bluuebunny/crossref_metadata_2025 huggingface dataset:
Lightweight Mutual Authentication for Healthcare IoT
Authors: Chen I-Te , Tsai Jer-Min , Chen Yin-Tung , Lee Chung-Hong
Published: October 2022

“Smart medical” applications refer to the fusion of technology and medicine that connects all linked sensor equipment with the patients, including those that measure physiological signals, such as blood pressure, pulse, and ECG. In addition, these physiological signal data are highly private and should be safely protected. It takes much longer to complete authentication processes in the traditional way, either based on public key infrastructure or attribute-based encryption, which is a burden for IoT devices. Hence, on the basis of attribute-based encryption, we propose lightweight authentication to shorten the time spent on authentication. Moreover, we use the patients’ data and timestamps as seeds to generate random numbers for authentication. The experiments show that the lightweight authentication using Xeon E3-1230 computer is about 4.45 times faster than complete authentication and 5.8 times faster than complete authentication when using Raspberry Pi. Our proposal significantly improves the disadvantages of IoT devices that lack computing power.
The Influence and Mechanism of Digital Economy on the Development of the Tourism Service Trade—Analysis of the Mediating Effect of Carbon Emissions under the Background of COP26
Authors: Zhang Jie , Shang Yunfeng
Published: October 2022

This study explores the impact and mechanism of the digital economy on the tourism service trade. We adopted two-way fixed effects and mediating effects models, and conducted empirical studies based on panel data of 30 provinces (municipalities and autonomous regions) in China. The results show that the digital economy can significantly improve the development of the tourism service trade, and has a certain role in carbon emission reduction. This conclusion remains valid after a series of robustness tests and proves that carbon emission per capita plays an intermediary role in this process. The regional heterogeneity analysis shows that the digital economy plays a more significant role in promoting inland regions and regions with a higher tourism resource endowment. These findings are significant for the relevant industries, ecological activists, other stakeholders and the realization of the «Glasgow Climate Pact». The results provide guidelines for the recovery of the tourism service industry in the post-epidemic era, achieving the “double carbon” goal, realizing low-carbon tourism and the control of carbon emissions by countries related to the COP meeting. The guidelines can help to strengthen the development of digital infrastructure and promote digital technology in the tourism service industry, differentiate promotion measures based on geographical location and tourism resource endowment, fully consider the intermediary role of carbon emissions, and develop corresponding low-carbon technologies and innovative green technologies.
Ag Decorated Co3O4-Nitrogen Doped Porous Carbon as the Bifunctional Cathodic Catalysts for Rechargeable Zinc-Air Batteries
Authors: Leng Pingshu , Wang Hanbin , Wu Binfeng , Zhao Lei , Deng Yijing , Cui Jinting , Wan Houzhao , Lv Lin
Published: October 2022

The use of transition metals as bifunctional catalysts for rechargeable zinc-air batteries has recently attracted much attention. Due to their multiple chemical valence states, the cobalt oxides are considered to be promising catalysts for oxygen reduction reaction (ORR) and oxygen evolution reaction (OER). In this work, bifunctional Ag-decorated Co3O4-nitrogen doped porous carbon composite (Co3O4-NC&Ag) catalysts were synthesized by annealing ZIF-67 in N2 and O2, respectively, followed by Ag deposition using chemical bath deposition. Due to the decoration of Ag nanoparticles and high specific surface area (46.9 m2 g−1), the electrochemical activity of Co3O4 increased significantly. The optimized Co3O4-NC&Ag catalysts possessed superior ORR performance with a half-wave potential of 0.84 V (vs. RHE) and OER activity with an overpotential of 349 mV at 10 mA cm−2. The open circuit voltage of the Co3O4-NC&Ag-based zinc-air battery was 1.423 V. Meanwhile, the power density reached 198 mW cm−2 with a specific discharge capacity of 770 mAh g−1 at 10 mA cm−2, which was higher than that of Pt/C-based zinc-air battery (160 mW cm−2 and 705 mAh g−1). At a current density of 10 mA cm−2, the charge-discharge performance was stable for 120 h (360 cycles), exhibiting better long-term stability than the Pt/C&RuO2 counterpart.
A Multi-Attribute Decision Support System for Allocation of Humanitarian Cluster Resources Based on Decision Makers’ Perspective
Authors: Rye Sara , Aktas Emel
Published: October 2022

The rush of the humanitarian suppliers into the disaster area proved to be counter-productive. To reduce this proliferation problem, the present research is designed to provide a technique for supplier ranking/selection in disaster response using the principles of utility theory. A resource allocation problem is solved using optimisation based on decision maker’s preferences. Due to the lack of real-time data in the first 72 h after the disaster strike, a Decision Support System (DSS) framework called EDIS is introduced to employ secondary historical data from disaster response in four humanitarian clusters (WASH: Water, Sanitation and Hygiene, Nutrition, Health, and Shelter) to estimate the demand of the affected population. A methodology based on multi-attribute decision-making (MADM), Analytical Hierarchy processing (AHP) and Multi-attribute utility theory (MAUT) provides the following results. First a need estimation technique is put forward to estimate minimum standard requirements for disaster response. Second, a method for optimization of the humanitarian partners selection is provided based on the resources they have available during the response phase. Third, an estimate of resource allocation is provided based on the preferences of the decision makers. This method does not require real-time data from the aftermath of the disasters and provides the need estimation, partner selection and resource allocation based on historical data before the MIRA report is released.
Feeding Preferences of Domestic and Wild Ungulates for Forage Trees in the Dry Tropics
Authors: López Benavides Kenny , Rocha Lester , Serrano Emmanuel , Bartolomé Filella Jordi
Published: October 2022

