bluuebunny/crossref_metadata_2025 huggingface dataset:
Managing School Climate for Teachers’ Job Performance in Public Senior Secondary Schools in Rivers State
Authors: Ugbe Ajugo Matilda
Published: September 2024

This study investigated managing school climate for teachers’ job performance in public senior secondary schools in Rivers State. Four research questions and four null hypotheses were used for the study. A Descriptive Survey Research Design was used for the study. The population of this study comprised 6,893 teachers in public senior secondary schools in Rivers State. A sample of 1,379 teachers representing 20% of the 286 public senior secondary schools in Rivers State was used for the study. Stratified random sampling technique was used for the study. The research instrument that was used in this study was a 20 items self-structured questionnaire titled: Managing School Climate For Teachers’ Job Performance Questionnaire (MSCTJPQ). The instruments were validated and reliability index was determined by the use of Cronbach alpha reliability statistics tool which yielded 0.82. The statistical tools used for answering the research questions was Mean and Standard Deviation; while t-test was used to test the null hypotheses at 0.05 Alpha level of significance. The findings of the study showed that; Leadership practices, Collaborative culture, Professional development and Teachers’ well-being enhance teachers’ job performance in public senior secondary schools in Rivers State. Based on the findings, the study therefore conclude that effective management of the school climate plays a pivotal role in enhancing teachers’ job performance in public senior secondary schools in Rivers State. The study therefore recommended that; Rivers State ministry of education should invest in leadership training for school administrators to enhance their skills in creating and sustaining a positive school climate. Effective leadership sets the tone for a supportive and collaborative environment. Also, Rivers State school administrators should foster the creation of PLCs where teachers can collaborate, share ideas, and support each other's professional growth and also, involve teachers in decision-making processes related to school policies, curriculum development, and other relevant matters. This collaborative approach enhances the overall school climate.
Educating Students for Creativity and Entrepreneurship Skills Development in Public Secondary Schools in Rivers State
Authors: Wike Ruth Ejuwa
Published: September 2024

The main trust of this study was to investigate how we can educate students for creativity and entrepreneurship skills development in public secondary schools in Rivers State. Two research questions and two hypotheses guided the study which adopted descriptive survey research design. The population of the study comprised of 8, 694 teachers in the 274 public secondary schools in Rivers State. A sample of 870 teachers (470 male and 400 female) was drawn through stratified random sampling technique. Data were collected with a self-structured questionnaire entitled: “Educating Students for Creativity and Entrepreneurship Skills Development Questionnaire (ESCESDQ)”. The instrument which was well validated by experienced scholars in the Department of Educational Management, Rivers State University, had a reliability index of 0.86 established through Cronbach Alpha Method. Mean, Standard Deviation and rank order were used to analyse the research questions while z-test was used to test the hypotheses at 0.05 level of significance. The results of the study revealed that ways we can educate students for creativity include among others: setting up learning activities that allow students to explore their creativity; encouraging creative thinking through the use of provocative questions; and through giving open ended assignments. While, ways we can educate students for entrepreneurship skills develop include among others: use of activity- based teaching method; through school-industry linkage and by organizing internship programmes for students. Based on the findings, conclusion was drawn and the following recommendations among others were made: government should on regular basis organize seminars/workshops to refresh teachers pedagogical skills; and teachers should motivate their students to acquire creative and entrepreneurship skills because they are critical to individual and national development.
Perceived Influence of Blended Teaching on Postgraduate Educational Management Students Learning in Rivers State Universities
Authors: Ebom-Jebose Abigail
Published: September 2024

The study investigated perceived influence of blended teaching on postgraduate educational management students learning in Rivers State Universities. The study adopted the descriptive survey research design. Two research questions and two hypotheses guided the study. The population of the study is 58. It consists of all lecturers in the Department of Educational Management in Rivers State owned universities. The sample size of the study was 58. Census sampling technique was used to sample the entire population of the study. A structured questionnaire titled perceived influence of blended teaching of postgraduate students learning questionnaire was used as instrument for data collection. Three experts validated the instructed and Cronbach Alpha Method was used to obtain an average reliability coefficient of 0.83. 58 copies of the questionnaire were administered, retrieved, and used for the study. The items were rated on a four (4) point rating scale; mean and standard deviation was used to analyze the research questions while z-test was used in testing the formulated hypotheses. The findings reviewed that, Educational Management postgraduate students learning was influenced by face-to-face and hybrid teaching to a high extent. The researcher recommended that lecturers should ensure that students or learners became active and not passive participants as this will help or make postgraduate Educational Management students to develop knowledge on their own and confident without the interference of the instructor or lecturer and measures should be adopted by lecturers on how online learning instruction could be used to achieve Educational Management courses having psychomotor objectives in Rivers State owned universities.
The History and the Structure of Hospices in Uzbekistan
Authors: Ziyaev Yakhyo , Norboyev Rustam , Niyazova Mekhriniso
Published: September 2024

