bluuebunny/crossref_metadata_2025 huggingface dataset:
Achieving optimal doses in treatment of heart failure with reduced ejection fraction at Gia Dinh People's Hospital
Authors: Phạm Trương Mỹ Dung , Nguyen Hoang Hai
Published: December 2023

Heart failure (HF) with reduced ejection fraction (HFrEF) is a complex clinical syndrome associated with high mortality, long hospital length of stay, high readmission rates, reduced exercise tolerance, and decreased quality of life, as well as requiring significant resources to support treatment and care 1. Currently, it is reported that approximately 50% of all heart failure cases are HFrEF. However, due to recent advancements in cardiovascular diagnostic imaging, earlier, and possibly more precise, detection of HFrEF is greatly enabled. Not only does this seemingly increase the incidence rate of HfrEF in the general population, but it also gives treatment facilities an advantage in improving the prognosis and average life expectancy for these newly rising cases of HFrEF 2. According to heart failure treatment guidelines by Heart Associations around the world, an effective, interdisciplinary, and coordinated care system needs to be applied to all heart failure patients, including the reduced ejection fraction heart failure group, in order to achieve optimal guidelinesrecommended therapy, reduce mortality and readmission. In addition, each patient needs to be provided with a detailed treatment plan, which comprises treatment goals, effective management of comorbidities, follow-up time, diet, and physical activity 6. Therefore, the critical role of HF management programs in improving symptoms and quality of life in both inpatient and outpatient settings has been well recognized and paid continuous attention for the last two decades, with regular updates on team-based healthcare systems and home-based patient care 8,9,10.
Recent updates in treatment guidelines have highlighted the role of the treating physician in customizing and adjusting the therapeutic drugs’ doses, to match those recommended as target or optimal, which must also be well-tolerated by the patients, with the aim of improving clinical outcomes 12. Therefore, it could be deduced that not only the sheer application of the four evidence-based foundational treatment but also dose adjustment over time of each one, should be collectively recognized as the basis of treating patients with HFrEF.
The operation of a highlyspecialized unit, solely dedicated to the management of HF, known as ‘Heart Failure Unit’, has proven its effectiveness, by means of optimization of medical therapy, irrespective of baseline EF, but most notably reduced EF. Therefore, patients’ symptoms and readmission rate in facilities with “Heart Failure Unit” has witnessed a noticeable reduction. In today’s Vietnam, many tertiary medical facilities have implemented such centralized heart failure care models, and the Cardiology Department of Nhan dan Gia Dinh Hospital is definitely not an exception. The Heart Failure Unit in our department has been established and operating with a soulful dedication to providing HF patients with utmost comprehensive care and guideline-recommended therapy.
Differences in clinical characteristics and mortality of de novo acute heart failure and acutely decompensated chronic heart failure: A prospective cohort study
Authors: Truong Minh Chau , Tran Kim Hoa , Chau Ngoc Hoa
Published: December 2023

Background: Acute heart failure carries a high risk of mortality. Understanding the characteristics and outcomes of acute heart failure subgroups may have important implications for clinical risk stratification.
Objective: We examined the clinical characteristics and rates of the 12-month all-cause mortality in a cohort of patients hospitalized with acute heart failure according to heart failure duration new-onset or de novo acute heart failure and acutely decompensated chronic heart failure (ADCHF).
Methods and Materials: The cohort study, with a 12-month followup, was conducted at Nhan Dan Gia Dinh Hospital in Vietnam from February 2022 to October 2023.
Results: Among 316 patients with acute heart failure, 159 patients (50%) were admitted presenting de novo AHF, while the remaining 157 patients (50%) exhibited ADCHF. Patients with ADCHF were characterized by a higher proportion of elders, comorbidities including chronic kidney disease and atrial fibrillation, and a larger left atrial diameter than those with de novo acute heart failure. The rates of mortality in patients with ADCHF were 1.69 times more than in patients with de novo acute heart failure (the hazard ratio (HR): 1.69 (The 95% confidence interval (CI 95%): 1.10 - 2.60, p = 0.016). However, patients with ADCHF had not an independent predictor of 12-month mortality after adjusting factors in multivariable Cox regression models, including age, chronic pulmonary disease, diabetes mellitus, coronary heart disease, atrial fibrillation, sodium, hemoglobin, N-terminal prohormone BNP (NT-proBNP).
Conclusions: Among patients hospitalized with acute heart failure, acutely decompensated chronic heart failure was associated with poorer outcomes.
ANALISIS MUTU MARGARIN DENGAN PERBANDINGAN BAHAN BAKU MINYAK GORENG KELAPA : MINYAK GORENG SAWIT
Authors: Eko Rifkowaty Encik , SP. Irianto , Pratomo Sibuea Budi , Sariyanti Devi , Antika Sari Shelvy
Published: December 2023

Margarin merupakan emulsi (w/o), berbahan dasar minyak nabati. Penelitian ini terdiri dari 3 (tiga) perlakuan perbandingan minyak antara lain; minyak goreng kelapa : minyak goreng sawit 50:50 ; 70:30 ; dan 90:10. Analisis mutu yang dilakukan adalah uji perbandingan pasangan, uji hedonik,  kadar air, dan asam lemak bebas. Hasil uji perbandingan pasangan margarin pada atribut warna perlakuan 50:50 sama dengan warna margarin di pasaran, sedangkan atribut aroma dan rasa pada ketiga perlakuan berbeda dengan aroma dan rasa margarin di pasaran. Hasil rerata uji hedonik perlakuan 50:50 memiliki skor tertinggi (paling disukai). Berdasarkan ANOVA pada ketiga perlakuan atribut warna dan aroma berbeda nyata, sedangkan atribut rasa tidak berbeda nyata. Berdasarkan analisis kadar air pada perlakuan 50:50, 70:30, dan 90:10, berturut-turut yaitu 5,30, 6,37 dan 6,95%, sedangkan asam lemak bebas berturut-turut 1,17, 1,47 dan 1,83%. Persentase kadar air memenuhi SNI 01-3541-2002, namun tidak demikian dengan asam lemak bebas.
Kepemimpinan di Pesantren Salafiyyah dan Modern
Authors: Kurniyadi Mahmud Darul , Anshory Isa
Published: December 2023

