bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of YouTube Videos as a Resource for Improving Health Literacy in Pregnant Women with Opioid Use Disorder
Authors: Kravitz Elizabeth , Close Natalie
Published: August 2024

Background

There is significant perinatal morbidity and mortality of opioid use disorder.

Objective

As YouTube becomes an increasingly prevalent source for medical education among the patient population, this project aims to evaluate the utility of YouTube as a source of education on opioid use disorder (OUD).

Study Design

The first 100 YouTube videos for each of the following search terms were evaluated based on a variety of descriptive characteristics and by a scale developed from the American College of Obstetrics and Gynecology patient education resource (Table 1): “How to quit opioids during pregnancy”, “opioid addiction treatment during pregnancy,” and “opioid detox during pregnancy.”

Results

The average views for videos targeting the general public were 20,456 views. Of these videos, the average utility score was 4.03.

Conclusion

This study not only highlights the shortcomings of current YouTube resources regarding this topic, but also emphasizes the need for further resource investment by the medical community utilizing YouTube as a resource for improving health literacy.
Late Presentation of a Splenic Abscess after Vaginal Delivery
Authors: Holliday Nicolette P
Published: August 2024

A 31 year old primigravid patient was induced for chronic hypertension superimposed pre-eclampsia with severe features at 34 weeks. After her uncomplicated vaginal delivery, her postpartum course was complicated by endometritis and suspected pelvic thrombophlebitis. After more than 48 hours afebrile, her antibiotics and anti-coagulation were discontinued, and she was discharged home. The patient presented back to the hospital on postpartum day 30 with a fever of 105°F, severe sepsis, and altered mental status. She was admitted to the Intensive Care Unit and was started on broad spectrum antibiotics. Blood cultures demonstrated E.coli in 1 out of 2 cultures. A 3.8 x 5.0 cm splenic cyst was noted on CT scan and abdominal ultrasound but deemed clinical irrelevant. The patient clinically improved on antibiotics. She was discharged on hospital day 5 with oral antibiotics. The patient returned the next day on postpartum day 35 for another fever, and she was admitted. An IR guided drainage of the splenic lesion revealed an E.coli positive abscess. The patient was then maintained on IV antibiotics for 45 days before being transitioned to oral antibiotics for another 28 days. Sequential imaging showed resolution of the splenic lesion, precluding her need for a splenectomy. This patient had no risk factors for development of a splenic abscess. There was a low clinical suspicion for a splenic abscess based on the characteristics of the lesion on imaging. However since there was no obvious other source, the drainage of this lesion proved reasonable and consequently, clinically significant for diagnosis. The source of the E.coli is still unknown but suspected to be hepatobiliary or genitourinary in origin.
A primeira residência em medicina de emergência
Authors: Rasia Carmen Lúcia
Published: August 2024

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Research on the Inclusion of "Being Subjected to a Cyber Attack" as a Condition for the Exercise of the Right
Authors: Du Ruofei
Published: August 2024

With the development of information technology, the scale of cyber-attacks is getting bigger and bigger, and the serious harm to national life is growing, while the relief of international law for the regulation of cyber-warfare is in a relatively blank state. Based on the traditional right, this paper will argue the possibility, necessity, jurisprudence, and practicability of including cyber attacks into the conditions of exercising the right from four perspectives (i.e., the advantages of countering cyber attacks by forces of self-defense, the exclusion of other remedies, the jurisprudential basis for the exercise of the right, as well as the study of the legislative attempts and legal achievements of the present-day in the field) in order to illustrate the rationality of the right and construct the elements and structure of the operation of this right on the basis of the law of armed conflict. The author also discusses the elements and structure of the operation of this right on the basis of the Law of Armed Conflict, in order to rationalize the proposal and make it more in line with international laws spirit; and finally, discusses the disputes over the application of this system, provides new perspectives and suggestions for examining this issue.
Research on Art Participation Models in the Protection and Inheritance of Traditional Crafts
Authors: Zhang Aosheng
Published: August 2024

This study explores the art participation models in the protection and inheritance of traditional crafts, aiming to analyze how these models effectively respond to the challenges brought by modernization and globalization and promote the sustainable development of traditional crafts. Through in-depth analysis, the study finds that traditional crafts face many challenges, including technological progress, changes in market demand, and social transformations. Innovative art participation models, especially the application of digital technology and the strengthening of community and education, provide new opportunities for the protection and dissemination of traditional crafts. Digital technology can overcome geographical restrictions, enabling global audiences to access these crafts, while community participation and educational projects help stimulate local communities and the younger generations interest and involvement in traditional crafts. This study suggests that future research should further explore the effectiveness of different art participation models, especially in the application in different cultural backgrounds, and proposes recommendations for policy and strategy formulation to promote the protection and inheritance of traditional crafts. Overall, through innovative participation models, we can find new ways to protect and inherit traditional crafts, ensuring the sustainable development of these precious cultural heritages and passing them on to future generations.
A trajetória do estágio supervisionado em Serviço Social na saúde mental
Authors: Pereira Sofia Laurentino Barbosa
Published: August 2024

