bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Generación de preguntas aleatorias del tipo opción múltiple calculada con Moodle, para evaluar tópicos del tema Vectores, en un primer curso de física”
Authors: Vicente Viteri Valle Victor 
Published: November 2022

El tema de la generación de preguntas aleatorias del tipo “Opción Múltiple Calculada” para la evaluación automática de los conocimientos en el área de Vectores, dentro de un curso de Física sería de importancia, no solamente para aliviar la carga del docente que imparte estos temas, sino también para los alumnos acepten el hecho que serán evaluados de manera personalizada, semejante, justa y de entre un determinado conjunto de ejercicios que establezca el docente por considerarlos pertinentes para el tiempo y lugar de los alumnos. La herramienta de gestión de los aprendizajes (LMS) con la que contamos en la Institución de Educación Superior en la que prestamos nuestros servicios como docentes es el Moodle. Este artículo lo vamos a centrar en el proceso de creación de este tipo de preguntas. Dentro de las asignaturas de las llamadas ciencias exactas, la posibilidad de que el LMS genere automáticamente un gran número de ejercicios y de que sean asignados aleatoriamente a los estudiantes, para que, en la medida que lo determine el profesor, le toque a cada alumno un conjunto de problemas “tipo” distintos, y al estar programado en el LMS, este califica al cuestionario en lugar del docente. En este artículo vamos a poner en consideración de la audiencia las preguntas que el LMS Moodle llama “Calculada Opción Múltiple”, puesto que los estudiantes están acostumbrados a las preguntas del tipo opción múltiple. Pero por experiencia ya se habrán dado cuenta el esfuerzo que se requiere para dotar a una prueba con el número suficiente de opciones, además que no es muy confiable el reutilizar estas mismas preguntas en alguna prueba englobadora como un parcial o un examen final.
Therapeutic Potential of Euphorbia fusiformis buch. -ham. Ex. D. Don
Authors: Verma Neetu  , Mishra H.S  , Ram Milan  , Ojha S.K  
Published: November 2022

Nature has gifted widest range of plant diversity to India for the welfare of mankind. Plants have been utilized for various purposes by the human beings since the time immemorial. Plants have been the basic source for therapeutic preparation in the indigenous system of medicine, the Ayurveda. With the recent changes in the life style of human being, over exploitation of natural resources has put a large number of plant species to the verge of extinction. Euphorbia fusiformis Buch. -Ham. ex D. Don (Euphorbiaceae), botanical source for the classical drug Adhoguda is one among plant species threatened with the extinction (endangered). It is a plant having potential pharmacological properties and actions. Traditionally, tribal communities have been using this plant in ethnomedicine to treat headache, arthritis, gout, paralysis, diarrhoea, abdominal diseases, abdominal tumour, liver disorders, urinary stones, chronic wounds, cracks, skin disease, eczema and poor lactation, scorpion and snake bites and plant latex as an antidote.
E. fusiformis is reported to possess variety of pharmacological activities like antioxidant, antifungal, diuretic, anti-inflammatory, antibacterial, hepatoprotective, antinociceptive and galactagogue. Also, the plant has been evaluated for its use in female infertility. Present paper is an attempt to review therapeutic potential of this underexplored drug E. fusiformis.
Effect of Shuddha Guggulu on Metabolic Syndrome - A Case Report
Authors: Mamata Bhagwat  , Shrilatha Kamath T  
Published: November 2022

Metabolic syndrome is conglomeration of symptoms composed of impaired fasting glucose, abdominal obesity, hypertension and dyslipidemia. It is associated with cardio metabolic risk factors with increased risk of multiple chronic diseases, including cancer and cardiovascular disease because of the increased amount of visceral fat together with a chronic inflammatory state.
Metabolic Syndrome is resulted by the causative factors which are Santarpanakaraka in nature leading to Medodushti, which in turn leads to Medoroga. The Santarpana karaka Nidanas include the food articles that are rich in Snigdhamsha, Madhura rasa, Guru and Pichchila gunas. By consuming the food rich in such qualities produces the Rasa dhatu which is excessively composed of the qualities like Ati Snehamsha and Madhuratara Guna which produces excess Medo dhatu and causes Sthoulya. Ama present in the Medodhatu leads to further Medo dushti and manifests Metabolic Syndrome.
Shuddha Guggulu is potent Ama pachaka dravya and does Pachana of the circulating Atisnigdha Ama in the form of lipoproteins. And also Guggulu having Lekhaneeya Guna reduces deposition of Medo dhatu and prevents inflammatory process by its anti- inflammatory potential. Aim: To assess the effect of Shuddha Guggulu in Metabolic Syndrome, dyslipidaemia. Methodology: Oral administration of the preparation in the patient. Result: There was marked improvement in signs, symptoms and biochemical parameters after intervention. Conclusion: Shuddha Guggulu is significantly effective in reducing lipid levels and CRP
A Review of the use of Rational and Quality Antibiotics in a Nigerian Tertiary Institution
Authors: Asogwa I C , Chiojioke-Nwauche I , Otuku E I , Ekwunife O I 
Published: November 2022

