %; the third azeotrope point - 88/12 % wt. %. For the selected points model mixtures were prepared to which 13 % wt. % of the extractive agent was added. The extractants used in this work were monoethylene glycol (EG), which is used in industrial processes, 1-ethyl-3-methyl imidazolium chloride ([Emim][Cl]) and triethylene glycol-based boronic acid amino ester (AEBA). Experimental data on concentration and temperature dependences of dynamic viscosity and density were obtained for these mixtures. The results showed that the viscosity of the system increases in the series of EG, AEBA, [Emim][Cl]. To carry out calculations of the investigated thermophysical properties in the work we used known expressions: for density - through the sum of volumes; for viscosity - the Kendall-Manroe model. For a three-component mixture with EG, the results of calculations of properties performed in the AspenPlus V12 package are presented. The studies carried out in this work have shown that the density modeling of the studied mixtures is quite accurate, the discrepancy between experimental and calculated data does not exceed 1%. Modeling of the dynamic viscosity coefficient of the system by the Kendall-Manroe model for isopropanol-water mixture in the presence of the studied extractive agents can lead to significant errors, the maximum value reaches 52%. The calculated values of the dynamic viscosity coefficient are underestimated, which in turn can lead to errors in modeling (on the basis of these properties) of heat and mass transfer processes occurring in the apparatus.
STUDY OF PHYSICAL AND MECHANICAL PROPERTIES OF COMPOSITES WITH POLYMER PHASE OF POLYLACTIDE AND HEMP SHIVES
Authors:   Ural State Forestry University, MICHUROV D.M. , SHKURO A.E. , GLUKHIKH V.V. ,   Ural State Forestry University
Published: October 2024

As a result of the study the indicators of key physical and mechanical properties and biodegradation potential of composites with polymer phase of polylactide and technical hemp shives were determined, the properties of composites based on polylactide with technical hemp shives and reference materials with wood flour were compared. It is established that composites with hemp shives demonstrate on the average higher values of density, Shore hardness and bending strength, as well as lower water absorption at higher values of the wetting angle. The stiffness of samples with hemp shives practically does not change when the filler content is increased up to 30 wt. %, and increases with further increase in the degree of filling. The impact toughness of composites with hemp shives significantly exceeds the parameters of analogs based on polylactide and wood flour. In addition, the increase in the content of hemp shives, in contrast to technical wood flour, has practically no negative effect on the impact toughness of composites. Introduction of wood flour into the composition of polylactide leads to a sharp increase in water absorption, while the water absorption of samples with hemp shives does not exceed 2% regardless of the degree of filling. Replacement of wood filler with hemp shives in the composition of the composite leads to a significant decrease in the mass loss index after aging in the active soil for 30 days. In general, composites with polylactide polymer phase and hemp shives are superior to analogs with wood flour in terms of physical and mechanical properties. Lower biodegradation potential can be both an advantage and a significant disadvantage for composites with technical hemp shives.
Two “Fires” of Leadership: Is it Possible to Listen and Lead Parish Cultural Change?
Authors: Vaughan-Spruce Hannah
Published: October 2024

Pope Francis has claimed that “we are living through a change of epoch, the deepest level of which is cultural.” “A change of epoch” entails much change in Catholic parishes especially across the Western world. Change can be chosen or unchosen. Actively chosen change is explored in this paper. Examples include parishes self-consciously adapting to become more mission-focused or purposefully adopting more traditional liturgical styles. Drawing on empirical case studies of British parishes undertaken in the course of my doctoral research in 2017 and 2018, this paper explores two different styles of leadership using Pope Francis’s metaphor of two “fires.” While “powerful flame” stands for bold, visionary leadership, “charcoal fire” represents more mild and tender listening. I consider questions such as: What is the cultural impact on a community when listening is engaged in, and when it is not? How might listening impact a parish’s direction of travel if intentional change is pursued? And what limitations to change might a listening approach entail?
Table of Contents, Vol. 13, Special Issue 2, Listening Practices in Global Catholicism
Authors: Rowlands Anna , Artaud de La Ferrière Alexis
Published: October 2024

Table of Contents, Vol. 13, Special Issue 2, Listening Practices in Global Catholicism
Advanced Big Data Mining Techniques for Early Detection of Heart Attacks in Clinical Data
Authors: Chaturvedi Ritesh , Sharma Saloni , Narne Suman
Published: October 2024

