bluuebunny/crossref_metadata_2025 huggingface dataset:
Detection of a High-velocity Jet from MWC 349A Traced by Hydrogen Recombination Line Maser Emission
Authors: Prasad Sirina , Zhang Qizhou , Moran James , Cao Yue , Jimenéz-Serra Izaskun , Martín-Pintado Jesus , Martínez-Henares Antonio , Báez-Rubio Alejandro
Published: August 2023

MWC 349A is one of the rare stars known to have hydrogen radio recombination line (RRL) masers. The bright maser emission makes it possible to study the dynamics of the system at milliarcsecond (mas) precision. We present Atacama Large Millimeter/submillimeter Array observations of the 1.4 and 0.8 mm continuum emission of MWC 349A, as well as the H30α and H26α RRLs. Using the most extended array configuration of C43-10 with a maximum baseline of 16.2 km, we spatially resolved the H30α line and 1.4 mm continuum emission for the first time. In addition to the known H30α and H26α maser emission from a Keplerian disk at LSR velocities from −12 to 28 km s−1 and from an ionized wind for velocities between −12 to −40 km s−1 and 28 to 60 km s−1, we found evidence of a jet along the polar axis at V
LSR from −85 to −40 km s−1 and +60 to +100 km s−1. These masers are found in a linear structure nearly aligned with the polar axis of the disk. If these masers lie close to the polar axis, their velocities could be as high as 575 km s−1, which cannot be explained solely by a single expanding wind as proposed in Báez-Rubio et al. We suggest that they originate from a high-velocity jet, likely launched by a magnetohydrodynamic wind. The jet appears to rotate in the same direction as the rotation of the disk. A detailed radiative transfer modeling of these emissions will further elucidate the origin of these masers in the wind.
An Analysis of Glacial and Fluvial Morphologies within Impact Craters in the Equatorial Region in Arabia Terra, Mars
Authors: Nocera Kailly , Zeilnhofer Michael F.
Published: August 2023

Arabia Terra is an ancient and large terrain which is located north of the Martian equator. Due to its ancient nature, it is heavily cratered, and these craters hold evidence of geologic processes during Mars’ history. During periods of high obliquity (>35°) it has been suggested that polar ice migration can occur at the lower latitudes. By investigating the impact craters within a localized area in the equatorial region of Arabia Terra, it can be determined how far this migration once occurred. This study aimed to investigate craters ≥1 km in diameter within the 0°N–10°N, 340°E–350°E area of Arabia Terra and determine the frequency of glacial and fluvial morphologies within this region. We divided the search area into two sections, 0°N–5°N, 340°E–350°E and 5°N–10°N, 340°E–350°E, to help identify any latitudinal variations between the glacial and fluvial morphologies.
GJ 9404 b: A Confirmed Eccentric Planet, and not a Candidate
Authors: Baycroft Thomas A. , Badnell Harry , Blacker Samuel , Triaud Amaury H. M. J.
Published: August 2023

Eccentric orbits can be decomposed into a series of sine curves which affects how the false alarm probability is computed when using traditional periodograms on radial-velocity data. Here we show that a candidate exoplanet orbiting the M dwarf GJ 9404, identified by the HADES survey using data from the HARPS-N spectrograph, is in fact a bona fide planet on a highly eccentric orbit. Far from a candidate, GJ 9404b is detected with a high confidence. We reach our conclusion using two methods that assume Keplerian functions rather than sines to compute a detection probability, a Bayes Factor, and the false-inclusion probability periodogram. We compute these using nested sampling with kima.
Analysis of Caputo fractional-order model for COVID-19 with non-pharmaceuticals interventions and vaccine hesitancy
Authors: Helikumi Mlyashimbi , Lolika Paride O. , Mushayabasa Steady
Published: August 2023

In this paper, we propose a fractional order Coronavirus (COVID-19) model incorporating non-pharmaceutical interventions and vaccine hesitancy. The proposed model was calibrated with data from literature and validated with reported daily cases of COVID-19 from Wuhan, China. We derived the reproduction number and demonstrated that it is an important threshold parameter for disease persistence and extinction. We examined the relationship between the reproduction number and model parameters. Our findings underscore the importance of awareness and vaccine uptake on mitigating the spread of COVID-19.
Sobre os leitos de acolhimento em um CAPS III: algumas reflexões
Authors: Borges Roselania Francisconi , Peruca Amanda Takemoto
Published: August 2023

A presente pesquisa teve como objetivo conhecer o funcionamento de um CAPS III, após a implantação de leitos de acolhimento noturno. Foram entrevistados servidores de cada área profissional do referido dispositivo (médica, enfermagem, enfermagem, serviço social, psicologia e terapia ocupacional). Com a análise dos resultados, conclui-se que esse dispositivo segue, majoritariamente, o modelo proposto pela Reforma Psiquiátrica brasileira: a atenção psicossocial. Porém, ainda percebe-se dificuldades para desenvolver essa estratégia de cuidado, uma vez que os leitos de acolhimento noturno foram implantados recentemente e a formação básica dos trabalhadores deste dispositivo está mais voltada ao modelo asilar/manicomial. Portanto, um grande desafio é o investimento na formação permanente dos profissionais
Antebellum White American ‘Mission Wives’ in the Orient: A Tale of Flawed Mimicry
Authors: Hewagama Gayathri
Published: August 2023

