bluuebunny/crossref_metadata_2025 huggingface dataset:
個案討論：ST段上升心肌梗塞後缺血性腦梗塞之成因與治療
Authors: 簡韶甫 簡韶甫 , 張釗監 張釗監
Published: September 2024

急性心肌梗塞後之缺血性腦梗塞發生率低，但同時合併急性心肌梗塞和缺血性腦梗塞，患者的死亡率會明顯上升。常見的原因包括心肌梗塞後新發生的心房顫動、左心室前壁梗塞引起的心室內血栓或病患本身有凝血異常的疾病。一位64 歲男性患有ST上升型心肌梗塞合併心因性休克而住院，心導管檢查顯示左主冠狀動脈至左前降支和左迴旋支阻塞，接受緊急心導管介入治療，由於生命徵象不穩定，使用強心劑、主動脈氣球幫浦和呼吸器以維持血流動力學，按照現行治療指引使用雙重抗血小板藥物和抗凝劑治療，而後病況逐漸穩定。然而，移除主動脈氣球幫浦後，發生缺血性腦梗塞併有左側偏癱和失語症。病人接受顱內動脈取栓術後恢復良好，美國國家衛生院腦中風評估表(NIHSS)從 14 分下降到2分。我們詳細回顧了心肌梗塞後缺血性腦梗塞的病生理機轉，包含左心室功能下降造成血液鬱積、心內膜缺血壞死造成發炎反應、新發生的心房顫動或本身凝血功能異常容易產生血栓。若是和心房顫動相關，按照現行治療指引使用抗血小板藥物和非維他命K拮抗劑類口服抗凝血劑治療為主，若為左心室內血栓可以抗凝血劑治療三到六個月後再追蹤，但目前無隨機對照試驗顯示哪一種抗凝血劑效果較好。

 

Post-myocardial infarction (MI) ischemic stroke is rare but increases mortality than those not complicated with stroke. Here, we present a 64-year-old man suffered from ST segment elevation myocardial infarction and complicated with cardiogenic shock. Primary percutaneous coronary intervention was done for left main to left anterior descending. Inotropic agent, intra-arterial balloon pump (IABP) and me-chanical ventilator support were used for unstable hemodynamics. Dual anti-platelet and anticoagulation were used as guideline recommendation. However, ischemic stroke happened with left side hemiplegia and aphasia after removing IABP. In-tra-arterial thrombectomy was done for right middle cerebral infarct. National Insti-tutes of Health Stroke Scale improved from 14 to 2 after thrombectomy. The patho-genesis of post-MI stroke includes extensive anterior wall akinesia leading to blood stasis, inflammatory changes by subendocardial injury, new onset atrial fibrillation (AF), and hypercoagulable status. Preexisting AF with acute coronary syndrome has clear recommendation with antithrombotic therapy with anti-platelet and non-vitamin K antagonist oral anticoagulant (NOAC) use. However, stroke preven-tion after acute MI is limited for those without AF. Guidelines suggest considering anticoagulation for 3 to 6 months once LV thrombus observed, but there was no ran-domized controlled trial to confirm which anticoagulant is better.

 
Imagining sufficiency through collective changes as satisfiers
Authors: Moynat Orlane , Sahakian Marlyne
Published: September 2024

How can people imagine ways of achieving desirable energy futures in cities, oriented towards sufficiency? Building on the notion of sufficiency understood as avoiding demand while meeting human needs, this paper discusses the results of seven participatory workshops (n = 154 participants) held in Switzerland where new imaginaries around the future in cities were discussed. The results demonstrate that people can reflect on how living, consuming and working in cities could achieve the double dividend of meeting needs while using less energy. Based on the notion of practices-as-satisfiers, the participants collectively discussed synergic satisfiers or changes to practices were found to lead to energy savings and the satisfaction of multiple needs. However, for this to be possible, practices need to be thought of as part of systems: several changes would need to take place at once. Certain practices, such as reducing work time, are prefigurative of others. Participants reflected on how desirable imaginaries could be planned for, moving from individual change to proposed collective changes, considering their interrelated and prefigurative nature. The findings show how similar forms of public participation can lead to policy-relevant insights for planning, adopting and implementing sufficiency measures in cities.
Policy relevance
While efficiency and renewable energy measures are central in many national energy strategies, sufficiency policies—involving reductions in energy demand together with wellbeing—are emerging as a key component in the energy transition. The results of participatory workshops conducted with Swiss citizens provide insights into how to organize towards sufficiency in the future. First, policy development must consider sufficiency as part of the goal, and reflect on the means of reaching this goal. Second, people should be included in the debate, in that they can reflect on collective changes that must take place today to achieve desirable sufficiency futures. The results presented around synergic, interrelated and prefigurative nature of systems of practices and on changes needed are useful to inform debates on what could come out of such collective discussions, namely interrelated measures imagined at the collective level towards sufficiency.
Okul Öncesi Dönemde Yürütücü İşlevlerin Sosyal Beceriler Üzerindeki Yordayıcı Rolü
Authors: Yurdakul Yeşim
Published: September 2024

Bu çalışmada okul öncesi dönemde yürütücü işlevlerin sosyal beceriler üzerindeki yordayıcı rolünün incelenmesi amaçlanmaktadır. Korelasyonel araştırma modelinde yürütülen araştırmanın çalışma grubunu 4-6 yaş arası 382 çocuk ve ebeveyni oluşturmaktadır. Araştırmada çocukların sosyal becerilerini ölçmek için ‘‘Sosyal Becerileri Değerlendirme Ölçeği’’ ve yürütücü işlevlerini değerlendirmek için ‘‘Çocukluk Dönemi Yürütücü İşlevler Envanteri’’ kullanılmıştır. Araştırma sonucunda kız çocuklarının yürütücü işlevler ve sosyal beceri puanları erkek çocuklardan yüksek bulunmuştur. Araştırmada çocukların yürütücü işlevleri ile sosyal becerilerinin pozitif ve anlamlı olarak ilişkili olduğu, yürütücü işlevleri yükseldikçe sosyal becerilerinin de arttığı tespit edilmiştir. Ayrıca okul öncesi dönemde yürütücü işlevlerin sosyal becerileri anlamlı olarak yordadığı tespit edilmiştir. Okul öncesi dönemde ebeveynler ve öğretmenler tarafından yürütücü işlevleri destekleyici programlar ve etkinlikler uygulanması çocukların sosyal becerilerini geliştirmede önemli bir etken olabilir. Elde edilen bulgular doğrultusunda gelecekte planlanacak olan çalışmalar için araştırmacılara öneriler sunulmuştur.
Doğaya Bağlılık Eğilimi Ölçeğinin Türkçe’ye Uyarlanması: Geçerlik ve Güvenirlik Çalışması
Authors: Akbaş Banu , Durmuşoğlu Mine Canan
Published: September 2024

