bluuebunny/crossref_metadata_2025 huggingface dataset:
SÍFILIS: UMA PERSPECTIVA SOBRE PREVENÇÃO, DIAGNÓSTICO E TRATAMENTO DAS GESTANTES NO BRASIL
Authors: Pilon Giovanna Barbaroto , Méa Giovanna Sola , Henrique Gustavo , Baraldi Henrique Prates , Montalto Isabella Siciliano , Ribeiro Luana dos Santos , Silva Tarley
Published: October 2024

The objective of the present study is to understand how the bacteria that cause the disease is transmitted and then understand how the disease can be treated, diagnosed and prevented. The main reason for not adequately treating syphilis is due to the lack of knowledge on the part of the population regarding the form of contagion and transmission of the disease, especially pregnant women who can transmit the disease vertically to the fetus. The methodology used was a systematic review and the databases that were consulted were BVS, LILAC and Medline using the descriptors: pregnant, syphilis and Brazil and studies from the last 5 years were used. Finally, it can be concluded that it is important to provide adequate education and raise awareness among the population about the form of contagion, how the diagnosis is made and why it needs to be done as quickly as possible and the importance of preventing the disease.
LEGITIMAÇÃO, PROCEDIMENTO E FUNDAMENTAÇÃO DAS DECISÕES JUDICIAIS
Authors: Ferreira Guilherme Richena
Published: October 2024

This academic article intends to analyze the relation between Niklas Luhmann's theory of Legitimation by procedure and the need to substantiate judicial decisions, in order to answer whether judicial substantiation is a requirement for legitimation in Niklas Luhmann's systems theory and in accordance with the Brazilian legal system (also from a procedural perspective). To facilitate reading and understanding, some definitions regarding the concepts used by the German author in his work will be briefly provided throughout the text, which will certainly help the reader to understand the proposal and conclusions of this article.
A IMPORTÂNCIA DOS CUIDADOS ODONTOLÓGICOS EM PACIENTES INTERNADOS EM UNIDADE DE TERAPIA INTENSIVA
Authors:   Graça Maria Lopes Mattos, Araújo Thaís Souza De ,   Karime Tavares Lima Da Silva
Published: October 2024

Hospitalized patients, specifically in ICUs, are unable to perform daily oral hygiene on their own, and are therefore more susceptible to developing more diseases if their oral cavity is not adequate, which can further aggravate their systemic condition. The objective of the study is to highlight the relevance of dental care in patients hospitalized in ICUs, exploring the main forms of action of the dentist and proposing preventive, diagnostic and therapeutic measures. The methodology was based on a bibliographic review, using articles from the SciELO, PubMed and BVS databases, published between 2014 and 2024. Complete and relevant articles for the topic were considered, while incomplete, duplicated or out-of-time texts were excluded. The reviewed literature highlights the connection between oral health and the prevention of systemic complications, such as heart and lung diseases. This study indicates that the presence of a dentist in multidisciplinary teams in ICUs is essential to prevent oral complications that can worsen the systemic health of patients in addition to prolonging the length of hospital stay.
MANEJO DA DOR NOS CUIDADOS PALIATIVOS
Authors: Melo Hulda Daihene de Almeida , Couto Luzinete de Sousa , Silva Mariana Bianke Costa da , Carmo Rosimeire do
Published: October 2024

Resumo: O manejo da dor em pacientes paliativos é um desafio complexo, envolvendo a avaliação precisa da dor, a seleção adequada das terapias e a individualização do tratamento. A presença de múltiplos sintomas, comorbidades e a progressão da doença podem dificultar o controle da dor e comprometer a qualidade de vida dos pacientes. Este artigo visa discutir os principais desafios encontrados no manejo da dor em cuidados paliativos e apresentar estratégias para otimizar o tratamento .O objetivo geral deste estudo é apresentar uma revisão da literatura sobre o manejo da dor em pacientes paliativos, com intuito de fornecer subsídios para a prática clínica e contribuir para a melhoria da assistência a esses pacientes, as estratégias farmacológicas  e não farmacológica utilizadas no manejo da dor em pacientes paliativos, discutindo seus benefícios, limitações e as melhores práticas para otimização do tratamento.
Edible coatings for enhancing the shelf-life of foods: meaningful or myth
Authors: Yadav Venkteshwar , Pal Dharm , Poonia Anil Kumar
Published: October 2024

In the current landscape, effective food management poses significant challenges, particularly in ensuring access to healthy, nutritious diets. Proper handling of food materials during post-harvest stages such as harvesting, packaging, transportation, and distribution are crucial for maintaining food quality, with packaging playing a pivotal role in extending the shelf life of perishable goods. However, the widespread use of conventional plastic packaging has detrimental effects on the environment. As a sustainable alternative, edible coatings have emerged as a promising solution for preserving food over extended periods. While these coatings are primarily used to prolong the shelf life of food products, this review delves deeper into the potential of edible coatings from various perspectives. Edible coatings not only offer multiple benefits such as environmental sustainability and improved food preservation but also present certain limitations. This article provides a comprehensive discussion of different types of edible coatings, their respective advantages and disadvantages, and their application to specific food products. Moreover, the current status and recent research developments surrounding edible coatings are explored, emphasizing their role as a sustainable, eco-friendly alternative to conventional packaging methods that helps reduce environmental pollution and promote a healthier planet.
ANALISIS KALIMAT IMPERATIF DALAM MANGA KUROKO NO BASKET “EXTRA GAME” KOUHEN KARYA FUJIMAKI TADATOSHI
Authors: Yuana Cuk , Yunanta Erman Ardhi
Published: October 2024

