bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengembangan Media Tepuk Gambar dalam Pembelajaran Bahasa Arab Maharah Al-Kalam di Madrasah Aliyah Negeri 1 Mojokerto
Authors: Katalaini Muhammad Awaluddin , Indrawati Ninik , Koniyo Siti Nurhaliza
Published: November 2024

Penelitian ini didasari dari permasalahan dan hambatan dalam proses pembelajaran bahasa Arab khususnya pada aspek maharah al-kalam. Hal ini dilatar belakangi masalah kurangnya kreatifitas dan inovasi guru dalam merancang sebuah proses pembelajaran yang menarik dan efektif. Sehingga menjadikan proses pembelajaran terkesan monoton dan membosankan. Dampaknya adalah banyak siswa yang pasif dan kurang maksimal dalam berinteraksi menggunakan bahasa Arab. Penelitian ini dirancang dengan menggunakan metode penelitian dan pengembangan atau Research and Development (R&D) dengan model Bolg and Gall yang sudah dimodifikasi menjadi 4 langkah yaitu, penelitian dan pengumpulan data, perencanaan produk, pengembangan produk, dan validasi produk. Hasil penelitian didapatkan dari dokumentasi, observasi dan hasil validasi dari para ahli media dan ahli materi yang berupa angket. Penilaian dari ahli media ada tiga aspek yakni tampilan umum, tampilan khusus, dan penyajian media. Dengan presntase nilai sebesar 69% dengan kategori “layak”. Sedangakan ahli materi memberikan penilaian dari tiga aspek yakni relevansi, keakuratan, dan kesesuaian sajian dengan tuntutan pembelajaran yang terpusat pada siswa. Dengan presentase nilai sebesar 87% dengan kategori “sangat layak”. Berdasarkan kedua hasil analisis data dari ahli media dan ahli materi media pembelajaran Tepuk Gambar diperoleh nilai akumulasi sebesar 78% dengan kategori “layak”. Maka dengan hasil ini media pembelajaran Tepuk Gambar layak digunakan untuk pembelajaran bahasa Arab pada aspek maharah al-kalam.
Kata Kunci : Maharah Kalam, Media Tepuk Gambar, Penelitian dan Pengembangan
Peningkatan Menulis Cerpen Melalui Pembelajaran berbasis Proyek pada Siswa Kelas IV MINU Ngingas Waru Sidoarjo
Authors: Maghfiroh Lailatul , Alfin Jauharotin
Published: November 2024

Latar belakang penelitian dilakukan ini karena minimnya literasi siswa Indonesia terutama menulis dalam menuangkan ide ke dalam karya tulis. Cerpen dipilih karena membutuhkan waktu yang relatif singkat, mudah dipahami, dan alur cerita yang menarik disertai gambar – gambar untuk membantu visualisasi pembaca. Menulis adalah dasar dari literasi selain membaca dan pembelajaran menulis menjadi keterampilan yang harus dikuasai siswa di dalam Kurikukum 2013. Untuk meningkatkan kamampuan tersebut diperlukan metode Project Based Learning (PjBL) atau Pembelajaran Berbasis Projek yang terbukti efektif. Metode penelitian yang dilakukan adalah quasi eksperimental design. Tujuan dari penelitian ini untuk mengetahui keefektifan model pembelajaran Project Based Learning (PjBL) terhadap hasil belajar siswa kelan IV MINU Ngingas Waru pada pembelajaran menulis cerita pendek (cerpen). Intrumen dalam penelitian ini berupa instrument tes. Pengumpulan data diperoleh melalui hasil pre test sebelum penerapan model pembelajaran Project Based Learning (PjBL) dan post test setelah model pembelajaran Project Based Learning (PjBL). Rata – rata nilai yang didapat pada hasil pre test adalah 68,93 dan pada hasil post test adalah 76,63 sehingga mengalami kenaikan sebesar 7,70. Jadi, disimpulkan bahwa impelementasi model Project Based Learning (PjBL) pada pembelajaran cerpen berhasil meningkatkan ketrampilan menulis siswa kelas IV MINU Ngingas Waru Sidoarjo.
Kata Kunci : Literasi, Menulis, Cerita Pendek, Project Based Learning
Strategi Komunikasi Persuasif Ustad dan Ustadzah dalam Membina Akhlak Santri di Daerah Minoritas Islam
Authors: Muthoharoh Endah
Published: November 2024

Strategi komunikasi persuasif merupakan upaya dalam Pembinaan akhlak, dimana pembinaan akhlak sangat krusial dilakukan. akhlak merupakan sikap yang tertanam di dalam jiwa seseorang, jika perilaku seorang saja sudah buruk maka yang tertanam dalam jiwa juga hal-hal buruk, jika perilaku seorang baik maka hal-hal baik pula yang tertanam dalam jiwa mereka. Ditambah lagi pada daerah yang minoritas islam, karena kurangnya kebutuhan terhadap ilmu terutama ilmu agama, dan latar belakang yang majemuk atau beragamnya golongan seperti suku agama ras dan etnik. Jenis penelitian pada penelitian ini yaitu jenis deskriptif dengan pendekatan kualitatif serta metode yang digunakan merupakan metode studi kasus. Adapun tujuan pada penelitian ini yaitu untuk mengetahui strategi komunikasi.
Kata Kunci : Strategi  Komunikasi Persuasif, Membina Akhlak
Penerapan Keterampilan Variasi Pembelajaran dalam Upaya Meningkatkan Minat Belajar pada Mata Pelajaran Tematik Kelas II-2 di MI Salafiyah Bahauddin Ngelom Sidoarjo
Authors: Daneswara Reza Lucia , Nuriza Khusnul Isma
Published: November 2024

