bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nutritional therapy in children with sepsis and septic shock: unresolved questions and the need for an individualized approach
Authors: Satvaldieva Elmira , Ashurova Gulchekhra , Kurbanov Fuat 
Published: July 2023

The aim. This review provides a meta-analysis of current guidelines on nutrition in critically ill patients, including SCCM–ASPEN (2017), SSC (2012, 2021), ESPNIC (2020), and SSC (2020) pediatric sepsis guidelines. While the ESPNIC (2020) guidance complements the existing ASPEN (2017) guidelines for critical paediatrics, the Children's SSC (2020) did not find sufficient direct evidence to develop strong nutritional recommendations for children with sepsis/septic shock.
Materials and methods. Looking for publications on nutritional assessment and nutritional support in children with sepsis have been keywords sepsis in children, nutrition, and critical conditions. Literature searched and analyzed from PubMed, Google Scholar and ScienceDirect databases. Revealed under-a sufficient amount of work on pediatric sepsis (an exception is neonatal sepsis), there are no protocols for assessing nutritional status and its correction in children diagnosed with sepsis/SS.
Results. Despite ongoing research in this area, many questions remain unresolved and require systematic study. While some small and large pediatric studies have recommended nutritional therapy, the heterogeneity of children's ICUs in terms of age, pathology, disease severity, comorbidities, and nutritional status precludes a one-size-fits-all approach to nutrition in critically ill children. Therefore, an individualized approach to nutrition is necessary, considering the patient's unique circumstances and the risk/benefit ratio of different nutritional therapies.
Conclusions. An extensive literature review did not reveal strong nutritional recommendations for children with sepsis/SS, underscoring the need for future research on the assessment and correction of protein-energy malnutrition in this population. Overall, this review highlights the importance of tailoring nutritional therapy to the individual needs of critically ill children with sepsis/ septic shock to optimize outcomes
Pengaruh Struktur Kepemilikan, Kualitas Audit dan Free Cash Flow terhadap Manajemen Laba: Studi Empiris pada Perusahaan Pertambangan Terdaftar di BEI Tahun 2016-2020
Authors: Putri Shintya Arifin , NR Erinos 
Published: July 2023

This study aims to examine the effect of ownership structure, audit quality and free cash flow on earnings management in mining companies listed on the Indonesia Stock Exchange (IDX). Sample was determined using the purposive sampling method. Sample selection produced 20 companies. The data used is secondary data from the company's annual report. The statistical method used is logistic regression analysis. The of statistical analysis show that institutional ownership and audit quality has a impact on profit management. Ownership and free cash flow do not have a significant impact on revenue management.
Pengaruh Sikap, Norma Subjektif, Persepsi Kontrol Perilaku dan Muslim’s View of Allah terhadap Keputusan Whistleblowing
Authors: Desmita Desmita , Helmayunita Nayang 
Published: July 2023

This study aims to determine the extent the influence of attitudes, subjective norms, perceived behavioral control and muslims' view of Allah on whistleblowing decisions. This research is quantitative research. The sample selection in this study uses a purposive sampling method in which the respondents are the government employees in Regional Revenue Agency of West Sumatra Province. Data collection techniques used in this study were using a questionnaire. This study succeeded in finding the results that attitudes, subjective norms and Muslim's view of Allah have an effect on whistleblowing decisions. While the behavioral control perception variable has no effect on whistleblowing decisions.
Performance of Corrosion Inhibitors Blend for Simulated Industrial Cooling Waters under Dynamic Conditions
Authors: Slaiman Qasim J.M. , Al-Khasab Abeer A. 
Published: July 2023