Penelitian ini memiliki dua tujuan. Pertama, untuk mengetahui apa makna kalimat imperatif yang terkandung dalam manga Kuroko No Basket “Extra Game” Kouhen. Kedua, mendeskripsikan penanda lingual yang digunakan oleh karakter dalam manga Kuroko No Basket “Extra Game” Kouhen. Objek dari penelitian ini adalah sebuah komik yang berjudul Kuroko No Basket “Extra Game” Kouhen yang ditulis oleh seorang penulis komik, Fujimaki Tadatoshi. Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif. Data diperoleh dengan metode dan teknik yang mengacu pada dokumen. Berdasarkan analisis dari 16 data dapat dikemukakan bahwa ada 3 makna kalimat imperatif yaitu fungsi perintah, fungsi permohonan, dan fungsi larangan. Oleh karena itu, dari 16 data tersebut, dikategorikan dalam 8 data memiliki fungsi perintah, 6 data memiliki fungsi permintaan, 5 data memiliki fungsi larangan. Makna suatu kalimat imperatif dapat dimengerti dari konteks dan penanda lingual yang digunakan. Oleh karena itu, pada situasi tertentu dan berdasarkan pada karakter yang dimiliki oleh penutur dapat mempengaruhi penggunaan penanda lingual dalam suatu kalimat.
PSYCHODYNAMIC ANALYSIS OF TRAUMA SUFFERED BY ARCHER HALE IN MIA SHERIDAN’S ARCHER’S VOICE
Authors: Fiona Smith Marion , Salsabila Shafa , Kartiningsih Rindrah , Utungga Pasopati Rommel
Published: October 2024

This research is a study of Mia Sheridan’s novel Archer’s Voice. The purpose of this study is to reveal the trauma suffered by the mute male main character named Archer Hale. Archer was only seven years old when he got into a tragic accident that took away his voice and left him mute. He is a survivor of his own trauma since no one seems to care about him and his muteness. He was all alone, had no one to talk to, was an outcast in his town, and people called him a freak. Trauma is happened from a disturbing event that overwhelmed an individual and affects mood, motivation, and relationship in life. This feeling caused an individual to build a wall around and shut everybody out of life. Then, how is trauma suffered by Archer Hale portrayed in Mia Sheridan’s Archer’s Voice? Using qualitative method, this research is reviewed with Psychodynamic Theory focusing on psychological drives within individuals that explain human behavior and personality. In conclusion, Archer’s trauma has taken control of his life so bad that made him lose his voice both physically and mentally.
Pengaruh Kerjasama Tim dan Disiplin Kerja Terhadap Kinerja Karyawan Pada PT Patra Boga Mamih
Authors: Aliah Nur , Lahat Mohammad Amas
Published: October 2024

Kerjasasama Tim dan Disiplin Kerja adalah hal penting bagi Perusahaan untuk meningkatkan Kinerja Karyawan. Penelitian ini bertujuan untuk mengetahi Pengaruh Kerjasama tim dan Disiplin kerja terhadap kinerja karyawan yang Secara masing-masing (parsial) ataupun Secara Bersama (simultan) terdahap kinerja karyawan pada PT Patra Boga Mamih. Menggunakan Metode kuantitatif. Populasi dalam penelitian ini adalah seluruh karyawan. Sampel penelitian ini menggunakan seluruh populasi yang berjumlah 35 karyawan. Teknik pengumpulan data dalam penelitian ini menggunakan teknik observasi, kuesioner, wawancara. Teknik analisis data dalam penelitian ini menggunakan uji validitas data, uji asumsi klasik, uji hipotesis, analisis regresi linier berganda, uji koefisien determinasi (R2). Pengelolahan data dalam penelitian ini menggunakan program software SPSS versi 25 untuk menghitung hasil uji. Hasil penelitian ini membuktikan : Kerjasama Tim (X1) terdapat pengaruh positif dan signifikan secara parsial terhadap Kinerja Karyawan (Y) dengan sig 0,006 < 0,05 dan nilai thitung 2.940 > ttabel 2,036. Disiplin Kerja (X2) terdapat pengaruh positif dan signifikan secara parsial terhadap Kinerja Karyawan (Y) dengan sig 0,000 < 0,05 dan nilai thitung 6,582 > ttabel 2,036. Dan Kerjasama Tim (X1) dan Disiplin Kerja (X2) terdapat pengaruh positif dan signifikan secara simultan terhadap Kinerja Karyawan (Y) dengan sig 0,000 < 0,05 dan nilai Fhitung 21,039 > Ftabel 3,29.
 
Teamwork and work discipline are important for companies to improve employee performance. This research aims to determine the influence of teamwork and work discipline on employee performance individually (partially) jointly (simultaneously) on employee performance at PT Patra Boga Mamih. Using quantitative methods. The population in this research is all employees. This research sample used the entire population of 35 employees. Data collection techniques in this research used observation techniques, questionnaires, interviews. The data analysis technique in this research uses data validity test, classical assumption test, hypothesis test, multiple linear regression analysis, coefficient of determination test (R2). Data processing in this research uses the SPSS version 25 software program to calculate test results. The results of this research prove: Teamwork (X1) has a partially positive and significant influence on Employee Performance (Y) sig 0.006 < 0.05 and thitung 2,940 > ttable 2.036. Work Discipline (X2) has a partially positive and significant influence on Employee Performance (Y) sig of 0.000 < 0.05 and thitung 6.582 > ttable 2.036. And Teamwork (X1) and Work Discipline (X2) have a positive and significant influence simultaneously on Employee Performance (Y) sig 0.000 < 0.05 and an F thitung 21.039 > Ftable 3.29.
Pengaruh Motivasi Kerja dan Kepuasan Kerja Terhadap Kinerja Karyawan Kantor Jasa Publik Asrori & Rekan
Authors: Firya Afida , Hadi Sucipto Rakhmat
Published: October 2024

