bluuebunny/crossref_metadata_2025 huggingface dataset:
SELF-EVALUATION OF THE COMPLIANCE WITH HAND HYGIENE REGULATIONS BY PARAMEDICS IN EMERGENCY RESPONSE TEAMS
Authors: Gonczaryk Agnieszka , Chmielewski Jarosław Piotr , Strzelecka Agnieszka , Zięba Ewa , Wójcik Tomasz , Florek-Łuszczki Magdalena
Published: May 2023

Aim: Infection with biological factors is a significant issue which occurs during the undertaking of professional tasks in the daily work of paramedics in Emergency Response Teams. Due to the volatile conditions of the work environment, paramedics as an occupational group are at a higher risk of exposure to biological factors (e.g., hepatotropic viruses (HBV, HCV); human immunodeficiency virus (HIV); Mycobacterium tuberculosis bacteria; influenza virus; or contempo-rarily the SARS-CoV, MERS-CoV and SARS-CoV-2 coronaviruses). The possibility of infection grows in situations where work safety and hygiene regulations are not followed. The aim of the following work is the evaluation of the compli¬ance with hygienic standards and the knowledge regarding the prophylaxis of infection among paramedics.
Material and methods: The study was carried out between May and September of 2019, with the use of diagnostic survey methodology on 238 (223 male, 15 female) paramedics in mobile Emergency Response Teams from the Maso¬vian voivodship. The mean age was 39.03±9.27 years for males, and 31.93±7.76 years for females.
Results: 59.66% of the participants (n = 142) report always following the recommended hygiene procedures. 50.85% (n = 121) of the participants indicated hands playing a significant role in the spread of infection. Co-workers followed hygiene procedures at a satisfactory level for 53.78% (n =128) of the participants.
Conclusions: There is a wide range of factors which limit respecting hygiene procedures, the most important of which being sudden and unforeseeable situations. Issues of the broadly understood hand hygiene practice should be a con¬stant element of prophylaxis in ERTs.
PAIN TREATMENT IN THE PRACTICE OF PARAMEDICS
Authors: Gospodarczyk Natalia , Gospodarczyk Alicja , Marczewski Kamil , Widuch Michał
Published: May 2023

The feeling of pain accompanies a significant proportion of Medical Emergency Teams (METs) and emergency depart¬ment patients, especially those with trauma. Modern medicine focuses on combating this unpleasant sensation, as it can negatively affect the patient’s condition. Paramedics, who are the first on the scene, in today’s emergency care system work in primary teams, i.e. without a doctor, so it is their responsibility to implement appropriate pharmacotherapy. Assessment and treatment of pain in the pre-hospital care setting are among the key aspects of the role of paramedics. In view of the scarcity of diagnostic tools, decisions are made on the basis of simple clinical tests, so the knowledge and experience of medical personnel seem to be paramount here. It is important to keep in mind the current state of the pa¬tient, as well as potential disorders that may occur during transport to the hospital. Massive injuries to organs, multiple areas of the body, as well as an advanced stage of disease, require the administration of strong analgesics. The use of appropriate analgesia in the prehospital setting, significantly improves the patient’s comfort and often contributes to a huge improvement in the clinical condition. Undertaking pain management from an ethical and moral point of view is one of the essential tasks of medical personnel, and also demonstrates commitment and professionalism.
STRESS IN THE WORK OF PARAMEDICS DURING THE COVID-19 PANDEMIC
Authors: Marczewski Kamil , Gospodarczyk Natalia , Gospodarczyk Alicja , Galle Dagmara , Tkocz Michał , Sosada Krystyn
Published: May 2023

On March 11, 2020, the World Health Organization (WHO) announced the COVID-19 pandemic, caused by the SARS-CoV-2 virus. It caused chaos in public spaces in almost every country, and the public was forced to reorganize their daily functioning. People began to experience severe stress due to the risk of infection from an unexplored and dangerous pathogen. During this specific period, working in health care became extremely difficult. One of the groups particularly exposed to stress factors turned out to be paramedics. Having daily contact with an infected person, they became the first link in the fight against this virus. Therefore, it was extremely important to develop appropriate ways to cope with stress. The following strategies proved to be effective: active coping strategy, learning, and acceptance, understood as acceptance of the situation. A significant factor in mitigating the effects of traumatic events was the ability to respond to stress in a healthy way, which depended on many factors, i.e. personality dispositions, defense mechanisms, and health-promoting behaviors.
CURRENT ASPECTS OF URGENT SURGICAL ASSISTANCE IN PATIENTS WITH DIABETIC FOOT SYNDROME
Authors: Lyakhovsky Vitalii I. , Krasnov Oleh H. , Lisenko Ruslan B. , Gorodova-Andreeva Tamara V. , Liulka Oleksandr M. , Lyakhova Natalia O. , Krasnova Oksana I.
Published: May 2023

Aim: Improving emergency surgical care for patients with diabetic foot syndrome.
Materials and methods: We conducted treatment of 268 patients with diabetic foot syndrome (DFS). The first group (136 patients) consisted of patients admitted to the hospital in 2012-2016, organ-preserving operations were performed according to the methods developed in the clinic (126 patients).The second group (132 patients) consisted of patients admitted in 2017-2021.
Results: In the main group, surgical treatment was determined by the form of DFS. There were in the neuropathic form: stage I – surgical treatment of the focus, and stage II – plastic closure of the wound. There were in neuroischemic form (60 patients): stage I – correction of ischemia; stage II – surgical treat¬ment of the focus; stage III – plastic closure of the wound. In 10 (7.3%) patients of the main group amputations were performed at the level of the shin and the thigh. In the control group, in 19 (14.4%) patients, amputation was performed at the level of the thigh.
Conclusions: Organ-preserving treatment of DFS should be carried out in accordance with the form of DFS with determination of tissue viability. Among the factors influencing the rate of healing, the shape of the wound, its size and localization are important.
THE EFFECT OF WORKING IN SHIFTS ON THE NUTRITION HABITS OF EMERGENCY RESPONSE TEAM PARAMEDICS
Authors: Chmielewski Jarosław Piotr , Kosoń Aneta , Wojciechowska Mariola , Sady Natalia , Motyl Michał , Wróblewska Zuzanna , Chojnowska-Ćwiąkała Izabela
Published: May 2023

