bluuebunny/crossref_metadata_2025 huggingface dataset:
Hubungan Ronde Keperawatan Dengan Penerapan Model Asuhan Keperawatan Profesional Di BLUD RSUD Kota Baubau
Authors: Nawawi
Published: February 2024

Ronde keperawatan akan memberikan media bagi perawat  untuk membahas lebih dalam lagi masalah dan kebutuhan pasien serta merupakan suatu proses belajar bagi perawat dengan harapan dapat meningkatkan kemampuan kognitif, afektif dan psikomotor Rata-rata BOR dan LOS ruang perawatan rawat inap di BLUD RSUD  Kota Baubau pada tahun 2015 sebesar 55,44%, pada tahun 2016 sebesar 56,90% dan pada tahun 2017 sebesar 58,97% dengan LOS 3-4 hari. Namun BOR yang dicapai rawat inap BLUD RSUD Kota Baubau apabila di bandingkan dengan standar BOR Departemen Kesehatan untuk Rumah Sakit yang sehat adalah 60-85%, maka BOR Rumah Sakit  masih dibawah standar dengan demikian dapat dikatakan bahwa kinerja pelayanan Rawat Inap BLUD RSUD Kota Baubau belum optimal Tujuan umum penelitian ini adalah untuk mengetahui hubungan ronde keperawatan dengan penerapan model asuhan keperawatan profesional di BLUD RSUD Kota BauBau.

Jenis penelitian ini adalah penelitian deskriptif analitik dengan menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah 120 orang, dengan teknik penerikan sampel dengan jumlah sampel 54 orang. Metode analisis menggunakan uji Statistik yakni uji chi-square dan Uji Phi

Hasil penelitian ini menunjukkan bahwa ada hubungan sedang antara ronde keperawatan dengan penerapan model asuhan keperawatan profesional di BLUD RSUD Kota BauBau diperoleh nilai X2 hitung = 5,035  phi= 0,305

Diharapkan bagi Rumah Sakit agar dapat gambaran perawat tentang sejauh mana mereka menjalankan peran dan fungsinya yang sesuai dengan profesinya Keperawatan
Influence of Composition and Thickness on The Color and Translucency of Glass-Ceramic Materials for Laminate Veneer Restorations: An In Vitro study
Authors: Yılmaz Savaş Tuba , Yıldızlar Seda
Published: February 2024

Statement of the problem: Numerous glass-ceramic materials are commercially available, yet achieving optimal esthetic results relies significantly on material composition and thickness. The selection of suitable material and thickness poses an ongoing challenge in clinical practice.

Objective: This study aimed to investigate the effect of the composition and thickness of different glass-ceramic materials on the Commission Internationale de l'éclairage (CIE) L*, a*, and b* color coordinates and the translucency parameter (TP00).

Materials & Methods: Glass-ceramic blocks of A2 shade, with low translucency, encompassing feldspathic (FS), leucite-reinforced feldspathic (LR), and lithium-disilicate (LD) compositions, were sectioned into three thicknesses: 0.5 mm, 0.7 mm, and 1 mm (n=10). All specimens were polished with ceramic polishing rubbers. Using a spectrophotometer, the CIE L*, a*, and b* color coordinates of the specimens were measured over gray, white, and black backgrounds. The TP00 was calculated using the CIEDE2000 color difference formula. The CIE L*, a*, b*, and TP00 were analyzed using two-way ANOVA and Tukey HSD post-hoc tests (α=0.05).

Results: Material, thickness, and their interaction significantly influenced the CIE L*, a*, b*, and TP00 values (P<0.001). The LR group displayed the highest L* and a* values, while the LD group showed the lowest (P<0.001). Conversely, the LD group exhibited the highest b* value (P<0.001). Lightness was lowest in 0.5 mm-thick specimens (P<0.001) and similar for 0.7 mm-thick and 1.0 mm-thick specimens (P>0.05). Redness and yellowness increased with increasing thickness (P<0.001). Regardless of thickness, the FS group had the highest TP00 (16.32±1.54), while the LR group had the lowest TP00 (14.31±1.67). Regardless of material, 0.5 mm-thick specimens demonstrated significantly higher TP00 (17.49±1.10) than 0.7 mm-thick (15.45±0.83) and 1.0 mm-thick (13.11±1.12) specimens. There was no significant difference between the 0.5 mm-thick FS and LD groups (P>0.05) and 1.0 mm-thick LR and LD groups (P>0.05).

Conclusions: Even when sharing the same shade, glass ceramics may exhibit varying color and translucency properties due to their distinct chemical compositions and thicknesses.
Effects of Different Chemical Disinfectants on Physical Properties of Denture Base Acrylic Resin Material
Authors: Baysal Nurten , Yılmaz Savaş Tuba , Erol Barış Filiz , Erdoğan Hilal , Sakallı Onur Altuğ , Büyükbaş Nesrin
Published: February 2024

Statement of the problem: There is still a lack of data regarding the effects of exposure to different chemical disinfectants on the color stability, light translucency, and surface roughness of dentures is limited.

Objective: This study aims to investigate the impact of six different chemical disinfectants on the color change, translucency, and surface roughness properties of heat-polymerized denture base acrylic resin.

Material & Methods: Totally 70 rectangular blocks (10×10×2 mm) were polymerized from the heat-polymerized acrylic denture base resin material. The surfaces of the specimens polished with 600- and 1200-grit waterproof abrasive paper. Each specimen were immersed in six denture cleansers. The total immersion time of a specimen in selected chemical disinfectant was 36 hours. Color changes, translucency and, surface roughness were measured after immersion process. The results were statistically analyzed with 1-way ANOVA and the Tukey honestly significant difference (HSD) test (α=.05).

