bluuebunny/crossref_metadata_2025 huggingface dataset:
Personnel management of Ukrainian banks during wartime: new approaches and strategies
Authors: Karp Vitalii
Published: September 2024

This article analyzes new approaches and strategies in personnel management of Ukrainian banks during wartime. It examines the main challenges faced by banks, such as ensuring employee safety, maintaining motivation, and work efficiency. Special attention is given to the implementation of remote work, flexible schedules, and the expansion of social benefits. Additionally, the support for mobilized employees, psychological assistance, and monitoring of physical and mental health are explored.
The aim of the article is to study and develop innovative approaches and strategies for managing the personnel of Ukrainian banks during wartime, focusing on the long-term impacts of crises, flexible work models, the application of technologies, and support for employees across different generations to ensure stability and efficiency of banking institutions.
Methodology. The research employs general scientific methods of cognition, such as analysis and synthesis, to evaluate the current state of personnel management in the banking sector. The comparison method is used to analyze the effectiveness of various approaches to managing bank personnel during a crisis. The generalization method is utilized to formulate recommendations for improving personnel management strategies.
Results. It has been proven that the implementation of remote work strategies and flexible schedules significantly reduces risks for employees and enhances the stability of banking operations. Additionally, the development and implementation of social and psychological support programs for employees have helped maintain their motivation and productivity. The article proposes ways to improve existing approaches to personnel management, taking into account the specifics of wartime, including the introduction of qualification improvement programs and mental health support.
KUALITAS SUMBER DAYA MANUSIA, PROFESIONALISME KERJA, DAN KOMITMEN ORGANISASI SEBAGAI FAKTOR PENDUKUNG DALAM MENINGKATKAN KINERJA KARYAWAN DI PT BERKAH BERSAMA GEMILANG MAKASSAR
Authors: Zulfahmi Zulfahmi , Said Miah , Ruslan Muhlis
Published: September 2024

Penelitian ini bertujuan untuk mengetahui dan menganalisis pengaruh kualitas sumber daya manusia, profesionalisme kerja dan komitmen organisasi terhadap kinerja karyawan di PT Berkah Bersama Gemilang Makassar. Penelitian ini bersifat deskriptif analisis dengan menggunakan pendekatan kuantitatif. Penelitian ini menggunakan pendekatan  kuantitatif dengan metode survey. Data diperoleh melalui dokumentasi dan kuesioner yang disebar kepada 130 karyawan PT Berkah Bersama Gemilang Makassar sebagai responden.  Hasil penelitian menunjukkan bahwa kualitas sumber daya manusia, profesionalisme kerja,  komitmen organisasi berpengaruh positif dan signifikan dengan nilai determinan sebesar 43,1% terhadap kinerja karyawan di PT Berkah Bersama Gemilang Makassar.
This study aims to determine and analyze the effect of human resource quality, work professionalism and organizational commitment on employee performance at PT. Berkah Bersama Gemilang Makassar. This research is descriptive analysis using a quantitative approach. This research uses a quantitative approach with a survey method. Data was obtained through documentation and questionnaires distributed to 130 employees of PT Berkah Bersama Gemilang Makassar as respondents. The research results show that the quality of human resources, work professionalism, organizational commitment have a positive and significant effect with a determinant value of 43.1% on employee performance at PT Berkah Bersama Gemilang Makassar.
Optimización de la productividad en Granola mediante Ingeniería de métodos
Authors: Jiménez-Ortiz Adriana-Cristina , González-Peñaloza Dulce-Gabriela , Mendoza-Caballero Marlon-Yasai , Rojas-Arenas Iván-Dario
Published: September 2024

La presente investigación plantea una propuesta de mejora en la línea de producción de granola Vainilla Vitarrico x 1000 gr. Para tal efecto, se utilizaron distintas técnicas y herramientas de la ingeniería industrial. Se desarrollo una metodología con enfoque mixto y alcance descriptivo dividida en tres fases. En la primera fase del proyecto, se llevó a cabo una caracterización de procesos, empleando la observación directa y revisión bibliográfica. En la segunda fase, se procedió a sistematizar la información, para posteriormente analizarla y proponer mejoras en una última fase. Como conclusión principal se tiene que las técnicas de la ingeniería de métodos son muy pertinentes para la mejora de procesos, sobre en empresas como la analizada. El resultado más relevante fue la propuesta de una intervención que abarca diferentes niveles del sistema productivo.
Visibilidad de las actividades de proyección social en dos universidades de Medellín
Authors: Guerra-Serna Esther-Lucia , Arévalo-Prieto María-Alejandra , Heredia-Vásquez Mateo , Restrepo-Guzmán Juan-Esteban , Pérez-Marín John-Jairo , Zúñiga-Carabali Fernanda
Published: September 2024

En el contexto actual, la Proyección Social se ha convertido en un componente fundamental de la misión y visión de las instituciones de educación superior, siendo una herramienta clave para generar un impacto positivo en la comunidad y contribuir al desarrollo social y ambiental. La investigación se basó en un enfoque cualitativo, utilizando técnicas de análisis de contenido para examinar la información presente en las páginas web de la Corporación Universitaria Adventista (UNAC) y la Universidad Pontificia Bolivariana (UPB) relacionadas con la Proyección Social. Tanto la UNAC como la UPB demuestran un fuerte compromiso con la Proyección Social, lo que se refleja en la amplia gama de iniciativas que desarrollan, las estrategias de comunicación que utilizan y el impacto positivo que generan en la comunidad.
Comparison of Gait Parameters Between Individuals with Normal Arch and Flat Arch Conditions among Students at SD Negeri Daleman 01, Nguter, Sukoharjo
Authors: Syaifuddin Muhammad , Syafi'i Muhammad , Fitriana Shania Mulya
Published: September 2024

