bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quality and its Improvement in the Context of Agility in Polish Organic Food Processing
Authors: Dziuba Szymon 
Published: August 2023

Abstract
In a world of increasingly advanced technology and market turbulence caused by geopolitical turmoil and the spread of diseases of affluence, there is a growing need to adapt products and services to current market requirements in response to consumer expectations. The need to find its place in a constantly changing further and closer business environment has been also recognized in the agri-food sector. Consumers, looking for alternatives to industrially produced food and wanting to improve their well-being, have in mind, above all, not only the health quality of the food but also the absence of physical and chemical contaminants, and therefore, they are increasingly inclined to purchase organic food products. Under these circumstances, many Polish enterprises that choose this type of production are looking for solutions that allow them to respond quickly to changing consumer expectations. This paper first critically analyzes the scientific literature by compiling publications on aspects of enterprise agility to analyze issues related to quality assurance and its improvement as a manifestation of meeting customer expectations. This allowed for the identification of the research gap and formulation of the research objective, i.e. the assessment of the quality improvement activities as important problems of agility in Polish organic food processing. The main part of the empirical research was conducted in 2021-2022 using a questionnaire dedicated to entities involved in organic food production. The research was comprehensive in nature. The questionnaire was distributed to the entire population surveyed whereas the amount of the results leads to the conclusion that the sample is representative. Statistical analysis and inference were carried out using Kolmogorov-Smirnov, Shapiro-Wilk, ANOVA-Kruskal-Wallis, and U-Mann-Whitney tests.
A Correlative Study of Vitamin D Receptor Variants Fok1, Apa1, Bsm1, and Taq1 Polymorphism and Vitamin D Deficiency with Higher Risk Ratio of Coronary Artery Disease in Female Population
Authors: Shaik Mahaboob Vali , Madhuri S , Rohith Karnati , Kuragayala Swarna Deepak , Shaik Munni , Bhakthavatsala Reddy C , BabuLal S , Gangapatnam Subrahmanyam 
Published: August 2023

Abstract
No studies are available on single nucleotide polymorphisms (SNPs) of the VDR gene in association with coronary artery disease (CAD) in women. The study aimed to investigate the association between SNPs in the VDR regions Fok I (rs10735810), Bsm I (rs1544410), Apa I (rs7975232), and Taq I (rs731236) and its associated risk of CAD in female patients. This prospective case-control study included 100 women diagnosed with CAD and age-matched healthy controls. The association between 1,25-dihydroxy vitamin D levels and VDR polymorph was assessed. In cases, the genotype ‘ff’ was reduced (14%) in co-dominant (OR, 0.13; CI, 0.03–0.65, p=0.0018) and recessive (OR, 0.11; CI, 0.02–0.54, p=0.0018) models. The ‘Ff’ genotype frequency in the over-dominant model was significantly higher (15%) in some cases (OR, 2.58; CI, 1.04–6.41, p=0.031). The frequency of genotype ‘Bb’ was increased (14%) in co-dominant (OR, 2.24; CI, 0.83–6.01, p=0.029) and over-dominant (OR, 2.65; CI, 1.01–6.94, p=0.035) cases. Women with CAD had a significantly lower frequency (14%) of the ‘bb’ genotype in both co-dominant (OR, 0.48; CI, 0.19–1.17, p=0.029) and recessive models (OR, 0.40; CI, 0.17–0.95, p=0.039). VDR genotypes such as Aa+aa, BB+Bb, Aa, Bb, FF+Ff, Tt+tt, aa, Ff, and tt were associated with an increased risk of CAD, and serum vitamin D levels were lower. Alleles ‘a’, ‘B’, and ‘t’ increase CAD risk in women. Subjects with genotypes (BB/Bb), (Tt/tt), and (FF) have a 2-fold, 2.6-fold, and 3-fold increased risk of low 25(OH)D3 levels. We found a statistically significant association between VDR polymorphisms and 25(OH)D3 levels for Taq I and Bsm I genotypes in females with CAD.
TOXOPLASMOSE CONGÊNITA: PESPECTIVA DE PUÉRPERAS ATENDIDAS NO HOSPITAL UNIVERSITÁRIO SÃO FRANCISCO DE ASSIS – BRAGANÇA PAULISTA
Authors: Vanalli Lima Baptista Thayz 
Published: August 2023

