bluuebunny/crossref_metadata_2025 huggingface dataset:
A Case Report of Corrosive Injury of Gastrointestinal Tract Managed with Pectoralis Major-Myocutaneous Patch Cover Over Pharyngo-Esophageal Anastomosis
Authors:   Deparment of Gastrosurgeon, Synergy Superspeciality Hospital, Rajkot 360007, Gujrat, India., Jagad Rajan , hattopadhyay Arnab C , Bhatt Pranav , Shukla Nidhi , Vanzare Prashant ,   Deparment of Gastrosurgeon, Synergy Superspeciality Hospital, Rajkot 360007, Gujrat, India.
Published: May 2024

Corrosive ingestion remains one of the most devastating problems in developing countries that cripples patient’s body, mind and soul depriving them from leading a normal social life and living with a scar on their emotions, psyche and charisma. Appropriate management in the acute phase of corrosive injury reduces tissue damage and further morbidity and mortality. The aim of this case discussion is to evoke a light of hope for those patients of corrosive injury and a guide to clinicians worldwide for further better management and sharing our experience of surgical management of a case of such corrosive injury of gastrointestinal tract.
Modeling from the first principles of the electronic properties of compositions of REE as precursors of high-temperature superconductors
Authors: Gulay A. V. , Dubovik A. V.
Published: May 2024

Modeling of the first principles of the electronic properties of complex oxides of rare earth elements (BaY2O4, BaGd2O4, BaLu2O4) as precursors of high-temperature superconductors has been performed. The VASP software package was used as a modeling environment, in particular the method of coupled plane waves (PAW method), which allows us to obtain fairly accurate results for calculating the electron density and band structure. From the analysis of the obtained band energy structure, it follows that the studied REE oxides have a band gap width Eg = 3.29–3.84 eV, which is characteristic for dielectric materials. The studied compounds based on these rare earth elements selected from the yttrium (Y, La, Gd–Lu) and cerium (Ce–Eu) groups are characterized by an increase in Fermi energy and a decrease in the band gap as the atomic number (39, 64, 71) of the element in the periodic table increases. A method for modeling the quantum layers of the studied materials by simulating the restriction of the crystal structure along one of the coordinate axes is proposed. This representation approximates the model of the crystal lattice of REE oxides to the situation of analyzing a quantum layer whose thickness is equal to the size of the crystal cell along the specified axis. The rupture of atomic bonds in a crystal is simulated by increasing the distance between atomic layers along this axis to values at which the value of free energy is stabilized. In the quantum layer of rare earth element oxide (with its thickness close to 1 nm), a wider range of energy values is formed in which electrons are distributed than is observed in the continuous version, and the expansion of the electron distribution area extends to the energy levels of the band gap. This is explained by the fact that the geometric discretization of nanoscale structures determines the discreteness of the quantum-dimensional energy spectrum.
Estímulos económicos del Ministerio de Cultura del Perú: ¿La mejor manera de fomentar el crecimiento económico de las industrias creativas en Perú?
Authors: Bullard Ines , Rodríguez Escobar Viana
Published: May 2024

The article examines Peru’s Ministry of Culture’s economic stimulus mechanism as a catalyst for cultural growth. It breaks down its functioning, emphasizing it’s support for independent projects, diversity, and innovation. Challenges like complex application processes are addressed, with potential solutions. It also explores the option of subsidizing cultural demand over supply, democratizing access, attracting new audiences, fostering diverse experiences, erasing economic barriers, and empowering consumers. In conclusion, the article underscores the significance of economic stimuli and demand-side policies, calling for enhancements to enrich Peru’s inclusive and diverse cultural landscape.
Nature-based flood risk mitigation in river deltas is most effective with upstream and channel-fringing mangroves
Authors: Pelckmans Ignace , Belliard Jean-Philippe , Gourgue Olivier , Dominguez-Granda Luis , Temmerman Stijn
Published: May 2024

Global changes induce increased flood risks in river deltas, which concentrate a large portion of the global population and economic activity. Nature-based solutions, such as the conservation and restoration of mangroves in tropical river deltas, are considered a sustainable addition to expensive engineered flood defence systems. However, we currently lack science-based guidelines on where, in a river delta, mangrove conservation and restoration should be prioritised to attenuate extreme water levels most effectively and, conversely, where mangrove conversion to human land use would have limited impact on flood risks. Here, we apply state-of-the-art models to (1) an idealised generic geometry of a river delta and (2) a complex geometry of a real river delta case, which explicitly represents the complex pattern of mangroves, channels and human land use, to show that upstream-concentrated mangroves and channel-fringing mangroves are more effective in attenuating extreme water levels. Conversely, converting mangroves to human land use in zones located farther away from river channels and more downstream, has much less impact on extreme high water levels. Our study provides first step advice towards effective spatial planning that conciliates conservation of natural wetlands, economic development and flood risk mitigation.
On some applications of a particular class of block matrices
Authors: Kaddoura Issam , Mourad Bassam
Published: May 2024

