bluuebunny/crossref_metadata_2025 huggingface dataset:
MATHEMATICAL MODEL OF LASSA FEVER TRANSMISSION DYNAMICS IN PREVALENT COMMUNITIES IN NIGERIA: THE CASE STUDY OF ONDO STATE
Authors: Olupitan Oluwamuyiwa , Taiwo Musilimu , Adedapo Kehinde Femi , Adweinoye-Rabiu R. A. , Oloja Segun Victor
Published: October 2024

With the current waive of global health problems and resurgence of many disease around the world. Cholera, Yellow fever,SARS-CoV-2, Monkey pox and Lassa fever resurgence in some West African countries, with Ondo State recording highest number of Lassa fever case in Nigeria. Prompting Nigeria Centre for Disease Control (NCDC), Ondo State Primary Health (OSPH) expert and researchers begin ways to reduce transmission dynamics of Lassa Fever Disease (LFD). In this research, we developed and investigated using System of Ordinary Differential Equation (ODE) mathematical model of Lassa fever disease transmission dynamics, verifying positivity of system of equation as well as feasible region of the model. However, the Disease Free Equilibrium (DFE) of the model is computed and analysed with basic reproduction number $R_0$ of the model, showing the global stability of the DFE. Furthermore, we determined using model-fitting parameters the condition to attain stability. Finally, numerical simulations shows reduction in transmission with effective pest control measure.
Tipos de evolução em retrovírus humanos: Revisão sistemática
Authors: Sousa João Pedro de Lacerda Costa , Andrade Beatriz Reis , Lopes Iara Freitas
Published: October 2024

A evolução viral, especialmente em retrovírus, é um processo complexo e dinâmico que pode ser influenciado por interações com o hospedeiro e diferentes pressões seletivas. Essa evolução pode ser classificada como neutra, na qual a maioria das alterações genéticas são causadas pelo efeito da deriva genética, ou positiva, onde a diversidade seria mantida por um equilíbrio entre a taxa de mutação e sua eventual manutenção devido aos efeitos da seleção natural. Para esse estudo, realizamos uma revisão sistemática com o objetivo de classificar os retrovírus de acordo com a teoria evolutiva que se encaixam. Nos 75 artigos analisados, foi possível constatar uma predominância da seleção positiva (76%), especialmente em vírus da imunodeficiência humana (HIV), corroborada pela prevalência de mutações não-sinónimas identificada, onde mutações “benéficas” para os vírus são selecionadas, possivelmente como resposta a pressões do sistema imune e tratamentos. Ao comparar a evolução do HIV com o retrovírus endógeno humano (HERV) foi observado diferentes padrões, vírus HERV tendem a seleção purificadora, mantendo características pré-existentes e, em cenários de coinfecção com HIV, HERV’s tendem a seleção neutra, com acúmulo de mutações sinônimas. O estudo e a compreensão dos processos evolutivos e fatores que os influenciam são de suma importância, visto que, o surgimento de variantes resistentes é, atualmente, o maior empecilho no desenvolvimento de um tratamento eficaz para infecções retrovirais.
Câncer de mama: Riscos e tratamentos associados às mulheres diagnosticadas
Authors: Pereira Letícia Bruno , Julião Jakeline Alves Rosa , Amorim Isabela Botelho Costa de , Gil Flávio Rocha
Published: October 2024

Objetivo: Este estudo visa realizar uma revisão integrativa sobre o câncer de mama, destacando os fatores de risco associados e a importância da prevenção e detecção precoce. Metodologia: Foi realizada uma revisão integrativa com seleção de informações publicadas entre 2020 e 2024. A pesquisa foi realizada em bibliotecas virtuais, utilizando os descritores “câncer de mama”, “fatores de risco” e “prevenção”. Foram incluídos apenas textos em português e inglês. Resultados: A análise dos dados revelou três tópicos principais: diagnóstico, tratamento e fatores de risco. A detecção precoce, por meio de mamografias, é crucial para aumentar as taxas de sobrevida. O tratamento envolve intervenções cirúrgicas e sistêmicas, com o SUS desempenhando papel fundamental no acesso aos cuidados oncológicos. Os fatores de risco identificados incluem idade avançada, hábitos de vida inadequados e exposição a agentes ambientais. Conclusão: A detecção precoce e a conscientização sobre fatores de risco são essenciais na luta contra o câncer de mama. O SUS deve continuar a promover campanhas de educação e ampliar o acesso a exames e tratamentos, visando resultados mais favoráveis para as mulheres afetadas.
A importância da terapia nutricional no tratamento do paciente oncológico
Authors: Silva Thaís Pereira da Costa , Souza Thaynanda Soares de , Silva Rhuan Ferreira da , Silva Maria Eduarda Leal , Pinto Jennifer Cantanhede Nunes , Santos Francisco Eudes dos , Sampaio Rafaella Maria Monteiro
Published: October 2024

Objetivo: reforçar a importância e o impacto que a nutrição possui sob a oncologia, visando apresentar o seu papel no controle dos desequilíbrios desses pacientes acometidos pela doença, e a tentativa de amenizar os efeitos colaterais do tratamento sob o organismo dos mesmos. Método: O presente estudo trata-se de uma revisão sistemática de literatura. A busca foi por artigos que respondam à pergunta norteadora “A terapia nutricional pode colaborar para a melhora e/ou manutenção do estado nutricional do paciente oncológico?”. Resultados: Foram selecionados nove artigos, dois buscam trazer uma análise entre a adequação do volume prescrito e a infusão recebida pelo paciente e o impacto sobre o estado de saúde do mesmo, um busca avaliar a importância da frequência do aconselhamento nutricional em pacientes oncológicos, um outro visa analisar o impacto da terapia nutricional enteral e parenteral na redução da taxa de óbitos por neoplasias. Um deles discorre sobre a importância de um início precoce da terapia nutricional, além do que detalha a terapia de imunonutrição oral em pacientes no pré-operatório. Conclusão: a terapia nutricional é de grande importância para o desenvolvimento de desfechos clínicos positivos em pacientes neoplásicos.
Abordagem fisioterapêutica no pós-operatório de artroplastia de quadril em adultos
Authors: Medeiros Adriana Silva de , Silva Anny Caroline Marques da , Lima Cristiane Araújo de , Silva Leandro Leal da , Bispo Velque Silveira , Oliveira Felipe Éden Souza de , Pereira Pabloena da Silva
Published: October 2024

