bluuebunny/crossref_metadata_2025 huggingface dataset:
COVID-19: UM RESGATE BIBLIOGRÁFICO SOBRE PRÁTICAS EXITOSAS NA PREVENÇÃO DE LESÕES POR PRESSÃO
Authors: César Vieira de Araújo Túlio , Maria Lopes Soares Aylanne
Published: November 2022

Introdução: Em dezembro de 2019 na China, o SARS-CoV-2 foi identificado e declarado como pandemia pela Organização Mundial da Saúde. Sua transmissibilidade entre humanos e evolução com estabilidade clínica e hemodinâmica, aumentam o risco do desenvolvimento de lesões por pressão nos pacientes mais críticos. Objetivo: Identificar os principais cuidados hospitalares para manter a integridade da pele nos pacientes com Covid-19 propensos a lesão por pressão. Metodologia: Estudo descritivo do tipo revisão integrativa realizado nas bases: Literatura Latino-Americana de Ciências da Saúde, Base de Dados de Enfermagem, Scientific Eletronic Library Online e Biblioteca Nacional de Medicina dos Estados Unidos com os descritores Covid-19, Lesão por pressão, Assistência ao paciente e Padrões de referência. Os critérios de inclusão foram textos completos disponíveis gratuitamente, publicados entre 2019 e 2021, que compartilhassem da temática em adultos e/ou idosos. Foram excluídos artigos incompletos, plataformas pagas, carta e notas editor, reflexões e os artigos duplicados foram contabilizados uma vez, o idioma de origem não foi fator excludente. Resultados: Foram identificados 398 artigos potencialmente relevantes e 7 foram selecionados. As principais práticas relacionadas a prevenção de lesões por pressão em pacientes com COVID-19 apontam intervenções como o uso de checklist, avaliação periódica da pele, definição do risco de desenvolvimento de lesão por pressão, mudança de decúbito conforme tolerância do paciente, uso de superfície para redistribuição de peso, cobertura profilática multicamadas e controle da umidade da pele. Conclusões: As principais práticas para evitas as lesões por pressão nos pacientes com Covid-19 no ambiente hospitalar estão associadas com o cuidado direto ou indiretamente ligados a pele, adoção de medidas preventivas e sistemáticas dentro da realidade clínica e hemodinâmica dos pacientes.
DENOSUMABE E OSTEONECROSE DOS MAXILARES: O QUE O CIRUGIÃO-DENTISTA PRECISA SABER?
Authors: Moraes Dantas Rebeca Carolina , Santos da Silva Aline
Published: November 2022

Introdução: O Denosumabe é um fármaco antirreabsortivo indicado para o tratamento de osteoporose e doenças ósseas metastáticas. O seu uso está associado ao desenvolvimento de reações adversas em diferentes órgãos, como a osteonecrose dos maxilares, que é o evento adverso de interesse para a área odontológica. Objetivo: Realizar um levantamento bibliográfico sobre o mecanismo de ação do Denosumabe no tecido ósseo e destacar a importância do cirurgião-dentista na prevenção, no diagnóstico e tratamento da osteonecrose nos maxilares. Metodologia: Trata-se de uma revisão integrativa elaborada em duas etapas: inicialmente realizou-se uma busca sistemática de artigos publicados entre os anos 2012 a 2022, sobre a osteonecrose em pacientes que fazem uso do Denosumabe nas plataformas de dados Pubmed, Scielo, BVS e Google Acadêmico. Em seguida, foi feita uma seleção de partes relevantes para a pesquisa, uma leitura analítica e a organização das informações coletadas pertinentes a cada tópico da pesquisa. Resultados: O Denosumabe atua inibindo a ligação da citocina RANKL ao seu receptor RANK, tal mecanismo de ação reduz o processo de reabsorção óssea execessiva. As osteonecroses podem apresentar-se em diferentes níveis de estadiamento e caracterizam-se como área de exposição óssea necrótica na região maxilofacial, permanecendo por mais de oito semanas e sem histórico de radioterapia ou doença metastática evidentes nos maxilares. Alguns fatores predispõem o desenvolvimento das osteonecroses, entre eles: procedimentos odontológicos cirúrgicos. Ainda não existe um protocolo de tratamento definitivo, entretanto, modalidades terapêuticas coadjuvantes são administradas de acordo com a condição clínica do paciente. Conclusões: O exame clínico deve ser minucioso, atentando-se a qualquer alteração na cavidade bucal, às doenças preexistentes e às medicações utilizadas pelo paciente. Em todos os casos deve-se, realizar orientações de higiene oral e adequação do meio bucal previamente ao tratamento oncológico e ao uso de drogas antirreabsortivas.
PROMOÇÃO DA SAÚDE MENTAL DOS TRABALHADORES DA SAÚDE: AS PRÁTICAS INTEGRATIVAS E COMPLEMENTARES COMO ESTRATÉGIAS DE CUIDADO
Authors: Jardson Silva  , Dayse Barbosa Silva  , Lilia Costa Nascimento  , Rayssa Araújo Gomes  , Guilherme Gomes Freire  , Afonson Luiz Medeiros Gondim  , Liliane Pereira Braga
Published: November 2022

