bluuebunny/crossref_metadata_2025 huggingface dataset:
Increased Risk of Hip Fracture in Patients with Acromegaly: A Nationwide Cohort Study in Korea
Authors: Kim Jiwon , Hong Namki , Choi Jimi , Moon Ju Hyung , Kim Eui Hyun , Lee Eun Jig , Kim Sin Gon , Ku Cheol Ryong
Published: October 2023

Background: Acromegaly leads to various skeletal complications, and fragility fractures are emerging as a new concern in patients with acromegaly. Therefore, this study investigated the risk of fractures in Korean patients with acromegaly.Methods: We used the Korean nationwide claims database from 2009 to 2019. A total of 931 patients with acromegaly who had never used an osteoporosis drug before and were treated with surgery alone were selected as study participants, and a 1:29 ratio of 26,999 age- and sex-matched osteoporosis drug-naïve controls without acromegaly were randomly selected from the database.Results: The mean age was 46.2 years, and 50.0% were male. During a median follow-up of 54.1 months, there was no difference in the risks of all, vertebral, and non-vertebral fractures between the acromegaly and control groups. However, hip fracture risk was significantly higher (hazard ratio [HR], 2.73; 95% confidence interval [CI], 1.32 to 5.65), and non-hip and non-vertebral fractures risk was significantly lower (HR, 0.40; 95% CI, 0.17 to 0.98) in patients with acromegaly than in controls; these results remained robust even after adjustment for socioeconomic status and baseline comorbidities. Age, type 2 diabetes mellitus, cardio-cerebrovascular disease, fracture history, recent use of acid-suppressant medication, psychotropic medication, and opioids were risk factors for all fractures in patients with acromegaly (all P<0.05).Conclusion: Compared with controls, patients surgically treated for acromegaly had a higher risk of hip fractures. The risk factors for fracture in patients with acromegaly were consistent with widely accepted risk factors in the general population.
Lohusaların Doğum Sonu Dönemde Aldıkları Ebelik/Hemşirelik Bakımından Memnuniyet Düzeyleri ve Etkileyen Faktörlerin İncelenmesi
Authors: Ulaş Karaahmetoğlu Gülşen , Durmuş Ayşenur
Published: October 2023

Amaç: Bu araştırma doğum yapan annelerin taburcu olmadan önce doğum sonu serviste aldıkları ebelik ve hemşirelik bakımından memnuniyetlerini belirlemek amacıyla yapılmıştır.

Yöntem: Tanımlayıcı-kesitsel nitelikteki araştırma Türkiye’nin kuzeybatısında bulunan bir ilimizin eğitim ve araştırma hastanesinde yürütülmüştür. Araştırmanın evrenini 01/07/2022- 01/10/2022 tarihleri arasında doğum yapan ve doğum sonu serviste bakım alan 460 lohusa oluştururken, örneklemi çalışmaya katılmaya gönüllü ve dahil edilme kriterlerine uyan 210 anne oluşturmuştur. Veriler Tanımlayıcı Özellikler Anket Formu, Ebelik/ Hemşirelik İşlevleri Anket Formu ve Görsel Analog Hasta Tatmini Skalası (GAHTS) ile toplanmıştır.

Bulgular: Lohusaların %52.4’ünün aldıkları ebelik/hemşirelik bakımından orta derecede memnun olduğu, %45.2’sinin çok memnun olduğu belirlenmiştir. Lohusaların ortalama GAHTS puanı 7.1±2.7 olduğu ve memnuniyet puan ortalamalarının yüksek olduğu bulunmuştur. Doğum şekli sezaryen olan annelerin GAHTS puan ortalaması 6.47±2.7, geliri giderinden az olanların GAHTS puan ortalaması 5.44±1.4, doğum sonrasında sorun yaşayanların GAHTS puan ortalaması 6.00±2.5 olarak saptanmıştır.

Sonuç: Annelerin yaş, eğitim durumu, çalışma durumu, sosyal güvence durumu, çocuk sayısı, gebeliğin planlı olma durumu, epizyotomi durumu, doğum sırasında sorun yaşama durumu ve refakatçiye sahip olma durumları, doğum sonu bakım memnuniyetini etkilemezken, gelir düzeyi iyi olanların, sezaryen doğum yapanların ve doğum sonrasında sorun yaşayan annelerin aldıkları doğum sonu bakımdan memnuniyetleri daha düşük bulunmuştur.
Sağlık Çalışanlarının İstemsiz Perioperatif Hipotermi Hakkındaki Bilgi ve Uygulamaları
Authors: Şahin Akboğa Özlem
Published: October 2023

Amaç: Bu çalışma, sağlık çalışanlarının istemsiz perioperatif hipotermi (İPH) hakkındaki bilgi düzeylerini ve İPH’yi önleme uygulamalarını belirlenmeyi amaçladı.

Yöntem: Araştırma, tanımlayıcı-kesitsel olarak, 26.01.2023-05.03.2023 tarihleri arasında, bir üniversitenin uygulama ve araştırma merkezinin ameliyathane ve cerrahi kliniklerinde görev yapan 107 sağlık çalışanı ile yürütüldü. Veriler, “Tanımlayıcı Bilgi Formu” ve “İPH Bilgi ve Uygulamalar Formu” ile toplandı.

