bluuebunny/crossref_metadata_2025 huggingface dataset:
La crisis de la COVID-19 como ventana de oportunidad: la pacificación de los entornos escolares en Barcelona a través del urbanismo táctico
Authors: Martí-Costa Marc , Termes Andreu , Gomà Ricard
Published: June 2024

Este artículo analiza la crisis de la COVID-19 como ventana de oportunidad para el desarrollo de políticas para hacer de la ciudad un lugar más amable, saludable e inclusivo. Se analizan los antecedentes, el inicio, el desarrollo y los resultados del programa Protejamos las escuelas del Ayuntamiento de Barcelona entre los años 2020 y 2023 a partir del marco de las corrientes múltiples y del ciclo de las políticas. El programa tiene como objetivo pacificar, inicialmente con intervenciones tácticas, los entornos urbanos de las escuelas de Barcelona. La metodología es la del estudio de caso a partir de técnicas cualitativas, combinando fuentes documentales con 10 entrevistas semiestructuradas a actores clave del programa.
Los resultados del análisis ponen de relieve diferentes aspectos de esta política pública: la existencia de diversos factores disparadores además de la COVID-19; las tensiones internas entre el área de urbanismo y la de educación del Ayuntamiento de Barcelona en el desarrollo participativo del programa; la importancia de las asociaciones de familias de los centros escolares como un nuevo actor en la gobernanza del espacio público; las ventajas e inconvenientes del urbanismo táctico; la coherencia con otras políticas de pacificación del espacio público del gobierno municipal y los avances y límites del programa.  Todo ello permite explicar la permanencia de la política más allá de la emergencia.
La crisis del COVID-19 en Chile: análisis de las transformaciones en el tejido social de los barrios del Gran Santiago
Authors: Fuentes Luis , Greene Margarita , Rodríguez Sebastián , Figueroa Cristhian
Published: June 2024

La comunicación inicial en la crisis sanitaria en Chile se focalizó en el autocuidado individual, pero la difusión espacial de los contagios desnudó graves problemas en la configuración espacial de nuestras ciudades. Así, barrio y vivienda, tuvieron nuevos usos, que, si bien se dan en un contexto que amplifica las desigualdades socio espaciales tradicionales existentes antes de la pandemia, también muestran particularidades propias de su localización en la ciudad, con respecto a equipamientos, accesibilidad e identidad. Usando datos de una encuesta EPDUS realizada pre y post crisis del COVID-19, este trabajo describe las condiciones socioterritoriales, los cambios en los usos y prácticas espaciales, el rol de los vínculos sociales y el papel del barrio como escala de contención y apoyo mutuo para enfrentar la pandemia. La conclusión nos muestra que diferentes tipologías de barrio en el área metropolitana de Santiago configuran espacios desiguales que determinan la posibilidad de construcción de vínculos sociales de apoyo, colaboración y cuidado en crisis como la del COVID-19.
Introducción. Cambios y continuidades en la gobernanza de ciudades iberoamericanas. Actores, redes y políticas en el contexto del COVID
Authors: De la Fuente Fernández Rosa , Barrera Guarderas Augusto , Sánchez Moral Simón
Published: June 2024

Las investigaciones contenidas en esta sección monográfica analizan distintas aristas de las respuestas e impactos del COVID-19 en ciudades latinoamericanas y españolas. Utilizando metodologías y fuentes diversas, el hilo conductor es identificar los escenarios que la pandemia produjo en esas ciudades, qué impactos tuvo en el comportamiento de los habitantes, en sus formas de gobernanza, en las capacidades institucionales (o su ausencia) y en las respuestas que sus ciudadanos construyeron.
La Guerra de Gaza: cómo el lenguaje de destrucción sobre Israel y los palestinos pasa por alto la tragedia más amplia del Estado-nación
Authors: Agnew John
Published: June 2024

En la guerra mundial de la opinión pública sobre la Guerra de Gaza de 2023-24, y más específicamente en los campus universitarios estadounidenses, las complejidades históricas de la situación geopolítica se han reducido a lemas sobre el “derecho” absoluto de un bando u otro para no sólo ignorar sino también destruir potencialmente al otro. Así, el eslogan “Del río al mar Palestina será libre” se interpreta fácilmente en el sentido de que recomienda la expulsión o destrucción de los aproximadamente siete millones de residentes judíos actuales de la zona y al equiparar al grupo islamista Hamás con todos los palestinos como merecedores de ser eliminados hace la misma reivindicación nihilista en el otro lado. La historia es más compleja. Al crear un Estado, Israel, que pudiera ser un refugio de la persecución de un grupo muy disperso, los judíos podían quedar protegidos de la animadversión y las consecuencias de un antisemitismo histórico. Al hacerlo, por supuesto, cualquier futuro político colectivo palestino estaría en peligro inevitablemente para la población predominante históricamente en la zona. Por lo tanto, las reclamaciones contrapuestas sobre el mismo territorio que esto implica no pueden resolverse simplemente adoptando un “lenguaje mejor”. La guerra lingüística confunde el verdadero problema que nos ocupa: tanto israelíes como palestinos son herederos de la lógica del (etno)Estadonación territorializado importada de la Europa del siglo XIX. Este hecho señala la tragedia del Estadonación que representa la guerra de Gaza. Compartir el espacio político es imposible de comprender si se está bloqueado en esta lógica.
Is the Ukraine War a Territorial Dispute? Geographical Contributions to Understanding and Resolving the Russo-Ukrainian Conflict
Authors: Megoran Nick
Published: June 2024

