bluuebunny/crossref_metadata_2025 huggingface dataset:
The Measurement of Psychosocial Issues of Female Sex Workers: Attachment Styles, Apprehension, and Psychosocial Issues
Authors: Fatima Ishrat , Atkinson Joel , Mehdi Syed Mudassir , Zahid Saira
Published: February 2025

To the psychosocial issues that affect female sex workers in Pakistan (FSWs) as well as to explore the connections between attachment styles and anxiety using infor The Measurement of Psychosocial Issues of Female Sex Workers mation gathered from FSWs representing a range of ages, educational attainment, marital situations, and family systems. The study was carried out with three scales: Adult Attachment Scale (AAT), Apprehension Scale and a specially constructed and validated on indigenous samples regarding the Psychosocial Issues of Female Sex Workers (PSI-FSWs). The study discovered a substantial correlation between the apprehension score, the five variables of psychosocial issues, and attachment styles. Education, income, apprehension, and attachment were identified as important determinants of PSI using hierarchical regression analysis. The results of an ANOVA study revealed that the FSWs' Ambivalent Attachment Style was a significant positive predictor of Psychosocial Issues, and that Apprehension fully mediates the association between Attachment Styles and PSI. Conflicts over religion, caste, and social position have become common in society because of poverty, inflation, corruption, gaps in socioeconomic status, unemployment, and ignorance. Mental health has also been overlooked and stigmatized, which has increased the sex trade. FSWs run the risk of contracting infections as well as psychological and social dangers that make life a living nightmare for them.
Barriers to Oral Proficiency: Exploring Causes of Speaking Inhibition in EFL Learners
Authors: Hijra Hijra , Rahim Titin Rahmiatin , Syarif Andi Rachmawati
Published: February 2025

This study investigates the underlying factors contributing to speaking inhibition among English as a Foreign Language (EFL) learners, with a particular focus on barriers to oral proficiency. Despite the increasing emphasis on communicative competence in language education, many EFL students experience significant challenges when it comes to speaking English fluently and confidently. Through a qualitative approach, this research explores factors that hinder students' oral proficiency from both signs of inhibition and internal factors include language anxiety, lack of self-confidence, and fear of making mistakes. Data were collected through classroom observation and interviews involving thirteen (13) EFL learners who were taking Basic Speaking Course. The findings from observation reveal that mostly students showed less eye contact more often than other inhibition signs such as rubbing the palms and staggered voice during their speaking practice at classroom. While from interview result, it was found that students mostly experienced the inhibition factor in a combination of language barriers and psychological problems such as anxiety and fear of making mistakes.  This paper discusses these elements in detail and offers recommendations for educators to create a more supportive and conducive environment for developing students' oral proficiency. By addressing these barriers, educators can better facilitate EFL learners' ability to communicate effectively in English.
Insights from EFL Classroom: Strategies for Teaching English from Experienced Teacher
Authors: Cahyani Adisthy , Rahim Titin Rahmiatin , Aradhanawaty Syenja
Published: February 2025

This study explores effective strategies for teaching English as a Foreign Language (EFL) by drawing on insights from experienced teacher. Through qualitative interviews and classroom observations, the research identifies key strategies that have been implemented by the teacher in EFL classroom. The participant of this study was an experienced teacher who have been working as an English teacher for 36 years. The participant was chosen purposively as most of students considered him as a good teacher. The findings highlight that during the teaching process, the teacher incorporate controlled technique such as warming up, setting, organizational, content explanation, reading aloud, checking, question-answer, drill, translation, dictation, copying, and review. Additionally, the teacher also applied semi-controlled technique such as brainstorming, question-answer and preparation then for free technique such as problem solving, interview and discussion in responding to diverse student needs. These insights provide valuable guidance for EFL educators seeking to improve their instructional practices and foster better language outcomes for their students.
DEVELOPMENT OF READING BOOK FOR CLASS VII STUDENTS USING THE STRATEGY TPS ((THINK, PAIR, SHARE) LEARNING MODEL TO IMPROVE STUDENTS’ READING SKILLS AT SMP YAPIS MERAUKE
Authors: Marnina Marnina , Narahawarin Margaretha F
Published: February 2025

English as a foreign language has been include in the education curriculum in Indonesia since Indonesia achieved independence studying  English is not only an effort by the government to improve the quality of Indonesian human resources especially students’ knowledge but also as a capital for students to face future challenges that require students to be active in English both spoken and written.   The purpose of this study was to design and develop reading books for class VII students of SMP Yapis Merauke using learning model the TPS (Think, Pair, Share) strategy to  improve students’ reading skills and increase students’ interest in reading so that students do not feel bored in learning to read and can improve students learning outcomes. This research was conducted at SMP Yapis Merauke. The subjects were students of class VII SMP Yapis Merauke. This type of research is research and development or Research and Development (R & D) Borg and Gall (1983:772) state that educational research and development is a process used to develop and validate educational products. There are 2 types of instruments used, namely the first to collect information for needs analysis and the second to evaluate the product. While the research procedures are: (1) conducting a needs analysis which is an initial observation, review of literature and analyzing data, (2) writing  material, namely the process of writing material based  on topics, grammar based on an analysis of students needs; (3) Expect Assessment, namely the draft is evaluated in the form of a questionnaire about the material; (4) revise the draft namely the  material is revised based on feedback and suggestions from experts; (5) writing the final draft of the material which is used as additional material to improve  students’ mastery and reading skills. The expected results of this study are increasing students’ skills in reading and the availability of reading books as supporting facilities in learning English both in the classroom and at the students’ home. The output of this study was in the form of reading books for class VII students of SMP Yapis Merauke using the TPS (Think, Pair, Share) strategy learning model
INDONESIAN EFL LEARNERS’ SELF-EFFICACY TOWARD THEIR LEARNING ACHIEVEMENT
Authors: Alfian Heri , Khartha Aqzhariady , A. Bohang Mutmainnah Bahri
Published: February 2025

