bluuebunny/crossref_metadata_2025_split huggingface dataset:
Abordagem de Especificação de Requisitos para Modelagem 3D do Robô Otto para sessões de terapia com crianças autistas
Authors: Ribeiro Bastos de Sousa Rebouças Gabriel , Reggina Kempner Thais , Pereira dos Santos Nunes Eunice , Correia Lima de Faria Borges Luciana 
Published: June 2024

Buscando atender às necessidades de desenvolvimento de crianças com Transtorno do Espectro Autista (TEA), este artigo retrata as etapas na abordagem de especificação de requisitos para modelagem 3D do robô Otto, que é um brinquedo inclusivo que atua como facilitador nas sessões de terapia com crianças autistas. Neste artigo justificamos o porquê das nossas escolhas para o desenvolvimento de uma aparência visual simplificada com um design evocativo, objetivando criar um robô terapêutico lúdico e empático e ao mesmo tempo eficiente para auxiliar no processo terapêutico com crianças com TEA. A construção do Otto fornece aos terapeutas novas soluções para manter a atenção concentrada das crianças nas sessões terapêuticas facilitando o aprendizado, interações sociais, comunicação, além de aumentar a motivação dessas crianças para participarem da terapia.

Palavras Chave: design de produto; modelagem 3d; transtorno do espectro autista; robótica; impressão 3d.
Een politicoloog in de bestuurskunde: In Memoriam Andries Hoogerwerf (1931-2024)
Authors: Denters Bas , Thomassen Jacques , Herweijer Michiel 
Published: June 2024

A political scientist in Public Administration: In Memoriam Andries Hoogerwerf (1931-2024)
Andries Hoogerwerf (1931-2024) started his working career as a journalist. He studied political science, obtained his PhD and worked at the Free University of Amsterdam (1955-1969, from 1968 on as a lector). He then became a professor of Political Science at the Catholic University of Nijmegen (1969-1975). Hoogerwerf achieved his greatest fame during his Twente period (1975-1993) as a professor of Policy Processes. Twente had the first full university programme in Public Administration in the Netherlands with him as one of the pioneers. In the last three decades of the twentieth century, Hoogerwerf and his colleagues from the University of Twente expanded this programme into a leading Public Administration faculty in the Netherlands, where many hundreds of young people are prepared for a career in public administration or as a researcher.
Beelden van bestuurscultuur: bestuursculturen in gemeenten en provincies onderzocht
Authors: Boogers Marcel , Verhagen Onno , van Zuydam Sabine , van Meijeren Job 
Published: June 2024

Images of administrative culture: administrative cultures examined in municipalities and provinces
This article reports on an exploratory study into the characteristics of administrative cultures in Dutch municipalities and provinces. The central questions were: which characteristics of administrative cultures are distinguished in practice and to what extent are there differences in this respect between types of government and between different officials in municipalities and provinces? Administrative cultures in Dutch municipalities and provinces appear to be distinguishable according to the extent to which they are people oriented and customised (community culture), debates and procedures (debate culture) or chaos and conflict (arena culture). Administrative culture can be described as a three-dimensional concept. This characterisation can help to describe the administrative cultures of municipalities and provinces more accurately, so that their functioning can be better understood. There appear to be significant differences between representatives, administrators and civil servants in terms of the extent to which people experience a particular administrative culture. The differences between members of the opposition and the coalition are particularly striking. The perceived administrative culture also appears to be a political fact: the distribution of political and administrative power determines the extent to which people experience the different dimensions of the administrative culture.
Een goede griffier staat niet terzijde
Authors: van Stipdonk Vincent , van den Berg Marije 
Published: June 2024

A good clerk does not stand aside. The municipal clerk as a catalyst between politics, administration, organisation and community
The Dutch Municipal Act states that municipal clerks must assist the council and the committees set up by the council in the performance of their duties. The clerk is the lynchpin of local democracy. Yet many clerks are modest. We regularly hear them humbly say that they ‘support’ the council. That can be more active and assertive, that is what our local democracy is worth, and municipal clerks are obliged to do so in their position. In this essay, the authors describe how local democracy benefits from – or simply consists of – the coming together of four systems: politics, administration, organisation and community and that the clerk is a crucial catalyst in this. This essay focuses on the role of municipal clerks. But anyone who wants to know how local democracy can work better, or wants to become better at it themselves, can learn from this. Both the players themselves (council members, civil servants, council members and residents) and the people who work on local democracy from outside (academics, advisors, activists, etc.).
A prática da gestão democrática na escola: um novo paradigma da educação no século XXI
Authors: Souza Edileuza Gomes de , Gomes Wanderson Teixeira , Nunes Adelzira Patrícia Ribeiro , Belém Breno de Campos , Moura Cleberson Cordeiro de , Garcia Denilson Aparecido , Oliveira Elisabeth Hülsmann Bauer de , Melo Maria da Conceição Ferreira de 
Published: June 2024

