bluuebunny/crossref_metadata_2025 huggingface dataset:
Suggestions for Successful Inclusive Education of Hearing-Impaired Students through Qualitative Analysis
Authors: Bahng Junghwa , Han Woojae
Published: July 2023

The purpose of present study was to provide suggestions for successful inclusive education of students with hearing impairments. We conducted focus group interviews involving five adults with congenital hearing loss who had received the inclusive education and five mothers of children with hearing impairments who are currently in the mainstream education setting. The data were explored by using the phenomenological analysis method in terms of three categories: the reasons for choosing mainstream schools, experimences with teachters and classmantes, and future directions for achieving successful inclusive education. Based on the analysis of interview, the choice of mainstream inclusive schools was motivated by the desire to use oral communication and interact with non-disabled peers. The experiences with peers and teachers at the mainstream schools were generally positive. In addition, students with hearing impairments expressed a preference for education that focuses more on understanding their shared disabilities with their friends at school, rather than general information about disabilities. The current results suggest that future studies should investigate peer relationships within the schools and explore educational policies related to the hearing impairment.
Catastrophic destruction of carbon nanotubes during degradation of field emitters
Authors: Bulyansky S. V.  , Dudin A. A.  , Lakalin A. V.  , Orlov A. P.
Published: July 2023

The catastrophic degradation of emission cathodes based on carbon nanotubes is simulated, which occurs due to the destruction of the nanotube in the defective region as a result of overheating. The model takes into account the heating of the nanotube by releasing Joule heat, as well as radiation and cooling due to the Notingham effect, which consists in reducing the temperature of the emitting end due to the energy carried away by the flow of emitted electrons. The proposed model is compared with an experiment on the degradation of a single nanotube. The experiment confirms the catastrophic destruction and shows that the destruction is facilitated by the occurrence of thermoelectronic emission, which causes a rapid increase in the current and, accordingly, the temperature of the defective region of the nanotube. Keywords: field emitters, degradation, nanotube heating, defects, catastrophic destruction.
Service quality dimensions affect outpatient satisfaction
Authors: Fitriya Nengsih Defri , Fatimah Fatma Siti , Anwar Choirul , Ridwan Edi Sampurno
Published: July 2023

Background: Monitoring the level of patient satisfaction is the target of health agencies, in this case hospitals, to develop and compete with other hospitals. This measure is to determine the extent to which the dimensions of the quality of health services that have been prepared meet patient expectations. The increasing quality of service in a hospital is expected to be able to meet the expectations of patients so that this results in patient satisfaction. One type of health service that exists in hospitals is outpatient services which are required to provide quality services, by providing services to patients and patient families in accordance with quality standards of meeting patient needs and expectations.

Objectives: To determine the influence of service quality dimensions on outpatient patient satisfaction.

Methods: This type of research is quantitative with a cross-sectional research design. The population in this study were all outpatients at RSUP Dr. Soeradji Tirtonegoro. The sampling technique used in this study is probability sampling with simple random sampling. The number of samples in this study were 200 respondents. Data analysis in this study used univariate analysis, bivariate analysis with Spearman rank and chi-square statistical tests and multivariate analysis with logistic regression statistical tests.

Results: The results showed that there was an influence of responsiveness and empathy dimensions on general outpatient patient satisfaction at hospital of dr. Soeradji Tirtonegoro. It is known that in the multivariate test both dimensions were affected 5 and 27 times respectively in influencing general outpatient patient satisfaction with a p-value of 0.003 and a p-value of 0.005, respectively.
Conclusions: There is an influence between the dimensions of quality (Responsiveness and Empathy) on patient satisfaction outpatient at dr. Soeradji Tirtonegoro hospital
Community-Engaged Participatory Methods to Address Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Young People’s Health Information Needs With a Resource Website: Participatory Design and Development Study
Authors: Delmonaco Daniel , Li Shannon , Paneda Christian , Popoff Elliot , Hughson Luna , Jadwin-Cakmak Laura , Alferio Jack , Stephenson Christian , Henry Angelique , Powdhar Kiandra , Gierlinger Isabella , Harper Gary W , Haimson Oliver L
Published: July 2023

Background

Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) young people (aged 15 to 25 years) face unique health challenges and often lack resources to adequately address their health information needs related to gender and sexuality. Beyond information access issues, LGBTQ+ young people may need information resources to be designed and organized differently compared with their cisgender and heterosexual peers and, because of identity exploration, may have different information needs related to gender and sexuality than older people.

Objective

The objective of our study was to work with a community partner to develop an inclusive and comprehensive new website to address LGBTQ+ young people’s health information needs. To design this resource website using a community-engaged approach, our objective required working with and incorporating content and design recommendations from young LGBTQ+ participants.

Methods

We conducted interviews (n=17) and participatory design sessions (n=11; total individual participants: n=25) with LGBTQ+ young people to understand their health information needs and elicit design recommendations for the new website. We involved our community partner in all aspects of the research and design process.

Results

We present participants’ desired resources, health topics, and technical website features that can facilitate information seeking for LGBTQ+ young people exploring their sexuality and gender and looking for health resources. We describe how filters can allow people to find information related to intersecting marginalized identities and how dark mode can be a privacy measure to avoid unwanted identity disclosure. We reflect on our design process and situate the website development in previous critical reflections on participatory research with marginalized communities. We suggest recommendations for future LGBTQ+ health websites based on our research and design experiences and final website design, which can enable LGBTQ+ young people to access information, find the right information, and navigate identity disclosure concerns. These design recommendations include filters, a reduced number of links, conscientious choice of graphics, dark mode, and resources tailored to intersecting identities.

