bluuebunny/crossref_metadata_2025 huggingface dataset:
Poverty Reduction: Adopting Vocational and Technical Education as A Veritable Tool for Developing Youths for Gainful Employment and Self-Reliance in Nigeria
Authors: Adekeye Daniel O.
Published: April 2023

One of the targets of the nations of the world as prescribed in the Sustainable Development Goals (SDGs) is to terminate poverty by the year 2030. Less than a decade to the deadline for the realization of this laudable situation of “no poverty’ among the people in across the globe, the economic situation in Nigeria is such that more and more people are becoming poorer having weaker purchasing powers to cope with ever increasing inflation rates. Youth unemployment keeps increasing. The paper identifies the gap between the educational content to which most of the Nigerian youths are exposed and the required skills in the markets and industries; thereby resulting in unemployment and underemployment. Technical and Vocational Education with entrepreneurship training has been examined and presented as a more reliable educational model that better prepare youths for fulfilled employment and wealth creation. The paper suggests the roles of different stakeholders in ensuring poverty reduction.
Treatment of Neurological Diseases in Pakistan and Medicinal Plants - Letter to Editor
Authors: Ahmad Wasim , Syed Hussain Baqar Abidi
Published: April 2023

In developing and developed countries, neurological diseases contribute to the major reason for morbidity and mortality. The overall burden is 6.5% globally, of which advanced countries contribute 10 to 11%, whereas progressive countries constitute 4 to 5%. The higher ratio in technologically advanced countries might be due to their advanced system providing complete patient data. Some neurological diseases are common and wellestablished, whereas others occur rarely or are poorly ordered. Schizophrenia affects 45 million people, whereas depression affects 340 million globally. The people living with Alzheimer’s constitute 11 to 45 million people, accounting for 1% of the total disease load. 10% Pakistani community suffer from mental disorders, with 1% Alzheimer’s, 5% depression, 2% epilepsy and 1.5% schizophrenia. Medicinal plants play a vital role in treating several neurological disorders. Due to the upsurge in the cost of the available drugs, the local population is dependent on the use of medicinal plants to treat these neurological disorders.
Medicinal plants possess a great therapeutic potential and fewer side effects than synthetic drugs. In Pakistan, research on medicinal plants is increasing day by day. The Pakistani population traditionally depends on herbal medications to treat several neurological disorders. The use is more in rural areas due to easy access and costeffectiveness. In Pakistan, there is a stern gap between the availability of neurological care and a trained neurologist. In this scenario, the use of traditional medicinal plants for aiming to treat neurological disorders is obvious.
Online Education and Internet Connectivity Problems: A Perspective of the Teachers and Undergraduate Dental Students
Authors: Khalid Saria , Aman Muhammad , Javed Memoona , Asim Ayesha , Jabbar Maria , Salman Faiza
Published: April 2023

OBJECTIVES
Assessment of difficulties and glitches regarding internet connectivity faced by undergraduates and teachers during online learning. 
METHODOLOGY
This study was conducted using an online questionnaire. 186 undergraduate students and teachers were included from CMH, Lahore. The duration of this study was 3 months. .
RESULTS
There was found to be no statistical difference in reluctance to use online platforms (p=0.17), frequent loss of internet (p=0.181), difficulty in dealing with the loss of connection (p=0.181), disturbance in planned schedule due to loss of connection (p=0.213), lagging behind in schedule (p=0.630), inability to convey the message (p=0.093), lack of internet in remote areas (p=0.302), lack of training to deal with connection problems (p=0.766), poor connection due to technical problems in devices (p=0.089) and poor quality internet (p=0.740) among faculty and students.
CONCLUSION
The problems due to internet connectivity issues in online education were faced more by students as compared to faculty.
FUNCTIONAL OUTCOME AFTER DECOMPRESSION FOR DORSAL SPINE TUBERCULOSIS SURGREIS
Authors: Khan Muhammad Ayub , Wadud Fazli , Shakeel Muhammad , Ali Saad , Ali Ammad , Shahzad Muhammad
Published: April 2023

OBJECTIVE: functional outcome of improvement after decompression for dorsal spine tuberculosis in terms of frankle grading.

METHODOLOGY: This prospective study was conducted after ethical approval at neurosurgical ward mmc/mti through non-probability sampling. Clinical and radiological examined patients with carriers of dorsal spine tuberculosis were enrolled in study. After surgery they were followed for three months and improvement were measured comparing pre and post op Frankle grading.

RESULTS:  Total of 38 patients underwent surgical procedure decompression ± fusion through postero-lat approach (costotransversectomy) in which 42% were male and 58% were female. Mean age was 34±5. Distribution for age group was 18-30(08), 31-40(13), and 51-60 (06). Level of disease D4-D8 were 17(44.8%), D9-D12 were 21(55.2%).

CONCLUSION: decompression and stabilization in spine tuberculosis is safe, effective and results in good outcome clinically. The advantages of surgery include through debridement, decompression and achievement of spinal stabilization.

