bluuebunny/crossref_metadata_2025 huggingface dataset:
The Development Status and Trends of Urban Lighting Masterplans in China - A Qualitative Study Using NVivo Software
Authors: Cai Xinyuan , Tao Mengchu
Published: August 2023

In recent years，with the development of nighttime economy, the rising demand for characteristic city image, and the emergence of advanced and intelligent lighting technologies, the construction of urban night landscapes in China has entered a new period. Chinese municipal governments have started to introduce new urban lighting masterplans to meet the new demands of urban development. This paper takes the latest urban lighting masterplan texts released by 20 Chinese cities since 2017 as the research object, and uses NVivo software to conduct coding visual analysis, matrix analysis and cluster analysis on the masterplan texts to summarize the principles, objectives, construction contents, implementation and guarantee policies of these new urban lighting masterplans, and compare them with the previous lighting masterplans. Finally, extracting the focus of China's urban lighting construction and its future development direction, providing a basis for the formulation of urban night landscape policies and industry standard systems.
Investigation of Passive Design Criteria in terms of Thermal Comfort and Energy Consumption for Mosques: Istanbul Case
Authors: Atmaca Ahmet Bircan , Gedik Gülay Zorer
Published: August 2023

The thermal comfort level of the mosques affects the prayer efficiency, the activity duration and the health of the users. Also, it is an important parameter to keep energy consumption at a minimum level while providing acceptable thermal comfort in the indoor environment. In order to ensure thermal comfort and to use energy effectively, it is necessary to pay attention to passive design criteria in the design process of mosques. Within the scope of this study, design criteria such as location, environment variables, building form, plan scheme, etc. were investigated according to the regulations and standards, manuscripts in the literature. This paper will be a base for researchers in future studies on mosques.
¿Peón o actor? Chile en la Guerra Fría (1962-1973)
Authors: Fermandois Joaquín
Published: August 2023

En estas páginas, Joaquín Fermandois plantea que la documentación presentada en esta edición de Estudios Públicos —la conferencia ofrecida por el embajador Edward M. Korry, el trabajo de las historiadoras Olga Uliánova y Eugenia Fediakova, así como los documentos anexos— tiene que ser comprendida en el contexto de las tensiones ideológicas del siglo XX de las que Chile fue testigo y parte. El país ha sido extraordinariamente sensible al desarrollo de la política mundial. Su vida política reflejó simultaneidad con la evolución de los acontecimientos mundiales. Esto explica —señala Fermandois— que en la polarización de los años sesenta y comienzos de los setenta, norteamericanos y soviéticos se multiplicaran en sus esfuerzos por promover en Chile políticas acordes con la lectura que hacían de sus propios intereses. Pero los actores chilenos no eran meros peones; estaban convencidos de que en esos términos —socialismo, libertad, mundo libre, antiimperialismo— se jugaban sus propios intereses. El embajador Korry fue testigo de esta interrelación, desde el enamoramiento de la administración Kennedy con la posibilidad de un gobierno ‘reformista’ en los años sesenta, pasando por el financiamiento vago y estéril a una campaña anticomunista en 1970, hasta su propia recomendación de apoyar a las fuerzas de oposición al gobierno de la Unidad Popular. Por otro lado, los soviéticos financiaron al Partido Comunista y veían con gran simpatía a la Unidad Popular. A su vez, ofrecieron tentadores créditos al Ejército chileno con la idea de ‘peruanizarlo’ a mediano plazo. Pero no estaban dispuestos a ayudar a la ‘experiencia chilena’ con un subsidio semejante al entregado a Cuba. A pesar de ello, sus admiradores criollos tenían a Moscú como el paradigma regulador de la política chilena.
Factors affecting incomes of ethnic minority households: a case study in Khanh Vinh district, Khanh Hoa province
Authors: Ho Van Mung , Pham Hong Manh , Dinh Van Dung
Published: July 2023

This study aims to determine factors affecting incomes of poor ethnic minority households in the Khanh Vinh district, Khanh Hoa province. Through survey data of ethnic minority households in Khanh Vinh district, this study used an econometric model to analyze the influence of factors on the incomes of ethnic minority households in the area. The research results found that the factors having the impact on the incomes of ethnic minority households in this area include: ethnic characteristics, household size, number of livelihood activities, leisure time during the year, and time to access productive land. The results of this study provide more empirical evidence in the study on factors affecting the income of ethnic minority households in Vietnam in general and in Khanh Hoa province in particular. By detailed analysis the factors affecting the income of ethnic minority households in Khanh Vinh district, Khanh Hoa province, the study enriches the literature on poverty and livelihoods in ethinic minority household’s community and provides useful information for policymakers and practitioners in designing effective programs to improve household incomes and develop sustainable livelihoods for ethnic minority households in this area.
The factors impact to resilience capacity after natural disasters of rural households in Vietnam
Authors: Nguyen Thi Mai , Tran Mai Phuong , Nguyen Le Nhu Y , Huynh Hien Hai
Published: July 2023

This research analyzes the factors that affect resilience after natural disasters of 997 households in rural areas of Vietnam in 2008, 2010, 2012, 2014, and 2016 by using logistic regression. The research results show that factors such as receiving timely warnings related to natural disasters, not taking measures to respond to natural disasters, and putting trust in the community will improve resilience after natural disasters. If the household head is of Kinh ethnicity and participates in community organizations, the response capacity whenever a disaster occurs is higher, and vice versa. Additionally, household heads not responding to natural disasters, instead receiving support from their relatives and friends and borrowing capital positively affect resilience capacity after one year since the disaster. In cases where Kinh women are household heads and join social communities, the resilience capacity after one year also increases. Besides, the research suggests some solutions to develop resilience capacity, which focus on the relationship between characteristics of households, household heads, and disaster response with the resilience capacity of rural households in Vietnam. Finally, this research proposes some suitable policies to improve resilience capacity in Vietnamese rural areas.
‘Mini’ Singapore in Vietnam? Outcomes of regionalisation and circulation of urban expertise
Authors: Lee Kwan Ok , Khoo Jun Rong
Published: August 2023

