bluuebunny/crossref_metadata_2025 huggingface dataset:
Septoplasty and septorhinoplasty in children
Authors: Jeziorny Mateusz Paweł , Frączek Marcin
Published: July 2022

Surgical correction of the nasal septum in childhood remains a controversial issue. Due to concerns that destruction of growth zones in the trapezius cartilage during the procedure may have a significant impact on the later growth of the nose and facial part of cranium, for many years ENT specialists approached the issue of septoplasty in children in a very conservative manner. However, many more recent reports indicate that a conservatively and correctly performed procedure does not pose a threat to the development of the nose and can be safely performed in children with severe septal deviation after 5–6 years of age. In case of the coexistence of deformities in the shape of the external nose, it is recommended to simultaneously correct it, which guarantees an optimal final result. These age restrictions do not apply to urgent cases, such as inter alia: septal hematoma and abscess, tumors and developmental disorders. Most importantly, no or sparing (with preservation of cartilage growth centers) resection of the quadrangular cartilage is essential to avoid nasal growth disorder. Rhinoplasties have been reported to have a higher rate of repair and lower patient aesthetic satisfaction. The decision if to perform surgical treatment and its scope should be made after analyzing the potential benefits and consequences on the one hand and leaving a deviated septum on the other hand. In case of doubt, the operation should be postponed until the end of puberty.
How to rinse the nasal cavities?
Authors: Brożek-Mądry Eliza , Steć Zuzanna , Burska Zofia , Wadowski Wojciech , Krzeski Antoni
Published: July 2022

Aim: Development of an effective method of rinsing the nasal cavities and paranasal sinuses using the Zatoxin Rinse kit.
Material and methods: In order to develop recommendations for rinsing the nasal cavities, a cadaver head specimen from Poznań Lab was used. The nasal cavities were rinsed with a methylene blue solution - 0.8 ml of 10% methylene blue in 240 ml of water. Rinsing was performed in the standard recommended position - the head tilted slightly forward (approx. 20–30 degrees) and to the side – approx. 45 degrees. After endoscopic examination, endoscopic surgery of the paranasal sinuses was performed and the staining of the mucosa of the paranasal sinuses was assessed. The nasal cavities were rinsed again with a solution of water and methylene blue in the head position as described above. Endoscopic examination was performed with the assessment of the staining of the nasal mucosa and paranasal sinuses, and the rinsing was repeated with the head tilted forward to 60 degrees and laterally to 45 degrees. The staining of the mucosa was recorded during the endoscopic examination.
Results: The nasal rinsing performed allowed the fluid to flow along the turbinates into the nasopharyngeal region and then out. After opening the paranasal sinuses, it turned out that only a small amount of methylene blue had penetrated into the maxillary sinuses; There was also no staining of the mucosa within the ethmoid cells, the frontal sinus or the sphenoid sinus. Rinsing the nasal cavities again in the same position, but after the ethmoidectomy, showed poor penetration of methylene blue into the ethmoid region, the frontal sinus ostium and the sphenoid sinus ostium. The re-rinsing of the nasal cavities with the head tilted forward by at least 60 degrees and to the side by 45 degrees resulted in a stronger staining of the rush top and the staining of the entrance to the frontal sinus with methylene blue.
Conclusions: The way the head is positioned when using Zatoxin Rinse should be adapted to the disease, and in the case of surgical treatment, to the type of surgery performed and to which sinuses are affected by the disease, so that the solution reaches the required regions.
Relations of Debt and Credit Networks in Post-Soviet Uzbekistan, Russia and Kazakhstan
Authors: Turaeva Rano , Adambussinova Zarina
Published: July 2022

Any relations and practices of debt within credit networks include not only pure economic exchange, such as barter or non-monetary exchange, but diverse kinds of social relations of debt. In this article, we consider case studies embedded in the particular context of early and late post-Soviet economic and political crisis, in which economic informalization was characterised by ‘wild capitalism’ or the absence of cash and livelihoods. We observe the coping strategies and mechanisms of economic survival adopted by ordinary people in response to these crises and to the absence of state social and economic institutions. We portray people’s concrete experiences of debt, solidary social relations, and economic exchange based on debt relationships in post-Soviet economies. The case studies are drawn from ethnographic material from Uzbekistan, Russia and Kazakhstan. Our case studies reveal that debt relations are not about two individuals who owe money but serve as the basis for debt-based trade, survival, and socializing networks, as well as part of moral economies. The article builds on scholarly works related to informal economies and survival mechanisms in post-Soviet space, to anthropology of debt, as well as discussion of (dis)trust.
Situação do egresso de gestão ambiental da faculdade UnB de planaltina (FUP)
Authors: Almeida Alexandre Nascimento de
Published: July 2022

O trabalho teve como objetivo analisar a influência de atividades acadêmicas na inserção do egresso do curso de Gestão Ambiental - GAM da FUP no mercado de trabalho e na continuidade dos seus estudos. Para tanto, aplicaram-se questionários para os alunos egressos abordando o tema de estudo. Dentre os resultados, destaca-se a influência positiva do estágio na inserção no mercado de trabalho e da iniciação científica para a continuação dos estudos dos egressos.
A geometria através das artes nas unidades prisionais
Authors: Oliveira Gilmar Antônio de
Published: July 2022

O referido trabalho aborda sobre o tema a geometria nas aulas de Matemática através das artes. Como proposta para melhoramento nessa disciplina e uma forma de intervenção no espaço de aula, a qual faz parte da formação continuada dos educadores na modalidade Educação de Jovens e Adultos - EJA.
O uso sensoriamento remoto no manejo biológico e químico do cafeeiro
Authors: Pereira Danusa de Cássia , Sant’Ana Lucas César Frediani
Published: July 2022