KEY WORDS: Dorsal spine tuberculosis, corpectomy with fusion, laminectomy, outcome measures
Minor Oral Surgery with Out Stopping the Daily Low Dose of Aspirin Therapy
Authors: Sajjad Batool , Choudhry Sehrish , Masood Sabeen , Abbas Zafar , Aleem Hasham , Zaidi Syed Akbar Abbas
Published: April 2023

OBJECTIVES
Patients with the low-dose long-term aspirin regime have a severe risk of excessive bleeding during surgery, placing them at risk of "adverse thrombotic events". This study aims to evaluate the bleeding in patients undergoing minor oral surgery procedures without stopping daily low-dose aspirin therapy.
METHODOLOGY
A descriptive cross-sectional hospital-based investigation involved the patient with minor oral surgery at "Altamash Institute of Dental Medicine, Karachi, Pakistan" from mid-April 2021 to mid-June 2021, who were between the age group 30 to 75 with a low-dose aspirin regime. The data was collected via a questionnaire to record the variables, i.e. duration of aspirin, postoperative medications, platelets count, clotting time, normal bleeding time, and intraoperative bleeding time. 
RESULTS
51 patients, of which 32 were males while 19, were females. The normal bleeding time was comparatively analyzed with the intraoperative bleeding time using SPSS statistical software version 22. The results revealed that the mean bleeding time for the patients with a low-dose aspirin regime during minor oral surgery was 5.49 ± 1.07, while for the patients with a stopped aspirin dose was 4.57 ± 1.07. The comparative analysis using a t-test doesn't reveal significant statistical differences of p<0.05 between both groups.
CONCLUSION
We concluded that minor oral surgical procedures could safely be done without altering or stopping the low-dose, long-term aspirin regime.
Predictors of Acute Stent Thrombosis After Primary Percutaneous Coronary Intervention
Authors: Ullah Ikram , Qureshi Amir Rashid , Ullah Sami , Mohammad Asghar Khan  , Salman Muhammad , Shah Hamid Ali
Published: April 2023

OBJECTIVES
To identify the speciﬁc predictors of acute stent thrombosis in patients after primary percutaneous coronary intervention.METHODOLOGY
This retrospective study was carried out at the Department of Cardiology Hayatabad Medical Complex Peshawar from 1st January to 30th June 2022. All consecutive patients with an angiographically conﬁrmed stent thrombosis were enrolled. Patients gave informed consent for the inclusion of data in this registry. Stent thrombosis was categorized according to the timing of the event as acute (occurrence within the ﬁrst 24 hours after the index procedure).RESULTSA total of 400 patients were included in the study. Age ranged between 35-70 years, with a mean age of 52.5. There were 260(65%) males and 140(35%) females, with male to female ratio of 1.8:1. All patients underwent primary PCI with stent implantation. According to the elapsed time since stent implantation, 42(10.5%) patients presented with acute stent thrombosis after primary percutaneous coronary intervention. The mean time to develop acute stent thrombosis after primary PCI was ±4.5 hours (range 3-6 hours). In most STEMI patients, 340(85%) received a loading dose of clopidogrel at the time of the index PCI. In 23(54.7%) patients, acute stent thrombosis occurred within 6 hours, 10(23.8%) within 12 hours, 6(14.2%) within 18 hours and 3(7.1%) after clopidogrel loading.CONCLUSIONInadequate stent expansion or mal-opposition, diabetes mellitus, chronic kidney disease, and female gender were the strong predictors of acute stent thrombosis.
To Correlate the Expression of KRAS and BRAF V600e with Histological Grades and Variants in Tissue Samples of Colorectal Carcinoma
Authors: Wasti Hina , Shawana Sumayyah , Shafique Sehrish , Shahid Yumna , Saleem Kiran , Sidhwani Santosh Kumar
Published: April 2023

OBJECTIVES
This study aimed to correlate the expression of KRAS and BRAF V600E with histological grades and variants in tissue samples of colorectal carcinoma.METHODOLOGY
In this cross-sectional study total of 51 cases of Colorectal cancer (CRC) were analyzed for immunohistochemical staining using KRAS and BRAF antibodies on representative tissue blocks. Clinical and pathological records were retrieved for the collection of data. The results of the immunohistochemical analysis were correlated with the recorded clinicopathological parameters.RESULTSFifty-one cases of CRC were analyzed for immunoexpression of KRAS and BRAF V600E. The age of the patients ranged from 14 to 85 years, with a mean age of 60.96 years. Among the 51 cases, 37(72.5%) cases were males and 14(27.4%) were females. 37(72.5%) were localized to left side colon and 14(27.4%) were found in the right colon. For KRAS immunostaining, 41(80.3%) out of 51 cases showed overexpression, while the remaining 10(19.6%) cases revealed negative expression. In the case of BRAF V600E, positive expression was seen in 20(39.2%) cases, whereas 31(60.7%) cases showed negative expression of BRAFV600E. A significant association was seen between KRAS overexpression and histological variants, i.e. glandular carcinomas.  CONCLUSIONOver-expression of KRAS was observed in advanced tumors. The presence of BRAF V600E mutation in the present study signifies the importance of BRAF V600E inhibitors as a potential alternate therapeutic tool in EGFR inhibitors and chemotherapy-resistant tumors.
Symptom Outcome of Walant Technique for Carpal Tunnel Release – A Prospective Study in the Tertiary Care Hospital, Nowshera
Authors: Hassan Naseer , Hassan Raza , Usman Muhammad , Azam Farooq , Tahir Hamayun , Marwat Zahid Irfan , Saleem Momina
Published: April 2023

OBJECTIVES
The study aims to determine the outcome of the WALANT technique for Carpal Tunnel Release CTR.METHODOLOGY
A descriptive study was done in the Neurosurgery department at Qazi Hussain Ahmad Medical Complex, Nowshera, from 15th September 2020 to 15th March 2021. A total of 29 consecutive patients of carpal tunnel syndrome (CTS) were undergoing carpal tunnel release (CTR) under wide awake local anaesthesia no tourniquet (WALANT) technique, using a mixture of lidocaine and epinephrine for local anaesthesia, and the outcome was assessed for patient satisfaction by Boston Carpal Tunnel Questionnaire (BCTQ) (symptom severity scales (SSS)) at pre-operatively and six weeks postoperatively.RESULTSWide awake CTR was done in 29 patients; 86.2% were female and 13.8% male. The mean age was 47.3 years. The average time of return to daily activity was three weeks. No complications were noted, like wound infection and dehiscence. BCTQ symptom (BCTQ-S) score significantly improved at six weeks postoperatively. 86% significantly reduced the symptom severity score (SSS). Mean SSS improved from preoperative 3.2 points to 1.7 points postoperatively. There was a significant decrease in distal latencies (p <0.01).   CONCLUSIONWide awake surgery is an excellent technique with favourable outcomes and good satisfaction rates for CTR. The study shows that clinical symptoms resolve rapidly after CTR. Without the need for monitored anaesthesia, the cost could decrease dramatically.
HUBUNGAN KEPUASAN DENGAN KEPATUHAN TERAPI PADA PASIEN HIPERTENSI RAWAT JALAN DI RS PKU MUHAMMADIYAH YOGYAKARTA
Authors: Mujahidah Yuptarol , Supadmi Woro
Published: April 2023