Results: According to the results of the 1-way ANOVA test, significant differences were observed in the ∆E00, TP00 and Ra properties among the acrylic resin groups following immersion in chemical disinfectants (P<0.05). ΔE00 value of the CG group was significantly higher than that of the NS, SH, G, and E groups (P<0.05). The TP00 values of the NS and G groups were demonstrated significant differences compared with C group (P<0.05). The Ra values of the SH, SP, G, CG and, E groups were significantly increased after immersion process, in comparison with C and NS groups (P<0.05).

Conclusions: Color stability, translucency and surface roughness of the denture base heat polymerized acrylic resin is influenced by chemical disinfectants.
COVID-19 and Oral and Maxillofacial Imaging and COVID-19 Oral and Maxillofacial Radiology
Authors: Verner Franciella , Kamburoğlu Kıvanç
Published: February 2024

Oral and Maxillofacial Radiology (OMFR) Clinics, private or at Dental Schools, represent a potential environment for transmission and cross-infection of coronavirus disease 2019 (COVID-19). During OMFR procedures, such as intra- or extraoral imaging examinations, cone-beam computed tomography, and ultrasonography, the dental staff is in direct contact with patients, increasing the risk of disease transmission. Thus, new biosafety protocols had to be adopted. Due to the high transmissibility of SARS-CoV-2 highly restrictive measures were imposed, and social distance was the main one. In this scenario, teleradiology was encouraged to reduce contamination and protect radiologists, and dental schools had to take strict precautions in their traditional educational system. Considering recent literature regarding OMFR and COVID-19, this review provides substantial data about the new precautions of biosafety, teleradiology, and the impact on OMFR teaching.
The Literacy Groups Project: Investigating the Use of Reading Recovery Techniques with Small Groups of Grade 2 Students
Authors: Begoray Deborah L.
Published: February 2024

The two-year Literacy Groups Project provides evidence that grade 2 students can be helped to attain average grade-cohort reading levels by the use of a small-group pull-out program if certain criteria are met. Students were tested using running records at the beginning and end of the study to provide data for quantitative comparison. Additional context was provided by videotaping lessons and interviewing teachers. Major changes took place from the first disappointing year of the project to the second more successful year. First, students were assigned to groups according to a narrow range of Reading Recovery reading levels rather than being randomly placed. Second, the material was found to support fully even highly trained and experienced teachers newly engaged in adapting Reading Recovery techniques to effect accelerated learning in a small-group setting, rather than expecting teachers to follow general program guidelines. In this case, while they were supported in their beliefs about how best to help struggling readers, resource teachers were provided with a commercial reading program, with lesson ideas and multiple copies of leveled student reading materials.
The Large-Scale, Authentic Assessment of Listening and Speaking as Interactive Communication: Issues in Reliability
Authors: Hunter Darryl M. , Randhawa Bikkar S.
Published: February 2024

In this article we discuss reliability issues in the large-scale assessment of speech communication through authentic or performance techniques used recently in Saskatchewan. New performance-based approaches enable educators to evaluate the integrated, interpersonal communication skills of large populations of students, thereby modeling best professional practice. We conclude, however, that decentralized teacher rating approaches do not yet demonstrate sufficient reliability to enable public officials to use the results for high-stakes testing purposes.
Wheels Within Wheels: The Analysis of a Cultural Event
Authors: Court Deborah
Published: February 2024

This article describes a one-semester course on qualitative research methods presented for faculty members in a university school of education. The course was one significant "cultural event" in an ongoing change process toward the inclusion of qualitative methods in a strongly positivistic setting. The inclusion of qualitative methods required a profound adjustment by participants in this culture. The change was eased by official sanction of the course and by faculty members' ability to find entry points to the ideas through established patterns of communication with the course presenters, most of whom came from within the faculty. The author is new to both the university and the country, and her own cultural adjustments, together with her role as one of the course presenters, leads her to reflect anew on the transaction between subjective and objective in qualitative research.
No More Classes? Framing Pedagogy in a Self-Paced Secondary School
Authors: St. Clair Ralf
Published: February 2024

Analysis of an outcome-based, self-paced high school in Western Canada demonstrates the difficulty of changing the grammar of schooling even through extensive reform. Aiming to be a school for everyone, the institution studied has ended up as an alternative high school for students who possess middle-class cultural capital: the very people who tend to succeed in conventional schools. Discussion shows how the frames of pedagogy at the school are interrelated, so that changing one produces a compensatory effect in the others; and how the need to be seen as a successful school ultimately undermines the motivation for reform.
Multi-Level Administration System in Primary Educational Sector in India
Authors: Journal IJSREM
Published: February 2024

In this research, the analytical study is aimed to observe the multi-level administration in the primary school educational system prevailing in India. It also investigates the functioning body of decentralized education administration with numerical analysis. KEYWORDS: Indian Primary Education, Administration System
Performance and Analysis of PMBLDCM Drive using A Single-Stage PFC Half-Bridge Converter
Authors: Kumar CH. Siva , Rao M. V. Ramana
Published: February 2024

Because of their excellent torque-to-weight ratio, small size, and great efficiency, Permanent Magnet Brushless DC Motors are widely used in a variety of applications. A buck half-bridge DC-DC converter acts as a single-stage PFC for a VSI-driven PMBLDCM powering an air conditioner's compressor. The PFC converter is fed from a single-phase AC main via a diode bridge rectifier. The VSI controls the PMBLDCM speed by adjusting the DC link voltage proportionally. The VSI functions solely as a commutator for the PMBLDCM, with stator current controlled by a rate limiter for speed changes. The PMBLDCM drive, incorporating a voltage-controlled PFC converter, is constructed, modeled, and simulated using the MATLAB-Simulink platform for an air conditioner compressor application. The system utilizes a 1.5 kW, 1500 rpm PMBLDC motor. Evaluation outcomes of the speed control strategy exhibit enhanced efficiency across a broad speed spectrum, showcasing the benefits of the drive system's integrated PFC functionality. Key Words: permanent magnet brushless DC motor, power factor correction converter, electrical drives.
FABRICATION OF CLOSED HOLLOW BULBOBTURATOR USING LOST SALT TECHNIQUE : A CASE REPORT
Authors: AS AD FAHIM , M SHEEJITH , M RANJITH
Published: February 2024

