bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of anemia among coronavirus disease 2019 patients in Ethiopia: A meta-analysis
Authors: Melkamu Abateneh , Muche Yalew , Yenesew Abebe , Laikemariam Melaku , Mandefro Befikad , Mulatie Zewudu , Teffera Zigale Hibstu , Adugna Adane , Amare Gashaw Azanaw , Atnaf Aytenew
Published: October 2024

Coronavirus disease 2019 (COVID-19) is caused by the severe acute respiratory syndrome coronavirus 2, impacting various systems in the human body, including the hematological and reticuloendothelial systems, which can alter blood production. Consequently, severe anemia-associated complications could occur in COVID-19 patients. At present, there is a lack of pooled prevalence data on anemia among COVID-19 patients in Ethiopia. This systematic review and meta-analysis aimed to determine the overall prevalence of anemia in this population. Following PRISMA guidelines, we conducted a literature search across PubMed/MEDLINE, Cochrane Library, Google Scholar, HINARI, and the Ethiopian Journal of Health Development for articles published before 2024. Additional manual searches were performed to identify relevant studies. Study selection, data extraction, and quality assessment were conducted independently by the authors. The I2 test statistics were used to assess heterogeneity among studies, and the overall prevalence was calculated using a random-effect restricted maximum likelihood model. Out of 860 studies obtained, 11 articles were included in the meta-analysis. The pooled prevalence of anemia among COVID-19 patients in Ethiopia was found to be 22.81% (95% CI [confidence interval]: 14.76 – 30.85%). Specifically, the prevalence of anemia in Addis Ababa and Amhara was 27.13% (95% CI: 14.59 – 39.66%) and 22.50% (95% CI: 11.04 – 33.96%), respectively. This study indicates that anemia is a moderate public health problem among COVID-19 patients in Ethiopia. Consequently, it is imperative to implement preventative interventions and management strategies for anemia in this population.
Pengaruh Usia dan Tingkat Pendidikan Terhubung dengan Tingkat Kecemasan Pasien dalam Pemeriksaan Tes Swab Nasopharingeal Covid-19
Authors: Sahrudi  , Arif Yuliyanto Muhammad
Published: October 2024

Pasien yang menjalani usap nasofaring untuk deteksi Covid-19 mungkin akan merasa cemas. Penelitian ini dilakukan untuk melihat pengaruh usia dan tingkat pendidikan terhadap tingkat kecemasan. Metode: Desain penelitian ini adalah deskriptif analitik dengan pendekatan cross-sectional di Klinik Apotek Bumame pada bulan Maret 2021. Populasi penelitian ini adalah seluruh pasien yang dilakukan tes usap. Teknik pengambilan sampel dengan pendekatan teknik aksidental sebanyak 404 responden. Instrumen yang digunakan untuk mengukur kecemasan adalah Hamilton Anxiety Rating Scale (HARS). Uji statistik yang digunakan adalah uji chi-square. Uji statistik menunjukkan usia praktis terhadap tingkat kecemasan menjalani usap nasofaring adalah p-value 0,002. Pengaruh pendidikan terhadap tingkat kecemasan diperoleh p-value 0,038. Pengetahuan pasien mengenai pemeriksaan usap nasofaring dalam mendeteksi covid-19 sangat diperlukan. Tentu saja hal ini akan berdampak pada psikologi pasien. Pemberian edukasi mengenai pemeriksaan usap nasofaring dalam mendeteksi covid-19 tentunya dapat menjadi rekomendasi untuk penelitian selanjutnya.
Hubungan Perawatan Batuk Berdarah dengan Tingkat Kecemasan pada Pasien TB Paru di RSUD Kabupaten Mamuju Tahun 2022
Authors: Asmawani  , Suaib  , Kamal Andi , Irma
Published: October 2024

Penderita TB paru sering terjadi batuk darah, adanya batuk darah menimbulkan kecemasan karena sering dianggap batuk darah merupakan suatu tanda yang berat dari penyakitnya. Kecemasan pada saat batuk darah akan menyebabkan klien menahan batuk dengan upaya supaya batuk darah tidak banyak keluar. Situasi batuk darah merupakan salah satu kondisi yang dapat menimbulkan kecemasan. Penurunan rasa cemas merupakan hal yang penting dilakukan oleh perawat karena stres fisik maupun emosional dapat meningkatkan resiko akumulasi bekuan darah dijalan nafas. Tujuan penelitian adalah mengidentifikasi bagaimana hubungan Perawatan batuk darah terhadap  tingkat kecemasan klien.  Metode penelitian yang digunakan adalah studi korelasi dengan teknik pengambilan sampel secara accidental sampling. Sampel yang diteliti sejumlah 30 responden yang dirawat di ruang Perawatan TB RSUD Kabupaten Mamuju. Data dikumpulkan dengan kuesioner dan dilakukan analisa statistik Spearman-Rank Correlation dengan =0,05. Berdasarkan uji hubungan didapatkan nilai p statistik = 0,004 < 0,05 yang berarti bahwa Hi diterima atau terdapat hubungan antara kecemasan dengan perawatan batuk darah. Koefisien korelasi yang dibentuk adalah 0,504 yang berarti hubungan antar variabel  cukup kuat.  Berdasarkan gambaran diatas maka penting bagi perawat untuk mempertahankan dan meningkatkan  perannya dalam melakukan perawatan batuk darah serta memperhatikan tingkat kecemasan klien TB Paru dengan batuk darah.
Efektifitas Penyuluhan Kesehatan dalam Meningkatkan Pengetahuan Keluarga Tentang Perawatan Pasien Pneunomia di RSUD Kab Mamuju Tahun 2022
Authors: Dewi Rismalasari , Ibrahim Iksan , Yuliana  , Parwati Dewi
Published: October 2024

