bluuebunny/crossref_metadata_2025 huggingface dataset:
Lateral Talar Subluxation Measurements in Nonoperatively Managed Weber B Ankle Fractures
Authors: Ge Laurence , Holmes James R. , Talusan Paul G. , Walton David M.
Published: July 2023

Background:

Lateral talar subluxation (LTS) was introduced as a measurement tool for evaluating isolated Weber B ankle fractures, with LTS >4 mm on gravity stress (GS) radiographs possibly indicating need for surgery. This study reviews LTS measurements in nonoperatively managed isolated Weber B fibula fractures to further investigate the validity of this previously stated cutoff.

Methods:

The senior authors previously reported outcomes of a novel algorithm for nonoperative management of isolated Weber B ankle fractures. Outcome scores reported include American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot, Olerud-Molander (OMA), Foot and Ankle Ability Measure for activities of daily living (FAAM/ADL), and visual analog scale (VAS) scores. All patients achieved union of their fracture. LTS was measured on GS radiographs of both injured and contralateral uninjured extremities.

Results:

Forty-two patients were included with minimum 1-year follow-up. Average age was 49 years (range 19-72). Mean measurements on injury GS radiographs were as follows: medial clear space (MCS) 4.45 mm (SD = 0.93), superior clear space (SCS) 3.46 mm (SD = 0.70), and LTS 2.33 mm (SD = 1.57, range 0-4.7 mm), with 35 (83.3%) patients having injury LTS ≤4 mm. Mean measurements on contralateral (uninjured) GS radiographs were as follows: MCS 3.39 mm (SD = 0.63), SCS 3.15 mm (SD = 0.50), and LTS 1.30 mm (SD = 1.28, range 0-4.8 mm). There was no statistically significant difference in all outcome measures based on amount of LTS (<2 mm, 2-4 mm, >4 mm).

Conclusion:

Most patients had injury LTS ≤4 mm, although those with LTS >4 mm had excellent outcome scores. LTS measurements on normal ankles reveal a large range. LTS may be a useful adjunct in evaluating isolated Weber B ankle fractures but the 4-mm cutoff may not be entirely reliable. Further studies are required to validate LTS as a decision-making tool.

Level of Evidence:

Level IV, case series.
Comparison of nutrition care services for adult obesity at primary care in two different periods in Saudi Arabia
Authors: Aljaaly Elham A. , Khalifa Nahlaa A.
Published: July 2023

Background

Dietitians are healthcare professionals with potential roles and impacts in primary care (PC) settings when applying knowledge and expertise to educate healthcare clients at all levels and treat chronic diseases. This study seeks to compare and evaluate the nutrition care services and practices in obesity management in primary care centres for two periods (2016 and 2019) in Jeddah city, Saudi Arabia.

Methods

Surveys with service self-reporting evaluation used responses from 18 and 27 centres in 2016 and 2019. Services evaluation used no reference to a standard, but 18 of the surveyed PC centres in 2019 were previously visited in 2016 to assess the provided nutrition care services for adult obesity in PC centres. The re-visit survey investigated improvements in services achieved in 2019 concerning services for adults with obesity. A chi-square test was used to compare the surveys' results in the two periods, which resulted in a significant difference in the provided nutrition care services for adult obesity between 2016 and 2019.

Results

Dietitians' employment has significantly changed (P < .0001) in 2019 compared to 2016. Dietitians were significantly noticed as the primary source of nutrition information after their integration into the services (P < .0001) in 2019. Services provided for adult obesity increased significantly (Pvalue < .0001) in the second phase. However, there was no significant difference in serving adult groups between the two periods (P = .056).

Conclusions

Integrating dietitians into the PC services significantly enhanced their role in supporting PC services for conditions relating to adult obesity, which allowed them to be the most important source of the delivered nutrition information to patients. The employment rate of PC dietitians accredited by the governing body is significantly increasing; the Saudi Commission for Health Specialties will need to monitor it to ensure that dietitians have the qualifications and skills to provide professional medical nutrition therapy to patients. Further research to evaluate the quality of PC dietetic practice and improvements in patient outcomes is required to strengthen the importance of integrating registered dietitians into the services.
Post-traumatic stress disorder among ICU healthcare professionals before and after the Covid-19 health crisis: a narrative review
Authors: Deltour Victoire , Poujol Anne-Laure , Laurent Alexandra
Published: July 2023

Background

The ICU (intensive care unit) involves potentially traumatic work for the professionals who work there. This narrative review seeks to identify the prevalence of post-traumatic stress disorder (PTSD) among ICU professionals; how PTSD has been assessed; the risk factors associated with PTSD; and the psychological support proposed.

Methods

Three databases and editorial portals were used to identify full-text articles published in English between 2009 and 2022 using the PRISMA method.

Results

Among the 914 articles obtained, 19 studies met our inclusion criteria. These were undertaken primarily during the Covid-19 period (n = 12) and focused on nurses and assistant nurses (n = 10); nurses and physicians (n = 8); or physicians only (n = 1). The presence of mild to severe PTSD among professionals ranged from 3.3 to 24% before the pandemic, to 16–73.3% after the pandemic. PTSD in ICU professionals seems specific with particularly intense intrusion symptoms. ICU professionals are confronted risk factors for PTSD: confrontation with death, unpredictability and uncertainty of care, and insecurity related to the crisis COVID-19. The studies show that improved communication, feeling protected and supported within the service, and having sufficient human and material resources seem to protect healthcare professionals from PTSD. However, they also reveal that ICU professionals find it difficult to ask for help.

