bluuebunny/crossref_metadata_2025 huggingface dataset:
Posicionamiento de los medios televisivos ecuatorianos e interacción de las audiencias en Facebook.
Authors: Mendieta Andrade Jessica , Trámpuz Reyes Juan Pablo
Published: September 2024

El uso de las redes sociales ha sido de crucial importancia para los medios de comunicación, y la plataforma Facebook se considera de las populares por cadenas televisivas. Por ello, el objetivo de esta investigación es analizar el posicionamiento de las cadenas televisivas ecuatorianas en la red social Facebook en el periodo enero a junio del 2023.  Este estudio de tipo descriptivo, tuvo un enfoque mixto y un diseño no experimental, mediante la aplicación de un análisis de contenido de las publicaciones realizadas por Ecuavisa, Teleamazonas y Oromar Tv, con un muestreo no probabilístico de semanas compuestas de enero a junio del 2023. Como parte de los resultados se obtuvo que Ecuavisa es el medio que está mejor posicionado a comparación de Teleamazonas y Oromar Tv, debido a que cuenta con un nivel superior de seguidores, publicaciones e interacciones. En cuanto a las reacciones, las positivas principalmente se evidencian en acciones sencillas como dar “me gusta” a la publicación, mientras que las desfavorables trascienden a los comentarios; por lo que la discusión pública en las páginas de los medios ecuatorianos en Facebook, principalmente está marcada por las emociones negativas.
Relación entre Autoconcepto y Ansiedad en estudiantes universitarios de Ciencias de la Salud
Authors: Méndez Guerrero Gabriel Nikolas , Nicolalde Manzano Mikaela Elizabeth , Oñate Porras José Fernando , Mantilla Posso Inés Margarita
Published: September 2024

La ansiedad es un problema prevalente en la salud de las personas a nivel mundial y en su campo de investigación se ha vinculado con el autoconcepto, teorizando una relación entre ambas. Por tal razón, el objetivo de esta investigación fue determinar la correlación entre las dimensiones de autoconcepto y ansiedad en estudiantes universitarios del área de Ciencias de la Salud. Se llevó a cabo una investigación cuantitativa con un estudio empírico mediante la utilización de la estrategia asociativa con una muestra de 690 estudiantes de la Facultad de Ciencias de la Salud de la Universidad Técnica del Norte de Ibarra, en la cual se utilizó el cuestionario de autoconcepto AF-5 y la Escala de Hamilton traducida y adaptada. Los resultados del estudio revelan la ansiedad se correlaciona de manera inversa con todas las dimensiones de autoconcepto, lo que indica una correlación negativa entre ambas variables. La fuerza de correlación es alta entre ansiedad y autoconcepto emocional (rs: 0.5<0.7) y media con los otros 4 factores de autoconcepto (rs: 0.3<0.5); asimismo existe una relación altamente significativa, ya que ρ <0.01. Se concluye que a menor nivel de ansiedad mayor será el nivel de autoconcepto.
ELECTROCARDIOGRAPHIC PREDICTORS OF MORTALITY IN ACUTE INFERIOR WALL ST ELEVATION MI PATIENTS
Authors: Bhattacharjee Raj Kumar , Choudhury Ahmed Hussain , Nath Manab , Kar Janmejoy , Roy Tirthankar , Bhattacharjee Prithwiraj
Published: September 2024

Introduction- Outcome in Acute Inferior wall ST elevation MI (IWMI), as often expected,is not always good. Despite many studies on ECG
parameters predicting poor outcome,direct head-to-head comparison of these parameters are lacking. This study was conducted to identify the
prognostic signicance of various ECG parameters in predicting mortality as a vital part of non- invasive evaluation prior to taking the patient to
cath-lab. The study was prospective, observational based with 204 admitted patients of acute IWMI r Methods- evascularized by either primary
PCI or pharmaco-invasive strategy. Patients were assessed for ECG and other non-invasive parameters in relation to occurrence of death during
hospital stay and at follow-up of one month. Mean age was 57.98 ± 9.022 years with 164(80.4%) males Results- and 40 (19.6%) females. Inhospital mortality occurred in 20 patients (9.8%);mortality during follow up was noted in 4 out of 184 surviving patients. Among the non ECG
parameters, only female gender, Killip grade of > 2 and mean LV Ejection Fraction <50% were found to have signicant association with inhospital mortality. On ECG, ST elevation(avR), absolute sum of ST-depression(V1-V6) >0.8millivolt(s-STDV1-V6 >0.8 mV), lateral wall
involvement and presence of ventricular tachycardia/brillation were associated signicantly with increased mortality during hospital stay while
only s-STDV1-V6 >0.8 mV had association with death during follow-up. Logistic regression analysis revealed female gender and s-STDV1-V6
>0.8 mV as independent predictors of mortality during hospital stay. Acute IWMI patients with admis Conclusion- sion ECG nding of s-STDV1-
V6 >0.8 mV represents increased mortality during hospital stay and at follow-up of one month.
COMPARATIVE ANALYSIS OF SHORT-TERM OUTCOMES OF DEVEGA PROCEDURE VERSUS RING ANNULOPLASTY IN TRICUSPID VALVE REPAIR
Authors: Varma Varuna , A. Aziz Munshi Muzil , Kumar Ravi
Published: September 2024

