bluuebunny/crossref_metadata_2025 huggingface dataset:
CYTOMORPHOLOGICAL SPECTRUM OF THYROID LESIONS IN MIDDLE AGED WOMEN: A TWO-YEAR PROSPECTIVE STUDY
Authors: Saini Rishita , Jain Chetna
Published: December 2024

Background: Thyroid gland can be affected by numerous pathologies, many of which ultimately lead to enlargement of the gland. Thyroid
diseases are seen more commonly in female population. We conducted a study on thyroid lesions in middle aged women presenting with palpable
thyroid swellings in our department. FNAC of the lesions was done, and the spectrum of thyroid lesions was studied using The Bethesda System for
Reporting Thyroid Cytology. Methodology: A two-year prospective study was conducted in Jhalawar Medical College in department of
pathology, Jhalawar (Rajasthan) on 220 patients who met the inclusion criteria. After taking informed consent and relevant history of the patient,
FNAC was performed, smears were prepared and stained using Romanowsky stain (Field stain) and Papanicolaou stain. Reporting was done using
The Bethesda System for Reporting Thyroid Cytology and lesions were categorized into six Bethesda categories. Results: 220 patients aged 31-65
years were taken for study. Mean age was calculated as 43.1 years. After classifying the lesions using TBSRTC, it was observed that there were 6
cases (2.7%) in Bethesda category I, 191 cases (86.8%) in Bethesda category II, 2 cases (0.9%) in Bethesda category III, 13 cases (5.9%) in
Bethesda category IV, 3 cases (1.3%) in Bethesda category V, 5 cases (2.27%) in Bethesda category VI. Out of the benign lesions, 68 cases (36%)
were of colloid goitre, 59 cases (31%) were nodular goitre, 25 cases (13%) were of subacute granulomatous thyroiditis and 39 cases (20%) were of
Hashimoto's thyroiditis. Out of 5 cases of malignant lesions, 2 cases were of papillary carcinoma and medullary carcinoma constituting 40% each
and single case of anaplastic carcinoma constituting 20%.
ANGER AND GENERAL WELL-BEING AMONG UNDERGRADUATE STUDENTS.
Authors: Shitole Rakesh , Waje Aditya , Pereira Jacinto , Saukatali Ayesha , Kalanji Bhargavi
Published: December 2024

Background: Anger is an affective response to survival threats or otherwise stressful experiences. It is a primary emotion having adaptive
functions linked to survival mechanisms that are biological, psychological, and social in nature. Anger dysregulation produces impairment in
functioning across life domains and is associated with various psychiatric disorders through transdiagnostic processes, such as selective attention,
threat perception, and rumination also believed to contribute to coronary heart disease. Objective:The purpose of this study is to acknowledge the
correlation between Anger and General Well-Being among Undergraduate (UG) Occupational Therapy (OT) Students. Materials and Methods:
Quantitative correlational analysis was used for the study. Quota sampling technique was used to select subjects for the study. Data was collected
from 115 Occupational therapy students, using Clinical Anger Scale, and General Health Questionnaire (GHQ). Result: The result showed that
the mean anger score was 11.6±11.03 and the range was 0-44. About 90% of the study participants reported Typical clinical anger. The mean GHQ
score was 12.07±8.36 and the range was 0-32. The result shows that anger was negatively correlated with psychological well-being (r = 0.655. P ≤
0.01) Conclusion: Anger and Psychological well-being are negatively correlated. As anger increases, the probability of bad psychological health
increases.
Pozytywizm prawnopolityczny – koncepcja Uberta Scarpelliego
Authors: Gregorczuk Karol
Published: December 2024

W odróżnieniu od większości przedstawicieli ówczesnego pozytywizmu prawniczego jednym z głównych założeń XX-wiecznego włoskiego myśliciela Uberta Scarpelliego było przeniesienie refleksji na temat pozytywizmu ze sfery nauki do sfery polityki. Jego zdaniem system prawny jest ludzkim wytworem, a jako taki musi być rozpatrywany przez pryzmat norm, ocen i wartości. Wypowiedzi normatywne są formułowane z wewnętrznego punktu widzenia (w ujęciu Harta), co wymaga uprzedniego zaangażowania się danej osoby, przyjęcia określonej postawy krytyczno-refleksyjnej wobec reguł prawnych.  Działalność prawnicza polegająca na rekonstrukcji, systematyzacji i interpretacji norm, służy w istocie wyrażeniu woli politycznej społeczeństwa zorganizowanego w nowoczesne państwo. Ta wola polityczna wyrażona poprzez prawo stanowione,  jest rozumiana jako ukształtowana przez wartości, wybory, programy i nakazy zachowania, które, wyrażone w określony sposób, mogą, w pewnych warunkach, być przypisane całemu społeczeństwu, mogą być uznane za ogólną wolę społeczeństwa politycznie zorganizowanego. Prawo jest rezultatem celowej aktywności podmiotów wyposażonych w kompetencje prawodawcze, które w ten sposób realizują określone cele polityczne.
O różnicy między mocną a słabą wersją idei wewnętrznego punktu widzenia
Authors: Jabłoński Paweł
Published: December 2024

Celem niniejszego artykułu jest teoretyczne wyeksponowanie twierdzenia, wedle którego wybór między ujmowaniem działalności sądów w trudnych przypadkach stosowania prawa jako działalności „czysto politycznej” albo „czysto jurydycznej” jest wyborem fałszywym. Cel ten realizuję w następujący sposób. Najpierw wprowadzam pojęcie epistemicznego ujęcia wewnętrznego punktu widzenia, które łączy się z warunkami poznania prawniczego. Następnie proponuję rozróżnienie między mocnym a słabym ujęciem tak rozumianego wewnętrznego punktu widzenia. Podstawową rolę odgrywają tu takie kryteria jak: autonomia prawa, istotność czynnika podmiotowego w stosowaniu prawa, czy sporność treści prawa. W dalszej kolejności przybliżam specyfikę ujęcia mocnego, a następnie charakterystykę ujęcia słabego. Staram się pokazać, że ostra granica między tym, co prawnicze, a tym, co polityczne, możliwa jest tylko przy przyjęciu mocnego ujęcia wewnętrznego punktu widzenia. Zarazem podaję powody, dla których ujęcie takie należy odrzucić. W części końcowej krótko podsumowuję najważniejsze ustalenia.
Autonomia prawa wobec problemów bioetycznych
Authors: Łaszewska-Hellriegel Martyna
Published: December 2024

