bluuebunny/crossref_metadata_2025 huggingface dataset:
Claroscuro de la política anticovid-19 china en 2020-2023: lecciones y desafíos
Authors: González García Juan , Suástegui Díaz Marlene Angélica
Published: December 2024

La pandemia de covid-19 es el mayor problema de salud y económico que la humanidad ha enfrentado en el siglo XXI y su impacto fue global. China es un caso único en su lucha contra la pandemia, ya que, si bien en la primera ola de contagios en 2020 tuvo éxito, en 2022 el gobierno chino enfrentó la peor crisis social desde 1989 que ralentizó la economía y reanimó las críticas de la población por los actos del gobierno. China regresó a su pragmatismo tradicional en 2023 para flexibilizar su combate a la pandemia. Este artículo analiza los impactos sociales y económicos de la política “Cero covid-19” impuesta por China entre 2020 y 2023.
A recepção da filosofia de Heráclito pelo jovem Nietzsche
Authors: Ferreira Quattrer Gabriel
Published: December 2024

In this article, we will address Nietzsche’s interpretation of Heraclitus’ philosophy in his early work. We will elucidate Nietzsche’s reading of the key concepts attributed to the Greek philosopher, emphasizing the importance that Heraclitus assumes in the first phase of Nietzsche’s thought as the primary figure among the so-called “pre-Platonic philosophers.” We will seek to highlight how Heraclitus emerges for young Nietzsche as the ideal image of the true philosopher, as well as the main proponent of a tragic philosophy, that safeguards the world of becoming through an aesthetic justification, underscoring the beauty and inherent necessity in all creation and destruction, through his concepts of “game” and “strife”.
How “Hungaricum” is inflation in Hungary? The classical and specific factors of outstanding inflation in Hungary
Authors: Sipiczki Zoltán , Imre Gabriella , Varga József
Published: December 2024

The study examines the factors shaping inflation in 2022–2023 and explores why inflation in the Hungarian economy has increased more sharply than in neighboring countries with similar structures. The research hypothesis suggests that the inflationary surge, which is notable both globally and within the European Union, is not solely due to market economy mechanisms, but also to specific circumstances in Hungary, including the state’s radical interventions aimed at curbing inflation. The study seeks to highlight these effects and provide recommendations for economic policymakers to develop a more resilient inflation policy. Additionally, it focuses on analyzing inflation in the agricultural sector. The results indicate that, alongside global inflationary pressures, several country-specific factors have driven up the inflation rate in Hungary. Energy prices have risen sharply, and some supply chains from the East have been disrupted. The country under study is less productive, and the impact of the energy price shock on the energy-intensive food industry is higher than in surrounding countries. Consequently, the exchange rate volatility in 2022–2023, combined with short- and medium-term factors, has had a significant impact on food inflation, causing substantial deviations from long-term equilibrium. The research concludes that, in addition to increasing food self-sufficiency, special attention should be given to the domestic development of the agricultural supply chain.
Os direitos fundamentais da pessoa com AIDS/HIV: uma análise constitucional e social frente a discriminação
Authors: Santos Maxuel Correa dos , Rockemback Ana Claudia
Published: December 2024

O presente trabalho aborda os desafios enfrentados na aplicabilidade dos direitos fundamentais das pessoas vivendo com HIV/AIDS, destacando a discriminação como obstáculo significativo. Ao examinar a literatura e as evidências empíricas, identifica-se que há um estigma associado às pessoas vivendo com HIV/AIDS em diversas esferas da sociedade, resultando em marginalização, exclusão social e violações dos direitos humanos e fundamentais. Diante disso, o primeiro tópico discutirá os conceitos principais, tratados internacionais assinados pelo Brasil, a Constituição Federal de 1988 e outras leis sobre os direitos das pessoas com HIV. Em seguida, o segundo tópico analisará os mecanismos sociais que perpetuam o estigma e a discriminação contra grupos-chave, destacando os obstáculos para a concretização desses direitos. E por fim, o terceiro tópico examinará os principais impedimentos institucionais, legais e culturais à integração dos soropositivos na sociedade brasileira, incluindo decisões judiciais relevantes. Ao examinar os julgados, verifica-se a importância de uma abordagem judicial sensível às condições de vulnerabilidade e à proteção dos direitos fundamentais. Será utilizada uma metodologia de pesquisa qualitativa, com um estudo da literatura servindo como ênfase principal. Esta abordagem implicará um exame crítico e metódico do conjunto de pesquisas sobre os direitos das pessoas vivendo com HIV/AIDS no Brasil, incluindo trabalhos acadêmicos, documentos jurídicos, jurisprudência, relatórios de organizações internacionais e outras fontes pertinentes. Conclui-se que, para garantir a efetiva aplicabilidade dos direitos das pessoas soropositivas, é fundamental um compromisso coletivo em combater a intolerância. Além disso, é necessária uma abordagem baseada nos direitos fundamentais para enfrentar o tabu.
Research on Regional Technological Innovation and Human Capital Investment by Public Library Construction
Authors: Li Ping , Gao Jiacheng
Published: December 2024

The construction of public libraries is an important part of China’s 14th Five Year Plan. Based on the global DEA-CCR and DEA-BCC to measure the efficiency of technological innovation and human capital investment, we evaluated the level of public library construction through entropy weight method. Through the impulse response analysis of the coordinated development of technological innovation and human capital investment by using the VAR model. The study conclusively demonstrates that public library construction significantly propels the synergy between technological innovation and human capital investment.
Performance Assessment and Optimization of Bird Prevention Devices for Transmission Lines Based on Internet of Things Technology
Authors: Zhaoguo Xu , Zhenhua Zhang , Yi Wang
Published: December 2024

