bluuebunny/crossref_metadata_2025 huggingface dataset:
Cases of Digeorge Syndrome
Authors: Czuj Wiktoria
Published: October 2024

DiGeorge syndrome is a primary immunodeficiency caused by the abnormal growth of the third and fourth pharyngeal pouches throughout prenatal development. It is typified by a triad: hypocalcemia due to hypoparathyroidism, some heart defects, and thymic hypoplasia or aplasia. This syndrome is associated with a microdeletion in the chromosomal region 22q11.2. DiGeorge syndrome together with other dysfunctions like velo-cardio-facial syndrome and Takao syndrome have overlapping traits. The symptoms are hidden under the name CATCH22. It describes signs like a cardiac defect, abnormal facies, thyme hypoplasia, cleft palate, hypocalcemia, and chromosome 22q11.2 deletions. Its incidence is estimated to be approximately 1:3000 live births. The disorder is inherited in an autosomal dominant pattern or arises from de novo mutation. 22q11.2 microdeletion is associated with an increased risk of developing mental diseases, including schizophrenia. In the general population, 1-2% of people suffer from schizophrenia. In DiGeorge syndrome this ratio is much higher, around 25-30%. Nowadays, the fluorescence in situ hybridization (FISH) is a gold standard method for the diagnosis of microdeletion syndrome. Currently, there is no effective therapy to prevent the development of the disease.
Assessment of Water Suitability for Drinking in the Spring in Leśniów (Southern Poland)
Authors: Dąbrowska Dominika , Ruman Marek , Rykała Wojciech
Published: October 2024

Natural springs are one of the potential sources of water supply. Increasing anthropogenic activity, inadequate sanitary conditions and intense rainfall are important factors that threaten the maintenance of adequate water quality in springs. Physicochemical and microbiological tests were performed in two measurement series for water from the spring in Leśniów (southern Poland). The test results were compared with the permissible limits for drinking water and the Nemerow Pollution Index (NPI) value was calculated for these parameters. The average conductivity of water in this spring is approximately 390 µS/cm, pH is about 7 and due to its alkalinity, water can be classified as hard. The NPI values varied, i.e. from about 33 to about 3, which was due to the high mercury content measured in the first sample. Additionally, the number of coliform bacteria reached 35 cfu/100 ml, and the total number of microorganisms at 22±2°C reached 27 cfu/ml in the first measurement series. Such values indicate water contamination, which may pose a significant threat to human health when consuming such water. The second series of measurements showed lower pollution values, but the previously obtained results suggest that it is necessary to control the water quality in the springs and control nearby pollutant emitters.
Study of Moulding Sands to Create Three-Layer Magnesium Concrete
Authors: Miryuk Olga
Published: October 2024

The article is devoted to the problem of creating energy-efficient building materials for enclosing structures. The aim of the research is to develop a recipe and a method for moulding sands placing to create heat-insulating concrete of a multilayer structure. The three-layer magnesium concrete containing layers of different densities is an object of a scientific research. Compositions of moulding sands for concrete’s central and surface layers have been developed and studied. Materials specially developed were used as raw materials for moulding sands; they are as follows: composite magnesial binder and porous filler obtained by low-temperature firing of a granular mixture based on sodium liquid glass and thermal energy waste (fly ash from thermal power plants, aluminosilicate microsphere). Possibility of regulating moulding sand’s properties for concrete’s central layer by varying the content and fractional composition of porous granules has been shown. There has been proposed the moulding sand for surface layers of three-layer magnesium concrete containing crushed porous sand. The related composition of moulding sands favours with adhesion of concrete’s different layers. Various technological methods for producing magnesium concrete of a complex structure have been studied. The research reveals technological and operational characteristics of three-layer magnesium concrete obtained by horizontal and vertical deposition of moulding sands.
Örgütsel Dayanıklılık Önünde Bir Engel: İş Kaynaklı Stres
Authors: Ağtaş Emine , Yüncü Volkan
Published: October 2024

Bu çalışmada, iş kaynaklı stres ve örgütsel dayanıklılığı oluşturan faktörler arasındaki ilişkiler çok boyutlu olarak incelenerek iş kaynaklı stresin örgütsel dayanıklılık üzerindeki etkilerinin belirlenmesi amaçlanmıştır. Araştırma kapsamında Afyonkarahisar ili şehir merkezinde faaliyet gösteren küçük ve orta ölçekli işletmelerde görev yapan 126 çalışana yüz yüze ulaşılmış ve tüm katılımcıların yanıtları analizde kullanılmıştır. İlgili yapılar arasındaki ilişkileri çok boyutlu olarak ortaya koymak amacıyla kısmi en küçük kareler yapısal eşitlik modellemesi (PLS-SEM) yol analizi yöntemi kullanılmıştır. Analiz sonucunda, ölçüm modeli doğrulanmış ve ölçüm modelinde elde edilen değerlerin anlamlı olduğu yapılan yol analiziyle tespit edilmiştir. Bu doğrultuda, iş kaynaklı stresin örgütsel dayanıklılık üzerinde, işten ayrılma niyetinin de iş kaynaklı stres üzerinde anlamlı etkileri olduğu gözlemlenmiştir. Çalışanların iş yükü, çalışanlarla ilgili performans beklentileri ve örgütsel tasarımdan kaynaklanan stresin örgütsel dayanıklılığın kazanılması sürecinde önemli etkisi vardır. Yöneticilerin örgütsel dayanıklılığın altında yatan süreçleri açığa çıkarırken iş kaynaklı stresin çalışan davranışı ve çalışan verimliliği üzerindeki etkilerini göz önünde bulundurarak çalışanı merkeze alan bir bakış açısı geliştirmesi gereklidir.
Yoksulluk ile Çocukların Suça Sürüklenmesi Arasındaki İlişki: Tekirdağ/Süleymanpaşa Örneğinden Ampirik Bulgular
Authors: Günaydın Davuthan , Vatanel Cengiz
Published: October 2024

