bluuebunny/crossref_metadata_2025 huggingface dataset:
Research on the Construction of a Fine Management Evaluation System for Engineering Projects under the Low Carbon Concept
Authors: Zhang LiLi
Published: September 2023

In recent years, the development of a low-carbon economy has become a global consensus. Construction companies must adopt a low-carbon and refined project management model to reduce carbon emissions in the construction industry and promote the transformation and upgrading of the construction industry. Based on the analysis of the current problems in engineering project management under the low-carbon concept, the article clarifies the concept and significance of fine management of engineering projects under the low-carbon concept, and constructs a framework and evaluation system for fine management of engineering projects under the low-carbon concept.
Prediction model of runway thawing settlement in frozen soil region under aircraft dynamic load
Authors: Liu Xiaolan , Fu Chuanwei , Chen Yixiang , Lv Chao
Published: September 2023

To investigate the influence of different years and aircraft dynamic load parameters on the thawing settlement of airport runways in frozen soil region, a three-dimensional numerical model is applied to analyze the thawing settlement effect of the runway in frozen soil region under different aircraft quality, taxiing speed, pavement evenness index and years. And the prediction model of runway thawing settlement in frozen soil region is established, which is affected by the multi-factor comprehensive influence of aircraft quality, taxiing speed, pavement evenness index, and years. The goodness of fit of the prediction model is 0.988 under a 95% confidence level, which shows that the prediction model can objectively predict the thawing settlement of runway in frozen soil region. The study provides technical support for airport construction and development in frozen soil region.
Acoustic Simulation of Hydraulic Turbine Top Bolt Fatigue Crack Detection Based on DG-FEM
Authors: Ma Fei , Lu Yi , Lou Yimin , Yang Zhongjie , Yu Xiaobin , Yan Yiling
Published: September 2023

The top bolt is one of the important parts of turbine, and its health condition affects the stable operation of the pumping and storage unit. In this paper, the DG-FEM method was used to simulate ultrasonic waves to detect bolt crack defects. In the experiment, the ultrasonic propagation of single thread side and double thread side was simulated respectively under the condition of center excitation and bias excitation, and the feasibility of ultrasonic detection of bolt crack was explored. In addition, the reflection wave shapes of the two days under different excites of the center and the offset were compared, and the conclusion was drawn that the offset excites were more sensitive to the detection of bolt cracks than the center excites, and the reflected wave peaks were higher, which was conducive to improving the success rate of defect detection. It is prepared for the practical application of engineering and has certain reference value.
A review of quadrotor control methods
Authors: Wei Xinran , Ye Dongyu , Zhang Zixuan , Hu Shuxin
Published: September 2023

Quadrotor play an increasingly important role in emergency rescue and other comparable missions. However, external disturbances such as wind gusts and turbulence have a great impact on the stability of quadrotor, which means the control system of the vehicle needs to have a strong capability of anti- disturbance. This paper discuss the latest research on quadrotor control methods, and analyzes their characteristics and application. Traditional methods are improved and enhanced in order to attain better control performance. Meanwhile, artificial intelligence and hybrid control methods have garnered extensive research in the realm of quadrotor.
Effect of Corrosion on Seismic Performance and Safety of Reinforced Concrete Frame Structures —Take the office building of the Tobacco Company (Hefei) as an example
Authors: Gu Guangjuan , Li Ke
Published: September 2023

This paper presents a comprehensive analysis of the seismic performance and safety of the building after the corrosion of the reinforced concrete structure. The office building of Tobacco Company (Hefei) is employed as an example, with metrics including concrete strength, cross-sectional dimensions of beam and column members, reinforcement and protective layer thickness of beam and column reinforcement, diameter detection of reinforcement, etc. Meanwhile, the analysis model is established by PKPM software with the testing data, and improvement suggestions are made for the analysis results. The findings of this paper can be used in engineering practice.
GIS – Using geographic information for crisis management and in the judicial system
Authors: Bieniek-Ciarcińska Monika
Published: September 2023

This paper presents theoretical considerations on geographic information systems supported by aspects of their practical use in various areas. Its scope ranges from environmental protection, transport, public administration and the commercial use of such systems to crisis infrastructure management based on the example of GIS implementation in tools developed in connection with the Covid-19 pandemic. It also discusses the opportunities GIS opens up in the field of conducting criminal analyses in proceedings conducted by law enforcement agencies, including the use of GIS-based solutions for the purpose of building forensic versions, creating maps of security threats, and its usage in geoprofiling as currently the youngest branch of criminal profiling. The report is therefore of an interdisciplinary nature.To achieve the goal within the framework of the adopted methodology, detailed analyses of both Polish and English-language literature were undertaken, with a particular focus on analyses of international programs and tools supported by geographic information systems. However, it must be pointed out that the paper does not contain explanations of the detailed technology used by software developers, considering this matter immaterial to the adopted assumptions, and turns its attention to GIS usage in the field of crisis management and public safety, including in international contexts.
COVID-19 and diabetes
Authors: Furga Artur
Published: September 2023