Nowadays, there are many Islamic boarding schools around us. With various types, including salafiyyah and modern. The management of Islamic boarding schools will also vary depending on the vision and mission of each Islamic boarding school. Running an Islamic boarding school in accordance with the Islamic boarding school's vision and mission will make the Islamic boarding school have its own characteristics. Leadership is a person's ability to lead, control, influence people's thoughts, feelings or behavior to achieve certain goals. Thus, the leadership style in each Islamic boarding school is different. Because leadership style will also show the differences between each Islamic boarding school and the Islamic boarding school's image. Therefore, this paper will discuss leadership in Salafiyyah and modern Islamic boarding schools.
Geoteknik Mühendisliğinde Yenilikçi Araştırmalar
Authors: Gürel Emre , Seyrek Evren , Umu Seyfettin Umut , Topçu Sadettin , Tosun Hasan , Tuncel Onur , Özçelik Mehmet , Güler Ersin , Afacan Kamil Bekir , Şengül Tayfun , Vitoşoğlu Yaşar , Tün Muammer
Published: December 2023

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Yapay Zeka ve Gastronomi
Authors: Ülkü Abdullah
Published: December 2023

Bu çalışmanın amacı, yapay zekanın gastronomi alanındaki muhtemel kullanım şekillerini ve gastronomi alanına sağlayacağı faydaları çıkarım yoluyla açıklamaktır. Çalışma ana hatlarıyla teknoloji ve yemek sanatlarının bütünleşmesi, makine öğrenimi ve yapay nöral ağların gastronomi alanında uygulanması, tüketici deneyimini iyileştirme potansiyeli, sürdürülebilirlik ve verimlilik konularına değinmiştir. Mevcut literatür incelenmiş ve yapay zekanın tarif üretimi, kişiselleştirilmiş öneriler, menü optimizasyonu, gıda kalite kontrolü, robotik şefler ve asistanlar, müşteri hizmetleri ve tedarik zincirinin optimizasyonu işlevlerinin olabileceği belirtilmiştir. Gastronomi alanının değişen ortamı ile ilgili örnekler sunulmuştur. Sonuç olarak, yapay zeka gastronomi alanında uygulandığında, teknolojik yenilikleri ve yemek yeteneklerini birleştiren devrimci bir yaklaşım oluşturabilir. Yapay zekanın potansiyelini ele almak, gelecekteki yemek eğilimlerini ve uygulamalarını belirlemede önemli bir rol oynayabilir.
Renewable Energy in Islamic Countries: A Research Map
Authors: Nasution Abdillah Arif , Shikur Anwar Adem
Published: December 2023

This research aims to examine the development of research on the topic of Renewable energy in Islamic countries and research plans that can be carried out based on journals published with that theme. This research uses a qualitative method with a bibliometric analysis approach. The data used are secondary data sourced from the Scopus database, with a total of 46 journal articles. Then, the data is processed and analyzed using the VosViewer application with the aim of understanding the bibliometric map of research development. The results of the research found in the bibliometric author mapping that the authors who have published the most research on the theme of Renewable energy in Islamic countries are Latip, Normah Abdul; Karim, Rehmat; Marzuki, Azizan; and Aurko, Shafquat Yasar. Furthermore, based on bibliometric keyword mapping, there are 4 clusters that can be research pathways related to (1)Islamic finance and renewable energy in Islamic countries, (2)increasing electricity production capacity and renewable energy in Islamic countries, (3)energy consumption and renewable energy in Islamic countries, and (4)economic growth and renewable energy in Islamic countries.
Waqf Model for Climate Change: A Delphi Method Approach
Authors: Sukmana Raditya , Rusydiana Aam Slamet
Published: December 2023

Waqf as one of the instruments of Islamic philanthropy has an important role in supporting the achievement of SDG-13. This is shown by the purpose of waqf in preserving the environment, which in turn affects climate change. This research aims to prioritize waqf aspects in achieving SDGs goal 13, namely Climate Action. The analysis method used in this research is the Delphi method with a questionnaire. In addition, the data also used in this study are the results of interviews with academics, practitioners and regulators of waqf and Islamic economics in general. Based on the results of the analysis, it was found that of the 14 variables of waqf aspects for SDG-13, 13 variables were agreed upon by experts and 1 variable was not agreed upon, namely related to the waqf model, namely waqf-zakat. Then regarding the attention criteria, the most important variable in waqf development according to SDG-13 is the environment. In Maqashid Syariah, the most important variable in waqf development according to SDG-13 is bi'ah. And in the Waqf model, the most important variable in waqf development according to SDG-13 is waqf-sukuk.
Waqf Development Model for SDG-16 (Peace, Justice and Strong Institutions)
Authors: Rusydiana Aam Slamet , Sukmana Raditya , Laila Nisful
Published: December 2023

