bluuebunny/crossref_metadata_2025 huggingface dataset:
ASSOCIATION BETWEEN MATERNAL BASAL GLUCOSE LEVEL AND INTRAUTERINE GROWTH RESTRICTION: A COMPARATIVE CROSS-SECTIONAL STUDY
Authors: Ameena Nasir  , Maryam Rao  , Qanita Mahmud  , Wardah Anwar  , Zunaira Kanwal  , Aiza Asghar
Published: March 2023

Background: Intrauterine life is the most pivotal period of development that determines vital outcomes in postnatal life. Diabetes Mellitus may lead to disturbed fetal growth and maternal vasculopathy resulting in placental insufficiency with subsequent development of intrauterine growth restriction (IUGR). This study aims to find an association between hyperglycemia and the risk of IUGR, comparing pregnancies with IUGR with those with adequate for gestational age pregnancies.

Methods: This cross sectional study was conducted in Federal Post Graduate Medical Institute (FPGMI) from January 2015 to January 2016, including 106 pregnant women using non-probability convenient sampling technique. Participants were divided into two groups: Group A comprises of pregnant women with adequate for gestational age pregnancies (n=53) and groups B includes pregnant women with intrauterine growth restricted pregnancies (n=53). Random blood sugar level was estimated by glucose/oxidase test and IUGR was confirmed by ultrasonography at 28-35 weeks of gestation. Shapiro-Wilk test was used to examine data normality and independent t-test was used to compare statistically significant difference. A p- value of <0.05 was considered significant.

Results: Mean basal sugar level of group A was 98.9 ± 7.1 mg/dL and that of group B was 97.9 ± 6.0mg/dL. This mean difference was not statistically significant (p-value= 0.566).

Conclusion: We found no statistically significant association between raised maternal basal glucose level and the occurrence of intrauterine growth restriction at 28-35 weeks of pregnancy.
A RARE CASE OF PAPILLARY CARCINOMA OF THYROID IN A YOUNG FEMALE: A CASE REPORT
Authors: Khushbakht Ali Khan  , Ammarah Afzal  , Bilal Chaudhary
Published: March 2023

Background: The papillary carcinoma thyroid is a rare disease in adolescents and children. A high level of suspicion should arouse as soon as the physician comes across swelling in neck. Appropriate management yields a good survival rate.

Case history: We present a case of the papillary carcinoma thyroid in a 13-year old girl presented to outdoor of Jinnah Hospital, Lahore with painless swelling in right side of neck for three months. There were associated smaller swelling matted on palpation. No history of palpitations, fever, weight loss and family history of tuberculosis contact or cancer in family. Initial radiology and blood investigations showed an euthyroid goitre. The fine needle aspiration of lymph node only showed reactive hyperplasia. The matted lymph node was partially excised for histopathology as suspicion of tuberculosis existed due to its endemic feature. Later, it was found to be papillary carcinoma of thyroid. Total thyroidectomy was done with neck dissection followed by treatment at nuclear medicine department.

Conclusion: Thyroid cancer is quite uncommon in adolescents but strong suspicion should arise when dealing with neck swelling even in this age group. Thorough history, watchful physical examination and timely investigations can save clinician from missing the diagnosis.
PREVALENCE OF THROMBOCYTOSIS IN ANEMIC PATIENTS OF AKHTAR SAEED TRUST HOSPITAL LAHORE, PAKISTAN
Authors: Waheed Alia , Khan Abdullah Farooq , Salahuddin Nosheen , Akhtar Raana , Yousaf Zainab , Khan Ahsan Farooq
Published: March 2023

Introduction and objective: Anemia is the one of the most widespread disorder all across the world characterized by low haemoglobin levels in blood causing reduced oxygenation of red blood cells and consequently producing symptoms such as lethargy, malaise and shortness of breath according to its severity. Thrombocytosis is a condition in which the number of platelets is increased and it can be identified by same methods which we use for the diagnosis of anemia.  In previous studies, it has been found that thrombocytosis is associated with mild, moderate and severe forms of anemia. The objective of the study is to assess the prevalence of throbocytosis in anemic patients of different ages.
Methods: In this cross-sectional study, the patients with anemia who were less than 18 years old were included. Samples were collected from the outdoor and indoor patients of  Akhter Saeed Trust Hospital Lahore, who were not treated with any therapy to cure anaemia. About 2-3 ml of venous blood was drawn and sent to laboratory for CBC. Data regarding the MCV, MCH, and platelet count was collected on structured performa.
Results: From total 224 patients, 64.73% were males, and 35.27% were females. Statistically, the p-value showed a significant association between all age groups [first (p =0.001), second (p =0.001), third (p =0.001), and fourth (p =0.001)], and genders [males (p =0.001), and females (p =0.001)] with all (mild, moderate and severe) anemias. The prevalence of thrombocytosis in iron deficiency anemia patients was 23.57%.
Conclusion: The present study concluded that the patients having anemia can also be affected with thrombocytosis.
PENYULUHAN DAN PELATIHAN PEMBUATAN PEWANGI PAKAIAN PADA IBU PKK DESA JONJO KECAMATAN PARIGI KABUPATEN GOWA
Authors: Sukirawati  , Yusriyani  , Agust Dwi Djajanti  , Harningsih Karim  , Ermawati  , Maulana Zulkarnain Imansyah  , Nirwana Ibrahim  , Dhandy Dharmawan  , Fauzan Nursyawal
Published: March 2023