Almost immediately after the emergence of the SARS-CoV-2 coronavirus, it was observed that people with chronic diseases, including diabetes, presented an increased risk of hospitalization and mortality. Diabetes can increase the risk of COVID-associated mortality by more than six times. The hypothesis of a bidirectional relationship between COVID-19 and diabetes assumes that diabetes is a risk factor for worse outcomes of COVID-19 treatment and that coronavirus infection is a predisposing factor for newly diagnosed diabetes or hyperglycemic emergencies. New diagnoses or exacerbations of existing diabetes are associated with direct damage to the pancreas or the body's response to chronic inflammation, and ACE receptors play a large role in this pathomechanism. Restrictions implemented in many countries have resulted in poorer control and underdiagnosis of diabetes. In this review, we summarize the impact of acute COVID-19 on people with diabetes, discuss how presentation and epidemiology changed during the pandemic, and consider the broader impact of the pandemic on patients and healthcare delivery.
Mechanical Response of Additively Manufactured Composite Joints
Authors: RAJKOWSKI (kamil.rajkowski@wat.edu.pl) Kamil , MAJEWSKI (tomasz.majewski@wat.edu.pl) Tomasz
Published: September 2023

This paper aims to assess the quality of composite joints made with the Fused Filament Fabrication (FFF) additive manufacturing technique through strength tests. The first part of this paper details the design of different test sample versions with standardised geometry and the methods of joining plastics by application of 3D printing. The details cover the test apparatus used in the research, sample preparation methodology, as well as tensile and impact testing methodology. The test sample versions were selected according to the test types to have the results fully reproduce the mechanical response of the composite materials to the input forces. The second part of this paper analysis of the test results, presenting the fabrication accuracy of the test samples and their mechanical response recorded during the tests. Five test specimens of each version were produced to enable statistical analysis of the test results, which was indispensable for a reliable data analysis. The tests made it possible to determine how the proposed joints of plastic materials responded to the input forces, the maximum transmitted force limit, and the flaws of each version’s design. The test results made it possible to adapt the suggested solutions in the design engineering of programmable energy-absorbing structures.
Resilience of public administration bodies to cyberattacks
Authors: Szleszyński Artur , Dudziak-Gajowiak Dominika
Published: September 2023

Public administration bodies are responsible for the organization of crisis management in their allocated area of responsibility. Currently, the exchange of information between elements of crisis management is carried out using the telecommunications system. Thanks to the use of remote sensing, it is possible to exchange data, and build information about the crisis phenomenon on its basis. The responsibility for the protection of information resources is incumbent on heads of municipalities, mayors of cities or marshals of voivodeships (provinces) collecting and processing data in order to carry out the tasks of their subordinate offices. One of the elements of the crisis situation will be a cyberattack carried out against the IT infrastructure of the office in order to hinder or prevent it from performing its tasks. Such incidents have taken place in Poland. Of interest is the issue of managing an incident which directly affects a given office. The article presents an analysis of the cases of cyberattacks described in the media. The paper demonstrates passive reconnaissance methods used by cybercriminals.
Transformation of the migration policy of Greece in 2019-2021
Authors: Lipold Patrycja
Published: September 2023

The aim of the article is to present a series of measures taken by Greece that focused on reducing migratory pressures and to demonstrate that these measures resulted in fewer irregular migrants reaching the Greek coast. This hypothesis is tested by analyzing individual solutions introduced by the government of Kiriakos Mitsotakis in the period 2019-2021, partially taking into account 2022. The conclusions indicate that the state can effectively reduce the migratory pressure and irregular inflow of migrants by undertaking specific legislative actions and active border protection. The effects of the Greek government’s actions were already visible in 2020, and their proof was not only the lower number of migrants, but also the redirection of the migration route towards Italy and Cyprus. The article contributes to research on contemporary, irregular migration to the European Union and indicates the possibilities that the country of first entry has at its disposal in order to reduce high migratory pressure.
Historia de la nutrición parenteral
Authors: Berger Mette M.
Published: September 2023

La nutrición parenteral (NP) es una técnica de nutrición inventada en la década de 1960, que ha salvado la vida de pacientes que presentaban formas graves de insuficiencia o falla gastrointestinal. El desarrollo de esta técnica requirió creatividad, multidisciplinariedad y tecnología. La NP inicialmente se denominó hiperalimentación, ya que sus primeros objetivos eran proporcionar grandes cantidades de energía por encima de las necesidades fisiológicas en un intento de combatir la desnutrición, una estrategia que resultó ser deletérea. La medida del gasto energético con calorimetría indirecta confirmó necesidades menores y está reemplazando progresivamente el uso de ecuaciones predictivas que resultaron en sobrealimentación y múltiples complicaciones.

Los componentes de la NP se desarrollaron paso a paso, siendo los aminoácidos los primeros en progresar en la década de 1960, pero permanecen incompletos en ausencia de algunos aminoácidos condicionalmente esenciales como la glutamina. Las emulsiones de lípidos intravenosos (ELI) estuvieron disponibles por primera vez en Europa como emulsiones puras derivadas de la soya n-6: los triglicéridos de cadena media (MCT) aparecieron primero, seguidos por los ácidos grasos monoinsaturados n-9 y, a partir de la década de 1990, las emulsiones derivadas del aceite de pescado. Estos últimos han mejorado significativamente los resultados y reducido el riesgo de infecciones y complicaciones hepáticas. Si bien la glucosa concentradaestuvo disponible desde el principio, el impacto nocivo de las dosis que excedieron su capacidad oxidante máxima resultó en hiperglucemia nociva en pacientes enfermos resistentes a la insulina. Este problema se abordó desde 2001 con infusión continua de insulina. Las indicaciones para la estrategia de PN han sido definidas con precisión.
La calorimetría indirecta. Herramienta para evaluar necesidades energéticas de pacientes con riesgo nutricional
Authors: Singer Pierre , Rieck Jonathan
Published: September 2023

