bluuebunny/crossref_metadata_2025 huggingface dataset:
MOTIVATION AND JOB PERFORMANCE AMONG SECONDARY SCHOOL TEACHERS IN ONDO STATE
Authors: Oluwole Ehineni Johnson
Published: February 2023

The study examined motivation and job performance among school teachers in Ondo State. Samples of 500 school teachers from 300 secondary schools in Ondo State were selected for the study. A questionnaire designed by the researcher to elicit information from the respondents. The data were analyzed using Pearson Product Moment Correlation. Three hypotheses were tested at 0.05 level of significance. The result obtained shows that lack of motivation accounts for low level of job involvement, job loyalty and job identification among secondary school teachers. It was also noticed that there was a significant difference between state secondary school teachers and federal government teachers in terms of motivation and job satisfaction. This study therefore, concludes that a significant increase in teachers’ motivation will engender more quality job performance among secondary school teachers. It recommends that the government should encourage teachers particularly those in the rural areas, the school environment should also be made friendly to facilitate teaching and learning process.
THE ATTITUDES OF THE BULGARIAN TEACHERS TO THE LITERACY OF THE STUDENTS IN THE MULTICULTURAL CLASSROOM
Authors: Gerdzhikova Nina
Published: February 2023

This article presents the results of a study among 255 teachers from all educational levels in Bulgaria. The literacy is defined as a linguistic and cultural phenomenon. The results of the frequency and dispersion test reveal contradictions in the assessments of the teachers.
READY TO TEACH: SPECIAL EDUCATION PRE-SERVICE TEACHER PRESPECTIVES ON TEACHER PREPARATION
Authors: Lombardo-Graves Mary M.
Published: February 2023

In this qualitative research project, pre-service teacher perspectives on the clinical experiences and coursework required for teacher preparation in special education were examined. The goal of this study was to provide data on specific areas where teacher educators can provide more support and better prepare pre-service teachers for the classroom. This particular study focuses on the educational experiences of pre-service teachers and their perspectives on teacher readiness. The pre-service teacher perspectives are limited to a particular special education teacher preparation educational community; however, the clinical experiences portion of the fieldwork hails from a variety of educational settings. The data collection consisted of pre-service teacher interviews during clinical experiences. The findings of this study revealed the value placed on quality mentors, practical experiences, and application in the clinical setting.
ONLINE TEACHING ENGLISH, A NEW ERA ON EDUCATION
Authors: Tatili Sonila
Published: February 2023

The rapid development of information and communication technology has a significant impact in the teaching process. This happens because of the existence of the advantages that this sphere entails in the pedagogical practices and methods. As such, they are briefly brought to us : easy access to information; increasing interest in learning; more ability to embed it into memory and preserved in the knowledge gained as a result of the inclusion of visual memory improvement; interactive teaching as well as easy exchange of knowledge, etc.

 With the aim of identifying the advantages that the technology incorporates in the teaching process of methodology, this paper aims to highlight the role of technology in the teaching and learning process of English, the achievement of the student in the learning objectives and how the technology of information and communication is intertwined in education.

The study's research is about determining what impact technology has in the teaching process, meanwhile  the supporting questions raise questions about the advantages of teaching technology as well as the impact on the level of learning of Albanian students.
TRAINEESHIP COMPLETION: COMPARING SCHOOL-BASED AND POST-SCHOOL PROVISION IN AUSTRALIA
Authors: Curtis David D , Gemici Sinan
Published: February 2023

The impact of VET in Schools on transition outcomes is currently receiving considerable policy attention in Australia. Almost 50% of Australian senior secondary students participate in VET in Schools, either by taking VET subjects, engaging in structured workplace learning, or enrolling in school-based apprenticeships and traineeships. School-based traineeships are of particular interest because these relatively compact programs contribute to a senior secondary certificate, provide students with considerable workplace exposure and lead to qualifications recognised under the Australian Qualifications Framework. What has remained unclear is whether school-based traineeships have a positive impact on training completion compared with post-school workplace-based traineeships. While there is much support for VET in Schools programs, the effectiveness of school-based compared with post-school vocational programs is of policy interest as school-based VET programs have been criticised as not leading to productive employment outcomes. This paper uses data from the Apprentice and Trainee Destinations Survey, administered by the National Centre for Vocational Education Research, to examine whether students who commence a school-based traineeship exhibit higher completion rates when compared to similar young people who undertake a traineeship post-school. We find that school-based traineeships have higher completion rates than post-school traineeships, especially for females.
Types of flebitis related to intravenous therapy: an update
Authors: Silva Bruna Mariane Lipke da , Souza Gabrielle Pinheiro de , Seixas Giovana Rodrigues Castro , Silva Giulia Furtado Pereira da , Goulart Rafaella Glice Vieira , Aguiar Beatriz Regina Lima de , Custódio Carolina de Souza , Reis Paula Elaine Diniz dos
Published: February 2023

Objective: to present an update on the types of phlebitis, namely: chemical phlebitis, mechanical phlebitis, bacterial or infectious phlebitis and phlebitis post-infusional aspects related to the concept, characteristics, clinical manifestations and their impact on clinical nursing practice. Method: update article on chemical, mechanical, bacterial or infectious phlebitis and post-infusion phlebitis. Results: chemical phlebitis results from the administration of drugs that damage the endothelium of the vessels; a mechanical phlebitis is related to the incorrect handling of the devices; bacterial phlebitis occurs due to incorrect aseptic techniques and post-infusional phlebitis occurs within 48 hours after venous withdrawal. Final considerations: as the main causes of involvement of phlebitis the use of hazardous materials, lack of attention in the preparation of medicines and incorrect aseptic techniques, which makes the performance of nursing professionals indispensable.
Deficiency of vitamin D in patients with chronic liver disease at department of medicine HMC Peshawar a multi center study
Authors: Haq Anwar Ul , Shahab Khalid , Khattak Imran Qadir , Khan Fahad , Khan Ahmed , Ullah Hameed , Zeb Farhan
Published: February 2023

