bluuebunny/crossref_metadata_2025 huggingface dataset:
Comprehensive Review of Healthcare Workforce Challenges, Technological Solutions, And Training Programs
Authors: Alqarni Abdullah Saleh Abdullah , Alwadai Saad Eisa Ali , Al qarni Ali Saleh Mohmmed , Jazza Saqer Abdullah Saeed , Alshehri Riyadh Abdullah Mohammed , Alqahtani Ibtisam Saeed , Al thabit Mohammed Abdullah , Saif Salem Abdullah Sales , Alahmari Khalid Abdullah , Alshehri Ali Gharim Fadel
Published: December 2024

The healthcare workforce is under pressure from, among other things, workforce deficit, staff fatigue, and changes in demand for skills due to the changing technological environment. This review, therefore, reviews these workforce challenges and examines how AI, telemedicine technology, EHRs, and wearable technology can suggest some of the mentioned workforce pressures. Moreover, it evaluates the changing trends in healthcare training programs and explores the need to adopt new technologies for innovation. Healthcare organizations can take advantage of the right technological solutions and increase the medical staff's and patients' effectiveness through increased efficiency, education, and training. Based on the arguments made throughout this paper, the following suggestions are made for healthcare organizations, policymakers, and educators to prepare the workforce for future needs.
Comprehensive Review of Nursing Education, Mental Health Advocacy, And Evolving Practices
Authors: Al malki Saad Safran , Al sheheri Maryam Thabet Abdullah , Alsiddiq Nouf Yahyi Abdo , Mashat Egbal Atiya , Thani Fatima Ahmad , Al Zahrani Khadran Hezam Saeed , Al-Mawlid Zain Dakhil Saleh , Alsharif Amani Ali Hasan , Alkhudaydi Taher Abdullah Abdulrahim , Sait Abrar Mohamad yousef , Ganeem Hisham Abdullah
Published: December 2024

More changes have been observed in nursing education over the years, including promoting health advice, advocacy for mental health, and other new changes. This paper will review the effectiveness of nursing education on mental health advocacy, identify changing practices across this field, and discuss the problems and possibilities implicated in enhancing mental health care through changes in nursing education. These discoveries raise the question of including mental health educational programs in nursing education, improving the nurses’ competencies, and increasing the advocacy for mental health in healthcare facilities and societies. The review also analyses how emerging trends, including telehealth, cultural competence, and interprofessional practice, inform mental health care. Then, drawing on available data for the given priority areas, the paper gives recommendations for future improvement of nursing education and practice to meet different populations' identified mental health needs.
The Influence of Good Corporate Governance on Financial Performance of Companies in Indonesia Using a Whistleblowing System
Authors: Christiawan Yulius Jogi , Julian Kelvin , Tarigan Zeplin Jiwa Husada , Jie Ferry
Published: December 2024

Managers always strive to produce increased profitability by building systems in the company to be efficient and effective. Good corporate governance is formed in companies by increasing the role of supervise independent commission. This research aims to analyze the influence of good corporate governance on financial performance by using the whistleblowing system as a moderating variable. This research uses research samples from companies included in the LQ45. The research results state that good corporate governance with independent commissions positively affects financial performance. This condition can be seen from the increasing role and function of supervisors not affiliated with the company. Second, good corporate governance with an independent commission supported by the whistleblowing system can strengthen the impact of good corporate governance on financial performance. Third, the whistleblowing system established in companies has not been able to play a direct role in improving financial performance because there is still no system established in companies, and there are no government regulations to protect employees who disclose violations. Research provides practical contributions for governments and company managers to form adequate independent commissions because it can produce increased financial performance.
Knowledge And Perception Regarding Safe-Use of Natural Health Products Among Undergraduates
Authors: Yusoff Yusnaini Md , Din Wardah Mustafa , Jafry Nurul Hanis Aminuddin , Rahim Azlan Abdul , Rusly Noor Sharizad , Arham Ahmad Firdhaus , Aziz Muhammad Firdaus , Nazri Nurul Syakirah , Hasim Nur Asmadayana
Published: December 2024

Awareness of healthy living has driven youth, including undergraduates, to prefer natural health products (NHP). With the rise of online sales for medications, supplements, and cosmetics, understanding NHP safety among undergraduates is crucial. A university elective course included a KYM module on NHP safety. A one-group pre- and post-test study (n=48) assessed the module’s impact using a questionnaire covering demographics, self-assessed knowledge (15 items), and perception (8 items). Frequency analysis and paired sample T-tests evaluated the results. The paired T-test showed significant improvement (p<.05) in students’ knowledge and perception post-course. Knowledge gains were observed in safe use, risks, practices, and regulations. The mean of two perception items shows a modest decrease in comparison to the pre and post-test. This shows that this course improved NHP effectiveness and safety knowledge. In summary, the elective course offered for undergraduates regarding safe use of NHP excellently improved self-assessed knowledge and perception towards NHP. The module embedded in the elective course can be used as a module to also educate other segment of consumers to safeguard them from unnecessary risks to health.
Organizational engagement with the Sustainable Development Goals (SDGs) : theoretical perspectives and empirical insights in a public sector context
Authors:   , Mestdagh Björn
Published: December 2024

