bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinants of Antiretroviral Treatment Interruptions among Adult HIV Patients on antiretroviral therapy in Woliso Town Health Facilities, Woliso, Oromia, Ethiopia, 2022
Authors: Jifara Zewde Bekele , Wanjo Meseret Ifa , Kolola Tufa
Published: November 2024

Background: Close observation is essential for long-lasting viral suppression and effective treatment outcomes in HIV patients undergoing antiretroviral therapy (ART). However, many HIV patients find it difficult to continue receiving antiretroviral therapy, and stopping ART continues to impede the development of HIV programmes aimed at containing the HIV epidemic.
Objective: The objective of the study aimed to assess the determinants of antiretroviral therapy interruptions among adult HIV patients receiving ART in Woliso Health Facilities, Woliso, Oromia, Ethiopia, in 2022.
Methods: With 164 cases and 164 controls, a facility-based unmatched case-control study was carried out. The study participants were chosen using a simple random sampling method. Data extraction forms were used to gather the data. Epi Info version 7 was used to input the data, while SPSS version 20 was used for analysis. The data were summarised using descriptive statistics. Variables having a P-value 0.25 were added to the multiple binary logistic regression model after performing binary logistic regression analysis. Using an adjusted odds ratio with a 95% confidence interval (CI), the relationship between the dependent and independent variables was evaluated. A P-value of 0.05 was used to denote a significant relationship.
Results: 107 (66.88%) cases and 103 (62.8%) controls out of the total study participants were female. The mean ages of the cases and controls were, respectively, 36.95 (10.7 SD) and 39.4 (10 SD) years. Not disclosing their HIV status (AOR 3.04, 95% CI: 1.65, 5.59), not following a monthly ART dispensing model (AOR 4.44, 95% CI: 2.40, 8.20), being a farmer (AOR 3.71, 95% CI: 1.36, 10.13), not being assessed for drug side effects (AOR 2.26, 95% CI: 1.23, 4.15), and not being able to read or write were found to be important predictors of interrupting antiretroviral therapy (AOR 4.28, 95% CI: 1.77, 10.33).
Conclusion: In this study, not having a formal job, being a farmer, HIV status non-disclosure, following the monthly based ART dispensing model, not having a registered viral load, being unable to read and write, and not being assessed for drug side effects were found to be determinant factors of antiretroviral treatment interruption. Therefore, health facilities, district health departments, and zonal health offices should work to improve HIV clinical care and treatment.
Scedosporium Apiospermum Cellulitis: A Case Report
Authors: Victoria Miauro Cynthia , Joaquin Giraldo Cardona , Soledad Gonzalez Yasmin , Anabela Zanetta , Viviana Metta , Estela Buono Monica
Published: November 2024

Scedosporium apiospermum infections are part of the low-frequency mycoses caused by emerging fungi. The natural habitat of these fungi is soil, water and decomposing organic matter. Although inhalation is the route of exposure of most concern, systemic infections secondary to ingestion, trauma or contamination of wounds by conidia or environmental sporangiospores are not uncommon. We present a case of cellulitis in a 68-year-old male patient who was admitted to our institution due to a left lower limb's soft tissue infection. Scedosporium apiospermum was reported later in cultures. Therefore, he received adjusted treatment with Voriconazole. We highlight the importance of this rare case given its low frequency and high mortality associated with its resistance to most of the available antifungals, especially in immunocompromised hosts whose prognosis will depend on rapid diagnosis and early antifungal treatment.
Effect of Ethanol Administration on Cadmium and Magnesium Retention in Liver, Kidney and Heart of Rats
Authors: Ogham Chidi J. , D. Dabak Jonathan , Jaryum Kiri. H.
Published: November 2024

Background and objective(s): There were a health challenge in our study area with no known etiology, which affected mostly alcoholics. Water quality assessment in the area, indicated that it is contaminated with cadmium and had high magnesium content. The aim of this work, therefore, was to mimic the co-administration of cadmium and magnesium with graded concentrations of alcohol using a rat model to assess the retention of cadmium in the liver, kidney and heart, in order to give a plausible explanation on the cause(s) of this health challenge.
Methods: Rats were randomly divided into eight groups of 4 rats per group in metabolic cages. Group 1 served as normal control and fed with animal Feed and Water only. Group 2 was fed with animal feed and 6% Alcohol only (Test control). Group 3 to 8 were treated with the combination of cadmium, magnesium and graded concentrations of alcohol (aq). Treatment was carried out for a period of 21 days, with urine collection at the 7th, 14th and 21st day. The rats were sacrificed, tissues harvested and the assessment of the accumulation and excretion of these metals in tissues and in urine were performed by means of dry mineralization method and spectro-photometry.
Results: The results revealed that ethanol consumption increases the excretion of magnesium in the urine and increases cadmium retention in these tissues.
Conclusions: This suggest that alcoholics have higher risk of kidney, liver and heart injuries caused by cadmium toxicity in areas where the water source is polluted with cadmium as it is the case with our study area.
PRAKTIK POLITIK DALAM CERPEN WEBSITE SUARA SAKING BALI: KAJIAN SOSIOLOGI SASTRA
Authors: Ni Putu Novsa Dewi
Published: November 2024