Obturator is given for patient with maxillary defect which occurred either due to trauma or congenitally. They are generally classified into three that is immediate ,interim and definitive obturator. Immediate obturator is the type of obturator that is given immediately after surgery. Fabrication of this type of obturator is done on pre-surgical cast. It is a base plate type of obturator. Interim obturator is the obturator given after surgery and before proper healing. This case report deals with the fabrication of definitive obturator, an obturator that is given after proper healing. Fabrication of obturator can be done in different ways. They differ in the mode of acrylisation. Acrylisation can be done by two methods, single piece and two piece type of Acrylisation. This case report describes the use of two piece type of acrylisation by lost salt technique.
Leadership, work environment, and work motivation on employee performance at PT Telkomsel’s IT directorate
Authors: Primanda Galih
Published: February 2024

PT Telkomsel acquired Fixed Line Business from Telkom Indonesia on July 1st, 2023, integrating IndiHome services. The acquisition process involved system integration and employee joining. A research study was conducted to examine the impact of leadership, work environment, and motivation on employee performance at the IT Directorate of PT Telkomsel. Data was collected through questionnaires distributed via Google Form and analyzed using Likert scale and structural equation model partial least square. Results showed that leadership factors positively influence employee performance, while the merger of IndiHome business line did not affect IT director performance. Leaders' ability to encourage creativity, skill development, and collaboration were the most influential management indicators. Working environment factors, such as harmonious relationships between managers and employees, also positively impacted employee performance. Work facilities were crucial in supporting employee productivity. Motivation also positively influenced employee performance.
Exploring the Interplay of Motivation, International Posture, and Online Informal English Learning: A Mixed-Methods Study
Authors: Alnajashi Alaa
Published: February 2024

Engagement with online media among learners is closely linked to language proficiency and cultural comprehension, offering a platform for enhancing English language skills. This has given rise to the field of online informal learning of English (OILE), with numerous studies exploring learners’ habits in this domain and indicating positive impacts on language proficiency. However, disparities in OILE engagement exist among learners, with individual factors like motivation and attitude playing a role. Recent research has affirmed the positive correlation between learners’ motivation, global outlook, and their involvement in informal learning. Yet, the connection between motivation and OILE remains insufficiently explored. This mixed-methods study, conducted with female university students in Saudi Arabia, utilized a questionnaire (n = 550) and subsequent semi-structured interviews (n = 19) to scrutinize students’ motivations, International Posture (IP), and frequency of OILE use within the framework of the L2 Motivational Self System. The investigation aimed to elucidate how students’ motivation and global outlook influence their OILE practices. Results indicated that participants were moderate OILE users with a relatively restricted global outlook, displaying diverse levels of motivation. Moreover, participants’ engagement with OILE was notably shaped by their Ideal L2 selves and IP. The findings propose that participants perceived OILE as a means to connect with the international English-speaking community. Pedagogically, the study advocates for educating learners about the potential advantages of OILE use and emphasizes the need for institutions in this context to cultivate learners’ International Posture.
Development of an Instructional Model to Enhance Competency in the Thai Language for Grade 6 Students
Authors: Raha Tharathikoon , Wongsapan Montree
Published: February 2024

This study introduces a novel learning management model aimed at enhancing Thai language proficiency in sixth-grade students. Confronting challenges such as inadequate teaching resources and a lack of student-centric, practical activities in current Thai language education, this model integrates six key components: foundational principles and theories, clear objectives, diverse learning processes, social systems, responsive teaching, and supportive resources. The approach emphasizes student engagement, self-directed learning, critical thinking, and applicability in real-life situations. Employing a rigorous research and development (R&D) methodology, the study involved analyzing existing educational conditions, developing the instructional model, assessing its impact, and seeking expert validation. The model demonstrated substantial improvements in students’ knowledge, skills, and attributes, as evidenced by the effectiveness index (E.I.) and expert assessments. These evaluations confirmed the model’s suitability, practicality, and beneficial impact on language proficiency.

The results indicate that integrating self-directed learning, experiential activities, and collaborative techniques significantly enhances language skills. The study underscores the need for adaptive learning strategies, varied instructional media, and comprehensive assessment methods. The model’s success in improving national test scores showcases its potential applicability and effectiveness in diverse educational settings. This research contributes a validated, effective framework for Thai language teaching, highlighting experiential learning, social collaboration, and the integration of ICT. Its successful application in Thai educational contexts suggests its potential for broader adoption in primary language education globally.
The Development of Students’ Creative Problem-Solving Skills Through Learning Model in Gamification Environment Together with Cartoon Animation Media
Authors: Saenboonsong Siripon , Poonsawad Akarapon
Published: February 2024

The aims of this study were to synthesize and evaluate the learning model in gamification environment together with cartoon animation media to promote students’ creative problem-solving skills. This study was divided into three phases, (i) synthesized and evaluated the appropriateness of learning model (ii) developed cartoon animation and (iii) assessed creative problem-solving skills. The results show that the learning model consisted of three main components: teaching component, gamification environment, and activities to promote creative problem-solving. The overall suitability assessment of the developed learning model was averaged at 4.69 (SD = 0.46) out of 5, being at the most appropriate level and the scores of the students’ post-learn creative problem-solving skills assessment were significantly higher than the criteria at the level .05. These results lead to a conclusion that the learning model in gamification environment together with cartoon animation media can significantly promote students’ creative problem-solving skills and can be applied to develop desired learners’ achievements and skills.
Bishnu Prasad Rabha from an Indian Perspective: A Revolutionary and Cultural Icon of Assam
Authors: Pathak Banajit
Published: February 2024

