bluuebunny/crossref_metadata_2025 huggingface dataset:
Implementation of a Postoperative Anesthesia Handoff Communication Checklist to Reduce Omission Errors
Authors:   , Brissett Patricia , Osborne Barbara Ruth
Published: June 2024

Background: Effective communication during patient handoff between anesthesia personnel and the postoperative anesthesia care unit (PACU) is a crucial element of safe patient care. A breakdown in communication can result in the loss of important information, which can have a negative impact on patient care and compromise safety. To facilitate effective communication during handoff, utilization of a handoff checklist can help ensure consistency in providing essential information while minimizing omissions or errors. Methods: To improve the postoperative handoff practice within the local context, a quality improvement methodology was employed to reduce omission errors during postoperative patient handoff between anesthesia providers and post-anesthesia care unit (PACU) nurses. Compliance with the proposed handoff checklist was assessed, and the key elements identified were evaluated for the potential loss of information during handoff. The methodology utilized was the Plan-Do-Study-Act (PDSA) cycle to develop, implement, and assess the impact of a handoff checklist to reduce omission errors. Education sessions and engagement efforts were employed to introduce the proposed QI initiative with the aim of reducing communication deficiencies and increasing compliance with the proposed evidence-based postoperative handoff practice. Keywords: Handoff, communication, handoff checklist, anesthesia handoff, post-anesthesia care handoff, post-anesthesia care unit, patient safety
Caracterización de las complicaciones intrahospitalarias de los estados hiperglucémicos en pacientes adultos internados en el Hospital Nacional de Itauguá, Paraguay, en 2015-2022
Authors: Garay Gómez Christian David , Riveros Caballero Laura Mabel , Benítez Espinola Alexis Antonio , Ruiz Díaz Ros Leda Lis
Published: June 2024

Introducción: las complicaciones más graves de la diabetes mellitus son la cetoacidosis diabética y el estado hiperglucémico hiperosmolar, muchas veces se observan alteraciones clínicas y laboratoriales que abarcan los dos espectros y que denominamos estado mixto, representan cerca del 50% de las hospitalizaciones en el servicio de urgencias en pacientes diabéticos. Objetivo: determinar las complicaciones intrahospitalarias y los desenlaces de los estados hiperglucémicos en pacientes adultos internados en el Hospital Nacional, Itauguá, Paraguay, en el periodo 2015-2022. Metodología: se aplicó un diseño de cohortes retrospectivas. Se seleccionaron pacientes con diagnósticos de diabetes mellitus tipo 1 y tipo 2, mayores de 18 años, de ambos sexos, agrupados en tres cohortes que corresponden a cada una de las descompensaciones agudas de la diabetes mellitus. La muestra estuvo conformada por 180 pacientes distribuidos en tres grupos de cohortes con 60 pacientes cada una. Resultados: 51% correspondió al sexo masculino. Se halló mayor desarrollo de eventos cardiovasculares, infecciones intrahospitalarias, requerimiento de cuidados intensivos y mortalidad en la cohorte con estado hiperosmolar. Conclusión: la cohorte con estado hiperosmolar hiperglucémico se caracterizó por la mayor cantidad de complicaciones.
Soil compaction in progressive agricultural tractor treads
Authors: Marques Filho Aldir Carpes , Moura Michel dos Santos , Melo André Campos , Damasceno Fellippe Aroon de Jesus , Lanças Kléber Pereira
Published: June 2024

Soil compaction is one of the main problems in world agriculture. It is known that, even in soil conservation management, such as in no-till, the transit of agricultural machinery damages the soil structure, therefore, it is essential to better understand the compaction processes and ways to alleviate the problem. In soils that have traditional tillage management, just one machine pass can damage the physical structure. This research aimed to evaluate the levels of compaction as a function of different passages of an agricultural tractor, considering the hypothesis that, during agricultural operations, a machine transits several times through the same place in the crop. The experiment was carried out on plowed and harrowed agricultural soil in the state of São Paulo. Resistance to soil penetration at different depths was evaluated, and the averages were correlated as a function of the number of steps taken by the tractor. Results showed that approximately 60% of the total soil compaction occurs in the first passes of the agricultural tractor, and above five passes the increase in compaction is minimal. At depths of 20 to 30 cm, the largest RSPs were found. It is concluded that a good planning of machinery traffic is essential, because in the case of a motor-mechanized set moving out of its predestined route, the soil structure is permanently affected.
Analysis of Cross Validation on Classification of Mangosteen Maturity Stages using Support Vector Machine
Authors: Prabasari Indira , Zuhri Afrizal , Riyadi Slamet , Hariadi Tony K , Utama Nafi Ananda
Published: June 2024

This study explores the efficacy of the Support Vector Machine (SVM) method in classifying mangosteen fruit images based on six ripeness levels. Employing SVM enables nonlinear data classification and simultaneous utilization of multiple feature extractions, resulting in enhanced accuracy. Analysis reveals that models integrating three feature extractions outperform those with only two. With ample training data and optimized parameters, SVM achieves detection accuracy exceeding 90%. However, algorithmic enhancements are necessary to compute RGB color index values for all pixels on mangosteen skin surfaces, possibly through circular-shaped windows approximating the fruit's contour. Moreover, comparative assessments of RGB color system calculations against alternative systems such as HSI are crucial for selecting the most suitable color model in alignment with human perception.
Bandwidth Management using Per Connection Queue and Queue Tree: A Case Study on a High School Network
Authors: Prasetyo Eko , Santoso Tossy , Riyadi Slamet , . Asroni
Published: June 2024

