bluuebunny/crossref_metadata_2025 huggingface dataset:
Whole genome sequencing analysis and biofilm formation in Salmonella Enteritidis PT4 578
Authors:   , Carneiro Deisy Guimarães
Published: August 2023

Salmonella is an important and versatile foodborne pathogen responsible for numerous infections and deaths worldwide. The difficulty of controlling and eradicating this pathogen is related to its ability to form complex aggregates of cells, called biofilms. In a biofilm, cells are surrounded by a matrix of self-produced extracellular polymeric substances that protect against various types of stress, such as desiccation, sanitization, and host defense. The Salmonella biofilm matrix is composed mainly of curli fimbriae and cellulose. A highly complex genetic network regulates the synthesis of these components. The main regulators associated with biofilm formation are the CsgD protein and the bis-(3'-5')-cyclic dimeric guanosine monophosphate (c-di-GMP), which activate the biosynthesis of most polymers. Quorum sensing, a cellular communication mechanism, is also described as an important regulator of biofilm formation in Salmonella. The objective of the present work was to sequence the genome of Salmonella enterica Enteritidis PT4 578, analyze the main characteristics related to virulence and biofilm formation, and compare the genome and morphotype formation, biofilm and motility phenotypes with four related serotypes. Furthermore, evaluate the influence of temperature, atmosphere, and quorum sensing on biofilm formation by this serotype. Genome analyzes showed that Salmonella Enteritidis PT4 578 has 165 virulence genes, representing 3.66% of the coding sequences. Twelve Salmonella pathogenicity islands (SPI) were identified, some extremely conserved, such as SPI1 and SPI2, that encode the apparatus of intracellular invasion and colonization,. A total of thirteen gene clusters related to fimbriae biosynthesis, including the csg operon, were also annotated. Under aerobic and anaerobic conditions, Salmonella Enteritidis PT4 578 can form a biofilm on stainless steel coupons at 28 °C and only under aerobic conditions at 37 °C. However, adding of N-hexanoyl homoserine lactone (C12-HSL) to the anaerobic culture medium reverses the biofilm formation phenotype at 37 °C. In this condition, C12-HSL increased the expression of the adrA gene, a diguanylate cyclase related to the synthesis of c-di-GMP and the luxS gene, which is part of another quorum sensing mechanism that uses autoinducer-2 (AI-2), present in Salmonella. Although it did not influence biofilm formation at 28 ºC, C12- HSL also increased luxS expression. The data presented here reinforce the role of conditions of atmosphere and temperature, as well as quorum sensing in Salmonella biofilm formation. Finally, it reports a possible connection between this pathogen's two main quorum sensing mechanisms. Understanding the factors that influence Salmonella biofilm formation can contribute to developing control and eradication strategies. Keywords: Genome analyses. Biofilm. Quorum sensing.
Hasta ile ilk karşılaşma: Yaptıklarım yeterli mi?
Authors: BARKAY Orçun , KARAKEÇİLİ Faruk
Published: August 2023

Amaç: Edinsel immün yetmezlik sendromu (AIDS), günümüze kadar birçok yaşamı etkilemiştir. Sadece 2021 yılında yaklaşık 1,5 milyon [1,1-2 milyon] yeni tanı alan olgu ve 650.000 [510.000-860.000] insan immün yetmezlik virusu (HIV) ile ilişkili ölüm saptanmıştır. Kronik aktif bir enfeksiyon olarak tanımlanabilecek olan bu enfeksiyonun yönetiminde hasta ile ilk karşılaşmada yapılması gerekenler hayati önem arz ettiği için tekrar gözden geçirilmesi amaçlanmıştır.

Gereç ve Yöntemler: HIV/AIDS rehberleri, kitaplar taranmış ve bu aşamada yapılması önerilenler derlenmiştir.

Bulgular: Hastalık, sadece kişinin fiziksel olarak sağlığını bozmakla kalmayıp ek olarak damgalanma korkusu, aile içi baskı, toplum baskısı gibi birçok psiko-sosyal probleme de neden olmaktadır. Hatta bu durumlar, çoğu zaman hastayı hastalığın seyrinden daha çok etkilemektedir. Tanı ve tedavi öncesinde her hastalıkta olduğu gibi anamnez ve fizik muayene çok önemlidir. Anamnez, diğer hastalıklardan farklı, özellikli olarak daha da derinleştirilerek alınmalıdır. Hastaların hastalığı hakkında her atılacak adımda detaylı olarak bilgilendirilmesi, hasta-hekim güven ilişkisi kurulması gereklidir. Tanı, tedavi ve takipte viral yük, CD4 pozitif T lenfosit sayısı gibi spesifik ve hemogram, biyokimyasal parametreler gibi non-spesifik testler istenmelidir. Gerekirse diğer branşlar ile iş birliği içinde hasta yönetilmelidir.

Sonuç: HIV/AIDS yönetiminin temelini hasta ile ilk görüşme oluşturmaktadır.
The Role of Uric Acid to HDL Cholesterol Ratio in Predicting Myocardial Ischemia in Myocardial Perfusion Scintigraphy in Diabetic Patients
Authors: AFŞİN Hamdi
Published: August 2023

The Role of Uric Acid to HDL Cholesterol Ratio in Predicting Myocardial Ischemia in Myocardial Perfusion Scintigraphy in Diabetic Patients

Abstract

Objective: Diabetes Mellitus (DM) is a significant risk factor for cardiovascular diseases, particularly myocardial ischemia. Both diabetes mellitus type 2 and cardiovascular conditions are characterized by a high burden of inflammation. The uric Acid to High-Density Lipoprotein cholesterol ratio (UHR) has been suggested as a novel marker of metabolic and inflammatory diseases. Hence, this study investigated the predictive role of the Uric Acid to High-Density Lipoprotein cholesterol ratio (UHR) in myocardial ischemia detected by Myocardial Perfusion Scintigraphy (MPS) in diabetic patients.

