bluuebunny/crossref_metadata_2025 huggingface dataset:
Customer Acquisition Strategies for Tech Start-ups: Analyzing the Effectiveness of Different Customer Acquisition Channels Using Advanced Analytics
Authors: Awais Muhammad
Published: September 2024

This study investigates the effectiveness of different customer acquisition channels—social media, content marketing, SEO, paid advertising, influencer partnerships, and email marketing—on key performance metrics such as return on investment (ROI), customer conversion rates, and customer lifetime value (CLV) for tech start-ups. Additionally, it explores the moderating role of advanced analytics in enhancing these channels' performance. Using a quantitative research design, data were collected from 200 respondents from tech start-ups via a structured questionnaire. The results indicate that SEO and email marketing have the strongest positive impact on ROI, conversion rates, and CLV, followed by social media and content marketing. Paid advertising and influencer partnerships, though effective, had comparatively smaller effects. The study also confirms that advanced analytics significantly enhances the effectiveness of all acquisition channels, particularly SEO and social media. These findings provide critical insights for tech start-ups, suggesting that prioritizing organic channels like SEO and email marketing, combined with data-driven decision-making, can yield higher returns. Theoretical implications include an expanded understanding of multi-channel strategies in start-ups, while practical implications highlight the importance of advanced analytics in optimizing customer acquisition efforts. Future research could explore how start-ups in diverse industries can further optimize these strategies.
Effects of extrapulmonary TB on patient quality of life and recurrence
Authors: Wali A. , Safdar N. , Ambreen A. , Hassan S. , Yaqoob A. , Mustafa T.
Published: September 2024

BACKGROUND
Quantifying quality of life (QoL) in extrapulmonary TB patients is crucial yet often overlooked. This study examines the impact of tuberculous lymphadenitis and pleuritis on patients' QoL, associated factors, and recurrence.

METHODS
Data
were collected prospectively from patients using a pre-designed questionnaire at baseline, post-treatment, and 2 years after treatment. Health domains are essential to overall health and well-being and can be assessed to understand health status. We included mobility for physical well-being,
usual activities for self-care, pain/discomfort for disease manifestations, and anxiety/depression for emotional health.

RESULTS
Of the 376 patients, 53% had TB lymphadenitis, and 47% had TB pleuritis, with a mean age of 25 years (SD ±12.95).
The most commonly reported issues at baseline were pain/discomfort and restricted usual activities. After treatment, over 90% experienced improvement, but 8% re-developed symptoms after 2 years, and two patients required retreatment for recurrent EPTB. Predictors negatively impacting QoL included
private income sources, residence outside the city, and marriage, with the first two primarily affecting emotional health.

CONCLUSION
Tuberculous lymphadenitis and pleuritis significantly impact patients' physical and emotional health, necessitating
healthcare providers to address non-medical factors affecting QoL to reduce morbidity and mortality and improve QoL.
Continuous quality improvement in a community-wide TB screening and prevention programme in Papua New Guinea
Authors: Pank N.P. , Aung A. , Kama G. , Murray A. , Huang K.L. , Greig J. , Bauri M. , Chan G. , Masah C. , Kaison K. , Umali S. , Peter T. , Wera C. , Velaki C. , Ase M. , Krangaie I. , Viru R. , Kurumop T. , Keam T. , Islam S. , Pomat W. , Maha A. , Boga M. , Kal M. , Wuatai N. , Graham S.M. , Majumdar S.S. , Marukutira T.
Published: September 2024

SETTING
Daru Island in Papua New Guinea (PNG) has a high prevalence of TB and multidrug-resistant TB (MDR-TB).

OBJECTIVE
To evaluate the early implementation of a community-wide project to detect
and treat TB disease and infection, outline the decision-making processes, and change the model of care.

DESIGN
A continuous quality improvement (CQI) initiative used a plan-do-study-act (PDSA) framework for prospective implementation. Care
cascades were analysed for case detection, treatment, and TB preventive treatment (TPT) initiation.

RESULTS
Of 3,263 people screened for TB between June and December 2023, 13.7% (447/3,263) screened positive (CAD4TB or symptoms), 77.9% (348/447)
had Xpert Ultra testing, 6.9% (24/348) were diagnosed with TB and all initiated treatment. For 5–34-year-olds without active TB (n = 1,928), 82.0% (1,581/1,928) had tuberculin skin testing (TST), 96.1% (1,519/1,581) had TST read, 23.0% (350/1,519) were TST-positive, 95.4% (334/350)
were TPT eligible, and 78.7% (263/334) initiated TPT. Three PDSA review cycles informed adjustments to the model of care, including CAD4TB threshold and TPT criteria. Key challenges identified were meeting screening targets, sputum unavailability from asymptomatic individuals with high CAD4TB
scores, and consumable stock-outs.

CONCLUSION
CQI improved project implementation by increasing the detection of TB disease and infection and accelerating the pace of screening needed to achieve timely community-wide coverage.
TB burden and diagnostic challenges at Sandaun Provincial Hospital in West Sepik Province of PNG, 2016–2021
Authors: Bita S. , Kelebi T. , Holmes A. , Vaccher S. , Majumdar S.S. , Greig J.
Published: September 2024

SETTING
Bacteriological confirmation of TB diagnosis remains a key operational challenge in Papua New Guinea. Sandaun Provincial Hospital (SPH) is the main TB diagnostic and treatment centre of West Sepik Province.

OBJECTIVE
To
evaluate TB caseload, patient characteristics, and quality of diagnosis at SPH between 2016 and 2021.

DESIGN
A retrospective descriptive study using TB treatment, laboratory, and presumptive TB registers to collect data on all TB patients.
We used multivariable logistic regression to determine factors associated with bacteriological confirmation.

