bluuebunny/crossref_metadata_2025_split huggingface dataset:
Research on Surface Integrity and Fatigue Properties in the Turning of TC17 Titanium Alloy Based on the Response Surface Method
Authors: Lai Xunqing , Wang Yuannan , Wang Dan , Zhao Guolong , Yang Yinfei 
Published: November 2023

Titanium alloy parts are more and more widely used in the field of aerospace. In order to improve the service life of titanium alloy parts, the response surface method was used to study surface residual stress and roughness under different turning parameters. In addition, a mathematical model was established through multiple linear regression to determine the relationship between surface integrity parameters and fatigue life. The test results indicate that the turning parameters have an effect on surface residual stress in the order of feed rate > depth of cut > cutting speed and on surface roughness in the order of feed rate > cutting speed > depth of cut. The analysis results of surface integrity show that the residual compressive stress on the surface has the greatest impact on fatigue life, followed by surface roughness. The fatigue life increases with the increase in residual compressive stress and decreases linearly with the increase in surface roughness. The feed rate has a significant impact on residual stress and surface roughness. Therefore, under the experimental conditions of this paper, the appropriate feed rate can be selected to ensure that the Ra < 2 μm and a large residual compressive stress is obtained.
Fungal Pathogens of Cacao in Puerto Rico
Authors: Puig Alina Sandra 
Published: November 2023

Cacao production is a rapidly expanding industry in Puerto Rico, with new farmers planting ~20,000 trees in the past few years. To determine the etiology and extent of diseases affecting cacao in Puerto Rico, a survey was performed at eight sites around the island. Pod rot and/or branch dieback were observed at all sites. Most organisms isolated from symptomatic pod and stem samples were identified as Diaporthe spp. (48%) and Lasiodiplodia spp. (25%) based on sequences of the internal transcribed spacer and large subunit regions. Within these genera, Diaporthe tulliensis and Lasiodiplodia theobromae were the most prevalent species and were used in inoculation studies to determine their relative virulence on pods and stems. Phytophthora palmivora served as a positive control due to its well-established pathogenicity in all tissues. On pods, L. theobromae and P. palmivora caused significantly larger lesions (6.1 and 5.9 cm, respectively) than D. tulliensis (2.7 cm) four days post-inoculation. All three species caused disease on stems, with no differences found among species. Although P. palmivora was thought to be the primary pathogen affecting cacao in Puerto Rico, this study identifies L. theobromae and D. tulliensis as the common pathogens on the island. This improved understanding will help scientists and farmers control disease by selecting fungicides effective against both oomycetes and fungi.
Are They Aligned? An Analysis of Social Media-Based Nurse Well-Being Concerns and Well-Being Programs
Authors: Milicia Arianna P. , Handley Jessica L. , Boxley Christian L. , Busog Deanna-Nicole C. , Krevat Seth , Apathy Nate , Marchalik Daniel , Ratwani Raj M. , Franklin Ella S. 
Published: November 2023

