bluuebunny/crossref_metadata_2025 huggingface dataset:
ETIKA KOMUNIKASI BIDAN DALAM PERSPEKTIF RUANG PUBLIK
Authors: Wiriya Tantra Manggala , Wanti Dida
Published: August 2024

Communication is a very important indicator in facilitating health services by midwives, so ethics in communication really need to be considered. The purpose of this study is to describe the communication ethics of midwives in the perspective of public space which is expected to provide benefits and knowledge to the community, especially various parties with an interest in midwives. Literature study is the method used in this research. In the perspective of public space, midwife communication ethics can be understood as a way of communicating midwives as health workers with clients to convey the purpose of health services through dialogue in order to obtain mutual agreements that do not harm clients and do not violate the midwife code of ethics. In this case, the public space is seen as a place where clients and midwives can discuss any concerns. In public space, birth attendants and clients can communicate opinions or conclusions openly and transparently. Moral correspondence in the public sphere can talk about whatever is desired and when all feelings have been expressed, then at that time it will lead to a certain choice, which is the best health service.
Pre-marriage Education: Fidelity in Buddhism
Authors: Suyatno Tri , Vechea Som
Published: August 2024

Infidelity is a severe problem because it can destroy domestic life. In addition, the impact and causes of disloyalty are based on attention, adequacy in the economy, and the desire to try new things. Another factor that causes unfaithfulness is the lack of communication between the husband and the wife. This article aims to discover Buddhism's infidelity and how to overcome it. The method used in this study is qualitative. The essence of this study is that disloyalty can be classified as a violation of Buddhist pancasila. In addition, disloyalty leads to divorce and trauma for the child. The child will feel hatred for the parents and become the subject of anger from the parents. In addition, the impact and causes of disloyalty are based on attention, adequacy in the economy, and the desire to try new things. The attempt to handle this matter is the application of Sigalovada Sutta and Samvara to seek the continuity of the marriage. Applying each other's relationship is the main capital for the continuity of the marriage. Samvara, or self-control, and the correct implementation of precepts will positively impact domestic life
Student Perception of Blended Learning in Learning English
Authors: Irawan Randy , Aminullah Muhamad
Published: August 2024

The purpose of this study was to determine students' perceptions of the application of Blended Learning, namely the use of Microsoft Teams in English Learning in class XI (Eleventh). This study used a quantitative survey approach which spent two months collecting data using an online closed-ended questionnaire. Data was taken from students of class XI (Eleventh) consisting of 71 respondents from a total of 181 students using Random Sampling. To determine student perceptions, the scores obtained from the closed-ended questionnaire were converted into percentages for analysis. The results of this study showed that students gave their positive perceptions of the use of Blended Learning using Microsoft Teams in English Learning. Respondents' positive ratings were obtained from their experience in learning using Microsoft Teams. They are enjoy with using Microsoft Teams which has many features and is easy to use. This research also reveals that Blended Learning using Microsoft Teams is very beneficial for them. Blended Learning makes learning not boring, they are more interested in learning. In addition, being more active and being able to add insight that is getting wider because it has many features that are very useful for students.
COMPARATIVE LEGAL ANALYSIS OF THE REGULATION OF FAMILY AGREEMENTS IN THE RUSSIAN FEDERATION AND IN THE REPUBLIC OF BELARUS
Authors: ANDROPOVA T.V.
Published: August 2024

The property and personal non-property rights and obligations of spouses occupy an important place in the legislation of all countries of the world, since the institution of family and marriage is an integral part of civil society and the basis of family legislation. At the same time, in the Russian Federation, within the framework of the contractual regime of spouses, there is a differentiation of property and personal non-property relations between spouses, whereas in a number of foreign legal systems, in particular in the Republic of Belarus, it is possible to mix these legal relations within the framework of one contract. In this article, the author will consider the specifics of the regulation of a marriage contract, an agreement on the division of marital property, an agreement on the payment of alimony and an agreement on children (an agreement on the procedure for exercising parental rights by a parent living separately from a child) under the legislation of the Russian Federation and the Republic of Belarus.
THE SPECIAL FEATURES OF NOTARIZED TRANSLATION IN THE RUSSIAN FEDERATION AND IN THE REPUBLIC OF TURKIYE
Authors: CHERNIAEVA N.S.
Published: August 2024

The subject of this article is notarial authenticity of translator's signature according Russian and Turkish legislation. One of the topical and controversial issues is checking the status and competence of the translator both in Turkey and in Russia. It is still remains an evaluative term. The specifical feature of Turkish notarial system is translator's Oath and adherence translator to the one notary. For this purpose to confirm this, an oath protocol is signed and it is kept in the notary's records archive. The practical approach will be profitable as for acting notaries and theoretical scientists both countries.
RATHER-LEGAL ANALYSIS OF NOTARIAL ACTS COMMITTING REMOTELY IN PRACTICE OF RUSSIAN AND UZBEKISTAN NOTARIES
Authors: ASHUROV D.R. , GLUSHKOVA E.M.
Published: August 2024

The given research is devoted to a rather-legal analysis of both Russian and Uzbekistan legislation and notarial practice related to the procedure of notarial acts committing remotely, that is when an applicant applies to a notary online through special government services and does not appear in person in a notary office.
Pengaruh Disiplin Kerja, Motivasi Kerja, Dan Beban Kerja Terhadap Kepuasan Kerja Karyawan PT Schneider Electric Manufacturing Batam
Authors: Vebiola Simamora Halimah , Sukati Inda
Published: August 2024

