bluuebunny/crossref_metadata_2025 huggingface dataset:
Avaliação da eficácia das ondas de choque no tratamento da Epicondilite Lateral
Authors: Chaves Camila Teixeira de Oliveira Penna , Sousa Denise Dias de , Sousa Fabrissa Lopes Valdares de , Chaves Thiago Villagelin Penna
Published: November 2024

A epicondilite lateral é um processo inflamatório comum em indivíduos ativos que não está apenas associada a atividades de lazer, mas também às ocupacionais, esta condição leva ao afastamento laboral, e a incapacidade de realizar atividades diárias impactando significativamente o cenário socioeconômico.  Atualmente, a terapia por ondas de choque extracorpórea ganha destaque na pesquisa por seus efeitos benéficos na reabilitação musculoesquelética, promovendo neovascularização e reduzindo inflamação e rigidez tecidual. O tratamento conservador padrão para epicondilite lateral inclui exercícios supervisionados por fisioterapeutas, com um protocolo que pode abranger exercícios isométricos e isotônicos, alongamentos e técnicas para melhorar a propriocepção. Se não houver melhora após seis meses, pode-se considerar intervenção cirúrgica. A aplicação correta das ondas de choque é avaliada e ainda está sendo investigado sua eficácia isoladamente e integrada a outras terapias.
Análise luminotécnica em ambientes do IFBA - Campus Vitória da Conquista
Authors: Miranda Bruno Moura dos Santos , Muniz Giselle Francine Brito , Almeida Danilo Brito , Silva Joseane Oliveira da
Published: November 2024

O presente artigo avalia as condições de iluminação em diferentes ambientes do Instituto Federal da Bahia - Campus Vitória da Conquista, com foco na conformidade com a norma NBR ISO/CIE 8995-1. A pesquisa, pautada em princípios de luminotécnica, busca assegurar a qualidade da iluminação necessária para atender aos requisitos de conforto visual e segurança dos ocupantes. Foram avaliados três ambientes distintos: corredores, um laboratório de informática e uma sala de reuniões. A metodologia empregada envolveu medições fotométricas realizadas presencialmente com um luxímetro para determinar os níveis de iluminância, complementadas por simulações computacionais no software DIALux®. Os achados indicaram que alguns ambientes não atendem aos parâmetros normativos. Para solucionar essas inconsistências, foram sugeridas intervenções no sistema de iluminação, incluindo a troca de luminárias e lâmpadas, com a finalidade de melhorar a uniformidade da luz e alinhar-se às normas vigentes. Este estudo reforça a importância de avaliações luminotécnicas em contextos de atividades educacionais, visando à criação de espaços que favoreçam a segurança, o conforto visual e a eficiência energética, contribuindo para um ambiente de trabalho mais adequado para alunos e funcionários.
Prevalência de uso de medicamentos categorizados nos critérios de beers por pacientes idosos em Cascavel-PR
Authors: Santos Fabiana da Silva , Camargo Camile , Oliveira Clarissa Vasconcelos de
Published: November 2024

O envelhecimento da população é uma realidade mundial que tem suma relevância na saúde pública, especialmente no que diz respeito ao uso de medicamentos. O avanço da idade, de forma geral, está relacionado a elevação no número de doenças crônicas, e consequentemente, ao uso de vários medicamentos. Os critérios de Beers contribuem para a identificação de fármacos que não são apropriados para uso em idosos devido aos seus efeitos colaterais. Dessa forma, o presente estudo teve como objetivo avaliar a prevalência de uso de medicamentos potencialmente inapropriados para idosos, de acordo com os critérios de Beers, em pacientes idosos (acima de 65 anos) internados, no período de janeiro a dezembro de 2023, em um Hospital privado localizado em Cascavel-PR. Para isso, foram avaliados os prontuários dos idosos, de ambos os sexos, internados por mais de cinco dias. Foram avaliados um total de 123 prontuários de pacientes idosos internados pelo SUS, dos quais 63 eram polimedicados, sendo a maioria homens (58,73%) entre 65 e 84 anos. A análise dos resultados mostra uma prevalência de 31,32% de medicamentos potencialmente inapropriados (MPI), segundo os Critérios de Beers, sendo utilizados nesses pacientes. Portanto, o estudo elenca a necessidade de desenvolver estratégias para melhorar a farmacoterapia em idosos.
A reintegração pós cárcere na perspectiva feminina: a remição de pena por o trabalho doméstico como medida de ressocialização da mulher apenada
Authors: Carvalho Kassyane Souza , Botelho Daniela Garcia , Resgala Júnior Renato Marcelo
Published: November 2024

O presente artigo consiste em uma breve análise sobre as dificuldades encontradas pelos aprisionados ao se reintegrarem, após o cárcere, na sociedade, especialmente pelas mulheres. Para tanto, fez-se uma observação histórica, através de doutrinas, acerca da ressocialização e quais são os meios de se ressocializar uma apenada através de políticas públicas voltadas, mormente, para mulheres. Analisa-se o Código Penal, Lei de Execução Penal, com o fito de compreender as penas humanizadas, bem como doutrinas e artigos, e, uma recente decisão do Tribunal de Guarapuava – PR, que, inclusive está sendo tema de um Projeto de Lei na Câmara dos Deputados. Objetiva-se com o presente trabalho, aclarar que outros meios de ressocialização podem ser eficazes, tal como a regulamentação do trabalho doméstico e de cuidado, como formas de remição de pena, como medida de ressocialização da mulher apenada. Os resultados obtidos demonstram que o sistema carcerário além de frágil e insuficiente, não foi criado para atender mulheres aprisionadas, de sorte que é necessário que haja, não só políticas públicas voltadas para elas, como também um estabelecimento prisional adequado que atenda suas necessidades.
Barreiras de comunicação em uma Secretaria Municipal na Amazônia-Pará
Authors: Sousa Alice Fernandes dos Santos , Reis Daniela Castro dos , Cruz José Luiz Castro da , Santos Márcia Cunha
Published: November 2024