This study aims to compare gait parameters between the normal arch condition and the flat arch condition in students at SD Negeri Daleman 01, Nguter District, Sukoharjo. A flat foot, which is a common disorder characterized by the loss of arches in the feet, can interfere with walking pattern, cadence, timing, and speed. This study used a comparative approach with a cross-sectional observational analytic research design. The research sample consisted of students aged 7-12 years, with either a normal arch or flat arch condition. Gait parameters were measured using an instrument for assessing gait parameters. Data analysis involved tests for normality and hypothesis testing using the Mann-Whitney test. The results of the study showed a significant difference (p-value < 0.05) in gait parameters between the normal arch condition and the flat arch condition. Students with a normal arch condition demonstrated better gait parameters compared to those with a flat arch condition. Students with a flat arch condition tended to have shorter step lengths, wider step widths, longer ground contact time, and slower walking speeds compared to students with a normal arch condition. Based on the results of this study, it can be concluded that a flat arch condition potentially affects gait parameters in students at SD Negeri Daleman 01, with a p-value < 0.05. This information can be useful for relevant parties in monitoring and addressing gait parameter issues in students with a flat arch condition.
Effect of Medial Arch Support Foot Orthosis on Pressure Distribution and Peak Pressure in Women with Hallux Valgus
Authors: Fitri Rahma Maulida , Triyani Triyani , Lestari Tri Riana , Silmia Ana
Published: September 2024

Background: Hallux Valgus (HV) entails a deformity of the hallux, resulting in heightened pressure on both the hallux and forefoot. One potential intervention involves utilizing foot orthoses with medial arch support. Aims: This study aimed to assess the impact of medial arch support foot orthoses on pressure distribution and peak pressure among women exhibiting mild to moderate hallux valgus. Methods: The research employed a quasi-experimental design, employing a one-group pretest-posttest methodology with 16 participants. Data collection involved recording pressure distribution and peak pressure via foot scans before and after one month of utilizing Medial Arch Support Foot Orthoses. Parametric analysis utilized a paired T-test. Results: The findings indicated a significant reduction in peak pressure, particularly in toe 1 and the metatarsal region (p < 0.005). However, there were no notable alterations in pressure distribution (p > 0.005), although a shift in mean pressure distribution from 21.94 to 22.63 was observed in the right forefoot. Conclusion: Medial arch support foot orthoses demonstrated efficacy in altering pressure distribution and mitigating peak pressure, thereby presenting as a viable intervention for individuals with hallux valgus. Future research should consider incorporating additional variables, such as spatiotemporal differences, both pre- and post-utilization of medial arch support foot orthoses.
A Descriptive Study on Assessment of Functional Status in Cerebral Palsy Patients Using Knee Ankle Foot Orthosis
Authors: Arshad Zeenat , Kamran Khan Muhammad
Published: September 2024

Background: Cerebral Palsy (CP) is the most prevalent motor disability in childhood, arising from abnormal brain development or damage, affecting muscle control. Knee Ankle Foot Orthoses (KAFO) is a lower limb orthosis extending from foot plate to thigh level, designed to support weakened leg muscles and stabilize knee and ankle joints, potentially halting deformity progression or rectifying flexibility. This study aims to elucidate the functional status of lower limb CP patients utilizing KAFO. Aims: This study aimed to describe the functional level of lower limb CP patients wearing KAFO. Methods: Informed consent was obtained, and data of 110 cerebral palsy patients were collected using non-random consecutive sampling. Patients were divided into two groups: one with 80 patients utilizing KAFO with 4PPS (four-point pressure system), and the other with 30 patients not using KAFO with 4PPS. Observational gait analysis was conducted, and subjective and objective details were recorded on a specially designed questionnaire. The OPUS scale evaluated the functional status of CP patients, and statistical analysis employed chi-square tests to examine the role of KAFO in their functional status using SPSS version 21.0. Results: Statistical analysis revealed a significant relationship between total functional score and KAFO use. Among the 80 KAFO users, 71 patients scored >40, while 9 scored <40. In the non-KAFO group, 28 patients scored <40, and 2 scored >40. KAFO users exhibited higher total functional scores, indicating improved functionality and independence in daily activities (p<0.05). Conclusion: The study concludes that KAFO utilization enhances the functional status of cerebral palsy patients, facilitating independent engagement in daily activities. Comparison of total scores between KAFO users and non-users underscores the association between functional improvement and KAFO use.
A STUDY ON OUTCOME OF CHIVATES TRANSANAL SUTURE HEMORRHOIDOPEXY.
Authors: Surakod Nayan V , Kansal Sandeep
Published: September 2024