Bulgular: Araştırmada, katılımcıların İPH ile ilgili bilgi puan ortalamasının orta düzeyde (8.04±1.65) olduğu, İPH bilgi puan ortalaması ile cinsiyet, görev/unvan ve eğitim durumu arasında anlamlı bir fark olduğu saptandı (p
Evaluation of the Effect of Compassion Fatigue on Medical Error Tendency in Intensive Care Nurses
Authors: Altay Meltem , Uslu Yasemin
Published: October 2023

Objective: This study was conducted to evaluate the relationship between compassion fatigue and tendency to medical errors in critical care nurses.

Methods: This descriptive study was conducted in the intensive care units of 16 hospitals (n=420) belonging to a private health group in Turkey between December 2021 and March 2022. Data were collected using the Compassion Fatigue-Short Scale and the Tendency to Medical Error in Nursing Scale (r=-0.252).

Results: The nurses’ mean score on the Compassion Fatigue-Short Scale was 56.20±26.77 and their mean score on the Tendency to Medical Error in Nursing Scale was 4.82±0.28. There was a statistically significant negative correlation between total scale scores.

Conclusions: The results suggest that the nurses in this study had moderate compassion fatigue and a low tendency to medical errors. A weak relationship was observed between higher compassion fatigue and a greater tendency to medical errors. Determining the factors that cause nurses to make medical errors is crucial to enable the necessary precautions to be taken. We recommend conducting multidimensional studies to evaluate the effects of compassion fatigue on patient safety and nursing outcomes.
THE EFFECT OF WORK DISCIPLINE, WORK MOTIVATION, WORK ETHICS AND WORK ENVIRONMENT ON EMPLOYEE WORK PRODUCTIVITY (LITERATURE REVIEW)
Authors:   Universitas Nahdlatul Ulama Surabaya, Syiva Siti Putri Nur , Lestari Rizka Ayu ,   Universitas Nahdlatul Ulama Surabaya, Lil'alamin Eka Bagus Rahmad ,   Universitas Nahdlatul Ulama Surabaya, Putra Riyan Sisiawan ,   Universitas Nahdlatul Ulama Surabaya
Published: October 2023

This study aims to analyze the effect work discipline, work motivation, work ethic and work environment on employee work productivity. Work discipline is a workplace or management concept that demands regular behavior of employees. Work motivation is the encouragement or impetus for every employee to work carrying out his work. With good motivation, employees feet happy and enthusiastic about their work, which leads to significant development and growth in the organization. Work ethic is a value based on hard work and determination. Capitalists believe in the need for hard work and its ability to improve moral character. The work environment is everything that surrounds workers and can affect the performance of the tasks assigned to them, and labor productivity is the production capacity of workers compared to the inputs used. This type of research uses a literature review bye reviewing previous studies with analysis and drawing conclusions using references from national journals sources from Google Scholar. The results of this study indicate that work discipline, work motivation, work ethic, work environment affect employee work productivity.
ТЕХНОЛОГИЯ ПРОДУКЦИИ И ТЕХНОЛОГИЧЕСКОЕ НОРМИРОВАНИЕ ПРЕДПРИЯТИЙ ИНДУСТРИИ ПИТАНИЯ
Authors: Купчак Д. В.
Published: October 2023

Учебное пособие предназначено для выполнения курсового проекта по дисциплине «Технология продукции и технологическое нормирование предприятий индустрии питания» и включает учебные материалы по технологическому проектированию, необходимые расчёты и справочные материалы, требуемые для выполнения курсового проекта.
Пособие предназначено для студентов высших учебных заведений, обучающихся по направлению 19.03.04 «Технология продукции и организация общественного питания», работников индустрии питания.
POLLUTION REMOVAL CAPACITIES OF AQUATIC PLANT SPECIES IN THE DATONG WETLAND PARK IN NORTH CHINA
Authors: Wang Wei , Lv Wujie , Li Jiaying , Jiao Xiang , Ma Zhiqing
Published: October 2023

The purification effect of a natural wetland landscape is often low when the focus is placed on the landscape effect. The effective combination of constructed wetland technology with landscape construction is challenging. Taking the Yuhe Wetland Park in Datong, Shanxi Province, China, as an example, the COD, phosphorus, and nitrogen removal capacities of aquatic plant species were determined, as well as the effects of the soil and the microbial communities. The highest COD and P removal capacity was observed for Typha orientalis Presl. which the purification rate reached 76.9% and 76.6%, and the highest N removal capacities were found for Scirpus validus Vahl., the rate of purification was 83.4%. Gram-negative bacteria were dominant.
A Census of the Most Luminous Stars. I. The Upper HR Diagram for the Large Magellanic Cloud
Authors: Martin John C. , Humphreys Roberta M.
Published: October 2023

Spectral classification and multiwavelength photometry for the most luminous stars in the LMC has greatly increased due to several recent surveys for both the hottest and coolest members. Combining data from these spectroscopic and photometric surveys, we have created catalogs based on their spectral classifications of the different groups: the luminous O and B stars, the A-type supergiants, and the evolved yellow and red supergiants. We derive their stellar parameters based on spectroscopic characteristics, and discuss the problems with extinction in crowded fields and the role of binarity on selected stars. Based on these surveys, we present the upper HR diagram representative of the LMC massive star population greater than 20 M
⊙.
Illuminating the Dark Side of Cosmic Star Formation. II. A Second Date with RS-NIRdark Galaxies in COSMOS
Authors: Behiri Meriem , Talia Margherita , Cimatti Andrea , Lapi Andrea , Massardi Marcella , Enia Andrea , Vignali Cristian , Bethermin Matthieu , Faisst Andreas , Gentile Fabrizio , Giulietti Marika , Gruppioni Carlotta , Pozzi Francesca , Smolçić Vernesa , Zamorani Gianni
Published: October 2023

