bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of Synchronous Transurethral Surgeries or Transrectal Prostate Biopsy with Early Postoperative Complications In the Endoscopic Treatment of Bladder Stones
Authors: Sarı Hilmi , Ekenci Berk Yasin , Kokurcan Alihan , Sandıkçı Fatih , Doğan Ahmet Emin , Karakoyunlu Nihat , Yalcinkaya Fatih
Published: July 2024

Objective: To invastigate the effect of synchronous transurethral surgeries or transrectal prostate biopsy on complications in endoscoic bladder stone treatment.
Methods: Between January 2016 and December 2021, 402 patient who aged 18 years and older, underwent endoscopic bladder stone surgery were retrospectively analyzed. 345 patients were included in the study, after the exclusion criteria were determined. Patients were divided into 2 groups according to the applied surgical treatments. Group 1(n=174) involved patients who underwent endoscopic bladder stone surgery alone and Group 2(n=171) who underwent TUR-P/TUIP/DVIU or TUR-BT or URS or TRUS-BX in the combination with endoscopic bladder stone treatment. Age, etiology, surgical treatments, operation times, hospitalization times and postoperative complications were compared.
Results: Mean age of the patients was 60 (SD=15, range=18-93) years. Mean (SD) stone size was measured as 3 (2.2) cm. There was no difference in patient age and stone size between the groups. Complications of both Clavien 2 and above, Clavien 3A and above were statistically significantly higher in Group 2 (p=0,019; p=0,030). There was no relationship between complications and comorbidities. Operation and hospitalization times were statistically significantly shorter in Group 1 (p= 0,033; p=0,020).
Conclusion: We observed an increase in early postoperative complications in TUR-BT or TRUS-BX surgeries performed synchronously with bladder stone treatment. Therefore, patients may need additional postoperative endoscopic procedures and may prolong hospitalization time.
Evaluation of General Surgery Physicians' Approaches to Surgical Antimicrobial Prophylaxis by Questionnaire Method
Authors: Yalçın Nadir , Doğan Cansu Zeynep , Cennet Ömer , Demirkan Kutay , Yorgancı Kaya
Published: July 2024

Introduction: Surgical site infections (SSIs) are infections of the incision site, organ or cavity that occur after surgery, causing a significant burden in terms of morbidity, mortality and healthcare costs. SSIs are the most common healthcare-associated infections in low- and middle-income countries and may affect one-third of surgical patients. This study aimed to conduct a face-to-face survey to evaluate general surgeons' approaches and knowledge levels before and after the training seminar on the use of surgical antimicrobial prophylaxis (SAP).
Material and Method: An information-oriented questionnaire consisting of 10 questions was administered to a total of 18 surgeons working a General Surgery Department before and after the education meeting to evaluate their knowledge and attitudes towards the use of SAP. Data were presented as number, percentage, mean (standard deviation) and Fisher exact test was used to compare categorical data.
Results: All participants answered the question regarding the time of prophylactic antibiotic administration correctly in both surveys. According to the current American Society of Health-System Pharmacists (ASHP) guideline for cefazolin, 42.2% of the patients had the correct time of antibiotic administration. The proportion of patients whose cefazolin selection, dose and time of administration were appropriate was 14.6%. The number of physicians who thought that postoperative antibiotic prophylaxis was not significantly increased from 16 (88.8%) before the meeting to 18 (100%) after the meeting (p>0.05). In our study, the number of patients who continued to be given antibiotics unnecessarily postoperatively was 66 (16.4%).
Conclusion: In order to increase the rate of optimal application of the theoretical knowledge to patients in practice, it is important to organize routine trainings based on current literature and service data for surgeons with a high workload and to follow the reflection of these trainings to the clinic in order to improve SAP compliance rates.
Perfil epidemiológico de Morbidade Hospitalar por Asma no Brasil, entre 2019 e 2023: Estudo Ecológico
Authors: Costa Igor Gabriel Mendes , Medeiros Rômulo Geisel Santos , Da Silva Marcos Rossi , Souza Laiza Carla de França , Rodrigues Manuela Geovana de Paula , Cavalheri Bruna Coelho , Amoras Felipe Greiner , Costa Jeane Rafaele Nunes , De Miranda Henrique Evelim Menezes Rodrigues , Fróes Carlos César Freire , Felix Elzanice de Fátima Brandão Falcão , Santos Raphael Almeida , Mansur Renato José Kezen Leite
Published: July 2024