Introdução: A cirurgia de Artroplastia Total de Quadril (ATQ) é realizada para reconstruir o quadril, visando reduzir a dor e melhorar a capacidade física. A fisioterapia desempenha um papel crucial na recuperação e na melhoria da função física e qualidade de vida do paciente no pós-operatório. Objetivo: Tem como objetivo compreender a abordagem fisioterapêutica no pós-operatório de artroplastia de quadril em adultos. Metodologia: Esta revisão sistemática do tipo descritiva, nos períodos de 2015 até 2024, nos idiomas inglês e português. Resultados: Foram encontrados 256 artigos, 10 atenderam aos critérios de inclusão. Inicialmente foram encontrados 41 títulos sobre o tema e, destes, 10 artigos corresponderam aos critérios de inclusão, sendo 05 do PubMed, 03 do LILACS e 02 do SciELO, abordando as abordagens fisioterapêuticas no pós-operatório de artroplastia de quadril em adultos. Conclusão: Conclui-se que a abordagem fisioterapêutica no pós-operatório de artroplastia de quadril em adultos, especialmente através da hidroterapia, tem se mostrado altamente eficaz na promoção da recuperação funcional e na melhoria da qualidade de vida dos pacientes. Ambos os métodos oferecem uma série de benefícios, incluindo a redução da dor, o fortalecimento muscular, o aumento da amplitude de movimento, a melhora da circulação sanguínea e a promoção do relaxamento muscular.
Análise do perfil epidemiológico dos casos agudos da doença de chagas no Brasil entre os anos de 2019 a 2022
Authors: Alvarenga Laura Garcia , Alvim Isabela Fava Furtado , Mohamed Yasmin Ibrahim , Vieira Victoria Cabreira , Pinheiro Karla Porpino de Araujo Ferreira , Souza Luiz Claudio Oliveira Alves de
Published: October 2024

O presente estudo objetificou analisar os casos agudos desta doença no país, entre os anos de 2019 a 2022, Trata-se de um estudo do tipo ecológico, realizado com dados secundários do Departamento de Informática do Sistema Único de Saúde (DATASUS), provenientes do Sistema de Informação de Agravos de Notificação (SINAN). O período de janeiro de 2019 a dezembro de 2022 foi escolhido devido a disponibilidade dos dados no momento da coleta. As variáveis escolhidas para compor o estudo foram:  Ano de notificação, total de casos por ano, sexo, raça, faixa etária, critérios de confirmação, evolução clínica e região de residência. A partir da coleta das variáveis as mesmas foram tabuladas no Microsoft Excel 2019 e foram calculadas a frequência absoluta e relativa de cada variável. Em referência aos dados apresentados é possível afirmar que a maior frequência de novos casos foi em homens, indivíduos pardos, residentes da região norte do país, a maioria dos diagnósticos foram feitos a partir de exames laboratoriais e essa patologia apresenta baixa taxa de óbitos. Os dados apresentados podem colaborar com os gestores de saúde, a fim de permitir o reconhecimento dos principais fatores que contribuem para minimizar as novas infecções por doença de chagas.
Desafios na amamentação de recém-nascidos com fissura labiopalatina: implicações para práticas de saúde
Authors: Suassuna Carolina Almeida , Marques Barbara Mendes , Abdalla Priscila Resende , Almeida Ana Beatríz Mascarenhas de , Ramos Evellyn Thauany Gomes , Araújo Geovanna Cesário Silva , Lourenço Aline Fernandes de , Moroni Jade Torres Goldfeld Neiva , Dias Leticia Oliveira , Petter Jobe , Mundim Renato Resende
Published: October 2024

Justificativa/Problema: As fissuras labiopalatinas são uma das malformações congênitas mais comuns, causando prejuízos significativos na amamentação de recém-nascidos. Devido à dificuldade de sucção, esses bebês enfrentam problemas de coordenação entre a deglutição e respiração, comprometendo a ingestão adequada de nutrientes e, consequentemente, seu desenvolvimento e estado nutricional. Objetivos: Identificar os principais desafios relacionados à amamentação de lactentes com fissura labiopalatina e propor estratégias que promovam o desenvolvimento nutricional adequado para esses recém-nascidos. Metodologia: Realizada uma revisão narrativa da literatura, analisando estudos observacionais prospectivos e retrospectivos publicados de 2010 a 2021. A seleção dos artigos considerou estudos focados nas dificuldades alimentares de recém-nascidos com fissura labiopalatina, excluindo editoriais e artigos de opinião. Resultados: Os resultados mostram que a dificuldade na amamentação está associada ao tipo de fissura (pré ou pós-forame), ao suporte oferecido pelas equipes de saúde e à orientação recebida pelas famílias. A falta de informações adequadas, juntamente com mitos culturais em relação ao aleitamento materno, contribui para o desmame precoce, forçando a introdução de alimentação alternativa. Conclusão: Conclui-se que o suporte multiprofissional é essencial para auxiliar as  famílias e melhorar o manejo nutricional desses bebês. Intervenções como o uso de dispositivos auxiliares podem otimizar a alimentação, minimizar os desafios da amamentação e promover o desenvolvimento saudável.
Doença pulmonar intersticial granulomatosa e Imunodeficiência Comum Variável: um caso de pneumonia de repetição
Authors: Lemos Bianca de Oliveira , Silva André Keven Viana da , Pichioni Mauricio de Melo , Colares Philippe de Figueiredo Braga
Published: October 2024