RESULTS
Of 1,305 TB patients registered, 25% were children (<15 years) and 30% had extrapulmonary TB. The quality of sputum was
associated with a positive smear microscopy result (P = 0.002). The proportion bacteriologically confirmed was low (37.3%), being higher in young adults 15–44 years (50.6%, 377/745) than in children <15 years (6.3%, 20/319) or older adults ≥45 years (37.6%, 68/181). Bacteriological
confirmation was less likely in people travelling ≥3 hours to a health facility (adjusted OR 0.58, 95% CI 0.34–0.97) and extrapulmonary TB (aOR 0.01, 95% CI 0.00–0.03) but more likely for retreatment cases (aOR 1.59, 95% CI 1.00–2.51).

CONCLUSION
Diagnostic
services in West Sepik Province need strengthening to achieve a higher proportion of bacteriological confirmation in new pulmonary and extrapulmonary TB cases of all ages and improve access for the rural population.
Patient costs for drug-resistant TB diagnosis and pre-treatment evaluation in North India
Authors: Das S. , Kumar R. , Krishnan A. , Kant S. , Mohan A.
Published: September 2024

INTRODUCTION
India's National TB Elimination Programme (NTEP) aims to eliminate TB-related catastrophic expenditure by offering free diagnosis and treatment. However, 3.9% of TB patients have drug-resistant TB (DR-TB) and are facing higher costs.

OBJECTIVE
To
assess DR-TB patients' diagnosis and pre-treatment evaluation costs, catastrophic cost incidence, and its relation to patient characteristics.

METHODS
The study included DR-TB patients from three District Drug-Resistant TB Centres in Delhi
and Faridabad (October 2021–June 2022). Socio-economic and clinical characteristics and direct medical and non-medical costs from drug susceptibility testing eligibility to the start of DR-TB treatment were collected using patient interviews and records. Indirect costs were calculated
via the human capital approach, defining catastrophic costs as expenses over 20% of household annual income. Multivariable regression was used to estimate the effects of patient characteristics on catastrophic costs.

RESULTS
Of 158 patients,
37.3% were aged 19–30 years, and 55.7% were women. Median total cost was USD326.6 (IQR 132.7–666.7), with 48.2% for diagnosis and 66.0% indirect. 32% faced catastrophic costs, with manual labourers at higher risk (adjusted OR 4.4).

CONCLUSION
Despite
free diagnosis and treatment, a significant portion of DR-TB households in India incur catastrophic costs, mainly from indirect expenses, indicating a need for targeted policy and programme interventions.
Percepção dos responsáveis sobre condições de saúde e atividade física em crianças típicas
Authors: Santos Amanda Lindolpho , Silva Francine Aguilera Rodrigues da , Bizinotto Thailyne , Hamú Tânia Cristina Dias da Silva , Porto Celmo Celeno , Formiga Cibelle Kayenne Martins Roberto
Published: September 2024

O estudo das condições de saúde e da prática de atividade física em crianças é fundamental para a área da saúde, pois permite a identificação de problemas relacionados à obesidade e à inatividade física na população infantil. A percepção dos pais sobre a saúde de seus filhos está frequentemente ligada às práticas e hábitos familiares, que podem influenciar o estado de saúde de crianças e adolescentes. Este estudo teve como objetivo analisar e correlacionar a percepção dos responsáveis sobre as condições de saúde e o nível de atividade física das crianças. Trata-se de uma pesquisa transversal realizada com crianças em idade escolar, matriculadas em instituições de ensino público, e seus responsáveis. Foram coletados dados antropométricos das crianças, além de informações obtidas por meio de um Questionário de Percepção Materna. O cálculo amostral foi realizado utilizando o software G Power 3.1.9.7 (tamanho do efeito de 0,30, poder de 0,95 e erro de 5%), resultando em 111 participantes. A amostra final foi composta por 155 crianças escolares, com idades entre 6 e 9 anos, sendo a maioria eutrófica (72,3%). Entre os pais/responsáveis, 72,9% identificaram corretamente o peso de seus filhos, mas relataram incorretamente o nível de atividade física. O estudo sugere que para um controle eficaz da saúde infantil, é necessário que os pais incentivem hábitos de vida mais saudáveis e evitem comportamentos sedentários em seus filhos, destacando a influência do estilo de vida dos pais sobre o das crianças.
Avaliação do impacto do uso de antibióticos na agricultura na resistência bacteriana humana: uma revisão sistemática
Authors: Vasconcelos Jessica Luzia Marques de , Silva Tallyson Menezes Bento da
Published: September 2024

A resistência bacteriana aos antibióticos é uma ameaça crescente à saúde pública global, exacerbada pelo uso extensivo e inadequado de antibióticos na agricultura, especialmente na pecuária. Este estudo revisou criticamente a literatura publicada entre 2014 e 2024 para avaliar o impacto do uso de antibióticos na agricultura sobre o desenvolvimento e a disseminação da resistência bacteriana em humanos. A análise revelou uma correlação significativa entre o uso indiscriminado de antibióticos em ambientes agrícolas e o aumento da resistência bacteriana, destacando a importância de políticas públicas rigorosas e práticas agrícolas sustentáveis. Além disso, identificou-se que a transferência de resistência bacteriana para humanos ocorre através de múltiplas vias, incluindo a cadeia alimentar e a contaminação ambiental. As limitações do estudo indicam a necessidade de futuras pesquisas para preencher as lacunas de conhecimento, especialmente em regiões subexploradas. Este estudo reforça a urgência de uma resposta global coordenada para mitigar os riscos associados ao uso de antibióticos na agricultura e proteger a saúde pública.
Diversificação curricular como estratégia para a educação e a qualificação do trabalhador
Authors: Nunes Maria Lúcia Ravela Nogueira da Silva , Fonseca Paola Barros de Faria , Carmo Gerson Tavares do , Ribeiro Laura Gonçalves
Published: September 2024