Este estudo tem como objetivo identificar as principais barreiras no processo de comunicação na Secretaria Municipal de Assistência Social do município de Parauapebas no estado do Pará, que engloba diversos serviços de assistência social: os acolhimentos institucionais, o Centro de Referência de Assistência Social, o Centro de Referência Especializado de Assistência Social e o Centro de Convivência e Fortalecimento de Vínculo. Em 2019, a Secretaria Municipal de Assistência Social, contava com um total de 299 funcionários, incluindo tanto servidores concursados quanto temporários. Foi utilizado um questionário com uso da escala likert, aplicado a 76 servidores contratos e efetivos. A identificação das principais barreiras no processo de comunicação pode auxiliar a gestão para que possa propor soluções e novas ideias, tendo em vista diminuir os ruídos da comunicação e assim, promover um resultado positivo para todos os envolvidos.
Plantas têxteis amazônicas: perspectivas de futuro na floresta ancestral
Authors: Barros Louise Calixto Monteiro de , Costa Carlos Eduardo Félix da
Published: November 2024

Neste artigo se propõe uma reflexão das relações do ser humano com a natureza, como uma forma de aprofundamento das complexidades sistêmicas que envolvem o bioma da floresta Amazônica através do manejo das plantas têxteis. Destacamos as espécies fibrosas Curauá (Ananas erectifolius) e o Tururi (Manicaria saccifera) como exemplos utilizados há séculos pelos povos autóctones e que nas últimas décadas vêm se evidenciando em estudos e projetos nos setores industriais e criativos por sua capacidade regenerativa. Seja pelo cultivo agroflorestal ou extração/coleta, o manejo destes vegetais exerce um importante papel nas culturas indígenas e ribeirinhas e na manutenção do bioma, apontando um possível paradigma para o modo de produção agrícola, que se relaciona com o design, no antropoceno. Aqui, encontramos uma oportunidade para compreender o mundo e intervir nele como parte integrante da natureza, reconhecendo-nos como membros dessa intricada teia da vida, conjecturando uma interexistência.
Maturidade em Gestão Estratégica na Administração Pública
Authors: Souza Chayanne Matos de , Lima Marcos Antonio Martins , Nunes Paulo Roberto de Carvalho
Published: November 2024

A implantação de um modelo de gestão estratégica nos entes públicos é relativamente nova, em especial no Brasil, e isso é reflexo das reformas administrativas ocorridas no país no fim do século XX. A Secretaria Municipal das Finanças (Sefin) implantou modelos de gestão estratégica nos últimos dez anos. Esse estudo tem por objetivo avaliar a percepção do corpo funcional da Sefin quanto ao nível de maturidade em gestão estratégica, bem como levantar as principais dificuldades e soluções de melhoria, por fim levantar propostas de novas dimensões que devem ser consideradas na avaliação da maturidade. O modelo utilizado foi o Strategic Management Maturity Model™. Trata-se de estudo misto. Os resultados demonstram que a Sefin está entre o nível de maturidade “Gerenciado e Focado” e “Estruturado e Proativo”. As dificuldades foram levantadas juntamente com as propostas de melhoria. Por fim, as novas sugestões de categorias em complementação ao modelo teórico foram identificadas.
A telemedicina como recurso para aprimorar os serviços de saúde no Brasil: avanços e desafios
Authors: Souza Marcos Francisco de , Andrade Emanuel dos Santos de , Doná Juliana Jubram , Mazur Leonardo Rodrigues , Camargo Rúbia Alves , Monteiro Stéphany Lindolpho , Souza Larissa Machado de , Quartieri Eduardo Araújo , Luz Marlon Cantillo da , Castro Nicole Bento de , Borges Fernando Vieira de Paiva , Amorim Monique Albuquerque
Published: November 2024

Discutir os principais avanços e desafios da telemedicina como recurso para aprimorar os serviços de saúde no Brasil. Constitui-se de uma revisão integrativa, de caráter descritivo e exploratório. Diante disso, com o intuito de desenvolver a pergunta chave, aplicaram-se os domínios da estratégia PEO. Logo, efetuou-se um levantamento bibliográfico em setembro de 2024 nas seguintes bases de dados: LILACS, MEDLINE e Coleciona SUS via BVS. Dessa forma, selecionaram-se como descritores os DeCS, sendo ambos cruzados pelo operador booleano AND. Assim, selecionaram-se seis artigos para compor a amostra final. De acordo com a literatura, a telemedicina, além de aumentar a eficiência e reduzir despesas, a telemedicina tem a capacidade de ampliar os cuidados primários, melhorando assim o acesso a serviços de saúde em áreas específicas. Isso é possível, pois permite que os profissionais de saúde estendam suas capacidades, conectando-os a serviços de saúde localizados em hospitais e centros de referência em relação a prevenção, diagnóstico e tratamento. Consequentemente, a característica mais significativa da telemedicina está em sua capacidade de democratizar o acesso aos serviços de saúde. Verificou-se que o avanço do setor é evidente e, apesar dos desafios legais e operacionais, a telemedicina surge como uma ferramenta que pode trazer vantagens tangíveis aos seus usuários. Se efetivamente regulada e integrada a estratégias de expansão, ela tem potencial significativo para ampliar o acesso à saúde e melhorar a saúde e o bem-estar da população brasileira.
O impacto da tecnologia no desenvolvimento infantil
Authors: Souza Laura Lonni Queiroz de , Cantalice Vivina Maria
Published: November 2024