On January 31, 1909, Bishnu Prasad Rabha was born in Dhaka, which is now in Bangladesh, but was a part of pre-independence India. Gopal Chandra Rabha was Bishnu Prasad Rabha's father, and Gethi Das was his mother. During his time in college, Rabha actively participated in the Indian independence struggle. His active involvement in the fight against the British meant that, although attending several colleges, including Karmail Academic in Rongpur, Victoria College in Cooch Behar, and St. Paul's Cathedral Mission College in Kolkata, his academic education was never fully completed. In 1930, he took part in Gandhiji's Non-Cooperation Movement. Following India's independence in 1947, Rabha began to rebel against the wealthy landowners, known as Jamindars, who were abusing the common people. As a result, he became animosity with the government and had to hide from the watchful eyes. He joined the Communist Party in support of the freedom of the underprivileged and oppressed ordinary people. He carried a pen in one hand and a stein-gun in the other, both dedicated to the people's liberty. An equitable society was Bishnu Rabha's utopian vision. This research paper aims to examine Bishnu Prasad Rabha's involvement in the fight for India's independence, as well as his activism as a Communist Party member for the emancipation of the impoverished and oppressed common people. A legendary figure's life story and historiography can accurately reflect the social progress of a given era. Bishnu Prasad Rabha was a true bohemian and artist in arms who, against the backdrop of the eastern Indian subcontinent's liberation movement, emphasised a crucial role in the development of revolutionary ideas of a society. Rabha was recognised as the Assamese people's symbol, "Kalaguru.". In this paper, Bishnu Prasad Rabha a revolutionary and cultural icon from Assam is seen from an Indian perspective.
Situación de ingresos de las personas con discapacidad de Gipuzkoa: una exploración a través de datos fiscales
Authors: Domínguez-Olabide Peru
Published: February 2024

La existencia de un sobresfuerzo económico vinculado con las situaciones de discapacidad representa una desventaja significativa para el desarrollo de un proyecto de vida autónomo y en igualdad de condiciones. Ante esta realidad, es importante que los poderes públicos velen por que los programas de protección social satisfagan las necesidades del conjunto de las personas con discapacidad y posibiliten, en último término, que estas puedan sufragar los gastos adicionales relacionados con la discapacidad. En cualquier caso, para poner en marcha políticas que resulten pertinentes a la vez que efectivas, es fundamental evaluar de antemano la realidad económica a la que se enfrenta el colectivo. Con el objeto de contribuir a ese fin, en este estudio se examina la situación de ingresos de las personas con discapacidad de Gipuzkoa, empleando para ello datos fiscales facilitados por el Departamento de Hacienda y Finanzas de la Diputación Foral.
Diagnóstico del tercer sector social de Euskadi: algunas reflexiones a partir del barómetro de 2021
Authors: Fernández Amezaga Iker , Merino Malillos Lucía
Published: February 2024

Este artículo ofrece los principales datos del Barómetro 2021 del tercer sector social de Euskadi, que, a modo de diagnóstico, permiten observar la dimensión y los rasgos característicos principales del sector. Algunos datos del impacto de la pandemia de la COVID-19 permiten identificar problemáticas y situaciones vividas por las personas destinatarias y los servicios, y también en la dimensión interna de las organizaciones: sus servicios, sus equipos de trabajo y sus recursos. Además, el diagnóstico permite observar algunas tendencias que se vienen identificando en el sector y, con ello, apuntar hacia los retos que se plantean de cara al futuro.
Cambio de paradigma en los cuidados de personas mayores dependientes en centros residenciales: acreditación de dos residencias como centros libres de sujeciones
Authors: Díaz de Durana Martínez de Zuazo Olga , Moraza Berasategui Begoña , Asensio Jiménez David , López de Mendiguren Salvidea Amaia , Báez Sánchez Francisca
Published: February 2024

El modelo de atención holístico e integral, los derechos de las personas mayores y la introducción de la ética y del modelo centrado en la persona han hecho que se replantee la atención de las personas mayores dependientes en los centros residenciales públicos dependientes de la Diputación Foral de Álava, cuestionando la individualización y la humanización de los cuidados que diariamente reciben y, más concretamente, el uso de restricciones. Este artículo expone el proceso seguido para ir transformando dos residencias forales en centros acreditados libres de sujeciones. Asimismo, plantea algunas pistas para reorganizar las intervenciones profesionales, anteponiendo el respeto a las personas, a su dignidad y autonomía.
Programa Aukera: hacia un modelo de intervención grupal situada desde el ámbito académico
Authors: Peña Gutiérrez Alejandro , Lasheras Ruiz Rubén
Published: February 2024

Las migraciones de personas jóvenes no acompañadas confrontan las políticas de protección a la infancia y la juventud con las políticas migratorias. Es por ello por lo que esta investigación, con propósito sistematizador, evalúa un programa piloto que, desde el trabajo social y, en concreto, desde su dimensión grupal, reivindica el derecho a la inclusión social de las personas migradas jóvenes extuteladas. Este programa se llevó a cabo conjuntamente entre la Universidad Pública de Navarra y la Unidad de Barrio de la Milagrosa-Arrosadia de Pamplona. La evaluación de la implementación del programa permite identificar las necesidades del grupo que el programa satisface y sus efectos positivos en la inclusión social de los jóvenes. Además, la evaluación demuestra la pertinencia del programa, evidencia la concepción del trabajo social grupal que lo sustenta y aporta propuestas de mejora para futuras ediciones de esta iniciativa.
Autonomía y desinstitucionalización en la asistencia personal: el caso de Gipuzkoa
Authors: Iribar Jon , Sancho Mayte
Published: February 2024

