bluuebunny/crossref_metadata_2025 huggingface dataset:
Lactation physiology video clip: health professionals` assessment in hospital care
Authors: Freitas Eva Inês Vilanova Ribeiro , Machado Liane Bahú , Cherubim Daiani Oliveira , Langendorf Tassiane Ferreira , Padoin Stela Maris de Mello , Paula Cristiane Cardoso de
Published: July 2024

ABSTRACT Objective: To evaluate the usability of a lactation physiology video clips by healthcare professionals and to identify barriers and facilitators for this usage in hospitals. Method: Cross-sectional study juxtaposed with the Knowledge Translation Model. The video clip was evaluated with the System Usability Scale self-applied to 63 health professionals from a university hospital in southern Brazil, from April to September 2022. Spearman's correlation test was used. Results: The usability of the video clip obtained the best imaginable classification with a positive association with longer training time (p=0.038) and motivation for using it (p=0.035). The facilitators went to have institutional capacity building; physical space and moments of guidance for breastfeeding; brevity of the video clip with easy and playful information. Barriers were overcrowding and turnover, limited audiovisual equipment and internet equipment. Conclusion: The excellence of the usability of the video clip in the hospital highlights the potential for its application in continuing education with professionals and in health education with users. It is concluded that the longer the training time and the motivation for using technologies in daily care, the better professionals evaluate usability.
Aplicativo de cuidado seguro ao paciente cirúrgico: desenvolvimento, validação de conteúdo e usabilidade
Authors: Silva Liliane de Lourdes Teixeira , Lima Rafael Corbelli de , Silva Rone Ilideo da , Poveda Vanessa de Brito
Published: July 2024

RESUMO Objetivo: Descrever o desenvolvimento, a validação de conteúdo e usabilidade de um aplicativo voltado para orientação e segurança do paciente cirúrgico. Método: Estudo metodológico, realizado entre julho e agosto de 2023, desenvolvido em três etapas: (1) seleção de conteúdo relevante a partir de revisão de literatura científica; (2) desenvolvimento do aplicativo e (3) validação do conteúdo e usabilidade do software por meio de dois instrumentos validados enviados de forma online a oito juízes enfermeiros dos estados de São Paulo, Minas Gerais e Santa Catarina e oito juízes profissionais da tecnologia da informação de Minas Gerais. Resultados: O conteúdo do aplicativo “Minha Cirurgia” foi construído contendo informações baseadas na literatura científica relevante identificada relativa aos temas segurança do paciente, orientações pré-operatórias, o momento da cirurgia e cuidados pós-cirúrgicos. Seu conteúdo foi considerado como superior e a usabilidade classificada como a melhor possível pelos juízes. Conclusão: O aplicativo foi aprovado por enfermeiros e profissionais de informática quanto ao seu conteúdo e usabilidade e estará disponível gratuitamente para download na loja de aplicativos Play Store. Espera-se que esta ferramenta seja útil na educação de pacientes cirúrgicos e permita aos mesmos adquirir conhecimentos que os apoi e na busca de um cuidado seguro.
Práticas desenvolvidas pelo enfermeiro na atenção primária na região sul do Brasil
Authors: Toso Beatriz Rosana Gonçalves de Oliveira , Orth Bárbara Izabella , Vieira Leticia Becker , Dalla Nora Carlise Rigon , Geremia Daniela Savi , Mendonça Ana Valéria Machado , Sousa Maria Fátima de
Published: July 2024

RESUMO Objetivo: Compreender as práticas desenvolvidas pelo enfermeiro na atenção primária, na região Sul do Brasil. Método: Estudo qualitativo, cuja coleta de dados foi com entrevistas online gravadas, entre outubro de 2020 e maio de 2021. Participaram 174 enfermeiros, de 24 municípios da região sul do Brasil. Análise temática indutiva dos dados. Resultados: A consulta do enfermeiro é a atividade que se destaca, para todas as faixas etárias e condições de saúde, especialmente nas situações crônicas, pré-natal, atenção a mulher e a criança, saúde mental, visitas domiciliares, além do gerenciamento da equipe de enfermagem e da unidade de saúde. Considerações finais: Demonstrou-se que o excesso de responsabilidades assistenciais e gerenciais e a falta de equilíbrio entre as atividades comuns à equipe, dificultam o desenvolvimento de práticas clínicas do enfermeiro.
Factors associated with the indication of neonatal echocardiography in the investigation of congenital heart diseases
Authors: Silva Mariana Tavares da , Silva Aline Cerqueira Santos Santana da , Santana Jhonatan Jhobber , Góes Fernanda Garcia Bezerra , Assis Giulia Gazineo Trindade , Matos Patrícia Salles Damasceno de , Cunha Adriana Loureiro da
Published: July 2024

ABSTRACT Objective: To analyze the factors associated with the indication of echocardiography for the investigation of congenital heart disease among newborns. Method: Retrospective sectional study through the collection of 848 medical records of patients admitted to maternity hospitals in Rio de Janeiro-Brazil, respecting the time frame from September to December 2022. Results: The average age of mothers was 26.5±6.3 years; 52.7% were classified as brown. The average age of the newborns was 3.5±5.6 days. Maternal variables: gestational age (OR=6.93, CI:3.76-12.80), number of gestational risk factors (1.90: 1.47-2.45) and number of medications (1. 97: 1.40-2.77); and neonatal variables: age (1.07: 1.03-1.02), prematurity (10.55: 5.29-21.03) and number of risk factors (2.62: 2.03-3 .38) were significantly associated with the indication for echocardiography (p<0.001). Conclusion: It is concluded that the different maternal and neonatal variables, gestational age, number of gestational risk factors, number of medications, age, prematurity and number of risk factors, respectively, showed a significant association for the indication of echocardiography. Therefore, the identification of these factors will enable the investigation of congenital heart disease at an opportune time among newborns.
Practices of primary health care nurses in the care for people in psychological distress
Authors: Mendes Dárcio Tadeu , Gianella Ana Clara Delben , Pellegrini Juliana Xavier , Fernandes Carla Sílvia , Nóbrega Maria do Perpétuo Socorro de Sousa
Published: July 2024