About 12 billion years ago, the Universe was first experiencing light again after the dark ages, and galaxies filled the environment with stars, metals, and dust. How efficient was this process? How fast did these primordial galaxies form stars and dust? We can answer these questions by tracing the star formation rate density (SFRD) back to its widely unknown high-redshift tail, traditionally observed in the near-infrared (NIR), optical, and UV bands. Thus, objects with a large amount of dust were missing. We aim to fill this knowledge gap by studying radio-selected NIR-dark (RS-NIRdark) sources, i.e., sources not having a counterpart at UV-to-NIR wavelengths. We widen the sample of Talia et al. from 197 to 272 objects in the Cosmic Evolution Survey (COSMOS) field, including also photometrically contaminated sources, which were previously excluded. Another important step forward consists in the visual inspection of each source in the bands from u* to MIPS 24 μm. According to their “environment” in the different bands, we are able to highlight different cases of study and calibrate an appropriate photometric procedure for the objects affected by confusion issues. We estimate that the contribution of RS-NIRdark sources to the cosmic SFRD at 3 < z < 5 is ∼10%–25% of that based on UV-selected galaxies.
The Impulsive Acceleration of a Solar Filament Eruption Associated with a B-class Flare
Authors: Wang Xinyue , Song Hongqiang , Chen Yao , Li Leping , Hou Zhenyong , Zheng Ruisheng
Published: October 2023

The eruption of magnetic flux ropes (MFRs), often taking filaments together, leads to coronal mass ejections (CMEs). Theoretical studies propose that both the resistive magnetic reconnection and the ideal instability of an MFR system can release magnetic-free energy and accelerate CMEs (i.e., MFRs or filaments) during eruptions. Observations find that the full kinematic evolution of CMEs usually undergoes three phases: the initiation phase, impulsive acceleration phase, and propagation phase. The impulsive acceleration phase often starts and ceases simultaneously with the flare onset time and peak time, respectively. This synchronization can be explained by the positive feedback relationship between the acceleration of CMEs and flare magnetic reconnection, and suggests that the reconnection has the dominant contribution to the acceleration of CMEs. It is rare to see strong evidence that supports the dominant contribution of ideal instability to the acceleration. In this paper, we report an intriguing filament eruption that occurred on 2011 May 11. Its complete acceleration is well recorded by the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory. The kinematic analysis shows that the impulsive acceleration phase starts and ceases obviously earlier than the flare onset time and peak time, respectively, which means a complete asynchronization between the impulsive acceleration phase and flare rise phase, and strongly supports that the ideal instability plays a dominant role in this impulsive acceleration. Furthermore, the accompanied flare is a B-class one, also implying that the contribution of reconnection is negligible in the energy release process.
D1.2 Technical report on barriers and enablers for coastal restoration upscaling: A multi-level perspective
Authors: Ibáñez Carles , Alemany Alba , Bertomeu Ferran , Frias Silvia , Molero Judith , Merciai Roberto , Puertolas Laura
Published: October 2023

Coastal regions provide some of the most productive and biodiverse environments with an important and often underappreciated carbon storage potential. At the same time, they are among the areas of highest population density, natural assets, and cultural heritage in the world, yet are experiencing significant social, economic and environmental challenges, exacerbated by climate change and human pressures.The Rest-Coast Project (Large scale RESToration of COASTal ecosystems through rivers to sea connectivity) is an EU Horizon 2020 research project (Grant agreement No. 101037097) whose overall goal is to address with effective and innovative tools the key challenges faced by coastal ecosystem restoration across Europe. The approach chosen for this project will deliver a highly interdisciplinary contribution, with the demonstration of improved practices and techniques for hands-on ecosystem restoration across several pilot sites, supported by the co-design of innovative governance and financial arrangements, as well as an effective strategy for the dissemination of results.
L’Arménie victime de la géopolitique des empires
Authors: Yégavian Tigrane
Published: October 2023

La chute du Haut-Karabagh (Artsakh, en arménien), à la fin du mois de septembre 2023, invite à revenir à l’histoire douloureuse de l’Arménie, mais aussi à analyser des enjeux géopolitiques qui dépassent de très loin le périmètre des montagnes de cette région bouclier et berceau du peuple arménien, rayée de la carte en quarante-huit heures.
Madagascar en quête de repères
Authors: Randriamanantena Mamy Wilson
Published: October 2023

À la veille de l’élection présidentielle, la situation de Madagascar paraît bien problématique. La présidence qui s’achève a contribué à dégrader la situation. La relation à l’ancienne puissance coloniale reste complexe et l’ingérence de la Russie avérée. Quant aux Églises chrétiennes, elles semblent trop polarisées pour jouer un rôle d’apaisement.
Qu’est-ce que la traduction ?
Authors: Gepner Corinna
Published: October 2023

Qu’est-ce que traduire un texte littéraire ? Un travail de reconstitution ou d’invention ? Une exploration passionnante du travail de traduction avec son cheminement d’une langue à une autre, ses interrogations et ses doutes.
La formation au travail social en Belgique (1920-1940), entre « maternalisme » et professionnalisation
Authors: Zelis Guy
Published: October 2023