Kepuasan kerja karyawan merupakan faktor penting dalam keberhasilan dan pertumbuhan sebuah perusahaan. Faktor disiplin kerja, motivasi kerja dan beban kerja termasuk sebagai elemen penting dalam meningkatkan kinerja individi di tempat kerja. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis hubungan antara disiplin kerja, motivasi kerja dan beban kerja terhadap kepuasan kerja karyawan dalam konteks PT.Schneider Electric Manufacturing Batam. Jumlah sampel yang diambil adalah 105 responden yang merupakan karyawan Lantai 3 Lot 4 PT.Schneider Electric Manufacturing Batam. Data yang dikumpulkan dianalisis menggunakan model regresi linear berganda dan perangkat lunak SPSS versi 25 digunakan untuk mengolah data dalam pengujian kualitas data, uji asumsi klasik, uji pengaruh dan uji hipotesis penelitian. Hasil pengujian regresi linear berganda menunjukkan bahwa disiplin kerja memberikan pengaruh sebesar 72% terhadap kepuasan kerja karyawan, motivasi kerja memberikan pengaruh sebesar 55,5% terhadap kepuasan kerja karyawan dan beban kerja memberikan pengaruh sebesar 32,3% terhadap kepuasan kerja karyawan. Koefisien determinasi (R2) menunjukkan bahwa 48% kepuasan kerja karyawan pada PT.Schneider Electric Manufacturing Batam dapat dijelaskan oleh faktor-faktor seperti disiplin kerja, motivasi kerja dan beban kerja. Penelitian dari pengujian hipotesis menunjukkan bahwa terdapat hubungan positif dan signifikan antara disiplin kerja, motivasi kerja dan beban kerja terhadap kepuasan kerja
Valuasi Ekonomi Taman Nasional Ujung Kulon
Authors: Prayogi Erwin , Susilowati Indah , Mukson Mukson
Published: August 2024

The integrated development of tourism is done through cross-sectoral coordination so that the development can make a huge stride. The goals of this study are to estimate the economic valuations to measure the ability/willingness to pay of visitors; to analyze the prospects of fisheries resources management in Ujung Kulon National Park; and to formulate marine tourism model of Ujung Kulon National Park. This study was conducted on the 1.619,68 Ha area of utilization zones in Ujung Kulon National Park, covering 1.518,91 Ha land area and 100,77 Ha of water area. The used study method was survey method which was quantitative and qualitative along with questionnaires as the instrument. Purposive sampling method was applied to collect data. Data analysis used was economic surplus and willingness to pay. The result obtained was the demand of marine recreation at utilization zones in Ujung Kulon National Park was determined by cost of travel, length of visit and education. The total value of Willingness to Pay in one year was Rp 512.898.500,00. The mentioned value was the projected value of willingness and ability of people to pay for conservation area of the marine protected area and marine tourism in Ujung Kulon. The goals of marine tourism that had been enacted by people was then coordinated with central government. The process of marine tourism development was expected to be able to positively improve other regional development. The outcome of the study was hoped to provide improvement on marine tourism management at Ujung Kulon National Park
Keywords: tourism, marine, Ujung Kulon National Park
Avaliação da qualidade do serviço de limpeza prestado a um laboratório de controle de qualidade no Rio de Janeiro
Authors: De Oliveira Justino Maria de Lourdes , Martins de Almeida Nogueira Ana Cristina , Pinto Alicia Viviana
Published: August 2024

Serviços de qualidade satisfazem seus clientes. O presente estudo objetivou a avaliação da qualidade, de acordo à satisfação dos usuários, do Serviço de Limpeza prestado a um laboratório público de controle de qualidade de produtos e serviços, no Rio de Janeiro. As informações foram coletadas mediante o uso de questionários. A escala SERVQUAL foi utilizada para determinar os Gap de satisfação dos usuários com o serviço, enquanto que a Matriz Importância e Desempenho foi utilizada para estabelecer a prioridade das ações de melhoria a serem implementadas. Os resultados obtidos evidenciaram a eficiência, tanto do instrumento elaborado como das ferramentas aplicadas, na obtenção de informações estratégicas para o auxílio dos processos de gerenciamento dos serviços de limpeza contratados pela Administração Pública Brasileira.
Estudo da sustentabilidade ambiental da pecuária leiteira em Rio Grande, RS
Authors: Mendes Espírito Santo Renato , Rempel Claudete , Da Silva Cyrne Carlos Cândido
Published: August 2024

A pecuária nos campos do bioma pampa é caracterizada por apresentar um impacto ambiental inferior que em outros biomas, pois a pastagem é feita sem a necessidade de desmatar florestas. Apesar disto, há um persitente uso nocivo dos campos, degradando o solo e a vegetação, tornando fundamental medir a sustentabilidade das práticas agropecuárias. Desta forma, este trabalho buscou mensurar a sustentabilidade ambiental da produção leiteira nos campos naturais do bioma pampa do município de Rio Grande. Para isto, efeturam-se visitas a quatro propriedades na região, analisadas através do Parâmetro de Sustentabilidade Ambiental concebido por Rempel (2012), constituído por nove parâmetros integrados, subdivididos em treze subparâmetros, coletados em campo e representativos das condições encontradas no manejo agropecuário. O resultado demonstrou que o Índice de Sustentabilidade Ambiental da região dos Campos do Bioma Pampa do Município de Rio Grande foi classificado como regular, mas muito próximo do bom, como esperado para um local de campos naturais, mesmo que exista a possibilidade de melhoras.
O basquete de rua como possibilidade pedagógica para o ensino da educação física na escola
Authors: Da Silva Triani Felipe , Lyra Lopes Romulo , Mendes Ramos Filho Dionizio , Ramos de Oliveira Filho Gilson
Published: August 2024

