bluuebunny/crossref_metadata_2025 huggingface dataset:
I partiti politici negli statuti e regolamenti dei gruppi parlamentari tra la XVII e la XIX legislatura
Authors: BONOMI FEDERICO
Published: October 2024

L'intricata relazione tra partiti politici e gruppi parlamentari è un argomento spesso trascurato sia nella letteratura politologica che in quella giuridica. Questo studio si propone di esaminare in modo esaustivo l'ampiezza delle variazioni di questo rapporto, che vanno da uno scenario in cui il gruppo parlamentare è subordinato al partito a uno in cui gode di una sostanziale autonomia. A tal fine, l'articolo conduce un'analisi comparativa di 65 statuti e regolamenti interni che disciplinano i gruppi parlamentari in Italia, dalla XVII alla XIX legislatura del Parlamento italiano. Gli aspetti chiave presi in esame includono le procedure per la formazione di un nuovo gruppo, l'orientamento politico del gruppo, l'autonomia decisionale dei parlamentari, le misure disciplinari, il coinvolgimento dei membri del partito nelle attività del gruppo e le misure di trasparenza. I risultati rivelano notevoli disparità nel grado di riferimento ai partiti politici nei vari casi, indicando così la necessità di ulteriori ricerche per esplorare l'attuazione di questi statuti e regolamenti nella pratica.
Comparison of postoperative outcomes after cranial neurosurgery using propofol-based total intravenous anesthesia versus inhalation anesthesia: a nationwide cohort study in South Korea
Authors: Oh Tak Kyu , Song In-Ae , Jeon Young-Tae
Published: October 2024

Background: We aimed to determine whether propofol-based total intravenous anesthesia (TIVA) is associated with mortality and morbidity following cranial neurosurgery compared with inhalation anesthesia.Methods: This nationwide, retrospective, population-based cohort study included patients who underwent cranial neurosurgery under general anesthesia between January 1, 2016, and December 31, 2021. The two study endpoints were 90-day mortality and postoperative complications.Results: In total, 144,506 adult patients were included: 65,442 patients (45.3%) who received TIVA (TIVA group) and 79,064 (54.7%) who received inhalation anesthesia (inhalation anesthesia group). After propensity score (PS) matching, 97,156 patients (48,578 in each group) were included. The 90-day mortality rates after cranial neurosurgery were 14.0% (6,660/48,578) in the TIVA group and 14.2% (6,779/48,578) in the inhalation anesthesia group. Moreover, the postoperative complication rates following cranial neurosurgery were 47.1% (22,411/48,578) and 50.3% (23,912/48,578) in the TIVA and inhalation anesthesia groups, respectively. Based on the logistic regression analysis, TIVA was not associated with 90-day mortality compared with inhalation anesthesia (odds ratio [OR]: 0.97, 95% CI [0.94, 1.01], P = 0.188) in the PS-matched cohort. Logistic regression analysis revealed that the TIVA group had a 12% (OR: 0.88, 95% CI [0.86, 0.90], P < 0.001) lower postoperative complication rate than the inhalation anesthesia group.Conclusions: There was no significant association between the type of anesthesia and postoperative 90-day mortality in patients who underwent cranial neurosurgery in South Korea. However, propofol-based TIVA was associated with a lower incidence of postoperative complications than inhalation anesthesia.
Exploring the applicability of effectuation theory in distressed venture environments
Authors: Madigoe Thabang , Pretorius Marius
Published: October 2024

Orientation: Once appointed, business rescue practitioners and turnaround professionals are faced with critical decision making of whether a distressed venture contains an opportunity as judged by reasonable prospect.Research purpose: This study investigated and explored the application of ‘effectuation theory’ principles and/or causation elements to the distressed venture opportunity (DVO) decision making.Motivation for the study: Effectuation is applied by experts to an entrepreneurial opportunity, and it was important to investigate whether effectuation and its principles would inform practitioners for better decision making when evaluating a DVO.Research design, approach and method: A qualitative study was conducted with 15 business rescue practitioners (BRPs) from the Gauteng province. The data were collected through in-depth semi-structured interviews and a thematic analysis was used to analyse the data.Main findings: This study reveals that all five effectuation principles and some causation elements are applicable to the DVO judgement. The findings indicate that both effectuation and causation are applied in a complementary manner depending on the context.Practical and/or managerial implications: This study highlights the importance of applying effectuation and causation elements for practitioners to achieve success. By applying both logics, BRPs can build resilience in their strategies, be creative in adapting to solutions as they arise and engage with stakeholders in the business rescue process.Contribution and/or value add: This study extended the application of effectuation theory to distressed venture environments, offering insights into how practitioners can make better decisions when evaluating a DVO.
Assessing the contribution of shadow banking to systemic risk in South Africa during COVID-19
Authors: Mashimbye Lawrence , Fanta Ashenafi B.
Published: October 2024