The American foreign missions of the early to the mid-nineteenth century epitomize a project that allowed white American women to share a Kiplingesque “white woman’s burden” with British “sisters,” to civilize the heathen world which gave the former a chance to share in an Anglo-American white identity.1 This imperial endeavor required of them to represent/re-present supposedly the most fitting incarnation of the idealized female of the antebellum or the “American true woman,” the “American mission wife,” a subjectivity that was reflective of the presumed superiority of white civilization, offering a model for the heathen women to emulate. Hence, this paper concerns itself with the manner in which a particular antebellum white women’s genre—the mission memoir—represents/re-presents American mission wives in the Orient (in the then Burma and Ceylon). Reversing the typical Saidian narrative of the West’s production of the Oriental subaltern/other, I show here how the white American mimic woman in the Orient disrupts her identity, thereby rendering herself ambivalent and interstitial.
Cardiac findings in multisystem inflammatory syndrome in children: Short term follow up in a large Indian series
Authors: Shah Sejal Suresh , Naidu Praveen Kumar K. , Selvam Sumithra , Shetty Rakshay , Bhat Chandrika S. , Maheshwari Sunita
Published: August 2023

Background:

We present a large Indian series of Multisystem inflammatory syndrome in children (MIS-C) associated with coronavirus disease 2019 (COVID-19) infection. The aim of the study is to present the incidence and pattern of cardiac involvement in children with MIS-C and their short-term follow-up.

Methods and Results:

Consecutive 144 children younger than 18 years of age diagnosed with MIS-C referred for cardiac evaluation between June 1 and November 30, 2021, were included and were followed up till February 2022. In addition to the demographics, details of COVID-19 infection, and biomarkers, their cardiovascular assessment (echocardiogram and electrocardiogram) was documented at baseline and on follow-up. The median age of children with MIS-C was 60 (24–104) months. Abnormal cardiac imaging was noted in 59% of children. Ventricular dysfunction was noted in 13.9% and coronary abnormalities were noted in 25.7% of children. The median duration when the first cardiac abnormality was reported was 7 (5–10) days. The distribution of age categories between children with and without cardiac abnormality was comparable. Children with cardiac abnormalities were followed up for a median duration of 47 (30–58) days. Complete resolution was documented in 92% of children after a median duration of 20 (9–38) days. There were no readmissions or deaths during follow-up.

Conclusion:

Cardiac involvement in children with MIS-C is frequent with coronary abnormalities and ventricular dysfunction being the most common manifestations. Most children exhibit complete clinical and myocardial recovery with appropriate anti-inflammatory therapy. Studies on long-term outcome of these children are needed.
Multiple atrial septal defects closure with a single device using radiofrequency energy-assisted wire atrial septostomy: A new method
Authors: Numata Ryusuke , Takigiku Kiyohiro , Obinata Haruka , Akazawa Yohei , Takei Kohta
Published: August 2023

Percutaneous closure of multiple atrial septal defects can be more challenging. It is often discussed whether a single or dual device closure is appropriate for two or more large atrial septal defects with insufficient distance between defects. In this case, we used radiofrequency energy-assisted wire atrial septostomy to break intervening tissue between two adjacent oval fossa defects, thereby combining them into a single hole and facilitating device closure using a single device. This technique could be considered in patients with multiple adjacent secundum defects separated by intervening tissue.
Intravenous immunoglobulin-resistant Kawasaki disease: Risk factors in children in a middle-income country
Authors: Zahari Norazah , Bah Mohd Nizam Mat , Sulieman Muhamad Faiz , Choo Hung Liang
Published: August 2023

Background:

Identifying risk factors in patients with intravenous immunoglobulin (IVIG) resistance Kawasaki disease (KD) is vital in managing and preventing coronary artery aneurysms (CAAs). We aimed to study the risk factors for IVIG resistance KD in Malaysian children.

Methods:

This retrospective observational study of children with KD was conducted at two tertiary hospitals in Malaysia from January 2014 to December 2019. Multivariable binary logistic regression was used to analyze the risk factors associated with IVIG resistance.

Results:

A total of 174 patients, 118 males (67.8%) with a median age of 1.4-year-old (interquartile range: 0.1–12.1-year-old), were analyzed. Early (<5 days) and late (>10 days) IVIG treatments were observed in 14 (8.1%) and 19 (11.0%), respectively. Thirty-two patients (18.4%) had IVIG resistance. The independent factors associated with IVIG resistance were high white cell count, hypoalbuminemia, and extremities changes with an odd ratio of 4.7, 3.0, and 4.0, respectively. In addition, CAA was significantly higher in IVIG resistance compared to IVIG responder patients (57.5% [19/33] vs. 23.4% [33/141], P < 0.001). The sensitivity was high in Harada (93.8%) but low in Kobayashi and Egami (46.9% and 34.4%, respectively). The specificity was high with Egami (79.6%) but low in Harada and Kobayashi (22.5% and 64.1%, respectively).

Conclusion:

Leukocytosis, hypoalbuminemia, and extremities changes were independent risk factors for IVIG resistance. The variation in sensitivity and specificity of the Japanese scoring makes it unsuitable for predicting IVIG resistance in Malaysian children.
Vulval Squamous Cell Carcinoma Arising from Lichen Sclerosus Et Atrophicus: A Rare but Not Rear Phenomenon
Authors: Belgaumkar Vasudha A , Pradhan Shekhar N , Bhatt Neelamkumari , Gangode Dhanshri D
Published: August 2023