Introdução: É indispensável entender a saúde mental por meio das relações históricas e socioculturais que o indivíduo mantém com o outro, com a comunidade e com o meio em que trabalha. Percebe-se que os aspectos referentes às conceituações de saúde não estão em consonância com a realidade dos profissionais de saúde no Brasil. Como forma de promover o autocuidado, as Práticas Integrativas e Complementares apresentam-se como uma estratégia de promoção da saúde mental dos trabalhadores da saúde. Objetivo: Descrever as experiências de realização de ações de promoção da saúde mental dos trabalhadores da saúde em um hospital geral do interior do Rio Grande do Norte. Metodologia: Trata-se de um estudo do tipo relato de experiência, desenvolvido a partir da realização de ações de promoção à saúde mental dos trabalhadores no contexto do “Setembro Amarelo” e “Janeiro Branco”, desenvolvidas pela equipe de Residência Multiprofissional em Saúde Materno-Infantil da Universidade Federal do Rio Grande do Norte. Resultados e Discussão: Os profissionais foram instigados a refletir sobre a temática e relacionar com as suas vivências, discutindo estratégias de autocuidado no ambiente de trabalho. Observou-se a predominância dos profissionais de enfermagem em relação às demais categorias profissionais. Estes relataram que os momentos foram prazerosos e o sentiram como uma oportunidade de relaxamento no ambiente de trabalho, desejando que estes pudessem ocorrer com mais frequência. Conclusões: As ações desenvolvidas e descritas se mostraram como estratégias importantes para a discussão e sensibilização sobre a temática, bem como a relevância de estratégias de promoção à saúde mental nos espaços ocupacionais do SUS.
“Teknoferans”: Teknoloji Cihazı Müdahale Ölçeği ve Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin Türkçeye Uyarlanması
Authors: Özcan Ali , Tezel Şahin Fatma
Published: November 2022

Bu araştırmada, Teknoloji Cihazı Müdahale Ölçeği ile Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin, geçerlik ve güvenirlik analizlerinin yapılarak Türk Kültürüne uyarlanması amaçlanmaktadır. Araştırmaya Denizli ilinde ikamet eden eşi ile birlikte yaşayan 252 kadın katılmıştır. Ölçme araçlarının dil geçerliliği ve kapsam geçerliliği için uzman görüşlerinden yararlanılmıştır. Ölçeklerin yapı geçerliğini sağlamak için doğrulayıcı faktör analizi yapılmıştır. Analiz sonucunda elde edilen model uyum indeksleri Teknoloji Cihazı Müdahale Ölçeği için; x²/sd=0,23, RMSEA=.000, RMR=.006, GFI=1.00, AGFI=.99, CFI=1.00 olarak, Yaşam Örneklerinde Teknoloji Müdahale Ölçeği için; x²/sd=1,59, RMSEA=.04, RMR=.06, GFI=.99, AGFI=.96, CFI=.99 olarak hesaplanmıştır. Bu değerler ölçeğin faktör yapılarının kabul edilebilir ve geçerli sonuçlar verdiğini göstermektedir. Ölçme araçlarının Cronbach Alpha iç tutarlılık katsayıları Teknoloji Cihazı Müdahale Ölçeği’nin .74, Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin ise .86 olduğu tespit edilmiştir. Teknoloji Cihazı Müdahale Ölçeği ile Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin ölçüt bağıntılı geçerliği için ölçeklerin geliştirilme sürecinde yer alan ölçme araçları göz önünde bulundurularak Problemli İnternet Kullanımı Ölçeği-Kısa Form (PİKÖ-KF) ve Teknoloji Bağımlılığı Ölçeği arasındaki korelasyonlar hesaplanmıştır. Ayrıca üç hafta ara ile gerçekleştirilen test-tekrar test korelasyon katsayıları ve madde toplam korelasyon katsayıları hesaplanmıştır. Teknoloji Cihazı Müdahale Ölçeği ile Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin ölçüt bağıntılı geçerlilikleri ve test-tekrar test korelasyonları için gerçekleştirilen analizler sonucunda katsayıların yeterli olduğu ortaya konmuştur. Ölçeklerin madde toplam korelasyon değerleri .48 ile .73 arasında değişen oranlarda değerler almıştır. Araştırma sonuçları Teknoloji Cihazı Müdahale Ölçeği ile Yaşam Örneklerinde Teknoloji Müdahalesi Ölçeği’nin geçerli ve güvenilir ölçme araçları olduğunu göstermektedir.
Assessment of Thermal Performances of Walls Made of Rubberized Gypsum Composite in Arid Zones - Experimental Study and Simulation
Authors: Laoubi Hamza , Meddah Abdelaziz , Bederina Madani
Published: November 2022

Introduction:

In this study, the thermal performance efficiency of buildings located in M’sila region (Algeria), which is considered as typical arid zone, was investigated. In its first part, the study focused on the laboratory evaluation of the thermomechanical properties of a gypsum mortar, in which rubber waste was incorporated by volume replacement of sand. The second part of study was to investigate the insulation performance of a typical wall subjected to arid climatic conditions, using numeric simulations.

Methods:

The thermal properties were measured using Transient Plane Source method (TPS), and then the Time-lag “ƒ” and decrement factor “φ” were calculated, for various wall configurations, using theoretical equations. The effect of various parameters was studied, including: wall thickness, inclusion of air space within the wall and application of surfacing materials.

Result:

The obtained results showed that when rubber content, in the composite, increases, the mechanical strength and the density decrease; whereas the insulating performances are considerably improved. The later were improved by more than 50% with 50% of rubber. The numerical simulations indicated that the thermal inertia characteristics [ƒ, φ] are improved when the thickness of the wall increased; moreover, more improvement was recorded (more than 38%% in time lag and more than 2h in decrement factor) when an air space was included within the wall and even when the wall surfaces are coated.