Background: The study aimed to compare the operative and one year postoperative outcomes of two surgical techniques for tricuspid
regurgitation: DeVega's procedure and ring annuloplasty. Methods: Atotal of 22 patients were included, with 13 undergoing DeVega's procedure
(Group A) and 9 undergoing ring annuloplasty (Group B). We evaluated operative details, postoperative outcomes, and changes in
echocardiographic parameters before surgery and one year postoperatively. Results:Group B exhibited longer aortic cross-clamp (100.66±65.77
vs. 66.38±27.25 minutes) and CPB times (157.55±116.22 vs. 106.08±20.91 minutes), longer extubation times (6.44±2.12 vs. 5.15±0.80 hours),
and higher total drain output (491.66±168.17 vs. 323.07±137.86 mL), while ICU and hospital stay durations were similar between groups.
Mortality rates were higher in Group A (23.07%) compared to Group B (11.1%). One year postoperatively, both groups showed signicant
improvement in the degree of tricuspid regurgitation. Group Ahad a greater reduction in severe regurgitation and a higher number of patients with
mild or trivial regurgitation. Both groups exhibited decreased TR velocity, PRVSP, and cases of pulmonary arterial hypertension, alongside a slight
increase in LVmass. Conclusion: Ring annuloplasty for tricuspid repair demonstrated favorable outcomes with lower mortality and postoperative
complications compared to DeVega's procedure. Both techniques effectively reduced tricuspid regurgitation and associated echocardiographic
parameters.
A CASE OF RHEUMATOID ARTHRITIS OVERLAPPING PRIMARY SJOGREN'S SYNDROME
Authors: Mushtaq Bhat Mohammed , Ishtiyaq Shah Mehreen
Published: September 2024

This case study describes a 44-year-old right-handed female presenting with a complex medical history spanning several years. She complained of
chronic bilateral joint pain and swelling for 18 years, accompanied by tooth discoloration and gum swelling for 10 years, recurrent swelling below
the left ear for 8 years, and persistent dryness of skin, mouth, and eyes for 8 years (1). Additionally, she experienced exertional breathlessness for 2
years. Clinical examination revealed symmetrical, progressive arthritis affecting multiple joints, salivary and lacrimal gland dysfunction, and
characteristic musculoskeletal deformities (2). Past medical history included chikungunya fever in 2005, with no signicant comorbidities or
family history except for maternal arthritis (3). After extensive investigations and history taking nally, she was diagnosed to be a case of
rheumatoid arthritis overlapping primary Sjogren's syndrome (4). Treatment focused on managing symptoms of Sjogren's syndrome with
medications such as cyclosporine, pilocarpine, hydroxychloroquine, and methotrexate, along with potential surgical interventions for symptom
relief (5).
STUDY OF THE TRENDS IN REPERFUSION AND OUTCOME OF STEMI PATIENTS IN THE LAST 5 YEARS AT A TERTIARY CENTRE.
Authors: Dhobe Manisha , Borade Sunita , Pol Atul , Makhale C. N. , Grant P. K.
Published: September 2024

Background: This study aims to delineate trends in reperfusion strategies and outcomes for ST-Elevation Myocardial Infarction (STEMI) patients
over a ve-year period at a tertiary care centre. It provides a detailed examination of demographic shifts, clinical practices, and patient outcomes.
Method: We conducted a retrospective and prospective cohort study of 815 STEMI patients admitted between 2019 and 2023. Comprehensive
data and trends were analysed. The study shows almost equal percentage of patients received thrombo Results: lysis and primary angioplasty post
covid period. Mortality rate remained stable over ve years. Around 3-fold rise in patients under 40 years from 5.8% to 15.84%. A considerable
portion of patients presented late, particularly in the 1-6 hours category. Morbidity trends varied. The length of hospital stays (1to3 days) improved,
reecting enhanced healthcare access and efciency. Compared to Indian and Western cohorts, our fac Comparison with Registries: ility showed
comparable mortality rates but highlighted areas for improvement in morbidity reduction and reperfusion timing. The demographics and
symptomatology recorded align well with broader trends suggesting a consistent approach towards STEMI management globally. Conclusion:
Over the last ve years, our centre has made signicant strides in the management of STEMI. In hospital mortality rates remained stable or
improved slightly despite the complexity of cases. The performance, while comparable to international standards in many areas, suggests specic
avenues for targeted interventions to meet or exceed clinical outcome benchmarks in morbidity and timely treatment. CODE STEMI (CODE
GREEN) launched on world heart day 29th September 2023 to further reduce reperfusion time
EFFECT OF COVID -19 PANDEMIC ON THE EDUCATION OF POST GRADUATE STUDENTS IN THE FIELD OF PERIODONTOLOGY IN NORTH INDIA
Authors: Kaur Sumanpreet , Jain Sanjeev , Saxena Divya , C. N Smitha. , Pandav Gaurav , Lal Sheetal
Published: September 2024

Aim :To evaluate the challenges faced by students pursuing post-graduation (PG) in the eld of Periodontology during time of covid pandemic and
suggested remedial measures. Objective :1. To identify the specic problems faced by 124 PG students of North India in eld of Periodontology
during covid pandemic. 2. To evaluate the obtained data. 3. Based on the above, to suggest changes and copying strategies for students and the
institutions in such circumstances. Conclusion: Trainees in periodontology dental speciality put their best efforts at the time of pandemic in spite of
high levels of stress and a feeling of inadequacy. In such circumstances, it is always imperative to validate their efforts, and implement a versatile
approach in evaluating them to safeguard psychological health. Moreover, some changes made by local authorities of institution as well as through
a proper directive guidelines of the Dental Council of India for their alternative methods of training and evaluation can help in combating such
difculties in future. A ready reference of 'Standard operative procedures' (SOP) can also be prepared and kept at hand in case of such
circumstances if they arise again.
Somatic Comorbidities in Hospitalized Psychiatric Patients at Meknes Psychiatric Service: A Qualitative Study of 130 Cases
Authors: Yamoul M. , Benhidach S.
Published: September 2024

