bluuebunny/crossref_metadata_2025 huggingface dataset:
Agenesia de vesícula biliar em adolescente – relato de caso
Authors: Carvalho Guilherme Amantéa Costa , Silva Tacio Antonio Barros , Andreu Aline Truzzi , Meneghesso Beatriz Rosa , Mario Guilherme Murari , Gandolfi Julia Dosualdo , Paro Guilherme Augusto , Oliveira Ana Izabel Ribeiro de , Braga João Gabriel Romero
Published: September 2024

A vesícula biliar é um órgão em formato de pera cuja principal função é o armazenamento da bile. Este órgão está sujeito a diversas anomalias, incluindo numéricas, de localização, morfologia e mais raramente, agenesia da vesícula biliar em que o órgão não se desenvolve ou não é encontrado nos locais atípicos mais comuns. Em 2018, três séculos após a primeira menção de agenesia de vesícula na literatura, apenas 500 casos haviam sido relatados. Assim, aliada à escassa literatura que se resume basicamente em relatos de casos únicos e à ausência de um consenso sobre o diagnóstico, tratamento e acompanhamento, a agenesia de vesícula se torna um dilema para radiologistas e cirurgiões.  Dessa forma, o diagnóstico muitas vezes ocorre no intraoperatório, devido às características clínicas variáveis e sintomas que muitas vezes mimetizam os de uma colelitíase ou colecistite aguda. O conhecimento prévio do quadro clínico, experiência do médico cirurgião e radiologista é fundamental para favorecer o diagnóstico pré-operatório.
Uso da Toxina Botulínica A no tratamento da síndrome da bexiga hiperativa: uma revisão de literatura
Authors: Florentino Ana Paula , Teixeira Isis Milani de Sousa , Andrade Carla Helena Faioli , Alves Paulyenny Machado , Prado Mara Rúbia Maciel Cardoso do , Prado Júnior Pedro Paulo do , Moura Luciana Ramos de , Passos Camila Mendes dos
Published: September 2024

A Bexiga Hiperativa (BH) é uma síndrome que se manifesta por urgência urinária, aumento na frequência de micção e noctúria, impactando negativamente a qualidade de vida dos portadores conforme a gravidade. Tratamentos convencionais, que vão desde medidas comportamentais até intervenções mais invasivas, frequentemente apresentam efeitos colaterais que levam a uma baixa adesão e interrupção dos mesmos. Diante disso, há uma crescente demanda por alternativas terapêuticas. A Toxina Botulínica A tem surgido como uma opção a ser investigada. Objetivou-se analisar a eficácia e eficiência da Toxina Botulínica A no tratamento da BH não neurogênica com base na literatura científica. Estudo de revisão integrativa das bases de dados Embase, Biblioteca Virtual em Saúde e PubMed, incluindo artigos publicados entre 2018 e 2023, em inglês, que abordassem o uso da Toxina Botulínica A em adultos com BH não neurogênica que não tiveram sucesso com anticolinérgicos ou outras terapias. Foram excluídas teses, dissertações, editoriais, opiniões/comentários, artigos indexados repetidamente e que não atendiam à questão norteadora. A revisão incluiu 14 artigos, predominantemente entre mulheres adultas, idosas e homens adultos. Foram utilizados ensaios clínicos para testar a eficácia e eficiência do uso da toxina botulínica para tratar a BH não neurogênica. Concluiu-se que a terapia é uma alternativa viável para o tratamento da BH, com evidências de melhoria dos sintomas e segurança do uso. Recomenda-se mais pesquisa para estabelecer diretrizes específicas e protocolos de tratamento.
PENGARUH KUALITAS PELAYANAN DAN HARGA TERHADAP KEPUASAN PELANGGAN PADA TOKO SX SEPATAN (Studi Pada Konsumen Toko Offline Di Kabupaten Tangerang)
Authors: Eko Sugiyanto  , Aditirangga  , Unsi Fitriyah  , Jessica Timmiane Abigail
Published: September 2024

This research aims to determine the influence of service quality, price and customer satisfaction partially or simultaneously. The sample for this research was 100 respondents where they were visitors to the XS Sepatan store. The technique used is total sampling. The data collection technique uses a questionnaire whose validation and reliability have been tested. The analysis technique used is multiple linear regression analysis. The results of this research show that: (1) Service Quality has a positive and significant influence on Customer Satisfaction as evidenced by the Service Quality variable (X1) having a calculated t value of 3.742 > t table 1.984 with a significance level of 0.000 < 0.05. (2) Price is positive but has no influence on Customer Satisfaction as evidenced by the Price variable (X2) having a calculated t value of 1.169 < 1.984 with a significance level of 0.245 > 0.05. (3) Customer Satisfaction has a positive and significant influence. This can be proven from the calculated f value of 11, 187 > f table 3.09 with a significant value of 0.000 < 0.05. The results of the analysis are expected to provide useful information for business people in improving service quality, product pricing and customer satisfaction regarding proper business management.
PENGARUH MODAL, TENAGA KERJA, LAMA USAHA TERHADAP PENDAPATAN DENGAN TEKNOLOGI SEBAGAI VARIABEL MODERATING (Studi pada Kelurahan Wonokoyo Kecamatan Beji Pasuruan)
Authors: Sugeng Hariadi  , Saviratuz Zahro
Published: September 2024

