bluuebunny/crossref_metadata_2025 huggingface dataset:
Cardiopulmonary Resuscitation (CPR) during COVID-19 Pandemic
Authors: Pailaha Aprianto Daniel
Published: January 2023

Introduction: The COVID-19 infection has a high rate of mortality and morbidity and is extremely contagious. COVID-19 has raised attention to safety issues involving healthcare workers who perform CPR. The risk of transmission produces a dilemma to perform cardiopulmonary resuscitation (CPR) within the COVID-19 pandemic. Additionally, patient and/or family preferences, as a factor associated with Do-Not-Resuscitate (DNR). This commentary wants to provide an overview or other perspectives that may be the subject of further research so that there will be evidence base practice for health workers, especially nurses in code blue situations. Discussion: COVID-19 pandemic has clearly had a significant impact on the epidemiology and outcome of cardiac arrest in both out-of-hospital and in-hospital settings. All potential COVID-19 patients should be offered the advantage of CPR by attempting to revive them after taking all required safety precautions, and the patient should only be confirmed dead after CPR has been performed. Provision of further information regarding CPR to patients and/or families for consideration, including the advantages and disadvantages of CPR, before making a final decision regarding the administration of CPR. COVID-19 patients with a poor prognosis might benefit from Do-Not-Resuscitate (DNR) but this is causes dilemmas in nursing profession. Conclusion: Although the survival rate for COVID-19 patients is poor, it is anticipated that CPR attempts will still be performed during the COVID-19 pandemic by following several guidelines. COVID-19 patients with a poor prognosis might benefit from Do-Not-Resuscitate (DNR) if the patient and/or family who are accountable provide their approval and everything is in order. As a nurse, we must respect the decisions that patients or families make because it is their right and their authority.
METROLOGICAL ASPECTS OF ENSURING MEASUREMENTS IN RAILWAY ROLLING STOCK PROJECTS
Authors: Dmytrychenko M. , Kulbovskyi I. , Tkachenko V. , Holub H.
Published: January 2023

The problems of obtaining reliable information in online mode about the technical condition of rolling stock are considered. It was determined that obtaining such information is possible thanks to the use of a system for monitoring the parameters of the condition of the rolling stock using technical means that carry out measurements based on metrological support. It is known that one of the main tasks of railway transport is the safety of traffic, which can be ensured by using a parameter monitoring system to maintain and restore the efficiency, reliability and reduce operational costs of rolling stock. The paper presents the metrological aspects of providing measurements of rolling stock parameters by the statistical method of calculating verification intervals, which allows to determine control errors based on the available initial data in the form of specified error intervals of measuring devices. A detailed description of the method and, accordingly, the results of using the method to determine the dependence of the average risk of verification and the dependence of the ratio of the value of the optimal control tolerance on the estimation of the error of the measuring device being verified to the limit of its permissible error on the ratio of losses due to false and undetected failures are presented, in a graphical form.
A Educação Corporativa e o Serviço Social: Um campo novo para a categoria?
Authors: Lioneza Joice Moura , Fonseca Tatiana
Published: January 2023

A Educação Corporativa tem se apresentado como uma especialidade profissional dentro de um mundo corporativo cada vez mais competitivo. As mudanças no mundo do trabalho provocam intensas redefinições no Estado, na sociedade e nas políticas. São ciclos que desencadeiam novos rumos nas requisições, nas demandas, nas frentes de trabalho e nas possibilidades de atividades e de atuação, dando ensejo para que o capital possa ser um agente na formação educacional do trabalhador. Ampliando valores e meios de formação cultural, a Educação Corporativa oferece e controla o conhecimento intelectual do trabalhador. Essa novidade do mundo empresarial surge como consequência da reestruturação produtiva, em que o capital passa a assumir o papel de agente formador de mão de obra. Este artigo tem por objetivo apresentar e discutir a situação atual da educação corporativa e buscar algum traço de representatividade ou de aproximação dessa qualificação para os profissionais de Serviço Social. Inicialmente, será apresentado o conceito de educação corporativa e seu efeito para o mundo corporativo. A partir daí, será avaliado como a categoria se situa diante desta nova visão e o que tem sido realizado na formação intelectual dos profissionais. Por fim, será apresentada avaliação crítica sobre o assunto, seguida de sugestões visando a obtenção de avanços na sistematização da prática profissional, em defesa do fortalecimento do Projeto ético-político da profissão.
Formación profesional en escuelas públicas de Brasil, Norte y Amapá, entre 2012 y 2022: una breve revisión
Authors: Carvalho Suelen , Fecury Amanda Alves , Dendasck Carla Viana , Oliveira Euzébio de , Dias Claudio Alberto Gellis de Mattos
Published: January 2023

