bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Simulation-Based Training on Maternity Nurses' Performance and Self-Efficacy Regarding Management of Preeclampsia
Authors: Abd Elhakam Eman M. , Elshabory Nour Elhoda M. , Shehata Nabaweya S.
Published: February 2023

Context: The use of simulation is one solution to the problem of integrating new care. New nurses must be competent to care for patients in a fast-paced setting where clinical competence and precise and timely decision-making are valued.

Aim: The study aimed to evaluate the effect of simulation-based training on maternity nurses' performance and self-efficacy regarding the management of preeclampsia.

Methods: A quasi-experimental (pre/post-test) design was used. The study was conducted at the obstetric clinical laboratory in the faculty of nursing at port said university and gynecological specialty hospital in Port Said city. A convenient sample of 40 nurses was recruited for the study. Three tools were used for data collection: A structured self-administered questionnaire, nurses’ observational checklists, and a self-efficacy assessment scale.

Results: The present study findings revealed a sample mean age of 29.03±7.66 and a highly statistically significant difference between pre-intervention, immediate post-intervention, and eight weeks post-intervention (p<0.0001) regarding nurses' knowledge, practice, and self-efficacy concerning the management of preeclampsia.

Conclusion: According to the findings, simulation-based training is an effective strategy for increasing midwives' performance and self-efficacy in managing preeclampsia. So, it is recommended that simulation-based training be used in teaching nurses working in the obstetrics and gynecology emergency department to manage high-risk pregnancies.
Effect of Designed Bundle Protocol about Ventilator Associated Pneumonia on Nurses' Performance, Compliance, and Patient Outcomes
Authors: Weheida Sohier M , Omran Eman S. , Taha Amal S.
Published: February 2023

Context: Ventilator-associated pneumonia (VAP) is considered one of the leading causes of morbidity and mortality due to nosocomial infections among ventilated patients.

Aim: To evaluate the effect of a designed bundle protocol about ventilator-associated pneumonia on nurses' performance, compliance, and patient outcomes.

Methods: The study employed the quasi-experimental research (pre/post-test) (study/control) design. This study was conducted at the intensive care unit of Benha University Hospital. A convenience sample of 50 critical care nurses and a purposive sample of 66 patients were enrolled in the current study. Three tools were used to collect data. Nurses' knowledge assessment questionnaire; nurses' practice assessment checklist; The VAP bundle compliance checklist; and patient outcomes assessment record.

Results: Statistically significant improvement in total knowledge and practice mean scores post implementing a designed bundle protocol compared to pre-implementing a designed bundle protocol at p <0.001. Also, there was a statistically significant improvement in nurses’ compliance with a highly statistically significant difference between nurses’ compliance with practices of VAP bundle pre-and post designed bundle protocol implementation. Immediately after a designed bundle protocol implementation, the study group patients exhibited a statistically significant difference between all clinical pulmonary infection score items except for oxygenation status and radiographic findings.

Conclusion: The study group nurses who received designed bundle protocol training would get improved knowledge, practices, and compliance scores than pre-designed bundle protocol training. Also, the study group of patients who were cared for by trained nurses on the designed bundle protocol would get better outcomes such as a better score of CPIS, shorter length of stay in the intensive care unit, less duration on mechanical ventilation compared to the control group who received routine hospital nursing care. The study recommended replication of the study using a large probability sample from a different geographical area to allow for greater generalization of the results.
Work-Life Balance and Its Relation to Person-Job Fit among Staff Nurses
Authors: Badran Fawzia M. M. , Khalaaf Dalia A.
Published: February 2023

Context: Today, the nursing profession faces many challenges; in turn, nurses need to balance their professional work with their personal life, which promotes not only harmony between nurses' personal and work-life but also engender positive attitudes, including job satisfaction, and increases person-job fit (PJ fit).

Aim: This study investigated the relationship between work-life balance and person-job fit among staff nurses.

Methods: A descriptive correlational study design was used. The study was conducted at Obstetrics and Gynecological Hospital affiliated to Ain-Shams University Hospitals. The study subjects include 153 staff nurses. Data were collected by using two tools. The Work-Life Balance Questionnaire (WLBQ) and Person-Job Fit Scale (BJC) were used to collect data for this study.

Results: The results demonstrate that 17% of staff nurses had a high total perception of work-life balance. While 55% had a moderate level, only 28% had a low perception of total work-life balance. At the same time, 20% of studied nurses had a high person-job fit level, and 62% had a moderate level of person-job fit. Meanwhile, only 18% had a low person-job fit.

Conclusion: The study concluded that a low percentage of nurses had high work-life balance and person-job fit. There was a statistically significant positive correlation between total work-life balance and total person-job fit. The study recommended that hospital managers develop policies that enable them to improve the working environment to meet the work-life balance of staff nurses.
Effect of Clinical Nursing Practice Guidelines regarding Percutaneous Coronary Interventions on Patients' Anxiety and Satisfaction
Authors: Elhihi Ebtisam A. , Ibrahim Ibrahim A. , Alasmari Faisal A. , Alkhatib Awad H. , Alzahrani Nahlah A. , Abuhaleimah Alaa M. , Barnawi Sanaa B. , Jilani Bayan F. , ALhawsawi Hadeel Y. , Alsufyani Shatha M. , Al ahdal Amnah , Al ahdal Amr O.
Published: February 2023

Context: The quality of delivery the healthcare must be improved due to the quick changes in the health care. Patient satisfaction is a key determinant of the quality of healthcare and demonstrates the provider's ability to meet patients' needs.

Aim: To determine the effect of clinical nursing practice guidelines regarding PCI on the patients' anxiety and satisfaction.

