bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Terapi Musik Terhadap Hemodinamik pada Anak Dengan Leukemia di Ruang Flamboyan 9 RSUD Dr. Moewardi Surakarta
Authors: Ellen Putri Liliarmita Khasanah  , Irma Mustika Sari  , Lin Marhamah Azizah
Published: September 2024

Leukemia is a progressive malignant disease of the blood-forming tissues. Leukemia is caused by abnormal growth of white blood cells (leukocytes) in the bone marrow. These cells then spread in the blood circulation. This disease is still a public health problem in the country and in the world, which affects children to adults, leukemia is a cancer with the highest death cases in the world. One of the complementary therapies that can be used to improve the psychological response of cancer patients is music therapy. Music therapy can increase relaxation and reduce anxiety in leukemia patients during the chemotherapy process. Objective : Knowing the results of the application of music therapy to hemodynamics in children with leukemia in the room Flamboyan 9 RSUD Dr. Moewardi surakarta. Method : Methods of data collection in this application is to use the method of interviews, and observation. Findings : After performing music therapy for 1 day, the results were the same for both respondents, that is, children can lower blood pressure and pulse frequency within normal limits. Implication : Music therapy can affect the decrease in hemodynamics in children with leukemia because there are significant changes in hemodynamics from height to decrease.
Peranan Sekuens Dixon pada Pemeriksaan MRI Cervical dengan Klinis Hernia Nucleus Pulposus di Instalasi Radiologi Rumah Sakit Pusat Pertamina Jakarta Selatan
Authors: Zul Fikra  , I Made Lana Prasetya  , Tri Asih Budiati
Published: September 2024

Magnetic resonance imaging (MRI) is a diagnostic examination modality in medicine using a magnetic field without using X-rays, MRI has the advantage of being able to create images and can show clearer and more sensitive anatomical differences in soft tissues in the body such as the brain,Bone marrow and musculoskeletal. An MRI machine can produce diagnostic images of the inside of the human body, both in sagittal, coronal and transverse sections, without using ionizing radiation (X-rays) and also without using radioactive substances, but based on the principle of magnetic resonance of the hydrogen atom to reveal anatomy and pathology. clinical diagnosis, one of which is Hernia Nucleus Pulposus in the Cervical vertebrae. Hernia  Nuecleus pulposus is a condition of biochemical ad physical changes in the spinal disc tissue caused by degeneration in old age,or acute external pressure that causes a bulge into the spinal canal,putting pressure on the durameter or nerve roots, thereby triggering symptoms of neurological pain. The use of the Dixon sequence was proposed for the assessment of metaphyseal bone marrow water water content,with a short scan time. Dixon sequence imaging can be used for fat suppression in the extremities and spine, but also quantification of fat in the bones..
The research method used is descriptive research with an observation approach. Data collection was carried out from 01 January 2022 to 28 February 2023 using a Mr. Philips aircraft with a power of 3 Tesla. The sample of patients used in this study were 5 patients with vertebral complaints. Data collection was carried  out  through observation,interviews and documentation.
Cervical MRI examination with clinical Hernia Nucleus Pulposus using a Philips
3 Tesla MRI machine has an examination procedure with a Survey sequence design, Myelo, Sagittal TSE T2 dixon, Sagittal TSE T1, Coronal TSE STIR, Axial TSE TA, and axial mFFE
Analisis Pengelolaan Sampah Non Medis Kategori Sampah Organik Dan Anorganik Berdasarkan Permenkes No.7 Tahun 2019 Di RS Citra Arafiq Pada Tahun 2022
Authors: Laras Agesti Ayu
Published: September 2024

Based on data on waste generation in the Citra Arafiq Hospital environment in 2022, namely, the average generation of infectious waste is approximately 58.85 kg/day which is transported to TPS, while non-medical waste generated from black plastic bags is approximately 130 .9 kg/day. The success of the waste management system is closely related to the procedures owned by the hospital concerned as a reference for waste management based on PERMENKES No.7 of 2019. The puprose of this research is to analyze Non-Medical Waste Management for Organic and Inorganic Waste Categories based on PERMENKES No.7 of 2019 at Citra Hospital Arafiq in 2022. This study uses a descriptive analytic research with a qualitative approach. Data collection through observation, interviews, and document review. Respondents in this study included 1 key informant, 1 main informant, 4 supporting informants. The research results show that there is no different container between organic and inorganic waste, there is still more than 2/3 of waste found in the container that has not been transported before the time of transportation. the behavior of officers who still mix medical waste with non-medical waste in one transport trolley, and waste collectors who do not use PPE completely. Still found black plastic that has not been tied or tightly wrapped at TPS, based on interviews, often the garbage is forgotten to be transported.
Prosedur Pemeriksaan MRI Cervical Dengan Diagnosa Cervical Root Syndrome (CRS) di Instalasi Radiologi RSUD DR. Moewardi
Authors: Denita Puspita Sari  , Ni Putu Rita Jeniyanthi  , Ni Luh Putu Sari Widari
Published: September 2024

