bluuebunny/crossref_metadata_2025 huggingface dataset:
KẾT QUẢ PHẪU THUẬT CỐ ĐỊNH CỘT SỐNG BẰNG VÍT TĂNG CƯỜNG CEMENT SINH HỌC CHO BỆNH NHÂN CHẤN THƯƠNG CỘT SỐNG NGỰC THẮT LƯNG CÓ LOÃNG XƯƠNG TẠI BỆNH VIỆN VIỆT ĐỨC
Authors: Phạm Minh Đức , Đỗ Mạnh Hùng
Published: March 2023

Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả phẫu thuật cố định cột sống ngực – thắt lưng bằng vít tăng cường cement sinh học cho bệnh nhân chấn thương cột sống ngực thắt lưng có loãng xương. Phương pháp: Nghiên cứu mô tả theo dõi dọc hồi cứu và tiến cứu trên 34 bệnh nhân có chẩn đoán chấn thương cột sống ngực thắt lưng có loãng xương được phẫu thuật tại Bệnh viện Hữu nghị Việt Đức trong thời gian từ 06/2019 đến 6/2022. Kết quả: Trong 34 bệnh nhân nghiên cứu, tỷ lệ nam/nữ = 1.62/1; độ tuổi trung bình là 61,5 ± 13,2 tuổi. Đa số các bệnh nhân có biểu hiện đau cột sống ngực – thắt lưng (79,4%). Các bệnh nhân có biểu hiện tổn thương thần kinh chủ yếu ở mức độ trung bình và nhẹ (23,5%). Mức độ đau trung bình trước mổ VAS là 6,3 ± 1,7). Chỉ số giảm chức năng cột sống trước khi phẫu thuật của BN trung bình là 51,8 ± 12,3%, trong đó chủ yếu bệnh nhân bị mất chức năng cột sống nhiều chiếm 61,8%. Điểm T-score trung của bệnh nhân tham gia nghiên cứu là -3,9 ± 0,6. Vị trí tổn thương hay gặp nhất là vùng bản lề ngực – thắt lưng chiếm 51,4%. Chiều cao của đốt sống giảm mạnh trước mổ, trung bình chiều cao tường trước (12,4 ± 1,8mm) và tường giữa (9,3 ± 1,7mm). Trung bình góc gù thân đốt sống là 25,9° ± 4,0 độ, góc gù vùng trước mổ là 25,8° ± 4,3 độ. Tính theo thang điểm TLIC, điểm trung bình của bệnh nhân là 4,65 ± 1,67. Thời gian phẫu thuật trung bình là 107,9 ± 15,9 phút, lượng máu mất trung bình là 300,0 ± 96,9ml, thời gian nằm viện trung bình là  6,6 ± 1,8 ngày. Tai biến trong mổ có rách màng cứng chiếm 2,9%, rò cement ra cạnh đốt sống chiếm 5,9%. Biến chứng sau mổ có 2,9% bệnh nhân nhiễm trùng vết mổ và 2,9% bệnh nhân nhiễm khuẩn tiết niệu, đều được điều trị đáp ứng với kháng sinh và ra viện. Chỉ số ODI 1 tháng và 6 tháng đều giảm đáng kể sau phẫu thuật có ý nghĩa thống kê trên 99% (p=0,000<0,001, Paired Samples T-Test). Kết quả chỉnh hình cột sống với góc gù thân đốt sống và góc gù vùng đều giảm đáng kể so với trước mổ có ý nghĩa thống kê trên 99% (p=0,000 <0,001, Paired Samples T-Test). Chiều cao của đốt sống cũng được khôi phục đáng kể so với trước phẫu thuật sau 1 tháng và 6 tháng có ý nghĩa thống kê trên 99% (p=0,000<0,001, Paired Samples T-Test). Chất lượng cuộc sống tốt và rất tốt sau mổ 6 tháng tính theo thang điểm Macnab đạt 94,1%. Tỉ lệ lỏng vít sau phẫu thuật chiếm tỉ lệ rất nhỏ 0,37%, không có trường hợp nào gãy vít, nhổ vít, gãy rod, bong nẹp sau phẫu thuật. Trong số 34 bệnh nhân nghiên cứu, chỉ có 2 đốt sống liền kề bị tổn thương. Sau phẫu thuật có 94,1% bệnh nhân được điều trị loãng xương sau mổ. Kết luận:  Kết quả phẫu thuật cố định cột sống bằng vít tăng cường cement sinh học ở bệnh nhân chấn thương cột sống ngực – thắt lưng có loãng xương tương đối tốt, đạt kết quả cải thiện lâm sàng và kết qủa chỉnh hình cột sống đáng kể. Tỉ lệ tai biến trong và sau mổ thấp và không có biến chứng nào nặng nề.
ĐỘNG LỰC LÀM VIỆC CỦA NHÂN VIÊN Y TẾ TẠI BỆNH VIỆN PHỔI TỈNH SƠN LA, NĂM 2021
Authors: Danh Thái Lan , Nguyễn Hữu Thắng , Tống Thị Thảo
Published: March 2023