The inhibitive action of a blend of sodium nitrite/sodium hexametaphosphate (SN+SHMP) on corrosion of carbon steel in simulated cooling water systems (CWS) has been investigated by weight loss and electrochemical polarization technique. The effect of temperature, velocity, and salts concentrations on corrosion of carbon steel were studied in the absence and presence of mixed inhibiting blend. Also the effect of inhibitors blend concentrations (SN+SHMP), temperatures, and rotational velocity, i.e., Reynolds number (Re) on corrosion rate of carbon steel were investigated using Second-order Rotatable Design (Box-Wilson Design) in performing weight loss and corrosion potential approach. Electrochemical polarization measurements were used to study the behavior of carbon steel in different salts concentrations of (CWS) with pH = 7.5 in absence and presence of the inhibiting blend. The results show that the regression model (Box-Wilson Design) that has been developed using experimental data was used to verify that the interaction term of temperature with inhibitors blend and the square term of inhibitors blend are significant for corrosion rate in 0.05 N NaCl solution while the main variables are not pronounced. Also, it is found that the corrosion rate of carbon steel is increased with increasing temperature, rotational velocity, and NaCl salts concentration in uninhibited and inhibited solutions. Inhibition performance of NaNO2+ Na(PO3)6 was found to increase with its concentration up to 800 ppm inhibitors blend, and the corrosion potential is shifted to more positive direction with increasing rotational velocity, and inhibitor blend concentration.
A decline in perceived social status leads to post-traumatic stress disorder symptoms in adults half a year after the outbreak of the COVID-19 pandemic: consideration of the mediation effect of perceived vulnerability to disease
Authors: Wang Yean , Xu Shuge , Chen Yue , Liu Haijuan 
Published: July 2023

Background/purposeIn December 2019, Wuhan, Hubei, China firstly reported the existence of the COVID-19 virus. It is crucial to prioritize the psychological well-being of citizens in lockdown cities and make more strides in the academic field of post-traumatic stress disorder (PTSD) to prepare for the post-pandemic era.MethodsWe took the cognitive-relational theory as our basis and collected Hubei province-level data (N = 3,465) to examine the impact of perceived social status decline on the prevalence of PTSD symptoms, and checked the mediating effect of perceived vulnerability to disease (PVD) during the period of psychological adjustment.ResultsUsing propensity score matching, we estimate the average treatment effect of perceived social status decline on PTSD level, and we robustly regress the two with weight adjustment generated in matching. We found that more decline in perceived social status is associated with a worse degree of PTSD symptoms, and confirmed PVD’s buffering role although the mediating effect was not as high as hypothesized.Conclusion and implicationsOur study confirmed the decisive role of subject social status in health prediction compared to traditional socioeconomic measures, which extends the cognitive-relational in examining socioeconomic status and contributes to the dialog on socioeconomic inequality. We also suggested providing more social support at the community level and enhancing individuals’ positive understanding to protect mental health.
Antimicrobial Properties of Eco Enzyme: A Literature Review
Authors: Permatananda Pande Ayu Naya Kasih , I Gde Suranaya Pandit  , Putu Nita Cahyawati  , Anak Agung Sri Agung Aryastuti  
Published: July 2023

Background: In surgical medicine, the use of antimicrobials is very important. The use of antimicrobials or antibiotics is used at the time before surgery as prophylaxis, intraoperative, and postoperative. The prevention of some bacterial infections is imperative. The latest research is constantly evolving toward the use of antibiotics, which follows an increasingly resistant antibiotic trend. One of the advancements in the use of antimicrobials is eco enzymes.
Methods: The literatures reviewed in our study was gathered from PubMed and Google Scholar. The advanced search was conducted on PubMed with the keywords used ("Eco enzyme" AND "antimicrobial" AND "activity" OR "Antibiotics"; "Mechanism" OR "Nature"). The advanced search was also conducted on Google Scholar with all of the words "antimicrobial activity of eco enzyme". We reviewed the articles cited within the literature to broaden the search results.
Results: Some materials used as eco enzymes in this literature review include Carica papaya L., Annona muricata L., Azadirachta indica Cymbopogon winterianus, Ananas comosus, citrus aurantium, etc. Bioactive substances that play a role in microbacterial activity are flavonoids, tannins, saponins, pH, and lactic acids through mechanisms inhibiting nucleic acid synthesis, inhibit cell membrane function, inhibiting energy metabolism of bacteria, and cross-bacterial cell membranes because of the pH gradient, leading to the disruption of cellular metabolic activities of bacterias.
Conclusion: Eco enzymes have been shown to have antimicrobial abilities.
Los medios tecnológicos en el proceso de enseñanza y aprendizaje de los docentes y estudiantes de El Carmen
Authors: Ávila Ramírez Maritza Alexandra , Ávila Ramírez Pablo Edison , Mendoza Vera Alexandra Auxiliadora , Ávila Ramírez Jhonny Antonio 
Published: July 2023