Los gobiernos de los estados brasileños son responsables de proporcionar educación pública secundaria, tanto formal como EPT. El gobierno federal, sin embargo, es el principal regulador de las políticas públicas en educación, a través del Ministerio de Educación y Cultura (MEC). El objetivo fue realizar una revisión bibliográfica sobre la formación profesional en las escuelas públicas de Brasil, del Norte y de Amapá, entre 2012 y 2022. Fue realizada en bases de datos de investigación como Google Scholar, Periódicos CAPES, Mendeley – Reference Management Software, y Scientific Electronic Library Online – SciELO, entre 2012 y 2022. Utilizando los descriptores seleccionados, se encontraron 52.854 documentos científicos, de los cuales 11 cumplieron con los requisitos y forman parte de esta revisión. El Gobierno Federal invirtió en la expansión y expansión de la EPT y la mayoría de los estados brasileños solicitaron esta asistencia técnica y financiera. La supervisión eficiente de los recursos financieros transferidos a los estados es casi inexistente. Esto implica descontinuar las acciones tendientes a fortalecer, ampliar y expandir la EPT en los estados y actualizar los datos por parte de las Secretarías de Educación Estatales en el Sistema Nacional de Información para la Educación Profesional y Tecnológica (SISTEC). EPT va más allá de la educación con fines de marketing. En la red estatal tiene que ser pública, politécnica y de calidad. Es necesario tener y realizar más estudios y encuestas para tener un mayor número de datos consolidados al respecto, y así aumentar la comprensión de cómo es la EPT en las redes estatales de educación en el país.
Metodologia para análise limnológica: estudo de caso em três marias – MG – Brasil
Authors: Silva Maycon Gabriel Gomes da , Rocha Douglas Abreu da , Peixoto Zélia Myriam Assis
Published: January 2023

O método tradicional de avaliação da qualidade da água em reservatórios hídricos, o qual consiste basicamente na coleta de amostras de água e análises laboratoriais, é um método caro e ineficaz para o diagnóstico dos problemas relacionados à qualidade da água nas bacias hidrográficas e reservatórios, devido, principalmente, ao alto custo no monitoramento, interrupção nas campanhas de coleta de amostra de água por falta de verbas e falta de procedimento padronizado no Brasil. O sensoriamento remoto, através de algoritmos de regressão, processamento digital de imagens e técnicas de machine learning, são tecnologias usadas para monitorar reservatórios hídricos. O objetivo deste trabalho é o desenvolvimento de uma metodologia para análise limnológica da qualidade da água em reservatórios hídricos a partir de imagens do satélite Landsat 8 OLI e a aplicação de técnicas de machine learning, baseadas em regressão linear e regressão LASSO (Least Absolute Shrinkage and Selection Operator). Nesse contexto, foi realizado um estudo de caso no Reservatório de Três Marias/MG, onde foi feita a predição dos parâmetros limnológicos turbidez e sólidos totais para a validação da metodologia proposta. Essa metodologia consiste em usar dados históricos de parâmetros limnológicos da qualidade da água, informações espectrais das imagens do satélite Landsat 8 OLI, fazer o pré-processamento destes dados e utilizá-los no treinamento de modelos obtidos a partir das técnicas de regressão linear e regressão LASSO, gerando-se um modelo de predição que é disponibilizado por meio de uma plataforma web. O treinamento e teste dos modelos de regressão linear e LASSO foram realizados a partir de dados de medições in loco anteriores do Reservatório de Três Marias – MG, disponibilizados pela Companhia Energética de Minas Gerais S.A. (CEMIG). A validação dos modelos foi realizada por meio das métricas estatísticas coeficiente de determinação, erro percentual absoluto médio, erro absoluto médio, onde os principais resultados foram 0,832, 0,087 e 1,938 respectivamente. Vale ressaltar que a metodologia proposta pode ser estendida a qualquer reservatório desde que estejam disponíveis dados históricos dos parâmetros limnológicos e informações espectrais das bandas do satélite Landsat 8 OLI.
The Impact of Cost of Capital on Financial Performance: Evidence from Listed Non-Financial Firms in Nigeria
Authors: Ibrahim Mohammed , Abdulkarim Habib , Muktar Jamila , Gurama Zakariya'u , Peter Zachariah
Published: January 2023

This study examines whether Cost of Capital (COC) impact on the financial performance of listed non-financial firms in Nigeria for the period 2015-2019. Using two-step system Generalised Method of Moments (GMM), the study found a significant and negative impact of COC on financial performance of listed non-financial firms in Nigeria. This is because profitable firms have the opportunity to finance new investments with retained earnings rather than through a new debt and/or equity issuance. Also, raising the debt level of a firm may result in an increase in distress costs, and as such reduces benefits from the tax shield which consequently result in decline in the value of the firm. Thus, the finding of this study is in line with the pecking order theory of capital structure. The findings, which add to the existing knowledge with regard to the impact of COC on financial performance, should be interesting to the providers of finance. This is because the study helps them to make the decision whether or not to invest in these firms. Since they want their money to be invested where there will be maximum return. However, this result only hold for emerging economies like Nigeria where analyst cash flow forecast is difficult to predict. This is due to the underdeveloped nature of the capital market.
effect of CEO reputation on company financial distress: Evidence from Pakistan
Authors: Muien Hafiz Muhammad , Nordin Sabariah , Badru Bazeet Olayemi
Published: January 2023

The purpose of this study is to explore the influence of CEO Reputation on the Company Financial Distress. The population of the study is all non-financial companies that are listed on the Pakistan stock exchange (PSX). In this research, the final sample size is 285 companies that cover the period of the study from 2006 to 2017. CEO reputation plays important role in predicting financial distress. Based on the upper echelon theory, CEOs can influence in a company decisions making, value creation and financial reporting decisions based on their specific skills, reputation and personal characteristics. Previous studies in the context of Pakistan are lacking to check the association between CEO reputation and company financial distress. This study contributes to the literature and fills this gap. This study also suggest that to explore the link between CEO reputation and financial distress in the emerging market.
Relevancy of modern democratic socialism to business environment
Authors: Yazid Daniel Nurhaqim , Chandran Suseela Devi
Published: January 2023

