bluuebunny/crossref_metadata_2025 huggingface dataset:
Changing the story: An examination of strategies for resisting sexism(s) and racism(s)
Authors: Lazard Lisa , Marzano Lisa
Published: August 2024

The issue of social change is clearly central to discussions of oppressive systems and discourses which exist within current cultural contexts. Drawing on literature concerned with changing sexist and racist practices we reflect on the complexities of these debates. As feminist psychologists, we are particularly interested in the ways in which various strands of psychological theorising may come to embody, support and resist systems and practices of racialised and gendered oppression(s). In this paper, we discuss particular historical and contemporary efforts to subvert or deconstruct racist and sexist discourses within the context of particular theorisations of power to which specific calls for social change are aligned. Moreover, arguing from discursive and social constructionist standpoints, we consider how material and theoretical implications may be drawn out to encourage change in practice.
The construction of gendered bodies within competitive swimming: A Foucauldian perspective
Authors: Johnson Brittany , Russell Kate
Published: August 2024

The purpose of the study was to understand, through a Foucauldian framework, the processes by which athletes construct their gendered body within competitive swimming. The study identified a number of discourses central to this process, extending our understanding of how sport can regulate acceptable forms of gender through discipline and surveillance. Semi-structured interviews were undertaken with six competitive swimmers in New South Wales, Australia. The findings revealed a number of Foucauldian concepts playing a fundamental role in gendered body construction. The findings emphasise the concealment and invisibility of the swimming body, rendering it hidden and perhaps resistant to substantial gendering processes in the swimming context. Yet in the social context, these processes are far more active. Other key findings suggest various technologies, including surveillance, discipline and physical modifications which help to classify the swimmer as an acceptable sporting body by employing a ‘swimmers gaze’. Foucauldian ideas enabled the researcher to gain an understanding of how competitive swimmers come to construct their gendered body in contemporary Australian culture.
Women who choose not to have children: A preliminary study
Authors: O’Driscoll Rose , Mercer Jenny
Published: August 2024

Women who choose not to have children have been largely overlooked in both mainstream and feminist literature, where the focus is more typically on childbirth and motherhood or reproduction and infertility. Using data obtained through semi-structured interviews with four women aged 45 and over, this paper presents the initial findings of an ongoing constructivist grounded theory study with women who have chosen not to have children.

Findings from category one suggest that participants had no desire to replicate motherhood. The reasons included their negative experiences and memories of family life. Access to education and introduction to feminist ideas helped develop a strong sense of agency. Ongoing reflection on their lives illustrated how adult relationships were prioritised over motherhood. Findings from the other three categories (briefly discussed) challenge some of the dominant ideologies and assumptions about women who choose not to have children.
ANALISIS PROSES PEMBELAJARAN DARING SD DI YAYASAN SERI AMAL MEDAN PADA MASA PANDEMI COVID-19
Authors: Tamba Losten
Published: August 2024

Penelitian ini bertujuan menganalisis proses pembelajaran daring di sekolah dasar yang dikelola Yayasan Seri Amal Medan tahun pelajaran 2020/2021. Penelitian dilakukan secara deskriptif kuantitatif pada bulan Juni 2021 kepada siswa kelas 4 dan  5 SD Santo Antonius 1 dan 2 Medan, SD St. Paulus Sidikalang, SD Santo Pius Parsoburan, dan SD Santo Ignatius Medan yang berjumlah 621 siswa (responden). Data dikumpulkan dengan menggunakan angket skala likert yang mencakup perencanaan pembelajaran, pelaksanaan proses pembelajaran, penilaian pembelajaran, dan pengawasan pembelajaran daring. Data dianalisis dengan menghitung proporsi setiap pilihan instrumen.  Dari penelitian ditemukan bahwa (a) pembelajaran didominasi dengan penggunaan whattsApp (WA), (b) sebagaian besar pembelajaran siswa didampingi oleh orangtua, (c) waktu melakukan pembelajaran dilakukan dengan tepat sesuai alokasi waktu, (d) guru menyampaikan materi dengan jelas namun perlu menggunakan model/strategi pembelajaran yang lebih tepat, dan (e) guru melakukan penilaian sesuai tujuan dengan bahasa yang mudah dipahami.
PENERAPAN MODEL PEMBELAJARAN DISCOVERY LEARNING UNTUK MENINGKATKAN HASIL BELAJAR SISWA DALAM MATERI MENGANALISIS ALUR, BABAK, DAN KONFLIK DALAM DRAMA DI KELAS XI MIA 1 SMA CAHAYA MEDAN T.P. 2020/2021
Authors: Lusiana Erita
Published: August 2024

Penelitian ini disusun dengan tujuan untuk meningkatkan hasil belajar siswa dengan menerapkan model pembelajaran Discovery Learning pada materi Menganalisis Alur, Babak, dan Konflik dalam Drama di kelas XI Mia 1 SMA Cahaya Medan tahun pembelajaran 2020/2021. Jenis penelitian ini adalah Penelitian Tindakan Kelas (PTK), di mana guru sebagai pelaksana dan pengamat pembelajaran. Penelitian dilaksanakan pada semester genap 2020/2021 di kelas XI MIA 1. Subjek penelitian ini adalah peserta didik kelas XI MIA 1 SMA Cahaya Medan yang terdiri dari 20 peserta didik. Objek penelitian adalah hasil belajar peserta didik. Teknik pengumpulan data menggunakan tes dan observasi. Data dianalisis secara deskriptif dan disajikan dalam bentuk tabel. Hasil penelitian menunjukkan adanya peningkatan hasil belajar peserta didik, yaitu pada siklus I sebesar 67,25% (kategori cukup), kemudian pada siklus II meningkat menjadi 90,25(Sangat baik) % (kategori sangat baik). Hal ini berarti terjadi peningkatan sebesar 23%. Dengan demikian penerapan model pembelajaran Discovey Learning dalam materi menganalisis alur, babak dan konflik dalam drama dapat meningkatkan hasil belajar peserta didik kelas XI MIA 1 SMA Cahaya Medan
UPAYA MENINGKATKAN HASIL BELAJAR SISWA DENGAN MENGGUNAKAN MODEL DISCOVERY LEARNING PADA MATERI SISTEM PENCERNAAN MANUSIA SD ST. YOSEF SIDIKALANG
Authors: Limbong Jonison
Published: August 2024

