bluuebunny/crossref_metadata_2025 huggingface dataset:
Aplikasi Simulasi Cost Production Produk Cetak pada CV Berkah Mandiri Grafika Berbasis Android
Authors: Aggry Saputra  , Purwaningsih Aryuni
Published: November 2023

Perkembangan aplikasi mobile saat ini sangat diminati masyarakat luas dan akhirnya memberikan dampak pada berbagai bidang kehidupan kita. Salah satunya adalah di bidang bisnis. Aplikasi yang digunakan oleh CV Berkah Mandiri Grafika dalam menentukan harga suatu produk cetak banyak hal yang harus diperhitungkan salah satunya biaya produksi atau cost production. Berdasarkan hasil observasi dan wawancara dengan pemilik CV Berkah Mandiri Grafika adalah dalam pengaplikasikannya berbasis desktop tentu hal ini akan terjadi permasalahan baik dari segi efesiensi waktu dan pelayanan. Berdasarkan permasalahan yang ada, penulis melakukan analisa dan membuat perancangan aplikasi simulasi cost production produk cetak pada CV Berkah Mandiri Grafika berbasis android agar mempermudah baik pemilik dan admin penjualan dalam melakukan transaksi pada konsumen, metodelogi yang digunakan untuk perkembangan perangkat lunak menggunakan metode waterfall dan pengembangan sistem menggunakan UML (Unified Modelling Language) dalam pemodelan sistemnya sedangkan bahasa yang digunakan untuk perkembangan sistemnya menggunakan Laravel PHP. Sedangkan untuk membuat program CV Berkah Mandiri Grafika menggunakan Android Studio. Dengan dibangunnya aplikasi tersebut dapat meningkatkan efisiensi waktu dan efektifitas serta dapat meningkatkan produktifitas dalam melaksanakan pekerjaan terutama dalam meningkatkan pelayanan terhadap pelanggan.
The Shifting Landscape of p53abn Endometrial Cancers: A Review of the Prognostic and Predictive Impact and Current Therapeutic Directions
Authors:   1 Medical Oncology Department, Oncohelp Clinic, Timișoara, România, Anater Angelo
Published: November 2023

The major stepping stone laid towards the identification of high-risk endometrial cancers was made by the Cancer Genome Atlas in 2013 when the four distinct molecular subtypes were initially described. This improved risk stratification for women with endometrial cancer and ignited a major interest which led to further research on the prognostic and predictive value of molecular subtyping. Through the elaboration of ProMisE, molecular risk assignment using surrogate markers became practical and accessible to most pathology laboratories. The p53abn molecular subtype of endometrial cancer is responsible for the worst outcomes. This review aims to provide an in-depth understanding of the characteristics of these aggressive ECs, summarizing up-to-date literature regarding the prognostic and predictive implications, as well as present and future treatment directions.
The Coincidence of Aspergillus and Primary Lung Adenocarcinoma. A Case Report and Literature Review
Authors:   Department of Paediatrics, Marie Sklodowska Curie Emergency Hospital for Children, Bucharest, Romania, Lazăr Miruna-Ioana , Stanciu Ioana-Miruna ,   Department of Paediatrics, Marie Sklodowska Curie Emergency Hospital for Children, Bucharest, Romania, Ciuciureanu Claudiu Mihai ,   University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania, Olaru Cristina-Mihaela ,   Department of Paediatrics, Marie Sklodowska Curie Emergency Hospital for Children, Bucharest, Romania, Nițipir Cornelia ,   Department of Oncology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Published: November 2023

"Although infrequent, lung cancer can be disguised by the synchronous presence of a fungal infection, most notably by the Aspergillus species. Some cases of incidental adenocarcinoma diagnosed during surgical treatment of pulmonary aspergillosis have been reported, showing just how these fungi can hide more serious, underlying pathology. This review aims to raise awareness about this occurrence to accelerate the correct etiological diagnosis, establish a timely oncological treatment, and improve the overall morbidity and mortality in lung cancer patients. In addition, we present a rather alluring case of concurrent adenocarcinoma and Aspergillus infection to display how these two entities can appear together."
Determinação de mercúrio e metilmercúrio em amostras de cabelo e peixes
Authors: Farias Luciana Aparecida , Fávaro Déborah Inês Teixeira , Vasconcellos Marina Beatriz Agostini
Published: November 2023

A Espectrometria de Absorção Atômica com Geração de Vapor Frio (CVAAS) está entre os métodos mais utilizados atualmente para a determinação de mercúrio (Hg) e metilmercúrio (MeHg) em materiais biológicos devido a vantagens, tais como: facilidade de operação, rápida resposta analítica, boa sensibilidade e baixo custo. Neste estudo apresentam-se os resultados obtidos no programa de intercomparação da Agência Internac ional de Energia Atômica (IAEA) o World-Wide Intercomparison Exercise for the Determination of Trace Elements and Methylmercury in Tuna Fish Flesh Homogenate (IAEA-436), realizado no período de outubro de 2004 a julho de 2005. A precisão e a exatidão do método para determinação de Hg e MeHg foram verificadas por meio da análise de materiais de referência com valores certificados para ambos. Os resultados obtidos apresentaram boa precisão e exatidão, com desvio padrão relativo de 2,2 a 10 % e erro relativo, de 0,4 a 12% para MeHg e desvio padrão relativo de 2,6 a 11,7% e erro relativo, de 0,9 a 3,11%, para Hg. O método apresentado mostrou-se adequado para determinação de baixos níveis destes contaminantes em amostras de cabelo e peixe e pode ser usado em estudos relacionados aos efeitos do Hg e suas espécies na saúde do ser humano.
Proteção solar, uma questão de saúde pública: avaliação das informações contidas nos rótulos dos protetores solares mais comercializados no Brasil
Authors: Doria Sônia Ribeiro , Alves Eloisa Nunes , Menezes Kátia Mirian Peixoto , Tomassini Therezinha Coelho Barbosa
Published: November 2023

