bluuebunny/crossref_metadata_2025 huggingface dataset:
Brasil: Fundos de aval como mecanismos de garantia para micro, pequenas e medias empresas
Authors: Braga Kesia , Slivnik Andrej , Carvalho Flávia , Netto Maria , Cavazzoni Lima Rafael , Pereira Porto Rodrigo
Published: January 2023

Este trabalho investiga a atuaço dos fundos de aval no Brasil para viabilizar o acesso ao crédito das micro, pequenas e médias empresas (MPMEs), com destaque para o uso das garantias como instrumento anticíclico em resposta aos efeitos da crise da Covid-19. A análise desenvolvida com base nos estatutos e regulamentos, dados de desempenho e de liçes aprendidas dos principais fundos garantidores nacionais, especialmente o Fundo Garantidor de Investimentos (FGI), administrado pelo Banco Nacional de Desenvolvimento Econmico e Social (BNDES), e o Fundo de Garantia de Operaçes (FGO), administrado pelo Banco do Brasil, o Fundo de Aval às Micro e Pequenas Empresas (FAMPE), gerido pelo Serviço Brasileiro de Apoio às Micro e Pequenas Empresas (Sebrae), e os programas garantidores criados na crise da Covid-19, o Programa Emergencial de Acesso a Crédito (FGI PEAC) e o Programa Nacional de Apoio às Microempresas e Empresas de Pequeno Porte (FGO Pronampe). O estudo argumenta que os fundos analisados viabilizaram o acesso ao financiamento por empresas que estariam impedidas pela falta de garantias. Além disso, identifica na saúde financeira dos próprios fundos o elemento fundamental para a sua eficácia, pois ela reflete a capacidade de honrar suas garantias e, consequentemente, afeta a confiança dos agentes financeiros e sua disposiço para fornecer crédito às empresas.
Do Private Universities Achieve Financial Sustainability as a Result of Transformational Leadership
Authors: Handayani Erna , Sholihin Mahfud , Pratolo Suryo , Rahmawati Alni
Published: January 2023

Against the backdrop of financial turbulence at the start of the COVID-19 pandemic, this study examines the role of transformational leadership in leading private universities in Indonesia to achieve good financial sustainability. This study is the latest study that combines the indirect relationship of transformational leadership and financial sustainability using the mediation of accountability and transparency as part of good university governance. The study used a closed survey of 381 respondents in the financial sector from private universities in 10 provinces in Indonesia. Data processing and analysis using SPSS with various stages for an analysis endurance test. The results show that transformational leadership does not directly affect financial sustainability but through transparency and accountability. Another accepted hypothesis discusses the relationship of transformational leadership to the transparency and accountability of higher education institutions. The last accepted hypothesis is the direct relationship of the transparency variable to the financial sustainability and the accountability variable to the financial sustainability of private universities in Indonesia. Theoretical and practical recommendations are discussed densely in the discussion of this research.
Impact of Digital Farming on Sustainable Development and Planning in Agriculture and Increasing the Competitiveness of the Agricultural Business
Authors: Kashina Evgeniia , Yanovskaya Galina , Fedotkina Elena , Tesalovsky Andrey , Vetrova Ekaterina , Shaimerdenova Aigul , Aitkazina Madina
Published: January 2023

To develop agriculture, it is crucial to introduce digital farming. This is a fundamentally new management strategy based on digital technologies associated with the use of geographic information systems of global positioning, onboard computers, and smart equipment, as well as managerial and executive processes that can differentiate the methods of farming, fertilization, and adding chemical ameliorants and plant protection products. The study aims at determining the applied aspects and key components within a system of digital farming as a tool for the sustainable development of the agricultural business. The authors chose a mixed type of research, with a predominance of qualitative research methods. In particular, to collect data, the authors analyzed scientific sources on the research problem and conducted an expert survey measuring the degree of consistency of expert opinions with mathematical processing of the results obtained. It was determined that in Russia, it is necessary to consistently introduce the use of digital farming. This includes the introduction of parallel stirring, the ability to turn off the sections of the seeder on the floors, the re-equipment of crop protection sprayers to turn off the sections on the floors, and the acquisition of new equipment for differentiated fertilization. The authors conclude that the introduction of digital farming by agricultural producers is a tool for sustainable development and planning in agriculture and increasing the competitiveness of the agricultural business since it increases the economic (increased yields, reduced crop losses, increased land bank efficiency), environmental (production in risky farming areas), and social (increasing the level of personnel qualification and social standards) efficiency of their activities.
Model of Sustainable Drinking Water Governance at Tirta Kualo Regional Drinking Water Corporate in Tanjungbalai City, Indonesia
Authors: Lubis Ruri Prihatini , Subhilhar  , Harahap Ramadhan Hamdani , Zuska Fikarwin
Published: January 2023