Prevalensi kasus hipertensi terus meningkat, berkaitan dengan rendahnya tingkat kepatuhanpasien dalam mengkonsumsi obat antihipertensi. Upaya meningkatkan kepatuhan pasien dalampenggunaan obat diperlukan kualitas pelayanan yang baik, sehingga dapat meningkatkankepuasan pasien terhadap pelayanan yang diperoleh. Penelitian ini bertujuan mengetahuihubungan kepuasaan pasien dengan kepatuhan terapi pada pasien hipertensi rawat jalan di RSPKU Muhammadiyah Yogyakarta. Metode penelitian yang digunakan observasional analitikdengan pendekatan cross sectional. Jumlah sampel ditentukan menggunakan rumus Lemeshow.Teknik sampling yang digunakan adalah non probability sampling dengan metode purposivesampling. Subjek yang digunakan adalah pasien hipertensi yang memenuhi kriteria inklusi daneksklusi. Data yang dikumpulkan berupa kepuasan pasien dengan menggunakan kuesionerPSQ-18 dan kuesioner MARS-5 untuk melihat tingkat kepatuhan terapi pasien. Data yangdiperoleh dianalisis menggunakan uji Chi Square. Hasil penelitian menunjukkan, dari 96responden, 95,8% merasa puas dan 4,2% merasa tidak puas, serta 89,6% pasien patuh dan10,4% tidak patuh dengan pengobatannya. Analisis Chi Square menunjukkan adanya hubunganyang signifikan antara kepuasan pasien terhadap kepatuhan terapi pasien hipertensi dengan nilaip = 0,003 (p<0,05), dengan nilai korelasi (rho) = 0,330, dan diperoleh nilai Relative Risk sebesar3,696. Kesimpulan dalam penelitian ini adalah terdapat hubungan yang bermakna antarakepuasan pelayanan terhadap kepatuhan terapi pada pasien hipertensi rawat jalan di RS PKUMuhammadiyah Yogyakarta.
Kata kunci: Hipertensi,Kepuasan Pasien, Kepatuhan Terapi , MARS-5, PSQ-18
POTENSI INTERAKSI OBAT ANTIPSIKOTIK PADA PASIEN SKIZOFRENIA RAWAT INAP RUMAH SAKIT JIWA TAMPAN
Authors: Sinata Novia , Hasti Syilfia , Mashudi Firstio Anfasa
Published: April 2023

Skizofrenia merupakan salah satu dari penyakit gangguan jiwa serius yang dapatmempengaruhi pikiran, perilaku dan perasaan dari penderitanya. Peresepan obat pada pasienskizofrenia biasanya tidak hanya satu jenis obat antipsikotik saja melainkan diberikanbersamaan dengan obat-obatan lain. Pemberian bermacam obat dalam waktu yangbersamaan dapat meningkatkan terjadinya Drug Related Problems (DRPs) salah satunyaadalah interaksi obat. Tujuan dari penelitian ini yaitu untuk mengetahui potensi interaksiobat pada pasien skizofrenia di Rumah Sakit Jiwa Tampan Provinsi Riau tahun 2021. Datadiperoleh dari rekam medik secara retrospektif dan dianalisis dengan metode observasionalsecara deskriptif. Sampel yang digunakan dalam penelitian ini adalah 100 data rekam medikpasien skizofreia pada tahun 2021. Penelitian potensi interaksi obat pada pasien skizofreniaberdasarkan jenis interaksi obat secara farmakokinetik, farmakodinamik dan unknown sertaberdasarkan severity (tingkat keparahan) terdiri dari major, moderate dan minor. Hasilpenelitian menunjukkan bahwa ditemukan adanya potensi interaksi obat antipsikotik denganobat lain sebanyak 402 kasus. Interaksi terdiri dari jenis interaksi farmakokinetik sebesar3,73%, farmakodinamik sebesar 89,55% dan interaksi unknown sebesar 6,72%. Berdasarkanseverity (tingkat keparahan) terdapat pada tingkat keparahan major sebesar 30,35%,moderate sebesar 67,66%, minor sebesar 1,99%. Kombinasi obat yang banyak berpotensiinteraksi adalah haloperidol dengan triheksifenidil dengan severity (tingkat keparahan)moderate dan jenis interaksi antagonis farmakodinamik.Kata kunci : interaksi obat; skizofrenia; rekam medik
المفاضلة بين (تبعية) و(استقلال) دعوى المطالبة بالتعويض المدني للدعوى الجزائية
Authors: محمد عبد الباسط , حردان نوفل
Published: April 2023

