bluuebunny/crossref_metadata_2025 huggingface dataset:
COVID-19 SALGININA YÖNELİK TUTUMDA SAĞLIK OKURYAZARLIĞININ ETKİSİ
Authors: Kaya Selma , Şantaş Gülcan
Published: June 2024

Bu araştırmanın amacı, COVID-19’a yönelik tutumda sağlık okuryazarlık düzeyinin etkisinin incelenmesidir. Çalışma 1 Temmuz-1 Eylül 2021 tarihleri arasında bir Aile Sağlığı Merkezine başvuran bireyleri kapsamaktadır. Araştırma, Aile Sağlığı Merkezine başvuran 404 birey üzerinde gerçekleştirilmiştir. Çalışmada, Sağlık Okuryazarlığı Düzeyi Ölçeği ve COVID-19 Salgınına Yönelik Tutum Ölçeği kullanılmıştır. Çalışmada, sağlık okuryazarlık düzeyinin bireyin COVID-19 salgınına yönelik tutumunu etkilediği belirlenmiştir. Çalışma sonucunda, sağlık okuryazarlık düzeyini artıracak önlemlerin alınması, toplumun genel okuryazarlık ve eğitim seviyesinin artırılması için gerekli çalışmaların yapılması ve toplumun bilinçlendirilmesi önerilmektedir. Toplumun sağlık okuryazarlık düzeyini yükseltmek, insanların COVID-19’a yönelik bilgi, tutum ve davranışlarında iyileşmeye katkı sağlayacaktır.
SAĞLIKTA KALİTE STANDARTLARI EĞİTİMİNİN İNTÖRN HEKİMLERİN HASTA KİMLİĞİNİ TANIMLAMA VE DOĞRULAMA BİLGİSİNE ETKİSİ
Authors: Çamlıca Tuğçe , Kaya Vildan , Kılınç Gülşah , Eker Didem , Alkaya Solmaz Filiz , Başer Kolcu Mukadder İnci , Kolcu Giray , Ercan Sabriye , Yazkan Rasih
Published: June 2024

Bu araştırmanın amacı, bir üniversite hastanesinde öğrenim görmekte olan intörn hekimlerin kimlik doğrulama bilgilerinin belirlenmesi ve tek oturumluk yüz yüze eğitim ile bilgi düzeylerindeki değişiminin incelenmesidir. Araştırma bir üniversite hastanesinde çalışan ve “Sağlıkta Kalite Standartları Eğitimi”ne katılım sağlayan intörn hekimler (Eğitim Öncesi n=243, Eşleştirilmiş Ön Test-Son Test n=165) ile gerçekleştirildi. Eğitimin etkinliğini değerlendirebilmek için intörn hekimlere eğitimden önce (1 hafta) ve eğitimden sonra (ilk 24 saat içerisinde) Google form ile online anket uygulandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel metotların (ortanca, minimum, maksimum, frekans, yüzde oranı) yanı sıra Mc Nemar testi kullanıldı. Anlamlılık p
INVESTIGATION OF NURSES' BEHAVIOR AND AWARENESS OF WORK ENVIRONMENT SAFETY: THE CASE OF A PUBLIC HOSPITAL IN KONYA PROVINCE
Authors: Filiz Emel , Aydoğdu Adil , Karataş Cemile
Published: June 2024

The aim of this study was to reveal the behaviors and awareness of nurses about workplace safety. The population of the study consisted of 557 active nurses working in a public hospital in Konya province. Online survey technique was used as a data collection tool. The questionnaire consists of 4 sections and 26 questions. The first part consists of questions about sociodemographic characteristics, the second part consists of the safety awareness questionnaire, the third part consists of the safety behavior scale and the fourth part consists of the reporting culture questionnaire. It was determined that the data obtained showed a normal distribution. Independent groups t, one-way variance, Pearson correlation analysis and simple linear regression analysis were applied on the data. Of the 394 nurses who participated in the study, 84.5% were female, 27.9% were in the 23-30 age range, 75.1% were undergraduate graduates, 43.7% were ward nurses, and 28.2% had 20 years or more experience. Again, 61.4% of the participants stated that they had never made a medical error in their unit, 51.0% stated that they had experienced a near-miss incident in their unit, and 53.6% stated that they had witnessed medical errors in their unit before. As a result of the study, it was seen that the safety awareness, safe behavior and reporting culture of the nurses participating in the study were high. It was concluded that an increase in safety awareness leads to an increase in safety behavior and reporting culture levels.
DÖNÜŞÜMCÜ LİDERLİĞİN GÖREV PERFORMANSINA ETKİSİ: SAĞLIK SEKTÖRÜNDE BİR ARAŞTIRMA
Authors: Arslan Tuba , Şahin Dilek
Published: June 2024

Sağlık hizmetleri sunumunda her geçen gün yeni teknoloji, metot ve çevre koşullarıyla karşı karşıya kalınmaktadır. Bu ise sağlık hizmeti sunan kuruluşların yeniden yapılanmasını ve karşılaşılan problemlerin çözülmesi gereğini ortaya çıkarmaktadır. Bunu gerçekleştirmek için dönüşümcü liderliğe ve yüksek performans gösteren sağlık çalışanlarına ihtiyaç duyulmaktadır. Bu araştırmanın amacı; yöneticilerin sağlık çalışanlarına gösterdiği dönüşümcü liderlik davranış stili ile görev performansı arasındaki ilişkiyi belirleyebilmektir. Araştırma verileri bir devlet hastanesinde gönüllü olarak araştırmaya katılmayı kabul eden 210 sağlık çalışanından toplanmıştır. Veriler anket aracılığıyla kesitsel olarak toplanmıştır. Araştırmada ölçeklere ait geçerlilik ve güvenilirlik testlerinden sonra değişkenlerin analizine yönelik korelasyon ve çok değişkenli hiyerarşik regresyon analizi yapılmıştır. Araştırma sonucunda dönüşümcü liderlik ile görev performansı arasında pozitif yönlü ve istatistiki olarak anlamlı bir ilişki bulunurken, demografik değişkenler ve görev süresi ile performans arasında anlamlı bir ilişki bulunamamıştır (p
Comparative Effects of Functional Task Training Versus Functional Therapy Program on Gross Motor Function, Range of Motion and Balance in Children With Cerebral Palsy
Authors: Kinza Naeem  , Usman Arif  , Sahiba Sabber  , Sana Kamran  , Sarah Sabir
Published: June 2024