In the past few decades, the supports towards the idea of Democratic Socialism especially among youth has skyrocketed. The exiting of Democratic Capitalist system which was adopted globally failed to narrow the class gap and is being viewed as constant economic and social exploitation by private companies. While past iteration of Socialism & Communism has been regarded as a major failure, it is still yet to be proven whether the ideas of Democratic Socialism will produce the same outcome. The main purpose of this paper is to offer a comprehensive study of Democratic Socialism which comprises its definitions, history, variations, and explanation on how democratic socialism is conducive to business environment. Methodology – This paper adopted qualitative research design paired with secondary sources data extraction for data collection process. Findings and Significance - This study is fundamental to the development of Democratic Socialism as a theory since it can be described not only as one of the vaguest theories but also as one with the biggest potential to business community. This paper provides at least a clear definition of what Democratic Socialism truly is and what its characteristics are. This paper also contributes to the body of knowledge on how few countries or governments managed to successfully assimilate the idea of Democracy and Socialism to form Democratic Socialism and put forward the relevance of democratic socialism to be practised in today’s world.
Workforce diversity enhancing employee performance in small and medium-sized enterprises in Pakistan
Authors: Malik Nida
Published: January 2023

This study aimed to highlight workforce diversity in employee performance practice in Pakistan's small and medium enterprises. There is a significantly larger need for a diverse workforce in Pakistani SMEs because SMEs developing their positive contribution to sustaining a Pakistan economy and workforce diversifying the private sector in employment. The influence of diversity involves gender, age, education, and ethnic diversity to improve employee performance. This quantitative research used a survey method to collect data from 120 employees employed in SMEs in Pakistan. The study findings established the significant contribution of training for workforce diversity and employee performance is important for SMEs to solve work-related problems. Initially, employees need to understand the diverse system at SMEs for better team building to accomplish of a task. The statistical results also support the significant association of skills training and team building for task completion. The current study examines the significant challenges to workforce diversity top dimensions of gender, age, education, and ethnicity offer suggestions on how to improve workforce diversity and employee performance. This research is addressing workforce diversity and employee relations in small and medium-sized enterprises in Pakistan, and for better performance, SMEs in Pakistan must concentrate on giving staff tasks and training that are relevant to those tasks. The research influence that all the top four dimensions of workforce diversity (gender, age, education, ethnicity) have a positive correlation with employee performance in a Pakistani small-medium size enterprise. As a result, SMEs must operate workforce diversity to improve employee performance.
Thermal properties of diatomic molecules with multi parameter exponential-type potential
Authors: Ghanbari Ahmad , Birooni Raziyeh
Published: January 2023

In this work, we have calculated the thermal properties of H2 and O2 diatomic molecules with multi parameter exponential type potential within the framework of the statistical mechanics. In this regard, using the improved energy spectrum, we have determined the vibrational partition function obtained recently via the path integral formalism. Based on obtained partition function, we find thermodynamic properties of diatomic molecules such as Gibbs free energy, enthalpy and specific heat in constant pressure by the Poisson summation formalism. Also, we have validated our results with experimental data and our results show that there is a good agreement between them. Finally, the average absolute deviations of the calculated data from the experimental data are obtained.
Density and molar volumes of liquid alloys of iron with C, B, Si, P, Cu, Al, Ni, Cr and Mn
Authors: Ostrovski Oleg
Published: January 2023

The paper discusses density and molar volume of liquid alloys of iron with C, B, Si, P, Cu, Al, Ni, Cr and Mn. Liquid alloys of iron with other metals are considered as substitutional solutions using the hard-sphere model. Deviations of molar volumes of Fe-Cu and Fe-Al alloys from the ideal solutions were analysed using relationship between excess volume and entropy. Alloys of iron with Ni, Cr and Mn are close to the ideal solutions. Calculated volumes are in agreement with experimental data. Alloys of Fe with C, B, Si and P are considered as interstitial solutions using P. Gaskell�s model developed for amorphous alloys of transition metals with metalloids. Calculated partial molar volumes of C, B, Si and P in dilute binary solutions at 1823 K are (cm3/mol): 1.59, 3.37, 7.06 and 6.26 respectively. The model correctly describes the liquid alloys of iron with metalloids as interstitial solutions.
HUBUNGAN INISIASI MENYUSUI DINI ( IMD) TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH PUSKESMAS MUMBULSARI KABUPATEN JEMBER
Authors: Dinar Perbawati
Published: January 2023

Early Breastfeeding Initiation (EBI) is one of the government's policies to reduce the neonatal mortality rate (NMR) and increase the coverage of exclusive breastfeeding. One of the efforts to prevent infant mortality is to provide exclusive breastfeeding for infants in an effective and efficient manner. Low Early Breastfeeding Initiation (EBI) is one of the factors related to the failure of exclusive breastfeeding. The purpose of this study was to analyze the relationship between Early Breastfeeding Initiation (EBI) and exclusive breastfeeding at the Mumbulsari Public Health Center, Jember Regency. The purpose of this study was to analyze the relationship between Early Breastfeeding Initiation (EBI) and exclusive breastfeeding at the Mumbulsari Public Health Center, Jember Regency. This research was conducted in May 2022. The population in this study were 114 mothers with toddlers who were in the Mumbulsari Public Health Center, Jember Regency in 2022, the number of samples was 35 people. This type of research is analytic by using a cross sectional design. Research data collection by taking primary and secondary data, analyzed with chi-square statistical test. The results of the statistical test showed that the value of p = 0.001 showed that Ha was accepted and H0 was rejected, meaning that there was a relationship between the IMD variable and exclusive breastfeeding at the Mumbulsari Public Health Center, Jember Regency (p <0.05). The result of the correlation coefficient value is 0.519, which means the level of closeness of the relationship is in the medium category.
Hubungan Jenis Pestisida Berdasarkan Kandungan Senyawa Aktif yang Digunakan terhadap Kadar Timbal (Pb) dalam Darah Petani di Kabupaten Bangka
Authors: Samsulaga Roby Fauzan , Wimpy Wimpy
Published: January 2023