Waqf-based development is in line with the goals of the SDGs. Waqf institutions play an important role in actualizing the SDGs targets including point 16 which is peace, justice and strong institutions. This study aims to design and propose a waqf model for SDGs point 16 peace, justice, and strong institutions in the world by combining the concept of waqf with the activities of related institutions. This research proposes that the best waqf-SDGs model for point 16 is the integrated Waqf & ZIS model. This model is a type of waqf that is social in nature, where waqf is collaborated with ZIS instruments. So that the utilization of this instrument is suitable for social purposes. The implementation of the waqf models that have been proposed with their respective priorities can potentially become an Islamic social fund instrument that participates in supporting the SDGs to ensure that all humans can enjoy a prosperous life and advance economically, socially, and technologically in harmony with nature.
Harmonization of the Concept of Maqashid Shariah and SDGs: A Review
Authors: Fitria Lia
Published: December 2023

This research aims to assess the progress of studies on "Maqasid Shariah SDGs" from 2018 to 2023 and identify research plans based on articles related to this topic. Qualitative methods with a bibliometric analysis approach were used in this research. Secondary data focused on the theme "Maqasid Shariah SDGs" was obtained from the Dimensions database, covering a total of 38 articles. Next, the data was processed and analyzed using the VosViewer application to form a bibliometric map regarding the development of "Maqasid Shariah SDGs" research in general. The research results show that there are 3 main clusters in the topic "Maqasid Shariah SDGs" based on keyword mapping analysis, which can be used as research direction, namely "Islamic finance, Maqasid shariah, and SDGs", "Waqf, Maqasid shariah, and SDGs", and "Problems and challenges in maqasid sharia and SDGs". For the future, it is necessary to develop a research agenda related to "Maqasid Shariah SDGs", for example in the context of the non-financial halal industrial sector such as halal tourism, halal food, halal pharmacies, and so on. This is interesting to research because it has not been covered in the lines of research that have been carried out.
A instalação de projetos de energia eólica no Brasil: uma análise a partir do papel do Estado
Authors: Izá Pereira Lorena
Published: December 2023

A transição energética é posta como um imperativo diante da emergência das mudanças do clima em escala global. Ao mesmo tempo, os agentes capitalistas buscam diversificar suas carteiras de investimento em um contexto marcado por crise no sistema. A energia eólica torna-se uma oportunidade para negócios, sobretudo pelo fato do Estado agir em consonância com os interesses de tais agentes. O objetivo deste artigo é realizar uma análise do papel do Estado brasileiro na territorialização de empresas de energia eólica com o foco em três ações: promulgação de políticas públicas de incentivo, especialmente relacionadas a financiamentos; identificação de áreas potenciais para a territorialização destas empresas e; criação de um ambiente jurídico (ambiental e fundiário) que dê segurança a estes empreendimentos. Para atingir este objetivo foram utilizados procedimentos metodológicos quantitativos e qualitativos. Com a pesquisa é possível concluir que o Estado foi central para propiciar um ambiente atrativo para as empresas de geração de energia eólica, contudo, a função do Estado é invertida em relação ao que deveria ser, considerando que partir de uma necessidade coletiva garante os interesses particulares dos agentes capitalistas.
Análise da Gestão Hídrica no Âmbito dos Municípios da Bacia Hidrográfica do Rio Apodi-Mossoró, RN, Brasil
Authors: Medeiros Dayane Suellen Cabral de , Guimarães de Carvalho Rodrigo , Cordeiro Abner Monteiro Nunes , Medrado dos Santos Saulo
Published: December 2023

O presente estudo teve como objetivo analisar, sob a perspectiva dos gestores municipais, a gestão e oferta de água nos municípios que integram a Bacia Hidrográfica do Rio Apodi-Mossoró (BHRAM), localizada no estado do Rio Grande do Norte. Os procedimentos metodológicos empregados na pesquisa consistiram em revisão bibliográfica e aplicação de formulário de pesquisa com 27 gestores municipais. Apesar da competência em relação a gestão dos recursos hídricos não ser municipal, a pesquisa comprovou que os gestores municipais atuam de diferentes formas no sentido de buscar promover a segurança hídrica. Ficou evidente que o longo período de seca que ocorreu entre 2010 e 2020 na região causou grandes impactos sociais e econômicos, especialmente, em função da BHRAM apresentar uma estrutura de oferta e gestão de água insuficiente. O Projeto de Integração do Rio São Francisco é visto com otimismo pela maioria dos gestores como meio de garantir a segurança hídrica da região.
O Conceito de Região nas Regionalizações do Estado do Piauí: uma abordagem cronológica de 1940-2007
Authors: Costa Leonardo José da Silva , Martins Filho Jorge
Published: December 2023

O conceito de região na Geografia sempre esteve caracterizado pela diferenciação de áreas, estabelecendo-se como uma criação intelectual, partindo da atuação do geógrafo. Mesmo possuindo uma abordagem polissêmica, é na Geografia onde a região ganha maior ênfase, sendo um dos seus conceitos-chave, embora mediante a várias crises conceituais, a região foi bastante utilizada como ferramenta de planejamento dos estados com a finalidade de constituir recortes espaciais, de organizar e definir ações no espaço geográfico. No território brasileiro a aplicação das regionalizações partem da atuação do IBGE, que contribuiu na organização do território e no desenvolvimento econômico, como também no Estado do Piauí, onde as regionalizações possibilitaram através do planejamento regional uma melhor condução das potencialidades locais. Nesse contexto, o respectivo trabalho objetivou analisar o conceito de região nas regionalizações oficiais do IBGE e do Governo do Piauí no período de 1940 a 2007. Quanto a metodologia, o trabalho configurou-se como de caráter descritivo e analítico, com abordagem qualitativa, utilizando-se de pesquisa bibliográfica e documental. A partir dos resultados obtidos, tornou-se evidente que o processo de regionalização no Piauí comprovou a sua importância, mediante o desenvolvimento socioeconômico apresentado nas últimas décadas, onde tornou-se possível uma melhor destinação de recursos e investimentos essenciais na condução das potencialidades das regiões, e dos recursos naturais. Pode-se concluir que, o processo de regionalização Piauiense, seguiu a lógica do desenvolvimento nacional, ressaltando a busca da compreensão pelos órgãos competentes, sobre as novas formas de articulação presentes no espaço, contribuindo para o desenvolvimento local.
Formas de dinamismo dos circuitos curtos de produção: uma análise sobre a circularidade de produtos in natura provenientes da agricultura urbana em Campos dos Goytacazes- RJ
Authors: Martins Larissa Nunes , Santos Erika Vanessa Moreira
Published: December 2023