Background: A prevalent medical problem, haemorrhoids affects 4 to 36% of the Population. Haemorrhoids' primary
vascular contribution comes from the superior rectal artery and middle hemorrhoidal artery's terminal branches of the
internal hemorrhoidal plexus. Various treatment modalities for haemorrhoids have been described, such as diet
modification and laxatives, medication (steroids, local anaesthetic and dietary supplements), medical procedures
(rubber band ligation, foam sclerotherapy, stapled haemorrhoidopexy, laser haemorrhoidopexy, IRC) Aims &
Objectives Methodology: : To assess the outcome of chivates trans anal suture hemorrhoidopexy. A cross-sectional
study was conducted among 50 cases who undergoing chivates trans anal suture hemorrhoidopexy at Department of
General surgery, New Civil hospital, Surat. The mean age of study participants was 33.5 + 5.7 years Results: . Total
32(64%) cases were belonged to 31-40 years of age group. Out of total, 38(76%) cases were males and 12(24%) cases
were females. Among the study participants, 20(40%) cases had grade III and 30(60%) cases had grade IV hemorrhoids.
Of total, 82% cases had complained of Bleeding, 56% cases had complained of Prolapse and 36% cases had complained
of pain. After surgery, 3 cases had complained of bleeding, 2 cases had developed pain and one patient had complained
of constipation. Transanal suture rectopexy, or CP, is a very promising treatment with a short lea Conclusion: rning
curve for haemorrhoids. We conclude that the operation effectively controlled the bulk, prolapse, and recurrence of
haemorrhoids based on our experience with 50 patients. Because it is affordable and has no postoperative
consequences such as discomfort, incontinence, or urgency of faeces, the author suggests this specific surgery for grade
III and grade IV haemorrhoids.
CUSTOMERS PERCEPTION TOWARDS ONLINE FOOD DELIVERY SYSTEM WITH SPECIAL REFERENCE TO ALAPPUZHA DISTRICT
Authors: S Mahima. , Gopalakrishnan Sreedevi , S Jyothish.
Published: September 2024

Growing population and dynamic intake habits- It appears that the urban population growing over the rural population
which will increase the financial gain. Due to increasing financial gain, individuals are restricted to vary their intake
habits.Scarcity of time- Because of the busy schedule of working ladies,they consider it better to eat prepared food from
restaurants than cook it themselves. However, the traditional technique of food ordering was terribly time-consuming
thus to save this time,individuals start to order food online.The purpose of this study is to discuss customer satisfaction
with online food ordering and delivery applications in a specific geographic area.The research focuses on the collection
and analysis of information from all users of online food delivery services.The goal is to determine the influential factors,
as well as their perception and overall satisfaction with online food delivery applications.
AN IN-VIVO COMPARISON OF DIFFERENT DESENSITIZING AGENTS IN THE TREATMENT OF DENTINAL HYPERSENSITIVITY IN NONRESTORED CERVICAL LESION
Authors: Mitra Aditya , Bhattacharya Sourav , Pal Debarun
Published: September 2024

Dentin hypersensitivity involves experiencing sharp and often painful sensations in to certain stimuli such as thermal
(hot or cold), evaporative, tactile (touch), osmotic (pressure changes), or chemical triggers. Non carious cervical tooth
structure loss are often associated with a subjective symptom of hypersensitivity that needs immediate intervention.
Aim: Aim of this in vivo clinical study is to evaluate the efficiency of two different commercially available dentin
desensitizing agents in terms of reduction in dentinal hypersensitivity in non-restored non-carious cervical tooth
lesions.Materials And Methods:Thirty patients were selected who had the complaint of sensitivity to hot/cold, sweet
and sour food that is associated with non-carious cervical lesion with a greatest depth less than 0.5mm.After performing
tactile test, patient responses were recorded in VAS scale. They were divided into two groups and treated with two
different types of desensitizing agents (HEMA containing desensitizer and Tooth Mousse containing CPP-ACP).Followst rd
up was taken after 1 week, 3 week and 1 month. Statistical analysis was done by one way ANOVA and Tukey Post Hok
analysis.Results: HEMA desensitizer showed immediate reduction in dentinal hypersensitivity. Whereas Tooth Mousse
showed highest overall reduction in dentinal hypersensitivity in follow-up intervals.
COMPREHENSIVE ANALYSIS OF LIPID PROFILE COMPONENTS AND THEIR ROLE IN CARDIOVASCULAR RISK ASSESSMENT IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL IN SOUTH GUJARAT: A CROSS-SECTIONAL STUDY
Authors: Afinwala Abhishek Satishkumar , Mevada Jigna Nanjibhai , Gohil Jigna , Gusain Teesta , Dipakkumar Tailor Purvi
Published: September 2024

Introduction: Cardiovascular diseases (CVDs) are a leading cause of mortality worldwide, with unfavourable lipid
profiles recognized as a critical risk factor.Aim and Objective:This study aims to investigate the role of lipid profiles in
cardiovascular risk assessment among patients attending a tertiary care hospital in South Gujarat. Methodology This
cross-sectional study,conducted in 160 participants selected purposively from June 1st to June 30th,aimed to assess lipid
profile abnormalities in adults aged 18 and older.Participants were included if they had complete lipid profile tests (total
cholesterol, LDL, HDL, triglycerides) and provided informed consent. Exclusions applied to those with incomplete
results, acute cardiovascular conditions, recent myocardial infarction, or secondary dyslipidaemia. Statistical analysis
was performed using MS Excel (Version 21) and SPSS software (Version 26). Results: The study found a mean total
cholesterol level of 220 mg/dL among participants,with significant correlations identified between high LDL cholesterol
and hypertension (r = 0.42, p < 0.01), low HDL cholesterol and a sedentary lifestyle (r = -0.35, p < 0.05), and elevated
triglycerides and diabetes (r = 0.40,p < 0.01).However,no significant associations were observed between lipid levels
and factors such as gender, physical activity, and age. Conclusion: The findings reveal a high prevalence of
dyslipidaemia linked to cardiovascular risk factors.This underscores the need for targeted public health interventions
in South Gujarat. Further research is required to explore additional variables affecting cardiovascular health in this
group.
STUDY OF MICROBIOLOGICAL PROFILE OF VENTILATOR ASSOCIATED PNEUMONIA
Authors: H Ameet , Ankita Ankita , Kumar Gulshan
Published: September 2024