This article was published open access under a CC BY licence: https://creativecommons.org/licences/by/4.0/

Using the Vietnam-Singapore Industrial Parks (VSIP) as a main case, we investigate whether and how Singapore’s regionalisation strategies and its unique mode of exporting urban expertise have played a role in development and investment outcomes in Vietnam. We focus on Singapore’s unique positioning in Southeast Asia, the involvement of the government-linked company (GLC) with the entrepreneurial spirit and tight curation to export the ‘Singapore model’, as well as the urban model itself, characterised by compact development, hierarchical system and city branding. Our analyses suggest that these features helped the VSIP not only enjoy political acceptance and administrative assistance from the Vietnamese government during the development process, but also differentiate the physical plans of its projects from those of other industrial parks. We also demonstrate that the Singapore GLC’s leadership to imitate the Singapore model of industrial parks has a significant, positive association with actual investment in VSIPs. We find that this leadership, with tight curation, has contributed to keeping the Singapore model more or less intact in Vietnam. Our research adds the evidence-based understanding to the scholarship on regionalisation and circulation of urban expertise, especially within Southeast Asia.
Moduli Space for Kink Collisions with Moving Center of Mass
Authors:   Universidad de Santiago de Compostela, Spain, Adam Christoph , Halcrow Chris ,   KTH-Royal Institute of Technology, Sweden, Oles Katarzyna ,   Jagiellonian University, Poland, Romanczukiewicz Tomasz ,   Jagiellonian University, Poland, Wereszczynski Andrzej ,   Jagiellonian University, Poland
Published: August 2023

We apply the collective coordinate model framework to describe collisions of a kink and an antikink with nonzero total momentum, i.e., when the solitons possess different velocities. The minimal moduli space with only two coordinates (the mutual distance and the position of the center of mass) is of a wormhole type, whose throat shrinks to a point for symmetric kinks. In this case, a singularity is formed. For non-zero momentum, it prohibits solutions where the solitons pass through each other. We show that this unphysical feature can be cured by enlarging the dimension of the moduli space, e.g., by the inclusion of internal modes.
Directly Deriving Parameters from SDSS Photometric Images
Authors: Wu Fan , Bu Yude , Zhang Mengmeng , Yi Zhenping , Liu Meng , Kong Xiaoming
Published: August 2023

Stellar atmospheric parameters (effective temperature, surface gravity, and metallicity) are fundamental for understanding the formation and evolution of stars and galaxies. Photometric data can provide a low-cost way to estimate these parameters, but traditional methods based on photometric magnitudes have many limitations. In this paper, we propose a novel model called Bayesian Convit, which combines an approximate Bayesian framework with a deep-learning method, namely Convit, to derive stellar atmospheric parameters from Sloan Digital Sky Survey images of stars and effectively provide corresponding confidence levels for all the predictions. We achieve high accuracy for T
eff and [Fe/H], with σ(T
eff) = 172.37 K and σ([Fe/H]) = 0.23 dex. For

log
g

, which is more challenging to estimate from image data, we propose a two-stage approach: (1) classify stars into two categories based on their

log
g

values (>4 dex or <4 dex) and (2) regress separately these two subsets. We improve the estimation accuracy of stars with

log
g
>
4

dex significantly to

σ
(
log
g
>
4
)
=
0.052

dex, which are comparable to those based on spectral data. The final joint result is

σ
(
log
g
)
=
0.41

dex. Our method can be applied to large photometric surveys like Chinese Space Station Telescope and Large Synoptic Survey Telescope.
Reanalysis of the X-Ray-burst-associated FRB 200428 with Insight-HXMT Observations
Authors: Ge M. Y. , Liu C. Z. , Zhang S. N. , Lu F. J. , Zhang Z. , Chang Z. , Tuo Y. L. , Li X. B. , Li C. K. , Xiong S. L. , Cai C. , Li X. F. , Zhang R. , Dai Z. G. , Qu J. L. , Song L. M. , Zhang S. , Wang L. J.
Published: August 2023

A double-peak X-ray burst from the Galactic magnetar SGR J1935+2154 was discovered to be associated with the two radio pulses of FRB 200428 separated by 28.97 ± 0.02 ms. Precise measurements of the timing and spectral properties of the X-ray bursts are helpful for understanding the physical origin of fast radio bursts. In this paper, we have reconstructed some information about the hard X-ray events, which were lost because the High Energy X-ray Telescope (HE) on board the Insight-HXMT mission was saturated by this extremely bright burst, and used the information to improve the temporal and spectral analyses of the X-ray burst. The arrival times of the two X-ray peaks by fitting the new Insight-HXMT/HE lightcurve with multi-Gaussian profiles are 2.77 ± 0.45 ms and 34.30 ± 0.56 ms after the first peak of FRB 200428, respectively, while these two parameters are 2.57 ± 0.52 ms and 32.5 ± 1.4 ms if the fitting profile is a fast-rise and exponential decay function. The spectrum of the two X-ray peaks could be described by a cutoff power law with cutoff energy ∼60 keV and photon index ∼1.4; the latter is softer than the result obtained in Li et al. when the two X-ray peaks appeared.
On the Effects of Local Environment on Active Galactic Nucleus (AGN) in the Horizon Run 5 Simulation
Authors: Singh Ankit , Park Changbom , Choi Ena , Kim Juhan , Jun Hyunsung , Gibson Brad K. , Kim Yonghwi , Lee Jaehyun , Snaith Owain
Published: August 2023