¿Cómo sería una resolución pacífica de la guerra entre Rusia y Ucrania? Para empezar a responder esa pregunta este artículo mira a los orígenes del conflicto a través de una lente geográfica en lugar del marco histórico reduccionista que ha dominado a los expertos políticos en Estados Unidos y el Reino Unido. Ubicado en la literatura comparada sobre nacionalismo que sugiere que las disputas territoriales son la norma y no la excepción en las zonas fronterizas postsoviéticas, explora cómo el conflicto de Ucrania demuestra una serie de cuestiones políticas geográficas a escalas local, regional y nacional. Siguiendo a Millar al adoptar una concepción transescalar de la interrelación entre la paz y el conflicto, se basa en ejemplos comparativos para sugerir formas creativas en las que estas cuestiones podrían abordarse en futuras negociaciones de paz.
Budget Implementation as a Work Control Tool Work at the Mulyorejo Pratama Tax Service Office
Authors: Santoso Joys Oktavia , Riyadi Slamet
Published: June 2024

This research has a topic of application regarding the operational budget by analyzing the operational budget and knowing how the budget as an instrument of control. The method in this study was an interview with sources at the Mulyorejo Tax Service Office in Surabaya. Processing of operational budget data using budget variance analysis. The results obtained are that the budget is so that all employees can carry out activities or activities in accordance with the work program that has been set. The results of the variance analysis of the operational budget with its realization are using favorable (profitable). These results show that the office has made rare efficiency in terms of operations.
Wygrałem, zdobyłem, zapłaciłem…
Authors: Tofil Filip
Published: June 2024

This article attempts to map competitions and reviews addressed to visual communication designers. The first part names popular competitions, hierarchies them according to prestige in the design circles and categorises them regarding their target groups and types of designs they attract. The Under Scrutiny part describes competition processes, i.a. informs, what is important while submitting a design. It refers the selection criteria of awarded works, juxtaposed with curatorial approach of the organisers. The description is supported by designers’ opinions. The Promotion part applies these opinions to list the advantages of participating in competitions. Therapy elaborates on this subject, attempting to demonstrate potential benefits of competitions to the design circles in a broader context of promoting the entire profession and knowledge exchange, as well as introducing young designers to the market. Keywords: competitions, promotion, visual communication, awards, professional circles
Pseudo-obstrucción intestinal crónica asociada a displasia neuronal intestinal tipo A
Authors: Vázquez Arizmendi Josué , Palacios Morejón Ulises , Martínez Luna Brenda , Domínguez Alvarez Carlos , Zamora Santana Orlando , Ariza Acuña Daniela
Published: June 2024

Introducción. La pseudo-obstrucción intestinal crónica es una entidad clínica de múltiples causas. Entre ellas se en- cuentra la displasia neuronal intestinal, una enfermedad poco frecuente que presenta dos subtipos: A y B.
Objetivo. Presentar el caso clínico de una paciente con diagnóstico de gastroparesia idiopática asociada a displasia neuronal intestinal tipo A.
Caso clínico. Paciente femenina de 30 años, con diagnóstico de gastroparesia idiopática de larga evolución, múltiples ingresos hospitalarios y pérdida de peso significativa. Evolucionó con un síndrome de pinzamiento aorto-mesentérico que fue tratado quirúrgicamente, con lo que tuvo una mejoría temporal de los síntomas. Al recurrir los síntomas, se realizó una yeyunostomía para alimentación. En esta intervención quirúrgica se tomaron biopsias de estómago y de yeyuno, llegando al diagnóstico de displasia neuronal intestinal tipo A.
Conclusión. Ante la presencia de síntomas de pseudo-obstrucción intestinal o diagnóstico de gastroparesia idiopática, es necesario considerar el compromiso del plexo nervioso gastrointestinal. La obtención de una muestra adecuada de tejido y su evaluación con técnicas apropiadas son primordiales para diagnosticar la etiología neurogénica de la entidad.
Potential Beneficial Effect of Rifaximin in the Prevention of Hepatocellular Carcinoma through the Modulation of the Microbiota in an Experimental Model of Non-alcoholic Fatty Liver Disease
Authors: Tonin Ferrari Jéssica , Tayguara Silveira Guerreiro Gabriel , Longo Larisse , Reverbel da Silveira Themis , Thadeu Schmidt Cerski Carlos , Tozawa Erica , P Oliveira Cláudia , Reis Álvares-da-Silva Mário , Uribe-Cruz Carolina
Published: June 2024

Aim. To evaluate the effects of rifaximin through microbiota modulation in a model of hepatocellular carcinoma secondary to non-alcoholic fatty liver disease.
Methods. Three groups of 8 adult male Sprague-Dawley rats each were divided as follows: the HCC group: rats fed a high-fat and choline-deficient diet plus diethylnitrosamine as a carcinogen, the hepatocellular carcinoma treated group: rats fed a high-fat and choline-deficient diet plus diethylnitrosamine and treated with rifaximin and the control group: animals fed standard diet and water. The rats were euthanized after 16 weeks. We performed analyses of liver pathology for non-alcoholic fatty liver disease severity and cancer grading, gene expression in intestinal and hepatic tissues and fecal microbiota.
Results. All animals in the hepatocellular carcinoma group had non-alcoholic fatty liver disease and developed hepatocellular carcinoma lesions. Rifaximin animals showed less intense non-alcoholic fatty liver disease (assessed by non-alcoholic fatty liver disease activity score [NAS]) compared to the hepatocellular carcinoma group. Both the hepatocellular carcinoma and hepatocellular carcinoma + rifaximin groups showed areas of fibrosis as assessed by picrosirius red. Three animals in the rifaximin group did not develop cancerous lesions. Gut microbiota analyses revealed differences in diversity and composition in the control group vs hepatocellular carcinoma and rifaximin groups. Twelve differentially abundant genera were identified between the hepatocellular carcinoma and rifaximin groups. In the rifaximin group, gene expression of intestinal tight junctions decreased.
Conclusions. In a rodent model of non-alcoholic fatty liver disease-related hepatocellular carcinoma, rifaximin reduces the histological severity of non-alcoholic fatty liver dis-ease and the occurrence of hepatocellular carcinoma, probably by modulating the gut microbiota independently of markers of intestinal permeability.
Cuerpos extraños de difícil extracción en pediatría
Authors: Mendez-Nieto Carlos Mario , Casas-Guzik Lucía , Cervantes-Bustamante Roberto , Zárate-Mondragón Flora Elva
Published: June 2024

