bluuebunny/crossref_metadata_2025 huggingface dataset:
Enhancing the quality of online teaching and learning of a research module through the community of inquiry framework
Authors: Zulu Free-Queen Bongiwe
Published: January 2025

The COVID-19 pandemic imposed a quick change to online teaching and learning, emphasising the importance of the community of inquiry (CoI) framework in reimagining the quality of higher education in an online setting. In the study reported on here I focused on how lecturers adopted the CoI to enhance the quality of online learning and teaching of a research module. Additionally, it examines the extent to which students experienced the 3 key presences within the CoI framework, namely the teaching, social and cognitive presence during online teaching and learning of the research module. I employed a design-based research (DBR) approach, focusing on teachers studying B.Ed. Hons. part time. Data were generated through a CoI survey and students’ reflections. The findings reveal that the lecturer’s use of diverse instructional strategies resulted in students experiencing a higher level of teaching presence, a varied range of social presence, and a high level of cognitive presence. These high levels of cognitive and teaching presences could suggest the enhancement of online learning and teaching within the research module.
PERBANDINGAN FLUOKSETIN 20 MG DENGAN AMITRIPTILIN 12,5 MG SEBAGAI ADJUVAN KOMBINASI PARASETAMOL DAN MORFIN DALAM MENGURANGI NYERI PADA PASIEN NYERI KANKER
Authors: Ramud Samawi Husein , Hamdi Tasrif , Bangun Chrismas Gideon , Yunanda Yuki
Published: January 2025

Data WHO menunjukkan bahwa 30–40% pasien kanker mengalami nyeri sedang atau berat. Empat kelas obat antidepresan dapat dipakai dalam pengobatan nyeri neuropatik. Penelitian ini bertujuan untuk mengetahui perbandingan fluoksetin 20 mg dengan amitriptilin 12,5 mg sebagai adjuvant kombinasi parasetamol 1000 mg dalam mengurangi gejala nyeri pada pasien nyeri kanker. Penelitian dilaksanakan sejak Juli–September 2023 di klinik nyeri Rumah Sakit Umum Pusat Haji Adam Malik Medan. Penelitian ini adalah uji klinis acak tersamar. Sebanyak 40 subjek dibagi dalam 2 kelompok. Kelompok A (n=20) mendapat fluoksetin, morfin dan parasetamol, sedangkan kelompok B (n=20) mendapat amitriptilin, morfin dan parasetamol. Skor nyeri pada subjek diukur dengan menggunakan PainDETECT. Data dianalisis secara univariat dan bivariat. Data bivariat dianalisis dengan uji Chi-Square, T-Test Independent, T-Test Paired dan Mann-Whitney. Terdapat penurunan skor numeric rating scale dan PainDETECT yang signifikan antara sebelum dan setelah pemberian fluoksetin maupun amitriptilin dengan nilai p<0,05. Kelompok fluoksetin maupun amitriptilin dapat menurunkan skor numeric rating scale dan PainDETECT secara statistik, akan tetapi tidak bermakna secara klinis.
PERBANDINGAN NEBULISASI PREOPERASI LIDOKAIN DENGAN KOMBINASI LIDOKAIN DAN BUDESONID TERHADAP SKALA NYERI TENGGOROK PASCAOPERASI AKIBAT INTUBASI ENDOTRAKEAL PADA PASIEN YANG DILAKUKAN ANESTESI UMUM
Authors: Arifin Ilman Hakim , Rismawan Budiana , Zulfariansyah Ardi
Published: January 2025

Komplikasi intubasi dengan pipa endotrakeal (ETT) yang paling sering adalah nyeri tenggorok pascaoperasi/postoperative sore throat (POST). Insidensi POST berkisar 14,4%−50%. Penggunaan metode farmakologi terbukti menurunkan angka kejadian POST melalui efek analgesia dan anti-inflamasi. Salah satu obat yang sering digunakan untuk pencegahan POST adalah nebulisasi lidokain. Nebulisasi steroid juga efektif karena dapat mengurangi inflamasi, edema, transudasi cairan, dan juga derajat nyeri. Penelitian ini membandingkan antara nebulisasi preoperasi dengan lidokain dan nebulisasi preoperasi dengan lidokain dengan budesonide. Penelitian dilakukan di RSUP Dr. Hasan Sadikin Bandung antara bulan Oktober–Desember 2023 yang menggunakan analitik komparatif eksperimental, dengan rancangan double blind randomized controlled trial terhadap dua kelompok penelitian. pengambilan sampel penelitian dilakukan dengan cara consecutive sampling. Data dianalisis menggunakan uji Mann Whitney dan normalitas data menggunakan Uji Shapiro wilk. Hasil penelitian karakteristik umum subjek penelitian didapatkan data terdistribusi normal. Pada Jam ke-1, 2, 4 didapatkan skala nyeri tenggorokan antara kelompok lidokain dan lidokain+budesonide p>0,05 atau tidak signifikan, pada jam ke-6, 12, 24 skala nyeri tenggorokan antara kelompok lidokain dan lidokain+budesonide p<0,05 atau signifikan. Simpulan yang didapatkan adalah skala nyeri tenggorok pascaoperasi pada pemberian nebulisasi lidokain dan budesonid preoperasi lebih kecil dibanding dengan nebulisasi lidokain saja.
Development and Validation of the Digital Literacy Scale for Students with Developmental Disabilities
Authors:   The Korean Society of Special Education, Kim Ji Su , Park Seung Hee
Published: January 2025

