bluuebunny/crossref_metadata_2025 huggingface dataset:
APPLICATION OF ULTRASONIC OSCILLATIONS IN ARC WELDING (REWIEW)
Authors:   Volgograd State Technical University, MURUGOV D.A. , SAVINOV A.V. ,   Volgograd State Technical University, CHUDIN A.A. ,   Volgograd State Technical University, LYSAK V.I. ,   Volgograd State Technical University, POLESSKIY O.A. ,   Volgograd State Technical University, KRASIKOV P.P. ,   Volgograd State Technical University
Published: October 2024

The paper describes various methods of using ultrasonic vibrations in arc welding based on the analysis of literature data. The main attention is paid to the recently developed method of ultrasound action on the arc. The advantages and disadvantages of existing methods of using ultrasonic vibrations in non-consumable electrode welding are shown.
COMPUTER SIMULATION OF TEMPERATURE FIELDS IN A WELD WITH CHANGING TECHNOLOGICAL PARAMETERS OF FRICTION STIR WELDING OF ALUMINUM AND COPPER
Authors:   Astrakhan State University, RZAEV R.A. , GUREVICH L.M. ,   Volgograd State Technical University, DERZHAVIN I.M. ,   Astrakhan State University, MERKULOV D.I. ,   Astrakhan State University
Published: October 2024

This paper discusses numerical modeling of temperature fields in friction stir welding (FSW) of aluminum (AD1) and copper (M1). A three-dimensional thermomechanical finite element model based on the coupled Euler-Lagrange (CEL) approach is used. The paper models and experimentally confirms the influence of FSW parameters on the distribution and peak temperature values in weld zones. The maximum temperature values are observed on the copper side. This is due to the high thermophysical properties of copper compared to aluminum. Changing the rotation speed of the welding tool from 800 rpm to 1000 rpm leads to an increase in the peak temperature from 492 °C (800 rpm) to 692 °C on the side of the copper plate (1000 rpm). The maximum discrepancy between the calculated and experimental temperature curves does not exceed 9%, which is quite acceptable for assessing the temperature field.
Social Presence: Der Schlüssel zu effektiverem Lernen in der virtuellen Präsenzlehre? Überlegungen zur virtuellen Körperlichkeit in digitalen Lehr- und Lernsettings
Authors: Dindas Henrik , Schulte Frank P.
Published: October 2024

Die dynamischen Entwicklungen in der (Hochschul-)Bildung, nicht zuletzt verstärkt durch die Herausforderungen der Corona-Pandemie, haben die Notwendigkeit aufgezeigt, die Rolle der Körperlichkeit im Bildungskontext neu zu betrachten, insbesondere in Bezug auf virtuelle Lernumgebungen. Dieser Beitrag beschäftigt sich mit der Bedeutung von Körperlichkeit und Social Presence in der Hochschulbildung und bietet Interpretationen von virtueller Körperlichkeit, die praktisch umgesetzt und für das Lernen relevant gemacht werden können. Im Fokus steht die Rolle der Social Presence, die trotz physischer Abwesenheit ein Gefühl der Gemeinschaft und Interaktion in digitalen Lehrsettings ermöglicht. Basierend auf dem Konzept der Embodied Cognition und der Telepresence, wird erörtert, wie physische Distanz in virtuellen Lernumgebungen überbrückt werden kann. Es werden Lehrmethoden und Technologien vorgeschlagen, die eine starke Social Presence fördern und dadurch eine effektive und inklusive Lernumgebung schaffen können. In diesem Zusammenhang werden konkrete Beispiele vorgestellt, das die dynamischen Wechselwirkungen zwischen physischer und virtueller Präsenz beleuchtet und ihre Bedeutung für die Gestaltung digitaler Lehr- und Lernsettings verdeutlichen sollen. Die soll Möglichkeiten illustrieren, wie trotz physischer Distanz ein Gefühl der Gemeinschaft und Interaktion in digitalen Lernumgebungen geschaffen werden kann. (DIPF/Orig.)
Reattachment of Fractured Tooth Segment in Minimally Invasive Way - A Case Report
Authors: M Abdulgani , N. Qawasmeh , Azz Abdulgani , M Abu-Hussein
Published: October 2024

Dental trauma frequently results in coronal fractures of the front teeth. Root canal therapy followed by reattaching the fractured segment with fiber post reinforcement is a viable alternative in cases of complex fractures where the fractured segment is present and there is close approximation of the segment to the intact tooth. Reattaching a fractured piece is a quicker, less involved process that offers immediate relief, better aesthetics, and function restoration. The present case report is of a 11-year-old boy with an uncomplicated crown fracture of permanent maxillary right central incisor and a palatal uncomplicated crown–root fracture of his permanent maxillary left central incisor . The fractured fragment was reattached using nano-filled dual-cure composite resin and tooth restored with composite resin. The fragment showed opaque discoloration that reduced over time but still persisted after 1 year. During the follow-up period, no unfavorable radiographic changes were seen. The prognosis of the teeth was favorable with good esthetic results. Keywords: Fragment reattachment, Fragment rehydration, Periodontal health, Root fracture, Uncomplicated crown.
Corrélations entre la magnésémie et le diabète type 2 Correlations between magnesemia and type 2 diabetes
Authors: Kenza Bennani , Mustapha Mahmoud , Imane Benbella
Published: October 2024

Magnesium plays a vital role in our bodies, as the second most important intracellular cation after potassium. It acts as a cofactor for over 300 enzymes involved in various essential physiological processes, such as carbohydrate metabolism and the regulation of insulin secretion. Any disturbance in magnesium homeostasis, notably hypomagnesemia, can lead to a variety of metabolic disorders, specifically diabetes. Indeed, the incidence of hypomagnesemia is significantly higher in diabetics than in non-diabetics, and correlates with the chronic complications of this metabolic disease. Hypomagnesemia leads to inhibition of the GLUT4 transporter, which contributes to increased insulin resistance and disrupts lipid metabolism. This literature review aims to synthesize current knowledge on variations in magnesemia in type 2 diabetes, and its association with major diabetic complications.
Retrograde Jejunogastric Intussusception - A rare Surgical Encounter
Authors: Manzoor Dr Sadatul , Shameem Rather Dr Hashmat , Ahmad Dar Dr Younis , Saleem Mir Prof.(Dr) Iqbal , ul Nisa Dr Riyan , Singh Dr Satbir
Published: October 2024