We use the Horizon Run 5 cosmological simulation to study the effect of galaxy intrinsic properties and the local environment on active galactic nuclei (AGNs) characterized by their threshold of the accretion rate. We select galaxies in the stellar mass range

10

9.5

≤

M

*

/

M

⊙

≤

10

10.5

in the snapshot at redshift z = 0.625. Among various intrinsic properties, we find that the star formation rate of the host galaxy is most correlated to the AGN activity. To quantify the environment, we use background galaxy number density (large-scale environment) and distance and morphological type of the nearest neighbors (small-scale environment), and study their relative effects on the AGN properties. We find that, compared to the background density, the nearest neighbor environment is the dominant quantity determining the bolometric luminosity, star formation rate, and kinematic properties of AGNs and better dictates the gas mass of the host galaxy. We show that the cold gas content in the host galaxies is crucial in triggering AGN activity. However, when the nearest neighbor environment effects start to act at the neighbor distance of less than about half the virial radius of the neighbor, the neighbor environmental effects are the most dominant factor for quasar activity.
Gas Sources from the Coma and Nucleus of Comet 46P/Wirtanen Observed Using ALMA
Authors: Cordiner M. A. , Roth N. X. , Milam S. N. , Villanueva G. L. , Bockelée-Morvan D. , Remijan A. J. , Charnley S. B. , Biver N. , Lis D. C. , Qi C. , Bonev B. P. , Crovisier J. , Boissier J.
Published: August 2023

Gas-phase molecules in cometary atmospheres (comae) originate primarily from (1) outgassing by the nucleus, (2) sublimation of icy grains in the near-nucleus coma, and (3) coma (photo)chemical processes. However, the majority of cometary gases observed at radio wavelengths have yet to be mapped, so their production/release mechanisms remain uncertain. Here we present observations of six molecular species toward comet 46P/Wirtanen, obtained using the Atacama Large Millimeter/submillimeter Array during the comet’s unusually close (∼0.1 au) approach to Earth in 2018 December. Interferometric maps of HCN, CH3OH, CH3CN, H2CO, CS, and HNC were obtained at an unprecedented sky-projected spatial resolution of up to 25 km, enabling the nucleus and coma sources of these molecules to be accurately quantified. The HCN, CH3OH, and CH3CN spatial distributions are consistent with production by direct outgassing from (or very close to) the nucleus, with a significant proportion of the observed CH3OH originating from sublimation of icy grains in the near-nucleus coma (at a scale length L

p
= 36 ± 7 km). On the other hand, H2CO, CS, and HNC originate primarily from distributed coma sources (with L

p
values in the range 550–16,000 km), the identities of which remain to be established. The HCN, CH3OH, and HNC abundances in 46P are consistent with the average values previously observed in comets, whereas the H2CO, CH3CN, and CS abundances are relatively low.
ULOGA PSIHIČKOG NASILJA U PREDVIĐANJU PREDANOSTI I STABILNOSTI ROMANTIČNIH VEZA
Authors: Sušac Nika
Published: July 2023

Relationship commitment is one of the key constructsin studies on relationship quality and stability. In this study, the Investment Model (Rusbult, 1980) was used as a theoretical basis, where commitment is emphasized as the central construct for relationship maintenance and endurance. The aim of the study was to examine the role of psychological violence in predicting commitment and perceived relationship stability within the aforementioned model. The participants were students of the University of Zagreb (N = 154), with female students (77.9%) being more represented in the sample. The obtained results confirmed the assumptions of the basic model and all regression analyses resulted in a high percentage of explained variance of the examined criteria. The frequency of experiencing psychological violence was a significant negative predictor of commitment and perceived relationship stability, and this relationship was only partially mediated by other examined constructs. Contrary to expectations, more frequent experiencing of psychological violence also had a direct contribution in predicting less perceived relationship stability. The paper discusses the meaning of individual mediation effects and their contribution to explaining the relationships between the investigated constructs. The implications for future studies and for potential practical application of the results are also indicated. Key words: psychological violence; commitment; stability; partner relationships; Investment model
AI-Driven Applications in High-Tech Agriculture
Authors: Suma K.G. , Aswini J. , Sunitha Gurram , Balaji K.
Published: August 2023

As the global population continues to grow, the demand for food is also increasing, and high-tech agriculture has emerged as a key solution to meet this demand. AI technologies have the potential to revolutionize high-tech agriculture by optimizing farming practices. This chapter outlines the mission and concerns related to the use of AI-driven applications for high-tech agriculture. The primary objective of this chapter is to outline the mission and address concerns pertaining to the utilization of AI-driven applications in high-tech agriculture. This chapter provides insights into the extensive range of AI-driven applications in high-tech agriculture, spanning crop monitoring, seed selection, planting, harvesting, post-harvest processes, and distribution logistics. By providing a deep understanding of the state-of-the-art AI technologies in high-tech agriculture, this chapter also offers valuable recommendations for future directions and collaboration to fully capitalize on the benefits of AI in the agricultural sector.
AI-Equipped IoT Applications in High-Tech Agriculture Using Machine Learning
Authors: V. Mariya Vinshon , Kumar A.V. Senthil , Sharma Priyanka , Kaur Sarabjeet , Saleh Omar S. , Chennamma H.R. , Chaturvedi Ankita
Published: August 2023