In this paper, we study a particular class of block matrices placing an emphasis on their spectral properties. Some related applications are then presented. In particular, we prove the existence of an infinite number of integer matrix solutions for the two equations: aX p + bY p = cZ p and aX p + bY q = cZ r for any integers a, b and c and for any positive integers p, q and r such that these solution matrices have all of their entries nonzero natural numbers.
Preparing Allied Health Professionals for First Contact Practice roles in primary care: a mixed-methods study exploring the experiences of students and their clinical mentors
Authors: Chance-Larsen Kenneth , Lievesley Kurt , Backhouse Michael , Collier Richard , Sudmann Tobba
Published: May 2024

Background
The First Contact Practitioner role have been established in England to expand multidisciplinary working in primary care. First Contact Practitioners, including podiatrists, paramedics, physiotherapists, dietitians, and occupational therapists, undergo less foundational training than General Practitioners. Health Education England commissioned The University of Central Lancashire to deliver a module for First Contact Practitioners to support the development of the knowledge, skills, and attitudes required to provide safe and effective care in primary care. This study investigated the utility of the module as perceived by First Contact Practitioners who had completed the module and their clinical mentors, and their perceptions about how the First Contact Practitioner role meets the clinical realities of primary care.
Methods
Using a qualitatively driven mixed-methods approach, we collected data via online surveys and semi-structured interviews. We explored the empirical material using a reflexive and creative method, and used Lipsky’s theories on street-level bureaucracy as a theoretical frame of reference.
Results
Twenty-one students and six clinical mentors completed the survey, six students and two clinical mentors were interviewed. We found that perceptions about the utility of the module is influenced by personal circumstances, professional identity, and mentoring experience, and that profession-specific competence typically fall short of the capabilities required for the primary care gatekeeper role. The participants indicated that a clear definition of the First Contact Practitioner role is missing, which might sit in contrast to policymakers’ perception that there is a clear blueprint for the implementation of the role.
Conclusions
Our findings can inform and guide postgraduate training for healthcare professionals wanting to pursue a career in primary care, as well as employers that implement public policy at the street level. Our study can guide policymakers, who in their endeavour to improve public services must allow autonomous practitioners to interpret and show discretion in their meetings with patients, but also offer clear guidelines, job descriptions, and roadmaps.
Development of an eye-tracking system based on a deep learning model to assess executive function in patients with mental illnesses
Authors: Kim Minah , Lee Jungha , Lee Soo Yong , Ha Minji , Park Inkyung , Jang Jiseon , Jang Moonyoung , Park Sunghyun , Kwon Jun Soo
Published: May 2024

Patients with mental illnesses, particularly psychosis and obsessive-compulsive disorder (OCD), frequently exhibit deficits in executive function and visuospatial memory. Traditional assessments, such as the Rey‒Osterrieth Complex Figure Test (RCFT), performed in clinical settings require time and effort. This study aimed to develop a deep learning model using the RCFT based on eye tracking to detect impaired executive function during visuospatial memory encoding in patients with mental illnesses. In 96 patients with first-episode psychosis, 49 with clinical high risk for psychosis, 104 with OCD, and 159 healthy controls, eye movements were recorded during a 3-minute RCFT figure memorization, and organization and immediate recall scores were obtained. These scores, along with the fixation points indicating eye-focused locations in the figure, were used to train a Long Short-Term Memory + Attention model for detecting impaired executive function and visuospatial memory. The model distinguished between normal and impaired executive function with an F1 score of 83.5% and identified visuospatial memory deficits with an F1 score of 80.7%, regardless of psychiatric diagnosis. These findings suggested that this eye-tracking-based deep learning model can directly and rapidly identify impaired executive function during visuospatial memory encoding, with potential applications in various psychiatric and neurological disorders.
Retrospective Analysis of Neonatal Hyperbilirubinemia at Hiwot Fana Specialized Hospital, Ethiopia: Prevalence, Associated Factors, and Treatment Outcomes
Authors: Abdirahman¹ Mohamed , Libe² Temesgen Teferi , Gebru³ Feven Mekonnen
Published: May 2024

Background
Neonatal hyperbilirubinemia, also known as neonatal jaundice, is a condition characterized by yellowish discoloration of the skin and eyes caused by bilirubin buildup in the body. Understanding its prevalence, associated factors, and outcomes is crucial for effective management.
Objectives
This study aimed to assess the prevalence, associated factors, and treatment outcomes of neonatal hyperbilirubinemia at Hiwot Fana Specialized Hospital, Eastern Ethiopia.
Methodology:
A hospital-based cross-sectional study was conducted from December 1, 2020, to December 30, 2020, involving 328 neonates admitted to the Neonatal Intensive Care Unit. Data were collected using a checklist and analyzed using SPSS version 22.
Result
Neonatal hyperbilirubinemia prevalence was 44.2%, with 1.4% progressing to bilirubin encephalopathy. Sepsis (44.8%) and prematurity (22%) were major contributing factors. Most neonates were treated with phototherapy alone (82.3%), and 93.8% showed improvement.
Conclusion
The study underscores the importance of early detection and management of neonatal hyperbilirubinemia to prevent adverse outcomes. Recommendations include integrating jaundice prevention into antenatal care and ensuring timely bilirubin level checks in neonates.
A first characterization of kinetochore proteins in the holocentric insect Spodoptera frugiperda
Authors: Gimenez  , Eychenne  , Legeai  , Gamble  , d'Alençon
Published: May 2024

