bluuebunny/crossref_metadata_2025_split huggingface dataset:
Análise de indicadores de qualidade e produtividade da manutenção nas indústrias brasileiras
Authors: Souza Oliveira José Carlos 
Published: November 2023

O objetivo deste trabalho é analisar estatisticamente indicadores da Qualidade e Produtividade da Manutenção nas indústrias brasileiras, a partir de técnicas de estatística descritiva e inferencial, utilizando como referência o Documento Nacional da Manutenção em sua edição de 2011, produ-zido pela ABRAMAN (Associação Brasileira de Manutenção). No escopo do trabalho, são aborda-dos indicadores como Sistema de Qualidade Utilizado, Ferramentas Utilizadas para Promover a Qualidade, Custo Total da Manutenção pelo Faturamento; dentre outros. A partir da utilização de técnicas estatísticas é possível analisar o comportamento dos dados, gerando uma compreensão do status atual desta importante função, bem como prever tendências para a próxima medição. Seria possível analisar outras variáveis da manutenção, porém a escolha dos indicadores de qualidade e produtividade, refletem bem o cenário da função nas indústrias brasileiras. Os resultados são ani-madores e apontam para uma necessidade cada vez mais crescente de se tratar a função de forma estratégica, não somente como função de apoio ao processo produtivo.
O Alinhamento Estratégico da TI e a influência da Sustentabilidade
Authors: Araújo Neto Antônio Palmeira , Costa Ivanir , Gonçalves Rodrigo Franco 
Published: November 2023

O objetivo deste artigo é avaliar a influência dos pilares da sustentabilidade, segundo a teoria do Triple Bottom Line, nos processos relacionados ao Alinhamento Estratégico da Tecnologia da In-formação (TI). No processo metodológico, utilizou-se o Método Delphi visando obter um consen-so, através de uma consulta a especialistas da área de TI, sobre o grau de influência de cada pilar em um subconjunto de processos de TI. O subconjunto de processos escolhidos são os do domínio “Planejar e Organizar”, que mapeiam o Alinhamento Estratégico da TI segundo o modelo Control Objectives for Information and related Technology (COBIT), utilizado na Governança de TI. Os especialistas da área de TI participantes da consulta, que trabalham tanto na área acadêmica e quanto como consultores no mercado de trabalho, responderam a três rodadas de perguntas até que o consenso foi atingido. Os resultados obtidos manifestam que há um predomínio da influência do pilar econômico em todos os processos analisados, mas que os pilares social e ambiental já são considerados relevantes em processos de gestão de riscos e planejamento estratégico de TI.
Los determinantes de la estancia hospitalaria en un hospital universitario de alta complejidad
Authors: Gómez Peña Darío Alberto , Bareño Silva José , Palacios Barahona Uriel 
Published: November 2023

Objetivo: Establecer y cuantificar los determinantes de la estancia hospitalaria en un hospital universitario de Medellín de alta complejidad de Medellín, entre 2013 y 2018, valorar su importancia y modelar la estancia esperada.
Metodología: Estudio observacional analítico retrospectivo de datos agregados. Siguiendo el método paso a paso, se corrieron siete modelos con estancia hospitalaria media como variable dependiente y las respectivas variables independientes: complejidad, oportunidad de apoyos diagnósticos, disponibilidad de insumos, casos de estancia prolongada y capacidad financiera. Se seleccionó el mejor modelo usando los criterios de ajuste Akaike e información Bayesiana, junto con las medidas de significancia global y significancia individual de los coeficientes. Se realizaron pruebas estadísticas de validez del modelo y se calcularon los coeficientes estandarizados.
Resultados: Los valores medios de las variables más relevantes y su desviación estándar (de) fueron: estancia hospitalaria media, 8,09 días (de = 0,40); complejidad por consumo de recursos, 1,28 unidades (de = 0,07); apoyos diagnósticos, 90,74 mil estudios (de = 10,05); casos de estancia extrema, 4,36 % (de = 0,70), y complejidad por casuística, 1 (de = 0,03). Significancia global F = 55,2, p < 0,001. Significancia de los coeficientes: complejidad por consumo de recursos, p < 0,01; apoyos diagnósticos y casos de estancia extrema, p < 0,001; complejidad por casuística, p < 0,05. Coeficientes estandarizados: complejidad por consumo de recursos, 0,35; apoyos diagnósticos, 0,35; casos de estancia extrema, 0,26, y complejidad por casuística, 0,24. R2 ajustado 0,82.
Conclusión: Los determinantes de la estancia hospitalaria en orden de importancia son: complejidad por consumo de recursos, apoyos diagnósticos, casos de estancia extrema, complejidad por casuística, inventario disponible y ganancias brutas.
Predictors For TESE Outcomes and Fertility Potentials Among Infertile Adult Men
Authors: Wael Zohdy  , Ahmad Motawi  , Mohamed Omar Fahmi  , Adham Zaazaa  
Published: November 2023

