bluuebunny/crossref_metadata_2025 huggingface dataset:
Indústria e saúde 4.0 no auxílio ao enfermeiro na prevenção da lesão por pressão: revisão sistemática
Authors: Balbino Carlos Marcelo , De Queiroz Ayarah Santana , Da Silva Diana Aline , Purcina Vitória de Castro , Ribeiro Carolina Baptista , De Oliveira Davi Fideles , Loureiro Lucrécia Helena
Published: January 2024

O objetivo deste estudo visou identificar as inovações tecnológicas disponíveis para o auxílio do enfermeiro que quando associadas à mudança de decúbito contribuem para a prevenção de lesão por pressão. Tratou-se de uma revisão sistemática utilizado o roteiro proposto na metodologia do PRISMA, originando os termos de buscas em conformidade com os Descritores em Ciências da Saúde: Lesão Por Pressão AND Tecnologia AND Tratamento AND Enfermagem, foram consultadas as bases: Biblioteca Virtual de saúde, Scopus, entre 2013 e 2023, selecionados artigos nos idiomas inglês, português, na íntegra, os dados coletados foram analisados, discutidos e apresentados através de quadro demonstrativo. Foram elencados para a revisão deste estudo após a utilização dos critérios de inclusão 10 artigos. Identificou-se após a análise dos dados obtidos que as principais tecnologias utilizadas na prevenção de lesão por pressão dentre as tecnologias leves a implementação de protocolos e o conhecimento sobre o tema se destacou, dentre as tecnologias leves-duras a escala de Braden foi a mais utilizada pela equipe de enfermagem e dentre a tecnologia dura a terapia por pressão negativa e sites relacionados a divulgação de métodos preventivos se destacam. Concluiu-se que existe uma necessidade de melhoria de pesquisas no que tange aos estudos isso permitirá uma compreensão mais profunda dos fatores de risco, das mudanças na condição da pele e dos resultados ao longo prazo das estratégias de prevenção e estudos voltados para a avaliação de custos e benefícios relacionados às tecnologias relacionadas à prevenção da lesão por pressão.
O contexto imediatista: visão de treinadores das categorias de base do futebol brasileiro
Authors: Caríssimo João Marcelo Niquini , Rosa Everton Honorato Santos , Moreira Renato Lopes , Ferreira Renato Melo
Published: January 2024

Introdução: O treinador é uma peça fundamental no futebol, entretanto, observa-se uma cultura imediatista no trabalho dos treinadores que vem atingindo as categorias de base. Objetivo: O objetivo do estudo é identificar a visão de treinadores de categorias de base do futebol brasileiro sobre o contexto imediatista. Metodologia: A amostra conteve sete treinadores de categoria de base do futebol nacional masculino, pertencentes a times que disputaram as principais competições no ano de 2021. Utilizou-se um roteiro de entrevista semiestruturada, sendo norteada por um questionário com o enfoque em conteúdos referente ao contexto imediatista. Resultados: Os resultados encontraram discussões que englobam o impacto negativo da pressão por resultados a curto prazo, que pode influenciar no ensino-aprendizado-treinamento do futebol de maneira pouco eficaz para o desenvolvimento do atleta. Conclusão: Conclui-se que a realidade da exigência e planejamento no trabalho dos treinadores merece uma reformulação e reflexão para mudanças, no intuito de alcançar produtividade e eficácia no treino, e consequentemente, no jogo, principalmente se tratando de categorias de base, para realizar um desenvolvimento formativo mais eficaz nos âmbitos esportivos e sociais.
Double W/O/W emulsion is effective for carrying calcium and vitamin D
Authors: Madalão Marina Carvalho Martins , Simiqueli Andréa Alves , Minim Pedro Rodrigues , Costa Ana Alice da Silva Xavier , Minim Luis Antonio , Minim Valéria Paula Rodrigues
Published: January 2024

A double emulsion is a promising system to facilitate the fortification process of nutrients such as calcium and vitamin D, as it protects vitamin D from oxidation and calcium from interactions with food proteins. The aim of this work was to produce Wi/O/We type double emulsions carrying vitamin D and calcium. The influence of the proportion of aqueous phase Wi/We (10/60, 15/55 and 20/70) and the concentration of polyglycerol polyricinoleate (PGPR) emulsifier (2.0, 2.5 and 3.0% w/w) on the kinetic stability of the emulsions over 13 days of storage was evaluated. For this, the following were analyzed: zeta potential, rheological properties (flow curve and viscoelasticity), entrapment efficiency (EE), and kinetic stability (KS) of calcium localization, microstructure, and macroscopic stability of the W/O/W emulsions, as well as the interfacial tension of the primary emulsions (Wi/O). The highest EE and KS of calcium localization were observed in treatments with smaller proportions of internal aqueous phase, regardless of the PGPR concentration. Therefore, an aqueous phase proportion of 10/60 combined with 2% PGPR is recommended.
Distribuição espacial dos casos de febre do Nilo Ocidental em um estado do nordeste brasileiro
Authors: Lemos Matheus Henrique da Silva , Lopes Filho Lauro Lourival , Costa Maria Amélia de Oliveira , Sousa Júnior Vicente de Paula , Da Silva Filipe Melo , Pinto Raydelane Grailea Silva , De Queiroz Bruna Furtado Sena , Sousa Maria das Graças de Melo
Published: January 2024