Realizou-se um resgate da trajetória do estágio supervisionado obrigatório no curso de Serviço Social da Universidade Federal do Piauí (UFPI) nos campos da saúde mental. Tratou-se de um estudo de caráter bibliográfico e documental, com abordagem qualitativa, com análise a partir do método dialético crítico. Foram localizados e analisados 344 documentos produzidos por 194 estagiários(as) de Serviço Social da UFPI em 18 instituições de saúde mental no período de 1981 a 2019. Nessa série histórica, o estágio supervisionado permaneceu como importante componente curricular e momento privilegiado da formação profissional. A análise desses documentos possibilitou o desvelar de elementos essenciais da história do Serviço Social e da política de saúde mental no Piauí, que precisam ser resgatados e preservados para compreender o tempo presente.
Projekt Cykelliv – evaluering af permanent kørelys på cykel
Authors: Lahrmann Harry , Madsen Tanja Kidholm Osmann , Tallaksen, Anders Brogaard , Christensen Michelle Cederstrøm , Olesen Anne Vingaard
Published: August 2024

Hvert år kommer mange tusind cyklister til skade i trafikken herunder mange i flerpartsulykker enten med motoriserede køretøjer, fodgængere eller andre cyklister. I dette projekt har Trafikforskningsgruppen ved Aalborg Universitet undersøgt, om kørelyset NOVA fra firmaet Reelight kan nedbringe antallet af flerpartsulykker, idet hypotesen er, at øget synlighed af cyklister med kørelys vil føre til færre ulykker.
Grønne emissionstiltag for arbejdsmaskiner på en byggeplads
Authors: Winther Morten , Overgaard Lars , F. Cordtz Rasmus
Published: August 2024

I projektet ”Fremtidens grønne byggeplads” beregnes emissionskonsekvenserne af at indføre grønne emissionstiltag for maskinerne på byggepladsen. Der regnes på et basisscenarie med off-road diesel (B0), og fem forskellige grønne emissionstiltag: HVO biodiesel, mild elektrisk hybridisering af en pæleboremaskine, 10 % tomgangstid for gravemaskiner samt elektrificering af alle gravemaskiner og alle maskiner på pladsen.
Samlet set for alle scenarier, opnås de største reduktioner i energiforbruget og NOx- og PM-emissionerne ved at elektrificere alle maskinerne på byggepladsen. De beregnede besparelser i energiforbruget, NOx- og PM-emissionerne er på hhv. 38 %, 85 % og 66 %, set i forhold til basisscenariet. I fremtiden forventes endnu større NOx - og PM-emissionsbesparelser, efterhånden som andelen af sol- og vindenergi stiger i det danske energisystem. Ved fuld elektrificering sker alle udledninger på kraftværkerne og gevinsten for den lokale luftkvalitet bliver derfor maksimal (nulemission af NOx og PM). For CO2 opnås emissionsbesparelser på 87 % i HVO-, hybrid- og tomgang-scenarierne, hvor alle maskinerne bruger HVO.
For gravemaskiner alene opnås en energibesparelse på 38 %, og CO2 - og NOx-emissionsreduktioner på hhv. 75 % og 6 % ved elektrificering, set i forhold til basisscenariet. Den lille NOx-reduktion skyldes det noget lavere energiforbrug, da NOx-emissionsfaktoren for elforbruget samlet set er højere end ved brug af B0 (og HVO). PM-emissionerne bliver mere end 11 gange højere ved elektrificering, pga. kraftværkernes høje PM-emissioner. NOx-og PM-emissionerne fra kraftværkerne forventes at falde i fremtiden, i takt med at andelen af sol- og vindenergi stiger i det danske energisystem. De lokale emissioner er dog nul. For gravemaskiner opnås de største emissionsreduktioner i tomgangs-scenariet. Her falder de beregnede NOx-, PM- og CO2-emissioner med hhv. 8 %, 1 % og 87 % i forhold til basis, og energiforbruget falder med 4 %.
For pæleboremaskinen opnås ved elektrificering en energibesparelse på 38 %, og NOx- og CO2-emissionsfald på hhv. 32 % og 75 %. NOx-reduktionen i procent bliver mindre end reduktionen i energiforbruget, og PM-emissionerne bliver mere end 9 gange højere end i basisscenariet, af samme årsag som nævnt for gravemaskiner. De lokale emissioner er dog nul. I mild hybrid-scenariet (hvor pæleboremaskinen bruger HVO) beregnes et uændret energiforbrug for pæleboremaskinen, mens NOx- og CO2-emissionerne falder med hhv. 18 % og 87 % og PM-emissionen stiger med knap 3 %, set i forhold til basisscenariet.
Perspektif Indonesia terhadap Aliansi Amerika Serikat Inggris dan Australia
Authors: Wahono Adi , Fertianto Gurtom , Achnaf Mochamad
Published: August 2024

Aliansi AUKUS, yang melibatkan Australia, Inggris, dan Amerika Serikat, telah menarik perhatian global sejak pembentukannya pada tahun 2021. Aliansi ini bertujuan untuk memperkuat keamanan maritim dan kapabilitas pertahanan di kawasan Indo – Pasifik, yang merupakan titik panas geopolitik global. Jurnal ini menganalisa implikasi keberadaan aliansi AUKUS terhadap keamanan dan kebijakan luar negeri Indonesia, selain itu juga menilai dampaknya terhadap dinamika keamanan regional dan respons terhadap langkah strategis Indonesia. Melalui pendekatan analisa dokumen, penulisan jurnal ini mengungkap bahwa Indonesia mengutamakan kedaulatan dan kemandirian langkah strategis telah merespons dengan hati – hati terhadap potensi eskalasi militer dan perlombaan senjata yang mungkin ditimbulkan oleh AUKUS. Selain itu, jurnal ini juga mengeksplorasi prospek kerjasama antara Indonesia dengan AUKUS di masa depan, menyoroti peluang dan tantangan dalam bidang ekonomi, teknologi dan keamanan. Hasil penulisan jurnal ini telah menunjukkan bahwa Indonesia memiliki kesempatan untuk memanfaatkan kerjasama strategis dengan AUKUS untuk meningkatkan kapasitas nasional dan memperkuat posisi geopolitiknya di kawasan, dengan mempertahankan prinsip – prinsip non afiliasi dan kedaulatan nasional.
Kerjasama Industri Pertahanan pada Pembuatan Kapal Selam DSME dengan Korea Selatan Guna Meningkatkan Kekuatan Maritim Indonesia
Authors: Janawi Janawi , Zulkifli Muhammad , Pandjaitan M.B.
Published: August 2024