O presente trabalho teve como objetivo propor o basquete de rua como uma possibilidade pedagógica de objeto de conhecimento para ser tematizado nas aulas de educação física escolar. Para isso, foi feita uma interlocução com Base Nacional Comum Curricular (BNCC) e estudos do cenário nacional, que apuraram a modalidade no ambiente escolar, assim como a relação do esporte com possibilidade pedagógica para o desenvolvimento dos alunos. O estudo demonstra que a utilização do basquete de rua pode se enquadrar na proposta pedagógica definida pela BNCC, em virtude de suas características, por contribuir para integração da teoria e dos aspectos socioculturais, bem como a formação ampla do indivíduo. Nesse contexto, o basquete de rua pode ser uma possibilidade pedagógica no ensino escolar.
Análise de deformações em ensaios de tração por Correlação de Imagens Digitais (DIC) em ligas de aluminio naval
Authors: Silva Cosmo Nádia , Ruiliman Oliveira de Souza Héricles , Dos Santos Cabral Tárcio , De Magalhães Braga Eduardo , Adrina Paixão de Souza da Silva Maria
Published: August 2024

Atualmente utilizam-se extensômetros para medir deformações em materiais que são submetidos a esforços mecânicos e deformações. Contudo, existe um limitante, sua alta confiabilidade fica restrita a medições localizadas e pontuais. Uma alternativa para medições de tensões e deformações é a técnica óptica-numérica de correlação de imagens digitais (DIC). Os avanços tecnológicos disponibilizam melhores equipamentos para correlação de imagens, todavia, a falta de conhecimento sobre o método ainda limita a quantidade de pesquisas na área. Neste sentido, a proposta deste trabalho visa analisar os dados fornecidos pelo equipamento de ensaio mecânico, deslocamento e carregamento, com utilização da correlação de imagens para estimar as propriedades mecânicas elásticas, em particular, o módulo de elasticidade com um programa gratuito e uma câmera fotográfica semiprofissional de baixo custo. Os resultados do módulo de elasticidade obtidos pelo processo de correlação de imagens apresentaram valores mais próximos do valor real que os resultados apresentados pelo equipamento de ensaio mecânico utilizado neste estudo.
Perfil epidemiológico dos acidentes ofídicos no Estado do Maranhão, Brasil, no período entre 2014 e 2023
Authors: Correia Lima Almeida Maria Vitória , Franco Lucas Arcanjo , Abreu Rafael Max Costa de , Macedo Rafhael Oliveira , Copetti Marlla Caroline Araujo , Alves Matheus Silva , Silva Arannadia Barbosa , Freitas Ermilton Junio Pereira de , Duarte Junior Anivaldo Pereira
Published: August 2024

Acidentes ofídicos são um problema de saúde pública recorrentes em áreas tropicais. Objetiva-se identificar os fatores sociodemográficos e geográficos associados a esses acidentes no Maranhão, de 2014 a 2023. A pesquisa tem carater quantitativo descritivo, utilizando dados secundários do SINAN no DATASUS. Analisou-se "cor/raça", "sexo", "faixa etária", "escolaridade", "tipo de serpente", "local da picada" e "evolução do caso" de 2014 a 2023. Durante o período, notificou-se 18.819 acidentes ofídicos no Maranhão, com predominância de vítimas homens (76,57%) e 20-39 anos (34,50%). A raça parda foi a mais afetada (72,91%). Tal distribuição está relacionada com fatores sociais, demográficos e geográficos, como acesso limitado ao serviço de saúde e exposição a áreas de encontro com serpentes. Bothrops foi responsável por 66,84% dos casos. Picadas ocorreram majoritariamente nos pés (53,27%). A maioria das vítimas (80,39%) se recuperou, enquanto a letalidade seja devido a agravos ou por outras razões foi de 0,61% e 0,026% respectivamente do total. Logo, observa-se aumento de casos com predominância em homens, jovens e na raça parda, destacando a necessidade de melhorias na infraestrutura de saúde e educação preventiva.
Pesquisa revela fragilidades no ensino da estratégia de Atenção Integrada às Doenças Prevalentes na Infância
Authors: Costa Leandro de Assis Santos da , Botelho Nara Macedo
Published: August 2024

A Atenção Integrada às Doenças Prevalentes na Infância (AIDPI) é uma estratégia criada para atuar no manejo dessas doenças que tem relevância internacional e grande importância na luta contra a morbidade e mortalidade infantil. No entanto, é importante investir na geração de novos recursos educacionais, uma vez que no contexto universitário o ensino da estratégia é exaustivo, teórico-prático e ainda emprega vídeos de mais de vinte anos. O estudo objetivou analisar a percepção de graduandos do Curso de Enfermagem da Universidade do Estado do Pará sobre o ensino da AIDPI. Estudo qualitativo e exploratório. A amostra foi não probabilística por conveniência. Foi feita uma entrevista individual semiestruturada com os 10 graduandos que participaram do estudo, respectivamente. O conteúdo foi analisado com o emprego da técnica de Bardin. Foram identificadas quatro categorias assim denominadas: conteúdo, logística de treinamento, legislação e aspectos pessoais. Os resultados evidenciaram diversas dificuldades de aprendizado. A pesquisa identificou fragilidades no ensino da AIDPI, mas revelou informações importantes para se usar como base para o desenvolvimento de novos recursos educacionais para utilizar no ambiente universitário.
Escala de coelho e savassi: aplicação na atenção básica de saúde na cidade de Itajaí – SC
Authors: Vieceli de Carvalho Mariana , Schons Camila , Da Silveira Emerson , Sanchez Abdou Wellington , Machado Carolina
Published: August 2024