Genital ulcers may be located on the vagina, penis, anorectal or perineal areas with infectious or noninfectious etiology. Although sexually transmitted infections are a common cause of genital lesions, it is essential to consider nonvenereal disorders such as Behcet’s syndrome, vesiculobullous disease, pyoderma gangrenosum, and malignant tumors in the differential diagnosis. Often, long-neglected benign and premalignant lesions which are hitherto unnoticed may undergo malignant transformation. Herein, we report a woman presenting with recurrent lower urinary tract complaints and a nonhealing ulcer over labia majora, eventually diagnosed with vulval squamous cell carcinoma arising from the underlying lesions of lichen sclerosus et atrophicus. This case emphasizes the importance of early detection and vigilant management of such disorders which may often be asymptomatic and hence remain neglected.
A Rare Case of Butterfly Target Rash
Authors: Hanumaiah Bangaru , Acharya P Tejaswini , Ravitej S , Nayak Dhanya
Published: August 2023

A 25-year-old female was admitted under Internal medicine for fever and anemia. The patient had a history of fever, joint pain, photosensitivity, and rash over the malar area of the face. On examination, the patient had targetoid lesions over the malar area of the face, ulcers in the oral cavity, and chilblain lesions. The presence of a targetoid lesion in association with features suggestive of systemic lupus erythematosus (SLE) raised suspicion of Rowell syndrome (RS). Further evaluation revealed pancytopenia, proteinuria, positive antinuclear antibodies, and RA factor, confirming our suspicion. RS is chronic cutaneous LE, wherein erythema multiforme occurs in the setting of LE. Heretofore, only 18 cases of RS have been reported from India. Our patient had targetoid lesions limited to the malar area of the face, which is not the characteristic malar rash of SLE. The patient also had a rare finding of chilblain lesions. This distinctive array of clinical and immunological features diagnostic of RS prompted us to present the case.
A Cross-Sectional Study of Dermatologic Manifestations in Patients with Chronic Renal Failure on Hemodialysis
Authors: Potthuri Indira , Arun Inamadar C.
Published: August 2023

Background:

Chronic renal failure patients undergoing dialysis suffer from various side effects and complications where skin ailments are one of them. Skin is the largest and one of the most dynamic organs of the body and can be used as a window since it is easily accessible for observation and reflects changes seen in multiple organs including kidneys.

Objective:

The objective of this study is to describe various cutaneous manifestations in chronic kidney disease patients undergoing hemodialysis.

Materials and Methods:

A hospital-based, cross-sectional, observational study was conducted in the department of dermatology, venereology, and leprosy at a tertiary care center from November 2019 to May 2021. The demographic details and clinical manifestations were recorded. Data were recorded as numbers and percentages. For categorical data, the number and percentage were used in the data summaries, and data were analyzed by the Mann‒Whitney U test for the comparison of two data.

Results:

A total of 94 patients were included in the study. The most common manifestation observed was pruritus (85.1%), followed by xerosis (84%). Other findings seen in the study were mainly nonspecific changes such as pallor (59.57%), diffuse hyperpigmentation (3.2%), and ecchymosis (16%). Nail changes (56.38%) observed were half-and-half nails (22.6%), onycholysis (11%), and Beau’s lines (9%). Mucosal changes (36.17%) included depapillated tongue (12.8%) and macroglossia (8.5%). Other findings such as skin infections and keloid were also noted. New finding such as angina bullosa hemorrhagica was seen in one patient. Specific change like Kyrle’s disease was seen in 6.4% of the study group and 50% of these patients had concomitant diabetes mellitus.

Conclusion:

Patients on hemodialysis present with an array of cutaneous manifestations. The most common include pruritus and xerosis. Prompt diagnosis and early treatment help alleviate many of the cutaneous manifestations posed due to hemodialysis.
The commodification of academic publishing – Relevance to cancer palliative care literature
Authors: Ghoshal Arunangshu
Published: August 2023

The commodification of academic publishing refers to the process of turning academic research and scholarship into a marketable product that can be bought and sold for profit. This has become an increasingly prevalent issue in recent years, as academic publishing has become dominated by a small number of large commercial publishers who control access to research and charge exorbitant fees for access to academic articles. In the context of cancer palliative care literature, the commodification of academic publishing has several important implications. First, it means that access to important research on cancer palliative care may be restricted to those who can afford to pay for it, effectively limiting its dissemination and impact. This is particularly problematic in low-income countries or regions where resources for cancer palliative care are already limited. Second, the commodification of academic publishing can lead to the proliferation of predatory journals that publish low-quality or even fraudulent research for profit, which can lead to misleading or harmful information being disseminated to practitioners, policymakers and the public. Finally, the emphasis on profit in academic publishing can create pressure for researchers to prioritise publishing in high-impact journals rather than focusing on research that is most relevant to the needs of cancer palliative care patients and their families. This can create a skewed incentive structure that values prestige over impact, potentially undermining the quality and relevance of research in this field. In summary, the commodification of academic publishing has significant implications for cancer palliative care literature, including issues of access, quality and relevance. It is important for researchers, policymakers and publishers to work together to address these challenges and ensure that the best research is made accessible to all those who need it, regardless of their ability to pay.
The Cove in Coronavirus Disease 2019
Authors: Jordan Deles Lora Grace , Mendoza Clarissa Mendoza , Lim Ramirez Marcellus Francis
Published: August 2023