This study aimed to develop and validate a scale for measuring the digital literacy of students with developmental disabilities, following a systematic five-stage process. First, components of the scale were categorized, and initial items were derived by analyzing published literature and measurement tools. Second, the initial items were refined, and new items were developed through in-depth interviews. Third, content validity was examined via two sets of Delphi survey. Fourth, a preliminary survey assessed the clarity of items and response formats. Finally, confirmatory factor analysis of the main survey data was conducted to finalize factors and items, evaluating construct validity and reliability. The main survey involved 161 elementary special education teachers, and statistical analysis was performed on data from 297 elementary students with developmental disabilities. As a result, the “DIgital LIteracy Scale for Students with Developmental Disabilities”(DILIS-SDD) was developed, comprising eight sub-factors with 36 items: digital device operation (five items), digital device utilization (four items), accessing and utilizing online information (nine items), creating and utilizing digital content (four items), digital communication skills (four items), adherence to rules (four items), protection of personal information (four items), and copyright protection (two items). The scale demonstrated satisfactory fit, with TLI and CFI values near acceptable thresholds, and met criteria for convergent and discriminant validity, with high reliability of .907 Cronbach’s α. This study contributes to the field by providing a valid and reliable tool enabling teachers to assess and support the digital literacy of students with developmental disabilities. Moreover, it offers a timely resource for addressing digital disparities in the AI era by facilitating the diagnosis of foundational digital literacy skills, the selection of educational content, and the evaluation of progress for all individuals with developmental disabilities.
A Qualitative Study on the Educational Experiences of Mothers Raising Children with Low Vision in General and Special Schools
Authors:   The Korean Society of Special Education, Kwak Sunghye
Published: January 2025

This study was conducted as a qualitative research project to explore the experiences of mothers raising children with low vision in inclusive education settings at general schools and specialized education settings at special schools. For this purpose, in-depth interviews were conducted with three mothers of children with low vision over five sessions.
The findings regarding inclusive education in general schools are as follows. First, the participants experienced a sense of helplessness regarding their children’s education due to the lack of educational resources and information specific to low vision. Second, the children faced difficulties in adapting to school environments due to the lack of awareness about low vision among their peers and homeroom teachers. Third, the participants observed differences in their children’s school adaptation depending on the teachers’ competencies.
Regarding the experiences in special schools, the results are as follows. First, the children were able to engage in a variety of activities and classes that were not available in general schools. Second, they encountered challenges in peer relationships and academic performance due to differences in disability types. Third, the children experienced a lack of interaction with non-disabled peers.
The findings of this qualitative study provide meaningful insights into the unique lived experiences of individuals, which cannot be generalized quantitatively. It is anticipated that the results of this research will serve as a foundation for improving educational practices to enable students with low vision to fully realize their potential.
A Study on the Analysis of Word Types, Semantic Structures, and Etymology of Special School Names in Korea
Authors:   The Korean Society of Special Education, Ko Eun , Park Yungkeun
Published: January 2025

School names carry significant meaning, not merely serving as a designation, but reflecting uniqueness, identity, social perception, and both the values and goals of education. This study analyzed the names of 195 special schools in Korea based on word types, semantic structures, and etymology. The results revealed that 71.3% of school names are composed of Chinese characters and 72.8% are linked to administrative or regional names including references to national entities. Only 10.8% of school names include terms related to disability, with 90.5% of these representing schools for students with visual or hearing impairments. The average number of morphemes in school names is 2.8, with 72.8% consisting of three morphemes. From an etymological perspective, the most frequently used Chinese characters are 惠 (Hye: benefit), 光 (Gwang: light), and 聖 (Seong: sacred). In native Korean, common morphemes include ‘sol’ (pine tree), ‘hae’ (sun), ‘sae’ (new), and ‘narae’ (wing). Since 2011, there has been a significant increase in the use of native Korean words in special school names.
Multispectral Imaging of Intrinsic Metabolic Fluorophores: Detection of Human Breast Cancer in Fresh Ex Vivo Specimens
Authors: Carver Gary E. , Entwistle Mark D. , Ghule Prachi N. , Lee Kyra C. , Weaver Donald L. , Sowden Michelle M. , Harlow Seth P. , Cintolo-Gonzalez Jessica A. , Stein Janet L. , Stein Gary S.
Published: January 2025

A growing number of women develop breast cancer and require surgery. Many lumpectomies lead to follow-up procedures after the initial surgery. Advanced scanning technologies have reduced the number of second and third surgeries, but only by about 50%. This paper assesses the potential of using multispectral images of intrinsic fluorescence to detect breast cancer. Images and spectra of intrinsic fluorescence from fresh ex vivo human specimens are related to pathological analysis, and predict high sensitivity and specificity. A design for a hand-held surgical scanning tool is presented.
Global warming potential of multi-storey timber buildings
Authors: Dierikx Ruben
Published: January 2025

Constructing high-rise buildings using timber has been suggested as a strategy to reduce the construction sector’s carbon footprint. Various studies have already investigated the differences in the global warming potential (GWP) of a multi-storey building when it is redesigned in timber. This study performs a meta-analysis of the existing literature concerning the potential reductions in greenhouse gas emissions achieved by timber high-rises. For this, 42 comparative life cycle assessments (LCAs) and additional relevant literature were collected through an online search. The parameters used are the GWP and the operational energy consumption per unit of area. This was investigated for the different life phases as well as for the full life cycle. The outcome was unanimous: for all the studies that included all life phases, the timber variant of the multi-storey building caused the least carbon dioxide emissions. The reduction in GWP between the concrete and timber benchmark of the building ranged from 2.69% to 677.61%. Between steel and timber, the GWP reduction varied between 1.20% and 144.11%. This wide range in results is attributed to the diversity of considered parameters in an LCA, each of which can have different assumptions and scenarios applied.
Yale SenNet Human TMC - H&E staining following Phenocycler-Fusion Imaging v1
Authors: Enninful Archibald , Farzad Negin , Nam Jungmin , Pathology Tissue Services Yale
Published: January 2025