Penelitian ini bertujuan untuk meningkatan hasil belajar siswa kelas V SD St. Yosef Sidikalang pada materi sistem pencernaan manusia dengan menggunakan model pembelajaran discovery learning”. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK). Subjek penelitian ini adalah siswa kelas V D SD St. Yosef Sidikalang tahun ajaran 2019/2020 yang berjumlah 50 siswa. Penelitian ini dilaksanakan dalam 2 (dua) siklus dengan 4 tahap pelaksanaan yaitu perencanaan, pelaksanaan, pengamatan, dan refleksi. Teknik pengumpulan data dalam penelitian ini adalah observasi dan teknik pengumpulan data yang berbentuk kuantitatif berupa data-data yang disajikan berdasarkan angka-angka menggunakan analisis deskriptif. Instrumen penelitian ini berupa lembar observasi dan tes.  Hasil penelitian ini menunjukkan bahwa hasil belajar siswa meningkat setelah diberi tindakan. Dari pra siklus sebelum tindakan, siswa yang mencapai ketuntasan hanya 30% dari keseluruhan siswa. Sedangkan pada siklus I setelah penerapan model pembelajaran discovery learning siswa yang tuntas dalam KKM 73 sebanyak 33 siswa atau 66% dengan nilai rata-rata kelasnya adalah 76,00. Pada siklus II pembelajaran menggunakan penerapan model pembelajaran discovery learning, sebanyak 47 siswa atau 94% telah tuntas dengan rata-rata kelas sebesar 86,00.
ANALYSIS ON STUDENTS’ ENGLISH-INDONESIAN TRANSLATION METHOD OF DESCRIPTIVE TEXT
Authors: Lisepung Charitas Dei
Published: August 2024

This thesis is a study about analysis on student’s English-Indonesia translation method of descriptive text. The objective of this study is to find the translation method that used by the students in translating descriptive text and to identify the most dominant translation method that used by the students in translating descriptive text. The subject of this study is the second semester students of English Department in HKBP Nommensen University. The data was a translation test. The study uses descriptive qualitative method as a research design. Finally, the result of this study shows there are 6 types of translation method that used by the students in translating the text, they are word-for-word translation (1,95 %), literal translation (22,27%), faithful translation (22,66%), free translation (32,03%), communicative translation (10,93%), semantic translation (10,16%), since the other method are rarely to use for translating text especially descriptive text. And the most dominant translation method that used by the students is free translation (32,03%). Based on the result of this study, the writer only find 6 translation method from 8 types that should be based on Peter Newmark’s translation method theory. The students were difficult to translating the text and some just showing what are in their mind. The writer suggest that the teacher keep their attention in teaching the students about translation and improving students vocabulary so that they can use the good English to Indonesia as well in translating text by using translation method.
PENERAPAN MODEL PEMBELAJARAN KOOPERATIF TIPE TEKNIK THINK PAIR SHARE (TPS) DENGAN MASALAH OPEN-ENDED SEBAGAI UPAYA MENINGKATKAN KREATIVITAS SISWA
Authors: Siahaan M Kosmas
Published: August 2024

Penelitian ini bertujuan untuk menentukan  peningkatan kreativitas  siswa dalam pembelajaran matematika  dengan penerapan model pembelajaran kooperatif tipe teknik Think Pair Share (TPS) dengan masalah open ended.  Jenis penelitian ini merupakan Penelitian Tindakan Kelas (Classroom Action Research) yang dilaksanakan di SMA Swasta Cahaya Medan dengan subjek penelitian adalah siswa kelas XII MIA-2 dengan objek penelitian adalah penerapan model pembelajaran kooperatif tipe teknik Think Pair Share (TPS)  dengan masalah open-ended sebagai upaya meningkatkan kreativitas siswa.  Hasil penelitian pada siklus I diperoleh hasil  70%  dari jumlah siswa yang mengikuti tes memiliki tingkat kreativitas minimal kategori cukup dan 30% dari jumlah siswa yang mengikuti tes  memiliki tingkat kreativitas dibawah kategori cukup dengan rata-rata nilai tes kreativitas   67,75  . Pada siklus II diperoleh hasil  90% dari jumlah siswa yang mengikuti tes memiliki tingkat kreativitas minimal kategori cukup dan 10% dari jumlah siswa yang mengikuti tes memiliki tingkat kreativitas dibawah kategori cukup dengan rata-rata nilai tes kreativitas sebesar  76,94. Berdasarkan hasil pada siklus I dan II dapat disimpulkan bahwa penerapan model pembelajaran kooperatif tipe teknik Think Pair Share (TPS) dengan masalah open-ended dapat meningkatkan kreativitas siswa
EFEKTIVITAS MODEL PEMBELAJARAN PROBLEM BASED LEARNING DALAM MENINGKATKAN HASIL BELAJAR MATERI SISTEM PERSAMAAN LINIER DUA VARIABEL KELAS VIII SMP ST. IGNASIUS MEDAN
Authors: Damewati Damewati
Published: August 2024

