bluuebunny/crossref_metadata_2025 huggingface dataset:
Translational Tomography with the Wide-field Imager for Parker Solar Probe (WISPR). I. Theoretical Basis and Initial Modeling
Authors: Kenny M. N. , DeForest C. E. , West M. J. , Liewer P. C.
Published: August 2023

In the first of a planned sequence of articles, we present a simple method for reconstructing radial density structures of the solar corona in the vicinity of the Parker Solar Probe (PSP) near and during perihelion passes. We describe how we model the apparent kinematics of stationary K-corona striae from the PSP Wide-field Imager for Parker Solar Probe (WISPR) viewpoint using a simple two-parameter model, form a partial basis of the data space that is a WISPR image sequence, and change the basis from image coordinates to “tomographic coordinates” in order to determine the parameters of such features. We apply the method to a simple three-dimensional model of a WISPR coronal flythrough, demonstrate the ways that it succeeds and fails, and discuss possible improvements to the sensitivity and applicability of the method for real WISPR data.
A Multiwavelength Light-curve Analysis of the Classical Nova YZ Ret: An Extension of the Universal Decline Law to the Nebular Phase
Authors: Hachisu Izumi , Kato Mariko
Published: August 2023

YZ Ret is the first X-ray flash detected classical nova, and is also observed in optical, X-ray, and gamma-ray. We propose a comprehensive model that explains the observational properties. The white dwarf mass is determined to be ∼1.33 M
☉, which reproduces the multiwavelength light curves of YZ Ret, from optical, X-ray, to gamma-ray. We show that a shock is naturally generated far outside the photosphere because winds collide with themselves. The derived lifetime of the shock explains some of the temporal variations of emission lines. The shocked shell significantly contributes to the optical flux in the nebular phase. The decline trend of shell emission in the nebular phase is close to ∝t
−1.75 and the same as the universal decline law of classical novae, where t is the time from the outburst.
Propagation of a Realistic Magnetar Jet through a Binary Neutron Star Merger Medium and Implications for Short Gamma-Ray Bursts
Authors: Soares Gustavo , Bosch Pablo , Lazzati Davide , Mösta Philipp
Published: August 2023

The origin of short gamma-ray bursts is associated with outflows powered by the remnant of a binary neutron star merger. This remnant can be either a black hole or a highly magnetized, fast-spinning neutron star, also known as a magnetar. Here we present the results of two relativistic magnetohydrodynamical simulations aimed at investigating the large-scale dynamics and propagation of magnetar collimated outflows through the medium surrounding the remnant. The first simulation evolves a realistic jet by injecting external simulation data, while the second evolves an analytical model jet with similar properties for comparison. We find that both outflows remain collimated and successfully emerge through the static medium surrounding the remnant. However, they fail to attain relativistic velocities and only reach a mean maximum speed of ∼0.7c for the realistic jet and ∼0.6c for the analytical jet. We also find that the realistic jet has a much more complex structure. The lack of highly relativistic speeds, which makes these jets unsuitable as short gamma-ray burst sources, is due to numerical limitations and is not general to all possible magnetar outflows. A jet like the one we study, however, could give rise to or augment a blue kilonova component. In addition, it would make the propagation of a relativistic jet easier, should one be launched after the neutron star collapses into a black hole.
Searching for Galactic H ii Regions from the LAMOST Database Based on the Multihead WDCNN Model
Authors: Wang Mengxin , Wu Jingjing , Jiang Bin , Zhang Yanxia
Published: August 2023

A H ii region is a kind of emission nebula, and more definite samples of H ii regions can help study the formation and evolution of galaxies. Hence, a systematic search for H ii regions is necessary. The Large Sky Area Multi-Object Fiber Spectroscopic Telescope (LAMOST) conducts medium-resolution spectroscopic surveys and provides abundant valuable spectra for unique and rare celestial body research. Therefore, the medium-resolution spectra of LAMOST are an ideal data source for searching for Galactic H ii regions. This study uses the LAMOST spectra to expand the current spectral sample of Galactic H ii regions through machine learning. Inspired by deep convolutional neural networks with wide first-layer kernels (WDCNN), a new spectral-screening method, multihead WDCNN, is proposed and implemented. Infrared criteria are further used for the identification of Galactic H ii region candidates. Experimental results show that the multihead WDCNN model is superior to other machine-learning methods and it can effectively extract spectral features and identify H ii regions from the massive spectral database. In the end, among all candidates, 57 H ii regions are identified and known in SIMBAD, and four objects are identified as “to be confirmed” Galactic H ii region candidates. The known H ii regions and H ii region candidates can be retrieved from the LAMOST website.
Ultrasound versus Fluoroscopic-Guided Superior Hypogastric Plexus Block in Cancer Bladder: A Randomized Controlled Trial
Authors: Khalil Asmaa Elsayed , Mahmoud Ikram Hamed , Abbas Dina Nabil , Mostafa Mamdouh Mahmoud , Idris Ahmed Mohamed Soliman , Mostafa Khaled Abdel Hamed
Published: August 2023