Bu çalışmanın amacı, Tekirdağ/ Süleymanpaşa İlçesinde yaşayan suça sürüklenen çocukların sosyo-ekonomik düzeyleri ile suç işleme oranları arasında bir ilişkinin var olup olmadığını araştırmaktır. Bu maksatla öncelikle fiziksel ve sosyal çevre kapsamında çocukların suça sürüklenmeleri arasındaki ilişki, var olan literatür çerçevesinde değerlendirilmektedir. Çalışmanın ampirik kısmında ise Tekirdağ/Süleymanpaşa İlçesinde suça sürüklenen 460 çocuğun verileri analiz edilerek anne ve babanın sosyo-ekonomik ve eğitim durumları, suçun kime karşı işlendiği ve işlendiği yıl değişkenleri açısından anlamlı bir ilişki olup olmadığı araştırılmaktadır. Bulgular, suça sürüklenen çocukların işlediği suçların %67,8’inin kişiye karşı işlenen suçlardan olduğu, çocukların büyük bir çoğunluğunun (%88,9) anne ve babanın hayatta olduğu, çocukların sosyo-ekonomik statülerinin (%65,7) düşük bir seviyede olduğu, %64,2’sinin lise eğitimini aldığını göstermektedir. Alınan verilerde yıllara yönelik bir inceleme yapıldığında ise en yüksek suç oranın %40,2 ile 2022 yılında gerçekleştiği görülmektedir. Bulgular bir bütün olarak değerlendirildiğinde, suça sürüklenen çocukların yaşadıkları mahalleler, sahip oldukları sosyal ve beşerî sermaye ve ailelerinin sosyo-ekonomik yapısının çocukların suça sürüklenmelerinde önemli bir faktör olduğu görülmektedir.
Yönetim Disiplini ve Kültürel Çalışmalar
Authors: Dağıstan Umut , Atalay Murat
Published: October 2024

Bu çalışmanın temel çıkış noktası, yönetim disiplininin interdisipliner bir alan olan kültürel çalışmalardan nasıl faydalanabileceğine dair kavramsal bir çerçeve çizme çabasıdır. Bunun için çalışmada öncelikle yönetimin bir disiplin olarak ortaya çıkmasının kısa tarihçesi verilmiş, ardından kültür kavramı tanımlanmıştır. Hemen sonra kültürel çalışmaların ortaya çıkış serüveni anlatılıp yönetim disiplini ile kurabileceği ilişkinin üstünde durulmuştur. Kültürel çalışmalar, önsel olarak hazırlanmış bir kurama dayanarak pratiği açıklama iddiasındaki her yaklaşımı baştan reddetmektedir. Bu tavır sosyal bilimler için yeni bir yaklaşımın kapısını aralama potansiyeli taşımaktadır. Metinde insanı merkeze alan bir disiplin olan yönetim olgusunun nesnesini daha iyi tanımak istiyorsa kültürel eylem pratiklerini merkeze alan çalışmalara daha fazla alan açmak zorunda olduğu düşüncesi savunulmuştur. Sonuç olarak, yönetim disiplininin kültüre ve onun alımlanma sürecine daha dinamik ve etken bir şekilde yaklaşması, kültürün çoklu bir perspektiften değerlendirmesine imkân sağlayacaktır. Bu da örgütler için işlevsel boyutta rekabet avantajı sağlamasının yanı sıra, belki de daha kolektif düzeyde daha yaşanılabilir bir sistem yaratmak için fırsat da sunabilecektir.
Uso de bifosfonatos e o risco de osteonecrose da mandíbula
Authors: Miranda Bruno Pires , Miranda Helba Pires
Published: October 2024

Objetivo: Verificar se há evidências científicas que comprovem a relação entre o uso de bifosfonatos e a osteonecrose da mandíbula, bem como que outros fatores de risco podem estar envolvidos. Métodos: Revisão integrativa da literatura, incluindo estudos clínicos, randomizados, retrospectivos e prospectivos realizados a partir de 2016 para verificar as evidências científicas recentes que investigaram se os bifosfonatos aumentam o risco do surgimento de osteonecrose da mandíbula. Foram utilizados apenas artigos científicos, indexados nas bases de dados Medline/PubMed; IBECS, Lilacs e BBO-Odontologia. Resultados: Foram encontrados oito estudos que atenderam aos critérios de inclusão, permitindo constatar que a literatura sobre osteonecrose da mandíbula relacionada a bifosfonatos continua escassa em estudos clínicos randomizados com grupos controles. Porém, já há evidências suficientes que indicam haver esse risco, estando principalmente relacionados com o uso de bifosfonatos de uso intravenoso associado à ocorrência de trauma cirúrgico dentoalveolar, não apenas pelo uso exclusivo do medicamento. Considerações finais: Alerta-se aos profissionais de saúde que devem indicar aos pacientes que venham a necessitar de terapia com bifosfonatos que, antes de iniciar tal tratamento, busquem por cirurgiões-dentistas para profilaxia dentária e realizem as intervenções odontológicas que se façam necessárias, evitando ter que realizá-las enquanto estiverem em tratamento com esses medicamentos.
Tuberculose perinatal na Amazônia Ocidental
Authors: Paschoalino Mylla Christie de Oliveira , Perez Carlos Enrique Ibarra , Fragoso Vanine de Lourdes Aguiar Lima , Pessoa Ranna Abadias
Published: October 2024