Parfum sangat akrab dengan kehidupan kita untuk meningkatkan kepercayaan diri dalambersosialisasi. Pelatihan pembuatan parfum laundry di Desa Jonjo ini bertujuan agar masyarakat dapatmembuat sendiri parfum agar dapat menumbuhkan percaya diri dan juga dapat dijadikan lahan bisnis.Metode pengabdian yang kami lakukan denngan menjelaskan formula parfum dilanjutkan praktikpembuatan parfum secara langsung melibatkan peserta pengabdian. Selanjutnya setelah parfum laundryjadi dilakukan pengemasan dan selanjutnya dibagikan ke peserta pengabdian. Kegiatan ini diikuti oleh 6dosen AKFAR Yamasi dan 3 mahasiswa AKFAR Yamasi Makassar, Pak Desa Jonjo beserta staf 5 orangdan 20 ibu PKK Desa Jonjo. Ibu PKK Desa Jonjo sangat antusias dalam mengikuti kegiatan pelatihanpembuatan parfum laundry.
WUJUD KEPEDULIAN MELAWAN COVID-19 MELALUI KEGIATAN PEMBAGIAN NEW NORMAL KIT KEPADA PEDAGANG PASAR TIDUNG KOTA MAKASSAR
Authors: Thahir Zakiah , A. Tenriugi Daeng Pine  , Suhartini  , Dzul Asfi  , Andi Hasisah
Published: March 2023

Pasar merupakan salah satu kluster penyebaran Covid-19 sehingga membutuhkan perhatian khusus untuk memutus mata rantai penyebaran virus Corona. Sebagai upaya pencegahan penyebaran covid-19 di lingkungan pasar, dilakukan pengabdian masyarakat yang bertujuan untuk memutus mata rantai penyebaran covid 19 melalui pembagian  New Normal Kit kepada para pedagang Pasar Tidung  Bonto Makkio Kota Makassar. Kegiatan pengabdian ini merupakan tindakan preventif penularan covid-19 masa pandemi  karena pasar diibaratkan sebagai "jantung" dari ekonomi masyarakat. Bila jantung tersebut tidak aktif dan bergerak maka ekonomi akan lumpuh. Hasil pengabdian ini adalah tingginya minat para pedagang untuk mendengarkan penjelasan tim pengabdian dan menerima New Normal Kit yang dibagikan. Antusias masyarakat menunjukkan bahwa mereka membutuhkan perlindungan diri dari virus covid-19 yang menyerang saluran pernafasan  dan sangat mematikan tersebut. Harapan besar dari pengabdian terhadap kegiatan ini adalah semoga masyarakat yang menerima New Normal Kit  dapat memberikan edukasi kepada masyarakat lain untuk selalu mengenakan masker ketika berada di luar rumah dan di tempat-tempat umum, mencuci tangan usai berkontak langsung dengan orang lain, dan selalu menjaga jarak.
PENYULUHAN COVID-19 DAN VAKSINASI COVID-19 DI LINGKUNGAN TELLULELANGE MALLAWA KECAMATAN MALLUSETASI KABUPATEN BARRU
Authors: Agust Dwi Djajanti  , Sukirawati  , Afred Rosselfed  , Muhammad Fadli Alfafa  , Nirwana Ibrahim
Published: March 2023

WHO menyatakan Covid-19 sebagai Darurat Kesehatan Global pada tanggal 30 Januari 2020.Penyuluhan ini merupakan salah satu upaya untuk merubah pola pikir masyarakat tentang Covid-19 danmemberikan edukasi untuk pencegahannya. Metode pengabdian yang kami lakukan denngan caramemberikan edukasi berupa penjelasan mengenai protokol kesehatan dan pentingya vaksinasi Covid-19di masyarakat serta pembagian leaflet protokol Kesehatan, handsanitizer dan masker. Kegiatan ini diikutioleh 2 dosen AKFAR Yamasi, 1 dosen Politeknik Sandi Karsa dan 2 mahasiswa AKFAR YamasiMakassar dan Politeknik Sandi Karsa makassar serta masyarakat Kecamatan Mallusetasi KabupatenBarru. Kegiatan ini memberikan pengetahuan kepada masyarakat Kecamatan Mallusetasi KabupatenBarru akan pentingnya hidup sesuai protokol kesehatan dan vaksinasi Covid-19
PENERAPAN PROTOKOL KESEHATAN PADA ACARA HAJATAN MASYARAKAT DI LINGKUNGAN MALLEKANA KELURAHAN TETTIKENRARAE, KECAMATAN MARIO RIWAWO, KABUPATEN SOPPENG
Authors: Raymond Arief  , Base Nurul Hidayah
Published: March 2023

Peningkatan kasus kejadian Covid-19 yang sangat fluktuatif menjadikan pelaksanaan protokol kesehatan lebih digiatkan. Pemerintah telah mengeluarkan Kebijakan Pemberlakuan Pembatasan Kegiatan Masyarakat (PPKM) dengan berbasis mikro mulai 9 hingga 22 Februari 2021. Hajatan pengantin merupakan suatu wadah yang berpotensi besar dapat meningkatkan persebaran Covid-19 di lingkungan masyarakat. Penerapan protokol kesehatan di masa pandemi Covid-19 sangat penting dilakukan untuk mencegah penularan Covid-19, terutama pada acara hajatan pengantin. Penerapan protokol Kesehatan kepada masyarakat dilakukan untuk membiasakann diri melaksanakan 3M (Memakai masker, Menjaga jarak, dan Mencuci tangan pakai sabun). Sosialisasi diawali dengan memberi informasi secara lisan maupun dengan membagikan selebaran informasi kepada tamu undangan pada malam Mappacci dan pada hari Akad Nikah, mengarahkan untuk mencuci tangan dengan benar menggunakan sabun cuci tangan dan atau menyiapkan hand sanitizer, membagikan masker, serta mengatur jarak kursi sehingga Social distancing tetap terjaga. Penerapan protokol kesehatan pada acara hajatan pengantin didukung oleh pemerintah kabupaten soppeng, dengan adanya edaran dari Badan Nasional Penanggulangan Bencana (BNPB)  Satuan Tugas Covid-19 Kabupaten Soppeng. Secara umum, masyarakat di Lingkungan Mallekana, dapat menerapkan protokol kesehatan 3M dengan baik, meskipun sebagian kecil masih terdapat kerumunan pada saat menjelang akad nikah. Namun, setelah diberi himbauan secara lisan, masyarakat dengan patuh dapat menjaga jarak dan patuh terhadap protokol yang disampaikan.
Guidance for Students in The Development of Learning Media to Increase Learning Outcomes
Authors: Matje Irman
Published: March 2023