This protocol was adapted from (Yale Murine TMC - H&E staining following Phenocycler-Fusion Imaging) DOI: dx.doi.org/10.17504/protocols.io.ewov19zjklr2/v1 Flow cell removal after Phenocycler-Fusion imaging and following H&E staining steps from Yale Pathology Tissue Services (YPTS). For FFPE samples, the tissue section is deparaffinized and rehydrated during the preprocessing steps for CODEX, hence these steps do not need to be repeated following theremoval of the flow cell
The Case of Cities: Skylines Versions—Affordances in Urban Planning Education
Authors: Sanz Laura Cañete , Martens Sjors , De la Hera Teresa
Published: January 2025

Studies on city-building games as educational tools show positive results in addressing different learning objectives, but also identify a missing link to reality, as they are mostly computer-based. Given the differences between existing games and their capabilities, the exact function of these games in an urban planning curriculum is unclear. The city-building game Cities: Skylines currently has three different versions (Digital, Tabletop, VR). Through an affordance analysis of the game’s three versions, this study analyses how the versions afford four primary knowledge dimensions, and in doing so identifies different educational applications for each version of Cities: Skylines in different planning disciplines. The results show that: (a) the board game is strong in fostering player participation and critical thinking more suited for the social and health studies, public policy, and citizen participation domains of urban planning; (b) the digital version functions as moddable simulator, ensuring familiarity with existing systems and monitoring their effects, useful in logistics and transportation planning; (c) the VR form viscerally involves players in the simulated processes, applicable in design-focused segments of urban planning, such as sustainable design theory, housing, and land-use management. The results of this study can help urban planning educators identify possible uses for different versions of Cities: Skylines.
VIGOR DE SEMENTES CRIOULAS DE FEIJÃO CAUPI (Vigna unguiculata L.) COM TESTES RÁPIDOS
Authors: Cavalcante Nery de Morais Wendell , Da Rocha Gomes Ferreira de Almeida Débora Teresa , Silva de Oliveira Lucas , Lima Dantas Renato , Medeiros Lira Thyago Augusto , Rodrigues Martins Júlio César
Published: January 2025

Na agricultura orgânica, a falta de acesso à tecnologia e recursos para investimentos leva os produtores a buscarem formas de perpetuar e armazenar materiais vegetais viáveis, como as sementes crioulas. O feijão-caupi (Vigna unguiculata) é uma cultura valorizada nesses sistemas e amplamente cultivada. No entanto, a transferência de variedades crioulas desse feijão pode ser desfavorável em alguns casos, devido à qualidade variável das sementes, necessitando avaliação. Testes rápidos de germinação podem ser uma alternativa mais econômica para determinar o vigor dessas sementes. Com isso, o objetivo deste trabalho foi avaliar o vigor das sementes crioulas de feijão-caupi por meio de testes rápidos. O trabalho foi conduzido no Laboratório Multidisciplinar de Bioquímica das Faculdades Nova Esperança, no município de João Pessoa - PB. Foram realizadas análises em três lotes de feijão-caupi, acerca das características morfológicas das sementes. Fez-se teste rápido com tintura a base de iodo, teste do verde rápido, imersão em hipoclorito de sódio e avaliação do vigor das plântulas. A partir dos testes rápidos, foi possível detectar os danos mecânicos presentes nas sementes. Os testes realizados mostram diferenças entre si no que se diz respeito a danos mecânicos e emergência de plântulas. As sementes apresentaram médias lineares de comprimento, largura e espessura. Não houve diferença significativa entre os lotes. Foi possível observar que houve influência dos danos em relação ao vigor das plântulas, entre os lotes. O lote 2 foi o que apresentou maior quantidade de sementes sadias e maior vigor das plântulas. Com isso, conclui-se que os testes rápidos são eficientes na avaliação do vigor das sementes de feijão-caupi.
FITOTERAPIA UTILIZADA EM COMUNIDADES AFRO-INDÍGENAS PARA ANIMAIS E PESSOAS
Authors: Cordão Maiza Araújo
Published: January 2025