Penelitian ini berjudul “Praktik Politik dalam Cerpen Website Suara saking Bali: Kajian Sosiologi Sastra”. Penelitian ini bertujuan untuk mengidentifikasi, mendeskripsikan, dan menganalisis praktik politik yang terdapat di dalamnya. Penelitian ini menggunakan teori sosiologi sastra. Penelitian ini merupakan penelitian kualitatif dengan metode studi pustaka. Teknik purposive sampling, teknik baca, teknik catat, dan teknik terjemahan digunakan dalam pengumpulan data. Metode deskriptif-analitik digunakan dalam tahap analisis data. Metode informal digunakan dalam tahap penyajian hasil analisis data. Hasil dari penelitian ini adalah cerpen-cerpen dalam website Suara Saking Bali mengandung praktik kecurangan politik yang terdiri atas ketidakadilan hukum, pemimpin sogokan dan tidak berkualitas, korupsi, kolusi, dan nepotisme, politik dinasti, sifat tidak demokratis, serta praktik money politik. Ideologi praktik politik ini disampaikan oleh pengarang dengan cara sesuai dengan pendapat Raymond Williams dengan menambahkan   gagasan   ke   dalam   novel,  menyodorkan  gagasan  sebagai  konvensi, memunculkan  gagasan  sebagai  perilaku  tokoh  utama, melarutkan  gagasan  dalam keseluruhan  dunia  fiksi,  dan menampilkan  gagasan  sebagai suprastruktur.
PENERAPAN TUTURAN ILOKUSI DALAM PRAKTEK MENGANTARKAN TAMU OLEH MAHASISWA ROOM DIVISION
Authors: Ni Luh Komang Julyanti Paramita Sari  , Saharjo Sulistyoadi Joko , Prayogi Putu Agus
Published: November 2024

Bali sebagai salah satu tujuan wisata yang digemari oleh wisatawan manca negara dan wisatawan local, selalu berupaya untuk menata diri dan memberikan pelayanan yang maksimal. Salah satu aspek yang mendukung  hal tersebut adalah para pelaku wisata yang dituntut untuk memiliki kemampuan berkomunikasi yang baik. Hal tersebut juga berlaku bagi para pelajar yang mendalami ilmu pariwisata. Memiliki kemampuan berbahasa asing (Bahasa Inggris) menjadi salah satu prioritas untuk bekerja di sektor pariwisata. Selain bahasa kemampuan berkomunikasi yang baik juga menjadi standar yang wajib dimiliki bagi pelaku pariwisata. Penelitian ini menganngkat fenomena penerapan tuturan ilukosi oleh mahasiswa room division selama praktek mengantarkan tamu (escorting guest) dalam Bahasa Inggris. Penelitian ini merupakan penelitian kualitatif, dimana data dicatat yang kemudian diolah menggunakan teori Searle dan Leech dan hasilnya dipaparkan secara deskriptif. Beberapa tuturan ilokusi yang ditemukan adalah tuturan ilokusi asertif menginformasikan, tuturan ilokusi direktif memerintahkan atau meminta, tuturan ilokusi komisif menawarkan, dan tuturan ilukosi ekspresif dalam bentuk unrngkapan teruma kasih.
Kata Kunci: tuturan, Bahasa Inggris, ilokusi, pengantaran tamu.
BOOSTING ENGLISH WRITING PROFICIENCY USING SCRAMBLE WORD ON STUDENT OF STULA.COM
Authors: Dewi Si Putu Agung Ayu Pertiwi , Purwaningsih Ni Komang
Published: November 2024

This study explores the effectiveness of scramble word activities in enhancing English writing proficiency among students of Stula.com. Employing a quasi-experimental design, 60 students were divided into an experimental group, which participated in scramble word exercises, and a control group, which engaged in traditional writing tasks. The research aimed to determine whether interactive, form-focused activities could improve students' writing skills more effectively than conventional methods. Pre-test and post-test assessments were conducted to measure improvements in writing proficiency, revealing a significant enhancement in the experimental group, with mean scores increasing from 65.4 to 78.6 (p < 0.05). In contrast, the control group showed a smaller increase in mean scores from 64.8 to 70.2. Qualitative analysis of writing samples highlighted notable improvements in sentence structure, vocabulary usage, and coherence in the experimental group’s writings. The scramble word activities fostered better grammatical accuracy and encouraged students to explore diverse vocabulary and logical flow in their compositions. These findings indicate that interactive learning strategies, such as scramble word exercises, can effectively enhance writing skills. The study recommends incorporating such activities into English writing curricula to provide students with engaging language development opportunities and improve overall writing competence.
THE PRESERVATION OF THE SUBAK CONCEPT THROUGH EDUCATIONAL MEDIA IN SUBAK TEBA MAJALANGU EDUCATIONAL TOURISM, DENPASAR
Authors: Ekasani Kadek Ayu , Lestari Denok , Paramita Putu Dian Yuliani , Febrawan Agung Rizky Fedora , Ariwidana I Putu Eka Nova
Published: November 2024

This study aims to develop an educational comic using the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation) to promote the preservation of the traditional Subak system in Bali. Subak is a significant cultural heritage in Bali; however, it is under threat due to modernization and a lack of awareness among younger generations about its value. Therefore, interactive and engaging media such as comics are considered effective tools for conveying information about Subak preservation. The development process follows the ADDIE framework, starting with needs analysis, story and visualization design, development using Canva, implementation through trials in elementary schools in Bali, and evaluation involving language, illustration, and IT experts. The results indicate that the comic media effectively enhances students' understanding of the Subak system and the importance of cultural preservation. Expert validation also suggests that the comic is suitable for educational use, with recommendations for improvements in visualization and language simplification.
Интелигенцията и комунистическият режим в България в началото на 60-те години
Authors: Калинова Евгения
Published: November 2024