La ingesta de cuerpos extraños es una emergencia y uno de los accidentes con mayor morbimortalidad en pediatría. Algunos, por sus características y localización, representan un desafío para la resolución endoscópica, por lo que es importante contar con diversos accesorios y habilidades técnicas. El objetivo de este artículo es presentar una serie de casos de ingesta de cuerpos extraños de difícil extracción que requirieron técnicas no convencionales y que puedan servir de guía para el tratamiento de casos semejantes.
Hepatocarcinoma: realidad epidemiológica en Tucumán, Noroeste argentino
Authors: Buabse Fernando , Palazzo Felipe , Palazzo Ana , Murga Dolores , Perez Daniela , Zunino Moira , Gadea Claudia , Garrocho Carlos , Rodríguez Juan José , Segovia Rodrigo , Soria Analía , Berarducchi Pablo , Aybar Iris , Ortiz Mayor Marcela , Seoane Carmen , Soria Nancy , Lionetti Daniela , López Avellaneda Marcelo , Alanís Germán , Ferraro Marcelo , Villavicencio Santiago , González Roxana
Published: June 2024

Introducción. El carcinoma hepatocelular es el tumor hepático primario más frecuente (80% a 90%). Es el sexto tumor más frecuente y el tercero que más muertes relacionadas con el cáncer causa. El 85% se presenta en Asia y África. En Latinoamérica y la Argentina no está totalmente representada la epidemiología en la literatura. La mayoría de los carcinomas hepatocelulares se presentan sobre la base de una cirrosis.
Objetivo. Caracterizar epidemiológicamente a los carcinomas hepatocelulares en Tucumán, Argentina.
Materiales y métodos. Se realizó un estudio descriptivo, multicéntrico, tanto del ámbito público como del privado de la provincia. El diagnóstico y tratamiento de los pacientes portadores de carcinoma hepatocelular se realizó siguiendo las guías internacionales.
Resultados. Se incluyeron a 328 pacientes, 109 (33,23%) mujeres y 219 (66,76%) varones. De estos pacientes, 294 (89,6%) tenían hígado cirrótico. La sobrevida a 5 años fue del 6,09% (n: 20/328) en el estadio A y de 0,914% (n: 3/328) en el estadio B.
Conclusión. Se actualizó la epidemiología del carcinoma hepatocelular en Tucumán, Argentina. Coincidentemente con la literatura, la serie estudiada mostró una mayor prevalencia en el hombre que en la mujer. La mayoría se diagnosticaron como estadio D y estuvieron asociados a enfermedad hepática subyacente.
Endoscopic Findings in Candidate Patients for Bariatric Surgery
Authors: Airaldi Nicolás , García Manuel , Gigena Agustín R , Matínez Lascano Fernando , Esquivel Carlos M
Published: June 2024

Introduction. Obesity is a risk factor for gastrointestinal diseases such as gastroesophageal reflux disease, erosive esophagitis, and hiatal hernia, among others. The presence of some of these diseases during the preoperative bariatric study may condition the surgical technique to be performed. 
Materials and methods. We conducted a retrospective, descriptive, cross-sectional study from a prospectively collected database of patients with obesity treated with bariatric surgery between January 2016 and June 2022 who systematically underwent preoperative upper gastrointestinal endoscopy.
Results. We evaluated 704 patients who were candidates for bariatric surgery. The mean age of the patients was 40 years, predominantly female (71.6%). The most frequent endoscopic findings were gastropathies, which appeared in 98.9% (n: 696) of the patients, followed by esophageal disorders in 11.6% (n: 82). The prevalence of erosive esophagitis was 9.8% (n: 69). In addition, 19.7% of the endoscopic findings required preoperative medical treatment and in 4% of the patients the surgical decision was determined by the endoscopic finding. 
Conclusion. Given the high relationship between obesity and diseases of the upper digestive tract, and the interference that these diseases can have in the postoperative evolution of a bariatric patient, we consider that upper gastrointestinal endoscopy should be routinely included in the preparation of the patient who is a candidate for bariatric surgery.
Prevalencia de trastornos motores en pacientes con síntomas esofágicos
Authors: Tevez Adriana , Hashimoto Harumi , Piskorz María M. , Uehara Tatiana , Gonzalez Ballerga Esteban , Olmos Jorge A.
Published: June 2024

Introducción. Los pacientes con trastornos motores del esófago pueden presentar distintos síntomas. La disfagia es el síntoma más frecuente, pero también pueden presentar síntomas de reflujo (principalmente regurgitación) y/o dolor de pecho. Los datos sobre la prevalencia de los trastornos de la motilidad esofágica, según los diferentes síntomas de presentación en la población argentina, son escasos. 
Objetivos. Describir el perfil sintomático y determinar la prevalencia de los trastornos motores del esófago sobra la base de cada síntoma. 
Material y métodos. Análisis retrospectivo de estudios realizados de manera prospectiva. Se incluyeron pacientes con síntomas esofágicos sometidos a manometría esofágica de alta resolución desde enero de 2009 hasta diciembre de 2020. La manometría de alta resolución se realizó con un sistema de 36 sensores de estado sólido circunferencialmente sensibles y los pacientes se clasificaron utilizando la clasificación de Chicago v3.0. 
Resultados. De los 861 pacientes estudiados (media de edad 57 +/- 16 años; 71,2% mujeres), 304 presentaron disfagia, 462 síntomas de reflujo gastroesofágico, 89 dolor torácico y 6 una combinación de síntomas. Entre los pacientes con disfagia, el 38% presentó acalasia. Entre los pacientes con síntomas de reflujo gastroesofágico, el 63% tuvo una motilidad esofágica normal y el 18% una motilidad esofágica inefectiva. Entre los pacientes con dolor torácico, el 67% tuvo motilidad esofágica normal y el 13% motilidad esofágica inefectiva. El odds ratio para acalasia en pacientes con disfagia fue de 38 (IC 95% 19 - 86, p = 0,000). 
Conclusión. Los síntomas de reflujo gastroesofágico fueron la forma de presentación más común, seguidos de la disfagia. La acalasia fue el hallazgo manométrico más frecuente entre los pacientes con disfagia y la motilidad esofágica inefectiva en pacientes con reflujo gastroesofágico y dolor torácico. Este estudio destaca la alta prevalencia de acalasia entre los pacientes con disfagia y de motilidad esofágica inefectiva en pacientes con síntomas de reflujo y dolor torácico.
Páncreas ectópico en vesícula biliar: reporte de un caso y revisión de la literatura
Authors: Baldeón Figueroa Fernanda Alicia , Zamora Medina Jean , Santos Moreno Omar , Soriano Tochimani Laura Gabriela , Loyola Rodríguez Georgina , Rojas González Jorge Antonio , Riccio Cuomo Federica
Published: June 2024

