bluuebunny/crossref_metadata_2025 huggingface dataset:
An Initial Experience with Antibody Cocktail CASIRIVIMAB and IMDEVIMAB in a Center of Excellence
Authors: Johnson P Amal , Babu T Suresh , Narasimhan R
Published: November 2023

Regen-COV has been authorized for emergency use by the FDA under an emergency use authorization. The antibody cocktail has been shown to help these high-risk patients before their condition worsens, reduces the viral load, shortens the time to resolution of symptoms, and significantly reduces the risk of hospitalization and death. The Randomized Evaluation of COVID-19 Therapy (RECOVERY) trial announced on June 16, 2021, that the investigational antibody combination, when given in high dose, reduces the risk of death if given to patients hospitalized with severe COVID-19 who have not mounted a natural antibody response on their own. In this article, we present a retrospective case series of 3 patients followed by literature review on Regen-COV.
Utility of Ariscat (Assess Respiratory Risk in Surgical Patients in Catalonia) Score in Predicting Postoperative Pulmonary Complications in Patients Undergoing Elective/Emergency Surgery in a Tertiary Care Hospital in India
Authors: Shaik Vaseema Thabassum , Ilangho R. P. , Bhaskaran K.
Published: November 2023

Introduction:

Postoperative pulmonary complications (PPCs) account for a substantial proportion of risk related to surgery and anesthesia and are a major cause of postoperative morbidity, mortality and longer hospital stays. Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score is a risk prediction model developed for predicting PPCs.

Objectives:

To calculate the Sensitivity, Specificity of ARISCAT score in predicting postoperative pulmonary complications in patients undergoing Elective/Emergency surgery in a tertiary care hospital in India and to find out the incidence of postoperative pulmonary complications in various surgeries.

Materials and Methods:

Study Site: Apollo Main Hospital, Greams Road, Chennai. Study Design: Prospective Observational Study. Study Period: September 2018 to March 2019. Sample Size: Three hundred and thirty cases (330).

Methodology:

Patients undergoing non-Obstetric Elective or Emergency surgical procedure under general, neuraxial or plexus block anaesthesia were recruited through simple random sampling technique. After taking informed written consent, demographic details and clinical history were collected. Risk for post-operative pulmonary complications was assessed based on ARISCAT score. These patients were followed in the post-operative period till discharge to look for the following postoperative pulmonary complications −1. Respiratory failure 2. Pulmonary infection 3. Pleural effusion 4. Atelectasis 5. Pneumothorax 6. Bronchospasm 7. Aspiration pneumonitis. Results: The incidence of postoperative pulmonary complications in this study was 9.4%. The incidence of postoperative pulmonary complications in peripheral surgeries, upper abdominal and intrathoracic surgeries was 2.9 %, 14.1 % and 55.6 % respectively. The Sensitivity, Specificity, PPV and NPV of ARISCAT score were 83.9 %, 80.3 %, 30.6 % and 98 % respectively.

Conclusion:

ARISCAT score can be used as a routine screening tool for predicting the risk of developing PPCs.
Pneumopericardium in a Patient with Pulmonary Tuberculosis
Authors: Gopal G E Sri Raja , Krishnamoorthy K , Pratheeban T Joseph , Mathan E , Rahman O.M. , Hameed Shahul
Published: November 2023

Pneumopericardium is defined as the presence of gas in pericardial space. In adults, it may be seen in the context with severe blunt or penetrating chest trauma. The incidence of pneumopericardium is 0.8% and nearly 60% of the cases are due to trauma. A 55-year-old female admitted with the complaints of cough, breathlessness, left-sided chest pain – a case of left secondary spontaneous pneumothorax with the Intercostal drainage tube (ICD) in situ, her computed tomography image revealed pneumopericardium, residual left pneumothorax with ICD tube in the subcutaneous plane. After successful repositioning of ICD tube, pneumopericardium and left pneumothorax both got resolved. Her sputum examination results were positive for Mycobacterium tuberculosis, and she started on Anti-tubercular treatment (ATT). Her condition was gradually improved; the ICD tube was removed and discharged from the hospital in stable condition. On follow-up, both clinical and radiological improvement was there. A severe bout of cough (Macklin effect) and fistulous communication could be the two possible mechanisms for spontaneous pneumopericardium. Treatment of the underlying condition will resolve the pneumopericardium.
Serial Interleukin-6 Titer Monitoring in COVID-19 Pneumonia
Authors: Patil Shital , Acharya Abhijit , Gondhali Gajanan , Narwade Ganesh
Published: November 2023

Introduction:

Coronavirus disease 2019 (COVID-19) pneumonia is heterogeneous disease with variable effect on lung parenchyma, airways, and vasculature, leading to long-term effects on lung functions.

Materials and Methods:

Multicentric, prospective, observational, and interventional study included 1000 COVID-19 cases confirmed with reverse transcription-polymerase chain reaction. All cases were assessed with lung involvement documented and categorized on high-resolution computed tomography (CT) of the thorax, oxygen saturation, inflammatory marker as interleukin-6 (IL-6) at entry point and follow-up. Age, gender, comorbidity, and use bilevel positive airway pressure/noninvasive ventilation (BIPAP/NIV) and outcome as with or without lung fibrosis as per CT severity were key observations. Statistical analysis is performed using Chi-square test.

Results:

Age (<50 and > 50 years) and gender (male versus female) has significant association with IL-6 (P < 0.00001) and (P < 0.010], respectively. CT severity score at entry point has significant correlation with IL-6 level (P < 0.00001) IL-6 level has significant association with duration of illness (P < 0.00001). Comorbidity as diabetes mellitus, hypertension, chronic obstructive pulmonary disease, ischemic heart disease, and obesity has significant IL-6 level (P < 0.00001). IL-6 level has significant association with oxygen saturation (P < 0.00001). BIPAP/NIV requirement during course hospitalization has significant association with IL-6 level (P < 0.00001). Timing of BIPAP/NIV requirement during hospitalization has significant association with IL-6 level (P < 0.00001) Serial IL-6 titer during hospitalization as compared to entry point normal and abnormal IL-6 has significant association in post-COVID lung fibrosis (P < 0.00001).