Penulisan jurnal ini mengkaji kerjasama pertahanan antara Indonesia dengan Korea Selatan dalam pembuatan kapal selam diesel elektrik DSME 209/1400 yang dimulai sejak tahun 2011. Kerjasama ini tidak hanya mencakup pembelian alutsista, tetapi juga transfer teknologi yang esensial untuk mencapai kemandirian industri pertahanan Indonesia. Melalui metode kajian literatur, penulisan jurnal ini menganalisis implikasi dari kerjasama tersebut terhadap strategi keamanan maritim nasional dan kemandirian teknologi. Hasil penulisan jurnal menunjukkan bahwa transfer teknologi melalui pendidikan dan pelatihan Sumber Daya Manusia (SDM) PT. Penataran Angkatan Laut (PT. PAL) berperan penting dalam meningkatkan kapabilitas teknis dan operasional. Akan tetapi pada faktanya masih terdapat tantangan dalam implementasi ToT terkait kesenjangan SDM dan kebutuhan regulasi yang mendukung. Penulisan jurnal ini menekankan pentingnya evaluasi dan adaptasi kebijakan untuk mendukung kerjasama industri yang efektif dan memberikan manfaat maksimal bagi kedaulatan pertahanan nasional.
Analisis Kompetensi Sosio Emosional Siswa dalam Pembelajaran Matematika Ditinjau dari Gaya Belajar David Kolb
Authors: Widuri Kinanti Kusuma , Edy Sarwo , Huda Syaiful
Published: August 2024

Penelitian ini bertujuan untuk mengidentifikasi kompetensi sosio emosional siswa dengan menggunakan gaya belajar David Kolb sehingga dapat meningkatkan efektivitas pembelajaran matematika. Jenis penelitian yang digunakan adalah deskriptif.  Prosedur dalam penelitian ini meliputi persiapan dengan menentukan lokasi penelitian, menyiapkan instrumen penelitian, menyusun rencana penelitian dan analisis data. Kemudian dilanjutkan dengan tahap persiapan yaitu dengan menyebar angket dan mengidentifikasi gaya belajar. Langkah selanjutnya adalah analisis data dengan mengolah dan menyusun hasil penelitian. Pengumpulan data dilakukan dengan menggunakan angket gaya belajar dan modul ajar. Data dianalisis dengan menggunakan analisis gaya belajar David Kolb, dan Analisis Sosio Emosional Siswa, reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan: (1) siswa dengan gaya belajar diverger menunjukkan perkembangan sosio emosional yang sangat baik, terutama dalam aspek self-awareness, social awareness, dan responsible decision making, (2) siswa dengan gaya belajar assimilating mengalami perkembangan yang sesuai harapan, fokus pada self-awareness, self-management, dan responsible decision making, (3) gaya belajar converger menunjukkan perkembangan yang baik dalam aspek self-awareness, social awareness, dan relationship management, (4) Gaya belajar accommodator menunjukkan perkembangan yang baik dalam self-management, relationship management, dan responsible decision making. Pendekatan pembelajaran yang sesuai dengan gaya belajar masing-masing siswa meningkatkan kompetensi sosio-emosional mereka, mendukung perkembangan potensi secara optimal dan seimbang.
Implementasi Peraturan Pemerintah RI Nomor 1 Tahun 2003 tentang Pemberhentian Anggota Polri Dihubungkan dengan Krimonologi (Studi Putusan No: PUT KKEP /11/IX/2018/KKEP)
Authors: Marpaung Rolando , Siringoringo Anderson , Sherhan Sherhan , Simanjuntak Misseris Cordias
Published: August 2024

Oknum polisi yang melanggar aturan hukum dalam tindak pidana pemalsuan surat yang diatur dalam KUHP pasal 263 merupakan tidakan pelanggaran kode etik karena setiap anggota Polri wajib menjaga tegaknya hukum serta menjaga kehormatan, reputasi, dan martabat Kepolisian Republik Indonesia. Pelanggaran terhadap kode etik akan diperiksa dan bila terbukti akan dijatuhi sanksi. Penjatuhan sanksi disiplin serta sanksi atas pelanggaran kode etik tidak menghapus tuntutan pidana terhadap anggota polisi yang bersangkutan tetap akan diproses hukum acara pidana walaupun telah menjalani sanksi disiplin dan sanksi pelanggaran kode etik. Penelitian yang dilakukan adalah penelitian hukum yang bersifat deskriptif analisis dan menggunakan jenis penelitian yuridis empiris yaitu penggabungan atau pendekatan yuridis normatif dengan unsur-unsur empiris yang diambil dataprimer dengan melakukan wawancara dan data sekunder dengan mengolah data dari bahan hukum primer, bahan hukum sekunder dan bahan hukum tersier, dan juga penelitian ini mengelola data yang ada dengan menggunakan analisis kualitatif. Berdasarkan penelitian yang dilakukan maka yang menjadi analisis penulis dalam putusan ini adalah ketidaksesuaian sanksi yang diberikan kepada yang bersangkutan sebab pelaku telah melakukan tindak pidana dan telah melanggar pasal 263 ayat 2 tentang pemalsuan surat dimana itu dilakukan pelaku secara sengaja melalui perantara orang lain.
Strategi Pengembangan Sumber Daya Manusia di Lembaga Pendidikan
Authors: Rahmawati Sri , Jamilus Jamilus
Published: August 2024