Esse estudo parte da reflexão acerca da procedência geográfica dos alimentos in natura, suas etapas produtivas e escalas de distribuição. Cada vez mais pessoas se preocupam com a origem dos alimentos, a qualidade, a segurança de como foram cultivados e a proximidade da produção. Tem-se como objetivo principal identificar e analisar o dinamismo dos circuitos espaciais produtivos, o ordenamento dos fluxos e a articulação entre as diversas etapas de produção, circulação, e consumo de produtos in natura em Campos dos Goytacazes – RJ, em 2021. Foram adotados como procedimentos metodológicos: revisão bibliográfica e documental; aplicação de questionários com agricultores, supermercado e consumidores; análise e sistematização de dados secundários da Secretaria Municipal de Agricultura, Pecuária e Pesca do site da Prefeitura. As atividades de comercialização abordadas neste estudo se caracterizam como circuito espacial produtivo curto dado que os produtos da agricultura urbana são predominantemente comercializados diretamente com consumidores. Embora tenham iniciativas sutis a fim amenizar os problemas relacionados a comercialização de produtos de pequenos agricultores e promover acesso a alimentos de qualidade aos consumidores, foi constatado a ausência de políticas efetivas que fomentem a agricultura urbana, uma das principais alternativas que beneficiam aos arranjos e sistemas produtivos locais e geram mercados alternativos.
The Importance of Job Motivation and Job Satisfaction on The Improvement of Hospital Nurses' Performance
Authors: Lewaherilla Novalien Carolina , Hiariej Harvey , Sijabat Asiani , Tahapary Grace Hubertina
Published: December 2023

This study aims to determine the extent to which the influence of work motivation and job satisfaction on the performance of nurses at GPM Sumber Hidup Hospital Ambon. This type of research uses a quantitative method approach. The sampling technique used was saturated sampling technique, namely all nurses at GPM Ambon Hospital, totaling 50 people. Data collection techniques using questionnaires and observations that have been tested for results. This research was processed using SPSS version 25. The types of data used in this study were primary data and secondary data. The data analysis method used in this research is descriptive analysis, instrument test, classical assumption test, multiple linear regression test and hypothesis testin. Based on the results of data analysis, the research data instrument test was declared valid and reliable. In the classical assumption test, the research results are normally distributed. In the t test (partial) it was found that work motivation (X1) has a positive effect on nurse performance (Y), job satisfaction (X2) has a positive and significant effect on nurse performance (Y).
Controles de Constitucionalidade e Convencionalidade: caso Gomes Lund versus Brasil e as ADPF’S 153 e 320
Authors: Almeida Dias Oliveira Mariana
Published: December 2023

Em abril de 2010, o Supremo Tribunal Federal julgou pela improcedência da arguição de descumprimento de preceito fundamental número 153, findando por decidir que a Lei de Anistia está em consonância com a Constituição Federal. Neste mesmo ano de 2010, no mês de novembro, a Corte Internacional de Direitos Humanos julgou o caso Gomes Lund (Guerrilha do Araguaia) versus Brasil, condenando o Estado Brasileiro pelas violações aos direitos humanos cometidas na referida guerrilha, consignando de forma expressa que a anistia concedida pela Lei 6.683/1979 é incompatível com a Convenção Americana de Direitos Humanos. Com fulcro neste julgado, o Partido Socialismo e Liberdade (PSOL) ingressou com a ADPF 320, requerendo que o Supremo Tribunal Federal declare que a Lei de Anistia não se aplica aos crimes de graves violações de direitos humanos cometidos por agentes públicos, militares ou civis, contra pessoas que praticaram crimes políticos. Delineado este contexto, o presente artigo buscará, por meio do método de abordagem indutivo, analisar a relação do Estado Brasileiro com o direito internacional e debater sobre o aparente conflito entre as decisões da Suprema Corte e da Corte Internacional de Direitos Humanos. Nesta seara, serão delineados os conceitos de controle de constitucionalidade e de convencionalidade, reforçando a importância das Cortes Internacionais para a proteção dos direitos humanos.
Branquitude e Feminismo Negro:
Authors: Dos Santos Rosa Ana Luzia , Engelmann Wilson
Published: December 2023

O presente trabalho tem por objetivo estudar de forma breve a relação da Branquitude e do Feminismo Negro no Brasil no que concerne a existência de um Pacto Narcísico da Branquitude que busca a perpetuação do sistema que mantém o poder e o privilégio do grupo dominante branco. O referido pacto é originário do período colonial que impôs uma hierarquia racista e machista, influenciando na permanência de uma interpretação e aplicabilidade da legislação de forma embranquecida, ocasionando o que denominamos como a Hermenêutica da Branquitude. Assim, a Hermenêutica da Branquitude ocasiona uma dificuldade ainda mais significativa para as mulheres negras, visto que a Interseccionalidade que esclarece o cruzamento de opressões na realidade das mulheres negras, acaba sendo desconsiderada teoricamente e por fim como ferramenta de análise capaz de auxiliar os magistrados e operadores do Direito no trabalho de busca e efetivação da justiça social.
A pan India cross-sectional study among medical students on the therapeutic effects of coffee on tension-type headache
Authors: Maheshwari Mansi , Pareek Varun , Sharma Lokendra , Jakhar Punam , Kumar Susheel
Published: December 2023