La evaluación de los requerimientos energéticos sigue siendo un desafío en la práctica clínica. Hace más de un siglo, Harris y Benedict propusieron una ecuación basada en el peso, la altura, el sexo y la edad en voluntarios sanos. Desde entonces, se han publicado cientos de ecuaciones predictivas para ayudar a los profesionales de la salud a determinar los objetivos de las necesidades calóricas al lado de la cama del paciente. Sin embargo, cuando se comparan las mediciones con el estándar de oro, se ha encontrado que la mayoría de estas ecuaciones son inexactas. La calorimetría indirecta se ha convertido en una herramienta importante para determinar el gasto energético en reposo en diversas condiciones como obesidad, insuficiencia renal, cáncer, fragilidad, COVID 19 y cuidado crítico. Además, esta cuantificación se ha sumado a la evaluación pronóstica y la severidad de la enfermedad. La calorimetría indirecta se está convirtiendo en un recurso de atención para el clínico en su práctica diaria.
La nutrición como parte del manejo integral del paciente con enfermedad pulmonar obstructiva crónica: revisión narrativa
Authors: Aguirre Franco Carlos Eduardo
Published: September 2023

La enfermedad pulmonar obstructiva crónica (EPOC) es una patología de expresión multisistémica, producto de la exposición del pulmón a partículas o gases nocivos, e influenciada por múltiples factores del huésped. Su diagnóstico requiere de la presencia de obstrucción en una espirometría post B2, y con frecuencia se asocia con enfermedades en otros sistemas que incrementan la carga de la enfermedad y que pueden ser considerados rasgos tratables al ser potenciales blancos terapéuticos evaluables con biomarcadores.

Un adecuado interrogatorio y el apoyo de estudios de baja complejidad que evalúen la composición corporal y la función muscular, resultan importantes para establecer los rasgos tratables nutricionales, que serán la base para iniciar y monitorizar el tratamiento nutricional del paciente con EPOC.

Aunque la mayoría de los rasgos nutricionales descritos implican pérdida de tejido adiposo o muscular (presarcopenia, sarcopenia, caquexia), el sobrepeso, la obesidad, la obesidad mórbida y la obesidad sarcopénica son también condiciones prevalentes y de importancia clínica. Estos rasgos nutricionales, que se han asociado con grados variables de inflamación, modificación de la respuesta inmune y de oxidación sistémica, se relacionan con incremento de la carga de la enfermedad y con la mortalidad. El tratamiento para estos rasgos debe darse en el plano de la individualización, teniendo en cuenta el potencial origen de la anormalidad y los objetivos de la intervención.

A pesar de que una buena parte de los estudios disponibles no hacen una evaluación completa del estado nutricional, e intervienen a la población con terapias estándar, el apoyo nutricional ha mostrado impacto positivo sobre desenlaces de interés clínico como peso, fuerza, capacidad funcional y mortalidad. Aunque estos hallazgos resultan promisorios, muestran la necesidad de generar investigación más precisa y con blancos terapéuticos mejor definidos.
Impacto de la desnutrición en los pacientes con cáncer
Authors: Rodríguez Veintimilla Dolores
Published: September 2023

La prevalencia del cáncer ha aumentado considerablemente a nivel mundial. La enfermedad puede manifestarse en todas las edades, localizarse en distintas áreas del cuerpo humano y generar alteraciones del metabolismo. En el año 2020 fueron detectados 19 millones de casos nuevos a nivel mundial y ocurrieron 10 millones de fallecimientos a causa de la enfermedad y sus complicaciones.

El cáncer impacta directamente sobre el estado nutricional de los pacientes, ocasionando desnutrición. La malnutrición está presente entre el 20 y el 70 % de los pacientes al momento del diagnóstico, y sería responsable del 10-20 % de los fallecimientos por esta causa (fallecimientos por malnutrición y no por cáncer). Para desarrollarla tienen relevancia la localización del tumor, estadío de la enfermedad, presencia de síntomas como náuseas, vómitos, diarrea, mucositis y tipo de tratamiento administrado. La malnutrición se convierte así en un predictor independiente de respuesta terapéutica del enfermo, ocasiona que los tratamientos oncológicos produzcan mayor toxicidad, agotamiento progresivo de reservas de energía y proteínas delcuerpo, incrementa el riesgo de complicaciones, prolonga la estadía hospitalaria, aumenta las readmisiones y las derivaciones hacia otros centros de salud, encarece los costos de la atención y, eventualmente conduce a mayor mortalidad, impactando negativamente en la sobrevida de los pacientes. Adicionalmente, y dado que la malnutrición no suele ser diagnosticada ni incluida en la historia clínica, se produce un incremento de costos porque los hospitales no reciben reembolso, lo que afecta la calidad de vida de los pacientes, agravada a causa del analfabetismo y el desempleo. Los cuidados nutricionales deben incluirse armónica e integralmente dentro del plan general de atención del paciente oncológico en aras de una mayor efectividad terapéutica y una mejor calidad de vida. Detectar y tratar la malnutrición en el paciente oncológico, por los motivos expuestos, es una meta a la cual todos debemos contribuir.
Proceso de cuidado nutricional: una metodología efectiva e interdisciplinaria
Authors: Posada Álvarez Cristina , Cuellar Fernández Yeny , Savino Lloreda Patricia
Published: September 2023

