bluuebunny/crossref_metadata_2025_split huggingface dataset:
Title	Understanding Intelligent Intermittent Auscultation
Authors: Feeley Claire 
Published: February 2023

ORCID id	Monitoring the fetal heart rate via intermittent auscultation (IA) during labour is a core midwifery skill and component of clinical practice. While it is not a diagnostic tool, i.e. it cannot predict future outcomes, it does guide clinical care and decision-making regarding the risk of fetal hypoxia.1 Fundamental to good IA is the understanding of fetal physiology, its changes throughout labour and signs of potential deterioration, and escalation if necessary.1 As such, IA requires skill to carry out; including abdominal palpation skills and competence in the use of Pinard stethoscopes and Doppler equipment. However, assessing the fetal heart is just one element of understanding fetal wellbeing during labour and birth; the skill involved also requires interpretation in light of the whole picture. Therefore, the mother-baby dyad together needs to be considered simultaneously i.e. maternal wellbeing, phase of labour, maternal position etc. IA for healthy women at low risk of complications should be the default method to assess fetal wellbeing.2 However, in recent years, an over-reliance on cardiotocography (CTG) may have contributed to a decline in midwives’ competence and confidence using IA.2 Moreover, international variations of how to carry out IA has created further implementation challenges.2
Análisis y Diseño de una propuesta de sistema integral de Gestión Empresarial basado en una arquitectura Cliente-Servidor.
Authors: Lituma Sarmiento Andrés Fernando , Vizñay Durán Jenny Karina 
Published: February 2023

El uso de los sistemas de gestión empresarial tiene gran relevancia en cuanto al manejo eficiente de información dentro de las empresas en la actualidad. El estudio empieza con el análisis del estado actual del sistema que expone ya no es recomendable tener un sistema que no está acorde a la vanguardia tecnológica y sobre todo que presente errores en su ejecución; en la fase de requerimientos se determina la necesidad de eliminar módulos como Media, Reportes, Proyectos debido a que pertenecen a procesos que ya no se usan, y la inserción de módulos como: Importación, Ofertas, Orden Compra, Cotización ya que han aparecido nuevos procesos y requerimientos empresariales; en la fase de análisis se diseñan los diagramas de actividades de los módulos principales: Clientes, Compras, Ventas, Almacén que muestran el flujo de actividades del usuario y del sistema; finalmente en la fase de diseño se diagrama el flujo de datos a través de un diagrama de clases.
Este modelado servirá como base al programador para desarrollar el nuevo sistema de gestión empresarial bajo una arquitectura cliente servidor ajustado a los nuevos procesos que maneja la empresa.
Rhizotomy and endoscopic discectomy for chronic low back pain and acute radiculopathy in a stiff-person syndrome - case report
Authors: De Araújo Tatiane Bacchi Gehlen Lenzi , De Araújo Jonas Lenzi , Morete Marcia , Rodrigues Fabiano de Abreu 
Published: February 2023

INTRODUCTION: Stiff Person Syndrome (SPS) is a rare neurological disorder, first described in 1956 by Moersch and Woltman. The clinical picture has an insidious onset of classic findings of episodic painful spasms, hyperreflexia, axial muscle stiffness, progressing slowly to the proximal limb muscles. Painful hyperlordosis due to lumbar spine stiffness is a diagnostic characteristic of SPS. CASE REPORT: Male, 69 years old, with SPS for 40 years, referred by the neurologist to the spine surgeon because of failure to conservative management of chronic low back pain, progressively acute leg and gait impairment. Physical examination is difficult to perform in SPS because it triggers spasms. MRI presented zygoapophyseal joint, intervertebral discs and muscle degeneration, including a L4L5 cranial migrated herniated disc. Once there were no other effective ways to manage his axial and radicular pain, it was decided to perform percutaneous transforaminal endoscopic discectomy for L4L5 decompression, L3 to S1 dorsal ganglion root medial branch ablative radiofrequency rhizotomy to relieve facet pain and L2 dorsal sensory ganglion pulsed radiofrequency rhizotomy for modulation of chronic low back pain. One year postoperative follow up, the patient has showed improvement in the VAS and SF-36. CONCLUSION: Chronic pain reported by a patient must be addressed in the biological, psychological and social dimensions. Understanding the multidimensionality of the factors involved with pain allows planning less aggressive and highly efficient strategies in uncommon and off label patients, as in the case of SPS.
BIPOLARIDADE X TRANSTORNO DISSOCIATIVO DE PERSONALIDADES MÚLTIPLAS: DIFERENÇAS ALÉM DA SEMÂNTICA
Authors: Dias Lopes Dr. Gabriel César 
Published: February 2023