The United Nations Sustainable Development Goals (SDGs) stand as a globally recognized initiative aimed at tackling humanity's most pressing challenges, aspiring to shape a future characterized by sustainable development. Since their inception in 2015, organizations of all sorts and sizes worldwide have increasingly adopted these goals, highlighting the framework's success. The academic community has followed this trend, including the 'Business and Management' literature. However, in part due to the relatively recent emergence of the SDGs, not all facets of their adoption at the organizational level have undergone thorough examination, resulting in a somewhat fragmented and incomplete scholarly contribution with inherent shortcomings. This thesis endeavors to address some of these shortcomings, with a particular focus on the concept of ‘organizational SDG engagement’, an area that has received minimal attention in current research. By offering precise delineation and a definition of this concept, along with other key concepts, and presenting a universally applicable framework of drivers, this thesis aims to make a contribution towards enhancing the theoretical foundation on the topic. Furthermore, by conducting quantitative empirical examinations within the often-overlooked organizational context of public sector organizations, delving into analyses of the impact of COVID-19 on organizational SDG engagement, evaluating employee attitudinal responses towards organizational SDG engagement, and exploring the relationship between organizational SDG engagement and public trust, this thesis aims at enriching empirical knowledge in this domain. Finally, by offering actionable recommendations grounded in both theoretical understanding and empirical evidence, including insights resulting from an applied SDG project in collaboration with the Province of Antwerp, this thesis aims to bridge a gap between theory and practice. While these contributions may seem subtle, they have the potential to provide a solid foundation for organizations to enhance their SDG engagement and amplify their role in driving positive change.
The Mediating Effect of Self-Efficacy Between Secondary Traumatic Stress and Emotional Self-Regulation Among Forensic Examiners
Authors: Sagnip Julius Aldrin
Published: December 2024

This study was conducted to determine if there was a mediating effect of self-efficacy between secondary traumatic stress and emotional self-regulation among forensic examiners. It was conducted at the Regional Forensic Unit- National Capital Region and National Headquarters of PNP Forensic Group. Data were collected using simple random sampling from 173 designated forensic examiners with indirect trauma experiences. Mediation analysis was used to evaluate the data, using regression analysis and the Sobel Test. It was revealed that forensic examiners had little/no secondary traumatic stress, a high level of emotional self-regulation, and a high level of self-efficacy. It was also revealed that self-efficacy (β=-0.334, p<.001) was negatively related to emotional self-regulation with 11% of the variance, secondary traumatic stress (β=0.460, p<.001) was positively related to emotional self-regulation with 21% of the variance, and secondary traumatic stress (β=-0.195, p=.010) was negatively related to self-efficacy with 3.8% of the variance. The self-efficacy partially mediates the relationship between secondary traumatic stress and emotional self-regulation by 10.7%, which indicates that while self-efficacy plays a significant impact, there is still a direct influence of secondary traumatic stress on emotional self-regulation. As an output of the study, the Forensic Mental Health: Psychoeducation and Trauma-Focused Intervention Program was proposed for forensic examiners to serve as a guide to develop and improve their self-efficacy and emotional self-regulation strategy in coping with the impact of secondary traumatic stress.
Evaluation of Compliance of Urban Land Use Zones to Integrated Land Use Plan in Meru Municipality, Meru County, Kenya
Authors: Riungu James Muthomi , Kathuri Muses Njeru
Published: December 2024

Urbanization is supposed to follow a guided land use plan. However, in most of the towns in Kenya, Meru municipality included, this has not been the case. This can be linked to violation of land use plan regulations. This study evaluated the land use zones' compliance level with integrated land use plans in Meru municipality. The study sought to establish the level of compliance of various urban land use zones to the integrated Land use plan of Meru municipality. A sample of 389 residents from a population of 88,871 was selected using Krejcie & Morgan (1970) formulae. Questionnaires, interviews, remote sensing, and observations were used to collect data from developers and key informants. The study found that the average compliance levels of the five land zones were as follows: recreational/ Conservation zone (83.3%), commercial (75.8%), agricultural (52.8%), residential (50.1%), and compliance of industrial zone 44.8%. The study therefore recommended the following: land use plan implementation needs close monitoring; planning officials in Meru municipality need capacity building on evaluation and follow-up on land use plans.
PLACING WOMEN AT THE CENTRE OF A COORDINATED AFRICAN CLIMATE CHANGE AGENDA: A FOCUS ON THE REPUBLIC OF THE SUDAN AND THE DEMOCRATIC REPUBLIC OF THE CONGO
Authors: Nyabola Alex Cynthia , Wachira Jane
Published: December 2024

Climate change disproportionately impacts women and girls. Their vulnerability to the effects of climate change is particularly evident in volatile regions like the Republic of Sudan and the Democratic Republic of the Congo (DRC). Like times of conflict where societal norms crumble leaving women and girls vulnerable; climate change exacerbates existing inequalities, with women bearing the brunt of its consequences, especially in sub-Saharan Africa. Women, who are frequently responsible for agricultural activities and household care work, face a myriad of climate change related challenges including food and nutritional insecurity, increased malaria transmission, malnutrition, displacement, reduced agricultural productivity, lack of access to clean water and lack of access to clean cooking technologies. This article delves into the contexts of Sudan and the DRC to highlight the critical need for a coordinated African climate change agenda. It highlights the need for genderfocused approaches that advance the capacities of women and leverage their
conventional societal roles in analysing the relationship between women and nature, particularly rural women. This article thus proposes placing women and girls at the centre of the continent's climate change agenda as a catalyst to realise its collective goals. It concludes by analysing the gender-focused climate approaches contained in the ‘Africa Leaders Nairobi Declaration on Climate Change and Call to Action’ (Nairobi Declaration). The Nairobi Declaration provides a guiding beacon for mainstreaming gender-specific climate policies and actions. Such approaches entail integrating gender considerations into all policy development, implementation, and evaluation stages, ensuring that women's voices and priorities are heard and addressed.
COLLECTIVE BARGAINING IN WEST AFRICA: NAVIGATING A NEW GLOBAL ORDER
Authors:   Nigerian Institute of International Affairs, (NIIA), Nkanta Faith , O. Olumayowa ,   Nigerian Institute of International Affairs, (NIIA)
Published: December 2024