El proceso de cuidado nutricional (PCN) es una metodología empleada en diferentes países por los profesionales en nutrición, en el cual, a través de la aplicación de unos pasos secuenciales y la integración de habilidades, conocimiento basado en la evidencia y razonamiento del profesional, se identifican y dan soluciones a problemas nutricionales que presente una persona. En este artículo se revisan los pasos que integran el PCN, las barreras y acciones que pueden impactar su implementación, el rolde cada profesional que participa en el proceso, la importancia que tiene el PCN en relación con los problemas de malnutrición que enfrenta la sociedad, y el impacto en términos económicos y de salud para las personas y el sistema sanitario. Así mismo las recomendaciones de algunas sociedades científicas en cuanto a la incorporación del cuidado nutricional en diferentes ámbitos de atención como una estrategia fundamental para abordar la problemática nutricional, generar valor para la persona y el sistema. Finalmente, la necesidad del fortalecimiento de competencias en nutrición en los profesionales que participan en la atención de los pacientes, de manera que se incorpore el componente nutricional como parte integral del proceso de cuidado o recuperación de la salud de las personas.
Educación en nutrición clínica. Una perspectiva de ESPEN
Authors: Arhip L. , Muscaritoli M. , Cuerda Cristina
Published: September 2023

La educación nutricional en las facultades de medicina sigue siendo insuficiente. La nutrición humana es un asunto complejo que merece atención por parte de las instituciones. El conocimiento sobre las consecuencias negativas de los problemas nutricionales en la salud es muy limitado entre los profesionales sanitarios a nivel mundial.

La formación de los profesionales sanitarios que trabajan en el campo de la nutrición, y en particular de los médicos, es muy importante tanto para un correcto abordaje del problema como para combatir eficazmente el confuso entorno que prevalece en este dominio de las ciencias biomédicas. Según el posicionamiento de la Sociedad Europea de Nutrición Clínica y Metabolismo (European Society for Clinical Nutrition and Metabolism, ESPEN) para identificar un currículo mínimo de conocimientos en nutrición que sirva para mejorar la formación de los futuros médicos y cómo solventar las principales barreras de su implementación en los centros universitarios. Se han identificado cinco objetivos principales de aprendizaje y 21 temas sobre nutrición humana, dentro de sus tres dominios (nutrición básica, aplicada y clínica) a cumplir al final del aprendizaje en todas las facultades de medicina. El proyecto de ESPEN, Nutrition Education in Medical Schools (NEMS), trata de unificar y promover la implementación de conocimientos básicos en todas las facultades de medicina que quieran o puedan adherirse, respetando las características de cada universidad, el tiempo disponible en los programas y la forma de enseñanza. Para ello, el siguiente paso será elaborar un material didáctico, sencillo, completo y que pueda estar disponible para su uso en todas las escuelas de medicina.
Optimización de la atención nutricional en Europa y cómo ERAS mejora la atención nutricional en cirugía
Authors: Ljungqvist Olle
Published: September 2023

Este documento es una breve revisión de cómo la Alianza Europea de Nutrición para la Salud (ENHA, por sus siglas en inglés) ha trabajado para ayudar a mejorar la atención nutricional en Europa y también una introducción a la atención nutricional integrada en los protocolos de recuperación mejorada después de la cirugía (ERAS, por sus siglas en inglés).
La nutrición es una ciencia, no una opinión
Authors: Pérez Cano Angélica María , Cortés Sanabria Lilia Yadira
Published: September 2023

La nutrición es una ciencia…. eran siempre las palabras de nuestro Dr. José Félix Patiño con las cuales impulsó y empoderó a la nutricionista Patricia Savino, para la creación de la Asociación Colombiana de Nutrición Clínica (ACNC), oficializándola con el acta de constitución en 1986. Al día de hoy y luego de 37 años, la ACNC ha trabajado sostenidamente por el mejor cuidado nutricional clínico a los pacientes, y es referente nacional e internacional para las buenas prácticas en nutrición clínica, a través de la mejor evidencia científica disponible, por medio de la educación, investigación, gestión y uso de TICs.
REFLEXÕES SOBRE A AFETIVIDADE NO ENSINO DE LÍNGUA INGLESA NO ENSINO MÉDIO - ESTUDO DE CASO
Authors: E Silva Eduardo Lourenço Novais , De Oliveira Maria Eduarda Benites , De Sá Michele Eduarda Brasil
Published: September 2023

Este trabalho apresenta as reflexões iniciais acerca da relevância do desenvolvimento da afetividade (segundo a compreensão de Henri Wallon) no ensino de língua inglesa no contexto de uma disciplina de Estágio Obrigatório. Através da metodologia de estudo de caso, o recorte de análise foi estabelecido a partir da perspectiva do aluno (entre aluno e professor, entre aluno e conteúdo e dos alunos entre si).
INFÂNCIA À FRANCESA: UMA ANÁLISE DA LITERATURA INFANTIL A PARTIR DE ROUSSEAU
Authors: Dos Santos Hugo Henrique , Caprio Marina
Published: September 2023