This research aims to understand the influence of capital, labor, length of business on income with technology as a moderating variable. This research uses an associative quantitative method, with a minimum sample size of 50 respondents, using multivariate (correlation or multiple regression), the tests used in this research use descriptive statistical analysis, instrument reliability tests, validity tests, reliability tests, classical assumption tests, normality test, heteroscedasticity test, multicollinearity test, multiple linear regression analysis, T test, r test. The results of the research show that 1. capital (X1) has a significant effect on income (Y) the sig value obtained is 0.00 > 0.05, so that H0 is accepted 2. labor (X2) has a significant effect on income (Y) the significant value is obtained is 0.000 < 0.05, so H0 is accepted 3. Length of business (X3) has a significant effect on income (Y). The significant value obtained is 0.00 < 0.05, so H0 is accepted 4. Interaction variable between Capital and Technology ( X1Z) has a significant effect on Income (Y) with a significant value of 0.000 < 0.05. Therefore, H0 is accepted 5. The interaction variable between Labor and Technology (X2Z) has a significant influence on Income (Y) with a significant value of 0.003 < 0.05. Therefore, H0 is accepted. 6. The interaction variable between Business Length and Technology (X3Z) has a significant influence on income (Y). The significant value is 0.000 > 0.05, meaning H0 is accepted.
ANALISIS DETERMINAN HARGA SAHAM BASIC MATERIALS TAHUN 2018-2022
Authors: Delia Septy Dwi Sucahyo  , Rahman Amrullah Suwaidi
Published: September 2024

The research intends to evaluate the impact of leverage ratios, market ratios, and dividend policies on stock prices. All basic materials companies on the Indonesian Stock Exchange until 2022 constitute the research population, then using a purposive sampling method the sample can finally be determined, namely 15 basic materials companies on the Indonesian Stock Exchange during the period 2018 to 2022. Data was collected through documentation techniques referring to annual financial data and historical stock price data and analyzed using multiple regression techniques using SPSS data processing tools. The results of the analysis show that the leverage ratio has no effect on stock prices, while the market ratio and dividend policy have a significant effect on stock prices.
PELAKSANAAN PRINSIP UTMOST GOOD FAITH UNTUK PRODUK ASURANSI PROPERTY ALL RISK
Authors: R. Muh Deddy Hanif Sardjito  , Bayu Suganda  , Bagus Suhendar  , Rianita Natalia Sinaga  , Reimond Hasangapan Mikkael Napitupulu
Published: September 2024

This research aims to analyze the full application of the principle of good faith in Property All Risk (PAR) insurance products in Indonesia. This study explores how these principles are implemented by insurance companies and understood by policyholders, with a focus on potential challenges and misunderstandings that may arise. This research uses a qualitative approach using interviews and surveys of policyholders and insurance company representatives. Findings reveal that often there is a lack of clear communication from insurance companies regarding the terms and conditions of PAR policies. Many policyholders do not fully understand coverage and exclusions due to the complex legal language used in the policy. This lack of understanding can cause disputes during the claims process. This study is limited to the Indonesian insurance market and focuses on one type of insurance product only. This research suggests that insurance companies need to improve their communications strategies to ensure that policyholders fully understand the terms of their insurance policies. This can be done by simplifying the language used in the policy and providing a more comprehensive explanation during the policy issuance process.
Materiality & light: case studies exploring architectural surfaces informed by light behavior
Authors: Dickey Rachel
Published: September 2024

This paper outlines three case studies that explore the relationship between form, material behavior, and light performance. Each case study appropriates methods of computational analysis, parametric design, and digital fabrication to construct directed light fields and patterns from architectural surfaces in public spaces. Each project explores how controlled conditions of materiality and light phenomena may provide opportunities to reengage the physicality of human experience by generating effects that attempt to enhance human interaction and spatial perception.
Developing women in hospital, academic medical center, and healthcare management
Authors: Burrell Darrell Norman , Burton Sharon L. , Springs Delores , Sabie-Aridi Amalisha , Mondala-Duncan Maria R.
Published: September 2024

Developing women in hospital, academic medical center, and healthcare management
The healthcare industry, a robust employment sector for women, employed 16.4 million women in 2021, representing 77.6 percent of its total workforce. However, the representation of women in leadership roles remains disproportionately low (PrudÃªncio, Priscila et al., 2021). Women occupy only 25 percent of leadership positions in healthcare, despite comprising over half of U.S. medical school applicants, and hold just 18 percent of medical school dean and clinical department chair roles. Furthermore, only 34 percent of senior associate deans, 29 percent of division chiefs, and 25 percent of full professors are women. This disparity highlights a critical issue within the healthcar.
The Lived Experience of Nursing Students from Student Work in Clinical Environments: A Hermeneutic Phenomenological Study
Authors: Haririan Hamidreza , Hassankhani Hadi , Porter Joanne E
Published: September 2024