Tirta Kualo is the only regional drinking water corporate (herein after PDAM Tirta Kualo) that provides drinking water to the people of Tanjungbalai city, which has yet to be able to serve the entire community. The purpose of this study was to determine the potential availability of the Silau river, to meet the water needs of the people, to know the condition of drinking water supply governance of PDAM Tirta Kualo, and to design a model of sustainable drinking water governance at PDAM Tirta Kualo, Tanjungbalai city. A mixed method approach was used in this study. The population was customers of PDAM Tirta Kualo who have been domiciled in Tanjungbalai city for more than 10 years. The analysis shows that based on the area of Tanjungbalai city around 60.62 km2 with population 169.367 inhabitants and coverage services of PDAM Tirta Kualo in 2019 was only 68.86%. The projection of drinking water supply demand for each house connection in the next 5 years, assumed to be 2% increase, is an average of 14.79 liters/second. The condition of drinking water supply governance in PDAM Tirta Kualo is still low, and it is proven that there are still many issues in all working units. The design of a sustainable water supply governance model in PDAM Tirta Kualo refers to the regional spatial plan of Tanjungbalai city year 2013 until 2033.
Historical Perspective of Acehnese Women's Leadership Transformation as a Source of History Learning
Authors: Djono  , Sutiyah  , Zulfikar Fachri
Published: January 2023

Acehnese women's leadership is an interesting topic to discuss because of the strong Islamic law in Aceh. There have been several transformations in Acehnese women's leadership so it has become a topic of discussion and debate among the Acehnese people. This research aims to (1) describe the transformation of Acehnese leadership from a historical perspective and (2) describe the leadership of Acehnese women as a source of historical learning. This study is qualitative research with a historical method. The main source of this research is an article that contains the transformation of Acehnese women's leadership. The stages of this research are heuristics, verification or criticism, interpretation, and historiography. This study resulted in two findings. First, there have been several transformations of Acehnese women's leadership, including Laksamana Malahayati, Cut Nyak Dhien, and Cut Nyak Meutia. Second, Acehnese women's leadership as a source of historical learning includes the values of assertiveness, courage, and integrity as important points for the realization of student character. This research is a reference for teachers in fulfilling historical learning and for future researchers in conducting research about the transformation of Acehnese women's leadership.
The Contribution of the Tourism Sector to the Regional Spatial Economy During the COVID-19 Pandemic
Authors: Liyushiana  , Sibarani Robert , Purwoko Agus , Emrizal
Published: January 2023

The COVID-19 pandemic is causing significant global changes, and one of the most affected sectors is the tourism industry. Therefore, this study aimed at determining the impacts of the pandemic on tourism by comparing the spatial economic classification before and during the pandemic using four analyses, namely the regional Klassen Typology, sector approach, the Location Quotient (LQ), and Shift-Share Analysis. The processed information is secondary data from the Central Statistical Agency of Karo Regency and North Sumatra Province, Indonesia. This area is one of the mainstay areas of the national economy and part of the Lake Toba Super Priority Destination. The obtained results showed that the tourism sector was classified among the fast-growing and uncompetitive sectors before the pandemic. However, during the crisis, it became a slow-growing and competitive sector.
Reshaping Future Architecture Approaches Using Shipping Containers: Student Housing as a Case Study
Authors: Faragallah Riham Nady , Barakat Pakinam Nabil
Published: January 2023

Pandemic diseases spread globally causing psychological and physical destruction to people in the whole world. COVID-19 is one of these diseases that started in the twentieth century and affected different nations in terms of economical, educational, cultural, safety, health and other aspects. Residential spaces have become dramatically important to control these types of pandemics as it is considered an environment that meets the needs of the residents throughout the quarantine period. The paper aims at reshaping future architecture approaches that can be applied during the design concept, construction and operation phases of residential units. These approaches are concluded with regard to space design, building materials such as prefabricated shipping containers, thermal comfort and self-sufficiency. The researchers fetch the reasons of contrast between the spread of shipping containers from one side and its un-usage from the other side. Moreover, all future implementations will be reviewed to apply the most benefits of containers. The paper is an attempt to explore the uses of prefabricated shipping containers to create architectural spaces that has higher standards of safety towards diseases and it also serves several functions and human activities not only on the scale of an individual building but also on a larger scale (students housing). It presents a future solution for a building or a group of buildings which are structurally stable, healthy and environmentally friendly.
Public Interest Development in Indonesia: Considerations Regarding Land Acquisition and Its Impact on the Environment
Authors: Muhtadi  , Kurniati Nia , Prawira Indra , Somawijaya
Published: January 2023

The Bener Dam in Purworejo Regency is an unpleasant portrayal of the government's and local government's abilities to develop for the public good in response to the public interest development challenge. If the environmental implications of development are not taken into account, the local ecosystem will be negatively affected. This study employed both a statutory and conceptual approach to normative jurisprudential law research. According to Article 33, paragraph 3 of the Indonesian Constitution of 1945, "Earth, water, and natural resources contained therein are controlled by the state and used for the greatest prosperity of the people," Earth, water, and natural resources contained therein are used for the greatest prosperity of the people. This is the essential principle underlying development that serves the public interest, including the construction of public highways, toll roads, railroads, drinking/clean water lines, sewers, sanitation, and reservoirs. This pertains to every one of these initiatives. Even while environmental sustainability is an essential component of public-interest development, it is equally essential to consider the political, economic, and sociocultural factors that influence the environmental sustainability of a project.
A Study on the Contribution of Saudi Citizens Towards Sustainable Development Goals in the Attainment of Environmental Sustainability
Authors: Khan Uzma
Published: January 2023