Insects with holocentric chromosomes have a centromere spread all over their length and are devoid of the proteins CENP-A and CENP-C, suggesting a different kinetochore assembly process compared to that in monocentrics. Very recently, the homolog of CENP-T was shown to play a key role in kinetochore assembly in Bombyx mori and to bind to silent chromatin regions. However, nothing is known in other holocentric insects. In this paper, we set up a protocol to silence the kinetochore genes cenp-L, cenp-S, cenp-X and ndc80 and searched for chromosome segregation defects in Spodoptera frugiperda cells. We also analyzed their expression pattern in the insect. As shown by immunofluorescence microscopy and RT-QPCR, we succeeded to silence target genes efficiently by transfection with dsRNA. In Sf9 cells depleted for CENP-L and NDC80, by immunofluorescence microscopy, we observed an increase of mitotic indices linked to metaphase arrest and, respectively unaligned chromosomes and multipolar spindles. In cells depleted for CENP-S and CENP-X, the mitotic indices were unchanged and no division defects were observed. Except cenp-S and X, kinetochore genes were overexpressed in gonadal versus somatic tissues. We conclude that CENP-L and NDC80 play a major role in chromosome segregation, while the function of CENP-S and -X are still unknown. We started to characterize the kinetochore proteins (CENP-L, CENP-S, CENP-X, NDC80), a prerequisite for holocentromere identification in S. frugiperda. We provide the first clues on CENP-L in Lepidoptera, a protein playing a central role in the structure of the Constitutive Centromere Associated Network in monocentrics
Developing a quality assessment model (QAM) using logical prediction: Binary validation
Authors: Dandan Sameer Mohammed Majed , Al-ghaswyneh Odai Falah Mohammad
Published: May 2024

This study focuses on evaluating the quality of competency transfer through various assessment methods and results, considering diverse stakeholder perspectives. The research aims to introduce an innovative approach for validating assessment outcomes, leveraging predicted sub-measurements, and transforming Boolean parameters' symbols into a binary coding system. This transformation simplifies the validation process by employing logical equations. The study's sample involves the adaptation of a competency transfer model, which combines internal parameters with the novel logical assessment method. The research findings indicate that the binary 2x system effectively simplifies quantitative and qualitative data representation within the validation process. This system facilitates the early detection of potentially ambiguous results, enabling the creation of validation procedures grounded in organizational cultural dimensions, outcomes, reports, and assessments. The proposed Quality Assessment Model (QAM) serves as a powerful tool for prediction, enhancing the quality of both quantitative and qualitative data outcomes. This approach generates distinct values, precise predictive measurements, and valuable result quality suitable for informed decision-making in various contexts. Ultimately, the study contributes to the advancement of assessment methodologies, enabling stakeholders to make more accurate and reliable judgments based on the quality of competency transfer.
Papel de agricultura familiar na mitigação dos impactos ambientais: uma revisão sistemática de literature
Authors: Cardoso Lourenço Manuel da Gama Silva , Silva Romário Nunes da , Andrade Luciano Pires de
Published: May 2024

O objetivo do presente trabalho, foi de descrever a importância e o papel da Agricultura Familiar na mitigação dos impactos ambientais. A metodologia, embasou-se na pesquisa de caráter qualitativa exploratória e, na revisão sistemática de literatura, com critérios de inclusão e exclusão das literaturas pesquisadas nas bases de dados científicos: Google acadêmico, Scielo, BDTD, Scopus, Web of Science e artigos da Nature food. Com recorte temporal dos artigos publicados desde a primeira reunião das ONU sobre clima em 1972 a 2022. Para seleção dos artigos, foram utilizados os termos indexadores e operador booleano em português e inglês (“Agricultura familiar” e “meio ambiente”; “Family farming” and Environmente). Os resultados apontam que este modelo agrícola tem desempenhado um papel de extrema relevância na mitigação dos impactos ambientais causados pelas ações antrópicas, através das suas capacidades inventivas de adaptar de forma resiliente aos tais impactos.
Agronomic biofortification of Eruca sativa L. with iron in nutrient film technique hydroponic cultivation
Authors: Ceccherini Guilherme José , de Lima Bianca Machado , Lima Tiago de Leme , Santucci Letícia Foglia , Verruma-Bernardi Marta Regina , Purquerio Luis Felipe Villani , Sala Fernando César
Published: May 2024

The global need for greater production of biofortified foods has increased especially in the case of hidden hunger. The agronomic biofortification of arugula with iron has become a strategy to solve the low intake of this nutrient in population. Therefore, the objective of this study was to evaluate the agronomic biofortification of two arugula cultivars in a hydroponic-NFT system, in two seasons (winter and summer), under the effect of different concentrations of iron in the nutrient solution. The experimental design was carried out in randomized blocks, in a factorial scheme with 4 concentrations of chelated iron (EDDHA) (1.8, 3.6, 5.4 and 7.2 g 1000 L-1) in the nutrient solution with fertilizers and 2 arugula cultivars (Astro and Roka), and four repetitions. The harvest was To carried out 25 days after transplanting (DAT) in winter, and in summer at 20 DAT. The agronomic analyzes were: plant diameter, number of leaves per plant, length and width of leaves, package height, fresh root mass and fresh shoot mass productivity in m², and iron content in shoots and roots. We found that the cultivation period influenced the plant's ability to accumulate iron. In summer, the faster metabolism of plants together with greater transpiration caused a faster daily saturation of Fe content by the roots. The plants showed an intense green color, with an increase in the iron concentration in the nutrient solution of both cultivars. We concluded that agronomic biofortification of arugula is possible in both cultivars. We observed that a concentration of 3.6 mg 1000L-1 of iron (iron content 9.70% above control) in winter is suitable for Astro. For cv.Roka, we indicated a concentration of 7.2 mg 1000 L-1 of iron (iron content 47.9% higher than the control), in summer. Both are recommended for consuming iron from plants for human nutrition.
Seed priming improved the physiological parameters, growth, and yield of durum wheat varieties under tillering and anthesis drought stress conditions
Authors: Aldahadha Abdallah , Alhajaj Nawal , Shakhatreh Yahya , Khalaf Yahya Bani , Samarah Nezar , Alzoubi Eyad
Published: May 2024