Farmers exposed to pesticides. It can cause pollution and residues. Pesticides contain Plumbum (Pb). Pb can effect to the hematopoietic, digestive, urinary, kidney, central nervous, reproductive, cardiac and endocrine systems. The purpose was to determine the relationship between types of pesticides based on the active compounds used on Pb levels in the farmers blood in Bangka district. This research is analytic observational with cross sectional approach. The subjects were 20 farmers exposed to pesticides and with criteria based on the questionnaire in Bangka district. Use quota sampling. Primary data, namely measurement of blood lead levels using the Inductively Coupled Plasma - Mass Spectrophotometry (ICP-MS) method and types of pesticides based on active compounds. Level of Pb in the farmer's blood was the highest level of 6.6 g/dL and the lowest level of 1.7 g/dL with an average of 4.1 g/dL and still within normal limits. Respondents who used organophosphate pesticides found the highest levels of 6.6 g/dL and the lowest levels of 2.5 g/dL with an average of 4.36 g/dL. Respondents who used carbamate pesticide obtained the highest level of 5.1 g/dL and the lowest level of 1.7 g/dL with an average of 4.06 g/dL. The results from the ANOVA test with an F count of 4.789 and a significance level of probability 0.032 < 0.05, there was a significant relationship between types of pesticides based on the content of active compounds used by farmers on blood lead levels in Bangka district.
Uji Aktivitas Infusa Rimpang Temu Mangga (Curcuma mangga Valeton and Zijp) sebagai Anti Inflamasi
Authors: Nugraha Dyan Fitri , Putri Meida Rizki , Melati Helda
Published: January 2023

Non-Steroid Anti-Inflammatory Drugs (NSAIDs) are drugs that are often used by the public, either to relieve pain or swelling. The use of NSAIDs without proper references followed by high consumption intensity often shows side effects that arise, such as stomach pain, or more fatal results, such as gastric bleeding, chronic kidney disorders, to cardiovascular diseases. Not relying on synthetic drugs, empirically, people consume boiled water from the temu mangga rhizome to treat the inflammation or swelling they experience. The purpose of this study was to scientifically prove the anti-inflammatory activity of the temu mangga rhizome’s infusion, with macroscopic parameters such as edema volume and microscopic anti-inflammatory activity observed from plasma membrane stabilization. The research method was experimental by dividing the preparation into three doses, namely 90 mg, 180 mg, and 360 mg per 200 grams of body weight of test animals in the form of male rats (Rattus norvegicus). The results showed that the test animals' dose of 360 mg/200 gram body weight had the best effectiveness.
Hubungan Pola Menstruasi dengan Kejadian Anemia pada Remaja Putri di Wilayah Pesisir Kota Bengkulu
Authors: Dineti Anggun , Maryani Deni , Purnama Yetti , Asmariyah Asmariyah , Dewiani Kurnia
Published: January 2023

Anemia is a severe global public health problem, especially in the age range of 15-49 years. Indonesia ranks 5th (22.331%) with the most anemia globally. Anemia can occur in adolescent girls. Adolescent girls have a higher risk of anemia than teenage boys. Anemia happens because young women experience menstruation which causes blood loss every month, so they need twice as much iron during menstruation. An abnormal menstrual pattern is a risk factor for anemia. SMKN 6 Bengkulu City and SMAN 7 Bengkulu City are the 1st and 2nd highest coastal areas with risk factors for anemia in adolescent girls in Bengkulu City. Determine the relationship between menstrual patterns and the incidence of anemia in adolescent girls in the coastal area of Bengkulu City. This research design implemented a cross-sectional approach. The research sample amounted to 60 respondents. Further, the study used an accidental sampling technique. The data analysis employed chi-square. 31 young women (51,67%) experienced abnormal menstrual patterns, 29 people (48, 33%) experienced normal menstrual patterns, 34 people (56.66%) were not anemic, and 26 people (43, 34%) had anemia. The results of the bivariate analysis showed that the p-value = 0.000 < a = 0.05. This study concludes that Ha is accepted, so there is a relationship between menstrual patterns and the incidence of anemia in adolescent girls in the coastal area of Bengkulu City. Young women are expected to increase their knowledge and be willing to take Fe tablets every month.
Hubungan Pola Makan dengan Kejadian Gastritis di Puskesmas Marina Permai Kota Palangka Raya
Authors: Andreas Andreas , Tambunan Lensi Natalia , Baringbing Eva Prilelli
Published: January 2023