Overcoming the problem of low student learning outcomes is very important for the development of learning media so that students get good learning outcomes. Therefore, this study aims to determine the development of learning media to improve social studies learning outcomes. The population in this study were all students of class V as many as 22 students. The total value of the learning media development test on student learning outcomes is 0.81, in accordance with the findings of this study that the impact index value obtained is positive. The development of learning media has a significant effect on student learning outcomes. The development of learning media is considered successful if it is able to actively involve students in the learning process physically, mentally, and socially, as well as increase students' self-confidence.
Culture-Based Character Education Communications in Bukit Wolio Indah
Authors: Safiuddin
Published: March 2023

The development of culture-based character-based education needs to be a regional program, especially for the people of Bukit Wolio Indah Village. In developing culture-based character communication, it has not been fully maximized so that the development of culture-based character education in Bukit Wolio Indah Village in the spiritual, emotional and intellectual fields has not been so balanced and harmonious. In addition, there are many teenagers and young people who apparently do not know or are not familiar with the existing culture-based character education and it turns out that it contains noble character values. The method of this service activity is a descriptive qualitative study method. This method is the result of the author's ideas which are then developed based on theories that are in accordance with the discussion. The results of this service explain that the process of character building based on culture has been able to instill values that are grown and developed in the form of basic cultural values. These values include honesty, trustworthiness, togetherness, tolerance, responsibility, and caring for others.
Basic Baitul Arqam Training in Developing Moral Values and Al-Islam Kemuhammadiyahan
Authors: Rahim Abdul , Risman Kadar , Yusnan Muhammad , Kamsiah Kamsiah
Published: March 2023

Baitul Arqam Pemuda Muhammadiyah is the main cadreization activity organized to unite the vision and build an understanding of the values of ideology, system, and movement action for youth in Central Buton. Baitul Arqam activities held by the Regional Leader of Muhammadiyah Buton Central Youth (PDPM Buton Tengah) is in the framework of planting about the ideology of Al-Islam Kemuhammadiyahan, strengthening identity as a youth in Central Buton, increasing commitment and integrity. in developing the potential of youth, and shaping the moral values of superior and Islamic youth. Baitul Arqam participants are the youth of Central Buton numbering 15 people. The methods used in these devotional activities are lectures, demonstrations, simulations, and varied discussions. Assessment of participants' conditions using context, input, process and product (CIPP) models on cognitive, affective, and psychomotor aspects. Based on the results of the analysis, the average score of participants on cognitive aspects was 72.47, affective 74.47 and psychomotor 73.27. Thus, the level of youth understanding of the value of Akhlak and Al Islam and Muhammadiyah is at a good level. This means that the application of Baitul Arqam has an effect on improving the understanding of the values of Akhlak and Al Islam and Kemuhammadiyah for the Central Buton Youth.
Seminar Parenting Skill Pada Remaja Era New Normal di SMA Muhammadiyah di Gresik
Authors: Amelasasih Prianggi , Wicaksono Awang Setiawan
Published: March 2023

Keluarga merupakan tempat dimana individu tumbuh, berkembang dan belajar tentang nilai-nilai yang dapat membentuk kepribadian anak nantinya. Keluarga merupakan unit sosial dasar terkecil dalam masyarakat yang menentukan suatu kelompok masyarakat menjadi kelompok yang kuat, yang juga berdampak pada kuatnya bangsa dan negara. Penyelenggara pendidikan remaja sebaiknya memberikan program berbasis keluarga (parenting) serta studi kasus yang sering terjadi pada remaja. Program tersebut berfungsi untuk menumbuhkan wawasan dan keterampilan orang tua dalam memberikan pengasuhan sesuai tahapan usia anak, sehingga terjadi kesesuaian antara program di sekolah dengan aturan di rumah. Salah satu program berbasis keluarga (parenting) adalah pengelola sekolah mengadakan pelatihan atau workshop dimana orang tua, guru, dan pendidik dapat berdiskusi secara langsung untuk mengkaji perkembangan remaja berdasarkan permasalahan yang dihadapi, serta pemecahan masalah yang efektif. Pengelola sekolah dapat mengadakan seminar yang mendatangkan pakar di bidang psikologi yang dilaksanakan bekerjasama dengan Fakultas Psikologi, Universitas Muhammadiyah Gresik.
2nd Floor Budget Planning Assistance (RAB) at Nurul Iman mosque, Bahari Tiga Village
Authors: Abdu Muhammad
Published: March 2023

