bluuebunny/crossref_metadata_2025_split huggingface dataset:
ENERGÍA Y SUSTENTABILIDAD
Authors: Chen Marco 
Published: February 2024

En la industria de la construcción, podríamos contabilizar la energía requerida por cada actividad y por cada material de construcción, para identificar oportunidades de ahorro de energía. Mucha energía es consumida en el procesamiento y el transporte de materiales de construcción desde su centro de producción a su punto de utilización.
Surveying the Landscape of Persistent Concussive Symptoms in Adults Through an Occupational Lens
Authors: Boone Anna E. , Henderson Whitney L. , Zenoozi Sepideh 
Published: February 2024

AbstractImportance: Little is known about how and to what extent persistent concussive symptoms affect occupational performance in adults.Objective: To evaluate the impact of persistent postconcussive symptoms on occupational performance.Design: A cross-sectional study design was used in which the occupational performance needs of adults with persistent concussion symptoms were identified by a trained occupational therapist via semistructured interview.Setting: University research space.Participants: Adults ages 18 to 60 yr experiencing persistent concussion symptoms.Outcomes and Measures: Occupational performance was evaluated using the Canadian Occupational Performance Measure. Data were then categorized by two researchers using the Occupational Therapy Practice Framework: Domain and Process (4th ed.).Results: The most commonly affected occupational performance areas included education and work, social participation, and performance of instrumental activities of daily living.Conclusions and Relevance: Aligning with prior knowledge of the impact of psychosocial difficulties and higher order cognitive deficits on daily life, performance of complex occupations is heavily affected in adults with persistent concussive symptoms.Plain-Language Summary: The functional impact of symptoms that adults experience postconcussion becomes apparent as they return to their life occupations. The results of this study showed that adults with persistent concussive symptoms more commonly experienced occupational challenges with participation in education, social activities, and the performance of instrumental activities of daily living, with subtle, important variations in symptoms across adults. Detailed, client-centered evaluation of occupational performance changes postconcussion is an area of potential growth for occupational therapy practice and research.
PEMERIKSAAN LAJU ENDAP DARAH PADA PENDERITA TUBERKULOSIS PARU DI RUMAH SAKIT ISLAM MALAHAYATI MEDAN
Authors: Wiratma Dicky Yuswardi , Purba Denrison , Harianja Ester Saripati 
Published: February 2024

Tuberkulosis merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis yang menyerang paru – paru dan hampir seluruh organ tubuh lainnya. Penularannya dapat melalui terhirupnya droplet yang keluar dari penderita tuberkulosis. Inflamasi akut serta peningkatan kadar fibrinogen dan globulin plasma pada penderita tuberculosis paru terjadi, hal ini menyebabkan peningkatan nilai laju endap darah. Menurut World Health Organization (WHO) pada tahun 2013 Indonesia adalah negeri dengan prevalensi TB ke-5 tertinggi di dunia sebesar 410.000-520.000 kasus. Jenis penelitian ini bersifat deskriptif dengan menggunakan metode pemeriksaan Westergreen yang bertujuan untuk mengetahui nilai laju endap darah pada penderita Tuberkulosis. Penelitian ini dilaksanakan pada bulan Oktober-Desember 2023 di Rumah Sakit Islam Malahayati dengan sampel sebanyak 15 orang. Berdasarkan hasil penelitian diperoleh nilai laju endap darah yang normal sebanyak 3 orang (20%) dan yang meningkat sebanyak 12 orang (80%). Penyebab meningkatnya laju endap darah karena adanya infeksi akut, kronis maupun peradangan akut dalam tubuh serta meningkatnya globulin dan fibrinogen. Hal ini dapat juga disertai dengan pengaruh obat, nekrosis, adanya penyakit diabetes dan kolesterol, demam, rematik, dan kondisi stress fisiologis. Sedangkan laju endap darah yang normal ini disebabkan oleh karena penderita sudah melakukan penerapan pola makan teratur dan hidup yang sehat salah satu nya dengan cara membatasi konsumsi minuman beralkohol dan berhenti merokok. Saran bagi pasien penderita TBC sebaiknya mengkonsumsi obat dan pola makan teratur serta selalu melakukan pemeriksaan berkala agar penyakit ini dapat terkontrol.
Stratospheric influence on the winter North Atlantic storm track in subseasonal reforecasts
Authors: Afargan-Gerstman Hilla , Büeler Dominik , Wulff C. Ole , Sprenger Michael , Domeisen Daniela I. V. 
Published: February 2024