O projeto de pesquisa teve como intenção investigar uma possível influência dos postulados sobre infância e educação infantil de Jean Jacques Rousseau na literatura infantil inglesa, em obras inglesas, como Pedro Coelho, Alice no país das maravilhas e O livro da selva. Ao notar uma semelhança entre a ontologia pedagógica de Rousseau e as narrativas infantis inglesas, surgiu a necessidade de compreender mais a fundo as possíveis intertextualidades entre o autor e as obras escolhidas. A pesquisa buscou aprofundar-se tanto no surgimento do conceito de infância, quanto na instauração de uma literatura voltada para crianças. No entanto, principalmente analisou de forma contundente a obra Emílio ou da Educação, de Rousseau, tendo como referência os seus postulados, assim como as concepções e o desenvolvimento histórico da infância abordado por Philipe Ariès e Regina Zilberman. Se pretende compreender qual a relação entre a epistemologia criada na França do século XVIII e a literatura infantil Inglesa no fim do século XVIII e início do século XIX , os pontos de convergência entre a obra de do autor e as narrativas selecionada, a fim de discutir a relação entre os seus ambas , ilustrando a partir das literaturas as referências à educação natural concebida em Emílio.
Postoperative sodium concentrations after cardiac surgery using histidine- tryptophan-ketoglutarate cardioplegia and cardiopulmonary bypass – a retrospective study
Authors: Devrieze Y , Mertens P , Mintjens N , Saldien V
Published: September 2023

Introduction: Histidine-tryptophan-ketoglutarate (HTK) cardioplegia is used to induce cardiac arrest during cardiopulmonary bypass (CPB) in cardiac surgery. HTK cardioplegia is hyponatremic (15 mmol/L) and slightly hyperosmolar (310 mOsm/kg) and can induce hyponatremia when it enters systemic circulation. The purpose of this study is to investigate the effect of HTK cardioplegia, cannulation strategy and intraoperative correction of sodium levels on postoperative sodium concentration. Secondly, the effect of the sodium concentrations on postoperative agitation is evaluated.

Methods: Patients who underwent cardiac surgery using CPB and HTK cardioplegia were included in this retrospective study. Sodium concentrations of arterial blood gases (ABG) and laboratory blood samples were analyzed at multiple points in time. It was recorded if the perfusionist corrected intraoperative hyponatremia with hypertonic saline or sodium bicarbonate 8.4%. Characteristics of the patients, intraoperative data and the patient’s Richmond Agitation-Sedation Scale (RASS) score were collected.

Results: The median sodium concentration on ABG [IQR] decreased from 139 mmol/L [138-140] to 125.5 mmol/L [122-130] (p < 0.001) after the administration of HTK cardioplegia. The median sodium concentration after the administration of HTK cardioplegia was significantly lower in the group with single cannulation than with double cannulation (123 mmol/L [121-125] vs. 130 mmol/L [128-133]; p<0.001). The median sodium concentration increased to 134 mmol/L [133-136] (p=0.007) at T6. There was no significant difference in postoperative sodium concentration between patients who received correction intraoperatively and those who did not, or between patients who had agitation and those who had not.

Conclusions: The administration of HTK cardioplegia induced acute hyponatremia during cardiac surgery mainly in patients with single venous cannulation. Postoperatively, a normalization of sodium concentrations can be observed. No difference in postoperative sodium concentration was observed with or without intraoperative correction of sodium. Intraoperative correction of hyponatremia shows no benefit or harm on postoperative sodium concentrations. Hyponatremia could be avoided or at least diminished by using double venous cannulation.
Right ventricular-pulmonary arterial coupling in patients with COVID-19: A systematic review and meta-analysis
Authors: Vora A , Al Tmimi L , Van Beersel D , Rex S
Published: September 2023

Objectives: In this systematic review and meta-analysis, we assessed the association between right ventricular-pulmonary arterial (RV-PA) coupling and mortality in coronavirus disease 2019 (COVID-19).

Methods: We performed a systematic literature search using MEDLINE (PubMed), Embase, Cochrane and Web of Science. We only included observational studies and randomized controlled trials in which, right ventricular function and pulmonary pressures were investigated, in adult patients with COVID-19. The primary outcome was mortality. The secondary outcome was pulmonary embolism (PE). Random-effects meta-analysis was performed. Mean differences (MD) and unadjusted hazard ratios (HRs) were pooled.

Results: 21 studies were included in our systematic review for qualitative analysis, and eight of them qualified for quantitative analysis. Tricuspid annular plane systolic excursion (TAPSE) over pulmonary artery systolic pressure (PASP) (TAPSE/PASP) ratio was significantly lower in non-survivors compared with survivors (mean difference = – 0.28 [–0.38, –0.17], p < 0.00001; I2: 61%, p < 0.08). TAPSE was significantly lower in non- survivors compared with survivors (mean difference = – 3.53 [–4.72, –2.33], p < 0.00001; I2: 77%, p < 0.0005). Lower TAPSE was associated with increased mortality (HR = 0.77 [0.63, 0.94], p < 0.010; I2: 77%, p = 0.01). PASP was significantly higher in non-survivors compared with survivors (mean difference = 9.14 [6.67, 11.61], p < 0.00001; I2: 37%, p=0.18). One study demonstrated a higher risk of mortality for lower TAPSE/PASP in both intensive care unit (ICU) and non-ICU patients and, one study showed that TAPSE/PASP was significantly associated with a higher risk of PE.