El páncreas heterotópico en la vesícula biliar es una lesión rara, asintomática, que se ha identificado en pacientes que cursan con colelitiasis u otras enfermedades de la vía biliar, siendo un diagnóstico incidental hasta el momento en que se reporta mediante el diagnóstico histopatológico. Descripto por primera vez en 1916 por Otschkin, desde entonces se han reportado en la literatura mundial 41 casos; este sería el caso 42, cuarto a nivel nacional y el primero en reportarse a nivel estatal.
Se presenta el caso de una paciente femenina en la cuarta década de la vida, cuya manifestación clínica fue la de un cólico biliar secundario a una colecistitis crónica agudizada diagnosticada en base a la clínica y el ultrasonido. Una vez realizada la colecistectomía, el diagnóstico histopatológico fue páncreas ectópico en la pared de la vesícula biliar, colecistitis crónica agudizada y litos puros de colesterol.
Conceptos claves en la estimación de la probabilidad pretest
Authors: Masson Walter
Published: June 2024

En líneas generales, una probabilidad es un cálculo matemático a partir del cual se establece la posibilidad de que algo suceda. En el contexto de la medicina asistencial, este término es usado habitualmente para describir la posibilidad de que un evento clínico (en general la aparición de una determinada enfermedad) pueda ocurrir en una población o, más a menudo, en un paciente individual.
Tumores engañosos en una mujer de mediana edad
Authors: Meza Galeano Lina , Lazcano Soliz Carolina , Robledo Lina , Espil Germán , Kozima Shigeru , Larrañaga Nebil
Published: June 2024

Una mujer de 50 años consulta por dolor en epigastrio e hipocondrio derecho, náuseas y vómitos de ocho meses de evolución, aproximadamente. En los resultados de laboratorio se resaltan la fosfatasa alcalina de 116 U/L y el siguiente perfil viral: anti-VHA IgG de 9.89 S/Co, antirubeola IgG 64.4 UI/ml, anti-CMV IgG > 250 AU/ml, anti -Epstein Barr IgG 65,67 S/Co. El resto de los resultados fue normal y las serologías fueron negativas.
Posteriormente, se realiza una ecografía abdominal en la que se muestran innumerables nódulos hipoecogénicos, de márgenes parcialmente circunscritos, con calcificaciones en su interior, algunos causantes de retracción capsular, sin evidencia de flujo vascular con Doppler color (Figura 1). Tras estos hallazgos, se continúa la valoración mediante TCMD (Tomografía Computada Multi detector) con contraste endovenoso, donde se observan, en consonancia con la ecografía, numerosos nódulos isodensos e hipodensos, con realce en anillo en fases arterial y venosa, distribuidos en ambos lóbulos hepáticos. En el lóbulo izquierdo se destaca un nódulo dominante, acompañado de groseras calcificaciones internas, que mide 48x42x39 mm (Figura 2).
The Rewards of Dependency and the Cost of Revolt: Sparta and the Perioikic Poleis
Authors: Herrad Imogen
Published: June 2024

The ancient state of the Lakedaimonians was composed of Spartiates – citizens of Sparta with full citizenship rights – and the so-called perioikoi (literally: ‘those who dwell around’), who lived in small, self-governing towns around Sparta. The perioikoi were personally free but lacked the ability to autonomously decide matters of foreign or military policy. Spartiates and (elite) perioikoi were fellow, if unequal, citizens: they fought side by side, worshipped the same gods and upheld the same conservative values. To the outside Greek world, all alike shared in the legendary military glory of Lakedaimon, but inside their home state, the perioikoi were second-class citizens. Even so, only very few perioikic poleis attempted to shake off Spartiate overlordship during their centuries of shared history. This essay seeks to determine the costs and the rewards of unfreedom, and to answer the question of why some poleis chose the risky course of revolt when so many did not.
Repercussions of plagiarism on University degrees in the virtual context
Authors: Faba-Pérez Cristina , Pérez-Pulido Margarita
Published: June 2024