O interesse em como a tecnologia afeta o desenvolvimento infantil visa identificar seus efeitos e a intervenção da psicologia. A pesquisa contribui para a comunidade científica e instituições de ensino ao disponibilizar dados para avanço acadêmico. A relevância do tema está em evidenciar os impactos do uso da tecnologia na infância, ajudando profissionais e pais a decidirem quando introduzir essas tecnologias e a compreender suas consequências. O objetivo deste trabalho é compreender os impactos psíquicos sócias do uso das tecnologias no desenvolvimento infantil, buscando identificar os efeitos cognitivos do uso precoce de tecnologias, analisando os benefícios do uso de tecnologias educacionais e compreendendo os efeitos no comportamento e no desenvolvimento infantil. Para a metodologia o trabalho investigou o impacto da tecnologia no desenvolvimento infantil, incluindo aspectos cognitivos, sociais, emocionais e físicos. Foram utilizadas fontes como livros, artigos científicos revisados por pares, revistas especializadas e teses, focando em estudos publicados nos últimos 5 anos sobre o impacto da tecnologia em crianças. Com isso tendo como conclusão que a pesquisa analisa o impacto das tecnologias no desenvolvimento infantil, destacando que, apesar das oportunidades, é crucial estabelecer limites de conteúdo e duração. O uso excessivo pode prejudicar a saúde das crianças. Pais, professores e equipes de saúde devem monitorar e educar sobre o uso tecnológico, promovendo alternativas como brincadeiras tradicionais. É importante que adultos atuem como mediadores, já que crianças pequenas não têm maturidade cognitiva para discernir o que é verdadeiro e apropriado.
VỀ VẤN ĐỀ TÔN TRỌNG TÍNH THIÊNG TRONG THỰC HÀNH TÍN NGƯỠNG
Authors: Bùi Thanh
Published: November 2024

Với cộng đồng quốc gia đa dân tộc Việt Nam, hệ thống các phong tục, tập quán và các hình thức sinh hoạt thực hành tín ngưỡng dân gian của 54 dân tộc (bao gồm hơn 700 tộc người địa phương) chủ yếu dựa trên ý thức - tâm lý tri ân, sùng bái sức mạnh phù trợ của các lực lượng tự nhiên, giúp cho con người bảo tồn sự sống (như đất, cây, nước, và các tài nguyên thiết yếu với cuộc sống khác) cùng lòng biết ơn và ngưỡng mộ của các thế hệ nối tiếp nhau đối với tiền thần, tiền nhân. Thực tế cho thấy, do có những bất cập trong quá trình tôn trọng phong tục, tập quán và sự giải thiêng trong thực hành tín ngưỡng các dân tộc - tộc người, hiệu quả của mục tiêu bảo vệ và phát huy giá trị di sản văn hóa các dân tộc vẫn chưa được như mong muốn; và một số cách thức ứng xử đã làm nảy sinh không ít những vấn đề cần quan tâm, xem xét ứng dụng cho phù hợp với nhu cầu phát triển xã hội, cả về mặt lý luận lẫn thực tiễn.
Bài báo khoa học muốn quan tâm đến quá trình thực thi mục tiêu bảo vệ và phát huy giá trị di sản văn hóa các dân tộc - tộc người, trong đó đi sâu vào một số vấn đề thực tiễn, liên quan đến việc tôn trọng phong tục, tập quán và tính thiêng trong thực hành tín ngưỡng của cộng đồng tộc người, hướng tới ứng dụng một cách có hiệu quả thiết thực, đáp ứng mục tiêu đã xác định của sự nghiệp xây dựng đời sống văn hóa xã hội ở Việt Nam, hiện tại và lâu dài.
PHÁT TRIỂN DU LỊCH MICE Ở CHÂU Á - MỘT SỐ ĐIỂM QUAN SÁT VÀ BÀI HỌC KINH NGHIỆM CHO VIỆT NAM
Authors: Phạm Hà , Lê Hương
Published: November 2024

Tiềm năng và giải pháp phát triển cho ngành du lịch MICE ở Việt Nam không phải chủ đề mới. Nó đã được tìm hiểu và giải mã trong một số bài viết, công trình hoặc xuất hiện rải rác trên không ít trang mạng, báo điện tử những năm gần đây. Trong phạm vi bài viết, chúng tôi không tiếp cận theo hướng “tiềm năng - giải pháp”, “thuận lợi - khó khăn” của loại hình du lịch này mà chủ yếu giới thiệu, cung cấp thông tin cùng những luận giải của học giới Trung Hoa qua hai điểm quan sát: Những bất cập, hạn chế của du lịch Trung Quốc trong thời kỳ bước đầu tiếp nhận - thích nghi với du lịch MICE và chiến lược phát triển MICE của chính phủ, Tổng cục Du lịch Singapore khi đưa “đảo quốc Sư tử” trở thành “thủ đô hội nghị và triển lãm quốc tế”. Từ đó thảo luận, đúc rút một số bài học kinh nghiệm cho kế hoạch phát triển ngành du lịch MICE ở Việt Nam.
THỜI GIAN VÀ HIỆN THỰC TRONG “NHẬT KÝ NGƯỜI XEM ĐỒNG HỒ” CỦA NGUYỄN QUANG THIỀU
Authors: Hoàng Oanh
Published: November 2024

“Nhật ký người xem đồng hồ” là tập thơ mới nhất của Nguyễn Quang Thiều xuất bản năm 2023. Tập thơ là minh chứng cho tài năng và đóng góp của nhà thơ vào hành trình cách tân, đổi mới thơ ca Việt Nam đương đại. Tìm hiểu cảm thức thời gian trong Nhật ký người xem đồng hồ  sẽ mang lại cho người đọc những trải nghiệm thú vị về một hiện thực đa chiều, đa thanh.
THÁI ĐỘ VÀ NHẬN THỨC CỦA SINH VIÊN NGÀNH NGÔN NGỮ ANH KHI SỬ DỤNG CHATGPT TRONG HỌC KỸ NĂNG NÓI TIẾNG ANH
Authors: Nguyễn Hiền
Published: November 2024