Purpose: The study reviewed the use of rational and quality antibiotics at the Federal Medical Centre, Yenagoa, Bayelsa State. Three objectives and three research questions were drafted for the study, respectively.
Methodology: The study used a retrospective descriptive survey that lasted four months. The study relied on secondary data, which was gathered from the folders of 583 patients. From January 1, 2019 to April 30, 2019, all patients with complete information admitted to medical, surgical, and paediatric wards, as well as obstetrics and gynaecology wards, had their folders reviewed. A self-developed checklist was used to assess critical aspects of antibiotic utilisation and the use of generic names in antibiotic prescribing, a self-developed checklist was used. The data collected were collated, coded and analysed using descriptive statistics of frequency, percentage, charts, and tables.
Findings: The findings showed that out of the total folders (n=583) reviewed, the socio-demographic information showed that majority of the patients (42.2%) who received prescribed antibiotics were adult female. On the age category, out of the total folders (n=583) reviewed, majority of the folders (114) showed that those within the ages of 21-30 years represents over 19.0%. The antibiotics prescribed from the four (4) different departments showed that 26.7% of antibiotics were prescribed and utilized in medical wards. The level of compliance with some standard practices, shows that pneumonia test conducted, was highest in surgery ward, this represents 82.8%, the sensitivity test conducted, was highest in paediatric ward (46.4%). Out of the total antibiotics prescribed (n=1164), generic names were used for 59.6% cases, while 73.2% of the antibiotic prescribed were in the EDL authorised list. The results revealed that cephalosporins were the most commonly prescribed class of antibiotics, 384 (34%) followed by the nitroimidazoles 346 (29.7%) and penicillin’s 138 (11.9%). Inappropriate antibiotic prescription was found to be 58.7% among the total prescribed antibiotics (n=1164). Based on the results and findings in the study, it is safe to conclude that the majority of antibiotics utilised were over prescribed, with high inappropriate use. The lack of generic use in antibiotic prescriptions and the overuse of antibiotics remain a problem in tertiary hospitals across Nigeria.
Recommendation: This study recommend that prescriptions should be prescribed with slips duly signed by a doctor and approved by a pharmacist before the administration of such drugs. Also, all public hospitals in Nigeria should develop local treatment guidelines using national and international policy guidelines for local infectious disease.
Occupational Health Problems Among Tobacco Processing Factory Workers, at Kheda District Gujarat: A Cross Sectional Study
Authors: Jinal Patel  , Rahul Parmar  , Heena Solanki  , Bhumi Pando  , Fiza Vohra  , Prachi Patel  , Kailash Nagar  , Virendra Jain  
Published: November 2022