Ventilator associated pneumonia is defined as pneumonia occurring more than 48 hrs after endotracheal intubation,
during mechanical ventilation or after extubation.VAP developed during the rst 4 days of mechanical ventilation is
early onset,usually less severe mostly caused by antibiotic sensitive bacteria's and with better prognosis.[2,3] Whereas
late onset VAP develops 5 or more days after the initiation of mechanical ventilation, and is due to multidrug resistant
(MDR) pathogens and is usually associated with increased morbidity and mortality. Common pathogens causing VAP
includes Pseudomonas Spp. Escherichia coli, Klebsiella pneumonia and Staphylococcus aureus with varying
prevalence.Due to the increased incidence of MDR organisms in intensive care units (ICU),early and correct diagnosis
of VAP is mandatory for optimal antibiotic therapy. The present study was conducted on 200 patients with clinically
suspected as VAP admitted to intensive care unit. This study will helps to detect pathogens commonly associated in
causation of VAP, also to determine their antibiotic susceptibility pattern. This study will also help to decrease the
complications associated with VAP in critical care units[4,5].
ROUTINE ANALYSIS OF HUMAN SEMEN SAMPLE USING MANUAL SPERM COUNTING AND COMPUTER ASSISTED SPERM ANALYSIS
Authors: Lakhani Shrey , Lakhani Vishakha Jay
Published: September 2024

The semen sample of a 32-year rugby player, healthy and fit and his29-year-old wife with polycystic ovarian disease,
trying to conceive since one year showed normal macroscopic examination and a count of 4.72million/ml by manual
counting and 17.2million/ml by CASA. The progressive motility was 10.7% by manual examination and 1% by CASA. The
delay in transportation, exposure to high temperature and errors while performing the analysis may lead to
asthenozoospermia (decrease in sperm motility). While the other reasons for decreased motility can be due to high
fever, severe illnesses, smoking,excessive alcohol,use of recreational drugs, inflammation of the testes andradiation
exposure. Hence, a second sperm analysis after treating acute illness, stress, anxiety and proper transportation will be
helpful to confirm the diagnosis. Moreover, due to a low count and motility and the female partner suffering from
polycystic ovarian disease the couple has to go for Assisted Reproductive Techniques (ART), Intra Cytoplasmic Sperm
Injection (ICSI), as the CASA readings show a very low count and motility.
ROLE OF NATIVE PLANT SPECIES IN PHYTOREMEDIATION OF HEAVY METALS FROM CONTAMINATED SOIL AT ATRAULI AND PANETHI
Authors: Geeta Geeta , Chaudhary Sandhya , Kant Ravi
Published: September 2024

The motivation behind this study is to see if certain native plants in Aligarh, Uttar Pradesh, India, have the ability to gather
and endure synthetic contamination. Two areas were picked: one near a huge modern zone and the other around 35
kilometers from modern action. The measures of cadmium (Compact disc), lead (Pb), copper (Cu), zinc (Zn), and
fluoride (F) were estimated on soil and plant tests that were accumulated. The normal plants being scrutinized,
Chenopodium collection and Bassia indica, gave no obvious indications of poisonousness. The higher soil layers were
found to have minimal natural matter substance and to be basic. The area nearest to the modern zone has the most
elevated groupings of heavy metals and fluoride. It was found that the native plants' underlying foundations, stems, and
leaves had groupings of Cd, Cu, Pb, Zn, and F that were higher than their normal reaches and phytotoxic values. For each
component, the natural collection factor (BAF), movement factor (TF), and bioconcentration factor (BCF) were
determined. The picked plants were classified as gatherers, pointers, and excluders for every component in view of
these standards. The native plants under concentrate on show a lot of commitment for phytoremediation and might be
utilized as biomonitors in contaminated soils. Given its efficacy as a fluoride excluder, Bassia indica, which has been
found to be an accumulator of Cd, Cu, and Pb, may be a great choice for phytoextraction and Phyto stabilization.
TREATMENT OF RAW AREA PATIENTS BY TANGENTIAL EXCISION AND SKIN GRAFTING - OUR EXPERIENCE
Authors: Bhatia Vijay , Kalra Deepanjali , Singh Manisha , Joshi Himadri , Bodra Charmi , Gohil Rajvee , Adeshra Jay
Published: September 2024

Skin grafting, a simple method for closure of wound plays an integral part of the reconstructive ladder. Here, we present
our experience in last 100 consecutive patients presenting to our institute with raw area who underwent tangential
excision of the recipient bed and split thickness skin grafting. We found in our study that tangential excision of the wound
bed using a skin grafting blade prior to securing skin graft is very effective way to increase the chances of graft take up
and gives a better cosmetic outcome Tangential excision of the recipient wound bed is an effective way to convert any
non healing chronic wound into an acute wound , decrease the bacterial colonisation , opening of the capillaries at the
wound bed and providing nutrition to the graft , better cosmetic appearance .
CUTANEOUS HISTOPLASMOSIS IN CHILD WITH HYPER IG M SYNDROME
Authors: Valaki Jay N. , G. Vaishnav Jolly , Vohra Arif S. , Kaushik Nandini
Published: September 2024

