bluuebunny/crossref_metadata_2025 huggingface dataset:
Multinodular and Vacuolating Neuronal Tumor – Challenges and Perspectives
Authors:   Clinical Neurosciences Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Neurosurgery Department, “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania, Mitrica Marian , Vasiliu Octavian ,   Clinical Neurosciences Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Psychiatry Department, “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania, Plesa Andreea ,   Doctoral School, Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania, Sirbu Octavian M. ,   Clinical Neurosciences Department, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania
Neurosurgery Department, “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania
Published: December 2024

A multinodular and vacuolating neuronal tumor (MVNT) is a rare non-malign central nervous system tumor. The cerebral cortex of young to middle-aged adults is affected and seizures and focal neurological deficits could reveal it. Despite being considered a low-grade tumor, MVNT can be challenging to diagnose and manage due to its histopathological similarities to other neuronal tumors. The limited number of reported cases makes it difficult to establish definitive guidelines for treatment and follow-up. Given the relatively recent discovery of MVNT, there is a need for further research to better understand its pathogenesis, optimal treatment and long-term strategies. Furthermore, studying MVNT can contribute to the broader understanding of brain tumor biology and the intricacies of tumor heterogeneity. This paper explores the challenges and perspectives surrounding MVNT to improve clinical decision-making and patient outcomes. Based on the present narrative review, advancements in diagnostic technologies have shown promise in addressing the challenges associated with diagnosing MVNTs. Liquid biopsy is an innovative and non-invasive diagnostic tool that analyzes biomarkers to provide information about tumors, and radiomics is a method that extracts quantitative data from medical images to provide detailed insights into tumor characteristics. Such innovative diagnostic technologies are important because they have the potential to significantly improve the current diagnostic landscape for MVNTs, allowing for earlier detection, accurate classification, and personalized treatment strategies.
COMPARISON OF VAGAL MANEUVERS VS VERAPAMIL FOR CARDIOVERSION OF ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA. A COMPARATIVE CROSS SECTIONAL STUDY
Authors: Hadi Noor ul , Asfandiyar  , Ullah Ikram , Shah Syed Tahir , Ahmad Farooq , Rahman Abdur , Ahmad Mushataq
Published: December 2024

Background: Vagal Maneuver is an underutilized strategy for Cardioversion of Atrioventricular nodal reentrant tachycardia. The present study is an attempt to explore the effectiveness of this strategy. Methods: This comparative cross-sectional study was performed at the Department of Cardiology MTI MMC Mardan from the first January 2017 to 31 December 2019. Patients with Palpitations and having documented AVNRT on ECG were selected for this study. Patients were divided into two groups, i.e., Group A and Group B through envelope method. Patients in Group A were subjected to vagal maneuvers like carotid sinus massage, and Valsalva methods. Patients in Group B received injection verapamil 5 mg. Results: A sample size of 100 patients were enrolled. The mean age was 31 with 8.6SD. Male were 54% and females were 46%. The success rate of vagal maneuvers in group A was 36% (n=18), while in group B, it was 84% (n=42) for verapamil (36% vs 84%, p-value<0.001, highly significant). In group A, time for cardioversion in less than 2 minutes was 68%. While in group B, the time for cardioversion in less than two minutes was 12%. ( 68% vs 12%, p<0.001, highly significant).Cross over in Group A was 64%  (n=32) to verapamil. While in group B, this was 6% (n=3) to DC shock and 14% (n=7) to vagal maneuvers (64% vs 18%, p<0.001, highly significant.) Conclusion: Simple Valsalva Maneuvers and verapamil proved to be effective in cardioversion of SVT/AVNRT. Both are safe. Verapamil is more successful in cardioversion as compared to Valsalva maneuvers.
ANALYSIS OF SERUM IRON AND HEAMOGLOBIN LEVEL IN PATIENTS WITH ORAL SUBMUCOUS FIBROSIS
Authors: Urooj Arsala , Anwar Ali  , Akbar Agha  , Syed Syed Israr Ahmed , Marium Zaheer
Published: December 2024

Background: OSMF is chronic underlying disease. The disease is well recognized and had an importance due to high malignant transformation rate. Multiple etiological factors are found responsible in the pathogenesis of the disease course. The effect of areca-nut is mainly causing trismus of the oral cavity. This may compromise the food intake of the patients who are facing this precancerous disease. Method: Total one hundred and 28 patients were selected and equally distributed into two groups. It is an observational, cross- sectional study. Sixty four patient with OSMF were selected on the basis of fibrous band formation and mouth opening. The etiological factors such as chewing habit had been denoted in forms. The heamoglobin and iron levels were analyzed from laboratory using automated machines used for blood analysis. Results: The OSMF group showed insignificant variation when the two groups were compared. Whereas the sub-groups of OSMF are showing moderately significant correlation for the serum iron and heamoglobin levels. The outcome of the present study emphases on the assessment of heamoglobin and serum iron for OSMF patients. The patients must be prescribed with the micronutrients therapy so that any deficiency which may contribute in the disease course can be intercepted at the beginning. Further the patients must be educated in term of quitting the chewing habit so that his/ her life not get compromised due to OSMF.
MACROGLOSSIA ASSOCIATED WITH PRIMARY SYSTEMIC AMYLOIDOSIS - CASE REPORT WITH UNUSUAL CLINICAL PRESENTATION
Authors: Suriyakala M  , Leela Sreekantan Nair Sreela  , Philips Mathew  , Twinkle S Prasad  , Admaja K Nair  , Merrin Jose
Published: December 2024

