bluuebunny/crossref_metadata_2025 huggingface dataset:
Automatic Wire Cutting Machine
Authors:   Zeal College of Engineering and Research Narhe, Pune, India., Pawar Sanjivani
Published: January 2025

The optimization of industrial processes through automation is essential for enhancing productivity and reducing operational expenses. Wire cutting and stripping, a fundamental operation across various industrial scales, is a prime candidate for such improvements. This project addresses the shortcomings of manual systems by designing and implementing an automated wire-cutting and stripping machine. Utilizing Fusion 360 for precise design and incorporating automation via an Arduino Uno microcontroller, the system achieves superior accuracy, reliability, and material efficiency. The adoption of automation not only reduces time and labor costs but also ensures consistent output by eliminating human error. Constructed using affordable components, the machine's design and fabrication make it accessible and practical for industries of all sizes. This automated solution showcases the potential for enhancing industrial operations through reliable, cost-effective, and technologically advanced methods.
Keywords: Arduino uno, Stepper Servomotor
Green Practices: Way to Sustain with Small-Scale Enterprises
Authors:   (Researcher and Sustainability Practitioner), Bhanage. Dr. Varad Rajan
Published: January 2025

Environmental sustainability, once primarily associated with large corporations, is now a growing focus for small-scale enterprises (SSEs). These businesses are vital to global economic development, contributing around 40% to GDP in emerging economies and generating more than 50% of employment opportunities, according to the International Finance Corporation (IFC). However, despite their economic significance, the environmental impact of SSEs cannot be overlooked. Collectively, they contribute to issues such as high energy consumption, waste generation, and improper resource utilization.

Adopting green practices offers SSEs an opportunity to address these challenges while unlocking significant benefits. Sustainable operations can lead to cost savings through reduced resource usage, improved brand reputation among eco-conscious consumers, and enhanced compliance with increasingly stringent environmental regulations. Furthermore, green initiatives align businesses with global sustainability goals and prepare them for future resource and market demands.

This chapter delves into how small-scale businesses can effectively incorporate sustainable practices into their operations. It examines the specific challenges they face, such as financial constraints and lack of awareness, and offers practical strategies to overcome these hurdles. Ultimately, it underscores the importance of sustainability as a strategic imperative for long-term success in the evolving global marketplace.

Keywords: Green Practices, Small-Scale Enterprises, Sustainability.
Recent Advances in Marketing - Usage of Emerging Technologies –A Way Forward
Authors:   Department of MBA  Adichunchanagiri Institute of Technology – Chikkamagaluru  Jyothinagara ,Chikkamagaluru, I A Dr. .Ravi
Published: January 2025

The present marketing world is evidencing enormous transformation, triggered by advancements in usage of technology in the field of marketing. As the digital marketing emerge as key turning point in communicating and influencing the consumer behaviour, marketer must apply and use emerging technologies to create positive brand communications and to enhance better relationship with their target audiences. This article on advances in marketing and usage of emerging technologies in marketing will provide valuable insights into the latest trends and tools used in the field of marketing. With the help of   these technologies, digital marketers can enhance their marketing activities to improve efficiency, and create deeper personalized experiences for consumers. Many advance technologies like Artificial Intelligence (AI) and Machine Learning are the catalyst to the field of marketing in the way of analyse data, understand customer behaviour, and create targeted marketing campaigns. These technologies offer strong tools for improving marketing activities while also delivering more relevant marketing messages to consumers.The intersection of Artificial Intelligence (AI) and Marketing Technology - is an ever-evolving landscape brimming with innovations that are reshaping the way businesses interact with customers. Using technology is important because it offers a more extensive reach, personalization, efficiency, data-driven decision-making, and numerous other advantages. It allows businesses to stay competitive and adapt to the evolving landscape of consumer behaviour and technology trends in marketing

Key words:  Digital world, Consumer Behaviour, marketing Campaigns, Digital Transformation
Talking Fingers: Bridging the Communication Gap through Real-Time Speech-to-Indian Sign Language Translation
Authors:   Presidency University Bangalore, N Sudiksha
Published: January 2025

"Talking Fingers" is an innovative initiative to be developed to facilitate communication between hearing and non-hearing individuals by building a web-based system that can translate spoken language into Indian Sign Language (ISL). Being an essential means of communication among millions in India, ISL remains underdeveloped by technologies that are dominated by American and British Sign Languages. Current tools rely on the basic word-by-word translation with no contextual or grammatical accuracy.

The proposed system will thus integrate speech recognition, NLP, and ISL visuals for real-time, context-aware translations. Spoken input will be converted into text through the Google Speech API and then processed using NLP techniques to segment meaningful phrases. The matched phrases are matched with the ISL visual representations, which may be in the form of videos or GIFs, in a comprehensive database. A fallback mechanism ensures seamless communication by spelling out words letter by letter when specific ISL visuals are unavailable.

This platform serves as scalable and adaptable solutions for different public and educational spaces, bridging the communication gap for the deaf and hard-of-hearing community. With emphasis on ISL and incorporation of advanced technologies, "Talking Fingers" delivers an inclusive and robust solution, enabling users and bringing greater inclusivity in communication.