Mục tiêu: Nghiên cứu được tiến hành nhằm mô tả động lực làm việc (ĐLLV) của nhân viên y tế (NVYT) tại Bệnh viện Phổi tỉnh Sơn La năm 2021. Phương pháp: Nghiên cứu môt tả cắt ngang, được thực hiện trên 80 NVYT tại Bệnh viện Phổi tỉnh Sơn La. Các NVYT được chọn mẫu toàn bộ. Chúng tôi sử dụng bộ câu hỏi đo lường ĐLLV của NVYT có tổng số 07 yếu tố ảnh hưởng và 23 tiểu mục. Kết quả: Kết quả cho thấy yếu tố sức khỏe trong công việc có điểm trung bình thấp nhất, 3,61 (0,78) điểm, trong khi đó, ĐLLV yếu tố tuân thủ giờ giấc và sự tham gia là có điểm trung bình cao nhất 4,12 (0,65) điểm. Trong 07 yếu tố, tỷ lệ NVYT có động lực cao nhất là ở yếu tố sự tận tâm (86,3%), yếu tố sức khỏe NVYT có động lực ở mức thấp nhất (67,5%). Kết luận: NVYT Bệnh viện Phổi tỉnh Sơn La có động lực làm việc. Tất cả 07 yếu tố nghiên cứu cùng đạt điểm có động lực và tỷ lệ NVYT có động lực làm việc trong từng yếu tố tương đối cao
Pengembangan Kompetensi Pengelola Jurnal Melalui Workshop Pengelolaan Jurnal Menuju Akreditasi Nasional
Authors: Nur Nur Hamdani , Aziz , Firman , Adriana Andi Nurilmi , Shahnyb Nurafni , Taufik Akbar , Anirwan Anirwan
Published: March 2023

Tujuan kegiatan workshop pengelolaan jurnal dengan tema “Tata Kelola Jurnal Menuju Akreditasi Nasional” adalah untuk memberikan pengetahuan kepada para pengelola jurnal lingkup Universitas Pancasakti dalam mempersiapkan jurnal menuju akreditasi nasional oleh melalui Arjuna (Akreditasi Jurnal Nasional). Peserta dalam program ini adalah dosen dan staff lingkup Universitas Pancasakti yang masuk dalam keanggotaan pengelolaan Jurnal kampus. Permasalahan peserta dalam hal ini adalah tidak mengenali sistem Open Journal System (OJS), tidak memahami dengan baik pengelolaan jurnal dengan Open Journal System (OJS), dan kurangnya pengetahuan penataan Open Journal System (OJS) sesuai standar akreditasi yang ditetapkan. Solusi yang ditawarkan adalah memberikan pengenalan tentang OJS, pelatihan pengelolaan sesuai tahapan dalam proses penerbitan jurnal dengan OJS, serta pelatihan penataan OJS sesuai standar akreditasi. Hasil kegiatan pengabdian adalah peserta dapat mengenali OJS serta tahapan OJS dalam proses penerbitan jurnal, sera peserta memiliki pengetahuan penataan OJS dengan baik dan benar. Monitoring dan evaluasi juga dilakukan untuk keberlanjutan kegiatan selanjutnya demi menyelesaikan permasalahan-permasalahan para peserta.
Realisasi Pelaksanaan Ganti Rugi Terhadap Pembebasan Tanah Pembangunan Bendungan Pammukkulu Kabupaten Takalar
Authors: Yanto Erwing
Published: March 2023

Pembangunan bendungan Pammukulu telah mencapai tahap pertama yang mengakibatkan 30 pemukiman warga telah di bebaskan dan sekitar 30 hektar lahan pertanian dan persawahan telah dibebaskan, namun masih ada beberapa lahan masyarakat yang belum dibayarkan pada pembangunan tahap pertama. Olehnya karena itu, tujuan penelitian ini adalah untuk menganalisis pelaksanaan ganti rugi terhadap pembebasan lahan pembangunan bendungan Pammukkulu di Kabupaten Takalar. Penelitian ini menggunakan metode kualitatif. Proses awal pengolahan data itu dimulai dengan melakukan editing setiap data masuk. Setelah proses editing dilakukan proses coding. Hasil penelitian menunjukan bahwa Realisasi Pelaksanaan Ganti Rugi terhadap Pembebasan Tanah Pembangunan Bendungan Pammukkulu Kabupaten Takalar dilakukan melalui public debate, coordinations, negotiations, dan feedback and evaluation (umpan balik & evaluasi). Public debate yang dilakukan pemerintah melalui sosialisasi yang hanya bersifat informatif dan kurang interaktif, coordinations antar berbagai pihak berjalan, namun kurangnya koordinasi ke pemerintah pusat menghambat proses pelaksanaan ganti rugi, negotiations tidak terjadi dengan masyarakat dan tidak memiliki daya tawar hanya sebuah pilihan yang diberikan masyarakat. Evaluasi dilakukan melalui peninjauan langsung kemasyarakat sebagai dasar pemerintah untuk menyempurnakan pelaksanaan ganti rugi tanah masyarakat.
RETENTION OF GREEN ROOFS FOLLOWING THE QUESTIONNAIRE AND ITS RESPONDENT´S ANSWERS
Authors: Poórová Zuzana , Purcz Pavol , Vranayová Zuzana
Published: March 2023

Questions can provide answers to meet the needs of teaching, knowledge, growth in understanding. However, it is clear that no matter how simple or complex the problem is well clear and relevant question has much greater use to the interviewer as an issue that is vague, poorly defined, or irrelevant. The main idea of this paper is presented with a questionnaire and processing of questions aimed at the retention properties of green roofs. The questionnaire is part of ongoing dissertation dealing with this topic.
TERRESTRIAL LASER SCANNING – POINT CLOUD IN BUILDING CONSTRUCTION
Authors: Tkáč Matúš , Mésároš Peter
Published: March 2023

3D laser scanner refers to terrestrial (stationary), mobile (vehicle-mounted), or aerial (aircraftmounted) scanning devices. Terrestrial Laser Scanning (TLS) is increasingly used in the Architectural, Engineering, Construction and Facilities Management industry (AEC&FM) due to the significant performance improvements that it can support. TLS is a modern technology that is revolutionizing surveying works. One of the key advantages of laser scanning is the ability to quickly obtain large amounts of data in a short time. The result of laser scanning is a point cloud. Point cloud is essentially a three-dimensional (3D) imaging system which is used for the digital representation of the existing respectively of the real state of building objects. Point cloud has in building construction a very wide application. The aim of this article is explain what is TLS, what is a point cloud and describe how to use him in different areas of building construction.
CORPORATE SOCIAL RESPONSIBILITY FOR BIG, SMALL & MEDIUM-SIZED CONSTRUCTION ENTERPRISES
Authors: Jankovichová Eva
Published: March 2023

