bluuebunny/crossref_metadata_2025 huggingface dataset:
Burnout Syndrome in Emergency Department Healthcare Providers In Aljouf Region
Authors: Alhuwaydi Ahmed , Alayshan Meshari , Alghutayghit Abdullah , Alsabilah Mohammed
Published: June 2023

Background: Burnout refers to job dissatisfaction caused by work-related stress. The aim of this study was to explore the prevalence, risk factor, protective factors of burnout among emergency department healthcare providers in Al Jouf region hospitals. We aimed to investigate the psychological impact of burnout, how it weighs down on mental health and physical health, and ways to prevent it. Burnout syndrome is emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA) among individuals who work with people. Methodology: This study used a self-administered online questionnaire distributed through data collectors by sending the link to participants. A pilot study will be conduct on 10 subjects to estimate the time needed to fill the survey and test the logistics and its comprehensibility. A self-administered MBI-HSS was used to collect data on burnout in terms of emotional exhaustion, depersonalization and low personal accomplishment. Study period from March 2021– January 2022. Results: We found burnout to be multidimensional such that different variables were associated with one or more aspects of burnout. Majority of respondents felt emotionally drained from work a few times a week. Low personal accomplishment results are caused by factors such as age, marital status, smoking, psychological/ psychiatric disorders. The results showed that the highest mean and standard deviation for MBI-HSS subscale scores for risk burnout was found in emotional exhaustion. The majority of participants (71.28%) had high prevalence of high depersonalization. 84.43% of participants were not burnt out. Conclusion: Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment which arises in response to chronic stress in jobs where individuals work with people. Workers at the emergency department were more susceptible to burnout. Different factors are associated with burnout. Demographic factors of age, sex and marital status were significant in the study. Social and organizational solutions in preventing and alleviating this syndrome are recommended to address emotional exhaustion, depersonalization and low personal accomplishments.
The effectiveness of empirical antibiotics treatment in neonatal sepsis: a retrospective study
Authors: Alqarni Abdulwahab , Alsulami Naji , Alshamy Khalid
Published: June 2023

Objective:
This study aimed to investigate the effectiveness of empirical antibiotics in neonatal sepsis in Maternity and Children Hospital, Makkah, Saudi Arabia.
Methods:
This retrospective study was conducted among neonates at the neonatal intensive care unit (NICU) of the Maternity and Children Hospital between the period from November, 2021 to January, 2022. The collected data included demographics and clinical data of neonates, antibiotic administrated, and blood culture results, white blood cells count, and C-reactive protein (CRP) before and after antibiotic administration.
Results:
The data of 164 neonates were included with the mean age of 17.5±7.8 days. There was a male dominancy (51.8%), and 43.3% had normal body weight. Around 14.6% positive cultures were found with dominancy of Coagulase-negative (COG –ve) staphylococcus (4.9%). Empirical antibiotics revealed significant improvement in WBCs (P=0.002) and CRP (P=0.000).
Conclusion:
The most causative agents of neonatal sepsis were COG -ve Staphylococcus and E. Coil. Empirical therapy was effective in improving the laboratory markers associated with neonatal sepsis.
Association of Hypothyroidism with COVID-19 Among Adult Patients: a Systematic Review
Authors: Alam Fayeza
Published: June 2023

Coronavirus (COVID-19) has caused considerable morbidity, mortality, and poor outcomes worldwide. Thyroid hormones play a vital role in modulating metabolism and the immune system. Therefore, this study aims to identify the association between COVID-19 and hypothyroidism. A literature review was conducted using PubMed for study selection till April 2023. Keywords "Hypothyroidism," "COVID-19" and "Hypothyroidism" AND "Coronavirus" were used for the research process. All relevant articles evaluating the association between COVID-19 and hypothyroidism among adults were included. Information regarding the prevalence of hypothyroidism in COVID-19 patients, the association between COVID-19 and hypothyroidism, and poor outcomes among COVID-19 patients with hypothyroidism was retrieved from the eligible articles. Out of 303 articles, 12 were qualified for the final results, including 68,983 COVID-19 patients. There was heterogeneity in the results of the included articles. This systematic review found that hypothyroidism is prevalent among COVID-19 patients. Hypothyroidism, including subclinical hypothyroidism, may be associated with COVID-19 severity and outcome. In addition, pre-existing hyperthyroidism may correlate with poor COVID-19 outcomes. More research is needed to calculate the prevalence of hypothyroidism among COVID-19 patients, fully understand the mechanisms underlying this association, and identify effective strategies for managing COVID-19 in individuals with hypothyroidism.
Pituitary stalk interruption syndrome: a rare cause for poor developmental growth in children
Authors: Saini Aditi , Sherwani Poonam , Gupta Gaurav , Roul Pradeep
Published: June 2023

A 7-years–6-months old boy presented to the endocrinology clinic with complaints of poor weight and height gain, which was first observed by the parents when the child was 5 years old. The child was born out of a non-consanguineous marriage by caesarean section due to breech presentation. His birth weight was 2.35 kg. He had no perinatal complications like jaundice, dehydration or hypoglycaemia. On recent examination, his weight, height and body mass index were 15.8 kg (
PENGEMBANGAN MASYARAKAT MELALUI BUMDES NAGA MERAH DALAM UPAYA PENINGKATAN EKONOMI DESA
Authors: Laily Misbahatul , Resdiana Enza , Alfiyah Nur Inna
Published: June 2023