Conclusions:

IL-6 is easily available, and universally acceptable inflammatory marker, documented crucial role in COVID-19 pneumonia in predicting the severity of illness, progression of illness including “cytokine storm” and assessing response to treatment during hospitalization.
Trends of Chronic Obstructive Pulmonary Disease Diagnosis and Treatment in Rural Setting in India
Authors: Patil Shital , Gondhali Gajanan , Bhadake Manojkumar , Jadhav Anil
Published: November 2023

Background:

Chronic obstructive pulmonary disease (COPD) is the leading cause of morbidity and mortality due to chronic respiratory illness in India. More than half of COPD patients were not getting adequate rationale inhalation treatment in primary to tertiary care setting.

Materials and Methods:

A prospective, observational, interview (questionnaire)-based complete workup COPD study conducted during June 2016 to June 2019 in the Department of Pulmonary Medicine, Venkatesh Chest Hospital, and MIMSR Medical College, Latur, screened 12,000 cases with chronic respiratory symptoms with cough, sputum production, and shortness of breath, and all cases were undergone spirometry and 6000 COPD cases were enrolled. In this study, we assessed disease knowledge and the methods of treatment offered to all patients before enrollment by applying questionnaire. Statistical analysis was done using single proportion test (Chi-square test).

Observation and Analysis:

We have observed that 3% of study cases were aware of their illness “COPD disease,” 54% are not knowing the disease or not counseled for COPD disease ever before, and 43% are not convinced as they are having COPD (categorized as “difficult patient”) (P < 0.0001). Inhalation treatment was offered in only 58% of COPD cases, levosalbutamol monotherapy in 31% of cases, levosalbutamol plus beclometasone in 18% of cases, and formoterol plus budesonide or salmeterol plus fluticasone only in 9% of COPD cases (P < 0.0001), latter being categorized as “difficult treatment” being costlier than former ones. We also observed irrational and exuberant use of oral medicines in 42% of COPD cases, theophylline in 16%, salbutamol in 7%, and oral steroids in 19%, and these medicines were preferred by treating doctors over inhalation treatment in spite of knowledge of inhalation treatment and categorized as “difficult doctor” (P < 0.0001).

Conclusion:

COPD is less efficiently evaluated and halfheartedly treated in rural setting, and more emphasis should be given to spirometry training for proper diagnosis and awareness regarding advantages of inhalation treatment over oral medicines.
Non-Suicidal Self-Injury Behavior in Adolescents and Neuropsychology: An Integrative Review From 2015 to 2022
Authors: Chaves Gislaine , Salomão de La Plata Cury Tardivo Leila
Published: November 2023

Adolescence includes psychological, social, biological, and more specifically, neurological changes. The development involves the strengthening of emotional regulation and the suitability of executive functions linked to the performance of the prefrontal cortex. In contrast, the disturbance of this process refers to emotional dysregulation, common in most psychopathologies or risky behaviors, such as self-injurious behavior. The study aimed to conduct an integrative literature review on neuropsychological aspects linked to non-suicidal self-injury. The searches were performed in the Portal CAPES and Google Scholar database. Four hundred eighty-seven studies were found, 14 of which are eligible for this review. Associations of self-injurious behavior with impairments in dimensions of emotional regulation, impulsivity/compulsivity, decision-making, psychological stress and coping style, and suicide behavior were observed.
SISTEM PENDUKUNG KEPUTUSAN PENERIMAAN KARYAWAN DENGAN METODE MULTI OBJECTIVE OPTIMIZATION ON THE BASIS OF RATIO ANALYSIS (MOORA)
Authors: Hakim Nur , Basrie Basrie
Published: November 2023

Penerimaan karyawan yang ideal bagi perusahaan menjadi salah satu upaya yang tepat untuk menghadapi dan merespon segala tantangan yang berkaitan dengan perubahan lingkungan strategis, PT. Barqun Digital Teknologi mengadakan pemilihan karyawan baru secara mandiri yang diambil melalui proses serangkaian seleksi yang diadakan. Kendala yang dihadapi adalah proses seleksi sering dipengaruhi oleh faktor subjektifitas dan belum memiliki standar/kriteria yang jelas sehingga dapat menyebabkan terpilihnya karyawan yang kurang tepat. Solusinyadibangunsistem pendukung keputusan untuk pemilihan karyawan baru dengan kriteria yang telah ditetapkan oleh PT. Barqun Digital Teknologi menggunakan metode pengambilan keputusan yaitu Multi Objective Optimization on The Basis of Ratio Analysis (MOORA)
PEMBELAJARAN INTEGRAL DENGAN MENGGUNAKAN VISUAL BASIC 6.0 DI SMK FARMASI TENGGARONG
Authors: Mallala Syamsuddin
Published: November 2023

Pemberian alternative pembelajaran bagi siswa dan pengajaran bagi guru di tingkat sekolah menengah kejuaruan (SMK) Farmasi Tenggarong. Metode, Penelitian ini menggunakan metode Pengembangan dengan memasukkan materi integral dalam sistem aplikasi  dengan Menggunakan visual basic 6.0. Pembahasan dan Hasil, Aplikasi Pembelajaran Integral menggunakan visual basic ini merupakan penelitian pengembangan yang bertujuan membantu guru atau siswa dan merupakan alternative dalam mempelajari matematika khususnya materi integral. Metode yang digunakan dalam pengembangan aplikasi ini adalah metode waterfall. Hasil dari pengujian black-box, white-box dan beta testing menunjukkan keberhasilan. Jadi pas dengan SDLC (waterfall). Dan aplikasi ini cukup baik bagi pengguna (guru dan siswa).
APLIKASI PEMBELAJARAN ILMU TADJWID BERBASIS ANDROID
Authors: Qomariah Siti
Published: November 2023