Objetivo: Analisar a distribuição espacial da Febre do Nilo Ocidental no estado do Piauí no período de 2015 a 2019. Métodos: Trata-se de estudo epidemiológico do tipo ecológico, de caráter quantitativo, analítico, descritivo e retrospectivo, conduzido entre dezembro de 2020 a setembro de 2021. A população foi composta pelos casos registrados de febre do Nilo no Sistema de Informação de Agravos de Notificação (SINAN), coletados por meio de instrumento elaborado e adaptado pelos pesquisadores. Os dados foram analisados por meio software livre Qgis para verificar a distribuição espacial e aplicada análise descritiva exploratória para verificar a consistência dos dados. Resultados: Foram identificados 185 casos notificados e 5 casos confirmados de Febre do Nilo no estado do Piauí, sendo Teresina a cidade com maior número de notificações. Quanto ao perfil de acometimento, observou-se a maior parte dos casos notificados no ano de 2015, na população masculina, na faixa etária de 20 a 34 anos, raça parda e com escolaridade ignorada. Conclusão: Neste sentido, o presente estudo possibilitou uma visão maior sobre a distribuição e da Febre do Nilo no Piauí, mostrando os municípios com mais notificações e disseminação, possibilitando subsídios para elaboração e implantação de estratégias de prevenção e controle.
A ideia do cidadão virtuoso: a participação tida como ideal
Authors: Mello Maria Eduarda Cavalcanti de Albuquerque
Published: January 2024

Ao longo da história, várias teorias foram desenvolvidas em torno da democracia e do que seria o fundamento prático da participação, ora girando em torno de conceitos como “soberania popular” ou “participação popular”, ora apontando para uma ideia dessa advinda do liberalismo, no qual certos princípios e ideias-chaves como a de direitos individuais e liberdades civis, é a ideia fundante dessa participação. Essa concepção liberal da democracia acabou por tornar-se hegemônica e sua expansão global trouxe consigo a ideia do que seria a participação tida como ideal e, portanto, a construção da ideia do cidadão virtuoso. Utilizando o método qualitativo, este trabalho propõe apresentar as questões que brotam da discussão acerca desses conceitos, e trazer uma crítica ao conceito de cidadão virtuoso, da participação vista como ideal.
Restrição luminosa e o manejo químico com glyphosate sob a resposta fisiológica de Urochloa brizantha
Authors: E Silva Matheus Sales Nogueira , De Oliveira Victor Augustus Vasconcelos , Donato Luan Mateus Silva , De Souza Richardson Fernandes , Duarte Sérgio Murilo , Ferreira Guilherme Augusto de Paiva , Barros Rodrigo Eduardo , Santos Leonardo David Tuffi
Published: January 2024

A ação do glyphosate na fisiologia e no controle de Urochloa brizantha cultivada sob restrição luminosa é pouco conhecida. Buscou-se avaliar a influência da restrição luminosa e da aplicação de glyphosate na fisiologia de U. brizantha e sua relação com o controle pelo herbicida. O experimento foi conduzido em campo no delineamento em blocos casualizados, com 5 repetições, no esquema de parcelas subdivididas. Nas parcelas alocaram-se três tipos de ambientes, sendo pleno sol, sombreamento intermitente com três horas de exposição direta de luz e sombreamento contínuo, e nas subparcelas as doses 0, 480, 960 e 1440 g. e. a. ha-1 de glyphosate. Aos 14 dias após aplicação foram avaliados o controle pelo glyphosate, a taxa fotossintética, condutância estomática e a taxa transpiratória, a eficiência quântica do fotossistema II, taxa de transporte de elétrons e a razão entre a fluorescência variável e máxima (Fv/Fm) e determinou-se a eficiência do uso da água (EUA). O controle foi acima de 80% no ambiente com sombreamento contínuo a partir da dose 995 g ha-1 enquanto no pleno sol o controle não atingiu 60% na maior dose testada. A U. brizantha teve redução na taxa fotossintética de acordo com aumento das doses de glyphosate testadas. As doses de glyphosate causaram redução na EUA com ajuste quadrático da regressão ajustada. O sombreamento contínuo teve a EUA 36% menor que os demais ambientes, entretanto essa variável não diferiu entre o pleno sol e o sombreamento intermitente. A U. brizantha teve seu aparato fotossintético comprometido na menor dose testada (480 g ha-1) e isso foi agravado com a exposição das plantas aos sombreamentos, com reduções na taxa de transporte de elétrons de até 70%. As plantas não apresentaram variação na relação Fv/Fm entre os ambientes. Conclui-se que o glyphosate altera negativamente a fisiologia da U. brizantha independente da restrição luminosa. A ação do glyphosate é mais eficiente em planta sob restrição luminosa, com maiores dados nas variáveis fisiológicas analisadas.
Legal Protection Against Home Ownership Credit Debtors with the Flexibility of Banking Policies in Credit Agreements without the Creditor's Permission
Authors: Siregar Rahmad Nauli , Purba Hasim , Sembiring Idha Aprillyana , Maharany Utary
Published: January 2024

Introduction: The Job Creation Law's implementation in 2023 will significantly alter corporate rivalry and investment, particularly in the housing industry. This modification attempts to take into account the changing circumstances that both customers of housing and creditors or housing providers must deal with. Law Number 1 of 2011 further stipulates that all Indonesians in middle-class and lower-class economic categories must have access to livable housing.
 