Materials and Methods: This study included patients who underwent MPS between January 2022 and March 2023 at the Nuclear Medicine Department of Abant Izzet Baysal University Hospital. Based on the MPS results, the participants were divided into normal perfusion and myocardial ischemia. Variables such as age, sex, leukocyte count, hemoglobin, hematocrit, platelet count, serum uric acid, urea, creatinine, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglyceride, transaminase, blood fasting glucose, C-reactive protein, and serum albumin were recorded and compared between the groups.

Results: Among the 73 diabetic patients, 37 had myocardial ischemia, and 36 had normal MPS. Serum uric acid levels were higher in the ischemic group (6.3 ± 1.5 mg/dL) than in the normal group (5.1 ± 1.8 mg/dL) (p
The Effectiveness Of Employing Interactive Video In Teaching Social And National Education In Developing Students' Communication Skills
Authors: Hassan Salsabil
Published: August 2023

The study aimed to reveal the effectiveness of employing interactive video in teaching social and national education in developing communication skills among students. The study sample was distributed into two groups: an experimental group (25) students and a control group (23) students. The results showed that there were statistically significant differences in communication skills, and that the difference was in favor of the experimental group who were exposed to the interactive digital video teaching method compared to the group members. In light of this, the study presented a set of recommendations, most notably the necessity of using interactive video in teaching and enhancing it with pictures, video clips and effects that develop communication skills among students. The Internet, projectors and more.
Assessment of Mothers' Knowledge about Premature infants with cerebral palsy in the Maternity and Children Hospital in Diwaniyah City
Authors: Marhoon Aqeel Abd Al-Hamza , Hadi Sabri Shather , ALjebore Haider.Kadhum
Published: August 2023

Background: Cerebral palsy is one of the most common health problems for premature babies. About 1 to 2 out of every 1,000 babies born at full term will develop cerebral palsy. For babies born at less than 37 weeks of gestation, the risk is twice as high, nearly 100 out of 1,000 live births. Objectives: Assessing mothers' knowledge Premature infants with cerebral palsy. Finding a relationship between demographic information and Premature infants with cerebral palsy.  Methodology: A descriptive questionnaire-based study conducted at mothers from (20 October 2021 to the 17 May 2022). Non probability (purposive) sample of 50 of women's selected from maternity and Child Hospital in Diwaniyah City. The demographic characteristics were obtained through interview with the mothers. The statistical analysis program SPSS was used to analyze the data entered in the form of an excel table and by using the Chi-square for statistical analysis. Results and Discussion: The results of show that there is association between mother' knowledge with their demographic data at p value of less than (0.05). Except item (Occupational) there is no association between mother' knowledge with demographic data at p value of more than (0.05). Conclusion: The study showed that mothers have insufficient knowledge about Premature infants with cerebral palsy. And the factors that effects such as, mother's education, mother's age, and economic level are relation with the mother's knowledge. Recommendations: Organizing educational courses for mothers. Increasing the cultural awareness of mothers and families. Establishing educational programs for pregnant women that play a key role in avoiding complications and reducing the risk of Premature infants with cerebral palsy. Creating recommendations on radio and television that contribute to raising the awareness of mothers. There is a need for more large sample studies to generalize these results, as well as efforts must be adopted by the Iraqi Ministry of Health to establish educational programs.
ANALISIS YURIDIS PENEGAKAN HUKUM TERHADAP PELAKU TINDAK PIDANA PERDAGANGAN ORANG LINTAS NEGARA (Studi Putusan Nomor 807/Pid.Sus/2019/ PN.Jkt.Tim)
Authors: Siahaan Alpino Apriyanto , Lubis Muhammad Yamin , Sahlepi Muhammad Arif
Published: August 2023

Tindak pidana perdagangan orang juga merupakan salah satu bentuk perlakuan terburuk dari pelanggaran harkat dan martabat manusia. Penulisan ini menggunakan metode telaah pustaka (library research) untuk mentelaah data-data sekunder dengan melakukan analisis kasus putusan Nomor 807/Pid.Sus/2019/ PN.Jkt.Tim. Jenis data penelitian ini adalah data sekunder. Bahan hukum primer dan sekunder disusun secara sistematis dan dianalisis secara kualitatif. Kesimpulan dari pembahasan adalah pertimbangan hukum hakim terhadap pelaku tindak pidana perdagangan orang lintas negara dalam Putusan Nomor  807/Pid.Sus/2019/ PN.Jkt.Tim bahwa  perbuatan Terdakwa telah memenuhi seluruh unsur Pasal 4 jo Pasal 48 ayat (1) Undang-Undang RI nomor 21 tahun 2007 tentang Pemberantasan Tindak Pidana Perdagangan Orang jo Pasal 55 ayat (1) ke-1 KUHP terbukti sehingga terdakwa secara cah dan meyakinkan bersalah melakukan tindak pidana secara bersama-sama melakukan perdagangan orang.
Back to basics: informatienoden van zorgvragers na endeldarmchirurgie
Authors: Ravelingien A. , Desnouck S. , Verbrugghe B. , Harlet L. , Pattyn P.
Published: August 2023

Back to basics: information needs of patients after rectal surgery

The past decades, there has been increased attention for the ‘educative attitude’ of caregivers. It appears to be quite a challenge to provide good education: many patients need support to understand, evaluate and apply relevant health information. Also, there is no ‘one size fits all’ method. In this qualitative research, the authors investigated what patients experienced as useful or obstructive in the education they were provided with during a complex care path. As a pilot study, they focused on oncological patients who had received rectal surgery. This subpopulation was chosen because of the many education moments and methods they had been confronted with.