This study aims to find out the strategies applied by educational institutions in human resource development. This study uses a qualitative approach with a literature study method. Method. The main source of data for this study is the results of previous research published through various scientific journals and indexed on the database on Google Scholar. The data analysis technique used is qualitative data analysis consisting of data reduction, data presentation, and conclusion drawing. The findings of this study are that human resources are the most important asset in every organization, playing a vital role in achieving goals and long-term success. The fundamental element that determines the quality of education and student development, including teachers, administrative staff, and other supporters who work together to create a conducive and inspiring learning environment is the human resources in schools. Human resource development involves various activities, such as training, education, career development, and continuous learning programs. By focusing on human resource development, organizations can increase employee productivity, innovation, and referrals, all of which contribute to the achievement of strategic goals and competitive advantage
Peran Guru dan Strategi dalam Meningkatkan Pembelajaran Aktif Siswa di Kelas IV SD Al-Huda Sidoarjo
Authors: Sholicha Nikmatus , El-Yunusi Muhammad Yusron Maulana
Published: August 2024

Active student learning is an approach in which students are actively involved in the learning process, not just as passive recipients of information from the teacher. Active learning involves student participation in learning activities such as discussions, problem solving, experiments, and collaboration, which allows them to construct their own understanding in a deeper and more relevant way. The purpose of this study was to analyze the role and strategies of teachers in improving active learning in grade IV students of Al-Huda Elementary School, Sidoarjo. The research method used was qualitative with data collection techniques through observation, interviews, and literature studies. The data analysis techniques used were data reduction, data presentation, and drawing conclusions. The informants in this study were homeroom teachers of grade IV at Al-Huda Elementary School. The results showed that the role of teachers in improving active learning in the classroom had gone well even though there were some obstacles in its implementation. Through the role and strategies of teachers, it aims to encourage critical thinking, problem solving, and student independence in their learning
Why the big bang never happened
Authors: Gu Yingqiu
Published: August 2024

If general relativity is correct, then the origin of the universe is a simple mathematical problem. The Friedmann equation in cosmology is a well-structured ordinary diﬀerential equation, and the global properties of its solutions can be qualitatively analyzed by the phase-trajectory method. In this paper we show that the total energy density of matter in the universe is positive, and the total pressure near the Big Bang is negative. By analyzing the global properties of the solutions to the Friedmann equation according to these two conditions of state functions, we ﬁnd that the Big Bang is impossible, and the space must be a closed 3-dimensional sphere, the cosmological constant is likely to be zero, and the evolution of the universe should be cyclic. The analysis and the proof are simple and straight forward, therefore these conclusions should be reliable.
Challenges and way forward in the handling and disposal of battery waste: Towards sustainable practices
Authors: Jena Madhab Chandra , Mishra Sarat Kumar , Moharana Himanshu Sekhar
Published: August 2024

The management and disposal of battery waste, particularly lead-acid batteries, present numerous challenges that must be addressed to ensure environmental protection, public health, and sustainable resource management. This thesis examines the multifaceted nature of these challenges and explores potential solutions for sustainable battery management. Drawing on insights from prior research, field observations, stakeholder interviews, and literature reviews, the study synthesizes existing knowledge to inform strategies for mitigating the environmental, safety, and economic impacts associated with battery waste. The current scenario on battery waste management highlights significant challenges, including environmental pollution, health risks, safety hazards, recycling challenges, regulatory compliance issues, technological limitations, infrastructure constraints, and the need for public awareness and education. Countermeasures to address these challenges encompass regulatory interventions, technological innovations, infrastructure development, capacity building, and public engagement initiatives. By integrating findings from diverse sources, this thesis aims to contribute to the existing knowledge base on battery waste management and propel strategies for sustainable resource management.
Modeling Antiviral Treatment and Therapeutic Interventions
Authors: Arierhie Eirene , Akponana Eloho , Egbune Ngozika , Okedoye Akindele
Published: August 2024

The severity of the Coronavirus disease (COVID-19) is still felt in some places since its outbreak in 2020 and as a result various antiviral treatments and therapeutic interventions have been researched and approved for use to help curb the disease while some are still undergoing formulation. In this work, we examined the effectiveness of these antiviral treatment and therapeutic interventions on the coronavirus disease using a deterministic SEITR model. This consists of investigating the disease-free and endemic equilibria, basic reproduction number and stability. The local stability of the disease-free equilibrium was determined by solving the Jacobian matrix of the system of the system of differential equations while the basic reproduction number was calculated using the next generation matrix method. Numerical simulations to determine the active factor(s) in the transmission, preventive and possible elimination of the disease were carried out using a computational software called Maple. It was revealed that when people comply with these non-pharmaceutical interventions the rate of recovery increases and the spread of the disease is reduced greatly.
Crude Oil-Bitumen Blends: A Resource and Potential for Refining and Petrochemical Applications.
Authors: Bello Tajudeen , Isa Muhammed , Suleiman Tijani , Idris Ahmed , Momoh Omuya
Published: August 2024