Penelitian ini bertujuan untuk mengetahui efektivitas model pembelajaran Problem Based Learning (PBL) dalam meningkatkan hasil belajar peserta didik kelas VIII. Penelitian ini merupakan penelitian tindakan kelas. Populasi penelitian adalah semua peserta didik kelas VIII-2 SMP St. Ignasius Medan T.P 2021/2022. Subjek penelitian ini dilakukan pada peserta didik kelas VIII-2 SMP St. Ignasius berjumlah 31 peserta didik. Pengumpulan data yang digunakan dalam penelitian ini adalah data kuantitatif hasil belajar peserta didik pada materi sistem persamaan linier dua variabel. Hasil yang diperoleh dari penelitian ini adalah bahwa penerapan model pembelajaran Problem Based Learning (PBL) dapat meningkatkan hasil belajar peserta didik. Hal ini terlihat dari hasil belajar peserta didik dengan rata-rata nilai siklus I sebesar 73 dan siklus II sebesar 89. Dengan persentase jumlah peserta didik yang mencapai KKM pada siklus I sebesar 64% dan siklus II sebesar 97% dengan indikator keberhasilan 30 peserta didik mencapai KKM.
PENINGKATAN HASIL BELAJAR BANGUN RUANG DENGAN PEMBELAJARAN TUTOR SEBAYA SISWA KELAS II-C SD ST. IGNATIUS MEDAN TAHUN PELAJARAN 2022/2023
Authors: Simbolon Kurniati
Published: August 2024

Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa dengan menggunakan model pembelajaran tutor sebaya  pada materi bangun ruang di kelas II-C SD St. Ignatius Medan Tahun Pembelajaran 2022/2023. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK), subjek dalam penelitian ini adalah siswa kelas II-C SD St. Ignatius Medan. Hasil penelitian pada siklus I siswa yang mendapat nilai tuntas sebanyak 12 siswa atau 50% sedangkan siswa yang tidak tuntas sebanyak 12 siswa atau 50% dengan nilai rata-rata 68,20. Pada siklus II yaitu siswa yang mendapat nilai tuntas sebanyak 20 siswa atau 83,33% sedangkan siswa yang tidak tuntas sebanyak 4 siswa atau 16,67% dengan nilai rata-rata 82,79 maka terjadi peningkatan dari siklus I dibandingkan pada siklus II dan telah memenuhi ketuntasan yang sudah ditentukan. Selanjutnya aktivitas siswa pada proses pembelajaran siklus I memperoleh rata-rata sebanyak 70 dan pada siklus II telah mengalami peningkatan menjadi 90. Hasil penelitian ini menunjukkan ada peningkatan pada hasil belajar dengan menggunakan model pembelajaran tutor sebaya di kelas II-C SD St. Ignatius Medan Tahun Pembelajaran 2022/2023.
UPAYA PENINGKATAN HASIL BELAJAR MATERI PENJUMLAHAN DAN PENGURANGAN DENGAN MODEL QUANTUM LEARNING SISWA KELAS 1 SD ST. IGNATIUS MEDAN TAHUN PELAJARAN 2022 /2023
Authors: Romana Fransisca
Published: August 2024

Tujuan dari penelitian tindakan kelas ini adalah untuk meningkatkan hasil belajar siswa  pada mata materi penjumlahan dan pengurangan di kelas 1 SD St. Ignatius Medan tahun ajaran 2022/2023  dengan model quantum learning. Penelitian ini berbentuk penelitian tindakan kelas yang dilaksanakan selama 2 siklus, setiap siklusnya terdiri dari 1 kali pertemuan. Subjek dari penelitian ini adalah siswa kelas 1 SD ST. Ignatius Medan T.A 2022/2023 yang berjumlah 30 siswa, terdiri dari 16  siswa laki-laki dan 14 siswa perempuan. Sedangkan obyek penelitian adalah peningkatan hasil belajar pada materi penjumlahan dan pengurangan. Pengumpulan data dilakukan dengan menggunakan observasi, dokumentasi, dan tes.  Berdasarkan analisis data yang telah dilakukan diketahui bahwa hasil pembelajaran Matematika di kelas 1 SD St. Ignatius Medan tahun ajaran 2022/2023 meningkat. Hal ini dapat dilihat pada hasil belajar yang dipereoleh siswa yaitu prasiklus dengan nilai rata-rata 69.67 dan ketuntasan klasikal  43%, pada siklus I meningkat dengan nilai rata-rata 74.67 dan ketuntasan klasikal 47 %. Selanjutnya pada siklus II nilai rata-rata diperoleh sebesar 84.67 dengan ketuntasan klasikal mencapai 87%. Maka dapat diambil kesimpulan bahwa dengan menerapkan model pembelajaran Quantum learning dapat meningkatkan hasil belajar siswa kelas I pada materi penjumlahan dan pengurangan di SD ST. Ignatius Medan tahun ajaran 2022/2023.
UPAYA MENINGKATKAN MEMBACA ANAK DENGAN MEDIA KARTU PESAN SINGKAT BERGAMBAR SISWA KELOMPOK B TK SANTO IGNATIUS MEDAN
Authors: Roselin Roselin
Published: August 2024

Tujuan penelitian ini untuk mengetahui adanya peningkatan dari minat membaca anak di kelompok B TK Santo Ignatius sehingga anak memiliki kemampuan yang baik dalam kegiatan membaca dengan media yang digunakan yaitu kartu pesan bergambar singkat. Subjek penelitian yang digunakan adalah kelompok B TK Santo Ignatius yang berjumlah 18 peserta didik dan metode yang digunakan adalah metode kualtatif. Penelitian ini dilaksanakan dalam dua siklus perbaikan. Siklus I pada tanggal 15 s/d 17 Febuari 2023 dan siklus II pada tanggal 20 s/d 24 Febuari 2023. Bedasarkan penelitian yang telah dilakukan dapat diambil kesimpulan bahwa anak merasa tertarik untuk mengikuti kegiatan pembelajaran karena media yang digunakan menyenangkan bagi anak dan ini terlihat dari jumlah peningkatan anak yang dapat membaca dengan baik dan penggunaan media kartu bergambar singkat dapat meningkatkan kemampuan anak dalam membaca kata dan kalimat sederhana.
Hubungan Pengetahuan dan Kepatuhan Mengkonsumsi Tablet Tambah Darah (Fe) dalam Pencegahan Anemia pada Remaja Putri
Authors: Rusdiana Rusdiana , Zubaidah Zubaidah
Published: August 2024