Artykuł dotyczy zagadnienia autonomii prawa w bioetyce. W pierwszej części tekstu pokrótce zostały przedstawione wypracowane przez doktrynę koncepcje autonomii prawa, które następnie zestawiono ze specyfiką bioetyki. W sensie epistemologicznym bioetyka jest pewnego rodzaju hybrydą, na którą będą składały się zarówno twierdzenia naukowe, jak i argumenty etyczne. Artykuł zadaje pytanie, czy możemy mówić w ogóle o koncepcji autonomii prawa w bioetycznych zagadnieniach? Czy też zawsze argumentacje prawnicze będą zależne od etycznych pryncypiów? Wreszcie, w których przypadkach argumentacji bioetycznej widać autonomię prawa? W tym kontekście przede wszystkim zwraca uwagę na główne zadanie bioetyki, czyli na poszukiwanie pragmatycznych rozwiązań.
Problem autonomii prawa w świetle hylemorficznej teorii J.B. Paszukanisa
Authors: Mańko Rafał
Published: December 2024

Celem artykułu jest zbadanie stanowiska Jewgienija B. Paszukanisa odnośnie problemu autonomii prawa. Materiałem źródłowym do badań jest monografia J.B. Paszukanisa pt. Ogólna teoria prawa i marksizm (1924), w której zawarł on zręby swojej hylemorficznej teorii prawa, określanej też jako materialistyczna bądź realistyczna. Artykuł rozpoczyna się od rekonstrukcji podstawowych założeń hylemorficznej teorii prawa J.B. Paszukanisa, a następnie przechodzi do kluczowej w jego ujęciu problematyki genezy formy prawnej. W świetle przeprowadzonej analizy, artykuł wykazuje, że istotą prawa w ujęciu J.B. Paszukanisa jest to, iż jest ono formą kształtującą i umożliwiającą stosunki wymiany ekonomicznej, które stanowią jego właściwą materię. Na tym tle artykuł podejmuje problematykę autonomii prawa, wskazując, że należy ją w pracy rozpatrywać w dwóch wymiarach – wewnętrznej autonomii prawa, tj. autonomii prawa względem jego treści, oraz zewnętrznej autonomii prawa, tj. autonomii prawa względem państwa, polityki i ideologii. Gdy idzie o wewnętrzną autonomię prawa, w artykule wskazano, iż relacje formy prawa do jego materii mają – w ujęciu J.B. Paszukanisa – charakter dialektyczny, co skutkuje odrzuceniem przez niego Marksowskiej koncepcji prawa jako „nadbudowy” odzwierciedlającej relacje ekonomiczne w „bazie”. Gdy idzie o zewnętrzną autonomię prawa, Paszukanis zdecydowanie opowiada się po stronie twardej ontologii prawa, opartej o jego hylemorficzną substancję (złożenie materii aktów wymiany i jej formy prawnej), co czyni prawo pierwotnym wobec państwa i polityki oraz istotowo odrębnym względem ideologii. Nie wyklucza to oczywiście ideologiczności prawa, ale – znów wbrew marksistom – Paszukanis nie dopuszcza uznania prawa za zjawisko co do swej istoty ideologiczne.
استراتيجية المناورة التنافسية واثرها على الاداء المؤسسي (دراســـــة ميدانية فــــــــي وزارة الداخليـــــــة العراقيـــــة)
Authors: علي عقيل عصام , الحاكم علي عبد الله , محمد محمد مصطفى
Published: December 2024

تناولت الدراسة استراتيجية المناوره التنافسيه وعلاقتها بالاداء المؤسسي وتتمثل مشكله الدراسة في ان المنظمات الحكوميه تتبع المنهج التقليدي غير المتطور في الدراسات التطبيقيه والميدانيه في عملية تقييم الاداء المؤسسي للمنظمات وتمثلت اهمية الدراسة في سد الفجوه المعرفيةبمدى اثر استراتيجيه المناوره التنافسيه على الاداء المؤسسي وقد تم استخدام برنامج (smart pls) لأختبار الفرضيه التاليه (هنالك علاقة ايجابية ذات دلاله احصائيه بين استراتيجية المناورة التنافسية والاداء المؤسسي)وتوصلت الدراسة الى ان هنالك علاقه قويه ايجابيه بين استراتيجيه المناوره التنافسيه والاداء المؤسسي في وزاره الداخلية العراقية.
Xia Bian, the Treatise on Musical Instrumentation of the Qing Era Palace Ceremonies during the 18th Century
Authors: Xiaojiao Fu
Published: December 2024

