bluuebunny/crossref_metadata_2025 huggingface dataset:
Navigating the Digital Marketplace: Strategies for Entrepreneurship in Electronic Commerce
Authors: Mohammed Aliyu
Published: December 2023

This research explores the tactics used by e-commerce business owners in the ever-changing online industry. By addressing the difficulties faced by e-commerce business owners, the study closes a knowledge vacuum about the particular tactics they use. Through semi-structured interviews with entrepreneurs, this study uncovers important insights: a customer-focused strategy, flexibility in responding to market developments, data-driven choices, and strong cybersecurity defenses are essential for e-commerce success. These findings have obvious implications for entrepreneurs operating in the digital space: putting customer pleasure first, responding quickly to shifting market conditions, using data analytics, and putting strong cybersecurity in place are all critical. This report provides actionable advice for entrepreneurs to thrive as the digital market develops and stay competitive. This research is thought to be a beneficial tool for e-commerce business owners, scholars, and regulators, providing perceptions and direction in an everchanging e-commerce industry
Building Python Application for Webmail Interfaces Navigation using Voice Recognition Technology
Authors: Alkhattali Mokhtar , Dow Mostafa , Azwee Khawla , Sayah Mohamed
Published: December 2023

Voice Recognition Technology (VRT) has played a crucial role in technology development, finding extensive use in the development of humanitarian assistance applications, including assistance programs for individuals with disabilities to use smart vehicles and smart homes, as well as websites. This paper discusses implementing a Computer Application (PC-App) for humanitarian assistance written in Python to enable Arabic-speaking elderly and handicapped employees to access and navigate webmail accounts using Arabic Voice Commands (AVC). Furthermore, a survey was conducted for elderly and disabled employees to assess the effectiveness of the application, with participants evaluating that it was useful in addition to improving their interaction with their accounts in Webmail. Ultimately, this application promotes independence and functionality for Arabic-speaking individuals, regardless of their mobility disability levels, by allowing them to independently use the Webmail interface using AVC.
Smart Crosswalk: Machine Learning and Image Processing based Pedestrian and Vehicle Monitoring System
Authors: J.M.D.K Hiruni , L.M.R Weerakoon , T.R Weerasinghe , S.J.A.S.M.S Jayasinghe , Krishara Jenny , Chandrasiri Sanjeevi
Published: December 2023

The conventional pedestrian crossing system's shortcomings require urgent reform to enhance the safety of pedestrians and improve urban mobility. Issues such as insufficient time for pedestrians to cross, prolong waiting times, neglection of emergency vehicles, and the absence of effective 24/7 response mechanisms at traditional crosswalks present significant safety concerns in urban areas. Our primary intention is to develop a cutting-edge pedestrian crossing system that relies on deep learning and image processing technologies as its foundation. This research addresses to innovate an advanced smart crosswalk consisting of four essential components: a real-time Pedestrian Detection and Priority System customized for individuals with special needs, a responsive system for detecting road conditions, vehicle availability and speed near crosswalks, a real-time Emergency Vehicle Detection and Priority System strengthened by rigorous verification procedures, and a robust framework for identifying pedestrian accidents and violations of crosswalk rules. The entire system has been meticulously designed not only to enhance pedestrian safety by identifying potential dangers but also to optimize traffic flow. In essence, it aims to provide an improved pedestrian crossing experience characterized by increased safety and efficiency.
Trust Metric-Based Anomaly Detection via Deep Deterministic Policy Gradient Reinforcement Learning Framework
Authors: N Shruthi , G K Siddesh
Published: December 2023

Addressing real-time network security issues is paramount due to the rapidly expanding IoT jargon. The erratic rise in usage of inadequately secured IoT- based sensory devices like wearables of mobile users, autonomous vehicles, smartphones and appliances by a larger user community is fuelling the need for a trustable, super-performant security framework. An efficient anomaly detection system would aim to address the anomaly detection problem by devising a competent attack detection model. This paper delves into the Deep Deterministic Policy Gradient (DDPG) approach, a promising Reinforcement Learning platform to combat noisy sensor samples which are instigated by alarming network attacks. The authors propose an enhanced DDPG approach based on trust metrics and belief networks, referred to as Deep Deterministic Policy Gradient Belief Network (DDPG-BN). This deep-learning-based approach is projected as an algorithm to provide “Deep-Defense” to the plethora of network attacks. Confidence interval is chosen as the trust metric to decide on the termination of sensor sample collection. Once an enlisted attack is detected, the collection of samples from the particular sensor will automatically cease. The evaluations and results of the experiments highlight a better detection accuracy of 98.37% compared to its counterpart conventional DDPG implementation of 97.46%. The paper also covers the work based on a contemporary Deep Reinforcement Learning (DRL) algorithm, the Actor Critic (AC). The proposed deep learning binary classification model is validated using the NSL-KDD dataset and the performance is compared to a few deep learning implementations as well.
Unveiling the Landscape of Smart Contract Vulnerabilities: A Detailed Examination and Codification of Vulnerabilities in Prominent Blockchains
Authors: Zaazaa Oualid , Bakkali Hanan El
Published: December 2023