Conclusions

Meaningful collaboration with community partners throughout the design process is vital for developing technological resources that meet community needs. We argue for community partner leadership rather than just involvement in community-based research endeavors at the intersection of human-computer interaction and health.
Moderating Effect of Pre-Exposure Prophylaxis Use on the Association Between Sexual Risk Behavior and Perceived Risk of HIV Among Brazilian Gay, Bisexual, and Other Men Who Have Sex With Men: Cross-Sectional Study
Authors: Blair Kevin James , Torres Thiago S , Hoagland Brenda , Bezerra Daniel R B , Veloso Valdilea G , Grinsztejn Beatriz , Clark Jesse , Luz Paula M
Published: July 2023

Background

Gay, bisexual, and other men who have sex with men (MSM) with a higher perceived risk of HIV are more aware of and willing to use pre-exposure prophylaxis (PrEP). PrEP is an effective HIV prevention strategy, but there is a lack of data on how PrEP use might moderate the relationship between sexual risk behavior and perceived risk of HIV. Moreover, most studies measure perceived risk of HIV via a single question.

Objective

We estimated the moderating effect of PrEP use on the association between sexual risk behavior and perceived risk of HIV, measured with the 8-item Perceived Risk of HIV Scale (PRHS), among Brazilian MSM.

Methods

A cross-sectional, web-based survey was completed by Brazilian Hornet app users aged ≥18 years between February and March 2020. We included data from cisgender men who reported sex with men in the previous 6 months. We evaluated the moderating effect of current PrEP use on the association between sexual risk behavior, measured via the HIV Incidence Risk Index for MSM (HIRI-MSM), and perceived risk of HIV, measured by the PRHS. Higher HIRI-MSM (range 0-45) and PRHS (range 10-40) scores indicate greater sexual behavioral risk and perceived risk of HIV, respectively. Both were standardized to z scores for use in multivariable linear regression models.

Results

Among 4344 cisgender MSM, 448 (10.3%) were currently taking PrEP. Current PrEP users had a higher mean HIRI-MSM score (mean 21.0, SD 9.4 vs mean 13.2, SD 8.1; P<.001) and a lower mean PRHS score (mean 24.6, SD 5.1 vs mean 25.9, SD 4.9; P<.001) compared to those not currently taking PrEP. In the multivariable model, greater HIRI-MSM scores significantly predicted increased PRHS scores (β=.26, 95% CI 0.22-0.29; P<.001). PrEP use moderated the association between HIRI-MSM and PRHS score (interaction term β=–.30, 95% CI –0.39 to –0.21; P<.001), such that higher HIRI-MSM score did not predict higher PRHS score among current PrEP users.

Conclusions

Our results suggest current PrEP users have confidence in PrEP’s effectiveness as an HIV prevention strategy. PrEP’s effectiveness, positive psychological impact, and the frequent HIV testing and interaction with health services required of PrEP users may jointly influence the relationship between sexual risk behavior and perceived risk of HIV among PrEP users.
Effects of a Community Health Worker–Led Health Literacy Intervention on Lifestyle Modification Among Patients With Hypertension and Diabetes in the City of Harare, Zimbabwe: Protocol for a Cluster Randomized Controlled Trial
Authors: Katena Nyaradzai Arster , Shamu Shepherd , Fana Golden Tafadzwa , Rusakaniko Simbarashe
Published: July 2023

Background

Hypertension and diabetes are among the most common noncommunicable diseases in Zimbabwe. These 2 conditions are largely prevented and controlled by lifestyle modifications, such as healthy eating habits, physical activity, and avoiding the use of tobacco and alcohol.

Objective

This study aims to evaluate the effects of a community health worker (CHW)–led health literacy intervention on lifestyle modification among patients with diabetes and hypertension in the City of Harare, Zimbabwe, in terms of (1) adherence to recommended lifestyle changes, (2) blood pressure and blood glucose levels, and (3) medication adherence.

Methods

This is a 6-month–long cluster randomized controlled trial, which will be conducted in primary health care clinics in the city of Harare. A total of 14 clinics will be randomly allocated into either the intervention or control group. A total of 680 (49 participants per clinic) adult patients with hypertension and diabetes will be enrolled for the trial. Participants in the intervention arm will receive a simple health literacy intervention on lifestyle modification, which will be delivered by trained CHWs, while those in the control arm will receive usual care. The intervention consists of 4 face-to-face interactive educational sessions and monthly support visits by trained CHWs and will be carried out over a period of 6 months. The primary study outcomes will be blood pressure and blood glucose levels and levels of adherence to the recommended lifestyle modifications. Other outcomes will include adherence to medication. Data management and analysis will be done using Epi Info software, and the data will be analyzed using the intention-to-treat principle.

Results

Recruitment of study participants commenced on June 1, 2023, and was completed on July 30, 2023. Baseline data are being collected after participants’ recruitment, and the final data collection will be completed by January 31, 2024.

Conclusions

There is an information dearth regarding the effectiveness of CHW-led interventions for the management and control of hypertension in Zimbabwe. Our study offers an opportunity to show the effectiveness of CHWs in addressing the gaps in the management of hypertension and diabetes. The findings from our study will provide crucial evidence on the effectiveness and feasibility of a simple intervention delivered by CHWs in resource-constrained areas.