CRS occurs when there is irritation to the cervical nerve roots due to the vertebral disc bulging out. In diagnosing CRS, supporting tools such as MRI are needed. The purpose of this study was to determine how the cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital and why the cervical MRI examination with a diagnosis did not use the T2*GRE and Proton Density sequences. This study used a qualitative method with a case study approach conducted from June-July 2023 with the object of research as many as five patients diagnosed with CRS. The respondents consisted of three radiographers, three radiology specialists, and one sending doctor. The cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital has no special preparation, the patient only releases metal objects in the patient's body before entering the examination room. The sequences used are Coronal T1 FSE, Coronal STIR, Sagittal T2 FRFSE, Sagittal T1 FSE, Sagittal STIR, Axial T2 FRFSE, Axial T1 FSE, and Myelography. Based on the results of the study, using T2*GRE in CRS diagnosis will produce a poor picture. While Proton Density is good for bone but because of the use of a long time and CRS diagnosis is more focused on nerve fibers and soft tissue, it does not need to be used.
Prosedur Teknik Pemeriksaan Magnetic Resonance Spectroscopy Pada Kasus Tumor Otak Di Instalasi Radiologi RS Pusat Pertamina Jakarta
Authors: Saybivo Chandra  , Ni Putu Rita Jeniyanti  , Tri Asih Budiati
Published: September 2024

Procedure For Magnetic Resonance Spectroscopy Examination Technique In Brain Tumor Cases At The Radiology Installation Of Pertamina Central Hospital Jakarta. MR spectroscopy is one way of describing metabolites in tumor tissue without being invasive. Single spectroscopic approach, which is used in Magnetic Resonance Spectroscopy and is the most common spectral collection method in MRI modalities. MRi is the establishment of a medical diagnosis based on the principle of magnetic resonance. MRI aircraft produce images in various pieces namely coronal, sagittal, and transverse by not at all using x-rays that produce radiation and also using radioactive substances. Brain tumors are abnormally growing brain tissue cells originating from the brain or meningens, which are benign or malignant tumors that make massive pressure. MRS is a unique non-invasive sequence that helps in the identification of lesion molecules and the difference between malignant and benign lesions. In MRI examination of the brain with tumor cases there are several sequences used, namely Se / Fse Pd / T2, Se / Fse / incoherent spoiled, (DWI) diffusion weighted imaging (1) According to Elmaoglu (2), imaging techniques that can be used for MRI brain tumor cases include axial T1 spin echo, T2 fast recovery fast spin echo, T2 FLAIR, coronal T1 and T1 Axial post contrast injection,  T1 coronal, and T1 sagittal, diffusion weighted imaging (DWI), magnetic resonance angiography, and magnetic resonance spectroscopy. In taking SVS LESION localizer must be precise on tumor tissue not taking part that is not part of the tumor, analyze tumor area and take SVS NORMAL localizer on other healthy tissue.
Hubungan Penyakit Infeksi Cacing Terhadap Status Gizi Pada Anak Panti Asuhan Di Kecamatan Medan Sunggal
Authors: Cut Maqfirah  , Yeni Halim  , Irza Haicha Pratama
Published: September 2024

Worm infections are the entry of worm eggs into the human body and multiply, causing disease. A worm infection is declared positive if worm eggs are found in at least one type of worm in the specimen examined. Worm infections can cause malnutrition because all the nutrients will be absorbed by the worms which will ultimately cause the child's mental and physical development to be disrupted, children become sick easily due to a decrease in the immune system, stunting or short stature and being smaller than their peers, and reduced intelligence and Some cases can cause death in children. The aim of this research is to determine the relationship between worm infections and nutritional status in children in orphanages. This research is an analytical observational study using a cross sectional method. The population in this study was all 33 children from the Al-Marhamah orphanage and all 42 children from the Cinta Kasih orphanage. In taking samples using a simple random sampling technique so that the sample in this study consisted of 63 samples consisting of 28 people at the Al-Marhamah orphanage and 35 people at the Cinta Kasih orphanage. Data analysis in this study used univariate and bivariate analysis. The results showed that 53 children were negative for worm infections with a percentage of 84.1%, 1 child was infected with Ascaris worms with a percentage of 1.6% and 9 children were infected with Trishiuris worms with a percentage of 14. 3%. In this study, the type of worm that was often found in children from orphanages in Medan Sunggal District was the Trishiuris worm type. The description of the nutritional status of children who have worm infections is 10 children with poor nutrition, 16 with moderate nutrition, 17 with moderate nutrition, 18 with good nutrition and 2 with over nutrition. The conclusion of this study is that there is no significant relationship between worm infections and the nutritional status of children in the Cinta Kasih and AL – Marhamah orphanages (p>0.05).
Faktor – Faktor yang Berhubungan Dengan Keberadaan Jentik Nyamuk Aedes Aegypti di RT 03 Kelurahan Air Lintang Wilayah Kerja Puskesmas Muara Enim Tahun 2023
Authors: Ragah Perdaha  , Fera Meliyanti  , Elwa Candra  , Fera Novitry
Published: September 2024