A toxoplasmose é uma doença causada pelo Toxoplasma gondii, que envolve sequelas graves. No Brasil, é considerada uma doença prevalente, porém, as políticas públicas, não são obrigatórias, aplicadas de formas diferentes em cada região do país. Ainda hoje, muitas gestantes não realizam o pré-natal adequadamente e se infectadas, a transmissão ao feto pode ocorrer sem identificação, gerando um diagnóstico tardio, afetando o tratamento medicamentoso do recém-nascido e agravo das sequelas. Este estudo objetivou sensibilizar as puérperas que não realizaram um pré-natal adequado, a entenderem a importância do tratamento da doença para a mesma e seu filho, além de praticarem estratégias eficazes para prevenção da contaminação. O estudo foi realizado no Hospital Universitário São Francisco de Assis, reuniu 25 participantes, que responderam um questionário contendo perguntas abertas e fechadas direcionado à prevenção, tratamento e transmissão da doença. Os resultados da pesquisa foram expostos de modo descritivo. Ao analisar o grau de conhecimento das entrevistadas constatou-se que 72% não conheciam a doença e 88% não receberam qualquer orientação profissional sobre as peculiaridades da mesma. Quando questionadas sobre as complicações que podem ocorrer com a transmissão, 12% que conheciam a doença citaram o mesmo exemplo: ‘’cegueira’’, desconhecendo o comprometimento a outros órgãos. Assim, evidenciou-se a necessidade da aplicação de estratégias em educação em saúde na região, incluindo a introdução no serviço terciário, com enfoque no atendimento farmacêutico especializado para toxoplasmose congênita, tendo em vista as lacunas presentes na atenção básica.
Educação permanente em saúde: desafios e potencialidades para o processo de trabalho
Authors: Fonseca Emanuel Nildivan Rodrigues da , Cunha Sabrina Márcia Resende de Almeida Santos , Carneiro Maria Tereza Divalda , Barbosa Khivia Kiss da Silva , Batista Mônica da Costa , Ferreira Fernanda Cruz Ramos , França Sandra Martins de , Marques Maria Lucia Fernandes de Carvalho , Bastos Maria de Lourdes Fernandes , Medeiros Emmanuela Costa de 
Published: August 2023

Objetivo: Descrever os desafios e potencialidades da Educação Permanente em Saúde (EPS) no processo de trabalho. Métodos: Estudo teórico, tipo revisão integrativa da literatura, realizada de Janeiro a Fevereiro de 2023, na fonte de dados Biblioteca Virtual em Saúde (BVS) e na base de dados CAPES, utilizando os descritores validados pelo DeCS/MeSH; Educação Permanente em Saúde e Processo de Trabalho, com os filtros texto completo e disponível, documentos tipo artigos científicos; ano de publicação 2018 a 2023, realizados em português. A população da pesquisa incluiu 222 artigos. Após a leitura de seus resumos, foram selecionados 21 artigos. Resultados: A educação permanente em saúde inclui uma dimensão ética e política, o que exige repensar cotidianamente o processo de trabalho, visando a defesa dos direitos sociais, exigindo uma política social formal. O modelo tradicional de organização do trabalho carece de flexibilidade e de atenção aos aspectos subjetivos, de campo e contextuais, e seu rigor dificulta o aprimoramento dos profissionais. Considerações finais: A EPS tem o potencial de alertar os profissionais de saúde para mudanças na prática profissional, qualificar os serviços por meio do trabalho em equipe, com o objetivo de organizar o trabalho para atender às necessidades de saúde da população.
Pengaruh Progressive Muscle Relaxation (PMR) Terhadap Tingkat Kelelahan Lansia Penyintas Covid 19 di Kota Pekanbaru Penelitian Dosen PemulaTahun ke 1 dari 1
Authors: Hamid Abdurrahman , Wisanti Eka , Ezdha Awaliyah Ulfah Ayudytha 
Published: August 2023