Conclusion

ICU professionals are particularly at risk of developing PTSD, especially since the Covid-19 health crisis. There seems to be an urgent need to develop prevention and support policies for professionals.
Reciprocal influence of soil, phyllosphere, and aphid microbiomes
Authors: Wolfgang Adrian , Tack Ayco J. M. , Berg Gabriele , Abdelfattah Ahmed
Published: July 2023

Background

The effect of soil on the plant microbiome is well-studied. However, less is known about the impact of the soil microbiome in multitrophic systems. Here we examined the effect of soil on plant and aphid microbiomes, and the reciprocal effect of aphid herbivory on the plant and soil microbiomes. We designed microcosms, which separate below and aboveground compartments, to grow oak seedlings with and without aphid herbivory in soils with three different microbiomes. We used amplicon sequencing and qPCR to characterize the bacterial and fungal communities in soils, phyllospheres, and aphids.

Results

Soil microbiomes significantly affected the microbial communities of phyllospheres and, to a lesser extent, aphid microbiomes, indicating plant-mediated assembly processes from soil to aphids. While aphid herbivory significantly decreased microbial diversity in phyllospheres independent of soil microbiomes, the effect of aphid herbivory on the community composition in soil varied among the three soils.

Conclusions

This study provides experimental evidence for the reciprocal influence of soil, plant, and aphid microbiomes, with the potential for the development of new microbiome-based pest management strategies.
Impact of trading hours extensions on foreign exchange volatility: intraday evidence from the Moscow exchange
Authors: Frömmel Michael , Kadioglu Eyup
Published: July 2023

Using transaction-level tick-by-tick data of same- and next-day settlement of the Russian Ruble versus the US Dollar exchange rate (RUB/USD) traded on the Moscow Exchange Market during the period 2005–2013, we analyze the impact of trading hours extensions on volatility. During the sample period, the Moscow Exchange extended trading hours three times for the same-day settlement and two times for the next-day settlement of the RUB/USD rate. To analyze the effect of the implementations, various measures of historical and realized volatility are calculated for 5- and 15-min intraday intervals spanning a period of three months both prior to and following trading hours extensions. Besides historical volatility measures, we also examine volume and spread. We apply an autoregressive moving average-autoregressive conditional heteroscedasticity (ARMA-GARCH) model utilizing realized volatility and a trade classification rule to estimate the probability of informed trading. The extensions of trading hours cause a significant increase in both volatility and volume for further analyzing the reasons behind volatility changes. Volatility changes mostly occur after the opening of the market. The length of the extension has a significant positive effect on realized volatility. The results indicate that informed trading increased substantially after the opening for the rate of same-day settlement, whereas this is not observed for next-day settlement. Although trading hours extensions raise opportunities for more transactions and liquidity in foreign exchange markets, they may also lead to higher volatility in the market. Furthermore, this distortion is more significant at opening and midday. A potential explanation for the increased volatility mostly at the opening is that the trading hours extension attracts informed traders rather than liquidity providers.
Experience with transesophageal echocardiography for mitral valve plasty in the remote stage after esophagectomy with gastric tube reconstruction via the posterior mediastinal route
Authors: Sato Yuri , Tokita Takaharu , Saito Junichi , Hirota Kazuyoshi
Published: July 2023

A 69-year-old male patient with mitral valve prolapse was scheduled for mitral valve plasty. Sixteen years earlier, he had undergone right open thoracotomy for esophageal cancer with subtotal esophagectomy, cervicothoraco-abdominal three-region dissection, posterior mediastinal tube reconstruction, and cervical anastomosis. Postoperatively, the patient had a treatment- and recurrence-free course, and an upper gastrointestinal endoscopy performed 2 years prior revealed no abnormality. We scheduled a transesophageal echocardiography for mitral valve surgery. We attempted to insert the probe but felt resistance at the height of the mid-thoracic region, and the image quality was poor, so we abandoned the intraoperative diagnosis. The surgery was performed as planned, and when the probe was manipulated again at the time of cardiopulmonary withdrawal, the mitral valve could be observed. The mitral valve was judged to be sufficiently repaired, and the surgery was terminated. There were no complications associated with transesophageal echocardiography.
Jeonju declaration on Korean-food: creating value and sustainability
Authors: Cha Youn-Soo
Published: July 2023

Jeonju was selected as Korea’s only UNESCO City of Gastronomy in 2012. Jeonju food has been attracting attention as ‘sincere foods’ that is likened to a mother’s cooking and bricolage foods since ancient times. Jeonju is a representative of K-food as a city with the recognition of being a ‘hometown of taste’ and the ‘pride of taste’ in Jeolla-do. The global interest in K-food is based on a ‘healthy image’, and it is expected that the international interest in K-food will continue to rise in the future due to its health benefits. K-food contributes to the promotion of human health based on scientific research on its various aspects such as ingredients, recipes, and diet composition. The fact that K-food contains a lot of vegetables and fermented foods can be considered as one of the factors that can respond to the climate crisis. The Jeonju Declaration gather numerous values to lay the foundation for the direction in which K-food should be served. Therefore, this year 2022, to mark the 10th anniversary of the UNESCO City of Gastronomy, Jeonju City specified the K-food hub and declared the following ‘Jeonju Declaration on K-Food: Creating Value and Sustainability’ on June 16, 2022. Declaring that Jeonju food is K-food, we intend to promote the continuous globalization of K-food by creating various values such as national, historical/culture, commercial/industrial, and health/nutritional values.
Sustainability of K-Food: focused on the change in the health values of K-Food
Authors: Moon Hye-Jung , Cha Youn-Soo
Published: July 2023