Keterampilan variasi pembelajaran merupakan keterampilan yang harus dikuasai oleh seorang guru. Penelitian ini bertujuan untuk mengetahui penerapan variasi pembelajaran dan kendala dalam penerapan keterampilan variasi pembelajaran dalam upaya meningkatkan minat belajar peserta didik pada mata pelajaran tematik kelas II-2 di MI Salafiyah Bahauddin Ngelom, Sidoarjo. Jenis penelitian yang digunakan adalah penelitian kualitatif dengan objek penelitian guru dan peserta didik kelas II-2 dengan jumlah peserta didik sebanyak 23 orang. Penelitian ini menggunakan kualitatif deskriptif. Teknik pengumpulan data yang digunakan adalah wawancara, observasi dan dokumentasi. Peneliti merupakan instrument utama dalam melakukan penelitian yang dibantu dengan lembar observasi, hasil wawancara dan dokumentasi untuk memperkuat penelitian. Data yang terkumpul kemudian dianalisis dan diuji melalui triangulasi sumber. Hasil penelitian menunjukkan bahwa (1) Keterampilan mengadakan variasi pembelajaran yang dilakukan guru sudah bervariasi seperti variasi suara, penekanan, pemberian waktu, gerakan anggota badan, mimik wajah, perubahan posisi, penggunaan media pembelajaran dan interaksi yang terjalin dengan peserta didik selama pembelajaran berlangsung (2) Kendala dalam penerapan keterampilan variasi yang dilakukan guru meliputi dari segi peserta didik, waktu yang terbatas dan sarana dan prasarana yang terbatas.
Kata Kunci : Keterampilan mengadakan variasi, Minat, Tematik
Approach to ESG Risk Assessment of Construction Companies Considering Financial Data
Authors: Ermilova Mariia , Rebeka Evgenii , Rodiontsev Roman
Published: November 2024

In modern conditions, environmental, social and corporate responsibility (ESG) factors are becoming increasingly important in assessing the sustainability and financial performance of companies, especially in resource-intensive industries such as construction. The purpose of this study is to develop and apply a comprehensive methodology for assessing ESG risks of construction companies taking into account financial indicators. Due to the limited availability of ESG data of Russian construction firms, the methodology was tested on hypothetical companies X, Y and Z, which allowed to demonstrate the assessment process and identify the potential of the methodology for practical application. The study collected and normalized data on environmental, social and governance factors, as well as financial indicators, using weighting factors to reflect the relative importance of each indicator. The results showed significant differences between companies, identifying areas for improvement and providing customized recommendations to improve their ESG performance and financial sustainability. The methodology proved to be effective even with limited data availability, offering a valuable tool for companies and investors to assess and improve ESG practices in the construction sector
The Statistical Relationship between Industrial Development and Economic Growth: Empirical Evidence from Egypt
Authors: Elkalawy Saad I. A. , Osman Yousif , Abdelkawy Nagwa A. A. , Elmotkassi Tagelsir A. A. , Montash Abdelhameed A. , Hassan Hanan Mohamed Ahmed Sulaiman
Published: November 2024

This paper aims to test the statistical relationship between industrial development and economic growth in Egypt. The study relied on the hypothesis that industrialization causes economic growth as measured by real gross domestic product, Also, economic growth causes industrialization, and a standard model was used to test this causal relationship, depending on the co-integration method, and using the error correction model (VECM). The results of the test model came to the existence of a unidirectional causal relationship in the short run from the real added value of the industrial sector to the real GDP, the real value added growth rate of the industrial sector causes the real GDP in the short run, the causal relationship between real GDP and labor supply is bidirectional in the short run, the causal relationship between real GDP and real capital accumulation is unidirectional in the long run from real GDP to real capital accumulation and bidirectional in the short run.
ẢNH HƯỞNG CỦA YẾU TỐ VĂN HÓA ĐẾN HOẠT ĐỘNG QUẢNG BÁ THƯƠNG HIỆU TRONG CUỘC VẬN ĐỘNG “NGƯỜI VIỆT NAM ƯU TIÊN DÙNG HÀNG VIỆT NAM”
Authors: TS. NGUYỄN VĂN THẮNG
Published: November 2024

thời điểm năm 2009, nghĩa là sau hơn 20 năm thực hiện công cuộc đổi mới toàn diện đất nước do Đảng cộng sản việt nam khởi xướng và lãnh đạo, sau 2 năm việt nam trở thành thành viên của tổ chức thương mại thế giới (WTO), đất nước ta không chỉ bước ra khỏi khủng hoảng về kinh tế - xã hội mà còn đạt được những thành tựu to lớn, toàn diện, có tính lịch sử. Kinh tế tăng trưởng nhanh, xuất khẩu lương thực đứng trong tốp đầu thế giới. nhiều sản phẩm sản xuất trong nước như gạo, cà phê, hạt điều, hàng thuỷ sản, đồ gỗ, hàng may mặc, hàng điện tử và nhiều sản phẩm gia dụng khác với kiểu dáng đẹp, hiện đại, chất lượng ngày càng cao, giá cả phù hợp, có thương hiệu và định vị vững chắc không chỉ trên thị trường trong nước mà còn trên nhiều thị trường quốc tế, kể cả các thị trường khó tính như châu âu, bắc mỹ.
TƯ TƯỞNG HỒ CHÍ MINH VỀ ĐOÀN KẾT VỚI PHONG TRÀO ĐẤU TRANH GIẢI PHÓNG DÂN TỘC - MỘT NHÂN TỐ QUAN TRỌNG TRONG PHÁT HUY SỨC MẠNH THỜI ĐẠI
Authors: TS. NGUYỄN THỊ PHƯƠNG NAM
Published: November 2024