L’étude de la formation au travail social en Belgique (1920-1940) veut souligner deux axes qui paraissent traverser la formation au travail social : le « maternalisme » d’une part, et la professionnalisation d’autre part. Maternalisme et professionnalisation sont potentiellement contradictoires. Malgré le succès des féministes pour projeter les rôles maternels et domestiques dans la sphère publique, le « maternalisme » rappelle les prémisses selon lesquelles la maternité était considérée comme le rôle primordial des femmes ; en conséquence, le foyer était le lieu premier des femmes et les compétences féminines concernaient d’abord les domaines de l’éducation. L’élargissement du rôle familial et maternel des femmes constitue l’un des fondements du « maternalisme » réformiste. De cet élargissement est né le travail social dans une perspective professionnelle. Plutôt qu’une évolution qui conduirait, de 1920 à 1940, du maternalisme à la professionnalisation, l’expression « la maternité comme profession » (que j’emprunte à Christoph Sachsse) exprime la tension existant entre les deux pôles de l’activité à laquelle prépare la formation au travail social.
The fractal-fractional Atangana-Baleanu operator for pneumonia disease: stability, statistical and numerical analyses
Authors: Almutairi Najat , Saber Sayed , Ahmad Hijaz
Published: October 2023

The present paper studies pneumonia transmission dynamics by using fractal-fractional operators in the Atangana-Baleanu sense. Our model predicts pneumonia transmission dynamically. Our goal is to generalize five ODEs of the first order under the assumption of five unknowns (susceptible, vaccinated, carriers, infected, and recovered). The Atangana-Baleanu operator is used in addition to analysing existence, uniqueness, and non-negativity of solutions, local and global stability, Hyers-Ulam stability, and sensitivity analysis. As long as the basic reproduction number $ \mathscr{R}_{0} $ is less than one, the free equilibrium point is local, asymptotic, or otherwise global. Our sensitivity statistical analysis shows that $ \mathscr{R}_{0} $ is most sensitive to pneumonia disease density. Further, we compute a numerical solution for the model by using fractal-fractional. Graphs of the results are presented for demonstration of our proposed method. The results of the Atangana-Baleanu fractal-fractional scheme is in excellent agreement with the actual data.
Analysis of nonlinear ordinary differential equations with the generalized Mittag-Leffler kernel
Authors: Atangana Abdon , Mishra Jyoti
Published: October 2023

The Picard iterative approach used in the paper to derive conditions under which nonlinear ordinary differential equations based on the derivative with the Mittag-Leffler kernel admit a unique solution. Using a simple Euler approximation and Heun's approach, we solved this nonlinear equation numerically. Some examples of a nonlinear linear differential equation were considered to present the existence and uniqueness of their solutions as well as their numerical solutions. A chaotic model was also considered to show the extension of this in the case of nonlinear systems.
Developing students' cognitive skills in MMS classes
Authors: Krylov Eduard , Devyaterikov Sergey
Published: October 2023

Modern engineers face the challenges of complexity, uncertainty and ambiguity as three fundamental aspects of post-industrial technology. Hence, meta-subjective cognitive skills, critical thinking and creativity become no less important than professional knowledge acquired in vocational training. The better conditions for the development of these skills can be found if a contextual approach in teaching/learning is incorporated into the engineering curriculum. The article discusses the strategies for involving students in active learning activities while studying Mechanism and Machine Science (MMS) and developing students' cognitive competencies and metacognitive skills. Following the contextual approach, one can find that the simulation of mechanisms and the use of virtual labs form a powerful methodology to help learners better understand theory concepts. They provide students with a means of deeper numerical analysis and stimulate independent learning activity. Simulation and modeling of MMS products contribute greatly in students' comprehension of kinematics and dynamics of mechanisms. Another milestone of contextual approach is a creative problem-based learning that has been shown to be effective in education. However, creative problem-based learning is not in a focus of MMS courses yet. Brainstorming, TRIZ (theory of inventive problem solving, it sometimes occasionally goes by the English acronym TIPS), Synectics, and other creative problem-solving methods can be adapted for the active MMS learning. The article suggests the adaptation of SCAMPER, a method for solving several problems concerning structural analysis, kinematics, and gear trains.
Cultivating a Civic Identity using a Feminist Cohort Model: An Analysis of Tulane’s Newcomb Scholars Program
Authors: Smith Aidan , McBride Ryan , Mahoney Anna , Nance Agnieszka
Published: October 2023

Analysis of the Newcomb Scholars program at Tulane University offers a case study in the development of civic identity through participation in a four-year curricular program with community engagement and service-learning grounded in feminist pedagogies and theories. Each year, twenty intellectually curious and ambitious undergraduates are selected to participate in an academically rigorous interdisciplinary learning experience centering feminist leadership. Using data from a recently completed 10-year evaluation of the Newcomb Scholars program, this article considers how these students’ civic identity is forged because of curricular and co-curricular experiences and persists in post-graduation settings. Evaluation data includes longitudinal survey responses, participant grade data, and demographic information of program participants. Our analysis examines how the components of the Scholars program adhere to the five building blocks for developing a healthy civic identity and shares results from the program’s 10-year assessment (Schnaubelt, et al 2022). Special focus is placed on participants' commitment to feminism as a political issue, a defining element of a healthy civic identity. Significantly, the study found nearly 77% of respondents to the alumnae survey agreeing that they are currently engaged in some level of feminist work and 95% of respondents identifying as a feminist. The cohort structure is also a focus. It keeps the Newcomb Scholars together for curricular and co-curricular experiences across four years, allowing them to practice the building blocks of a healthy civic identity in the context of an enduring community. Further, we discuss the challenges the program has experienced due to institutional and organizational constraints. Finally, we offer thoughts on how to address these concerns within a context of national democratic threat and decreased trust in higher education.
Social movements and the use of social media: the Lyon Pour La Liberté case
Authors: Ruedell Eduardo , Borelli Viviane
Published: October 2023