Corporate social responsibility (CSR) promotes the concept that a business has an obligation to do more than just generate a profit for its owners. For any business, corporate social responsibility can mean embracing a charity or following environmentally-sound practices such as recycling. Integration with the concept of CSR and sustainability is seen as an innovations and niche advantages for the construction business. Companies are primarily businesses but are encouraged to address social and environmental issues arising in the course of operations and dealings with employees, customers, and other stakeholders. The main aim of this article is to point out the impact of corporate social responsibility on business in the construction enterprises.
Measurement report: Production and loss of atmospheric formaldehyde at a suburban site of Shanghai in summertime
Authors: Wu Yizhen , Huo Juntao , Yang Gan , Wang Yuwei , Wang Lihong , Wu Shijian , Yao Lei , Fu Qingyan , Wang Lin
Published: March 2023

Abstract. Formaldehyde (HCHO) is an important trace gas that
affects the abundance of HO2 radicals and ozone, leads to complex
photochemical processes, and yields a variety of secondary atmospheric
pollutants. In a 2021 summer campaign at the Dianshan Lake (DSL) Air Quality Monitoring Supersite in a suburban area of Shanghai, China, we measured atmospheric formaldehyde (HCHO) by a commercial Aero-Laser formaldehyde monitor, methane, and a range of non-methane hydrocarbons (NMHCs). Ambient HCHO showed a significant diurnal cycle with an average concentration of 2.2 ± 1.8 ppbv (parts per billion by volume). During the time
period with the most intensive photochemistry (10:00–16:00 LT), secondary
production of HCHO was estimated to account for approximately 69.6 %
according to a multi-linear regression method based on ambient measurements
of HCHO, acetylene (C2H2), and ozone (O3). The average secondary
HCHO production rate was estimated to be 0.73 ppbv h−1 during the whole campaign (including daytime and nighttime), with a dominant contribution from reactions between alkenes and OH radicals (66.3 %), followed by OH-radical-initiated reactions with alkanes and aromatics (together 19.0 %), OH-radical-initiated reactions with oxygenated volatile organic compounds (OVOCs; 8.7 %), and ozonolysis of alkenes (6.0 %). An overall HCHO loss, including HCHO photolysis, reactions with OH radicals, and dry deposition, was estimated to be 0.49 ppbv h−1. Calculated net HCHO production rates were in relatively good agreement with the observed rates of HCHO concentration change throughout the sunny days, indicating that HCHO was approximately produced by oxidation
of the 24 hydrocarbons we took into account at the DSL site during the
campaign, whereas calculated net HCHO production rates prevailed over the
observed rates of HCHO concentration change in the morning/midday hours on
the cloudy and rainy days, indicating a missing loss term, most likely due
to HCHO wet deposition. Our results suggest the important role of secondary
pollution in the suburbs of Shanghai, where alkenes are likely key precursors for HCHO.
A new algorithm to generate a priori trace gas profiles for the GGG2020 retrieval algorithm
Authors: Laughner Joshua L. , Roche Sébastien , Kiel Matthäus , Toon Geoffrey C. , Wunch Debra , Baier Bianca C. , Biraud Sébastien , Chen Huilin , Kivi Rigel , Laemmel Thomas , McKain Kathryn , Quéhé Pierre-Yves , Rousogenous Constantina , Stephens Britton B. , Walker Kaley , Wennberg Paul O.
Published: March 2023

Abstract. Optimal estimation retrievals of trace gas total columns require prior vertical profiles of the gases retrieved to drive the forward model and ensure the retrieval problem is mathematically well posed. For well-mixed gases, it is possible to derive accurate prior profiles using an algorithm that accounts for general patterns of atmospheric transport coupled with measured time series of the gases in questions. Here we describe the algorithm used to generate the prior profiles for GGG2020, a new version of the GGG retrieval that is used to analyze spectra from solar-viewing Fourier transform spectrometers, including the Total Carbon Column Observing Network (TCCON). A particular focus of this work is improving the accuracy of CO2, CH4, N2O, HF, and CO across the tropopause and into the lower stratosphere. We show that the revised priors agree well with independent in situ and space-based measurements and discuss the impact on the total column retrievals.
Deglacial export of pre-aged terrigenous carbon to the Bay of Biscay
Authors: Queiroz Alves Eduardo , Wong Wanyee , Hefter Jens , Grotheer Hendrik , Tesi Tommaso , Gentz Torben , Zonneveld Karin , Mollenhauer Gesine
Published: March 2023

Abstract. The last deglaciation is the most recent relatively well-documented period of pronounced and fast climate warming and, as such, it holds important information for our understanding of the climate system. Notably, while research into terrestrial organic carbon reservoirs has been instrumental in exploring the possible sources of atmospheric carbon dioxide during periods of rapid change, the underlying mechanisms are not fully understood. Here we investigate the mobilization of organic matter to the Bay of Biscay at the mouth of the Channel River, where an enhanced terrigenous input has been reported for the last glacial-interglacial transition. A suite of biomarker and isotopic analyses on a high-resolution sedimentary archive provided the first direct evidence for the fluvial supply of immature and ancient terrestrial organic matter to the core location. In the light of what has been reported for other regions with present or past permafrost conditions on land, this result points to the possibility of permafrost carbon export to the ocean, caused by processes that likely furthered the observed changes in atmospheric carbon dioxide.
Development of multi-field rock resistivity test system for THMC
Authors: Ren Jianwei , Song Lei , Wang Qirui , Li Haipeng , Fan Junqi , Yue Jianhua , Shen Honglei
Published: March 2023