60-те години са десетилетие на противоречията. Западните страни следват новата американска доктрина за „изграждане на мостове“ със съветския блок, която стимулира културния обмен, но и предизвиква подозрения за „идеологическа диверсия“ сред комунистическото ръководство. Десетилетието е белязано и от силния стремеж на източноевропейските страни към икономическа либерализация, което води до либерализиране на политическите режими. При тези обстоятелства от страна на интелигенцията се появяват все по-големи искания за творческа свобода. Защитната реакция на БКП е пряко повлияна от Москва. Въпреки това политиката на Тодор Живков в културната сфера има свои специфични аспекти. Тя може да се опише като смесен подход на „моркови и тояги“ - насочена е към съблазняване на творците, но преминава към репресии, ако действията им надхвърлят определените от партията граници.
Малцинства – търговци в Румелия през ХVІІ–ХVІІІ век
Authors: Иванова Светлана
Published: November 2024

През 1761 г. в един берат на данъчен ферман за приходите от тютюневи търговци от Румели - мюсюлмани или немюсюлмани, раи и аскери в „държавната търговия“, са определени, както следва: „продажба на тютюн тукар тайфеси или от яничари, или от други аскери, и от базерган тайфеси“. По този начин се сблъскваме с принадлежността на османската търговска класа (bazergân или tücar), към основните елементи на социалната структура на Османската империя (askeri и reaya). Източниците от онова време, както и историографията, обаче са единодушни по отношение на един допълнителен специфичен факт, че именно представителите на етноконфесионалните групи - малцинства за дадения регион (арменци, гърци, евреи, както и латинци и дубровничани) имат особено място сред търговците в Румели. Те са имали някои характеристики, които са били типични за социалните позиции в диапазона зимми - мюстемин. Те са действали в мрежа заедно със сънародниците си, живеещи в чужбина, което е предпоставка` за значителното им присъствие както в местната, така и в международната търговия. В опита си да реконструирам реалния статут на тези „чужденци на исляма“, както ги нарича Ф. Бродел, аз наричам тези поданици на султана „собствени чужденци на империята“.
Por los caminos de la oración con san Juan de la Cruz
Authors: Gaitán de Rojas José-Damián
Published: November 2024

Por la vida y escritos de san Juan de la Cruz se sabe que fue un gran místico y un gran contemplativo, entendiendo esta palabra en un sentido amplio. Esto es lo que hace que se acuda a él para encontrar luz en el camino y la práctica no siempre fácil de la oración. Sus escritos rebosan elementos que son fundamentales para una verdadera vida de oración y de comunión con Dios. Es precisamente desde esta perspectiva desde la que se analizan aquí algunas de sus preferencias y formas de orar, y algunas de sus recomendaciones más importantes
Impacto de la digitalización en la intervención social: Oportunidades y desafíos para trabajadores sociales
Authors: Guamán Llongo Luis Guillermo , Macías Vilela Diana Carolina , Zambrano Mendía Kevin Alejandro , Guillen Vallejo Stefania Alexandra
Published: November 2024

Este artículo examina cómo, la digitalización ha transformado la intervención social, ofreciendo nuevas oportunidades y presentando desafíos para los trabajadores sociales. Este artículo analiza cómo la adopción de tecnologías digitales ha mejorado el alcance y la eficacia de las intervenciones sociales, al tiempo que plantea retos en términos de ética, desigualdad digital y capacitación profesional. Se evalúan estudios recientes y se presentan hallazgos sobre la incorporación de herramientas tecnológicas en el trabajo social, mostrando tanto los beneficios como las limitaciones de su uso.
Self-efficacy of high-performance volleyball athletes
Authors: Do Amaral Machado Thais , Vieira do Nascimento Juarez , Juliana Paes Mayara , Jungles Fernandes Gabriel , Da Silva Lirani Luciana , Facco Stefanello Joice Mara
Published: November 2024

Self-efficacy determines the regulation of athletes' thinking patterns and how they will behave to achieve their goals in the face of adversity. The aim of this study was to analyze the relationship between volleyball self-efficacy and the performance efficacy of athletes from high-performance teams at distinct moments of the season. This descriptive correlational study included sixty-five athletes of both sexes (26.20 ± 5.51 years old) from four teams competing in the 2017/2018 Men's and Women's Superliga. The Volleyball Self-Efficacy Scale (VSES) measured athletes' self-efficacy, and notational analysis evaluated the efficacy of volleyball performance. The results showed strong or very strong self-efficacy in the game, defensive self-efficacy, offensive self-efficacy, and global self-efficacy, as well as relationships between defensive self-efficacy and defensive efficacy, and between offensive self-efficacy and offensive efficacy. The high-performance athletes across both variables investigated were partially susceptible to circumstantial issues inherent to the sport context, such as matches inside or outside home, with public for or against, with teams of different technical levels, with teams that have a history of confrontations with more wins or more defeats against their team.
Presenting the dynamic model of football in Qatar: The role of hosting the 2022 FIFA World Cup
Authors: Abdulateef Almohammed Ali , Talebpour Mahdi , Keshtidar Mohammad , Mirzazadeh Zahrasadat
Published: November 2024

The current study aimed to present a dynamic football model in Qatar, concentrating on the role of hosting the 2022 FIFA World Cup. It was practical in terms of purpose and qualitative in terms of strategy. The qualitative research method was based on grounded theory, applying the Strauss-Corbin approach. The sample consisted of 22 football experts selected through purposeful sampling. These individuals represented various roles within the Qatar Stars League during the 2021-2022 football season, including coaches, referees, athletes, heads and managers of football clubs, and veterans. The main categories obtained in this research included causal conditions, contextual conditions, and intervening conditions. Finally, the dynamic model of Qatar football was presented after determining the desired model, process/interactions, consequences, and relationships between the elements. The development of new media and technology also profoundly impacted football club-media relations, as clubs recognized the importance of external communications and the demand for instant information. In general, media, technology, and investment play an important role in shaping the dynamics of the football league in Qatar, driving growth and influencing organizational strategies.
Más allá del movimiento. Transformación educativa en educación física a través de la pedagogía no lineal: Una revisión sistemática
Authors: Espoz-Lazo Sebastián , Farías-Valenzuela Claudio , Del Val-Martín Pablo , Hinojosa-Torres Claudio , Valdivia-Moral Pedro
Published: November 2024