Bu çalışma, Brügger, Kaiser ve Roczen (2011) tarafından geliştirilen “Doğaya Bağlılık Eğilimi” Ölçeğinin Türkçe’ye uyarlanmasıdır. Ölçme aracının dilsel eşdeğerlik, ölçüt geçerliği ve yapı geçerliği analizleri yapılmıştır. Ölçek farklı çalışma gruplarıyla yetişkinlerden oluşan örneklemlere uygulanmıştır. Ölçeğin yapı geçerliğine yönelik kanıt aramak için açımlayıcı ve doğrulayıcı faktör analizi kullanılmıştır. Açımlayıcı faktör analizi sonuçları ölçeğin üç farklı boyut oluşturduğunu göstermiştir. Doğrulayıcı faktör analizi sonucunda ise bu üç boyutun ilişkili olduğu ve ikincil düzey faktör yapısının veriyle uyumlu olduğu bulunmuştur. Bu boyutlar doğaya bağlılık ve davranışsal sıklık, doğaya bağlılık ve öz değerlendirme ile doğaya bağlılık ve tercihler boyutlarıdır. Ölçeğin güvenirlik analizi sonucunda Cronbach alfa katsayısı .91 olduğu bulunmuştur. Sonuçlar, Doğaya Bağlılık Eğilimi Ölçeği’nin Türkçe versiyonunun (34 Madde) güvenilir ve geçerli olduğunu ve üç faktör kapsamında açıklandığını göstermektedir.
Okul Psikolojik Danışmanlarının Akran Zorbalığına İlişkin Deneyimleri: Nitel Bir Çalışma
Authors: Benli Emine , Özdemir Ali
Published: September 2024

Okul Psikolojik Danışmanlarının Akran Zorbalığına İlişkin Deneyimleri: Nitel Bir Çalışma

Amaç: Bu araştırmanın amacı, okullarda çalışan psikolojik danışmanların, okullarda karşılaştıkları akran zorbalığı vakaları ile ilgili deneyimlerini keşfetmektir.
Yöntem: Nitel araştırma desenlerinden fenomenoloji (olgubilim) deseni kullanılmıştır. Verilere yarı yapılandırılmış görüşme formu kullanılarak ulaşılmıştır. Çalışma grubunda örneklem doyumuna ulaşılmış, 9 katılımcı bulunmaktadır. Çalışma grubunun belirlenmesinde amaçlı örnekleme yöntemlerinden ölçüt örnekleme ve kartopu örnekleme yöntemleri kullanılmıştır. Elde edilen veriler betimsel analiz ve içerik analizi kullanılarak çözümlenmiştir.
Bulgular: Araştırmanın bulgularında elde edilen temalar ve temaların altında oluşturulan alt temalar şu şekildedir: Psikolojik danışmanın tutumu temasında, duygu, düşünce ve davranış alt temaları elde edilmiştir. Önlemeye ve müdahaleye yönelik çalışmaları keşfetme temasında sağlıklı iletişim kurma ve çatışma yönetme ile psikolojik destek ve rehberlik alt temaları elde edilmiştir. İşbirliği temasında ise sorumluluk yüklenmeme ve paydaşlığa açık olma temaları elde edilmiştir. Katılımcı okullarda karşılaştıkları akran zorbalığına ilişkin tutumlarını kapsayan temada, duygu alt temasında şefkat, öfke, üzüntü gibi duygular yaşadıkları; düşünce alt temasında öğrencilere yardım sunma isteğinde oldukları; davranış alt temasında öğrencilerin davranışlarının temelinde yatan etkenlere dair öğrencilerde farkındalık geliştirme çalışmaları yaptıklarına ulaşılmıştır. Önleme ve müdahaleye yönelik çalışmalar temasında, akran zorbalığını sağlıklı iletişim kurma alt temasında serbest zaman etkinlikleri ve psikoeğitim çalışmaları yapılmaktadır. Psikolojik destek alt temasında akran arabuluculuğu, sınıf rehber etkinlikleri gibi teknikler uygulanmaktadır. İş birliği temasının sorumluluk yüklenmeme alt temasında, akran zorbalığı vakalarına yönelik yapılan çalışmalarda paydaşların akran zorbalığı vakalarını yalnızca rehberlik servisinin sorumluluğunda görmesine dair, paydaşlığa açık olma alt temasında ise aileyi sürece katarak psikoeğitim sunma ve zorbalığa karşı okulca ortak anlayış geliştirmenin gerekliliğine dair bulgular elde edilmiştir.
Sonuç: Bu araştırma, psikolojik danışmanların, okul yöneticilerinin, öğretmenlerin ve diğer paydaşların içinde bulunduğu, etkili akran zorbalığı vakalarını önleme ve müdahale programları geliştirmelerine yardımcı olacak bulgular ortaya koymaktadır.
Özgünlük: Bu araştırmanın okul psikolojik danışmanlarının akran zorbalığına ilişkin tutumlarını, uyguladıkları önleme ve müdahaleye yönelik çalışmaları, diğer paydaşlarla iş birliği noktalarındaki deneyimlerinin özünü konu alması bakımından özgün değer taşıdığı düşünülmektedir.
Anahtar Kelimeler: Akran zorbalığı, psikolojik danışman, fenomenoloji, olgu bilim.
Evaluation of patients' satisfaction level with food and food services in King Fahad Military Medical Complex (KFMMC) Hospital – Dhahran, Saudi Arabia: Improving outcome
Authors: Al Shemmery Malikah , Hakami Abdullah , Al Faraidy Ahmed , Hakami Saud , Al Buainain Alanoud , Al Nafisah Alhanouf , Al Zahrani Abdulhadi , Al Hoaimal Eman
Published: September 2024

