bluuebunny/crossref_metadata_2025_split huggingface dataset:
Vittime di violenza ambientale: un profilo dei danni psicosociali
Authors: Menegatto Marialuisa , Zamperini Adriano 
Published: October 2024

L’articolo affronta il tema della violenza ambientale attraverso il caso del disastro ambientale causato dalle ecomafie in Campania, nella cosiddetta “Terra dei fuochi”. La prospettiva presentata dagli autori, psicologi sociali, mettendo in luce la complessa fenomenologia territoriale e umana che tali vicende ricoprono, mira ad ampliare la definizione di danno ambientale, ricondotto solitamente al campo biomedico, includendo i danni alla qualità della vita inferti alla collettività.
COMPARATIVE STUDY ON OUTCOME OF OPEN FISTULECTOMY VERSUS LIFT PROCEDURE FOR UNCOMPLICATED PERIANAL FISTULAS
Authors: HASSAN HK , HUSSAIN S , SHABBIR A , AKHTAR N , RASHEED U , ULLAHA S 
Published: October 2024

Perianal fistulas, particularly trans sphincteric types, pose a significant challenge in terms of management, often requiring surgical intervention. Traditional open fistulotomy has been a common procedure, but newer techniques like the ligation of the intersphincteric fistula tract (LIFT) procedure are being explored for improved outcomes, particularly in terms of preserving continence. This study aims to compare the outcomes of open fistulotomy versus the LIFT procedure in patients with trans sphincteric perianal fistulas. Objective: To compare the clinical outcomes, healing times, recurrence rates, and continence status between patients undergoing open fistulotomy and those treated with the LIFT procedure for trans sphincteric perianal fistulas. Methods: A prospective comparative study was conducted in the General Surgery Department of Nishtar Medical Hospital, Multan, from May 2024 to August 2024. A total of 150 adult patients with trans sphincteric perianal fistulas were enrolled using consecutive sampling. The patients were randomly divided into two groups: Group A (n = 75) underwent the LIFT procedure, and Group B (n = 75) underwent fistulectomy. Postoperative follow-up was conducted weekly until wound healing and at three months after healing to assess pain scores, recurrence rates, healing time, and continence status. Statistical analysis was conducted using SPSS Version 25, with a significance level set at p < 0.05. Results: Among the participants, 6 patients (8%) in Group A and 8 patients (10.7%) in Group B experienced recurrent fistulas, showing no significant difference between the groups. Postoperative pain scores were similar between both groups. However, the healing time was significantly shorter in Group A (27.2 days) compared to Group B (48.1 days) (p < 0.05). Recurrence rates were higher in Group A (16%) compared to Group B (2.7%) (p < 0.05). Incontinence was observed in 10.7% of patients in Group B, while no incontinence was reported in Group A (p < 0.05). Conclusion: The LIFT procedure offers better outcomes in terms of continence preservation and shorter healing time compared to open fistulotomy in the management of trans sphincteric perianal fistulas. However, open fistulotomy showed lower recurrence rates. These findings suggest that the LIFT procedure may be preferable in patients for whom preserving continence is a priority, while open fistulotomy may be a better option in cases where recurrence prevention is the main concern.
Ten-Year Trends in Venous Thromboembolism Prophylaxis at a High-Volume Arthroplasty Center
Authors: Lizcano Juan D. , Sherman Matthew B. , Tarabichi Saad , Baker Colin M. , Reddy Yashas , Austin Matthew S. 
Published: October 2024

Introduction:
Venous thromboembolism (VTE) prophylaxis is the standard of care after total joint arthroplasty. However, there have been changes in the prevalence of certain medication classes used by institutions over time driven by the literature and national clinical practice guidelines. The purpose of this study was to analyze the patterns of VTE medications over the past 10 years at our institution.

Methods:
We identified 25,095 patients who underwent a primary total joint arthroplasty between 2012 and 2022. Medications for VTE prophylaxis included aspirin, warfarin, unfractioned heparin (UFH), low-molecular-weight heparin (LMWH), factor-Xa inhibitors (FXa), and antiplatelet agents different from aspirin and thrombin inhibitors. Tranexamic acid use was recorded. The rates of symptomatic VTE were calculated and categorized as deep vein thrombosis or pulmonary embolism.