INTRODUÇÃO: A asma é uma doença crônica das vias aéreas, caracterizada por inflamação e estreitamento dos brônquios, levando a sintomas como falta de ar, chiado, tosse e aperto no peito. Pode ser desencadeada por alérgenos, poluentes, infecções ou mudanças climáticas. O tratamento inclui medicamentos e estratégias para evitar gatilhos. Este estudo analisa internações, custos e características demográficas de pacientes com asma no Brasil, com o objetivo de informar políticas de saúde para reduzir seu impacto. OBJETIVO: Este estudo visa analisar as internações hospitalares por Asma no Brasil de janeiro de 2019 a dezembro de 2023, com ênfase na distribuição por faixa etária, sexo dos pacientes, tipos de atendimento e custos hospitalares. METODOLOGIA: Trata-se de um estudo retrospectivo quantitativo utilizando dados do Sistema de Informações Hospitalares do SUS (SIH/SUS), acessados via base de dados secundária do TABNET/DATASUS. Foram analisadas internações, faixa etária, sexo dos pacientes, tipos de atendimento e custos hospitalares por Asma no Brasil entre janeiro de 2019 e dezembro de 2023. A análise utilizou estatística descritiva e tabulação em planilha eletrônica do Microsoft Excel 2016, com apresentação dos resultados em tabelas no Microsoft Word 10. RESULTADOS: Entre janeiro de 2019 e dezembro de 2023, foram registradas 354.115 internações por asma no Brasil. A Região Nordeste liderou com 34,84% das internações, seguida pelo Sudeste (33,12%) e Sul (15,74%). O custo total dos serviços hospitalares foi de R$ 214.575.468,32, com o Sudeste apresentando o maior gasto (R$ 81.948.416,47). A faixa etária mais afetada foi de 1 a 4 anos, com 114.324 internações. A maioria das internações foi para urgência (97,08%) e predominou o sexo masculino (50,62%). CONCLUSÃO:  Entre 2019 e 2023, o Brasil registrou 354.115 internações por asma, com a Região Nordeste liderando em número de casos e a Região Sudeste em custos. A maioria das internações foi de urgência e afetou predominantemente crianças de 1 a 4 anos. A análise aponta para a necessidade urgente de estratégias de prevenção e manejo ambulatorial para reduzir hospitalizações e custos, além de focar nas faixas etárias mais vulneráveis.
ABORDAGENS TERAPÊUTICAS NA EMBOLIA PULMONAR PÓS-CIRURGIA PLÁSTICA: UMA REVISÃO INTEGRATIVA
Authors: Bene Rafael Jambo  , Chung Won Chon  , Luiz Henrique Caldas Lins  , Sheyla Milena Costa de Souza  , Camille Mapurunga Tavares  , Carolline Evellyng Barbosa Morais  , Guilherme Kumm Ávila  , Luisa Rasia Montenegro  , Marina Santos Abdanur Carvalho  , Raphael Henrique Lopes Nogueira  , Taynara Caroline Alves Pereira Diniz
Published: July 2024

Este estudo apresenta uma revisão integrativa das abordagens terapêuticas e preventivas para a embolia pulmonar em pacientes submetidos a cirurgias plásticas. A pesquisa incluiu artigos publicados entre 2018 e 2024, analisando estratégias de tratamento como o uso de anticoagulantes, trombólise, embolectomia e suporte clínico. A heparina de baixo peso molecular foi identificada como a opção preferida para anticoagulação na fase aguda, enquanto os novos anticoagulantes orais mostraram-se eficazes para tratamento contínuo. A trombólise, especialmente a dirigida por cateter, emergiu como uma abordagem promissora para casos graves. Filtros de veia cava e embolectomia cirúrgica foram considerados em casos específicos. A prevenção da embolia pulmonar destacou-se como crucial, com ênfase na profilaxia farmacológica, dispositivos de compressão pneumática e mobilização precoce. O protocolo ‘Healthy Plastic’ demonstrou ser uma abordagem eficaz, combinando avaliação de risco e medidas preventivas personalizadas. A colaboração multidisciplinar e a educação contínua dos profissionais de saúde foram ressaltadas como essenciais para melhorar os desfechos clínicos. Este estudo sublinha a importância de práticas baseadas em evidências e a necessidade de pesquisas futuras para validar estratégias preventivas e terapêuticas em diferentes contextos clínicos, integrando tecnologias avançadas para aprimorar o manejo da embolia pulmonar.
Studying Mothers' Knowledge and Perceptions of Adolescent Reproductive Health
Authors: Hartaty Diana , Martha Evi
Published: July 2024

Correction of: https://wmmjournal.org/index.php/wmm/article/view/142
DOI: https://doi.org/10.36749/wmm.4.1.8-16.2024
Background: Reproductive health education is obtaining information and forming attitudes and beliefs about sex, sexual identity, relationships, and intimacy. Mothers are the primary caregivers and have an essential role in providing reproductive health and sexual education to adolescents. Parents' lack of reproductive health education triggers deviation; therefore, parents, especially mothers, can provide comprehensive reproductive health education to prevent free sexual behaviour and sexual crimes in adolescents.
Purpose: To measure the knowledge and perception of mothers about adolescent reproductive health
Methods: This is a cross-sectional study with a descriptive design. The study involved 135 respondents who were selected using a purposive sampling technique. Analysis using descriptive, T-test and Pearson correlation.
Results: More than 50% of respondents answered that adolescents' reproductive health education should be parents' responsibility and education should begin during elementary school. There was a correlation between mothers' knowledge and perception of adolescent reproductive health (r=0.44, p<0.001). Most mothers were afraid of providing sex education due to their ignorance of teaching methods and their lack of knowledge, and mothers wanted to learn about adolescent reproductive health from experts.
Conclusion: Mothers want to learn more about sex education from experts or health workers. They were interested in male/female sexual structure and sexual physiology. Open communication between mother and child on sex-related issues is essential. Providing accurate and up-to-date sex education information to parents is vital to effectively educating their children at home.
Medicinal plants as a source of natural remedies in the management of diabetes
Authors: Sitobo Zingisia , Tinotenda Navhaya Liberty , Henry Makhoba Xolani
Published: July 2024

Diabetes is a severe chronic illness that has impacted thousands of individuals worldwide. It is caused by the body’s failure to produce insulin or insufficient production of insulin. While diabetes is not curable, it can be managed with injectable insulin, which decreases blood glucose levels. However, this treatment has several disadvantages that can affect a patient’s health, and it is often unaffordable for some individuals. Previous studies have suggested that phytochemicals can improve insulin sensitivity. Due to the presence of therapeutic phytochemicals in natural plants, medicinal plants emerge as potential candidates for treating diabetes. In addition, compared to conventional diabetes treatments, phytochemical treatment may be affordable for all diabetics and has fewer side effects. This review primarily focuses on the symptoms and treatment options for the four known types of diabetes: type 1 diabetes mellitus, type 2 diabetes mellitus, type 3c diabetes mellitus, and neonatal diabetes. The article reviews medicinal plants that have been used to treat diabetes effectively with minimum side effects, such as Momordica charantia L., Syzygium cumini (L.) Skeels, and Ocimum tenuiflorum L., among others. In addition, some newly approved drugs, such as tirzepatide, sergliflozin, saxagliptin, and liraglutide, recommended for treating patients suffering from various forms of diabetes, are discussed.
The effect of high-definition transcranial direct current stimulation on pain in somatic symptom disorder with predominant pain: A randomized single-blind sham-controlled crossover study
Authors: Kathiravan Sanjana , Ghosh Abhishek , Mohan Singh Shubh
Published: July 2024