A pot experiment was carried out to investigate the impact of seed priming on some physiological parameters, growth, and yield components of four durum wheat varieties (Hourani, Umqais, Sham 1, and Maru 1) during both stages of tillering and anthesis drought. Four pre-sowing seed treatments (hydropriming with distilled water, osmopriming with PEG, osmopriming with 1.5% CaCl2, and controls) were applied for 12 hours at 24 ºC. Drought was imposed at both stages by withholding water for 7 days and being compared with well-watered conditions. The experimental design was 4 x 4 x 3 factorial in a completely randomized design with three replicates for each treatment. During anthesis, seed priming significantly improved transpiration rate, total chlorophyll content, and relative water content (RWC) by 29%, 1.7%, and 3.5%, while drought suppressed these physiological parameters by 18.6%, 6.5%, and 12.1%, respectively, when compared with those during tillering. Osmopriming with PEG had significantly 35% higher transpiration rate and 4.9% higher RWC during anthesis stage than hydropriming treatment. Overall, osmopriming with either PEG or CaCl2 significantly improved the growth and yield parameters of wheat when compared with hydropriming. The highest grain yield was significantly improved by 82.7% for var. Sham 1 when seeds were primed with PEG. However, var. Hourani had the highest reduction in grain yield (67.8%) under drought at anthesis stage. In conclusion, seed priming resulted in an increase in grain yield at both stages, with more substantial improvement observed under severe anthesis drought due to the enhanced physiological performance of wheat.
APLICACIONES MÓVILES Y SU IMPACTO EN LA FIDELIZACIÓN DEL CLIENTE: ESTRATEGIAS PARA EMPRESAS
Authors: Calle García Aldrin Jefferson , Carvajal López Carlos Eladio , Espinar Galarza Amy Valentina , Guillen Pincay Angie Denise
Published: May 2024

Este estudio se centra en analizar el impacto de las aplicaciones móviles en la fidelización del cliente, así como en identificar estrategias efectivas implementadas por las empresas para mejorar esta relación. Se abordan diversas áreas, incluyendo usabilidad, personalización, comunicación, programas de fidelización y gamificación. El objetivo principal es comprender cómo las empresas pueden aprovechar las aplicaciones móviles para aumentar la lealtad del cliente y mejorar su experiencia. Mediante una combinación de métodos analíticos e inductivo-deductivos, se llevó a cabo una investigación exhaustiva. Entre los resultados se destaca que el 85% de los usuarios consideran la usabilidad como un factor determinante en su decisión de utilizar una aplicación de forma continua. Asimismo, se observó que las aplicaciones con una calificación promedio de más de 4 estrellas tienen un 20% más de retención de usuarios en comparación con aquellas con una calificación inferior. Además, el 70% de los usuarios activos de la plataforma de Spotify utilizan regularmente las listas de reproducción personalizadas generadas por algoritmos de recomendación, lo que se refleja en una tasa de retención un 20% más alta.
TÉCNICAS DE MACHINE LEARNING APLICADAS A LA INTERPRETACIÓN DE DATOS DE MERCADO
Authors: Andrade Vera Silvia Andrea , Zambrano Segovia Mario Marlon , Zambrano Cevillano Allison Nicolle , Morales Ponce Valeria Lilibeth
Published: May 2024

La aplicación de técnicas de machine learning en la interpretación de datos de mercado ha sido el foco de este estudio, es por ello que el objetivo es explorar cómo estas técnicas son utilizadas por diversas empresas en diferentes sectores, como telecomunicaciones, alimentos, cosméticos y tecnología, para mejorar sus operaciones y tomar decisiones estratégicas. A través de una revisión detallada de casos de estudio y análisis de resultados, se encontró que el machine learning supervisado ha permitido una segmentación de clientes más precisa y una personalización efectiva de servicios, con aumentos significativos en la lealtad del cliente y la eficiencia operativa, alcanzando hasta un 12% y un 20%, respectivamente. Además, los modelos de regresión han mejorado la predicción de la demanda y optimizado las operaciones, logrando reducciones de hasta un 5% en los costos de inventario y un aumento del 10% en la satisfacción del cliente. Por último, el machine learning no supervisado ha revelado patrones y tendencias importantes en grandes conjuntos de datos sin etiquetar en diversos sectores, contribuyendo a aumentos del 20% en la satisfacción del usuario y hasta un 35% en las ventas.
LA AUDITORÍA INTERNA COMO SOPORTE ESTRATÉGICO EN LA GESTIÓN PÚBLICA
Authors: Calle García Aldrin Jefferson , Guzmán Chompol Carlos Javier , Ramos Ortiz Dayanna Bezabeth , Bermeo Cheme Lupe Karina
Published: May 2024