Hospital foods are an integral aspect of comprehensive care given to the hospitalized patients, to facilitates their recovery along with to improves their health outcomes. Every hospital has an obligation to provide the highest level of care for their patients and this includes hospital meals. Patient satisfaction on hospital food services is important quality indicator which reflects on the overall hospital health care standard going in parallel to the quality of other hospital medical services. For this reason, it is important to emphasize on the quality of the hospital meals provided to the admitted patients. As the chief concern of any healthcare foodservice program is quality of its meals which contributes as well to the patient’s overall satisfaction experiences. We carried out satisfaction survey at King Fahad Medical Military Complex(KFMMC), Saudi Arabia to determine based on the patient perception the aspects that may affecting the overall satisfaction level on the quality of hospital food services. Use the results to address any food and food services-related challenges and to regularly identify ways for improving quality of hospital meals, but more than that, to improve patient outcomes.
Tratamento Individualizado para CMV com Mutação UL97 del597-599: Além da Resposta Incomum a um Aumento Menor da Dose de Ganciclovir
Authors: Piedade Ana , Vidal Helena , Simões Pilar , Vieira Miguel Bigotte , Chasqueira Maria Jesus , Caeiro Fernando , Aires Inês , Paixão Paulo , Jorge Cristina
Published: September 2024

A infecção pelo citomegalovírus humano (CMV) é a infecção mais prevalente que afeta os receptores de transplante de órgãos e é uma causa de morbidade e mortalidade em pacientes submetidos a transplante renal. A introdução do ganciclovir (GCV) para profilaxia e tratamento melhorou muito os resultados dos pacientes. A resistência ao GCV pode ser causada por mutações no gene da fosfotransferase UL97 ou no gene da polimerase UL54. Ela ocorre em 1 a 2% dos receptores de transplante renal com infecção ou doença por CMV. A resistência antiviral deve ser considerada quando se observa aumento da carga viral e progressão da doença, apesar da administração de terapia antiviral adequada. O grau de resistência varia de acordo com o tipo de mutação presente. Relatamos um paciente com resistência ao GCV devido a uma mutação UL97 del597-599 que, apesar de normalmente exigir um aumento de 8 vezes na dose de GCV, apresentou uma diminuição significativa na carga viral com apenas um aumento de duas vezes na dose. Entretanto, a evolução clínica geral do paciente permaneceu complicada. Devido à leucopenia grave, o Maribavir teve de ser iniciado, com uma boa resposta. No entanto, ele acabou morrendo devido a complicações indiretas relacionadas ao CMV. Esse caso também destaca a complexidade dos pacientes transplantados, que apresentam vários desafios, desde infecções até o gerenciamento da terapia.
Emotion Contagion Model for Dynamical Crowd Path Planning
Authors: Wu Yunpeng , Huang Xiangming , Tian Zhen , Yan Xiaoqiang , Yu Hui
Published: September 2024

Article
Emotion Contagion Model for Dynamical Crowd Path Planning

Yunpeng Wu 1, Xiangming Huang 1, Zhen Tian 1, Xiaoqiang Yan 1,*, and Hui Yu 2,*

1 School of Computer and Artificial Intelligence, Zhengzhou University, Zhengzhou 450001, China
2 cSCAN, University of Glasgow, G12 8QB, United Kingdom
* Correspondence: iexqyan@zzu.edu.cn; hui.yu@glasgow.ac.uk
 

Received: 17 December 2023
Accepted: 23 April 2024
Published: 24 September 2024
 

Abstract: Crowd path planning aims to find the optimal path between the source and destination for multiple agents in crowd scenes. The advent of parallel theory and digital twin technologies provides a novel platform for simulating crowd path planning, which has become increasingly popular in various applications, such as pedestrian evacuation, intelligent transportation, and civil planning. The widely used strategy for crowd path planning emphasizes the objective factors, such as user-specific guidance, shortest path and crowd density. However, this strategy ignores the subjective emotion of agents, which can have significant impact on the diverse path choices of each agent. To tackle this challenge, we present a novel Emotion Contagion Model (ECM) to dynamically conduct path planning in crowded environments by incorporating the emotion of each agent. The proposed method provides a solution to the long-standing high-level affective issue for virtual agents during path search. Firstly, to bridge the gap between emotion states and path choices, the emotion preference is defined based on personality traits of multiple agents. Secondly, an emotion contagion algorithm is proposed to recognize the collective patterns of these agents, which can reveal the dynamical variation of emotion preference under crowded complex environments. Finally, to solve the emotion-to-path mapping, we propose a leastexpected-time objective function to find the optimal path choice for each agent according to the navigation graph in the given scenario. Experimental results on various scenarios, including the subway station, railway station square, fire evacuation and indoor environment, verify the effectiveness of the ECM compared with the state-of-the-art methods.
Determinants of Smallholder Farmers’ Crop Productivity and Adaption Strategies amidst Rainfall Variability Concerns in Chongwe District, Zambia
Authors: Siamachoka Rosa
Published: September 2024