International Registered Report Identifier (IRRID)

PRR1-10.2196/47512
Perceptions of and Preferences for Telemedicine Use Since the Early Stages of the COVID-19 Pandemic: Cross-Sectional Survey of Patients and Physicians (Preprint)
Authors: Mazouri-Karker Sanae , Lüchinger Robin , Braillard Olivia , Bajwa Nadia , Achab Sophia , Hudelson Patricia , Dominicé Dao Melissa , Junod Perron Noelle
Published: July 2023

BACKGROUND

While the use of telemedicine (TLM) increased worldwide during the early phases of the COVID-19 pandemic, little is known about the use and acceptance of TLM post the COVID-19 pandemic.

OBJECTIVE

This study aims to evaluate patients’ and physicians’ self-reported use, preferences, and acceptability of different types of TLM after the initial phases of the COVID-19 pandemic.

METHODS

We conducted a cross-sectional survey among patients and physicians in Geneva, Switzerland, between September 2021 and January 2022. Patients in waiting rooms of both private and public medical centers and emergency services were invited to answer a web-based questionnaire. Physicians working in private and public settings were invited by email to answer a similar questionnaire. The questionnaires assessed participants’ sociodemographics and digital literacy; self-reported use of TLM; as well as preferences and acceptability of TLM for different clinical situations.

RESULTS

A total of 567 patients (309/567, 55% women) and 448 physicians (230/448, 51% women and 225/448, 50% in private practice) responded to the questionnaire. Patients (263/567, 46.5%) and physicians (247/448, 55.2%) generally preferred the phone over other TLM formats and considered it to be acceptable for most medical situations. Email (417/567, 73.6% and 308/448, 68.8%) was acceptable for communicating exam results, and medical certificates (327/567, 67.7% and 297/448, 66.2%) and video (302/567, 53.2% and 288/448, 64.3%) was considered acceptable for psychological support by patients and physicians, respectively. Older age was associated with lower acceptability of video for both patients and physicians (odds ratio [OR] 0.03, 95% CI 0.00-0.33 and OR 0.23, 95% CI 0.08-0.66) while previous use of video was positively associated with video acceptability (OR 3.16, 95% CI 1.84-5.43 and OR 3.34, 95% CI 2.91-5.54). Psychiatrists and hospital physicians were more likely to consider video to be acceptable (OR 10.79, 95% CI 3.96-29.30 and OR 3.97, 95% CI 2.23-7.60).

CONCLUSIONS

Despite the development of video, the acceptability of video remains lower than that of the phone for most health issues or patient requests. There is a need to better define for which patients and in which medical situations video can become safe and efficient.
Features of Long Waves in the Area of Cape Svobodny (South-Eastern Part of Sakhalin Island) During the Passage of Cyclones
Authors: Kurkin Andrey , Kovalev Dmitry , Kurkina Oxana , Kovalev Petr
Published: July 2023

The study of marine wave processes was carried out according to field observations using two autonomous wave recorders, temperature and weather station installed near Cape Svobodny, south-east coast of Sakhalin (Russia). Spectral and cross-spectral analysis showed the existence of edge waves with a period of about 10.7 min. Measurements in 2021 showed that the edge wave existing from Cape Ostry to Cape Svobodny, just beyond the cape Svobodny significantly weakens and does not spread further. The analysis of temperature fluctuations for the period range 1-80 hours showed that since the periods of spectral density peaks of water temperature fluctuations for periods longer than 5 hours do not coincide with the periods of peaks of sea level fluctuations, these peaks are determined by internal waves. Temperature fluctuations with a period of 25.5 hours detected by peaks in the spectra can be excited by shelf waves with the same period because of their interaction with islands, coastal currents and baroclinic instability. The analysis of cyclone wakes based on the time course of temperature fluctuations made it possible to establish that cyclone wakes are formed when the water temperature of the upper mixed layer exceeds 10 °C, and internal waves with a period of about 13 hours are also present when cyclones do not move near the point of installation of devices and the water temperature is below 10 °C. The Burger number is determined, which makes it possible to correct the range of existence near inertial internal waves and determine this range periods of 12.1-18.2 hours. Using the results of a simple linear Phillips model, the possibility of baroclinic instability for periods of shelf waves is estimated. It is shown that baroclinic instability is possible for waves with a period of 13.1 hours, and even more so for shelf waves with a significantly longer wavelength.
Bioprospecting of Marine Fungi from Coastal Karnataka Region as Potential Source of Economically Important Enzyme L-Glutaminase and their Comparative Genomic Study
Authors: Rao Sumangala , Sadananda Monika , Pakkala T.P.M. , Shenoy K.B.
Published: July 2023

Marine fungi are important sources of new metabolites including certain enzymes of medical interest due to their enormous capacity to adapt themselves to extreme environments. Living in a highly competitive ecological niche, they produce certain unusual chemical moieties. Marine biological resources are green, abundant, renewable and aid in economic development. The present study investigates the production of L-Glutaminase which is of therapeutic and industrial importance, from marine fungi of coastal Karnataka. Primary screening on agar plates and submerged fermentation in broth was employed for enzyme production. Both marine yeasts (Pichia sp) and filamentous fungal strains (Aspergillus, Penicillium) were found to be efficient producers of L-Glutaminase. Of the 42 isolates, five potential strains were selected through primary screening and Thin Layer Chromatography was performed to confirm the production. Filamentous fungi were identified through morphological and molecular methods as Penicillium and Aspergillus strains with 99-100% similarity. A. foveolatus (MT667385)and A. nidulans (MT667422) were potential producers (1.58U/ml and 1.41IU/ml). The yeast identified was Pichia kudriavzevii (MT667428), which was a moderate producer of Glutaminase and first marine yeast reported for this enzyme production. Neosartorya quadricincta (MT667427) and P. citrinum (MT667426) are also moderate producers. After screening the marine fungi, the isolated strains’ potential to produce L-Glutaminase was confirmed using SDS PAGE, FTIR and Mass analysis. This study emphasizes the necessity of marine fungal culturing and the scope of use of these fungi for further commercial production of L-Glutaminase which would uplift marine economy.
Correlation of Mechanization and Business Technical Aspect of Rice Production: Basis for Business Development Plan
Authors: Jesus Dr. Fhrizz S. De , Leyesa Engr. Marlon
Published: July 2023