Conclusion:

The use of rubber waste as building materials, helps to regulate the temperature inside buildings, reduce the energy consumption, reduces the construction cost and protect the environment.
Mechanical and Chemical Behaviour of Water Treatment Sludge and Soft Soil Mixtures for Liner Production
Authors: Marchiori Leonardo , Studart André , Albuquerque Antonio , Pais Luis Andrade , Boscov Maria Eugênia , Cavaleiro Victor
Published: November 2022

Background:

Clay-based and geosynthetic liners are generally used as hydraulic barriers in solid waste disposal facilities, mining tailing ponds, and soil-based wastewater treatment technologies, avoiding the leaching of hazardous compounds into subsoil and groundwater. Water treatment sludge (WTS) is a water treatment plant (WTP) residue which due to hydraulic properties seems to decrease the permeability in WTS:soil mixtures and may become an alternative material to produce sustainable waste-based liners.

Objectives:

This research aims to characterize and analyse physical, chemical and mechanical parameters of a WTS, a soft soil and four mixtures WTS:soil following 05:95%, 10:90%, 15:85%, 20:80% ratios, Thereby, evaluating the best ratio for producing waste-based liners for civil engineering applications.

Methods:

The geotechnical characterization was performed for particle size distribution, specific surface, specific gravity, Atterberg limits, and Normal Proctor compaction; chemical composition due to oxides analyses through X-ray fluorescence (XRF), mineralogical description by X-ray diffraction (XRD) and scanning electron microscope (SEM) with energy dispersive spectrometer (EDS) coupled for imaging; and mechanical behavior performing - –oedometric consolidation, consolidated undrained (CU) triaxial, and falling head permeability. Tests were conducted for all mixtures, the soil, and WTS, with pointed-out exceptions.

Results and Discussion:

The results showed that the fine-grained WTS filled the soil voids but rearranged soil particles, thus, compacted dry unit weight decreased with WTS addition, probably due to its chemical composition with high amounts of aluminium and silica. The compressibility of the compacted mixtures did not differ significantly compared to the soil, while the shear strength analysis demonstrated a reduction in cohesion and an increase in the effective internal friction angle proportional to WTS addition. Hydraulic conductivity increased with WTS until 10% of residue introduction, decreased for 15%, and continued to decrease for 20%, reaching optimum permeability at 15%.

Conclusion:

The incorporation of WTS can improve or just not interfere with soil’s properties to be used as liner material in solid wastes storage facilities, mining ponds and soil-based wastewater treatment technologies. Furthermore, 15% of WTS (15:85% mixture) incorporation provided the best results meeting the hydraulic conductivity requirement for liner materials, i.e., equal, or lower than 10-9 m/s. The reuse of WTS for this purpose would allow producing a new added-value material in the scope of circular economy.
Kajian Implementasi Building Information Modeling (BIM) di Dunia Konstruksi Indonesia
Authors:   Universitas Katolik Parahyangan, Pantiga Januar , Soekiman Anton ,   Universitas Katolik Parahyangan
Published: November 2022

One of the most common obstacles encountered in the construction industry is the fragmented delivery process and relies on paper-based documentation and communication. To overcome these problems a good integration system is needed. Building Information Modeling (BIM) is a construction technology innovation that can help stakeholders to collaborate, visualize, and manage construction work better. However, the adoption rate of BIM in Indonesia is still behind compared to other countries. This research was conducted to gather information about the BIM adoption experience and the challenges and benefits faced by construction actors in Indonesia. This study uses the literature review method for data collection. Based on the results of the study it was found that in general the level of adoption of BIM by construction actors in Indonesia is still low, the main challenge faced is the high investment costs of BIM applications, while time efficiency is the dominant benefit of using BIM.
Kebutuhan Area Penimbunan di Tempat Pengolahan Akhir Sampah Domestik di Kota Probolinggo Provinsi Jawa Timur
Authors:   Universitas Brawijaya, Rachmansyah Arief , Meidiana Christia ,   Universitas Brawijaya, Rahmawati Ika Meisy Putri ,   Universitas Brawijaya
Published: November 2022

The domestic Final Disposal Site (FDS) in Probolinggo City with 2 landfill areas is almost full, so it is necessary to develop a new landfill area as soon as possible. In the domestic FDS Bestari, there is still a large area for development, but some parts have been utilized by the management and the community. The aim of the study is to calculate the landfill area requirement over the next 10 years and development plan on limited land. The estimation of the amount of domestic solid waste in this study is based on a linear regression of the increasing of population, which is corrected by the amount of waste that can be transported to the FDS.Â However, the activities in Probolinggo City are still dominated by settlements. With a reduction rate of 4 to 8%, the amount of waste that can be transported to the FDS in 2029 will reach 90 tons per day. With a heap height of up to 20 meters, the required land area for the new landfill area is Â± 45000 m2. Taking into account the used area, 3 new small landfill areas and an extension of one existing landfill area proposed. This development area of landfill will be followed by new installation for leachate treatment.
Focus
Authors: Peels H.G.L.
Published: November 2022

N.a.v.:  Louis Stulman en Edward Silver, The Oxford Handbook of Jeremiah (New York: Oxford University Press, 2021) xix + 683 p., £ 97,00 (ISBN 9780190693060).
Evolución de los actores criminales y su relación con los recursos naturales
Authors: Jiménez Diaz Pablo Emilio
Published: November 2022

El conflicto armado colombiano, con más de seis décadas de actividad, se ha analizado primordialmente desde una óptica política, ideológica y social. Sin embargo, esta visión puede llegar a ser simplista porque oculta la economía criminal y la explotación ilícita de los recursos naturales, lo cual afecta el desarrollo sostenible del país. Esta situación no solo debilita la institucionalidad y eleva los riesgos para la terminación del conflicto, sino que además hace que Colombia esté cada vez más cerca de convertirse en un Estado fallido. Por ello, resulta importante comprender la evolución de las organizaciones criminales a partir del análisis del ciclo de vida del conflicto, como lo plantea Conca (2019), pues este modelo permite dimensionar los verdaderos intereses de las estructuras criminales, respaldadas en un importante poder económico.
El ingreso del medioambiente en la esfera de las Fuerzas Militares
Authors: Gómez Lee Martha Isabel , Macías Tolosa Andrés , Bechara Gómez Eduardo
Published: November 2022