Physical education has evolved from its approaches focused on physical activity towards holistic and adaptive models, with one of the latest methodological currents used for this purpose being Non-Linear Pedagogy. In the present review, the PRISMA protocol was followed to identify relevant studies published between 2018 and 2024 that investigated the application of this methodology, using platforms such as Web of Science and Scopus, and applying inclusion/exclusion criteria to select appropriate articles. The review included 21 studies that showed significant improvements in motor, cognitive and social skills through Non-Linear Pedagogy, highlighting the adaptability of this approach to various educational situations and its ability to promote more inclusive and effective learning in Physical Education. The importance of this model was analyzed, highlighting its holistic approach and its ability to foster creativity and adaptability in students during class. The adoption of Non-Linear Pedagogy in Physical Education is essential to prepare students and athletes for future challenges, promoting more meaningful and adaptive learning in a constantly evolving educational context.

La educación física ha evolucionado desde sus enfoques centrados en la actividad física hacia modelos holísticos y adaptativos, siendo una de las últimas corrientes metodológicas utilizadas para este propósito el de la Pedagogía No Lineal. En la presente revisión se siguió el protocolo PRISMA para identificar estudios relevantes publicados entre 2018 y 2024 que investigaran la aplicación de esta metodología, utilizando plataformas como Web of Science y Scopus, y aplicando criterios de inclusión/exclusión para seleccionar los artículos adecuados. La revisión incluyó 21 estudios que mostraron mejoras significativas en habilidades motoras, cognitivas y sociales mediante la Pedagogía No Lineal, destacando la adaptabilidad de este enfoque a diversas situaciones educativas y su capacidad para promover un aprendizaje más inclusivo y efectivo en Educación Física. Se analizó la importancia de este modelo, subrayando su enfoque holístico y su capacidad para fomentar la creatividad y la adaptabilidad en los estudiantes durante la clase. La adopción de la Pedagogía No Lineal en Educación Física es fundamental para preparar a estudiantes y deportistas para los desafíos futuros, promoviendo un aprendizaje más significativo y adaptativo en un contexto educativo en constante evolución.
Balonkorf: Un deporte coeducativo y alternativo en el aula de educación física
Authors: García-Pérez Laura , Salazar-Ruiz Rosario , Caracuel-Cáliz Rafael , A. Ramírez-Granizo Irwin , Sanz-Martín Daniel
Published: November 2024

Alternative sports are characterized by being full of motivation, enjoyment and practical involvement. They are used in physical education classes because of their adaptability and ease of adaptation to the students' abilities, also promoting gender equality. Consequently, the aim of this study was to make a didactic proposal on an alternative sport, "the balonkorf", to work in a playful way on cooperation. It was designed according to the instruction 12/2022 of June 23, for 6th grade of Primary Education with a total of 26 students. The proposal included a seven-session sequence: Session 1 focuses on passing and receiving. Session 2 introduces passing, receiving, and spatial occupation. Session 3 incorporates passing, receiving, spatial occupation, and shooting. Session 4 addresses defensive and offensive tactics. Sessions 5 and 6 integrate passing, receiving, spatial occupation, and tactics. Finally, Session 7 features a formal competition to apply the tactics and techniques developed in previous sessions.

Los deportes alternativos se caracterizan por estar cargados de motivación, disfrute e implicación práctica. Se utilizan en las clases de educación física por su capacidad de adaptación y facilidad de adecuación a las habilidades del alumnado, fomentando además la igualdad entre género. Consecuentemente, el objetivo de este estudio fue realizar una propuesta didáctica sobre un deporte alternativo, "el balonkorf", para trabajar de manera lúdica la cooperación. Fue diseñada de acuerdo con la instrucción 12/2022 del 23 de junio, para 6º grado de Educación Primaria con un total de 26 estudiantes. La propuesta incluyó una secuencia de siete sesiones: La sesión 1 se centra en los pases y recepciones. La sesión 2 introduce los pases, recepciones y la ocupación del espacio. La sesión 3 incorpora los pases, recepciones, la ocupación del espacio y los lanzamientos. La sesión 4 aborda las tácticas defensivas y ofensivas. Las sesiones 5 y 6 integran los pases, recepciones, la ocupación del espacio y las tácticas. Finalmente, la sesión 7 presenta una competición formal para aplicar las tácticas y técnicas desarrolladas en las sesiones anteriores.
Influencia de la actividad física en adultos brasileños miopes: Un estudio piloto
Authors: Dias de Jesus Eduarda Eugenia , Rosa Alexandre , Rodrigues Luiz Henrique , Cortes Morales Pedro Jorge
Published: November 2024

This study aimed to analyze the influence of physical activity on Brazilians with myopia. Sixty-three Brazilians with myopia participated. A questionnaire was used to identify the sample and the "Habitual Physical Activity Questionnaire" (HPAQ) was applied. In females, we found that the relationship of myopia with the night shift shows a moderate correlation (0.572) with a predominance of the right eye suggesting a higher incidence in this group. Sitting position at work shows a correlation as the inability to see at a distance, and this is a moderate correlation (0.585) for males. In view of this we see that there are other variables that can prevent the decrease of myopia, in which it is considerable to affirm that physical exercise alone is not enough for this population.