Background: Cerebral palsy (CP) is a non-progressive neuromotor disorder affecting the developing fetal or newborn brain, leading to impairments in muscle tone, reflexes, posture, coordination, and motor skills. Functional Task Training (FTT) and Functional Therapy Programs (FTP) are rehabilitation techniques aimed at improving the physical capabilities of children with CP.
Objective: To determine the comparative effects of Functional Task Training versus a Functional Therapy Program on gross motor function, range of motion, and balance in children with hemiplegic cerebral palsy.
Methods: This randomized clinical trial was conducted from March 2, 2023, to May 31, 2023, at Rising Sun for Special Children in Lahore. A sample of 18 children, aged 6-12 years, diagnosed with hemiplegic cerebral palsy (GMFCS level I-II), was randomly assigned to two groups: Group A received FTT, and Group B received FTP. Both groups underwent their respective interventions for 50 minutes per day, three times a week, over 12 weeks (36 sessions). Data collection tools included the Goniometer for range of motion (ROM), Pediatric Balance Scale (PBS) for balance, and Gross Motor Function Measure (GMFM-88) for motor function. Baseline and post-intervention assessments were conducted. Statistical analysis was performed using SPSS version 25, with paired and independent t-tests to compare pre- and post-intervention scores within and between groups, respectively. A p-value of less than 0.05 was considered statistically significant.
Results: The mean age of participants was 8.67±2.39 years in Group A and 9.89±1.96 years in Group B. No significant differences were found between the two groups in GMFM domains A, B, C, and E, or in the total GMFM score (p > 0.05). Post-intervention GMFM total scores were 83.11±2.09 in Group A and 84.33±3.42 in Group B (p = 0.375). PBS scores showed no significant differences post-intervention, with mean scores of 36.66±5.02 in Group A and 41.33±7.57 in Group B (p = 0.140). ROM measures indicated significant improvements within Group A in left hip flexion, abduction, and extension (p < 0.05).
Conclusion: Both Functional Task Training and Functional Therapy Programs were equally effective in improving gross motor function, balance, and range of motion in children with hemiplegic cerebral palsy. These findings support the use of both interventions as effective rehabilitation strategies in this population.
Keywords: Cerebral palsy, Functional Task Training, Functional Therapy Program, Gross Motor Function, Pediatric Balance Scale, Range of Motion, Pediatric Rehabilitation, Hemiplegic CP, Randomized Clinical Trial. Management
Comparative Effects of Cryostretching and Contract-Relax Technique on Knee Osteoarthritis
Authors: Abbas Muhammad , Usman Haram , Tahir Rabiya , Zahra Syeda Sana , Muhammad Hanif  , Shaheer Masood
Published: June 2024

Background: Knee osteoarthritis (OA) is a condition characterized by the degeneration of cartilage in the knee joint, leading to pain, stiffness, and reduced range of motion. Cryostretching has been suggested as a beneficial intervention for knee OA, combining cold application to reduce muscle spasm with stretching to elongate muscles. Similarly, the contract-relax technique, which uses isotonic muscle contraction followed by stretching, has been shown to improve muscle elasticity and ROM.
Objective: To compare the effects of cryostretching and the contract-relax technique on pain, physical function, and ROM in patients with knee osteoarthritis.
Methods: A quasi-experimental study was conducted on 30 knee OA patients from government hospitals in Faisalabad. Participants aged 40-60 years with grade 1 or 2 knee OA were recruited using purposive sampling. Subjects were randomly allocated to either the cryostretching group (Group A, n=15) or the contract-relax group (Group B, n=15). Interventions were administered twice a week for four weeks. Pain, physical function, and ROM were assessed using the Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and a goniometer, respectively. Data were analyzed using SPSS version 25, with paired and independent sample t-tests used to compare within-group and between-group differences, respectively.
Results: Significant improvements were observed in both groups. For Group A, the mean WOMAC score improved by 35.33 (95% CI: 28.78-41.88, p<0.001) at 4 weeks, while Group B showed an improvement of 24.13 (95% CI: 17.21-31.04, p<0.001). ROM in Group A increased by 8.20 (95% CI: 7.20-9.19, p<0.001) compared to 5.40 (95% CI: 4.61-6.18, p<0.001) in Group B. VAS scores decreased by 6.40 (95% CI: 5.65-7.14, p<0.001) in Group A and by 4.33 (95% CI: 3.76-4.90, p<0.001) in Group B. Between-group differences at 4 weeks were significant for all measures, favoring the cryostretching group.
Conclusion: Cryostretching was more effective than the contract-relax technique in reducing pain, improving physical function, and increasing ROM in patients with knee osteoarthritis. These findings support the integration of cryostretching into clinical practice for managing knee OA.
Keywords: Knee osteoarthritis, cryostretching, contract-relax technique, pain management, range of motion, physical function, rehabilitation therapy, cold therapy, muscle stretching, osteoarthritis treatment.
Effect of Proper Use of Cane and Physical Therapy Management to Reverse Hamstrings Tightness and Abductors Weakness Due to Improper Use in Knee and Hip OA Patients
Authors: Muhammad Abbass  , Sana Noor  , Laiba Amjad  , Maryam Razzaq  , Mehneel Shafique  , Afshan Tehreem
Published: June 2024