Silvopastoralism based on livestock feeding on forage trees is becoming a sustainable alternative to traditional grazing on the open pastures of dry tropical Central America. Four autochthonous trees, Acacia pennatula, Enterolobium cyclocarpum, Gliricidia sepium and Guazuma ulmifolia, and one exotic (Moringa oleifera) tree are the preferred species for these silvopastoral systems. Little is known, however, about the feeding preferences of cattle, sheep and goats for such fodder trees and whether wild ungulates (white-tailed deer, Odocoileus virginianus) feed on these plants. In this work, we conducted several multiple-choice feeding preference tests (cafeteria test) to compare the best choice to feed cattle, sheep, goats and white-tailed deer in these farming systems. Although all ruminant species included the four autochthonous trees and the exotic M. oleifera in their diets, G. ulmifolia was the preferred forage tree by far. The preference for the rest of the trees varied among our ruminant species. When M. oleifera was added to the cafeteria test, it was well accepted by white-tailed deer but little appreciated by their domestic counterparts. The use of these forage trees for livestock feeding is thus interesting not only for sustainable animal production but also to support wild herbivores in the dry tropics of Central America.
How Do Technologies Based on Cyber–Physical Systems Affect the Environmental Performance of Products? A Comparative Study of Manufacturers’ and Customers’ Perspectives
Authors: Uriarte-Gallastegi Naiara , Landeta-Manzano Beñat , Arana-Landín German , Laskurain-Iturbe Iker
Published: October 2022

In the academic literature, there are studies that link the adoption of Industry 4.0 technologies with an improvement in product-related circular economy indicators. However, there are scarce studies carried out in business contexts that analyse the degree, the stage of the life cycle and the value given to these improvements by customers and Industry 4.0 technology manufacturers. To contribute to clarifying these fields, a multiple-case study of nineteen technology manufacturers has been conducted, with input from the experience of venture clients as users and active participants in a shared project. Both manufacturers and their customers agree that Industry 4.0 technologies have a positive impact on circular economy. Benefits depend on the type of technology and its application and are mainly concentrated in the manufacturing phase. Additive manufacturing appears to be the technology with the greatest potential to influence circular economy, but customers also highlight the influence of augmented/virtual reality. Most manufacturers and customers emphasise the biggest influence is on reducing material consumption. This serves to improve the critical variables of market positioning by reducing product costs. However, acquisition cost, as well as quality and safety specifications, are of greater importance to manufacturers and customers, which may limit the environmental benefits obtained.
Influence of Seed Soaking and Foliar Application Using Ozonated Water on Two Sweet Pepper Hybrids under Cold Stress
Authors: Sharaf-Eldin Mohamed A. , Alshallash Khalid S. , Alharbi Khadiga R. , Alqahtani Mesfer M. , Etman Abdelwahab A. , Yassin Ali M. , Azab Enas S. , El-Okkiah Samira A. F.
Published: October 2022

The harmful impacts of ozone (O3) on plant development and productivity have been excessively studied. Furthermore, the positive influences of its low concentrations still need to be explored further. The present study was performed to assess the impact of low concentrations of O3 on two sweet pepper hybrids under cold stress. The ozonated water was utilized for seed soaking or foliar application at concentrations of 0, 10, 20, 30, and 40 ppm. Seed soaking using ozonated water for 1 h was compared to soaking in distilled water as a control. Moreover, exogenously ozonated water was sprayed thrice at three-day intervals compared with untreated control. The differences between the applied methods (seed soaking and foliar application using ozonated water) were not statistically detected in most of the evaluated parameters. On the other hand, the evaluated hybrids displayed significant differences in the studied parameters, with the superiority of the Lirica evident in most germination and seedling growth parameters. Both applied methods significantly improved germination and seedling growth parameters. In particular, the concentration of 40 ppm displayed the highest enhancement of the germination index, coefficient velocity, and seedling quality. In addition, it promoted the seedling maintenance of high relative water content (RWC), chlorophyll, proline, and ascorbate peroxidase activity under cold stress conditions. Moreover, it protected the cell wall from damage by decreasing membrane permeability (MP). Generally, the best results were obtained from 40 ppm followed by 30 ppm of O3 as seed soaking or foliar spray. The results pointed out the possible use of O3 in a low concentration to protect the plants from cold stress during germination and early plant growth.
Design and Assessment of an Urban Circular Combined Truck–Drone Delivery System Using Continuum Approximation Models and Integer Programming
Authors: Canca David , Navarro-Carmona Belén , Andrade-Pineda José Luis
Published: October 2022

The analysis of tandem truck–drone delivery systems has recently attracted the attention of the research community, mainly focused on extending classical operational research problems such as the multiple traveling salesperson or the vehicle-routing problem. In this paper, we explore the design of an urban massive combined delivery system using a continuum approximation (CA) method for a circular city characterized by a certain density of customers. Starting from a set of parameters defining the main characteristics of trucks and drones, a sectorization of the delivery area is first determined. Then, for a given truck capacity, the optimal number of trucks is obtained considering different scenarios using three integer programming models. We propose several performance indicators to compare the tandem approach with the alternative solely truck delivery system.
Prevalence and Risk Factors of Opisthorchis viverrini Infection in Sakon Nakhon Province, Thailand
Authors: Perakanya Pariyakorn , Ungcharoen Ratchadaporn , Worrabannakorn Sutthiporn , Ongarj Passakorn , Artchayasawat Atchara , Boonmars Thidarut , Boueroy Parichart
Published: October 2022