Amyloidosis is characterised by the deposition of fibrillar insoluble proteinaceous material called amyloid in the extracellular spaces. It may present as localized form which is rare and systemic form. Systemic amyloidosis involves many organs like kidney, heart and liver. Manifestations of both types may vary based on the age of onset, degree and extension of the deposition.  Understandably, the diagnosis is challenging but the early identification of the condition and the type of amyloidosis can increase the efficiency of treatment. Positive Congo red staining is the gold standard for demonstration of amyloid in tissue sections. Here we are presenting a case of a 77-year-old female patient who presented with the complaint of difficulty in swallowing for 2 years due to bilateral symmetrical enlargement of the tongue which was subsequently diagnosed as systemic amyloidosis.
THORACIC EPIDURAL VERSUS GENERAL ANAESTHESIA FOR LAPAROSCOPIC CHOLECYSTECTOMY: A RANDOMIZED CONTROLLED TRIAL
Authors: Ahmad Fariha , Liaquat Ali  , Madiha Ahmed  , Mohammed Yasrab  , Arshad Khusdil  , Samiullah
Published: December 2024

Background: Laparoscopic cholecystectomy is one of the most commonly performed surgeries worldwide. Aim of our study was to compare the effectiveness of thoracic epidural anaesthesia with general anaesthesia for Laparoscopic cholecystectomy in terms of changes in blood pressure during surgery, postoperative pain, respiratory complications and average length of hospital stay. It was a randomized controlled trial conducted from 1stOctober 2018 to 31st October 2019. Methods: Eighty-two patients planned to undergo elective laparoscopic cholecystectomy were randomly divided into two groups, T and G. In Group T all patients underwent laparoscopic cholecystectomy under thoracic epidural anaesthesia with 12 ml of 0.25% bupivacaine and 1% lignocaine plain whereas in group G all patients underwent surgery under general anaesthesia.  Intra-operative mean arterial pressure (MAP) and postoperative opioid consumption in first 24hrs were recorded as primary outcomes whereas presence or absence of respiratory complication and duration of hospital stay as secondary outcome. Results: Out of 82 patients, 41 patients underwent laparoscopic cholecystectomy under thoracic epidural anaesthesia and 41 patients had surgery under general anaesthesia. Mean arterial pressure was lower in Group T and the difference was statistically significant. The average time of first complaint of postoperative pain in Group T was 5.4±1.26 hours as compared to less than 0.79±0.25 hours in Group G. Patients in group T required lower doses of opioid analgesia in first twenty-four hours as compared to patients in group G. Mean hospital stay in group T was 1 day as compared to 3 days in group G. Conclusion: Thoracic epidural anaesthesia provides a better alternative to general anaesthesia for Laparoscopic cholecystectomy with lower intraoperative mean arterial blood pressure, 24 hours postoperative consumption of opioids, respiratory complications and length of hospital stay.
COMPARATIVE EVALUATION OF DENTAL CARIES AMONG PATIENTS OF 6-15 YEARS AGE PRESENTING TO THE OUTPATIENT DEPARTMENT OF AYUB COLLEGE OF DENTISTRY, ABBOTTABAD
Authors: Abdul Rehman  , Ashraf Hina , Nadia Munir  , Rabia syed  , Sadia Nawaz  , Semab Hameed
Published: December 2024

Background: Dental caries in the mixed dentition stage is a common problem leading to tooth decay and extractions. This study aimed to evaluate the pattern of caries among children of 6-15 years age presenting to Ayub College of Dentistry and its association with different factors such as age, dietary habits, snacking habits, and previous dental visits. Methods: It was cross-sectional research250 participants of 6-15 years presenting to Ayub College of Dentistry from November 2023 to April 2024. Dental caries was examined and DMFT index calculated with the help of questionnaires. DMFT was correlated with age, tooth brushing habits, gender, snacking habits, and previous dental visits. Data was analyzed using SPSS software version 22. Statistical correlation tests were applied to find the association between different variables such as age group, brushing habits, snacking habits and prevalence and severity of caries. Results: Dental caries was prevalent among 79.7 percent whereas the mean DMFT of sample was 5.82±4.48. There was a trend of higher DMFT scores among male population than females. A greater DMFT score of 4.2±1.8 was seen among children of 13-15 years followed by 10-12 years (3.8±1.7) and 6-9 years (2.7±1.5). Conclusion: This study highlights the high prevalence of dental caries among children and adolescents and its association with brushing habits, snacking habits, age, gender, and previous dental visits. Regular dental check-ups, proper oral hygiene practices, and a healthy diet low in sugar are key factors in preventing dental caries in elementary school students.
ASSOCIATION OF THYROID FUNCTION TEST WITH POST-COVID-19 PCR-NEGATIVE PATIENTS
Authors: Abid Ali Khawaj  , Sabahat Asghar  , Samman Khurshid  , Noreen Taj  , Rubina Faisal Paul  , Fozia Jehangir
Published: December 2024