La auditoría interna es dispensable en la gestión pública al proporcionar soporte estratégico a través de la evaluación objetiva de procesos y controles internos. Es por ello que este estudio tiene como objetivo determinar el impacto de la auditoría interna en la toma de decisiones gubernamentales, enfatizando su influencia en la asignación de recursos. Se empleó una metodología mixta que combinó análisis cuantitativos y cualitativos, incluyendo el análisis de varios estudios. Los resultados mostraron que el 85% de las entidades públicas con auditorías internas autónomas utilizaban los hallazgos de la auditoría para informar decisiones importantes, en comparación con el 60% de aquellas con auditorías menos independientes. Además, el 75% de las entidades que fomentaban una cultura de transparencia y colaboración encontraron más efectivo el uso de los resultados de la auditoría interna en el proceso de toma de decisiones.
IMPORTANCIA DE LA CIBERSEGURIDAD EN LA INVESTIGACIÓN DE MERCADOS DIGITAL
Authors: Calle García Aldrin Jefferson , Conforme Merchan Yaritza Margarita , Magallanes Bueno Emily Lissette , Guaranda Bravo Juleidy Yolanda
Published: May 2024

La ciberseguridad desempeña un papel fundamental en la investigación de mercados digitales, donde la protección de datos y la confianza del cliente son vitales. Es así que, este estudio analiza la importancia de la ciberseguridad en este contexto. Se empleó una metodología mixta que combinó la revisión exhaustiva de la literatura con el análisis detallado de casos prácticos de empresas afectadas por brechas de seguridad. Los resultados revelan la necesidad crítica de medidas de seguridad robustas para proteger los activos digitales y la reputación de las empresas en entornos digitales cada vez más complejos. En este sentido, se destaca que el 85% de las violaciones de datos fueron causadas por errores humanos, señalando así la importancia de la capacitación del personal en ciberseguridad. Además, el 43% de los ataques de inyección de SQL se dirigen a versiones de software desactualizadas, subrayando la necesidad de mantener el software siempre actualizado para mitigar riesgos. Así mismo, se encontró que el 90% de los ataques de phishing condujeron a la instalación exitosa de malware, lo que resalta la importancia de evitar abrir archivos adjuntos o hacer clic en enlaces de fuentes desconocidas.
La antropomorfización del vínculo humano-animal en las dinámicas familiares: una revisión documental
Authors: Correa Duque Maria Cristina , Posada Hoyos Valentina , Gómez  Tabares Anyerson Stiths
Published: May 2024

Introduction: The study of the interaction between humans and companion animals has become more relevant due to changes in current social dynamics. Objective: To conduct a documentary review of the evolution of research on anthropomorphizationin animals and its impact on the human-animal bond characteristic of contemporary family dynamics. Methodology: This is a documentary review study supported by the Tree of Science (ToS) web tool for literature selection. The search was conducted inScopus and Web of Science. Thirty-one studies were included in the review. Results: The results were categorized into classical, structural and recent studies. It was found that the anthropomorphization of the animal and its inclusion in the family makes it possible to modify behaviors and establish habits in family life. The role of animals in the family scenario is directly influenced by the degree to which they are anthropomorphized, which generates both advantages and disadvantages for the family, the pets and their direct caregivers. Conclusions: Anthropomorphizing practices respond to contemporary changes in human relationships and perceived loneliness and may promote bonds in human-animal and human-human interactions.
An assessment of cardiac nurses' knowledge and practices regarding patient safety after cardiac catheterization
Authors:   Cardiac Nursing Administration, Cardiac Center at Hail (CCH), Ha’il, Saudi Arabia, Alshammari Thuwaini , Alshammari Mohammad ,   Cardiac Nursing Administration, Cardiac Center at Hail (CCH), Ha’il, Saudi Arabia, Alshammari Najah ,   Executive Administration of Nursing, Ha’il Health Cluster, Ha’il, Saudi Arabia, Alshammari Tahani ,   Staff Nurse, Diabetes and Endocrinology Center, Ha’il, Saudi Arabia, Alshammari Amjad ,   Staff Nurse, King Salman Specialist Hospital, Ha’il, Saudi Arabia
Published: May 2024