Background: Spermatogenesis is an essential process for human reproduction. Gonadotropin-releasing hormone (GnRH), luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone play vital roles in the development and maturation of sperm. Growth hormone (GH) is thought to play a role in the reproductive system of both males and females. Growth Hormone deficiency can lead to reproductive problems.
Aim: to assess predictors of fertility potentials and TESE outcomes among adult males.
Methods: we enrolled 162 males and assessed FSH, LH, basal GH, clonidine (GH) stimulation test one time and insulin stimulation test in another time. We designed a predictive model to identify the fertility potentials, Fertility Score= 4.442 + (Basal GH*0.074) + (GH_CLON*0.035) - (FSH*0.021) (BMI*0.062)- (Smoker*0.429). The net result of this equation should be approximated to the nearest integer to predict the fertility status where, 1=TESE Negative, 2= TESE Positive, 3=Oligozoospermia, and 4= Fertile control.
Results: multivariate analysis showed smoking status, testicular volume, BMI, Serum FSH, basal GH are not predictors for fertility potentials. GH after clonidine and after insulin stimulation GH after clonidine stimulation correlates positively with total motile count. Other semen parameters do not correlate with basal GH or GH after insulin or clonidine stimulation. Receiver Operator Characteristic (ROC) curve analysis is used to detect the cut off levels at which sperm recovery yield change. For the GH assessment only, the basal GH could be applied to predict the SRR in men with azoospermia, AUC=0.672 (95% CI: 0.499 to 0.844). Growth hormone after clonidine (AUC= 0.510) or Insulin stimulation (AUC=0.556) and therefore, cannot differentiate between TESE positive and TESE negative cases.
Conclusion: Basal, post clonidine GH levels, has BMI and smoking are predictive factors for fertility potentials, our model have high sensitivity in predicting fertility potentials among positive TESE males. Basal GH can significantly predict TESE negative males.
Time-Independent Grid-Based Forecast Model for M ≥6.0 Earthquakes in Southeastern Tibetan Plateau Using GNSS Strain Rates and Seismicity
Authors: Wei Cong-Min , Meng Guo-Jie , Wu Wei-Wei , Chen Xue-Liang , Zhang Meng , Zhao Guo-Qiang , Dong Zhi-Hua , Yang Yan-Cong 
Published: November 2023

ABSTRACT
Earthquake forecasting models play a vital role in earthquake occurrence assessment. Despite improved availability of seismic and geodetic data and processing techniques to produce high-resolution catalogs and deformation history, the implementation of earthquake forecasting models with seismic and geodetic data remains a challenge. In this study, we utilize seismicity and Global Navigation Satellite Systems (GNSS) data to propose time-independent grid-based regional earthquake likelihood models for southeastern Tibetan plateau (RELM-TibetSE). First, we solve the GNSS velocity field and strain rates from 1999 to 2017, deriving geodetic moment rates and introducing empirical correction coefficients to balance them with historical seismic moment rate. Subsequently, we employ a truncated Gutenberg–Richter law and Poisson process to calculate time-independent probabilities for M ≥ 6 earthquakes in 0.2° × 0.2° cells. The grid-based forecasting models indicate that the 30-year probability for M ≥ 6 earthquakes exceeds 1% in more than one-third of the entire study area, highlighting prominently higher earthquake occurrence in these regions. Probability distribution exhibits significant spatial variations. Finally, the predictive performance of the forecasting models is validated based on historical seismicity. The validation indicates that all RELM-TibetSE exhibit good predictive capability relative to a spatially uniform model. The RELM-TibetSE incorporating principal strain rates outperforms those involving maximum shear strain rate in forecasting seismicity. And the differences in forecasting performance between the RELM-TibetSE accounting for spatially varied seismogenic thickness and rigidity and those with uniform thickness and rigidity are not significant. The forecasting models also exhibit better predictive performance for seismic source areas than for epicenters. Moreover, the optimal model highlights zones with higher earthquake occurrence, including the zones about 50 km wide across the Ninglang fault, the zones across the southwestern segment of the Lijiang–Xiaojinhe fault, the China–Myanmar borderland north of the Nantinghe fault, and so on. Therefore, it is justified to conduct multidisciplinary rigorous observations to capture the potential nucleation process of future large earthquakes in these zones.
Study and analysis of cervical pap smears in our hospital
Authors: Saurabh Suvidha , Sanjita  , Khanam Ismat 
Published: November 2023