A proposta dos Institutos Federais de Educação, Ciência e Tecnologia (IFs) é a de se consolidar como uma instituição pública que alcança todos os segmentos da força de trabalho nacional. Assim, com o objetivo de compreender como essas concepções podem se materializar em práticas educativas democráticas, elaboramos o projeto de pesquisa “Estudo longitudinal das trajetórias dos estudantes do Curso Técnico Subsequente em Eletrotécnica ofertado por Itinerário Formativo no IFF – CASJB”, que analisa uma experiência em andamento no Instituto Federal Fluminense (IFF), cuja principal característica é a implementação de um currículo flexível para atendimento do público trabalhador. A partir dessa análise, foi possível confirmar que a diversificação curricular traz elementos que colaboram para a permanência do público- alvo. É o recorte dos resultados dessa pesquisa que apresentamos neste artigo.
Maturação de oócitos bovinos expostos ao endosulfan: modelo toxicolágico in vitro
Authors: Castro Raiane Cristina Fratini de , Silva Giovanna Rafael Fernandes da , Bento Iamara Carvalho Sabatino , Paolozzi Patrícia Campos , Agostinis Andressa Jaqueline , Sagawa Viviane Sayuri Mitzutani , Moraes Adriano Junqueira de , Emanuelli Isabelle Picada
Published: September 2024

O uso de pesticidas possui abrangência mundial, evidenciando carência de estudos que demonstrem seus riscos toxicológicos. Desta maneira o presente estudo teve como objetivo desenvolver um modelo in vitro para teste de toxidade de pesticida utilizando 212 oócitos de ovários de abatedouro e validar o modelo toxicológico desenvolvido durante o processo de maturação oocitária para prever riscos químicos na fertilidade feminina de mamíferos. O grupo controle negativo será de oócitos maturados na ausência de pesticidas e os grupos tratamentos serão constituídos por três tipos diferentes de diluições do agrotóxico, sendo expostos nas 24h de maturação in vitro. A presente metodologia, apresenta-se nas seguintes seções: (1) Protocolo de maturação; (2) Caracterização do modelo toxicológico; (3) Maturação nuclear do oócito; (4) Análises estatísticas. Evidenciou-se que na análise da presença de corpúsculo polar a dose reduzida do Endosulfan (0,01µG/ML) não interferiu significativamente no processo quando comparado ao grupo controle, respectivamente 77,50% (31/40) e 88,10% (37/42). Doses superiores interferiram consideravelmente na extrusão corpuscular (0,1 µG/ML - 31,11% e 1µG/ML - 20,00%). A concentração de 10µG/ML impediu totalmente a conclusão deste evento. Não houve diferença entre a expansão dos COCs maturados em meio contendo as diferentes concentrações de Endosulfan (0; 0,01; 0,1; 1,0 µg/mL) com exceção da concentração de 10,0 µg/mL que impediu completamente. Dessa forma o modelo toxicológico com ovários de abatedouro bovino viabilizou determinar os danos morfológicos dos oócitos expostos a pesticida podendo ser utilizando como método avaliativo de ensaios in vitro. Os resultados obtidos indicaram a alteração morfológica dose-resposta para os eventos de maturação do complexo cumulus oócitos declínio dependente para extrusão corpuscular e expansão do cumulus.
Simulation of a hypothetical PWR fuel element with 316 steel cladding doped with molybdenum
Authors: Lopes Thomaz Jacintho , Azevedo Ary Machado de , Soares Joana Batista , Medeiros Marcos Paulo Cavaliere de , Cardoso Domingos D’Oliveira , Monteiro Sérgio Neves , Figueiredo André Ben-Hur da Silva , Araújo-Moreira Fernando Manuel
Published: September 2024

In this study, the importance of simulations conducted in MCNP5 and the modifications implemented in 316 steel to optimize energy efficiency in nuclear power production are explored. Molybdenum (Mo) is investigated as a promising additive due to its low absorption cross-section for thermal neutrons, which facilitates a more significant participation of neutrons in fission and heat generation. Through the use of the MCNP5 code, simulations were conducted to analyze a hypothetical UO2 fuel element with different enrichment zones to assess its performance. The results highlight that the inclusion of molybdenum in the fuel cladding alloy has a significant impact on neutron production, suggesting that this addition may compromise energy generation efficiency. In summary, this study emphasizes the potential of molybdenum as an additive to enhance nuclear fuel performance, promoting safer, more efficient, and sustainable nuclear energy.
Оценки для модифицированного (евклидова) расстояния Громова-Хаусдорфа
Authors: Malysheva Olga Sergeevna
Published: September 2024

Для расстояния Громова-Хаусдорфа $d_{GH}(X, Y)$ хорошо известны ограничения сверху и снизу диаметрами множеств $X$ и $Y$. В работе изучаются модифицированное расстояние Громова-Хаусдорфа и орбиты действия подгруппы группы изометрии в евклидовых пространствах. Оказывается, для рассматриваемого расстояния имеют место подобные ограничения, но чебышeвскими радиусами представителей орбит. Как следствие приводится оценка расстояния между чебышeвскими центрами компактов при их оптимальном совмещении.
Алгоритм поиска точного значения аргумента модуля непрерывности в оценке приближения непрерывной периодической функции частичной суммой ее ряда Фурье
Authors: Semenova Tatyana Yurevna
Published: September 2024

Приводится способ нахождения точного значения аргумента модуля непрерывности в оценках скорости сходимости ряда Фурье.
Определение начала поворота головы в режиме реального времени при помощи инерциальных датчиков
Authors: Petrov Alexandr Andreevich , Latonov Vasilii Vasil'evich , Kruchinina Anna Pavlovna
Published: September 2024