زاء الجواز القانوني الذي يمنحه المشرع، بموجب نصوص صريحة في قوانين الإجراءات الجزائية، للمتضرر من عمل ناشئ عن جريمة، في الخيار عند طلب التعويض، أمام محاكم الجزاء بـ(التبعية) للدعوى الجزائية، أم أمام المحاكم المدنية بعوى تعويض (مستقلة)؟ ذهب غالبية الشرَّاح إلى أنَّ الأمر لا ضابط فيه سوى ما ضبطه به التشريع، ما دفع شرَّاح القانون العام إلى الميل نحو تفضيل خيار المطالبة بالحق المدني (تبعاً) للدعوى الجزائية، مقابل تفضيل شرَّاح القانون الخاص الخيار الآخر بإقامتها دعوى (مستقلة) أمام القضاء المدني صاحب الاختصاص الأصيل بنظرها، غير أنَّ التطبيق الفعلي للنصوص، يومئ إلى معيار تفضيل يناسب جميع الحالات ذات الصِّلة، يتمثل في الظروف الحال المحيطة بـ(المدعي) بالحق المدني، فيما إذا كان لديه من الوقت والصبر ما يسعفه تجاه طول إجراءات التقاضي وتعقيداتها، ليطالب بحقه المدني أمام صاحب الاختصاص الأصيل (القضاء المدني) بنظره، مستفيداً من ميزاته في المعرفة الواسعة بالطرق الناجعة للتعويض عبر خبرة ذوي الاختصاص، أو أنه لا وقت لديه ولا صبر على إجراءات التقاضي المدني، فيستسهل المطالبة بحقه المدني (تبعاً) للدعوى الجزائية.
طبيعة قــانـون المــحكـمـة الاتحادية الـعــليا وقواعده الموضوعية
Authors: فاضل محمد
Published: April 2023

احال دستور العراق لعام 2005 العديد من الموضوعات الى القانون كي يتولى تنظيمها، ومن بين ذلك قانون المحكمة الاتحادية العليا الذي يعد ذا صفة عضوية أساسية على حسب الدستور ويختلف عن بقية التشريعات العادية بسبب المعيار الشكلي الذي جاء به الــدســتــور. وإن الــطبيعة المُستقلة للمحكمة بحكم كونها هيئة قضائية على وفق الأخير تفرض احترامها في أي تنظيم للمحكمة وبما يكفل استقرارها بعيداً عن منطق التوازن بين المكونات بالنظر لعدم وجود أساس دستوري له، كما لا يمكن اعتماد مشروع قانون المحكمة الاتحادية العليا لعام 2015 بسبب اتساع مظاهر تدخل السلطة السياسية في تكوين المحكمة، فضلاً عن اتساع دور فقهاء القانون وخبراء الفقه الاسلامي. وأي قانون للمحكمة يجب أن يضمن آلية واضحة لمشاركة الأقاليم في تشكيل المحكمة، وأن تعطى مكنة إبداء الرأي في القوانين التي تنظمها. ومن الافضل ايضاً تعديل قانون مجلس القضاء الأعلى رقم 45 لسنة 2017 بشكل يضمن ارتباط المحكمة به

الكلمات المفتاحية: قانون اساسي، دستور، القضاء، استقلال، توازن
ELECTRONIC DOCUMENTS IN PRE-TRIAL CRIMINAL PROCEEDINGS
Authors: Савченко А.Н.
Published: April 2023

Введение: в статье рассматривается возможность использования в досудебном уголовном произ- водстве электронных документов, предлагаются авторское понятие электронного документа в досу- дебном уголовном производстве и классификация электронных документов. Материалы и методы: методологическую основу исследования составил метод обработки и си- стематизации информации, сравнение, анализ законодательной базы, дедукция и индукция. Матери- альной основой исследования послужили труды ученых-процессуалистов, посвященные проблемам внедрения в уголовный процесс электронных уголовных дел, электронного документооборота и элек- тронных документов. Результаты исследования: автор приходит к выводу о необходимости использования в досудеб- ном уголовном производстве электронных документов, осуществляет их классификацию. Обсуждение и заключение: введение электронного документа в досудебное уголовное производ- ство будет способствовать внедрению электронного производства по уголовным делам в уголовный процесс.

Introduction: the author considers the possibility of the usage of electronic documents in the pre-trial proceedings, gives their own definition of an electronic document in the pre-trial proceedings, and electronic documents classification. Materials and Methods: the methodology of the study were methods of systematization and processing of information, analysis of legislation, deduction and induction. The material basis of the study were works of scientists-processualists devoted to the problems of implementation in the criminal process of electronic criminal cases, electronic document management and electronic documents. Results: the author concludes that it is necessary to use electronic documents in the pre-trial proceedings, classifies them and gives their own definition of electronic documents. Discussion and Conclusions: the introduction of an electronic document in pre-trial criminal proceedings will facilitate the introduction of electronic proceedings in criminal cases.
Myocarditis in Patients With Idiopathic Inflammatory Myopathies: Clinical Presentation and Outcomes
Authors: Chung Melody P. , Lovell Jana , Kelly William , Mecoli Christopher A. , Albayda Jemima , Christopher-Stine Lisa , Gilotra Nisha A. , Paik Julie J.
Published: April 2023

Objective

To determine the clinical phenotype and outcomes of patients with idiopathic inflammatory myopathies (IIMs) and myocarditis.

Methods

Using the Johns Hopkins Myositis Center Research Registry, we identified 31 adult patients with IIM—out of a total of 3082 with confirmed or suspected muscle disease—with an encounter code of myocarditis from 2004 to 2021. Of these, 14 adult patients with IIM were adjudicated to have clinical myocarditis. Information about demographics, autoantibodies, and clinical outcomes was retrospectively collected and analyzed.