Cách mạng giải phóng dân tộc muốn đi tới thắng lợi, ngoài lựa chọn con đường đúng đắn, phương pháp khoa học, sự nỗ lực của Đảng cách mạng và ủng hộ của quần chúng còn rất cần sự đoàn kết, ủng hộ, giúp đỡ của các nước dân chủ tiến bộ và nhân dân yêu chuộng hoà bình, độc lập trên thế giới, đặc biệt là phong trào đấu tranh giải phóng dân tộc.
SOCIALIZATION OF COUNSELING AND INNOVATION IN THE DEVELOPMENT OF SLAM TEA PRODUCTS
Authors: Teguh Adiyas Putra  , Nurhasanah Nurhasanah , Eka Ratnasari  , Fika Nurul Hidayah
Published: November 2024

Counseling on bay leaf tea bag MSME products is expected so that the residents of Salam Hamlet can understand and understand the benefits of bay leaves for health, especially in overcoming hypertension. And can set an example to make similar herbal tea products that can be used as a product that can be sold by residents. The place where community service activities are carried out is Salam Hamlet, Sarewu Village, RW 03, Pancalang District, Kuningan Regency has high-quality knowledge and health degrees so that a healthy community and environment are created. Community service activities are in the form of counseling, tea making, and the design and packaging of bay leaf tea. The participants of this counseling activity were very enthusiastic and were conducive. Many people ask in terms of its use in the manufacturing process. However, the testers of bay leaf tea bags and bay leaf tea bags distributed to participants were very limited because there were obstacles in the manufacturing process, namely in the drying because it always rained every day, so it hindered the drying process because we dried with sunlight (not using an oven) due to the limitations of the tools at the post. In the next development and innovation process, we have also made logo and packaging designs for bay leaf tea.
SOCIALIZATION OF COUNSELING ON THE BENEFITS OF NONI FRUIT FOR HYPERTENSION PATIENTS
Authors: Novianti Dian , Widhiani Pahla , Triono Wahyu , Bastoni Bastoni , Yuliananda Devi , Perwitasari Fitri Dian
Published: November 2024

Hypertension or high blood pressure is a health problem that is increasingly encountered in Indonesia. Traditional medicine using natural ingredients, such as noni fruit (Morinda citrifolia), has long been used by the community as an alternative therapy. This community service activity aims to discuss the effectiveness of socialization and counseling regarding the use of noni fruit in helping lower blood pressure in hypertensive patients. The time and place of the event is August 20, 2024, in Lingsana Village with a total of 20 participants. Community service activities consist of:1. Material preparation, 2. Implementation: distribution of leaflets, lectures, and questions and answers, 3. Evaluation.   Counseling about the benefits of noni fruit for hypertensive patients can increase public knowledge about this herbal treatment, which was previously tested by 62% and increased to 86%. However, to avoid side effects, paying attention to the dosage and how to use it is necessary.
RELATIONS DIPLOMATIQUES ET COOPERATION BILATERALE ENTRE LE RWANDA ET LA REPUBLIQUE DEMOCRATIQUE DU CONGO : FACTEURS DE DETERIORATION ET PERSPECTIVES DE CONSOLIDATION
Authors:   Assistant à l’Université Pédagogique Nationale (UPN)/Kinshasa-RDC et Secrétaire Général de l’Institut de Recherche en Géopolitique et d’Etudes Stratégique/Kinshasa-RDC, NGOMBA Felly LUKUNGA
Published: November 2024

Il ressort de cet article que les relations entre le Rwanda et la République Démocratique du Congo ont donné lieu à des situations de refroidissement et de réchauffement au cours des dernières décennies. Les divergences croissantes entre les deux pays se sont à plusieurs reprises violemment exprimées lors des conflits armés à l’est de la RDC. Depuis les années 1990, la sous-région des Grands-Lacs africains traverse des crises qui ont débouché à une guerre civile et interétatique au point de menacer la sécurité internationale. Ces crises auront perturbé les relations diplomatiques entre les Etats de la sous-région et ont ainsi opposé la RDC au Rwanda, aux pays limitrophes d’une part et aux autres pays d’autre part. Mots-clés : Relations diplomatiques, coopération bilatérale, consolidation, RDC, Rwanda.
Recognising Handwritten Multi-digit Data using Convolutional Neural Networks
Authors: Shamim  , P. Ravindra
Published: November 2024

Digitization is seen as an essential part these days. Many vendors at neighborhood markets still use paper bills, so this may be helpful there. In response to this urgent issue, this study introduces a fresh method for digitizing handwritten invoices. To replace handwritten invoices with digital ones, the proposed method employs image processing and neural networks. The proposed method is hassle-free for the vendor as all he has to do is snap a photo of the handwritten invoice.
Women Entrepreneur Success Through Women Empowerment: An Approach of Motivational Need Theory.
Authors: Hariguna Taqwa , Siddique Quba
Published: November 2024

The major aim of this study is to analyze the key factors contributing to women’s entrepreneurial success in Pakistan. Based on motivational need theory this study has three independent variables, family & social support, need for achievement, and creativity & innovation; while women’s entrepreneurial success is the dependent variable of the study. Women empowerment has a critical role in women’s professional life. Therefore, women’s empowerment is taken as the moderator in this study. The sample of the study is based on 193 businesswomen in Pakistan.   The data is gathered through a Questionnaire, which is analyzed on SPSS. The results of regression analysis show that all the hypotheses are accepted. However, family & social support has a high influence among all the independent variables on women’s entrepreneurial success. This study strengthens the current literature regarding women’s entrepreneurship, as well as gives beneficial insights into the society of Pakistan to enhance women’s entrepreneurial success. Further study should explore other determinants of women’s entrepreneurial success, and also used a large sample to get more generalized results.
Insiders’ Voices: The Case of Informal Teacher Leaders in Lanao del Sur, Philippines
Authors: Madid Minerva , Guimba Wardah , Naga Minerva-Saminah , Daguisonan Lotis
Published: November 2024

