bluuebunny/crossref_metadata_2025 huggingface dataset:
Cidades médias do Brasil: competitividade, governança e inovação
Authors: Saccaro Junior Nilo Luiz , Pêgo Bolívar , Motta Diana Meirelles da
Published: February 2024

Apresenta um projeto que visa subsidiar políticas públicas nas cidades médias do Brasil, reconhecendo seu potencial para promover o desenvolvimento econômico e social, reduzir disparidades regionais e melhorar a governança urbana. O projeto propõe uma abordagem em três etapas: estabelecimento de um referencial conceitual e metodológico, elaboração de estudos analíticos sobre o sistema urbano e a competitividade das cidades médias, e análise da governança territorial. O objetivo é oferecer um quadro de referência para orientar a formulação e execução de políticas públicas destinadas a superar desafios socioeconômicos, promover o desenvolvimento urbano sustentável e aprimorar a gestão do território. O projeto reconhece a importância das cidades médias como polos de articulação e integração regional e busca fornecer informações e metodologias para subsidiar decisões e ações governamentais nesse contexto.
The Effect of Income, Interest Rates, and Quality of Service on Decisions to Granting Credit
Authors: DEWI Ni Putu Emi Kristina , DEWI I Gusti Ayu Ratih Permata , KAWISANA Putu Gede Wisnu Permana
Published: February 2024

Study This aims to know the Influence of Income, Interest Rates, and Quality Service Against Awarding Decision Credit to BPR throughout the Regency Gianyar. The magnitude sample used as many as 72 respondents using purposive sampling. All data from the distribution questionnaire was used and analyzed using multiple linear regression and hypothesis testing (t-test and f-test). Research results show that (1) Income positively influences Award Decision Credit at the BPR of the Regency Gianyar. (2) Interest Rates influential and favorable to Award Decision Credit at the BPR of the Regency Gianyar. (3) Quality Service influential positive to Award Decision Credit at the BPR of the Regency Gianyar. This study has the influence and impact that: 1) Income positively influences Award Decision Credit at the BPR of the Regency Gianyar. 2) Interest Rates are influential and favorable to Award Decision Credit at the BPR of the Regency of Gianyar. 3) Quality Service positively influences Award Decision Credit at the BPR of the Regency Gianyar.
Analysis Of The Effect Of Gender And Poverty In The Home Industry Of Butija Woven Fabrics In The District Of Taopa West, Parigi Moutong Central Sulawesi Province
Authors: RAHMAWATI Sitti , ANWAR Chairil , THAHA Khaeruddin , SUPARMAN Suparman , MUHAMAD Aris
Published: February 2024

Poverty in women is more complex when faced with other problems, such as low education, low asset ownership and control, and a larger female population than male population. Women of West Taopa use Butija sarong weaving to produce goods and services. This study aims to determine production costs, income, and the role of gender in Taopa Barat District, Parigi Moutong Regency's butija woven fabric industry. The population and sample consisted of 28 groups of Butija Weaving Industry craftsmen. Data collection techniques used primary data through interview guidelines in the form of a questionnaire (list of questions) to respondents. Data analysis was carried out descriptively, with an explanatory research type. The research location was Taopa Barat Village, Taopa Barat District Parigi Moutong. Based on the income analysis of the Butija woven sarong craft business with a total operational cost of Rp. 37,926,500 consisting of fixed and variable costs, and net income is gross revenue of Rp114.300.000, which is reduced by the total production cost of Rp37,926,500. Net income per month is Rp8,864,500 or Rp106,373,500. The wife's contribution to family income in the Butija weaving craft industry plays a significant role in meeting the family's economic needs, especially the role of women who own a Butija weaving craft group business in West Taopa, Parigi Moitong Regency.
Fables of Grace
Authors: Fernández-Cebrián Ana
Published: February 2024

Chapter Four proposes a study of “providential capitalism” as a set of symbolic structures and practices taking place at the conjuncture of the economic liberalization process in Spain. Opus Dei ministers and economists drew on influential neoliberal theorists, such as Wilhelm Röpke, to promote what they called “Christian capitalism,” a form of putative economic liberalism that eschewed public distribution of wealth and resources. This chapter analyzes the intersection of theological and political economies at the time, focusing on charity as the guiding principle of the “economy of grace” that determined the public distribution of resources developed by the State and the Catholic Church. The first part of the chapter examines the role of the Catholic Church as an agent responsible for charitable policies in the films Cerca de la ciudad (Luis Lucia,1952), Marcelino Pan y Vino (Ladislao Vajda, 1954) and Sor Citroen (Pedro Lazaga, 1967). In the second part of this chapter, counter-hegemonic narratives of private charity are examined in Luis Buñuel's Viridiana (1961) and Luis García Berlanga’s film Plácido (1961). Finally, I analyze the relationship between voluntary beneficence and the rise of the technocratic state in Juan Marsé’s novel La oscura historia de la prima Montse.
Stellar Loci. VII. Photometric Metallicities of 5 Million FGK Stars Based on GALEX GR6+7 AIS and Gaia EDR3
Authors: Lu Xue , Yuan Haibo , Xu Shuai , Zhang Ruoyi , Xiao Kai , Huang Yang , Beers Timothy C. , Hong Jihye
Published: February 2024

We combine photometric data from GALEX GR6+7 All-Sky Imaging Survey and Gaia Early Data Release 3 with stellar parameters from the SAGA and PASTEL catalogs to construct high-quality training samples for dwarfs (0.4 < BP − RP < 1.6) and giants (0.6 < BP − RP < 1.6). We apply careful reddening corrections using empirical temperature- and extinction-dependent extinction coefficients. Using the two samples, we establish a relationship between stellar loci (near-ultraviolet (NUV)−BP versus BP − RP colors), metallicity, and M