AbstrakPengembangan masyarakat dilakukan sebagai upaya meningkatkan kesejahteraan masyarakatdan menjadikan masyarakat yang lebih mandiri dengan memanfaatkan potensi dan kemampuanyang dimiliki oleh masyarakat. Salah satu upaya dalam pengembangan masyarakat yangdilakukan di Desa Talang Kecamatan Saronggi Kabupaten Sumenep yaitu melaluipemanfaatan adanya Badan Usaha Milik Desa (BUMDes) Naga Merah Desa Talang yang akanmemberikan dampak pada peningkatan ekonomi masyarakat desa. Penelitian ini bertujuanuntuk mengetahui Pengembangan Masyarakat Melalui BUMDes Naga Merah Dalam UpayaPeningkatan Ekonomi Desa (Studi di Desa Talang Kecamatan Saronggi). Penelitian tentangpengembangan masyarakat Desa Talang difokuskan pada tiga model 2 pengembanganmasyarakat yaitu pengembangan masyarakat lokal, perencanaan sosial dan aksi sosial. Metodeyang digunakan dalam penelitian adalah metode penelitian kualitatif dimana semua penjelasanmengenai pengembangan masyarakat melalui BUMDes Naga Merah sebagai upayapeningkatan ekonomi desa djabarkan secara deskriptif. Data dan hasil penelitian diperoleh darihasil observasi, wawancara dengan beberapa informan dan dokumentasi. Pengembanganmasyarakat melalui BUMDes Naga Merah terlihat dengan pemanfaatan potensi pertanian danproduk usaha rumahan, adanya usaha-usaha BUMDes Naga Merah yang sangat membantukebutuhan masyarakat Desa Talang serta terjalin kerjasama antara masyarakat denganBUMDes Naga Merah dalam bentuk join pruduk usaha, penyertaan modal usaha masyarakatdan pengelolaan hasil pertanian.Kata Kunci : Pengembangan Masyarakat, BUMDes, Ekonomi Desa
SISTEM PAKAR DIAGNOSA PENYAKIT SALURAN PERNAPASAN MENGGUNAKAN METODE FORWARD CHAINING
Authors: Hasanah Riniyatin
Published: June 2023

Infeksi penyakit saluran pernapasan lebih sering terjadi dibandingkan dengan infeksi sistem organ tubuh lain. Sistem pernapasan sangat rentan terserang penyakit karena udara keluar masuk secara langsung dan bebas. Udara yang mengandung bakteri dan virus berbahaya mudahmasuk ke dalam tubuh. Keadaan ini menyebabkanpresentase kematian karena infeksi saluran pernafasan meningkat. Pencegahan, diagnosis, dan pengobatan infeksi saluran pernapasan mempunyai makna yang begitu penting, karena secara keseluruhan penyakit pernapasan mempunyai pengaruh besar terhadap masyarakat baik dalam hal fisik, sosial maupun ekonomi. Sistem pakar ini di bangun untuk mendiagnosa penyakit saluran pernapasan. Model inferensi yang digunakan dalam sistem ini adalah penalaran maju(Forward Chaining). Sistem ini akan memberikanhasil diagnosa berupa informasi penyakit melalui proses konsultasi antara sistem dan pemakai dengan cara jawaban dan aturan yang berada di dalam sistem harus sesuai. Penelitian yangdilakukan dapat disimpulkan bahwasanya Sistem Pakar Diagnosa Penyakit Saluran Pernapasan Menggunakan Metode Forward Chaining dapat dijadikan sebuah alat untuk membantu dalam memberikan hasil diagnosa, penyebab serta pencegahan terhadap penyakit saluran pernapasan.
PEMANFAATAN LIMBAH SEKAM PADI SEBAGAI ALTERNATIF BAHAN BAKAR IKAN ASAP UNTUK MENINGKATKAN TARAF HIDUP MASYARAKAT DESA PINGGIRPAPAS KECAMATAN KALIANGET KABUPATEN SUMENEP
Authors: Nura Diana Anita Intan , Fansuri Subaidillah
Published: June 2023

Banyak masyarakat di Desa Pinggirpapas yang menjual ikan asap dengan menjadikan arang kayu sebagai bahan bakar pengasapan ikan. Namun, penggunaan   bahan   bakar   arang   kayu dalam jumlah yang besar pada proses pengasapan ikan ini, dinilai membutuhkan biaya yang besar pula. Di samping itu, permasalahan lingkungan seperti menumpuknya limbah sekam padi di sejumlah daerah di Kabupaten Sumenep tidak dikelola dengan baik sehingga berdampak pada pencemaran lingkungan yang dapat mengakibatkan gangguan kesehatan pada penduduk sekitar. Hal ini dikarenakan minimnya pengetahuan masyarakat dalam pemanfaatan limbah sekam padi.

Tujuan kegiatan Pengabdian kepada Masyarakat (PkM) ini adalah memberikan solusi dengan mengadakan pelatihan cara pembuatan arang sekam dari limbah padi secara  sederhana.  Peserta  kegiatan  PkM ini adalah para penjual ikan asap di Desa Pinggirpapas, Kecamatan Kalianget, Kabupaten Sumenep. Kegiatan yang dilakukan adalah dengan mensosialisasikan manfaat serta cara membuat arang sekampadi sebagai alternatif bahan bakar ikan asap kepada masyarakat penjual ikan asap. Dalam hal ini, masyarakat di Desa Pinggirpapas diharapkan mampu memanfaatkan limbah sekam padi sebagai alternatif bahan bakar ikan asap yang bernilai ekonomis, sehingga dapat memberikan keuntungan dari segi ekonomi dan mampu meningkatkan taraf hidup masyarakat penjual ikan asap di Desa Pinggirpapas.
PELATIHAN PERHITUNGAN RENCANA ANGGARAN BIAYA (RAB) PADA APARATUR DESA PINGGIRPAPAS KEC. KALIANGET KAB. SUMENEP
Authors: Rahmanto Ach. Desmantri , Jasuli Darma
Published: June 2023