This study aimed to find out how the self-efficacy impact Indonesian EFL learners’ learning achievement. This study was conducted at Sembilanbelas November University of Kolaka. The subjects were six 7th students of English Education Department. The study was employed a case study design. The instrument used to gather the data was interview guidelines to explore the sources of self-efficacy. Data of interview were analyzed based on procedure of data analysis that consisted of the data condensation, data display, and drawing conclusion/data verification. The results of the study shown that students who have high index achievement have high self-efficacy, judging by their confidence in answering questions and viewed from the sources of self-efficacy students who have high index achievement have high self-efficacy in mastery experiences and physiological states. Students who have middle index achievement have high self-efficacy because they have high confidence in answering questions, and viewed from the source of self-efficacy students who have middle index achievement have high self-efficacy in vicarious experiences and physiological states. Students who have low index achievement have low self-efficacy because they do not have high confidence in their ability to answer questions. So, students who have low index achievement have low self-efficacy in mastery experiences and physiological states. Based on the findings, the researcher recommends that it is important to the students to identify their self-efficacy because self-efficacy is essential for learners to facing the problems in academic colleges. Also, students with high levels of academic self-efficacy are more likely to persist at challenging academic tasks and put effort to achieve success in academic college, while students with low self-efficacy tend to give up easily and not confident of being able to perform given assignment
TOLERANCE OF STUDENTS OF PERTUKARAN MAHASISWA MERDEKA (PMM) 4 AT BOSOWA UNIVERSITY
Authors: Umar Muh. Fitrah Ramadhan , Aditya S Andi Muhammad , Nurhikmah Nurhikmah
Published: February 2025

This study aims to describe the tolerance of Pertukaran Mahasiswa Merdeka (PMM) students in Makassar City. This research method uses descriptive qualitative research method. There were 10 respondents in this study with a sampling method, namely purposive sampling with the criteria that the respondents were inbound students of Pertukaran Mahasiswa Merdeka (PMM) 4 at Bosowa University. Data collection methods through observation and open interview. Data processing is done by collecting data, reducing data, presenting data and drawing conclusions. The results of this study are that all respondents practiced mutual tolerance with different religions and cultures characterized by mutual respect and esteem, not demeaning different tribes, considering students of different cultures and religions as brothers, not discriminating, and not discriminating between cultures and religions.
UNLEARNING VIOLENCE, LEARNING HUMANITY: PROMOTING CULTURE OF PEACE THROUGH HUMAN RIGHTS EDUCATION
Authors: Asy'ari Muh , Fauzi Muhammad Fahmi Basyhah , Arsyad Susalti Nur
Published: February 2025

Human rights education (HRE) has found its importance in social research today. The rhetoric of how it will bring positive transformations, mainly when associated with a culture of peace, is among many reasons scholars develop all kinds of approaches and ideas to encourage further the practice of HRE in educational institutions, especially universities. Indonesia, with its diverse ethnic and cultural background, is often mentioned to have frequent horizontal conflicts and thus would benefit from HRE in universities. This paper describes the practice of HRE at Universitas Bosowa, one of the universities in Indonesia that has been actively conducting HRE. Library research is used to formulate an elaborate description of the research topic. This paper concluded that the practice of HRE in Universitas Bosowa, with its wide range of learning methods, could be assumed to reach wider audiences outside the academic setting, familiarize students with everyday human rights issues, and manage to promote better human rights regulation in the university.
An Investigation into Financial Product Knowledge and its Relation with Investment Decisions among Undergraduates of Public Sector Universities in Punjab, Pakistan
Authors: Ashfaq Hira
Published: February 2025

This study was an effort to investigate the financial product knowledge and its relationship with making investment decisions. The study was carried out among the undergraduate students of the public sector universities in the Punjab province of Pakistan. A mix of multistage, simple random and convenient sampling techniques was applied to select a representative sample of university undergraduates for the study. A well-designed questionnaire was used for data-collection from the selected respondents. The collected-data were analyzed statistically and the major findings have been presented in this research-paper. The results showed a significant relationship between the financial knowledge about the financial product and making investment-decisions Financial Products and investment-decisions among the public-sector university-undergraduates. Therefore, this research recommends the short-courses and training programs related to the topic should be offered to the business-community especially the young investors for their capacity-building in better decision-making.
Analyzing Teaching Approaches for Enhancing Functional Writing Skills at the Secondary Level
Authors: Shahzad Muhammad Wasim , Kiran Sidra
Published: February 2025