As instituições de ensino desempenham um papel fundamental na sociedade, por ser um ambiente que possibilita a aquisição e transformação do conhecimento, e também local de exerce cidadania. E o exercício da mesma perpassa pelo processo democrática, por isso pensar uma gestão fundamentada nos princípios democráticos e de extrema relevância. Assim, este artigo foi pensando com o intuito de refletir e ponderar sobre esse importante assunto. É imprescindível salientar que cada escola possui características que as tornam únicas. Assim, pensar uma administração educacional onde as decisões são discutidas de maneira compartilhada, é fundamental. Dessa forma, ao longo dessa explanação, será apresentadas aspectos, pontuados nos referidos tópicos. Objetivo: Explicar o conceito de administração democrática, e também entender como deve ser uma gestão democrática na instituição de ensino, por meio da colaboração do gestor com a comunidade escolar. Metodologia: Esta pesquisa, desenvolveu-se a através de revisão bibliográfica, fundamentada em analise qualitativa, com o intuito examinar como a gestão participativa é definida, e quais são as falhas que ocorrem na prática dessa ação colaborativa na escola. Resultados: Posteriormente, a leitura e análise das informações relativas à revisão de literatura sobre o tema, foram obtidos resultados que confirmam a investigação científica proposta. Dessa forma, serão destacados os achados mais relevantes dentro do escopo da pesquisa e também serão apresentados, como forma de inferência, para ressaltar o estudo em questão. Considerações Finais: Portanto, fica Indicado que a democratização busca engajar todos os agentes do processo educativo, incluindo a comunidade local, e realça a importância de compreender as características do corpo discente. Advertindo sobre o risco de gestores que atuam de forma isolada, sem considerar a contribuição de todos os interessados. Assim, sugerindo medidas para promover a participação das famílias e destacando-se a importância do líder estar receptivo a todas as opiniões.
Comparison of Commercially available denture teeth with available natural teeth dimensions among genders
Authors: Sundhar S , Dinesh Kumar C , Praveena K , SaiSadan D , Jagadesaan N , Monnica V 
Published: June 2024

Background: Selecting the artificial teeth is an art, every prosthodontist should learn the art to fulfill the esthetic and functional requirement of the patient. It gives a pleasing, expressive and confident life to the patient.
Aim: To compare the dimensions of natural maxillary and mandibular anterior and posterior teeth with the dimensions of three commercially available denture teeth such as Acryrock,Biorock and Ivoclar Vivadent along with gender consideration.
Materials and Methods: The length and width of the natural anterior and posterior teeth from dentate casts of 23 males and 77 females were examined by a single examiner using a digital vernier caliper on a straight line and using a flexible ruler . These dimensions were also measured in three denture teeth mold charts: Acryrock, Biorock, Ivoclar vivadent. The dimensions thus obtained are compared between the three systems of artificial teeth and natural teeth for selecting the best system of artificial teeth for complete denture prosthesis.
Results: This present study concludes that the width of available natural maxillary anterior teeth matches with the dimensions of all the three commercially available denture teeth such as Ivoclar Vivadent, Acryrock, Biorock. But the mandibular anterior and posterior teeth of maxillary and mandibular dentate cast dimensions were matching only with the Ivoclar vivadent teeth set irrespective of the genders.
Conclusion: From this study, the determination of the size of anterior and posterior artificial teeth using the natural teeth dimensions for fabrication of complete denture prosthesis was proved statistically and mathematically.
O TRABALHO DO ENFERMEIRO NA ATENÇÃO PRIMÁRIA À SAÚDE RURAL NO MUNICÍPIO DE MONTES CLAROS, MINAS GERAIS, BRAZIL
Authors: Souza Camilla dos Santos , Carneiro Jair Almeida , Santos Danielle Ladeia , Gomes Beatriz Efigênia Nogueira Machado , Souza Meriele Santos , Almeida Julia Maria Gonçalves de , Soares Wivian Mariana Fonseca , Costa Fernanda Marques da 
Published: June 2024