Keywords: Indian Sign Language (ISL), Natural Language Processing (NLP), Speech-to-Sign Translation, Communication Accessibility, Real-time Translation, Sign Language Automation
Reinforcement Learning in Real Life Applications
Authors:   PES Modern College of Engineering,  Pune, Shimpi Pratham
Published: January 2025

Reinforcement Learning is a crucial subset of machine learning that enables agents to learn decision-making through interaction with their environments, guided by feedback like rewards or penalties. This paper delves into Reinforcement Learning's applications across diverse sectors such as robotics, finance, healthcare, and gaming. In robotics, Reinforcement Learning facilitates tasks like object manipulation and environmental adaptation. In finance, it aids in portfolio management and trading strategy development, adapting to market dynamics. In healthcare, Reinforcement Learning assists in generating personalized treatment plans and analyzing medical images. Meanwhile, the gaming industry benefits from Reinforcement Learning -driven intelligent agents capable of challenging human players. Throughout, we explore Reinforcement Learning's fundamental principles, core components, and its transformative potential across these real-world applications.

Keywords—Reinforcement Learning, Decision-Making, Adaptive Agents.
PERBANDINGAN MODEL ARIMA DAN ARIMAX UNTUK PERAMALAN TEMPERATUR DI KOTA SEMARANG
Authors: Adhwaningrum Arullah Salsabila , Amri Ihsan Fathoni , Dwi Saputri Atika , Diani Nandini Lova , Pratama Rifin Fadilla , Al Haris M
Published: January 2025

Semarang mengalami banjir yang disebabkan oleh curah hujan yang tinggi dan penurunan temperatur yang drastis, terutama pada bulan Maret. Penelitian ini menganalisis perbandingan antara model AutoRegressive Integrated Moving Average (ARIMA) dan AutoRegressive Integrated Moving Average dengan Exogenous variables (ARIMAX) untuk prediksi suhu di kota Semarang pada tahun 2024. ARIMAX menggabungkan variabel eksogen ke dalam kerangka ARIMA dan memungkinkan pertimbangan faktor eksternal yang dapat mempengaruhi suhu. ARIMAX memberikan fleksibilitas tambahan dengan menyertakan variable eksternal seperti pola curah hujan, yang secara signifikan mempengaruhi variasi suhu. Data yang digunakan terdiri dari 150 observasi, dengan 135 data digunakan sebagai data training dan 15 data sebagai data testing. Setelah melakukan uji kestasioneran dan diferensiasi data, dilakukan pemodelan ARIMA dan ARIMAX. Model terbaik yang dipilih berdasarkan nilai AIC terkecil adalah ARIMAX (3,1,0) dengan nilai AIC sebesar 346.79 dan MAPE sebesar 2.2084%. Hasil menunjukkan bahwa model ARIMAX lebih akurat dibandingkan dengan model ARIMA, dengan kesalahan peramalan yang lebih rendah
ANALISIS BERPIKIR KRITIS PESERTA DIDIK PADA MATERI BARISAN DAN DERET ARITMATIKA DI KELAS XI IPA SMA PGRI OMA-HARUKU
Authors: Sekewael Clawnix A , Mataheru Wilmintjie , Huwaa Novalin C
Published: January 2025

Penelitian ini bertujuan untuk mendeskripsikan berpikir kritis peserta didik pada materi barisan dan deret aritmatika dikelas XI IPA SMA PGRI Oma-Haruku. Jenis penelitian yang digunakan, yaitu deskriptif kualitatif. Terdapat 3 subjek penelitian, yaitu JB, BK, dan VS sebagai subjek yang dipilih untuk diwawancarai sesuai hasil pekerjaan peserta didik. Data penelitian berupa soal tes dan pedoman wawancara yang dianalisis secara kualitatif. Hasil dari penelitian ini sebagai berikut. JB dapat memenuhi keempat indikator berpikir kritis (Interpretasi, Analisis, Evaluasi, dan inferensi), BK memenuhi keempat indikator berpikir kritis (Interpretasi, Analisis, Evaluasi, dan inferensi) pada soal nomor satu dan tiga sedangkan pada soal nomor dua hanya memenuhi dua indikator berpikir kritis (Interpretasi dan Analisis), dan VS memenuhi keempat indikator berpikir kritis (Interpretasi, Analisis, Evaluasi, dan inferensi) pada soal nomor satu dan tiga sedangkan pada nomor dua tidak memenuhi empat indikator berpikir kritis
ANALISIS KESULITAN SISWA KELAS VIII DALAM MENYELESAIKAN SOAL CERITA PADA MATERI SISTEM PERSAMAAN LINIER DUA VARIABEL
Authors: Jacob Ledya Priskila , Mataheru Wilmintjie , Ngilawajan Darma A
Published: January 2025

Penelitian ini bertujuan untuk mendeskripsikan kesulitan siswa kelas VIII SMP dalam menyelesaikan soal cerita pada materi sistem persamaan linier dua variabel. Jenis penelitian ini adalah kualitatif, yang akan memberikan gambaran tentang kesulitan siswa dalam menyelesaikan soal cerita sistem persamaan linier dua variabel. Teknik pengumpulan data yang dilakukan yaitu soal tes, wawancara dan dokumentasi. Hasil analisis data yang diperoleh dari subjek menunjukan jenis-jenis kesulitan dan presentase tingkat kesulitan pada setiap jenis kesulitan, dari hasil pekerjaan muncul kesulitan yang sama ataupun berbeda. Maka disimpulkan bahwa subjek masih mengalami kesulitan pada tahap memahami soal, tahap mentransformasikan soal, dan tahap menyelesaikan soal
Factors influencing adherence with subcutaneous immunotherapy among pediatric patient in Surabaya, Indonesia, during and after the COVID-19 pandemic
Authors: Pitaloka Diah Ayu , Endaryanto Anang , Purnami Nyilo
Published: January 2025