Background Nurse burnout and distress pose patient safety risks due to impaired nurse attention, increased likelihood of medical error, and increased nurse turnover leading to a reduction in the number of nurses available to deliver care. Some healthcare facilities have launched well-being programs in response to increasing rates of burnout. Many of these programs are based on survey data which may be incomplete, resulting in programs that are not as comprehensive as they should be. We sought to identify nurse concerns related to burnout and well-being through analysis of social media data. We aligned these concerns with well-being program leader perceptions of factors contributing to burnout and well-being program initiatives. Methods We conducted a qualitative study composed of two parts: social media analysis and semistructured interviews with well-being leaders. The social media analysis focused on 120 nurse comments on Reddit that were retrieved based on a keyword search using the terms “burnout,” “stress,” and “wellbeing.” The interviews were conducted with nine well-being leaders from seven different healthcare systems. Well-being program leaders were asked about factors contributing to burnout and lack of well-being, initiatives to address these factors, and metrics used to evaluate their programs. The social media comments and interview data were reviewed by two experts to identify topics, themes, and subthemes grounded in wellness models. Results Of the 120 social media comments analyzed, the most frequent topic was Lack of Meaningful Recognition, Compensation, and Influence (n=46 of 120, 38.3%), followed by Work Environment (n=43, 35.8%) and Uninformed or Misinformed Public (n=31, 25.8%). Several themes emerged and the most prevalent was Constrained Professional Agency with the most prevalent subtheme of health system or macrosystem policies or regulations that limit nurses’ ability to respond effectively to patient care needs. Of the seven healthcare systems interviewed, the most common topics that emerged from asking about the factors contributing to the lack of nurse well-being were the Work Environment (n=6 of 7, 85.7%), followed by Lack of Meaningful Recognition, Compensation, and Influence (n=4, 57.1%), and Inadequate or Inaccessible Well-Being Resources (n=3, 42.9%). Several novel initiatives were identified, and most healthcare systems relied on surveys as their key metric. Conclusions The social media analysis revealed nurse concerns that may not be identified as factors contributing to lack of well-being by well-being program leaders. There is an opportunity to optimize our understanding of nurse concerns around well-being through social media, and an opportunity to better align nurse concerns with the focus of well-being programs.
Íleo Biliar, reporte de un caso y revisión de la bibliografía
Authors: Francisco Llerena Freire Luis , Estefanía Benavides Vargas Karen , Moreira Jefferson Steven Rivera , Coello María Eduarda Ubilla , Moreira Laura Leonor Ruilova , Garcia Jimmy Andres Zambrano , Andrade Luis Adrián Muñoz , Astudillo Maria Belen Zhindon 
Published: November 2023

El íleo biliar constituye una complicación de la colelitiasis, causada por la impactación de un cálculo a nivel del lumen intestinal, provocando obstrucción intestinal mecánica, presenta una tasa de morbilidad del 50% y mortalidad del 12%-27%, con predominio en mujeres sobre hombres en relación 3.5-3.6:1. Se trata de un paciente masculino de 52 años, con antecedente de derrame cerebral hace 1 año, con clínica de 7 días de evolución de dolor abdominal difuso de moderada intensidad 7-8 en la escala de Eva, localizado en fosa ilíaca derecha, acompañado de vómito, alza térmica e hiporexia. Al examen físico, se evidenció: abdomen blando, depresible, doloroso a la palpación superficial y profunda en flanco y fosa iliaca derecha, ruidos hidroaéreos disminuidos, mcburney +, blumberg + y puño percusión bilateral +. Se realizó exámenes de laboratorio con evidencia de leucocitosis más neutrofilia, Rx de abdomen con distención de asas intestinales y niveles hidroaéreos, ecografía abdominal con signos sugestivos de íleo paralitico y apendicitis aguda. Por los hallazgos en el examen físico y estudios radiológicos, se decidió realizar una laparotomía exploratoria con evidencia de presencia de 2 litos (6cm) impactados a nivel de la válvula ileocecal causando obstrucción total de la luz intestinal y apéndice cecal eritematosa y se realizó enterotomía y extracción de litos + rafia primaria en 2 planos, apendicetomía convencional, con postoperatorio convencional y sin complicaciones. Conclusión: Se trata de una patología con alta morbilidad y mortalidad, que presenta diferentes manejos quirúrgicos, la evidencia muestra que la enterotomía sola presenta resultados favorables.
Hernia de Amyand, presentación de un caso y revisión de la bibliografía
Authors: Francisco Llerena Freire Luis , Moreira Jefferson Steven Rivera , León Erick Alexander Jara , Moreira Laura Leonor Ruilova , García Jimmy Andrés Zambrano , Coello María Eduarda Ubilla , Astudillo Maria Belen Zhindon , Franco Erick Hugo Zambrano 
Published: November 2023