Introduction: Jejunogastric intussusception occurs in less than 0.1% of gastric resections. Retrograde jejunogastric intussusception is a rare but potentially lethal complication of gastojejunostomy. Case Report: We report a case of 54 year old man who developed sudden abdominal pain and haematemesis. He had a history of distal gastrectomy with loop gastojejunostomy for benign duodenal stenosis twelve years back. On evaluation he was diagnosed as a case of retrograde jejunogastric intussusception. This was followed by exploratory laparotomy in which gangrenous invaginated efferent loop was resected and roux-en-Y was reconstructed. Conclusion: Jejunogastric intussusception is one of the complications post gastojejunostomy that needs to be considered and managed with surgical intervention.
Effects of using mobile devices compared to reading books while defecating
Authors: Guntuka Dhruthi
Published: October 2024

This research paper investigates the comparative effects of using mobile devices versus reading books while defecating like the pre-technology period, with a specific focus on the microbial contamination associated with each activity. The study includes experiments conducted to analyse microbial surfacing on toilet seats and mobile devices, as well as books, to understand the hygiene implications of these common bathroom practices. In recent years, the integration of mobile devices into daily routines has extended to their use in the bathroom, a trend that has raised concerns about potential health risks and hygiene practices. Previous studies have primarily focused on the psychological and physical effects of prolonged bathroom usage; however, there is a paucity of research examining the microbial aspects of this behaviour. Our study addresses this gap by employing microbial surfacing techniques to quantify the levels of bacteria and other microorganisms present on toilet seats, mobile devices, and books used during defecation. Results indicate that mobile devices exhibit significantly higher levels of microbial contamination compared to books, which can be attributed to their frequent handling and surface material properties. Additionally, the findings suggest that individuals who use mobile devices in the bathroom may be at a higher risk of transferring harmful microbes to their hands, faces, and other surfaces, thereby increasing the potential for infection and illness. This paper discusses the implications of these findings for public health and personal hygiene practices and recommends strategies to mitigate the risks associated with bathroom device usage. By shedding light on the hygienic consequences of using mobile devices versus reading books while defecating, this research contributes to a broader understanding of how modern technology impacts health and daily life.
Geometric structure and electronic properties of bilayer graphene with a Moire superlattice by interlayer asymmetric tensile strain
Authors: Maruyama Mina , Sultana Nadia , Gao Yanlin , Okada Susumu
Published: October 2024

Using the density functional theory combined with the effective screening medium method, we investigated the energetics and electronic properties of bilayer graphene, comprising graphene layers without and with tensile strain. An interlayer interaction does not affect the structural reconstruction of each graphene layer despite the bilayer structure possessing a Moire superlattice. The structural asymmetry between the graphene layers causes a potential difference across the layers, leading to electron and hole doping in the layers without and with the tensile strain. Accumulated carriers show unique lateral distribution in each graphene layer, which depends on the interlayer atomic arrangements.
Pengenalan Eco Print dan Gas Tancap: Membangun Kesadaran Lingkungan dan Kreativitas Anak di SDN Badean 3
Authors: Puspito Agung Nugroho , Ashilia Indah , Nugroho Alfin , Andini Azizah Dian , Hidayat Adrian Shevchenko , Az-zahro Aulia Fatimah , Aprilia Sofi , Suud Hasbi Mubarak , Ubaidillah Mohammad , Karyaningtyas Setyowati
Published: October 2024

The GAS TANCAP (Chili Planting Elementary School Children's Movement) and Eco Print activities are activities that aim to develop the character of creativity and caring for the surrounding environment in elementary school children. Apart from that, this activity also aims to enable elementary school children to fill their free time with activities that are beneficial for them. This social project activity was carried out at SDN Badean 03 which is located in Bondowoso District, Bondowoso Regency, with a total number of students from grade 1 to grade 6 of 50 students. The method used in this social project is the integrated learning method. This method includes providing material or direction to students, then students practice the material that has been given outside of class. The results obtained from this social project are that students can find out how to cultivate chilies properly and correctly, and students gain insight into how to make batik using the Eco Print technique which comes from natural materials. The hope is that students at SDN Badean 03 can apply the knowledge they have gained in their daily lives, and become the successors of a nation that cares more about and loves the environment around them.
Development of a Low-Cost and Portable Device for Monitoring Heart Rate, Blood Oxygen Saturation, and Body Temperature in Infants Incubator
Authors: Astrif Citra Nur , Triwiyanto Triwiyanto , Abdullayev Vugar
Published: October 2024

The risk of newborn infant mortality is commonly associated with hypothermia. Hypothermia is a health disorder and a leading cause of death in newborns, caused by an imbalance in the baby's body temperature. Hypothermia occurs due to a decrease in body temperature resulting from various conditions, especially high oxygen requirements and a decrease in room temperature. The purpose of this study is to monitor the health status of newborns. Monitoring the body temperature and oxygen saturation levels in newborns can help detect abnormalities in infants at an early stage. Oxygen saturation is considered a vital sign that is important in supplying oxygen to the body. This research is expected to assist patients using a baby cuve in providing care for newborns with hypothermia symptoms. The Baby Cuve utilizes the DS18B20 sensor for temperature measurement and the MAX3102 sensor for heart rate and oxygen saturation. The data is then processed using the ESP32 microcontroller, and the results are displayed on an LCD screen. The comparative tools used in this study are the standard thermometer and pulse oximeter. The results of this research indicate that the smallest measurement error value is found in the Spmeasurement of respondent 10, which is 0.1%. The largest measurement error value is found in the Spmeasurement of respondent 2, which is 5.6% based on the obtained data. However, the measurement results are still within the tolerance limit of ±10%.
Comprehensive Analysis of Implementing Robotics in the Indian Construction Industry
Authors:   Department Masters of Building and Engineering Management, School of Planning and Architecture, Vijayawada (Andhra Pradesh), India., Priyanka Y Devi , Kumar M. Dr. Kranti ,   Department Masters of Building and Engineering Management, School of Planning and Architecture, Vijayawada (Andhra Pradesh), India.
Published: October 2024