As imagens multiespectrais geradas a partir de sensores embarcados em satélites são ferramentas úteis para inferir a sanidade vegetal de culturas agrícolas. Uma nova visão de agricultura, a chamada “agricultura 4.0” vem se estabelecendo cada vez mais, onde o uso da terra de forma inteligente e tecnológica visa não somente o lucro, mas também a saúde do solo, a consciência ambiental e o bem-estar humano. Este estudo tem como base a avaliação através de imagens multiespectrais de uma lavoura de café, onde foram aplicados dois tipos de manejo em determinados períodos de tempo. Foram utilizados defensivos químicos para controle e proteção do cafeeiro num determinado período e em outro, houve a mudanças para defensivos biológicos. Nessa cultura no ano de 2019 foram utilizados produtos químicos para o controle contra fungos e bactérias, no ano seguinte o controle desses patógenos foram feitos com produtos biológicos. O intuito desse trabalho é avaliar através das imagens orbitais multiespectrais geradas a partir do satélite Landsat 8, a variabilidade dos índices no vigor vegetal, sanidade e biomassa da cultura, comparando esses dois tipos de manejo.
Implantação de um programa informatizado, a partir de um banco de dados aplicável às práticas pedagógicas do ensino médico
Authors: Souza Lucas Rodrigues de , Pinheiro Aldo José Tavares , Pereira Jonas Carlos Campos
Published: July 2022

A implantação de um sistema de prontuário eletrônico, que facilitaria o acesso à pesquisa, é dificultada por questões administrativas atreladas a homologações e outros obstáculos em relação à segurança das informações. Propôs-se, então, a criação de um programa de categorização sintomatológica, em um banco de dados (BD) sistematizado, apresentado em março de 2016, pelo PROBIC. OBJETIVO: Expor a experiência e o potencial da elaboração de um programa identificador de padrões de doenças, aplicável à Clínica-Escola de faculdade em Minas Gerais. MÉTODO: Criação de um BD sob a plataforma Microsoft Access, que correlacione os achados clínicos, laboratoriais e as características do paciente às hipóteses diagnósticas. O sigilo do paciente é mantido pela identificação a partir do número do prontuário físico. DISCUSSÃO: Aspectos do quadro clínico, faixa etária, sexo e comorbidades de base são relevantes para estudos descritivos de uma doença. O BD idealizado, criado via plataforma Microsoft Access, propunha vincular um diagnóstico principal aos quesitos supracitados. Pela dificuldade na categorização, não foi possível incluir, porém, a terapêutica utilizada em cada caso. Para a criação do programa, foi proposta a divisão de todos os dados em categorias codificadas. Nas categorias que abrangem doenças – i.e., diagnósticos e comorbidades –, foi utilizada a classificação internacional de doenças (CID-10). Em relação aos sinais e sintomas, foram codificados achados semiológicos clássicos e alterações laboratoriais frequentes. Não foi possível prosseguir à fase de testes na escola de medicina, por um projeto já vigente de prontuário eletrônico convencional. CONCLUSÃO: Um BD em uma clínica-escola contribuiria como um complemento às práticas pedagógicas e facilitaria pesquisas posteriores. Para criá-lo, foi necessária a codificação de categorias pré-estabelecidas, cujo vínculo central eram as hipóteses diagnósticas. Não foi possível categorizar condutas terapêuticas a priori, por sua variabilidade extensa, porém não se exclui a sua codificação em um próximo estudo. A aplicação em clínicas e hospitais-escola que não apresentam prontuário eletrônico parece viável e promissora, trilhando novas possibilidades de pesquisa com os dados gerados
Analise quantitativa da relevância do ensino a distância (EaD) no município de campina grande em comparação ao cenário atual brasileiro
Authors: Santos Luis Eduardo Araújo , Araújo Samuel Barbosa , Lima Cicero Alécio Rodrigues de , Araújo Roberto Alan Ferreira , Santos Alecianny Vanessa Rodrigues dos , Almeida Arnaldo Bezerra Lopes de , Rodrigues Maria Veronice Almeida dos Santos
Published: July 2022

Este artigo aborda o fenômeno de expansão da educação a distância (EaD) no município de campina grande, pertencente ao Estado da Paraíba em relação ao contexto atual do Brasil, de acordo com os dados do Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira (Inep), o número de ingressantes em cursos de ensino a distância EaD no Brasil ultrapassou a quantidade de estudantes que iniciaram a graduação presencial, ao todo, 50,7% (1.559.725) dos alunos que ingressaram em instituições privadas optaram por cursos de EaD. Em contraponto, 49,3% (1.514.302) dos estudantes escolheram ingressar na educação de modo presencial. Em comparação um estudo qualitativo, desenvolvido através de um questionário virtual pesquisa documental para apresentar através de dados estatísticos, no município de campina grande PB, observa-se que 64,9% dos que preencheram os formulários realizam curso a distância, apenas 31,1% realizam modalidade presencial a fim de refletir sobre a síntese da aceitação e benefícios da educação a distância nesse município, através de políticas governamentais inovadoras e projetos em períodos pandêmicos, além das flexibilidades que o modelo remoto oferece vem atraindo novos estudantes nos últimos anos, mostram um crescimento da educação, outro fator que contribuiu diretamente para o aumento do EaD no Brasil é a flexibilidade que o modelo oferece. Assim, o curso a distância vem ganhando cada vez mais espaço e conquistando muitas pessoas nesse município, onde os estudantes passaram a conciliar o trabalho com os estudos.
Peran Mediasi Organizational Learning Pada Pengaruh Modal Intelektual Terhadap Kinerja Pengembangan Produk Baru
Authors: Tovan Tovan , Mutmainah Mutmainah
Published: July 2022