Penyakit ISPA yang diakibatkan oleh penyakit pneumonia (infeksi pada paru-paru yang sangat berat) adalah merupakan salah satu penyebab utama tingginya angka kematian bayi di negara-negara berkembang khususnya Indonesia. Melalui kegiatan penyuluan kesehatan, akan terjadi peningkatan pengetahuan keluarga dalam merawat  pasien dengan penyakit pneumonia sehingga mempercepat proses penyembuhan dan masalah kesehatan dapat teratasi. Penelitian ini bertujuan untuk mengetahui bagaimana efektifitas penyuluhan kesehatan terhadap tingkat pengetahuan keluarga tentang perawatan pasien pneumonia di Zaal Anak RSUD Kabupaten Mamuju Tahun 2022. Penelitian ini menggunakan desain penelitian Pre Eksperimental, sampel diambil dengan cara ”Accidental Sampling” sebanyak 25 responden. Penelitian dimulai dari bulan September sampai November tahun 2022 di ruang Anak RSUD Kabupaten Mamuju dan pengolahan data dilakukan dengan menggunakan uji statistik Wilcoxon didapatkan hasil bahwa J Hitung = 21 dengan α=0,05 dan frekuensi (keluarga) = 25 didapat J tabel = 89, karena J hitung < dari J tabel sehingga dapat disimpulkan adanya pengaruh yang signifikan antara kegiatan Penyuluhan Kesehatan Terhadap Tingkat Pengetahuan Keluarga Pasien Tentang Perawatan Pasien Pneumonia di ruang Anak RSUD Kabupaten Mamuju. Dari hasil tersebut peneliti menganjurkan agar efektifnya penyuluhan perlu diupayakan alat bantu (media) berupa brosur dan media praktis lainnya, disamping itu informasi yang disampaikan lebih mudah dikomunikasikan dan perawat (petugas) harus menyadari bahwa kegiatan penyuluhan bukan hanya sekedar menyampaikan informasi tapi perlu evaluasi agar informasi yang disampaikan dapat dilaksanakan oleh keluarga.
Hubungan Pengetahuan dengan Sikap Pemeriksaan Payudara Sendiri pada Remaja Putri di SMK X Bekasi Jawa Barat
Authors: Yuliani Indah , Rogayah
Published: October 2024

Pemeriksaan payudara sendiri merupakan tindakan yang sebaiknya dilakukan oleh seorang wanita dalam rangka pencegahan atau mendeteksi dini terjadinya kanker payudara, yang tentunya tidak terkecuali adalah remaja putri SMK X yang juga termasuk salah satu diantaranya. Penelitian ini bertujuan mengetahui pengetahuan dan sikap remaja putri terhadap pemeriksaan payudara sendiri (SADARI) agar dapat diketahui sedini mungkin kasus kanker payudara. Penelitian ini merupakan penelitian analitik kuantitatif dengan desain studi cross sectional dengan populasi dn sampel sebanyak 52 siswi SMK X. Pengambilan sampel dilakukan degan metode total sampling, sedangkan analisis datanya menggunakan analisis bivariat dengan Uji Chi-Square. Hasil analisis pada penelitian ini diperoleh bahwa mayoritas remaja putri memiliki pengetahuan yang rendah dan sikap yang negative terhadap pemeriksaan payudara sendiri. Dalam hal ini, terjadi hubungan yang signifikan antara pengetahuan dengan sikap pemeriksaan payudara sendiri pada remaja putri yang dibuktikan dengan nilai p-value = 0,001. Berdasarkan hasil tersebut, maka perlu dilakukan pendidikan dini tentang pemeriksaan payudara sendiri (SADARI) bagi remaja putri agar dapat dipahami lebih awal dan diterapkan dalam kehidupan.
Hubungan Pengetahuan Kepada Keluarga dengan Perilaku 3M dalam Pencegahan DBD
Authors: Mariyani  , Ridhwan Ridho Aries
Published: October 2024

Penyakit Demam Berdarah Dengue (DBD) atau Dengue Haemorrhagic Fever(DHF) merupakan salah satu penyakit menularyang disebabkan oleh virus dengue melalui gigitan nyamuk Aedes aegyptiyang masih menyerang penduduk dunia saat ini. Angka-angka yang sebenarnya dari kasus DBD yang tidak dilaporkan dan banyak kasus yang kesalahan klasifikasi.Salah satu perkiraan baru-baru ini menunjukkan bahwa infeksi DBD sebesar 390 juta per tahun. Penelitian lain, memperkirakan 3,9 milyar orang, di 128 negara, berada pada daerah yang beresiko terinveksi virus dengue terutama yang tinggal di daerah perkotaan di negara tropis dan subtropis. Untuk mengetahui hubungan pengetahuan keluarga dalam pencegahan Demam Berdarah Dengue (DBD) Di Rt.02/Rw.03 kelurahan Bintara Bekasi Tahun 2018. Metode Penellitian Menggunakan penelitian deskriptif kuantitatif dengan pendekatan Cross sectional dengan menggunakan data primer di Rt.02/Rw.03 Bintara Bekasi sebanyak 102 responden. Teknik pengolahan data menggunakan Cross sectional. Adapun teknik pengambilan data dengan menggunakan univariat untuk mendeskripsikan variabel bebas dan variabel terikat dan analisis bivariat yang menghubungkan dua variabel dengan uji validitas dan uji reabilitas dengan nilai signifikan α = 0,05. Hasil penelitian: Berdasarkan hasil studi pendahuluan yang telah di lakukan oleh peneliti terhadap dua RT yang berada di RW 03 Kelurahan Bintara Bekasi melalui wawancara terhadap 10 orang yaitu di RT. 02/03 didapatkan 2 orang (20%)dengan pengetahuan baik, 3 orang (30%) berpengetahuan cukup dan 5 orang (50%) dengan pengetahuan kurang tentang DBD. Sedangkan di RT. 01/03 didapatkan 2 orang (20%)dengan pengetahuan baik, 4 orang (40%) berpengetahuan cukup dan 4 orang (40%).
New Decorationism in 21st-century architecture. General characteristics and analysis of selected examples
Authors: Węcławowicz-Gyurkovich Ewa
Published: October 2024