Crop raiding by animals has become one of the most common human-animal disputes as a result of human encroachment of wildlife habitats and deforestation. Farmers suffer huge crop loss due to crop raiding by wild animals like elephants, wild boar, and deer. One of the main concerns of today's farmers is protecting crops from wild animal attacks. Nevertheless, some of the traditional methods have environmental pollution effects on both humans and ungulates, while others are very expensive with high maintenance costs, with limited reliability and limited effectiveness. In this chapter, the authors develop a system that combines computer vision using DCNN for detecting and recognizing animal species and specific ultrasound emission for repelling them. The edge computing device activates the camera then executes its DCNN software to identify the target, and if an animal is detected, it sends back a message to the animal repelling module including the type of ultrasound to be generated according to the category of the animal.
Appropriate Technologies and Their Implications in the Agricultural Sector
Authors: Jyoti Bhim , Singh Ajay Kumar , Ashraf Shah Nawaz
Published: August 2023

This chapter described the inclusive review on appropriate technology (AT) and its significance in the agricultural sector as per the existing literature. It also explained the importance of AT in social-economic and sustainable development. Characteristics and categories of AT are also provided in this chapter. Thereupon, it focussed on use of AT and technological development in different sectors of developed and developing countries. It also pronounced the findings of previous studies that have examined the importance of technological development and AT in the agricultural sector as giving the significant focus on Indian agricultural sector. Lastly, it proposed a viable research direction to finalize the indicators of AT for further estimating the impact of AT in the agriculture sector of India and other developing countries.
Future of Smart Agriculture Techniques and Applications
Authors: Khanh Phan Truong , Ngoc Tran Thi Hong , Pramanik Sabyasachi
Published: August 2023

The world's oldest and most active profession is agriculture. There is an urgent need for society as a whole to think creatively and discover new effective answers to farming, utilizing lesser land for producing more plants and increasing the yield of the cultivated land because the world's population is constantly growing and land is becoming scarcer. In order to produce healthy crops, monitor soil, control pests, manage burgeoning states, arrange farmer data, lessen volume of work, and proceed to a variety of farming activities throughout the total food supply chain, farming is growing into artificial intelligence technology on a global scale.
The Effect of Corruption and Money Laundering on Banking Profitability and Stability of Licensed Commercial Banks in Sri Lanka
Authors: Hendeniya H. G. G. M. N. , Premarathna W. G. I. D. , Tennekoon S. T. M. S.
Published: August 2023

This study investigated the impact of corruption and money laundering on banking profitability and stability of licensed commercial banks in Sri Lanka, by using the panel data of 24 licensed commercial banks from 2015-2021 in Sri Lanka. The data for this study was collected from secondary data sources. In the study, corruption and money laundering data were obtained from Transparency International and Basel Institute of Governance, respectively. The analysis of the study followed the multiple regression analysis. Further, this study used fixed effect and random effect regression techniques for analyzing the data. The result of the study found evidence consistent with previous studies indicating that corruption has a negative and money laundering has a positive relationship with the banking profitability. Further, this paper also found that bank size and management efficiency also have positive impact on banking profitability and stability. Based on the findings of the study Government can take necessary actions to uplift the knowledge of Corruption and Money Laundering in accordance with the findings of this research. Moreover, findings of this study will be useful for future researchers to enhance their knowledge on this area of study.
Modified circumumbilical approach for duodenal atresia repair : A scarless surgery
Authors: Tamlikha M.A. , Othman M.Y. , Zahari Z.
Published: August 2023

Background: Duodenal atresia is a common congenital anomaly causing neonatal intestinal obstruction. The definitive treatment is to restore the intestinal continuity. Laparotomy via upper transverse abdominal incision has been described by many authors as a standard approach for duodenal atresia repair. Here we report a case of newborn underwent duodenal atresia repair via modified circumumbilical approach with satisfactory postoperative outcome. Case presentation: This is a case of premature baby boy, born at 32-week gestation with a birth weight of 1.5kg. Antenatally he was detected to have double bubble sign which was confirmed upon postnatal abdominal radiograph, suggestive of duodenal atresia. He was noted to have a fleshy lump at the umbilicus presumed to be a patent vitello-intestinal duct from the referring hospital. Subsequently he developed umbilical swelling suspicion of umbilical hernia with incarceration and scheduled for emergency umbilical exploration. A circumumbilical incision was made and found to have an umbilical defect with omental herniation, instead of a patent vitello-intestinal duct. A proximal midline incision was made as an extension to the circumumbilical wound enabling a duodenal kocherization and subsequently had duodeno-jejujonostomy anastomosis for the duodenal atresia repair. Postoperative recovery was uneventful with appealing cosmesis. Conclusion: A modified circumumbilical incision is an attractive alternative approach for a duodenal atresia repair. Apart from its cosmetic advantage, the approach provides adequate exposure for similar outcome with transverse abdominal incision.
Deltopectoral flap reconstruction with primary repair in a patient with cutaneous neck metastasis of thyroid cancer; a case report
Authors: Liyanage A. I. , Lakmal M.A.C. , Abeywickrama Y. , Weerasekara D.D.
Published: August 2023

Background: Deltopectoral flap is the most commonly used fasciocutaneous, transpositional flap, which relies on the blood supply of intercostal perforators of the internal thoracic artery, usually requiring skin grafting to the donor site. Cutaneous metastasis of papillary thyroid carcinoma is rare. Here we report a case of deltopectoral flap reconstructive surgery in a patient with cutaneous neck metastasis of papillary thyroid carcinoma.

Case Presentation: A 65 year old male who underwent a total thyroidectomy in 2013 for papillary thyroid carcinoma, presented with a skin neck metastasis for six months. It was an approximately 8cm diameter hemispherical lump over the left anterior root of the neck extending to the upper chest. Biopsy confirmed the diagnosis of cutaneous metastasis of thyroid papillary carcinoma. Wide local excision of the lump and deltopectoral flap reconstruction was performed without requiring skin grafting for the donor site.