Birds nest, inhabit and fly near transmission lines, which may cause serious power accidents. Aiming at the problems of false alarm, false alarm and insufficient system stability in traditional bird prevention devices, a new bird prevention device scheme combining deep learning and Internet of Things (IOT) technology is proposed in this study. Methods: In this study, firstly, the convolutional neural network (CNN) algorithm based on deep learning is used to recognize bird images, and the recognition accuracy is improved by training a large number of samples. In addition, multi-sensor fusion and real-time data transmission are realized by using IOT technology, which enhances the intelligence and remote monitoring ability of the system. The results show that the optimized bird prevention device has significantly improved the accuracy of bird detection, recall and system stability. Compared with the traditional algorithm, the false alarm rate and false alarm rate are greatly reduced, and the processing speed of the system is accelerated, and it can keep stable operation for a long time. This achievement provides a strong support for the safety protection of electric power system (EPS), and also provides a new idea for the research and development of bird prevention devices in the future.
The Role of Virtual Reality Platforms in Skills and Career Development of Higher Education Students: An Empirical Analysis Based on Metaverse Technology
Authors: Gao Renjie , Liu Mingguo
Published: December 2024

This study investigates the influence of metaverse technology on higher education, focusing on students in digital creative programs at Shenzhen Polytechnic University. By employing cluster analysis and regression analysis, the research evaluates student satisfaction, technology acceptance, and career impact. Findings indicate that metaverse platforms significantly enhance students’ creativity, practical skills, and job opportunities. Using the K-means clustering algorithm, four distinct student groups are identified based on their acceptance levels. The study provides insights for universities to optimize metaverse platform management, enhance technology adoption, and offer personalized support, ultimately improving learning outcomes and career development.
Analysis of the Impact of the Integration of Foreign Trade and Digital Economy on the Economic Resilience of the Yangtze River Delta Region Based on Deep Learning
Authors: Hu Hui
Published: December 2024

The rapid integration of foreign trade and the digital economy has played a significant role in influencing economic resilience, particularly in the Yangtze River Delta, a key economic region in China. In this paper, we propose a deep learning-based approach to evaluate the impact of the integration of foreign trade and digital economy on regional economic resilience. The model is built using an improved convolutional neural network with residual blocks designed to handle complex regional economic data. By incorporating multiple convolutional layers, dropout, and batch normalization, the model effectively extracts non-linear features and prevents overfitting, offering a robust framework for prediction. The model is trained on a large dataset of economic indicators from the Yangtze River Delta, and the results demonstrate a significant improvement in predictive accuracy compared to traditional methods. This study provides actionable insights for policymakers to strengthen regional economic stability in the face of globalization and digital transformation.
Research on Evaluation and Enhancement of Effectiveness under Intelligent Transformation of Ideological and Political Education in Colleges and Universities
Authors: Zang Xiaoming
Published: December 2024

This paper takes the results of the practice of intelligent construction of intelligent Civics teaching mode in colleges and universities as the theoretical basis and constructs the evaluation system of the effectiveness of intelligent Civics teaching based on the dynamic clustering-gray correlation entropy method. The original data are standardized by the method of polar deviation to determine the association coefficient of the evaluation subject, and according to the clustering process, the clustering order table is listed to realize the construction of the association matrix. F-statistics determine the optimal threshold to prevent human subjective factors from affecting the clustering results. The rough set theory is used as a mathematical tool for data analysis and processing, and the screening of indicators is completed through the approximation of indicators, and the corresponding index system for the evaluation of wisdom and politics is established. The index system is applied to the actual evaluation of the quality of intelligent civics teaching to analyze its practical effects. The results show that the proportion of all the indicators in the evaluation index system of intelligent Civics teaching constructed in this paper that have been evaluated as more important or above ranges from 80% to 100%. Civics teachers’ mining of the elements of Civics, the extension of teaching content, and teaching content delivery are improved by 54.96%, 48.39%, and 45.07%, respectively, after the transformation of the intelligentized mode, and the quality of teaching has been significantly improved.
Attachment – Emotions Which Shape Development and Well-Functioning in Humans
Authors: Pop-Jordanova Nada
Published: December 2024

Attachment is the evolutionarily-established process through which humans create bonds with others in order to receive care from them.

The attachment system is treated as an emotion regulation device as well as a major stress regulatory system. The intergenerational transmission of attachment is one of the core hypotheses of attachment theory. As a new category, cultural attachment was established, referring to processes that allow culture and its symbols to provide psychological security when and individual is facing threat.

Additionally, emotions and feelings could be comprised as "somatic markers" which act as signals guiding behaviour towards beneficial outcomes. Thus emotions are very important not only in everyday functioning but also in decision making processes.

Relying on multidisciplinary evidence – from neuroscientific, developmental, evolutionary, and clinical sources it was suggested that somaticity, as a specific characteristic of attachment, has the adaptive function to modulate our inclination.

In this context, the attachment is confirmed to indispensable emotion in human functioning.
Attrition in Everyday Dental Clinical Practice
Authors: Spasic Emica Mladenovska , Kapusevska Bijana , Shahpaska Budima Pejkovska , Grdanoska Tatjana , Jovcevski Radomir
Published: December 2024

Introduction

Attrition, its prevention and therapy is a complex problem, with a multifactorial etiology. The aim of this paper is to examine the treatment of attrition in everyday dental clinical practice with the help of soft inserts.