El objetivo de este artículo es analizar el papel que puede jugar la Prestación Económica de Asistencia Personal (PEAP) para organizar apoyos y cuidados a las personas en situación de dependencia, en comparación con el tradicional servicio de ayuda a domicilio. Para ello, se profundiza en la experiencia de Gipuzkoa, una provincia que acoge al 65 % de las personas usuarias de esta prestación en el Estado español, y se aboga por extender el modelo que subyace tras esa cobertura tan elevada.
Actuaciones clave en la intervención con mujeres en situación de exclusión residencial y sinhogarismo
Authors: Peña Valderrama Sara
Published: February 2024

Este artículo presenta las principales actuaciones que se están llevando a cabo en el ámbito de la intervención con mujeres en situación de exclusión residencial y sinhogarismo. Partiendo de una revisión de la literatura y de experiencias desarrolladas a nivel nacional e internacional, el artículo comienza con una breve aproximación teórica al fenómeno de la exclusión residencial entre mujeres desde una perspectiva crítica de género. Esto permite atender a los principales aspectos que caracterizan la exclusión residencial femenina y la distinguen de la masculina. A partir de estas propuestas teóricas, se presentan cinco tipos de actuaciones destinadas a reforzar la atención y la respuesta a mujeres en situación de exclusión residencial y sinhogarismo, incluyendo ejemplos de prácticas concretas. Por último, y a modo de conclusión, se sintetizan los principales aprendizajes que cabe extraer de una lectura transversal de la literatura y las experiencias consultadas.
Intervención social y acción voluntaria en tiempos de desigualdad y crisis de cuidados
Authors: Cenizo Mabel , Fantova Fernando
Published: February 2024

El propósito de este artículo es encontrar aquella tarea voluntaria que pueda fortalecer la autonomía y el empoderamiento de las personas. Creemos que es en la vida cotidiana donde todas las personas necesitamos en algún momento apoyos y relaciones para sostenerla. La vida cotidiana nos remite, además, a entornos comunitarios, a relaciones afectivas y, a la vez, a los cuidados.
Preference for daily (1HP) vs. weekly (3HP) isoniazid-rifapentine among people living with HIV in Uganda
Authors: Musinguzi A. , Aschmann H. E. , Kadota J. L. , Nakimuli J. , Welishe F. , Kakeeto J. , Namale C. , Akello L. , Nakitende A. , Berger C. , Katamba A. , Tumuhamye J. , Kiwanuka N. , Dowdy D. W. , Cattamanchi A. , Semitala F. C.
Published: February 2024

BACKGROUND
Both 1 month of daily (1HP) and 3 months of weekly (3HP) isoniazid-rifapentine are recommended as short-course regimens for TB prevention among people living with HIV (PLHIV). We aimed to assess acceptability and preferences
for 1HP vs. 3HP among PLHIV.

METHODS
In a cross-sectional survey among PLHIV at an HIV clinic in Kampala, Uganda, participants were randomly assigned to a hypothetical scenario of receiving 1HP or 3HP. Participants rated their
level of perceived intention and confidence to complete treatment using a 0–10 Likert scale, and chose between 1HP and 3HP.

RESULTS
Among 429 respondents (median age: 43 years, 71% female, median time on ART: 10 years),
intention and confidence were rated high for both regimens. Intention to complete treatment was rated at least 7/10 by 92% (189/206 randomized to 1HP) and 93% (207/223 randomized to 3HP). Respectively 86% (178/206) and 93% (208/223) expressed high confidence to complete treatment. Overall,
81% (348/429) preferred 3HP over 1HP.

CONCLUSIONS
Both 1HP and 3HP were highly acceptable regimens, with 3HP preferred by most PLHIV. Weekly, rather than daily, dosing appears preferable to shorter duration of treatment, which
should inform scale-up and further development of short-course regimens for TB prevention.
Isoniazid urine spectrophotometry for prediction of serum pharmacokinetics in adults with TB
Authors: Rao P. S. , Reed K. , Modi N. , Handler D. , Petros de Guex K. , Yu S. , Kagan L. , Reiss R. , Narayanan N. , Peloquin C. A. , Lardizabal A. , Vinnard C. , Thomas T. A. , Xie Y. L. , Heysell S. K.
Published: February 2024

BACKGROUND
Isoniazid (INH) is an important drug in many TB regimens, and unfavorable treatment outcomes can be caused by suboptimal pharmacokinetics. Dose adjustment can be personalized by measuring peak serum concentrations; however,
the process involves cold-chain preservation and laboratory techniques such as liquid chromatography (LC)/mass spectrometry (MS), which are unavailable in many high-burden settings. Urine spectrophotometry could provide a low-cost alternative with simple sampling and quantification methods.

METHODS
We enrolled 56 adult patients on treatment for active TB. Serum was collected at 0, 1, 2, 4, 6, and 8 h for measurement of INH concentrations using validated LC-MS/MS methods. Urine was collected at 0–4, 4–8, and 8–24 h intervals,
with INH concentrations measured using colorimetric methods.

RESULTS
The median peak serum concentration and total serum exposure over 24 h were 4.8 mg/L and 16.4 mg*hour/L, respectively. Area under the receiver operator characteristic
curves for urine values predicting a subtherapeutic serum concentration (peak <3.0 mg/L) were as follows: 0–4 h interval (AUC 0.85, 95% CI 0.7–0.96), 0–8 h interval (AUC 0.85, 95% CI 0.71–0.96), and 0–24 h urine collection interval (AUC 0.84, 95% CI 0.68–0.96).