The author of the article aims to introduce a historical source of the early 18th century, Xia Bian, into scientific circulation of Russian musicology. It is the second volume of the great treatise of the Qing emperors, Yu Zhi Lü Lü Zheng Yi. Dedicated to the description of court musical instruments, Xia Bian, on the one hand, positions the Manchu rulers as strict followers of the previous dynasties and continuers of the Han traditions of court musical art. On the other hand, it clearly outlines a range of priorities limited to 13 instruments; moreover, it focuses on the physical characteristics that determine the standard sound, and touches on a number of morphological changes in the instruments and their decor. The illustrations with outline images of certain instruments, full face or in section, which allow us to obtain reliable information about the features of their designs, are a valuable contribution. In the treatise, the absence of information on the change or radical modernisation of musical instruments and the authors’ numerous references to the most ancient Chinese philosophical works on music confirm the idea that Emperor Kangxi not only did not seek to reform the musical part of the palace ceremonies but, on the contrary, was actively inclined to maintain the established Ming traditions. Despite the rigour and consistency of the presentation, the text of the treatise includes poetic turns and comparisons characteristic of the spatial-­figurative thinking of a resident of China in the 18th century.
Assess Attitude and Knowledge Regarding Menopause and Its Management among Rural Women between the Age Group of 45-50 Years
Authors: Ashwini Ms. , Raj Ms. Sukritha , M Mr. Anel , N Mr. Mohammad Shahazad
Published: December 2024

This study explored the attitudes and knowledge of rural women aged 45-50 regarding menopause and its management, focusing on how healthcare access and social support impact these perspectives. Using purposive sampling and structured questionnaires, data were collected from participants to assess their understanding and experiences with menopause. Results indicated that 58.41% of the women had a positive attitude towards menopause, while 41.62% held a negative view. Nearly half of the participants (47.75%) possessed adequate knowledge about menopause, with 52.25% lacking sufficient understanding. Healthcare access was available to 84.57% of the participants, suggesting that most women had access to medical resources, though only 22.73% felt they had a strong support network for discussing menopause-related issues. These findings highlight a need for more robust educational resources and social support structures to improve knowledge and foster positive attitudes toward menopause management among rural women.
ARTIFICIAL INTELLIGENCE AND SERVICE, INDUSTRIAL, AND AGRICULTURAL EMPLOYMENT: COMPREHENSIVE INTERNATIONAL MACROECONOMIC EVIDENCE
Authors: Algül Yahya
Published: December 2024

Recent advancements in artificial intelligence (AI) technology have revived concerns about technological unemployment. Regarding the issue, this study examines the impact of AI on employment rates across 17 leading AI countries from 1998 to 2017 using two panel econometric techniques, DOLS and FMOLS, to ensure robust results. For the first time, as far as is known, the effect of AI on employment in distinct sectors is analyzed separately. By uniquely combining different countries and sectors within a macroeconomic framework, this study provides a more comprehensive understanding through a total of eight estimates. The findings indicate that, according to both DOLS and FMOLS techniques, increased AI innovation raises employment rates in the overall economy and in the service sector, while reducing employment rates in the industrial and agricultural sectors. Consequently, while AI positively impacts overall employment, considering industrial and agricultural sectors, employment policies should be adjusted to meet evolving needs in the AI era.
GLOBAL COOPERATION: IMPACT OF PANDEMICS AND GLOBAL CRISES ON TRADE AND ECONOMIC STABILITY
Authors: Akıncı Özden Sevgi , Taşkın Ercan
Published: December 2024

This study examines the impact of pandemics on trade and economic stability, emphasizing the need for global cooperation and the involvement of least developed and developing countries in decision-making. Investigates the impact of pandemics, trade disruptions, and geopolitical tensions shape global economic dynamics, identifies the key factors influencing trade volumes and economic stability, and the strategies for fostering global cooperation to manage these complexities and promote resilience. A case study approach was used, focusing on COVID-19. Reports from 2009 to 2022 of the IMF, WTO were analyzed. All documents were subjected to a comprehensive, holistic analysis in accordance with predefined criteria. The findings of the study reveal the adverse effects of trade protectionism on international trade and global welfare, with a particular focus on the disproportionate impact on developing and least developed countries. In conclusion, the study emphasizes the necessity for reform of the international financial architecture to ensure fair representation and effective global cooperation.
Hipoglicemia associada ao uso de ciprofloxacino, um relato de caso
Authors: Cestari Matheus , Seixas Daniela Miti Tsukumo , Milano Eduardo de Biasio , Capelli Carolinne Cristina , Gudwin Julia Freitas Leitão
Published: December 2024

O ciprofloxacino, uma fluoroquinolona amplamente utilizada para tratamento de infecções bacterianas, é associado a episódios de hipoglicemia grave. Embora essa condição seja um efeito de classe observado com diversas quinolonas, o ciprofloxacino é considerado uma das opções de menor risco, possuindo maior correlação em concomitância com outros fatores de risco, em especial diabetes e uso de medicações hipoglicemiantes. Na ausência dessas características, sua associação é menos prevalente. O presente trabalho tem como objetivo relatar o caso de uma paciente idosa, não diabética e sem uso de medicações hipoglicemiantes, que desenvolveu episódios de hipoglicemia associados ao uso de ciprofloxacino.
Manejo Farmacológico da Fibrilação Atrial
Authors: BARROS DE MACEDO RYAN RAFAEL , BARRÊTO MACIEL KAREN MACIELEN , NEVES CALDERARI RICARDO , LINS ITALO RAFAEL , COSTA BERTOLDO HUGO , MARINHO DE AZEVEDO WERICK , SANTOS DA SILVA GUSTAVO FRANCISCO , FEITOSA DE ALMEIDA NEYANDERSON , SOUZA ANDRADE JENNYFER , CARNEIRO SANTOS ANTÔNIA KALIANE , PREVIDELLI AQUARONI HELOÍSA , FRANÇÓIA MARGON OTÁVIO
Published: December 2024