Objective: This article's goals are to clarify the legal ramifications of moving credit with collateral as a home ownership credit object without the creditor's consent and to outline the legal safeguards available to new home ownership credit (KPR) debtors in Medan who are still obligated to their banks by collateral.
 
Methods: The laws and rules governing the distribution and financing of house ownership credit (KPR) in Indonesia are examined using a comparative legal analysis in this article. The efficacy of these regulatory actions is assessed by the author from a formal legal standpoint. The qualitative parameters of agreement laws in house ownership credit (KPR) are included in this study, along with the degree of legislative and banking policy development in Indonesia with regard to KPR financing.
 
Results: Based on the analysis of the Court Decision, the research results demonstrate that credit transfers without the creditor's consent, which are frequently done in society, can be said to be legally valid as long as there are no parties who are disadvantaged and the new debtor has good faith intentions to uphold the rights and obligations of a determined contract. When a credit transfer is done without the consent of the creditor or notary, it is considered legally void and loses legal protection in the event that the new debtor breaches the terms of the agreement between the old and new debtors. Additionally, the new debtor's failure to fulfill their obligations demonstrates their lack of good faith.
 
Conclusion: A policy regarding the validity of transferring home ownership credit (KPR) without the creditor's permission with provisions that do not cause losses to either the creditor or the new debtor should be developed in order to address the issue of legal protection for debtors of KPR who transfer without the creditor's consent.
Readiness Level of Bureaucratic Apparatus and its Impact on Online-Based Community Socio-Economic Development Program Services; Evidence from Tebing Tinggi City, Indonesia
Authors: Yulian Manda , Sirojuzilam  , Lubis Suwardi , Purwoko Agus
Published: January 2024

Background: The online-based social-economic development program has emerged as a prevalent bureaucratic service model in Indonesia, particularly at the municipal government level. The model has not been consistent across all service units despite the implementation in several agencies providing bureaucratic service. Therefore, this research aims to analyze the factors affecting the readiness of the community and apparatus in the implementation of the online-based government bureaucracy service model.
 
Method: The research with focus of research on the online-based government bureaucratic service system. This research uses descriptive and explanatory methods with a quantitative approach. Descriptive research is a study to describe in detail a particular phenomenon.
 
Results: The results show that understanding, technology mastery, mental and moral guidance, formal and informal education, as well as material and non-material incentives have a positive and significant impact on the readiness of the community and apparatus in providing online-based bureaucracy service. Furthermore, online-based social-economic development program services can accelerate the role of the community and apparatus in developing urban areas.
 
Conclusion: Tebing Tinggi City government and other similar city governments should focus and increase their attention to efforts to increase mastery of technology and moral development in the bureaucratic service apparatus, as well as build a performance-based equitable material incentive system. Improving the three aspects of apparatus readiness will encourage the realization of better community socio-economic development program services.
Legal Reasoning Judge's Decision in Civil Cases
Authors: Khalid Hasbuddin , Humaera  , Rahman Sufirman , Djanggih Hardianto
Published: January 2024

Introduction: Civil Procedure Law is a legal regulation that regulates how to ensure compliance with material civil law through the mediation of a judge. If there is a person or several people who feel that their rights have been violated or have caused harm to them, then they can file a claim for their rights through the court.
 
Objective: This research aims to know, understand, and discover the nature of legal reasoning (legal reasoning) regarding a Judge's decision in a civil case and to know, understand, and discover the juridical position of legal reasoning (legal reasoning) regarding the Judge's decision in a civil case; and to know and understand the factors that influence legal reasoning (legal reasoning) the Judge's decision in a civil case.
 
Method: The method used by researchers here is: In this research, combining two types of research, namely in this type of research, the researcher conducts research by combining both Normative and Empirical research with a Qualitative approach related to legal reasoning of judges' decisions in civil cases.
 
Result: The research results show that: 1) The nature of legal reasoning (Legal Reasoning) The Judge's Decision in Civil Cases is an effort made by using a scientific approach in seeking the truth regarding the upholding of norms based on Law Number 48 of 2009 Article 1 Paragraph 1 Concerning Judicial Power and in essence thinking, using, developing or controlling problems in the legal field by using reason, or what can be called legal reasoning. 2) Juridical Position of Legal Reasoning (Legal Reasoning) Regarding the Judge's Decision in Civil Cases, it can be seen from the aspect of justice that it is a logical implementation of legal norms in the sociological dimension of law, from the aspect of the truth of a decision, legal reasoning is a consequent form of the logical and analytical nature of law. 3) Factors that influence this include Legal Culture Factors, Knowledge and Understanding of the Law Factors, and Evidence Factors.
 