Pendahuluan Kelelahan merupakan gejala terbanyak yang dialami oleh lansia penyintas covid 19 setelah demam dan sesak nafas dimana kejadiannya 30% dari seluruh lansia penyintas covid 19. Perawatan lansia penyintas covid 19 membutuhkan suatu intervensi yang mampu mempercepat pemulihan lansia dari kelelahan tersebut. Tujuan Penelitian Tujuan Penelitian ini adalalah melihat pengaruh intevensi keperawatan Progressive Muscle Relaxation terhadap kelelahan pada lansia penyintas covid 19. Metode, Pada penelitian ini menggunakan desain penelitian quasy eksperimen dengan jenis pretest and post test without control group. Dengan menggunakan penghitungan sampel uji hipotesis populasi maka jumlah sampel minimal yaitu 40 orang lansia, Pada penelitian ini metode sampling yang digunakan adalah multistage random sampling, Penelitian dilakukan pada bulan Juni-Agustus 2022. Analisa bivariat menggunakan Paired T Test. Hasil/temuan Hasil penelitian di dapatkan terdapat pengaruh Intervensi Keperawatan Progressive Muscle Relaxation terhadap tingkat kelelahan lansia penyintas covid 19 di kota pekanbaru dengan nilai p value 0,001 (<0.05). Hal ini dilihat dari adanya perubahan tingkat kelelahan sebelum dan setelah intervensi. Jika dikaitkan antara terapi PMR ini dengan kelelahan yaitu pada saat melakukan terapi ini terjadi pelepasan produksi hormon endorfin, enkefalin, dan serotonin selanjutnya akan muncul perasaan tenang dan rileks. Simpulan, Intervensi Keperawatan PMR ini dapat dijadikan salah satu alternative bentuk intervensi keperawatan untuk mengatasi masalah kelelahan pada lansia dan dapat dilakukan oleh perawat komunitas di Puskesmas.

Kata Kunci : Kelelahan; Lansia; Penyintas Covid 19; Progressive Muscle Relaxation,
HOLBACH’S AND EULER’S HYPOTHESES AND THEIR SOLUTIONS
Authors: Оруджов Н.З. , Оруджов З.С. 
Published: August 2023

В статье рассматриваются три вопроса. 1. Проблема Эйлера. 2. Теорема Гольбаха. 3. Задача формул простых чисел. Доказаны две леммы и три теоремы для решения этих задач. Из них можно сделать шесть выводов. Тогда правильным шагом будет сначала доказать теорему Эйлера. Следующие два факта играют ключевую роль в доказательстве теоремы Эйлера: I. Доказана конкретная формула суммирования любого натурального числа с простым числом (Основная теорема). Это новая формула, а также новое направление в теории чисел. Можно надеяться, что эта формула найдет множество приложений в теории чисел. II.Освобождение (устранение) формулы Чебышева от логарифмирования. Хотя ошибок много, доказательство успешное. Затем с помощью теоремы Эйлера доказывается теорема Гольдбаха. Хотя количество способов представить любое натуральное число (N>5) в виде суммы простых чисел невелико, оно серьезно доказано. Также доказывается, с помощью формулы основной теоремы, что формулы для простых чисел не существует.
The article deals with three issues. 1. Euler’s problem. 2. Holbach’s theorem. 3. The problem of formulas of prime numbers. Two lemmas and three theorems are proved for solving these problems. Six conclusions can be drawn from them. Then the correct step would be to first prove Euler’s theorem. The following two facts play a key role in the proof of Euler’s theorem: I. A specific formula for the summation of any natural number with a prime number is proved (Main Theorem). This is a new formula, as well as a new direction in number theory. It is hoped that this formula will find many applications in number theory. II. Release (elimination) of the Chebyshev formula from logarithm. Although there are many errors, the proof is successful. Then, with the help of Euler’s theorem, Goldbach’s theorem is proved. Although the number of ways to represent any natural number (N>5) as a sum of prime numbers is small, it has been seriously proven. It is also proved, using the formula of the main theorem, that there is no formula for prime numbers.
ASSESSMENT OF GENERAL MELTED SOLIDS QUANTITIES OF GROUNDWATER ON A BASIS OF THE WORLD HEALTH ORGANIZATION (WHO) STANDARD FOR TOTAL DISSOLVED SOLIDS (TDS)
Authors: Раджабова Н.Д. , Шеримбетов В.Х. 
Published: August 2023

При определении ситуаций, в которых экосистемы, зависящие от подземных вод, подвергаются воздействию различных факторов, каждое их обстоятельство требует определенного изучения компонентов. Тем не менее конкретная ситуация возникает в результате одновременного взаимодействия факторов внешней среды, и установление и исследование доминирующего элемента в формировании ситуации позволяет качественно оценить состояние объекта. В данной статье повышенные значения TDS, одного из переменных параметров подземных вод, формирующихся на глубине 13-17 метров в Амударьинском районе, классифицируются в соответствии со стандартом ВОЗ TDS.
In determining the situations inside which the Groundwater-dependent ecosystems are affected based on different factors, each of their circumstances requires a particular learning of the components. Notwithstanding, a specific situation arises from the simultaneous reciprocation of the environmental factors, and the ascertainment and disquisition of the dominant element in the formation of the situation makes that possible to qualitatively evaluate the object condition. In this article, elevated values of TDS, one of the variable parameters of groundwater formed at a deepness of 13-17 meter in Amudarya district, are classified owing to the WHO TDS standard.
No Effect of Return to Sport Test Batteries with and without Psychological PROs on the Risk of a Second ACL Injury: A Critical Assessment of Four Different Test Batteries
Authors: Piussi Ramana , Simonson Rebecca , Högberg Johan , Thomeé Roland , Samuelsson Kristian , Hamrin Senorski Eric 
Published: August 2023