Abstract. Extreme stratospheric polar vortex events, such as sudden stratospheric warmings (SSWs) or extremely strong polar vortex events, can have a significant impact on surface weather in winter. SSWs are most often associated with negative North Atlantic Oscillation (NAO) conditions, cold air outbreaks in the Arctic and a southward-shifted midlatitude storm track in the North Atlantic, while strong polar vortex events tend to be followed by a positive phase of the NAO, relatively warm conditions in the extratropics and a poleward-shifted storm track. Such changes in the storm track position and associated extratropical cyclone frequency over the North Atlantic and Europe can increase the risk of extreme windstorm, flooding or heavy snowfall over populated regions. Skillful predictions of the downward impact of stratospheric polar vortex extremes can therefore improve the predictability of extratropical winter storms on subseasonal timescales. However, there exists a strong inter-event variability in these downward impacts on the tropospheric storm track. Using ECMWF reanalysis data and reforecasts from the Subseasonal to Seasonal (S2S) Prediction Project database, we investigate the stratospheric influence on extratropical cyclones, identified with a cyclone detection algorithm. Following SSWs, there is an equatorward shift in cyclone frequency over the North Atlantic and Europe in reforecasts, and the opposite response is observed after strong polar vortex events, consistent with the response in reanalysis. However, although the response of cyclone frequency following SSWs with a canonical surface impact is typically captured well during weeks 1–4, less than 25 % of the reforecasts manage to capture the response following SSWs with a “non-canonical” impact. This suggests a possible overconfidence in the reforecasts with respect to reanalysis in predicting the canonical response after SSWs, although it only occurs in about two-thirds of the events. The cyclone forecasts following strong polar vortex events are generally more successful. Understanding the role of the stratosphere in subseasonal variability and predictability of storm tracks during winter can provide a key for reliable forecasts of midlatitude storms and their surface impacts.
Characteristics of probiotic glutinous rice tapai with the addition of Lactobacillus plantarum 1 RN2-53 and some natural dyes
Authors: Yusmarini  , Fitriani Shanti , Johan Vonny Setiaries , Herawati Netti , Irhamdi  , Riftyan Emma , Pato Usman 
Published: February 2024

Tapai is a traditional Indonesian food usually made from cassava and glutinous rice. The study aims to determine natural dyes that produce the highest quality probiotic glutinous rice tapai. The study was conducted experimentally using a complete randomized design consisting of four treatments, and each treatment was repeated four times. The treatment in this study was the soaking of glutinous rice into natural dye extracts, namely red dragon fruit extract, purple sweet potato extract, and suji leaf extract, with different concentrations, namely 10%, 15%, 20%, and 25%. The data obtained were statistically analyzed using variance analysis and continued with Duncan's new multiple-range test (DNMRT) at a level of 5%. The results showed that natural dye extracts with different concentrations have a noticeable influence on total lactic acid, alcohol content, total lactic acid bacteria, antioxidant activity, and sensory characteristics of color, aroma, taste, and hardness. The soaking treatment in red dragon fruit extract and purple sweet potato extract with a concentration of 20% resulted in glutinous rice tapai, preferred by panelists. Furthermore, the characteristic pH value of 3.35-3.41, total lactic acid 0.61-0.70%, alcohol content 0.33-0.42%, total lactic acid bacteria 9.11-9.40 CFU/mL, and antioxidant activity 167.35-102.51 ppm.
Necropolitics, Border Walls, and a Murder of Jim and Juan Crows in the Americas
Authors: Wright Melissa W. 
Published: February 2024

ABSTRACT
Across the Mexico-United States borderlands, overlapping white supremacist and Anglo-nationalist movements are building private walls as monuments to Donald Trump. Numerous social justice activists and ecological stewards have warned that these Trumpist border walls present specific and new threats to social and ecological landscapes, particularly along the riparian sections of the borderlands. To slow their building and even topple these walls, justice activists and ecological caretakers are working to fortify networks with similar efforts elsewhere. In an effort to provide analyses useful to such justice endeavors, I employ Achille Mbembe’s concept of necropolitics to situate the borderland activist struggles against the Trumpist walls within a broader context of struggle against the commemoration of racist terror in the US South. Specifically, I use Mbembe’s theorization of necropolitical deathworlds to illustrate some potential common cause linking protests against Trumpist walls in the Paso del Norte region of the Mexico-US border with a Black Lives Matter/Say Her Name coalition that is bringing down Confederate monuments in central Texas. In placing these movements in connection with each other, I highlight a synergy of the white supremacy of Jim Crow with the Anglo nationalism behind a Juan Crow variant of racist terror and anti-immigrant hatred driving the Trumpist wall constructions. Recognition of this convergence is one way, I maintain, for identifying opportunities for making common cause across the Americas’ myriad struggles to destroy the racist monuments that glorify the necropolitical legacy of racist colonialism and its ongoing social and ecological devastation.
Trainee clinical psychologists’ experiences of the therapeutic alliance while pregnant
Authors: Curtin Yvonne , Houghton Sharon 
Published: February 2024