Methods: The current quasi-experimental research included 106 newly admitted patients to the cardiac care unit at King Abdullah Medical City divided into two group 53 patients for control group and 53 patients for intervention group. Patients’ satisfaction was measured by patient satisfaction with nursing care questionnaire and State-Trait Anxiety Inventory was used to assess anxiety of the patients. Online questionnaires for patients’ anxiety and satisfaction were utilized for data collection.

Results: There was a statistically significant difference related anxiety among the intervention group before and after implementing clinical nursing practice guidelines. Patient’ satisfaction was a statistically significant difference between the intervention group and control group after the implementation of clinical nursing practice guidelines.

Conclusion: Implementing clinical nursing practice guidelines decreases anxiety and enhances satisfaction among patients undergoing PCI.

Keywords: Anxiety, Practice guidelines, Percutaneous coronary interventions, Patients' satisfaction.
Cognitive Outcomes and Functional Performance for Patients After Open Heart Surgery
Authors: Hassenien Mona A. , Mohammad Sahar Y , Ameen Dalia A.
Published: February 2023

Context: Open heart surgery is a lifesaving procedure for patients who need coronary artery bypass graft (CABG) and heart valve replacement or repair (HVR). However, it also carries a risk of cognitive and functional performance injuries. Between 30% to 60% of patients undergoing open heart surgery worldwide are at high risk of cognitive and functional performance injuries.

Aim: The study aimed to assess cognitive outcomes and functional performance of patients after open heart surgery.

Methods: A descriptive exploratory design was applied to achieve the aim of this study on a purposive sample of 103 adults who were scheduled for elective open-heart surgery (CABG and valve replacement or repair). Montreal Cognitive Assessment (MOCA); Physical Self-Maintenance Scale (Activities of Daily Living) (PSMS) tests were used to determine the effect of cardiac surgery on cognitive outcomes and functional performance abilities of patients undergoing cardiac surgery. Both scales were used twice for each patient (preoperative and postoperative).

Results: The current study shows a statistically significant deterioration in all cognitive functions (visuospatial &executive function, naming, short-term memory recall task, attention, language, abstraction, orientation) (p=0.000). A total cognitive score reveals that 68% of the patients had normal cognitive function before open heart surgery, significantly decreasing to 55.3% after surgery. The functional outcomes measured by the assessment of activity of daily living shows that 100% of patient were independent before open heart surgery and significantly decreased to 74.8% postoperatively.

Conclusion: It can be concluded that open heart surgery impacts cognitive functions, particularly in domains of visuospatial and executive function, memory, and attention. Besides, the everyday functional performance includes toileting, feeding, dressing, grooming, physical ambulation, and bathing). Instrumental activities of daily living (IADL), which include the ability to use the telephone, shopping, food preparation, housekeeping, laundry, away for transportation, responsibility for following their medication regimens, and ability to handle finances, were also affected. Nurses caring for patients undergoing open heart surgery should consider cognitive limitations when giving them health education and discharge instruction, their readiness to learn should be considered before any educational event. Further studies should be carried out to identify the factors that may contribute to the impairment of cognitive function and functional performance for patients undergoing cardiac surgery.
Effect of Health Educational Guidelines on Self-Management Practices among Patients with Chronic Obstructive Pulmonary Disease: A Scoping Review
Authors: Alharbi Eman R. , Sofar Samah M. , Wazqar Dhuha Y.
Published: February 2023

Context: Chronic obstructive pulmonary disease (COPD) is a type of lung disease characterized as chronic lung airflow obstruction that interferes with normal respiration. The World Health Organization ranked it as the third leading cause of death. The evidence indicates that health education may improve patients' outcomes.

Aim: This scoping review aimed to identify empirical evidence related to the effect of health educational guidelines on self-management practices among patients with chronic obstructive pulmonary disease improve self-management practices.

Methods: Studies published between 2015-2021 and recruited from authentic databases, including MEDLINE, PubMed, CINAHL, and EBSCO, were reviewed critically to explore the effect of health educational guidelines on patient self-management practices.

Results: There are four themes generated from this scoping review. In this scoping review, 14.700 articles were searched. After checking for duplicates, 1344 articles were left to evaluate titles and abstracts. This evaluation left 301 articles for reading of full texts. Of these, 238 articles did not meet the aim of this review. Ten studies were included in the current review.

Conclusion: This scoping review found that health educational guidelines consider an important need to improve self-management practices. Health education can improve patients' health outcomes and thus should be considered an essential component of the overall management of COPD.
Effect of Multimodal Integrative Interventions on Pain-Related Outcomes among Critically Ill Patients
Authors: Taha Amal S. , Mohamed Safaa H. , Mahmoud Doaa M.
Published: February 2023

Context: Pain, a persistent problem in critically ill patients, adversely affects outcomes. Despite recommendations, no evidence-based non-pharmacological approaches for pain treatment in critically ill patients have been found.

Aim: To evaluate the effect of multimodal integrative interventions on pain-related outcomes among critically ill patients.

Methods: A quasi-experimental design (pre / post-test) was utilized to fulfill the aim of this study. A convenience sample of sixty adult critically ill patients was recruited from the intensive care unit at Benha University Hospital, affiliated to Benha University at Qualyubia Governorate, Egypt. Three tools were used to conduct this study as follows: Critically ill patients' assessment record; The Critical-Care Pain Observation Tool (CCPOT); The Groningen Sleep Quality Scale.