Climate change is a global challenge brought about by accelerated anthropogenic activities, leading to an increase in the presence of greenhouses gases in the atmosphere. Its impacts are profound in climate sensitive sectors such as smallholder agriculture. Zambia’s smallholder farmers are dependent on rain fed agriculture, and are thus vulnerable to climate change and climate variability. Climate variability, manifested through extreme events such as droughts, floods and abnormal temperatures work synergistically with other factors to affect crop productivity. This study was aimed at examining the determinants of smallholder farmers’ crop productivity amidst variability in seasonal rainfall received in Chongwe, Zambia . Five study sites (villages) in were purposively sampled, namely, Mudenda, Mutakama, Mulwila, Kalilika and Kangalangala. A total of 35 respondents and three key informants were interviewed during this study. The respondents were all smallholder farmers while the key informants were representatives from the Zambia Meteorological Department, Chongwe District Agriculture Office and a Traditional Leader. The trend analysis revealed that rainfall in Chongwe had decreased at an annual rate of 9.60mm between 2000 and 2021. Even though the reduction is not statistically significant (p = 0.181) the downward trend in rainfall should move smallholder farmers to devise adaptation measures to combat the decreased annual rainfall. Further, maize yields had decreased at an annual rate of 0.012 ton/ha between 2010 and 2019 which was not statistically significant (p=0.812). An assessment of social factors that could influence maize productivity revealed household size (r = 0.754; p = 0.012) and farming experience (r = 0.344; p = 0.043) as significant factors that affected maize productivity among the sampled households.. The study concludes that the smallholder farmers studied have experiencing decreased rainfall trends and maize productivity which increases their vulnerability to climate variability and climate change. The study recommends that agricultural development interventions should focus on enhancing the resilience of smallholder farmers in Chongwe through climate change awareness, household income diversification and public social capital mechanisms.
The Management of Environmental Risks arising from mining operations in Kitwe and Mufulira
Authors: Nachalwe Prisca
Published: September 2024

Mining as an extractive industry has both positive and negative impacts. The positive impacts are economic growth and job creation whereas the negative impacts pose risks to the general environment and human health. On this premise this study was carried out in order: To i) identify risks posed by mining operations to the environment and human health in Kankoyo and Nkana West, and ii) determine the extent to which the risk management strategies used by mining operators adequately address environmental and health risks in the study areas. The findings showed that the risks from mining in Nkana West residential area were minimal reduced whereas Kankoyo Township was still being impacted by serious pollution from Mopani Copper Mines operations. A questionnaire survey and a number of published articles revealed that Kankoyo and Nkana West are characterised by pollution of air, water and land with Kankoyo being the most affected by air and land pollution. The prominent health problem was respiratory tract infections resulting from smelting activities. Tests carried out on water samples collected from Uchi and Mwekera Streams in Kitwe indicated that Uchi had above limit concentrations of cobalt, manganese and iron which were attributed to effluent discharged from the Nkana mines. With regard to institutional arrangements, it was revealed that they were not adequate and this was evidenced by the relevant authorities’ lack of vital monitoring equipment and human resource for ensuring that mining companies were in compliance with the environmental regulations.
Por um modo de pesquisa subversivo e insurgente
Authors: Ferrazza Daniele de Andrade , Rezende Mateus Alexandre Pratas
Published: September 2024

Na década de 1980 foi lançado o livro “Mil Platôs: esquizofrenia e capitalismo 2”, de autoria de Félix Guattari e Gilles Deleuze, trazendo contornos de um campo de saber diverso, preocupados com novas formas de pensar a multiplicidade da vida e os processos de subjetivação, tecendo críticas e inaugurando instrumentos que repercutem até os dias atuais no pensamento contemporâneo. Dentre as inquietações provocadas, a cartografia tem sido operacionalizada enquanto estratégia metodológica na produção de um saber rizomático. O presente artigo acompanha o fragmento de uma trajetória de pesquisa cartográfica que se realiza no âmbito de um equipamento de saúde pública e tem como objetivo coletivizar a experiência do pesquisar, buscando disparar novos encontros e defender um modo de pesquisa subversivo e insurgente.
Deligny, Rancière e Deleuze
Authors: Santos Danielle Aparecida do Nascimento dos , Voltareli Jucimara Pagnozi , Reis Rafael dos Santos
Published: September 2024

Neste artigo compartilhamos os escritos de autores do pós-estruturalismo, os franceses Jacques Rancière nas obras: A partilha do sensível (2009), e O inconsciente estético (2009), Fernand Deligny com a obra Vagabundos eficazes (2018) e Gilles Deleuze nas obras Lógica do Sentido (2015), e com Félix Guattari nas obras O que é a filosofia? (2004), Mil Platôs (2012) e O anti-Édipo (2011). O objetivo é relacionar o conceito de estética de Rancière com a vivência de inclusão de Deligny, para delimitar um possível início de um Regime Estético Inclusivo da Arte, que criaria encontros que vão além do nosso pensamento sobre o encontro com a diferença, valorizando a diferença em sua essência sem passar por um filtro normatizador. Para isso, foi realizado também um diálogo com outros autores que utilizam destes referenciais. As fontes de busca foram as bases de dados BDTD, SciELO e Periódico Capes sem recorte temporal. Concluímos que na história não há uma decisão de ruptura as artes e inclusão já colocada, mas sim com decisão de reinterpretação das artes e da inclusão.
Sistem Informasi Persedian Barang Menggunakan Php Dan MySQL Pada PT. Wisma Bumiputera
Authors: Subana Bambang , Khaerunisa Nur
Published: September 2024

Sistem Informasi Persediaan Barang adalah sebuah system yang di desain untuk memenuhi informasi seputar kebutuhan permintaan barang, kesediaan barang, pengadaan barang serta laporan setiap bulannya. Selama ini kebutuhan informasi persedian barang tidak  tersedia dengan baik. Sehingga antara kebutuhan barang dengan persediaan barang tidak sesuai dan tidak bisa di prediksi dengan baik. Dalam penelitian ini penulis menggunakan metodologi penelitian Waterfall yang terdiri dari dari beberapa tahapan. Hasil yang didapat adalah tercapainya sistem informasi data persediaan barang untuk memenuhi kebutuhan yang efisien  menggunakan Sistem Informasi berbasis Web mengggunakan PHP Dan MySQL.
Efeitos da suplementação prévia de vacas e/ou bezerros durante a fase de cria sobre o desempenho dos animais durante a fase de recria a pasto
Authors: Rebouças Geovanne Ferreira , Nunes Gabriella Ribeiro , Marinho Walter Augusto dos Santos , Rezende Douglas Messias Lamounier Camargos , Nuñes Amoracyr José Costa , Carmo Adriana Santana do , Rosanova Clauber , Freitas Paulo Vitor Divino Xavier de
Published: September 2024