Background: Osteoarthritis (OA) is a degenerative joint disease that significantly impairs mobility and quality of life, particularly among the elderly. The use of canes, when applied correctly, can alleviate joint stress, reduce pain, and improve functional mobility. However, improper use can exacerbate symptoms such as hamstring tightness and abductor weakness.
Objective: To investigate the effects of targeted physical therapy and proper cane usage on pain reduction, enhanced range of motion, and improved gait parameters in patients with knee and hip OA.
Methods: This quasi-experimental study enrolled 40 participants aged 40-80 years with diagnosed knee and hip OA from public and private healthcare facilities in Faisalabad. Participants received education on proper cane use and engaged in a physical therapy program consisting of exercises for stretching hamstrings and strengthening abductors, three times a week. Outcomes measured included WOMAC pain scores, hip and knee range of motion (ROM) via goniometry, Trendelenburg test duration for abductor strength, and gait parameters (stride length and cadence). Data were analyzed using SPSS version 25, employing the Wilcoxon signed-rank test to evaluate pre- and post-intervention changes.
Results: Significant improvements were noted post-intervention with the WOMAC pain score decreasing from a mean of 6.2 ± 1.5 to 3.1 ± 1.3 (p < 0.001). Hip extension increased from 20 ± 5 degrees to 30 ± 6 degrees (p < 0.001), and knee flexion improved from 90 ± 10 degrees to 110 ± 9 degrees (p < 0.001). Trendelenburg test duration improved from 10 ± 2 seconds to 25 ± 5 seconds (p < 0.001), and gait parameters showed an increase in stride length from 0.8 m ± 0.1 to 1.0 m ± 0.1 (p < 0.001) and cadence from 90 steps/min to 100 steps/min (p < 0.001).
Conclusion: Proper cane use combined with a structured physical therapy regimen significantly reduces pain and improves both joint mobility and gait dynamics in patients with knee and hip osteoarthritis. These interventions are crucial for enhancing quality of life and mobility in OA patients.
Keywords: Osteoarthritis, Cane Usage, Physical Therapy, Gait Parameters, Range Of Motion, WOMAC Pain Score, Knee Osteoarthritis, Hip Osteoarthritis, Trendelenburg Test, Mobility Aids.
Çay Bitkisi Toplarken Yılan Isırığına Bağlı Gelişen Ölüm Olgusu
Authors: Vural Talip , Ketenci Hüseyin Çetin , Reyhan Uğur
Published: June 2024

Çay üretim rekoltesinin ve tüketiminin en fazla olduğu ülkelerden olan Türkiye’de çay bitkisinin (Camellia sinensis) üretimi Doğu Karadeniz Bölgesi’nde sınırlı bir alanda yoğun biçimde yapılmaktadır. Çay tarımı ve ticareti yöre halkı için önemli bir geçim kaynağı olmakla birlikte çok sayıda insana mevsimsel iş olanakları sağlamaktadır. Çay toplama sırasında ergonomik risklerin yanında zaman zaman yılan, kene, örümcek, eşek arası gibi yabanı hayvan ısırıklarına bağlı yaralanmalar ve hatta ölümler meydana gelmektedir. Çalışmamızda; çay toplarken sağ ayak bileğinden yılan ısırması sonucu ölen 41 yaşındaki erkek olgu, otopsi bulguları ile birlikte değerlendirerek sunulmuştur. Meydana gelen bu tip yaralanmaların ve ölümlerin azaltılmasına karşı gerek çay tarımı işçilerinin gerekse bölgede çalışan sağlık personelinin bölgede nadir rastlanılan yılan sokmalarına karşı bilgilendirilmeleri gereklidir. Ayrıca bölgedeki hastanelerde hayvan ısırıklarına yönelik gerekli tüm antivenomların bulundurulması ölümlerin azaltılmasına katkı sağlayabilir.
Qualitative Research.
Authors: Syed Razi Muhammad
Published: June 2024

Qualitative research is the preferred method of researchin most setting, so much that when we talk of research,most people presume that we are referring to quantitative research. It has been claimed that:"The almost sole recognition given to quantitative methods has trained students inadequately, establishedflawed standards of practice and research, and delayedthe development of essential medical knowledge....When qualitative methods are clearly established in ourresearch repertoire, the advance of medical knowledgew i l l b e g r e a t l y a c c e l e r a t e d " . 1However in social sciences and in areas like a thirdworld country where most issues are unexplored, phenomena un-understood and questions unanswered,qualitative research, which has become more popularsince the 1970s can be really helpful as it is particularlydirected on:1. Exploring issues2. Understanding phenomena3. Answering Questions
3.	THE SOURCES OF THE EUROPEAN UNION ON LABOR LAW.
Authors: Benevides Camila Martins dos Santos
Published: June 2024

3. THE SOURCES OF THE EUROPEAN UNION ON LABOR LAW. 3.1 COMPETENCE OF THE EU AND COMPETENCE OF THE MEMBER STATES 51 3.2 NORMS ON LABOR LAW AND THE PRINCIPLE OF SUBSIDIARITY 54 3.3 THE RELATION BETWEEN THE SOURCES OF LABOR LAW AND JURISPRUDENCE IN THE EUROPEAN COURT OF JUSTICE 58 3.4 MAIN INTERNATIONAL REGULATORY INSTRUMENTS AND THOSE IN THE EUROPEAN UNION ON REMOTE WORK 61 3.5 DIRECTIVES OF THE EUROPEAN UNION WITH THEMES THAT IMPACT ON REMOTE WORK 67 3.5.1 The directive related to transparent and predictable conditions of work – Directive (EU) 2019/1152 67 3.5.2 The directive on work-life balance for parents and carers and repealing Council Directive – Directive (EU) 2019/1158 71 3.5.3 The Working Time Directive in the European Union – Directive 2003/88/EC and the European Parliament Resolution of 21 January 2021 74
SPEECH COMMANDS RECOGNITION FOR UZBEK LANGUAGE USING AUDIO SPECTROGRAM TRANSFORMER
Authors:   UBTUIT, Shavkatov Olimboy
Published: June 2024