Results: The results show decreased frequency of pain occurs in the post-intervention periods (75%) immediately post to 50% after 48 hours of intervention compared with pre-intervention (100%). The results show highly statistically significant differences at p ≤0.001 between pre and post of intervention periods regarding the intensity of the pain mean score among studied patients. It also shows statistically significant differences with p-value ≤0.05 regarding all items of sleep quality immediately after and after 48 hours of intervention compared to pre-intervention, except those related to having a deep sleep last night and feeling like a slept poorly last night with a p-value ≥0.05. There was a highly positive statistically significant correlation at p-value ≤ 0.001 between pain intensity and other secondary outcomes, including quality of sleep, blood pressure, heart rate, and respiratory rate.

Conclusion: Multimodal integrative interventions effectively decrease pain and improve pain-related outcomes among critically ill patients. Appropriate pain assessment must be partnered with an adequate, multimodal, evidence-based management strategy that incorporates pharmacologic and non-pharmacologic pain control modalities.
An Occupational Health Program for Waste Collection Workers
Authors: Awad Howida E. , Farahat Nadia H. , Mohamed Hala M.
Published: February 2023

Context: Waste collection is necessary worldwide for inhabitants' health and living conditions. Waste collection workers are at risk of disease from exposure to various work hazards and fatal and nonfatal occupational accidents.

Aim: Evaluate the effect of an occupational health program on waste collection workers' knowledge and practices.

Methods: A quasi-experimental (pre and post-test) design was used. All five zones of the Suez Governorate were recruited for the data collected through the General Authority for Cleanliness and Beauty (GACB). A purposive sample of 95 formal waste collection workers conveniently participated in this study. Two tools were used for the assessment of knowledge and practices. An interview questionnaire was used to collect data regarding the waste collection workers’ demographic data, work characteristics, medical history, and habits. It also assesses the knowledge of the waste collection workers regarding occupational health safety. A reported practice checklist was used to assess the waste collection workers’ practices regarding safe waste collection practices.

Results: The present study reveals that all the study sample was males, with a mean age of 38.76±5.13, 51.6% can read and write, had a mean year in occupation of 10.59±4.84, and had no training. 92.6% were previously injured during their work. The comparison of waste collection workers’ total knowledge reveals statistically significant differences between pre-and post-program at p<0.05, while total practices of the waste collection workers are unsafe in pre- and had improved post-program with statistically significant differences between pre-and post-program implementation regarding all safety practices.

Conclusion: Based on the present study findings, waste collection workers had better knowledge and safe practices after program implementation than their pre-program levels. The ongoing occupational health program is highly needed by the waste collection workers related to hazards of waste collection and preventive measures. Scheduled medical surveillance and availability of supervision by GACB to provide protection devices and equipment are strongly recommended.
Some Biological Features of Tench (Tinca tinca, L., 1758) Inhabiting Sıddıklı Dam
Authors: YAZICIOĞLU Okan , YAZICI Ramazan
Published: February 2023

The length–weight relationship, length–length relationship and the condition factor values of Tench, Tinca tinca (L., 1758) inhabiting the Sıddıklı Dam was described in this study. A total of 102 specimens captured between September 2015 and August 2016 were used to conduct this study. For each individual, the total length (TL), fork length (FL) and standard length (SL) as well as body weight were measured. Sex composition was determined as 49.02 % female, 43.14 % male and %7.84 undetermined sexes. The overall sex ratio showed no significant difference from the expected value of 1:1. Total length and weight of all specimens ranged from 5.9 to 38.6 cm and from 2.4 to 783.24 g, respectively. The length-weight relationships of females and males were W = 0.0068*TL3.232 (R2 = 0.991) and W = 0.0084*TL3.157 (R2 = 0.997), respectively. Weight increased positive allometrically with the total length for both sexes (b> 3, P< 0.001). The mean condition factor values of female and male were 1.305 and 1.330, respectively. This study brought the first data about the species in the Sıddıklı Dam to the literature.
DAYA MENGIKAT PUTUSAN PANITIA PENGAWAS PEMILU DALAM PENYELESAIAN SENGKETA PEMILIHAN KEPALA DAERAH
Authors: Guntur Sabri
Published: February 2023

This study aims to analyze the Binding Power of the Panwaslu's Decision in the dispute resolution trial for the parties, and to analyze whether the KPUD violates the law if it does not implement the Panwaslu's decision in the Settlement of Pilkada Disputes. This study uses a normative legal research type, in this case it is intended to conduct an assessment of the legal basis and legal doctrine related to the Binding Power of the Decisions of the Election Supervisory Committee in the Settlement of Regional Head Election Disputes. The legal material analysis technique used is prescriptive, in which the author provides a formulation of the concept of applying the rules of norms that can be used to solve the problems at hand. From this research, it can be seen that the binding power of the Panwaslu Decision in the settlement of regional election disputes based on Article 144 paragraph (1) of Law Number 10 of 2016 concerning the Second Amendment to Law Number 1 of 2015 concerning Stipulation of Government Regulations in Lieu of Law Number 1 of 2014 Regarding the Election of Governors, Regents, and Mayors to become a law, it is binding. So that it is clear to get legal certainty for the parties to the dispute, the administration, and the organizers. As well as requiring the KPU to carry out or follow up on the Panwaslu's decision, this is also regulated in Article 144 paragraph (2) of Law Number 10 of 2016, so that as a legal state that adheres to and is based on law, the KPU is obliged to comply with what is said. written in the rules. As part of the State Administration Officials and Election Organizers, the KPU is obliged to carry out the decision. And of course, sanctions must be given if they do not carry out the decision, because the KPU can be said to have violated the law.
PERSPEKTIF HUKUM TERHADAP SUATU PERJANJIAN
Authors: Oktoviana Ustien Dewi , Umar Marhum
Published: February 2023