As informações contidas nos rótulos dos protetores solares são fundamentais para a eficácia, segurança e para o controle da qualidade desses produtos. O presente estudo teve como objetivos verificar se as informações contidas nos rótulos dos protetores solares estão de acordo com as normas vigente e avaliar se elas orientam adequadamente o consumidor quanto à escolha e uso do produto para a efetiva proteção. Utilizando como instrumento de coleta de dados o roteiro de inspeção, elaborado e empregado pelo Instituto Nacional de Controle da Qualidade em Saúde para análise de rótulos desses produtos, foram verificadas as informações imprescindíveis e por meio de uma análise crítica, consideradas se as mesmas eram suficientemente explícitas e adequadas. O estudo demonstrou que 76% dos produtos analisados não cumpriam os requisitos técnicos estabelecidos pelas normas, deixando de apresentar informações importantes relativas à fabricação, modo e restrições de uso, frases de advertências, indicações específicas do produto e cuidados a serem observados quando de sua utilização. Os dizeres contidos nos rótulos não eram sufi cientes e nem adequados para orientar o consumidor de modo a obter a proteção solar necessária. Os rótulos dos protetores solares necessitam com urgência de uma revisão criteriosa. A omissão dos requisitos técnicos estabelecidos, além de constituir infração sanitária, acarreta prejuízo para as ações correspondentes de vigilância.
Ação ovicida do fungo Pochonia chlamydosporia sobre ovos de Enterobius vermicularis
Authors: Braga Fabio Ribeiro , Silva André Ricardo e , Araujo Juliana Milani , Ferreira Sebastião Rodrigo , Araújo Jackson Victor de , Frassy Luiza Neme
Published: November 2023

A capacidade ovicida de dois isolados do fungo nematófago Pochonia chlamydosporia (VC1 e VC4) sobre ovos de Enterobius vermicularis foram analisadas e comparadas em meio agar–água 2% (AA2%). Os ovos de E. vermicularis foram vertidos para placas de Petri com AA2% contendo os isolados fúngicos crescidos ,e em placas de Petri sem fungo como controle. Ao completarem  5 e 10 dias de incubação, cem ovos foram removidos e classificados de acordo com os seguintes parâmetros: efeito do tipo 1, efeito fisiológico e bioquímico sem prejuízo morfológico à casca do ovo; efeito do tipo 2, efeito lítico com alteração morfológica da casca e embrião; e efeito do tipo 3, efeito lítico com alteração morfológica do embrião e da casca, além de penetração de hifas e colonização interna do ovo. Os isolados fúngicos eficientes na destruição de ovos de E. vermicularis, apresentando o efeito do tipo 3 nos 5 e 10 dias de interação (p>0,01). Foi demonstrada a propriedade dos isolados de P. chlamydosporia (VC1 e VC4) em atuar de forma negativa sobre os ovos de E. vermicularis e, portanto, ser considerado um potencial candidato como produto a ser utilizado no controle biológico desse nematóide.
Teores de iodo em sal fortificado para o consumo humano
Authors: Santos Sabrina Maria dos , Mazon Elaine Marra de Azevedo , Freitas Valéria Pereira da Silva
Published: November 2023

No Brasil, como em muitos países, é obrigatória a fortificação de sal de cozinha com iodo a fim de evitar graves distúrbios de saúde causados pela deficiência de iodo no organismo. A Resolução RDC nº 130 (26/5/2003) estabelece que o sal adequado para o consumo humano deve conter entre 20 e 60 miligramas de iodo para cada quilograma de produto. Distúrbios de deficiência de iodo (DDI) podem ser causados pela carência ou pelo excesso de iodo. Neste trabalho foram avaliados os teores de iodo em 31 amostras de sal coletadas em estabelecimentos comerciais da região de Campinas-SP. A determinação do teor de iodo foi efetuada em triplicata aplicando-se a titulação iodométrica no Centro de Laboratório Regional – Instituto Adolfo Lutz de Campinas III. Do total de amostras, 10% estavam não conformes com a legislação vigente. No entanto, foi observada melhora gradativa no procedimento de iodação do sal no período estudado, uma vez que houve diminuição da porcentagem de amostras não conformes em relação aos dados anteriores: 20% em 2008; 11% em 2009 e 0% em 2010. A variação dos teores de iodo nas amostras de sal foi evidenciada em produtos de mesma marca e de lotes diferentes
Avaliação da qualidade microbiológica no processamento de pescados
Authors: Sousa Consuelo Lima , Freitas José de Arimatéia , Lourenço Lúcia de Fátima Henriques , Araujo Eder Augusto Furtado , Souza Jesus Nazareno Silva de
Published: November 2023