ABSTRACT Objective: To understand the practices of nurses working in Primary Health Care in caring for people in psychological distress. Method: Qualitative study conducted with 30 nurses working directly in Primary Health Care. Data were collected from January to March 2023 through semi-structured interviews, which were fully transcribed. The resulting material was organized in the IRaMuTeQ® software and subjected to the thematic content analysis, anchored in the precepts of Eric Cassell’s Theory of the Nature of Human Suffering. Results: Five categories emerged: 1. Causes of Psychological Distress (14.65%), 2. Needs of the person in psychological distress (31.3%), 3. Team case discussions (26.5%), 4. Care network for the person in psychological distress (15.99%) and 5. Care instruments (11.57%). Final considerations: The practices that nurses perform involve listening spaces to express feelings, case discussions within the team and matrixing and the understanding that psychological distress is the result of environmental, social, and family factors. However, they report a lack of training to assess individuals experiencing psychological distress and request the development of institutional protocols and training to support care.
Arboviroses comuns e o rim: uma revisão
Authors: Aguiar Gabriel Rotsen Fortes , Silva Júnior Geraldo Bezerra da , Ramalho Janaína de Almeida Mota , Srisawat Nattachai , Daher Elizabeth de Francesco
Published: July 2024

Resumo As arboviroses são endêmicas em vários países e representam um preocupante problema de saúde pública. A mais importante delas é a dengue, que teve um aumento progressivo do número de casos, atingindo a marca dos milhões de casos anuais no Brasil desde a última década. Outras arboviroses de importância para a saúde pública incluem a chikungunya e a Zika, ambas causas de epidemias recentes, e a Febre Amarela, que também tem causado surtos epidêmicos em nosso país. Assim como a maioria das doenças infecciosas, as arboviroses têm o potencial de acometer os rins, por meio de diversos mecanismos que levam à injúria renal, incluindo ação direta dos vírus, inflamação sistêmica, fenômenos hemorrágicos e outras complicações, além da toxicidade de drogas utilizadas no tratamento. Neste artigo de revisão, serão abordados os aspectos epidemiológicos das principais arboviroses no Brasil e em outros países onde estas doenças são endêmicas, os aspectos clínicos e as principais alterações laboratoriais encontradas, incluindo as alterações na função renal. Como as arboviroses se comportam nos pacientes transplantados renais também será descrito. Serão também descritos os mecanismos fisiopatológicos da injúria renal associada às arboviroses e, por fim, o tratamento recomendado para cada doença e as recomendações para o suporte renal neste contexto.
Growth in children with chronic kidney disease and associated risk factors for short stature
Authors: Melo Virgínia Barbosa de , Silva Danielle Barbosa da , Soeiro Matheus Dantas , Albuquerque Lucas Cavalcante Tenório de , Cavalcanti Henderson Edward Firmino , Pandolfi Marcela Correa Araújo , Elias Rosilene Mota , Moysés Rosa Maria Affonso , Soeiro Emília Maria Dantas
Published: July 2024

Abstract Introduction: Growth failure in chronic kidney disease is related to high morbidity and mortality. Growth retardation in this disease is multifactorial. Knowing the modifiable factors and establishing strategies to improve care for affected children is paramount. Objectives: To describe growth patterns in children with chronic kidney disease and the risk factors associated with short stature. Methods: We retrospectively analyzed anthropometric and epidemiological data, birth weight, prematurity, and bicarbonate, hemoglobin, calcium, phosphate, alkaline phosphatase, and parathormone levels of children with stages 3–5 CKD not on dialysis, followed for at least one year. Results: We included 43 children, the majority of which were boys (65%). The mean height/length /age z-score of the children at the beginning and follow-up was –1.89 ± 1.84 and –2.4 ± 1.67, respectively (p = 0.011). Fifty-one percent of the children had short stature, and these children were younger than those with adequate stature (p = 0.027). PTH levels at the beginning of the follow-up correlated with height/length/age z-score. A sub-analysis with children under five (n = 17) showed that 10 (58.8%) of them failed to thrive and had a lower weight/age z-score (0.031) and lower BMI/age z-score (p = 0.047). Conclusion: Children, particularly younger ones, with chronic kidney disease who were not on dialysis had a high prevalence of short stature. PTH levels were correlated with height z-score, and growth failure was associated with worse nutritional status. Therefore, it is essential to monitor the growth of these children, control hyperparathyroidism, and provide nutritional support.
Postmodern Experimentation in Anthony Browne’s Picturebooks: The Reinvention of a Canon in Children’s Literature
Authors: Rodrigues Carina , Pinto Ana Isabel
Published: July 2024