Brugada pattern is characterized by coved ST-segment elevation found in more than one of the precordial leads V1 through V3. In the emergence of coronavirus disease 2019 (COVID-19) pandemic, transient occurrence of these patterns is rarely observed in patients with severe acute respiratory syndrome coronavirus 2 infections. Whether these electrocardiographic findings develop due to fever or a direct effect of the infection itself is a matter that deserves further investigation. We present a young female and an elderly male with Brugada patterns on electrocardiograms when febrile due to COVID-19. After defervescence, these patterns disappeared and both patients progressively improved. We found nine similar articles, all involving male patients. Thus, our case of the young female patient may be the first reported case. It is worth noting that fever was not entirely simultaneous with the appearance of Brugada patterns in the other reports suggesting the possibility that COVID-19 itself with its unique pathogenic mechanism could directly underlie these electrocardiographic abnormalities.
One Size Does not Fit All – A Realist Review of Screening Asymptomatic Atrial Fibrillation in Indigenous Communities in Australia, Canada, New Zealand, and the USA
Authors: Suud Nahdi , John Skinner , Ben Freedman , Josephine Gwynn , Maja-Lisa Løchen , Lis Neubeck , Katrina Poppe , Boe Rambaldini , Anna Rolleston , Stavros Stavrakis , Kylie Gwynne
Published: August 2023

The true prevalence of atrial fibrillation (AF) is underestimated because asymptomatic AF is underdetected. Adverse consequences of AF such as stroke may occur before AF is diagnosed. Current guidelines recommend opportunistic screening of AF in the general population for patients 65 years and older; however, this might not be suitable for Indigenous people. Screening for AF meets the World Health Organization criteria for successful routine screening, yet little is known about successful implementation of AF screening in Indigenous communities. This study uses a realist review methodology and framework to identify what works, how, for whom, and under what circumstances for AF screening in Indigenous communities. Eight databases and gray literature were searched for studies targeted at AF screening in Indigenous communities. Realist analysis was used to identify context-mechanism-outcome configurations across 11 included records. Some mechanisms that improve AF screening in Indigenous communities were identified. Salient enablers of AF screening in Indigenous communities include opportunistic nonclinical settings, portable electrocardiogram devices, and increasing training in Indigenous health-care workers. Tailoring follow-up protocols that are geographically and culturally appropriate to the settings is important. Prominent barriers included lack of cultural safety, fear of abnormal results, and time-poor environments. A middle-range theory is proposed in combination with the Indigenous health promotion tool model. Indigenous populations require earlier screening and culturally safe approaches for AF detection and pathways to treatment. A novel AF screening strategy is required. This realist review provides lessons learned for the successful implementation of AF screening and treatment programs for Indigenous communities.
A Study of Emergency Room Presentations of Suicidal Behavior Cases during the COVID-19 Pandemic
Authors: Ravishankar Vinutha , Suresh Thejus , Komal Samantha , Hongally Chandrashekar
Published: August 2023

Context:

COVID-19 illness and the measures taken to contain its spread have had a serious impact on mental health. An increase in the emergency room (ER) presentations of suicidal behavior cases could reflect the extent of the psychological distress in the community.

Aims:

To estimate the prevalence of ER presentations of suicidal behavior cases during the COVID-19 pandemic.

Methods:

Retrospective review of registers and 305 case files of suicidal behavior registered during the period of April 1, 2019–March 30, 2020 (prepandemic) and compared to the April 1, 2020–March 30, 2021 (during the pandemic). Data were collected in a semi-structured pro forma prepared for this purpose. Data were tabulated, and statistical analysis was performed.

Results:

There was a decrease in the total number of medico-legal cases (MLCs) presenting to ER during the pandemic period (N1 = 584 vs. N2 = 387). However, there was a proportionate increase in the cases of suicidal behavior observed during the pandemic compared to the prepandemic period (35.2% vs. 29.5%). 55.4% of compound consumption and 45.7% of hanging cases had interpersonal conflicts as precipitating factors during the pandemic period. There was an increase noted in poisoning by tablet consumption by 8.3% during the pandemic period.

Conclusions:

To conclude, our study showed a decrease in the number of total MLCs during the pandemic. However, there was a proportionate increase in the cases of suicidal behavior during the pandemic compared to the prepandemic period. Poisoning was seen to be the most common method of suicidal behavior. Interpersonal conflicts were the most common reported precipitating factor.
Geriatric anesthesia: Demographics, epidemiology, state of the art at international level, educational needs, and future perspectives
Authors: Bettelli Gabriella
Published: August 2023

Population aging has induced in the last year a corresponding aging inside the surgical population, currently accounting for 45%.50% of the total surgical population in the majority of the advanced countries. This has induced a number of new challenges in the daily anesthesia practice, ranging from the need of implementing specific education in the field of geriatric medicine, organizational adjustments aimed to adapt our preoperative evaluation methodology to the needs older patients present, and a careful redesign of the whole perioperative course for these patients. Today’s anesthesiologists are called to became familiar with the aging processes and their impact on the patho.physiological perioperative course, with the concept of functional impairment and frailty and with the dimensions of polypathology, polymedication, and reduced functional reserves. The introduction of new trends such as the team-based approach and interdisciplinary culture are essential to overcome these emerging criticalities.
Procedural sedation analgesia in the elderly patient
Authors: Eldawlatly Abdelazeem Ali , Delvi Mohamed Bilal , Ahmad Abdulaziz
Published: August 2023

Elderly patients are perceived as a high-risk group for procedural sedation. Procedural sedation analgesia (PSA) is generally safe in older adults. What is not acceptable is undertreating pain or inadequately sedating a stable patient. All the usual precautions should be taken. One should consider any comorbidities that could make the patient more at risk of adverse reactions or complications. Older patients may be at higher risk for oxygen desaturation, but they usually respond quickly to supplemental oxygen. Geriatric patients usually require lower doses of medications. They tend to be more sensitive to medications, with slower metabolism, less physiologic reserve to handle side effects, and a smaller volume of distribution. The use of drugs for sedation in elderly patients requires careful consideration of their age-related changes in physiology and pharmacokinetics. The choice of drug should be based on the patient’s medical condition, comorbidities, and potential adverse effects. Moreover, the administration should be done by trained personnel with close monitoring of vital signs and level of consciousness to prevent complications such as respiratory depression.
Keyed Streebog is a secure PRF and MAC
Authors: Kiryukhin Vitalii Aleksandrovich
Published: August 2023