O agronegócio brasileiro é uma potência global, destacando-se na produção e exportação de carne bovina. Com a crescente demanda por carne de qualidade, é necessária a intensificação da produção, incluindo a suplementação de bovinos nas fases de cria e recria. Este estudo avaliou o impacto da suplementação durante a cria no desempenho dos bovinos na recria. O experimento, realizado no IFMT de setembro de 2022 a abril de 2023, envolveu 93 bovinos, divididos em grupos com quatro protocolos de suplementação na cria (0,3% do peso vivo - PV) e suplementação padronizada (0,6% do PV) na recria. A análise estatística incluiu o teste de médias de Tukey a 5% de probabilidade. A suplementação na fase de cria aumentou o peso ao desmame, mas não influenciou significativamente o peso final na recria. A suplementação intensiva de 0,6% do PV na recria foi eficaz na padronização do peso final entre os diferentes tratamentos. Machos apresentaram maior peso e ganho de peso diário em comparação às fêmeas. O cruzamento genético Nelore x Angus destacou-se, mostrando-se vantajoso para a produção de carne. Conclui-se que, embora a suplementação na cria seja benéfica para o desempenho inicial dos bovinos, sua influência no peso final é atenuada pela suplementação intensiva na recria. Futuros estudos devem investigar a suplementação contínua ao longo de todo o ciclo produtivo para avaliar seus efeitos completos sobre a carcaça e o acabamento dos animais.
Responsabilidade social na colheita florestal - estudo de caso no processamento de madeira em estradas vicinais
Authors: Rodrigues Maria Eduarda , Schettino Stanley , Minette Luciano José , Soranso Denise Ransolin , Lima Roldão Carlos Andrade , Lima Cássio Furtado
Published: September 2024

O estudo analisou a viabilidade técnica e econômica de processar e carregar madeira nas bordas laterais dos talhões florestais, evitando o uso simultâneo das estradas vicinais pela colheita florestal e pelas comunidades locais, com o objetivo de melhorar a segurança e o relacionamento com essas comunidades. A pesquisa foi conduzida em seis talhões de uma empresa florestal em Urucuia, Minas Gerais, atravessados por uma estrada vicinal usada para transporte escolar, remoção de pacientes e escoamento agrícola. Simulações foram realizadas com base no microplanejamento operacional, transferindo o baldeio da madeira para margens que não fazem limite com a estrada vicinal. Os mapas foram tratados em ambiente QGIS, e os resultados das simulações foram comparados com a situação original, avaliando a distância média de arraste, produtividade e custo operacional, utilizando teste t para observações pareadas e empregando a análise de variância (ANOVA) para as análises estatísticas. O replanejamento resultou em um aumento de 27,1% na distância média de arraste, uma redução de 4,7% na produtividade das máquinas e um aumento de 5,0% no custo unitário. No entanto, não houve diferença estatisticamente significativa nos custos médios da atividade entre a situação original e a replanejada. Concluiu-se que o processamento e carregamento de madeira em estradas secundárias, longe das vicinais, pode ser realizado sem prejuízos operacionais ou econômicos significativos, e que o microplanejamento das atividades de colheita florestal deve levar em conta não apenas as variáveis ambientais e econômicas, mas também aspectos sociais, visando melhorar a segurança e o relacionamento com as comunidades locais.
Infecções sexualmente transmissíveis na perpectiva de alunos do ensino médio regular de escolas públicas de um munícipio remoto do interior do Amazonas
Authors: Silva Farlon Vinícius Santos da , Silva Irlanilton Eduardo da , Batista Vandelza da Costa , Silva Irleane Eduardo da , Cruz Bianca Ingrid Lopes da , Reis Jocastra Alexandra de Souza , Protázio Rogério Pereira , Maia Lauren Luana de Souza
Published: September 2024

O propósito da pesquisa é descrever e explorar aspectos sobre educação sexual em escolas estaduais do município de Coari/AM, esclarecendo sobre as IST’s através de educação em saúde sexual para jovens e adolescentes do ensino médio regular. Trata-se de uma pesquisa descritiva, quantitativa e transversal do projeto (PIBEX) intitulado - Orientações sobre a prevenção das infecções sexualmente transmissíveis nas escolas estaduais de um município do interior do Amazonas, ofertado pela Universidade Federal do Amazonas (UFAM) e Instituto de Saúde e Biotecnologia (ISB), sob o número 00213/2022, sendo suas atividades executadas entre agosto de 2022 a outubro de 2022. O público - Alvo foram os alunos cursantes do ensino médio público. A partir do projeto, se realizaram rodas de conversa e ações de testagens em conjunto com a secretária municipal de saúde por intermédio do Instituto de Medicina Tropical de Coari. Por fim, concluiu-se que os jovens e adolescentes precisam ser corretamente assistidos com informações seguras e confiáveis sobre IST’s. Os resultados obtidos com este projeto executado nas escolas públicas representam e colaboram para uma melhor compreensão da saúde sexual para jovens e adolescentes do ensino médio, destacando o preenchimento de conhecimento nas lacunas existentes na vida desta população vulnerável, podendo ser ofertado com excelência informações seguras e confiáveis, detecção precoce, tratamento e qualidade de vida.
O papel da IA no xadrez: benefícios e malefícios e implicações pedagógica
Authors: Tirado Augusto Claudio Santa Brígida , Pilatti Luiz Alberto
Published: September 2024