ABSTRACT This article1 intends to highlight the characteristics of the postmodern Picturebook, specifically, the work of Anthony Browne, a British creator of recognized value in the conformation of this segment of the contemporary children’s edition, whose narrativization results from the triadic text-image-support. Revisiting Browne’s whole work, from a necessarily restricted and representative corpus, we propose to highlight the aesthetic-literary and formative potentialities of a significative production, recognizing his contribution to the consolidation of a new paradigm in Children’s Literature. Starting from previous investigations around Picturebooks, with emphasis on theorizations related to the concepts of intertextuality and metafictionality - founding strategies of the “writing” of the appreciated author -, formal, rhetorical-stylistic and ideothematic procedures are observed in a dialogical reading of the verbal and visual components, concluding about its demands at the level of reception, as well as its impact on the literary, critical and reflective education of its main readers.
Experimentação pós-moderna nos livros-álbum de Anthony Browne: a reinvenção de um cânone da Literatura Infantil e Juvenil
Authors: Rodrigues Carina , Pinto Ana Isabel
Published: July 2024

RESUMO Este artigo1 pretende evidenciar as características do livro-álbum pós-moderno, concretamente, na obra de Anthony Browne, criador britânico de reconhecido valor na conformação deste segmento privilegiado da edição infantojuvenil contemporânea, cuja narrativização resulta da relação triádica texto-imagem-suporte. A revisitação do conjunto da sua obra, a partir de um corpus necessariamente restrito e mais representativo, propõe evidenciar as potencialidades estético-literárias e formativas de uma produção sui generis, reconhecendo o seu contributo na consolidação de um novo paradigma da literatura para a infância. Partindo de anteriores investigações em torno das recentes tendências do livro-álbum, com destaque para teorizações relativas aos conceitos de intertextualidade e metaficcionalidade - estratégias fundadoras da “escrita” do autor apreciado -, observam-se procedimentos formais, retórico-estilísticos e ideotemáticos numa leitura dialógica das componentes verbal e visual, concluindo-se acerca das suas exigências ao nível da receção, bem como do seu impacto na educação literária, crítica e reflexiva dos seus destinatários preferenciais, embora não exclusivos.
EDUCACIÓN LITERARIA Y PERSPECTIVA DE GÉNERO - TALLER #MENOSMUSAS DE LECTURA Y CREATIVIDAD LITERARIA
Authors: Collantes Milagrosa Parrado , Blanco Belén Mateos , Ramos Eva Álvarez
Published: July 2024

RESUMEN El taller tiene como objetivo compartir la lectura de microrrelatos escritos por mujeres. Los participantes (n=63) corresponden a distintos grupos de Educación Secundaria Obligatoria y Bachillerato de la provincia de Cádiz (España). El método se basa en la selección de un corpus de textos con una temática desde una perspectiva de género, la tertulia y la escritura creativa. Los resultados indican la necesidad de apostar por proyectos literarios desde una perspectiva de género, así como la incentivación de la escritura creativa en el alumnado como medio de expresión compartido.
COMPARISON OF INTERLAMINAR AND TRANSFORAMINAL APPROACHES IN ENDOSCOPIC LUMBAR DISCECTOMIES
Authors: MORALE VICTOR , TAVARES JUNIOR MAURO COSTA MORAIS , LETAIF OLAVO BIRAGHI
Published: July 2024

ABSTRACT Objective: In this study, we aim to compare total surgical time and length of hospital stay for the interlaminar endoscopic lumbar discectomy (IELD) and transforaminal endoscopic lumbar discectomy (TELD). Methods: This is a retrospective observational study in which we collected data from one center’s medical records, from March 2022 to February 2023, of patients who underwent uniportal endoscopic lumbar discectomies. The following data were collected: age, gender, endoscopic approach, length of stay, total surgical time, and surgical levels. The data were applied to a nonparametric test, the Mann-Whitney U test. A type I error of up to 5% was accepted as a statistically significant difference. Results: From the total of 107 patients (49 males and 58 females), the median duration of hospital stay was 19 hours. The most common surgical level was L5-S1, and the interlaminar uniportal endoscopic approach was performed in 87.85% of the cases. A significant statistical difference was observed in the total surgical time when comparing the interlaminar approach with the transforaminal approach when all levels (L2-L3 to L5-S1) are considered together in the analysis. Ultimately, no statistically significant difference was observed in the length of stay when comparing the interlaminar approach with the transforaminal approach. Conclusion: The study showed a statistically significant difference in total surgical time, showing shorter operative time for the interlaminar approach. There was no statistically significant difference in the duration of hospital stay. Level of Evidence lV; Comparative Retrospective Study.
Validation study of obstetric hospitalization data held on the Brazilian National Health System Hospital Information System for maternal morbidity surveillance: Brazil, 2021-2022
Authors: Domingues Rosa Maria Soares Madeira , Meijinhos Lana dos Santos , Guillen Luis Carlos Torres , Dias Marcos Augusto Bastos , Saraceni Valéria , Pinheiro Rejane Sobrinho , Paiva Natália Santana , Coeli Cláudia Medina
Published: July 2024