Objetivo: Relatar o caso de uma paciente que evoluiu com tuberculose perinatal complicada com quadro pulmonar e ganglionar. Detalhamento de caso: Paciente do sexo feminino nascida com 34 semanas. Aos dois meses iniciou quadro de tosse, febre diária e sudorese. Os pais apresentaram quadro semelhante no período intraútero, entretanto, receberam diagnóstico de tuberculose pulmonar somente quando a criança apresentava um mês e esta não recebeu quimioprofilaxia. Após dois meses de evolução do quadro, apresentou desconforto respiratório. Foi internada e tratou para pneumonia bacteriana, além de iniciada a investigação de tuberculose pulmonar. O diagnóstico foi confirmado com baciloscopia positiva através de lavado gástrico e o tratamento iniciado, recebendo alta após estabilização. Aos seis meses, em vigência do tratamento de manutenção, surgiu massa em região supraclavicular direita, com evolução progressiva e sinais flogísticos. Posteriormente, foi transferida para a capital, sendo admitida em hospital referência para doenças infecciosas e se apresentou ao serviço por quadro de abscesso em região supraclavicular direita. Considerações finais: A TB deve ser considerada em todos os casos de lactentes que apresentam pneumonia progressiva e má resposta ao tratamento antibiótico convencional. A identificação e o tratamento pré-natal da doença ativa ou da infecção materna latente podem prevenir a TB perinatal ou permitir seu diagnóstico precoce.
Horário de verão: explorando os benefícios e desvantagens para a saúde humana
Authors: Machado Alessandra Aparecida Vieira , Schmidt Isabela Lemos de Oliveira Sineiro , Lima Larissa Borges de , Vono Diego Colino , Souza José Carlos Rosa Pires de
Published: October 2024

Objetivo: Avaliar criticamente a continuidade do horário de verão, analisando tanto benefícios energéticos quanto riscos à saúde e bem-estar. Revisão bibliográfica: Estudos demonstram impactos negativos do horário de verão na saúde humana, afetando o sono, o ritmo circadiano e aumentando o risco de problemas cardiovasculares. As alterações no ciclo natural de luz e escuridão podem desestabilizar o ritmo biológico, afetando negativamente a qualidade do sono, saúde mental e bem-estar. Adicionalmente, a eficácia do horário de verão na economia de energia é questionada, com indícios de que os benefícios podem não ser significativos ou compensados por um aumento no uso de outros recursos. Considerações Finais: A literatura sugere a favor da adoção de um regime de horário constante, apontando para os efeitos adversos do horário de verão na saúde pública, segurança e economia. A decisão sobre sua manutenção ou abolição requer avaliação minuciosa de diversos fatores, incluindo impactos na saúde e consumo energético.
Avanços e perspectivas no tratamento da Síndrome de Tourette
Authors: Bezerra Francisco Yudhi , Freitas Antônio Pereira de , Sousa Vanessa Kimbely Tavares de , Almeida Vitória Emmanuele Garcia de , Soares Deyze Alencar
Published: October 2024

Objetivo: Compreender os principais avanços no tratamento da Síndrome de Tourette (ST), englobando as terapias farmacológicas e não farmacológica, nos últimos 5 anos. Métodos: Trata-se de uma revisão integrativa, realizada a partir de buscas nas bases de dados Publisher Medline (PubMed), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SCIELO) e Medical Literature Analysis and Retrievel System Online (MEDLINE), entre os anos de 2018 e 2023, utilizando descritores “Síndrome de Tourette” e “Tratamento” e suas traduções no inglês, com o uso do operador booleano AND. Resultados: 31 artigos foram selecionados para representar a amostra final e compor a revisão, por se adequarem aos critérios de inclusão e exclusão, nos quais a farmacoterapia, a estimulação cerebral profunda e a terapia comportamental se mostraram protagonistas no tratamento da síndrome. Considerações finais: Constatou-se que os fármacos valproato de sódio, tiaprida e priavanserina e a estimulação cerebral profunda podem ser usados para diminuir os sintomas motores dos pacientes, e que a terapia comportamental é uma ferramenta eficaz e necessária para a diminuição da gravidade e o controle dos tiques.
Avaliação da adesão ao tratamento e conhecimento sobre antineoplásicos orais
Authors: Ribeiro Fernanda Maria dos Santos , Silva Elayne Costa da , Lima Ananda Maria Lira , Viana Leandra Marla Aires Travassos , Santos Elton Jonh Freitas
Published: October 2024

RESUMO
Objetivo: Avaliar a adesão à terapia antineoplásica oral e o conhecimento acerca do tratamento farmacológico em pacientes atendidos no ambulatório de onco-hematologia de um hospital público do Maranhão. Métodos: Trata-se de um estudo analítico, prospectivo e transversal, conduzido com 50 participantes. A avaliação da adesão foi realizada através dos instrumentos: Medida de Adesão aos Tratamentos (MAT) e questionário próprio para descrever o perfil sociodemográfico e clínico e avaliar o conhecimento dos pacientes sobre o tratamento. Resultados: O estudo foi composto em sua maioria por participantes do sexo feminino (54%) e com idade média de 55,8(±14,53) anos. A leucemia mieloide crônica foi o diagnóstico mais comum (52%) e a hidroxiuréia foi o medicamento mais prescrito (44%). A maioria dos participantes estavam em tratamento há 37 meses ou mais (36%). No entanto, mais de 70% desconheciam a finalidade da terapia medicamentosa. Os resultados da MAT destacaram uma média global indicativa de adesão ao tratamento (5,56 ± 0,31), embora algumas questões revelaram comportamentos de não adesão, como o esquecimento ocasional de tomar os medicamentos. Conclusão: Os resultados obtidos permitem concluir que há uma boa adesão medicamentosa no público avaliado. O conhecimento acerca do tratamento mostrou lacunas, evidenciando a importância de estratégias educativas continuadas.
Acolhimento nos serviços de saúde indígena
Authors: Lima Christiano Adson Barbosa , Souza Adjanny Estela Santos de
Published: October 2024