ChatGPT xuất hiện (tháng 11 năm 2022) đã đem lại sự tiếp nhận hào hứng lẫn lo lắng cho các nhà quản lý giáo dục khi ngày càng nhiều giáo viên và học sinh sinh viên xem việc sử dụng ChatGPT cho mục đích sư phạm nhằm mang lại những lợi ích tiềm năng cho việc dạy và học ngoại ngữ. Trong bài viết này, tác giả nghiên cứu và đánh giá thái độ của sinh viên ngành Ngôn ngữ Anh, Trường Đại học Văn hóa, Thể thao và Du lịch Thanh Hóa đối với việc sử dụng ChatGPT để cải thiện việc học kỹ năng Nói tiếng Anh cũng như nhận thức của sinh viên về lợi ích và bất cập của ChatGPT. Nghiên cứu cũng đưa ra những gợi mở về ý nghĩa của việc sử dụng ChatGPT trong việc giảng dạy kỹ năng Nói tiếng Anh, đề xuất hướng giảng dạy và nghiên cứu trong tương lai.
El derecho a la defensa en la justicia indígena: Un análisis del Pueblo Salasaka de Ecuador
Authors: Masaquiza-Masaquiza José Leonardo , Mena-Cabeza Julio César , Morales-Castro Samuel
Published: November 2024

El problema central en este contexto específico se encuentra en las persistentes tensiones y conflictos que emergen entre el sistema judicial estatal y la justicia indígena. Para ello se pretende analizar el derecho a la defensa en la justicia indígena del Pueblo Salasaka en Ecuador, a través de una revisión bibliográfica, para comprender cómo se garantiza este derecho dentro de sus prácticas jurídicas y su compatibilidad con el marco legal nacional. La metodología empleada en este estudio se basa en un enfoque cualitativo, con un diseño descriptivo detallado y una revisión bibliográfica minuciosa y completa. Los resultados obtenidos de la investigación muestran que, a pesar de que la comunidad valora positivamente su sistema judicial por su enfoque en la restauración de daños, únicamente el 30% de los casos reciben asistencia legal, lo cual pone en riesgo la garantía de una defensa adecuada para todos los involucrados. A pesar de las circunstancias adversas, el sistema promueve activamente la reconciliación, fomentando así la armonía y la estabilidad en la sociedad. Se concluye que, la justicia indígena de la comunidad Salasaka prioriza la armonía social y la reconciliación sobre la imposición de sanciones punitivas. Aunque esta característica fortalece la cohesión comunitaria, limita la aplicación de mecanismos formales para una defensa adecuada, como lo exige el marco legal nacional e internacional.
Exploración de los límites y el potencial de la inteligencia artificial en el diseño gráfico contemporáneo
Authors: Andrade-Arias Ariel Josías , Rosero-Quirós Sonnia Margarita , Raffo-Velarde Deida María
Published: November 2024

La integración de la inteligencia artificial (IA) en el diseño gráfico contemporáneo transforma radicalmente cómo los diseñadores abordan la creación visual. Este estudio se propone no solo explorar las aplicaciones actuales de la IA en este campo, sino también cuestionar sus limitaciones y evaluar su verdadero potencial para redefinir la creatividad. La IA no se ve simplemente como una herramienta, sino como un colaborador virtual que puede amplificar las capacidades humanas, generando nuevas oportunidades para la experimentación y la innovación. Con un análisis exhaustivo de casos exitosos y metodologías mixtas, se busca evidenciar cómo la sinergia entre humanos y máquinas puede llevar el diseño gráfico a nuevos horizontes, donde la IA cataliza ideas frescas y soporte estratégico en el proceso creativo. El enfoque se centra en dos áreas clave: las aplicaciones actuales y las limitaciones de la IA, junto con su potencial para ampliar las fronteras de la creatividad humana. A través del análisis de casos de éxito y la implementación de metodologías mixtas —que combinan enfoques cuantitativos y cualitativos—, este estudio pretende explorar cómo la sinergia entre la IA y el diseño humano puede crear una nueva era de experimentación, innovación y evolución en el campo. La IA actúa como un catalizador para generar ideas frescas y ofrece soporte estratégico, permitiendo que los diseñadores se enfoquen en los aspectos más conceptuales y artísticos del proceso creativo.
THE INFLUENCE OF NET PROFIT MARGIN AND DEBT TO ASSET RATIO ON STOCK PRICES AT PT BLUE BIRD FOR THE 2011-2023 PERIOD
Authors: Lisdawati Lisdawati , Nurcahayati Siti , Widodo Adji , Hidayat Arif
Published: November 2024

This study aims to determine the influence of Net Profit Margin and Debt to Asset Ratio on the stock price of PT Blue Bird Tbk from 2011 to 2023. A quantitative method was used to analyze these variables both partially and simultaneously, as well as to identify which variable has the most significant impact on the stock price. Based on the data analysis, the results indicate that the Debt to Asset Ratio does not have a significant partial effect on the company’s stock price. Simultaneously, this variable also shows no meaningful impact. The contribution of both variables, Net Profit Margin and Debt to Asset Ratio, to the stock price is 27.7%, while the remaining percentage is influenced by other factors not discussed in this study.
THE INFLUENCE OF CURRENT RATIO AND DEBT TO EQUITY RATIO ON RETURN ON ASSETS AT PT HANJAYA MANDALA SAMPOERNA TBK FOR THE PERIOD 2013 - 2022
Authors: Amelia Rizka Wahyuni , Lestari Dina
Published: November 2024