Abstract: This study examines the relationship between the mechanization and the business technical aspects of rice production in Nueva Ecija. The descriptive research method was used in this study to determine the relationship between the mechanical level and the business technical aspect of rice production. This study discovered that farmers only used a tractor for land preparation, and the results revealed that not all farmers use modern machinery for crop care and maintenance, such as an electric sprayer and a grass cutter for clearing the land. In terms of harvesting, the farmers used a harvester to harvest their crop but did not transport the cavans by using truck and the significant relationship between mechanization level and business technical aspects in terms of land preparation, calculated r-value of (0.75) and interpreted as High positive correlation, but the resulting p-value (0.333814) is greater than the critical value of 0.05, revealing that there is no significant relationship between mechanization and business technical aspects. It is due to the farmers' lack of mechanized equipment. As a result of the findings, the researchers advise farmers to use mechanized equipment in order to perform well and increase rice production.
Effect of pack carburizing and viscosity of quenching media on AISI 1010 steel
Authors: Setiawan Agris , Dipogusti Anggar
Published: July 2023

Pack carburizing is a method of surface hardening of steel which is carried out by diffusing carbon into the material where the carbon is initially solid. This study aims to determine the effect of pack carburizing treatment on the microstructure and hardness of AISI 1010 steel. The material was then cooled slowly in the oven to a temperatur of 150oC which was then followed by air cooling. Single Quenching is then carried out by reheating the carburizing material to a temperature of 870oC and then holding it at that temperature for 60 minutes. Quenching is done by cooling the material quickly using a cooling medium of varying viscosity. The results of the composition test showed an increase in carbon content to 4.1159%. The results of microstructure observations showed that a massive pearlite structure was formed to a depth of ± 0.794 mm on the surface of the carburizing specimen. The results of the hardness test using the Vickers method showed that the hardness value of the raw material increased after carburizing to 217.88±5.13 HV due to the formation of a pearlite structure. With this increase in hardness, the application of AISI 1010 Steel material becomes wider.

Keywords: Carburizing, Quenching, Viscosity, Hardness, Microstructure
Identification of the fracture surface of thermoset polyester due to bending load
Authors: Nusyirwan  , Rani Mutya , Pratama Rully
Published: July 2023

In this research, an attempt was made to improve the brittle nature of the Unsaturated Polyester (UP) polymer which cannot undergo plastic deformation to be improved to become more resilient by adding Thermoset Vinyl Ester and Methyl Methacrylate (MMA). To show the change in the toughness of the polyester material, a test is carried out to provide a tensile load and a flexural load until the material breaks This work reports the successful fabrication of polyester blends by mixing vinyl esters with different percentages. The test shows that there is a linear relationship between the shape of the fracture surface due to bending loads and observations through SEM which are directly related to the flexural stress properties with the fracture surface morphology. The mixture of polyester with 40% vinyl ester showed the highest flexural stress of 126.88 MPa while for pure polyester of 49.71 MPa this showed an increase of 255.24% compared to pure polyester. This shows that the addition of vinyl ester to polyester resulted in an increase in the toughness of the polyester, but for 100% vinyl ester the return stress decreased by 56.50 MPa. This indicates that due to the breaking of some of the polyester chain networks causes a decrease in the structural stiffness, which results in an increase in the plastic deformation zone fraction.
A CFD analysis of NACA 0015 airfoil as a horizontal stabilizer with gap length variations
Authors: Nugroho Gunawan , Sasongko Herman , Adenan Mohammad , Sarwono  , Mirmanto Heru
Published: July 2023

The horizontal stabilizer is an important device which stabilize in the longitudinal direction is an important device for aviation. It also controls the pitching nose through the variation of elevator deflection angle. This work is to relate the lift coefficient with elevator deflection angle. The applied horizontal stabiliser is a plain flap with the gap length of 1.75%, 2% and 2.25% w.r.t. chord length. Results show that higher elevator deflection angle increases lift coefficient. For the 2 degree angle of attack and 20 degree of elevetor deflection angle, the lift coefficient is 0.93 (gap length 1.75%). Moreover, the lift coefficient is 1.83 for 10 degree horizontal stabiliser (gap length 2%).
Peningkatan Pemahaman Spiritual untuk Santri pada Taman Pendidikan Al-Qur’an (TPA) An-Nur Sabilussalam di Gampong Rukoh, Kecamatan Syiah Kuala, Kota Banda Aceh
Authors: Hadi Tri Maulana , Nurbayani
Published: July 2023