Objetivo: Verificar as evidências disponíveis na literatura sobre o acolhimento dos indígenas nos serviços de saúde. Métodos: Trata-se de uma revisão integrativa da literatura (RIL). A busca se deu nas bases de dados LILACS, SCIELO, MEDLINE e PUBMED. Foram utilizados os descritores indexados no DeCS em português e espanhol: “Acolhimento”; “Assistência à saúde”, “Saúde Indígena” com os operadores booleanos “AND” e “OR”. Foram incluídos estudos, artigos, diretrizes e publicações completas, sobre acolhimento em saúde publicados no período de 2012 a 2023. Foram excluídos artigos duplicados, estudos que compreendiam o acolhimento como sinônimo de abrigamento institucional e que abordavam o acolhimento restringindo a população de usuários. Foram encontrados 111 documentos. Após leitura, foram selecionados 13 artigos. Resultados: O estudo permitiu analisar os aspectos relacionados à prática do acolhimento na área da saúde, verificando diferentes perspectivas e contextos, incluindo a atuação da enfermagem na saúde indígena, a percepção da equipe de enfermagem sobre humanização e acolhimento e os desafios para sua implementação. Considerações finais: Desafios necessitam ser reconhecidos, compreendidos e ultrapassados, sobretudo no contexto da saúde indígena que enfrenta a escassez de recursos, infraestrutura deficiente, diferenças culturais, linguísticas e sociais, além da negligência e abandono por parte das autoridades.
O uso de tecnologias educativas como ferramenta de ensino e aprendizado na gestão de leitos de urgência e emergência
Authors: Monteiro Francileni Carvalho , Cruz Fernanda Tainá Oliveira da , Campos Cleber Leonardo de Souza , Ferreira Ilma Pastana , Cunha Gecila Amoedo da , Soeiro Ana Cristina Vidigal , Borges Sâmia Cristine Rabelo , Barbosa Socorro Nazaré Araújo Almeida , Brito Caio Vinicius Botelho , Normando Valeria Marques Ferreira
Published: October 2024

Objetivo: Discutir a utilização de Tecnologias Cuidativas-Educacionais na formação de residentes multiprofissionais quanto a atuação do núcleo interno de regulação de leitos de urgência e emergência. Revisão bibliográfica: Os programas de residência visam a qualificação profissional e integração de saberes. O Núcleo Interno de Regulação surge como uma estratégia para uma gestão mais eficiente da Rede de Atenção à Saúde (RAS), muito necessário para garantir o acesso do usuário em tempo oportuno. As Tecnologias Cuidativas-Educacionais são mencionadas como ferramentas para promover cuidado reflexivo e educação em saúde, contribuindo para uma assistência baseada em evidências. Considerações finais: O programa de residência multiprofissional é essencial para formar profissionais capacitados na assistência e gestão do serviço, incluindo o núcleo interno de regulação. Treinamentos regulares, tecnologias cuidativas-educacionais validadas e aprimoramento do Núcleo Interno de Regulação visam garantir a segurança do paciente e atingir metas de qualidade, como comunicação eficaz e redução de filas de espera.
Custo-benefício do WALANT da cirurgia ambulatorial da síndrome do túnel do carpo
Authors: Macêdo Kássio Rodrigues de , Sanchez Alessandro Uono , Lins Esdras Marques , Perruci Mirella Allouchie , Heilmann Rodrigo Mendes , Rolim Filho Epitácio Leite
Published: October 2024

Objetivos: Comparar tempo de procedimento, custos e intercorrências, entre os procedimentos para correção da STC utilizando a técnica WALANT em ambulatório e no centro cirúrgico convencional. Métodos: Trata-se de um ensaio clínico randomizado com 47 pacientes, com indicação absoluta de realização de cirurgia, submetidos ao procedimento cirúrgico de abertura do Ligamento transverso do carpo. Os pacientes foram sorteados em um grupo que fez a cirurgia ambulatorial e outro no centro cirúrgico convencional, avaliou-se tempo de procedimento, custo total e intercorrências peri-operatórias. As variáveis e medidas de resultado foram plotadas e submetidas ao teste de normalidade de t-student, foram utilizados os testes Qui- quadrado e de Mann Whitney, quando indicados, utilizando-se o software SPSS (versão 21). Resultados: Entre os 47 pacientes, 25 foram submetidos ao procedimento em ambiente ambulatorial e 22 no centro cirúrgico convencional. Observou-se, um menor tempo de preparo, de cirurgia e de internamento dos pacientes do grupo ambulatorial. Neste grupo, também se observou menor custo e menos intercorrências. Conclusão: A técnica WALANT empregada ambulatorialmente, para a cirurgia de descompressão do túnel do carpo é segura, eficaz e proporciona um menor tempo de internamento hospitalar, uma diminuição significativa nos custos médico-hospitalares e menores casos de intercorrências.
Análise do perfil epidemiológico do câncer colorretal no estado de Minas Gerais em 2022
Authors: Sampaio Isabelle Coelho , Bastos Carolina de Oliveira , Santos Letícia de Paula , Corrêa Mônica Isaura
Published: October 2024

Objetivo: Realizar uma análise do perfil epidemiológico dos pacientes com Câncer Colorretal (CCR) em Minas Gerais no ano de 2022. Métodos: Trata-se de um estudo retrospectivo, analítico, observacional, e transversal, de abordagem quantitativa, baseado em dados que compõem o DATASUS e o INCA. Foram selecionados dados de incidência e mortalidade referente ao câncer colorretal, sendo o local de estudo o estado de Minas Gerais, no período de 2022. Resultados: A incidência do câncer colorretal em Minas Gerais em 2022 foi de 5.100 em valor absoluto, já a mortalidade foi de 2.204. Nota-se que a incidência quanto a mortalidade é maior na faixa etária de 60 a 69 anos. Além disso, não se percebe diferença significativamente estatística entre os sexos. Conclusão: O CCR é um problema de saúde pública, o que ressalta a importância da triagem adequada desta patologia, acrescido de estímulos de hábitos de vida saudáveis, a fim de diagnosticar nas formas precoces, aumentando a sobrevida e diminuindo a mortalidade por CCR.
Jogos de realidade virtual imersiva no tratamento da doença de Parkinson
Authors: Lima Isaque de Pinho , Silva Ellen Cristine Ferreira da , Silva Maria Beatriz Barbosa da , Carmo Aline Araujo do , Macedo Osmair Gomes de , Leal Josevan Cerqueira , Mendes Felipe Augusto dos Santos
Published: October 2024