A Imunodeficiência Comum Variável (IDCV) é uma doença rara que corresponde a níveis baixos de imunoglobulinas. Tal doença apresenta diversas manifestações clínicas, sendo uma delas a doença pulmonar intersticial linfocítica granulomatosa (GLILD). O diagnóstico de GLILD se baseia em achados clínicos e radiológicos, como presença de nódulos, anormalidades em vidro fosco e espessamento septal.  O relato de caso descreve uma paciente com 39 anos de idade, com histórico de pneumonias de repetição, com novo quadro infeccioso pulmonar e achados em exames de imagens. A terapêutica com antibioticoterapia isolada não se mostrou satisfatória, sendo então diagnosticado ICVD associado a GLILD com necessidade de uso de imunoglobulina integrado com uso de broncodilatadores e corticoterapia.
Hipercalcemia maligna em cães e gatos: revisão de literatura
Authors: Nicolau Gabrielli , Correia Márcio Phillip Andrade , Gervais Jorge Luiz Rizzo , Aptekmann Karina Preising , Barioni Graziela
Published: October 2024

A hipercalcemia maligna é uma síndrome paraneoplásica caracterizada pelo aumento da presença de cálcio sérido devido a alterações distantes ocasionadas por neoplasias malignas. O objetivo do presente trabalho é realizar uma revisão de literatura condensando as principais informações atualizadas sobre a fisiopatologia, diagnóstico e tratamento da hipercalcemia em cães e gatos visando facilitar a comprenssão e consulta de informações pelos profissionais da saúde envolvidos na área. Em relação aos tipos neoplásicos, os mais frequentes causando hipercalcemia maligna em cães são os distúrbios linfoproliferativos, como o linfoma. Os sinais clínicos se manifestam em diversos sistemas orgânicos, mas são mais relevantes as alterações nos sistemas neuromuscular, gastrointestinal, renal e cardíaco. Dependendo da etiologia são apresentados algumas classificações clínicas para a síndrome, como hipercalcemia osteolítica local (HOL), a hipercalcemia humoral maligna (HHM) e o hiperparatireoidismo ectópico. Para o diagnóstico preciso da hipercalcemia maligna, são necessários exames laboratoriais, sendo o cálcio ionizado considerado o método mais preciso, apesar de existirem outros. Como mesmo no paciente oncológico nem toda hipercalcemia é causada por neoplasia, se faz necessário investigação criteriosa para excluir possíveis diagnósticos diferenciais. Por fim, os pacientes com hipercalcemia exigem uma abordagem cautelosa, com tratamento direcionado tanto à neoplasia causadora quanto à minimização da hipercalcemia no organismo, mas ainda sim são considerados pacientes críticos.
Centro de Memória da Enfermagem da Universidade de Brasília e as ações de preservação da história institucional
Authors: Fernandes Amanda Reinaldo , Britto Camila Marçal de , Sousa João Vitor Ribeiro de , Franzoi Mariana André Honorato , Cruz Keila Cristianne Trindade da , Faustino Andréa Mathes
Published: October 2024

Introdução: Tratar e conservar a memória institucional faz parte da atuação dos pesquisadores em História da Enfermagem. O projeto de extensão e de pesquisa em funcionamento desde 2016, Centro de Memória da Enfermagem, é voltado para preservação da memória histórica sobre o Curso e Departamento de Enfermagem da Universidade de Brasília (UnB). Objetivo: Este artigo tem como objetivo apresentar e descrever a experiência das ações de extensão universitária voltadas para a preservação dos aspectos históricos do Curso de Enfermagem da UnB, bem como as publicações oriundas do grupo de pesquisa, durante os anos de 2016 a 2024. Método: A metodologia adotada foi o relato de experiência a partir da análise dos documentos e relatórios do projeto, que são elaborados anualmente. A partir da análise, foi possível identificar as atividades de promoção de cursos e eventos, bem como as de publicações científicas.  Resultados: Destaca-se como resultados as ações do projeto vinculadas a eventos durante a Semana de Enfermagem, bem como a Semana Universitária, que são eventos anuais promovidos tanto pela própria universidade como por associação de classe da Enfermagem. As publicações científicas foram voltadas para divulgação da biografia da primeira professora do curso, outras provenientes de pesquisa sobre os estudantes e a criação do centro acadêmico, entre outros assuntos. Conclusão: O projeto até o momento está tendo um impacto na divulgação e conservação histórica da Enfermagem no Distrito Federal e no Brasil, contribuindo para o fortalecimento da identidade profissional.
Spontaneous uterine artery rupture in a non-pregnant woman: A case report
Authors: Nathan Jessica Ann , Sze Yen Valerie Chew , Ab Manan Nur Fazlin
Published: October 2024