This study examines the influence of Current Ratio (CR) and Debt to Equity Ratio (DER) on Return on Assets (ROA) at PT Hanjaya Mandala Sampoerna Tbk over the period from 2013 to 2022. Using a descriptive quantitative approach, the research aims to clarify the relationship between CR, DER, and ROA in evaluating the company’s financial health and profitability. The findings reveal that CR does not have a significant individual impact on ROA, indicating that the company’s short-term liquidity does not directly affect its asset profitability. Conversely, DER has a significant negative impact on ROA, suggesting that higher debt relative to equity reduces asset returns, primarily due to increased interest burden. Simultaneously, CR and DER together have a significant impact on ROA, highlighting the need for balanced management of liquidity and leverage to maximize profitability. This study provides insights for company management and investors in assessing the financial strategies related to liquidity and debt structure to improve asset returns.
AFECTACION AL DERECHO A LA DEFENSA TECNICA IMPUESTA POR LEYES 586 Y 1173 EN BOLIVIA
Authors: SUAREZ SAAVEDRA CESAR
Published: November 2024

El presente trabajo de investigación pretende demostrar que la modificación al Código Procesal Penal Boliviano por las Leyes No 586 y No 1173 violan el Derecho a la Defensa Técnica en la interposición de Incidentes y Excepciones.
Mediante un análisis exegético de casos en los que las leyes indicadas en los procesos en las que se aplicaron al estar vigentes por el juzgador y ser expresadas por la defensa técnica; mediante la figura de este derecho como excepción o incidentes; que relacionado con la supremacía de los principios constitucionales de jerarquía de la misma normativa violan el derecho a la defensa de las partes.
Estas leyes y cómo afectan el debido proceso son investigadas desde la revisión de las definiciones conceptuales jurídicas de términos. El planteamiento de estos está justificado con casos en que jueces las que aplicaron, dejando a la defensa inclusive sancionada. Desde el derecho inviolable a la defensa en especial en los procesos penales es que se concluye en que la modificación de las leyes mencionadas, desde el análisis de la palabra dilatorio; darán lugar a una Defensa Técnica sin la violación del Debido Proceso y defensa en el proceso penal.
Prevalence of Adhesive Capsulitis and its associated risk factors in post CABG patients-An Analytical Cross-Sectional study
Authors: Aslam Marium , Noor Zohe , Latif Hina , Tahir Mahmood  , Yousaf Qandeel , Waheed Aleena
Published: November 2024

Objectives:
To discern the prevalence of Adhesive Capsulitis (AC) and its associated risk factors in post CABG patients.
Methodology: This analytical cross sectional study was conducted in Imran Idrees Teaching Hospital, Pervaiz Ellahi Institute of Cardiology, Allama Iqbal Teaching Hospital and Islam Teaching Hospital from February 2023 to May 2023. Data was collected from 124 participants both female and male with ages above forty; that underwent CABG three months before, and were coming for follow up. Data was collected using a Structured Questionnaire regarding associated factors, SPADI Questionnaire to measure disability and Apley’s scratch test to reconfirm diagnosis. Data was analyzed using SPSS version 22.Chi square-test was used to find association and then results were presented in form of frequencies and crosstabs.
Results: Results showed that mean age of participants was 54.78±7.61, mean of SPADI was 29.94±20.53 and prevalence of Frozen Shoulder among post-CABG patient was 23.4%. The results also showed that age, female gender, Hypertension, Diabetes Mellitus, shoulder immobility after surgery, lack of physical activity, lack of physical therapy follow-up and SPADI were significantly related to the development of AC in post-CABG patients.
Conclusion: The conclusion of the study showed an increased prevalence of AC among post-CABG patients and risk factors such as hypertension, female gender, age, increased duration of shoulder immobility, physical inactivity before surgery, diabetes, and no physiotherapy follow-up significantly contribute to its increased prevalence.
Effects of Deep Breathing Exercises On Oxygen Saturation and Functional Capacity in Hospitalized Patients with COPD
Authors: Arshad Zunaira , Ehtisham-ul-Haq  , Yasmeen Nizai Rehana , Waheed Aleena , Ahmad Nazeer , Mahmood Tahir
Published: November 2024

Objective: This study aims to examine the effect of deep breathing exercises on oxygen saturation and functional capacity in hospitalized patients with COPD.
Methods:  This quasi-experimental study included 37 male patients aged between 60-75 years. This study was conducted from 25th November 2022 to March 2023 at Arif Memorial Teaching Hospital, Mayo Hospital, and Gulab Devi Hospital. There were 6 sessions, 3 sessions per week. Each session was of 15-20 min. Deep breathing exercises were performed on each patient. Patients included in the study were hospitalized for exacerbated COPD without the use of NIV (non-invasive ventilation). The measuring parameters were; self-designed oxygen saturation measured by pulse Oximetry and dyspnea index for functional capacity.
Results: By using paired sample t-test, there is a significant difference between oxygen saturation of COPD patients post-intervention with a mean value of -1.972±1.301 with a p-value of 0.05. By using a paired sample t-test, there is a significant difference between pre (23.18±4.77) and post-mean score (16.86±1.11) of dyspnea index with p-value < 0.05.
Conclusion: The findings of the current study showed that deep breathing exercises were effective in improving oxygen saturation and functional capacity among hospitalized COPD patients.
KEYWORDS: Deep breathing exercises, oxygen saturation, functional capacity, COPD.
MENTORING INSTRUCTIONAL DESIGNERS IN HIGHER EDUCATION: A NEEDS ASSESSMENT
Authors: Mancilla Rae , Frey Barbara A. , Doring Anne
Published: November 2024