Background:The presence of larvaeTemples of the Egyptiansin an area is an indicator of the presence of a mosquito populationTemples of the Egyptians in that area. Mosquito breeding placeTemples of the Egyptiansgreatly affects the level of density or density of larvae. Mosquito breeding placeTemples of the Egyptiansnamely the place where the mosquitoes areTemples of the EgyptiansLaying eggs can be found indoors and outdoors.Objective: knowing the factors related to the presence of mosquito larvae temples of the Egyptians In RT 03, Air Lintang sub-district, Muara Enim Health Center working area in 2023. Method :This type of research uses quantitative correlation with an approach cross sectional where data for both variables is collected at the same time or at one time. In this study, there is a relationship between 3M's actions, water storage and solid waste.Results :From the results of the analysis, it is known that the 3 M Action is related to the presence of Mosquito LarvaeTemples of the EgyptiansIn Air Lintang Village, Muara Enim Community Health Center Work Area in 2023, 98 respondents were found to have experienced the presence of mosquito larvae.Temples of the Egyptians there were 48 (49%) respondents who were smaller than respondents who did not have larvae egyptians as many as 50 (51%) respondents. And it is known that of the 98 respondents, it was found that 46 (46.9%) respondents did not carry out 3M Actions well, compared to 52 (53.1%) respondents who did 3M Actions well. 98 respondents found that 44 (44.9%) respondents had smaller water reservoirs compared to 54 (55.1%) respondents who did not have water reservoirs outside the house. 98 respondents found solid waste of 53 (54.1%) respondents which was greater than that of 45 (45.9%) respondents who had no solid waste.Conclusion :Test results chi square obtained p value 0.000 (≤0.05) means that there is a meaningful relationship between Action 3M and the presence of larvae temples of the Egyptians. Test results chi square obtained p value 0.000 (≤0.05) means there is a significant relationship between water reservoirs and the presence of mosquito larvaeTemples of the Egyptians. Test results chi square obtained p value 0.000 (≤0.05) means there is a significant relationship between solid waste and the presence of larvae egyptians.
Hubungan Pengetahuan Ibu Dengan Pemberian Imunisasi Dasar Di Wilayah Kerja Puskesmas Sopobutar Kabupaten Dairi
Authors: Parida Hanum  , Lasria Simamora  , Henny Rista
Published: September 2024

Background: The percentage of children aged 0 to 11 months who received complete basic immunization reached 75.5% of the target of 92.9%, with a performance achievement of 75.34%. Complete Basic Immunization Coverage (IDL) in North Sumatra Province in 2019 was 85.17%. For data on Complete Basic Immunization (IDL) coverage in Dairi district, there is 82.02%, this figure shows that Dairi district has not yet achieved the strategic plan that has been determined. This study aims to analyze the relationship between maternal knowledge and the provision of basic immunizations in the working area of the Sopobutar health center, Dairi Regency in 2022. Method: This type of research is analytical with a cross-sectional design. The research was conducted in the working area of the Sopobutar Community Health Center, Dairi Regency, North Sumatra Province. The research was conducted from May to June 2022. The population in the study were all mothers who had 1 year old babies recorded in the working area of the Sopobutar Community Health Center, 38 people and using total sampling techniques. Data analysis in this research includes Univariate Analysis and Bivariate Analysis with the chi square test, using a significance level of 5% (p value <0.05). Results: The results showed that the majority of mothers' knowledge was sufficient, 22 people (57.9%) and the majority of babies received complete basic immunization, 26 people (68.4%). The statistical test results show a p value of 0.002 <0.05, meaning there is a significant relationship between knowledge and providing basic immunization to babies in the Sopobutar Community Health Center Working Area. Conclusion: P value = 0.002 <0.05, which means Ha is accepted and Ho is rejected, which means there is a significant relationship between knowledge and providing basic immunizations to babies in the Sopobutar Community Health Center Working Area in 2022. It is hoped that mothers who have babies will increase their insight and concern regarding basic immunization for babies, regarding immunization programs according to schedule and providing complete immunizations.
Pengaruh Leader Member Exchange Terhadap Oganizational Citizenship Behaviour Perawat Di Rumah Sakit Stella Maris Makassar
Authors: Muhammad Takwa  , Andi Niartiningsih  , Nurul Hidayah Nur  , Mene Paradilla  , Nurfitriani Nurfitriani
Published: September 2024

The lack of OCB behavior shown by some nurses, namely, only formal tasks that can be completed optimally without being supported by behaviors that support the creation of extra performance more than expected. The low form of OCB behavior in oneself can be seen from not caring about the work of colleagues, when the work is finished, often complaining about work and hospital policies. This study aims to analyze the effect of leader member exchange on organizational citizenship behavior of nurses at the Stella Maris Hospital. This type of research is a quantitative study using an observational study with a cross sectional study design. The samples in this study were nurses at the inpatient installation of the Stella Maris Hospital in Makassar, totaling 131 respondents. The results showed that there was an effect of leader member exchange on organizational citizenship behavior for nurses. It is recommended to the hospital management to be able to make meetings and hold workshops, by providing support to their subordinates in order to create a good relationship between superiors and subordinates so that it is easier for subordinates to convey innovative ideas and can also hold trainings for employees who can help improve creativity and innovative behavior of employees.
Manejo das síndromes hipertensivas gestacionais na atenção primária à saúde
Authors: Pinheiro Jedson Gleizer Souza , Franco Mariane Cordeiro Alves , Andrade Jocyane de Souza , Pinheiro Fábio Souza , Pinheiro Fabrício Souza , Espírito Santo Cauã Leal do , Veiga Maria Eduarda Dantas da
Published: September 2024

As Sindromes Hipertensivas Gestacionais são uma importante causa de morte materna. Apesar disso, o pré-natal ainda é feito de maneira inadequada na atenção primária à saúde, seja pela falta de conhecimento dos profissionais da saúde acerca dessa condição, seja pela falta de acompanhamento por parte da gestante. Dessa forma, o objetivo do estudo é avaliar o cenário atual do pré-natal no manejo das Síndromes Hipertensivas Gestacionais na Atenção Primária a Saúde a partir de uma revisão integrativa da literatura. Foram identificados 16 artigos publicados nos últimos 5 anos. O conhecimento inadequado sobre a diferenciação das SHG, o uso insuficiente da profilaxia para a pré-eclâmpsia e a falta de infraestrutura foram os principais entraves identificados. Somado a isso, a gestantes possuem pouca informação sobre o risco dessa doença, o que diminui a adesão ao pré-natal. Medidas educativas voltadas aos provedores de saúde e às pacientes, como palestras, são formas efetivas de melhorar o cuidado das SHG no pré-natal.
THE ATTITUDE TOWARDS SINFULNESS IN THE HUSSITE AND ANTI-HUSSITE IDEOLOGY IN THE FIRST THIRD OF THE 15th CENTURY
Authors: Naumov Nikolay Nikolayevich
Published: September 2024