Penelitian ini bertujuan untuk mengetahui hubungan unsur-unsur modal intelektual terhadap organizational learning dan kinerja pengembangan produk baru pada usaha mikro, kecil, dan menengah (UMKM) di Kota Kendari Provinsi Sulawesi Tenggara. Hubungan antar variabel diperiksa dan dianalisis dengan menggunakan software smartPLS 4. Pengambilan sampel dalam penelitian ini dilakukan dengan tekhnik purposive sampling. Kuesioner didistribusikan pada 100 responden dan dianalisis. Hasil penelitian ini menunjukan bahwa unsur-unsur modal intelektual mempengaruhi kinerja pengembangan produk baru secara berbeda melalui organizational learning. Dimana organizational learning memediasi pengaruh modal manusia dan modal struktural terhadap kinerja pengembangan produk baru. Namun berbeda dengan modal relasional, terdapat pengaruh langsung modal relasional terhadap kinerja pengembangan produk baru pada usaha mikro, kecil dan menengah (UMKM) Kota Kendari Provinsi Sulawesi Tenggara.
EL PAPEL DE LA AGRICULTURA EN EL DISTRITO CHANGUINOLA: UN CASO DE ECONOMÍA APLICADA EN PANAMÁ
Authors: Pittí Rodríguez Jacob Eduardo , Olivares Barlin Orlando , Montenegro Edilberto Javier , Miller Lucrecia , Ñango Yngrid
Published: July 2022

Background: Bocas del Toro is positioned in the Pacific arc as a maritime province, linked to the Caribbean coastline, with a territory endowed with natural resources for primary and tourist production. The cross-border dimension will be a basic component of its geostrategic position, in which agriculture represents one of the foundations of sustainable development. Objective: The analysis, interpretation, and classification of the populated areas with agricultural vocation of the Changuinola district are approached in this work. Methodology: The method of Principal Component Analysis (PCA) was applied. Through the PCA the first two components that were selected explained 74.7% of the total variation. This allowed a classification in three strata, discriminating the populated areas of greater agricultural activity in the district using hierarchical and non-hierarchical cluster analysis. Results: It was detected that the factors with the greatest impact on the characteristics of the population studied were the development of agriculture in indigenous territories, low education, occupation, and the proportion of economically inactive people; this characterization serves as the first approach to the study of sustainable land management in indigenous territories. Implications: This study prioritized and typified specific characteristics of the population such as education, unemployment, and food security, thus it is a predictor in populations in conditions of vulnerability, representing the starting point for more in-depth studies in other areas of the country and even an input for the management of public policy. Conclusion: This research represents an important part in the establishment of the baseline study on the location of agricultural production in the rural development areas of the Changuinola district, the local production technology, the technical results, and the relations of the inhabitants with the environment physical.
DIVERSIDAD GENÉTICA DE Metarhizium anisopliae AISLADOS DE INSECTOS Y AGROECOSISTEMAS
Authors: Ramirez-Milanes Merary N. , Lezama-Gutierrez Roberto , Sanchez-Rangel Juan C. , Chan-Cupul Wilberth , Buenrostro-Nava Marco T. , Manzo Sánchez Gilberto
Published: July 2022

Background. The genus Metarhizium is integrated of various species, they have a wide geographic distribution and are considered one of the best biological control agents for pests insect. Objective. To determine the genetic diversity of Metarhizium strains isolated from different insects and agroecosystems using RAPD markers. Methodology. Soil was collected from different agroecosystems (Mexican lemon, grapefruit, sugar cane, mango), insects Diatraea saccharalis (Lepidoptera: Crambidae), Diatraea magnifactella (Lepidoptera: Crambidae), Schistocerca piceifrons piceifrons (Orthoptera: Acridylus), Macrodactylus murinus (Coleoptera: Scarabaeidae), Spodoptera frugiperda (Lepidoptera: Noctuidae) and the mite Boophilus microplus (Acari: Ixodidae) to isolate Metarhizium strains, the isolates were analyzed through random amplified polymorphic DNA (RAPD) markers. Results. The RAPD markers were highly informative and polymorphic. The generated dendrogram was made up of four clusters (A-D); cluster A consisted of 11 soil isolates, one from D. magnifactella and two from D. saccharalis. In cluster B one of D. saccharalis and one of soil. On the other hand, in cluster C were that B. microplus and one of soil. While cluster D was integrated by the S. frugiperda, M. murinus and S. piceifrons isolates. Implications. The determination of the genetic diversity between Metarhizium isolates obtained from insects and agroecosystems, generates a contribution on the habitat that will allow the development of strategies to carry out an adequate biological control of pest insects. Conclusion. The analyzes using the RAPD markers indicated that there is a genetic diversity among the Metarhizium isolates collected from different insects and agroecosystems.
CONOCIMIENTO ECOLÓGICO TRADICIONAL DE LAS AVES DE SAN ANDRÉS DE LA CAL, TEPOZTLÁN, MORELOS, MÉXICO
Authors: García Flores Alejandro , Bello Román Mónica , Rebollo Salinas Dania Berenice , Cosme Mendoza José Luis , Urbina Torres Fernando , Román Montes de Oca Erika , Colín Bahena Hortensia
Published: July 2022