A Escala de Risco Familiar de Coelho-Savassi é uma ferramenta de estratificação para estimar riscos sociais e de saúde, organizar demandas e melhorar o trabalho em equipe ao estabelecer prioridades no atendimento domiciliar e na atenção à população adscrita. Este estudo teve como objetivo explorar a Escala de Coelho e Savassi em uma UBS de Itajaí-SC. Trata-se de um estudo qualitativo que utilizou um grupo focal com dez Agentes Comunitárias de Saúde, coletando informações através de discussões conduzidas por duas pesquisadoras e um coordenador. As Agentes apontam que a escala é inadequada para áreas de alta vulnerabilidade, necessitando ajustes, sendo necessário adaptá-la para refletir melhor a complexidade das situações das famílias e priorizar a equidade nas ações de saúde. A nova escala do Planifica SUS, que inclui variáveis adicionais, ainda depende de capacitação adequada e integração dos dados.
O ensino de biologia em espaço não formal: reflexão da prática sobre biodiversidade no Museu da Amazônia
Authors: Temório Olivia Gonçalves , Chagas Jéssica , Ferreira Rosilene Gomes da Silva
Published: August 2024

A pesquisa se constituiu na intencionalidade de propor novas abordagens pedagógicas vivenciadas no Museu da Amazônia (MUSA). O objetivo geral consistiu em analisar as práticas de intervenção elaboradas pelos professores em formação em espaço não formal, no contexto da disciplina de Estágio Supervisionado, a fim de contribuir com novas práticas pedagógicas. A Metodologia fez uso da abordagem qualitativa, e utilizou o MUSA como fonte natural de captação de dados posteriores. Participaram do estudo 14 graduandos, do qual elaboraram 07 planos. Entre eles, somente dois selecionaram o espaço e o tema: Biodiversidade, foco deste estudo. Os resultados demonstraram que os participantes abordaram metodologias ativas para fundamentar suas práticas e exploraram o espaço natural e consideraram o tema mencionado de maneira diferente. Concluiu-se que a prática, no espaço não formal, contribui para a ampliação da abordagem teórica e prática para o ensino de Biologia, como uso da interdisciplinaridade, estabelecendo conexão entre a metodologia ativa: rotação por estações, e a Biodiversidade com suas respectivas abordagens: biodiversidade ecológica e biodiversidade cultural na formação inicial.
As diferentes manifestações do espectro autista entre os sexos: uma revisão de escopo do período 2014 a 2023
Authors: Silva de Souza Ana Carolina , De Souza Costa Sueli , Cardoso Pereira Lara Bianca , Vieira Sampaio Amanda
Published: August 2024

Introdução: O transtorno do espectro autista é um distúrbio do neurodesenvolvimento, caracterizado por déficits persistentes na comunicação social e na interação social, que possui uma predominância cerca de quatro vezes maior em meninos que em meninas. O estudo visa a análise e compreensão do autismo feminino e sua forma de diagnóstico, bem como entender suas diferenças clínicas e fisiológicas do autismo masculino. Metodologia: O estudo consiste em uma revisão de escopo de publicações em inglês ou português veiculados entre 2014 e 2023, nas bases de dados eletrônicos SCIELO, PUBMED e BVS. Resultados: Foram selecionados 22 estudos para análise. Foram encontrados três aspectos que se distinguem nos autismos feminino e masculino: estrutura e organização cerebral, aspectos comportamentais e influência genética. No aspecto estrutural a região do córtex pré-frontal foi uma das regiões mais citadas, já nas manifestações clínicas a linguagem verbal e não verbal foi um ponto muito recorrente. Conclusão: Percebe-se uma lacuna nos estudos sobre TEA, com a temática autismo feminino sendo pouco abordada. Não houve durante a pesquisa nenhum estudo que abrangesse completamente todos os aspectos analisados.
Labioplastia e qualidade de vida: benefícios da cirurgia na saúde física, emocional e sexual das mulheres
Authors: Lima Ana Beatriz Londe , Silva Aline Dornelas , Sousa Gontijo Andréa Stella , Guimarães Íris Isabela da Silva Medeiros
Published: August 2024

A labioplastia é um procedimento cirúrgico  com crescente procura por mulheres que buscam modificar a aparência dos pequenos lábios vaginais, seja por motivos estéticos ou por desconfortos físicos, com a finalidade de melhorar sua autoestima e saúde sexual. Este estudo objetivou revisar a literatura recente sobre os impactos físicos, emocionais e sexuais da labioplastia na qualidade de vida das mulheres que se submetem a esse procedimento cirúrgico. Foi realizada uma revisão exploratória integrativa da literatura e, para a elaboração da questão norteadora, foi utilizada a estratégia PICO. Foram selecionados 20 estudos por meio das bases de dados Google Scholar; Biblioteca Virtual de Saúde (BVS), Scientif Eletronic Library Online (SciELO), National Library of Medicine (PubMed MEDLINE) e EbscoHost. Os resultados mostram diversas técnicas de labioplastia, cada uma com suas vantagens e desafios. O procedimento melhora o desconforto físico e a funcionalidade dos pequenos lábios vaginais, aumenta a autoestima e melhora a satisfação e prazer sexual, embora a extensão desses benefícios varie. A adoção de abordagens éticas e seguras e a contínua pesquisa e regulamentação sobre o tema são essenciais.
Expressão diferencial no Lúpus Eritematoso Sistêmico sugere disfunção no mecanismo de produção de energia mitocondrial
Authors: Henrique de Castro Leão Neto João , Lima Correa Raissa , Luzia Leite Fernandes Ana , Cunha de Oliveira Ricardo
Published: August 2024