Psychiatric patients often present with somatic comorbidities, complicating their treatment by influencing the course of the mental illness and response to therapies. This study, conducted at the psychiatric department of Meknes Hospital, analyzed a sample of 130 patients hospitalized between January and December 2023. Data were collected from medical records and semi-structured interviews, including psychiatric and somatic diagnoses as well as treatments received. The analysis revealed that 75% of the patients had at least one somatic comorbidity, the most common being hypertension (40%), type 2 diabetes (30%), and cardiovascular diseases (25%). The results show that the simultaneous management of psychiatric and somatic disorders is complex, often due to medication interactions and insufficient coordination between mental health services and other medical specialties. Healthcare professionals identified an urgent need for additional training and improved coordination of care to better address these challenges. In conclusion, the study highlights the importance of an integrated care approach for psychiatric patients with somatic comorbidities, recommending continuous training programs for caregivers and better coordination between medical services to improve care quality and reduce complications related to comorbidities.
Knowledge and Practices of Family Planning among Adolescents in the Sahelian Environment of Mali
Authors: Mansa Sidibe Drissa , Ousmane Traore , Siaka Diakité , Intibeye Tembiné , Mamadou N’Diaye , Mamadou Dembélé , Souleymane Sidibé , Souleymane Goita Issa , Ouncoumba Diarra , Rodrigue Traoré Pierre , Fatoum Dicko
Published: September 2024

Introduction: Family planning is a “way of spending and living, in order to improve the health of the family. It saves the lives of adolescents. In this work, the authors studied the knowledge and practices of adolescents in relation to family planning in five health areas in Mali in 2022, the objective of which was to describe the knowledge and practices of adolescents in relation to family planning. Methodology: This was a cross-sectional, quantitative study, the survey of which was conducted between March and April 2022 in five health areas in Mali and targeted single adolescents aged 15 to 19. We used a structured questionnaire administered in individual interviews, the data of which were collected using KoboCollect. The analysis was done with SPSS 22 software. Results: During our survey, 1,404 young adolescents were targeted. We recorded a participation rate of 92% of cases (n= 1287). Although an equal distribution between girls and boys was planned for the present survey, boys were more numerous than girls (51.7% vs 48.3%). Except for the male condom, all other family planning methods were better known by girls than boys. Indeed, 29% of girls said they did not know any family planning method compared to 37% of boys. Despite good knowledge of family planning methods, more than 77% of girls and boys did not use any family planning method. Boys used condoms more (21.4%) due to ease of access (47%), lower cost (44%) and no need for assistance in its administration (18%). They mainly obtained their supplies from pharmacies (52%); from shops (40%) and only 10% obtained their supplies from the health center. As for girls, they used implants more (15.1%) because of their longer duration in (30%) and their availability (17%). Conclusion: Despite the good knowledge of family planning methods by adolescents in Mali, more than 77% of girls and boys did not use any family planning method. If they managed to use it, boys preferred condoms and girls implants (15.1%).
Pulmonary Artery Thrombus Visible on Transthoracic Echocardiography in a Patient with Saddle Pulmonary Embolism
Authors: Jagadish Ashwin , Innes Trystan , Notta Shahnawaz , Hiremagalur Shobha
Published: September 2024

Saddle pulmonary embolism (SPE) is an uncommon type of acute pulmonary embolism. It involves the presence of a thrombus where the main pulmonary artery divides into the left and right pulmonary arteries. We present the case of a 53-year-old male who had symptoms of chest pain and dyspnea for a few days prior to visiting the emergency department. Computed tomography pulmonary angiogram (CTPA) revealed SPE, so the patient underwent catheter-directed thrombectomy. A transthoracic echocardiogram completed after the procedure showed a thrombus in the main pulmonary artery and right pulmonary artery. A repeat CTPA demonstrated multiple pulmonary emboli and an embolus in the left pulmonary artery. While in the hospital, he received heparin. On discharge, he was given oral apixaban. Three months later, imaging revealed that the embolism had resolved. This case is unique since a pulmonary embolism was visible on transthoracic echocardiogram, a rare occurrence.
Non-Alcoholic Gayet-Wernicke Encephalopathy in an Elderly Malnourished Patient: A Case Report and Review of Diagnostic and Therapeutic Approaches
Authors: Chafi Khalil , Boubga Taoufik , Bellamlih Habib , Bentaher Amine , Belabbes Soufiane , Africha Taoufik , Zainoun Brahim
Published: September 2024

Wernicke's encephalopathy results from a thiamine deficiency. It is an underdiagnosed pathology, particularly in the geriatric population, with irreversible consequences. We report a case of a Wernicke's encephalopathy in an elderly patient who was hospitalized for anorexia, in a context of inappropriate re-feeding. Neurological deterioration was observed following the instatement of parenteral nutrition. Brain MRI evidenced anomalies suggestive of Wernicke's encephalopathy. Intravenous treatment with thiamine provided an improvement in mental alertness, nevertheless contrasting with an aggravation of her cognitive disorders. This case illustrates the gravity of Wernicke's encephalopathy, which entails a risk of severe complications among elderly, malnourished patients. It is a diagnostic and therapeutic emergency.
The Effects of Person-supervisor Psychological Capital Congruence and Incongruence on Intention to Leave and In-role Performance
Authors:   The Korean Association Of Personnel Administration, Jeong Jaeyun , Park Kyoung Won
Published: September 2024