This study aims to analyze the current level of functional writing skills among secondary students, examine teaching approaches for enhancing functional writing skills, and explore challenges teachers face in integrating information and communication technology into a communicative language teaching approach at the secondary level. The existing research was descriptive in nature. All English teachers and 10th-grade students from District Jhelum, Punjab, Pakistan, constituted the population of this study. A sample of 600 respondents (400 students and 200 teachers) was randomly selected for data collection. In this study, two research instruments, in the form of five-point Likert-based questionnaires, were used for data collection. The students' questionnaire contained 40 items, while the English teachers' questionnaire contained 60 items. Both instruments were validated, and their reliability was checked before application. The researcher personally collected the required data through visits and by using Google Forms with the respondents. The analysis of the data was conducted using SPSS. The results revealed that secondary students had a moderate level of functional writing skills and that teachers employed various teaching approaches, including communicative language teaching, to develop functional writing skills at moderate levels. Moreover, most English teachers strongly agreed that the communicative language teaching approach is effective in developing functional writing skills, and the use of information and communication technology within communicative language teaching plays a vital role in enhancing students' functional writing skills. This study recommends that policymakers offer professional development programs to train teachers in effectively using the communicative language teaching approach through information and communication technology to enhance students' functional writing skills.
Analysis of the Psychological and Social Factors contributing to the excessive usage of Internet among University Students
Authors: Hasan Sajid , Nasreen Saima , Iqbal Misbah , Tasneem Maryam
Published: February 2025

Every field of life has been revolutionized due to the Internet, and the world has transformed into a global village. Now, any kind of knowledge and information spreads worldwide in a few seconds through the Internet. The Internet has also brought revolution in the education sector and changed the ways of teaching and learning. On the other hand, excessive internet usage has badly affected university students' physical health, psychological health, social relationships, and academic performance. This study aimed to explore the relationship between internet addiction and potential factors and to examine the relationship between internet addiction and the effects of internet addiction on university students. The research methodology used in this study was quantitative survey research design. The tool used in this research study for data collection was a personal questionnaire developed by the researcher. However, the study population consisted of all the BS students from the Faculty of Social Sciences of public sector universities in Punjab. The sample was selected through a random sampling technique, consisting of 250 students of the University of Sargodha. The study's results revealed that the factors that triggered university students to overuse the Internet included peer influence, institutional environment, anonymity feature of the Internet, escape from problems, and the flexible home environment. It was also concluded that a positive relationship existed between internet addiction and all other study variables. It was recommended that excessive Internet usage be controlled by engaging the students in alternative activities such as organizing certain exhibitions, competitions, and sports activities and encouraging regular library visits.
Resilience through Education: Equipping Schools and Students to Face Climate Change Challenges in Punjab
Authors: Nasreen Saima , Zahid Muhammad Atif , Hasan Sajid , Khan Najeeb Ullah
Published: February 2025

Globally, education systems are under pressure due to climate change, with developing countries like Pakistan mainly affected. These countries are experiencing significant disruptions in Education. This study aimed to support adaptation to climate change by addressing areas such as gender, teacher preparedness, and school facilities. It also explored the urgent need to integrate climate change mitigation measures into the educational context in Punjab and emphasized recognizing schools as both educational institutions and community support hubs. The research methodology employed a descriptive research approach. Quantitative surveys were conducted among educators and students from rural and urban schools. A questionnaire was used as the research tool for data collection. The data analysis revealed significant gaps in raising awareness about climate change, weaknesses in school infrastructure, and inadequate resource availability, particularly in rural regions. The study recommended increasing awareness about climate change, incorporating climate resilience into the curriculum, upgrading school facilities, and fostering a stronger appreciation for climate change issues among communities.
Synergistic mechanism of Phyllanthus emblica extract and tetracycline against multidrug-resistant Acinetobacter baumannii
Authors: Nasution Haris M. , Yulyana Ana , Utama Rezza F. , Bangar Roy I. , Kaban Vera E. , Daulay Wardiyah , Astyka Ririn , Lubis Muhammad F.
Published: February 2025

The rising incidence of multidrug-resistant (MDR) Acinetobacter baumannii infections underscores the urgent need for novel antimicrobial strategies. The aim of this study was to investigate the synergistic effects between a polyphenol-rich extract from Phyllanthus emblica fruit and tetracycline against MDR A. baumannii strains. The extraction process was optimized using the Box-Behnken design approach to maximize the total phenolic content (TPC) of the P. emblica extract. Key variables, including ethanol concentration, extraction time, and solid-to-liquid ratio (w/v), were determined through single-factor experiments. The antimicrobial activity of the extract, both alone and in combination with tetracycline, was evaluated against A. baumannii. Mechanistic studies focusing on bacterial lysis and efflux pump inhibition were conducted to assess the extract's effects and its combined potential with tetracycline. The Box-Behnken design successfully optimized the extraction conditions, yielding the highest TPC at 68.92% ethanol concentration, 1.85 days of extraction time, and a 1:9.58 w/v ratio. The predicted and experimentally verified TPC values of the extract were 129.19 and 130.76±2.46 mg GAE/g samples, respectively, with no significant difference (p>0.05). The extract contained several phenolic compounds identified using liquid chromatography–high-resolution mass spectrometry (LC-HRMS). It exhibited antimicrobial activity against MDR Acinetobacter baumannii, either alone or in combination with tetracycline. The combination demonstrated a synergistic effect against MDR A. baumannii, with a fractional inhibitory concentration index (FICI) of 0.37. Moreover, the combination showed superior bacteriolytic effects against MDR A. baumannii cells, as evidenced by increased release of nucleic acid components and membrane destabilization, compared to the extract or tetracycline alone (p<0.0001 for all comparisons). Additionally, the combination significantly enhanced the efflux pump inhibition effect compared to the extract or tetracycline alone (p<0.05 for both). These findings support the potential use of polyphenol-rich P. emblica extracts as adjuncts to conventional antibiotics in treating drug-resistant bacterial infections.
Possible Effects Of The Covid-19 Pandemic On The Prevalence Of Malnutrition-Anorexia Cases In A Pediatric Population. Using Big Data Tools.
Authors:   Ignacio Díez López. Pediatrics. BIOARABA Health Research Institute. OSI Araba. University Hospital. UPV/ EHU, Vitoria, Spain., López Ignacio Díez , Mendez Sandra Maeso ,   Sandra Maeso Mendez. Pediatrics. BIOARABA Health Research Institute. OSI Araba. University Hospital. UPV/ EHU, Vitoria, Spain, Merino Gaspar Sánchez ,   Gaspar Sánchez Merino Coordinator of the Innovation Platform - IIS BIOARABA Victory. Spain, Martínez Iñaki Zorrilla ,   Iñaki Zorrilla Martínez. Psychiatry. BIOARABA Health Research Institute. OSI Araba. University Hospital. CIBERSAM, UPV/EHU, Vitoria, Spain., Pinto Ana Gonzalez ,   Ana Gonzalez-Pinto. Psychiatry. BIOARABA Health Research Institute. OSI Araba. University Hospital. CIBERSAM, UPV/EHU, Vitoria, Spain.
Published: February 2025