Отслеживание движений человека и определение их особенностей часто необходимо при разработке устройств, которые человек носит на себе или использует в производстве.
В связи с этим задача детектирования начала вращения представляется актуальной и имеет множество приложений в бионавигации и биомеханике. Одна из главных сложностей в этих задачах - минимизация задержки обнаружения детектируемого движения.
В работе рассматривается задача детектирования момента начала поворота головы при помощи закрепленных на ней инерциальных датчиков - трехосных акселерометра и датчика угловых скоростей. Необходимость определения начала поворота головы возникает при попытке решения задачи дополнения вестибулярной информации в специальных условиях, например для решения проблемы вестибулосенсорного конфликта, возникающего в состоянии невесомости.
Implikasi Pemikiran Blasius Sudarsono terhadap Perkembangan Pernaskahan Nusantara
Authors: Deviyanti Siti
Published: September 2024

ABSTRACT
Blasius Sudarsono (BS) is a figure in Indonesia in the field of libraries and librarianship who has been active for 50 years. Many of his thoughts are considered to have had a great influence on the development of the world of libraries and documentation in Indonesia. He not only wrote about librarianship, but also other things, one of which was about ancient manuscripts. This research explains the implications of BS's thoughts regarding ancient manuscripts for the development of Indonesian manuscripts today. The research was conducted using descriptive methods and a qualitative approach. Data collection was carried out using document study and literature study techniques. The collected data is then processed using content analysis techniques and the results are presented in the form of a description. Based on the research results, it can be concluded that almost all of BS's main ideas about ancient manuscripts contain implications that have a great influence on the development of Indonesian manuscripts. The results of these implications can be seen in various aspects related to ancient manuscripts, including regulations and the position of ancient manuscripts as national collections that must be protected and preserved. However, there is one BS thought regarding ancient manuscripts that has not yet been realized, namely regarding government regulations that specifically detail the management of ancient manuscripts.
 
Keywords: Blasius Sudarsono; archipelago manuscript; government regulations; memory of the world; UNESCO
 
ABSTRAK
Blasius Sudarsono (BS) adalah salah satu tokoh pustakawan di Indonesia yang telah berkiprah selama 50 tahun. Banyak pemikirannya yang dinilai sangat berpengaruh terhadap perkembangan dunia perpustakaan, dokumentasi, dan informasi di Indonesia. Ia tidak hanya menulis seputar kepustakawanan, tetapi juga hal lain, salah satunya adalah mengenai naskah kuno. Penelitian ini menjelaskan implikasi pemikiran BS mengenai naskah kuno terhadap perkembangan pernaskahan Nusantara dewasa ini. Penelitian dilakukan dengan metode deskriptif dan pendekatan kualitatif. Pengumpulan data dilakukan dengan teknik studi dokumen dan studi kepustakaan. Data yang terkumpul kemudian diolah dengan teknik analisis isi dan hasilnya disajikan dalam bentuk deskripsi. Berdasarkan hasil penelitian dapat disimpulkan bahwa hampir semua pokok pemikiran BS tentang naskah kuno mengandung implikasi yang sangat berpengaruh terhadap perkembangan pernaskahan Nusantara. Hasil implikasi tersebut dapat terlihat pada berbagai aspek terkait naskah kuno, antara lain regulasi dan kedudukan naskah kuno sebagai koleksi nasional yang harus dilindungi dan dilestarikan. Meskipun demikian, ada satu pemikiran BS tentang naskah kuno yang belum terlihat realisasinya hingga kini, yakni terkait peraturan pemerintah yang secara khusus merincikan pengelolaan naskah kuno.
Religiositas dan Kinerja Pustakawan
Authors: Fatmawati Riya , Laugu Nurdin , Sa'adah Nurus
Published: September 2024

ABSTRACT
Work is a form of endeavor in living life. Individuals who have a good level of faith believe that work is a mandate that must be carried out properly and with full responsibility. The librarian’s behavior at work reflects the maturity level of the religion he adheres to. The relationship between religiosity and performance can be from the activities of librarians at work. The purpose of this study was to determine whether individual religiosity influences the performance of a librarian university in West Sumatera. This study uses a qualitative method with a phenomenological approach. The measurement of religiosity uses five dimensions of religiosity: a dimension of religious belief, religious practice, religious feeling, religious impact, and religious knowledge. Data collection was carried out using field observation techniques, interviews, and documentation. The informants in this study are librarians’ universities in West Sumatera. The results from this study show there are three dimensions of religiosity that affect the performance of librarians including dimensions of religious belief, religious feeling, and religious effects.  Meanwhile, the two dimensions of religiosity that do not have a positive effect on librarian performance are dimensions of religious practice and religious knowledge. Thus, it can be concluded that religiosity affects the performance of librarians.
 
ABSTRAK
Bekerja merupakan salah satu bentuk ikhtiar dalam menjalani kehidupan. Individu dengan tingkat religius yang baik meyakini sebuah pekerjaan adalah amanah yang harus dijalankan dengan baik dan penuh tanggung jawab. Perilaku pustakawan dalam bekerja mencerminkan tingkat kematangan agama yang dipahaminya. Hubungan religiositas dengan kinerja dapat dilihat dari aktivitas pustakawan dalam bekerja. Tujuan dari penelitian ini adalah mengetahui apakah religiositas individu berpengaruh terhadap kinerja pustakawan perguruan tinggi di Sumatera Barat. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengukuran religiositas menggunakan lima dimensi religiositas yaitu, dimensi religious belief, religious practice, religious feeling, religious effect, dan religious knowledge. Pengumpulan data dilakukan dengan teknik observasi lapangan, wawancara, dan dokumentasi. Informan dalam penelitian ini adalah pustakawan yang bekerja pada perpustakaan perguruan tinggi di Sumatera Barat. Hasil yang diperoleh dari penelitian ini adalah terdapat tiga dimensi religiositas yang mempengaruhi kinerja pustakawan, yaitu: dimensi religious belief, religious feeling, dan religious effect. Sementara itu, dua dimensi religiositas yang tidak berpengaruh positif terhadap kinerja pustakawan adalah dimensi religiousitas practice dan dimensi religious knowledge. Dengan demikian dapat disimpulkan bahwa religiositas mempengaruhi kinerja pustakawan.
IDENTIFIKASI GERONGGANG (Cratoxylon arborescens (Vahl.) Blume ) TERHADAP KRASIKARPA (Acacia crassicarpa A. Cunn.)
Authors: Hadi Samsul , Adi Rahmadi , Rahayu Setyawati
Published: September 2024