Background: Multiple nutrients are deficient in people with chronic liver disease (CLD), but vitamin D insufficiency is more prevalent in CLD patients than in patients with other deficiencies. As a result of liver fibrosis, the liver's synthetic abilities are diminished, and this compromises activation through a decrease in vitamin D Binding Protein, which results in vitamin D insufficiency. The situation is further complicated by a decline in performance and nutritional deficiencies. The research examined the prevalence of vitamin D insufficiency in people with chronic liver disease and its relationship to the severity of the condition. Methodology: The Multi center study conducted in department of Medicine at the Hayatabad Medical Complex in Peshawar carried out this. 71 CLD patients who satisfied the criteria were included in the research. Three groups of patients were divided based on their Child-Pugh scores. The patient's vitamin D levels were examined by hospital laboratories. Serum (26,OH)D concentrations below 30 nmol/L were considered to represent [vitamin D] insufficiency levels. The data were examined using SPSS version 22. Results: 71 CLD patients were assessed. In this study the (mean age) was 52.43 ± 12.190.years. The (male-to-female ratio) was 02.04:01.
Comparison of diagnostic accuracy of magnetic resonance spectroscopy with conventional magnetic resonance imaging for brain tumors and correlation with histopathology as gold standard
Authors: Farzana Mahwish , Naseer Madiha , Ahmad Alia , Javaid Maham , Akram Aysha , Khan Zainab Jamil , Ahmad Shafiq
Published: February 2023

Background; Despite a large number of revolutionized advancements in Imaging technology clinicians are unable to get hundred percent accurate results. Multiple limitations have been observed in Imaging modalities. Multiple published trials are available online on the evaluations of these imaging modalities individually and in combinations to find out the level of accuracy of these technologies. Objective; This study was design to compare the diagnostic accuracy of MR Spectroscopy with MRI which is a conventional diagnostic tool for brain tumor diagnosis while keeping the Histopathology evaluation as Gold Standard. Methodology; The patients who fulfilled the inclusion criteria were included in study. All scans were carried out on GE 1.5 Tesla MR Scanner using head coil. Axial T1W, T2W, Fluid Attenuated Inversion Recovery (FLAIR), Sagittal T2W, Coronal Fluid Attenuation. Inversion Recovery (FLAIR) and T1W post- contrast Axial, Coronal and Sagittal images were acquired. MR spectroscopy was performed through single voxel technique. Final diagnosis was made on histopathology results. The reports of biopsy were co related with radiological diagnosis of MRI and MRS. Results; The study was conducted with 150 suspected cases. There were 85(56.7%) males and 65(43.3%) females. Histopathology 100(66.7%) cases were confirmed positive and 50(33.3%) negative.
Pengalaman Akseptor KB dalam Menggunakan Metode KB Suntik Depo Medroxyprogesterone Acetate (DMPA) di PMB Bidan “K”
Authors: Apriyati Eka Mirah , Yolandia Rita Ayu , Putri Siti Rafika
Published: February 2023

Introduction: 3-month injectable contraception, if there are advantages, there must be disadvantages to using 3-month injectable contraceptives. Adverse effects that can occur with the use of 3-month injectable contraceptives are often found with complaints, including Short and long menstrual cycles, Heavy or light bleeding, Irregular bleeding or spotting, and No menstruation at all (amenorrhoea).
Objectives: This study aims to analyze the side effects, effectiveness and sexual intercourse on the experience of family planning acceptors in using the DMPA injection KB method at PMB Midwife K Klapanunggal in 2022.
Method: The population in this study was 10 people including the head of PMB (1 person) and DMPA injecting family planning acceptors (9 people). This type of qualitative research used a case study approach. PMB Midwife K. This study began with transcripts of the interview results, after the interview transcripts were completed, the researcher created a matrix to determine the ideas put forward by the informants and group them according to their frame of mind. The resulting data is processed using Microsoft Office software in reducing data, presenting data, drawing conclusions and verifying data.
Result: The results showed that the experiences felt by informants were different, including weight continued to increase, discharge of spots constantly, headaches, emotions and spots that make it uncomfortable. Pleasant experiences and feelings during sexual intercourse with a partner affect women's sexual satisfaction and reduce sexual dysfunction. Sexuality, sexual desire and sexual arousal are more influenced by their partner’s mental health and feelings.
Conclusion: Family planning acceptors in using DMPA injections have different experiences and side effects, but they are effective in preventing pregnancy, and there is no difference in sexual intercourse.
Hubungan Keyakinan, Persepsi, Sikap terhadap Perilaku Unmet Need Keluarga Berencana pada Pasangan Usia Subur di PMB Fidia Kurniati Tahun 2022
Authors: Kurniati Fidia
Published: February 2023