This paper examines the effects of congruence and incongruence in psychological capital between employees and supervisors on employees' intention to leave and in-role performance, using the similarity-attraction theory and the role theory. This paper analyzes a survey data from 400 team members and 33 leaders at three shopping malls in Yangon, Myanmar, employing multilevel polynomial regression analysis and three-dimensional response surface analysis. The findings are three-fold. First, the congruence in psychological capital between team members and team leaders is negatively related to team members' intention to leave and positively to in-role performance. Second, the level of this congruence in psychological capital between team members and team leaders is negatively related to the intention to leave and positively to in-role performance. Lastly, the incongruence resulting from team members having higher psychological capital than their team leaders shows a negative relationship with the intention to leave and a positive relationship with in-role performance. These findings suggest that in a team-based organizational environment, an individual's attitudes and performance can be influenced by the interplay beween their psychological capital and their supervisor's psychological capital.
ANÁLISE EPIDEMIOLÓGICA DAS INTERNAÇÕES POR HEPATITE B NO BRASIL, ENTRE 2019 E 2023
Authors: Ferraz Lanna Karen Galvão Araújo , Marques Carolina Farias , Rufatto Leonardo , Vieira Luiza Borges , Quintanilha Pedro Guilherme Felix , Corrêa Luana Musa dos Santos , Da Cunha Lucas Fontana Breguez , Nogueira Clara Bethencourt , Mattos Amanda Aded Moreira , De Alcântara Leonardo Lassance , Dettogni Guilherme , Sperandio Izabelly Coutinho , Da Silva Diogo Henrique Novais , Aguiar Bruna Danorato Cruz , Viegas Sérgio Matheus de Almeida , Silva Nayara Fonseca , Gondim Larissa Moura
Published: September 2024

INTRODUÇÃO: A Hepatite B é uma infecção viral que afeta principalmente o fígado, podendo evoluir para condições graves como cirrose e carcinoma hepatocelular. Causada pelo vírus da hepatite B (HBV), é transmitida por fluidos corporais, sendo altamente contagiosa. A infecção pode se manifestar de forma aguda ou crônica, com significativa prevalência global, e representa um desafio de saúde pública, especialmente em relação à prevenção e manejo clínico. OBJETIVO: Este estudo visa quantificar e analisar as taxas de internações por hepatite B no Brasil. METODOLOGIA: O estudo retrospectivo com abordagem quantitativa utilizou dados do Sistema de Informações Hospitalares do SUS (SIH/SUS), fornecidos pelo Departamento de Informática do SUS (TABNET/DATASUS). A análise abrangeu internações por hepatite B no Brasil de janeiro de 2019 a dezembro de 2023, empregando estatística descritiva e tabulação em planilhas do Microsoft Excel 2016 e Microsoft Word 10.  RESULTADOS E DISCUSSÃO: Entre janeiro de 2019 e dezembro de 2023, foram registradas 4.320 internações por Hepatite B no Brasil. A maior incidência ocorreu na Região Nordeste (1.820 internações), seguida pela Região Sudeste (1.254). A Região Sul apresentou 479 internações, enquanto as Regiões Norte e Centro-Oeste registraram 334 e 433 internações, respectivamente. Observou-se uma tendência de queda nas internações ao longo do período analisado. CONCLUSÃO: A análise das internações por Hepatite B entre 2019 e 2023 demonstra progressos significativos nas estratégias de controle, evidenciando uma redução geral nas hospitalizações. No entanto, as disparidades regionais persistem, indicando a necessidade de abordagens mais específicas e contínuas. Manter a vigilância, expandir o acesso a cuidados e adaptar políticas às realidades locais são essenciais para o controle eficaz da doença no Brasil.
NOVOS AVANÇOS NO TRATAMENTO DA DERMATITE ATÓPICA: UMA REVISÃO DE LITERATURA
Authors: Lorencini Mariana Santos , Sisternas dos Santos Ana Claudia , Bettoni Delatorre Laura , Casotti Santi Juliana , Rodrigues Badiani Fernando
Published: September 2024

A dermatite atópica (DA) é uma doença crônica e inflamatória da pele, caracterizada por lesões eczematosas, prurido intenso e um impacto significativo na qualidade de vida dos pacientes. Nos últimos anos, o avanço na compreensão dos mecanismos imunológicos subjacentes à dermatite atópica tem proporcionado o desenvolvimento de novas terapias direcionadas, que prometem revolucionar o tratamento desta condição.
       Os tratamentos tradicionais, como corticosteroides tópicos e imunossupressores, permanecem como pilares na gestão da DA. No entanto, eles muitas vezes apresentam limitações, incluindo efeitos colaterais a longo prazo e a falta de eficácia em alguns pacientes. Isso tem impulsionado a busca por alternativas mais seguras e eficazes, levando ao surgimento de novas classes de medicamentos, como os inibidores de JAK, biológicos, e terapias baseadas em pequenas moléculas.
       Estudos recentes destacam o potencial dos biológicos, como dupilumabe, um anticorpo monoclonal que bloqueia a sinalização da IL-4 e IL-13, citocinas-chave na patogênese da DA. Esse tratamento tem mostrado eficácia significativa em pacientes com DA moderada a grave, proporcionando melhora clínica duradoura e uma redução importante nos sintomas.
       Além disso, os inibidores de JAK emergem como uma opção promissora, interferindo na sinalização de múltiplas citocinas envolvidas na resposta inflamatória. Ensaios clínicos indicam que esses medicamentos não só melhoram os sintomas da dermatite atópica, mas também oferecem um perfil de segurança aceitável, o que amplia as opções terapêuticas disponíveis para os pacientes.
       A revisão da literatura também aborda o papel crescente das terapias tópicas inovadoras, incluindo inibidores de PDE4 e moduladores de barreira cutânea, que têm mostrado eficácia em reduzir a inflamação e restaurar a função de barreira da pele. Esses avanços oferecem novas esperanças para pacientes que não respondem adequadamente aos tratamentos convencionais.
       Em suma, a revisão das inovações terapêuticas no tratamento da dermatite atópica revelaum cenário em rápida evolução, onde a personalização do tratamento com base no perfil imunológico e a severidade da doença estão se tornando realidade. O futuro do tratamento da DA parece promissor, com uma ênfase crescente na segurança, eficácia e qualidade de vida dos pacientes, reforçando a importância da pesquisa contínua e do desenvolvimento de novas abordagens terapêuticas.
PROMOVENDO A SAÚDE BUCAL NA GESTAÇÃO: PREVENÇÃO DA SÍFILIS E CUIDADOS ODONTOLÓGICOS NO ESTADO DO PARANÁ
Authors: Souza Ayany Kamilli Silva , Salomé Dieise Paloma , Costa Gracieli Leite da , Oliveira Viviane Martins de , Batisti Daniella Londero Silva
Published: September 2024