Opisthorchiasis is a parasitic infection caused by the liver fluke Opisthorchis viverrini. This parasite is widely distributed and well documented in Thailand, Lao PDR, Southern Vietnam, Cambodia, and Myanmar. However, its prevalence is a major problem in these countries. Thus, the aim of this study was to determine the prevalence and risk factors of O. viverrini infection from 2017 to 2020 in Sakon Nakhon province, Thailand. Questionnaires were used to interview 320 participants (160 cases and 160 controls) in a random selection of 18 districts across Sakon Nakhon province. Univariate logistic regression was used to identify the factors associated with O. viverrini infection. The overall prevalence levels of O. viverrini infection in Sakon Nakhon province for 2018, 2019, and 2020 were 3.60%, 5.21%, and 7.01%, respectively. Raw fish consumption was a positive risk factor for its infection in endemic areas. Factors associated with O. viverrini infection were the habit of consuming unsafely prepared fish (OR = 6.33, 95%CI = 3.71–10.90), the medical history of O. viverrini examination (OR = 8.93, 95%CI = 5.15–16.21), a history of O. viverrini infection (OR = 201.25, 95%CI = 33.32–8082.76), and a history of taking praziquantel (OR = 201.25, 95%CI = 33.32–8082.76). These results identified gaps in the epidemiological knowledge of O. viverrini in this region that need addressing to identify and develop innovative methods for prevention, control, and support efforts to permanently overcome O. viverrini infection in endemic regions.
Proteomic Analysis of Urine from Patients with Plasmodium vivax Malaria Unravels a Unique Plasmodium vivax Protein That Is Absent from Plasmodium falciparum
Authors: Fantin Raianna F. , Abeijon Claudia , Pereira Dhelio B. , Fujiwara Ricardo T. , Bueno Lilian L. , Campos-Neto Antonio
Published: October 2022

Five species of Plasmodium cause malaria in humans and two of them, P. vivax and P. falciparum, pose the greatest threat. Rapid antigen detection tests (RADT) have been used for many years to diagnose and distinguish malaria caused by these two parasites. P. falciparum malaria can single-handedly be diagnosed using an RADT, which detects the unique P. falciparum specific histidine-rich protein 2 (HRP2). Unfortunately, there is no RADT that can single-handedly diagnose P. vivax malaria because no specific marker of this parasite has yet been described. Here, we report the discovery of a unique P. vivax protein (Vir14, NCBI Reference Sequence: XP_001612449.1) that has no sequence similarity with proteins of P. falciparum and no significant similarities with proteins of other species of Plasmodium. We propose that this protein could be an outstanding candidate molecule for the development of a promising RADT that can single-handedly and specifically diagnose P. vivax malaria.
Diagnosis of Schistosomiasis without a Microscope: Evaluating Circulating Antigen (CCA, CAA) and DNA Detection Methods on Banked Samples of a Community-Based Survey from DR Congo
Authors: Hoekstra Pytsje T. , Madinga Joule , Lutumba Pascal , van Grootveld Rebecca , Brienen Eric A. T. , Corstjens Paul L. A. M. , van Dam Govert J. , Polman Katja , van Lieshout Lisette
Published: October 2022

Detection of Schistosoma eggs in stool or urine is known for its low sensitivity in diagnosing light infections. Alternative diagnostics with better sensitivity while remaining highly specific, such as real-time PCR and circulating antigen detection, are progressively used as complementary diagnostic procedures but have not yet replaced microscopy. This study evaluates these alternative methods for the detection of Schistosoma infections in the absence of microscopy. Schistosomiasis presence was determined retrospectively in 314 banked stool and urine samples, available from a previous survey on the prevalence of taeniasis in a community in the Democratic Republic of the Congo, using real-time PCR, the point-of-care circulating cathodic antigen (POC-CCA) test, as well as the up-converting particle lateral flow circulating anodic antigen (UCP-LF CAA) test. Schistosoma DNA was present in urine (3%) and stool (28%) samples, while CCA (28%) and CAA (69%) were detected in urine. Further analysis of the generated data indicated stool-based PCR and the POC-CCA test to be suitable diagnostics for screening of S. mansoni infections, even in the absence of microscopy. A substantial proportion (60%) of the 215 CAA-positive cases showed low antigen concentrations, suggesting that even PCR and POC-CCA underestimated the “true” number of schistosome positives.
Nighttime Cloud Cover Estimation Method at the Saishiteng 3850 m Site
Authors: Gao Baoquan , Ping Yiding , Lu Yao , Zhang Chen
Published: October 2022

Cloud cover is critical for astronomical sites because it can be used to assess the observability of the local sky and further the fractional photometric time. For cloud monitoring in site-testing campaigns with all-sky cameras, previous studies have mainly focused on moonless images, while the automatic processing methods for moonlight images are explored quite few. This paper proposes an automatic estimation method for cloud cover, which takes all cases of nighttime gray-scale all-sky images into account. For moonless images, the efficient Otsu algorithm is directly used to detect clouds. For moonlight images, they are transformed into cloud feature image using a colorization procedure, and then the Otsu algorithm is used to distinguish cloud pixels from sky pixels on the cloud feature image. The reliability of this method was evaluated on manually labeled images. The results show that the cloud cover error of this method is less than 9% in all scenarios. The fractional photometric time derived from this method is basically consistent with the published result of the Lenghu site.
On a Class of Harko-Kovacs-Lobo Wormholes
Authors: Karimov Ramis Kh. , Izmailov Ramil N. , Nandi Kamal K.
Published: October 2022