Background: Systemic risk studies in the coronavirus disease 2019 (COVID-19) period focus mostly on the banking sector. Regulators however, yearn for data on the contribution of shadow banking to systemic risk during the pandemic.Aim: The primary goal of the study is to determine the contribution of shadow banking to systemic risk during the COVID-19 period in South Africa.Setting: The study focussed on shadow banking, non-bank financial institutions involved in credit intermediation outside the traditional banking system in South Africa.Method: Systemic risk is measured by conditional value-at-risk methodology using monthly market returns of fixed-income funds, funds-of-funds, money market funds and multi-asset funds from January 2015 to December 2021.Results: Shadow banking contributed to systemic risk during COVID-19, and systemic risk reached an all-time high during the onset of the pandemic. Money market funds exhibited higher systemic risk because of the COVID-19 shock. However, multi-asset funds and funds-of-funds are the classes that contributed more to systemic risk during the COVID-19 period. Furthermore, systemic risk trends of multi-asset funds and funds-of-funds increased with the rise in COVID-19 infections, except in the third wave when systemic risk peaked months after the surge in COVID-19 cases.Conclusion: Shadow banking contributes to systemic risk in South Africa and systemic risk peaked during the COVID-19 period.Contribution: There is growing evidence on systemic risk during COVID-19, and this study extends the focus to shadow banking. It draws attention of regulators to credit intermediation outside traditional banks.
Posttraumatic Growth after Spontaneous Coronary Artery Dissection: A Mixed-Methods Study
Authors: Rogerson Michelle C. , Jackson Alun C. , Le Grande Michael R. , Hesselson Stephanie , Iismaa Siiri E. , Graham Robert M. , Murphy Barbara M.
Published: October 2024

Background:

Heart attacks caused by spontaneous coronary artery dissection (SCAD) are traumatic events. While stressful, traumatic events can also be catalysts for positive growth.

Aims:

This study investigated the nature, prevalence, and correlates of posttraumatic growth (PTG) after SCAD.

Methods:

A mixed-methods approach was used. Part 1 involved seven focus groups with SCAD survivors (n = 30), the findings of which were analyzed thematically. Part 2 involved an online survey of SCAD survivors (n = 263), which included the PTG inventory (PTGI). Bivariate and multivariable analyses determined the significant correlates of PTG after SCAD.

Results:

Part 1 revealed four key themes, namely appreciating life and living in the moment, personal agency, new work-life balance, and spiritual clarity. Part 2 demonstrated that 79% of participants reported some degree of PTG. The mean total PTGI score was 46.4; standard deviation = 25.5. In terms of PTGI factors, the most common aspects of growth were appreciation of life and personal strength. PTG was significantly associated (P < 0.05) with education, partner status, living arrangements, presence of a close confidante, social support, time since SCAD, number of SCADs, and cardiac rehabilitation (CR) attendance. Variables retained in the multivariable model were younger age, mid-level education, high social support, being nondepressed, longer time since SCAD, greater number of SCADs, and CR attendance.

Conclusion:

This is the first study to demonstrate that, despite the associated stresses and challenges, there is a great potential for positive growth after SCAD. These findings have implications for the development and targeting of interventions to support post-SCAD recovery.
Incidence, Antibiogram, and Comorbid Conditions of Nontyphoidal Salmonella Infections Before and After the COVID-19 Outbreak: A Retrospective, Cross-sectional Study
Authors: Suseela Kundoly V. , Alex Aiswariya , Das Subi , Geethalakshmi V.
Published: October 2024

Background:

The number of patients with diarrheal diseases admitted to the hospital was reduced during the COVID-19 lockdown. Following the relaxation of the lockdown, admissions of nontyphoidal Salmonella (NTS) infection showed a two-fold rise compared to pre-COVID-19 years. This retrospective study aimed to detect the incidence of NTS in the pre-COVID-19 and post-COVID-19 outbreak periods, along with describing the antibiogram and comorbid conditions of the patients.

Materials and Methods:

Using a retrospective design, from January 2015 to December 2022, we studied stool samples for the presence of NTS. Antibiogram with ampicillin, co-trimoxazole, ceftriaxone, chloramphenicol, and ciprofloxacin were studied. The presence of comorbid conditions was noted.

Results:

We examined 2312 and 937 stool samples collected during the pre-COVID-19 and post-COVID-19 outbreak period, respectively. The number of samples collected during the outbreak (2020) was 273. During the pre-COVID-19 period (2015–2019), the average annual isolation rate of NTS was 5.63%. During the lockdown of 2020, the corresponding rate was 5.49%. The isolation rate showed a significant rise (11.45%) during the relaxation of the lockdown (P < 0.001). No significant change in resistance to antibiotics other than ciprofloxacin was noted in the present study. Malignancy was the leading comorbid condition (11.91%) followed by chronic liver diseases (10.31%).

Conclusions:

A significant rise in NTS diarrheal cases was detected following the COVID-19 outbreak. During this period, people were attending more celebrations and feasts. No significant change in antibiotic resistance was noted when comparing pre-COVID-19 and COVID-19 periods. Malignancy was the leading comorbid condition.
Psychological Nicotine Dependence Using Kano Test of Social Nicotine Dependence Scale in Tobacco Users Visiting Tobacco Cessation Center
Authors: Gurung Deepak , Bhardwaj Vinay Kumar , Fotedar Shailee
Published: October 2024

Background:

The study aimed to assess the psychological dependence of tobacco use among patients visiting the Tobacco Cessation Center.

Methods:

This was a cross-sectional study with a simple random sampling technique. The information was recorded on a structured pro forma through the interview which included demographic details, dependence status based on tobacco use history, behavior, and the Kano Test of Social Nicotine Dependence (KTSND) for psychological dependence.