Background: Corona virus diseases-19 (COVID-19) infection has shown many complications in all organ systems, like thyroid gland, during the acute phase and in the post-COVID-19 period. The aim of this study was to find the risk of hypo-functioning thyroid gland during post COVID-19 period as a chronic complication for possible follow up and management implications. Methods: This combined retrospective-prospective study was conducted over a period of nine months at tertiary care hospitals, Ayub Medical Complex Abbottabad and King Abdullah Hospital, Mansehra. Through non-probability convenient sampling technique, data was collected from 160 records at the hospitals. Confirmed cases of COVID-19, after their consent, were measured for thyroid hormones at two, four and eight weeks.  Data was analyzed using Chi-square test. p-value less than 0.05 was considered as significant. Results: Out of 160 study participants, majority 102 (63.75%) were males and 58 (36.25%) were females with mean age of study population of 47.41±14.29 years. The frequency of hypothyroidism decreased over eight weeks from 8 (38.09%) to 6 (28.57%). While subclinical hypothyroidism decreased from 14 (36.89%) to 12 (30.76%). There was a very highly significant (p= 0.0001) association between proportions of hypothyroidism, Euthyroid Sick Syndrome and Subclinical hypothyroidism, and proportions of euthyroid patients in post COVID-19 period over eight weeks. Conclusion: Subclinical hypothyroidism, overt hypothyroidism, Euthyroid Sick Syndrome, and thyrotoxicosis are manifestations of hypo functioning thyroid gland. There is a need to monitor patients over a period of as short as two weeks to two months and beyond for possible detection of these complications of COVID-19 for appropriate management.
TO ASSESS RELATIONSHIPS BETWEEN LACTATE CLEARANCE AND BLOOD LACTATE LEVELS WITH OUTCOME OF NEONATAL SEPSIS
Authors: Chaudhry Shumaila , Haroon Farah , Khawaja Ahmed Irfan Waheed  , Victor Gideon , Shahzad Muhammad , Fatima Bushra
Published: December 2024

Background: Sepsis is life-threatening organ dysfunction caused by dysregulated host response to infection. Aim of the study is Neonatal sepsis refers to infection involving the blood stream in neonates. It is major health problem causing neonatal mortality and morbidity in developing countries. Our study aimed to assess the correlation between lactate clearance and blood lactate levels with outcome of neonatal sepsis. Methods: Seventy-three eligible neonates recruited with convenience sampling technique. Study was conducted at the Neonatology department, The Children's Hospital & the Institute of Child Health, Lahore. After approval from institutional review board, and informed consent of parents/guardians, neonates with sepsis were selected through a present inclusion and exclusion criteria. Data was collected with the predetermined demographics, inflammatory markers and lactate levels. Results: This research revealed 37% (n=27) mortality rate among septic neonates who were having higher blood lactate levels and low lactate clearance at 6 hours of admission in nursery. Hence higher serum lactate levels and low lactate clearance (<10%) at 6 hours were significant predictors of poor outcome in septic neonates (p-Value, <0.05). The lactate level of neonates who could not survive was 5.68±1.22 as compared to who were discharged 4.11±1.14 (p-Value, <0.05). Conclusion: Higher blood lactate levels and lactate clearance of less than 10% at 6 hours of admission in nursery are significant predictors of mortality in neonatal sepsis. Early lactate stabilization and sepsis management can improve the clinical outcomes.
Дистанционное обучение: история становления и современные тенденции в образовательном пространстве
Authors: Фрик О.В.
Published: December 2024

Стремительное развитие информационных технологий и, в частности, возможностей искусственного интеллекта актуализирует изучение истории становления дистанционного обучения и определение современных тенденций его развития. В статье проанализированы основные этапы становления дистанционного обучения, ситуация с терминологией, особенности современного этапа дистанционного обучения и его формы. Автором подчёркивается роль пандемии коронавируса в развитии дистанционного обучения. Делается вывод о том, что сегодня дистанционное обучение перестало быть обособленным феноменом – дистанционные технологии прочно вошли в процессы обучения на разных уровнях и стали их неотъемлемой составляющей.

The rapid development of information technology and, in particular, the capabilities of artificial intelligence actualizes the study of the history of the development of distance learning and the definition of modern trends in its development. The article analyzes the main stages of the development of distance learning, the situation with terminology, the features of the current stage of distance learning and its forms. The author emphasizes the role of the coronavirus pandemic in the development of distance learning. It is concluded that today distance learning has ceased to be an isolated phenomenon – distance technologies have firmly entered the learning processes at different levels and have become their integral part.
О роли учебной дисциплины «Основы российской государственности» в идеологическом образовании и гражданско-патриотическом воспитании в вузе
Authors: Фрик О.В.
Published: December 2024

В статье обсуждается значимость включения модуля «Основы российской государственности» в образовательные программы высших учебных заведений по всем направлениям подготовки бакалавриата и специалитета в качестве дисциплины базовой части. Автором представлены результаты исследования научных и методических статей, посвящённых данной дисциплине. Особое внимание уделяется воспитательному и идеологическому контексту, так как осознанный патриотизм всегда основан на знании. Рассматриваемая дисциплина призвана дать обучающимся целостное представление о России как самобытном государстве-цивилизации. Она акцентирует внимание на создании духовно-нравственной базы, необходимой для формирования полноценной личности с осознанием исторического пути России. В ходе обсуждения проанализированы следующие вопросы: условия появления курса и его актуальность, нормативно-правовая база курса, основные содержательные элементы курса, его базовые категории, комплексный характер и ярко-выраженная мировоззренческая направленность. В заключении подчёркивается, что новая дисциплина «Основы российской государственности» призвана сформировать у российской молодёжи уверенность в её будущем в России, суверенном, сильном, социальном государстве, самобытном государстве-цивилизации.