CONCLUSION
Urine spectrophotometry may improve feasibility of personalized dosing in high TB burden regions but requires further study of target attainment following dose adjustment based on a urine threshold.
Pharmacological application of microemulsion formulated with rhizopus sp extract
Authors: Leitão Valéria Maria Sousa , Lyrio Marcos Valério Vieira , Vanini Gabriela , Cordeiro Carolina Borges , De Oliveira Matheus Filipe Leitão , Do Nascimento Matheus Oliveira , De Andrade Marcelo Souza , Carvalho André Luis Menezes , Freitas Arlan Silva , Romão Wanderson , Vidal Flávia Castello Branco , Teles Amanda Mara , Do Nascimento Maria do Desterro Soares Brandão
Published: February 2024

Fungi have been recognized as a great source of bioactive metabolites with great medical and pharmaceutical applicability. The objective of this work was to produce a fungal extract from Rhizopus spp and identify the secondary metabolites obtained, followed by preparation of a microemulsion formulated with Rhizopus sp extract; characterizing its antioxidant and antimicrobial activity. Among the metabolites obtained, sorbitol, linoleic acid, oleic acid, palmitic acid, and stearic acid stand out. The formulated microemulsion proved to be an effective pharmacological presentation in preserving the metabolites obtained from the fungal extract, and also potentiating in relation to the extract, when comparing the antioxidant activity and antimicrobial action.
Casuística dermatológica de animais provenientes de famílias em vulnerabilidade social em Pelotas-RS
Authors: Da Silva Laís Formiga , Ross Maria Laura da Rosa Dal , Eisenhardt Luiza , Cardoso Luisa Blaskoski , Silveira Amanda Cardoso , Ritter Larissa Eugênia de Vargas , Otaram Elizângela , Cleff Marlete Brum
Published: February 2024

O município de Pelotas abriga uma comunidade denominada ceval, na qual uma grande parcela da população vive em vulnerabilidade social e situação de extrema pobreza, desta forma, torna-se inviável o uso da renda para gastos veterinários. Devido a essa situação, a Universidade Federal de Pelotas criou um projeto de extensão um Ambulatório Clínico Veterinário, o qual proporciona atendimento gratuito de cães e gatos, além de promover saúde única. O presente trabalho teve como objetivo avaliar a casuística dermatológica, dos cães e gatos atendidos no ambulatório veterinário do Ceval no ano de 2019. O levantamento da casuística foi feito através das fichas dos pacientes atendidos com queixas relacionadas ao sistema tegumentar. Durante esse período foram atendidos 93 animais, dos quais 84 eram cães e 9 gatos, com relação a sintomatologia relata pelos tutores, as principais foram alopecia, prurido leve a acentuado, lesões ou irritações de pele, lesões lacerativas e ulcerativas, dor ou irritação otológica unilateral e bilateral. Quanto à casuística, destacaram-se os casos de Dermatofitose (22%), Dermatite alérgica a picada de ectoparasitas – DAPE (11%) e Otite externa (11%). Diante dessa perspectiva concluiu-se que a vulnerabilidade social dos tutores e consequentemente dos pacientes, contribuiu para o surgimento de afecções dermatológicas diagnosticadas, visto que algumas delas estão ligadas ao saneamento básico e reitera-se a importância da atuação do médico veterinário no auxílio da disseminação de saúde única.
A jornada de formação em pedagogia EAD: tornar-se pedagoga em experiências digitais
Authors: Nascimento Suzana Pinheiro , Ferreira Rôsilene de Jesus Santos , Conceição Edilene Cardoso Dias , Silva Ivanilde Pereira de Sousa , Guaianaz Regeanne Santos
Published: February 2024

O objetivo deste artigo é refletir sobre as características da trajetória formativa no curso de Pedagogia EAD da UFMA, a partir da narrativa autobiográfica com ênfase nas experiências digitais. Realizou-se pesquisa narrativa de caráter autobiográfico, descrevendo a experiência de formação no curso de Pedagogia na modalidade EAD (Educação a Distância). Através da perspectiva apresentada pela narrativa discente, foram explorados os desafios, as conquistas, as transformações pessoais e profissionais, bem como as reflexões sobre a formação docente em um ambiente digital. A narrativa revela a complexidade e a riqueza dessa jornada de formação, proporcionando reflexões sobre a aprendizagem online e o desenvolvimento das competências necessárias para atuar como pedagoga.
Abordagem da assistência ao paciente com Doença Pulmonar Obstrutiva Crônica (DPOC): estratégias de prevenção, diagnóstico e tratamento
Authors: Barbosa Thamyres Maria Silva , Do Amaral Amanda Soares , Amaral Lívia Soares , Alves João Manoel Guilherme , E Silva Isadora Camapum Bringel , Pristilo Caroline Bigaton , Arantes Júnior Aroldo , Miake Tiago Eiji
Published: February 2024