As part of the continuing efforts to contribute to the literature and studies on informal teacher leadership, this study aimed to explore and investigate the case of informal teacher leaders in Lanao del Sur and proposed an informal teacher leadership model generated from the findings. This study utilized a qualitative approach and employed a case study design. To holistically understand the case, twenty-four informal teacher leaders from different secondary schools were purposively identified and recommended to participate in the study. The data were gathered through focused-group interviews, personal narratives, and observations and were analyzed through Thematic Analysis. The findings unveiled that leadership and informal teacher leadership are defined as a skill or a process of mobilizing people toward attaining goals. The findings also discovered developed leadership attitudes and skills essential for effective and successful leadership. Besides, these informal teacher leaders encountered conditions that encouraged or discouraged them from taking leadership roles and accepting additional duties and responsibilities. From these findings, an informal teacher leadership model was generated. This model could be adopted and properly implemented to formally recognize and increase informal teacher leaders, nurture and harness their potential, and motivate them to take leadership roles because they foster a culture of collaboration, innovation, and continuous teaching and learning improvement in schools.
O IMPACTO DO TRATAMENTO COM NEUROMODULADORES NA ENDOMETRIOSE
Authors:   José Roberto Alves Filho, Petry Alexandre Michel
Published: November 2024

A endometriose é uma condição ginecológica que afeta uma significativa proporção de mulheres em idade reprodutiva, caracterizada pela presença de tecido endometrial fora da cavidade uterina. Essa patologia está associada a sintomas debilitantes, como dor pélvica crônica, dismenorreia e infertilidade, o que impacta negativamente a qualidade de vida das pacientes. O tratamento da endometriose é complexo e envolve diversas abordagens, entre elas o uso de neuromoduladores, que têm se mostrado promissores no manejo da dor crônica. O presente trabalho busca explorar o impacto desses medicamentos na redução da dor associada à endometriose. Os neuromoduladores, incluindo antidepressivos como a amitriptilina e anticonvulsivantes como a gabapentina, atuam no sistema nervoso central e interferem na percepção da dor. Estudos demonstram que a amitriptilina é eficaz na redução da dor pélvica, provavelmente devido à sua ação nos neurotransmissores serotonina e noradrenalina. A gabapentina também apresentou resultados positivos na diminuição da dor em mulheres com endometriose. Embora esses medicamentos ofereçam benefícios, a presença de efeitos colaterais, como sonolência e ganho de peso, pode comprometer a adesão ao tratamento. Portanto, a monitorização cuidadosa e a educação das pacientes são fundamentais para maximizar os resultados. Além disso, a combinação de neuromoduladores com hormonioterapia tem mostrado potencial em melhorar o controle da dor e a qualidade de vida das pacientes, propondo uma abordagem integrada e multidisciplinar no manejo da endometriose. Os neuromoduladores representam uma opção terapêutica eficaz no tratamento da dor crônica associada à endometriose, embora mais pesquisas sejam necessárias para otimizar essas estratégias e estabelecer diretrizes claras.
LEGISLAÇÃO E REGULAMENTAÇÃO SOBRE A EMISSÃO DE GASES DE EFEITO ESTUFA NA NAVEGAÇÃO: ESTADO, EVOLUÇÃO E IMPACTOS NO BRASIL
Authors: Santos Marcelo Muniz , Serra Eduardo Gonçalves
Published: November 2024

This paper analyzes aspects of international and Brazilian legislation on maritime transport activities and the actions of Brazilian authorities and companies in the sector to ensure compliance with existing environmental requirements, with emphasis on the control of greenhouse gas (GHG) emissions. The paper analyzes the ongoing climate change process and international initiatives to mitigate greenhouse gas (GHG) emissions by economic activity sectors, with an emphasis on maritime transport activities in Brazil, A bibliographical research was conducted on greenhouse gas emissions through scientific articles, government websites and websites of various entities and organizations. A survey was conducted on the initiatives of companies in the sector and on the perception of shipping professionals about the state and prospects for progress in the implementation of measures to mitigate emissions on vessels. The results showed that the regional approach complements global regulations and reinforces the need for a coordinated response to address the environmental challenges posed by international shipping and that the integration of these international regulations is essential to promote sustainable practices and ensure global compliance.
O PAPEL DO PROFISSIONAL CIRURGIÃO DENTISTA PÓS EXTRAÇÃO DO SISO (ORIENTAÇÕES E CUIDADOS AOS PACIENTES PÓS EXTRAÇÃO DOS TERCEIROS MOLARES)
Authors: Necch Pâmella Trindade , Martens Daniela
Published: November 2024

Pretende-se analisar criticamente o trabalho do profissional cirurgião dentista nas orientações e cuidados aos pacientes pós extração dos terceiros molares, bem como, o acompanhamento da recuperação dos seus pacientes. Com o embasamento teórico, buscou-se o aprofundamento em estudo de autores e especialistas que se dedicam na área da saúde bucal, especificamente, a cirurgia de extração dos sisos como uma forma de prevenir possíveis problemas a saúde do paciente, através de estudos em artigos nas bases de dados disponíveis em periódicos e diretórios acadêmicos, como a Biblioteca Eletrônica Científica Online (SciELO), no Google Acadêmico e MEDLINE, publicados entre os anos de 2013 a 2023. O presente estudo analisa e constata que há vários fatores que pode vir a agravar o pós-operatório com complicações irreversíveis ao paciente se não forem tomados os devidos cuidados. Portanto, o procedimento cirúrgico precisa ser bem planejado pelo cirurgião dentista. Desde o pré-operatório até o prognóstico de cada paciente. Com o resultado dessa análise pretende-se ressignificar sobre os riscos da extração do siso e a importância do profissional qualificado e comprometido com a saúde bucal de seus pacientes.
ALOPECIA AREATA: ASPECTOS FISIOLÓGICOS E AVANÇOS TERAPÊUTICOS - UMA REVISÃO DE LITERATURA
Authors: Rosa Aline Priscylla Cesar , Santiago Maria Eduarda de Oliveira , Andrade Suelen Caroline de Souza , Souza Sabrina de , Neca Cínthia Silva Moura
Published: November 2024