A etnobotânica é o estudo etnográfico das plantas e ervas transmitido pela oratória de um determinado grupo étnico. A religião de matriz africana, o candomblé, guarda e transmite conhecimentos medicinais em suas práticas tais como uso de ervas e plantas que, em seu contexto bioquímico, têm eficácia contra diversas patologias clínicas. Com a indústria farmacêutica em crescimento, também é ampliado na ciência o contexto de pesquisa de novos fármacos e opções para o tratamento medicinal, surgindo assim a medicina fitoterápica. Além da redução do custo econômico, por se tratar de uma matéria-prima abundante, ou seja, muito presente até mesmo nos quintais de suas casas, a fitoterapia fornece uma variedade de opções terapêuticas eficientes para tratar patologias. O objetivo do trabalho foi identificar os conhecimentos medicinais fitoterápicos utilizados em algumas comunidades de matriz africana no município de João Pessoa-PB. Foram realizadas entrevistas, através de um questionário, com babalorixás e yalorixás do município. As informações coletadas dos sacerdotes trouxeram diversos conhecimentos como o uso do O. basilicum (manjericão) no tratamento de cólica em crianças recém-nascidas, problemas respiratórios e estomacais. Os conhecimentos fitoterápicos por sacerdotes em comunidades afro são amplos e aplicáveis no tratamento para várias patologias. 100% dos sacerdotes alegaram já terem usado ervas e plantas para tratar filhos da casa e 80% dos sacerdotes para tratar animais-não-humanos. Dentre as ervas e plantas citadas, algumas são: espinho-de-porco, são gonçalinho, tipi, mastruz, aroeira, caapeba, babosa, hortelã-pimenta, mirra, boldo, alecrim, manjericão. Já as doenças infecciosas tratadas foram as gastrointestinais, dores, feridas, até mesmo infecções mais complexas como a pneumonia. Observou-se que os sacerdotes utilizam diversas plantas e ervas medicinais para várias sintomatologias, desde usos tópicos a usos orais, tanto em humanos quanto em animais, o que nos traz a possibilidade do uso desses conhecimentos na medicina de saúde única.
TEMPORAL AND REGIONAL EVALUATION OF CHILDREN NUTRITIONAL STATUS IN THE STATE OF PARAÍBA
Authors: Dos Santos Silva Ana Rafaele , Caldas Amorim Bianca , Xavier Cavalcanti Laís Yasmin , Santos Anderson Felix dos , Dantas Renato Lima
Published: January 2025

Healthy eating is essential for quality of life and longevity, as it helps prevent diseases and supports the body's recovery. In the state of Paraíba, as in other regions of the Brazilian Northeast, childhood malnutrition, particularly among children aged 0 to 5 years, is rooted in issues such as poverty and limited access to healthcare services. To monitor the nutritional situation, the Food and Nutrition Surveillance System (SISVAN) collects data on children's food intake and nutritional status. This retrospective study aimed to compare the nutritional status of children in Paraíba from 2013 to 2023 using data from SISVAN. The analysis considered children's Body Mass Index (BMI), grouping the data into categories such as Severe thinness, Thinness, Eutrophy, At risk of overweight, Overweight, and Obesity. The results showed that eutrophy predominated, peaking in 2023 when about 99,515 children were at an ideal weight. However, the at risk of overweight and overweight indices increased, especially in the last three years, reaching 33,832 and 11,971 children in 2023, respectively. Obesity, although it showed some variations, remained relatively stable over the years. Underweight and severe underweight also showed minimal fluctuations. Despite the increase in children at risk of overweight, the growth rate was slower compared to the rise in eutrophic children. These findings highlight the importance of promoting healthy eating and public health policies to prevent malnutrition and the long-term consequences of an inadequate diet, which can lead to health problems. In 2023, 58.31% of children were eutrophic, while 41.69% had some nutritional deficit.
CONTROLE GLICÊMICO DE PACIENTES COM DIABETES TIPO 2 ACOMPANHADOS EM UMA UNIDADE BÁSICA DE SAÚDE
Authors: Tadeu Fernades da Motta Marcelo , Martão Flório Flávia , Zanin Luciane
Published: January 2025

O objetivo deste estudo observacional transversal foi determinar a proporção de pacientes com diabetes tipo 2 que apresentavam controle glicêmico inadequado em uma Unidade Básica de Saúde do município de Hortolândia, estado de São Paulo, Brasil. Os dados de 265 pacientes foram obtidos nos prontuários eletrônicos, sendo considerado controle glicêmico adequado hemoglobina glicada abaixo de 7% para pacientes até 59 anos e abaixo de 7,5 % para pacientes com 60 anos ou mais . Foram estimados os odds ratio (razões de chances) brutos e ajustados. Os resultados mostraram que 67,2% (178) dos pacientes eram mulheres, 49,4% (131) tinham 60 anos ou mais, 57,7% (153) eram brancos, 64,5% (171) eram hipertensos e 51,7% (137) apresentaram glicemia de jejum acima de 130 mg/dL. A média da hemoglobina glicada foi 7,9% (DP±2,09) e da glicemia de jejum 151 mg/dL (DP ±63,66). Controle glicêmico inadequado foi observado em 52,1% (138) dos pacientes. Pacientes de 41 a 59 anos em comparação com aqueles acima de 79 anos (OR:=9,08 IC95%: 1,68-49,10, p<0,05) e mulheres em comparação com homens(OR=2,47 IC95%: 1,22-5,04, p<0,05) tiveram maior chance de apresentar controle glicêmico inadequado. Pode-se concluir que a maior parte dos pacientes com diabetes tipo 2 têm controle glicêmico inadequado. Fatores como ser mulher e ser mais jovem estão associados a maior frequência de controle glicêmico inadequado e devem ser considerados no planejamento de ações para reduzir complicações da doença.
ESPIRITUALIDADE NO CUIDADO PALIATIVO DE ENFERMAGEM À CRIANÇA COM CÂNCER
Authors: Gonçalves da Silva Joyce Ellen , Dos Santos Maciel Isadora , De Oliveira Pontes Gabryella , Rubia Figueiredo de Sá França Jael , Cristina da Silva Buck Eliane , Karoline Costa Dias Thainá
Published: January 2025