Results:

The mean KTSND score was 14.3 ± 4.1. About 52.1% responded probably yes for tobacco use itself as a disease. 40.4% responded probably no for tobacco use as a part of culture. 56.1% responded probably yes for tobacco use as one of life’s pleasures. 44.6% responded probably no for respect in tobacco use lifestyle and 40.7% subjects also responded probably no for tobacco use sometimes enriching life. 41.8% responded probably yes for tobacco use have physical or mental effects and 69.6% also responded probably yes for tobacco use have effects to relieve stress. 47.9% responded probably yes for tobacco use enhancing the functions of tobacco users’ brains. 37.1% responded probably no for doctors exaggerating the ill effects of tobacco use. 54.3% responded probably yes for tobacco use by people in all places.

Conclusion:

It is important to understand the two different types of nicotine dependence and the scale used to assess them in the clinical practice of tobacco cessation. The social nicotine dependence in the study was moderate permissive level. Glorification, justification, and denial are important constructs in understanding psychological nicotine dependence using the KTSND scale.
Does it always necessitate retrieving files? Management of separated files using the bypass method: Report of two cases
Authors: Zarekar Mohit Sunil , Satpute Apurva S , Zarekar Mohini S
Published: October 2024

Fractured instruments, particularly endodontic files, are a frequent issue encountered in everyday dental practice. There are two main methods for handling a separated instrument: bypassing and retrieval. A broken file obstructs the canal, hindering the cleaning and shaping procedure, during which clinicians typically attempt to recover the file. However, when trying to eliminate the separated file, there are multiple challenges that can decrease the probability of future success and lead to clinical failure. Thus, bypassing the separated instrument is frequently the prudent and minimally intrusive approach. This case report discusses the management of separated instruments utilizing the bypass method, which has been shown to be a conservative strategy.
Digital photography: A boon to dentistry
Authors: Ghosh Arijit , Grewal Mandeep S , Singla Mamta
Published: October 2024

Dental technology improvements have reshaped the concept of photography to powerful medium of expression and communication. Digital photography is one of the most common clinical applications of computerization in dentistry nowadays. It aids in the discovery of hidden and undetected flaws in teeth and other areas of the cavity or smile. The dental world is made up of microstructures that must be meticulously documented in order to execute patient education, record documentation, and treatment. This review focuses on the important applications of digital photography in dentistry and the potential impact on patient compliance with dental care.
Modifying Non-communicable Disease Behaviours through Effective Health Communication and Behaviour Change: A Systematic Review
Authors: Darukaradhya Tejaswini B. , Krishnamurthy J.
Published: October 2024

Non-communicable diseases (NCD) account for 74% of global mortality. Approximately 86% of all premature deaths occur in low- and middle-income countries majorly attributed to lifestyle changes or behavioural risk factors. The theory-based behaviour change interventions (BCIs) appear promising, but their applicability is not explored within the national programmes. The current paper aims to review the effectiveness of theory-based BCI in modifying the NCD risk factors and provide insights into the national NCD programmes. Interventions conducted to evaluate theory-based BCIs between 2002 and 2022 in modifying behavioural risk factors for NCDs were identified from multiple databases (PubMed, Scopus, Google Scholar and Cochrane Library) for systematic review. The final analysis included 35 studies that used theories and models that broadly come under one of the four approaches, i.e. intrapersonal (targets inherent individual factors for behaviour change), interpersonal (targets the family or groups), community (target socio-cultural ecosystems) and integrated (combination of other three approaches). Twenty-seven studies showed significant results. The highest number of studies were of interpersonal approach using socio-cognitive theory and integrated (11 each), and strength of evidence was moderate for both. Twenty-six studies focused on physical inactivity and unhealthy diet. The review supports the effectiveness of behaviour change interventions for mitigating NCD risk factors. Further efforts, including implementation research study methods, should be directed to evaluate effects of these interventions on population health outcomes within specific cultural and social contexts.
Isoperimetric inequalities for inner parallel curves
Authors: Dietze Charlotte , Kachmar Ayman , Lotoreichik Vladimir
Published: October 2024

We prove weighted isoperimetric inequalities for smooth, bounded, and simply-connected domains. More precisely, we show that the moment of inertia of inner parallel curves for domains with fixed perimeter attains its maximum for a disk. This inequality, which was previously only known for convex domains, allows us to extend an isoperimetric inequality for the magnetic Robin Laplacian to non-convex centrally symmetric domains. Furthermore, we extend our isoperimetric inequality for moments of inertia, which are second moments, to

p

-th moments for all

p

smaller than or equal to two. We also show that the disk is a strict local maximiser in the nearly circular, centrally symmetric case for all

p

strictly less than three, and that the inequality fails for all

p

strictly bigger than three.
Relational ontologies and epistemologies that are informed by our philosophies: Inaugural Ubuntu Annual Lecture 2022
Authors: Chilisa Bagele
Published: October 2024