This study benchmarked the mentoring needs of instructional design (ID) professionals working within a broad range of institution types across higher education. Data from 65 participants was collected using a needs assessment survey. ID respondents categorized 27 discrete mentoring needs into high, medium, and low priorities. Statistical analyses revealed communication skills as the highest mentoring need, while scholarly research and publication was the lowest. Years of career experience, team format, and team size were factors that distinguished the mentoring needs of IDs. The mentoring needs of IDs with between 3–7 years of experience significantly differed from their novice and senior colleagues as they strived to advance their careers. Implications for mentors, mentees, and institutions are discussed.
Traffic Management Geocast Study with Connected Vehicles on Indiana Highways
Authors: He Zhitong , Mathew Abin , Ingale Abhijeet , Zhou Jue , Li Feng , Chen Yaobin
Published: November 2024

Vehicular communication allows vehicles to interact with road users, roadside infrastructure, and cloud-connected devices. It holds a crucial position in modern transportation systems, impacting both fundamental and advanced aspects and enhancing traffic safety and efficiency. C-V2X is a wireless communication technology that uses cellular networks to enable communication between vehicles and infrastructure. C-V2X can be used for applications such as collision avoidance, traffic management, and remote vehicle diagnostics. This project conducted a feasibility study on the current position of C-V2X in the industry and developed a prototype, RampCast, to fundamentally understand the current C-V2X implementations as part of the 3GPP Release 14. A comprehensive review on the state-of-the-art CV2X technologies and various demonstration projects were carried out by the automotive industry, cellular wireless chips/systems companies, and federal/states DOTs in the U.S. and Europe. A geocast-based prototype system, named RampCast, was built using a software-defined radio approach. The RampCast algorithms focused on the geocasting and were developed for improving message prioritization and retransmission. The field tests that were conducted in a campus parking lot and on the test track revealed sub-100 ms latency and a range of up to 2,500 ft for C-V2X, which emphasized its effectiveness in transmitting critical messages and traffic guidance. Further extensions for the prototype include incorporating multiple units, expanding message types (e.g., points of interest and location-specific adverts), optimizing the prototype's GUI for diverse scenarios, and conducting long-term data analysis for better message flow optimization.
Urban waste-water treatment plants as hotspots for birds : an environmental assessment highlights the role of a single dominant gull
Authors: Battisti C. , Cerfolli F.
Published: November 2024

Waste-water treatment plants (WWTPs) are still little explored in their ecological role. This work reports data obtained from standardized sampling for the two largest Italian WWTPs, to obtain seasonal patterns (late winter, spring, and autumn) of univariate diversity metrics in bird communities. The ecological conditions, linked above all to the high availability of water, with the presence of mud and trophic resources, and heterogeneous features (buildings, trees, and hedges), allow the presence of water-related and synanthropic bird species, using the site as a seasonal stopover and wintering sites. The large availability of biomass of invertebrates, linked to the sludge from the water-waste treatment plants, can provide an important trophic resource during spring migration. The richness, diversity and evenness did not differ significantly between the two plants analysed, both having comparable size and heterogeneity. The highest Simpson dominance values were recorded in autumn with species frequency concentrated in a few abundant species. Detrended Correspondence Analysis (DCA) shows a close association between the autumn period and the dominant Black-headed Gull (Chroicocephalus ridibundus), in both treatment plants, with possible implication on the spreading on zoonosis.
The Effect of the 2023 Turkey-Syria Earthquakes on the Sixth-Month Breastfeeding Rate of Infants: A Single-Centre Cohort Study
Authors: Akyıldız Can , Şipar Vefa , Yavuz Mehmet Ali , Gur Kutlay
Published: November 2024

Background: We investigated the effect of earthquakes on the six-month breast milk intake rate in infants. Methods: In this single-centre prospective cohort study, 35 mother-baby dyads who were in the earthquake zone during the February 6, 2023, Turkey-Syria earthquakes were included as the study group, while 29 mother-baby dyads who were not in the earthquake zone were included as the control group. The physical, environmental, and social characteristics of the settlements after the earthquake, along with the nutritional characteristics of the infants, were evaluated through questionnaires during interviews and online assessments. The Breastfeeding Self-Efficacy Form and the Edinburgh Postnatal Depression Scale were administered to the mothers, and their scores were calculated. Results: No significant difference was found between the exclusive breastfeeding rates at six months in the study and control groups [18 (62.9%) vs. 22 (61.9%), n (%), P = 0.95]. The breastfeeding self-efficacy score was significantly higher in the study group [64 (33 - 70) vs. 54 (31 - 70), median (min-max), P = 0.02]. Although the Edinburgh Postpartum Depression Scale (EPDS) score was higher in the control group [10 (0 - 21) vs. 7 (0 - 26), median (min-max)], this difference was not statistically significant. Conclusions: In general, earthquakes do not affect breastfeeding rates in infants at six months. The continuation of breastfeeding, supported by increased resilience in difficult conditions, enhances breastfeeding self-efficacy and provides protection for the mother-baby dyad. Breastfeeding should be continued and supported during natural disasters.
Investigating the Anxiety of Free-Fall Paratroopers and Its Determining Factors: Experience and Personality Traits in a Military Base
Authors: Zia Ziabari Seyyed Mahdi , Isanazar Adele , Habibi Alireza , Golshahi Razie , Noori Roodsari Nazanin
Published: November 2024