G
. For a given BP − RP color, a 1 dex change in [Fe/H] corresponds to an approximately 1 magnitude change in NUV − BP color for solar-type stars. These relationships are employed to estimate metallicities based on NUV − BP, BP − RP, and M

G
. Thanks to the strong metallicity dependence in the GALEX NUV band, our models enable a typical photometric-metallicity precision of approximately σ
[Fe/H] = 0.11 dex for dwarfs and σ
[Fe/H] = 0.17 dex for giants, with an effective metallicity range extending down to [Fe/H] = −3.0 for dwarfs and [Fe/H] = −4.0 for giants. We also find that the NUV-band-based photometric-metallicity estimate is not as strongly affected by carbon enhancement as previous photometric techniques. With the GALEX and Gaia data, we have estimated metallicities for about 5 million stars across almost the entire sky, including approximately 4.5 million dwarfs and 0.5 million giants. This work demonstrates the potential of the NUV band for estimating photometric metallicities, and sets the groundwork for utilizing the NUV data from space telescopes such as the upcoming Chinese Space Station Telescope.
Direct N-body Simulations of Satellite Formation around Small Asteroids: Insights from DART’s Encounter with the Didymos System
Authors: Agrusa Harrison F. , Zhang Yun , Richardson Derek C. , Pravec Petr , Ćuk Matija , Michel Patrick , Ballouz Ronald-Louis , Jacobson Seth A. , Scheeres Daniel J. , Walsh Kevin , Barnouin Olivier , Daly R. Terik , Palmer Eric , Pajola Maurizio , Lucchetti Alice , Tusberti Filippo , DeMartini Joseph V. , Ferrari Fabio , Meyer Alex J. , Raducan Sabina D. , Sánchez Paul
Published: February 2024

We explore binary asteroid formation by spin-up and rotational disruption considering the NASA DART mission's encounter with the Didymos–Dimorphos binary, which was the first small binary visited by a spacecraft. Using a suite of N-body simulations, we follow the gravitational accumulation of a satellite from meter-sized particles following a mass-shedding event from a rapidly rotating primary. The satellite’s formation is chaotic, as it undergoes a series of collisions, mergers, and close gravitational encounters with other moonlets, leading to a wide range of outcomes in terms of the satellite's mass, shape, orbit, and rotation state. We find that a Dimorphos-like satellite can form rapidly, in a matter of days, following a realistic mass-shedding event in which only ∼2%–3% of the primary's mass is shed. Satellites can form in synchronous rotation due to their formation near the Roche limit. There is a strong preference for forming prolate (elongated) satellites, although some simulations result in oblate spheroids like Dimorphos. The distribution of simulated secondary shapes is broadly consistent with other binary systems measured through radar or lightcurves. Unless Dimorphos's shape is an outlier, and considering the observational bias against lightcurve-based determination of secondary elongations for oblate bodies, we suggest there could be a significant population of oblate secondaries. If these satellites initially form with elongated shapes, a yet-unidentified pathway is needed to explain how they become oblate. Finally, we show that this chaotic formation pathway occasionally forms asteroid pairs and stable triples, including coorbital satellites and satellites in mean-motion resonances.
Platelet-rich plasma efficacy in alopecia areata patients with normal and elevated levels of antibodies against thyroglobulin and thyroid peroxidase
Authors: Abadjieva Tsvetana I. , Todorova Lidiya N. , Gardjeva Petya A. , Murdjeva Mariana A.
Published: February 2024

Aim: To evaluate and compare the efficacy of platelet-rich plasma (PRP) therapy in alopecia areata (AA) patients with normal and with elevated levels of anti-thyroglobulin antibodies and/or anti-thyroid peroxidase antibodies.

Materials and methods: The study included 30 AA patients divided into two groups: AA patients with normal (Group 1) and with elevated antithyroid antibodies (Group 2). PRP was applied in three consecutive monthly sessions. Treatment results were evaluated by clinical photography, assessment of scalp hair, trichoscopy, and assessment of patients’ quality of life.

Results: The mean age of patients was 42.10 years, 23 (76.6%) patients were with normal and seven (23.3%) were with elevated antithyroid antibodies. Eleven (50%) patients from Group 1 had significant hair growth, of which ten with AA partialis (45.5%), one with AA reticularis (4.6%). Two patients with alopecia reticularis and two with alopecia totalis had insignificant hair growth. Worsening was found in four patients with alopecia reticularis and alopecia totalis. In Group 2 one patient with alopecia partialis (14.3%) had a significant hair growth, five patients with alopecia reticularis and one with alopecia totalis had insignificant hair growth, and none of the patients worsened.

Conclusions: PRP therapy was effective in patients with mild to moderate form of AA and most had normal antithyroid antibodies. Patients with severe AA, AA ophiasis and alopecia totalis, with normal and elevated antibodies, did not benefit from PRP therapy.
On the narratives of the joys and aporias of individuation: the approximation of youth practices in the Brazilian popular neighborhoods
Authors: Pinheiro Leandro R. , Caregnato Célia E.
Published: February 2024