Foram avaliadas as condições higiênico-sanitárias de uma indústria de processamento de pescados,analisando-se 170 amostras de superfícies (equipamentos, utensílios e luvas), coletadas por meio de swabem dois períodos do dia (no início da manhã e da tarde). Em cada período foram coletadas cinco repetiçõesde amostras em dias diferentes. Foram realizadas contagens de mesófilos aeróbios e de coliformes totais; e apresença ou ausência de coliformes termotolerantes foi posteriormente confirmada. A contagem média demesófilos aeróbios variou entre amostras de superfícies, e a maioria mostrou diferença significativa (p<0,05)entre o período e dia de coleta. Das amostras coletadas de equipamentos e utensílios, 42% apresentaramresultados não conformes segundo a recomendação da OPAS de 1,70 log UFC/cm2 para mesófilos aeróbiose ausência de coliformes a 45°C. Das amostras não conformes, corresponderam àquelas coletadas no turnoda tarde. As contagens de mesófilos aeróbios variaram de 3,3 a 6,8 log UFC/amostra de luva, com diferençasignificativa (p<0,05) entre os dois períodos de coleta; e coliformes totais variaram de 2,6 a 3,8 log UFC/luva.A ausência de higienização adequada detectada no ambiente de processamento de pescado indica que ela sejaresultante da incorreta aplicação dos Procedimentos-Padrão de Higiene Operacional.
Teores de β-caroteno e vitamina C durante o amadurecimento da manga “UBÁ” (Mangifera indica L. var. Ubá)
Authors: Mata Gardênia Márcia Silva Campos , Oliveira Daniela da Silva , Della Lucia Ceres Mattos , Campos Flávia Milagres , Queiroz José Humberto de , Pinheiro-Santana Helena Maria
Published: November 2023

A manga Ubá é uma fruta de custo reduzido, amplamente cultivada na Zona da Mata Mineira e muito apreciada pelos consumidores. Com o objetivo de avaliar o conteúdo de antioxidantes naturais ao longo do amadurecimento da fruta, este trabalho quantificou o conteúdo de β-caroteno e vitamina C total (ácido ascórbico-AA e ácido desidroascórbico-ADA) na fruta in natura em três estádios de maturação: verde, parcialmente madura e madura. As análises foram feitas por Cromatografia Líquida de Alta Eficiência (CLAE). O conteúdo médio de β-caroteno foi maior na manga madura, seguido pela manga parcialmente madura e manga verde. Para AA e vitamina C total, ao contrário, observou-se maior conteúdo na manga verde, seguido pela fruta parcialmente madura e menor conteúdo na manga verde.
Características físico-químicas e sensoriais de pão de forma enriquecido com concentrado proteico de soro de leite e carbonato de cálcio
Authors: Oliveira Naára Medeiros Araújo Lima , Maciel Janeeyre Ferreira , Lima Adriana de Sousa , Salvino Érica Menezes , Maciel Carine Ellen Pinto , Oliveira Diva Priscilla Menezes Nery de , Farias Larissa Raphaela Gonçalves de
Published: November 2023

Neste estudo foi produzida uma nova formulação de pão de forma, com adição de concentrado proteico de soro de leite (CPS) e carbonato de cálcio, em concentrações que resultassem em produto final rico em cálcio, considerando-se que a média nacional de ingestão desse mineral encontra-se bem abaixo do recomendado. Foram elaboradas quatro formulações de pães de forma. As amostras de massa fresca e os produtos prontos foram submetidos às análises de pH e acidez. O volume específico foi realizado somente nos produtos prontos. Todas as amostras de pães foram avaliadas quanto à aceitação, e o teor de cálcio foi determinado nas formulações F1, F2 e F3. A composição química foi determinada nos pães selecionados na etapa sensorial e com teor mínimo de cálcio de 300 mg/100 g de pão. Todos os produtos foram aceitos, obtendo-se escores médios acima de 6,0 (“gostei ligeiramente”). A formulação F2 mostrou melhor aceitação quanto aos atributos sabor, maciez e aparência e teor de cálcio de 697 mg/100 g de pão. O uso de 7,5% de CPS permitiu obter um produto fonte de proteínas, e a complementação de 2% de carbonato de cálcio elevou o teor desse mineral a aproximadamente 70% da IDR de adultos, tornando o alimento rico em cálcio.
Comportamento do consumidor em relação ao uso da linhaça na alimentação
Authors: Dantas Maria Inês de Souza , Conceição Lisiane Lopes da , Arruda Aline Cristina , Sperandio Naiara , Lelis Juliana Fernandes , Martino Hércia Stampini Duarte
Published: November 2023

O comportamento dos consumidores quanto à linhaça foi avaliado por meio de pesquisa descritiva direta e estruturada em 395 consumidores. Neste contexto, foram investigados o perfil dos entrevistados, a inclusão de produtos contendo linhaça na alimentação, o conhecimento sobre os efeitos benéficos na saúde humana e os produtos contendo linhaça que despertariam interesse de consumo. Dos 395 entrevistados, 218 (55,2%) relataram conhecer a linhaça. Quanto aos benefícios na saúde, os mais citados foram a regularização intestinal (n=94, 41,2%) e a redução do colesterol (n=36, 15,8%). Do total dos entrevistados, o iogurte à base de linhaça foi o que despertou maior interesse de compra (n = 52, 13,3%), seguido da barra de cereal (n = 47, 12,1%). Observou-se correlação entre o conhecimento sobre os benefícios da linhaça e o consumo de produtos à base dessa semente, o que mostra a associação do uso da linhaça com a preocupação do consumidor na promoção da saúde e da qualidade de vida. Observou-se também que os participantes que tinham conhecimento sobre a semente, mas que não a consumiam, mostraram interesse em incluir os produtos à base de linhaça na alimentação. Esse fato indica um mercado a ser explorado e a necessidade de maior divulgação dos benefícios da linhaça.
COMPARISON OF ALTERNATIVE PERIPHERAL AND TRANSCATHETER AORTIC VALVE REPLACEMENT : SYSTEMATIC REVIEW
Authors: Sabri Muhammad , Nasution Faisal Syahroni , Namora Siregar Aulia Doli , Sutrisno Reza Tri , Arifin Rambe Zainal , Fadilla Annisa Tria
Published: November 2023