ABSTRACT Objective To validate the Brazilian National Health System Hospital Information System (SIH/SUS) for maternal morbidity surveillance. Methods This was a cross-sectional study conducted in 2021/2022, taking as its reference a national study on maternal morbidity (MMG) conducted in 50 public and 28 private hospitals; we compared SIH/SUS and MMG data for hospitalization frequency, reason and type of discharge and calculated sensitivity, specificity, positive and negative likelihood ratios for seven diagnoses and four procedures. Results Hospitalizations identified on SIH/SUS (32,212) corresponded to 95.1% of hospitalizations assessed by MMG (33,867), with lower recording on SIH/SUS (85.5%) for private hospitals [10,036 (SIH/SUS)]; 11,742 (MMG)]; compared to MMG, SIH/SUS had a lower proportion of hospitalizations due to “complications during pregnancy” (9.7% versus 16.5%) as well as under-recording of all diagnoses and procedures assessed, except “ectopic pregnancy”. Conclusion Better recording of diagnoses and procedures on SIH/SUS is essential for its use in maternal morbidity surveillance.
PERFIL HISTÓRICO DE ÁREAS QUEIMADAS COM BASE EM PRODUTOS MODIS EM UNIDADES DE CONSERVAÇÃO DO CEARÁ – BRASIL
Authors: Perea Ardila Mauricio Alejandro
Published: July 2024

O estudo tem como objetivo conhecer o perfil histórico das áreas queimadas nas Unidades de Conservação (UCs) do Ceará, utilizando dados do MODIS de 2001 a 2022. Ferramentas de geoprocessamento foram empregadas para gerar estatísticas, incluindo número de áreas queimadas, área total afetada, distribuição anual e mensal, tamanho e frequência das queimadas. Os principais resultados indicaram 1006 áreas queimadas abrangendo 28854,39 ha, com as UCs federais APA Chapada do Araripe e APA Serra da Ibiapaba liderando com 87,49% do total. A APA estadual da Serra de Baturité se destacou com 634,83 ha queimados. A APA Chapada do Araripe registrou queimadas anualmente, sendo 2005 o ano mais impactante. O segundo semestre do ano teve as maiores áreas queimadas, especialmente em outubro, novembro e dezembro. A maioria das queimadas (80,62%) foi de tamanho classe III (4,1 - 40,0 ha), e a APA Serra da Ibiapaba teve queimadas recorrentes em uma mesma área até 5 vezes, totalizando 11505,76 ha. O estudo visa contribuir para o entendimento dos incêndios florestais nas UCs cearenses e subsidiar o planejamento de medidas preventivas e de combate aos incêndios florestais no Brasil.
PERFIL EPIDEMIOLÓGICO E OBSTÉTRICO DE PARTURIENTES ATENDIDAS EM UMA MATERNIDADE NO INTERIOR DO RIO GRANDE DO SUL
Authors: Streher Luiza Fenalte , Frizzo Valeska , Streher Laura Fenalte , Gularte Natiele Dutra Gomes , Marques Clandio Timm , Wippel Cássia dos Santos
Published: July 2024

A atenção à mulher no ciclo gravídico-puerperal é fator crucial para a redução dos níveis de morbimortalidade materna e infantil, traduzindo a qualidade de vida de uma sociedade. Dessa forma, objetiva-se traçar o perfil epidemiológico e obstétrico de parturientes admitidas em uma maternidade de risco habitual no interior do estado do Rio Grande do Sul. Foi realizado um estudo descritivo e retrospectivo com informações coletadas em prontuário eletrônico da maternidade. O estudo abrangeu 704 gestantes admitidas no período de outubro de 2023 a maio de 2024, e analisaram-se as variáveis: idade da parturiente, paridade, número de consultas pré-natal, motivos da internação, intervenções no parto e o tipo de parto. As associações realizadas utilizando o teste do qui-quadrado foram significativas com o valor-p < 0,05. A idade materna média encontrada foi de 26,1 anos de idade. Quanto à paridade, 42,9% das participantes eram primigestas. número médio de consultas pré-natal foi de 10 consultas por gestante. Observaram-se 71% de partos normais e 29% de partos cesárea. Trata-se de um estudo pioneiro acerca do perfil epidemiológico deste serviço, contribuindo para o cuidado materno-infantil.
Trends and opportunities for greener and more efficient microbially induced calcite precipitation pathways: a strategic review
Authors: Bhadiyadra Kishan , Jong Siaw Chian , Ong Dominic E L , Doh Jeung-Hwan
Published: July 2024

Microbially induced carbonate precipitation (MICP) is extensively used for soil stabilisation, sand erosion control, bioremediation and concrete repair. However, detailed bibliometric studies on MICP are scarce, particularly regarding industrial feedstocks, such as urea for ureolytic bacteria and calcium chloride, and the associated ammonia gas production, which poses challenges for large-scale applications. This study reviews 857 articles from the Scopus database (2000–2024), using the VOSviewer software to visualise data on publications, citations, authors, countries, journals, trending keywords and research topics. Significant global collaboration is evident, led by China and the USA. The most cited papers discuss ureolytic microorganisms enhancing soil properties, the basic MICP process, reducing concrete damage, improving soil and groundwater systems and the impacts of MICP on urea hydrolysis and ammonia production. Key terms such as ‘calcium carbonate’, ‘ammonia’ and ‘Sporosarcina pasteurii’ are central to MICP research. Co-occurrence analysis highlights thematic clusters such as microbial cementation and geological features, emphasising the multidisciplinary role of MICP in tackling environmental problems. This review highlights the need to mitigate environmental impacts, particularly those of ammonia production and energy use, in ureolytic MICP. Life-cycle assessments reveal that while ureolytic MICP reduces carbon dioxide emissions, it often consumes more energy, necessitating alternative nutrient sources and cost-effective practices for large-scale applications.
Investigation of the Effect of Ulexite Additive on the Mechanical Strength and Thermal Conductivity of Cement Mortar
Authors: Filazi Ahmet , Pul Muharrem , Pehlivanlı Zühtü Onur , Uzun İbrahim
Published: July 2024