Latar Belakang: Fenomena unmet need KB bersifat multidimensial karena dipengaruhi oleh berbagai faktor, seperti karakteristik demografi, sosial ekonomi, sikap, akses dan kualitas pelayanan. Jumlah penduduk di Indonesia terus mengalami peningkatan hingga pada tahun 2018 mencapai 263 juta jiwa. Menurut data dari BKKBN Jawa Barat Tahun 2020 menyatakan bahwa jumlah pasangan usia subur 1.087.613 sedangkan jumlah yang tidak berKB  sebesar 130.869 masih sangat banyak yang belum melakukan KB.
Tujuan: Untuk mengetahui hubungan keyakinan, persepsi, sikap terhadap perilaku unmet need  keluarga berencana  pada pasangan  usia subur di PMB Bidan Fidia tahun 2022.
Metode: Jenis penelitian ini adalah kuantitatif menggunakan metode deskriptif analitik dengan pendekatan cross-sectional. Instrumen yang digunakan dalam pengumpulan data dilakukan dengan kuesioner. Sampel yang digunakan dalam penelitian ini adalah accidental sampling. Sampel yang digunakan adalah pasangan usia subur yang berperilaku unmet need. Sampel  pada penelitian  ini sebanyak 92 responden Metode analisis menggunakan aplikasi komputer.
Hasil: Hasil pengujian hipotesis temuan penelitian yaitu  keyakinan terhadap perilaku unmet need keluarga berencana dengan nilai p-value (0,000),  persepsi terhadap perilaku unmet need keluarga berencana dengan nilai p-value (0,000)  dan sikap terhadap perilaku unmet need keluarga berencana dengan nilai p-value (0,006).
Kesimpulan: Terdapat hubungan keyakinan, persepsi dan sikap terhadap perilaku unmet need Keluarga Berencana pada Pasangan Usia Subur di PMB Fidia Tahun 202.
Hubungan Status Gizi, Kepatuhan Tablet Fe dan Frekuensi Kunjungan ANC dalam Pencegahan Anemia pada Ibu Hamil
Authors: Garini Ardya
Published: February 2023

Latar Belakang: Komplikasi dalam kehamilan dan persalinan dapat terjadi ketika ibu hamil kekurangan zat besi. Berpeluang lebih besar bisa terjadinya persalinan prematur, kematian maternal, kematian janin, atau bayi lahir dengan berat rendah dan angka kematian perinatal meluas. Berdasarkan data yang diperoleh dari Puskesmas Parungpanjang jumlah ibu hamil yang mengalami anemia yang memeriksakan kehamilannya dalam hitungan tiga tahun terakhir berjumlah 1964 ibu hamil dengan anemia.
Tujuan: Untuk mengetahui hubungan antara status gizi, kepatuhan tablet Fe dan frekuensi kunjungan ANC dalam pencegahan anemia pada ibu hamil di Puskesmas Parungpanjang Kabupaten Bogor tahun 2022
Metode: Jenis penelitian ini yaitu penelitian deskriptif analitik serta menggunakan metode kuantitatif yaitu  dengan pendekatan cross-sectional. Sampel berjumlah 86 ibu hamil. Instrumen yang digunakan pada penelitian ini adalah adalah kuisioner. Teknik analisis data dalam penelitian ini menggunakan metode kuantitatif yaitu dengan pendekatan cross-sectional. Adapun alat uji analisis dalam penelitian ini menggunakan analisis Univariat dan analisis Bivariat.
Hasil: Berdasarkan hasil penelitian diperoleh status gizi nilai p-value 0,0003 dan hasil OR = 9,8 (1,9-48,2). Kepatuhan tablet Fe p-value 00 dan hasil OR = 6,1 (2,3-16,1). Frekuensi kunjungan ANC nilai p-value 0,125 dan hasil OR = 2,3 (0,8-6,2)
Kesimpulan: Terdapat hubungan antara status gizi, kepatuhan tablet Fe dengan kejadian anemia pada ibu hamil. Dan tidak terdapat hubungan antara frekuensi kunjungan ANC dengan kejadian anemia pada ibu hamil.
Faktor yang Berhubungan dengan Hiperemesis Gravidarum pada Ibu Hamil Trimester I Di PMB Alicia Bogor Tahun 2022
Authors: Yulianti Alicia
Published: February 2023

Latar Belakang: Hiperemesis gravidarum adalah muntah yang terjadi sampai umur kehamilan 20 minggu, muntah begitu hebat dimana segala apa yang dimakan dan diminum dimuntahkan sehingga mempengaruhi keadaan umum, pekerjaaan sehari-hari, berat badan menurun dan dehidrasi. Menurt World Health Organization (WHO) Angka kejadian hiperemesis gravidarum di Indonesia adalah mulai dari 1% sampai 3% dari seluruh kehamilan.
Tujuan: Untuk mengetahui faktor yang berhubungan dengan hiperemesis gravidarum pada ibu hamil trimester 1 di PMB Alicia Bogor Tahun 2022.
Metode: Jenis penelitian ini adalah survei analitik dengan desain cross-sectional, seluruh ibu hamil trimester I yang mengalami hiperemesis gravidarum yang ditemui di PMB Alicia Bogor pada bulan Januari 2022 - Februari 2022 yaitu dengan sempel sebanyak 30 responden. Teknik pengambilan data menggunakan data primer. Instrumen dalam penelitian ini menggunakan kuesioner. Adapun Analisa yang digunakan dalam penelitian ini adalah univariat dan bivariat dengan uji statstik chi-square.
Hasil: Berdasarkan uji chi-square menunjukan pada variabel umur p-value 0,018 (<0,05), paritas p-value 0,018 (<0,05), dukungan suami p-value 0,026 (<0,05), pekerjaan p-value 0,007 (<0,05).
Kesimpulan: Ada hubungan antara umur, paritas, dukungan suami dan pekerjaan dengan hiperemesis gravidarum pada ibu hamil trimester I di PMB Alicia Bogor tahun 2022.
Hubungan Usia Kehamilan, Paritas, Persentase Janin terhadap Kejadian Ketuban Pecah Dini pada Ibu Bersalin
Authors: Septyani Ade , Astarie Aida Diana , Lisca Shinta Mona
Published: February 2023