Aplikasi pembelajaran ilmu tajwid berbasis android adalah sebuah aplikasi yang dirancang untuk membantu pengguna dalam mempelajari ilmu tajwid secara praktis dan mudah melalui smartphone Android. Aplikasi ini memiliki beberapa fitur, antara lain materi pembelajaran ilmu tajwid yang lengkap, contoh penggunaan dalam ayat Al-Quran, latihan soal interaktif, dan pengaturan suara dan animasi untuk membantu pengguna memahami dengan lebih mudah.Untuk membuat aplikasi ini, langkah pertama yang dilakukan adalah merancang struktur aplikasi dan mengumpulkan materi pembelajaran ilmu tajwid yang lengkap dan mudah dipahami. Selanjutnya, aplikasi ini dibangun dengan menggunakan bahasa pemrograman Java dan platform Android Studio.Fitur aplikasi ini dibuat dengan memanfaatkan teknologi suara dan animasi, sehingga pengguna dapat memahami konsep ilmu tajwid dengan lebih mudah. Pengguna juga dapat melatih pemahaman ilmu tajwid melalui latihan soal interaktif yang disediakan dalam aplikasi.Hasil dari pembuatan aplikasi ini adalah sebuah aplikasi yang mudah digunakan dan efektif dalam membantu pengguna mempelajari ilmu tajwid. Diharapkan aplikasi ini dapat membantu meningkatkan pemahaman umat Islam terhadap ilmu tajwid, sehingga mampu membaca Al-Quran dengan baik dan benar
Otolith atlas for marine fishes of the southwestern Atlantic occurring along southern Brazil (28° S-34° S)
Authors: Haimovici Manuel , Dos S. Rodrigues Lucas , Lucato Silvia H. B. , De A. Freire Marcio , Fischer Luciano G. , Cardoso Luis G.
Published: November 2023

Otoliths are acellular apposition structures composed of approximately 90% of calcium carbonate and other inorganic salts, which develop over a protein matrix located in the inner ear of bony fishes playing an essential role in the senses of balance and hearing. These structures grow throughout a fish’s lifetime. Owing to their species-specific shape, otoliths are an important tool for the identification of fish species in the diet of predators when collected from stomachs and, due to their low water content, are helpful for archaeological, paleontological and anthropological studies for its presence in fossilized remains. This atlas is aimed at the identification of abundant or frequent bony fishes otoliths in the diet of predators and in fossilized remains from the continental shelf and upper continental slope of southern Brazil between Santa Marta Grande cape (28° S) and Chuí (34° S) on the border with Uruguay. It includes the otolith description of 136 bony fishes species, including most of the abundant and frequent species in the region. Easy to use graphics are provided to infer fish size based on otolith measurements. Vouchers of different sizes of otolith of all species included in this atlas are deposited and available for consultation at the Demersal Fisheries Resources and Cephalopods Laboratory (IO-FURG).
A Quantitative Analysis of the Belt and Road Initiative
Authors: Rizvi Syed Murtaza
Published: November 2023

Purpose: The article aims to examine the effects of the Belt and Road Project (BRI) of China and its recent developments.

Methodology: It does this by analyzing the effects Chinese investments have had on their largest beneficiaries. The article considers several factors such as transport, energy, and debt profiles of the countries after receiving aid under BRI.

Findings: Through our analysis, we have found that the project is by far the most secure investment developing countries might have especially considering the diminishing aid of the USA and European countries. It is largely beneficial for both China and the beneficiaries encouraging economic growth. We have made our conclusions based on data reported through various research articles both domestic and international. These include but are not limited to papers from the SAIS-CARI website, the American Enterprise Institute (AEI), the World Bank, and the Boston University Energy Database.

Recommendations: We recommend that in the future studies should be further conducted on the progress of BRI projects that have been started or planned in the future as well as the effects previous long-term investments are currently having on beneficiaries. Some research should also be conducted comparing the effectiveness of loans from the US and European countries when compared with Chinese counterparts
Pengaruh Informasi Dalam Meningkatkan Motivasi Kerja Karyawan
Authors: Syaf Syafriadi
Published: November 2023

Menyusun artikel ini berarti memutuskan kecukupan penyampaian data dari atasan ke bawahan berdasarkan inspirasi pekerja. Metode penelitian kepustakaan digunakan dalam metode penulisan. Dari akibat percakapan tersebut cenderung beralasan bahwa kelangsungan penyampaian data dari atasan ke bawahan mempengaruhi inspirasi kerja. Pemimpin memiliki kemampuan untuk menerapkan metode komunikasi karyawan dan penyebaran informasi yang efisien. Motivasi karyawan dapat dipengaruhi oleh seberapa baik supervisor berkomunikasi dengan bawahan. Selain itu, faktor-faktor seperti gaji yang cukup dan harga diri dari pemimpin dan lainnya mempengaruhi motivasi kerja.
Pengaruh Motivasi Dan Disiplin Kerja Terhadap Kinerja Karyawan Pada CV Daya Buana
Authors: Soraya Tanjung Febrina
Published: November 2023

Latar Belakang: penelitian ini dilaksanakan untuk mengetahui apakah motivasi dan disiplin mempengaruhi kinerja karyawan.