Implementing robotics in the Indian construction industry presents a significant opportunity to address longstanding challenges such as labour shortages, project delays, safety concerns, and quality inconsistencies. As India's urbanization accelerates, the demand for faster, safer, and more efficient construction processes is growing. This comprehensive analysis explores the potential benefits, obstacles, and strategies associated with adopting robotics in India’s construction sector. Key drivers include increasing automation trends, government initiatives like "Make in India," and the global shift toward smart infrastructure. However, challenges such as high initial investment, a fragmented industry structure, and the need for skilled operators and technicians could hinder widespread adoption. The analysis also highlights the role of robotics in enhancing productivity, reducing construction costs, and improving worker safety through a cost-benefit analysis, ultimately paving the way for more sustainable and advanced construction methodologies in India.
The Relationship Between Institutional Pedagogy and the Brand Identity Formation of Higher Education Institutions
Authors:   Department of Marketing and Entrepreneurship, University of Applied Sciences, Kanifing Municipal Council, Gambia., Dr. Ikonne
Published: October 2024

This study sought to facilitate insight into the potential role of pedagogy in the brand identity formation of higher education institutions (HEIs) through a study of selected HEIs in The Gambia. Specifically, the study sought to address the following research question: What role do pedagogical practices play in building the brand identity of selected universities in The Gambia? The intra-paradigm qualitative mixed method of data collection underpinned the research design. This research design facilitated a preliminary analysis of the contents of institutional documents and social media postings. This process was followed by telephonic and virtually mediated in-depth interviews through which this researcher explored the interactionist interpretations, recollections, experiences, and opinions of 54 participants (students and staff) on the themes of institutional brand management practices, institutional pedagogical practices, institutional brand identity, and the links between pedagogical practices and institutional brand identity. The study used the Corporate Brand Identity Matrix as a supporting analysis framework. The findings show a relationship between pedagogical practices and institutional brand identity formation. The evidence suggests that the selected HEIs use hardly differentiated production-style portfolios of academic courses to pursue largely unengaged students, prospective students, and other stakeholders. Further findings indicate that teaching and learning practice is dominated by academic staff's discretionary use of transmissive pedagogy. This insight emerged against the background of additional evidence, which shows a link between pedagogy policy and practices of HEIs and stakeholder impressions. A synthesis of these findings culminated in the emergence of the pedagogy-based higher education brand identity matrix (P-HEBIM), which this study proposes as a novel framework for the branding of HEIs. The study sets out a practitioner guide on how higher education managers can pursue the institutional brand management priorities of branding strategy development, competitor intelligence, and brand communication using the P-HEBIM as a framework.
Giornata di studio È solo la lingua che ci fa uguali. L'insegnamento di don Lorenzo Milani. Saluti di apertura
Authors: D'Achille Paolo
Published: October 2024

Il 12 giugno 2023 si è tenuta in Crusca una giornata di studio organizzata in occasione del centenario dalla nascita di Don Lorenzo Milani, È solo la lingua che ci fa uguali. L'insegnamento di don Lorenzo Milani, a cui hanno partecipato studiosi di lingua, di didattica ed educazione, rappresentanti del mondo della politica vicini al mondo della scuola. La giornata è stata organizzata dall'Accademia in collaborazione con l'Associazione Proteo Fare Sapere. Riportiamo qui i contributi dei partecipanti, a partire dai saluti di apertura del Presidente dell'Accademia della Crusca, Paolo D'Achille. 
Analysis Of Flexural Resistance And Environmental Feasibility Of Ferrocement Concrete Slabs From Fly Ash And Sandblasting Waste
Authors: Luqman Cahyono  , Dwi Pratiwi Wiwik , Fardina Firda , Widiana Dika Rahayu , Carina Annisa'
Published: October 2024

Sandblasting waste from the shipbuilding industry and fly ash waste from industry and electric steam power plants in Indonesia are relatively high in quantity, are B3, and can potentially cause serious environmental pollution. This research aims to utilize this waste as material for ferrocement concrete, where the SiO2 and Al2O3 content from fly ash replaces some of the cement, silica sand from sandblasting waste replaces sand, and additional wire mesh as reinforcement. The method used is a quantitative experiment, where the material to be used is tested for gradation and TCLP. The finished ferrocement concrete is tested for flexural strength. The test results show that the raw material meets the gradation standards in SNI 03 2834 2000, as well the TCLP test results which show that the B3 heavy metal content is Barium, Zinc, and Copper in the sandblasting waste value is below the quality standards of PP No. 22 of 2021 Appendix XI so that all materials can be used for mix designs. The mix design created has a composition ratio of 1S:1.5PB, 1S:1.5PB:50AT, 1S:2PB, and 1S:1PB:50AT. The 1S:2PB ratio composition has the highest average flexural strength, namely 17.46 MPa, which is suitable for light vertical load construction work
Scheme of effective cathodic protection device against electrochemical corrosion of underground metal structures
Authors:   LEPL G. Tsulukidze Mining Institute, Leluashvili Levan , Pirtskhalava Teimuraz ,   LEPL G. Tsulukidze Mining Institute, Steriakova Svetlana ,   LEPL G. Tsulukidze Mining Institute, Leluashvili Giorgi ,   LEPL G. Tsulukidze Mining Institute
Published: October 2024

