bluuebunny/crossref_metadata_2025_split huggingface dataset:
Promoviendo el cuidado basado en la evidencia a través de conjuntos de órdenes de Enfermería
Authors: Wilson Rita , Bajnok Irmajean , Costa Tanya 
Published: January 2020

Introducción: El uso de las guías de mejores prácticas promueve cuidado basado en la evidencia y calidad en los resultados sanitarios. Tradicionalmente, las guías de mejores prácticas fueron diseñadas para ser usadas como un recurso escrito de forma manual. Más recientemente, las guías de mejores prácticas han sido desarrolladas para el uso en aparatos móviles como teléfonos inteligentes. Objetivo: Este artículo reflexivo busca documentar las características y beneficios percibidos del conjunto de órdenes de enfermería de la RNAO y sus posibles estrategias de implementación. Tema de reflexión: Con el aumento del uso de registros médicos electrónicos y sistemas de información hospitalaria en el cuidado de salud, hay ahora una creciente necesidad para que las guías de mejores prácticas sean sin lugar a dudas integradas en los sistemas electrónicos. La Asociación de Enfermeras Profesionales de Ontario (RNAO) ha desarrollado recientemente un conjunto de órdenes de enfermería como una estrategia para cubrir esta necesidad. Los conjuntos de órdenes de enfermería facilitan la implementación de las guías de mejores prácticas en un ambiente electrónico delineando intervenciones de enfermería claras y concisas (derivadas de guías de mejores prácticas) que pueden ser integradas con un registro medico electrónico o un sistema de información hospitalario, sin importar el proveedor. Conclusiones: La integración de los conjuntos de órdenes de enfermería derivada de las guías de mejores prácticas de la RNAO en sistemas a papel o electrónicos, es una solución innovadora para la creciente necesidad de la toma de decisiones basadas en la evidencia al momento de tratar al paciente. Los conjuntos de órdenes de enfermería agilizan el proceso de traducción del conocimiento y simplifican las implementaciones de las guías de mejores prácticas en ambientes electrónicos. [Wilson R, Bajnok I, Costa T. Promoviendo el cuidado basado en la evidencia a través de conjuntos de órdenes de Enfermería. MedUNAB 2015; 17(3): 176-181].
Use of Low Dose Pregabalin for Attenuation of Hemodynamic Response to Laryngoscopy and Intubation in Treated Hypertensive Patients
Authors: Thapa Puja , Panta Sunita , Rayamajhi Mallika , Khadka Santosh , Amatya Bishwo Ram , Shah Ashish , Rizal Thanesore , Kunwar Bhuwan Raj 
Published: January 2020

Introduction: Laryngoscopy and tracheal intubation are two powerful noxious stimuli that can be potentially deleterious especially in hypertensive patients. This study evaluated the efficacy of low dose oral pregabalin used as a premedication for attenuation of this marked sympathetic response of airway instrumentation.Materials and Methods: This was a double-blind randomised study done at a tertiary level referral hospital. The trial was registered as UMIN-000037103 (https://www.umin.ac.jp/ctr/). Patients were randomly assigned into two groups. Placebo arm received multivitamin capsule and treatment arm received Cap. Pregabalin (75 mg), 60 minutes before the induction of general anesthesia. The level of preoperative sedation was assessed with the Ramsay Sedation Scale. Heart rate, systolic, diastolic and mean arterial blood pressure were monitored and recorded before and during induction, during laryngoscopy and 1, 3 and 5 minutes of intubation.Results: A total of 50 patients, 25 in each arm were enrolled. The baseline characteristics were comparable. SBP was significantly lower in the Pregabalin group than in Placebo at all the periods of recording, however, DBP and MAP decreased significantly during, after 1 and 3 minutes of laryngoscopy (p=0.001). Sedation was significantly better in the Pregabalin group with 86% in RSS 3 compared to 80% of a placebo arm in RSS2 (P <0.001).Conclusions: Premedication with a single oral dose of Pregabalin (75 mg) is effective for sedation and attenuation of hemodynamic response to direct laryngoscopy and endotracheal intubation in controlled hypertensive patients without any side effects.
Outcomes of Retrograde Intra-Renal Surgery
Authors: Shrestha Samir , Maskey Pukar 
Published: January 2020