Raw materials for making paper concern the government, especially when dealing with peat environments. One of the paper-making materials that lives in peat environments is Cratoxylon arborescens (Vahl.) Blume, so the research aims to identify Cratoxylon arborescens (Vahl.) Blume against the risk of being mixed with Acacia crassicarpa A. Cunn. So, it can be used to identify paper raw materials. The method used in this research uses principle component regression (PCR). The materials used are Cratoxylon arborescens (Vahl.) Blume wood sticks, Cratoxylon arborescens (Vahl.) Blume and methanol p.a. The equipment used is spectrophotometry. The results showed two wavelength areas, 212–236 nm and 265–302 nm, which can potentially obtain optimal RMSEC, RMSEP, and RMSECV values for identifying the peak areas of the two species. This research concludes that the 212 – 236 nm area can potentially identify Cratoxylon arborescens (Vahl.) Blume with RMSEC: 4.98; RMSEP: 2.91 and RMSECV: 8.13.
ANÁLISE DO PERFIL EPIDEMIOLÓGICO DE PANCREATITE AGUDA NO BRASIL ENTRE 2019 E 2023
Authors: Borges Maria Eduarda de Carvalho Moita , Marques Rômulo Pereira , Furtado Ana Flávia Miranda , David Neto José , Costa Maria Clara Oliveira Machado da , Karvanis Stella Hilma Marathaoan Castello Branco , Sinhoreli Felipe Marchetti , D’Albuquerque Guilherme Fortes , Sousa Maria Luana de Moura , Rocha Tammy Alves , Barradas Nathália Lima , Barros Maria Luísa de Moura Leite , Carvalho Danielly de Jesus
Published: September 2024

A Pancreatite Aguda é uma inflamação aguda do pâncreas. O quadro clínico é composto por dor abdominal, geralmente em faixa e irradiando para o dorso das costas, associada a náuseas e vômitos. O objetivo da pesquisa é analisar a prevalência de óbitos por Pancreatite Aguda entre os anos de 2019 e 2023 no Brasil. Realizou-se uma pesquisa epidemiológica de caráter retrospectivo, com abordagem quantitativa, no Departamento de Informática do Sistema único de Saúde (DATASUS). Utilizou-se o CID-10 de Pancreatite Aguda. As variáveis analisadas, foram a quantidade de internações e óbitos, por região, bem como o sexo e a idade, entre os anos de 2019 e 2023. Além dos gastos hospitalares relacionados ao CID. O ano de 2020 teve a maior quantidade de óbitos por PA. O maior número de óbitos está na faixa dos 60-69 anos. E, o sexo mais acometido por essa doença é o masculino. Portanto, fica evidente que a Pancreatite Aguda é uma doença que acomete em peso a população brasileira. Além disso, fica evidente que o número de internações cresceu bastante nos últimos anos, atingindo seu pico em 2023 e, quanto aos óbitos, esses tiveram seu ápice em 2020, porém voltaram a crescer gradativamente nos últimos 3 anos. Conclui-se então, que o Brasil deve ser mais ativo no manejo da PA, para que o número de óbitos diminua. Isso, porque um diagnóstico precoce, bem como uma conduta imediata contribui para um melhor prognóstico do paciente.
Nye begynnelser i barnehagens verden. Leken som barns egenverdifulle handlinger
Authors: Østrem Arild Julius
Published: September 2024

I denne artikkelen undersøker jeg hvordan barn organiserer sin frie lek i barnehagen. Gjennom feltnotater fra deltakende observasjon, og ved hjelp av begrepsapparat fra Hannah Arendts politiske teori, beskriver jeg barnehagen som et sted for barns handlinger. Særlig det teoretiske begrepet «handling», sånn det framstilles i Arendts forfatterskap, er relevant. Datainnsamlingen har en etnografisk tilnærming, med mål om å få kunnskap om barnas liv og meningsskaping. Analysen tar for seg et utvalg hendelser fra feltnotatene, som er orientert rundt to spesifikke momenter ved barnehagens uteområde: trehjulssykler og akebakken. Studien viser at barns samhandling med hverandre representerer nye tilskudd fra barnas side. Jeg legger vekt på behovet for at forskere og praksisutøvere ser på relasjonene mellom barna som det sentrale i aktiviteter som er rettet mot et eksternt mål. Også hvis målet er valgt av barna, bør måloppnåelsen ses på som sekundær til relasjonsbyggingen.
Diagnósticos diferenciais de catarata congênita
Authors: De Melo Isabella Barbosa , De Lima Giovanna Gonçalves
Published: September 2024