This paper looks at the potential of bitumen blends for refinery and petrochemical applications. Bitumen mixed with diluents and synthetic oils have refinery applications but this process is expensive with current realities, hence the need for cheaper alternatives. In this study, Bitumen was mixed with crude oils, condensate oil and the transport and product properties compared to standard pipeline specification and refinery application evaluated. Bitumen/oil blend ratio of (50:50) was found to pass the North American oil transport pipeline specification of viscosity less than 350 cSt. The bitumen blends were further upgraded via catalytic processes to study the potential of the products. The gas analysis of the products confirmed it is rich in methane and with other components such as carbon monoxide and carbon dioxide, which are potential for energy and syngas production. This confirms the economic potential of bitumen blends with reservoir oils as a candidate material for cost-effective downstream feed/refinery and petrochemical applications.
Effect of husband's support on anxiety level of mothers giving birth
Authors: Antaria Abdullah , Haris Vera
Published: August 2024

Objective: To analyze correlation of husband's support with the level of anxiety and length of labor in women giving birth.
Methodology: This cross-sectional study included a sample of 60 maternity mothers. Sampling technique used was purposive sampling method. Inclusion criteria were gestational age 37 to <42 weeks and the mother is in a normal delivery process. Data were analyzed by using chi-square.
Results: We found that 100% or 37 respondents with good husband support had a mild level of anxiety compared to husbands who lacked support in the delivery process. There was a correlation between husband's support and the level of anxiety (p=0.00).
Conclusion: There was a correlation between husband's support and the level of anxiety.
Patients’ Mental Health Data and Internet of Medical Things (IoMT) Safety: Analyzing Raspberry pi vulnerabilities
Authors: Rajput Adil , Ahmed Samara , Kasher Lora
Published: August 2024

Objective: The goal of this study us to evaluate the safety of patient’s data in an Internet of Medical Things (IoMT) ecosystem. The study focuses on three main objectives: To assess the vulnerability of IoMT devices and systems to cyber threats and data breaches. Specifically, we look at the vulnerability of the raspberry pi servers that are considered the essential building block of an IOT/IOMT environment; to pinpoint vulnerability areas of IoMT ecosystem; and to identify and propose mitigation strategies for the key risks associated with the IoMT ecosystem.
Methodology
The study employed setting up a representative IOMT model where a raspberry pi server controls the IOMT devices. Specifically, we address the following:
1. Vulnerability Assessment: An empirical analysis of a range of IoMT devices and systems was performed to identify specific vulnerabilities. This involved penetration testing and security assessments in controlled environments.
2. Identify the mitigation strategies to gauge the effectiveness.
3. Test the effectiveness of the mitigation strategies.
Results: The study highlights several critical vulnerabilities within the IoMT ecosystem such as weak encryption methods, lack of proper monitoring, effective authentication mechanisms, and the use of outdated software. The study showed that the underlying raspberry pi server are vulnerable to common cyberattack vectors. However, such vulnerabilities can be countered by effective mitigation techniques allowing to capitalize on the IoMT ecosystem.
Conclusion: The study confirms the need for ongoing monitoring and improvement in the IoMT ecosystem. Given the continuous advances in the technology field, the healthcare practitioners and administrators need to put a string governance process in place to ensure the continuous monitoring of potential vulnerabilities and in turn providing an effective remedy.
Clinical characteristics of Mpox at a single center in Saudi Arabia: a retrospective study
Authors: Abuguyan Fahad , Aloraini Hassan , Alessa Alanoud , Salamah Tareq , Alshahrani Fatimah , Antony Marytonia , Alabdan Lulwah
Published: August 2024

Objectives: Mpox (formerly known as monkeypox) is a viral infection that has been linked to a global outbreak as recent as in the year 2022. Mpox outbreaks have been increasingly reported in non-endemic regions since 2017 with over 23,000 cases reported in 80 countries as of August 1, 2022. Objective of study was describe the clinical characteristics, treatment and outcomes of Mpox disease as experienced in a tertiary care center in Riyadh, Saudi Arabia from May 2022 till the study date.
Methodology: This retrospective chart review study was conducted in a large academic tertiary care hospital in Riyadh, Saudi Arabia. Data were obtained from administrative and electronic medical records and analyzed.
Results: Of 33 patients suspected to have Mpox since May 2022, 16 tested positive. In total, 18.8% of patients with Mpox (3/16) had a personal history of recent travel, and 62.5% (10/16) reported some form of recent sexual contact. All the patients presented with rash, and most of them (93.8%) had anogenital rash. The mean number of skin lesions was 6.69, and no one reported coexisting sexually transmitted diseases. In addition, 31.25% (5/16) received antivirals, and no mortality was recorded.
Conclusions: Mpox infection demonstrated a variety of signs and symptoms, with all patients presenting with dermatological manifestations. The spread of this disease in our region exhibited some dissimilarities in the clinical presentation and coexisting infections. This highlights the importance of maintaining a high index of suspicion and a low threshold for testing in order to halt further spread.
TRIAGEM NUTRICIONAL DE IDOSOS PÓS-ACIDENTE VASCULAR CEREBRAL ISQUÊMICO
Authors: De Sousa Nascimento Almeida Alane , Rocha Amici Marcia
Published: August 2024