Aim: Paramedics carry out their work duties in a shift system. Shift work is related to a multitude of health complications, disrupting their biological habits and natural rhythm, impeding their private life and negatively affecting nutrition and the quality of sleep. The aim of the study was the evaluation of the effect of shift work on the nutrition habits of paramedics.
Material and methods: The study was carried out in the period between in 2019 using diagnostic survey methodology among a group of 238 paramedics from mobile Emergency Response Teams of the Mazovian voivodeship. The mean age of the participants was 39.03±9.27 years for males and 31.93±7.76 years for females. In order to examine the differences between the groups, the χ2 test was used with an established statistical significance level of p <0.05.
Results: Among the paramedics, the mean value of BMI was at a level of 24.99±3.36.56.30% (n = 134) of the participants indicated exhibiting improper nutrition habits. As the research found, the reasons for the improper nutrition habits in this occupational group are primarily shift work (151; 63.44%) and hurry (87; 36.54%).
Conclusions: In order to minimize the possible health consequences related to the nutrition habits of paramedics, it seems essential to incorporate issues concerning the rules of proper nutrition in the health education process, as well as continuously monitoring their condition as part of occupational medicine practice.
Analisis Strategi Pemasaran Pembiayaan Murabahah Pada Bank Syariah Indonesia (Studi Kasus Bank Syariah Mandiri KC Simpang Patal Palembang)
Authors: Riyaldi Rama , Aravik Havis , Choirunnisak Choirunnisak
Published: May 2023

Starategi pemasaran pembiayaan murabahah dan mekanisme pembiayaan murabahah pada Bank Syariah Indonesia Kantor Cabang Simpang Patal Palembang. Tujuan penelitian ini untuk mengetahui bagaimana strategi pemasaran pembiayaan murabahah pada Bank Syariah Indonesia Kantor Cabang Simpang Patal Palembang. . metode penelitian menggunakan  penelitian lapangan (field research) dengan pendekatan kualitatif, teknik pengumpulan data observasi, wawancara dan dokumentasi. Hasil dari penelitian ini yaitu strategi pemasaran yang diterapkan oleh Bank Syariah Indonesia Kantor Cabang Simpang Patal Palembang dalam memasarkan produk pembiayaan murabahah dengan menggunakan brosur, spanduk dan media sosial
Peran Mediasi Motivasi pada Pengaruh Servant Leadership Terhadap Kinerja
Authors: Rahayu Muji , Nur Hayati  , Evan Jaelani  , Ivan Aries Setiawan
Published: May 2023

Latar belakang penelitian ini adalah kinerja dosen Universitas Swasta di Jawa Barat yang berdasarkan data awal belum mencapai target yang telah ditetapkan. Oleh karena itu penelitian ini dilakukan dengan, tujuan untuk mengetahui efek mediasi motivasi yang menjembatani pengaruh positif servant leadership terhadap kinerja. Populasi adalah dosen Universitas Swasta di Jawa Barat, responden sebanyak 102, yang ditentukan dengan menggunakan teknik random sampling. Data yang digunakankan adalah data primer yang diperoleh melalui penyebaran kuesioner.Metode analisis yang digunakan adalah deskriptif dan verifikatif.  Berdasarkan hasil uji hipotesis dapat terkonfirmasi bahwa   bahwa servant leadership dan motivasi memiliki pengaruh positif terhadap kinerja.  sebagai mediasi.  motivasi memediasi   pengaruh servant Leadership terhadap kinerja. Hal ini berarti bahwa ketika motivasi dosen meningkat maka kinerja meningkat.  Hasil ini dapat dimaknai bahwa motivasi memiliki pengaruh tidak langsung terhadap tingkat kinerja dosen., yaitu kinerja yang dihasilkan akan lebih tinggi apabila motivasi yang dimiliki oleh dosen tinggi.
Analisis Laporan Keuangan untuk Menilai Kinerja Keuangan PT Astra International Tbk Tahun 2017-2021
Authors: Marliani Nenda , Ferdiansyah  , Intan Pramesti Dewi  , Ridwan Herdiansyah
Published: May 2023

Tujuan penelitian ini untuk mengetahui kinerja keuangan PT Astra International Tbk Tahun 2017 sampai 2021 berdasarkan hasil perhitungan likuiditas, solvabilitas, profitabilitas dan aktivitas. Likuiditas dihitung dengan current ratio, solvabilitas dihitung dengan debt to equity ratio, profitabilitas dihitung dengan return on assets, aktivitas dihitung dengan total asset turnover. Penelitian ini menggunakan metode deskriptif, dengan teknis analisis data menggunakan statistik deskriptif. Hasil penelitian menunjukan bahwa rata-rata current ratio adalah 135%, nilainya berada dibawah standar industri yaitu 200%. Sehingga kondisi likuiditas perusahaan berdasarkan current ratio dapat dikatakan kurang baik. Rata-rata debt to equity ratio adalah 84%, nilanya berada dibawah standar industri yaitu 90%. Maka kondisi solvabilitas perusahaan berdasarkan debt to equity ratio dapat dikatakan baik. Rata-rata return on assets adalah 7%, nilanya berada dibawah standar industri yaitu 30%. Sehingga kondisi profitabilitas perusahaan berdasarkan return on assets dapat dikatakan kurang baik. Rata-rata total asset turnover adalah 0,6 kali, nilainya berada dibawah standar industri yaitu 2 kali. Maka kondisi aktivitas perusahaan berdasarkan total asset turnover dapat dikatakan kurang baik.
Pengaruh Talent Management, Work-Life Balance, Hrm Practices Terhadap Job Satisfaction Pada Flight Attendants Maskapai Penerbangan Indonesia
Authors: Cahyani Riska Putri , Netania Emilisa
Published: May 2023