With the rise in using immature smart contract programming languages to build a decentralized application, more vulnerabilities have been introduced to the Blockchain and were the main reasons behind critical financial losses. Moreover, the immutability of Blockchain technology makes deployed smart contracts unfixable for the whole life of the Blockchain itself. The lack of complete and up-to-date resources that explain those vulnerabilities in detail has also contributed to increasing the number of vulnerabilities in Blockchain. In addition, the lack of a standardized nomination of the existing vulnerabilities has made redundant research and made developers more confused. Therefore, in this paper, we propose the most complete list of smart contract vulnerabilities that exist in the most popular Blockchains with a detailed explanation of each one of them. In addition, we propose a new codification system that facilitates the communication of those vulnerabilities Moreover, the discussed list of vulnerabilities covers multiple Blockchain and could be used for even future built Blockchains.
Unveiling Advanced Persistence Techniques Through Application Shimming and Countermeasures
Authors: Bhardwaj Akashdeep , Kumar Naresh , S. M. Rahman Shawon
Published: December 2023

In the arms race between attackers and defenders, the significance of proactive security measures was evident. The implementation of well-considered countermeasures, which may encompass stringent access controls, regular system updates, intrusion detection systems, and behavioral analysis, emerged as vital strategies to thwart the ever-evolving landscape of APTs. Application Shimming is a tool in the Windows Application Compatibility framework that lets programs work on versions of the operating system they weren't originally made for. Due to this architecture, most programs that previously operated on Windows XP can now operate on Windows 10. Shimming takes parts from a Windows Application Compatibility database after parsing it. Shims, which were created for malware investigators, examine any entry that might have been exploited to compromise a Windows system. This research presents a framework that can compromise the target operating system along with the proposed mitigation techniques.
Channel Estimation in MIMO OFDM Systems with Tapped Delay Line Model
Authors: Hosamani Ravi , T Yerriswamy
Published: December 2023

The continuous increase in the user demands fornew-generation communication systems, is making the wireless channel more complex and challenging for estimation, developing a simulation model for the channel,and evaluating the performance of different MIMO systems. In this work, a simulation model for multipath fading channels in wireless communication is performed. The model includes a selection of typical Tapped-Delay-Line channel models that can be implemented to reproduce the effects of representative channel distortion and interference. Based on the simulation results, the proposed method exhibits accurate channel estimation performance for frequency-selective fading channels. The proposed work employed LS, MMSE, and ML methods for channel estimation, using 16 and 32 pilots and fixed pilot locations in each frame. Results are obtained for 4x4, 8x8, 16x16, 16x8, and 16x4 MIMO systems and tapped delay line systems.
Hop Count Based Interest Selection and Content Forwarding Scheme for Vehicular Named Data Networks
Authors: R Nithin Rao , Sharma Rinki
Published: December 2023

Vehicular Named Data Networks (VNDN) face challenges in efficiently disseminating content due to high mobility and intermittent connectivity. To address these challenges, a Hop Count based Interest Selection and Content Forwarding (HISCF) scheme for VNDNs is proposed. The scheme focuses on mitigating interest flooding, reducing data packet duplication, and alleviating network congestion. HISCF consists of two components: interest selection and content forwarding. The selection process chooses a vehicle based on hop count and Interest Satisfaction Ratio (ISR) to forward the interest packet. Content forwarding is performed considering a hop count limit and pending interests, ensuring efficient content delivery. The HISCF scheme is evaluated using extensive simulations in ns-3 with ndnSIM. Performance metrics such as Data Packet Replication Count (DPRC), total number of interest packets forwarded, Interest Response Time (IRT) and routing overhead are analysed. Results show that HISCF outperforms naïve VNDN, reducing DPRC, minimizing interest packets forwarded, and decreasing average IRT. The findings demonstrate that HISCF effectively mitigates interest broadcast storms, reduces data packet duplication, and improves content delivery efficiency in VNDNs. This study contributes to VNDN research advancement and provides insights for designing effective content forwarding mechanisms in vehicular networks.
Random Relay Selection based Heuristic Optimization Model for the Scheduling and Effective Resource Allocation in the Cognitive Radio Network
Authors: S1 Aravindkumaran , D2 Dr.Saraswady
Published: December 2023

Cognitive Radio Network (CRN) provides effective capabilities for resource allocation with the valuable spectrum resources in the network. It provides the effective allocation of resources to the unlicensed users or Secondary Users (SUs) to access the spectrum those are unused by the licensed users or Primary Users (Pus). This paper develops an Optimal Relay Selection scheme with the spectrum-sharing scheme in CRN. The proposed Cross-Layer Spider Swarm Shiftingis implemented in CRN for the optimal relay selection with Spider Swarm Optimization (SSO). The shortest path is estimated with the data shifting model for the data transmission path in the CRN. This study examines a cognitive relay network (CRN) with interference restrictions imposed by a mobile end user (MU). Half-duplex communication is used in the proposed system model between a single primary user (PU) and a single secondary user (SU). Between the SU source and SU destination, an amplify and forward (AF) relaying mechanism is also used. While other nodes (SU Source, SU relays, and PU) are supposed to be immobile in this scenario, the mobile end user (SU destination) is assumed to travel at high vehicle speeds. The suggested method achieves variety by placing a selection combiner at the SU destination and dynamically selecting the optimal relay for transmission based on the greatest signal-to-noise (SNR) ratio. The performance of the proposed CrossLayer Spider Swarm Shifting model is compared with the Spectrum Sharing Optimization with QoS Guarantee (SSO-QG). The comparative analysis expressed that the proposed Cross-Layer Spider Swarm Shifting model delay is reduced by 15% compared with SSO-QG. Additionally, the proposed Cross-Layer Spider Swarm Shiftingexhibits the improved network performance of ~25% higher throughput compared with SSO-QG.
Load Balancing Large Data Sets in a Hadoop Cluster
Authors: Anselme A Andriavelonera , Alain N Rivosoaniaina , Francis Rakotomalala , Thomas Mahatody , Victor Manantsoa
Published: December 2023