Latar belakang: Persalinan normal adalah proses melepaskan konsepsi hidup dari rahim melalui vagina ke dunia luar yang berlaku pada jangka masa (37-42 minggu) dengan kontraksi rahim yang menyebabkan penipisan, pelebaran/servik, mendorong janin keluar melalui saluran persalinan dengan peratusan bagian belakang kepala tanpa alat atau bantuan (persalinan spontan) maupun tidak ada komplikasi kepada ibu serta janin.
Tujuan: Untuk mengetahui hubungan Hubungan usia kehamilan, paritas, persentase janin terhadap kejadian ketuban pecah dini pada ibu bersalin di PMB wilayah kerja Desa Bojonggede Tahun 2021.
Metode: Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan cross-sectional. Cara pengambilan sampel dengan mengunakan menggunakan Teknik Random Sampling. Data yang didapat kemudian diolah menggunakan SPSS 18.
Hasil: Hasil penelitian usia kehamilan dengan kejadian KPD diperoleh nilai p = 0,001 dengan nilai OR 5,345, paritas dengan kejadian KPD, diperoleh nilai p = 0,018 dengan nilai OR 3,063, presentasi janin dengan kejadian KPD, diperoleh nilai p = 0,046 dengan nilai OR 7,000.
Kesimpulan: Ada Hubungan antara usia kehamilan, paritas, persentase janin terhadap kejadian ketuban pecah dini pada ibu bersalin di PMB wilayah kerja Desa Bojonggede Tahun 2021.
Hubungan Pengetahuan, Sumber Informasi dan Jarak Fasilitas Kesehatan dengan Minat Wanita Pasangan Usia Subur Melakukan Papsmear di Klinik Allen Medika Kota Manggar Tahun 2022
Authors: Batubara Salmiah
Published: February 2023

Latar belakang: Kanker serviks adalah kanker paling sering keempat pada wanita dengan perkiraan 570.000 kasus baru pada 2020 mewakili 6,6% dari semua kanker wanita. Sekitar 90% kematian akibat kanker serviks terjadi di negara berpenghasilan rendah dan menengah. Tingginya angka ini diakibatkan rendahnya kesadaran WPUS melakukan pemeriksaan Papsmear.
Tujuan: Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan, Sumber Informasi dan Jarak Fasilitas Kesehatan dengan Minat Wanita Pasangan Usia Subur melakukan papsmear di Klinik Allen Medika Kota Manggar Tahun 2022.
Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi penelitian ini berjumlah 30 wanita pasangan usia subur dan teknik pengambilan sampel yang digunakan yaitu total sampling dengan sampel yang berjumlah 30 orang.
Hasil: Hasil penelitian menunjukan bahwa hubungan antara pengetahuan dengan Minat Melakukan Pemeriksaan Papsmear dengan nilai p =0.001, hubungan antara sumber informasi dengan Minat Melakukan Pemeriksaan Papsmear dengan nilai p =0,016, hubungan antara jarak ke fasilitas kesehatan dengan Minat Melakukan Pemeriksaan Papsmear dengan nilai p =0,011.
Kesimpulan: Dapat disimpulkan bahwa ada hubungan yang signifikan antara Pengetahuan, Sumber Informasi dan Jarak Fasilitas Kesehatan dengan Minat Wanita Pasangan Usia Subur Melakukan Papsmear di Klinik Allen Medika Kota Manggar.
The Secrets of Calvino'sArs Combinatoria
Authors: Mazza Giordano
Published: February 2023

In this article, I explore the relationship between secrets and ars combinatoria, or the art of combining elements.1 In particular, I analyze this relationship in Italo Calvino's works, as Calvino can be thought of as the major representative of combinatorial literature in Italy. Although there are several published articles discussing the literary theory on secrecy, and several more analyzing combinatorial literature in Calvino, none discusses the importance of secrets in Calvino or links combinatorial literature with secrecy. I argue that ars combinatoria and, more specifically, combinatorial literature, is always closely linked with secrecy. I demonstrate that secrecy is a key aspect of combinatorial literature and that such combinatory elements become an essential part of Calvino's storytelling. I first define each of these terms (secrecy and combinatorics) in a broader context and then in the context of their literary usage.
Revisiting Italian Colonialism: Transgenerational Trauma inAduaby Igiaba Scego
Authors: Conrad Sydney
Published: February 2023

Migration, racial injustice, and history intersect at the center of Igiaba Scego's novel Adua, which not only presents the marginally discussed topic of Italian colonialism but also calls into question the relationship between Italian colonialism and history in connection with trauma. This article focuses on the passing of trauma from father to daughter, tracing the pathways of what scholars have called transgenerational trauma. In particular, I rely on Joshua Pederson's framework to locate trauma within literary texts, focusing on the dissociative moments of the father figure whose dreams, visions, and premonitions become the locus of trauma. From there, I use clinical psychology and psychiatry to identify the symptoms of trauma and analyze their continual effects on the novel's protagonist, Adua. By linking Italian colonialism to the postcolonial period, I argue that Scego frames Italian colonialism as part of a legacy, one that does not come to a full stop at the end of World War II but rather has a lasting, continual impact on Italian society and the subsequent generations of those who were subjugated under Italian colonialism.
Pendidikan Kesehatan Reproduksi: Edukasi Pengetahuan Akseptor KB Suntik tentang Efek Samping KB Suntik di PMB Wayan Adiarthi
Authors: Zakiah Lela , Novianty Kiki , Sunarti Sunarti
Published: February 2023