Conclusion: The Essence of Legal Reasoning (Legal Reasoning) of Judges' Decisions in Civil Cases is an effort made by using a scientific approach in seeking the truth regarding the upholding of norms based on Law Number 48 of 2009 Article 1 Paragraph 1 Concerning Judicial Power and in essence thinking, using, developing or controlling a problem in the legal field by using reason, or what could be called legal reasoning.
Digital Justice “Model of the United Arab Emirates"
Authors: Al Kattan Mhd Samer
Published: January 2024

Objectives: The research aims to study the concept of digital justice and explore the requirements for transforming the justice system, shifting from traditional and paper-based justice to a generally intelligent digital justice. The study also delves into the experience of the United Arab Emirates in this regard.
 
Methodology: The research employed descriptive and analytical approaches in examining legal texts, jurisprudential opinions, and related articles. It was divided into three main sections: firstly, defining the nature of digital justice; secondly, addressing the requisites of digital transformation in the justice system in general; and thirdly, analyzing the experience of the United Arab Emirates in this transformation.
 
Results: Digital justice has become an imperative necessity for advancing the judicial system globally. It is no longer feasible to discuss comprehensive justice within a society without digitizing judicial procedures, wholly or partially, and facilitating access to legal and judicial information for those concerned. Achieving comprehensive digital justice necessitates robust and suitable legislative and material infrastructures, a pursuit that the United Arab Emirates has undertaken and continues to develop across its legal, judicial, and administrative entities involved in this matter.
 
Conclusion: The research advocates the ongoing development of digital justice in the United Arab Emirates and other countries, urging the continual adaptation of emerging digital technologies to serve justice. Time will not stand still or revert backwards, and digital transformation has become an essential imposition across various aspects of life.
Legal Development Concerning the Creation of Digital Currency in the Financial System
Authors: Haykal Hassanain , Tiopan Demson , Kurniawan Shelly
Published: January 2024

Purpose: This research delves into the legal dimensions surrounding the creation of Digital Rupiah, a digital currency, in response to the evolving landscape shaped by technological innovations and shifting consumer behaviors. The primary objective is to scrutinize the legal development necessary to facilitate the integration of Digital Rupiah within the Indonesian financial system.
 
Theoretical Reference: Grounded in a normative legal research approach, specifically doctrinal research, this study draws on legal theories and frameworks. By examining existing legal principles, the research aims to generate arguments, theories, or new concepts that address the multifaceted challenges associated with the introduction of digital currencies in the financial sector.
 
Method: Utilizing the normative legal research methodology, the study critically evaluates the current legal structures, substances, and cultural aspects relevant to the financial system. This approach enables a thorough analysis of the legal prerequisites essential for the successful implementation and regulation of Digital Rupiah.
 
Results and Conclusion: The study's findings affirm that the strategic plan to introduce Digital Rupiah represents a significant advancement in the Indonesian financial system. However, the realization of this digital currency's potential hinges on addressing various legal considerations. Specifically, the convergence of legal structure, legal substance, and legal culture is imperative to establish a cohesive framework supporting the integration of Digital Rupiah.
 
Implications of Research: This research highlights the pivotal role of legal developments in shaping the trajectory of the Indonesian financial system amidst the rise of digital currencies. The implications extend beyond the financial sector, influencing regulatory policies and guiding future legal frameworks to accommodate the intricacies of digital currencies like Digital Rupiah.
 
Originality/Value: Contributing to both academic discourse and practical insights, this research enriches the understanding of legal dynamics associated with digital currencies in the Indonesian context. The identification of essential elements—legal structure, legal substance, and legal culture—provides valuable insights for policymakers, legal practitioners, and scholars navigating the complexities of financial technology.
Navigating Climate Action in Nigeria: Assessing Sustainable Development Goal 13 Implementation and Challenges
Authors: Benjamin Kehinde Tola , Osasumwe Olanrewaju Faith , Amuche Ezugwu Olileanya , Rebecca Kehinde Kemi , Isaa Kehinde Segun
Published: January 2024

Purpose: This paper critically examines the progress and challenges associated with implementing Sustainable Development Goal 13 (SDG 13) in Nigeria, focusing on combating climate change and its impacts.
 
Method: Adopting a qualitative research paradigm, this study conducts an in-depth analysis of governmental and non-governmental efforts related to SDG 13 in Nigeria. It involves thorough investigation and qualitative assessment to understand the challenges and advancements in implementing climate-related initiatives.
 
Results and Conclusion: While full domestication of SDG 13 remains unachieved in Nigeria, promising efforts are observed at the local level, with active engagement in climate action planning by government and non-governmental agencies. Strategic recommendations are proposed to improve implementation.
 
Implications of research: The study suggests enhancing institutional coordination and fostering collaboration among government agencies, local governments, community groups, and stakeholders to collectively address climate challenges in Nigeria.
 
Originality/Value: This research's originality lies in its analysis of the Nigerian context, offering strategic recommendations to bolster climate action through inclusive engagement and resource pooling. The utilization of qualitative research methods adds depth to understanding the complexities of SDG 13 implementation in Nigeria.
Why Magnesium Level Check Should be Part of Standard Diabetes Care?
Authors: UZUNLULU Mehmet , PALA Elif , TANRİVERMİS Aysu , AKBAS Muhammed Mikdat , İĞNECİ Ender , VURAL KESKİNLER Miraç
Published: January 2024

Introduction: The aim of this study was to investigate the effectiveness of routine magnesium monitoring in patients with diabetes during follow-up.