Este estudio tuvo como objetivo analizar la influencia de la actividad física en brasileños con miopía. Participaron 63 brasileños con miopía. Se utilizó un cuestionario para identificar la muestra y se aplicó el "Cuestionario de Actividad Física Habitual" (CAFH). En las mujeres, se observó que la relación de la miopía con el turno nocturno presenta una correlación moderada (0,572) con predominio del ojo derecho, lo que sugiere una mayor incidencia en este grupo. La posición sentada en el trabajo presenta una correlación como la imposibilidad de ver a distancia, siendo ésta una correlación moderada (0,585) para los hombres. Ante esto vemos que existen otras variables que pueden impedir la reducción de la miopía, en las que es considerable afirmar que el ejercicio físico por sí solo no es suficiente para esta población.
Experimentación modular de un robot de manipulación con VA
Authors: Caballero Julián Franco Gabriel , Silva Cruz Eric Mario , Hernández Sánchez César , Hernández Abrego Anayansi Cristina , Vidal Reyes Martín
Published: November 2024

En este trabajo se hace una segunda entrega en la revista IPSUMTEC del TecNM/Instituto Tecnológico de Milpa Alta, de los resultados parciales alcanzados en el proyecto de un Robot deManipulación [1] con Visión Artificial(VA) para aplicaciones con frutos y semillas en la industria agrícola y de los alimentos. Aquí se presenta el diagrama esquemático y de cableado entre la tarjeta Arduino Mega y la estructura del robot, sus servomotores y los potenciómetros que por medio de estructuras de engranajes, leen la posición de cada uno de los servomotores que emulan los eslabones del tronco o cintura, del hombro y del codo, en un comportamiento como el robot Cincinnati Milacron T3 y el robot PUMA de Unimation[2].
En la operación, partimos de una imagen en formato jpg de la que se extrae una figura circular de color rojo, verde o azul, porque el fondo se colorea de blanco; de esa figura se obtiene el color y su posición en un plano dividido en tres renglones por tres columnas o 9 sectores. En la operación maestro-esclavo, la computadora le pasa a la tarjeta Arduino-Mega el color y el sector en el que se identifica la figura.
Con los datos de color y posición recibidos, el sistema digital esclavo ejecuta las rutinas de posicionamiento de un señalador luminoso que apunta en un plano hacía el sector en el que se encontró la figura.
Lo que sigue de este proyecto, el trabajo futuro; es el desarrollo de aplicaciones simples por medio de movimientos con cinemática inversa [3,4].
Diagnóstico de cumplimiento con la norma ISO 14001:2015 en sector secundario del aguacate
Authors: Suárez-Espinosa Brenda Crystal , Salinas-Magaña Juan
Published: November 2024

El estudio contiene una metodología para evaluar el cumplimiento de requisitos de la norma ISO 14001:2015 en una empresa[1] de empaque de aguacate ubicada en Michoacán, México cuya entidad es la de mayor exportación de aguacate a nivel mundial y es imperante el cumplimiento con estándares internacionales entre otros, los de aspecto ambiental para poder exportar sus productos. Se trata de un estudio descriptivo a partir de datos cualitativos, se desarrolló un instrumento de evaluación basado en categorías de cumplimiento normativo, se logró identificar un nivel de implementación de los requisitos de la norma de 60% para el capítulo “Contexto de la Organización”, 63% para “liderazgo, 91% para “Planificación”, 48% para “Apoyo”, 53% en “Operación”, 26% para “Evaluación del Desempeño” y 10% para “Mejora”. Se concluye que es necesario emprender acciones correctivas y preventivas enfocadas en la evaluación del desempeño y mejora continua del Sistema para elevar el grado de implementación del Sistema de Gestión Ambiental basado en la norma ISO 14001:2015.
Identification of Traditional Herbal Leaves and Their Benefits Using K-Nearest Neighbors (KNN)
Authors: Nur Rahma Ditta Zahra  , Kanaya Sabila Azzahra  , Nur Iman Nugraha  , Muhammad Ilham Nurfajri  , Nabil Malik Al Hapid  , Endang Purnama Giri  , Gema Parasti Mindara
Published: November 2024

Abstract. This study presents a web-based system for identifying traditional herbal leaves using K-Nearest Neighbors (KNN) and image processing techniques focused on analyzing leaf shape and color. The dataset used consists of images of various types of herbal leaves, providing a basis for classification and medicinal benefit information retrieval. The system was tested with multiple leaf samples to assess accuracy, speed, and effectiveness in identifying leaf types based on visual characteristics. Results show that the system can recognize different types of herbal leaves and display information on their medicinal properties in a user-friendly interface..
ДИТЯЧЕ ВОЛОНТЕРСТВО В ЧАСИ ВІЙНИ ЯК РЕСУРС ПРОЦЕСУ ТРАНСФОРМАЦІЇ ВИХОВНОЇ ПАРАДИГМИ СУЧАСНОГО ЗАКЛАДУ ОСВІТИ
Authors: Дікова-Фаворська Олена
Published: November 2024

В статті розглядається феномен волонтерства як прояву консолідації в суспільсті. Проаналізовано види та чинники волонтерського руху в Україні та їх вплив на трансформацію виховної парадигми сучасного закладу освіти. Доведено, що дитяче волонтерство виступає потужним ресурсом соціальної спрямованості здобувачів освіти, що дозволить сформувати їх громадянську компетентність
ПЕДАГОГІЧНІ УМОВИ ФОРМУВАННЯ ГРОМАДЯНСЬКОЇ КОМПЕТЕНТНОСТІ В МОЛОДШИХ ШКОЛЯРІВ НА УРОКАХ ІНФОРМАТИКИ
Authors: Муковіз Олексій , Красюк Людмила
Published: November 2024