Background: Transcatheter aortic valve replacement (TAVR) is approved for use in low-to-extreme-risk patients with aortic stenosis, with volumes exceeding those of surgical aortic valve replacement and outcomes continuing to improve. The transfemoral (TF) access route is accepted as the first choice for TAVR and accounts for 95 of cases. However, the use of alternative access remains relevant in many patients with peripheral vascular disease or unfavorable anatomy.
The aim: This study aims to show about comparison of alternative peripheral and transcatheter aortic valve replacement.
Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.
Result: In the PubMed database, the results of our search brought up 135 articles, whereas the results of our search on SagePub brought up 118 articles. The results of the search conducted for the last year of 2013 yielded a total 56 articles for PubMed and 33 articles for SagePub. The result from title screening, a total 16 articles for PubMed and 10 articles for SagePub. In the end, we compiled a total of 8 papers. We included five research that met the criteria.
Conclusion: To compare outcomes among transcatheter aortic valve replacement (TAVR) performed via transaortic (TAo) and subclavian (SCL) approaches. Many patients are not amenable for TAVR via the transfemoral route due to peripheral vascular disease. Limited data exist regarding safety and procedural feasibility of TAVR via TAo and SCL routes.
A Model for Healthy and Safe Taekwondo Training
Authors: Asenov Asen
Published: November 2023

Taekwondo is a popular sport with tradition and history. It is characterized by dynamic movements that require strength, speed, endurance, balance, and coordination. Safety is essential for practitioners of taekwondo. It includes injury prevention, adequate crisis response, and prevention of violence, harassment, and aggressive behavior. Coaches play an important role in providing a safe and healthy environment for taekwondo practice. They must have the necessary competencies and implement appropriate prevention measures. This article proposes a model for healthy and safe sports pedagogical practice for taekwondo training. The model includes three main aspects: Prevention of sports injuries: it consists of several measures such as: appropriate equipment, proper warm-up and stretching, gradual increase in workload, individualized approach to athletes, training of coaches for injury prevention; Adequate response to crises: includes an action plan for natural disasters, acts of terrorism and other emergencies; Prevention and adequate intervention of violence, bullying, and aggressive behavior: includes training coaches to recognize and deal with violence, bullying, and aggressive behavior, creating a safe and positive environment for athletes. The model is helpful for taekwondo coaches as it provides practical guidelines to ensure a safe and healthy environment for sports practitioners.
Exploring the Potential of Virtual Reality as Part of the Training of Students in the Self-Defense Elective Course
Authors: Ivanov Vladimir
Published: November 2023

A new teaching method using virtual reality (VR) technology has been introduced into the self-defense training program for future medical professionals at the Medical University of Sofia. This experiment was conducted with students of an elective course in self-defense, using VR smartphone goggles and the online platform CoSpaces Edu for simulation. The research methodology included eleven questions about the potential and effectiveness of using VR in self-defense training. The results showed that most students were familiar with VR technology and thought it could be helpful. However, they reported that they had not yet attended a single workshop using VR technology, indicating limited use in higher education. The advantages of using VR in self-defense training include simulating real-world scenarios in a safe virtual environment, providing personalized training tailored to individual cases, and improving decision-making skills in critical situations. Disadvantages include a lack of specialized content, expensive equipment, and limited accessibility to training. Despite these challenges, many respondents believe that virtual training in a virtual environment is safer and more effective than traditional forms of training.
Online Fitness Training and Cybersecurity: Potential Threats and Prevention
Authors: Zaykova Dilyana , Yordanov Petar
Published: November 2023

In today's digital world, online communication has gained wide popularity as an effective and easy way to maintain the activity of a number of areas of life, including conducting online workouts with fitness instructors. Despite the benefits associated with online training, cybersecurity challenges are inevitably emerging that require serious attention and preventive measures. The aim of the study is to analyze the effectiveness of current online security mechanisms and policies and to identify potential threats related to online training and cybersecurity. The highest efficiency is achieved in protecting users' personal data and preventing hacker attacks. The leading potential threats are phishing attacks, misuse of personal data and malware installation. The most commonly used mechanisms achieve optimal cybersecurity, but continuous online threats require increased attention from users as well. Using strong and unique passwords for all online accounts, updating device software, using two-factor authentication and creating backups will increase the effectiveness of online security.
O impacto da ventilação mecânica na capacidade funcional de indivíduos com injúria cerebral em uma Unidade de Terapia Intensiva
Authors: Kaybers Tais , Gomes Amaral Amanda Ellen , Martins Ferreira Bruna Mayane , Sousa Ferreira Marden Junio , Silva de Almeida Junior Jason , Queiroz de Oliveira Emanuel , Sarmento de Sousa Diego , Melo Maia Gabriel , Rodrigues Nina Monteiro Juan
Published: November 2023