The article discusses the importance of including the module "Fundamentals of Russian Statehood" in the educational programs of higher education institutions in all areas of bachelor's and specialist's degrees as a discipline of the basic part. The author presents the results of the study of scientific and methodological articles devoted to this discipline. Particular attention is paid to the educational and ideological context, since conscious patriotism is always based on knowledge. The discipline under consideration is designed to give students a holistic understanding of Russia as an original state-civilization. It focuses on the creation of a spiritual and moral base necessary for the formation of a full-fledged personality with an awareness of the historical path of Russia. During the discussion, the following issues were analyzed: the conditions for the emergence of the course and its relevance, the regulatory framework of the course, the main substantive elements of the course, its basic categories, complex nature and pronounced ideological orientation. In conclusion, it is emphasized that the new discipline “Fundamentals of Russian Statehood” is designed to instill confidence in Russian youth in their future in Russia, a sovereign, strong, social state, an original state-civilization.
Impact of Emotional Intelligence in Banking Sector
Authors: Tiwari Shivani
Published: December 2024

The purpose of this research is to conduct a structured analysis of the influence of emotional intelligence in Banking Sector. The sources supporting the study of emotional intelligence will be reviewed in this paper. The current study seeks to understand the concept of emotional intelligence. Recently, emotional intelligence has become a debated and crucial subject due to its importance and links to various other areas of life, leading to in-depth research. Emotional intelligence acts as the guide for emotions, thoughts, knowledge acquisition, analytical thinking, and innovative thinking. The Banking sector relies heavily on emotion. Employees in the banking industry build and sustain relationships in emotionally charged work situations where providing services is heavily reliant on emotion. Emotions have an intrapersonal impact on bank workers as well as an impact on professional relationships and service performance.
Comparison between The Efficacy of Concurrent Chemo-Radiation with Gemcitabine Followed by Intracavitary Radiotherapy in Patients with Locally Advanced Cervical Carcinoma
Authors: Tania Afroja Begum , Alam Sarwar , Ghosh Ashim Kumar , Quader Rezwanul , Mahmud Tasnim
Published: December 2024

Introduction: Commonest threatening cancer in our Asian round is Cervical cancer. Currently, platinum-based concurrent chemo-radiation therapy is the standard of care for locally advanced cervical cancer but treatment results are disappointing, particularly for women with bulky tumors. To improve this result, several non-platinum-based agents with concurrent chemo-radiation have been evolved.
Material and Methods: This was a quasi-experimental study, where 33 patients with untreated invasive squamous cell carcinoma of the cervix of stage IIB to stage IVA were enrolled in the study from the Radiation Oncology Department of Rajshahi Medical College Hospital from April 2019 to March 2020. Duration of the study was 2 years. All patients received 150 mg/m² of Gemcitabine weekly along with external beam radiation therapy (EBRT). EBRT dose was 50 Gy in 25 daily fractions followed by intracavitary radiotherapy (ICRT) of 21 Gy in 3 fractions.
Results: The mean patient age was 45.4 years. Most patients were in stage IIB (59.1%) with moderately differentiated tumors (62.1%). After three months of treatment, 81.8% showed complete response, 12.1% partial response, and 6.1% disease progression. Grade 2 and 3 hematological toxicities were common, including anemia (60.6% grade 2; 24.2% grade 3) and neutropenia (24.2% grade 2; 6.1% grade 3). Other side effects included diarrhea (42.4%), proctitis (36.4%), skin toxicity (45.5%), mild renal toxicity (3%), and grade 2 cystitis (9.1%).
Conclusion: Gemcitabine-based concurrent chemo-radiation is a potential alternative for patients contraindicated for Cisplatin. However, larger randomized studies are needed to confirm its safety and efficacy.
The Relationship Between Frontal Alpha Asymmetry, Internalizing Symptoms, and Personality Traits : A Comparison of Dispositional Model and Capability Model
Authors: Park HyunJung , Youn JungHae
Published: December 2024

This preliminary study explored the clinical utility of frontal alpha asymmetry (FAA), an index reflecting the difference in alpha wave intensity between the left and right frontal lobes, by investigating its relationship with internalizing symptoms and personality traits. Thirty non-clinical university students in their 20s participated in the study. FAA was measured during resting and stress-induced states to compare the explanatory power of the dispositional model and the ca pability model. The results revealed significant negative correlations between stress-induced FAA and anxiety and depression symptoms. Additionally, the difference between resting FAA and stress-induced FAA also showed a significant negative correlation with depression symptoms. In terms of personality traits, stress-induced FAA and the difference between resting and stress-induced FAA were significantly correlated with neuroticism. In contrast, resting FAA did not exhibit significant relationships with either internalizing symptoms or personality traits. These findings suggest that the capability model provides a more accurate explanation for the relationship between FAA, internalizing symptoms, and personality traits. This study highlights the potential of stress-induced FAA as a biological marker for predicting internalizing symptoms and neurotic tendencies. Furthermore, it contributes to expanding the cultural diversity of FAA research data, addressing a topic that has been relatively unexplored in the domestic context.
The Relatedness of Pungryu Culture in Multicultural Nexus -from an Organic Point of View-
Authors: Ra ChaeKun
Published: December 2024