This research aims to enhance the efficiency of bandwidth utilization at MTs Muhammadiyah Tawangsari using the PCQ and Queue Tree bandwidth management methods on a MikroTik router. Through this approach, an analysis of bandwidth requirements, network topology design, and implementation were conducted. Post-implementation measurement results show a remarkable improvement in average user download speeds: 17.3 Mbps in administration rooms, 10 Mbps in classrooms, and 18.8 Mbps in faculty rooms. These results indicate a significant improvement in tailored bandwidth distribution that meets the specific needs of each network area and ensures that all users receive equal bandwidth usage. This leads to more evenly distributed and efficient network performance.
Ciudad de los Ángeles: infantes abandonados y naturales, Puebla, siglo XVIII
Authors: Grajales Porras Agustín , Illades Aguiar Lilián
Published: June 2024

En este artículo, con base en el registro de bautismos, se dilucidan los niveles, evolución y diferencias entre los grupos sociales definidos por su calidad en relación con las prácticas de procreación fuera del matrimonio, así como el fenómeno del abandono de recién nacidos dentro de un espacio urbano: la ciudad de Puebla, durante dos décadas distanciadas en el siglo XVIII.

Todos los estratos sociales disminuyeron el grado de ilegitimidad en el tiempo, con variaciones de acuerdo con su posición en la escala social. Sea en un hábitat urbano, más intenso, o periurbano, los españoles y mestizos ostentaban las tasas más elevadas, mientras que los indios se ubicaron por abajo. El caso de los afrodescendientes fue singular, pues siendo un conjunto más laxo, fue el menos desafiante de las reglas al concluir la centuria.

Esta investigación contribuye a ampliar el significado de la ilegitimidad y provee elementos comparativos en el tiempo y espacio novohispanos.
Wieloanalitowe, małocząsteczkowe sondy luminescencyjne do symultanicznego wykrywania kilku celów molekularnych w modelach komórkowych
Authors: Wychowaniec Anna , Canyelles i Font Francesca , Khan Masroor Ahmed , Gładysz MIchał , Kwiatek Dorota , Kolanowski Jacek Łukasz
Published: June 2024

Luminescence has found wide application in biology, biotechnology and medicine. Particularly, fluorescent and bioluminescent probes allow visualization of molecular targets at the cellular level and even macromolecules or single small-molecule analytes. Among the most reliable tools for visualization of molecular targets are so-called responsive probes, which change the intensity and colour of the emitted signal after interaction with a molecular target. The majority of such probes allow detection of a single analyte. Meanwhile, most of the processes in the human body involve multiple elements. To better understand these mechanisms, it is possible to use several responsive probes simultaneously. However, this poses a risk of their different uptake by cells or different metabolism. In order to provide a more reliable response, so-called multi-analyte and multi-responsive probes are being developed. Examples of such probes will be discussed in the article, divided based on their response mechanism and detected changes within the cell.
Genç Erkek Futbolcularda 8 Haftalık Kontrast ve Pliometrik Antrenman Yöntemlerinin Biyomotor Özellikler ve Nöromüsküler Faktörlere Etkisi
Authors: Uzunhasan Mehmet Berk , Kızılet Ali , Atış Tekeli Elif Sibel , Kızılet Tuba
Published: June 2024

Bu araştırmanın amacı; genç erkek futbolculara uygulanan kontrast ve pliometrik antrenman programlarının metabolik ve nöromüsküler faktörler üzerindeki etkilerini incelemektir. Çalışmaya, U17 seviyesinde 24 genç erkek futbolcu (yaş: 16,00±0,51 yıl; boy: 177,21±5,18; kilo: 66,20±6,25) katılmıştır. Katılımcılar rastgele olarak kontrast antrenman grubu (KAG; n=8), pliometrik antrenman grubu (PAG; n=8) ve kontrol grubu (KG; n=8) olmak üzere 3 ayrı gruba ayrılmıştır. Çalışma kapsamında, KAG ve PAG 8 hafta boyunca futbol antrenmanlarına ek olarak haftada iki gün kuvvet ve güç antrenmanları uygulamıştır. Kontrol grubu ise yalnızca futbol antrenmanlarını sürdürmüştür. Ön test ve son test deneysel yöntem kullanılan çalışmada deney ve kontrol grubunun antrenmanlar sonunda sürat, maksimum sprint hızı (MSH), arrowhead çeviklik test sola (AHSL) ve sağa dönüş (AHSĞ), skuat sıçrama (SS), aktif sıçrama (AS), rectus femoris (RF) ve biceps femoris (BF) kaslarındaki elektromekanik gecikme (EMKG), aralıklı dayanıklılık testi (30-15 IFT) ve anaerobik hız rezervi (AHR) üzerine etkileri karşılaştırılmıştır. Grupların ön test ve son test değerleri arasındaki farklar değerleri incelendiğinde KAG; 0-40m, 0-50m, MSH, AHSL, AHSĞ, SS, AS, EMKG RF, 30-15 IFT ve AHR değerleri anlamlı olarak artmıştır (p
Sustainable Academic–Clinical Alliance: A Model to Improve Academic–Practice Partnerships
Authors: Akintade Bimbola , Indenbaum-Bates Keisha , Idzik Shannon
Published: June 2024