In this study, the effect of ulexite substitution in cement mortar and its physical and mechanical properties on cement mortar properties were investigated. First of all, the pozzolanic activity of the ulexite material was determined. Then, cement mortars with ulexite additives at different rates (0.5%, 1%, 2%, 4%); Specific gravity, specific surface, setting start and end times, consistency and expansion tests, as well as 7 and 28 days flexural and compressive strength of the mortar samples were determined and compared with the control sample. As a result of the study, with the increase of the ulexite substitution ratio, the set start and set expiration times were extended, and all of the ulexite-substituted cement mortars provided the lowest mechanical strength required in related standard. It was observed that the cement mortars with 0.5%, 1%, 2% ulexite substituted cement mortars exceeded the reference sample and the best replacement rate was in the mortars with 0.5% replacement. However, depending on the increase in the ulexite substitution ratio, a decrease in mechanical strength was detected among themselves. According to the results obtained from the thermal conductivity tests, the thermal conductivity values of the cement mortars decreased with the ulexite substitution. Depending on the ulexite substitution rate, the thermal conductivity value decreased by approximately 50%. The lowest thermal conductivity value was measured in the test sample with 4% ulexite substitute.
Early extubation after pediatric cardiac surgery
Authors: Tham Shu Qi , Lim Evangeline H.L
Published: July 2024

Early extubation after pediatric cardiac surgery has come full circle from being practiced in the early days of pediatric cardiac surgery, falling out of favor with opioid-heavy cardiostable anesthesia, and resurfacing again in more recent times as part of enhanced recovery after surgery practice. Early extubation is variably defined, but is mostly accepted as extubation that occurs within 6–8 h from the end of surgery. In recent years, the debate has shifted from early extubation in the intensive care unit to immediate extubation in the operating theatre. In this review, we examined the benefits and pitfalls of early and immediate extubation, factors that influence the success of early extubation, and potential guidelines for practice and implementation.
Educational perspectives in cardiothoracic anesthesia in the United States using a survey of educators and learners
Authors: Bose Rushil , Evers Matthew , Liu Wai-Man , Grap Shannon , Cios Theodore J
Published: July 2024

Background: Cardiothoracic anesthesiology training presents learners with unique challenges, procedural skills, and the management of high-intensity critical scenarios. An effective relationship between educator and learner can serve as the backbone for effective learning, which is crucial for the development of budding anesthesiologists. Strengthening this educational alliance between teachers and trainees involves understanding the educational values educators and learners find most important to their learning experiences. This study aimed to identify the key educational values related to cardiothoracic anesthesia for both learners and educators. By identifying these values in separate cohorts (learners and educators), the importance of various educational values can be examined and compared between the trainees and teachers.Methods: Two separate surveys (one for learners and one for teachers) were adapted from the Pratt and Collins Teaching Perspectives Inventory to establish the importance of various educational values related to cardiothoracic anesthesia. Surveys were sent to 165 Accreditation Council for Graduate Medical Education-accredited anesthesiology residency training programs in the United States to trainees (residents and cardiothoracic anesthesiology fellows) and educators (board-certified cardiothoracic anesthesiologists).Results: Analysis of survey results from 19 educators and 57 learners revealed no statistical differences across the two groups, except Q15: “Let trainee perform critical technical steps” (P value = 0.02).Conclusions: While learners and educators in cardiothoracic anesthesia hold similar values regarding cardiac anesthesia education, they differ in the degree to which critical technical steps should be performed by learners.
Emergence delirium: an overview with an emphasis on the use of electroencephalography in its management
Authors: Davies Lucy , Qi Tham Shu , Ng Agnes
Published: July 2024

Emergence delirium remains a clinically significant issue, which often leads to distress among pediatric patients, parents, and staff in the short term; and may also result in postoperative maladaptive behaviors persisting for weeks to months. Although several diagnostic tools are available, the Pediatric Anesthesia Emergence Delirium Scale is most often utilized. Many risk factors contributing to the likelihood of a pediatric patient developing emergence delirium have been identified; however, its accurate prediction remains challenging. Recently, intraoperative electroencephalographic monitoring has been used to improve the prediction of emergence delirium. Similarly, it may also prevent emergence delirium if the anesthesiologist ensures that the at-risk patient rouses only after the onset of appropriate electroencephalogram patterns, thus indicating a change to natural sleep. Prediction of at-risk patients is crucial; preventing emergence delirium may begin early during patient preparation by using non-pharmacological methods (i.e., the ADVANCE program). Intraoperative electroencephalographic monitoring can predict emergence delirium. This review also discusses a range of pharmacological treatment options which may assist the anesthesiologist in preventing emergence delirium among at-risk patients.
Anesthetic considerations for joint replacement surgery in hemophilic arthropathy: a comprehensive review
Authors: Ahmed H Shafeeq , Jayaram Purva Reddy
Published: July 2024