A injúria cerebral aguda trata-se de uma lesão de origem central que, quando encontrada em ambientes de terapia intensiva necessitam de uma neuromonitorização e cuidados adequados para que não haja lesões secundárias a doença em si. Sendo assim o presente estudo tem como objetivo traçar um perfil dos indivíduos com injúria cerebral onde aponta os impactos ligados a ventilação mecânica e capacidade funcional desde a sua admissão até seu desfecho. Metodologicamente trata-se de um estudo descritivo e de caráter quantitativo que se deu por meio de análises de prontuários em um devido corte temporal em indivíduos internados na Unidade de Terapia Intensiva, os critérios inclusos foram indivíduos adultos, com injúria cerebral central e admitidos em ventilação mecânica. Foram analisados 41 prontuários onde o modo ventilatório de admissão foi o controlado a volume (75,6%), o tempo de ventilação total de 02 a 07 dias (48,8%), valores de normocapnia em 48,8%, o tempo de ventilação controlada de 02 a 03 dias (36,6%), extubação em 73,2%, realização de mobilização em 92,7% dos indivíduos e desfecho de alta em 95,1%. Concluindo que cuidados específicos geram resultados significativos no desfecho do indivíduo.
Discordant Beliefs and Conflict Avoidance among Islamic Sects in North-Western Nigeria
Authors: Akinlabi Habeebullah Abdulkabeer , Suhail Abdulsalam
Published: November 2023

This article examined the discordant beliefs among Islamic sects in Northwest Nigeria on the second coming of Prophet ‘Iisa (Jesus), within the context of Hadeeth as a primary source of Islamic law; respecting the companions of Prophet Muhammad (SAW); abiding by the governance of secular political rulers and using Shaykhs (past pious spiritual leaders) as intermediaries to attain spirituality from Allah. It then investigated how each sect reacts when confronted with rivalry or aggression fromanother sect(s). Focus Group Discussions (FGDs) was used to collect data from male and female members of four purposively selected sects in Katsina, Kaduna and Kano States. Findings were analysed using thematic, narrative and textual explication approaches. Findings indicate that discordant beliefs within the context of believing in the second coming of Prophet ‘Iisa (Jesus), using Hadeeth as an Islamic source of legislation, respecting the Prophet’s companions, and abiding by secular leaders’ rules exist among the sects. While some of the discordant beliefs among them led to verbal insults and confrontations, some were managed and handled with calmness, wisdom and avoidance of potential conflicts, thereby averting any potential combative/physical intra-religious and inter-sectarian violent conflicts that may arise from discordant beliefs among the sects. The study concludes that although there were discordant beliefs among the four Islamic sects, they were able to manage their discordance through strategic conflict avoidance techniques. Therefore, we recommend that members of different Islamic sects in Northwest Nigeria find time to enroll themselves in formal education where they can seek knowledge for self-development and intellectual growth instead of relying only on the interpretations of their leaders on religious matters.
DEVELOPMENT OF CONTEXTUAL TEACHING LEARNING (CTL) LEARNING MODEL BASED ON BLENDED LEARNING PPKn LEARNING IN CLASS IV SDN 060901 MEDAN POLONIA
Authors: Purba Eliana , Saragi Daulat , Matondang Zulkifli
Published: November 2023

This study aims to: (1) look at the CTL learning model based on Blended Learning in PPKn learning in class IV SDN 060901 Medan Polonia in the form of CTL Model Syntax based on Blended Learning, RPP in accordance with the CTL model based on Blended Learning, PPT learning media, LKPD and Learning Outcomes Test. (2) Testing the effectiveness of the CTL model based on Blended Learning PPKn learning in class IV SDN 060901 Medan Polonia. This type of research is development research using the ADDIE model, namely Analyze, Design, Development, Implementation, and Evaluation. The subjects of this study were fourth grade students at SDN 060901 Medan Polonia for the 2021/2022 academic year which opened 30 students. 1) The Feasibility Instruments used are the results of the questionnaire expert validation of the CTL learning model based on Blended Learning by 80%, the validation of the learning media experts by 93%, the RPP expert validation by 93%, the LKPD expert validation by 94% and the Learning Outcomes Test conducted by the results of the validation of N = 30 students, the r table value shows the number 0.361, the results of the reliability of the questions are 0.844 and the results of the teacher's response are 91.6% and the results of student responses are 96%. With these results the CTL model based on Blended Learning PPKn learning in class IV SDN 060901 Medan Polonia is said to be "Very Appropriate" to be used in learning. 2) The effectiveness of the instrument was carried out with a pretest and posttest test with a gain score of 0.76, so it can be said that the CTL learning model based on Blended Learning PPKn learning in class IV SDN 060901 Medan Polonia is "Effective".
ANALYSIS OF THE NEEDS FOR DIGITAL-BASED DIGITAL-BASED TEACHING MODULES INTEGRATED HIGH LEVEL THINKING SKILLS
Authors: Mardhatillah Mardhatillah , Al Fuad Zaki , Helminsyah Helminsyah , Musdiani Musdiani
Published: November 2023

This study aims to analyze the development needs of the development of digitally integrated KBAT-based thematic elementary school teaching modules. The research was conducted using a survey method at 9 (nine) elementary schools in Aceh Besar and Banda Aceh districts. The research subjects were 18 classroom teachers who taught thematic learning. The objects studied were the responses of school principals and teachers to the development of KBAT integrated digital-based elementary thematic teaching module development, the tendency of teachers to apply thematic models in school learning, student reasoning, and student character. Data were collected by interviews, questionnaires, observations, and tests. Data were analyzed descriptively. The results of the analysis show that (1) school principals have not provided guidance on developing thematic models, so they support development efforts.
IMPROVEMENT OF CRITICAL THINKING ABILITY AND LEARNING INTEREST MATHEMATICS USING MODELS PROBL EM BASED LEARNING ON STUDENT CLASS V SD IT NURUL ILMI PADANG SIDEMPUAN
Authors: Siregar Parkumpulan , Armanto Armanto , Matondang Zulkifli
Published: November 2023