Les discussions proposées dans cet article se situent dans le cadre de la sociologie de la jeunesse et narrent des pratiques juvéniles dans des quartiers populaires, en vue de les articuler analytiquement à des processus d'individuation dans des contextes quotidiennement traversés de marqueurs d'inégalité sociale. Nous cherchons ainsi à comprendre comment des jeunes participent au circuit du football et à celui de la musique funk brésilienne, en soulignant la manière dont ils font face aux défis structurels évoqués dans leurs expériences. Pour y parvenir, nous nous appuyons notamment sur les contributions de Danilo Martuccelli et recourons, sur le terrain, à l'observation ethnographique et à des entretiens narratifs complémentaires, réalisés dans deux territoires socialement vulnérables de la ville de Porto Alegre, au Brésil. À partir de nos incursions, nous considérons que les pratiques sur place engendrent des inscriptions mnémoniques de joie, au milieu d'individuations agentiques et de performances singularistes, renvoyant à la fois à l'historicité loco-interactionnelle et aux apories existentielles dans « l’épreuve de soi ».
Bias correction based on AR model in spurious regression
Authors: Ouyang Zhongzhe , Liu Ke , Lu Min
Published: February 2024

The regression of mutually independent time series, whether stationary or non-stationary, will result in autocorrelation in the random error term. This leads to the over-rejection of the null hypothesis in the conventional t-test, causing spurious regression. We propose a new method to reduce spurious regression by applying the Cochrane-Orutt feasible generalized least squares method based on a bias-corrected method for a first-order autoregressive model in finite samples. This method eliminates the requirements for a kernel function and bandwidth selection, making it simpler to implement than the traditional heteroskedasticity and autocorrelation consistent method. A series of Monte Carlo simulations indicate that our method can decrease the probability of spurious regression among stationary, non-stationary, or trend-stationary series within a sample size of 10–50. We applied this proposed method to the actual data studied by Yule in 1926, and found that it can significantly minimize spurious regression. Thus, we deduce that there is no significant regressive relationship between the proportion of marriages in the Church of England and the mortality rate in England and Wales.
Facial age recognition based on deep manifold learning
Authors: Zhang Huiying , Lin Jiayan , Zhou Lan , Shen Jiahui , Sheng Wenshun
Published: February 2024

Facial age recognition has been widely used in real-world applications. Most of current facial age recognition methods use deep learning to extract facial features to identify age. However, due to the high dimension features of faces, deep learning methods might extract a lot of redundant features, which is not beneficial for facial age recognition. To improve facial age recognition effectively, this paper proposed the deep manifold learning (DML), a combination of deep learning and manifold learning. In DML, deep learning was used to extract high-dimensional facial features, and manifold learning selected age-related features from these high-dimensional facial features for facial age recognition. Finally, we validated the DML on Multivariate Observations of Reactions and Physical Health (MORPH) and Face and Gesture Recognition Network (FG-NET) datasets. The results indicated that the mean absolute error (MAE) of MORPH is 1.60 and that of FG-NET is 2.48. Moreover, compared with the state of the art facial age recognition methods, the accuracy of DML has been greatly improved.
Analysis of the perceptions, competencies, and educational needs for global health among Korean medical students
Authors: Kim Songrim , Kyung Sun Young , Park Ie Byung , Yune So Jung , Park Kwi Hwa
Published: February 2024

Purpose: The purpose of this study was to examine perceptions of global health education (GHE) among medical students and their involvement in global health activities and identify priorities of educational needs for developing GHE programs.Methods: This study was cross-sectional and conducted through an online survey for medical students. The participants were students attending medical schools nationwide, and the final analysis target was 678. The survey developed questionnaires necessary for research purposes regarding global health-related experiences and perceptions, level of awareness of global health competencies (GHC), and needs assessments. The data were analyzed using the frequency analysis, chi-square test, independent t-test, Borich Needs Assessment Model, and the Locus for Focus Model.Results: In total, 60.6% (411/678) agreed on the need for GHE, whereas 12.1% (82/678) agreed on the appropriateness of GHE in the current medical school curriculum, indicating a perception gap between the necessity and the status. At the current level of awareness of global health and GHC, we identified statistically significant differences according to gender, participation in global health activities, and GHE. In the analysis of the educational needs of GHC, all items of GHC had statistically significant differences between the importance level and the current level, and priorities were derived. The competency with the highest priority was domain A (Global Burden of Disease).Conclusion: We expect the findings of this study to be used in Korean medical education as fundamental data to prepare a hereafter research foundation for GHE and discuss systematic GHE based on GHC.
Scoping review: exploring residents’ views of supervisor entrustment and its effect on learning and professional development
Authors: Shim Sunhee , Kim Hansea , Lee Young-Mee
Published: February 2024

This scoping review aimed to systematically explore the complex and nuanced perceptions of residents entrusted with significant responsibilities by their supervisors in the clinical context. We conducted a comprehensive search strategy targeting six major electronic databases. Data were extracted using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist and a scoping review protocol. Resident perceptions regarding entrustment and its impact on learning and professional development were categorized. This review elucidated the role of supervisor entrustment in shaping residents’ clinical performance, notably influencing autonomy, self-confidence, responsibility for patients, learning needs and goals, uncertainty management, and professional identity formation. Residents identified factors that promote and hinder performance and entrustment development resulting from supervisor entrustment and distinguished between appropriate supervision and over- or under-supervision. Our review suggests that residents’ perceptions of supervisor entrustment, as bestowed by supervisors, serves as a catalyst for enhancing autonomy, thereby exerting a significant influence on clinical performance, and fostering the development of a professional identity. However, residents’ views on appropriate supervision differ in some ways from supervisors’ perspectives. Further research is needed to bridge the gap between residents’ expectations of autonomy and what they are given, and to explore the intricate relationship between autonomy and entrustment.
Examination of medical students’ opinions on multimedia learning materials according to social cues: focusing on sound principles
Authors: Chang Wonseok , Kim Yura , Park Hye Jin
Published: February 2024