Abstract. To study the relationship between rock mechanical
properties and resistivity under deep-underground environmental conditions,
a rock resistivity test system, which can realize the
simultaneous control of temperature, pressure, seepage, and the chemical
environment, was developed; further, a corresponding specimen-sealing method was explored.
The system primarily comprises a triaxial system, chemical permeation
system, temperature control system, and test control system. The reliability
of the system was verified through tests and preliminary experiments. The
resistivity of fractured granite specimens under coupling of seepage and
temperature and the resistivity of unfrozen and freeze–thawed coals during
triaxial compression were tested with this test system. The test results
show that the temperature-induced resistivity change is greater at low
seepage pressures for fractured granites, and the effect of seepage on rock
resistivity is greater at lower temperatures. The resistivity change
patterns of unfrozen and freeze–thawed coals during triaxial compression
differ quite significantly. The resistivity of unfrozen coal specimens
exhibits a decreasing trend in the initial compression stage and then
gradually increases with rises in the deviatoric stress. After freezing and
thawing, the electrical resistivity of coal decreases during the entire
compression process.
A Scoping Review on Internship Programs and Employment Outcomes for Youth and Young Adults With Intellectual and Developmental Disabilities
Authors: Avellone Lauren , Taylor Josh , Ham Whitney , Schall Carol , Wehman Paul , Brooke Valerie , Strauser David
Published: March 2023

Transition policy in the United States has endorsed work-based learning experiences, including internships, for students with intellectual and developmental disabilities (IDD) in order to combat poor rates of post-school employment. Workforce Innovation and Opportunity Act (WIOA) state plans have reported use of internships as a way to provide Pre-Employment Transition Services (Pre-ETS). Internships are complex programs that vary in terms of length, payment, funding, and collaborative partnerships, and are intended to provide an educational experience for students to develop vocational skills. The purpose of this scoping review was to examine the impact of internship participation on employment for youth and young adults (aged 16 to late 20s) with IDD. Systematic searches of electronic databases containing peer-reviewed sources were conducted. Nineteen articles were included in the final sample. Findings identified specific internship programs that have been examined within the peer-reviewed literature base, the level of evidence each provides concerning the impact on employment outcomes, and pertinent internship characteristics observed across studies. Implications for future research and practice are discussed.
Employment and Rehabilitation for Veterans With Chronic Conditions and Disabilities: Strengths, Challenges, Opportunities, and Policy Suggestions
Authors: Umucu Emre
Published: March 2023

This review aims to explore and synthesize employment and rehabilitation services for veterans with disabilities to help rehabilitation clinicians and researchers understand the characteristics and needs of this population, with the aim to improve employment and rehabilitation outcomes for veterans with disabilities. More specifically, our goal is to identify strengths, challenges, and opportunities in Vocational Rehabilitation (VR) and employment services for veterans with disabilities. Veterans with disabilities may be eligible to receive VR services from both the Veterans Affairs (VA) and state VR agencies; however, they still experience significant challenges and barriers in employment due to unique characteristics of veterans and their disabilities. For example, poverty, homelessness, and unemployment due to disability are significant challenges for veterans with disabilities, their families, service providers, stakeholders, and policymakers. Research has long identified employment and rehabilitation services can buffer against these challenges; however, VR services are identified as the least used VA services among veterans with disabilities. This study includes implications to inform clinicians, policy makers, and researchers on VR and employment services for veterans with disabilities.
Collaborations to Support Employment Outcomes of Youth With Disabilities
Authors: Castruita Rios Yazmin , Park Sara , Chen Xiangli , Tansey Timothy N.
Published: March 2023

The unemployment and underemployment of transition-age youth with disabilities represents a major barrier to full participation in the range of adult life activities. The lack of participation in employment has a negative effect on their physical health, mental health, and overall quality of life. The state-federal vocational rehabilitation (VR) program is the largest program in the United States focused on helping individuals with disabilities achieve employment in support of independent living and community integration of persons with disabilities. However, in addition to VR programs, there are a number of public and private agencies focused on employment of transition-age youth with disabilities. In recognition of the multiple stakeholders and supports, the Workforce Innovation and Opportunities Act of 2014 (WIOA) emphasizes the need for collaboration between VR programs and other agencies and providers. The purpose of this study was to conduct a scoping review to identify effective collaborative practices for improving transition to work of transition-age youth with disabilities. Through a methodical review of the literature, 31 articles were identified that met the research protocol criteria. Findings from this scoping review are provided along with implications for efforts to promote collaboration between VR programs and other entities.
El camino de los kami en las películas de Hayao Miyazaki
Authors: Rodríguez de Tembleque García Susana Elena
Published: March 2023

A través de algunos largometrajes de animación de Hayao Miyazaki es posible reconocer las principales manifestaciones del sintoísmo. La veneración a los antepasados asociada al culto al emperador, el culto a la naturaleza manifestado en los irui-kon o matrimonios con seres sobrenaturales además de otros aspectos como la purificación, el más allá, los vuelos y el sacerdocio sintoísta son analizados en estas películas japonesas.
ḳị-wo-na-de: sobre un posible culto a la columna en la Pilo micénica
Authors: Piquero Rodríguez Juan
Published: March 2023