Abstract
The Relationship between Hemodynamic Status and Stroke Risk in Hypertensive Patients at the General Hospital of South Aceh Regency
Authors: Oktavia Rika , Marlina Marlina , Febriana Dara
Published: June 2024

Hypertension is a major health issue causing global mortality and disability. This condition can lead to severe damage to the heart and blood vessels, potentially resulting in stroke. This study aims to determine the relationship between hemodynamic status and stroke risk in hypertensive patients. This study used a quantitative cross-sectional design. The population consisted of hypertensive patients at the outpatient clinic of General Hospital of South Aceh Regency, with 248 respondents. A sample of 151 respondents was selected using convenience sampling. Data were collected through face-to-face interviews and self-reporting using a manual sphygmomanometer and stethoscope to measure blood pressure, Mean Arterial Pressure (MAP) and heart rate and the Stroke Recognition Questionnaire (SRQ) to measure stroke risk variables. Data collection took place from January to March, 2024. Statistical analysis was performed using chi-square and multiple logistic regression. The study showed a significant relationship between stroke risk and blood pressure (p = 0.000), mean arterial pressure (MAP) (p = 0.000), and heart rate (p = 0.009). Logistic regression analysis indicated that the most significant predictors of stroke risk were blood pressure (p = 0.000; OR: 3.187), mean arterial pressure (MAP) (p = 0.024; OR = 2.766), and heart rate was not a predictor of stroke. Better monitoring and management of hemodynamics can help reduce the risk of stroke in hypertensive patient populations. It is crucial for healthcare practitioners to routinely monitor MAP and intervene as necessary to lower stroke risk.
Comunicación Familiar y su Relación con la Depresión en Adolescentes Indígenas
Authors: Guachamboza Saqui Yajaira Betsabe , Ponce Delgado Águeda del Rocío
Published: June 2024

La presente investigación se centró en el estudio de la comunicación familiar que es definida como un proceso de interacción con los miembros de la familia. En cuanto a la depresión es un estado mental donde una persona mantiene una visión negativa de su identidad, entorno y porvenir. El objetivo del estudió actual es determinar la relación entre comunicación familiar y depresión en adolescentes indígenas. Se trabajó desde un enfoque cuantitativo, con un diseño no experimental, de corte transversal y alcance descriptivo correlacional. Se contó con una muestra de 121 estudiantes, tanto hombres como mujeres, con edades comprendidas entre 14 a 19 años. Los instrumentos utilizados fueron la escala de comunicación familiar y el inventario de depresión de Beck II (BDI II). Los datos de estudio no seguían una distribución normal por lo cual no se encontró una correlación significativa entre ambas variables. El tipo de comunicación familiar que predomina es el bueno y el nivel de depresión que sobresale es de mínimo, es importante notar que existen aspectos culturales que influyen de forma positiva. Las variables presentaron diversas distribuciones, con diferencias observadas entre géneros.
Evidence-based development of online learning resources on Artificial Intelligence in vocational education and training: Stakeholder perspectives and implementation
Authors: Egloffstein Marc , Kögler Kristina , Ifenthaler Dirk
Published: June 2024

This article describes the evidence-based development of online learning resources on Artificial Intelligence (AI) in vocational education and training. Within the target group and context analysis of the AI_VET project, guided interviews with N = 48 stakeholders from vocational education and training were conducted and analyzed. The results reveal an ambiguous and rather superficial understanding of AI within the target group as well as a limited incorporation of AI into vocational practice despite a broad consensus regarding its increasing relevance. Recommendations for the design of online learning resources include a focus on AI basics to promote a foundational understanding, consideration of opportunities, risks and limitations in professional contexts, and the use of specific application examples. Building on this, the AI_VET course series was implemented through a participatory approach. Initial evaluation results suggest differentiated usage of the course modules and acceptance among learners. The article concludes with a discussion of implications for the further integration of AI in vocational education and training, as well as the positioning of the developed offerings in AI education.
Analisis Putusan Nomor 467/K/AG/2017 Tentang Pembatalan Hibah Dari Orang Tua Terhadap Anak Perspektif Maṣlaḥah Mursâlah
Authors: Rasyid Siddiq  , Dhiauddin Tanjung
Published: June 2024

This research aims to examine more deeply the cancellation of gifts made by parents to their children, as regulated in Article 212 of the Compilation of Islamic Law, where gifts cannot be withdrawn, except for gifts from parents to their children. This research uses a study of decision number 467/K/AG/2017 to see whether the panel of judges applies article 212 of the Islamic law compilation to apply the rules of Ushul. This research is qualitative research with a normative juridical approach. The results of this research show that the panel of judges attempted to prioritize the benefit in accordance with the Maṣlaḥah concept put forward by Al-Ghazâlî, both at the Al-darûrât, al-hâjat and al-tahsinî levels, but the panel of judges did not directly quote the rules of ushul and prioritized the rules with a different orientation but with the aim of fulfilling the benefit of the parties involved in the lawsuit, both at the level of preserving offspring (Hifz al-Nasl) and preserving property (Hifz al-Mal) in accordance with the objectives of the syara' (maqāṣid al-syarīah).
Rooting Out the Problem: Extremism and Humanitarian Challenges in the Israeli-Palestinian Conflict
Authors: Hosek Kuan
Published: June 2024