In the modern world, there is a constant increase in the number of patients suffering from incurable forms of diseases in the terminal stage of development. This trend actualizes the study of palliative care, which is a special area of social and medical care for terminally ill people. Palliative care is an integrated part of cancer patient care. However, the situation in palliative care in Uzbekistan is very critical. Implementing palliative care and hospice into medicine began in 2017 in Tashkent, Uzbekistan. The first Children’s Hospice -Taskin was opened in 2022 in Tashkent, Uzbekistan. Despite the fact that 2 years have passed since the opening of the hospice in the Republic of Uzbekistan, the concept of hospice has not yet formed in the minds of the population, there is still an idea that people perceive the concept of “hospice” as a house of death. This article is intended to study the history and structure of palliative care in Uzbekistan and study the perception of hospice among the population.
William Carey Rees (1845 – 1879): The First Australian Doctor
Authors: Stride Peter
Published: September 2024

In 1867, William Carey Rees and Patrick Moloney were the first two medical students to graduate from an Australian Medical School. Prior to that date all medical practitioners working in Australia since the First Fleet in 1788 had graduated overseas, predominantly in England and Scotland. The short career of William Carey Rees before his premature death aged thirty three is described.
The Rheumatic Valvulopathies in Schools in Burkina Faso
Authors: Tindano Yiénouboia dit Caleb , M'Baye Salissou S.M. , Kologo K.J. , Tsague Kengni H.N. , Yameogo N.V. , Samadoulougou A.K. , Zabsonré P.
Published: September 2024

Introduction: The purpose of our study was to determine the prevalence of rheumatic valve diseases in the primary schools Provincial Directorate of Education National (DPENA) of Kadiogo. Patients and methods: This was a prevalence study Over a period of 8 months carrying on primary school students from all constituencies Basic Education (CEB) of the Kadiogo Provincial Directorate of National Education. We conducted clinical and paraclinical screening with a representative sample of this population. Results: Our sample was 1519 students from 50 schools spread over 26 CEBs. The sex ratio Was 0.94. Were included in the study the students of the tranche of age of 5 to 16 years old. The social level low economic was predominant and was found in 72.46% of cases. Associated comorbidities were dental caries (17.05%), angina/tonsillar hypertrophy (2.57%). The ultrasound prevalence of valvulopathies Probable according to the classification of the World Federation of the Heart was 7.24‰ with no significant difference between the sexes. Conclusion: Rheumatic valve diseases are still endemic in school-age children in developing countries. The need for early detection and management of these conditions is necessary to improve the health of future adult populations in Burkina Faso.
The association of pain with walking speed and functional abilities in patients suffering from progressive forms of multiple sclerosis
Authors: Mitrović Sindi , Vidaković Aleksandra , Đorđević Olivera , Bukumirić Zoran , Dedijer-Dujović Suzana , Dimkić-Tomić Tijana , Konstantinović Ljubica
Published: September 2024

Introduction/Aim: In progressive forms of MS, the frequency of pain increases as the disease progresses affecting patients' functional abilities and making the disease much more complex. We conducted a cross-sectional study to examine the association of pain with walking speed and functional abilities in patients who suffer from progressive forms of multiple sclerosis. Material and methods: The cross-sectional study was conducted at the Clinic for rehabilitation "Dr Miroslav Zotović" in the period from January 2020 to May 2023. The research included 55 patients with PPMS and SPMS consecutively admitted to this Clinic for rehabilitation. Demographic and socio-epidemiological data and disease-related data were collected from all the patients. Pain intensity was assessed using Numeric Rating Scale (NRS). Since all patients experienced spasticity, pain was also assessed using the Pain/Discomfort (PD) subscale of the Multiple Sclerosis Spasticity Scale 88 (MSSS-88). The subjective perception of gait impairment was assessed using a subscale of the same questionnaire, MSSS 88, related to walking, namely the Walk (WL). Walking speed was measured by The Timed 25 Foot Walk (T25FW). The functional assessment and all questionnaires were completed in the morning hours over a 24-hour period from the day patients were admitted to rehabilitation. Results: There is a significant strong correlation between WL and P/D (rho=0. 770; p<0.001) and between WL and NRS (rho=0. 825 p<0.001). There is a statistically significant moderate negative correlation between T25FW and NRS pain (p<0.001). There is no statistically significant correlation between T25FW and pain intensity measured by PD (p=0.033). There is a statistically significant correlation between EDSS and pain intensity (NRS p=0.002; PD p=0.006) either. Conclusion: The results of this research indicated a significant negative impact of pain on walking speed and functional disability.
Using Integra® Dermal Regeneration Template in electrical burn injury defect reconstruction: A case report
Authors: Jović Marko , Suđecki Branko , Ćertić Biljana , Isaković-Subotić Jelena , Jurišić Milana , Marinković Milana , Jovanović Milan , Stojičić Milan , Jeremić Jelena
Published: September 2024

Introduction: Electrical burn injuries present a major public health issue in industrialized countries, and unlike electrical arc flash burns, they often result in deeper and more extensive injuries, especially in hands and feet. When choosing from the range of reconstructive modalities, prompt coverage of exposed defects is imperative, ensuring a better functional and cosmetic outcome. Patient review: A 26-year-old male was admitted into our facility's Burns Unit following a high-voltage electrical burn injuries sustained on the same day. After several debridement sessions, the left foot was left with a 100 square centimeter dorsal surface defect with the involvement of ankle joint region. The defect was covered using Integra® Dermal Regeneration Template (IDRT) with a 100% success rate both with the template and later split-thickness skin graft (STSG) application. There were no reported perioperative complications, with satisfactory cosmetic and functional results at the 6-month follow-up. Conclusion: IDRT can be considered a good surgical choice for effective defect coverage with satisfactory results. Nevertheless, the final outcome and patient recovery also often depend on a multitude of other factors, such as the defect size and the involvement of underlying structures.
Acinetobacter baumannii pneumonia associated with mechanical ventilation due to COVID-19: Epidemiology, clinical characteristics and therapy
Authors: Gazibara Tatjana , Beronja Branko , Karan Aleksandra , Lukić Biljana
Published: September 2024