Penelitian ini menginvestigasi pengaruh motivasi kerja dan kepuasan kerja terhadap kinerja karyawan di Kantor Jasa Penilai Publik Asrori & Rekan. Motivasi kerja dipandang sebagai faktor internal yang mendorong karyawan untuk mencapai tujuan mereka, sedangkan kepuasan kerja mencerminkan perasaan positif terhadap pekerjaan dan lingkungan kerja. Metode penelitian menggunakan pendekatan kuantitatif dengan memakai metode analisis data model regresi linear berganda dan data diolah menggunakan SPSS versi 29 untuk mengevaluasi hubungan antara variabel-variabel tersebut. Hasil penelitian ini membuktikan bahwa Motivasi Kerja memiliki nilai t hitung sebesar 1,747 > nilai t tabel 2,048 dengan nilai signifikansi (Sig.) sebesar 0,092 < 0,05 secara parsial motivasi kerja tidak memiliki pegnaruh secara signifikan terhadap kinerja karyawan. Kepuasan kerja memiliki nilai thitung sebesar 3,894 < nilai ttabel 2,048 dengan nilai signifikansi (Sig.) sebesar 0,001 > 0,05 secara parsial kepuasan kerja berpengaruh secara signifikan terhadap kinerja karyawan dan Motivasi kerja dan Kepuasan kerja memiliki nilai Fhitung 11,446 > Ftabel 3,35 dengan nilai (Sig.) sebesar 0.001 > 0,05 secara simultan berpengaruh signifikan terhadap kinerja karyawan.
 
This study investigates the effect of work motivation and job satisfaction on employee performance at the Asrori & Rekan Public Appraisal Services Office. Work motivation is seen as an internal factor that drives employees to achieve their goals, while job satisfaction reflects positive feelings towards work and the work environment. The research method uses a quantitative approach by using the multiple linear regression model data analysis method and the data is processed using SPSS version 29 to evaluate the relationship between these variables. The results of this study prove that Work Motivation has a t value of 1.747> t table value of 2.048 with a significance value (Sig.) of 0.092 <0.05 partially work motivation does not have a significant effect on employee performance. Job satisfaction has a tcount value of 3.894 < ttable value 2.048 with a significance value (Sig.) of 0.001> 0.05 partially job satisfaction has a significant effect on employee performance and work motivation and job satisfaction have an Fcount value of 11.446> Ftable 3.35 with a value (Sig.) of 0.001> 0.05 simultaneously has a significant effect on employee performance.
LITERATURE REVIEW: PERAWATAN ORGAN REPRODUKSI DAN KEJADIAN KEPUTIHAN SELAMA MASA KEHAMILAN
Authors: Utami Rina
Published: October 2024

Penelitian ini bertujuan untuk melakukan tinjauan literatur mengenai perawatan organ reproduksi dan kejadian keputihan selama masa kehamilan. Metode yang digunakan adalah literature review, dengan menganalisis artikel-artikel relevan menggunakan teknik anotasi bibliografi. Hasil menunjukkan bahwa keputihan selama kehamilan dapat dicegah melalui peningkatan pengetahuan dan praktik personal hygiene. Tindakan ini dapat mengurangi risiko komplikasi seperti ketuban pecah dini dan kelahiran prematur. Selain itu, penggunaan air rebusan daun sirih terbukti membantu mengurangi keluhan keputihan pada ibu hamil. Oleh karena itu, perawatan organ reproduksi selama kehamilan sangat penting dalam mencegah keputihan. Kesimpulannya, peningkatan personal hygiene dan pemahaman tentang perawatan organ reproduksi dapat mencegah keputihan selama kehamilan. Review literatur ini masih memiliki kekurangan dan diharapkan dapat menjadi data penunjang bagi penelitian lanjutan.
Kata Kunci: Organ Reproduksi, Keputihan, Kehamilan
Recidivas de tuberculose em pessoas com HIV/AIDS
Authors: Sousa Filho Manoel Pereira de , Pereira Maria Lúcia Duarte , Chaves Edna Maria Camelo , Abreu Camila Cristine Tavares , Moreira Thereza Maria Magalhães , Rodrigues Diana Kelly Silva , Figueiredo Lana Dayse Vasconcelos
Published: October 2024

Este trabalho objetiva analisar os casos de recidivas de TB em pessoas com HIV/Aids atendidas em um hospital de referência em doenças infecto-contagiosas do município de Fortaleza, Ceará, Brasil.Este é um estudo quantitativo com delineamento retrospectivo, descritivo, explicativo, tendo como amostra 22 pacientes portadores de HIV/Aids e recidiva de tuberculose, cadastrados no Núcleo Hospitalar de Epidemiologia (NUHEP) do Hospital São José, no período 2013-2019. A coleta de dados aconteceu no período de março/outubro de 2020, mediante levantamento das notificações dos prontuários. Para análise dos dados foram aplicados métodos estatísticos: correlações, Pearson, odds ratio e p-value com nível de significância em 5%. 77,27% dos pacientes são do sexo masculino e 77,27% foram acometidos por tuberculose pulmonar na primeira infecção e 54,54% na recidiva. Os fatores que contribuem no acometimento da tuberculose são os mesmos, independentemente de ser ou não soropositivo. A diferença é que nos infectados pelo HIV/Aids a probabilidade é maior por causa da baixa imunidade.
Câbirî’nin İrfan Eleştirisi -Şiîlik Bağlamında-
Authors: Göveç Ersoy
Published: October 2024