A fibrilação atrial (FA) é a arritmia cardíaca sustentada mais comum, especialmente prevalente em populações idosas. Fatores de estilo de vida, como hipertensão, obesidade, tabagismo, alcoolismo e apneia do sono, estão associados ao desenvolvimento da FA. Intervenções para modificar esses fatores têm demonstrado eficácia na redução da incidência da arritmia. Um novo escore de risco, denominado HARMS2, integra fatores modificáveis para prever o risco de FA, apresentando maior capacidade preditiva (AUC 0,76) em comparação com modelos anteriores, como o Framingham-AF (AUC 0,57) e ARIC (AUC 0,71). Esse escore pode ser facilmente aplicado na prática clínica, auxiliando na identificação de indivíduos em risco e promovendo mudanças no estilo de vida para reduzir o risco de FA. O texto ainda destaca a relevância da fibrilação atrial assintomática ou subclínica, indicando a necessidade de maior investigação e conscientização na prática clínica.
Canalopatias Cardíacas: Interações genéticas, fisiopatologia e inovações no diagnóstico e manejo clínico
Authors: Santana Amanda Henrique , Lamb Iama Verdi , Camillo Bruno Rheuly Bonfá , Moura Ana Julia Costa , Leite Ana Paula Sousa , Rossi Patricia , Bressan Túlio Slongo , Mendes Davi , Sato Maria Lima Siqueira , Weber Jefferson Iglesias , Sousa Arthur Oliveira , Barreto Camila Izabel Prates , Coelho Jonatas Abrão Martinez Vaz
Published: December 2024

As canalopatias cardíacas são um grupo de distúrbios genéticos que afetam os canais iônicos do coração, responsáveis pela regulação dos fluxos elétricos que controlam os batimentos cardíacos. Essas condições podem levar a arritmias fatais, síncopes e morte súbita, frequentemente em indivíduos jovens e aparentemente saudáveis. Entre as canalopatias mais conhecidas estão a síndrome do QT longo, a síndrome de Brugada e a taquicardia ventricular catecolaminérgica. O diagnóstico precoce e a compreensão dos mecanismos moleculares envolvidos são essenciais para o manejo clínico e a prevenção de complicações. Este tema representa um campo de grande relevância na medicina cardiovascular e na genética clínica. Uma revisão de literatura foi realizada a partir de artigos científicos encontrados nas seguintes bases de dados: Biblioteca Virtual de Saúde (BVS), Public Medline (PubMed), Portal de Periódicos CAPES e Scientific Electronic Library Online (SciELO), sem restrição de período de publicação. As canalopatias cardíacas representam um desafio significativo na medicina cardiovascular, pois envolvem distúrbios genéticos que afetam a função elétrica do coração, resultando em arritmias graves. A compreensão dos mecanismos fisiopatológicos e o diagnóstico precoce são essenciais para prevenir complicações fatais, como a morte súbita. As inovações em genética e diagnóstico, incluindo testes moleculares e tecnologias avançadas, têm aprimorado a identificação e o manejo dessas condições. É fundamental continuar investindo em pesquisas para expandir o conhecimento sobre as canalopatias cardíacas, visando terapias mais eficazes e personalizadas, além de melhorar a qualidade de vida dos pacientes afetados.
Teología de las relaciones familiares Desde la Antropología Transcendental de Leonardo Polo
Authors: Castilla de Cortázar Blanca
Published: December 2024

Este trabajo, ante un tema teológico arduo y de algún modo controvertido –al estar aún “in fieri”, es terreno abierto a distintas perspectivas–, intentará profundizar en algunas de las novedosas aportaciones del magisterio de san Juan Pablo II, con la ayuda de intuiciones de la Patrística y las propuestas filosóficas de la Antropología transcendental de Leonardo Polo. Tras exponer la persona como ser relacional y dual, y la familia como realidad relacional y triádica, entrará en la teología de la imago Dei y en la imago trinitatis en el dualidad varón-mujer. Finalmente, tras exponer la analogía familiar de la Trinidad, se trazarán algunas prospectivas en torno a la Trinidad como familia y a la familia como imagen de la Trinidad.
Impacto del Síndrome de Alienación Parental (SAP) en España
Authors: Iglesias Sánchez Kevin , Fernández Guerrero María José
Published: December 2024

El presente estudio aborda el tema del Síndrome de Alienación Parental (SAP) desde una perspectiva psicológica, centrándose en su impacto en España. A través de una revisión sistemática exhaustiva de la literatura científica existente, se analizan los criterios de identificación del SAP, las dinámicas familiares involucradas, las consecuencias psicológicas en los menores afectados y las estrategias de intervención y tratamiento disponibles en el contexto español. Se destaca la importancia de comprender y abordar el SAP de manera integral, considerando tanto las implicaciones emocionales y psicológicas en los niños como las repercusiones en los progenitores afectados. Se discute la falta de reconocimiento del SAP en el DSM-5 y en la CIE- 11, se exploran alternativas terapéuticas y legales para atender este concepto. Además, se plantea la necesidad de formación y sensibilización de los profesionales de la salud mental, el ámbito judicial y los servicios sociales en relación con el SAP, así como la importancia de desarrollar guías y protocolos estandarizados para su evaluación y tratamiento. Se sugiere también la exploración de nuevas tecnologías en el ámbito de la mediación familiar para mejorar la efectividad de las intervenciones.
Importancia clínica de las quejas subjetivas de memoria en la detección precoz del deterioro cognitivo leve
Authors: Moro Murciego Laura , Sánchez Cabaco Antonio
Published: December 2024

Introducción: Existe gran interés clínico en la optimización del proceso diagnóstico del deterioro cognitivo leve (DCL) y la evaluación de las quejas subjetivas de memoria (SMC) reportada por el propio sujeto o sus informantes, que podría resultar la herramienta a utilizar para tal fin. Objetivos: determinar la importancia clínica de las SMC en la detección precoz del deterioro cognitivo leve (DCL) y objetivar el papel de los informantes clave en laevaluación del deterioro de la memoria. Método: Revisión bibliográfica y análisis cualitativo y cuantitativo de la información recogida. Un total de 30 artículos son incluidos para su desarrollo. Resultados: Sobre los seis tópicos en los que se organiza la información recopilada se encuentra discrepancia de resultados entre las distintas investigaciones, aunque parece existir evidencia con solidez suficiente para la realización de ciertas afirmaciones. Conclusiones: Las SMC son predictivas del progreso a DCL años antes del inicio del déficit destacable en pruebas objetivas de rendimiento, por lo que son  un buen indicador temprano del deterioro. Aunque en los momentos iniciales las quejas de los pacientes cognitivamente sanos determinan con más  precisión su desempeño en pruebas objetivas, es habitual una reducción de conciencia del déficit con el progreso del mismo, lo que hace imprescindible la valoración aportada por los informantes cercanos. Estos reportes no están carentes de sesgos y son necesarias más investigaciones al respecto.
matrimonio canónico en la era digital.
Authors: Carrasco Cuadros Francisco
Published: December 2024