Histoplasmosis is a disease caused by dimorphic fungus histoplasma capsulatum, commonly found in soil contaminated
with bird or bat droppings or decay wood. Its route of transmission is through inhalation of aerosolized mycelial form.
The organism remains in the mold (mycelial) form at soil temperatures and converts to the yeast form at human body
temperature (37°C), where it resides within macrophages. The fungus is rapidly phagocytosed by macrophages and
neutrophils but resists intracellular destruction. Intracellular yeast can disseminate through the lymphatics and
bloodstream. Infected macrophages release cytokines to recruit additional macrophages and monocytes, which
aggregate to form granulomas. A failure of the immune response results in the progressive spread of the infection to
other organs. A 7-year-old female with history of intermittent fever for 8 months, multiple joint pain and weight loss for 2
months. On examination, she had pallor, erythematous plaque on face and hepatosplenomegaly. The patient had high
levels of immunoglobulins and reduced CD4, CD8 count. cutaneous histoplasmosis was diagnosed on microscopic
examination of bone marrow and skin biopsy and was confirmed by fungal culture of bone marrow & blood.
histoplasmosis commonly affect immunocompromised individual, presentation varies from primary pulmonary
histoplasmosis, disseminated histoplasmosis. Our case represents a unique as histoplasmosis is rarely seen in
paediatric age group and Indian population
ASSESSMENT OF NEUROCOGNITIVE OUTCOMES AND DISABILITY OF PATIENTS WITH HISTORY OF HOME VERSUS HOSPITAL BIRTHS WITH AND WITHOUT NICU ADMISSION
Authors: Shiddapur Tejas , Kale Sanjiv
Published: September 2024

Background: Intellectual disability (ID) involves intellectual and adaptive functioning deficits, with onset during the
developmental period. There are several causes of ID including genetic and environmental factors. This study is aimed at
evaluating the severity of intellectual disability in patients with neurocognitive delays and examining correlations with
birth conditions. This retrospective observational study included 100 patients with neurodevelopment Methods: al
delays. Intellectual and adaptive functioning were assessed using the Binet Kamat Test of Intelligence (BKT) and the
Vineland Social Maturity Scale (VSMS). Data on birth conditions and complications were analysed using statistical tests.
Results: 35% of the patients had mild ID, 38% had moderate ID, 11% had severe ID, and 16% had profound ID. Home
births were associated with a higher incidence of severe to profound ID (χ2=13.915, p=0.031). Hospital births had better
outcomes, with 70-80% having mild to moderate ID. Lower birth weights were linked to lower IQ scores (ρ=0.206,
p=0.040). Premature infants with low birth weight had longer NICU stays. Delayed cry at birth was associated with a
higher incidence of severe to profound ID (χ2=7.99, p=0.046). 56% of the patients had comorbid conditions, with
cerebral palsy being the most common. Comorbidities were significantly associated with poorer cognitive outcomes
(χ2=15.321, p=0.001). Home births are linked to more severe intellectual disabilities, highlighting th Conclusions: e
need for improved antenatal care and institutional deliveries. Premature and low birth weight infants require specialised
NICU care to improve neurocognitive outcomes. Delayed cry at birth can be an indicator of neonatal hypoxia which can
lead to poor intellectual functioning. Comorbid conditions significantly affect cognitive outcomes.
Utilização do cateter venoso central de inserção periférica na prática do enfermeiro em unidade de terapia intensiva
Authors: Benito Rosana da Cruz , Benito Linconl Agudo Olivera
Published: September 2024

Os avanços tecnológicos têm nos proporcionado um desenvolvimento significativo da terapêutica em recém-nascidos (RN), dentre eles, o dispositivo infusional Cateter Venoso Central de Inserção Periférica (CCIP), também referenciado pela literatura científica enquanto Peripherally Inserted Central Catheter (PICC).Esse importante dispositivo, apontado enquanto excelência da assistência de RNs, considerados gravemente debilitados, dos quais, necessitam de uma terapia medicamentosa de uso prolongado.
DEFICIÊNCIA MINERAL EM LONGO PRAZO DE PÓS-OPERATÓRIO DE BYPASS GÁSTRICO EM Y DE ROUX - UMA REVISÃO INTEGRATIVA
Authors: Oliveira Natália , Burgos Maria  Goretti Pessoa de Araújo
Published: September 2024

A cirurgia bariátrica é eficaz na redução do peso corporal, bem como na melhoria das condições clínicas associadas à obesidade. Na técnica de bypass gástrico, deficiências minerais podem surgir, com carências de publicações destas deficiências em longo prazo. Objetivo: Analisar a ocorrência de deficiência mineral em longo prazo na técnica de bypass gástrico. Metodologia: revisão do tipo integrativa, realizada através das bases eletrônicas: PubMed, SciELO, BVS, com busca dos últimos 12 anos de estudos publicados em revistas indexadas. Foram utilizados os descritores individualmente ou em associação: cirurgia bariátrica, deficiência nutricional, deficiência mineral, derivação gástrica, pós-operatório e bypass gástrico, nos idiomas inglês, português e espanhol. Foi considerado deficiências de todos os minerais em longo prazo (após 02 anos de cirurgia), com exclusão de relatos de casos, TCC, teses, dissertações, editoriais e revisões. Resultados: do total de 37 estudos encontrados na fase inicial, apenas 19 atendiam os critérios de exclusão e inclusão da pesquisa, sendo selecionados para a revisão. Os resultados principais sinalizaram que, no pós-operatório tardio ainda ocorre carências de alguns micronutrientes, sendo os mais frequentes: ferro (5-42%), cálcio (1-20%), cobre(0-18,8%), zinco(8-23%), magnésio(14,8%), selênio(11-15%); além de presença de anemia ferropriva (3-37.5%)e redução de ferritina (11,1 – 57%). Ademais, observou-se que pacientes que faziam uso de suplementos e recebiam acompanhamento nutricional, apresentaram risco reduzido das deficiências. Conclusões: O Bypass gástrico em Y-de-Roux pode provocar  deficiências  de micronutrientes, mesmo em longo prazo, com destaque para ferro, cálcio, zinco, cobre, magnésio e selênio. Faz-se necessário o monitoramento nutricional, com adesão diária a 2 polivitamínicos de fórmulas completas, com  boa biodisponibilidade, além da adição de suplementos específicos, quando diagnosticada às carências isoladas.
Avanços na Terapia de Células-Tronco: Novos Horizontes para o Tratamento de Lesões Espinhais e Doenças Neurodegenerativas
Authors: Carvalho Geovanna Pozzebon , De Melo Adriando Ferreira , Rodrigues Gabriela Correa , de Pieri Renata Campos , Martins João Paulo Passos , Ferreira Maria Carolina Domingos Rosa , Borges Ana Beatriz Moura , Felipe Geovana Gomide Pitaluga , Pacheco Yasmin Zampieri , Costa Henrique Manoel França , Furlan Gilmara Rodrigues Lima
Published: September 2024