Формування громадянської компетентності у молодших школярів під час вивчення інформатики допомагає зрозуміти сутність різних інформаційних процесів, виконуючи при цьому системоутворюючу роль цього курсу. Цей процес є складним і динамічним, що вимагає цілісного,багатокомпонентного підходу до роботи вчителя та учнів, де необхідно враховувати всі складові, що входять до структури громадянської компетентності. Ефективне розв’язання цієї педагогічної проблеми можливе за умови впровадження в процес навчання інформатики таких педагогічних умов: поетапне формування громадянської компетентності на уроках інформатики; систематичне використання в змісті предмета відповідних електронних освітніх ресурсів, спрямованих на громадянське самовизначення учнів; мотиваційне забезпечення процесу формування громадянської компетентності в учнів початкової школи. Виявлені педагогічні умови логічно пов’язані та взаємозалежні, кожна з яких є необхідною для ефективного формування громадянської компетентності у молодших школярів
СТРУКТУРНІ КОМПОНЕНТИ ІННОВАЦІЙНОЇ ПОЗИЦІЇ ПЕДАГОГА
Authors: Трофименко Ольга
Published: November 2024

На підставі аналізу наукових джерел з питань, дотичних інноваційній позиції педагога, у статті обґрунтовано та виокремлено структурні компоненти явища, що досліджується. Визначено, що інноваційна позиція педагога проявляється в професійній діяльності при реалізації інноваційних підходівдо навчання, виховання та розвитку особистості. З’ясовано, що формами прояву інноваційної позиції є процес організації власної діяльності педагогом та результати цієї діяльності. Обґрунтовано виокремлення наступних компонентів у структурі інноваційної позиції: мотиваційний, когнітивний, діяльнісний, креативний та рефлексивний. Усі структурні компоненти взаємообумовлені та тісно взаємопов’язані.
Traducción de Culturemas con Sistemas de Traducción Automática Basados en IA
Authors: Ricardez Santos Heber
Published: November 2024

El uso de traductores automáticos que funcionan a base de inteligencia artificial ha incrementado con los años. Estos sistemas han evolucionado al grado de poder identificar las sutilizas en los textos que antes solamente podían identificar los traductores humanos. Sin embargo, cuando se tratan elementos culturales en un texto es problemático inclusive para los traductores con experiencia, por lo que resulta interesante analizar el comportamiento de los sistemas de traducción automática con IA cuando entran en juego culturemas. Por ello, en este artículo se presenta un análisis que se realizó a partir de las traducciones de los traductores automáticos DeepL y Google Translator.
Estimación de la Vulnerabilidad Ambiental y Socioeconómica ante Inundaciones en la Cuenca del Río Jujan
Authors: Flores Abad Elvis Renato , Zambrano Zavala Leila Elizabeth , Morocho Rosero Luis Antonio , Cadena Ituralde Jaime
Published: November 2024

Este estudio tiene como objetivo estimar la vulnerabilidad ambiental y socioeconómica ante inundaciones en la cuenca del río Jujan, ubicada en la región costera de Ecuador. Mediante el uso de Sistemas de Información Geográfica (SIG), se identificaron y analizaron indicadores de sensibilidad y capacidad adaptativa, permitiendo determinar las áreas de mayor vulnerabilidad dentro de la cuenca. Se utilizaron datos geoespaciales y socioeconómicos proporcionados por instituciones locales para realizar un análisis cuantitativo y cualitativo de los niveles de vulnerabilidad. Los resultados muestran que las zonas urbanas, especialmente las que se encuentran cerca de cuerpos de agua, presentan un riesgo considerablemente mayor de sufrir los efectos de las inundaciones, mientras que las áreas rurales tienen una baja capacidad adaptativa que incrementa su vulnerabilidad a eventos extremos. Se concluye que es necesario implementar medidas urgentes para mejorar la infraestructura y los sistemas de drenaje, además de fortalecer la capacidad adaptativa de las comunidades locales a través de políticas públicas integrales. Este estudio proporciona una base sólida para la planificación territorial y la gestión de riesgos en la cuenca.
Patient-reported outcome measures in orthopaedics
Authors: Hansen Stine Thestrup , Jensen Rasmus Stig , Holm Henriette Appel , Liljensøe Anette
Published: November 2024

INTRODUCTION. The Patient Activity Treatment Outcome Scale (PATOS) is a novel patient-reported outcome measure (PROM). This study explored patients’ and orthopaedic surgeons’ experiences with PATOS as part of a PROM battery. It aimed to investigate its influence on patient involvement and healthcare decisions about knee or hip osteoarthritis patients scheduled for knee/hip arthroplasty.

METHODS. A qualitative research design was adopted using semi-structured interviews with 19 patients and nine orthopaedic surgeons at a Danish orthopaedic surgery department. Thematic analysis was used to develop key themes from interview transcripts.

RESULTS. This study adds nuanced insights related to the use of PROMs in routine orthopaedic clinical practice. Home-based completion of PROMs prompted patients to reflect on their situations, priorities and goals regarding potential hip or knee arthroplasty, leading to better-prepared discussions with surgeons. The integration of PATOS with other PROMs made it challenging to discuss PATOS exclusively. Therefore, the results relate to the full PROM battery. The experiences of patients and surgeons were organised into four themes: 1) Patient involvement is key, 2) Questionnaire load, 3) Meaningful home-based completion and 4) PROMs were not used in the decision-making process.