SummaryThe present study examined trainee clinical psychologists’ experiences of the therapeutic alliance while pregnant.There is a dearth of literature that has explored trainee clinical psychologists’ lived experiences of the therapeutic alliance while pregnant. To address this gap in the literature, the present study explored trainee clinical psychologists’ experiences of the therapeutic alliance while pregnant. Using a qualitative design, 11 trainee clinical psychologists from clinical doctorate programmes in Ireland and the United Kingdom were invited to take part in a semi-structured interview about their experiences. From the analysis, three superordinate themes emerged: a) disclosure of the pregnancy; b) perception of the alliance and c) changes within the therapeutic interaction. The findings suggest that trainees may experience changes in their relationships with clients during their pregnancy. Recommendations from this study include the development of specific guidelines for responding to these relational changes that may emerge within the therapeutic space, in response to their pregnancy. Directions for future studies are discussed.
Re-audit of the quality of neuropsychological assessment practice using a self-assessment audit tool: 18 months after an initial audit
Authors: Bunn Emily , King Lorraine , Watts Kerry 
Published: February 2024

BackgroundKing et al. (2022) developed an audit tool, listing standards against which individuals and services can benchmark their neuropsychological assessment practice. Our adult neuropsychology outpatient service in Stoke-on-Trent, utilised the tool to assess our current practice, and to assess the impact of completing the audit over two time-points, 18 months apart.MethodAll service users assessed by us within a sample month were included in the retrospective clinical audits: N=22 at time-point 1 (July 2020) and N=17 at time-point 2 (February 2022). The yes/no tick list was completed for each core and supplementary standard, for each assessment. Percentage compliance was calculated for each standard, to benchmark practice and appraise changes over time.ResultsAll service users gave verbal consent for their data to be used for research purposes. The service largely scored 100% compliance on most standards at both time-points, with improvements observed in seven standards between the two audits, and some areas of reduced standard compliance over time, prompting further discussion about different report styles for different contexts.Conclusion and RecommendationsOur service has discussed the audit results and are planning to improve our practice in terms of report length, waiting times for feedback sessions, use of performance validity tests and provision of service leaflets.
Prevalence of allergic sensitization to Platanus occidentalis among adults with allergic rhinitis: A multicenter study
Authors: Bedolla-Barajas Martín , Domínguez-Morales Javier , Loya-Barriga Ilse Mariana , Bedolla-Pulido Angie , Jiménez-Huerta Luis Alfredo , Morales-Romero Jaime 
Published: February 2024

Background:
In the Americas there are few studies that have evaluated the frequency of allergic sensitization to Platanus occidentalis or sycamore pollen in adult patients with allergic rhinitis (AR).

Objective:
To determine the prevalence of allergic sensitization to P. occidentalis and to identify factors associated with its presentation.

Methods:
A cross-sectional study was carried out in 3 centers distributed in the northwest, west, and southeast of Mexico. Allergic sensitization to P. occidentalis was determined with a skin prick test. Prevalence and 95% confidence intervals (CI) were estimated.

Results:
A total of 404 patients were included, women were 233 (57.7%); the age mean was 33.8 ± 12.9 years. The overall prevalence of sensitization to P. occidentalis was 20.8% (95% CI, 17.1%–25.0%); in the northwestern: 15.9% (95% CI, 9.6%–25.1%); in the western: 21.8% (95% CI, 15.4%–29.9%); and in the southeastern: 22.4% (95% CI, 17.1%–38.8%). Multivariate analysis showed to the following allergens as factors associated with sycamore allergic sensitization: tree pollens (OR, 3.19; P = 0.001), weeds (OR, 2.49; P = 0.004), fungi (OR, 1.96; P = 0.014), and dog or cat epitheliums (OR, 1.88; P = 0.018).