BACKGROUND: Patients with advanced bladder cancer may suffer severe pelvic pain unresponsive to standard pharmacological therapy.
AIM: This study assessed the feasibility, efficacy of ultrasoundguided (USG) versus fluoroscopy-guided (FG) superior hypogastric plexus block (SHPB) in bladder cancer pain management.
METHODS: This randomized controlled study included 60 patients undergoing SHPB to manage pain in stages 3 and 4 bladder cancer patients from December 2020 to June 2021. They were randomly divided into two groups. Group Fluoro (n = 30) underwent FG-SHPB, while Group US (n = 30) underwent US-SHPB. The patients were assessed after 1 day and 1 and 3 months regarding pain intensity using visual analog score (VAS), daily morphine consumption, functional capacity, and quality of life (QoL) using the Short Form Health Survey-36.
RESULTS: The procedure failed in 2 patients in each group. The procedure was significantly lengthier in the Fluor group than the US group (p < 0.001). VAS scores decreased significantly in the two groups after 1 and 3 months and were significantly in US-SHBP after 3 months. Morphine consumption decreased significantly, and functional capacity and QoL improved significantly in both groups up to 3 months. The two groups were comparable in morphine consumption, functional capacity, and QoL. Position discomfort and back pain were more common in Fluor Group.
CONCLUSION: USG SHPB is a feasible, safe, and effective analgesic procedure in patients with advanced bladder cancer suffering from severe pelvic pain. It is superior to the FG transdiscal approach regarding the duration of pain relief and improvement of functional capacity in addition to avoidance of position discomfort and back pain.
REGISTRATION: Clinical Trials.gov (ID NCT05083702).
Clero e hidalguía en la Galicia interior durante el Antiguo Régimen: una relación simbiótica
Authors: Dubert Isidro
Published: August 2023

En este trabajo se explica la desigual distribución geográfica del bajo clero secular sobre el territorio gallego a través del empleo de variables de corte social. Para ello, se ha tomado como referencia lo ocurrido en el obispado de Lugo en distintos momentos del Antiguo Régimen, sin por eso dejar de realizar las pertinentes comparaciones con lo sucedido al respecto en las otras diócesis gallegas. En el curso de la investigación ha podido apreciarse, además, la estrecha simbiosis que el mencionado bajo clero muestra de la hidalguía, sea en lo relativo a su proceso de formación, concentración en ciertas partes de Galicia, evolución numérica, capacidad de independencia residencial...; una simbiosis que, en combinación con otras claves, nos explicará y aclarará algunos de los principales avatares por los que atravesó la vida eclesial y social del bajo clero secular lucense, y por ende, gallego, a lo largo de la época moderna.
[gl] No presente traballo explícase a desigual distribución xeográfica do baixo clero secular sobre o territorio galego mediante o emprego de variábeis de corte social. Nisto, tomouse como referencia o ocorrido no bispado de Lugo en distintos momentos do Antigo Réxime, sen por iso deixar de realizar as pertinentes comparacións co sucedido ó respecto nas outras dioceses galegas. No curso da investigación agroma a estreita simbiose que o mencionado baixo clero amosou da fidalguía, sexa no relativo ó seu proceso de formación, concentración en certas partes da Galiza, evolución numérica, capacidade de independencia residencial...; unha simbiose que, en combinación con outras chaves históricas, explicaranos e aclararanos algúns dos principais avatares polos que atravesou a vida eclesiástica e social do baixo clero secular lucense, e por tanto, galego, ó longo da época moderna.
Saudi Arabia's Vision 2030 and Its Impact on STEM Education
Authors: Babineau Holly Nicole
Published: August 2023

The Kingdom of Saudi Arabia (KSA) released a plan in 2016 to achieve goals set for the country by the year 2030. Included in this plan, ‘Vision 2030,' is a plan for transforming the education system into one that will better suit the Kingdom's needs, increasing the amount of science, technology, engineering, and math (STEM) studies and trainings in the nation. It is with this vision that Saudi Arabia has fully taken on the task of training educators across the Kingdom in different programs that teach all aspects of STEM. To see the impact of these programs, and to ensure they are working, there are studies being conducted that follow participants in the programs and receive feedback throughout all stages. These studies allow challenges to be uncovered early in the process and therefore make it possible to establish solutions. The purpose of this chapter is to examine the Saudi Vision 2030's impact on STEM education.
STEM Education in Iraq 2004-2022
Authors: Al-Obaidi Jabbar A. , Albakaa Tahir
Published: August 2023

This chapter explores STEM in Iraq from 2004 through 2022. It investigates the educational strategies and policies of the Ministry of Education (MOE) and the Ministry of Higher Education and Scientific Research (MOHEASR). MOE oversees curriculum, pedagogies, annual assessments, learning outcomes, and quality assurance for kindergarten, elementary (primary), middle, and high schools, while MOHEASR supervises educational and academic affairs for colleges and universities. A survey was distributed to random teachers and faculty members in various Iraqi schools, colleges, and universities throughout the 18 Iraqi governorates. Written questions were sent to superintendents, principals of schools, and deans of colleges. The theoretical framework for this study is informed by the primary educational learning of social and cognitive theories as learning and teaching are based on external environmental, internal conditions, and social factors and the process of knowledge. Challenges and strategies are discussed. Finally, the chapter proposes recommendations and directions for future research.
Agricultural Indigenous Knowledge Systems Practiced in Gutu Rural District of Zimbabwe
Authors: Kurebwa Jeffrey
Published: August 2023

This chapter focused on the agricultural Indigenous knowledge systems (AIKS) used in Zimbabwe with specific reference to Gutu rural district. The study relied on qualitative methodology while data was collected using key informant interviews and documentary searches. The study findings indicated that a number of AIKS systems are used in the Gutu rural district. These include pest and disease management, food/grain storage and preservation, soil fertility management, and weather prediction. This study also identified several challenges associated with the documentation of AIKS, and among others include methodology, access, intellectual property rights, and the media and formats in which to preserve knowledge. The chapter concludes that Indigenous knowledge is in danger of disappearing because of global changes, and the capacity and facilities needed to document, evaluate, validate, protect, and disseminate such knowledge are lacking in most developing countries such as Zimbabwe.
African Indigenous Knowledge on the Cloud
Authors: Monyela Madireng
Published: August 2023