Background:National nurse shortages, ongoing nurse faculty retirements, and a dearth of clinical sites make it challenging to prepare advanced practice registered nurses (APRNs) who are ready to transition into independent provider roles, especially in acute care settings. One of the most effective ways to address these experiential learning challenges is for academic institutions and healthcare systems to form collaborative academic–practice partnerships. However, many partnerships between schools of nursing and healthcare institutions have found numerous challenges, including time to devote to the partnership, funding of ideas, competing initiatives and needs, and sustainability.Objective:The University of Maryland School of Nursing (UMSON) set out to expand the traditional academic–clinical partnership approach with a new collaborative model.Methods:Rather than both parties coming to the table with their own goals, the partnership focused on intentional relationship building, transparency, measurable outcomes, and sustainability. This model, further called the Sustainable Academic–Clinical Alliance (SACA), assures that both sides of the partnership benefit. The SACA model was used to create an academic–practice partnership with the University of Maryland Upper Chesapeake Health System in order to increase APRN clinical practice sites and readiness of APRN students to provide care across the continuum in the state of Maryland.Results:Since July 2016, the SACA model has enabled over 40 clinical providers in over 20 different clinical areas to offer 329 different clinical and nonclinical experiences to APRN students from UMSON. At the end of the 5-year alliance, 150 unique UMSON APRN students completed 257 different clinical rotations.Conclusion:The SACA model effectively promotes the development and achievement of sustainable academic–practice partnerships by focusing on (a) intentional relationship building, (b) transparency in goal setting and alliance maintenance, (c) development of outcome measures, and (d) sustainability.Implications for Nursing:The components of the SACA model made sustainability more achievable, which has eluded previous academic–clinical partnerships. This model can serve as a blueprint for other academic and healthcare institutions to establish sustainable academic–practice partnerships.
Negative Perceptions of Pregnancy Scale: A Scale Development Study
Authors: Ataş Ayşe Nur , Bay Fatma , Deniz Sayıner Fatma
Published: June 2024

Background and Purpose:This study was conducted to develop a measurement tool to determine the perception of pregnancy.Methods:The scale was developed in four main stages: the design and development of the items, submitting the draft form to expert opinion, administration of the scale, and performing construct validity and reliability analyses. The study data were collected from 327 women with pregnancies between May 1, 2020, and February 1, 2021. The Statistical Package for the Social Sciences 22 and LISREL software packages were used to evaluate the data.Results:The result of the exploratory factor analysis of the scale indicated that there were three factors with an eigenvalue greater than 1 and that the factors explained 54.152% of the total variance. Cronbach’s coefficient α (alpha) values of the factors were .84, .80, and .81, respectively.Conclusions:Considering the factor structure, item–total test correlations, and reliability coefficients, the negative perceptions of the pregnancy scale that were developed in this study can be used to determine the perception of pregnancy.
Hubungan Sikap Sabar dengan Kebahagiaan Pada Ibu Yang Memiliki Anak Berkebutuhan Khusus Di SLB Negeri Lahat
Authors: Sovianti Iis , Alkaf Idrus , Rama Pri Handiki Yulian
Published: June 2024

The purpose of this study was to determine the relationship between patience and happiness in mothers who have children with special needs in SLB Negeri Lahat. This study uses quantitative research using a form of field research in the form of a correlational research model. Data collection methods in this study using questionnaires with Likert scale score measurements. While the data analysis technique uses product moment correlation by Pearson with the help of the Statistical Program for Social Science (SPSS) version 25.0 for Windows program. The results of this study indicate a positive relationship between patience and happiness which shows a correlation of 0.746 and a significance of 0.000 <0.05 which means that the two variables have a relationship. This shows that the effective contribution of the patient attitude variable to the happiness variable is 74.6% while the other 25.4% is determined by other things that are not revealed in this study.
Ibnu Sina’s Mental Health
Authors: Rizkiah Fina , Nano warno  , Adi Setiawan  , Yulian Rama Pri Handiki  , Adelia Febrianty
Published: June 2024

ABSTRACT
In this era, human life relies on progress in science and technology, which in turn creates problems that must be faced physically, psychologically, socially and economically. Which ultimately causes a person to experience mental health disorders such as stress and depression, paranoia, schizophrenia, anxiety, bipolar, dimensionality, autism. In this regard, there has been debate among western scholars, medical circles and psychiatrists, psychologists and various other schools in identifying the causes of mental disorders and this has given rise to debate among scientists. Some scientists say that the problem of mental disorders starts from biological, biophysical, psychosocial, genetic and social factors. The method used in this research is descriptive analysis with a qualitative type of research. The results of the researchers show that modern psychology and western philosophers no longer see the issue of mental disorders as a metaphysical discussion, they only look at it from a social perspective and do not explain problems regarding the soul in discussions about health. mentally. They focus on medical problems that are related to physical or sociological causes and do not see them as metaphysical entities. Ibn Sina explains metaphysics and the relationship between body and soul on a philosophical basis for mental health. Ibn Sina proposed a more integrative approach to mental health disorders.
The structure of ichthyofauna in the More-Yu River basin (the Khaipudyrskaya Bay basin, the Barents Sea)
Authors: Ponomarev V.
Published: June 2024