Objective: Spontaneous uterine artery rupture in a non-pregnant woman is an extremely uncommon event. To date, there have only been a few cases. Patients often present with acute abdomen and are hemodynamically unstable. Case Presentation: A 42-year-old female presented with multiple episodes of syncopal attack associated with vomiting and generalized abdominal pain. Upon arrival, she was hypotensive which required aggressive fluid resuscitation with crystalloids and blood products. Urine pregnancy test was negative. In addition, ultrasound scan showed free fluid in the abdomen mainly at the splenorenal area and organized clots around the uterus. Computed tomography of the Abdomen revealed a moderate amount of hemoperitoneum with hypodense clots at the left para-colic gutter and pelvis. She underwent an exploratory laparotomy and intraoperatively noted bleeding from left uterine artery with 1.2 L of hemoperitoneum with no other abnormalities detected. Intraoperatively, there was an estimated 5 L blood loss which required packed cell and disseminated intravascular coagulation transfusion. Subsequently, the patient was sent to intensive care unit where she recovered well and was discharged home 5 days later. Conclusion: Spontaneous uterine artery rupture is an extremely rare occurrence with high mortality if there is failure to detect and intervene early.
Determining hematological indices in patients admitted to a poisoning referral center: A 10-year cross-sectional study
Authors: Eizadi-Mood Nastaran , Mokhtar Layaa , Samsamshariat Shiva , Dorooshi Gholamali , Otroshi Arman , Naghizadeh Mohammad , Sabzghabaee Ali Mohammad
Published: October 2024

Objective: Poisoning is one of the most common methods of suicide in developing countries. We assessed the frequency of impaired hematological indices in patients with acute poisoning. Methods: The present study was a cross-sectional retrospective. Using the census sampling method, all patients who had attempted suicide by poisoning and were admitted from 2013 to 2023 were included in this study. Different variables, including age, gender, hematological index on admission, hospital stay, and outcome (mortality), were recorded in a data-gathering form. ANOVA and chi-square or Fisher’s exact tests were used for analysis. Results: This study was conducted on 48186 patients, 53.4% of whom were male. The average age of the patients was 34.92 (±13.23). Of all patients, 6% had anemia, 15.1% leukocytosis, 15% higher than average hemoglobin, and 9.1% lower than average platelet count. White blood cell (WBC) count was higher (mean difference=3741.85, SD=151.35, 95% CI=3445.21–4038.5) in deceased patients, while platelet count was significantly lower in deceased patients (mean difference=17.19, SD=2.57, 95% CI=12.14–22.24) (P<0.001). Anemia correlated with more extended hospital stay by an average of 1.61 days (SD=0.27, 95% CI=0.98–2.24) compared to patients with normal hemoglobin. Thrombocytopenia also correlated with more extended hospital stays by an average of 1.38 days (SD=0.21, 95% CI=0.88–1.89). Conclusion: The frequency of abnormal hematological indices was not high in patients with acute poisoning. Deceased patients had higher WBC and lower platelet counts compared to surviving patients. Patients with anemia and thrombocytopenia had more extended hospital stays.
Is clavicular fracture associated with concomitant injuries in multi-trauma patients?
Authors: Salmasi Shiva , Dilmaqani Sadaf , Ebrahimi Bakhtavar Haniyeh , Ala Alireza , Rahmani Farzad
Published: October 2024

Objective: This study aimed to evaluate the relationship between clavicular fracture and associated injuries in multi-traumatic patients. Methods: In this prospective cohort study, 185 multi-traumatic patients referred to the Emergency Department of Imam Reza (AS) Hospital of Tabriz University of Medical Sciences were selected between August 2019 and September 2021. The census sampling method was used until the required sample size was achieved. The following patient information was recorded and studied: mechanism of trauma, age, gender, Glasgow Coma Scale (GCS) score, systolic blood pressure (SBP), the presence of clavicular fracture, concomitant injuries, hospital outcome, duration of hospitalization, and severity of trauma. The participants were divided into two groups based on the presence of a clavicular fracture. Data were analyzed using SPSS software. Results: Of all 185 patients, 51 had clavicular fractures. The mean age of the patients was 34.72±12.99. Of all patients, 27.6% had clavicular fractures. There was no statistically significant difference in GCS scores between the two groups (P=0.927). The highest percentage of injuries associated with clavicular traumas was traumatic brain injuries, with rates of 22.4% and 19.6% in the study and control groups, respectively. There were statistically significant differences in concomitant injuries between the two groups (P<0.001). There was no statistically significant relationship between clavicular fracture and the patient’s outcome (P=0.10), nor between clavicular fracture and GAP (GCS, age, SBP) (P=0.143) or New Trauma Score (NTS) (P=0.257). Conclusion: The results showed a difference in the associated injuries between the groups; however, there was no statistically significant difference in patient outcomes. Healthcare providers are suggested to consider concomitant injuries in patients with clavicular fractures.
Emergency transfusion of different rhesus blood type: Will there be complications?
Authors: Hardy Wu Albert , Fitriati Mariza , Edralyn Disa , Jardine Adriana
Published: October 2024

Objective: Antepartum hemorrhage (APH) is one of the leading causes of maternal and fetal mortality worldwide, complicating 2–4% of pregnancies. Considering the probability of blood transfusion, blood testing and cross-matching are essential for the anesthesiologist during perioperative management. Rhesus (Rh) is the second most significant blood group system after ABO. Hence, this blood type system needs to be taken into consideration. Furthermore, in Indonesia, Rh-negative blood types are rare. Case Presentation: A 39-year-old woman with Gravida IV, three term pregnancies, no preterm pregnancies, no abortions, and three living children (GIVP3003) and gestational age 26 to 27 weeks arrived at the hospital with massive bleeding from the birth canal three hours before admission. The bleeding was fresh red, and the patient had changed diapers twice before arriving at the hospital. She presented hypovolemic shock, a blood pressure of 71/39 mm Hg, and anemic conjunctivas, with a history of B Rh (-) blood type, ongoing HIV therapy, and completed pulmonary tuberculosis (TB) treatment. The hospital’s and PMI’s (Indonesian Red Cross) blood bank had no Rh (-) bloodstock. An emergency cesarean section under general anesthesia was performed, and a 900 g neonate was delivered. The patient received a total of four stored whole blood (SWB) bags of type B Rh (+) blood products, one SWB bag during surgery, and three SWB bags during recovery in the intensive care unit (ICU). Conclusion: Rh (+) transfusion in patients with Rh (-) should be the last option in an emergency. The transfusion reaction did not occur right away in the initial transfusion. Under prompt management, the transfusion response and the life-threatening condition were then successfully managed.
Severity of organ dysfunction in pediatric intensive care using PELOD-2
Authors: Shenoy Sangeetha , Patil Shruti
Published: October 2024