Background: Tobacco use is a major public health problem globally. According to the World Health Organization (WHO), tobacco is the second most important cause of death in the world. It is currently estimated to be responsible for about 5 million deaths each year worldwide. In India, it is responsible for over 8 lakh deaths every year. Tobacco use is one of the most important preventable causes of disease and death globally.Aims of study: To determine the occupational health hazard of tobacco workers.Objectives:1. To explore the various types of occupational health hazards among factory workers.2. To determine the occupational health problems among tobacco factory workers.Methodology: The researcher has adopted quantitative non experimental research approach. A cross-sectional study was carried among 50 tobacco factory workers in Kheda District Gujarat. The tobacco factory workers who fulfil the inclusion criteria were selected as a sample for the study and sample size was 50, Non-Probability purposive sampling technique was used. The data was collected using a questionnaire and performing a clinical examination. The questionnaire gathered information on demographic factors and adverse habits of the study subjects. The subjects were clinically examined to assess their respiratory health status using lungs function test. Prevalence of tobacco chewing and/or bidi and cigarette smoking, and their socio-demographic correlates, were examined. Collected data were analysed using SPSS statistics software.Results: Majority of the workers in the tobacco factory had tobacco chewing habits (44%) than smoking (2%) and alcohol drinking (38%). Majority of the workers in the tobacco factory workers belongs to 19-25 years (34%), regards to gender(68%) were male, regards to educational status (60%) were illiterate, Monthly income in rupees (56%) has 5000-10000 INR. Majority of workers had normal BMI (72%). Due to working in the tobacco factory (34%) have respiratory problem tachypnoea. (84%) of workers were having cough problem. (32%) of workers are having Runny and Stiffy nose. (42%) of workers are having Itching in eyes. (44%) of workers are having Skin rash.
Conclusion: The study attempted to assess the health problems among tobacco factory workers. Study result revealed that tobacco factory hazard had a great effect on the tobacco workers, so it should be halted/minimized at an acceptable level. The “Tobacco Control Law” in the country should be enforced strictly so that the owner of the factory maintain healthy environment for the workers to prevent or reduce the occupational health hazards at an acceptable level.
LACTATO E SEUS EFEITOS METABÓLICOS: REVISÃO
Authors: Brogi Pederiva Luis Felipe , Oliveira de Souza Lucas , Silva Fernandes Ana Luiza , Faria Sanches Nicolas Adriano , Pupin Silvério Alessandra Cristina , Tavares Marcelo Rodrigo 
Published: November 2022

Introdução: O lactato é uma molécula proveniente do metabolismo anaeróbico,cuja atuação atinge diversas vias metabólicas,como; Ativação dos genes Zif268 e ARC, responsáveis pela neuroplasticidade;Neuroproteção, pois o lactato atua como uma via alternativa para a produção de ATP no sistema nervoso e evita uma excitotoxicidade por glutamato,decorrente do excesso de sinapses;Estimulação da memória e do aprendizado,devido ao favorecimento do fator neurotrófico BDNF;Biogênes mitocondrial,favorecendo o desempenho no exercício resistido. Objetivo:Procurar na literatura os mais recentes artigos que evidenciam as atuações do lactato no organismo.Metodologia:Trata-se de uma revisão integrativa de literatura.As buscas foram feitas nas seguintes bases de dados: PubMed, Science Direct. Critérios de inclusão: período de publicação 2017-2022, somente ensaios clínicos, meta análises, ensaios clínicos randomizados e revisões. Os dados foram analisados a partir da verificação do conteúdo com o tema.Resultado:Foi observado que o lactato possui uma atuação expressiva no estímulo dos genes Zif268 ,ARC,responsáveis pela neuroplasticidade,e BDNF, relacionado à memória e como fator neurotrófico.Essa observação, por sua vez, foi realizada experimentalmente na utilização de ratos. A neuroproteção foi relatada em pessoas após o exercício físico através da chegada do lactato nos neurônios por meio do Mct1 e Mct3 e exaltando sua função de suprimento energético e proteção contra excitotoxicidade. Observou-se um aumento de desempenho nos exercícios resistidos por meio da biogênese mitocondrial. Conclusão: As vias do lactato mostraram-se eficiêntes na promoção da neuroplasticidade,neuroproteção,memória,aprendizado e desempenho físico.
How Occupational Therapists Assess and Address the Occupational Domain of Sleep: A Survey Study
Authors: Ludwig Rebecca , Eakman Aaron , Bath-Scheel Carrie , Siengsukon Catherine 
Published: November 2022

Abstract
Importance: Sleep is a foundational occupation in the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), yet little is known about how occupational therapists assess and address sleep in practice.
Objective: To survey practicing occupational therapists’ comfort with their level of knowledge about sleep, how they are assessing and addressing sleep in clinical practice, and the amount of sleep-related education they have received.
Design: Cross-sectional survey study.
Setting: Electronic survey.
Participants: Practicing occupational therapists were invited to participate in November 2020. Survey invitations were sent via email targeting occupational therapists serving as clinical instructors.
Outcomes and Measures: The survey consisted of 41 items assessing comfort with sleep knowledge, occupation of sleep, and sleep education received. This survey was modified from a previous survey and tailored to the occupational therapy profession.
Results: A total of 169 occupational therapists completed the survey. Most (87%) agreed that sleep was an occupation, but only 44% evaluated their clients’ sleep, and 30% established treatment goals pertaining to sleep. In addition, 66% reported not receiving education about sleep in their entry-level occupational therapy program, and 78% reported receiving no continuing education about sleep in the past 2 yr. Most (92%) reported that occupational therapists should be better prepared to evaluate and treat sleep after graduation.
Conclusions and Relevance: Most occupational therapists identified sleep as an area of occupation but had limited knowledge of how to assess and address sleep in practice. Entry-level occupational therapy education programs must enhance sleep-related curricula, and continuing education programs tailored to sleep issues within occupational therapists’ practice are needed.
What This Article Adds: The results of this study indicate gaps in occupational therapists’ knowledge regarding how best to assess and treat sleep problems. We offer next steps to improve the profession’s capacity to address the occupation of sleep.
ClotChip Portable Blood Clotting Sensor
Authors: Khangura Sara D. , McGill Sarah C. 
Published: November 2022