Cardiac catheterization is a medical procedure that helps doctors examine the heart and its blood vessels in detail. It involves inserting catheters (thin tubes) into a blood vessel in the arm or leg and guiding them to the heart with the help of X-ray images. This process allows for the collection of data on blood flow, pressure, and oxygen levels in the heart, as well as taking samples and imaging the heart's arteries and chambers. Ensuring patient safety, which means preventing harm during healthcare, is crucial, especially after this procedure. The team performing cardiac catheterization must prioritize safety and quality care to avoid complications. This study, the first of its kind in the Northern Region of Saudi Arabia, aims to evaluate the knowledge and practices of cardiac nurses regarding patient safety after cardiac catheterization. It employs a descriptive, correlational, cross-sectional design and analyzes data using frequency and percentages. Conducted from July to September 2023 at a Cardiac Center in Hail, Saudi Arabia, it involves nurses with varying levels of education and experience in cardiac care. The research tools include a questionnaire on potential complications post-catheterization and an observation tool for nursing care. The findings indicate that experience affects knowledge levels, with nurses having over five years of experience showing higher knowledge. The study also finds that most nurses have moderate to adequate knowledge about patient safety post-catheterization, but there's room for improvement. Compared to similar studies, this research underscores the importance of experienced nursing care in preventing complications. It suggests the need for enhanced training and education focusing on care after cardiac catheterization to improve patient outcomes.
Implementation of Inpatient Electronic Consultations During the COVID-19 Crisis and Its Sustainability Beyond the Pandemic: Quality Improvement Study
Authors: Aledia Anna S , Dangodara Amish A , Amin Aanya A , Amin Alpesh N
Published: May 2024

Background

Limiting in-person contact was a key strategy for controlling the spread of the highly infectious novel coronavirus (COVID-19). To protect patients and staff from the risk of infection while providing continued access to necessary health care services, we implemented a new electronic consultation (e-consult) service that allowed referring providers to receive subspecialty consultations for patients who are hospitalized and do not require in-person evaluation by the specialist.

Objective

We aimed to assess the impact of implementing e-consults in the inpatient setting to reduce avoidable face-to-face referrals during the COVID-19 pandemic.

Methods

This quality improvement study evaluated all inpatient e-consults ordered from July 2020 to December 2022 at the University of California Irvine Medical Center. The impact of e-consults was assessed by evaluating use (eg, number of e-consults ordered), e-consult response times, and outcome of the e-consult requests (eg, resolved electronically or converted to the in-person evaluation of patient).

Results

There were 1543 inpatient e-consults ordered across 11 participating specialties. A total of 53.5% (n=826) of requests were addressed electronically, without the need for a formal in-person evaluation of the patient. The median time between ordering an e-consult and a specialist documenting recommendations in an e-consult note was 3.7 (IQR 1.3-8.2) hours across all specialties, contrasted with 7.3 (IQR 3.6-22.0) hours when converted to an in-person consult (P<.001). The monthly volume of e-consult requests increased, coinciding with surges of COVID-19 cases in California. After the peaks of the COVID-19 crisis subsided, the use of inpatient e-consults persisted at a rate well above the precrisis levels.

Conclusions

An inpatient e-consult service was successfully implemented, resulting in fewer unnecessary face-to-face consultations and significant reductions in the response times for consults requested on patients who are hospitalized and do not require an in-person evaluation. Thus, e-consults provided timely, efficient delivery of inpatient consultation services for appropriate problems while minimizing the risk of direct transmission of the COVID-19 virus between health care providers and patients. The service also demonstrated its value as a tool for effective inpatient care coordination beyond the peaks of the pandemic leading to the sustainability of service and value.
Implementation of Inpatient Electronic Consultations During the COVID-19 Crisis and Its Sustainability Beyond the Pandemic: Quality Improvement Study (Preprint)
Authors: Aledia Anna S , Dangodara Amish A , Amin Aanya A , Amin Alpesh N
Published: May 2024

BACKGROUND

Limiting in-person contact was a key strategy for controlling the spread of the highly infectious novel coronavirus (COVID-19). To protect patients and staff from the risk of infection while providing continued access to necessary health care services, we implemented a new electronic consultation (e-consult) service that allowed referring providers to receive subspecialty consultations for patients who are hospitalized and do not require in-person evaluation by the specialist.

OBJECTIVE

We aimed to assess the impact of implementing e-consults in the inpatient setting to reduce avoidable face-to-face referrals during the COVID-19 pandemic.

METHODS

This quality improvement study evaluated all inpatient e-consults ordered from July 2020 to December 2022 at the University of California Irvine Medical Center. The impact of e-consults was assessed by evaluating use (eg, number of e-consults ordered), e-consult response times, and outcome of the e-consult requests (eg, resolved electronically or converted to the in-person evaluation of patient).

RESULTS

There were 1543 inpatient e-consults ordered across 11 participating specialties. A total of 53.5% (n=826) of requests were addressed electronically, without the need for a formal in-person evaluation of the patient. The median time between ordering an e-consult and a specialist documenting recommendations in an e-consult note was 3.7 (IQR 1.3-8.2) hours across all specialties, contrasted with 7.3 (IQR 3.6-22.0) hours when converted to an in-person consult (P<.001). The monthly volume of e-consult requests increased, coinciding with surges of COVID-19 cases in California. After the peaks of the COVID-19 crisis subsided, the use of inpatient e-consults persisted at a rate well above the precrisis levels.