A critical approach that strengthens the international bargaining power of West African states is regional integration. The collective bargaining of West African states in a changing global order is a critical issue for the future of the region. By finding new ways to cooperate and bargain collectively, West African states can protect their interests and ensure that they benefit from the opportunities of the global economy. The changing global order is characterized by increased globalization, technological innovation, and shifts in power dynamics. These changes are creating new challenges and opportunities for West African states. West African states need to adapt their approach to collective bargaining to meet these challenges and seize these opportunities. The study relies heavily on the postulations of Dependency Theory and Afrocentrism. This research study utilized qualitative forms of data sourced from secondary sources that include newspaper and magazine articles, textbooks, journals, and other print sources. The method of data analysis was also qualitative as the study engaged content analysis in a considerable volume of literature to expunge appropriate data for the study. This study revealed that collective bargaining of West African states is essential for the region's economic development and political stability. By working together through the Economic Community of West African States (ECOWAS) therefore, West African states can pool their resources and negotiate more effectively with the world powers. The study also discovered that West African states can also strengthen their collective bargaining power through South-South cooperation. By working together with other developing countries, West African states can gain a stronger voice in the global arena. South-South cooperation can also help West African states to access new technologies and resources, which can give them a competitive advantage in the global economy.
Almost nearly (\tau_1,\tau_2)-continuous multifunctions and the \tau_1\tau_2-\delta$-closure operator
Authors: Srisarakham Napassanan , Sompong Supunnee , Boonpok Chawalit
Published: December 2024

In this paper, we investigate some characterizations of upper and lower almost nearly (\tau_1,\tau_2)-continuous multifunctions by utilizing the \tau_1\tau_2-\delta-closure operator.
INOVAÇÕES EDUCACIONAIS NOS EUA: A REVOLUÇÃO DAS MICROESCOLAS, MICROLEARNING E APRENDIZAGEM BASEADA EM JOGOS"
Authors: Guimarães Junior José Carlos , Santana Marttem Costa de , Santos Antônio , Barbosa Amilton de Lima , Batista Andréia Jayme , Schmidt Fabrício Leo Alves , Silva Pablo Rodrigo de Oliveira
Published: December 2024

This article investigates non-traditional education models in the United States, focusing on microschools, microlearning, and game-based learning, which are redefining the educational landscape through more engaging, personalized, and flexible approaches. These initiatives respond to the growing need for educational methods that better adapt to the diverse needs and learning styles of contemporary students. The research includes a detailed literature review analyzing the work of 15 relevant authors, exploring the advantages and challenges associated with these models. Highlighted advantages include increased student engagement, promotion of autonomy in learning, and the ability to customize the curriculum according to the individual needs of each student. However, identified challenges encompass issues such as the need for adequate technological resources, teacher training to implement these methodologies, and consistent evaluation of learning outcomes. The critical discussion in the article addresses both the effectiveness of these innovative practices and their limitations. Effectiveness is examined from the perspective of developing 21st century skills such as collaboration, critical thinking, and creativity, which are essential for success in the contemporary world. At the same time, limitations related to the scalability of these models and equity in access to quality education are discussed. In summary, the study provides a comprehensive view of the impact of these non-traditional approaches on contemporary education in the United States, highlighting their capacity for innovation and adaptation to current educational demands, while also recognizing the challenges that need to be overcome for their effective and sustainable implementation on a large scale.
O MINISTÉRIO PÚBLICO E A PROTEÇÃO DO INCAPAZ
Authors: Diniz Fernando Seixas Baeta
Published: December 2024

Este artigo tem o condão de correlacionar as melhorias e as deficiências existentes na atuação do Ministério Público frente ao Estatuto da Pessoa com Deficiência. Partese da premissa que as recentes modificações coincidem com o posicionamento global, ante a adesão do Brasil a Convenção Internacional sobre os Direitos das Pessoas com Deficiência e seu Protocolo Facultativo. Contudo, caminhar no mesmo sentido não significa que as idiossincrasias continentais devam ser esquecidas, pois levar-seá ao esgotamento do instituto em questões que nos parecem de suma relevância para a escorreita atuação do órgão ministerial. Ao final, restará demonstrado por meio de casos relevantes a necessidade de adequação da atuação, buscando-se o melhor interesse do público tutelado.
CAMINHOS DE INTERCOMPREENSÃO: DA LUSOFONIA À ROMANOFONIA
Authors: Bastos Ângela Raquel do Nascimento
Published: December 2024

More and more frequently, the migrations in the world update the statistics and also our awareness about how outdated it is to believe that most countries are monolingual. Even with these global multilingual scenarios, the teaching and learning contexts of foreign languages are traditionally marked by approaches that study languages separately. Against this individualization, there is plurilingualism and plural approaches, among them Intercomprehension. According to Escudé and Janin (2010), the term Intercomprehension was first used by the linguist Jules Ronjat to describe the ability of speakers to understand dialects of different languages of the same family. By adopting it in their pedagogical practices, the teacher values the learner's linguistic repertoire and knowledge of the world, as well as the languages involved in the teaching/learning process. In the light of the theoretical assumptions of Olmo and Escudé (2019), Melo-Pfeifer (2011), among others, the present work aims to discursively situate the theories, strategies and practices that involve Intercomprehension and propose reflections, in order to arouse a change in professional paradigms and in the classroom scenario, emphasizing that Intercomprehension can guide us towards a path of democratization of languages and cultures.
EC. 45/2004 E A INCORPORAÇÃO DOS TRATADOS INTERNACIONAIS SOBRE DIREITOS HUMANOS SOB A ÓTICA DA TEORIA DA FUNDAMENTALIDADE MATERIAL
Authors: Maul Filipe José Rodrigues Azevedo
Published: December 2024