This paper presents a number of examples of a new trend in recent architecture, called New Decorationism. It has only recently been observed in European projects, since the first decade of the 21st century. Aesthetic concepts in both the visual arts and architecture, are not permanent, they are subject to change. There are few architectural projects within these new directions and trends, with isolated buildings found in various European cities. In this case, it is crucial in architecture that a new approach to shaping the aesthetic atmosphere of architectural form has appeared, one in which the application of ornamental textures of external envelopes – the “skin” of the building, using various materials such as glass, metal, stone and technologically advanced concrete types. This research was based primarily on in situ studies, also literature studies and a multiple-case study. A descriptive analysis of selected examples was performed, enabling the characterisation of a new trend in architecture that shows the decorative outer shells of buildings. The presentation of statements by a number of philosophers also appeared helpful in understanding the actions of the avant-garde. Examples of European projects have been chosen to discuss and illustrate the problem.
Monopolio del sapere scientifico e processo penale. Riflessioni a partire dal “caso Ustica”
Authors: Biral Marianna
Published: October 2024

Nel ripercorrere una delle vicende più lunghe e complesse della storia giudiziaria italiana, l’Autrice si sofferma sul tema del monopolio delle conoscenze scientifiche in capo ad una delle parti del processo, esplorandone manifestazioni, cause ed effetti. Il fenomeno è analizzato mettendone a fuoco le modalità di estrinsecazione nel caso di specie, per poi isolarne i tratti tipici “generalizzanti” e indagarne l’impatto sugli equilibri del sistema. Nella seconda parte del saggio, il problema è affrontato in un’ottica attenta alla contemporaneità, nel tentativo di ragionare sui meccanismi e le circostanze oggi suscettibili di alimentare forme di monopolio del sapere scientifico nel contesto processuale.
English as a Lingua Franca in Short-term Study Abroad Contexts and Implications for Pre-departure Training
Authors: Humphreys Gareth
Published: October 2024

Short-term study abroad (STSA) programmes can provide English language learners important exposure to linguistic diversity and variability associated with English as a lingua franca (ELF). Emphasising the importance of ELF in these programmes highlights how students can navigate and benefit from linguistically diverse environments. This paper examines connections between the reported social interaction patterns of 18 Japanese university students during STSA and ELF perspectives using a qualitative analysis of their reflective writing from before departure, upon return, and nine months post-STSA. The research showed how multilingual encounters can shape students’ ELF perspectives. Supplementary survey data revealed further insight into the character and frequency of STSA social interactions, including ELF use with other international students on linguistically diverse programmes. The findings are used to in the development of suggestions for pre-departure STSA training to prepare students for communication in multilingual settings.
World Englishes and L2 pedagogy: Focus on Error Corrections
Authors: Ikeguchi Cecilia B.
Published: October 2024

This paper hopes to identify learning difficulties of students coming from a different variety of World Englishes (WE) in learning English as a second language (ESL) focusing on Hindi English. It examines the implications of Hindi English as a WE variety on language learning and teaching. An analysis of Hindi English (HE) in English language learning is provided to help understanding of multilingual realities of communication towards a contextualization of teaching conventions. For example, what is the stance an ESL instructor might assume while dealing with influences of native language in the English language classroom? How tolerant should instructors be in recognizing “error” in L2 learning? Should ESL teachers adhere to academic rules and conventions from other settings or embrace diverse accents and language needs of ESL students? Finally, the paper proposes a dual scheme of “error correction” and “accommodation” to the way English is taught to students in the outer and expanding circles of English. Following discussions that focus on features of spoken and written English that call for a different treatment of the language skills, and considering L1 interference in L2 learning, the paper suggests that “errors” in Writing need be corrected while “mistakes” in Speaking may be “accommodated”.
Intermittent Explosive Disorder
Authors: Çetin Demirtaş Sinem , Sabahi İrem Sanem , Tamam Can Tuna , Demirkol Mehmet Emin , Tamam Lut
Published: October 2024

Intermittent explosive disorder is characterized by recurrent episodes of inability to resist aggressive impulses, resulting in damage to other people or other people's property. In the history of DSM, it first appeared as 'isolated explosive disorder' in DSM-III. However, with some changes in the diagnostic criteria, it is included under the title of 'destructive, impulse control and conduct disorders' in DSM-5. Although previous studies have shown it is a rare disorder, recent epidemiological studies suggest it may be more common than thought. For this reason, it is essential to master the clinical features and learn the treatment methods in order to recognize people with this disorder and apply the appropriate treatment.
Hepatocellular carcinoma
Authors: Kidi Mehmet Mutlu
Published: October 2024

Hepatocellular carcinoma (HCC) is a primary liver cancer predominantly arising in individuals with chronic liver diseases such as cirrhosis or chronic hepatitis B virus (HBV) infection. Accounting for approximately 75% of primary liver tumors, HCC's global epidemiology is significantly influenced by HBV and hepatitis C virus (HCV) infections, alcohol and tobacco use, metabolic syndrome, diabetes, obesity, and aflatoxin B1 exposure. Preventive measures, including HBV vaccination and direct-acting antivirals for HCV, have reduced incidence rates, particularly in younger populations. Early diagnosis through surveillance in high-risk groups is critical, employing imaging modalities like ultrasound, CT, and MRI, alongside biomarkers such as alpha-fetoprotein (AFP). Prognostic assessments utilize scores like Child-Pugh and ALBI. Treatment strategies for HCC are multifaceted, involving surgical resection, locoregional therapies (e.g., transarterial chemoembolization), and systemic therapies, including targeted and immunotherapies. Despite advancements, treatment efficacy remains a challenge, necessitating ongoing research into novel therapeutic approaches and predictive biomarkers to enhance personalized treatment and improve outcomes for HCC patients.
ULTRASOUND IMAGING OF COMLICATIONS IN COMBAT CHEST TRAUMA
Authors: Sukhomlyn M. P. , Vyshnyakov K. A.
Published: October 2024