Introduction/Objective Tension-type headache (TTH) is the most frequent type of headache, affecting approximately 1.89 billion individuals globally. It is characterised by dull, agonising head discomfort, a sensation of tightness within the head, and tenderness of the scalp, neck, and shoulders. Coffee is a beverage made from roasted coffee beans. Coffee constituents can act as CNS stimulants, scavengers of free radicals, and have antioxidant properties. The major goal of this study is to assess the relationship between TTH and coffee consumption among medical students. This study also intends to inquire about medical students' daily coffee consumption form and amount, as well as their preference for coffee over other pharmacological treatments in headache relief. Methods Between August 31, 2023, and September 21, 2023, a pan-India cross-sectional analysis was carried out across several medical colleges in India. A self-administered questionnaire was utilised to collect data using Web-based links. Results 80% of the students experienced headaches in their everyday lives and 51.82% of students used coffee to relieve those headaches. The prevalence of TTH in coffee users was 13.06%. The prevalence of TTH in students who do not consume coffee was 12%. About 57% of students consumed about 1 tablespoon of coffee per day. In addition to that, 26.13% of students believed that coffee was equally as effective as pharmacological agents in treating headache and 11.06% of students believed that coffee was more effective than pharmacological agents. Conclusion Based on these results, we were not able to confirm a therapeutic effect of coffee on tension-type headache (TTH). On the contrary, the prevalence of TTH headaches was found to be marginally higher in coffee consumers.
Suspension bridge model with laminated beam
Authors: Alberto Raposo
Published: December 2023

This manuscript introduces a suspension bridge system where laminated beams model the deck. The action of frictional damping is considered. Well-posedness is proved using the Lumer-Phillips theorem, and the exponential stability is obtained by applying the Gearhart-Huang-Prüss theorem.
Arable farmer's enterpreneurial competencies and poverty status in Boluwaduro local government area of Osun State, Nigeria
Authors: Agboola Timothy , Akintunde Olaide , Balogun Lawrence
Published: December 2023

Poverty affects all sectors of society and believed to be higher in rural areas. However, entrepreneurial competencies have proved to be a weapon to reduce poverty among the populace. This study sought to investigate the effects of entrepreneurial competencies on household poverty in Boluwaduro Local Government Area of Osun State, Nigeria. Primary data were collected with the aid of well-structured questionnaire using a multi-stage sampling procedure to randomly select 120 household heads from the study area. Descriptive and inferential statistics such as FGT poverty index, budgetary analysis and probit regression were used for data analysis. The results showed that the mean age of the farmers was 50.94 years and were majorly males with a mean farm size of 7.43 acres cultivated mainly by family labour. Total household expenditure per month was N49730.5. The result of the budgetary analysis reveals a BCR of 1.8. Entrepreneurial competencies level was found to be moderate in the study area and 31.7% of the farmers were poor. Probit analysis showed that the Pseudo R-squared is 0.434, commitment and social competencies were significant at 1% and 5% level indicating positive influences on poverty reduction. It was recommended that farmers in the study area should show high commitment to agri-entrepreneurship and government should initiate policies that would enhance commitment of people and social activities to further reduce poverty level.
Evaluation of the mechanical and thermal characteristics of maize husk briquette as an alternative energy source
Authors: Ntunde Dilibe , Ibe Mathew , Igwe Johnson
Published: December 2023

This paper presents the mechanical and thermal characteristics evaluation of maize husk briquette as an alternative energy source to enhance sustainability and efficiency. The experimental test conducted for a 0.6kg weight of briquette showed the volatility and moisture content to have a mean value of 62.52 and 0.27%; while the compressive strength was revealed to be 3.06k N/m 2. The thermal evaluation showed that the mean burn temperature of the maize husk briquette rose from 70.70 o C to 83.34 o C in 8 minutes, 98.72 o C in 10 minutes and finally 100 o C in 12 minutes; when compared to fire wood which burns slowly from 46 o C in 5 minutes, to 53 o C in 9 minutes, 68 o C in 10 minutes, 82 o C in 12 minutes, 94 o C in 18 minutes and finally to 100 o C in 21 minutes. Further, the comparative analysis result revealed that the maize husk briquette has more oxygen and nitrogen at 44.64 and 4.22%, compared to charcoal. It also has more ash content of 11.47% due to its volatility to burn effectively. On the other hand, the maize husk briquette has a low carbon and sulfur contents after burning at 43.55 and 0.051%. These findings will help address the disposal challenges of accumulated maize husk at and crop residues as an alternative sustainable source to meet green environmental and technological demands.
A review on self-healing concrete: A biological approach
Authors: Kakasor Jaf
Published: December 2023