La hernia inguinal es una de las patologías mas frecuentes para el cirujano general; sin embargo, no siempre la presentación clínica de la enfermedad es la misma, pudiendo tener algunas variables, como se presenta en el siguiente reporte. La hernia de Amyand, es una entidad clínica infrecuente de la hernia inguinal, estimando que su prevalencia es alrededor del 1%. Se trata de un paciente de 56 años de edad, que acude a consulta externa del Hospital Teodoro Maldonado Carbo por presentar hace 2 años tumoración a nivel de región inguinal derecha, la misma que con el tiempo aumentado de tamaño, se acompaña de dolor local de moderada intensidad. Mediante el examen físico y ecografía de región inguinal, se evidencio una hernia inguinal indirecta Nyhus tipo II cuyo contenido era epiploico y apéndice cecal. Por lo cual se programa cirugía electiva donde se realiza plastia inguinal derecha con técnica de Lichtestein sin apendicetomía. La presente publicación tiene la intensión de informar sobre un caso y revisar estrategias para el tratamiento quirúrgico.
Impactos da Endometriose em paciente com útero didelfo associada à puberdade precoce: relato de caso
Authors: Bueno Bianca Silva Espírito Santo , Carneiro Camila Fonseca , De Carvalho Luana Izabela Azevedo , Pereira Hilka Flávia Barra Espírito Santo Alves , De Oliveira Israel Santos , Da Silva Ellen Louisy Frazão 
Published: November 2023

A endometriose é caracterizada pela presença de tecido endometrial fora da cavidade uterina, representando cerca de 10% de mulheres em menacme. Nesse sentido, este relato de caso objetiva descrever o diagnóstico de endometriose em uma escolar com a anormalidade mulleriana. Relato de caso: Paciente KPDS, sexo feminino, apresentou, aos 8 anos, menarca associada a metrorragia, dor abdominal e lombar pré-menstrual de forte intensidade, relatando recorrentes idas ao pronto-atendimento para administração de analgésicos e escopolamina endovenosos com melhora parcial. Paciente apresenta fluxo menstrual de 7 dias com presença de coágulos e uso de 20 absorventes por dia, associado a absenteísmo escolar de 2 dias. Paciente manteve quadro de metrorragia por 2 anos. Foi realizada ultrassonografia pélvica, que mostrou imagem sugestiva de endometrioma. Realizou ainda a ressonância nuclear magnética, que mostrou útero didelfo, hematometra em cavidade endocervical esquerda, cisto unilocular em ovário direito com maior eixo 4,3 cm e hidrossalpinge de tuba uterina esquerda. No mesmo ano, foi indicado uma videohisteroscopia diagnóstica, não sendo bem-sucedida devido à bifurcação uterina. O procedimento foi convertido em laparotomia exploratória onde foi drenado hematometra em hemiútero esquerdo e descolamento de aderências tubárias esquerdas. No pós-operatório, paciente evoluiu com remissão da dismenorreia. Em dezembro de 2022, evoluiu com polimenorreia, encurtamentos dos ciclos menstruais e aumento do fluxo menstrual, sendo prescrito anticoncepcional oral para melhora do quadro clínico. Discussão: Dismenorreia e dor pélvica refratárias ao uso de AINES levantam suspeição de endometriose, sendo os exames complementares de imagem indicados e, posteriormente, a laparoscopia é considerada, visando à excisão de focos de tecidos extra-uterinos. A presença de anormalidades congênitas do sistema reprodutor é rara em pacientes com endometriose, porém é um fator predisponente de dismenorreia. A paciente em questão necessitou de intervenção cirúrgica com o objetivo de visualizar aderências e corrigi-las. A faixa etária pediátrica, por ser um raro achado, merece exames de imagem para detecção de comorbidades e conduta intervencionista em razão do prejuízo da qualidade de vida relacionado à dor pélvica intensa. Conclusão: A endometriose é um achado raro na faixa etária pediátrica, devendo ser tratada com intervenção cirúrgica se refratária à medicação. Deve-se, ainda, suspeitar de más formações genitais e fornecer orientações gerais sobre possíveis recorrências no decorrer do período reprodutivo.
Estudo epidemiológico do rastreamento e diagnóstico do Câncer do Colo do Útero no estado do Piauí
Authors: De Andrade Júnior Alvimar Oliveira , Eigenheer Arthur de Vasconcelos , Portelada Vicente Alves da Silva , Luz Marcos Rocha 
Published: November 2023