A catarata congênita, caracterizada pela opacidade do cristalino presente ao nascimento ou que se desenvolve na infância, requer uma abordagem diagnóstica meticulosa para diferenciá-la de outras patologias oculares que apresentam sintomas semelhantes. Uma dessas condições é a persistência da membrana pupilar primária, na qual remanescentes embriológicos podem simular opacidades no cristalino, confundindo o diagnóstico inicial. Outra condição importante a ser considerada é o retinoblastoma, um tumor maligno da retina que pode se manifestar com leucocoria, um sinal clínico frequentemente confundido com catarata congênita. A exclusão desse tumor é essencial devido à gravidade potencial e ao tratamento diferenciado que ele exige. Além disso, o coloboma do cristalino, uma malformação congênita que resulta em uma fenda ou ausência parcial do cristalino, deve ser cuidadosamente avaliado, pois pode ser confundido com catarata, mas requer uma abordagem terapêutica distinta. O diagnóstico preciso dessas condições não só é vital para a determinação do tratamento adequado, mas também para a prevenção de complicações visuais graves e o planejamento de intervenções precoces que podem melhorar significativamente os resultados visuais a longo prazo. A diferenciação entre essas patologias é, portanto, um componente essencial no manejo eficaz da catarata congênita.
Divertículo cecal em paciente feminina evoluindo para diverticulite com tratamento conservador: Um relato de caso
Authors: Guazi Natália Cervantes Uzeloto , Luiz Julia Maria Machado , Zanelato Marcus Vinicius da Silva , Oliveira Maria Eduarda Monteiro , Martoneto Mariana Cantieri , Kubo Naomi Gabriela , De Camargo Nereida Christine
Published: September 2024

Introduction: Diverticula are commonly considered an acquired malformation that arises from a chronic increase in intraluminal pressure. This makes a diverticulum of congenital etiology, which can present with relatively younger complications in life, very rare, where men are more commonly affected. CD may appear as an incidental finding during surgery or as a complicated clinical presentation, such as diverticulitis. Operative treatment varies widely in the literature.  Procedures range from simple isolated diverticulectomy and ileocecal resection to right hemicolectomy. However, there is still conservative treatment, with the use of antibiotics. Discussion: The incidence of CD in patients diagnosed with diverticulum is between 0.9 and 5% in Western countries. CD can be confused with acute appendicitis due to the similarities in clinical, laboratory, and radiological findings. A solitary cecal diverticulum is considered congenital in etiology and a true diverticulum. In our patient, her diverticulum was congenital, since it was single and solitary, and was considered rarer. In DCs detected before surgery or by diagnostic laparoscopy, nonsurgical treatment is increasingly being used. However, diagnosis before surgery is very difficult. Conclusion: CD, although rare in the Western population, should be considered in the differential diagnosis of patients complaining of pain in the right iliac fossa. Ultrasound or CT scan can reveal the correct diagnosis and have the benefit of avoiding intraoperative findings. The approach can include conservative treatment, diverticulectomy or right hemicolectomy.
Cognitive architectures for autonomous robots: Towards human-level autonomy and beyond.
Authors: Morayo Ogunsina  , Christianah Pelumi Efunniyi  , Olajide Soji Osundare  , Samuel Olaoluwa Folorunsho  , Lucy Anthony Akwawa
Published: September 2024

Achieving human-level autonomy in robots is a complex and multifaceted challenge that requires the development of advanced cognitive architectures. This paper proposes a comprehensive cognitive architecture designed to integrate perception, memory, and decision-making processes, thereby enhancing the adaptability and intelligence of autonomous robots. The proposed architecture is critically examined in terms of its ability to address limitations in existing models, particularly in industrial and social applications. Through a detailed analysis, the paper explores the innovative features of this architecture, such as multimodal perception and continuous learning. It discusses its scalability and flexibility across various domains. The paper also takes a look at the ethical and societal implications of achieving human-level autonomy, emphasizing the need for robust safety protocols and thoughtful integration into human environments. Finally, the paper outlines the ongoing challenges in the field and suggests future research directions to advance the development of autonomous systems further.
An Overview of Precision Livestock Farming (PLF) Technologies for Digitalizing Animal Husbandry toward Sustainability
Authors: Himu Homaira Afroz , Raihan Asif
Published: September 2024

As the global population continues to expand, it is imperative for livestock farming to undergo necessary adaptations in order to effectively address the escalating food demands and enhance productivity. Concurrently, it is imperative to acknowledge and tackle concerns pertaining to animal welfare, environmental sustainability, and public health. The primary aim of the article is to provide a comprehensive examination of the latest advancements in the utilization of biometric devices, big data, and blockchain technology for the purpose of digitizing animal husbandry within the context of Precision Livestock Farming (PLF). Biometric sensors are physiological devices utilized for the purpose of monitoring the health and behavioral patterns of an individual animal. This information can be utilized by farmers to do population-level analysis. Big data analytics solutions employ statistical algorithms to examine extensive and intricate data sets, detecting significant trending patterns and offering advisory recommendations for farmers' decision-making. These systems are designed to interpret and integrate data obtained from biometric sensors. Blockchain technology, when combined with sensors, facilitates the secure and convenient tracking of animal products throughout their journey from the farm to the table. This approach demonstrates efficacy in the surveillance of disease outbreaks, the prevention of economic losses, and the mitigation of food-related health pandemics. The implementation of PLF technology within the livestock industry has the potential to contribute to the attainment of sustainable development.
A HISTÓRIA DA POLÍTICA JUDICIÁRIA NACIONAL DE TRATAMENTO ADEQUADO AOS CONFLITOS DE INTERESSES E O PRINCÍPIO DA DIGNIDADE HUMANA NO PODER JUDICIÁRIO
Authors: Cantini Adriana Hartemink , Santin Janaína Rigo
Published: September 2024