This research measures Saudis' environmental awareness. A survey questionnaire that was sent out electronically across the Kingdom has 21 Likert scale questions, ranging from "strongly disagree" to "strongly agree," and nine "yes" or "no" questions about activities that are good for the environment. The first part of the questionnaire used binary logistic regression, demographics, and component analysis to test possible hypotheses. All nine statements utilized for Structural Equation Modelling (SEM) in the last section were significant. The factor analysis found three. One of these characteristics revealed a significant gender response, showing that women are more open to and responsive to environmental awareness activities than men. Those who took an environmental course were 1.304 times more ecologically aware than those who did not (factor 2). Participating in campus activities makes 1.449 people more environmentally conscious. This study shows the importance of teaching males about the environment to make it more sustainable.
Achieving Sustainability in Smart Cities & Its Impact on Citizen
Authors: Naguib Ingy M. , Ragheb Sondosse A.
Published: January 2023

Life became digitalized and smartly controlled that requiring more energy usage. Smart cities and urbanization focus on the challenge of worldwide urbanization through the recognition of opportunities to integrate social, physical, environmental and technological infrastructure. Urbanization expands the need of all services including water, power, transportation, as well as other facilities. All those infrastructures should be delivered to citizen within a short period of time with very well controlled systems to provide more simple and comfortable life. Furthermore, stakeholders and citizens should be responsible and cooperative with government and organizations in order to achieve better solution for smart sustainable living approach. Although the smart urbanization has the potential to become a positive transformative force for every aspect of sustainable development in cities, there is a lack of knowledge using the smart and sustainable concepts in cities. Therefore, this paper aims to propose a framework which merges the sustainable aspects with the Smart city components. The paper started by an analytical study about smart cities fields and their needs, then a study for sustainability aspects, all this end with a framework tested by a questionnaire to propose guidelines and recommendations to be followed by city planners in order to achieve sustainability goals in smart cities for better impact on citizens.
Millennials as Cross-Cutting Interpreters on Village's Tourism Development Policy in Lampung Province
Authors: Kagungan Dian , Hartoyo Hartoyo , Sutiyoso Bambang Utoyo , Meutia Intan Fitri
Published: January 2023

Millennials play an essential role in exploring the potential of tourist villages. The purpose of this study is to elaborate on the role of millennials as cross-cutting interpreters. Millennials, as cross-cutting interpreters, are representatives of all tourism stakeholders, both internally and externally, such as tourists, local governments, and private parties (investors). Millennials also have a role as the interpreter group because they are easy to accept. The reason is that modernity domination that offers camouflage in the consumerism life frame blinds the millennials. Thus, the level of confidence in self-actualization with local cultural wisdom decreases due to global capitalism. This research method is descriptive with a qualitative approach. The data are collected through interviews and FGD with key informants relevant to this research study. The result of this research is that the Rigis Jaya and Kelawi Village millennial generation, who are members of the Minang Rua Bahari tourism groups, is a component of village institutions that needs to be embraced by all relevant parties. An effort to collaborate with the millennial generation to equalize opinions and raise tourism development requires commitment from all village components. This effort provides an understanding that the millennial generation is part of the "producer" in developing tourist villages and is aware of the importance of tourist villages in their living environment as a shared responsibility.
Examination of the Relationship between Giftedness and ADHD Symptoms during Educational Processes
Authors: Sahmurov Aida , Aylak Ugur , Bedirhanbeyoglu Hesna , Gulen Isıl Okan
Published: January 2023

When compared to their peers, gifted children have more advanced skills in terms of intelligence, creativity, and leadership. Those gifted children need to be supported by special programs that will improve their skills. When the relevant literature is analyzed, it is seen that several symptoms of gifted children are also the symptoms of the children who have Attention Deficit Disorder with Hyperactivity (ADHD). Thus, the possibility of occurrence of confusion between these two during the diagnosis is indicated. Still, there are some findings which show that a child who has ADHD can be a gifted child; and yet children having ADHD would not use their talents in an efficient way. For this reason, they need to be supported with special services. From this standpoint, the aim of this study is to determine the gifted students and revealing the relation between mentioned talents and ADHD. In connection with this, during the research on high school students, The Multiple Intelligences Developmental Assessment Scale is used for determination of the superior talents; and to determine whether the students have any symptoms of ADHD or not Wender Utah Rating Scale is used. The data collected from the analysis suggested that there is a connection between mathematical intelligence and ADHD symptoms. Keywords: Gifted Children, ADHD, Education, Mathematical Intelligence, Multiple Intelligence
Failed Induction of Labor and Associated Factors Among Women Who Undergone Induction of Labor in Jimma Medical Center, Ethiopia: A Hospital-Based Cross-Sectional Study
Authors: Kitaba Kebenesa Angasu , Hussein Hanan Osman , Gadisa Tariku Bekela , Gonfa Mosisa Ebisa
Published: January 2023

BACKGROUND

Although induction of labor is intended to achieve a safe vaginal delivery, its process is not always successful. Failed induction of labor leads to an increased risk of complication for both mother and fetus. Thus, this study aimed to assess the proportion of failed induction of labor and associated factors among women who undergone induction of labor from September 1, 2019 to August 31, 2020 in Jimma Medical Center (JMC), southwest Ethiopia.