Concrete is one of the most popular and used construction materials. It is strong, durable, and relatively inexpensive, but it has a higher tendency to form cracks. The cracks provide a low service life for the concrete and high maintenance costs. The penetration of aggressive ions through cracks results in corrosion of steel reinforcement, carbonation, sulphate attack, alkali-aggregate reaction, etc. However, prevention of cracks formation is impossible, however, they can be controlled or repaired by various methods. Self-healing concrete is well known as a suitable remedial method to improve concrete's long-term durability. It is a new, rapid, and environmentally friendly approach. In this technology, when concrete is exposed to water, the healing agent material produces calcium carbonate (CaCO3), which fills in the cracks and decreases permeability while enhancing concrete durability. The materials that are used as the healing agents are mostly bacteria, polymers, and chemical compounds. Bacteria are the most preferred material in concrete for healing. Therefore, bio concrete or bacterial concrete is another name for self-healing concrete. This article provides a comprehensive overview of self-healing concrete including, the system, process, mechanical properties, and durability of healed concrete.
Establishment of deposit refund system in Greece for PET bottles: Economic analysis, benefits and impacts
Authors: Razis Athanasios , Anastassakis Georgios
Published: December 2023

The current paper deals with the implementation of the Deposit Refund System (DRS), as new recycling system in Greece for PET packages, in accordance with the European Directive 2019/904. The main purpose of this work was the presentation of a cost-benefit analysis that evaluated the suggestions and the impacts of the aforementioned European Directive for Greece. In addition to the cost-benefit analysis, a comparison between the DRS and the existing recycling model for PET (PolyEthylene Terephthalate) packages was carried out aiming at eliciting the ramifications for Greece. Furthermore, a mathematical model was set up, based on data regarding PET recycling in Greece. This model describes the operation of the corresponding DRS in Greece, and could be useful for understanding, establishing, and improving DRSs for other waste commodities.
The Nordic Network of Urban Morphology (NNUM): Urban form research in Scandinavia
Authors: Stojanovski Todor , van Nes , Partanen Jenni , Kirt Strandbygaard , Abarkan Abdellah
Published: December 2023

Urban morphology is defined as research program propounding methods and tools for the analysis and design of cities. The Nordic Network of Urban Morphology (NNUM) was established in 2006 to help promotion and diffusion of urban morphology both nationally in Sweden and across the Scandinavian countries. The morphological research in Scandinavia follows three research traditions: spatial analyses, typo-morphology and Space Syntax. There is a century long research tradition associated with geographical analyses of cities and regional science in Sweden, Finland and Denmark, typo-morphology in Sweden and vibrant Space Syntax groups in Sweden and Norway linking to individual researchers spread across Scandinavia. This paper maps scholars and groups at universities that follow and mix these traditions. It reviews the latest morphological research in Scandinavia and it also reflects on the future of morphological research in Scandinavia viewed in relation to the way in which Scandinavian cities fits into the worldwide pattern of urban development and dominating planning paradigms. In Scandinavian countries tradition collides with modernism and functionalism, but history have never been totally set aside. They tend to perpetually mix.
Artificial intelligence (AI) integration in medical education: A pan-India cross-sectional observation of acceptance and understanding among students
Authors: Sharma Vipul , Saini Uddhave , Pareek Varun , Sharma Lokendra , Kumar Susheel
Published: December 2023

Background/Aim: From accurate diagnostics to personalised treatment plans, artificial intelligence (AI) has the potential to revolutionise healthcare. The abundance of medical data has led to AI being employed for accurate diagnoses, treatment protocols and patient care. Students' perception of AI integration in medical education is crucial for its successful implementation. This study aimed to assess the acceptance and understanding of AI integration among students in medical education across different regions of India through a cross-sectional observation. Methods: A pan-India survey was conducted among medical students between 1 August 2023 to 20 August 2023 with a pre-validated questionnaire covering AI awareness and understanding through Google Form, circulated via WhatsApp. Results: A total of 730 medical students completed the survey of which 58.6 % were males and 41.4 % were females. Most students (80.7 %) knew about AI, but 53.6 % had limited awareness of AI in medicine. Opinions on AI integration was diverse, with 46.8 % in favour. Workshops (45.2 %) and lectures (31.1 %) were preferred learning formats. Students were interested in various AI topics and expect AI to positively impact medicine (45.9 %). Radiology, surgery and general medicine were predicted to be most influenced by AI. Concerns about overreliance on AI (49.2 %) and lack of empathy (43.7 %) were highlighted. Conclusions: Medical students in India display a keen interest in AI and its integration into medical education. To fully harness AI's potential in healthcare, comprehensive AI curricula and faculty training are needed. Students are aware of the challenges and opportunities, emphasising the importance of balanced AI adoption in medical practice and education.
Rare benign median nerve angiogenetic lipofibromatous hamartoma: A case report
Authors: Doddabasappa Mruthyunjaya , Ugrappa Harish , Sanchi Bharathkrishna , Kumar Akash
Published: December 2023

Only a few cases of lipofibromatous hamartoma (LFH) of the median nerve have been described in the literature. LFH is a rare and low growing benign fibro-fatty tumour. It is characterised by the proliferation of mature adipocytes within the epineurium and the perineurium of the peripheral nerves. The median nerve is most frequently affected in the upper extremities. Carpal tunnel syndrome, paraesthesia, numbness and pain are frequently the results of involvement of the median nerve. In presented case, in addition to fibrolipoma, there was also new blood vessel formation noted, which was attributed to the chronicity of the lesion. Diagnosis was missed by ultrasound and MRI due to the presence of blood vessels. Histopathological diagnosis was confirmed. Surgical treatment with carpal tunnel release and neurolysis were performed. This resulted in favourable outcome in 3 months.
FINE MOTOR SKILLS AND BMI ARE GOOD PREDICTORS OF ATHLETIC PERFORMANCE IN COLLEGE STUDENTS
Authors: Vranešić Hadžimehmedović Damira , Likić Slavenko , Biščević Inga
Published: December 2023