The Harko, Kovács, and Lobo wormhole (HKLWH) metric contains two free parameters: one is the wormhole throat r0, and the other is a dimensionless deviation parameter γ with values 0<γ<1, the latter ensuring the needed violation of the null energy condition at the throat. In this paper, we study the energetics of the HKLWH and the influence of γ on the tidal forces in the Lorentz-boosted frame. Finally, we apply a new concept, namely, the probabilistic identity of the object observed by different external observers in terms of the Fresnel coefficients derived by Tangherlini. The intriguing result is that observations can differ depending on the location of the observer, i.e., there is a nonzero probability that the HKLWH will be identified as a black hole even when γ≠0.
Sign Switching Dark Energy from a Running Barrow Entropy
Authors: Di Gennaro Sofia , Ong Yen Chin
Published: October 2022

Barrow proposed that the area law of the entropy associated with a horizon might receive a “fractal correction” due to quantum gravitational effects—in place of S∝A, we have instead S∝A1+δ/2, where 0⩽δ⩽1 measures the deviation from the standard area law (δ=0). Based on black hole thermodynamics, we argue that the Barrow entropy should run (i.e., energy scale dependent), which is reasonable given that quantum gravitational corrections are expected to be important only in the high-energy regime. When applied to the Friedmann equation, we demonstrate the possibility that such a running Barrow entropy index could give rise to a dynamical effective dark energy, which is asymptotically positive and vanishing, but negative at the Big Bang. Such a sign switching dark energy could help to alleviate the Hubble tension. Other cosmological implications are discussed.
Evaluation of Spatio-Temporal Settlement Pattern in an Airport Region
Authors: Sharma Shalvi , Ram Sewa
Published: October 2022

Envisioning the airport’s expanding relevance as a hub for passenger movement and its immediate ancillaries and as a focal point for inducing growth that embraces enormous conurbations and associated services, this paper seeks to identify factors likely to impact the regions surrounding the airport, especially from a viewpoint of planning and development. The rationale for focusing on these areas is to determine the impact of change in landside connectivity in an airport region on the hierarchy and interaction of settlements. In order to explore the objective, the application of GIS, as well as statistical analysis, has been undertaken for the selected case study of Bagdogra Airport, West Bengal, India in the North-East region and with geographically challenging terrain. Methodologically, this paper tries to identify changes in the various types of socio-economic and urbanizing factors to find out the impact of change in connectivity on settlement patterns in the region. It is evident from the results that, while visualizing the spatial structure of the factors affected in the airport’s region, the airport can be considered a pivot that induces urbanization and increases the number of amenities in its vicinity. As a result, it is apparent that large airports are transitioning from airport cities to new focus locations in the regions for the development of regional infrastructure that catalyze the phenomenon of urbanization.
The concept of the formation and development of a multi-communication logistics system for an enterprise
Authors: Kuznetsova A. A. , Timashkova T. E. , Repetskaya N. V.
Published: October 2022

The purpose of the article. The urgency of the research is based on the need to ensure the objectivity and transparency of contractual relations in all parts of the logistic chain, on the one hand, and the possibility of using the synergistic effect of the participants’ experience grounded in interconnected business-possesses, which can be achieved by introducing the principles of multi-agent technologies into the logistics management, on the other hand. The purpose is to work out an algorithm for creating and developing a multi-communication logistics system for a business structure. Materials and methods. A systematic approach, economic methods for processing special data, a method for analyzing dataset are used. Results. The paper presents a methodology for the development of a virtual enterprise in supply and marketing spheres of an industrial company, based on the author's methodology of financial micro-logistics. The core of the proposed algorithm for developing a multi-communication logistics system is focused on two aspects. The first is a combination of financial transparency and objectivity with the help of the proposed information support for logistics management of supply and sales. The second is a use of voluntary symbiosis of all logistics resources (material, financial, human, organizational capital). Conclusions. The authors believe that the obtained algorithm of the logistics portal for an enterprise will both advance and speed up business relations and make them more transparent.
The impact of economic sanctions and the Covis-19 pandemic on the efficiency of the Russian foreign exchange market
Authors: Ponkratov V. V. , Karaev A. K.
Published: October 2022

The article analyzes the effectiveness of the Russian currency market using the multi-fractal analysis of fluctuations without a trend (MF-DFA) of a time series composed of daily values of the US dollar (USD) to Russian ruble (RUB) (USD/RUB) exchange rate for the period time (01/01/2013 — 04/01/2022), during which events occurred that led to serious changes in the Russian foreign exchange market.