A sífilis na gestação é uma importante questão de saúde pública, pois pode causar graves complicações para o feto servindo como um importante indicador da qualidade dos cuidados de saúde materno-infantil.
O objetivo deste trabalho visa investigar a literatura sobre os riscos da sífilis gestacional e suas consequências, contribuindo para políticas de saúde pública que promovam a prevenção, diagnóstico precoce e seu tratamento. 
Foi realizada uma revisão da literatura e uma análise quantitativa de dados públicos que detalham os casos confirmados de sífilis em gestantes no período de 2019 a 2023 no estado do Paraná. 
Concluímos a importância de estratégias eficazes de prevenção, diagnóstico precoce e tratamento adequado para combater a sífilis durante a gravidez, assim como uma abordagem integrada no controle da sífilis gestacional.
HUMANIZAÇÃO DOS PROFISSIONAIS DE ENFERMAGEM NO ÂMBITO PRÉ-HOSPITALAR: UMA REVISÃO INTEGRATIVA
Authors: Ribeiro Mayra das Graças Machado Alves , Maria Alves Alencar Pereira Lavínia , Paula Viana de Araújo Ana , Carla Soares Bezerra Luana , Bianca Rocha Oliveria Liara , De Sousa Silva Giselly , Fernanda Alves Maia Antonia , Islaine Rodrigues de Sousa Araújo Glória , Samara Barbosa da Silva Lustosa Francisca , Brito de Sousa Gabriella , Matheus Alves da Silva Sousa Jose , Rodrigues Sousa Janaina
Published: September 2024

Este artigo buscar analisar a humanização dos profissioanais de enfermagem no atendimento pré-hospitalar através de uma revisão integrativa de 13 estudos recentes. A metodologia incluiu pesquisas em PubMed, BVS e LILACS, com descritores relacionados a "profissionais de enfermagem" e "humanização". Os resultados destacam a importância dos enfermeiros na humanização, mas também os desafios enfrentados, como alta demanda e condições de trabalho difíceis. Conclui-se que, apesar das limitações, é crucial buscar melhorias contínuas na qualidade do atendimento e promover uma prática ética mais humanizada.
A PRATICA DE ATIVIDADE FÍSICA NO TRATAMENTO E PREVENÇÃO DA HIPERTENSÃO
Authors: Silva Pedro Augusto Barbosa , Barroso da Silva Mateus de Grise , Nacagami Lucas Rodrigues , Figueredo Yara Guimarães , Dutra Pimenta Larissa Gonçalves , Squizato de Souza Maria Jullia , Soares da Silva Kaylane Evilyn , Mateus Furlan Maria Eduarda , Da Silva Leticia Martins , Gonçalves Yasmim Nascimento , Ferraz Egidio Lara Sobreira
Published: September 2024

Introdução: A hipertensão arterial sistêmica (HAS) é uma das condições mais comuns do mundo, sendo um fator de risco para diversas condições, incluindo doenças cardiovasculares. As doenças cardiovasculares são a causa mais comum de morte no mundo, chegando a metade das mortes por doenças não transmissíveis. A atividade física é recomendada como uma medida benéfica para a saúde, principalmente,  ao sistema cardiovascular. Objetivo: Analisar os benefícios que a atividade física apresenta no tratamento e prevenção da hipertensão. Método: Trata-se de uma revisão narrativa dos ultimos 3 anos, do período de 2021 a 2024, utilizando as bases de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Medline com os descritores:   "atividade física" "tratamento" "prevenção" "hipertensão". Foram encontrados 44 artigos, sendo eles submetidos aos critérios de seleção. Os critérios de inclusão foram artigos disponibilizados na íntegra e que se relacionavam à proposta estudada. Resultado e Discussão: Foram selecionados 10 artigos. A prática regular de atividades físicas e uma alimentação saudável está associada a uma redução da morbimortalidade cardiovascular. Os exercícios estão associados a uma redução da pressão arterial, sendo importante tanto para o tratamento da hipertensão, quanto para a prevenção e controle dessa condição. Esse tratamento não farmacológico é considerado um tratamento de primeira linha para essa doença. Alguns dos benefícios da atividade  na redução dos níveis pressóricos e cardiometabólicos são: perda de peso, aumento da sensibilidade à insulina e do barorreflexo, diminuição da atividade simpática e elevação da parassimpática. Conclusão: Nessa perspectiva, nota-se a importância da atividade física para redução da pressão arterial e logo, da redução dos riscos cardiovasculares.
REABILITAÇÃO ESTÉTICA E FUNCIONAL COM ELEMENTOS EM CERÂMICA REFORÇADOS COM DISSILICATO DE LÍTIO: RELATO DE CASO
Authors: Geremia Rian Venturin , Boff Felipe Brusamarello , Paulus Marília , Cesero Leonardo De
Published: September 2024