It’s always a pleasure, a privilege, and an honour to share my thoughts with other African scholars.  So, today I chose to talk about decolonising research and evaluation methodologies.  I’ll start off with my understanding of what social workers do, then talk about the challenges that are there for social workers and others as evaluators and researchers.  And then I introduce the decolonising paradigms and present the opportunities that are there for us as African scholars to work together to further our vision of an Africa that is liberated from only hearing from the global north.  I understand that as social worker, you provide help and support to children and others in need, and that in doing so, you are informed by research.  I understand that social workers are also evaluators, and they evaluate interventions to inform policy revisions and even modification of their interventions.  I understand that social workers, they do research on social problems to inform design and evaluation of the interventions they design for efficacy.  According to the SDGs, social workers have a responsibility, and this responsibility includes making sure that the interventions that they design are sustainable, that they provide long-term solutions for the wellbeing of the entire ecosystem that includes human beings and nature.  I understand that social workers are also guided by the principles of social justice, human rights, and holistic and sustainable development to reach freedom and wellbeing.  And I understand that social workers are expected to use various theories that take into account historical, cultural, and environmental underpinnings of society.  Now, there are challenges with evaluation if you are a social worker.  And the biggest challenge that we have today is that the paradigms that we use, the world views that we use that inform how we do evaluation have been informed by the ways of knowing of the West, the ways of seeing reality of the West, and the value systems of the West, and are also driven by Euro-Western methodologies.  This has resulted in stagnation of thinking about other ways of doing evaluation and other ways of doing research.  The biggest problem is that Western researchers and evaluators and the funders and donors from the West are reluctant also, because remember, most of our development interventions are funded from the West.  These people are reluctant to engage with philosophies that see a connection between the living and the non-living.  And these are called relational ontologies and epistemologies that are basically informed by our philosophies, especially the philosophy of Ubuntu.
HOW TO REFERENCE USING ASWDNET STYLE
Chilisa, B. (2024). Relational ontologies and epistemologies that are informed by our philosophies: Inaugural Ubuntu Annual Lecture 2022. Ubuntu Lecture delivered on 25 November 2022. African Journal of Social Work, 14(3), 158-165. https://dx.doi.org/10.4314/ajsw.v14i3.8
Visit journal website: https://ajsw.africasocialwork.net
A review of book titled The Social Work, Social Welfare, and Social Development in Nigeria: A Postcolonial Perspective by Mel Gray, Solomon Amadasun (2023)
Authors: Mugumbate Rugare
Published: October 2024

HOW TO REFERENCE THIS REVIEW USING ASWDNET STYLEMugumbate, R. (2024). A review of book titled The Social Work, Social Welfare, and Social Development in Nigeria: A PostcolonialPerspective by Mel Gray, Solomon Amadasun (2023). African Journal of Social Work, 14(3), 233-234.https://dx.doi.org/10.4314/ajsw.v14i4.7
Visit journal website: https://ajsw.africasocialwork.net
Effect of Power Supply on the Socio-Economic Development of South East, Nigeria
Authors: Nneze Ahumibe , Ezeodili Walter , Nze Ujunwa
Published: October 2024

The study examined the effect of power supply on the socio-economic development of South East, Nigeria. The research design utilized was descriptive research approach. The population of the study was 10,950,771. Data collected for the study were presented usingdescriptive statistics, The study revealed that Power supply does have a significant negative effect on cost of production in South East, Nigeria, (this is where the t-value is -796.442, and P-value is 0.00), that Power supply had a significant negative effect on job creation in South East, Nigeria (this is where t-value is -128.604, and P-value is 0.00) and that Power supply has a significant negative effect on job creation in South East, Nigeria (based on the t-value of -295.988, and P-value of 0.00). Major findings revealed that power supply significantly influences the economic development of South East Nigeria, several key implications arise. Reliable electricity is foundational for industrial productivity, influencing cost efficiencies and competitive market pricing. Conversely, frequent outages and reliance on costly alternatives like generators inflate operational expenses, hampering business growth and investment attractivenes. It is recommended among others to mitigate the impact of power supply on production costs in South East Nigeria, policymakers should prioritize infrastructure development. This includes enhancing grid reliability, promoting renewable energy sources, and subsidizing energy-efficient technologies.
Misapplication of financial resources and organizational performance: the moderating role of institutional enforcement
Authors: Issah Ofori , Baah Samuel Agyei , Boafo Eric Dadzie
Published: October 2024

This study examines the moderating role of institutional enforcement on the relationship between misapplication of financial resources and organizational performance. An explanatory research design was adopted. The study used quantitative approach and relied on a single cross-sectional survey. A purposive sampling technique was employed to obtain a sample size of 240. The findings of the study indicate that misapplication of financial resources has no statistically significant influence on organizational performance. There is a strong positive and statistically significant influence of institutional enforcement on organizational performance. Institutional enforcement has a significant moderating effect on the relationship between the misapplication of financial resources and organizational performance. Understanding the moderating role of institutional enforcement is essential for organizations seeking to enhance financial accountability and mitigate the risks associated with financial mismanagement.
Health and Resilience
Authors: Sikorska Iwona
Published: October 2024

The monograph Health and resilience is a collection of papers providing the reader with an opportunity to look at the issue of mental health and resilience from various perspectives. It examines numerous concepts of resilience as related to patterns of adaptation in adverse contexts. Resilience accordingly can be conceived as good adaptation, effective coping or well-being attained despite of adversities. As referring to a class of complex phenomena, resilience is not only a basic category for developmental psychopathology and positive psychology, but also applies to developmental, educational, family and health psychology as well as to psychoneuroimmunology. The chapters of the book address the issue of resilience from either the nomothetic or the idiographic perspective. The monograph discusses theoretical models of resilience, investigates mechanisms and processes connected with health and resilience, scrutinizes various aspects of the latter (such as risk and protective factors or internal and external resources) and provides examples of support in difficult life circumstances.
The Impact of Coaching on Development of Transversal Skills: An Exploratory Study of Teacher Candidates in Kazakhstani Primary Education
Authors: Sarsenbayeva Gulnaz , Zhumabayeva Aziya , Yessenova Kalbike , Ismailova Fariza
Published: October 2024