The coincidence of COVID-19 and confinement on children’s
health has been studied. One possible cause of malnutrition
is eating disorders.
Big data tools are currently a first-rate tool for assessing
population changes and possible causes.
Main objective: To assess the possible changes in the
prevalence of malnutrition in a child population after having
suffered the confinement of COVID-19
Material and methods: Data collected from episodes of
computerized medical records, studying the variables sex,
age, weight, height, of a pediatric population comparing
the situation just before COVID (2020) and after the social
isolation measures were completely finished (2022) Using big
data methods to study variables.
Using the Cole-Green LMS algorithm with penalized likelihood,
implemented in the RefCurv 0.4.2 software (2020), which allows
managing large amounts of data. The hyperparameters have
been selected using the BIC (Bayesian information criterion).
To calculate population deviations from the reference, the
reference was taken as being below 1.5 standard deviations
from the average according to age.
Results: 66,975 computerized episodes of minors under
16 years of age and a total of 1,205,000 variables studied.
The data and comparative graphs between districts of the
population studied are represented with respect to the
variables analyzed. Due to the COVID effect, an increase of 60
cases/10 5 inhabitants is recorded, in a heterogeneous way,
being more in men than women, in rural areas in girls and in
urban areas in the case of boys.
Conclusions: Big data technology allows for more efficient
population studies, selecting populations most in need of
health intervention, optimising scarce health resources. In this
case, the active search for cases in certain neighbourhoods of
the city should focus on boys and in certain municipalities on
girls, since they may appear as hidden cases.
Digital Transformation of Financial Sector - Evolution, Issues and Challenges: Indian Perspective
Authors: Dharmendra Singh
Published: February 2025

The Indian financial sector has remarkable progress in its digital transformation, driven by government initiatives, technological advancements, and evolving consumer preferences. This shift has significantly enhanced access to financial services while boosting efficiency and transparency. Embracing digital financial transactions is vital for fostering financial inclusion, convenience, transparency, and economic growth. It empowers individuals, lowers costs, strengthens security, and aligns with the government’s goals of promoting digitalization and financial literacy. Encouraging digital adoption will remain a key focus in India’s efforts to modernize its financial sector and stimulate economic progress. The rise of UPI transactions in India stems from its user-friendly design, interoperability, strong government backing, robust security features, affordability, and widespread adoption. This innovation has revolutionized how Indians conduct transactions and has played a pivotal role in advancing financial inclusion and digitalization. To sustain the growth of digital financial payments, continuous education, enhanced security protocols, and improved infrastructure are essential. The COVID-19 pandemic further accelerated the adoption of digital payments globally, including in India, underscoring the critical role of such systems in the modern economy. However, challenges like inadequate internet connectivity, cyber threats, technological disruptions, language barriers, and limited digital literacy pose significant risks to the growth of digital financial transactions in India. These challenges have the potential to widen societal inequalities if left unaddressed. Overcoming these obstacles requires a collaborative approach involving government agencies, financial institutions, technology providers, and users. This article explores the evolution of India’s digital journey, the necessity of adopting digital financial transactions, the factors driving their growth, the hurdles encountered, the global expansion of digital payments, and the roadmap for the future.Bottom of Form
基于多维度数据分析方法的大学生社恐现象探究
Authors: 朱 雅芳 , 向 双凤 , 马 超悦
Published: February 2025

目前，“社恐”已经成为当代大学生的主要表征之一，然而在众多调查着眼于所谓的“社恐”现象背后，“社恐”与大学生的生活、学业、家庭之间的深层次的关系并未得到清晰呈现。为此，本研究旨在通过问卷调查、数据建模等方法，收集与大学生日常生活、学习成绩、家庭环境与人际关系息息相关的行为特征，以调研数据的独立样本T检验分析、方差分析、相关性分析、灰色回归模型、敏感性分析等多个分析指标，从大学生的学业压力、生长环境与媒介依赖三个维度探究当代大学生“社恐”现象的影响因素及潜在应对途径，寻找提升大学生精神面貌、化解社交困扰、健全大学生人际交往能力的有效策略，期望为大学生的“社恐”行为提供预防的参考与科学依据，促进大学生的心理健康发展。
Hepatoprotective effects of Silymarin in experimental aflatoxicosis in broiler chickens
Authors: Ömer Faruk Keleş , Huyut Zübeyir
Published: February 2025