Este artigo caracteriza e discute as diferenças entre a bipolaridade e o transtorno dissociativo de personalidades múltiplas: abordando-as como fatores de preocupação para a saúde pública por conta dos transtornos e prejuízos causados ao indivíduo e ao seu entorno e de sua etiologia que envolvem aspectos neuroquímlcos: cognitivos, psicológicos, funcionais, familiares e socioeconomicos, enfatizando a teoria de Vygotsky para ressaltar a importancia do fator emocional para o desenvolvimento dessas patologias.
Para tanto utilizou-se aqui a pesquisa bibliográfica enquanto metodologia dentro de uma abordagem qualitativa e descritiva; Foram usados os bancos de dados de revistas eletrônicas como Scielo: PubMed, Redalyc Considerase finalmente aqui sob o ponto de vista semântico e terapêutico o transtorno bipolar: em sua predisposição genética: considerando aqui os diversos fatores que podem alterá-lo ou agraváIo: sendo eles socioambientais: psicológicos, buscando ressaltar as formas de acompanhamento possíveis desde o medicamentoso até o psicanalítico, valorizando o aspecto do apoio familiar notadamente ftndamental para o paciente.
Gobernabilidad local en épocas de pandemia en la región San Martin
Authors: Rojas Brensy Graciela , Dávila Dr. Keller Sánchez 
Published: February 2023

La investigación se planteó como objetivo analizar los avances de la gobernabilidad local en épocas de pandemia en la Región San Martin. El artículo es de tipo básico, dogmática teórica; el diseño es la revisión sistemática, se seleccionaron 21 artículos los mismos que provienen de los buscadores virtuales: Google, Discover, ProQuest, EBSCO y Académico, como criterio de inclusión se consideró que estos no superen los 5 años de antigüedad y que hallen en inglés e español. Los estudios encontrados se encuentran organizados desde el contexto europeo, asiático, norteamericano y Latinoamericano. Siendo importante precisar que los estudios mencionados tienen correlación con el enfoque que las prioridades en torno al concepto de gobernabilidad local, el cual es concebido a la capacidad de gestión y resolución oportuna, eficiente y eficaz de temas de interés público, inmediatamente se hallan ámbitos comunes conceptuales con la propuesta de descentralizar el Estado. La desconexión entre los gobiernos locales y los funcionarios públicos dificulta satisfacer las necesidades y cumplir requerimientos de los servicios públicos, los esfuerzos integrales a través de la acción gubernamental y la gobernanza son esenciales para la cooperación. Los gobiernos locales durante la pandemia reiteraron la vulnerabilidad e insuficiencia de la gestión pública y estatal. Principalmente, se enfatiza la urgente necesidad de que los gobiernos locales y e instituciones conozcan las demandas de la sociedad, la pandemia también ha evidenciado el casi nulo valor de la gestión pública a la investigación y la innovación en áreas científicas, y sociales; situación que requiere invertir y prevención en equipamiento e infraestructura de los servicios en el sector de la salud en el país, desarrollar la planificación estratégica en base a información, la reconstrucción de la ciudadanía que colabore la generación y promoción de la gobernabilidad en base a la autoridad del poder político y la difusión de la información así como la comunicación de planes.
CONTABILIDADE GERENCIAL E SUAS FERRAMENTAS AUXILIANDO À GESTÃO EMPRESARIAL
Authors: Weisheimer Adroaldo José 
Published: February 2023

Os avanços tecnológicos resultantes da globalização, alterações nos cenários econômicos e a florescente competitividade entre as organizações são elementos para que as empresas estejam em contínuo crescimento. Assim, a evolução da profissão contábil já nas últimas duas décadas determinou alterações significativas como esses profissionais poderão executar suas finalidades diante de perspectivas futuras. O contador vai ser o profissional que gerencia a vida financeira da empresa, proporcionando informações fundamentais e assim colaborando na tomada de decisões. Para tornar-se um suporte preciso para tomada de decisões, a contabilidade gerencial precisa se aliar às informações igualmente fiéis à realidade da organização, pois elas são consumidas por usuários, tanto na rede interna quanto externa de stakeholders, como fundamento para análises de cunho administrativo.
Gestión por procesos e imagen institucional: en busca de mayor visibilidad municipal para los ciudadanos
Authors: Ordoñez Mercedes Vílchez , Dávila Dr. Keller Sánchez 
Published: February 2023