METHODS

A hospital-based retrospective cross-sectional study was conducted on 243 charts of women who had induction of labor in JMC selected by a simple random sampling method from January 10 to 30, 2021. The collected data were entered into Epi-data version 4.2 and analyzed by SPSS version 23. Bivariate and multivariable logistic regression analyses were done to test the association. Adjusted odds ratio at 95% confidence interval (CI) andP-value <.05 was used to ascertain statistical significance.

RESULTS

The proportion of failed induction of labor in JMC was 16.9%. Maternal age ≥ 30 years (AOR 7.57; 95%CI = 2.88, 19.9) at (P-value = .000), elective induction (AOR .39; 95% CI = .16, .98) at (P-value = .045), and unfavorable bishop score (AOR 6.94; 95%CI = 2.35, 20.4) at (P-value = .000) were factors statistically significantly associated with failed induction of labor.

CONCLUSIONS

The proportion of failed induction of labor was relatively low in the study area. Advanced maternal age, elective induction, and unfavorable bishop score were associated with failed induction of labor. Thus, the hospital should strictly follow the protocol for induction of labor, and candidates of emergency induction of labor should be counseled thoroughly so as to be well prepared psychologically for the labor thereby reducing the risk of failed induction.
My Story: The Transforming Power of Birth
Authors: Goer Henci
Published: January 2023

In this column Henci Goer shares the stories of her two births and how those births shaped her life’s work. With her first birth she believed that her caregivers knew better than she what was right for her. During the birth she was ignored. She was left feeling distressed and diminished. Her second birth was dramatically different. She was an active participant, listened to, respected and part of decision-making. She highlights that no matter how difficult the birth, whether things go as planned or not, the joy, the pride, the satisfaction with birth comes with being listened to, respected, and part of decision-making. This birth story is an excerpt from Henci Goer’s recent publication, Labor Pain: What’s Your Best Strategy? (2022).
Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ+) Health Education in Primary Care Graduate Medical Education Programs: A National Survey of Program Directors
Authors: Bunting Samuel R. , Goetz Teddy G. , Gabrani Aayush , Blansky Brad , Marr Mollie , Sanchez Nelson F.
Published: January 2023

Lesbian, gay, bisexual, transgender, queer, and other sexual and/or gender minority (LGBTQ+) people experience numerous health disparities. Graduate medical education (GME) programs need curricula to address these disparities. We sought to characterize curricula related to LGBTQ+ health in primary care specialty (internal medicine, combined internal medicine/pediatrics, family medicine, pediatrics, and geriatric medicine) GME, and to identify barriers experienced by program directors (PDs) in incorporating LGBTQ+ curriculum. We conducted a national survey study of PDs in August–October 2020 via Qualtrics. Overall, 292 of 1,571 eligible PDs responded (18.6%). Nearly a third of PDs (n= 96%; 32.9%) indicated that their program did not include any didactic training about LGBTQ+ health. Those who did indicated a mean of 5.4–5.7 hours in each year from PGY1-3 dedicated to LGBTQ+ health. Didactic and clinical training about LGBTQ+ health was overwhelmingly focused on content related to sexual health. PDs who indicated they had ‘out’ faculty were more likely to include didactic and clinical training on multiple aspects of LGBTQ+ health. Our results identify a significant gap and a need for the integration of LGBTQ+ content into primary care GME curricula with additional focus placed on domains associated with known mental and physical health disparities, beyond sexual health, and inclusion of transgender and gender diverse health needs. Programs may aim to accomplish this through recruitment of LGBTQ+ health educators, invitations to content experts in the field, and adaptation of existing resources to teach about LGBTQ+ health.
Sexual Function and Sexual Satisfaction Following Gender-Affirming Genital Surgery: A Scoping Review
Authors: Sampson Amani , Kimberly Laura L. , Quinn Gwendolyn P. , Hoggans Reese , Sutter Megan E.
Published: January 2023

Historically, outcome measures for gender-affirming genital surgery have focused on medical and surgical outcomes, with limited attention to patients’ reports of post-surgical sexual function and sexual satisfaction. The aim of this scoping review was to assess the published literature on patients’ sexual function and sexual satisfaction following gender affirming genital surgery, identifying gaps in the evidence base and potential areas of focus for future research efforts. Our sample included English-language studies published in the past 20 years addressing measures of sexual health, sexual function, and/or sexual well-being for individuals who underwent gender affirming genital surgery. Systematic reviews, meta-analyses, and other forms of reviews were excluded. The final sample consisted of ten articles. All studies addressed sexual function through assessment of ability to orgasm. Overall, transgender women who underwent vaginoplasty and were sexually active post-operatively described improved sexual function after surgery. In one study, transgender men showed moderate improvement of sexual function while another indicated reduced sexual function compared to transgender men treated with hormones only. Prospective research is needed to improve understanding of patients’ values, goals and expectations for sexual function and sexual satisfaction following surgery, and to inform the development of validated outcomes measures.
Determining Factors of Psychosocial Wellbeing Among People With Disabilities During the COVID-19 Pandemic: Mediating Role of Social Support
Authors: Sung Connie , Okyere Christiana , Fisher Marisa H. , Park Jiyoon , Kammes Rebecca R.
Published: January 2023