Câbirî irfan incelemesinde üç yaklaşımı ele almaktadır. Bunlar İsmâilî Gnostisizm, İbn Sînâ felsefesi, Hallac-ı Mansur sûfîliğidir. Radikal Şiî grubu İsmâilîlerin Hermetizm’den etkilendiğini savunmaktadır. Câbirî, İbn Sînâ felsefesini Şiîlik bağlamında incelemektedir. Câbirî, Şiî sezgisini yöntem, litaratür ve arabuluculuk işlevi açısından ele almaktadır. Eski İran kültürünün, Şiîliğin oluşumunda belirleyici faktör olduğunu savunmaktadır. İsmâilîlik bağlamında İmamî-Şiî felsefesini okumaktadır. Şiîlik, “imâmet mitolojisi”ne dayanan bir teolojik-politik düzen kurmuştur. İmâmet düzenini, teori ve mitoloji olarak ayırmıştır. Ancak imâmet teorisine eğilmez. Câbirî, Rasyonellik içerisinde sezgiyi kuşatmaya çalışmaktadır. Sezginin bir benzetme biçimi olduğunu savunmaktadır. Matematik analojiler yeni ve kesin bilgiler vermektedir. Diğer analojiler yeni ve kesin bilgi sağlamaz. Onların sadece retorik gücü vardır. Bu analojiler, ilişkisel benzerlik taşımaktadırlar.
Unveiling Ancient Wisdom: The Bhagavad Gita’s Influence on Modern Management and Leadership
Authors: Mallik DM Arvind
Published: October 2024

The Bhagavad Gita offers deep insights into human behaviour, ethics, and leadership, promoting principles such as selfawareness, ethical decision-making, resilience, and the pursuit of excellence. Objectives: This paper aims to synthesize spiritual principles from the Bhagavad Gita with practical management strategies to inspire leaders to cultivate a deeper understanding of themselves, their teams, and their organizations, fostering a culture of purpose, integrity, and holistic growth. Methodology: A qualitative approach is used, analyzing the Bhagavad Gita’s teachings through the lens of contemporary management theories, involving a literature review and thematic analysis. Findings: Key themes from the Bhagavad Gita applicable to modern leadership include self-awareness, ethical decision-making, resilience, and the pursuit of excellence. Results: Integrating these principles into management practices enhances leadership effectiveness, improves team dynamics, and fosters a cohesive organizational culture, inspiring trust and driving sustainable success. Social Implications: Incorporating the wisdom of the Bhagavad Gita can create workplaces that prioritize well-being, ethical conduct, and personal growth, transforming organizational environments to be more inclusive and purposedriven. Conclusion: The Bhagavad Gita offers timeless principles that, when combined with modern management practices, can enhance leadership effectiveness, providing a framework for navigating the ever-changing business landscape with authenticity, integrity, and purpose.
Potensi Sampah Organik TPS 3R Menjadi Biogas dan Pupuk (Studi Kasus: TPS 3R Kasih, Kabupaten Bantul, Daerah Istimewa Yogyakarta)
Authors: Anasstasia Titi Tiara , Alfiani Oktavia Dewi , Utami Ayu , Ari Layla Azzahra
Published: October 2024

The generation of organic waste at TPS 3R Kasih increased and dominated but its separation has not been carried out optimally. The purpose of this study was to determine the chemical characteristics of organic waste and analyze the potential for biogas that can be produced from organic waste anaerobically. The research method included sample collection using the purposive sampling method, surveys, and laboratory experiments using a batch or closed anaerobic reactor without any reactant movement to determine the potential for methane formation during 40 days of processing. The chemical characteristics of the slurry before and after processing were analyzed to determine its potential use after biogas formation as compost. The results showed that the slurry content before and after processing did not meet the fertilizer quality standards. Methane gas was formed starting on the 35th day in both reactors 1 and 2 with the highest concentration achieved at 1.2% of a mixture of organic waste, water, animal waste and EM4 with an optimum time of 40 days.
Effect of Electronic Tax Invoice Management System on Value Added Tax Compliance Among Tented Camps in Narok County, Kenya
Authors: Kimani Irene Wanjiru , Nyangu, PhD Moses , Yego, PhD Jacob
Published: October 2024

Purpose: Value Added Tax (VAT) compliance is a critical aspect of revenue collection for governments worldwide; however, it has encountered various challenges, the most prevalent being verifying input tax claimed by taxpayers when filing VAT returns. The main objective was to examine the effect of electronic Tax Invoice Management System on Value added tax compliance among tented camps in Narok County. The theory that supports the study was Diffusion of Innovations Theory.
Methodology: The study employed explanatory research design, with a target population of 150 tented camps in the Masai Mara National Reserve, out of these, 122 respondents successfully completed and returned the questionnaires, resulting in a response rate of 81.3%. The data was collected through a structured questionnaire.
Results:  The study found that ETIMs positively and significantly affect VAT compliance β =0.236 p-value =0.012<0.05.
Conclusion: The study recommended that The KRA should enhance the Electronic Tax Invoice Management System (ETIMS) to improve VAT compliance among tented camps in Narok County. Future research should be conducted on the effects of taxpayer behavioural factors on VAT compliance.
Effect of Integrated Customs Management Systems (ICMS) on Customs Duty Performance in Nairobi County, Kenya
Authors: Mwosero Francis Apelli , Bonuke Prof Ronald , Ogaga PhD Dr. Bruce
Published: October 2024

