bluuebunny/crossref_metadata_2025 huggingface dataset:
Parametric Test Efficiency One-Way Repeated Measures Analysis of Variance and its Nonparametric Alternative Friedman Test
Authors: Al Otaibi Ashraf
Published: May 2024

The study aimed to study the efficiency of the one-way repeated measures analysis of variance, and the Friedman test, which is used if the data do not meet the assumptions of the (F) test. the simulation was used to generate random samples that follow the standard normal distribution, the Mediator distribution of skewness and kurtosis, and the highly skewness and kurtosis distribution. For the purpose of comparing the efficiency of the two tests. So that the generated samples consist of 3 treatments for the three different distributions. Three different sizes of the generated samples were used, so that they were 8 for the small sample size, 20 for the medium-sized sample size, and 50 for the large-sized sample size. The effect size and statistical power were relied upon as comparative criteria. The results of the study showed that in the case of the sample following the standard normal distribution, it turned out that the ANOVA test was more powerful and effective than the Friedman test for all sample sizes. In the case of the sample, which follows the Mediator distribution of skewness and kurtosis, it is clear that the effect size values and the statistical power of the Friedman test are higher than those calculated for the analysis of variance test in most cases. Also, in the case of the sample following a highly skewness and kurtuous distribution, it is clear that the Friedman test is more powerful and influential than the analysis of variance test in all cases.
The Psychometric Properties of the Statistical Anxiety Scale were Examined using Confirmatory Factor Analysis (CFA) and Neural Network Analysis among Students of Taif University
Authors: Alshaibani Mariam
Published: May 2024

The current study aimed to confirm the psychometric analysis of the Statistics Anxiety Scale (SAS) using Confirmatory Factor Analysis (CFA) and Neural Network Analysis among students at Taif University. The study sample consisted of 455 students from Taif University. The researcher utilized the Vigil-Colet Statistics Anxiety Scale (2008), comprising 24 items distributed across three dimensions: Test Anxiety, Table and Graph Anxiety, and Interpretation Anxiety The data were analyzed using Confirmatory Factor Analysis (CFA) and Neural Network Analysis. The study results yielded a suitable fit for the three-dimensional model of statistical anxiety with the sample data (RMSEA=0.077, CFI=0.91, TLI=0.90). The Neural Network Analysis produced indicators of centrality, proximity, and strength to highlight the importance of vocabulary in shaping the structure of the statistical anxiety concept, especially regarding the statistical anxiety dimension. Additionally, the study found moderate aspects of statistical anxiety among university students. The results were discussed in the context of previous studies related to the concept of statistical anxiety.
Administrative Wisdom of Public-School Principals and its Relationship with Perceived Self-Efficacy from the Point of View of Teachers in Al Batinah South Governorate in Sultanate of Oman
Authors: AlHamrashdi Khalsa , AlDhuhli Rabia , Alfawair Ahmad
Published: May 2024

The present study aimed to identify the degree of practicing administrative wisdom among government-school principals and its relationship with perceived self-efficacy from the Point of View of teachers in Al Batinah South Governorate in the Sultanate of Oman. The study used a descriptive correlational approach to achieve its objectives. A questionnaire consisting of 56 statements was designed. It had two dimensions: administrative wisdom with 28 statements and perceived self-efficacy with 28 statements. After checking the validity and reliability of the questionnaire, it was distributed to a sample of 422 male and female teachers. The study showed that the degree of practicing administrative wisdom among government-school principals was high from the teachers’ perspective. The findings also showed that the level of perceived self-efficacy of government-school was high from their perspective. The study revealed a statistically significant and positive correlation between all the statements of the administrative wisdom scale and all the statements of the perceived self-efficacy scale of teachers in government schools in Al Batinah South Governorate in Sultanate of Oman. The level of the correlation ranged between low and moderate.
Measuring the Level of the Primary Teachers' Sense of Efficacy for Teaching Reading and its Correlation to Some Variables
Authors: Alsulami Mohammed
Published: May 2024

The aim of the research was to measure the level of the primary teachers' sense of efficacy for teaching reading and its correlation to some variables. The research followed the descriptive approach, and the descriptive correlational approach. The research used a questionnaire to measure primary teachers' sense of efficacy for teaching reading. The sample of the research consisted of 333 primary teachers in Makkah city. The results of the research revealed that a medium level of the primary teachers' sense of efficacy for teaching reading. In addition, the results revealed that there were no statistically significant differences at the level (α ≤ 0.05) between the mean of the teachers regarding their gender, years of teaching in the primary grades, years of teaching, specialization major, educational preparation, training courses in teaching reading, number of students in the classroom, and the degree level (diploma/bachelor). Moreover, the results revealed that there was a statistically significant difference at the level (α ≤ 0.01) between mean of the teachers regarding their degree level (diploma/postgraduate) in favor of postgraduate, as well as between the degree level (bachelor/postgraduate) in favor of postgraduate. Finally, the results revealed that there were statistically significant differences at the level (α ≤ 0.05) between mean of the teachers regarding obtaining teaching license in favor of who obtained a teaching license. Based on the results of this research, recommendations and suggestions were presented.
Determinants Of Profit Shifting Decision: Analysis Of Multinational Companies In Indonesia
Authors: Hargiasto Hartito , Mardiana Karlin Sagita , Prasetyaningrum Oktavia Rizki , Firmansyah Amrie
Published: May 2024