Somatic symptom disorder with predominant pain (SSD-P) is a commonly encountered disorder, yet treatment options often yield unsatisfactory outcomes. Transcranial direct current stimulation (tDCS) has proven useful in chronic pain conditions and may hold potential for treating somatoform pain. High-definition tDCS (HD-tDCS) offers more precise cortical stimulation than conventional tDCS. However, this modality has not been extensively studied in SSD-P. Consequently, this study aims to assess the effects of a novel HD-tDCS protocol on pain and other associated variables in patients with SSD-P. The Institute Ethics Committee approved the study, which was also registered in the Clinical Trials Registry of India. A single-blind, sham-controlled, crossover study design was employed. Thirty right-handed patients with DSM-5 diagnosis of SSD-P, aged 18 – 60 years and receiving stable treatment, were enrolled through consecutive sampling. After simple randomization, two repeated, short-interval sessions (2 mA, 20 min each) of either active or sham HD-tDCS were administered, followed by a washout period of 7 days and a subsequent crossover. Assessments were conducted at baseline, week 1, and week 2. Participants in active and sham arms were comparable on all baseline parameters. At the end of the 1st week, patients in the active group showed significant improvement in the study variables compared to the sham group. By week 2, all participants, irrespective of being in the active or sham arm, demonstrated a statistically significant difference (Cohen’s d > 0.8) in pain and associated parameters such as depression, anxiety, pain-related interference, burden, and disability (P < 0.01). Transient mild local side effects such as burning, pain, and itching were noted, with no cognitive side effects reported. In conclusion, this novel HD-tDCS protocol is effective in reducing pain in patients with SSD-P, with sustained effects up to 1 week.
الأفكار اللاعقلانية وعلاقتها بالكفاءة الذاتية لدى طلاب المرحلة الثانوية - بمدينة المرج
Authors: حسين أهليل فوزية
Published: July 2024

تهدف الدراسة الى التعرف على العلاقه بين التفكير اللاعقلاني والكفاءه الذاتيه وكذلك التعرف مستوى وابعاد التفكير اللاعقلاني لدى أفراد البحث والتعرف على الفروق في مستوى اساليب التفكير اللاعقلاني وفقا لمتغير النوع والتعرف على الفروق في أساليب التفكير اللاعقلاني وفقا كمتغير التخصص والتعرف على الفروق في مستوى الكفاءه الذاتية وفقا لمتغير النوع والتفرق على الفروق في مستوى الكفاءه الذاتية وفقاً لمتغير التخصص وتكونت العينة من 94 طالب وطالبه من طلاب المرحلة الثانويه وتم استخدام كل من مقياس الافكار اللاعقلانية من اعداد الريحانى ويتكون من (52) فقره وتكون الاجابه عليهم بنعم او (لا) وكذلك مقياس الكفاءة الذاتية من إعداد هامبور (2003) وتم تعريبه من قبل غيث عام (2013) ويتكون من (50) فقره يجاب عليها وفقاً لثلاثة بداءل دائمآ، احيانا، نادراً، وتوصلت النتائج الى عدم وجود إرتباط التفكير اللاعقلانى وكذلك لاتوجد فروق بين الذكور والاناث فى أساليب التفكير اللاعقلانى وكذلك لاتوجد فروق بين التخصص العلمى والأدبي فى أساليب التفكير اللاعقلانى وتوجد فروق بين الذكور والإناث فى مستوى الكفاءة الذاتية لصالح الاناث ولاتوجد فروق بين التخصص العلمى والأدبيى فى مستوى الكفاءة الذاتية.
دور مؤسسات التعليم العالي في النشاط المعرفي وبناء مجتمع المعرفة
Authors: عبدالسلام بن عمر نجاح
Published: July 2024

هذه الدراسة تسلط الضوء على دور مؤسسات التعليم العالي في بناء مجتمع المعرفة، حيث ان اهمية هذا الدور جاءت مع تطور تكنولوجيا المعلومات والاتصالات الذي انبثق عنه مجتمع المعلومات والمعرفة معلناً عن ظهور مصطلحات جديدة ومفاهيم في الادارة والتنمية والاقتصاد، واصبحت المعرفة هي المحرك للتنمية ومن اهم مصادر الدخل القومي، وان الاستثمار في الموارد البشرية ركيزة مجتمع المعرفة، ولهذا ركزت الدراسة على دور المؤسسات التعليم العالي في تطوير وتنمية مهارات افراد المجتمع وتهيئتهم للعيش في بيئة مجتمع المعرفة وفق برامج تعليمية تهدف الى تقليص الفجوة المعلوماتية لمواكبة عصر المعلومات ومجتمع المعرفة، وخرجت بتوصية مهمة لبناء مجتمع المعرفة ألا وهي اتخاذ خطوات عملية لمحو الامية المعلوماتية، وتطوير ورفع مهارات الافراد في التعامل مع تكنولوجيا المعلومات والاتصالات.
Mengatur Keuangan Generasi Milenial: Studi Kasus Naposo Bulung HKBP Cinta Damai
Authors: Tambunan Bonifasius H.
Published: July 2024