¿Cómo han ingresado las nuevas ideas que han pretendido transformar al Ejército Nacional de Colombia en una fuerza multimisión dotada de herramientas para enfrentar las amenazas ambientales? Tal es la pregunta de investigación que se aborda en las siguientes páginas. Al respecto se sostiene que la transformación y modernización de la Fuerza Pública, atada a la necesidad de cambiar la mentalidad institucional y adaptar la cultura militar respecto a las nuevas ideas, pone de relieve la importancia de dicho proceso desde el enfoque analítico de las comunidades epistémicas (Adler & Haas, 1992). Dado que en Colombia es escaso el conocimiento sobre cómo ha sido el proceso de aprendizaje de las Fuerzas Armadas, específicamente en materia ambiental, y más aún de cara a su proceso de transformación, esta perspectiva resulta pertinente porque permite comprender el origen de las nuevas ideas que guían el proceso, así como reflexionar sobre cómo se ha logrado el abandono de las anteriores.
RESIDENT'S WATER ACCESSIBILITY TOWARDS SUSTAINABILITY: THE CASE OF INFORMAL SETTLEMENTS OF JOS METROPOLIS, NIGERIA
Authors: Yilret Nanle Veronica , Abdul Latip Normah , Karem Rehmat
Published: November 2022

This study is aimed at determining the type of relationship that exists among variables that affect informal residents access to water in the study area. A structured closed ended questionnaire was prepared and administered to a sample of 382 respondent’s, mostly women and girls in five informal settlements of Jos Metropolis. Results from the study revealed that the β and p values of the predictors are as follows; cost and affordability (β=0.113, p=0.014), Intermittent water supply (β =0.045, p -0.190, Physical distance (β=0.365, p<0.001) and lastly Queuing for water (β=0.151, p=0.002). Out of the four-hypothesis developed, cost and affordability, physical distance and queuing for water have a significant negative effect on resident’s access to water. This study therefore contributes a significant gap in methodology by determining the relationship among variables, using PLS-SEM for regression analysis, which is entirely a different method from what was used in previous studies. Hence, presents the novelty of this study.
URBAN GOVERNANCE APPROACHES FOR LOW CARBON CITIES. THE CASE OF SHAH ALAM LOCAL GOVERNMENT, MALAYSIA
Authors: Abdullah Yusfida Ayu , Jamaluddin Nor Baizura , Yakob Hamizah , Hassan Mohd Azren , Nasrudin Na’asah , Yusup Mohammad , Ahmad Zaki Zulkifli , Zanudin Khalid
Published: November 2022

Climate change is an alarming phenomenon, and no conquering mechanisms or global winning standards are available to reduce carbon footprints. Nevertheless, local governments still strive to formulate successful tactics to sustain their cities, including Low Carbon City (LCC) initiatives. However, it is widely accepted that institutional frameworks and urban governance may influence the effectiveness of LCC implementation. In this paper, we impart how the notion of urban governance affects LCC implementation. The study aims to examine the perennial topic of the urban governance approaches to LCC that have been adopted by local governments, using the Shah Alam local government as a case study. Benchmarking exercises were conducted through a detailed literature review of the existing LCC initiatives, together with a focus group discussion (FGD). The FGD session was framed through purposive sampling, with participants selected from the local government of Shah Alam, the city’s community, and the stakeholders involved in the LCC programs. The results demonstrated that urban governance is vital in implementing LCC through many approaches, like the institutional framework, practices, and delivery. Overall, the study findings suggest a crucial component in the Shah Alam local government's management of LCC implementation.
QUALITATIVE ASSESSMENT OF USABILITY AND ACCESSIBILITY OF HOUSING DESIGN ELEMENTS FOR DISABLED PEOPLE
Authors: Yakob Hamizah , Mazlan Syahzanani Afzan , Abdullah Yusfida Ayu , Nasrudin Na’asah
Published: November 2022

Accessibility has become a challenge in today's societies where everyone has equal rights to live in a barrier-free and accessible environment. A previous study indicated that those living in high-rise residences have limited access to facilities for the disabled that are provided in accordance to the Garis Panduan Reka Bentuk Sejagat (Universal Design). This paper aimed to determine the level of accessibility of selected six (6) design elements such as the ramp, stairs, main entrance, the lift, handrails, and parking space and the usefulness of legislation and standards in PPR Pekan Batu, Kuala Lumpur. Qualitative assessments were applied for the study using content analysis of planning guidelines and site observation. The results demonstrated that the efficiency of legislation and standards was a factor in the accessibility and usability of housing design elements for PWDs. Three (3) design elements- the stair, parking space, and main entrance, had recorded the lowest compliance scores compared to another two (2) elements- ramps and handrails, which recorded the second lowest compliance score. Meanwhile, the lift was recorded as the most compliant element based on its accessibility. The outcome of this study implied that different types of disabilities require varied housing accessibility requirements. This study improves accessible design elements for the disabled, resulting in a better environment.
Preliminary Insights as an Outsider Researcher in Female Bodybuilding and Physique Athletes
Authors: Abarra Airnel T. , Dóczi Tamás
Published: November 2022