O descontentamento com a estética e oclusão dos dentes tem aumentado a busca por tratamentos odontológicos. Desta maneira, um dos principais propósitos da odontologia estética é projetar dentes de forma a ficarem naturais e esteticamente adequados às necessidades individuais e específicas de cada paciente. Com o aumento da expectativa de vida e o aprimoramento da saúde bucal das pessoas têm ocasionado transformações significativas no âmbito da reabilitação protética odontológica. Com a evolução dos sistemas cerâmicos reforçados por Dissilicato de Lítio promoveu o aumento do desempenho clínico das restaurações protéticas, tornando possível reestabelecer a função e estética em pacientes insatisfeitos com o seu sorriso. No presente estudo foram confeccionadas 10 peças em cerâmica reforçadas com Dissilicato de Lítio, nas quais 3 foram overlays nos dentes 24,25 e 15, 2 coroas nos dentes 14 e 21 e 5 facetas nos dentes 13,12,11,22 e 23, que foram cimentadas com cimento resinoso Relyx Ultimate. As reabilitações com próteses em cerâmica apresentam resultados excelentes quando planejadas e executadas corretamente, proporcionando satisfação total do paciente. Ao final do tratamento, garantiu-se o alinhamento, simetria, proporção de tamanho e cor de todos os dentes, além de uma boa adaptação marginal das próteses. Assim, devolvendo a função estética e mastigatória. A paciente expressou grande contentamento e satisfação ao final do tratamento, afirmando que suas expectativas foram amplamente superadas.
Consequências Neuropsiquiátricas da Anemia Ferropriva em Crianças. Revisão de Literatura
Authors: Eduardo Lopes Carreiro de Alencar  , Natália Alves Lemos  , Clara Rachid Moreira  , Hanne Lise Silva Veloso  , Luiza da Conceição Sabadini  , Gustavo Nascimento Gomes  , Marcos Vagne Souza Ribas Júnior  , Enzo Raposo Santana  , Juan Carlos de Moura Macedo  , Sarah Elisa Gomes de Paula Macêdo  , Milena de Fátima Monteiro Lopes  , Giovanna Carolina Campos Olivério  , Ana Paula Guimarães Sá
Published: September 2024

A falta de ferro no organismo é um problema significativo de saúde pública em nível mundial, identificado pela diminuição dos níveis de hemoglobina no sangue em comparação com os valores considerados normais para a faixa etária e sexo da pessoa. Durante a infância, a deficiência de ferro é uma das deficiências mais comuns e pode ter impactos sérios no desenvolvimento infantil. Este estudo tem como objetivo discutir os principais fatores, impactos e frequência da falta de ferro em crianças, por meio de uma análise da literatura disponível. A pesquisa foi realizada utilizando fontes da Biblioteca Virtual em Saúde (BVS), Scientific Electronic Library Online (Scielo) e da Literatura latino-americana e do caribe em Ciências da Saúde (LILACS). Foram selecionados estudos científicos em língua portuguesa, de acesso livre, publicados entre 2011 e 2018, com os termos-chave "falta de ferro em crianças" e "deficiência de ferro". A amostra final incluiu 16 artigos. Os resultados apontam que a carência de ferro em crianças está relacionada a condições socioeconômicas desfavoráveis, falta de aleitamento materno exclusivo e introdução prematura de alimentos sólidos (alimentação inadequada). As consequências incluem alterações cognitivas, comportamentais e imunológicas (com menor resistência a infecções), baixo desempenho escolar, atraso no crescimento e desenvolvimento motor, fadiga e falta de atenção. Em conclusão, a deficiência de ferro em crianças tem diversos impactos negativos no organismo, com diversos fatores relacionados à alimentação e condição financeira da família.
Roda de conversa como ferramenta de humanização assistencial à familiares com crianças internadas em UTI
Authors: Deborah Carolina Lucena Oliveira  , Denize Negrão de Miranda  , Leonice Soares Nunes Monteiro  , Joelma Bernadeth Bezerra Lima  , Georgina de Sena Vilar  , Sheila José Lobato Leão  , Cibele Couto de Freitas Bordalo  , Etely do Socorro da Silva Miranda  , Ivana Ribeiro Drago  , Lilian de Cássia Lopes Pinheiro de Souza  , Wesley Brandão Dias  , Silva Jéssica Maria Lins da
Published: September 2024

Este artigo apresentou a implementação e os resultados de uma roda de conversa destinada aos pais de crianças internadas na UTI, com o objetivo de promover a humanização da assistência e oferecer suporte emocional. Trata-se de um relato de experiência. A atividade foi planejada com base em uma avaliação das necessidades dos pais, contando com a participação de uma equipe de enfermagem treinada para mediar o encontro. Os resultados mostraram que os pais valorizaram bastante a oportunidade de interagir e se apoiar mutuamente, o que ajudou a aliviar a ansiedade e a sensação de isolamento. A equipe de enfermagem desempenhou um papel crucial ao proporcionar suporte emocional e facilitar a comunicação, o que evidenciou a importância do cuidado humanizado no contexto hospitalar. A experiência ressaltou a necessidade de replicar iniciativas semelhantes em outros ambientes hospitalares para continuar promovendo um atendimento mais centrado no paciente e em suas famílias, melhorando, assim, a qualidade global da assistência e a experiência dos pacientes e seus familiares.
The Effect of Team Size and Dynamics on Agile Estimation
Authors: SUNIL KUMAR SUVVARI  , DR. ROHINI SAWALKAR  , DR. VISHWANATH KARAD
Published: September 2024

This paper presents the impact of team size and dynamics on agile estimation accuracy and strategies for improving estimation in diversified teams. We employed a mixed-method approach with online surveys, interviews, and case studies. The data received and analyzed in this research came from 150 agile teams representing different industries. Our results show that strong interdependency exists between team size and the dispersion of estimations. The best estimation accuracy was when the team had 5-9 members. Team dynamics, particularly cohesion and psychological safety, emerged as important in the estimation outcome. Based on these insights, we propose a framework for improving estimation practice within agile teams, including tailoring and continuous improvement.
Effectiveness of treatment of oropharyngeal carcinoma patients
Authors: Lukach Ervin V. , Dikhtiaruk Viktor Ya. , Kovtunenko Oleksandr V. , Bakaiev Anatoliy A.
Published: September 2024