Introduction: Miniaturization of endoscopic instruments has gained wide popularity in the treatment of renal calculi. Retrograde intra-renal surgery and holmium laser in combination has already proven its superiority when compared to other modalities in the treatment of renal calculi. This study was conducted to assess the outcome of retrograde intra-renal surgery in renal stone disease.Materials and Methods: This retrospective study analyzed the outcome of retrograde intra-renal surgery in renal stone less than 2 cm size in the adults above 18 years of age from September 2018 to August 2019 at Patan Hospital, Nepal. The outcome was assessed descriptively on postoperative pain and fever, stone localization, stone size, stone clearance, urosepsis, operative time, hospital stay, mortality, need of the second procedure.Results: A total of 62 patients underwent retrograde intrarenal surgery, out of which 48 cases were included. The mean age of the study population was 32.4± 14 years (19-68 years). Similarly, the mean operative time was 68± 12 (48-124 minutes) and mean hospital-stay was 3.2± 1.1 days. Postoperative pain and fever were observed in 14 (29.16%) & 4(8.33%) patients respectively. Hematuria occurred in 6(12.50%) and urosepsis in 2(4.16%) of the patients. Complete stone clearance was achieved in 34(70.83%) and residual stones were present in 8(16.66%) and clinically insignificant radiological fragments were present in 6(12.50%) patients.Conclusions: Retrograde intrarenal surgery is a technically safe and effective procedure for the treatment of renal calculi, with minimal post-surgical morbidity.
Beta-Lactamases Production in Multi-drug Resistant Acinetobacter species Isolated from Different Clinical Specimens
Authors: Neupane Mary , K.C. Sudeep , Thakur Subash Kumar , Panta Om Prakash , Joshi Dev Raj , Khanal Santosh 
Published: January 2020

Objectives: To determine the prevalence of Acinetobacter spp. from different clinical specimens and detect different types of β-lactamase enzymes.
Methods: Different clinical samples were collected and 125 Acinetobacter spp. were isolated. Various biochemical tests were carried out to speciate the Acinetobacter spp. The antibiotic susceptibility pattern and β-lactamase enzymes like Extended spectrum β-lactamase (ESBL), Metallo β-lactamase (MBL) and AmpC β-lactamase were determined.
Results: Of the total 125 isolates, the most predominant species was Acinetobacter calcoaceticus-A. baumannii (Acb) complex (80%). Highest rate of isolation of Acinetobacter species were from in-patients (neonates’ blood sample). Among all, 44.8% isolates were found to be MDR with the majority being resistant to aminoglycosides, carbapenems and fluoroquinolones but not to colistin. ESBL, MBL and AmpC beta-lactamase was detected in 43.2%, 15.2% and 1.6% of the isolates respectively.
Conclusion: Acinetobacter calcoaceticus-A. baumannii complex should be considered for detection in hospitalized patients. The analysis of antibiotic susceptibility pattern and β-lactamases would be helpful to establish network surveillance in order to maintain and control the spread of these resistant strains.
Bacterial Profile and their Antibiogram Isolated from Cell Phones
Authors: Gumanju Bikrant , Shrestha Roshna , Lakhemaru Poonam , Upadhyaya Rakysa , Shrestha Sushila , Shrestha Upendra Thapa 
Published: January 2020

Objectives: The present study aimed to identify bacteria profile of cell phones used by different people from different profession of Bhaktapur and to access their antimicrobial resistance.
Methods: Forty-nine mobile swab samples were collected from 7 different profession category (7 samples each from student, butcher, cook, panipuri vendor, health workers, and dairy employee). Samples were cultured and processed by standard Microbiological procedures. All the isolates were further subjected to antibiotic susceptibility testing using modified Kirby Bauer disc diffusion method as describe in CLSI guidelines. The rate of multiple drug resistant (MDR) bacteria was also determined.
Results: Out of 49 sample, Bacillus spp (20.4%) was the most predominant isolate, followed by Staphylococcus aureus (10.6%) and Pseudomonas spp (10.6%). Higher variety of bacterial isolates was found in the cell phones swabs from butcher followed by cook, farmer and panipuri vendor group. The data from the questionnaire showed that handkerchief or tissue paper were mostly used by respondents to clean their mobile. All Gram-positive and Gram-negative isolates were resistance to Cefoxitin (100%) except Micrococcus spp and Neisseria spp. Gram positive (18.2%) and Gram-negative (36.9%) isolates were identified as MDR. All S. aureus and Coagulase negative staphylococci were methicillin resistant
Conclusion: The Cell phones of people from different profession were found to possess many different bacterial pathogens including multi drug resistant strains which could be the possible pathogens for food borne infections and opportunistic infections.
Antibiotic Susceptibility Pattern of Bacterial Isolates from Soft Tissues Infection among Patients Visiting Birendra Military Hospital, Chhauni, Kathmandu
Authors: Giri Kushaalta , Gurung Sharada , Subedi Simrika , Singh Alina , Adhikari Nabaraj 
Published: January 2020