This research aims to assist the analysis of the cost budget for the continuation of the construction of the 2nd floor of the nurul iman mosque of the third nautical village so that in determining the amount of costs, material needs can be known in more detail so as to minimize the risk of spending overruns in the use of the budget. In determining costs, the analysis is calculated based on the planned work drawings. With a total budget of four hundred and fifty-four million.
Penulisan Karya Ilmiah Bebas Plagiat
Authors: Suherman La Ode Achmad , Al Zarliani Wa Ode , Manaf Abd. , Irwan Irwan , Nurwahyuni Ade
Published: March 2023

Dalam penulisan karya ilmiah, penulis tidak hanya menuliskan hasil pemikirannya sendiri melainkan harus didukung oleh pendapat orang lain  sehingga tulisannya dapat di akui keilmiahannya. Dalam hal ini, keterampilan mengolah sumber referensi merupakan hal yang wajib diketahui oleh setiap penulis agar terhindar dari plagiasi. Pemahaman mahasiswa  di Universitas Muhammadiyah Buton terhadap pentingnya penulisan referensi dalam pencegahan plagiat sangatlah minim. Mahasiswa umumnya belum mengetahui, bahwasanya plagiat dapat terjadi secara tidak di sengaja dalam bentuk kutipan, paraphrase serta penulisan referensi. Tujuan dari kegiatan pengabdian ini adalah untuk memberikan pemahaman kepada mahasiswa mengenai ruang lingkup plagiarisme, bentuk dan cara pencegahannya serta membekali mahasiswa dengan keterampilan penulisan referensi ilmiah yang seusaui dengan kaidahnya. Pelatihan penulisan referensi ilmiah ini dilaksanakan secara tatapmuka dengan pendekatan seminar serta pelatihan terbimbing dalam fokus grup diskusi. Pelatihan ini diikuti oleh 24 peserta mahasiswa dari tiga program studi (prodi), yaitu prodi Teknik Sipil, Prodi Pendidikan Guru Sekolah Dasar dan Prodi Agribisnis. Keseluruahan rangkaian kegiatan pelatihan penulisan karya ilmiah bebas plagiat menunjukkan hasil yang cukup memuaskan. Peserta yang didominasi mahasiswa tingkat akhir dapat menyerap inti materi yang disampaikan.
Gender, numbers and beyond: The case of criminology program in DOrSU, City of Mati, Philippines
Authors: Villegas Jhonnel , Biol Ruel , Simbahon Juby , Dacullo Jason
Published: March 2023

Access to and success in higher education is shaped by various factors, including, but are not limited to, gender, gendered identities, and gender-related subjectivities. While there has been rich literature in gender-higher education nexus, the utilization of gender analysis in specific gender-stereotyped degree programs such as Criminology, although widely offered in the entire country, remains understudied. Recognizing the impressive progress of enterprising and mainstreaming GAD norms in the Philippines compared to its peers in Asia, there remains a need to understand how gender sets in motion beyond rhetoric and how it entangles everyday practices. This study attempts to interrogate the Criminology program’s temporal development and social determinants from the lenses of gender through trend analysis and in-depth interview methods. We found that Criminology in DOrSU is significantly male-dominated since the program commenced operations in 2009. Although unsurprising, it is worth noting that females record a higher survival rate than males. The latent gender issues and coping strategies contributing to the program’s notable trend were also uncovered, providing a more comprehensive understanding of females and other non-masculine genders’ narrowed access to the program. To tighten the existing gender gap in Criminology, we recommend a policy reform that encourages gender-inclusive opportunities.
Quality of life in patients surgically treated for oral carcinoma
Authors: Petrović Anđelija , Keković Goran , Sekulić Slobodan , Mojsilović Slavko
Published: March 2023

Background/Aim: The aim of this study was to examine quality of life in patients who were surgically treated for oral carcinoma. Material and Methods: The study included patients surgically treated over a 3-year period (2014-2016). Data on patients, tumor type and localization, disease status according to the TNM classification, type of surgical intervention and time since surgery were collected from the medical records. Postsurgery functional and aesthetic results were evaluated using the adapted University of Washington Quality of Life questionnaire. Results: Forty patients were included in the study. Male patients were more prevalent (27 vs 13) (ch2=4.225p<0.05). Ratio of planocellular vs adenocarcinoma was 35 vs 5 (ch2=11.404, p=0.0007, a=0.05). Osteotomy was performed in 52.5% of patients, and surgical intervention in the soft tissue was performed in 47.5%. Patients who had recovered >1 year showed better mood (MannWhitney test, p=0.036, a=0.05), functions of speech (Mann-Whitney test p=0.008, a=0.05) and chewing (Mann-Whitney test p=0.04, a=0.05), as well as patients who had soft tissue surgery (chewing: Mann-Whitney test p=0.016, a=0.05; speech: Mann-Whitney test p=0.043, a=0.05). Patients with T1 stage tumors considered their looks less disfigured and had fewer problems in appearing in public, compared with patients with T3 and T4 stage (Dunn's test, CI -95%). Interest in sex was significantly diminished in patients older than 30 years (Kruskal-Wallis testa (p=0.013, a=0.05). Conclusions: The stage of disease, range of resection and success of reconstruction were decisive parameters for postoperative quality of life. Early detection of disease is of utmost importance for both survival and quality of life of patients with carcinoma.
Attitude, knowledge and practice of pediatricians in the prevention of early childhood caries
Authors: Katana Elma , Šačić-Selmanović Lejla , Marković Nina , Bajrić Elmedin , Zukanović Amila , Arslanagić-Muratbegović Amra
Published: March 2023