Managing hemophilia in patients undergoing joint replacement surgery requires a comprehensive approach encompassing preoperative assessment, meticulous intraoperative care, and tailored postoperative management. Evaluation of joint integrity, bleeding history, and inhibitor presence guides surgical planning and hemostatic therapy selection to optimize outcomes. During surgery, careful attention to factor replacement, antibiotic prophylaxis, anesthetic techniques, and orthopedic strategies minimizes bleeding risk and enhances surgical success. Postoperatively, effective pain management, continued hemostatic therapy, and individualized rehabilitation programs are vital for facilitating recovery and preventing complications. Close monitoring for potential complications, such as periprosthetic joint infection and recurrent hemarthrosis, allows for prompt intervention when necessary. Overall, a collaborative approach involving hematologists, orthopedic surgeons, anesthesiologists, and rehabilitation specialists ensures comprehensive care tailored to the unique needs of patients with hemophilia undergoing joint replacement surgery, ultimately optimizing outcomes and improving quality of life. This holistic approach addresses the multifaceted challenges posed by hemophilia and joint replacement surgery, providing patients with the best possible chance for successful outcomes and long-term joint function. By integrating specialized expertise from multiple disciplines and implementing evidence-based strategies, healthcare providers can effectively manage hemophilia in the context of joint replacement surgery, mitigating risks and maximizing benefits for patients.
History of Silver Diammine Fluoride
Authors: Spielman Andrew I. , Forrai Forrai Judit
Published: July 2024

Silver diammine fluoride (SDF), often mistakenly called silver diamine fluoride, is a topically applied strongly basic solution designed to halt the progression of dental caries.
Service Quality Delivery And its Impact On Customer Satisfaction: A Study Of Banks in Benin City, Edo State, Nigeria
Authors: Okolie Ugo Chuks
Published: July 2024

In today’s ‘new normal’ in which competition is at an unpredictable speed like light, service quality and customer satisfaction are critical concepts that any service provider needs to remain competitive and sustain growth. Quality service delivery and customer satisfaction are the sword and shield of competition needed to fortify an organization to be better than the best. Therefore, this study examined the relationship between service quality and customer satisfaction in banking sector in Benin City, Edo State. The study adopted the SERVQUAL model as the main framework for analyzing service quality. Multiple regression analysis with the aid of statistical package for social science (SPSS) vision 21 was used to examine the relationships between service quality variables and customer satisfaction. The sample size of four hundred and twenty (420) was selected from the population of study through convenience sampling technique. A structured questionnaire was used to collect the needed information from the sampled respondents. Out of the 420 sample, only 292 usable questionnaires were retrieved. The results of the study showed that all service quality variables were good predictors of customer satisfaction. Customer’s positive perception is an index with exponential effects on the profitability and brand’s acceptance value proposition. To drive this strategic core value, this study provide an insight into how business and individual performance indicators can utilize the performance management tools, processes, procedure and people to close service gaps with the aim to unlock the hearts, minds and purses of customers through superior service/product that can exponentially optimize productivity and profitability. The study recommends among others that management should get rid of bureaucracy. Quality should be seen as a way of life and all blockades should be removed to ensure a holistic approach in the manner intangible service is delivered.
Aplikasi Chatbot Konsultan Bisnis untuk UMKM Berbasis Dialogflow pada Platform Android
Authors: Gelar Guntara Rangga
Published: July 2024

Strategi yang dipersiapkan dengan matang akan berdampak pada pemberian pelayanan yang terbaik kepada pelanggan. Penetapan strategi sebuah perusahaan agar berhasil dalam persaingan diperlukan sebuah inisiatif perbaikan dan pengembangan. Sebagian besar para pelaku UMKM di Indonesia merupakan masyarakat yang belum memiliki pengetahuan ilmu di bidang bisnis, sehingga bisnis yang dijalankan kerapkali tidak berjalan sesuai dengan yang diharapkan. Oleh karena itu, dibutuhkan pendampingan untuk membantu UMKM dalam menjalankan kegiatan bisnis terutama yang berhubungan dengan penetapan strategi pemasaran, strategi penjualan, analisis pasar, dan lainnya. Tujuan penelitian ini adalah membangun sistem sebagai media konsultasi bisnis bagi para pelaku UMKM secara mudah dan gratis. Sehingga diharapkan dapat membantu para pelaku UMKM dalam menjalankan bisnis serta menentukan rencana strategi bisnis secara terukur. Sistem yang dibangun berupa aplikasi chatbot berbasis android. Teknologi chatbot yang digunakan memanfaatkan SDK dari Google yaitu Dialogflow. Persentase keberhasilan dari hasil pengujian 8 dari 10 responden sebagai early adopter menyatakan aplikasi chatbot sudah dapat membantu sebagai alternatif pengganti konsultan bisnis.
National Information Communication Technology Policy and Teaching Quality in Nigerian Universities
Authors: Okolie Ugo Chuks
Published: July 2024

This study examines national information communication technology policy and its impact on teaching quality in Nigerian universities. This study adopted qualitative research design as it relies on secondary data collected from books, journal articles and internet sources, and were content  analyzed in relation to the scope of the study. This study is anchored on Technology Organization Environment model which offers analytical explanations on information communication technology policy implementation and teaching quality in higher educational institutions. The study concludes that the integration of information communication technology into educational system has been identified as a critical catalyst to achieving quality of teaching and learning across the globe, and since academic quality is the primary objective of Nigerian universities and has been pursued traditionally for decades, it thus becomes important to source for role or outcome specific technologies that can be used to substitute or improve the traditional teaching practices. This study therefore recommends among others that Nigeria government should intensify effort to invest more on information communication technology infrastructures aimed at improving teaching quality in Nigerian universities.
Analysis of the Effect of Shopee Affiliate Marketing on Increasing Consumer Purchase Interest
Authors: Susilawati Tasya
Published: July 2024