Background. The study of bird wildlife from an ethnoecological perspective allows to record the importance that indigenous and farming community has on these vertebrates, in view of their traditions, customs, and beliefs. Objetive. To analize the traditional ecological knowledge of the avifauna in San Andres de la Cal, Tepoztlan, Morelos, Mexico. Methodology. A total of 60 semi-structured interviews, as well as the participating observer technical were used. In addition to guided tours in which, with the help of field guides, bird species were identified. Results. A total of 101 bird species were identified by the interviewees; achieving a classification of 19 orders and 39 families found throughout four distinct areas of the community. Out of these four, the tropical dry forest stands out with sightings that account for 91 of the registered species. The ecological functions of 17 of these species are known and four of them are harmful. In addition, 17 species are used as food, amulets, and for decorative purposes. The preferred hunting tools are as follows: shotgun (67%), slingshot (57%) and rifle (28%). The community’s inhabitants claim to have identified 21 species that are linked to meteorological or atmospheric phenomena, bad omens such as death or illness, or foretell meaningful events that may occur in the household.  Implications. The data allows local knowledge to be reassessed of the inhabitants of San Andrés de la Cal have with the avifauna; in hopes of better helping them integrate both management and conservation policies.  Conclusion. The inhabitants of San Andrés de la Cal have long lived and interacted with these birds and thus they have gathered and developed knowledge, practices and a cosmovision about these species, which can be integrated into community projects such as bird tourism.
VARIETIES, POULTRY MANURE AND FERTILIZER INFLUENCE ON THE GROWTH AND FIBRE QUALITY OF KENAF (Hibiscus cannabinus L.)
Authors: Eifediyi Ehiokhilen Kevin , Adetoro Opeyemi Gbenga , Ahamefule Henry Emeka , Ogedegbe Felix Omonkeke , Isimikalu Theophilus Olufemi
Published: July 2022

 

Background: The quality of fibre in kenaf is variety and soil fertility dependent. Objective: The study was conducted at the Teaching and Research Farm, University of Ilorin, Ilorin, Nigeria, during the 2018 and 2019 cropping seasons to determine the effects of poultry manure and NPK fertilizer on soil properties and fibre quality of four varieties of kenaf (Hibiscus cannabinus L.). Methodology: The experiment was laid out as a split-split plot design and replicated four times. The main plot was the years, and the subplots were the four varieties of kenaf (Cuba-108, Ifeken-100, Ifeken-400, and Tainuug 2), and the sub-sub plot was the four rates of poultry manure (0, 5, 10, 15 t/ha) and NPK fertilizer (300 kg/ha). Data were collected on plant height, the number of leaves, stalk girth, stalk weight per net plot and per hectare, fibre weight per hectare and fibre quality (ultimate strength, fibre elongation, and fibre strain). Data were analyzed using the analysis of variance (ANOVA) Genstat software package, and significant means were separated using the New Duncan Multiple Range test at a 5% probability level. Result: The 2018 sowing showed no superior growth, yield and fibre attributes compared to the 2019 sowing. Cuba-108 had the best growth, fibre yield, and quality with poultry manure at 15t/ha compared to NPK fertilizer at 300kg/ha. Implications: The variability in climatic elements during the study period was of no concern compared to soil factors which was the primary determinant of fibre quality irrespective of variety. Conclusion: The use of Cuba-108 cultivar and poultry manure at the rate of 15t/ha improved the growth and fibre quality of kenaf in this locality, thus saving foreign exchange, which could have been used in the importation of fibre.
EL PERIDOMICILIO Y LAS ZOONOSIS EN YUCATÁN. HACIA LA BÚSQUEDA DE UNA SALUD
Authors: Reyes-Novelo Enrique Alberto , Ruiz-Piña Hugo A. , Canché-Pool Elsy B. , Panti-May Jesús Alonso , Escobedo-Ortegón Francisco Javier
Published: July 2022

Background: People's peridomicile and home gardens represent a critical bridge for circulating endemic, emerging, and reemerging zoonotic pathogens in the Yucatan region. Objective: to analyze the information on zoonotic diseases documented in the premise and family gardens environment in the Yucatan region and propose an approximation for their prevention and control focusing on a One Health approach. Implications: Proposals based on One Health approach requires the horizontal involvement of social actors, because vertical or government based decisions are not enough to reach health objectives Conclusion: the access to actions based on a One Health approach can directly impact the prevention and control of zoonotic diseases and other environmental health problems.
EVALUACIÓN LONGITUDINAL DE LA SUSTENTABILIDAD DEL SUBSISTEMA DE PRODUCCIÓN MAGUEY-MEZCAL ARTESANAL, EN EL MUNICIPIO DE VILLA SOLA DE VEGA, OAXACA, MÉXICO
Authors: Rios-Colín Aida Carmen , Ruiz-Vega Jaime , Silva-Rivera Maria Eugenia , Caballero-Caballero Magdaleno , Montes-Bernabé José Luis
Published: July 2022

Background. The artisanal maguey-mescal production system in Villa Sola de Vega represents culture, identity and an additional monetary income for the families of the municipality. This system is in constant interaction with various subsystems such as environmental, social, economic, technological and cultural. Objectives: The objective of this study was to evaluate the degree of sustainability of the artisanal maguey-mescal agroecosystem within a traditional agroecosystem. Methodology. The methodological process used was the Framework for the Evaluation of Natural Resource Management Systems incorporating Sustainability Indicators (MESMIS). A first step was to characterize the agroecosystem in terms of its components, recognizing three types of mescal distillation. Subsequently, the main variables and indicators were defined, and associated with the sustainability of the Agave-mescal production system in 2010 and 2015. Results. It was found that in the municipality there were 64 factories dedicated to the production of maguey-mezcal, 36 of them distilled in clay pots, 8 in copper alembics and 20 in iron drums; the process is artisan using family or cooperative labor, but with low performance. In the agroecosystem they carry out other productive activities such as the sowing of basic crops (corn, beans, chickpeas, squash, amaranth), backyard crops, and raising poultry, cattle, goats and sheep. Eighteen species of maguey were identified, and the one with the highest use was Agave angustifolia Haw, with 40%, followed by Agave potatorum Zuc, with 15.27%. The degree of sustainability for the agroecosystem in the evaluation years 2010 and 2015 was medium and high respectively, with better values of the economic and institutional indicators for the evaluation year 2015. Implications. The improvement in the sale prices of mescal represents an opportunity to improve the income levels of the producers, but this could also promote the planting of fewer varieties of maguey and less attention to the production of basic crops in the agroecosystem. Conclusions. The factors that favored the sustainability of the agave-mezcal subsystem were the high diversity of species and their integration into the traditional agroecosystem; however in the latter, a lower production of basic crops was observed in 2015. The artisanal maguey-mezcal subsystem is at a point where it can improve its degree of sustainability based on future mezcal sales prices.
MENGURANGI STRES KEHAMILAN DENGAN PRENATAL MASSAGE DI BPM LILIS SURYA WATI DESA SAMBONG DUKUH KECAMATAN JOMBANG
Authors: Ardhiyanti Lusyta Puri , Rosita Evi
Published: July 2022