Salah satu jenis kontrasepsi efektif yang menjadi pilihan dan merupakan salah satu bagian dari program KB Nasional saat ini adalah KB suntik.. Masalah kesehatan yang dirasakan sebagian akseptor karena timbulnya efek samping dari jenis KB tersebut dan kurangnya konseling dari tenaga medis, memungkinkan seorang akseptor akan merasakan putus pakai. Tujuan pengabdian masyarakat ini untuk mengetahui pengetahuan akseptor dan efek samping dari KB di PMB Ni Wayan Adiarthi, S.SiT., M.KM. Metode pelaksanaan menggunakan metode ceramah. Tehnik sampel dengan random sampling sebanyak 30 responden. Analisis yang digunakan yaitu uji T dengan P-value <0,05. Diperoleh hasil perhitungan uji statistic nilai t sebesar -37.844 dan p=0,000 (p<0,05), yang artinya ada pengaruh edukasi kesehatan terhadap pengetahuan akseptor KB suntik. Disimpulkan bahwa adanya dampak edukasi pendidikan kesehatan dari efek samping KB suntik di PMB Wayan. Oleh karena itu, pentingnya peningkatan promosi kesehatan tentang efek samping KB suntik bagi akseptor yang akan menggunakannya.
Risiko Hamil Dengan 4T (Terlalu muda, tua, dekat dan banyak)
Authors: Rahmadini Annisa Fitri , Yusnia Nina
Published: February 2023

Kehamilan tidak ideal yang dikenal dengan 4T (umur ibu terlalu muda, umur ibu terlalu tua, terlalu dekat jarak kehamilan dan terlalu banyak anak) merupakan kehamilan yang sangat membahayakan bagi keselamatan ibu dan anak. Kehamilan yang berisiko tinggi akan mengundang masalah sampai keselamatan jiwa saat melahirkan. Pencegahan terjadinya kehamilan dengan 4T dikalangan ibu-ibu hamil maka dilakukannya kegiatan pengabdian masyarakat dengan tujuan menambah pengetahuan masyarakat terutama wanita terhadap risiko hamil dengan 4T. Kegiatan pengabdian masyarakat ini dilakukan di Desa Sukamakmur dengan jumlsh pesert 30 orang dengan metode survey lapangan berupa wawancara kepada 30% Ibu hamil atau sebanyak 9 orang perwakilan. Hasil studi pendahuluan berupa wawancara dengan perwakilan 9 orang siswa dan siswi dari Desa Sukamakmur ditemukan data hanya 2 orang yang mengetahui tentang Risiko Hamil dengan 4T (terlalu tua, terlalu muda, terlalu dekat dan terlalu banyak). Disimpulkan bahwa hanya 22% dari 9 ibu hamil yang mengetahui tentang Risiko Hamil dengan 4T, sementara yang mengetahui sedikit hanya 2 orang atau 22% dan yang tidak mengetahui tentang Risiko Hamil dengan 4T sebanyak 56% ibu hamil.Hasil evaluasi menunjukan bahwa tingkat pengetahaun dan pemahaman ibu-ibu hamil di Desa Sukamakmur dari yang sebelumnya banyak yang belum mengetahui mengenai Risiko Hamil dengan 4T menjadi mengetahuinya, diliat dari kenaikan hasil posttest yang dilakukan. Selain meningkatkan pengetahuan dan pemahan ibu-ibu hamil, dari kegiatan intervensi ini diharapkan ibu-ibu hamil mampu menerapkannya kepada diri sendiri untuk melalukan pencegahan dan menjaga diri dari kehamilan dengan risiko tinggi.
Entre o Urbano e o Rural: análise geoespacial das políticas de ordenamento territorial no município de Ilhéus, Bahia, Brasil
Authors: Macedo Daniel dos Santos , Baitz Ednice de Oliveira Fontes
Published: February 2023

O planejamento territorial é um importante instrumento norteador do ordenamento espacial, pois por meio dele pode-se estabelecer parâmetros que direcionam à produção e à reprodução do espaço. A realidade sociodemográfica brasileira, como de outros países à margem do capitalismo avançado, tem seguido uma constante marcha em direção à urbanização. Esse contexto se reflete no direcionamento das políticas de ordenamento territorial que possuem vieses notadamente urbano-centradas. Dessa maneira, a pesquisa se propõe a analisar espacialmente a dinâmica entre o urbano e o rural com base nas políticas de ordenamento territorial do munícipio de Ilhéus. Para tanto, foram utilizados dados geoespaciais de fontes como a malha de setores censitários e Cadastro Ambiental Rural, de maneira que possibilitaram um diagnóstico espacial do ordenamento territorial em Ilhéus. A análise constatou certa distopia no que tange ao planejamento territorial do município, tornando nítido a exclusividade de intencionalidades urbanas no direcionamento das ações. Esse processo de generalização do urbano se materializa sobretudo ao longo do perímetro analisado da Rodovia Jorge Amado, onde se verifica uma dinâmica de sobreposição de espacialidades rurais que coexistem em um corredor legalmente urbano, mas que se materializa de maneira distópica.
Direitos e Garantias Legais: os imigrantes haitianos, entre a lei e a realidade
Authors: Cigolini Adilar Antônio , Souza Marcus
Published: February 2023

Todo processo de migração representa um desafio, quando se trata de sua inserção na estrutura social deum país. Existem dificuldades de integração, seja por vulnerabilidade social, econômica ou cultural, que alimentam um desafio imenso: a criação de políticas públicas e garantias legais que atendam a esse grupo buscando uma inserção social adequada. Esse trabalho faz uma análise da legislação e das instituições responsáveis ou que acolhem migrantes buscando avaliá-las a partir da visão dos próprios migrantes, no caso, os haitianos. Do ponto de vista metodológico foram duas abordagens. A primeira consistiu na análise documental e a segunda foi a aplicação de questionários e entrevistas qualitativas a imigrantes. O resultado aponta para deficiências na integração dos imigrantes, que mesmo tendo, muitas vezes, suporte legal dentro do Brasil, não encontram políticas públicas adequadas e instituições preparadas para viabilizar, de fato, seus direitos.
The World Through the Lens of the Photographer Ara Güler
Authors: Tajarian Yvette
Published: February 2023