This article analyses the Israeli-Palestinian conflict, focusing on extremism and humanitarian challenges. It highlights the contrasting reactions to a recent explosion at a Palestinian hospital, where some Israelis celebrated the deaths of infants, reflecting deep-seated animosity. The historical roots of this enmity are traced to Israel's founding and subsequent wars. The article examines the differing perspectives of Israeli political leaders and voters, dominated by security concerns. It discusses the frequent violations of humanitarian principles and compares them to historical examples like the Roman Empire's tactics and Japan's "Three Alls Policy." The piece concludes by warning of increasingly brutal future warfare and calls for reforms to address the conflict's root causes, stressing the importance of upholding humanitarian principles to maintain international order.
Challenges and Coping Strategies of Frontline Customs Brokers in the Efficient Facilitation of Essential Goods During the Covid-19 Pandemic
Authors:   Asian Institute of Maritime Studies, Casil Ella Rose , San Juan Racquel ,   Asian Institute of Maritime Studies, Tibos Lovely Joy ,   Asian Institute of Maritime Studies
Published: June 2024

The COVID-19 pandemic has significantly altered how individuals engage in work activities and navigate their daily lives. This includes customs brokers who served as frontline facilitators during the Covid-19 pandemic. They played a crucial role in ensuring the facilitation of essential goods during this challenging time. However, they encountered various challenges in their workplace, including safety protocols, prompting this study to explore how they coped up, specifically on the strategies undertaken. Hence, this study aimed to investigate if there were significant differences in the challenges faced by frontline customs brokers, as well as on their coping strategies in efficiently facilitating essential goods during the pandemic. Using online data gathering through Google Form, the study involved 30 frontline customs brokers, predominantly female, aged between 20-30 years, with the majority having four years or less of experience in the profession. Based on the results, the challenges encountered by the front-line customs brokers were difficulties in online transactions and transportation. Challenges related to customs clearance, online transactions, and transportation of essential goods were prevalent, with varying degrees of agreement among respondents. Safety-related challenges, such as unsanitary facilities, were also highlighted. On the other hand, coping strategies, like familiarizing with virtual meeting applications, utilizing shuttle services, and utilizing Inter-Agency Task Force (IATF) IDs for easing transportation barriers were mostly applied. Future research could further explore the effectiveness of specific coping strategies and identify additional measures to support customs brokers in their vital role during times of crisis.
The Effectiveness of Enhanced Value Reference Information System (e-VRIS) as New Database for Value and Classification of Imported Goods
Authors:   Asian Institute of Maritime Studies, Herrera John Randell , Sabas Jessa Mae ,   Asian Institute of Maritime Studies, Senosa Kim Alyanna ,   Asian Institute of Maritime Studies, Tamayo Clarence ,   Asian Institute of Maritime Studies, Tengco Ma. Angeli Therese ,   Asian Institute of Maritime Studies
Published: June 2024

The Enhanced Value Reference Information System (e-VRIS) is a new database for value and classification of imported goods in order to address corruption done through undervaluation and misclassification. With this aim, and with its considerable period of use and implementation, it is now imperative to determine how effective is this new system in combatting these types of corruption. Thus, the objective of this study is to determine the effectiveness e-VRIS in terms of the following: 1) Risk Valuation; 2) Enhanced Declared Value; and, 3) Classification. Data from 40 Customs Examiners from the Manila International Container Port (MICP) were elicited using a self-made survey questionnaire. To analyze the data, weighted mean was used as statistical tool. Findings indicated overall agreement among the respondents regarding e-VRIS's effectiveness in identifying revenue and compliance risks, with positive feedback on its monitoring mechanism. Similarly, respondents generally acknowledged e-VRIS's contribution to accurate tariff classification, despite differing opinions on determining country of origin. In conclusion, e-VRIS demonstrated effectiveness as a modern customs administration tool, essential for trade facilitation and corruption prevention. Its alignment with international standards and consistent performance underscored its significance in promoting transparency and efficiency in customs procedures in the Philippine customs industry.
Challenges Faced by Public School Teachers in Teaching Pupils in the Third District of Bohol
Authors:   Calinga-an Elementary School, Marfe Melanie
Published: June 2024

The study presented the challenges faced by public kindergarten teachers in the Third Congressional District of Bohol, Philippines. Employing descriptive survey method, data from 226 kindergarten teachers across 19 municipalities were analyzed to identify challenges based on class types and schedules. The demographic profile of respondents revealed a young workforce aged 20-40. Majority of which are holding a Bachelor of Elementary Education degree specializing in Early Childhood Education. All respondents were LET Board passers and had participated in relevant workshops. The study confirmed compliance to the mandated teacher-pupil ratio of 1:25, with a total student population of 5,868. Findings demonstrated significant differences in challenges faced by teachers based on class type. Teachers managing multi-grade classes reported more difficulties compared to those handling single-grade classes. The findings suggest potential violations of DepEd Order No. 47, s. 2016, which mandates separate kindergarten classes in multi-grade schools. This result heightened the challenges faced by multi-grade teachers. The research provides information for the development of teacher programs, and informing policy adjustments. It will also serve as a reference for future studies on the challenges in teaching kindergarten that aims to enhance the experiences of students in public schools.
Features of the clinical course of penile cancer
Authors: Nazarov T. Kh. , Shcheplev P. A. , Naumov N. P. , Karlov P. A. , Rychkov I. V. , Vodopyan S. S. , Gavrilov V. Yu. , Krassilnikov A. D. , Vinnichuk S. A.
Published: June 2024

Introduction. Penile cancer (PC) is one of the rare tumors, accounting for 1-2% of all neoplasms of the genitourinary system. The clinical course of the cancer process raises many questions among both urologistsoncologists in hospitals and outpatient doctors. A retrospective analysis of articles indicates that this process has not been sufficiently studied and requires more clinical observations to determine the diagnosis and correct treatment tactics for such patients.