Estamos viviendo un verdadero cambio de época. Hemos franqueado el umbral de una nueva etapa de la posmodernidad. Bauman denomina a esta etapa posmodernidad líquida. Su modelo explicativo nos ayuda a comprender la profundidad del cambio que experimentamos y que lleva consigo un nuevo paradigma antropológico. Los hombres y las mujeres de este tiempo que pueden plantearse contraer matrimonio canónico, viven en esta cultura en la que no tiene ningún sentido establecer  una relación interpersonal fiel y para siempre. ¿Qué respuesta podemos dar los pastores y los profesiones del derecho canónico a estos serios retos?  Las reflexiones que se vierten en este trabajo quieren servir de ayuda para seguir avanzando en la comprensión y la aplicación del derecho canónico matrimonial. Entre otras una concepción de la discreción de juicio que tenga más en cuenta el  elemento de la sensibilidad en el consentimiento o una concepción más inculturada del error determinante.
Pemberdayaan Kader Posyandu Sebagai Upaya Meningkatkan Pengetahuan dan Keterampilan dalam Pemanfaatan Buku KIA
Authors: Marbun Uliarta , Irnawati Irnawati , Sari Lili Purnama
Published: December 2024

Pelayanan kesehatan dasar melalui program Posyandu  yang  diselenggarakan  ditiap-tiap  desa  untuk  menjadi  wadah masyarakat dalam  menyampaikan dan  memperoleh  pelayanan  kesehatan dan untuk memberikan pelayanan kesehatan pada masyarakat yang secara langsung dikelola demi pembangunan kesehatan, pemberdayaan masyarakat,  serta  memudahkan untuk  memperoleh  fasilitas  dan  pelayanan kesehatan  dengan  tujuan  untuk  menurunkan  angka  kematian  ibu  dan  bayi. kegiatan ini di fokuskan untuk memberikan edukasi dan pelatihan yang bertujuan untuk meningkatkan pengetahuan dan keterampilan kader posyandu dalam pemanfaatan buku KIA sebagai salah satu upaya promotive dan preventif untuk mempercepat penurunan angka kesakitan dan kematian pada ibu dan bayi. tahapan pelakasanaan kegiatan yang meliputi Pretest, Sesi Materi, Sesi Praktik, dan evaluasi. pretest yang dilakukan bertujuan untung menggali pengetahuan dan keterampilan kader dalam pemanfaatan buku KIA. Kegiatan selanjutnya yaitu dengan memberikan materi terkait manfaat buku KIA dilanjutkan dengan pelatihan kader/praktik pengisian Buku KIA. Sebelum diberikan edukasi/materi tentang pemanfaatan buku KIA yang memiliki pengetahuan baik yaitu 11 orang ( 73,3%), setelah dberikan materi pemanfaatan buku KIA jumlah kader yang memiliki pengetahuan baik meningkat menjadi 14 orang ( 93,3%). keterampilan kader sebelum di berikan praktik tentang pengisian buku KIA yang memiliki keterampilan baik yaitu 10 orang ( 66,7%). Sedangkan setelah diberikan praktik tentang pengisian buku KIA jumlah kader yang memiliki keterampilan baik meningkat menjadi 13 orang ( 86,7%). Pemberdayaan Kader Posyandu merupakan strategi yang dianggap efektif untuk meningkatkan pengetahuan dan keterampilan dalam pemanfaatan Buku KIA oleh kader kesehatan, ibu hamil dan bayi dan balita
Basic Life Support Education to Increase the Knowledge, Attitudes and Skills of Members Marine and Air Police Directorate
Authors: Hartati Ratih , Natalia Siska , Suangga Fitriani
Published: December 2024

Abstract
Drowning is one the most common accident in Riau Island. Drowning can cause hypoxia, acidosis  lactate and hypothermia, this can result in cardiovascular dysfunction, ie heart rhythm disorders to cardiac arrest.  Basic life  support is needed to restore breathing and circulation fungction of a person. Marine and Air Police Directorate Riau Islands is the front line of providing assistance and rescue at sea and waters. Previously there was no proper BLS training, therefore the training is needed to prepare first responders. This study aimed to determine of Basic Life Support education to increase on knowledge, attitudes and skills member of Marine and Air Police Directorate Riau Islands. This research used a quantitative method with a research design with pre experimental design research design used with one group pre-post design without control. The total number of samples taken with purposive randomsampling of Subditpatroliairud Members and Police Boat members with 50 subjects and data analysis using Paired T-Test. Theaverage before and  after education BLS were 58,13-83,33 for knowledge, 78,77-83,33 on attitude, 29,84-79,23 on skill. Paired T-Test on  knowledge, attitudes and skills with a p-value of 0,000 (p-value<0,05) therefore Ha is accepted. Therefore, there is an effecton BLS training on improving knowledge, attitudes and skills member of Marine and Air Police Directorate.
SOCIAL SUPPORT AND PSYCHOLOGICAL ASSISTANCE FOR MILITARY PERSONNEL AND THEIR FAMILIES THROUGH ONLINE COUNSELING
Authors:   Zhytomyr Polytechnic State University, Melnychuk Dmytro , Zhalinska Iryna ,   Zhytomyr Polytechnic State University, Voinalovych Iryna ,   Zhytomyr Polytechnic State University, Sapon Dariia ,   Bogomolets National Medical University
Published: December 2024