Th e aim of this article is to examine the dichotomy between “Hus-site” and “Catholic” through the lens of how sinfulness was perceived by the Hussites (Czech Utraquists) and their military and political Catholic opponents. Th e study focuses on the unique perception of sinfulness as a distinctive feature of Hussite ideology compared to anti-Hussite views. Th e sources used include theological and polemical writings of Hussites such as Jan Želivský, Mikuláš of Pelhřimov, and Petr Helčický, as well as their ideological predecessor Jan Hus. Ad-ditionally, the study examines the Hussite program known as the “Four Articles of Prague” in its various forms, which were supported by both the radical Taborites and the more moderate Prague Hussites. Traditional Catholic theological criti-cism, notably from fi gures like Ferdinand of Lucca and Gilles Charlier, and other sources reconstructing fi ft eenth-century Catholic norms and perceptions, partic-ularly in Hungary, are also considered. Th e analysis identifi es two key features of the perception of sinfulness in Hussite ideology: sin as a social off ense, and the be-lief that all people are equal in front of sin, implying that a ruler’s sin justifi es dis-obedience, including armed resistance. Th e author concludes that the dichotomy between “Hussite” and “Catholic” is only partially evident in this context. Gilles Charlier, a Catholic theologian, considered only those sins that directly harmed the state and society (e.g., theft , murder) as social crimes, while he did not classify “simple fornication” as such a crime. In contrast, fornication among the Catholic opponents of the Hussites, particularly in fi ft eenth-century Hungary, continued to be regarded as a suppressible social off ense under the laws established by Saint Stephen (997–1038). Charlier advocated for tolerance towards the sins of mon-archs and infl uential individuals to avoid severe unrest. Th e Hungarian kingdom in the fi ft eenth century retained the legal right for the estates to resist the monarch if he violated the Golden Bull of 1222. Th is conclusion, highlighting the similari-ties between the views of the Hussites and their opponents, is unprecedented in historiography. While R. Novotný noted the similarity between the estates of the Hungarian and Czech kingdoms, the recognition of these ideological parallels is a new contribution.
INDIRECT DETERMINATION OF THE HYDROGEN INDEX OF SMALL VOLUME SOLUTIONS BY DIGITAL COLORIMETRY
Authors: Oskolok Kirill V. , Monogarova Oksana V. , Garmay Andrei V. , Ivanova Mariia М.
Published: September 2024

A technique for indirect determination of the hydrogen index of aqueous solutions of small volume (from units to hundreds of µl) by digital colorimetry with the use of consumer optical raster imaging devices is proposed. To find pH, no fixed color scales or information on the concentration of acid-base indicator in the solution is needed. A prototype of a hand-held analyzer based on a smartphone was developed for out-of-laboratory applications. The accuracy of pH determination results was confirmed by ionometry and spectrophotometry techniques.
NON-CUSTODIAL SANCTIONS AND MEASURES IN AN INTERNATIONAL PERSPECTIVE
Authors: Olesiuk-Okomska Magda
Published: September 2024

Although, for years, there has been an ongoing international debate regarding the functionality and effectiveness of imprisonment, it is estimated that there are more than 11.5 million people in prison worldwide, meaning that there are more people in prison than ever before. Around a third of the global prison population are people in pre-trial detention. As a result, overcrowding remains the major problem of the prison system. Therefore, the international community has been encouraging states to seeking alternatives to imprisonment and using non-custodial penalties and measures. This paper aims at presenting international instruments devoted to the problem of penalties and measures alternative to imprisonment, as well as at discussing – from a comparative perspective – non-custodial sanctions in the Member States of the European Union, with particular consideration given to Poland.
REHABILITATION OF MINORS IN POLAND IN A CLOSED ENVIRONMENT
Authors: Łyżwa Aneta
Published: September 2024

Resocialization of juveniles is aimed at shaping anew in socially maladjusted persons a system of moral norms and proper rules of conduct accepted in society. The purpose of the research within the framework of this article was to evaluate the model of juvenile resocialization currently in force in Poland in a closed environment as a variation of institutional resocialization, especially in the context of its effectiveness. Both the relevant regulations contained in the Law on the Support and Re-socialization of Minors were analyzed, a selected body of literature on the subject relating to the problems of the re-socialization of minors, taking into account re-socialization in conditions of social isolation, was presented and discussed, as well as the results of scientific research and inspections by the Supreme Chamber of Control in the indicated research area. On this basis, an assessment was made of the current model of the rehabilitation of minors in Poland in a closed environment, especially in the perspective of its effectiveness in achieving the goals of rehabilitation. On this basis, the author presented the view of the necessity of functioning in the modern realities of the rehabilitation of minors in the conditions of social isolation as an adequate response to the behavior of the most demoralized group of minors and, at the same time, pointed out the necessity of developing specific legal regulations that will effectively include the family in the process of rehabilitation of minors residing in correctional institutions, district assistance centers and youth assistance centers, which is emphasized by the legislator in the preamble to the Act on support and rehabilitation of minors indicating the role of the family in the educational process. This article should contribute to a better understanding of the essence of the model of rehabilitation in a closed environment and will add to the current body of literature with regard to evaluating the operation and effectiveness of this model under current legislation.
STANDARDS FOR THE PROTECTION OF MINORS IN THE LIGHT OF THE LAW OF 28 JULY 2023 – ASSESSMENT OF SELECTED REGULATIONS AND COMMENTS DE LEGE FERENDA (PART 2)
Authors: Truszkowski Mikołaj , Warston Anna
Published: September 2024