Conclusion:
Allergic sensitization to P. occidentalis pollen in AR patients is not an infrequent event; consequently, we recommend doing the challenge test in all patients with this allergen, especially in those regions where the tree is present.
Correlation of Blomia tropicalis-specific immunoglobulin epsilon profiles with family history of atopy in a Filipino population
Authors: Patanindagat Chanie Y. , Tarun Jamie Ezra B. , Pajaro Ryla Jasmine T. , Pintucan Jhon Jerald D. , Quilang Patricia Nichole M. , Sabit Maureen B. , Ramos John Donnie A. 
Published: February 2024

Background:
House dust mites are the major source of indoor allergens in the tropical and subtropical regions with Blomia tropicalis (Bt) allergens as one of the leading causative agents of sensitization among patients from the tropics. Despite the clinical importance of Bt in various populations, its allergenicity remains unclear among Filipino allergic patients.

Objective:
This study determined the sensitization profiles of allergic Filipinos against Bt allergens and its correlation with atopy.

Methods:
Total immunoglobulin epsilon (IgE) (n = 960), Bt-specific IgE (n = 247), and Blomia tropicalis 5 (Blo t 5)-specific IgE (n = 87) profiles of allergic and nonallergic subjects were measured through enzyme-linked immunosorbent assay (ELISA). Point-biserial correlation coefficient was used to determine the association between Bt-specific IgE levels and selected demographics. Inhibition ELISA was performed to measure the inhibition capacity of recombinant Blo t 5 (rBlo t 5) against Bt allergen extracts.

Results:
Mean total IgE levels of allergic cases (n = 171) were significantly higher (P < 0.001) compared to the mean IgE levels of nonallergic controls (n = 76). Among allergic subjects, 58% were sensitized to Blo t extract and 80% of which were sensitized to rBlo t 5 allergen. A positive correlation was observed between Bt-specific IgE and family history of atopic disease (P = 0.031). Inhibition assay revealed that 54% mean reactivity of 7 plasma samples was caused by rBlo t 5, validating that rBlo t 5 is a major allergen in Bt.

Conclusions:
This study has shown the importance of Bt as an allergen source that sensitizes atopic Filipino subjects. Hence, inclusion of Bt allergen extract and rBlo t 5 in the panel for allergy diagnosis and immunotherapy in Filipino populations is strongly recommended.
Aspectos biopsicossociais da COVID-19 pela comunidade estudantil de medicina
Authors: Martins Cabal Daniel , Silva Sampaio Guilherme , Ferreira de Oliveira Alan Alex , Silva Mattede Maria das Graças , Von Kruger Pimentel Maria da Graça , Sarquis Serpa Faradiba 
Published: February 2024

Objetivo: Analisar a percepção dos estudantes da medicina sobre o impacto da pandemia causada pelo coronavírus no cotidiano. Método: quantitativo, descritivo, observacional, transversal, por meio de questionário eletrônico sobre os aspectos biopsicossociais de estudantes da área de medicina, durante o período da pandemia. Resultado: Dos 211 investigados, 66,8% eram do sexo feminino, com idade entre 17 a 25 anos e 45% residiam em Vitória, ES, Brasil. Recursos eletrônicos como o celular e computador individual eram utilizados por 47,4% dos estudantes. Possuíam familiares com doenças pré-existentes (86,3%0, hipertensos (28,2%) e diabéticos (18.2%), sendo considerados idosos (53,1%) e 54,2% dos familiares já haviam sido acometidos pela COVID-19. Sobre o desempenho escolar, 38,4% estão mais ou menos satisfeitos. Em relação as atividades práticas, 43% se dizem muito insatisfeitos. Diante da dimensão psicológica 29,2% estão mais ou menos satisfeitos com sua produtividade domiciliar e 30,7% emocionalmente preparados para realizar atividades online diariamente. A prática religiosa como apoio positivo foi relatada por 52,4% dos estudantes e as palavras mais escolhidas entre eles foram: amor, gratidão e responsabilidade. Conclusão: A presença feminina nos cursos da área da saúde está cada vez mais consolidada. As doenças mais frequentes nas famílias são as mais prevalentes no Brasil, como hipertensão e diabetes. Mesmo a maioria dos estudantes residindo junto aos pais e em condições socioeconômicas satisfatórias, percebe-se que o aprendizado online está sendo considerado regular, principalmente frente as atividades práticas.
Esporotricose transmitida por felis catus: relato de 4 casos
Authors: Botti Vilaça Martins Izabella , Brandão Venturi Amanda , Lorencini Dondoni Fellipe , Denadai Andrielly , Souza Lorenzoni Gabriel , Demoner Sarmenghi Karina , Silva Mattede Maria das Graças 
Published: February 2024