Pendahuluan: Anemia pada remaja putri dapat mempengaruhi proses pertumbuhan, perkembangan sel otak dan gangguan organ reproduksi. Kurangnya pengetahuan dan kepatuhan sejak remaja terkait konsumsi tablet tambah darah (Fe) berdampak pada kejadian anemia saat nanti masa kehamilan.
Tujuan: penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan kepatuhan mengkonsumsi tablet tambah darah (Fe) dalam pencegahan anemia pada remaja putri.
Metode: Desain penelitian analitik korelasional dengan pedekatan cross sectional. Sampel penelitian ini sebanyak 63 orang siswi yang diambil dengan teknik simple random sampling. Instrumen yang digunakan adalah kuesioner. Analisis data menggunakan uji Chi Square.
Hasil: Terdapat hubungan antara pengetahuan tentang anemia terhadap pencegahan anemia dengan nilai p = 0,027 (p< 0,05), tidak terdapat hubungan antara kepatuhan mengkonsumsi tablet tambah darah (Fe) dengan pencegahan anemia dengan nilai p = 0,516 (p> 0,05).
Kesimpulan: Pengetahuan berhubungan dengan pencegahan anemia pada remaja putri sementara kepatuhan mengkonsumsi tablet tambah darah (Fe) tidak berhubungan dengan pencegahan anemia pada remaja putri.
Saran: Remaja putri harus mengetahui dan patuh dalam mengkonsumsi tablet tambah darah (Fe) untuk mencegah anemia terutama pada saat menstruasi.
Pengaruh Pemberian Terapi Benson Terhadap Penurunan Tingkat Kecemasan Pada Tn. S Di Desa Sungai Rangas Hambuku (Wilayah Kerja Puskesmas Martapura Barat)
Authors: Muhammad Norrizqie  , Dhian Ririn Lestari
Published: August 2024

Pendahuluan: Sehat jiwa adalah kondisi dimana seorang individu dapat berkembang secara fisik, mental, sosial dan spiritual. Indonesia mempunyai potensi-potensi masalah gangguan jiwa termasuk gangguan kecemasan. Pada situasi pasca banjir gangguan kecemasan dapat meningkat. Upaya dalam mengurangi tingkat kecemasan pasca banjir dapat dilakukan dengan terapi berupa terapi relaksasi benson.
Tujuan: Mengetahui Pengaruh Pemberian Terapi Benson Terhadap Penurunan Tingkat Kecemasan Pada Warga Desa Sungai Rangas Hambuku.
Metode: Observasional deskriptif dengan desain penelitian studi kasus terhadap Tn. S. Setelah 7 hari intervensi dengan frekuensi 1 kali sehari.
Hasil: Setelah perlakuan intervensi selama 7 hari, tingkat kecemasan klien berkurang dari tingkat kecemasan sedang (skor 21) menjadi tidak ada kecemasan (skor 10). Terapi relaksasi benson dapat digunakan dalam mengurangi kecemasan karena memiliki stimulus yang dapat merilekskan tubuh maupun pikiran sehingga mampu membantu dalam menurunkan tingkat kecemasan.
Kesimpulan: Terapi relaksasi benson terbukti dapat menurunkan tingkat kecemasan yang dialami Tn.S.
Saran: Diharapkan pasien atau pembaca dapat menerapkan terapi benson dalam mengurangi tingkat kecemasan yang dirasa.
Gestão ambiental em minimercados
Authors: Almeida Rodrigo Franco Flores Vidal de , Almeida Alexandre Nascimento de , Lima Clarissa Melo , Angelo Humberto , Souza Junior Celso Vila Nova , Nunes André
Published: August 2024

As empresas são os principais responsáveis pelos impactos ambientais, portanto a sua inclusão no planejamento voltado para o desenvolvimento sustentável é indispensável. Embora as micro e pequenas empresas causem um menor impacto ambiental, o grande número de estabelecimentos, na sua maioria com limitações financeiras para a adoção de tecnologias verdes, eleva a importância de estudos que viabilizem a gestão ambiental nesses empreendimentos. O objetivo do estudo é analisar as principais dificuldades de minimercados para implementar um Sistema de Gestão Ambiental – SGA, bem como identificar os benefícios dessa ferramenta. Os dados foram obtidos a partir de entrevistas pessoais junto aos proprietários de 19 minimercados em Brasília – DF. Para análise dos dados empregaram-se as técnicas: 1) Análise de Correspondência e 2) Análise de Conteúdo. Dificuldades financeiras, falta de recursos humanos qualificados e falta de informação sobre o SGA foram as principais dificuldades dos minimercados do DF para implementar um SGA. Os principais benefícios desse sistema estiveram relacionados com a economia de água e energia, diminuição dos desperdícios de mercadorias e melhoria da imagem do negócio pelos clientes.
Complicações neurológicas da anestesia subaracnoidea e peridural
Authors: Pereira Ingrid Vidal , Gonçalves Jennifer Freitas Galvão , Morejón Luís Pedro Cerqueira , Araújo Fernanda Freire Medeiros de , Salame Isadora Sirena , Moura Hellen Cristina de Abreu , Silva João Paulo Antriucci da , Castro Mário Monteiro de , Pessoa Fabrício Silva , Brasil Paula Ferreira , Gutierrez Jorge Llanos , Abreu Pedro Vinícius Araújo de , Poscidônio Aline Granato Botelho , Vila Ana Terra Dueti Martins , Ramalho Mariana Indio de Souza
Published: August 2024