Indigenous knowledge is knowledge that people have of their local environment acquired through the accumulation of experiences, informal experiments, and observation rooted in particular places and practised as culture. This kind of knowledge is not documented as it is tacit and transferred though oral tradition. Being largely uncodified, it is constantly changing and forgotten as people adapt to changing circumstances due to beliefs, intercultural settings, and colonisation. Therefore, it faces a danger of fading. Libraries, archives, and museums (LAM) should be proactive in their approach and should ensure that indigenous knowledge, although based on orality and oral traditions, should be managed and preserved just like other documentary materials that are grounded in western codified knowledge schemes and create sustainable strategies to preserve it for future use.
Geopolitics, National, and Military Strategy
Authors: Chitadze Nika
Published: August 2023

For the realization of foreign policy, defense and national security priorities, each country needs to work out an appropriate National Security and Military Strategy. A National Security Strategy or Policy (NSS or NSP) is a key framework for a country to meet the basic needs and security concerns of citizens, and address external and internal threats to the country. Military strategy involves using military resources such as people, equipment, and information against the opponent's resources to gain supremacy or reduce the opponent's will to fight, developed through the precepts of military science.
Revolutionizing Agriculture
Authors: Khang Alex , Rath Kali Charan , Panda Surabhika , Sree Pokkuluri Kiran , Panda Santosh Kumar
Published: August 2023

This chapter highlights the challenges faced by agricultural enterprises in safeguarding their crops from pests, diseases, and environmental stressors. By examining the evolution of plant protection methods, the chapter emphasizes the need for innovative solutions. It provides an overview of advanced technologies such as drones, remote sensing, artificial intelligence, precision agriculture, biotechnology, and integrated pest management systems. The role of these technologies in enhancing plant protection is discussed, including their applications in aerial surveillance, data collection, disease detection, pest management, and resource optimization. The chapter also presents case studies and success stories showcasing the positive impact of advanced technologies on crop yields, sustainability, and profitability. Future perspectives and challenges are explored, highlighting the potential advancements and trends in plant protection technologies and the need for widespread adoption.
Automatic Irrigation System Using Solar Tracking Device
Authors: Babu C.V. Suresh , Ganesh Bala S. , Kishoor T.K. , Khang Alex
Published: August 2023

Based on solar energy and electricity, this project uses energy to operate in agriculture with sunlight. The people who work in agriculture will benefit from this endeavor. Solar tracker is the use of solar panels. Its unique feature is that wherever the sun moves, the solar panel automatically faces the sun to track solar energy. Electricity is created using this solar energy. This electrical energy will be used by the engine to drive the water pump in and out. Therefore, after the motor pumps water from the well or any other lake, etc., it is produced through the sprinklers. Sprinklers will pump the water out to every agricultural area. This technology is referred to as irrigation using solar trackers. The photovoltaic system is capable of powering the pump. The development of an automated irrigation system using photovoltaic panels is the major goal of the effort.
Research on Information Literacy of Students in Independent Undergraduate Universities
Authors: Huang Yanling , Zhang Haohong , Yuan Chiping , Chen Hongtao , Chen Jialin
Published: August 2023

University students' information literacy is not only related to their academic achievement, but also affects their lifelong learning ability and future sustainable development. The authors chose undergraduate students at G University as a sample, using questionnaires and statistical analysis to study the current situation of students' information literacy based on information literacy construct, lifelong learning construct, and sustainable development construct. According to the study, information consciousness and information morality performed better, information safety and information skills performed at a medium level, while information knowledge was the weakest one among the five factors. Gender, household registration, grade level, and major have various effects on the abovementioned five different factors. Based on the research, the authors give some suggestions for improving students' information literacy at G University in three aspects: The construction of G University's information environment, the introduction of digital learning resources, and differentiated training.
Impact of Psychological Conditions on Employee Engagement: Study Based on Regional Branches of ABC Insurance Company at Matale District
Authors: Wijerathna H. D. , Bandara W. M. H. K.
Published: August 2023

The concept of employee engagement has become increasingly important in the literature. Despite increased interest, there is still a scarcity of studies on employee engagement. Alternatively, employees in the insurance industry are required to work under tough conditions and in high-pressure scenarios. Past three-year records of ABC insurance company recorded significant increase in turnover rates and disengaged employees. The purpose of the current research was to study the impact of psychological conditions on employee engagement at regional branches of ABC insurance company at Matale district. In this study, psychological meaningfulness, safety, and availability were examined as dimensions of psychological conditions. Quantitative research methods were employed, and data were collected through a questionnaire. The sample size of 103 employees from three branches of ABC Insurance companies in the Matale district and the researcher utilized the simple random sampling technique. Data analysis was performed using SPSS 23.0 Package and MS Excel. Based on the findings of the study, a significant positive relationship was found between psychological conditions and employee engagement, indicating that psychological conditions had a significant impact on employee engagement with the greatest effect observed in the dimension of meaningfulness. Consequently, managers should take all three predicting psychological conditions into account and use a systematic approach. Accordingly, leading roles organizations should focus on job design to fulfil the work tasks of importance and values.
The Impact of Covid-19 Global Crisis on the Firm’s Performance: Evidence from Listed Material Sector Companies in Sri Lanka
Authors: Rathnayaka R. M. U. R. , Gunasekara A. L.
Published: August 2023