Objective: Organ dysfunction is an important factor determining the severity and outcome of critical illness in children. Organ dysfunction scores are based on the number of organs involved and the severity of dysfunction in each. This study aimed to evaluate organ dysfunction using PELOD-2 in critically ill children. Methods: This prospective observational study included all consecutive critically ill children with organ dysfunction aged one month to 15 years admitted to pediatric intensive care unit of a Ramaiah Medical College Hospital, Bangalore between January 2018 and December 2020. The severity of organ dysfunction was scored using Pediatric logistic organ dysfunction-2 (PELOD-2) and evaluated based on the outcome using SPSS and PASW statistics for Windows version 18.0. The sample size required for the study with 95% confidence level and 10% relative precision was 149 critically ill children. The children were classified based on the presence of single and multiple organ dysfunction. Demographics and laboratory parameters were compared between the two groups using non parametric tests. The factors affecting mortality among children with multiple organ dysfunction were assessed using univariate and multivariate analysis. Results: Of the 550 children admitted with critical illness during the study period, organ dysfunction was present in 84% of the patients. Of these, 43% had multiple-organ dysfunction. The median (interquartile range) of the patients was 5.5 (1, 11) years with a male-to-female ratio of 1.7:1. The mortality rate was 14.4%. The PELOD-2 score and mortality steadily increased with the number of organs involved. The presence of more than two organ dysfunctions had an odd ratio (OR) of 45.7 for mortality (95% CI: 18.9–110.6, P value<0.001). The area under the receiver operating curve (ROC) for predicting mortality using the number of organs affected was 0.96 (95% CI: 0.94–0.97, P value<0.001). Dysfunction in more than two organs had a sensitivity of 92.5% and a specificity of 91% in predicting mortality. The presence of cardiovascular dysfunction and the need for ventilation were found to be independent predictors of mortality. Conclusion: The presence of more than two organ dysfunctions in PELOD-2 increased the risk of mortality; the need for ventilation and the presence of cardiovascular dysfunction were independent predictors of mortality.
THE EFFECT OF DIET PATTERNS, PARENTING METHODS, AND PHYSICAL ACTIVITY ON THE NUTRITIONAL STATUS OF TODDLERS AT BUNGKU PUBLIC HEALTH CENTER
Authors: Panca Radono  , Idawati Hasyim  , Retno Palupi Yonni Siwi  , Nurwijayanti
Published: October 2024

The high incidence of malnutrition in toddlers is caused by an unbalanced diet, poor parenting, and a lack of physical activity, which has an impact on the suboptimal growth and development of toddlers. The purpose of this study was to determine the effect of diet, parenting, and physical activity on nutritional status in toddlers. This study used a correlational analytical design with a cross-sectional approach. The population consisted of 53 respondents with a sample of 47 respondents, selected using a simple random sampling technique. Data were collected through the use of questionnaires, and the analysis used multivariate regression statistical tests. The results showed that most respondents had a poor diet (70.2%), almost all applied democratic parenting (87.2%), most did toddler physical activities well (95.8%), and the majority had poor nutritional status (74.4%). There was a significant relationship between diet patterns and nutritional status of toddlers at the Bungku Health Center, Morowali Regency (p = 0.001 <0.05). However, no significant relationship was found between parenting methods (p = 0.434 > 0.05) and toddler physical activity (p = 0.682 > 0.05) with the nutritional status of toddlers in the same location. Diet patterns, parenting methods, and physical activity are among the factors that influence nutritional status in toddlers, thus having an impact on child growth and development.
Assessment of Air Quality Index of Kolkata, Howrah, and 24 Parganas North during COVID- 19 Lockdown
Authors: Ghosh Minakshi , Kumar Roy Pankaj , Biswas Roy Malabika
Published: October 2024

In the course of COVID- 19 pandemic, a nationwide lockdown in India has been imposed from 22nd March 2020 extended to June end, thereafter a partial lockdown was enforced as a precautionary measure to confine the spread of COVID- 19. The anthropogenic activity was restricted during lockdown therefore the pollution level across many cities in India reduced drastically. This eventually led us to analyze the air quality scenario of Kolkata metropolitan city along with suburban areas of North 24 Parganas and Howrah in the state of West Bengal, India. In the present research, the air quality parameters like PM10, PM2.5, SO2, NO2, CO, O3, and NH3 were analyzed the during lockdown phase of 23rd March 2020 to 30th June 2020. A comparative study was done with the air quality data of the pre-lock down phase (March 2019 to 4th March 2020) and an Air Quality Index (AQI) was prepared. During lockdown coal/ fuel consumption was low due to the restriction of vehicle movement and road transport thus carbon emission in the air was less. AQI improved enormously with reduction of SO2 content to <80 %; among other pollutants NO2 and NH3 reduced to <54 % and <91 % in Kolkata, Howrah, and 24 Parganas North. P.M 2.5 drastically reduced in the regions of Kolkata, Howrah, and 24 Parganas North of West Bengal effectively to <81%, <91 %, and <95% respectively. P.M 10 reduced to <75%, <79%, and < 81 % in Kolkata, Howrah, and 24 Parganas North. In Kolkata there was 55% reduction in the level of CO. There was 4 folds reduction of P.M2.5 and P.M10 in Kolkata compared to March- June 2019. About 50 % to 60 % improvement in air quality was identified within 7days of the lockdown. Improvement of air quality during lockdown has benefited the environment and ecology.
Correlation Analysis Between Climatic Parameters And Their Effect On Evapotranspiration At Bhitarkanika National Park Region, Odisha, India
Authors: Chaudhary Sangita R. , Trivedi Ratna
Published: October 2024