Purpose: Tax is an important stream of revenue for government’s development projects and therefore all efforts must be made by governments to ensure that it is accurately and efficiently collected to facilitate the government’s operations. This study sought to determine the of integrated customs management system on factors affecting customs duty performance Nairobi County, Kenya. The theories supporting the study is comparative theory of international trade.
Methodology: The study employed explanatory research design. The target population of this study was 438 respondents comprising customs heads of departments, customs officers and customs agents at Embakasi Inland Depot, Nairobi. with a sample size of 209, out of which 173 respondents correctly filled the questionnaires and submitted them accordingly. The data collected was analyzed through descriptive and inferential statistics. A linear regression model was used.
Results: The coefficient study showed that a unit change in ICMS increases customs duty performance significantly β =0.205 p-value =0.000<0.05.
Conclusion: The study recommends that the KRA and the government of Kenya prioritize the continuous improvement of the Integrated Customs Management System (ICMS). Customs management should ensure full utilization of the ICMS by training customs officials and stakeholders, given its positive impact on duty performance. Future research may be carried out on the effects of tax incentives on Customs duty performance
The Effect of Desk Tax Audit Practice on Tax Revenue Collection among Medium and Large Size Enterprises in Kenya
Authors: Makau Mercy Nthangu , Rono Prof. Lucy , Baimwera Dr. Bernard
Published: October 2024

Purpose: Tax is a major issue of discussion for both developed and developing countries. For there to be significant progress in any nation, the government should look for ways of raising income to meet the needs of its citizens. The main objective of the study was to determine the effect of desk tax audit practice on Tax revenue collection among medium and large size enterprises in Nairobi region, Kenya. The study was guided by Lending credibility theory.
Methodology: The target population was 562 employees in the Medium Taxpayer Office and Large Taxpayers Office Nairobi region, out of which 234 was sampled, and 167 respondents managed to fill and return the questionnaires implying a 71.4% response rate. Primary data was collected using structured questionnaires that was filled by employees in Medium Taxpayers Office and Large Taxpayers Office in Nairobi region. The study employed an explanatory research design. Data was then analyzed using descriptive statistics, Pearson’s correlation ®ression model and finally Multiple regression model.
Results: The study further found that Desk tax audit had a positive and significant effect on tax revenue collection β =0.329 p-value =0.0000<0.05.
Recommendation: Based on the findings, the government should consider strengthening desk tax audit practices to enhance tax revenue collection. Policies could be developed to ensure regular and comprehensive desk audits are conducted to identify and address tax compliance issues promptly.
Análise das características físicas do município de Ferreira Gomes-AP atráves de transectos.
Authors: Araújo Ana Beatriz , Maciel Maria das Dores
Published: October 2024

O presente trabalho refere-se à análise dos aspectos físicos do município de Ferreira Gomes a partir do uso de transectos que geraram perfis pedológico, geomorfológico, geológico e de vegetação. O objetivo deste trabalho foi analisar as características físicas desse município usando o profile graphic. A pesquisa é do tipo qualitativa e quantitativa e ainda bibliográfica feita a partir de dados secundários e o levantamento de perfis topográficos com diferentes características físicas. Com isso, um transecto, linha ou secção através de uma faixa de terreno, ao longo da qual são registadas e contabilizadas as ocorrências do fenômeno que estão a ser estudados, foi feito de toda a área do município.
Otimização da área de armazenagem de produtos acabados em um frigorífico utilizando a simulação computacional
Authors: Me Li Yan , Borges Reginaldo , Santos José Airton Azevedo dos , Pereira Reinalda Blanco , Santos Cidmar Ortiz dos
Published: October 2024

O objetivo deste trabalho foi apresentar uma solução para ampliar a capacidade de armazenagem de produtos acabados (PA) em um frigorifico de abate de suínos. Para o levantamento dos dados foi realizada uma visita técnica com o objetivo de entender todo o processo e o local a ser disponibilizado para a armazenagem dos produtos acabados, também foi realizada uma entrevista não estruturada com o gestor de produção da empresa. A empresa encontra-se em uma fase de expansão, com planejamento para aumentar sua capacidade produtiva, atualmente, este crescimento está sendo restringido pela capacidade de armazenagem atual. Com a proposta para implantação de um sistema orientado por gravidade, foi possível observar um aumento significativo na capacidade de armazenagem de PA e um melhor fluxo para os equipamentos de movimentação. Também eliminou o risco de produtos ficarem por períodos maiores no estoque, com isso tem-se um menor giro de estoque e evita que os produtos sejem descartados por estar próximo ou perder o prazo de validade. As simulações com o software FlexSim® apresentaram melhorias com aumentos de aproximadamente 60% na capacidade total armazenada em cada câmara fria. Além disso, o estudo também demostrou uma diminuição de aproximadamente 51% do processo de movimentação, resultando em uma maior eficiência operacional.
Marco lógico como técnica de estruturação de programas governamentais e suporte à prestação de contas: um estudo dos municípios tocantinenses
Authors: Moraes Kássio Inácio Monteiro de , Oliveira Nilton Marques de
Published: October 2024