The article examines material losses from corrosion of underground metal structures and environmental damage in the event of their accidental damage. The basic patterns of the course of corrosion processes and the principles on which methods of protecting metal structures from them are based are described. The results of some studies conducted by employees of the G. Tsulukidze Mining Institute, which relate to the development of cathodic protection devices against corrosion of underground metal structures in accordance with industrial standards of Georgia.
Nitrogen use in oil and gas operations
Authors:   Georgian Technical University, Maisuradze Natela , Khitarishvili Valeri ,   Georgian Technical University, Maisuradze Davit ,   Georgian Technical University
Published: October 2024

The article discusses several options for nitrogen application in the oil and gas industry. Nitrogen gas is useful in maintaining formation pressure in oil fields, expelling gas from the gas cap, stimulating steeply inclined formations, cyclic exploitation of gas condensate deposits, Completion of wells, Cleaning of wells with Coiled Tubing, Circulatimg low pressure reservoir wells with foam.Described experience of local oil and gas companies in Georgia utilizing nitrogen pumping in welltesting and stimulation.
About the Meyverud ore field
Authors:   Caucasian Mining Group LLC, Gagnidze Mirian
Published: October 2024

Among the rocks of the Meiverud ore field (Iran), the oldest are the Upper Cretaceous terrigenous-carbonate flyschoids. Skarns are formed in the contact between the Oligocene intrusive complex and the flysch. Mineralization of the ore field is spatially and genetically related to the intrusive complex and the formations of its porphyry phases. The ores belong to the gold-quartz-small-sulfide mineral type, which are represented by quartz-ore veins and stockworks. Nugget gold visible with the naked eye is also observed in the ore field along with finely dispersed gold. The functioning of the hydrothermal solution proceeded in one stage, which was prolonged in time. The information may be of practical value in studying the geology and exploration of this type of deposit.
Disturbo da gioco d’azzardo patologico e gambling dual disorder: una prospettiva di clinica, endofenotipi e neuroscienze cliniche
Authors: Goracci Arianna
Published: October 2024

This brief contribution on GD, the first behavioral addiction, makes evident how gambling can be placed along a continuum whose extremes are represented by recreational play and pathological behavior. Individuals with GD would express a complex syndrome characterized by multiple psychopathological symptoms and different phenotypes that also involved in other mental disorders: it is from these considerations that the term dual disorders was proposed. The identification of other mental disorders in association with gd should not be limited to the diagnostic categories of the dsm-5, but addressed in a transdiagnostic perspective, including personality traits, such as impulsivity, which represent specific phenotypes and endophenotypes that allow gambling dual disorder to be described as a brain and neurodevelopmental disorder.
La struttura dell’industria dell’azzardo in Italia
Authors: Mandolesi Gabriele
Published: October 2024

The gambling sector, given its size and its impact in economic and social terms, has always been the subject of multidisciplinary researches which have investigated its different dimensions. This contribution intends to provide a different point of view, focusing the analysis on multinational groups operating in the partially liberalized Italian market, investigating their corporate structure, size, ownership, and the role of financial institutions. Finally, we will reflect on the implications and critical aspects of a partially liberalized market, especially in relation to the lack of transparency and lobbying actions to influence regulators.
Giuoco con vincita di denaro e Costituzione: spunti introduttivi
Authors: Perini Mario
Published: October 2024

The purpose of this contribution is to identify the areas of constitutional law in which legislation and jurisprudence have interpreted the phenomenon of gambling. In fact, in view of the Constitutional Court's increasingly frequent interventions, it seems increasingly useful and necessary to trace at least the essential elements of the jurisprudential development of the subject, also contextualising it in relation to the evolution of legislation in the sector.
Il modello italiano della regolamentazione del gioco pubblico e le varie forme di controllo del gioco
Authors: Turchi Luca
Published: October 2024

This dissertation contains an analysis of the legal gambling "rulebook" in Italy, starting from the origins to the latest regulatory and fiscal updates. The dissertation then proceeds to quickly examine the history of the different national gambling markets, highlighting the evolutions that have developed over the last fifteen years or so, also thanks to IT and technological innovations. In conclusion, this overview will show different types of control in the gambling sector, aimed to the common goals of protecting the citizens, the economic operators and tax revenues.
Perlindungan Hukum Terhadap Orang Dengan Gangguan Jiwa (ODGJ) yang Dipasung Dalam Perspektif Keadilan Bermartabat
Authors: Williasari Erih , Prasetyo Teguh , Jaeni Ahmad
Published: October 2024

Orang Dengan Gangguan Jiwa (ODGJ) adalah individu yang memiliki hak untuk hidup merdeka, dan termasuk dalam golongan seseorang dilindungi oleh hukum. Meskipun telah banyak regulasi mengenai larangan pemasungan, bahkan hingga ancaman pidana bagi seseorang yang melakukan tindakan pemasungan, perilaku ini masih terus terjadi. Penelitian ini memiliki tujuan untuk menganalisis perlindungan hukum terhadap pemasungan ODGJ perspektif keadilan bermartabat. Keadilan bermartabat adalah bentuk teori menggabungkan hukum positif dengan dasar hukum Indonesia (Pancasila) yang mengedepankan nilai kemanusiaan, untuk menjaga martabat manusia. Jenis penelitian ini adalah yuridis-empiris dengan teknik statute approach dan case study. Peneliti mengumpulkan data melalui wawancara yang kemudian hasil wawancara tersebut diolah dengan pendekatan Undang-Undang dan analisis dengan teori keadilan bermartabat. Hasil penelitian ini menunjukkan bahwa faktor-faktor yang mempengaruhi pemasungan terhadap ODGJ disebabkan rasa trauma dan pencegahan akan stigma buruk masyarakat kepada ODGJ, namun hal demikian tetap pelanggaran HAM yang tidak memenuhi unsur keadilan bermartabat. UU Nomor 17 Tahun 2023 tentang Kesehatan, Permenkes Nomor 54 Tahun 2017, dan PP Nomor 28 Tahun 2024 tentang Pelaksanaan UU No. 54 Tahun 2017 tentang Kesehatan adalah bentuk upaya preventif dan implementasi terhadap penanggulanagan tindakan pemasungan ODGJ secara nyata. Regulasi ini memuat hal-hal yang menjadi dasar terlaksananya dukungan antar sektoral melakukan penanggulangan atas kejahatan ini.
Caracterización clínica de pacientes con infección en el sitio quirúrgico en procedimientos de cirugía general
Authors: Molina Reyes Axel Antonio
Published: October 2024