Methods: A retrospective observational clinical study was conducted, encompassing 387 participants aged 18 years and older, with and without diabetes. The control group comprised patients without diabetes. The group with diabetes consisted of 237 patients (134 women, 103 men), while the control group consisted of 150 patients (85 women, 65 men). Hypomagnesemia was diagnosed at
PADRÕES DE COMPETIÇÃO ELEITORAL NOS ESTADOS DA AMAZÔNIA BRASILEIRA
Authors: Jares Martha , Souza Carlos Augusto da Silva
Published: January 2024

Este artigo apresenta como proposta de discussão o estudo da geografia eleitoral, tendo como locus de investigação a distribuição da votação dos deputados federais eleitos nos estados que compõem a Amazônia Brasileira na eleição de 2014. O estudo procura responder ao seguinte questionamento: Existe algum padrão geográfico que reflete a relação dos deputados com suas bases eleitorais? O artigo levanta como hipótese a premissa de que em razão da adoção do sistema proporcional, que coloca em disputa muitos competidores, a disputa territorial se processa num cenário de elevada concentração territorial do voto. Do ponto de vista metodológico o estudo utilizará como modelo de análise o índice de avaliação da concentração territorial do voto que procura medir, a partir da votação individual dos parlamentares nos municípios, se essa votação estava distribuída entre poucos ou muitos municípios.
O PROJETO PROFESSOR DIRETOR DE TURMA (PPDT) COMO FERRAMENTA DE DESENVOLVIMENTO SOCIOEMOCIONAL
Authors: Morais Andeson Carlos Santos
Published: January 2024

O desenvolvimento socioemocional dos estudantes é um componente crucial da educação holística. O Projeto Professor Diretor de Turma (PPDT) é uma estratégia pedagógica que tem como objetivo principal promover o desenvolvimento socioemocional dos estudantes, contribuindo para sua formação integral. O PPDT é um programa educacional que visa promover não apenas o aprendizado acadêmico, mas também o crescimento pessoal e social dos alunos. O projeto envolve a designação de um professor como diretor de turma, responsável por acompanhar o desenvolvimento acadêmico, social e emocional de um grupo específico de estudantes. Este artigo examina a importância do PPDT como uma ferramenta eficaz para o aprimoramento e desenvolvimento das habilidades socioemocionais dos alunos, destacando as vantagens e os desafios enfrentados em sua implementação. Para embasar a análise, são apresentadas citações e referências de estudos relevantes na área de educação e desenvolvimento socioemocional.
SINERGISMO DA ADMINISTRAÇÃO DE ICS/LABA/LAMA E DAS QUESTÕES COMPORTAMENTAIS NA ABORDAGEM TERAPÊUTICA DA ASMA
Authors: Alves Henrique Freitas de Assunção , De Paula Filho Elder Gorza , Praça Filho Tiago Cassini Teixeira , Guedes Guilherme Pinheiro , Netto Beatriz Aguiar Oliveira
Published: January 2024

Introdução: A asma é um problema de saúde mundial que afeta cerca de 300 milhões de pessoas. O impacto socioeconômico dela é substancial, incluindo custos hospitalares e perda de produtividade. No Brasil, com 20 milhões de asmáticos, a falta de adesão contribui para 350.000 hospitalizações anuais. Destaca-se a necessidade de terapias eficazes, como a terapia tripla inalatória, para melhorar o controle da asma. Objetivo: Determinar os impactos de diferentes abordagens terapêuticas de asma. Metodologia: Nesta revisão, buscas sistemáticas nas bases de dados MEDLINE e SciELO, foram conduzidas com descritores, “asthma”, “escale”, “DCIM”, “single‐inaler” ou “triple therapy”, estratégicos para explorar terapias duplas e triplas para asma. A seleção abrangeu estudos originais em inglês, publicados de 2019 a 2023, excluindo metanálises para análise detalhada. Dos 191 resultados, 16 atenderam aos critérios. Resultados: A terapia tripla BDP/FF/GLY revelou eficácia superior, reduzindo exacerbações em asma estável, destacando-se para uma diminuição de 27% nas exacerbações graves. Em asma moderada/grave, a terapia tripla superou a dupla (22,7% vs. 27,4%). O SITT proporcionou 23% menos exacerbações graves. Estudos comportamentais e de exercícios mostraram melhorias significativas. Discussão: Terapia tripla (ICS/LABA/LAMA) destaca-se como protetora na asma, combinando corticosteróide inalatório, broncodilatador de longa ação e antagonista muscarínico. Abordagens comportamentais, educação e atividade física otimizam o controle e a qualidade de vida. Importância de medições basais para estratificação e melhores resultados. Conclusão: Avanço na compreensão da asma, focando em fenótipos e endótipos, destaca terapia tripla(DPB/FF/G), especialmente com inalador único, proporcionando benefícios e influenciando parâmetros pulmonares. Estratégias personalizadas e medidas comportamentais, educacionais e de atividade física são cruciais para melhores resultados clínicos e qualidade de vida na gestão da asma.
Catch them young: Knowledge gaps about drug resistant tuberculosis among Homoeopathy college interns: Apre and post-test study
Authors:   Department of Respiratory Medicine,Bharati Vidyapeeth (Deemed to be University), Medical College and Hospital, Pune, Maharashtra, India, Chaudhari Pramod S , Singh Anubhuti ,   Department of Respiratory Medicine,Bharati Vidyapeeth (Deemed to be University), Medical College and Hospital, Pune, Maharashtra, India
Published: January 2024