With the interconnection of one to many computers online, the data shared by users is multiplying daily. As a result, the amount of data to be processed by dedicated servers rises very quickly. However, the instantaneous increase in the volume of data to be processed by the server comes up against latency during processing. This requires a model to manage the distribution of tasks across several machines. This article presents a study of load balancing for large data sets on a cluster of Hadoop nodes. In this paper, we use Mapreduce to implement parallel programming and Yarn to monitor task execution and submission in a node cluster.
Load Balancing in the Combined Technology of Li-fi and Wi-Fi based on Collaborative Game
Authors: Rezayie Payam Porkar , Shokrzadeh Hamid , Foladi Mehdi Dehghan Takht , Rahmani Amirmasoud , Nasab Sepideh Moosavi
Published: December 2023

Wireless networks have become increasingly important in today's digital age. The combination of VLC and RF technologies, such as local Wi-Fi and Li-Fi networks, has emerged as a significant technology in this field. This combination enhances the coverage of weak points and strengthens the strong points of local wireless networks, resulting in higher data rates and increased coverage. However, load balancing is a crucial issue that can enhance network efficiency, especially when there are multiple access points from both networks. The selection of the appropriate access point at any given time by different nodes can significantly impact network performance. This research proposes a game theory-based method for selecting an appropriate access point, which uses multiple stages of computation and policy changes to achieve a Nash equilibrium in the game and subsequently in the network. The results show that this method can improve the quality of service in the local network by over 6% compared to previous methods such as the fuzzy method and by over 20% compared to the higher signal power selection policy.
A Systematic Review on Machine Learning Insider Threat Detection Models, Datasets and Evaluation Metrics
Authors: Wanyonyi Everleen Nekesa , Abeka Silvance , Masinde Newton
Published: December 2023

Computers are crucial instruments providing a competitive edge to organizations that have adopted them. Their pervasive presence has presented a novel challenge to information security, specifically threats emanating from privileged employees. Various solutions have been tried to address the vice, but no exhaustive solution has been found. Due to their elusive nature, proactive strategies have been proposed of which detection using Machine Learning models has been favoured. The choice of algorithm, datasets and metrics are cornerstones of model performance and hence, need to be addressed. Although multiple studies on ML for insider threat detection have been done, none has provided a comprehensive analysis of algorithms, datasets and metrics for development of Insider Threat Detection models. This study conducts a comprehensive systematic literature review using reputable databases to answer the research questions posed. Search strings, inclusion and exclusion criteria were set for eligibility of articles published in the last decade.
Analytic Approach in Accessing Trends and Impacts of Medicaid-Medicare Dual Enrollment in the United States
Authors: Odooh Clement , Robert Regina
Published: December 2023

The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes, driven by intricate policies, shifting demographic trends, and evolving healthcare access criteria. This publication serves as a beacon, illuminating the multifaceted terrain of Medicaid and Medicare dual enrollment and offering a comprehensive understanding of its complexities and challenges. The primary objective is to advocate for the adoption of a centralized data-driven decision support system, recognizing its transformative potential. By harnessing the power of data, we can revolutionize enrollment management, streamline administrative processes, and facilitate the timely adjustment of policies, ensuring more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to equip all healthcare stakeholders, from government agencies and insurance providers to healthcare institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare landscape. This publication represents a call to action, urging all players in the healthcare ecosystem to embrace data-driven solutions, adapt to the evolving landscape, and work collaboratively to advance the cause of accessible and effective healthcare for all.
Code Swarm: A Code Generation Tool based on the Automatic Derivation of Transformation Rule Set
Authors: Mahmood Hina , Jilani Atif Aftab , Rauf Abdul
Published: December 2023

Automatic generation of software code from system design models remains an actively explored research area for the past several years. A number of tools are currently available to facilitate and automate the task of generating code from software models. To the best of our knowledge, existing software tools rely on an explicitly defined transformation rule set to perform the model-to-code transformation process. In this paper, we introduce a novel tool named Code Swarm, abbreviated as CodS, that automatically generates implementation code from system design models by utilizing a swarm-based approach. Specifically, CodS is capable of generating Java code from the class and state models of the software system by making use of the previously solved model-to-code transformation examples. Our tool enables the designers to specify behavioural actions in the input models using the Action Specification Language (ASL). We use an industrial case study of the Elevator Control System (ECS) to perform the experimental validation of our tool. Our results indicate that the code generated by CodS is correct and consistent with the input design models. CodS performs the process of automatic code generation without taking the explicit transformation rule set or languages metamodels’ information as input, which distinguishes it from all the existing automatic code generation tools.
Prevalence of Anxiety among Senior Citizens during the Pandemic in Partido District of Camarines Sur, Philippines
Authors: Palma Tom Arkhel D. , Magat Marita S.
Published: December 2023