Results

Of 14 patients with IIM with clinical myocarditis, the median age at IIM diagnosis was 49 (IQR 35-56) years, and the median age at myocarditis diagnosis was 54 (IQR 36-61) years. The median duration between IIM diagnosis and myocarditis was 3 (IQR 2-9) years. The majority of patients were female (8/14, 57%) and Black (10/14, 71%). Antisynthetase syndrome was the most common IIM subtype (9/14, 64%). Anti-Jo1 (n = 4) and anti-PL12 (n = 3) were the most frequent autoantibodies. At myocarditis diagnosis, most patients (11/14, 79%) had active myositis, defined as elevated creatine kinase and/or muscle weakness; required hospitalization (13/14, 93%); and had reduced left ventricular ejection fraction (LVEF < 50%; 10/14, 71%). Despite intensification of immunosuppression, the 5-year overall survival rate from IIM diagnosis was 84%, and the 5-year overall survival rate from myocarditis diagnosis was 53%. Systolic dysfunction (LVEF < 40%) at final evaluation was observed in all expired patients (n = 6).

Conclusion

Clinical presentations of myocarditis in this select cohort of patients with IIM were severe and heterogeneous with poor outcomes despite intensification of immunosuppression, potentially reflecting late detection of myocarditis.
Apprentissage coopératif ou pédagogies coopératives ?
Authors: Connac Sylvain , Irigoyen Albert
Published: April 2023

De nombreuses pédagogies et pratiques pédagogiques préconisent le recours à des organisations coopératives du travail des élèves. Cette orientation vers davantage de socialité est motivée par le projet éducatif de contribuer à la réussite et au bien-être de chacun. Toutefois, les traditions en la matière sont anciennes et des cultures différentes se sont dessinées. Cet article théorique tente de faire dialoguer deux “écoles” de la coopération scolaire : le cooperative learning (l’apprentissage coopératif) et les pédagogies coopératives. Alors que la première priorise plutôt le développement d’habiletés coopératives, pour apprendre à coopérer, la seconde se décline diversement par des dispositifs qui s’inscrivent surtout dans le faire apprendre les élèves en coopérant. Outre de vraies différences structurelles, ces approches apparaissent à la fois rigoureusement pensées et complémentaires pour penser la place des relations en pédagogie.
Négocier les rapports épistémiques dans les entretiens de bilan en crèche : le cas des actions de conseil entre les parents et les professionnels de l’éducation de l’enfance
Authors: Filliettaz Laurent , Zuppiger Julie
Published: April 2023

Cet article a pour objectif de mieux comprendre, au moyen d’une analyse détaillée centrée sur les processus d’interaction verbale, les formes de discours au moyen desquelles sont accomplies les activités de conseil dans les entretiens de parents en contexte préscolaire. À partir d’une démarche d’analyse du travail d’inspiration interactionnelle et d’enregistrements audio-vidéo effectués dans deux institutions de la petite enfance du canton de Genève en Suisse, l’analyse du matériau empirique recueilli s’intéresse à l’organisation épistémique et relationnelle du conseil et les dynamiques de co-construction observables au moment de leur production. Une discussion conclusive met en perspective les résultats et les discute à la lumière d’enjeux pour la formation professionnelle des éducateurs de l’enfance.
App-Based Mindfulness Intervention to Improve Psychological Outcomes in Pretransplant Patients With Heart Failure
Authors: Vandenbogaart Elizabeth , Gawlinski Anna , Grimley Karen A. , Lewis Mary Ann , Pavlish Carol
Published: April 2023

Background

Patients hospitalized with life-threatening conditions experience psychological stressors that can lead to anxiety and poor patient outcomes. Mindfulness stress reduction interventions have been shown to decrease stress and anxiety with sustained effect.

Local Problem

In a single center’s cardiac care units, only pharmacological stress reduction options were embedded in the daily care plan.

Methods

This project evaluated the feasibility and effect of a brief mindfulness intervention on stress, anxiety, and resilience in 20 hospitalized patients with advanced heart failure awaiting transplant. A 1-group, pretest-posttest design over a 4-week period was used. The intervention included a one-on-one mindfulness education session and a 12-minute audio-guided tablet computer app for daily self-practice. Outcome variables measured at baseline and 2 and 4 weeks after implementation included stress (10-item Perceived Stress Scale), anxiety (7-item Generalized Anxiety Disorder instrument), and resilience (10-item Connor-Davidson Resilience Scale). Statistical analysis included descriptive statistics and repeated-measures analysis of variance with Friedman tests, Bonferroni post hoc tests, and Wilcoxon matched-pairs tests.

Results

Significant reductions in stress and anxiety and increase in resilience occurred from baseline to 2 weeks and 4 weeks after intervention (all P = .001). Feasibility and acceptability were evident from patient experience survey data and focused interview responses.

Conclusions

A brief mindfulness intervention holds promise for improving stress, anxiety, and resilience for patients with advanced heart failure awaiting transplant. Nurse-led stress reduction interventions are imperative for best patient outcomes. An evidence-based intervention of mindfulness practice embedded into daily usual patient care may be a feasible option.
Implementing a Unit-Based Alarm Management Bundle for Critical Care Nurses
Authors: Bosma Stephanie , Christopher Roberta
Published: April 2023

Background

Clinical alarms are designed to signal an unsatisfactory patient physiological state and alert staff members to malfunctioning medical equipment. Alarm desensitization and fatigue can occur when clinicians are exposed to an overwhelming number of clinical alarms, particularly nonactionable alarms.

Local Problem

Alarm fatigue and alarm management competency related to use of Philips monitoring systems were noted to be problematic among nurses working in the 27-bed surgical intensive care unit of a teaching hospital in northeastern Florida.

Methods

A quality improvement project was conducted to reduce alarm fatigue and improve nursing competency in managing alarms. The CEASE (Communication, Electrodes, Appropriateness, Setup, and Education) evidence-based alarm management bundle was implemented on the unit, and a representative from the alarm manufacturer conducted in-service training sessions. A clinical alarms survey developed by the Healthcare Technology Foundation was distributed both before and after the intervention to 115 nurses working in the unit. Descriptive and inferential statistics were used to assess for differences between the preintervention and postintervention periods.