Pada era globalisasi saat ini, perilaku keuangan generasi milenial menunjukkan kecenderungan yang signifikan di mana mereka lebih cenderung menggunakan uang untuk konsumsi daripada menyimpannya sebagai tabungan. Fenomena ini dipengaruhi oleh teknologi yang telah mengubah gaya hidup para milenial dan rendahnya literasi keuangan di kalangan mereka. Teknologi memudahkan akses terhadap berbagai bentuk konsumsi, seperti belanja online dan layanan digital lainnya, yang mendorong pengeluaran yang lebih besar. Rendahnya literasi keuangan membuat mereka kesulitan dalam mengatur keuangan pribadi secara efektif. Untuk mengatasi masalah ini, kegiatan pengabdian kepada masyarakat bertujuan memberikan arahan dan edukasi kepada naposobulung atau pemuda di HKBP Cinta Damai Kota Medan. Kegiatan ini dirancang untuk meningkatkan pemahaman mereka mengenai pentingnya mengatur keuangan pribadi dengan baik. Melalui pendekatan komprehensif, para pemuda diajarkan strategi pengelolaan keuangan seperti membuat anggaran, menabung, dan berinvestasi. Kegiatan pengabdian ini dilakukan secara offline atau tatap muka di Gereja HKBP Cinta Damai Kota Medan, memberikan pengalaman belajar yang interaktif dan mendalam. Interaksi langsung antara pengajar dan peserta memungkinkan diskusi terbuka dan pertukaran ide yang konstruktif. Diharapkan para pemuda di HKBP Cinta Damai Kota Medan mendapatkan pengetahuan teoritis dan keterampilan praktis dalam mengelola keuangan mereka, sehingga dapat menghadapi tantangan finansial di era globalisasi dengan lebih percaya diri dan kompeten.
ФИЗИЧЕСКАЯ АКТИВНОСТЬ И ХОЛОД - КАК ПАТОГЕНЕТИЧЕСКОЕ ОТРАЖЕНИЕ АДАПТАЦИОННОГО РЕСУРСА
Authors: Иванова Елена Георгиевна , Пугачева Екатерина Сергеевна
Published: July 2024

В рамках изучения вопроса адаптационных механизмов сердечно-сосудистой системы в условиях холодового стресса, в статье рассмотрен вопрос физической активности при действии низких температур в условиях Крайнего Севера.
ПРОБЛЕМА ЧЕЛОВЕКА В ИСТОРИИ РУССКОЙ ФИЛОСОФСКОЙ МЫСЛИ
Authors: Печерских Светлана Павловна
Published: July 2024

Интерес ко всему русскому в современном мире невероятно высок. Русское вызывает слишком контрастное отношение к себе: от восхищения и уважения к достижениям современной России до воинственного неприятия, не желания признавать и принимать русское, как одно из важнейших факторов мирового развития. В статье рассматривается проблема человека в русской социальной философии и её место в дискурсе становления техногенной цивилизации в России.
ЭКОЛОГО-БИОЛОГИЧЕСКИЕ ОСОБЕННОСТИ ФОРМИРОВАНИЯ ОЧАГОВ ГЕЛЬМИНТОЗОВ В УСЛОВИЯХ ТУРКМЕНИСТАНА
Authors: Максутбекова А.
Published: July 2024

в статье представлены результаты анализа статистических показателей заболеваемости гельминтозами населения Туркменистана, проанализированные данные важны для разработки эффективных методов профилактики и контроля гельминтозов, направленных на сохранение здоровья окружающей среды и общественного здоровья
Обучение английскому языку в детском саду
Authors: Тюкпиекова Е.А. , Добря М.Я.
Published: July 2024

Актуальность раннего обучения иностранному языку задается потребностями общества. В настоящие время общество вызывает большой интерес к иностранному языку, что, в свою очередь, требует необходимость обучения детей дошкольного возраста иностранному языку. Необходимо лишь выбрать благоприятный момент для начала обучения. Число изучающих английский язык с каждым годом только увеличивается. В результате знание английского языка необходимо практически во всех сферах общества.
ПРОБЛЕМЫ СОВРЕМЕННОЙ ТЕОРИИ БИОЛОГИЧЕСКОЙ ЭВОЛЮЦИИ
Authors: Карпин В.А.
Published: July 2024

Теория биологической эволюции как научная теория, несмотря на многолетнее развитие, не создана до сих пор. Карл Поппер оценил ее в свое время как метафизическую исследовательскую программу. Для ее завершения необходимо решить несколько фундаментальных проблем. В статье предпринята попытка выявить материальные механизмы биологической эволюции, выходящие за рамки пресловутого естественного отбора.
АКТУАЛЬНЫЕ ПРОБЛЕМЫ РЕГУЛИРОВАНИЯ ДОГОВОРА АРЕНДЫ ТРАНСПОРТНЫХ СРЕДСТВ
Authors: Фрига А.Л.
Published: July 2024

В статье рассмотрены наиболее актуальные проблемы регулирования договорных отношений, регламентированные Гражданским кодексом РФ в части аренды транспортных средств, которые требуют соответствующих уточнений, что обусловлено повышением популярности использования данного подвида арендных отношений, динамичностью развития страны и научно-технического прогресса.
Influence of degree of learning on rate of forgetting of tonal sequences
Authors: Rivera-Lares Karim , Baddeley Alan , Della Sala Sergio
Published: July 2024

Initial performance is frequently equated in studies that compare forgetting rates across groups. However, since the encoding capacity of different groups can be different, some procedures to match initial degree of learning need to be implemented, adding confounding variables such as longer exposures to the material, which would create memories of a different age. Slamecka and McElree Journal of Experimental Psychology: Learning, Memory, and Cognition, 9, 384–397, (1983) and our previous work found that the rate of forgetting was independent from initial degree of learning using verbal material. The present study seeks to determine whether this pattern holds true when undertaken with nonverbal material. In two experiments, we manipulate initial degree of learning by varying the number of presentations of the material and studying the effect on the forgetting rates. A set of 30 tonal sequences were presented to young, healthy participants either once or three times. Forgetting was evaluated in a yes/no recognition paradigm immediately and 1 hour or 24 hours after the study phase. A different subset of 10 sequences was tested along with 10 nontargets at each retention interval. The results of these experiments showed that initial acquisition was modulated by the number of repetitions. However, the forgetting rates were independent of initial degree of learning. These results are in keeping with the pattern found by Slamecka and McElree, and in our own previous studies. They suggest that the pattern of parallel forgetting after different levels of initial learning is not limited to verbal material.
The time course of Temporal Binding in social and nonsocial interactions
Authors: Silver Crystal A. , Tatler Benjamin W. , Chakravarthi Ramakrishna , Timmermans Bert
Published: July 2024