The authors conducted semi-structured interviews with oncological patients (n = 8) who had undergone (ultra)low anterior resection surgery in the general hospital AZ Delta in Roeselare (Belgium) from February 2020 to May 2022. The interviews focused on their patient information journeys.

The information preferences and needs were very diverse. Some respondents wanted very detailed information, while others put faith in the doctor. Nonetheless, these interviews drew attention to the importance of personal relationships with the caregiver(s) and the use of basic education methods: verbal explanations and clarifications through images and the show-me method.

Many forms of innovative formats are now available to make sure that patients receive all appropriate information in an accessible manner. While these efforts are crucial and appreciated, this research complements other studies that re-emphasize the importance of some ‘basics’ in communication, as well as the quality of the patient-provider relationship.
Pemanfaatan teh kombucha untuk kesehatan dan kecantikan kulit pada masyarakat di Kabupaten Maros
Authors: Dwi Rantisari Andi Meinar , Sulfiani Sulfiani , Rosmayanti Vivit , Saleh Adriandy
Published: August 2023

Pemanfaatan Kombucha bukan hanya sebagai minuman probiotik untuk mengatasi permasalahan metabolisme tubuh tapi juga memiliki banyak manfaat untuk memelihara kesehatan kulit dan mengatasi permasalahan kesehatan yang bermanifestasi pada kulit. Kombucha kaya akan antioksidan yang mampu melawan radikal bebas untuk mencegah penuaan dini, dan juga mengandung berbagai macam nutrisi yang bermanfaat untuk kulit seperti vitamin B2, B6 dan B12. Kegiatan Pengabdian Kepada Masyarakat ini dilaksanakan pada hari Rabu, 07 Desember 2022 dan disajikan dalam bentuk edukasi tentang manfaat teh kombucha bagi kesehatan kulit dan praktik pembuatan minuman fermentasi probiotik teh kombucha. Kegiatan ini dilaksanakan di Kantor Desa Moncongloe Bulu, Kecamatan Moncongloe Kabupaten Maros yang dihadiri oleh 33 perserta terdiri dari aparat desa dan ibu-ibu PKK setempat. Tujuan dari kegiatan ini adalah untuk meningkatkan keterampilan masyarakat tentang pembuatan minuman fermentasi probiotik dari teh kombucha sebagai minuman untuk membantu menjaga kesehatan kondisi kulit dari dalam dan juga dapat dimanfaatkan sebagai toner untuk menghidrasi kulit wajah. Metode yang digunakan meliputi persiapan tempat pelatihan, pengisian absensi peserta dan kuisioner, pembukaan acara pelatihan, pelaksanaan dan pelatihan pembuatan minuman kombucha serta dosis dan cara konsumsi kombucha. Berdasarkan hasil kegiatan menunjukkan bahwa informasi tentang pemanfaatan kombucha sebagai minuman fungsional bagi kesehatan kulit sebagian besar belum diketahui oleh masyarakat Desa Moncongloe. Kesimpulan dari kegiatan ini adalah masyarakat mampu memahami materi edukasi tentang pentingnya menjaga kesehatan kulit dan mampu membuat minuman fungsional berbahan dasar fermentasi probiotik kombucha.
Optimalisasi Kesehatan Prakonsepsi melalui Pelatihan Karang Taruna “Cegat ARUS”
Authors: Maretta Megayana Yessy , Wijayanti Wijayanti , Umarianti Tresia , Andhikatias Yunia Renny , Widyastuti Deny Eka , Widyastutik Desy
Published: August 2023

Anemia sering dialami Remaja Putri (Rematri). Pencegahan dan penanggulangan anemia pada Rematri merupakan salah satu bentuk perawatan prakonsepsi yang penting diberikan pada Rematri. Karang taruna memiliki posisi strategis untuk menyampaikan informasi kesehatan kepada masyarakat secara luas. Karang Taruna Tunas Bakti Gondang RW 1 Manahan Banjarsari beranggotakan 25 pemuda pemudi berusia 13-45 tahun yang terdiri dari 10 orang laki-laki dan 15 orang putri.  Kegiatan pengabdian kepada masyarakat ini berupa pelatihan yang dilakukan dalam 2 tahap yaitu tahap 1 berupa pemberian edukasi tentang anemia dalam perawatan prakonsepsi dengan metode ceramah dan tanya jawab serta tahap 2 berupa simulasi praktik pemeriksaan kadar Hb bagi orang awam. Hasil kegiatan pengabdian kepada masyarakat ini adalah terjadinya peningkatan pengetahuan dan keterampilan peserta setelah diberikan pelatihan. Setelah diberikan pelatihan  mayoritas pengetahuan peserta (66,7%) berada pada kategori cukup dan mayoritas peserta (60%) memiliki keterampilan cukup dalam melakukan pemeriksaan anemia bagi orang awam. Simpulan kegiatan ini adalah diperlukannya pelatihan kepada masyarakat tentang anemia dalam perawatan prakonsepsi sebagai salah satu langkah awal optimalisasi kesehatan prakonsepsi pada Remaja Putri.
Pemanfaatan Ampas Kelapa Hasil Dapur Rumah Tangga Menjadi Pangan Olahan
Authors: Rahmadewi Yunda Maymanah , Hakika Dhias Cahya , Sulistiawati Endah , Salamah Siti , Amelia Shinta
Published: August 2023

Coconut dregs often become waste and garbage due to the lack of knowledge and skills of the community in utilizing the existing potential. Even though, coconut dregs still contain fiber which is good for the body. Activities using educating and training methods aimed to increase the knowledge and skills of the community in processing coconut dregs into processed food. Educating can increase participants' knowledge by 28.33 points. Training on processing sago cheese (sagu keju) from coconut dregs flour can improve skills in products that need to be equipped with a brand so that they have competitiveness in the market.
Pengaruh Kompetensi dan Kompensasi Finansial terhadap Kinerja Karyawan Pada PT. Bank Syariah Indonesia (Tbk) Kantor Cabang Mataram Pejanggik 2
Authors: Arlinda Yulia , Serip Sarifudin , Sulaimiah Sulaimiah
Published: August 2023