CONCLUSIONS. The questionnaire load and limited integration into healthcare decision processes raised concerns about the application of the PROM battery. The results emphasise the importance of refining the application of PROMs in orthopaedic practice from the perspectives of patients and surgeons alike.

FUNDING. This work was supported by Innovation Fund Denmark [0172-01258B]

TRIAL REGISTRATION. Not relevant.
Physical activity, sedentary time and health – a narrative review with new insights
Authors: Ekelund Ulf , Tarp Jakob , Sanchez-Lastra Miguel Adriano , Dalene Knut Eirik
Published: November 2024

Physical activity and sedentary time are associated with multiple health outcomes, and benefits also extend to those living with chronic conditions. These observations are primarily based on data from studies in which self-reported data assessed physical activity. Recent data where physical activity and sedentary time are measured with devices suggest that the dose-response association between device-measured physical activity and risk of incident diseases and mortality is greater and observed at lower levels of physical activity than indicated by self-reported data.
Chimeric antigen receptor T-cell therapy for refractory systemic autoimmune rheumatological diseases
Authors: Larsen Mads Lamm , Voss Anne , Nielsen Christoffer Tandrup Holst , Hauge Ellen-Margrethe , Faurschou Mikkel , Troldborg Anne
Published: November 2024

Chimeric antigen receptor T-cell (CAR-T) therapy is emerging as a novel treatment for systemic autoimmune rheumatic diseases. To date, CAR-T therapy in rheumatology has been reported only in case studies and conference abstracts, but clinical trial results are forthcoming. Current evidence indicates a rapid and highly effective therapeutic response with a favourable side effect profile, suggesting that CD19 CAR-T therapy could be beneficially established for these conditions. Initially, CAR-T therapy appears relevant for a select group of severe, treatment-resistant rheumatic diseases.
Impact and Significance of Nutritional Attitude Assessment: A Review
Authors: Akhila Srivinatha Sankhya Tupakula , Bandaru Lakshmi Himaja , Srivaralakshmi Tupakula , Subba Rao P.
Published: November 2024

Food and nutrition is the basic requirement for the human beings. Balanced diet provides the proper nutrition which plays an important role in maintaining the health of an individual. The nutritional status shows impact on the clinical outcomes of health on the individual. The nutritional status of an individual depends upon the different levels of nutrients available within the human. The nutrients can be classified as essential and nonessential nutrients. Malnutrition is the basic etiology for the development of various deficiency disorders. To avoid that deficiency disorders all the essential nutrients should be replaced within the balanced diet. In some cases excessive or inadequate intake of nutrients leads to malnutrition. So diet should be balanced based upon the nutrient requirement. The importance of this nutritional assessment survey is to identify the level of nutrition within the adolescents and its impact on the individual health care outcomes and physiological growth. If any deficiency disorders are identified at the initial stages they can be corrected at the initial stages of nutritional imbalance, so that the health condition of an individual in future doesn’t get complicated. Education regarding nutrition intake and management will be helpful within the community to improve health care outcomes. Awareness programmes regarding the good food and nutrition should be conducted within the community setup to reach the public. Research should be promoted to identify various nutritional deficiency disorders at their initial stages in order to prevent and manage further complications. It’s better to improve the quality of food resources and prevent food adulterations that increase the nutritional value so that the public will get balanced nutrition properly.
Evaluación del dolor neonatal en neonatos a través el monitor Neonatal Infant Parasympathetic Evaluation (NIPE): un nuevo horizonte dentro del cuidado de enfermería
Authors: Álvarez Soledad , Piccardo Luciana , Hernández Cecilia
Published: November 2024

Este artículo presenta una actualización sobre la evaluación del dolor en neonatos a través del monitor de evaluación parasimpática (NIPE), que permite una medición objetiva del do-lor. La monitorización, evaluación y análisis del dolor en neonatos críticos es un desafío ac-tual para el cuidado integral de enfermería. Los avances en la tecnología de las unidades de cuidados intensivos y la especialización del equipo de salud han permitido la supervivencia de neonatos extremadamente prematuros, quienes requieren cuidados intensivos que impli-can múltiples procedimientos dolorosos y estresantes diariamente.
El equipo de enfermería desempeña un rol fundamental en el uso adecuado de esta tecnolo-gía, mejorando los cuidados y obteniendo evaluaciones confiables en la medición del dolor. Esto permite implementar estrategias precisas y efectivas para un óptimo manejo.
FENOMENA CAHAYA PADA BENDA SEHARI-HARI: REFLEKSI PRAKTIKUM IPA SD
Authors: Indah Kumalasari, dkk.
Published: November 2024

This article discusses the properties of light such as reflection, refraction, and bending through a simple practicum. Through qualitative research, an in-depth understanding of the phenomenon of light is described, including data collection through observation, interviews, and documentation. In the practicum, concepts such as light propagating straight, penetrating clear objects, and being reflected were applied to provide a better understanding. Observations showed that light plays an important role in shadow formation, color change, and deflection. The conclusion highlights the importance of understanding the phenomenon of light in understanding the surrounding environment and its effect on various objects and daily activities. Thus, a better understanding of the properties of light can help improve our understanding of nature and its applications in everyday life.
Keywords: Light, practicum, properties
Implementasi Pendidikan Matematika Realistik: "Analisis Pengalaman dan Dampaknya terhadap Pembelajaran Siswa
Authors: Nurjanah  , M. Alfian Sahroni  , Sifaiyah  , Djuita Hidayati
Published: November 2024