Berdasarkan analisis situasi yang ada pemerintahan di Desa Pingirpapas Kec. Kalianget Kab. Sumenep. Staf/ tenaga ahli yang ada di desa Pinggirpapas yang ada belum sepenuhnya menguasai dengan benar mengenai pembuatan Rencana Anggaran Biaya (RAB) yang baik sesuai dengan aturan yang berlaku. Salah satu yang akan dibahas pada pengabdian ini adalah peningkatan kualitas penting para staf di Desa Pinggirpapas yang dipercayakan untuk mengelola proyek untuk meningkatkan pengetahuan dalam membuat suatu Rencana Anggaran Biaya (RAB). Permasalahan mitra dapat teratasi dengan dengan cara memberikan Pelatihan Perhitungan Rencana Anggaran Biaya (RAB) Pada Aparatur Desa Pinggirpapas Kec. Kalianget Kab. Sumenep. Dengan cara menganalisa jumlah/ volume pekerjaan, Mampu menghitung jumlah tenaga kerja dan kebutuhan material, peserta mampu menggunakan Microsoft Excel sebagai alat bantu dalam pembuatan RAB.  Berdasarkan hasil evaluasi Pengabdian Kepada Masyarakat yang telah dilaksanakan maka dapat disimpulkan bahwa, responden yang menyatakan tidak paham pembuatan rencana anggaran biaya (RAB) yaitu 2,2 %, dan sedangakan 7,8 % responden menyatakan paham pembuatan rencana anggaran biaya (RAB).
Tecnologías, sensibilidades y naturaleza
Authors: Díaz Domke Yenny
Published: June 2023

A través de referencias, análisis y reflexiones desarrolladas en el periodo de los años 2021 y 2023 y gracias a una apuesta metodológica de investigación-acción de un estudio de caso, se realizó la triangulación de enfoques desde la pedagogía crítica, educación artística y perspectivas desde la línea de pensamiento de Ciencia, Tecnología y Sociedad (CTS). La iniciativa permitió contribuir a la acción y reflexión de valores agroecológicos, mediante la participación en la experiencia comunitaria en un huerto urbano en la comuna de San Bernardo, Región Metropolitana de Santiago de Chile, explorando metodologías para la conciencia, la sensibilización estética y acción creativa sobre las relaciones técnicas, tecnológicas y biológicas.

 

El trabajo realizado en la dimensión tecnológica profundizó y expandió las posibilidades relacionales entre los espacios de huertos y jardines desde una lectura crítica a la dicotomía sociedad/tecnología. El procedimiento de introducir un artefacto de destilación solar con material reciclado generó las condiciones para una apertura a perspectivas críticas de la intervención y abrió la discusión de los/as participantes de la huerta a los grandes relatos de mercado de la producción tecnológica, en donde las personas nos convertimos en usuarios pasivos, en contraste con nuestras habilidades creadoras y creativas para establecer soluciones a problemáticas cotidianas. Se concluye que el proceso permitió comprender de manera colectiva que las soluciones técnicas también pueden ser elaboradas en la escala local.
Efectos de la pandemia en la vida cotidiana y habitar migrante, miradas desde el caso de la Región de Coquimbo, Chile.
Authors: Jorquera Álvarez Mario Alejandro , Stegman Zúñiga Kyra Polyana , Villafaña Henríquez Anneleé Elizabeth
Published: June 2023

La Pandemia Covid-19 ha traído consigo diversos efectos en la vida cotidiana y el habitar de las personas migrantes en la Región de Coquimbo. El presente artículo, con base en los resultados obtenidos en el marco del estudio regional “Situación Migratoria en la Región de Coquimbo, en contexto Pandemia”, busca conocer y comprender los efectos relacionados con la precarización laboral y con la dificultad creciente de acceder a viviendas por parte de las personas migrantes. Lo anterior en el marco de un mercado habitacional altamente excluyente, frente al cual surgen alternativas como mecanismos de subsistencia dentro de un mercado informal de la vivienda que les significa, a las personas, habitar espacios altamente densificados y en condiciones de hacinamiento, o la llegada a territorios de autoconstrucción como tomas y campamentos.
“Una casa para cada familia”. Discursos políticos y profesionales en la nueva institucionalidad de la vivienda en Chile (1936-1965)
Authors: Ibarra Alonso Macarena , Rosso Ávila Beatriz
Published: June 2023

En el contexto del Estado a cargo del problema de la vivienda desde 1906, este artículo propone que la creación de la Caja de la Habitación Popular en 1936 marcó un tránsito en la visión sobre el abastecimiento de vivienda en tanto pasaba de ser una solución a problemas sociales y morales a un derecho garantizado por el Estado. Se estudian las dimensiones de este nuevo discurso, político y técnico, a través de fuentes periódicas oficiales, las que consignan la emergencia de la figura de la familia obrera y la validación de la nueva institucionalidad ante pobladores y profesionales.
Movimiento estudiantil, peronismo y activismo armado: el caso del “Frente de Agrupaciones Eva Perón” en la Universidad Nacional de La Plata
Authors: Pis Diez Nayla , Gonzalez Canosa Mora
Published: June 2023

Este trabajo analiza la trayectoria del Frente de Agrupaciones Eva Perón, una de las dos agrupaciones universitarias identificadas con el peronismo de izquierda durante los años setenta en la Universidad de La Plata. A su vez, dados sus vínculos con las Fuerzas Armadas Revolucionarias, constituyó una clara expresión de la “política de articulación” que el grupo armado buscó establecer con agrupaciones de activistas. El artículo tiene tres objetivos: reconstruir la historia del FAEP, abordar los modos en que intervino en el ámbito universitario e indagar la naturaleza de su vínculo con las FAR. Para ello apelamos a fuentes documentales y entrevistas orales.
El Departamento de Municipalidades y la reestructuración del nivel municipal en Chile (1930-1948)
Authors: Rojas Böttner Andrés
Published: June 2023