Materials and methods. Clinical observations of the development of human cancer in patients are presented. An analysis of original articles was also carried out in the following databases: Pubmed, Scopus, Scopus, Web of Science from 2007 to 2022, dedicated to this disease.

Results. When a tumor of the penis was detected, one patient underwent surgical intervention to the extent of amputation of the glans penis. In the second patient, total damage to the penis was revealed, which required more radical surgical treatment including: Emasculation with urethroplasty. The third patient underwent radiation therapy and subsequently circumcision of the foreskin. The postoperative period in patients was without complications. No relapse was observed.

Conclusion.Penile cancer, despite its rarity, is a pressing problem in modern oncology. Even with proper examination and treatment, it is difficult to predict the further development of the disease. These clinical cases force specialists to examine patients more carefully so as not to miss pathology that can cripple the patient and change his future lifestyle, and also shows different options for treatment outcomes for penile cancer.
Giant vulvar lipoma. Case report
Authors: Mishina A. E. , Petrovici V. G. , Mishin I. V.
Published: June 2024

Vulvar lipomas (VL) are rare, benign tumors of mesenchymal origin. Less than one hundred observations of VL have been published in the literature. The authors describe a clinical observation of a giant VL and also provide a review of the literature on this pathology.
Technologies of regenerative medicine as a method of treatment of male infertility: literature review
Authors: Epifanova M. V. , Kostin А. А. , Epifanov А. А. , Kirillova K. A.
Published: June 2024

The problem of infertility has recently become quite widespread all over the world, having a negative impact on couples themselves and society as a whole. The male factor of infertility accounts for about 50% of cases, in this regard, a large number of studies conducted are aimed at finding new methods of treating this disease. However, the accepted modern methods of treatment, including assisted reproductive technologies, are currently not effective enough. Recently, much attention has been devoted to the use of regenerative medicine technologies in the treatment of diseases of the reproductive system of men and women due to its significant potential. This review presents existing experimental and clinical studies that studied the effect, safety and efficacy of stem cells of various kinds of origin, induced pluripotent stem cells, exosomes, spermatogonial stem cells, platelet rich plasma in the treatment of various types of male infertility.
Dynamics of ejaculate parameters from 2017 to 2023: a retrospective single-center analysis
Authors:   Federal State Budgetary Scientific Institution National Medical Research Center for Obstetrics, Gynecology, and Perinatology named after V.I. Kulakov of the Ministry of Health of the Russian Federation. 4, Oparina street, Moscow, Russian Federation, 117997, Shatylko T.V. , Mammaev R.U. , Gamidov S.I. ,   The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation, 8-2, Trubetskaya street, Moscow, Russian Federation, 119992, Makarova N.P. , Lobanova N.N. , Popova A.Y. , Kulakova E.V. , Gamidova P.S.
Published: June 2024

Introduction: One of the most important tests to evaluate male fertility is a semen analysis. Assessment of ejaculate parameters allows to assume possible causes of male infertility and helps to determine further treatment. According to modern literature there is a slight but constant deterioration of ejaculate parameters with time. Purpose of the study: to evaluate semen analysis parameters in patients examined in one medical center. Materials and Methods: retrospective evaluation of semen analyses performed in the same laboratory from January 1, 2017 to October 31, 2023 was performed with a total of 47902 patients included. The ejaculate volume, concentration and number of spermatozoa, the proportion of spermatozoa of different categories of motility, sand the proportion of morphologically normal spermatozoa were evaluated. Statistical processing of data was performed using MS Office and SPSS v26 software packages. Results: the mean semen volume from 2017 to 2023 was 3.5 В± 1.5 mL, sperm concentration was 51.9 В± 39.3 million/mL, progressively motile spermatozoa was 48.2 В± 16.5%, number of progressively motile spermatozoa in the sample was 93.7 В± 94.3 million, motile spermatozoa 55.6 В± 17.4%, total motile spermatozoa was 107.5 В± 105.6 million, mean number of morphologically normal forms was 2.8 В± 1.4% in 2017, 2.2 В± 0.9% in 2023, and 3.5 В± 1.5% during the observation period. Mean pH of ejaculate was 7.6 В± 0.3 with noted tendency to increase (7.38 В± 0.33 in 2017, 7.6 В± 0.38 in 2023). The proportion of samples with azoospermia increased from 2.8% in 2017 to 4.5% in 2023. Mean number of patients with cryptozoospermia was 1.5%. Conclusion: there is a trend of decreasing proportion of morphologically normal spermatozoa, increasing ejaculate pH and increasing frequency of azoospermia from 2017 to 2023.
A family case of male infertility with total asthenozoospermia caused by structural abnormalities in the axoneme of the sperm flagellum
Authors:   Research Centre for Medical Genetics, Sorokina T.M. ,   1 Moskvorechye St., Moscow 115522, Russia, Bragina E.E. ,   A.N. Belozersky Institute of Physico-Chemical Biology, Lomonosov Moscow State University; Bld. 40, 1 Leninskie Gory, Moscow 119992, Russia;, Solovova O.A. , Shtaut M.I. , Sedova A.O. , Chernykh V.B. ,   N.I. Pirogov Russian National Research Medical University; 1 Ostrovityanova St., 117997Moscow, Russia, Kurilo L.F.
Published: June 2024