Conclusion: Effectiveness of use of deltopectoral flap as a reconstructive option for radical thyroid cancer surgeries which result in skin defect.

Keywords: Deltopectoral flap, Reconstruction, Papillary thyroid carcinoma, Cutaneous metastasis
Scenario 4 1983
Authors: Redazione Redazione
Published: August 2023

Rivista completa
Scenario.3-1990
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Scenario.1-1991
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Scenario.3-1993
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Scenario.3-1997
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Scenario3-1999
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
scenario.2-2000
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Scenario.1-2004
Authors: ANIARTI Redazione
Published: August 2023

Rivista completa
Lâ€™Aniarti e lâ€™infermieristica in area critica: un percorso lungo una... vita...
Authors: Drigo Elio
Published: August 2023

Con il rinnovo delle rappresentanze asso- ciative avvenuto du- rante il 29Â° Congresso Nazionale a Rimini, unâ€™altra tappa della vita dellâ€™associazioneÂ si Ã¨ conclusa. Guardare indietro fa memoria della strada percorsa e contribuisce a continuare verso obiettivi avanzati. Alcuni punti rilevanti dellâ€™e- sperienza Aniarti.
Ma assistere Ã¨ veramente un interesse di questa societÃ ?
Authors: Drigo Elio
Published: August 2023

Non si intende qui parlare di singole persone, interpellate direttamente sullâ€™argomento o richieste di un parere teorico. La risposta, aÂ parte qualche frangiaÂ cinica,, sarebbe positiva.
Lâ€™approccio dei sistemi di emergenza extraospeda- liera alla persona vittima di ustione grave: survey multicentrica sul territorio italiano del centro-sud
Authors: Tanini Fabio , Bambi Stefano
Published: August 2023

Introduzione:Â le ustioni sono fra le piÃ¹ frequenti cause di morte accidentale. La qualitÃ  delle cure prestate nelle prime ore successive allâ€™ustione ha il maggior impatto sui risultati a lungo termine.
Lo sviluppo di un percorso assistenziale come strumento per la presa in carico della persona assistita
Authors: Buffon Maria Luisa , Cadorin Laura , Migotto Sandra
Published: August 2023

I percorsi assistenziali (PA) sono strumenti finalizzati a garantire alle persone assistite le â€œmiglioriâ€ risposte diagnostico, terapeutiche, assistenziali per patologie o condizioni di complessitÃ  assistenziale particolarmente rilevante.
Mozione conclusiva 30Â° Congresso Nazionale Aniarti
Authors: ANIARTI ANIARTI
Published: August 2023

Infermieri, area critica e le sfide dellâ€™economia.Lâ€™assistenza fra tecnologie, esigenze, organizzazione, responsabilitÃ . Una funzione sociale da rivalorizzare per un progresso innovativo. 30 anni di contributo Aniarti
Lâ€™infermiere e la clinica: limite o responsabilitÃ ?
Authors: Drigo Elio
Published: August 2023

Â La responsabilitÃ  clinica dellâ€™infermiere si sta profilando come un fattore di criticitÃ  nei rapporti con la professione medica. Le ragioni vanno cer- cate soprattutto nella profonditÃ  e rapiditÃ  dellâ€™evoluzione delle conoscenze disponibili, nella diffusione delle competenze necessarie allo svolgimento razionale delle attivitÃ  connesse alla protezione della salute e negli indispensabili adeguamenti dellâ€™organizzazione del sistema sanitario e dunque degli operatori.Lâ€™articolo espone alcuni argomenti a supporto della competenza clinica anche dellâ€™infermiere ed alcune proposte metodologiche per il supera- mento dellâ€™idea di responsabilitÃ  clinica esclusiva e per la concezione di una responsabilitÃ  condivisa derivante da quelle competenze che di fatto, sono condivise. Viene anche indicata la necessitÃ  di unâ€™impostazione di relazioni interprofessionali basate sullâ€™integrazione piuttosto che su una insostenibile gerarchia delle professioni.
Infermieri e qualitÃ di vita in area critica. Competenza, tecnologia, procedure, efficienza, risorse, relazioni, politica, diritti, etica, utopia.
Authors: ANIARTI Infermieri
Published: August 2023

Gli infermieri dellâ€™Aniarti - Associazione nazionale infermieri di area critica - propongono alcune considerazioni ed alcuni impegni concreti.
Lâ€™autovalutazione delle competenze cliniche infermieristiche in Area Critica
Authors: Colagrossi Roberta , Venturini Giulia , Esposito Giuseppe , Sili Alessandro , Avaro Rosaria
Published: August 2023

Introduzione:Â l'autovalutazione delle competenze infermieristiche in area critica permette agli infermieri di identificare i deficit di conoscenza e di conseguenza i propri bisogni formativi con lâ€™obiettivo di valorizzare e sviluppare le loro competenze per un miglioramento della pratica infer- mieristica. Lo scopo di questo studio Ã¨ di rilevare, come gli infermieri di area critica percepiscono il livello delle loro competenze cliniche attra- verso unâ€™autovalutazione delle stesse e identificare i fattori che influenzano queste percezioni.
Violenza e aggressioni in Pronto Soccorso: un approccio operativo
Authors: Ramacciati Nicola , Ceccagnoli Andrea
Published: August 2023

Introduzione: numerosi studi internazionali indicano che gli infermieri di Pronto Soccorso sono tra gli operatori sanitari i piÃ¹ esposti nel corso della loro attivitÃ  lavorativa ad atti di violenza.Scopo del presente studio Ã¨ quello di inquadrare il problema e presentare lâ€™approccio adottato presso il Pronto Soccorso dellâ€™Ospedale di Perugia.
La musicoterapia per il trattamento del dolore e dellâ€™ansia nel paziente di Triage
Authors: Zenobi Carla , Muzi Stefano , Amato Maria G.
Published: August 2023