Calculations showed that the time series made up of the daily values of the USD/RUB exchange rate showed the least efficiency after the introduction of the fiscal rule and the coronavirus pandemic, and the highest comparative efficiency after the introduction of the freely floating exchange rate regime.
The geopolitical reality of the sanction opposition in the context of the need to study the foreign retrospective of import substitution: The experience of Brazil and India
Authors: Sokolskikh E. V. , Gordeevtsev E. I. , Shmeleva L. A. , Chistyakov M. S.
Published: October 2022

The presented collective work, in accordance with the international classification, is a review article, the purpose of which is to consider the foreign experience of import substitution policy in the context of economic sublimation of the prospects for Russia's opposition to the Anglo-Saxon world's attempts to inhibit high-tech development and the policy of reducing the share of Russia's hydrocarbon economy, as well as in the context of the activation of centrifugal processes of a destructive nature aimed at the institutional foundations of the integrity of the Russian statehood.
Application of the polycentric approach when building an economic system type «organization»
Authors: Gerasimov B. N.
Published: October 2022

In any field of activity, the key attributes of the theory of management science are selected, which determine the typology of the management object, which is used for the selection and use of methodological and technological tools. The study of the forms and content of methodological tools allowed us to determine the significant role of the polycentric approach in the construction and reform of economic systems of the «organization» type, within which system, process and functional approaches are consistently used. The use of this approach as the main tool has made it possible to improve the quality and effectiveness of the functioning of management facilities in economic and social environments.
Expanding the use of the ruble in international settlements
Authors: Tskhovrebov M. P.
Published: October 2022

The freezing of Russian assets and the continued risk of new sanctions creates incentives for abandoning the currencies of unfriendly countries and expanding the use of the ruble in cross-border settlements. In addition to prestige, the advantage of the internationalization of the national currency is the reduction of transaction costs and foreign exchange risks of foreign trade participants, which will contribute to the development of foreign trade. An increase in external demand for financial assets denominated in rubles will help increase the depth of the market and reduce the cost of borrowing. The need for additional international reserves will decrease, the storage of which may be associated with the costs of depreciating the reserve currency, obtaining negative real returns on assets denominated in reserve currencies, as well as with sanctions risks.
Technological policy of the state
Authors: Lapin A. V.
Published: October 2022

The article analyzes the process of state management of high-tech projects in various sectors of the economy, provided for by strategic and program documents of the state, with the direct participation of large Russian corporations. The subject of the study is the sovereign technological policy of the Russian Federation. The purpose of the article is to reveal the strategic goals of the technological policy of the state. Materials and methods. To study the role of the state in the development of high-tech projects in various sectors of the economy, system analysis, methods of analysis and synthesis were used. Results. The directions and main participants of the technological policy of Russia are systematized. Conclusions. The results of the analysis of Russia's technological policy demonstrated the ability of the state and business to achieve the goal for the development of high-tech industries on a sovereign technological base in the prevailing military-geopolitical and economic conditions. Application. The results obtained can be used to analyze the public management of high-tech sectors of the Russian economy.
Rosatom State Corporation: Assessment of strategic choice in the context of the results of activities
Authors: Boyko A. N.
Published: October 2022

Decisions on the establishment of all companies in the organizational and legal form of "state corporation" (hereinafter — GC, State Corporation) in the "zero years" and GC "Rosatom" in particular were taken in extremely heated discussions, including the official denial of the legality of such a foundation. In connection with the fifteenth anniversary since the establishment of the Rosatom State Corporation, it is advisable to evaluate the results obtained, promising opportunities for further application, development, as well as the legality of extending this legal form to other areas of production.

These tasks require consideration — the features of this organizational and legal form of the state corporation, its structural and economic organization, management system, the results of production, economic and innovation activities, including participation in the processes of global energy transition, and finally — the goals and objectives of strategic planning and its implementation.

Research objectives — to substantiate the high and enduring systemic potential, on the one hand, of the managerial and legal organization imputed to Rosatom State Corporation by federal law on the scale of sectoral management, and on the other hand, of the structural and economic organization within the entire nuclear energy industry. In the analysis of the reporting and planning documents of Rosatom State Corporation, a system-structural approach was used, including the aspect of system synergy, methods of analogies and comparisons.
Aspectos envolvidos nas tomadas de decisões em cuidados paliativos neonatais a partir da perspectiva parental
Authors: Santos Thaís Cristine Queiroz de Oliveira , Leal Miriam Martins
Published: October 2022

Realizou-se uma Revisão Integrativa de publicações, com objetivo de discorrer acerca de aspectos da Tomada de Decisão (TdD) nos cuidados paliativos neonatais sob a perspectiva parental. Foram selecionados 7 artigos publicados entre 2007 e 2018. Ressaltou-se que os pais enfrentam difíceis decisões relacionadas à experiência de vida do filho, desde seu nascimento até sua morte. Tais escolhas abrangem os sentimentos e as crenças dos envolvidos, bem como a clínica do paciente e a comunicação dos genitores com os profissionais de saúde. Em conclusão, a comunicação da equipe médica com os familiares durante o cuidado e o processamento dessas decisões é fundamental para evitar o sentimento de culpa e diminuir a angústia dos pais, além de melhor compreendê-los e acolhê-los no caminho a ser seguido.
Caracterização de um espectroradiômetro comercial para avaliação de irradiância de fototerapia neonatal
Authors: Junior Antonio Francisco Gentil Ferreira , Moraes José Carlos Teixeira de Barros
Published: October 2022