Taxpayers typically seek to decrease their tax burden through tax avoidance or planning. Multinational corporations have the opportunity to dodge taxes due to their international operations. The most popular form of tax avoidance for multinational corporations is to move income to subsidiaries in low-tax nations. This study investigates the factors that influence profit-shifting decisions by multinational corporations operating in Indonesia, such as tax rate differential, multinationality, firm size, and use of tax havens. This study employs secondary data from financial statements of firms listed on The Multinational Enterprise Information Platform database, which is the outcome of OECD and UNSD collaboration for 2022 as of January 2024 at https://www.oecd.org/sdd/its/mne-platform. The purposive sampling yielded 148 observations. Multiple linear regression analysis was used to process cross-sectional research data. According to this study, disparities in tax rates and firm size have a favorable effect on profit-shifting decisions. However, multinationality and presence in a tax haven country do not impact profit-shifting decisions. The results of this research can be used by tax authorities in Indonesia to consider when establishing rules that can prevent shifts in the earnings of multinational corporations with the goal of tax avoidance.
Financial Analysis of Establishing Cicendo Eye Center in Garut
Authors: Suherman Enang , Purwanda Eka
Published: May 2024

Engaging in business inevitably involves encountering many barriers and limits, such as the Shisendo Eye Clinic. While the primary focus of this project is eye health, it is crucial to do a comprehensive business feasibility analysis to prevent failures and mitigate any hazards in the future. This study aims to elucidate the business viability assessment for establishing the Cicendo Eye Clinic in the city of Garut, focusing on internal areas of the organization, including marketing, technical operations, management, and human resources. In this instance, the emphasis is primarily on the financial aspect.
The employed techniques are both descriptive and analytical. Data collection methods encompass observation, interviews, document analysis, and literature review. Data analysis methods employ both qualitative and quantitative approaches. Qualitative data is essential for non-financial sectors, while quantitative data is necessary for financial and commercial sectors. The use of statistical techniques and the Microsoft Excel software program facilitates the analysis of quantitative data. According to the statistics and analysis of the establishment of the Garut Main Clinic of Centro Oftalmológico Sisendo, the clinic was able to recoup all investment expenses within three years of operation. The internal rate of return (IRR) is the discount rate at which the net present value of an investment becomes zero. A potential investment is considered viable if the internal rate of return (IRR) surpasses the anticipated rate. The internal rate of return (IRR) for the new clinic project at the 5-year Break Event Point (BEP) is 21.5% annually. Hence, this project is feasible and can be further pursued.
Performance Monitoring Model to Increase the Productivity of STMIK Mardira Indonesia Employees
Authors: Sudiryo Sudiryo , Rohendi A , Hidayat Dasrun
Published: May 2024

Performance monitoring is a crucial aspect in assessing the advancement of an organization. An effective way to monitor performance is by implementing performance assessments for staff. Employee performance is consistently hindered by the absence of work achievement targets or Employee Work Targets (SKP). This study aims to develop a performance monitoring framework that can be used at STMIK Mardira Indonesia. The research methodology is qualitative, utilizing a case study design and naturalistic observation. The recommended performance monitoring model for implementation at STMIK Mardira is a hybrid approach that combines Traditional Assessment, Management by Objective (MBO), and 360-degree Feedback models. This model is further enhanced by utilizing a digital-based information system called the Human Resource Information System (HRIS).
Application Design of Stock Inventory of Meatball Serving Ingredients for Anhel MSME Bakso
Authors: Ramadan Muhamad Hesky , Subagja Roni Ilham , Suherman Asep , Ramlan Isak
Published: May 2024

Inventory management systems are a cornerstone of operational efficiency for MSMEs (Micro et al.). This study aims to develop and implement an inventory management information system for MSME Bakso ANHEL. The system, which enables real-time inventory tracking, order optimization, and improved supply chain efficiency, is a testament to the transformative power of information technology in enhancing the competitiveness of MSMEs. The findings of this study can provide valuable insights for MSME Bakso ANHEL and other similar businesses, equipping them with the tools to address inventory management challenges. The strategic use of information technology is a game-changer for micro, small, and medium enterprises (MSMEs).
COMPARATIVE STUDY OF QUERCETIN & LEMON PEEL EXTRACT ON MULTIPLE DRUG RESISTANT BACTERIA
Authors: Patil Madhuri , Jaisinghani Renu , Sharma Ravindra , Patil Rohini
Published: May 2024

The current investigation explores the antibacterial properties of Quercetin, a flavonoid found in plants, and lemon peel extract, renowned for its rich bioactive content, against multiple drug resistant bacteria. The study method involved the identification of multidrug-resistant bacteria through antimicrobial susceptibility testing (AST). Nine standard bacterial strains exhibited resistance to different antibiotics, with a MAR index exceeding 0.10, including Ampicillin, Vancomycin, Polymyxin B, Nitrofurantoin, Trimethoprim, and penicillins.In the present study bioactive compounds from lemon peel were extracted using two solvents, methanol and water, and their efficacy was assessed against drug-resistant bacteria. Minimum Inhibitory Concentration (MIC) values, determined by using the well plate method, revealed lower MIC values for the water extract (LPWE) compared to the methanol extract (LPME) and quercetin. For instance, the MIC for LPWE against E. hermanniensis ATCC 700323 was 140 mg/ml, whereas it was 50 mg/ml for quercetin & 1 mg/ml for LPME. From the results, it can be interpreted that Methanol extract was most effective against drug-resistant bacteria when compared to water extract and quercetin.Furthermore, GC-MS analysis was performed to analyze the chemical entities present in each extract. Given the activity of LPME, LPWE, and Quercetin against both Gram-negative bacteria and Gram-positive bacteria, these extracts hold promise as broad-spectrum antibacterial agents applicable in various fields such as medicine, food, and cosmetics.
PRECISION AND RELIABILITY OF NANOPLATE DIGITAL PCR SYSTEM FOR PORK DNA IDENTIFICATION AND QUANTIFICATION
Authors: Rini Hafzari  , Annisa  , Anita Kairani  , Muchamad Nur Cholis  , Listya Puspa Kirana  , Nurul Huda Pangabean  , Nurbaity Situmorang  , Dwi Ratna Anjaning Kusuma Marpaung
Published: May 2024