Results:
Venous thromboembolism rates decreased from 1.1% in 2012 to 0.2% in 2022 and ranged between 0.4% and 1.2% during the ten-year period. Although VTE incidence decreased in the past 4 years, an isolated increase was noted in 2021(1%). In 2012, the use of aspirin, warfarin, FXa, and UFH were 52.1%, 30.7%, 0%, and 16.2%, respectively, whereas in 2022, the rates for the same medications were 83.3%, 0.3%, 10.4%, and 1.8%, respectively. The use of LMWH, thrombin inhibitors, and other antiplatelet agents had minimal variation, and none of these medications surpassed 5% during this period. The aspirin dose changed from 325 mg in 2012 (96.5%) to 81 mg in 2022 (98.8%). Similarly, TXA use increased from 30.8% in 2012 to 84.9% in 2022.

Conclusion:
In the past 10 years, our institution has transitioned from warfarin, UFH, and high-dose aspirin to low-dose aspirin and FXa, exhibiting acceptably low deep vein thrombosis and diminishing pulmonary embolism rates during that time.
Changement climatique et santé, entre mythe et réalité
Authors: Besancenot Jean-Pierre 
Published: October 2024

La santé publique est à de multiples égards tributaire du temps qu’il fait et du climat. Il s’ensuit que le réchauffement en cours pourrait avoir un impact non négligeable sur la répartition spatiale et l’incidence de nombreuses maladies. Mais les exemples fournis par la littérature sont loin d’emporter la conviction. C’est ainsi que le lien entre le changement climatique et le paludisme s’apparente à un faux problème dont on parle beaucoup, alors qu’il existe de vrais problèmes dont on parle peu. Trop souvent, l’attention se focalise sur les seuls effets défavorables et l’on sous-estime la faculté d’adaptation des populations. En outre, les paramètres météorologiques ne peuvent suffire à cerner les risques météoropathologiques : les facteurs démographiques, sociaux, économiques et politiques s’avèrent déterminants dans la dynamique épidémiologique de la plupart des maladies. La nécessité ne s’impose pas moins de définir sans plus attendre des stratégies efficaces d’adaptation, prenant en compte tout l’éventail des évolutions climatiques possibles.
EXECUÇÃO DE PISO INDUSTRIAL COM A UTILIZAÇÃO DE PAINÉIS DE AÇO-ESTUDO DE CASO
Authors: Oliveira Christian Carvalho de , Pinheiro Érika Cristina Nogueira Marques , Santos Karoline Socorro da Fonseca 
Published: October 2024

Os pisos industriais são elementos que estão continuamente apoiados e apresentam dimensionamento para suportar cargas diferenciais quanto à intensidade e forma de atuação. Atendendo às variadas situações de carregamentos a que são impostos, podem ser executados sobre diferentes técnicas estruturais e funcionais. Nesse aspecto, o trabalho apresenta um estudo de caso sobre o sistema produtivo de pavimentação industrial, destacando a camada constituinte do piso, suas propriedades e funções, os aspectos de controle e qualidade na execução com uma empresa qualificada especializada em construção de piso de alta resistência com base no conhecimento das técnicas construtivas e dos materiais utilizados no sistema de pavimentação de pisos industriais. O principal objetivo é analisar as etapas do processo de execução de um piso de concreto com a utilização de painéis de aço, cujo uso é para fins industriais e comerciais, em uma obra situada no município de Manaus/Amazonas. Em procedência, os resultados expuseram satisfação mostrando a importância da construção em etapas, assim como, uso de materiais adequados para execução de piso industrial de boa qualidade e durabilidade.
AMEAÇAS À BIODIVERSIDADE NA APA DO MARACANÃ: O AVANÇO DAS ESPÉCIES EXÓTICAS INVASORAS
Authors: Ferreira Vitória Gleyce Sousa , Fushimi Melina , Farias Filho Marcelino Silva , Ferreira Lana Costa , Govêa Karina Vieira de , Madeira Brenda Graziela Pereira , Carvalho Lucas Silva 
Published: October 2024

O estudo aborda a problemática das espécies exóticas invasoras na Área de Proteção Ambiental (APA) do Maracanã, em São Luís, Maranhão. O objetivo principal foi analisar os impactos dessas espécies no ecossistema local. A pesquisa utilizou a abordagem geossistêmica, com coleta de dados em campo através de transectos e mapeamento da distribuição dessas espécies. Foram identificadas sete espécies invasoras, sendo a Robinia pseudoacacia e Albizia lebbeck as mais prevalentes. Essas espécies demonstraram a capacidade de reduzir a biodiversidade nativa, causando degradação ambiental. A ausência de controle e fiscalização adequados favoreceu a expansão dessas plantas, comprometendo a integridade ecológica da área. O estudo conclui que é urgente implementar estratégias de manejo para controlar as invasões, recuperar a vegetação nativa e preservar o ecossistema da APA do Maracanã.
Connections Across the Globe: The Colonial Project of Gender and the Modern/Colonial System of Gender in conversation.
Authors: Wallace Leandro A. 
Published: October 2024