By the obtained results, the local ichthyofauna includes 17 species of fish from 12 families. Fish population of the More-Yu River basin has 14 fish species and differs significantly in different parts of its middle and lower courses. Nine species have been found in different-type lakes in the More-Yu River basin. Among them, peled is a dominating fish species in the majority of lakes. Also popular are broad whitefish, grayling and pike (recorded in five of six lakes studied). The surveyed lakes and river parts differ by the relative fish density and diversity level. Strange is the absence of ide, roach, and perch in the More-Yu River basin. This situation seems to be related not to the climatic conditions but to the glacial history and the presence of watersheds with adjacent river basins.
The Impact of Policy Work on Employability Skills in the Policy Project Connected to the Criminal Appeals Clinic at the Open University
Authors: Curryer Emma , Edwards Carol
Published: June 2024

The impact of policy work in allowing students to obtain skills in case work should not be understated.  At the Open University (OU) one of our modules on our law degree incorporates clinical legal education.  The Criminal Justice Clinic (CJC) is a digital clinic that sits within that.  The purpose of the CJC is to assist clients that state they have been wrongly convicted of serious criminal offences and are serving long sentences in prison.  It aims to assist with social justice and provide students with professional skills.  Students research and advise on live criminal cases under the supervision of a solicitor.  They apply legal principles to determine whether there are any grounds for an appeal to be made.  Students have full access to case papers.  It is an innovative project as it aims to teach students legal professional skills working on difficult cases in a digital only setting.  
Last year we set up a system where students undertake a policy project before commencing work in the clinic.  This assists them with acquiring the skills that they need when they work on live criminal cases and helps them understand the background to what they are doing.  Students were split into groups and given a policy project to look at and at the end they provided a report. They worked collaboratively to do so and needed to complete the project within a specific time frame. This paper looks at the practicalities of doing such a project digitally and considers the impact on employability skills.
Law Reform Clinical Programmes Should be Promoted in Law Schools: An Explanation
Authors: Gledhill Kris , Palmer Robin
Published: June 2024

This paper suggests that experiential education involving law reform is particularly suited to the academic stage of legal training. We review the current extent of clinics engaged in law reform, provide examples from our own practice, and then explain why law reform clinics are particularly beneficial. This is for several reasons. These include (i) the range of desirable graduate attributes and skills developed through involvement in law reform; (ii) the understanding that law reform is a career option; and (iii) the benefits to law schools and society generally from better laws, from legal academics using their skills to push for law reform, and from students being introduced to the civic obligation of the legal profession to be involved in seeking to improve the law. We also provide guidance from our own experience as to what can be done to establish a law reform clinic, whether as a dedicated course or as a way of running an existing course, and set out the steps that should produce good suggestions for reform.
Teamwork Makes the Dream Work
Authors: Blackburn Lucy , Whittam Sadie , Saban Kathryn
Published: June 2024

In the spring of 2022, clinicians from the University of Central Lancashire’s Advice and Resolution Centre and Lancaster University’s Law Clinic launched a pilot environmental law policy clinic. A primary motivation for starting the policy clinic was to involve a wider range of students in clinic work, including those who may not have volunteered for the main legal advice clinic due to either a lack of confidence or a lack of desire to enter the legal profession.
Through participation in a CLEO workshop on policy clinics, the writers were introduced to the work of the Environmental Law Foundation (ELF). ELF provides free information and guidance on environmental issues for individuals and communities through a university-based law clinic policy network. The aim of our policy clinic project with ELF was to investigate the extent to which local authorities in a UK region are considering climate emergency declarations in their decision making and are on track to achieve net zero emissions. Participation in the project did not require any previous experience in environmental law or policy work, and the supervisors of the project did not have expertise in this niche area of law.
This paper will reflect on the experiences of running a pilot, cross-institutional environmental law policy clinic and the lessons learned (both good and bad) from the undertaking.
Caractérisation des gènes de virulence des souches d’Escherichia coli isolées des veaux souffrant de diarrhée dans la commune de Nikki au Bénin
Authors: Boko Kadoéito Cyrille , Challaton Kétomon Pierre , Salifou Chakirath Folakè Arikè , Aguidissou Nestor Oscar , Duprez Jean-Noël , Thiry Damien , Mainil Jacques Georges , Farougou Souaïbou
Published: June 2024