As complicações neurológicas da anestesia subaracnoidea e peridural são multifatoriais, envolvendo lesões nervosas, hematomas espinhais e infecções. O tratamento eficaz dessas complicações é um desafio significativo, demandando novas abordagens terapêuticas. Este estudo revisa as evidências científicas sobre essas complicações, utilizando uma revisão narrativa da literatura que abrange estudos clínicos, meta-análises e revisões sistemáticas. Os resultados indicam que, apesar da ampla utilização para analgesia e anestesia, a anestesia subaracnoidea e peridural pode causar complicações neurológicas significativas. Mecanismos de ação incluem lesão direta aos nervos, toxicidade dos anestésicos locais, formação de hematomas e processos inflamatórios. Ensaios clínicos mostram que pacientes podem desenvolver paralisia, parestesias, cefaleias pós-punção dural, e, em casos graves, síndrome da cauda equina e mielite transversa. A taxa de morbidade varia conforme a gravidade da complicação e a presença de comorbidades. O manejo dessas complicações é complexo, envolvendo intervenções cirúrgicas, terapias farmacológicas e reabilitação neurológica. A revisão conclui que as complicações neurológicas representam um desafio significativo no campo da anestesia, ressaltando a necessidade de foco contínuo em prevenção, diagnóstico precoce e tratamento eficaz. Além disso, destaca-se a necessidade de estudos de longo prazo sobre a manutenção da saúde neurológica pós-complicações e os efeitos das intervenções terapêuticas. Este estudo reforça a importância de abordagens terapêuticas inovadoras e personalizadas, sugerindo que o manejo adequado das complicações neurológicas pode melhorar significativamente as estratégias de tratamento e a qualidade de vida dos pacientes.
Uso das tecnologias digitais no ensino de matemática: um relato de experiência com aporte do GeoGebra
Authors: Araújo Francisco Cleuton de , Paiva Carlos Daniel Chaves , Nascimento Rildo Alves do , Passos Jeanne D’arc de Oliveira , Martins Geovânio Felipe Oliveira , Sousa Maria Aparecida de Moura Amorim , Castro Bruna Karla Pereira de Souza , Monteiro Jefte Dodth Telles , Morais Auricelio Carneiro de , Saldanha Ingrid Vieira , Santos Michael Gandhi Monteiro dos , Brito Ivan Eudes Gonçalves de , Silva Juscimária de Sousa , Gomes Francisco Bergson Araujo , Alves Cleilson Silva
Published: August 2024

Este estudo investiga o impacto do uso do software GeoGebra no ensino de sólidos geométricos para alunos do 7º ano do Ensino Fundamental em uma escola da rede municipal de Fortaleza-CE. A pesquisa busca responder como a aplicação dessa ferramenta tecnológica pode melhorar o entendimento dos alunos sobre tópicos específicos de Matemática. Utilizando uma abordagem metodológica mista, que combina métodos qualitativos e quantitativos, a pesquisa envolveu 37 alunos em três sessões de ensino. Os dados foram coletados por meio de pré-teste e pós-teste, atividades práticas e observação participante. As atividades práticas utilizaram tablets e smartphones para explorar propriedades dos sólidos geométricos, incentivando a colaboração entre os alunos. Os resultados indicaram uma melhoria significativa no desempenho dos alunos no pós-teste em comparação ao pré-teste, evidenciando que o uso do GeoGebra promoveu uma aprendizagem mais interativa e significativa. Além disso, as observações qualitativas apontaram um aumento no engajamento e na motivação dos alunos, destacando a eficácia do GeoGebra como ferramenta didática no ensino de Matemática. Conclui-se que a inclusão de tecnologias digitais, como o GeoGebra, potencializa a construção do conhecimento matemático, tornando a educação mais relevante e alinhada aos desafios contemporâneos.
Apparent Diffusion Coefficient in the Diagnosis and Follow-up of Multiple Sclerosis: Role of Magnetic Resonance Imaging
Authors: Ahmed Zainab Omer , Dema Haitham Khudair , Yehia Oday Talal , Noel Khalida Ibrahim
Published: August 2024

Background: Chronic Multiple Sclerosis (MS) modifies the apparent diffusion coefficient (ADC) value due to severe pathological changes. After trauma, it is the second most common cause of brain injury in healthy young adults. MRI is considered the initial imaging modality for MS diagnosis and follow-up. Objective: To assess the significance of the ADC in the diagnosis and follow-up of MS plaques across various disease subtypes. Methods: Forty MS patients were included in a case-control study at Ibn-Sina Teaching Hospital, Mosul Province, between June 1, 2022 and February 28, 2023. The patients had diffusion-weighted and traditional MR imaging with ADC measurement in plaques, and the normal white matter value of controls was compared to the patients' results. Results: The ADC values were higher in cases that were acute or secondary-progressive than in relapsing-remitting cases or normal white matter. In both types of newly generated plaques, there was an initial non-significant increase in ADC values compared to existing plaques. Overall, the ADC sensitivity, specificity, and accuracy in diagnosing MS were 85.7%, 95.2%, and 90.5% in acute cases, and 85.7%, 83.3%, and 84.6% in chronic cases, respectively, with no significant difference between active and inactive lesions. Conclusions: The apparent diffusion coefficient value can be included in the imaging protocol for the diagnosis and follow-up of various subtypes of MS.
The Impact of the Chlorhexidine Gel (WISDOM®) on Postoperative Sequelae Associated with the Surgical Removal of Impacted Mandibular Third Molars: A Randomized Controlled Clinical Trial
Authors: Ali Dhuha , Al-Quisi Ahmed Fadhel
Published: August 2024

Background: One of the most prevalent procedures in oral surgery is the removal of impacted mandibular third molars, typically accompanied by trismus, edema, and pain. Several methods and biomaterials were implemented to mitigate or avoid these surgical problems. Objectives: To evaluate the efficiency of chlorhexidine gel (WISDOM®) in minimizing postoperative sequelae associated with the impacted mandibular third molar that will be surgically extracted and its role in promoting early soft tissue closure of the surgical site. Methods: The study design was a double-masked and randomized, controlled clinical study that included healthy patients needing the removal of a mandibular third molar through surgery. The participants were randomly assigned to two groups. The extraction site of the study group was filled with a mixture of gel foam and WISDOM®. In contrast, we filled the extraction sites of the control group patients with gel foam and sutured the surgical sites for both groups. The patients were evaluated on the first, third, and seventh postoperative days for pain, swelling, trismus, and early soft tissue healing. Results: Sixty eligible patients were enrolled in this study. The study group exhibited a statistically significant decrease in pain, edema, trismus, and early soft tissue healing on the first, third, and seventh postoperative days compared to the control group. Conclusions: WISDOM® gel can effectively reduce postoperative pain, trismus, and swelling and promote early soft tissue healing after surgical removal of an impacted mandibular wisdom tooth.
Assessment of Effective Learning Transfer at Workplace after a Formal Faculty Development Program
Authors: Amin Sarah , Qaiser Aasma , Siddique Muhammad Omer , Qureshi Waseem Pasha , Hussain Warda , Ali Waqas
Published: August 2024