Pendidikan Matematika Realistik (PMR) di MI Riyadhussholihin merupakan pendekatan yang mengintegrasikan konsep matematik dengan konteks kehidupan nyata, bertujuan untuk meningkatkan pemahaman dan keterampilan siswa dalam matematika. Penelitian ini menggunakan metode kualitatif untuk menganalisis implementasi PMR dan dampaknya terhadap pembelajaran siswa. Hasil penelitian menunjukkan bahwa penerapan PMR dilakukan dengan baik oleh guru, menggunakan berbagai metode interaktif dan kontekstual. Siswa merasa lebih tertarik dan termotivasi dalam belajar matematika, serta menunjukkan peningkatan minat dan kepercayaan diri dalam menyelesaikan soal-soal matematis. Analisis terhadap nilai ujian menunjukkan adanya peningkatan signifikan dalam pemahaman konsep matematika. Meskipun demikian, tantangan seperti keterbatasan sumber daya pendidikan dan variasi kemampuan siswa masih perlu diatasi. Disarankan agar sekolah menyediakan lebih banyak pelatihan lebih lanjut bagi guru dan mengembangkan sumber daya pendidikan yang mendukung penerapan PMR.
Rational Type Contraction in Consideration of Fixed-Point Theorems in bMetric Spaces
Authors: Pathak Rohit
Published: November 2024

In this paper, we prove common fixed-point theorems in complete b-metric spaces using rational type contraction for two self-mappings. Our result improves and extends the results proved by Mlaiki et al. [1] for a single continuous self-mapping in extended complete bmetric space. We improve the results of Mlaiki et al. [1] to complete b-metric spaces for two self-mappings without assuming the continuity of any mapping
The relationship between the young catholic movement and the soviet regime from 1940 to 1941
Authors: Labanauskas Ramūnas
Published: November 2024

This article explores the relationship between the Young Catholic Movement (hereinafter—YCM), which began operating in Lithuania in the second half of the thirties and included public and cultural figures of the intellectual Catholic elite (Pranas Dielininkaitis, Ignas Skrupskelis, Juozas Ambrazevičius, Juozas Grinius, Antanas Maceina, and others), and the Soviet regime between 1940 and 1941.
In this period, the public and political Catholic elite, expecting a war between Germany and the Soviet Union soon and thinking that the Soviet regime would be short-lived, opted for an externally loyal form of cooperative relationship with the Soviet regime, at the same time making all efforts to retain the public Catholic structures that operated before the occupation. A major part of the elite secretly sought to re-establish Lithuania’s independence with the help of Germany, whereas others were more cautious about the German orientation and did not reject dependence on the USSR as a more handy option for the Lithuanian nation. One of the latter was Rev. Mykolas Krupavičius, who most actively advised the new government to cooperate with the Soviets in the summer of 1940. However, the episcopate’s modus vivendi with the regime was two-faced—pretended loyalty while at the same time secretly acting against the regime.
Repatriation from Lithuania SSR in 1956–1959 and Poland secret services.
Authors: Stravinskienė Vitalija
Published: November 2024

In the mid-1950s, following successful negotiations between the authorities of the People's Republic of Poland and the leadership of the Soviet Union, the process of repatriation from the USSR to the PRP was renewed. Initially, it encompassed repressed individuals, primarily of Polish nationality, who had already served their sentences or had been released early from incarceration. All of them sought to relocate to Poland. The leadership of the USSR agreed to allow approximately 9,000 such individuals to leave.
Változó világ, változatlan igények - Kapcsolati és egyéni tényezők szerepe az egészségügyi szolgáltatások minőségében
Authors: Dr. Kincsesné Dr. Vajda Beáta
Published: November 2024

Az orvos-páciens kapcsolat egészségügyi ellátásban betöltött szerepe az utóbbi években, évtizedekben alapvető változásokon ment keresztül. Bár e változások országtól és ellátórendszertől függően eltérő mértékűek, általánosan elmondható, hogy gyógyítási szempontból eltolódás vehető észre a biomedikális szemlélettől a bio-pszicho-szociális modell felé, amely komplexebb és személyesebb kapcsolatot feltételez az orvos és páciense között. Gazdasági és marketing szempontból is változások tapasztalhatók: az egészségügy szolgáltatásként való megjelenése azt eredményezi, hogy nagyobb hangsúly kerül az igénybe vevői elégedettségre, a személyes kapcsolatmenedzsmentre és a kockázatkommunikációra. A 2019 végén induló koronavírus-világjárvány mindezek mellett – vagy mindezeken keresztül – hirtelen és drasztikus változásokat hozott az egészségi interakciók lebonyolításába is, melynek hatásai, például a telemedicina tervezettnél gyorsabb előretörése jelenleg is észlelhetők. Az online elérhető, egészséggel kapcsolatos információk, csoportok, melyek páciensek egyre nagyobb tömegeinek körében foglalnak el előkelő helyet információforrásként, szintén jelentős hatással vannak az orvos-beteg kapcsolat dinamikájára. A megfelelő kommunikációt és a páciensek döntési folyamatba való bevonását olyan tényezőknek tekinthetjük, amelyek elősegíthetik a gyógyítási/gyógyulási folyamat sikerességét és a felek elégedettségének növelését. Fontos eleme mindennek a páciensek egészséggel és egészségüggyel kapcsolatos szemlélete, valamint együttműködési hajlandósága, amelyek nemcsak befolyásolhatják a kommunikációt, de annak következményei is lehetnek és végső soron az eredményességhez is hozzájárulhatnak. Ha pedig mindezek olyan tényezők, amelyek elősegítik az egészségügyi kimenetek javítását, ezzel javítva a páciensbiztonságot, csökkentve a visszaesések, kórházi felvételek, komolyabb beavatkozások számát, úgy vélem, érdemes részletesen foglalkoznunk ezzel a folyamattal.