Metode Penelitian: jenis pada penilitan ini adalah penelitian kuantitatif. Teknik pengumpulan data yang digunakan dengan cara penyebaran angket (kuesioner) dengan model rating scale. Teknik analisis yang digunakan adalah teknik analisis regresi linier berganda.

Hasil Penelitian: Tingkat motivasi dan tingkat disiplin kerja berpengaruh sebesar 0,601 atau 60,1%. Hasil penelitian ini menunjukkan bahwa motivasi dan disiplin kerja berpengaruh terhadap kinerja karyawan.

Kesimpulan: Motivasi secara parsial berpengaruh positif dan signifikan terhadap Kinerja Karyawan pada CV Daya Buana. Disiplin Kerja secara parsial berpengaruh positif dan signifikan terhadap Kinerja Karyawan pada CV Daya Buana. Motivasi dan Disiplin Kerja secara simultan berpengaruh positif dan signifikan terhadap Kinerja Karyawan pada CV Daya Buana
Boundaries and Ethics of Borrowing from Different Cultures in Central European Countries
Authors: Mwangi Gabriel
Published: November 2023

Purpose: The aim of this study was to debate the boundaries and ethics of borrowing from different cultures in central European countries.

Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low-cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.

Findings: The findings revealed that there exists a contextual and methodological gap relating to the boundaries and ethics of borrowing from different cultures in central European countries. Preliminary empirical review revealed that cultural borrowing in the fashion industry often raises concerns of cultural misappropriation, lack of recognition and compensation for the original cultures, and perpetuation of power imbalances. It emphasized the need for informed cultural exchange and collaboration. It is crucial to establish guidelines and policies that provide clear frameworks for ethical borrowing practices across various domains such as fashion, music, culinary arts, and visual arts.

Recommendations: The Cultural Appropriation Theory, Postcolonial Theory and Intercultural Communication Theory may be used to anchor future studies on boundaries and ethics of borrowing from different cultures in central European countries. Open dialogue should be encouraged, equal partnerships and meaningful collaborations between cultures is also essential. Also, legal frameworks should be developed to protect traditional knowledge, cultural heritage, and the rights of cultural communities.
MARKETING DIGITAL EN REDES SOCIALES Y SU INFLUENCIA EN EL COMPORTAMIENTO DE COMPRA DEL CONSUMIDOR
Authors: Campines B. Francisco J.
Published: November 2023

El objetivo de la investigación es conocer cómo el marketing digital, a través de las redes sociales, ha influido en el comportamiento de compra de los estudiantes de la Facultad de Administración de Empresas del Centro Regional Universitario de Veraguas. El tipo de estudio que se empleó tiene un enfoque cuantitativo, de tipo descriptivo. La técnica seleccionada para la recolección de datos fue a través de una encuesta donde se incorporarán interrogantes cerradas con múltiples opciones como respuestas, apoyadas en la herramienta de Google Forms. La población estudiada estuvo conformada por 823 estudiantes. Para efectos de la muestra, se utilizó el programa Surveymonkey, en el cual se estableció un nivel de confianza del 95%, con un margen de error del 5%, obteniendo como resultado una muestra de 263 estudiantes a indagar. Los resultados muestran que el 98% de los encuestados hacen uso de redes sociales, siendo Instagram la más utilizada. El 67% compra a través de estos medios digitales, en donde las publicaciones y promociones influyen en la decisión de compra con un 79%. En conclusión, uno de los impactos más significativos del marketing digital por medio de las redes sociales en el comportamiento del consumidor es su capacidad de proporcionar una plataforma para que los clientes compartan opiniones y experiencias sobre productos y servicios. Este intercambio de información tiene una influencia directa en la toma de decisiones de los compradores.
Viagem ao (rio) Trombetas
Authors: Coudreau Marie Octavie , Coudreau Henri , Torres Marie-Hélène Catherine , Thomé Brenda Bressan
Published: November 2023

Tradução de Voyage au Trombetas, de Marie Octavie Coudreau.
Viagem ao Maycurú (Capítulo I)
Authors: Coudreau Octavie , Santos Sheila dos , Sales Kall Lyws Barroso
Published: November 2023

Tradução do primeiro capítulo de Voyage au Maycurú, de Octavie Coudreau.
Os indígenas da Amazônia
Authors: Coudreau Henri A. , Alves Mariana Janaina dos Santos , Fernandes José Guilherme , Debibakas Audrey
Published: November 2023

Tradução de "Les indiens de l’Amazonie", de Henri A. Coudreau.
SPECIALIZED MEDICAL FORCE - FEM / SPECIALIZED MEDICAL CARE SERVICE – SAME
Authors: De Sousa Santos Eriegly , Sereide Ferreira da Silva Sandra
Published: November 2023

In light of the growing concerns related to public health in Brazil, from any perspective, in any scenario that can be projected for the future, there is a substantial increase in demands and, with this, the need for a larger, better workforce. qualified and with expanded skills. In that regard. Strategic prospecting studies are fundamental for planning public policies, especially with regard to the workforce for the Unified Health System. Therefore, this study aims to set up a Specialized FEM Medical Force, with a Specialized Medical Care Service - Nationwide SAME linked to the Brazilian Ministry of Health. This study will be carried out through the analysis of the legislation concerning the Federal Public Health Legislation in Brazil, in the analysis of the National Emergency Care Policy of the Unified Health System – SUS, as well as other national, state and municipal documents, as well as consultations on the official websites of these federative entities. The expected results, among other results, are: meeting the needs of the population with specialized care in all areas of medicine; compose a specialized assistance framework for the less favored population and considered vulnerable from a financial point of view and be a public utility service available to the population, with regard to national emergency care in situations of disasters and public calamities.
The Implementation of Media Sharing Sites in Learning French: A Systematic Literature Review
Authors: Mulyanita Dewisri , Gumilar Dudung , Darmawangsa Dante
Published: November 2023