The art of photography appeared in Turkey between the XIX and XX centuries. In the beginning, because of the high price of the service, only the rich could afford it. The first photography studio in the Ottoman Empire was established in the Bera district of Constantinople (presently, the Beyoglu district of Istanbul), where most of the population was Christian. Here, in 1857, Pascal Sebah of Armenian descent opened a photography center. He was one of the few to be awarded the Third-Class Order of the Medjidie by Sultan Abdulmejid. Unfortunately, all his photographic works were burnt in the great fire of 1881. The sons of Sarraf Mikayel Abdullahyan – Vichen, Gevorg and Hovsep Abdullah, also occupy an important place in the history of Turkish photography. They held a monopoly on dissemination of photography throughout the Empire. In 1836, the Abdullahyan brothers became special photographers fоr Sultan Abdul Aziz. In 1867, near the Russian Embassy in Bera, they opened a photography studio named “Abdullah Brothers”. A great number of photographers of Turkish and foreign descent, working in Turkey, namely, the Gulmez brothers, Ashil Samanj, Jerome Savajian, the Papazyan brothers, Antoine Zilipojian, Othmar Pfersci, Ismayin Nesmi, Ahmed Polat and others, furthered the development of Turkish photography. Ara Güler is one of those, who played a big part in the history of photography, having created with his outstanding works a whole new world in that field.
A Review on Efficacy of Spices and Herbs as per Ayurveda and Their Role as a Potent Antioxidant and Antimicrobial Agents
Authors: DAS NILOY
Published: February 2023

Bioactive compounds from spices and herbs play an important role to immunize our body system. From ancient time they are used as Ayurvedic medicine. This review mainly focuses on to the traditional medicinal uses of spices and herbs as per Ayurveda and their efficacy as a natural potent antioxidant and antimicrobial agents over synthetic one. The chemical component of essential oils were analysed by GC-MS and GC-FID techniques. Antioxidant activity was confirmed by different assays like DPPH assay, FRAP assay, ABTS assay, Hydroxy radical scavenging assay, NO scavenging assay etc. Quantitative estimation of phenol and flavonoid from different solvent extracts revealed the proportional relationship between concentration of polyphenols and antioxidant activity. Zone of inhibition (in mm), MIC and MBC were measured to assess the antimicrobial activity against different pathogens like Escherichia coli, Staphylococcus aureus, Staphylococcus epidermidis, Bacillus subtilis, Bacillus cereus, Pseudomonas aeruginosa, Streptococcus pyogensis etc. Spices and herbs can be used as potent and safe Ayurvedic drug along with their use in cooking and seasoning different foods.
Utharavasthi In Females-A Survey among Ayurveda Doctors of Kerala
Authors: P Meghna , N Vijayakumar , Sreedhar Asha
Published: February 2023

Utharavasthi procedure (Urinary/genital route of medicine administration) in females is least explained, compared to other procedures in the classical text books of Ayurveda. Acharyas have mentioned utharavasthi among vasthikarma, but elaborate description is not available. There are differences in opinion among Acharyas and among the doctors regarding the dosage, type and the method of administration of utharavasthi.
Aim
To find out the variations in the practice of utharavasthi in female patients by Ayurveda doctors in Kerala.
Materials and methods
A cross sectional survey was conducted among the Ayurveda doctors of Kerala who practice utharavasthi in female patients. The data regarding utharavasthi was collected with a pre tested questionnaire through direct face to face interview from 34 doctors .The data collected were sorted out and analyzed using appropriate statistical methods.
Results
Majority (47.1%) of the doctors practicing utharavasthi practiced all the three methods, intra vaginal, intracervical and intrauterine methods. There were variations in the choice of instruments, dosage, time and method of administration. Only a minor group of doctors (23.5%) practiced mootramarga utharavasthi in females. 44.1% of the respondents consider utharavasthi as a necessary treatment procedure in gynecology practice.
Clinical significance and conclusion
Recording and analyzing the practices of utharavasthi among the eminent doctors across Kerala help to clarify the prevailing confusions regarding the procedure. Getting to know the complications and their remedies is an additional advantage. Moreover, this survey finds out the variations in the practice of utharavasthi procedure throwing light into the unexplained and unaccustomed facts over the subject. This improves the horizon of our knowledge thereby helping the patient to receive better treatment.
Decision-making using laboratory results in chemical pathology and metabolic medicine: A review of decision-making parameters
Authors: Okpara Henry , Ene Asuquo
Published: February 2023

Background/Objective: Laboratory tests are generally used for the purposes of screening, diagnosis and management of diseases. Laboratory test results are useful for making decisions in clinical practice. This is effected by the application of the various decision-making tools.
Method: Salient articles bordering on decision-making using laboratory results in clinical biochemistry/chemical pathology were searched for using Google search engine. Relevant local and international journals were reviewed.
Result: Decision-making using laboratory results involve the application of the following tools: reference intervals, critical values, diagnostic cut-off
values, therapeutic window limits, diagnostic criteria, algorithms and clinical practice guidelines.
Conclusion: The use of the decision-making tools singly or in combination
aids the processes of disease diagnosis and management
Unexpected cause of hepatomegaly
Authors: es Juliana , Marques Rita , Fideles Rita , Antunes In , Costa Ana
Published: February 2023

None
Caseous calcification of the mitral annulus
Authors: es Juliana , Marques Rita , Coelho Marina , Antunes In , Costa Ana
Published: February 2023