Material and method

In this study, 30 patients were included, divided into two groups of 15 patients, the study and the control group. The examined patients had first degree of attrition diagnosed according to the Bardsley index, after which the condition was noted in four intervals: the initial situation, after 2, 4 and 6 months from the first visit. The research data were processed in Statistica for Windows 7.0 and SPSS version 20, and the same were presented graphically.

Results

In the study group with I degree of attrition, for p>0.05, no statistically significant difference was determined in the range of the Bardsley index between the four measurement times (Friedman Test: N=15; Chi-Square=7,200; df =3; p=0.0658). In the control group, for p<0.05, a significant difference was determined in the range of the Bardsley index between the four measured times (Friedman Test: N=15; Chi-Square=15.180; df=3; p=0.0017) with a significantly high value after 6 months.

Discussion

From the results obtained when comparing the study group in patients with I degree of attrition and the control group, a negative change from the parafunction bruxism was observed in 20% of the test group and 47% of the control group. The results of our research indicated that in patients with the first degree of attrition from the study group, soft dental inserts give significantly better results than untreated patients in the control group. This correlates with the research of Khayat N. et al.

Conclusions

From the results of the subjects in the group with I degree of attrition, we can conclude that the soft inserts has great efficiency as a means of management of this parafunction and therefore its application in daily therapy is recommended.
Effect of Ethanol Extract of Okra Fruit on NF-ΚB Expression in Wound Healing Wistar Rats With Diabetes Mellitus
Authors: Etlidawati  , Purwanto Bambang , Soetrisno  , Poncorini Eti , Wasita Brian , Cilmiaty Risya
Published: December 2024

Objectives:The main objective of the study was to see the effect of Okra Fruit Ethanol Extract on NF-κB Expression in the Healing of Wistar Rat Wounds in the Diabetes Mellitus Model.
 
Theoretical Framework:  NF-κB is a critical component in wound healing due to its role in regulating inflammatory responses, cell proliferation, angiogenesis, and tissue remodeling. However, regulation of its activity must be balanced, as excessive activation can slow the healing process or cause complications, especially in conditions such as diabetes mellitus. Therefore, therapeutic approaches targeting NF-κB are a promising area of research in the management of chronic wounds.
 
Method:  Experimental laboratory research , type of research Randomized Control Trial (RCT) and post test only control design approach . . Wistar rats were made into DM with a sample size of 30 consisting of, negative control (K-), positive control (K+), Experimental group with a dose of P1 dose of 300 mg / KgBB, P2 dose of 600 mg / KgBB and P3 dose of 900 mg / KgBB okra fruit ethanol extract. The rats were wounded in the back area with a size of 1 cmx 1 cm. On the 21st day, blood was taken through the retroorbital vein to examine NF-kB levels. –in  Center Between University (PAU) Gajah Mada University, using the enzyme linked immunosorbent assay (ELISA) method. Analyzed using the One Way Analysis of Variance (Anova) parametric test.
 
Results and Discussion : The results of the study showed significant differences between groups. The negative control group (537.56) was significantly different from groups P1, P2 and P3, all showing a decrease in Nf-kB expression. Okra dose of 300 mg/KgBB (123.57) showed a significant decrease in NF-kB expression compared to the negative control, but higher than the doses of 600 mg/KgBB and 900 mg/KgBB. Okra dose of 900 mg/KgBB had significantly lower NF-kB expression compared to the okra group dose of 300mg/KgBB. Ethanol extract of okra fruit showed a significant reduction effect on NF-kB expression in wounds.
 
 Research implication: This study provides information that  okra fruit ethanol extract has the potential to reduce NF-kB expression, which functions in the inflammatory process in diabetes mellitus wounds.
 
Originality / value :​​​​The results of this study indicate that ethanol extract of okra fruit is able to reduce the expression of inflammatory biomarkers, namely NF-kB. As well as a new perspective on the use of traditional plants as wound healing therapy.
Proceso de resiliencia en la mujer tras la ruptura de pareja: un estudio de caso
Authors: Rodríguez Regordosa María Pía , Campos Rivera Nora Hemi
Published: December 2024

La resiliencia se refiere a la capacidad de un individuo para afrontar positivamente las situaciones de estrés y adversidad y salir fortalecido de éstas. Una situación de estrés extremo que puede experimentar una persona es la ruptura de pareja. Investigaciones actuales han demostrado que son las mujeres quienes son las más afectadas tras la ruptura y quienes experimentan los efectos negativos con más frecuencia e intensidad debido a la posición de desventaja en la que se encuentran como grupo vulnerable en la sociedad. La presente investigación tuvo como objetivo describir la manera en que las mujeres logran desarrollar la resiliencia, lo que les permite un ajuste adecuado después del rompimiento. A este efecto, se llevó a cabo un estudio cualitativo utilizando el método de estudio de caso para analizar a una mujer de 48 años, divorciada cinco años antes, con altos niveles de resiliencia y ajuste a la ruptura. Los resultados muestran que el apoyo afectivo recibido de familiares y amigos es el elemento más importante para el desarrollo de dicha resiliencia, el apoyo terapéutico acorde a sus creencias y valores personales, así como el fortalecimiento de las conductas de autocuidado. Un factor importante que favorece el ajuste al rompimiento y el desarrollo de la resiliencia es la estabilidad económica de la mujer. Se pueden observar rasgos en ella asociados a indicadores de resiliencia, como el deseo de cerrar el ciclo con la expareja, la capacidad para planear su futuro, la conciencia de crecimiento personal y el deseo de mantener una relación sana con aquélla.
 