Ethnographic methods provide meaningful treatment and interpretation of data, especially in doing Sociology of Sport Research. Experiences of different researchers imply a variety of challenges in gathering data, especially coming as an outsider. Different studies highlighted the access of “insiders” to their chosen discipline to provide better rapport with their participants, and that the “insider” access might provide perceived convenience in data gathering. Studying bodybuilding has also been dominated by this point of view. The paper aims to present the initial experiences and insights as a first step in doing research related to women’s bodybuilding and physique competition, as someone coming from outside the subculture. The article offers a review on contemporary studies related to the discipline, especially on the discussions on methods and being an insider or an outsider researcher.
A COVID-19 gyermekgyógyászati és sport vonatkozásai
Authors: Pelle Judit
Published: November 2022

A SARS-CoV-2 vírus által okozott fertőző betegség gyermekeknél ritkábban fordul elő, mint felnőtteknél, és tünetei is enyhébbek. Jellemző a láz, fáradtság, felső légúti tünetek, köhögés és tüdőgyulladás. Szövődménye a többszervi gyulladásos szindróma (MIS-C), amely a fertőzés után 3-6 héttel alakul ki, kritikus állapotot okozhat, és intenzív ellátásra lehet szükség. Tünetei a magas láz, fejfájás, hasmenés, hányás, bőrkiütések, kötőhártya gyulladás, a szív bal kamrájának diszfunkciója, szívizomgyulladás, kiserek gyulladása. A gyógyulási esélyek jók; 5-8 nap kórházi kezelés után a gyermekek hazaengedhetők. Természetesen gyermekkorban is nagy figyelmet kell fordítani a megelőzésre, és a maszkviselés, a távolságtartás és kézfertőtlenítés mellett a védőoltás felvétele is javasolt. Erre a 12 év feletti gyermekeknek már megvan a lehetősége. A Covid-19 betegség fiatal sportolóknál mind az élettani, mind az edzettségi, mind a mentális mutatókban csökkenést okoz. A SARS-CoV-2 fertőzésen átesetteknél a visszatérési protokoll követendő. A kardiológiai vizsgálatok fontosak a későbbi komplikációk és a hirtelen szívhalál megelőzésében.
Social Support in a Diabetes Online Community: Mixed Methods Content Analysis
Authors: Da Moura Semedo Cidila , Bath Peter A , Zhang Ziqi
Published: November 2022

Background

Patients with diabetes may experience different needs according to their diabetes stage. These needs may be met via online health communities in which individuals seek health-related information and exchange different types of social support. Understanding the social support categories that may be more important for different diabetes stages may help diabetes online communities (DOCs) provide more tailored support to web-based users.

Objective

This study aimed to explore and quantify the categorical patterns of social support observed in a DOC, taking into consideration users’ different diabetes stages, including prediabetes, type 2 diabetes (T2D), T2D with insulin treatment, and T2D remission.

Methods

Data were collected from one of the largest DOCs in Europe: Diabetes.co.uk. Drawing on a mixed methods content analysis, a qualitative content analysis was conducted to explore what social support categories could be identified in users’ posts. A total of 1841 posts were coded by 5 human annotators according to a modified version of the Social Support Behavior Code, including 7 different social support categories: achievement, congratulations, network support, seeking emotional support, seeking informational support, providing emotional support, and providing informational support. Subsequently, quantitative content analysis was conducted using chi-square post hoc analysis to compare the most prominent social support categories across different stages of diabetes.

Results

Seeking informational support (605/1841, 32.86%) and providing informational support (597/1841, 32.42%) were the most frequent categories exchanged among users. The overall distribution of social support categories was significantly different across the diabetes stages (χ218=287.2; P<.001). Users with prediabetes sought more informational support than those in other stages (P<.001), whereas there were no significant differences in categories posted by users with T2D (P>.001). Users with T2D under insulin treatment provided more informational and emotional support (P<.001), and users with T2D in remission exchanged more achievement (P<.001) and network support (P<.001) than those in other stages.

Conclusions

This is the first study to highlight what, how, and when different types of social support may be beneficial at different stages of diabetes. Multiple stakeholders may benefit from these findings that may provide novel insights into how these categories can be strategically used and leveraged to support diabetes management.
Monitoring SARS-CoV-2 Using Infoveillance, National Reporting Data, and Wastewater in Wales, United Kingdom: Mixed Methods Study (Preprint)
Authors: Cuff Jordan P , Dighe Shrinivas Nivrutti , Watson Sophie E , Badell-Grau Rafael A , Weightman Andrew J , Jones Davey L , Kille Peter
Published: November 2022

BACKGROUND

The COVID-19 pandemic necessitated rapid real-time surveillance of epidemiological data to advise governments and the public, but the accuracy of these data depends on myriad auxiliary assumptions, not least accurate reporting of cases by the public. Wastewater monitoring has emerged internationally as an accurate and objective means for assessing disease prevalence with reduced latency and less dependence on public vigilance, reliability, and engagement. How public interest aligns with COVID-19 personal testing data and wastewater monitoring is, however, very poorly characterized.

OBJECTIVE

This study aims to assess the associations between internet search volume data relevant to COVID-19, public health care statistics, and national-scale wastewater monitoring of SARS-CoV-2 across South Wales, United Kingdom, over time to investigate how interest in the pandemic may reflect the prevalence of SARS-CoV-2, as detected by national testing and wastewater monitoring, and how these data could be used to predict case numbers.

METHODS

Relative search volume data from Google Trends for search terms linked to the COVID-19 pandemic were extracted and compared against government-reported COVID-19 statistics and quantitative reverse transcription polymerase chain reaction (RT-qPCR) SARS-CoV-2 data generated from wastewater in South Wales, United Kingdom, using multivariate linear models, correlation analysis, and predictions from linear models.