Se analiza el rol y la composición del Departamento de Municipalidades del Ministerio del Interior, institución clave en la reestructuración de las relaciones entre el nivel central y las administraciones comunales, en un contexto de recentralización. Su rol consistitíra en un tutelaje administrativo que limitaría los grados de autonomía municipal. Las fuentes utilizadas son los presupuestos de la nación, documentación de archivo, discusiones parlamentarias, revistas municipales y prensa. Los principales hallazgos se relacionan con su pérdida de relevancia institucional a partir de la década de 1940 y la desatención de los asuntos municipales por parte del nivel central.
A COVID-19 E AS CITOCINAS: UMA REVISÃO DE LITERATURA
Authors: Ivanski Fernanda , Fermino Bárbara Luisa , Gabriel Katiuscia de Oliveira Francisco , Chao Bárbara Mendes Paz , Figueiredo David Livingstone Alves , Carraro Emerson
Published: June 2023

A COVID-19 surgiu em dezembro de 2019 na China, o contágio se espalhou rapidamente pelo mundo e já em março de 2020 a Organização Mundial da Saúde (OMS) declarou o surto como pandemia. A infecção causada por SARS-COV-2 mostrou-se com sintomatologia variada. Enquanto alguns infectados não tinham sintomas, outros apresentavam sinais que variam dos semelhantes a uma gripe, até uma possível evolução para síndrome do desconforto respiratório. Evidências indicam que, durante o curso da COVID-19 a rápida progressão e mortalidade pode ter sido associada à mecanismo hiperinflamatórios, com descontrole regulatório da produção de citocinas pró-inflamatórias, tanto em nível local, quanto sistêmico. Sendo assim, neste artigo revisamos a literatura sobre a COVID-19, seus aspectos epidemiológicos e clínicos, bem como a o papel das citocinas no contexto da infecção por SARS-CoV-2, já que a busca pelo entendimento dos mecanismos imunológicos que envolvem a COVID-19 e outras doenças de caráter inflamatório é de suma importância para o tratamento e o manejo de tais enfermidades.
O DESENVOLVIMENTO DO PROJETO TERAPÊUTICO SINGULAR NA SAÚDE MENTAL: REVISÃO INTEGRATIVA
Authors: Zubiaurre Priscila de Melo , Wasum Fernanda Demetrio , Tisott Zaira Letícia , Barroso Teresa Maria Mendes Diniz de Andrade , De Oliveira Márcia Aparecida Ferreira , De Siqueira Daiana Foggiato
Published: June 2023

O Projeto Terapêutico Singular constitui-se como uma das principais estratégias de cuidado em saúde mental, pois é pautada em uma clínica que acolhe, aposta na formação de vínculos e promove a continuidade do cuidado ao usuário. O presente estudo tem como objetivo identificar quais as evidências científicas sobre o desenvolvimento do Projeto Terapêutico Singular na saúde mental. Trata-se de uma revisão integrativa da literatura, realidade no período do mês de julho a outubro de 2022. Para a formulação da questão de pesquisa, utilizou-se a estratégia do acrônimo PICo, resultando na seguinte pergunta: quais as evidências científicas sobre o desenvolvimento do Projeto Terapêutico Singular na Saúde Mental? Os resultados encontrados apontam que o mesmo apresenta potencialidades e desafios quanto ao seu desenvolvimento no âmbito da saúde mental. O cuidado compartilhado e a formação de vínculo com o usuário apresentaram-se como fatores importantes para o desenvolvimento do instrumento. Entende-se que as inovações do cuidado em saúde mental, tais como a clínica ampliada e o desenvolvimento do Projeto Terapêutico Singular, possibilitam a inclusão social da loucura e da diferença em diferentes espaços do contexto social e cultural.
ASSOCIAÇÃO DA PERCEPÇÃO DO NÍVEL DE ESTRESSE COM MARCADORES DE OBESIDADE E FUNCIONALIDADE EM IDOSOS
Authors: Gonçalves Karolina Ribeiro , Silva Ana Luíza Pereira , Moura Gabriella de Sousa , De Jesus Isabela Carvalho Cruz Marinho , Moisés Letícia Moreira Nery , Bazi Thiago Camilo El , Soares Viviane
Published: June 2023

O estresse é um grave problema de saúde pública e sua gravidade e suscetibilidade se relacionam com uma série de fatores como a idade, a obesidade e a funcionalidade. As mudanças na saúde física, na saúde mental, na vida social e na capacidade cognitiva no envelhecimento predispõem o estresse. Assim, saber manejar o estresse do cotidiano é necessário, principalmente durante a velhice. O presente estudo teve como objetivo avaliar a percepção de estresse, presença de obesidade, funcionalidade e histórico de tabagismo em idosos de uma Universidade Aberta a Pessoa Idosa (UniAPI). Trata-se de um transversal. Foram coletados dados sociodemográficos, aplicado o questionário de percepção de estresse (EPS-10), medidas antropométricas (índice de massa corporal e circunferência de cintura), Escala de Brody e Lawton e histórico de tabagismo de 63 idosos. A comparação entre dois grupos foi realizada com o teste t-Student ou o Teste de Mann-Whitney. Para variáveis categóricas, o teste Qui-quadrado de Pearson e também, regressão linear múltipla ajustados por sexo e idade. A maioria dos idosos eram do sexo feminino (85,7%). Em relação ao estresse, 34% dos idosos apresentaram maior percepção de estresse. O IMC (∆= 3,57 kg/m²) foi maior no grupo com maior percepção de estresse, enquanto o score da escala de Lawton e Brody (∆= 0,47) foi maior no grupo sem percepção. Houve associação entre a presença de percepção de estresse com o IMC (p= 0,031). 100% dos idosos com baixa funcionalidade apresentaram maior percepção de estresse. O IMC (β= 0,28; p=0,038) e a circunferência de cintura (β=0,13; p=0,028) tiveram relação direta com o escore de percepção subjetiva de estresse. Em conclusão, a presença de estresse está associada a altos valores de IMC e CC e menor funcionalidade em idosos.
RAZÃO DE MORTALIDADE MATERNA NO BRASIL ENTRE 2019 E 2021: UMA ANÁLISE ANTES E APÓS A PANDEMIA
Authors: Ferreira Carine Vitória Lemes , Conceição Mirian Santos Silva , Iria Luana Lopes , E Silva Guilherme Sell de Mendonça , De Sousa Raimunda Ferreira , Oliveira Darlene Andrade , Guedes Erik Vinicius Barros , Dos Santos Cristiane Bahia , Do Nascimento Gleison Lucas Santos , Dos Santos Adelcio Machado , Carvalho Eduardo de Mendonça , Pereira Fabiano Rocha
Published: June 2023