None
Incidental Breast Cancer after Reduction Mammoplasty, a Case Report.
Authors: Ferreira Alexandra , Ferreira Pedro , Rosenfeld Rodrigo , Junior Arymar , Branco Luis , Rigueira Manuel , Cortez Luis
Published: February 2023

Reduction mammoplasty is one of the most common plastic surgeries performed around the world. Incidental breast cancer found in the reduction specimen is rare and its management is challenging. Preoperative assessment is crucial in identifying risk factors that increase the likelihood of breast cancer and that require further investigation. Mammography remains the most practical and cost-effective method for preoperative breast cancer screening but some tumors are occult. Marking the orientation of the reduction mammoplasty specimen is extremely important to allow the evaluation and guarantee adequate margins. Sentinel node biopsy is possible after reduction mammoplasty.
This case report is about a 49-year-old woman with no risk factors for breast cancer who underwent bilateral reduction mammoplasty for macromastia which revealed an incidental breast tumor. The patient had preoperative mammography and breast ultrasound which did not show any suspicious lesions. She was referred to our Hospital for further evaluation by a multidisciplinary team. After breast MRI without alterations and a negative right axillary sentinel node biopsy, hormone therapy and radiotherapy were started.
Incidental breast cancer found in the reduction specimen is rare but its management is challenging therefore surgeons should be aware to this issue. This clinical report intends to alert to this diagnosis and review the literature on this topic.
Assessment of knowledge, attitude, and practices toward pharmacovigilance among under graduate medical students of a tertiary care teaching hospital of central India
Authors: Tiwari Ashutosh , More Sapna , Mishra Pooja , Sharma Ankit , Hetawal Pallav , Patel Sudha
Published: February 2023

Background: Pharmacovigilance is the science and activities relating to the detection, assessment, understanding, and prevention of adverse effects or any other possible drug-related problems. Adverse drug reaction (ADR) is global problem. It affects majority of population causing morbidity and mortality.

Aims and Objectives: The present study was conducted to evaluate undergraduate student’s knowledge, attitudes, and practices (KAP) about pharmacovigilance and ADR reporting.

Materials and Methods: KAP-based questionnaire was shared among undergraduate medical students using Microsoft forms to assess the information about knowledge, KAP of pharmacovigilance. The KAP questionnaire was analyzed question-by-question, and the percentage values were calculated with the help of Microsoft Excel software.

Results: In our study, 238 under graduate responded to questionnaire, and 80.25% of the total participants defined pharmacovigilance up to the mark, 75.63% were aware of the purpose of pharmacovigilance. Majority of the students (92.02%) knew that which ADRs should be reported. However, most of them did not have any idea of number of days within which serious adverse event in India should report. About 94.12% students agreed that reporting of ADR is necessary and 97.06% of them thought that pharmacovigilance reporting should be made compulsory. Among the respondents, 25.21% had come across ADR in their ward postings, 64.29% under graduate were not trained on reporting ADR, and only 11.34% ever reported ADRs from.

Conclusion: From this study, it was clear that undergraduate medical students have good knowledge, positive attitude but lack of practice toward pharmacovigilance.
Correlation of vitamin D and bone mineral density in diabetic patients with chronic renal disease: A single institute study
Authors: Kumar Munesh , Yadav Mahesh , Tak Harsh , Meena Deepa , Daga Dhiraj
Published: February 2023

Background: Diabetes metabolic dysregulation directly or indirectly affects almost all the organs of the body, including renal system, bone mass, and its metabolism. Bone composition and metabolism related to minerals start to change with the onset of chronic kidney disease (CKD). Osteoporosis oftenly coexists with CKD mineral and bone disorder, which is the most common metabolic bone disease resulting in fragility fractures. To design a treatment plan and prevent complications in patients of CKD with low bone mineral density (BMD), understanding the pathophysiology of these two bone disorders is necessary.

Aims and Objectives: The aim is to study the BMD and vitamin D in diabetic patients suffering from CKD and to compare the BMDs among patients with the chronicity of disease.

Materials and Methods: A case–control study was conducted to study the BMD and vitamin D levels among diabetic patients with CKD attending the Medicine and Nephrology Outdoor at M.D.M. Hospital, Jodhpur India. Vitamin D estimation was done by chemiluminescence immunoassay and BMD measured by DEXA scan at lumbar spine L4–L5 for both case and control groups.

Results: Incidence of low BMD and low vitamin D levels is very high in patients suffering from CKD, but it is more profound in patients suffering from diabetes. Majority of them were male and more from rural area. Mean age of patients was 50 ± 8.75 years. Overall 63.34% of CKD patients had low vitamin D level, 36.67% had osteopenia, and 36.67% had osteoporosis. Similarly, 51.62% diabetic patients had osteoporosis, 38.7% had osteopenia, and 83.86% had low vitamin D.

Conclusion: Correlation of vitamin D deficiency with low BMD was statistically highly significant in patients of diabetes with CKD. Early intervention in diabetes patients to prevent low BMD and vitamin D supplements can decrease the complications of low BMD and low vitamin D.
Perceptions and practices of self-medication among interns at Shadan Institute of Medical Sciences, Hyderabad, India
Authors: Begum Naseem , Butul Maleha , Dulam Sampath
Published: February 2023

Background: Self-medication, as defined by the World Health Organization (WHO), is the use of medicinal products to treat self-diagnosed disorders or symptoms. Medical students have knowledge about diseases and drugs through textbooks and clinical exposure and self-medication is a common practice among them.

Aim and Objective: This study was conducted to explore the perceptions and practices of self-medication among interns at Shadan Institute of Medical Sciences (SIMS), Hyderabad, and to make them aware about the consequences of self-medication in the form of adverse drug reactions, drug interactions, drug dependence, and abuse.