The purpose of this study is to examine the impact of Covid-19 on the profitability of the material sector firms in Sri Lanka using ROA and ROE as the profitability measures. The commendable performance of the material sector equity index during Covid-19 period motivates this study to investigate whether the profitability of the sector backs the observed performance in the equity index. For this purpose, this study performs both parametric and non-parametric comparison tests on quarterly data gathered using annual reports from 2018Q1 to 2021Q1. Further, this study employs panel regression models to identify whether the differential effect of Covid-19 on profitability is immune to other controlling effects. Additionally, this study investigates the reasons behind the profitability patterns by analyzing annual reports' content. The results of this study confirm that during the first quarter of the year 2021, the ROA and ROE are greater than the per Covid period ROA and ROE. The major external reason for the higher profitability is the relaxed government policies implemented during the Covid-19 period. Accordingly, the findings of this study imply that supportive government policies enhance the performance of firms during crisis periods.
The Road Ahead is Uphill: Female Entrepreneurs and Digitalization in Small and Medium Enterprise Sector in Sri Lanka
Authors: Jayarathne M. H. M. , Surangi H. A. K. N. S. , Ranwala Randini
Published: August 2023

Digitalization is the key to growth for entrepreneurial firms. In particular, the contemporary economy emphasizes the importance of digitalization as a crucialhandler towards business success, especially for both female-led and small and medium-sized enterprises (SMEs).Unfortunately, in the context of developing countries, little is known about female entrepreneurship and digitalization. Therefore, this study aimstoexplorethe Sri Lankan female entreprenurs’ intentions, practices, and constraints towards digitalization.This study applies a qualitative research design, and semi-structured interviews with seven respondents were the techniques used for data collection.Data were analysed and interpreted using thematic analysis.The study's findings reveal that these female entrepreneurs acquire digitalization-based knowledge and skills through formal and informal learning. Moreover, they are practising digital platforms to develop their businesses, like social media and websites, while facing technical and non-technical issues. Finally, the results reveal significant implications for policies and digitalization strategies for female SME owners.
Body packing with pyloric stenosis successfully treated with open pack retrieval and gastric bypass
Authors: Praemanathan H. , Huei T.J. , Silvarajah M.
Published: August 2023

Foreign body ingestion unintentionally or intentionally in adults are not uncommon on the contrary to children. Intentional ingestion of illicit drugs or tobacco/drug pack is one common reason other than psychosis. Infrequently, body packing may end up with bowel obstruction with ‘drug pack’ impacted at various constriction point of gastrointestinal tract [1]. Here, we report a case of intentional foreign body ingestion by a jail inmate whom unfortunately also has pyloric stenosis. The clinic presentations and treatment strategy are discussed.
Performance measures and quality standards in lower gastrointestinal endoscopy in Sri Lanka: A Prospective Observational Study
Authors: Rathnayake Y.W.P.P. , Raviraj P. , Kuruppu H. , Pathirana A.
Published: August 2023

Introduction: Lower gastrointestinal endoscopy(LGIE) is the gold standard diagnostic tool in evaluating large bowel mucosal pathology. Guidelines have been developed to ensure the quality of the procedure with regard to patient safety and diagnostic accuracy. There is lack of data regarding quality of LGIE in Sri Lanka.

Objective: Aim of this study is to assess the quality of LIGE performed in a tertiary care center in Sri Lanka by comparison with the standard quality indicators.

Material and Methods: An prospective observational study was carried out in a tertiary care centre in Sri Lanka. Data of 210 patients who underwent LGIE (Both Colonoscopy and Flexible sigmoidoscopy) were recorded. Variables assessed were selected from quality indicators given in the guidelines of American Society of Gastroeterologists and European Society of Gastrointestinal Endoscopy. Data was compared with pre,intra and post procedure standard quality targets and degree of achievement evaluated with measuring Kappa values, categorized as, no, minimal, weak, moderate, substantial and almost perfect level of agreement.

Results: All pre-procedure measures and 6 out of 7 intra procedure measures did not reach the target goals. Only 1 out of 14 indicators had almost perfect level of agreement. Majority, (i.e. 6 out of 14) had no agreement with the standard values.

Conclusion: The quality of LGIE with-regard to all the aspects falls below the expected standards indicating poor quality of LGIE performed in a Sri Lankan tertiary care setting . Using a standard protocol based pro-forma and maintaining an electronic database will increase the quality of LGIE.
Mass spectrometry-based proteomic characterization of the middle-aged mouse brain for animal model research of neuromuscular diseases
Authors: Dowling Paul , Zweyer Margit , Sabir Hemmen , Henry Michael , Meleady Paula , Swandulla Dieter , Ohlendieck Kay
Published: August 2023

Neuromuscular diseases with primary muscle wasting symptoms may also display multi-systemic changes in the body and exhibit secondary pathophysiological alterations in various non-muscle tissues. In some cases, this includes proteome-wide alterations and/or adaptations in the central nervous system. Thus, in order to provide an improved bioanalytical basis for the comprehensive evaluation of animal models that are routinely used in muscle research, this report describes the mass spectrometry-based proteomic characterization of the mouse brain. Crude tissue extracts were examined by bottom-up proteomics and detected 4558 distinct protein species. The detailed analysis of the brain proteome revealed the presence of abundant cellular proteoforms in the neuronal cytoskeleton, as well as various brain region enriched proteins, including markers of the cerebral cortex, cerebellum, hippocampus and the olfactory bulb. Neuroproteomic markers of specific cell types in the brain were identified in association with various types of neurons and glia cells. Markers of subcellular structures were established for the plasmalemma, nucleus, endoplasmic reticulum, mitochondria and other crucial organelles, as well as synaptic components that are involved in presynaptic vesicle docking, neurotransmitter release and synapse remodelling.
Scenario 3-1984
Authors: . Redazione
Published: August 2023

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Scenario.4-87
Authors: ANIARTI Redazione
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Scenario.2-1990
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Scenario.4-2003
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Scenario.4-2004
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Scenario 1_2009
Authors: ANIARTI Redazione
Published: August 2023