Background/Aim: The aim of the research was to examine the general attitude, knoweledge and practice of pediatricians about caries in children of preschool age. Material and Methods: The research was conducted from November 2019 to the end of January 2020. The research consisted of a survey of pediatricians. The questionnaire consisted of 4 modules and 37 questions, which related to the attitude, knowledge and practice of pediatricians on the prevention of early childhood caries. Results: The majority of pediatricians (84.9%) stated that they assess the nutrition of their patients, while 32.1% of them always do oral health assessment, and half of them in the second month of the child's life; and 39.6% assess oral health only if there is a problem. The majority of pediatricians (86.8%) recommended the first dental examination, most often in the first year of the child's life (79.5%), and then every 6 months (43.5%). The majority of respondents did not required information about the dental health of their patients' mothers, fluoride toothpastes and topical application of fluoride as well (62.3-75.5%). The majority of pediatricians (79.2%) have never provided or sometimes provided educational material on caries prevention and control to the parents of their patients. The most accurate answers and the highest percentage of correct answers that the pediatricians had were about attitudes (Z=8.98, 66.63%), while the fewest correct answers and the lowest percentage of correct answers regarding the practices on the prevention of early childhood caries (Z=11.91, 58.90%). Conclusions: The research showed that pediatricians have the good attitudes and knowledge, but do not implement prevention of early childhood caries in practice. The basic deficiency of attitude, knowledge and perception of the importance of prevention is a consequence of insufficient education of pediatricians.
A different method to accelerate orthodontic tooth movement: Randomized controlled trial
Authors: Yildiz Osman , Yagci Ahmet , Hashimli Nizami
Published: March 2023

Background/Aim: Since both patients and orthodontists want orthodontic treatment to be completed in a short time, various methods have been developed to accelerate orthodontic tooth movement. Vibration applications and interrupted force are noninvasive applications that are easily accepted by the patient. Aim of this study is researching modified interrupted force and vibration together how effect orthodontic tooth movement rate and pain perception that occurs during canine distalization. Material and Methods: Twenty patients (10 males and 10 females) with Class II div 1 malocclusion were selected for this study. The Hycon device on the right side activated by routine protocol, but on the left side activation protocol modified. The patients were randomly divided into 2 groups and one group was applied vibration with AcceleDent device. Each patient was provided with a chart to score the pain they experienced during canine distalization. Results: Fastest tooth movement was measured in the modified protocol(HL)+AcceleDent group (1.44 mm/monthly). The results showed that the orthodontic tooth movement in the groups which AcceleDent device used was faster than the Hycon groups only. Faster movement was observed in the left canines which Hycon device activated by modified protocol compared to right canines. These differences between groups were found statistically significant. Pain over time exhibited similar patterns in all groups. Conclusions: Using modified interrupted force protocol gave more rapid extraction space closure. The application of vibration, as an adjunct to treatment with a fixed orthodontic appliance, significantly increases the rate of orthodontic tooth movement. Vibrational force and modified activation protocol do not have significant effect on pain perception.
Increasing performance of spacecraft active fault-tolerant control using neural networks
Authors: Moradi Rouzbeh
Published: March 2023

Actuator fault poses a challenge to the attitude control of spacecraft. Fault-tolerant control (active or passive) is often used to overcome this challenge. Active methods have better performance than passive methods and can manage a broader range of faults. However, their implementation is more difficult. One reason for this difficulty is the critical reaction time. The system may become unrecoverable if the actual reaction time becomes larger than the critical reaction time. This paper proposes using a feedforward neural network to reduce the actual reaction time in the active fault-tolerant control of spacecraft. Besides this improvement, using a feedforward neural network can increase the success percentage. Success percentage is the ratio of successful simulations to the total number of simulations. Simulation results show that for 200 simulations with random faults and initial conditions, the actual reaction time decreases by 73%, and the success percentage increases by 25%. Based on these results, the proposed controller is a good candidate for practical applications.
Characterization of dry sliding behavior of a Si-Mo-Cr ductile cast iron
Authors: Ram Nanak , Gautam Vijay
Published: March 2023

The prerequisites for a brake disc material include a lower specific wear rate, a high coefficient of friction against brake pad material, lighter weight, and a higher heat dissipation rate. The present research studied the dry sliding wear behavior of as-cast Si-Mo-Cr ductile cast iron (DCI). A series of pin-on-disc wear tests are conducted using Taguchi L16 array for the optimum combination of load, sliding velocity, and temperature on a rotary tribometer setup at controlled temperatures ranging from 30°C to 240°C. The analysis of variance, first-order regression analysis, and confirmation tests are done to validate the results obtained for the material's wear properties. SEM and EdX analysis of wear surfaces is also done. It founds that the sliding velocity has a more significant influence on the specific wear rate. In contrast, the applied load is the key influencing parameter for a higher value of the coefficient of friction.
Using nonfinancial measures to improve fraud risk assessments: Opportunities and limitations
Authors: Špiler Marko , Bogojević-Arsić Vesna , Knežević Snežana
Published: March 2023

Previous research indicates a growing need to address the issue of fraudulent financial research. In addition to financial measures, non-financial measures are those that should be considered in the process of measuring the economic performance of the company. This research points to the importance of an integrated way of measuring the financial performance of a company in assessing the risk of fraud, which implies the application of non-financial performance measures together with financial ones. If there is a difference between non-financial measures and financial performance, this may be a warning sign that there may be a risk of fraud. Research on the application of non-financial measures in improving the risk assessment of fraud is scarce when looking at the Serbian context. Therefore, this research will add value to the existing literature on fraud risk management in financial statements.
Burnout syndrome of doctors and nurses/technicians employed in the general hospital of the Health Center in Brcko
Authors: Nikolić Aleksandra , Nikolić Anđa , Grujičić Sandra
Published: March 2023