Один из наиболее популярных способов преобразования бесключевой хэш-функции в ключевую - алгоритм HMAC, использующий два последовательных хэширования. Избыточных дополнительных вычислений можно избежать за счет особенностей хэш-функции. В работе представлен простой и безопасный ключевой криптоалгоритм (условно называемый «Стрибог-К») на основе хэш-функции «Стрибог» $\mathsf{H}(M)$. Пусть $K$ - секретный ключ, тогда $\mathsf{KH}(K,M)=\mathsf{H}(K||M)$ - стойкая псевдослучайная функция (PRF) и, следовательно, стойкая схема имитозащиты (MAC). Доказательство строится за счет сведения к стойкости используемой в $\mathsf{H}$ функции сжатия относительно атак со связанными ключами. Оценки стойкости у HMAC-Стрибог и «Стрибог-К» являются практически одинаковыми, но скорость работы последнего при обработке коротких текстов вдвое больше.
Aluminum Alloy, Sheet, and Plate 4.4Cu - 1.5Mg - 0.60Mn (2024-T861) Solution Heat Treated, Cold Worked, and Precipitation Heat Treated
Authors:   AMS D Nonferrous Alloys Committee
Published: August 2023

This specification covers an aluminum alloy in the form of flat sheet and plate 0.020 to 0.500 inch (0.51 to 12.70 mm) and under in nominal thickness (see 8.5).
Zgodovinska etnozoologija Gabriela Majcna
Authors: Simonič Peter
Published: August 2023

Članek poskuša razumeti referenčno polje poljudno pisane knjige Gabriela Majcna Zgodovina domačih živali in pitomih rastlin (1927), ki je prvo tovrstno delo na področju slovenskega zgodovinopisja in etnologije. Najprej predstavi raziskovalne in družbene aktivnosti avtorja, potem naniza in ovrednoti vsebinske sklope njegove knjige, nato pa s primerjavo pomembnejših naravoslovnih oz. zooloških del iz 19. stoletja razkriva avtorske in teoretske vplive na Majcnovo pisanje.
PENGARUH LATIHAN RESISTANCE BAND DAN LATIHAN BEBAN (BARBEL 1KG) TERHADAP POWER OTOT LENGAN PADA ATLET TAEKWONDO PESAWARAN PROVINSI LAMPUNG
Authors: Fajar Ramadhan Ziko
Published: August 2023

Penelitian ini bertujuan untuk mengetahui pengaruh latihan resistance band dan latihan beban (barbell 1kg) terhadap power otot lengan pada atlet taekwondo pesawaran lampung.

Metode yang digunakan dalam penelitian ini adalah eksperimen (true experiment), sedangkan desain penelitian yang digunakan yakni pre test-post test group design. Populasi pada penelitian ini adalah atlet dojo raja Bandar Lampung   dengan sampel yang digunakan keseluruhan jumlah populasi sebanyak 24 atlet dari total sampel sehingga penelitian ini disebut penelitian populasi yang dibagi menjadi 2 kelompok. Teknik pengambilan data untuk hasil power otot lengan menggunakan medicine band

Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan dari latihan reistance bance  mendapatkan hasil  sebesar 16.58  > 1.782 sedangkan Latihan beban mendapatkan nilai t hitung sebesar 20.76  > 1.782   memiliki pengaruh yang signifikan di lihat dari perhitungan yang menunjukan t hitung > t tabel.
KORELASI ANTARA POWER OTOT LENGAN DENGAN EFEKTIVITAS RENANG GAYA BEBAS 25 METER PADA ATLET RENANG KOTA BAUBAU
Authors: Mpd Asmuddinnn , Asshagab Muhtar , Sariul Sariul , Salwiah Salwiah
Published: August 2023

Tujuan penelitian ini adalah untuk mengetahui korelasi power otot lengan dengan efektivitas renang gaya bebas 25 meter pada atlet renang kota Baubau. Teknik pengambilan sampel dengan teknik purposive sampling, diperoleh berjumlah 30 orang, Instumen yang digunanakan untuk mengukur power otot lengan adalah tes medicine ball throw, kemudian untuk mengukur kemampuan renang gaya bebas dengan melakukan tes kecepatan renang gaya bebas dengan jarak 25 meter. Data penelitian dianalisis dengan menggunakan teknik statistik korelasi poduct moment pada taraf signifikan 0,05. Hasil penelitian ini adalah bahwa ada hubungan yang signifikan antara power otot lengan dengan efektivitas renang gaya bebas 25 meter pada atlet renang Kota Baubau, dimana rxy = 0,64 > rtabel (0,05:30) = 0,361, dengan koefisien determinasi = 0,41 atau 41%. Penelitian ini dapat disimpulkan bahwa ada korelasi antara power otot lengan dengan efektivitas renang gaya bebas 25 meter pada atlet renang kota Baubau.
Rounding with a Purpose: Reducing Falls in Geriatrics Residing in a Community Living Center
Authors:   , Wesson Ashley
Published: August 2023