Conclusion: COVID-19 non-survivors have a significantly worse RV-PA coupling as compared to survivors.
Impact of spinal needle size and design on post-dural puncture headache: A narrative review of literature
Authors: Van der Auwera J , Paemeleire K , Coppens M
Published: September 2023

Background: Post-dural puncture headache (PDPH) is a well-known iatrogenic complication of lumbar puncture. The main modifiable risk factors of PDPH appear to be needle size and design, which have been extensively modified in an effort to lower the incidence of PDPH. Currently, there is no consensus on the ideal needle tip for lumbar puncture. Therefore, we have conducted this narrative review of literature to provide a more definite answer regarding the impact of spinal needle size and design on PDPH.

Methods: Relevant literature was obtained by searching the scientific literature using PubMed, EMBASE, ISI Web of Knowledge, and Google Scholar for from 1990 to July 2022.

Results: Both size and design have been extensively researched in numerous randomized controlled trials. A total of seven systematic reviews published since 2016 were reviewed: Five combined with meta-analyses of which two also with a meta-regression analysis, one combined with a network meta-analysis, and one Cochrane review.

Discussion and Conclusion: The evidence presented in this review consistently shows that the atraumatic design is less likely to cause PDPH than the traumatic design. There is no simple linear correlation between smaller needle size and lower incidence of PDPH in either needle type. In lumbar puncture for spinal anesthesia we advise the 26G atraumatic spinal needle as the preferred choice, as it is the least likely to cause PDPH and the most likely to enable successful insertion. If unavailable, the 27-gauge atraumatic needle is the next best choice.
THE INFLUENCE OF PRICE AND PRODUCT VARIETY ON PURCHASING DECISIONS FOR MOUNTEA
Authors: Ardiprawiro
Published: September 2023

The aim of this study was to examine how Mountea's purchase decisions were affected by product prices and product variants. Quantitative primary data were employed in the analysis in this study, and the following tests were run: validity test, reliability test, normality test, multicollinearity test, heteroscedasticity test, multiple linear regression test, T test, F test, and coefficient of determination. The study's valid data were gathered by 100 participants in the form of a Google Form, which was utilized to administer the questionnaire. Non-probability sampling using the purposive sample technique was the sampling strategy used in this investigation. SPSS version 26 was used as the testing software. The findings indicated that Mountea's purchase decisions were partially influenced by the results of the variable pricing and product variety. Purchase decisions on Mountea are influenced simultaneously by product variety and price changes.
The Influence of Environmental Belief on Intention to Visit Ecological Site Through Ecotourism Attitude
Authors: Yuliawan Banowati Azelia Putri , Waluya Bagja , Wulung Shandra Rama Panji
Published: September 2023

This study aims to determine the effect of environmental beliefs on the intention to visit ecological site through ecotourism attitude. The location of this research was conducted in Ciletuh-Palabuhanratu UGGp. In this study, the exogenous variable used were environmental beliefs with ecotourism attitude as the mediating variable and intention to visit ecotourism as the endogenous variable. The type of this research uses descriptive and verification with explanatory research methods. The sampling technique used was purposive sampling, amounting to 460 respondents. The data analysis technique in this study used Structural Equating Modeling (SEM). The results of this study indicate that the description of environmental belief, ecotourism attitude, and intention to visit ecotourism are in a fairly good category. The findings in this study suggest that environmental belief variables indirectly influence the intention to visit visit ecological through ecotourism attitude. The research recommend both of tourists and Ciletuh-Palabuhanratu UGGp to increase environmental belief and ecotourism attitudes in order to create positive tourist visiting intentions.
Role of Online Community Feedback in Creating the Image of Tourist Destinations
Authors: Sattar Muhammad Muzamil , Sfodera Fabiola
Published: September 2023

This study investigates the impact of user generated content on online platforms, mainly known as Online Community Feedback (OCF). This study aims to highlight the importance of OCF in developing destination image. Content and feedback given by past visitors are more trustworthy as compare to any other information sources including advertisements by site managers or information from government ministries. Based on this phenomena authors of this paper have categorized and analyzed the feedback and comments of past tourist of Gilgit Baltistan Region of Pakistan. Authors have adopted unstructured approach and manual approach to categorize the feedback into different parameters. Based on those, several recommendations are made to government officials and tourist site managers to bring improvements on the site so that future tourists may choose that place for their next visit. Top 5 places of Pakistan as per tripadvisor.com, were chosen for analysis and study.
La interacción social como elemento del proceso educativo en educación media superior
Authors: Vargas Castillo Carlos Arturo , Herández Martínez Carlos Esteban , Guilén Hernández Pedro Iván
Published: September 2023

La interacción social tiene un lugar indispensable en el proceso educativo en cualquiera de los niveles académicos. Por ello, es importante analizar cada uno de los elementos que permiten que los integrantes del colectivo educativo logren una comunicación asertiva y así el logro de los propósitos académicos establecidos. Elementos como la relación entrelos estudiantes, las conductas de los mismos, la comunicación asertiva y la interacción entre todos los miembros de lacomunidad escolar, son analizados a través de esta investigación de corte cuantitativo en alumnos de primer semestre debachillerato del “Centro de Estudios Reforma”, de la ciudad de Veracruz. La recogida de datos se logró con la aplicaciónde una encuesta dividida en tres líneas de investigación: Relación entre los actores, Comunicación y convivencia, y La relación entre los actores del proceso educativo. Las respuestas que surgieron de dicha encuesta fueron graficadas paralograr una mejor interpretación de la información.
Indigenous Approaches to Socio-Cultural Cohesion among the Ngie of Cameroon, 1863-2011
Authors: Fonbad Florence Awah , Ngenge Prof. Simon Tata
Published: September 2023