Background: Skydiving anxiety varies according to individual personality traits. Identifying key factors influencing paratroopers' well-being and performance is essential. Objectives: To investigate the relationship between anxiety and personality traits in free-fall skydivers. Methods: An analytical study was conducted at a military base in Guilan province, Iran, with free-fall paratroopers selected through random sampling. Data were collected using three questionnaires covering demographics, anxiety levels, and personality factors. Results: Fifty-eight paratroopers were assessed; 79.3% were under 30 years old. Free-fall paratroopers exhibited higher levels of extraversion and conscientiousness and lower levels of neuroticism. Trait anxiety was found to be higher among those with neuroticism. Experienced paratroopers displayed higher trait anxiety, with no significant relationship to state anxiety, experience level, or age. Conclusions: High trait anxiety in neurotic paratroopers is meaningful in relation to personality traits examined in this study.
Upper Airway Block Using Lidocaine Nebulisation Versus Targeted Nerve Block for Awake Fibre-Optic Intubation in Patients with Head and Neck Burns: A Randomised Controlled Trial
Authors: Ahmed Refaat Sameh , Mohsen Ali Mohamed Mourad , Ellabban Mohamed A. , Fouly Mohamed , Sobhy Amr
Published: November 2024

Background: A difficult airway is a scenario in which an adequately trained anesthesiologist faces challenges with mask ventilation, endotracheal intubation, or both. Various anesthetic techniques have been proposed to prepare adequately for awake flexible fiber-optic intubation (AFOI), including nerve blocks for the upper airway, topical anesthesia via a specialized cannula, and lidocaine nebulization (LN). Proper anesthesia of the upper airway is crucial for successful AFOI. Objectives: This study aimed to evaluate the efficacy of airway block (AB) by LN compared to traditional upper AB techniques. Methods: This prospective, randomized, single-blinded study was conducted on 100 patients with head and neck burns scheduled for reconstructive surgery. Participants were randomly assigned to two groups of 50 patients each. In the AB group, AFOI was performed following an AB, while in the LN group, AFOI was performed 30 minutes after LN. The primary outcome measured was the time to successful awake nasal fiber-optic intubation. Secondary outcomes included the number of failed attempts and the revised nonverbal pain scale score. The time to successful awake nasal fiber-optic intubation showed no significant difference between the two groups. Results: Although the AB group had a higher number of failed attempts compared to the LN group, statistical analysis revealed no significant difference. Additionally, there was no significant difference in hemodynamic parameters between the groups. Conclusions: Both AB and LN are effective for awake nasal fiber-optic intubation, with comparable intubation times. However, LN offers a less invasive alternative.
A Fatal Co-infections of Aspergillus latus and Pneumocystis jirovecii in COVID-19 Pneumonia Patient: Case Report
Authors: Li Xiaoyong , Wang Bin , Li Dan , Lu Lingling , Li Guoping , Shen Hui , Zhang Lijuan , Shi Xuefei , Hua Feng , Luo Jiayou
Published: November 2024

Introduction: For coronavirus disease 2019 (COVID-19) positive patients, co-infection with fungi has previously been reported. Owing to non-specific clinical manifestations and radiographic evidence, it is difficult to distinguish fungal infection from COVID-19 alone, resulting in delayed diagnosis and lack of appropriate treatment. Aspergillus latus infection, a newly rare species with life-threatening characteristics, requires rapid detection with accurate diagnosis to reduce mortality. However, there is little literature that provides a reference for a better understanding of this rare pathogen and guides medical practitioners in choosing the right diagnostics and therapies. Case Presentation: We reported a 67-year-old female complaining of fever, cough, and chest tightness, who had previously been hospitalized for a week due to initial COVID-19 pneumonia. On admission, clinical manifestations and radiological evidence were consistent with COVID-19 pneumonia, and there was no obvious improvement after anti-infective therapy. In terms of etiology for the patient, galactomannan test was positive for Aspergillus genus, and Metagenomic next-generation sequencing further determined co-infections of A. latus and Pneumocystis jirovecii. Subsequently, isolation of A. latus was obtained through microbial culture. Despite targeted antifungal therapy, no clinical improvement was observed, possibly due to delayed diagnosis and treatment. Finally, the patient died of respiratory failure. Conclusions: This case report demonstrated that metagenomic next-generation sequencing is a fast, unbiased, culture-free approach that can increase the pathogen detection rat helping clinicians improve the accuracy of clinical diagnosis and take therapeutic action as quickly as possible. Clinicians should be aware of the risk of COVID-19-associated pulmonary aspergillosis in COVID-19 patients, and we hope to optimize diagnosis and improve outcomes of COVID-19-associated pulmonary aspergillosis.
Comparative analysis of four hop cultivars grown in Brazil and the USA by GC-MS-based metabolomics
Authors: Silva Dias Guilherme , Gallon Marilia Elias , Gobbo-Neto Leonardo
Published: November 2024

Why was the work done: Although the third largest beer producer in the world, Brazil currently imports the majority of its hops. A recent development is the cultivation of hops (Humulus lupulus L.) in Brazil. In addition to genetic factors, the chemical composition of hops can exhibit variations due to conditions of cultivation.  Accordingly, it is of value to characterise and differentiate hop cultivars grown in Brazil with the same cultivars grown in a long established location such as the United States of America.
How was the work done: Centennial, Chinook, Columbus, and Nugget cultivars grown in Brazil or in the USA were compared by metabolomic analyses of the chemical profiles using gas chromatography coupled to mass spectrometry. Principal component analysis showed sample grouping according to where the hops were grown. Partial Least Squares Discriminant Analysis allowed the characterisation of the main metabolites that discriminated hop samples from the two countries. A total of 31 metabolites were putatively identified, including monoterpenes, sesquiterpenes, oxygenated mono- and sesquiterpenes, esters, alcohols, and ketones.
What are the main findings: There were clear metabolic differences between the same hop varieties grown in Brazil or the USA.  The metabolites with the greatest discriminating power for Brazilian hops were trans-α-bergamotene, 2-decanone, and ι-gurjunene, while American hops presented β-copaene, humuladienone, and isopentyl isobutyrate. Notably, trans-α-bergamotene was present in Brazilian hops but absent from American hops.
Why is the work important: This study sheds light on the differences in the chemical composition of hops cultivated in Brazil compared those cultivated in the USA. This knowledge may stimulate new producers and contribute to the development of hop cultivation in Brazil.
The removal of arsenic from synthetic solution using a sand filter coupled with zero valent iron
Authors:   , Edward Daniel
Published: November 2024