Higher education institutions use Faculty Development Programs (FDPs) as organized learning opportunities to improve the abilities, knowledge and skills of its faculty members. Objective: To evaluate the faculty development program using Kirkpatrick Model and acknowledging the program's importance in medical education. Methods: A non-probability purposive sample of 27 faculty members was used in the quantitative quasi-experimental design. Pre- and post-tests or intervention were conducted as part of the CBL facilitation skills training included in the faculty development program after three and six months, with a particular emphasis on CBL facilitation skills comprising four domains: teaching skills, teacher knowledge, student happiness, and environmental factors. Results: The analysis revealed that participants demonstrated significantly higher mean scores across all four domains in the second evaluation (post-test/ intervention) compared to the first evaluation (pre-test/ intervention). Each domain showed a p<0.05, indicating statistically significant improvements. These results suggest that the CBL facilitation skills training program was effective in enhancing participants' skills. Moreover, the evaluation reached level 3 of the Kirkpatrick model, signifying a positive transfer of learning to the workplace, with observed improvements in teaching skills and behavior change among participants. Conclusions: Faculty development programs were mandatory for learning transfer and improving teaching skills at workplace. Proper program evaluations were equally important to see whether learning transfer was actually happening at workplace or not
Forensic Age Estimation by Maxillary and Mandibular Canines Pulp-Tooth Ratio Using Cone-Beam Computed Tomography in Adult Population of Peshawar, Pakistan
Authors: Zeb Mahwish , Khan Omair , Syed Sadia , Shazia Salma , Khan Younas , Haq Rizwan Ul , Hanif Asif
Published: August 2024

Age estimation is a vital aspect of forensic sciences and numerous age estimation methods are suggested in dentistry, emphasizing the need for easy and quick technique appropriate for adults. Forensic age estimation can be performed using physical, biochemical, histological, and radiological methods. However, Cone-Beam Computed Tomography (CBCT) offers a promising approach in this regard. Objective: To estimate the age on the basis of maxillary and mandibular canines’ Pulp-Tooth Ratio (PTR) using CBCT in adults and developing age estimation standards for local population based on PTR. Methods: A cross-sectional study was performed at Prime Teaching Hospital, Operative Dentistry and Oral Surgery department of Peshawar Dental College, and Khyber Teaching Hospital for Dentistry, Peshawar, from October 2019 to April 2020. CBCT images of maxillary and mandibular canines of 222 individuals were taken using consecutive sampling technique. PTR was estimated and correlation between age and PTR was determined using linear regression. Results: The mean documented age of patients was 36.31 ± 13.44 years. When linear regression was run on individual parameters, only upper left maxillary tooth area (mm2) was found significant with p < 0.01 and R = 0.132, with regression model as Age = 26.64 + 0.072 (x).  The overall model was found as, Age (years) = 35.519 -0.165 (Upper right maxillary tooth area (mm2) + 0.298 (Upper right maxillary pulp area (mm2)) + 0.316 (Upper left maxillary tooth area (mm2)) + 0.090 (Upper left maxillary pulp area (mm2)) -0.102 (Lower left mandibular tooth area (mm2)) -0.211 (Lower left mandibular pulp area (mm2)) -0.087(lower right mandibular tooth area (mm2)) + 0.082 (lower right mandibular pulp area (mm2)). Conclusions: Age can be estimated by maxillary and mandibular canines’ PTR using CBCT. Using the obtained regression model, age estimation for the adult population can be performed using CBCT scans.
Perceived Effects of Tools and Equipment Concerning Office Skills Development of BSOA Students
Authors:   shielamarie.licayan@bisu.edu.ph, berlyn.muring@bisu.edu.ph Bohol Island State University – Candijay Candijay, Bohol, Philippines, B. Cano Jesszon , A. Ranis Diane , S. Guiltiano Jovelyn , T. Hilarion Ajielyn , D. Tomabini Juliet , E. Licayan Shiela Marie , T. Muring Berlyn ,   jesszon.cano@bisu.edu.ph, diane.ranis@bisu.edu.ph, jovelyn.gultiano@bisu.edu.ph, ajielyn.hilarion@bisu.edu.ph, juliet.timabini@bisu.edu.ph
Published: August 2024

School tools and equipment have become an integral part of enhancing the teaching and learning process by exhibiting information necessary to acquire knowledge and skills. This study evaluated the perceived effects of tools and equipment concerning office skills development of BSOA 4th year in BISU Candijay Campus, the school year 2021-2022. It also evaluates the status of BSOA students in terms of office skills development in terms of stenography skills, company/typing skills, and students’ ability to use any tools and equipment. The findings of this study served as the basis for determining the effects of tools and equipment concerning office skills development. This investigation utilized the quantitative research design and a descriptive survey method of research using a questionnaire through a Google form. The study was conducted at Bohol Island State University, Candijay Campus. Total enumeration was used to select the respondents. The target population was 199 BSOA 4th-year students. Still, only ninety (90) respondents provided information on their demographic profile and the status of office skills in terms of stenography computer skills and students’ ability to use any tools and equipment after several follow-ups to analyze quantitative data percentage, and the weighted mean was computed. Findings revealed that more respondents belonged to the 21-25 age range. The majority of the respondents were females with a single status in BSOA 4B. Based on the study, it was found that the status of the office skills development in terms of stenography skills was denoted as good. On the other hand, computer/typing skills and the student’s ability to use any tools and equipment were denoted as very good. Lastly, the composite mean of the status of office skills development was denoted as very good, which means that the BSOA students are proficient in using the tools and equipment. The result of the perceived effects of tools and equipment on BSOA students strongly agrees that the availability of tools affects skills development. Keywords: Business management, office skills development, quantitative study, Candijay, Bohol
The Prognostic Value of Right Ventricle Strain In Patients With Heart Failure With Reduced Ejection Fraction (HFrEF)
Authors: Naser Nabil
Published: August 2024