Introduzione: sono noti gli effetti benefici della musica per il trattamento del dolore e dellâ€™ansia. Ãˆ stato rilevato che la maggior parte dei pazienti afferenti al DEA per patologie con dolore acuto peggioravano il loro stato psicofisico durante la permanenza al triage. Scopo di questo lavoro Ã¨ di sperimentare lâ€™utilizzo della musicoterapia per il controllo del dolore e dellâ€™ansia in questi pazienti, durante lâ€™attesa al triage.
La qualitÃ dellâ€™assistenza in terapia intensiva chiusa e aperta: la voce dei pazienti
Authors: Savino Sally , Savorani Patrizia , Gambale Giorgio , Calderone Barbara , Sturlese Vittoria
Published: August 2023

Introduzione: una politica di visita aperta nei reparti di Terapia Intensiva Ã¨ consigliata non solo dalla letteratura internazionale, ma anche favorita delle politiche delle Regione Emilia-Romagna. Obiettivo della ricerca Ã¨ stato quello di raccogliere la valutazione sulla qualitÃ  dellâ€™assisten- za nella TI dellâ€™Ausl di ForlÃ¬, sia prima sia dopo la decisione di attuare una politica di visita aperta.
Posizionamento ecoguidato di cateteri venosi periferici con accesso venoso difficile da parte di infermieri novizi
Authors: Basso Elisa , Fabiani Adam , Franzoi Alessia , Sanson Gianfranco
Published: August 2023

Introduzione: il posizionamento di cateteri venosi periferici in pazienti con accesso venoso difficile (DVA) causa alti tassi di insuccesso anche per operatori esperti. Lâ€™impiego della guida ecografica (US-guided peripheral access, USPA) ha dimostrato di aumentare il successo nellâ€™incannulamento rispetto ai tentativi â€œblindâ€œ. Questo studio ha valutato la capacitÃ  di apprendimento e l'efficacia della tecnica USPA in pazienti DVA su infermieri con scarsa esperienza professionale e privi di esperienza ecografica.
Weaning da ventilazione meccanica a breve e lungo termine nei pazienti adulti. Aggiornamenti
Authors: Bambi Stefano , Lucchini Alberto , Rasero Laura
Published: August 2023

Introduzione: lo svezzamento dei pazienti adulti dalla ventilazione meccanica (VM) in terapia intensiva (TI) Ã¨ tuttora tra i cosiddetti hot topics in area critica poichÃ© lâ€™aumento del tempo di permanenza in ventilazione si associa ad un incremento di mortalitÃ . Il weaning Ã¨ attualmente classificato in semplice, difficile o prolungato sulla base del tempo e dei tentativi impiegati per raggiungere lâ€™indipendenza del paziente dal ventilatore.
Focus sul Nursing Activities Score: una revisione della letteratura per valutare lâ€™ef cacia percepita e i punti critici dello strumento.
Authors: Massai Viola , Giovannoni Lorenzo , Capasso Giovanni , Galardini Costanza , Gheri Flavio
Published: August 2023

Introduzione: quantificare la complessitÃ  assistenziale di un paziente consente di identificare il fabbisogno infermieristico adeguato al soddisfacimento dei sui bisogni. Questo concetto, assume una particolare rilevanza nei reparti di terapia intensiva, dove le caratteristiche del paziente critico possono determinare carichi di lavoro infermieristico elevati.
Questionario per lâ€™Indagine Nazionale 2016 sulla Violenza verso gli Infermieri di Pronto Soccorso: studio di validazione
Authors: Ramacciati Nicola , Bamby Stefano , Mezzetti Andrea , Lumini Enrico , Gili Alessio , Rasero Laura
Published: August 2023

Introduzione: la violenza nei confronti degli operatori sanitari Ã¨ un fenomeno di rilevanza mondiale. Gli infermieri, in particolare quelli di Pronto Soccorso (PS), soprattutto se impegnati nellâ€™attivitÃ  di triage, sono tra i lavoratori piÃ¹ esposti. In Italia non sono disponibili fonti statistiche in grado di delineare un quadro dettagliato del fenomeno nello specifico contesto, ad eccezione di rari report di ricerca.
Gli infermieri del pronto soccorso di fronte alla violenza del paziente psichiatrico: percezione e gestione dellâ€™evento: una ricerca qualitativa.
Authors: Cacciatore Giada , Rosa Debora , Trabucchi Cristina
Published: August 2023