A morte materna pode ser classificada como diretas e indiretas, são resultantes de complicações obstétricas no decorrer da gestação, durante o parto e/ou no puerpério. Em 2020, com a eclosão da pandemia do coronavírus se tornou um grande obstáculo para a garantir a saúde materno-fetal. No contexto brasileiro, eliminar significativamente a mortalidade por fatores evitáveis é um imenso desafio da saúde pública, bem como da equidade social, de gênero e de raça. Considerando os efeitos da COVID-19 no Brasil este trabalho objetivou analisar a tendência da RMM no Brasil antes e após a pandemia, no período de 2019 a 2021. Foi realizado um estudo ecológico descritivo e quantitativo analítico da razão de mortalidade materna (RMM) no Brasil, construído mediante dados secundários de estatísticas vitais extraídos do Sistema de Informações sobre Nascidos Vivos (Sinasc) e do Sistema de Informações sobre Mortalidade (SIM) - Datasus, no período de 2019 a 2021. Os dados do SIM e do Sinasc, até o ano 2021, são considerados finalizados. No período estudado, contabilizaram-se no total 6.571 óbitos maternos no Brasil. De acordo com os dados estatísticos, em 2019, 2020 e 2021 foram notificados 1.576, 1.965 e 3.030 óbitos maternos ao SIM, respectivamente. Em 2020 e 2021, mostrou em todas as regiões um elevado números de óbitos maternos em relação a 2019. Ainda, em 2021 apresentou maior número de óbitos em comparação a 2020. Foi observado um aumento significativo da RMM no Brasil em 2020 e 2021, em decorrência da epidemia de covid-19. As causas indiretas foram as mais prevalentes relacionadas aos óbitos maternos. Por fim, as altas taxas de mortalidade materna no Brasil evidenciam a necessidade de efetiva aplicação de políticas públicas a fim de potencializar a redução dos óbitos maternos no País.
PRACTICAL ASPECTS OF FUNCTIONAL MRI IN CLINICAL EXAMINATIONS
Authors: Ono Sergio Eiji , Amancio Reinaldo de Lima , Pinho Katia Elisa Prus , De Carvalho Neto Arnolfo , Costa Rita Zanlorensi Visneck
Published: June 2023

The eloquent cerebral cortices are involved in movement, sensation, speech, vision, and higher cortical functions. Functional magnetic resonance imaging (fMRI) allows the evaluation of brain function, aiding in neurosurgical planning by mapping eloquent cortical areas.  Considering the high cost of the hardware involved, the purpose of this work is to present a more affordable, in-house alternative for these studies that can provide adequate results in a clinical setting. We also present some practical information on how to perform these exams. We describe an affordable in-house hardware solution used by an imaging center, and examples of fMRI paradigms used to evaluate motor and language tasks. The fMRI studies show robust activations in eloquent areas consistent with the tasks performed on the exam. Images of post-processed studies illustrate clinical cases. The fMRI have well-established applications, mapping eloquent cortical areas in patients with brain lesions. In the case of surgical planning, it allows the surgeon to maximize the resection area while minimizing sequelae. More affordable hardware can reduce the cost of these exams, making them more accessible to the general public.
PREVALÊNCIA DE BLASTOCYSTIS SP. EM MORADORES DE UMA COMUNIDADE QUILOMBOLA NA REGIÃO PANTANEIRA DO ESTADO DE MATO GROSSO
Authors: Targa Simone Mineiro , De Barros Lucas França , Hartwig Shaiana Vilella , Malheiros Antonio Francisco
Published: June 2023

Introdução: Blastocystis sp. é o parasito mais comum encontrado nos estudos de prevalência de parasitas intestinais em diferentes populações. Objetivo: determinar a prevalência do parasita intestinal Blastocystis sp. em moradores da comunidade quilombola Distrito Nossa Senhora Aparecida do Chumbo localizada em uma área rural do Município de Poconé-MT. Método: Trata-se de um estudo epidemiológico descritivo e quantitativo que determinou a prevalência do parasita intestinal Blastocystis sp. que ocorreu nos meses de dezembro de 2021 a maio de 2022. A amostra final foi composta por 114 participantes. Na identificação das formas evolutivas dos parasitas intestinais nas amostras fecais foi empregado o método de Hoffman. As amostras foram analisadas com auxílio do microscópio óptico e as lâminas foram coradas com lugol, para identificação das formas evolutivas dos parasitos. Para análise descritiva foi realizado a frequência absoluta e percentual. Foram realizados cálculos para determinar a prevalência total de parasitos intestinais e a prevalência por tipo de parasitas. Resultados: A prevalência total foi de 75%, deste a maior ocorrência foi apresentada por Blastocystis sp. Conclusão: Sugerimos, que a alta prevalência deste parasito que tem por via de contaminação fecal-oral, esteja associada à falta de um saneamento adequado, bem como ao acesso da água de qualidade.
FADIGA POR COMPAIXÃO EM ENFERMEIROS INTENSIVISTAS: REVISÃO INTEGRATIVA
Authors: Borba Gláucia Morgana Nascimento , De Queiroz Viviane Cordeiro
Published: June 2023

