bluuebunny/crossref_metadata_2025 huggingface dataset:
The Economic and Sociological Analysis of Social Entrepreneurship and Socio-Entrepreneurship
Authors: Anggeraini Hasri Diah , Rizqi Reza Muhammad
Published: July 2022

Studying social entrepreneurship and socio-entrepreneurship as a concept helps us better comprehend what they mean. After doing literature research of books and scientific publications, the data is gathered and analyzed using the content analysis technique. Profit is the primary goal of social entrepreneurship, which was born out of the United States' economic system. With this strategy, it splits its company activities into economic and social components. The economic success of social entrepreneurship is assessed by evaluating how exploitative and desire-based it uses resources. Socio-entrepreneurship, on the other hand, has its roots in the European economic system. Process and behaviour are its primary focus, with the goal of improving society in mind. Social progress is difficult to quantify, thus socio-entrepreneurship coordinates the efforts of individuals and organizations to make a positive impact on society as a whole. It considers resource consumption on a case-by-case basis. However, this study also covers the political, cultural and religious components of society. To better understand entrepreneurship in Indonesia, future research should look into these elements as well, so that the perspective can be broadened. Because this study is based on a theoretical framework, an empirical method is also recommended to verify this concept in a real-world environment using inferential statistics.

Keywords: social and socio-entrepreneurship, literature survey, content analysis, goal and orientation of entrepreneurship, resource utilization .
EFFECTS OF ELECTROMYOGRAPHIC BIOFEEDBACK ON THE PERFORMANCE OF VASTUS MEDIALIS OBLIQUE MUSCLE IN KNEE OSTEOARTHRITIS: A RANDOMIZED CONTROLLED TRIAL
Authors:   Faculty of Allied Health Sciences Lahore Institute of Science and Technology, Lahore Pakistan, Khan Huma , Riaz Huma ,   Faculty of Rehabilitation & Allied Health Sciences, Riphah International University Islamabad. Pakistan, Farooq Ahsen ,   Faculty of Health and Medical Sciences, Riphah International University, Islamabad Pakistan, Farid Fazeela ,   Faculty of Health and Medical Sciences, Riphah International University, Islamabad Pakistan
Published: July 2022

Background: Knee osteoarthritis is a common musculoskeletal disorder, enhancing performance of Vastus Medialis Oblique (VMO) can reduce the symptoms. Objective: The study objective was to determine the effects of Electromyographic Biofeedback (EMG BF) on the performance of VMO in patients with knee osteoarthritis (OA). Methods: A Randomized Controlled Trial (RCT) was conducted at Pakistan Railway General Hospital, Rawalpindi from July to December 2019. In this study, n=30 patients with a diagnosis of knee OA were recruited with the age ranging from 50 to 65 years. The participants were randomly allocated to two groups. Group A has received isometric exercises with Electromyographic Biofeedback (EMG BF) training and Group B has received only isometric exercises for 6 weeks. The Assessments were taken at the baseline and after 6th week of intervention. The outcome measure of vastus medialis oblique (VMO) performance was maximum voluntary isometric contraction (MVIC), measured by an EMG BF device, and one-repetition maximum (1RM)). The VMO muscle thickness was measured by musculoskeletal ultrasound. SPSS version 21 was used for data analysis. Results: The mean age of the group A was 58.94±3.1 years and of group B was 59.44±2.9 years. There was found significant between-group improvement (p<0.001) in VMO thickness and 1RM. But for MVIC between-group difference was not significant (p>0.05). Within-group analysis for all variables was statistically significant (p 0<.001) in both experimental and control groups. Conclusion: It is concluded that VMO training with an EMG BF device is more effective to enhance VMO thickness and strength in terms of 1RM in patients with knee osteoarthritis. Keywords: Osteoarthritis, Electromyography Biofeedback, One repetition maximum
BUKU SAKU TANYA JAWAB PENELITIAN KUALITATIF AKUNTANSI
Authors: Kamayanti Ari
Published: July 2022

Buku ini adalah hasil disksusi dari kelas daring “Metodologi Penelitian Kualitatif Akuntansi: Pengantar Religiositas Keilmuan” yang diadakan oleh Peneleh Research Institute dalam rentang 12 Maret-4 April 2021. Bab-bab disajikan sesuai sesi-sesi yang menyajikan seluruh diskusi tanya-jawab pada sesi tertentu. Buku ini menjadi pegangan yang dapat melengkapi buku rujukan Metodologi Penelitian Kualitatif Akuntansi.
On the tools for the development of secondary vocational education
Authors: Блинов В.И.
Published: July 2022

Основываясь на понимании, что развитие среднего профессионального образования возможно исключительно в контексте развития самой сферы труда и систем квалификаций, автор отмечает, что существующие инструменты развития системы среднего профессионального образования несовершенны и требуют доработки и адаптации в практике их применения. При этом использовать их по отдельности особого смысла не имеет, поскольку это комплекс управленческих решений, тесно связанных с процессом социально-экономического развития регионов и страны в целом

The author notes that the existing tools for the development of  secondary vocational education require improvement and adaptation in the practice of their application, knowing that the development of secondary vocational education is impossible without the development of the employment sector and qualification systems. At the same time, it does not make much sense to use the tools separately, as it is a set of management decisions closely related to the process of socio-economic development of regions and the country as a whole.
YEREL BASINDA KADIN ÇALIŞANLARIN SORUNLARI
Authors: MANTARLI KURT Ela , TÜT Nilgün Didar , ÖZSOY Selami
Published: July 2022