Tujuan dari penelitian ini adalah menganalisis pengaruh Talent Management, Work-Life Balance, HRM practices terhadap Job Satisfaction pada flight attendants maskapai penerbangan Indonesia. Variabel independen dalam penelitian ini adalah Talent Management, Work-Life Balance, HRM practices  dan variabel dependen dalam penelitian ini adalah Job Satisfaction. Data dikumpulkan dari 160 responden yaitu menyebarkan kuesioner melalui g-form yang diisi oleh flight attendants maskapai penerbangan Indonesia. Teknik pengolahan data yang digunakan pada penelitian ini yakni pengujian instrument seperti uji validitas dan realibitas serta Structural Equation Modeling (SEM) menggunakan SPSS dan AMOS. Hasil pengujian hipotesis dalam penelitian ini menunjukkan terdapat pengaruh positif antara Talent Management terhadap Job Satisfaction, Work-Life Balance berpengaruh positif terhadap Job Satisfaction, dan HRM Practices berpengaruh positif terhadap Job Satisfaction. Implikasi bagi perusahaan maskapai penerbangan di Indonesia adalah untuk meningkatkan Job Satisfaction pada flight attendants melalui Talent Management dan HRM Practices yang diberikan oleh perusahaan agar flight attendants dapat menyesuaikan Work-Life Balance dalam menjalankan pekerjaannya.
Pengaruh Kebijakan Dividen, Kebijakan Hutang dan Profitabilitas TerhadapNilai Perusahaan pada Perusahaan Manufaktur
Authors: Miftakul Huda  , Budi Supriatono Purnomo  , Imas Purnamasari  , Muhammad Iqbal Alamsyah
Published: May 2023

Penelitian ini bertujuan0memberikan bukti empiris0mengenai kebijakan0dividen, kebijakan0hutang, dan profitabilitas0dalam memprediksi0nilai perusahaan0dengan menguji0masing-masing variabel0Objek penelitian adalah perusahaan0manufaktur yang terdaftar0di Bursa Efek0Indonesia periode 2017-2021, dengan0mengungkapkan dan menyajikan0data yang0dibutuhkan, menggunakan0satuan mata uang0rupiah dalam pelaporan0keuangan, perusahaan tidak0mengalami kerugian. Metode yang0digunakan dalam pemilihan0objek pada penelitian ini0adalahpurposive sampling0yang melibatkan 13 perusahaan0manufaktur yang0terdaftar di Bursa0EfekIndonesia (BEI)0periode 2017-2021 dengan0periode pengamatan0selama 5 (lima) tahun0adalah sebanyak065 sampel0perusahaan. Model analisis0yang digunakan dalam0penelitian ini adalah0model analisis regresi0linier berganda0yang dilakukan dengan0bantuan program0SPSS versi 26 for0window. Hasil0penelitian ini menunjukkan0bahwa Kebijakan0Dividen (DPR) dan Profitabilitas0(ROE)berpengaruh0signifikan terhadap0nilai perusahaan.0sedangkan Kebijakan0hutang (DER) tidak0menunjukkan pengaruh0yang signifikan0terhadap terhadap0nilai perusahaan.
Currently Analisis Strategi Pemasaran pada Usaha Mikro dan Menengah pada Era Digital di Kota Probolinggo
Authors: Farkhah Melania Saniatu , Joshi Maharani Wibowo
Published: May 2023

Saat ini teknologi semakin maju dan berkembang, serta persaingan antar perusahaan semakin meningkat. Pelaku UMKM harus memiliki strategi pemasaran untuk mengembangkan usahanya. Tujuan dari penelitian ini adalah untuk mengetahui berapa banyak UKM di Kota Probolinggo yang masih memasarkan secara tradisional dan memahami strategi pemasaran online pelaku UMKM untuk meningkatkan kualitas sumber daya dan mengembangkan usahanya agar pelaku UMKM dapat menjangkau konsumen dalam skala yang lebih besar. Penelitian ini merupakan jenis penelitian evaluasi deskriptif dengan menggunakan metode pengumpulan data secara langsung dan sekunder. Mengumpulkan informasi secara langsung melalui wawancara, observasi dan kuesioner. Pengumpulan data sekunder menggunakan kajian literatur, dokumentasi dan informasi dari organisasi dan instansi terkait. Analisis yang digunakan dalam penelitian ini adalah analisis data usaha mikro. Jumlah tersebut meliputi UKM di Kota Probolinggo, dan ada 100 UKM di Kota Probolinggo. Hasil kajian menunjukkan bahwa pada tahun 2022, banyak pengusaha yang masih menghadapi kendala karena kurangnya sumber daya manusia yang terampil, beberapa pengusaha juga akan menghadapi kekurangan modal usaha, dan banyak pengusaha masih belum menggunakan media sosial untuk melakukan pemasarannya. Produk dan mempromosikan produk untuk mendukung bisnis mereka. Dampak perkembangan UKM dengan strategi pemasaran offline dan online memperluas sasaran pemasaran UKM tersebut.
The Emerging Role of microRNAs as Novel Diagnostic and Therapeutic Tools For Breast Cancer: a systematic review
Authors: Mumtaz Sara , Saeed Rida Fatima , Qazi Asma Saleem , Akhtar Nosheen , Awan Uzma Azeem
Published: May 2023