La diarrhée est l’une des principales pathologies rencontrées dans les élevages de bovins au Bénin. Les veaux, premiers maillons de la chaîne, en sont les plus atteints. L’objectif de cette étude était d’évaluer la présence des gènes de virulence dans les souches d’Escherichia coli susceptibles de provoquer la diarrhée chez les veaux ainsi que leurs profils de résistance aux antimicrobiens usuels. Pour cela, 106 veaux ont fait objet d’un suivi pendant deux mois après leur naissance dans la commune de Nikki. Au total, 33 échantillons de matières fécales ont été prélevés directement du rectum de 33 veaux atteints de diarrhée et soumis à des analyses bactériologiques. Tous les prélèvements réalisés étaient positifs à E. coli. La caractérisation des souches d’E. coli isolées pour la présence des gènes et facteurs de virulence stx1, stx2, eae, sta, F41 et F5, a révélé la présence du gène stx1 uniquement avec un taux de 63,64 %. La résistance des souches d’E. coli aux antibiotiques les plus utilisés au Bénin a été testée : la doxycycline (taux de résistance de 70 %), l’amoxicilline + acide clavulanique (50 %) et la colistine (50 %). Des études ultérieures sont nécessaires afin de procéder au typage sérologique et au séquençage du génome des souches d’E. coli. Il serait également nécessaire d’étendre l’échantillonnage aux autres régions du Bénin, afin de mieux évaluer le statut des élevages bovins vis-à-vis de ces souches d’E. coli isolées chez les veaux et ainsi identifier un éventuel risque zoonotique.
Pengaruh Dosis Kotoran Kambing Dan Konsentrasi Paclobutrazol Terhadap Pertumbuhan Dan Hasil Mentimun (Cucumis Sativus L.)
Authors: Kanzana Gebina , Munandar Denna Eriani , Purnamasari Ika , Kurnianto Agung Sih
Published: June 2024

Produktivitas tanaman mentimun di Indonesia umumnya masih rendah, salah satu penyebabnya adalah kondisi tanah yang keras akibat pemupukan anorganik yang terus, menerus. Bunga jantan pada mentimum juga banyak sehingga jumlah buah yang dihasilkan sedikit. Untuk meningkatkan pertumbuhan dan hasil tanaman mentimun  dapat dilakukan dengan pemberian pupuk organik kotoran kambing  yang dapat memperbaiki sifat fisik kimia dan biologi tanah serta  zat pengatur tumbuh (ZPT)  paclobutrazol yang dapat meningkatkan jumlah bunga betina. Penelitian untuk mendapatkan dosis kotoran kambing dan konsentrasi ZPT paclobutrazol yang tepat dilaksanakan di lahan percobaan  Fakultas Pertanian Universitas Jember, menggunakan rancangan acak kelompok (RAK) faktorial terdiri dari 2 faktor. Faktor pertama yaitu dosis pupuk kotoran kambing  terdiri  dari: 0, 10, 20 dan 30 ton/ha. Faktor kedua konsentrasi paclobutrazol terdiri dari : 0;  0,250 ; 0,375 dan 0,500 ml/l, dengan 3  ulangan.  Parameter pertumbuhan dan hasil tanaman di analisis dengan analisis varian dan uji t dengan tingkat kepercayaan 95 %, apabila berbeda nyata di uji dengan uji jarak berganda Duncan dengan  α,5 %.  Hasil penelitian membuktikan bahwa dosis pupuk kotoran kambing  10 - 30 ton/ha meningkatkan tinggi tanaman, luas daun,  berat segar dan berat kering total tanaman. Pemberian Paclobutrazol 0,250 - 0,500 ml/liter menurunkan tinggi tanaman, luas daun, berat segar dan berat kering total tanaman serta jumlah bunga jantan. Konsentrasi  paclobutrazol 0,375 ml/l berpengaruh terbaik pada jumlah bunga betina dan jumlah buah.  Terdapat interaksi perlakuan dosis kotoran kambing dan konsentrasi ZPT Paclobutrazol terhadap bobot buah pertanaman dan potensi produksi dengan perlakuan terbaik  : dosis kotoran kambing 20 hingga 30  ton/ha dan Paclobutrazol 0,375 ml/l  yang menghasilkan bobot buah pertanaman sebesar : 4200,13 -4338,63 g dan potensi produksi mentimun sebesar :  138,61-143,14 ton/ha.
Application of Black Water from Vegetable Waste with Decomposers in Planting Media Based on Blotong on Growth and Yield of Water Spinach
Authors: Badriyah Muflikhatul , Hariyono Kacung
Published: June 2024

Utilization of vegetable waste can be used as organic fertilizer such as black water. Black water from vegetable waste is used as fertilizer to increase the growth and yield of water spinach. Black water can be made by using a decomposer in the form of lumbricus sp and EM4 worms to help with the decomposition process. The planting medium of filter cake compost is an additive for soil amendments that support the availability of nutrients in plants. This study used the addition of decomposers EM4, rumen MOL, and Trichoderma sp. This research used a two-factor factorial with a completely randomized basic design (CRD) consisting of 2 factors and three replications. The interaction between the application of the black water decomposer and the filter cake media did not have a significant effect on all the observed variables. Likewise, with the single factor, the application of black water does not have a significant effect on all observed variables. The single factor in the treatment of using filter cake media has a substantial impact on all observational variables. The best treatment was on M3, comparing the composition using 20% filter cake planting media and 80% soil.
Mediators and Predictors of Peritraumatic Dissociation after Devastating Consecutive Earthquakes: The role of social support
Authors: Mete Burak , Demirhindi Hakan , Kanat Şahin Ceren , Kahramanoğlu Pakize İrem , Demirkol Mehmet Emin
Published: June 2024