Objetivo: Avaliar a usabilidade e viabilidade de quatro jogos de Realidade Virtual Imersiva (RVI) como possível tratamento para disfunções de membros superiores em pacientes com Doença de Parkinson (DP). Métodos: Participaram deste estudo 10 pacientes com sintomas moderados de DP segundo a classificação de Hoehn e Yahr. A usabilidade dos jogos e do dispositivo foi avaliada por meio de questionários como Sickness Simulator Questionnaire (SSQ), System Usability Scale (SUS), Game Experience Questionnaire (GEQ post-module) e a escala de Borg modificada. As pontuações dos jogos em duas sessões de treinamento, separadas por um intervalo de 30 minutos, foram registradas como medida de viabilidade do treinamento. Resultados: A usabilidade do sistema foi considerada "melhor imaginável" (94,5/100) conforme a SUS. Os efeitos colaterais foram classificados como “sintomas mínimos” (9,3 pontos no SSQ) e não interromperam o treinamento. Os jogos e o dispositivo alcançaram 3,85/4 pontos no GEQ. Os participantes melhoraram significativamente em todos os quatro jogos entre a primeira e segunda sessões de treino. Conclusão: As pontuações nos jogos aumentaram progressivamente. Os resultados sugerem a usabilidade e viabilidade dos jogos de RVI, porém, estudos mais amplos são necessários para confirmar esses resultados preliminares.
Distribuição espacial dos dados da experiência do paciente
Authors: Monteiro Camila Negrão , Sousa Júnior Alcinês da Silva , Modesto Camila Corrêa , Souza Carlos Jefferson Santana de , Moraes Pilar Maria de Oliveira , Santos Valéria Regina Cavalcante dos , Nunes Heliana Helena de Moura
Published: October 2024

Objetivo: Conhecer a aplicação do georreferenciamento na pesquisa da experiência do paciente em um hospital referência da região norte do Brasil. Métodos: Este estudo, de natureza descritiva e abordagem quantitativa, foi aprovado pelo Comitê de Ética em Pesquisa da Fundação Santa Casa de Misericórdia do Pará (FSCMPA), sob o parecer consubstanciado nº 5.081-CEP/FSCMPA. Resultados: A tecnologia desenvolvida apresenta quatro painéis, sendo possível visualizar no painel principal dados georreferenciados. Adotou-se a divisão por macrorregião de saúde, regiões de saúde e centros regionais de saúde que são utilizados pelo Ministério da Saúde e pela Secretaria de Saúde do Estado do Pará. A maior quantidade de respondentes é a macrorregião I, com 249 registros. A macro I é composta por 30 municípios, estando os seis municípios que compõem a Região Metropolitana de Belém inseridos nessa macrorregião, que está em consonância com o volume de atendimento nesta linha maior. Conclusão: O uso do georreferenciamento como ferramenta de gestão para análise através de mapas dinâmicos com dados da pesquisa da experiência do paciente mostrou-se um instrumento valioso para a visualização espacial da origem dos pacientes que são atendidos.
Enhancing Fishing Efficiency with Geographic Information System and Optimized Methods
Authors: Santosa Anisa Fitri , Arfianto Afif Zuhri , Hasin Muhammad Khoirul , Sutrisno Imam , Sukoco Didik , Riananda Dimas Pristovani
Published: October 2024

Traditional fishing techniques frequently lack efficiency and optimization, resulting in fishermen obtaining unsatisfactory yields. This study presents a novel approach by incorporating Geographic Information System (GIS) technology, notably utilizing Leaflet, to improve fishing techniques. The suggested system incorporates a LoRa node tool that logs the journeys of fishermen, offering comprehensive itineraries and data on the distribution of fish and unfavorable weather conditions. Notable outcomes were attained by employing the haversine approach to compute distances between the LoRa Gateway and different data points. The approach exhibited a negligible error margin of 0.157% in contrast to the calculations performed in Excel. In addition, the GPS accuracy testing produced remarkable results, with latitude and longitude errors of 0.000116% and 0.000002%, respectively. The LoRa system demonstrated a range of RSSI performance, with values ranging from -57 dBM at 50 meters to -121 dBM at 1500 meters. This range of performance guarantees dependable transmission of data over significant distances. The findings underscore the GIS-based strategy's efficacy in enhancing the effectiveness and precision of conventional fishing methods, presenting a promising technical improvement for the fishing sector.
Enhancing Cybersecurity through AI-Powered Security Mechanisms
Authors: Akhtar Zarif Bin , Tajbiul Rawol Ahmed
Published: October 2024

In the rapidly evolving landscape of digital technology, the proliferation of interconnected systems has brought unprecedented opportunities and challenges. Among these challenges, the escalating frequency and sophistication of cyberattacks pose significant threats to individuals, organizations, and nations. In response, the fusion of Cybersecurity and Artificial Intelligence (AI) has emerged as a pivotal paradigm, offering proactive, intelligent, and adaptable defense mechanisms. This research explores the transformative impacts of AI-powered security on cybersecurity, demonstrating how AI techniques, including machine learning, natural language processing, and anomaly detection, fortify digital infrastructures. By analyzing vast volumes of data at speeds beyond human capacity, AI-driven cybersecurity systems can identify subtle patterns indicative of potential threats, allowing for early detection and prevention. The exploration consolidates existing studies, highlighting the trends and gaps that this research addresses. Expanded results and discussions provide a detailed analysis of the practical benefits and challenges of AI applications in cybersecurity, including case studies that offer concrete evidence of AI's impact. Novel contributions are emphasized through comparisons with other studies, showcasing improvements in accuracy, precision, recall, and F-score metrics, which demonstrate the effectiveness of AI in enhancing cybersecurity measures. The synergy between AI and human expertise is explored, highlighting how AI-driven tools augment human analysts' capabilities. Ethical considerations and the "black box" nature of AI algorithms are addressed, advocating for transparent and interpretable AI models to foster trust and collaboration between man and machine. The challenges posed by adversarial AI, where threat actors exploit AI system vulnerabilities, are examined. Strategies for building robust AI security mechanisms, including adversarial training, model diversification, and advanced threat modeling, are discussed. The research also emphasizes a holistic approach that combines AI-driven automation with human intuition and domain knowledge. As AI continues to rapidly evolve, a proactive and dynamic cybersecurity posture can be established, bolstering defenses, mitigating risks, and ensuring the integrity of our increasingly interconnected digital world.
Формирование ценностно–ориентированной стратегии России в условиях когнитивной войны
Authors: Смирнова О.О.
Published: October 2024