Heart attacks are among the most dangerous ailments that people may develop. The key to controlling cardiovascular disease is to compare, contrast, and mine enormous volumes of data in a sequence that may be used to identify, control, and treat persistent problems, such as heart attacks. Forecasting, preventing, monitoring, and diagnosing cardiovascular diseases may be done through huge efficiency via big data analytics, which is well-known in the business sector for its useful application in regulating, comparing, and supervising enormous datasets. Big data technologies or methods used to mine massive databases for information include Hadoop, data mining, and visualization. Those fresh ideas, which have a wide range of uses, might be helpful in several industries, include medical. In this paper, we extend a big data mining pattern using a machine learning method to forecast the frequency of heart attacks from medical databases. Data preprocessing using the z- score normalization and feature extraction using Linear Discriminant Analysis (LDA) and classification using the Improved Random Forest (IRF). We generate enhanced presentation intensity with accuracy, precision, recall, and F- measure throughout the forecast model for heart disease with the IRF.
Role of Herbal Essential Oil in Cervical Cancer: A Systematic Review
Authors: Sah Shailendra , Kumar Roshan , Saini Rita , Patil Shivanand M.
Published: October 2024

Cancer of the cervix is a disease that is ubiquitous and frequently severe, and it affects women all over the world. Conventional treatment methods, which include surgical procedures, chemotherapy, and radiation therapy, have been shown to dramatically enhance survival rates; nevertheless, these methods are frequently accompanied with adverse effects and difficulties that might have an influence on the quality of life of a patient. In recent years, there has been a growing interest in the utilisation of essential oils in the cancer treatment and management of cervical cancer. This review offers a comprehensive investigation into the function that various essential oils play in the development of cervical cancer. It also includes insights into the possible advantages of these oils as well as the body of research that has been conducted on them. Additionally, the analysis dives into the future directions and issues that will be faced in this developing industry, with a particular focus on advancements in delivery methods and interesting research areas. For the purpose of enhancing the anticancer qualities of essential oils, the encapsulation of essential oils with solid lipid nanoparticles, the nanoemulsification of essential oils, or the combining of essential oils with conventional treatments have all demonstrated promising results. This review attempts to provide a comprehensive viewpoint, balancing the potential of these natural therapies with the obstacles and issues that need to be addressed. As the employment of essential oils in the treatment or management of cervical cancer continues to develop, this study will attempt to provide a comprehensive perspective. The study will attempt to strike a balance between the potential of these natural treatments and the obstacles and issues that need to be addressed.
A Review on Green Synthesized Metal Nanoparticles Applications
Authors: Santosh Kumar S.R.  , Bongale Manoj Manjunath , Sachidanandam Magesh , Maurya Chandresh , Yuvraj  , Sarwade Prakash Pralhad
Published: October 2024

Nanotechnology pertains to the manipulation of materials at exceedingly small scales, specifically between 1 and 100 nanometers. Materials at this scale exhibit significantly different properties compared to the same materials at larger scales. An emerging trend is the utilization of nanoparticles (NPs) to address environmental issues. Metallic nanoparticles are among the several nanoparticles that are extensively utilized in environmentally sustainable endeavors. A sustainable, economical, and enduring approach is to synthesize nanoparticles through a more ecologically friendly procedure instead of a physical or chemical method. Plant components primarily function as reducing and capping agents in eco-friendly synthesis. Diverse metallic nanoparticles of various sizes and shapes have been created utilizing extracts from plant materials, including leaves, bark, fruits, and flowers. The synthesis of Nobel laureate metal nanoparticles is essential to the medical sector. A diverse array of glycosides and phenolic compounds constitutes numerous organic constituents in plants, facilitating the synthesis of metal nanoparticles. The absence of detrimental by-products in metal nanoparticle synthesis is the primary significance of green synthesis. The nanoparticles generated by an eco-friendly approach demonstrate several significant biological activity. A substantial body of literature demonstrates that the synthesized nanoparticles are efficacious against both gram-positive and gram-negative bacteria, including E. coli, Bacillus subtilis, Klebsiella pneumoniae, and Pseudomonas fluorescens. The synthesized nanoparticles not only display antifungal efficacy against several cancer cell lines, including those of breast cancer, but also demonstrate antifungal activity against Trichophyton simii, Trichophyton mentagrophytes, and Trichophyton rubrum. Moreover, they exhibit potent antioxidant properties. The dimensions and morphology of these metal nanoparticles substantially influence their functionalities. Particles characterized by a large surface area and diminutive size provide significant potential for medical applications. This paper aims to provide a comprehensive summary of current advancements in the synthesis of nanoparticles utilizing biological entities and their numerous potential applications.
Influenza A as a True Zoonotic Pathogen: Transmission through Reservoir Hosts
Authors: Rabani Neyazi Ghulam , Saken Khaidarov , Mohammadi Mohammad Hamid , Hujatullah Mukhlis , Modaqeq Taibullah
Published: October 2024