The adulteration and mislabeling of food ingredients, particularly meat products, pose a significant concern for consumers. In order to address this issue, it is crucial to use precise and sensitive methods for species identification, mainly when dealing with samples that contain a limited number of copies of DNA. The primary objective of this study is to design a digital nanoplate polymerase chain reaction (PCR) technique for the purpose of quantifying species identification. The primer used in this study was cytochrome b gene. The results showed that target DNA can be amplified using the  digital PCR nanoplate until the lowest sample concentration of 0.0013 ng/µL. This study can be applied to enhance species identification processes in food samples by utilizing digital PCR nanoplates.
MEASUREMENT OF MICROBIOLOGICAL QUALITY OF RAW GOAT´S MILK BY LASER FLOW CYTOMETRY
Authors: Tomáška Martin , Maroš Drončovský  , Miroslav Kološta
Published: May 2024

The popularity of goat's milk and its products is growing in Slovakia. Among the mandatory health safety features of raw goat's milk is the total bacterial count. It can be determined by the anchor plate-cultivation method, which is, however, tedious, and laborious. Laser flow cytometry is a modern alternative method for measuring the microbiological quality of raw milk. To use the results from laser flow cytometry method for legislative purposes, it is necessary to create a representative conversion of the primarily measured results obtained by this method into the CFU/mL scale. This work describes the creation of such a conversion for raw goat's milk, which will be valid for the Slovak region. After measuring several hundred individual and bulk tank samples of raw goat's milk on a BactoScan FC laser flow cytometer and at the same time using the anchor method according to STN EN ISO 4833-1 and after their subsequent logarithmic transformation, such a conversion was created in the form of log10(CFU/mL) = 1.0174 x log10(IBC/ml) + 2.7483. Subsequently, this was verified by comparing the recalculated and directly measured results in CFU/mL, using additional data set of samples. The influence of the somatic cell count in raw goat's milk, as a possible interfering factor, was also assessed.
EXPLORING THE IMPACT OF DIFFERENT PACKAGING TYPES AND REPEATED PACKAGE OPENING ON VOLATILE COMPOUND CHANGES IN GROUND ROASTED COFFEE
Authors: Trenzová Kristina , Gross Michal , Vítová Eva , Pořízka Jromír , Diviš Pavel
Published: May 2024

In this study, the dynamics of volatile compound alterations during the storage of ground roasted coffee in various packaging were investigated using solid-phase microextraction-gas chromatography-mass spectrometry. Each type of packaging underwent repeated opening and closing, simulating the gradual consumption behavior of the consumer who consumes ground coffee in smaller doses over time. The experimental results revealed that after 30 days of storage, 35 to 45% of the volatile substances originally present in the coffee were lost regardless of the type of packaging used. Notably, storing coffee in a paper sachet proved to be the least effective method, resulting in a loss of over 80% of all volatile coffee substances during this storage period.
BIOGENIC AND RISK ELEMENTS IN GRAPE POMACE OF DIFFERENT CULTIVARS
Authors: Lidiková Judita , Ceryova Natalia , Musilová Janette , Bobko Marek , Bobková Alica , Demianová Alžbeta , Poláková Katarína , Grygorieva Olga
Published: May 2024

The contents of biogenic and risk elements in the pomace of 6 grape cultivars (Blaufränkisch, Cabernet Franc, Cabernet Sauvignon, Devín, Dunaj, and Merlot) were analyzed in this study. Content of K, Ca, P, Mg, and Na was 11 750 – 19 070, 2 400 – 3 908, 1 678 – 2 684, 336 – 760, and 1.43 - 59.3 mg.kg-1 DM respectively. Content of Fe, Cu, Mn, Zn, Ni, Cr, and Co was 79.5 – 245, 6.18 – 48.4, 10.3 – 22.6, 4.19 – 17.0, 0.66 – 1.36, 0.058 – 2.33, and 0.42 – 0.63 mg.kg-1 DM respectively. Pb and Cd were detected in the grape pomace of Merlot (0.94 and 0.03 mg.kg-1 DM, respectively) and Cabernet Sauvignon (0.36 and 0.08 mg.kg-1 DM, respectively). The total content of Hg ranged from 0.0055 to 0.0080 mg.kg-1 DM. Analysis of variance showed that there are differences in the content of elements among cultivars. Grape pomace of cultivars Blaufränkisch and Cabernet Sauvignon could be characterized by the higher Fe, Mn, Zn, Ni, and Cr content, while grape pomace of cultivar Merlot by higher Mg content. With relatively low content of risk elements, grape pomace can serve as a good source of essential minerals in the human diet.
Abordaje de mínima intervención en el tratamiento lesiones de manchas blancas post ortodoncia con Resina Infiltrativa ICON®. Reporte de caso.
Authors: Salazar Gomez Oliangel , Gamez Adriana , Acosta Ramses , Medina Díaz Aida Carolina
Published: May 2024

Un posible efecto indeseado del tratamiento de ortodoncia, causado principalmente por un mantenimiento deficiente de la higiene bucal, es la presencia de lesiones iniciales de caries (manchas blancas). Se han propuesto diferentes tratamientos para las lesiones de mancha blanca, siendo exitoso el efecto de camuflaje producido por resinas infiltrantes, brindando como resultado una apariencia similar al esmalte sano, generando una repercusión positiva tanto clínicamente como en estética del paciente. El Objetivo de este trabajo es reportar el caso clínico de una paciente con presencia de manchas blancas post ortodoncia en incisivos superiores empleando el uso de resina infiltrativa (ICON®) como alternativa terapéutica de mínima intervención. Presentación de caso: Se trata de paciente femenina de 20 años de edad sin antecedentes médicos relevantes, diagnosticada con lesiones de manchas blancas presentes en los incisivos superiores post tratamiento ortodóntico, se ejecutó técnica de resina infiltrativa ICON (protocolo ICON®) obteniendo resultados satisfactorios. Conclusión: El uso de terapias de mínima invasión con resina infiltrante ICON® demostró resultados estéticos óptimos para lesiones de manchas blancas post ortodoncia en el caso presentado.
Activation of the Frontal Pole Using Children’s Video Games: Support for Children’s Well-being
Authors: Watanabe Nobuki
Published: May 2024