This text describes the communication structure of the French social movement Collectif Lyon Pour La Liberté from its creation in 2021 until the month of September in 2022. The first observations of the communication actions of Lyon Pour La Liberte revealed that the circulation of meanings did not only manifest itself as a product of mediatization, and took place in different media systems. In order to test such hypothesis it was necessary the development of a method focused on the analysis of intersystemic circulation (Carlón, 2020) supported by the evidential paradigm (Ginzburg, 1980) and by the analysis of correlations and contexts of discourses collected from the interaction channels of the collective. The theoretical framework that triggered the investigation includes theories such as mediatization (Verón, 2014), circulation of meanings (Boutaud & Verón, 2007; Carlón, 2018) and social movement studies (Jamison & Eyerman, 1991). From the research, it was possible to verify the use of groups on Telegram as the main channels of mobilization of Lyon Pour La Liberté and therefore the core of its communication structure, in addition to the use of circulation of meanings as a communication strategy by the Collective confirming the initial hypothesis. Finally, it was possible to observe significant changes in the organization of the Collective as an effect of the circulation, indicating its possible institutionalization.
¡Situaciones indeseables o cómo podemos activar el poder de la negación!
Authors: Pinto José Gomes
Published: October 2023

Hablar de la concepción situacionista de la ciudad en tanto medio, es una petición de principio, porque en realidad nunca existió, ni fueron presentadas tesis metodológicamente válidas en materia de construcción arquitectónica sistemática por parte de este grupo activista. Aunque sí muchos apuntes dispersos. Se puede, todavía, intentar una forma aproximada de pensar el problema del espacio, del espacio urbano y del espacio mediático, desde una perspectiva situacionista y de su influencia en el activismo contemporáneo, maxime, si lo pensamos desde su uso en plataformas digitales. Aunque para estos seria simplemente una forma de poner en práctica el concepto de régimen político del espacio que ya había postulado Henri Lefebvre en sus textos, especialmente en su libro La producción del espacio (Lefebvre, 1991, passim). ¿Y qué se piensa o se quiere decir cuando se habla de un régimen político del espacio? Simplemente una forma de concebir el espacio como un lugar de articulación entre personas, entre formas de vida que pueden tener lugar en ese espacio como una construcción efímera; es decir, son formas de espacializar el tiempo, el presente, aunque ahora se utilicen también tecnologías conectadas en red. El régimen político del espacio se refiere siempre y, en primer lugar, a la forma vital de construir una situación como condición de posibilidad de una interacción vital (Debord, 1992a; 1992b). El urbanismo unitario es pues un concepto político alargado, quizás el concepto político por excelencia si nos situamos desde la perspectiva situacionista: una práctica activa que traduce las posiciones clásicas del término política para os griegos, que en su etimología remite precisamente a la noción de régimen, la fuerza que sirve a las personas que interactúan de cierta manera, según reglas que también están determinadas. Para los griegos, sólo era posible pensar la política cuando se relacionaba estrictamente con el concepto de comunidad, de koinonia, es decir, de compartir, pero también de don y dadiva, porque sin éstos la comunidad es falsa, es decir, mera proyección (screening). El activismo es, o siempre puede ser, una forma de negación; esa por lo menos fue siempre la intención de todo pensamiento de Debord como de su arte (Debord, 2000). Confrontaremos estas posiciones con las que enfrentamos en el activismo contemporáneo (Crary, 2022, p. 99) que ve en la tecnología y en los espacios virtuales o aumentados los nuevos espacios de confrontación política (Crary, 2022, p. 19). Usaremos los textos de Debord, los de la revista Internacional Situacionista y los de, a la sazón, eran sus intérpretes, aunque éstos no hagan cualquier referencia a los dos primeros.
Upskilling and Motivating a Multigenerational Workforce in the Post-Pandemic World
Authors: Mironko Arkadiusz , Liu Yan
Published: October 2023

This chapter delves into the comprehensive examination of upskilling and motivating a multigenerational workforce in the post-pandemic era, marked by remote work and increased technology adoption. It underscores the importance of comprehending the unique values and work habits exhibited by diverse generational cohorts, presenting a comparative analysis of each generation's characteristics. The chapter also delves into the far-reaching effects of the pandemic on remote work and emphasizes the necessity for customized training programs to cater to different segments of the workforce. Furthermore, it explores the integration of technology in human resource management (HRM) and delves into the ethical implications arising from AI and machine learning. Lastly, the chapter underscores the significance of managing employee well-being, particularly within the pandemic context, and proposes strategies to foster physical and psychological health. Ultimately, the chapter establishes a foundation for further exploration of employee motivation and how to use HRM practices in the new era.
Navigating Motherhood and Career in a Post-Pandemic World
Authors: Singh Anu Raj , Tiwari Aparna , Gupta Sandhya
Published: October 2023

This chapter focuses on the issues that women are facing in reconciling their obligations to their families and professional ambitions within an atmosphere of gender equality and sustainability. The authors review the extant literature, examine the impact of the Covid-19 pandemic on women's psychological health, and illuminate the significance of work-life balance in advancing gender parity and workplace contentment. By studying psychosociological aspects, we can gain insight into how the outbreak has impacted female mothers' roles and careers. It is important to keep in mind that personal encounters and prospects are molded by socio-cultural frameworks and regulations, which condition how women handle both familial life and job-related matters from a psychosociological point of view. Moreover, the pandemic has highlighted existing gender discrepancies in labor force participation as well as childcare duties.
REFLEXÕES SOBRE A CONSTRUÇÃO DE UMA PESQUISA QUALITATIVA EM PSICOTERAPIA ON-LINE
Authors: Lopes Pereira da Silva Nara Helena , Aguirre Antunez Andres Eduardo
Published: October 2023