In Kazakhstan, the development of future teachers' transversal skills is currently underemphasized in both curricula and basic educational programs. This gap poses a risk that many pedagogy graduates will lack essential transversal skills, thereby potentially reducing their effectiveness in their professional lives and hindering their career improvement. However, empirical data on the effectiveness of interventions, such as coaching, in enhancing transversal skills among future teachers are limited. This study aims to examine the impact of coaching interventions on enhancing transversal skills in future educators using a mixed methods approach. The experiment involved 100 participants and highlighted challenges such as limited knowledge of transversal skills, motivation issues in skill development, and difficulties in utilizing coaching technology effectively. However, the study findings reveal significant improvements in participants' transversal skills after implementing and testing an academic program designed for this purpose. These findings can serve as a basis for developing strategies to enhance transversal skills in university settings and inform the adaptation of educational programs focused on transversal skill development.
Kadınların Jinekolojik Kanser Farkındalık Düzeyleri ve İlişkili Faktörler
Authors: Gökşin İlknur , Ertuğrul Yasemin , Sedakatlı Ümmüye
Published: October 2024

Giriş: Jinekolojik kanserlerin kadınlar arasındaki farkındalığının arttırılması kanserin erken tanı, tedavisinde ve mortalite oranının azaltılmasında önemli yer tutmaktadır.

Amaç: Araştırma, kadınların jinekolojik kanser farkındalık düzeyleri ve etkileyen faktörlerin değerlendirilmesi amacıyla yapılmıştır.

Yöntem: Tanımlayıcı tipteki araştırma, Kasım 2020-Ekim 2021 tarihleri arasında İç Anadolu bölgesindeki bir ilde yaşayan, okuma-yazma bilen, sosyal medya kullanabilen 508 kadın ile yürütülmüştür. Veriler, Kişisel Bilgi Formu ve Jinekolojik Kanserler Farkındalık Ölçeği ile “Google Forms” uygulaması üzerinden verilerin toplanmasıyla elde edilmiştir. Verilerin dağılımını belirlemek için Shapiro-Wilks testi kullanılmış ve verilerin normal dağılmadığı tespit edilmiştir. Çalışma verilerinin değerlendirilmesinde yüzde, ortalama, standart sapma, min.- maks., ortanca hesaplamalarının yanı sıra, Mann Whitney U testi ve Kruskal Wallis testleri kullanılmıştır.

Bulgular: Araştırmaya katılan kadınların yaş ortalamasının 30.8 ± 10.4, %56.3’ünün 20-29 yaş grubunda, %58.7’sinin üniversite mezunu, %65.2’sinin çalışmadığı, %53.7’sinin beden kitle indeksine göre normal kiloda olduğu, %64.6’sının herhangi bir doğum kontrol yöntemi kullanmadığı belirlenmiştir. Kadınların jinekolojik kanser farkındalığı ölçeği toplam puan ortalaması 155.5 ± 21.9 olarak saptanmıştır. Kadınlardan eğitim düzeyi yüksek olanların, modern doğum kontrol yöntemi kullananların, jinekolojik kanserler hakkında bilgi alanların, çocuk sahibi olanlarının ve pap-smear testi yaptıranların jinekolojik kanser farkındalıklarının daha yüksek olduğu belirlenmiştir.

Sonuç: Bu araştırmada, kadınların jinekolojik kanser farkındalıklarının, orta düzeyin üzerinde olduğu ve eğitim düzeyinin yüksek olmasının, modern doğum kontrol yöntemi kullanımının, pap-smear testi yaptırma ve sağlık personellerinden jinekolojik kanserler ile ilgili bilgi alma durumlarının jinekolojik kanser farkındalıklarını arttırdığı saptanmıştır.
Septorinoplasti Hastalarının Ameliyat Sonrası Yaşamlarına Uyum Durumlarının Roy Adaptasyon Modeline Göre İncelenmesi
Authors: Köksel Pervin , Kocyigit Kavak Hülya , Karagözoğlu Şerife
Published: October 2024

Giriş: Roy Adaptasyon Modeli hemşirelikte sistematik bakım sunumunda yaygın olarak kullanılan modellerden biridir. Bu model, bireylerin karşılaştıkları sorunlara uyum sağlayıcı tepkiler geliştirmelerine yardımcı olarak bireyin yaşam değişikliklerine uyum sağlamasına yardımcı olur.

Amaç: Çalışmanın amacı septorinoplasti hastalarının ameliyat sonrası uyum durumlarını Roy Uyum Modeline göre araştırmaktır.

Yöntem: Tanımlayıcı nitel bir araştırma olarak tasarlanan çalışmanın kavramsal çerçevesi Roy Uyum Modeli’ne dayanmaktadır. Araştırmanın örneklemini primer septorinoplasti ameliyatı geçiren 14 hasta oluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen ve derinlemesine görüşme tekniği kullanılarak hazırlanan “Kişisel Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu” kullanılarak toplanmıştır. Veriler Maxqda programı kullanılarak analiz edildi.