Adherence is the most critical issue for subcutaneous immunotherapy (SCIT) as treatment for house dust mite allergy. During the COVID-19 pandemic there was a decline in the attendance at immunotherapy clinics. This study aims to identify factors influencing immunotherapy adherence in Dr. Soetomo’s hospital during and after the pandemic. A retrospective cohort study was conducted between August 2023 and December 2023. The study sample included all patients allergic to house dust mite diagnosed and treated with SCIT under 18 years at the Child Allergy Clinic Facility, Department of Child Health Sciences, Dr. Soetomo General Academic Hospital Surabaya, who were then interviewed using questionnaire and Google Sheet. Data were analyzed using Chi square test with significance set at p<0.05. Structural Equation Modeling (SEM) and Partial Least Squares SEM (PLS-SEM) were used with Smart PLS software. Influencing factors including the risk of systemic reaction, distance to health facilities, injection discomfort, child perception, parental perception, costs and insurance, fears of getting infected with COVID-19, suspected immunotherapy services discontinued, and child positive of COVID-19 are not relate to immunotherapy adherence (p>0.05). Environment factor, including concern about lack of transportation during lockdown and concern relate to family members exposed to COVID-19 influenced immunotherapy adherence.
Safety and efficacy of sodium bicarbonate for treating metabolic acidosis in chronic kidney disease: A systematic review and meta-analysis
Authors: Siddiqui Abdul Hannan , Batool Fizzah , Khan Shayan , Rizvi Syed Shabbeer , Usman Saad , Jawed Huzaifa , Ali Muhammad Hammad , Zehra Tatheer , Adil Abdul Rafay , Anwar Masifah , Hanif Areeba , Hassan Saad Khalid , Noble Mark William , Moeed Abdul , Surani Salim
Published: January 2025

BACKGROUND

Kidney dysfunction and reduced filtration capacity due to chronic kidney disease (CKD) lead to a shift in the body's acid-base balance, ultimately causing metabolic acidosis (MA). Sodium bicarbonate has been used as a supplement to alleviate the symptoms and reverse the acidosis, and it may even slow the progression of CKD. However, its safety profile and overall effectiveness are uncertain.

AIM

To conduct a systematic review and meta-analysis of clinical trials assessing sodium bicarbonate's safety and efficacy for treating CKD-induced MA.

METHODS

Medline, Scopus, EMBASE, and Cochrane Central were systematically searched from inception until May 2024 to select all relevant randomized control trials (RCTs) and non-RCT (NRCTs) evaluating the effectiveness of sodium bicarbonate in correcting MA in end-stage renal disease patients. In addition, ClinicalTrials.gov, Medrxiv.org, and Google Scholar were searched for other literature. A random-effects meta-analysis was performed to derive mean differences (MD) and risk ratios (RR) with their 95%CI for continuous and dichotomous outcomes respectively.

RESULTS

Following a systematic search of the databases, 20 RCTs and 2 and NRCTs comprising 2932 patients were included in our study. The results revealed that sodium bicarbonate significantly increased serum bicarbonate in CKD patients (MD: 2.59, 95%CI: 0.95-4.22; P = 0.02; I 2 = 95%). However, there was a non-significant increase in estimated glomerular filtration rate (eGFR) in patients on sodium bicarbonate therapy (MD: 0.93, 95%CI: -1.88-3.75; P = 0.52; I 2 = 93%). Upon assessment of the safety profile of sodium bicarbonate, no significant association was found in the outcomes of death/prolonged hospitalization (RR: 1.05, 95%CI: 0.84-1.32; P = 0.66; I 2 = 0%), or gastrointestinal disorders (RR: 1.64, 95%CI: 0.35-7.66; P = 0.53; I 2 = 76%), or worsening edema (RR: 1.26, 95%CI: 0.94-1.68; P = 0.12; I 2 = 37%) when compared to control.

CONCLUSION

Sodium bicarbonate therapy may halt worsening kidney function by correcting serum bicarbonate levels and treating MA. Although sodium bicarbonate does not significantly improve the eGFR, it may potentially prevent CKD progression while maintaining an overall favorable safety profile.
Hepatorenal syndrome: Paving a pathway from a fatal condition to an opportunity to preserve kidney function
Authors: Gonzalez Fernando M
Published: January 2025

In the 19th century, von Frerichs F and Flint A identified a type of acute renal impairment associated with advanced liver disease, characterized by oliguria, absence of proteinuria, and normal renal histology, which was later termed hepatorenal syndrome (HRS). HRS primarily affects cirrhotic patients with ascites and often follows severe infections, digestive hemorrhages, or high-volume paracentesis. Pathophysiologically, HRS involves low glomerular filtration rate, hypotension, renin-angiotensin axis activation, water clearance, hyponatremia, and minimal urinary sodium excretion. These conditions mimic those seen in decreased effective circulatory volume (ECV) scenarios such as septic shock or heart failure. HRS represents a specific form of prerenal acute kidney injury (AKI) in patients with baseline renal ischemia, where the kidney attempts to correct decreased ECV by retaining sodium and water. Intense renal vasoconstriction, passive hyperemia from ascites, and acute tubular necrosis (ATN) with specific urinary sediment changes are observed. Persistent oliguria may transition HRS to ATN, although this shift is less straightforward than in other prerenal AKI contexts. Notably, liver grafts from HRS patients can recover function more rapidly than those from other ischemic conditions. Experimental studies, such as those by Duailibe et al , using omega-3 fatty acids in cirrhotic rat models, have shown promising results in reducing oxidative stress and improving kidney function. These findings suggest potential therapeutic strategies and underscore the need for further research to understand the mechanisms of HRS and explore possible treatments. Future research should address the impact of omega-3 on survival and secondary outcomes, as well as consider the balance of therapeutic risks and benefits in severe liver disease.
Transition from acute kidney injury to chronic kidney disease in liver cirrhosis patients: Current perspective
Authors: Marrapu Sudheer , Kumar Ramesh
Published: January 2025