The article describes a family case of primary male infertility caused by primary ciliary dyskinesia (PCD). According to the data of electron microscopy ofspermatozoa,two siblings with total asthenotheratozoospermia have a total absence of external and internal dynein axoneme handlesin the flagella ofspermatozoa, indicating the presence of PCD. Both patients had a history of repeated failures ofIVF/ICSI programs. The patients did not have situs viscerum inversus and signs of damage to the respiratory system. The othertwo brothers were healthy and fertile, and both have two children. Non-severe asthenozoospermia was revealed in one of fertile brothers(who isin a consanguineous marriage), and situs viscerum inversus was mentioned in hisson. Whole-exome sequencing revealed a pathogenic variant ofthe c.461A>C in exon 4 ofthe CCDC103 gene in a homo/hemizygous state in both siblings with PCD, in their fertile brother – in a heterozygousstate. The use oftransmission electron microscopy of spermatozoa with exome sequencing made it possible to identify the cause oftotal asthenotheratozoospermia and diagnose the genetic form of male infertility associated with an ultrastructure anomaly ofthe axoneme.
Standardization of terms in reproductive andrology: searching for consensus
Authors:   V .I. Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, Shatylko T.V. ,   4 Akademika Oparina St., Moscow 117198, Russia, Gamidov S.I. ,   I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; bld. 4, 2 Bol’shaya Pirogovskaya st., Moscow 119991, Russia, Naumov N.P. ,   Orekhovo-Zuevo Central City Hospital; 13 Baryshnikova dt., Orekhovo-Zuevo, Moscow Region 142600, Russia,   Course “Andrology and genital surgery” Moscow Regional Research and Clinical Institute (MONIKI), st. Shchepkina, 61/2, Moscow, 129110, Russia, Popova A.Yu.
Published: June 2024

The manuscript is dedicated to the fact that even in a narrow specific field of reproductive andrology leading schools of thought may disagree on some definitions, but the disagreements and should not be so significant as to cause professional miscommunication. In reproductive andrology there are many terms, some of which are used incorrectly or are initially inadequately translated from foreign languages. Sadly, several of such incorrect terms are used systematically, and because of that we consider it relevant to highlight this problem on the pages of this journal to get the attention of clinical specialists and initiate further discussion.
Peningkatan Pengetahuan Pada Penderita Hipertensi Dengan Pemberian Edukasi Berbasis Bahasa Banjar
Authors: Az Zahra Aulia Rahma , Saputri Rina , Handayani Lisda
Published: June 2024

Pendahuluan. Prevalensi penderita hipertensi terbanyak di Indonesia terdapat pada Provinsi Kalimantan Selatan. Hipertensi cenderung tinggi pada pendidikan rendah yang memiliki pengetahuan kurang. Salah satu faktor yang mempengaruhi kurangnya pengetahuan dan kesadaran penderita hipertensi adalah kurangnya pemberian edukasi pendidikan tentang pengobatan dan gaya hidup yang harus dijalani penderita hipertensi.
Tujuan. Penelitian ini bertujuan untuk mengetahui peningkatan pengetahuan penderita hipertensi dengan pemberian edukasi berbasis bahasa Banjar.
Metode. Desain penelitian ini menggunakan metode penelitian pre-experimental dengan pengambilan data melalui one group pre-test post-test design. Sampel dalam penelitian ini berjumlah 30 responden. Desain ini terdiri dari satu kelompok yang diberikan pretest dan postest yang kemudian diberi perlakuan dengan menggunakan edukasi hipertensi berbasis bahasa Banjar.
Hasil. Hasil dari penelitian menggunakan uji wilcoxon dengan nilai signifikan p value 0,000<0,005 yang menunjukkan adanya peningkatan pengetahuan responden saat pretest yaitu cukup menjadi baik saat postest, setelah diberikan edukasi hipertansi berbasis bahasa Banjar.
Simpulan. Terjadi peningkatan pengetahuan penderita hipertensi dengan pemberian edukasi berbasis bahasa Banjar menggunakan video sebagai media penyampaian edukasi.
Pengaruh Usia, Pendidikan, Dan Pekerjaan Terhadap Tingkat Pengetahuan Swamedikasi Diare Akut Pada Anak Oleh Ibu-Ibu PKK Di Desa Purworejo Kandat
Authors: Farida Umul , Sugeng W Djembor , Nusroh Ema Chumidafin
Published: June 2024

Diare merupakan salah satu penyakit yang sering terjadi di masyarakat terutama pada anak-anak. Salah satu pengobatan yang sering dilakukan untuk mengobati penyakit diare akut pada anak adalah tindakan pengobatan sendiri (swamedikasi) oleh orang tua. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan dan pengaruh usia, pendidikan, dan pekerjaan terhadap tingkat pengetahuan ibu – ibu PKK terhadap swamedikasi diare akut pada anak di Desa Purworejo Kecamatan Kandat. Penelitian ini menggunakan metode penelitian analisa observasional dengan studi penelitian cross sectional dengan jumlah responden 35. Teknik pengambilan sampel dalam penelitian ini menggunakan total sampling dan untuk pengambilan data menggunakan kuesioner online. Hasil penelitian pengetahuan ibu – ibu PKK terhadap swamedikasi diare akut pada anak sebanyak 19 responden dengan presentase 54,3 % memiliki pengetahuan baik, 15 responden dengan presentase 42,8 % memiliki pengetahuan cukup baik dan 1 responden dengan presentase 2,8% memiliki pengetahuan kurang baik. Berdasarkan uji chi square test  Tidak ada pengaruh yang signifikan antara usia dengan tingkat pengetahuan terhadap swamedikasi diare akut terpenuhi apabila nilai p = 0,000 < 0,05. Tidak ada pengaruh yang signifikan antara pekerjaan dengan tingkat pengetahuan terhadap swamedikasi diare akut pada anak dengan nilai pada uji chi square test 0.974 dimana syarat-syarat untuk memenuhi uji chi square terpenuhi apabila nilai p = 0,000 < 0,05. Terdapat pengaruh yang signifikan antara pendidikan dengan tingkat pengetahuan terhadap swamedikasi diare akut pada anak dengan nilai pada uji chi square test 0.030 dimana syarat-syarat untuk memenuhi uji chi square terpenuhi apabila nilai p = 0,000 < 0,05.
Kontrasepsi Suntik Progresteron 3 Bulan Dengan Kenaikan Berat Badan Pada Akseptor Kontrasepsi Hormonal Di Desa Kalangan Kabupaten Tulungagung
Authors: Farida Umul , Astuti Widhi , Nabila Ainun
Published: June 2024