La investigación se planteó con el fin de determinar la gestión por procesos e imagen institucional: en busca de mayor visibilidad municipal para los ciudadanos cuyo propósito fue contribuir a mejorar la imagen institucional mediante la gestión de procesos administrativos en el desarrollo local, planteando mejoras en las conclusiones. La investigación fue básica, no experimental, descriptiva ya que se desarrolló una revisión sistemática de las variables a nivel nacional e internacional. El alcance de la revisión se hizo a través de la información de artículos científicos y resúmenes claros, precisos de diferentes autores y se trabajó con fuentes notables de los últimos tres años, referentes a los procesos de gestión e imagen institucional. Entre los resultados, las operaciones se deben concentrar en el control de ingresos, costos-gastos, activos, corrientes-efectivo y pasivos, usando tecnologías autónomas, las mismas que con su debida capacitación favorezcan los controles de los objetivos estratégicos. La ejecución de la gestión por procesos viabiliza la participación de todos los empleados ya que busca la eficiencia total y favorece para lograr una visión integral de los órganos centrales del poder público. Asimismo, la imagen corporativa es considerada para que los consumidores extrínsecos establezcan que los usuarios interpreten el conjunto de características de productos, bienes y comunicaciones formuladas por la marca. Concluyendo, los procesos de gestión y de realización de soluciones integrales se gestionan de manera sistémica para contribuir de forma integrada y sostenida a los resultados, lo que permitirá adaptarse continuamente a los cambios del mercado y el entorno. Además, la comunicación corporativa favorece al desarrollo institucional y solicita de una planificación, que enlace acciones iniciadas en cada área o sector de la empresa.
CIRCUITO NEURAL DO MEDO
Authors: Sanches Flávio , Agrela Rodrigues Fabiano de Abreu 
Published: February 2023

Esforços têm sido feitos no sentido de identificar os circuitos neurais recrutados na organização das reações defensivas a estas condições aversivas. Evidências associam os sistemas cerebrais de defesa ao conceito de medo-stress-ansiedade. A amígdala e o hipotálamo medial podem funcionar como uma espécie de interface comutando os estímulos para os substratos neurais apropriados para elaboração das respostas defensivas condicionadas ou incondicionadas.
Mineral and Vitamin Composition of Plain and Turmeric Enriched Hibiscus sabdariffa Drink
Authors: Okudu H. O. , Okudu P. C. , Nwanagb N. , Brow D. E. 
Published: February 2023

The study aimed at producing and analyzing the micronutrient composition of plain and turmeric enriched Hibiscus sabdariffa drink. Plain Hibiscus sabdariffa drink (sample A) was produced using dried rosella calyces (125g) and water (1500ml) while turmeric enriched Hibiscus sabdariffa drink (sample B) was produced using dried rosella calyces (125g), water (1500ml) and turmeric (100g). The extracts were allowed to cool at ambient temperature (29oC) for 2 hr in clean bowls. The filtrate was then used for the chemical analysis. The minerals were determined using wet-acid digestion method as described by AOAC and vitamins were determination using spectrophotometric and titration methods respectively. Means and standard deviation were calculated and means were compared using student-T test. Calcium (103.81mg/100g), phosphorus (190.59mg/100g), sodium (21.10mg/100g), iron (13.18mg/100g), zinc (3.35mg/100g) and copper (630µg/100g) were significantly higher in turmeric enriched Hibiscus sabdariffa drink, while phosphorus (105.79mg/100g) was significantly higher in plain Hibiscus sabdariffa drink. Thiamin content (0.16mg/100g) of turmeric enriched Hibiscus sabdariffa was not significantly different from thiamin value (0.15mg/100g) obtained for plain Hibiscus sabdariffa drink. Niacin (0.86mg/100g) and β-carotene (108.85µg100g) were however significantly (p>0.05) higher in turmeric enriched Hibiscus sabdariffa drink. Incorporating turmeric in Hibiscus sabdariffa drink production has been shown to increase the micronutrients composition of Hibiscus sabdariffa drink, particularly key nutrients such as iron, zinc and β-carotene (pro-vitamin A) that are critical for proper body functioning and development.
Analisis Penggunaan Energi pada Usaha Mikro, Kecil, dan Menengah (UMKM)
Authors: Supriatno Supriatno 
Published: February 2023