Background Patients report psychological barriers as important when returning to sport, however, psychological outcome measures are seldom included in return to sport (RTS) assessment. There is a need for clinical trials to integrate psychological patient-reported outcomes (PROs) in return to sport batteries assessing patients treated with ACL reconstruction. Objective The aim of this study was to determine the association between passing clinical tests of muscle function and psychological PROs and sustaining a second ACL injury in patients who RTS after primary ACL reconstruction. Design Retrospective Cohort study Methods Patients’ sex, age, height and weight, and the results of strength and hop tests, as well as answers to PRO’s (including Tegner activity scale, the ACL Return to Sport after Injury scale (ACL-RSI) as well as the Quality of Life (QoL) subscale of the Knee injury and Osteoarthritis Outcome Score [KOOS]), were extracted from a rehabilitation-specific registry. Four different test batteries comprising muscle function tests and PROs were created to assess whether patients were ready to RTS. Passing each of the test batteries (yes/no) was used as an independent variable. A multivariable Cox proportional hazard model analysis was performed, with sustaining a second ACL injury (either ipsi- or contralateral; yes/no) within two years of RTS as the dependent variable. Results A total of 419 patients (male, n=214; 51%) were included, of which 51 (12.2%) suffered a second ACL injury within the first two years after RTS. There were no differences in passing rates in the different RTS test batteries comprising muscle function tests and PROs for patients who suffered a second ACL injury compared to patients who did not. Conclusion No association between passing the RTS clinical tests batteries comprising muscle function and psychological PROs used, and the risk of a second ACL injury could be found. Level of Evidence 3
Maximal and Explosive Muscle Strength During Hip Adduction Squeeze and Hip Abduction Press Test Using A Handheld Dynamometer: An Intra- and Inter-tester Reliability Study
Authors: Ishøi Lasse , Thorborg Kristian , Krohn Laura , Louis Andersen Lars , Møller Nielsen Asger , Bek Clausen MIkkel 
Published: August 2023

Background Hip adduction and abduction muscle function plays an important role for risk of groin pain in athletes. Maximal isometric strength can be obtained clinically using a handheld dynamometer. However, in very strong athletes this is challenging, as external fixation of the dynamometer is needed for reliable measures. An alternative to unilateral testing, is the long-lever hip adduction squeeze test and a novel bilateral hip abduction press test. While promising intra-tester reliability has been found for maximal strength during the long-lever hip adduction squeeze test, inter-tester reliability may be more challenging during both maximal and explosive strength measurements. Hypothesis/purpose The aim of the present study was to assess intra- and inter-tester reliability of maximal, and explosive strength during the long lever hip adduction squeeze test and the long lever hip abduction press test in healthy adults using a hand-held dynamometer. Study design Intra- and interrater reliability study. Methods Forty-nine healthy subjects were included for intra- (n=20) and inter-tester reliability (n=29). Subjects performed the hip adduction long lever squeeze test and the bilateral hip abduction press test in a randomized order. Maximal isometric strength and early (0-100 ms) and late (0-200 ms) phase rate of force development (explosive muscle strength) was obtained using a hand-held dynamometer. Relative reliability for all tests was assessed using ICC2,1 two-way mixed model with absolute agreement, thereby taking bias between testers into account. Results Maximal isometric strength showed good intra- and inter-tester reliability for adduction (ICC: 0.93-0.97) and abduction (ICC: 0.88-0.92). For 0-200 ms rate of force development, both the squeeze and press test showed good intra-tester reliability (ICC: 0.85-0.87), whereas inter-tester reliability was good for hip adduction squeeze (ICC: 0.75) and moderate for hip abduction press (ICC: 0.71). For 0-100 ms rate of force development, the hip abduction press test showed good intra-tester reliability (ICC: 0.78). Remaining tests for intra- and inter-tester reliability showed moderate reliability (ICC: 0.50-0.71). Conclusion Assessment of maximal isometric strength in hip adduction squeeze and abduction press test showed good intra- and inter-tester reliability, whereas only 0-200 ms rate of force development demonstrated good intra-tester reliability of both tests. Therefore, rate of force development should preferably be conducted by the same tester, while the long lever squeeze and press test can reliably be used within- and between testers to measure maximal isometric strength. Level of Evidence 3
Advancements for the Future: A National Survey of Fastpitch Softball Coaches’ Perspectives on Injury Prevention Programming
Authors: Nurrenbern Jaime , Klueppel Courtney , Tilly Jeff , Matsel Kyle 
Published: August 2023