Pengabdian kepada masyarakat (PKM) merupakan salah satu dari tiga unsur Tri Dharma Perguruan Tinggi, yaitu pendidikan, penelitian dan pengabdian pada masyarakat, kegiatan ini lebih mengutamakan kepada aktivitas nyata yang dilakukan di tengah masyarakat sehingga dapat memberikan manfaat, khususnya warga masyarakat yang berada di lokasi PKM. Tujuan utama program Pengabdian kepada masyarakat (PKM) pada kesempatan ini adalah tujuan untuk mengurangi stress, memberikan ketenangan, mendukung dan memelihara kesehatan selama kehamilan pada ibu hamil dengan prenatal massage selama kehamilan di BPM Lilis Surya Wati, Desa Sambong Dukuh, Kecamatan Jombang. Dengan cara mendekatkan lembaga pendidikan dengan masyarakat, sehingga perguruan tinggi dapat membantu pemerintah dalam mempercepat gerak pembangunan dan mempersiapkan kader-kader pelaku pembangunan yang berkualitas. Sasaran kegiatan Pengabdian kepada masyarakat (PKM) ini adalah ibu hamil  di BPM Lilis Surya Wati Desa Sambong Dukuh, Kecamatan Jombang..Kegiatan Pengabdian Masyarakat ini dilakukan sebagai upaya untuk peningkatan derajat kesehatan masyarakat secara simultan dan sinergis. Mengacu kepada butir Analisis Situasi, permasalahan mitra adalah banyaknya ibu hamil yang periksa mengeluh stress dengan berbagai keluhan-keluhanyang terjadi selama kehamilan, antara lain sakit pinggang dan punggung, sebelit, wasir, lemas, mimpi buruk, cemas, sakit kepala, merasa gemuk, insomnia (sulit tidur), pening, seperti akan pingsan, sesak nafas, mual dan muntah, nyeri sentuhan pada payudara, nyeri ulu hati, kontraksi palsu, pegal dan linu, sering berkemih, kram tungkai, nyeri pada betis, varises, tumit dan kaki bengkak. Pengusul bersama mitra sepakat menentukan persoalan yang menjadi prioritas untuk diselesaikan selama pelaksanaan program Pengabdian Masyarakat adalah mengurangi keluhan-keluhan yang terjadi selama kehamilan disebabkan karena perubahan proses kehamilan, sehingga stress pada ibu hamil bisa berkurang, sehingga pengusul bersama mitra sepakat menentukan prioritas pemecahan masalah, yaitu dengan mengadakan therapy prenatal massage
HUBUNGAN DUKUNGAN KELUARGA DENGAN KUALITAS HIDUP PASIEN HEMODIALISIS SELAMA MASA PANDEMI COVID-19
Authors: Dewi Andini Fitria , Suwanti Iis , Fibriana Linda Presti
Published: July 2022

Penurunan kualitas hidup pada pasien hemodialisis membutuhkan adanya perhatian terutama dari keluarga dalam upaya untuk meningkatkan kualitas hidup yang dimiliki oleh pasien hemodialisis itu sendiri. Dukungan keluarga pasien berupa dukungan informasional, dukungan penilaian, dukungan instrumental dan dukungan emosional akan memberikan support kepada pasien hemodialisis untuk mampu menerima kondisi sakit yang mereka miliki, meningkatkan kepatuhan untuk melakukan hemodialisis, meningkatkan kepatuhan dalam pembatasan aktivitas fisik maupun pola konsumsi makanan dan minuman serta mampu melakukan segala aktivitas yang berdampak positif bagi diri pasien hemodialisis itu sendiri. Tujuan penelitian ini adalah untuk mengetahui hubungan dukungan keluarga dengan kualitas hidup pasien hemodialisis selama masa pandemi covid-19 di Ruang Hemodialisa Rumah Sakit Gatoel Kota Mojokerto. Penelitian ini mengunakan jenis penelitian analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian pasien hemodialisis di ruang hemodialisa Rumah Sakit Gatoel Kota Mojokerto yang memenuhi kriteria penelitian. Teknik pengambilan sampel dalam penelitian ini mengunakan metode Non Probability sampling dengan pendekatan purposive sampling. Variabel dalam penelitian ini terdiri dari 2 variabel yaitu variabel independen (variabel bebas) dan variabel dependen (variabel terikat). Variabel independent dalam penelitian ini adalah dukungan keluarga dan variabel dependent dalam penelitian ini adalah kualitas hidup. Instrument pengumpulan data yang digunakan dalam penelitian ini adalah kuesioner tertutup. Uji korelasi yang digunakan adalah uji chi square. Dari hasil uji korelasi chi square dengan signifikasi 0,05 didapatkan nilai pearson chi square sebesar 0,00 < p (0,05) sehingga dapat disimpulkan bahwa ada hubungan dukungan keluarga dengan kualitas hidup pasien hemodialisis selama masa pandemi covid-19 di ruang hemodialisa Rumah Sakit Gatoel Kota Mojokerto
PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN IBU TENTANG PENANGANAN HIPERTERMI DENGAN KOMPRES HANGAT PADA ANAK USIA PRASEKOLAH
Authors: Agustina Fitria Dwi , Aini Luthfiah Nur
Published: July 2022