Objective:  A systematic review was conducted to evaluate recent studies performed on miRNAs as a diagnostic and therapeutic biomarker in breast cancer.Study Design: Online standard databases like PubMed, EMBASE, Web of Science and COCHRANE library were searched to identify research articles relavant to the topic.  Place and Duration of Study: All online published studies between 2010-2020, in the scientific electronic databases were analyzed.Materials and Methods: This review was performed according to PRISMA guidelines. Databases were systematically analyzed to explore the diagnostic and therapeutic potentials of miRNAs in breast cancer.Results: We identified twenty-seven studies after literature search.  We found six studies focused on diagnosis, sixteen on therapeutics and five on both diagnosis and therapeutics of miRNAs in breast cancer.Conclusion: The combined data obtained in the present systematic review specify that miRNAs could serve as novel diagnostic and therapeutic biomarkers in breast cancer, whereas the practical relevance of the current results has yet to be established.
Incidence of Surgical Glove Perforations during Surgical Procedures at a Tertiary Care Hospital, Islamabad
Authors: Idrees Hina , Rashid Isbah , Aqib Muhammad , Shah Sajid Ali , Ali Sana Sharafat , Ahsan Muhammad Faheem , Waqar S H
Published: May 2023

Objective: To determine the rate and patterns of surgical glove perforation during surgical procedures and to compare the rates between emergency and elective surgeries at PIMS, Islamabad.Study Design:  A cross-sectional study.Place and Duration of Study: The study was conducted in the Department of General Surgery of Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan from January 2021 to June 2021.Materials and Methods: Surgical gloves are worn in various major surgeries, elective and emergency, and were studied post-procedure, for six months’ period. Gloves were examined by standardized visual and hydro-insufflation techniques to check for perforations. Glove quality was also noted. The type of procedure carried out, the number of perforations, the location of perforations, and the roles of the surgical team were all recorded along with other relevant information. Data were analyzed using SPSS version 22.Results: A total of 120 gloves were tested perforated, 69/100 for elective and 51/80 for emergency procedures. Perforations in emergency procedures were 57.5% ±0.44, while 42.5% ±0.52 in elective surgeries. Glove perforations were extremely common among first assistants (26.67%) and second assistants (9.17%) during emergency surgeries as well as among first surgeons (30%) and scrub nurses (11.67%) during elective procedures. Only 1.2% of inner glove perforations were recorded. The most commonly perforated parts of the glove were the left hand, the left index finger and the thumb. Residents had a lower rate of glove perforation than consultant surgeons.Conclusion: Calculated perforation rate is high, posing a clear threat to the surgical workforce. Preventive measures such as double gloving should be routinely adopted for all surgical procedures. Glove quality is also an important contributing element.
Prospectives of Teledentistry for Professional Stakeholders of Health Professional Dental Education in Pakistan; A Cross-Sectional Survey
Authors: Shakoor Asma , Ansari Walija , Choudhry Malaika , Fatima Noor , Mumtaz Abdullah , Raja Hina Zafar , Nasir Saleem Muhammad
Published: May 2023

Objective: The aim of this study was to assess the perceived barriers that dental professionals in Pakistan have to use teledentistry, as well as to measure awareness of teledentistry among dental students and dentists.Study Design: A descriptive cross-sectional study.Place and Duration of Study: The study was conducted at the Department of Operative Dentistry, CMH-Lahore Medical College and Institute of Dentistry from September 2021 to December 2021.Material and Methods: During the course of about four months, a descriptive cross-sectional study of dental professionals and students was carried out throughout Pakistan. Dental professionals and dental students within the age range of 18-60 years were included in the study. Any dental practitioner not using a smartphone was excluded from the study.Results: A total of 428 dental students and professionals, with 222 (51.9%) undergraduate students, 127 (29.7%) house officers, 58 (13.6%) postgraduate trainees, and 21 (4.9%) specialists participated in the study. The overall mean knowledge and attitude scores were reported as 29.68 ± 4.24 and 32.55 ± 4.82, respectively. Although the study participants had satisfactory/good knowledge and a positive attitude towards teledentistry, they also believed that there are many challenges to face regarding the equipment and awareness.Conclusion: Conclusively, our study displays a good knowledge, attitude, and awareness regarding teledentistry along with its advantages and disadvantages among the dental community of Pakistan where the legislature is bringing public health services to the doorsteps of the general public by use of information and communication technology.
Epidemiological Characteristics, Spectrum of Upper Gastrointestinal Tract Injuries and Burden of Corrosive Intake Patients in A Tertiary Care Hospital in Islamabad
Authors: Abbasi Hyder Wajid , Aftab Warda , Shahid Sara , Ali Mashood , Zahid Javeria , Naz Shumaila , Ishtiaq Amna
Published: May 2023