Recibido: 21/02/2023Aceptado: 11/10/2023
Dependencia emocional y su relación con el autoengaño y los sentimientos negativos
Authors: Moral-Jiménez María de la Villa , López-Suárez María
Published: December 2024

Antecedentes: La dependencia emocional se define como un patrón crónico de necesidades afectivas frustradas que cursan con desajustes de tipo anímico y mecanismos de autoengaño. El objetivo principal de este estudio fue analizar la relación entre la dependencia emocional, el autoengaño y los sentimientos negativos. Método: Se seleccionaron 255 sujetos con edades comprendidas entre los 18 y los 65 años (M = 29.73; D.E. = 9.505) que en los últimos tres meses tenían o habían tenido una relación de pareja. Resultados: Se constata que 25.5% de los participantes presentaba una dependencia emocional intensa, y se confirma la existencia de una relación positiva bidireccional entre la dependencia emocional con el autoengaño y los sentimientos negativos, llegando el autoengaño a predecir su presencia en 57.2% de los casos. Se comprueba además que dicha dependencia no está determinada por el sexo, al contrario de lo que ocurre con la edad, siendo los más jóvenes (de 18 a 23 años) los que manifiestan una mayor dependencia emocional. Conclusiones: Se aportan evidencias de la relación entre las variables analizadas y su influencia en las relaciones de pareja.
 
Recibido: 05/04/2023Aceptado: 03/09/2023
Pengaruh Hughes Terhadap Perkembangan Identitas Kulit Hitam Melalui Karya Sastra Setelah Gerakan New-Negro Movement
Authors: Yusuf Muhammad
Published: December 2024

Artikel ini menganalisis bagaimana Langston Hughes memberikan dampak signifikan pada perkembangan sastra Afrika-Amerika kulit hitam dalam era Harlem Renaissance. Hughes sebagai salah satu pusat gerakan New Negro berjuang untuk kebebasan mereka melalui karyanya dalam sastra. Penulis mengadopsi pendekatan Sosio-Historis bersama dengan kritik sastra Afrika-Amerika untuk meninjau peristiwa yang terjadi selama tahun 1920-an. Penulis membahas bagaimana Hughes memberi pencerahan kepada penulis Afrika-Amerika hitam lainnya seperti Maya Angelou dan Amiri Baraka untuk mengekspresikan kebebasan melalui karya sastra mereka. Penulis menemukan bahwa Hughes menginspirasi mereka dengan menggunakan bahasa sehari-hari dan menyisipkan unsur blues dan jazz ke dalam karyanya sehingga diterima oleh masyarakat.
Coraline’s Personality and Emotions Development of Parenting Style in Novel Entitled Coraline: New Criticism Analysis
Authors: Giawa Maria Hanny Paskaline
Published: December 2024

Parenting style is something that is close to us in our daily lives, and it is because of this that we have become the person we are today. A parenting style from parents to their children can affect the development of the child’s personality and emotions in their process towards adulthood. The purpose of this study is to see how Coraline’s personality is affected by the different parenting styles between real parents and ‘other parents’. This study uses New Criticism as an approach to analyze the characterization and plot of the story and therefore examines how Coraline’s personality is affected by the different parenting styles between the real parents and the 'other parents'. Therefore, the method used in this study is descriptive-qualitative. The results of this study found that the personality of Coraline was formed because of parenting styles from her parents and Coraline's emotions change depending on what her parents gave.
It all started in 1989. 35 years of the crisis of national and religious identity in France
Authors: Osipov Evgeny Aleksandrovich
Published: December 2024

The article examines the origins of the crisis of national and religious identity in France caused by the gradual spread of Islam in the country and the religious radicalization of young people. Among other things, the author examines the socio-economic factors that contributed to the change in the structure of the French economy in the 1970s, the end of the so-called "glorious thirty years", the growth of youth unemployment, which eventually led to the fact that the "zones of priority urbanization" created in the years of post-war economic growth in the suburbs of large cities turned into "zones of sensitive urbanization" with a predominant migrant population. Attention is also paid to the sharp rise in oil prices in the 1970s, which, on the one hand, changed the state of the European economies for the worse, and, on the other hand, brought additional revenues to oil-producing countries and allowed Saudi Arabia to invest in the Muslim communities of Europe, primarily France. The article is based on modern French historiography and documents from the archive of the French Foreign Ministry, which allow us to trace the genesis of the formation of the crisis of national and religious identity in modern France. The author concludes that the main events took place in 1989. First of all, we are talking about Ayatollah Khomeini's fatwa calling for the murder of British writer of Indian origin Salman Rushdie. Up to this point, it was believed that fatwas issued in different parts of the Islamic world apply only to the territory to which the spiritual authority of its author extends. However, Ayatollah Khomeini made his fatwa universal. Europe was named a territory where Islam is spreading, and Muslims in it ceased to be migrants and, accordingly to the Ayatollah's logic, received the full right to demand the extension of Sharia law to European territory. And the subsequent scandal with the wearing of religious clothing at the college of the city of Creil in September-October 1989 caused a wide discussion in France about the spread of Islam in the country and for the first time put this issue at the center of the political agenda, thus becoming the starting point for the formation of a full-fledged crisis of national and religious identity in modern France.
Wind Tunnel Testing of Tethered Inflatable Wings
Authors: Desai Siddhant , Schetz Joseph A. , Kapania Rakesh K. , Gupta Rikin
Published: December 2024