In liver cirrhosis patients, acute kidney injury (AKI) is a common and severe complication associated with significant morbidity and mortality, often leading to chronic kidney disease (CKD). This progression reflects a complex interplay of renal and hepatic pathophysiology, with AKI acting as an initiator through maladaptive repair mechanisms. These mechanisms—such as tubular cell cycle arrest, inflammatory cascades, and fibrotic processes—are exacerbated by the hemodynamic and neurohormonal disturbances characteristic of cirrhosis. Following AKI episodes, persistent kidney dysfunction or acute kidney disease (AKD) often serves as a bridge to CKD. AKD represents a critical phase in renal deterioration, characterized by prolonged kidney injury that does not fully meet CKD criteria but exceeds the temporal scope of AKI. The progression from AKD to CKD is further influenced by recurrent AKI episodes, impaired renal autoregulation, and systemic comorbidities such as diabetes and metabolic dysfunction-associated steatotic liver disease, which compound kidney damage. The clinical management of AKI and CKD in cirrhotic patients requires a multidimensional approach that includes early identification of kidney injury, the application of novel biomarkers, and precision interventions. Recent evidence underscores the inadequacy of traditional biomarkers in predicting the AKI-to-CKD progression, necessitating novel biomarkers for early detection and intervention.
Role of variation coefficient of stone density in determining success of shock wave lithotripsy in urinary calculi
Authors: Iqbal Nadeem , Hasan Aisha , Iqbal Sajid , Noureen Sadaf , Akhter Saeed
Published: January 2025

BACKGROUND

Various stone factors can affect the net results of shock wave lithotripsy (SWL). Recently a new factor called variation coefficient of stone density (VCSD) is being considered to have an impact on stone free rates.

AIM

To assess the role of VCSD in determining success of SWL in urinary calculi.

METHODS

Charts review was utilized for collection of data variables. The patients were subjected to SWL, using an electromagnetic lithotripter. Mean stone density (MSD), stone heterogeneity index (SHI), and VCSD were calculated by generating regions of interest on computed tomography (CT) images. Role of these factors were determined by applying the relevant statistical tests for continuous and categorical variables and a P value of < 0.05 was gauged to be statistically significant.

RESULTS

There were a total of 407 patients included in the analysis. The mean age of the subjects in this study was 38.89 ± 14.61 years. In total, 165 out of the 407 patients could not achieve stone free status. The successful group had a significantly lower stone volume as compared to the unsuccessful group (P < 0.0001). Skin to stone distance was not dissimilar among the two groups (P = 0.47). MSD was significantly lower in the successful group (P < 0.0001). SHI and VCSD were both significantly higher in the successful group (P < 0.0001).

CONCLUSION

VCSD, a useful CT based parameter, can be utilized to gauge stone fragility and hence the prediction of SWL outcomes.
Glomerular filtration rate and comorbidity factors in elderly hospitalizations
Authors: Hamarat Hatice
Published: January 2025

BACKGROUND

With an increase in the elderly population, the frequency of hospitalizations in recent years has also risen at a rapid pace. This, in turn, has resulted in poor outcomes and costly treatments. Hospitalization rates increase in elderly patients due to a decline in glomerular filtration rate (GFR).

AIM

To investigate the connection between GFR and comorbidity and reasons for hospitalization in elderly patients.

METHODS

We analyzed patients aged 75 years and over who were admitted to the internal medicine clinic of a tertiary hospital in Eskisehir. At admission, we calculated GFR values using the Modification of Diet in Renal Disease study formula and classified them into six categories: G1, G2, G3a, G3b, G4, and G5. We analyzed associations with hospitalization diagnoses and comorbidity factors.

RESULTS

The average age of the patients was 80.8 years (± 4.5 years). GFR was 57.287 ± 29.5 mL/kg/1.73 m2 in women and 61.3 ± 31.5 mL/kg/1.73 m2 in men (P = 0.106). Most patients were admitted to the hospital at G2 stage (32.8%). The main reasons for hospitalization were anemia (34.4% and 28.6%) and malnutrition (20.9% and 20.8%) in women and men, respectively (P = 0.078). The most frequent comorbidity leading to hospitalization was arterial hypertension (n = 168, 28%), followed by diabetes (n = 166, 27.7%) (P = 0.001).

CONCLUSION

When evaluating geriatric patients, low GFR alone does not provide sufficient information. Patients’ comorbid factors should also be taken into account. There is no association between low GFR during hospitalization and hospitalization-related diagnoses. Knowing the GFR value before hospitalization will be more informative in such studies.
Development of Teaching Materials to Support Learning of the Merdeka Curriculum on Thermochemistry Material Phase F SMA/MA
Authors: Rahmadhani Melia , Mawardi Mawardi , Okta Suryani  , Reza Akmar
Published: January 2025

This study aims to develop a teaching material on thermochemistry to support learning in Phase F SMA/MA Merdeka Curriculum. Educational Research Design (EDR) were used as the design approach and limited to prototyping stage. The subjects were three chemistry lecturers, two teachers who teach chemistry subjects and nine phase F students. Data was collected using validity and practicality questionnaires which resulted average content validity of 0.85 and construct validity of 0.87, where it can be classified as valid. Furthermore, the percentage of practicality is 96% for teachers and 94% for students, which can be classified as very practical. From these findings, it can be concluded that the developed teaching material is valid and practical.
The Role of Character Education in Building Ethics and Morality among Students in the Digital Age
Authors: Marwan Marwan , Hasbullah Bahmid , Rahayu Indah , Wakhudin Wakhudin , Saputra Dedi Gunawan
Published: January 2025