Purpose: Although interest in various forms of learning media is increasing due to the coronavirus disease 2019 (COVID-19) pandemic there is relatively little research on influencing student motivation by intervening in cognitive processing. The purpose of this study was to present the optimal form of learning materials provided to medical students.Methods: This study provided learning materials in class at a level according to social cues (script, video [artificial intelligence (AI) voice], video [professor voice]) based on the principle of voices among the principles of personalization, voices, image, and embodiment of social cues in multimedia learning, and surveyed students’ opinions.Results: There was no statistically significant difference according to social clues in satisfaction and learning help, but both appeared in the order of silent videos containing the professor’s voice, followed by videos containing the AI voice.Conclusion: This study is significant in that there is no research on the impact of student motivation on the provision of learning materials for medical school education in Korea, and we hope that it will help provide learning materials for self-directed learning of medical students in the post-COVID-19.
Validação do instrumento “autoeficácia parental no cuidado ao recém-nascido a termo: versão brasileira”
Authors: Solano Soares da Silva Lara , Mandetta Myriam Aparecida , Ferreira Gomes Balieiro Maria Magda
Published: February 2024

Objetivo: Validar o instrumento Preterm Parenting & Self-Efficacy Checklist Versão Brasileira para uso com pais de recém-nascidos a termo. Método: Estudo metodológico realizado com 72 pais de recém-nascidos a termo, atendidos em um programa de puericultura de uma instituição filantrópica do município de São Paulo. Na coleta de dados, utilizou-se o instrumento “Preterm Parenting & Self-Efficacy Checklist– Versão Brasileira” e um questionário contendo variáveis sociodemográficas dos pais e variáveis perinatais. O Alpha de Cronbach e a análise fatorial utilizados na análise dos dados. Resultados: A maioria dos participantes foi mulheres, com idade média de 28,5 anos. Os recém-nascidos tiveram uma média de 39 semanas de idade gestacional, peso médio de 2940 gramas e sem intercorrências ao nascimento (98,6%). A consistência interna do instrumento foi de 0,808, a análise fatorial demonstrou a existência de correlação entre os itens e o valor da carga fatorial permitiu a manutenção dos itens do instrumento original. A autoeficácia parental dos participantes foi ocasionalmente confiante (média de 5,88). Conclusão: O instrumento foi consistente e confiável para uso com pais de recém-nascido a termo.
Consumo de mídias sexuais explícitas e o uso de preservativo
Authors: Vieira Chrystiany Plácido de Brito , Silva Vanessa Soares Rocha da , Araújo Telma Maria Evangelista de , Silva Júnior Fernando José Guedes da
Published: February 2024

Objetivo: analisar o uso do preservativo nas práticas sexuais de consumidores de mídias sexuais explícitas, segundo variáveis sociodemográficas. Método: estudo transversal e on-line, realizado na Região Nordeste do Brasil, com 349 usuários de redes sociais. Coleta de dados de setembro a dezembro de 2020. Realizaram-se análises univariadas e aplicou-se o teste qui-quadrado para verificar associação entre as variáveis qualitativas, sendo considerado o valor de p≤0,05. Resultados: predominou o sexo feminino (51,9%), com média de idade de 25,04 (±5,94) anos, em que 56,0% possuíam o hábito de ver algum tipo de pornografia e 58,0% não possuíam o hábito de utilizar preservativo nas relações sexuais, sendo que essa variável não teve associação com nenhuma característica da amostra estudada. Considerações finais: verificou-se o alto consumo de mídias sexualmente explícitas, principalmente por jovens, na maioria do sexo feminino, sem a prática do uso de preservativo nas relações sexuais, apontando a importância da elaboração de políticas públicas e estratégias de prevenção às práticas de risco ao HIV voltadas ao consumo dessas mídias.
Perfil epidemiológico de gestantes com COVID-19 e de seus recém-nascidos: recorte temporal
Authors: Silva Aline Dahmer da , Zilly Adriana , Baggio Maria Aparecida , Viera Claudia Silveira
Published: February 2024

Objetivo: descrever o perfil epidemiológico de gestantes acometidas pela COVID-19 e de seus recém-nascidos em um hospital escola do oeste do Paraná. Metodologia: pesquisa documental, retrospectiva, de desenho transversal, com consulta a documentos institucionais, sistemas de informação em saúde de notificação e leitura na íntegra de prontuário eletrônico das gestantes internadas em um hospital escola. O período investigado foi de março de 2020 a abril de 2022, compondo uma amostra de 121 gestantes internadas devido à COVID-19 e 114 recém-nascidos, sendo analisados por meio de estatística descritiva. Resultados: as gestantes infectadas pelo SARS-CoV-2 não tiveram nenhum recém-nascido infectado ao nascer, 13 (10,74%) gestantes necessitaram de internação na Unidade de Terapia Intensiva, ocorreram quatro (3,30%) óbitos maternos e três (2,63%) óbitos fetais. Os nascimentos foram via cesariana (n=61; 50,41%) em sua maioria, com baixo peso ao nascer (n=24; 21,05%) e a prematuridade (n=25; 21,92%), e apresentaram maiores taxas comparadas às anteriores a pandemia. Conclusão: o cenário epidemiológico apresentado foi semelhante ao exposto pela literatura, verificando a não contaminação vertical. Como desfechos maternos e neonatais, evidenciou-se maior ocorrência de cesarianas, óbitos maternos, prematuridade e baixo peso ao nascer entre as infectadas.
Confiabilidade do Índice Aldrete Kroulik na sala de recuperação pós-anestésica
Authors: Moura Nádia Alessa Venção de , Pereira Leidiane Silva , Barreto Thayllon Wesley da Silva , Bezerra Thayná Cunha , Domnice Aline Kércia Dias , Rabelo Poliana Pereira Costa , D’Eça Júnior Aurean
Published: February 2024