Toplumsal normlarla birlikte şekillenen yapı ile birlikte medya sektöründe de erkek egemen bir çalışan profili söz konusudur. Yaygın basındaki bu yapı, yerel basında da benzer şekilde görülmektedir. Bu araştırmada yerel basında kadın çalışanların yaşadıkları sorunlar ele alınmıştır. Örneklem olarak seçilen Zonguldak ve Bolu illerinden seçilen 4 yerel gazeteci ile görüşme yapılmıştır. Görüşmelerden elde edilen verilere göre düşük ücretle çalışmak, eğitimsiz personelin varlığı, çıkar karşılığı haber yapılması, önemsiz haberlerde görevlendirilmek gibi konular ön plana çıkmıştır. Sonuç olarak küçük nüfuslu yerleşim yerlerinde görev yapan kadın çalışanların sayısı erkeklere göre azdır. Kadın gazeteciler daha çok geri planda görev almaları istenmekte ve önemsiz haberlere yönlendirilmektedir.
Tabloid Journalism in The Context of Sensationalism in New Media
Authors: YÜKSEL Hakan
Published: July 2022

Tabloid journalism can be considered as a field of journalism that has a strong impact with its current forms of discourse. As a matter of fact, in this field of journalism, news is presented through descriptive expressions and drama elements. The sensationalism factor appears at this point, and it is aimed to make tabloid news interesting and intriguing. When the possibilities of internet technology in the field of new media are considered, it can be claimed that sensational elements can be included more in news presentation styles. Therefore, in this study, it was aimed to reveal how sensationalism is reflected in tabloid news in the internet media. Accordingly, first of all, a conceptual framework was created, and then the data of two different tabloid news sites were examined with discourse analysis. In the news analyses conducted in the context of thematic and schematic structure, the visibility of sensationalism was discussed under six different categories. Consequently, it was found that tabloid news made use of sensational elements in the field of new media.
Distractor analysis of multiple choice questions: A descriptive study of physiology examinations at the Faculty of Medicine, University of Khartoum
Authors: Musa Afraa , Shaheen Samir , Ahmed Ammar
Published: July 2022

Background: Distractor analysis is an important component of item analysis. It helps in the design and construction of items with functional effective distractors which are valid for future use and developmentof proper question banks.Objectives: This study aimed at investigating distractors’ functionality of physiology multiple choicequestion (MCQ) items at the Faculty of Medicine, Khartoum University using post- examination item analysis data.

Methods: Analyzing test statistics reports produced by Remark-Software, the frequency distribution of non-functioning (NFD) or non-effective distractors (NED) on ten summative physiology MCQ exams administered to undergraduate medical students in the period from September 2015 to September 2016 was assessed. Item analysis reports provided detailed options analyses in the form of response frequency and discrimination power of each option. Each exam paper consisted of 60-80 (five-option) items and the number of the examinees ranged from 332 to 359. A total of 654 items were reviewed, including 2580 distractors. NFD/NED were defined as distractors with either response frequency<5% of the examinees or non-negative discrimination coefficient (rpbis) criteria. Furthermore, the number of NFD/NED per item were computed to measure distractor efficiency (DE %) of an item as follows; 0 NED = 100 % DE, 1 NED = 75%DE, 2 NED = 50% DE, 3 NED = 25% DE, 4 NED = 0% DE.

Results: Although less than one-third (31%) of total number of distractors were non-functioning because they were chosen by less than 5% of examinees, only 4 (0.15%) distractors had a choice frequency ofzero. In addition, 9.38% of total number of distractors was non-functioning because they had non-negative discrimination correlation coefficient. Defining functioning distractors using response frequency or discrimination ability criterion, the majority (61%) of our distractors were functioning effectively. The mean DE was 59.46±28.376% and the proportion of functional distractors ranged from 40.27% - 75% in the ten exams. Our study proportions of items with 100%, 75%, 50%, 25%, 0% DE were: 32.7%, 31.3%, 20.9%, 9.9% & 5.1% respectively based on response frequency criterion alone, compared to: 8.2%, 12.3%, 28.7%, 35.2% & 15.7% respectively when using any of the two criterion for NED definition.

Conclusion: The findings that the majority of our distractors were functioning and the high proportions of our items that have high distractor efficiency are explained by the fact that our expert staff memberscarefully reviewed distractors to ensure unambiguity of the correct answers and generated plausible effective distractors.
An uncommon presentation of primary gastro-intestinal non- Hodgkin’s lymphoma (PGINHL) with multiple jejunal strictures in a young patient
Authors: Eldin Siddig Mohy , Fadal Amira Abbas , Saad Eltaib A. , Babiker Mohamed A.
Published: July 2022