Membangkitkan aspek spiritual dalam mengembangkan pendidikan adalah sangat penting. Sebab jika kehidupan ini tidak disertai nilai-nilai spiritual maka manusia akan kehilangan kekayaan ruhani dan membuat ketidakseimbangan kepribadian. Penelitian ini berjenis penelitian deskriptif kualitatif dan menggunakan kualitatif yang mengedepankan fenomena yang dialami oleh subjek berupa perilaku, persepsi, pandangan, dan motivasi. Data dikumpulkan dengan cara wawancara, observasi, dan studi dokumentasi, sebagai sumber informasi adalah para civitas Taman Pendidikan Al-Qur’an (TPA) An-Nur Sabilussalam Desa Rukoh, Kecamatan Syiah Kuala, Kota Banda Aceh.Data dianalisis melalui tahap pengumpulan data, reduksi data, penyajian data, dan penarikan simpulan. Selanjutnya pengecekan keabsahan data dengan uji kredibilatas untuk menguji kevalidan data. Hasil penelitian: Pola pengembangan dan peningkatan pemahaman spiritual keagamaan di Taman Pendidikan Al-Qur’an (TPA) An-Nur Sabilussalam dapat dilakukan melalui pelaksanaan kegiatan Pendidikan dan pelatihan spiritual keagamaan dalam rangka mendorong visi menjadi aksi. Pola-pola tersebut dikembangkan dengan tujuan meningkatkan dan mendekatkan para santri kepada nilai-nilai moral, akhlak, dan perilaku sosial lain yang terarah.
Subtitling Strategies and Translation Accuracy in the Malay to English Translation of “Ejen Ali: The Movie”
Authors: Batmanathan Pavithra Devi , Amini Mansour , Abbaspour Bita Naghmeh
Published: July 2023

Previous studies on audio-visual translation indicate that there is a gap in the exploration of translation strategies in the Malaysian movie subtitling context and the quality of Malay to English subtitle translations. This study aimed to explore the strategies used in the subtitle translations of the Malaysian movie Ejen Ali: The Movie and evaluate the accuracy level of the translations associated with the identified strategies. Ten translation strategies developed by Gottlieb (1992), and the parameter of “accuracy” was purposefully selected out of the three criteria of the translation quality assessment proposed by Nababan et al., (2012) as the theoretical framework of this study. The three main strategies used in the most accurate translations were “transfer”, “paraphrase”, and “expansion”. The subtitling of this movie was generally found accurate. In most of the accurate translations “transfer” strategy was utilized, whereas “dislocation” was identified in most of the inaccurate translations. Moreover, the findings revealed that there were inaccuracies in the translations which could have been avoided by using other relevant strategies. Gottlieb’s nine of 10 strategies (except transcription) in addition to the nine mixed strategies were identified and described in the process of analysis.
Políticas y prácticas inclusivas en centros educativos: Estudio de su implementación y relación desde la perspectiva de las personas directivas
Authors: García-Martínez José Antonio , Ruiz Chaves Warner , Chen-Quesada Evelyn , León-Carvajal Arantxa
Published: July 2023

En el contexto actual, se espera que los centros educativos sean espacios de organización colaborativa que promuevan la educación inclusiva, implementando iniciativas y estrategias derivadas de la gestión educativa. Al respecto, el presente estudio tiene el objetivo de analizar el establecimiento de políticas y prácticas inclusivas en los centros educativos costarricenses desde la perspectiva de las personas gestoras. La investigación se llevó a cabo desde una metodología cuantitativa, con un diseño ex post facto y transversal. Además, la recogida de datos se realizó con un cuestionario en línea aplicado a una muestra probabilística simple de 146 personas directivas. Los resultados evidencian que la gestión implementada en los centros educativos considera en cierta medida la aplicación de políticas y prácticas inclusivas. Además, se obtiene una correlación fuerte y positiva entre las políticas de educación inclusiva y las prácticas curriculares y administrativas implementadas. Es decir, que a mayor presencia de políticas inclusivas mejoran tanto las prácticas curriculares como las administrativas.
The Predictive Value of the Preoperative Systemic Inflammatory Response Indices in Non–Organ-Confined Disease in Upper Urinary Tract Urothelial Carcinoma
Authors: Choi Sung Kyung , Gwak Chan Hoon , Suh Jungyo , Lim Bumjin , Song Cheryn , You Dalsan , Jeong In Gab , Hong Jun Hyuk , Hong Bumsik , Kim Choung-Soo , Ahn Hanjong
Published: July 2023

Purpose: This study aims to evaluate the systemic inflammatory response indices (SII) for the prediction of the non–organ-confined (non-OC) disease in upper urinary tract urothelial carcinoma (UTUC) patients.Materials and Methods: From March 2010 to March 2020, patients who underwent radical nephroureterectomy (RNU) in a single tertiary center were retrospectively reviewed. Tumor location, multifocality, hydronephrosis on preoperative imaging, and preoperative SII, including C-reactive protein-to-albumin ratio (CAR), neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio (PLR) were used for analysis. Non-OC defined by locally advanced (pT3-4) or node-positive disease (pN1-2) in pathologic examination. Multivariable logistic regression was used for determining independent predictive markers of non-OC disease. Factors associated with locally advanced (pT3-4), and node-positive (pN1-2) disease were also analyzed.Results: Overall, 711 UTUC patients who underwent RNU, without neoadjuvant chemotherapy, were analyzed. The average age was 68.6±9.9 years and 507 patients were male. Non-OC disease was 36.8% (262 of 711); specifically, 35.9% (255 of 711) was locally advanced and 7.2% (51 of 771) was node-positive disease. Multivariable analysis demonstrated hydronephrosis (odds ratio [OR], 1.46; 95%confidence interval [CI], 1.06–2.01; p=0.02), high PLR (OR, 1.45; 95% CI, 1.05–2.01; p=0.03), and high CAR (OR, 2.56; 95% CI, 1.79–3.66; p<0.01) were independent predictive markers non-OC disease. Hydronephrosis (p=0.01), high PLR (p=0.02), and high CAR (p<0.01) were predictive markers for locally advanced disease, and multifocal tumor (p<0.01) and high CAR (p<0.01) were predictive markers for node-positive disease.Conclusions: CAR is a novel important factor for predicting any subtype of non-OC disease among SII. Large scale, multicenter studies should validate the clinical role of CAR.
Korean Urologic Oncology Society Guidelines: Does Angioembolization Improve the Quality of Life for Renal Cell Carcinoma Patients With Intractable Symptoms Who Are Unfit for Surgery?
Authors: Ku Ja Yoon , Gu Hui Mo , Yu Seong Hyeon , Hwang Eu Chang , Han Mi Ah , Jung Jae Hung , Lee Hunju , Kim Myung Ha , Kwak Cheol , Kim Sun Il ,   for the Korean Urologic Oncology Society Guideline Development Committee,   Korean Renal Cancer Study Group
Published: July 2023