Effective support intended to promote children’s well-being has gained scholarly attention worldwide. Well-being is composed of complex elements. Of these elements, the promotion of executive function, which coordinates cognitive activities, via an effective method is important. Regarding the frontal pole in the anterior part of the prefrontal cortex, scholars presume that it is involved in advanced abilities, such as metacognition, and is essential for well-being. In today’s digital society, video games are appealing to children. Thus, a possibility exists that children can achieve certain aspects of well-being, such as a sense of achievement, perseverance, and happiness, by playing video games. In this regard, evidence that video games can be used to activate the prefrontal cortex is accumulating. In light of this discussion, this study hypothesizes that playing video games may affect the frontal pole and analyzes the brain activation of the frontal pole using video games compared with a mental abacus activity. The results demonstrate that playing through an educational game called Big Brain Academy: Brain vs. Brain exhibited more activation potential than mental abacus in many points.
La Suisse de A(rbon) à Z(oug). Portrait en 12 villes
Authors: Felder Maxime , Albrecher Renate , Kaufmann Vincent , Pedrazzini Yves
Published: May 2024

Et si l’on pensait la Suisse urbaine non pas à partir de ses métropoles, mais de ces villes comme le pays en compte des dizaines? Celles-ci, parfois dites «petites», «moyennes», «secondaires» ou «ordinaires», représentent davantage la norme que l’exception dans le paysage helvétique contemporain. Pourtant, en Suisse comme ailleurs, elles sont négligées par les études urbaines au profit des grands centres aux prétentions internationales. À rebours de cette tendance, ce livre collectif et multidisciplinaire décrit l’urbanité de la Suisse en explorant Arbon, Bellinzone, Bienne, La Chaux-de-Fonds, Chiasso, Coire, Martigny, Neuchâtel, Schaffhouse, Sierre, Thoune et Zoug. Des chercheuses et chercheurs dressent le portrait de ces villes avec lesquelles ils et elles ont un lien particulier et livrent un regard personnel à la subjectivité assumée. Leurs approches des réalités urbaines s’articulent à une connaissance expérientielle de la cité qui les a vus grandir, partir et, parfois, revenir. Ce livre présente ainsi ces villes dans leur singularité et montre que, quelle que soit leur taille, elles sont des objets légitimes et dignes d’intérêt pour les études urbaines, capables même de faire bouger les frontières établies de la discipline.
Exploring Nuristan: A Study of Social Dynamics and Ethical Roots
Authors: Osmani Esmatullah
Published: May 2024

Nuristan is situated south of the Hindu Kush Mountain range in the eastern provinces of Afghanistan. The ELINA tribe appears to have been the first group to settle in the southern Hindu Kush, especially in the rich regions of Nuristan, according to historical documents spanning more than 2000 years. Alexander the Great attempted to traverse Nuristan with his army during one of his military operations in order to reach India. Alexander and his warriors encountered fierce resistance in the western regions of Nuristan, but were welcomed with open arms by the people of KAMDISH in the eastern region. They were able to enter India as a result. Nuristan, sometimes referred to as the world's museum, has been the subject of in-depth inquiry by both domestic and international scholars. Raising animals including goats, sheep, and cows was a major part of the ancient Nuristan people's livelihood and supported the local economy. During this time, a person's social standing was determined by their military prowess, bravery, and ability to get dinner invitations. These achievements brought significant titles like BATOR, JISHT, DENG BATOR, and DAL ODA to the individuals. The gift of medals, signs, and symbols like KIRA, SHETOMA, HOSHNEK, and PANUK served as acknowledgment. The historical background of Nuristan and the socioeconomic division in the region are examined in this research. People with unique cultural characteristics have lived here for innumerable centuries. The main goal is to shed light on Nuristan's unique cultural practices and historical context.
Radiographic findings that predict a poor clinical course or outcome in patients hospitalized with pneumonia due to SARS-CoV-2 infection
Authors: Abril Marc , Yabar David , Pallàs Oriol , López Casanova María Jesús , Cirera Isabel , Supervía August
Published: May 2024

OBJETIVO. Estudiar la relación entre distintos patrones radiográficos y mala evolución de pacientes con diagnóstico de neumonía por COVID-19. MATERIAL Y MÉTODO. Estudio observacional retrospectivo en pacientes con diagnóstico de neumonía secundaria a COVID-19 atendidos en el servicio de urgencias de un hospital de tercer nivel durante el periodo del 1 de marzo al 30 de mayo de 2020. Se recogieron datos de filiación, clínica, analítica y radiología. Se definieron distintos patrones radiológicos y se determinó el valor pronóstico de mala evolución del paciente. Se estableció como mala evolución la necesidad de oxígeno a alto flujo, ventilación mecánica no invasiva, intubación con ventilación mecánica invasiva, ingreso en unidad de cuidados intensivos o muerte. Se realizó un análisis de curva ROC para el modelo predictivo de mala evolución. RESULTADOS. Se estudiaron 381 pacientes hospitalizados por neumonía por SARS-CoV-2. Tras aplicar los criterios de exclusión, 114 pacientes fueron incluidos. De estos, 34 (29,8%) presentaron mala evolución. Los patrones radiológicos asociados de forma independiente a mala evolución de neumonía por COVID-19 fueron: patrón no periférico y número de campos afectos igual o mayor a 4 de 6 posibles. El análisis multivariante mostró que el mejor modelo predictivo es la asociación de estos patrones junto a una frecuencia respiratoria elevada. CONCLUSIONES. Existen patrones radiográficos que predicen mala evolución en pacientes con neumonía por SARS-CoV-2. El patrón no periférico y un número de campos afectos igual o mayor a 4 de 6 se asocian de forma independiente a mala evolución.
Correlation between tidal volume and Pco2 clearance in patients under noninvasive mechanical ventilation
Authors: Cinesi Gómez César , Bernabé Vera Lorena , Martínez Díaz Francisco , Piñera Salmerón Pascual , Sánchez Nicolás José Andrés , Bernal Morel Enrique
Published: May 2024