The importance of culture and interest in K-culture due to the development of online Mediterraneania such as social media have increased curiosity about K-Food, which contains Korean traditions and cultures. It will be necessary to establish the identity and value of K-Food in order to continue it, which is in global attention. Therefore, this study reviewed the definition, tradition, and health values of K-Food from the past to the present for the sustainability of K-Food in the global era. K-Food has been constantly influenced by geography, climate, religion, ideology, and neighboring countries throughout Korea's 5,000-year history, but has maintained Korea's unique and creative dietary habits and traditions. K-Food is an individual Korean dish, bapsang, constituting K-diet, and K-diet is a concept that combines K-Food and K-culture. Korean traditional fermented food, one of the K-Foods, and Korean dietary patterns have been reported to improve body weight, gastrointestinal health, diabetes, hypertension, dyslipidemia, and cognitive function. In addition, K-Food has a similar dietary pattern and nutritional value to the healthy Mediterranean diet. In conclusion, the sustainability of K-Food in the era of globalization requires continuous education to preserve traditions and culture, scientific research on health functions, and localization research so that it can be easily applied in other countries.
Once again... breakthrough cancer pain: an updated overview
Authors: Mercadante Sebastiano
Published: July 2023

Breakthrough cancer pain (BTcP) is a complex and variegate phenomenon that may change its presentation during the course of patients’ disease in the same individual. An appropriate assessment is fundamental for depicting the pattern of BTcP. This information is determinant for a personalized management of BTcP. The use of opioids as needed is recommended for the management of BTcP. There are several options which should be chosen according to the individual pattern of BTcP. In general, a drug with a short onset and offset should be preferred. Although oral opioids may still have specific indications, fentanyl products have been found to be more rapid and effective. The most controversial point regards the opioid dose to be used. The presence of opioid tolerance suggests to use a dose proportional to the dose used for background analgesia. In contrast, regulatory studies have suggested to use the minimal available dose to be titrated until the effective dose. Further large studies should definitely settle this never ended question.
The genome sequence of the Tawny Marbled Minor, Oligia latruncula (Denis & Schiffermüller, 1775)
Authors: Broad Gavin R. ,   Natural History Museum Genome Acquisition Lab,   Darwin Tree of Life Barcoding collective,   Wellcome Sanger Institute Tree of Life programme,   Wellcome Sanger Institute Scientific Operations: DNA Pipelines collective,   Tree of Life Core Informatics collective,   Darwin Tree of Life Consortium
Published: July 2023

We present a genome assembly from an individual male Oligia latruncula (the Tawny Marbled Minor; Arthropoda; Insecta; Lepidoptera; Noctuidae). The genome sequence is 564.1 megabases in span. Most of the assembly is scaffolded into 31 chromosomal pseudomolecules, including the Z sex chromosome. The mitochondrial genome has also been assembled and is 15.34 kilobases in length.
La interpretación histórica o subjetiva del derecho: una historia de pervivencia práctica y problemas teóricos
Authors: Pérez Bermejo Juan Manuel
Published: July 2023

La investigación se concentra sobre el llamado canon histórico, subjetivo o genético de interpretación. Su primera parte explica sus características y exigencias básicas. La segunda sostiene una tesis descriptiva: pese a la cantidad y entidad de las críticas recibidas, el canon pervive en nuestra práctica jurídica; no es insólito su uso por nuestra jurisprudencia, y conserva influencia e incluso hegemonía en países de nuestro entorno. Sin posibilidad de emprender una investigación exhaustiva, el trabajo aspira a reunir pruebas suficientes que acrediten esta tesis. La tercera parte denuncia el uso del método subjetivo por la incorrección de los presupuestos teóricos sobre los que se asienta, y sugiere una reducción de su papel a argumento de corroboración o ex abundantia. Las críticas se distribuyen en tres grupos: a) Las que, sin cuestionar su corrección filosófica, denuncian su inaplicabilidad. b) Las que revelan las consecuencias prácticas indeseables de su uso, bien en algunas ramas en particular, bien en el sistema en general. c) Las que denuncian los presupuestos erróneos de teoría del derecho que subyacen a su aplicación. Dentro de este apartado, se repasarán algunas críticas relativas a las dificultades de conciliar el método con sistemas jurídicos vertebrados por un conjunto de principios y valores morales y políticos, así como con sistemas arraigados en un principio de soberanía popular. Por último, me referiré al problema que juzgo de más entidad: la necesidad del intérprete de realizar una tarea de unificación y ordenación del cuerpo normativo que aplica, y la imposibilidad de llevarla a cabo desde un método que convierte cualquier conjunto de legislación en una cacofonía de voces dispares. El trabajo termina extrayendo algunas conclusiones generales sobre quién es y qué funciones ostenta la figura que llamamos «legislador».
El Rousseau de Norberto Bobbio
Authors: Ruiz Miguel Alfonso
Published: July 2023