Aflatoxicosis, a mycotoxicosis caused by aflatoxins, poses significant economic challenges in animal husbandry and presents serious health risks to humans. The current study aimed to evaluate the protective effects of Silymarin, an antioxidant, against aflatoxicosis in broiler chickens. A total of thirty–two broilers were randomly assigned to four experimental groups: control, Silymarin–treated, Aflatoxin B1 (AFB1)–treated, and AFB1+Silymarin–treated. Broilers in control and Silymarin–treated groups were fed with a diet without Aflatoxin. AFB1 and AFB1+Silymarin treated groups received approximately 1 mg of Aflatoxin/broiler/total for 21 days. AFB1+Silymarin group also received 10 g of Silymarin kg–1 of food as a supplementation diet for 21 days. Biochemically, liver and serum TAS, SOD, GSH–Px, CAT, and BcL–2 levels in the AFB1 group were lower than the control, while serum TOS, and serum and liver Caspase–3 levels were high (P<0.001). In addition, in the AFB1+Silymarin group, liver and serum GSH–Px, SOD and BcL–2, and serum CAT values were significantly higher than the AFB1 group (P<0.001). Also, in the AFB1+Silymarin group, there was a slight increase in CAT level in liver samples compared to the AFB1 group (P>0.05). Furthermore, TOS and Caspase–3 levels of both serum and liver in the AFB1+Silymarin group were low, while BcL–2 levels were quite high in serum samples compared to the AFB1 group (P<0.001). Pathologically, the livers were larger and pale in the AFB1 group. Histopathological analysis of the AFB1–treated group revealed diffuse hydropic/vacuolar degeneration and fibrosis, characterized by the activation of perisinusoidal myofibroblastic (Ito) cells. These morphological changes were significantly reduced in the AFB1+Silymarin group. These findings indicate that Silymarin, with its strong antioxidant effect, may be effective against aflatoxicosis in preventing liver damage in broilers.
The relationship between diet and cholesterol levels in the elderly in the work area of the UPTD Sukaraya in 2023
Authors: Efrianty Novalia , Sulardi Sulardi , Fauziah Nila Alfa , Septiani Dwi Rima
Published: February 2025

The purpose of this study was to determine the relationship between diet and cholesterol levels in the elderly in the Sukaraya Health Center work area in 2023. This study was conducted at the Sukaraya Health Center in 2023 using a quantitative research method with an analytical method. The sample of this study was 30 respondents. This study used cross-sectional to assess the relationship between variables and this study used a questionnaire instrument. From the results of the chi-square statistical test, it was found that diet and cholesterol incidence obtained a p value of .001 (<005). This means that there is a relationship between diet and cholesterol incidence in the elderly in the Sukaraya Health Center Uptd work area in 2023. From the conclusion of this study, there is a relationship between diet and cholesterol incidence in the elderly in the Sukaraya Health Center Uptd work area in 2023. Education in the form of socialization for the elderly or families regarding how to prevent cholesterol in the elderly needs to be improved.
Occurrence of Urinary Tract Infection in Patients after Kidney Transplantation
Authors: Silva Elisa Camila de Souza e , Guilherme Sibely de Paula , Miranda Cristina Nantes , Alvim André Luiz Silva , Ferreira Gustavo Fernandes , Nascimento Thiago Cesar , Rocha Ana Paula Machado da
Published: February 2025

Introduction: The Brazilian Society of Nephrology estimates that approximately 10 million people in Brazil had chronic kidney disease in 2019. In 2022, 5,303 kidney transplants were performed in the country, with the city of Juiz de Fora standing out as one of the largest reference centers for kidney transplants. Objectives: The objective of this study is to evaluate the occurrence of urinary tract infections in post-transplant patients, as well as the type of infection. Methods: This is a retrospective quantitative cross-sectional study in which data from the medical records of patients who underwent kidney transplantation from 2019 to 2022 were analyzed. Results: Of a total of 537 kidney transplants performed during this period, 64 urinary tract infections associated with urinary catheters were observed in the first 30 days post-transplantation, with a higher incidence in the first 5 days. Most of the microorganisms observed belong to the human microbiota, indicating that the cause may be related to catheterization, the hospital environment, or the patient. The infections observed are caused by bacteria resistant to the antibiotics trimethoprim and sulfamethoxazole, such as Escherichia coli, Klebsiella sp., and Serratia sp. Conclusion: The study indicates that it is necessary to improve the handling of the patients and materials to reduce infections, mainly due to the high degree of antibiotic resistance of the microorganisms observed.
Ocorrência de Infecção do Trato Urinário em Pacientes após Transplante Renal
Authors: Silva Elisa Camila de Souza e , Guilherme Sibely de Paula , Miranda Cristina Nantes , Alvim André Luiz Silva , Ferreira Gustavo Fernandes , Nascimento Thiago Cesar , Rocha Ana Paula Machado da
Published: February 2025