Advances in technology increasingly have an impact on consumer buying interest which is now growing. However, the problem was found in the Shopee marketplace which experienced an error for two days. The purpose of this research is to analyze the technology acceptance model through Shopee affiliate marketing as an effort to increase consumer buying interest. This study uses an associative quantitative approach by collecting data through questionnaires distributed online on social media. The population of this research is Shopee users in Bandung with an age range of 17-30 years with a sample of 210 respondents, but this research managed to collect 215 respondents. The data analysis technique used in this study is a simple linear regression data analysis technique with the help of SPSS tools. The results of this study indicate that Shopee affiliate marketing has a positive and significant effect on purchase intention. This is based on the calculated t value of 8.341 with a significance value of 0.000 where the significance value is less than 0.05 (0.000 0.05). Thus, the better the performance of Shopee Affiliate Marketing on the Shopee marketplace, the higher the consumer's buying interest.
Work-Family Balance and Remote Working among Women in Nigeria during Covid-19 Pandemic
Authors: Okolie Ugo Chuks , IVWIGHREN Emuobosa Hannah
Published: July 2024

Organisations face the challenge of establishing ways to mitigate the negative effects of work during coronavirus or Covid-19 pandemic. As a result work-family balance was disrupted and negatively affected the employees’ well-being especially working women. Against this backdrop, this study examined work-family balance of women working from home during covid-19 pandemic. Cross sectional research design was employed and data were collected via a survey of 126 from medical, education, banking, and finance and service sectors in Nigeria. The 126 women were selected using simple random sampling technique and data collected was analysed using simple percentage. The study revealed that women were satisfied by working remotely during the Covid-19 pandemic. The study recommends among others that organisations and government should develop and implement work-family balance policies that would promote the increasing use of remote working arrangement with special reference to working women.
La intuición en la psicología y la psicoterapia
Authors: Lopera Echavarría Juan Diego
Published: July 2024

El trabajo del psicólogo, ya sea en investigación o en psicoterapia, está en gran medida fundamentado en la intuición, en ese saber sedimentado que se expresa como estado de ánimo, sensación difusa u ocurrencia. Se trata de un saber que precede la invención de conjeturas y las intervenciones del clínico. Pero la intuición, capacidad prístina del ser humano, debe formarse: los prejuicios la hacen errática. Se propone una depuración de prejuicios mediante al análisis de la intuición y del propio discurso, como una vía que posibilite un ejercicio más apropiado y fluido de ese saber.
El efecto Westermarck y el Complejo de Edipo: una perspectiva evolucionista
Authors: Naranjo Sierra Carlos Andrés
Published: July 2024

El Complejo de Edipo plantea un deseo incestuoso innato en el infante que es regulado por la norma cultural como introducción al mundo simbólico del hombre. Sigmund Freud, padre del psicoanálisis y Claude Lévi-Strauss, padre de la antropología estructural, construyeron a partir de la regulación cultural del instinto incestuoso sendas hipótesis que marcaron gran parte del pensamiento de las ciencias sociales y humanas del siglo XX. La teoría de la evolución es retomada por la psicologíaevolucionista para explicar el psiquismo, no solo en el hombre sino también en otros animales, con resultados satisfactorios. El Efecto Westermarck, enmarcado dentro de la teoría  evolucionista, llamado así en honor al antropólogo finlandés que lo descubrió, ha logrado demostrar empíricamente que lo que hay por lo general en el infante no es un deseo sino un desinterés o rechazo innato por la relación incestuosa.
Houlik-Ritchey, Emily. 2023. Imagining Iberia in English and Castilian Medieval Romance. Ann Arbor: University of Michigan Press. Pp. xi + 237. ISBN 9780472133352.
Authors: Piercy Hannah
Published: July 2024

Book review of Houlik-Ritchey, Emily. 2023. Imagining Iberia in English and Castilian Medieval Romance. Ann Arbor: University of Michigan Press. Pp. xi + 237. ISBN 9780472133352.
Sopper, Harriet. 2024. The Life Course in Old English Poetry. Cambridge: Cambridge University Press. Pp. i + 267. ISBN 9781009315111.
Authors: Brooks Britton Elliott
Published: July 2024

Book review of Sopper, Harriet. 2024. The Life Course in Old English Poetry. Cambridge: Cambridge University Press. Pp. i + 267. ISBN 9781009315111.
Robbing Woodchester: Narrative Strategies in Bishop Wærferth’s Dispute Memorandum, Sawyer 1441
Authors: Hanlon Brittany
Published: July 2024

Since Simon Keynes’s line-by-line exegesis (1992), the Fonthill Letter (S 1445) has been subject to a range of interdisciplinary approaches, including linguistic, palaeographical, historical, and literary analysis. It is evident that other vernacular documents generated by processes of litigation during the Alfredian period would benefit from a Keynes-style interpretative commentary. This article conducts a close reading of the language employed by Worcester charter draftsmen in the dispute memorandum, also known as Sawyer 1441, that records the dispute settled between Bishop Wærferth of Worcester and the priest Æthelwald concerning the woodland at Woodchester. This study establishes the importance of reading early English charters through the lens of narrative strategy by focusing on two phrases: bereafian, meaning "to rob" or "to seize" and geniman, which can be translated as "to take away" or "to seize." Worcester’s charter draftsmen consciously selected vocabulary that would protect their leased properties and positioned Worcester as victim to greedy rival claimants. By exploring the meaning and function of these phrases in contemporary Alfredian literature and earlier Latin diplomas, this study demonstrates that Alfredian charters were not written in abstract and interacted with what would now be considered as literary contexts.
Poetic Style and Poetic Sources in the Anglo-Saxon Chronicle Common Stock Annals
Authors: Anlezark Daniel
Published: July 2024