El estudio parte de la pregunta de por qué Bobbio consideró a Rousseau uno de sus clásicos cuando este autor apenas tiene un especial papel en su obra. Si bien Rousseau es referencia obligada en algunos de los escritos de Bobbio, en ellos solo aparece de manera limitada o marginal, sin un tratamiento sistemático específico ni pormenorizado. La ausencia de Rousseau en tres de los cursos bobbianos de historia de la teoría política puede considerarse un enigma no resuelto. No obstante, ante la diversidad de interpretaciones de Rousseau, y en especial ante el llamado «problema Rousseau» (Cassirer), que contrasta su racionalismo y su romanticismo, Bobbio adoptó, descriptivamente, una visión racionalista que termina por negar las tendencias organicistas del contractualismo rousseauniano. En el plano de la justificación normativa, sin embargo, Bobbio fue un claro crítico del modelo democrático de Rousseau. Así lo ponen de manifiesto expresamente varios escritos bobbianos, alguno poco conocido (como uno sobre Gaetano Salvemini) y otros fuera de las citas habituales (como los dedicados a críticos de la democracia como Mosca y Pareto), que corroboran los dos motivos fundamentales que atraviesan la visión de la democracia en el conjunto de la filosofía política de Bobbio: su consideración de la democracia, ante todo, como antítesis de la dictadura y extensión del liberalismo, que exige el respeto a las libertades civiles y políticas y a las instituciones parlamentarias, y, segundo, como mecanismo procedimental para el recambio de élites en competición por el voto popular. La conclusión intenta responder resumidamente a la doble pregunta de por qué Rousseau pudo ser considerado por Bobbio uno de sus clásicos y qué Rousseau, entre los varios posibles, es el que aparece en su obra.
Elective disciplines – an important component in the formation of professinal competences of future doctors – pediatric dentists
Authors: Bidenko Natalia , Ostapko Olena , Koval Olga
Published: July 2023

The article investigates actual issues of introduction of elective disciplines to the educational process of dental students. According to the changes in the political, economic and social spheres of our country, the labor market requires the training of highly skilled specialists who have a high level of knowledge, skills and competences in a particular industry, could make decision in standard and non-standard situations, bear responsibility for them in the professional activity. That is why the importance issue of the development and formation of today’s education is the use of a competence approach.      Elective disciplines have an important role in the formation of the professional competences of future doctors and dentists.
The purpose of the study was to reveal the expediency of teaching elective disciplines to students of the Faculty of Dentistry using the example of an elective discipline “Modern technologies in pediatric dentistry” for students of 5th student year.
The blocks of elective disciplines that form a variable component of the Educational and Professional program of Dentistry are characterized. The content of the elective discipline “Modern technologies in pediatric dentistry” for students of the 5th year of the Faculty of Dentistry of Bogomolets National Medical University is analyzed. Thematic plans of lectures and practical lessons in the discipline are presented. It is emphasized, that the purpose of studying this elective discipline is the formation of professional competences necessary for high-quality dental treatment of children, including under general anesthesia. The elective discipline “Modern technologies in pediatric dentistry” was introduced into the educational process in 2022/23 acadrmic year and received favorable reviews from students. Further research involves an anonymous survey of students and teachers, interviews with graduates and employers with the aim of improving the content of electives disciplines and the level of their teaching at the departments
Effect of assisted calving on uterine puerperal disorders occurrence, and on reproductive efficiency in crossbred dairy cows
Authors: Coury Luís Fernando Faria , Campos Carla Cristian , Moraes Giovanna Faria de , Reis Natani Silva , Santos Ricarda Maria dos
Published: July 2023

Abstract The aim of this study was to evaluate the effect of the type of calving (normal or assisted) on the occurrence of puerperal uterine disorders and on the number of artificial inseminations (AI) per conception and pregnancy rate at 150 days postpartum (PPD). Cows were observed during parturition and the type of calving was classified as normal or assisted. Normal calving required no human interference, while assisted calving required a calf removal aid via vaginal access. There were 825 births, 7 stillbirths (0.85%) and 17 twins (2.06%). We analyzed 801 single births, from which 766 (95.63%) were normal and 35 (4.36%) assisted. Were evaluated the uterine disorders occurrence such as retained placenta combined with metritis (PR/ME) and clinical endometritis (CE). The overall occurrences were 10.24% (82/801) of RP/ME, 12.86% for CE and 5.12% for RP/ME and CE. Most of normal calving cows had healthy puerperium (73.89%), whereas a majority of assisted calving cows had uterine disorders (74.29%). The number of AI per conception was similar for cows that had either normal or assisted calving (2.39±0.08 and 3.00±0.43, P = 0.16). There was no evidence of negative influence of calving type on the 150 PPD pregnancy rate of lactating crossbreed dairy cows (P = 0.44). Healthy cows had higher 150 PPD pregnancy rate than cows affected by puerperium uterine disorders (51.65 vs. 42.92%). Normal calving crossbred dairy cows had a healthier puerperium, compared to cows with assisted calving which were more susceptible to puerperium uterine disorders. And cows with a health puerperium have a higher pregnancy rate at 150 days postpartum.
Artificial neural networks for the management of poultry industry: a simulation based on the broiler production chain
Authors: Camilotti Elisar , Furian Thales Quedi , Borges Karen Apellanis , Rocha Daniela Tonini da , Nascimento Vladimir Pinheiro do , Moraes Hamilton Luiz de Souza , Salle Carlos Tadeu Pippi
Published: July 2023