Este trabalho teve como tema a Alopecia Areata, uma doença autoimune que afeta os folículos capilares, levando à perda de cabelo. O objetivo foi analisar os aspectos fisiológicos da doença e revisar os avanços terapêuticos disponíveis na literatura científica recente, com o intuito de identificar os tratamentos mais promissores. Utilizando a metodologia de revisão de literatura, foram analisados estudos sobre os mecanismos imunológicos e genéticos que contribuem para o desenvolvimento da doença, bem como as principais terapias atualmente utilizadas, como imunossupressores, corticosteroides e inibidores da Janus quinase (JAK). Os resultados indicaram que, embora as terapias atuais apresentem eficácia variável, os inibidores de JAK surgem como uma das abordagens mais promissoras, apesar de ainda existirem desafios quanto à segurança e acessibilidade. Inovações terapêuticas, como o uso de células-tronco e medicamentos biológicos, também foram identificadas como alternativas emergentes, mas enfrentam barreiras relacionadas ao custo e à complexidade. A pesquisa concluiu que uma abordagem multidisciplinar, que integre o tratamento clínico com suporte emocional, é fundamental para o manejo da Alopecia Areata, melhorando a qualidade de vida dos pacientes. Por fim, destaca-se a necessidade de mais investigações clínicas para aprimorar as terapias disponíveis e explorar novas alternativas que possam oferecer tratamentos mais eficazes e acessíveis.
CRIMINALIDADE EMPRESARIAL: LIMITES E POSSIBILIDADES DA JUSTIÇA NEGOCIAL NO CONTEXTO DA LEGISLAÇÃO BRASILEIRA
Authors: Pereira Filho Marco Antônio
Published: November 2024

O estudo se debruça sobre a relevância e viabilidade da justiça penal negocial no contexto específico da criminalidade no meio corporativo brasileiro. O foco é direcionado para a instrumentação legal do Acordo de Não Persecução Penal, uma inclusão recente na Lei nº 13.964/2019. Analisando este instrumento à luz da Constituição e das leis brasileiras, o estudo emprega uma abordagem predominantemente baseada em literatura e qualitativa, consultando fontes que vão de leis a artigos acadêmicos para oferecer um panorama abrangente sobre o tema. A investigação é segmentada em várias seções. Inicialmente, aborda-se a definição e os parâmetros da criminalidade empresarial, incluindo, mas não limitando a, corrupção, evasão fiscal e fraudes. Posteriormente, a justiça penal negocial é examinada detalhadamente, especialmente no que tange às suas capacidades e limitações dentro do sistema legal brasileiro. O estudo ressalta um ponto de grande importância: a necessidade de equilibrar a eficácia e a celeridade processual com o respeito aos princípios constitucionais e direitos fundamentais. A contribuição primordial da pesquisa reside no esclarecimento e profundidade que traz a um campo de estudo ainda sub-explorado no Brasil. Além de fornecer um panorama atual, o estudo também serve como uma base sólida para o desenvolvimento de políticas e reformas que buscam ser tanto efetivas quanto éticas. Concluindo, o trabalho sugere que a justiça penal negocial pode, de fato, ser aplicada de forma eficaz ao combate à criminalidade empresarial, desde que tal aplicação seja feita com cautela e dentro dos limites legais previstos sobretudo constitucionalmente.
Accuracy of the Apple Watch in Detecting Atrial Fibrillation Among Patients Undergoing 24-Hour Holter Monitoring: A Prospective, Pragmatic Study
Authors: Inocian Elrey P , Junia Alex T , Cordovez Mary Gertrude Ong , Katada Kevin T , Paday Louis Marie William
Published: November 2024

BACKGROUND: As smartwatches with atrial fibrillation detection features gain popularity, it is important to assess the accuracy of these devices to guide decision-making.

OBJECTIVES: Our study aimed to assess the sensitivity and specificity of the irregular rhythm notification and the electrocardiogram (ECG)–based detection features of a commonly used smart wearable device (Apple Watch) in detecting atrial fibrillation.

METHODS: This was a prospective, pragmatic study conducted in Perpetual Succour Hospital–Cebu Heart Institute from August 2023 to January 2024. To assess the irregular rhythm notification feature, participants were asked to wear an Apple Watch alongside a 24-hour Holter monitor to verify notifications. For the ECG-based detection feature, participants had to tap the crown of the Apple Watch for 30 seconds to get a single-lead ECG similar to a lead I ECG tracing. They were instructed to get manual ECGs hourly, or more often while awake. Irregular rhythm notifications and ECG readings were then compared with that of the 24-hour Holter monitor. Sensitivity and specificity were then computed.

RESULTS: A total of 140 participants consented to join after full study disclosure. The irregular rhythm notification feature of the Apple Watch exhibited a low sensitivity of 21.4% but achieved a high specificity of 100% in detecting atrial fibrillation. Meanwhile, the ECG-based detection feature, analyzed from 1295 manually taken ECGs with interpretable sinus rhythm or atrial fibrillation, demonstrated a high level of agreement with the Holter monitor, with a sensitivity of 100% and a specificity of 99.1%.