This study entitled the effect of competence and financial compensation on employee performance at PT. Bank Syariah Indonesia (Tbk) Branch Office Mataram Pejanggik 2. Aims to determine the effect of competence and financial compensation on employee performance. The type of research used is associative research with a quantitative approach. This study used the census method so that the respondents in this study were 47 employees of PT Bank Syariah Indonesia (Tbk) Branch Office Mataram Pejanggik 2. The analytical tool used is multiple linier regression using SPSS version 22. The results of the analysis show that: (1) competence has a positive and significant effect on employee performance, and (2) financial compensation has a positive and significant effect on employee performance. Abstrak: Penelitian ini berjudul pengaruh kompetensi dan kompensasi finansial terhadap kinerja karyawan pada PT. Bank Syariah Indonesia(Tbk) Kantor Cabang Mataram Pejanggik 2. Bertujuan untuk mengetahui pengaruh kompetensi dan kompensasi finansialterhadap kinerja karyawan. Jenis penelitian yang digunakan adalah penelitian asosiatif dengan pendekatan kuantitatif. Penelitian ini menggunakan metode sensus sehingga responden dalam penelitian ini adalah 47 karyawan PT. Bank Syariah Indonesia(Tbk) Kantor Cabang Mataram Pejanggik 2. Alat analisis yang digunakan adalah Regresi Linier Berganda dengan menggunakan SPSS versi 22. Hasil analisis menunjukkan bahwa: (1) kompetensi berpengaruh positif dan signifikan terhadap kinerja karyawan dan (2) kompensasi finansial berpengaruh positif dan signifikan terhadap kinerja karyawan.
Penyuluhan tentang diabetes melitus dan senam kaki diabetikum pada lansia
Authors: Susanto Giri , Wahyudi Dian Arif
Published: August 2023

Penyakit degeneratif merupakan penyakit yang disebabkan karena penurunan fungsi organ tubuh. Beberapa penyakit degeneratif yaitu hipertensi, jantung koroner, diabetes melitus, asam urat, dll. Diabetes melitus (DM) adalah gangguan metabolisme yang menyebabkan hiperglikemia kronis, suatu kondisi patogenesis yang dapat mencakup kerusakan sekresi dan/atau kerja insulin. Tujuan kegiatan pengabdian pada masyarakat ini adalah untuk mensintesis gagasan kreatif melalui sebuah program edukasi dengan menitikberatkan pada usaha preventif dan promotif dalam mencegah dan mengatasi masalah kesehatan pada lansia khususnya masalah diabetes mellitus. Sasaran dalam kegiatan pengabdian masyarakat ini diikuti oleh lansia yang berada di Puskesmas gadingrejo yang berjumlah 18 orang. Metode yang digunakan dalam kegiatan ini adalah penyuluhan kesehatan melalui ceramah, dan diskusi serta tanya jawab serta kegiatan senam kaki diabetikum. Hasil penyuluhan kegiatan didapatkan bahwa setalah dilakukan kegiatan penyuluhan kesehatan tentang diabetes mellitus dan juga senam kaki diabetikum didapatkan hasil pengetahuan lansia meningkat. Dengan demikian, pemberian penyuluhan kesehatan dengan metode klasikal dengan pemberian leaflet tentang diabetes mellitus dan cara pencegahannya dapat meningkatkan pengetahuan lansia tentang pencegahan yang dapat dilakukan agar terhindar dari diabetes mellitus
On the meanings of the verbs oblagati/oblozhiti and their derivatives in the Old Slavic literature (towards the question of the development of the semantic structure of the word in the history of the Bulgarian language)
Authors: Mircheva Elka
Published: August 2023

The study reveals the historical changes in the semantics of the verbs облагати / обложити and their derivates облогъ, обложениѥ, обложник. Material from lexicographical works, electronic corpora of medieval texts, manuscripts is used. The obtained data have been structured in view of the semantic changes that have occurred. Some interesting cases of homonymy are traced. Errors in existing dictionaries are also analyzed. Conclusions are drawn about the main changes in the semantics of Old Bulgarian verbs and their derivatives in the millennial development of the Bulgarian language. Attention is paid to cases of changes in semantics imposed by the terminology of words.
The translation of “Dogmatic Panoply” by Euthymiоs Zigabenоs in Paleoslavistics: research state and perspectives
Authors: Tsibranska-Kostova Mariyana
Published: August 2023

The article summarizes the known so far scholarly facts and focuses on the problematic research fields in the study of one of the most significant translations of the South Slavonic Middle Ages, such as that of Dogmatic Panoply by Euthymios Zigabenos. The Slavonic translation of the Second Book appeared on Mount Athos at the very beginning of the 15th century, and was associated with the activities of South Slavic monks-literati who maintained links with Greek scribes. The Athonite monasticism acted as main engine for this translation in the context of the Ottoman invasion of the Balkans, when the Orthodox literary legacy was the mainstay of identity.
ATIVIDADES DE APRENDIZAGEM E TDICs - OS DESAFIOS PARA O EDUCADOR DIGITAL
Authors: Silvany Marco Antonio , Pereira Fernando Seixas , Antunes Carina Aparecida , Uchôa Flávia Letícia dos Santos , Sousa Dalziane Barbosa de
Published: August 2023