CONCLUSIONS

An inpatient e-consult service was successfully implemented, resulting in fewer unnecessary face-to-face consultations and significant reductions in the response times for consults requested on patients who are hospitalized and do not require an in-person evaluation. Thus, e-consults provided timely, efficient delivery of inpatient consultation services for appropriate problems while minimizing the risk of direct transmission of the COVID-19 virus between health care providers and patients. The service also demonstrated its value as a tool for effective inpatient care coordination beyond the peaks of the pandemic leading to the sustainability of service and value.
Surgical methods of treatment for tibial diaphyseal fractures
Authors: Stroiev M.Yu. , Karpinska O.D.
Published: May 2024

Background. Bone fractures are a public health concern. In recent years, there has been an upward trend in body weight of people of all age groups. Obesity has long been thought to help protect against fractures, but recent studies have shown that for every 5 cm increase in waist circumference, the risk of any fracture is 3 % higher. The purpose: according to the meta-analysis of modern medical literature, to determine the main directions of surgical treatment for long bone fractures, their advantages, and disadvantages, including in overweight patients, the features of diaphyseal fracture fixation in overweight patients. Materials and methods. A meta-analysis of special literature from scientific databases was conducted: Cochrane Library, Scopus, National Library of Medicine — National Institutes of Health, ReLAB-HS Rehabilitation Resources Repository. One hundred and thirty articles were analyzed, from them 31 were selected, which, in our opinion, reflect the purpose of the study. Results. All methods of surgical fixation of fractures have their advantages and disadvantages. The frequency of nonunions caused by intramedullary fixation of the femoral shaft can reach 10 %, and varus/valgus and rotational deformities and shortening can also be observed. But the use of locking screws prevents the occurrence of most complications. When fixing the fractures with plates, the main complications are related to superficial and deep infections, which were more often observed in overweight patients. The analysis demonstrated that in overweight and obese patients, the main complicating factor is not the method for fixing the fracture zone, but factors related to the health of the patient himself. So, despite the fact that the results of treatment of fractures in patients with normal weight and obesity did not have a statistically significant difference, an increase in cardiovascular complications, exacerbation of chronic respiratory diseases was observed. Moreover, it is the presence of concomitant diseases that often makes surgical intervention impossible. Conclusions. There is a large amount of research on surgical methods of fixing tibial diaphyseal fractures, but data on the choice of fixation method in overweight and obese patients as a separate approach were not found. There are data on complicating factors of excess weight in the treatment of fractures and surgical interventions. Systematic studies related specifically to the algorithm for choosing the method of fracture fixation and complications have also not been found.
From Aliens to Apartheid
Authors: Rosas-Salazar Vladimir
Published: May 2024

This review analyzes how Neill Blomkamp’s 2009 film District 9 uses an alien species forced into a refugee camp as an allegory for the institutionalized racial discrimination experienced in South Africa under apartheid. Three key aspects are explored in the following paragraphs: 1) District 9’s resonance beyond typical sci-fi entertainment by engaging with pressing sociopolitical issues; 2) Its representation of dehumanization and oppression of marginalized groups through the alienation of the aliens; and 3) The film’s innovative mockumentary style blending fiction with documentary realism to enhance emotional impact.
ANTIMICROBIAL USE AND RESISTANCE: SURVEY OF KNOWLEDGE AND AWARENESS OF GENERAL PUBLIC IN CHITTOOR DISTRICT
Authors: KAKARLA PRASANNA LAKSHMI , PEDAPATIKASTURI  , SRIVANI NELLORE , BABU P. PRAKASH
Published: May 2024

Objective: Antimicrobial resistance (AMR) leads to increased morbidity and mortality. WHO identified AMR as great threat to human health. India with highest bacterial disease burden in the world has rampant antibiotic usage. Natural phenomenon AMR is accelerated by the misuse and overuse of antibiotics. The responsibility of proper usage lies with both the prescribers and general public. Ecological, epidemiological, cultural and socioeconomic factors influence AMR. This study aims to enhance understanding of current public awareness and common behaviors related to antimicrobials, their use and AMR.
Methods: Descriptive closed-questionnaire-based face-to-face survey was conducted between January to March 2022 among 400 attendants of patients visiting the tertiary care hospital at Tirupati, Chittoor District. Residents aged>18 y were included; health care providers excluded. Data was collected using WHO questionnaire consisting of two parts.
Results: There is widespread antibiotic usage-70% of participants used at least once in past 6 mo. Many respondents were mistaken that head ache (42%) and cold (38%) require antibiotics. Only 66% of respondents knew to take full course of antibiotics. 26% of respondents never heard of antibiotic resistance terminology. 51% of participants had no idea that antibiotic-resistant bacteria can spread among persons. All the respondents agreed that regular hand washing is helpful.
Conclusion: Huge knowledge gaps were found along with various misconceptions and misunderstandings in the public. It is imperative to address these gaps as soon as possible to save the potency of available antibiotics. Reasons for misconceptions and ways to dispel them need further studies.
Climate analysis of the semi-arid region of Paraíba: Challenges and sustainable strategies
Authors: Fernandes Amanda Cristiane Gonçalves , Menezes Júnior Raimundo Aprígio de
Published: May 2024

This study aimed to analyze climatic trends in the semi-arid region of Paraiba by understanding changes in climatic variables over time and proposing adaptation and mitigation strategies to address the challenges posed by climate change, aiming to promote sustainable and resilient development in the region. The study area corresponds to the municipalities of RemÃ­gio, EsperanÃ§a, Arara, SolÃ¢nea, Lagoa Seca, SÃ£o SebastiÃ£o de Lagoa de RoÃ§a, and Queimadas. Climatic variables such as Average Daily Temperature (CÂ°), Precipitation (mm/day) and Evapotranspiration (mm/day) were obtained from the Goddard Earth Sciences Data and Information Services Center (GES DISC) through the tool also obtained in the study by Giovanni (2023). Descriptive statistics of climatic variables were performed, the Kendall test was used to assess the presence of temporal trends, and simple regression analysis was conducted to explore relationships between climatic variables. The climatic analyses indicated a decreasing trend in precipitation and evapotranspiration over time. This highlights the vulnerability of the semi-arid region of Paraiba to adverse climatic conditions, with potential impacts on available water resources. It is essential to implement policies and practical measures to address water scarcity, rising temperatures, and extreme events, thereby ensuring a more resilient and sustainable future for the semi-arid region of Paraiba.
El derecho penal simbólico y los efectos de la pena
Authors: Díez Ripollés José Luis
Published: May 2024