Background: India is the highest Tuberculosis (TB) burden country in the world. It also has the second highest burden of Multidrug-resistant TB globally. Many precious lives are lost due to Drug-resistant TB (DR TB) every day. To achieve the goal of TB elimination in India, robust primary health care is mandatory. Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) practitioners provide a quarter of primary health care in India. Since interns working at Homoeopathic Medical college will be the future primary care providers, their awareness about DR TB will help reach the target of End TB by 2025. Objective:The study objective was to assess the knowledge gained by Homoeopathy college interns in the diagnosis and treatment of DR TB following a single-day training session. Materials and methods: This cross-sectional study was carried out among 33 interns of Bharati Vidyapeeth (Deemed to be University) Homoeopathic Medical College, Pune. Aquestionnaire was given in the form of a pre-test before the training session. The training comprised the epidemiology of DR TB, its diagnosis,treatment, counseling, and need for referral. After completion of training, a post-test was given, and scores were calculated. A two-tailed paired sample t-test was used to assess gain in knowledge. The proportion of participants with correct responses for every question was determined and compared before and after training using the McNemar test. P<0.05 was considered statistically significant. Result: The mean pre-test score was 2.30 ± 1.24, while the mean post-test score was 4.24 ± 2.00 (p<0.001). There was less knowledge about the regime for DR TB, pre-treatment evaluation, gene Xpert method, and empirical Anti-tuberculosis Treatment. Conclusion: This study highlights that there are significant gaps in knowledge about DR TB among Homoeopathy college interns. It also showed that a short training session significantly improved their knowledge.
Interactivity and intelligent learning of institutional subjects: leadership and national reality of students at Universidad de las Fuerzas Armadas ESPE
Authors: Montenegro Valdiviezo Verónica Elisabeth , Carrillo Vargas Carmita Marcela , Mena Garzón Narcisa de Jesús , Muñoz Atiaga Diego Rafael
Published: January 2024

The Sustainable Development Goals (SDGs) include the overarching goal of improving the lives of all, leaving no one behind. Goal 4 aims to ensure inclusive, equitable and quality education and promote lifelong learning opportunities for all. All members of the educational community must work to create structural synergies between the educational curriculum and the SDGs (United Nations, [UN], 2021).
With this background, the Department of Human and Social Sciences together with the Department of Security and Defense of the University of the Armed Forces ESPE planned the project: Interactivity and intelligent learning of institutional subjects: Leadership and National Reality of the students of the University of the Armed Forces ESPE supported by the MOODLE platform.  The population of students to develop the present research is 450 distributed in different NRC (classes) third level students, in which the enrollment can opt for any NRC of the careers that the university offers depending on the curriculum.
The effectiveness of the students' learning results was verified through surveys applied after the training and the analysis of the grades in the university's internal evaluation system. The results indicated that the learning was highly satisfactory and that the transfer of knowledge was put into practice with the planning and development of the programmed activities in accordance with the syllabus; given that different methodological strategies have been used that have served interactively as a means of achieving intelligent learning.
Total Family Risk of Families of school adolescents from a Vulnerable Area of North Lima
Authors: Asencios-Trujillo Lucia , Asencios-Trujillo Lida , Gallegos-Espinoza Djamila , Piñas-Rivera Livia
Published: January 2024

Family risk is one of the probabilities in which adverse situations may occur within the family that can be witnessed during a family assessment, so the research objective is to determine the total family risk of families with school adolescents in a vulnerable area of North Lima. It is a quantitative, descriptive-transversal study, with a total population made up of 140 heads of household with school adolescents who answered a questionnaire on sociodemographic aspects and the instrument of total family risk. In the results, it can be observed that 62,9 % (n=88) of the heads of household have a family with low risk, 27,1 % (n=38) have threatened families and 10 % (n=14) have families with high risk. In conclusion, the strengthening of health professionals in terms of extramural work is very important because it allows to identify if there is any risk that compromises the family, especially the infant, and to be able to act according to the situation.
The impact on the implementation of E-commerce in the strategic management of a Mype in Los Olivos 2022
Authors: Jimenez-Paredes Edita , Meneses-Claudio Brian , Rios-Rios Segundo
Published: January 2024

Nowadays Mypes companies have begun to use E-commerce platforms or e-commerce, for most entrepreneurs who conducted their business, they had great advantage in increasing their sales. Because, it allowed them to attract more customers than expected to their businesses, since the networks allowed them to stay in connectivity with their customers, that is to say, they were able to expand nationally. Therefore, the research work proposes to describe the relationship between e-commerce or electronic commerce with companies. The result was a positive impact because social networks have become a trend for companies and have generated economic growth in them. As a conclusion, it has been identified the great importance of using digital platforms. Because it generates facilities of how to acquire their products without the need to go to physical stores, but to take it to your home.
Performance of 28 mega pascal self-compacting concrete using sustainable raw materials and their influence on mechanical behavior
Authors: Colunche Idrogo Adamari Nayeli , Mayta Tanta Leydi Mildred , Flores Quispe Alberto Cristobal , Del Carpio Delgado Fabrizio
Published: January 2024