Several challenges hinder French language learning, hence diminishing its effectiveness. Consequently, there is a demand for educational tools that are accommodating and efficient, such as media-sharing sites (MSS). MSS has several positive and negative effects. Minimizing adverse effects requires knowledge of factors that can make learning effective. Consequently, this research aims to fulfill this requirement by identifying the variables that affect learning outcomes and students' responses to the implementation of MSS in learning French. This study used a systematic literature review (SLR). Research data was collected from several databases, including Taylor & Francis Online (tandfonline.com), Research Gate (researchgate.net), and RDiscovery (discovery.research.life). Twenty-two articles were selected, extracted, and analyzed for this study. The findings are grouped into two main issues: factors affecting learning outcomes and students' responses. Factors affecting student learning outcomes are grouped into four areas: learning models, systems and features, audio-visual content, and teacher contributions. Thus, students' responses are categorized into three types: cognitive, affective, and conative responses. The results showed that implementing MSS in learning French assisted educators and learners more effectively and efficiently. Furthermore, it was found that there is a correlation between student responses and the future vision of education.
NGHIÊN CỨU CÁC CHỈ SỐ LÁCH BÌNH THƯỜNG Ở NGƯỜI TRƯỞNG THÀNH TRÊN CẮT LỚP VI TÍNH
Authors: Lê Xuân Thiệp , Phạm Hồng Đức , Nguyễn Minh Tuấn , Nguyễn Văn Toàn , Lê Minh Trường , Đặng Thị Ngọc Anh , Bùi Thị Phương Thảo , Phạm Thị Thanh Xuân
Published: November 2023

Mục Tiêu: Xác định thể tích lách bình thường ở người trưởng thành không có bệnh lý ảnh hưởng đến chỉ số lách trên CLVT. Đối tượng và phương pháp nghiên cứu: nghiên cứu mô tả cắt ngang trên 200 người trưởng thành với tuổi trung bình 51,7 ± 14,2 đã được tiến hành đo các chỉ số lách trên CLVT tại bệnh viện Xanh pôn. Kết quả: thể tích lách trung bình của người trưởng thành là 136,4cm³ (± 50,8SD). Có sự khác biệt có ý nghĩa thống kê (p=0,002) giữa nam và nữ. Nghiên cứu cũng chỉ ra có sự khác biệt về thể tích lách giữa các nhóm tuổi dưới 40 tuổi, 40 đến 60 tuổi và trên 60 tuổi (p<0,05), từ đó thấy rằng tuổi là yếu tố ảnh hưởng đến thể tích lách, cụ thể là tuổi càng cao thì thể tích lách càng giảm. Có sự liên quan chặt chẽ giữa chiều cao tối đa và chiều rộng của lách với thể tích lách (r=0,704 và r=0,723). Ngoài ra nghiên cứu cũng nhận thấy chiều cao tối đa lớn hơn 10,3cm là ngưỡng cần xem xét chẩn đoán lách to. Nghiên cứu cũng thấy rằng sự khác biệt không có ý nghĩa thống kê giữa việc đo thể tích lách trên CLVT bằng tái tạo 3D so với công thức tính thể tích lách cổ điển Spleen Volum= 0,58x LxDxT + 30. Kết luận: thể tích lách ở người trưởng thành nam: 146,7 ±53,4cm³, nữ: 124,7 ± 45,2cm³, chung cả hai giới: 134,4 ± 50,8cm³, chiều cao lách tối đa ở nam 10,6cm, nữ 9,9cm, chung cả hai giới: 10,3cm.
THỰC TRẠNG QUẢN LÝ THAI VÀ SỬ DỤNG DỊCH VỤ SÀNG LỌC TRƯỚC SINH TẠI TỈNH BÌNH DƯƠNG NĂM 2018 – 2022
Authors: Bùi Minh Hiền , Nguyễn Khương Duy , Vũ Hải Hà , Võ Thị Kim Anh , Trần Văn Hưởng
Published: November 2023

Nghiên cứu mô tả cắt ngang thực hiện hồi cứu các số liệu báo cáo giai đoạn 01/2018-12/2022 tại tỉnh Bình Dương nhằm mô tả thực trạng quản lý thai và sử dụng dịch vụ sàng lọc trước sinh ở phụ nữ có thai. Kết quả cho thấy tỷ lệ phụ nữ được quản lý thai tại tỉnh Bình Dương luôn đạt tỷ lệ chung cao trên 95,0%. Tỷ lệ sàng lọc trước sinh/ số phụ nữ đẻ từ 29,9% năm 2018 tăng lên 76,7% năm 2022. Tỷ lệ sàng lọc trước sinh/ số quản lý thai là 31,2% năm 2018 và 78,2% năm 2022. Tỷ lệ sử dụng dịch vụ sàng lọc trước sinh có xu hướng tăng dần theo năm, tuy nhiên tỷ lệ vẫn chưa cao. Cần tăng cường hơn nữa việc quản lý thai và tỷ lệ sử dụng dịch vụ sàng lọc trước sinh ở phụ nữ có thai tại tỉnh Bình Dương.
ĐÁNH GIÁ KẾT QUẢ CẮT ĐỐT LƯỠNG CỰC TĂNG SẢN LÀNH TÍNH TUYẾN TIỀN LIỆT QUA NỘI SOI NIỆU ĐẠO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC
Authors: Lê Nguyên Vũ , Nguyễn Văn Hoàng , Nguyễn Minh An
Published: November 2023