Introduction: Undergraduate nursing students often work part-time or even full-time while studying at university completing their bachelor’s degrees. The aim of this study is to explain the meaning of the lived experiences of nursing students working as students in clinical field. Methods: A phenomenological study was conducted at the nursing and midwifery school of Tabriz, Iran. Purposefully, 20 baccalaureate nursing students with experience working as student worker nurses were recruited. The sample size was determined according to data saturation. Semi-structured, face-to-face interviews were held with the participants over 3 months (April 2020 to June 2020), and Van Manen’s hermeneutic phenomenological approach was used to analyze the data. Results: Five main themes extracted from the data analysis, including "students’ clinical competency", "nurse-student relationships", "shift work", "mislearning", and "chaotic wards". A further 12 sub-themes extracted under the five main themes. Conclusion: The work of nursing students in clinical environments as student worker nurses is a two-dimensional phenomenon with advantages and disadvantages. The benefits are improving the nursing students’ clinical and communication skills, increasing their self-confidence, learning and practicing discipline and nursing responsibilities, and the disadvantages are facing reality shock stress, and mislearning.
Chemical characteristics of grass silage with the use of acidifier after opening the bag
Authors: Araújo Fátima Natália Fontoura , Freiria Lucien Bissi da , Silveira Murilo Vargas da , Vilas Boas e Silva Yasmim Rodrigues , Negrão Fagton de Mattos , Cabral Luciano da Silva , Miranda Emerson Silva , Caldeira Flávio Henrique Bravim
Published: September 2024

The objective of this work was to evaluate the chemical characteristics of Miyagi grass silage (Megathyrsus maximus cv. Miyagi), with the addition of moisture sequestrants (ground corn grain - GCG, and dried distillers grain with solubles and high fiber, DDGS), and addition of inoculant (SiloSolveMC) and/or acid (Mold-Nil Liquid). The experimental design was completely randomized in a 3x3 factorial arrangement, with five replications: factor 01, the use of moisture scavengers (without additive, with the addition of GCG and/or DDGS), and factor 2, the use of bacterial inoculant (SiloSolveMC) and/or acid (Mold-Nil Liquid). For the chemical evaluation of the silage, the percentage of dry matter (DM), the insoluble fiber in neutral detergent (NDF), mineral matter contents (MM), and crude protein (CP). There were no interactions between moisture scavengers, bacterial inoculants, and/or acids. The use of moisture scavengers interfered with DM (P<0.05), observing a value with GCG and DDGS use of 36.18% and 35.46%, respectively, higher than MGS (27,68%). For NDF values using GCG and DDGS, values of 51.39% and 65.47%, respectively, lower (P<0.05) than MGS (70.72%) were observed. The use of microbial inoculant and acid did not alter (P>0.05) the OM values, with an average value of 92%. As for CP, there was no interaction (P>0.05) of moisture scavengers, microbial inoculant, and/or acid. It is recommended to include moisture-sequestering foods associated with MGS to obtain better DM, NDF, and CP values after opening the bag and the use of microbial inoculants and/or acids in the MGS did not influence these characteristics.
Public Discussions about ChatGPT in Malaysian Education During its Initial Launch: A Qualitative Content Analysis of Newspaper Articles
Authors: Tang Chun Meng , Chaw Lee Yen
Published: September 2024

The launch of ChatGPT in late 2022 offers a glimpse into the capability of generative artificial intelligence (AI) chatbots, as well as a future that is both exciting and filled with uncertainty about how powerful chatbots might become. ChatGPT, which has been trained on a huge dataset, can engage in a conversation with its users and respond to their questions. The launch of ChatGPT was followed by newspaper articles speculating on the transformations and impacts that ChatGPT would have on various facets of life, especially education. To gain a better understanding of what people have discussed about ChatGPT in Malaysian education during ChatGPT's initial launch, this study first searched three mainstream national Malaysian English newspapers using the search terms "ChatGPT" and "education" to identify 16 relevant newspaper articles, which were then analysed using a qualitative content analysis. The analysis revealed that the discussions regarding ChatGPT in Malaysian education in these newspaper articles could be categorised into five level-one categories: academic ethics, AI competence, ChatGPT adoption, learning design, and soft skills, which were further divided into 15 level-two subcategories. The findings of this study have various practical implications that may help academics and educational institutions better prepare for the expected increase in chatbot use by students and academics. The findings also make several theoretical contributions and provide a point of departure for future research.
Arqueología histórica campo y vinculación historiográfica
Authors: Rocchietti Ana
Published: September 2024

Esta exposición aborda la relación entre Arqueología e Historia tal como se verifica en su unión como campo disciplinar. Ella parece natural y necesaria pero puede encontrar obstáculos que se derivan de sus características, procesos de conocimiento y categorías analíticas. Se puede sostener que aunque ellos existan la unión debe profundizarse de modo tal que la Arqueología histórica no se encuentra ajena al tratamiento de los mismos períodos y sociedades de los que se ocupa la historiografía.
Genre theory: A horn of plenty for EFL learners
Authors: Cirocki Andrzej
Published: September 2024

The present article focuses on genre theory and its pedagogical use in the EFL classroom. The functional nature of language is discussed. The article emphasises that people use language to accomplish various communicative and social functions. By incorporating genres into the EFL classroom, learners become aware of how language works in context. Learners concentrate on texts as discourse rather than on their content. It is demonstrated how specific genres, job interviews in particular, can be identified through structural organisation and the various linguistic features within it.
Empobrecimiento por gasto de bolsillo en atención de salud en hogares peruanos, 2015-2020
Authors: Sucari Henry
Published: September 2024