Penelitian ini berlatarbelakang tentang perjanjian. Perjanjian adalah salah satu sumber perikatan. Syarat Sah Perjanjian diatur dalam Pasal 1320 KUH Perdata. Perjanjian yang Dapat Dibatalkan adalah perjanjian yang dapat dimintakan pembatalannya oleh salah satu pihak karena tidak memenuhi syarat subjektif di dalam Kitab Undang-Undang Hukum Perdata (KUH Perdata). Dan perjanjian Batal Demi Hukum adalah suatu perjanjian tidak memenuhi syarat objektif , yang dari semula dianggap tidak pernah ada dilahirkan suatu perjanjian dan tidak pernah ada suatu perikatan. Pokok Pembahasan pada Penelitian ini adalah bagaimana syarat sah dari suatu perjanjian dalam Kitab Undang-Undang Hukum Perdata serta apa perbedaan dari Perjanjian dapat dibatalkan dan batal demi hukum. Metode Penelitian yang digunakan adalah penelitian Normatif yaitu kategori penelitian kepustakaan (library research). Penelitian yang menganalisa buku dan menghasilkan suatu kesimpulan
TELAAH HUKUM TERHADAP PROSES ADMISTRASI SEBELUM DITINGKATKAN MENJADI HAK MILIK ATAS TANAH DI KOTA KENDARI
Authors: Kusnadi Yedi
Published: February 2023

Tujuan penelitian yaitu Untuk mengetahui menelaah bagaimana Perlindungan Hukum Bagi Pemegang Hak Milik Atas Tanah Di Kota Kendari. Penelitian ini merupakan jenis penelitian hukum yuridis empiris yaitu secara yuridis melihat Peraturan tentang Aspek perlindungan hukum bagi pemegang Hak atas Tanah dalam Hal Terdapat Alas Hak Ganda, di Wilayah Kelurahan Kambu, Kecamatan Kambu, Kota Kendari sedangkan secara empiris menelaah Faktor-faktor terjadinya Alas Hak Ganda, di Wilayah Kelurahan Kambu, Kecamatan Kambu, Kota Kendari. Adapun jenis dan sumber data dalam penelitian ini adalah berupa data primer dan data sekunder. Teknik pengumpulan data melalui observasi dan wawancara yang di analisis secara deskriptif kualitatif untuk menelaah data-data yang dideskripsikan untuk menjawab permasalahan yang dirumuskan. Hasil penelitian menunjukan bahwa Perlindungan Hukum Terhadap Pemegang Hak Milik atas Tanah Di Kota Kendari dan kondisi Hak Milik atas tanah di Kota Kendari saat ini kurang baik, hal tersebut dikarenakan Pemerintah Kota Kendari dalam hal ini Kecamatan dan Keluarahan sebagai awal dari pendataan tanah, dan selanjutnya pada badan Pertanahan Kota Kendari dalam upaya pengakuan dalam bentuk sertifikat, dan Pengadilan sebagai upaya menjaga Hak Milik atas tanah tersebut masih kurang efektif.
PELAKSANAAN TANGGUNG JAWAB PERUSAHAAN BONGKAR MUAT DALAM PROSES BONGKAR MUAT BARANG
Authors: Jabalnur Jabalnur , Intan Nur , Zakyudin Al Abrar Muh
Published: February 2023

Tujuan ini bertujuan untuk mengetahui (1) apakah bentuk  tanggungjawab perusahaan bongkar muat apabila terjadi kerusakan barang dalam pelaksanaan bongkar muat serta (2) upaya hokum apakah yang di lakukan konsumen terhadap perusahaan bongkar muat. Penelitian ini di lakukan dengan menggunakan Metode penelitian Normatif dan Empiris. Pendekatan Empiris yaitu penelitian hukum yang mempergunakan data sekunder. Sedangkan penelitian Normatif adalah penelitian yang di lakukan dengan kajian pustaka serta refrensi lain dari berbagai situs. Subjek penelitian adalah pihak-pihak yang terkait dengan pelaksanaan tanggung jawab Perushaan bongkar muat terhadap kerugian yang timbul atas barang dalam proses bongkar muat. Data primer dan data sekunder diperoleh melalui studi pustaka dan observasi langsung dengan alat pengumpul data studi wawancara. Hasil penelitian menunjukkan bahwa dalam pelaksanaan bongkar muat barang pada Perusahaan bongkar muat dalam melaksanakan bongkar muat barang dipelabuhan. Perushaaan bongkar muat bertanggungjawab atas segala sesuatu yang terjadi oleh pengguna jasa perusaahan bongkar muat terkecuali ada perjanjian sebelumnya. Perusahaan bongkar muat dalam melaksanakan tugas dan fungsinya sesuai dengan anggaran dasar perusahaan bongkar muat dan upaya hokum di lakukan ketika terjadi kerusakan barang dengan cara negosiasi kedua bela npihak dan meguntungkan satu sama lain. Hal ini yang di lakukan oleh konsumen terhadap perusahaan bongkar muat
SERI Methods to Measure the Vulnerability of Shallot Farming to Climate Change in Tapin Regency, South Kalimantan
Authors: Hasanah Lisda Noorizatil , Fatah Luthfi , Bachri Ahmad Alim , Susanti Hilda
Published: February 2023