OBJETIVO. Analizar la relación entre el volumen tidal (Vt) y la ventilación alveolar, medida a través del cambio en la pCO2, en pacientes sometidos a ventilación mecánica no invasiva (VMNI). MÉTODOS. Estudio observacional prospectivo realizado en el servicio de urgencias del Hospital General Universitario Reina Sofía. Se incluyeron pacientes con diagnóstico de insuficiencia respiratoria hipercápnica (pO2/FiO2 < 300, pH < 7,35 y pCO2 > 45 mm Hg) con indicación de VMNI. Se estableció un seguimiento al inicio, 1ª y 3ª hora. RESULTADOS. Se incluyeron 92 pacientes. La media de edad fue de 77,67 ± 10,86 años. Los niveles de la pCO2 descendieron progresivamente: 72,8 ± 15,06 mm Hg basal, 68,1 ± 18,9 mm Hg a la hora y 66,4 ± 17,45 mm Hg a las 3 horas (p = 0,001). Media de aclaramiento de pCO2: 4,73 ± 12,4 mm Hg en la 1ª hora y de 1,68 ± 8,4 mm Hg/hora a las 3 horas. El Vt aumentó de 400,64 ± 143,22 ml en la primera hora a 430,81 ± 156,27 ml en la 3ª hora. La relación entre el Vt por peso ideal y el aclaramiento de la pCO2 en la 1ª hora fue de 0,309 (p = 0,003). Las variables independientes predictoras para el aclaramiento de pCO2 en la 1ª hora fueron la FiO2 inicial, la presión positiva espiratoria en vía aérea (EPAP) inicial, Vt por peso ideal y la EPAP a la hora (R2 : 0,458; p < 0,001). CONCLUSIONES. Un aumento en el Vt por peso ideal, en los pacientes con insuficiencia respiratoria hipercápnica sometidos a VMNI, presenta una correlación positiva débil-moderada, en la ventilación alveolar, medida a través del aclaramiento de pCO2.
Fixed versus mobile automatic defibrillators to cover a geographically sparse population: Analysis of “Girona Territori Cardioprotegit” project
Authors: Loma-Osorio Pablo , Singh Manjot , Aboal Jaime , Núñez María , Bosch Daniel , Brugada Ramón
Published: May 2024

OBJETIVO. La desfibrilación pública multiplica por dos la probabilidad de sobrevivir indemne a una parada cardiaca extrahospitalaria. Se desconoce la mejor forma de dar cobertura a poblaciones geográficamente dispersas. El objetivo de este estudio fue comparar la tasa de uso y la efectividad entre los desfibriladores móviles y los fijos del programa pionero en desfibrilación pública “Girona Territori Cardioprotegit”. MÉTODOS. Registro prospectivo de usos de los desfibriladores automáticos públicos del programa (542 fijos, 241 móviles) y análisis de los trazados procedentes de los dispositivos entre junio de 2011 y diciembre de 2019. Se comparó la tasa de uso por desfibrilador, el porcentaje de ritmos desfibrilables y la efectividad de la desfibrilación entre dispositivos fijos y móviles. RESULTADOS. De 566 usos registrados, se dispuso para el análisis de 494 casos, de los cuales 108 (21%) correspondieron a desfibriladores fijos. La tasa de utilización fue 2,4 usos/100 dispositivos/año en el caso de los fijos y 17,7 en el caso de los móviles. Comparados con los móviles, los dispositivos fijos encontraron una mayor proporción de ritmos desfibrilables (34,2 % vs 20,3%, p = 0,01) y presentaron una mayor proporción de conversión a ritmo favorable (79% vs 63%, p = 0,02). La proporción de pacientes trasladados al hospital en los ritmos desfibrilables fue de 62,1% en fijos y de 50% en móviles (p = 0,306). CONCLUSIONES. Los desfibriladores fijos registraron más ritmos desfibrilables y consiguieron más conversiones de ritmo. Los desfibriladores móviles fueron ocho veces más utilizados.
Evaluation of 2 COVID-19–specific pneumonia severity risk scales for use in emergency departments
Authors: Alonso Valle Héctor , Peraita Fernández Enrique , Miró Òscar , Ortega Mar , Jiménez Sònia , Fresco Leticia , López Grima Mª Luisa , Juan Gómez M.ª Ángeles , Espinosa Begoña , Salido Mota Manuel , Bolanos Guedes Julio , Martín Mojarro Enrique , Tost Josep , López Díez María Pilar , Sorando Serra Rosa , Cano Cano M.ª José , Ferreras José María , Arribas Entrala Belén , Moyano García Rocío , Bedar Chaib Fahd , Llauger García Lluis , López-Laguna Nieves , Podaru Mihai , Pereira Sanz Salvador , Hernández Castells Lourdes , Lainez Martínez Sara , González del Castillo Juan
Published: May 2024