The purpose of this research is to improve students' critical thinking skills and interest in learning mathematics Class V SD IT Nurul Ilmi Padang Sidempuan . Using the Problem learning model based Learning can improve critical thinking skills and interest in learning mathematics. Improvement from pre cycle, cycle I, and cycle II based on the criteria of critical thinking and completeness of interest in learning. Obtained increased student learning interest, the acquisition of the average grade of the student class increase that is on pre cycle is 51.5 , on cycle I increase become 71 , 2 and in cycle II it increased again to 77.5 during the pre-cycle 13 students ( 21.6 %) who completed, in cycle I became 29 students ( 48.3 %) who completed, and on cycle II Also happen enhancement become 46 student (7 6 ,7%) Which complete. Meanwhile, students who had not completed the pre-cycle were 47 students ( 7.8.3 %) did not complete, in cycle I decreased to 31 students ( 51.6 %) who did not complete, And on cycle II Also experience decline become 15 student (2 3 , 3 %) Which No complete. Whereas For ability think critical student show that level students' critical thinking abilities can be seen starting from the pre-cycle and cycle I reached 2 students or 1 6,7 %, whereas enhancement from cycle I And cycle II reach 9 student or 31.6 %. On level currently obtained enhancement from pre cycle And cycle I as much as 7 person or 31.6 %, whereas from cycle I And cycle II experience an increase of 7 (43,3%).
La vida en las escuelas una introducción a la pedagogía crítica en los fundamentos de la educación Peter Mclaren
Authors: Solís-Narváez Norling Sabel
Published: November 2023

El libro “La vida en las escuelas” de Peter McLaren es una introducción a la pedagogía crítica, que tiene como objetivo analizar el sistema educativo y cuestionar su efectividad en la formación de ciudadanos críticos y comprometidos con la justicia social. McLaren argumenta que las escuelas no solo transmiten cono- cimientos, sino también valores y normas culturales, por lo que es importante analizar la función política y social de la educación. La pedagogía crítica busca promover la conciencia crítica y la acción transformadora en los estudiantes, fomentando su participación en la construcción de una sociedad más justa y equitativa. El autor examina diversos temas relacionados con la educación, como la estructura jerárquica de las escuelas, la reproducción de la desigualdad social, la influencia de los medios de comunicación en la formación de valores y actitudes, y la importancia de la educación en la construcción de identidades culturales. McLaren también discute la importancia de la pedagogía crítica en la formación de docentes comprometidos con la justicia social, y ofrece estrategias pedagógicas concretas para fomentar el pensamiento crítico y la acción transformadora en el aula. En resumen, “La vida en las escuelas” es un libro esencial para comprender la importancia de la pedagogía crítica en la formación de ciudadanos críticos y comprometidos con la justicia social. El autor proporciona un análisis profundo y reflexivo del sistema educativo y ofrece herramientas pedagógicas concretas para promover la conciencia crítica y la acción transformadora en el aula.
A Comparative Efficacy of Antidepressants in the Treatment of Major Depressive Disorder: A Systematic Review and Meta-Analysis
Authors: Naher Sarah
Published: November 2023

Major Depressive Disorder (MDD) affects about 280, 000, 000 people globally, with a higher incidence among females than males. The increasing incidence implicates health burdens and clinical dilemmas regarding the low efficacy of the existing antidepressants. A literature search was performed on electronic databases, PubMed, the Cochrane Library of Randomized Trials, Scopus, and ProQuest, for studies reporting the efficacy of an SNRI (Desvenlafaxine 50 mg/d), a serotonin modulator (Vortioxetine 10-20 mg/d), and an aminoketone antidepressant (Bupropion). Study selection focused on randomized controlled trials (RCTs) and observational studies. All statistical analyses and visualization were performed using the Review Manager (RevMan) software and Python programming. The random effects model, ANOVA test, and Cohen’s d were used for statistical analyses. The present meta-analysis involved 17 studies, including 11, 533 participants. The results aligned with previous studies and accounts provided by literature regarding the efficacy of antidepressants used to manage MDD. Five studies, including 2, 377 MDD patients, reported a statistically significant outcome, that Desvenlafaxine 50 mg/d reduced MDD’s severity than placebo (OR: 0.52, 95% CI [0.44, 0.62], P < 0.00001, I2 = 0%). Three studies involving 742 MDD patients reported the efficacy of dextromethorphan-bupropion (AXS-50). The reduction of MADRS scores in the treatment group was statistically insignificant, with high variability, favouring the placebo (OR of 1.85 [95% CI: 0.93, 3.70], p = 0.08, I2 = 79%). Additionally, Vortioxetine 10-20 mg/d produced adverse effects, headache, vomiting, nausea, diarrhea, dizziness, nasopharyngitis, somnolence, and suicidal ideation among 6, 669 MDD patients reported by the 9 studies. The finding was statistically significant but with a high variability OR: 15.25, 95% CI [12.55, 18.52], P < 0.00001, I2 = 98%). A preliminary analysis of evidence collected following Desvenlafaxine, AXS-50, and Vortioxetine administration yielded compelling evidence on the efficacy of antidepressants in MDD treatment. Desvenlafaxine and AXS-50 reported reduced severity and symptomatology in MDD, respectively. On the other hand, Vortioxetine implicated adverse effects, which are common with most antidepressants. Despite adverse effects like headache, vomiting, nausea, diarrhea, dizziness, nasopharyngitis, somnolence, and suicidal ideation, antidepressants used to treat MDD yield clinically satisfying outcomes like decreased severity of depression and relief from symptoms. Clinicians should monitor patients to take care of any adverse effects resulting from the treatments. Keywords: Antidepressant efficacy, adverse effects, major depressive disorder, MDD symptomatology, severity, improved outcomes.
The WHO call for urgent action to advance health equity, set in the context of the UN Convention on the Rights of Persons with Disabilities and the UK Equality Act
Authors: Tyerman Andy
Published: November 2023