Os serviços mediados pela internet oferecem uma diversidade de formas de conexão e interatividade e, em decorrência, surgem novas intervenções em saúde mental, exigindo pesquisas que fundamentem e avaliem tais práticas. Entretanto, os estudos na área são escassos, especialmente diretrizes que auxiliem na condução de pesquisas que envolvam as intervenções baseadas na internet. Nesse sentido, o objetivo deste artigo é indicar orientações para o desenho de pesquisas de intervenção psicológica na internet, tendo como ilustração a construção de uma pesquisa interventiva em psicoterapia on-line, qualitativa, descritiva e longitudinal. São abordados seis aspectos significativos para pesquisas em intervenção digital, incluindo contato com colaboradores, critérios de participação, alcances da pesquisa, monitoramento e avaliação das intervenções, critérios tecnológicos e aspectos éticos no campo digital. São levantados aspectos técnicos, qualitativos e de cuidados necessários para manter a qualidade dos atendimentos e das pesquisas mediadas pelas tecnologias digitais. É urgente à psicologia consolidar um campo de saber que se ocupe tanto das influências das tecnologias nas subjetividades, também, delinear estudos que avaliem com rigor científico o uso da internet para o tratamento e cuidado em saúde mental.
SOFRIMENTO E SOLIDÃO: NARRATIVAS DE PROFISSIONAIS DO SETOR DE ONCOLOGIA
Authors: Farias Camila Peixoto , Miriam Tachibana  , Daiane Philipssen Maders  , Marcelene Souza Duarte  , Mariana Barboza Lopes
Published: October 2023

No setor de oncologia das instituições hospitalares, visando o cuidado humanizado, tem sido desejável a atuação de profissionais de diferentes áreas. Esse estudo teve o objetivo de investigar a experiência subjetiva dos diferentes profissionais que atuam nesse setor. A pesquisa contou com a participação de 23 profissionais da área de oncologia de um hospital público situado no interior do Rio Grande do Sul. Nesse estudo qualitativo, os participantes foram entrevistados individualmente, sendo tais entrevistas mediadas pela apresentação de uma narrativa interativa, a qual eles eram convidados a inventarem um desfecho e a associarem livremente. Foram identificadas, após consideração psicanalítica, duas categorias intituladas ‘Aos outros eu devolvo a dor’ e ‘Dança da solidão’. A partir delas foi possível identificar, respectivamente, como os profissionais experienciam, em seu cotidiano de trabalho, suas relações com os pacientes e com os seus colegas de equipe. Observou-se que, para os participantes, o cotidiano de trabalho é atravessado por sofrimento por terem de lidar com o mal-estar de seus pacientes, bem como as perdas frequentes, sofrimento esse que fica acentuado por não terem condições de compartilhá-lo com os seus pares no trabalho. Conclui-se que se faz necessário o desenvolvimento de ações, em especial a constituição de um enquadre clínico em que os profissionais possam ter trocas afetivas entre si, o que poderia, num só tempo, tanto ajudá-los a lidar com o sofrimento despertado no setor de oncologia quanto ajudá-los a se sentirem pertencentes a essa equipe composta por diferentes áreas de especialidade.
Silver Nanoparticles/Titanium Dioxide Nanowires Photocatalyst Formation for Microplastic Removal Using Ultraviolet Radiation
Authors: Xuen Lim Ruo , Isa Norain , Razak Khairunisak Abdul , Jaafar Mariatti , Lockman Zainovia
Published: October 2023

Microplastic is the most problematic persistent pollutants in the environment despite of its unique properties for various life application. The objective is to investigate the feasibility and practicability of the nanostructured TiO2 coupling with noble metal in removal polypropylene (PP) microplastics. The TiO2 nanowires (NWs) were synthesized by thermal oxidation of Ti foil under various mixed oxidation environments. TiO2 NWs were successfully grown uniformly and with full coverage over the foil under the condition of ramping in KOH mist and soaking in water vapour at 700 °C for 120 minutes. Heterojunction photocatalyst of Ag/TiO2 NWs was formed using wet impregnation method. Small quantity of Ag nanoparticles (NPs) was attached onto the TiO2 nanowires. The photocatalytic efficiency of the synthesized Ag/TiO2 NWs photocatalyst was tested upon removal of PP microplastic from non-static water bodies under UV irradiation. Coupling Ag NPs with TiO2 NWs have better photocatalytic performance than those without Ag NPs from the reduction of weight loss and the possibility of presence of carbonyl group.
Essential Oils as an Alternative Treatment for Migraine Headache: A Systematic Review and Meta-Analysis
Authors: Murtey Pireimathy , Noor Norhayati Mohd , Ishak Azlina , Idris Nur Suhaila
Published: October 2023