El propósito de este trabajo es ofrecer argumentos a favor de la interpretación de la palabra micénica ḳị-wo-na-de como ‘a la columna’. Para ello el trabajo se centra en tres aspectos distintos: 1) el estudio de los textos micénicos; 2) el análisis de los testimonios iconográficos de los periodos minoico y micénico y 3) la revisión de algunos textos del primer milenio a.C. en los que el término griego κίων ‘columna’ hace referencia a la imagen anicónica de una divinidad.
PENGARUH KEAHLIAN KOMITE AUDIT, AUDIT TENURE, KOMITE AUDIT WANITA, DAN DEWAN KOMISARIS WANITA TERHADAP KUALITAS LABA (STUDI EMPIRIS PADA PERUSAHAAN LQ-45 PERIODE 2016-2019)
Authors: Tampubolon Angelia Febriani , Nasir Darmae , Kubertein Agus
Published: March 2023

The purpose of this research is to determine the effect of audit committee experts, audit tenure, women on audit committees, and women board of comissioners on earnings quality. Study on componies listed in LQ-45  on the IDX 2016-2019. This study uses a type of quatitative research by using purposive sampling as data analysis. This study uses secondary data in the form of docementation, namely company annual report data on the IDX which includes audit committee experts, audit tenure, women on audit committees, women board of comissioners, and  earnings quality, 2016-2019. The number of LQ-45 componies sampled in this study were 31 componies with criteria that were consistenly included in the index LQ-45 listed on IDX and having complete data and information for variable measurement. The data has been obtained is then analyzed using the SPSS version 25 application tool. The results of this study indicate that audit comittee experts are positive and significant to earnings quality and audit tenure has a negative and significant to earnings quality. Meanwhile, women audit committee and women board of comissioners have no significant effect on earnings quality. The ablity of the independent variable in explaining the dependent variable is 42,5%, meanwhile the remaining 57,5% is influced by other variables not exmined in this study
O estado na perspectiva das relações internacionais: a dualidade entre a concepção liberal e marxista
Authors: Modesto Thiago De Souza
Published: March 2023

A presente pesquisa objetiva propiciar um referencial teórico às Relações Internacionais para a compreensão do conceito de Estado Moderno a partir das vertentes liberal e marxista. Para tanto, valendo-se de revisão bibliográfica de alguns autores clássicos que teorizaram acerca deste importante ator do Sistema Internacional, a pesquisa possui caráter exploratório e qualitativo. Sem a pretensão de apresentar uma revisão detalhada e conceitual de cada autor mencionado no decorrer do trabalho, busca-se evidenciar as diferentes concepções de Estado a partir das correntes liberal e marxista, abordando alguns pontos de divergência entre ambas e a contribuição que cada vertente pode proporcionar à pesquisa, bem como a compreensão dos fenômenos que se sucedem na arena internacional.
Abordagens fisioterapêuticas na síndrome de Guillain-Barré: uma revisão integrativa
Authors: Batista Isabela Coelho , De Souza Juliana Oliveira , Cardoso Lauane Pereira , De Freitas Sergio Takeshi Tatsukawa , Januário Priscila De Oliveira , Cruz Ariela Torres
Published: March 2023

Objetivo: verificar os efeitos de técnicas e métodos de reabilitação físico-funcional em indivíduos com sequelas crônicas após Síndrome de Guillain-Barré. Metodologia: foi realizada uma revisão integrativa, com base em artigos eletrônicos de revisão sistemática, ensaios clínicos, relatos e estudos de caso publicados entre 2010 e 2020 nos bancos de dados Google Scholar, SciELO, PEDro e PubMed. Resultados: os métodos e técnicas utilizados foram BadRagaz, Watsu, Facilitação Neuromuscular Proprioceptiva (FNP), método Bobath, exercícios de Frenkele reabilitação de alta e baixa intensidade. Os estudos mostraram melhora do tônus e força muscular, coordenação motora, propriocepção, amplitude de movimento, marcha, equilíbrio, qualidade de vida e funcionalidade dos participantes de acordo com o objetivo e variável de cada pesquisa. Considerações finais: a cinesioterapia promove readequação do tônus muscular; exercícios de Frenkel auxiliam na coordenação motora e propriocepção; Bobath e FNP ajudam na força muscular, amplitude de movimento, marcha e equilíbrio e BadRagaz e Watsu promovem ganhos funcionais.
Ética na valoração da cidadania – uma análise jurídica normativa da educação em direitos humanos
Authors: Cuconato Paulo , Dos Santos Dener Martins
Published: March 2023

Este trabalho realiza o entrelace dos conceitos de ética e cidadania como base geratriz da promoção do indivíduo através da educação em direitos humanos. A educação em direitos humanos possui importância vital, pois rompe fronteiras. Firma-se em prol da evolução social, voltada à observação das realidades culturais e se abre à modificação e solidificação de valores éticos e morais. A análise jurídica normativa da educação em direitos humanos, neste trabalho, foi desenvolvida a partir de dados históricos no Brasil e na América Latina a partir da década de 1960. As análises indicaram que o trinômio ética, cidadania e direitos humanos formam um conjunto de regras que constituem os elementos fundamentais para a construção de uma sociedade mais fraterna, tolerante e justa.
Editorial 2022.2
Authors: Gorni Carla
Published: March 2023

No segundo semestre de 2022, a Revista Científica do UBM - volume 24, número 47 - publica, em versão online, 10 artigos das áreas Educação Musical (2), Jurídica (2) e Saúde (6) cujos autores são de Volta Redonda, Barra Mansa, São Paulo e Rio de Janeiro.
The Diagnostic and Prognostic Value of C-Reactive Protein in Patients with Severe Bacterial Infection
Authors: Shahana Sherin Fathima , M K Kavitha
Published: March 2023