Objective: To investigate the epidemiology and spectrum of upper gastrointestinal (UGI) tract injuries, as well as to assess the burden of Corrosive intake patients who presented to an Islamabad tertiary care hospital.Study Design: Descriptive cross-sectional.Place and Duration of Study: The study was carried out at the Department of Gastroenterology of Pakistan Institute of Medical Sciences, Islamabad, Pakistan from January 2021 to December 2021.Materials and Methods: A retrospective descriptive study was carried out at the department of Gastroenterology using patient records. After taking a thorough history, patients were admitted in the hospital, which was followed by a physical examination, necessary investigations, and an initial emergency management. The study did not include any follow-up cases. Corrosive ingestion induced tissue damage was assessed via endoscopy using Zargar’s classification. The data was analyzed using SPSS version 26.Results: The total number of patients who were brought to emergency department with corrosive ingestion during one year were 74. There were 45 females (60.81%) and 29 male patients (39.19%). Age ranged from 13 to 60 years (mean 27.01 ± 18.91) with highest incidence in the age group of 21-30 years which was 44.59 % followed by 11-20 age Group (28.28 %).  41 patients were unmarried (55.41%), whereas 33 were married (44.59 %). Corrosive ingestion was most common in illiterate patients (44.59 %). 46 patients (62.16%) confessed that they ingested corrosive substance intentionally while 28 (37.84 %) claimed it happened due to accidental ingestion. Washroom cleaner was found to be the most commonly used corrosive Agent (90.54%). The most common sites that sustained corrosive injuries were the oropharynx and oesophagus, while the duodenum was found to be the least affected with normal endoscopic examination in the majority of the patients (51.35 %).Conclusion:  In developing countries, corrosive ingestion is a major public health concern, with a high proportion of suicidal ingestions. It is particularly common in suicidal young people with easy access to washroom cleaners. The seriousness of this problem emphasises the importance of pursuing multidisciplinary solutions. In addition, strict action and stringent legislation by governing bodies are required in developing countries to limit adults' unrestricted access to hazardous corrosive elements.
Evaluation of Risk Factors Associated with Positive Exercise Tolerance Test
Authors: Ramzan Muhammad , Shahid Muhammad , Zohaib Zahoor Muhammad , Shahzad Amir , Razzaq Abdul , Ali Hashmi Kashif
Published: May 2023

Objective: To determine the potential risk factors in patients aged under 40 years with a positive Exercise Tolerance Test (ETT).Study Design: Prospective study.Place and Duration of Study: The study was carried out at the Department of Cardiology Choudhary Pervaiz Elahi Institute of Cardiology (CPEIC), Multan, Pakistan, from 1st January 2021 to 1st March 2022.Materials and Methods: The study included 285 patients with positive ETT, selected through non-probability consecutive sampling. Patients were grouped into two age brackets: 20-30 and 31-40.  Patients were advised to stop taking nitrates, calcium channel blockers and beta blockers a day before the test.  The patients were investigated for potential risk factors that caused the positivity of EET.Results: The study was conducted on 285 patients.  The age of the participants was 30.12±5.64 years. There were 185 (64.9%) males and 100 (35.1%) females. The BMI was .32±1.38 kg/m2. Obesity was recorded in 38 (13.3%) patients, 85 (29.8%) had a family history, 63 (22.1%) had dyslipidemia, hypertension in 58 (20.4%), 32 (11.2%) had a smoking history, and 56 (19.6%) had diabetes mellitus. Diabetes Mellitus (p=0.00) and dyslipidemia (p=0.004) were found to be the most significant risk factors in patients aged between 31-40 years with positive EET.Conclusion: Diabetes mellitus and dyslipidemia are the most significant causes of positive EET in patients aged between 31-40 years.
A Comparative Study on Prediction of Cutting Force using Artificial Neural Network and Genetic Algorithm during Machining of Ti-6Al-4V
Authors: Barreto Rolvin , R R Malagi , S R Chougula
Published: May 2023

The purpose of this comparative study is to improve the predictive accuracy of the cutting force during the turning of Ti-6Al-4V on a lathe machine. By optimizing the machining process parameters such as cutting speed, feed rate, and depth of cut, the cutting force in the machining process can be improved significantly. Cutting force is one of the crucial characteristics that must be monitored during the cutting process in order to enhance tool life and the surface finish of the workpiece. This paper is based on the experimental dataset of cutting forces collected during the turning of titanium alloy under the Minimum Quantity Lubrication (MQL) condition. To predict the cutting forces, two machine learning techniques are explored. Firstly, a black-box model called an Artificial Neural Network (ANN) is proposed to predict cutting force. Using the Levenberg-Marquardt algorithm, a two-layered feedforward neural network is built in MATLAB to predict cutting force. The second model to be implemented was the Genetic Algorithm (GA), a white-box model. GA is an optimization technique which is based on Darwinian theories. It is a probabilistic method of searching, unlike most other search algorithms, which require definite inputs. Using symbolic regression in HeuristicLab, a GA model is developed to estimate cutting force. The anticipated values of cutting forces for both models were compared. Since the ANN model had fewer errors, it was ascertained that the particular model is preferable for machining process optimization.
Assessment of surface quality in extrusion honing process using dimensional analysis approach
Authors: SLN Jayasimha , NL Murali Krishna , HP Raju
Published: May 2023

It is critical to obtain the desired surface quality on machined parts’ internal and external portions. The estimated level of surface texture can be induced on the outer regions using traditional finish machining processes such as grinding, honing, and so on. While the problem emerges when processing miniature core components such as micro bores and inlet/outlet valves. The EH approach overcomes this limitation of the conventional finishing method. It is a novel micromachining process that extrudes pressured flow of carrier media combined with abrasives into the confined passage to generate the desired level of surface texture. Due to the abrasion process, micromachining occurs by taking away negligible stock material. The present study focus on the impact of the number of passes at the specimen’s entry and exit sides of the carrier media. The improvements in the surface finish (Ra) on both sides, i.e. entry and exit, are also evaluated. A dimensionless expression for Ra is also developed. The relation is implemented using Buckingham’s π theorem, and the developed model is compared with experimental results. SEM analysis is made to portray surface texture produced by selected
Polyamides containing Oxadiazole ring moiety as corrosion inhibitor for Aluminium in acid solution.
Authors: C Subha , A Selvaraj , R Thevi , L Ravikumar
Published: May 2023