Abstract. Objective. The aim is to evaluate the effectiveness of ultrasound diagnostics in combat chest trauma at the stage of specialized surgical care.
Materials and Methods: 53 cases of complications from combat chest trauma were analyzed during patient evacuation at the stage of specialized surgical care to assess the specificity, accuracy, and sensitivity of the ultrasound method for early detection of complications and to guide further treatment tactics.
Results. The ultrasound diagnostic method has advantages in detecting complications of gunshot wounds to the chest, not only during the qualified medical care stages but also where continuous monitoring of these complications is required during further medical evacuation and treatment strategy selection.
Conclusions.Therefore, the monitoring of chest trauma complications should be informative at all stages of medical care, accessible, and effective in determining the subsequent treatment strategy.
Tendencias Investigativas En El Desarrollo De Competencias Matemáticas En Las Prácticas De Enseñanza Docente
Authors: Acosta Ferrer Luis Alfonso
Published: October 2024

Mediante el barrido de los antecedentes investigativos recientes se busca dar noción del panorama científico del tema en cuestión, identificando a través de esto las tendencias investigativas presentes en la actualidad. Se consultaron distintas bases de datos que permitieran dar fiabilidad y pertinencia al análisis documental; concluyendo sobre el tema cierta inclinación a considerar enfoques cuantitativos sobre la información obtenida por parte de estudiantes y en cambio realizar análisis de naturaleza mixta sobre la información obtenida desde la visión docente. En este último apartado docente regularmente se investigó desde una vista general de todo el proceso educativo en matemáticas y no tanto sobre reflexiones específicas asociadas a las competencias matemáticas.
Características Histopatológicas y Respuesta al Tratamiento Esteroideo del Síndrome Nefrótico Idiopático en un Hospital Pediátrico de Tercer Nivel
Authors: Hernández Lara González Froylán Eduardo , Armenta Morales Julinela , Gutiérrez Brito Maricruz , Porras Aguilar Esteban , Soancatl Rodríguez Leydi Guadalupe , Cholula Alarid Rubén , Martínez Tovilla Yaneth
Published: October 2024

El síndrome nefrótico se caracteriza por la eliminación excesiva de proteínas a través del filtrado glomerular, acompañado de edema, hipoproteinemia e hiperlipidemia. En niños, el síndrome nefrótico idiopático es la glomerulopatía más común y responde favorablemente a los corticosteroides en la mayoría de los casos.  se realizó un estudio descriptivo, transversal y retrospectivo en pacientes con diagnóstico de síndrome nefrótico idiopático del Hospital Para el Niño Poblano (2012-2018). Se incluyeron pacientes de ambos sexos, de 0 a 17 años, con expedientes clínicos completos. Se analizaron variables como edad, género, procedencia, respuesta a esteroides y hallazgos histopatológicos. La prevalencia del síndrome nefrótico idiopático en consulta externa fue de 1.51 por cada 1000 niños, predominando en varones (64%) con una edad promedio de 5.1 años. El 54% no mostró asociación patológica, el 56% respondió a los esteroides, y el 24% fueron corticorresistentes. Solo el 34% requirió biopsia renal, con predominio de la enfermedad de cambios mínimos (53%). Los resultados concuerdan con la literatura existente, confirmando que el síndrome nefrótico idiopático es la glomerulopatía pediátrica más prevalente. La respuesta a los corticosteroides y la distribución de complicaciones fueron consistentes con otros estudios. La adecuada comprensión y manejo del síndrome nefrótico idiopático por parte del personal médico es fundamental para prevenir complicaciones a largo plazo y mejorar el pronóstico de los pacientes.
Referentes Investigativos sobre Prácticas de Enseñanza de la Educación Física Basadas en el Aprovechamiento de los Recursos del Contexto Rural
Authors: Garcia Clavijo Octavio Gerardo
Published: October 2024

El siguiente artículo se tiene en cuenta que la escuela rural, en el contexto del debate educativo actual, es una realidad que merece una atención especial, a pesar de la creciente globalización pedagógica, los entornos locales siguen siendo una fuente valiosa de posibilidades educativas. Para comprender mejor el concepto de escuela rural, es esencial considerar su complejidad y la diversidad de términos asociados, que se derivan de criterios geográficos, sociológicos, demográficos y pedagógicos (Domingo, 2014). Partiendo de esto, se define como objetivo general proponer un modelo didáctico basado en el aprovechamiento de los recursos del medio para el mejoramiento de las prácticas de enseñanza de la educación física en Básica Primaria del contexto rural de Tierralta, Córdoba, Colombia. En este sentido, el presente estudio se basa en la postura epistémica del Pragmatismo. Se concluye que la educación física en entornos rurales revela una conexión esencial entre el entorno y las prácticas pedagógicas. La implementación de un modelo didáctico que aproveche los recursos naturales en estos contextos no solo responde a las necesidades particulares de las comunidades rurales, sino que también refuerza una educación contextualizada y adaptativa.
Viruela del Simio una Enfermedad Emergente en las Américas
Authors: Sancho Cando Erick David , Sancho Cando Mario Andrés , Sancho Cando Alexis Vladimir , Sancho Zurita Jaime Vladimir , Castellanos Carrasco Paula Nicole
Published: October 2024