CONCLUSION: The low sensitivity of the irregular rhythm notification feature of the Apple Watch in detecting atrial fibrillation cautions against relying on it as a primary screening tool. However, the high concordance of manually taken Apple Watch ECGs positions the device as a robust tool for detecting atrial fibrillation through manual ECG detection.

KEYWORDS: Apple Watch, atrial fibrillation, smartwatches
Safety and Efficacy of Aspiration Thrombectomy With Intracoronary Tirofiban in Patients Undergoing Primary Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis
Authors: Marcellana Gwen R , Jimenez Rodney , Tan Armand Delo , Tiongco Richard Henry
Published: November 2024

BACKGROUND: Primary percutaneous coronary intervention (PPCI) may be complicated by heavy intracoronary thrombus burden leading to decrease in myocardial perfusion and increase in infarct size. The current meta-analysis aims to investigate the clinical outcomes of aspiration thrombectomy (AT) with intracoronary tirofiban during PPCI.

METHODS: A systematic search for randomized controlled trials that evaluate the safety and efficacy of AT with intracoronary tirofiban in ST-elevation myocardial infarction (STEMI) patients who underwent PPCI was done using PubMed, MEDLINE, EMBASE, Cochrane, ClinicalTrials.gov., and Herdin PH. Studies included those published between 2010 and 2023 and involved human subjects. Search terms included “aspiration thrombectomy,” “intracoronary tirofiban,” “primary percutaneous coronary intervention,” and “STEMI patients.”

RESULTS: Four randomized controlled trials (n = 490 participants) were included in this metaanalysis comparing AT with intracoronary tirofiban versus AT alone in STEMI patients undergoing PPCI. The results revealed no statistically significant difference in ST-segment resolution (risk ratio [RR], 1.02; 95% confidence interval [CI], 0.97–1.08; P = 0.41, I2 = 0%), myocardial blush grade 2–3, (RR, 1.04; 95% CI, 0.97–1.12; P = 0.22, I2 = 62%), and Thrombolysis In Myocardial Infarction 3 flow (RR, <1.0; 95% CI, 0.95–1.04; P = 0.87).

The occurrence of major adverse cardiovascular events did not significantly differ between the two groups (RR, 0.46; 95% CI, 0.19–1.09; P = 0.08, I2 = 0%). There was no statistically significant difference in terms of bleeding when combining intracoronary tirofiban to standard medical therapy (RR, 1.35; 95% CI, 0.64–2.84; P = 0.78, four trials [490 patients]).

CONCLUSION: In PPCI, major adverse cardiovascular event outcomes of AT with intracoronary tirofiban were similar to those for AT alone in terms of improving myocardial perfusion in STEMI patients without increasing the risk for bleeding. Our meta-analysis suggests that AT alone may be the more acceptable standard during PPCI when encountering heavy thrombus burden. Future validated studies may help further investigate the strategy of adding tirofiban during AT.
“Bead to death,” Fibromuscular Dysplasia Presenting as A Rapidly Enlarging Right Anterior Axillary Mass
Authors: Banluta Andre Russell F , Macabeo Renelene A
Published: November 2024

Fibromuscular dysplasia (FMD) is a rare non-inflammatory, non-atherosclerotic arterial disease characterized by abnormal cellular proliferation and distorted architecture. It commonly affects the renal and extracranial carotid and vertebral arteries, but nearly all arterial beds may be affected, and multivessel involvement is common. We report a rare case of a 31-year-old Filipino female who presented with a rapidly enlarging right anterior axillary mass. Initial consideration was a bleeding soft tissue sarcoma as seen on chest CT scan, while whole abdominal CT scan with IV contrast revealed incidental findings of multiple aneurysms in the superior mesenteric artery, both renal arteries and right common iliac artery, suggestive of fibromuscular dysplasia. Further vascular imaging studies showed a looped left internal carotid, and a tortuous left brachial artery with beading pattern.
Effect of Some Ecological Factors on Earthworms (Lumbercus terrestris) in Wasit Governorate
Authors: Jamil Hussein Ali , Jabour Hamza Jabbar , Chachain Nebrass Faleh
Published: November 2024

Monthly earthworm samples were collected from two locations in Suwairah City‎ of Wasit Governorate. where the first location was northwest of the district and is characterized by an abundance of citrus trees such as orange, lemon and Punica granatum as well as many palm trees of different types, the second area is characterized by an abundance of vegetable plants like Cauliflower, Allium cepa, and Brassica oleracea. Soil temperature, moisture, pH, texture and organic matter levels were measured at all sample sites. Soil temperature ranged between 11C° to 50C° as recorded during February and August respectively. The values of PH have ranged between 6.8 to 8.0. Soil moisture and Organic matter content were highest in Region (B) samples, 40% and 6.6% respectively. However, lowest organic matter and soil moisture percentage were 17% and 3.13% recorded at in Region (A) samples respectively. All sites were characterized by loamy acidic reactive soils.
Effects of Black Turmeric Ethanol Extract (Curcuma Caesia Roxb) on Blood Glucose Levels, SGOT, SGPT, Histopathology Pancreas: A Preliminary Study
Authors: Udayani Ni Nyoman Wahyu , Putra I Made Agus Sunadi , Santoso Puguh
Published: November 2024