A wind tunnel testing approach for tethered inflatable wings is presented. Use cases for such wings range from airborne wind energy systems to high-altitude communication platforms. The tests were conducted for two tethered inflatable wings, one made out of nylon fabric and the other an ultra-high-molecular-weight polyethylene fabric. They were tested within a speed range of 15–32.5 m/s for three tether attachment configurations. Stereo photogrammetry data, force and moment measurements, and wake pressure measurements were recorded for each speed and test configuration. These measurements provide an experimental database for aeroelastic model validation and comparison with high-fidelity computational fluid dynamics studies. The effects of wing fabric material and tether attachment configurations on aerodynamic performance were explored and found to have a profound impact. These tests also highlight the possibility of passive aeroelastic tailoring of the wing configuration to achieve desired aerodynamic performance in the form of high lift and load alleviation. Some testing challenges and possible sources of measurement uncertainty are also discussed.
Return to Sport for Adolescent Medial Subtalar Dislocation With Concomitant Osseous and Ligamentous Injuries After Successful Nonoperative Management: A Case Report and Rehabilitation Protocol
Authors: Baumann Anthony N. , Anastasio Albert T. , Lumpkin Raymond , Hitchman Kyle J. , LoPresti Julia , Mistovich R. Justin
Published: December 2024

BACKGROUND: Medial subtalar dislocations are rare in adolescent patients, presenting treatment challenges. While several reports of nonoperative management of adolescent medial subtalar dislocation exist in the literature, no report to date has addressed rehabilitation specifics for successful return to sport.

CASE PRESENTATION: The patient is a 17-year-old male who sustained an acute traumatic left medial subtalar dislocation with concomitant ligamentous and osseous injuries during a soccer game. After examination and appropriate imaging, it was determined that the patient would be best treated with nonoperative management and underwent a progressive exercise rehabilitation program for successful return to sport.

OUTCOME AND FOLLOW-UP: After rehabilitation, the patient was able to return to sport after 25 weeks with full return to prior soccer performance. At 13 months follow-up, the patient reported nearly 100% return to prior sport performance via 2 patient-reported outcome measures.

DISCUSSION: This case report and rehabilitation protocol illustrates a successful return to sport for a rare and devastating orthopedic injury in an adolescent. JOSPT Cases 2025;5(1):43-49. Epub 12 December 2024. 10.2519/josptcases.2024.0041
O uso da ultrassonografia a beira leito como ferramenta para avaliação da perda de massa muscular em pacientes com alto risco para sarcopenia em um hospital na Amazônia
Authors: Azevedo Thaiana Pedrosa de , Carvalho Beatriz Pina Lassance de , Maia Alana Nassar , Figueiredo Danilo Dantas , Alves Marcela Coutinho , Assunção Luciano Moura de
Published: December 2024

Objetivo: Descrever a prevalência de sarcopenia em idosos com alto risco para perda muscular, por meio do uso da ultrassonografia à beira leito (POCUS) e da circunferência de panturrilha (CP). Métodos: Trata-se de um estudo do tipo descritivo, transversal, de prevalência, realizado após aprovação pelo comitê de ética local. As informações desta pesquisa foram obtidas através de preenchimento de escalas de performance e capacidade funcional, coleta de dados antropométricos, análise ultrassonográfica e de prontuário de pacientes idosos internados nas enfermarias de clínica medica do hospital. Resultados: foram avaliados 32 idosos, sendo todos os pacientes maiores de 65 anos, dos quais 72% apresentavam sarcopenia através da CP. A média de CP dos pacientes avaliados é de 28,5cm. Por outro lado, ao utilizar o aparelho de Ultrassonografia, todos os pacientes apresentavam sarcopenia. Comparando a média dos dias de internação dos pacientes internados com sarcopenia versus internados sem sarcopenia, pode-se notar que o período foi maior no grupo com sarcopenia avaliados com CP. Conclusão: a maioria dos idosos avaliados são sarcopênicos desde a sua entrada no hospital, fato que pode contribuir de forma importante para o prolongamento do tempo médio de internação hospitalar, bem como interferir negativamente nos desfechos.
Práticas do enfermeiro na execução do papanicolau em gestantes
Authors: Santos Emyline Sales dos , Pereira Débora Lorena Melo , Almeida Lívia Maria Nunes de , Gomes Filho Francisco da Costa , Gomes Mônica Cristina Melo Santos , Silva Irene Sousa da , Neiva Maria de Jesus Lopes Mousinho , Ross José de Ribamar
Published: December 2024

Objetivo: Analisar o conhecimento e as práticas dos enfermeiros da Estratégia de Saúde da Família a respeito do exame Papanicolau em gestantes. Métodos: Trata-se de uma pesquisa transversal descritiva, realizada em uma cidade do estado do Maranhão. A coleta de dados foi realizada no período de 01 junho a 31 de agosto de 2023. Os questionários coletados foram implantados no software REDCap para a produção de um banco de dados. Na definição de métodos estatísticos, o REDCap produziu planilhas que foram exportadas para o Software Statistical Package for Social Sciences versão 25.0 (SPSS), por meio da estatística descritiva. Resultados: Dos enfermeiros, 20% não realizavam o exame do Papanicolau. 21,4% relataram ter dificuldades na realização do exame. 60% afirmaram não terem participado de treinamentos em abordagem sindrômica e 98% declararam possuir dificuldades no tratamento de corrimentos vaginais. Conclusão: Identificou-se fragilidades nos conhecimentos dos enfermeiros a respeito do exame do Papanicolau, assim como na execução do exame. Uma considerável frequência dos enfermeiros não realizava o exame Papanicolau em gestantes por motivos variados que não encontram eco nas evidências científicas. Observou-se dificuldades quanto à realização do exame e leitura do exame e déficit de treinamentos em abordagens sindrômicas de corrimentos vaginais em gestantes.
Atendimento integral em saúde para o tabagista: relato de experiência de uma liga acadêmica
Authors: Barros Ranna Karine de Oliveira , Lima João Paulo Andrade de , Peixoto Letícia Braga , Costa Ana Carolina de Albuquerque , Teles Leticia Beatriz Ferreira , Paiva Annelise Machado Gomes de , Gomes Marco Antônio Mota , Gusmão Waléria Dantas Pereira , Peixoto Fernanda Braga , Peixoto Marcílio Otávio Brandão
Published: December 2024