Aim: To analyze the results of treatment of patients with oropharyngeal carcinoma.
Materials and Methods: 276 patients with oropharyngeal carcinoma were treated in 2008-2021. Neoadjuvant chemotherapy consisted of three to six cycles: paclitaxel 175 mg/m2 and carboplatin 350 mg/m2 (or cisplatin 100 mg/m2) on the first day. The interval between cycles was 21 days. After the cycles, all patients were prescribed a course of radiation therapy in a total focal dose (TFD) of 65 Gy. The outcome of treatment was assessed by the degree of tumor regression according to RECIST criteria one month after the end of combination treatment. Statistical processing was performed using STATISTICA 6.1 software (StatSoftInc).
Results: The three- and five-year survival rates of the examined patients with oropharyngeal carcinoma after treatment were 40.8% respectively (95% CI 33.7 - 47.9) and 27.0%, (95% CI 20.6 - 33, 4) with a median survival of 36 months with 95% CI (35.5 - 40.2). Processing was performed using STATISTICA 6.1 software (StatSoftInc).
Сonclusions: Analysis of treatment of patients with oropharyngeal carcinoma with predominance of squamous cell carcinoma (90.6%), localized primarily in the palatine tonsil (73.2%), with the most common stages T3N1M0 (30.1%) and T3N1M0 %), with regional metastases to the lymph nodes of the neck (89.9%), showed that the effectiveness of treatment of patients is quite high, because in most of the examined in the short term after combined treatment there was complete or partial regression of the tumor (91.7%), no progression of the oncological process was detected in any of them.
Prognostic factors for low- and high grade squamous intraepithelial lesions in histological preparations following LLETZ procedure
Authors: Ivanova Yonka , Kornovski Yavor , Kostov Stoyan , Slavchev Stanislav , Metodiev Dimitar , Yordanov Angel
Published: September 2024

Aim: To investigate the influence of the following prognostic factors: age, parity, hormonal status (premenopausal, postmenopausal), histological result from targeted biopsy (LSIL, HSIL), adequacy of colposcopic examination (satisfactory, unsatisfactory colposcopy), type of TZ (type 1, 2, 3), type of cervical lesions (type 1, 2, 3), the colposcopic impression (diagnosis) of the cervical lesion (LSIL, HSIL/Ca colli uteri in situ), lesion size (up to 1/3; up to 2/3; more than 2/3 of the cervical circumference) for the occurrence of LSIL and HSIL/Ca colli uteri in situ in the final histological result after LLETZ procedure.
Materials and Methods: This is a prospective study (01.01.2017 – 31.07. 2021) including 189 patients with cervical precancerous lesions received LLETZ treatment One gynaecologic oncologist performed video colposcopy, targeted biopsy, and LLETZ. One histopathologist diagnosed histological specimens from the biopsy and LLETZ procedure
Results: We found a statistically significant correlation between the histological result of the targeted biopsy factor and the colposcopic diagnosis factor concerning the final histological result of LLETZ. The cervical lesion size factor and cervical lesion type factor have prognostic significance for the histological outcome following LLETZ.
Conclusions: The histological result of targeted biopsy and colposcopic diagnosis are significant factors for the final histological result after LLETZ. Cervical lesion invasion into the endocervical canal is a prognostic factor for HSIL, and its invisible borders – for carcinoma (in situ or microinvasive/invasive). Lesion size up to 1/3 of the cervix is a prognostic factor for LSIL and large lesions (2/3 of the cervix) – for HSIL and cervical cancer (in situ, microinvasive/invasive).
KINERJA PERTUMBUHAN IKAN LELE (Clarias sp) YANG DIBERIKAN PAKAN DENGAN CAMPURAN EKSTRAK BATANG PISANG (Musa sp)
Authors: Djauhari Ricky , Rizali Ahmad , Rozik Mohamad , Rosita Rosita , Sylvia Monalisa Shinta , Noor Yasin Muhamad
Published: September 2024

Salah satu kendala dalam budidaya ikan lele (Clarias sp) adalah efisiensi pakan yang rendah. Oleh karena itu, diperlukan suatu terobosan dalam budidaya ikan lele guna meningkatkan efisiensi pemanfaatan pakan yang berujung pada peningkatan produksi dan profit usaha budidaya ikan lele. Penelitian ini bertujuan untuk mengevaluasi pengaruh dari suplementasi ekstrak batang pisang terhadap kinerja pertumbuhan ikan lele di kolam tanah gambut tergenang. Pada penelitian ini terdiri dari empat perlakuan, yaitu kontrol (A), ekstrak batang pisang dengan dosis 2% (B), ekstrak batang pisang 4%(C), dan ekstrak batang pisang 6%(D) di campurkan ke dalam pakan dengan ulangan tiga kali. Ikan dengan bobot awal rata-rata 1,25 g ditebar secara acak pada 12 hapa berukuran 1 x 1 x 1 m³ yang dipasang pada kolam tanah dengan kepadatan 40 ekor/hapa. Ikan diberi pakan uji secara ad satation dengan frekuensi dua kali sehari selama 14 hari. Suplementasi Ekstrak batang pisang (perlakuan B) menunjukan nilai rata-rata hasil yang lebih baik pada parameter kinerja pertumbuhan ikan lele, yaitu jumlah konsumsi pakan lebih hemat, laju pertumbuhan bobot harian, laju pertumbuhan spesifik, efisiensi pakan lebih tinggi dan rasio konversi pakan lebih rendah dibanding perlakuan lainnya. Suplementasi Ekstrak batang pisang menunjukan pengaruh positif pada jumlah konsumsi pakan (165g), laju pertummbuhan bobot harian(8,21g/hari), laju pertumbuhan spesifik (12,31%/hari), efisiensi pakan(69,85), yang ditunjukan dengan nilai rasio konversi pakan (1,43)
Deep learning-powered segmentation and classification of diabetic retinopathy for enhanced diagnostic precision
Authors: Harisha Manoj Saligrama , Bhosale Arya Arun , Narender M.
Published: September 2024