Materials and Methods: A questionnaire-based and cross-sectional analysis of interns at SIMS. Hyderabad, India, was performed between June 2022 and August 2022. One hundred and twenty-six students were given a questionnaire about perceptions and practices of self-medication. Analysis of Data was done and data were processed as counts and percentages.

Results: Self-medication was practiced among (76%) of students and it was significantly higher in females (68.6%) than in males (31.4%). Headache was the most frequent symptom that lead to self-medication and was seen in (90%). This was followed by cold and cough as reported by (81%) of students. Self-medication with analgesics was reported in (90%) of students, followed by antipyretics (67%) of students and later antibiotics by (62%) of students.

Conclusions: This study showed that self-medication was widely practiced among interns at SIMS. Analgesics and antipyretics are the most popular drugs among all the drugs used for self-medication. There is a need to educate the interns and also the medical students, who are the future practicing doctors about the pros and cons of self-medication.
edad en las Comunidades religiosas
Authors: Campos y Fernámdez de Sevilla Francisco Javier
Published: February 2023

En el presente trabajo se analiza la vida religiosa y comunitaria de varias órdenes religiosas masculinas en España -panorama similar al de Europa-, en relación a la situación general de sus miembros: comunidades, número y edad de los religiosos. Y queda abierta la reflexión ante el futuro inmediato.
De momento una cuestión urgente es pensar qué hacer con los religiosos mayores -autónomos físicamente o los que necesitan ayuda-, no sólo desde el punto de vista de la atención personal, sino también mental y espiritual. Son religiosos mayores y personas con buena formación. Olvidar o desequilibrar estos dos factores a la hora de planificar una solución adecuada creemos que es desenfocar la imagen de la realidad, y la solución del problema.
Honrando al Libertador Simón Bolívar:
Authors: Flórez Dávila Gloria Cristina
Published: February 2023

Hemos considerado el período final de la “descomposición del poderío hispánico” en el Perú, es decir, los años marcados por la presencia del Libertador Bolívar en la naciente república peruana. Nos ha interesado ampliar nuestros anteriores trabajos interesados en la oratoria de una etapa fundamental de nuestra historia y de gran importancia para conocer la situación política como la vida cotidiana y las mentalidades que permiten comprender mejor sus proyecciones hasta mediados del siglo XIX.
Conmemoramos el bicentenario del primer Código Penal español de 1822, de la vida real discutida, y con ello la regulación: “De los que rehúsan al Estado los servicios que le deben”. Exégesis del embrión de los delitos contra la hacienda pública.
Authors: Bonell Colmenero Ramón
Published: February 2023

El objeto de análisis es la incipiente regulación del delito de los que rehúsan al estado los servicios que le deben, incluyéndolo en el Código Penal de 1822. Para llevarlo a cabo se tiene en cuenta las circunstancias que provocan esta regulación, analizando el impacto en el contexto de su época. Intentando optimizar la recaudación para poder cubrir la necesidad de obtener los fondos necesarios de la administración pública de entonces. En España se produjo una profunda transformación política que posibilitó la modernización de nuestro país, su entrada en el mundo contemporáneo. Tengamos en cuenta que durante este siglo se pasó de una monarquía absolutista, sin libertades, a un régimen parlamentario y liberal. El cambio de régimen no fue sencillo, sino que constituyó un largo proceso de promulgación y anulación de textos constitucionales, conspiraciones, pronunciamientos militares, con frecuentes enfrentamientos armados entre partidarios de distintas ideas.
Cultural Adoption Through Advertisements: International and Indian Scenarios
Authors: Chattopadhyay Aaratrika , Ali Sk Suhan , Chakraborty Satyarup , Acharjee Sonali , Roy Ankit , Pal Sayak
Published: February 2023

Advertising has always been used as a mass media tool to reach out to heterogeneous consumers with their varied choices. Cross-cultural advertising research on the other hand includes the branch of advertising research that explores the issues or contents related to advertisements across cultures. When it comes to cultural depiction through advertisements, most of the advertisements take refuge in the celebration that signifies and glories the culture to a mass number of people. The study has taken audio-video commercials from several brands from both international and Indian perspectives to understand the cultural depiction that has been portrayed through the ad content. Those commercials were also been screened during focus group discussions to understand the perception of the viewers on the cultural differences displayed through the advertisements from the same brands but with different cultural perspectives. The understanding of culture for people turned out to be highlighting three major key areas ‘belief’, ‘passed on for generation’, and ‘action’ that represents culture. The participants of focused group discussions also suggest factors like ‘the depiction is less realistic’, ‘less practical’, ‘missing essence’ etc., while incorporating these could finally mend the gap between the expectation from the audience and portrayals of the message through advertisement
A Theological-Ethical Study of Church Against Corruption
Authors: Gule Yosefo
Published: February 2023

In this paper, the author conducted a theological-ethical study of the Church's role against corruption. The research method in this article uses a descriptive qualitative study method with a library research approach. The practice of corruption is an act that is contrary to the will and character of God. If the behavior of corruption is not resisted, then corruption seems to be a natural act and is no longer seen as an act of crime and sin. The Church, as a religious institution, is also responsible for fighting corruption in Indonesia and providing a formula that can support minimizing corruption that occurs in the life of the nation, society, and Church. The Church plays an essential role in fighting corruption as an agent of change to raise awareness in the community that corruption is a sin and an act against God's will. The role of the Church is significant in fighting corruption by strengthening the sanction mechanism in church administration, supporting anti-corruption programs in the Church, and minimizing the inclusion of a hedonic lifestyle in the lives of church members. It is hoped that through internal control measures in the Church, corruption can be minimized amid the Church and public life in general.