Objetivo: Analisar a confiabilidade dos dados registrados do Índice de Aldrete e Kroulik (IAK) na Sala de Recuperação Pós-Anestésica (SRPA). Materiais e método: Estudo transversal e documentalrealizado na Sala de Recuperação Pós-Anestésica de um hospital universitário do nordeste brasileiro. Os dados foram coletados das fichas de assistência de enfermagem perioperatória de 203 pacientes admitidos na SRPA, submetidos a cirurgias eletivas,dejaneiro a setembro de 2019.Para análise da confiabilidade, foram avaliados:incompletude e concordânciados registros do IAK, através deescore adaptado e Coeficiente de Correlação Intraerclasse (ICC), respectivamente. Resultados: Todas as variáveis em estudo apresentaram escore “muito baixa incompletude”(inferior a 5%)no preenchimento do IAK. Os parâmetros “saturação de oxigênio”, “atividade muscular”, “respiração” e “consciência” apresentaramclassificação de concordância excelente/satisfatória. A variável circulação apresentou classificação “insatisfatória” e revela uma fragilidade da equipe assistencialpara calcular corretamente este parâmetro.Conclusões: A confiabilidade dos registrosrevela completude satisfatória do IAK e concordância excelente/satisfatóriaem quatro dos cinco parâmetros avaliados na sala de recuperação pós-anestésica. Entretanto, falhas observadas ensejam repercussões legais, comprometem a segurança do paciente e interferem na qualidade da assistência pós-operatória.
Utilização de estratégias de alívio da dor durante trabalho de parto e parto pela enfermagem
Authors: Ferraz Vanessa Rodrigues , Pilger Carolina Heleonora , Prates Lisie Alende , Lipinski Jussara Mendes , Escobal Ana Paula de Lima , Souza Bruno Pereira de , Cruz Milena Dal Rosso da
Published: February 2024

Objetivo: identificar os desafios enfrentados pela equipe de enfermagem para a utilização de estratégias não farmacológicas de alívio da dor no trabalho de parto e parto. Método: pesquisa qualitativa, desenvolvida em março de 2021, com 16 profissionais que compõem a equipe de enfermagem de um hospital na Fronteira Oeste do Rio Grande do Sul. Adotou-se a técnica de entrevista semiestruturada e análise de conteúdo temática. Resultados: verificou-se aceitação da instituição e da maior parte dos profissionais quanto ao uso de estratégias não farmacológicas. Contudo, a equipe de enfermagem ainda enfrenta a resistência de parturientes e médicos para implementação dessas técnicas, além de dificuldades relacionadas com a estrutura física e materiais disponíveis no serviço. Foi sinalizada a necessidade de capacitações para maior embasamento teórico no uso dessas tecnologias. Considerações Finais: a equipe de enfermagem utiliza as estratégias não farmacológicas de alívio da dor do parto, os quais correspondem às boas práticas que se aproximam da humanização do parto. Entretanto, permanece o desafio em conciliar as rotinas do serviço, de modo que o trabalho burocrático não seja priorizado em detrimento do cuidado direto às parturientes.
Cateter central de inserção periférica e custos associados à assistência de enfermagem: revisão integrativa/ Peripherally inserted central catheter and costs associated with nursing care: an integrative review
Authors: Gomes Lima Zandonadi Maithê , Bolorino Natacha , Fernanda Tiroli Carla , Negrão Guassú Nogueira Danielly , Meneguetti Pieri Flávia
Published: February 2024

Objetivo: Analisar a produção científica sobre os custos associados ao uso do cateter central de inserção periférica na assistência de enfermagem à pacientes hospitalizados. Método: Revisão integrativa em que a estratégia de busca foi elaborada por meio da estratégia PICo, um total de 688 artigos, inicialmente, foram encontrados, após leitura de título e resumo, restaram 11 artigos para leitura na íntegra, destes, seis foram inclusos na revisão. Resultados: As evidências deste estudo apontaram ser importante incluir nos cálculos de custos, os dados de consumo de materiais, mão de obra, medicamentos, soluções, manutenção do cateter, manejo das complicações e ainda os custos com depreciação dos equipamentos utilizados durante a inserção. O uso das tecnologias durante a assistência de enfermagem reduz os custos associados. A utilização do ultrassom durante a implantação do cateter apresentou menores custos em relação á implantação às cegas, devido a menor incidência de complicações. A técnica beira-leito mostrou-se mais econômica. Quanto ao custo total citado nos estudos, houve uma variação de US$215,68 a US$881,81. Conclusão: Conhecer os custos associados à assistência de enfermagem ao cateter central de inserção periférica em pacientes hospitalizados pode contribuir para a otimização dos insumos, minimização dos custos gerados às instituições e para a melhoria da qualidade assistencial.
O cuidado pediátrico à luz da teoria de Jean Watson: revisão integrativa
Authors: Viana Ana Cláudia Gomes , Batista Patrícia Serpa de Souza , Lima Débora Rodrigues Alves de , Alves Adriana Marques Pereira de Melo , Santos Genaine de Fátima Alves Teixeira Fernandes dos
Published: February 2024