Less than 3% of people who get infected with COVID-19 need hospital treatment. However, up to one-third of the hospitalized patients with COVID-19 require invasive mechanical ventilation. Ventilator-associated pneumonia (VAP), caused by the multidrug-resistant Acinetobacter baumannii (A. baumannii), is an emerging infection in the intensive care units and can have fatal consequences for those patients who already have critical COVID-19. Countries of the Balkan peninsula have an exceptionally high prevalence of invasive carbapenem-resistant Acinetobacter spp in the hospital setting. Diagnosing this type of pneumonia is a challenging process. Furthermore, treatment complexities arise because of multidrug resistance. Novel therapeutic agents, such as sulbactam/durlobactam and zosurabalpin could be the new therapeutic opportunity for A. baumannii-induced VAP. Antimicrobial resistance of A. baumannii is not entirely understood, although several mechanisms have been identified. To adequately manage VAP it is important to isolate causative agents, have awareness of the resistance pattern, carefully dispense antibiotics, and identify risk factors. In this review, we discuss epidemiological characteristics, pathophysiological mechanisms, clinical presentation and diagnosis, as well as the current and novel treatments of A. baumannii-induced VAP.
Association of body mass index with disease severity, phenotypes, and clinical presentation in patients with bronchiectasis
Authors: Janković Jelena , Bojić Zlatan , Vukosavljević Dragan , Zečević Andrej
Published: September 2024

Introduction/Aim: Bronchiectasis is a chronic respiratory condition characterized by permanent dilatation of the bronchi with chronic respiratory symptoms. Some studies have found association between malnutrition and bronchiectasis. However, research on obesity remains insufficient and further studies are needed. The aim was to evaluate the association between BMI (body mass index) and phenotypes, endotypes, clinico-radiological presentation and severity. Methods: A retrospective study included 120 patients with bronchiectasis. The socio-epidemiological, clinical, radiographic and laboratory characteristics were compared using statistical analyzes, depending on BMI. Results: The mean age was 61.3 ± 7.6 years. Underweight, normal, overweight, and obese accounted for 6.7%, 48.3%, 27.5%, and 17.5% of all patients. There were statistically significant differences in BACI score (p = 0.01), normal sputum finding (p = 0.03), lower hemoglobin level (p = 0.02) in the underweight group and eosinophil endotype in all groups except underweight (p = 0.04). The mean BACI (Bronchiectasis Aetiology and Co-morbidity Index) score had a rising trend from overweight and obese patients to normal weight the followed by the underweight category. Chronical colonization of Haemophilus was dominant in the underweight whereas Pseudomonas predominated in the overweight and obese. Asthma was most common in overweight and obese patients. We did not find differences between the groups in spirometry findings (but, the majority of all study patients with restriction belonged to the underweight group), Reiff score and radiological phenotype. Conclusion: Underweight patients were females and they were younger than overweight patients, they had lower diffusion capacity, systemic inflammation and higher BACI score, post-infective phenotype and predominantly normal sputum bacterial analysis for colonization screening. On the other hand, overweight and obese patients had chronic colonization by P. aeruginosa, asthma comorbidity, and eosinophil endotype. Those differences are very important for future specific treatment.
Epidemiology of spinal column injuries before, during, and after the COVID -19 pandemic: Is there any difference?
Authors: Zagorac Slaviša , Vasić Miloš , Novaković Uroš , Mladenović Miloš , Tulić Ivan , Teodosić Valerija
Published: September 2024

Introduction: The lack of information in international literature regarding the impact of the introduction and the subsequent termination of epidemiological restrictions during the COVID-19 pandemic on the epidemiology of spinal injuries has led to the constant monitoring and recording of all relevant data on patients with spinal column injuries since the beginning of the pandemic. Study Aim: To analyze and compare epidemiological data on patients with spinal column injuries treated at a tertiary healthcare facility in Serbia, before, during, and after the COVID-19 pandemic. Materials and methods: This is a retrospective study spanning three observation periods analyzing patients with spinal column injuries. Results: The average age of patients in the first observation period was 47 years, 68 years in the second, and 39 years in the third period. In the first two observation periods, the dominant mechanism of injury was same-level fall, and most of the patients were treated conservatively. When comparing the data on the three groups of respondents, statistically significant differences in the age of the patients and the mechanism of injury can be observed. Conclusion: The COVID-19 pandemic contributed to spinal column injuries being more common among the elderly, due to falls occurring at home. However, after people returned to an active lifestyle, which was especially true of the younger population, there was a sudden increase in the number of spinal column injuries due to road traffic accidents, while due to the frequent occurrence of spinal cord injuries, there was also an increase in the number of emergency surgeries.
Treatment of painful flexible flatfoot in children after failed conservative treatment using a minimally invasive surgery technique
Authors: Bukva Bojan , Majstorović Marko , Dučić Siniša , Krivokapić Branislav , Radlović Vladimir , Đuričić Goran , Begović Ninoslav , Stojković Jasna , Knežević Tatjana , Nikolić Dejan
Published: September 2024