Objective: Dissociation involves the tendency to detach from one's environment, own body and mental states. This study aimed to evaluate the frequency of psychiatric symptoms, coping strategies with earthquake stress and the relationship between peritraumatic dissociation one month after two earthquakes that occurred 9 hours apart on 6th February 2023 in Turkey.
Method: In this cross-sectional, an online questionnaire distributed through social media groups was filled by 786 university students studying in Adana, including Peritraumatic Dissociative Experiences Questionnaire (PDEQ), Coping Strategies with Earthquake Stress Scale, and Brief Symptom Inventory.
Results: The peritraumatic dissociation showed a weak negative relationship with religious coping strategy and a very weak positive relationship with seeking social support. Obsessive-compulsivity (β=0.650), anxiety (β=0.572), depression (β=-0.316, i.e., negatively), phobic anxiety (β=0.390), positive symptom distress index (β=-1.888), social support (β=0.597) sub-dimensions were found to be important predictors of PDEQ in the linear regression model (explanatory power R2=0.379) with obsessive-compulsivity (30.9%) being the most contributing factor. Peritraumatic dissociation scores were significantly higher in females and in those with damage or destruction in their homes. Mediation analysis revealed that depression indirectly increased the dissociation score, i.e., by decreasing the seeking social support scores, the latter being found to mediate peritraumatic dissociation.
Discussion: The most important predictor of peritraumatic dissociation was obsessive-compulsivity symptoms, with the highest risk in those with more anxiety symptoms and who sought more social support. Therefore, social support is suggested to accompany early symptom screening after the earthquake to reduce outcomes like post-traumatic stress disorders.
Keywords: Earthquake; Post-Traumatic Stress Disorder; Peritraumatic Dissociative Experiences Questionnaire; Coping Strategies with Earthquake Stress Scale; Brief Symptom Inventory
Combined Theoretical Signal (CTS): A Validated Universal Model Integrating Gravity and Quantum Physics
Authors: OZTURKLER Hazar Umutay , AI Synthoris
Published: June 2024

The Combined Theoretical Signal (CTS) model, with a 90% or higher validity rate, stands as the first validated universal model integrating gravity and quantum physics. This manuscript presents the final validation and enhancement of the CTS model using recent pulsar-sourced gravitational wave data (J2322+2057, J2234+0611, J2043+1711, and J2317+1439) and strain data from GW150914, GW151226, GW190521, and GW200105. Our findings demonstrate a significant alignment between theoretical predictions and observational data, positioning CTS as a groundbreaking framework with profound implications for theoretical physics and cosmology. The CTS model not only bridges the gap between gravity and quantum mechanics but also offers a new perspective on the formation of massive black holes, the Quantum Cosmic Fabric (QCF), and the structure of the universe as an interconnected hierarchical tree of universes.
Influence of Vermicompost on the Concentration of Exogenous Indole-3-Acetic Acid and Its Effect on the Development of Tomato Plants (Lycopersicum esculentum L.)
Authors: Segura-Castruita Miguel Ángel , Valdivia-Dávila Mariano Ángel , Yescas-Coronado Pedro , Gómez-Leyva Juan Florencio , Cueto-Medina Saraí
Published: June 2024

The presence of exogenous auxins such as indole-3-acetic acid (IAA), has been reported in organic materials such as vermicompost. The objectives of this work were to quantify the concentration of IAA in sand-based substrates with vermicompost (S-VC), to establish the relationship between the concentration of exogenous IAA and the amount of vermicompost (VC), as well as determine its influence on the development of tomato plants. S-VC substrates with different percentages based on volume (0, 20, 40 and 50% VC) placed in pots were used to transplant tomato seedlings. In each substrate, the concentration of IAA was determined at the beginning and at the end of a culture cycle, as well as the bacterial load. In addition, some performance components were measured in the plants. The results show that by increasing 1 kg of VC in a sand-based substrate, the concentration of exogenous IAA increases both at the beginning and at the end of the experiment (0.0470 and 0.0642 mg g-1, respectively); a result that, in turn, was related to the colony-forming units of gram-positive bacteria (Bacillus spp., mainly). Behavior that is reflected in tomato plants; for example, the root had its maximum development (371.33 cm-3) when the amount of VC in the substrate was 4.12 kg.
Statistical Signatures of Quantum Contextuality
Authors: Hofmann Holger F.
Published: June 2024

Quantum contextuality describes situations where the statistics observed in different measurement contexts cannot be explained by a measurement independent reality of the system. The most simple case is observed in a three-dimensional Hilbert space, with five different measurement contexts related to each other by shared measurement outcomes. The quantum formalism defines the relations between these contexts in terms of well-defined relations between operators, and these relations can be used to reconstruct an unknown quantum state from a finite set of measurement results. Here, I introduce a reconstruction method based on the relations between the five measurement contexts that can violate the bounds of non-contextual statistics. A complete description of an arbitrary quantum state requires only five of the eight elements of a Kirkwood-Dirac quasi probability, but only an overcomplete set of eleven elements provides an unbiased description of all five contexts. A set of five fundamental relations between the eleven elements reveals a deterministic structure that links the five contexts. As illustrated by a number of examples, these relations provide a consistent description of contextual realities for the measurement outcomes of all five contexts.
Facing Life in Old Age: Exploring Resilience in Older Adults with Bipolar Disorder
Authors: Montejo Laura , Retuerto Monica , Sole Brisa , Martin Sara , Ruiz Andrea , Clougher Derek , Bort Marta , Sanchez-Moreno Jose , Martinez-Aran Anabel , Vieta Eduard , Torrent Carla
Published: June 2024