A concentração dos serviços de saúde no meio urbano resulta em dificuldades no provimento à saúde das populações que vivem no meio rural. Diversos fatores são identificados como dificultadores do acesso à saúde, como o investimento em políticas públicas de saúde das populações rurais e melhoria da infraestrutura para atuação da Atenção Primária à Saúde (APS). Considerando a importância da atuação do profissional enfermeiro na APS brasileira, bem como sua presença constante no território rural, este trabalho objetiva avaliar as condições de trabalho deste profissional nas áreas rurais. MÉTODOS: Adotou-se o método de investigação exploratório e descritivo, seguindo uma abordagem qualitativa. Foi utilizado um guia de pesquisa semi-estruturado em duas sessões, divididas em caracterização sociodemográfica e questões abertas acerca do trabalho desempenhado na APS rural do município de Montes Claros, Minas Gerais. Participaram do estudo sete profissionais, com tempo de variação de atuação na APS rural de 1 ano e 10 meses a 11 anos. As entrevistas foram autorizadas pela Secretaria Municipal de Saúde, realizadas em consonância às normas da resolução nº. 466/2012 do Conselho Nacional de Saúde. Este trabalho foi autorizado pelo Comitê de Ética em Pesquisa da Universidade Estadual de Montes Claros (UNIMONTES) sob o parecer nº. 6.320.218. RESULTADOS E DISCUSSÃO: A análise do trabalho desempenhado por enfermeiros da APS rural possibilitou a organização dos achados em tópicos, como a caracterização do perfil sociodemográfico e profissional dos enfermeiros, relação das políticas públicas de saúde rural e as condições de trabalho ofertadas, cotidiano dos enfermeiros, revelando dicotomias relacionadas ao trabalho, associações do contexto de vida e situação de saúde de populações do campo e floresta, além da Estratégia de Saúde da Família como único meio de acesso à saúde. Por meio deste trabalho foi possível compreender o verdadeiro sentido do trabalho, revelando forte influência do trabalho na qualidade de vida dos próprios profissionais. CONCLUSÃO: Por meio deste estudo foi possível concluir que o trabalho desempenhado pelos profissionais enfermeiros é de extrema relevância para a continuidade do cuidado ofertado pela APS. Os enfermeiros entrevistados revelam enfrentar adversidades no exercício do trabalho, como o enfrentamento de condições desfavoráveis na condução até os locais de trabalho, como o clima, as estradas de difícil acesso, a falta de meio de transporte adequados, além da má infraestrutura das unidades e dificuldades de comunicação com a gestão de saúde, consoante aos achados da literatura. No entanto, o sentido do trabalho do enfermeiro baseia-se na satisfação da população, atribuindo o sentimentalismo à atuação de enfermagem, baseada no cuidado e promoção da saúde.
THE EFFECTIVENESS OF FLIPPED CLASSROOM MODEL BY USING GOOGLE CLASSROOM APPLICATION TO INCREASE STUDENTS’ LISTENING SKILL
Authors: Wafiqah Nurul , Ul Haq Muhammad Zia , Sangkala Ismail 
Published: June 2024

The purpose of this study was to find out whether the Flipped Classroom model with the Google Classroom application increase student learning outcomes in listening skills at SMKN 6 Bone. This study used a quasi-experimental method with a nonequivalent control group designed and applied in two classes with two different learning models. Experimental classes with the Flipped Classroom model using the Google Classroom application and control classes with the Teacher Centered Learning model. The population of this study was 114 students of class X of SMKN 6 Bone, while the sample consisted of 60 students from the initial three classes who were given pretests to determine which classes had balanced abilities to be used as experimental classes and control classes. The research process is carried out with the following procedures: giving pretest, applying treatment, and giving posttest. From the results of the posttest descriptive analysis, it is known that there are significant differences between the control class and the experimental class. This is evident from the from posttest result with p-value 0.03 (sig. <0.05). In addition, based on inferential gain analysis, it is known that p-value = 0.02 which means there are significant differences from the results of the pretest and posttest. So, it was concluded that the use of the Flipped Classroom model with Google Classroom application is effective to increase students' listening skills.
THE USE OF TIKTOK APPLICATIONS IN LEARNING ENGLISH AT THE NINTH GRADE STUDENTS OF SMPN 1 BURU
Authors: Rahman Sakinah Nur , Setiadi Muhammad Astrianto , Hambali Uyunnasirah 
Published: June 2024