OBJETIVO: describir la caracterización clínica de pacientes con infecciones del sitio quirúrgico sometidos a procedimientos de cirugía general en el Hospital Nacional de El Progreso durante enero del 2018 a diciembre del 2023. MÉTODO: estudio descriptivo y retrospectivo enfocado en la caracterización clínica de pacientes con ISQ que fueron intervenidos en el Hospital Nacional de El Progreso durante el período mencionado. RESULTADOS: de un total de 2446 pacientes intervenidos quirúrgicamente en el Hospital Nacional de El Progreso entre enero de 2018 y diciembre de 2023, el 37% desarrolló ISQ, con mayor prevalencia en el rango de edad de 34 a 41 años. Además, el 64% de los casos de ISQ se presentaron en hombres, con la mayoría de los pacientes provenientes del municipio de Guastatoya. La laparotomía exploratoria fue el procedimiento quirúrgico más asociado con ISQ, representando el 38% de los casos. Escherichia coli fue el microorganismo más frecuentemente aislado en los cultivos realizados. CONCLUSIÓN: la caracterización clínica de pacientes con infecciones de sitio quirúrgico permite identificar factores de riesgo clave y guiar intervenciones preventivas, lo que es crucial para mejorar los resultados postoperatorios y reducir la morbilidad asociada.
Mortalidad en pacientes bajo ventilación mecánica invasiva
Authors: Cordero Rodríguez Michelle María
Published: October 2024

OBJETIVO: Comparar el pronóstico de mortalidad en pacientes bajo ventilación mecánica invasiva, según las escalas MPM-II y APACHE IV, ingresados a unidad de cuidados intensivos de adultos del Hospital de Chiquimula durante los meses de agosto y septiembre del año 2024. METODO: Se realizó un estudio comparativo en el cual se utilizaron las escalas pronósticas de mortalidad APACHE IV y MPM-II a las 24 y 72 horas del ingreso en un total de 107 pacientes que se encontraban bajo ventilación mecánica invasiva que cumplían con los criterios de inclusión. RESULTADOS: Se observó que el sexo predominante fue el masculino con un 55%. El rango de edad más común fue entre los 31 a 40 años en un 30% de los casos. En cuanto a la procedencia, el municipio de Chiquimula aportó el mayor número de pacientes en un 38%. El pronóstico general de mortalidad para los pacientes bajo ventilación mecánica invasiva, según la escala MPM-II fue del 52.22% y con la escala APACHE IV fue de 49.09%. CONCLUSIÓN: En el presente estudio realizado en el Hospital de Chiquimula durante los meses de agosto y septiembre de 2024, los resultados del análisis ANOVA mostraron que, tanto a las 24 horas como a las 72 horas del ingreso, el valor de F crítica fue mayor al valor de F obtenido; por lo tanto, se logra concluir que ambas escalas ofrecen pronósticos de mortalidad similares.
Rare Clinical Presentation of Breast Cancer Metastasis: Carcinoma in Cuirasse
Authors: Paola Ortiz-Valdés Carolina , Mariana Madrid-Morales , Areli González-Campos Laura , Vanessa González-Ruiz
Published: October 2024

Breast cancer metastases in the skin can have different clinical presentations, breast carcinoma in armor has an exceptional presentation. It is called "cuirasse carcinoma" because of its resemblance to the armor of cavalry soldiers, it is characterized by the presence of erythematous plaques of fibrous consistency that can become ulcerated, on the skin of the thorax. It usually appears between 60 and 80 years of age, as a first sign or as part of metastasis. When associated with metastasis, it is associated with a history of chemotherapy, radiotherapy or mastectomy. Treatment can be given with electro-chemotherapy, photodynamic therapy, intra-lesional therapy, hormonal therapy and local therapy with the aim of palliating the disease.
Pengaruh Kualitas Sistem Informasi, Kualitas Informasi dan Kualitas Layanan Terhadap Kepuasan Pengguna Sistem Kepabeanan
Authors: Firdaus Rahmat , Sartika Dina , Nurhasanah Nurhasanah
Published: October 2024

Pelayanan prima kepada masyarakat merupakan hal yang senantiasa diperhatikan oleh pemerintah untuk senantiasa ditingkatkan. Terdapat fenomena dilapangan bahwa perubahan layanan dari manual ke otomasi melalui sistem IT tidak serta merta meningkatkan kepuasan pengguna layanan. Tujuan penelitian ini adalah untuk mengukur dan menganalisis pengaruh kualitas sistem informasi, kualitas informasi dan kualitas layanan terhadap kepuasan pengguna layanan kepabeanan baik secara parsial maupun simultan. Metode yang digunakan dalam penelitian ini adalah metode survey dengan teknik pengumpulan data menggunakan kuesioner berskala likert kepada pengguna layanan kepabeanan (divisi ekspor dan impor) pada masing-masing perusahaan penerima fasilitas kepabeanan khususnya pada penerima fasilitas Kawasan Berikat. Sampel yang digunakan dalam penelitian ini adalah sebanyak 103 responden di wilayah Kabupaten Karawang, Subang dan Purwakarta. Analisis data dilakukan dengan menggunakan metode regresi linier berganda menggunakan SPSS 26 (Statistical Package for Social Service). Hasil penelitian diperoleh bukti bahwa terdapat  pengaruh positif dan signifikan kualitas sistem informasi, kualitas informasi dan kualitas layanan terhadap kepuasan pengguna layanan kepabeanan baik secara parsial maupun secara simultan. Penelitian menunjukan bahwa kualitas layanan memberikan pengaruh paling besar terhadap kepuasan pengguna layanan dengan indikator adanya jaminan (assurance) kepastian mengenai keamanan dan gangguan dari pihak lain terkait dengan layanan yang diberikan
Revitalisasi Peranan Balai Harta Peninggalan Dalam Perspektif Penetapan Penunjukan Wali Anak
Authors: Sudira I Ketut , Maharani Natalia
Published: October 2024