Results

Nurse participants demonstrated improved alarm management competency, resulting in significant improvements in their perceptions of alarm functionality, settings, response time, and policy adherence. There was a statistically significant decrease in self-reported alarm fatigue, and the CEASE bundle was found to influence nursing practice.

Conclusions

The Joint Commission’s 2022 goal of improving clinical alarm safety remains a top priority nationwide. Implementation of the CEASE alarm management bundle was effective in reducing surgical intensive care unit nurses’ alarm fatigue and improving their alarm management practices.
Análisis de aplicaciones de los sistemas de ecuaciones en textos de Álgebra Lineal
Authors: Pozas Diana Cecilia , Araya Octavio Emanuel , Santori María Laura
Published: April 2023

Este trabajo se encuadra en un proyecto de investigación que se desarrolla en la Universidad Nacional del Comahue, Argentina. Está centrado en la enseñanza de la matemática para la formación de futuros ingenieros y tiene por objetivo el análisis de los problemas que vinculan conceptos de diversas disciplinas con el estudio de los sistemas de ecuaciones lineales en materias de primer año de carreras de ingeniería. El referencial teórico utilizado es la Teoría Antropológica de lo Didáctico. A partir de una muestra de libros de Álgebra Lineal, seleccionamos problemas relativos a circuitos eléctricos, flujo de red y mínimos cuadrados. Para el análisis de los mismos utilizamos un instrumento basado en constructos de la TAD. Estas aplicaciones de los sistemas de ecuaciones lineales promueven la ejercitación de determinadas técnicas que ya han sido explicitadas por los autores a través de ejemplos; como así también el uso de software. Asimismo, requieren un trabajo colaborativo entre especialistas y docentes que dictan asignaturas matemáticas para futuros ingenieros a fin de atender criteriosamente al contexto extramatemático de las mismas.
Separation near the bushing of the flow in the outlet nozzle of the steam turbine at the low-flow rate modes
Authors: Shubenko Oleksandr , Alyokhina Svitlana , Goloshchapov Volodymyr , Kotulska Olga , Senetska Daria
Published: April 2023

The paper considers the movement of steam flow from the working wheel of the last stage with a large fanning to the outlet nozzle of a steam turbine, considering the conditions for the formation of the separation near the bushing in a wide range of mode changes. An assessment was made of the initiation and development of the separation near the bushing in the space of the outlet nozzle of the steam turbine. To analyze the formation of the movement of the working medium in the free space of the outlet nozzle, an axisymmetric flow model is used, which is described by the equation of the hyperboloid of rotation.
Спрощена фізико-математична модель теплообміну при нагріванні виливка в печі
Authors: Босий Микола , Боса Олена
Published: April 2023

Натепер математичне моделювання процесу нагрівання виливків в печах як об'єкт дослідження є актуальним завданням за потреби більш точних моделей, беручи до уваги складні теплофізичні процеси, які протікають при тепловій обробці виливків у промислових печах. У статті наведена спрощена фізико-математична модель теплообміну при нагріванні виливка в печі, яка описує теплообмінні процеси при використанні виробничої технології нагрівання виливків в печах. Представлена спрощена фізико-математична модель теплообміну при нагріванні виливка в печі описується рівнянням конвективного теплообміну. Моделювання процесу нагрівання виливка в печі дає змогу знайти його оптимальні параметри. Спрощена фізико-математична модель теплообміну при нагріванні виливка в печі може бути використана для вивчення процесу нагрівання виливків з будь-якого металу чи сплаву (чавун, сталь, алюміній, бронза). Спрощена фізико-математична модель теплообміну при нагріванні виливка в печі побудована на звичайних диференціальних рівняннях і дозволяє розрахувати час нагрівання виливка. Адекватність спрощеної фізико-математичної моделі теплообміну при нагріванні виливка в печі підтверджується порівнянням отриманих результатів з експериментальними даними. На підставі отриманих результатів можна стверджувати, що вони задовільно узгоджуються з експериментальними даними.
Performance analysis of the refrigeration system for improving energy efficiency
Authors: Sazanskyi Andrii , Khmelniuk Mykhailo
Published: April 2023

Refrigeration system holds an important role in many industrial processes. The global industrial refrigeration system market is expected to grow from USD 19.3 billion in 2019 to USD 25.7 billion by 2025, at a CAGR of 4.7%. The traditional systems (cascade/multistage) as well as hybrid system with non-zeotrope refrigerant blends are widely used for processes where more than one temperature level is required. The optimal utilization of energy saving technologies in industrial processes is a key issue for the rational use of energy resources in the process industry. Among the various existing energy saving means, the refrigeration system is a technology area that introduces several degrees of freedom. The goal is to identify the optimal refrigerant/refrigerant mixtures, the optimal temperature levels, and the best cycle's configuration to satisfy the refrigeration requirements of a technological process. It is common that hydrocarbons have great thermodynamic properties, making them efficient refrigerants. The problem is that hydrocarbons are highly flammable, it has restricted their wider adoption for some applications in the refrigeration industry, mostly for applications demanding large refrigerant charges. Targeting to reduce safety as well as regulatory problems getting up from the use of hydrocarbons, the performance of hydrocarbons and carbon dioxide mixtures as refrigerants in a standard vapor-compression cycle has studied. To take into account all energy losses in the compressor, a technique was used that allows one to assess the energy perfection of a hermetically sealed compressor during experimental studies. The given method contains indicators that estimate certain types of energy losses of a hermetic compressor using the electrical efficiency of the compressor.
Calculating limiting oxygen concentration of gas mixtures
Authors: Truong Quang Vinh , Ngo Trung Hoc
Published: April 2023