Economic literature has shown that out-of-pocket healthcare spending is the most unequal and inefficient way to finance medical care. It harms household welfare; as it increases family expenses and decreases consumption of basic goods like food. In situations of health "shock", these further aggravate and impoverish households. This study analyzes the impoverishment due to out-of-pocket healthcare spending in Peruvian households during the period 2015-2020. It followed the methodology of the World Health Organization and used the logit model to estimate the determining factors of such impoverishment. The results show that out-of-pocket health spending impoverished, on average, 2.6% of non-poor households, with greater impoverishment during the COVID-19 pandemic in 2020, at 3.53%. It was found that the factors determining impoverishment due to health spending were per capita household income, schooling, presence of chronic discomfort, disability of a household member, unmet basic needs such as inadequate housing, overcrowding and lack of sanitary facilities, low school attendance, and high economic dependency, health insurance. Finally, it was found that non-poor urban households become impoverished to a greater extent compared to rural households.
PROTECTIVE PROPERTIES OF MODIFIED BITUMEN PRIMERS FOR ANTI-CORROSION PROTECTION OF AGRICULTURAL MACHINERY AND EQUIPMENT
Authors:   All-Russian Research Institute for Use of Machinery and Petroleum Products in Agriculture, Knyazeva Larisa ,   Tambov State University, Dorokhov Andrey ,   All-Russian Research Institute for Use of Machinery and Petroleum Products in Agriculture, Kur`yato Nikolay ,   All-Russian Research Institute for the Use of Machinery and Petroleum Products in Agriculture
Published: September 2024

In order to protect agricultural machinery from atmospheric corrosion during the nonworking period, it is possible to use bitumen primers (BP), which are compositions of petroleum bitumen with the addition of solvents and, possibly, other additives. The protective properties of compositions based on the bitumen primer "Orgkrovlya No. 1" diluted with white spirit with modifying additives on samples of 08kp steel were studied in the work. Accelerated corrosion tests in 0.5 M NaCl solution showed the following: dilution of BP with 40 wt. % white spirit when applied in one layer leads to a decrease in the protective efficiency to 75%, 67 wt. % - to 37%; the introduction of additives (5 wt.%) of P2 paraffin into the diluted BP with 40 wt. % white spirit increases its protective efficiency (Z) to 98%, KO-SZhK - up to 87%, Emulgin - up to 94%; When diluting BP with 67 wt.% white spirit, the maximum Z = 60% is provided by the addition of 1 wt.% drying oil +1 wt.% POOM. Accelerated tests in the G-4 heat and humidity chamber and the salt spray chamber showed the best results for BP coatings diluted with 40 wt.% white spirit and with the addition of 5 wt.% P2 paraffin. The highest values of protective efficiency in the G-4 heat and humidity chamber for BP diluted with 67 wt.% white spirit are provided by coatings with 2 wt.% drying oil (Z = 97%), 5 wt.% POOM (Z = 97%), 1 wt.% drying oil +1 wt.% POOM (Z = 96%). According to the 9-month results of full-scale bench tests of modified BP diluted with 40 wt.% white spirit, the best results are provided by the coating with the addition of 5 wt. % paraffin P2 and Emulgin. These 2 additives effectively protect steel in a concentrated solution (200 g/l) of mineral fertilizer borofoska.
Dampak Literasi Keuangan Terhadap Keputusan Investasi Saham: Peran Minat Investasi sebagai Variabel Intervening pada Komunitas Pasar Modal Muda Malang
Authors: Pramesti Regita , Reika Happy Sugiastuti
Published: September 2024

AbstractThis study aims to explain the effect of financial literacy related to company fundamentals on stock investment decisions with investment interest as an intervening variable. Using a quantitative approach, data were obtained from questionnaires distributed to 31 members of the Youth Capital Market Community (YCMC) for the 2023 period through the saturated sample technique. The analysis was carried out with the PLS-based SEM method using Smart PLS 4.0. The results show that financial literacy has a significant effect on stock investment decisions and investment interest. Investment interest also mediates the effect of financial literacy on stock investment decisions.
AbstrakPenelitian ini bertujuan menjelaskan pengaruh literasi keuangan terkait faktor fundamental perusahaan terhadap keputusan investasi saham dengan minat investasi sebagai variabel intervening. Menggunakan pendekatan kuantitatif, data diperoleh dari kuesioner yang disebarkan kepada 31 anggota Youth Capital Market Community (YCMC) periode 2023 melalui teknik sampel jenuh. Analisis dilakukan dengan metode SEM berbasis PLS menggunakan Smart PLS 4.0. Hasil menunjukkan literasi keuangan berpengaruh signifikan terhadap keputusan investasi saham dan minat investasi. Minat investasi juga memediasi pengaruh literasi keuangan terhadap keputusan investasi saham.
Nasal NK/T Cell Lymphoma (NKTL): A Reported Case
Authors: Amimi Sara , Bricha Souraya , Alouani C. El , Berkich S. , Oumghar N. , Darfaoui M. , Omrani A. El , Khouchani M.
Published: September 2024

Nasal NK/T cell lymphoma (NKTL), is an aggressive malignancy associated with Epstein Barr virus infection. Nasal NK/T cell lymphoma (NKTL), manifests as a necrotic process affecting nasal or upper aerodigestive structures and, rarely, extra nasal sites such as skin, and the gastrointestinal tract. The diagnosis is confirmed by histological and immunohistochemical analysis of the biopsy. Overall prognosis is poor. However, during the last two decades, advances in its clinicopathologic, genetic and molecular characterization have been achieved, as have changes in the chemotherapy regimens that, in combination with radiotherapy, are significantly improving the survival of these patients, especially in initial stages.
Performance Characteristics of Nanofluid Pump
Authors: Issa Wasiu Ayinde , Dare Ademola , Oladosu Kamoru Olufemi , Kareem Morakinyo Wasiu
Published: September 2024