This investigation aims to analyze the role of character education in fostering students' ethics and morality within the digital era.Utilizing a qualitative approach, this study explores the experiences of educators, students, and parents in implementing character education within formal educational environments.Data were gathered through in-depth interviews, participatory observation, and document analysis.The findings indicate that character education exerts a substantial influence in enhancing students' ethical awareness and moral reasoning, particularly in navigating ethical challenges stemming from digital technology exposure. Nevertheless, the study also uncovers significant barriers to this goal, including the lack of value-based technology support and time constraints. The study's findings suggest that a collaborative effort among schools, families, and communities is essential to maximize the impact of character education in the digital era.
Developing Reading Material Based on Local Culture at SMP Negeri 32 Medan
Authors: Dwi Putri Ade Lestari , Azhary Tambusai
Published: January 2025

Integrating local culture into the process of learning a foreign language has only recently begun to draw attention. Therefore, local culture-based English reading materials are a solution to attract students' interest in reading English. The objectives of this research are to develop the students’ English reading materials based on local culture at SMPN 32 Medan, to find out the validation of English reading material based on local culture at SMPN 32 Medan, and to explain the effectiveness of English reading material based on local culture at SMPN 32 Medan. This research adapted the R&D model proposed by Sugiyono (2013) with some modifications. The data was taken from students and teachers of SMPN 32 Medan and also expert judgment from Universitas Muslim Nusantara Al Washliyah Medan. The instruments of this research are questionnaire, documentation and test. The result of validation from the material expert judgment is 91.66%  and the material expert judgment is 85.71%. It means that the product in very high category. The result of validation from the teacher is also high category, 88.63% . In addition, the product was also tested on students and the results showed a significant increase in scores after the students learned using the local culture-based reading materials. Unit 1 increased up to 10.36%, Unit 2 increased up to 12.15%, Unit 3 increased up to 14.06% and Unit 4 increased up to 15.26%.  The average score of students, which was previously the highest at 78, increased to 89. The conclusion based on the research results shows that these English reading materials can be adopted as teaching materials as additional learning for English lessons that are interesting, contextual, and adapted to the Merdeka curriculum.
A Study on Pressure Loss for Incompressible Fluid Flow Through a Tube in the Presence of Magnetic Field
Authors: Chandra Mahesh
Published: January 2025

The Present Paper deals with the pressure loss due to presence of magnetic field in a fluid flow through a tube. Magnetic field equations are derived with the help of standard equations of flow. The pressure loss is obtained by the projecting the linear grid lines in fully development regions to the upstream and down stream limits. It was the observed that pressure drop is proportional to the square of Magnetic field angle. Also the pressure drop is proportional to the flow rate. Transverse magnetic field change the axial velocity profile from parabolic to relatively flat shape.
Identificação fenotípica e molecular de Streptococcus agalactiae isolados de gestantes atendidas em uma maternidade pública
Authors: Neto Haroldo Ribeiro de Melo , Melo Bruna de Oliveira de , Bomfim Maria Rosa Quaresma , Monteiro Silvio Gomes , Luz Mariah Aparecida Pessoa , Barroso Flávio Américo , Turri Rosimary de Jesus Gomes
Published: January 2025

Streptococcus agalactiae (Streptococcus do Grupo B; EGB) é considerado o agente etiológico mais importante de infecções neonatais invasivas, principalmente sepse e meningite, em bebês menores de 3 meses. Este estudo teve por objetivo isolar EGB a partir de amostras de secreções vaginais e anorretais de gestantes; identificar as características moleculares e determinar a suscetibilidade antimicrobiana dos isolados. As amostras foram coletadas de 200 gestantes atendidas em uma clínica pré-natal de alto risco de São Luís-Maranhão. Os isolados foram identificados por testes fenotípicos, incluindo coloração pelo método de Gram, reação aos testes da catalase, Christie–Atkins–Munch-Petersen (CAMP) e aglutinação em látex para o grupo B. Utilizou-se a reação em cadeia da polimerase (PCR) para confirmar a identificação fenotípica dos isolados e a Enterobacterial Repetitive Intergenic Consensus (ERIC-PCR) para caracterizar os perfis genéticos. Um total de 46 isolados foram identificados como EGB pela PCR especifica, enquanto os métodos fenotípicos identificaram apenas 41. ERIC-PCR identificou 15 perfis clonais diferentes. A taxa de colonização por EGB foi de 23%, com maior prevalência em gestantes no último trimestre. Todos os isolados foram sensíveis à penicilina, ampicilina e vancomicina, enquanto 84,8% foram resistentes à tetraciclina, 69,6% à clindamicina, 65,2% à eritromicina e 15,2% à ceftriaxona. Alguns fatores preditores da colonização por EGB foram observados incluindo baixa escolaridade, baixa renda familiar, idade materna avançada e diabetes mellitus concomitante. Os resultados obtidos mostraram que os testes moleculares como PCR e ERIC-PCR foram sensíveis e específicos e podem auxiliar na identificação e determinação clonal de isolados de EGB.
Indicações geográficas brasileiras e a competitividade – análise comparativa entre regiões produtoras de vinho e café
Authors: Basso Carla de Almeida Martins , Junior Silvio Santos , Lira Tailane Aparecida
Published: January 2025