На фоне формирования государственной политики по сохранению и укреплению традиционных российских духовно-нравственных ценностей, на первой место сегодня выходит вопрос: насколько же сильны наши установки, наши знания, наши привычки поведения, чтобы на них нельзя было повлиять. Одновременно с этим, одной из основных целей развернутой западом когнитивной войны является атака на наши личностные ценности. Массированный информационный поток зачастую ориентирован на задачу сбить «ценностный прицел» при принятии решений, а различные информационные технологии способствуют этому. Вместе с тем, сформированные в ходе системного образовательного (учебного) процесса структуры знаний складывают комплексную картину мира, связаны с системами ценностей, эмоциями и чувствам. Структуры знаний приходят через эмоциональное восприятие тех или иных исторических событий, формируют определённые эмоции и чувство гордости за свою родину - являются более устойчивыми. Таким образом, основной вывод публикации, составляющий ее научную новизну, заключается в том, что новым методам информационной войны, использующим инструменты гуманитарные технологии, анализа больших данных, моделирования и прогнозирования, искусственного интеллекта и др. может противостоять система устойчивых личностных ценности, сформированная структурированной системой знаний на базе исторически-сложившегося культурно-ценностного кода. В этой связи при формировании ценностно-ориентированной стратегии и политики ключевым моментом должны быть не отрывочные мероприятия или учебные курсы, а комплексная система образования, которая формирует ценностные установки.
Область профессиональной деятельности: воздушный транспорт
Authors: Гончарова А.А. , Мирошниченко А.А. , Новиков П.Н.
Published: October 2024

Статья является продолжением, проводимых ФГБУ «ВНИИ труда» Минтруда России ежегодных исследований, в которых изучаются развитие и изменения, происходящие в структуре различных областей профессиональной деятельности, отраслей. Исследуются структура и показатели, характеризующие определенную область профессиональной деятельности, виды профессиональной деятельности, изучаются новые профессии, изменения, происходящие в существующих профессиях, содержание профессиональной деятельности. Актуальность выбора обусловлена тем, что сфера[1]воздушного транспорта является стратегически важной, позволяет связать транспортными потоками всю территорию Российской Федерации, что способствует развитию экономики страны, поддержанию суверенитета и безопасности. Однако в настоящее время воздушный транспорт, базирующийся на двух основных составляющих (авиация и транспорт), функционирует в условиях жесточайших санкций. В сложившейся геополитической обстановке важное значение имеют развитие существующих видов профессиональной деятельности, профессий, появление новых. В статье рассматривается структура, характеризующая сферу воздушного транспорта, ее развитие, относящиеся к ней виды профессиональной деятельности, профессиональные стандарты.
التسويق الحسي ودوره في تعزيز الأداء التسويقي
Authors: سليم ريفنك , رشيد ميفان , صالح سامي
Published: October 2024

يهدف البحث الحالي إلى دراسة التسويق الحسي ودوره في تعزيز الأداء التسويقي في مطاعم الأربعة والخمسة نجوم في مدينة دهوك، اذ يعد التسويق الحسي من المداخل التي يمكن ان تساعد المنظمات في زيادة ربحيتها وتعزيز أدائها التسويقي، كون الزبائن غالبا ما ينجذبون نحو العلامة التجارية على أساس تجربتهم الحسية، وأستخدم الباحثين المنهج الوصفي التحليلي، وقد تم اعتماد استمارة الاستبانة لاستطلاع اراء عينة البحث، والمتمثلة بالعاملين في مطاعم الأربعة والخمسة نجوم في مدينة دهوك البالغ عددهم (71) عاملا ومن خلال بعض الأساليب الإحصائية تم تحليل النتائج واختبار الفرضيات، وفيما تدل اهم استنتاجات البحث بوجود اثر معنوي للتسويق الحسي في تعزيز الأداء التسويقي، وكان اكبر تأثير معنوي علی مستوی الأبعاد من نصيب بعد الترويج الحسي، مقابل اقل تأثير معنوي لبعد التسعير الحسي في الأداء التسویقي. في حين تمثلت اهم المقترحات في وضع سياسات تسعيرية تراعي فيها اختلاف في مستويات الدخل للزبائن واستهداف الجانب العاطفي والادراكي للزبائن من خلال استخدام الانارة، الالوان، الموسيقى، والتصاميم والاشكال الملفته للانتباه.
THE SOCIO-CULTURAL CONTEMPORANEITY AND ITS INTERACTION WITH CHRISTIAN MORALITY
Authors:   University of Alba Iulia, ROMANIA., Andrei Alexandru GRIGORESCU
Published: October 2024

In the midst of a secularized ethos, the rejection of moral reference points often results in a misguided sense of liberation. This article delves into the conflict between Christian Orthodox morality and secular ethics, emphasizing the detrimental consequences of sidelining the Church's guidance. The modern individual may unknowingly stray into moral abysses, oblivious to the erosion of ethical foundations. The postmodern conception of freedom, which emerges from the rejection or avoidance of axiological alignment with the life of the Church, it is far from being liberating, leading to profound imbalance. The article extends its scrutiny to the contemporary globalist ideology, which contributes to the erosion of the ontological significance of human existence by downplaying the role of religion. It is also emphasized the urge of reestablishing a plenar connection with the Church's moral framework as the antidote to the perceived moral atrophy and the unfulfilling nature of a seemingly boundless but directionless postmodern freedom.
THE EXERCISE OF TEACHING POWER AND ITS CANONICAL BASES
Authors:   Ovidius” University of Constanța ROMANIA, Cătălina . MITITELU
Published: October 2024