A mudança do modelo de planejamento orçamentário não necessariamente significou um avanço das práticas governamentais. A adesão superficial ao regime de programação da atividade governamental gera um orçamento-programa que tem a forma, a aparência, mas não o conteúdo. Diante disso, estuda-se uma técnica de estruturação das políticas públicas capaz de tornar mais objetivo, claro e coeso o planejamento governamental. Para tanto, procedeu-se um estudo bibliográfico da metodologia do marco lógico e, em seguida, aplicou os seus conceitos nas prestações de contas dos cinco maiores e cinco menores municípios tocantinenses relativas a 2014 a 2019 para conferir se as informações contidas nessas peças político-administrativas atendem ao grau de especificidade exigido para um controle de resultados. Desse modo, observou-se que os dados permanecem restritos aos aspectos financeiros, impossibilitando um controle de economicidade, desempenho, eficiência, efetividade e eficácia das escolhas governamentais, o que permite concluir que não houve a superação da dinâmica formalista e burocrática do modelo anterior. Além disso, observou-se que inexiste uma técnica bem definida de programação, o que justifica a realização e a sua opção pelo marco lógico.
Ectopia Cordis with Omphalocele in First Trimester Pregnancy: A Case Report of Incomplete Type of Pentalogy of Cantrell
Authors: Mithilesh Arumulla , Muhammed Hira , Samireddypalle Yugandhar , Jangamreddy Nanditha
Published: October 2024

Ectopia Cordis (EC) is a rare congenital malformation in which the heart is located partially or totally outside the thoracic cavity. It results from the failure of migration of the lateral mesoderm into the midline. The four main ectopic positions are cervical, thoracic, thoracoabdominal and abdominal. EC can manifest as an isolated deformity or as part of a broader group of ventral body wall defects affecting the abdomen, thorax, or both. Pentalogy of Cantrell is a well known association that comprises EC, omphalocele (typically supraumbilical), congenital diaphragmatic hernia, sternal cleft and congenital heart disease. A 27-year-old primigravida came for a routine antenatal ultrasound at 13 weeks of gestation. There was no family history of congenital anomalies, genetic abnormalities, or exposure to teratogenic agents. The ultrasound showed a single foetus corresponding to 13 weeks of gestation with an anterior thoracic defect and an extrathoracic heart, along with partial herniation of the liver near the midline in the epigastric region. These findings were confirmed by foetal Magnetic Resonance Imaging (MRI). An unfavourable prognosis for the foetus was explained to the parents, and medical termination of pregnancy was performed. Therefore, prenatal ultrasonographic diagnosis of EC should be followed by a thorough search for associated defects, as the prognosis may vary.
Morphological and Morphometric Variations of Fovea Capitis Femoris: A Cross-sectional Study from Kolkata, West Bengal, India
Authors: Roy Tapatati , Basu Rituparna , Das Baisakhi , Mandal Ishitata , Langstastang Anika
Published: October 2024

Introduction: The proximal end of the femur is an important anatomical modification in humans, widely explored to acquire detailed knowledge that aids in determining the exact size of hip prosthesis and minimising postoperative complications. However, thorough analysis of the various parameters of the Fovea Capitis Femoris (FCF) is frequently overlooked, yet it is also important during reconstructive surgery of the ligamentum teres femoris, radiographic evaluation of hip dysplasia, or as an anatomical landmark in hip arthroscopy. Detailed morphological and morphometric measurements of the FCF in the West Bengal population would help bridge this gap, as there are few Indian studies regarding the fovea. Aim: To determine the morphological and morphometric measurements of the FCF in the West Bengal population. Materials and Methods: A cross-sectional study was conducted among 297 dry femora from the Department of Anatomy at Kolkata Medical College, Kolkata, West Bengal, India from October 2023 to February 2024. The position and shape of the fovea were recorded. Morphometric measurements of the fovea (depth, transverse diameter, and vertical diameter) and the head of the femur (transverse and vertical diameters) were taken using a vernier caliper. The collected data were compiled in a Microsoft Excel sheet and analysed using Jamovi software (free version). The Pearson’s correlation formula was used to determine the correlation between various parameters of the fovea and femoral head. A p-value of <0.05 was considered statistically significant. Results: All femora had a single distinct fovea. The most frequent shape of the fovea was oval 135 (45.45%), and its most common position was in the posterior-inferior quadrant 263 (88.55%) of the femoral head. Regarding morphometric measurements, the mean values of the transverse diameter, vertical diameter, and Depth of the Fovea (DF) were 1.53±0.367 cm, 1.28±0.303 cm, and 0.304±0.141 cm, respectively. A positive correlation was found between the transverse and vertical diameters of the fovea (Pearson’s correlation r=0.239), and a significant p-value (p<0.001) was also found between them. Conclusion: Knowledge of these variations may be useful for anatomists, radiologists, anthropologists, forensic experts, and orthopaedic surgeons when planning and executing hip replacement surgeries.
Detection of Human Adenovirus from Clinical Samples of Conjunctivitis by Real-time PCR: A Cross-sectional Descriptive Study
Authors: Anshuman Ashish , Praseetha MJ , Rangaiah Ambica , Nagaraju G , Swetha M , Basawarajappa Shantala Gowdara
Published: October 2024