Temporal Binding (TB) is the subjective compression of action-effect intervals. While the effects of nonsocial actions are highly predictable, it is not the case when interacting with conspecifics, who often act under their own volition, at a time of their choosing. Given the relative differences in action-effect predictability in non-social and social interactions, it is plausible that TB and its properties differ across these situations. To examine this, in two experiments, we compared the time course of TB in social and nonsocial interactions, systematically varying action-effect intervals (200–2,100 ms). Participants were told they were (a) interacting with another person via a live webcam, who was in fact a confederate (social condition), (b) interacting with pre-recorded videos (nonsocial condition), or (c) observing two pre-recorded videos (control condition; Experiment 2). Results across experiments showed greater TB for social compared to nonsocial conditions, and the difference was proportional to the action-effect intervals. Further, in Experiment 1, TB was consistently observed throughout the experiment for social interactions, whereas nonsocial TB decreased from the first to the second half of the experiment. In Experiment 2, the nonsocial condition did not differ from control, whereas the social condition did, exhibiting enhanced binding. We argue these results suggest that the sociality of an interaction modulates the ‘internal clock’ of time perception.
Testing the Effect of Financial Robustness in Promoting Financial Adaptability: A Comparative Study Between International Islamic Bank and Elaf Islamic Bank
Authors: Ismail Salih Dr. Jinan
Published: July 2024

The primary objective of the current study was to test the effect of financial robustness in promoting financial adaptability in International Islamic Bank and Elaf Islamic Bank. This was done by collecting the opinions of banking employees working in the two banks. A sample of (38) employees of the International Islamic Bank was taken, and a sample of (43) employees of the Elaf Islamic Bank was taken, so that the total study sample was (81) Employees, and a questionnaire form was distributed to them. After collecting the questionnaire forms, the data obtained was analyzed using the program (SPSS V.22). The results of the study found that there is a significant and positive effect of financial robustness in enhancing financial adaptability in Elaf Islamic Bank, which is greater than in the International Islamic Bank. These results indicate the importance of investing in financial robustness, as institutions that have high financial robustness are more prepared to face changing and accelerating financial challenges and have a greater ability to adapt.
Conceptual Study on Ayurvedic Pharmacodyanamics of Gandhaka Rasayana wsr to Grahani Roga
Authors: Kumar Gautam Dr. Vinod , Kumar Mishra Prof. Pramod
Published: July 2024

Vitiation of Agni (Mandagni) and Dosha cause Grahani Roga, a chronic illness of the digestive system that is closely tied to Agni state and dietary patterns. Gandhaka Rasayana, a popular Ayurvedic herbo-mineral formulation, was created by Shuddha Gandhaka through the serial Bhavana of eleven herbal medications eight times apiece. It is widely used to treat a wide range of gastrointestinal, skin, and wound ailments. An effort was made in this paper to prove properties and capabilities of Gandhaka Rasayana with special reference to Grahani Roga’s management.
Efeitos de intervenções de enfermagem de alta qualidade nos resultados e na taxa de complicações de pacientes idosos submetidos à endoscopia gastrointestinal indolor
Authors: Wu Zhihui , Han Qing
Published: July 2024

Resumo Objetivo Para pacientes idosos, a endoscopia gastrointestinal indolor pode facilmente induzir eventos adversos. Nosso objetivo foi avaliar os efeitos de intervenções de enfermagem de alta qualidade nos resultados e na taxa de complicações de pacientes idosos submetidos à endoscopia gastrointestinal indolor. Métodos Foram selecionados 124 pacientes que receberam endoscopia gastrointestinal indolor no período de janeiro a dezembro de 2022, 62 dos quais internados entre janeiro e junho de 2022 foram incluídos em um grupo de enfermagem convencional e receberam intervenção de enfermagem básica tradicional, e os outros 62 internados entre julho e dezembro 2022 foram atribuídos a um grupo de enfermagem de alta qualidade e receberam intervenções de enfermagem de alta qualidade. Os resultados da intervenção foram comparados. Resultados As pontuações da Escala de Autoavaliação de Ansiedade e da Escala de Autoavaliação de Depressão do grupo de enfermagem de alta qualidade foram inferiores às do grupo de enfermagem convencional (P<0,05). A pressão arterial sistólica, a pressão arterial diastólica e a frequência cardíaca durante e após o diagnóstico e tratamento diminuíram no grupo de enfermagem de alta qualidade em comparação com os do grupo de enfermagem convencional (P <0,05). O grupo de enfermagem de alta qualidade teve uma taxa de complicação mais baixa e uma taxa de satisfação de enfermagem mais alta do que o grupo de enfermagem convencional (P<0,05). Conclusão A intervenção de enfermagem de alta qualidade não só estabiliza o estado psicológico dos pacientes idosos submetidos à endoscopia gastrointestinal indolor, mas também é benéfica para manter a pressão arterial e a frequência cardíaca estáveis.
Human milk sufficiency for premature babies in Intensive Care Units
Authors: Silva Adriana Moreira da , Mattar Maria José Guardia , Coca Kelly Pereira , Abrão Ana Cristina Freitas de Vilhena
Published: July 2024