Trata-se de uma revisão integrativa que objetivou caracterizar as publicações científicas que abordassem a importância da espiritualidade nos cuidados paliativos de enfermagem à criança com câncer em final de vida. A busca ocorreu nas bases de dados LILACS, MEDLINE, BDENF CINAHL, PubMed, Web of Science e SciELO, sendo selecionados artigos originais, publicados em periódicos nacionais e internacionais, no período de 2018 a 2022. A amostra foi constituída por oito artigos que foram analisados pela técnica de análise de conteúdo. Nos resultados foram identificadas duas categorias, a saber: a espiritualidade como meio de ressignificação da vida e, a espiritualidade como instrumento para promoção de conforto e alívio de sintomas biopsicoespirituais. Em oncologia pediátrica, a espiritualidade não pode ser ignorada uma vez que ela dá a criança a possibilidade de identificar um sentido para o sofrimento, promover alívio da dor, aumentar a sensação de bem-estar e paz, e uma morte digna. Pode-se concluir ser necessário que o enfermeiro, por constituir-se no profissional que mais está próximo à criança e sua família, em sua práxis, prezando pelo cuidado integral, conheça e reconheça a importância da espiritualidade e atenda às necessidades no que se refere a essa dimensão.
GESTÃO UNIVERSITÁRIA PARTICIPATIVA: OS DESAFIOS DA CONSTRUÇÃO DE UMA ESTRATÉGIA DEMOCRÁTICA PARA O ENSINO SUPERIOR
Authors: Araújo Carolina Santiago Silveira Polaro de , Costa Saulo felipe , Medeiros Costa de Araújo Cletiane , Augusto Polaro Araújo Filho Frederico , Brindeiro Lacet Viégas Thales
Published: January 2025

Este artigo aborda a democratização na educação e a qualidade do ensino superior privado no Brasil, destacando a importância de uma gestão participativa e inclusiva. A democratização visa eliminar práticas autoritárias e burocráticas, promovendo a autonomia e a auto-organização das instituições de ensino. A qualidade do ensino é multidimensional e envolve diversos fatores, como a qualificação dos docentes, programas acadêmicos, pesquisa, atividades de extensão e infraestrutura. A participação efetiva de todos os membros da comunidade educativa é essencial para a criação de um ambiente democrático e de alta qualidade. A discussão inclui a implementação de mecanismos de participação universitária, que fomentam o envolvimento de estudantes, professores e funcionários nas decisões da instituição. Esses mecanismos fortalecem a coesão da comunidade acadêmica e promovem um ensino mais inclusivo e inovador. A autonomia das instituições privadas, aliada a modelos de gestão participativa, contribui para enfrentar os desafios contemporâneos e garantir um ensino de qualidade. Em conclusão, o artigo defende que a democratização e a participação são fundamentais para construir uma educação superior mais justa e democrática, capaz de atender às necessidades de todos os envolvidos e de promover o desenvolvimento individual e coletivo.
MONITORANDO O DESENVOLVIMENTO COGNITIVO DOS DISCENTES ATRAVÉS DO TESTE DE PROGRESSO
Authors: Santiago Silveira Polaro de Araújo Carolina , Costa Saulo felipe , Medeiros Costa de Araújo Cletiane , Augusto Polaro Araújo Filho Frederico , Brindeiro Lacet Viégas Thales
Published: January 2025

Este artigo aborda a utilização do Teste de Progresso (TP) como uma ferramenta essencial para o aprimoramento contínuo do curso de graduação em medicina. O TP é utilizado para avaliar o desenvolvimento cognitivo dos estudantes ao longo do curso, oferecendo uma visão detalhada de suas competências e identificando áreas de força e fraqueza. A implementação do TP permite ajustes curriculares e pedagógicos baseados em dados concretos, promovendo um ensino mais eficaz e direcionado. Além disso, o TP facilita a integração de métodos inovadores de avaliação e aprendizado, como currículos orientados pela comunidade, e currículos orientados por competências. A utilização da Teoria de Resposta ao Item (TRI) na análise dos resultados contribui para uma avaliação mais precisa e justa, considerando as habilidades latentes dos estudantes e mitigando o impacto de respostas aleatórias. A parceria entre escolas médicas na elaboração e aplicação do TP melhora a qualidade das avaliações, através da troca de experiências e da criação de um banco de itens robusto e validado. Esses esforços conjuntos não só otimizam os recursos, mas também asseguram a relevância e a eficácia das avaliações, beneficiando tanto os estudantes quanto às instituições. Em conclusão, o Teste de Progresso é um instrumento valioso para elevar a qualidade da educação médica, proporcionando uma base sólida para o desenvolvimento acadêmico e profissional dos futuros médicos.
Asteroid mining: The next frontier for sustainability
Authors: Sarkar Saket
Published: January 2025

This viewpoint explores space mining’s potential, driven by commercial advancements. It reviews asteroid selection and nickel extraction to address tech shortages. Three extraction methods—surface removal, vaporization, and electromagnetic—are analyzed, with a surface removal-vaporization combination identified as most effective. Rockets like SpaceX’s Falcon Heavy and NASA’s SLS are proposed for asteroid missions. The study concludes with an “ideal” mission scenario, emphasizing its economic and environmental benefits.
Pola Teknik Permainan Alat Musik Cello Lagu Suling Bambu oleh Grup Musik Keroncong Maheswara di Kota Kediri
Authors: Nugraha Didi Krisna , Pristiati Tutut , Gusanti Yurina
Published: January 2025