Energi listrik merupakan kebutuhan esensial bagi manusia untuk menjalankan segala jenis usaha baik usaha mikro, kecil, menengah dan besar. Usaha untuk menggunakan energi listrik secara efisien merupakan tindakan yang bijaksana. Penelitian ini bertujuan untuk menganalisis penggunaan energi listrik pada sebuah bangunan yang digunakan untuk kegiatan usaha mikro. Penelitian dilakukan dengan cara mengumpulkan dan primer dan data skunder pada bangunan yang diobservasi. Cakupan data penelitian meliputi luas ruangan, penggunaan energi listrik, tingkat pencahayaan, temperatur dan kelembaban udara. Hasil pengolahan data dibandingkan dengan data standar yang termuat dalam peraturan mentri energi dan sumber daya mineral no 13 tahun 2012 . Hasil penelitian menunjukkan hanya satu ruangan pada bangunan masuk dalam kriteria boros. Tingkat pencahayaan memiliki perbedaan antara 18% sampai dengan 79% dibawah standar. Kelembaban udara pada ruangan yang di lengkapi air conditioning sudah memenuhi standar, sedangkan temperatur ruangannya masih lebih besar dari temperatur standar.
Platón de Atenas: vida e ideas principales
Authors: Morla Rafael 
Published: February 2023

Platón de Atenas, sin discusión uno de los grandes maestros de Occidente, y probablemente el verdadero fundador de la filosofía. Sus ideas encontraron eco en sus discípulos, sobre todo Aristóteles, que pese a haber formado una nueva escuela, y haber externado algún juicio crítico, fue un gran platónico. La influencia de Platón se siente a lo largo de la Edad Media y de la Modernidad, y aún la filosofía contemporánea se ve compelida a volver sobre sus pasos, a fin situar correctamente sus temas y problemas.
Imbuido de un sentimiento de respeto por la obra de Platón, visité la mayoría de sus diálogos, y consulté parte de la recepción hecha a la obra platónica, a fin forjarme una idea lo más acabada posible de la vida, la obra y las ideas de filósofo ateniense, discípulo de Sócrates, que legó a Occidente el primer gran sistema filosófico. He aquí el resultado que lo juzguen los lectores.
Kulturalisering og generalisering
Authors: Kaspersen Peter , Felsager Bjørn 
Published: February 2023

Et af de vigtigste mål i gymnasieundervisningen i Danmark er at alle fag i perioder skal medvirke i en række interdisciplinære undervisningsforløb og derigennem bidrage til at eleverne udvikler en moderne dannelse på tværs af fag- og fakultetsgrænser. Det kræver at man kan identificere et dannelsesbegreb i alle fag, ikke kun i humaniora. Af styredokumenterne fremgår det at en sådan moderne dannelse er knyttet til en kombination af personlig myndighed og refleksiv videnskabelighed, eller endda et vist kendskab til videnskabsteori. En af erfaringerne er imidlertid at skolens to største fag, matematik og modersmål, ofte kun har en hjælpefunktion i det faglige samspil som henholdsvis et regne- og et skrivefag. Denne artikel beskriver og analyserer et interventionsforskningsprojekt, Kognition og Uendelighed, som blev gennemført i en række danske 1.g.-klasser hvor matematik og danskfagets litteraturdel indgik som de eneste fag. Målet var at undersøge om man kan overvinde det svælg som eksisterer mellem de to fag. Kan matematikundervisningen gøres mere kulturelt kontekstuel, og litteraturundervisningen mere kognitivt begrebslig? Midlet var en fælles begrebsbrug hentet fra den kognitive semantik, og et fælles emne, uendelighed, som samtidig er et vigtigt matematisk begreb. Konklusionen på artiklen er at det viste sig vanskeligt og ressourcekrævende at etablere et nyt dannelsesgrundlag. Det kræver mere forskning, udvikling af læremidler, kompetenceudvikling af lærerne og gennemførelse af flere udviklingsforløb. Men man kunne bevæge sig et stykke. Det fælles grundlag der blev etableret, bestod særligt i en fælles udvikling af elevernes repræsentationskompetence og i kombinationen af elevcentreret og begrebsstyret læring og didaktik i begge fag.
Longitudinal Assessment of Physical Fitness of Students from the University of Defence in the Czech Republic
Authors: Puda Dominik 
Published: February 2023