O presente trabalho pretende contribuir para a compreensão da dinâmica que a educação assume no contexto de consolidação das plataformas digitais ao discutir quais desafios para o educador digital, que podemos observar no atual contexto socioeducacional. Realiza debate sobre a incorporação das inovações tecnológicas na educação e seus impactos na relação ensino-aprendizagem e questiona de que forma a incorporação das tecnologias poderia auxiliar a comunidade educacional. Discute os desafios da educação digital na sociedade contemporânea e quais desafios os jovens podem encontrar ao usar a internet. O método utilizado foi a realização de pesquisa exploratória bibliográfica e qualitativa na plataforma eletrônica e cooperativa de periódicos científicos - SciELO, levando em consideração fatores de inclusão (educação digital, inclusão digital, TDICs e sociedade digital) e a abordagem do tema. A partir da sistematização dos argumentos apresentados, corrobora o papel das TDICs nas atividades de aprendizagem e faz alerta sobre protagonismo das tecnologias nas relações ensino e aprendizagem.
DECORRÊNCIAS, PÓS INFECÇÃO POR COVID-19, EM PROFISSIONAIS DE ENFERMAGEM DA REDE PÚBLICA MUNICIPAL DE UBERLÂNDIA: UMA AVALIAÇÃO DOS REFLEXOS COMPORTAMENTAIS E COGNITIVOS
Authors: Antonio Correa Marcos , Gonçalves Moura Gerusa
Published: August 2023

O presente trabalho tem como objetivo compreender os reflexos comportamentais e cognitivos na saúde dos profissionais de enfermagem após terem apresentado Síndrome Respiratória Aguda Grave do Coronavírus 2 (SARS-Cov-2). Este estudo investigou as decorrências da infecção por COVID-19 em profissionais de enfermagem da rede pública municipal de Uberlândia-MG. A pesquisa focou nos reflexos comportamentais e cognitivos após a recuperação da doença. Para realizar a avaliação foram coletados dados de profissionais que trabalharam no atendimento dos serviços de saúde da rede pública do município de Uberlândia-MG, atenção primária, atenção secundária e atenção terciária durante a pandemia entre os anos de 2020 e 2022. Os resultados revelaram que os profissionais de enfermagem que contraíram COVID-19 apresentaram diversos efeitos comportamentais e cognitivos após se recuperarem da infecção. Dentre as principais decorrências encontradas estão alterações nos sentimentos, ansiedade, depressão e medo. Além disso, foi observada uma diminuição significativa na capacidade cognitiva e no desempenho em tarefas que exigiam foco e concentração. Essas decorrências pós-infecção podem ter impactos significativos na vida profissional e pessoal dos profissionais de enfermagem, podendo afetar sua capacidade de trabalho e bem-estar emocional. Portanto, medidas de apoio e acompanhamento são essenciais para garantir a recuperação completa desses profissionais para que possam continuar desempenhando seu papel fundamental no atendimento cotidiano. Mais pesquisas e intervenções são necessárias para melhor compreender e lidar com as implicações de longo prazo sobre COVID-19 em profissionais de saúde.
A GUARDA COMPARTILHADA COMO ELEMENTO INIBIDOR DA ALIENAÇÃO PARENTAL
Authors: Santos Vieira Giúlya Roberta , Fernandes Barcelos Heloísa
Published: August 2023

O presente artigo científico jurídico possui como principal finalidade tratar sobre os diferentes tipos de guarda, inseridos no âmbito da alienação parental. Nesse mesmo viés, distingue a alienação parental da Síndrome da Alienação Parental (SAP). Em contrapartida, como um elemento de contenção ou até mesmo solução para os problemas apresentados, insere-se o instituto da guarda compartilhada, onde os pais possuem igual responsabilidade pela vida do menor, não estando isentos do poder da família, estando mais envolvidos nela, podem participar do desenvolvimento e da personalidade da criança, recebendo respeito e admiração do infante.
VIDA NA PÓS-MODERNIDADE: A INFLUÊNCIA DIGITAL E O ESVAZIAMENTO DAS INDIVIDUALIDADES
Authors: Henrique Bertoldi da Silva Flavio , Golembiewski Carlos
Published: August 2023

O presente estudo tem como objeto a influência digital que ocorre por meio da internet. O objetivo é investigar as mudanças comportamentais relacionadas ao ambiente digital pelo processo de influência exercida pelo meio online, sua capacidade de massificação das pessoas e o esvaziamento das individualidades. Metodologicamente, utiliza-se o levantamento bibliográfico, documental e apresentação de exemplos, à luz do paradigma epistemológico fenomenológico. Durante a investigação, utiliza-se o método indutivo. Das categorias, destaca-se a influência digital como a influência comportamental, a fim de motivar determinado comportamento ou sentimento do usuário de internet. Dos resultados, identifica-se certo nível de intervenção promovida pelo meio digital na individualidade, catalisadora de mudança comportamental. Esse nível de intervenção ocorre por uma elevada valoração pessoal que os internautas atribuem ao mundo online; por uma atuação organizada de provedores de serviços informáticos; pelo modo como os internautas são tratados, sintetizável na noção de massa, não havendo distinção de suas opiniões; e por ser essa operação contemporânea da sociedade pós-moderna (ou sociedade líquida), na medida que neste arranjo social reconhece-se como orientação maior a fluidez dos valores que outrora eram tidos por rígidos.
Patriarchy Without Masculinity in Homa-Bay County of Kenya (1894-2022)
Authors: Orondo John Akumu , Budi Nashon Budy , Okoth George Odhiambo , Okoth George Odhiambo , Onjala Isaya Oduor
Published: August 2023

Purpose: The purpose of this treatise is to justify the existence of patriarchy without masculinity because of the existence of patriarchal shell as evidenced in the male failure to meet the societal expectation of a functioning masculinity. This study is premised in the pre-colonial belief that in patriarchal society men made far-reaching decisions, they were the breadwinners and wielded exclusive authority and power.

Methodology: The study used historical research design of Gottschalk Louis to collect, verifies, and synthesizes evidence from the past to establish facts that defended the existence of patriarchy without masculinity in Homa Bay. Purposive and snowball sampling techniques were used to identify the individuals and gender groups informants during the primary data collection. Primary data was also gathered from the National Archives to triangulate oral and secondary data. Secondary data were collected from, thesis, journal articles, books, and other publications from the internet, university, and other libraries.