O objetivo deste estudo é explorar os avanços recentes na terapia de células-tronco, com foco em suas aplicações no tratamento de lesões espinhais e doenças neurodegenerativas visando revisar as principais abordagens terapêuticas, discutir o potencial regenerativo das células-tronco, e avaliar as perspectivas futuras dessa tecnologia para a medicina regenerativa, destacando desafios clínicos e científicos. Este estudo realiza uma revisão integrativa da literatura com o objetivo de analisar os avanços na terapia de células-tronco. A pesquisa foi conduzida em bases de dados como Scielo, BVS – Biblioteca Virtual em Saúde e PubMed. Os descritores utilizados foram retirados do DeSC (Descritores em Ciências da Saúde), incluindo “Medicina regenerativa”, "Terapia Celular”, “Células-Tronco Embrionárias”, “Doenças Neurodegenerativas". Além disso, foram aplicados filtros específicos na seleção dos artigos, considerando idioma (português e inglês) e ano de publicação (2020 – 2024). A terapia de células-tronco é uma abordagem inovadora que visa usar as propriedades regenerativas das células-tronco para tratar uma variedade de condições médicas, as células-tronco têm a capacidade única de se diferenciar em vários tipos de células do tecido nervoso e de modular a resposta inflamatória. Além disso, elas podem secretar fatores de crescimento e moléculas anti-inflamatórias que promovem a regeneração do tecido nervoso. As perspectivas futuras da terapia de células-tronco são emocionantes, com inovações emergentes prometendo avanços transformadores na medicina regenerativa, a pesquisa contínua em tecnologias avançadas, o desenvolvimento de terapias personalizadas e a colaboração interdisciplinar oferecem oportunidades significativas para superar desafios atuais e alcançar avanços revolucionários.
UTILIZAÇÃO DA SAUSAGE TECHNIQUE PARA AUMENTO HORIZONTAL DO REBORDO ALVEOLAR EM MAXILA
Authors: Bella Ana Paula Granja Scarabel Nogueira , Alves : João Nicolas Amorim de Castro , Torres Elias Celestino , Ferreira Marcio Salles F , Borges Giovanna Oliveira Jordão , Ferraz Reuel Felipe Nunes , de Oliveira Moisés , Ferreira Peterson Rodrigues , de Oliveira Érika Virginya Maciel , de Morais Francielly Fernandes Pereira , de Carvalho Daniel Rey , Pinto Edluziana Guedes de Oliveira , de Andrade Victor Mendes , de Oliveira Ana Caroline Barbosa , de Souza Vitória Gabriele Santos , Figueiredo Lucas Augusto Gonçalves , Vieira Mariana Da Veiga Lobo , de Menezes Franciele yumsz , da Silva Gabriela Maria Leão Santos , de Avila Marina Padilha , da Silva Mayara Domênica Teixeira , Lima Maria Vitória da Silva , da Silva Victoria Santos , Cruz Roberto Machado , da Silva Evanio
Published: September 2024

RESUMO
O aumento horizontal do rebordo alveolar tornou-se uma necessidade crescente na reabilitação oral, especialmente em pacientes com extrações dentárias ou reabsorção óssea severa. A "sausage technique" emergiu como uma solução promissora para a regeneração óssea, visando aumentar o volume ósseo para suportar implantes dentários com melhores resultados estéticos e funcionais.Estudos, como o de Buser et al. (2021), destacam a importância do volume ósseo horizontal para o sucesso dos implantes a longo prazo. A técnica, descrita inicialmente por Hämmerle et al. (2019), consiste em um enxerto ósseo no formato de "linguiça" para promover a regeneração. Simion et al. (2022) evidenciaram o alto índice de sucesso da técnica em termos de estabilidade óssea e estética, enquanto Matarasso et al. (2023) mostraram a redução no tempo de tratamento. Apesar das vantagens, Ferreira et al. (2023) apontam possíveis complicações, como infecções e necessidade de ajustes em casos específicos. O objetivo do artigo é revisar a literatura sobre essa técnica, discutindo suas aplicações, eficácia e limitações, além de fornecer recomendações para sua prática clínica.
DIAGNÓSTICO E TRATAMENTO DA PARALISIA DE BELL: UMA REVISÃO DE LITERATURA
Authors: Neto Sileno Melo dos Santos , Lebrão João Marcelo Medeiros , Vieira Bruno de Tarso Evangelista , Cotini Marina Rodrigues , Castro Giovanna De Luca , Faria Maria Luiza Martins de , Silveira João Antônio Guimarães , Santana Amanda Henrique , Almeida Guilherme Pires de , Couto Lucas Valente , Cunha Pedro Henrique Andrade , Araujo Reis Resende Lucas
Published: September 2024