Introduction:Primary gasrointesinal non-Hodgkin’s lymphoma (PGINHL) is a heterogeneous complex disease (1).Variations in patients’ characterisics, clinical sages, hisologic sub-types, and treatment options dependlargely on the site of origin (1, 2). In fact, gasrointesinal tract is the mos commonly involved site forprimary NHL occurrence, accounting for nearly 20–40% of all extra-nodal disease (2). It arises from thelymphoid tissues within the wall of small intesine which are more abundant in the ileum (3), being eitherlocalized to a single segment of the small intesine, or multi-centric in 15–20% (3). Clinical presentation isextremely variable with a wide range of presenting symptoms like: non-specifc abdominal pain; anorexiaand weight loss; diarrhea; subacute obsruction; and a palpable abdominal mass (2, 4-6), with an emergencysurgical treatment being required in 11–64 % of cases (4). Herein, authors describe an unusual presentationof a PGI   NHL in a young Sudanese patient who suﬀered from recurrent episodes of subacute small bowelobsruction due to multiple jejunal srictures (simulating Crohn’s disease clinically and radiologically) andfound to have a diﬀuse large B-cell lymphoma on hisopathological examination of the surgical specimen.
Music Harmonizes Extracorporeal Shockwave Lithotripsy Experience by Reducing Anxiety and Pain – A Randomized Control Trial
Authors: Zohaib Agha , Siddiq Adnan , Khalid Salman El , Hassan Waqar , Saleem Mohammad , Fareed Wajahat
Published: July 2022

Aim: To find out the role of listening to music during extracorporeal shockwave lithotripsy to reduce pain and anxiety during the procedure. Design: A randomised controlled trial. Place and Duration of Study: Lithotripsy department at The Kidney Centre Postgraduate Training Institute, Karachi, from January to July 2021. Methodology: One hundred ten patients were randomly assigned into two groups of fifty-five patients each; Group-M (first session of ESWL with music and second session without music) and Group-X (first session of ESWL without music and second session with music). Patients with the music group were provided headphones with soothing music throughout their procedure. Routine analgesic (intravenous nalbuphine 0.1mg/kg) was administered to patients as per treatment guidelines. Each patient received a total of 4000 shockwaves with energy levels varying from 11.45 to 13.1 kilovolts and frequency ranging between 2 to 3 Hertz. Patients filled out two questionnaires, Visual Analogue Scale (VAS) and State-Trait Anxiety Inventory (STAI). Baseline data for all patients was calculated and compared between the two groups. Data were analysed using IBM SPSS ver. 20. Results: Ninety-eight were males while twelve were females. Gender distribution between groups does not differ significantly (p = 0.862). The mean age in Group-M was 36.22 + 9.78 while in Group-X was 36.13 + 9.89 without any significant difference between groups (p = 0.422). BMI of Group-M patients (25.34 + 4.64) was not significantly different from Group-X (25.41 + 4.80) (p = 0.327). Median stone size of Group-M was 1.0 ; 0.30 while that of Group-X was 1.1; 0.40 (p=0.997). Stone laterality was not significantly different among the two groups (p = 0.961). The distribution of stone location among both groups was not significantly different from each other (p=0.949). In Group-M, first session patients (with music) had significantly lower median VAS score (2; 1) as compared to second session patients without music (4; 2), (p < 0.001). In Group-X, first session patients (without music) had significantly higher median VAS score (6; 1) as compared to second session patients with music (4; 2), (p < 0.001). Conclusion: Music therapy during ESWL sessions reduces both pain and anxiety and also improves overall compliance of stone disease patients by eradicating the fear of the procedure. Keywords: ESWL, Lithotripsy, Visual Analogue Scale, Renal calculi.
Meta-Analysis of Safety Effect of Nitric Oxide Drugs on Acute Cerebral Hemorrhage
Authors: Zubair Akmal , Nadeem Wajahat , Rasheed Sufian , Naveel Tania , Fatima Sameen , Gonzaga-Leong-On MA. Socorro , Sarfraz Maria Binte , Sardar Nargis , Beland Bakht , Rasheed Arsalan
Published: July 2022

Background: Nitric Oxide is involved in several physiological processes, including vasodilation, blood pressure control, platelet and antileucocyte activity, and neurotoxicity. When given within 4 to 6 hours after the start of stroke, nitric oxide donors (NO donors) have shown promise as an acute stroke therapy in two clinical studies. Methods: People with acute or chronic stroke were included in randomized trials of NO donors, and IPD was obtained from the trialists. The changed Rankin scale (mRS) and mortality by point in time to randomization were used to evaluate the impact of NO donor organize on practical result. Impairment, mood, and life quality were all included as secondary outcomes. Results: Glyceryl trinitrate (GTN) was used in all five studies (4,197 individuals). GTN reduced BP by 7.4/3.3mmHg as compare to the organize set. After 90 days, GTN has not altered any clinical measurements in any way, shape, or form. While GTN was linked with positive changes in the mRS (odds ratio (OR) of 0.52, 95% self-assurance gap of 0.34–0.78) and decreased mortality in 312 patients who were randomly assigned within 6 hours of the start of stroke, this was not the case for the other patients in the study. Conclusions: Little donors had no effect on the recovery of stroke victims. NO donors, on the other hand, may enhance outcomes in both ischemic and hemorrhagic stroke when specified in six hours of the start of stroke. Keywords: drugs, nitric oxide, Glyceryl trinitrate, acute cerebral hemorrhage, stroke, pharmacology
Comparison of Vitamin D, Interleukin-6, And Interleukin-8 Levels in Covid Positive patients With or Without Cytokines Storm
Authors: Amjad Aneela , Manzoor Sidra , Wasti Syeda Zahra , Shoukat Zeeshan , Kazmi Syeda Khadija , Ilyas Umer , Shakoori Tania
Published: July 2022