Número 103Enero - Abril 2002Nueva Serie Año XXXVISSN 0041 8633 EL DERECHO PENAL SIMBÓLICO Y LOS EFECTOS DE LA PENA * José Luis DÍEZ RIPOLLÉS ** El autor parte de la doble constatación de que al derecho penal le es consustancial el uso de los denominados "efectos simbólicos" y que, en efecto, se ha servido siempre de ellos para la obtención de sus fines. A partir de esta idea, se profundiza en el análisis de naturaleza y modo de operar de dichos efectos para, posteriormente, realizar algunas aportaciones en relación con las condiciones que deben concurrir para que el uso de dichos efectos tenga legitimidad. En la parte final se explican algunas estrategias de confrontación con el creciente desarrollo del derecho penal simbólico, después de lo cual se afirma que dichas estrategias no tendrán la debida concreción y operatividad mien-tras no se desarrollen instrumentos técnicos que permitan verificar la corrección de las decisiones penales desde el punto de vista de los efectos sociopersonales pretendidos. Palabras clave: pena, derecho penal simbólico, efectos de la pena. *Este trabajo tiene su origen en la ponencia realizada para el seminario Crítica y justificación del derecho penal en el cambio de siglo. El análisis crítico de la escuela de Frankfurt, celebrado en Toledo los días 13 al 15 de abril de 2000. Su contenido es sus tancialmente idéntico a lo allí presentado, aunque se han añadido algunos pasajes, en parte derivados del debate que siguió a su exposición. ** Catedrático de derecho penal de la Universidad de Málaga. * Nota: Debido que la traducción es automática podrá ser inexacta o contener errores.
Globalización y principio de jurisdicción universal: un estudio de caso
Authors: Díaz Müller Luis T.
Published: May 2024

Número 105Septiembre - Diciembre 2002Nueva Serie Año XXXVISSN 0041 8633 GLOBALIZACIÓN Y PRINCIPIO DE JURISDICCIÓN UNIVERSAL: UN ESTUDIO DE CASO Luis T. DÍAZ MÜLLER * El presente trabajo tiene por objeto analizar el principio de la jurisdicción universal en el contexto de la globalización, cuyo debate ha resurgido con el caso Pinochet. En primer lugar, el autor explica los orígenes de la globalización y su concepción actual, para después tratar el tema de la globalización de la justicia en la que cobra sentido el principio de la jurisdicción universal. En segundo lugar, realiza un estudio de los crímenes contra la humanidad, entre los que destaca el crimen de genocidio. En tercer lugar, expone el concepto y elementos del principio de jurisdicción universal, así como su regulación en el derecho internacional público. Finalmente, presenta el caso Pinochet con el objeto de analizar la aplicación del mencionado principio en contra de personas acusadas de crímenes contra la humanidad. Palabras clave: globalización, principio de jurisdicción universal, globalización de la justicia, crimen de genocidio.
¿Por qué la Unión Europea necesita un marco constitucional?
Authors: Habermas Jürgen
Published: May 2024

Número 105Septiembre - Diciembre 2002Nueva Serie Año XXXVISSN 0041 8633 ¿POR QUÉ LA UNIÓN EUROPEA NECESITA UN MARCO CONSTITUCIONAL?* Jürgen HABERMAS ** El objetivo de este ensayo consiste en tratar de responder una serie de preguntas que tienen que ver con el diseño institucional de la Unión Europea, como una forma política original y compleja constituida a partir de los Estados-Nación que ahora la componen. En primer lugar, el autor aborda la discusión de las razones o justificaciones de la idea que pugna por estrechar aún más los vínculos formales y jurídicos entre los miembros de la Unión Europea; en segundo lugar, examina Habermas el tema de las condiciones para avanzar o no hacia la adopción de una Constitución federal, y finalmente discute las principales interrogantes que se plantearían si la Unión Europea decidiese adoptar un marco constitucional próximo al esquema federal. Palabras clave: integración política, instituciones supranacionales, federalismo. *"Pourquoi l"Union européenne a-t-elle besoin d"un cadre constitutionnel?": conferencia pronunciada en la Universidad de Parías, el 6 de diciembre de 2000, seguida de un debate con el sociólogo Alain Touraine y la juez constitucional Dominique Schnapper. Publicada en Cultures en Mouvement, núm. 35, marzo de 2001. Agradecemos a Armand Touati la autorización para la presente traducción y publicación. Traducción del francés de Bernardo Bolaños. **Profesor y principal exponente filosófico de la Universidad de Frankfurt en Alemania. * Nota: Debido que la traducción es automática podrá ser inexacta o contener errores.