This article deals with issues related to university plagiarism, students' knowledge of it, and its academic, economic, legal, social, and ethical repercussions. The project covers various university degree courses of the Faculty of Documentation and Communication Sciences of the University of Extremadura. The objective was to analyse the real knowledge that students have about plagiarism and its repercussions, and to verify the students' situation regarding their knowledge of plagiarism, its typology, and its possible consequences. The methodological approach was based on a previous study about the legal and ethical regulations that affect this issue in general and the university environment in particular. Once the analysis of these documents had been carried out, a 17-item Likert-scale questionnaire was prepared which was responded to by a total of 267 students doing different degree courses of the aforementioned Faculty. Simple descriptive statistics were used to analyse the results. They showed that the group with most knowledge about plagiarism and its repercussions was that of the Master's course students (2.27 out of 3). Of the options proposed as a means of identifying plagiarism, that most frequently identified (83.85%) was reproducing a text in a work without citing the author. In general, the questionnaire results indicated that, although the scores were in the top half of the possible values in all cases, they were far from optimal in all of the degree courses analysed. In conclusion, it can be said that plagiarism has become an essential issue throughout the university world, particularly with the use of technology in the academic setting and its problems regarding intellectual property and copyright. The methodology used, applied to the degree courses of the Faculty of Documentation and Communication Sciences of the UEx, allows the context to be analysed, the problem and its causes to be identified, and the imbalances to be corrected, since in many cases students are unaware that they are plagiarising.
The Effect Of Multimedia Package On Yoga Practice In Enhancing Mental Health Of Higher Secondary Students
Authors: Amutha K. , Vakkil M.
Published: June 2024

Mental health is a state of mental wellbeing, it includes emotional, psychological, and social wellbeing. It helps to improve the mental worries from unnecessary activities. For that yoga practice (physical and mental exercises) is essential to reduce mental stress and depression and also it helps to improve mental health. This paper aims to assess the effect of multimedia packages on yoga practice in enhancing the mental health of higher secondary students. The study adopted the quasi-experimental design and the sample of 100 higher secondary students was selected by convenience sampling technique from a government-aided higher secondary school, in Salem district, Tamilnadu. The data were analyzed by descriptive analysis (Mean and SD) and inferential analysis (‘t’ and ‘F’ tests). The finding of the results revealed that there is a significant difference in pre-test scores and post-test scores in the mental health of higher secondary students through multimedia packages on yoga practice. In addition, there is no significant difference in the mental health of higher secondary students through multimedia packages on yoga practice to their gender and stream of study.
A Community Program “Eat Well, See Clearly” For Early Detection Of Diabetic Retinopathy
Authors: Sheiladevi Sheiladevi , Yu Jiawen , Y, Z Law, , Prakash Sathiya , Dar Hlaing Thaw
Published: June 2024

The “Eat Well, See Clearly” community program, aimed at diabetic populations and those at high risk for diabetic retinopathy (DR) in Selangor, Malaysia, now includes non-diabetic individuals to assess the preventive potential of dietary education. This study utilizes the UK Diabetes and Diet Questionnaire (UKDDQ) to measure dietary habits across these groups within community settings. Purposive sampling targeted adults aged 20 to 50 at eye care centers, ensuring relevance to a demographically diverse group, including those without diabetes. Participants’ dietary knowledge was evaluated using SPSS to analyze questionnaire data, highlighting significant improvements especially among high-risk and diabetic participants. These findings illustrate that enhanced dietary awareness correlates with better management of diabetes and a reduced risk of developing DR. The study supports the integration of structured dietary education into standard care protocols, emphasizing the importance of addressing varied dietary knowledge levels and providing tailored dietary recommendations to manage and potentially prevent DR,integrating structured dietary education into standard care protocols to enhance public health outcomes by effectively managing and potentially reducing DR progression among vulnerable groups.
China-Afghanistan Relations And The Wakhan Corridor: Assessing Economic Interests, Infrastructural Development, And Geopolitical Implications
Authors: Sarbiland Habiburrahman , Stanikzai Irfan Ullah
Published: June 2024

Aim: the research investigate the relationship between Afghanistan and China within the framework of wakhan corridor, it focus on infrastructure development, geopolitical ramifications, and economic interest of this vital area. Methods: A primary data collected through snowballing technique from experts and secondary data collected from academic articles, government reports, policy papers, news and analyze through content analysis. Results: In the development of Wakhan Corridor China has security, economic and strategic objectives, the impact of china investment on corridor’s infrastructure play a crucial role in trade and regional connectivity. But China's involvement in the Wakhan Corridor also contributes to its geopolitical significance in the area; this region may potentially affect Afghanistan's relations with its neighbors. The Wakhan Corridor is currently under construction as part of efforts to strengthen trade relations with China and will serve as a route connecting China with Europe and the Middle East. Conclusion: China involved in Wakhan corridor due to economic, security and geopolitical reasons, china establish influence in central Asia, promote regional connectivity and economic goals. In Afghanistan china efforts to support its larger goals and have a positive economic and geopolitical impact. Recommendation: By implementing the recommendations, Afghanistan and its neighbors would be in a better position to maximize economic benefits, minimize any security concerns, encourage regional cooperation, deal with the complexity of China's relations with Afghanistan in the Wakhan Corridor. That would open the way to a peaceful and prospering future.
Analyzing Carbon and Particulate Matter Emissions in Compression Ignition Engines with Biodiesel and Nanoparticle Additives
Authors: Zohaib Khan  , Jameel Ahmed Mahesar  , Sajjad Bhangwar  , Sher Muhammad Ghoto
Published: June 2024

Pollutants from vehicles pose a direct threat to our ecosystem due to the emission of hazardous gases. The increasing urbanization of the world has led to higher consumption of petroleum products. These products, such as diesel and petrol, are derived from crude oil, which has limited reserves, and natural gas stocks are also limited. Countries with low or no fossil fuel reserves face significant shortages of gasoline, crude oil, and petroleum production and supplies. This study aims to evaluate the effects of using biodiesel as an additive in diesel engines for the analysis of carbon   and particulate matter emissions. The results found that carbon emissions reduce 1.13% in biodiesel, 2.54% reduction in aluminum oxide   and particulate matter emissions were 4.459 biodiesel 9.669% reduced in aluminum oxide with compared to diesel. Furthermore, the addition of nanoparticles to the biodiesel blend further reduced emissions.
Long-Term Quality of Life of Kidney Transplant Recipients
Authors: Kimura Renata Namie Yoshioka , Camargo Pedro Henrique Haisi Amaral , Jaworski Paulo Eduardo Dietrich
Published: June 2024