Introduction: Human Adenoviruses (HAdV) have been implicated in a variety of infections, including conjunctivitis, respiratory tract infections, genitourinary infections and gastroenteritis. Epidemic Keratoconjunctivitis (EKC) is a severe ocular surface infection strongly associated with HAdV, known to occur in widespread outbreaks. HAdV species B, D and E are associated with ocular manifestations ranging from simple follicular conjunctivitis (types 3, 4, 7) and pharyngoconjunctival fever (types 3, 7, 14) to the more severe EKC (types 8, 19, 37, 53, 54, 56 and 64). Viral cell cultures of conjunctival specimens help confirm adenovirus infection through the characteristic Cytopathic Effect (CPE) and Polymerase Chain Reaction (PCR) is the best standard method to diagnose viral conjunctivitis due to its sensitivity, accuracy and rapidity. Aim: To diagnose HAdV in clinically suspected cases of viral conjunctivitis using real-time PCR. To isolate HAdV in viral cell culture and confirm it by observing its characteristic CPE and performing adenoviral real-time PCR. Materials and Methods: A cross-sectional descriptive study was conducted from July 2023 to September 2023 at the state-level Virus Research and Diagnostic Laboratory (VRDL) at Bangalore Medical College and Research Institute (BMCRI), Bengaluru, Karnataka, India. A total of 45 conjunctival swab samples from patients with suspected viral conjunctivitis, who attended the Ophthalmology Outpatient Department (OPD) or were admitted to the wards, were included in the study. Conjunctival swab samples collected in Viral Transport Medium (VTM) were centrifuged at 3000 rpm for five minutes at 4°C. Real-time PCR was performed and samples positive for HAdV by real-time PCR were taken up for viral cell culture. Confirmatory PCR was conducted for samples showing CPEs in the cell line. The data collected were analysed using descriptive statistics. Results: The majority of patients in the present study were in the age group of 18-45 years, comprising 25 (56%) of the total patients. Out of 45 conjunctival samples tested, 8 samples were positive in adenovirus real-time PCR. All eight PCR-positive samples showed a CPE in viral cell culture on the A549 cell line. The study found PCR positivity in 8 samples (17.7%), while adenoviral recovery from cell culture was observed in 6 samples (13.3%). Conclusion: Real-time PCR has become the standard diagnostic procedure for detecting adenovirus conjunctivitis. Rapid and accurate diagnosis is key to interrupting the contagious spread of adenoviral conjunctivitis, along with timely treatment.
Incorporation of Double Salivary Reservoirs in Maxillary Denture of an Edentulous Patient with Post-mandibular Resection: A Case Report
Authors: Hindocha Amit , Dudani Mohit , Patankar Anupama , Nalawade Tejas
Published: October 2024

The treatment of mandibular deviation in a completely edentulous patient (after segmental resection of the mandible) without osseous reconstruction consists of a twin-table maxillary complete denture occluding with a mandibular segmental denture at deviated position. Salivary reservoirs incorporated into the maxillary complete denture provide a potential solution to the ill effects of xerostomia, which is the most common post-irradiation complication. Hereby, the authors presents a case report of 62-yearold male patient with a unique method of incorporating two salivary reservoirs: one in the center of the palatal surface and the second beneath the additional palatal row of prosthetic teeth, with an approximate capacity of 7 mL. The novel design includes a removable silicone lid with an escape hole, allowing the patient’s tongue to control the release of the salivary substitute. It provided ease of removal of the lid, as well as cleaning and refilling of the reservoir. The design allowed area under the second row of teeth was utilised effectively without adding to the bulk of the denture.
Climate Risk Management among Smallholder Farmers: A Comparative Analysis of Flood-prone Alappuzha and Drought-affected Gondia in India
Authors: Bhange Poonam Bandu , Bonny Binoo P. , Karat Shilpa
Published: October 2024

Climate change poses significant risks to agricultural systems worldwide, particularly in developing countries where smallholder farmers have limited adaptive capacity. This study examines the socioeconomic and demographic factors influencing climate risk management practices among smallholder farmers in two contrasting regions of India: the flood-prone Alappuzha district in Kerala and the drought-affected Gondia district in Maharashtra. Using data collected from 150 rice farmers, the research analyzes economic, social, technical, and physical dimensions shaping adaptive responses. Key findings reveal significant regional disparities in adaptive strategies. Alappuzha farmers exhibit greater resilience due to higher incomes, better compensation mechanisms, and stronger community networks. Their strategies primarily involve strengthening bunds, improving drainage infrastructure, adopting flood-resistant rice varieties, and relying on formal credit for support. Conversely, Gondia farmers face lower adaptive capacity, driven by limited access to credit, inadequate compensation, and weaker institutional support. Their climate risk management approaches include drip irrigation, planting drought-resistant crop varieties, and pursuing income diversification to reduce vulnerability. Education levels, access to insurance, and the use of localized weather information also play crucial roles in shaping adaptive capacity across both regions. The study underscores the need for targeted interventions to strengthen institutional support, expand educational programs, facilitate community networks, and improve access to localized weather information to enhance agricultural resilience to climate risks. These findings provide practical policy recommendations aimed at addressing region-specific challenges and leveraging local strengths to bolster adaptive capacity.
Do Medical Students Still Need Practicum and Laboratory Classes in the Age of Artificial Intelligence?
Authors: Siagian Forman Erwin
Published: October 2024