Gastritis is a disease that can interfere the activities and can be fatal if not treated properly. Based on data from the health office of Palangka Raya city in 2017, cases of gastritis reached 7,554 cases and ranked third in the top 10 diseases in all public health centers in Palangka Raya city. At the public health center (Puskesmas) of Marina Permai, there were 306 cases of gastritis in 2019, and in 2020 it rose to 317 cases. This study aimed to determine the correlation between dietary habits and the incidence of gastritis in patients in the Puskesmas of Marina Permai. The method used in this study is cross-sectional research with a population of 93 people and a sample of 75 respondents. Moreover, the sampling technique used is purposive sampling with a chi-square statistical test. The result of the study shows a (p-value) of 0.008 with a significant degree of p <0.05, which means that there is a significant correlation between dietary habits and the incidence of gastritis. Based on the result of the study that there is a correlation between dietary habits and the incidence of gastritis in the area of Puskesmas of Marina Permai, it is hoped that the respondent's diet will be improved to reduce the risk of developing gastritis.
Jak karaimski pierożek zagościł nie tylko na karaimskich stołach
Authors: Abkowicz Mariola , Maszkiewicz Tatjana
Published: January 2023

Z mięsem, rybą czy kapustą – jako popularna przekąska zrobił karierę w Litwie i poza jej granicami.
Niekompletne wspomnienia
Authors: Michajłowicz Jerzy
Published: January 2023

O losach karaimskiej rodziny z Wilna opowiada Jerzy Michajłowicz, syn Rafała i Marii z domu Andruszkiewicz, wnuk wileńskiego obrońcy sądowego, mecenasa Izaaka Michajłowicza.
Książe paradoksów z wizytą u trockich Karaimów
Authors: Sulimowicz-Keruth Anna
Published: January 2023

Przyjazd do Polski znanego angielskiego pisarza, Gilberta Keitha Chestertona w 1927 roku odbił się szerokim echem. Mało kto jednak wie, że w programie jego podróży znalazła się wycieczka do Trok i spotkanie z tamtejszymi Karaimami.
Limeryki dla Emi(l)ki
Authors: Pilecka Hanna
Published: January 2023

Emilka ma pięć lat, talent do tworzenia opowieści i życie obfitujące w ciekawe zdarzenia, ale w tym roku najwięcej entuzjazmu w jej głosie usłyszałam, gdy po długiej podróży z rodzicami i siostrą dojechała wreszcie do Trok. Telefon aż wibrowal od dobrych emocji: „Babciu! Będziemy spacerować nad jeziorem i chodzić do szkoły z karaimskimi dziećmi!”
Kujaščech znaczy słoneczko
Authors: Narmontené Viktorija
Published: January 2023

W sierpniu 2022 r. w Trokach po raz trzeci odbył się „Kujaščech”, obóz dla dzieci w wieku od 5 do 12 lat. W tym roku padł rekord liczebności młodych uczestników: było ich 28. Organizatorzy obozu zgodnie uznali za najważniejszy swój cel uczenie dzieci języka karaimskiego oraz kultywowanie poczucia przynależności do karaimskiej wspólnoty narodowej.
Obecność na mapie
Authors: Pilecka Hanna
Published: January 2023

Rozpoczęta dwa lata temu dekada z perspektywy naszego dżymatu ma wybitnie kartograficzny charakter.
Long-term impact of COVID-19 on cardiovascular health of healthcare workers of a tertiary care hospital of Bangladesh
Authors: Uddin Mir Jamal , Islam A K M Monwarul , Ananya Kaniz Fatema , Rahman Shovan , Ghafoor Nusrat , Shahriar Saqif , Majumder Mizanur Rahman , Hasan Mahmudul , Mahmud Khan AKS Zahid
Published: January 2023

Background: The coronavirus disease (COVID-19) is a multisystem disease that sometimes affects the cardiovascular system (CVS) during acute illness and follows a protracted course in a proportion of patients causing ‘post-COVID syndrome’. Exercise tolerance test (ETT) can assess functional capacity and imaging modalities like echocardiography and cardiac magnetic resonance (CMR) can assess structural and functional status of cardiovascular system (CVS) efficiently. However, the pattern of cardiovascular involvement and its effect on functional capacity in COVID-19 survivors long after the index illness are inadequately known. This study was carried out to detect the functional status and imaging findings in COVID-19 recovered healthcare workers.

Methods: This cohort study was carried out in the Department of Cardiology of the National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh from July 2021 to December 2021. Thirty male healthcare workers, previously not known to have any cardiac disease, who suffered from reverse transcriptase polymerase chain reaction (RT-PCR)-confirmed COVID-19 of mild severity at least 3 months back were included. Besides clinical evaluation, ETT, echocardiography and CMR were done.

Results: The mean age was 37.2±4.7 years. The mean time interval from RT-PCR positivity was 317.4±85.7 days. The functional capacity was good in the study subjects; the achieved metabolic equivalents (METs) were 13.0±1.5. The mean left ventricular ejection fraction (LVEF) was 66.9% ± 6.2%; all were within the normal range. The mean LV global longitudinal strain (LVGLS) was -19.2% ± -1.9%; 6 patients had LVGLS <-18%. One patient had mildly reduced tricuspid annular plane systolic excursion (TAPSE) of 16 mm but 3 patients had reduced lateral tricuspid annulus peak systolic velocity (RVS’). CMR revealed subtle abnormalities in 14 (46.7%) patients. Eight patients (26.67%) had increased T2 signal indicating myocardial oedema, 2 (6.7%) had subepicardial late gadolinium enhancement (LGE).

Conclusion: In healthcare workers who recovered from mild COVID-19, despite preserved functional capacity, subclinical cardiac abnormalities detected by echocardiography and CMR may be present. Long-term follow-up is warranted to define the clinical significance of these findings.