Objetivo: Relatar a experiência dos membros da Liga Acadêmica de Combate ao Fumo (LACOF), destacando as atividades desenvolvidas, os impactos na qualidade de vida dos pacientes e os desafios e estratégias para vencê-los reforçando a importância das Ligas como ambiente de aprendizado para os discentes e de fortalecimento da conexão entre a universidade e a comunidade. Relato de experiência: O grupo alinhou parceria entre o curso de Odontologia do Centro Universitário, a Coordenação do Programa de Combate ao Tabagismo da Secretaria Municipal de Saúde e um Centro de Pesquisas Clínicas. Após capacitação do grupo seguindo as estratégias nacionais estabelecidas pelo Instituto Nacional de Câncer (INCA) e cessão do município tanto dos manuais de cessação ao tabagismo como dos medicamentos para os participantes do programa foi iniciado o atendimento à comunidade, totalizando 38 participantes, dos quais 14 alcançaram a cessação e outros diminuíram o consumo do tabaco. Todos os pacientes foram encaminhados às clínicas escolas da saúde e, aqueles que não alcançaram a cessação, continuam sendo convocados para retornar ao programa. Considerações finais: 57,2% dos participantes deixaram de fumar, sendo possível observar diversas mudanças positivas na qualidade de vida e saúde.
Intervenções educativas na adesão ao controle do ganho de peso interdialítico
Authors: Lobato Fernanda do Socorro Carvalho da Silva , Mendonça Xaene Maria Fernandes Duarte , Lobato Odicleber Repolho , Tavares Rosa Amélia Durans , Santana Lorena Carvalho , Benjamim Adriana Suely Monteiro , Matos Clévia Dantas Luz de , Monteiro Leonice Soares Nunes , Trindade Creusa Barbosa dos Santos , Silveira Cinthia Cristina Sousa de Menezes da
Published: December 2024

Objetivo: Identificar na literatura científica a influência de intervenções educacionais no controle do ganho de peso interdialítico. Métodos: Trata-se de uma revisão integrativa da literatura (RIL), com artigos publicados entre 2020 e 2024, no idioma português, inglês e espanhol, originais e completos. A pesquisa bibliográfica foi realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Medline, Scientific Electronic Library Online (SCIELO) e Web of Science. Resultados: 6 artigos obedeceram aos critérios de inclusão e exclusão, no qual os estudos destacam a importância de intervenções educativas para melhorar os resultados clínicos e a qualidade de vida de pacientes em terapia renal. A natureza complexa da doença renal crônica exige adaptações dos profissionais de saúde para garantir uma educação direcionada no contexto do ganho de peso interdialítico dos respectivos pacientes. Considerações finais: A presente RIL possibilitou analisar que a intervenção educativa aplicada à pacientes em terapia renal apresenta impacto positivo no que tange à adesão e controle do ganho de peso interdialítico.
Frenectomia labial inferior utilizando laser de alta potência de diodo: série de casos
Authors: Fonseca Ricardo Roberto de Souza , Graça Rhaisa Vasconcelos da , Lima Manoella Santiago Almeida , Cardoso Maria Luiza Trindade , Silva Ana Victoria Soares Lima e , Rodrigues Patricia de Almeida , Vallinoto Antônio Carlos Rosário , Machado Luiz Fernando Almeida , Pontes Gemilson Soares , Menezes Silvio Augusto Fernandes de
Published: December 2024

Objetivo: O objetivo deste trabalho é relatar uma série de três casos de frenectomia labial inferior utilizando o laser de diodo. Detalhamento de caso: Três pacientes sem alterações sistêmicas compareceram a uma faculdade com a indicação de frenectomia labial inferior devido a presença de freio labial inferior anômalo causando recessões gengivais (RG) e hipersensibilidade dentinária nos dentes 31 e 41. No exame clínico, pacientes apresentaram RG RT-I de Cairo e como tratamento foi proposto frenectomia labial com laser cirúrgico de diodo, foi realizado o mesmo protocolo cirúrgico nos três casos, sendo anestesia local inferior bilateral e a frenectomia foi feita com laser de alta potência de diodo 980nm, na potência de 2W, com dose de 4J/cm2, energia em 6J, modo pulsado e fibra de ponta cilíndrica por 15 minutos até remoção total do freio labial inferior, em seguida o laser foi novamente utilizado para causar hemostasia cirúrgica, não havendo necessidade de sutura. No pós-operatório foram prescritos analgésico de ação periférica e laser vermelho, 2 joules por ponto e 20 segundos nas áreas cirúrgicas para reparação tecidual. Conclusão: Os pacientes tiveram seu frênulo labial inferior totalmente removido e nos casos 1 e 2 os resultados pós-operatórios foram sem dor ou desconforto.
Particularidades dermatológicas, fisiológicas e as dermatoses na pele negra
Authors: Chichester Alianne Violet Alves , Oliveira Marina Izabel Monteiro de , Chichester Linda La Hoya Alves , Xavier Marília Brasil
Published: December 2024