Findings: The data collected is given thematic content analysis based on study question. Primary and secondary data sources were corroborated to attain the validity and reliability of findings. The publication utilizes patriarchal theory of Robert Filmer which highlights the role of culture on gender performance roles and explains the role of patriarchal ideology in elevating men and making woman to depend on them for survival. In this study masculinity is viewed as a quality or set of habitual performed roles which were stereotypically connected with male gender as opposed to inherent in male. Contrary to the above, this study established that men still claim to have socio-economic and political entitlement in Homa Bay but the level of degeneration and reduction on the same is below expectation. Such degeneration makes patriarchy a shadow of its original reality. This premised in the study findings that there exists a widening masculine gap between the pre and postcolonial men of Homa Bay. The evidence in Homa Bay shows that most men fail to meet the societal expectation in their performances but grapple with vulnerability as they helplessly stare at the systematic loss of pre-colonial socio-economic and political patriarchal authority.

Unique Contribution to Theory, Policy and Practice The existence indicators of the decline of patriarchal dominance in Homa Bay such as long-life expectancy among women, high birth rate among baby girls and the socioeconomic and political degeneration, make patriarchal; theory to be rethought. This paper shows that in the pre-colonial society, there was a concept of valorized hegemonic masculinity which men strived to emulate that consequently established patriarchy. Therefore, the policy makers, governments and the non-governmental organizations should reorganize their strategies to save masculinity from extinction for the purpose of gender egalitarian societies.
Một số yếu tố liên quan đến tuân thủ điều trị thuốc kháng kết tập tiểu cầu sau 6 tháng can thiệp động mạch vành
Authors: Phan Thị May , Nguyễn Duy Chinh , Phạm Như Hùng
Published: August 2023

Mục tiêu: Mô tả thực trạng tuân thủ kháng kết tập tiểu cầu ở người bệnh sau can thiệp động mạch vành qua da và một số yếu tố liên quan.

Đối tượng và phương pháp: Mô tả cắt ngang 250 người bệnh sau can thiệp ĐMV qua tại Bệnh Viện Tim Hà Nội từ tháng 6/2022 đến tháng 2/2023, sử dụng thang điểm Morisky để đánh giá tình trạng tuân thủ điều trị thuốc kháng ngưng tập tiểu cầu ở tại thời điểm 6 tháng sau can thiệp.

Kết quả: Tuổi trung bình của người bệnh tham gia nghiên cứu là 67,7 ± 10 tuổi, tỉ lệ nam giới chiếm 73,2%. Điểm tuân thủ thuốc kháng kết tập tiểu cầu trung bình của người bệnh sau can thiệp là 6,2 ± 1,2 điểm. Bệnh nhân không tuân thủ chiếm 50,4%, tuân thủ trung bình 38,8%. Bệnh nhân tuân thủ mức độ cao chiếm tỉ lệ thấp 10,8%. Đặc điểm trình độ học vấn và sự hiểu biết về bệnh mạch vành có ảnh hưởng đến sự tuân thủ điều trị thuốc kháng kết tập tiểu cầu ở người bệnh sau can thiệp ĐMV qua da 6 tháng (p<0,001). Các đặc điểm nhân khẩu học, bệnh lý đi kèm, tình trạng đau ngực của người bệnh không liên quan đến tuân thủ điều trị của người bệnh.

Kết luận: Bệnh nhân không tuân thủ thuốc kháng kết tập tiểu cầu sau can thiệp 6 tháng chiếm tỉ lệ cao (50,4%), đáng báo động. Yếu tố ảnh hưởng đến tuân thủ điều trị thuốc kháng kết tập tiểu cầu liên quan đến trình độ học vấn, sự hiểu biết về bệnh và tác dụng của thuốc.
Clinical and laboratory characteristics of perioperative patient's and follow-up after coronary artery bypass graft surgery with extracorporeal circulation
Authors: Ngo Van Thanh , Nguyen Sinh Hien
Published: August 2023

Objectives: Course of hospital stay post-coronary artery bypass graft (CABG) procedure has become increasingly shorter over the last few decades. However, after coronary artery bypass surgery, there is a certain rate of adverse events related to surgery and resuscitation. Therefore, we conducted this study with the goal of evaluating the clinical and subclinical characteristics of patients undergoing CABG surgery with extracorporeal circulation.

Methods: A prospective method was used to study 171 consecutive patients undergoing CABG Surgery at Hanoi Heart Hospital from June 2016 to August 2018.

Results: The group of stable coronary artery disease 119 (69.6%) patients, the group of acute coronary syndrome 52 (30.4%) patients. The men was 3.6 times higher than that of women (p<0.05). The Euroscore II score (0.6 – 6.42) and typical chest pain were higher in the acute coronary syndrome group (p<0.05). Acute coronary syndrome patient's had a higher rate of postoperative EF reduction than stable coronary artery disease patients (p < 0.05). Stable coronary artery disease patients had  CK, CKMB, Troponin T hs increased postop than acute coronary syndrome patient's, ProBnP increased postop in both groups (p<0.05). The time of mechanical ventilation, use of inotropic drugs, and re-operating hemostasis were increased in the acute coronary syndrome group compared with stable coronary artery disease (p<0.05). The rate of reoperation for hemostasis (3.5%), the group of acute coronary syndromes patients was higher (7.7% vs 1.7%), the postoperative mortality rate was 2.3% up to 30 days.