Background: Alternative and complementary medicines are widely used to treat migraine headaches. This review aimed to determine the effectiveness of essential oils as an alternative treatment approach.Methods: A structured search was conducted to identify randomized trials comparing essential oils with a placebo for migraine headaches, using databases (MEDLINE and CENTRAL) to search for articles published between 1966 and 2021. We included trials involving adult males and females diagnosed with migraine headaches according to the International Headache Society. The outcomes included number of attacks, headache severity, associated symptoms, number of days of limited activity, headache duration, use of analgesics, and adverse effects. Seven trials were included with a total of 558 participants.Results: No difference was observed in the number of migraine headache attacks compared to placebo (mean difference [MD], -1.34; 95% confidence interval [CI], -3.31 to 0.64; I2=94%; P=0.190; four trials, 242 participants; moderate- quality evidence). There was no difference in this outcome between the essential oils treated group and the placebo (MD, -0.38; 95% CI, -1.76 to 0.99; I2 statistics=86%; P=0.580; five trials, 240 participants; moderate-quality evidence).Conclusion: We found no significant difference between the use of essential oils and placebo in managing migraine headaches.
Aeromonas hydrophila infection in acute myeloid leukemia: A case report
Authors: He Rui , Zhong Siqi , Fan Jinghua
Published: October 2023

Rationale:

Aeromonas hydrophila, a bacterium commonly found in a variety of soils, aquatic habitats, and other natural environments, is known for causing infections and hemorrhagic diseases in both aquatic and terrestrial animals. Patients with leukemia, when infected by Aeromonas hydrophila following chemotherapy, face an increased risk of developing necrotizing fasciitis.

Patient concerns:

A 48-year-old male with a history of acute myeloid leukemia presented with swelling and pain in his right hand after being stabbed by a grass carp two days ago. The injury occurred on the fifth day after his last chemotherapy session when he was accidentally punctured in the right thumb and ring finger by a carp while fishing. Two days following the injury, the skin isurrounding the wound turned black immediately, while the rest of his hand was reddened, swollen, and bleeding.

Diagnosis:

Aeromonas hydrophila infection in the soft tissue of the right hand.

Interventions:

Intravenous antibiotics and local debridement.

Outcomes:

The patient experienced an alleviation of systemic poisoning symptoms, effective control of the local wound infection.

Lessons:

It is important for physicians to appreciate the potential for highly unusual and life-threatening infections in patients with acute myeloid leukemia. Early diagnosis and prompt treatment can prevent the development of necrotizing fasciitis and save patients' lives.
Surgical Rehabilitation of a Continuous Orbital and Maxillary Defect from Rhino-Orbital Mucormycosis Utilising Digital Technology - A Case Report
Authors: Rathee Manu , Chahal Sujata , Alam Maqbul , Singh Sandeep , Divakar S.
Published: October 2023

Rationale:

COVID-19 has led to a resurgence in cases of mucormycosis, especially the rhino-orbital form affecting the oral cavity, nasal, orbital and cerebral regions.

Patient Concerns:

The surgical treatment in this patient led to the exenteration of orbital contents and segmental maxillectomy of the affected side leading to facial disfigurement and inability to masticate.

Diagnosis:

A combined mucormycosis-associated oro-orbital defect was present leading to a communication between oral and orbital cavities.

Treatment:

Rehabilitation utilising digital technology for removable prosthesis was planned for the combined orbital and oral defect.

Outcomes:

The independent intraoral and orbital prosthesis reduced the mobility of the orbital prosthesis while performing functional movements. The advancements in digital technology led to the convenient and resilient fabrication of prostheses for large facial defects.

Take-away Lessons:

The prosthetic rehabilitation of a continuous orbital and oral defect with a hybrid of both digital and conventional means provided an aesthetic, feasible and financially sound solution to the patient.
Cost-effectiveness of the Flapless Insertion of Zygomatic Implants Using Dynamic Navigation - A Retrospective Study
Authors: Bhalerao Ashwini , Ayoub Ashraf , Marimuthu Madhulaxmi , Wahab Abdul , Kumar Vaibhav
Published: October 2023

Introduction:

Zygomatic implants are an effective solution for rehabilitation of edentulous atrophic maxillae. However, the conventional technique of zygomatic implant placement is invasive, requires a longer healing period and is economically cumbersome. Therefore, the flapless technique of insertion of zygomatic implants using dynamic navigation system has been introduced. This study aims to compare the cost-effectiveness of flapless insertion of zygomatic implants using dynamic navigation to the conventional flap technique.

Materials and Methods:

The study participants were divided into two groups: Group A (n = 20) included patients treated by flapless insertion of zygomatic implants using dynamic navigation and Group B (n = 20) included patients treated with zygomatic implants using the flap technique. An analysis of the effectiveness of the implants was done using the concept of quality-adjusted prosthesis years, and an analysis of the costs was done by evaluating the treatment costs at each step. The data were collected, and analysis was done using IBM SPSS software. The Kruskal–Wallis rank-sum test was employed to analyse variations in costs and effects between the two groups.

Results:

The study showed that the distribution of costs varies across both the categories of the procedure. Group B shows lesser cost-effectiveness as compared to Group A.

Conclusion:

The technique of flapless insertion of zygomatic implants is cost-effective. However, further studies considering factors such as time and cost of productivity evaluating the cost-effectiveness should be conducted.
Clinicopathological analysis of mesenchymal hamartoma of the liver
Authors: Liao Guangjie
Published: October 2023

To improve the awareness of the CT appearances and histopathological presentations of mesenchymal hamartoma of the liver (MHL),one case of MHL was observed and analyzed its imaging and pathological features with review of the literatures. One case of MHL was observed and analyzed its imaging and pathological features with a review of the literature. This patient underwent an operation and the tumor was completely resected. A diagnosis of MHL was established by pathological examination. No tumor recurrence or metastasis was observed 4 years after operation. MHL is a rare benign tumor of the liver. Preoperative diagnosis is very significant. As its main imaging method, CT scan has some specific features. The management of MHL remains controversial. To achieve a good long-term outcome, complete resection of MHL is recommended.
Role of Novel Glucagon-like Peptide-1 Receptor Analogue Polyethylene Glycol Loxenatide in Type 2 Diabetes: A Systematic Review and Meta-analysis
Authors: Dutta Deep , Chatterjee Subhankar , Datta Priyankar K. , Mohindra Ritin , Sharma Meha
Published: October 2023

Background:

Polyethylene glycol loxenatide (peg-loxenatide) is a novel glucagon-like peptide-1 receptor agonist developed and available for clinical use in China. This meta-analysis was performed as no meta-analysis has analysed the efficacy and safety of peg-loxenatide in type 2 diabetes (T2DM).