Bulgular: Septorinoplasti ameliyatı olan hastaların Roy Uyum Modeline göre Fizyolojik Alanda; korunma, nörolojik, duyusal, beslenme, aktivite-dinlenme ve oksijenlenme; Benlik Kavramı Alanında olumlu ve olumsuz fiziksel görünüm; Rol İşleyiş Alanında sorumluluklarını yerine getirmede veya sorumluluklarını ertelemede sorun yaşamamak; Karşılıklı Bağlılık Alanında destek kaynakları, saygınlık ve bilgi ihtiyaçları gibi durumlara yönelik uyumlu ve uyumsuz davranışlar sergilemişlerdir.

Sonuç: Septorinoplasti ameliyatı sonrasında hastaların Roy Adaptasyon Modeline göre dört alanda da uyumlu ve uyumsuz davranışlar sergiledikleri, herhangi bir adaptasyon alanında yaşanan davranışın diğer alanları da etkilediği belirlendi. Hastaların uyumsuz davranışlarının belirlenerek uyumlu davranışlara dönüştürülmesine yönelik etkili hemşirelik girişimlerinin planlanması ve uygulanması önerilmektedir.
Covid-19 Pandemisinde Kadınlara Yönelik Psikolojik Şiddet Düzeyi ve Kadınların Şiddete Yönelik Tutumları
Authors: Erdemoğlu Çiğdem , Aydın Özkan Semiha , Koç Özkan Tuba , Turan İpek
Published: October 2024

Giriş: Covid 19 ile birlikte kadına yönelik psikolojik şiddetin artabileceği düşünülmektedir.

Amaç: Bu araştırma pandemi döneminde evli kadınlara yönelik psikolojik şiddet düzeyi ile kadınların şiddete yönelik tutumları arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır.

Yöntem: Tanımlayıcı türde olan ilişki arayıcı araştırmanın örneklemini 314 kadın oluşturmaktadır. Araştırma, Türkiye’ nin güneydoğusunda yer alan bir il merkezinde online platformda yapılmıştır. Örneklem büyüklüğü G*Power programı ile hesaplanmıştır. Veriler Kişisel Bilgi Formu, Kadınlara Yönelik Psikolojik Şiddet Ölçeği (KYPŞÖ) ve Aile İçi Şiddete Yönelik Tutum Ölçeği (AİŞYTÖ) ile elde edilmiştir. İstatistiksel değerlendirmede tanımlayıcı istatistikler, Mann-Whitney U testi, Kruskal Wallis testi ve Spearman korelasyon analizi kullanılmıştır.

Bulgular: KYPŞÖ kötü davranma, kısıtlama, kıskançlık ve eleştiri alt boyut puan ortalamaları sırasıyla 41.07±18.90, 13.12±5.72, 6.28±3.43, 6.01±2.84 ve AİŞYTÖ toplam puan ortalaması 20.36 ± 5.85 olarak bulunmuştur. Pandemide artan ev işi ile KYPŞÖ kötü davranma ve eleştiri alt boyut puan ortalamaları arasında istatistiksel olarak anlamlı fark bulunmuştur (p
La gamificación como estrategia didáctica para el desarrollo de las habilidades socioemocionales en niñas y niños de 24 a 36 meses
Authors: Araujo Holguín Dayanna Melissa , Cedeño Ponce Noelia Jahaira , Zambrano Alcívar Johanna Isabel , Bermúdez Barcia Jéssica Alexandra
Published: October 2024

En este estudio se aborda la problemática relacionada al deficiente desarrollo de habilidades socioemocionales en niñas y niños de 24 a 36 meses. El objetivo de esta investigación es establecer la gamificación como estrategia didáctica para desarrollar las habilidades en el CNH "Ternuritas San José" en Portoviejo. Se utilizó una metodología de enfoque mixto, con un tipo de investigación descriptiva y exploratoria, aplicando encuesta y ficha de observación en esta unidad de atención. Los resultados evidenciaron deficiencias en el desarrollo socioemocional en edades tempranas y bajo conocimiento de la gamificación por parte de los padres de familia. Se propuso una guía didáctica con actividades gamificadas en Genially, Educaplay y Wordwall fortaleciendo el reconocimiento de emociones, autocontrol y comunicación, se concluye que la gamificación como estrategia didáctica tiene un impacto significativo en el desarrollo de habilidades socioemocionales en edades tempranas, creando un entorno de aprendizaje lúdico y fortaleciendo vínculos afectivos.
Toxoplasmosis del sistema nervioso central y VIH: revisión de la literatura
Authors: Saca Blanca , Salas Contreras Francy Hollminn , Cobos Alvarracin Marcia Yolanda
Published: October 2024

En odontología, se han logrado avances notables en las últimas décadas con un enfoque en la eficiencia terapéutica y la mejora de la experiencia del paciente, uno de los desafíos clave en este campo es acelerar el movimiento dental, lo que puede reducir la duración de los tratamientos ortodóncicos y minimizar el impacto negativo en los tejidos periodontales. Analizar la aplicación de la osteotomía y la corticotomía en la ortodoncia acelerada. Para llevar a cabo esta revisión, se realizó una búsqueda exhaustiva en bases de datos científicas, desde 2018 hasta 2023, en inglés y español, se utilizaron términos controlados y descriptores relacionados con la osteotomía, la corticotomía y la aceleración del movimiento dental. Se aplicaron criterios de inclusión y exclusión. Los 12 estudios revisados muestran que tanto la corticotomía como la osteotomía tienen un impacto positivo en la aceleración del movimiento dental, reduciendo la densidad del hueso cortical y disminuyendo la resistencia al desplazamiento dental, la eficacia de estas técnicas puede variar. Tanto la corticotomía como la osteotomía son técnicas quirúrgicas valiosas en la ortodoncia acelerada, con la capacidad de modificar las propiedades del tejido óseo circundante y facilitar el movimiento dental.
Síndrome de Guillain – Barré pediátrico post SARS - COVID19: revisión de la literatura
Authors: Loja Maria , Salas Contreras Francy Hollminn , Peña Susana
Published: October 2024