Introduction/Aim: Burnout syndrome can be defined as a prolonged response to chronic emotional and interpersonal stressors associated with the workplace. It is usually manifested as emotional exhaustion, a feeling of reduced personal accomplishment and depersonalization. It most often occurs in people who work intensively with people, especially doctors, teachers, where even 20-30% of employees show some of the symptoms of burnout syndrome at work. The aim of the study is to evaluate the prevalence of burnout syndrome among healthcare workers (doctors and nurses/technicians) in the general hospital of the Health Center Brcko and to identify the predictors of emotional exhaustion, depersonalization and a feeling of reduced personal accomplishment. Methods: This cross-sectional study was conducted during June and July 2018, in the general hospital of the Health Center Brcko. The research included doctors (61) and nurses/technicians (155), aged 18 and older, who were employed full time. All respondents voluntarily agreed to participate anonymously in the research. The data were obtained from the respondents with the help of questionnaires. In addition to the general questionnaire, Maslach Burnout Inventory - Human Services Survey (MBI-HSS) was used to assess burnout syndrome at work. In the statistical analysis of data, the following methods of descriptive statistics were applied: mean value, standard deviation. T-test for independent samples, univariate and multivariate logistic regression analysis were used to compare the two groups of respondents. Variables that had p<0.1, according to univariate analysis, were included in the multivariate logistic analysis models. Results: The prevalence of emotional exhaustion, as a component of burnout syndrome, was present in 51% of health workers, depersonalization in 33%, and reduced personal accomplishment in 54% of respondents. If we choose the presence of at least one of three components of the syndrome as a criterion of the total burnout syndrome, the burnout syndrome was present in 59% of respondents. According to the Maslach questionnaire, doctors significantly more often had moderate and high values of emotional exhaustion and moderate values of personal accomplishment, while nurses/technicians significantly more often had moderate values of depersonalization. Conclusion: The high incidence of burnout syndrome in healthcare workers requires further research in this field with the aim of introducing adequate preventive measures to improve the health of healthcare workers, especially doctors.
External Validation of Risk Factors for Unplanned Hospitalization in Older Adults With Advanced Cancer Receiving Chemotherapy
Authors: Mohamed Mostafa R. , Loh Kah Poh , Mohile Supriya G. , Sohn Michael , Webb Tracy , Wells Megan , Yilmaz Sule , Tylock Rachael , Culakova Eva , Magnuson Allison , Sun Can-Lan , Bearden James , Hopkins Judith O. , Faller Bryan A. , Klepin Heidi D.
Published: March 2023

Background: Older adults (age ≥65 years) receiving chemotherapy are at risk for hospitalization. Predictors of unplanned hospitalization among older adults receiving chemotherapy for cancer were recently published using data from a study conducted by the Cancer and Aging Research Group (CARG). Our study aimed to externally validate these predictors in an independent cohort including older adults with advanced cancer receiving chemotherapy. Methods: This validation cohort included patients (n=369) from the GAP70+ trial usual care arm. Enrolled patients were aged ≥70 years with incurable cancer and were starting a new line of chemotherapy. Previously identified risk factors proposed by the CARG study were ≥3 comorbidities, albumin level <3.5 g/dL, creatinine clearance <60 mL/min, gastrointestinal cancer, ≥5 medications, requiring assistance with activities of daily activities (ADLs), and having someone available to take them to the doctor (ie, presence of social support). The primary outcome was unplanned hospitalization within 3 months of treatment initiation. Multivariable logistic regression was applied including the 7 identified risk factors. Discriminative ability of the fitted model was performed by calculating the area under the receiver operating characteristic (AUC) curve. Results: Mean age of the cohort was 77 years, 45% of patients were women, and 29% experienced unplanned hospitalization within the first 3 months of treatment. The proportions of hospitalized patients with 0–3, 4–5, and 6–7 identified risk factors were 24%, 28%, and 47%, respectively (P=.04). Impaired ADLs (odds ratio, 1.76; 95% CI, 1.04–2.99) and albumin level <3.5 g/dL (odds ratio, 2.23; 95% CI, 1.37–3.62) were significantly associated with increased odds of unplanned hospitalization. The AUC of the model, including the 7 identified risk factors, was 0.65 (95% CI, 0.59–0.71). Conclusions: The presence of a higher number of risk factors was associated with increased odds of unplanned hospitalization. This association was largely driven by impairment in ADLs and low albumin level. Validated predictors of unplanned hospitalization can help with counseling and shared decision-making with patients and their caregivers.

ClinicalTrials.gov identifier: NCT02054741
Feasibility and Effectiveness of Self-Management Education and Coaching on Patient Activation for Managing Cancer Treatment Toxicities
Authors: Howell Doris , Pond Gregory R. , Bryant-Lukosius Denise , Powis Melanie , McGowan Patrick T. , Makuwaza Tutsirai , Kukreti Vishal , Rask Sara , Hack Saidah , Krzyzanowska Monika K.
Published: March 2023