Purpose: There is a lack of guidelines for using angioembolization to manage renal cell carcinoma (RCC) patients with intractable symptoms. Therefore, the Korean Urologic Oncology Society (KUOS) developed a set of recommendations for angioembolization for RCC patients with intractable symptoms who are unfit for surgery.Materials and Methods: A rigorous systematic review was performed and GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology was used to rate the certainty of the evidence for the patient outcomes and to develop the evidence into recommendations. The steering group, guidelines development group, systematic review team, and external review group consisted of KUOS members involved in the guideline development process.Results: The guidelines address the benefits, harms, patients’ values and preferences, costs, and resources related to angioembolization by using a single clinical question: Does angioembolization improve the quality of life for RCC patients with intractable symptoms who are unfit for surgery?Conclusions: The guideline development panel suggests angioembolization for RCC patients with intractable symptoms compared with supportive therapies, including systemic treatment (very low certainty of evidence, weak recommendation).
Prostate Imaging and Reporting and Data System Version 2.1: Limitations for Clinical Use
Authors: Park Byung Kwan
Published: July 2023

The Prostate Imaging and Reporting and Data System version 2.1 (PI-RADSv2.1) is commonly utilized in interpreting magnetic resonance imaging (MRI) scans in men with elevated prostate-specific antigen levels. This system aids in the risk stratification of prostate cancer and facilitates communication between radiologists and urologists. However, the current PI-RADSv2.1 decision rules present several pitfalls, particularly in relation to definitions, categorizations, MRI sequences, MRI protocols, and MRI interpretations. There are few reports addressing these limitations. The aim of this review is to outline the pitfalls encountered when applying PI-RADSv2.1.
Genetic Testing for Prostate Cancer, Urothelial Cancer, and Kidney Cancer
Authors: Han Hyunho , Kang Minyong , Byun Seok-Soo , Yun Seok Joong
Published: July 2023

As genetic testing plays an increasingly salient role in the realm of cancer diagnosis, prognostication, and treatment, this review aims to elucidate the current landscape and future directions of genetic testing in genitourinary cancers, with a focus on prostate cancer, urothelial carcinoma, and renal cell carcinoma. With the increasing adoption of next-generation sequencing technology, the utilization and access to genetic testing in real-world settings have become critical for practicing urologists and genitourinary oncologists, especially after the approval of poly(ADP-ribose) polymerase inhibitors for prostate cancer and the utilization of immune checkpoint inhibitors. In this rapidly evolving field, this review underscores the clinical value of interpreting genetic variations and the importance of distinguishing between germline and somatic mutations, for whom testing can be prescribed, and which genes should be tested. While the current modus operandi predominantly relies on exome sequencing, we posit that the future of genetic testing in genitourinary cancers will see an expansion to encompass whole-genome sequencing, accounting for structural and regulatory variations that impact gene expression. In the upcoming era of liquid biopsies, we envisage an increase in noninvasive cancer genetic testing for the purposes of diagnosis, prognosis, treatment response, and progression monitoring, supplementing the gold-standard tissue biopsies that provide histologic information. Ultimately, thoroughly interpreting genetic testing results and the subsequent treatment implications necessitates a multidisciplinary approach. This review strives to offer urologists a comprehensive perspective on genetic testing in these prevalent urological cancers, contributing to improved diagnosis, prognosis, and treatment decision-making.
Sevinç Çokum'un "Kütahyalı Kız" Öyküsünde Kültürel Bellek
Authors: TATLİ Meliha
Published: July 2023

Geçmişin bellekte yer edinmesi için birtakım hatırlatma figürlerine ihtiyaç vardır. Bunu en iyi sağlayan şey ise bir coğrafya ya da kültürün içinde tekrarlanarak kuşaktan kuşağa aktarılan kültürel malzemelerdir. Şarkılar, maniler, süslemeler, kutlama ritüelleri, danslar, giyim-kuşam, yeme-içme gibi bu malzemeler kültürün ve belleğin aktarıcı unsurlarındandır. Bu çalışmada Sevinç Çokum’un “Rozalya Ana” isimli öykü kitabının “Kütahyalı Kız” öyküsü kültürel bellek kavramı aracılığıyla incelenmiş, Kütahya’nın kimlik vurguları, kutsal metinler, Mevlevilik, şiirler, maniler, şehre ait süslemeler ve yemek gibi kültürel kodların nasıl işlendiğine dikkat çekilmiştir. Öykünün başkarakteri İstanbul’da görev yapan ve resmi tatilden dolayı doğup büyüdüğü Kütahya’daki ailesini ziyaret eden edebiyat öğretmeni Seyfi’dir. Kütahya’ya dönüş aynı zamanda geçmişe, yaşadığı toplumun hayat tarzına ve kültürel belleğe dönüştür. Seyfi, babası Çinici Feyzullah Bey’le şehrin sokaklarını dolaşıp tarihi yerlerine göz atarken çocukluğunu ve gençken hoşlandığı nakışçı kız Sülün’ü hatırlar. Öyküde Kütahyalı kız tamlamasını karşılayan kişi ise Sülün’dür. Bütün bunlarla birlikte şehrin her köşesi onun belleğinde yeniden kurulur ve şekil alır. Sevinç Çokum’un şehir olarak Kütahya’yı seçmesinin sebebi ise onun Türk kültürüne sağladığı katkılardır. Kısacası bu çalışmada öykü gibi kurmaca bir metin üzerinden bir coğrafyanın gelenekleri ve yaşam tarzı anlatılmış, aynı kültürü yaşayan insanların nasıl ortak bir belleğe sahip oldukları görülmüştür.
Análise do discurso político de Demóstenes Torres
Authors: Da Rosa Alexsander Galhardo , Paulo Daiane , Neckel Kelly de Oliveira , Guaresi Ronei
Published: July 2023