The problem of improving mental health, ensuring psychological stability and readiness to perform assigned tasks is a priority in the system of moral and psychological support of the Armed Forces of Ukraine and should aim to maintain a high level of combat readiness of units and subdivisions. A large proportion of servicemen in the combat zone have severe stress disorders, and sometimes they cannot and do not know how to cope with the states and feelings they experience. This has a direct impact on the military's immediate environment. The purpose of the article is to conduct a differential analysis of contemporary practices in consultative psychology, to obtain and scientifically interpret empirical data as a prerequisite for identifying the characteristics and determining the priorities of online counseling within the system of psychological rehabilitation and social support for military personnel and their families. This study employs a structured and systematic methodology to explore the potential and implementation of online counseling as a form of psychological and social support for military personnel and their families. The methodological framework integrates theoretical analysis, empirical research, and practical application to provide a comprehensive understanding of the subject. The study is based on the world experience of psychological counseling, as well as the results of an empirical study, which made it possible to identify and characterize the psychological needs of military personnel, to determine the priority steps to meet them with the tools of psychological practice. It is substantiated that psychological counseling of servicemen has a number of features, which are primarily related to the specifics of military service, conditions of stay, constant danger and threat to life. The necessity and expediency of developing and implementing the latest forms and programs of psychological counseling are proved. The article substantiates the need to organize online psychological counseling in view of the involvement of military personnel in performing tasks in combat areas and the remoteness from qualified psychological assistance - one of the few available.
PRIORITIZING FAMILY COMMITMENTS OVER EDUCATION: A MULTIPLE CASE STUDY OF ENGLISH MAJOR STUDENTS’ TRANSITION FROM CAMPUS TO CAREER
Authors: Jody M. Apostol  , Kristy Jane R. Muegna
Published: December 2024

This research project is a qualitative multiple-case study that examines the experiences of English major students as they transition from campus to their professional careers. The study incorporates in-depth interviews with three participants and their respective informants to gain a comprehensive understanding of how family commitments impact the educational and career paths of these students during this critical juncture. The research aims to fill a gap in the literature by focusing on the experiences of English major students and the role of family commitments in shaping their educational and career paths. The study is informed by previous research that suggests that family commitments can significantly influence a student's ability to pursue their academic and career goals. By exploring the experiences of English major students, the study seeks to shed light on the ways in which these commitments impact the transition from campus to career. The study's findings will contribute to our understanding of the challenges that English major students face when transitioning from campus to career, particularly in the context of family commitments. The study will also provide insights into the ways in which students navigate these challenges and the strategies they use to balance their academic and career goals with their family commitments.
KEYWORDS: Family Commitments, Education, multiple case study, English major students, Davao del Norte, Philippines
CONTINUED ASSESSMENT USING SHEWHART CHARTS: A PRELIMINARY INSIGHT INTO SUPERVISORY TECHNIQUE OF EVALUATING CUSTOMER SATISFACTION LEVELS
Authors: Swapna Datta Khan  , Rajib Bhattacharya  , Nilanjana Sinha
Published: December 2024

Customer Satisfaction Levels and their measurement is significant for any Service Organization, especially keeping in mind the tangible nature of its products. Thus, the gradation, measurement and benchmarking of Customer Satisfaction is significant. In this paper the researchers have used the unearthed construct from an Exploratory Factor Analysis on data collected using SERVQUAL 22 item research instrument to create a set of Shewhart Control Curves on the Factors. The idea mooted by this research is a continued revision on the said curves, using contemporary data to create a model for continued assessment of customer levels.
KEYWORDS: Shewhart Charts, Customer Satisfaction, Continued Assessment, LCL, UCL
IMPACT OF DIGITAL MARKETING ON BRAND AWARENESS: A LITERATURE REVIEW
Authors: Parelli Sreenivas
Published: December 2024

This article gives opinions as to some of the current and emerging future trends in marketing. It is written in accordance with the contemporary literature available and occurrences in the business world. The work is of an empirical nature and includes data and conclusions received through secondary research. The empirical study of the work is conducted on the basis of literature and the internet. Newspapers and magazines, articles, studies, reports, websites, online material and other related material has been reviewed. In the contemporary ever evolving world, especially in the Indian context, the phenomenon of going digital is at its best. The advancement in information technology especially in the use of the Internet has contributed greatly to the changes in the business operations and in the way business communicates with the customers. This paper focuses on digital marketing and identifies its impact on the purchase decision and brand recognition. It emphasizes the shift in the environment that marketers confront and opportunities over threats that are noticeable in the contemporary world. The paper assesses all current literature, recognition of the knowledge gaps and attempts to enhance the comprehension of how digital marketing influences consumer behavior.
KEYWORDS: Digital Marketing, Brand awareness, Consumer Behavior, Social Media, Literature Review.
AGBOWA-IKOSI DEVELOPMENT MASTER PLAN REPORT
Authors: Ayomide D Akinyemi
Published: December 2024

This paper aims to use the establishment of the master plan to provide an overall development strategy for the emerging area of Agbowa-Ikosi in Lagos State, Nigeria. The plan is to help develop Agbowa-Ikosi into a sustainable city that will be economically viable owing to the city's strategic geographical location and the industrial and tourism opportunities inherent in the city. The plan contains comprehensive information on the territory's climate, geography, land usage, traffic conditions, and other peculiarities. Core constraining factors including infrastructural development, drainage systems, and generic necessities are recognized. These are the challenges that this plan seeks to overcome to unlock the potential of the Region. These include the proposals for a new CBD, growing areas of the industrial estates, accessibility of transport systems, and establishment of open green space/recreational grounds. According to the principle of sustainable development, the plan proposes the utilization of renewable energy sources and the promotion of the ecological approach in construction. Therefore, the usage of the aforementioned authorities can make Agbowa-Ikosi an example of creating a sustainable city in Nigeria.
KEYWORDS: Agowa-Ikosi, Master Plan, Sustainable development, Infrastructure, Tourism
Kształtowanie się polskiej rezydencji szlacheckiej w świetle projektów Giovanniego Battisty Gisleniego
Authors: Mossakowski Stanisław
Published: December 2024