In order to evaluate the link between a few chosen meteorological characteristics and their association with potential evapotranspiration (PET), which was determined using the correlational approach, a research was conducted in the Bhitarkanika National Park Area, Odisha. Temperature, humidity, wind speed, and sun radiation made up the chosen climatic variables. Strong positive and negative correlations between PET and temperature, sun radiation, wind speed, and humidity were observed to show the effects on mangrove ecosystems . In addition, rainfall was abundant from April through October, with August seeing the most. Investigating their potential future changes and related implications requires accurate simulations of these variables from climate models, both in terms of values and changes over time. This paper aims to explain the usefulness of the linear correlation coefficient between two variables in identifying the level of multicollinearity and the mediating/moderating status of independent variables in a model.
Extraction and Separation of zirconium using Aliquat 336 from Egyptian black sand
Authors: Fared E.S. , Rabee K. A. , Ali M.M. , Daher A.M. , Abdeldayem S. M. , El -Reash Gaber M. Abu
Published: October 2024

A solvent extraction method has been employed to extract and separate zirconium from the nitric acid medium using 6% tri-caprylmethylammonium chloride (Aliquat 336) [CH3(CH2)7]3N+(CH3) Cl- dissolved in kerosene as diluent. The relevant factors controlling the extraction process of zirconium using Aliquat 336 were studied. These factors include Aliquat 336 concentration, A:O phase ratio, contact time and diluent type. More than 99.6% of Zr was extracted by 6% Aliquat 336 at contact time 10 minutes, phase ratio O:A (v: v) 2:1 and the diluent were kerosene. Third phase formation was studied and dissolving it by using decanol as modifier was also done. Stripping of zirconium from loaded Aliquat 336 has been carried out using 4M H2SO4 as an effective stripping agent. The feasibility of using Aliquat 336 for separation of zirconium was assisted by stripping studies. The loaded zirconium onto Aliquat 336 has been stripped by stripping efficiency 94.18% when using 4M H2SO4 as an efficient eluting agent at 10 minutes contact time and phase ratio O:A (v: v) 1:1.
The need for ENVIRONMENTAL GEOPHYSICS: the case of abandoned complex behind UBA and FIDELITY banks near Greenhouse at Nsukka campus of University of Nigeria
Authors: Igwe Igwe , Awucha Emmanuel , Okwesili Okwesili , Agatha Ngozi , Yakubu Yakubu , Akor John , Ugbor Ugbor , Okechukwu Desmond
Published: October 2024

Subsurface geologic structure around an abandoned building at the University of Nigeria, Nsukka campus was investigated to ascertain the cause or reason for abandonment. 2-D resistivity method was employed in the study. Three electrical resistivity tomography (ERT) profiles and one vertical electrical sounding (VES) profile were conducted around the building using SSR-MP-ATS resistivity meter. Winresist software and RES2DINV software were used to process the VES and ERT data respectively. The result of the analysis of the VES data showed a six layered earth model with the resistivity and depth respectively for each layer. The results of the ERT revealed that the area is covered with a conductive top-layer to a depth of about 15 m coupled with fault zone that passed through the building site. These results showed that the foundation of the building was laid without priori or adequate geologic information about the site before commencement of the building. Geologically, the areas with a conductive layer or fault zone have earth materials with low or poor engineering strength that could lead to collapse of engineering structure either by sinking or by fall and which is the case with this site we have studied.
Pengaruh Pelatihan Dan Kepemimpinan Kepala Sekolah Terhadap Kinerja Guru Melalui Kepuasan Kerja Pada Madrasah Aliyah Jakarta Barat
Authors: Hifzi Achmad , Sitorus Guston , Siagian Arifin
Published: October 2024

Penelitian ini bertujuan untuk menguji dan menganalisa pengaruh variabel pelatihan dan kepemimpinan terhadap kinerja guru melalui kepuasan di Madrasah Aliyah Jakarta Barat. Metode penelitian yang digunakan adalah pendekatan kuantitatif. Teknik pengumpulan data dalam penelitian ini adalah data primer yang diperoleh langsung dari responden penelitian yaitu 33 orang guru melalui kuesioner yang bekerja di Madrasah Aliyah Jakarta Barat. Metode analisis data dalam penelitian ini menggunakan bantuan program SPSS versi 26 dengan uji inner model serta outher model. Hasil penelitian menunjukkan bahwa data terdistribusi secara normal, baik diuji dengan pendekatan normality plot, grafik histogram, kolmogorov smirnov dan pada penelitian ini dilakukan juga uji multikolinearitas dan uji Heterokedastisitas. Metode analisis data menggunakan metode deskriptif dan analisis regresi linier berganda. Selain itu pada variabel pelatihan berpengaruh signifikan terhadap kinerja guru, variabel kepemimpinan kepala sekolah berpengaruh signifikan terhadap kinerja guru, variabel kepuasan berpengaruh signifikan terhadap kinerja guru, variabel pelatihan, kepemimpinan, dan kepuasan berpengaruh signifikan terhadap kinerja guru.
Navigating the Global Marketplace: Indian MSME Integration into Global Supply Chains - Policy Opportunities and Challenges
Authors: PANDEY PRERNA
Published: October 2024