This work aimed the analysis of the rising position which underlies the constitutional value and hierarchy of the international human rights treaties incorporated in the Brazilian normative system due to the theory of the material fundamentality of the rights. The study was elaborated by bibliographical and jurisprudential researches, and, by them it was possible determining the necessary theoretical basis to defend the essentiality of that theory due to the human needs nowadays.
CUIDADOS PALIATIVOS NA ATENÇÃO PRIMÁRIA À SAÚDE: RELATO DE EXPERIÊNCIA
Authors: Álvares Ana Júlia Gonçalves Vila Verde , Solá Alda Lúcia Nunes
Published: December 2024

With advancements in science and technology, life expectancy has increased, consequently raising the incidence of chronic diseases. The World Health Organization (WHO) has recognized the importance of palliative care (PC) in improving the quality of life for patients with severe illnesses. This study presents the experience in primary care within the realm of PC, correlating theory and practice developed during a family and community medicine residency. The methodology included the analysis of clinical data obtained during the residency in basic health units in Anápolis/GO, and a literature review from PubMed and Scielo platforms, focusing on articles published between 2018 and 2024. The implementation of Health Care Networks and Home Care proved crucial, promoting continuous and humanized care. Insufficient training of physicians in PC and challenges such as the complexity of home care and lack of infrastructure were identified as limiting factors. The use of assessment scales to identify patients and guide specific care plans is essential. Interdisciplinarity and articulation among sectors are fundamental to ensure comprehensive care. Multidisciplinary teams are crucial to addressing the physical, psychosocial, and spiritual dimensions of patients. The discussion on bioethics is vital for ethical and humane practices. It is concluded that the effective implementation of PC in Primary Health Care requires continuous professional training, structuring of care networks, and public policies that ensure comprehensive and humanized care, meeting the real needs of patients.
ATRESIA DO ESÔFAGO EM RECÉM NASCIDOS: UMA REVISÃO INTEGRATIVA
Authors: Sousa Eduarda de Alencar Araripe Cariri , Duarte Izaura Alves , Sampaio Karla Maria Alves , Alencar Lara Maria Monteiro Augusto de , Cortez Teliane Estrela Cardeal , Farias Pablo Antonio Maia de
Published: December 2024

Introdução: A atresia de esôfago (AE) é um defeito na formação congênita que leva à interrupção da luz esofágica, podendo-se ou não estar associada a uma comunicação com a traqueia. Objetivo: Este estudo tem como objetivo, compreender os principais fatores da atresia do esôfago em recém-nascido. Metodologia: Trata-se de uma revisão de literatura, descritiva, de caráter exploratória, com abordagem qualitativa. Que vai dispor sobre a atresia do esôfago em recém-nascidos. Resultados: De acordo com a busca através dos descritores, 213 artigos no LILACS, MEDLINE e dentre outros foram encontrados, no entanto apenas 89 apresentavam texto completo. De acordo com os critérios de elegibilidade,  36 deles diante o tema foram selecionados. Durante o processo de revisão de cada estudo, verificação dos critérios de inclusão, exclusão, leitura dos títulos, leitura dos resumos, leitura total dos artigos, apenas 7 estudos foram selecionados nesta revisão. Conclusão: O estudo finaliza com bom prognóstico quando o diagnóstico é otimizado ainda no pré-natal, pois a taxa de sobrevivência do recém-nascido com atresia esofágica é bem alta, mesmo com complicações a longo prazo como: infecções respiratórias de repetição, tosse persistente, refluxo gastroesofágico. Como tratamento, a intervenção cirúrgica minimamente invasiva é a principal escolha no regresso da patologia.
BENEFÍCIOS DAS PRÁTICAS INTEGRATIVAS E COMPLEMENTARES EM SAÚDE NO CUIDADO DE ENFERMAGEM A PACIENTES ONCOLÓGICOS
Authors: Machry Ângela Pereira de Jesus , Faveri Fabiano de
Published: December 2024

Esse estudo tem como objetivo analisar os benefícios proporcionados pelas práticas integrativas e complementares em Saúde na melhora do conforto a pacientes em tratamento oncológico. Trata-se de uma pesquisa de campo com estudo descritivo e abordagem qualitativa. O cenário de estudo compreende uma ONG localizada na cidade de Caxias do Sul. A coleta de dados foi realizada em 2024, através de entrevistas com 17 participantes maiores de 18 anos, em vigência ou concluído o tratamento oncológico. Resultados: A pesquisa revelou que a maioria dos participantes possuíam mais de 60 anos, sendo predominantemente mulheres. Efeitos colaterais relatados com maior frequência foram: alopecia, dor, cansaço, náuseas, depressão, ansiedade e inapetência, que dificultavam a realização das atividades de vida diária. As Práticas Integrativas e Complementares foram amplamente utilizadas, todavia evidencia-se o desconhecimento do termo. As PICS trouxeram benefícios como alívio da dor, depressão e estresse, além da melhora do ânimo, convivência social e qualidade de vida. Conclusão: O estudo alcançou o objetivo de analisar os benefícios das Práticas Integrativas e Complementares no conforto de pacientes oncológicos. Os resultados mostraram que as PICS reduziram o estresse, ansiedade, depressão e dor, além de melhorar a resiliência e a compreensão da doença, promovendo bem-estar físico e emocional. No entanto, a pesquisa apontou uma lacuna na disseminação dessas práticas entre os profissionais de saúde. A enfermagem desempenha um papel fundamental na promoção dessas práticas, porém este estudo demonstra que ainda existem falhas na divulgação dessas práticas por esses profissionais o que limita sua adoção.
ELABORAÇÃO DE TECNOLOGIA TEXTUAL PARA PACIENTES AMBULATORIAIS OSTOMIZADOS DE EM UM HOSPITAL DA AMAZÔNIA BRASILEIRA
Authors: Andrade Alana Ferreira De , Rocha Maristella Rodrigues Nery Da , Marinho Juliana Alves , Vieira Remita Viegas , Pimentel Susan Karolayne Silva , Nascimento Junior Fabio Ricardo Martins Do , Silva Filipe Augusto Oliveira Da , Salgueiro Larissa Lobato , Lima Lauro José De Almeida , Almeida Itallo De Souza , Lessa Heber Esquina
Published: December 2024