Objectives: Cardiorespiratory fitness demands are placed on students of all military schools. The bachelors study programmes usually include subjects which requires the high level of physical fitness. The study aims to give a comprehensive account of the level of physical fitness of selected military school.
Design: Comparing of results of the physical activity tests were used in this study.
Methods: The sample consisted of bachelor´s students of University of Defence between the academic year 2008/2009 and 2015/2016. The total number of participated students in our study depends of academic year and number of tested students (men from 102 to 111; women from 76 to 84). A male group (mean ± SD: 19.91 ± 0.29 years, 182.8 ± 7.2 cm, 82.9 ± 10.9 kg) performed all physical activity tests (12 min running, push-ups, sit-ups, pull-up on the crossbar, running the 100 m and throwing a hand grenade). A women group (mean ± SD: 19.36 ± 1.23 years, 171.8 ± 7.2 cm, 66.9 ± 8.7 kg) performed physical activity tests (12 min running, sit-ups, running the 100 m and throwing a hand grenade).
Results: It has been found that study programme which includes physical activity subjects (>7 hours per week) is highly effective because we did not observe statistical significance decrease of values in selected physical tests.
Conclusions: Summing up the results, it can be concluded good physical readiness and preparation for military duty in students of University of Defence in Czech Republic.
Mapping the Needs of Different Groups of Athletes of the City of Zagreb and the Republic of Croatia During Crisis Situations (Covid – 19 and Earthquake) – Athlete Perspective
Authors: Topolovec Anja 
Published: February 2023

This paper was created as part of the project "Trešnjevka Wrestlers for Civil Society Sports Organizations (SOCD) in Crisis Situations." with a specific ambition - to pursue improving the capacity of civil society organizations to respond to the needs of the local community in crisis situations. For this purpose and as one of the project activities, the mapping of the needs of different groups of athletes and sports workers of the City of Zagreb and the Republic of Croatia during the crises of Covid – 19 and the earthquake is carried out. This research used a qualitative approach that includes focus group pre-research. To ensure broad coverage of the researched topic and for the purpose of heterogeneity, research deliberately focused on 17 different groups of sport. The structure of pre-research participants who were selected intentionally from 17 sports resulted in a total of 17 athletes. All respondents are athletes and adults who have consented to participate in the survey. Qualitative research was conducted through pre-questionnaires and semi-structured interviews and the survey was guided from February to April 2022. Each athlete belonging to a defined sports community (club or federation) was examined separately. Respondents were introduced to the aim of the research and general questions asked and were also informed about the confidentiality of the answers. Collected data materials were processed by comparative analysis. Alternate observation of the responses, similarities and differences among them, and according to the superior aspect of the research (improving the capacity of civil society organizations to provide an effective response to the needs of the local community in crisis situations) along with the intensity of life quality for athletes managing sport during the pandemic, led to the following question: What needs have been identified by different groups of athletes of the City of Zagreb and the Republic of Croatia during crises (Covid - 19 and earthquakes)? The most frequent declarations are associated with impaired training continuity or suspension of training due to epidemiological measures and earthquake-damaged infrastructure, cancellation of the competitions and a decrease in motivation.
Keywords: occurrences, crisis situations, athletes, needs assessment, quality of life
Impact of Whole-Body Electromyostimulation and Resistance Training on the Level of Functional Fitness in Elderly Women
Authors: Vaculíková Pavlína , Paclíková Adéla , Kotková Michaela , Struhár Ivan , Balousová Dominika Nancy , Rozsypal Robin 
Published: February 2023

ABSTRACT
Objective: This study aimed to investigate the effect of whole-body electromyostimulation (WB-EMS) and resistance training (RT) on the level of functional fitness in a group of elderly women.
Participants: 63 women (60-65 years) were randomly divided into 2 experimental groups (19 in WB-EMS, 22 in RT) and one control group (22 women). Both experimental groups underwent a ten-week lasting interventional program, the control group was asked to maintain their usual daily regimen and lifestyle.
Methods: Senior fitness test battery (SFT) determined the level of functional fitness in participants, and the dual-energy X-ray absorptiometry (DXA) assessed the body composition.
Results: The RT group reported a statistically significant difference between pre-and post-test in values of the Chair Stand test (p = 0.04), 8 Foot up and Go (p = 0.03), in the Back Scratch test left side (p = 0.02) and the Chair Sit and Reach test right side (p = 0.05). The WB-EMS interventional program had a positive statistically significant effect only the on level of flexibility of the lower limbs measured by the Chair Sit and Reach test left side (p = 0.05).
Conclusions: The results of all individual components of functional fitness measured by SFT in both experimental groups (WB-EMS, RT) show an improving tendency. Comparing WB-EMS and RT groups, better results were confirmed in the RT group.
Study limitations: Extending the length of intervention programs could have a more significant effect on the level of functional fitness in elderly women.
Keywords: ageing, functional fitness, Senior fitness test, DXA, resistance training, WB-EMS