O câncer cervical é o quarto câncer mais comum e a quarta principal causa de morte por câncer entre mulheres em todo o mundo, com 604.127 novos casos e 341.831 mortes anualmente. O câncer do colo do útero (CCU) é um importante problema de saúde pública. O presente estudo tem como objetivo conhecer e identificar o perfil epidemiológico das pacientes que realizaram o exame de citologia para rastreamento do câncer de colo de útero no estado do Piauí no ano de 2019. O Ministério da Saúde aconselha que o exame citopatológico seja realizado sobretudo em mulheres de 25 a 65 anos, devido a isso é verificado uma baixa incidência e mortalidade pelo CCU fora desta faixa etária. É de suma importância que o diagnóstico seja realizado na fase inicial da doença para que de tal modo possa ser estabelecido o tratamento induzindo a paciente a cura. Pode-se concluir que o programa de rastreamento câncer de colo uterino do Piauí apresentou uma maior cobertura com o passar dos anos o que destaca a oferta adequada de exames. Somado a isso é de extrema necessidade que ocorra uma maior qualificação dos profissionais da atenção primária à saúde, responsáveis pelo rastreamento da neoplasia - incluindo a coleta do exame -, bem como dos profissionais dos laboratórios, encarregados da leitura das lâminas com intuito de garantir uma melhor qualidade nas amostras coletadas.
Descripción de sistemas ganaderos tropicales desde la perspectiva de las teorías del desarrollo económico
Authors: Téllez Daniel Bautista , Durán Jorge Eduardo Vieyra , Martinez Elizabeth Zavala , Ontiveros Clara Isabel Meraz , García Laura Ivette García 
Published: November 2023

El desarrollo económico se puede abordar de forma descriptiva y normativa. La primera es indispensable para efectuar propuestas que permitan impulsar un desarrollo en regiones o localidades vulnerables donde el sector económico primario encuentra su enclave. Conciliar el desarrollo económico y el sector primario es indispensable debido a que de dicho sector depende tanto la seguridad alimentaria de miles de personas, como la conservación de los recursos naturales. El objetivo principal del presente trabajo consistió en describir desde la perspectiva de tres teorías del desarrollo económico la situación en la que se encuentran los sistemas de bovinos doble propósito en condiciones de trópico en el municipio Soledad de doblado, Veracruz. Los resultados más sobresalientes demuestran que estos sistemas dependen casi por completo de las ventajas comparativas que ofrece la localización geográfica tropical. Lo cual quiere decir que la abundancia de recursos naturales permite el establecimiento de actividades agropecuarias, además de encajar con la descripción de sociedades tradicionales planteada en la teoría de las etapas de desarrollo de Rostow principalmente porque los sistemas de producción son de pequeña escala y de baja rentabilidad. Finalmente, la teoría de la dependencia económica permitió explicar la relación centro-periferia entre el municipio estudiado respecto a los lugares centrales como Veracruz y Boca del Rio en virtud de que estos lugares tienen mayor infraestructura y permiten el mercadeo de los productos obtenidos en los sistemas de producción. Se concluye que las teorías del desarrollo económico son una herramienta descriptiva que permiten analizar la dinámica del sector primario y con ello plantear posibles soluciones a las problemáticas encontradas
Penentuan Supplier Berdasarkan Kebutuhan Material Pada PT. Dynatech Rekayasa
Authors: Abdurahman Nandar Cundara , Maslida  
Published: November 2023