La viruela del simio representa un nuevo reto sanitario a nivel mundial, tras cursar la pandemia COVID 19 los sistemas sanitarios han adoptado estrategias para la vigilancia epidemiológica en sus regiones; esta enfermedad se trata de una zoonosis reportada inicialmente en África Occidental, sin embargo, ha cruzado fronteras actualmente afectando a varios países de otros continentes; se transmite por contacto con fluidos infecciosos; presenta tres periodos siendo estos el de incubación, invasión y erupción; es autolimitada con una duración aproximada de 2-4 semanas, se presenta como una enfermedad exantemática por lo que sus diagnósticos diferenciales son amplios, la letalidad oscila entre el 1 al 10% según el estado inmunológico del paciente, comorbilidades, edad y nivel socioeconómico; para el diagnóstico si bien la clínica es fundamental, se corrobora con examen de laboratorio siendo de elección la Reacción en Cadena de Polimerasa; al ser una enfermedad autolimitada en la mayoría de los casos el tratamiento suele ser sintomático, sin embargo en casos que cursan con enfermedad grave es necesaria la hospitalización del paciente.
Sistematización de Procesos de Cotización y Gestión de Vehículos Mediante una Aplicación Web en la Agencia de Viajes Quality
Authors: García Castillo Luis Antonio , Catalán Villegas Arnulfo , Cuevas Valencia René Edmundo , Feliciano Morales Angelino , Díaz Aguado José Abel
Published: October 2024

El presente artículo aborda el desarrollo de una aplicación web diseñada para sistematizar los procesos de cotización y gestión de transportes terrestres para el servicio de renta vehiculos para viajes grupales ofrecido por la agencia de Viajes Quality. Esta herramienta se propone como una solución innovadora que optimiza y automatiza procesos manuales en un entorno donde la precisión y la rapidez son esenciales para garantizar la satisfacción del cliente. El enfoque del proyecto se centra principalmente en mejorar la experiencia del usuario, utilizando diversas tecnologías para crear una interfaz intuitiva que facilite su uso. Entre las tecnologías, se detaca destaca la API de Google Maps, que mejora la precisión de las rutas, asio como la implementacion de un calendario que permite visualizar mejor los eventos. Finalmente, se presenta una conclusión basada en los resultados obtenidos a través de la aplicación del modelo SERVQUAL y el análisis de los tiempos de respuesta. Este documento ofrece al lector un estudio de caso que ilustra cómo el uso de tecnologías puede mejorar la sastifaccion del cliente y, por ende, mejorar la calidad del servicio.
Diseño y Simulación de un Cuarto Frío para la Conservación de Plántulas de Fresa
Authors: Ramírez Barrera Julio Ricardo , Guerrero Vivanco Fernando Ivan , Estrella Semblantes Marlon Jonathan , Ruiz Mora Fátima Elizabeth , Villacrés Pérez Mario Danilo
Published: October 2024

El presente artículo se desarrolló con la finalidad de diseñar un cuarto frío para la conservación de 250000 plántulas de fresa para evitar su deterioro en un centro de bioproducción en la ciudad de Ambato, proncincia de Tungurahua. Se empleó un diseño experimental de corte longitudinal, la investigación fue de tipo aplicativo dado que el estudio tiene importancia práctica con el propósito de abordar cuestiones específicas relacionadas con la protección de las plántulas de fresa. La población de estudio estuvo conformada por ejemplares de fresa con un tamaño de muestra total de 250.000 plantas.  Tras realizar el cálculo de la carga térmica se determinó que, la distribución de las cargas indica que la mayor parte del calor en el espacio proviene de productos o procesos internos, con un 89% de la carga térmica atribuida a estas fuentes. Las pérdidas por transmisión de calor a través de la envolvente del edificio son mínimas (2%), y las infiltraciones de aire y las cargas internas tienen una influencia menor en la carga térmica total (4% y 5%, respectivamente). Por lo expuesto se concluyó que, la simulación mostró una distribución de temperatura adecuada para la conservación de plántulas, con un rango de 4.1°C a 4.46°C.
La Inteligencia Artificial en la Prevención del Delito Informático para las Pymes del Sector de Pomasqui
Authors: Sancho Zurita Jaime Vladimir , Espinoza Altamirano Antony Danilo , Trujillo Moreno Graciela Elizabeth
Published: October 2024

La creciente amenaza del delito informático ha llevado a un aumento en la adopción de tecnologías de inteligencia artificial (IA) en empresas de todos los tamaños, incluidas las pequeñas y medianas empresas (PYMES). Este informe se centra en el papel de la IA en la prevención del delito informático para las PYMES del sector de Pomasqui, destacando su importancia, justificación y planteamiento del problema. La IA desempeña un papel crucial en la detección de amenazas, el análisis de seguridad, la prevención de fraudes y la autenticación avanzada, pero su implementación efectiva requiere una combinación de tecnología avanzada y una cultura de seguridad sólida dentro de la organización. El estudio se basa en una encuesta realizada a empresas de Pomasqui para evaluar el estado actual de la ciberseguridad, identificando áreas de mejora y necesidades. Se observa una falta de conciencia sobre la importancia de la ciberseguridad y la IA, así como una baja inversión en medidas de seguridad cibernética. Sin embargo, existe un optimismo generalizado sobre el futuro de la tecnología en la prevención del delito informático. Este informe destaca la necesidad de concienciar, invertir en tecnología y capacitación, y adoptar medidas de seguridad más avanzadas para proteger las PYMES contra las crecientes amenazas cibernéticas.
From dementia to delirium: The role of infections in cognitive decline – A case report
Authors:   “Prof. Dr. Alexandru Obregia” Clinical Psychiatric Hospital, Bucharest, Romania, Ignat Angela L. , Mihaiu Patricia ,   “Prof. Dr. Alexandru Obregia” Clinical Psychiatric Hospital, Bucharest, Romania, Tipa Raluca O. ,   “Prof. Dr. Alexandru Obregia” Clinical Psychiatric Hospital, Bucharest, Romania,   Psychiatry Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Published: October 2024