O Lúpus Eritematoso Sistêmico (LES) é uma das doenças autoimunes mais incidentes no mundo, mas há pouca clareza no que diz respeito ao seu aspecto patológico. À vista disso, estudos de novas vias se fazem necessários, como a influência mitocondrial nesta doença. Assim, este trabalho visou realizar a análise de expressão diferencial (AED) de genes nucleares de função mitocondrial no LES. Tratou-se de um estudo observacional descritivo in silico utilizando dados públicos de sequenciamento completo de RNA. Diante disso, foram encontrados três genes diferencialmente expressos (GDE) hipoexpressos (CDS1, SARDH e NIPSNAP3B), enquanto dois (TYMS e SCO2) estivam hiperexpressos. Em relação aos genes hipoexpressos, estes não foram datados em relação ao LES na literatura até esta pesquisa. Os genes hiperexpressos já foram associados às condições do LES e podem representar marcadores do estresse oxidativo causado pelo aumento da Fosforilação Oxidativa nestes indivíduos. Representa-se aqui cinco novos genes a serem considerados como possíveis biomarcadores genéticos mitocondriais no LES.
Hubungan Kualitas Pelayanan Keperawatan terhadap Kepuasan Pasien Rawat Inap di Rumah Sakit Ali Sibroh Malisi Tahun 2023
Authors: Solihin Sandi
Published: August 2024

Latar Belakang: Kualitas pelayanan keperawatan merupakan proses kegiatan yang dilakukan oleh tenaga medis dalam memenuhi kebutuhan pasien. Pemberian pelayanan keperawatan merupakan faktor krusial dalam meningkatkan taraf kesehatan dan kesejahteraan individu di setiap Negara.
Tujuan: Untuk mengetahui hubungan kualitas pelayanan keperawatan terhadap kepuasan pasien rawat inap di Rumah Sakit Ali Sibroh Malisi.
Metode: Jenis penelitian ini merupakan penelitian kuantitatif dengan menggunakan metode cross-sectional. Populasi pada penelitian ini didapatkan sebanyak 600 orang. Pengambilan sampel pada penelitian ini menggunakan random sampling sebanyak 87 responden. Instrumen penelitian menggunakan kuesioner. Analisis data pada penelitian ini menggunakan uji rank spearman.
Hasil: Uji rank spearman didapatkan hubungan kualitas pelayanan dari daya tanggap (p=0,032), kehandalan (p=0,029), jaminan (p=0,000), empati (p=0,001), bukti fisik (p=0,001) terhadap kepuasan pasien.
Kesimpulan: Terdapat hubungan yang signifikan antara daya tanggap, kehandalan, jaminan, empati dan bukti fisik dengan kepuasan pasien rawat inap di Rumah Sakit Ali Sibroh Malisi dengan nilai p <0,05.
Pengaruh Strategi Pelaksanaan terhadap Kemampuan Self Care pada Pasien Defisit Perawatan Diri di Ruang Kenanga Rumah Sakit Jiwa Dr Soeharto Heerdjan Tahun 2023
Authors: Sainyakit Elisabeth , Agustina Marisca , Safitri Aisyah
Published: August 2024

Latar Belakang: Defisit perawatan diri pada pasien ditandai dengan menolak melakukan perawatan diri, karena tidak mampu mandi atau mengenakan pakaian, dan berhias secara mandiri, serta minat untuk melakukan perawatan diri menjadi berkurang. sehingga diperlukan strategi pelaksanaan yang dapat meningkatkan kemampuan perawatan diri. Strategi pelaksanaan antara perawat dan pasien merupakan keseimbangan dalam pelayanan.
Tujuan: Untuk menguji ada atau tidaknya pengaruh strategi pelaksanaan terhadap kemampuan self care pada pasien defisit perawatan diri di Ruang kenanga RSJ. Dr. Soeharto Heerdjan.
Metode: Penelitian ini menggunakan metode quasy– eksperiment dengan pendekatan rancangan one group pre – post – test. Populasi dalam penelitian ini adalah pasien defisit perawatan diri di ruang melati Rs jiwa Dr Soeharto Heerdjan sebanyak 15  pasien.  Teknik yang akan digunakan dalam penelitian ini, yaitu teknik non – probability sampling dengan metode purposive sampling. jumlah sampel yang akan diberikan intervensi sebanyak 15 Pasien defisit perawatan diri di ruang Kenanga Rs Jiwa Dr Soeharto Heerdjan. Kriteria inklusi untuk penelitian ini adalah Pasien dengan diagnosa defisit perawatan diri. Pada penelitian ini menggunakan instrument alat ukur berupa  lembar observasi. Analisa data  dengan bantuan menggunakan uji Wilcoxon Signed Rank Test.
Hasil: Hasil penelitian didapatkan 2 pasien  kurang atau tidak mampu melakukan self care, setelah diberikan perlakuan strategi pelaksanaan terdapat 13 pasien mengalami peningkatan mampu tanpa bantuan dalam melakukan self care.
Kesimpulan: Adanya pengaruh strategi pelaksanaan terhadap peningkatan  kemampuan self care pada pasien defisit perawatan diri berdasarkan hasil pengolahan data menggunakan uji Wilcoxon dengan hasil yang didapatkan dari 15 sampel pasien defisit perawatan diri bahwa terdapat pengaruh terhadap kemampuan self care dengan nilai (p=0,000).
Association Between COVID-19 and Osteoporosis: A Bidirectional Mendelian Randomization Study
Authors: Chen Shihang , Xue Song
Published: August 2024