Background: Currently world is within the clutches of the coronavirus disease (COVID-19) , caused by the SARS-CoV-2 virus, COVID-19 virus has evolved to human-to-human spread . COVID-19 infection can cause fever, fatigue, dry cough, severe pneumonia, respiratory distress syndrome and in some instances death. Release of cytokine is the main process by which COVID-19 affects human system. High level of chemokines and pro-inflammatory cytokines has been observed among the patients with COVID-19. Methodology: 100 COVID-19 positive patients with cytokine storm and100 COVID-19 positive patients without cytokine storm with 18+ age and both gender were included after their formal consent. Interleukin-6, interleukin-8 and Vitamin-D were determined by their respective ELISA kits. SPSS software was applied for statistical analysis. Results: the results of current study showed the raised levels of interleukin-6 and interleukin 8 in case group as compared to controls. Levels of Vit D were compromised in case of Covid patients with cytokine storm than controls respectively. Conclusion: it was concluded that increased oxidative stress and lacking anti-oxidants may add to the development and advancement of cytokine storm in corona virus positive patients. Keywords: Vitamin D, Transforming growth factor beta, SARS-COV2, IL-6, IL8, SOD, cytokine storm.
Awareness about COVID 19 regarding its symptoms, Preventive measures and compliance of preventive measures
Authors: Sharif Muhammad , Arif Hafiz Muhammad , Hassan Ahmad , Raza Ahmad , Azam Muhammad , Sharif Muhammad Soban , . Aqsa
Published: July 2022

Aim: To find out presence of awareness about COVID 19 in people of rural and urban areas Duration of study: 2 weeks until get maximum participation response Study design: Cross sectional survey Method: Questionnaires’ proforma was created from WHO and CDC website in google doc online form and was circulated among peoples of urban and rural areas through WhatsApp and Email. Responses were collected through google doc form and rearranged in form of tables/graph or pie chart. Results about knowledge of COVID 19 were presented in frequency and percentages. Conclusion: More awareness is needed about those COVID19 presentations, preventive measures and compliance of preventive measures which are being missed or not implemented by public so that spread of COVID 19 can be reduced and prevented Keywords: COVID 19, clinical presentations, awareness, preventive measures, Rural and Urban areas
ANAIS DO II CONGRESSO ON-LINE NACIONAL DE CIÊNCIAS & SAÚDE (II CONCS)
Authors:   LITERACIA CIENTÍFICA EDITORA & CURSOS, Fontes Francisco Lucas de Lima , Melo Mayara Macêdo
Published: July 2022

Em sua segunda edição, o Congresso On-line Nacional de Ciências & Saúde (CONCS), promovido pela Literacia Científica Editora & Cursos veio com um tema que envolveu Estado e Sociedade na busca pelo fortalecimento do SUS: ” Políticas públicas, democracia e direito à saúde: a multidisciplinaridade como meio para fortalecimento do SUS” . O objetivo do II CONCS foi promover discussão sobre direito à saúde; legislação do SUS; preceitos históricos para construção do SUS; participação, representação, controle social na gestão do SUS; desafios e perspectivas do SUS na atualidade; judicialização em saúde; ética e bioética na saúde; democracia e saúde; políticas públicas de saúde; integralidade, universalidade e equidade nas práticas assistenciais; descentralização, hierarquização e regionalização na organização do SUS; práticas multiprofissionais; educação em saúde; vigilância em saúde (epidemiológica, ambiental, sanitária e saúde do trabalhador); determinantes sociais em saúde; entre outras temáticas transversais que provocassem reflexão ao se pautar o tema central do evento em 2022. Realizado de 22 a 24 de abril de 2022, o evento foi realizado de maneira remota e contou com a participação de renomados especialistas das Ciências da Saúde e de outras áreas, garantindo a multidisciplinaridade e construção de conhecimentos nos três dias de evento. O II CONCS incluiu palestras, mesas redondas, minicursos, submissão de resumos, publicação dos resumos em anais pela Literacia Científica Editora & Cursos, além das certificações de participação no evento e minicurso e apresentação dos trabalhos.
Movilidad peatonal en Temuco, Chile: contribución de densidad y factores sociodemográficos
Authors: Paydar Mohammad , Rodriguez Gonzalo , Kamani Fard Asal
Published: July 2022

Caminar es el modo de desplazamiento más sostenible y apropiado en tiempos de pospandemia, especialmente, en las ciudades de tamaño medio. Sin embargo, la movilidad peatonal se ha reducido significativamente durante las últimas décadas en Temuco, Chile. A este respecto, el estudio tiene como objetivo examinar la contribución de factores sociodemográficos, de entorno familiar activo, de densidad de población y de la densidad residencial en la merma observada. Los factores mencionados se examinan en función del propósito que motiva los viajes a pie, aspecto que ha sido destacado en investigaciones anteriores que han abordado el tema. El estudio utilizó los resultados de la Encuesta Origen Destino 2013 (Secretaría de Planificación del Transporte [Sectra], 2014), en Temuco, relacionando datos con su localización a través de un Sistema de Información Geográfica (SIG). El análisis de las variables arrojó como resultado la correlación entre mayor movilidad peatonal y familias de bajos ingresos. En esa línea, se encontraron asociaciones entre una mayor movilidad peatonal y factores sociodemográficos, como la edad, género, disponibilidad de licencia de conducir y posesión de vehículos en el hogar, entre otros. Además, se hallaron igualmente relaciones con un entorno familiar activo y con la densidad residencial. Estos hallazgos pueden aportar contenidos a la actual discusión en política urbana, en especial, al identificar la conjugación de factores que inciden con mayor peso en el incremento de la caminata como forma de desplazamiento en la ciudad.
Exercício físico na gestação: o que diz a caderneta da gestante?
Authors: Halmenschlager Isabel Helena Forster , Oliveira Josi Mara Saraiva de , Garcia Edna Linhares
Published: July 2022