Introduction/Aim: Flexible flatfoot (FFF) is one of the most common skeletal deformities in the pediatric population, especially in preadolescence. This retrospective observational study evaluates results of a calcaneal subtalar extra-articular arthrodesis (subtalar arthroereisis) with one cannulated screw for the treatment of painful flexible flatfoot in children, after previously failed conservative treatment. Material and Methods: Preadolescent and adolescent pediatric patients were observed at the Department of Pediatric Orthopedic Surgery. The study included 28 feet of 15 children (5 girls and 10 boys) during a 6-year period, from 2016 to 2021 (average 36 months). The average age was 11.46 years (range 8-15 years). We performed the same operative technique under fluoroscopy for all patients. Radiographic parameters were taken before, after operative treatment, and after hardware removal. The following radiological parameters were measured: talo-calcanear (TC), talo-navicular (TN), talo-first metatarsal bone (T1MT) and calcanear pitch (CP) angles, in the anteroposterior and/or lateral views. Functional outcomes (extension and eversion of the foot) before surgery and after hardware removal were compared. Results: After operative treatment, the midfoot radiographic parameters were not statistically significantly altered; however, the subtalar joint and forefoot were statistically significantly improved: both radiologically and clinically. The range of extension and eversion of the foot were remarkably reduced without disturbing the morphological and functional aspects of the talocrural and subtalar joints. Conclusion: Extra-articular arthrodesis, using a cannulated screw is a minimally invasive technique, represents an optimal method for the operative treatment of symptomatic flexible flatfoot in children. This technique is simple, efficient and does not disrupt the anatomy of the foot.
Anesthesia for awake craniotomy: How do we perform it?
Authors: Nastasović Tijana , Savić Nevena , Lazić Igor , Ivošević Tjaša , Bogdanović Ivan , Ilić Rosanda , Milisavljević Filip
Published: September 2024

Awake craniotomy is a neurosurgical procedure that is used for the safe removal of intracranial lesions near Broca's and Wernicke's speech areas. During this procedure, speech mapping is done. Its use demands anesthesia for awake craniotomy, which includes different possibilities for the management of anesthesia with awake patients at the moment of tumor removal. There are two widely accepted concepts: "awake-awake-awake", when the patient is consciously sedated ("awake") throughout surgery, with lighter or deeper sedation (monitored anesthesia care), or "asleep-awake-asleep", when the patient is introduced into general endotracheal anesthesia while opening the skull, but is awake during lesion removal and asleep during closure. Our protocol is a form of "asleep-awake" concept, with general endotracheal anesthesia for craniotomy and awake patients during and after lesion removal (including skull closure).
Evaluation of hsa-mir-675-5p expression and its diagnostic and prognostic relevance in oral cancer
Authors: Stojković Goran , Savić-Veselinović Marija , Todorović Nikola , Bukurov Bojana , Folić Miljan , Ivošević Tjaša , Zeljić Katarina
Published: September 2024

Introduction: Oral cancer is the most common subtype of cancer in the head and neck region, with an increasing incidence worldwide. Unfortunately, no specific biomarkers are used in everyday clinical practice. Small non-coding RNA molecules, microRNA (miRNA), are considered sensitive biomarkers for early diagnosis as well as prognosis in patients with oral cancer. Especially, microRNA derived from the H19 locus are poorly investigated for their potential role in oral cancer. Aim: The aim of this study was to evaluate expression of hsa-miR675-5p in tumor and non-tumor tissues of oral cancer patients and to associate it with pathohistological features. Material and Methods: The study group consisted of 35 patients with oral cancer. Tumor and surrounding non-tumor tissues were taken from each patient. Relative expression was measured using the quantitative reverse transcription - real time PCR method. Results: The relative expression of hsa-miR-675-5p was lower in oral cancer tumor than in non-tumor tissue suggesting its tumor suppressive role. hsa-miR-675-5p has diagnostic potential for sensitive distinction of tumor and non-tumor tissues in oral cancer patients. There was no difference in overall survival rates between patients with low and high hsa-miR-675-5pexpression, confirming that hsa-miR-675-5p cannot be used as a prognostic biomarker in patients with oral cancer. Conclusion: hsa-miR-675-5p can be considered as a potential diagnostic but not a prognostic molecular biomarker in oral cancer.
Changes in the hemostatic system in severely ill Covid-19 patients check for updates
Authors: Milenković Marija , Kovač Mirjana , Rović Ivan , Šijan Đuro , Crnokrak Bogdan , Zdravković Marija
Published: September 2024