The World Health Organization’s (WHO) call for urgent action to reduce health inequities for persons with disability is set in the context of the Convention on the Rights of Persons with Disabilities, the UK Equality Act, professional obligations and reports of discrimination in clinical psychology practice. Suggestions for immediate professional action are outlined.
A New Species of Textilia from the Marquesas Island
Authors: Lum David
Published: November 2023

This paper describes a new Conidae species, Textilia minamiae, from the Marquesas Islands, French Polynesia. The new species is most closely related to Textilia bullatus (Linnaeus, 1758) and Textilia pongo (Coomans, Moolenbeek & Wils, 1982). The author compares multiple morphological characteristics to distinguish it from its congeners and provides observations on its biology
The effect of heads of schools’ supervisory practices on learning achievement in public secondary schools in Ubungo municipality, Tanzania
Authors: Msuya Lucyjoyce C. , Mwila Prospery M.
Published: November 2023

To create a proactive and effective educational system for individual, community, and national progress, it is presumable that educational stakeholders must oversee educational practices to obtain consistently good results. Supervisory assessment of teaching staff helps educators obtain the support they need to succeed as well as to evaluate, weigh, and examine the benefits of various educational methodologies and tactics to achieve high-quality student performance in schools. This study analysed the effect of heads of schools’ supervisory practices on students’ learning achievement in public secondary schools in Ubungo municipality using 240 participants, including heads of schools, students, and teachers. The study employed a mixed approach with convergent parallel as the design. Various methodologies were employed to gather data, including questionnaires, documentary reviews, observations and semistructured interviews. The results revealed that the supervisory practices of school heads play a greater role in the quality of teaching and overall learning achievement of students in secondary schools. The academic achievement of students is impacted by supervisory practises such classroom visits, teacher mentoring, assessing teachers pedagogical abilities, assisting teachers in creating lesson plans, and other creative teaching methods. However, unfriendly working conditions, including a lack of facilities, funding, and dedicated teachers, make it difficult for school heads to carry out their supervisory duties. As a result, for supervisory practises to have a significant impact on the teaching and learning process, the government must constantly provide adequate school infrastructure, hire enough qualified teachers, create appropriate teaching and learning resources, and set up an efficient monitoring system to improve the teaching and learning process in secondary schools.
Instructional supervision: best management practices in secondary schools in Kinondoni municipality, Tanzania
Authors: Emanuel Dorin , Mwila Prospery M.
Published: November 2023

Quality of learning depends much on classroom management, and instructional supervision always helps to alert the teacher in managing class. Instructional supervision practices engage teachers and their principals in a mutual relationship for the sole purpose of developing, maintaining and improving a school’s instructional programme, especially its curriculum and teaching personnel in attaining quality of education. This study intended to explore the best practices of instructional supervision management in selected secondary schools in Kinondoni Municipality. Specifically, it was aimed at examining the perception of teachers about instructional supervision practices and identifying exemplary/best practices of instructional supervision techniques practiced in secondary schools and lessons drawn from them for other institutions. The study used both qualitative and quantitative approaches and a descriptive survey design. It relied on a sample size of 159 participants, including parents, heads of schools, heads of departments, teachers and students from five selected secondary schools. The data were collected through interviews, questionnaires, document reviews, and observation and were analysed through descriptive statistics and content analysis. The findings of this study revealed that the majority of teachers had negative attitudes towards instructional supervision as a result of unfriendly supervisory practices by heads of schools and heads of departments. The supervisors failed to create a friendly environment with their supervisee to the extent that the teachers perceived instructional supervision as a mere implementation of the stipulated policies. The study further observed that the supervisors lacked adequate training apart from being too occupied by administrative roles and hence forgetting supervisory activities. The study established that teachers in secondary schools perceive instructional supervision as more fault finding rather than supporting them in improving their teaching practices. The focus of school-based supervisors ought to be on assisting teachers in enhancing their teaching and learning processes to better administer instructional supervision. Instructional supervision must place more emphasis on improving than on proving.
Morphometric and microbiological features of ventilator associated tracheobronchitis
Authors: IBADOV Ravshan Aliyevich , AZIZOVA Gavhar Mahmudkhanovna , IBRAGIMOV Sardor Khamdamovich
Published: November 2023