The limit values for the fuel concentration in the air-flammable fuel mixture are LEL (lower explosive limit) and UEL (upper explosive limit). The addition of an inert component to the fuel / air mixture determines the increase and decrease of the LEL, until no explosion occurs. The maximum oxygen quantity of the non-combustible - air - inert fuel mixture is LOC (limited oxygen concentration), an important safety property. Investigation of a comprehensive set of data on the flammability at high temperature and ambient pressure obtained from documented sources was carried out for systems containing nitrogen, carbon dioxide and water (steam) such as inert ingredients. Determining the LOC for gas mixtures with different ratios requires step-by-step testing. To solve that problem, the author used Lechateler calculation method to calculate LOC for the ratio of gas mixture and compared the results of experimental equipment.
Analysis of systems and methods of emergency braking of wind turbines
Authors: Mammadov Nijat
Published: April 2023

Increased wind loads in the world and the lack of human control over the operation of wind turbines create high risks of their operation. The most common accidents in the operation of wind turbines are: the destruction of the blades due to the excess of the rotor speed, overheating of the generator windings, the destruction of the structure due to increased vibrational vibrations. As a rule, braking systems are used in wind turbines to prevent the listed negative factors. This article discusses wind turbine power control systems, control systems and braking systems, since each type of these systems has its own specific and narrowly focused task. The article also presents the results of the search and analysis of existing systems and methods of emergency braking of WEI.
Theoretical aspects of the technological competence formation in the teacher of labor training and technology
Authors: Kravchenko Lesia , Liulchenko Vyacheslav
Published: April 2023

The article highlights the results of a theoretical study of the educational process of training students of the specialty 014.10 Secondary education (labor training and technologies), namely, the formation of technological competence, as an important element of professional competence. The components, established pedagogical conditions, selected pedagogical methods and criteria for formation and establishment of the technological competence formation level among the students of higher education have been determined.
Системи місцевого самоврядування в контексті проведення реформи децентралізації влади в Україні
Authors: Марченко Володимир
Published: April 2023

Стаття присвячена дослідженню систем місцевого самоврядування та виділенню їх окремих елементів, які можуть бути використані у процесі повоєнної відбудови Україні при продовженні проведення реформи децентралізації влади. Розглянуто англо-саксонську систему місцевого самоврядування, виділено основні принципи її побудови та визначено, які елементи можуть бути застосовані в Україні. Проаналізовано романо-германську (континентальну) систему місцевого самоврядування. Визначено основні принципи її функціонування в різних державах Європи відповідно до Європейської хартії місцевого самоврядування 1985 р. Виділено французький та польський типи системи місцевого самоврядування в рамках континентальної системи місцевого самоврядування. Вивчено систему місцевого самоврядування та адміністративно-територіальний устрій Франції. Наголошено на значній складності адміністративно-територіального устрою Франції порівняно із Україною. Вказано, які елементи системи місцевого самоврядування Україна може запозичити у Франції. Досліджено систему місцевого самоврядування у Польщі та зазначено, що наразі реформа децентралізації влади в Україні частково враховує досвід Польщі щодо побудови адміністративно-територіального устрою та системи органів місцевого самоврядування як на базовому, так і на субрегіональному та регіональному рівнях. Надано рекомендації щодо подальшого використання польського та французького досвіду проведення реформ із децентралізації влади. Вивчено іберійську та радянську системи місцевого самоврядування, та названо їх основні риси. Наголошено, що радянська модель місцевого самоврядування зберігає свою наукову цінність та є цікавою з точки зору вивчення тоталітарних, надміру централізованих систем управління державою. Визначено перспективи застосування окремих елементів іберійської системи місцевого самоврядування, як системи перехідного періоду, на деокупованих територіях для якнайшвидшого відновлення територій та сталого представництва центральної влади для забезпечення більшого контролю ситуації на території з розбалансованою системою управління.
What to Know Before Taking Out a Payday Loan to Improve Your Credit Score
Authors: Sytnychenko Karina
Published: April 2023

Loans are a fundamental and integral part of people's lives. People of all ages are interested in them to be able to fulfill their desires. A banking establishment, like any other financial institution, requires its clients to pay their debt obligations on time and in full. But they all use credit scores to assess a client's creditworthiness and, in turn, to mitigate their own risks. Likewise, individuals themselves should be aware of how their credit rating is formed in order to make sound financial decisions in the future. The results of the study show that scientists, researchers, and online resources do not have a single approach to the factors that affect credit scores, but the general direction of consideration of a person is very similar. In this article, two of the most popular rating systems in the United States, such as FICO and VantageScore, were reviewed. They have many similarities but also many differences that affect the formation of a credit score improvement strategy. In turn, a low credit score reduces the quality of life and financial inclusion, so its improvement is an important and urgent issue that is addressed in this article.
Covid-19 e as sequelas psicológicas e neuropsicológicas em discentes na região norte nordeste do Paraná
Authors:   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Pereira Natália Amaral , Moreschi Natália Cristina ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Seidel Luana Boaro ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Kamphorst Natália Luiza Richter ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Adati Karina Minami ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Pujals Constanza ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil.
Published: April 2023

No final de 2019 o Brasil e o mundo foram acometidos pela Covid-19. Dessa forma, os discentes foram infectados pelo vírus, o que provocou as mais diversas sequelas neuropsicológicas. Sendo assim, compreender estas consequências vai colaborar para o correto encaminhamento dos pacientes à uma adequada reabilitação. Por esta razão, o presente estudo analisa as sequelas neuropsicológicas. A amostra foi constituída por brasileiros, maiores de 18 anos, discentes universitários a nível nacional que contraíram Covid-19 e já estejam recuperados. Por meio dos dados obtidos, verificou-se que há ocorrência de sequelas e alterações no pós-Covid-19, apresentando significância nos âmbitos da cognição, memória e concentração.
Desenvolvimento de um sistema de monitoramento para a potência elétrica consumida durante o processo de torneamento
Authors:   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Jardim Gabriel Matheus , Niro Lucas ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil.
Published: April 2023