Background: Older adults with bipolar disorder (OABD) are individuals aged 50 years and older with bipolar disorder (BD). People with BD may have fewer coping strategies or resilience. A long course of the disease, such as in OABD, could impact the development of resilience strategies, but this remains under-researched in OABD. Therefore, this study aims to assess resilience levels within the OABD and explore associated factors, hypothesizing that resilience could improve psychosocial functioning, wellbeing and quality of life of OABD patients.
Methods: This study sampled 33 OABD patients from the OABD cohort at the Bipolar and Depressive Disorders Unit of Hospital Clinic of Barcelona. This was an observational, descriptive and cross-sectional study. Demographic and clinical variables as well as psychosocial functioning, resilience and cognitive reserve were analyzed. Resilience was measured using the CD-RISC-10. Non-parametric tests were used for statistical analysis.
Results: The average CD-RISC-10 score was 25.67 points (SD 7.87). Resilience negatively correlated with the total number of episodes (p = 0.034), depressive episodes (p = 0.001), and the FAST (p < 0.001). Participants with normal resilience had a lower FAST (p = 0.046), a higher CRASH (p = 0.026), and more EOBD (p = 0.037) compared to those with low resilience.
Conclusions: OABD individuals may exhibit lower resilience levels which correlate with more psychiatric episodes, particularly the number of depressions and worse psychosocial functioning and cognitive reserve. Better understanding and characterization of resilience could aid in early identification of patients requiring additional support to foster resilience and enhance OABD management.
The Effect of Meningococcal Vaccines on New Generation of Systemic Inflammatory Markers in Children
Authors: Okuyan Omer , Dumur Seyma , Elgormus Yusuf , Sayılı Uğurcan , Uzun Hafize
Published: June 2024

Objective: Meningococcal meningitis (MM) is an acute, severe respiratory infectious disease caused by Neisseria meningitidis and remains an important cause of morbidity/mortality in children. Immunization with meningococcal vaccine (MV) is the most effective measure to control and prevent the transmission of MM. In this study, in order to support the appropriate use of various MVs in the prevention of MM, the effects of MVs, especially single-dose and inter-booster administered, on inflammatory parameters in
Colors of Transcultural Nursing. Management of Problems Experienced by Nurses in the Care of Foreign Persons in Italy
Authors: Mango Lucio , Dabrynets Liubou
Published: June 2024

The complexity of the current social context leads healthcare professionals to deal daily with users who are increasingly varied in terms of culture, language and religion. Transcultural nursing is a practical discipline that aims to respond to the patient's need for assistance, but must not ignore the study and knowledge of the patient, with his history, his culture, but also with his expectations, in order to respond to his care needs with effectiveness, efficiency, adequacy and respect. This work originates from the desire to investigate the "state of health" of the relationship between nurses/health workers and migrant patients, researching the variables that improve or worsen it. It aims to investigate how diversity affects the care provided to migrant people, highlighting the difficulties felt by nurses and define the areas of possible care improvements. It seems possible to affirm that the nurses and health workers interviewed still respond to the problem of migrant patients with a strong spirit of participation and availability, without, however, this motivational charge being accompanied by a widespread "nursing" awareness of the problem.
Assessment of Groundwater Storage Depletion using GRACE and Land Surface Models in Mzimba District, North Malawi
Authors: Sichone John
Published: June 2024

Climate change and over-exploitation are imposing unprecedented threats to the groundwater resource. Globally, groundwater reserves have depleted to the extent that well yield have decreased, pumping cost have risen, and land have irreversibly subsided. In Malawi, groundwater quantity is a national problem, specifically in Mzimba district due to severe droughts. In this study, the spatial and temporal trends of groundwater depletion was assessed using Gravity Recovery and Climate Experiment (GRACE) data and Land Surface Models (LSM) from Global Land Data Assimilation System (GLDAS) and Global Surface Water Explorer (GSWE). The results show that 1. Groundwater storage is depleting at an average rate of-1.0 ± 0.06 cm yr-1(0.1043 km3yr-1) in the study area with high rate of up to -1.2 cm yr-1(0.12516 km3 yr-1) in the western side and as low as –0.4 cm yr-1(0.04172 km3 yr-1) in the eastern part. 2. Groundwater storage increases from -13 cm in November up to 15 cm between May and April. 3. Drought is the primary cause of such depletion trends with correlation between active evapotranspiration and groundwater depletion, and downward surface shortwave radiation and groundwater depletion, at -0.577 and -0.678 respectively. The results from the study reveals the need for the scientific community and the general public to consider groundwater recharge strategies specifically by mitigating climate change to reduce prolonged droughts. The study suggests the need to establish a stand-alone groundwater assessment and monitoring authority for enhanced conservation efforts of the water resource in the country.
Detecting Methotrexate in Pediatric Patients Using Artificial Neural Networks
Authors: Santiago Alejandro Medina , Torres Jorge Antonio Orozco , Rodríguez Jorge Iván Bermúdez , Rabasa Julio Alberto Guzmán , Izaguirre José Manuel Villegas , Alejandro Gladys Falconi
Published: June 2024