Hipertermi adalah keadaan meningkatnya suhu tubuh diatas rentang normal tubuh. Salah satu masalah yang sering terjadi saat anak mengalami hipertermi adalah ibu tidak tahu cara menangani hipertermi dengan benar menggunakan kompres hangat. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan ibu tentang penanganan hipertermi dengan kompres hangat pada anak prasekolah di Desa Wadang Kecamatan Ngasem Kabupaten Bojonegoro. Penelitian ini menggunakan metode pra-eksperimental dengan rancangan one group pretest-posttest yang mengungkapkan hubungan sebab akibat dengan cara melibatkan satu kelompok subjek. Populasi penelitian ini adalah Seluruh ibu yang memiliki anak usia prasekolah di Desa Wadang Kecamatan Ngasem Kabupaten Bojonegoro sebanyak 45 responden. Sampel penelitian ini adalah Sebagian ibu yang memiliki anak usia prasekolah di Desa Wadang Kecamatan Ngasem Kabupaten Bojonegoro sebanyak 40 orang. Sampling menggunakan simple random sampling. Instrumen yang digunakan yaitu lembar kuesioner. Teknik analisa data yan digunakan adalah uji statistik Wilcoxon signed rank test. Hasil penelitian menunjukkan pengetahuan ibu tentang upaya penanganan hipertermi dengan kompres hangat sebelum diberikan pendidikan kesehatan kategori kurang dan setelah diberikan pendidikan kesehatan kategori cukup. Berdasarkan hasil uji Wilcoxon signed rank test diketahui hasil Signifikan ρ = 0,000 (a = 0,05), maka ρ<α, sehingga adanya pengaruh pendidikan kesehatan terhadap pengetahuan ibu tentang upaya penanganan hipertermi dengan kompres hangat pada usia prasekolah di Desa Wadang Kecamatan Ngasem Kabupaten Bojonegoro. Penelitian ini diharapkan agar pengetahuan ibu tentang upaya penanganan hipertermi dengan kompres hangat pada anak usia prasekolah meningkat dengan diberikannya pendidikan kesehatan sehingga dapat mengatasi masalah tersebut
MENTAL HEALTH NEEDS OF WORKING WOMEN: PAKISTAN’S CASE
Authors: Khan Sadia
Published: July 2022

Social and cultural factors have historically kept most women from entering the job market in Pakistan. Working women in Pakistan faces social and economic disadvantages relative to men working in the same field. With the recent challenges in the society caused by increasing feminine population, financial need, and limited educational facilities for girls and women; women tend to enter the job market more than earlier. Still social and cultural factors have kept most women from entering the job market. Considering the situation in Pakistan, this study examined the relationship between work life conflicts, job satisfaction and turnover ratio of female working gender in Pakistan. The data is collected through questionnaire from female staff working in academic institutions, banks, and NGOs operating in Pakistan. Sample size was kept to 350 female staff members to find out the importance of work-life conflict, job satisfaction and job departure. The study found that work-life conflict has a significant impact on job satisfaction.
Stefan Zweig’ın Mecburiyet Adlı Eserinde Otoriteye İtaat ve Milgram Deneyi
Authors: ÇORAKLİ Şahbender , KOCA Furkan
Published: July 2022

Avusturyalı yazar Stefan Zweig’ın 1920 yılında yayımlanan “Der Zwang” (Mecburiyet) adlı eseri, psikolog Stanley Milgram tarafından 1960’lı yıllarda yapılan otoriteye itaat deneyleriyle ilginç benzerlikler taşımaktadır. Eserin başkişisi Ferdinand’ın aldığı sefer görev emri karşısındaki davranışları ile Milgram’ın deneklerinin deneyde aldıkları emirler karşısındaki davranışları neredeyse tamamen örtüşmektedir. Bu çalışmada eserle deney arasındaki benzerlikler gösterilip elde edilen bulgular psikanalitik edebiyat eleştirisiyle yorumlanmıştır.
Abordagem iWater: uma Contribuição ao Monitoramento da Barragem Santa Bárbara no Cenário da IoT
Authors: Andrade Gerson , Machado Roger , Londero Juliano , Zimpeck Alexandra , Yamin Adenauer
Published: July 2022

No Brasil, o monitoramento de barragens (reservatórios) muitas vezes é feito por inspeção manual, o que dificulta diversos procedimentos operacionais, bem como o uso de intervalos de tempo menores para aquisição de informações. Considerando este cenário, este trabalho tem por objetivo a concepção de uma abordagem, denominada iWater, direcionada ao provimento de um sensoriamento automatizado em áreas abertas e de dimensões elevadas. A abordagem proposta, explora uma arquitetura de software escalável, bem como o emprego da tecnologia LoraWAN enquanto alternativa para comunicações sem fio, em regime de longa distância. Os resultados atingidos se mostram promissores e apontam para a continuidade dos esforços de estudo e pesquisa.
Desenvolvimento de um Sistema Computacional Embarcado para Aferição de Índice de Conforto Térmico Aplicado ao Bem-estar Animal
Authors: Gomes Nicoly Farias , Medeiros Victor Wanderley Costa de , Pandorfi Héliton , Gonçalves Glauco Estácio , Santana Taize Cavalcante , Costa Hermano Diógenes Ferreira
Published: July 2022

Este artigo apresenta o desenvolvimento de um sistema embarcado capaz de aferir dados de temperatura e umidade relativa através do sensor DHT-22 e calcular índices de conforto térmico, auxiliando na tomada de decisão. O índice de conforto considerado nessa aplicação foi o ITU (índice de temperatura e umidade). Para validar os resultados de captura das variáveis pelo DHT, foi realizada uma análise comparando os resultados com um Data logger HOBO U12-001. Os resultados mostraram que as variáveis obtidas pelo DHT apesar de representação satisfatória dos dados, demandam ajustes que podem ser obtidos através de equações de regressão. Para o cálculo do ITU a temperatura se mostrou mais sensível que a umidade relativa.
Avaliação da Qualidade Ambiental de um Ambiente de Smart Home Utilizando Internet of Things e Inteligência Artificial
Authors: Melo Laciene Alves , Reis Felipe , Gonçalves Leonardo Nunes , Carvalho Haelton , Araujo Jasmine Priscyla Leite de , Brito Fabrício , Farias Fabrício
Published: July 2022