Keroncong Maheswara merupakan grup musik keroncong dengan ciri khas yang menonjol, khususnya pada permainan instrumen cellonya. Pola teknik permainan cello yang bervariasi, seperti irama bimbo, engkel, dobel, langgam Jawa, dan jaipong, menciptakan karakteristik unik yang membuat permainan cello ini tidak monoton. Penelitian ini bertujuan menganalisis pola teknik permainan cello pada lagu "Seruling Bambu" karya Hetty Koes Endang yang diaransemen oleh grup Maheswara dengan berbagai pola irama keroncong pada tiap bagian lagu. Penelitian ini menggunakan metode kualitatif deskriptif, dengan teknik pengumpulan data berupa wawancara, observasi, dan dokumentasi. Analisis data dilakukan melalui reduksi data, penyajian data, dan penarikan kesimpulan, serta validitas data diperiksa menggunakan triangulasi sumber dan teknik. Hasil penelitian menunjukkan adanya pola permainan cello utama dalam setiap irama, yang diperkaya dengan berbagai bentuk improvisasi. Teknik permainan cello yang sering digunakan mencakup pizzicato, muting, dan sinkopasi yang menciptakan karakteristik tertentu. Penelitian ini mengungkap bahwa peran cello dalam keroncong lebih dominan pada pengisian irama dan improvisasi, menjadikan musik keroncong semakin dinamis. Temuan ini diharapkan dapat memperkaya referensi pola permainan cello dan memberikan inspirasi inovasi dalam musik.
Condiloma gigante en paciente gestante en un hospital público de Paraguay
Authors: Toffoletti Paola , Pérez-Velilla María Adela , Wannis-Fulchini Leila Mariam
Published: January 2025

Introducción: Los condilomas son manifestaciones clínicas del virus del papiloma humano (HPV) trasmitidos por medio de las relaciones sexuales, la gestación compromete el sistema inmunológico con una supresión parcial aumentando la prevalencia del HPV durante la misma. Los condilomas pueden medir de milímetros pasando desapercibidos a varios centímetros. Resultado: Paciente de 36 años. Gestante de término que consulta por dolor en bajo vientre, al examen físico ginecológico se constatan lesiones condilomatosas en vagina de aprox 10 cm de diámetro que obstruye el introito, región perianal lesiones en número de 3, de 1 a 3 cm de diámetro y en región anal lesión de 20 cm de diámetro. Se realiza cirugía de extracción de los condilomas y posterior estudio en anatomía patológica que informa HPV 18 de alto riesgo.
Histoplasmosis intestinal con desenlace fatal. Reporte de caso
Authors: Vallejos Maisa , Martínez Edith , Morínigo Sergio , Burró Sebastián , Miranda Carolina
Published: January 2025

La histoplasmosis, una infección fúngica causada porHistoplasma capsulatum, puede simular enfermedades inflamatorias como la enfermedad de Crohn o la colitis ulcerosa, lo que puede llevar a diagnósticos erróneos y retrasos en el tratamiento. Se presenta el caso de una paciente de 46 años no conocida con enfermedades de base, con cuadro clínico de sospecha de enfermedad inflamatoria intestinal (EII), en la que mediante el estudio histológico se reveló la presencia de histoplasmosis, posteriormente se realizó en diagnóstico de infección concomitante con el virus de la inmunodeficiencia humana (VIH). En este caso, la paciente experimentó un deterioro significativo de su estado de salud, lo que llevó a la necesidad de intervención quirúrgica debido a la perforación intestinal.
El diagnóstico temprano de la histoplasmosis es crucial, especialmente en pacientes inmunocomprometidos, ya que permite iniciar un tratamiento antifúngico adecuado y mejorar el pronóstico. La vigilancia constante de los síntomas gastrointestinales en pacientes con VIH es esencial para detectar complicaciones graves a tiempo. Este caso subraya la necesidad de una evaluación exhaustiva y un enfoque multidisciplinario en el manejo de pacientes con síntomas gastrointestinales persistentes, considerando la histoplasmosis como una posible causa.
Paracoccidioidomicosis oral. Reporte de caso
Authors: Brítez-Carli Ramiro , Invernizzi-Mendoza Carlos Rafael , Cardozo-Vera Rosa María
Published: January 2025

La paracoccidioidomicosis es una patología presente en el sur de América, producida por hongos de la especie Paracoccidioides, con alta prevalecía en hombres trabajadores rurales de entre 30 a 70 años de edad, con hábitos como el alcoholismo y el tabaquismo. Las lesiones producidas por este hongo se pueden manifestar en diversas partes del cuerpo, entre ellas la cavidad oral. Se presenta el caso de un paciente sin patología de base que acude a la consulta por lesiones ulceradas en la cavidad oral, circunscriptas a nivel de la comisura interna del labio y de la cara interna de la mucosa yugal derecha con aspecto moriforme, compatibles con paracoccidioidomicosis, los cuales fueron confirmados luego de la biopsia. Se realizó un tratamiento antimicótico con Itraconazol 400 mg/día durante 6 meses, luego se realizó el control donde se observaron resultados favorables para el paciente.
Efectos macroeconómicos y fiscales de una mayor eficiencia en la compra de medicamentos: un análisis de equilibrio general para el sistema de salud colombiano
Authors: Ávila-Montealegre Oscar , Bauhoff Sebastian , Botero García Jesús , Giles Álvarez Laura , León-Moncada Santiago , Larrahondo Cristhian , Lozano Espitia Luis , Melo-Becerra Ligia , Rodríguez-Ávila Jesús
Published: January 2025

Este estudio analiza los efectos macroeconómicos y fiscales de una mayor eficiencia en la compra de medicamentos en Colombia. A este efecto, se utilizan modelos de equilibrio general, tanto en su versión estática (computable) como dinámica. Los resultados sugieren que la adopción de una política de compra eficiente de medicamentos podría reducir los gastos totales del sistema de salud, generando un ahorro de hasta el 8,4% en el corto plazo y hasta el 10,8% en el largo plazo. Dicho ahorro podría ser reinvertido en el propio sistema de salud, en otros sectores, o verse reflejado en una reducción de la carga tributaria sobre el capital, el consumo o las contribuciones sociales. Esta última opción incrementaría en hasta un 1,1% la producción, 1,7% la inversión y 0,8% el consumo. Son medidas clave para mejorar dicha eficiencia la promoción y adquisición de medicamentos genéricos, las compras conjuntas de medicamentos y la regulación de precios.
Impact of stress on tumor progression and the molecular mechanisms of exercise intervention: From psychological stress to tumor immune escape
Authors: Du Xingbin , Jiang Fugao , Fan Rao , Kong Jianda
Published: January 2025