This study was prompted by the fact that nanofluid exhibits a completely different behavior from the base fluid, usually water. It was expected that there should be a reduction in the pumping power when pumping nanofluids as compared to pure liquids, without nanofluids. Pump action and their performance are defined in terms of their characteristic curves. These curves usually supplied by pump manufacturers are for water only. This research reveals performance curves for nanofluid and compares it with those obtained for water. By pumping separate concentrations of copper nanofluids which contains 5g, 10g, 15g and 20g of copper nanoparticles, through a constructed nanofluid pump testing machine, the various flow parameters obtained were used to characterize a one horse power centrifugal pump. The flow parameters included; time to pump 2.5, 5.0, and 7.5 liters of copper nanofluids, flow rate, head gained, Pump vibration due to pumping activities, pump speed, fluid power, brake power and the pump efficiencies. These parameters were used to plot performance characteristics curves for the different copper nanofluid concentrations which were then compared with those obtained for ordinary water. The results show a reduction in the pumping power as compared to pure liquids, without nanofluids. The performance characteristic curve obtained for water when compared to those obtained for copper nanofluids, revealed that there was an increased in pump efficiency at lower concentration of the copper nanofluid. Lastly, the relevance of the distinct properties of nanofluids to exhibit enhanced thermal conductivity and convective heat transfer coefficient compared to the base fluid was established.
Sobre el rechazo de artículos científicos y la gestión editorial: un estudio exploratorio
Authors: Reyes Rodríguez Alixon David , Pinto-Poblete Andrés
Published: September 2024

This work aims to identify the attitudes of researchers who have received a rejection of articles in the editorial process of scientific journals, emphasizing the rejection of articles and the forms of communication of this verdict. A mixed, exploratory, cross-sectional design study was carried out. The population consisted of Spanish-speaking researchers who had submitted articles to scientific journals and had at least one article rejection in their professional careers. The sampling was non-probabilistic, of the accidental type, reaching a total of 92 informants. A mixed questionnaire was applied, validated by experts, and based on a pilot test. The results show the occurrence of justified and unjustified rejections, acceptance of justified and argued rejection, and feelings such as frustration, disappointment, incomprehension, and anger when there are unjustified rejections or reports with derogatory expressions that have not been filtered by the editors; experienced researchers who, in spite of unjustified rejections persevere until publication, as opposed to the few abandonments, due to anger, disappointment, and loss of self-esteem. We conclude by considering rejection as a didactic instance, as long as there is timely and well-argued information from the editors of a journal; editorial management is improved through transparent, informed, and timely processes.
Inteligencia artificial y pulsión. Operatividad del hook model y affective computing en plataformas digitales
Authors: Rovira Martorell Joan , Tirado Francisco
Published: September 2024

We are currently witnessing the rise of a platform capitalism that bases a significant part of its economy on producing behavioral profiles to direct users' actions towards private ends. By associating radical behaviorism techniques with algorithmic data processing technologies, a force that Bernard Stiegler has identified as "psychopower" has intensified and consolidated. This article aims to demonstrate how this is achieved by deploying two control technologies in the architecture of digital platforms: Affective Computing and the Hook Model. Through an ethnographic study on the BeReal social network, we show how these two technologies first capture users' attention and create usage habits and second, promote the circulation of emotions so that these can be linked to specific contexts and datafied to develop behavioral profiles. Finally, we conduct a theoretical exercise to argue that both control technologies are key elements of a new power dispositif that we call "pulsional," which triggers an action in individuals that bypasses their conscious reflection, leading to detrimental consequences for the exercise of their freedom.
Caracterización sociocultural y económica de producción de ovinos en comunidades indígenas, Tungurahua - Ecuador
Authors: Tisalema-Shaca Miguel Orominavi , Mira-Naranjo José Miguel , Valle-Baldeón Santiago , Llivi-Marcatoma Juan
Published: September 2024

Sheep production in Ecuador is mostly for self-consumption in rural areas and especially in indigenous communities, although some marketing practices may eventually be implemented with products derived from sheep farming, such as milk and wool, which, in addition come into play in the processes of sustaining cultural traditions. Starting from this conviction, this article aims to describe the sociocultural and economic characteristics of sheep production in the indigenous communities of the province of Tungurahua, among which the communities stand out, within the study area: Quisapincha, Tomabela, Chibuleos and the Salasacas. The methodology that guides the research is qualitative, with a documentary and field design, since it is, on the one hand, exposing some sociocultural features of the study population, as well as specifying economic variables of sheep production in the region. . The theoretical review shows the importance of sheep farming as a source of income for a good number of people from the indigenous communities in the country, also representing a factor of preservation of the native cultures settled in regions such as the Tungurahua Province. Among the conclusions derived from empirical observation, it can be added that in the indigenous sectors of the province, there is evidence of a lack of knowledge of the basic health systems that must be implemented on their farms, which affects production and the economic strength of production.
Competencias investigativas en docentes de ciencias de la salud
Authors: Rivera-Herrera Elsa Graciela
Published: September 2024