This is a descriptive and correlational study of the prevalence of anxiety among senior citizens of the mainland Partido District, Camarines Sur, Philippines. It determines the level of support, locality and other socio-economic factors affecting anxiety of the elderly during the pandemic. It likewise determines the relationship between these variables to level of anxiety of the respondents. The study utilized randomly selected municipalities of the district from which 385 respondents were selected using stratified random sampling. Further, it utilized the Depression, Anxiety and Stress Scale (DASS-21), secondary data, unstructured interview and researchers’ observation in gathering data. This study found that the majority of the respondents experienced normal level of anxiety but a significant number experienced moderate level of anxiety during the pandemic. There was neutrality and dissatisfaction in the level of social support provided by friends and relatives. Likewise, there was a significant correlation between levels of anxiety and social support and income. On the other hand, a significant negative correlation was found between levels of anxiety and socio-demographic factors such age gender, localities, home ownership and educational attainment. It was recommended that appropriate psychological and financial support and interventions accorded to the elderly so that anxiety levels may be reduced during pandemics making it more manageable to the elderly. Establishing better relationships through regular visits and monitoring of the elderly by health workers during pandemics are avenues to improve social support to senior citizens. The existing “relief system” of the government in the form of goods may be improved making it more sustainable and continuous throughout the duration of pandemics.
The Effect of Digital Leadership Style, Motivation, and Work Ability on Employee Performance After the Covid-19 Pandemic
Authors: Riski Aulia , Rino Rino
Published: December 2023

The purpose of this study was to determine the effect of the principal's digital leadership style on performance, the Effect of personnel motivation on performance, and the Effect of personnel workability on performance as the Effect of the madrasa principal's charismatic leadership style, inspiration, and the ability of personnel to work simultaneously on the version of SMAN 1 Padang City employees after the Covid-19 pandemic. The method used is descriptive research with a quantitative approach. The data collection technique used a closed questionnaire in the form of a Google form, which was distributed to 26 employees of SMAN 1 Padang City. Based on the results of data analysis using the partial t-test and f-test simultaneously (multiple linear regression), it is known that after the COVID-19 pandemic at SMAN 1 Padang City, the school principal's charismatic leadership style positively affected employee performance with a score of 0,23. Personnel motivation does not affect employee performance with a score of 0,39; Employee workability positively affects employee performance with a score of 0,001; and the leadership style of digital school principals, motivation, and workability of employees jointly affect employee performance by 79.7%. This research has substantial implications in the post-pandemic educational context. Such substances may include the need to implement an adaptive digital leadership style, increased employee motivation, and development of employability as critical factors in improving the performance of educated employees. The information obtained from this study can help school principals and education management to more effectively manage human resources in the changing environment post-pandemic, create motivating working conditions, and improve the quality of education at SMA 1 Padang.
Intervenciones de enfermería aplicadas a una persona con EVC isquémico secundario a infección por SARS-CoV-2
Authors: Mendoza-Galarza Jessica , Dimas-Carrera Joseph Tiulenin
Published: December 2023

Introducción: El presente estudio de caso muestra el impacto de la infección por SARS-CoV-2, en particular, sus manifestaciones neurológicas, que incluyen la anosmia, ageusia, adinamia, confusión, alteración en el estado de conciencia y alteración en la circulación cerebral, y que pueden generar secuelas como el evento vascular cerebral (EVC) isquémico.
Objetivo: aplicación de intervenciones y acciones especializadas a un paciente con EVC isquémico secundario a infección por SARS-CoV-2, con base en la teoría del autocuidado.
Material y métodos: se realizó una valoración neurológica del paciente mediante un instrumento de valoración elaborado por estudiantes del posgrado de Enfermería Neurológica con base en los requisitos de autocuidado universal planteados por Dorothea Orem. Se mantuvo un seguimiento holístico, y se proporcionaron cuidados según planes de intervención específicos para las alteraciones presentadas.
Descripción del caso clínico: paciente con diagnóstico médico de EVC isquémico de la arteria cerebral media izquierda. Debido al estado de salud que presentaba durante la aplicación del instrumento de valoración, para la adquisición de datos se contó con el apoyo de la persona responsable, mediante consentimiento informado.
Relevancia: La COVID-19, ocasionada por la infección de SARS-CoV-2, se caracteriza por la afinidad del virus a los receptores ECA2 presentes en todo el organismo humano. El cerebro, debido a los múltiples receptores de este tipo que presenta, genera una sintomatología específica. Esto deriva en cuadros neurológicos que, dependiendo de la gravedad de la enfermedad, podrían ocasionar secuelas en la persona infectada.
Conclusiones: El personal de enfermería tiene un papel importante en el cuidado de las personas infectadas por SARS-CoV-2, ya que mediante los cuidados especializados que brindan posibilitan su estabilización y recuperación.
Deconstrucción y reconstrucción del pensamiento enfermero: su implicación en políticas públicas
Authors: Cejudo-Piza Cecilia Aurora
Published: December 2023