OBJETIVO. Evaluar dos escalas específicas para la enfermedad por coronavirus (COVID-19) comparándolas con escalas de gravedad global y de neumonía adquirida en la comunidad. MÉTODOS. Estudio retrospectivo de pacientes diagnosticados en urgencias de neumonía y test positivo para COVID-19 desde el 1 de marzo al 30 de abril de 2020 con las siguientes variables de estudio: edad, sexo, escala PREDICOVID, escala CLINIC, escala NEWS, escala qSOFA y las escalas Fine y CURB 65. Se registró la necesidad de ingreso en la unidad de cuidados intensivos (UCI) y la mortalidad tanto intrahospitalaria como a los 30 días, con cálculo de curvas ROC para mortalidad. RESULTADOS. Se analizaron 3.494 pacientes, con una edad media de 67,9 ± 17 años. 2.660 (76%) de los pacientes ingresaron en el hospital y 839 (27%) en la UCI del hospital. Fallecieron intrahospitalariamente 630 pacientes (18,4%). Las puntuaciones en la escala PREDICOVID en el 1.er-3.er quintil mostraron una mortalidad menor de forma estadísticamente significativa intrahospitalaria (10,8% vs 38,1%; p < 0,001).Puntuaciones en la escala CLINIC de riesgo bajo-intermedio mostraron mortalidad menor de forma estadísticamente significativa (12,8 vs 85,7%; p < 0,001). El valor obtenido al analizar la curva ROC para la mortalidad en las distintas escalas fue el siguiente: Escala Fine 0,69 (IC 0,41-0,96), Escala PREDICOVID 0,65 (IC 0,30-0,99), Escala CLINIC 063 (IC 0,25-1,00), Escala CURB-65 0,62 (IC 0,26-0,96), Escaña News 0,58 (IC 0,23-0,94), Escala q-SOFA 0,38 (IC 0,36-0,73). CONCLUSIONES. El comportamiento de las 6 escalas fue favorable a la hora de predecir la mortalidad, siendo la escala Fine la que presentaba una mejor capacidad predictiva.
Caractéristiques scintigraphiques de l’ostéonécrose avasculaire de la tête fémorale à Ouagadougou : à propos de 12 cas avec revue de la littérature.
Authors: KI Thierry Romuald  , DJIGO Salif  , SOUGUE Charles  , ZOUNGRANA Mamounata  , KOKOU Adambounou  , MBODJ Mamadou
Published: May 2024

Objectifs 
Décrire les caractéristiques scintigraphiques de l’ostéonécrose avasculaire de la tête fémorale ;
Préciser la place des différentes modalités d’imagerie dans le diagnostic de l’ostéonécrose avasculaire de la tête fémorale (ONATF).
Matériels et Méthode 
Au total, nous avons colligé rétrospectivement 12 scintigraphies osseuses positives (SO+) à l’ONATF. Ces SO+ ont été réalisées au Service de Médecine Nucléaire du CHU YO de 2016 à 2021. Un formulaire de recueil de données a été confectionné. Il a permis de collecter les données générales et les résultats de la scintigraphie osseuse. L’étude descriptive consistait à calculer les fréquences pour les variables qualitatives et les moyennes pour les variables quantitatives. La SO en trois temps a été faite chez tous les patients après injection de 296 à 925 MBq d’un dérivé diphosphonate : l’hydroxy méthyléne  diphosphonate (HMDP) marqué au technétium 99 m (Tc99m).
Résultats
12 patients ont été positifs (SO+) à la recherche scintigraphique de l’ONATF de 2016 à 2021. Leur âge moyen est de 35 ± 14,18 ans avec une nette prédominance féminine (75%). La principale étiologie de l’ONATF reste la drépanocytose. La douleur coxale avec ou sans boiterie a indiqué la réalisation de la SO dans 41,66 % des cas. Les cinq patients (41,6%) qui avaient bénéficié d’une TDM de la hanche concernée ont été adressés pour confirmation du diagnostic (n=1), bilan pré opératoire (n=2), recherche d’autres foyers (n=3). Pour les deux patients atteints de pathologie cancéreuse, le diagnostic d’ONATF était fortuit au décours d’une SO réalisée dans le cadre de leur bilan d’extension. Sur les images scintigraphiques tardives, les atteintes de type II de GOLLSHALK étaient majoritaires, suivis des atteintes de type III puis de type I. Il n’y avait pas d’atteinte de type IV. Les atteintes les plus fréquemment associées sont la poly arthropathie dégénérative.
Conclusion
La SO est sensible dans la détection de l’ONATF avant l’apparition de la symptomatologie clinique et de la traduction radiologique. Lorsque l’IRM est disponible et n’est pas contre indiquée, la SO est la modalité diagnostique à utiliser en deuxième intention.
Apport de l’IRM de diffusion corps entier 1,5T dans le bilan des cancers à propos de 124 cas
Authors: AHOURY Judicael  , KABAS Raïssa-Michelle  , DIABATE Aboubacar Sidiki  , GUEMELIN Emmanuel Salomon  , ZARHEDINE Oualid
Published: May 2024

Résumé: L’IRM corps entier de diffusion 1,5T est une technique d’imagerie qui fournit des renseignements aussi bien morphologique que fonctionnel avec de nombreuses indications notamment dans les pathologies cancéreuses.
Objectif: Faire le bilan d’activité de l’IRM corps entier en insistant sur son apport dans la pathologie cancéreuse.
Méthodologie: Etude rétrospective à visée descriptive portant sur des patients qui avaient réalisé une IRM corps entier pour tumeur maligne sur une période de quatre ans. La saisie et l’analyse des données ont été réalisées grâce aux logiciels Epi Info.
Résultats: 124 patients étaient concernés avec une prédominance masculine, sex ratio 1,25. 31,19% des patients avaient un âge compris entre 61 et 70 ans. Le cancer de la prostate était le plus représenté avec 34,68% suivi du cancer du sein 31,45%. L’IRM corps entier était surtout réalisé pour le bilan d’extension dans 39,52% et dans 37,10% pour un bilan d’évolutivité. Les localisations métastatiques étaient observées dans 49% des cas avec une atteinte prépondérante de l’étage abdomino-pelvien 72,13%. Les localisations métastatiques osseuses étaient de 73,77% hépatiques 26,23% et pulmonaire 14,75%. Les atteintes ganglionnaires de 57,14%. Une progression tumorale a été observée chez 53,33% des patients. L’IRM corps entier a mis en évidence le cancer primitif dans 70% des cas.
Conclusion: L’IRM corps entier permet une fine analyse dans l’évaluation de la pathologie cancéreuse pour l’extension tumorale, la réponse thérapeutique et la recherche de cancer primitif.
Educação ambiental nas reservas extrativistas da microrregião Bragantina
Authors: Souza Eduarda Randel Guimarães , Amaral Rafaella Corrêa , Paiva Paula Fernanda Pinheiro Ribeiro , Gonçalves Mariane Furtado , Silva Júnior Orleno Marques da , Guimarães Alessandra Randel Calandrini , Nierderauer Juliana Minuzzi , Braga Thais Gleice Martins
Published: May 2024