The current paper serves as a first approach to the possible connections and relationships between the theories that emerge from the lived experiences in Abya Yala and the continent of Australia. I will approach the Sistema Moderno/Colonial de Género as proposed by la Maestra M. Lugones and the Colonial Project of Gender by Prof. S. O’Sullivan as the main theories put in conversation. From their understandings, as well as propositioned by theorists from both territories, I will propose a path to be able to retrieve and recognize the resistances to the colonialities, as they appear in video games, by queer Indigenous people.
The implementation of tax imposition Micro Small Medium Enterprise (MSME) in the form of limited companies after the expiry period of final income tax
Authors: Akbar Lutfia Rizkyatul , Sugiarti Rita 
Published: October 2024

The MSME tax policy has undergone several changes and changed regulations. In 2022, the government again re-regulated MSME taxes, namely PP Number 55 year 2022 regarding Adjustments to Regulations on Income Tax. This research uses a descriptive qualitative approach. With the issuance of PP Number 55 of 2022, this provides an opportunity to increase the taxes owed by MSMEs and researchers also want to illustrate to the government that after this regulation is issued what impact will be felt by MSME Taxpayers, so that this will later be used as an evaluation by the Government. The result of this research is the calculation for the 2023 tax year using the rate of Article 17 of the Income Tax Law with the rate of 22%, and an additional 50% tax reduction as the Income Tax Law Art 31 E, resulting in the tax payable of IDR 4,240,946.16. PT ABC must carry out the bookkeeping obligations in reporting the tax liabilities and create proof of transactions for every business transaction to avoid a high tax burden.
Ecotoxicological effects of pharmaceutical preparations and the possibility of removing them through phytoremediation: A review
Authors: Abdul – Jabbar Ruaa M. , Al-Adily Batool M. , Kadhim Nuha F. 
Published: October 2024

From several decades, there was a significant increase in the production of pharmaceuticals due to their widespread use for both animal and human health. However, these pharmaceuticals also release large amounts of waste into the water environment, where they have been found at levels of ng/l to mg/l in wastewater and surface water. Additionally, because pharmaceuticals initially have biological effects such endocrine disruption, they may have a multitude of adverse effects. Hospitals are indicated or thought to be a significant and extremely variable source that is typically released into sewers immediately, without any kind of preparation. even if they only make up a minor portion of the influents of sewage treatment plants' overall effluent volume. One of the primary sources of pharmaceuticals that are present in every area of the environment is the hospitals. These medications were transferred to wastewater treatment plants (WWTPs), which lack the necessary equipment to effectively handle these kinds of substances. Pharmaceutical contamination of water is regarded as a growing pollution issue in developed nations as these pollutants and micropollutants have been introduced into drinking water sources. In order to raise awareness among physicians, patients, and pharmaceutical manufacturers that pharmaceutical materials may have side effects outside of the patient, certain countries have implemented a classification system for pharmaceutical drugs based on their propensity to accumulate in surface water and interfere with aquatic life. This program is assessed by yearly tests of pharmaceuticals in sewage treatment effluents. The results indicate the presence of numerous types of medicines, including trimethoprim, sulfamethoxazole, and metronidazole, in all analyzed sewer treatment plant effluents. The manufacturing and consumption of pharmaceuticals appear to have an impact on their presence in wastewater.
Isolation and Identification of Xylanase Producing Bacteria from Soil Samples of Kerala
Authors: L P Priyanka , S Subramaniyan , G S Sandhia , D K Sathish 
Published: October 2024

Microorganisms play a very vital role in the biological recycling of plant bio-matter. Xylan is the second most plentiful polysaccharide and is found as an interface between lignin and other polysaccharide in the secondary cell wall. When these polysaccharides are hydrolyzed by a suitable strain of bacteria it will become an end to many environmental issues and had many useful applications such as in paper and pulp industry, food and feed industry, bread quality improvement, agro waste treatment, seed germination, generation of bio-fuels etc. To isolate a suitable strain of bacteria which possess good xylanase activity several samples of soils were collected from various regions of Kerala and were undergone a three step enrichment process. In the primary screening 85 bacterial strains were obtained. 22 isolates produces clear zone during plate assay using beech wood xylan. The isolates which possess more than 0.5cm clear zone were undergone final screening process and the strain PSS 1 showed the maximum enzyme activity of 112.38 U/ml.
Mudanças e desafios à luz dos docentes frente às tecnologias digitais
Authors: Nobre Raidete Maria Soares Fontes 
Published: October 2024