INTRODUÇÃO: O câncer, sendo a segunda principal causa de morte no Brasil, é um problema grave de saúde pública. Entre os tipos de câncer, o câncer colorretal muitas vezes requer cirurgias que resultam em ostomias, que são aberturas cirúrgicas para a eliminação de resíduos corporais. A falta de informação sobre cuidados com ostomia pode causar problemas de saúde e aumentar a ansiedade dos pacientes. Uma tecnologia textual com orientações claras pode melhorar o manejo da condição e a qualidade de vida. OBJETIVO: A pesquisa visa avaliar o nível de autocuidado e as principais necessidades das pessoas com estomias atendidas em um hospital na Amazônia brasileira, especificamente em Santarém, Pará. A criação de um manual textual baseado nas necessidades identificadas é um dos principais objetivos. METODOLOGIA: O estudo quantitativo, analítico e transversal será realizado de agosto a outubro de 2024, utilizando o Questionário sobre Qualidade de Vida para Pessoas Ostomizadas em Português - City of Hope Quality of Life – Ostomy Questionnaire. Participarão pacientes ostomizados do Hospital Regional do Baixo Amazonas (HRBA).
EXAME CITOPATOLÓGICO: A IMPORTÂNCIA DA PREVENÇÃO PRECOCE DO CÂNCER DO COLO UTERINO E ASSISTÊNCIA DE ENFERMAGEM EM DUAS UNIDADES
Authors: Silva Mayara Fernandes , Moraes Kelly Rose Pinho , Lima Sudário Vítor de Aguiar , Duarte Ana Paula Cunha , Batista Juliana Roberta Pereira , Coelho Laurien Silva de Queiroz , Silva Noélia Santos , Silva Rudieres Maycon Pereira da , Silva Pricila Francisca Cunha Da , Machado Naomy Sol Fernandes
Published: December 2024

O câncer do colo do útero (CCU), é também denominado carcinoma de útero cervical, é vista como uma patologia que evolui lentamente, sendo a quarta causa de morte na população feminina do mundo todo, apenas atrás do câncer do colorretal e o de mama. Esta pesquisa teve como objetivo analisar a cobertura do exame citopatológico do câncer colo do útero e a necessidade da importância da prevenção precoce, ampliando a faixa etária preconizada. Trata-se de um estudo de natureza qualitativa e exploratória, onde os dados foram obtidos do livro de registro dos resultados de exames citológico, realizado em duas UBS’s de Coroatá – MA. Foram averiguados cerca de 314 exames realizados durante o ano de 2017 e 2018, um total de 94 infecções sexualmente transmissíveis. A Gardnerella vaginalis foi mais prevalente nas mulheres, já a Candida vaginalis, Trichomonas vaginalis a ocorrência foi mínima, mas são hegemônicos para o desenvolvimento do câncer. Os dados evidenciam o início da vida sexual sem a utilização do preservativo, com consequências de infecções sexualmente transmissíveis, aumentando o surgimento das lesões causadoras do câncer.
RESOLUTIVIDADE DA DOR MIOFASCIAL ATRAVÉS DA TÉCNICA DE AGULHAMENTO SECO E DESAFIOS DA REALIZAÇÃO DO PROCEDIMENTO EM UMA UNIDADE DE SAÚDE DA FAMÍLIA: UM RELATO DE EXPERIÊNCIA
Authors: Moraes Júlia Rodrigues , Oliveira Isabela Araújo
Published: December 2024

INTRODUÇÃO: A dor miofascial é caracterizada pela presença de tensão  das fibras musculares. Trata-se da principal causa de dor em 30 a 85 por  cento das pessoas com dores musculoesqueléticas. A técnica de  agulhamento seco é um procedimento minimamente invasivo utilizado no  tratamento de dores miofasciais. OBJETIVOS: Descrever a experiência da  implementação da técnica de agulhamento seco em pacientes com dor  miofascial em uma Unidade de Saúde da Família. METODOLOGIA: Trata-se  de um relato de experiência referente à resolutividade da dor miofascial  através do agulhamento seco realizado em pacientes diagnosticados  clinicamente e sem contraindicações, bem como abordagem dos desafios  associados ao procedimento. RESULTADOS: Os resultados sugerem  resolutividade da dor miofascial através do agulhamento seco, sendo o  número de sessões necessárias variável de acordo com a temporalidade da  dor. O tempo restrito e o baixo conhecimento dos pacientes quanto à técnica  são alguns desafios enfrentados na aplicabilidade do agulhamento seco no  contexto da atenção primária. DISCUSSÃO: A técnica de agulhamento seco  é pouco invasiva e tem baixo custo, com aplicabilidade vantajosa na atenção  primária à saúde. CONCLUSÃO: O agulhamento seco demonstra-se eficaz  no manejo da dor miofascial, exigindo capacitações profissionais para  ampliação da aplicação da técnica, além de estratégias educacionais para  facilitar a adesão dos pacientes.
Protocolo y lista de chequeo para la atención en recuperación en una institución en Colombia
Authors: Panqueba Hernández Yecid , Márquez Ibarra Adriana Alejandra
Published: December 2024