Este artigo se propõe a analisar o discurso político sob a perspectiva bakhtiniana de análise do dis-curso. A ênfase deste estudo é para a identificação dos principais conceitos bakhtinianos em discurso de ambiente político do ex-senador brasileiro Demóstenes Torres, em defesa de acusações de parti-cipar do chamado grupo de Cachoeira, ligado a contravenções. A análise mostrou características prototípicas do discurso político: a) busca de um eu idôneo, sentimental, vítima de articulação política, inocentemente envolvido em conluios e b) minimização das provas ao nível da insignificância, em outros casos indiretamente reclamando isonomia ou transferindo a responsabilidade.
A neopedagogia da gramática: uma história de conquistas
Authors: Fernandes Grazielli , Fontes Arlinda Maria Caetano
Published: July 2023

Francisco Dequi, professor de Língua Portuguesa e bacharel em Direito, é o mentor da Neopedagogia da Gramática, um novo caminho para o ensino de nossa Língua Portuguesa. Ao longo dos anos, ele criou e implementou o Instituto Pró-Universidade Canoense (IPUC) e a Faculdade de Tecnologia IPUC (FATIPUC), escreveu importantes obras didáticas, promoveu congressos, fundou um importante órgão de pesquisa, o Centro de Estudos Sintagramaticais (CES). Mas esse pesquisador não se aquieta e está sempre em busca do aprimoramento de suas obras e teses e, principalmente, de novos adeptos que o auxiliem a levar adiante a Neopedagogia da Gramática. Para isso, ele oferece curso de graduação em Letras e cursos de pós-graduação, sempre utilizando seu método de ensino. Agora, a primeira turma do Curso de Pós-Graduação em Neopedagogia da Gramática está apta a utilizar essa nova forma de ensino, seja em sala de aula, em palestras, realizando alguma prova de conhecimento ou qualquer outra atividade que precise lidar com alinguagem escrita ou oral. Assim, conhecer a Neopedagogia da Gramática é percorrer este caminho proposto por Dequi; é ser levado a perceber fatos gramaticais antes não notados; é fazer parte destahistória de conquistas. Para a constituição do artigo, além de serem efetuadas pequisas em obras earquivos pessoais de Francisco Dequi, realizaram-se entrevistas escritas com esse professor e comos alunos da primeira turma do Curso de Pós-Graduação em Neopedagogia da Gramática.
Verbo diagramado e a pedagogia do prazer
Authors: Rosa Warley Oliveira , Vanzing Alceu
Published: July 2023

Neste artigo, o autor afirma categoricamente que o Verbo Diagramado, a exemplo de Albert Einstein,  põe em evidência uma relação entre tempo e espaço. Registra como importante a pedagogia do prazer de Einstein e do Verbo Diagramado. Detém-se em análise de várias virtudes da didática inédita desse instrumento pedagógico para a conjugação verbal. Reserva espaço para lembrar que o Verbo Diagramado é remédio contra o narcisismo de alguns professores. Com apoio em pesquisas declara com firmeza que o Verbo Diagramado é vacina contra os reflexos condicionados negativos. Reserva um espaço para reflexão sobre o quanto a “ação” é importante e como o agir onímodo do Mentor do Verbo Diagramado deu vida a esse caminho inovador no solo fecundo dos verbos.
A neopedagogia da gramática no ensino de redação
Authors: Pereira Denise Conceição , Fontes Arlinda Maria Caetano
Published: July 2023

O presente artigo traz um estudo sobre a Redação, com base nas obras do professor Francisco Dequi, mentor da Neopedagogia da Gramática, fazendo-se um pequeno comparativo entre o método tradicional de ensino e o método inovador proposto por este estudioso da questão. Normalmente, a Redação é apresentada de uma forma não muito didática, deixando-se este importante conteúdo um tanto desinteressante e até difícil de ser desenvolvido. O método que aqui se sugere é transformador, expõe de outra forma a maioria dos conteúdos estudados na Língua Portuguesa, dando um enfoque significativo à Gramática, o que é a forma mais segura para se escrever bem.
Realidade e tendências no ensino de biologia no brasil: análise de conhecimento vocabular em fragmento de livro didático por estudantes de 1º ano do ensino médio
Authors: Santos Daiane Nascimento , Figueredo Patrícia Silva , Melo Noélia Pires dos Santos , Prado Sandra França , Rodrigues Ana Flávia Alves da Silva , Dos Santos Jaqueline Ribeiro , Guaresi Ronei
Published: July 2023