Objetivo: mapear as evidências científicas sobre o cuidado pediátrico à luz da Teoria de Jean Watson. Método: revisão integrativa de literatura, com busca realizada nos meses de julho e dezembro de 2022 nas fontes de dados SciELO, Lilacs, Scopus,CINAHL e Web of Science, a qual incluiu estudos publicados de 2011 a 2022. Os achados foram analisados com base na teoria empregada e apresentados de modo descritivo. Resultados: foram incluídas 19 publicações relacionadas ao cuidado em pediatria nos diversos cenários como ambientes hospitalar, domiciliar, unidade básica de saúde e casa de apoio à criança com câncer. Constatou-se que amor, fé e esperança, confiança, apoio a expressão de sentimentos, criatividade e o ensino-aprendizagem são significativos no processo de cuidado. Considerações finais: as evidências científicas demonstraram que, quando alicerçados pelos pressupostos apresentados pela teoria de Jean Watson, o cuidado contribui para que a criança e sua família sejam vistas como um ser integral com demandas assistenciais que ultrapassam as associadas apenas a dimensão física.
Role of Imaging in Renal Infections: A Narrative Review
Authors: Siriwardana S. R. , Piyabani C.
Published: February 2024

Urinary tract infections (UTIs) are among the most common bacterial infections in community and hospital settings. Infections of the urinary system can range from pyelonephritis to urethritis. Acute renal infections encompass entities such as acute pyelonephritis, acute focal bacterial nephritis, renal and perinephric abscesses, emphysematous pyelonephritis, and pyonephrosis, while xanthogranulomatous pyelonephritis is a chronic granulomatous inflammatory condition that affects the kidneys.The diagnosis of UTIs predominantly relies on clinical assessment and confirmation through abnormal laboratory results. Routine medical imaging is therefore typically reserved for complicated cases, aiming to identify contributing factors such as renal calculi, determine the type of infection, and evaluate the extent of the infection and its associated complications. Furthermore, imaging has become crucial for radiologists during interventional procedures in treating pyonephrosis and renal abscesses. Traditional imaging tools, like abdominal X-rays, are vital for identifying renal calculi and gas shadows in emphysematous pyelonephritis, while ultrasonography emerges as an excellent modality for assessing urinary infections in emergency scenarios, pregnancy, and paediatric cases. Contrast-enhanced computed tomography (CECT) or non-contrast computed tomography (NCCT) is the imaging method of choice in the most complex situations, allowing for precise assessment of the disease burden. Current magnetic resonance imaging (MRI) sequences yield promising results in specific scenarios such as pregnancy and paediatric subjects where minimising radiation exposure is a concern. This review focuses on elucidating the essential radiological modalities and their distinctive features in the context of renal infections, offering valuable guidance to microbiologists and physicians.
Sphingomonas paucimobilis Meningitis in a Neonate First Case Report
Authors: Rangaswamy D. R. , Kamble N. , Kavatagi K.
Published: February 2024

Neonatal meningitis caused by Sphingomonas paucimobilis, is an exceedingly rare occurrence, with only one documented case in the paediatric population as of 2019. Typically associated with nosocomial infections, we report a unique case of community-acquired S. paucimobilis meningitis in a neonate. A 25-day-old female neonate presented with poor feeding, lethargy, fever, and a maculopapular rash. A diagnostic workup revealed features suggestive of meningitis, with cerebrospinal fluid analysis confirming the presence of S. paucimobilis. The neonate responded positively to antibiotic therapy and recovered without complications.
Hybrid Bond Interconnect and Advanced Packaging Solutions
Authors: Workman Thomas , Suwito Dominik , Mirkarimi Laura , Fountain Gill , Gao Guilian , Theil Jeremy , Lee Bongsub , Uzoh Cyprian , Zhao Oliver , Bang KM
Published: February 2024

Hybrid bond interconnect is a scalable technology that offers significant improvements over the incumbent Cu mbump technology. The notable advantages include, enhanced reliability of elemental metal interconnect, improved thermal performance of an inorganic bond interface and the high-speed performance with a low capacitance and inductance pad structure. Currently, the industry is adopting this technology for high-performance compute applications; however, we anticipate a broader adoption once the technology is readily available within the full supply chain. In this paper, we present the performance of our hybrid bond interconnect on multiple test vehicles including single 1 to 8-die stacks with various pad-pitch sizes, die sizes and configurations. We share die to wafer assembly yield results using our manufacturing worthy process where die are prepared on tape frame using standard pick and place equipment. The test vehicles cover a range of pad sizes (2-15 um), with pitches (4-40 um) and have different x,y dimensions from 1mmx1mm to 9mmx12mm. Reliability tests include MSL-3 precondition, high temperature storage and thermal cycling and on the various test structures
Liquid Metal Embedded Elastomers as High-performance S-TIM Replacements
Authors: Feller Keyton
Published: February 2024

Thermal interface materials are used as part of comprehensive thermal management strategies in modern electronic devices, ranging from personal computers to automotive and server applications. One crucial material is the thermal interface material that goes in between the die and heat spreader, called the TIM1 material. Key desirable properties of TIM1 materials include: easy application, low thermal resistance, high electrical resistivity, and robustness to thermal cycling and bake. Aiming to achieve these properties, popular choices of TIM1 include gap fillers (rubbery thermal pads), thermal greases (fluidlike polymer TIMs with suspended metal-oxide particles such as aluminum and zinc oxides), solid TIMs (such as sintered silver and indium), and liquid metals (such as Gallium Indium Tin alloys). However, as power densities in semiconductor packages have increased dramatically in recent years, thermal engineers are finding it difficult to find TIMs that have suitably low thermal resistance and can survive the attendant extreme thermal cycling profiles. Recently, researchers have proposed using liquid metal embedded elastomers (LMEEs) as thermal interface materials, leading to Arieca Inc. developing a TIM1 LMEE suitable for the most demanding of applications.