Opracowanie grupy projektów drewnianych dworów, wykonanych przez Giovanniego Battistę Gisleniego (1600–1672), zachowanych w zbiorach Sir John Soane’s Museum w Londynie oraz Staatliche Kunstsammlungen w Dreźnie, na tle procesu kształtowania się programów mieszkalnych i schematów planistycznych wiejskiego i podmiejskiego typu rezydencji szlacheckiej w Polsce.
Panorama Warszawy w pałacu Walickich w Małej Wsi – niedostrzeżone dzieło Antoniego Smuglewicza
Authors: Mączyński Ryszard
Published: December 2024

Artykuł jest poświęcony polichromii przedstawiającej panoramę Warszawy oglądanej z praskiego brzegu Wisły. Malowidło zachowało się w pałacu w Małej Wsi na Mazowszu. Temat miał dla właściciela rezydencji wymiar osobisty, gdyż Bazyli Walicki, wojewoda rawski, przewodniczył stołecznej Komisji Boni Ordinis, której dążeniem było scalenie miasta w jeden organizm. Prospekt zainspirowany został obrazem olejnym Widok Warszawy od strony Pragi (1770) Bernarda Bellotta, jednak wzór wykorzystano w sposób twórczy, dokonując aktualizacji stołecznych realiów. To pozwala określić czas powstania dzieła: na jesieni 1785 lub wiosną 1786 r. Odznacza się ono wysokim poziomem sztuki malarskiej i stanowi jedną z najciekawszych iluzjonistycznych polichromii świeckich, jakie powstały w Rzeczypospolitej za panowania Stanisława Augusta. Jej autorem był najpewniej Antoni Smuglewicz. Świadczą o tym zarówno przesłanki formalne, zwłaszcza analogie z dekoracjami wykonanymi przezeń w pałacu w Dobrzycy, jak też stała współpraca malarza z projektantem pałacu w Małej Wsi – architektem Stanisławem Zawadzkim.
History of Twentienth-Century Annotations in the Lost Keyboard Tablature Manuscript from the Holy Spirit Monastery in Kraków and the Chronology of its Photocopies
Authors: Szelest Marcin
Published: December 2024

This text addresses issues raised by Grzegorz Joachimiak, who announced the discovery of an unknown photocopy of the lost keyboard tablature from the Holy Spirit Monastery in Kraków in Muzyka 69 (2024) no. 2. Evidence is presented that the reproduction made for Harvard University was produced in 1938 and that the pencil inscriptions, introduced by Aleksander Poliński probably c.1913, were present in the manuscript at that time. Some faded annotations were then corrected for the photographs ordered by the Staatliches Institut für Musikforschung in Berlin, which were taken afterwards.
Pola Komunikasi Antar Budaya Generasi Z Dalam Menjaga Toleransi Beragama (Studi Kasus War Takjil Ramadhan 2024 di TikTok)
Authors:   Universitas Bakrie, Valencia Zefanya Ayu , Lestari Annisa Fitriana
Published: December 2024

Media sosial kini telah menjadi salah satu ‘jalan ninja’ bagi Generasi Z. Generasi Z untuk mengekspresikan diri, menyuarakan opini, menampilkan kreativitas, berbagi informasi, dan berinteraksi antara satu dengan yang lain. Generasi Z menggunakan media online, khususnya TikTok, sebagai alat untuk memelihara toleransi antar agama selama fenomena 'War Takjil Ramadhan 2024'. Tulisan ini bertujuan untuk memahami pola komunikasi antar budaya Generasi Z dalam menjaga toleransi beragama selama bulan Ramadhan melalui platform TikTok. Analisis menunjukkan bahwa Bhinneka Tunggal Ika dan Pancasila berperan sebagai pedoman dalam perilaku toleransi Generasi Z. Selain itu proses internalisasi dan eksternalisasi di media sosial membuka pemahaman Gen Z akan pentingnya toleransi.
GENIUS: Upaya Memberantas Hoaks di Kalangan Generasi Z
Authors:   Universitas Bakrie, Assyifa Faiza , Valencia Zefanya Ayu , Wiranggana Maundra , Sarmitha Jihan , Samudera Kenzo , Andriarti Anastasya , Lestari Annisa Fitriana
Published: December 2024

Generasi Z sering menjadi korban hoaks karena kurangnya kemampuan berpikir kritis dalam menyeleksi informasi yang diterima. Kemajuan teknologi seperti kecerdasan buatan (AI), telah membuat penyebaran hoaks semakin canggih, seperti teknologi AI deepfake. GENIUS : Generasi Z Edukasi Nilai Informasi Untuk Sadarkan Sesama” bertujuan meningkatkan kesadaran dan kemampuan untuk berpikir kritis generasi Z dalam mengelola dan menghadapi informasi. Dengan fokus utama pada edukasi tentang hoaks yang dihasilkan oleh manusia, teknologi AI, serta peningkatan kemampuan berpikir kritis.
Rehabilitation Assessment of Post Intensive Care Syndrome
Authors: Triangto Kevin , Peggy  , Sari Dian Marta , Nusdwinuringtyas Nury , Widjanantie Siti Chandra
Published: December 2024