Debido a que la de enfermería hace parte de un grupo multidisciplinario y está en particular tiene como objetivo brindar cuidados integrales y específicos en pro del bienestar de los seres, se evidencia la necesidad de crear protocolos y listas de chequeo para la atención oportuna de los pacientes en áreas específicas del cuidado (unidades de cuidado post anestésico) UCPA, retomando todas aquellas herramientas que se tienen para propender en un acto de cuidado seguro y eficaz. Para ello hubo la necesidad de solicitar la ayuda de expertos en estas áreas, para la creación del material que permita disminuir la aparición de eventos adversos en el cuidado de pacientes en las UCPA. Objetivo: Proponer un protocolo y lista de chequeo para la atención oportuna en cada uno de post operatorio inmediato en el área de recuperación, con el fin de minimizar la presencia de eventos adversos, en una institución de salud. Metodología: Es una investigación descriptiva, transversal. Resultados: Validación y aprobación por grupo de expertos sobre los documentos creados para la implementación de una atención segura en estas unidades de cuidado especializado. Conclusiones: Unificación de los criterios de atención en los pacientes que son atendidos en las UCPA, tomando en cuenta los tres momentos fundamentales en la atención.
Barreras que enfrentan las Mujeres Arquitectas en diferentes ámbitos laborales. Fase de explotación de la Metodología de Género Transformadora.
Authors: Czerwinska Zuzanna , Colmenero Fonseca Fabiola
Published: December 2024

Este artículo examina las barreras que enfrentan las mujeres arquitectas en diversos ámbitos laborales, tales como el sector universitario, despachos de arquitectura, políticas públicas, investigación y tecnología, utilizando la Fase de explotación de la Metodología de Género Transformadora. A través de esta metodología, se identifican y analizan los obstáculos sistémicos y la invisibilidad que persiste en la práctica profesional de la arquitectura. El estudio se basa en una revisión exhaustiva de la literatura y en entrevistas en profundidad a arquitectas mexicanas. Los resultados evidencian las inequidades estructurales que limitan la participación equitativa de las mujeres en la arquitectura y proporcionan un marco para futuras investigaciones y acciones dirigidas a promover la igualdad de género en el campo.
Studi Komparasi Antara Mazhab Hanafi dan Mazhab Safi’i Tentang Wali Adhol
Authors: Ahmad Sibawai  , Lalu Yoga Vandita
Published: December 2024

This study aims to (1) examine the perspectives of the Hanafi and Syafi’i schools of thought (mazhab) regarding the concept of wali adhol in marriage contracts, and (2) evaluate the relevance of these perspectives in the context of marriage in Indonesia. The research employs a qualitative approach with library research as its primary method. Data analysis is conducted using a comparative method, which juxtaposes the two mazhab's views to draw conclusions. The findings reveal that the Hanafi school does not require the presence of a guardian (wali) for a legally competent and mature woman in a marriage contract, except for minors and individuals with mental incapacities. If a guardian refuses a competent woman’s request to marry a suitable partner, the guardian is deemed ineligible to refuse (adhol). Conversely, the Syafi’i school mandates the presence of a guardian for all marriage contracts, whether for a mature woman or a widow. In the Indonesian context, the Hanafi school’s perspective is considered more relevant due to its flexible approach, which takes local customs into account and grants greater autonomy to brides in deciding their marriage arrangements. This study contributes by providing a comparative perspective on the role of guardians in Islamic marriage law, serving as a reference for the development of family law in Indonesia, particularly in addressing cases involving wali adhol.
Presentación bilateral de trombosis del seno cavernoso
Authors: Baserga Clara , Diment Sheila , Marcoccia Caterina , Clementi Macarena , Vivante Santiago
Published: December 2024

Objetivo: Presentar un caso de trombosis del seno cavernoso con manifestación bilateral, resaltando el rol del oftalmólogo en un equipo multidisciplinario.
Caso clínico: Paciente femenina de 91 años con antecedentes de hipertensión arterial y fibrilación auricular no anticoagulada acude a la guardia por cuadro clínico oftalmológico de 20 días de evolución refiriendo diplopía, evolucionando abruptamente en los últimos dos días a proptosis bilateral, quemosis y disminución de agudeza visual bilateral. En la evaluación clínica la paciente presentó midriasis arreactiva y oftalmoplejía de ambos ojos. Mediante el aporte de las neuroimágenes, se diagnosticó una trombosis del seno cavernoso izquierdo, por lo que se inició el tratamiento combinado de antibióticos (vancomicina y ceftazidima), anticoagulación y corticoides endovenosos. Finalmente la paciente evolucionó en forma favorable pero con una gran pérdida de la agudeza visual como complicación de la enfermedad.
Conclusión: La trombosis del seno cavernoso es una entidad rara con un alto riesgo de mortalidad cuyo diagnóstico debe realizarse con urgencia para instaurar las medidas terapéuticas necesarias, lo cual requiere del trabajo en equipo entre oftalmología, neurología, medicina interna, hematología y el servicio de diagnóstico por imágenes.
Complicación posquirúrgica de un pterigión
Authors: Villalobos Antonio , Borrone María Agustina , Georgiett Daniel , Grunberg Alan , Sacks Camila , Byrnes Victor
Published: December 2024