Penelitian ini bertujuan untuk menganalisis urgensi peran Balai Harta Peninggalan (BHP) sebagai pengawas dalam penetapan perwalian anak, mengingat dalam praktiknya pengadilan seringkali tidak melibatkan BHP, sehingga potensi penyalahgunaan wewenang oleh wali yang merugikan anak sangat tinggi. Peraturan perwalian yang berlaku sejak masa kolonial Belanda telah dihapus dengan diberlakukannya Undang-Undang Perkawinan, namun ketentuan formal tentang tugas BHP masih berlaku selama tidak diatur dalam undang-undang baru. Melalui pendekatan yuridis normatif, penelitian ini menelaah peran BHP dalam mengawasi pelaksanaan perwalian berdasarkan Peraturan Pemerintah Nomor 29 Tahun 2019 tentang Syarat dan Tata Cara Penunjukan Wali serta Peraturan Menteri Hukum dan HAM Nomor 7 Tahun 2021 tentang Organisasi dan Tata Kerja BHP. Hasil penelitian menunjukkan adanya disarmonisasi dalam perundang-undangan terkait peran BHP, yang mengakibatkan lemahnya perlindungan hukum bagi anak di bawah perwalian. Keterlibatan BHP sebagai pengawas dalam perwalian sangat penting untuk menjamin kepentingan terbaik anak, serta perlunya peninjauan dan harmonisasi peraturan terkait agar peran BHP lebih efektif dan sesuai dengan prinsip-prinsip hukum yang berlaku. Pentingnya reformasi regulasi perwalian untuk memperkuat pengawasan BHP guna mencegah tindakan merugikan terhadap anak di bawah perwalian.
Pengaruh Pembuatan Keputusan Oleh Kepala Sekolah Terhadap Kinerja Guru Sekolah Luar Biasa Negeri Kundur
Authors: Ilna
Published: October 2024

Pencapaian tujuan pendidikan turut serta dipengaruhi peran kepala sekolah sebagai pemimpin dan pengelola strategis dalam lembaga pendidikan. Kepala sekolah bertanggung jawab dalam membuat visi dan misi yang jelas, serta mengambil keputusan strategis yang berdampak pada pengembangan kurikulum, pengelolaan sumber daya, dan kualitas pendidikan secara keseluruhan. Sehingga, perlunya kepala sekolah dalam meningkatkan kinerja guru melalui kebijakan yang inklusif dan mendukung, guna mencapai tujuan pendidikan yang berkualitas. Tujuan penelitian ini adalah untuk mengeksplorasi bagaimana proses pembuatan keputusan yang dilakukan oleh kepala sekolah dapat memengaruhi kinerja guru di Sekolah Luar Biasa Negeri Kundur. Metode yang digunakan ialah metode deskriptif kualitatif. Adapun pengambilan data dengan teknik literatur riview serta dianalisis dengan teknik triangulasi. Berdasarkan hasil penelitian didapatkan bahwa keputusan yang transparan dan inklusif, serta keterlibatan guru dalam pengambilan keputusan, meningkatkan rasa memiliki dan kepuasan kerja, yang berujung pada peningkatan kinerja guru. Dukungan dan umpan balik konstruktif dari kepala sekolah juga berperan penting dalam pengembangan profesionalisme guru. Dengan demikian, kepala sekolah yang mempraktikkan kepemimpinan kolaboratif yang mampu melahirkan lingkungan pendidikan yang lebih baik di sekolah luar biasa.
Pengaruh Pembuatan Keputusan Oleh Kepala Sekolah Terhadap Kinerja Guru Sekolah Luar Biasa Negeri Kundur
Authors: Yuliana Elsa Sari Yuliana , Zawitri Sari , Mustafa Bob
Published: October 2024

Indonesia adalah salah satu negara dengan tingkat pengumpulan pajak terendah di Asia Tenggara. Optimalisasi pengumpulan pajak sangat mendesak mengingat kondisi ekonomi pasca pandemi Covid-19. Ini adalah upaya pemerintah untuk memastikan ketersediaan barang dan jasa publik, termasuk layanan kesehatan yang harus disediakan untuk warga negara Indonesia. Inilah yang mendasari tujuan penelitian ini, yaitu menganalisis perbandingan pendapatan dan belanja pemerintah daerah serta melihat kinerja pengumpulan pajak daerah oleh Dinas Pendapatan Daerah Provinsi Kalimantan Barat. Bentuk penelitian ini menggunakan metode deskriptif komparatif. Jenis data yang digunakan adalah data primer dalam bentuk hasil kuesioner dan data sekunder dalam bentuk laporan keuangan pemerintah daerah Provinsi Kalimantan Barat. Teknik pengumpulan data yang akan digunakan adalah kuesioner/survei, teknik dokumentasi, dan studi literatur. Teknik analisis dengan pendekatan komparatif.
Kajian Kebutuhan Perlengkapan Jalan Penunjang Sektor Pariwisata Ruas Trowulan-Pacet Kabupaten Mojokerto
Authors: Fauzul Rizal Sutikno  , Rusdyawan Arief  , Dina Rindyawati  , Widya Pawestri Nugraheni  , Robby Muttaqin  , Tian Wijiastuti
Published: October 2024