O presente trabalho apresenta a caracterização de um espectroradiômetro considerando a calibração nas escalas de comprimento de onda e irradiância espectral, juntamente com a avaliação de sua linearidade e a influência da variação angular na geometria de medição e da polarização da luz incidente. Os resultados mostram que para a aplicação na avaliação de fototerapia neonatal a calibração da escala de irradiância é crítica com variações entre valores teóricos e medidos de até 10 % e a avaliação da linearidade obtida foi 4 % por ordem de grandeza da irradiância, o que demonstra necessidade da caracterização do espectroradiômetro incluindo sua calibração para correta avaliação da irradiância de fototerapia neonatal.
Os efeitos da COVID-19 na prematuridade: uma visão geral das revisões
Authors: Santos Giovanna Giovacchini dos , Carmona Laíssa Viana , Lima Gabriela Hess Vaz de , Buttler Carolina Russo , Cilento Beatriz Bazzo , Valete Cristina Ortiz Sobrinho , Machado José Kleber Kobol
Published: October 2022

Introdução: Gestantes são consideradas grupo de risco para a COVID-19. Contudo, faltam evidências acerca dos desfechos neonatais em gestantes infectadas pelo SARS-CoV-2. O objetivo deste estudo é avaliar se houve aumento de prematuridade em gestantes infectadas, se a infecção foi causa de prematuridade e quais os desfechos do parto e feto-neonatais estudados. Método: Foi feita uma revisão narrativa, que incluiu revisões narrativas, sistemáticas e metanálises, captadas na PubMed a partir dos descritores associados aos termos “COVID-19”, “prematuridade” e “mortalidade neonatal”, publicados no período de janeiro de 2020 a setembro de 2021.Resultados: Foram incluídos 21 estudos. A taxa de prematuridade variou de 20,1% a 63,83% e a via de parto predominante foi a cesariana (53,9 a 93%). Dezesseis estudos revelaram taxas de neonatos testados positivos para SARS-CoV-2 (de 0 a 14,3%). Outros desfechos neonatais incluídos foram: abortamento, mortalidade perinatal, crescimento intrauterino restrito, sofrimento fetal, APGAR abaixo de 7, baixo peso ao nascer, dificuldade respiratória e pneumonia. Discussão: Foi encontrado aumento da taxa de partos prematuros e de cesarianas em mulheres grávidas infectadas pelo SARS-CoV-2 em comparação à população geral. Não foi possível concluir que a COVID-19 seja causa direta de prematuridade, sendo importante ressaltar que as taxas observadas podem se relacionar à interrupção da gestação, possivelmente devido às informações insuficientes no início da pandemia quanto aos riscos da infecção no feto e transmissão vertical. Da mesma forma, a escolha pela cesariana pode estar relacionada à piora da condição materna. Os desfechos neonatais relatados foram variados entre os artigos revisados, o que nos impediu de fazer uma análise quantitativa para síntese dos achados. Pode-se afirmar, entretanto, que os desfechos são restritos à minoria dos casos, e ainda não está claro se são provocados pela infecção materna. Conclusão: Constatou-se aumento da taxa de prematuridade e de cesáreas na população estudada. Com relação aos desfechos neonatais adversos, ainda são necessários mais estudos englobando os períodos seguintes de avanço da pandemia.
Self-harm in children and adolescents: a mini-review
Authors: Brás João Miguel do Nascimento , Cardoso Sandra Marisa Soares Baptista , Santos Sónia Raquel Andrade , Costa Ana Maria Pinto , Santos Elisabete Maria Costa Silva , Santos Paulo André Gonçalves Batista
Published: October 2022

Objective: Our objective was to make a mini review of the evidence and some recommendations about a holistic and compassionate approach for children and adolescents with self-harm. Methods: We performed a PubMed research on reviews, guidelines and trials published in English between 2006 and 2021. The keywords used were: self-harm, child and adolescent.  Results: Self-harm is a common problem in young people with serious consequences. Nevertheless, this problem is underdiagnosed, with only a minority of young people using health services. There is a strong correlation between self-harm behaviors and suicide, with part of suicide deaths occurring in young people with a history of self-harm. These behaviors result from an interaction between genetic, biological, psychological, social and cultural factors, with the relevance of the stress diathesis being increasingly defended. There are several risk factors associated with self-harm, for example the existence of family and child adversities, the presence of family history and the observation of self-harm in others. Conclusion: Despite the importance inherent to self-harm behaviors, there is not a lot of literature with effective approaches and interventions for young people with these behaviors. However, a complete and compassionate observation and approaching of the patients is essential, especially in this age.
Série de casos: avaliação de uma intervenção baseada em Mindfulness no estresse percebido e qualidade de vida de estudantes de medicina
Authors: Lira Carlos Vinicio Carvalho Filho e , Matos Maria Tereza Leite , Andrade Mariany Minelvina de , Souza Natália Campos Vieira Freitas de , Valadão Analina Furtado , Cunha Ângelo Geraldo José , Martins Patrícia Silveira
Published: October 2022