Descripción del tema: Actualmente es necesario que los profesionales de enfermería participen de manera activa dentro de la política pública, reconociéndolo como un compromiso hacia el ejercicio de la enfermería en México. Fortaleciendo esta participación creará nuevas oportunidades para el desarrollo de la salud en nuestro país desde una perspectiva enfermera.
Relevancia: el presente trabajo surge de cuestionamientos relacionados con la poca participación activa del personal de enfermería dentro del marco sociopolítico, lo cual representa una problemática social para el quehacer enfermero. Asimismo, tiene como objetivo describir la importancia de dicha participación en la creación de políticas públicas, así como sugerir propuestas que favorezcan este cambio de paradigma de la enfermería asistencial.
Conclusiones: La enfermería se ha actualizado en el transcurso de los últimos años, siendo protagonista en distintos ámbitos de su ejercicio. Sin embargo, es necesaria la consolidación de conocimientos en la rama sociopolítica, por lo que la enfermería requiere de un cambio de pensamiento hacia la búsqueda de estrategias que le permitan mantener una participación dentro de esta área, contribuyendo de este modo al desarrollo de la salud desde un enfoque humanizado y sustentable.
Evaluación continua del dolor en terapia intensiva de CEMENAV, un acercamiento a los métodos de valoración y sus escalas
Authors: García-Martínez Karla Mirella , Soto-Aguilar Cristóbal , Martínez-Martínez Joel
Published: December 2023

Introducción: el dolor es “una experiencia sensitiva y emocional desagradable que se asocia a una lesión tisular real o potencial”.1 La Organización Mundial de la Salud establece una clasificación del dolor de acuerdo a sus múltiples características. Asimismo, existen distintas escalas validadas a nivel internacional para establecer niveles de dolor.
Objetivo: evaluar mediante tres escalas el nivel de dolor de pacientes en estado crítico con ventilación mecánica y protocolo de sedoanalgesia durante la realización de cuatro procedimientos, con el fin de conocer si las medidas analgésicas empleadas son eficientes para mitigarlo o suprimirlo.
Material y métodos: se evaluó el nivel de dolor en procedimientos como aspiración de secreciones, movilización, instalación de sondas y catéteres, y curación de heridas. La valoración incluyó la analgesia farmacológica de base y la administrada en bolos, además, se midieron las variables fisiológicas 5 minutos antes, durante y 10 minutos después de la realización de los procedimientos. Las puntuaciones obtenidas se clasificaron conforme tres escalas indicadoras de dolor (BPS, CPOT y ESCID).
Resultados: Antes del procedimiento la mayoría de los pacientes tenían una expresión facial relajada (48.4%, n=14), durante, predominó una expresión facial parcialmente contraída (48.3%, n=14), y además se presentaron seis casos en que se observaron muecas de dolor (20.7%). Después del procedimiento la expresión facial de los pacientes volvió a estar en su mayoría relajada (75.9%, n=22). Se observó que los picos de dolor se presentan principalmente durante los procedimientos pese a la administración de medidas farmacológicas; se encontró un comportamiento similar según las escalas ESCID y CPOT.
Conclusión: Los procedimientos que con más frecuencia causan dolor son la movilización y aspiración de secreciones; el que produce menos dolor es la instalación de sondas. Las escalas CPOT y ESCID suelen ser más precisas, pues cuentan con una mayor cantidad de categorías de clasificación. La escala BPS contabilizó al total de la muestra como sin dolor, mientras que la CPOT sólo colocó en esta categoría a 18 personas.
Incidencia de Lesiones por Presión en pacientes adultos mayores hospitalizados, durante el periodo 2018-2021
Authors: Fabián - Victoriano Ma. Rosy , Escamilla - Juárez David Adrián , Morales - Rubio Alejandra
Published: December 2023

Introducción: en los pacientes adultos mayores (PAM) de 65 años, el riesgo de desarrollo de lesiones por presión (LPP) aumenta 6% por cada año de edad. Este grupo presenta además condiciones como malnutrición, inmovilidad, pérdida de la independencia, hipoalbuminemia, anemia y linfopenia, asociados a LPP graves, que interfieren significativamente en la calidad de vida y son un factor de riesgo añadido en la mortalidad.
Objetivo: describir la incidencia de LPP en pacientes adultos mayores hospitalizados.
Metodología: estudio observacional, descriptivo, longitudinal y retrolectivo; población conformada por 3600 registros clínicos de PAM hospitalizados durante el periodo 2018-2021, muestreo secuencial.
Resultados: la media de edad fue de 74.91 años (DE 9.11); 19.9% de los pacientes desarrollaron LPP, la incidencia fue de 16.43/1000 días de hospitalización; 59.1% desarrollaron 1 LPP y 28.9% 2 LPP; el estadio más frecuente fue el II (43.4%), seguido del estadio no identificable (25.5%); el promedio de días para el desarrollo de LPP fue de 6.08 (DE 5.31). La región más afectada fue el sacro (19.22%), seguida del talón (17.13%). El servicio en el que más LPP se presentaron fue urgencias (44%). La media de puntuación Braden fue de 7.87.
Conclusiones: si bien la incidencia de LPP es alta, se observó que la media de edad del paciente y el promedio de días para su desarrollo es mayor a lo reportado previamente. Los resultados servirán para implementar estrategias de prevención dirigidas a la población adulta mayor, ya que presentan factores de riesgo que los hacen propensos al desarrollo de LPP.
Nivel de adaptación en adultos mayores de dos localidades del estado de Hidalgo, México
Authors: López-Nolasco Benjamín , Granados-León Luis Ángel , López-Vargas Ximena Guadalupe , Maya-Sánchez Ariana
Published: December 2023