This study analyses the vulnerability of shallot farming to climate change in Tapin Regency, South Kalimantan. Data collection methods in this study consisted of questionnaires, in-depth interviews, observations, documentation, and a literature review. The SERI (shock–exposure–response–impact) analysis method was used to analyse the vulnerability of shallot farming to climate change in Tapin Regency. The results showed that climate change is the main shock to shallot farming in Tapin Regency. Extreme weather, namely, extreme rainfall events, causes water to become stagnant (flood) so that roots and fruit rot. These exposures extensively decreased the shallot harvest (harvest failure) and decreased the sale price of shallots (loss), and most farmers did not plant shallots again. Shallot farmers responded to the shocks that occurred by not planting shallots; however, some farmers focused extra attention on farming practices, but almost all farmers switched to planting other commodity crops. The impact of these shocks on farmers were decreases/losses in income and increases in costs. Buffer capacities that can be implemented to reduce the impact of these impacts are (1) using healthy and clean superior varieties that are resistant to extreme weather events and pest invasions; (2) setting cropping schedules and cropping patterns; and (3) increasing the capacity of farmers through education and training, especially in terms of how to conduct shallot farming during extreme weather events and how to properly control plant pests and diseases.
The Effect of Mobile-Assisted Language Learning Using Tiny Cards App on Iranian Intermediate EFL Learners’ Vocabulary Learning and Retention
Authors: Anvarpour Dero Zahra , Pourmohammadi Majid
Published: February 2023

Emerging technologies have brought about major changes in the teaching and learning processes, and there is no doubt that the rapid growth of technology has significantly changed the way English teachers transfer knowledge to their students. Accordingly, this study investigated the effect of MALL using Tiny Cards app on Iranian intermediate EFL learners’ vocabulary learning and retention. It was a quantitative research employing a quasi-experimental design. Forty intermediate EFL learners, taking English course at Farzan English Language Institute, Rasht, Iran, were selected as homogeneous participants based on Quick Placement Test. Next, they were non-randomly divided into one experimental group (N = 20) and one control group (N = 20). Before the onset of treatment, a pretest of vocabulary was administered to certify the learners’ initial knowledge of vocabulary items. The groups then received the treatment on their vocabulary for eight sessions. The experimental group received instruction of vocabulary through Tiny Cards app. The control group, however, received the same items but approached them through traditional method of instruction without MALL. Overall, the results of independent-samples t-tests for the posttest and delayed posttest of vocabulary revealed that there was a statistically significant difference between the two groups in their performance on the posttest and delayed posttest of vocabulary learning and retention. Finally, it was concluded that the findings can be utilized by the teachers, materials developers, and education authorities to provide Iranian EFL learners with MALL vocabulary instruction.
CONSUMO ALIMENTAR EM CRIANÇAS COM TRANSTORNO DO ESPECTRO AUTISTA
Authors: Nascimento Holanda Ruth Ellen , Souza Santana Eduardo , Firmiano Fernandes Glaucia Nattany , Castro de Araújo Caroline , Lima do Valle Cardoso Cléia Grazielle , Sena Passos Xisto , Ferreira de Brito Adriane
Published: February 2023

Objetivo - Este estudo teve por objetivo analisar o consumo alimentar em crianças autistas, bem como deficiências nutricionais e possíveis doenças associadas, descrevendo sugestões alimentares para esse público. Métodos - Foram selecionados por meio dos bancos de dados SciELO, Medline, PubMed e no site da NCBI, 25 artigos para compor o trabalho, sendo que 15 destes foram utilizados na revisão. O período de inclusão dos artigos foi de 2013 a 2022, no qual 70% correspondem ao período de 2018 a 2022. Resultados - A maior parte dos artigos que analisaram crianças autistas confirmam que esse público possui preferências alimentares correlacionadas com alimentos ultra processados, podendo ser um indicativo de desequilíbrio de nutrientes essenciais para seu desenvolvimento, se tornando um fator de risco para doenças cardiovasculares. Não houve considerações fidedignas relacionadas a dietas específicas para o controle da progressão do TEA, somente sugestões de que a exclusão de glúten e caseína e a utilização da dieta cetogênica reduz sintomas leves, mas não expressivos. Conclusão – Diante dos dados levantados, conclui-se que crianças autistas tendem a possuir uma alimentação restrita, e a avaliação do seu consumo alimentar se torna uma ferramenta de prevenção de possíveis agravos a saúde. Logo, é imprescindível que pesquisas científicas continuem sendo realizadas para melhor sugestão alimentar voltada para esse público.
Sleep Disturbances in Healthcare Professionals During the Covid-19 Pandemic
Authors: Nazir Fahmina , Khan Nida Armoghan , Tahir Muhammad Awais , Hafiz Muhammad Jahan Zaib  , Mahmood Tahreem , Khalid Amina
Published: February 2023

Objectives: To determine the incidence of sleep disturbances, including insomnia in healthcare professionals dealing with COVID-19 patients.
Methodology: A cross-sectional study was conducted at inpatient infectious disease units, emergency department and ICU (for COVID-19 patients), at the Pakistan Institute of Medical Sciences (PIMS) from February 2022 to April 2022. All the individuals participating in the study were healthcare professionals. Insomnia Severity Index was used for the questionnaire. The scores of the surveyed subjects were calculated and the characteristic demographics of the subjects were analyzed.
Results: An upward trend in the incidence of poor sleep quality was noted among the healthcare professionals who participated in this study. Out of 160 healthcare professionals, 93(58.1%) of the population was females, while 67(41.9%) were males. The majority of participants (p<0.05) were between the ages of 20 and 30 years, followed by 31 to 40 years and 41 to 50 years. A significant proportion of the population (p<0.05) belonged to the unmarried group, followed by the married, separated, and divorced with a percentage of 60.6, 36.2, 2.5 and 0.6%, respectively. Moreover, 84.4% (135/160) of healthcare professionals (p<0.05) had a previous history of sleep disorders. Insomnia Severity Index (ISI) score system was used to analyze the intensity of sleep disorders and insomnia in the affected persons and it was found that most of the participants were diagnosed with subthreshold insomnia (38.8%).
Conclusion: The study elucidated that there was a significantly higher incidence of sleep disturbances and insomnia, in healthcare professionals working in Covid-19 care units.
Generative Adversarial and Dual Layered Deep Classification Techniques for Improving Block Constructions in Public Cloud
Authors: Sivakumar R. D.  , Ruba Soundar K.
Published: February 2023