Este estudo propõe refletir sobre um tema de extrema relevância na área educacional, trata-se das mudanças e desafios à luz dos docentes frente às tecnologias digitais com foco no ensino médio. Em decorrência dessa realidade, a estrutura do trabalho baseia-se no objetivo de favorecer reflexões acerca das mudanças e dos desafios enfrentados pelos docentes, em relação à necessidade de uso das tecnologias digitais no processo evolutivo do ensino e da aprendizagem. Com a intenção de abrilhantar a temática, o percurso metodológico foi realizado por meio da revisão de literatura, visando respaldo nas contribuições teóricas de autores e nos documentos legais que pudessem fortalecer o tema proposto. Foi utilizada a plataforma Google Scholar como base de dados. No processo de revisão de literatura, pôde-se detectar que existem Políticas Públicas que corroboram a inserção das tecnologias digitais no ensino. Entretanto, deparamos com achados desvelados na revisão bibliográfica, trata-se do hiato existente entre o cumprimento desses documentos legais e a realidade da sala de aula. Hodiernamente, ainda são grandes os desafios das escolas públicas para a integração das tecnologias digitais como uma prática pedagógica efetiva, as que têm recursos digitais sofrem com a ausência de acesso à internet em banda larga.
Eficácia da auriculoterapia para a ansiedade em adultos: uma revisão sistemática
Authors: Santos Layane Estefany Siqueira dos , Andrade Ially Fraga Batista , Chagas Victória Santos , Menezes Andréia Freire de , Costa Marcela Ralin de Carvalho Déda , Boppre Giorjines Fernando , Maciel Leonardo Yung dos Santos 
Published: October 2024

A auriculoterapia tem se destacado entre as práticas integrativas e complementares devido aos seus resultados positivos no tratamento holístico de diversos distúrbios psicossomáticos. O estudo objetiva analisar a eficácia da auriculoterapia com uso de sementes e agulhas na redução dos sintomas de ansiedade em adultos. A revisão seguiu as diretrizes PRISMA e Cochrane, com a estratégia de busca realizada nas principais bases de dados, incluindo estudos publicados em todos os idiomas até novembro de 2022. A qualidade geral das evidências foi avaliada por meio do sistema Grades of Recommendation, Assessment, Development, and Evaluation (GRADE). Inicialmente, foram identificados 1.382 estudos nas bases de dados. Dentre esses, foram selecionados 20 estudos para a revisão, os quais investigaram o uso da auriculoterapia com sementes e agulhas na redução da ansiedade em adultos. Apenas um estudo não encontrou diferença significativa em qualquer aspecto da redução da ansiedade. Em geral, a auriculoterapia com sementes ou agulhas demonstrou ser eficaz na redução dos níveis de ansiedade em adultos quando comparada aos grupos controle ou placebo. No entanto, o uso da auriculoterapia com sementes e agulhas ainda é bastante limitado entre os profissionais de enfermagem. Isso pode ser atribuído à falta de revisões anteriores da literatura que tenham abordado de maneira holística e isolada as diversas abordagens dessa prática terapêutica.
Mosaic aneuploidy in a patient with periocular basal cell carcinoma. Report of a case
Authors: Morales Rodríguez Enny , Castelvi López Arlay , García Gómez Damaris , Fernández González Odenis , Sabó Sánchez Doralis 
Published: October 2024

Basal cell carcinoma constitutes approximately 80% of non-melanocytic skin tumors and originates in the basal layer of the epidermis and its appendages. Genetic alterations that affect neoplastic development have been identified, caused by external physical or chemical agents, hereditary, chromosomal rearrangements, allelic loss and gene amplification. This article presents a white-skinned male individual, 64 years old, with a diagnosis of periocular basal cell carcinoma, who underwent a cytogenetic study of the tumor tissue and a mosaic chromosomal aneuploidy was identified.The presence of mosaic aneuploidy in patients with periocular basal cell carcinoma suggests that chromosomal aberrations may play an important role in tumor progression and aggressiveness. This finding highlights the need to integrate cytogenetic studies in the clinical evaluation of skin tumors, facilitating a better understanding of the underlying biological mechanisms, opening new avenues for therapeutic research.
COMPARISON OF PRACTICES RELATED TO MID-MORNING SNACKS AMONG SCHOOL GIRLS OF DIFFERENT SOCIOECONOMIC STATUS
Authors: Hajra Saleem  , Neelam Sabar  , Khan Faran 
Published: October 2024