Corrosion control of metals is an important activity of technical, economic, environmental, and aesthetical importance. The use of inhibitors is one of the best options for protecting metals and alloys against corrosion. This study involves the investigation of new and effective polymeric material for the application of corrosion inhibition on aluminium in the acid medium using chemical and electrochemical methods. Results obtained from weight loss and potentiodynamic and impedance methods confirm that polyamides containing oxadiazole rings in their backbone can act as effective corrosion inhibitors. The adsorption behaviour of this polymer on aluminium in 1N HCl was found to obey Langmuir adsorption isotherm. SEM studies confirmed the protective film formed on aluminium by the adsorption of Polyamides.
Investigation on Production of Edible Oil from Rice Husk
Authors: A Murugesan , K Balamurugan , Gowthaman  , R Mohammed shabeer , R Abishek
Published: May 2023

Rice husk, the hard protective covering of the grain of rice (paddy), is a massive agricultural residue. Rice bran oil (RBO) also called wonder oil is well known for its numerous health benefits. The presence of a unique antioxidant called oryzanol contributes maximum antioxidant activity to rice bran oil. Rice bran oil has number of advantages over the other edible oil. The results showed that the rice bran has 21.44% of raw oil, with a chemical composition (based on fatty acids) of 48.48% oleic acid, 35.26% linoleic acid, and 14.54% palmitic acid, as well as a free fatty acid content of 8.15%. The oil contains vitamins such as B and E, proteins, fatty acids, antioxidants, collagen, elastin, oryzanol and ferulic acid. Antioxidants and Vitamin E are good for the heart as they reduce the amount of bad cholesterol and prevent cardiac arrest. Compounds such as oryzanol and ferulic acid are used as functional food supply ingredients. Apart from these benefits, the consumption of rice bran oil maintains the immune system, aids in weight loss, prevents diseases like cancer, relieves symptoms of menopause and enhances skin health. These advantages motivate capitalists to venture into rice bran oil manufacturing and thus can supply cooking oil and various other essential products that require rice bran oil as a component of it. Is.   Although it is classified as an “oil”, rice bran oil is completely safe for consumption by patients with heart problems, diabetes, cholesterol, or high blood pressure. Because of all these benefits, you can expect good profits in the Rice Bran Oil Making Business.
The Role of Natural Physical, Mechanical, and Biochemical Barriers as Innate Immunity: A Narrative Literature Review
Authors: Septi Purnamasari  , Hidayat Rachmat
Published: May 2023

The specialized epithelial outer layer, including the skin and mucosal surfaces, is relatively resistant to most environmental hazards and resistant to infection by disease-causing microorganisms. This literature review aimed to describe the role of natural physical, mechanical, and biochemical barriers in innate immunity. The physical barrier that protects against damage and infection consists of closely related epithelial cells, including the skin and the sheet membranes that line the digestive tract, genitourinary, and breathing. The epithelial surface also provides a biochemical barrier by synthesizing and secreting substances intended to trap or destroy microorganisms (chemicals derived from the epithelium). Mucus, sweat, saliva, tears, and earwax are examples of biochemical secretions that can trap and kill potential disease-causing microorganisms. Microorganisms in the microbiome do not usually cause disease, although some are opportunistic in that they can cause disease if the integrity of the body surface is compromised or the individual's immune or inflammatory systems are damaged. In conclusion, natural barriers include physical, mechanical, and biochemical on the surface of the body and are present from birth to prevent damage by substances in the environment and prevent infection by pathogenic microorganisms.
Social Cultural Factors Affecting Fertility Among Women Living with Disability in Bungoma County, Kenya
Authors: Khisa Amos , Kisovi Leonard , Maxwell Sifuna , Onsongo Francis
Published: May 2023

This research aimed to explore the childbearing gap created by sociocultural challenges among disabled women in Bungoma County. Using a pronatalist approach, the study explores the extent to which the level of education, marital status and social status influence fertility attainment among WLWD. The research was directed by planned behaviour theory by Icek Ajzen (1991), which helped analyse the interaction of childbearing motivations, decision-making processes and fertility outcomes. Cross-sectional design was adopted and participants aged between 15 to 49 years old were selected using purposeful sampling. A pre-tested structured questionnaire, key informant guide and two focus groups were adopted to gather data. A sample size of 120 comprised women living with disability, health officials, administrators, and family members. The study area was mapped out with nine sites selected in Bungoma Central and Kimilili sub-counties in Bungoma County. A pilot study was done in the Kimilili subcounty to test reliability. Descriptive data underwent content analysis, themes coded using the framework analysis approach and transcribed, while quantitative data underwent logistic regression analysis using the SPSS package. Chi-square tests were used to link associations between sociocultural factors and fertility outcomes among WLWD in Bungoma County. Data results were represented using tables of frequencies, charts, graphs and percentages. These cultural barriers were identified as stigma, cultural beliefs and cultural attitudes. The study concludes that lack of education, low social status, overwhelming stigma and conservative mode of the patriarchal family system negatively depresses the fertility outcomes of disabled women in Bungoma County. The research recommended that disabled people ought to be helped to get an education and promote programmes against cultural biases towards fertility. Further, special hospital or home care units with well-trained personnel by the government were recommended to give specialised services to the WLWD
Prevalência de lesões em atletas amadores de rúgbi no Brasil
Authors: Godoy Bruno de Assis , Fujita André Polli , Candido Natalie Lange , Ferreira Rodrigo de Almeida , Silva Josie Resendo Torres da , Silva Marcelo Lourenço da
Published: May 2023