Practice Problem: Falls among geriatrics continue to be a significant concern for healthcare organizations and one of the costliest healthcare problems attributed to increased morbidity and mortality rates. Falls rates in residential dwellings such as nursing homes and community living centers (CLCs) continue to rise despite fall prevention efforts. PICOT: The PICOT question that guided this project was In geriatrics, age 65 or older, who reside in the Community Living Center (P), how does one-hour purposeful rounding (I), compared to rounding without structured set time intervals (C), affect fall reduction rates (O), within eight weeks (T)? Evidence: In fifteen high-quality articles that fit the inclusion criteria and contained evidence-based practice (EBP) literature, there was overwhelming support that the use of purposeful rounding was an EBP initiative to reduce falls. Intervention: One-hour purposeful rounding was the primary intervention for this change initiative project. Purposeful rounding is a nurse-driven, proactive approach that improves staff communication and promotes patient-centered safety interventions to reduce preventable events such as falls. Outcome: There was both statistical and clinical significance in fall rates with the use of one-hour purposeful rounding in the CLC as fall rates dropped to 3.06 falls per 1,000 bed days of care post-implementation compared to 10.48 falls per 1,000 bed days of care pre-implementation. This resulted in an alpha value of p = .031 and clinical significance of improved health outcomes, reduced morbidity and mortality, and overall improved quality of life for the geriatric residents residing in the CLC. Conclusion: Initiating the practice of one-hour purposeful rounding effectively improved fall rates in the CLC. It had a statistical and clinical significance for improvement among the geriatrics, age 65 or older, who resided in the CLC.
AS RELAÇÕES ENTRE TECNOLOGIA, CURRÍCULO, EDUCAÇÃO E INTERATIVIDADE
Authors: Triches Jean Carlos , Triches Cizelda Aparecida , Silva Jordan Luis Artiaga , Silva Luciana Pereira da , Souza Raquel Farias Fuly de
Published: August 2023

O currículo escolar é a base de toda a organização e prática no processo de ensino-aprendizagem e define os conteúdos, a forma das atividades, competências e habilidades que serão desenvolvidas. As novas tecnologias vêm moldando as relações humanas e interferindo na cultura, modo de pensar, e dentre outros, na interatividade e nas relações do processo de ensino-aprendizagem. Assim, é imprescindível compreender estas relações na contínua busca pela adequação dos currículos, não só pela consideração de suas dimensões sociais, culturais, políticas, pedagógicas e financeiras, mas também da sua conexão com as tecnologias, em especial, das emergentes. O presente trabalho busca realizar, através de uma abordagem qualitativa de revisão bibliográfica, o aprofundamento nas questões que envolvem as relações entre a tecnologia, a educação, o currículo e a interatividade, bem como de relatar e explicar uma prática inovadora já aplicada no âmbito educacional. Foi possível, através da apresentação de contribuições de diversos autores, realizar o aprofundamento nestas questões. Já, o relato da prática inovadora aplicada no âmbito da educação básica na Escola Estadual Felisberto de Carvalho de Palmitos-SC, com utilização do Scratch como ferramenta tecnológica e os espaços educativos que a mesma proporcionou, demonstrou como a pesquisa, a discussão e a ação acerca do relacionamento entre currículo e tecnologia é fundamental para a compreensão de como o novo currículo e a prática docente devem se ajustar às realidades contemporâneas que se transformam de modo muito dinâmico.
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Aplicação de modelos de duração a dados do gripnet para análise da propagação da gripe nos anos de 2008 a 2012, em Portugal
Authors: Costa Sónia , Nunes Alcina , Balsa Carlos
Published: August 2023

A gripe afeta milhões de pessoas em todo o mundo, colocando em risco a saúde humana, com consequências não só clínicas como económicas. Assim, é importante conhecer a forma como poderá evoluir e os fatores que podem impulsionar a sua propagação, permitindo que a população, em geral, e as unidades de saúde, em particular, se possam acautelar. Neste sentido, este trabalho de investigação tem como objetivo analisar como se tem propagado no tempo a gripe, em Portugal, através da aplicação de modelos de duração não-paramétricos (Kaplan-Meier e Nelson-Aalen) a uma base de dados cross-section com informação anual relativa a um período consecutivo de oito anos (2005 a 2012). A base de dados foi fornecida pelo observatório Gripenet, que monitoriza a evolução anual do fenómeno da gripe com o apoio de participantes voluntários. Verifica-se que, para a população participante, o tempo decorrido para que 50% dos indivíduos sejam contagiados varia entre Dezembro e Janeiro de cada ano em análise. Quando se subdivide a amostra salienta-se que as mulheres têm uma probabilidade menor de contrair o vírus nos primeiros dias de análise; deslocar-se a pé e utilizar transportes públicos apresenta um risco de contração do vírus que aumenta muito lentamente com o tempo; os fumadores apresentam uma probabilidade de contágio que aumenta mais rapidamente com o tempo; e os que vivem sozinhos têm um risco inicial de contágio reduzido.
A necessidade de uma norma integradora para sistemas de gestão da qualidade, ambiente e segurança depois do anexo sl – estudo de caso de empresas da região centro
Authors: Serralheiro Ana , Morais Georgina , Silva Alexandre
Published: August 2023