Este artigo tem como propósito construir uma solução baseada em inteligência artificial (IA) para classificação de um ambiente de smart home, considerando o monitoramento de parâmetros ambientais. Para isso, foi proposto a implantação de uma rede de Internet of Things (IoT) para monitoramento em tempo real de um quarto e sala de estar de determinada residência. Após a coleta dos dados, estes passaram pelas etapas de seleção, pré-processamento, transformação e apresentação ao algoritmo de IA baseado em árvore de decisão. Após os experimentos, os resultados indicam que é possível usar dados coletados de uma rede IoT para monitorar a qualidade de determinado ambiente por meio da aplicação de IA.
Avaliação de Técnicas de Localização Indoor por Fingerprint de RSSI com Simulações no NS-3
Authors: Zamith Marcelo , Silva Marcel William Rocha da
Published: July 2022

A localização indoor através de fingerprint de RSSI foi um tema amplamente estudado nos últimos anos. Um ponto comum na maioria dos trabalhos é que a avaliação de desempenho das técnicas propostas é realizada através de experimentos práticos. Apesar de ser uma boa forma de avaliar desempenho e validar as propostas em ambientes reais, os experimentos práticos limitam a avaliação do impacto que as características do ambiente têm sobre o desempenho das técnicas de localização. Além disso, o uso de cenários distintos dificulta a comparabilidade entre propostas. Este trabalho propõe uma nova forma de avaliar desempenho de técnicas de localização por fingerprint de RSSI usando simulações com o NS-3. Com as ferramentas do NS-3 é possível criar cenários que representam ambientes indoor com características distintas e avaliar o impacto dessas características no desempenho da localização.
Improving Smart City Simulation Performance with SimEDaPE and Parallelism
Authors: Rocha Francisco Wallison , Francesquini Emilio , Cordeiro Daniel
Published: July 2022

In the context of smart cities, the use of simulators such as the InterSCSimulator to study urban mobility problems is increasingly frequent. However, InterSCimulator has limitations in its performance to test large scenarios such as the city of São Paulo. SimEDaPE was proposed to improve the performance of this simulator, but there are still some performance bottlenecks, such as the mapping step, that could be tackled. This work proposes two parallel implementations to improve the performance of this step. Experimental results show that the best parallel approach using 8 cores results in a 3× speedup when compared to the best sequential implementation.
Ambiente virtual de simulação e controle de redes ópticas baseado em softwares de código aberto e modelos OpenROADM
Authors: Chaves Niudomar S. A. , Martins Luciano
Published: July 2022

Este artigo apresenta uma proposta de ambiente virtual para controle de redes ópticas composto por softwares de código aberto, incluindo um controlador SDN e um simulador de transceptores ópticos e ROADMs. Os componentes do ambiente virtual utilizam modelos de dados YANG do padrão OpenROADM. Como controlador SDN é utilizado o OpenDaylight, complementado pelo módulo de controle de redes ópticas TransportPCE. Os equipamentos ópticos são simulados pelo software Honeynode. A solução proposta permite testar previamente algoritmos de controle de rede óptica em ambiente virtual antes da efetiva aplicação em um testbed físico, que usualmente possuem alocação de tempo restrito.
The Risk Factors of Anastomotic Leakage After Rectal Cancer Surgery
Authors: Hosseini Seyed Vahid , Kashif Alghataa Ahmad , Bananzadeh Alimohammad , Bahrami Faranak , Khazraei Hajar , Tadayon Seyed Mohammad Kazem , Haghazali Mehrdad , Hajihoseini Fahimeh
Published: July 2022

Background: Anastomotic leakage is a significant complication after colorectal anastomosis. The aim of this study was to evaluate the risk factors and preventive measures for anastomotic leakage after rectal cancer surgery. Methods: A total of 171 patients who had undergone laparoscopic and open rectal cancer resection with a double stapling participated in this study. Twelve independent variables include age, sex, obesity, smoking, ASA grading, medical diseases, preoperative radiotherapy, preoperative chemotherapy, splenic flexure mobilization, diverting ileostomy, and the number of stapler firing were analyzed. Results: The anastomotic leakage rate was 2.33% (4 of 171). The mean age of the patients was 58.33 years old while their mean body mass index (BMI) was calculated as 24.10 kg/m2. In our study, 16.3% of patients were cigarette smokers. Of the 171 rectal surgeries, 69.0% of patients were diverted by loop ileostomy and 1.16% were supported by ghost ileostomy. Of 171 patients included in this study, 17.5 % of patients required a single staple firing for rectal division. In contrast, 47.9% of patients required 2 linear staplers, others, 24.5% of patients required 3 cartridges for rectal division, and 9.9% of patients required 4 cartridges in their surgeries. There were significant differences between men and women in the number of cartridges used (P = 0.023). Conclusions: All our leakage cases were men and the higher number of stapler firings for rectal division, history of smoking; male gender, and level of anastomosis were independent risk factors for the anastomotic leak.
Clinical Laboratory Testing Practices in Diffuse Gliomas Prior to Publication of 2021 World Health Organization Classification of Central Nervous System Tumors
Authors: Ramkissoon Shakti H. , Fernandes Helen , Lopez-Terrada Dolores H. , Hameed Meera R. , Trembath Dimitri G. , Bridge Julia A. , Lindeman Neal I. , Souers Rhona J. , Vasalos Patricia , Brat Daniel J. , Moncur Joel T.
Published: July 2022

Context.—

Integration of molecular data into glioma classification supports diagnostic, prognostic, and therapeutic decision-making; however, testing practices for these informative biomarkers in clinical laboratories remain unclear.