Introducción: el número de adultos mayores ha aumentado progresivamente en los últimos años. El proceso de envejecimiento conlleva una serie de cambios que requieren la capacidad de adaptación de la persona mayor; este nivel de adaptación permite actuar al profesional de enfermería en dicho sector de la población.
Objetivo: medir el nivel de adaptación de adultos mayores en dos localidades del estado de Hidalgo.
Material y métodos: investigación cuantitativa, transversal, retrospectiva y con un nivel de alcance descriptivo. Se aplicó el instrumento Nivel de Adaptación del Adulto Mayor Activo, con una confiabilidad de 0.87 en modo fisiológico, 0.88 en modo de autoconcepto, 0.97 en modo de interdependencia y 0.96 en modo desempeño de rol, según Kuder Richardson (KR-20), en una muestra de 156 adultos mayores, obtenida mediante la fórmula de proporciones para poblaciones finitas. La aplicación se realizó en unidades de salud de las localidades de Tepatepec y Bomintzha en el periodo mayo-junio de 2022. Se obtuvieron cartas de consentimiento informado por parte de los participantes. El análisis de los datos se realizó mediante el paquete estadístico SPSS versión 25, obteniendo frecuencias y porcentajes para cada modo adaptativo del instrumento y variables sociodemográficas.
Resultados: se presenta un nivel de adaptación integrado en el modo fisiológico en 80.1% de la población; en el modo de interdependencia en 91.7%, y en el modo función del rol en 93.5%; el modo de autoconcepto presenta un nivel de adaptación compensatorio en 93.5% de la población.
Conclusiones: los adultos mayores presentan un nivel de adaptación integrado en los modos fisiológico, interdependencia y función del rol.
Guía clínica intervenciones de enfermería en procuración de órganos de personas adultas con muerte encefálica
Authors: Solís-López Teresa de Jesús , Gallegos-Martínez Josefina
Published: December 2023

Introducción: Las instituciones hospitalarias son las sedes donde se brinda el proceso de procuración, donación y trasplante de órganos, por lo cual deben garantizarse los pasos operativos con la participación coordinada del personal capacitado y comprometido. Los profesionales de salud y de enfermería de las Unidades de Cuidados Intensivos (UCI) o afines, que están directamente relacionados con los procedimientos de procuración de órganos, deberán realizar las intervenciones basadas en evidencia científica y cuidado humanizado.
Objetivo: Desarrollar una guía clínica de intervenciones de enfermería en procuración de órganos en las personas adultas con muerte encefálica (ME), mediante el uso de la taxonomía NANDANOC-NIC.
Métodos: La Guía Clínica de Intervenciones de Enfermería en Procuración de Órganos de personas adultas con ME, se basó en el Manual Metodológico para el Desarrollo de Guías de Practica Clínica de Enfermería, del Sistema Nacional de Salud de México. Se ocupa de las principales complicaciones de ME e incorpora elementos del juicio clínico para comunicarse mediante la taxonomía NANDA-NOC-NIC.
Conclusiones: El proceso de donación-trasplante de órganos es una estrategia de subsistencia principalmente para enfermos crónicos. Las intervenciones de enfermería guían el mantenimiento de órganos de personas con ME de forma correcta y eficiente, a fin de generar un proceso óptimo de procuración-donación-trasplante de órganos.
Cilicia in the Documents of the U.S. State Department in 1919−1920
Authors:   Institute of History of the Academy of Sciences of the Republic of Armenia, Hovhannisyan Lilit
Published: December 2023

The diplomatic documents from the U.S. Department of State stored at the National Archives of the USA in Washington and Republic of Armenia in Yerevan, which were officially published in volumes by the U.S. Government yet in 1931-1947, contain remarkable material on Cilicia. They throw light upon the negotiations between the leaders of the United States, Great Britain, France, Italy and delegations representing those countries at the 1919-1920 Paris International Peace Conference on political status and borders of Cilicia, establishment of a mandate for it, withdrawal of British troops from the region, occupation of Cilicia and Syria by French troops. The documents of the State Department reveal the contradictions between the Great Powers on the above-mentioned issues, describe their interests in the region. Records for the meetings of the Council of Ten of February 4, Council of Four of March 20, May 14, 21, 31 and Council of Five of July 18, August 25, 1919 are valuable from this point of view. The “Scheme for settlement in the Turkish Empire” of May 21, 1919, reflects the position of the Prime Minister of Great Britain D. Lloyd George on Cilicia. The U.S. President W. Wilson’s approaches concerning Cilicia are reflected in reports of the U.S. Commissioners in Turkey C. Crane and H. King of August 28, 1919, and the chief of the military mission to Armenia General J. Harbord of October 16, 1919. The difficulty of the Turkish border demarcation through Cilicia is presented in a note issued by the Allied Supreme Council on April 26, 1920, to U.S. Secretary of State B. Colby. The U.S. State Department diplomatic documents confirm that the Allies were practically not interested in resolving the issue of ensuring the security of Cilicia and its Armenian population. Based on the 1916 Sykes-Picot Anglo-French secret agreement, the 1920 Treaty of Sèvres provided for the transference of the mandate of Cilicia to France. It became the beginning of handing over the land to the Kemalist Turkey. Thus France, seeking to receive its state debt from Turkey, became an accomplice to the new genocide of Cilicia Armenians.
British Diplomat and Spy Major Noel’s Report on the Extermination of Armenians and Assyrians in Diarbekir Province during the Armenian Genocide
Authors:   Armenian Genocide Museum-Institute Foundation, Tatoyan Robert
Published: December 2023