O entendimento de acesso à justiça está em sintonia com a compreensão do Estado Democrático de Direito nas democracias atuais, nas quais a concepção de Estado prima pelo respeito e pela constitucionalização dos direitos humanos, observados os princípios da dignidade humana e do acesso à justiça. Estes princípios são a essência do ordenamento jurídico brasileiro e as diretrizes orientadoras das ações do Estado, tanto nas funções legiferantes, quanto nas funções executiva e judiciária, e devem guiar a formulação e a execução das políticas públicas. Este ensaio estabelece uma discussão que busca verificar se o princípio da dignidade humana, previsto constitucionalmente, pode ser identificado em uma política pública específica que está a cargo do Poder Judiciário – a do tratamento adequado aos conflitos de interesse. O caminho metodológico escolhido para a abordagem do problema é o indutivo, na medida em que busca identificar o significado de dignidade humana e relacioná-lo com a efetivação dos direitos humanos/fundamentais. Mediante a observação da relação entre os fenômenos, verifica-se as hipóteses (verdades provisórias) a partir das relações observadas. Com o método de procedimento que caracteriza a pesquisa exploratória, descritiva e de cunho bibliográfico e normativo, constrói-se um quadro teórico capaz de fornecer respostas às questões postas, proporcionando mais familiaridade em relação ao problema.
Ferramenta para o trabalho de gestão de micro e pequenos empreendedores
Authors: Terra Lucas Freire , Moura Taila Mariana de , Francisco Bruno Correa , Santos Karen Kevelin Ferreira , Reis Davi Lemos
Published: September 2024

Este trabalho apresenta a ação extensionista “Implementação de ferramentas de contabilidade gerencial em MPEs”, promovida por discentes do curso de Ciências Contábeis da Universidade do Estado de Minas Gerais, desenvolvida na cidade de Passos, MG. O objetivo foi implementar ferramentas de controle gerencial em micro e pequenas empresas, tendo como objetivos secundários como compreender sua gestão, capacitar gestores e acompanhar a eficácia das ferramentas. Essas empresas enfrentam limitações de acesso a recursos, a conhecimentos e a técnicas para implementar essas ferramentas, apontadas como vitais para a viabilidade financeira a longo prazo. Para desenvolvimento da ação, a metodologia foi dividida em três etapas: desenvolvimento de ferramentas como planilhas para controle financeiro; implementação com suporte aos gestores e acompanhamento para feedback e ajustes. Como impacto para a comunidade, destacam-se o oferecimento de acesso às atividades formais de controle, o aumento da conscientização dos gestores, a contribuição para a equidade econômica e o reforço do compromisso da universidade com o engajamento cívico. Já os extensionistas envolvidos relataram ganhos como maior experiência prática e aplicação do conhecimento teórico, melhoria na capacidade de resolução de problemas reais, desenvolvimento de habilidades sociais e construção de rede de relacionamentos com empresários. Por fim, a ação capacitou gestores e possibilitou melhorias no processo de gestão. Os impactos positivos foram evidentes para os gestores e para os alunos. Contudo, destaca-se a necessidade de mais tempo de acompanhamento e divulgação para beneficiar mais participantes e ainda sua continuidade para o desenvolvimento regional e para a busca por equidade econômica.
Pengaruh Opini Audit - Pergantian Auditor dan Return On Assets (ROA) Terhadap Audit Delay
Authors: Noviani Serly , Aminah Siti
Published: September 2024

Penelitian ini bertujuan untuk menganalisis Pengaruh Opini Audit, Pergantian Auditor, dan Return On Assets (ROA) Terhadap Audit Delay (Studi Empiris Perusahaan Industri Dasar dan Kimia yang Terdaftar di Bursa Efek Indonesia Tahun 2019-2021). Populasi dan sampel pada penelitian ini yaitu perusahaan industri dasar dan kimia yang terdaftar di Bursa Efek Indonesia tahun 2019 – 2021 yang berjumlah 53 perusahaan dengan unit data sebanyak 159 laporan keuangan selanjutnya dipilah perusahaan yang auditnya lebih dari 3 bulan setelah tanggal tutup buku diperoleh data sebanyak 60 data laporan keuangan. Pengambilan sampel pada penelitian ini menggunakan teknik Purposive Sampling, dan pengujian dilakukan dengan analisis regresi liner berganda, Asumsi Klasik dan Uji Hipotesis. Hasil penelitian menunjukkan bahwa variabel opini audit berpangaruh negatif dan tidak signifikan terhadap audit delay. variabel pergantian audit berpengaruh positif dan signifikan terhadap audit delay, variabel ROA berpengaruh negatif dan tidak signifikan (tidak berpengaruh) terhadap audit delay.
Peran Bahasa dalam Menyampaikan Empati dan Dukungan Emosional oleh Perawat
Authors: Purwana Rudi , Mariana Mariana , Baiduri Siregar Riani , Saputra Heri , Asrul Asrul , Haryanti Butar-Butar Maria
Published: September 2024

Penelitian ini bertujuan untuk mengeksplorasi peran bahasa dalam menyampaikan empati dan dukungan emosional oleh perawat kepada pasien. Empati adalah komponen kunci dalam praktik keperawatan, yang tidak hanya membantu meningkatkan kesejahteraan pasien tetapi juga memperkuat hubungan antara perawat dan pasien. Studi ini menggunakan pendekatan kualitatif dengan metode wawancara mendalam dan observasi langsung terhadap perawat di sebuah rumah sakit umum. Hasil penelitian menunjukkan bahwa penggunaan bahasa yang empatik dan mendukung secara signifikan berkontribusi terhadap perasaan nyaman dan dihargai oleh pasien. Perawat yang mampu mengidentifikasi kebutuhan emosional pasien melalui penggunaan kata-kata yang tepat, nada suara yang lembut, dan ungkapan empati yang tulus, cenderung berhasil menciptakan lingkungan perawatan yang lebih positif dan responsif. Selain itu, temuan juga menunjukkan bahwa perawat yang memiliki kemampuan komunikasi lintas budaya yang baik lebih efektif dalam menyampaikan empati kepada pasien dari latar belakang budaya yang beragam. Bahasa, baik verbal maupun non-verbal, memainkan peran penting dalam mendukung interaksi ini. Studi ini merekomendasikan pelatihan komunikasi yang lebih intensif bagi perawat untuk meningkatkan keterampilan mereka dalam menyampaikan empati dan dukungan emosional, dengan penekanan pada sensitivitas budaya dan penggunaan bahasa yang sesuai. Penelitian ini memberikan wawasan baru mengenai pentingnya peran bahasa dalam keperawatan dan implikasinya untuk praktik keperawatan yang lebih efektif dan manusiawi.
Anxiety of class IV elementary school students in learning physical education gymnastics: Anxiety differences based on gender
Authors: Susilowati Heni , Suherman Wawan Sundawan , Hastuti Tri Ani , Rahayu Puji , Hartanto Amri
Published: September 2024