Mục tiêu: Đánh giá kết quả của phương pháp cắt đốt lưỡng cực tăng sản lành tính tuyến tiền liệt qua nội soi niệu đạo tại Bệnh viện Hữu Nghị Việt Đức. Phương pháp nghiên cứu: Mô tả lâm sàng tiến cứu, chọn mẫu thuận tiện trên 35 bệnh nhân (BN) tăng sản lành tính tuyến tiền liệt được điều trị bằng phương pháp cắt đốt nội soi qua niệu đạo bằng dao điện lưỡng cực từ tháng 7/2019 đến hết tháng 6/2020 tại Bệnh viện Hữu Nghị Việt Đức. Các kết quả được đánh giá tại ba thời điểm: ngay sau phẫu thuật, thời điểm ra viện và sau phẫu thuật 3 tháng. Số liệu sau thu thập được xử lý bằng phần mềm SPSS 20.0. Kết quả: Số ngày đặt sonde tiểu trung bình (TB) là 5 ngày, biến chứng sau rút sonde tiểu thường gặp là rỉ tiểu (34,3%) và bí tiểu cấp (8,6%). Tại thời điểm ra viện, kích thước tuyến tiền liệt TB là 22gram, lượng nước tiểu tồn dư sau rút sonde tiểu là 30ml. Sau phẫu thuật 3 tháng, điểm IPSS và điểm QoL đều giảm rõ rệt so với trước phẫu thuật; 94,3% bệnh nhân chuyển về mức nhẹ và 100% bệnh nhân đạt chất lượng cuộc sống Tốt.
The effectiveness of core stability addition in short wave diathermy and star excursion balance exercise in improving the functional ability of chronic ankle instability among taekwondo athletes
Authors: Kamayoga I Dewa Gede Alit , Utama A.A. Gd Eka Septian , M. Widnyana  , I Putu Yudi Pramana Putra
Published: November 2023

Background: Taekwondo is based on sudden and violent attacks by the hands and feet; therefore, an injury can occur. Ankle sprains account for 15% to 20.8% of all sports injuries, and 72% of people who have experienced an ankle sprain report experiencing chronic ankle instability. Star excursion balance exercise is an exercise that increases the functional ability of the ankle. The shortwave diathermy intervention assists the ligaments' healing process as core stability exercise is necessary to activate postural control, which is a valuable component in treating chronic ankle instability. This study aimed to determine the effectiveness of adding core stability to shortwave diathermy and star excursion balance exercise in improving the functional ability of chronic ankle instability in taekwondo.

Methods: The research used experimental research with a randomized pretest-posttest control group design. The technique used for sampling in this study is simple random sampling. There are two sample groups to be studied. The first group was given additional core stability through shortwave diathermy and star excursion balance exercise, and the second group was assigned the intervention of shortwave diathermy and star excursion balance exercise. The functional ability of the ankle is measured using the foot ankle disability index (FADI). There were 18 people in each group. The study was conducted three times a week for a month.

Results: The results showed significant differences in the two groups with p = 0.000. However, the intervention group was better at improving the functional ability of chronic ankle instability in taekwondo with a value of p = 0.002.

Conclusion: This study concludes that there are differences in adding core stability to the shortwave diathermy intervention and star excursion balance exercise in improving the functional ability of chronic ankle instability in taekwondo.
O PAPEL DA ENFERMAGEM NO CUIDADO DE PORTADORES DE DOENÇA RENAL CRÔNICA
Authors: Coelho Jamilly Barbosa , Lima Vitória Macêdo Souza , Santos Evellinne Pessanha de Padua
Published: November 2023

A doença renal crônica – DRC é uma condição médica grave e progressiva que pode levar a complicações sérias e limitações na qualidade de vida dos pacientes, e seu tratamento requer uma abordagem multidisciplinar, envolvendo médicos, enfermeiros, nutricionistas e outros profissionais de saúde. Nesse contexto, a enfermagem desempenha um papel fundamental nesse processo, fornecendo cuidados personalizados e holísticos aos pacientes. O presente trabalho analisou o papel da enfermagem frente ao paciente diagnosticado com DRC e a eficácia dessas intervenções no gerenciamento da condição médica e na melhoria da qualidade de vida dos pacientes. Para tanto foi realizada revisão de literatura, em uma pesquisa qualitativa, através da base de dados SciELO, Google Acadêmico, além de manuais do ministério da Saúde. Foi possível verificar que o enfermeiro desempenha um papel crucial ao fornecer intervenções preventivas, educacionais e práticas no cuidado de portadores de DRC, como avaliação e monitoramento, educação sobre medicamentos, estilo de vida, higiene e aconselhamento, coordenação de cuidados com a equipe de saúde, monitorando o tratamento e sinais de complicações, além de suporte emocional para o paciente e para a família.
Mixing state and effective density of aerosol particles during the Beijing 2022 Olympic Winter Games
Authors: Du Aodong , Sun Jiaxing , Liu Hang , Xu Weiqi , Zhou Wei , Zhang Yuting , Li Lei , Du Xubing , Li Yan , Pan Xiaole , Wang Zifa , Sun Yele
Published: November 2023