O presente estudo tem como objetivo examinar o impacto prático da IA no desenvolvimento de habilidades enxadrísticas e nas transformações que a tecnologia traz para o jogo. A pesquisa combina métodos qualitativos e quantitativos, analisando vídeos educativos de xadrez selecionados por critérios pedagógicos. Foram realizadas transcrições e análises estatísticas para identificar o uso de IA nas estratégias de ensino, com validação empírica em partidas reais, respeitando princípios éticos e de privacidade. Os resultados indicam que jogadores com menor perda média em centipeões apresentam desempenho superior, especialmente no meio-jogo, onde os erros críticos são mais frequentes. Observou-se que a gestão do tempo e a capacidade de adaptação após desvios da teoria influenciam diretamente a precisão dos lances. A IA se mostrou eficaz na identificação de padrões de erro e no aprimoramento das estratégias dos jogadores. Conclui-se que a IA, especialmente motores como o Stockfish, melhora as habilidades enxadrísticas ao identificar erros e oferecer feedback detalhado, mas pode limitar a criatividade e a intuição dos jogadores, destacando a importância de equilibrar tecnologia e desenvolvimento estratégico independente.
Estimulação transcraniana por corrente contínua (ETCC) como estratégia de tratamento do transtorno depressivo recorrente: relato de caso
Authors: Silva Layla Raquel Alves da , Araújo Luanna Silva , Amorim Samuel Ilo Fernandes de , Carvalho Vanessa Lacerda Couras de , Lobo Felipe Viana Pereira , Tavares Natália Bastos Ferreira , Ferino Luiz Paulo da Penha , Lima Joab Soares de , Lins Francisca Sabrina Vieira
Published: September 2024

Esse artigo teve como objetivo detalhar a aplicabilidade da Estimulação Transcraniana por Corrente Contínua (ETCC) como estratégia de tratamento para o Transtorno Depressivo Recorrente, com base na análise de um caso clínico específico. Para tanto, utilizou-se de um estudo de caso, sendo classificado, metodologicamente, quanto aos seus objetivos gerais, como uma pesquisa do tipo descritiva e exploratória, de abordagem qualitativa. Para os devidos fins, foi realizada a coleta de dados acerca do caso clínico em comento através do prontuário físico da paciente, registrado no banco de dados do Centro de Atenção Psicossocial – CAPS III de Iguatu-Ceará. A monitorização se deu ainda por meio das estatísticas registradas no aplicativo "Flow Depression", utilizado para avaliar o progresso, após a execução da ETCC, da paciente índice do presente relato. A pesquisa demonstrou que a Estimulação Transcraniana por Corrente Contínua (ETCC) é uma alternativa terapêutica promissora e eficaz para pacientes com transtorno de depressão refratária, promovendo a melhoria dos sintomas depressivos e da qualidade de vida, especialmente em casos onde outras terapias se mostraram ineficazes. O caso relatado destaca a importância da sensibilidade e capacitação dos profissionais de saúde, incluindo os da Atenção Primária, para a aplicação dessa técnica relativamente nova. Embora a ETCC apresente segurança e tolerabilidade, são necessárias mais pesquisas para entender seus mecanismos de ação e otimizar protocolos de tratamento.
Desafios e conflitos na governança dos terrenos de marinha: o caso da Ilha de Upaon-açu
Authors: Dias Deoclides dos Santos Costa , Ribeiro Rafael Carvalho , Pinto Jorge Luís , Santos Paula Verônica Campos Jorge
Published: September 2024

Este estudo analisa os complexos desafios na gestão dos terrenos de marinha na Ilha de Upaon-Açu, Maranhão, um microcosmo representativo das questões enfrentadas em zonas costeiras brasileiras. Através de uma abordagem qualitativa, baseada em revisão bibliográfica sistemática e análise documental abrangente, identificamos questões críticas que permeiam a administração desses espaços costeiros estratégicos. Os resultados revelam um cenário multifacetado, marcado por irregularidade fundiária generalizada, degradação ambiental significativa, especialmente a perda de ecossistemas de mangue, pressões crescentes de desenvolvimento econômico, notadamente a expansão portuária, e uma pronunciada fragmentação institucional. A participação limitada das comunidades tradicionais nos processos decisórios, aliada às ameaças iminentes das mudanças climáticas, como a elevação do nível do mar, amplificam consideravelmente a complexidade da situação. O estudo evidencia a necessidade premente de uma abordagem de governança integrada, adaptativa e participativa, capaz de equilibrar as demandas muitas vezes conflitantes de conservação ambiental, desenvolvimento econômico e justiça social. As descobertas contribuem para o entendimento mais amplo dos desafios intrincados da gestão costeira no Brasil, oferecendo insights potencialmente aplicáveis a contextos similares em outras regiões e destacando a importância crucial de estratégias localmente adaptadas para uma governança costeira eficaz, equitativa e ambientalmente sustentável.
Research on Dynamic Poster Design in the Digital Age
Authors: Wang Yu , Li Yiye
Published: September 2024

At present, with the improvement of social living standards, people's aesthetic needs are becoming more and more important. At the same time, the acceleration of the pace of urban life has caused the fragmentation of daily time, so how to catch the eye of viewers in a short time has become the first essence of poster publicity. Dynamic posters not only have more visual impact than traditional static posters, easy to leave a deep impression on the viewer, but also can be widely spread in the Internet and daily life. This paper discusses the artistic expression of dynamic posters, the advantages compared with static posters, and the design characteristics of dynamic posters, which provides some theoretical references for the field of dynamic poster design.
Research on the Application of Chinese Traditional Decorative Water Patterns in Ceramic Visual Communication Design
Authors: Wei Minhua
Published: September 2024

In the long history of Chinese culture, the traditional decorative art has become the treasure of Chinese culture with its unique charm and profound connotation. Among them, as an important part of traditional Chinese decorative art, water pattern not only carries the ancient people's infinite yearning and deep understanding of the beauty of nature, but also shows extraordinary visual effects and communication value in the field of ceramic art. This paper aims to discuss the application status, artistic characteristics, cultural significance and future development trend of traditional Chinese decorative water pattern in ceramic visual communication design, in order to provide new inspiration and ideas for modern ceramic design.
SUCCESS RATES OF THROMBECTOMY IN STEMI PATIENTS UNDERGOING PERCUTANEOUS CORONARY INTERVENTION
Authors: SAQI MAUR , BUBAKAR M , FAROOQ M , ASHRAF MW , ASLAM M , FAROOQ F
Published: September 2024