Aplicar a triagem de risco nutricional/mini avaliação nutricional em pacientes idosos acometidos por Acidente Vascular Cerebral em um hospital público do Sertão Central do Ceará. Estudo transversal, por meio da pesquisa de campo de caráter exploratório, com abordagem quantitativa, através da aplicação do questionário de triagem nutricional Mini Avaliação Nutricional (MAN) em idosos hospitalizados acometidos por AVC. A pesquisa foi realizada com 103 pacientes, dos quais 54,4% (n: 56) eram homens e 45,6% (n: 47) eram mulheres. A média de idade do grupo foi de 73,62 anos. Os resultados da triagem de risco da MAN revelaram que 60,2% dos idosos estavam sob risco de desnutrição, 24,3% estavam eutróficos e 15,5% estavam desnutridos. Apesar de muitos indivíduos deste estudo serem idosos com estado nutricional de eutrofia, sobrepeso ou obesidade, estes que apresentam fatores de alerta para risco nutricional iminente.
DESEMPENHO DA EQUIPE DE ENFERMAGEM FRENTE AO USO DO MEOWS
Authors: Da Silva Araújo Cris Angela , Brito Duarte Elisfabio , Rodrigues da Silva Francisco Daniel , De Lemos Negreiros Tavares Patrícia , Barros da Silva Edith Mara
Published: August 2024

Trata-se de relato de experiência em que se apresenta o desempenho da equipe de enfermagem frente ao uso do sistema de alerta precoce obstétrico modificado (MEOWS), ferramenta recomendada para a detecção precoce do risco de deterioração aguda em pacientes obstétricos. Relato baseado na “Oficina do MEOWS” junto à equipe multiprofissional, visando promover sua imersão na temática sobre mortalidade materna e deterioração clínica com pacientes obstétricas. Foi trabalhado o conhecimento cognitivo e o psicomotor da equipe, permitindo identificar falhas nos processos e sua correção por meio de discussão dos casos e do próprio manuseio da ferramenta. Os resultados da avaliação de reação pós-oficina trazem os conceitos “bom” e “ótimo”. Quanto ao desempenho, observou-se compreensão pela equipe quanto à finalidade e aplicabilidade. O conhecimento promove mais atenção e proatividade da enfermagem nos acionamentos. O olhar do gestor é fundamental para o desenvolvimento da equipe e a identificação de diagnóstico situacional assertivo.
Structural and molecular alterations in murine tissue due to far-field radiofrequency exposure
Authors: Baliga Aaron Paul , Navea Roy Francis , Velayo Clarissa
Published: August 2024

Public concern over exposure to radiofrequency electromagnetic fields has prompted several studies to determine possible health outcomes. However, studies on low level far-field radiofrequency (RF) exposure remain inconclusive on whether it can alter biological systems. Our study's aim was to evaluate structural and molecular modifications such as apoptosis and gene expression in murine brain, liver and kidney tissues exposed to a far-field RF of 915 MHz at a whole-body specific absorption rate of 1.17 W/kg. Forty (40) Swiss male mice were equally and randomly divided into 2 groups: a control group and an RF-exposed group. Each were further equally subdivided (n=5 per subgroup) based on different time points: baseline or no exposure, 3-day exposure, 6-day-exposure and 9-day exposure subgroups. Biometric parameters such as body temperature, body weight, and organ weight were obtained. Tissue samples were collected and analyzed using light and electron microscopy, followed by qPCR assay for both the p53 and Hsp-70 genes. Statistical analysis was performed using ANOVA. There was evidence of both structural and molecular modification beginning Day 3 from continuous-wave far-field RF exposure. The study established multi-level alterations in the murine system due to far field RF exposure providing a glimpse of possible biological effects, and therefore, a need for further studies to translate such evidence in a larger biological perspective.
Fecal coliform assessment and detection of blaTEM, blaSHV, and tetA in Escherichia coli isolated from selected river waters of Tacloban City, Leyte, Philippines
Authors: Vivo Jordan , Rivera Windell
Published: August 2024

Fecal coliforms (FCs) are generally used as indicators of fecal pollution in water systems. High levels of FC pollution in water bodies may also be associated with antibiotic resistance. Escherichia coli, a member of the FC group, is generally commensal and harmless. However, some strains can cause various diseases in humans. The prevalence of antibiotic-resistant E. coli has been reported in several river systems worldwide. Herein, we report the most probable number (MPN) of FC and E. coli and the first detection of blaTEM, blaSHV, and i>blaSHVetA antibiotic resistance genes (ARGs) as well as ARG combinations (i.e. blaTEM + tetA and blaSHV + tetA) in E. coli isolates from river waters with high levels of FC in Tacloban City. MPN was determined using a multiple-tube fermentation technique, and ARG was detected using polymerase chain reaction (PCR). Results show that the Bagacay River had the highest MPN of FC and E. coli (both >160,000 MPN/100 mL), followed by the Burayan Creek (>160,000 MPN/100 mL; 160,000 MPN/100 mL), the Mangonbangon River (92,000 MPN/100 mL; 54,000 MPN/100 mL), and the Tigbao River (35,000 MPN/100 mL; 24,000 MPN/100 mL). Among the 113 uidA gene-confirmed E. coli isolates, blaTEM, blaSHV, and tetA were detected in 39 (34.5%), 7 (6.2%), and 83 (73.5%) E. coli isolates, respectively. Moreover, 34 (30%) of the isolates possess both blaTEM and tetA, and five (4.4%) of the isolates have both i>blaSHV and tetA. These results imply that the rivers are unsafe for anthropogenic use and the presence of ARGs in E. coli isolates pose a threat for locals. Hence, the public is urged to ensure safety and awareness in relation to these water environments. Further monitoring and source tracking are recommended to enhance environmental and public health safety among locals.
Factors influencing the supply chain in the export-import food market in Vietnam
Authors: Nguyen Lan Anh , Dang Nam Anh
Published: August 2024