In terms of countering the threat of sexual offences, the amendment introduced an important instrument for the prevention of such offences, modelled on the tried and tested UK Serious Case Reviews. This instrument allows the incident review team to review existing legal measures and formulate appropriate conclusions for the legislator. In addition, in order to increase the protection of minors’ rights, the Act introduced the National Plan for the Prevention of Violence against Minors and the National Plan for the Prevention of Offences against Sexual Liberty and Vice against Minors, which include issues concerning the organisation of social campaigns related to the strengthening of child-friendly justice. The powers of certain institutions have also been extended, including those of the State Labour Inspectorate to control the fulfilment of the obligations described in the previous section of this article.
CLAIMS RELATED TO BIRTH DAMAGES CAUSED BY POOR AIR QUALITY PART II – IN SEARCH OF LEGAL BASIS FOR LIABILITY
Authors: Sobas Magdalena
Published: September 2024

Following article is an original and a review statement. The article is a continuation of the possibility of investigating injuries suffered before birth due to bad air quality. An article devoted to the dogmatic research method and the method of criticizing the subject. The second part covers all primary liability for injuries suffered by nasciturus (a child conceived but not born), which is part of the air quality. In the context of the possibility of assigning liability to the training entity under the provisions of the Act of April 27, 2001, Environmental Protection Law, provisions on public liability, as well as provisions regarding threats or threats to safety.
WORK IN THE POLISH SOCIO-ECONOMIC SYSTEM
Authors: Musiała Anna
Published: September 2024

Work, in its previous understanding as a source of prosperity in both the public and private spheres, is now becoming an untenable thesis. By the way, especially in Polish scientific studies, there is an attachment to the concept of work, which in the realities of socio-economic life is often not justified because it is associated with deep psychological violence. There is no question as to the possibility of a sense of dignity derived from work that, in fact, often should not exist. Perhaps there is something to the truth that the creators of the Constitution do not explicitly mention work itself and its value. Work, if it is already performed, is “protected” by the Constitution, but does not expressly address its value in the context of human dignity, in terms of its meaning or purposefulness. So, is it really completely irrelevant in this aspect from the point of view of the socio-economic system?
ONLINE TRANSACTION PROCESSING SYSTEM IN BUSINESS AND SOCIAL SECURITY
Authors: Kochanowicz Małgorzata , Lassota Maryna
Published: September 2024

The paper addresses the issue of the nature of the Online Transaction Processing system. Thepublication draws on interviews with experts specializing in these systems and makes a comparativeanalysis of two data processing systems. On this basis, the most important features of the OLTPsystem and the features of the data processed in it, the existence of which affects the efficiency ofthe business and social security, were collected. The publication also draws attention to key safetyissues.
Osteomielitis en Brasil: Un análisis epidemiológico de 2019-2023
Authors: De Sousa André Luis Silva , Soto Fernando Genes , Roque Gabriela Machado , Dos Santos Luiz Fernando Pacheco , De Oliveira Matheus Medeiros , Félix João Matheus Farias , Guimarães Marcello Fróes , Aquino Olga Sosa
Published: September 2024

Introduction Osteomyelitis is a bone infection characterized by the progressive destruction of cortical bone and medullary cavity, and is a relevant disease due to its probable deleterious consequences for patients. Objective: The study aims to investigate the epidemiology of osteomyelitis in Brazil, focusing on hospitalizations by the SUS (Unified Health System) and deaths between 2019 and 2023, to understand regional disparities. Methodology: A cross-sectional descriptive study, with a quantitative approach to the data, through secondary data collected in the Department of Computer Science of the SUS (DATASUS). The data refer to hospital morbidity due to osteomyelitis during the years from 2019 to 2023, with the period evaluated being from January 2019 to December 2023. Results: There were 71,817 hospitalizations for osteomyelitis in Brazil. The Southeast region had the highest prevalence of cases (40.59%) and reached a higher mortality rate than the other regions. It was noted that the ages most affected by the disease are between 40 and 49 years old. Finally, it was verified that in all regions the male sex is more affected than the female sex. Conclusion: Some risk groups were identified in the study; among them, the male sex, age between 40-49 years and the Southeast region due to the high mortality rate from the disease. The high prevalence of the disease and its high morbidity and mortality reinforce the need for early diagnosis and appropriate treatment.
A importância da abordagem da diversidade de gênero de forma mais humana e especializada na formação médica
Authors: Pereira Fagner Marques , Coqueiro Ingrid Brandão , Arias Ana Luiza de Souza Martins , Girotto Ana Nascimento , Melo Késia Rayser Sobrinho Tavares , Matos Bárbara Luiza Alves , Neves Deborah Cristina Ribeiro , Maciel João Pedro Silva Damas , Da Fonseca Gabriel Nascimento Martins , Santos Marilza de Oliveira , de Laia Barbara Lima , Marsura Ana Maria
Published: September 2024