This study aims to explore the relatedness of Korean Pungryu culture in addressing issues of discrimination, inequality, and the growing lack of ethnic and cultural communication in contemporary multicultural societies, where ethnic, linguistic, and cultural deterritorialization is accelerating. First, this paper identifies the cognitive errors inherent in multiculturalism rooted in Western substance philosophy as a key factor underlying the lack of communication in multicultural life and the inequality and discrimination faced by minority cultures. Second, it argues that Pungryu culture offers a valuable tool for transforming the perception and thought patterns of Western multiculturalism due to its shared ontological organic characteristics with Whitehead's concept of ‘nexus’ and the Buddhist principle of ‘연기’(Pratityasamutpāda). Third, by examining the characteristics of '포함삼교'(Pohamsamgyo) and ’접화군생'(Chophwagoonsaeng) manifested in the artistic and behavioral modalities of Pungryu culture, this study demonstrates that Pungryu culture is not an immutable, windowless monad but a dynamic culture of organic relationships that generates the meaning of existence through mutually immanent connections. These findings suggest that the organic relationality of Pungryu culture has the potential to foster a symbiotic multicultural nexus in multicultural societies, grounded in cultural relativism. can generate a symbiotic multicultural nexus in the life of a multicultural society based on cultural relativism.
Derivation of Rating Curve for Suspended Sediment Flow of River Indus at Besham
Authors: Shafeeq-Ur-Rehman  , Abbasi Muhammad Mudassar
Published: December 2024

This study aims at reclaiming the huge amount of wastewater, produced from pulp and paper industry by physico-chemical treatment method following a combination of primary settling, coagulation-flocculation aided clarification (alum, lime and magnesium sulphate as coagulant) and activated carbon adsorption, in order to reduce the quantity of wastewater generation, from this water intensive industry. The chemical secondary treatment indicate the reduction in turbidity (89%), COD (84%), Total Suspended Solids (90%) and colour (89%) was obtained at the mass loading of 3400 mg l-1 of MgSO4, when 4 hours primary treated effluent was further treated by coagulation flocculation process. The combination of primary settling and lime coagulation (optimum dosage of 1400 mg l-1) resulted in effluent turbidity removal of 94%, COD reduction of 86%, TSS (Total Suspended Solids) removal of 93% and colour removal of 91.6% at initial pH of 11. The results showed that plain settling with 4 hours of retention time was effective for reducing the pollution load form pulp and board mill wastewater and this treatment step could reduce the pollution parameters up to 30%. This water could be recycled back into production process. Pilot scale study and further investigation is required before implementation of proposed treatment technology.
The Hazards of Habituation in Healthcare: Are We Too Content at Being Complacent?
Authors: Bauer Brittney , Powell Eric , Baum Neil
Published: December 2024

Habituation is the process in which repeated exposure to a stimulus results in decreased response over time. This process can play a significant role in medical practices. In this article we explore the phenomenon of habituation within the context of medical care, as well as its impact on patients, staff, and healthcare providers. In doing so, we provide suggestions to mitigate habituation within a medical practice setting, including the importance of relying on response sensitization to combat the potential hazards of habituation. We also discuss the role of technology and innovation in minimizing habituation and enhancing the effectiveness of existing technologies that are already available in most medical practices.
Scope of Practice Laws for Nurse Practitioners and Physician Assistants: Impact on Healthcare Access and Quality
Authors: Cato Armani
Published: December 2024

Nurse practitioners (NPs) and physician assistants (PAs) have become essential components of the healthcare workforce, particularly in addressing primary care shortages and expanding access to medical services. With physician shortages looming and access to care for millions of Americans hanging in the balance, scope of practice expansion has reemerged as a hot-button issue within medical communities as federal agencies and state legislatures seek solutions for care access and quality of care concerns.
Simulação com o método Monte Carlo: Uma ferramenta para análise de risco no gerenciamento de projetos
Authors: Herzog Lusianny Pereira , Silva Everson Jonatha Gomes da , Weymar Guilherme Jahnecke
Published: December 2024

Em um ambiente competitivo as organizações buscam constantemente oportunidades de melhoria e reavaliam seus modelos de negócios devido aos desafios que enfrentam. Com isso, o risco em projetos surge da incerteza em relação aos resultados esperados, como prazos e custos. A análise de risco é uma ferramenta do gerenciamento de riscos e pode ser qualitativa ou quantitativa, dependendo dos recursos disponíveis. A Simulação de Monte Carlo (SMC) é um método muito utilizado, especialmente em riscos relacionados aos atrasos no cronograma e estouros de custos. Neste contexto, o presente trabalho se concentra no estudo de caso de uma análise de risco aplicando a SMC no gerenciamento de riscos em cronogramas de projetos. Com isso, os objetivos incluem contextualizar a importância da análise de risco, analisar a fundamentação teórica do método de Monte Carlo realizar uma análise de risco em um projeto e desenvolver um programa de análise de risco em Python. A justificativa para este estudo está na necessidade de melhorar a taxa de sucesso de projetos de construção, que muitas vezes ultrapassam prazos e orçamentos. No geral, o estudo contribui para uma abordagem mais eficaz na gestão de projetos, adaptando-se às demandas do mercado em constante evolução. Pode-se observar que, considerando o somatório das fases, existe a probabilidade de 5% do projeto finalizar em 590 dias e 95% de finalizar em 669 dias. Estas informações permitem às partes interessadas entender melhor como o cronograma pode ser afetado por riscos e tomar medidas para mitigar esses impactos com antecedência.
Inovação na gestão de estoque: Tecnologia de visão computacional aplicada ao controle de fluxo de materiais e inventário do almoxarifado
Authors: Mattos Claiton da Silva , Jesus Laércio Pereira de , Yamao Eduardo Massashi , Penteado Neto Renato de Arruda
Published: December 2024