Influenza A virus (IAV) represents a considerable global health threat due to its rapid mutation rates and broad host range, facilitating cross-species transmission and enabling the virus to evade immune defenses. This review explores the molecular mechanisms underlying IAV's pathogenicity, focusing on its zoonotic potential through reservoir hosts, such as wild birds and swine. The virus's ability to undergo antigenic shift and drift allows it to continually adapt to new hosts and environments, posing challenges for control and treatment. Current antiviral therapies are limited by the emergence of resistant strains, underscoring the necessity for innovative vaccine development and treatment strategies. By examining IAV's molecular evolution, immune evasion tactics, and transmission dynamics, this review highlights the critical need for enhanced surveillance, improved therapeutic options, and international cooperation to mitigate future outbreaks. A deeper understanding of these processes is essential to inform public health efforts and combat the persistent threat of IAV.
Effect of Different Levels of Nitrogen, Phosphorus and Potassium Fertilizers on Yield of Cucumber (Cucumis sativus L.) Under The Climatic Conditions of Takhar Province
Authors: Andeshmand Abdul Bari
Published: October 2024

The experiment was carried out in the research farm of Agriculture Faculty, Takhar University under the title of the effect of nitrogen fertilizer with different amounts of phosphorus and potassium fertilizers on cucumber yield under the climatic conditions of Takhar Province, Afghanistan. The experiment was laid out in a Randomized Complete Block Design (RCBD) with three replications and four treatments. Treatments T1 without of any fertilizer, T2 nitrogen 80 kg ha-1, phosphorus fertilizer 100 kg ha-1, and potassium fertilizer 85 kg ha-1. T3 nitrogen fertilizer 80 kg ha-1, phosphorus fertilizer 120 kg ha-1 and potassium fertilizer 95 kg ha-1. T4 nitrogen fertilizer 80 kg ha-1, phosphorus fertilizer 140 kg ha-1 and potassium fertilizer 105 kg ha-1. In the order of information related to fruit length, fruit diameter, weight per fruit, weight per plant, fruit yield per hectare in tons was registered. The maximum fruit length (19.39 cm), fruit diameter (4.80 cm), weight per fruit (184.87 gr), fruit weight per plant (2.86 kg) and performance per hectare (61.37 tons) in T4 with nitrogen fertilizer 80 kg ha-1, phosphorus fertilizer 140 kg ha-1 and potassium fertilizer 105 kg ha-1 were found, while the lowest recorded data was from T1 i.e. control. From this experiment, it can be said that the use of NPK fertilizer with the use of 80 kg of nitrogen fertilizer ha-1, 140 kg of phosphorus fertilizer ha-1 and 105 kg of potassium fertilizer ha-1 for cucumber cultivation caused better growth and performance in the field of Takhar University.
„Mert az ember emberből van.” – A szubjektív ápolási diagnózisok helye és szerepe a triangulált betegvezetés modelljében
Authors: Helembai Kornélia
Published: October 2024

A tanulmány célja bemutatni a szubjektív ápolási diagnózisok lehetséges megközelítési módját a betegvezetésen alapuló ápolási modell szerint és annak felhasználását az ápolás gyakorlatában, továbbá feltárni azok hasznosságát az ápolás oktatásában és a tudományos kutatásban. Módszer: Az ápolási diagnózisok jellemzőit a diagnózisok ma elfogadott rendszerének és a pszichológia releváns elméleteinek egybevetésével elemeztük. Eredmények: Az ápolási diagnózisok tartalmi elemeit, valamint az emberi rendszerhierarchia működésének törvényszerűségeit középpontba állító elméleti áttekintés eredményei azt bizonyítják, hogy új megközelítésre van szükség az emberek szubjektív reagálási módjainak azonosításához és ezáltal a szomatikus és szubjektív ápolási diagnózisok egyenértékű fontosságának megértéséhez. Következtetés: Az emberi méltóság és autonómia támogatásához, a betegek motivációjának felkeltéséhez a verbális és nonverbális viselkedésükben kódolt üzenetek pontos értelmezése nélkülözhetetlen. A szubjektív ápolási diagnózisok struktúrája az üzenetek dekódolásához nyújt segítséget. Az ápolási diagnózisok rendszerének ez irányú gazdagítása, valamint a képzési programok innovációja és a szubjektív ápolási diagnózisok alkalmazásának bevezetése a professzionális ápolás gyakorlatába együttesen az ápolási kultúra további fejlődésének előfeltételeként tekinthető.
Ensuring Equity
Authors: Washington LaTonya
Published: October 2024

The chief medical officer and other healthcare leaders are positioned to have a positive effect on both diversity and equity. While this has not often been a focus of the healthcare executive, it is important for CMOs to understand how they can influence diversity and equity. This article does not include an exclusive list of to-dos for the CMO; however, it does provide a framework so CMOs can build relationships to guarantee equity in the patient population and diversity within their workforce. It is paramount that CMOs view health equity as a top priority. It also is important to understand that equity is a continuous process. Pursuing equity should be part of everything that a CMO does.
Seven Practice Assessments
Authors: Guiliana John , Ornstein Hal
Published: October 2024