This study aimed to understand how the COVID-19 pandemic impacted the stress levels and life satisfaction of individuals with disabilities and what role social support plays in mitigating these impacts. Data from individuals with disabilities (n= 600) were extracted from a larger international cross-sectional survey study. Regression analyses were conducted to examine how personal and environmental factors contributed to stress levels and life satisfaction changes during the pandemic. Mediation analyses were used to test whether social support mediated the association between stress level and life satisfaction. The negative impact of the pandemic, having a psychiatric disability, being a female, and being younger significantly predicted stress levels. Moreover, the negative impact of the pandemic and stress levels significantly predicted life satisfaction. The relationship between stress levels and life satisfaction was mediated by social support from significant others and friends. There is an urgent need to provide training and education for healthcare professionals, families, and caregivers on the basic aspects of mental health care, developing time-limited and culturally-sensitive mental health interventions, and strategies for expanding the social support system for the population. Broad dissemination of effective therapeutic strategies is crucial in mitigating the negative psychosocial impact of the pandemic.
Career Transitions Caused by Chronic Illness: A Career Construction Perspective
Authors: Hill Julie C. , Stokes Lindsey E. , Higgins Kristin K.
Published: January 2023

Purpose:People living with chronic illness face significant challenges with employment. This study explores the impact of participating in the Career Construction Interview (CCI) on the career exploration of individuals facing a forced career transition due to the onset or exacerbation of a chronic illness.

Method:An instrumental multiple case study design was used in this qualitative study. A purposeful, homogeneous sample of three female adults was used to gain multiple perspective of forced career transitions. The participants were within 2 years of their diagnosis or exacerbation of one or more chronic health conditions and had to change their career because of the impact of their condition(s).

Results:Eight open codes and five axial codes were discovered through the process of constant comparative analysis. For this study one open code (CCI experience) and five axial codes will be discussed.

Conclusions:This study found patterns related to chronic illness and career and that the Career Construction Interview was helpful to the participants in assisting them with making decisions about potential careers and options for employment. Implications for rehabilitation counseling practice and suggestions for future research.
Impact of COVID-19 on People With Aphasia: Emerging Rehabilitation Needs
Authors: Sandberg Chaleece W. , Niemkiewicz Joanne K. , Kubat Anne Marie , Conyers Liza M.
Published: January 2023

Purpose:The purpose of this article is to address an emerging issue in rehabilitation counseling: The effect of the COVID-19 pandemic on people with aphasia (PWA).

Method:Based upon a review of the literature this article provides an overview of (a) COVID-19 and emergent aphasia-related disability, (b) COVID-19 effects on stroke and aphasia services, (c) COVID-19 effects on mental health and employment of PWA.

Results:This review of the impact of COVID-19 on PWA highlights the increased and emerging needs for rehabilitation counseling services related to an anticipated increase in incidence of aphasia related to COVID-19 illness and secondary impact of medical care for this population.

Conclusion:The impact of COVID-19 on aphasia care in rehabilitation settings underscores the need for increased interprofessional education and collaboration to address the many gaps in aphasia care. Likewise, interdisciplinary research focused on rehabilitation outcomes in aphasia is needed to provide a foundation for evidence-based practice that conforms to the WHO-ICF framework.
Efficacy of a Health Belief Model-Based Intervention for Anticoagulant Adherence in Patients With Atrial Fibrillation: A Randomized Controlled Trial
Authors: Chen Pei-Ti , Hsieh Ming-Hsiung , Shih-Chang Ko , Wang Tsae-Jyy
Published: January 2023

Background: Evidence supports anticoagulants' efficacy in reducing the risk of stroke in patients with atrial fibrillation. However, poor anticoagulant adherence increases the risks of stroke and bleeding.Aim: The study aims to test the efficacy of a health belief model-based intervention for improving the primary outcome, adherence to anticoagulant therapy, and the secondary outcomes, knowledge, beliefs, and self-efficacy of anticoagulant therapy.Methods: The study is a parallel randomized trial with a 1:1 allocation ratio. A convenience sample of 72 patients treated with anticoagulants for atrial fibrillation was recruited from cardiology clinics in Taiwan. They were randomly assigned to either the control or intervention groups. The health belief model-based intervention comprises a 60-minute individual face-to-face instruction and six follow-up telephone calls. A blinded outcome assessor collected self-report data from both groups at baseline (T1), 12th week (T2), and 24th week (T3).Results: A generalized estimating equation showed significant group-by-time interaction effects on both adherence to and knowledge of anticoagulant therapy. The intervention group showed significantly greater improvements in adherence (ß = -1.25, 95% CI: -2.46 to -0.04) and knowledge (ß = 17.93, 95% CI: 4.63–31.23) across the three time points than the control group did. However, there was no significant between-group difference in self-efficacy, perceived benefit, or perceived barriers to adherence.Conclusion: The study results support the intervention's efficacy on improving adherence to and knowledge of anticoagulant therapy among patients with atrial fibrillation, but no effect on other essential concepts health belief model.
Consideraciones Teórico Jurídicas Sobre La Auditoría Ambiental Y La Necesidad De Su Regulación En El Ordenamiento Jurídico Cubano
Authors: Sol Alfredo Soler del , López Jorge Luis Varona
Published: January 2023