El Síndrome de Guillain-Barre es una enfermedad aguda caracterizada por la inflamación de los nervios periféricos y sus raíces espinales, causada por el sistema inmunológico atacando al propio cuerpo. Por lo general se manifiesta como una parálisis suave, equilibrada y que va ascendiendo. Determinar el manejo y terapéutica del síndrome de Guillain Barré pediátrico post SARS-Cov-2 para presentar elementos novedosos e instructivos de la enfermedad en un caso clínico. Se llevó a cabo un estudio detallado de un caso clínico utilizando un enfoque descriptivo y retrospectivo. La información del caso se recopiló mediante una revisión exhaustiva de la historia clínica, mientras que la descripción de la enfermedad se basó en la recopilación de artículos de bases de datos reconocidas como Scopus, PorQuest, Pubmed y Lilacs. En la situación médica descrita se nos muestra a un individuo con debilidad muscular en miembros inferiores, 3 días después se suma al cuadro cefalea de moderada intensidad, y 48 horas posteriores el cuadro se exacerba con paresia de miembros inferiores y dificultad para deambular acompañado con disfagia por lo que ingresa, signos vitales dentro de parámetros normales. El trastorno neurológico conocido como síndrome de Guillain-Barré (SGB) es un trastorno frecuente que afecta al sistema inmunitario, siendo un estudio minucioso para poder diagnosticar esta patología correlacionando datos de la historia clínica y exámenes complementario a fin de evitar diversos eventos que pongan en riesgo al paciente.
Pengaruh Jam Kerja, Usia, dan Motivasi Kerja Terhadap Kepatuhan Dokter Dalam Pengisian Berkas Rekam Medis di Unit Rawat Inap Rumah Sakit Umum (RSU)
Authors: Jaya I Gusti Nyoman Trianantha , Kosasih Kosasih
Published: October 2024

Menurut Undang-Undang (UU) Republik Indonesia No. 44 Tahun 2009 Tentang Rumah Sakit pada pasal 1 ayat 1 menyatakan bahwa rumah sakit adalah institusi pelayanan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat inap, rawat jalan, dan gawat darurat. Metode penelitian ini menggunakan pendekatan literature review yang bertujuan untuk menganalisis berbagai sumber data ilmiah yang berkaitan dengan topik yang diambil penulis yaitu “Pengaruh Jam Kerja, Usia, dan Motivasi Kerja Terhadap Kepatuhan dalam Pengisian Berkas Rekam Medis”. Pengertian Rekam Medis menurut Permenkes Nomor 269/Menkes/Per/III/2008 Tentang Rekam Medis adalah berkas yang berisikan catatan dan dokumen tentang identitas pasien, pemeriksaan, pengobatan, tindakan dan pelayanan lain yang telah diberikan kepada pasien. Rumah Sakit menunjukkan bahwa ketiga faktor tersebut memiliki peranan yang sangat penting atau signifikan dalam menentukan tingkat kepatuhan dokter dalam pengisian rekam medis.
RETAINING WALL PLANNING IN WASTE MANAGEMENT
Authors: P. Adz-Dzyikri Apriliansyah , Rendiansyah Inggy , F. Ridho Naufal , Firmanto Arief
Published: October 2024

This study aims to analyze the performance and productivity of heavy equipment as well as the volume of waste produced in a waste disposal area (TPSA) located in Kuningan Regency. The research was carried out at the Ciniru TPSA located in Jalaksana District, Kuningang Regency, with the aim of finding out the data on the volumes of waste, transport trucks, and excavator heavy equipment. The results show that the amount of existing waste in the area reaches 630 m3 with an average amount of irritation of 71 times per day. In addition, the production of heavy machinery for garbage trucks, excavators, and bulldozers reaches 128.07 m3/hour, which is a working time of 8 hours and operational costs of Rp 244,957/hour, respectively. The findings of this study offer valuable information on the effectiveness of retaining walls in mitigating environmental impact, protecting agricultural areas, and improving waste handling practices. Moreover, investigating methods to extend landfill lifespan through improved spatial planning and capacity forecasting will be crucial, especially for regions facing waste overflow challenges in the near future.
Peran Indonesia dalam Mewujudkan Stabilitas Keamanan Kawasan Regional Asean di Tengah Perebutan Pengaruh Negara-Negara Great Power
Authors: Miknamara Jorry S. Koloay. , Indra Indra
Published: October 2024