Aims: to revisited the irreplaceability of practicum and laboratory classes for medical student and its benefit, even in the artificial intelligence (AI) era.
Discussion: The transformative potential of AI in every aspect of human also reshape the pedagogy of medical education. Integrating AI into medical education offers numerous potential benefits, including improved curriculum design and evaluation and the ability to refine the delivery of objective student assessment, better clinical simulation organization, and enhanced education transparency. On contrary, the main challenges of AI integration in medical education are ethical and legal issues, scalability limitations, technical difficulties, and evaluating the effectiveness of traditional educational methods such as practicum or laboratory classes. Fortunately, Practicums is still considering important because they provide students with real-world hands on experience and the opportunity to apply whatever theory taught in the classroom to practice. Furthermore, it can integrate knowledge and better understanding which acquired through coursework and other combined learning experiences. AI does not have the capability to replace human contact and moral values in practicum. The balance between AI and traditional hands-on learning is a must and the benefits of AI incorporation to medical curriculum, including practicum and laboratory classes with the enduring need for practical experiences will benefit all stakeholder.
Conclusion: The irreplaceability of hands-on training and the balance between AI and human contact in medical education make traditional practicum and laboratory classes are still relevant, even in the era of AI.
Associated Factors of Low Birth Weight among Newborns at Hospitals in Kisangani, Democratic Republic of Congo
Authors: Malongo Anzani , Isaac Komanda Likwekwe , Mbongo Gelengi , Limbele Balimo , Molisho Ekili , Menama Melangana , Ponea Botela , Tabora Ramazani , Imurani Kalafulu , Bokumbuangole Boseleka , Ekelenge Bokanga , Yakusu Issa , Trydon Tshingombo Muyaya , Bassandja Ossinga
Published: October 2024

Background: Low birth weight remains a major public health problem in every country in the world. It is a predictor of early neonatal mortality, morbidity and long-term health. The aim of this study was to determine the prevalence of low birth weight and to identify the associated factors in a hospital setting in Kisangani.
Material and Methods: An unmatched case-control study was used including all live and full-term births was conducted from 1 December 2023 to 31 May 2024 in the maternity wards of Makiso-Kisangani General Referral Hospital, Mangobo General Referral Hospital, Tshopo General Referral Hospital and Alwaleed Health Centre. A sample of 646 newborns was selected: 86 cases (newborns weighing less than 2500 grams) and 560 controls (newborns weighing 2500 grams or more). Factors associated with prehypertension were identified using logistic regression.
Results: The prevalence of low birth weight was 13.4%. Factors associated with low birth weight were maternal age less than 18 years, intergenital interval less than 2 years, maternal infection during pregnancy, high blood pressure, level of primary education and urban residential environment.
Conclusion: This study shows that low birth weight remains a public health problem in Kisangani. In addition to shedding light on the other contributing variables and the connections between them, prospective national research would enable the development of preventative measures.
Antimicrobial Activity of Natural Intracanal Medicaments in Endodontic Management of Permanent Teeth: A Systematic Review of In-vivo Studies
Authors: Subikshaa  , Piriyanga Rathna , Deepika Geeth , GSV Nivashini , Sherwood Anand
Published: October 2024

Background: Endodontic therapy has long been recognized as the modality for the elimination of microbial infections from the root canal system. Traditionally, calcium hydroxide has been prevalent in the history of intracanal medicaments because of their inherent antimicrobial activity. However, interest in recent years has been in the area of endodontic therapy incorporating natural intracanal medicaments from plant extracts into their protocols. The biocompatibility of these agents, its reduced cytotoxic potential, and other therapeutic properties such as anti-inflammatory and tissue regenerative have all been promising. But the clinical effectiveness of these natural agents is yet to be clearly established, especially in permanent teeth.
Objective: This systematic review aims at assessing the effectiveness of natural intracanal medicaments in the endodontic treatment of permanent teeth by pooling evidence from in vivo studies regarding their antimicrobial activity, as compared to traditional synthetic agents.
Methodology: Electronical databases, such as Google Scholar, Web of Science, PubMed, and Scopus were searched for articles published between 2014 and 2021. Rayyan software was used in the screening and management of all articles and, during the study selection, title and abstract screening were done independently by two reviewers. Meta-analysis assessed the pooled effect size of such agents.
Results: Of nearly 2500 articles, only 6 qualified for inclusion. The natural agents Neem, Curcumin, and Propolis demonstrated high antimicrobial activity compared to conventional agents such as calcium hydroxide and chlorhexidine. Neem had the highest antibacterial activity, and Curcumin demonstrated anti-inflammatory effects superior to all else. While results from these natural medicaments demonstrated a broad efficacy, significant heterogeneity was found among the studies at 96% (I² =).
Conclusion: Natural intracanal medicaments are a promising future of efficacy: as good as or even better than traditional synthetic agents applied in endodontic therapy. Some of them are Aloe vera, Curcumin, Neem, and Propolis, which have been shown to exhibit not only good antimicrobial efficacy but also some degree of anti-inflammatory and tissue-regenerating properties. However, more standardized clinical trials should be designed and well executed to validate their effectiveness, thus defining clear clinical guidelines for permanent teeth use.
Management of Plant Diseases with Green Synthesized Nanoparticles Using Plant Extracts
Authors: G. S Swathi , S Divya , Thara Susha S.
Published: October 2024

Nanotechnology is a rapidly advancing field that has effectively tackled various issues across multiple industries, including agriculture. Nanoparticles (NPs) can typically be synthesized using two different techniques: top-down approach and bottom-up approach. In top-down approach, NPs are generated by reducing the size of a larger material, resulting in agglomerates with nano sized particles. Bottom-up approach involves building nanoscale structures from atomic and molecular components. In agriculture, nanotechnology plays a role in the production of nanoscale fertilizers, pesticides, and herbicides. Nanoparticles are used in plant disease management as well. The green synthesis of nanoparticles is often referred to as biosynthesis. It uses a range of biological sources like microorganisms or their derivatives as well as plant extracts, instead of synthetic chemicals, with minimal impact on human health and the environment. Green-synthesized nanoparticles (GSNPs) are known for their ease of production and cost-effectiveness. They offer several advantages, including their ability to induce systemic resistance to diseases and exhibit fungicidal and bactericidal properties.