El presente artículo, tuvo como objetivo analizar el uso de los medios tecnológicos en el desarrollo enseñanza-aprendizaje de los docentes y estudiantes de 5to AEB durante la emergencia sanitaria del covid-19, se utilizó los métodos analítico - sintético, inductivo-deductivo, enfocado en una investigación cuantitativa- cualitativa, además se aplicó un nivel de estudio de campo, el cual facilitó la recopilación de información más relevantes pertinente a la indagación. En la actualidad cada día se ha requerido y analizado como los medios tecnológicos influyeron en el desarrollo del proceso de enseñanza- aprendizaje, por ello se obtuvieron resultados extraídos de las encuestas y entrevista donde mencionaron que los medios tecnológicos-comunicación más utilizados fueron el Zoom, Microsoft Teams, WhatsApp, el internet, computador, el smartphone, tablets, siendo fundamentales para la comunicación entre el docente y estudiante, fomentando la facilidad en su utilización, ayudó a la búsqueda de información que se presentó en la pandemia durante el período 2020, por ende, las estrategias implementadas por parte de los docentes, permitieron que se obtengan resultados referente al rendimiento académico de los estudiantes, también detallaron que implementaron instrumentos metodológicos que evidenciaron el proceso educativo durante la emergencia sanitaria covid-19 entre ellas , las actas de calificaciones, registro de notas e informes
avanço das perversões
Authors: Eiguer Alberto 
Published: July 2023

O trabalho aborda alguns mitos sobre as perversões, contestando-os. Descreve as mudanças sofridas pela sociedade nos dias atuais e o quanto isso se relaciona com a perversão. Faz um parâmetro entre perversão e personalidade, classificando as perversões: aquelas que conseguem provocar empatia no analista por parecerem medidas desesperadas em pessoas que escolhem um atalho e as que estão vinculadas com a malignidade e a violência.
Afirma que muitas perversões têm como objetivo violar a inocência do outro, encarando isso como uma verdadeira missão. Aborda algumas conseqüências nas vítimas de pedófilos, as quais passarão o resto da vida buscando o porquê e o como.
Acentua uma característica entre os perversos que é a repulsa em relação ao seu inconsciente, substituindo a fantasia pela ação.
Conclui que a omissão dos pais atuais pode levar a falhas que favorecem a perversão em indivíduos predispostos. A dimensão narcísita das perversões estaria no centro do debate. O paciente luta para superar o sentimento de inexistência.
Impact of Climate Change on Surface Runoff for Myponga Reservoir Catchment in South Australia, Australia
Authors: Mulugeta Solomon , Hassanli Ali Morad 
Published: July 2023

Aims: This paper is aimed to assess the future impact of climate change on some selected climatic variables and on surface runoff from Myponga catchment, South Australia.
Methodology: The six global climate models recommended for South Australia were compared among each other based on their performance to simulate observed climates in the study area. The monthly average statistically downscaled evapotranspiration and rainfall data for the period 2000-2005 were compared with respective observed climate data, graphically and statistically. On the other hand, four hydrological models in Australian rainfall-runoff library (RRL) were evaluated and compared among each other based on their performance in simulating surface runoff in the study area. Then, two GCMS, CanESM2 and MIROC5, and one hydrological model, AWBM, were selected for their better performance and used for climate projections and for runoff simulation for both base period (1990-2005) and future period (2026-2035) under two emission scenarios (RCP 4.5 and RCP 8.5), respectively. Finally, the impacts of climate change were estimated by comparing the long year’s average values of the climate projections and simulated runoff in the base and the future periods for different percentile values (10th, 50th, and 99th) under the two emission scenarios.
Results: The result showed that compared to the base period (1990-2005), by 2030s (2026-2035), for both climate models, two emission scenarios, and all the percentiles, the average annual evapotranspiration would generally increase, but the average annual rainfall would decrease. The average annual runoff showed different patterns across the climate model and emission scenarios. But, on average, percentage changes across climate models show a rise in average annual runoff in the range from 3.72 to 5.47 % across percentiles for the intermediate scenario and decline in the range from 17.13 to 20.15 % across percentiles for the high emission scenario.
Conclusion: It is expected that by 2030 there would be no significant problem with respect to water availability, drought, and flooding at an annual time scale under the intermediate emission scenario but there would be drier conditions in the catchment relative to the base period under the high emission scenario.
Recommendation: Therefore, adaptation and mitigation measures should be identified and applied at national and state levels to minimize possible negative impacts in the Myponga reservoir catchment.
Trends in the Prevalence of Hepatitis C Infection During Pregnancy and Maternal-Infant Outcomes in the US, 1998 to 2018
Authors: Chen Po-Hung , Johnson Lauren , Limketkai Berkeley N. , Jusuf Emily , Sun Jing , Kim Brian , Price Jennifer C. , Woreta Tinsay A. 
Published: July 2023