Objetivo: Discutir o estudo da pele negra na dermatologia, propondo uma análise social e enfatizando as particularidades fisiológicas e as dermatoses mais prevalentes nesse grupo. Revisão bibliográfica: Após uma breve abordagem sobre o conceito de raça e o sistema de classificação da cor da pele mais abordado na dermatologia, realiza-se um recorte estrutural, biológico e funcional da pele negra. Na epiderme, as principais alterações observadas foram no estrato córneo, que tem mais camadas e é mais compacto na pele negra; e nos melanossomos, que estão distribuídos por toda epiderme e possuem maior quantidade de melanina em relação à pele branca. Já na derme, a principal disparidade é relacionada ao colágeno e fibroblasto, sendo ambos mais numerosos que na pele branca. Além disso, destacam-se as alterações fisiológicas mais comuns nessa população e alguns dos diagnósticos dermatológicos mais prevalentes, sendo os cinco mais frequentes, a acne, o eczema, as discromias, a dermatite seborreica e a alopecia. Considerações finais: É necessário destinar maior enfoque ao estudo da semiologia dermatológica na pele negra, uma vez que se observam diferenças importantes na sua estrutura e, consequentemente, nas suas respostas a certos estímulos.
Uso de canabinoides no tratamento de distúrbios neurológicos em idosos
Authors: Manganelli Luciane Aparecida Gonçalves , Fonseca Yago Soares , Vieira Wilcler Hott , Souza Lohana Guimarães , Maia Michele Cristina , Sá Malu Godoy Torres Loureiro de , Correia Aline Prates , Reis Anne Sulivan Lopes da Silva , Ramos Murilo Sousa , Lima Karolina de Oliveira
Published: December 2024

Objetivo: Identificar os estudos científicos sobre o uso de derivados canabinoides no tratamento de distúrbios neurológicos por pacientes idosos. Métodos: Revisão integrativa da literatura nas plataformas de dados PubMED, Portal Regional Biblioteca Virtual em Saúde, e Periódicos CAPES, realizada entre agosto e dezembro de 2023. Foram utilizados descritores do Medical Subject Headings: "aged", "therapeutic", "cannabis”, "parkinson's Disease”, "epilepsy", "dementia", "bipolar disorders" e "depression" combinados com o operador booleano “AND”. Foram incluídos trabalhos publicados no período de 2012 a 2022, sem restrições de idioma, excluindo duplicatas e revisões. A triagem inicial foi feita por dois avaliadores independentes e divergências foram resolvidas em consenso. Resultados: A amostra final foi composta de 25 artigos, os quais descreveram uso de canabinoides para tratamento de Doença de Parkinson, Alzheimer, transtorno de estresse pós-traumático, depressão, ansiedade e queixas de sono, doenças crônicas (câncer, glaucoma e HIV/AIDS), depressão, demência frontotemporal, transtorno bipolar, esclerose múltipla, prurido neuropático refratário na esclerose lateral amiotrófica e epilepsia. Considerações finais: A discussão sobre o uso de canabinoides tem crescido, evidenciando benefícios em vários distúrbios neurológicos e melhoria na qualidade de vida em idosos, mas ainda carece de estudos de sua eficácia e segurança.
Estudo de prevalência de infecção por Mycoplasma genitalium em gestantes atendidas em unidade básica de saúde de Manaus, Amazonas
Authors: Gomes Yasmin Bastos Silva , Carvalho Luana Izabela Azevedo de , Miranda Angélica Espinosa , Soeiro André Bernardo , Soeiro Arthur Bernardo , Soeiro Cláudia Marques de Oliveira
Published: December 2024

Objetivo: Avaliar a prevalência da infecção por M. genitalium em gestantes atendidas em uma UBS na cidade de Manaus e o perfil epidemiológico das pacientes. Métodos: Trata-se de um estudo de prevalência com 242 gestantes, utilizando o teste de RT-PCR para ISTs em secreção vaginal. Os dados epidemiológicos foram coletados a partir de análise de prontuários de pacientes já previamente selecionadas para participar de um projeto piloto de ampliação de testes para IST’s no pré-natal, em parceria com Ministério da Saúde e a secretaria de saúde deste município. Resultados: 7,9% das gestantes testaram positivas para M. genitalium, com maior prevalência em mulheres jovens, solteiras, e com histórico de uso de drogas injetáveis e não injetáveis, além de coinfecção com sífilis. A análise das variáveis obstétricas não revelou associação significativa com a infecção, embora a prevalência tenha sido mais alta no terceiro trimestre da gestação. Conclusão: M. genitalium é um agente frequentemente assintomático, com maior prevalência em grupos de risco, reforçando a importância da triagem direcionada e estratégias de prevenção e manejo para prevenir complicações obstétricas e neonatais, além da necessidade de pesquisas futuras para tratamentos mais eficazes.
A case of lung adenocarcinoma expressing carbonic anhydrase IX and cluster of differentiation 10 antigen combined with renal clear cell carcinoma
Authors: Wang Yunjun , Wang Ting , Zhang Hengming , Yu Guohua
Published: December 2024