Abstract The aim of this study was to predict production indicators and to determine their potential economic impact on a poultry integration system using artificial neural networks (ANN) models. Forty zootechnical and production parameters from broiler breeder farms, one hatchery, broiler production flocks, and one slaughterhouse were selected as variables. The ANN models were established for four output variables: “saleable hatching”, “weight at the end of week 5,” “partial condemnation,” and “total condemnation” and were analyzed in relation to the coefficient of multiple determination (R2), correlation coefficient (R), mean error (E), mean squared error (MSE), and root mean square error (RMSE). The production scenarios were simulated and the economic impacts were estimated. The ANN models were suitable for simulating production scenarios after validation. For “saleable hatching”, incubator and egg storage period are likely to increase the financial gains. For “weight at the end of the week 5” the lineage (A) is important to increase revenues. However, broiler weight at the end of the first week may not have a significant influence. Flock sex (female) may influence the “partial condemnation” rates, while chick weight at first day may not. For “total condemnation”, flock sex and type of chick may not influence condemnation rates, but mortality rates and broiler weight may have a significant impact.
Implementation of a milking system and quality management for buffalo milk at an experimental station in Rio Grande do Sul, Brazil
Authors: Domenico Vitória Leite Di , Paiva Ana Raisa , Jank Louise , Tomaszewski Caroline Andrade , Motta Amanda de Souza da
Published: July 2023

Abstract Buffalo milk production is an activity that has grown in recent years, mainly due to the physicochemical characteristics found in this type of milk, which is the second most produced in the world. The objective of this study was to implement a milking system and monitor the identity and quality standards of buffalo milk produced at the Experimental Agronomic Station of the Federal University of Rio Grande do Sul. Samples were collected fortnightly between June and November 2021, totaling ten collections. The means obtained at the end of the monitoring were 4.84 g/100 g for fat, 4.64 g/100 g for protein, 5.06 g/100 g for lactose, 15.26 g/100 g for total solids, 10.42 g/100g for non-fat solids, 0.18 g lactic acid/100 mL of milk for acidity, 1.037 g/cm3 for density, -0.533°C for cryoscopic index, 3.5 x 105 cells/mL for somatic cell count, and 8.0 x103 CFU/ml for standard plate count. Residues of antibiotics and antiparasitics were not found. An increase in the concentration and frequency of some fatty acids was observed, after an increment in the nutritional management of the animals, in addition to predominance of palmitic acid (C16:0) and oleic acid (C18:1- cis (n9)). The results indicate a significant improvement in the quality of the milk in the assessment period, due to the corrective actions that were established, and the standard plate count showed good agricultural practices as to milk sourcing and the hygiene of the materials, being below the limits required by NI 76. The buffalo milk produced by the herd at the Experimental Station showed physicochemical and microbiological results in accordance with the legislation, being a raw material to be explored in the prospection of derivative products.
Coping strategies and authentic leadership: nurses’ work in 2021 during the covid-19 pandemic
Authors: Bicalho Cleide Straub da Silva , Figueiredo Karla Crozeta , Beltran Rebeca Iwankiw Lessa , Pol Thaiane Almeida Silva , Souza Gabrielle Porfirio
Published: July 2023

Abstract Objective to identify the correlation between Authentic Leadership dimensions and coping strategies used by nurses during the pandemic. Methods this is a qualitative study, with a descriptive approach, carried out with 34 nurses working in four hospitals in Curitiba. Data were collected from July to September 2021 online, using the Lazarus and Folkman Coping Strategies Inventory and the Authentic Leadership Questionnaire. Data analysis was carried out through the domain scores of each instrument according to Brazilian validation. Results it is noted that the Balanced Processing and Self-Awareness Dimensions present a moderate positive correlation with the Accepting Responsibility, Seeking Social Support, Problem-Solving and Positive Reappraisal variables, with the latter variable presenting a moderate positive correlation with the Internalized Moral Perspective dimension, and not observes a correlation between the Relational Transparency dimension and coping strategy variables. Conclusion and implications for practice the study demonstrates that the identified correlations encourage the team in circumstances of exhaustion, promoting a balanced cognitive behavior in the conduct of services. It is observed that the correlation between coping strategies and Authentic Leadership in the nursing area allows for the team’s engagement, credibility and self-development.
ANESTHETIC BLOCK OF THE INTERTRANSVERSE SEPTUM, A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Meira Paulo Henrique Silva , Vialle Emiliano Neves , Kisaki William Osamu Toda , Arruda André de Oliveira , Vialle Luiz Roberto Gomes , Guasque Joana Bretas Cabral Rondom , Rocha Luiz Gustavo Dal Oglio da , Bley Filho Ubirajara
Published: July 2023