“El reconocimiento de la auditoría ambiental como instrumento de la gestión ambiental en el ordenamiento jurídico cubano favorecerá el cumplimiento de la responsabilidad social empresarial en correspondencia con los requerimientos de la protección del medio ambiente en Cuba” es la hipótesis que se valida con la investigación que desarrolla los siguientes objetivos: analizar la auditoría ambiental, así como su regulación en el ordenamiento legal cubano desde un enfoque histórico-jurídico y doctrinal; y fundamentar la necesidad de su ordenación jurídica como instrumento de gestión del ambiente. La metodología se basó en una revisión de diferentes fuentes doctrinales y normativas con un enfoque analítico-sintético y en la exégesis de las normas vigentes. Partimos del estudio teórico de la Responsabilidad Social Empresarial; y de la auditoría ambiental y sus antecedentes en el ordenamiento jurídico patrio para fundamentar la necesidad de su regulación como instrumento de la gestión ambiental en función del desarrollo de empresas socialmente responsables. También, se establecen bases teórico jurídicas para una propuesta de regulación de este instituto, más que, como una acción de control, como una herramienta de gestión del ambiente. Como resultado se logra una fundamentación de la necesidad de reconocer la auditoría ambiental en el ordenamiento jurídico cubano como instrumento de gestión indispensable para el cumplimiento de la responsabilidad social de los diferentes actores económicos bajo la estricta observancia de la política y normativas protectoras del medio ambiente.
As Terras Indígenas, a Proteção nos Termos da Constituição Vigente e Normas Infraconstitucionais, sua Demarcação e o Embate na Exploração Destas
Authors: Lima João Batista Guimarães de , Oliveira Joveny Sebastião Cândido de
Published: January 2023

A Constituição Federal/1988, como em nenhuma outra, protege os índios, assim como em normas infraconstitucionais. Nos termos da CF/1988, é competência privativa da União legislar sobre populações indígenas. Outrossim, o texto constitucional reconhece aos índios à organização social, costumes, línguas, crenças e tradições e às terras que tradicionalmente ocupam, competindo à União demarcá-las, proteger e fazer respeitar todos os seus bens.

A Constituição Federal diz em seu art. 231 que, são terras tradicionalmente ocupadas pelos índios as por eles habitadas em caráter permanente, as utilizadas para suas atividades produtivas, as imprescindíveis à preservação dos recursos ambientais necessários ao bem-estar e as necessárias à sua reprodução física e cultural, segundo seus usos, costumes e tradições. Tais terras, cabe-lhes o usufruto exclusivo das riquezas do solo, dos rios e dos lagos nelas existentes. Tais terras, que constituem patrimônio da União, são inalienáveis e indisponíveis, e os direitos sobre elas, imprescritíveis. O aproveitamento dos recursos hídricos, incluídos os potenciais energéticos, a pesquisa e a lavra das riquezas minerais em terras indígenas, só pode ser efetivado com autorização do Congresso Nacional.
Derechos y creencias en las disputas en torno a la educación sexual integral en Argentina
Authors: Romero Guillermo
Published: January 2023

El objetivo de esta ponencia es reconstruir y analizar las repercusiones suscitadas en una escuela secundaria de la ciudad de La Plata a partir de una serie de actos realizados por grupos “provida” en 2018 con el fin de oponerse a la implementación de la educación Sexual Integral (ESI). A partir de un conjunto de entrevistas realizadas con algunos de los actores intervinientes, del análisis de documentos institucionales y de distintas fuentes secundarias (como artículos periodísticos, publicaciones en redes sociales digitales e imágenes fotográficas y audiovisuales producidas a través de dispositivos de telefonía móvil), el trabajo procura, por un lado, recuperar las mediaciones situadas que inscriben estos eventos en una trama institucional específica. Por otro lado, se propone analizar este conflicto en el marco de un proceso más amplio de politización de género, reactivado en 2018 por la discusión en el Congreso Nacional de un proyecto que proponía la legalización de la interrupción voluntaria del embarazo y por la irrupción en el espacio público del movimiento Con mis hijos no te metas en Argentina.
Entre setas e demônios
Authors: Pereira Réia Silvia , Mesquita Wania Amélia Belchior
Published: January 2023

O trabalho aborda as relações entre pentecostais e narcotraficantes em uma favela situada em Campos dos Goytacazes, no norte do estado do Rio de Janeiro, Brasil. Marcada pela violência cotidiana, pelo encarceramento de moradores e pela insegurança alimentar, no território, o domínio da facção narcotraficante Terceiro Comando Puro (TCP) impede a existência de outras expressões religiosas, sobretudo a umbanda. As igrejas pentecostais ocupam pequenos espaços, com cerimônias ruidosas, de linguagem beligerante e de significativa exaltação corporal e emocional. No trabalho, argumentamos que as denominações pentecostais da favela compõem uma face de uma religiosidade, na qual destacam-se a performance guerreira e o senso de sobrenatural que se imiscui no cotidiano, conformando uma possibilidade de tornar habitável o cotidiano da exceção constante. Como aporte teórico, apresentamos à discussão as possibilidades analíticas da antropologia do cristianismo, vertente de estudos que, em sentido amplo, preocupa-se em compreender as distintas noções entre transcendente e imanente.
The banquet of the gods is a mess
Authors: Van de Port Mattijs
Published: January 2023