In this presentation, we explore the application of LMEEs as a TIM1, subjecting LMEEs to a test suite spanning a wide range of material properties, ranging from complex viscosity to DSC, TGA, and even measuring thermal resistance before and after applying strains of 380% to an interface bonded together using only LMEE. We find that by adjusting the polymer composition, cure temperatures can be tuned, without significantly affecting thermal reliability. Additionally, we observe thermal resistance approaching 2 mm2K/W in an ASTM D5470 test setup, and highlight how this range of properties can be used to directly bond two surfaces together without a lid sealant and maintain good thermal contact. Finally, we conclude with some remarks to highlight the expanding opportunities on the technological frontier opened up by this class of advanced packaging materials.
Leveraging AI and ML to Augment Advanced Semiconductor Packaging Design and Verification
Authors: Felton Keith , Ferguson John , Viklund Per
Published: February 2024

Artificial Intelligence (AI), Machine Learning (ML), and Deep Learning (DL) are entering more and more areas of our lives and electronic design and verification are no exceptions.

This paper will discuss AI /ML/DL in the context of being used for Physical Design and Physical Verification of advanced heterogeneous semiconductor package design.

The paper will cover basic concepts such as: What is AI? What is ML? What is DL? and explain in what ways they are different. It will discuss for what type of problems these technologies are useful and sometimes offer unique solutions. The paper will also briefly touch on where they are not suitable. Training Machine Learning solutions require access to training data and the paper will briefly touch on what training data is and the unique IP and ownership challenges that come with this.

Finally, this paper will conclude with real-world challenges and examples in EDA specifically in the areas of semiconductor package prototyping/planning in the concept of signal assignments and system level signal optimization and applications for physical verification and hereunder, run best practices and improved debugging.
Keys to Successful and Stable On-Shore Packaging and Advanced Packaging Defense Industrial Base
Authors: Will Jim
Published: February 2024

Autonomous and next generation applications leverage a Supply Chain to enable integration of Technologies such as sensors, MEMs,

computing, memory, communications, and other functions in a SiP that drives SWaP advancements. A healthy, open and stable Ecosystem

supporting what can best be described as a ‘toolbox’ for various solution spaces is the foundation for our on-shore industrial

base. Given the applications range, there is not a single solution and source to support the USG and Defense needs as is evident from

the Digital and RF paths defined in DoD’s SHIP Program. Key needs and considerations will be presented as Industry and the USG

engage to implement creative solutions to on-shore, stabilize and address gaps in the Ecosystem. This talk will promote the Ecosystem

for strategic and enabling capabilities supporting HI, 2.5 and 3D such as WLFO and Si Interposers that will serve to maintain or promote

our Technological Advantage and protect our warfighters. SkyWater’s complimentary AP capabilities and roadmap supporting

the Ecosystem will be discussed.
Relationship between Serum Total Testosterone Concentration and Metabolic Syndrome in Premenopausal Obese Women
Authors: Kim Kyu-Jin , Lee Jun-Ho , Kim Seong-Ju , Yu Byung-Yeon , Kang Jee-Hyun
Published: February 2024

Background: Men with low testosterone levels are at an increased risk of developing metabolic syndrome, irrespective of age or obesity. However, the relationship between metabolic syndrome and testosterone levels in women remains unclear. We compared the total testosterone concentrations between premenopausal obese women with and without metabolic syndrome and identified the factors affecting these concentrations.Methods: A single-center retrospective analysis was conducted using the medical records of 580 premenopausal women with obesity. The diagnostic criteria for metabolic syndrome were established using the National Cholesterol Education Program Adult Treatment Panel III guidelines.Results: The mean±standard deviation age, weight, and body mass index were 38.8±8.4 years, 78.0±11.8 kg, and 30.0±4.1 kg/m2, respectively. The mean total testosterone concentration was lower in the metabolic syndrome group than in the non-metabolic syndrome group (n=385 vs. n=195; 0.22±0.10 ng/mL vs. 0.24±0.11 ng/mL; P<0.001). In a model adjusted for age, body mass index, skeletal muscle mass, body fat mass, and body fat percentage, the odds ratio for metabolic syndrome with respect to the total testosterone level was 0.128 (P=0.028). Testosterone concentration was negatively correlated with age (r=-0.334), systolic blood pressure (r=-0.084), and triglyceride concentration (r=-0.093) but positively correlated with weight (r=0.144), body mass index (r=0.140), waist circumference (r=0.133), body fat mass (r=0.167), and body fat percentage (r=0.167). Stepwise regression analysis revealed that age (β=-0.004, P<0.001), body mass index (β=0.003, P=0.004), and high-density lipoprotein cholesterol concentration (β=0.001, P=0.019) were independently associated with total testosterone concentration (adjusted R2=12.6%).Conclusion: Metabolic syndrome and obesity may be independently associated with testosterone levels in premenopausal women with obesity.
Barriers, Facilitators of Iron and Folic Acid Supplementation, and Deworming Program among School-Going Adolescents of Deoghar, Jharkhand, India: A Mixed-Methods Study
Authors: Biswas Bijit , Gautam Anuradha , Jahnavi G. , Richa  , Gupta Pratima , Varshney Saurabh
Published: February 2024