Diabetes mellitus (DM) is a condition that causes hyperglycemia and glucose intolerance. It can be caused by insulin deficiency, impaired insulin effectiveness, or both. Treatment of diabetes mellitus is long-term and certainly has unwanted side effects. The purpose of this study was to determine the effect of black turmeric extract on blood glucose, SGOT, SGPT values and pancreatic beta cell histopathology. This study used a Randomized Control Group Design on 30 white rats by giving a high-fat diet and induced streptozotocin 35 mg/kgbw intraperitoneally. Experimental animals were divided into 6 treatment groups, namely negative control, positive control, black turmeric extract doses of 250 mg/kgbw, 500 mg/kgbw, and 750 mg/kgbw. Assessment of the decrease in blood glucose levels is seen from the percentage of blood sugar reduction for 21 days, the value of SGOT, SGPT and histopathology of pancreatic beta cells. Data were analyzed using ANOVA test to see differences between groups. Based on the results obtained, that there is a significant difference in the administration of 750 mg/kgbw dose extract reduces blood sugar levels best by 57.71% compared to the negative control group where there is an increase in blood sugar by 9.94%. Based on the value of SGOT and SGPT levels, it was found that the 750 mg/kgbw dose of extract gave the best value compared to other treatment groups. Based on the parameters of the histopathological picture of pancreatic beta cells, it was found that the administration of black turmeric extract at a dose of 250 mg/kgbw experienced the mildest degeneration compared to other treatment groups. Ethanol extract of black turmeric (Curcuma caesia Roxb) is able to reduce blood sugar levels, SGOT, SGPT values and repair damage to pancreatic beta cells.
Analyzing the Spatial Accessibility of Public Healthcare Services in Djibouti
Authors: Ali Farhan Houssein , Hbab Maryam , Njah Mansour , Kenza Hassouni
Published: November 2024

Ensuring access to healthcare for all, regardless of demographic, geographic, or socio-economic status, is essential for achieving universal health coverage. In Sub-Saharan Africa, where populations are often dispersed and healthcare services are limited, reducing distances or travel time to healthcare facilities is crucial for ensuring equitable access. This study examines the geographical access to public health services in Djibouti, highlighting the inequality in the distribution of medical infrastructure, especially for rural populations. The primary objective is to analyze spatial disparities in accessibility to public health facilities, identifying the least-served districts and proposing solutions to reduce these inequalities. Using the enhanced two-step floating catchment area (E2SFCA) method, the research evaluates spatial access. Data collected from the Ministry of Health of Djibouti show a high concentration of health services in the city of Djibouti, where more than 50% of the population resides. In contrast, inland districts such as Galafi and Moussa Ali display limited access, with travel times often exceeding 60 minutes, indicating an inequitable distribution of tertiary care facilities. Strengthening healthcare infrastructure in inland districts and deploying innovative solutions like mobile clinics and telemedicine are essential to reducing access inequalities and ensuring more equitable universal health coverage in Djibouti. Future research should assess the effectiveness of these interventions in sustainably improving healthcare access in the most vulnerable areas.
New Trends in Communication and Media Education: An Integrative Review
Authors: Safran Safar Almakaty
Published: November 2024

The rapid evolution of communication and media technologies has reshaped the landscape of education, necessitating a reevaluation of pedagogical approaches. As educators navigate this complex terrain, the abstract concept of integrating new trends in communication and media education emerges as a critical focal point. By examining the latest advancements in digital platforms, social media, and interactive technologies, educators can harness these tools to enhance the learning experience and promote student engagement. However, the integration of these trends must be done thoughtfully and strategically to ensure that learning objectives are met effectively. Through an integrative review of current literature and practices, this study aims to provide insights into best practices for incorporating new trends in communication and media education, guiding educators towards innovative and effective teaching strategies in the digital age.
In Search of Best Practices for Improving the Operational Efficiency of the Primary Healthcare Hospitals in Thailand through Benchmarking
Authors: Juthamanee Siripattra , Wattanaburanon Aimutcha , Rodjarkpai Yuvadee , Thongnopakun Saowanee , Puttakul Winai
Published: November 2024

Background: Thailand's public health policy emphasizes equitable access to healthcare services, leading to a rapid increase in primary healthcare demands. Enhancing efficiency has become a crucial solution to address this challenge, especially amidst the constraints of limited resources.
Aims: To measure the operational efficiency of sub-district or tambon health-promoting hospitals (THPHs) in the Eastern Economic Corridor (EEC) by applying the mathematical technique of Data Envelopment Analysis (DEA) and to identify best practices from efficient THPHs that can be applied to improve the operational efficiency of other THPHs.
Methods:  First, the operational efficiency of 104 THPHs in Chachoengsao, a province in EEC, was measured using the DEA method. Second, 13 efficient THPHs were selected as benchmarks for operational best practices. In-depth interviews were conducted with five individuals from each selected THPH, including the director and four key stakeholders. The interview data were analyzed and synthesized using directed content analysis to formulate a list of best practices. Finally, the identified best practices were evaluated using the Delphi technique to produce a final list of best practices to improve the operational efficiency of THPHs.
Results: 76 best practices were initially generated from the content analysis of the benchmark interviews. However, after the Delphi experts' evaluation, 66 best practices met the required criteria (Mdn > 3.50 and IQR < 1.50) and were ultimately accepted as potential general strategies for improving the efficiency of THPHs. Of these, 35 best practices were related to input management, and 31 were related to output management.
Antepartum Wernicke’s Encephalopathy: Common, and Yet Rarely Diagnosed. Discussion on the Disease and Its Treatment
Authors: Patra Sima , Patra Dr. Sayantan , Patra Dr. Soumya Suvra , Das Dr. Reetoja
Published: November 2024