Como as imagens fazem você pensar sobre a religião? This question was send to me by Rodrigo Toniol, organizer of the Jornadas sobre Alternativas Religiosas na América Latina in Rio de Janeiro, and was to be at the heart of a public dialogue with my colleague Hugo José Suárez. The rather general formulation of the question could obviously lead us into a whole lot of different directions: how are one’s thoughts provoked by saintly statues, byzantine mosaics, buddhist mandalas, Islamic calligraphy? How to understand the materiality of religion? Or how to understand religious prohibitions of making images? Yet I immediately took up Rodrigo’s question as an invitation to reflect on my move from being an anthropologist who writes about religion to an anthropologist who films religion. Not in the least because camera-based research and image making was the immediate common ground with Hugo.
Editorial
Authors: Ceriani Cernadas César , Gutiérrez Zúñiga Cristina , Almeida Ronaldo de
Published: January 2023

La realización de las Jornadas de Alternativas Religiosas en América Latina ha sido la actividad más importante y dinámica de la asociación para la comunicación y discusión de investigaciones a lo largo de nuestra historia. Durante el 8 y 13 de agosto de este año, se llevaron en Río de Janeiro las XX Jornadas. El evento constituyó un umbral de reapertura a las actividades presenciales después de las limitaciones impuestas por la pandemia, hecho que potenció nuestros intereses en compartir, celebrar y aprovechar nuevamente nuestro encuentro. Las Jornadas reunieron a más de 300 investigadores/as del campo de estudios latinoamericanos en ciencias sociales de la religión, en un nutrido programa de actividades que incluyeron una conferencia de apertura, 3 paneles, 11 coloquios, 12 mesas redondas, 32 grupos de trabajo, la edición del II Foro de Editores y el Diálogo con autoras/es.
Analysis of Teacher Assessment on the Effectiveness Of Problem-Based Learning in Improving Student Learning Outcomes at MA Putri Al-Ishlahuddin Kediri Lombok Barat
Authors: Bahari Lalu Pradipta Jaya , Asyari Akhmad , Nurjannah Nurjannah
Published: January 2023

Physics is a subject that has a relatively small number of enthusiasts—caused by the factors that influence student achievement in learning physics, which are considered less attractive or do not significantly impact learning outcomes. This study aimed to determine the effectiveness of the Problem-Based Learning (PBL) learning model on student performance in improving psychomotor aspects and student learning outcomes in physics lessons. The method used in this research is descriptive quantitative with the sampling technique using simple random sampling. The data collection technique uses a questionnaire filled out by the teacher during teaching and learning activities in class. The results showed that based on the theory put forward by Arikunto, the resulting percentage value was 90.4% with a good predicate based on its effectiveness in improving student performance in learning. The conclusion from this research is the high level of student performance in the learning process. Because students are required to always be active in working together to solve and make solutions to problems set by the teacher, this research is considered suitable and recommended to be applied to further studies that have constraints on students' performance and learning outcomes.
Cultural Humility and Allyship: Enhancing Nursing Education
Authors: Mainwaring Jacqueline , Davis Rodnita
Published: January 2023

As nurse educators navigate the realities of racial injustice and deeply polarizing issues in the United States, we must reflect on our own biases, educate ourselves on the impact of inequities, and thoughtfully use our faculty privilege to create change. Purposefully adjusting admissions procedures, hiring diverse faculty, and embedding cultural sensitivity in the curriculum are stepping stones to shaping the future of nursing. Impacting race relations by developing cultural humility and collegial allyship begins with humble inquiry. This article recounts a dialogue and presents the personal reflection of two peers committed to the critical work of diversity, equity, and inclusion.
Prematuridade e co-morbidades: importância de estratégias precoces em sala de parto de maternidade terciária
Authors: Santos Alana Frota , Ferreira Daniela Monteiro , Paes Liliana Soares Nogueira
Published: January 2023

Objetivos: conhecer o desfecho dos recém-nascidos prematuros que receberam pressão positiva contínua em vias aéreas (CPAP) na sala de parto, caracterizar o perfil desses neonatos e comparar seus desfechos com os intubados em sala de parto. Metodologia: estudo longitudinal, retrospectivo, com dados coletados em prontuários de prematuros nascidos de janeiro a junho de 2020. Resultados: Analisaram-se 160 neonatos, 113 com CPAP precoce (grupo 1) e 47 intubados em sala de parto (grupo 2). No grupo 1, 25,7% foram muito prematuros, 42,5% prematuros moderados, com média de peso de 1.927,2 ± 625,7 gramas. 40,7% receberam diagnóstico de síndrome do desconforto respiratório, desses, 34,8% fizeram surfactante. 15,9% tiveram falha de CPAP e foram intubados nos primeiros dias de vida. Desenvolveram displasia broncopulmonar 4,4% dos neonatos do grupo 1 e, 19,1% daqueles no grupo 2. Evoluíram à óbito 2,7% dos prematuros com CPAP precoce e 19,1% dos intubados precocemente. A média de internamento foi de 23,6 ± 21,8 dias (grupo 1) e 62,9 ± 54,3 dias (grupo 2). Conclusão: CPAP precoce em prematuros pode melhorar prognóstico dos neonatos. A maioria dos pacientes são prematuros moderados e houve diferença estatística entre os grupos quanto às morbidades avaliadas no desfecho.
Economic Analysis of Sustainable Transportation Transitions: Case Study of the University of Saskatchewan Ground Services Fleet
Authors: Aniegbunem George , Kraj Andrea
Published: January 2023