This study aims to find out whether the use of TikTok application is effective in learning English at the ninth grade students of SMPN 1 Buru in the academic year 2022/2023. The type of research used is pre-experimental research using one class. The population in this study consisted of all grade IX students. The sample in this study was class IX.3 which consisted of 30 students. The sampling technique in this study used purposive sampling. This research was conducted for 6 meetings. The instrument used in this study is a prononciation test which is carried out on the pre test and post test. The data was processed using SPSS application. Based on the results of data analysis and discussion that has been put forward it can concluded that after applying TikTok in teaching english can improve students pronounciation in class IX.3 at SMPN 1 BURU. This is evidenced by the results of the students' scores. It is shown from the mean or average score of the students that there is an increase of . The students’ pre-test was gotten 44.67 and the students’ post-test was gotten 79,83. the post-test score shows higher score than the pre-test. In addition, the hypothesis testing is evidenced by t-test value, where the t-test (41.255) score is higher than the t-table (2.045) score. That means, that Ho is rejected and Ha is approved. As a result, the hypothesis of this study, that using TikTok has a significant effect on students' pronunciation in SMPN 1 BURU, is accepted.
Effectiveness and Safety of Dexmedetomidine in Neonates With Hypoxic Ischemic Encephalopathy Undergoing Therapeutic Hypothermia
Authors: Acun Ceyda , Ali Mahmoud , Liu Wei , Karnati Sreenivas , Fink Kelsey , Aly Hany 
Published: June 2024

OBJECTIVE
The objective of this study was to evaluate and compare the effectiveness and safety of dexmedetomidine as monotherapy between neonates with mild hypoxic ischemic encephalopathy (HIE) and moderate to severe HIE treated with therapeutic hypothermia (TH).

METHODS
This retrospective study included neonates of gestational age ≥36 weeks with a diagnosis of HIE and undergoing TH between January 2014 and December 2021. Patients were included if they received at least 6 hours of continuous sedation with dexmedetomidine. Baseline characteristics, dose and duration of medication, adverse events, liver and kidney function tests, and hospital course were reviewed.

RESULTS
Of the 97 neonates included, 46 had mild, 42 had moderate, and 9 had severe HIE. Dexmedetomidine was initiated at a median 5 hours of life, and the median infusion duration was 77 (46–87) hours. Fifty-two (53.6%) required at least 1 breakthrough opioid or sedative during the first 24 hours of dexmedetomidine infusion. Overall, 40 patients (41.2%) had at least 1 bradycardia episode with heart rate &lt;80 beats/min and 14 patients (14.4%) had heart rate &lt;70 beats/min. Hypotension was experienced by 7 patients (7.2%). Fifty-two patients (53.6%) were intubated in the delivery room and 33/52 (63.5%) were extubated on day of life 1 during dexmedetomidine infusion.

CONCLUSIONS
Dexmedetomidine as monotherapy was effective and safe sedation for infants with HIE undergoing hypothermia. The most common side effect of dexmedetomidine was bradycardia. ­Dexmedetomidine may be considered as first and single agent for neonates with HIE undergoing TH.
Impact of Extracorporeal Membrane Oxygenation Circuitry on Remdesivir
Authors: Cies Jeffrey J. , Moore Wayne S. , Deacon Jillian , Enache Adela , Chopra Arun 
Published: June 2024

OBJECTIVES
This study aimed to determine the oxygenator impact on alterations of remdesivir (RDV) in a contemporary neonatal/pediatric (1/4-inch) and adolescent/adult (3/8-inch) extracorporeal membrane ­oxygenation (ECMO) circuit including the Quadrox-i oxygenator.

METHODS
One-quarter–inch and a 3/8-inch, simulated closed-loop ECMO circuits were prepared with a Quadrox-i pediatric and Quadrox-i adult oxygenator and blood primed. Additionally, 1/4-inch and 3/8-inch circuits were also prepared without an oxygenator in series. A 1-time dose of RDV was administered into the circuits and serial preoxygenator and postoxygenator concentrations were obtained at 0 to 5 minutes, and 1-, 2-, 3-, 4-, 5-, 6-, 8-, 12-, and 24-hour time points. The RDV was also maintained in a glass vial and samples were taken from the vial at the same time periods for control purposes to assess for spontaneous drug degradation.