O objetivo desta investigação é aferir a sensibilidade das empresas para uma norma única certificável para sistemas integrados de gestão da qualidade, ambiente e segurança (SIGQAS). Realizou-se um estudo empírico que consistiu numa análise exploratória com recurso a questionário a empresas do ramo da indústria da região centro de Portugal, com, pelo menos, o Sistema de Gestão da Qualidade certificado.Os dados obtidos, tratados e analisados apontam um maior número de empresas (59%) a considerar que a existência de uma norma única certificável para SIGQAS facilitaria a implementação. No entanto, não existem diferenças estatisticamente significativas entre as opiniões, logo, as empresas não consideram, de forma clara, a necessidade de uma norma integradora. Por outro lado, é evidente para as empresas que consideram positiva a existência da norma única certificável, a motivação para a certificação de SIGQAS. Contudo, é importante continuar a investigação, nomeadamente, no que concerne ao alargamento da amostra.
Uso de contracetivos em alunos do ensino superior
Authors: Loio Duarte , Festa Eva , Ferreira Carlos , Soares Diana , Fernandes António , Nascimento Luís
Published: August 2023

É sabido que, durante a adolescência e a juventude, acontece um despertar gradual e paulatino para a sexualidade e nem sempre existe a devida proteção, através do uso de métodos contracetivos. Também é verdade que não existe um método ideal de contraceção, o que nos levou a indicar os quatro grandes tipos de métodos contracetivos, designadamente, os métodos naturais/comportamentais, os métodos da barreira contracetiva, os métodos de contraceção hormonal e os métodos de contraceção cirúrgica ou esterilização. Realizou-se um estudo de caráter quantitativo, transversal, comparativo (teste de Mann-Whitney-Wilcoxon; teste de Kruskal-Wallis) e correlacional (teste de Spearman), através de um questionário administrado diretamente, a 365 alunos do Instituto Politécnico de Bragança (IPB), com idades compreendidas entre os 17 e os 32 anos, tendo como objetivo avaliar o conhecimento e as atitudes dos alunos face ao uso de métodos contracetivos. Os métodos contracetivos mais utilizados pelos alunos questionados são o preservativo e a pílula. No entanto, os resultados apontam para algum desconhecimento do tema em causa, o que nos leva a concluir pela inexistência de boas práticas no uso de contracetivos por parte dos alunos do IPB e, porventura, generalizando, da falta de uma intervenção estruturada no âmbito da Educação Sexual.
O efeito de diferentes níveis de atividade física na função cognitiva e depressão em idosos Brasileiros
Authors: Almeida Edivana , Mourão Isabel , Coelho Eduarda
Published: August 2023

O objetivo deste estudo foi verificar o efeito de diferentes níveis de atividade física na função cognitiva e depressão em idosos. Método: Participaram 465 idosos brasileiros voluntários de ambos os sexos, praticantes e não pratican[1]tes de diferentes programas de atividade física (69,93 ± 6,63 anos), divididos em 4 grupos conforme critérios do International Physical Activity Questionnaire (IPAQ): idosos ativos, insuficientemente ativos A, insuficientemente ativos B e sedentários. Para verificar possíveis declínios da função cognitiva, utilizou-se o Mini Exame do Estado Mental (MEEM) e para verificar a intensidade da depres[1]são, o Inventário de Depressão de Beck (BDI-II). A recolha dos dados ocorreu em 3 momentos avaliativos distintos (avaliação inicial, avaliação intermédia e avaliação final) ao longo de 35 semanas. Resultados: Para a função cognitiva foi encontrado um efeito significativo dos diferentes níveis de atividade física na avaliação intermédia e na avaliação final (p=0.000). Para a depressão, os resul[1]tados indicaram um efeito significativo dos diferentes níveis de atividade física nos 3 momentos avaliativos (p=0.000). Os resultados nos permitem concluir que a prática regular de atividade física moderada demonstrou melhorias na função cognitiva e depressão de idosos brasileiros.
Revisão sistemática sobre brincadeiras de luta na educação pré-escolar: evidências, potencialidades e lacunas
Authors: Barbosa Raquel , Pereira Beatriz , Mello André
Published: August 2023

Este estudo tem como objetivo realizar uma revisão sistemática sobre brin[1]cadeiras de luta na educação pré-escolar, a fim de identificar pontos de convergência, divergência, lacunas e possibilidades pedagógicas em artigos científicos que abordam essa temática. Para tanto, desenvolve um estudo exploratório, de caráter bibliográfico, realizado por meio de um levantamento de artigos, com crianças de zero a cinco anos de idade. Utiliza quatro bases de dados internacionais como fontes: LILACS, Portal de Periódicos da CAPES, SciELO e SCOPUS. Os resultados apontam para a agressividade se constituir como um elemento ambíguo que denota tanto o controle das emoções como o protagonismo entre as crianças, fundamentais para a compreensão dessa manifestação lúdica nas culturas infantis e para o aprendizado em administrar riscos em um contexto de faz de conta. O material analisado sinaliza para a necessidade de superar visões pejorativas sobre as brincadeiras de luta na educação pré-escolar, compreendendo-as como importante meio de sociali[1]zação e desenvolvimento das crianças.
Simplifying Qualitative Case Study Research Methodology: A Step-By-Step Guide Using a Palliative Care Example
Authors: Miller Elizabeth , Porter Joanne , Barbagallo Michael
Published: August 2023

Qualitative case study research can be a helpful methodology when conducting health research. However, it can be overlooked or dismissed as a possible methodological choice due to different epistemological positionings by case study theorists and often confusing and contradictory definitions and terminology. Much has been written about case studies, but it takes time to wade through volumes of often philosophically and methodologically dense material to locate a theorist who presents case study research at a depth the novice researcher can understand. Case study research literature may offer a condensed summary of processes but often needs more theoretical detail. Therefore, discerning where to begin can be time-consuming, frustrating, and overwhelming. There are very few qualitative case study protocols and no step-by-step guide describing the planning and decision-making process within nursing. To address the need for clarity, this article endeavors to set out how to conduct a qualitative case study in a step-by-step guide using the approaches of Merriam and Stake as the foundation using a palliative care setting as an application example. It contributes to knowledge and practice by developing a foundational understanding of case study methodology in the hope that novice researchers will consider case study research as a methodological choice for their study and conduct it in a trustworthy and rigorous manner.
Analysis of Factors Causing Errors in Issue of Goods at PT Dunia Express Transindo's Warehouse
Authors: Rosyidi Edwar , Yuselin Nensi , Yahya Kamil
Published: August 2023