BIRDEM Med J 2023; 13(1): 3-11
Disparity between clinical and final diagnosis of patients undergoing hysterectomy
Authors: Shermin Shahana , Farjana Shayla , Noor Aysha , SenGupta Ruma
Published: January 2023

Background: Hysterectomy is by far the commonest major gynaecological procedure done for several indications. A thorough history, careful physical examination and some simple investigations are all that is needed to establish the diagnosis justifying the need for hysterectomy in most of the cases. But even with the advent of modern technologies, a good proportion of patients are misdiagnosed preoperatively which is evident after histopathological confirmation. This study aimed to evaluate the clinical diagnoses which ultimately lead to hysterectomy and to find out to what extent they are consistent with the final diagnoses after confirmation by histopathological examination.

Methods: This observational study was carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from January to June 2018. Total 100 patients, irrespective of age and parity, were included whose total abdominal hysterectomy was planned. History, clinical findings, investigation reports and histopathological reports were recorded. Then clinical and histopathological diagnoses were tabulated and expressed as proportion.

Results: The incidence of total abdominal hysterectomy was highest (49%) among the age group of 41-50 years. Average age of the study subjects was 45.3 years. Majority of the hysterectomies were done for fibroid uterus (48%) and abnormal uterine bleeding due to ovulatory dysfunction (AUB-O) (16%). Histopathology confirmed fibroid or leiomyoma in 39% cases versus clinical diagnosis of 48% and 18% of the specimens revealed no organic lesion on histopathology.

Conclusion: Though not remarkable, still a certain proportion of clinical diagnoses differ with histopathological findings in patients undergoing hysterectomy even in tertiary level.

BIRDEM Med J 2023; 13(1): 27-33
Post-COVID fatigue: a new era of complication by altered thyroid function
Authors: Alam Mohammad Masum , Rahman Mohammad Matiur , Mollah Forhadul Hoque , Chowdhury Indira
Published: January 2023

Background: Since late 2019, the development of severe acute respiratory distress syndrome (SARS) occurred, which began as a small cluster of cases in Wuhan, China and subsequently spread across the globe in the shape of a global pandemic. Coronavirus disease 2019 (COVID-19) initiates an immune response over-activity leading to release of pro-inflammatory cytokines, particularly interleukin-6 (IL-6), which leads to overt thyroid dysfunction by disruption of thyroid transport proteins. Level of triiodothyronin (T3) is inversely proportional to IL-6 with a modest decrease of thyroid stimulating hormone (TSH) and thyrotropin (T4). Fatigue is usually expressed by lack of one or more of habits or routines, particularly a lack of exercise. It is also frequently associated with depression. Fatigue might be an indication of various underlying illnesses that necessitate medical attention. COVID-19-related thyroid disorders could biochemically manifest as thyrotoxicosis, hypothyroidism, as well as non-thyroidal illness syndrome. Post-COVID fatigue has become an alarming complication which remains undiagnosed causing more complication at later stage. There are very limited knowledge regarding altered thyroid function in patients who have recovered from COVID-19. Aims of this study were to know about the derangement of thyroid hormones.

Methods: This cross-sectional study was conducted in the Department of Biochemistry and Molecular Biology, BSMMU, Dhaka from July, 2020 to June, 2021. A total of 100 post-COVID patients (age 18 – 70 years) with fatigue were enrolled for this study. Among them, 50 were treated at home and 50 were treated in hospital. For this study, serum TSH and FT4 were measured by the automated analyser. The data were expressed as frequency and percentage, mean for normally distributed data. p value d”0.05 was considered statistically significant.

Results: The value of TSH and FT4 in home and hospital treated patients were 1.59, 2.96 mIU/L and 9.27, 17.28 pmol/L respectively. There was significant difference of level of serum TSH (p < 0.0001) and FT4 (p < 0.0001) between home and hospital treated post COVID-19 patients with fatigue.

Conclusion: Home treated post-COVID patients with fatigue expressed higher level of serum TSH and FT4 than that of hospital treated patients.

BIRDEM Med J 2023; 13(1): 34-37
English as medium of instruction (MOI) in classroom activities: Teachers’ perceptions from eastern Indonesia
Authors: Nur Sahril , Nurfadhilah Auliyanti Sahril , Dewi Eva Meizara Puspita , Jamilah
Published: January 2023

English as the Medium of instruction (MOI) in Indonesia has experienced up and down periods, thus affecting the teachers’ use of code-switching and code-mixing strategies. This article reports on English teachers’ perceived usefulness of English as the Medium of Instruction (MOI) in classrooms. Participants of the study are English teachers from various school levels in one province in Eastern Indonesia. This exploratory case study used a self-assessment survey as the single instrument. As a result, teachers have a positive perception toward English as the Medium of Instruction (MOI) as they believe it could improve students’ proficiency. However, some are hesitant and would rather have classes taught in a blend of their native language and English. This study implies that teachers should consider elements of high-quality instructions. This study suggests developing an institutional ELT policy to infuse MOI into classroom pedagogy.
Psychosocial impact of COVID-19 on achievement of adolescents with hearing impairment in English language
Authors: Adeniyi Samuel Olufemi , Kuku Olaotan Oladele
Published: January 2023