Background: Poorly managed cancer treatment toxicities negatively impact quality of life, but little research has examined patient activation in self-management (SM) early in cancer treatment. Methods: We undertook a pilot randomized trial to evaluate the feasibility, acceptability, and preliminary effectiveness of the SMARTCare (Self-Management and Activation to Reduce Treatment Toxicities) intervention. This intervention included an online SM education program (I-Can Manage) plus 5 sessions of telephone cancer coaching in patients initiating systemic therapy for lymphoma or colorectal or lung cancer at 3 centers in Ontario, Canada, relative to a usual care control group. Patient-reported outcomes included patient activation (Patient Activation Measure [PAM]), symptom or emotional distress, self-efficacy, and quality of life. Descriptive statistics and Wilcoxon rank-sum tests were used to examine changes over time (baseline and at 2, 4, and 6 months) within and between groups. We used general estimating equations to compare outcomes between groups over time. The intervention group completed an acceptability survey and qualitative interviews. Results: Of 90 patients approached, 62 (68.9%) were enrolled. Mean age of the sample was 60.5 years. Most patients were married (77.1%), were university educated (71%), had colorectal cancer (41.9%) or lymphoma (42.0%), and had stage III or IV disease (75.8%). Attrition was higher in the intervention group than among control subjects (36.7% vs 25%, respectively). Adherence to I-Can Manage was low; 30% of intervention patients completed all 5 coaching calls, but 87% completed ≥1. Both the continuous PAM total score (P<.001) and categorical PAM levels (3/4 vs 1/2) (P=.002) were significantly improved in the intervention group. Conclusions: SM education and coaching early during cancer treatment may improve patient activation, but a larger trial is needed.

ClinicalTrials.gov Identifier: NCT03849950
Composição química, farmacologia e etnobotânica de plantas medicinais utilizadas empiricamente no estado de Rondônia, Amazônia Ocidental
Authors: Lima Regiane Rossi Oliveira de , Silva Francisco Carlos da , Meneguelli Alexandre Zandonadi , Muniz Igor Mansur , Mira Átila Bezerra de , Dantas Filho Jerônimo Vieira , Schons Sandro de Vargas
Published: March 2023

As plantas medicinais pertencem a cultura popular, mas nas últimas décadas o interesse pela fitoterapia teve um aumento bastante significativo, sobretudo entre usuários, pesquisadores e serviços de saúde. Os levantamentos florísticos de espécies arbóreas e arbustivas favorece o conhecimento da biodiversidade e a utilização correta dos recursos vegetais. Diante do cenário apresentado, o objetivo do estudo é mediante a literatura, descrever as espécies de plantas, quina (Cinchona officinalis), sucuuba (Himatanthus sucuuba), pau-d’alho (Gallesia integrifolia), tamboril (Enterolobium contortisiliquum) e pau-ferro (Libidibia ferrea). As quais são espécies consideradas relevantes entre as plantas medicinais amazônicas. Os inventários de espécies constituem a base de qualquer estudo comprometido com a avaliação correta do valor de um ecossistema, sua conservação e gerenciamento. Além disso, esses levantamentos de espécies de plantas medicinais favorece a utilização correta do recurso vegetal, exercendo não apenas uma função de cunho alimentício, mas medicinal e ornamental, e consequentemente social e ambiental. Os estudos devem ser aprofundados quanto à caracterização química, farmacológica e toxicológica para obtenção de fármacos naturais, seguros, estáveis e eficientes, que poderão servir como modelos para o desenvolvimento de moléculas sintéticas apropriadas para a produção de antimicrobianos específicos.
Germination and emergence of Miconia sp (Melastomataceae)
Authors: Guerreiro Renata Gomes de Oliveira , Firmino Taysi Pereira , Souza Luiz Antônio de , Romagnolo Mariza Barion , Pastorini Lindamir Hernandez
Published: March 2023

Melastomataceae is one of the predominant families of Campos Gerais Paranaenses. However, germination and initial growth of the species in the region have been little studied. To investigate the germination, emergence, and initial growth of five Melastomataceae species in the State Park of Guartelá and in the State Park of Vila Velha, germination bioassays and emergence tests were carried out at 20 ºC, 25 ºC, and 30 ºC in a germination chamber and initial growth wasevaluated in a greenhouse. Miconia cinerascens and Miconia sellowiana had the highest percentage of germination (% G) at 25 ºC and 30 ºC. M. auricoma and M. ligustroides showed no difference in the germination percentage at the three temperatures tested, but germination delayed at 20 °C. M. radii germinated only at 25 ºC and 20 °C. Emergence was slow, both in the greenhouse and in B.O.D, with final germination of M. sellowiana completed by about 70 d in the greenhouse. The temperatures of 25 ºC and 30ºC were found an important factor in the germination of Melastomataceae species in Campos Gerais, with M. Auricoma having initial growth slow.
Meteorologia aplicada ao manejo ambiental: processo para o uso controlado do fogo no campo
Authors: Costa Davi Miranda , Oliveira Maria Regina da Silva , Sodré Giordani Rafael Conceição , Moraes Bergson Cavalcante de
Published: March 2023

A inserção de medidas restritivas à utilização do fogo no campo em forma de multas, órgãos fiscalizadores e outras penalizações tem sido aplicada desde a criação do primeiro Código Florestal Brasileiro. Todavia, pesquisas recentes apontam que a gestão consciente na utilização do fogo é o primeiro passo para reduzir o alastramento de incêndios florestais e as consequências dos mesmos para a sociedade. À vista disso, esta pesquisa tem como objetivo elaborar, dentro do campo da Meteorologia, uma ferramenta que possa ser utilizada como auxílio a outros métodos de combate a queimadas pelos órgãos fiscalizadores. Para isso analisamos a variabilidade pluviométrica local levando em consideração os mecanismos oceano-atmosfera que foram atuantes no período de 2016 a 2019 na microrregião de Tomé Açu. Calculamos a média móvel para grupos de três dias para verificar a ocorrência de um volume médio pluviométrico seguro para criar um calendário de manejo indicando o momento mais seguro dentro de cada mês para a utilização do fogo no campo. Observamos que o número de queimadas varia de acordo com o tipo de uso e cobertura do solo e com o mecanismo oceano-atmosfera atuante, sendo o mês de setembro o mais relevante. Utilizamos o ano de 2020 para fazer a validação do calendário de manejo e constatamos que, de fato, a precipitação ocorreu dentro dos grupos esperados indicando a eficiência do mesmo para o auxílio no combate aos incêndios florestais.
Influência da inserção de vegetação na temperatura do ar de um loteamento de interesse social em Cuiabá/MT
Authors: Novais Jonathan Willian Zangeski , Ribeiro Thálita Severo , Silva Roberta Daniela de Souza Lauxen da , Souza Pricila Juliana de
Published: March 2023