Introdução: O rúgbi é um esporte coletivo de contato físico entre os jogadores levando a altos índices de lesões. Embora a epidemiologia tenha examinado em alguns países, a frequência e as consequências das lesões do rúgbi amador, no Brasil, ainda não são completamente compreendidas. Várias intervenções foram introduzidas para proteger os jogadores de lesões, com muitas consideradas eficazes e defendidas para uso em vários contextos em todo o mundo. No entanto, sua implementação no Brasil é menos evidente.
Objetivo: Estimar a prevalência de lesões relacionadas à prática esportiva no rúgbi e propor um programa de exercícios para prevenção de lesões.
Métodos: Foi disponibilizado um questionário através da internet no período de novembro de 2020 a janeiro de 2021. Responderam ao questionário 196 atletas amadores de rúgbi com variação de 18 a 65 anos. Entre os entrevistados, 152 (77,60%) eram homens e 44 (22,40%) mulheres e metade dos entrevistados tinham entre 25 e 34 anos (50,00%).
Resultados: Dos 196 respondentes, 85,71% declararam apresentar histórico de lesão relacionado à prática do rúgbi. Os locais com maior acometimento foram joelho (23,81%), ombro (19,64%) e tornozelo (18,45%). Assim, os resultados deste estudo alta prevalência de lesões relacionadas à prática amadora do rúgbi, sobretudo em articulações e com maior acometimento em joelho, ombro e tornozelo, respectivamente.
Conclusão: A prevalência, incidência e carga de lesões relatadas neste estudo são sem precedentes e agregam conhecimento para a comunidade amadora de rúgbi. Treinadores, médicos e fisioterapeutas devem considerá-lo para melhorar sua prática clínica.
Qualidade de sono e obesidade em militares: uma revisão narrativa
Authors: Portugal Guillermo , Geralda Ferreira Fabrícia , Aparecida Doimo Leonice
Published: May 2023

Introdução: Sono inadequado e obesidade impactam negativamente o organismo, constituindo-se em óbices para o desempenho militar.
Objetivo: Realizar uma revisão narrativa de estudos sobre a relação entre qualidade de sono e obesidade em militares do serviço ativo.
Métodos: Foram utilizados descritores e seus sinônimos em português ou inglês, sem delimitação temporal, tipo de força militar e gênero. Foram incluídos estudos originais, com população militar e do serviço ativo. Foram excluídos relatos de caso, revisões e estudos com militares da reserva.
Resultados e Discussão: Foram selecionados 21 estudos. Estes relataram que, entre militares, as consequências relacionadas à alteração no ciclo sono/vigília foram semelhantes aos exibidos na população em geral. A relação entre sono inadequado e obesidade envolve alteração de apetite e hormônios, podendo causar fadiga e favorecendo o ganho de peso. Dentre os distúrbios de sono, a apneia obstrutiva do sono foi a mais prevalente e a mais fortemente associada ao Índice de Massa Corporal e ao desenvolvimento de hipertensão, diabetes, doenças coronarianas e depressão em militares. Esses efeitos podem interferir na rotina militar comprometendo treinamentos, tarefas que exigem precisão e capacidades como tomada de decisões, planejamentos e revisões de estratégias.
Conclusão: A literatura mostra a relação positiva entre baixa qualidade de sono e ganho de peso em militares. Tais problemas podem prejudicar o desempenho operacional em inúmeras tarefas inerentes ao ambiente militar. Políticas educacionais de prevenção e a triagem nos atendimentos de saúde no que se refere a qualidade de sono e obesidade podem dirimir possíveis problemas.
On the Period-Amplitude Relation by Reduction to Liénard Quadratic Equation
Authors: Atslega Svetlana , Sadyrbaev Felix
Published: May 2023

We apply Sabatini’s transformation for the study of a class of nonlinear oscillators, dependent on quadratic terms. As a result, an initial equation is reduced to Newtonian form, for which in a standard way the period-amplitude relation can be established.
digitala arbetslivet
Authors: Hansson Kristofer
Published: May 2023

The virtual workplace

This article examines what the digitalization of healthcare has come to mean for nurses as a professional group. Digitalization is understood in the article as a term that is concerned with everything from digital surveillance systems that partially take over the nurses’ attentive observation of their patients, to healthcare meetings that do not take place in the hospital but transpire with the help of cameras and monitors. Another dimension of digitalization is that which goes beyond healthcare meetings and concerns digital journal systems and how they change working life from writing on paper by hand to having all the care of the patient visible on a computer screen. The purpose of the article is therefore to culturally analyse and examine how the working life of nurses change when healthcare and medical care are digitized. What happens when digital technology enters the profession and when working nurses have to spend an increasing amount of time in a liaison with / association with the virtual environment?

Four nurses, aged 46 years and over were interviewed based on a questionnaire with open questions. Based on the interviews, this article presents four key themes, namely (1) the actual digitalization of health and medical care and how it affects the nurses; (2) patients who via the Internet can be more apprised of their illness and treatment options and thus can also affect healthcare meetings in new ways, (3) the different contexts of digital technologies that are at risk of collapsing into each other and allowing the patient's private attitude/approach to come to the attention of the nurses, and (4) how the boundary between working life and leisure time is affected by the new technology.