ABSTRACT Objective: To evaluate the influence of intertransverse septal anesthetic block (BASIT) on postoperative pain in lumbar spine surgery. Methods: The study was carried out prospectively and observationally. Were included 105 patients who underwent posterior lumbar spine surgery, divided into two groups: 35 patients in the experimental group, who received BASIT at the end of the procedure, and 70 patients in the control group, without BASIT. Patients were assessed for low back pain (visual pain scale), opioid consumption on the 1st postoperative day, complications related to the procedure, and length of stay after surgery. Results: The sample consisted of 46 men and 59 women, with a mean age of 57.7 years (21 to 90 years). Mean postoperative pain in the experimental group was 1.88, and in the control group 2.11 (p<0.05). There was a trend towards less morphine use in the experimental group with p = 0.053. There was a statistical difference in morphine consumption between patients who did not previously use opioids and those who already used them (p 0.04). There was no difference between the groups regarding length of stay. Conclusion: Anesthetic blockade of the intertransverse septum reduced the consumption of opioids and the levels of low back pain after surgery (p<0.05), with no statistical difference in length of hospital stay or complications related to the technique. Level of Evidence II; Clinical Prospective Study.
Role of zooplanktonic functional groups in a shallow mesotrophic reservoir
Authors: Castilho Maria Carolina de Almeida , Santos Thiago Rodrigues dos , Ferragut Carla , Henry Raoul
Published: July 2023

Abstract: Aim Zooplankton functional groups play an important role in lake functioning and can readily respond to environmental changes and may be associated with phytoplankton changes. In warmer regions, zooplankton species have a smaller body size, which decreases their grazing capacity, attenuating top-down control throughout phytoplankton. We evaluated changes in density and biomass of zooplankton functional groups and their relationship with algal groups in horizontal reservoir zonation (pelagic, sublittoral, and eulittoral zones) of the shallow reservoir. We hypothesize that the density and biomass of zooplankton functional groups are associated with fluctuations in the phytoplankton groups in horizontal reservoir zonation. Methods Changes in the structure of the zooplankton functional group and the controlling limnological variables were verified at three sampling stations: pelagic, sublittoral, and eulittoral zones in a mesotrophic reservoir. Results Zooplankton species were distributed in seven functional groups. The density and biomass of zooplankton functional groups were not clearly associated with biomass variations of phytoplankton groups. However, the zooplankton functional groups were associated with horizontal reservoir zonation, where specific groups were found in the pelagic, sublittoral, and eulittoral zones. Conclusions The zooplankton functional groups were related to the horizontal zonation of the reservoir but were not associated with changes in the phytoplankton groups due to the dominance of small organisms.
NUMERICAL SIMULATION OF THE IMPACT OF A GAS JET ON A FREE WATER SURFACE
Authors: Haegeman Ward , Le Touze Clément , Dupays Joël , Massot Marc
Published: July 2023

In this work, we are interested in the numerical simulation of a high-speed hot jet impinging on a free liquid surface at rest by means of diffuse interface models. We first consider the case of a low-temperature subsonic jet; a 4-equation model is used on a 2D axi-symmetric setup. Turbulence is accounted for by solving the Reynolds averaged equations and using a k-ω turbulence model.
Numerical results are evaluated by comparing the depth of the cavity formed in the liquid surface
to the predicted values using theoretical models from the literature. We then consider the case of a high-temperature jet. We start by showing equilibrium assumption between the liquid and gas phases which is no longer valid. A 5-equation
model that does not rely on this assumption is presented. Both models are compared numerically on a simplified set-up.
Nutritional assessment and nutritional status of centenarians (based on the materials of the study “Centenary citizen” in Moscow)
Authors: Gotina Alisa D. , Ivannikova Ekaterina V. , Eruslanova Ksenia A. , Krylov K. Y. , Kotovskaya Yulia V. , Tkacheva Olga N.
Published: July 2023

BACKGROUND: Malnutrition and micro- and macronutrient deficiencies are common in people aged 95 years and older. For timely detection of nutritional disorders, it is crucial to regularly examine centenarians and, if necessary, correct an individual patient management plan. A well-balanced diet is one of the fundamental factors for the normal functioning of the human body throughout its life. With age, for various reasons, the risk of malnutrition increases, however, the nutritional status of centenarians is currently not fully understood due to the difficulties of diagnosis.
AIM: To evaluate nutritional status and its impact on life expectancy in patients aged 95 years and older, to identify the main determinants that affect the development of malnutrition, and to assess their impact on three-year survival of centenarians.
MATERIALS AND METHODS: Analyzed the results of a Mini Nutritional Assessment, general and biochemical blood tests (including such parameters as hemoglobin levels, iron levels, total protein, albumin, vitamin B12, vitamin D, folic acid) in non-institutionalized people aged 95 and older living in Moscow. All studies were conducted at home in the presence of relatives and/or social workers after signing a voluntary informed consent.
RESULTS: The study included 82 people, mean age (98.31.89) years; 87.8% were women. Of all the study participants, 56.1% (n=46) were at risk of developing malnutrition, and 11% (n=9) had malnutrition syndrome. Among the 64 participants who took the blood test, anemia was diagnosed in 71.9% (n=46), with macrocytic in 10.9% (n=5), normocytic in 84.8% (n=39), and microcytic in 4.3% (n=2) of patients. Hypoalbuminemia was identified in 16.9% (n=11 of 65) of participants. Of the 50 people who were screened for vitamin D levels, vitamin D deficiency was found in 98% (n=49 out of 50). The following factors influenced survival: a Mini Nutritional Assessment score of more than 24 reduces the risk of 3-year death by 72% (odds ratio (OR) 0.28, confidence interval (CI) 0.10.8), anemia increases the adverse risk by 3 times (OR=3.1, CI 1.18.9). The main clinical conditions associated with a higher risk of developing malnutrition were anemia (OR=3.1, CI 1.18.9) and chewing problems (OR=2.8, CI 0.97.8).
CONCLUSIONS: Conducting a nutrition assessment and drawing up a program for the prevention of malnutrition syndrome in centenarians will improve the quality of life and increase life expectancy.
Assessment of occupational risks of bloodborne infectious diseases for dental personnel
Authors: Agliullina Saida T. , Khasanova Gulshat R. , Ganieva Aliya I. , Askarova Endzhe R. , Shakirova Liaisan R. , Bilalov Ilshat R.
Published: July 2023