Objetivo: Relatar 4 casos de esporotricose de transmissão zoonótica por Felis catus. Método: Qualitativo, descritivo, retrospectivo, transversal de dados obtidos em prontuário médico e resultados laboratoriais arquivados no sistema computadorizado. Aprovado pelo CEP/EMESCAM sob número 4.239.032. Resultado: O primeiro caso refere-se a mulher de 29 anos, com lesão ulcerada em terço inferior da face acometida por arranhaduras de gato domiciliar. No segundo caso trata-se também de pessoa do sexo feminino de 21 anos que sofreu arranhadura por gato diagnosticado com esporotricose e após coleta do material da lesão do 3° quirodáctilo direito. No caso número três, uma mulher de 51 anos, cuidou de gato de rua com esporotricose e desenvolveu uma lesão ulcerada na perna. O quarto caso, ocorreu em mulher de 60 anos que ao conviver com gato de rua apresentou linfangite ascendente característica da doença e realizada cultura das secreções das lesões. Em todos os quatro casos, do diagnóstico laboratorial, o exame macroscópico e microscópico das colônias em Ágar Sabouraud-glicose confirmou Sporothrix schenckii complex. Três pacientes foram tratadas com iodeto de potássio e uma com fluconazol e todas obtiveram cura. Considerações finais: Os profissionais de saúde devem estar atentos quanto a presença de lesões clássicas, e principalmente a forma de transmissão por felinos associada ao diagnóstico laboratorial precoce com tratamento adequado para evitar sua disseminação.
Fatores associados aos acidentes de transporte terrestre no estado do Espírito Santo.
Authors: Nery Rayana dos Santos , Ferreira Raphael Paiva Cock , Paquini Luísa Zamperlini , Duarte Neto Caio , Sogame Luciana Carrupt Machado , Duarte Simone Karla Apolonio , Vieira Leonardo França 
Published: February 2024

Objetivo: Verificar fatores associados aos tipos de acidentes de transporte terrestre (ATT) em vítimas assistidas pelo Serviço de Atendimento Móvel de Urgência (SAMU) no estado do Espírito Santo (ES). Métodos: Estudo transversal com coleta de dados retrospectiva da amostra de 2.502 Boletins impressos de Ocorrência dos Atendimentos Pré-Hospitalares do Serviço de Atendimento Móvel de Urgência de 2015, dos quais 438 são de vítimas de acidentes de transporte terrestre. Coletaram-se informações quanto ao sexo, idade, ciclo de vida, hálito etílico, veículo envolvido, gravidade do trauma e desfecho da ocorrência. A gravidade foi estabelecida por meio da Escala de Trauma Revisada. Realizou-se Teste Qui-quadrado. Resultados: Os acidentes de transporte terrestre representam 50,2% das vítimas de causas externas, cuja maioria era do sexo masculino (73,7%), adultas (81,9%), não apresentavam hálito etílico (88,8%) e vítimas de trauma menor (95,3%). A motocicleta foi o veículo envolvido com mais frequência (56,1%). Verificou-se como fatores associados (p<0,05) ao tipo de acidente: ciclo de vida (adulto e colisão; idoso e atropelamento), veículo (automóvel - atropelamento e colisão; motocicleta e bicicleta - queda), gravidade do trauma (maior e atropelamento; menor e queda). Conclusão: Os dados revelam os principais fatores associados aos acidentes de trânsito orientando a assistência pré-hospitalar a essas ocorrências. É necessário intensificar as medidas educativas específicas para cada grupo de risco.
CHALLENGES IN PROSPECTING CLIENTS THROUGH LEGAL MARKETING IN BRAZIL
Authors: De Oliveira João Marcos Moura Queiroz , E Silva Jailson da Silva , De Jesus Joismáyra Gomes Raul 
Published: February 2024

This work analyzes the Code of Ethics and Discipline of the Brazilian Bar Association aiming to demonstrate that advertising can be a parallel to the legal environment. Within the problem that is: Does digital legal marketing arranged in light of the OAB Code of Ethics and Discipline make it difficult to prospect for clients in the legal market? The objective of the work is, through a dialectical methodological line, comparing different eras and the evolution of the market based on historical events and demonstrating the importance of legal deontology and the differentiation between advertising and advertising in the new interpretation of legal marketing, highlighting the differences between marketing, publicity, advertising and the study of the precariousness of work influencing relationships, including communication in the legal market.