A Educação Ambiental (EA) é uma ferramenta indispensável para a construção de uma sociedade mais justa e responsável com relação ao meio ambiente. Em Unidades de Conservação, sobretudo, as de Uso Sustentável em que a presença de populações tradicionais é permitida, a efetivação dessa ferramenta se torna ainda mais urgente e necessária, para que assim, a sustentabilidade no uso dos recursos naturais seja garantida por todos. Sendo assim, este trabalho teve como objetivo investigar a ocorrência de ações de EA em quatro Reservas Extrativistas Marinhas (RESEX-Mar) localizadas na Microrregião Bragantina, Pará, no período dos últimos cinco anos. Para isso, realizou-se o levantamento bibliográfico, por meio de pesquisa nas plataformas Scientific Electronic Library Online (Scielo), Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) e Google Scholar. Ao todo, foram selecionados sete arquivos relevantes para análise, sendo cinco artigos, um Trabalho de Conclusão de Curso (TCC) e uma Dissertação de Mestrado. Por meio dos resultados, constatou-se que a Reserva Extrativista que mais possui publicações alusivas ao tema é a RESEX-Mar Caeté-Taperaçu, seguida da RESEX-Mar de Tracuateua. Entretanto, a inserção das práticas educativas voltadas para a conservação das riquezas naturais presente nas Unidades em estudo ainda é considerada insuficiente. Além do mais, pôde-se observar a existência de uma lacuna devido à ausência de publicações indexadas nos anos de 2021 e 2023. Isto aponta para uma certa demanda pela realização de mais pesquisas que possam vir a contribuir com a melhor gestão destes espaços, principalmente, na Reserva Extrativista Marinha Araí-Peroba, onde não foi encontrado nenhum resultado.
The influence of two decision-making styles on stress perception in military nursing students during clinical practice
Authors: Azzara Sergio Héctor , Sol Grinhauz Aldana
Published: May 2024

The primary objective of this study was to investigate how the tendency to make emotionally urgent decisions influences the perception of stressful situations in military nursing students during their clinical practice. A correlational cross-sectional design was employed, and data were collected from 79 cadets who were enrolled in a nursing program at the only Argentine military institution offering this degree. Two instruments were utilized: the Kezkak Inventory of Clinical Practice Stressors and the Inventory of Bases for Urgent Decision-Making in Extreme Circumstances. Simple linear regression analyses were conducted to assess the relationship between decision-making styles and specific stressful situations. The results indicated that the inclination to make emotionally urgent decisions was a significant predictor of overall stress perceptions and of specific situations in clinical practice, such as patient suffering, the inability to control the nurse-patient relationship, and the helplessness and uncertainty of not knowing how to proceed. This study highlighted the importance of developing emotional management skills in nursing students, particularly in military contexts, to assist them in making balanced and effective decisions in challenging clinical situations.
A EDUCAÇÃO AMBIENTAL NA PERSPECTIVA DO TRATAMENTO ALTERNATIVO DE ÁGUA A PARTIR DA MORINGA OLEIFERA EM ESCOLAS MUNICIPAIS DO CAMPO: UMA REVISÃO DA LITERATURA
Authors: Sousa Bruna Daniele Mendes de , Garziera Luiza , Fernandes Elielma Santana , Santos Uitamara dos , Queiroz Dayvid Fernando Carvalho de , Sousa Wellington Dantas de
Published: May 2024

De forma geral, pode-se perceber que as populações que residem em áreas que ainda não possuem água tratada apresentam dispersão populacional. Dessa forma, o objetivo desta pesquisa é compreender acerca do acesso a água tratada, visando aprofundar o ensino da Educação Ambiental e o tratamento de água a partir da Moringa oleifera nas Escolas Municipais do Campo. Além disso, busca-se apresentar uma solução acessível e sustentável que atenda aos padrões de potabilidade. Para melhor compreender a situação interposta, foi utilizada a metodologia de revisão da literatura. A partir das análises, inferiu-se que os trabalhos incluídos apontaram que a Educação Ambiental, apesar de ser necessária, ainda enfrentar impasses para a sua implementação nas escolas e na sociedade. Em concordância com o tratamento alternativo de água, deve-se destacar que toda a população deve buscar conhecimento em relação aos métodos e aos padrões que envolvem o processo de tratamento da água com o objetivo de evitar a ocorrência de doenças patogênicas causadas pelo consumo de água contaminada. Dessa forma, se torna mais efetivocapacitar as crianças para as ações citadas, visto que, é na infância que se formam valores que serão carregados por toda vida. Portanto, é fundamental que a pesquisa em torno da Moringa oleifera como coagulante seja intensificada, visando aprimorar os métodos de tratamento, avaliar a sua eficácia em diferentes tipos de água e verificar os impactos ambientais e econômicos.
A NICOTINA COMO FATOR PROTETOR DA RETOCOLITE ULCERATIVA
Authors: Filho Leonardo Neves , David Natália Carvalho Gomes , Peres Vittor Augusto Carvalho , Leite André Matheus Carvalho Silva , Araújo José Rubens Bueno , Silva Isaque Martino de Assis Pereira e , Castro Ana Paula Leal de , Tierno Giovanna Veronez , Brito Esther Aline Correia , Bastos Ana Luiza da Silva
Published: May 2024