Abstract. Mixing state and density are two key parameters of aerosol particles affecting their impacts on radiative forcing and human health. Here a single-particle aerosol mass spectrometer in tandem with a differential mobility analyzer and an aerodynamic aerosol classifier was deployed during the Beijing 2022 Olympic Winter Games (OWG) to investigate the impacts of emission controls on particle mixing state and density. Our results show the dominance of carbonaceous particles comprising mainly total elemental carbon (Total-EC, 13.4 %), total organic carbon (Total-OC, 10.5 %) and Total-ECOC (47.1 %). Particularly, the particles containing organic carbon and sulfate were enhanced significantly during OWG, although those from primary emissions decreased. The composition of carbonaceous particles also changed significantly which was characterized by the decreases in EC mixed with nitrate and sulfate (EC-NS), EC mixed with potassium nitrate (KEC-N), and amine-containing particles and increase in ECOC mixed with nitrate and sulfate (ECOC-NS). This result indicates that emission controls during OWG reduced the mixing of EC with inorganic aerosol species and amines yet increased the mixing of EC with organic aerosol. The average effective density (ρeff) of aerosol particles (150–300 nm) was 1.15 g cm−3 during the non-Olympic Winter Games (nOWG), with higher values during OWG (1.26 g cm−3) due to the increase in secondary particle contribution. In addition, the ρeff of most particles increased with the increases in pollution levels and relative humidity, yet they varied differently for different types of particles, highlighting the impacts of aging and formation processes on the changes of particle density and mixing state.
Limited exchange between the deep Pacific and Atlantic oceans during the warm mid-Pliocene and Marine Isotope Stage M2 “glaciation”
Authors: Braaten Anna Hauge , Jakob Kim A. , Ho Sze Ling , Friedrich Oliver , Galaasen Eirik Vinje , De Schepper Stijn , Wilson Paul A. , Meckler Anna Nele
Published: November 2023

Abstract. The Piacenzian stage (3.6–2.6 Ma) of the Pliocene is the most recent period where Earth experienced sustained intervals of global warmth analogous to predicted near-future climates. Despite considerable efforts to characterize and understand the climate dynamics of the Piacenzian, the deep ocean and its response to this warming remain poorly understood. Here we present new mid-Piacenzian Mg/Ca and Δ47 (“clumped isotope”) temperatures from the deep Pacific and North Atlantic oceans. These records cover the transition from Marine Isotope Stage (MIS) M2 – considered the most pronounced “glacial” stage of the Pliocene prior to the intensification of Northern Hemisphere glaciation – to the warm KM5 interglacial. We find that a large (> 4 ∘C) temperature gradient existed between these two basins throughout that interval, with the deep North Atlantic considerably warmer and likely saltier than at present. We interpret our results to indicate that the deep Pacific and North Atlantic oceans were bathed by water masses with very different physical properties during the mid-Piacenzian, and that only a limited deep oceanic exchange occurred between the two basins. Our results point to a fundamentally different mode of ocean circulation or mixing compared to the present, where heat and salt are distributed from the North Atlantic into the Pacific. The amplitude of cooling observed at both sites during MIS M2 suggests that changes in benthic δ18O associated with this cold stage were mostly driven by temperature change in the deep ocean rather than by ice volume.
Automated riverbed composition analysis using deep learning on underwater images
Authors: Ermilov Alexander A. , Benkő Gergely , Baranya Sándor
Published: November 2023

Abstract. The sediment of alluvial riverbeds plays a significant role in river systems both in engineering and natural processes. However, the sediment composition can show high spatial and temporal heterogeneity, even on river-reach scale, making it difficult to representatively sample and assess. Conventional sampling methods are inadequate and time-consuming for effectively capturing the variability of bed surface texture in these situations. In this study, we overcome this issue by adopting an image-based deep-learning (DL) algorithm. The algorithm was trained to recognise the main sediment classes in videos that were taken along cross sections underwater in the Danube. A total of 27 riverbed samples were collected and analysed for validation. The introduced DL-based method is fast, i.e. the videos of 300–400 m long sections can be analysed within minutes with continuous spatial sampling distribution (i.e. the whole riverbed along the path is mapped with images in ca. 0.3–1 m2 overlapping windows). The quality of the trained algorithm was evaluated (i) mathematically by dividing the annotated images into test and validation sets and also via (ii) intercomparison with other direct (sieving of physical samples) and indirect sampling methods (wavelet-based image processing of the riverbed images), focusing on the percentages of the detected sediment fractions. For the final evaluation, the sieving analysis of the collected physical samples were considered the ground truth. After correcting for samples affected by bed armouring, comparison of the DL approach with 14 physical samples yielded a mean classification error of 4.5 %. In addition, based upon the visual evaluation of the footage, the spatial trend in the fraction changes was also well captured along the cross sections. Suggestions for performing proper field measurements are also given; furthermore, possibilities for combining the algorithm with other techniques are highlighted, briefly showcasing the multi-purpose nature of underwater videos for hydromorphological assessment.
ANALYSIS OF THE APPLICATION OF BANA'S RACAK IN THE SUCCESS OF BUDGET IMPLEMENTATION AT CLASS I IMMIGRATION OFFICE PEKANBARU
Authors: Prabadhi I.A , Susaningsih Catur , Laksono Bagas Agung
Published: November 2023

In order to realize a successful implementation of the budget, Pekanbaru Immigration Office made an action plan for change in the form of a fund withdrawal application namely Aplikasi Rencana Penarikan Dana (RANCAK BANA). This study uses the Mix-Methods method, namely research conducted by combining quantitative and qualitative approaches. This study focuses on analysing the quality of the RANCAK BANA application through the approach of 6 (six) Delone and McLean Model variables and 7 (seven) HR development indicators. The sampling technique used is purposive sampling by taking an adjusted sample based on the specified criteria. In the data processing and data analysis process, it was carried out using the SmartPLS software to obtain descriptive statistical analysis and use the PLS-SEM procedure. There are 8 hypotheses obtained, including 3 (three) hypotheses and 5 (five) other hypotheses which are rejected / not proven to have an effect, so that the RANCAK BANA application can be said to have good quality. And the role of the immigration office which has been very good at providing a strategy in preparing quality human resources. However, there are still some deficiencies that are expected to be developed and further improved in order to create successful budget execution through this RANCAK BANA Application.
PERAN KADER LANSIA DALAM MENCIPTAKAN KELUARGA CERIA UNTUK MENYIKAPI PIKUN DENGAN SANTUN
Authors: Wahyu Koko
Published: November 2023