Communities continuously find it difficult to live together and forge a sense of common development in modern Africa, even though government policies have enacted policies in that direction over the years. This is because most governments have ignored indigenous practices that were in force before colonialism, explaining why most communities have witnessed rampant conflicts between various groups within their vicinities. It is because of this that the study analyses the indigenous approaches which bounded African communities and enhanced coexistence. Using the historical method of analyses with data drawn from primary and secondary sources, the study argues that the indigenous socio-cultural approaches of the Ngie were cohesive in building a sense of common belonging and identity among the diverse groups of the area. It holds that communication modes, justice system, religion, cultural activities and intermarriages as well as social unions were instrumental in that dimension. The paper concludes that if indigenous mechanisms of cohesion are embraced by most colonial governments in Africa, the rampant differences and conflicts in communities will be minimised.
An Ethical Evaluation of Idoma Women’s Inheritance Culture
Authors: Akpa Abigail , Kerker Prof. J.T. , Toryough Prof. G.N.
Published: September 2023

The Idoma people of Benue State in North Central Nigeria are known to be people with varied cultural practices just like many other societies in Nigeria. However, the cultural practice of interest in this paper is the one on inheritance as it particularly relates to the female gender. According to the practice, women do not have any share in the property of the family in which they belong and also contributed in it’s acquisition. The case is worse if they become widows as they are subjected to all obnoxious widowhood practices. This culture of denying, women inheritance rights is a reflection of their notion of womanhood where the philosophy of patriarchy holds sway and women are subjected to a near servile status. It is on this premise that this paper which is an ethical evaluation of Idoma women’s inheritance culture was written. In doing this, the researcher employed qualitative research method to obtain vital information through oral interviews and existing literature to highlight as contained herein, the various responses given by the different categories of people interviewed. Those interviewed included custodians of Idoma culture such as chiefs and heads of families. Women, especially widows, who are mainly at the receiving ends were interviewed and some civil servants such as principal women Development Officers and Local Government Social Welfare Officers in the four Local Government Areas selected as the case study were interviewed. The findings from the responses as to why Idoma women are denied inheritance rights include fear of widows carrying the properties of their late husbands’ to new homes in the event of remarriage which is similar to the reason advanced for denying spinsters inheritance rights, accusation for being responsible for the husbands’ deaths, revenge for unruly behavior of the wives. The various responses were subjected to ethical evaluation by the researcher to determine whether the actions were right or wrong in
“ARHIALUSI” – COSMIC JUSTICE IN THE SOCIAL ETHICAL CONSCIOUSNESS OF THE IULEHA PEOPLE OF EDO STATE, NIGERIA
Authors: IKHIDERO Solomon Ijeweimen
Published: September 2023

The belief in a primordial cosmic justice - arhialusi is a present day reality in Iuleha (Edo) traditional moral psyche. This belief holds that humans play active roles in shaping their lots in life. It connects a persons present woes to moral wrong(s) of his previous existence. It is the concern of this paper to take a phenomenological exploration of this belief in arhialusi emphasizing it social implication among the Iuleha people. The methodology adopted is qualitative, phenomenological and historical. Data were obtained mainly through in-depth interview and non-participatory observation methods. The paper discovered that arhialusi is a cosmic law of retributive justice which seems like the Iuleha version of karma. It unveils also that this belief is anchored on Iuleha notion of the never-ending process of life hence, inextricably tied to their belief in reincarnation. It is the finding of this paper also that awareness of this cosmic law serves as regulatory mechanism for self and social control. This is because it showcases the result of immoral acts of a previous life as well as checkmates the evil conduct of individuals in the present world. The paper uses arhialusi not only to explore the African concept of causality but also to emphatically maintain that not all phenomena could be explained empirically. It thus posits that belief in arhialusi is one of the ways the Iuleha people (Africans) ascertain the ultimate cause of reality, checkmate vices and promotes virtuous conduct in their society.
Downside of Agency Banking in Nigeria
Authors: Nwadiubu Anthony Odinakachukwu , Okolie David Ogomegbunam , Okore Okore Amah
Published: September 2023

The study was conducted to investigate the downside of agency banking in Nigeria using Enugu South LGA of Enugu State as a case study. This study adopted the survey research resign. The survey was designed to elicit responses from respondents on the downside of agency banking in Enugu South LGA of Enugu State, Nigeria. The source of data was primary, obtained through the administration of questionnaire to agent bankers (POS operators) within the area of study. The population of the study consists of all POS operators in Nigeria. The sample size was calculated using the general formula for determining the sample size of an unknown population. The study used both descriptive and inferential statistics and the hypotheses were tested at 5% level of significance. It was found that robbery and liquidity shortage militate against the operation of agency banking. The study therefore recommends that the agent banker should ensure the availability of adequate cash that can reasonably serve customers without running into shortages or surplus of money while the government and commercial banks should partner in ensuring adequate security necessary for the operation of agency banking in Nigeria
MADRESOLTERISMO: SIGNIFICADO DESDE LA DIGNIFICACION DE LA MUJER EN LA COMUNIDAD EDUCATIVA COMUNA 6 DE SAN JOSE DE CUCUTA
Authors: Pabón-Bastos Karina
Published: September 2023