Este artigo inclui uma revisão histórica das práticas do ensino de Ciências ao longo dos últimos anos exibindo demandas da prática pedagógica, apresentando reflexões decorrentes do ensino prático e teórico nas salas de aula e observando as necessidades formativas dos alunos e as eventuais dificuldades encontradas pelos docentes. Este trabalho foi realizado no Colégio Estadual Nilton Gonçalves, Vitória da Conquista (BA), com alunos do 1° ano do ensino médio, cujo objetivo foi investigar a eficácia do ensino em escola da rede pública e analise do conhecimento adquirido pelos alunos.
O livro didático de português como instrumento mediador para o letramento
Authors: Macedo Gizelle , Guaresi Ronei
Published: July 2023

O objetivo desse artigo é analisar um livro didático de língua portuguesa, observando se ele utiliza gêneros textuais e de que forma ele os explora. Para tanto, foram discutidos os conceitos de alfabetização e letramento, com base no que diz Mary Kato, Leda V. Tfouni e Magda Soares. O nosso trabalho também tem como objetivo mostrar a definição de gêneros textuais, para, a partir de então, analisarmos o letramento como apropriação desses gêneros. Foi possível depreender, no decorrer da pesquisa, que é de fundamental importância que o ensino de língua portuguesa tome como base o que prega o letramento, pois, o trabalho com gêneros faz com que o aluno conviva, na escola, com situações reais de uso da língua, facilitando, assim, a aprendizagem.
A língua brasileira de sinais no processo de inclusão dos surdos: o caso de Teixeira de Freitas/Ba
Authors: Pinto João Rodrigues , Capeleiro Sarys Fernandes da Silva
Published: July 2023

O artigo apresenta um estudo sobre a mediação do tradutor e intérprete da Língua Brasileira de Sinais (ILS), nas instâncias educacionais, visando à ampliação das perspectivas sobre a formação deste profissional. Apresenta como suporte metodológico a descrição de uma pesquisa sobre o trabalho do intérprete na educação, socialização e construção da cidadania em torno da comunidade dos surdos no município de Teixeira de Freitas, Extremo Sul da Bahia. Trata-se, portanto de uma abordagem pertinente que traz à tona a vez e a voz daqueles que tem desenvolvido uma atividade laboral voluntária em prol da pessoa surda que ainda vive as dificuldades comuns de quem é portador dessa condição. O papel do tradutor/intérprete é de extrema importância na composição e resgate da cidadania da pessoa surda, seja na escola, na família, comunidade e, principalmente no mercado de trabalho. O estudo abre uma janela para a inclusão da Língua Brasileira de Sinais na pedagogia-nossa-de-cada-dia
Processo de subjetivação do professor de língua portuguesa: uma leitura discursiva
Authors: Gomes Claudio Gonçalves
Published: July 2023

Assevera o filósofo francês que os mecanismos por meio dos quais os sujeitos constroem sua história vão ser denominados de modos de subjetivação (FOUCAULT, 1984). Um dos seus sentidos diz respeito à forma como o sujeito estabelece relação consigo mesmo. No discurso pedagógico, há todo um léxico que converge para essas formas de relação consigo mesmo. Assim, conhecer-se, estimar-se, controlar-se, disciplinar-se são ações reflexivas que vão construindo tais formas de relação (LARROSA, 1994). Por conseguinte, autoconhecimento, autoestima, autonomia, disciplina são termos que compõem e refletem esse discurso de si, conforme argumenta Larrosa (1994). Esse sujeito que se volta para si não pode ser pensado a-historicamente, dissociados dos discursos e das relações de poder. As relações de poder estabelecem os modos pelos quais os professores se veem, enxergam o aluno e compreendem a sua práxis pedagógica. Nesse contexto, em que medida o professor de Língua Portuguesa, a partir da experiência de si, se subjetiva, revela identidades nas tessituras de suas narrativas? Ao tecer a trama das suas experiências profissionais, como o discurso pedagógico o atravessa? Para responder a essas questões, é preciso buscar, no fio discursivo e no interdiscurso, os dizeres que ancoram a subjetivação do professor a partir do lugar sócio-histórico e ideológico em que se encontra. Nesse sentido, neste artigo, objetivamos compreender como se dá esse processo no professor de Língua Portuguesa, tendo como base as suas experiências narrativizadas na seção Retratos da revista Conhecimento Prático: Língua Portuguesa. Adotaremos, como metodologia, a utilização de sequências discursivas (SD), retiradas de seis relatos dos sujeitos professores. Ancoramos nossa reflexão no mirante da Análise do Discurso francesa (ADF) de Michel Pêcheux e, sobretudo, das contribuições Michel Foucault para esse campo
A revolução dos homens
Authors: De Sá Gláuber Clinton Brito
Published: July 2023

A obra Animal Farm (A Revolução dos Bichos) é um clássico! Escrita por Eric Arthur Blaur, de pseudônimo George Orwell, um dos mais notáveis escritores do século XX, é um livro pequeno, mas de volumosa agudeza. Foi classificado pela revista Times como um dos 100 melhores romances anglófonos do século passado e, em lista organizada pela Modern Lybrary com o mesmo critério, ocupa o 31º lugar - e o 20º,segundo a avaliação de seus leitores -. Recebeu também, retrospectivamente, o prêmio Hugo Awards, dedicado anualmente aos melhores livros desse gênero. O romance, em sentido amplo também uma fábula, retrata satiricamente uma fazenda de animais, fazendo analogia e crítica à Revolução de 1917, à União Soviética e ao Stalinismo.