Este artigo tem por objetivo avaliar os aspectos clínicos da pneumonia realizada nos últimos cinco anos. Revisão integrativa no banco de dados da BVS, LILACS, SciELO, PubMed de trabalhos publicados entre 2020 e 2024, combinando os descritores "paralisia de Bell", "diagnóstico" e "tratamento". A causa da paralisia de Bell pode ser uma infecção viral ou uma doença imunológica que cause o edema do nervo facial ou a causa pode ser desconhecida. Conclui-se que é possível diagnosticar e distinguir a paralisia do nervo facial de outros distúrbios com base nos sintomas. Um corticosteroide, como prednisona, é administrado por via oral para reduzir o inchaço no nervo.
A FORMAÇÃO CONTINUADA DE EDUCADORES EM CONTEXTOS DESAFIADORES: IMPACTOS NAS PRÁTICAS PEDAGÓGICAS E DESEMPENHO ESTUDANTIL
Authors: Eloan Alves da Silva
Published: September 2024

A formação continuada de educadores é crucial em contextos desafiadores, onde a qualidade da infraestrutura e o suporte institucional são frequentemente limitados. Objetivo: Este estudo analisa os impactos da formação continuada nas práticas pedagógicas de docentes e no desempenho acadêmico dos estudantes, focando em regiões com infraestrutura precária e alto índice de vulnerabilidade social. Metodologia: A revisão abrange estudos publicados entre 2018 e 2023, com a triagem de 320 artigos, dos quais 8 estudos relevantes foram selecionados. Esses estudos exploram o papel da formação docente na adaptação de práticas pedagógicas e no uso de tecnologias digitais e metodologias inovadoras. Resultados: Os resultados apontam que a formação continuada proporciona maior autonomia aos educadores e melhora o desempenho dos alunos, mas também revela desafios relacionados à falta de recursos e ao suporte institucional. Discussão: Apesar dos avanços observados, a implementação de programas de formação continuada ainda é limitada por políticas públicas inconsistentes e pela falta de investimento em infraestrutura. Conclusão: Este estudo reforça a importância da formação continuada como uma ferramenta para melhorar as práticas pedagógicas e desempenho estudantil em contextos desafiadores, além de sugerir a necessidade de políticas públicas mais robustas e adaptadas às realidades locais.
PLAYING VIRTUAL MUSICAL DRUMS BY MEMS 3D GENERATOR WITH MACHINE LEARNING MODELS
Authors: Rachana  , Vidya.S
Published: September 2024

In our life, music is one of the important tools of entertainment whose ingredients are musical instruments. For instance, acoustic drum is very important when a song is being sung. In the modern world, therefore, the style of the musical instruments is changing, yet retaining the same tune for instance an electronic drum. Based on MEMS 3D accelerometersensor data and machine learning, we have created “Virtual Musical Drums” in this work. Machine learning is integrating in all fields of AI for solving problems and the MEMS sensor is transforming a large ph This study has shown that, in the specified simulation, there is a detection accuracy of 91.42%, and in the real-time scenario with 20% window overlapping, there is an accuracy of 88. 20%. The simulated drum sound seemed unreal, even if the accuracy of the system detection was adequate. Therefore, we selected the "virtual musical drums sound files" in line with the acoustic drum sound pattern and length, and we adopted the "multiple hit detection within a fixed interval, sound intensity calibration, and sound tune parallel processing." Finally, but just as importantly, we completed the "Playing Virtual Musical Drums" exercise and were able to simulate playing an acoustic drum. Another aspect of MEMS sensors and machine learning has been illustrated by this work. It illustrates how data,. It demonstrates how data, sensor, and machine learning can be applied in a different way in offering musical entertainment with enhanced precision.
KEYWORDS—Virtual musical drum, MEMS, SHIMMER, support vector machines (SVM) and k-Nearest Neighbors (kNN)
FACTORS INFLUENCING HSLC OUTCOMES: A STUDY OF DIVISION-WISE PERFORMANCE IN KARBI ANGLONG DISTRICT OF ASSAM
Authors: Kongkon Bordoloi  , Acharjya Mohan Das  , Bijoy Timung
Published: September 2024

This study examines the factors influencing High School Leaving Certificate (HSLC) outcomes in Karbi Anglong over a five-year period, focusing on division-wise performance. Utilizing data on first, second, and third division pass rates, as well as failure rates, this research aims to identify key determinants that contribute to varying levels of academic achievement. Through a detailed analysis of the data, trends in student performance are explored, highlighting the role of socioeconomic status, school resources, and educational interventions. The study also delves into disparities across different schools and student demographics, providing a comprehensive understanding of the challenges and opportunities within the region's educational landscape. This research also investigates the impact of geographic factors, such as urban versus rural school locations, on student outcomes. It also considers the potential influence of parental education levels and community support systems on students' academic success. By identifying patterns and correlations within the data, the study aims to propose targeted strategies for improving HSLC results and enhancing overall educational quality in Karbi Anglong.
Plantas medicinais no Cerrado tocantinense
Authors:   Cianny Ximenes Rodrigues Silva, Ximenes Rodrigues Silva  ,   Marcia Guelma Santos Belfort,   Lunalva Aurélio Pedroso Sallet
Published: September 2024