Este artículo refleja la necesidad que tiene el madresolterismo de empoderarse en competencias laborales de forma sostenible que ayude a mitigar la brecha social de familias disfuncionales, en pro de construir una mejor sociedad, recordando que el núcleo de una sociedad es la familia orientado por los programas de acción social. Cada día son más las adolescentes, en estado de embarazo y son abandonadas por sus parejas, quedando bajo su responsabilidad la gestación, desarrollo y crecimiento de sus hijos. Esta situación se ve representada en todas las clases sociales, pero enfáticamente en la población menos favorecida lo más preocupantes es que el índice de madresolterismo aumentó y les complica la situación por la corta edad para el trabajo productivo. Sin embargo, ha surgido una nueva alternativa de solución a esta realidad. La investigación dada; durante la pandemia define el emprendimiento sostenible como alternativa de solución; filtrando en las esferas del mundo laboral y se convierte en una opción de flexible para cambiar los indicadores de desempleo, y pobreza absoluta; las pymes y sus teorías económicas, laborales y promoción de la dignidad humana han permitido que muchas de las madre solteras encuentren alivio a las múltiples preocupaciones que ocasiona el proceso de gestación y crianza de un niño cuando no se tiene el apoyo de la pareja, lo cual; conlleva a la necesidad de brindar apoyo al proceso de madresolterismo de las Comunidades Educativas.
FORMACIÓN DE COMPETENCIAS LABORALES DE ESTUDIANTES DE EDUCACIÓN BÁSICA SECUNDARIA
Authors: Jorge Eliecer Maldonado Molina
Published: September 2023

Los procesos de formación que se siguen en la realidad se atienden como uno de los aspectos ineludibles para la certificación de los estudiantes. Desde esta perspectiva, dentro de estos se integran el desarrollo de competencias en diferentes dimensiones del ser humano, una de estas merece especial importancia y son las competencias laborales, puesto que además de una formación intelectual, se requiere que los sujetos se comprometan con la adopción de saberes que les permitan desempeñarse en la realidad de una forma efectiva. En este sentido, el presente artículo tiene como finalidad desarrollar un análisis interpretativo acerca de la formación de competencias laborales en estudiantes de educación básica secundaria. Para ello, se toman en cuenta los argumentos relacionados con una metodología de naturaleza documental que permitió el abordaje de diferentes fuentes de estudio en las que se destaca este particular, lo cual permitió establecer como conclusiones aspectos importantes acerca de una formación que valore las competencias laborales, puesto que son esenciales para el progreso personal y social de la nación.
LA ENSEÑANZA DE LA LECTOESCRITURA EN PREESCOLAR: UNA CUESTIÓN DE AMBIENTE LINGUISTICO
Authors: Blanca L. Parra-Martínez
Published: September 2023

Desde el constructivismo y socioconstructivismo se ha promovido que la enseñanza de la lectura y la escritura en la infancia debe llevarse a cabo por medio de la experimentación y el contacto con ambientes ricos en palabras, sonidos, letras y experiencias con el lenguaje. Sin embargo, la educación preescolar se ha enfocado en la enseñanza poco dinámica de letras, hacer aprestamiento y practicar buena pronunciación, dejando de lado los ambientes lingüísticos adecuados para la formación lectoescritora. Dado que es un tema poco trabajado en la escuela y la academia, en el presente artículo se propone reflexionar sobre el papel que tienen los ambientes lingüísticos en la enseñanza de la lectura y la escritura en la educación preescolar. Se trata de una investigación documental y consiste en la revisión de literatura reciente sobre la temática. Los resultados permiten reconocer los elementos que componen estos ambientes en el hogar y en la escuela, su potencialidad educativa para la enseñanza de la lectoescritura en la infancia y se concluye que los ambientes lingüísticos plantean perspectivas positivas para fomentar la adquisición de la lectura y la escritura en la educación preescolar, especialmente los componentes interactivos que promueven el uso del lenguaje por parte de los estudiantes.
EVOLUCIÓN DE LA DIDÁCTICA DE LA EDUCACIÓN AMBIENTAL
Authors: José Rafael Hernández
Published: September 2023

Este artículo pretende un acercamiento a la evolución a la didáctica en la pedagogía ambiental como una contribución a la formación medioambiental. Para alcanzar este propósito se hace necesario despertar el interés general en los temas ambientales y particularmente en la construcción de la didáctica que a través de las diferentes épocas se ha moldeado para impartir su enseñanza en Colombia. Con la llegada de la educación ambiental surge la tarea de explorar alternativas pedagógicas dirigidas a la sostenibilidad. Para ello, su análisis se fundamentó en una revisión bibliográfica pertinente y disponible en sitios web, además de documentos físicos que han tratado el tema, contrastándolo con la perspectiva y la experiencia del cómo se han concebido y practicado las vivencias en educación ambiental desde la didáctica, hacia la comunidad escolar. Al hacer el análisis de cómo ha evolucionado la didáctica de la educación ambiental, se ha identificado cómo los fundamentos didáctico- ambientales han logrado transformar al ser humano en sujetos más críticos y comprometidos con la protección de un planeta sostenible y sustentable en respuesta al impacto de la problemática ambiental.