Introdução: A Sociedade Brasileira de Nefrologia estimou que cerca de 10 milhões de pessoas no Brasil tinham doença renal crônica em 2019. Em 2022, 5.303 transplantes renais foram realizados no país, destacando-se o município de Juiz de Fora como um dos maiores centros de referência em transplantes renais. Objetivos: O objetivo deste trabalho é avaliar a ocorrência de infecções no trato urinário de pacientes pós-transplante, bem como o tipo de infecção. Métodos: Trata-se de estudo transversal, quantitativo e retrospectivo, no qual dados dos prontuários dos pacientes que realizaram transplante renal de 2019 a 2022 foram analisados. Resultados: Do total de 537 transplantes renais realizados nesse período, foram observadas 64 infecções do trato urinário associadas ao cateter vesical nos primeiros 30 dias pós-transplante, com maior incidência nos primeiros 5 dias. A maior parte dos microrganismos observados pertence à microbiota humana, indicando que a causa pode estar relacionada ao cateterismo, ao ambiente hospitalar ou ao próprio paciente. As infecções são causadas por bactérias resistentes aos antibióticos trimetoprima e sulfametoxazol, como Escherichia coli, Klebsiella sp. e Serratia sp. Conclusão: O trabalho aponta que é necessário melhorar a manipulação dos pacientes e materiais, visando reduzir as infecções, principalmente em função do alto grau de resistência a antibióticos dos microrganismos observados.
Late Renal Effects of COVID-19 in Kidney Transplant Recipients: A Single-Center Study
Authors: Gomes Bruno Teixeira , Sousa Marcos Vinicius de , Bressanin Fernanda Garcia , Rossi Matheus Rizzato , Mazzali Marilda
Published: February 2025

Introduction: During the coronavirus disease 2019 (COVID-19) pandemic, kidney transplant recipients had higher rates of hospitalization and mortality. However, data on the late renal effects of the infection are scarce. Objectives: This study aims to describe the evolution of renal function and proteinuria in kidney transplant recipients after the infection. Methods: Single-center prospective cohort study. A total of 321 kidney transplant recipients who survived COVID-19 from March 2020 to December 2022 were included. Data on renal function, proteinuria, and immunosuppression were analyzed pre-infection, 3 and 6 months post-infection. Results: Most patients were male (58.9%), with a mean age of 50 years, recipients of kidneys from deceased donors (79.4%), and with a median time after transplant of 6.6 years. There was a reduction in the level of immunosuppression, from a pre-infection Vasudev score of 4.66 to 4.50 (p < 0.001) in the 3rd month and 4.54 (p = 0.016) 6 months post-infection. The glomerular filtration rate (GFR) remained stable at around 60 mL/min/1.73 m2. The percentage of patients with proteinuria ≥ 1.0 increased from 9.6% pre-infection to more than 13% (p < 0.001) in the 3rd and 6th months after infection. Higher proteinuria levels were observed in recipients with longer follow-up post-transplant, previous rejection episodes, lower estimated GFR, and higher prevalence of donor-specific anti-HLA antibodies. Conclusion: Kidney transplant recipients with COVID-19 had an increase in proteinuria within 6 months after the infection despite a stable GFR.
Efeitos Renais Tardios de COVID-19 em Receptores de Transplante Renal: Estudo Unicêntrico
Authors: Gomes Bruno Teixeira , Sousa Marcos Vinicius de , Bressanin Fernanda Garcia , Rossi Matheus Rizzato , Mazzali Marilda
Published: February 2025

Introdução: Durante a pandemia causada pela doença do coronavírus 2019 (COVID-19), os receptores de transplante renal apresentaram maiores taxas de hospitalização e mortalidade. No entanto, os dados sobre os efeitos renais tardios da infecção são escassos. Objetivos: Este estudo tem como objetivo descrever a evolução da função renal e proteinúria em receptores de transplante renal após a infecção. Métodos: Estudo de coorte prospectivo unicêntrico. O total de 321 receptores de transplante renal que sobreviveram à COVID-19 de março de 2020 a dezembro de 2022 foi incluído. Dados sobre função renal, proteinúria e imunossupressão foram analisados pré-infecção, 3 e 6 meses após a infecção. Resultados: A maioria dos pacientes era do sexo masculino (58,9%), com média de idade de 50 anos, receptor de rins de doadores falecidos (79,4%) e com mediana de tempo pós-transplante de 6,6 anos. Houve redução do nível de imunossupressão, de um escore de Vasudev pré-infecção de 4,66 para 4,50 (p < 0,001) no 3º mês e 4,54 (p = 0,016) 6 meses pós-infecção. A taxa de filtração glomerular (TFG) permaneceu estável, em torno de 60 mL/min/1,73 m2. A porcentagem de pacientes com proteinúria ≥ 1,0 aumentou de 9,6% pré-infecção para mais de 13% (p < 0,001) nos 3º e 6º meses após a infecção. Níveis mais elevados de proteinúria foram observados em receptores com maior tempo de seguimento pós-transplante, episódios de rejeição prévios, menor TFG estimada e maior prevalência de anticorpos anti-HLA doador-específicos. Conclusão: Os receptores de transplante renal com COVID-19 tiveram um aumento na proteinúria em 6 meses após a infecção, apesar de apresentarem TFG estável.
Integration of Cognitive-Behavioural Therapy with Adaptive Swimming Instruction for Children with Water-Related Anxiety Disorders: A Randomised Controlled Trial
Authors: Swandana Atika , Ahmad Nadhira Yasmine , Trinanda Aditya , Al Azim Al Azim , Porto Jerome Angelitud
Published: February 2025