A Doença Pulmonar Obstrutiva Crônica (DPOC) representa um desafio significativo para a saúde global, afetando uma parcela substancial da população mundial. Esta condição pulmonar crônica, caracterizada pela obstrução persistente do fluxo de ar nos pulmões, é motivo de preocupação tanto para os pacientes quanto para os profissionais de saúde. O objetivo deste estudo é explorar as abordagens amplas de cuidado e prevenção da DPOC, visando aprimorar a qualidade de vida dos pacientes e reduzir a morbidade e mortalidade relacionadas a essa condição. Para alcançar esse objetivo, foi realizada uma revisão integrativa de literatura, utilizando-se fontes online como Google Acadêmico, Biblioteca Virtual de Saúde (BVS), SciElo (Scientific Electronic Library Online) e sites governamentais. Os critérios de inclusão para a seleção dos artigos foram os seguintes: artigos científicos publicados em periódicos no período de 2018 a 2023, gratuitos, em língua portuguesa e que abordassem a temática da DPOC. Por outro lado, foram excluídos os artigos que não tratavam da temática, estavam fora do período selecionado e não estavam disponíveis na íntegra.A seleção dos artigos foi realizada por meio da análise dos títulos e resumos encontrados nas bases de dados pesquisadas. Após a pré-seleção, os artigos foram novamente avaliados a partir dos resumos e, por fim, foram selecionados para leitura na íntegra. Durante a fase de resultados e discussões, os artigos selecionados foram analisados em profundidade, buscando-se identificar as principais estratégias de cuidado e prevenção da DPOC. As informações relevantes foram sintetizadas e discutidas à luz do objetivo do estudo, destacando-se os avanços recentes e as lacunas existentes no conhecimento sobre o tema.
UBUNTU: educação antirracista nas escolas
Authors: Santos Sarah Lorena Silva , Ferreira Welberth santos , Ferreira Suelen Rocha Botão , Bastos Vagner de Jesus Carneiro
Published: February 2024

As mulheres negras enfrentam diariamente diversas dificuldades para a sua inserção e permanência na sociedade, não obstante, na ciência lutam constantemente na conquista pelo seu espaço, graças a luta de seus antepassados muitas delas conseguiram desenvolver atividades científicas de extrema importância para a sociedade, porém, por vivermos em uma sociedade estereotipada e com o racismo velado, não há muita divulgação dessas descobertas, fazendo assim com que muitos alunos negros não se reconheçam no exercício da profissão. Diante disso, o presente trabalho tem como objetivo realizar atividades educacionais no ambiente escolar para fins de divulgação de descobertas científicas realizadas por mulheres negras, tais como: Jaqueline Goes de Jesus,  Katemari Rosa, Sônia Guimarães e demais cientistas negras e suas respectivas atuações na ciência. Portanto, para alcance do objetivo, realizou-se uma roda de conversa e uma palestra acerca da importância da mulher negra na ciência e suas descobertas em tempos remotos e na atualidade. A partir da atividade desenvolvida inferiu-se que a necessidade da abordagem de temáticas como está para a realização da desconstrução de estereótipos do ser cientista em tempos atuais, de um perfil de uma ciência produzida apenas por homens e sobretudo por homens brancos, contribuem para que haja a produção de novos paradigmas relacionadas a epistemologia feminista negra. Inferindo-se, portanto, que é de fundamental importância que discussões de gênero e cor como esta, sejam levantadas no âmbito educacional, não só em datas comemorativas, mas durante o ano letivo, para que assim possamos formar indivíduos conhecedores das importâncias que esses copos negros femininos tiveram para o sucesso da ciência e propiciando assim com que sejam cidadãos críticos, éticos e empáticos. Assim como, possibilitar que esses conhecimentos e discussões não fiquem somente dentro da sala de aula, mas sirvam como base para uma cultura e práticas antirracistas em uma sociedade que necessita superar os desafios do racismo estrutural.
Avaliação de crescimento e sobrevivência de espécies do gênero Xanthomonas sob estresse salino e oxidativo
Authors: Rosseto Priscila , Silva Gabriela Bissoli , Botta Nathan Victor , Zanutto Carlos Alexandre , Nunes William Mário de Carvalho
Published: February 2024

Mais de uma centena de bactérias agentes de doenças de plantas estão reunidas no gênero Xanthomonas. Dentre as doenças que afetam culturas de expressão econômica, destaca-se o cancro cítrico, causado pela bactéria Xanthomonas citri subsp. citri, e a estria bacteriana do milho, causada pela Xanthomonas vasicola pv. vasculorum. As bactérias fitopatogênicas multiplicam-se nos tecidos vegetais e respondem aos mecanismos de defesa da planta devido a habilidade de desenvolver adaptações necessárias para a sobrevivência e colonização sob diversos estresses, processo que determina a sua capacidade de infectar as plantas mesmo em ambientes desfavoráveis.  O objetivo do trabalho foi avaliar o crescimento e sobrevivência de espécies do gênero Xanthomonas sob estresse salino e a sobrevivência sob estresse oxidativo. Para crescimento em estresse salino, as bactérias foram cultivadas em meio de cultura nutriente-ágar (NA) suplementado com as concentrações de 0, 0,20, 0,25, 0,30, 0,35, 0,40, 0,45, 0,50, 0,75 e 1M de NaCl, durante 72 horas a 28 °C. Foi realizada contagem e aferido o diâmetro das colônias em cada concentração. Para sobrevivência sob estresse oxidativo as bactérias foram cultivadas em meio NA por 72 horas. Foi realizada a contagem das colônias e, após, estas foram expostas ao peróxido de hidrogênio nas concentrações de 5, 10, 20 e 30 mM durante 15 minutos. Posteriormente, as colônias foram lavadas com tampão fosfato salino (PBS), novamente plaqueadas em meio NA e incubadas. Após 72 horas foi realizada contagem das colônias. A porcentagem de sobrevivência sob estresse oxidativo foi definida como o número de unidade formadoras de colônia (UFC) após os tratamentos dividido pelo número de UFC antes do tratamento x100. Para as duas avaliações foi utilizada análise de variância e teste de Tukey (p=<0,05). Para ambas as bactérias houve crescimento sob estresse salino até a concentração de 0,35M, com declínio de tamanho e quantidade das colônias a partir da concentração de 0,30M. Para avaliação do agente oxidante, as bactérias sobreviveram nas concentrações de 5 e 10 mM.  A bactéria Xvv foi mais sensível sob os dois estresses.
O aluno com Transtorno do Espectro Autista no ensino superior: considerações acerca do processo de inclusão
Authors: Baalbaki Angela Aiche Kittlaus , Da Silva Deoclesionei Adriano Sanchez , Dos Santos Giovani Guerin , Angeli Luciane Schllemer , De Menezes Luciene Acordi , Rot Luz Marina Pretz
Published: February 2024