Teaching is a task that usually requires scientific research because, from it, knowledge is strengthened not only in the area of teaching performance but also in the development of pedagogical strategies. Considering these ideas, this article has proposed as a general objective, to characterize the research competencies of Health Sciences teachers in universities in Ecuador. In its methodological orientation, it is descriptive research with a documentary design that uses known databases, including Dialnet, Google Academic, and Scielo. Thus, authors and research are selected concerning the dimensions of teaching research competencies, that is, research, publications, methodological expertise, and digital literacy. Subsequently, the results are presented in categorical tables or analytical matrices that contrast the theoretical elements with some realities of universities in the country, specifically in the health area. Among the study findings, the need to strengthen teachers' research skills is specified based on their scientific production, the number of publications, and their task in terms of forging the student profiles they are in charge of in the classroom. It concludes with the projection of the desired teaching profile, in terms of skills for research in the field of health, which is pertinent to promote in higher education centers in Ecuador.
Possibilities of using innovative non-drug technologies in the rehabilitation of patients with early post-stroke cognitive impairment
Authors: Tynterova Anastasya M. , Shusharina Natalia N. , Barantsevich Evgenii R.
Published: September 2024

BACKGROUND: One of the leading factors complicating social adaptation after ischemic stroke is cognitive and motor impairment.
AIM: This study aimed to evaluate the effect of rehabilitation using virtual reality technologies and the influence of the main clinical and functional parameters on virtual reality (VR) therapy in patients with different degrees of cognitive decline in the acute period of ischemic stroke.
MATERIALS AND METHODS: This study examined 170 patients diagnosed with ischemic stroke with cognitive decline according to the Montreal Cognitive Assessment. Depending on the volume of therapy, the patients were divided into two groups: group 1 included 120 patients who received additional therapy using VR technologies (62 patients with moderate cognitive impairment, 58 patients with dementia), and group 2 consisted of 50 patients who received only basic therapy and standard methods of early rehabilitation. In group 1, on days 4–5 following basic therapy, rehabilitation using VR was performed. The Barthel Index (BI) scale, Rankin Scale (mRS), and National Institute of Health Stroke Scale (NIHSS) were used to examine cognitive and functional status, and tests were performed to assess cognitive functions, as well as neuroimaging scales ASPECTS, STRIVE, and MTA. The effectiveness of rehabilitation (ΔRE) was measured by the indicator of changes in the parameters of the VR system before and after treatment.
RESULTS: A more significant improvement of the patient’s independence and regression of perceptual and executive functions was demonstrated in group 1 than in the control group. In patients with MCI, significant improvement was observed in all cognitive and functional parameters except semantic information processing, attention, and constructive praxis. In patients with dementia, improvement was noted in NIHSS, speech and amnestic disorders. In group 1, ΔRE was found to be associated with the parameters of perception, attention, semantic information processing, IQCODE, and NIHSS and the presence of hypertension and repeated stroke. In patients with MCI, ΔRE was correlated with lesion size, attention level, BI, mRS, and NIHSS and with age, sex, degree of IQCODE and STRIVE, semantic aphasia, and perceptual impairment in patients with dementia.
CONCLUSION: The present study revealed a polymorphism of factors influencing the effectiveness of VR therapy in patients with varying degrees of cognitive decline. Modern approaches to VR rehabilitation of patients with post-stroke cognitive impairment require the development of individual methods of rehabilitation using immersion environment focused on the structure, etiology, and severity of cognitive deficit considering the degree of the patient’s functional state.
Tingkat pengetahuan dan sikap mahasiswa Fakultas Farmasi Universitas Muhammadiyah Surakarta tentang beyond use date obat
Authors: Alinda Oevita Nur , Karuniawati Hidayah
Published: September 2024

Beyond Use Date (BUD) adalah waktu kadaluarsa suatu obat setelah dibuka dari kemasan primernya. Tujuan penelitian ini untuk mengetahui tingkat pengetahuan dan sikap tentang BUD, menganalisis hubungan sosiodemografi dengan pengetahuan dan sikap BUD, serta korelasi pengetahuan dengan sikap mahasiswa Farmasi Universitas Muhammadiyah Surakarta tentang BUD. Penelitian ini merupakan penelitian deskriptif analitik dengan metode observasional. Metode pengambilan data ialah cross-sectional. Analisis(menggunakan análisis Mann-Whitney dan Kurskal-Wallis) dilakukan untuk menilai perbedaaan skor rata-rata faktor yang berhubungan pengetahuan dan sikap tentang BUD. Analisis Rank Spearman untuk menguji korelasi antara pengetahuan dengan sikap. Hasil penelitian menunjukkan responden memiliki tingkat pengetahuan cukup 53,0% dan sikap tentang BUD tergolong baik 68,8%. Analisis statistik menunjukkan bahwa usia dan angkatan(p<0,001) tentang BUD berhubungan signifikan dengan pengetahuan dan sikap. Laki-laki usia 17 dan 18 tahun dan angkatan 2023 memiliki pemahaman yang lebih rendah terhadap pengetahuan dan sikap tentang BUD. Pengetahuan berkorelasi dengan sikap(p=0,000).
DIVERTÍCULO DE MECKEL: DESAFIO DIAGNÓSTICO E ABORDAGEM CIRÚRGICA
Authors: Moreira Letícia Santos de Barros , Junior Dulcídio de Barros Moreira , Moreira Lucas Santos de Barros , Fernandes Sarah Rabelo
Published: September 2024