The  purpose  of  the study. To evaluate the effectiveness of an integrated swimming instruction program combining cognitive-behavioral therapy (CBT) principles with adaptive aquatic techniques for children with water-related anxiety disorders, comparing outcomes with traditional swimming instruction methods.
Materials and methods. A randomized controlled trial involving 120 children aged 6-12 years with diagnosed anxiety disorders featuring water-related fears di kota Medan, Indonesia, Indonesia. Participants were assigned to either an intervention group (n=60) receiving specialized anxiety-focused instruction or a control group (n=60) receiving standard swimming lessons. The 12-week program included twice-weekly 45-minute sessions. Outcomes were measured using the Water Anxiety Scale for Children (WASC-R), Swimming Competency Assessment Tool (SCAT), Behavioral Observation Scale (BOS), and parent-reported anxiety measures (SCARED questionnaire).
Results. The intervention group showed significantly greater improvements across all measures: anxiety reduction (68% vs 23% in controls), swimming competency (82% vs 45%), and avoidance behaviors (85% vs 35% reduction). Program completion rates were higher in the intervention group (95% vs 82%). At 3-month follow-up, the intervention group maintained superior outcomes in anxiety reduction (92% maintenance), swimming skills (88%), and water confidence (90%) compared to controls (76%, 70%, and 65% respectively).
Conclusions. The integrated anxiety-focused swimming instruction approach significantly outperforms traditional methods for children with water-related anxiety disorders, producing superior outcomes in both psychological and physical domains while maintaining higher program adherence rates. This approach should be considered the standard of care for anxiety-affected populations in aquatic education.
A gestão estratégica ambiental em Manaus: um futuro possível?
Authors: Silva João Luiz Almeida da , Pereira Rodrigo de Oliveira , Oliveira Jorge Elias Costa de , Oliveira Cleomar Costa de , Lopes Jonathan Felix Ribeiro , Araújo Junior Neibe da Silva
Published: February 2025

Este artigo tem como objetivo analisar as possibilidades de aplicação de uma gestão estratégica ambiental para a cidade de Manaus. Trata-se de um estudo bibliográfico que busca revisar o conceito de gestão estratégica ambiental, avaliar locais onde tenha sido aplicado e identificar quais ações são necessárias para sua aplicação. Manaus possui peculiaridades climáticas e geográficas, por sua localização no centro da floresta Amazônica, incidindo sobre ela o regime de chuvas e secas. Na década de 1960, com objetivo de aumentar o povoamento da região norte de forma estável, foi criada a Zona Franca de Manaus, transformando parte da cidade em um polo industrial expressivo. Por essa razão, a cidade apresenta ampla urbanização, provocada por um intenso fluxo migratório, e que apresenta graves problemas ambientais. Nesse sentido, a gestão estratégica ambiental representa uma necessidade ao melhorar processos de saneamento básico e cuidado de resíduos sólidos, bem como a criação de espaços verdes que melhorem a vida da população. Isso exige um acordo entre poder público e a iniciativa privada que, de forma coordenada, podem contribuir para sustentabilidade da cidade.
Crises e afeto: reflexões a partir da abordagem histórico-cultural e da pedagogia dos detalhes
Authors: Castro Letícia Fonseca Reis Ferreira de , Andrade Joana de Jesus de
Published: February 2025

Este estudo tem como contexto de investigação situações de inter-relação entre adultos (as) professores(as) e criança(s), com idade entre um e dois anos, no ambiente escolar da educação infantil. A perspectiva adotada correlaciona as crises das idades (a partir da Abordagem histórico-cultural) e a afetividade, em diálogo com a proposta de Emmi Pikler,  investigando como os períodos de “crise” são compreendidos e significados pelos professores e pelas crianças em diferentes momentos. Especificamente buscou-se identificar quais são as ações realizadas pelos docentes que favorecem ou não a condução destes momentos no ambiente escolar; analisando como os sujeitos constroem significações acerca destes momentos e descrevendo como a relação adulto-criança é estabelecida considerando os momentos estáveis e críticos. Para isso, utilizamos os registros de observações e gravações em vídeos dos momentos cotidianos da rotina de duas turmas de ciclo 2 (total de 16 crianças entre 1 e 2 anos) de uma escola de Educação Infantil pública. Também realizamos entrevistas com as professoras, a partir de um roteiro semiestruturado, norteadas pelos vídeos-gravados durante as observações do cotidiano escolar, direcionando a reflexão para o objeto de investigação da pesquisa. Considerando os objetivos da pesquisa, embora nossa análise ainda não esteja finalizada, percebemos que algumas situações que possam demonstrar possíveis crises na interação interpessoal dos sujeitos envolvidos, também oferecem espaços para novas formas de representação e modos de negociação ou resolução dessas crises.
Perfil de atividade física em adultos moradores do município de Águas Mornas, SC
Authors: Cardoso Licelli Amante , Fernandes Mateus Cardoso , Carminatti Micheli , Freitas Cintia de la Rocha
Published: February 2025