Methods:

Electronic databases were systematically reviewed for RCTs having patients living with T2DM receiving peg-loxenatide in treatment arm and placebo/any other diabetes medicine in control arm. The primary outcome was to evaluate changes in glycated haemoglobin. The secondary outcomes were to evaluate alterations in weight, blood pressure, fasting glucose, prandial glucose, lipids, and adverse events.

Results:

Data from four trials (718 patients) were analysed. Over 12–24 weeks of clinical use, HbA1c was significantly lower in patients receiving standard-dose peg-loxenatide (100 mcg/week) {MD -0.95% [95% confidence interval (CI): -1.19 to -0.71]; P < 0.01; I2 = 76%} and high-dose peg-loxenatide (200 mcg/week) [MD -1.15% (95% CI: -1.47 to -0.82); P < 0.01; I2 = 90%], as compared to placebo. Standard-dose peg-loxenatide was not associated with increased occurrence of nausea [RR 2.87 (95% CI: 0.56 to 14.72); P = 0.21; I2 = 10%], vomiting [RR 4.73 (95% CI: 0.53 to 41.88); P = 0.16; I2 = 0%], and anorexia [RR 0.78 (95% CI: 0.18 to 3.28); P = 0.73; I2 = 0%]. Occurrence of nausea [RR 16.85 (95% CI: 3.89 to 72.92); P < 0.01; I2 = 10%], vomiting [RR 15.90 (95% CI: 2.99 to 84.55); P < 0.01; I2 = 0%], and anorexia [RR 3.85 (95% CI: 1.24 to 11.88); P = 0.02; I2 = 0%] was significantly higher with high-dose peg-loxenatide, as compared to placebo.

Conclusion:

Peg-loxenatide (100 mcg/week) is the most appropriate dose for clinical use as it is associated with good glycaemic efficacy with minimal gastro-intestinal side effects.
South Asian Endocrinology: Challenges and Concerns, Collaboration and Consolidation
Authors: Bhattacharya Saptarshi , Kalra Sanjay
Published: October 2023

The practice of endocrinology in South Asia poses many challenges but simultaneously offers unique opportunities. The population in this region is predisposed to diabetes and cardiovascular disease at a much lower body mass index compared to Caucasians. Dietary deficiencies, higher prevalence of infection and distinct environmental and genetic factors further complicate the presentation of endocrine disorders. Over the past few decades, important breakthroughs have been made to confront these challenges. Collaboration among the endocrine fraternity of the South Asian countries will help to consolidate these gains and pave the way forward for a healthier region.
The Impact of a Collaborative Care Model on Health Trajectories among Patients with Co–Morbid Depression and Diabetes: The INDEPENDENT Study
Authors: Balasundaram Bhavani Sundari , Mohan Anjana Ranjit , Subramani Poongothai , Ulagamathesan Venkatesan , Tandon Nikhil , Sridhar Gumpeny Ramachandra , Sosale Aravind Ramachandra , Shankar Radha , Sagar Rajesh , Rao Deepa , Chwastiak Lydia , Mohan Viswanathan , Ali Mohammed Kumail , Patel Shivani Anil
Published: October 2023

Context:

Collaborative care models for depression have been successful in a variety of settings, but their success may differ by patient engagement. We conducted a post-hoc analysis of the INDEPENDENT trial to investigate the role of differential engagement of participants on health outcomes over 3 years.

Settings and Design:

INDEPENDENT study was a parallel, single-blinded, randomised clinical trial conducted at four socio-economically diverse clinics in India. Participants were randomised to receive either active collaborative care or usual care for 12 months and followed up for 24 months.

Method:

We grouped intervention participants by engagement, defined as moderate (≤7 visits) or high, (8 or more visits) and compared them with usual care participants. Improvements in composite measure (depressive symptoms and at least one of three cardio-metabolic) were the primary outcome.

Statistical Analysis:

Mean levels of depression and cardio-metabolic measures were analysed over time using computer package IBM SPSS Statistics 25.

Results:

The composite outcome was sustained the highest in the moderate engagers [27.5%, 95% confidence interval (CI): 19.5, 36.7] and the lowest in high engagers (15.8%, 95% CI: 8.1, 26.8). This pattern was observed for individual parameters – depressive symptoms and glycosylated haemoglobin. Progressive reductions in mean depressive symptom scores were observed for moderate engagers and usual care group from baseline to 36 months. However, in high engagers of collaborative care, mean depressive symptoms were higher at 36 months compared to 12 months.

Conclusion:

Sustained benefits of collaborative care were larger in participants with moderate engagement compared with high engagement, although a majority of participants relapsed on one or more outcome measures by 36 months. High engagers of collaborative care for co-morbid depression and diabetes may need light touch interventions for longer periods to maintain health and reduce depressive symptoms.