Since the participation of the two constituent elements of the Church, clergy and laity, in the administration of her teaching power, through acts of preaching, spreading, defending the Christian faith, formulating the truths of faith, etc., has both a scriptural and a canonical basis, in the pages of this canonical study we have examined both texts, to which we have given the necessary doctrinal clarifications. In order to show the canonical basis for the exercise of this teaching power, I have referred to the text of some canons (apostolic, ecumenical and local), which I have explained taking into account the canonical doctrine of the Eastern Church, which also confirms that the power of the Church comes from its Founder, that is, from our Lord Jesus Christ, and has been transmitted through His Holy Apostles and their successors, that is, through the bishops of the Ecumenical Orthodox Church (Universal/Catholic). According to this canonical doctrine, only the bishops of the Church are the "de jure" administrators of this power. Priests and laity can and do carry out acts of administration of ecclesiastical power, including teaching power, but only with the approval of the local hierarch, and within the limits of the power they have received through the Sacrament of Holy Baptism or through the Holy Sacrament of Ordination, as both the texts of the holy canons and the commentaries of some reputed canonists of ecumenical Orthodoxy show
A CRITICAL ANALYSIS OF THE BISHOPS᾽ SIGNATURE SEQUENCE IN THE LETTER OF MOESIA SECUNDA IN ENCYCLIA, AD 457–458
Authors:   Ovidius” University of Constanța ROMANIA, Ionuț HOLUBEANU
Published: October 2024

This study investigates the principle guiding the order in which the hierarchs of Moesia Secunda signed the response epistle addressed to Emperor Leo I (r. 457– 474) during the religious investigation known as the Encyclia (AD 457–458). The analysis marks the first detailed examination of this topic since T. Schnitzler's initial inquiry, which suggested that the bishops’ signatures were arranged in descending order of their tenure in the episcopate. The investigation undertaken here confirms the thesis of the German researcher. Furthermore, the correlation of the data from Encyclia with those from the signing lists of the First Council of Ephesus (431) and those from the Notitiae Episcopatuum of the Church of Constantinople led to the conclusion that there was no hierarchy among the ordinary bishoprics of Moesia Secunda at least until AD 536. Until then, when the metropolitan see of Marcianopolis was vacant, the ecclesiastical leadership in the province was assumed by the bishop with the longest tenure in the episcopacy. It is possible that in AD 536, as part of the extensive ecclesiastical reorganization that took place in Moesia Secunda, the status of protothronos (‘πρωτόθρονος,’ the first-ranked ordinary bishopric) may have been introduced in the province. In such a case, the rank was most likely assigned to the see of Novae (now Svishtov, Bulgaria).
THE EVOLUTION OF CHRISTIAN ICONOGRAPHY IN THE VI-VII CENTURIES
Authors:   ", Cristian GAGU ,   Dunărea de Jos",   University of Galați, ROMANIA
Published: October 2024

The II-III centuries represented the period of the birth of Christian sacred art through Christians imitating the custom of pagans, from whose ranks most of them came, to decorate their graves, sarcophagi or mausoleums with images and even by borrowing some pagan symbols and themes, to which they obviously gave a new, Christian meaning, to which, of course, exclusively Christian themes were added, most often of biblical origin, most of them having a narrative-historical character. In the 4th-5th centuries, under the careful supervision of the Church, a synthesis was made regarding the themes addressed, by abandoning some, by taking over others from the imperial imaginary, prevalence acquiring a dogmatic character, from the desire to express and through the mediation of figurative art, not only through the poetic, transposed into songs, the truths of faith formulated at the first four ecumenical synods, but also in terms of styles. In this second stage of the history of Christian sacred art, especially in the 5th century, as a result of the synthesis achieved in the capital of the empire between the two great artistic currents that manifested themselves in painting, the Hellenistic-Alexandrian and the SyroPalestinian, was formed the Constantinopolitan painting school and the stylistic features specific to this school crystallized . The present study aims to point out the main characteristics and developments of Christian sacred art in the Byzantine Empire starting from the time of Emperor Justinian I until the outbreak of Byzantine iconoclasm.
THE IMPACT OF ARTIFICIAL INTELLIGENCE (AI) ON SPIRITUAL LIFE, FROM THE PERSPECTIVE OF CHRISTIAN ORTHODOXY
Authors:   Ovidius” University of Constanța ROMANIA, Nicușor MORLOVA
Published: October 2024

Artificial Intelligence, as a manifestation of human ingenuity, has fundamentally transformed many aspects of our daily life. The present article aims to explore the multifaceted implications of AI on the spiritual life of humankind, and the define of the personal identity, specifically from the perspective of Christian Orthodoxy. While AI offers unprecedented advantages in various sectors, its intersection with spirituality poses both challenges and opportunities. This exploration addresses the shifting paradigms of belief, the human desire for connection or escape from daily reality, and the evolving definitions of soul, purpose, and spiritual ascendence
CONCEPT IMAGE AND CONCEPT DEFINITION SCHEMES AS TOOLS FOR ANALYZING STUDENTS’ COMPREHENSION OF LIMIT OF A FUNCTION
Authors: Messias Maria Alice de Vasconcelos Feio
Published: October 2024

This paper aims to analyze one’s understanding of limit of a function based on Concept Image and Concept Definition schemes, which can be used as powerful tools in research that have mathematical comprehension as part of their object of study. For that, we developed and applied a set of tasks involving limits of functions to students who had already been in a Calculus course. Vinner’s study about concept image and concept definition was the theoretical framework of this paper. The results obtained let us observe the plurality of interpretations about limits and other adjacent concepts, which allowed us to trace, in this paper, a reflection upon the cognitive conflicts concerning the (lack of) understanding of these concepts.
Peculiarities of pulmonary arterial hypertension development in patients with chronic tuberculous pleural effusion
Authors: Duzhiy I. D. , Elastal R. Z. , Pak V. Y. , Mironov P. F.
Published: October 2024