Salah satu komponen masyarakat yang berpotensi untuk mampu berperan serta dalam mencegah demensia adalah kader. Kader Lansia merupakan dari, oleh dan untuk masyarakat bekerja secara sukarela bertugas untuk membantu dan memastikan kelancaran pelaksanaan posyandu lansia. Keberhasilan keluarga ceria dapat terlaksana dengan program pemberdayaan masyarakat. Tujuan umum pelaksanaan program pengabdian kepada masyarakat melalui pemberdayaan kader kesehatan adalah mensosialisasikan kepada kader kesehatan di Kelurahan Mojosongo Kota Surakarta tentang peran kader lansia dalam rangka menciptakan keluarga ceria untuk mencegah dan menyikapi pikun dengan santun. Hasil pelatihan menunjukkan pengetahuan kader mengalami peningkatan sebanyak 85%. Diharapkan pengabdian masyarakat dapat diterapkan oleh kader kesehatan dan ditindaklanjuti oleh Dinas kesehatan dan jejaring puskesmas di wilayah kerja masing-masing.
The Meaning of the Earth: Reading Nietzsche in the Anthropocene
Authors: Berthelier Benoît
Published: November 2023

In this article, the author argues against a dominant trend in the literature on Nietzsche and the environment that is mostly concerned with assessing Nietzsche’s relevance to environmental ethics. The author departs from this trend by showing that Nietzsche can hardly provide the kind of intrinsic value theory typically needed to ground an environmental ethic. The author then suggests that an environmentalist reading of Nietzsche has much to gain from closer attention to his concept of “earth” and briefly outlines the evolution of this concept throughout the Nietzschean corpus. The author concludes by coming back to Zarathustra’s mysterious claim that “the overhuman shall be the meaning of the earth” and clarifying how, though it should not be thought of as a new foundation for an environmental ethic, it might still be significant in the context of the Anthropocene.
Cosmopolitan Discourse in Amin Maalouf’s Les Échelles du Levant
Authors: Lekesizalın Ferma
Published: November 2023

This article investigates the cosmopolitan discourse of Amin Maalouf’s novel Les Échelles du Levant, published in English in 1996 as Ports of Call. Centered on Ossyane Ketabdar’s memories, the novel reconstructs the history of the Levant from the viewpoint of the oppressed and portrays the devastating effects of nationalism and national struggles on the Levantine cultures and societies. Born to a Turkish father and Armenian mother, Ossyane grows up in the cosmopolitan and multicultural atmosphere of Beirut, where he learns to question parochialisms. His cosmopolitan agency is based on the moral principle of recognition and respect for the other. Centered on an uprooted and liminal protagonist with a mixed identity, Les Échelles du Levant explores cosmopolitan agency as a form of resistance against homogenized and consolidated subject positions produced by the modern nation-states.
Effects of electron beam irradiation on microbial contamination and quality of Astragali Radix
Authors: Fu Meng , Wang Dan , Wang Gang , Huang Ming , Tang Yiweng
Published: November 2023

In this study, astragali radix (AR) was irradiated at doses of 3, 5, 7, 10 and 18 kGy of electron-beam, to investigate the effects on the microbial content, physicochemical quality, and antioxidant activity. Results showed that AR was decontaminated at 7 kGy irradiation, but its color was altered. The total flavonoid, total phenol content, DPPH and ABTS radical scavenging ability increased with an increase in radiation dose for AR. In conclusion, electron beam irradiation can effectively kill the surface microorganisms of AR, increase the contents of flavonoids and total phenols, and increase its free radical scavenging activity without affecting its main active components.
Agro 4.0: ¿Una posibilidad de mejora en el campo venezolano o una solución para la agricultura en Venezuela?
Authors: Chacón Edgar , Cardillo Juan , Mora Luis , Hernández Martha
Published: November 2023

La irrupción de las tecnologías de información en todas las actividades de la sociedad ha traído importantes mejoras en su desarrollo. La agricultura y la agroindustria han sido dos de los grandes beneficiarios de estos cambios, al mejorar la calidad de los datos obtenidos, el desarrollo de modelos para una agricultura más precisa, así como el manejo de la cadena de valor desde los proveedores hasta el consumidor final con base en la internet y otras herramientas digitales. No obstante, para alcanzarlos es necesario mejorar la formación de las personas involucradas y nuevos modos de gestión de los recursos y procesos productivos. El objetivo de este artículo es caracterizar y analizar la situación venezolana respecto al uso de estas tecnologías, para luego formular una propuesta de gestión de las mismas, con el fin último que estos beneficios lleguen a las distintas cadenas agroalimentarias de Venezuela. En estudios previos realizados por el equipo se verificó que –efectivamente– los productores del agro están en la mejor disposición de encarar el paradigma AGRO 4.0, incluyendo la gestión de sus recursos hídricos y sus actividades productivas, con el fin de tener una producción amigable con el ambiente. El análisis de la situación actual y las perspectivas de implantación de tecnologías AGRO 4.0 indica que se puede reducir la presión sobre el recurso agua (Objetivo de Desarrollo Sostenible 6.4.2), al igual que permitirá mejorar la rentabilidad de las actividades del sector agroalimentario y un incremento de la gobernanza. En el caso específico del estudio de la situación en Venezuela respecto al uso de estas tecnologías, las limitaciones tanto económicas como de las tecnologías disponibles, aunadas a la falta de formación tecnológica de los usuarios son las razones que condujeron a formular una propuesta de gestión de las mismas, para que estos beneficios lleguen a las distintas cadenas mediante una estructura que permita el uso de la tecnología por parte del productor del campo, incorporando aspectos de implantación de una infraestructura tecnológica compartida, esquemas de alfabetización tecnológica y una propuesta de gestión que permitan el uso compartido de los recursos limitados, incluyendo el recurso hídrico de una manera transparente.