Objetivo: Realizar la descripción del manejo terapéutico utilizado en la resolución de un granuloma piógeno ocurrido en el sitio de obtención de autoinjerto luego de una cirugía de pterigión.
Caso clínico: Paciente masculino de 63 años de edad que consultó por irritación y enrojecimiento ocular en ojo izquierdo (OI). Al examen oftalmológico se evidenció conjuntiva bulbar nasal. El OI presentaba pterigión grado 2 mínimamente congestivo. Se hizo intervención quirúrgica para la resección de pterigión de OI con técnica de autoinjerto conjuntival súpero-temporal homolateral en diciembre de 2021, sin complicaciones durante la cirugía. En control a las dos semanas posteriores a la extracción de puntos se visualizó injerto en posición, conjuntiva súpero-temporal con mala cicatrización y lesión granulomatosa de 4 x 5 mm en sitio de obtención del injerto. Se indicó tratamiento con prednisolona oftálmica 1%, 4 veces por día y lágrimas artificiales, sin mejoría, por lo que se realizó intervención quirúrgica para exéresis de lesión y tratamiento médico durante 2 semanas, observándose finalmente curación del sitio quirúrgico.
Conclusión: El granuloma piógeno conjuntival en el área de obtención de la conjuntiva donante es una complicación rara de la cirugía del pterigión; sin embargo, con el tratamiento médico y quirúrgico adecuado se logró su resolución completa y sin recidivas.
Pupiloplastia retroiridiana
Authors: Alza Andrés Germán , Galletto Eduardo
Published: December 2024

Objetivo: Presentar una novedosa técnica quirúrgica definida como pupiloplastia retroiridiana fáquica aplicada en una paciente con síndrome de Axenfeld-Rieger que no tenía una pupila definida.Técnica quirúrgica: La pupiloplastia retroiridiana fáquica es una técnica quirúrgica original que se realiza tras una incisión esclero-corneal a través de una iridotomía periférica, trabajando por detrás del iris y realizando la neopupila con un vitréctomo de cámara anterior. No requiere de demasiados controles oftalmológicos y su recuperación es rápida. Se realizó en una paciente adulta con síndrome de Axenfeld-Rieger y no se han observado complicaciones a 12 meses de la cirugía.Conclusión: Se describe una técnica quirúrgica que resultó eficaz y segura para formar una pupila en una paciente adulta con síndrome de Axenfeld-Rieger. Esto podría ayudar a la mejora de su percepción visual y su aspecto estético, pero principalmente se constituye como una opción en pacientes pediátricos para evitar alteraciones como el estrabismo y la ambliopía.
Prevalencia de neoplasia intraepitelial conjuntival en pterigión operados en el Hospital Rossi de La Plata
Authors: Dorronsoro Marianela , Villalba Julieta Agustina , Méndez Gonzalo Ariel , Malbrán Juan Ramón , Valeiras Andrea
Published: December 2024

Objetivo: Estimar la prevalencia de neoplasia escamosa de la superficie ocular no sospechada en pacientes con pterigión en nuestro medio y analizar la asociación con variables clínicas y demográficas.
Materiales y métodos: Se realizó un estudio transversal analítico retrospectivo unicéntrico de pacientes operados de pterigión en el Hospital Interzonal General de Agudos Dr. R. Rossi de La Plata entre junio de 2016 y noviembre de 2018. Se examinaron los informes histopatológicos de pacientes con diagnóstico clínico de pterigión en busca de evidencia de neoplasia escamosa de superficie ocular. Se dividió la muestra en dos grupos: pterigión solo (grupo 1) y neoplasia intraepitelial conjuntival con pterigión (grupo 2). Se revisaron las historias clínicas de ambos grupos.
Resultados: Se incluyeron 96 biopsias de pterigión. Se encontró neoplasia intraepitelial conjuntival coexistente con pterigión en 13 casos (13,5%), de los cuales 8 (61,5%) eran grado I, 3 grado II (23,1%) y 2 grado III (15,4%). No se encontraron diferencias significativas en las características demográficas (edad, sexo, nacionalidad) y clínicas (localización, ojo afectado) entre ambos grupos.
Conclusión: La neoplasia escamosa de superficie ocular puede coexistir con el pterigión y pasar inadvertida clínicamente. El análisis histopatológico es la única manera de diferenciarlos. Por lo tanto, consideramos que todas las muestras de pterigión deberían enviarse a patología para ser examinadas.
A Study on Consumer Intention and Using Communication Technology towards Online Grocery Shopping
Authors:   Avinashilingam Institute for Home Science and Higher Education for Women, S Kavitha
Published: December 2024

Online shopping has grown to the huge extent over the year throughout the world. The importance of online business is increasing and making it more fast and convenient for consumers. The purpose of this study aims to identify the customers’ expectations on risk factors, product varieties for OGS. And to study the technological barriers faced by consumers in terms of integration and usage of ICT. The data was collected through a Big Basket customer questionnaire of 196 respondents from Tiruppur. The studies is descriptive sampling technique is used to select the respondents. The data gathered are analyzed and interpreted with the help of Descriptive statistics, multiple correlation analysis and multiple regression analysis. The result of the study portrays that preference of the customers are shopping online as it is a great advantage they can able to shop at any time as per their convenience, as well as it saves time and the information given about the product on the site is sufficient.
РОЛЬ МИКРОРНК В ПАТОГЕНЕЗЕ АТЕРОСКЛЕРОЗА: НОВЫЕ ГОРИЗОНТЫ ИССЛЕДОВАНИЙ
Authors: Юсупалиева Д , Низамов У , Алиева Р , Ахмедова Ш , Шек А
Published: December 2024