Abstract Objective To analyze human milk sufficiency in Neonatal Intensive Care Units in the Metropolitan Region of São Paulo according to the number of premature babies, estimated demand for human milk and actual consumption. Methods This is a cross-sectional study, carried out at Human Milk Collection Stations and Human Milk Banks registered with the São Paulo Network of Human Milk Banks in 2017. Data from 2017 census vital statistics were used to identify premature baby distribution in Regional Health Care Networks. Results 100% of Human Milk Collection Stations and 84.6% of Human Milk Banks in São Paulo participated in the study. Pasteurized human milk distribution insufficiency was identified between estimated demand and actual consumption by premature babies. During the study period, only the Center and Southeast regions met 100% of human milk coverage, followed by the Greater ABC region, with 44.62%. Conclusion Most Human Milk Collection Stations and Human Milk Banks in the metropolitan region of São Paulo do not assist all premature children. The management of these units can contribute to encouraging donor recruitment and collected human milk optimization.
Analysis of the level of burden in caregivers of children with heart disease
Authors: Guimarães Glauciane Rego Rodrigues , Moraes Juliana Rezende Montenegro Medeiros de , Silva Liliane Faria da , Góes Fernanda Garcia Bezerra , Ciuffo Lia Leão , Souza Tania Vignuda de
Published: July 2024

Abstract Objective to correlate the characteristics of children with congenital heart disease with the level of burden of their primary caregivers. Methods This was a cross-sectional study with a quantitative approach. Data was collected through online interviews with 100 primary caregiver mothers of children with congenital heart disease. They answered the child characterization instrument and the Zarit Burden Interview. The data was analyzed using SPSS version 23, using descriptive statistics and analysis of variance (p≤0.05). Results The average age of the children was 3.9 years, with a standard deviation of 3.2 years, with a prevalence of males (58.0%) and cyanotic heart disease (51.0%), under specialized cardiology care (96.0%), using regular medication (55.0%), without hospitalization in the last 12 months (56.0%) and having undergone at least one surgery (44.0%). Specialized follow-up (p=0.003), the presence of comorbidities (p=0.0001) and attending daycare or school (p=0.001) were associated with a higher risk of overload. Conclusion The correlation of the characteristics of children with heart disease indicated a slight burden on their primary caregivers. Children with specialized care, comorbidities and who attend school or daycare increased the burden on their caregivers.
Fatores associados à capacidade funcional em pessoas idosas no serviço de emergência
Authors: Souza Lidia Ferreira de , Santos Eilane Souza Marques dos , Campanharo Cássia Regina Vancini , Lopes Maria Carolina Barbosa Teixeira , Okuno Meiry Fernanda Pinto , Torres Gilson de Vasconcelos , Nunes Vilani Medeiros de Araújo , Batista Ruth Ester Assayag
Published: July 2024

Resumo Objetivo Relacionar variáveis sociodemográficas, econômicas, clínicas e ter ou não cuidador, risco de queda e percepção do risco de quedas com a capacidade funcional em pessoas idosas em um Serviço de Emergência. Métodos Estudo transversal e analítico, realizado entre setembro de 2019 e março de 2020, no Serviço de Emergência, com 197 pessoas idosas. Foi aplicado questionário com informações sociodemográficas, econômicas e clínicas; e os instrumentos: Falls Risk Awareness Questionnaire, Morse Falls Scale, Índice de Katz e Escala de Lawton. Para comparar o Índice de Katz e a Escala de Lawton; e associar a Morse Falls Scale com as variáveis contínuas foram utilizados, respectivamente, o teste de Kruskal Wallis e o coeficiente de correlação de Spearman. Para associar Falls Risk Awareness Questionnaire com as variáveis categóricas utilizou-se o teste de Mann-Whitney e o teste de Kruskal Wallis. Resultados Os nãos letrados (p<0,0001) e com menor renda (p=0,0446) tiveram menor escore no Índice de Katz, isto é, apresentaram maior percentual de totalmente dependentes. Os divorciados (p=0,0004) e sem cuidador (p<0,0001) apresentaram maior escore na Escala de Lawton, ou seja, maior grau de independência. A maior percepção dos riscos de queda (p=0,0403) associou-se à menor independência para as atividades instrumentais de vida diária. O risco baixo de quedas (p<0,0001) associou-se à maior independência para as atividades instrumentais de vida diária. Não houve associação entre percepção do risco de queda (p=0,2693) e risco de queda (p=0,4984) com o Índice de Katz. Conclusão A menor escolaridade e renda associaram-se com a dependência para atividades de vida diária. Ser divorciado e não ter cuidador associaram-se com a independência para atividades instrumentais de vida diária. Não houve associação entre a percepção do risco de queda e o risco de queda com as atividades de vida diária. A maior percepção dos riscos de queda associou-se à menor independência e o risco baixo de quedas associou-se à maior independência para as atividades instrumentais de vida diária.
La Aplicabilidad de las Torres de Absorción de Gases en el Control de Emisiones Industriales: Una Revisión Bibliográfica
Authors: Cabrera Palacios Washington Jair , Espinoza Aguirre Martha Cristina , Lazo Chica Dennis Brigitte , Ulloa González Angie Lilibeth , León Cueva Wilson Patricio
Published: July 2024

La absorción de gases es crucial para reducir las emisiones atmosféricas de industrias que contribuyen significativamente a la contaminación del aire. Sin embargo, gran parte de la información disponible sobre este tema es antigua y puede no ser citable. Este artículo de revisión bibliográfica tiene como objetivo recopilar y sintetizar información actualizada sobre las torres de absorción de gases, proporcionando una referencia moderna para investigadores y académicos. La metodología incluyó la búsqueda de literatura en bases de datos científicas como Springer Link, Elsevier, MDPI, Google Académico, y ResearchGate, seleccionando estudios publicados entre 2017 y 2024 en inglés y español en el caso de los artículos científicos. Se seleccionaron, revisaron y analizaron 31 fuentes relevantes entre las que comprenden artículos científicos, libros y demás documentación. Los resultados destacan la efectividad de las torres de absorción en diversas aplicaciones industriales y su importancia en la mitigación de la contaminación atmosférica. Las implicaciones de esta revisión subrayan la necesidad de adoptar y optimizar estas tecnologías para cumplir con las normativas ambientales y mejorar la calidad del aire.
Enfermedad de Rosai-Dorfman Ganglionar Tratado con Hiperoxigenación Hiperbárica con Respuesta Significativa Confirmado por PET-CT
Authors: Cerrillo Alfaro Diana , Gutiérrez Méndez Karla Alejandra , Galván Salazar Gabriel , Padilla Isassi Alejandro , Bernal Montalvo América Patricia
Published: July 2024