This publication presents the report by Major Edward William Noel, British diplomat and spy, regarding the extermination of Armenians and Assyrians in Diarbekır province during the Armenian Genocide. The document, entitled “Christian Massacres of 1915 in Diarbekir Vilayat,” has been compiled in April, 1919 in the city of Mardin, where the author was on a fact-finding mission, so most of the massacre cases presented there refer to the mentioned locality. Attached to Noel’s report, as an appendix, we present the letter of Arthur Calthorpe, British High Commissioner in Constantinople, to British Foreign Minister Lord George Curzon, dated July 2, 1919, in which he transmits Major Noel’s estimate of populations of Diarbekir vilayet before and after the First World War. Major Noel has been characterized by researchers as “an expert on Kurdistan and the Kurds”, and as “the main British agent in Kurdistan, both in Anatolia and in Iraq, from 1919 to 1922,” so these documents published in Armenian translation, as well as other papers related to his mission in 1919 are very remarkable from the point of view of studying the demography of the southern regions of Western Armenia, the course of the Armenian Genocide, as well as of the history of ArmenianKurdish, Armenian-Turkish, Turkish-Kurdish relationships after the First World War.
Reflection of the Genocide in the Fiction
Authors:   Institute of History of the Academy of Sciences of the Republic of Armenia, Gasparyan David
Published: December 2023

A huge amount of fiction has been created, starting from 1915 to the present day, by writers who became victims of the genocide themselves, devoted to the Armenian Genocide. The material in this article is presented from three points of view, considering: (a) the first decades of Soviet rule; (b) the return to their roots of Armenian writers who left their homeland because of the genocide and became foreign writers; and (c) foreign writers, in this case the position of a Turkish writer from within Turkey. In the first decades of the Soviet Union’s existence, the view of the historical past, in this case of the genocide, was assessed by official critics not as patriotism, but as nationalism. Under these conditions, the publication of Charents’ novel “Yerkir Nairi” was a serious achievement. Covering the national tragedy with a veil of satire, he portrayed Armenian life as it was between 1914 and 1920. His goal was to bring the remnants of the generation that survived the massacres back to life. The influence of this novel on 20th century Armenian literature is very great and had, at one time, two Armenian and four Russian translation editions. Many writers of Armenian origin have switched to foreign languages, starting with William Saroyan. Among such writers, this article presents the book “Towards Ararat” by Michael Arlen Jr. and the memoir “The Black Dog of Fate” by Peter Balakian. They were written in English, have autobiographical content and been translated into Armenian. This article shows how the authors, who were in a foreign language environment, realised that and looked for their Armenian roots. Among foreign writers, the Turkish writer Kemal Yalcin’s novel “My soul is full of you” is presented in this article. To become acquainted with the life of his Armenian teacher who had been subjected to the Genocide, the author travelled to historical Armenia and became acquainted with Armenians who, out of fear, had hidden their nationality and faith. He found out that the life of each of them was a novel. Fiction from the very beginning fought against genocide, initially revealing its essence, which consists of the destruction of homeland, civilisation, language, nationality, people and humanity in general.
In Preparation for the Armenian Genocide in Trapizon: Early Phase and Activation
Authors:   Armenian Genocide Museum-Institute Foundation, Abrahamyan Lusine
Published: December 2023

The article examines the anti-Armenian policy of the Young Turks’ government in the province of Trapizon after the 1908 revolution. A series of anti-Armenian activities and anti-Armenian propaganda were carried out by the government and local Muslim fanatics, that had a negative impact on both the social and economic life of Trapizon Armenians. Based on the primary sources, the paper discusses some elements of persecutions against the Armenian population of Trapizon, those related to planning, organization, implementation, and the involvement of the state. The Armenian Genocide was the logical continuation of that policy, which entered the activation phase when Behaeddin Shakir, a member of the Central Committee of the Young Turks’ party, the president of the Special Organization, arrived in Trapizon.
Esther Pohl Lovejoy: The Experience of American Woman Physician during Smyrna Disaster
Authors:   Armenian Genocide Museum-Institute Foundation, Khanumyan Gohar
Published: December 2023

During the Armenian Genocide, physicians played a major role to rescue Armenians who were on the verge of annihilation. Some of them arrived in the Ottoman Empire to save the civilian population from humanitarian disaster. Among them was Esther Paul Lovejoy, a successful physician from the USA, a suffragist. After WWI, Lovejoy, as the head of the American Women’s Hospital Service and her like-minded colleagues organized extensive medical relief in France, in the Balkans, in the Ottoman Empire, and in Armenia. Adhering to her Hippocratic Oath, Lovejoy rushed to Smyrna to rescue the besieged Christians in September, 1922. During her 10 days in Smyrna, Lovejoy, being the only American woman and one of the three doctors working in the city, provided medical care in extreme conditions and participated in the evacuation of about 250,000 Armenians and Greeks. She wrote and published her eyewitness accounts of the Smyrna disaster in her book, “Certain Samaritans” in 1927.
From Smyrna to Mytilene: Survival Story of Mkrtich Avetyan
Authors:   Armenian Genocide Museum-Institute Foundation, Martoyan Tehmine
Published: December 2023