Delirium is an acute confusional state characterized by inattention, cognitive impairment and an altered level of consciousness, often precipitated by infections or surgery. In contrast, dementia manifests as a gradual, chronic and progressive decline in cognitive function that was previously acquired. Delirium superposed on dementia is a prevalent condition in older adults, representing a significant diagnostic challenge for clinicians due to the lack of tools specifically designed for its detection. Early detection and effective management are essential for minimizing associated morbidity, mortality and distress for patients and their caregivers. We present the case of a 70-year-old woman admitted to a psychiatric ward for an acute onset of persecutory delusions and visual hallucinations. Upon the third day of admission, the patient presented difficulty breathing, drowsiness, impaired response to verbal and painful stimuli, oxygen saturation of 81% and elevated blood pressure measuring 210/120 mmHg. Following the presented symptomatology, the patient was transferred to an infectious disease hospital for left lower lobe pneumonia. Ten days after being discharged, she was readmitted to the emergency department in a hypoglycemic coma and diagnosed with a urinary infection caused by Klebsiella pneumoniae. During her hospitalization, she presented typical symptoms of delirium and reported experiencing retrograde amnesia related to the episode of confusion.
»nicht wie eine normale Professur«
Authors: Auge Oliver
Published: October 2024

Die Einrichtung des Lehrstuhls für Schleswig-Holsteinische Geschichte an der Christian-Albrechts-Universität Kiel im Sommersemester 1924 war politisch stark umstritten. Ursprünglich favorisierte die Universitätsleitung
einen Lehrstuhl für Niederdeutsche Sprache. Allerdings hatte die Berliner Regierung, nach den emotionalen Grenzauseinandersetzungen infolge des Ersten Weltkriegs und des Verlusts Nordschleswigs an Dänemark, andere Pläne.
Sie sah den Lehrstuhl als politisches Instrument zur ideologischen Verteidigung gegen Dänemark. Die Berufung des Tübinger Kirchenhistorikers Otto Scheel erfolgte nicht wegen seiner akademischen Expertise in
Landesgeschichte, sondern wegen seiner nationalistischer Rhetorik im Abstimmungskampf von 1920. Seine Professur sollte weniger der Forschung dienen als vielmehr nationale Interessen stärken. Trotz interner Kritik
übernahm Scheel die Position, wobei die Professur inhaltlich stark politisiert blieb. Erst unter seinem Nachfolger Alexander Scharff in den 1950er Jahren rückte die Grenzkampfidee zugunsten einer Verständigung mit
Dänemark in den Hintergrund.
In memoriam Prof. Dr. Werner Schubert (1936–2024)
Authors: Meyer-Pritzl Rudolf
Published: October 2024

Nachruf auf Werner Schubert, ehemaliger Professor für Bürgerliches Recht, Zivilprozessrecht, Römisches Recht und Rechtsgeschichte der Neuzeit an der Rechtswissenschaftlichen Fakultät der Christian-Albrechts-Universität zu Kiel.
The Early Radio Afterglow of Short GRB 230217A
Authors: Anderson G. E. , Schroeder G. , van der Horst A. J. , Rhodes L. , Rowlinson A. , Bahramian A. , Chastain S. I. , Gompertz B. P. , Hancock P. J. , Laskar T. , Leung J. K. , Wijers R. A. M. J.
Published: October 2024

We present the radio afterglow of short gamma-ray burst (GRB) 230217A, which was detected less than 1 day after the gamma-ray prompt emission with the Australia Telescope Compact Array (ATCA) and the Karl G. Jansky Very Large Array. The ATCA rapid-response system automatically triggered an observation of GRB 230217A following its detection by the Neil Gehrels Swift Observatory and began observing the event just 32 minutes postburst at 5.5 and 9 GHz for 7 hr. Dividing the 7 hr observation into three time-binned images allowed us to obtain radio detections with logarithmic central times of 1, 2.8, and 5.2 hr postburst, the first of which represents the earliest radio detection of any GRB to date. The decline of the light curve is consistent with reverse shock emission if the observing bands are below the spectral peak and not affected by synchrotron self-absorption. This makes GRB 230217A the fifth short GRB (SGRB) with radio detections attributed to a reverse shock at early times (<1 day postburst). Following brightness temperature arguments, we have used our early radio detections to place the highest minimum Lorentz factor (

Γ

min

>
50

at ∼1 hr) constraints on a GRB in the radio band. Our results demonstrate the importance of rapid radio follow-up observations with long integrations and good sensitivity for detecting the fast-evolving radio emission from SGRBs and probing their reverse shocks.
Stress and Women Physicians: Effects on Infertility and Family Planning
Authors: Smith Christina B. , Guilford Kristen , Candelari Abigail , Williams Julie , Mian Ruma
Published: October 2024

Burnout is an occupational stress phenomenon with physical, cognitive and emotional components. Women physicians encounter distinctive factors that contribute to occupational stress and burnout. The physiological underpinnings of burnout and its connection to fertility have been studied primarily through the hypothalamic-pituitary-adrenal axis. Among women physicians, both individual and organizational factors related to burnout can result in delays in family planning and infertility. Women physicians considering family planning express concerns about being negatively perceived and the effect on career advancement. Women physicians are more likely to require assisted reproductive technologies and experience complications during pregnancy. An emphasis on early education of reproductive options and use of evidence based psychological interventions during the treatment of infertility can reduce stress and improve outcomes.