Introduction: The relevance of quality of life is increasingly evident in rising life expectancy and the prevalence of non-communicable chronic diseases like chronic kidney disease. Transplantation is the preferred treatment for end-stage chronic kidney disease, facilitated through living or cadaveric donors as per Brazilian legislation. However, limited literature compares long-term quality of life data and its correlation with graft origin. This study addresses this knowledge gap, focusing on patients who underwent kidney transplantation before 2012 at Hospital Universitário Evangélico Mackenzie. Objectives: The primary aim is to analyze kidney transplant recipients’ long-term quality of life from living and cadaveric donors. Methods: The study was observational cross-sectional; the sample includes 24 female (61.5% cadaveric donor) and 19 male (38.5% cadaveric donor) patients who underwent transplantation before 2012. The Short Form-36 (SF-36) questionnaire was utilized, and data were statistically analyzed after tabulation in Excel®. Results: Cadaveric donor recipients experienced 39 additional months of dialysis (p = 0.017) and higher initial median creatinine levels than living donor recipients. Creatinine findings were more favorable for living donor recipients in the 7th and 8th years, indicating a temporal decline in the cadaveric donor group. In the SF-36 questionnaire, only the “mental health” domain showed a statistically significant difference, favoring the cadaveric donor group (p = 0.008). Conclusion: Long-term quality of life for living donor and cadaveric donor kidney transplant recipients did not significantly differ, except for the “mental health” domain, which favored cadaveric donor recipients. Creatinine levels exhibited a temporal decline in the cadaveric donor group, emphasizing the importance of considering graft origin in assessing transplant outcomes.
English Teaching Using Perfect Storm Film to Improve Vocabulary Achievement of Second Year Maritime Academy Student of Surakarta City
Authors: Rofik Mohamad , Sujito Sujito
Published: June 2024

This research is very challenging and have best aim. The purpose of the study is to know the effect of teaching using film in improving vocabulary achievement. Population in this research were the seconds’ year students at Maritime Academy of Surakarta. Film is very interesting for them as maritime students. It is experimental research by doing intervention in the class to answer the research question. This research was experimental where there is only one-group getting pre-test and post-test. The pre-test to gain information about the students’ vocabulary ability. Treatment is done by teaching using film in class, and post-test was given to the class after the treatments given. the researchers held learning meetings seven times in the class before post-test was given. The film is chosen from the story the life of fisherman. The title of the film is “The perfect storm”. The finding shows that the significance value of the pre-test and post-test is 0.343, which means it is more than 0.05 (0.343 > 0.05), then H1 is rejected, which means there is not affect in reverse using the Perfect Storm Film to improve vocabulary achievement of second year Maritime Academy Student of Surakarta City in 2023.
METODE BIMBINGAN DAN KONSELING ISLAM DALAM MENANAMKAN KEDISIPLINAN SHOLAT DHUHA PADA ANAK HIPERAKTIF DI MTs NURUL FATAH REJANG LEBONG
Authors: Elawati Susi , Putra Hasep , Harahap Emmi Kholilah
Published: June 2024

Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mendiskripsikan karakteristik anak hiperaktif dan menganalisis metode bimbingan dan konseling Islam dalam menanamkan kedisiplinan shalat dhuha pada anak hiperaktif di MTs Nurul Fatah Rejang Lebong. Jenis penelitian ini merupakan penelitian kualitatif. Sumber data penelitian ini adalah guru serta anak hiperaktif. Metode pengumpulan data menggunakan wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa pertama anak hiperaktif memiliki problem kedisiplinan dalam melaksanakan shalat dhuha berjamaah. Kedua, metode bimbingan dan konseling Islam yang digunakan untuk menanamkan kedisiplian shalat dhuha bagi anak hiperaktif terdiri dari empat metode yaitu metode pembiasaan, metode tauladan, metode nasehat (motivasi), dan metode pengawasan ketika shalat dhuha berjamaah berlangsung.
IMPLEMENTASI PENDEKATAN BEHAVIOR UNTUK MEMBANTU MENGATASI PENYALAHGUNAAN NAPZA DI SMA NEGERI 5 KOTA LUBUKLINGGAU
Authors: Fitriyani Fitriyani , Seplyana Desy
Published: June 2024

Bagaimana implementasi dengan pendekatan behavior untuk membantu mengatasi penyalahgunaan NAPZA di SMA Negeri 5 Lubuklinggau. Penelitian ini menggunakan Metode penelitian deskriptif kualitatif. Subjek dalam penelitian ini adalah kepala sekolah, guru BK, Anggota BNN (Badan Narkotika Nasional) Lubuklinggau dan beberapa Peserta didik. Data dikumpulkan melalui metode observasi, wawancara, dan dokumentasi. Data yang terkumpul dianalisis menggunakan model analisis interaktif (penarik kesimpulan). Data-data hasil penelitian diuji kembali keabsahannya dengan menggunakan membandingkan data hasil pengamatan dengan hasil wawancara, membandingkan apa yang dikatakan orang didepan umum dengan apa yang dikatakan secara pribadi, membandingkan hasil wawancara dengan isi dokumen. Hasil penelitian ini menunjukan: 1) Implementasi pendekatan Behavior untuk membantu mengatasi penyalahgunaan NAPZA di SMA Negeri 5 Lubuklinggau dilakukan melalui proses: a) Pengimplementasian program sekolah dengan menggunakan pendekatan behavior yang bertujuan untuk mengantisipasi para siswa SMA Negeri 5 Lubuklinggau agar terhindar dari bahaya penyalahgunaan NAPZA b) Dengan menggunakan teknik konseling ekologi yang dimana konseling ekologi merupakan konseling yang melibatkan pihak internal dengan lingkungan, yang dimana yang merupakan pihak internal adalah SMA Negeri 5 Lubuklinggau dan lingkungannya adalah pemerintah setempat dan BNN (Badan Narkotika Nasional) Lubuklinggau c) Dalam pelaksanaan nya SMA Negeri 5 bekerja sama dengan  lingkungan setempat dan BNN (Badan Narkotika Nasional) Lubuklinggau. 2) Faktor pendukung dalam pelaksanaan implementasi pendekatan behavior ini mendapat dukungan dari pemerintah lingkungan setempat dan BNN (Badan Narkotika Nasional) Lubuklinggau, adanya semangat siswa untuk menambah wawasan dengan bimbingan yang di berikan guru bk dan penyuluhan yang dilakukan BNN. Faktor penghambat nya yaitu ada siswa yang tidak mau mengikuti kebijakan dari sekolah, minimnya biaya dalam pelaksanaannya, adanya gangguan sinyal untuk melakukan bimbingan oleh guru bk.
FILOSOFI MUSLIM DAN IKATAN BUDAYA LOKAL PADA PEDALAMAN SUMATERA
Authors: Pane Ismail
Published: June 2024