Athletic performance is affected by numerous factors such as genetic makeup, environmental factors, and psychological factors. The goal of the present study was to examine the effects of fine motor skills and BMI on athletic performance of college students. The sample for this study consisted of 31 students (mean age 19 years, SD- 1.1 year; 7 females, 24 males) recruited from the Faculty of Kinesiology at the University of Sarajevo. The students were given Purdue Pegboard test of motor skills and Test of Athletic performance consisting of 8 tests: sprint running, high/low start, relay running, hurdle racing, high jump, long jump, shot put, and javelin throw. We assessed the impact of their BMI and fine motor skills on the Athletic performance. The results revealed a statistically significant effect of fine motor skills and BMI on Athletic performance. More specifically, these two factors explained around 30% of the variance in Athletic performance. These findings could be beneficial for designing more effective training programs that not only focus on general physical fitness but also consider the role of fine motor skills and body composition in improving overall athletic performance.
Factores relacionados a la pediculosis capitis en niños del asentamiento humano alto proceso, San Juan de Miraflores, Lima, Perú, octubre del 2017
Authors:   , Cornejo Espinoza Diego , Prieto Marcos Juan José
Published: December 2023

Objetivo: Determinar los factores relacionados a la pediculosis capitis en niños del Asentamiento Humano Alto Progreso, San Juan de Miraflores, Lima, Perú en octubre del 2017. Materiales y métodos: Se seleccionaron 136 niños de ambos géneros del Asentamiento Humano Alto Progreso. Se elaboró una ficha de recolección de datos que permitió recoger información de la población. El diagnóstico se llevó a cabo utilizando la técnica de inspección visual simple. La presencia de cualquier estadio de Pediculus humanus var. Capitis. en el cuero cabelludo se registró como resultado positivo. Para los análisis estadísticos se utilizó el paquete SPSS v. 24 Resultados: Se observó relación altamente significativa de la pediculosis capitis con respecto al género, hacinamiento, limpieza del cabello, compartir útiles de aseo, valor p < 0.001, mientras que la edad de los niños y el tipo de material de la vivienda no estaba relacionada, valor p > 0.05. Conclusiones: La pediculosis capitis es una ectoparasitosis muy común en la población estudiada. El género, el hacinamiento, la limpieza del cabello y compartir útiles de aseo son factores que están significativamente relacionados a la pediculosis capitis. La edad y el tipo de material de la vivienda no están relacionados a la pediculosis capitis. La población de estudio no cuenta con red de agua potable y desagüe.
Características clínica de la mortalidad en la unidad de cuidados intensivos del Hospital Nacional Hipólito Unanue 2015-2017
Authors:   , Bryson Malca Walter Florencio , Zavaleta Oliver Jenny Marianella
Published: December 2023

Objetivo: Determinar las características clínicas de las personas críticas que son ingresados en la unidad de cuidados intensivos del hospital nacional Hipólito Unanue y describir las variables que influyen en su mortalidad. Materiales y métodos: Se revisaron las estadísticas de la mortalidad en UCI del HNHU entre los años 2015 al 2017, se tomaron en cuenta algunos factores sociodemográficos como la edad y el género, características clínicas de estos personas como el diagnóstico de ingreso y los problemas que se presentaron motivo de su internamiento, el servicio de procedencia, los días de estancia previos a la uci y luego los días intra-uci, el requerimiento de ventilación mecánica y los días que permaneció en esta, los scores de gravedad y pronóstico de uso común en la UCI, las complicaciones que se presentaron durante su internamiento y finalmente los índices de mortalidad. Resultados: la sexta década de la vida fue la mas preponderante al igual que el genero masculino. El antecedente mas importante fue la EPOC y la HTA. La complicación mas frecuente fue la respiratoria, los días de estancia en uci fue mayor a una semana y los días de ventilación mecánica mayor a 7 días Conclusiones: La mortalidad promedio durante el 2015 (21.07%), 2016 (21.53%), 2017 (12.84%); La mayoría de las personas provenían del servicio de cirugía, EPOC, HTA y ACV fueron los antecedentes que más frecuentemente se presentaron. Los días de estancia PRE – UCI estuvo en los tres primeros días y los días de estancia en UCI estuvieron entre los 8 y 14 días. Las complicaciones respiratorias y las infecciosa fueron las más frecuentes en mayor incidencia y permanecieron en ventilación mecánica mucho mayor de 7- 14 días. La mayor cantidad de personas tuvieron entre la sexta década de la vida y mayormente del género masculino.
La COVID-19 y sus efectos en pacientes con tuberculosis pulmonar tratados en la jurisdicción de la DIRIS Lima Sur – 2021
Authors:   , Lorenzo Vega Yessica Maribel
Published: December 2023

Objetivo: Determinar los efectos de la COVID-19 en los pacientes con tuberculosis pulmonar tratados en la DIRIS Lima Sur Materiales y métodos: El estudio fue descriptivo con un enfoque cuantitativo, de diseño correlacional causal, retrospectivo, de corte transversal. La data analizada fue del sistema de Información Gerencial de Tuberculosis SIGTB. Con una muestra de 59 pacientes de marzo del 2020 a marzo del 2021. Resultados: El 53% de los casos fueron del sexo masculino, el 41% se encuentran en el grupo etario de los adultos, el 86% no presentó ninguna comorbilidad, el 75% de los pacientes no presentaron ningún factor de riesgo. El mayor porcentaje de pacientes con coinfección presento una clasificación clínica por Covid-19 de severidad leve o asintomático con un 66,1%, el moderado fue de 30,5% el severo con un 3,4%. La mortalidad alcanzo un 3.4% de los casos. Conclusiones: El efecto más determinante en los pacientes con coinfección TB/ Covid-19 fue la manifestación clínica de leve o asintomático. Se precisó que existe relación del sexo y cierta relación de la edad de los pacientes con tuberculosis en la clasificación clínica de severidad de la COVID-19. Se toma los resultados como preliminares y de forma “referencial” debido a la frecuencia de casos en su clasificación limitada.
Asociación de la variabilidad genética y carga viral del virus de la Hepatitis C en pacientes del Hospital “Edgardo Rebagliati” del 2016 al 2020
Authors:   , Tantaleán Bazán Norma Carolina
Published: December 2023