La enfermedad de Rosai-Dorfman-Destombes es una histiocitosis de células no Langerhans cuya etiología no es totalmente conocida, suele tener un curso crónico, benigno y autolimitado. Actualmente, se considera un trastorno histiocítico no neoplásico reactivo que carece de clonalidad. Suele afectar a niños y adultos jóvenes; más del 80% de los casos ocurre en menores de 20 años y predomina en varones, con una relación de 1.4:1. La presentación clínica clásica es una linfadenopatía cervical bilateral masiva e indolora, con presencia o no de sintomatología asociada como fiebre, pérdida de peso y diaforesis. También puede existir afectación extraganglionar. El diagnóstico definitivo se realiza mediante biopsia con inmunohistoquímica, donde el hallazgo clásico es histiocitosis sinusoidal positiva para S-100 y emperipolesis.  Actualmente no existe un tratamiento estandarizado; sin embargo, se utilizan esteroides como primera línea. La importancia de este caso clínico, radica en la respuesta benéfica obtenida, al someter a la paciente a terapia alternativa con cámara hiperbárica. Abriendo la puerta a nuevas áreas de investigación con resultados prometedores, al implementarse como terapia combinada. Así como se ha realizado ya en patologías como coadyuvante en tumores e infecciones. Aumentando la tasa de éxito de respuesta  al tratamiento.
Complex of hydrodynamic studies of wells and formations at the Uzen field
Authors: Bayamirova R.Y. , Togasheva A.R. , Zholbasarova A.T. , Sarbopeyeva M. , Tabylganov M.T. , Saduakasov D.S.
Published: July 2024

The effectiveness of monitoring the development process depends on the availability of complete and high-quality information about the hydrodynamic parameters of productive formations, reservoir reservoir properties, technical condition of wells, etc. The purpose of oil, petroleum gas and reservoir water research is to obtain comprehensive data on their properties and composition, which are within the productive horizons of deposits, as a rule, are fickle. Ignoring the heterogeneity of oil properties over the area of the deposit and the lack of control over changes in physico-chemical properties during the operation of the field can lead to serious errors in predicting the parameters of field development. One of the most important sources of information is hydrodynamic (field) studies of formations and wells. The advantage of hydrodynamic methods for increasing oil recovery is that they are relatively easy to implement and do not require large economic costs. At the Uzen field, the assessment of the initial productive and filtration characteristics of the formations was carried out on the basis of studies of steady-state filtration (MSS) performed during testing of oil-saturated reservoir intervals during exploration and at the initial stage of industrial development of the field when the deposit was operating under natural depletion mode. The article presents the results of a study by the method of steady-state selections (MSS), a study by the method of pressure recovery (PRC).
PROYECCIÓN DE LA RESISTENCIA DEL HORMIGÓN EN FUNCION A LA EDAD
Authors: Escobar Arana Alfredo , Añez Luis Arnulfo Beckrich
Published: July 2024

En la construcción de obras, a base de hormigón en muchos casos se requiere conocer la resistencia del hormigón en edades menores a 28 días, para eso se realiza el ensayo cualquier día antes de los 28 y se utiliza unos factores que las normas y bibliografías recomiendan, con la ayuda de esos factores de corrección se puede estimar la resistencia que tendría el hormigón a los 28 días de edad, en el presente trabajo se hace una comparación del resultado de ensayos del hormigón en laboratorio, elaborado con materiales de la región, con datos de las normas y bibliografía. Para este cometido, en el laboratorio de Ingeniería Civil de la Universidad Amazónica de Pando, se elaboraron 6 probetas de hormigón, tres probetas se ensayaron a los 7 días de edad y tres a los 28 días de edad, los resultados de esos ensayos se compararon con datos recopilados de las normas, EHE, la CBH 87, Ex Servicio Nacional de Caminos, Revista Ciencia y Construcción y Model Code CEP-FIP, una vez ejecutado los ensayos, se realizó la comparación y evaluación de los resultados obtenidos de los ensayos de laboratorio con los datos de las normas y bibliografía, como resultado se encontró que evidentemente existe una pequeña variación en el resultado final, sin embargo esta variación es mínima, por lo que consideramos irrelevante en la construcción, en la Tabla 2 se detallan los valores obtenidos del ensayo y que el lector también pueda evaluar por su parte, de esa manera se llega a la conclusión que en nuestro medio y con los materiales de la región, también el progreso del endurecimiento o evolución de la resistencia del hormigón es aplicable con los parámetros de las normas y bibliografía
UTILIZACIÓN DE LAS PLATAFORMAS DIGITALES POR LOS ALUMNOS DE MEDICINA DURANTE LA PANDEMIA DEL COVID-19 Y EL IMPACTO EN SU CARRERA ACADÉMICA
Authors: De La Via Ignacio E.
Published: July 2024