This study examines the challenges and opportunities that are in the process of incorporating Indian Micro, Small & Medium Enterprises into Global Value Chains. While such GVC participation is likely to enhance the competitiveness of the MSMEs, back economic development, and enhance innovation, effective such integration has several hurdles. Such barriers include lack of technological and financial resources, inadequate skills, regulatory issues, and fair trade and sustainability concerns. The proposed and discussed in this paper challenges includes: gap assessment, recommendations formulation, and legal implementation where more focus is place on Indian traits. These recommendations relate to improving the enabling framework, promoting technological upgrading and innovation, raising skills and human capital, and facilitating GVC participation that is more equitable and environmentally friendly. By focusing on interventions in the above mentioned areas, the Indian policy makers will be able to put in place measures that will foster growth in Indian MSMEs in the global economy which in turn will support broader and more robust economic growth. The research also addresses the questions about the nature of the individual policy measures that are needed, specifics related to sectors, the role of geography, digitalization, and GVC in economic regionalization and growth, etc
Savings and Credit Cooperative Societies (SACCOS) Members’ Perception on Loan Services
Authors: Nigatu Abiyu Getie , Kaur Dhaliwal Dr. Navkiranjit
Published: October 2024

The study examined members' perceptions of SACCOS' credit facilities. The study used descriptive research methods, statistics, factor analysis, and ANOVA to examine members' perceptions of credit facilities offered by SACCOS in Ethiopia. It involved 400 members from 30 selected SACCOS who completed 23 closed-ended questionnaires. The study based its results on four factors: credit volume, customer service, impartiality, and affordability. Timely lending, informed action on default, fair repayment periods, and simple application formalities influenced the credit volume. Borrower capacity, reasonable interest rates, and satisfactory loan distribution were all examples of customer service. Moreover, geographic location did not significantly influence perceptions.
Use of a Refined Theory for Three-Dimensional Bending Analysis of Isotropic Rectangular Thick Plates
Authors: I Bertram, D. , O Onwuka, D. , M Ibearugbulem, O. , E Okere, C.
Published: October 2024

In this paper, a refined plate theory (Alternative II theory) is presented for the three-dimensional bending analysis of an Isotropic thick plate. The theory has similarity to the first order shear deformation theory but requires no shear correction factors. The kinematics equations were developed based on the Alternative II Refined plate theory. Thereafter, using a complete three-dimensional constitutive relation, the total potential energy was developed. A governing equation and two compatibility equations were obtained by the variation of the total potential energy with respect to displacement and rotations respectively. Solving the governing and compatibility equations, a polynomial displacement function was obtained. The stiffness coefficients were then obtained using the displacement function. Thereafter, the equations for the in-plane normal and shear stresses, transverse normal and shear stresses as well as the lateral displacement were developed using the stiffness coefficients and the displacement function. Numerical values of the lateral displacement parameters were determined for a rectangular plate of aspect ratio 2.0, 1.0 and 0.5 for span to thickness ratios of 20, 10 and 7.14286. Also, numerical values of the lateral displacement and stresses were determined for a square plate for span to thickness ratios of 4, 10, 100 and 1000. The results from this work were compared with the work of previous researchers using simple percentage difference. It was observed that refined plate theories overestimate the lateral displacement of a plate. Hence, three-dimensional analysis is recommended for thick plate analysis.
Epidemio-Clinical, Anatomopathological, Computed Tomography Aspects from Breast Cancer to Imaging and Medical Oncology Departments at Chu – Mother-Child “Luxembourg”
Authors: S Cisse, B. , H Agaly, , L Diarra, , M Traore, , A Dao, , A Kone, , H Sangare, , M Ly, , A Kouma, , M Diallo,
Published: October 2024

Introduction: Cancer results from an anarchic proliferation of abnormal cells of the mammary gland and is the most common cancer in women in developed countries with 50,000 new cases in 2008. Objectives: The aim of our work was to describe the sociodemographic characteristics of patients, to determine the different sites and the frequency of metastases; and to describe the CT and histological aspects in the diagnosis of extension, therapy and assessment. Methods: Our study was retrospective descriptive over a period of 12 months from January 2020 to December 2020 in the radiology and medical oncology department of CHUME Luxembourg. It concerned all patients with histologically confirmed cancer who had undergone a scan before, during treatment or during therapeutic monitoring. The examinations were carried out with a HITACHI SUPRIA 16 BARRETTES CT scanner installed in 2015. Results: During the period of our study, the frequency of breast cancer was 10.7% (130 cases) out of 1204 scans carried out with a female predominance of 98%, an average age of 52 years and extremes of 12 to 90 years. The main metastases were: pulmonary (59%), followed by lymph node metastases (66%), bone (51%), liver (29%) and brain (2%). The association of pulmonary, lymph node, liver and bone metastasis represented 27% of the most frequent associations. As for the histological aspect, non-specific invasive carcinoma grade II SBR and TNM was the most frequent.
PERFORMANCE EVALUATION OF DIFFERENT BRANDS OF CHLORPHENIRAMINE MALEATE (ANTIHISTAMINE) TABLETS AVAILABLE IN BANGLADESH
Authors: KH Ahammad Uz Zaman, , Sharifa Sultana, , Kanij Nahar Deepa, , Sathi Akter
Published: October 2024