Vivemos tempos de mudanças rápidas, com o desenvolvimento contínuo de novas tecnologias em diversas áreas, especialmente em sistemas de informação e inteligência artificial. Torna-se crescente a exigência por maior rapidez na resposta e na qualidade dos serviços prestados, e as empresas precisam se adequar rapidamente, sob o risco de perderem competitividade. O gerenciamento de almoxarifados, particularmente o controle de fluxo de materiais, tem grande importância para a saúde operacional das empresas. Apesar disso, as empresas frequentemente optam por focar em seu negócio principal, eventualmente negligenciando, em algum nível, suas áreas de apoio, resultando em processos mal ajustados e sujeitos a falhas. Neste contexto, surgem oportunidades de melhorias com a implantação de novas tecnologias para auxiliar ou suprimir tarefas executadas de forma manual, as maiores fontes de erros. Este artigo apresenta a avaliação do uso de inteligência artificial por meio da aplicação de visão computacional integrada ao sistema de planejamento de recursos empresariais (ERP) do almoxarifado central de uma concessionária de energia, em Curitiba. A proposta consiste em um sistema de portais instrumentados e um mecanismo de inspeção de nichos para uso nas etapas de verificação e registro de entrada e saída de materiais, e inspeção de inventário, respectivamente, em possível substituição à execução manual das tarefas. Os resultados do estudo apontam um grande potencial no uso do novo sistema integrado, mas também evidenciam a necessidade de ajustes de arranjo físico e processos para viabilizar o uso da tecnologia de visão computacional, fornecendo amparo técnico para um futuro trabalho de implantação.
A percepção do risco e a intenção de compra durante a pandemia do COVID-19
Authors: Silva-Oliveira Keilla Dayane da , Avelar Aline Bento Ambrósio
Published: December 2024

Objetivo: Verificar a influência da percepção de risco do COVID-19 e a intenção de compra presencial mediado pelas dimensões do modelo TCP estendido.
Método: A pesquisa é classificada como descritiva com abordagem quantitativa com a participação de 596 consumidores. A técnica utilizada foi a de Modelagem de Equações Estruturais, com o uso do SmartPLS versão 3.
Originalidade/Relevância:  Esta pesquisa incorporou o medo antecipado ao modelo TCP para construir um modelo estendido. O modelo TCP estendido auxilia a realização de uma análise abrangente e faz entender melhor a intenção de compra dos consumidores durante a pandemia do COVID-19.
Resultados: Os resultados mostraram que a percepção de risco do COVID-19 influencia negativamente os elementos do modelo TCP e positivamente o medo antecipado. Constatou-se também que a atitude, a norma subjetiva e o controle do comportamento percebido tem um impacto positivo na intenção de compra. Portanto, os antecedentes do modelo TCP exercem a função de mediação na relação entre a percepção de risco do Covid-19 e a intenção de compra, porém o medo antecipado não possui nenhuma influência.
Contribuições teóricas/metodológicas: A contribuição teórica do estudo se refere a observação de como a percepção do risco da COVID-19 influenciou a intenção de compra por meio do modelo TCP.
Contribuições para a gestão: As descobertas podem contribuir para a compreensão do comportamento dos consumidores durante uma pandemia e ajudar o governo e a área de marketing a tomar medidas para reduzir as perdas.
Metodología de detección de insights: explorando y descubriendo al consumidor
Authors: Vailati Pablo Augusto
Published: December 2024

Objetivo: Este artículo presenta una metodología para la detección de Insights, definidos como percepciones significativas que revelan una comprensión profunda de las necesidades y deseos del consumidor.
Metodología: Este modelo se desarrolló a partir de una extensa revisión de la literatura y se probó a través de proyectos de investigación y análisis de datos reales realizados para empresas de diversas industrias con el fin de verificar su efectividad.
Resultados: La metodología combina enfoques cualitativos y cuantitativos, integrando técnicas tradicionales y contemporáneas para identificar los factores subyacentes que influyen en el comportamiento de compra. El método propuesto se desarrolla a través de cuatro etapas: datos, información, conocimiento e Insight, proporcionando una herramienta práctica para la toma de decisiones estratégicas en diversas industrias.
Conclusiones: Las aplicaciones prácticas en diferentes contextos nos permiten entender cómo esta metodología ha facilitado la identificación de Insights reveladores y ha mejorado la comprensión de las motivaciones del consumidor. La originalidad y las contribuciones de esta metodología radican en su capacidad para integrar múltiples enfoques y descubrir patrones subyacentes críticos para el éxito empresarial.
Rendimento e viabilidade de soja em diferentes doses de fósforo associado a microrganismos solubilizadores de fósforo
Authors: Caixeta Walif , Santin Gabriel Batista , Rocha Geisiane Alves , Souza Álvaro Henrique Candido de , Tavares Cássio Jardim
Published: December 2024