A utilização de vegetação como estratégia de melhoria do conforto térmico é uma solução barata e eficiente, porém poderia ser mais utilizada em cidades de clima tropical. Assim com o objetivo de analisar a influência da vegetação na temperatura do ar, modelou-se para um residencial de interesse social de Cuiabá, Mato Grosso, dois cenários, um modelo com que simula as condições atuais, denominado real, e uma simulação com a com inserção de vegetação, utilizando para isso o software ENVI-met. Foram modelados 3 horários, 08:00, 14:00 e 20:00 para o mês de setembro. A vegetação simulada foi incluída em frente as habitações e espaçadas 5 metros entre si, conforme plano diretor do município. O residencial de interesse social é constituído de 638 residências, e localizado em zona periférica de Cuiabá. As temperaturas máximas ocorreram as 14 horas, atingindo 33ºC. Em todos os horários foram observadas mudanças positivas da inserção de vegetação, em que no horário das 14 horas foi possível observar diminuição de até 3ºC de temperatura do ar, concluindo-se que a vegetação pode ser um fator determinante na diminuição das temperaturas do ar em áreas residenciais, gerando assim um maior conforto térmico para os moradores. Reforça-se a necessidade de que as autoridades municipais cumpram o plano diretor da cidade e insiram a vegetação de calçada.
Análise dos conflitos socioambientais em reservatório hídrico no município de Campina Grande/PB
Authors: Silva Jéssica Araújo , Borges Igo Marinho Serafim , Maciel Jasmyne Karla Vieira Souza , Silva Viviane Farias
Published: March 2023

A água é um recurso natural de fundamental importância para todos os seres vivos. Sendo assim, o presente artigo foi realizado objetivando-se esclarecer o conflitos do uso da água do açude do Bodocongó em Campina Grande – PB, bem como evidenciar a situação de vulnerabilidade da população que faz uso dessas águas e os agentes que poluem o açude de maneira ilegal, afim de propor soluções que sejam capazes de garantir a segurança hídrica dessas pessoas e a restauração do equilíbrio ambiental do açude. A metodologia aplicada foi de forma primária realizada in loco, que teve contato direto com o ambiente de estudo, além disso foi aplicado análise de qualidade físico-química e microbiológica da água do açude de Bodocongó para mensurar os possíveis resultados encontrados. Desta forma, os resultados obtidos nas amostras evidenciaram a não potabilidade da água do açude por apresentarem padrões irregulares segundo o Conselho Nacional do Meio Ambiente. Destaca-se com um dos principais agentes responsáveis por isso o ser humano, que além de poluírem a água, contaminam o solo com diversas substâncias, causam danos à saúde da população, fauna e flora da região, aumentando a degradação ambiental no entorno do corpo hídrico gerando impactos negativos ao meio ambiente. Conclui-se que a degradação ambiental presente no açude é causada principalmente pelas ações antrópicas e que o mesmo desgaste ambiental culmina em problemas sociais.
Potencial tóxico, citotóxico e genotóxico de Copaifera langsdorffii desf. Nativa da Amazônia Mato-Grossense
Authors: Maltezo Daniele Paula , Cardoso Elisa dos Santos , Medeiros Julliane Dutra , Santos Larissa Lemes dos , Ferreira Edimilson Leonardo , Pogalsky Letícia de Souza , Rossi Ana Aparecida Bandini
Published: March 2023

A Floresta Amazônica abriga a maior biodiversidade do planeta e possui em sua flora diversas plantas com potencial medicinal, entre elas a Copaifera langsdorffii Desf., utilizada para tratamento de diversas enfermidades como asma, amigdalites e eczemas. O objetivo deste estudo foi avaliar o potencial tóxico, citotóxico e genotóxico de Copaifera langsdorffii por meio do teste Allium cepa. Os experimentos da casca do caule e das folhas de C. langsdorffii foram conduzidos separadamente, para cada um, os bulbos foram organizados em um esquema fatorial (2 x 5 + 2), sendo dois extratos (infuso e decocto), cinco concentrações: 0,002; 0,004; 0,008; 0,016 e 0,032 mg ml-1, e dois controles: água destilada e glifosato (480g/L) a 1%. Foram avaliados o crescimento do sistema radicular (CSR), o índice mitótico (IM), e a frequência de alterações cromossômicas e anormalidades na divisão celular. As maiores reduções de CSR foram encontradas no extrato decocto da casca do caule, na concentração de 0,016 mg mL-1, e os menores valores de IM foram observados na concentração 0,032mg mL-1 em ambos os extratos da casca do caule. A concentração usualmente utilizada apresentou aberrações em todos os extratos aquosos avaliados. A redução do CSR e IM e a presença de aberrações no organismo teste, evidenciaram o potencial tóxico, citotóxico e genotóxico de Copaifera langsdorffii.