Introduzione: La violenza in pronto soccorso Ã¨ sempre piÃ¹ comune e sono gli infermieri a sopportare il maggior peso di questo fenomeno. Tra i principali fattori di rischio ci sono le patologie di carattere psichiatrico. Le reazioni che il comportamento aggressivo provoca negli infermieri sono: rabbia, burnout, stress, ansia e paura.Scopo: Analizzare la percezione degli infermieri di pronto soccorso che assistono i pazienti psichiatrici con atteggiamento aggressivo,per comprendere come strutturano la gestione dellâ€™evento violento.Materiali e Metodi: Disegno di ricerca: studio qualitativo fenomenologico. Campione: 18 infermieri di due dipartimenti di emergenza. Intervista semi strutturata e trascrizione integrale delle interviste. Le interviste si sono svolte tra il 28 giugno e il 2 agosto 2016. Lâ€™analisi del contenuto: metodoVan Kaam.Risultati: Lâ€™assistenza ai pazienti psichiatrici aggressivi causa negli infermieri emozioni quali: paura, tristezza, sofferenza, rabbia, disagio e la sfiducia nel paziente stesso a causa della sua imprevedibilitÃ . Sono stati identificati sei temi: definizione e idea della violenza; segni che preannunciano i comportamenti violenti; vissuto degli infermieri nella gestione dei pazienti psichiatrici aggressivi; esperienze di violenza; reazioni emotive degli infermieri dopo un evento di violenza; aspetti di assistenza infermieristica del paziente psichiatrico aggressivo. Emerge lâ€™importanza di mantenere un atteggiamento accogliente e calmo, di utilizzare uno stile comunicativo appropriato di fronte allâ€™escalation di un paziente aggressivo e ciÃ² favorisce la de-escalation del paziente. La maggioranza avverte necessaria la partecipazione a corsi di formazione relativi allâ€™aggressivitÃ  del paziente psichiatrico.Conclusioni: Gli stati dâ€™animo dellâ€™infermiere che si trova ad assistere questa tipologia di paziente possono contribuire a una gestione inefficace sia dei pazienti che degli eventi. Lâ€™insicurezza o lâ€™incapacitÃ  nel prendersi cura di un paziente psichiatrico possono dipendere sia da una mancata preparazione professionale, sia dallâ€™iniziale approccio che ogni operatore instaura con il paziente aggressivo che, se non adeguato, puÃ² implementare lâ€™escalation del paziente.
Il Testamento Biologico come strumento per una â€œbuona curaâ€: la pianificazione anticipata e condivisa delle cure
Authors: Valenti Danila , Moggia Fabrizio
Published: August 2023

Il 16 gennaio 2018 Ã¨ stata pubblicata nella Gazzetta Ufficiale numero 12 , laÂ Legge 22 dicembre 2017, n. 219 recanteÂ â€œNorme in materia di consenso informato e di disposizioni anticipate di trattamentoâ€colmando unÂ importante vuoto legislativo, ormai unica in Europa, che rendeva problematico il rapporto tra la Persona malata alla fine della vita, la sua famiglia e tutta lâ€™Ã©quipe sanitaria.Negli ultimi anni le tematiche inerenti la fine della vita sono state piÃ¹ volte al centro dellâ€™attenzione: la definizione di termini quali â€œeutanasiaâ€, â€œtestamento biologicoâ€, â€œaccanimento terapeuticoâ€ ha impegnato professionisti di varie estrazioni e coinvolta lâ€™intera opinione pubblica. I casi piÃ¹ noti hanno rappresentato unâ€™occasione di riflessione su aspettiÂ Â presenti nellâ€™esperienza quotidiana di pazienti, famigliari e dei professionisti sanitari coinvolti nellâ€™esperienza dellâ€™accompagnamento alla fine della vita. ........
Aggressione da caustici sul volto delle donne: il contributo infermieristico per migliorare la qualitÃ delle cure
Authors: Oliva Giorgia , Romigi Gaetano , Bertoldi Innocenzo
Published: August 2023

Per aggressioni da caustici sâ€™intende una violenza premeditata mirata non a causare la morte della vittima ma a deturparla tramite unâ€™ustione chimica (1). Queste rappresentanoÂ uno dei problemi di salute molto importanti che causano un ricovero prolungato e quindi un aumento delle spese per i pazienti, le loro famiglie e la societÃ  (2). Le ustioni sono piÃ¹ comuni nei paesi in via di sviluppo, specialmente nelle aree socioeconomiche e rurali povere (3), tra il 2,4% fino Il 10,7% delle ustioni in tutto il mondo sono dovute all'esposizione chimica (4), negli ultimi anni, Ã¨ stato rilevato un aumento nell'uso di agenti chimici nelle aggressioni che coinvolgono la violenza domestica, in particolare sulle donne, schizzandole sul viso e sul corpo (5). Gran parte delle le ferite da ustioni chimiche sono dovute ad aggressione o ad eventi accidentali (6).............
Diluizione dei farmaci in Terapia Intensiva: indagine descrittiva sulle diluizioni in uso nelle Terapie Intensive della regione Emilia Romagna
Authors: Munaretto Katia , Piombini Sara , ImbrÃ¬aco Guglielmo
Published: August 2023

Introduzione:Â Dalla revisione della letteratura si stima che gli errori farmacologici rappresentino una percentuale compresa tra il 12% ed il 20% di tutti gli errori avvenuti in ambiente sanitario. Da uno studio analizzato in una revisione di letteratura del 2013 si evince cheÂ il 44% degli errori farmacologici accaduti nelle Terapie Intensive avviene durante la preparazione, a causa di omissioni e di dosaggi errati, i qualirappresentano i piÃ¹ frequenti errori. Il setting delle Terapie Intensive fornisce assistenza ai pazienti piÃ¹ critici, che ricevono molteplici infusioni di medicinali alcuni dei quali potenzialmente rischiosi, ed Ã¨ perciÃ² associato a rischi significativi per eventi avversi e gravi errori.
La risposta dei parametri vitali durante Kangaroo Mother Care. Uno studio osservazionale
Authors: Giontella Mirella
Published: August 2023

Introduzione:Â La Kangaroo Mother Care (KMC), spesso definita come contatto â€œpelle a pelleâ€ tra una madre e il suo neonato, Ã¨ stata efficacenelridurreilrischiodimortalitÃ traineonati pretermineeconbassopesoallanascita.ObiettivodiquestostudioÃ¨confron- tare parametri vitali comuni come frequenza cardiaca, frequenza respiratoria e saturazione di ossigeno nei neonati pretermine inÂ incubatrice, versus la Kangaroo Mother Care (KMC).
Pain assessment in adult intensive care patients
Authors: Bambi Stefano , Galazzi Alessandro , Pagnucci Nicola , Giusti Gian Domenico
Published: August 2023