Objective: The prevalence and severity of covid-19 infection were higher in patients with osteoporosis than in healthy controls, and the mean BMD was lower in patients with COVID-19 than in healthy controls, and low vitamin D levels were associated with the development of osteoporosis and the severity of COVID-19. The objective of this study is to understand whether there was indeed a bidirectional causal relationship between osteoporosis and COVID-19. Methods: Analysis of the causal relationship between the two through a two-way Mendelian pathway. Finding disease-related Single nucleotide Polymorphism as working variables through the Genome-wide association study database. The primary analysis for the Mendelian randomization (MR) study was the inverse variance weighting (IVW) method. The pleiotropy was estimated through the intercept from MR-Egger regression, and heterogeneity was assessed through Cochran’s Q test in IVW approach. Results: In the forward MR analysis, neither exposure to COVID-19 infection, hospitalization or severe infection was significantly associated with osteoporosis or drug-induced osteoporosis outcome (P>0.05); in the reverse MR analysis, exposures to osteoporosis was not significantly associated with COVID-19 outcomes (infection, hospitalization, severe case) (P>0.05). Conclusion: There was no significant relationship between COVID-19 patients and osteoporosis or drug-induced osteoporosis by genetic prediction.
Gerencialismo e gestão democrática nos Institutos Federais: o que nos contam as pesquisas acadêmicas?
Authors: Pachalski Lia Joan Nelson , Araújo Jair Jonko
Published: August 2024

Este trabalho apresenta o estado atual de pesquisas sobre práticas de gerencialismo e/ou gestão democrática nos Institutos Federais, a partir de um olhar sobre o Plano de Desenvolvimento Institucional. Com o objetivo de identificar trabalhos acadêmicos que discutam esses temas, foi utilizada uma metodologia específica para a construção de um Estado do Conhecimento. A definição do objetivo determinou a escolha dos descritores – “Plano de Desenvolvimento Institucional AND Institutos Federais” – para uma busca avançada. Para a construção deste Estado do Conhecimento, o repositório definido foi a Biblioteca Digital Brasileira de Teses e Dissertações do Instituto Brasileiro de Informação em Ciência e Tecnologia, resultando em oitenta teses e dissertações. Após os filtros, de acordo com as etapas da metodologia, foram selecionados doze trabalhos para análise. Estas pesquisas mostram uma disputa entre dois modos de gestão – o gerencialismo e a gestão democrática, evidenciando regimes de verdade, na política como texto e discurso no domínio dos Institutos Federais, indicando uma preponderância do gerencialismo como modo de gestão.  Esta metodologia de construção do Estado do Conhecimento resultou em subsídios para dar continuidade para a tese, revelando possibilidades de investigação mais aprofundadas na micropolítica, observando a atuação na prática.
A Educação Física no “Novo” Ensino Médio: uma análise das modificações propostas pela Lei n. 13.415 de 2017
Authors: Pelegrini Thiago
Published: August 2024

Após um tenso e controvertido processo de tramitação foi promulgada uma reforma, bastante impopular, do Ensino Médio. Contrariando pesquisadores, professores e estudantes, a reforma ambicionou impor a esse nível de ensino uma visão utilitária e empobrecedora, voltada à rápida inserção no mercado de trabalho. Além disso, a proposição reduziu o espaço curricular de diversas disciplinas, dentre elas a Educação Física. Ante a esse contexto obscuro, o objetivo principal desse texto foi analisar as proposições contidas na reforma do Ensino Médio e em específico os efeitos sobre a disciplina de Educação Física. Defende-se que os reducionismos contidos na Reforma do Ensino Médio associados aos cortes drásticos do investimento público em educação atuam intensamente para a promoção da precarização da formação docente e para o desmantelamento desse nível de ensino. Frisa-se, por fim, que a permanência da Educação Física no Ensino Médio como disciplina obrigatória e com carga horária completa é fundamental para a garantia de acesso as práticas corporais, a ludicidade e a fruição da corporalidade, componentes essenciais a um projeto amplo de formação humana.
Knowledge of English Affixes in Thai EFL Learners of Science and Language Programs
Authors: Namsaeng Pasara , Nooyod Aummaraporn , Matwangsaeng Rangsawoot , Sukying Apisak
Published: August 2024

This study investigated the knowledge of affixes on vocabulary development among English as a Foreign Language (EFL) learners, focusing on the differentiation between students studying science and those studying the language. Affix knowledge, encompassing both prefixes and suffixes, is essential for expanding word family knowledge, serving as a cognitive bridge to proliferate word family members. To explore this, 111 secondary school students from a semi-urban Thai school, split into 53 science and 58 language program students, were assessed through receptive and productive affix knowledge tests. The findings reveal that science program students outperformed their language counterparts in receptive affix knowledge tests. Additionally, results indicated a learning continuum in affix acquisition, with students showing better average performance on receptive tests compared to more complex productive tasks. Notably, affix knowledge concerning prefixes was superior to that of suffixes across both test types. Moreover, the correlational analysis revealed a medium to strong relationship between English affix knowledge and vocabulary knowledge. The findings also suggest that suffix knowledge has a greater impact on productive vocabulary than on receptive vocabulary. Regression analysis supports the correlation results, highlighting that a deeper understanding of affixes is linked to stronger vocabulary knowledge in both comprehension and usage. These results suggest a structured progression in affix learning, from recognition to production, and underline the significance of affix knowledge in vocabulary expansion for EFL learners. The study emphasizes the need for further research into the mechanisms of affix acquisition and its role in language learning curricula.
Periprosthetic Femoral Fractures-Beyond B2
Authors: Uzoigwe Chika Edward , Watts Arun Thor , Briggs Praise , Symes Tom
Published: August 2024