PT Dunia Express Transindo is a "Total Logistics" service provider company. One of the services provided is the warehouse division to manage all the activities in it, starting from the process of Inbound / Receiving goods, Storage / Storage of goods, and Outbound / Issuing goods. In the process, there were problems found in the warehouse, namely an error in the Outbound process /Releasing goods in the warehouse, which resulted in an internal impact for the company, namely an error in releasing goods causing re-shipment to customers. Also the external impact on the company, namely errors in issuing goods causes the level of customer trust to decrease. Data collection was carried out by asking directly to the field workers (warehouse staff and warehouse coordinator) and directly observing the condition of the warehouse. This study retrieved data on errors in the issuance of goods in December 2020 with a total of 13 items and January 2021 with a total of 96 items. From the root of the problem using the fishbone diagram method and cause and effect. It is known that the human factor is the most dominant factor due to lack of thoroughness, lack of knowledge and lack of communication. After carrying out an analysis of the repair plan using the 5w1h method, the DUNEX Wms Dry application was implemented and the socialization was carried out during the morning briefing. So that it can reduce errors in issuing goods, speed up reporting the previous process from 2 hours to 5 minutes, report damage to the previous 30 minutes to 3 minutes and make it easier to find out which items have been collected.
Tanggung Jawab Pengangkut Mengenai Pengangkutan Barang Mealui Laut
Authors: Harto Harto
Published: August 2023

Sea transportation is the most important means of connecting one island to another in Indonesia, most of which consists of water. The obligation of the Carrier is to organize the transportation and maintain the safety of the Goods from the time they are received until they are handed over to the Recipient. From this obligation arises the responsibility of the carrier because the carrier must maintain the safety of the goods he transports, so everything that interferes with the safety of the goods he transports is the responsibility of the Carrier. This research on the responsibility of the Carrier uses a descriptive analytical research method, while the type of research is a normative research type. This research on the responsibility of the Carrier in the Transportation of Goods by the Sea is intended to answer problems regarding the system of responsibility used by the Carrier and the legal basis governing the Responsibility of the Carrier. The results of the research from the author show that the carrier's responsibility system and its restrictions cannot be separated from the provisions contained in the KUHD, especially Article 468 of the KUHD and the rules contained in the Bill of Lading.
Analisis Pengaruh Citra Merek, Harga, Dan Kualitas Produk Terhadap Keputusan Pembelian Produk (Studi Kasus Pembelian Produk Capa Oil)
Authors: Maritha Rilo Fajar , Ningsih Pertiwi Ratna , Anindyastri Ranty , Apriani Delfi Dwi , Mangifera Liana
Published: August 2023

In Indonesia, the agricultural sector is one of the business activities involving many stakeholders. One of the agricultural commodity products that have a high enough potential is papaya fruit. Almost all parts of the papaya plant can be utilized, ranging from fruit, leaves, to stems. But besides that, so far papaya seeds are not used properly, so it only ends up being waste. According to research conducted by Wardani in Ahmad and Adriyanto (2019), it is mentioned that papaya seeds contain flavonoids, alkaloids, tannins, saponins, and steroids that are efficacious to eradicate mosquitoes. From this, we make products in the form of essential oils made from papaya seeds with the trademark Capa Oil. This research is intended to find out the influence of brand image, price, and product quality on capa oil purchasing decisions in the Greater Solo region. The results of this study show that the brand image, price, and quality of products influence the purchase decision of Capa Oil in the Greater Solo region.
Tinjauan Konseptual Kanal Digital dan Perubahan Narasi: Penggunaan Instagram Sebagai Sumber Pembelajaran Digital
Authors: Febi hardina Andhika
Published: August 2023

Penelitian ini membahas mengenai penggunaan media sosial Instagram sebagai sumber pembelajaran digital pada era industri 4.0. Penelitian ini merupakan sebuah penelitian kualitatif dengan teknik analisis konseptual pada penelitian-penelitian terdahulu dengan menggunakan teori Computer Mediated Communication (CMC). Hasil dari penelitian ini menunjukkan bahwa media sosial Instagram berperan sebagai salah satu kanal digital alternatif dalam memperoleh informasi yang edukatif bagi peserta didik. Platform media sosial Instagram dianggap sebagai media pembelajaran dan kebiasaan baru. Selain itu, Instagram juga dianggap sebagai sarana yang efektif dalam praktik pembelajaran digital melalui keterbukaan, interaktivitas, dan sosialisasi para peserta didik. Temuan baru dalam penelitian ini adalah bentuk proses pembelajaran baru pada industri 4.0. Jika dahulu sebagian besar proses pembelajaran dilakukan secara formal, dengan adanya revolusi industri 4.0 ini proses pembelajaran dapat dilakukan secara digital yaitu dengan menggunakan platform media sosial. Hal ini pun tidak terbatas hanya pada para ilmuwan dan pakar, namun seseorang atau akun yang dianggap memiliki kredibilitas juga dapat memberikan informasi sebagai sumber pembelajaran melalui kanal digital.