Objectives: To determine the rate of soft tissues infection and perform antibiotic pattern susceptibility test of bacterial pathogens isolated from soft tissue infected patients visiting Shree Birendra Hospital, Kathmandu, Nepal.
Methods: A total of 380 wound specimens (open and closed) including pus and wound swabs were processed in the laboratory of Birendra Military Hospital, Chhauni from August to November 2018. The specimens were cultured on Blood Agar blood agar and Mac-Conkey agar and incubated at 37°C for 24 hrs. Antibiotic Susceptibility Test was performed by using modified Kirby-Bauer disc diffusion method. Thus, multidrug resistant (MDR) bacteria and methicillin resistant Staphylococcus aureus (MRSA) were differentiated.
Results: Out of 380 bacterial isolates, 86(43.21%) were gram positive and 113(56.78%) were gram negative bacteria. Among all the gram-positive isolates 43(53.09%) were found to be MRSA. Similarly, 62(54.86%) were found to be MDR among the gram-negative bacteria. Gentamicin and Amikacin were found to be the most effective drug though the resistance pattern is not homogenous against all isolates.
Conclusion: Antibiotic susceptibility pattern of all bacterial isolates showed that, Gentamycin, Amikacin, Levofloxacin, Piperacillin/ Tazobactam, Doxycycline was the effective drug for Gram-negative bacteria and Amikacin, Teicoplanin, Linezolid, Doxycycline, Gentamycin and Azithromycin was the most effective drug for Gram-positive organisms. Thus it can be concluded that these antibiotics may be used for the empirical treatment of soft tissues infection.
Vertrauen im Supply-Chain-Management als Enabler für transparente Wertschöpfungsketten
Authors: Kraut Andreas , Ripplinger Matthias 
Published: January 2020

Kurzfassung
Die Globalisierung der Märkte erfordert einen Ausbau der horizontalen Integration, um sowohl den Material- als auch den Informationsfluss über die Unternehmensgrenzen hinweg kontrollieren und steuern zu können. Entscheidend dafür ist eine unternehmensinterne und -übergreifende gemeinsame Datennutzung aller Akteure eines Supply-Chain-Netzwerkes. Dem möglichen Austausch steht bei vielen Unternehmen dabei aktuell die Befürchtung entgegen, dass ihre Daten oder spezifisches Know-how missbraucht und an unbefugte Dritte weitergegeben werden könnten. Ziel des Beitrags ist es daher, die Rolle des Vertrauens im Supply-Chain-Management (SCM) als Enabler für transparente Wertschöpfungsketten herauszustellen und ein dahingehendes Modell als Basis zur Quantifzierung zu entwickeln.
Potenziale in der Informationswirtschaft
Authors: Gessert Stephan , Hartleif Silke , Schmidhäuser Paul , Jelschow Vladimir 
Published: January 2020

Kurzfassung
Ungenaue, lückenhafte und unnötige Informationen verringern die Leistungsfähigkeit von Produktionssystemen. Gleichzeitig ist aufgrund der schnell ansteigenden Menge an Informationen eine effektive und effiziente Informationswirtschaft in Unternehmen unersetzlich. Dieser Beitrag stellt eine Methode zur graphischen Darstellung der Informationswirtschaft entlang des Wertstroms vor, anhand welcher Verschwendungen in der Informationswirtschaft identifiziert und Potenziale abgeleitet werden können.
BN nanosheet modified SnO materials for enhancing photocatalytic properties
Authors: Liang Baoyan , Zhang Wangxi 
Published: January 2020

Abstract
Novel SnO/BN photocatalysts were prepared via ultrasonic reaction. Their phase composition, morphology, and photocatalytic performance were investigated using X-ray diffraction, scanning electron microscopy, transmission electron microscopy, and diffuse reflection spectra. The morphological results indicated that BN nanosheets were loaded on the surface of SnO flakes. By modifying BN, the visible light response of SnO was improved. The SnO/BN photocatalysts exhibited enhanced photocatalytic activity for the degradation of methyl orange, and a degradation efficiency of at least 95 % under visible light irradiation was observed after 60 min.
Investigation of the 3D hydrogen distribution in zirconium alloys by means of neutron tomography
Authors: Grosse M. , Schillinger B. , Trtik P. , Kardjilov N. , Steinbrück M. 
Published: January 2020