C-reactive protein (CRP) is an established biomarker for the assessment of inflammation and its severity in patients who present to hospitals and can be used as a reliable, fast and cheap indicator of the infection. Increase in the level of C-reactive protein and other acute phase protein contribute to defense mechanism in several ways. The present study shows the importance of diagnostic and prognostic function of C – reactive protein in patients with severe bacterial infection. The detection of CRP was done on automated chemical analyzer AGAPPE MISPA- i2. All the statistical analyses were performed using SPSS version 20. A total of 102 samples of patient who had severe infections were processed. In all these cases, Pair 1, that mean CRP in first day and CRP in 9th or 10th day of hospital admittance was having a mean value of 138.32mg/L and 15.48mg/L respectively. The mean value of Pair 2, that means CRP in first day and 4th or 5th day were 117.66 mg/L and 56.31mg/L respectively. And Pair 3 means CRP in 4th or 5th day and 9th or 10th day, the mean values are 66.56mg/L and 15.48mg/L respectively. The mean value obtained from the data shows the reduction in both CRP and infection simultaneously; from the onset of illness to curing of the disease. To conclude, the value of CRP can be used as a diagnostic and prognostic tool which indicate the severity of the infection during the early stages and the curing of infection in the late stages.

Key words: [C-reactive protein, biomarker, acute phase protein]
Health Care Professionals’ Perception of Appropriateness of Hospital Resources Utilization: A Cross-Sectional Study in Asser Region, Saudi Arabia
Authors: AL- Modaifi Al-Zahrani Jamilah Ghurmallah Mohammed , M. ALMANDEEL Seita , Al-Sabaani Alshehri Abdullah Abdulmohsen
Published: March 2023

Background: The most expensive component of modern health care services is Hospital resources. The inappropriate use of these hospital resources is the main challenge faced by various hospitals globally.
Aim: The study aimed to assess the utilization of hospital resources in all healthcare sectors (M.O.H., military, and private) in the Aseer-region of Saudi Arabia hospitals. It also determines the most influencing factors behind inappropriateness in resource utilization.
Method: A structured, self-administered questionnaire was distributed among 380 healthcare workers to assess socio-demographic, utilization data, and influencing factors behind inappropriate resource utilization. The data obtained were analyzed using SPSS software at a level of significance p<0.05.
Results: The study showed that nearly half of healthcare professionals found resources utilized inappropriately among different healthcare sectors and more determined in central hospital departments as emergency department & intensive care unit. The study illustrated a difference in the resource utilization pattern due to the difference in hospital ownership type between the three healthcare sectors.
Conclusion: Utilizing hospital resources at an optimal level will continue to be challenging due to conflicts among medical requirements and patient preferences.

Key words: Healthcare Professionals; Hospital ; resources utilization; patient.
A Review on Advanced Physiotherapy Treatment for Cervical Spondylosis
Authors: G. Kachhadiya Roshni , A Jani Priyaben , B Vaidya Shreya
Published: March 2023

INTRODUCTION: Cervical Spondylosis (CS) is a clinical condition frequently encountered in the physical therapy clinic. Cervical spondylosis is a result of space occupying lesions in the cervical spine: either cervical disc herniations, spondylosis, or osteophytosis. Little is known about the appropriate role of nonoperative treatment in the management of cervical spondylosis. There is low to intermediate quality proof that different forms of interventions can alleviate pain and improving function for cervical spondylosis. The present study aims to review the effectiveness of different advanced physiotherapy treatment on cervical spondylosis.
MATERIAL AND METHODS: The literature review was searched for the advanced physiotherapy treatment, 50 articles were searched and out of which 13 articles were taken as per the inclusion criteria. Various advances in physiotherapy and their effect on cervical spondylosis were sorted out and evaluated.
CONCLUSION: The study hereby concluded that cervical traction, asanas, virtual reality training, manual therapy, cranio-sacral therapy, acupuncture with seven acupoints, percutaneous neuromuscular electrical stimulation, thunder-fire moxibustion, deep cervical flexors training, ergonomic latex pillow, dynamic exercise, saunders traction device and high intensity laser therapy were found to be effective in reducing pain and improving cervical range of motion in case of cervical spondylosis.

Key words: Cervical spondylosis, pain, cervical range of motion, Physiotherapy
Integrating Spirituality into Psychotherapy Practice in Mental Health: Ethical Issues, Challenges and Possible Way Out
Authors: Rathore Laxmi Narayan , Kriplani Varsha
Published: March 2023

Spirituality and Religion are known to co-exist since mankind, though in subtle form. Over time religion has become more prominent where spirituality has taken a subliminal form. However, both are known to influence our mental health to a great deal. Interest in spirituality has grown more rapidly in past few decades. From saints, this concept of spirituality has come down to mental health. People over past few decades have vigorously favoring/advocating incorporation of spirituality into healing process related with psychological issues. Though most of our clients that come to psycho-therapeutic help have religious or spiritual inclination and from the outset it appears that they would benefit when their spiritual needs /issues will be addressed by the therapist along with their clinical issue. However, existing literature does points out various ethical concerns and challenges related with incorporation of spirituality in mainframe psycho-therapeutic process.

Key words: [Spirituality, Psychotherapy, Mental Disorders, Religion, Spiritual Integration, Ethics] .
The Impacts of Farmers-Herders Conflicts in the North-Central Zone of Nigeria
Authors: Mustapha Mohammed
Published: March 2023