Background Approximately 50 percent of softball injuries are the result of overuse or chronic conditions. However, research exploring preventative measures for softball players is limited and usage of injury prevention strategies among softball coaches is unknown. Hypothesis/Purpose This survey aimed to investigate if softball coaches are implementing injury prevention programs to reduce injury and improve the performance of their players. The secondary purpose was to identify barriers to the implementation of injury prevention programs. Finally, this survey explored the coaches’ knowledge of injury risk factors and their views on design and usage of preventative programs. Study Design Descriptive cross-sectional survey Methods A 35-item survey was sent to approximately 14,000 high school and collegiate fastpitch softball coaches throughout the United States. Data were collected over a three-month period with an overall response rate of 1.2%. Results Among responding coaches, 45.9% (n=79/172) reported implementing injury prevention programs. Coaches who implement injury prevention strategies most frequently utilize team-based programs (68.8%, n=52/93) compared to group-based (19.0%, n=15/93) or individualized programs (15.2%, n=12/93). Coaches who do not use preventative programming reported that being unsure of what program to perform (53.8%, n=50/93) and not having enough staff (20.4%, n=19/93) were the greatest barriers to implementation. Although over 50% of coaches recognized arm fatigue/overuse (27.9%, n=48/172) and decreased core strength (22.7%, n=39/172) were important risk factors, 36% (n=94/172) “disagree” that softball pitchers should adhere to pitch counts and 90% (n=83/92) believe that preventative programming for pitchers and position players should be similar. Conclusion Less than 50 percent of softball coaches implement exercise programs to prevent injury. Limited familiarity with effective program design, inadequate staffing, and inconsistent risk factor awareness are the major contributors to lacking implementation. Collaboration between rehabilitation professionals and softball coaches regarding preventative programming should be considered. Level of Evidence Level 3
The Validity and Reliability of a Smartphone Application for Break-Point Angle Measurement during Nordic Hamstring Exercise
Authors: Soga Toshiaki , Yamaguchi Shota , Inami Takayuki , Saito Hiromi , Hakariya Nadaka , Nakaichi Naoto , Shinohara Sho , Akiyama Kei , Hirose Norikazu 
Published: August 2023

Background A recently developed smartphone application (Nordic Angle) allows the automatic calculation of the break-point angle (BPA) during Nordic hamstring exercise (NHE) without transferring the collected data to a computer. The BPA is the point at which the hamstrings are unable to withstand force. However, the validity of the BPA values obtained by this method has not been examined. Hypothesis/Purpose This study aimed to evaluate the validity and reliability of the Nordic Angle by comparing the BPA values of the Nordic Angle with those of two-dimensional motion analysis software that can calculate the angles and angular velocities of various joints. Study Design Cohort assessing Validity and Reliability Methods The validity of the Nordic Angle BPA data was verified by Spearman’s correlation test for consistency with the movement analysis data, and the magnitude of the correlation was indicated by rs. The agreement between these measurements was examined using the Bland-Altman analysis. The reliability of the Nordic Angle and motion analysis was examined using the intraclass correlation coefficient (ICC) (1,k) based on data from repeated trials within a day. Results Although the spearman correlation between the Nordic angle and the angle determined using motion analysis did not reach statistical significance (p = 0.052), a very large correlation was present (rs = 0.75). The difference between the mean values of the Nordic Angle and motion analysis was 0.4 ± 2.1°, and the limits of agreement ranged from -3.9° to 4.6°. In two BPA measurements, the Nordic Angle showed perfect reliability (ICC = 1.00, p < 0.001), while motion analysis showed nearly perfect reliability (ICC = 0.97, p < 0.001). Conclusion The Nordic Angle, which has both validity and reliability, may be appropriate for field measurement because it allows immediate feedback of BPA and the measurement of many athletes. Level of evidence 3b