Kawasan pariwisata merupakan salah satu sektor yang berkembang pesat di Kabupaten Mojokerto, sehingga diperlukan peningkatan kualitas infrastruktur penunjang, khususnya di sektor keselamatan transportasi. Tingginya volume pergerakan yang diakibatkan oleh daya tarik pariwisata berpotensi menimbulkan risiko keamanan dan gangguan kenyamanan bagi pengguna jalan, termasuk pengguna fasilitas di sekitar jalan. Salah satu upaya yang dilakukan untuk menekan risiko keselamatan dan menjaga kelancaran pergerakan lalulintas adalah dengan menyediakan perlengkapan jalan yang memadai. Kajian ini bertujuan untuk mengetahui kebutuhan perlengkapan jalan pada ruas jalan utama yang menghubungkan titik-titik pariwisata terbanyak di Kabupaten Mojokerto, meliputi wilayah administrasi Kecamatan Trowulan, Kecamatan Jatirejo, Kecamatan Gondang, dan Kecamatan Pacet. Penentuan kebutuhan perlengkapan jalan didasarkan pada evaluasi beberapa kondisi, seperti kondisi perlengkapan jalan yang ada, fungsi jalan, penggunaan lahan mikro, persimpangan jalan, perubahan geometri jalan baik vertikal maupun horizontal, bahaya fisik alam, serta lokasi kecelakaan atau blackspot. Hasil penelitian menunjukkan perlunya penyelenggaraan perlengkapan jalan yang meliputi kegiatan penempatan, penggantian, pengadaan baru, pemeliharaan, dan/atau penghapusan
IMPORTÂNCIA DO TRATAMENTO INTENSIVO, AUTOCONTROLE E APOIO FAMILIAR NO MANEJO DO DIABETES TIPO 1 NA ADOLESCÊNCIA
Authors: Sampaio de Souza Cecília , Zaro Correa Carolina , Uyeda Eduardo , Ferrari Berti Eduarda , Darwiche Gabriela , Anizelli Oliveira Júlia , Canato Micheletto Lara , Tomasetto Leczko Mariana , Tomasson Maria Laura , Bueno Marco Aurélio , Correa Paula Fernanda , Vilani Chiella Rurick
Published: October 2024

Este estudo apresenta um relato de caso de uma adolescente diagnosticada com diabetes mellitus tipo 1 (DM1), uma doença crônica comum na infância e adolescência, caracterizada pela destruição autoimune das células beta do pâncreas e pela deficiência de insulina. A incidência do DM1 tem aumentado, apresentando desafios significativos para o controle glicêmico, essencial para evitar complicações agudas e crônicas. O manejo do diabetes nessa faixa etária é complexo devido a fatores fisiológicos e emocionais, dificultando a adesão ao tratamento. O controle glicêmico eficaz vai além da administração de insulina, englobando educação em diabetes, contagem de carboidratos, monitoramento regular da glicemia e suporte familiar, cuja participação é crucial para influenciar positivamente a adesão ao tratamento. Por meio deste relato, ressalta-se a importância do tratamento intensivo, do autocontrole e do envolvimento familiar no sucesso do manejo do diabetes mellitus tipo 1, visando melhorar a qualidade de vida da paciente e minimizar os riscos de complicações associadas à doença.
Diagnóstico e Manejo do Edema Agudo de Pulmão: Uma Revisão Integrativa
Authors: Aranha Júlia Cavalcante , Santo Pessoa Victória , Mendes Resende Ribeiro Matheus , Nunes de Barros Marcos Vinícius , Araújo Luna Xênia Ricarte , Santiago Reis Bruna Elisa , De Amorim Mendonça Stefany , Ângelo Lins de Oliveira Francisco Davi , De Medeiros Souto Rogaciano , Cunha de Freitas Alicia , da Fonseca Benvindo Filho Otávio , Cabral Bellario Lucas
Published: October 2024

Este artigo visa realizar uma revisão integrativa sobre o diagnóstico e o manejo do edema agudo de pulmão, utilizando a base de dados PubMed com os termos "Edema pulmonar", "Diagnóstico" e "Tratamento". Esta revisão integrativa destaca a complexidade no diagnóstico e manejo do edema agudo de pulmão (EAP), evidenciando a importância de uma abordagem abrangente e personalizada. As técnicas de imagem, como radiografia de tórax e tomografia computadorizada, permanecem essenciais, mas a ultrassonografia torácica tem ganhado relevância pela sua capacidade de detecção rápida e avaliação contínua. A combinação de terapias farmacológicas, como diuréticos e vasodilatadores, com medidas não farmacológicas, como ventilação mecânica não invasiva e oxigenoterapia, tem se mostrado eficaz. A introdução da ventilação de pressão positiva contínua nas vias aéreas (CPAP) representa uma alternativa promissora, oferecendo alívio sintomático e evitando a necessidade de intubação em casos graves. A discussão ressalta que, apesar das diretrizes clínicas existentes, a gestão do EAP deve ser adaptada às características individuais de cada paciente. A integração de um plano de tratamento baseado em evidências, com monitorização contínua e ajustes conforme necessário, é fundamental para uma abordagem eficaz. Além disso, a consideração das comorbidades, como insuficiência renal e hipertensão arterial, é crucial para otimizar os resultados do tratamento e melhorar a qualidade de vida dos pacientes. A implementação de estratégias personalizadas e a evolução contínua das práticas clínicas são essenciais para o avanço na gestão do EAP.
GINÁSTICA ESCOLAR: ASPECTOS DIDÁTICO- PEDAGÓGICOS
Authors: Cynara Cristina Domingues Alves Pereira  , Guanis de Barros Vilela Junior  , Ricardo Pablo Passos  , Ana Lucia Ratti Brolo  , Ricardo Stochi de Oliveira  , Luiz Guilherme Bergamo  , André Mattos Benatti de Andrade
Published: October 2024