Abstract
The fuel rod claddings in nuclear light water reactors are made of zirconium alloys. Corrosion of these alloys during operation and in particular high temperature oxidation during nuclear accidents results in the production of free hydrogen. The cladding can absorb this hydrogen. It affects the mechanical properties of the cladding material. Hydrogen embrittlement of these materials provides the risk of brittle fracture of the cladding by thermo-shock during emergency cooling. At KIT the behaviour of cladding materials under different hypothetical nuclear accident scenarios was investigated. One focus was on hydrogen absorption and distribution/re-distribution in the alloys. The hydrogen distribution was determined mainly by neutron tomography. Examples for the determination of the 3D hydrogen distribution in cladding tubes after loss of coolant accident simulation tests are given and discussed.
The effect of in-situ formed TiB2 particles on microstructural and mechanical properties of laser melted copper alloy
Authors: Stašić Jelena , Božić Dušan 
Published: January 2020

Abstract
Mixed Cu-4Ti (wt.%) and Cu-1.4B (wt.%) powders were separately mechanically alloyed and then homogenized. The obtained powder was laser melted by pulsed Nd:YAG laser and heat treated at 900 °C for 10 h in argon. 3D compacts were characterized by means of digital camera images, optical microscopy and scanning electron microscopy. Microstructure after laser melting varies regionally due to mixing of two different mechanically alloyed powders and contains in-situ formed microparticles of primary TiB2. Formation of secondary TiB2 nanoparticles was possible only after high temperature heat treatment (900 °C, for 10 h) as concluded from X-ray diffraction analysis, chemical analysis, and microhardness tests of laser melted and heat treated parts. Copper matrix was strengthened to a significantly higher extent after the formation of secondary TiB2 nanoparticles.
TOLERANSI DAN INTERAKSI SOSIAL ANTAR PEMELUK AGAMA DI CIGUGUR, KUNINGAN
Authors: Marpuah Marpuah 
Published: January 2020

Penelitian ini dilakukan di kelurahan Cigugur karena termasuk wilayah yang pluralis dan masyarakat hetrogen. Instrumen penelitian yang digunakan adalah : Observasi, wawancara, dan dokumentasi. Berdasarkan hasil penelitian dapat diketahui Kerukunan yang terbina di Kelurahan Cigugur mereka berprinsip: Perbedaan keyakinan itu timbul dari kebenaran hatinya dan keyakinan masing-masing pemeluk agama. Adanya faktor keturunan yang membuat kondusipnya Kelurahan Cigugur. Dalam hal ini fakta sosial di masyarakat adanya identitas agama yang berbeda dalam satu rumah. Warga masyarakat yang berbeda pemeluk agamanya memiliki sifat kegotong-royongan yang membuat penduduk itu bisa rukun. Apabila ada satu kelurahan mengadakan kegiatan perbaikan jalan, membangun Masjid, warga tersebut mendukungnya terhadap kegiatan tersebut, baik secara moril maupun materil atau secara financial semampuhnya mereka, tanpa membedakan agama. Dalam siklus kehidupan (Kelahiran, Sunatan, Pernikahan, dan Kematian), warga kelurahan Cigugur nampak adanya kebersamaan, sikap toleransi terhadap perbedaan agama, dan adanya kerja sama.
Kata kunci: Toleransi, Umat Beragama, Interaksi, Cigugur
This research was conducted in the Cigugur village because it is a pluralist region and a heterogeneous community. The research instruments used were observation, interviews, and documentation. Based on the results of the study it can be seen that harmony is built in Cigugur Village because they have principles. The difference in beliefs arises from the truth of his heart, and the beliefs of each religion. There are hereditary factors that make the Cigugur Village conducive. In this case, social facts in the community indicate the existence of different religious identities in one house. Members of different religious communities have a mutual cooperation that can make the residents harmonious. If there is a village that conducts road improvement activities, builds a mosque, the residents support it, morally and materially, or financially as much as they can, regardless of religion. In the life cycle (birth, circumcision, marriage, and death), residents of the Cigugur village appear to be together. They are tolerant of religious differences, and also there is cooperation.
Keywords: Tolerance, Religious People, Interaction, Cigugur
Benigno Pendas García: «J. Bentham: Política y Derecho en los orígenes del Estado Constitucional»
Authors: Nuez Sánchez-Cascado Paloma de la 
Published: January 2020

Recención sobre la obra de Benigno Pendas García: «J. Bentham: Política y Derecho en los orígenes del Estado Constitucional»
Hábitos sedentários e estado nutricional de atletas de uma escolinha de futsal sub 12-13
Authors: Araújo Marcello Pereira de , Brito José Wellton de Souza , Silva Lucas Souza , Filho Antonio Evanildo Cardoso de Medeiros 
Published: January 2020