This study explores the factors affecting the supply chain in the Vietnamese food import-export market using qualitative research methods. Through in-depth interviews and group discussions with key stakeholders, the study identifies seven critical factors: regulatory environment and policy challenges, quality control and food safety standards, logistics and infrastructure, market dynamics and consumer preferences, technology adoption and innovation, collaboration and integration across the supply chain, and environmental and sustainability concerns. The results show that a comprehensive approach is needed to improve the industry's competitiveness, including policy reform, infrastructure investment, application of advanced technology and increased cooperation between stakeholders observe and adapt to new market trends and environments. The study proposes specific recommendations to improve supply chain efficiency and proposes future research directions to gain a deeper understanding of the dynamics of Vietnam's food import and export market.
ESTUDO DAS HABILIDADES PARA A ALFABETIZAÇÃO DE CRIANÇAS DO 1º ANO DO ENSINO FUNDAMENTAL COM DIFICULDADES ESCOLARES
Authors: Stumm Liliane , Bazan Sueli Valentim Sanches
Published: August 2024

O objetivo desse trabalho foi verificar a presença das habilidades necessárias para a aprendizagem da leitura e escrita em um grupo de crianças com queixa de dificuldades para aprender a ler. Participaram do estudo 07 alunos, sendo utilizado como instrumento de avaliação do repertório básico para a alfabetização o protocolo IAR, que contempla as 13 habilidades fundamentais que toda criança precisa ter adquirido como base para seu processo de aprendizagem da leitura e da escrita, e o protocolo de Consciência fonológica em 6 subtestes. Como resultado identificou que a maioria dos indivíduos participantes desse estudo não tem domínio da das habilidades necessárias para aprendizagem acadêmica e apresentam alteração na consciência fonológica. Concluímos ser necessário ênfase no desenvolvimento de tais habilidades tanto na educação infantil como no início da alfabetização.
Environmental temperature, space allowance, and regrouping: Additive effects of multiple concurrent stressors in growing pigs
Authors: Hyun Y , Ellis Mike , Curtis Stan , Johnson Rodney
Published: August 2024

Objective: To determine the effects of multiple concurrent stressors on hematologic and behavioral measurements in growing pigs. Materials and methods: Two hundred and fifty-six growing pigs (Yorkshire x Hampshire or purebred Duroc barrows and gilts, initial body weight 34.7 +/- 0.5 kg) were used in a randomized block design with a 2 x 2 x 2 factorial arrangement of treatments to determine effects on hematologic and behavioral measures of environmental temperature (constant-thermoneutral at 24°C or cycling-high from 28°C to 34°C), space allowance (0.56 or 0.25 m2 per pig), and regrouping (static, ie, not regrouped, or regrouped at start of Weeks 1 and 3 of the study). After a 7-day adjustment period at 24°C and 0.56 m2 of space per pig, treatments were imposed for the study period of 4 weeks. Results: At end of Week 4, the cycling-high temperature treatment group had lower lymphocyte concentrations, higher neutrophil concentrations, and, consequently, higher neutrophil:lymphocyte (N:L) ratios (P < .05). Neither space allowance nor regrouping influenced N:L ratio. No stressor affected hematocrit (HCT) or plasma cortisol concentration. However, cortisol and N:L ratio were higher and HCT was lower as number of stressors increased. Pigs on the cycling-high temperature treatment were less active than those on the constant-thermoneutral treatment. Standing activity was higher and lying activity was lower as number of stressors increased (P < .05). Implications: The three stressors tested in this study influenced hematological and behavioral measurements indicative of stress in growing pigs, and some of these effects were additive.
A decision-making framework for evaluating interventions used at weaning to reduce mortality in lightweight pigs and improve weight gains in the nursery
Authors: Larriestra A , Morrison Robert , Deen John
Published: August 2024

A decision model to aid in selecting treatments for weaned pigs was developed and tested, with the purpose of reducing nursery mortality and improving weight gain. Interventions evaluated were to not treat pigs, to treat the whole population, or to treat only a subgroup of pigs below a certain weaning weight (target treatment). Outcome was characterized as death or survival. Losses were set at zero for survivors weighing > 14.5 kg at the end of the nursery phase. Survivors weighing <= 14.5 were defined as lightweight pigs (LWP). Losses due to LWP and death were modeled as 30% and 60%, respectively, of the feeder pig market price (1974 to 2002 average, United States Department of Agriculture). Treatment effect, mortality, proportion of LWP, and treatment cost were subjected to sensitivity analysis. Losses were minimal for mortality < 7% and LWP < 18% when target treatment was used with different weaning weight cutoffs. Treating the whole population was economically efficient (mortality and LWP were at least 40% lower) if performance was poor. Each course of action evaluated may minimize losses. However, target treatment minimizes losses for a wide range of mortality, proportion of LWP, and treatment-cost situations.
Sow and litter performance following farrowing induction with prostaglandin: Effect of adjunct treatments with dexamethasone or oxytocin
Authors: Cassar Glen , Kirkwood Roy , Friendship Robert , Poljak Zvonimir
Published: August 2024