[
Psychiatr Ann
. 2024;54(10):e277–e281.]
Using Podcasts to Facilitate Textbook Readings in a Medical-Surgical Nursing Course
Authors: Zwilling Elizabeth
Published: October 2024

Background

Undergraduate students need to possess the skills to read a nursing textbook critically. Professor-made guided reading podcasts were added to a junior-level first medical-surgical nursing course to develop textbook reading skills and focus on essential knowledge points for success.

Method

A total of 148 students were asked to complete a voluntary, anonymous, cross-sectional, descriptive survey about their use and perceptions of the podcasts, with 36.49% (
n
= 54) of students consenting to participate.

Results

Of the participants, 61.11% (
n
= 33) of students listened to all or most podcasts, and 78% (
n
= 39) of students agreed or strongly agreed that the podcasts were helpful to their learning.

Conclusion

Implementing professor-made guided reading podcasts was a helpful educational innovation to assist nursing students in critically reading the textbook, which will be continued for future course iterations.

[
J Nurs Educ
. 2024;63(X):XXX–XXX.]
Advanced Practice Registered Nurses Student Cross-Specialty Procedural Training: Effective Collaboration and Student Experience
Authors: Brown Ann-Marie , Adamski Jennifer , Wiltse Nicely Kelly L.
Published: October 2024

Background

Intraprofessional simulation and training in acute care nursing specialties can generate synergies that will promote safe, quality patient care.

Method

Implementation of multiple intraprofessional simulations across the life span allowed for sharing of faculty and simulation resources. Simulations encompassed both adult and pediatric patients and consisted of airway skills, point-of-care ultrasound, and a multi-skills day encompassing vascular access experiences, chest tube placement, and lumbar puncture.

Results

During 5 years, 235 graduate students across three advanced practice nursing specialties participated in the intraprofessional simulation. Learner feedback showed improved confidence, benefit to future practice, and improved clinical judgment via these intraprofessional simulations.

Conclusion

Future development of standardized and validated assessments to evaluate each skill will provide quantitative metrics for each clinical skill set and patient population. Further, additional initiatives will include both continuing and expanding intraprofessional simulation offerings, as well as developing interprofessional simulations with physician assistant and perfusionist colleagues.

[
J Nurs Educ
. 2024;63(X):XXX–XXX.]
Embracing Artificial Intelligence: Incorporating Artificial Intelligence Into Classroom Instruction
Authors: Cullen Michelle , Kirkpatrick Megan
Published: October 2024

Background

Instructors used generative artificial intelligence (AI) as a teaching tool in a third-year baccalaureate nursing leadership course to help students understand and critique a change management proposal.

Method

Instructors used generative AI to develop a sample section of a change proposal for students to critique in class followed by a class discussion.

Results

Using generative AI enabled instructors to quickly develop a sample section of a change proposal for students to critique. During this learning activity, students recognized the importance of verifying information generated by AI sources for accuracy with evidence-informed sources. Students reported that critically appraising the sample provided clarity on the assignment.

Conclusion

Leveraging generative AI in the classroom is a time-effective way for instructors to create learning activities for students, clarify the expectations for the assignment, and promote the importance of verifying information from AI sources.

[
J Nurs Educ
. 2024;63(X):XXX–XXX.]
EDUCAÇÃO AMBIENTAL: UMA FERRAMENTA ESSENCIAL NA ABORDAGEM DA SAÚDE ÚNICA PARA A FORMAÇÃO DE NOVOS CIDADÃOS CONSCIENTES
Authors: Rozendo Schrederhof Gabrielle Cristina , Carniatto Caio Henrique de Oliveira , Pires Luciana Salini Abrahao
Published: October 2024

Os objetivos de desenvolvimento sustentável, propostos pela Organização das Nações Unidas para com a agenda de 2030, visam uma melhora na qualidade de vida da juventude do futuro, sendo um deles garantir que sejam adquiridos conhecimentos e habilidades  que estimulem o desenvolvimento sustentável, por intermédio da educação. A abordagem da Saúde Única, visa uma saúde de maior qualidade para todos (humanos, animais e meio ambiente), sendo uma de suas atribuições educar a população sobre os agravos à saúde e seus meios de prevenção. Este trabalho se concentrou em relatar o acompanhamento durante um estágio curricular de 25 dias em atividades de educação ambiental, conduzidas com alunos de cinco escolas municipais de Quitandinha, Paraná. Estas escolas incluem a Escola Municipal Leonor Moura de Andrade, a Escola Municipal do Campo Vilson Hasselmann, a Escola Municipal do Campo Bom Jesus, a Escola Municipal do Campo Jacomel e a Escola Municipal do Campo São João. Participaram estudantes do 5º ano com idade entre 9 a 11 anos da intitulada “Oficina de Saúde Única” sob a perspectiva da medicina veterinária, sendo usados fundamentos pedagógicos, literaturas científicas e recursos de apoio para ministração das aulas. Espera-se que a intervenção resulte na formação de cidadãos mais conscientes em relação às questões ambientais e de saúde.
Open vehicle routing problem with moving shipments at the cross-docking terminal
Authors: Gnanapragasam S. R. , Daundasekera W. B.
Published: October 2024