This article emphasizes the importance of regularly evaluating the performance of a medical practice using objective benchmarks. Although surface indicators such as patient satisfaction, financial stability, and staff contentment might suggest that a practice is doing well, a deeper analysis can reveal hidden inefficiencies or opportunities for improvement. Additionally, the article stresses the importance of understanding patient needs and aligning them with the practice’s goals, as well as the drawbacks of relying solely on average industry benchmarks. A comprehensive, data-driven approach to practice management ensures continuous improvement and fulfillment for both physicians and patients.
Efeito do programa de reabilitação cardíaca em pacientes submetidos a transplante cardíaco
Authors: Costa Iasmim Borges da , Raimundo Ronney Jorge de Souza , Sousa Bruna da Silva
Published: October 2024

O transplante cardíaco é uma opção para pacientes com insuficiência cardíaca refrataria, pois, melhora a qualidade de vida e a capacidade funcional. A adesão de um programa de reabilitação cardíaca é de extrema importância no pós-operatório. Objetivo: analisar por meio de uma revisão de literatura o impacto do programa de reabilitação cardíaca em pacientes submetidos a transplante cardíaco. Métodos: Trata-se de uma revisão de literatura com busca de artigos científicos nos anos de 2019 a 2024, nas bases de dados United Dtates Nacional Library of Medicine (PubMed), Scientific Library Online (ScieLo), Biblioteca Virtual em saúde (BVS); com uso de descritores em inglês e português, foram encontrados 45 artigos relacionados ao tema e seguindo os descritores, porém somente 11 entraram nos critérios de inclusão. Resultados: A reabilitação cardíaca quando submetido a um programa exercícios de resistência e exercícios aeróbicos contribuem para melhor prognósticos pois podem melhorar o VO2 pico, força muscular esquelética, melhora da função endotelial, aumento da qualidade de vida, melhora da capacidade pulmonar além da redução de complicações como acidente vascular cerebral e redução do tempo de hospitalização. Conclusão: Pacientes transplantados se beneficiam quando submetidos a um programa de reabilitação cardíaca, entretanto sugere-se que seja realizados estudos que compare os efeitos do treinamento intervalado de alta intensidade e treinamento contínuo de intensidade moderada no pós-operatório de pacientes com transplante cardíaco.
Fatores de risco da síndrome de burnout em enfermeiros que atuam na unidade de terapia intensiva: revisão integrativa
Authors: Silva Alexa Richeli dos Santos , Silva Chayrisllane Ferreira , Freitas Rosa Caroline Matos Vercosa de
Published: October 2024

Introdução: Burnout é uma síndrome resultante do estresse crônico no trabalho. É caracterizada por três dimensões: sentimentos de exaustão ou esgotamento de energia; aumento do desgaste psicológico no trabalho, ou sentimentos negativos, resultando na redução da produtividade. Objetivo: Foi descrever os fatores que levam ao acometimento pela Síndrome de Burnout em enfermeiros intensivistas, bem como os impactos negativos. Método: O presente estudo de natureza bibliográfica, do tipo integrativa. Para seleção dos artigos foi realizada uma busca nas seguintes bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Eletronic Library On-line (SciELO), plataforma National Library of Medicine (PubMed), Bases de Dados de Enfermagem (BDENF), além da Bases de Dados da Literatura Internacional da Área Médica e Biomédica (MEDLINE). Foram utilizados artigos completos no período de 2016 a 2023. Resultados: Em uma amostra de 166 artigos encontrados, foram excluídos 8 artigos duplicados. Após foi aplicado os critérios de elegibilidade, dessa forma, foram excluídos mais 138 artigos por não obedecerem aos critérios estabelecidos. Em segui da foram excluídos mais 19 artigos, devido a não terem relação com o problema do trabalho. Por fim, restaram 9 artigos para o desenvolvimento da pesquisa. Discussão: Pode-se observar que o entendimento das representações sociais acerca do fenômeno Burnout é importante para uma melhor compreensão da sua dimensão conceitual, bem como seu impacto na vida dos profissionais enfermeiros. Conclusão: A necessidade de estratégias que diminuam a ocorrência da Síndrome de Burnout, para tanto, é importante incentivo e a valorização do profissional enfermeiro diminuição da sobrecarga, ou seja, aumentar a demanda de profissionais em cada setor inclusive na UTI. No mais, espera-se que as abordagens e discussões apresentadas no decorrer do estudo possa servir de subsídio científico e instrumento norteador na busca de melhorias para os profissionais de saúde que têm tendência a ter a Síndrome de Burnout.