Background: Adolescence is the second most critical period of physical growth and development; therefore, it is very important to fulfill their dietary needs in this period. Objective: To compare practices related to mid-morning snacks and observation of students for taking healthy foods as mid-morning snacks. Methodology: This is the survey based or conclusive research that was conducted on teenage girls of Beacon house School System Lahore and Govt. Model Girls High School Lahore. The sample size was calculated from the online calculator Raosoft (Raosoft 2020). The study sample size was 60. They were divided into two groups with 30 in each group; one of high and the second of low socio-economic status. This research was conducted with the ethical permission of Department of Food and Nutrition; College of Home Economics and this data were collected with the consent of School’s authorities and students. Data collection tools were Anthropometrics, Interview schedule and Dietary record. Results: Mean age was 13.6±15.9. Results of taking mid-morning snacks in students was recorded 9.084±0.05. Awareness about nutritive mid-morning snacks was 2.639±0.05. Fruits preferences were 6.358±0.05. Food frequency of high carbohydrate food was 10.24±0.221. High fat food frequency was recorded as 13.9±0.229. Result of food frequency of beverages was 7.59±0.219. Frequency of mid-morning meals was 6.7±0.309. Conclusion: Results revealed that the snacking practices of both schools were unhealthy and intake of unhealthy snacks was more prevalent as compared to healthy snacks.
Propuestas de uso de las herramientas de inteligencia artificial en áreas de apoyo y asistencia legal en el Ecuador
Authors: Cruz Sáenz Anthony Joel , Palma Araujo Carmen Leonor , Vera Cabrera Héctor Josué , Zambrano Rodríguez Katherine Stephany 
Published: October 2024

Este artículo evalúa las propuestas del uso de las herramientas de inteligencia artificial (IA) en áreas de apoyo y asistencia legal en el Ecuador. El objetivo general de esta investigación consiste en determinar cómo estas tecnologías están rediseñando el campo laboral en áreas del Derecho. La metodología utilizada es cualitativa basada en la revisión documental y el análisis crítico de fuentes secundarias. Los hallazgos demuestran que la implementación de IA mejora la eficiencia y precisión en el trabajo legal, sin embargo, acarrea importantes preocupaciones para quienes desempeñan labores tradicionales como revisión de documentos, redacción de escritos y demandas, entre otras tareas realizadas por asistentes legales. El estudio concluye que, aunque la integración de la IA en el campo del Derecho ecuatoriano es inevitable, es fundamental establecer estrategias sólidas que certifiquen su uso ético y responsable. Por lo que, se destaca la necesidad de establecer soluciones para mitigar la reducción de puestos de trabajo en áreas de apoyo y asistencia legal, que surgen de esta transformación tecnológica en el campo jurídico.
Effect of Different Purities of Seed Cells and Culture Media on the Growth Pattern and Protein Content of Spirulina Platensis
Authors: Chilmawati Diana , Martaningrum Aldhira , Widowati Lestari Lakhsmi , Perdana Putra Pranata Candra 
Published: October 2024

Spriulian platensis is a type of microalgae commonly used as natural fish feed. The purity of cell seedlings represents an internal factor, while the culture media acts as an external factor that can limit microalgae growth. This research investigates how varying purities of cell seedlings and culture media affect the growth patterns and protein content of Spriulian platensis, as well as to identify the optimal purity of cell seedlings and culture media that best promote growth patterns and protein content. The research method employed was an experimental design using a completely randomized factorial design with four treatment combinations and three replicates. The results showed that factor A (purity of seed cells) significantly affected growth patterns, including the lag phase duration, specific growth rate, and maximum density, but did not influence the final density Spriulian platensis. Factor B (culture media) had no significant effect on any of the variables. The combination of axenic seedlings with Pro Analis media was identified as the best treatment, producing a lag phase duration of (-4.17 ± 0.03 cells/day), a growth rate of (0.33 ± 0.01 cells/day), a maximum density of (6.43 ± 0.02 log cells/ml), and a final density of (5.78 ± 0.03 log cells/ml). The protein content across all treatments remained consistent at 58-60%. The study concludes that the purity of cell seedlings is a critical factor in determining the growth pattern of Spirulina platensis, particularly affecting the lag phase, growth rate, and maximum density.