O Divertículo de Meckel é a anomalia congênita mais comum no intestino delgado. Uma obliteração incompleta do ducto onfalomesentérico é a causa da alteração, encontrada em 2% da população. Na maioria dos casos a doença diverticular é assintomática, mas pode se apresentar com uma variedade grande de manifestações clínicas quando surge algum tipo de complicação, geralmente na forma de inflamação, obstrução ou sangramento, tornando amplo o rol de diagnósticos diferenciais. Seu diagnóstico é difícil e ainda considerado um grande desafio porque, geralmente, os exames complementares mostram somente as alterações que são decorrentes das complicações. O diagnóstico, na maioria dos casos, é feito durante a cirurgia.
COMPLICAÇÕES ORAIS E ASSISTÊNCIA ODONTOLÓGICA À PACIENTES COM DOENÇA RENAL CRÔNICA: UMA REVISÃO PARA CIRURGIÕES-DENTISTAS
Authors: Zambon Rafaela Riti , Rossi Rafael Andreguette , Silva Gabriela Neri de Souza , Sales Pietra Isabely Souza , Ceranto Daniela de Cássia Faglioni Boleta , Grossi Leticia Dantas
Published: September 2024

A doença renal crônica (DRC) é uma doença progressiva que resulta na perda irreversível da função renal, impactando a saúde geral e oral dos pacientes. Entre as complicações orais mais comuns estão xerostomia, doença periodontal, estomatite urêmica, palidez da mucosa, caries dentarias, e infecções oportunistas. Tais manifestações são influenciadas pelo estágio da doença e pelo tratamento de hemodiálise, que pode exacerbar esses problemas bucais. O estudo foi realizado a partir de uma revisão integrativa com artigos publicados entre 2000 e 2024, utilizando descritores como “Renal Disease”, “Dental Care”, e “Oral Manifestations”. Inicialmente foram encontrados 84 artigos para esta revisão. Após a aplicação dos critérios de elegibilidade, 11 artigos foram selecionados, sendo relevantes por abordarem tanto as manifestações orais quanto o manejo odontológico adequado para pacientes com DCR. Os resultados destacam a necessidade de uma abordagem odontológica individualizada e integrada com a equipe médica, especialmente em relação ao controle de infecções, monitoramento de sinais vitais, e cuidados preventivos durante os procedimentos invasivos. Com isso, para o tratamento desses pacientes o tratamento desses pacientes, os clínicos devem ter a capacidade de reconhecer o nível de risco, estar ciente dos protocolos farmacológicos e das características do atendimento clínico. É importante também reconhecer as diferentes necessidades e os ajustes que devem ser feitos individualmente para cada um dos casos.
Impacto da tecnologia de impressão 3D nas cirurgias ortopédicas: revisão de literatura
Authors: Terranova Agostinho Clarice , Martins Pinto Loiane Loah , Badinelli Vaucher Lucas , Azevedo Reis Márcio Júnior , Mazareli Rodrigues Kaê , Oliveira Vieira Haryanne Mabel , Baraldi Calixto Eduarda , Monteiro Castanheira Rodrigo , Stroparo Aline , Prudencio Vieira Manuela , De Mattos da Silva Daniel , Silva Pinheiro Bezerra Matheus , Soares da Silva Stefani , Parente de Alencar Marcus Paulo , Alves Brito Bruna , Martins Pinto Laryssa Loá
Published: September 2024

Este artigo tem por objetivo realizar revisão da literatura atual sobre o Impacto da tecnologia de impressão 3D nas cirurgias ortopédicas, focando na personalização de implantes, planejamento cirúrgico e benefícios. A revisão integrativa de literatura, baseada em artigos científicos, de 2014 a 2024, revela que a impressão 3D tem aprimorado significativamente a precisão e a eficácia em procedimentos cirúrgicos. Estudos mostram que implantes e guias impressos em 3D oferecem maior exatidão, reduzindo o tempo operatório e melhorando a recuperação dos pacientes em comparação com métodos convencionais. A tecnologia tem sido aplicada com sucesso em múltiplos tipos de cirurgias ortopédicas e na reconstrução de grandes defeitos cranianos, demonstrando benefícios como redução de custos operacionais e maior acessibilidade. Assim, a impressão 3D continua a revolucionar a medicina, proporcionando tratamentos mais precisos e menos invasivos, com perspectivas promissoras para sua adoção e desenvolvimento futuro.
AI-Driven Optimization of Proof-of-Stake Blockchain Validators
Authors: Rahul Arulkumaran  , Dignesh Kumar Khatri  , Viharika Bhimanapati  , Anshika Aggarwal  , Vikhyat Gupta
Published: September 2024

A number of different industries have been completely transformed as a result of the introduction of blockchain technology, which offers decentralised, secure, and transparent platforms. A number of other consensus techniques have arisen, but Proof-of-Stake (PoS) has become a popular alternative to Proof-of-Work (PoW) owing to the fact that it is both scalable and efficient with regard to energy consumption. While validators are responsible for verifying transactions and establishing new blocks in a proof-of-stake blockchain, they also play an important role in safeguarding the integrity of the network.
We begin by doing a review of the present status of proof-of-stake (PoS) consensus mechanisms, focussing on the benefits that these mechanisms provide in comparison to proof-of-work (PoW) techniques, and outlining important problems such as validator selection, stake distribution, and attack resistance. In the next step, we provide AI-driven optimisation strategies that are capable of addressing these difficulties, with a particular emphasis on machine learning algorithms and predictive analytics. One example is the use of reinforcement learning to design techniques for optimum stake distribution among validators. On the other hand, supervised learning models may be used to forecast validator performance as well as possible dangers
AVALIAÇÃO DE ESQUEMAS DE ANTIBIOTICOTERAPIA PARA O MANEJO DA DOENÇA INFLAMATÓRIA PÉLVICA (DIP) A PARTIR DE ENSAIOS CLÍNICOS RANDOMIZADOS
Authors: Beatriz Letícia Mázaro  , Giovana Victorazzo Pereira  , Maria Julia Sindou Siqueira  , Ana Clara Delbó Daher  , Bruno José Delbó Daher  , Daniel Augusto Campos Carmozini  , Natália Camille Zuffo  , Luana Carolina Rodrigues Guimarães
Published: September 2024