Introduction/research objective: COVID-19 coagulopathy is a disorder of the hemostatic system that occurs in critically ill patients infected with the SARS-CoV 2 virus and it increases the risk of mortality. The goal of the research is to evaluate changes in hemostatic parameters and determine their prognostic significance in patients with a severe form of the COVID-19 disease. Methods: The study was designed as a retrospective cohort study, which included 146 patients treated from June to September 2020 in the Intensive Care Unit (ICU) of the Clinical Hospital Center "Bežanijska Kosa" in Belgrade, diagnosed with COVID-19 pneumonia. Inclusion criteria were as follows: the age over 18 years, proven current SARSCoV2 infection, and admission to ICU. Results: 82 patients (56.2%) died during the treatment, while 64 (43.8%) were discharged. Significantly higher D-dimer values on admission to the ICU were recorded in subjects who died during treatment 888 (1226.5) ng/ml compared to persons who were discharged from treatment 666 (1207.3) ng/ml (p = 0.03). Differences were not demonstrated for INR, aPTT and fibrinogen. D-dimer values on admission to the ICU greater than or equal to 760ng/ml are a statistically significant predictor of death during hospitalization (p = 0.04). Conclusion: COVID coagulopathy is a complication that increases the mortality of people infected with the SARS-CoV2 virus. The main feature is a state of hypercoagulability, which is detected by elevated D-dimer values. D-dimer greater than or equal to 760 ng/ml on admission to the ICU may have prognostic significance for survival during hospitalization.
Early treatment response of breast cancer brain metastases to gamma knife stereotactic radiosurgery
Authors: Jovanović Marija , Davidović Kristina , Petković Ana , Šeha Biljana , Jeremić Danilo , Milićević Mihailo , Bogdanović Ivan , Ilić Rosanda
Published: September 2024

Introduction: Brain metastases represent the most common intracranial malignancy in the adult population, while breast cancer represents the leading cause of brain metastases among women. Brain metastases have increased in recent years due to improved therapeutic control of systemic disease and better diagnostic tools. Stereotactic radiosurgery (SRS) is used in patients with brain tumors to achieve local disease control, preserve the quality of life, and extend patient survival. This study aimed to evaluate the effects of SRS in patients with brain metastases from breast cancer through analysis of magnetic resonance imaging (MRI) parameters of the brain. Methods: Brain MRI was conducted in 30 adult female patients before and 3-6 months after SRS treatment. Radiological analysis was used to estimate lesion volumes before and after SRS. Results: Patients were categorized into four groups based on therapeutic response: 1 - complete response (CR) with loss of the lesion, 2 - partial response (PR) with more than 50% reduction in lesion volume, 3 - disease progression (PD) with more than 25% increase in lesion volume, 4 - stable disease (SD) if the patient did not display PR or PD. Among all patients, it was found that CR was present in 0 (0%), PR in 15 (50%), PD in 1 (3%), and SD in 14 (47%) patients. Following the SRS treatment, a statistically significant reduction in tumor volume was observed (p<0.001). Conclusion: Radiological volumetric analysis of brain metastases after SRS showed a statistically significant reduction in lesion volume, demonstrating effective local disease control.
The Traditional System of Qur’anic Education in Northern Nigeria (Tsangaya): Recipe For A Feasible and Sustainable Reform
Authors: Yahya Ahmad , Muhammad Aliyu Yunus , Ahmad Mustapha , Fagge Shehu Dahiru
Published: September 2024

Succumbing to absolute neglect, the Tsangaya system faces many avoidable problems. Most of the attempts made by some administrations to address these problems appeared to have been narrowed down to either abolishing the system or blending it with alien elements. The beautiful aspects of the system appeared to have been ignored. This paper, generating data from interviews and document analyses, attempts to bring out some of the ignored features of the Tsangaya system, the problems it faces and suggestions for a sustainable reform. The aim is to bring into light some aspects of the system which risks being lost amidst the blind attacks against Tsangaya and the way for a feasible and sustainable reform. The reason for selecting this topic is the present attempts being made to reform the Tsangaya system in Nigeria. The paper reveals that aspects such as student/teacher relationship, class management and control, assessment of student's academic performance, etc. are beautiful features of the system which the conventional education system could borrow and integrate. A holistic approach, including recognising the noble status of the system as the custodian of the Qur’an, its teachers and students, is suggested in order to realise a sustainable and feasible reform.
Anayasal Demokrasi Bağlamında İsrail Yüksek Mahkemesi ile Türk Anayasa Mahkemesinin Konumu
Authors: Küçük Ferhat
Published: September 2024

Bu çalışmada, anayasal demokrasi anlayışının yerleşmesinde büyük bir öneme sahip anayasa yargısı (İsrail Yüksek Mahkemesi ile Türk Anayasa Mahkemesi) üzerinde durulmuştur. “Anayasal demokrasi”nin iki unsuru olan anayasalcılık ile demokrasi kavramlarının tarihsel gelişimi anlatılmaya çalışılmış ve bu iki kavram arasında bir çelişkinin mevcut olduğu üzerinde durulmuştur. Demokrasinin özü, çoğunluğun iktidarı olduğu halde anayasalcılığın amacının ise iktidarı sınırlandırmak olduğu malumdur. Bu iki kavram arasında bir gerilimin var olduğu tespitinden hareketle, İsrail Yüksek Mahkemesi ile Türk Anayasa Mahkemesi’nin yürütme ve yasama karşısındaki durumları ele alınacaktır. Son tahlilde, İsrail Yüksek Mahkemesi ile Türk Anayasa Mahkemesinin hak temelli (demokrasiyi korumaya ve tahkim etmeye yönelik) yaklaşımından esinlenerek verdiği kararlar incelenip verilen kararların iki ülkedeki hükümetlerin söylemlerine nasıl sirayet ettiği üzerinde durulacaktır.
Grief experiences among family caregivers after providing palliative end-of-life care
Authors: Baral Jay Errol V. , Abergas Roselle Glenn R. , Namoro Jiah Kaye Bianca C. , Padilla Nixon Valroy G. , Parreño Lindsey Findley M. , Germino-Esteban Fiona Corinne , Soliven Mary Dana Kaye S.
Published: September 2024