Introdução: estudantes universitários estão submetidos ao estresse resultante da sobrecarga de atividades curriculares e da constante pressão no ambiente acadêmico, o que pode gerar efeitos negativos nos estudos, no estado emocional e na saúde. O protocolo Mindfulness Based Stress Reduction (MBSR) tem demonstrado efeitos positivos para reduzir os sintomas associados ao estresse. Objetivos: avaliar os impactos do curso “Programa On-line de Qualidade de Vida Baseado em Mindfulness” na redução do estresse e na melhora da qualidade de vida em uma amostra de estudantes de medicina. Método: trata-se de uma pesquisa descritiva, exploratória e transversal, de amostragem do tipo “por conveniência”, que recrutou 33 graduandos em medicina da Univaço (Ipatinga, MG). Foram quantificados escores de qualidade de vida, estresse percebido, atenção e consciência plenas, facetas de Mindfulness e autocompaixão, antes e após participarem de um curso on-line de Mindfulness, com duração de 8 semanas. Resultados: a amostra apresentou média de idade de 22,6 anos na pré-intervenção e de 21,8 na pós-intervenção, predomínio do sexo feminino (pré-intervenção: 66,7% e pós-intervenção: 87,5%), prevalência de graduandos do 2° ano do curso na pré-intervenção (33%) e 4° ano do curso no pós-intervenção (50%) e preponderância de indivíduos solteiros (pré-intervenção: 93,9% e pós-intervenção: 100%). Houve diminuição da média de estresse percebido (36,3 para 23,6: redução de 34,9%) e das facetas de Mindfulness (122,7 para 120.5: redução de 1,8%), além de um aumento do escore total de qualidade de vida (67,6 para 78,8: ganho de 16,6%), da atenção e consciência plenas (47,5 para 60,0: ganho de 26,3%) e da autocompaixão (71,5 para 83,3: ganho de 16,3%). Conclusão: a presente pesquisa contribui para perspectivas de que as práticas de Mindfulness estão diretamente relacionadas à diminuição dos níveis de estresse e, consequentemente, a uma melhora da qualidade de vida de estudantes universitários.
A Síndrome de Burnout nos profissionais da saúde no período pandêmico da COVID-19: uma revisão de literatura
Authors: Filho Ernesto Scardovelli , Montanha Hércules Augustus , Rossetto Alessandra de Arriba
Published: October 2022

A pandemia do Covid-19 tem impactado vários setores da sociedade, mas principalmente nos profissionais da saúde que atuam na linha de frente, por enfrentarem longas jornadas de trabalho para suprir a demanda, sem condições adequadas em termos de estrutura, equipamentos de proteção individual e capacitação para o exercício da função laborativa. O objetivo deste trabalho é analisar os fatores de riscos para o desenvolvimento da síndrome de burnout em profissionais da saúde que atuam na linha de frente do COVID-19. Neste trabalho realizou-se uma revisão bibliográfica, que buscou identificar as publicações existentes importantes nas bases de dados, sobre os temas: Burnout, Pandemia, COVID-19, Profissionais de Saúde. Além disso, apresenta os riscos de contrair burnout, um transtorno relacionado ao estresse no trabalho, decorrente da exposição prolongada e repetitiva à estressores crônicos. Os profissionais acometidos pelo burnout, vivenciam o esgotamento físico e mental ou exaustão de energia e atitudes negativas em relação ao trabalho, que afetam o bem-estar físico e mental do trabalhador, sua qualidade de vida e seu nível de excelência no atendimento à população. Ressalta-se que, nos trabalhadores da área da saúde que vivenciam diariamente os óbitos de pacientes e conhecidos, acarretam o estresse e a sensação de incapacidade, na solução e auxílio aos pacientes. A excessiva carga de trabalho, leva à exaustão física e mental. O distanciamento familiar devido a esta sobrecarga de trabalho, com risco constante e iminente de contágio do profissional da saúde, e a preocupação de contaminação pessoal e familiar, aumentando ainda mais os fatores estressantes.
Avaliação da qualidade de vida de crianças e adolescentes com Doenças Desmielinizantes através do questionário genérico pediatric quality of life inventory (PEDSQL)
Authors: Santana Raquel Skaf Nacfur , Gouveia Ana Luísa Barbosa , Silva Mylena Valadares , Brito Letícia de Carvalho , Campos Daniel Caires , Ferreira Ana Luísa de Andrade Seguti , Alfama Gabriela Ferreira
Published: October 2022

Introdução: De forma geral, doenças crônicas parecem alterar o eixo psíquico-comportamental. Entretanto, a investigação da qualidade de vida em pacientes pediátricos com diagnóstico de doenças desmielinizantes ainda carece de informações. Objetivo: Avaliar a qualidade de vida de pacientes na faixa etária pediátrica com doenças desmielinizantes acompanhadas no ambulatório de neurologia e incluídas no Estudo Multicêntrico Observacional para Caracterização da Esclerose Múltipla Pediátrica no Brasil (EMOCEMP) por meio do questionário PedSQL, além de associar com possíveis alterações psíquicas. Métodos: Estudo quantitativo descritivo, transversal e de levantamento de dados, realizado por meio da aplicação do questionário PedsQL e Depression, Anxiety and Stress Scales-21 (DASS-21). Resultados: Foram avaliadas 24 crianças com doenças desmielinizantes e que estão em acompanhamento no EMOCEMP, sendo observado maior prevalência do diagnóstico de Esclerose Múltipla (29,3%) e Encefalomielite Disseminada Aguda (25%). Desses, 62,5% apresentaram qualidade de vida acima da média. Em relação ao gráfico DASS-21, 25% apresentaram ansiedade e estresse moderados e 17 % depressão moderada. Conclusão: Os dados analisados mostram que, apesar da qualidade de vida nos pacientes analisados estar acima da média descrita pela literatura, há uma alta frequência de alterações psíquicas em pacientes diagnosticados com doenças desmielinizantes na faixa etária pediátrica em acompanhamento no HCB
Grupo de troca de cartas: alternativas da atenção primária à saúde para lidar com o isolamento social
Authors: Salas Larissa da Silva Suarez , Carretta Regina Yoneko Dakuzaku
Published: October 2022