Horizon Scan reports provide brief summaries of information regarding new and emerging health technologies; Health Technology Update reports typically focus on a single device or intervention. This Horizon Scan summarizes the available information regarding an emerging technology, ClotChip, for the identification of blood clotting defects.
ClotChip is intended for use at the point of care and uses novel, low-cost technology to perform a rapid assessment of the blood's clotting ability.
Early evidence has demonstrated the feasibility and utility of ClotChip, which could benefit patients with a variety of bleeding disorders and could potentially save time for health care professionals.
The response of diazotrophs to nutrient amendment in the South China Sea and western North Pacific
Authors: Wen Zuozhu , Browning Thomas J. , Dai Rongbo , Wu Wenwei , Li Weiying , Hu Xiaohua , Lin Wenfang , Wang Lifang , Liu Xin , Cao Zhimian , Hong Haizheng , Shi Dalin 
Published: November 2022

Abstract. The availability of iron (Fe) and phosphorus (P) has been shown
to be a key factor regulating rates of nitrogen fixation in the western
subtropical Pacific. However, the relative importance of Fe and P at finer spatial
scales between the northern South China Sea (NSCS) and the western boundary
of the North Pacific is poorly constrained. Furthermore, nutrient limitation
of specific diazotroph types has not yet been assessed. Here we investigated
these unknowns by (i) carrying out measurements of finer-scale spatial
variabilities in N2 fixation rates and diazotroph nifH gene abundances
throughout these regions and (ii) conducting eight additional Fe and
phosphate addition bioassay experiments where both changes in N2
fixation rates and the nifH gene abundances of specific diazotrophs were
measured. Overall, nitrogen fixation rates and nifH gene abundances were lower
in the NSCS than around the Luzon Strait and the western North Pacific. The
nutrient addition bioassay experiments demonstrated that N2 fixation
rates in the central NSCS were co-limited by Fe and P, whereas at the
western boundary of the North Pacific they were P-limited. Changes in the
abundances of nifH in response to nutrient addition varied in how well they
correlated with changes in N2 fixation rates, and in six out of eight
experiments the largest responses in nifH gene abundances were dominated by
either Trichodesmium or UCYN-B (unicellular diazotrophic cyanobacteria group B). In general, nutrient addition had a relatively restricted
impact on the composition of the six phylotypes that we surveyed apart from
on UCYN-B. This unicellular cyanobacterium group showed increased
contribution to the total nifH gene abundance following P addition at sites
where N2 fixation rates were P-limited. Our study provides
comprehensive evidence of nutrient controls on N2 fixation biogeography
in the margin of the western North Pacific. Future research that more
accurately constrains nutrient supply rates to this region would be
beneficial for resolving what controls diazotroph community structure.
Nghiên cứu mối liên quan giữa tình trạng dinh dưỡng với một số đặc điểm lâm sàng, cận lâm sàng ở bệnh đột quỵ não cấp có rối loạn nuốt
Authors: Thế Vinh Nguyễn 
Published: November 2022