Percutaneous coronary intervention (PCI) is a standard treatment for ST-segment elevation myocardial infarction (STEMI) patients. The role of thrombectomy as an adjunct to PCI remains debated, with conflicting evidence regarding its benefits and associated risks. Objective: This study aimed to compare the outcomes of patients receiving PCI with and without thrombectomy in managing STEMI, evaluating key parameters such as mortality, re-infarction, heart failure, cardiogenic shock, renal dysfunction, bleeding complications, stroke, and hospital stay duration. Methods: This cross-sectional study included 100 patients who met the inclusion criteria. Patients were divided into two groups: Group A (n=50) underwent PCI alone, and Group B (n=50) received PCI with adjunctive thrombectomy. Outcomes were compared between the two groups, including mortality, re-infarction, cardiac failure, cardiogenic shock, renal dysfunction, bleeding complications, stroke, and hospital stay. Statistical analysis was performed using appropriate tests, with significance at p < 0.05. Results: Of the 100 patients, 62% were male, and 38% were female. The mean age of patients in Group A was 54.19 ± 12.62 years, while in Group B, it was 55.22 ± 13.51 years. The mean BMI in Group A was 25.5 ± 3.16 kg/m², compared to 24.35 ± 5.75 kg/m² in Group B. Diabetes was present in 54% of Group A and 44% of Group B, and a history of smoking was reported in 38% of Group A and 34% of Group B. There was no significant difference in mortality between the two groups. However, renal dysfunction occurred in 1 patient in Group A and five in Group B (p = 0.03). Heart failure was noted in 3 patients in Group A and 6 in Group B (p = 0.002). Significantly more cases of stroke, excessive bleeding, and renal dysfunction were observed in Group B (PCI with thrombectomy) compared to Group A. Conclusion: Patients undergoing PCI with thrombectomy were at higher risk of developing complications, including stroke, renal dysfunction, and heart failure, compared to those receiving PCI alone. Although there was no significant difference in mortality between the two groups, the increased risk of post-procedure complications in the thrombectomy group suggests that careful patient selection is crucial for optimizing outcomes.
Senna uniflora (Mill.) H.S.Irwin & Barneby (Caesalpiniaceae) and Sida tiagii Bhandari (Malvaceae): New records for the flora of Uttar Pradesh
Authors: Shukla B. , Tiwari Arjun , Shukla Achuta
Published: September 2024

Senna uniflora (Mill.) H.S.Irwin & Barneby (Caesalpiniaceae) and Sida tiagii Bhandari (Malvaceae) are reported as new records for the flora of Uttar Pradesh from National Chambal Wildlife Sanctuary.
Gambaran Burnout Pada Tenaga Kesehatan
Authors: Oktaviani Rizky Chandra , Murdiana Sitti , Nur Haerani
Published: September 2024

Burnout akibat dari Covid-19 memiliki dampak terhadap kinerja tenaga kesehatan dalam menangani pasien Covid-19. Penelitian ini bertujuan untuk mengetahui gambaran tenaga kesehatan dalam menangani pasien Covid-19 di Indonesia yang meliputi tingkat burnout yang dialami ditinjau dari aspek demografis meliputi usia, jenis kelamin, lama bekerja, jenis pekerjaan dan wilayah tempat kerja. Penelitian ini menggunakan metode kuantitatif dengan analisis deskriptif. Penelitian ini menggunakan teknik purposive sampling berjumlah 372 tenaga kesehatan yang memiliki kriteria berpengalaman atau sedang menangani pasien Covid-19 pada beberapa di wilayah Indonesia. Teknik pengumpulan data menggunakan alat ukur skala burnout. Burnout pada aspek cynicism lebih banyak dialami oleh responden laki-laki. Responden dengan masa kerja 4 tahun lebih tinggi mengalami burnout pada seluruh aspek yaitu, exhaustion, cynicism, ineffectiveness. Jenis pekerjaan dokter lebih tinggi mengalami burnout terutama pada aspek cynicism. Wilayah Bali mengalami burnout lebih tinggi pada aspek ineffectiveness. Implikasi pada penelitian ini yaitu, menjadi sumber informasi dan menjadi bahan acuan intervensi dalam menanggulangi burnout yang dialami tenaga kesehatan sehingga dapat mengantisipasi jika gejala tersebut muncul.
Kolaborasi Musisi dan Influencer Tiktok Sebagai Strategi Promosi Lagu Kayla “Masa SMA”
Authors: Nugraha Ronaldy Bintang , Firmansyah Agus , Jaohari Enry Johan
Published: September 2024

Diawali dengan kemajuan teknologi, industri musik mengalami perubahan yang ditandai dengan munculnya platform TikTok. Platform ini dapat dimanfaatkan oleh musisi untuk menjangkau audiens yang lebih luas dan mempromosikan hasil kreatifitas musisi lebih efektif. Permasalahan dalam penelitian ini berfokus pada dampak kolaborasi musisi dan influencer terhadap jumlah penayangan, like, dan share lagu. Kolaborasi ini mempengaruhi tingkat interaksi dan keterlibatan pengguna TikTok dengan lagu tersebut, dan mampu menciptakan tren atau viralitas yang dapat memperluas jangkauan lagu di luar platform TikTok. Penelitian ini bertujuan untuk menganalisis efektivitas kolaborasi musisi dan influencer TikTok sebagai strategi promosi lagu. Metode penelitian yang digunakan adalah kualitatif. Teknik pengumpulan data menggunakan studi literatur dan analisis konten. Data yang telah terkumpul kemudian dianalisis dalam tiga tahapan yakni reduksi data, penyajian data dan penarikan kesimpulan. Hasil penelitian menunjukan bahwa kolaborasi musisi dan influencer TikTok dapat menjadi salah satu alternative strategi promosi lagu yang efektif. Faktor yang mempengaruhi efektivitas kolaborasi antara musisi dan influencer TikTok ditandai dengan meningkatnya visibilitas lagu “Masa SMA”, yaitu memperhatikan kecocokan target audiens dengan konten yang disajikan. Konten dibuat menarik, ketika seorang influencer memperkenalkan konten baru dengan lagu, audiens-nya cenderung lebih terbuka untuk mengikuti tren. Setelah lagu itu dipromosikan oleh influencer lalu menjadi tren, pengguna mencari lagu tersebut di platform lain. Oleh karena itu, dengan memperhatikan aspek-aspek ini, kolaborasi antara musisi dan influencer TikTok dapat menjadi alat yang efektif dalam memperkenalkan dan mempromosikan lagu baru kepada khalayak yang lebih luas.
Major approaches to endoscopic treatment of gastrojejunal anastomosis post gastric bypass with argon plasma and dietary monitoring: a systematic review
Authors: Lima Kennya Medeiros Lopes de Barros , Magalhães Ana Gabriela de , Borges Laís Martins , Santos Karlla Gabrielly Claudino , Mélo Neto Leonardo Honório de Andrade , Medeiros Vitor Bezerra de , Lopes Hugo Menezes , Araujo Jeffeson Alexandre Azevedo de , Pereira Netto Diego , Dall’orto Brysa Freitas , Campos Nicole Velasco
Published: September 2024