Introduction:Â Pain is an important public health problem worldwide and has a great clinical, social and economic impact, for these reasons itsidentification and treatment must have high priority from healthcare professionals. Critical care patients feel pain not only for their diseases but also for the long immobility and various invasive procedures they may undergo. The negative physiological and phycological consequences due to the ineffectual pain management can be important and remain for long.
Valutazione del delirium nel paziente adulto ricoverato in Terapia Intensiva
Authors: Galazzi Alessandro , Pagnucci Nicola , Giusti Gian Domenico
Published: August 2023

Introduzione: il delirium Ã¨ una sindrome clinica caratterizzata da transitoria e reversibile confusione mentale che si associa ad un importante disorientamento spazio-temporale, inattenzione e pensiero disorganizzato. Il delirium Ã¨ frequente tra i pazienti ricoverati in Terapia Intensiva (ICU delirium) con unâ€™incidenza compresa tra lâ€™11% e lâ€™80% a seconda delle popolazioni di pazienti critici studiate ed Ã¨ associato ad un peggiora- mento degli outcome.
La rilevazione della temperatura corporea nellâ€™emergenza-urgenza pre-ospedaliera: Rapid Evidence Assessment
Authors: Lucenti Enrico , Dasso Nicoletta , Catania Gianluca , Zanini Milko , Bagnasco Anna Maria , Sasso Loredana
Published: August 2023

La rilevazione dei parametri vitali Ã¨ un punto cardine nellâ€™assessment del paziente da parte dellâ€™infermiere in emergenza territoriale ma la rilevazione della temperatura corporea non sempre emerge come parametro di riferimento . Lâ€™obiettivo di questo studio Ã¨ indagare attraverso una revisione sistematica della letteratura se nel setting pre-ospedialero avviene la rilevazione della temperatura corporea in modo sistematico e secondariamente se emerge una sede ottimale di rilevazione del dato temperatura.
PARERE IN MERITO ALLA CONSERVAZIONE DELL'ANONIMATO DEL DONATORE E DEL RICEVENTE NEL TRAPIANTO D'ORGANI. - RIFLESSIONI SUL SUICIDIO MEDICALMENTE ASSISTITO
Authors: COMITATO NAZIONALE PER LA BIOETICA PRESIDENZA DEL CONSIGLIO DEI MINISTRI
Published: August 2023

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COVID-19: Job insecurity as a moderator of e-learning acceptance in Indian organisations
Authors: Naqvi Syed R. , Sareen Puja , Sharma Tanuja , Chawla Swati , Wadhwa Sheela N. , Malik Ritika
Published: August 2023

Orientation: Coronavirus disease 2019 (COVID-19) pandemic caused the loss of jobs of more than 340 million individuals worldwide in the middle of 2020. At the same time, COVID-19 pandemic sparked increased usage of digital products, Internet resources, online media technology and e-learning practices.Research purpose: The research strives to explore the moderating role of job insecurity caused by the coronavirus towards the usage of e-learning.Motivation for study: This study aimed to assess the behavioural effects of employees working in the most damaged sectors related to rental and business services of Indian businesses.Research approach/design and method: The investigation used a structured questionnaire for the survey data obtained from 307 employees from the most affected sectors in major cities of India. The research utilised the conservation of resources (COR) theories and the General Extended Technology Acceptance Model for e-learning (GETAMEL) framework for the investigation. To probe the evidence, the researchers used Structural Equation Modelling techniques.Main findings: The findings revealed a substantial impact of ‘job uncertainty’ as a moderator in employees’ acceptability towards e-learning.Practical/managerial implications: The study provides a deep insight to experts, educators, top management, policymakers, team managers and human resource (HR) practitioners about the moderation effect of job insecurity created by pandemics on technology acceptance.Contribution/value add: This study is unique as no researcher investigated the moderating influence of job instability on e-learning acceptability.
Predictors of Co-activation in Erb’s Palsy: A Retrospective Study
Authors: Sankaran Ravi
Published: August 2023

Context:

Three per thousand births have Erb’s palsy. Spontaneous recovery is 50%. Co-activation yields poor outcomes. There are no objective indicators of its emergence.

Aims:

Analyze if 1 month Axon Viability Index (AVI) of the axillary nerve and which active movement score (AMS) measures can predict co-activation.

Settings and Design:

Tertiary level rehabilitation center, retrospective design.

Methods and Material:

The electronic medical record (EMR) was reviewed for patients with Erb’s palsy with Narakas grade 2 lesions, as having co-activation or not. The one-month Axillary AVI was used with monthly AMS scores. The inclusion criteria were an AVI greater than ten percent. Exclusion criteria were bi-brachial palsy, congenital anomalies, concomitant or subsequent neurological injuries, and orthopedic injuries.

Statistical Analysis Used:

Descriptive statistics were used to calculate the median and interquartile values for AMS scores at each respective time point. Statistical significance for each time point was determined using a student’s t-test.

Results:

Regarding the t-test on the AVI data, a significant P value of 0.001 was found favoring the co-activation group. AVI of the Axillary nerve between 0.1 and 0.5 at 1 month is a reliable indicator of future development of co-activation. The following were strong indicators of the emergence of co-activation respectively: month three Wrist Extension in sitting, Shoulder Abduction in supine, Shoulder Abduction in sitting, Elbow Flexion in sitting, month six Elbow Flexion in sitting, month seven Elbow Flexion in sitting.

Conclusions:

The axillary AVI at one month is a good predictor of future development of co-activation. The mentioned AMS items are the earliest indicators of co-activation.