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La relazione tra medici ed infermieri: elementi per una riflessione
Authors: Benetton Maria
Published: August 2023

Sono passati piÃ¹ di 10 anni dallâ€™approvazione della legge 42/1999 ma ancora si sentono e aleggiano nuovamente nel panorama sanitario le voci di chi, a quelÂ tempo, ventilava dimissioni selvag- ge fatte dallâ€™infermiere, morti in cor- sia chiaramente conseguenti alle Â ovvie incompetenze degli infermieri.
Il delirio in terapia intensiva: la percezione degli infermieri italiani di terapia intensiva. Una survey nazionale.
Authors: Giusti Gian Domenico , Scelsi Silvia , Piergentili Federica , Sansolino Sandra
Published: August 2023

Introduzione:Â con il termine delirio si intende, in Terapia Intensiva (ICU), una sindrome che puÃ² colpire numerosi pazienti ricoverati in queste strutture e la cui sottovalutazione puÃ² portare ad aumento dei tempi di ventilazione, aumento della morbilitÃ  e della mortalitÃ .
Quando si muore in Pronto Soccorso: approccio ai vissuti emozionali
Authors: Ramacciati Nicola
Published: August 2023

Introduzione:Â lâ€™esperienza della morte e del lutto Ã¨ spesso poco considerata in Pronto soccorso. Lo scopo del presente lavoro Ã¨ di proporre un approccio organizzato ai vissuti emozionali di chi ha perso un familiare in Pronto Soccorso.
La rianimazione cardiopolmonare con un compressoretoracico (Lucas1TM).Unostudioretrospettivo.
Authors: Cancian Martina , Gheno Antonio , Benetton Maria
Published: August 2023

Introduzione: durante la rianimazione cardiopolmonare (RCP) le compressioni manuali sono appena in grado di prevenire un ulteriore deterioramento ischemico del cuore e del cervello. Negli ultimi decenni sono stati sviluppati dispositivi meccanici per le compressioni toraciche ester- ne per ottimizzare la compressione e di conseguenza la pressione di perfusione coronarica e cerebrale durante la RCP: uno di questi Ã¨ il Lund University Cardiopulmonary Assist System (LUCAS 1TM).
Aderenza dei professionisti sanitari ai protocolli di rilevazione del dolore: lâ€™indicatore Pain Measurement Aderence Index (PMAI)
Authors: Storti Matteo , Zacchetti Renato , Baraiolo Rosella , Crippa Antonia , Ferrari Anna , Facheris Virna , Ruggeri Luciana , Susta Rosaria , Menghi Veronica
Published: August 2023

Introduzione: il dolore Ã¨ uno dei motivi piÃ¹ frequenti per cui gli individui cercano lâ€™assistenza di un professionista sanitario pertanto, la rilevazione di questo sintomo, rappresenta un elemento fondamentale per la gestione del paziente. Il mancato accertamento del dolore comporta effet- ti negativi sulla salute dellâ€™assistito tuttavia, ancora oggi, tale differenza non Ã¨ facilmente riscontrabile dalla documentazione clinica presente nei reparti.
...E le stelle stanno a guardare. E gli infermieri?
Authors: Benetton Maria
Published: August 2023

i presenta un autunno complicato: i tagli della Spending review (bel modo di imparare l'inglese!) del Governo come principali misure per la sanitÃ , prevedonoÂ la razionalizzazione della spesa per acquisti di beni e servizi
Leggere, applicare o progettare trial pragmatici ed esplicativi: breve guida per gli infermieri
Authors: Palese Alvisa , Bevilacqua Grazia , Achil Illarj , Coiz Francesco , Bulfone Giampiera , Comisso Irene , Fabris Stefano , Godeas Gloria , Romanin Michela , Scarsini Sara , Tommasini Cristina , Dante Angelo
Published: August 2023

In letteratura Ã¨ documentato un ricco dibattito sui Randomized Controlled Trial (RCT) esplorativi e pragmatici, denominati anche efficacy trial ed effectiveness trial che informano rispettivamente sullâ€™efficacia ideale (teorica) e reale di un intervento. I trial esplicativi rispetto a quelli pragmatici si differenziano nei domini della loro struttura, nelle scelte di progettazione e conduzione; tali diversitÃ  sono importanti anche per i clinici perchÃ© influenzano la trasferibilitÃ  e la generalizzabilitÃ  dei risultati. Per lâ€™infermieristica, questi concetti sono relativamente recenti: per questo Ã¨ importante che gli infermieri quando leggono un trial, trasferiscono nella pratica un risultato di un trial e/o progettano un trial, riflettano sulla sua natura pragmatica o esplicativa dello stesso. Una guida operativa Ã¨ fornita in questâ€™articolo dallo strumento PRECIS che consente di misura- re lâ€™attitudine di un trial.
Come migliorare i percorsi formativi per la segnala- zione di sospette reazioni avverse a farmaci (ADR): una revisione della letteratura
Authors: De Angelis Alessia , Ramacciati Nicola , Vellone Ercole , Alvaro Rosaria
Published: August 2023

Introduzione: gli infermieri, soprattutto quelli operanti in contesti come il Pronto Soccorso, rivestono un ruolo strategico nella segnalazione di sospette reazioni avverse a farmaci (Adverse Drug Reaction - ADR). Pur a fronte di un aumento di percorsi formativi rivolti agli infermieri in far- macovigilanza, in Italia il numero delle segnalazioni di ADRs Ã¨ ancora esiguo. Lo scopo di questa revisione Ã¨ identificare quali siano gli approc- ci e i metodi piÃ¹ efficaci per la formazione degli infermieri in farmacovigilanza.
Le conoscenze degli infermieri nella valutazione delle asincronie respiratorie
Authors: Fusi Cristian , Bulleri Enrico , Ricci Roberto
Published: August 2023