A doença inflamatória pélvica (DIP) é caracterizada por uma inflamação do trato genital superior em decorrência de uma infecção que afeta, em especial, mulheres de 15 a 29 anos de idade, pacientes com histórico de múltiplos parceiros sexuais e histórico de infecções sexualmente transmissíveis. O presente estudo de revisão buscou avaliar diferentes esquemas de antibioticoterapia no manejo da doença inflamatória pélvica (DIP), a partir de ensaios clínicos randomizados publicados na literatura médica atual. Trata-se de uma pesquisa de revisão integrativa realizada por meio da base de dados PubMed, que levou em consideração os seguintes critérios de inclusão: ensaios clínicos randomizados; artigos publicados nos últimos 05 anos (2019-2024); que possuíam texto completo disponível nos idiomas inglês, português ou espanhol e que abordassem acerca de esquemas de antibioticoterapia para o manejo da doença inflamatória pélvica. Ficou constatado que o esquema padrão, que inclui ofloxacino e metronidazol, alcançou uma taxa de cura clínica de 67,3%, superior à de 56,7% observada com a azitromicina. Ambos os tratamentos apresentaram taxas similares de efeitos adversos, sendo as náuseas o sintoma mais frequente. A terapia com azitromicina demonstrou-se inferior em relação ao tratamento padrão, mas pode ser considerada uma alternativa dependendo da taxa de resistência antimicrobiana individual. Já a inclusão de metronidazol no esquema de tratamento mostrou benefícios adicionais, com menor recuperação de organismos anaeróbicos e uma menor prevalência de M. genitalium na cultura cervical. Além disso, o metronidazol contribuiu para uma redução significativa na sensibilidade pélvica.
ON THE MEASURING CAPABILITIES OF THE HUMAN FACTOR RISK WHEN DE-SIGNING RESTORATION WORK ON OB-JECTS OF IMMOVABLE CULTURAL HERITAGE
Authors:   North-West Institute of Management of the Russian Academy of National Economy and Public Administration (NWIM RANEPA) under the President of the Russian Federation, Tsatsulin A.N. , Bogatyrev I.S. ,   Saint-Petersburg Institute of Restoration and Construction
Published: September 2024

The article considers the problem of meas-uring risks and threats created by nature and characteristics of the human factor and affecting the efficiency and safety of activi-ties at the micro level of the economy, in particular, in the environment of scientific and design organizations during the devel-opment of restoration projects at immova-ble cultural heritage sites located in St. Pe-tersburg and the Leningrad Region. A litera-ture review of sources covering the prob-lem under study is conducted. The goal of the study is formulated, consisting in at-tempts to measure the impact of human factor risks on the efficiency of scientific and design work, and the tasks are out-lined, the solution of which will allow achieving the goal. The object of the sub-ject study is the assessment of complex damage and indirect losses, and the sub-ject is defined as the procedures for meas-uring the effects of these risks. The meth-ods and tools of the planned study are de-fined. A number of intermediate author's results are obtained, clarifying the nature of the human factor, the conceptual apparatus of the topic, the classification of risks, threats and dangers that can cause signifi-cant damage to an economic entity, harm to its market activity, damage to its busi-ness reputation and brand value. Partial results were discussed, four stage output were made. Promising directions for further joint research by the authors of the article have been identified, which can be consid-ered the starting point and the beginning of the path in the systematic study of the problem of threat metrics from the human factor.
Assessment of human capital security in «dobra khata» tc llc
Authors: Cherep Alla , Veremieienko Oleksandr , Makazan Evgenia ,   Zaporizhzhya National University
Published: September 2024

An analysis of the change in the number of Ukrainians from 1990 to the beginning of the Russian-Ukrainian war and during the war, which negatively affected the formation of human capital of domestic enterprises, is carried out. The work examines and defines the essence of the «human capital of an enterprise» concept and defines this economic category. It has been established that human capital is an employee’s abilities that allow him to bring the most effective results in the economic activity of the enterprise (organization) in which he works. The effectiveness of using human capital at «DOBRA КHATA» TC LLC was investigated, and an assessment of human capital provision at this enterprise was provided. The structure, dynamics, and movement of the human capital of the enterprise LLC TC “DOBRA KHATA” are analyzed, and the relationship with the change in the population of Ukraine during the Russian-Ukrainian war is determined. It was established that despite the situation in the country and the lost potential, the enterprise continues to function and encourages its workers to cooperate. Yes, the enterprise uses very active methods of corporate culture, which only improve yearly. Ways to improve human capital efficiency used at«DOBRA КHATA» TC LLC have been identified. These included the guaranteed professional growth of employees who underwent training and retraining, the system of training and retraining of personnel at the expense of the state and enterprises, the creation of such an atmosphere at the enterprise that would help to interest employees in increasing labor productivity indicators, and constant assessment and analysis of the outflow of human capital and what exactly contributed to this, as well as efforts to eliminate these causes and prevent them from appearing in the future. The expediency of developing and implementing measures to increase human capital to increase labor productivity and achieve high results in enterprise development is substantiated. Keywords: human capital, enterprise, development, assessment, indicators.