A colite ulcerativa é uma doença inflamatória intestinal (DII), apresentando caráter crônico, caracterizada por apresentar lesões ulceradas e inflamadas na mucosa e submucosa, restrita ao cólon e reto. Os fatores que iniciam a doença não são totalmente desvendados, mas envolve fatores genéticos, imunológicos, ambientais e microbiológicos. Estudos sugerem uma associação inversa entre tabagismo e colite ulcerativa, levantando a hipótese do papel da nicotina na sua patogênese e potencial terapêutico. Uma revisão de literatura examinou o uso da nicotina transdérmica no tratamento, sugerindo seu papel como terapia complementar em casos leves a moderados e na manutenção da remissão em pacientes com colite quiescente. Mecanismos propostos incluem supressão da imunidade, modulação da resposta inflamatória e alteração da motilidade intestinal. Entretanto, é necessário que ocorra estudos de forma séria e sistemática para compreender a fisiopatologia envolvida. Efeitos adversos como náuseas, tonturas e distúrbios do sono foram relatados, exigindo estratégias para minimizar esses efeitos. Nota-se que a falta de um maior número ensaios clínicos ou estudos de longo prazo específicos para nicotina na colite ulcerativa limita as conclusões, destacando a necessidade de estudos controlados com o objetivo de analisar a segurança, eficácia e os mecanismos responsáveis pelo seu funcionamento. Esses esforços podem auxiliar na pesquisa e tratamento de formas terapêuticas com maior eficácia.
INTOXICAÇÃO ALIMENTAR BOTULÍNICA
Authors: Oliveira Alyce Gabrielle de Araújo , Santos Eliandra de Andrade , Freitas Gessiane Suellen Correia de , Nascimento José Manoel do , Florêncio Ninive Bezerra
Published: May 2024

O botulismo alimentar consiste em uma grave doença bacteriana, adquirida pela ingestão de alimentos contaminados pelas toxinas geradas pelo Clostridium botulinum. Entre os alimentos contaminados implicados nos casos de intoxicação, destacam-se conservas vegetais, produtos cárneos cozidos e defumados de maneira artesanal, e alimentos enlatados industrializados. A bactéria produz diferentes toxinas, mas com atividades farmacológicas distintas. Atualmente, são reconhecidos oito tipos de toxinas botulínicas: A, B, C1, C2, D, E, F e G, sendo os tipos A, B, E e F patogênicos para seres humanos. Em todos os tipos de botulismo, são observados sintomas semelhantes, como paralisia flácida e dificuldade respiratória, devido ao bloqueio da acetilcolina. O presente trabalho consiste em uma revisão bibliográfica narrativa sobre o botulismo de origem alimentar, seus métodos de diagnóstico e tratamento, bem como medidas preventivas de intoxicação, contribuindo assim para a educação contínua na prevenção da doença no país.
Adaptacja historycznych budynków bankówdo nowych funkcji
Authors: Strumiłło Krystyna
Published: May 2024

W artykule omówiono zagadnienie adaptacjihistorycznych budynków bankowych z przeznaczeniemdo nowych funkcji. Celem pracyjest ukazanie znaczenia ponownego wykorzystaniaobiektów oraz wskazanie ich potencjałuadaptacyjnego. Badania przeprowadzonow oparciu o analizy istniejącej literatury natemat realizacji z ostatnich lat oraz badaniain situ. Analiza wybranych przykładów adaptacjipokazuje główne strategie i kryteriaprojektowe. Zachowanie i ochrona historycznychbudynków banków pozwala uszanowaćciągłość kulturową, stanowiąc połączenienowych rozwiązań z zachowaniem cennychwartości architektonicznych. Ponowne wykorzystanieobiektów stwarza ogromne korzyścispołeczne, gospodarcze i środowiskowe takżew aspekcie zrównoważonego rozwoju.
Znaczenie rysunku odręcznego i malarstwaw projektowaniu architektonicznym – przykład kształcenia plastycznego na Politechnice Łódzkiej
Authors: Matuszewska Joanna
Published: May 2024

Artykuł podejmuje zagadnienie twórczości artystycznej w projektowaniu architektonicznym, ze szczególnym uwzględnieniem rysunku odręcznego i malarstwa. Tekst prezentuje także kształcenie w zakresie rysunku odręcznego i malarstwa w Instytucie Architektury i Urbanistyki pod kątem wpływu tych umiejętności na rozwój warsztatu zawodowego przyszłych projektantów architektów.
ESTRATÉGIAS INTEGRADAS NO APOIO AO ALEITAMENTO MATERNO EXCLUSIVO: UMA REVISÃO DE LITERATURA
Authors: Bona Iolanda Felipe da Silva , Nunes Ana Beatriz de Moraes Souza , Gonçalves Ana Francisca Ferreira Chaves , Soares Guilhermina Maria Rocha Silva , Almeida Lyana Santos
Published: May 2024

Identificar as atribuições, as principais condutas da equipe médica diante das crenças culturais perante o desmame precoce e suas principais complicações. Trata-se de uma revisão integrativa da literatura científica, para a estratégia de busca serão utilizados artigos contidos nas bases de dados PubMed e BVS, contendo os respectivos descritores: desmame, assistência médica e amamentação, as análises de dados serão aplicadas aos estudos de conteúdos. Foram selecionados dez artigos que atendiam aos critérios de inclusão e exclusão. Considerado o melhor alimento para o recém-nascido (RN), e também a “primeira vacina”, o leite materno apresenta inúmeras vantagens tanto para a criança como para a mãe, fortalecendo os laços afetivos e promovendo a saúde física e emocional. No entanto, muitos fatores, como a escolaridade da mãe, trabalho e influências culturais, contribuem para o desmame precoce. O suporte emocional e educacional durante o pré-natal é crucial para preparar as mães para os desafios da amamentação. Programas de apoio, tanto individuais quanto em grupo, aumentam significativamente as taxas de amamentação exclusiva.