The purpose of this study is to fully explain the jargon and sub-sub-sections that underlie the religion of the Orang rimba. this study is based on a field essay that contains descriptive about the phenomenon of gambling. This study produced several conclusions: (1) Orang Rimba are monotheistic, meaning that they do not practice dynamism, modesty, or animalism as believed so far. (2) two elements, namely The Jungle and Islam, are responsible for the religious knowledge of the Jungle People. (3) The evidence confirms that Islam is the only religion that the Orang Rimba profess as follows: among them are (a) the Mantra of getting honey, such as (b) The Orang Rimba faith in God, Prophet Muhammad, Angels, and the day of judgment; (c) the values of the death ceremony: Ratib Laa Ilaha Illallah; and (d) the values of the Standing ceremony. (4) the existence of a new theory about the influence of Islam on the tribe.
Tujuan dari penelitian ini adalah untuk menjelaskan secara lengkap jargon dan sub-sub bagian yang mendasari agama Orang rimba. penelitian ini didasarkan pada esai lapangan yang memuat deskriptif tentang fenomena perjudian. Kajian kali ini menghasilkan beberapa kesimpulan: (1) Orang Rimba bersifat tauhid, artinya mereka tidak mempraktekkan dinamisme, kesopanan, atau kebinatangan seperti yang diyakini selama ini. (2) Dua unsur yaitu Rimba dan Islam bertanggung jawab atas ilmu agama Orang Rimba. (3) Bukti menegaskan bahwa Islam adalah satu-satunya agama yang dianut Orang Rimba sebagai berikut: Diantaranya adalah (a) Mantra Mendapatkan Madu, seperti (b) Orang Rimba Iman kepada Tuhan, Nabi Muhammad, Malaikat, dan Hari Kiamat; (c) Nilai-Nilai Upacara Kematian: Ratib Laa Ilaha Illallah; dan (d) Nilai-Nilai Upacara Berdekir. (4) Adanya teori baru tentang pengaruh Islam terhadap suku.
Fomentando a autonomia do cuidado para empoderar a educação em saúde
Authors: Silva Ana Carolina Resende da , Sá Marcos Vinicios Alves de , Silva Maria Fernanda Bandeira da , Silva Aleffy Gil Pereira da , Branco Stefany Medeiros Castello , Barbosa Thays Menezes Guimarães , Rolim Vanessa Ximenes Bertoldo , Oliveira Terená Juliana Maros de , Cavalcante Rafael Leituga de Carvalho , Teixeira Geoeselita Borges , Duarte Aline Graziele Godoy , Nelson Isabel Cristina Amaral de Sousa Rosso
Published: June 2024

A presente revisão narrativa de literatura explora a relação entre a educação em saúde e a autonomia do paciente, destacando a importância de programas educacionais eficazes na promoção do autogerenciamento e na melhoria dos resultados de saúde. O estudo consistiu em uma análise bibliográfica de artigos obtidos nas bases de dados Scielo e PubMed, com um total de 16 artigos selecionados, publicados principalmente nos últimos dez anos. Os resultados indicaram que pacientes que participam de programas de educação em saúde demonstram maior compreensão de suas condições de saúde e dos tratamentos disponíveis, o que se reflete em melhor aderência aos regimes terapêuticos e na prevenção de complicações. Essa maior autonomia está associada a um uso mais eficiente dos recursos de saúde e a uma redução dos custos gerais para os sistemas de saúde. Além disso, a educação em saúde foi mostrada como um fator significativo na melhoria da satisfação dos pacientes com os cuidados recebidos, promovendo uma relação mais humanizada entre pacientes e profissionais de saúde. A satisfação dos pacientes com os cuidados de saúde também melhorou significativamente. Os pacientes relataram sentir-se mais respeitados e envolvidos em seus processos de tratamento, o que é um forte indicativo de que a educação em saúde eficaz pode contribuir para a humanização dos cuidados de saúde e para o fortalecimento da relação paciente-profissional de saúde. No entanto, a implementação de programas educacionais enfrenta desafios, incluindo a variabilidade na literacia em saúde e a resistência à mudança por parte de profissionais e instituições. A revisão enfatiza a necessidade de abordagens inclusivas e acessíveis na educação em saúde para garantir a equidade no acesso às informações de saúde e para apoiar efetivamente a autonomia do paciente.
“Estão fazendo a egípcia”: invisibilidade da população LGBTQIA+ no acesso à Atenção Primária à Saúde
Authors: Bernardes Luzana Mackevicius , Souza Eduardo Carvalho de , Aoki Simone Jardim , Silva Landa Rocha da , Unsain Ramiro Andrés Fernández
Published: June 2024