O fósforo (P) é um nutriente essencial às plantas, sendo um dos principais elementos para a produção de alimentos, porém, parte do total adicionado ao solo se torna indisponível às plantas. A adição de bactérias solubilizadoras de fosfato tem sido apontada como uma forma viável de aumentar a disponibilização do P adsorvido no solo às plantas e promover o crescimento vegetal. O objetivo do experimento foi avaliar respostas da soja submetida a diferentes dosagens de foósforo, associado ou não, ao solubilizador BioNitroPhos®. Utilizou o delineamento em blocos casualisados, com 4 repetições. Testou 8 tratamentos, sendo T1 a testemunha sem aplicação de fósforo, T2 com 60 kg ha-1 de P2O5, T3 com 120 kg ha-1 de P2O5, T4 com 180 kg ha-1 de P2O5, T5 com 60 kg ha-1 de P2O5 + BioNitroPhos®, T5 com 120 kg ha-1 de P2O5 + BioNitroPhos®, T6 com 120 kg ha-1 de P2O5 + BioNitroPhos®, T7 com 180 kg ha-1 de P2O5 + BioNitroPhos® e T8 BioNitroPhos®. A cultura da soja responde em rendimento em grãos para a adubação fosfatada e utilização de bactéria solubilizadora de fósforo. A de 180 kg ha-1 de P2O5 + BioNitroPhos® promoveu maior retorno econômico.
Controle do câncer de colo de útero: rastreamento e estratégias emergentes
Authors: Pestana Jesyka Thamires da Silva , Ramos Samirames Cartonilho de Souza , Carneiro Ana Lúcia Basilio , Costa Cíntia Bezerra Almeida , Cartonilho Filho Esdras Ramos , França Jael Rúbia Figueiredo de Sá , Pereira Maria Suely de Souza , Ribeiro Júnior Orácio Carvalho
Published: December 2024

O câncer do colo do útero é o quarto mais incidente entre mulheres no mundo, representando um antigo e importante problema de saúde pública. No Brasil, a expectativa é de 16.590 casos por ano e mortalidade de 6,17 em cada 100 mil mulheres. Há no país diretrizes para detecção precoce da enfermidade, que recomenda para o rastreamento, a realização de citologia convencional. Com isso, o estudo objetivou analisar resultados de exames de citologia, assim como o rastreamento e as estratégias emergentes.Trata-se de um estudo retrospectivo, transversal, descritivo, com abordagem quantitativa. As informações foram obtidas através da análise de laudos de resultados citopatológicos realizados numa Unidade de Saúde da Família, no município de João Pessoa-PB. Foram analisados 532 exames, nos quais a faixa etária predominante entre as mulheres submetidas ao exame foi de 25-45 anos, representando 73,5% dos casos. Entre os tipos de epitélios identificados, 56,8% eram exclusivamente do tipo escamoso. Observou-se que, em 56% dos exames, a zona de transformação não foi visualizada, o que pode estar relacionado a limitações na coleta e/ou avaliação, resultando em um impacto na qualidade do diagnóstico. Esse fator também pode estar associado aos 51,7% dos casos que apresentaram ausência de conclusão diagnóstica. Apesar dessas limitações, todas as amostras foram consideradas satisfatórias para análise, e nenhuma intervenção adicional foi indicada para os exames que apresentaram apenas o epitélio escamoso. Os dados evidenciam a necessidade de aprimorar os procedimentos de rastreamento do câncer de colo de útero e a análise de resultados, contribuindo para melhores desfechos.
La ideación suicida, un estudio comparativo entre géneros en los estudiantes de la carrera de medicina general de la Universidad Técnica de Manabí en el año 2024
Authors: Zuloaga-Plúas Néstor Hugo , Sosa-Arteaga Francisco Javier , Moreira-Mendoza Maebe Lisseth , Sánchez-Rogel Lesly Hugo
Published: December 2024

Este trabajo plantea comparar los índices de ideación suicida entre géneros en los estudiantes de la carrera de medicina en el año 2024, este estudio se llevó a cabo en un grupo de 109 estudiantes de 8°, 9° y 10° semestre de la carrera de Medicina General de la Universidad Técnica de Manabí ubicada en la ciudad de Portoviejo. El estudio fue de enfoque cuantitativo transversal. La muestra fue elegida mediante un muestreo probabilístico aleatorio simple. Se aplicó la Escala de Ideación Suicida de Beck para evaluar la intensidad de la ideación suicida mediante tres factores: deseo suicida activo, deseo suicida pasivo y preparación del acto suicida. Entre los resultados se obtuvo que el 16,5% de los estudiantes padece ideación suicida moderada, siendo predominante en el género masculino, mientras que en el género femenino predominan más de un intento suicida previo. Se concluye que, entre los estudiantes de la carrera de Medicina General de la Universidad Técnica de Manabí entre 20 y 28 años, el 16, 5% padece ideación suicida en grado moderado y más de la mitad son hombres, factores académicos, psicológicos, sociales y contextuales constituyen los principales desencadenantes de la ideación suicida; asimismo, el género masculino demuestra menor disposición a buscar ayuda psicológica profesional y mayor riesgo a intentos efectivos, mientras las mujeres reflejan mayor transparencia emocional y más de un intento suicida, indicando menor letalidad del intento.
PROPERTIES AND APPLICATIONS OF PERIODIC FUNCTIONS
Authors: Vălcan Teodor Dumitru
Published: December 2024

Periodic functions, other than trigonometric ones, are relatively little known by pupils, students or teachers, despite the fact that they have numerous properties and applications. In this paper we will present some properties and applications of these periodic functions, not necessarily trigonometric. Thus, we will present here two main results concerning periodic functions, after which we will present some very interesting applications of these results. Also, with the idea of training and developing the creative capacity of attentive readers interested in these matters, I proposed two problems / questions to which they are invited to find answers, I presented a list of fundamental properties of periodic functions and, finally, two application exercises of the results of this paper. The work is exclusively from the Didactics of Mathematics and is addressed to pupils, students and teachers of Mathematics, eager to learn such a thing.
INITIAL TEACHER TRAINING – OLD AND NEW LEGISLATIVE FRAMEWORKS
Authors: Badea Mihaela , Tudorache Gina Florentina
Published: December 2024