RESULTS

Wastewater monitoring, most infoveillance terms, and nationally reported cases significantly correlated, but these relationships changed over time. Wastewater surveillance data and some infoveillance search terms generated predictions of case numbers that correlated with reported case numbers, but the accuracy of these predictions was inconsistent and many of the relationships changed over time.

CONCLUSIONS

Wastewater monitoring presents a valuable means for assessing population-level prevalence of SARS-CoV-2 and could be integrated with other data types such as infoveillance for increasingly accurate inference of virus prevalence. The importance of such monitoring is increasingly clear as a means of objectively assessing the prevalence of SARS-CoV-2 to circumvent the dynamic interest and participation of the public. Increased accessibility of wastewater monitoring data to the public, as is the case for other national data, may enhance public engagement with these forms of monitoring.
Pemanfaatan google earth engine untuk pemantauan lahan agroforestri dalam skema perhutanan sosial
Authors: Rizaldi Ahmad , Darmawan Arief , Kaskoyo Hari , Setiawan Agus
Published: November 2022

Abstrak. Strategi pengelolaan hutan secara agroforestri dalam skema Perhutanan Sosial (PS)  perlu dipantau menggunakan  teknologi penginderaan jauh. Teknologi analisis citra penginderaan jauh dan teknologi informasi saat ini telah berkembang ke dalam penggunaan cloud computing dan Big Data seperti platform Google Earth Engine (GEE) yang membuat perolehan data turunan citra satelit seperti tutupan lahan menjadi sangat cepat. Makalah ini bertujuan untuk menganalisis citra satelit multiwaktu menggunakan platform GEE dengan algoritma Random Forest (RF) dan Classification and Regression Trees (CART) dalam konteks pemantauan program perhutanan sosial. Hasil uji penilaian akurasi klasifikasi menunjukkan bahwa algoritma RF memiliki hasil akurasi lebih baik dengan nilai overall accuracy sebesar 94,64% dan kappa accuracy sebesar 92,23% dibandingkan dengan algoritma CART yang mendapatkan nilai overall accuracy sebesar 89,77% dan nilai kappa accuracy sebesar 85,54%. Penggunaan platform google earth engine untuk pemantauan skema PS terbukti berhasil di beberapa daerah dalam penerapan mitigasi peningkatan deforestasi dan degradasi hutan.  Abstract. Agroforestry forest management needs to be carried out and monitored using remote sensing technology. The latest development related to remote sensing technology today is using cloud computing and Big Data such as the Google Earth Engine (GEE), which makes the acquisition of derived data from satellite imagery such as land cover very quickly. This paper aims to analyze multi-time satellite imagery using GEE with Random Forest (RF) and Classification and Regression Trees (CART) algorithms. The results show that the RF algorithm has better classification accuracy with an overall accuracy value of 94.64% and kappa accuracy of 92.23% compared to the CART algorithm which gets an overall accuracy value of 89.77% and kappa accuracy value of 85.54%. The use of GEE platform for monitoring PS schemes has proven successful in several areas in implementing mitigation of increased deforestation and forest degradation.
Narcissism: In the Mirror I Don't find Myself
Authors: Ninditi Angelo Aparecido
Published: November 2022

Introduction: Enter into the dichotomy perpetrated in the different spaces of psychology construction, understanding that listening to the subject is listening to their dramas and plots, socially and psychically constructed – narcissism. Objective: Clinical listening has to be understood as a social process in which both social and emotional beings have to be taken into account. Emotion brings empirical, rational and even irrational trajectories, many of us live embarrassing experiences in which the subjective is in evidence. Integrative Review: Clinical listening to psychic suffering also needs to be a listening to the individual's social and environmental suffering. Method: The research was based on articles published from 2014 to 2022. Among the articles reviewed there are publications prior to 2016 that were used in the body of the text to build the integrative review taking into account the pioneering spirit and relevance of the authors. Discussion: An archeology of the conditions in which social life is structured is of fundamental importance in verifying that there is currently a loss of effectiveness of protection mechanisms. Final Considerations: The question of the mechanism as a central issue is linked to the need to resort to an examination of the totalities regarding contemporaneity.
ОБОРУДОВАНИЕ ДЛЯ ИНСТРУМЕНТАЛЬНОГО ИНДЕНТИРОВАНИЯ – ПРИНЦИПЫ РАБОТЫ И ОСОБЕННОСТИ КОНСТРУИРОВАНИЯ
Authors: Решетов В.Н. , Красногоров И.В. , Соловьев В.В. , Гладких Е.В. , Усейнов А.С.
Published: November 2022

Современное оборудование для инструментального наноиндентирования представляет собой сложные аппаратно-программные комплексы, проводящие прецизионные измерения малых сигналов на пределе чувствительности первичных преобразователей, входящих в их конструкцию. Для корректной работы таких измерительных приборов, получения достоверных результатов об исследуемых объектах, а также для обеспечения метрологической обоснованности таких измерений все тракты, по которым проходит первичный измеряемый сигнал, должны быть оптимизированы и согласованы по их разрешению, линейности и шумам. В данной статье обсуждаются особенности проектирования таких высокоточных приборов на примере серийного отечественного нанотвердомера модели NanoScan-4D. Рассмотрены типичные элементы, входящие в состав конструкции прибора, обсуждаются подходы к их оптимизации и управлению, а также влияние несовершенства этих узлов на работу прибора в целом.
BENDING FATIGUE BEHAVIOR OF AG NANOWIRE/CU THIN-FILM HYBRID INTERCONNECTS FOR WEARABLE ELECTRONICS
Authors: Hwang Byungil , Han Yurim , Matteini Paolo
Published: November 2022