Esse estudo evidencia a relação entre as Indicações Geográficas (IGs) e a competitividade regional, explorando suas interações, a estrutura econômica subjacente e proposições que ajudem a entender e determinar seu efeito na competitividade dos municípios e regiões com selos. As IGs emergem como estratégia relevante para o desenvolvimento regional em um contexto de globalização, respondendo à demanda por produtos autênticos e tradicionais. No Brasil, as IGs são protegidas por lei e reconhecidas pelo Instituto Nacional de Propriedade Intelectual (INPI). São classificadas como Indicação de Procedência (IP) e Denominação de Origem (DO), ambas com a função de distinguir e valorizar produtos regionais. A utilização de IGs é vista como uma maneira de fortalecer agrupamentos produtivos, aumentar a competitividade e promover o desenvolvimento regional. Foram investigadas as 99 IGs presentes em 1773 municípios brasileiros e posteriormente evidenciadas as IGs de café e de uvas e vinhos. A análise é baseada no método Qualitative Comparative Analysis (QCA). Os resultados, de uma forma geral, demonstraram que a presença da indicação geográfica pode contribuir para a competitividade do município ou região, fortalecendo sua identidade regional, melhorando a reputação dos produtos locais e gerando um impacto positivo na economia local. A presença da indicação geográfica promove condições ao dinamismo dos municípios, quer seja a nível social, reputação, turismo e, por consequência, econômico.  Além disso, os resultados corroboram com a ideia de que a presença da IG, em um município ou região, promove a notoriedade e produtos diferenciados com identidade única de determinadas regiões e municípios.
O problema de sequenciamento em projeto com restrição de recurso: um estudo bibliométrico
Authors: Souza Clarisse da Silva Vieira Camêlo de , Welerson João Vitor Alves Costa Marques
Published: January 2025

Este estudo aborda os modelos matemáticos aplicados ao Problema de Sequenciamento em Projeto com Restrição de Recurso (PSPRR), uma questão vital no gerenciamento de projetos. Por meio de uma revisão sistemática combinada com análise bibliométrica, a pesquisa investiga as abordagens e métodos de solução utilizados para resolver o PSPRR, considerando publicações dos últimos dez anos em território nacional e internacional. O trabalho revela a importância dos modelos matemáticos na otimização de recursos, controle de prazos e eficiência na execução de projetos. A análise quantitativa fornece insights sobre os autores mais influentes, as publicações mais citadas, e as áreas geográficas com maior produção científica. Este estudo contribui para o entendimento do PSPRR, evidenciando a necessidade de pesquisa contínua e interdisciplinar, e servindo como referência para acadêmicos e profissionais da indústria.
Meningkatkan Ketepatan Smash Pada Permainan Bola Voli Melalui Latihan Wall Smash
Authors: Priyanka Defka Londrina , Suharti Suharti , Utomo Gatot Margisal
Published: January 2025

Penelitian ini bertujuan untuk mengetahui peningkatan ketepatan smashbola voli melalui treatment yaitu Latihan Wall Smash pada Puput Volleyball Club Di kota Mojokerto. Pada penelitan ini populasi yang diteliti seluruh pemain bola voli puput volleyball club yang berjumlah 40 atlet  dari populasi di atas yang termasuk dalam kriteria sampel penelitian berjumlah 30 atlet putra Penelitian ini menggunakan metode kuantitatif. Teknik pengambilan sampel pada penelitian ini menggunakan purposive sample sebanyak 30 orang. Dalam penelitian ini instrument test yang digunakan berupa tes ketepatan smash. Teknik analisis data yang digunakan yaitu uji prasyarat dan uji t. Hasil penelitian dengan menggunakan uji paired sample test diperoleh data pada uji hipotesis bahwa nilai yaitu sebesar 0,000. Jadi nilai probabilitasnya < 0,05 yang artinya data dinyatakan signifikan. Maka dapat dinyatakan bahwa latihan wall smash berpengaruh terhadap peningkatan ketepatan smash. Dengan jumlah peningkatan sebebsar 9%. Sehingga penelitian yang berjudul meningkatkan ketepatan smash pada permainan bola voli melalui latihan wall smash pada Puput Volleyball Club bisa dijadikan refrensi para pelatih bola voli untuk dijadikan program latihan tambahan
The The Impact of Financial Inclusion on Income Equality and the Prospect of Cashless Policy for Economic Resilience in Nigeria
Authors: Musa Gani Ibrahim , Mohammed Atiku Kabiru
Published: January 2025

Purpose: This research investigates the impact of financial inclusion on income equality and examines the prospect of a cashless policy for economic resilience in Nigeria. The study explores whether financial inclusivity could enhance income equality and assesses the effectiveness of the Central Bank of Nigeria's cashless policy.
Study Design/Methodology/Approach: The research employed various statistical techniques, including fixed effect Instrumental Variable Regression (IVR), Instrumental Variable Quantile Regression (IVQR), and Logit regression. These methods were used to analyze the relationship between financial inclusion and income equality, as well as the feasibility of the cashless policy in Nigeria.
Findings: The results demonstrate that financial inclusion significantly influences household income equality, particularly among lower-income groups. However, the impact of financial inclusion on income equality is not uniform across different levels of financial inclusion. Additionally, while financial inclusion shows promise for reducing inequality at lower income distributions, the cashless policy has limited potential to further promote financial inclusion in Nigeria. Policymakers may need to consider alternative strategies, such as agent banking, mobile money, or financial education programs, to sustain and enhance financial inclusion.
Originality/Value: This study provides critical insights into the interplay between financial inclusion and income equality in Nigeria. It also offers a nuanced evaluation of the Central Bank of Nigeria's cashless policy, highlighting the need for more inclusive and adaptive approaches to strengthen financial systems and economic resilience.
Implementación de un entorno virtual de aprendizaje para fortalecer la habilidad de listening en la asignatura inglés para octavo EGB
Authors: Macias - Ponce Cinthya Paola , Paz - Gómez Yessenia Beatriz , Tigrero -Vaca Jorge William
Published: January 2025