In this study, one of the internal operations at the Cross-docking Terminal (CDT), moving shipments (MS) from receiving doors to shipping doors of CDT is integrated with Open Vehicle Routing Problem (OVRP) and the problem is indicated here as OVRPCD-MS. As an additional feature, asymmetric distance between any two customers is assigned by incorporating a characteristic of one-way routes between cities in real-life transportation. The objective is to minimize the total transportation cost which incurs travelling cost between customers, service cost at customer points, service cost at the receiving and shipping doors of CDT, cost of moving shipments inside the CDT and finally the cost of hiring fleets of vehicles. To solve the OVRPCD-MS problem, a Mixed Integer Linear Programming (MILP) model is developed. The programming models are implemented in LINGO (version 18) optimization software. Branch and Bound algorithm is employed to solve ten small-scale instances generated randomly. The applicability of the proposed MILP model is observed. The required fleets of vehicles to be hired and run time to reach the optimal solution are determined. The study revealed that the average run time is exponential for small-scale instances. Thus, it can be concluded that this proposed model can be used for last time planning for small-scale instances. Also, the combinatorial nature of the vehicle routing problem makes OVRPCD-MS as NP-hard. Therefore, this study recommends that heuristic or meta-heuristic methods are more appropriate for the large-scale instances of OVRPCD-MS to reach near-optimum solutions.
Conventional radiography and correlated factors of enthesopathies of the Achilles tendon and plantar fascia in patients with axial spondyloarthritis
Authors: Yılmaz E. , Pasin Ö.
Published: October 2024

Objective. This study aimed to investigate the correlated risk factors and presence of radiological enthesopathies of the Achilles tendon and plantar fascia in patients with axial spondyloarthropathy (axSpA).
Methods. 242 patients (121 female and 121 male) with axSpA were included in this study. The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the Ankylosing Spondylitis Disease Activity Score with C-reactive protein (ASDAS-CRP), the Bath Ankylosing Spondylitis Radiology Index (BASRI), the Maastricht Ankylosing Spondylitis Enthesitis Score (MASES), and CRP were evaluated in all patients. The lateral foot X-rays of the patients were assessed for enthesopathies of the Achilles tendon and plantar fascia attachments.
Results. Calcaneal spur and Achilles enthesopathies were present in 57.4% of the patients. 39.3% of patients had enthesopathies in both regions. The male and female groups differed statistically in terms of weight, height, body mass index (BMI), positive family history, and duration since diagnosis (p<0.05). The presence of calcaneal spur and Achilles enthesopathies was found to be significantly correlated with age, weight, BMI, symptom duration, and the score of BASDAI, BASFI, ASDAS-CRP, BASRI, and MASES (p<0.05).
Conclusions. The presence of enthesopathies appears to be associated with age, weight, BMI, symptom duration, and disease activity. Conventional radiography can be used as an auxiliary tool in the evaluation of entheseal abnormalities in patients with SpA, especially in patients with advanced age, long symptom duration, and high BMI.
Antioxidant properties, anti-nutritive and toxic factors of Terminalia sericea in Onderstepoort
Authors: Matlala Tirelo , Maseko Rejoice B. , Kgosana Kedibone G.
Published: October 2024

Anti-nutritive and toxic factors in plants adversely affect animal health and production. Hence, the aims of the study were to (1) carry out qualitative and quantitative analysis of these factors in Terminalia sericea that grows abundantly in Onderstepoort; (2) evaluate an affordable, efficient and reliable method that reduces these factors and (3) evaluate antioxidant properties of the phenolic compounds. Thus, sequential organic and aqueous extractions were carried out on T. sericea leaves and feed pellets. Extracts were subjected to qualitative analysis to confirm the presence of 11 phytochemicals. While quantitative analysis of nine phytochemicals was carried out on spectrophotometry, the phenolic extracts were further tested for antioxidant activity on 2,2-diphenyl-picrylhydrazyl (DPPH) assay where gallic acid (GA), quercetin (Q) and ascorbic acid (AA) were used as standards. The contents of GA, Q and AA in the phenolic extracts were determined on high-performance liquid chromatography (HPLC). Aqueous extraction was an effective method as most phytochemicals were extracted. Nine phytochemicals were qualitatively analysed in T. sericea. The highest contents of 1.97% and 2.37 ± 0.077 mg/g gallic acid equivalent with a significant difference (p  0.05) were determined in oxalates and phenolics, respectively. Furthermore, 83.1% DPPH inhibition (IC50 = 0.0432 µg/mL) was determined relative to the standards (85.27% – 85.96%; IC50 = 0.000009 µg/mL – 0.00042 µg/mL). Subsequently, HPLC results showed that T. sericea contained high concentration of AA (62.5 ± 2.13 µg/mL) to confirm antioxidant properties of the leaves.Contribution: Though T. sericea leaves have antioxidant activities, the alkaloid contents may pose a threat to the livestock. Therefore, farmers around Onderstepoort should protect their livestock from feeding on these leaves.
By the Numbers: Principles of Automotive Parts Management, Second Edition
Authors: Naples Gary
Published: October 2024

In By the Numbers, industry expert Gary J. Naples offers a comprehensive guide to navigating the complexities of modern parts department management. Designed for both new and experienced professionals, this book provides a solid foundation in essential business and personnel management techniques. Understanding that effective parts management requires more than just product knowledge, the author explores the broader aspects of the role, including: • Business acumen: Develop the financial and operational skills needed to succeed. • Inventory management: Optimize stock levels and reduce costs. • Team leadership: Build and motivate a high-performing team. • Customer service: Deliver exceptional service to enhance customer satisfaction. Featuring a new self-assessment tool, Inventory Effectiveness Quotient (IEQ), this book empowers parts managers to measure and benchmark their department's performance. With clear explanations, practical examples, and real-world case studies, By the Numbers equips readers with the tools and knowledge to excel in today's dynamic automotive industry.
La fiebre de Oropouche: ¿Una nueva amenaza para la Salud Global?
Authors: Guerras Juan Miguel , Estévez-Reboredo Rosa Mª , Herrador-Ortiz Zaida , Fernández-Martínez Beatriz
Published: October 2024

En febrero de 2024, la Organización Panamericana de la Salud (OPS) emitió una alerta epidemiológica debido al incremento de casos de fiebre de Oropouche en Brasil, Colombia y Perú…