ImportanceInjection drug use is the primary risk factor for hepatitis C virus (HCV) infection in adults. More than one-third of newly reported HCV cases occur in women, particularly among persons aged 20 to 39 years. However, nationally representative data on HCV during pregnancy are limited.ObjectiveTo estimate the temporal trend of HCV-positive pregnancies during the opioid epidemic and identify HCV-associated maternal and perinatal outcomes.Design, Setting, and ParticipantsA cross-sectional study was performed with data from the US, from calendar year 1998 through 2018. Data analysis was conducted from November 14, 2021, to May 14, 2023. Participants included women during in-hospital childbirth or spontaneous abortion in the National Inpatient Sample of the Healthcare Cost and Utilization Project.ExposureMaternal HCV infection.Main Outcomes and MeasuresThe main outcome was the temporal trend, measured as change in the annual prevalence, in the prevalence of HCV positivity among pregnant women since the start of the opioid epidemic in the late 1990s. Secondary outcomes were the associations shown as relative odds between maternal HCV infection and maternal and perinatal adverse events.ResultsDuring the study period, more than 70 million hospital admissions resulted in childbirth or spontaneous abortion. Among them, 137 259 (0.20%; 95% CI, 0.19%-0.21%) involved mothers with HCV; these individuals were more often White (77.4%; 95% CI, 76.1%-78.6%), low-income (40.0%; 95% CI, 38.6%-41.5%), and likely to have histories of tobacco (41.7%; 95% CI, 40.6%-42.9%), alcohol (1.8%; 95% CI, 1.6%-2.0%), and opioid (28.9%; 95% CI, 27.3%-30.6%) use compared with HCV-negative mothers. The median age of women with HCV was 28.0 (IQR, 24.3-32.2) years, and the median age of HCV-negative women was 27.2 (IQR, 22.7-31.8) years. The prevalence of HCV-positive pregnancies increased 16-fold during the study period, reaching 5.3 (95% CI, 4.9-5.7) cases per 1000 pregnancies in 2018. Age-specific prevalence increases ranged from 3-fold (age, 41-50 years) to 31-fold (age, 21-30 years). Higher odds of cesarean delivery, preterm labor, poor fetal growth, or fetal distress were associated with HCV-positivity during pregnancy. However, no significant differences were observed in gestational diabetes, preeclampsia, eclampsia, or stillbirths.Conclusions and RelevanceIn this cross-sectional study, the prevalence of HCV-positive pregnancies increased markedly, and maternal HCV infection was associated with increased risks for adverse perinatal outcomes. These data may support recent recommendations for universal HCV screening with each pregnancy.
Acoustic‐Modulated, Selective Particle Deposition for Muti‐Material Additive Manufacturing
Authors: Scott Michael , Bangel Arnold William , Song Xuan , Xie Yuliang 
Published: July 2023

AbstractPowder‐based additive manufacturing (AM) is an important technology in fabricating complex 3D products. In powder‐based AM, a powder deposition system plays a key role in determining the resolution, density, and properties of printed parts. An acoustic‐actuated particle deposition approach, which utilizes acoustic waves to actuate a glass nozzle, enables the deposition of particles in a cost‐effective way. However, the capability to programmably deposit different particles using acoustic waves has yet to be fully demonstrated. Herein, a selective particle deposition approach via acoustic modulation for muti‐material AM is demonstrated. Sequential and parallel depositions of two types of particles by modulating the signal inputs and resonant frequencies of piezo transducers are demonstrated. An AM process is demonstrated by integrating this acoustic‐actuated particle deposition approach with a heat‐curing mechanism. Several products from this system are produced as well. It is expected that this particle deposition approach can be used in a wide spectrum of applications, such as direct manufacturing of multi‐functional materials/devices.
Tunable Narrowband Carbon Quantum Dots Laser Based on Self‐Assembled Microstructure
Authors: Zhang Meng , Dai Hailang , Chen Xianfeng 
Published: July 2023