O estudo teve como objetivo identificar os hábitos sedentários e estado nutricional de atletas de uma escolinha de futsal sub 12-13 de um município localizado no interior do Ceará. Trata-se de um estudo descritivo, quantitativo de temporalidade transversal. Participaram 22 atletas de uma escolinha de futsal sub 12-13 pertencente ao Projeto 1° Estágio. Para coleta de dados foi utilizado um questionário, recorrendo ao software estatístico SPSS, versão 22,0 para análises dos dados coletados. Os resultados apontam que as variáveis que englobam tempo de tela, tem maior média entre as variáveis de tempo sedentário, com uma prevalência maior de 2 horas por dia, já sobre estado nutricional foi encontrado o “baixo ou nenhum” consumo de vegetais e frutas. Por outro lado, identificou-se um “baixo ou nenhum” consumo de bebidas açucaradas e batata frita. Além disso, metade dos participantes faz uso de ônibus, carro ou moto, o que caracteriza mecanismos de locomoção na qual os deixam em inatividade física.
Novos medicamentos para tratamento de fibromialgia
Authors: Vilaça Marcia Milena Oliveira , Lima Karoline Beatriz dos Santos , Alencar Enio Vitor Mendes , Machado Keylla da Conceição , Machado Kátia da Conceição 
Published: January 2020

A fibromialgia é uma síndrome que afeta cerca de 15% dos pacientes, na qual se manifesta por meio de dores em todo o corpo, principalmente na musculatura, trazendo fadiga muscular e sono não reparados. A melhor estratégia para o manejo da fibromialgia é usar uma abordagem multidisciplinar para o tratamento, utilizando intervenções farmacológicas e não farmacológicas. O presente artigo teve como objetivo abordar sobre os novos medicamentos para o tratamento de fibromialgia por meio de uma revisão cientifica e tecnológica em busca de patentes. A metodologia utilizada foi revisão cientifica qualitativa da literatura, consistindo na catalogação de dados contidos em arquivos eletrônicos. Como critérios de inclusão foram considerados os artigos publicados entre o ano de 2014 a 2019 que contemplem os descritores da pesquisa, disponibilizados na íntegra na internet com base de dados Scielo, Bvs e Medline. Foram catalogados dez artigos que atenderam os objetivos propostos, para sua inserção no presente estudo. Foi buscado na rede internacional de patentes e achados patentes nos últimos 5 anos com fármacos para tratamento da fibromialgia. A fibromialgia é uma patologia que acomete uma boa parte a população, o seu tratamento é bastante complexo pois há presença de varias classes medicamentosas. Podemos inferir que todos os dias novos fármacos vem sendo estudados para serem usados e que contenham um numero menor de efeitos adversos em indivíduos com fibromialgia.
Cinética de secagem do feijão azuki: modelagem matemática e propriedades termodinâmicas
Authors: Almeida Raphael Lucas Jacinto , Santos Newton Carlos , Pereira Tamires dos Santos , Queiroga Anna Paula Rocha de , Silva Virgínia Mirtes de Alcântara , Ribeiro Victor Herbert de Alcântara , Araújo Rafaela Duarte Almeida , Cabral Maysa Bernardino , Silva Lucas Rodolfo Inácio da , Borges Elder Miguel Esperidião Silva 
Published: January 2020

O presente trabalho tem por objetivo realizar a cinética de secagem do feijão azuki, em diferentes temperaturas de ar de secagem, ajustar modelos matemáticos aos dados experimentais e determinar as suas propriedades termodinâmicas. A cinética de secagem foi realizada nas temperaturas de 40, 50, 60, 70 e 80 °C na velocidade de ar de 1,5 m/s. Os modelos matemáticos de Parry, Page e Handerson e Pabis foram ajustados aos dados experimentais; Foram calculadas a difusividade efetiva, energia de ativação e as propriedades termodinâmicas: entalpia, entropia e energia livre de Gibbs. O modelo de Page foi o que melhor se ajustou aos dados experimentais da cinética de secagem do feijão azuki, pois apresentou elevados valores para o coeficiente de determinação e os menores valores para o desvio quadrático médio; a difusividade aumentou com aumento da temperatura de secagem e o processo apresentou uma energia de ativação de 27,69 kJ/mol; a partir das propriedades termodinâmicas foi possível concluir que, as mesmas foram afetadas pelo aumento da temperatura de secagem, com reduções de entalpia e entropia e aumento da energia livre de Gibbs indicando um processo endergônico não espontâneo.