Dynatech Rekayasa, terletak di ruko nusantara golden blok d no. 1-2 Batam center. PT. Dynatech Rekayasa merupakan perusahaan subcontractor yang bergerak dalam bidang jasa kontruksi. Saat ini PT. Dynatech Rekayasa kesulitan dalam memilih supplier yang tepat sehingga mengakibatkan keluhan dari pelanggan. Bagaimana pemilihan supplier yang sesuai dengan kriteria dalam pemilihan supplier pada PT. Dynatech Rekayasa? Dan Supplier/pemasok manakah yang sebaiknya dipilih oleh PT. Dynatech Rekayasa berdasarkan metode AHP?. Berdasarkan hasil analisis dan pembahsan, kesimpulan yang dapat diambil adalah Kriteria yang paling berpengaruh dalam pemilihan supplier bahan baku vapporo pada PT. Dynatech rekayasa adalah kriteria pembayaran dengan bobot 0.736008. Prioritas kedua yang berpengaruh dalam kriteria waktu pengiriman dengan bobot 0.728439. Prioritas ketiga adlah kriteria harga dengan bobot 0.647932.
RESPON PERTUMBUHAN DAN PRODUKSI TANAMAN TOMAT (Solanum lycopersicum) TERHADAP PEMBERIAN NPK 16-16-16 DENGAN MODIFIKASI MEDIA TANAM KOMPOS KULIT KAKAO
Authors: Resyad Annisa Rahmana , Putra Irwan Agusnu , Kurniawan Dedi , Berliana Yunida 
Published: November 2023

Pendahuluan: Tanaman Tomat (Solanum lycopersicum) merupakan tanaman sayur yang kaya akan vitamin A,B, C. Dalam budidaya tanaman tomat perlu dimaksimalkan pertumbuhan dan produksi pada tanaman tomat, yaitu pengaplikasikan NPK yang dapat menambah unsur hara bagi tanaman. Lalu, kompos kulit kakao yang menyediakan hara, memperbaiki struktur tanah.
Metode Penelitian: Penelitian’ ini ‘dilaksanakan pada bulan November 2022 - Februari 2023 di Jln. Yos Sudarso Dusun III Kec. Binjai, Kab. Langkat. Sumatera Utara. Penelitian menggunakan Rancangan Acak Kelompok Faktorial (RAKF) 2 faktor, faktor pertama NPK 16-16-16 yaitu, N0 (10 g/tanaman), N1 (20 g/tanaman), N2 (20 g/tanaman), N3 (30 g/tanaman). faktor kedua modifikasi media tanam kompos kulit kakao yaitu, M0 (Top soil), M1 (Top soil + Kompos Kulit Kakao 1:½), M2 (Top soil + Kompos Kulit Kakao 1:1), M3 (Top soil + Kompos Kulit Kakao 1:1½). Parameter yang diamati tinggi tanaman, kadar air tanah, bobot buah pertanaman, dan bobot total panen.
Hasil Penelitian: Hasil penelitian menunjukan bahwa perlakuan npk 16-16-16 berpengaruh sangat nyata pada pertumbuhan tinggi tanaman, bobot buah pertanaman, bobot total panen, perlakuan terbaik yaitu N3. modifikasi media tanam kompos kulit kakao berpengaruh nyata pada bobot buah per tanaman, kadar air tanah, bobot total panen, perlakuan terbaik yaitu M3. Interaksi dari NPK 16-16-16 dan Modifikasi media tanam kompos kulit kakao berpengaruh tidak nyata pada semua parameter, perlakuan terbaik yaitu N2M1.
Kata Kunci: Tomat, NPK, Kompos Kulit Kakao.
Associations Between Measurement RV, RV/TLC, and FRC/TLC with Clinical Symptoms in COPD Patients in Persahabatan Hospital
Authors: Lindra Derallah Ansusa , Yunus Faisal , Damayanti Triya 
Published: November 2023