A presente pesquisa busca apresentar os desafios da inclusão de estudantes com Transtorno do Espectro Autista o Ensino Superior brasileiro. Segundo o DSM-5 o Transtorno do Espectro Autista pode ser caracterizado por uma defasagem na interação e comunicação social, apresentando padrões de comportamento restritos e repetitivos, assim como de interesses e atividades. Nas Instituições de Ensino Superior (IES) o autista precisa ser compreendido e orientado por profissionais competentes que saibam direcionar especificidades como o hiperfoco. Os estudos apontam que a inclusão dos autistas pelas IES apresentam como principais dificuldades o despreparo dos professores e demais profissionais envolvidos, os recursos materiais escassos, as metodologias inflexíveis, a comunicação deficitária entre aluno e professor e a maneira de avaliar engessada ao tradicional. Debates constantes por parte da Instituições são extremamente necessários, assim como a promoção de capacitações para os professores que são os agentes diretos e que de fato são os que decidem efetivar a inclusão dentro de sulas salas de aula.
Qualidade de vida de pacientes submetidos à cirurgia cardíaca: revisão sistemática (2013-2023)
Authors: Guerra Caren Eduarda Cicchetti , Scortegagna Silvana Alba
Published: February 2024

Este estudo objetivou reunir evidências científicas acerca da Qualidade de Vida (QV) em pacientes submetidos à cirurgia cardíaca. A Revisão Sistemática (RS) seguiu as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA. Foram consultadas as bases de dados nacionais SciELO e Directory of Open Access Journals e Pepsic, e internacionais Scopus, PsycInfo, ScienceDirect e PubMed utilizando-se como descritores: “paciente” and “psicologia” and “cirurgia cardíaca”. Foram incluídos artigos de pesquisa de campo, disponíveis na íntegra na língua portuguesa, inglesa ou espanhola, publicados nos últimos 10 anos (2013-2023), Dos  667 artigos encontrados, foram selecionados 15 para leitura completa e 10 para compor essa revisão, que responderam aos critérios de elegibilidade. O incremento da QV dos pacientes esteve relacionado a fatores como o período de realização da intervenção e da recuperação. Outros fatores como a presença de um cônjuge, gênero, modalidade de cirurgia, e questões culturais também impactaram na QV. Desta forma, entende-se que o sujeito auto regula-se frente a fatores externos. A cultura em que o indivíduo está inserido, bem como a forma com que cada pesquisa foi planejada e conduzida são itens passíveis de atenção.
Znaczenie unijnego systemu Level(s) w ocenie aspektówzrównoważonego rozwoju budynków
Authors: Burchart-Korol Dorota , Schabowicz Krzysztof
Published: February 2024

Budownictwo stanowi jedno z głównych źródełemisji gazów cieplarnianych, dlatego w sektorze podejmowanesą inicjatywy w kierunku ograniczenia wpływu na środowiskoi uzyskania neutralności klimatycznej. W pracy przedstawionosystem Level(s), który umożliwia wykonanie oceny zrównoważonegorozwoju budynków, uwzględniając priorytetowe cele KomisjiEuropejskiej w odniesieniu do aspektów środowiskowych,ekonomicznych, jak i społecznych. W pracy wskazano równieżznaczenie systemu Level(s) w aktualnie opracowanych rozporządzeniachoraz znowelizowanych dyrektywach unijnych dotyczącychbudownictwa. System Level(s) umożliwia ujednoliceniei uporządkowanie metod oceny aspektów zrównoważonegorozwoju w sektorze budownictwa Unii Europejskiej.
Adaptacja zabytkowych podziemnych wyrobiskw aspektach bezpieczeństwa użytkowania
Authors: Wieja Tomasz , Radziejowska Aleksandra
Published: February 2024

Proces adaptacyjny obiektu podziemnego ma charakterinterdyscyplinarny nie tylko ze względu na specyfikę technicznąobiektu, ale również ze względu na implementację warunkówtechnicznych i wymagań technologicznych. W szczególnościinterwencja ta dotyczy koordynacji wymagań związanych z bezpieczeństwemużytkowania (aspekt prawny) oraz wymaganiamiochrony dziedzictwa, efektem tego jest poszukiwanie priorytetóww poszczególnych dziedzinach, które należy uwzględnićw procesie adaptacyjnym. Interwencja zewnętrzna, w podziemnestruktury przestrzenne i geologiczne, dotyczy przede wszystkimzabezpieczenia, czyli oddziaływania środkami technicznymidla przedłużenia trwałości obiektów, likwidacji procesów deformacyjnychw obrębie wyrobisk oraz poprawy ich stateczności.Nadrzędnym celem tego typu ingerencji, w procesie adaptacji,jest przywrócenie pierwotnej wartości użytkowej, tzn. wartościfunkcji. Podstawą prac powinna być analiza porównawcza istniejącychcech morfologicznych obiektu podziemnego z wymaganiamiprzestrzenno-technicznymi stawianymi nowym funkcjom użytkowym.Dotyczy to szeroko rozumianego bezpieczeństwa użytkowaniawynikającego z implementacji ustawodawstwa prawnegoodnoszącego się do budownictwa tradycyjnego nadziemnego.Proces udostępniania zabytkowych podziemnych wyrobisk w zakresiebezpieczeństwa użytkowania stanowi przykład synergii interwencjigórniczej, budowalnej i architektonicznej.