A Caderneta de Gestante brasileira é um material didático de educação em saúde, sendo um documento de acompanhamento do cuidado à gestante e ao bebê, e até no puerpério. Dentre os cuidados abarcados por ela, está a prática do exercício físico, que promove saúde da mãe e do filho. Nesse artigo, objetivou-se discutir a importância do exercício físico na gestação, relacionando a literatura científica com as informações dispostas na Caderneta de Gestante. Conduzido por meio de uma abordagem qualitativa com objetivo descritivo e documental, a coleta de dados se deu em documentos oficiais e artigos científicos. Constatou-se que os benefícios do exercício físico na gestação estão consolidados na literatura, e que a Caderneta da Gestante apresenta poucas informações sobre o tema. Por seu papel educativo, apontamos a Caderneta como uma potente ferramenta de divulgação da importância do exercício físico na gestação, e ressaltamos a necessidade de sua atualização.
Conhecimento etnobotânico de plantas medicinais utilizadas por agentes populares de cura em Guatambu, Santa Catarina, Brasil
Authors: Roman Junior Walter , Sganzerla Camila Mabel , Veloso Jaqueline , Predebon Ana , Roman Fabiane Schönell , Corá Luzia Margaret , Soligo Maristela , Fonseca Cristiane Honorato
Published: July 2022

Este estudo objetivou realizar um levantamento etnobotânico de plantas medicinais utilizadas por agentes populares de cura (benzedores), no município de Guatambu (SC). A investigação foi realizada no perímetro urbano e rural, e foi desenvolvida utilizando a técnica de snowball sampling (bola de neve). A pesquisa revelou um quantitativo de 139 espécies de plantas, agrupadas em 57 famílias botânicas, com 298 indicações terapêuticas. A parte da planta de maior uso foi a folha (51%) e a planta com maior índice de concordância comum entre os agentes foi a raiz de Petroselinum crispum (Mill.) Fuss., (salsa), com 12 indicações (CUP de 75%). Na categorização farmacológica, as doenças imunológicas ganharam destaque (62 indicações de plantas), sendo acompanhadas pelo combate ao “amarelão” (43 plantas com FCE 0,69). Este estudo contribui para prospecção de produtos naturais, para a valorização da cultura imaterial e do saber popular, assim como, na compreensão da relação dos indivíduos com a biodiversidade.
Estratégias para cessação do tabagismo na atenção básica
Authors: Santos Edenilson Cavalcante , Aragão Heron Ferreira , Leite Luíza Maria Guimarães de Souza , De Albuquerque Filho Mauro Castro , De Freitas Rodolfo Barbosa , Lins Victor Lucas Veras
Published: July 2022

O consumo do tabaco é responsável por inúmeras mortes a cada ano, sendo a principal causa de óbitos evitáveis no mundo. Cabe ao Médico de Família e Comunidade a missão de abordar o usuário do cigarro e conduzir estratégias que visem interromper o seu uso e até mesmo mitigar os efeitos devastadores por ele ocasionados. Em virtude da complexidade que envolve essa abordagem, faz-se necessário a atualização sobre as principais estratégias que podem ser desenvolvidas na Atenção Básica voltadas para a cessação do tabagismo. Esse estudo teve por objetivo atualizar o profissional da Atenção Básica a respeito das estratégias que podem ser utilizadas para otimizar os grupos de tabagismo. Trata-se de um estudo descritivo do tipo revisão integrativa que objetiva sinalizar as melhores evidências disponíveis sobre a cessação do uso do tabaco. Cinco artigos foram selecionados para compor a amostra desta revisão, selecionados a partir das seguintes bases de dados: BVS, MEDLINE, LILACS, BDENF e SciELO. Essa revisão conseguiu evidenciar cinco principais estratégias para otimizar a abordagem ao usuário tabagista. Conclui-se que são necessários novos estudos que possam enriquecer a discussão considerando a relevância deste tema.
Implantação precoce dos cuidados paliativos no pronto-socorro: revisão integrativa
Authors: Santana Marcos Antônio Gois , Santos Thaiane Santana , Jesus Aryel Andrade , Oliveira Ammanda Hermes de , Farre Anny Giselly Milhome da Costa , Rocha Hertaline Menezes do Nascimento
Published: July 2022

Descrever os benefícios da implantação precoce de cuidados paliativos (CP) para pacientes admitidos em unidades de urgência e emergência. Revisão integrativa norteada pela pergunta “Quais os benefícios da implementação precoce de CP aos pacientes nos serviços de emergência?”. A coleta foi realizada nas bases LILACS, MEDLINE, BDENF, Scopus e Scielo. Foram selecionados 12 artigos. A implantação precoce dos CP aos pacientes nos serviços de emergência apresenta benefícios na qualidade de vida, na garantia de tratamento adequado ao controle de sintomas, na redução do tempo de estadia e de espera, diminuição de custos e melhoria no fluxo de atendimento. Apesar disso, a percepção de CP como cuidados de fim de vida ainda é uma barreira. O estabelecimento precoce de CP através dos serviços de emergência apresenta benefícios para o sistema de saúde e seus usuários. É necessária a ampliação desse debate a fim de desconstruir o estigma sobre a temática.
Determining the most important educational, administrative, social and psychological obstacles facing blended education in teaching volleyball from the point of view of the teachers of the faculties of the central and southern regions
Authors: Rashak Muhammad Hashem , Dakhil Rabie Lafta
Published: July 2022