Introdução: A fadiga por compaixão é caracterizada pelo desenvolvimento de exaustão emocional, física e/ou espiritual como resultado do trabalho com indivíduos em estado crítico. Objetivos: analisar as evidências empíricas atuais relacionadas à prevalência, causas e resultados da fadiga por compaixão entre enfermeiros de cuidados intensivos. Método: Trata-se de uma revisão integrativa por meio de uma pesquisa avançada em bancos de dados: Pubmed, Scielo e Medline. A amostra foi composta por dez artigos que atenderam aos critérios de inclusão. A busca limitou-se a pesquisas realizadas de 2017 a 2022. Resultados: Os principais achados desta revisão integrativa foram que a prevalência de fadiga por compaixão entre os enfermeiros variou entre os diversos ambientes de cuidados intensivos. Em relação às causas e consequências da fadiga por compaixão, esta revisão descobriu que o ambiente de trabalho e a demografia dos enfermeiros, como idade e anos de experiência, foram preditores de fadiga por compaixão, e os fatores que atenuam os efeitos da fadiga por compaixão entre enfermeiros intensivista incluíram líder e suporte administrativo dentro do cenário clínico e as estratégias de enfrentamento empregadas pelos enfermeiros. Há evidências inconclusivas para identificar preditores explícitos de fadiga por compaixão entre enfermeiros intensivistas. Conclusão: É provável que o início da fadiga por compaixão entre os enfermeiros de cuidados intensivos possa ser reduzido com uma monitorização cuidadosa do bem-estar físico e emocional no ambiente de cuidados intensivos, bem como através da oferta de educação em saúde aos enfermeiros para ajudar no desenvolvimento de estratégias de enfrentamento para evitar fadiga da compaixão.
A PRESENÇA DOS PAIS NAS UNIDADES NEONATAIS EM TEMPOS DE PANDEMIA COVID- 19: REVISÃO INTEGRATIVA
Authors: Martins Felipe de Andrade , Zani Edrian Maruyama , Zani Adriana Valongo
Published: June 2023

Introdução: É sabido que a presença dos pais na UTI neonatal é benéfica para a saúde do recém-nascido, porém a pandemia do COVID-19 trouxe incertezas para a população materno-infantil. Alguns serviços restringiram visitas durante a pandemia, não respeitando o direito de do recém-nascido e seus pais de permanecerem juntos por tempo irrestrito. Objetivo: Identificar, por meio da literatura cientifica como os serviços neonatais se organizaram frente o direito da presença dos pais nas unidades neonatais durante a pandemia do COVID-19. Método: revisão integrativa, realizada de agosto de 2021 a junho de 2022, nos idiomas inglês e português, utilizando os descritores em português: recém-nascido; Unidade de Terapia Intensiva neonatal; COVID-19, família; pais e em inglês: newborn; Intensive Care Units, neonatal, parents, COVID-19; Family, referente a organização dos serviços frente o direito da presença dos pais nas unidades neonatais durante a pandemia do COVID-19, sem restrição de tempo de publicação. Resultados: Foram encontrados 184 estudos, destes 13 foram excluídos por duplicidade e após as etapas de seleção e elegibilidade excluíram-se 182 estudos, totalizando uma amostra de 02 artigos. Foi observado um número pequeno de publicações sobre a temática, e dos encontrados ambos tiveram a presença dos pais restringida e até mesmo proibida durante a pandemia, e nas situações que os pais permaneceram na unidade o tempo foi restringido e os cuidados suspensos totalmente ou parcialmente, o que acarretou sentimentos negativos. Conclusão: As restrições da presença dos pais nas unidades neonatais foram significativas. Deste modo, é importante considerar que a presença dos pais nas unidades neonatais seria mais benéfica tanto para os pais como para os recém-nascidos e estas restrições apenas geram sentimentos de incapacidade e medo, não repercutindo em redução dos riscos de contagio pela COVID-19.
Janus kinase inhibitors for alopecia areata: A narrative review
Authors: Haughton Renee D. , Herbert Samantha M. , Ji-Xu Antonio , Downing Lauren , Raychaudhuri Siba P. , Maverakis Emanual
Published: June 2023

The Janus kinase (JAK) and Signal Transducer and Activator of Transcription (STAT) pathway has been identified as a key player in the pathophysiology of alopecia areata and a potential target for therapy. Here, we give a narrative review of what is known about Janus kinase inhibitors in alopecia areata. Several clinical trials as well as smaller studies have demonstrated hair regrowth and remission with oral Janus kinase inhibitors therapy, even in patients who failed conventional treatment. Baricitinib is the only US FDA-approved treatment for alopecia areata but data for other oral Janus kinase inhibitors such as tofacitinib, ruxolitinib and ritlecitinib are also promising. Fewer clinical trials have investigated topical Janus kinase inhibitors for alopecia areata, with many of them terminated early due to unfavourable results. Overall, Janus kinase inhibitors are an efficacious addition to the therapeutic arsenal for treatment-refractory alopecia areata. Further work is needed to examine the effects of long-term usage of Janus kinase inhibitors, the efficacy of topical Janus kinase inhibitors, as well as to identify biomarkers that could predict differential therapeutic responses to the various Janus kinase inhibitors.
A case of neurosurgical treatment of thoracic dorsal arachnoid web
Authors: Tran Tri Duc Duy , Vo Phong Duc , Truong Tri Van , Ho Thi Duc
Published: June 2023

Background:

Dorsal arachnoid webs constitute abnormal formations of arachnoid that tend to occur in the upper thoracic spine and can lead to spinal cord displacement. Patients typically present with back pain, sensory disturbances, and weakness. It may also obstruct the cerebrospinal fluid (CSF) flow, leading to syringomyelia. In magnetic resonance (MR) studies, the “scalpel sign” is a classical finding, and it may also be accompanied by syringomyelia attributed to CSF flow. Definitive surgical resection is the mainstay of treatment.

Case Description:

A 31-year-old male presented with mild weakness in the right leg and diffuse lower extremity sensory changes. The MR showed the typical “scalpel sign” at the T7 level consistent with diagnosing a spinal arachnoid web. He underwent a T6-T8 laminotomy for lysis of the web and decompression of the thoracic cord. Postoperatively, his symptoms improved markedly.