BACKGROUND: Awareness of dental workers about the epidemiology of blood-borne infections (HIV, hepatitis B virus [HBV], and hepatitis C virus infections) and knowledge about actions to take if accidents occur in the workplace such as contact with blood and other biological fluids are a key link in the prevention of these infections.
AIMS: To assess awareness and adherence of dental personnel to the algorithm of postexposure prophylaxis of occupational infections with blood-borne pathogens.
MATERIALS AND METHODS: This descriptive crosssectional study enrolled the dental staff of public and private dental clinics in Kazan, Russia. A survey of 173 dental staff was conducted in FebruaryMarch 2023. The rates of incidents caused by contact with blood and their nature among dental staff were determined, and the frequency of correctly performed algorithm of actions during an incident was calculated. The frequency of the implementation of measures for the prevention of occupational infections with blood-borne pathogens was estimated. Categorical data were described as absolute values and proportions (%).
RESULTS: In total, 65 specialists (37.6%) had encountered incidents such as contact with blood at the workplace. These incidents were significantly more common among women than among men: 44.7% (55/123) vs. 20.0% (10/50), respectively (p=0.002). The last incident in 50 respondents was associated with skin damage (needlestick injury or cut exposure); in 17 participants, their mucous membranes were exposed to blood (including two people with a mixed characteristic of incident: skin damage + exposure of their mucous membranes to blood). After contact with blood, local treatment was carried out correctly (according to Russian recommendations) in 18.0% of the participants with skin damage and 70.5% with blood exposure to mucous membranes. After the incident, 58.5% of the participants (38/65) reported to the head of the department or clinic, and a third of the respondents (23/65, 35.4%) recorded a case of contact with blood in the incident log. Nearly all respondents always use gloves (172/173, 99.4%) when they work in the dental office. Moreover, 64.2% of the respondents (111/173) always use safety glasses or screens. Nine respondents (9/173, 5.2%) do not use personal eye protection. Others (53/173, 30.6%) wear safety glasses/screens only when performing certain procedures. In addition, 85.0% (147/173) of the respondents have been vaccinated against HBV, 18 have not been vaccinated (10.4%), and 8 (4.6%) do not know their vaccination status.
CONCLUSIONS: The results of this study present the necessity of raising awareness among dental staff regarding the epidemiology and prevention of blood-borne infections to reduce the risk of occupational infections.
The effect of surgical treatment on the quality of life of kidney cancer patients with single bone metastases
Authors: Kostritsky Stanislav V. , Shirokorad Valery I. , Alekseev Boris Ya. , Semenov Dmitry V. , Kalpinsky Aleksey S. , Korneva Yulia S.
Published: July 2023

BACKGROUND: Renal cell cancer is complicated with bone metastases quite often, which are determined in a third of patients at the time of diagnosis of the primary tumor. The development of skeletal complications causes the complexity of managing such patients, which requires optimizing treatment tactics using combined methods and improving the quality of life after treatment.
AIM: The aim of this study is to assess the quality of life of renal cell cancer patients with single metastases in the bones before and after surgical treatment in combination with targeted therapy and without it.
MATERIALS AND METHODS: The study included 62 patients with single bone metastases of renal cell cancer with the presence of skeletal related events. 20 patients (group 1) underwent surgical treatment of metastases after surgery on the primary focus in combination with targeted therapy, 42 patients (group 2) underwent only surgical treatment of metastases. The quality of life was assessed using the EORTC QLQ-C30 questionnaire before and after surgery within and between groups.
RESULTS: Comparison of the survey influence on life quality in group 1 before and after treatment revealed that 8 out of 30 indicators of the EORTC QLQ-C30 questionnaire did not show a statistically significant change. These include: any restrictions in daily activities, as well as doing what you like, decreased appetite, nausea, shortness of breath, diarrhea, fatigue, financial difficulties. The remaining 22 indicators of the scale showed a statistically significant improvement. Comparison of quality of life indicators in group 2 before and after treatment showed that for 3 out of 30 indicators of the EORTC QLQ-C30 questionnaire, no statistically significant changes were registered, among them: the severity of pain syndrome, the presence of financial difficulties and health status over the past week. Statistically significant improvement was revealed for the remaining 27 indicators of the scale. Prior to treatment, difficulties in taking a short walk, doing daily chores, doing favorite things are more pronounced in group 1, and the need for rest in group 2 patients. After surgery, the indicators associated with daily activity were worse in group 1 patients, while the severity of the pain syndrome, its effect on daily activity, the need for rest, a sense of tension, and the effect on the emotional background were more noticeable in group 2 patients. Both before and after surgery, group 1 patients had a better assessment of both their health and quality of life over the past week.
CONCLUSIONS: The comparative analysis of the treatment confirmed our hypothesis that the most rational and effective combination is an active surgical tactic in combination with targeted therapy for bone oligometastases of renal cell cancer.
La gestión del empaque y embalaje en la conservación de alimentos y su aporte en la cadena de suministros de las pequeñas y medianas empresas
Authors: Lora Guzmán Harold , Cardona Arbeláez Diego , García Cediel Gustavo
Published: July 2023