Enhancing the mechanical reliability of metal interconnects is important for achieving highly reliable flexible/wearable electronic devices. In this study, Ag nanowire and Cu thin-film hybrid interconnects were explored as a novel concept to enhance mechanical reliability under bending fatigue. Bending fatigue tests were conducted on the Cu thin films and Cu/Ag nanowire/polyimide (CAP) interconnects. The increase in resistance was larger for the Cu thin films than for the CAP. The single-component Cu electrodes showed multiple crack initiation and propagation due to bending strain, which degraded the electrical conductivity. In CAP, however, no long-range cracks were observed, even after 300,000 cycles of bending, although a wavy structure was observed, probably due to the delamination of the Ag nanowires under repeated bending. Our study confirms that flexible Ag nanowire and metal thin-film hybrids can enhance the mechanical reliability of metal thin-film interconnects under bending fatigue.
Análisis de los médicos especialistas egresados en México durante el periodo de 2012 a 2018. Estudio Nacional
Authors: Heinze Gerhard , Guízar-Sánchez Diana , Bernard-Fuentes Napoleón
Published: November 2022

Objetivo: analizar la calidad educativa de los egresados mediante los siguientes indicadores académicos: a. Movilidad ocupacional, b. Número y tipo de publicaciones científicas, c. Publicación de capítulos o literatura médica, d. Estudios de posgrado y e. Certificación por el consejo de la especialidad correspondiente. Método: estudio transversal descriptivo. Se revisaron diferentes bases de datos entre las que destacan: 1. Lista de egresados 2. Registro de las diversas especialidades; Comité Nacional Normativo de Consejos de Especialidades Médicas para conocer el estado de la certificación y en la Dirección General de Profesiones, perteneciente a la Secretaría de Educación Pública, para conocer el estado del certificado profesional. 3. Índice de autores de revistas (pubmed, embase, medline), 4. Bases de datos de seguros médicos e instituciones de salud de la República Mexicana y 5. Bases de datos de posgrados en medicina. Resultados: se analizaron los indicadores académicos de 14,770 médicos especialistas egresados de la Subdirección de Especialidades Médicas de la unam en los últimos seis años. La trayectoria de los egresados muestra un incremento paulatino en el porcentaje de certificaciones del consejo, número de artículos publicados y cursos de posgrado. Alrededor de 60% de todos los especialistas trabaja en las tres ciudades más grandes de México. Conclusión: el número de especialistas graduados es insuficiente en cantidad y distribución para cubrir las necesidades de salud del país. A pesar del aumento en la producción científica, aún persiste la necesidad de incrementar la realización de proyectos de investigación y publicación científica de los egresados. Es necesario replantear los programas de especialidad médica de acuerdo con las necesidades de atención a la salud y al contexto internacional.
Retracción de caninos con arcos seccionados, alternativa en paciente con apiñamiento severo: caso clínico
Authors: Morales Ramírez Susana , Andrade Torres Alejandro , López-Pérez-Franco Laura M , Castro García Lourdes Alejandra , Carrasco Gutiérrez Rosendo , Casillas Santana Miguel Ángel
Published: November 2022

El apiñamiento dental es una de las alteraciones más comunes debido a que el espacio disponible en las bases óseas es menor que la suma total del tamaño de los dientes, ocasionando un proble- ma oclusal, periodontal y estético, lo cual acrecienta la necesidad de un tratamiento ortodóncico. El objetivo de este caso clínico es dar una opción de tratamiento eficaz para conseguir la liberación del apiñamiento, clase canina I bilateral, una correcta intercuspidación, mejorar la sonrisa y perfil labial. Se reporta un caso clínico de paciente femenino de 16 años de edad, que acude a la clínica de ortodoncia de la FEBUAP, con motivo de consulta «no me gustan mis dientes». Presenta una clase II esquelética, crecimiento hiperdi- vergente, perfil facial ortognático, perfil labial convexo, clase molar I bilateral, clase canina II bilateral, con apiñamiento severo en ambas arcadas, no refiere ningún hábito, ni problema articular. El plan de tratamiento fue con extracciones de órganos dentarios 14, 24, 34, 44 y 41, se colocó aparatología MBT slot 0.022”, se inició con arcos seccionales con loop de titanio molibdeno (TMA) 0.016” × 0.022”, se prosiguió a la fase de alineación y nivelación, cierre de espa- cios, control de torque, asentamiento y retención removible. Comoresultado se cumplieron los objetivos planeados con un tiempo de un año seis meses. La técnica no friccional en cuanto reabsorción radicular no presenta diferencia significativa con la técnica friccional. Se concluye que el uso de arcos seccionales como alternativa para distalizar caninos en pacientes con apiñamiento severo en el segmento anterior ofrece beneficios adicionales al controlar la fuerza, el tipping (TIP) y la liberación del apiñamiento progresivo de los incisivos anteriores sin provocar daños permanentes en los dientes y tejidos de soporte.
Relación anatómica del conducto mandibular y ápices radiculares: análisis con CBCT en población guatemalteca
Authors: Diaz Samayoa Daniel Francisco , Theilheimer Alonzo Tetje
Published: November 2022