The study x-rayed farmers-herders conflict in the North-Central geo-political zone of Nigeria. Exploratory research was employed; focus group discussion (FGD) and key informant interview (KII) were used to collect primary data from the respondents. The data generated were transcribed and recorded verbatim (word-for-word account of verbal interview) and they were converted into written form. Data were enumerated and thematic analysis and categorization were provided. Secondary data were sourced from the internet and relevant books. This study adopted the social theory. The findings of the study revealed that the destruction of farmlands by cattle is one of the major causes of the farmers-herdsmen crisis in the north-central zone. It also revealed that the harassment of herders by the host community, that is, the youths, is another factor which instigates animosity thereby leading to a farmers and herdsmen crisis in the North-Central zone. It discovered that farmers-herders conflict has reduced the quality of the social relationship between both the farmers and herdsmen, and resulted in the loss of human life, houses and properties worth billions of naira in the zone of North-Central. The paper recommended that government at all levels and critical stakeholders should exercise good leadership and political will by bringing the warring parties to a dialogue table while meting punishment and rewards where necessary so as to restore peace, order and trust in the populace. The level of destruction incurred by the warring parties should be assessed, and both governmental and non-governmental organisations should work towards financial assistance for the victims of farmer-herdsmen conflicts. The findings corroborate the gaps which the researchers intended to fill.
Tinjauan Kejadian Misfiled di Rak Penyimpanan Rekam Medis RSUD Dr. Adjidarmo Kab. Lebak Tahun 2022
Authors: Nabila Raihani  , Viatiningsih Wiwik , Yulia Noor , Dewi Deasy Rosmala
Published: March 2023

Misfiled adalah kesalahan dalam penyimpanan rekam medis, ataupun tidak ditemukannya rekam medis di rak penyimpanan. Penelitian ini bertujuan untuk mengetahui gambaran kejadian misfiled di rak penyimpanan rekam medis RSUD Dr. Adjidarmo Kab. Lebak Tahun 2022. Penelitian ini menggunakan metode deskriptif analisis pendekatan kuantitatif dengan cara melakukan observasi dan wawancara. Hasil penelitian dengan 99 sampel diketahui bahwa 9 (9,1%) yang misfiled dan yang tidak misfiled berjumlah 90 (90,9%). Sebagian besar rekam medis yang terjadi misfiled tersebut karena tidak sesuai pada rak semestinya atau dokumen rekam medis yang terletak pada rak lain. RSUD Dr. Adjidarmo Kab. Lebak menggunakan sistem penyimpanan sentralisasi dan sistem penjajaran terminal digit filing. Faktor pertama penyebab terjadinya misfiled di Rumah Sakit tersebut adalah petugas penyimpanan yang diketahui kurangnya tenaga kesehatan rekam medis. Faktor lainnnya adalah pada sarana dan prasarana ruang penyimpanan, dikarenakan belum adanya tracer sebagai pengganti rekam medis yang keluar dari raknya. Saran selalu menggunakan tracer untuk menggantikan rekam medis yang keluar, agar tidak terjadinya misfiled pada penjajaran rekam medis.
Tinjauan Perancangan Tracer (Outguide) Pada Unit Penyimpanan Rekam Medis Di RSU Imelda Pekerja Indonesia Tahun 2022
Authors: Karo-Karo Siddik , Sihombing Marjones Hardy H.
Published: March 2023

Tracer (outguide) is a substitute for medical records that will be removed from storage for any purpose. A good tracer should be made of strong and colorful materials. The function of the tracer is to show where medical record documents are when they are not in storage. Tracers can also improve efficiency and accuracy by showing where medical records are stored when they return. The purpose of this study was to redesign the tracer at Imelda Workers' Hospital in Indonesia by replacing materials, shapes, and designs to make it easier for officers to carry out their duties, namely inserting tracers into the shelves between the densely packed medical record files. The research method used is descriptive qualitative research. And the research instruments used are interview guidelines and observation check lists. The tracer (outguide) at Imelda Workers' Hospital in Indonesia has not been used for about a year because all tracers (outguides) have been damaged. The tracer (outguide) was damaged because the material was too stiff and broke easily when the officer inserted the tracer into the storage rack between the dense medical record files. RSU Imelda Workers Indonesia requires a tracer (outguide) made of strong, durable, not easily damaged, torn, broken and researchers have redesigned the tracer (outguide) as the results in the design above, namely by using flexible mica plastic material with a thickness of 0.70 mm , and the color chosen by the researcher in this design is black. The shape and size of the tracer (outguide) in this design is the same as the shape and size of the previous tracer (outguide) in Imelda Workers' Hospital in Indonesia. medical devices with new materials and designs such as the results in this design.
Wireless physical-layer encryption with programmable metasurface in real environment
Authors: Wei Menglin , Wang Zhuo , Zhao Hanting , Cui Tie Jun , Li Lianlin
Published: March 2023

Wireless communication with physical layer security is of great importance in modern society, especially with the advent of the Internet-of-Things, fifth-generation communication, and beyond. More recently, metasurface-enabled physical-level encryption methods have attracted researchers' attention, in which the programmable metasurface is introduced as a controllable temporal entropy source. In this work, we present a novel approach to wireless physical-layer encryption by exploring the programmable metasurface as the high temporal-spatial entropy source via its unique capability in manipulating a flexibly temporal-spatial electromagnetic wavefront. We implement a proof-of-principle system working at around 2.4 GHz and develop associated efficient algorithms for the generation of a physical-level encryption key, where the programmable metasurface and surrounding environment are treated as a whole in a deterministic way. We experimentally demonstrate that the proposed method enables us to generate the Mbps-rate encryption key with the high spatial-temporal entropy in real-world settings. Our work could pave the way toward the next generation of model-free physical-layer secure wireless communication.
Epitome of Consciousness
Authors: Aju Mukhopadhyay
Published: March 2023

Consciousness is one which pervades the whole existence; from material to vital and mental world and beyond. Not only mind or its awareness, nor matter nor senses alone; every being, everything is replete with consciousness. Everything is conscious, from stone to human being, at different levels. Consciousness is an inner space. Sri Ramana Maharshi conceived consciousness as a force behind every object and living form. He identified it as the Self, the Atma, absolute silence. Ordinary consciousness is awareness through intellect, mind and senses. Cosmic consciousness is beyond them. It is awareness at the universal level; universal matter, energy, mind and forces. Spiritual consciousness is awareness of Self, Spirit and the Divine.
Journey from Powerlessness to Empowerment in Alice Walker’s Meridian
Authors: Suraya Jan
Published: March 2023