AbstractPhotonic integrated circuits (PICs) are coupled with the laser to create active devices for optical communication, optical interconnection, and optical computing. Consequently, the light source remains a focal point of extensive research and development. Currently, the utilization of carbon quantum dots as a gain medium in photonic cavity lasers is accomplished and suggested as a viable approach for achieving active PICs. Nevertheless, challenges persist in achieving narrowband lasing beam output in one direction that is real‐time tunable while minimizing energy losses. These issues represent an active area of ongoing research. This article presents a self‐assembled microstructure and proposes a method for obtaining tunable, narrowband, unidirectional lasing beams. The objective is to stimulate further development in integration of PICs with lasers, extending beyond these applications, to realize substantial performance gains, eco‐friendly solutions, and efficient mass production.
Epiphytic bryophyte and lichen transplant niches along an elevational gradient in Pacific Northwest coniferous forests
Authors: Mežaka Anna 
Published: July 2023

AbstractPremiseLittle is known about the ability of individual species to grow successfully outside of their realized niche. Here, the vitality of two epiphytic bryophyte and two epiphytic lichen species were assessed in their fundamental and realized niches in the Pacific Northwest coniferous forest at low, mid, and high elevations.MethodsTwo lowland epiphytic bryophyte species (Frullania nisquallensis, Neckera douglasii) and one lowland epiphytic lichen species (Usnea longissima) were transplanted to sites at mid and high elevations. One high‐elevation epiphytic lichen species (Hypogymnia rugosa) was transplanted to mid and low elevations.ResultsThe fundamental and realized niches of F. nisquallensis and U. longissima are similar, and they can both survive outside of their realized niches. For N. douglasii, dispersal limitations could shape its distribution along elevation and local microclimate conditions could be important for its vitality.ConclusionsCertain bryophyte and lichen species can survive outside of their realized niches, information that can contribute to knowledge about species niches along elevational gradients. Future studies should focus on cryptogam species interactions in a changing climate.
Characteristics of post‐stroke dysphagia: A retrospective study based on FEES
Authors: Sun Fang , Qiao Jia , Huang Xiaoyan , He Zitong , Dou Zulin 
Published: July 2023

AbstractObjectiveThis study aims to examine the characteristics of dysphagia in stroke patients with different lesion sites and explore the factors that impact the duration of nasogastric tube after post‐stroke dysphagia (PSD).MethodsPatients with PSD were screened for analysis. Stroke types and lesion sites were confirmed using MRI or CT scans. Included patients were categorized into two groups: supratentorial stroke group (including lobar and deep intracerebral stroke subgroups) and infratentorial stroke group (including brainstem and cerebellar stroke subgroups). Fiberoptic endoscopic evaluation of swallowing (FEES), Penetration‐aspiration scale (PAS), Yale pharyngeal residue (PR) severity rating scale, Functional oral intake scale (FOIS), Murray secretion severity rating scale (MSS), laryngopharyngeal sensation, and vocal fold mobility were investigated to assess the swallowing function.ResultsA total of 94 patients were included in the final analysis. Significant differences were found in PR scores (p < .001), PAS scores (p < .05), MSS scores (p < .05), and vocal fold mobility (p < .001) between infratentorial and supratentorial stroke groups. Moreover, lobar stroke showed significantly higher PR scores compared to the deep intracerebral stroke group (p < .05). Kaplan–Meier survival analysis indicated significant differences in the duration of nasogastric tube placement among the following groups: infratentorial versus supratentorial stroke, PAS ≤ 5 versus PAS > 5, PR ≥ 3 versus PR < 3, and normal vocal fold mobility versus vocal fold motion impairment group (p < .05).ConclusionsThe infratentorial stroke may lead to worse swallowing function as compared to a supratentorial stroke. Additionally, patients with infratentorial stroke, PAS > 5, PR ≥ 3, or vocal fold motion impairment may contribute to a longer duration of nasogastric tube placement.