This paper provides the Generative Adversarial and Dual Layered Deep Classification techniques to improve the drawbacks in the methods of Absolute Moment BTC (AMBTC) technique in reconstruction error rate of standard BTC model. The image blocks generation and compression are the main phases of BTC model. This can be applied for both colour images and grey scale images. However, the conventional BTC procedures lacks for edge reconstructions and noise reductions in the output images. The first technique GABTC is developed with multi-layered Deep Neural Network (DNN) structures with GA neural models. The integration of both GA models and BTC principles improve the quality of block constructions and reconstructions significantly. The second proposed work is adopted the Dual layered Deep Classification Technique. Handling the image database with minimal storage complexity, minimal computational complexity and optimal quality is a significant task. To obtain these solutions, many image processing techniques are evolved. In the domain, image compression and decompression are more needed at any cost for effectively handling the complex image databases. E-Learning resources are widely used around the internet based knowledge sharing environments. In the E-Learning environment, multiple types of data resources are managed. Particularly, organizing the images is more crucial task where multiple qualities of images are appeared inside the E-Learning network databases. This problem expects solutions from effective image compression techniques. Block Truncation Coding (BTC) and Absolute Moment BTC (AMBTC) are the techniques provide useful and easy implementations of E-Learning based image compression platform. At the same time, they are limited to image dissimilarity rate. To maintain the quality of images in both compression and decompression phases, multilevel image analysis models and training phases are required. In this regard, this proposed system develops a Dual Layered Deep Classification and Truncation (DLDCT) technique. DLDCT comprises the baseline benefits of BTC, multi-layered Support Vector Machine (SVM) units and Deep Layered Convolutional Neural Network (DLCNN) for producing classified range of image pixels and compressing the images under controlled circumstances. This proposed DLDCT makes the image compression and decompression with determined observations. This reduces real time errors occur during image reconstruction phases. This proposed system has been implemented and compared with existing works with respect to significant performance parameters.
A Cross-sectional study on Knowledge, Attitude and Practice towards Female Condom use among Adolescents and Young Adults attending Naguru Teenage information and Health Centre, Kampala District.
Authors:   , Nakirijja Sharon , Nabushawo Okecho Florence
Published: February 2023

Objective:  This study aimed to assess the knowledge, attitude, and practice of female condom use among adolescents and young adults attending Naguru Teenage Information and Health Centre, Kampala district in July 2021. Methodology:  A cross-sectional study was used among 384 participants. The inclusion criteria considered adolescents and young adults.  Results:  Analyses revealed that less than a quarter of the participants (24.7%) had ever used a female condom. Indeed, this is confirmed by the interval of use which was reported to be common “sometimes” (83.1%). Regarding knowledge of condom use among the participants surveyed; more-than half (86.2%) had ever heard of female condoms. The commonest sources of information on female condom use included parents, health facilities, and media outlets. Most participants didn’t know how to fit a female condom (64.1%) and most reported that they didn’t know how to introduce a female condom by self. Most participants (51.3%) strongly disagreed that female condom use reduces sexual pleasure. Conclusion:  Estimates from reports from this survey reflect that few adolescents and young adults use female condoms. More efforts are required to promote the use of female condoms among these age groups. The provision of information and open discussion about female contraception could influence their knowledge, attitude, and female condom use. Recommendations: For the service providers, adolescents, and young adults: the provision of information and open discussion about female contraception could influence their knowledge, attitude, and female condom use. Culture, religion, and approval of the female condom approach are still strong in the national context; this is reflected in the reports from the surveyed participants in this study thus interfering with the decision to use female condoms. The inclusion of partners and religious leaders in reproductive strategies hence constitutes a positive turning point in promoting female condom knowledge, attitude, and practice.
Aldi Süd verbessert die Roherträge
Authors: Schulz Hans-Jürgen
Published: February 2023

Aldi Süd konnte 2021 sein Ergebnis verbessern, obwohl die Umsätze um rund 3,6 Prozent zurückgingen. Bessere Roherträge und ungewöhnlich hohe Beteiligungsergebnisse halfen bei dem Ergebnissprung.
Aldi Süd baut Eigentum aus
Authors: Schulz Hans-Jürgen
Published: February 2023

Aldi Süd baut sein Immobilienvermögen stetig aus. Der Discounter investiert enorme Summen in die 1283 Filialen im Eigentum. Allein seit 2019 mehr als eine Mrd. Euro.
Retail Media zahlt sich für Tesco aus
Authors: Stockburger Manfred
Published: February 2023

Retail Media und die Clubcard sind für den britischen Marktführer Tesco wesentliche Wachstumstreiber des Geschäfts. In Zeiten schrumpfender Margen werden solche Zusatzeinnahmen immer wichtiger.
Hakle-Übernahme rückt näher
Authors: Sachsenröder Delphine , Brück Mario
Published: February 2023

Die Gespräche mit potenziellen Investoren für den insolventen Tissue-Hersteller Hakle sind in einer entscheidenden Phase. Unter anderen gilt Sofidel als aussichtsreicher Kandidat.
Biofach im Ausnahmezustand
Authors: Murmann Christoph , Chernobylskaya Mayya
Published: February 2023