The paper aims at exhibiting how Alice Walker empowers the oppressed women of her community and depicts their liberation from oppression and marginalisation in her novel, Meridian. African-American women belong to the excluded community and are endangered by the evils of racism, sexism, and classicism. Meridian Hill, the protagonist breaks the stereotypes and participates in the Civil Rights Movement, thus transcending the barriers of gender to achieve individual autonomy, self-reliance, and self-realization. She struggles to change the oppressive nature of her society in order to ensure a complete development of the people of her community, especially the black women. Besides the themes of racism, sexism, classism, religion, slavery, and segregation, African-American literature explores the ideas of equality, empowerment, and freedom which were long denied to the black people in white America. The novel depicts the triumph and empowerment of black women through the character of Meridian Hill.
The Character of Aswapathy as Nature’s Prayerful Rhythm in Sri Aurobindo’s Savitri
Authors: Dr. Md. Ali Shahid
Published: March 2023

The present article studies the character of Aswapathy in Sri Aurobindo’s epic Savitri. In this grand epic, Aswapathy has been presented as the divine seeker of nature. In his spiritual pursuit he ascends higher and higher to discover the secret energies of nature. It is in this voyage in the realms of Nature that he comes across the creative Power of the Supreme and at once knows that it is she who alone can transform this darkness into light. He has also a certain perception that even this flawed material human race can become flawless.
Understanding small- and very-small-scale size meat processors in Missouri to strengthen the local supply chain
Authors: Syukron Muh , Su Ye
Published: March 2023

Promoting local food systems is crucial to providing a more viable economy, eco-friendly production, and equal opportunities for producers, consum­ers, and communities. Meat processors are critical to local meat producers and the meat supply chain. However, various barriers have restricted small-scale meat processors and challenged the local meat supply chain. Although local food systems have gained enormous scholarly attention, little attention has been devoted to specifically exploring the meat processing sector. This study investigated the characteristics and challenges of small-scale (<750 employees) and very-small–scale (<200 employees) meat processors in Missouri. Twenty-six meat processors participated in an online survey through Qualtrics, a mail survey, or a structured phone interview between May 2021 and March 2022. We identified the characteristics and constraints related to their businesses. The analysis revealed that 76% of meat processors perceived that their business was in better or much better condition than before the COVID-19 pandemic, reflecting their adaptability to the disrupted meat supply chain. However, small-scale meat processing facilities were limited by the labor shortage, complicated regulations and high regulatory compliance costs, a lack of consistent supply, and limited access to tools and equipment. More integrated work is needed to aid smaller processors in positively impacting the local community and environment through locally sourced meat production. This study contains helpful implications for state-level policymaking, extension programs, and future research directions.
Extended Remembering: Georges Perec and Writing as Thinking
Authors: Haraldsen Mats
Published: March 2023

What are the relations among writing, thinking, and remembering? This article sets forth the epistemological claim that Georges Perec’s book W, or the Memory of Childhood is an integrated part of Perec’s cognitive process of remembering. By drawing on the extended mind thesis, as well as recent work on memory within cognitive science, it argues that Perec’s cognitive processes are extended into his text and, furthermore, that they are partly accessible to his readers. This approach thus sidesteps many of the debates regarding the author’s intention in literary studies by arguing that what is at stake in W is not whether Perec’s intention is deducible or not by the text, but rather how much and in what way the author’s extended thought processes are available in the text. In the conclusion, some of the implications of this view for the study of fictionalized accounts of the past are sketched out.
Poetical Siblings: Thomson’s Vignette of Celadon and Amelia Transformed
Authors: Jung Sandro
Published: March 2023

Focusing on the transformative textual afterlife of James Thomson’s tragic-sentimental vignette of Celadon and Amelia, this article charts later poets’ engagement with the lovers by examining incarnations of poetical siblings of Thomson’s “matchless pair” that were introduced in later eighteenth- and early nineteenth-century descriptive-philosophical long poems: not only will the article offer a discussion of how Thomson’s model of two tragic lovers was adapted and transvalued by poets, such as Samuel Pratt, John Penwarne, and Martin Kedgwin Masters. But it will also consider how the vignette, as Thomson devised it for The Seasons, transformed into a fundamentally dramatic-narrative device that redefined the otherwise reflective-descriptive genre of the long poem.
The Mediating Role of Organizational Commitment between Leadership Style and Employee Job Performance
Authors: Junaid Muhammad Ali , Rafique Sadia , Nasir Mehreen , Junaid Khunsa , Junaid Iqra
Published: March 2023

Background: Job performance is a positive emotional condition caused by job appraisal. Poor leadership in industries causes employee dissatisfaction and turnover. Aims: To explores the relationship between transformational and transactional leadership styles and professional performance in the commercial textile sector in Lahore, Pakistan using organizational commitment as a mediator. Study design: Cross-sectional Place and duration of study: University of Lahore from 1st June 2019 to 31st December 2019. Methodology: The structured questionnaire items were answered by 300 participants on a 5-point Likert scale. Result: Most of the participants were males over 30 years and had a bachelor's degree. Most of the respondents had more than five years of experience and were managers. The results showed that the organizational commitment of employees did have mediating effect on the relationship between transformational and transactional leadership styles and job performance. Conclusion: Organizational commitment mediates leadership style and employee performance in this study. Any organization can benefit from a leadership style that can alter with the team's demands. A leader's example is essential for enforcing power. Leadership must emphasize job satisfaction and long-term employee engagement to keep employees satisfied and committed. Keywords: Leadership style, Transformational leadership, Transactional leadership, Job performance,