O presente estudo objetivou analisar a produção científica brasileira acerca dos obstáculos encontrados pela população LGBTQIA+ ao acesso equânime à Atenção Primária à Saúde. Trata-se de uma Revisão Integrativa da Literatura a partir de manuscritos publicados na Biblioteca Virtual em Saúde (BVS) e Scientific Electronic Library Online (SciELO). Para tanto, utilizou-se os seguintes Descritores em Ciências da Saúde (DeCS) para as buscas nos bancos de dados supracitados: Pessoas LGBT; Pessoas LGBTQIA+; acesso à atenção primária à saúde; acesso a serviços de saúde; acesso à atenção básica. Nesse contexto, levou-se em consideração os seguintes critérios de inclusão: artigos completos disponíveis; idioma português; estudos publicados entre 2019 e 2023. Além destes, utilizou-se os seguintes critérios de exclusão: artigos com fuga de tema; estudos repetidos; estudos de revisão. Por fim, o corpus do estudo foi de 24 artigos. As pesquisas analisadas apontam as diversas barreiras enfrentadas pela população LGBTQIA+ para o acesso à Atenção Primária à Saúde, bem como as dificuldades existentes por despreparo dos profissionais de saúde na abordagem e acolhimento. Além destes pontos, a falta de conhecimento sobre a construção da sexualidade e identidade de gênero, assim como preconceito e discriminação foram elementos evidenciados pela literatura analisada. Nesse sentido, as políticas públicas existentes para intervir nessa realidade ainda encontram-se inconstantes e distantes da realidade dos serviços, o que compromete o acesso equânime da população LGBTQIA+ Atenção Primária à Saúde. Nesta conjuntura, observa-se que a literatura enfatiza que ainda se perpetua a invisibilidade da população LGBTQIA+ e que suas singularidades e especificidades não são respeitadas, o que significa um desafio a ser superado.
Cool ladies: le donne agé che dettano tendenze
Authors: Limongi Douglas
Published: June 2024

Cool ladies: le donne agé che dettano tendenze
Dead in 2012? Indie sleaze e il tornare alle estetiche del passato
Authors: Galeazzi Mariavittoria , De Gregorio Fiorenza
Published: June 2024

Dead in 2012? Indie sleaze e il tornare alle estetiche del passato
Il vestito femminile tra politically correct e self confidence
Authors: Vona Sara
Published: June 2024

Il vestito femminile tra politically correct e self confidence
Rodeo revival
Authors: Galeazzi Mariavittoria
Published: June 2024

Rodeo revival
I fili dell'influencing
Authors: Limongi Douglas
Published: June 2024

I fili dell'influencing
Dal cuore alle mani. L'amore per il made in Italy si conferma eccellenza artigianale
Authors: Vona Sara
Published: June 2024

Dal cuore alle mani. L'amore per il made in Italy si conferma eccellenza artigianale
Unapologetic. Madonna: coraggio e sovversione
Authors: Limongi Douglas
Published: June 2024

Unapologetic. Madonna: coraggio e sovversione
Per saperne di più
Authors: Groundbreaking Redazione
Published: June 2024

Per saperne di più
Dichiarazione intelligenza artificiale
Authors: Groundbreaking Redazione
Published: June 2024

Dichiarazione intelligenza artificiale
Introduzione all’approccio critico alla decisione clinica
Authors: Costantino Giorgio , Casazza Giovanni
Published: June 2024

Questo volume vuole essere uno strumento democratico e rivoluzionario, rivolto a chi pensa sia importante fare medicina in modo critico e che gli unici Maestri siano i pazienti.
La pubblicazione, leggera ma rigorosa, fornisce un’introduzione alla valutazione critica della letteratura scientifica utile nella pratica clinica quotidiana. Partendo dal quesito clinico si affrontano tutti gli aspetti utili nella decisione clinica: la ricerca bibliografica, l’interpretazione e l’applicazione dei risultati degli studi al singolo paziente, gli elementi di base del processo cognitivo decisionale. Ogni argomento inizia con un caso clinico reale, in modo da facilitare la comprensione e la rilevanza pratica degli argomenti trattati. La presenza di un glossario, di un’appendice per gli argomenti più tecnici e una ricca bibliografia completano il volume. Alla fin fine pensiamo che possa essere interessante anche per i medici più reazionari (o scettici rispetto alle “evidenze scientifiche”), anche perché … è Open Access!
Breaking Barriers: The Urgent Need for Black Representation in Medicine
Authors: Liu Alice
Published: June 2024

This article addresses the pressing issue of Black underrepresentation in healthcare and medicine, drawing attention to the pervasive racism within academia and its detrimental impact on healthcare outcomes. Based on the author’s experiences at Harvard School of Public Health, the essay highlights structural barriers hindering Black individuals from pursuing careers in healthcare, supported by scientific evidence demonstrating the benefits of racially concordant doctor-patient relationships. The essay argues for comprehensive changes at multiple levels, including K-12 education and academic medical centers, to dismantle systemic racism and ensure equitable healthcare for all. Through a call to action for targeted recruitment initiatives and anti-racism education, the op-ed emphasizes the imperative for a medical workforce that reflects the diversity of the communities it serves, ultimately striving for improved health outcomes for marginalized populations.
GIÁ TRỊ LỊCH SỬ - VĂN HOÁ CỤM DI TÍCH ĐỀN PHJIA MI VÀ CHÙA LINH QUANG
Authors: Nguyễn Tiến , Bách
Published: June 2024

Đây là cụm di tích có kiến trúc và các tục hèm độc đáo như tục cúng phân trâu, tục cấy lúa trong lễ hội truyền thống. Đền Phjia Mi có mối liên hệ trực tiếp đối với di tích chùa Linh Quang, tạo thành một cụm di tích độc đáo và có vai trò quan trọng trong đời sống tinh thần, tín ngưỡng không chỉ của nhân dân xã Hùng Sơn mà còn là của cả vùng cánh đồng Thất Khê, huyện Tràng Định. Do vậy khi khôi phục chùa Linh Quang thì rất cần quan tâm đến đền Phjia Mi để tạo nên mối tương hỗ và giúp các di tích này phát huy được giá trị trong đời sống đương đại.