Jahrzehntelanges Wachstum ist zu Ende, zumindest vorerst. Die Rückkehr zum Erfolg war ein Hauptthema der weltgrößten Fachmesse für Bio-Produkte. Nicht wenige Aussteller zählen die Discounter zu den entscheidenden Ursachen.
Initiative entwickelt Bluetooth-Standard für digitale Etiketten
Authors: Giuri Maurizio
Published: February 2023

Elektronische Regalpreisetiketten funken bislang je nach Hersteller auf unterschiedlichen Wegen. Eine Initiative will nun Bluetooth zum neuen Standard machen. Das kann zwar noch Jahre dauern, doch die Vereinheitlichung soll Händlern den Einsatz der Technologie einfacher machen.
Coop bringt O+G auf der Schiene in den Norden
Authors: Bökamp Lena
Published: February 2023

Die skandinavische Einkaufskooperation Coop Trading bringt in großem Stil Transporte auf die Schiene. Ab Herbst soll pro Woche ein Ganzzug über Rotterdam nach Skandinavien rollen und tausende Lkw-Fahrten sowie CO₂ einsparen.
Kassenlose Läden mit Künstlicher Intelligenz begeistern LEH
Authors: Rode Jörg
Published: February 2023

Hightech-Filialen, die ohne Kassen auskommen, werden eins der großen Gesprächsthemen der Euroshop sein. Solche Läden betreiben nicht nur der Erfinder Amazon, sondern auch Rewe, Aldi Süd und Nord sowie Netto Marken-Discount.
Energieeffiziente Kühlung lässt Händler nicht kalt
Authors: Wenzel Horst
Published: February 2023

Mehr als 220 Stände sind Schaubühnen für modernste Kälte- und Kühltechnik. Die Spezialisten zeigen sowohl komplett neue Möbel und Anlagen als auch Geräte, die im Hinblick auf Energieverbrauch, Wartung und Warenpräsentation verbessert wurden.
Allianz von Dohle und Rewe auf Prüfstand
Authors: Mende Jan , Tewes Werner
Published: February 2023

Rewe und Dohle verhandeln über eine Verlängerung ihrer Einkaufs-und Logistikkooperation. Einige Punkte sind strittig. Beide Händler bekräftigen aber ihren Willen zur Fortsetzung der Zusammenarbeit.
Hornbach spart Energie mit neuem Marktkonzept
Authors: Hofmann Janine
Published: February 2023

Hornbach hat in Leipzig einen energieeffizienten Standort eröffnet. Der Händler geht mit dem Trend: Immer mehr Baumarktunternehmen investieren in Energiesparmaßnahmen wie Photovoltaikanlagen, LED-Beleuchtung oder Regenwassernutzung.
„Die Versorgung ist nach wie vor angespannt“
Authors: Brück Mario
Published: February 2023

Wiegand-Glas-Chef Nikolaus Wiegand über transparente Preismodelle, steigende Kosten und einen Querulanten.
Hähnchenalternative Tindle drängt in den Einzelhandel
Authors: Adelhardt Andrea
Published: February 2023

Die Hähnchenersatzmarke Tindle zieht es in den deutschen Lebensmittelhandel. Mit Edeka hat der Hersteller Next Gen Foods einen ersten Händler von Listungen überzeugt. Der Markt für Fleischalternativen wächst unterdessen nicht mehr so dynamisch.
„Das ist unsere Zeit“
Authors: Chernobylskaya Mayya , Nissen Madeleine
Published: February 2023

Als der Ukraine-Krieg vor einem Jahr losging, blickte Dovgan mit Sorge in die Zukunft. Doch das Geschäft läuft für den Hersteller osteuropäischer Spezialitäten seitdem nicht schlechter, sondern besser. Geschäftsführer Andre Kowalew erklärt, warum das so ist.
„Wir würden eher Weißweine empfehlen“
Authors: Murmann Christoph
Published: February 2023

Grill-Aktionen sind eine bewährte Gelegenheit zur Ankurbelung des Weinabsatzes – Die Verbrauchsgewohnheiten sind im Umbruch. Christoph Murmann
SAP will Händler in der Cloud haben
Authors: Rode Jörg
Published: February 2023

SAP verändert die Architektur seines Warenwirtschaftssystems und erweitert gleichzeitig sein Angebot an ergänzenden Modulen etwa für Demand Planning und Preisoptimierung.
„Im LEH wird weiter investiert“
Authors: Konrad Jörg
Published: February 2023

LEH-Filialen werden sich künftig noch mehr auf eigene Stärken wie Einkaufserlebnis und Service konzentrieren müssen, um im Wettbewerb mit dem Online-Handel in der Erfolgsspur zu bleiben. Der stationäre Einzelhandel rüstet trotz schwieriger Lage auf – vor allem bei Kühltechnik.
„Präsenzrendite“ als neue Kennzahl für hybrides Arbeiten
Authors: Kapell Elisabeth
Published: February 2023

Herausarbeiten, was beim hybriden Arbeiten anders ist, das will das Fraunhofer IAO im Projekt „Connected Work“.
Pumpen energieeffizient eingesetzt
Authors: Meusburger Peter
Published: February 2023

Pumpen, Gebläse und Verdichter werden für eine Vielzahl von Aufgaben in verschiedensten Anwendungen eingesetzt. Da die Maschinen einen nennenswerten Anteil an elektrischer Energie verbrauchen, ist ein energieeffizienter Einsatz von entscheidender Bedeutung.
Zweckverband Steinwaldgruppe setzt auf höhere Energieeffizienz
Authors: Hübner Mario , Götz Matthias
Published: February 2023

Die richtigen Schritte für eine effiziente Wasserförderung wurden beim Zweckverband Steinwaldgruppe schon immer unternommen. Das jüngste Beispiel zeigt die Generalüberholung einer vor sieben Jahren ausgelieferten hocheffizienten Unterwassermotorpumpe.
Automatisierte Pumpenkennlinienaufnahme
Authors: Bölter Christopher , Thamsen Paul Uwe
Published: February 2023