RESULTS
For the 1/4-inch circuits with an oxygenator, there was a 35% to 60% RDV loss during the study period. For the 1/4-inch circuits without an oxygenator, there was a 5% to 20% RDV loss during the study period. For the 3/8-inch circuit with and without an oxygenator, there was a 60% to 70% RDV loss during the study period.

CONCLUSIONS
There was RDV loss within the circuit during the study period and the RDV loss was more pronounced with the larger 3/8-inch circuit when compared with the 1/4-inch circuit. The impact of the ­oxygenator on RDV loss appears to be variable and possibly dependent on the size of the circuit and ­oxygenator. These preliminary data suggest RDV dosing may need to be adjusted for concern of drug loss via the ECMO circuit. Additional single- and multiple-dose studies are needed to validate these findings.
Evaluation of Postoperative Efficacy and Safety of Celecoxib in Children Hospitalized After Adenotonsillectomy
Authors: Allard Audrey , Valois-Demers Julien , Pellerin Annie , Leclerc Jacques E. , Cloutier Karine 
Published: June 2024

OBJECTIVE
The choice of optimal analgesia following an adenotonsillectomy is a clinical issue because of the risk of respiratory depression and bleeding. The objective of this study was to assess the effect of celecoxib on opioid use and pain scores in children hospitalized after adenotonsillectomy and to document its adverse effects.

METHODS
This retrospective study was conducted in a tertiary care pediatric hospital. We compared a group of subjects aged 1 to 17 years who were prescribed celecoxib and opioids between January 2017 and June 2020 following an adenotonsillectomy during a 3-day or less hospitalization to a group of matched controls for sex, age, and length of stay who were prescribed opioids.

RESULTS
A total of 228 patients were identified (76 in the celecoxib + opioids group, 152 in the control group). Opioid use, in oral morphine equivalent daily dose, was lower in the celecoxib + opioids group at 0 to 24 hours of hospitalization (0.15 vs 0.20 mg/kg/day, p = 0.05). Initiating celecoxib within 24 hours of surgery (n = 60) significantly reduced opioid requirement for up to 48 hours compared with controls (0–24 hours: 0.12 vs 0.20 mg/kg/day, p = 0.002; 25–48 hours: 0.02 vs 0.09 mg/kg/day, p = 0.001). A shorter length of stay was observed for patients receiving celecoxib + opioids during the first 24-hour post-­operative period (27 vs 32 hours, p = 0.01). With celecoxib use, no significant change in pain scores and occurrence of adverse effects including bleeding was found.

CONCLUSIONS
Using celecoxib early after an adenotonsillectomy has reduced both opioid use and duration of hospital stay without increasing adverse effects or bleeding.
Impact of Intravenous Methadone Dosing Schedule on Iatrogenic Withdrawal Syndrome in a Pediatric Intensive Care Unit
Authors: Groman Aleah , Spyhalsky Autumn , Michienzi Kelly , Breuer Ryan 
Published: June 2024

OBJECTIVE
To compare median Sophia Observation withdrawal Symptoms scale (SOS) scores between ­intravenous methadone dosing scheduled every 6 hours or every 8 hours for iatrogenic withdrawal ­syndrome (IWS).

METHODS
This single-center, retrospective chart review evaluated patients aged 4 weeks through 18 years treated with intravenous methadone for IWS. Children admitted to the pediatric intensive care unit (PICU) of a tertiary care children’s hospital between August 2017 and July 2021 and treated for IWS for at least 48 hours were eligible for inclusion. Methadone dosing schedules were compared, with a primary outcome of median Sophia Observation withdrawal Symptoms (SOS) score during the first 24 hours after cessation of continuous fentanyl infusion. Secondary outcomes included PICU and general pediatric unit lengths of stay, extubation failure rates, and mortality.

RESULTS
Twenty patients met inclusion criteria, with 9 in the 6-hour dosing group. There was no difference in median SOS score, extubation failure, length of stay, or mortality between the 2 groups.

CONCLUSIONS
During the first 24 hours after cessation of continuous fentanyl, there appears to be no ­difference in IWS severity, as determined by bedside nurse scoring, between patients treated with ­intravenous methadone every 6 hours compared with every 8 hours.