Introduzione: durante la ventilazione meccanica lâ€™interazione tra paziente e macchina Ã¨ caratterizzata da un delicato equilibrio, spesso alterato da molteplici fattori capaci di generare asincronie. Lâ€™infermiere ha la possibilitÃ  e il dovere di riconoscere e segnalare tempestivamente le alterazioni del monitoraggio grafico.
Follow-up dei pazienti ricoverati in una terapia intensiva generale ad un anno dalla dimissione
Authors: Lucchini Alberto , Bondi Herman , Pedruzzi Angela , Pirola Veronica , Cattaneo Guja , Mascheroni Magda
Published: August 2023

Introduzione: il ricovero di terapia intensiva Ã¨ un evento stressante per le persone ricoverate. I postumi fisici e i ricordi del vissuto possono protrarsi per molto tempo dopo la dimissione.
Le prioritÃ nella ricerca infermieristica in area critica
Authors: Giusti Gian Domenico
Published: August 2023

La ricerca Ã¨ lâ€™attivitÃ  che porta a produrre nuove conoscenze attraverso la risposta a nuove domande, a risolvere nuovi problemi o a verificare conoscenze giÃ  esistenti.
Progetto di ricerca per validazione di uno strumento di misura delle dinamiche relazionali tra infermieri e indagine esplorativa: studio QuINI (Questionario sulle Interazioni Negative tra Infermieri)
Authors: Bambi Stefano , Rasero Laura , Guazzini Andrea
Published: August 2023

Introduzione: la professione infermieristica Ã¨ afflitta da frequenti dinamiche interne che vanno da singoli atteggiamenti di inciviltÃ  sul luogo di lavoro fino a fenomeni di mobbing orizzontale. Per quantificare in termini di intensitÃ  e frequenza questi fenomeni, e le relative ricadute sul piano professionale e personale, Ã¨ stato costruito il Questionario sulle Interazioni Negative tra Infermieri (QuINI). Lâ€™obiettivo dello studio Ã¨ quello di effettuare una validazione del QuINI.
Lâ€™efficacia del LAT gel nella sutura cutanea: indagine in un Pronto Soccorso pediatrico
Authors: Mazzocca Silvia , Zanetti Daniele , Benetton Maria
Published: August 2023

Introduzione: lâ€™anestesia locale di ferite superficiali Ã¨ usualmente effettuata con iniezioni perilesionali di lidocaina, tecnica dolorosa e che spesso induce ansia e timore nei bambini. Sono perÃ² disponibili gel anestetici che si applicano direttamente sulla ferita, in modo indolore e che creano analgesia ed emostasi e tra questi, il LAT gel (lidocaina 4%, adrenalina 0,05%, tetracaina 0,5%) Ã¨ risultato sicuro ed efficace.
Applicazione della metodologia FMECA al processo di assistenza al paziente con ictus ischemico sottoposto a trombolisi sistemica, presso il pronto soccorso di un ospedale toscano
Authors: Nykieforuk Simone , Pontrandolfo Simona , Botti Manila , Peluso Immacolata , Iosco Caterina , Alarcon Katy , Bacci Federico , Capasso Domenico Diego
Published: August 2023

Introduzione: lâ€™ictus cerebrale rappresenta una delle patologie piÃ¹ frequenti, collegata ad un rilevante rischio di morte e disabilitÃ  residua. La complessitÃ  dei fattori di rischio e dei meccanismi lo rende una patologia di competenza multidisciplinare; Ã¨ considerato unâ€™emergenza neurologica, perchÃ© i meccanismi di danno seguenti ad ischemia cerebrale progrediscono molto rapidamente ed i trattamenti possono essere efficaci soltanto durante un breve periodo di tempo. Terapie altamente efficaci e specifiche sono disponibili, ma il loro margine di rischio/beneficio Ã¨ stretto.
Gli outcomes dellâ€™assistenza infermieristica: progettazione di un sistema di valutazione in area intensiva
Authors: Adamini Ileana , Lusignani Maura , Iaquintana Dario , Greco Giovanni Marco , Galazzi Alessandro
Published: August 2023

Scopo: elaborare un sistema di valutazione degli outcomes raggiunti sui pazienti dellâ€™area intensiva mediante lâ€™integrazione del Modello delle Prestazioni Infermieristiche e della Nursing Outcomes Classification (NOC).
QuantitÃ di cure infermieristiche e tromboembolismo polmonare. Risultati empirici da una revisione sistematica della letteratura
Authors: Rega Maria Luisa , Francione Francasco , Ghera Patrizia , Gallo Rodalba , Galletti Caterina
Published: August 2023

Obiettivo: studiare l â€™associazione tra il tromboembolismo polmonare in quanto esito dellâ€™assistenza e alcuni fattori riferibili allâ€™organico infermieristico.
Lâ€™efficacia della CPAP in ambito preospedaliero nei pazienti con edema polmonare acuto cardiogeno: revisione della letteratura.
Authors: Mormile Amedeo , Nykieforuk Simone , Corradini Alessandro , Pontrandolfo Simona , Mormile Antonio
Published: August 2023