This study explores the diverse experiences of family caregivers providing palliative end-of-life care, focusing on their coping strategies during caregiving and their grief responses post-caregiving. Analyzing demographic profiles, the study reveals that caregivers are predominantly women, spanning various ages, socio-economic backgrounds, and familial relationships. Caregiving durations and financial conditions also vary widely, highlighting the need for tailored support services. The thematic analysis identifies two major coping strategies: avoidance (including “Freeze” and “Flight”) and approach (including “Plan” and “Act”). Participants predominantly employed “Act” strategies, reflecting proactive engagement with caregiving challenges. Post-caregiving grief responses were categorized into four sub-themes: prolonged grief, anticipatory grief, irregular grief, and normal grief. The study underscores the necessity of personalized support programs that address both coping strategies during caregiving and diverse grief responses afterward. Recommendations include developing flexible support services that provide financial assistance, emotional support, and practical resources, as well as grief support tailored to different grief experiences. By aligning interventions with the varied needs of caregivers, practitioners can enhance support and improve caregivers’ overall well-being.
MANİSA VAKIFLARINA DAİR BELGELER I
Authors: KARADENİZ Ümran
Published: September 2024

20. yüzyılın ilk yarısından itibaren Manisa vakıfları üzerinde çalışmalar yapılmaya başlanmış ve sonrasında da birçok yayın hazırlanmıştır. Bu çalışmalardan en kıymetlisi ise şüphesiz İbrahim Gökçen tarafından hazırlanan Manisa Tarihinde Vakıflar ve Hayırlar adını taşıyan iki ciltlik eseridir. Günümüze dek yapılan çalışmalarda daha ziyade 16. yüzyıl ile 18. yüzyılın ikinci yarısının ele alınmış olması bizi böyle bir çalışma yapmaya yöneltmiştir. Bu çalışmada 1700-1750 yılları arasında Manisa vakıflarına dair Manisa şer‘iyye sicillerinde tespit edilen kayıtlar ele alınmıştır. Sicillerde yer alan vakıf kayıtları belirlendikten sonra transkripsiyonlu metinler hazırlanmıştır. Ancak çalışmamıza dahil edemediğimiz siciller olmakla birlikte ileride yapılması planlanan diğer çalışmada ele alınması uygun görülmüştür. Bu çalışma ile Manisa vakıflarına dair kayıtlar literatüre kazandırılmış; böylece Manisa vakıfları hakkında daha güvenilir ve ayrıntılı verilere dayanan değerlendirmeler yapma imkânı hasıl olmuştur.
Strong Leaders Strong Schools: 2007 State Laws
Authors: Shelton Sara
Published: September 2024

The National Conference of State Legislatures documents the range of state lawmaking in 2007 aimed at recruiting, training, and supporting high-quality school leaders.
New Approaches And Technologies In Radiation Therapy
Authors: Mohammed  Mohsen  Alotaibi
Published: September 2024

The last ten years have seen advancements in other focal prostate- directed therapies as well as more accurate targeting and delivery of radiation. Proton beam radiation, high-dose-rate (HDR) brachytherapy, stereotactic body radiotherapy (SBRT), cryoablation, high-intensity focused ultrasound, and other nonradiotherapy treatments are among the therapeutic modalities that have been studied for the treatment of prostate cancer in an effort to minimize toxicity while enhancing cancer control. On the other hand, high-risk prostate cancer necessitates treating the prostate and any regions where the cancer may spread thoroughly. As a result, regional radiation therapy has been extensively studied in conjunction with the majority of new radiation treatment modalities, including SBRT, HDR, and proton beam radiation. The use of SBRT, HDR, and proton beam radiation is promising, though the data is still developing.
Company Size, Managerial Ownership, Sustainability Report on Financial Performance with Operational Efficiency as an Intervening
Authors: Alfariz Rifa , Yuliastuty Asmara Rina
Published: September 2024

The aim of this research is to examine the influence of company size, managerial ownership, and Sustainability Report on the financial performance of banking companies in Indonesia, with operational efficiency as an intervening variable. The population for this study comprises banking companies listed on the Indonesia Stock Exchange (IDX) from 2018 to 2022. Data collection was conducted using purposive sampling, resulting in a sample of 13 companies and a total of 65 observations. The analysis technique employed is panel data regression. Microsoft Excel and E-views 13 were used for data processing. The research findings indicate that, partially, company size and managerial ownership have a positive effect on operational efficiency. However, the Sustainability Report does not significantly affect operational efficiency. Furthermore, company size and operational efficiency are empirically proven to have a positive impact on financial performance. Meanwhile, managerial ownership and Sustainability Report do not significantly influence financial performance. Company size and managerial ownership, mediated by operational efficiency, positively impact financial performance, while Sustainability Report which mediated by operational efficiency, does not significantly affect financial performance.
Traqueostomía temprana versus tardía en pacientes con trauma craneoencefálico severo
Authors: Ochoa Juan D. , Real Andrea , Tejada Wilson A. , Gamarra Luisa F. , Tejada Jorman H. , Sanabria Luis E.
Published: September 2024