This study addresses the critical challenge of diabetic retinopathy (DR), a severe complication of diabetes that potentially leads to blindness. We introduce a novel approach to DR detection using transfer learning, leveraging a single fundus photograph to automatically identify the disease’s stage. DR progresses through four stages, posing challenges for early detection, with existing methods often inefficient and prone to disagreements among clinicians. The proposed approach demonstrated in the APTOS 2019 Blindness Detection Competition employs convolutional neural networks (CNNs) and achieved a high quadratic weighted kappa score of 0.92546, highlighting its effectiveness in automatic DR detection and emphasizing the need for timely intervention. This paper first reviews related work, spanning classical computer vision methods to deep learning approaches, with a focus on CNNs. Transfer learning with CNN architectures is explored, showcasing promising results from various studies. Identifying two critical gaps in existing literature, the research emphasizes the need for comprehensive exploration into integrating pre-trained large language models (LLMs) with segmented image inputs for generating test/treatment recommendations. In addition, understanding the dynamic interactions among integrated components, including lesion segmentations, disease classification, and LLMs within web applications, remains essential. The objectives of the study include developing a comprehensive DR detection methodology, exploring and implementing model integration, evaluating performance through competition ranking, contributing significantly to DR detection methodologies, and identifying research gaps. The study encompasses revolutionizing DR detection by integrating cutting-edge technologies, focusing on transfer learning and various model integrations within web applications. The methodology covers data pre-processing, augmentation, segmentation using U-Net neural network architecture, and a detailed training process. The U-Net model demonstrates efficient segmentation of retinal structures with high accuracy and an impressive frames-per-second rate. The results highlight the model’s effectiveness in segmenting blood vessels, hard exudates, soft exudates, hemorrhages, microaneurysms, and the optical disc, with high Jaccard, F1, recall, precision, and accuracy scores. These findings underscore the model’s potential to enhance diagnostic capabilities in retinal pathology assessment, promising improved patient outcomes through timely diagnosis and intervention in combating DR.
Cancer radiotherapy with mini neutron/gamma-ray generators
Authors: Leung Ka-Ngo , Leung James K.
Published: September 2024

Recent advancements in negative hydrogen (H-) or negative deuterium (D-) ion source technology as well as the commercial availability of high-frequency AC high-voltage power supplies have enabled the development of mini neutron/gamma-ray generators using low-energy nuclear reactions. These generators can provide a useful flux of high-energy neutrons or gamma photons in either pulsed or continuous operations. With the new mini generator, intraoperative radiotherapy as well as treatment of tumors in the brain, skin, breast, salivary gland, pancreas, liver, and kidney can be performed using external or internal neutron/gamma-ray beams. The new radiotherapy system is very compact and requires very low power for operation, enabling its location inside an operation room of a hospital or clinical facility.
Material extrusion-based printing optimization of recycled HDPE filaments made from used milk jugs
Authors: Phillis Teng Soek Po , Hiong Tee Chor , Boon Tan Hwee , Fai Leong Kah
Published: September 2024

Fused deposition modeling printing is a material extrusion (MEX) process that has gained popularity over the years due to its increased affordability and greater versatility. There is a wide variety of MEX printing technologies and a broad spectrum of materials that can be 3D printed, ranging from metallic to non-metallic materials. MEX has emerged as the most common technology in consumer-grade, desktop 3D printers for printing thermoplastics, such as acrylonitrile butadiene styrene (ABS) and polylactic acid. High-density polyethylene (HDPE) is a widely used thermoplastic material for product packaging. The sheer availability of recyclable or recycled HDPE (rHDPE) from used packaging has led to efforts to apply it in MEX printing. However, rHDPE presents challenges as a filament material, including issues such as part detachment from the print bed and high warpage. The focus of this study is to determine the optimal conditions that can mitigate, if not eliminate, the print bed adhesion problems associated with printing rHDPE filaments. This was achieved by conducting a series of tests to address these challenges, including part removability relating to the shear strength of print bed adhesion to identify the necessary range of print bed adhesion and corresponding parameters.
Design, Adaptation, and Validation of a Digital Marketing Instrument in SMEs
Authors: Haro-Zea Karla Liliana , Ovalle Osuna Óscar Omar , Díaz Saavedra Robin Alexander , Millones-Liza Dany Yudet
Published: September 2024

Measuring digital marketing will help evaluate the impact of strategies, increased sales, customer acquisition, and customer retention. This research aims to design, adapt, and validate a scale measuring Digital Marketing in Small and Medium Enterprises. Results were structured as follows: To start, a thorough literature review was carried out. Subsequently, a panel of 6 marketing experts was made, who evaluated the content. Additionally, data collection was carried out with 711 collaborators from the strategic area of SMEs. As well as, exploratory and confirmatory factor analysis was carried out, obtaining a KMO of 0.95, with a variance of 85.80% in three factors, with factor weights greater than 0.5. The values of the goodness-of-fit index are as follows: residual root mean square (RMS) =0.047; goodness-of-fit index (GFI) = 0.876; adjusted goodness-of-fit index (AGPI) =0.825; comparative fit index (CFI) =0.956; Tucker-Lewis index (TLI) =0.945; normalized fit index (NFI) = 0.945; incremental fit index (IFI) = 0.950 and root mean square residual (RMSEA) =0.072. These values imply an acceptable fit for which the model is adequate, and the scale is valid. 
 
 
Received: 3 March 2024 / Accepted: 22 August 2024 / Published: 05 September 2024