Mục tiêu: Mô tả mối liên quan giữa tình trạng suy dinh dưỡng với một số đặc điểm lâm sàng và cận lâm sàng ở bệnh nhân đột quỵ não cấp có rối loạn nuốt. Đối tượng và phương pháp: Nghiên cứu mô tả, cắt ngang gồm 76 bệnh nhân đột quỵ não cấp có rối loạn nuốt tại Khoa Đột quỵ Bệnh viện Trung ương Quân đội 108 từ tháng 12/2019 đến tháng 12/2020. Kết quả và kết luận: Tuổi trung bình là 64,36 ±12,93 tuổi, nam giới chiếm tỷ lệ đa số (75%). Nhóm Bệnh nhân nhẹ cân (BMI < 18,5), cao tuổi (> 80 tuổi) có nguy cơ SDD lớn hơn so với các nhóm bệnh nhân khác, sự khác biệt này có ý nghĩa thống kê với p=0,04. Không có sự khác biệt về tình trạng dinh dưỡng tính theo các chỉ số SGA, BMI và các chỉ số cận lâm sàng (HGB, protein, albumin) ở các thể đột quỵ nhồi máu não. Các bệnh nhân có tình trạng rối loạn nuốt vừa và nặng có nguy cơ cao tiến triển suy dinh dưỡng mức độ nặng.
Bước đầu xây dựng bộ công cụ đo lường năng lực giáo dục sức khỏe của điều dưỡng
Authors: Đức Hạnh Đào 
Published: November 2022

Mục tiêu: Xây dựng và kiểm định giá trị nội dung của bộ công cụ ban đầu đo lường năng lực giáo dục sức khỏe của điều dưỡng làm việc tại bệnh viện. Đối tượng và phương pháp: Khảo sát các tài liệu hiện hành xây dựng danh mục ban đầu, xin ý kiến 09 chuyên gia bao gồm giảng viên điều dưỡng, điều dưỡng lâm sàng, nhà quản lý điều dưỡng. Tiến hành theo 2 bước: Bước 1. Xác định khái niệm, cấu trúc khung năng lực, xây dựng danh mục ban đầu. Bước 2. Kiểm định giá trị nội dung danh mục ban đầu qua xin ý kiến các chuyên gia đánh giá theo chỉ số CVI. Kết quả: 1) Xây dựng được danh mục ban đầu của bộ công cụ đo lường năng lực giáo dục sức khỏe với tổng số 53 tiểu mục trên 3 lĩnh vực: kiến thức (17 tiểu mục), kỹ năng (28 tiểu mục), thái độ (8 tiểu mục). 2) Kiểm định giá trị nội dung qua xin ý kiến chuyên gia cho thấy: 3 lĩnh vực đạt mức chấp nhận được với chỉ số S-CVI/Ave trong khoảng 0,93 đến 0,97; 51 tiểu mục đạt mức chấp nhận được (với chỉ số I-CVI ≥ 0,78) hình thành bộ công cụ ban đầu. Kết luận: Bộ công cụ ban đầu đo lường năng lực giáo dục sức khỏe của điều dưỡng gồm 51 tiểu mục đảm bảo giá trị nội dung, có thể sử dụng để tiếp tục thực hiện kiểm định giá trị cấu trúc và độ tin cậy.
Pengaruh Intensitas Cahaya dan Kemiringan Panel Terhadap Koefisien Laju Konveksi pada Pemanas Air Tenaga Surya
Authors: Prasetyo Dimas Guunawan , Okta Rian M. Ramdan , Kidam Moh. Fakhri Athalah , Fatria Fatria , Hajar Ibnu , Effendy Sahrul , Erlinawati Erlinawati , Rusnadi Irawan 
Published: November 2022

Indonesia sebagai salah satu negara dengan posisi geografis berada di garis khatulistiwa, membuat indonesia mendapatkan sinar matahari sepanjang tahun. Konsumsi energi di Indonesia yang meningkat dan penggunaan sumber energinya yang dapat diperbaharui belum dimanfaatkan secara optimal, maka dari itu sinar matahari sebagai energi yang terbarukan dan ramah lingkungan digunakan sebagai media pemanas air bertenaga surya. Alat pemanas air tenaga surya merupakan alat untuk memanaskan air dengan memanfaatkan sumber energi matahari melalui panel kolektor. Dengan tingginya intensitas radiasi yang diperoleh yaitu sebesar 93000 Lux alat kolektor mampu menyerap panas dengan lebih banyak sehingga menghasilkan temperatur yang paling tinggi yaitu 64°C. Intensitas Cahaya yang tinggi akan memberikan panas yang lebih maksimal pada proses pemanasan air dalam pipa kolektor dengan optimal. Pada sudut 25° dengan naiknya kemiringan dapat membuat perpindahan panas pada air lebih baik sehingga mampu menghasilkan temperatur air output tertinggi sebesar 64°C karena pada sudut 25° performa alat akan naik sehingga air yang lebih panas pada kolektor lebih mudah untuk mencapai tangki karena massa jenis air yang berada dibagian permukaan lebih mudah untuk bergerak naik.