Background: This study aimed to identify barriers and facilitators of iron and folic acid supplementation and deworming programs among school-going adolescents.Methods: A mixed-method observational study was conducted among adolescents in the 8th to 10th standards and their teachers across four schools in Deoghar, Jharkhand, India, using simple random sampling. The study included a questionnaire on socio-demographics, knowledge (34 items) (α=0.894), attitudes (2 items) (α=0.711) toward iron deficiency anemia, awareness of the Weekly Iron and Folic Acid Supplementation (WIFS) program and deworming (20 items) (α=0.783), and practices related to iron folic acid supplementation (IFS) and deworming, along with qualitative components. Data were analyzed using jamovi.Results: Compliance rates for IFS and deworming were 27.5% and 67.9%, respectively. The multivariable logistic regression analysis showed that sex, religion, caste, father’s educational status, per capita monthly family income (PCMI), diet type, adequate knowledge, and positive attitude toward anemia influenced IFS compliance. Religion, PCMI, and prior information on the importance of deworming facilitate compliance. Implementation barriers included irregular medication supply and a lack of student awareness.Conclusion: Periodic evaluation, regular sensitization, and a consistent drug supply are necessary to effectively implement WIFS and deworming programs in the study area.
Impressions on aspects of the process – and outcomes – of curriculum transformation in History for schools after 1994 in South Africa
Authors: Van Eeden Elize S.
Published: February 2024

Die aanbreek van die 21e eeu het ook wêreldwye veranderinge in geskiedenisonderrig getoon. Dit was sigbaar in vele gewysigde of nuwe kurrikula binne veral die verdere onderwys- en opleidingsfase (hoërskole) asook binne die strukture van handboekontwikkeling vir skole. In Suid-Afrika het hierdie tendense saamgeval met ‘n tydperk van transformasie in die onderwys sedert veral die oorname van die African National Congress as regerende party vanaf 1994. In die algemeen was die verandering in Suid-Afrika binne alle vlakke van die samelewing op die een of ander wyse geraak deur die woord “internasionaal” of “globaal”2. Na sowat 15 jaar van transformasie in SuidAfrika dus reeds verloop het, is die resultaat ook sigbaar in die veranderinge wat ten opsigte van die geskiedeniskurrikulum deurgesien is, asook die benadering wat gevolg is in skoolhandboeke as die praktiese resultaat hiervan. Die artikel is gestruktureer om aspekte te debatteer wat aanleidend was tot die omvorming van veral die Geskiedeniskurrikulum. Onder meer is polities belaaide gevoelens en persepsies van die dag, die status van empiriese navorsing binne geskiedenisonderrigpraktyke deur akademici sowel as die rol van die intellektuele lui binne die raamwerk van sogenaamde onderwysvooruitgang ook ter sprake. Om meer te fokus op ‘n bepaalde aspek binne ‘n breë tema soos hierdie rakende “onderwysvooruitgang”, is die Graad 12-vlak se hersiene kurrikulum en skoolhandboeke wat onlangs publiseer is as die mikrosnit uitgesonder vir hierdie bespreking. Van die kern gevolgtrekkings oor “onderwysvooruitgang” in Geskiedenis as skoolvak is dat die hersiene Graad 12 kurrikulum van Suid-Afrika ook nie daarin kon slaag om vlekkeloos te wees van i) die politieke sentimente van die dag nie en nog minder van die dominante leierskap en mag van die Regering binne die kurrikulumveranderinge. ii)Voorts ook is onderwysvooruitgang (metodologie en globale/internasionale tendense) wel heel sigbaar in die kurrikuluminhoud verdiskonteer maar nie noodwendig effektief of korrek benader nie. iii) Verder nog blyk dit dat empiriese navorsing en in-diepte-waarnemings deur tersiêre navorsingsinstansies rakende die mees sinvolle hersiening van inhoude om die klaskamerpraktyk in geskiedenis te verbeter sowel as die inhoude van handboeke tot ‘n hoer kwaliteit te laat ontwikkel, ietwat skipbreuk gelei het as gevolg van etlike redes. Ten opsigte van die Suid-Afrikaanse konteks, sal hierdie probleme en/of leemtes in die nabye toekoms meer sigbaar moet verbeter, anders is die meeste navorsing met die oog op vooruitgang gedoem tot ‘n waardeloosheid.
The impact of Zimbabwean liberation struggle on Botswana: the case of Lesoma ambush, 1978
Authors: Makgala C.J. , Fisher M.L.
Published: February 2024

Polelo e e lebegane le kganyaolo e e diragetseng ka kgwedi ya Tlhakole a le 27 ka ngwaga wa 1978 ele tlhaselo e e maatla thata go diragalela sesole sa Botswana Defence Force (BDF) se e neng ele gone se tlhamiwang. Tlhaselo e ne e dirwa ke sesole sa bo ntwa dumela se se kgethegileng sa difofane sa lefatshe la Rhodesia ka nako ya ntwa ya kgololesego ko Zimbabwe. Polelo e simolola ka go kanoka mekwalo e e se tseng e dirilwe le go lebelela merero ya tsa mafatse a sele mo lefatsheng la Botswana, ga mmogo le bokgoni ba sesole mo Botswana ka dingwaga tsa bo 1970. Polelo gape e itebaganya le seemo sa itshireletso ko molelwaneng wa Botswana le Rhodesia. Go tshabela mo Botswana ga batshabi ba Rhodesia le gone go a sekwa sekwa. Gape go buiwa ka go tlhamiwa le tiriso ya BDF ka tshoganetso ele go fokotsa manokonko a ditlheselo ko molelwaneng. Tlhaselo le kganyaolo ya masole a Botswana kwa motseng wa Lesoma le kgalo ya tirigalo e mo Botswana le mafatshe a bodichabachaba go a lebalejwa. Gape re bontsha gore tlhaselo e ene ya supa kemonokeng e ko godimo ya Batswana le bagwebi ka go ntsha dithuso go thusa ba ba neng ba amilwe ke tlhaselo ko Lesoma.