This study examined psychosocial impact of Covid-19 on the achievement of secondary school adolescents with hearing disabilities in English Language in Lagos State. A survey research design was employed with population of hearing-impaired adolescents. A sample of hundred adolescents with hearing impairment was selected for the study using purposive sampling technique to select the participants and simple random sampling to select four schools practicing inclusion. The instruments for data collection were ELAT (English Language Achievement Test) and Psychosocial Scale (PSS) with reliabilities of 0.69 and 0.79 respectively. Pearson Product Moment Correlation Coefficient and Multiple Regression were used to analyse data collected. The hypotheses formulated were tested at 0.05 level of significance. The results of the four hypotheses tested revealed that aggression, self-esteem and communication have positive relationship to the academic achievement of the hearing-impaired adolescents in English Language as a result of Covid-19. Further findings discovered that there was a combined effect of aggression, self-esteem and communication on academic performance of secondary school adolescents with hearing impairment in English Language. Therefore, teaching methodology should be more of cooperative learning approach to motivate sense of belongings and friendliness of adolescents with hearing impairment in Lagos State.
Métodos de filetagem da tilápia-do-Nilo em dois abatedouros frigoríficos de pescado: rendimento de filé e resíduos
Authors: Reis Elisandra Simão , Cardoso Susana , Oliveira Tamara Esteves de
Published: January 2023

Avaliou-se o rendimento no processamento de filé de 220 tilápias (Oreochromis niloticus), com peso médio entre 0,470kg e 1,113kg, categorizadas em dois grupos de peso, no âmbito de duas agroindústrias processadoras de pescado, no Rio Grande do Sul. Estas foram insensibilizadas, abatidas e processadas de acordo com o método de filetagem adotado por cada agroindústria. No Método 1 (M1) a filetagem era realizada a partir do peixe inteiro e sem passar por evisceração e decapitação e no Método 2 (M2), os peixes eram decapitados por corte oblíquo, logo atrás das nadadeiras craniais e em seguida eviscerados antes da filetagem. O M1 se mostrou mais eficiente quanto ao rendimento de filé sem pele, bem como menor geração de resíduos. Tanto no M1 quanto no M2 peixes maiores proporcionaram melhores resultados. Em ambas as agroindústrias, a faixa de peso mais leve produziu maior quantidade de resíduos. Conclui-se que é necessário implementar métodos de filetagem de tilápias que proporcionem maior rendimento de filé sem pele, dentro de um processo de industrialização, visando agregar valor aos resíduos e diminuindo os impactos ambientais.
Síndrome de Stevens-Johnson em paciente com epilepsia e doença de Parkinson: Relato de caso
Authors: Freire Junior Joanilson Andrade , Santos João Vitor Vieira dos , Climaco João Vitor Nunes , Novaes Ana Caroline Gonçalves de Sá , Carneiro Zuleika Santiago de Medeiros , Costa Nilo Fernandes da , Guedes Virgílio Ribeiro
Published: January 2023

A Síndrome de Steven-Johson ocorre comumente como uma reação idiossincrática a medicamentos sistêmicos, como antibióticos, antiepilépticos e anti-inflamatórios não esteroidais. Também pode ser desencadeada por causas não farmacológicas. É uma patologia de impacto significativo à saúde pública devido à alta taxa de mortalidade. O quadro clínico apresenta sintomas inespecíficos, como: febre, odinofagia e prurido nos olhos. Contudo, é caracterizado por máculas eritematosas e lívidas iniciais, que envolvem pele da região de tronco pré-esternal e face, podendo acometer palmas das mãos e plantas dos pés. O diagnóstico da síndrome exige coleta de história clínica completa, com especial atenção à exposição medicamentosa, exame físico minucioso das lesões cutâneas, determinação da área cutânea atingida, avaliação do envolvimento das mucosas e exames complementares, como biópsia cutânea para estudo histopatológico. O prognóstico está relacionado com a rápida identificação da droga causadora e sua descontinuação, não se relaciona com dose ou tipo de droga. Relata-se um caso de Síndrome de Stevens-Johnson em paciente de 70 anos com epilepsia e Doença de Parkinson, na região norte do Brasil, enfatizando as características clínicas e o tratamento adotado.
Atributos da fertilidade do solo e a ocorrência de nematoides na cultura da soja
Authors: Oliveira Gabrielly Fernandes de , Marques Mônica Lau da Silva , Rodrigues Kárita Danielle Nunes , Silva Paula Gonçalves , Santos Gustavo Henrique Borges Teixeira
Published: January 2023

São cada vez maiores os prejuízos a cultura da soja em decorrência da presença de fitonematoides. A partir disso é objetivo desta pesquisa identificar e analisar a ocorrência de nematoides na cultura da soja sob efeito das características físicas e químicas do solo. O trabalho foi conduzido em duas áreas com plantio de soja na Fazenda Olhos D’ Água, Município de Ceres- Goiás. Após a coleta, as amostras foram levadas para o laboratório, dando início as análises físicas, químicas e nematológicas de amostras do solo da área. Para o processo de extração dos nematoides se utilizou os métodos de flutuação-sedimentação e peneiramento seguido da técnica de clarificar as amostras. Após os processos de análise e extração, as amostras foram levadas ao laboratório de microscopia, dando início a identificação e quantificação dos nematoides. Os dados obtidos foram submetidos ao método de Análise dos Componentes Principais (PCA), com ajuda do software Past. Foram identificados a presença de quatro gêneros diferentes de nematoides, Pratylenchus spp., Helicotylenchus spp., Meloidogyne spp. e Heterodera spp.
Os impactos dos anticoncepcionais orais no organismo feminino: uma revisão integrativa de literatura
Authors: Andrade Sarah Maria de Carvalho , Alves Ana Flávia Silva , Lima Isabela Ferreira de , Rocha Larissa de Oliveira , Cunha Marcello  Augusto Soares , Nogueira Núbia Santos , Thiago Lucas Luis , Orsolin Priscila Capelari
Published: January 2023