Objective. To study the peculiarities of pulmonary arterial hypertension in patients with chronic tuberculous pleural effusion and to evaluate the possibilities of an indirect method of its diagnosis as a screening measure.
Materials and Methods. Catheterization of the right heart is considered the "gold standard" for determining pulmonary artery pressure. The known etiopathogenic agents due to pulmonary hypertension cause the development of pulmonary heart, in the presence of which the patient will have an undesirable outcome in the next 3 years. Every year, new patients with pulmonary arterial hypertension are identified. In our opinion, chronic pleurisy affects the development of this complication, which led us to study the problem.
Results. Indicators of pulmonary arterial hypertension depended on the stage of chronicity of pleurisy: in the presence of stage II, they were higher. After pleurectomy on the 8th - 10th day, the pressure in the pulmonary artery decreased by 10 - 24 mm Hg.
Conclusions. The pressure of pleural effusion on the lung reduces the venous pool and is transmitted to the pulmonary artery, which is accompanied by the release of a number of substances, including serotonin, which cause broncho- and vasospastic reactions. After pleurectomy on the 8th - 10th day, the pressure in the pulmonary artery decreases in most patients, which confirms the effect of the stage of chronic pleurisy on pulmonary hypertension.
Early arrhythmia after cardiac surgery in children with congenital heart disease
Authors: Yakimishen O. O. , Boyko S. M. , Truba Y. P.
Published: October 2024

Objective. To analyze the frequency and risk factors for arrhythmia in children with congenital heart disease in the early period after cardiac surgery.
Materials and methods. A retrospective analysis of the incidence and risk factors for arrhythmia in 285 children who underwent cardiac surgery in the Department of Surgical Treatment of Congenital Heart Diseases in Newborns and Young Children at the Amosov National Institute of Cardiovascular Surgery of the National Academy of Medical Sciences of Ukraine for the period from 2021 to 2023 was performed. There were 202 children under the age of 18.
Results. In the early postoperative period, heart rhythm disturbances occurred in 53 (26.2%) of 202 patients: 28 had supraventricular tachycardia, 16 had bradyarrhythmia (atrioventricular block), 6 had ventricular tachycardia, and 3 had nodal ectopic tachycardia. It was found that plastic surgery of the interventricular and atrial septal defect in isolation or in combination with interventions for other defects (Fallot's tetrad, transposition of the great vessels, atrioventricular communication) and bidirectional and total cavopulmonary anastomoses are associated with a high risk of arrhythmia. Statistically significant (p < 0.05) risk factors for arrhythmia were: lactate level of more than 2 mmol/L, duration of cardiopulmonary bypass more than 185 minutes, duration of aortic clamping more than 67 minutes.
Conclusions. Arrhythmia often complicates the course of the early period after cardiac surgery in children and requires timely and correct action. Prolonged cardiopulmonary bypass, aortic constriction, and lactatidosis are risk factors for arrhythmia. Plastic surgery of the interventricular and atrial septal defects, as well as palliative reconstructive heart surgery, are associated with frequent cardiac arrhythmias in the early postoperative period.
Evaluation of vascular invasion in pancreatic head tumors and its impact on radical surgical treatment
Authors: Shkarban V. P. , Savytskyi A. O.
Published: October 2024

Objective. To evaluate the informativeness and sensitivity of radiological criteria for vascular invasion in pancreatic head tumors in comparison with intraoperative data and results of routine pathological examination.
Materials and methods. The study included 98 patients with ductal adenocarcinoma of the pancreatic head with suspected venous invasion and spread of tumor growth along the vessels of the portomesenteric axis, who were operated on at the Department of Pancreatic and Bile Duct Surgery of the National Research Center of Surgery and Transplantation named after O. A. Shalimov in the period from 2019 to 2023. Group 1 included 51 (52.0%) patients who underwent radical surgery with resection of the superior mesenteric/hepatic portal vein and extended lymph and neurodissection, and group 2 included 47 (48.0%) patients who had positive vascular margins of pancreatic resection according to routine pathological examination. Diagnostic criteria for vascular alterations were developed. A comparative analysis of the informativeness of the developed criteria and the results of a routine pathological examination was performed.
The edges of the pancreatic resection were evaluated, including the neck of the gland, common bile duct, duodenum/gastric duct, and the bed of the superior mesenteric/hepatic portal vein and superior mesenteric artery separately. R1 status was defined as the presence of tumor cells at a distance of less than 1 mm to the resection margin.
Results. According to the criteria of the National Comprehensive Cancer Network (NCCN) 2023.2, 61 (62.2%) patients had a marginally resectable stage of ductal adenocarcinoma of the pancreatic head and tumor contact with the superior mesenteric/hepatic veins according to multislice computed tomography of the abdominal cavity. In group 1, there were 36 (70.6%) such patients, in group 2 – 25 (53.2%). According to the proposed radiologic criteria for vascular invasion, tumor contact with the superior mesenteric/hepatic portal veins was suspected in 76 (77.6%) patients, which is higher than in the standard approach. Determination of vascular alterations according to the results of our study is a more reliable method for diagnosing invasion of the superior mesenteric/hepatic portal vein (χ2 = 5.46, p = 0.019) and predicting the performance of radical surgery, including vascular resection.
Conclusions. The proposed criteria for the radiological diagnosis of vascular invasion at the preoperative stage increased the sensitivity of this method from 62.2 to 77.6%. The most frequent radiological signs of vascular alteration are vascular wall irregularity (47.7%) and parapancreatic tissue density (62.5%). In the presence of any of the radiological signs of vascular alteration, resection of the affected area of the superior mesenteric/hepatic portal vein with extended lymph and neurodissection is indicated, which allows a statistically significant increase in the number of R0 resections.