Introducción: La proximidad anatómica del conducto mandibular con las raíces de piezas posteriores mandibulares plantea un riesgo de trauma durante la realización de varios procedimientos odontológicos en la región. Objetivo: El propósito del estudio fue evaluar la relación anatómica del conducto mandibular y los ápices radiculares de premolares y molares mandibulares en una población guatemalteca. Material y métodos: Se evaluó la distancia desde el conducto mandibular hasta los ápices radiculares y su relación en sentido buco-lingual. Se estudiaron 172 tomografías computarizadas de haz de cono (CBCT). Se analizó las distancias en milímetros desde el conducto mandibular hasta los ápices de los segundos premolares, raíz mesial y distal de primeros molares, y la raíz mesial y distal de segundos molares. Se clasificó la posición buco lingual del conducto mandibular en relación a los ápices como 1=bucal; 2=central; 3=lingual. Resultados: Se determinó que el conducto mandibular se encuentra más cercano a los ápices de las raíces distales de los segundos molares, con una distancia promedio de 2.82mm. Además, se observó que, en mayor porcentaje, el conducto mandibular se encuentra en una posición lingual a nivel de primer y segundo molar mandibular y adopta una posición bucal a nivel del segundo premolar mandibular. Conclusiones: Este estudio demuestra que la menor distancia hacia el conducto mandibular se encuentra a nivel de los segundos molares, y que el conducto mandibular cambia de posición de lingual hacia bucal en su trayecto postero-anterior.
Importancia de la actualización, acreditación e internacionalización de los posgrados
Authors: Carrillo Gabriela , Rodríguez-Velázquez Eustolia
Published: November 2022

Es un obsequio que se nos hayan brindado la oportunidad de escribir la presente Editorial y dirigirnos a todos los lectores de la tan prestigiada Revista Odontológica Mexicana, agradecemos infinitamente la confianza depositada en nosotras y esperamos que estas líneas puedan ser de su interés. El tema que nos atañe es la importancia de la actualización, acreditación e internacionalización de los Programas de Posgrado. El conseguir la actualización, acreditación e internacionalización de los Programas Educativos es un reto constante para las Instituciones de Educación Superior, máxime cuando se trata de Programas de Posgrado. Estos procesos deben incluir el aseguramiento de la calidad como un mecanismo dinámico de transformación, cuyo principio esté basado en detectar las fortalezas y oportunidades de mejora continua, que permitan enriquecer los procesos de enseñanza, aprendizaje, investigación y gestión académica, entre otros. Debido al mundo globalizado en que vivimos, estos procesos deben considerar una evaluación constante de la pertinencia científica y aporte a la sociedad de los contenidos de los Programas, con el fin de proveer al país de recursos humanos altamente cualificados capaces de resolver problemáticas y retos actuales en los entornos local, nacional e incluso internacional, buscando su impacto directo en la sociedad.
Rotación de colgajo lingual para cierre de fístula palatina en pacientes con labio y paladar fisurados realizado en el Hospital Municipal de la Mujer y el Niño, Cuenca, Ecuador
Authors: Reinoso Quezada Santiago José , Maurat Argudo Andrea Karina , Heredia-Veloz David
Published: November 2022

Las fístulas palatinas son las secuelas más comunes luego de realizar una palatoplastia primaria, permitiendo el paso de líquidos y alimentos desde la cavidad oral hacia la cavidad nasal. Comúnmente el cierre de una fístula en ocasiones requiere el uso de colgajos locales (palatinos), pero de acuerdo con la ubicación y el tamaño de la fístula, se requiere el uso de otras técnicas como la rotación de colgajo lingual. Este estudio tiene como propósito presentar casos clínicos en los que se ha utilizado la técnica de rotación de colgajo lingual como una alternativa en el cierre de fístulas palatinas, debi- do a que este procedimiento brinda excelentes resultados estéticos y funcionales.
Smart System for Disease Prognostication in Healthcare using multi-classifier-based Prediction Model
Authors: Tekale Sakshi , Kulkarni Saee , Patil Ramdas , Diwan Shreya , Shinde Prof. Anita Vikram
Published: November 2022

Abstract: In today's world, machine learning and Artificial Intelligence are playing a crucial role. We can find use cases of ML and AI everywhere. Starting from self-driving cars like Autopilot-Tesla to fields like medical, AI and ML having many advances. There are approaches which are generally helpful for healthcare and biomedical sectors for predicting diseases. The proposed work is to develop and deploy such a model for prognostication of diseases like Diabetes, Chronic, Heart, Liver, Malaria, Pneumonia. The proposed model is divided into 3 phases: 1) Data Normalization 2) Feature Extraction and (c) Prediction. For the process of model building, the datasets are taken from Kaggle datasets and UCI ML repository. By following all the three phases, to make the attribute's range at a certain level, normalization of data takes place. Then, the other two phases take place. Lower accuracy of the model can be fatal for patients sometimes so here the model is designed to predict the outcomes accurately. The application of the model includes entering parameters or symptoms in the system and getting the outcome whether the result is positive or negative. This model will help people to monitor their health regularly
Analysis and Comparison of Shell and Helical Coil Heat Exchanger by Using Silica and Alumina
Authors: Kumar Alok
Published: November 2022

Abstract: Shell and Helical coils are eminent coiled tubes which have been used in diversity of solicitations e.g. heat recovery, air-conditioning and preservation schemes, chemical reactors and dairy practices. Shell and Helical coil heat exchanger is the recent improvement of heat exchangers, to accomplish the industrial demand. A shell and helical coil are necessary for various heat exchangers, nuclear reactors and in chemical engineering, for of large quantity of heat is conveying in a slight space with high heat transmission rates and slight habitation time distributions even it suffers through a disadvantage of larger pressure drop. The unbiased of this work is to cheered the pressure drop inside a shell and helical coil heat exchanger, heat transfer progression can be improved by increasing secondary flow inside the coil and this can be allow by appropriate blending of the fluid inside the helical coil. For this, my planned work on CFD to scrutinize the helical coil by using ANSYS 18.2. A 3D design of CAD model of helical coil of tube outer diameter (do) 16 mm, inner diameter of helical coil (di) 12 mm, pitch of 26.3mm, pitch coil dia. 86 mm, tube length of 235 mm, shell diameter is 110 mm and shell length is 215 mm, is generated by using ANSYS fluent 18.2