Conclusion: The men was higher than that of women, and heart failure increased postop than preop in both echocardiography and laboratory tests. Acute coronary syndrome patients had a higher rate of bleeding re-operating hemostasis than stable coronary artery disease patient's.
Evaluation of left ventricular function after coronary artery bypass graft surgery in patients with type 2 diabetes
Authors: Vu Quynh Nga , Vu Thi Lan
Published: August 2023

Objectives: Study factors affecting the change of left ventricular function after CABG in patients with type 2 diabetes at Ha Noi heart hospital from 8/2021 to 8 /2022. Subjects and methods: a cross-sectionnal observational study in 46 patients with type 2 diabetes and coronary artery bypass graft surgery from 8/2021 to 8/2022 at Hanoi Heart Hospital. Results: Mean age 66±8.73; the male/female ratio is 2.83/1; 43.5% of patients smoked; 65.2% had dyslipidemia; non STEMI accounted for 41%. 100% of patients had anterior interventricular artery damage and elective surgery accounted for 80.4% of patients. Echocardiographic results: The rate of regional movement disorders before and 6 months after surgery is 56.5% and 30%; the number of disturbance areas before and after surgery were 3.52±5.39 and 1.84±4.18, EF 6 months before and after surgery was 55,33 ± 11,49% and 59,13,98 ± 10,05%, respectively. 39%. The percentage of patients with EF improved after 6 months of surgery accounted for 52%, patients with unchanged EF accounted for 28%, 20% of patients with EF decreased after 6 months of surgery, on univariate analysis: Preoperative ejection fraction, regional movement disorder and preoperative left ventricular diastolic dysfunction are factors associated with the change of left ventricular function after surgery. On multivariate analysis: Preoperative ejection fraction was an independent predictor of improvement in postoperative ejection fraction. Conclusion: Preoperative ejection fraction, regional movement disorder and preoperative left ventricular diastolic dysfunction are factors related to the change of left ventricular function after surgery, among which preoperative ejection fraction was an independent predictor of postoperative improvement in ejection fraction.
Assess the pulmonary arterial pressure in patients with group 1 pulmonary arterial hypertension by echocardiography
Authors: Vu Thi Trang , Pham Nhu Hung , Nguyen Thi Bach Yen
Published: August 2023

Objective: We assess the right ventricular in patients with group 1 pulmonary arterial hypertension by echocardiography.

Method and Results: 45 patients with group 1 pulmonary arterial hypertension was measured the right ventricular by echocardiography between September 2021 and October 2022. Right ventricular diameter and Right ventricular area in patients with idiopathic pulmonary arterial hypertension were not significantly different in patients with secondary pulmonary arterial hypertension (35.7 ± 10.1 mm versus 30.8 ± 9 mm; p=0,12)  và (24.1 ± 11.6 cm2 versus 19.7 ± 7 cm2; p=0,12). However, right ventricular function in patients with idiopathic pulmonary arterial hypertension were significantly lower than in patients with secondary pulmonary arterial hypertension via %FAC (28.3 ± 8.5 versus 38.8 ± 8.3; p<0,001), TAPSE (14.2 ± 3.1 mm versus 19.4 ± 3.5 mm; p<0,001), S’tricuspid (9.6 ± 2.2 cm/s versus 11.7 ± 1.9;p=0,002).[1]

Conclusion: Right ventricular function in patients with idiopathic pulmonary arterial hypertension was significantly lower than in patients with secondary arterial pulmonary hypertension.
Assessment left ventricular function by speckle tracking in patients with mitral valve replacement in Hanoi heart hospital
Authors: Vu Quynh Nga , Nguyen Mai Huong
Published: August 2023

Background: The evaluation of left ventricular dysfunction in patients with severe mitral valve disease is very important for diagnosis, surgical indication and postoperative follow-up assessments. Speckle Tracking provides additional information to conventional echocardiographic parameters. Objective: Research global longitudinal strain by Speckle Tracking in patiens underwent mitral valve surgery at Hanoi Heart Hospital. Subjects and methods: 35 patients underwent mitral valve surgery at Hanoi Heart Hospital from July 2018 to September 2019. This is a prospective, longitudinal follow-up for at least 3 months research. Results: Postoperative myocardial global longitudinal strain of the left ventricular decreased compared to pre-surgery (-19.85 ± 2.24 vs -16.54 ± 3.01; p < 0.001). The global myocardial longitudinal strain of the left ventricular decreased more in the group whose postoperative EF decreased by ≥10% compared with the group whose EF decreased <10% after surgery (-17.73 ± 2.71 versus -15.28 ± 2.85; p. < 0.05). Mean global myocardial longitudinal strain (GLS avg) after surgery has a linear correlation with left ventricular contraction fraction FS after surgery (r = -0.508; p < 0.005), with left ventricular ejection fraction EF after surgery (r = - 0.402; p < 0.05), with ejection fraction EF biplane after surgery with (r = - 0.768; p < 0.001) and global myocardial longitudinal strain (GLS avg) after surgery há a linear correlation with the degree of change in EF after surgery ≥ 10% (r) = 0.601; p < 0.001). Conclusion: Longitudinal LV deformation assessed by speckle tracking is significant in assessing the decline in left ventricular systolic function in patients with mitral valve surgery.
Credit strategy of micro, small, and medium enterprises with known reputation risk: Evidence from a comprehensive evaluation model
Authors: Chen Wanting , Wu Xuanyi , Chen Z. Y. , Meng Yahui , Wang Ruei-yuan , Chen Timothy
Published: August 2023