Initial teacher training is essential for ensuring the quality of education, as it lays the foundations for pedagogical, didactic and classroom management skills. The article will analyse initial teacher training, trying to make a comparison between the education law of 2011 and that of 2023. First of all, it will describe how the law of 2011 structured the training of teaching staff, emphasizing the need for a teaching master’s degree and internships in schools. It will also discuss the main challenges and outcomes of this legislative framework. In contrast, the 2023 education law brings significant changes to the teacher training process, with greater flexibility in the educational pathway and the introduction of new mentoring and continuous assessment programs. The article will compare the strengths and weaknesses of both legislative frameworks, highlighting the impact on the quality of education and the teaching career. The conclusion will explore possible directions for improvement for the future.
BEAUTY AND AESTHETIC VALUES: THEIR IMPACT ON THE EDUCATION OF ARCHITECTURE AND DESIGN STUDENTS
Authors: Filipski Tatiana , Munteanu Angela
Published: December 2024

The article represents a theoretical and practical study that highlights the role and necessity of promoting beauty and aesthetic values in the initial training of architecture and design students within both formal and non-formal contexts. It also presents fundamental concepts and some researchers' views on beauty and aesthetic values. The impact and importance of cultivating beauty and aesthetic values in the education of architecture and design students, which can be integrated into various disciplines and curricular content, are also emphasized. Additionally, concrete educational actions are described, engaging students and pupils in the research, perception, appreciation, and creation of beauty and aesthetic values as reflected in museum practices through collaboration and exchange of experiences, which have led to the achievement of the pre-established objectives. In conclusion, education in higher education institutions must focus on promoting beauty and aesthetic values in the context of the initial training of architecture and design students, involving them in the creation of artistic works and architecture and design projects centered on the creation of beauty.
Integración de competencias en innovación y emprendimiento en la formación de ingenieros en alimentos
Authors: Hernández Mella Alexis David , Guaman Quispillo Juan Mauricio , Briones Franco Keyla Ninoska
Published: December 2024

En las últimas décadas, el sector alimenticio ha experimentado una evolución significativa, impulsada por el avance tecnológico y las demandas de los consumidores. El objetivo de la presente investigación es evaluar cómo la inclusión de cursos o módulos de innovación y emprendimiento, en la carrera de ingeniería en alimentos, incide en las competencias de los futuros ingenieros en alimentos y su capacidad para crear soluciones originales en el sector, dicho objetivo unido a la metodología desarrollada permiten presentar como principales resultados que en el contexto educativo, especialmente en la carrera de ingeniería en alimentos, el desarrollo de competencias como el pensamiento crítico, la creatividad, la resolución de problemas y la colaboración es fundamental para preparar a los estudiantes para enfrentar los desafíos del mundo real, también se muestra como hallazgo que el ABP, ABPr y la colaboración universidad industria son elementos esenciales para que el futuro ingeniero se apropie de técnicas y herramientas novedosas como la innovación y el emprendimiento para su posterior desarrollo en el mundo empresarial, también se muestra como resultado que la formación de ingenieros en alimentos alineada al emprendimiento demanda del desarrollo de competencias esenciales que no solo promuevan habilidades tecnológicas, sino también capacidades en el orden empresarial. Finalmente se plantea que establecer en el currículo de la carrera de ingeniería en alimentos temas o unidades que dentro de una asignatura especifica se les enseñe a los futuros ingenieros la importancia y trascendencia que tiene la innovación y el emprendimiento, es crucial para su formación.
GESTÃO DE PROJETOS NA EDUCAÇÃO A DISTÂNCIA
Authors: Fernandes Allysson Barbosa , do Nascimento Jeckson Santos , da Silva Éverton Marques , Ernandes Itamar , Caldeira Vanessa Morgado Madeira , Pinheiro Leonardo Costa , Gomes Antonio José Ferreira , Penha Maria Cleonice Santos de Melo , Andrade Kássia Reijane dos Santos , Feitosa Aline Magalhães
Published: December 2024

O presente artigo buscou explorar a importância da gestão de projetos na Educação a Distância (EaD), destacando essa prática quando utilizando-se de uma abordagem estruturada e estratégica pode contribuir para o sucesso dos programas educacionais. Apresentamos como objetivo principal analisar as práticas e estratégias de gestão de projetos aplicadas à Educação a Distância, com foco na eficácia das metodologias utilizadas para assegurar a qualidade do ensino e a satisfação dos estudantes. Através de uma revisão da literatura, foram examinados os desafios específicos da EaD, como a manutenção e seleção de tecnologias adequadas, a organização das atividades pedagógicas e a promoção da interação entre os participantes. Os resultados mostram que a aplicação de metodologias como o PMBOK permite não apenas o cumprimento dos prazos e orçamentos, mas também a garantia de qualidade no processo de ensino-aprendizagem. Conclui-se que uma gestão de projetos eficaz é fundamental para a sustentabilidade dos programas de EaD, promovendo um ambiente educacional inovador e integrado, que favorece o desenvolvimento de competências essenciais para os estudantes.