Few reports exist on dual primary lung and kidney tumors. Lung adenocarcinoma and renal clear-cell carcinoma are usually distinguished based on histological morphology and characteristic immunohistochemistry. This study describes a patient with concurrent lung adenocarcinoma and clear cell renal cell carcinoma, notable for their shared expression of both carbonic anhydrase IX (CA9) and cluster of differentiation 10 (CD10) markers, a phenomenon that has remained unreported in existing literature. We made a correct diagnosis based on histological morphology and immunohistochemical results, discussed the significance of CA9 and CD10 expression in lung adenocarcinoma, and provided insights for differential diagnosis, intending to offer pathologists relevant insights for diagnosing multiple primary malignant neoplasms.
Disease severity assessment in hidradenitis suppurativa: A single-centre cross-sectional study utilising clinical evaluation, high-resolution ultrasound and colour doppler
Authors: Rao Sophia , Sharma Apoorva , Kumaran Muthu Sendhil , Narang Tarun , Sinha Anindita , Dogra Sunil
Published: December 2024

Background

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disorder characterised by recurrent painful nodules, abscesses, and sinus tract formation in intertriginous areas. Accurate staging of this disorder is crucial for appropriate management and prognosis. The role of imaging in the staging of HS is still evolving.

Objectives

To assess the correlation between clinical disease severity staging and high-resolution ultrasonography and colour doppler (HRUS-CD) staging in HS patients.

Methods

This was a cross-sectional, single-centre study in patients above 18 years of age with the clinical diagnosis of HS. All patients underwent clinical examination and high-resolution ultrasonography and colour doppler study with high-frequency linear probe (L+ 8–24 MHz). Correlations between clinical Hurley staging and the various ultrasonographic parameters i.e. SOS-HS (sonographic staging of severity of HS), degree of vascularisation, fibrotic scarring and oedema were explored and analysed. Spearman’s correlation coefficient was applied to study the correlations and p<0.05 was considered significant.

Results

A total of 46 patients with HS who met the inclusion criteria were included. The majority of patients were clinically in Hurley stages 1 (32.6%; n=15) and 2 (56.5%; n=26) (41 in all). However, on the basis of ultrasonographic findings, significant numbers of patients had greater severity of staging on SOS-HS (58.5%; n=24/41), higher vascularity on colour doppler (26.8%; n=11), more severe grading of fibrous scarring (43.9%; n=18) and oedema (68.2%; n=28) in comparison to the clinical Hurley staging.

Limitations

Limitations of our study include a small sample size and cross-sectional design.

Conclusion

The results of the study indicate that the majority of the patients were under-staged and under-treated clinically, hence emphasising the role of high-resolution ultrasonography and colour doppler study in the accurate determination of HS severity. Future research should focus on standardised protocols and larger, prospective studies to establish the role of these imaging modalities in routine clinical practice.
Edukasi Pemanfaatan Aplikasi Artificial Intelligence Dalam Pelajaran Pemrograman
Authors: Kurniawan Haris , Satrio Junaidi  , Rada Puspita Wahyuni  , Meriza Cahyani
Published: December 2024

Penggunaan Artificial Intelligence (AI) dalam pendidikan, khususnya dalam pembelajaran pemrograman merupakan kebutuhan yang potensial karena AI dapat mendorong pembelajaran adaptif dan interaktif. Permasalahan yang sering ditemukan dalam pembelajaran pemrograman adalah siswa kesulitan dalam membuat algoritma dan problem solving error. Dengan permasalahan tersebut maka perlu dilakukan upaya peningkatan keterampilan  siswa untuk penggunaan AI dalam bentuk Edukasi. Tujuan Pengadian Kepada Masyarakat (PkM) ini adalah untuk memberikan edukasi dalam menggunakan AI untuk meningkatkan pemahaman siswa terhadap konsep pemrograman dan partisipasi dalam proses pembelajaran. PkM ini menggunakan metode yang terdiri dari 3 tahap diantaranya; Persiapan, Pelaksanaan dan Evaluasi. Pelaksanaan PkM ini diberikan kepada siwa kelas XI di SMK N 2 Kota Padang. Hasil PkM menunjukkan bahwa  pemanfaatan AI dapat meningkatkan pemahaman konseptual, mempercepat deteksi dan koreksi error, serta memberikan umpan balik yang disesuaikan dengan kebutuhan pembelajaran individu. Hasil PkM ini menunjukkan bahwa siswa telah mampu menerapkan AI yang sangat efektif dan memudahkan dalam pembelajaran pemrograman.
ПРОСТРАНСТВЕННЫЙ АНАЛИЗ И ОЦЕНКА ЭКОНОМИЧЕСКОЙ АКТИВНОСТИ МУНИЦИПАЛЬНЫХ РАЙОНОВ
Authors: Плякин А.В. , Орехова Е.А.
Published: December 2024

В статье обсуждаются результаты исследования факторов экономической активности муниципальных районов Волгоградской области. В рамках выполненного исследования создана компонентная модель экономической активности, сформирована новая система показателей экономической активности муниципального развития, предложена методика оценки пространственной изменчивости и неравномерности состояний экономической активности муниципальных районов на платформе геоинформационной системы ARCGIS. Предложенные методические подходы могут быть использованы для создания комплексной информационно-аналитической системы управления экономической активностью в регионе, позволяющей получить сведения о динамике протекающих в регионе социально- экономических процессов.

The article discusses problems of research of the economic activity of municipal entities of Volgograd region. As a result of the executed research the component model of an economic activity was created. The authors created new system of indicators of an economic activity of municipal development. The article discusses the technique of assessment of variability and unevenness of the municipal economic activity on the ARCGIS platform. The offered methodical approaches can be used for creation of the complex information and analytical management system of the economic activity on the level of municipal districts. Author’s approach allows gaining the current information about dynamics of the social and economic processes in the region.