In Bangladesh, at present about 60 pharmaceutical companies are manufacturing 90 brands of Chlorpheniramine Maleate tablets. This project work has been designed to evaluate & report the quality & stability of some marketed Chlorpheniramine Maleate tablets available in Bangladesh. The selected brands were assayed spectrophotometrically and their physical parameters (weight variation, hardness, thickness, friability, disintegration time, and dissolution rate) were analyzed according to the official (BP/ USP) pharmacopial methods to evaluate their quality. The results showed that 7 brands of tablets meet the USP specification of potency and the remaining one brand was highly potent. All but one brands showed good results when they were tested for weight variation, thickness, disintegration time, It is evident from the study that most of the brand tested showed good result but few of them are substandard. So more steps and effective measures should be taken by the authority to ensure quality medicine.
Suporte de vida extracorpórea em pacientes com infarto agudo do miocárdio complicado com choque cardiogênico: uma revisão sistemática
Authors: Veras Dourado Mari Edeline , Alonso Hernández Camacho Sebastián , Da Silva Dantas Nicolle , Masteguin Ayres Netto Maria Eugênia , Sarmeiro Araujo Rachel , Miranda Ubagai Letícia , Veiga Mendonça Maysa Maria , Ortega Brandão Mylla , Dos Santos Carvalho Gleyce anne , Ebert Marino Isabelle , Silvestre Xavier Marcella , Bifulco Soares Giovanna , Zanin Caldas Julia
Published: October 2024

Este artigo tem por objetivo realizar uma varredura da literatura médica vigente sobre suporte de vida extracorpóreo em pacientes com infarto agudo do miocárdio complicado com choque cardiogênico. Foram utilizados como motores de busca os indexadores PubMed e embase para seleção dos artigos, através dos unitermos “extracorporeal life support”, “acute myocardial infarction”, “cardiogenic shock’’. Conclui-se que o uso da terapia extracorpórea ajudou na sobrevida dos pacientes, além de ter uma incidência menor de falência de múltiplos órgãos.
Aneurisma de artéria femoral superficial
Authors: Lima Costa Renata Luzia , De Faro Ribeiro Santos Lucas , Santos Schenk Fernanda , Fiuza da Silva Darcilene , Lemos Abbud Dantas Caio , Esperidião Tonini Aristides , Da Graça Elisângela , Chicourel Hipólito Rodrigues Viviane , Alves Barreto Yáskara , Lira Gomes Vitor , Lopes Vital Jessica , Lopes Limley Rebeca , Sampaio Menezes Daniela , Da Silva Almeida Mirela , Brandão Oliveira Bloisi Lorena
Published: October 2024

Os aneurismas de artéria femoral superficial (AFS) são uma manifestação clínica rara, mais prevalentes em indivíduos idosos, do sexo masculino, acometendo o membro direito e podem estar associados a outros tipos de aneurisma, como os aortoilíacos, femorais ou poplíteos. Suas principais complicações podem estar relacionadas a trombose, embolização distal e ruptura. Por conta desse alto risco, a ressecção e a revascularização são procedimentos que devem ser realizados.  Desse modo, objetivo geral desse estudo é discutir sobre os principais aspectos do aneurisma de AFS. Para isso foi realizada uma revisão de literatura utilizando 09 artigos sobre o tema.  Sabe-se que ao se tratar de aneurismas periféricos das artérias, os mesmos podem ser palpados facilmente. Entretanto, ao se considerar os aneurismas da AFS apresentam detecção precoce difícil, devido a localização da porção medial e distal, que se encontram abaixo da fáscia muscular e entre os músculos sartório, adutor longo e vasto medial. Destarte, o seu diagnóstico é difícil, só ocorrendo quando o paciente apresenta sintomas que interfiram na sua qualidade de vida e/ou complicações. As complicações dessa patologia pode estar presente em 65% dos casos, sendo as mais descritas na literatura a ruptura, a trombose e os eventos embólicos distais. Por isso, o diagnóstico dessa patologia ao ser detectado precocemente é relevante para a redução de possíveis complicações que possam existir, além de possibilitar que a equipe desenvolva um planejamento cirúrgico mais efetivo, com menor risco de morbimortalidade do indivíduo. Apesar da relevância da temática na atuação profissional diante de casos, ainda são poucos os estudos, o que requer o desenvolvimento de mais trabalhos atualizados sobre a enfermidade, possibilitando o manejo adequado e a recuperação precoce do paciente, sem apresentar agravos desnecessários.
PERFIL DE DOADORES DO HEMOCENTRO DE CASCAVEL-PR EM: UM ESTUDO LONGITUDINAL DO ANO DE 2023
Authors: Saracho Santin Lurian Gabriela , Palaoro de Freitas Jédina Luiza , Ferreira Anderson Felipe , Sackser Horvath Bárbara , Mecabô Grazielle
Published: October 2024

Conhecer o perfil dos doadores é fundamental para compreender os fatores que influenciam a doação de sangue, como inaptidões clínicas, tipo de doação, gênero, idade e sistema ABO. Essas variáveis permitem identificar os grupos mais receptivos às campanhas de incentivo e fornecer dados cruciais para ações educativas. O estudo, realizado pelo Hemocentro de Cascavel-PR em 2023, usou uma abordagem quantitativa e longitudinal para analisar 15.531 doadores, majoritariamente homens, com faixa etária acima de 29 anos e predominância do tipo sanguíneo O +. A principal causa de inaptidão foi o contato sexual com parceiro(a) não fixo(a). Essas informações são cruciais para a manutenção de estoques de sangue e para o desenvolvimento de políticas públicas que incentivem a doação, garantindo que o hemocentro atenda à crescente demanda dos centros de saúde locais. A pesquisa destacou que a doação espontânea foi predominante, refletindo o sucesso das campanhas de conscientização e a relevância de ampliar estratégias voltadas para a educação da população sobre a importância de doar sangue. Como Cascavel é uma referência em saúde na região, há uma necessidade constante de manter um grande banco de sangue disponível, o que requer ações contínuas de incentivo à doação. Políticas públicas são essenciais para garantir que os estoques estejam sempre abastecidos, assegurando que os hospitais da rede HEMEPAR possam atender à demanda, especialmente em situações de urgência. Assim, compreender e monitorar o perfil dos doadores contribui para o planejamento estratégico do hemocentro, otimizando o processo de coleta e garantindo a qualidade do sangue transfundido.