Contamination of groundwater with arsenic (As) poses a serious risk to public health, demanding the development of effective remediation technology. This study investigated the use of sand filters coupled with of zero-valent iron (ZVI) for removal of arsenic from synthetic solutions as the function of ZVI dosage and contact time. ZVI materials, including iron wool, iron fillings, and iron nails, were investigated and compared for their efficacy in removing As from synthetic solutions. The experiment employed synthetic solutions spiked with As compounds (set to be 1000 µg/L) to simulate contaminated groundwater scenarios. The concentrations of As in the influent and effluent samples were used to calculate the efficiency. The findings indicate that all three forms of ZVI tested exhibited significant As removal capabilities. Iron wool, iron fillings, and iron nails demonstrated varying efficiencies, likely influenced by their surface area, reactivity, and specific surface chemistry. According to the findings, iron wool-containing sand filter was more effective at removing As than iron filings and iron nails. As removal efficiency increased with increase in ZVI dose. The results show that As can effectively be removed from water in the first 48h. The highest removal efficiency was 99.6% and the lowest removal efficiency was 82.7%. These results suggest that ZVI materials could be promising candidates for practical applications in As-contaminated groundwater treatment systems. This study contributes valuable insights into the use of inexpensive and widely available ZVI materials for As remediation, highlighting their potential as sustainable solutions for addressing water quality challenges.
Optimal design and analysis of a grid- connected hybrid renewable energy system using homer pro: a case study of Tumbatu island, Zanzibar
Authors:   , Said Thani
Published: November 2024

This study addresses the issue of quality electricity access on Tumbatu Island in Tanzania, with a specific focus on enhancing the high-voltage (HV) transmission line. While many studies concentrate on low-voltage (LV) transmission lines, HV lines play a crucial role and merit more attention. Therefore, the objective of the study is to improve the voltage profile of the HV transmission line through a hybrid energy system comprising solar PV, wind turbines, and batteries. This effort begins with an analysis of the total power demand and consumption, which are essential for designing an effective energy system. The study employs HOMER Pro to simulate various hybrid system configurations. The simulation findings indicate that integrating solar PV, wind turbines, and HV lines leads to a significant enhancement in the voltage profile, raising it from 29.6 kV to 31.23 kV during peak demand. This solution demonstrates the highest economic viability, boasting the lowest Net Present Cost (NPC) of USD 4 003 851 and a relatively short payback period (PB) of 3.79 years. Implementing this hybrid system not only meets the island's energy needs but also contributes to global pollution reduction and minimizes electricity costs for the population of Tumbatu Island. Furthermore, it addresses the demand for clean energy, emphasizing its role in achieving sustainable and accessible electricity in Sub-Saharan Africa and beyond
Integrative Learning Strategies for Enhancing Critical Thinking in Islamic Religious Education
Authors: Dalimunthe Muhammad Aidil
Published: November 2024

This research employs a qualitative approach to explore integrative learning strategies aimed at enhancing critical thinking skills in Islamic Religious Education at the secondary school level in Padang, Indonesia. The study involved four teachers and 120 students from various classes to provide a comprehensive perspective. Given the increasing importance of critical thinking in education, especially in subjects that shape students' moral and ethical foundations, this research emphasizes the crucial role of developing these skills within Islamic Religious Education. Data were collected through direct classroom observations, in-depth interviews with teachers and students to capture their experiences and insights on the strategies used, and a detailed analysis of relevant teaching materials. The findings reveal that group discussions create a dynamic environment where students can exchange ideas, broaden perspectives, and develop critical arguments. Case study analyses enable students to connect religious concepts to real-life situations, reinforcing the practical significance of religious teachings. Problem-solving activities promote logical, systematic, and reflective thinking skills, especially when addressing complex moral and ethical dilemmas. The study also highlights that these strategies not only enhance students' critical thinking but also increase their active engagement in learning, deepen their understanding of religious teachings, and foster a reflective approach toward moral values. This research offers an in-depth understanding of the effectiveness of integrative learning strategies in Islamic Religious Education and underscores their relevance in preparing students to meet the demands of modern education, which prioritizes critical thinking skills.
The Association Between Corporate Environmental Sustainability, Environmental Awareness, And Job Pursuit Intention
Authors:   Department of Labor Relations, National Chung Cheng University, Taiwan, Hsu Hsiao-Chu , Wu Chi-Hsin ,   Department of Labor Relations, National Chung Cheng University, Taiwan
Published: November 2024

Taiwan, renowned as a global leader in technology, boasts a manufacturing sector that accounts for more than 30%of its GDP. With the growing public knowledge of climate change, there has been a notable rise in environmental awareness among contemporary societies, influencing how businesses are perceived based on their environmental practices. This research targets potential job candidates in the tech sector, employing semi-structured interviews with individuals educated in engineering and related disciplines within Taiwan. It delves into three core questions, aiming to uncover: (1) whether individuals with environmental awareness prefer to work for committed companies to environmental sustainability; (2) if environmentally aware employees can facilitate the adoption of sustainable practices within their companies; and (3) whether a company's dedication to environmental sustainability enhances its appeal to prospective employees, thereby aiding in the recruitment and retention of top talent. Findings indicate that all participants are environmentally aware and eager to support workplace sustainability initiatives. Individuals with employment options often opt for companies with robust environmental reputations. Conversely, those encountering challenges in securing employment tend to prioritize immediate job availability over the environmental standing of the company. The study concludes with several recommendations to foster environmental awareness across various sectors, including government, media, businesses, educational institutions, and individuals.