Background: Cervical cancer is one of the major causes of mortality among women worldwide. It has taken fourth place among malignancies that affect women, the first leading is breast cancer. In developing countries including India, it is the leading cause of morbidity and mortality. It is readily preventable and can be diagnosed at the pre invasive stage with adequate and repetitive cytological screening and Papanicolaou smears.
Methods: This observational study was aimed to screen the patients attending gynae OPD of ESIMCH, Bihta. The main purpose was to study the incidence of premalignant and malignant lesions in population in and around ESICMCH, Bihta. A total of 100 patients attending gynaecology OPD of ESIC, Bihta were screened during a period of one year from October 2022 to September 2023. Pap smears are taken from women visiting gynaecological OPD between ages of 25 to 70 with different gynaecological complaints using Ayer’s spatula. Smears were reported according to Bethesda system 2001.
Results: A total of 200 pap smears were examined. There were 68 patients with NILM, and 67 patients with inflammatory smear. ASCUS was found in 12 patients, LSIL in 10 patients, HSIL in 7 and squamous cell carcinoma in 1 patient. This study concluded that a simple pap smear test could be offered to vast populations for diagnosing premalignant conditions of the survey this has and will in future continue to aid us with the early diagnosis of survival cancer.
Conclusions: PAP smear is useful in diagnosing malignant and premalignant lesions of the cervix. In developing countries such as India this screening method is cheap and can be widely used. It can be used by trainers and para medical staffs.
Tramadol – A wonder drug in women with labour pain
Authors: Vellanki Janaki , Sri Velpula Sushma 
Published: November 2023

: Pain management during labour is an essential part of good obstetric care. Though this severe pain during labour is not life-threatening, it can have physiological and neuropsychological consequences. Adequate analgesia during labour is a benefit for the mother, has a positive influence on the course of labour and the state of the new born child. The ideal analgesic in obstetrics should have potent opiate-like analgesic efficacy with minimal side effects. Tramadol can be used as a basic analgesic for the treatment of patients with moderate to severe pain. Parenteral tramadol during labour was proven to have no negative effects on the baby or the process of labour.The study was conducted for a period of one year from April 2022 to March 2023 in the Department of obstetrics and Gynaecology, Gandhi Medical College and Hospital, Hyderabad after approval from Institutional Ethics Committee. Total of 500 parturient of age group 18 to 35 years were divided into 2 groups, control and study groups 250 participants each. The drug utilized was Intramuscular Tramadol Hydrochloride at a dosage of 1 ampule containing 2 ml, where 1 ml is equivalent to 50 mg. It is observed that there was a significant decrease in the degree of pain when compared to control group after giving Intramuscular Tramadol injection. And the majority of the patients had good neonatal outcomes and no maternal complications and reduced the duration of labour. In the study group 10% and 43.2% of patients, whereas 13.2% and 54.4% of patient in control group had Grade III and Grade IV pain, which was statistically significant.Intramuscular Tramadol Injection is safe for both mother and baby, effective and shortens the duration of labour period.
To study the clinical utility of WHO modified and paperless partograph in the management of labour and its outcome
Authors: Bansal Subha , Mandrelle Kavita , Varughese P V  
Published: November 2023

Early detection of abnormal progress of labour and prevention of prolonged labour significantly improves pregnancy outcomes. Partograph is a simple and important tool which can provide a continuous pictorial overview of labour on a single sheet of paper and is essential to monitor labour. (1) To study the progress of labour using WHO modified partograph in terms of alert line and action line and using paperless partograph in terms of alert and action estimated time of delivery and detect any deviation from normal progress of labour. (2) To evaluate the duration of labour, mode of delivery and perinatal outcome in both the groups.It was a prospective observational study which was conducted over a period of 18months on 200 antenatal patients admitted to the Department of Obstetrics and Gynaecology at Christian Medical College and Hospital, Ludhiana. Antenatal patients with singleton term pregnancy with cephalic presentation in active phase of labour were included in the study. The WHO modified partograph was plotted for 100 cases (Group I) and the paperless partograph was recorded for the other group of 100 patients (Group II) and their outcomes were compared. The p value &#60;0.05 was considered to be significant.In our study we noted that the findings were similar in the WHO modified partograph group and the paperless partograph group in terms of duration of labour, progress of labour, mode of delivery and neonatal outcomes with no statistically significant difference between both the groups.Our study concluded that the paperless partograph is as good as the WHO modified partograph in predicting the labour outcomes and identifying labour abnormalities. The paperless partograph does not need graphical representation and therefore can be adopted as an alternative to the WHO modified partograph in busy labour room settings.
Role of extended first trimester screening (EFTS) in screening of aneuploidy and prediction of pre-eclampsia
Authors: Anjani Anima , Rai Gunjan , Sharma Gargi Vikas , Rajouraya Shivani , Chaudhary Sunil Kumar 
Published: November 2023