The increase in CO2 emissions is a global problem, which is why it is necessary to improve the mechanical properties of self-compacting concrete by replacing a percentage of the cement with the incorporation of ashes from agricultural waste. This research aims to evaluate the replacement of cement with rice husk ash and ichu straw ash, in percentages of 2 %, 4 % and 6 % and determine its influence on the fresh properties and compressive strength of self-compacting concrete considering concrete cores at different curing ages. The results showed that the compressive strength increased by 53 % and 40 % with the addition of rice husk ash. It is concluded that replacing 2 % of CCA in the CAC increases its compression resistance from days 3,7,14,21, and 28 days, being a great alternative solution for a high-strength and eco-friendly concrete. with the environment.
Hydraulic design proposal to store and treat graywater for reuse in green areas of a sustainable housing - 2022
Authors: Castillo Rojas Alexandra Thalía , Rojas Benavides Oscar Eduardo , Saldaña Chunqui Elki , Flores Quispe Alberto Cristobal , Romero Kana Alfredo , Del Carpio Alarcon Elvia Sugey
Published: January 2024

The general objective of this research was to develop a hydraulic design proposal to store and treat graywater for reuse in green areas of a sustainable housing. The procedure carried out was based on calculations and designs in the office to then implement and inspect in the field, and finally take water samples to be analyzed at the Regional Water Laboratory before and after treatment by sedimentation and slow filtration of sand plus anthracite. The results obtained to determine if the water complies with the parameters of the ECA category 3 were: pre-test, pH (7,12) and color (9,1 UC) and for the post-test, pH (6,93) and color (4,00UC); an analysis was also performed with the pH meter in drops obtaining an average result, for the pre-test pH (7,5) and the post-test a pH (7,3). It is concluded that the proposed hydraulic design is sustainable, because it complies with the parameters established in the ECA category 3.
Total family risk in families of vulnerable school students during the COVID-19 pandemic in Metropolitan Lima
Authors: Asencios-Trujillo Lida , La Rosa-Longobardi Carlos , Piñas-Rivera Livia
Published: January 2024

Every family risk has the probability of generating consequences within the family or the personal, due to the presence of characteristics that compromise instability within the home, therefore, the objective of the study is to determine the total family risk in families of vulnerable school students during the COVID-19 pandemic in Metropolitan Lima. It is a quantitative, descriptive-transversal study, with a population of 159 heads of household who completed a survey of sociodemographic data and the total family risk instrument. The results show that 62,9 % (n=100) have a family with low risk, 20,1 % (n=32) are with families of threatened school students and 17 % (n=27) have a family with high risk. In conclusion, assessment checks should be performed on dysfunctional or at-risk school students' Families and help them to overcome such problems under the guidance and support of health professionals.
Frequency of anxiety, depression and stress in nutrition students at the Universidad del Pacífico
Authors: Aveiro Róbalo Telmo Raul , Greco Leila
Published: January 2024

Background: In recent years there has been a growing interest in investigating stress, anxiety and depression in different contexts such as work, family and university. Methods: A descriptive and cross-sectional observational study was carried out, including all those nutrition university students who correctly answered all the questions included in the data collection instrument designed for this study. Those under 18 years of age, those who answered the survey incorrectly, did not answer most of the questions, or did not wish to participate in the study were excluded. Sociodemographic data and the frequency of neurotic disorders were analyzed using the DASS-21 scale. A non-probabilistic convenience sampling was carried out, a minimum sample size of 72 participants was calculated using a formula for a finite population. A self-administered questionnaire consisting of 2 dimensions was made, where sociodemographic variables were considered in one dimension and neurotic disorders through the DASS-21 in the other dimension. Results: Of 78 university students surveyed, 63 (80,8 %) were women, 15 (19,2 %) were men, 32 (41 %) were between 21 and 25 years old, and 70 (89,7 %) had a single marital status. . 26 (33,3 %) were in their first year of college at the time of answering the survey. 22 (28,2 %) found it very difficult to relax in recent months, 21 (26,9 %) found it quite difficult to take the initiative for their activities, and 9 (11,5 %) felt quite that their life it didn't make any sense. 45 (57,79 %) of the respondents have symptoms of anxiety, 43 (55,12 %) of depression and 39 (50 %) of stress. Conclusion: We conclude that more than half of all respondents have symptoms of anxiety, depression and stress.
Probability of suffering Eating Disorders (ED) in health professionals
Authors: Aveiro Róbalo Telmo Raul , Garay Johana , Morán Mirian
Published: January 2024