A inclusão da diversidade de gênero na formação médica é crucial para oferecer um atendimento sensível e adequado a uma população diversificada. Esta revisão integrativa tem como objetivo explorar a importância de uma abordagem mais humana e especializada da diversidade de gênero na formação dos profissionais de saúde, ressaltando os benefícios para a prática clínica, a relação médico-paciente e a promoção da equidade em saúde. A metodologia envolveu a análise de literatura científica e acadêmica sobre práticas educacionais, desafios e estratégias para integrar questões de gênero nos currículos médicos, com foco em fontes brasileiras e internacionais. Os resultados mostram que a inclusão da diversidade de gênero na formação médica melhora a competência cultural dos profissionais, reduz erros diagnósticos e aprimora a comunicação e a satisfação dos pacientes. Além disso, evidencia que a formação contínua e a atualização regular são essenciais para manter os profissionais informados sobre as melhores práticas. As estratégias eficazes incluem a implementação de módulos específicos, simulações práticas e discussões de casos clínicos. Esta revisão destaca a necessidade de integrar a diversidade de gênero de forma sistemática nos currículos médicos para promover um atendimento mais equitativo e melhorar os resultados de saúde.
Design and Analysis of seven multilevel Cascaded H-Bridge inverter controlled by FPGA
Authors: MOHAMMED OSAMAH , A. Mohammed Laith , M. T. Ibraheem Al-Naib Ahmed
Published: September 2024

This research focuses on the design and analysis of a seven multilevel cascaded H-Bridge CHB inverter system, with particular emphasis on its control mechanism implemented using Field-Programmable Gate Array (FPGA) behavioral modeling, very high speed integrated circuit hardware description language (VHDL) code, which is created and verified with the Xilinx Integrated Synthesis Environment ISE 14.7 software. The proposed system employs seven cascaded H-Bridge inverters to achieve higher voltage levels and better waveform with lower Total Harmonic Distortion (THD) compared to traditional inverters. To demonstrate this concept, the entire system has been examined and simulated using the MATLAB/Simulink software package. Different values of THDs, Vrms and voltage waveforms have been achieved. The experimental values were compared with that achieved in simulation, and the comparison proved that the results meet the expectations.
Efectividad de medidas preventivas de broncoaspiración en pacientes internados en un hospital privado de São Paulo, Brasil
Authors: Gómez Marisa Ileana , Lopes Amaral Ana Eliza
Published: September 2024

Introducción. La aspiración broncopulmonar se destaca como la causa más importante de muerte en los hospitales, ocupando el segundo lugar en los eventos adversos relacionados con óbitos de Brasil. El objetivo del presente trabajo fue evaluar la efectividad de las medidas preventivas para broncoaspiración en pacientes internados en unidades de internación y terapia intensiva de un hospital de São Paulo entre abril y diciembre de 2021 y abril y diciembre de 2022.Metodología. Se realizó un estudio con un diseño cuasi experimental. Se recolectaron datos de los pacientes que fallecieron por evento de broncoaspiración entre los meses de abril y diciembre de los años 2021 y 2022. Durante marzo de 2022, se entrenó y capacitó al equipo multiprofesional de las unidades de internación y terapia intensiva. También se hizo una actualización del protocolo de broncoaspiración. Se analizaron las siguientes variables: sexo, edad, sala de internación, pulsera de identificación de riesgo, elevación de la cabecera a 30° o 45° y factores de riesgo para broncoaspiración.Resultados. La muestra estuvo conformada por 71 pacientes que fallecieron por evento de broncoaspiración entre los meses de abril y diciembre de 2021 y 12 pacientes fallecidos en el mismo periodo de 2022. Con respecto a la cabecera, en el año 2021 el 26,1 % (n = 18) de los pacientes que fallecieron tenían su cabecera colocada a 45°, mientras que en el año 2022 el 100 % (n = 12) de los pacientes la tenían a 45° (p = 0,003). El 55 % (n = 39) de los pacientes en el año 2021 presentaban la pulsera de identificación de riesgo; durante el año 2022, el 100 % (n = 12) de los pacientes (p = <0,001) la tenían.
INFESTATION OF DIFFERENT INSECT PESTS ON NOVEL COTTON CULTIVARS AND THEIR IMPACTS ON COTTON FIBER QUALITY PARAMETERS
Authors: Asif Muhammad , Saeed Ahmad  , Muhammad Hasnain  , Khunsa Khakwani  , Ghulam Sarwar  , Muhammad Tauseef  , Farrukh Ilahi  , Hafiz Ghazanfar Abbas  , Muhammad Rizwan  , Shahid Munir Chuhan  , Yasir Ramzan  , Muhammad Jamil
Published: September 2024

Pakistan is the 5th largest producer of cotton in the world. Exports of cotton and textile products have a share of around 60 percent in overall exports of the country. A field experiment was conducted to evaluate the different fiber quality parameters in relation to different insect pest populations. The introduction of this new types of cultivars may satisfy the needs of farmers for better quality and quantity, laborers who harvest crops, and other investors, including those in the cotton sector. A field research was carried out at the Cotton Research Station, Faisalabad, Pakistan, during the year 2023 cotton cultivars (VH-447, FH-1133, BH-228, SLH-94, MNH-S GOLD, BH-227, FH-1214, MNH-1095, VH-442, MNH-1090, RH-BAGHO BAHAR, MNH-1050, and MNH-TP) were evaluated for resistance to sucking pests such as whitefly (Bemisia tabaci); jassid (Amrasca biguttula biguttula); and thrips (Thrips tabaci) as well as bollworms such as pink bollworm (Pectinophora gossypiella); spotted bollworm (Earias insulana; E. vitelli); and American bollworm (Helicoverpa armigera). There were notable variations across the genotypes in terms of the population of sucking and bollworm insect pest infestation, which lowers cotton production and negatively affects fiber quality. FH-1133 showed the lowest average populations of thrips (1.00/leaf), jassid (0.27/leaf), and whiteflies (2.00/leaf), indicating the highest resistance. The average population (9.84%) of pink bollworm larvae in residual boll. The virus percentage on different cotton genotypes recorded after 30, 60, 90, and 120 days was 0.00, 9.00, 14.00, and 19.00%, respectively. The cultivar FH-1133 was observed to be good for all other genotypes of cotton due to its yield (2372.50 kg/acre), and it had the following lint quality attributes: GOT (46.50%), staple length (28.50 mm), fiber fineness (4.70 µg/inch), and fiber strength (33.20 g/tex).
Pensamiento inductivo una estrategia para que el discente interiorice los fenómenos de la realidad en la enseñanza de la Biología y la Química
Authors: Chuquirima Espinoza Diana Florinda , Chamba Rivera Ligia Leticia , Lalangui Sarango Ricardo Geovanni , Jaramillo Aguilar Betty Azucena
Published: September 2024