Introducción: El Trauma Craneoencefálico es una condición que genera altos niveles de discapacidad y mortalidad en América Latina. El momento óptimo para realizar la traqueotomía en estos pacientes sigue siendo controvertido. El objetivo de este estudio fue comparar la morbilidad y la mortalidad de la traqueostomía temprana versus tardía en los pacientes con traumatismo craneoencefálico grave en la UCI de un hospital universitario en Colombia. Materiales y Métodos: 159 pacientes con traumatismo craneoencefálico grave tratados en el Hospital Universitario de Neiva entre febrero de 2009 a 2014 fueron incluidos en este estudio. Los pacientes fueron divididos en dos grupos: la traqueostomía temprana (primeros 8 días después del ingreso) y la traqueotomía tarde (8 días después de la admisión). Se evaluó un análisis estadístico de las variables clínico-demográficas, y se realizó un análisis estadístico de la mortalidad y la neumonía asociada a la ventilación mecánica. Resultados: De los 159 pacientes con traumatismo craneoencefálico grave ingresados en UCI durante este periodo, 64 (40,2%) fueron sometidos a traqueotomía. De ellos, 36 recibieron una traqueotomía temprana, mientras que 28 fueron sometidos a traqueotomía tardía. La supervivencia global para el grupo de traqueostomía temprana fue del 69,4% y del 57,1% para el grupo de traqueotomía tarde. Conclusiones: La traqueostomía temprana debe ser considerada en pacientes con traumatismo craneoencefálico grave para evitar una mayor morbilidad hospitalaria y especialmente la neumonía asociada al ventilador.
Infección por micobacterias no tuberculosas en implantes mamarios. Revisión de la literatura
Authors: Navarro Parra Jairo , Álvarez Navarro Thiago A.
Published: September 2024

En la actualidad, los altos estándares de belleza de las sociedades occidentales, han creado una creciente tendencia a la realización de distintos procedimientos quirúrgicos para resaltar algunos rasgos o características a su máxima expresión corporal. Sin embargo, estos procedimientos no están libre de complicaciones y las más frecuentes en estos procedimientos quirúrgicos son las infecciones en el pos operatorio. Las infecciones por micobacterias no tuberculosas se han descrito a lo largo de los últimos años con mayor frecuencia, especialmente en pacientes inmunosuprimidos y en pacientes que han sido sometidos a procedimientos estéticos.
Manejo de Espasticidad por Lesiones del Sistema Nervioso Central
Authors: Gómez Aroca Ana María
Published: September 2024

La espasticidad es un síntoma común que se observa en muchas enfermedades neurológicas, y se considera un componente del síndrome de la neurona motora superior (UMNS), presentándose como la activación involuntaria e intermitente o sostenida de los músculos. La espasticidad puede ser muy incapacitante, lo cual tiene un impacto significativo en la calidad de vida de los pacientes y requiere un manejo preciso con el fin de evitar complicaciones y mejorar la función. En este artículo revisa el actual manejo farmacológico y no farmacológico de la espasticidad de origen cerebral.
Estrategia Didáctica para el Aprendizaje del Inglés Técnico en la Carrera Electromecánica de la Universidad Nacional “Siglo XX”
Authors: Dueñas Plaza Rocio , Álvarez Fernández Mauro
Published: September 2024

El aprendizaje del inglés técnico se hace importante por las posibilidades de acceso a información técnica, la comunicación en la resolución de problemas y el ejercicio profesional. El presente trabajo, tuvo como objetivo proponer una estrategia didáctica que permita mejorar los aprendizajes del idioma Inglés Técnico en el colectivo de estudiantes de primer año de la Carrera Ingeniería Electromecánica. La metodología se sustentó en el paradigma socio-crítico con enfoque mixto, diseño de investigación transeccional, tipo de investigación descriptivo, el cual posibilitó la recogida de datos a partir de la aplicación de la prueba de evaluación objetiva, la encuesta y el grupo focal, al grupo de estudiantes que cursan la asignatura. Los resultados demuestran que el 64% tiene dificultades en el vocabulario, el 61% en gramática, el 56% en la traducción y el 58% en lectura comprensiva. Asimismo, se percibe como principal dificultad de clases centrado en el texto que genera pasividad en el estudiante, sugiriéndose una mayor participación del estudiante y la inserción de otros recursos educativos.  A partir de los resultados se logra diseñar una estrategia didáctica de mediación asociativa para fortalecer el aprendizaje del Inglés Técnico, fundamentada en el enfoque comunicacional y el constructivismo. Se concluye que, ante el bajo rendimiento de los estudiantes en el Inglés Técnico, la propuesta de estrategia de aprendizaje se constituye en alternativa para la mejora de los aprendizajes del inglés técnico.
Hábitos Alimenticios en Estudiantes de una Universidad Pública Estatal del Centro Occidente de México
Authors: Martínez Medina Brandon , Valenzuela Gandarilla Josefina , Lizalde Hernández Azucena , Pérez Guerrero Ruth Esperanza , Dimas Palacios Cirila
Published: September 2024