Eyewitness-survivor Mkrtich Avetyan’s memoir is about the peaceful life of Armenians of Smyrna, rooting of enmity against them, violence, and exile. Mkrtich Avetyan was drafted into the army and sent to Constantinople as an artisan at the beginning of World War I. Avetyan decided to move his family from Denizli to Smyrna because the Turkish sentiments towards the Armenians had been sharply deteriorated. A week before the invasion of Smyrna by the Kemalist army, Mkrtich Avetyan, together with 20 other families, arrived in Mitilini (Greece) from Smyrna, having paid 190 Ottoman gold liras. Mkrtich Avetyan wrote his memoirs in Aleppo in 1965 at the age of 93.
APLICAÇÃO DE MEDIDAS CAUTELARES DIVERSAS DA PRISÃO AOS CUSTODIADOS PROVISÓRIOS NO ESTADO DO AMAZONAS
Authors: Silva Luciane Costa da , Lopes Dario
Published: December 2023

O presente artigo tem como objetivo analisar a aplicação de medidas cautelares diversas da prisão para custódias provisórias no Estado do Amazonas, assim como em outros estados do Brasil, está relacionado à busca por alternativas à prisão preventiva, especialmente quando se trata de desafogar o sistema carcerário e garantir o respeito aos direitos humanos dos detentos. Essas medidas têm como objetivo principal evitar a prisão extrajudicial de pessoas que ainda não podem ter sido condenadas, mas que sejam aplicadas a outras medidas que garantam a ordem pública, a instrução criminal e a aplicação da lei 12.403,de 04 de maio de 2011. Alguns exemplos de medidas cautelares diversas da prisão incluem: Prisão Domiciliar. Os custodiados provisórios podem ser autorizados a cumprir sua medida cautelar em casa, sob certas condições, como as obrigações de permanência em casa durante a noite ou nos fins de semana, ou de usar tornozeleira eletrônica para monitoramento. Sugestões adicionais de medidas cautelares diversas da prisão que podem ser aplicadas em custódias provisórias no Estado do Amazonas, Trabalho ou Estudo Permitir que o acusado continuasse trabalhando ou frequentando a escola, desde que cumpra certas obrigações, como relatar sua localização ou horários. O Estado do Amazonas, poderia ampliar suas parcerias para implementar medidas cautelares diversas da prisão e outras estratégias relacionadas à justiça criminal e ao sistema carcerário.
ASSOCIAÇÃO ENTRE O USO DE CIGARROS ELETRÔNICOS E O DESENVOLVIMENTO DE LESÕES CARIOSAS
Authors: Sousa Samuel Campos , Santos Livia Pereira dos , Freitas Ana Beatriz Braga e , Silva Douglas Alves da , Sousa Júnior Sebastião Ribeiro de , Rolim Fabiana Gouveia
Published: December 2023

Este artigo buscou investigar a relação entre o uso dos cigarros eletrônicos e o desenvolvimento de lesões cariosas. Portanto, foi realizada uma revisão de literatura nas bases de dados PUBMED e SCIELO utilizando os seguintes descritores: “cigarro eletrônico”, “saúde bucal” e “cárie dentária” e a partir disso, 159 artigos foram encontrados. Depois de aplicar os critérios de inclusão e exclusão, verificou-se que 16 artigos diziam respeito ao potencial cariogênico dos cigarros eletrônicos, no entanto apenas 8 estavam disponíveis de maneira gratuita e foram selecionados para serem apresentados e discutidos. Após uma revisão criteriosa da literatura, percebeu-se que o açúcar que faz parte do líquido que é vaporizado nos cigarros eletrônicos provoca disbiose da microbiota oral e desmineralização dos tecidos dentários. Logo, dentro das limitações deste estudo, foi possível observar que há uma relação entre o uso dos cigarros eletrônicos e o desenvolvimento de lesões cariosas, no entanto, por se tratar de uma revisão de literatura, sugere-se que estudos com evidências mais robustas sejam realizados.
VALIDAÇÃO DE EQUIPAMENTOS NA INDÚSTRIA FARMACÊUTICA – UMA BREVE REVISÃO
Authors: Azevedo Fernanda dos Santos , Baiense Alex Sander , Andrade Leonardo Guimarães
Published: December 2023

A indústria farmacêutica possui o grande desafio de garantir a conformidade de todos os seus processos ao longo de toda atividade de sua planta fabril. Para garantir que todas essas etapas do processo tenham resultados satisfatórios é necessário efetuar a validação dos processos envolvidos nas etapas fabris.A empresa ao garantir a conformidade de todas as etapas envolvidas neste ciclo, demonstra perante as autoridades reguladoras brasileiras o cumprimento dos requisitos mínimos necessários que asseguram a qualidade e eficácia dos seus produtos. Desta forma, a validação deve ser bem definida e evidenciada para os órgãos públicos reguladores. O presente artigo busca demonstrar a necessidade de realizar o processo de validação por parte das indústrias farmacêuticas com a finalidade de preencher os requisitos das Boas Práticas de Fabricação (BPF). É feito uma breve introdução ao tema de validação com ênfase em qualificação de equipamentos na indústria farmacêutica.