With poor financial information transparency, and relatively weak profitability and asset strength stability, Small, medium and micro enterprises started late in China. This makes commercial banks need to bear more risks when providing loans to small, medium and micro enterprises than large enterprises. Big. When commercial banks do not have credit records of certain small, medium and micro enterprises, this will increase the risk that banks need to bear when lending to these small, medium and micro enterprises without credit records, and will also increase the difficulty of credit loan for small, medium and micro enterprises in commercial banks.First of all, we should comprehensively analyze the credit risk of enterprises, establish the TOPSIS comprehensive evaluation model, and then establish the constraint conditions according to the data given by the topic, calculate the interest rate of bank loans to each type of enterprises, so as to determine the bank’s credit strategy. The paper seeks the bank’s credit strategy for these enterprises when the annual total amount of credit is fixed. We use AHP (Analytic Hierarchy Process) to normalize the credit rating, and then get the relevant data ranking of enterprises with credit records through TOPSIS comprehensive evaluation model. Through cluster analysis, we divide them into nine categories, and make the optimal credit strategy from the perspective of interest rate and credit line.
Optimized deterministic multikernel extreme learning machine for classification of COVID-19 chest Xray images
Authors: Husain Arshi , Vishvakarma Virendra P.
Published: August 2023

In this paper, a novel technique has been proposed to exploit the capability of residual network (ResNet) deep learning model to extract the features. It is utilized neither in pretrained form nor as a transfer learning model. ResNet uses shortcut connections to create shortcut blocks in order to skip blocks of convolutional layers (residual blocks). These stacked residual blocks significantly increase training effectiveness and address the degradation issue. For the purpose of classification, a multiple kernel learning based deterministic extreme learning machine (MKD-ELM) which uses a linear combination of different base kernels as target kernel function is designed to classify chest Xray images. Multiple kernels are used here to exploit their non-linear mapping capability on heterogeneous data. MKD-ELM is an enhanced classifier, which does not require iterative training of its parameters. The proposed technique has better feature extraction along with non-iterative training, thus it is having very fast training and very good generalization performance. The kernel and regularization parameters that influence how accurate MKD-ELM is at classifying data, are tuned through experimentation. So, an optimization technique called the genetic algorithm (GA) has been utilized to determine the ideal combination of these parameters for improved performance. The performance of the proposed technique is analysed for COVID-19 detection problem using chest Xray (ChXR) images by changing the training set, types of kernels and coefficients used for combining base kernels. The proposed algorithm achieves a 97.27% recognition rate on first dataset which comprises 5,856 images and 99.06% on the second dataset which consists of 13,808 images. A higher recognition rate is attained for these ChXR image datasets, in respect to modern techniques demonstrating the effectiveness of the proposed algorithm.
Design and Development of Protected E-Voting System
Authors: Mane Vijay , Rajurkar Sarang
Published: August 2023

We all know that voting is the primary factor to change the country’s future. Earlier, EVM, i.e., Electronic Voting Machines (EVM) were used to conduct voting across various cities and villages. But there were many issues in this system such as missing names in voter lists, misplaced votes, fake votes and so on. To tackle this problem an electronic decentralized system can be integrated, so one of these decentralized technologies is Blockchain technology. Blockchain-based electronic voting systems are a promising area of research to address the issue with traditional voting methods. The electronic voting system must overcome these issues before it can be used on a large basis. It results in developing a highly secure and transparent E-voting system that can handle all edge cases. This paper presents the results of the basic Blockchain technology implemented to demonstrate the efficient use for the E- Voting. The implementation of this system presents that the user candidate and Administrator can communicate securely using implemented system. This shows the use of Blockchain in the Applications where security is prime importance.
The Particle Illusion: A Closer Look at Feynman's Double-Slit Paradox
Authors: Bollinger Terry , Das Dibyajyoti
Published: August 2023

In 1963, Richard Feynman gave a memorable lecture on quantum mechanics' strange and non-intuitive nature. Using the example of two-slit self-interference, he showed how quantum entities such as electrons appear to traverse two passages at once. While Feynman's analogy beautifully captures the strangeness of quantum behavior, it leaves open the definition of "particle." A few additions to his thought experiment provide another insight: Experimentally, the only definition of a particle possible is that it is a sequence of expanding quantum waves punctuated by minute exchanges of momentum and energy that relocalize and restart the wave. This article uses Dibyajyoti Das's beautifully done adaptation of Feynman’s thought experiments to precisely assess what it takes to make an electron act like a bullet.
A Relational Analysis of Violence inflicted on Healthcare Professionals
Authors: ÇAĞATAY Altuğ , KIZILKAYA Selman
Published: August 2023

This study was carried out to determine the relationship between the intention to commit violence against healthcare professionals, the level of knowledge of patients about their rights and responsibilities, and trust in doctors. The survey method, one of the data collection techniques, was used in the study. The questionnaires were applied to people over 18 who received health care from any hospital in the last year in Turkey. According to the analysis, there is a negative relationship between the intention to commit violence against healthcare professionals and the level of knowledge of patients' rights and responsibilities. In addition, there is a significant negative relationship between the intention to commit violence against healthcare professionals and trust in the doctor. It was concluded that as the level of knowledge about the rights and responsibilities of the patients increased the intention to commit violence against healthcare professionals decreased. It has been observed that as the trust in the doctor increases, the tendency of the patients to use violence disappears.
THE RELATIONSHIP BETWEEN HEALTH COGNITIONS AND HEALTH SEEKING BEHAVIOR
Authors: DOĞANYİĞİT Pelinsu Buket , DEMİRCİ Hasan Fehmi
Published: August 2023

Health cognitions and health seeking behavior is a concept used to express human behavior related to disease-related situations. The common point of both concepts is aimed at fighting diseases. Therefore, it is important to determine the relationship between the two concepts. This study aims to explain the relationship between health cognitions and health seeking behavior of individuals. The sample of this study, designed by quantitative method, consists of 388 individuals aged 18 and over living in Samsun. The data were collected using the Health Seeking Behavior Scale and Health Cognition Questionnaire with questionnaire method. The data were obtained using independent sample t-test, one-way ANOVA and Pearson correlation analysis. There was no significant difference between Health Cognitions and gender, age, marital status, income and educational status (p>0.05), while a significant difference was found with chronic disease (p0.05), while there was a significant difference with educational status (p