Introducción. Los hábitos alimentarios que estudiantes universitarios han conformado diariamente al elegir, preparar, comprar y consumir alimentos ultra procesados, un grave problema que continúa sin solución; como consecuencia el aumento de enfermedades. Objetivo. Evaluar los hábitos alimenticios en estudiantes de una universidad pública estatal del centro occidente de México. Metodología. Estudio cuantitativo, diseño no experimental, descriptivo y transversal. La muestra no probabilística de 153 estudiantes (Biología n = 51, Contaduría n = 52 e Historia n = 50) seleccionados a conveniencia. Incluyendo estudiantes inscritos de todos los semestres y excluyendo a quienes tenían diagnóstico de bulimia y anorexia. Se utilizó estadística descriptiva, se solicitó firma de consentimiento informado, garantizando confidencialidad. Resultados. Los estudiantes consideran que sus hábitos alimenticios son regularmente saludables, contrario con otros autores, muestran hábitos poco saludables caracterizados por consumo de comida rápida, bebidas azucaradas, dulces en jóvenes; además, mayor prevalencia de hábitos relacionados con no desayunar o ayunos prolongados.  Conclusiones. Realizar estudios cualitativos para explorar desde la percepción de los jóvenes lo que consideran saludable, lo que compran y consumen requiere mayor análisis, puesto que, el consumo de alimentos ultra procesados incrementó y disminuyó la ingesta de verdura, frutas y leguminosas. Aplicar normatividad que promueva la venta de alimentos saludables en entornos escolares.
Literature Review: The Use Of Artificial Intelligence In The Pharmaceutical Industry
Authors: Prashant Mutta  , S. Soumya
Published: September 2024

Artificial intelligence (AI) is having an increasingly significant impact on the pharmaceutical industry, which is now undergoing a period of profound transformation as a consequence of this effect. In order to study the uses of artificial intelligence in the fields of drug research and development as well as patient care, the goal of this literature review is to investigate some of the applications. It places an emphasis on the most important breakthroughs, the difficulties that are now being faced, and the possible future orientations.
Considering Families in Canada’s Digital Transformation
Authors: Denier Nicole , Deutsch Rebecca , Hu Yang , Qian Yue
Published: September 2024

Rapid technological change is touching families in Canada in profound ways. The deepening of digital reach has wide-ranging implications for family life and policy in Canada, and has spurred public discussions about the benefits, perils, and need for regulation of digital technologies. This Issue Brief provides an overview of key issues surrounding digitalization and family life and their implications for the wellbeing of diverse families in Canada. It also highlights issues surrounding digital divides, privacy, and bias, as well as how they relate to inequalities within and between families.
Jennings & Finlay på marknaden för öregrundsjärn
Authors: Fritz Sven
Published: September 2024

(Jennings & Finlay in the market for Oreground iron exports and related studies in large scale entrepreneurship and banking in the Age of Freedom.)

The overall theme of this study is the attempt by the largest export company in Sweden in the 1750s to more or less monopolise exports from Sweden of the high quality Oreground iron which was in great demand. Three related studies in central and frequently debated problem areas in economic history are linked to this theme:

1) The relationship between iron works and their factors, in this case the commercial links between the large export company and one of Sweden's largest producers of iron, Antoine De Geer (ADG), who ran two large Walloon works at Österby and Forsmark and about whom little has been written.

2) The development of J&F's very large iron works conglomerate and the related long-term iron contracts with ADG and his brothers Louis and Charles, who was the largest manufacturer in the iron industry, as well as the dissolution of the conglomerate.

3) The loans from the Bank of Sweden taken by J&F with their iron works as security, which made the company the bank's largest private borrower and the development of the credit burden amassed by J&F and other major borrowers in the Bank of Sweden.
SPS Code and IP Code
Authors:   International Maritime Organization
Published: September 2024

This publication includes the Code of Safety for Special Purpose Ships, 2008 (2008 SPS Code), the new International Code of Safety for Ships Carrying Industrial Personnel (IP Code), and SOLAS chapter XV on safety measures for ships carrying industrial personnel.
The 2008 SPS Code sets safety standards for special purpose ships carrying ‘special personnel’ such as scientists and technicians involved in specific onboard activities. The IP Code, which came into force on 1 July 2024, extends these safety principles to ships transporting ‘industrial personnel’. This new code addresses the safety requirements for the offshore and energy sectors, ensuring safer transport and transfer of personnel involved in offshore industrial activities.
Negatives Effects of Forestation
Authors: Osorio Sánchez Leidy Yohana , Libarled Sánchez Bolívar Libarled Sánchez Bolívar
Published: September 2024

Currently Colombia, from a forestry perspective, is one of the richest countries in terms of biodiversity, focusing on specific regions of the nation.
The following research work shows the diverse negative effects that underlie the practice of deforestation seen from cultural and population aspects in diverse countries that form the Amazon, for which, it is approached from the conception or own construction of the definition of deforestation by means of a compilation process of investigative material; presenting the problem in the nation, from a concentration in the Amazon region, centralized in Colombia and the department of Caquetá, which aims to glimpse how deforestation affects the various populations and biodiversity present there, all the above, to present the various consequences or effects that this indiscriminate practice has, including global warming, loss of soil quality and destruction of habitats, flora and fauna