O presente trabalho trata-se de um relato de experiência, em que elaborou-se um Grupo de Troca de Cartas com o objetivo de cumprir com os princípios da Atenção Primária à Saúde durante o isolamento social, em decorrência da pandemia da Covid-19. A escrita de cartas foi discutida pela equipe e comunidade de um serviço de Estratégia de Saúde da Família do Distrito Oeste de Ribeirão Preto, como uma opção potencial para proporcionar um processo grupal, respeitando o isolamento social. A atividade mostrou-se potente para proporcionar a socialização de pessoas que se encontravam afastadas fisicamente da unidade, mas que pertenciam à área de abrangência do serviço, e o utilizavam como rede de apoio e cuidado. O grupo teve funcionamento mensal. Os temas, pré-determinados, assim como o material para a escrita – papel e envelope – eram entregues no início do mês, em visita domiciliar. Ao final do mês, as cartas eram recolhidas, analisadas pelos profissionais coordenadores, e trocadas, gerando um espaço de comunicação e interação. Tal proposta resultou na participação de pacientes que não eram a pessoal-central de cuidado nas famílias acompanhadas pelo serviço. Além disso, trocas culturais, fortalecimento de redes de apoio e espaço com potencial terapêutico foram criados.
Diagnóstico laboratorial da COVID-19 em neonatologia: revisão simples de literatura
Authors: Torrez Simon Enrique Prudencio , Mota Izabella Aparecida Coura , De Prudencio Ruth Blanca Torrez , Torrez Maria Cristina Prudencio , Torrez Fernando Prudencio , Torrez Ana Claudia Prudencio , Carrasco Jaime Gonzalo Prudencio , Torrez Jaime Prudencio
Published: October 2022

Introdução: A pandemia pelo vírus SARS-CoV-2 trouxe diversas reflexões sobre políticas econômicas e sociais. O mundo foi afetado de maneira exponencial nos últimos dois anos. A crise sanitária e econômica no inicio de 2020, jamais antes vistas, tornou-se pauta principal nos meios de comunicação. Objetivo: Descrever o diagnóstico laboratorial da infecção pelo SARS-CoV-2 em neonatologia. Método: Trata-se de uma revisão simples da literatura realizada nos bancos de dados digitais PubMed e SciELO, no período de Junho de 2022 a Agosto de 2022, incluindo as palavras chave: Covid-19 e  neonatologia no idioma português. Resultados: Foram incluídos 10 artigos nesta revisão simples de literatura, 1 documento científico emitido por Instituição Acadêmica Médica e 1 Protocolo Clínico de Instituição de Ensino, dentro da idade proposta, ou seja, período neonatal, os quais relataram que a principal método de diagnostico laboratorial foi o swab nasofaríngeo RT-PCR COVID-19. Conclusão: Com base em evidências científicas limitadas até o momento, o principal exame para diagnóstico laboratorial foi a realização do swab nasofaríngeo, com identificação dos ácidos nucléicos do coronavirus humano em pacientes neonatais portando sintomas gripais e contato com pessoas próximas com suspeita de COVID-19.
O sanitarista como um importante profissional do cuidado: revisão da literatura
Authors: Anchieta Bruno Barros , Barros Ana Karoline Mesquita , Leita Raiane Silva , Oliveira Camila Martins , Sales Clarisse Andrade , de Sena Maria Pantoja Moreira , De Sena Luann Wendel Pereira
Published: October 2022

A saúde é um dos fatores que mais sensibilizam as sociedades mundiais. Por isso, surge o sanitarista, que é um profissional habilitado com conhecimento e experiência capazes de analisar de forma completa a saúde pública local, elencando ações prioritárias e propondo as melhores soluções e alternativas diante do cenário no qual está inserido. Neste contexto, esse estudo possui como objetivo analisar o papel do sanitarista como um veiculador do cuidado no contexto de saúde pública/coletiva no Brasil. A metodologia refere-se a uma revisão da literatura a cerca da prática do profissional sanitarista no contexto da saúde pública/coletiva no Brasil. A escolha dos estudos foi elaborada nas bases de dados Google Scholar, Scientific Electronic, Library Online (SciELO), Medical Literature Analysis and Retrieval System Online (MEDLINE) e Literatura Latino-americana e do Caribe em Ciência da Saúde (LILACS), através dos descritores: “sanitarista”, “saúde coletiva”, “saúde pública” e “sistema único de saúde”, nos idiomas português e inglês, publicado nos últimos dez anos. Como resultados, foram encontrados 214 artigos potencialmente relevantes e no final, foram considerados elegíveis 8 artigos científicos. Logo, apesar do profissional ainda ter dificuldades na inserção no mercado de trabalho, o sanitarista é fundamental para o desenvolvimento e aprimoramento das políticas públicas no Brasil, bem como o fortalecimento de ações e programas desenvolvidos no SUS. Conclusão: acredita-se ainda que a compreensão de aspectos relacionados à construção/reconstrução da identidade do sanitarista, ainda é um desafio. Por isso, é necessários esforços das entidades acadêmicas e representantes estudantis na elaboração de estratégias de identidade do curso desenvolvido nas instituições de ensino, para que, esses e outros avanços de amadurecimentos do campo da saúde coletiva continuem sendo constantes, já que, este profissional já se tornou de extrema importância para o processo de saúde e cuidado junto as organizações de saúde do Brasil.