Os aspectos didático-pedagógicos da ginástica na escola impactam sobre as aprendizagens educacionais desejadas, porém existem dificuldades para o seu uso efetivo quanto ao espaço físico e a formação profissional, assim como negligência da temática. O objetivo foi descrever os aspectos didático-pedagógicos da ginástica na escola para a desenvolver habilidades críticas. Este estudo caracteriza-se como uma revisão integrativa, realizada por meio de buscas por artigos científicos nos seguintes periódicos: Movimento, Conexões, Pensar a Prática, Google Scholar, Science of Gymnastics Journal, Revista Brasileira de Educação Física Escolar, Journal of Physical Education, Pensar a Educação em Revista, Lecturas: Educación Física y Deportes, Corpoconsciência, Motrivivência, Revista Brasileira de Ciência e Movimento, The physical educator e RBCE, utilizando os descritores “Ginástica”, Educação Física Escolar”, “Aspectos didático-pedagógicos”, publicados nos anos de 2020 a 2024, em português/inglês/espanhol. Os resultados demonstraram como aspectos didático-pedagógicos, o uso das 3(três) dimensões dos conteúdos, do estilo de ensino, solução de problemas, da ludicidade, de materiais alternativos, de trabalho coletivo, de feedback dos conhecimentos adquiridos, do valor das experiências e do acesso científico dos estudantes, além de preservar a heterogeneidade, considerando os métodos da ginástica para todos, embasados em teorias críticas. Conclui-se que os aspectos didáticopedagógicos da ginástica nas aulas de Educação Física Escolar e os princípios metodológicos da ginástica para todos, devem ser considerados na elaboração do planejamento para o alcance de uma formação educacional que contemple o desenvolvimento crítico dos estudantes, porém também é relevante minimizar os impasses para a sua aplicação, o que se demonstra como uma necessidade urgente de publicações.
PERFIL ANTROPOMÉTRICO E FISIOLÓGICO DE BOXEADORES DE ELITE MASCULINO
Authors: Cynara Cristina Domingues Alves Pereira  , Vladimir Juliano de Godoi  , Guanis de Barros Vilela Junior  , Willian Carrero Botta  , Heleno da Silva Luiz Junior  , Humberto Aparecido Panzetti  , Fernando Ikeda Tagusari  , Ricardo Stochi de Oliveira  , Ana Lucia Ratti Brolo  , João Paulo Borin
Published: October 2024

O boxe, uma das mais antigas modalidades de combate, é caracterizado por seu alto nível de exigência física e técnica. Atletas envolvidos nesse esporte precisam manter elevados níveis de preparação física, o que inclui fatores antropométricos específicos e fisiológicas que podem influenciar diretamente seu desempenho competitivo. Este estudo teve como objetivo verificar a produção acadêmica sobre o perfil antropométrico e fisiológico dos boxeadores masculinos de elite. Realizamos uma revisão integrativa e de natureza qualitativa. A busca pelos documentos foi realizada no Google Acadêmico, sendo considerados apenas oito artigos originais publicados entre 2020 e 2024, classificados como de maior relevância pelo algoritmo desta plataforma e com maior número de citações. Os descritores utilizados exclusivamente em inglês e a sintaxe da busca foram: Elite male boxing AND Body composition AND Anthropometry. Os resultados demonstraram que a maioria dos 9 (nove) artigos selecionados se concentrou em analisar o perfil antropométrico de boxeadores de elite, incluindo estatura, massa corporal, circunferências, dobras cutâneas e índice de massa corporal (IMC), além das variáveis fisiológicas como composição corporal e força. Concluise que estes resultados fornecem importantes subsídios para o desenvolvimento de programas de treinamento personalizados, com ênfase no controle das variáveis antropométrica e fisiológicas de atletas de boxe masculino de elite, fornecendo subsídios para treinadores e profissionais da área esportiva na preparação desses atletas.
CÂNCER GINECOLÓGICO E CUIDADOS PALIATIVOS: ESTRATÉGIAS INTEGRADAS PARA O ALÍVIO DO SOFRIMENTO
Authors: Siqueira Vitória Sampaio , Fernandes Marciele de Lima , Rocha Gisele Terska Da Silva , Guimarães Paulyne Souza Silva , Alcantara Ana Clara Rodrigues , Cavalcante Iara Neves Vieira , Bender Mariluza Sott , Barros Andrio Correa , Torres Júnior Jorge Luís , Assunção Élida Lúcia Ferreira
Published: October 2024

O câncer ginecológico é uma condição complexa que envolve diferentes tipos de tumores que afetam os órgãos reprodutivos femininos, como ovários, endométrio, colo do útero, vulva e vagina. O manejo dessa doença, especialmente em estágios avançados, representa um grande desafio para a medicina, uma vez que os tratamentos convencionais focados na cura muitas vezes negligenciam o alívio dos sintomas físicos e o suporte emocional necessário para as pacientes. Neste contexto, os cuidados paliativos surgem como uma alternativa fundamental, oferecendo uma abordagem que visa não apenas o controle dos sintomas físicos, como dor e fadiga, mas também o suporte emocional, social e espiritual, aspectos essenciais para melhorar a qualidade de vida das pacientes. Este estudo teve como objetivo analisar a eficácia da integração precoce dos cuidados paliativos no tratamento de pacientes com câncer ginecológico, com base em uma revisão narrativa da literatura. Os resultados indicaram que a introdução antecipada dessas intervenções proporciona uma melhoria significativa no bem-estar geral das pacientes, além de reduzir a necessidade de internações e intervenções médicas invasivas em estágios avançados da doença. Foi observado também que o envolvimento de equipes multiprofissionais e o apoio ativo da família contribuem para um tratamento mais completo e humanizado, favorecendo o enfrentamento da doença de maneira mais digna e menos dolorosa. No entanto, barreiras culturais e institucionais ainda dificultam a plena adoção dos cuidados paliativos, sendo necessário promover uma maior conscientização sobre a importância dessas práticas desde os primeiros estágios da doença. Em conclusão, este estudo reforça que os cuidados paliativos, quando integrados de maneira precoce ao tratamento do câncer ginecológico, proporcionam não apenas o alívio do sofrimento físico e emocional, mas também uma experiência de tratamento mais digna e centrada nas necessidades das pacientes.