Este resumo propõe a realização de um equipamento que terá a finalidade de realizar a medição das grandezas elétricas envolvidas no processo de torneamento. Logo o objetivo é o desenvolvimento de um hardware utilizando como base o microprocessador Arduino, que possui a capacidade de aferir a tensão e a corrente simultaneamente nas três fases de alimentação do torno mecânico, para que assim, através de um cálculo matemático desenvolvido no código base deste equipamento seja possível obter a potência elétrica consumida durante o processo de torneamento. O equipamento foi calibrado e comparado com um equipamento comercial, os resultados obtidos foram considerados satisfatórios.
Estudo da estabilidade oxidativa do biodiesel com extrato de folha de gabiroba
Authors:   Universidade Estadual de Londrina, Londrina, PR, Brasil., Clemente Marco Aurélio Jeanegitz , Chendynski Letícia Thaís ,   Instituto Federal do Paraná, Campus Ivaiporã, Ivaiporã, PR, Brasil, Campos Julia Weingrill ,   Universidade Estadual de Londrina, Londrina, PR, Brasil., Silva Heloisa  Helena Pereira da ,   Universidade Estadual de Londrina, Londrina, PR, Brasil., Ribas Yone Gabriely Tamilin ,   Colégio Estadual Albino Feijó Sanches, Londrina, PR, Brasil., Borsato Dionísio ,   Universidade Estadual de Londrina, Londrina, PR, Brasil.
Published: April 2023

O biodiesel é uma fonte alternativa e renovável, quando comparado ao diesel. Sua composição varia de acordo com a matéria prima usada na reação de transesterificação, e consequentemente a quantidade de insaturações, que tornam o biocombustível mais suscetível a oxidação, diminuindo sua estabilidade e qualidade. Extratos alcoólicos de folhas de gabiroba são alternativas que atuam na diminuição da degradação do biodiesel por meio dos compostos fenólicos que capturam os radicais livres, levando a uma maior estabilidade. E através do período de indução, que é obtido pelo teste de oxidação no Rancimat, observa-se a diferença no comportamento do biodiesel com antioxidante.
Estudo das propriedades antioxidantes do extrato de casca de jabuticaba no aumento do período de indução no biodiesel
Authors:   Instituto Federal do Paraná, Campus Palmas, Palmas, PR, Brasil., Galeski Isadora Ferronato , Clemente Marco Aurelio Jeanegitz ,   Universidade Estadual de Londrina, Londrina, PR, Brasil., Silva Nathan Ferreira ,   Universidade Estadual de Londrina, Londrina, PR, Brasil., Sousa Eduardo Geraldo  de ,   Universidade Estadual de Londrina, Londrina, PR, Brasil., Mantovani Ana Carolina Gomes ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Chendynski Letícia Thaís ,   Instituto Federal do Paraná, Campus Ivaiporã, Ivaiporã, PR, Brasil.
Published: April 2023

Para que o biodiesel esteja nas especificações impostas pela ANP, aditivos antioxidantes são adicionados. O extrato de cascas de jabuticaba foi adicionado ao biodiesel (B100) com a finalidade do aumento da estabilidade oxidativa do biodiesel. Esses parâmetros foram determinados através do período de indução (PI) utilizando o método de degradação acelerada pelo equipamento Rancimat a 110 °C. O extrato alcoólico de cascas de jabuticaba atua como antioxidante natural, possuindo um amplo mercado como aditivo para o biodiesel com a finalidade de atender o mínimo da legislação vigente.
Evolução das taxas de internação hospitalar devido ao uso de psicotrópicos por idosos
Authors:   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil., Oliveira Jhonatan Henrique , Carrara Marcia Aparecida ,   Centro Universitário Ingá – Uningá, Maringá, PR, Brasil.
Published: April 2023

Destacar a evolução das taxas de internação hospitalar por transtornos mentais e comportamentais pelo uso de psicotrópicos por idosos no Sul do Brasil. Trata-se de um estudo ecológico, de séries temporais, de 2012 a 2021. Foram levantados dados do Sistema de Informações Hospitalares do SUS (SIH-SUS), considerando os internamentos por transtornos mentais por uso de álcool e psicotrópicos. Foi analisada as faixas etárias acima de 60 anos. As maiores taxas de internação foram no Rio Grande do Sul, enquanto no Paraná e Santa Catarina houve redução. Portanto, torna-se importante ampliar estudos epidemiológicos que melhor definam o perfil dessa população.
La estructura citacional de la (dis)capacidad
Authors: Parra Rubio Federico
Published: April 2023

El llamado modelo social de la discapacidad ha desencadenado un cambio de paradigma en nuestra comprensión de lo que es un cuerpo y de la forma en que le atribuimos capacidades. Sin embargo, su comprensión de la discapacidad como una relación con el entorno no ha sido debidamente precisada, permaneciendo ambigua y carente de contenido. A partir de la obra de Judith Butler y de su recuperación de la citacionalidad derridiana, argumento que la idea de capacidad expresada como relación del sujeto con el entorno dibuja una estructura citacional, es decir, revela que la capacidad se sostiene sobre el recurso a un medio preexistente que la permite y habilita. El artículo comienza exponiendo las características principales de los modelos médico y social, señalando sus aportaciones y limitaciones. A continuación, recupera la relación entre sujeto y entorno como elemento clave de la acción capaz y ahonda en ella por medio del concepto de citacionalidad, aportando múltiples ejemplos. Por último, se desmarca explícitamente del modelo social criticando la idea de que toda discapacidad se sostiene sobre una limitación personal. Este último apartado también permite explorar con mayor profundidad los conceptos clave de ‘norma’ y ‘cita’ en el ejemplo de la comunicación.