O Cerrado brasileiro, com sua diversidade de espécies vegetais, é um ecossistema que abriga se¬gredos milenares. Neste livro, mergulharemos nas profundezas desse bioma, desvendando as proprieda¬des medicinais das plantas que nele habitam. Iniciaremos nossa jornada com uma visão geral do livro e sua relevância para a saúde e bem--es¬tar. Compartilharemos os métodos de pesquisa utilizados para compilar informações sobre as plantas medicinais do Cerrado. Exploraremos a geografia e as características gerais do Cerrado tocantinense. Também investigaremos as espécies relevantes para a saúde pública, considerando o Sistema Único de Saúde (SUS). Analisaremos as substâncias químicas presentes nas plantas e seus potenciais benefícios terapêuticos. Além disso, abordaremos as aplicações práticas dessas plantas na medicina tradicional e alternativa, e refletiremos sobre os desafios enfrentados e as possibilidades de promover o uso susten¬tável desses recursos.
The main purpose of the company is to make a profit. Does this mean that you need to make a profit at any cost?
Authors:   O. E. Kutafin Moscow State Law University (MSAL), Erofeeva Daria I.
Published: September 2024

The author analyzes whether it is necessary to make a profit at any cost. The main goal of business is to serve the interests of a wider group of stakeholders, including consumers, employees, clients, and to meet the needs of society as a whole. Profit is a signal that the enterprise is achieving important goals. The profit of an enterprise consists of various factors of activity, as well as compliance with certain norms and moral principles. Therefore, one cannot pursue profit and ignore these norms, violate established principles. Making a profit at any cost has negative consequences not only for the enterprise itself, but also for society as a whole. Illegal activity ultimately leads to serious legal outcomes, destroys relationships and consumer trust.
Business or employment: what do you choose?
Authors:   O. E. Kutafin Moscow State Law University (MSAL), Ptak Svetlana S.
Published: September 2024

The author explores one of the most important decisions in human life: the choice between starting your own business and employment. It is very important to properly analyze the market, competition and know how to conduct business correctly, then the probability of prosperity of entrepreneurship will increase. At the start, you need to come up with an idea, develop a business plan and understand how much money you will have to invest in starting a business, choose the organizational and legal form of doing business, study the legal requirements, your rights and ways to protect them. It is important to be ready to work on mistakes.
Productive qualities of foxes of the breed type «Savvatyevsky» in the conditions of JSC «Biryuli»
Authors:   Moscow State Academy of Veterinary Medicine and Biotechnology – MVA named after K. I. Skryabin, Moscow, Russia, Larina Elena E.
Published: September 2024

For the first time in fox breeding in Russia, over the past 30 years, a new breed type of silverblack foxes «Savvatievsky» has been registered. High-class livestock ensures the production of high-quality pelts, which are in great demand on the Russian and international markets. In 2021, 30 males and 100 females were sold in Biruli CJSC, Republic of Tatarstan. The article presents the results of research on the approbation of a new breed type of silver-black foxes «Savvatievsky» in CJSC «Biruli». Studies were conducted on such indicators as: the number of covered, foaled females, fertility, access to the main female with different combinations of parental pairs. Data on the growth dynamics of purebred and crossbred puppies, their absolute and relative weight gain were obtained. The best results in reproductive qualities were obtained with a combination of parental pairs, a female of the Biryulinsky type, a male of the Savvatievsky type (P>0,999). The live weight of Biryulinsky males and females in June is greater than that of Savvatievsky and crossbreeds, the difference is statistically significant, but by October, Savvatievsky males and females are catching up with Biryulinsky.
Productivity of sows depending on their housing technology and breeding methods
Authors:   Lugansk State Agrarian University, Lugansk, Russia, Miroshnichenko Igor P. , Pimenov Nikolay V. ,   Moscow State Academy of Veterinary Medicine and Biotechnology – MVA named after K. I. Skryabin, Moscow, Russia, Tresnitskiy Sergey N. ,   Don State Technical University, Rostov-on-Don, Russia, Tresnitskaya Veronika A. ,   Don State Technical University, Rostov-on-Don, Russia
Published: September 2024

In the last twenty years, innovative approaches in the field of pig farming have come to the fore. Based on the adaptation of spacious utility rooms or the construction of economical hangar-type structures, these methods introduce deep-layer organic bedding for housing pigs of various age and sex categories. This approach provides a significant reduction in initial construction costs, optimization of thermoregulation due to the natural heat of biochemical processes in the litter, reduces the negative impact on the environment from pig waste and at the same time expands the possibilities of obtaining organic fertilizers. Innovations in the field of raising and fattening pigs have proven their worth, while not being inferior to classical methods using specialized buildings and microclimate control. Questions regarding the comparability of the efficiency of feeding pigs when using both technologies remain the subject of debate in the professional community. There is extensive discourse in the pig industry regarding the advantages and disadvantages of using permanent deep litter when raising and housing pregnant pigs. While some experts recognize the advantages of alternative methods over classical approaches, reliable studies do not always show statistically significant differences in average daily gain or time required to reach market weight between pigs raised on single-phase and three-phase systems. It is important to pay attention to the study of the productive characteristics of both purebred specimens and representatives of crossbred breeds under various housing and nutritional conditions. This article analyzes the performance of sows under different management practices and breeding strategies, highlighting the relevant differences. The findings indicate that variations in rearing techniques and breeding approaches do not directly affect fertility rates in sows. However, they are important for determining the weight of an individual piglet at 21 and 35 days of age, as well as the total weight of the litter at weaning. Particularly noteworthy are the results obtained from sows under single-phase technology using deep litter, based on a comprehensive assessment of their reproductive qualities.