Conclusion:

Surgical resection is the treatment of choice when an arachnoid web is documented on an MR and correlates with the patient’s clinical symptoms/signs.
Glossopharyngeal neuralgia with repeated cardiac syncope: A case report
Authors: Nakamura Shunsuke , Shimizu Tatsuya , Tsuneoka Haruka , Miyagishima Takaaki , Yoshimoto Yuhei
Published: June 2023

Background:

Glossopharyngeal neuralgia (GPN) is an uncommon craniofacial pain syndrome. Although rare, it is occasionally associated with cardiac syncope, as vago-glossopharyngeal neuralgia (VGPN).

Case Description:

We present the case of a 73-year-old man with VGPN misdiagnosed as trigeminal neuralgia. The patient was diagnosed with sick sinus syndrome, and a pacemaker was introduced. However, syncope still recurred. Magnetic resonance imaging revealed a branch of the right posterior inferior cerebellar artery contacting the root exit zone of the right glossopharyngeal and vagus nerves. We diagnosed VGPN due to neurovascular compression and performed microvascular decompression (MVD). The symptoms disappeared postoperatively.

Conclusion:

Diagnosis of VGPN needs appropriate medical interviews and physical examination. MVD is the only curative treatment for VGPN occurring as a neurovascular compression syndrome.
GLOSA System with Uncertain Green and Red Signal Phases
Authors: Typaldos Panagiotis , Koutsas Petros , Papamichail Ioannis , Papageorgiou Markos
Published: June 2023

A discrete-time stochastic optimal control problem was recently proposed to address the GLOSA (Green Light Optimal Speed Advisory) problem in cases where the next signal switching time is decided in real-time and is therefore uncertain in advance. However, there was an assumption that the traffic signal is initially red and turns to green, which means that only half traffic light cycle was considered. In this work, the aforementioned problem is extended considering a full traffic light cycle, consisting of four phases: a certain green phase, during which the vehicle can freely pass; an uncertain green phase, in which there is a probability that the traffic light will extend its duration or turn to red at any time; a certain red phase during which the vehicle cannot pass; and an uncertain red phase, in which there is a probability that the red signal may be extended or turn to green at any time. It is demonstrated, based on preliminary results, that the proposed SDP (Stochastic Dynamic Programming) approach achieves better average performance, in terms of fuel consumption, compared to the IDM (Intelligent Driver Model), which emulates human-driving behavior.
An analysis of active operations of a commercial bank with securities
Authors: ГОТОВЦЕВА И.И. , БАГАЕВА Н.Ю.
Published: June 2023

Экономические изменения, происходящие в России в последнее время, сочетаются с преобразованием финансово-кредитной системы, возникновением новых для отечественной экономики инструментов, механизмов и институтов. Цель коммерческого банка ‒ достижение максимальной прибыли. Активные операции банки осуществляют за счет размещения своих средств в различные инструменты, в том числе в различные ценные бумаги. Активные операции представляют собой собственные вложения, цель их распределения ‒ увеличение источников извлечения дополнительных доходов, сохранение и поддержание ликвидности и платежеспособности баланса. Вся банковская сфера строится на основании законодательных и нормативных актов, каждая покупка и перепродажа ценных бумаг от своего имени, за свой счет и по собственной инициативе является инвестиционной операцией. В банковской сфере инвестиции представляют собой вложения в ценные бумаги предприятий, государственных и частных, как правило, на достаточно продолжительный период времени для извлечения будущей прибыли за счет наращивания капитала. АО «Газпромбанк» ‒ один из крупнейших банков в России, позиционируется как крупный универсальный финансовый институт и представляет широкий спектр финансовых услуг для физических и юридических лиц: осуществляет расчетно-кассовое обслуживание, развивает программы кредитования, привлекает средства во вклады, проводит операции на валютном и фондовом рынках. АО «Газпромбанк» предлагает достаточно большую продуктовую линейку.

The recent economic changes taking place in Russia are combined with the transformation of the financial and credit system, the emergence of new instruments, mechanisms and institutions for the domestic economy. The goal of a commercial bank is to achieve maximum profit. Banks carry out active operations by placing their funds in various instruments, including various securities. Active operations are own investments, the purpose of their distribution is to increase the sources of additional income, maintain and maintain liquidity and solvency of the balance sheet. The entire banking sector, guided by laws and regulations, each purchase and resale of securities on its own behalf, at its own expense and on its own initiative is an investment operation. In the banking sector, investments represent investments in the securities of enterprises, public and private, usually for a sufficiently long period of time to extract future profits through capital accumulation. JSC “Gazprombank” is one of the largest banks in Russia, positioned as a major universal financial institution and provides a wide range of financial services for individuals and legal entities: it provides settlement and cash services, develops lending programs, attracts funds on deposits, conducts operations in foreign exchange and stock markets. markets. JSC “Gazprombank” offers a fairly large product line of the bank.
ABOUT ETHNIC PECULIARITIES OF ETIQUETTE
Authors: Мурзакматов А.К. , Аманбек к.Н. , Турдиев В.А.
Published: June 2023

Все расширяющиеся деловые и культурные межнациональные контакты требуют хотя бы минимальных знаний о том, что принято, а что не принято в другой стране. Нарушение правил может обернуться большими неприятностями. Каждый человек, который претендует на принадлежность к культурному обществу, должен взять за непременное правило, любя свои обычаи, уважать чужие. В статье поднимается вопрос о специальном изучении «поведенческой» специфики, особенностей принятого в данном обществе этикета.