Background: RV dysfunction has been recognized as a powerful independent predictor of poor prognosis. Therefore, accurate evaluation of RV function is helpful for risk stratification in patients with HF, so as to guide clinicians to choose the best treatment and improve the prognosis of patients. Therefore, assessment of RV function is clinically important in almost all patients with heart disease. Objective: The main purpose of this study was to evaluate the prognostic value of right ventricular free wall longitudinal strain in patients with heart failure with reduced ejection fraction (HFrEF). Methods: We evaluated a prospective cohort of 126 patients with known or suspected HFrEF referred for echocardiographic evaluation. All underwent measurement of RV free-wall longitudinal strain (RVFWLS) by 2D transthoracic echocardiography. The primary study endpoint was the occurrence of death for any cause or hospitalization for heart failure. Results: From 126 eligible patients with chronic heart failure, 10 (8%) with RVFWLS not suitable for strain analysis were excluded, leaving a final study population of 116 patients. During the follow-up period of 24 months, 44 patients (38%) reached the composite end point: 18 patients died (15%), and 26 patients (22%) were hospitalized for worsening HF. Compared with patients without events, patients who reached the composite end point were older and prevalently men (P <0.05). Patients with events also showed higher LV volumes, lower LVEF%, increased left atrial volume index (LAVI), increased pulmonary artery systolic pressure, and higher prevalence of severe MR and TR than event-free patients. Diastolic RV diameter was also significantly greater in this group. In this study, we found that a RVFWLS less negative of -19.3% was associated to outcomes with 75% sensitivity and 67% specificity P < 0.001. A value of RVFWLS less than -19.3% was strongly associated to outcome with HR 1.9, 95% CI 1.487–2.7; P < 0.001. Conclusion: RV free wall longitudinal strain seems to be more sensitive and accurate for the diagnosis of RV systolic dysfunction in patients with HFrEF, therefore assessment of RV function should be implemented by analysis of RVFWLS in patients with HFrEF, to improve identification of patients who are at high risk for adverse events.
The Effect of Maternal Smoking During Pregnancy on the Neonatal Weight of the Newborn
Authors: Rosic Semso , Kendic Sulejman
Published: August 2024

Background: According to the World Health Organization, smoking is the most significant risk factor for adverse pregnancy outcomes in industrialized countries. A potential mediator of the impact of smoking on fetal growth is the placenta, which provides the transport of oxygen and nutrients between the mother and the fetus. Nicotine causes a reduction in uteroplacental circulation, leading to negative fetal outcomes such as small size for gestational age, low birth weight, poor growth, and compromised neurological development of the fetus. Many studies have documented a strong association between active smoking during pregnancy and fetal growth restriction. Objective: The aim of this study was to investigate the impact of smoking during pregnancy on newborn birth weight. Methods: In a retrospective study, we analyzed 659 pregnancies with recorded data on smoking during pregnancy and newborn birth weights from the pregnancy database at the Obstetrics Department of the Health Center in Velika Kladuša, Bosnia and Herzegovina, for the period from 2009 to 2010. Results and Discussion: Data analysis revealed that 19.8% of women smoked during pregnancy. The mean birth weight of newborns born to non-smoking mothers was 3446 g, while the mean birth weight of newborns born to smoking mothers was 3287 g. Newborns of smoking mothers had a birth weight that was 159 g lower than those of non-smoking mothers. Conclusion: Smoking during pregnancy significantly affects birth weight and, consequently, pregnancy outcomes.
Bibliometric Blunders: Unraveling Misuse in Academic Publications
Authors: Sljivo Armin
Published: August 2024

Background: In the realm of biomedicine, researchers play a vital role in disseminating their findings through publications and presentations, shaping healthcare practices and outcomes. Bibliometrics, involving quantitative analysis of written materials, aids in evaluating scientific work, with citation metrics guiding researchers towards current trends. Key indicators such as Impact Factor (IF) and citation counts are crucial in assessing scientific validity. Objective: The objective of the article was to delineate scientometric and bibliometric indices and elucidate their significance in assessing and measuring the quality of published papers in scientific journals archived in indexed databases. Methods: This article adopts a descriptive approach, utilizing data from major international portals to analyze citation metrics of scientific papers archived in Scopus and Google Scholar. These platforms are pivotal in quantifying citation metrics such as the H-Index and i10-Index. The authors contribute insights from the field of science editing and scientometrics, highlighting concerns about the quality and impact of scientific research. Results and Discussion: The Stanford bibliometric list serves as a significant tool for assessing global scientific merit. However, concerns arise regarding its data accuracy and interpretation. A symposium convened to address these concerns, emphasizing the need for rigorous analysis and caution in deploying citation metrics. The list, authored by esteemed academics, offers valuable insights but requires nuanced interpretation. Conclusion: Evaluating scientific standing should extend beyond traditional metrics, considering factors like authorship of textbooks, conference organization, editorial roles, and awards. These additional criteria enrich the assessment process, fostering a more comprehensive understanding of researchers' contributions.
Outcome and Utility of First Dorsal Metacarpal Artery Flap for Finger Defects
Authors: Jakirlic Malik , Brzika Sanela , Katica Nedim , Dujso Vanis
Published: August 2024