The research included four chapters, where the first chapter included a definition of the research from the introduction to the research and its importance. The development of the educational sciences and the emergence of modern strategies that help teachers and students acquire knowledge and sciences in a manner consistent with the nature of the learner in order to reach effective education that achieves the desired goals, and the problem of Research the existence of obstacles that prevent the success of blended education, and the study aimed to identify the concept of blended education and its importance, its advantages, and justifications for its use in universities in general, and faculties of physical education and sports sciences and teaching volleyball in particular, and the requirements of blended education and its obstacles and to identify the reality of blended education in colleges from the point of view of The faculty members looked at, and revealed the problems that limit the use of blended education in those colleges, and the degree of availability of physical equipment to assist in the application of blended education.
stimulation of learning in the subject/learning unit fundamentals of administration
Authors: Carreño Oscar Fabián Moncayo , Moreno Victoria Elvira Torres , Mayorga Darwin Javier Zamora
Published: July 2022

The objective of this paper is to characterize a didactic model of learning stimulation of the subject/learning unit Fundamentals of Administration, which is specified in the development of a methodology that favors the quality of learning of students who are trained as graduates in Business Administration at the State Technical University of Quevedo (UTEQ) in Ecuador. Theoretical, empirical and statistical research methods were used. The didactic model of learning stimulation of the subject/learning unit Fundamentals of Administration is made up of the following components: Projective conceptualization, Activation and Regulation of learning, in which relationships are established to characterize the logic of the teaching-learning process of said content based on the relationships between the dynamic and static components, the conception of the teaching tasks and the problem-oriented method of professional simulation, from which the developmental relevance of said process derives, as a resulting quality the application in practice of the methodology, as a concretion of the model, allowed corroborating its effectiveness in terms of raising the quality of learning of the referred subject.
Antibacterial effects of ZnONPs produced by Bacillus clausii on growth of Pseudomonas aeruginosa
Authors: Mahdi Ahmed Jabbar , Yousif Maitham Ghaly
Published: July 2022

Nanotechnology's most recent advancements Nanoparticles of metals and metal oxides have a wide range of uses in a variety of sectors, research institutes, and enterprises. The most frequent metal oxide nanoparticles are zinc oxide nanoparticles. (ZnO NPs) Because of its unique features and applications, zinc-tolerant probiotics of Bacillus spp are capable of tolerating high concentrations of Zinc+2 and creating Zinc Oxide Nanoparticles, These bacteria are gaining popularity as a natural microbial cell nano-factory for a more efficient and ecologically acceptable technique of nanoparticle production. X-ray diffraction was used to determine the morphological and structural properties of ZnO NPs , The produced nanoparticles were crystalline, relatively stable, roughly spherical, and pure, according to transmission electron microscopy (TEM). (ZnONPs) biosynthesized by Bacillus clausii have antibacterial efficacy against Pseudomonas aeruginosa.
Automative vehicle computerization system
Authors: Rajan C. , Arshiya A. , Getzia H. Jeno , Kavya V.
Published: July 2022

The genuine force of this undertaking lies not in direct selling of items, but rather in the development of more grounded associations with clients and conveying of an elevated degree of administration and backing, which thusly further develops association deals and its generosity. A help association is a business element that deals with overhauling a client system in the after deals area. As the quantity of clients and size of tasks expands, the association isolates the topographical region into administration regions and branch areas, to permit Engineers to be more receptive to the client needs. Vehicle computerization System is web application created in ASP.Net and it is carried out by utilizing windows apparatus. This application gives a simple and straightforward method for selling or buy vehicles on the web. Clients can strive divider the subtleties of the vehicles and can buy the vehicle. Clients can see every one of the subtleties of the vehicle and send a solicitation to buy the vehicle. The primary point of fostering this Vehicle computerization System is to give effective robotization administration to the vehicle organizations and vehicle adjusting focus.
Study of association of C-reactive protein and alkaline phosphatase in type 2 diabetes mellitus patients
Authors: Pravin Dhone G. , Rajkumari Rathore , Vikas Gupta , Faheem Mohd Mubeen
Published: July 2022

The prevalence and incidence of type 2 diabetes are rising rapidly worldwide, especially in Asia. Diabetes has been linked to a shorter life expectancy mainly because of its complications, including heart disease, strokes, eye disease, inflammation and bone disease. The aim of the study was to examine the relationship between high sensitive C reactive protein (hsCRP) and alkaline phosphatase (ALP) in type 2 diabetes patients. Furthermore, we investigated correlation between serum hsCRP and ALP level with glycaemic triad (FBS, PPBS, HbA1c) in case and control group. A cross sectional study consists of 200 patients out of which 100 normal healthy control (Group I), case - 100 patients having type 2 DM (Group II). FBS, PPBS, HbA1c, hsCRP and ALP were measured.  Mean serum hsCRP and ALP level were statistically significantly higher in case group compared to control group. Moreover, significant positive correlation was observed between hsCRP and ALP level as well as both with FBS, PPBS and HbA1c. Oxidative stress and inflammation appears to be a key component and also associated with poor glycaemic control and further pathogenesis of diabetes and its complications.
Secure encrypted image parsing over server
Authors: Madan Shefali , Magon Mahima , Chandila Suman
Published: July 2022