É de suma importância o conhecimento dos níveis de Atividade Física em escala municipal para uma melhor análise e intervenção no combate ao sedentarismo e a todas as complicações (doenças) e gastos públicos que dele resultam. Neste sentido, o objetivo deste estudo foi avaliar as características da prática de atividade física na vida diária dos moradores adultos do município de Águas Mornas – SC. Fizeram parte da amostra 114 indivíduos de ambos os sexos, adultos (29,03± 8,82 anos), moradores do município de Águas Mornas-SC. Para a coleta de dados foi utilizada uma anamnese criada pelo pesquisador e o IPAC (Questionário Internacional de Atividade Física), aplicados por meio de um questionário on-line. Os resultados indicaram que a maioria dos participantes do estudo pratica atividade física no seu tempo de lazer, principalmente por meio de esportes coletivos e academias de musculação ou treinamento funcional, sendo assim a classificação de pessoas Ativas e Muito Ativas da amostra de 37,96% e 35,19% respectivamente, foi superior à taxa de Sedentários (4,63%). Estudos como este, tornam-se relevantes por poderem verificar a necessidade de atuação do Município com a saúde dos seus habitantes, principalmente na prevenção das doenças crônicas não transmissíveis (DCNT’s).
Relação entre ansiedade e compulsão alimentar periódica em pacientes bariátricos pós-operatório
Authors: Gonçales Amanda Fischer Castanho Kelli , Narcizo Brenda Mikaella Valentin , Feliciano Luiza Araujo , Toledo Nataly Maria Viva de
Published: February 2025

O transtorno de ansiedade e o transtorno de compulsão alimentar periódica (TCAP) estão cada mais presentes no cotidiano, juntamente com a busca pelo emagrecimento, aceitação social e qualidade de vida. Esses um dos principais fatores que motivam o obeso a decidir pela cirurgia bariátrica. Este estudo teve como objetivo apresentar uma revisão narrativa sobre a relação entre os transtornos de ansiedade e compulsão alimentar em pacientes pós-bariátricos. Observou-se que a compulsão alimentar pode estar relacionada à ansiedade, pois quanto maior o quadro de ansiedade, maior o consumo alimentar dos pacientes. Também foi verificado que a longo prazo, os resultados pós-cirurgia bariátrica podem não ser satisfatórios, podendo agravar os quadros de ansiedade e compulsão alimentar. Concluiu-se que um dos fatores que levaram a alta incidência de compulsão alimentar em pós-operatórios de cirurgia bariátrica é a dificuldade desses indivíduos em lidar com situações estressantes, como impulsos alimentares, além das mudanças físicas, fisiológicas, psicológicas e comportamentais, sendo relevante seu acompanhamento por equipe multidisciplinar, para a manutenção dos resultados e qualidade de vida a longo prazo.
Avaliação de risco para lesões em calcâneos na unidade intensiva neurocirúrgica de um hospital público
Authors: Rocha Elisa Manuela da Costa , Barbosa Jéssica Maiara Pereira , Mota Anthony Thompson Almeida da , Luiz Maria Fernanda de Aguiar , Souza Tatyana Felix de , Santos Alex Matoso dos , Neto Augusto Cesar Barreto , Serrano Solange Queiroga
Published: February 2025

As úlceras por pressão (UPP) são lesões predominantemente associadas a proeminências ósseas, causadas por isquemia tecidual devido à pressão prolongada, fricção e cisalhamento. Fatores como internação prolongada, idade avançada, má nutrição, diabetes mellitus e cuidados inadequados com a pele são relevantes para o seu desenvolvimento. Este estudo objetivou avaliar o risco de UPP nos calcâneos de pacientes neurocirúrgicos e propor medidas preventivas. Realizou-se uma pesquisa transversal tipo survey com 100 pacientes adultos na Unidade de Suporte Avançado de Neurocirurgia (USAN) de um hospital público em Recife, Pernambuco, Brasil. O risco foi avaliado pela Escala de Braden, e os dados analisados no SPSS 20.0 utilizando teste qui-quadrado de tendência linear ou teste exato de Fisher. A pesquisa foi aprovada pelo Comitê de Ética da Universidade Federal de Pernambuco (nº 180.159). Os resultados indicaram que 90% dos pacientes (IC95%: 84,12–95,88) apresentaram risco significativo para UPP. A idade avançada destacou-se como fator determinante para imobilidade prolongada. Recomenda-se assistência de enfermagem individualizada, com foco em intervenções específicas. Justifica-se a criação e adoção de um protocolo padronizado de prevenção de UPP para pacientes neurocirúrgicos.
Multirreferencialidade na FECIBA: análise da Feira de Ciências, Empreendedorismo e Inovação da Bahia a partir de seus editais
Authors: Souza Francisco Silva de , Marques Maria Inês Corrêa
Published: February 2025

Este estudo tem o objetivo de investigar a Feira de Ciências, Empreendedorismo e Inovação da Bahia (FECIBA) como um espaço multirreferencial de promoção da educação científica e difusão do conhecimento. Por meio da análise qualitativa dos editais da 5ª à 10ª edição (2015-2022), a pesquisa identifica avanços e limitações na incorporação da multirreferencialidade nas diretrizes e práticas da Feira. A ampliação das áreas temáticas e modalidades de participação, embora positiva, levanta questionamentos sobre a profundidade da integração entre os diferentes saberes. A ênfase no protagonismo estudantil e na relevância social contrasta com a frágil ligação com as feiras escolares e com a possível superficialidade na abordagem de áreas como Empreendedorismo. A análise longitudinal revela uma busca por critérios de avaliação mais transparentes, mas também evidencia lacunas na promoção do intercâmbio de experiências, no desenvolvimento conjunto de projetos e na construção coletiva do conhecimento. Conclui-se que a FECIBA tem avançado na direção da multirreferencialidade, mas a consolidação desse processo exige aprofundamento na integração de saberes, formação continuada de professores e avaliadores, além do fortalecimento de redes colaborativas entre as feiras escolares.