Introdução: Os anticoncepcionais orais são medicações compostas de hormônios sintéticos que podem ser utilizados para anticoncepção ou para tratamento de algumas patologias, desse modo, interferem de maneira direta no sistema endócrino da mulher. Objetivo: O presente estudo tem por objetivo buscar nas bases de dados informações científicas atuais sobre as repercussões dos anticoncepcionais no sistema endócrino e, assim, contribuir com os estudos acadêmicos acerca desse assunto. Metodologia: trata-se de uma pesquisa descritiva, do tipo revisão integrativa da literatura, realizada pelo acesso online nas bases de dados National Scientific Electronic Library Online (Scielo), Google Scholar e Nacional Library of Medicine (PubMed MEDLINE), nos meses de agosto e setembro de 2022. Resultados e discussão: Os anticoncepcionais significaram um grande avanço na saúde da mulher, sendo esse o método reversível mais utilizado do Brasil. Esses medicamentos podem ser do tipo combinado ou minipílula, os combinados são divididos em primeira, segunda, terceira e quarta geração, sendo esses monofásicos, bifásicos ou trifásicos. A forma combinada é a que apresenta maior risco de efeitos adversos logo após a primeira dosagem e a longo prazo, tais como cefaleia, mastalgia ou dor nas mamas, tontura, náusea, vômitos, alterações de humor, transtorno de ansiedade e depressão, cefaleia, queda da libido, aumento das mamas, retenção de líquido e aumento de peso. Sendo assim, é preciso uma prescrição adequada para obter os benefícios da medicação, evitando-se os riscos dos efeitos colaterais. Conclusão: Os anticonsepcionais são eficientes e se mostram uma boa alternativa para o controle da fertilidade, tratamento de doenças como a Síndrome dos Ovários Policísticos e dismenorreia, porém devido às alterações hormonais provocadas por esses medicamentos, faz-se necessário o acompanhamento de um profissional para garantir um uso seguro as pacientes.
Benefícios da massagem infantil em recém-nascidos e lactentes: Revisão integrativa
Authors: Carvalho Verônica da Silva , Silva Maria Paula Custódio , Alves Luana Tamires da Silva , Rocha Nylze Helena Guillarducci , Contim Divanice , Oliveira Nuno Miguel Lopes de
Published: January 2023

O objetivo deste estudo foi identificar na literatura os benefícios da aplicação da massagem infantil em recém-nascidos pré-termo, recém-nascidos à termo e lactentes. Realizou-se uma revisão integrativa da literatura a partir de uma busca nos bancos de dados PubMed, BVS Saúde, Web of Science e Scopus, utilizando como estratégias as palavras chaves indexadas no DeCS: recém-nascido, massagem e fisioterapia e no MeSH: “infant”, “newborn”, “massage”, “Physical Therapy Specialty”.  Foram incluídos artigos originais, publicados nos idiomas inglês, português ou espanhol, entre os anos de 2014 e 2019. A análise dos dados foi elaborada de forma descritiva, para isso, utilizou-se um quadro, contendo: citação, ano de publicação, país de origem, participantes do estudo, método e principais resultados. O nível de evidência foi identificado com base no delineamento do estudo. Em relação ao delineamento dos estudos, quatro foram revisões sistemáticas, quatro ensaios clínicos randomizados, dez ensaios controlados não randomizados (quase experimento) e cinco estudos qualitativos ou descritivos. Dentro do nível de evidência oito estudos foram classificados como fortes, dez como moderados, e cinco como fracos. Dessa forma, observa-se a necessidade da elaboração de protocolos para realizar as intervenções de massagem infantil em recém-nascidos pré-termo, a termo e lactentes. Sugere-se a realização de ensaios clínicos randomizados sobre a aplicação da técnica nessas populações, com amostras e tempo de estudo maiores, para alcance de melhores evidências.
Biometry of fruits and seeds of three species of Solanum (Solanaceae) from Amazonia
Authors: Souza Marília Caldas , Santos Vinícius Hugo Ribeiro dos , Trindade Jonilson Ribeiro , Nunes Rielly Jivago Lima , Oliveira Mozaniel Santana de , Viana Rafael Gomes , Gomes Maria Auxiliadora Feio , Gurgel Ely Simone Cajueiro
Published: January 2023

This study aimed to describe and characterize the biometry of the fruits, and seeds of three species of Solanum (Solanaceae) from the Amazonia. Biometry can help the development of efficient techniques for the management and understanding of the species. The morphometric characterization of the structures was performed from 100 fruits and 100 seeds, collected in the Metropolitan Region of Belém from the Amazonia. And analysis of the ornamentation of the seed scanning electron microscopy (SEM). The fruits are polyspermic, fleshy, berry-type, dehiscent, consisting of one or two locules with the seeds attached to the axial placenta, with five lobes on the end, glabrous, green when immature, purple and red in S. americanum and S. stramoniifolium and pulbescent greens in S. crinitum, when ripe. The seeds are obovoid to subdiscoid, little to very compressed. The forehead ornamentation is reticulated with straight to sinuous walls and the presence of filiform projections. Internally, the seeds are albuminous with a gelatinous endosperm surrounding the entire embryo of the axial type, continuous linear circined to imbricate. The weight of 1,000 seeds was higher for those in S. crinitum 2.36 g, followed by S. stramoniifolium with 1.67 g and S. americanum with 0.4 g.