Introduzione: lâ€™edema polmonare acuto cardiogeno (EPAC) Ã¨ unâ€™emergenza medica a rischio per la vita se non viene trattata precocemente; da ciÃ² lâ€™importanza di un approccio immediato e adeguato, sin dal primo soccorso sul territorio. Lâ€™utilizzo della CPAP (Continuous Positive Airway Pressure) nellâ€™insufficienza respiratoria acuta ipossica da EPAC Ã¨ considerato, ormai, il primo approccio terapeutico accanto alla terapia medica convenzionale, e attualmente considerata la terapia non farmacologia piÃ¹ efficace.
Lâ€™accoglienza del visitatore minore in terapia intensiva per adulti: unâ€™indagine tra gli infermieri
Authors: Barera Caterina , Ghedin Denise , Benetton Maria
Published: August 2023

Â Â Nonostante un cambiamento culturale che ha permesso di adottare un modello di Terapia Intensiva (TI) aperta volta ad unâ€™assistenza olistica incentrata sulÂ Family Centered Care,Â ci sono ancora molte restrizioni nelle Terapie Intensive per adulti perÂ lâ€™accesso dei visitatori minori che vengono spesso esclusi o consentendolo solo ai visitatori adolescenti. Le motivazioni riscontrate in letteraturanon sono dimostrate da evidenze scientifiche ed il minore, non vedendo il proprio familiare, puÃ² interpretare la separazione come punizione emancanza di amore, sviluppando sentimenti di abbandono e senso di colpa.
Infermieri in Area Critica: crescere ed affermarsi come professionisti.
Authors: ANIARTI Comitato direttivo
Published: August 2023

Il Congresso Nazionale Aniarti 2018 ha un titolo ed un indirizzo orientato alla clinica ed allo sviluppo delle competenze avanzate infermieristiche nei contesti di Area Critica. â€œBack to Basicsâ€ sta a significare â€œtornare alle basidellâ€™assistenza infermieristicaâ€, affermazione che puÃ² sembrare per certi versi provocatoria per una professione che cerca di crescere ed affermarsi continuamente allâ€™interno del panorama sanitario nazionale
Terapia intensiva â€œapertaâ€: apriamo la mente prima delle porte
Authors: Galazzi Alessandro , Giannini Alberto
Published: August 2023

Nel 2008 Scenario pubblicÃ² un articolo nel quale pionieristicamente si descriveva lâ€™allora decennale esperienza di Terapia Intensiva (TI) â€œapertaâ€ della TI Pediatrica, della Clinica De Marchi del Policlinico di Milano, come una realtÃ  bella ed intensa, ricca di emozioni per gli operatori, per i pazienti ed i loro familiari e concludeva augurandosi che negli anni a venire si sarebbero aperte altre TI[1]. Anni fa i colleghi, seppur in un contesto particolarmente dotato di sensibilitÃ  come quello pediatrico, avevano giÃ  colto lâ€™importanza di una modalitÃ  di essere TI che va oltre il fare TI, anche per il paziente adulto.Â
Il Nursing nella sopravvivenza. Cambiare formato per crescere ancora
Authors: Giusti Gian Domenico
Published: August 2023

In merito alla procedura dellâ€™Ordine dei Medici della Provincia di Bologna che ha deciso di radiare lâ€™Assesso- re alle Politiche per la Salute della Regione Emilia Romagna a seguito della Delibera della Giunta Regio- nale dellâ€™11 aprile 2016, n. 508 sulle competenze di infermieri e medici sulle ambulanze,Â AniartiÂ (Associazio- ne Nazionale Infermieri di Area Criti- ca) apprende e segue con profonda preoccupazione questi avvenimenti.
Alterazione dei parametri vitali durante il trasporto in ambulanza ed in idroambulanza: studio di coorte prospettico
Authors: Nordio Manuela , Bortoli Nicola , Badon Pierluigi , Buchini Sara
Published: August 2023

Introduzione:Â diversi studi hanno dimostrato che il trasporto in ambulanza provoca un aumento in pochi secondi di frequenza car- diaca, pressione sanguigna e livelli degli ormoni dello stress nel plasma.
Numero Integrale
Authors: Redazione Redazione
Published: August 2023

numero integrale
Complicanze legate alla modalitÃ di somministrazione della Nutrizione Enterale: implicazioni cliniche nella pratica infermieristica. Revisione della letteratura
Authors: Buscemi Manuela , D'ambrosio Francesco , Rosati Moris
Published: August 2023

Â La Nutrizione Enterale (NE) Ã¨ una tipologia di alimentazione artificiale comunemente usata nei pazienti critici ricoveratinelle UnitÃ  di Terapia Intensiva (UTI), in grado di garantire unâ€™adeguata nutrizione e sostenere uno stato di salute ottimale, qualora siaÂ andato perduto. La criticitÃ  del paziente porta ad un particolare assetto ormonale che determina un elevato catabolismo andando incontro al rischio di sviluppare malnutrizione calorica.
Riammissioni in Pronto Soccorso: uno studio retrospettivo
Authors: Ferrari Giulio , Destrebecq Anne , Terzoni Stefano
Published: August 2023

Introduzione:Â la difficoltÃ  degli ospedali di far fronteÂ alla mancanza dei posti letto, saturati dal quotidiano sovraffollamento dei pron-to soccorso e la difficoltÃ  nel dimettere i pazienti, Ã¨ un tema attuale che coinvolge tutti gli ospedali italiani.
Numero Integrale
Authors: Redazione Redazione
Published: August 2023

Numero Integrale
Le raccomandazioni degli infermieri di Area Critica italiani sullâ€™ emergenza Coronavirus
Authors: Scelsi Silvia , Giusti Gian Domenico , Romigi Gaetano , Favero Valter , Saddi Simona , D'ambrosio Francesco , Imbriaco Guglielmo , Iozzo Pasquale , Marano Tiziana , Zanardo Davide , Madeo Mario , Di Risio Alessandro , Casesi Vita Grazia , Bambi Stefano , Lucchini Alberto
Published: August 2023