La presente investigación tuvo como objetivo analizar la influencia de un entorno virtual de aprendizaje en el proceso de enseñanza-aprendizaje del idioma inglés en estudiantes de octavo EGB paralelo A de la Unidad Educativa Fiscal Batalla de Tarqui. Esta necesidad surgió ante las dificultades observadas en el rendimiento académico en esta materia, lo que motivó la búsqueda de estrategias innovadoras que faciliten el aprendizaje. La unidad de análisis se conformó por una muestra de 32 estudiantes, con edades comprendidas entre los 11 y 13 años, y 2 docentes. La metodología empleada fue mixta, integrando métodos estadísticos y teóricos para garantizar un análisis completo y fundamentado del fenómeno estudiado. Se optó por un diseño descriptivo y se aplicaron diversas técnicas, incluyendo instrumentos entrevista que permitió profundizar en la experiencia de los estudiantes y docentes. Además, se implementaron pre-test y post-test como instrumentos de evaluación del rendimiento, lo que proporcionó una base sólida para medir el impacto del entorno virtual en el aprendizaje. En el desarrollo del estudio, se diseñó un Entorno Virtual de Aprendizaje como recurso de apoyo en la enseñanza del inglés, favoreciendo un ambiente interactivo. Los resultados evidenciaron un notable fortalecimiento en las competencias de listening en los estudiantes, quienes demostraron un uso más eficaz de los recursos digitales gramaticales. En conclusión, la investigación resalta la efectividad de la implementación de un entorno virtual de aprendizaje como herramienta pedagógica para mejorar el proceso de enseñanza-aprendizaje del inglés fortaleciendo la habilidad de listening. Este enfoque no solo potencia el aprendizaje de los estudiantes, sino que también incrementa su motivación al interactuar con recursos digitales que enriquecen su experiencia educativa.
A Systematic Review of the Evidence for Using Simulation to Replace Clinical Experience for Paramedic Students
Authors: Violato Efrem , Lauren Virostek , Ragasa John Paul , Lewis Mikaela , Violato Emilio
Published: January 2025

Background In health professions education there is a shortage of clinical training opportunities and an increasing demand for workers, creating a need for alternative methods to clinical placements. One alternative method to replace clinical experience is simulation-based education. Currently, the efficacy of simulation as a clinical replacement in paramedicine is unknown. To understand the current state of evidence for substituting clinical experience with simulation in paramedic education, provide implications for SBE implementation, and direct further research in this area a systematic review, following the PRISMA checklist guide, was conducted.
Methods Five databases were searched. Primary source studies of all designs investigating replacing clinical experience in paramedicine were included, with eight articles assessed for eligibility screening. Three studies were selected for final inclusion, quality assessment and critical appraisal.
Results Inter-rater reliability was good for the quality assessment and quality appraisal ratings were moderate to strong, though the articles were of low levels of evidence. None of the studies directly addressed whether simulation-based education can be used as a clinical replacement, though both learners and program directors found value in simulation and felt a combination of simulation and clinical time was best. Communication skills and high-acuity low-frequency situations were identified as most appropriate for simulation substitution.
Discussion The findings of the systematic review indicate a willingness to engage in simulation to replace some clinical experience and certain skill areas that could be suitable for simulation, but no practical recommendations can be made due to the low level of study design based on the levels of evidence and lack of evidence for direct clinical substitution. Simulation as a replacement for clinical experience has support in other health professions, but further research is needed in paramedicine to investigate its efficacy and to inform future educational practice.
Implementing prehospital thrombolysis in regional Tasmania
Authors: Johnston Tania , Jenkins Louis , Oatley Lucy , Eaves Scott , Black Andrew , Maria Sonja
Published: January 2025

Background: Patients with ST-elevation myocardial infarction (STEMI) in regional Tasmania frequently encounter reperfusion delays.  Ambulance Tasmania recently implemented prehospital thrombolysis (PHT) as part of a pharmacoinvasive strategy. This study aimed to describe a cohort of the first patient encounters involving STEMI treated under the new guideline to review the implications of the PHT initiative and inform ongoing implementation.
Methods: This was a descriptive, retrospective cohort study of the first 30 consecutive patient encounters involving PHT for STEMI at Ambulance Tasmania from August 2021 to October 2022. 
Results: Despite meeting reperfusion targets in only two cases, the average time of 52 minutes from first medical contact (FMC) to PHT was 24.4 minutes shorter than pre-PHT.  When an intensive care paramedic attended first, an additional 13 minutes was saved. There were no significant adverse events. Despite signs of successful PHT for 70% (n=21) of patients, 60% (n=18) were admitted directly to the catheterization lab for angiography and PCI.
Conclusion: This study describes a cohort of patients treated under a new PHT guideline in Tasmania located too far from a percutaneous coronary intervention (PCI) centre to achieve national reperfusion targets for primary PCI, but close enough to make angiography decisions post-PHT challenging.  The findings support PHT as a safe process that reduces the FMC to needle interval. Additional research is required to understand better the local PCI practices specific to Tasmania to optimize PHT as part of a broader pharmacoinvasive strategy. Recommendations for ongoing implementation include upgrading ECG transmission capability and extending thrombolysis to all levels of paramedics. The service should engage paramedics to further reduce FMC to needle times and use quality improvement initiatives to improve clinical documentation and pre-alert communication. Finally, adopting the Utstein-style data collection tool would facilitate standardized reporting and help identify areas for ongoing improvement in PHT.
Satisfacción de estudiantes de enfermería en el aprendizaje mediante escenarios de simulación clínica
Authors: Guarate Coronado Yeisy Cristina , Fernández Mollocana Kevin Alexander
Published: January 2025