Objective: To evaluate effects of dexa-methasone (DEX) and oxytocin in prosta-glandin F2[alpha] (PGF) farrowing-induction protocols. Materials and methods: In Experiment One, 144 sows were induced with two injections of PGF 6 hours apart (split dose) with or without injection of 20 mg DEX with the second PGF. Interval from initial PGF to farrowing, duration of farrowing, litter size born alive, number of stillbirths, and piglet weight gain to 10 days of age were recorded. In Experiment Two, 106 sows were induced with single or split-dose injections of PGF with or without injection of 20 IU oxytocin 24 hours after initial PGF. Time to onset and duration of farrowing were recorded, as were requirement for manual intervention, total litter size born, and incidence of stillbirths. Results: For sows farrowing 24 to 32 hours after initial PGF injection in Experiment One, there was no effect of DEX treatment on the PGF-to-farrowing interval, duration of farrowing, or piglet growth and survival to 10 days of age. In Experiment Two, more sows farrowed by 32 hours after the split dose of PGF than after a single dose (P < .05). The PGF injection protocol did not influence the farrowing response to oxytocin. Oxytocin injection was associated with higher stillbirth rates when cervical dilation was incomplete. Implications: These data do not support a role for corticosteroid in farrowing induction protocols. Oxytocin administered 24 hours after PGF (single or split dose) was associated with farrowing problems, suggesting that routine use of oxytocin in periparturient sows is contraindicated.
Seroprevalence of Lawsonia intracellularis in Ontario swine herds
Authors: Corzo Cesar , Friendship Robert , Dewey Cate , Blackwell Tim
Published: August 2024

Objective: To estimate the seroprevalence of Lawsonia intracellularis in finisher pigs and sows in the province of Ontario. Methods: Serum samples from a total of 1061 pigs in 37 Ontario commercial herds were collected and tested using the indirect immunofluorescent antibody test. Differences in within-herd prevalence for type of herd, continuous flow or all-in, all-out management in the finishing barn, and inclusion of in-feed antibiotics were examined. Results: Seroprevalence of L intracellularis was 90% for sows and 56% for finisher pigs. Seventy-three percent of herds were seropositive. Within-herd prevalence was higher in farrow-to-finish farms than in multi-site operations (P < .001), and lower in herds with all-in, all-out rather than continuous-flow management in the finishing barn (P < .01). Implications: Under the conditions of this study, seroprevalence of L intracellularis was high, suggesting that the organism is widespread in the Ontario swine population. More sows than finisher pigs are seropositive. Serologic tests are valuable tools for determining the status of the herd with respect to L intracellularis infection.
A presumptive case of vomiting and wasting disease in a swine nucleus herd
Authors: Alsop Janet
Published: August 2024

An outbreak of vomiting and wasting disease was presumptively diagnosed in a 650-sow genetic nucleus herd in January 2002. Clinical signs included inappetence, coughing, and pyrexia in nursing sows, and vomiting, huddling, and pyrexia in piglets. More than 500 weaned pigs were euthanized because of anorexia and wasting. No clinical signs were observed in gestating sows or in pigs in the finishing barns. The clinical diagnosis was presumptively confirmed by signs in piglets and weaned piglets. However, the cause of the outbreak was not determined, as the herd had been seropositive for hemagglutinating encephalomyelitis virus (HEV) prior to the onset of clinical signs. Since February 18, 2002, there have been no clinical signs of HEV in the herd.
Effect of single or double insemination on fertility of sows bred at an induced estrus and ovulation
Authors: Cassar Glen , Kirkwood Roy , Poljak Zvonimir , Bennett-Steward Kristina , Friendship Robert
Published: August 2024

Objective: To determine the effect of porcine luteinizing hormone (pLH) on time of ovulation and subsequent fertility to single or double artificial insemination (AI). Materials and methods: In Experiment One, 17 sows received equine chorionic gonadotropin (eCG; 600 IU) intramuscularly (IM) at weaning, then 5 mg pLH IM 80 hours later to induce ovulation. Time of ovulation was determined using transrectal real-time ultrasonography. In Experiment Two, 567 sows were assigned to five treatments: no hormone treatments, AI am and pm day 5 after weaning; eCG at weaning; AI am and pm day 5 after weaning; pLH 80 hours after weaning, AI 36 and 44 hours later; eCG at weaning, pLH 80 hours later, AI 36 and 44 hours after pLH; eCG at weaning, pLH 80 hours later, AI 36 hours after pLH. Results: Time from pLH to ovulation was 38.2 +/- 2.8 hours (range, 34.25 to 42.5 hours). Of the 567 weaned sows, 530 (93.5%) were bred and 403 (76.0%) farrowed. There was no effect of eCG on subsequent fertility. Farrowing rate was higher (P < .01) for sows receiving eCG followed by pLH at both insemination frequencies. Litter size was unaffected by treatment. Implications: A protocol of eCG-induced estrus and pLH-induced ovulation allows for predictable timing of ovulation and optimal timing of insemination relative to ovulation. The degree of predictability allowed for maintenance of fertility to a single, fixed-time insemination.
Demonstration of porcine circovirus type 2 in the testes and accessory sex glands of a boar
Authors: Opriessnig Tonja , Kuster C , Halbur Patrick
Published: August 2024

Porcine circovirus type 2 (PCV2) antigen was demonstrated in lungs, lymphoid tissues, intestines, and testes and accessory sex glands of an 11-month-old boar from a boar stud with a history of recent illness and infertility. At necropsy, the lungs failed to collapse and there was moderate cranioventral bronchopneumonia. Microscopically, there was severe multifocal suppurative and histiocytic bronchointerstitial pneumonia with severe peribronchiolar lymphoid hyperplasia. Mycoplasma hyopneumoniae nucleic acids were demonstrated in lung by polymerase chain reaction (PCR), and moderate numbers of Pasteurella multocida type D were isolated from the lungs. There was mild to moderate lymphoid depletion and histiocytic replacement of follicles in lymphoid tissues associated with PCV2 antigen. Immunohistochemistry revealed PCV2-specific staining in the cytoplasm of macrophages and fibroblast-like cells in the interstitium of the seminal vesicles, and PCV2 nucleic acids were demonstrated in semen by nested PCR. These findings suggest that PCV2 was part of the disease complex that contributed to the illness in this boar.