El proceso desarrollado en torno al pensamiento o razonamiento inductivo y la interiorización de los fenómenos de la realidad de parte del alumnado como parte de la enseñanza de la asignatura de Biología y Química, se verifica que los educadores están de acuerdo con la aplicación de procedimientos adecuados que faciliten la potenciación del pensamiento inductivo en el alumnado, pero esto solo queda como un proceso verbal y de buena voluntad, dado que presenta serias inconsistencias formativas. En el análisis realizado sobre las fases, procesos y estrategias que incluyen los 22 docentes pertenecientes a las áreas de Ciencias naturales y que imparten rotativamente la asignatura de Biología y Química orientado a desarrollar el pensamiento inductivo en el alumnado. Para esto se generó un cuestionario de preguntas que conformó la encuesta aplicada a los educadores. Los resultados denotan que a nivel del pensamiento inductivo relacionados con las fases, procesos y estrategias inductivas la mayoría desconocen y solo un ligero porcentaje tiene un conocimiento superficial, a esto se suma la nula capacitación por parte del distrito sobre lo auscultado. Esto constituye la principal limitante en el desarrollo del pensamiento inductivo como factor clave para que los estudiantes interioricen los fenómenos de la realidad que son parte de los contenidos de la asignatura de Biología y Química a nivel de bachillerato.
Manajemen Pendidikan Adab untuk Meningkatkan Karakter Peserta Didik Berbasis Al-Qur’an di SMP Islam Al Azhar 3 Bintaro
Authors: Mustofa Alim , Adlan Nawawi Muhammad , Shunhaji Akhmad
Published: September 2024

Pendidikan karakter di Indonesia saat ini menghadapi tantangan serius, terutama dalam konteks krisis moral di kalangan remaja. Kasus-kasus kekerasan dan penyalahgunaan perilaku menunjukkan perlunya penguatan pendidikan karakter berbasis nilai-nilai Islam. Tujuan penelitian ini bertujuan untuk menganalisis pengelolaan pendidikan adab di SMP Islam Al Azhar 3 Bintaro dan bagaimana hal tersebut dapat meningkatkan karakter peserta didik berdasarkan Al-Qur'an. Metode penelitian ini menggunakan pendekatan kualitatif dengan teknik pengumpulan data melalui observasi, wawancara, dan studi dokumentasi. Data yang diperoleh dianalisis secara deskriptif untuk mengungkap praktik pendidikan adab di sekolah. Hasil penelitian menunjukkan bahwa pengelolaan pendidikan adab di SMP Islam Al Azhar 3 Bintaro telah diimplementasikan melalui berbagai program dan kegiatan yang berfokus pada pembentukan karakter, seperti pembiasaan adab sehari-hari dan integrasi nilai-nilai Al-Qur'an dalam kurikulum. Peningkatan karakter peserta didik terlihat dari perubahan sikap dan perilaku yang lebih baik, serta kesadaran sosial yang meningkat. Kesimpulan pendidikan adab berbasis Al-Qur'an di SMP Islam Al Azhar 3 Bintaro efektif dalam meningkatkan karakter peserta didik. Penelitian ini merekomendasikan agar program pendidikan adab terus ditingkatkan dan diintegrasikan lebih dalam dalam proses pembelajaran untuk membangun generasi yang berakhlak mulia dan bertanggung jawab.
THE INFLUENCE OF TISSUE ANGIOTENSINS ON ELEMENTS OF THE CARDIOVASCULAR SYSTEM (LECTURE 2)
Authors:   Irkutsk State Medical University, Gutsol Liudmila O , Egorova Irina E ,   Irkutsk State Medical University
Published: September 2024

Relevance. One of the main causes of death according to the World Health Organization is cardiovascular diseases. It is well known that dysregulation and/or overexpression of elements of the renin-angiotensin system leads to many negative vascular effects, thereby contributing to the development of cardiovascular diseases and pathological processes, including hypertension, aneurysms, congestive heart failure, stroke, coronary heart disease and endothelial dysfunction. Aim. To consider the main angiotensins and the mechanisms of their action on vascular tone, endothelial functioning, and myocardial function. To demonstrate the participation of the renin-angiotensin system in the formation of the main types of cardiovascular pathology. Results. The lecture discusses the cardiogenic and vascular effects of angiotensins II, 1-7, 1-9 and the role of these angiotensins in the development of atherosclerosis, coronary heart disease, heart failure, and arterial hypertension. The article presents the main principles of correction of the angiotensin system disorder and promising directions of research of this problem. Conclusion. The concept of the classical renin-angiotensin system regulating arterial pressure and vascular tone has evolved into the understanding of this system as a complex network of mediators-anti-tensins and their receptors affecting many physiological pathways. Although the main components of the renin-angiotensin system were discovered more than half a century ago, this system still attracts a large number of researches works in various fields. The renin-angiotensin-aldosterone system has a number of regulatory and counter-regulatory axes that have a significant impact on the course of many diseases. Among the numerous options for cardiovascular therapy used to treat hypertension and heart failure, drugs that affect the renin-angiotensin-aldosterone system play a significant therapeutic role.
CONGRATULATIONS ON THE ANNIVERSARY: GLOBENKO GALINA MICHAILOVNA (TO THE 80TH ANNIVERSARY SINCE BIRTH)
Authors:   Irkutsk State Medical University, Bulankina Irina A. , Shalina Tamara I. ,   Irkutsk State Medical University, Izatulin Vladimir G. ,   Irkutsk State Medical University, Sinelnikova Anna N. ,   Irkutsk State Medical University, Gerasimova Irina N. ,   Irkutsk State Medical University, Shashkova Olga N. ,   Irkutsk State Medical University
Published: September 2024