Psychological stress is prevalent among cancer patients and has significant effects on both tumor progression and the mental health of patients. Through a biopsychosocial pathway, psychological stress impacts immune function, facilitates inflammatory responses, and hasten tumor growth and metastasis. Consequently, investigating effective ways to mitigate the negative impact of stress on cancer progression holds significant clinical relevance. This review seeks to summarize existing research to delve into the molecular mechanisms by which psychological stress hasten tumor progression and to discuss the potential mechanisms by which exercise, as a non-pharmacological intervention, may mitigate tumor development and enhance the mental health of cancer patients by regulating stress responses. Through a comprehensive analysis of relevant literature, we explore the impact of psychological stress on tumor biology, notably through the activation of the hypothalamic-pituitary-adrenal (HPA) axis, the sympathetic nervous system (SNS), and the promotion of immunosuppression and inflammation. Besides, we review articles on how exercise intervenes in tumor progression by regulating the HPA axis, SNS, strengthening immune function, and suppressing angiogenesis and metastasis. Research confirmed that psychological stress hasten tumor proliferation and metastasis through multiple pathways (e.g., activation of the HPA axis and SNS, pro-inflammatory responses). Exercise may decelerate tumor progression by regulating stress hormone levels, strengthening the immune system function, and lowering the activity of pro-cancer signaling pathways such as VEGF. In addition, exercise boosts the mental health of cancer patients, lowering the incidence of anxiety and depression and enhancing treatment adherence.
Leveraging nature-based tourism for cancer recovery: Enhancing psychological well-being and sustainable wellness tourism in Yunnan, China
Authors: Zhang Huiqi , Li Lan
Published: January 2025

This research explores the role of nature-based tourism as an innovative approach in tourism management for enhancing the psychological well-being of cancer survivors and their families in Yunnan, China. Given the increasing need for holistic and sustainable tourism products, this study investigates how Yunnan’s unique natural landscapes and rich cultural heritage can contribute to emotional recovery and well-being. Utilizing a combination of in-depth interviews, surveys, and participant observation, the study provides insights into how nature-based tourism helps reduce stress, promotes emotional rejuvenation, and strengthens family bonds for cancer survivors. Findings highlight that culturally integrated wellness experiences, including traditional healing practices and family-inclusive tourism activities, have significant potential for promoting holistic recovery. The research also identifies key barriers such as financial constraints, physical limitations, and accessibility issues, providing recommendations to address these challenges and enhance the inclusivity of tourism offerings. This study contributes to the field of tourism management by demonstrating how wellness tourism can evolve to serve vulnerable populations while promoting sustainable and community-centered tourism practices. Ultimately, it aims to position Yunnan as a leading destination for therapeutic tourism, combining health, culture, and sustainability.
Review on Polycyclic Aromatic Hydrocarbons Load in Indian Urban Environment
Authors: Chowdhury Dhrubakana , Venkatesha Raju K.
Published: January 2025

The present review study manifests the sampling techniques, analytical tools and the status of Polycyclic Aromatic Hydrocarbons (PAHs) in different environmental samples of Indian urban cities. Indeed, petrogenic, pyrogenic and biogenic sources of PAHs grounds to carcinogenic, mutagenic, teratogenic and genotoxic effects on human environment. Most of the studies on PAHs focussed on the ambient air samples and noticed that carcinogenic Benzo[a] Pyrene is dominant and severe health risk posturing 4-5 ring high molecular weight PAHs. The High-volume sampler for minimum 8hrs espoused as best sampling method over passive bio samplers, glass fibre filters, particulate samplers etc. The microwave assisted Soxhlet extraction with n-hexane solvent has gained a lot of attention due to its pragmatism in sample handling than Soxhlet and ultrasonic. The high-performance liquid chromatography and gas chromatography with a mass spectrophotometer adopted as best analytical tools for high accuracy. The PAHs concentration of among 11 Indian cities of the review study has significantly emphasized the inter and intra spatial variations. Moreover, the amount of concentration of PAHs differs in air, water and soil. Also, the comparative study revealed that Delhi and Amravati recorded maximum and minimum concentrations of PAHs respectively.
Effect of Forchheimer and Joule Term in the Study of Radiated Nanomaterial Flow - a Numerical Approach
Authors: Dinesh P. A. , Sumithra R. , Roopa K. R. , Yadav Sweeti , Subrahmanyam Chitirala , Sadiya A. B. , Krishna Kanth D. , Sahana K. M. , Saritha C.
Published: January 2025

The current study presents the numerical evaluation of transmitted viscous nanomaterials by stretching the surface comprising Forchheimer drag force and joule effect. Heat source or sink and radioactive effects are also incorporated. For the various assumptions on the real problem, a physical model led us to a non-linear coupled partial differential equation which is then transformed to ordinary differential equation using similarity technique. The computational work is carried out using shooting technique compresses of Runge-Kutta-Felberg method with Newton-Raphson iterative scheme to solve the non-linear coupled ordinary differential equations with converting a boundary value problem to initial value problem by choosing a guess value. Later, numerical solutions are predicted for various non-dimensional parameters involved in the study of the fluid flow, temperature. In the absence of the Forchheimer and joule terms, the results are coinciding with the earlier works. Further, the outcomes of this study have a major role in many industrial application problems.
Statistical Parameters of Some Ferroelectric Liquid Crystals through Image Analysis Technique
Authors: Reddy K. Nagi , Subhan C. M. , Hassain Syed Habeebulla , Manu  , Yalamaaggad C. , Fakruddin K.
Published: January 2025