Background: Eating disorders are defined as specific and severe alterations in food intake. Methods: A descriptive and cross-sectional observational study was carried out, health sciences professionals, adults and residents of the Republic of Paraguay were included, poorly completed surveys and students who had not graduated were excluded. Sociodemographic data and the probability of suffering eating disorders were analyzed using two scales, SCOFF and eat-26. A non-probabilistic convenience sampling was carried out, a minimum sample size of 385 participants was calculated using a formula for infinite population. A self-administered questionnaire consisting of 3 dimensions was made, where sociodemographic variables, eating behavior disorders were considered through the SCOFF scale and the EAT-26 test. The work respected the bioethical principles of research in human beings and was submitted for methodological and ethical evaluation to the research direction of the Universidad del Pacífico. Results: Of 124 health professionals surveyed, 100 (80,6 %) were women, 75 (60,5 %) were 31 years of age or older, and 73 (58,9 %) had a single marital status. 96 (77,4 %) graduated from a private university. 45 (36,3 %) were nutrition professionals, followed by nursing 34 (27,4 %) and medicine 26 (21 %). 88 (71 %) felt sick because their stomach felt so full that it was uncomfortable, 68 (54,8 %) said they were worried because they felt they had to control how much they ate, and 12 (9,7 %) has recently lost more than 6 kg in a three-month period. (22,5 %) are rarely very afraid of weighing too much, 31 (25 %) often worry a lot about food, and 48 (38,7 %) never consider the calories in the food they eat. 14 (11,2 %) stated that they sometimes feel very guilty after eating and 15 (12,1 %) feel that food controls their life. Conclusion: We conclude that professionals are likely to suffer from eating behavior disorders, most had the feeling of being sick because their stomach feels so full that it is uncomfortable, just over half said they were worried because they feel they have to control how much they eat, and 1 in 10 have recently lost more than 6 kg in a three-month period. Approximately 25 % are rarely very afraid of weighing too much, as well as often worry a lot about food. A few stated that they sometimes feel very guilty after eating and feel that food controls their life.
Chronic diarrhea in a pediatric patient with HIV
Authors: Marín-Mundo Leticia , Martinez-de Cuellar Celia , Aveiro Róbalo Telmo Raul
Published: January 2024

Despite advances in antiretroviral therapy (ART), diarrhea remains a common problem with HIV infection and contributes to reduced quality of life and survival in HIV-infected patientes. Diarrhea is estimated to occur in approximately 90 % of HIV/AIDS patients in developing countries and between 30 % and 60 % in developed countries. Opportunistic pathogens that cause diarrhea in HIV-infected persons include protozoa, fungi, viroses, and bacteria. Several species of protozoa belonging to Cryptosporidium, Microsporidia and Isospora, are among the most common causative pathogens responsible for significant morbility and mortality in HIV patients. The case of a pediatric patient with chronic diarrhea with HIV stage C3 in irregular treatment with antiretrovirals Abacavir, Lamivudine, Lopinavir/Ritonavir admitted to the Institute of Tropical Medicine in which Isospora belli was isolated in coproparasitological for which she received treatment is presented below with Trimetropim-Sulfamethoxazole in addition to Griseofulvin for tinea capitis and Ivermectin and Permethrin 5 % lotion for scabies. Diarrhea can cause significant morbility in HIV-positive patients and can be due to a multitude of etiologies, from infectious pathogens to malignancy to drugs. Diarrhea is also an independent predictor of reduced quality of life and, in the case of advanced HIV disease, increased mortality.
Revision total hip prosthesis with a primary prosthesis without bone graft
Authors: Aveiro Róbalo Telmo Raul
Published: January 2024

The durability of total hip prostheses and changes in surgical approaches for femoral neck fractures is a crucial issue in the medical literature. Worldwide, it has been observed that the longevity of total hip prostheses ranges from 10 to 30 years, according to several studies. This phenomenon could be due to several factors, such as differences in population demographics, variations in standards of care, or even particularities in the health and lifestyle of local patients. A 56-year-old male patient, with a history of electrocution in 2000 in which he suffered a transcervical fracture of the left hip with traumatic amputation of the right forearm; a total left hip arthroplasty with polyethylene metal head 28 was performed. It is concluded that, the clinical case highlights the need for individualized care and an adaptive approach in the management of total hip replacements, underlining that a careful approach and execution of preoperative, intraoperative and postoperative plans can lead to satisfactory and durable results, even in rare situations.
Nursing Student Satisfaction with Simulation Experiences and Environment
Authors: Fernández Olga Gladys , Robledo Gladys Patricia , Canova-Barrios Carlos Jesús
Published: January 2024

Introduction: The evaluation of nursing students' satisfaction with the activities and the simulation environment allows to determine the usefulness and the perception of the strategies that they consider relevant and successful, from those that are not, allowing the enrichment of the pedagogical act. Objective: To evaluate, from the perspective of nursing students, the satisfaction with the spaces, services, and personnel of the Interdisciplinary Center for Simulation in Health of a private institution of higher education in Entre Ríos, Argentina. Methods: Descriptive, cross-sectional, and quantitative study. Sixty-three nursing students were surveyed with the Evaluation Survey of the Interdisciplinary Center for Health Simulation, consisting of 33 items. Results: The students had a mean age of 22,70 years, mostly female (69,84 %) and in the third year of the curriculum (44,44 %). The Educational Environment was the most highly rated dimension, and the Building Structure had the lowest satisfaction index. Conclusion: There was a high level of student satisfaction with the staff, environment, and educational elements of the Interdisciplinary Center for Simulation in Health and this was associated with the year of the curriculum in which the student was enrolled.