Indonesia merupakan negara dengan pertumbuhan penduduk yang tergolong tinggi. Salah satu program pemerintah untuk mengendalikan jumlah pertumbuhan penduduk yaitu dengan menerapkan program KB untuk pasangan usia subur. Sebagian besar wanita di Indonesia menggunakan kontrasepsi hormonal jenis suntik, salah satunya kontrasepi suntik 3 bulan. Pemakaian kontrasepsi suntik progesterone 3 bulan dapat mengakibatkan kenaikan berat badan. Hormon progesterone yang tinggi dapat menstimulus pusat nafsu makan di hypothalamus. Tujuan penelitian ini untuk mengetahui apakah penggunaan kontrasepsi suntik progesterone 3 bulan dapat mempengaruhi kenaikan berat badan. Metode yang digunakan adalah retrospekif. Pengambilan sampel dengan purposive sampling terhadap wanita berusia 21 – 45 tahun, rutin menggunakan KB suntik 3 bulan selama periode 2020, tidak menggunakan obat - obatan, dan tidak hipersensitivitas terhadap DMPA. Data diperoleh dari catatan akseptor di Bidan Erna Fuadi A sebanyak 70 sampel. Data diolah dengan menghitung rata – rata kenaikan berat badan kemudian dilakukan uji statistic dengan uji chi square. Hasil dari 70 sampel yang mengalami kenaikan sebanyak 54 akseptor dengan kenaikan terbanyak sebesar 1 kg. Kesimpulan dari hasil penelitian terdapat pengaruh atau hubungan antara penggunaan kontrasepsi suntik progesterone 3 bulan dengan kenaikan berat badan ( asym.sig 0,00 < 0,05 ).
Management of Ankle Fractures – A Survey of Practices of Orthopaedic Surgeons in Nigeria
Authors: Nottidge Timothy , Ifesanya Adeleke , Shobode Mutaleeb , Oladiran Ajibola , Babalola Oladimeji , Nottidge Bolanle , Adedapo Akinwande
Published: June 2024

Background: Ankle fractures are fairly common worldwide but there is scanty literature on the man-agement of these fractures from sub-Saharan Africa. This study provides a broad picture of the prac-tices of orthopaedic surgeons in Nigeria in managing ankle fractures. Consequently, these practices can be updated, areas for further research highlighted and subsequently, guidelines developed con-cerning the contextual management of these fractures in Nigeria.Methods: This survey was carried out using online and hard copy questionnaires, distributed at an annual conference of the Nigerian Orthopaedic Association and sent to three regional centres of orthopaedic practice, respectively. The data was analysed to determine frequencies.Results: There were 114 male and 16 female respondents. Sixty-one percent of the respondents preferred the Danis-Weber classification. While fifty-six percent of the cohort noted that most of these patients present to traditional bone setters before seeking orthodox care, seventy percent con-sidered arrival to hospital in 1 – 4 weeks post injury to be the norm. The Ottawa ankle rules are ap-plied by most (56%) of the participants. About a sixth (17.5%) of our cohort apply syndesmosis screws routinely, while twenty-eight percent of them do not remove these screws. The commonest post-operative complications encountered were chronic pain, flap necrosis and local sepsis. Sixty percent of the surgeons regarded post-operative physiotherapy as beneficial.Conclusions: While a preference for traditional bone setter care and delayed presentation ham-pers formal care of ankle fractures, orthopaedic surgeons in Nigeria tend to apply nonoperative ap-proaches. Patient assessment and any surgical intervention are usually based on modern principles.
Implementasi Model Discovery Learning Untuk Meningkatkan Keaktifan Siswa Pada Materi Ekosistem Kelas V SDN Sekemendung 1
Authors: Mohamad Yudiyanto  , Annisa Mayasari  , Siti Nur Aini Fajrin  , Jonaidi
Published: June 2024

This research is motivated by observational data which shows that the acquisition of learning outcomes and student activity in Natural Science subjects is very low. To respond to this, the researchers conducted classroom action research that aims to improve learning outcomes and student activity. The objectives to be achieved for this research include: (1) Knowing the implementation of audio-visual media in improving student learning outcomes, (2) Knowing the increase in student activity with the Discovery Learning model in students. This research is a classroom action research with Kemmis and Mc. Taggart. The method used in this research is classroom action research with the Discovery Learning model with audio-visual media. This research was conducted in class V with 35 students at SDN Sekemandung 1. The results of the identification of the data obtained, it can be concluded that the activeness of students in learning science in the material "Ecosystem" class V SDN Sekemandung 1, in the enthusiasm of students in participating in learning (67.55%), in understanding the concept of the material being studied (80.67 %), in student interaction with teachers (81.33%), and in group task completion (79.5%) So from this percentage it can be seen that students are developing very well in terms of activity as well as in terms of understanding.
Urgensi Manajemen Dalam Perspektif Pendidikan Islam
Authors: Alfi Maulia Rahma
Published: June 2024

Lately, management as a science is so popular that many studies have focused on management in the form of training, seminars, lectures, or the opening of management study programs including economic management, human resource management, education management, and so on. In subsequent developments, management has been implemented in various issues that are spiritual in nature, such as heart management. This research uses library research methods or a collection of literature (material) from various sources, journals, articles and books. The results of the study show that the most important thing in the management of Islamic education is the management components. There are at least 7 (seven) management components that must be managed properly and correctly, including curriculum and teaching programs, educational staff (school personnel/employees), student affairs, finance and financing, educational facilities and infrastructure, school and community collaboration, and service delivery. special educational institutions