The global transport sector of the world economy contributes about 15% of the Greenhouse Gas (GHGs) emissions in the world today. The University of Saskatchewan has pursued the green energy transition over the years. They have spearheaded diverse sustainability projects and agendas, due to the importance of curbing climate change and advancing sustainability. The transport system in the university campus is one area of focus where the Sustainability Office plans to introduce some innovations, as a way of curbing GHG emissions while also advancing sustainability practice in the university campus. The study carried out an economic benefit analysis on the campus fleet (consisting of 91 ICE vehicles) to determine if it is economically or financially feasible to transition from Internal Combustion Engine (ICE) or PVs (Petrol Vehicles) to Electric Vehicles (EVs). The analysis used RETScreen Expert software for analyzing renewable energy technology projects. The variables of Payback Period (PBP), cash flow projections, savings made from transitioning (fuel cost savings and energy cost savings), Benefit-Cost-ratio, GHG emission reduction potential, etc. were analyzed. The findings revealed that the GHG emission from the campus fleet will be reduced by 100% (this will result in the removal of about 298.1 tCO₂ from the environment). Also, the fleet manager will save approximately $129,049 (88.9%) in fuel costs. Apart from these, the return on investment will be achieved in year 5 (all things being equal), but can be reduced to year 2 if the vehicles are put into constant and active use (eliminating most idle times. Also, the Sustainability Office will be making a GHG reduction revenue of $14,906.
Assessing the Impact of Hemodynamic Monitoring with CardioMEMS on Heart Failure Patients: A Cost-effectiveness Analysis
Authors: Codina Pau , Vicente Gómez Jose Angel , Hernández Guillamet Guillem , Ricou Ríos Laura , Carrete Andrea , Vilalta Victoria , Estrada Oriol , Ara Jordi , Lupón Josep , Bayés-Genís Antoni , López Seguí Francesc
Published: January 2023

Background: Real-time remote monitoring of pulmonary artery pressures has previously shown to reduce heart failure (HF) related hospitalisations and to improve quality of life of selected HF patients. The value of CardioMEMS in Southern Europe, where healthcare costs are significantly lower, remains uncertain. Objective: To evaluate the cost-effectiveness of the CardioMEMS HF system in the Spanish healthcare setting. Methodology: This single-centre study included 35 HF patients with a CardioMEMS device (treatment group) and compared them with similar patients receiving standard HF treatment (control group). The Propensity Score Matching method was used and the comparators were found using the variables age, sex, New York Heart Association class, left ventricular ejection fraction, and diabetes mellitus. Cost-effectiveness was measured as the incremental cost per quality-adjusted life year gained. Results: The CardioMEMS HF system outperformed usual management with a net monetary value difference of 2,731€ per patient at 1 year. The incremental cost per quality-adjusted life year gained was 15,896€. Results were consistent in the sensitivity analyses performed. Conclusion: This analysis suggests that remote monitoring of pulmonary artery pressure with CardioMEMS HF system is a cost-effective strategy in the Spanish healthcare setting.
Анализ динамики эпидемического процесса COVID-19 в мире за неделю с 31.12.2022 г. по 06.01.2023 г.
Authors: Зимирова Анастасия , Поспелов Михаил , Иванова Александра , Дмитриева Людмила , Чумачкова Елена , Карнаухов Игорь , Щербакова Светлана , Кутырев Владимир
Published: January 2023

В обзоре представлен анализ эпидемиологической ситуации в странах мира по

COVID-19, за неделю с 31.12.2022 г. по 06.01.2023 г.
Public Perception About Vaccination Service Information Through Instagram Account
Authors: Oktaviana Ayu Diah , Sinduwiatmo Kukuh
Published: January 2023

This study aims to determine and describe the public perceptionof followers of the Instagram account @upt_puskesmas_sukodono about vaccination services at the Sukodono Public Health Center. The study uses a qualitative method with a descriptive approach. Data collection was carried out through in-depth interview, observation and documentation using informant determination technique by purposive sampling. The data analysis technique used is descriptive with the source of data coming from interview with the stages of data collection, reduction, data assessment and drawing conclusions. The results of this study indicate that the informants feel that the uploads on the @upt_puskesmas_sukodono account are informative. Therefore, these perception indicators are very important in influencing the informants, so that the informants can give their perception of vaccination service information through the @upt_puskesmas_sukodono Instagram account. In addition, the informants chose the @upt_puskesmas_sukodono account as their account in seeking information about vaccination services because this account always provides accurate and reliable information. It indirectly changes people’s mindset about their need to get the information they need quickly and practically.