Changes in the composition of the microbiota of the tracheobronchial tree in patients on prolonged mechanical ventilation can contribute to various disorders of the immune defense of the respiratory tract, damaging mucociliary clearance, and cause a strong inflammatory response, including the formation of ventilator-associated tracheobronchitis (VAT). The aim was to study the specifics of changes in the microflora and histopathology of the tracheobronchial tree in VAT. Over a 10 year period 975 bacteriological analyzes were carried out in 355 patients who were on extended mechanical ventilation for more than 48 hours. VAT is accompanied by a pronounced lymphoid-neutrophilic infiltration of the mucosa of the trachea and bronchi, and in a complicated course with the presence of a purulent-inflammatory and erosive-hemorrhagic component leads to a violation of the integrity of tissues due to destruction and necrosis. The leading pathogens were representatives of gram-negative flora of 65.8% (47-76%), gram-positive flora was detected in 17.5% (10-30%) of cases, fungi of the genus Candida in 16.5 (4-42%) cases. Analysis of the antibiograms of isolated cultures in patients on prolonged mechanical ventilation shows high resistance to a wide range of antibiotics, namely: acinetobacter spp. - high resistance to all antibiotics, except for imipenem (0% resistant strains), polymyxin (0%) and tetracyclines (7-15.4%). Imipenem (10.5%), polymyxin (10.5%), amikacin (31.5%) and cefoperazone/sulbactam (31.5%) are active against Esherichia coli. Klebsiella pneumoniae was susceptible to imipenem, amikacin, ofloxacin and inhibitor-protected antibiotics-cefoperazone/sulbactam, piperacillin/tazobactam. Staphylococcus aureus was susceptible to III generation cephalosporins (cefotaxime, ceftriaxone, cefoperazone) and tetracyclines - 36.3% of resistant strains. Microbiological monitoring in patients with VAT over a 10-year period revealed a trend towards the prevalence of gram-negative microflora inoculation, and over the past two years, the range of isolated multi-resistant flora has been expanding.
Quality of Jakarta Smart Card Services in East Jakarta
Authors: Tuti Retnowati Wahyuning Dyas , Setyawati Diah Lina , Asmara Qiqi
Published: November 2023

The purpose of this study was to determine the quality of service Jakarta Smart Card in East Jakarta. This study uses Home Visits Service Quality with indicator: Tangibles, Reliability, Responsive, Assurance, and Empathy. This method used is descriptive qualitative approach. Data collection is done by interview, observation, and documentation. Data analysis uses analysis models from Miles and Huberman, and data validity testing uses triangulation techniques from Moleong. The results of the study stated that the Quality of Smart Jakarta Card Services in East Jakarta has run according to Service Quality theory. Tangibles: facilities and infrastructure used by the school in carrying out the distribution and service of smart Jakarta cards to students is adequate, starting from the computerization and administration system. Reliability: the provision of services in Jakarta Smart Card or operator friendly and efficient in providing services, related to the provision of information about Jakarta Smart Card. Responsive: The school always helps and directs students and parents to all forms of services related to the Jakarta Smart Card and from the results of interviews and observations it can be seen that the operator provides services to students and parents quickly, accurately and responds according to the aspirations of the needs. Assurance: Jakarta Smart Card services are supported by the government. and Empathy: giving or distributing the assistance of the Jakarta Smart Card to students at the Ar-Raisiyah Pharmacy Vocational School in East Jakarta, namely by providing assistance to students who are truly financially unable to reach the target. But in terms of timeliness is still lacking. Needed speed up the thawing process Jakarta Smart Card. Conclusion:  Jakarta Smart Card of sufficient quality service.
UN ENFOQUE DE SISTEMAS SUAVES PARA LA INNOVACIÓN EN EL SECTOR HORTOFRUTÍCOLA EN URUGUAY
Authors: Marques Berrutti Marcela , Pizzolon Alejandro , Álvarez Jorge
Published: November 2023

Los enfoques de “pensamiento de sistemas” incluyen ciertas técnicas y métodos desarrollados por científicos sociales para fomentar el debate, reconociendo que su práctica está inevitablemente llena de valor y que la investigación es parte de la intervención. En general, las teorías de sistemas explican la necesidad de trascender disciplinas para aumentar nuestra comprensión de una situación al considerar diferentes niveles de impacto, especialmente a través de herramientas de visualización. En un entorno muy complejo como el del sector hortofrutícola de Uruguay, especialmente en cuanto a los roles de los agentes y las interacciones entre ellos, las “metodologías de sistemas suaves” contribuyeron a construir una representación que integra diferentes perspectivas con aspectos consensuados y conflictivos, ahondando en la particularidades y oportunidades de las innovaciones tecnológicas y la gestión asociativa para la cadena hortofrutícola, culminando en importantes reflexiones sobre las oportunidades de cambio positivo y sobre los riesgos de marginación o exclusión social.
Turismo de base comunitária e possibilidades de cooperação transfronteiriça
Authors: Amarilio Francisco
Published: November 2023

Objetivou-se, através deste trabalho, estudar e provocar reflexões sobre a relação fronteira e turismo analisando a possibilidade de cooperação, através do envolvimento de comunidades locais (nesse caso, pescadores artesanais da área urbana do município de Corumbá-MS) com atividades do turismo de base comunitária, em um território fronteiriço. Diante de diversos problemas enfrentados pelo setor pesqueiro profissional artesanal, seja por políticas públicas, seja por conta das atividades do turismo em alta na região, surgiram as reflexões aqui apresentadas. A pesquisa tende a ser bibliográfica, em um primeiro momento, com consultas em plataformas eletrônicas como o portal de periódicos da Capes, jornais impressos, revistas e livros. Em um segundo momento a pesquisa assumirá caráter de pesquisa ação participativa pois acreditamos na práxis, que a teoria não deve desvincular da prática. Percebemos com as pesquisas que desenvolvimento local pode ser impulsionado pela atividade turística de base comunitária em fronteira, desde que pautado na cooperação de planejadores e atores sociais considerando interesse e potencialidade das comunidades locais.