: To assess the role of extended first trimester screening (EFTS) in early detection and management of preeclampsia.: A total of 501 parturients (aged 18-49 years; GA 11-13 weeks) underwent ETFS quadruple test that included age, sonographic data (CRL, Nuchal Tube (NT), ductus venosus PI) and biochemical tests (b-hCG, Alpha-fetoprotein, PLGF and PAPP-A for Trisomy 21, 18 and 13) levels. All the women were followed up for preeclampsia. Role of independent as well as combined ETFS predictors was assessed for prediction of preeclampsia employing independent samples ‘t’- and Fisher exact tests. ROC analysis was performed for continuous predictors significantly associated with preeclampsia risk. Results have been depicted in terms of sensitivity, specificity, positive and negative predictive values of different ETFS risk predictors.Meanage of women was 28.07±4.77 years. Quadruple test was negative in 422 (84.2%). It was positive for Down’s syndrome/T21 in 23 (4.6%), T21 with increased PLGF in 8 (1.6%) and increased PLGF only in 48 (9.6%) cases. A total of 14 (2.8%) women developed preeclampsia. Older age, T21 risk, PLGF risk and any quadruple test abnormality were significantly associated with preeclampsia (p&#60;0.05). On ROC analysis, the area under the curve value of age for prediction of preeclampsia was 0.940. Among different EFTS risks, age had maximum sensitivity (100%) and specificity (88.3%). Overall quadruple test was 71.4% sensitive and 85.8% specific in prediction of preeclampsia.: EFTS was a useful strategy for reducing the burden of preeclampsia.
Observational study of usage of a combination of inositols with alpha-lactalbumin (Ovamystic) in the treatment of menstrual irregularity in PCOS
Authors: Pandya Manish R , Pandya Nehal Manish , Narayanan Varsha , Adroja Kishan S , Patel Vaishvi C 
Published: November 2023

This observational study aimed at evaluating the effects of Ovamystic in groups of women with menstrual irregularities in Polycystic Ovary Syndrome (PCOS), treated at Mahavir Hospital and Manish IVF Center Surendranagar, Gujarat. : The study involved 126 normal weight or overweight PCOS patients aged 18 to 30 years, with menstrual irregularity and anovulation &#62; 12 months. Patients were administered orally chewable tablets of Ovamystic (myo-inositol 1100mg + D-chiro-inositol 27.6mg + alpha-lactalbumin 50mg + chromium picolinate 400mcg + vitamin D2 400IU) twice daily for 6 months. The primary outcome was measured in terms of certain parameters like changes in body mass index (BMI), change in ovarian volume, and change in frequency and duration of menstrual cycle (M-SCORE). Alpha-lactalbumin is effective in increasing myo-inositol intestinal absorption, which is very useful in reducing the therapeutic failure of myo-inositol in some patients (inositol resistant subjects).: Recovery was general, and its relevance was higher when the starting point was further away from the normal range. The most important results with Ovamystic were obtained in correcting the menstrual irregularity, and also decreasing ovarian volume and BMI. No significant adverse effects were detected in this group of patients, and Ovamystic had good tolerability and compliance. This observational study demonstrated that Ovamystic improves important parameters in PCOS patients characterized by different metabolic profiles like BMI, menstrual irregularities, and ovarian volume.
Genetic abnormalities in sonographically detected heart diseases in antenatal period: A case series
Authors: Chaudhary Yogeshkumar Siddhyeshwar , Patil Sachin Shridhar , Thakur Varun Ashok 
Published: November 2023