An excellent teacher and mentor Galina Mikhailovna Globenko has been working at the Department of Human Anatomy, Operative Surgery and Forensic Medicine of Irkutsk State Medical University for more than half a century. Galina Mikhailovna was born on February 21, 1944 in the village of Tumanny, Srednekansky district, Khabarovsk Territory. She spent her childhood and primary school years in Chukotka, in the city of Pevek and in the village of Bodaibo, where Galina Mikhailovna graduated from high school and in 1961 entered the Irkutsk State Medical Institute. After graduating from medical institute, Galina Mikhailovna was invited to the department of normal human anatomy, where she proved herself to be a conscientious and responsible worker, actively participated in the work of the department’s team, continued her education in graduate school and soon defended her Ph.D. thesis. During her career, Galina Mikhailovna went from assistant to associate professor of the department, was secretary of the Bureau of Rationalization and Invention, and worked in the dean’s office of the medical faculty of the medical university.
A non-parametric approach to identifying anomalies in Bitcoin mining
Authors: Silva Eduardo Augusto de Medeiros , Sendin Ivan da Silva
Published: September 2024

Selfish Mining is an attack on the proof-of-work-based cryptocurrency consensus mechanism, enabling attackers to gain more than their fair share of rewards. Its existence indicates that the Nakamoto consensus is not incentive compatible and could jeopardize blockchain security. Recently, a method employing the Z-Score to detect selfish mining was proposed. This paper introduces a non-parametric statistical technique to identify traces of selfish miners on the blockchain without assuming any specific statistical distribution for the analyzed data. Additionally, the applicability of this type of analysis is discussed.
Melhorias no Processo de Armazenamento de Dados em TPM para Gerenciamento de Integridade
Authors: Zeitouni Mariane M. S. , Santos Marcela Tassyany Galdino , Gomes Reinaldo Cezar De Morais
Published: September 2024

Alguns dispositivos eletrônicos possuem soluções nativas para garantir sua integridade, um exemplo é o TPM (Trusted Platform Module), um chip dedicado à segurança. Nas máquinas virtuais, um vTPM(Virtual Trusted Platform Module) pode ser encontrado, este, quando ancorado com o TPM pode usufruir da robustez de segurança que o TPM possui. Entretanto existe um obstáculo nessa estratégia e é onde surge o objetivo deste trabalho. O vTPM, ao gerar múltiplas requisições ao TPM, pode gerar uma sobrecarga no chip e para solucionar isso bem como múltiplas requisições não necessariamente vindas do vTPM, o trabalho propõe a implementação de um gerenciador de requisições.
MH-AutoML: Transparência, Interpretabilidade e Desempenho na Detecção de Malware Android
Authors: Assolin Joner , Canto Gabriel , Kreutz Diego , Feitosa Eduardo
Published: September 2024

A MH-AutoML é uma ferramenta de AutoML especializada na detecção de malware Android. Diferentemente de outras ferramentas de AutoML, a MH-AutoML incorpora recursos de transparência, interpretabilidade e depuração em todos os estágios do pipeline. A ferramenta também inclui métodos de seleção de caracteŕısticas espećıficos para o domínio e otimizações de hiperparâmetros que geram bons resultados. Os resultados indicam que a MH-AutoML produz modelos preditivos competitivos (e.g., 95% de recall com baixo custo computacional) em comparação com modelos gerados por outras 7 ferramentas de AutoML.
Correlacionando Dados de Monitoramento de Rede para Identificação de Causas de Problemas de Desempenho
Authors: Silva Danielle S. , Nobre Francisco V. J. , Ferreira Maria C. , Araújo Thelmo P. , Gomes Rafael L.
Published: September 2024

Várias empresas e provedores de Internet (ISPs) possuem serviços de monitoramento de rede que abrangem avaliações regulares de desempenho, com foco principal na entrega de informações cruciais sobre a situação atual da infraestrutura de rede e, consequentemente, dos serviços que executam sobre ela. No entanto, estas ferramentas de monitoramento precisam de um desenvolvimento contínuo para incorporar tarefas mais complexas, como a detecção de problemas de desempenho. Dentro deste contexto, este artigo apresenta um mecanismo para identificar atrasos altos e os links de comunicação da rede que podem ser a causa desses problemas de desempenho, utilizando um Score de impacto formulado considerando aspectos temporais. Esse Score baseia-se em técnicas de correlação de dados aplicadas às informações coletadas por ferramentas de monitoramento. Os experimentos realizados com dados reais da RNP demonstram a eficácia do mecanismo proposto na identificação de links de rede que impactam a comunicação de dados, gerando os atrasos altos fim-a-fim.