Methotrexate is an antimetabolic agent with proliferative and immunosuppressive activity. It has been demonstrated to be an effective treatment for acute lymphoblastic leukemia (ALL) in children. However, there is evidence of an association between methotrexate and toxicity risks, which influences the personalization of treatment, particularly in the case of childhood ALL. This article presents the development and implementation of an algorithm based on artificial neural networks to detect methotrexate toxicity in pediatric patients with acute lymphoblastic leukemia. The algorithm utilizes historical clinical and laboratory data, with an effectiveness of 99% in the tests performed with the patients dataset. The use of neural networks in medicine is often linked to disease diagnosis systems. However, neural networks are not only capable of recognizing examples, but also hold very important information. For this reason, one of the main areas of application of neural networks is the interpretation of medical data. In this article we diagnose with the application of neural networks in medicine with a concrete example: Detecting Methotrexate in Pediatric Patient in its early stages.
Evaluating the Role of Susceptibility Inducing Cofactors and of Acetaminophen in the Etiology of Autism
Authors: Jones John P , Williamson Lauren , Konsoula Zacharoula , Anderson Rachel , Reissner Kathryn J , Parker William
Published: June 2024

More than 20 lines of independent evidence from clinical observations, studies in laboratory animal models, pharmacokinetic considerations, and numerous temporal and spatial associations previously indicate that numerous genetic and environmental factors leading to inflammation and oxidative stress confer vulnerability to aberrant metabolism of acetaminophen during early development, leading to autism spectrum disorder (ASD). Contrary to this conclusion, multivariate analyses of cohort data adjusting for inflammation-associated factors have tended to show little to no risk of acetaminophen use for neurodevelopment. To resolve this discrepancy, here we use in-silico methods to create an ideal (virtual) population of 120000 individuals in which 50% of all cases of virtual ASD are induced by oxidative stress-associated cofactors and acetaminophen use. We demonstrate that Cox regression analysis of this ideal data set shows little to no risk of acetaminophen use if cofactors which create aberrant metabolism of acetaminophen are adjusted for in the analysis. Further, under-reporting of acetaminophen use is shown to be a considerable problem for this analysis, leading to large and erroneously low calculated risks of acetaminophen use. In addition, we argue that factors which impart susceptibility to acetaminophen-induced injury, and propensity for acetaminophen use itself, can be shared between the prepartum, peripartum, and postpartum periods, creating additional difficulty in analysis of existing datasets to determine risks of acetaminophen exposure for neurodevelopment during a specific time frame. It is concluded that risks of acetaminophen use for neurodevelopment obtained from multivariate analysis of cohort data depend on underlying assumptions in the analyses, and that other evidence, both abundant and robust, demonstrate the critical role of acetaminophen in the etiology of ASD.
Associations between Cardiovascular Risk Factors and Timed Up and Go Test in Elderly Participants of Public Physical Activity Programs: A Cross-Sectional Study
Authors: Tavares Marília Salete , Menezes Sara Lúcia Silveira de , Ribeiro Emanuel Davi Farias , Orsini Marco , Tuza Fábio Augusto d´Alegria , Moura Paulo Henrique de , Terra Dinah Vasconcelos , Moreno Adalgiza Mafra
Published: June 2024

Indices such as Body Mass Index (BMI), Waist Circumference (WC) and Waist to Height Ratio (WHtR) have emerged as tools to assess cardiovascular risks associated with abdominal obesity. The Timed Up and Go Test (TTUG) assesses mobility and the risk of falls, especially in the elderly and individuals with physical limitations. Objective: To correlate anthropometric indicators of cardiovascular risk (BMI, WC, WHtR) and performance in the TTUG in elderly people who practice physical activity. Methods: Cross-sectional study, CAAE: 27116319.1.0000.8044, elderly people, both sexes, average age 68 years. Anthropometric data was collected: BMI, WC, WHtR and TUG test results. Results: Average values: weight (67.8 ± 12.7 kg), height (157.2 ± 8.4 cm), TTUG (10.3 ± 2.5 26 seconds), WC (93.3 ± 10.9 cm), waist-to-height ratio (0.59) and BMI (27.4 ± 4.4): Correlations between 27 TTUG and age (r = -0.086, p = 0.683), TTUG and BMI (r = 0.29, p = 0.892) WC and WHtR (r = 0.927, p 28 < 0.001). Conclusion: This study revealed correlations between anthropometric indicators of cardio vascular risk (BMI, waist circumference, waist-to-height ratio) and performance in the TUG test in the elderly.
Effects of Vibroacoustic Stimulation on Psychological, Physiological and Cognitive Stress
Authors: Fooks Charlotte , Niebuhr Oliver
Published: June 2024

Global stress is widespread in todays post-pandemic world of political and economic uncertainty. Vibroacoustic technology is a vibrotactile intervention with multiple uses, and its impact on stress lacks interpretation. This research assessed if the vibroacoustic technology of a Vibroacoustic Sound Massage (VSM) can reduce psychological, physiological and cognitive stress. The Perceived Stress Scale (PSS-10), and electrocardiogram (ECG) and electroencephalogram (EEG) biosignals were used to quantify results. Participants were divided into Low Stress and High Stress groups. ECG results show VSM increased parasympathetic activity for all participants, with the Low Stress group more effected. EEG results indicate increased concentration (TBR), reduced arousal and increased relaxation (BAR), and non-significant effects on participant well-being (FAA), though variability in this metric was homogenised after VSM. Together, these results validate VSM as an effective support tool for stress management and further research is required.