The proliferation of hip arthroplasty has seen concomitant increases in periprosthetic femoral fractures (PFFs). The most common pattern involves fracture at the level of a loose prosthesis (B2). B2 PFFs have a unique mechanopathogenesis linked to the tendency of polished taper-slip cemented stems to subside in the cement. Such stems carry a much higher PFF risk than other cemented designs. Mega-data, consistent across national registries, suggest that increasing application of the taper-slip principle has resulted in the emergence of highly polished, very low friction cemented prostheses. These have the propensity to migrate within the cement, increasing B2 PFF risk. This would explain the strong association between cobalt-chromium stems and PFF. Is PFF the mode of failure of polished taper-slip stems rather than aseptic loosening? Established wisdom teaches that B2 PFFs should be managed with revision surgery. There is a large body of new evidence that, in certain instances, fixation results in outcomes at least equivalent to revision arthroplasty, with shorter surgical time, decreased transfusion requirements, and lower dislocation risk. This is so in B2 PFFs around cemented polished taper-slip stems with an intact bone-cement interface. We outline advances in understanding of B2 PFF with special reference to mechanopathogenesis and indications for fixation.
Comparison of Bimatoprost and Timolol for Treatment of Chronic Angle Closure Glaucoma
Authors: Ali Zulfiqar , Nazir Nadia , Farrukh Soufia , Khalid Muhammad , Mukhtar Sarfraz Ahmad , Khan Muhammad Jahanzaib
Published: August 2024

Angle-closure glaucoma occurs when the normal drainage of fluid within the eye, specifically the aqueous humor, is obstructed or restricted. Objective: To assess and compare bimatoprost 0.03% administered once daily versus timolol 0.5% administered twice daily in patients diagnosed with chronic angle closure glaucoma (CACG). Methods: This randomized controlled study was performed at the Department of Ophthalmology, Bahawalpur Victoria Hospital, Bahawalpur, Pakistan, from August 2023 to January 2024. Patients of either gender, aged 18 years or older, and diagnosed with unilateral or bilateral CACG were included. Patients were randomly allocated to either Bimatoprost 0.03% (once daily at night) or Timolol malete 0.5% (two times morning and night daily) adopting a lottery method. Patients were asked to visit after one and 3 months (final outcome) and intraocular pressure (IOP) measurements were taken between 8 to 10 am using an applanation tonometer. Results: A total of 110 patients of which 64 (58.2%) were female. The mean age was 58.9 ± 10.5 years. At baseline, the mean intraocular pressure was calculated to be 24.2 ± 5.7 mmHg. After 1-month (18.7 ± 4.2 mmHg vs. 20.5 ± 4.7 mmHg, p=0.0418) and 3-months of treatment (16.8±4.6 mmHg vs. 19.6 ± 4.3 mmHg, p=0.0030), the mean IOP were significantly less in Bimatoprost group when compared to Timolol group. The commonest adverse events were conjunctival hyperaemia, and pruritus reported by 19 (17.3%), and 9 (8.2%) patients respectively. Conclusions: Bimatoprost exhibited a significantly better reduction in IOP compared to timolol in chronic angle closure glaucoma. Both drugs showed relatively good safety and tolerability profiles.
Current situation and trend of cardiovascular disease burden in China from a global perspective
Authors: Wang Yanxiaoxiang , Bai Jianjun , Yu Chuanhua
Published: August 2024

Objective: Based on the global burden of disease (GBD) 2019 study, to analyze the epidemic trend and risk factors of cardiovascular disease (CVD) in China by comparing the world, the United States, Japan and India. Methods data were obtained from the global health data exchange (ghdx) database. The prevalence, morbidity, mortality, disability adjusted life year (DALY) and other disease burden status and main risk factors of CVD in China were analyzed by sex and age; the age standardized rate was used to compare the change trend of CVD disease burden in China, the United States, Japan and India from 1990 to 2019. Results: In 2019, the number of CVD patients in China was 12 billion, with 123.41 million new cases and 458.43 million deaths; the prevalence, incidence rate, mortality and Daly rates increased from 423,543/100,000, 44,781/100,000, 20,475/100,000 and 509,103/100,000 in 1990 to 84,608/100,000, 86,765/100,000, 32,230/100,000 and 646,347/100,000 in 2019 respectively. The prevalence, incidence rate, mortality and Daly rate increased with age, and the burden of CVD in men was higher than that in women. In addition, the top 4 risk factors for CVD in China in 2019 are hypertension, diet, air pollution and tobacco, which lead to higher CVD disease burden than the global average. Conclusion: due to hypertension, dietary factors, air pollution, tobacco and other reasons, coupled with the rapid aging of the population, the disease burden of CVD in China is still very serious, which needs to be paid attention to by relevant departments.
Mixed reality simulation training in the assessment and management of acutely unwell patients in undergraduate medical education: a pilot study
Authors: Rowlands Benjamin , Cope Natalie , Proctor Dominic
Published: August 2024

Background:

Development of the undergraduate simulation experience is needed to continue developing aspiring clinicians’ ability to assess and manage unwell patients. However, its heavy resource demand and ‘Generation Z’s’ desire for technologically enhanced learning means novel simulation modalities must now be considered. Mixed reality (MR) provides a platform to deliver such simulation; however, it is yet to be studied in this context. We conducted an observational cohort study with the aim to assess ift MR simulation improves students’ perceived ability to assess and manage unwell patients.