Background: This preliminary study to measure lung volume in patients with stable COPD in Persahabatan Central General Hospital Jakarta to determine the prevalence of the increasing value of lung volume in patients with stable COPD.Methods: This study used a cross-sectional study design of outpatients with stable COPD who visited the asthma-COPD clinic at Persahabatan Central General Hospital Jakarta. The Lung volume test using a gas dilution Multiple Breath Nitrogen Washout (MBNW) was taken consecutively from February to March 2016.Results: Tests of spirometry and Lung volumes were performed on 35 subjects. There were 3 subjects (8.6%) in COPD Group A, 9 subjects (25.7%) in COPD Group B, 9 subjects (25.7%) in COPD Group C, and 14 subjects (40%) in COPD Group D. At the age of 60 years, there were subjects (25.7%) and 60 years, 26 subjects (74.6%). Value Residual Volume/Total Lung Capacity (RV/TLC) has a significant relationship with the symptoms and a 6-minute walking test; however, Functional Residual Capacity/Total Lung Capacity (FRC/TLC) is significantly associated with the symptoms, a 6-minute walking test, and exacerbations within one year.Conclusion: Value RV/TLC has a significant relationship with the symptoms and a 6-minute walking test; however, FRC/TLC is significantly associated with the symptoms, a 6-minute walking test, and exacerbations within one year.
Innovative Banking: A Requirement of Modern Indian Public Sector Banks
Authors: - Dr. Rashmi Ranjeeta Das , - Dr. Sujit Kumar Acharya 
Published: November 2023

Abstract-	In 21st century’s global competitive scenario, many public and private sector banks across India have been compelled to reframe their banking strategy due to market forces such as the national recession, changing customer needs, and intense competition. In the banking industry, restructuring business strategy often demands significant structural changes in the service operations. Hence, innovative strategy like Business Process Reengineering (BPL) acts as a fundamental change process to competitive advantage and growth sustainability in banking sector. This work directed on the impact of BPR strategy in banking operations. The study highlights on the following aspects of BPR such as: (a) Customer Satisfaction after BPR used (b)How BPR created the USP (Unique Selling Point) in Banking Sector,(c)Problem facing during the implementation of BPR in banking industry.
Furthermore, the research looked into radical changes such as: faster service delivery, shorter transaction period, lower transaction costs, and so on.
The study may be utilised by professionals and scholars to gain a better grasp of the features of BPR, which can assist to contribute to the establishment of successful services in the banking industry in India through BPR practices.
The Effect Application of the SPEOS Method (Endorphin, Oxytocin, Suggestive Massage Stimulation) with Essential Oil Aromatherapy on Breast Milk Production in Postpartum Mothers
Authors: Kadek Widiantari  , Dewianti Ni Made , Ni Luh Wayan Adi Arsani  
Published: November 2023

Background: Breast milk is the primary source of nutrition babies need, where complementary foods have not been recommended for exclusive breastfeeding babies, around 44% worldwide. The low provision of Exclusive Breastfeeding is influenced by a decrease in breast milk production in the first few days after giving birth, so non-pharmacological efforts are needed to increase breast milk production in postpartum mothers, such as the SPEOS method (Stimulation of Endorphin Massage, Oxytocin, and Suggestive) combined with the administration of lavender and fennel essential oil aromatherapy. The purpose of this study is to determine the effectiveness of applying the SPEOS method with lavender and fennel essential oil aromatherapy on increasing breast milk production in postpartum mothers.
Method: This research is a quasi-experiment (Quasi Experiment design) with a two-group pre-posttest design. The study was conducted from July to September 2023 with 30 postpartum mothers who met the inclusion criteria with a purposive sampling technique, analysis with a paired t-test, and an independent t-test.
Results: There is no significant difference in breast milk production before intervention between the SPEOS group with lavender aromatherapy and the SPEOS group with fennel aromatherapy, with a p-value of 0.66. After intervention, there is no significant difference in breast milk production between the SPEOS group with lavender aromatherapy and the SPEOS group with fennel aromatherapy, with a p-value of 0.28.
Conclusion: The SPEOS method with both aromatherapy with lavender aromatherapy and fennel aromatherapy can increase breast milk production.