Background and Study Aim. Many students, especially females, feel hesitant about performing gymnastic movements, such as the back roll, due to anxiety. This study aims to determine the differences in anxiety of Class IV Elementary School students in Learning Physical Education Gymnastics Material based on male and female gender.
Materials and Methods. This research is comparative. The research subjects were fourth-grade students in Sleman Regency Elementary School, Yogyakarta. The sample was determined using random sampling, totaling 148 students: 65 males, 83 females, aged 10‑12 years. Subjects were not physically disabled and were willing to participate by filling out a screening questionnaire to ensure they had no medical conditions that might affect the study. The “Physical Education Continuous Anxiety Scale” was used as the instrument to measure anxiety. The analysis was performed using regression techniques in the Statistical Package for Social Sciences (SPSS) version 21 software.
Results. Based on the study results, we found that there is a significant difference in anxiety between male and female students in learning Physical Education Gymnastics material (p 0.004 < 0.05). The difference in anxiety between male and female students is 0.12, with female students experiencing higher anxiety than males.
Conclusions. Teachers should strive to create a task-focused, motivating environment and encourage reflection on students’ ability to work under pressure. This approach will increase student engagement, especially in Physical Education Gymnastics, and improve their performance.
The effectiveness of the synergy of very low-frequency electromagnetic field and high-energy LED light in the treatment of chronic hypertrophic sinusitis – a case report
Authors: Szram Ewa , Sroczyk-Jaszczyńska Magdalena , Gronwald Helena , Skomro Piotr , Szram Norbert , Lietz-Kijak Danuta
Published: September 2024

The combination of low-frequency electromagnetic field (ELF-EMF) and LED light radiation has shown stimulating effects on tissue regeneration, anti-inflammatory properties, and pain relief. This therapy has proven effective in treating various medical conditions across different branches of medicine. Cone beam computed tomography (CBCT) provides precise three-dimensional imaging of bone structures and soft tissues, which is beneficial for diagnosing and treating sinusitis. Its reduced ionizing radiation makes it safer for patients compared to conventional computed tomography. The aim of this study was to evaluate the effectiveness of integrated ELF-EMF and LED physiotherapy, clinically and radiologically assessed using CBCT, in chronic hypertrophic sinusitis – a case report. This integrated therapy was applied to a 68-year-old patient with chronic, periodically exacerbating hypertrophic sinusitis following years of pharmacological and surgical treatment. After the therapy, a significant reduction in sinus mucosal swelling was observed, confirmed by CBCT results. Clinical improvement was evident and substantially improved the patient’s quality of life. Further observation and monitoring are necessary to better understand the effectiveness of this physical therapy in treating sinus infections in various clinical cases. This integrated approach appears promising in improving patient treatment outcomes.
Pengaruh Hipertensi Terhadap Kejadian Stroke Iskemik di Puskesmas Kuta Makmur Aceh Utara Tahun 2023
Authors: Khairina Khairina
Published: September 2024

Stroke is an acute clinical manifestation resulting from neurological dysfunction in the brain, spinal cord and retina, either partial or complete, that persists for 24 hours or causes death due to blood vessel disorders. According to the American Heart Association (AHA), in 2015 the prevalence of stroke reached 33 million patients worldwide. According to Basic Health Research (Riskesdas) in 2007, the national prevalence of stroke was 8.3 per 1,000 population. The highest stroke prevalence was found in Aceh (16.6 per 1,000 population) and the lowest in Papua (3.8 per 1,000 population). Many factors can influence the incidence of stroke, one of which is hypertension. Hypertension is a major risk factor for stroke. Often referred to as the silent killer because hypertension increases the risk of stroke by 6 times. It is said to be hypertension if blood pressure is greater than 140/90 mmHg. Stroke cases are included in the Doctor Competency Standards with grade 3B, which means a general practitioner must be able to make a clinical diagnosis based on anamnesis, physical examination and simple additional examinations. The general practitioner must be able to decide and provide preliminary therapy, as well as refer to relevant specialists (emergency cases).
Asuhan Kebidanan Berkelanjutan Pada Ny. Sm, Ny. Sk, Ny. S di PMB Dewi Rianasari, S.Tr.Keb
Authors: Dewi Rianasari  , Yona Desni Sagita  , Inggit Primadevi
Published: September 2024

Pregnancy, childbirth, childbirth, newborns and family planning (KB) are physiological conditions, but you must be careful if conditions occur that can threaten the life of the mother or fetus. This can be prevented by providing good services during pregnancy, childbirth, postpartum, newborns and family planning. The aim of this report is to improve the quality of services with continuous contact between patients and health workers, including monitoring the condition of pregnant women from the beginning of pregnancy to the delivery process, monitoring BBL for signs of infection, postnatal complications and facilitating for couples of childbearing age in the service. KB. In this report, the approach used is in the form of a case study, where the author collects data and describes the process of comprehensive midwifery care based on Continue Of Care for TM III pregnant women, maternity, postpartum, BBL, and family planning using the SOAP approach. The results of the report showed that there were no gaps in pregnancy, childbirth, postpartum period, BBL and family planning. With continuous monitoring of Mrs. SM, Mrs. SK and Mrs. S. The condition of the mother and baby was monitored well without any accompanying complications.