Objetivo: Determinar la relación entre la variabilidad genética y la carga viral del virus de la hepatitis C en los pacientes del Hospital “Edgardo Rebagliati” del 2016 al 2020. Materiales y Métodos: El diseño de la investigación fue observacional de nivel correlacional, retrospectivo y de corte transversal. Un total de 367 pacientes conformaron la muestra, se les cuantificó la carga viral por PCR en tiempo real y se realizó la genotipificación molecular mediante secuenciamiento de ADN del 2016 al 2020. Se utilizó una ficha de recolección de datos como instrumento y para la comprobación de la hipótesis se utilizó el análisis estadístico bivariado mediante el test exacto de Fisher (p<0.05). Resultados: En nuestra muestra se identificaron cuatro genotipos mayores (1, 2, 3 y 4), siendo el genotipo 1 el predominante (90,5%); en cuanto a los subtipos, se detectó ocho subtipos, los más frecuentes fueron el subtipo 1a (75.5%), subtipo 1b (13.9%) y subtipo 2j (2.7%). Los pacientes con genotipo 2 y 3 fueron los que presentaron mayores concentraciones de carga viral; sin embargo, al realizar el análisis estadístico no se encontró una correlación significativa entre la variabilidad genética y la carga viral del VHC (Prueba exacta de Fisher=5.748, p=0.422), ni con respecto al género y la edad. Conclusiones: La variabilidad genética del VHC y la carga viral no presentaron una relación significativa entre ellas.
Consumo de animales silvestres en tiempos de pandemia de coronavirus en las regiones de la Selva Peruana
Authors:   , Valdivia Zevallos Justo Dario
Published: December 2023

Objetivo: Determinar la cantidad de carne de animales silvestres consumidos en tiempos de pandemia de COVID-19 por habitantes de la Selva Peruana. Materiales y métodos: Investigación cuantitativa, observacional y analítica, tuvo un diseño de investigación descriptivo, correlacional y prospectivo; la población estuvo compuesta por 1502 personas y la muestra fue no probabilística, por conveniencia y se incluyó un total de 316 participantes. Resultados: los resultados obtenidos fueron que existe relación entre las características sociodemográficas de los habitantes consumidores de proteína de animales silvestres y las especies más frecuentemente consumidas. Existe relación entre el consumo de carne y pescado antes y durante el COVID-19 en habitantes de la selva peruana. No cambió la percepción acerca del COVID-19 que tienen los habitantes de la selva peruana al consumir carne de animales silvestres. Existe relación entre la disminución de la seguridad alimentaria y el cambio del consumo de proteína animal a partir de surgimiento de la pandemia del COVID-19 en habitantes de la selva peruana. Conclusión: aumentó el consumo de animales silvestres en tiempos de pandemia de COVID-19 en la selva peruana y se recomienda que el estado brinde apoyo financiero y técnico a las familias que consumen proteínas de animales silvestres para mejorar su aporte alimentario.
Satisfacción del usuario y tiempo de espera en el contexto COVID-19 en el Centro de Salud Doctor Carlos Alfredo Ayestas La Torre provincia de Abancay año 2021
Authors:   , Tarqui Cabrera Sheila Tania
Published: December 2023

Objetivo: Se determinó la relación entre la satisfacción del usuario y el tiempo de espera en el contexto COVID-19 en el Centro de salud Dr. Carlos Alfredo Ayestas La Torre provincia de Abancay año 2021. Se realizó un estudio descriptivo, correlacional, no experimental de corte transversal. Materiales y métodos: Se utilizó una muestra de 334 pacientes que reunieron los criterios de inclusión, la técnica de recolección de datos fue la encuesta y los instrumentos un cuestionario para conocer la satisfacción del usuario y el tiempo de espera mediante preguntas cerradas de opción múltiple tipo Likert. Los datos fueron procesados en el paquete estadístico SPSS, se realizó el análisis descriptivo e inferencial frecuencias simples, acumuladas, medidas de tendencia central, dispersión y correlación de chi2. Resultados y conclusión: El 73% presentan un nivel bajo de satisfacción del usuario; 20% se ubican en un nivel medio y 7% presentan un nivel alto en la satisfacción del usuario. se observa los niveles de la variable tiempo de espera en el contexto COVID-19 en el Centro de salud Dr. Carlos Alfredo Ayestas La Torre provincia de Abancay departamento de Apurímac, donde el 10% (33) presentan un nivel bajo de tiempo de espera; 30% (99) se ubican en un nivel medio y 60% (202) presentan un nivel alto en el tiempo de espera. Se da una correlación inversa moderada entre las variables satisfacción del usuario y tiempo de espera con un valor de Rho Spearman= -,586, donde el nivel de significatividad es 0,000 menor a 0,05 por lo tanto, se acepta la hipótesis de investigación donde la satisfacción del usuario y tiempo de espera se relaciona inversamente, lo que quiere decir que a menor tiempo de espera, mejora la satisfacción del usuario.