This review article presents a comprehensive discussion on antepartum Wernicke’s encephalopathy (WE), a serious neurological disorder. This disorder stems from thiamine (Vitamin B1) deficiency, which is critical for normal metabolism and neuronal integrity. During pregnancy, women are more susceptible to this condition due to increased nutritional requirement and metabolic changes.
In WE, inadequate thiamine (Vitamin B1) causes disruption of metabolism in cells and impedes neurotransmitter synthesis in the brain, ultimately causing adverse neural consequences. Key risk factors contributing to antepartum WE include conditions that hinder thiamine absorption or increase metabolic demand, such as hyperemesis gravidarum (intense antepartum vomiting), malnutrition, alcoholism, and post-bariatric surgery states. WE's classic triad of symptoms, confusion, ataxia (loss of balance and coordination), and ophthalmoplegia (occlumotor incoordination), are not commonly seen in antepartum WE. Therefore, diagnosing the disorder in pregnancy is challenging and the condition is often misdiagnosed. Pregnancy symptoms like nausea, vomiting, and fatigue often overlap with WE's presentation, complicating diagnosis and confounding treatment. While magnetic resonance imaging (MRI) can reveal characteristic lesions in brain areas such as the thalamus and mammillary bodies, these may not always appear in early stages, adding further diagnostic difficulty.
Effective management of antepartum WE relies on early recognition and timely administration of high-dose thiamine, particularly parenteral administration for affected pregnant women. Prompt treatment is critical to preventing irreversible sequalae, neurological and otherwise in both the woman and the child. Once acute symptoms are managed, transitioning to oral thiamine supplementation is the norm to prevent recurrence and maintain normal thiamine levels. Balanced diet of macro-nutrients and maintaining fluid and electrolyte balance, also plays an essential role in recovery. In severe or treatment-resistant cases, more intensive, prolonged thiamine therapy and regular monitoring of maternal and fetal health are necessary, usually managed by a multidisciplinary medical team. This coordinated care approach aims to prevent recurrence and minimize risks associated with WE.
The article emphasizes following clinical guidelines, which recommend regular thiamine monitoring and preventive measures in high-risk pregnancies, to improve maternal and fetal outcomes. By adhering to established protocols, healthcare providers can reduce the likelihood of severe complications associated with WE, ensuring better care and recovery for affected pregnant women.
Categories: Pregnancy, Neurology, Nutrition.
Effectiveness of Percutaneous Electrical Nerve Stimulation on Range of Motion, Pain Pressure Threshold in the Management of Myofascial Trigger Point: A Systemic Review
Authors: Deshpande Dr. Maithili , Patil Dr. Deepali
Published: November 2024

This review of randomized controlled trials sought to evaluate the efficacy of Percutaneous Electrical Nerve Stimulation (PENS) on range of motion, pain, and pain pressure threshold, as well as to investigate the specific factors influencing its effectiveness. The search for relevant studies published between 2017 and 2024 was conducted in PubMed, Scopus, The Cochrane Library, and the Physiotherapy Evidence Database. Fifteen studies met the inclusion criteria, with primary outcomes focusing on pain, range of motion, and quality of life. The findings indicate that percutaneous Electrical Nerve Stimulation (PENS) is effective in providing short-term pain relief, improving range of motion, and enhancing quality of life when compared to no intervention, sham, or placebo treatments. However, there is insufficient evidence regarding its impact on disability, analgesic medication intake, and sleep quality. In conclusion, while some evidence supports the short-term benefits of Percutaneous Electrical Nerve Stimulation (PENS), further high-quality randomized clinical trials with standardized procedures are necessary.
A Cross Sectional Study of the Prevalence of Retinopathy in Patients with Chronic Kidney Disease on Hemodialysis in a Tertiary Care Centre in Chengalpattu District, South India
Authors: Daniel Dr. Lily , A. C Dr. Aparna , Vignesh S Dr. Hari , Dhivya Dr. , E Dr. Suganya
Published: November 2024

Context: Many studies have reported varying proportions of retinopathy among cases with chronic kidney disease (CKD). Cases with severe grades of CKD were more likely to develop ocular complications, especially diseases which occurs due to small vessel pathology.
Aim: To estimate the prevalence of various types of retinopathies in patients with CKD undergoing hemodialysis in a tertiary care centre in South India.
Settings and Design: The outpatient Department of Ophthalmology and Hemodialysis unit of Nephrology, Karpaga Vinayaga Institute of Medical Sciences from January 2022 to June 2023
A cross-sectional hospital-based observational study in a low resource setting.
Methods and Material: The study consists of 28 patients who were known cases of CKD on hemodialysis. Patients underwent complete ocular evaluation and findings were noted. The pre hemodialysis values of blood urea and serum creatine, hemoglobin, liver function tests and vital parameters were also noted. Data analysis was done utilising version 20 of Statistical Packages for the Social Sciences (SPSS).
Results: 56 eyes of 28 patients on hemodialysis were studied. The mean age was 53 years + 10.9 with a male preponderance. 31.6% had retinopathy of which 26.3% had hypertensive retinopathy and 5.3% had diabetic retinopathy. This is contrary to the previous studies that have reported a higher incidence of diabetic retinopathy in patients with end stage CKD. Hypertension resulted in CKD earlier than diabetes.
Conclusion: The results emphasize the importance of frequent eye examination in patients with CKD to identify retinopathy earlier, thus potentially averting permanent vision impairment.
Schizophrenia with Diogenes Syndrome- A Case Report
Authors: Joseph Gautham Antony , Shanmugasundaram Natarajan , O.T. Sabari Sridhar
Published: November 2024

Diogenes Syndrome in a patient with Schizophrenia though a reality is not reported very often at least so far as the available literature in our country is concerned; the management of such hoarding behaviours is a unique challenging task that requires long-term behavioural modification strategies in place augmented by ADL charting and Occupational Therapy. This case proves to be an interesting example of the same.