Introduction: Obesity is a serious chronic non-communicable disease (NCD) that has several consequences for public health. In this scenario, there are more than 2.2 billion people who are overweight or obese in the world, and the latest census showed that Brazil is in fifth place in the world ranking with 18.0 million obese individuals, tending to reach 70.0 million patients. Roux-en-Y Gastric Bypass (RYGB) is one of the most performed surgeries in the world, however, approximately 20% of patients undergoing this surgery do not lose the desired weight in the first year and 15% of patients regain weight after 18 to 24 months. Anastomotic diameters above 15.0 mm have been associated with a recurrence of obesity and may be associated with complaints of decreased satiety. Thus, the application of argon plasma in gastrojejunal anastomosis has been proposed to reduce weight in patients undergoing RYGB who presented recurrent obesity. Objective: It was to develop current scientific approaches through a systematic review of the main approaches and application of argon plasma and dietary monitoring in the reduction of dilated gastrojejunal anastomosis and the consequent reduction of recurrent weight after gastric bypass. Methods: The research and development of the work were carried out from May to July 2024 in the Scopus, PubMed, Science Direct, and Scielo databases, using the main scientific articles on nutrigenomics, and following the PRISMA rules. The quality of the studies was based on the GRADE and AMSTAR-2 instruments, and the risk of bias by the Cochrane instrument (Funnel Plot). Results and Conclusion: Twentyone studies were included out of a total of 125. According to the GRADE instrument, most studies presented homogeneity in their results, with X2=88.6%>50%. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 37 studies with a high risk of bias and 25 studies that did not meet the GRADE and AMSTAR-2 criteria. The application of argon plasma in the treatment of dilated gastrojejunal anastomosis and dietary monitoring have been highlighted as effective and safe methods in the treatment of recurrent obesity. The application of argon plasma via an endoscopic approach is very effective in its indications, technically easy to perform, and has numerous advantages over conventional electrocoagulation. Complications are rare. The limit of tissue penetration depth of 2 to 3 mm associated with excellent coagulation allows its application in critical areas such as the duodenum and colon.
Utilization of complex networks for analyzing PM2.5 air pollution in various regions
Authors: Xiao Qin , Lu Yunting
Published: September 2024

The complex network approach was employed to investigate PM2.5 levels in air pollution. Relevant PM2.5 data were analyzed for correlation, leading to the establishment of a complex network across various regions in China. By examining factors such as degree, community structure, and motifs, the findings indicated that this method effectively identifies the major polluted cities in China. Furthermore, cities experiencing clustered air pollution should be addressed collectively, reflecting the actual conditions. Given the dynamic nature of air movement, this research offers valuable insights for analyzing the aggregation of polluted cities.
Recovering of soil contaminated by hydrocarbons mixing
Authors: Luis Rico-Cerda José , Luis Ignacio -De la Cruz Juan , Guadalupe Mondragón -Reynel Perla , Manuel Sánchez -Yáñez Juan
Published: September 2024

In Mexico, an agricultural soil poor in nitrogen (N) contaminated by a hydrocarbon derivative such as automotive residual oil (ARA), with a relatively high concentration of 100,000 ppm, is an environmental problem, but also because it drastically affects soil properties associated with the mineralization of organic matter and loss of fertility, since it exceeds the maximum accepted limit of 4,400 ppm of the ­Mexican standard ­called, NOM-138-SEMARNAT-2012 (NOM-138). An alternative solution is to treat it with ecological actions to eliminate the ARA and recover fertility. Therefore, the objectives of this research were: i) bioremediation of soil contaminated by 100000 ppm of ARA ii) phytoremediation using Sorghum vulgare with Aspergillus inger and Penicillium chrysogenum to decrease ARA to a value below 4400 ppm of NOM-138. For this purpose, soil recovery was performed using the variable-response: disappearance of ARA by Soxhlet at the beginning and after bioremediation and at the end of phytoremediation with S. vulgare with phenology and biomass to seedling. All experimental data were validated by ANOVA/Tukey HSD P<0.05%. The results indicated that bioremediation and phytoremediation of soil contaminated by 100,000 ppm of ARA, decreased it to 3400 ppm, a value lower than the maximum established by NOM-138, sufficient for soil recovery in agricultural production, in 120 days, a relatively short period of time.
Transitory and Permanent Features of Shocks in Renewable Energy Consumption in Africa: Evidence from Seemingly Unrelated Regression
Authors: Saliu Mojeed Olanrewaju
Published: September 2024

This research work examines the stability and stationary features of the renewable energy consumption in the selected ten (10) African countries between the period of 1991 and 2023. The study aims at finding out whether the shocks coming from the renewable energy consumption management policies would make the modern energy to revert quickly to equilibrium (transitory) or move it farther away from equilibrium (permanent). Using a more sophisticated estimation technique – Seemingly Unrelated Regression (SUR-ADF), findings from the study reveals that the renewable energy consumption in the major oil producing countries in Africa has a stationary process and therefore giving it the potential to revert back to equilibrium by itself without major policy formulation. Whereas, non-stationary features were identified for non-oil producing countries, thereby making the renewable energy consumption management policies to be effective for the countries.