Security of data is the major concern in today’s scenario. Transferring of data from one source point to a destination point is referred as data transfer. Encryption is one of the methods which is widely used for transfer of information over secured communication channel. Through security of various encryption techniques, we can make our data safe from hackers. Confidential data can be secured by various proposed methodologies and algorithms. Survey has been performed taking into consideration various image encryption techniques and algorithms as well as procedures in this paper and reference ideas about various cryptography techniques and discussed about the challenges faced in the image encryption.
Obesity is the biggest driver of metabolic diseases lets focus on our waists
Authors: Jayakrishnan B.
Published: July 2022

Obesity is the main determining factor of whole body reduced insulin sensitivity. This association has been demonstrated in multiple adult and pediatric cohorts. A close-fitting relation exists between typical lipid depositions patterns, exactly within the skeletal muscle and liver, as well as the intra-abdominal compartment and whole body insulin sensitivity causing different metabolic disorders. The effect of lipid deposition within insulin responsive tissues such as the liver and skeletal muscle relates to the ability of fatty acid derivate to inhibit elements of the insulin signal transduction pathway. Firming the relation of obesity and reduced insulin sensitivity are the annotations that weight gain reduces insulin sensitivity while weight loss increases it. This displays as the appearance of cardiovascular risk factor clustering with weight gain and its recovery in the face of weight loss. Both obesityand low insulin sensitivity, are independent determinants of the adverse metabolic phenotype characteristic of the metabolic syndrome.
Meta-analysis
Authors: Wijayanti Titik , Yanti Yanti
Published: July 2022

This study aimed to o analyze the effect of kangaroo mother care on length gain in low birth weight (LBW) infants. This study is a systematic review and meta-analysis. The articles used in this study were obtained from three database, namely PubMed, Science Direct, and Google Scholar. The articles included are full-text article with a study design of randomized controlled trial from 2013 to 2022. Articles were analyzed using the Review Manager 5.3 application. Result: A total of 11 articles from Asia continent (India, Bangladesh, Philipina, and Nepal). The data collected showed that kangaroo mother care increased growth (length gain) of LBW infants 0.21 times and was statistically significant (SMD= 0.21; CI 95%= 0.19 hingga 0.22; p < 0.001). Conclussion: Kangaroo mother care increases length gain in LBW babies.
Midshaft diameter of humerus and its accuracy in sex determination of south Indian population
Authors: Kumari K. Praveena , Janaki C. S. , Lokanadham S.
Published: July 2022

Background: Humerus is one of the long bones generally favoured in osteometric studies as it appears to yield highest level of classification accuracy in sex determination. Aim: To study the midshaft diameter of humerus and its accuracy factor in sex determination. Methods: A total of 100 (Male - 72, Female - 28) dry human humeri were collected from the Department of Anatomy as well as from the under graduate students of Santhiram Medical College, Nandyal. The maximum midshaft diameter of humerus was measured from absolute greatest diameter without regard to the vertical or transverse plane. The minimum midshaft diameter of humerus was measured from absolute least diameter in the middle without regard to any plane or maximum diameter Results: The mean maximum mid shaft diameter of humerus in male bones was 1.953±0.027 and in female bones was 1.75±0.030. The mean minimum midshaft diameter of humerus in male was 1.657±0.0211 and in female was 1.485±0.026 in the present study Conclusion: The mid shaft diameter can be considered as one of the sex determinations factors due to its higher accuracy in males than females with other predictive variables of humerus.
Assessment of healthcare professionals' knowledge and attitudes regarding blood safety culture in hospitals
Authors: Ayman Kassbi , Souad Filali El Ghorfi , Hicham Achelhi
Published: July 2022

Safety culture encompasses the knowledge, procedures and practices that are shared by the actors of an organization regarding the control of risks related to its activities. In the hospital environment, the introduction of a safety culture in the care services is still not very evident. Generally, it is focused on the patient, even though health professionals are also constantly exposed to various risks. Indeed, the infectious risk secondary to blood exposure accidents constitutes a serious threat to the health of healthcare professionals. This requires improvements in the knowledge and attitudes of the safety culture by all operational and management staff in hospitals. The aim of this work is to study the knowledge and attitudes of health professionals regarding the safety culture towards blood exposure accidents, using a questionnaire that will allow to evaluate the perception of safety in a Moroccan hospital.
Analysis of GM-CSF in SARS-CoV-2 patients in Hilla city
Authors: Mohammed Shahad Saad , Al-shibly Ifad Kerim , Jasim Ahmed Hussein
Published: July 2022

Objectives: 1.Using Covid-19, examine the demographic data(obese and smoking) on Pentian. 2. To determine the serm level of GM-CSF. Methods: In this study, 170 patients with COVID-19 and AHC were included .The value of the GM-CSF and demographic data was collected and their correlation with disease severity was analyzed. Results: the Patients group contained 36 (51.4%) patients with Covid 19, 19 of whom were obese (BMI 30 kg/m2), and 34 (48.6%) were non-obese. Only 27 (27.0%) of the participants in the control group were fat, while 73 (73.0%) of the participants in the Covid 19 group were not obese. In terms of smoking status, the current study found that 28 (40.0 percent) of the patients in the Covid 19 group were smokers, whereas 42 (60.0 percent) were non-smokers. Only 13 (13.0%) of the participants in the control group were smokers, with 87 (87.0%) having no Covid 19. the case (with Covid 19) group had significantly greater levels of (IL33) than the control group.
Evaluation of certain important biochemical parameters in school-age children infected with Enterobius vermicularis
Authors: Ismail Rajaa Mosa , Abass Kasim Sakran
Published: July 2022