El segundo semestre de 2019 China vivenció unas de las más impactantes epidemias, resultante de un virus conocido como SARS-COV-2, que rápidamente se repartió por el mundo llevando la sociedad al distanciamiento social. El virus se transmite por el contacto a través del aprieto de manos, gotículas de saliva, estornudos, tos, por objetos y superficies, entre otros; y su infección cursa con síntomas respiratorios como: tos, fiebre, coriza, odinofagia, disnea, pudiendo llevar al agravamiento del cuadro clínico, y posteriormente, al óbito. Hubo una necesidad emergente de Salud Pública para la contención de los casos, evitando así impactos en ambientes hospitalares, pues no tenían camas para internaciones de los pacientes, además de impactos económicos. En las universidades médicas el distanciamiento generó preocupación, visto que la formación médica es rígida por su naturaleza social y académica, y normalmente, es fuente de estrés para los estudiantes. El objetivo de esta investigación es mostrar la problematización de la vivencia de los estudiantes y docentes de Medicina como impacto del distanciamiento social, y para tal, fue utilizado un método descriptivo de naturaleza cuantitativa. Participaron académicos y docentes del Curso de Medicina de Instituciones Privadas y Públicas de Bolivia del Estado de Cobija. Los resultados constatan que la mayoría de los participantes (71,2%) no estaban preparados para participar de los primeros meses suplementares y no estaban preparados. Se considera por fin que el uso de las plataformas digitales es más que un pensar tecnológico, es una reflexión sobre cómo se forma la experiencia y las posibilidades de modificación en la percepción de las clases de Medicina
INFRAESTRUCTURA, CONECTIVIDAD Y PROVISIÓN DE TECNOLOGÍA PARA LA EDUCACIÓN VIRTUAL M-LEARNING
Authors: Saavedra Marcelo
Published: July 2024

Este estudio se enfoca en la importancia crucial de la infraestructura de telecomunicaciones y la disponibilidad de tecnologías avanzadas para el soporte del aprendizaje móvil (m-learning), poniendo especial atención en el escenario boliviano. Al analizar la infraestructura de telecomunicaciones presente, que incluye la cobertura de internet a través de fibra óptica, conexiones satelitales y la red móvil 4G, se han identificado desafíos significativos como costos elevados, variabilidad en la calidad y accesibilidad restringida, los cuales representan obstáculos importantes para la efectiva implementación del m-learning. Asimismo, se discute cómo soluciones innovadoras como el servicio de internet satelital Starlink podrían representar una alternativa viable para superar las limitaciones geográficas y financieras, abriendo así nuevas posibilidades para el aprendizaje móvil a escala mundial. El texto subraya la esencialidad de contar con una infraestructura de telecomunicaciones sólida y de fácil acceso como pilar para un aprendizaje móvil eficaz y destaca la urgencia de adoptar políticas inclusivas y estrategias novedosas para fortalecer la conectividad y la oferta tecnológica en contextos educativos. En este marco, el objetivo principal del artículo es analizar el estado actual de la infraestructura de telecomunicaciones en Bolivia y evaluar cómo este influye en la implementación y éxito del aprendizaje móvil. Proporcionamos recomendaciones concretas dirigidas a los interesados en el sector educativo y tecnológico, con el fin de fomentar un acceso igualitario y eficiente al aprendizaje móvil.
Cenários multirrisco
Authors: Oliveira Francisca Leiliane Sousa de , Barros Sales Caroline , Maia de Brito Anderson Geová , Beling Loose Eloisa , Nascimento Sulaiman Samia , Queiroz de Almeida Lutiane , Rocha Nogueira Fernando
Published: July 2024

Apesar de avanços na gestão de riscos de desastres (GRD) nas últimas décadas, em abordagens científicas, políticas e práticas, persistem limitações e impasses relacionados à amplitude e recorrência de eventos extremos em um contexto de vulnerabilidades crescentes. Percebe-se um cenário caracterizado como de multirrisco: com riscos geológicos, hidrológicos, climáticos, sanitários, ambientais, econômicos e sociais. A urgência da implementação de estratégias de adaptação às mudanças climáticas e de enfrentamento aos multirriscos requer políticas e gestões articuladas para a construção de uma cultura de prevenção e segurança. Este desafio mobiliza o projeto "Aprimoramento da gestão local de riscos ambientais-urbanos para cenários multirrisco frente à emergência climática: instrumentos inovadores e participação social" (Projeto Multirrisco) para uma revisão de conceitos, metodologias e práticas considerando que o risco é socialmente construído, que os desastres não são naturais e reconhecendo as falhas na GRD e suas aplicações em políticas públicas. Diante disso, este artigo discute a problemática de cenários multirrisco frente às mudanças climáticas e apresenta a iniciativa do Projeto Multirrisco que segue em execução e de maneira participativa, a fim de refletir sobre desafios metodológicos e de articulação efetiva com outras esferas para co-criar conhecimento e informações que possibilitem tomadas de decisão efetivamente preventivas.
Mobilizações Populares para o Direito à Cidade no Rio de Janeiro
Authors: Tanaka Giselle , Coli Luis Régis , Costa Carmen Rosane Pereira da Silva
Published: July 2024

Este trabalho propõe uma investigação sobre a participação na formulação das políticas urbanas, a partir do atual contexto de participação popular na cidade do Rio de Janeiro, com foco no Congresso das Mulheres de Periferias e Favelas do Rio de Janeiro, realizado em maio de 2023. O Congresso apresenta rico material de reflexão sobre as relações entre mobilização popular, espaços participativos e disputas na formulação e implementação de políticas urbanas. Para realizar essa reflexão, apresentamos marcos históricos por meio da literatura acadêmica, considerando a ampliação da participação popular no Estado brasileiro pós-1985, a participação popular nos governos petistas em âmbito federal, por meio de Conselhos e Conferências Participativas, críticas a esse período e os retrocessos pós golpe de 2016. O Congresso das Mulheres não foi um evento isolado, apresentamos outras conferências participativas construídas pela base no Rio de Janeiro, registrando esse movimento de reivindicação participativa de espaços democráticos para a formulação de políticas urbanas. Na análise do Congresso das Mulheres de Periferias e Favelas, abordamos como as mulheres se auto-organizaram, as características do encontro, resultados e perspectivas. Por fim, apontamos limitações, contradições e grandes desafios que se apresentam a partir das práticas, para o enfrentamento das desigualdades urbanas no Rio de Janeiro.