El presente trabajo, tiene como propósito indagar sobre el diseño de las estrategias que podrían ser empleadas por parte de las PYMES-pequeñas y medianas empresas- en la gestión relacionada con el empaque y el embalaje para la conservación y la maleabilidad que coadyuvan a garantizar la calidad de los productos, así como la disminución de costos atribuidos a los reprocesos; que permitan a las PYMES en el desarrollo de sus procesos logísticos en aspectos como la calidad, cantidad y tiempo de entrega incrementar su competitividad. La metodología empleada para el desarrollo del presente articulo responde a una revisión documental. Los resultados señalan que existe un interés por mejorar los procesos logísticos en la cadena de suministro, así como emplear nuevas estrategias en la gestión del empaque y embalaje que garantice en términos de calidad, tiempo y durabilidad la conservación de sus productos alimenticios, de tal manera que conlleven a las pequeñas y medianas empresas poder ser más competitivas.
Tabaquismo en jóvenes mexicanos: estudio empírico en Veracruz, Michoacán, Ciudad de México y Estado de México
Authors: De-La-Fuente-Izaguirre Raúl , López-Lunagómez Daniel , Arieta-Melgarejo Patricia
Published: July 2023

El consumo de tabaco en jóvenes mexicanos entre 15 y 25 años se ha visto favorecido por diferentes factores psicosociales, en ese sentido es importante realizar estudios correlacionales que determinen los factores predominantes que favorecen el consumo del tabaco en edades tempranas. En este estudio se analizan los factores psicosociales con el objetivo de identificar aquellos que están relacionados con el consumo de tabaquismo en jóvenes mexicanos. Por tal motivo se desarrolla un estudio con una población de 80 adolescentes con un rango de edad entre 15 y 25 años, de los estados de Veracruz, Michoacán, Ciudad de México y Estado de México. Se utiliza la prueba de Fagerström de dependencia de la nicotina y un cuestionario de factores que acompañan al tabaquismo. Los resultados revelan que los factores sociales y familiares, a diferencia de los económicos y académicos influyen de manera significativa para el inicio del consumo del tabaco. Se hace la sugerencia de continuar con estudios de carácter psicosocial para explorar cuáles son los detonantes del tabaquismo en fumadores y los motivos que inhiben la conducta en los no fumadores, con lo que, será posible crear políticas de salud más eficientes.
Sostenibilidad empresarial en Colombia
Authors: Gómez Ortiz Edgar José , Duran Jhony José
Published: July 2023

En la presente investigación de revisión analiza la sostenibilidad empresarial en Colombia y su comportamiento y la supervivencia de las organizaciones empresariales como estrategia de competitividad. El estudio tiene un enfoque cualitativo y de tipo descriptivo, que consiste en una revisión bibliográfica de la literatura relacionado con el tema de estudio. Los resultados revelan que la sostenibilidad empresarial se visualiza como una gran alternativa para la creación de valor, la generación de empleo y la dinamización económica del país; a través de criterios económicos, sociales y ambientales, sin embargo, las condiciones del entorno no se están brindando y no garantizan la sostenibilidad de las nuevas empresas creadas, reflejado en una tasa de mortalidad elevada en nuestro país. Por tal motivo, se concluye que para el desarrollo de las empresas sostenibles se deben tener en cuenta variables externas e internas en el ecosistema empresarial, en el caso colombiano las empresas afrontan los siguientes obstáculos externos: infraestructura inadecuada para competir en escenarios globales, inestabilidad política, conflicto social, normatividad jurídica, informalidad, desigualdades sociales, corrupción, financiación de proyectos productivos, pandemia, factores económicos y evasión tributaria, entre otros.
Violência obstétrica e bioética
Authors: Albuquerque Raylla , Amado Rabelo Daniela , Monsores Natan
Published: July 2023

Esta pesquisa traz uma abordagem qualitativa exploratória, com objetivo de identificar a percepção dos estudantes da área da saúde sobre a violência obstétrica e sua relação com a bioética. Para esse fim, foi aplicado questionário eletrônico a 102 estudantes da área da saúde, cujo perfil majoritário era do sexo feminino, de até 25 anos, residentes no Distrito Federal, que não possuem filhos. Através das respostas, pode-se perceber que o conhecimento sobre violência obstétrica não necessariamente se deu no contexto formal acadêmico, tendo o debate entre alunos e outras fontes de informação, como a internet e a mídia, considerável importância. Conclui-se que há uma lacuna significativa na formação ética de profissionais de saúde, e que a comunidade acadêmica deve estimular o desenvolvimento do pensamento crítico de seus alunos, ao invés de coibi-lo.
Проблематика привлечения к уголовному преследованию по заявлению коммерческой или иной организации
Authors: Адельшина К.Д. , Васильев А.М.
Published: July 2023

В данной статье рассмотрена проблема применения института уголовного преследования как составной части российского уголовного процессуального права. Мы проследили основные тенденции развития экономической сферы общественной жизни и их отражение в уголовном законодательстве . Произведена работа по выявлению коллизий норм материального и процессуального права.