: Recent advances in molecular genetic techniques have found evidence of the role of genetic factors in the development of CHD. Approximately 30% of CHD is thought to be related to genetic syndromes accompanied by extra-cardiac anomalies. We describe the cases of cardiac anomalies detected on prenatal ultrasound, which helped us in suspecting the genetic abnormality in fetus which were later confirmed by definitive testing.: Prospective evaluation and follow up of 10 cases done which showed cardiac and extracardiac findings suspicious of chromosomal disorder. : Definitive testing showed genetic abnormality in (N = 10) cases. We could detect Trisomy 21 in (N = 3), Trisomy 18 in (N=2), Trisomy 13 in (N=2), Triploidy in (N=1) and Monosomy X (Turners) in (N=2) cases in our series. Detection of abnormal cardiac findings can definitely improve the detection rate of genetic disorders and positive yield of genetic testing.
Management of non-tubal ectopic pregnancy: A case series
Authors: Thakker Yesha , Singh Salomi , Dabholkar Devdatta , Gabhane Sameeksha 
Published: November 2023

The aim of this study is to review the various modalities used for management of non-tubal ectopic pregnancies. Ectopic pregnancy is a rare occurrence comprising 1-2% of all pregnancies. However, the most common site for ectopic implantation is fallopian tube. Tubal ectopic pregnancies 95% of all ectopic pregnancies while rest 5% are non-tubal pregnancies. Common sites for non-tubal ectopic pregnancy are cervical, cornual, interstitial, caesarean scar, ovarian and abdominal. Often misdiagnosed, however, detailed history taking, clinical examination and ultrasound helps to establish diagnosis. In this article, we discuss various cases of non-tubal ectopic pregnancy managed with medical treatment using methotrexate or surgical intervention or a combination of both. This study is a retrospective study carried out at MGM Medical College, Navi Mumbai, India between the years 2020-2022A total of 10 patients were diagnosed using clinical, laboratory and radiological methods and were then managed using medical and surgical management modalities ranging from methotrexate therapy to obstetric hysterectomy.There should be a clear protocol for management of non-tubal ectopic pregnancies in hospitals since there is an anticipated rise in the near future because of an increased rate of risk factors.
Świętość i grzech w wybranych filmach Federico Felliniego
Authors: Ziółkowska-Kurczuk Natasza 
Published: November 2023

Przedmiotem artykułu jest poszukiwanie wątków chrześcijańskich obecnych w nieoczywisty sposób w wybranych filmach Federico Felliniego. Analizowane filmy Noce Cabirii, Rzym i Słodkie życie łączy przestrzeń społeczna Rzymu, naznaczonego zarówno piętnem antycznej kultury, jak i Watykanu, jako siedziby państwa kościelnego. Filmy spaja też finałowe portretowe ujęcie bohaterek, mające charakter metajęzykowego osobistego gestu reżysera. Omawiane obrazy różnią się sposobem narracji i strukturą, ale wszystkie stawiają pytania o zasady moralne i podają w wątpliwość, a nawet kwestionują wartości religijne i kulturowe, poszukując głębszego sensu. Rzym jawi się jako współczesne miasto grzechu (biblijna Sodoma i Gomora), gdzie świętość i czystość coraz trudniej odnaleźć.
“Dios te diría ‘Yo no te hice esclava’”: percepciones del rol de la mujer en una iglesia cristiana de Lima
Authors: Diaz Saenz Lucia Cristina , Villegas Guerrero Lucia Victoria , Cruz Pacheco Brisa Alejandra 
Published: November 2023

El presente artículo analiza las percepciones de género entre las mujeres de la iglesia cristiana Agua Viva en Lima Metropolitana y Callao (Perú), basándose en la sociología de la experiencia de Francois Dubet. La investigación utiliza un enfoque cualitativo mediante entrevistas a siete miembros de la Iglesia. Los hallazgos muestran convergencias entre las creencias religiosas de las mujeres y sus percepciones sobre roles de género en la familia, educación, trabajo y participación comunitaria. Aunque hay consenso entre las entrevistadas sobre la importancia de la participación femenina en la vida pública, también hay tensiones entre sus experiencias y visiones sobre roles de género en la esfera privada, especialmente en torno al matrimonio y la maternidad. Las mujeres justifican e interpretan sus percepciones basándose, entre otros elementos, en sus principios religiosos, expresando creencias conservadoras y otras adoptando perspectivas más progresistas. El estudio resalta la diversidad de interpretaciones y actitudes entre las participantes, desafiando el estereotipo de conservadurismo extremo en iglesias evangélicas y revelando matices en las perspectivas de las mujeres dentro de estas comunidades religiosas.