This study aims to analyze the role of microRNAs in the pathogenesis of atherosclerosis, focusing on their coding potential and application in clinical practice. Background. Atherosclerosis is a leading cause of cardiovascular mortality worldwide, significantly impacting public health. MicroRNAs, as key regulators of gene expression, play a crucial role in the pathogenesis of atherosclerosis, offering novel avenues for diagnostics and therapeutics.
Materials and methods. A review of contemporary literature was conducted to explore the link between non-coding molecules and atherosclerosis. Data from clinical studies identifying microRNAs as potential biomarkers and therapeutic targets were included.
Results.The findings demonstrate that microRNAs influence critical stages of atherosclerosis pathogenesis, such as inflammation, apoptosis, and lipid metabolism. Their use as diagnostic biomarkers enhances the early detection of atherosclerosis, while their therapeutic potential presents new opportunities for treatment.
Conclusion. MicroRNAs represent a promising tool for managing cardiovascular diseases. Further research is necessary to develop effective diagnostic and therapeutic strategies.
Comparison of Morbidity and Mortality in Patients with Jejunoileal Perforation presented before and after 24 hours in Surgery Department
Authors: Muhammad Hanif Bugti  , Shoaib Ahmed Qureshi  , Rehan Zarkoon  , Abdullah  , Syed Abdul Nasir  , Sana Ullah Kakar
Published: December 2024

Background: Jejunoileal perforations are critical conditions that can lead to significant morbidity and mortality. Timely intervention is essential to prevent complications and improve patient outcomes. Objective: This study aims to compare the morbidity and mortality rates of patients with jejunoileal perforations who presented within 24 hours of symptom onset versus those who presented after 24 hours in the surgery department of Bolan Medical Complex, Quetta. It seeks to evaluate the impact of delayed presentation on surgical outcomes. Methods: A qualitative approach was employed, involving semi-structured interviews and patient record reviews for 120 patients diagnosed with jejunoileal perforation. The participants were divided into two groups: Group A (presented within 24 hours) and Group B (presented after 24 hours). Data were analyzed thematically to identify differences in morbidity, mortality, and recovery experiences. Results: The findings reveal that patients in Group A exhibited significantly lower morbidity and mortality rates compared to those in Group B. Complications were noted in 30% of cases in Group B, whereas only 10% of patients in Group A experienced complications. The average hospital stay was longer for Group B, averaging 7 days compared to 3 days for Group A. Conclusion: Early presentation and surgical intervention in jejunoileal perforations are crucial for reducing morbidity and mortality. The study underscores the importance of timely medical attention in improving surgical outcomes and enhancing patient recovery.
哈哈鏡：中國視覺現代性
Authors: Pang Lai Kwan
Published: December 2024

《哈哈鏡》聚焦在中國風起雲湧的1880至1930年代，分析中國都市主體如何與新興的視覺文化互動。本書所考察的媒體和視覺形式包括石版印刷、照片、廣告、電影和劇場表演。小市民主動投身這視覺文化，甘之如貽，渴望着現代性的承諾：給人帶來新奇、刺激和潮流。

　　彭麗君仔細分析這些視覺再現的發展軌跡，強調各種視覺形式之間的互動。本書指出，各種視覺形式不是分散的文化現象，而是不斷互動，形成中國視覺現代性，在各方面影響其時的文化。

　　本書的討論始於十九世紀末的石版印刷術，全面考察其歷史，得出相關的理論，察看現代性如何執迷於真實。隨後的章節點出新視覺文化中對女體的痴迷，勘察文化如何在娛樂場所誕生，說明小市民如何理解新的現實，並與之互動。
寫給左翼民粹主義
Authors: Mouffe Chantal
Published: December 2024

全球曾一度服膺的自由主義民主政治現今陷入危機，民粹主義乘勢而起。民粹主義並非意識形態或政治體系，而是芸芸「做政治」的形式之一。它於近年突圍而出，建立全新的集體行動主體──人民。

　　民粹主義並非民主政治的反面。它可以是奇兵利器，創建新的政治力量，建立政治疆界，恢復民主，重建政治。很多人以為民粹不過是媒體中常見蠱惑人心、情緒化的烏合之眾，但政治思想界翹楚尚塔爾．墨菲卻另闢蹊徑，將之指認為切實「做政治」的行動力量。

　　墨菲在這本新作中重新定義「左翼民粹主義」──政治，就是要建立政治疆界，將社會劃成不同陣型，動員「敗犬」對抗「權勢」。這是一場危急存亡的鬥爭──民粹主義將在當代反後政治與後民主威脅的衝突中，以勝利之姿冒起，主導未來。右翼民粹主義與左翼民粹主義之爭，如箭在弦，誰能成為未來統識？那就要看左翼民粹主義有沒有能力把人民接合起來，邁向恢復民主之路。

　　《寫給左翼民粹主義》，也是寫給你──看見民粹力量，卻不願民粹只流於排外和宰制別人──的書
THE EFFECT OF LEADERSHIP STYLE, JOB SATISFACTION, AND ORGANIZATIONAL COMMITMENT TOWARD TURNOVER INTENTION ON BALAI PENDIDIKAN DAN PELATIHAN ILMU PELAYARAN (BP2IP) HUMAN RESOURCES EMPLOYEES DIVISION
Authors: Hidayat Benny , Zusi Hasmand , G Andreas Wahyu
Published: December 2024

The background of this research was examined the relationship among leadership style, job satisfaction, organizational commitment, and turnover intention of employees. A model of job satisfaction, organizational commitment, and turnover intention is developed and tested in one field study. The objectives of this research was analyzed the effect of negatively leadership style on turnover intention, the effect of negatively job satisfaction on turnover intention, the effect of organizational commitment on turnover intention, the effect of negatively leadership style and organizational commitment on turnover intention. A sampling with purposive sampling techniques of eighty four employees of human resource division for distributing the questionnaire in company. This research uses a multiple regression analyses with SPSS ver. 17 to test four hypotheses. The result of this research concludes that is the effect of negatively leadership style, job satisfaction, organizational commitment, and turnover intention of employees.