Durch Kennlinien können der Betriebszustand einer Kreiselpumpe bestimmt, eventuelle Abweichungen entdeckt sowie deren Ursachen analysiert werden. Mit Automatisierungstechnik lässt sich der Zeit- und Personalaufwand der Kennlinienaufnahme verbessern.
Ströme der Erde – Teil 14: Der Murray River
Authors: Berger Wolfgang
Published: February 2023

Mit dem vierzehnten großen Flusssystem der Erde betreten wir Neuland. Über 10.000 km entfernt von unserer letzten Station in Afrika wechseln wir nach Australien zum Murray River. Er ist der wasserreichste und mit 2.530 km zweitlängste Fluss des Landes.
Weniger Treibhausgase dank Kunststoff
Authors: Röhl Thomas
Published: February 2023

Waren es 2018 noch die Prognosen zu Plastikabfallmengen im Jahr 2030, mit denen die Berater von McKinsey für Schlagzeilen sorgten, so beleuchten sie in einer Studie die Treibhausgasemissionen von Kunststoffen im Vergleich zu Alternativen. Dabei kommen sie zu einem für viele vermutlich erstaunlichen Ergebnis: Kunststoffe sind die grünste Lösung.
Kompromiss auf Augenhöhe
Authors: Schirmacher Henrike
Published: February 2023

Berlin. In Niedersachsen sind sich Politik, Umweltschutz und Landwirtschaft einig, Pflanzenschutzmittel zu reduzieren. Gegenüber anderen Ländern hat das nordwestliche Bundesland nun einen Vorsprung.
Marke HaGe Kiel ist bald Geschichte
Authors: Pionke Stefanie
Published: February 2023

Frankfurt a.M. Die Marke HaGe Kiel wird nach dem vollständigen Abschluss der Integration von Hauptgenossenschaft Nord AG (HaGe) und team SE vom Markt verschwunden sein.
Die eigene Düngerfabrik am Hof
Authors: Deininger Olaf
Published: February 2023

Das System von FuelPositive zur Herstellung von grünem Ammoniak ist serienreif. Der Hersteller startet mit der Vermarktung.
EU schützt Ahle Wurscht
Authors: Leißner Martina
Published: February 2023

Frankfurt a.M. Die Nordhessische Ahle Wurscht wurde von der EU-Kommission in das Register für geschützte geografische Kennzeichnungen aufgenommen.
Stressors and stress management strategies among young doctors amidst COVID-19 pandemic- Cross-sectional study
Authors: Moorthy Swathy , Kumar K. Mahesh , Silambanan Santhi
Published: February 2023

Introduction and Aim: The COVID-19 pandemic has caused a huge economic burden and impacted physical and mental health of the people. The young medical graduates are facing a lot of disappointments with regard to career, higher studies, personal life etc. The current research aims to assess the various stressors and their coping strategies among the young medical graduates during the COVID-19 pandemic.
Materials and Methods: The cross-sectional study was conducted in the Department of General Medicine at a tertiary care teaching hospital in South India. Undergraduate medical students of 228 in number of both genders who completed their residency training just before and during the COVID-19 pandemic were enrolled in the study. The data was collected through a preformed questionnaire. Ethics clearance was obtained from the Institutional Ethics Committee. Informed consent was obtained. Statistical analysis was done by SPSS software version 18.0. P value < 0.05 was considered statically significant.
Results: The mean scores obtained in PSS-10 were found to be higher among males than females. Around 79.4% showed moderate stress while 20.6% showed high stress (P=0.001). Males showed more stress compared to females in general as well as academic stressors. Male doctors and female doctors had differing stress coping skills.
Conclusion: The study highlighted the vulnerable state of mind of the young medical doctors. The best way to overcome stress is by providing adequate resources, training to cope stress and ambient conditions for study and work, social support and relaxation techniques at both individual and organisational levels to help them to achieve a reasonable work-family interface.
Assessment of serum zinc and its correlation with atherogenic index of plasma in type 2 diabetes
Authors: Chandru Swetha , Biswas Monalisa , Honnavalli Pranav K. , Choudhury Ipsita
Published: February 2023

Introduction and Aim: Diabetes, a global health concern, is often compounded by nutritional perturbations. Micronutrients seem to play a regulatory role in the pathogenesis and progression of type 2 diabetes and recent evidence implicates a pivotal role of zinc in diabetes. The study aims to evaluate serum levels of zinc in diabetic patients and assess the correlation of zinc with lipid profile and ASCVD perturbations.
Methodology: The present study was carried out in the Department of Biochemistry and Medicine of a tertiary care centre. 30 voluntarily consenting patients diagnosed with diabetes were recruited as cases while 30 non diabetic participants were recruited as controls.  Blood samples from the participants were analysed for blood glucose, lipid profile, and serum zinc in Clinical Biochemistry Lab. Mann Whitney U test and Spearman’s rank correlation were performed to obtain statistical evidence.
Results: Serum Zinc levels were significantly decreased in diabetics when compared to healthy controls. However, no statistical significance was observed among the two groups in lipid parameters, derived lipid ratios, and AIP. Serum zinc did not show a significant correlation with lipid profile, derived lipid risk assessment ratios, and AIP.
 
Conclusion: Serum zinc levels are significantly lower in diabetics when compared to healthy subjects thus indicating the mechanistic role of zinc in the pathophysiology of T2DM. However, large cohort studies are required to clearly explain the extent of zinc deficiency and the therapeutic role/effect of zinc correction in patients with T2DM.