The phase distinction temperature of ferroelectric liquid crystals having left-side terminal chain lengths n=8 and 9 and the same right-side chain length m=6 (VC-145 and VC-144) have been taken into consideration for the present study. The image investigation technique in concurrence through polarising optical microscopy is proposed for the evaluation of statistical parameters. The optical textures of the above series of compounds are recorded at different liquid crystalline phase temperatures. The properties such as “mean, standard deviation, entropy, energy, contrast and homogeneity” are estimated by analysing the optical textures of the samples using MATLAB software and results are discussed. The image investigation technique is a novel, simple technique for analysing the above-said parameters.
Application of Direct Metal Laser Sintering for the Electrode Production and Study of Associated Process Parameters
Authors: Shashank S. , Pinto Thomas , Ramachandra C. G. , Prashanth Pai M. , Raghavendra M. J. , Reddappa H. N.
Published: January 2025

The manufacturing sector is greatly influenced by the application of modern metal removal processes for the production of complex part geometries, the processes being non-conventional, versatile and more precise. Selective laser sintering is an additive manufacturing process which produces three-dimensional objects by fusing the powdered metal layer-by-layer in the presence of laser light. This work focuses on the manufacturing of electrodes by Direct Metal Laser Sintering and evaluating the influence of process parameters on the output responses under consideration. Laser power, scan speed, laser spot size, layer thickness, porosity and hatch spacing are the process parameters affecting the electrode production process. Sintering depth, energy density, relative density and ultimate tensile strength are the output responses. The experimental analysis examines the impact of the process parameters on sintering depth for the powdered Aluminium Alloy 6061. Optimised parameters are found to be 120W laser power, 285mm/s scanning speed, 15% porosity, 0.2mm laser spot size and 2.04mm layer thickness. Taguchi method is one of the techniques to obtain optimised electrode production by Direct Metal Laser Sintering.
An Exploratory Analysis of MHD Non-Newtonian Nanomaterial Fluids Flow Across an Exponential Elongated Sheet
Authors: Dinesh P. A. , Sumithra R. , Vinay C. V. , Ramesh N. L. , Kalavathi G. K. , Sahana N. J. , Gayithri R. , Pooja M. , Vandana H. V.
Published: January 2025

This paper aims to calculate the temperature, mass diffusion and flow characteristics of the boundary layer of Casson and Carreau fluids through an exponentially expanding surface where the normal flow of nanomaterials with magnetic properties is zero. In addition, the Buongiorno paradigm represents an even more plausible scenario in which passively controlled nanoparticles are considered at the surface. After that, an effective shooting method based on Runge-Kutta is applied to solve the modified equations. Plots are used to analyse the effects of viscous dispersion, radiant heat and the joule influence of the chosen flow control variables on the conventional profiles, including speed, temperature, and mass diffusion. A tabular representation of the numerical approach for the friction component and Nusselt number is provided. The Lorentz force significantly impacts Carreau fluid in contrast to Casson fluid.
A Thorough Analysis of the Chemical and Physical Characteristics of Metal Oxide Coated Fly Ash Cenospheres: Waste Generation in Thermal Power Plants and their Photocatalytic Research
Authors: Hema H. N. , Panchangam Murali Krishna
Published: January 2025

Several nanocomposites prepared from a coating of metal/metal oxide nanoparticles on Cenospheres have a special property. The primary nanoparticles are closely stacked together without interparticle voids and formed on the cenosphere shell, providing a high surface area for the photocatalytic degradation of dyes. These numerous nanocomposites were characterised by various techniques such as Field emission electron scanning microscopy, energy dispersive X-ray, X-ray diffraction, Fourier Transformation Infrared, Ultraviolet-Visible spectroscopy, Scanning Electron Microscopy and Transmission Electron Microscopy. The mesoporous structure of all the nanoparticles and the strong adsorption ability of activated fly ash cenosphere accounted for the notable degradation performance.
Emotional Intelligence Levels of Teachers in Government and Private Mining Engineering Colleges of Urban and Rural Areas in Karnataka: A Comparative Study
Authors: Udayakumar H. M. , Diwakar P. , Santhosha H. M. , Lucas M.
Published: January 2025

This study compares the emotional intelligence levels of teachers in ‘Mining Engineering colleges from Government & Private in urban and rural area of Karnataka India. Mining college teachers’ emotional intelligence was assessed using the emotional Intelligence Scale. The Stratified Random Sampling technique was used to choose the sample size for the current study. The study is restricted to Mining Engineering college teachers located in urban and rural area of Karnataka state. The sample comprised 240 ‘Mining Engineering college teachers’ in two types of management, i.e. Government and Private colleges. Applied statistical tools for data analysis, including mean, standard deviation, coefficient of correlation, and ANOVA. According to the study, there are no significant differences between the emotional intelligence levels of Government and Private ‘Mining Engineering college teachers’ in Urban and rural area with regard to gender, experience, age, management, or location. The current study measured teachers’ levels of EI. The EI level of mining engineering teachers impacts on their job performance, to avoid negative impact and to frame and implement educational policies the current study would assist.