Digital technology thus creates various mediated platforms that transform the interactions in, for example, a healthcare meeting. These interactions can occur both in the virtual world as well as in face-to-face relationships in a healthcare meeting. It has been central to the article's argumentation to reveal how the impact can go both ways and that this fact affects nurses working life in new and unexpected ways. Based on this reasoning, the article also argues for ethnological work life research that focuses much more on the complexity that working individuals meet, both in their profession and in spare time. There is not always a clear boundary between these two worlds. If anything, ethnological research into working life has highlighted the importance of focusing on the entire life situation of the workforce; this is something which it is even more central to make evident in relation to the digitalized working life.
Aplicación de un modelo estocástico para el Análisis RAM de Máquinas Rotatorias en la Industria 4.0
Authors: Zambrano Tatiana , Ponsot Ernesto
Published: May 2023

La aplicación de conceptos de la Industria 4.0 promovidas a través del mantenimiento predictivo de un activo industrial, marca la forma de la gestión operativa de una fábrica a largo plazo. El análisis de la data histórica de los activos brinda la oportunidad de aplicar técnicas como el modelamiento de datos, que definen el comportamiento de las máquinas a través del tiempo. Este paper presenta un análisis de confiabilidad, disponibilidad y mantenibilidad (RAM) de un grupo de ventiladores industriales que forman parte de un proceso de fabricación de clinker, desde una perspectiva que relaciona datos históricos de vibración con los estados que toman las máquinas, clasificados según el estándar ISO 14694. Para ello, se caracterizan series temporales por cada ventilador, y se obtienen métricas descriptivas, que habilitan la aplicación de un tipo de modelo autorregresivo integrado de media móvil, para predecir las condiciones que tomarán los equipos en los siguientes doce meses asociándolas al cálculo de los indicadores RAM, que definen la toma de decisiones en el marco operativo de la planta.
Percepción de los maestros de Educación General Básica sobre el Trastorno por Déficit de Atención e Hiperactividad en Niños
Authors: Samaniego Luna Natasha Ivanova , Chamba Carchi Yosselyn Nathaly , González Estella José Eduardo
Published: May 2023

Este estudio analiza  la formación académica de los maestros  de educación general básica (EGB) y  su   relación con  el nivel de conocimientos acerca del  TDAH en niños. La muestra  incluyó a 342 maestros de los diferentes centros educativos del Distrito 11D01- Loja; 19,3% (n= 66) hombres y  80,7% (n= 276) mujeres; cuyas edades fluctuaron entre 20 a 65 años, formados en tercero y cuarto nivel de educación, en quienes se aplicó el test (Knowlegde of Attention Deficit Hyperactivity Disorder Scale) KADDS, observándose  que  aquellos  con cuarto nivel y capacitación acerca del trastorno, a través de educación formal (pregrado y posgrado), así como no formal (charlas y conferencias), mostraron conocimiento alto (58% n=95) principalmente en las subescalas síntomas y diagnóstico,  además de tratamiento, en relación a  los maestros que tuvieron formación hasta de tercer nivel.  La prueba estadística chi cuadrado, determinó  asociación significativa entre formación académica, nivel de conocimiento y estrategias utilizadas por el maestro para alcanzarlo. Los resultados sugieren,  es necesario que los maestros  incrementen sus conocimientos sobre el TDAH. Mejorar la  formación y capacitación en los maestros, podría repercutir en la calidad y cantidad de conocimientos sobre este trastorno.
Comportamiento sexual de riesgo relacionado a Enfermedades de Trasmisión Sexual en Estudiantes Universitarios
Authors: Riquelme Mercado Gisela Verónica , Cuentas Yupanqui Sara Rut
Published: May 2023

La investigación se realizó con el objetivo de, establecer la relación entre el comportamiento sexual de riesgo y las enfermedades de transmisión sexual en estudiantes universitarios evaluados en la Estrategia Sanitaria de VIH/SIDA Puno 2018. La investigación fue de tipo explicativo con diseño transversal causal. La población de estudio estuvo conformada por 8.928 estudiantes universitarios de la ciudad de Puno y la muestra por 5.804 estudiantes. Para la recolección de datos se aplicó la técnica de encuesta y como instrumentos un cuestionario y una ficha de laboratorio. La hipótesis fue contrastada con la prueba Chi Cuadrado. Resultados: Se ha encontrado 63 casos de gonorrea (1.1%), 19 de sífilis (0.3%), 12 casos con VIH/SIDA (0.2%), 8 casos de VIH/SIDA/ Sífilis y un caso portador de VIH/SIDA/gonorrea. Respecto al comportamiento de riesgo sexual, el 59% de estudiantes debutaron sexualmente entre 15 a 17 años, el 99.5% relación sexual coital, el 99.4% eran heterosexuales, 63% utilizaban condón como método anticonceptivo, 42% no tenían información para prevenir ETS. Al correlacionar las variables, encontramos que, el debut sexual, las relaciones sexuales en el último año, tipo de relación sexual, número de parejas, opción sexual, tipo de métodos anticonceptivos e información para prevenir ETS tienen relación estadísticamente significativa (p<0.05) con las ETS. Conclusión se comprueba que el comportamiento sexual de riesgo en estudiantes universitarios fue determinante para las ETS.
El Cíborg como una nueva categoría de Análisis Jurídico: Una mirada desde la Responsabilidad Civil y Penal
Authors: Camacho García Marco David , López Agudelo Juan Pablo
Published: May 2023

La Cuarta Revolución Industrial avanza a pasos agigantados mientras el Derecho se encuentra en su caracterizada inmovilidad. El presente artículo tiene como única finalidad pensar y repensar el Derecho y su relación con la tecnología, pero bajo la conjunción de la carne y el metal, de lo orgánico y lo artificial, una mixtura entre lo mecánico y lo humano que día tras día irá apareciendo en nuestras circunstancias: el cíborg. En esa medida, el escrito se pregunta por el cíborg como una nueva categoría de estudio en el Derecho y cuáles son sus posibles implicaciones en el plano jurídico, en concreto, se analiza la “cuestión ciborgiana” desde el foco de la responsabilidad penal, la responsabilidad civil extracontractual y la responsabilidad civil por producto defectuoso.