The current study is objective to estimate some biochemical tests in children who infected with E. vermicularis. The current study was performed among children aged 1-9 years in Kirkuk city, Iraq. 90 children were used in current experiment at March to September 2021. The outcomes of this study demonstrated that the s.ferrtin levels significantly lower in infected children compared with control group. Also, the results demonstrated that vitamin D3 levels significantly lower in infected children compared with control group. The vitamin B12 levels also show significantly reduces in infected children compared with control group. Its concluded that E. vermicularis infection lead to significant (P<0.05) in levels of vitamins and ferritin.
Enriched intuitionistic fuzzy rule pruning using butterfly optimization for rule pruning in intrusion detection
Authors: Soundarraj K. , Ravichandran M.
Published: July 2022

The process of detecting and reacting to hostile activities against the computer and network resources is known as intrusion detection. Rather of relying just on expertise and experience, a systematic and automated IDS creation process is required. This drives researchers to look into data mining-based intrusion detection frameworks. Though there are many algorithms are developed for detection intrusion, the issue of inconsistency in rule-based classification model is controlling the volume of data and removing irrelevant rules are the major problems focused in this work to improve the process of IDS.  This paper proposed a framework which handles the hesitancy in classifying the unknown traffic pattern data packets by designing evolutionary algorithm optimized intuitionistic fuzzy inference system. The Intuitionistic fuzzy inference system represents each instances of KDD cup 99 dataset with the degree of membership and non-membership. With these two degrees, the hesitancy degree is computed to overcome the issue of inconsistency and uncertainty in analysing the unknown pattern of abnormal packets. In conventional Intuitionistic fuzzy System (IFS), the rules generated by the inference engine is applied for classification directly without determine the validation of it.
La norma ISO 21001:2018 en el sistema de gestión de calidad de las instituciones educativas particulares
Authors:   Universidad Central del Ecuador, Cerruto Serrano Mayra Cristina
Published: July 2022

In Ecuador, quality is a value-adding component in education, the same one which is legally constituted in the corpus of current educational regulations. To this end, the state has promulgated a set of policies that guide, instruct, and control the achievement of quality goals in the different educational services. This research work aims to identify the scope and benefits of the ISO 21001: 2018 standard in the Quality Management System of private educational institutions in Ecuador. The methodological route is designed from a qualitative, non-experimental level, complemented by analyzing authors' proposals and specialized documents recognized by the scientific community. In the theoretical order, this research work contributes significantly to developing other investigations and as a source for further academic works related to quality management and standardization in educational systems. The results show that the Ecuadorian educational system has specific standards for educational management, professional performance, learning, and infrastructure, like those within the ISO 21001: 2018 standard. However, from the dynamism of continuous improvement, these standards are not fully articulated as a management system, leaving the possibility of adopting and implementing the ISO 21001:2018 technical standard as the quality management model for private law educational institutions.
Modelo para la implementación de un sistema de gestión de calidad ISO 9001:2015 en un centro de atención de heridas
Authors:   Universidad Central del Ecuador, Moncayo Urgilés Ana Jeaneth
Published: July 2022

The Ecuadorian wound care centers are health units specialized in the treatment of acute and chronic wounds; their processes are developed in base of the general parameters issued by the Ministry of Health, however, there are no clearly established parameters to measure the quality that is offered by these centers. Therefore, in this work a model for the implementation of a quality management system is proposed, the one which is based on the ISO 9011:2015 for a wound care center. Being a theoretical research, it was done on the basis of deep epistemological studies from the application of the following methods: systemic, hermeneutic, dialectical, and holistic, which allowed to analyze the quality standards of the ISO 9001:2015 in relation with the strategic operational and support processes in a wound care center. The proposed model consists in the integration of the organization and the standardization of its processes, which is composed by three dimensions; with their respective categories, the ones that emerge as guiding components in the application of relevant quality standards of the aforementioned norm in the administrative and operational processes, essential for a successful, efficient and effective health care attention according to the needs of the patients, contributing to the improvement of their quality of life.
Violencia intrafamiliar en tiempos de pandemia y aislamiento social
Authors:   Universidad Central del Ecuador, Quillupangui Caicedo María Elena , Paredes Morales Estuardo Beethoven ,   Universidad Central del Ecuador
Published: July 2022

In order to describe the behavior of domestic violence in times of pandemic and social isolation, a narrative review was carried out. As sources of information, articles were used in databases such as Pubmed, BMC and LILACS on domestic violence in the context of COVID-19, in any of its manifestations: physical, economic, psychological, or sexual violence, with subjects of any age and sex, with analytical, observational design, systematic reviews, meta-analysis, in which validated instruments have been used to measure domestic violence. 50 articles were included, with a population of 28,240 subjects. An increase in the figures of domestic violence in the context of the pandemic is described. The most frequent forms of domestic violence were: psychological, physical, sexual, economic. Although this can happen to everyone in the household, women seem to be the most affected. Domestic violence, although it was a serious problem before the pandemic and isolation due to COVID-19, has experienced a notable increase after this in all its manifestations. The prevention of domestic violence in the context of the pandemic should be based on education, the identification of families at risk, and the development of satisfactory family relationships.