Methods:

We recruited 32 undergraduate medical students and asked them to rate their ability to assess and manage acutely unwell patients, out of 10. An MR simulation was then delivered using the Microsoft HoloLens and HoloScenario software produced by GigXR. Students then rated their assessment and management ability again, alongside their experience of the system and its usability. Data analysis used paired t-tests to assess for significant differences.

Results:

By attending the simulation, students showed a significant improvement in perceived ability to assess (p < 0.001) and manage (p < 0.001) acutely unwell patients. Mean assessment scores improved by 1.09/10 (95% confidence interval [CI 0.67, 1.52]) with 89% of students feeling more confident. Mean management scores improved by 1.63/10 (95% CI [1.15, 2.10]) with 84% of students reporting increased confidence levels. When considering usability, 69% of students did not find the MR system easy to use, with 75% of students having technical issues and 38% experiencing side effects. Overall, 88% of students believed the experience was beneficial to their learning.

Conclusions:

MR shows promise in its ability to deliver simulation training and improve students’ perceived ability to assess and manage unwell patients. Advances in software availability and content are required for integration into undergraduate medical curricula. Further research is required to assess if these results are replicated objectively.
Understanding Civil Servants’ Perspectives on Public Sector Reforms in Liberia, Case Study on the Ministry of Finance
Authors: Gweama Paul G
Published: August 2024

In this study, the researcher delves into the perspectives of civil servants on public sector reforms in Liberia, aiming to provide valuable insights into the effectiveness and sustainability of reform initiatives. The main objective is to understand the nuanced views of civil servants within the Ministry of Finance regarding ongoing reform efforts and their implications for policy design and implementation. Public sector reforms in Liberia have been a critical area of focus in recent years, with various initiatives aimed at enhancing efficiency, transparency, and service delivery. Understanding how civil servants perceive these reforms is essential for ensuring their success and relevance in the Liberian context. This study adopts a qualitative research approach, utilizing a mixed-methods design that includes in-depth interviews and focus group discussions, combined with a survey questionnaire to gather comprehensive firsthand perspectives from civil servants working within the Ministry of Finance. Primary data collection methods are employed to capture the nuanced experiences and insights of frontline government employees involved in the reform process. The findings reveal a range of perspectives among civil servants, highlighting both challenges and opportunities in the implementation of public sector reforms. Themes such as resistance to change, capacity building needs, and the importance of stakeholder engagement emerge as key considerations in shaping the success of reform initiatives. By incorporating these frontline perspectives into policy discussions, policymakers can enhance the relevance and effectiveness of reform strategies in Liberia.
Endoscopic endonasal trans-cribriform approachfor drainage of frontal lobe abscess in invasivemucormycosis – A case report
Authors:   Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, India., Vikram V. J. , Mohan M. Bharathi ,   Rajiv Gandhi Government General Hospital, Madras Medical College, Chennai, India.
Published: August 2024

Abstract Introduction:Mucormycosis is a belligerent fungal infection that can cause fatal complications. Patients at risk arethose with poorly controlled diabetes mellitus, and similar immunosuppressed states. Tissue invasion and infarctionsecondary to angioinvasion are the pathognomonic features of the disease. The management of brain abscesseshas become increasingly complicated requiring close collaboration between various departments encompassinginfectious disease specialists, neurologists, radiologists and neurosurgeons. ENT surgeons are seldom involved inthe management of brain abscesses, but with the advancements in Endoscopic Sinus Surgery techniques, ENTsurgeons are now treating the skull base, meningeal and brain pathologies.Methods:A case report of a 36-year-old male with complaints of headache, left-sided facial pain, difficultyin opening left eye for 10 days, with a history of one episode of generalized seizure that lasted for 4 min,recently detected type 2 diabetic mellitus. Local examination revealed left-sided nasal crusting and an old palataldefect. KOH mount was positive for mucorales. CT scan PNS revealed left-sided maxillary, ethmoidal, sphenoidalfrontal sinusitis with erosion of left lamina papyracea, left extraconal and intraconal involvement with erosion ofleft cribriform plate. MRI brain revealed additional hyperdensities in both medial frontal, and parietal lobe withdiffusion restriction. The patient underwent left-sided endoscopic sinus surgery with endoscopic endo- nasal trans-cribriform drainage of frontal lobe abscess, with retro bulbar Amphotericin B injection, with a neurosurgical team onstandby in the event of unexpected complications. The eschar and pus drained from the frontal lobe abscess wassent for histopathological examination, culture and sensitivity. The patient was extubated, and the postoperativeperiod was uneventful.
Anterior SCC BPPV: Significance and practice usingVHIT-diagnosis through a case series of positional vertigo
Authors:   Madras Medical College, Chennai, India, Shankar M. N. , Kumar M. ,   Madras Medical College, Chennai, India
Published: August 2024

Abstract Introduction: BPPV is a prevalent cause of vertigo, often misconstrued as a diagnosis even by medical personnel.ENT surgeons are adept at finding out which canal and which side is affected to set their treatment plan. Amongthe three semicircular canals, the anterior SCC BPPV is rare and the ENT surgeons must be sensitised to thisBPPV.Materials and methods:Here we use the VHIT method to find if there is a correlation between the clinicalmanifestations and findings. We have also used liberatory manoeuvres to find out the usefulness of the samealthough this study is mainly concentrated on the anterior semicircular canal and its alibi.Results:We have used VHIT to effectively find out the difference and thus help in the diagnosis and management.In our study of about 117 BPPV patients compared to approximately similar numbers, the effectiveness ofVHIT was analysed.Discussion:The results correlated well with the VHIT being a useful tool for the diagnosis of ASCC BPPV and alsoto carry out liberatory Yakovinos manoeuvre successfully.