Objective.—

To examine the prevalence of molecular testing for clinically relevant biomarkers in adult and pediatric gliomas through review of a College of American Pathologists proficiency testing survey prior to the release of the 2021 World Health Organization Classification of Central Nervous System Tumors.

Design.—

College of American Pathologists proficiency testing 2020 survey results from 96 laboratories performing molecular testing for diffuse gliomas were used to determine the use of testing for molecular biomarkers in gliomas.

Results.—

The data provide perspective into the testing practices for diffuse gliomas from a broad group of clinical laboratories in 2020. More than 98% of participating laboratories perform testing for glioma biomarkers recognized as diagnostic for specific subtypes, including IDH. More than 60% of laboratories also use molecular markers to differentiate between astrocytic and oligodendroglial lineage tumors, with some laboratories providing more comprehensive analyses, including prognostic biomarkers, such as CDKN2A/B homozygous deletions. Almost all laboratories test for MGMT promoter methylation to identify patients with an increased likelihood of responding to temozolomide.

Conclusions.—

These findings highlight the state of molecular testing in 2020 for the diagnosis and classification of diffuse gliomas at large academic medical centers. The findings show that comprehensive molecular testing is not universal across clinical laboratories and highlight the gaps between laboratory practices in 2020 and the recommendations in the 2021 World Health Organization Classification of Central Nervous System Tumors.
Pollinators and seed dispersers of espinheira-santa (Monteverdia ilicifolia - Celastraceae), a Brazilian medicinal plant
Authors: Perleberg Tângela Denise , Barbieri Rosa Lía , Mariot Márcio Paim , Peter Rejane , Gomes Gustavo Crizel , Silva Tamires Ebeling da , Vitória Josiane Mendonça , Silva Patrick da Silva , Magalhães Rafaela de Sousa Corrêa de
Published: July 2022

Espinheira-santa (Monteverdia ilicifolia) is a native plant of Brazil widely used in folk medicine because it has several therapeutic properties. Regarding the pollination biology and seed dispersal of this species, there is no information available in the literature. In this study, pollinators and dispersers of M. ilicifolia were observed and identified, as well as the behavior of these biological agents during the period of flowering and fruiting. In addition, the frequency of pollinator visits and the efficiency of the seed disperser were recorded. It was verified that in espinheira-santa, pollination is carried out by diptera and by hymenoptera. Among the main groups of pollinators are the flies, being Lucilia eximia, Limnophora sp. and Eristalis sp. the most frequent, and the wasps, in which Brachygastra mellifica, Polistes canadensis, Mischocyttarus sp. and one species of the Tiphiidae family were the most frequent. Eight species of birds consumed diaspores (arils with seeds), acting as dispersers of this species. However, the following birds were more efficient in the dispersion of seeds: Tangara sayaca, Elaenia sp. and Pipraeidea bonariensis. In this sense, M. ilicifolia is a species that has entomophilous pollination and ornithochoric dispersion.
Fronteiras conceituais dos termos cidades sustentáveis, cidades inteligentes e bioeconomia: O que as pesquisas científicas, encontradas na literatura, tem a dizer?
Authors: Lopes José Carlos de Jesus , Silva Giovanna Lourenço Luges da
Published: July 2022

As discussões sobre as Cidades Sustentáveis, Cidades Inteligentes e Bioeconomia se tornaram mais abrangentes, ao longo das últimas décadas, ponderando a necessidade da aplicabilidade das dimensões da sustentabilidade, nas diversas atividades humanas, em várias regiões do planeta. Assim, o objetivo do presente artigo é examinar, na literatura, as fronteiras conceituais entre os termos Cidades Sustentáveis, Cidades Inteligentes e Bioeconomia. O método de revisão sistemática foi aplicado na presente pesquisa, com a contribuição do sítio eletrônico Periódicos Capes e Web Of Science. A busca nessas bases de dados foi realizada, entre janeiro de 2010  a dezembro de 2019, resultando na seleção de 217 artigos. Identificou-se que, a produção acadêmica relacionada aos termos Cidades Sustentáveis, Cidades Inteligentes e Bioeconomia se encontra escassa e com a necessidade de levantamento de dados complementares, em demais bases de dados para se ampliar seu âmbito de pesquisas.
The accuracy of serum osmolarity calculation in small children
Authors: Berska Joanna , Bugajska Jolanta , Sztefko Krystyna
Published: July 2022

Background: Serum osmolality can be measured (Omeas) or calculated (Ocal). Many formulas for Ocal have been already published, but data regarding the most accurate equation in small babies is not available. Thus, we aim to compare Omeas and Ocal obtained by different formulas in newborns and small children. Methods: The study included 280 serum samples taken from children, from the first day of life to 2 years (mean age 8.2 ± 7.6 months) treated in the University Children's Hospital in Krakow. The serum osmolality was measured by osmometer and calculated by 8 common formulas. Results: The mean value of Omeas (2 8 5 .8 ± 5 .1 mOsm/kgH2O) was significantly different as compared to the mean values of Ocal (p< 0.01) for all formulas, except Ocal obtained by the formula: 1.86*(N a + K) +1.15*Glu + Urea + 14. According to Bland-Altman analysis, this formula showed the best performance for estimating osmolality. In children under 3 months of life Passing-Bablok regression indicated both systematic and proportional error for results obtained by each formula compared to the measured values. Conclusions: To calculate osmolarity in children aged between 3 months and 2 years old the following equation: 1 .86*(N a + K) + 1.1 5*G lu+ U rea+ 14 might be used, whereas serum osmolality in children up to 3 month of life should be measured.
“Speaking Up and Speaking Out about Gender Identity”
Authors: Rubel Laurie H. , Bay-Williams Introduction by: Jennifer M.
Published: July 2022

From the Archives highlights articles from NCTM’s legacy journals, previously discussed by the MTLT Journal Club.