This article explores the evidence for the use of Old English poetry as a source in the annals of the common stock of the Anglo-Saxon Chronicle (to c. 892). The possibility that the compilers of the Chronicle either directly or indirectly derived information from vernacular poetry for entries of the late fifth and early sixth centuries was first raised by Henry Sweet. This essay reviews Sweet’s argument and widens the exploration of the annals, including the Cynewulf and Cyneheard episode in annal 757, for features such as alliteration and poetic vocabulary, suggestive of poetic sources and style.
Changes in cytoplasmic chromatophily and RNA content in neurons of the cingulate cortex of rats with subhepatic cholestasis
Authors: Klimuts Tatiana V. , Zaerko Anastasiya V. , Emelyanchik Sergey V. , Zimatkin Sergey M.
Published: July 2024

BACKGROUND: Cholestasis refers to the stagnation of bile, leading to the release of its components into the blood, which has a toxic effect on various organs and systems, including the brain, and is accompanied by cognitive and behavioral disorders. The cingulate cortex is responsible for emotions, learning, and memory. Studies of this area of the brain will help understand the mechanisms of neuropsychiatric disorders in this pathology. Moreover, studying the cytoplasmic chromatophily of cingulate cortex neurons and the RNA content will help elucidate the morphofunctional state and severity of damage to neurons and their protein synthetic apparatus (ribosomes containing RNA).
AIM: To examine the RNA content and cytoplasmic chromatophily of neurons in the cingulate cortex of the rat brain with cholestasis.
MATERIALS AND METHODS: Neurons of the second parvocellular and fifth magnocellular layers of the anterior cingulate cortex of rats were evaluated at different times after ligation/transection of their common bile duct or sham operation (control). Histological, histochemical, morphometric, and statistical analyses were performed.
RESULTS: Structural and histochemical changes in cingulate cortical neurons increase as cholestasis worsens in rats. Moreover, the number of normochromic neurons and shadow cells and hyperchromic, hyperchromic wrinkled, hypochromic neurons, and shadow cells increased, whereas the RNA content in the remaining neurons decreased. These changes reach a maximum of 10–20 days after the transection of the common bile duct. In surviving animals, in the preserved neurons of the cingulate cortex on days 45–90 after surgery, cytoplasmic chromatophily and RNA content are gradually normalized. Disturbances in the morphofunctional state of the neurons during cholestasis begin and end quite earlier in the small-cell than in the large-cell layer of the cingulate cortex.
CONCLUSION: As cholestasis increases among the neurons of the rat cingulate cortex, the number of normochromic cells decreases, whereas the number of neurons with changes in cytoplasmic chromatophily and reduction in the RNA content increases. This indicates severe morphofunctional disorders of neurons and their protein-synthesizing capabilities. As cholestasis is eliminated, the studied parameters gradually normalized in the surviving neurons, which confirms the high adaptive capabilities of rat brain neurons.
Mast cells of atrophic scar on exposure to inorganic gels and vascular endothelial growth factor in experiments
Authors: Nikonorova Varvara G. , Gaivoronsky Ivan V. , Odintsova Irina A. , Chrishtop Vladimir V. , Semenov Aleksey A. , Gorbanev Oleg V.
Published: July 2024

BACKGROUND: Atrophic scars and their treatment are an understudied problem because research efforts traditionally concentrated on keloid and hypertrophic scars. One of the key roles in the development of atrophic scars can be played by mast cells, which may influence the treatment of atrophic scars.
THE AIM: To quantitatively assess connective tissue mast cells in the model of atrophic scar under experimental application of inorganic gels and biocomposite with vascular endothelial growth factor (VEGF).
MATERIALS AND METHODS: The study was carried out on 36 male Wistar rats. They were distributed into 6 groups: I, intact animals; II, controls; group III, application of VEGF; group IV, aluminum hydroxide gel application; V, silicone gel; VI, biocomposite based on aluminum hydroxide and VEGF.
RESULTS: The numerical density of mast cells in all groups was significantly lower than that in intact skin, and the level of degranulation was significantly higher. The highest proportion of fully degranulated mast cells was observed in the atrophic scar model without experimental application. When VEGF was applied, partial degranulation of paravasal mast cells occurred. Under the influence of inorganic gels, the dermal structures of the scar recovered, which was also associated with the partial degranulation of mast cells. After silicone gel application, accumulations of partially degranulated mast cells were noted in the deep zones of the scar; after the application of aluminum hydrogel, they were found in the subepidermal layer. The experimental application of biocomposite combined the effects of VEGF and aluminum hydroxide application. Quantitative and qualitative characteristics of mast cells and the degree of their degranulation can be a criterion for assessing the effectiveness of local administration of biologically active substances in atrophic scarring.
CONCLUSION: The restoration of the components of the intercellular substance of the dermis of an atrophic scar and growth of the synthetic activity of fibroblasts under the influence of inorganic gels was associated with degranulation and growth of mast cells. After the experimental application of polysiloxanes, the regeneration process captures deeper zones of the scar, and in the group that received aluminum hydrogel, more superficial zones were covered. After the local application of VEGF solution in phosphate buffer, partial degranulation of paravasal dermal mast cells was noted. Experimental application of the biocomposite combined the effects of the experimental application of aluminum hydrogel and VEGF. The abovedescribed effects were mediated by the epithelium of the atrophic scar.