Los escenarios de simulación clínica constituyen herramientas dinámicas de enseñanza que facilitan la adquisición de habilidades y destrezas prácticas, resultando cada vez más relevantes para la preparación previa al cuidado directo del paciente. Objetivo: Evaluar la satisfacción de los estudiantes de enfermería respecto al rol de los escenarios de simulación clínica en su proceso de aprendizaje. Métodos: Se realizó un estudio cuantitativo, observacional y transversal, con un universo de 624 estudiantes de la Universidad Técnica de Ambato. La muestra, calculada con QuestionPro al 95% de confianza y 5% de margen de error, incluyó 239 estudiantes seleccionados mediante muestreo estratificado. Se utilizó la “Encuesta de calidad y satisfacción de simulación clínica” y se analizaron los datos con el software SPSS versión 29.0.1.0 (171). El estudio se enmarcó en la Declaración de Helsinki y contó con la aprobación del Comité de Ética de la universidad. Resultados: El 62,8% de los estudiantes (150) reportaron un nivel alto de satisfacción general con el aprendizaje obtenido en los escenarios de simulación. Conclusión: Aunque la satisfacción general es alta, se identificó un porcentaje de estudiantes con niveles de satisfacción media y baja, lo que resalta la necesidad de optimizar los aspectos evaluados de la simulación clínica.
Comparative study of the use of antihypertensives and their relationship with sars-cov-2
Authors: Castro Mindiola Franklin Francisco , Soledispa Cañarte Pilar Asunción
Published: January 2025

This comparative study analyzed the published scientific evidence about the association between the reduction of severity or mortality due to COVID-19, and the efficiency of the use of Angiotensin Converting Enzyme Inhibitors (ACEIs) and angiotensin receptor blockers (BRAs) compared to other drugs antihypertensives non-ACEI/ARB in hypertensive patients. The objective was to estimate the occurrence of the risk of morbidity, severity or mortality due severe acute respiratory failure in hypertensive patients and the efficacy of angiotensin-converting enzyme (ACE) and inhibitor drugs non-peptic Angio II receptor antagonists (ARBs II) in SARS-Cov-2.The methodology used was the exhaustive bibliographic review of literary bases through the advanced search function of observational studies, clinical trials and meta-analyses that focus on the use of ACE Inhibitors/BRAs in SARS-Cov-2.The ACEI and ARB results demonstrated better efficacy in terms of control of inflammatory processes and low risk of severity due to COVID-19 than CCBs. In addition, several studies affirm that there is a low risk of hospitalization, intubation and mortality from all cardiovascular causes during COVID-19 disease. Therefore, published scientific evidence suggests acceptable safety of the management of ACEIs/ ARBs in SARS-Cov-2 and arterial hypertension in contrast to the few studies where ACEIs / ARBs increased the susceptibility of SARS-Cov-2, resulting in potential systemic damage. Conclusion: The medium-low quality of scientific evidence suggests an urgent need for a new systematic review that includes a greater number of randomized clinical trials, to corroborate the magnitude of the risk of morbidity, severity, and mortality from SARS-Cov-2.
PERLINDUNGAN HUKUM TERHADAP PEKERJA ATAS KESELAMATAN DAN KESEHATAN KERJA (K3) DI PT. GEO DIPA ENERGI KABUPATEN WONOSOBO
Authors: Riyayan Allan Ardi , Wardani Susilo
Published: January 2025

Tujuan penelitian ini adalah mengenai pelaksanaan perlindungan hukum dan upaya pencegahan kecelakaan kerja. Metode penelitian yang digunakan empiris dengan menggunakan pendekatan fakta. Metode pengumpulan data menggunakan metode wawancara dan studi kepustakaan. Metode analisa data yang digunakan secara kualitatif. Hasil penelitian menunjukkan perlindungan hukum bagi pekerja atas K3 di PT. Geo Dipa Energi Wonosobo yakni (1). bentuk perlindungan secara ekonomis. (2). Perlindungan sosial atau kesehatan kerja dan.(3). Perlindungan teknis atau keselamatan kerja. Upaya pencegahan kecelakaan di PT. Geo Dipa Energi Wonosobo yakni dengan melaksanakan Job Safety Analysis (JSA) dengan mengidentifikasi bahaya dan pengendaliannya pada setiap tahapan pekerjaan yaitu dengan menerapkan Job Safety Analysis. Adanya penerapan Job Safety Analysis (JSA) di PT. Geo Dipa Energi Wonosobo dapat membantu mempermudah bagi para pekerja untuk mengambil langkah kerja yang aman dan dapat menghindari dari berbagai bahaya yang ada.
Manual de Endocrinología y Metabolismo Tomo 2
Authors: Urzola Suárez María Rosa , Diaz Burbano Andrés Stiven , Román Medrano Kenya Alejandra , Flórez Zulbarán Liseth Carolina
Published: January 2025

El "Manual de Endocrinología y Metabolismo Tomo 2" representa un avance significativo en la comprensión de las complejas interacciones hormonales y metabólicas del cuerpo humano. Este volumen se enfoca en patologías avanzadas, diagnósticos diferenciales y tratamientos innovadores, proporcionando herramientas esenciales para el manejo clínico. Diseñado para profesionales de la salud, combina fundamentos teóricos con casos prácticos que reflejan desafíos reales en la práctica médica. Este libro no solo amplía el conocimiento, sino que también inspira una visión integradora de la endocrinología. Es un recurso imprescindible para quienes buscan perfeccionar su labor en esta apasionante especialidad médica.