All expanding business and cultural interethnic contacts require at least a minimum knowledge of what is accepted and what is not accepted in another country. Breaking the rules can get you in big trouble. Each person, respecting and appreciating his own customs, should make it an indispensable rule to respect the customs of others. The article raises the question of a special study of «behavioral» specifics, features of the etiquette adopted in a given society.
THE USE OF NITRIC ACID AS A PERLITE ACTIVATOR IN ADSORBING METHYLENE BLUE
Authors: Utami Mardiana Rimba , Riyani Kapti , Setyaningtyas Tien
Published: June 2023

Industrial activities in modern times that are growing rapidly can cause environmental problems. This is due to the increasing amount of waste generated due to increased production. Untreated dye waste can inhibit sunlight penetration, photosynthesis activity, and the growth of aquatic biota. One of the dye wastes that is often found is methylene blue. Processing of methylene blue dye can use a practical adsorption method, easy to do at a low cost. This study showed the results of methylene blue adsorption using activated perlite nitric acid adsorbent. The best activity of perlite in adsorbing methylene blue is at pH 9 with a contact time of 180 minutes which results in a maximum adsorption capacity of 3,873 mg/g. The adsorption kinetics used followed a pseudo second order-model with consecutive k and q values of 0.0055 g/mg.min and 3.3102 mg/g, while the adsorption isotherms followed the Langmuir isotherm model with qmax and KL values of 3.873 mg/g and 0.5822 L/mg, respectively.
Pengembangan Media Pembelajaran Kebugaran Jasmani Unsur Kelentukan Berbasis Multimedia Interaktif Di SMA Negeri 1 Turen
Authors: Ilmi Masrurdin , Kurniawan Ari Wibowo , Supriatna Eka
Published: June 2023

AbstrakRiset ini memiliki tujuan untuk mengembangkan pembelajaran kebugaran jasmani unsur kelentukan bagi siswa kelas X dan XI. Metode risetya yakni Research and Development (R&D). Instrumen yang digunakan  kualitatif dan kuantitatif. Hasil dari penelitian ini menghasilkan produk pembelajaran multimedia interaktif. Riset ini dengan metode kuantitatif dan kualitatif yang di validasi oleh alhi kebugaran, ahli pembelejaran dan ahli media. Serta penelitian menggunakan subject berupa penelitian kecil dan penelitian besar Kesimpulan dari penelitian yang dikembangakan menghasilkan produk yang bermanfaat untuk pembelajaran kebugaran jasmani unsur kelentukan pada siswa kelas X dan XI di SMA Negeri 1 Turen.AbstractThis.study.aims.to.develop physical fitness learning.for flexibility elements for class X and XI students. This study uses the Research and Development (R&D) method. The instruments used were qualitative and quantitative. The results of this study produce interactive multimedia learning products. This research uses quantitative and qualitative methods which are validated by fitness practitioners, learning experts and media experts. As well as research us*ing the subject in the form of small research and large research. Conclusions from the developed research produce products that are useful for learning physical fitness for flexibility elements for class X and XI at SMA Negeri 1 Turen.
Perancangan Media Pembelajaran Bola Basket Berbasis Video Untuk Siswa Kelas X SMA Negeri 1 Kota Bengkulu
Authors: Permadi Andes , Raibowo Septian , Prabowo Andika , Rizky Oddie Barnanda
Published: June 2023

Penelitian ini bertujuan untuk membuat serta menghasilkan media pembelajaran berbentuk video pada materi bola basket yang diperuntukkan bagi siswa kelas X SMA Negeri 1 Kota Bengkulu. Penelitian ini menggunakan metode penelitian dan pengembangan (Research and Development), Model pengembangan yang digunakan adalah model pengembangan R&D yang meliputi: (1) Potensi dan masalah, (2) Pengumpulan data (3) melakukan desain produk (design), (4) pengembangan produk (development), (5) pelaksanaan (implementation), (6) evaluasi produk (evaluation). Analisis data yang digunakan pada penelitian ini menggunakan teknik analisis kuantitatif dan kualitatif yang diperoleh dari hasil penyebaran angket kuesioner. Uji coba kelompok kecil dengan menggunakan instrumen uji coba berupa angket yang diberikan kepada 13 siswa X IPA 1 di SMA Negeri 1 Kota Bengkulu secara random sampling. Dari produk yang dikembangkan, diperoleh hasil untuk uji kelayakan produk dengan jumlah persentase sebesar (80%) “sangat valid”. Selanjutnya pada uji coba kelompok besar dengan menggunakan angket yang diberikan kepada 32 siswa X IPA 1 di SMA Negeri 1 Kota Bengkulu didapat hasil uji kelayakan produk diperoleh besaran persentase sebesar (84%) “sangat valid” . artinya Semua kriteria telah memenuhi kelayakan produk sehingga produk “Perancangan media pembelajaran bola basket berbasis video untuk siswa kelas X SMA Negeri 1 Kota Bengkulu” dapat dijadikan sebagai media pembelajaran dan sumber pembelajaran alternatif bagi siswa.
Pengaruh Efek Menstruasi Terhadap Hasil Lempar Lembing Mahasiswi Program Studi Pendidikan Jasmani Universitas Bengkulu
Authors: Raibowo Septian , Rizky Oddie Barnanda , Prabowo Andika , Permadi Andes
Published: June 2023

Tujuan dalam penelitian ini adalah untuk melihat dampak menstruasi terhadap hasil lemparan lembing mahasiswi pada program studi pendidikan jasmani Universitas Bengkulu. Penelitian ini memanfaatkan pendekatan kuantitatif dengan rancangan pre-experimental. Populasi yang diteliti terdiri dari seluruh mahasiswi program studi pendidikan jasmani Universitas Bengkulu dengan jumlah 88 orang. Sampel sebanyak 30 orang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan adalah tes menggunakan tes Lempar lembing, penelitian yang dilakukan terhadap pengambilan hasil lempar lembing saat tidak menstruasi dan saat menstruasi. Hasil pengujian menunjukkan bahwa ada pengaruh dari efek menstruasi terhadap hasil lempar lembing. Uji pengaruh didapatkan dari t hitung 13.7 & t tabel 1.699. Yang berarti bahwa Ha diterima dan Ho ditolak, menunjukan adanya dampak menstruasi pada hasil lempar lembing mahasiswi di Program Studi Pendidikan Jasmani Universitas Bengkulu.