The awareness of symptoms experienced after intensive care seems to have been extensively studied since the pandemic wave in 2019. The persistence or new occurrence of symptoms after intensive care is diagnosed as post-intensive care syndrome (PICS). The syndrome encloses multiple system disorders and therefore requires thorough utilization of assessment tools, which unfortunately have no standard clinical practice guidelines. Several subdomains that are crucial for assessment include physical, cognitive, and mental functions. Other aspects to be observed include quality of life, physical examination, and functional tests, particularly those related to reduced cardiorespiratory endurance. This review aimed to highlight the most notable list of tools to be used in the outpatient assessment setting of PICS. The feasibility was also tested in a recent workshop session for physical medicine and rehabilitation specialists, and it was possible to accomplish this in 30 min. Until a consensus is reached on the PICS assessment, it is strongly suggested that practitioners exercise these tools and use them in daily practice.
The Relationship between Achievement Age of Fine Motor and Language Skills in Children with Down Syndrome
Authors: Hartono Dewi Kusuma , Setianing Retno , Munawaroh Naela , Peni Julianti Hari , Siswarni  , Rosdiana Ika , Astuti Niken , Novita Fadlia  , Nugroho Andi Sulistyo , Suhastika Sarah Jehan
Published: December 2024

Introduction: Fine motor and language skills in children with Down Syndrome (DS) have important role in independence and social participation in daily life. The objective of this study is to know whether there is relationship between achievement age of fine motor and language skills in children with DS.
Methods: This study was analytic observational study with cross sectional design. Subjects of this study was forty six children with DS, with the range of age 15-199 months. Examination had done after the informed consents were obtained from the parents. Milestones development, weight-age%, length-age%, head circumference-age% charts for DS were used to examined subjects.
Results: There was significant relationship between achievement age of fine motor and language skills in children with DS (p< 0,05). There were no significant relationship between weight-age%, length-age%, head circumference-age% with achievement age of fine motor and language skills in children with DS (p>0,05).
Conclusion: Fine motor skill stimulation was expected to improve language skill, and vice versa in children with DS.
Preoperative Inspiratory Muscle Training in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Practical Guidance for Rehabilitation Physicians
Authors: Nazir Arnengsih
Published: December 2024

Introduction: Coronary artery bypass graft (CABG) surgery increases the life expectancy of coronary artery disease patients, but the surgery itself causes postoperative pulmonary complications (PPC). PPC was associated with a decrease in respiratory muscle and lung function. Inspiratory muscle trainer (IMT) has been used in cardiac rehabilitation for post-CABG surgery patients. This review aimed at guiding clinical practitioners in preoperative IMT use.
Methods: Articles written in English were searched using PubMed, EBSCOhost, and Google Scholar databases without limitation of year of publication used relevant keywords. The inclusion criteria were participants undergoing CABG surgery in the pre-operative period and were given threshold IMT.
Result and Discussion: Preoperative IMT did not increase lung function, but it prevented a decrease in lung function postoperatively. The incidence of PPC was lower and the length of stay was shorter in patients who were given preoperative IMT compared to the control. Preoperative IMT also increased the strength and endurance of inspiratory muscles associated with decreased PPC.
Conclusion: Preoperative IMT given to patients undergoing CABG surgery has been proven to prevent PPC and increase respiratory muscle function. This review provides practical guidance for preoperative IMT administration to improve outcomes of patients undergoing CABG surgery.
Validity and Reliability of the Indonesian Version of Anterior Knee Pain Scale in Measuring Functional Limitations of Army Soldiers with Anterior Knee Pain
Authors: Susmex Ricky Fakhrazi , Tamin Tirza Z , Anestherita Fitri , Friska Dewi
Published: December 2024

Introduction: Anterior knee pain (AKP), also referred as patellofemoral pain, commonly affects physically active individuals. The underreporting of AKP in the military necessitates the need for reliable clinical outcome evaluation instruments, especially for military personnel. The Anterior Knee Pain Scale (AKPS) or Kujala Score is an instrument devised for assessing functional limitations in AKP sufferers. AKPS has been proven to be valid and reliable in Bahasa Indonesia for assessing functional limitations in patients with patellofemoral pain syndrome. This study aims to test the validity and reliability of the Indonesian version of AKPS in measuring functional limitations of Army soldiers suffering from AKP.
Methods: Cross-sectional study, validity assessment using Pearson correlation and reliability testing by assessing internal consistency and test-retest reliability. A total of 34 male soldiers with AKP who fulfilled the inclusion and exclusion criteria. Subjects provided informed consent, underwent history taking and physical examination, then completed the AKPS. Three day interval for test-retest.
Results: Correlation coefficient range: 0.423-0.779, overall Cronbach's alpha: 0.806, ICC: 0.993 at 95% confidence level, p<0.05.
Conclusion: The Indonesian version of the AKPS was valid and reliable for assessing functional limitations in Army soldiers with anterior knee pain.
Keywords: Kujala score, AKPS, patellofemoral pain.
The Use of Ultrasonography in Improving The Success of Rehabilitation Process in ICU
Authors: Rachmawati Evi
Published: December 2024

Complications of various degenerative and genetic diseases on physical fitness can occur directly and indirectly. Indirect causes are due to prolonged immobilization, leading to reduced functional capacity. Direct causes may involve diseases that result in decreased cardiac and pulmonary function. Prolonged ventilator use in the ICU might significantly reduce cardiopulmonary function and even high risk in ventilator weaning challenging for patients. One of the newest method to assess pulmonary function in the ICU is ultrasonography, which evaluates the diaphragmatic muscle function in ventilator-dependent patients. This method has been applied in several educational hospitals and hopefully might improve our capacity as physiatrist.
Cardiorespiratory fitness is achieved through regular and continuous exercise. Cardiac and pulmonary rehabilitation is carried out from the acute phase to the community. Rehabilitation conducted in the ICU is a supportive and essential rehabilitation process. Why? Because the ICU rehabilitation stage can have a tremendous effect on improving weaning ventilation ability. Preservation and improvement of lung function and cardiopulmonary function allow patients to wean faster and increase their level of mobilization.