Background: The First Dorsal Metacarpal Artery (FDMA) Flap or Foucher’s flap is an island pedicle flap proximally based on the first dorsal metacarpal artery and veins. A branch of radial sensory nerve is incorporated in the flap to make it a sensate flap. Objective: The aim of our study was to evaluate the functional and aesthetic outcomes of the seven FDMA flaps done over a period of four years for reconstruction of the distal thumb soft tissue defects and one defect over proximal phalanx of the index finger. Methods: This prospective study was performed between 2018 and 2022 at the Clinic of Reconstructive and Plastic Surgery. We present a series of six cases of distal thumb soft tissue defects and one patient with defect over the dorsal aspect of the index finger that were reconstructed with the FDMA flap. Results: In six patient donor site was grafted by full-thickness skin graft harvested from the groin and in one case was closed primary. All flaps survived and one case that was closed primary had donor site complication that was related to primary closure of the skin. All the patients had good fine touch and average two-point discrimination of 8.7 mm. Conclusion: FDMA flap is a useful and reliable flap to cover the defects of the dorsal aspect and to a certain extent the volar aspect of the thumb. We showed that can be used to cover the defects over proximal phalanx of the index finger. The flap provides adequate soft tissue coverage and good aesthetic results.
Clinical Significance of MR Spectroscopy in Differentiating Autoimmune Limbic Encephalitis of the Hippocampal Region Initially Characterized as High-grade Glioma
Authors: Imsirovic Bilal , Mujaric Ekrema , Tawil Adnan , Baljic Rusmir , Zerem Enver
Published: August 2024

Background: Autoimmune limbic encephalitis (ALE) is an inflammatory brain process involving a group of diseases with antibodies against neuronal synaptic and cellular antigens. Diagnosis is based on clinical examination, neurological functional tests, cerebrospinal fluid analysis, immunological testing, and radiological findings. Objective: This case report aims to present the case of a 68-year-old patient initially hospitalized for intermittent neurological deficits in the form of cognitive disorders of consciousness, which was initially declared as dementia without physical neurological deficit. Case presentation: Initial brain MRI (SIEMENS Magnetom Avanto, 1.5 T, Erlangen, Germany) showed changes differentially diagnosed characterised as glial neoplasm of mixed-grade astrocytoma or inflammatory process of unilateral autoimmune encephalitis. Since the neurosurgical opinion suggested a higher-grade glioma with proposed surgical treatment, the patient was referred for repeated MRI with MR spectroscopy in order to exhaust all diagnostic possibilities before surgery. MRI with MR spectroscopy (SIEMENS Magnetom Lumina, 3 T, Erlangen, Germany) revealed radiologically altered findings, in the right hippocampus and parahippocampal gyrus, which primarily corresponded to changes due to unilateral autoimmune encephalitis,due to its morphology characteristics and spectroscopy profile, making the primary glial neoplasm of lower grade less likely. Since the neurological mosaic IIFT result showed a positive LGI1 antibody finding, therapy for autoimmune encephalitis was initiated, leading to significant improvement in cognitive functions and the return of short-term memory. Conclusion: Although the detection of antibodies against onconeural, cellular, and synaptic proteins represents a significant advancement in diagnosing autoimmune limbic encephalitis, the role of conventional diagnostic tools such as MRI, EEG, and cerebrospinal fluid analysis should not be overlooked, where the application of new functional imaging techniques such as MR spectroscopy can be beneficial and should be considered.
Estimating body weight from foot measurements in the Eastern Turkish Population using linear methods and artificial neural networks
Authors: Turan Omer , Parlak Muhammed , Ozkul Bengu , Oruc Mucahit , Celbis Osman
Published: August 2024

In forensic and archaeological contexts, accurately determining an individual's age, sex, height, and weight is essential for the identification of unidentified bodies and dismembered remains. This study assesses the effectiveness of linear regression analysis and artificial neural networks (ANNs) in estimating body weight using foot measurements within the Eastern Turkish population. The research was conducted with medical students, including 149 volunteers—76 males and 73 females. Participants' height and weight were recorded using a stadiometer. Foot measurements were taken with a Vernier caliper and an osteometric board. The data were assessed utilizing SPSS 26.0, and ANN models were developed using the Keras library within the Google Colab platform. In terms of height, weight, and foot size, all these values were significantly higher in males than in females. Linear regression methods resulted in a root mean squared error (RMSE) of 11.83 kg for males, 6.23 kg for females, and 9.56 kg for the entire sample. With ANNs, these error values were reduced to 10.13 kg for males, 5.10 kg for females, and 8.07 kg for the entire sample. The analysis shows that ANNs are more adept at handling complex data, leading to improved prediction accuracy.
Psychiatric care after Kahramanmaraş earthquake: Evaluation of children being trapped under rubble and in need of intensive care
Authors: Celik Yusuf , Kasak Meryem , Okumus Hande , Tunca Ruken , Yamak Yagmur , Ozturk Yusuf , Efe Aysegul
Published: August 2024

Kahramanmaraş earthquakes occurred on 6 February 2023, and many people died and were trapped under the rubble. The objective of this research was to investigate child victims of the quake, who were most dramatically affected, required intensive care and were trapped under debris/rubble/wreckage in terms of psychiatric status and the disaster-related or personal determinants of psychopathologies. Pediatric patients (n=77) who were hospitalized in intensive care units and inpatient wards within the first month after the earthquake and were consulted to the Child Psychiatry, were examined in terms of psychiatric symptoms, use of psychotropics, duration under debris, loss of relatives, loss of limbs, and intensive care requirement. Anhedonia, loss of appetite, psychosomatic and dissociative symptoms, as well as psychotropic need/use were significantly higher in patients who required intensive care. Dissociative and psychosomatic symptoms were linked with longer durations under debris. The current findings highlight prominent and predominated psychiatric symptoms in child victims of quakes, hospitalized in intensive care units and being prolonged trapped under debris. Prolonged entrapment correlated with increased dissociative and psychosomatic symptoms, emphasizing the need for targeted psychiatric support for vulnerable earthquake survivors.