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Antimicrobial susceptibility of ESKAPE pathogens in the SS. Antonio e Biagio e Cesare Arrigo Hospital’s catchment area: December 2021 - July 2022
Authors: Leli Christian , Roveta Annalisa , Bolla Cesare , Rocchetti Andrea
Published: August 2023

Background and Aims: this report describes the minimum inhibitory concentration distributions of the main drugs used against ESKAPE pathogens infection, recovered from patients treated between December 2021 and July 2022 at SS. Antonio e Biagio e Cesare Arrigo Hospital. Materials and Methods: data were extracted by a new Laboratory Information System implemented in mid-November 2021. Results: after exclusion of colonization: i) 56% of Enterococcus faecium was susceptible to teicoplanin and vancomycin; ii) 74% of Staphylococcus aureus was susceptible to methicillin; iii) 55.3% of Klebsiella pneumoniae was susceptible to cefotaxime, ceftazidime and cefepime and 93.2% of KPC was susceptible to ceftazidime/avibactam; iv) no Acinetobacter baumannii strains were resistant to colistin; v) 88.9% of Pseudomonas aeruginosa was susceptible to ceftolozane/tazobactam and 92.2% to ceftazidime/avibactam; vi) among Enterobacter species, 84.6% was susceptible to cefepime and 87.1% to ciprofloxacin. Conclusions: periodic reporting of local antibiotic resistance is an adjunctive tool to help the choice of antimicrobial therapy.
Spatial and temporal variations in seismic coda Q attenuation in the lower St. Lawrence region, southeastern Quebec
Authors: Farahbod A , Cassidy J F
Published: August 2023

We investigate seismic attenuation characteristics of the Lower St. Lawrence seismic zone in southeastern Quebec. This zone is located ~400 km downstream from Quebec City and is between the Quebec North Shore and the Lower St. Lawrence. We used earthquake
recordings from 5 broadband and 5 short period seismograph stations of the Canadian National Seismic Network (CNSN) across the region. Our dataset is comprised of 847 earthquakes recorded between 1985 and 2022 with magnitudes ranging from 2.0 to 5.1, depths from 0 to 30 km and epicentral distances
of 5 to 100 km. This gives a total of 446 high signal-to-noise (S/N) traces (S/N>5.0) useful for QC calculation (with a maximum ellipse parameter, a2, of 100) across the region. Coda windows were selected to start at tc = 2tS (two times the travel time of the direct S wave), and were
filtered at center frequencies of 2, 4, 8, 12 and 16 Hz. Our study reveals a consistent pattern. We find that the lowest overall average of Q0 (Q at 1 Hz) values are at the three stations (GSQ, ICQ and SMQ) within 100 km of a moderate earthquake of mN 5.1 in 1999 (e.g., Q0 of 81, 88 and 80,
respectively). We determined temporal variations in attenuation following the 1999 earthquake. The overall average of Q0 decreased from 87 (before the mainshock) to 77 (GSQ, D=96 km), from 92 to 85 (ICQ, D=69 km) and from 88 to 82 (SMQ, D=73 km). These results are in agreement with global studies
that show a decrease in Q0 following a significant earthquake, (e.g., M > 5) likely the result of increased fracturing and fluids in the epicentral region. An average for all the data results in a Q relationship of QC = 86f1.07 for the frequency band of 2 to 16 Hz for the entire
region.
Outcomes of home-isolated coronavirus disease 2019 patients in Bahrain
Authors: Husain Hasan A. , Al Haddad Hasan A. , Almahari Sayed A.I. , Yateem Abdulla I. , Al Alawi Manal A. , Alfaraj Dunya N.
Published: August 2023

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic resulted in a huge burden on healthcare systems and necessitated a risk assessment of patients and an update of the treatment protocol to include home isolation for low-risk patients. The primary objective was to describe the outcome of home isolation and the characteristics of patients at higher risk of admission. The secondary objectives were to determine the proportion of patients with pneumonia and hypoxemia and the correlation between cycle of the threshold (CT) value and severity of the disease.

MATERIALS AND METHODS:

For this study, 394 patients were randomly selected from a total of 8000 home-isolated COVID-19 patients during July to October 2020, and were followed by Bahrain International Hospital (BIH). All data were obtained from a live Excel sheet completed by physicians covering BIH during the study period. Data analysis included Chi-square test to determine significant association between categorical variable, Pearson correlation, and logistic regression analysis.

RESULTS:

Of the 394 home-isolated patients followed, 18 patients with missing data were excluded. The overall admission rate was 50% for ≥50 age group compared to 13.3% for 18–49 age group, while only 2.8% in <18 age group. Moreover, Intensive Care Unit (ICU) admissions were significantly higher in the older age group: 15.2% for ≥50 age group (P < 0.001). About 14% of the patients with comorbidities needed ICU admission, compared with 1.8% of those without comorbidities (P < 0.001). Of the home-isolated patients, 6.3% were diagnosed with pneumonia and 9.9% of those presenting had low oxygen saturation. The CT value was significantly correlated with the severity of symptoms and the need for admission.

CONCLUSION:

Home isolation of low-risk patients with monitoring and follow-up was a safe and necessary step in dealing with the COVID-19 pandemic.
Aluminum Alloy, Drawn, Round Seamless Tubing 2.5Mg - 0.25Cr (5052-O) Annealed
Authors:   AMS D Nonferrous Alloys Committee
Published: August 2023

This specification covers an aluminum alloy in the form of drawn, round seamless tubing with wall thicknesses of 0.010 to 0.450 inch (0.25 to 11.43 mm), inclusive (see 8.5).