Geopolitical developments in Southeast Asia have become the center of attention of major world powers, especially the United States and China. ASEAN, through the ADMM and ADMM-Plus forums, plays an important role in maintaining regional security stability. This study aims to analyze Indonesia's role in realizing security stability in the ASEAN region in the midst of great power competition. The research methods used are qualitative with in-depth interviews, case studies, and secondary data analysis from various sources, including policy reports and official government statements. The results of the study show that Indonesia plays a role as a diplomatic mediator, a reinforcer of regional cooperation, and a defender of ASEAN sovereignty. ADMM-Plus also faces challenges in expanding membership, which requires careful geopolitical considerations. In conclusion, Indonesia has a crucial role in maintaining regional stability through multilateral cooperation and conflict resolution efforts in ASEAN.
An Assessment of Electronically Captured Data in the Patient Care Enhancement System (PACES) for Syndromic Surveillance
Authors: Ang BCH , Chen MIC , Goh TLH , Ng YY , Fan SW
Published: October 2024

Introduction: A common approach to the surveillance of emerging infectious diseases and agents of bioterrorism is to analyse electronically captured data for disease syndromes. The Patient Care Enhancement System (PACES) is a form of electronic medical records presently in service in the Singapore Armed Forces (SAF). We assess the feasibility of PACES data for surveillance, describe time-trends, and identify methods of sub-analysis which could improve performance.

Materials and Methods: Medical consults from July 2000 to June 2003 were extracted. Diagnosis codes were mapped to 7 infectious disease syndromes according to the categorisation in the Electronic Surveillance System for the Early Notification of Communitybased Epidemics (ESSENCE): gastrointestinal (GI), fever (FEVER), respiratory, (RESP), coma (COMA), neurological (NEURO), dermatologic-haemorrhagic (DERMHEM) and dermatologic-infectious (DERM-INF).

Results: A total of 732,233 episodes of care were analysed. Weekly periodicity was observed, with decreased weekend consults; there were no obvious seasonal trends in any of the syndromes. RESP, FEVER and GI syndromes were common events. Sub-analyses, either by restricting to cases with a repeated consultation, or grouping the data by medical centres, could dramatically lower thresholds used to flag outbreaks.

Conclusion: In spite of the level of background noise inherent in a system consisting mainly of primary care consults, sub-analysis by medical centre, or restriction to cases with repeated consults were able to yield sensitive thresholds for outbreak detection.
Gastric Pneumatosis after Endoscopic Argon Plasma Coagulation
Authors: Chung YFA , Koo WH
Published: October 2024

Introduction: Endoscopic argon plasma coagulation (APC) is gaining widespread usage but its risk is underreported.

Clinical Picture: A 74-year-old man who received radical radiotherapy for gastric carcinoma 6 months ago was admitted for anaemia and maelena. Gastroscopy revealed haemorrhagic radiation gastritis. Endoscopic APC was performed but terminated when he complained of severe epigastric pain. Computed tomography scan showed gastric pneumatosis. Treatment: His pain subsided with a period of overnight rest and observation.

Outcome: He continued to have 3 sessions of endoscopic APC at monthly intervals and at 10 months posttreatment, his haemoglobin remained stable at 11.1 g/dL.

Conclusions: This case report highlights a complication of gastric pneumatosis and discusses the safe usage of this modality of endoscopic haemostasis. This is to increase cognisance of this potentially fatal complication among endoscopists.
Autosomal Dominant Familial Chronic Mucocutaneous Candidiasis Associated with Acne Rosacea
Authors: E HL , Tan HH , Ng SK
Published: October 2024

Introduction: Autosomal dominant chronic mucocutaneous candidiasis (CMC) without endocrinopathy (OMIM 114580) is a well-described entity. The associations recorded with this disorder to date are intercellular adhesion molecule-1 (ICAM-1) deficiency and hyper-immuno-globulin E syndrome.

Clinical Picture: We report a new association in a family (mother and non-identical twin sons) where acne rosacea is a prominent feature together with CMC. In addition, antibodies to thyroid microsomal and antiparietal cell were also isolated. The autoantibodies might be associated with a current “latent” endocrinopathy in particular autoimmune thyroiditis.

Treatment: The patient was treated with intermittent pulses of itraconazole for the candidiasis and doxycycline initially before being substituted with isotretinoin 6 months later for the rosacea.

Outcome: The patient’s candidiasis responded well and has been in remission for 3 months while his rosacea continues to improve.
Severe Upper Limb Complications from Parenteral Abuse of Subutex®
Authors: Loo HW , Yam AKT , Tan TC , Peng YP , Teoh LC
Published: October 2024

Introduction: Subutex® is a sublingual formulation of buprenorphine that is used to treat opioid dependency. It may be abused parenterally with disastrous consequences.

Clinical Presentation: We present 4 cases of parenteral abuse of Subutex® resulting in severe upper limb complications.

Treatment: Two vascular complications were treated with combinations of anticoagulants, vasodilators, brachial plexus bock and iloprostol. One severe hand abscess required surgical debridement, and 1 median nerve injury required neurolysis.

Outcome: All patients had a poor outcome. Both patients with vascular complications required multiple amputations, the patient with a thenar abscess had severely impaired thumb function, and the patient with median nerve injury has ongoing neuralgic pain, numbness and thenar weakness.

Conclusion: The incidence of complications of parenteral abuse of Subutex® is increasing in Singapore. These complications have a poor outcome despite adequate management, and are best prevented by education or legal means.
Esporte e família relacionados ao desempenho acadêmico: uma revisão integrativa
Authors: Souza Mariana Trindade Rosa de , Gasperin Murilo , Rojas Vanessa Melina  Cotrim , Vagetti Gislaine Cristina , Oliveira Valdomiro de
Published: October 2024

O objetivo deste estudo foi realizar uma revisão integrativa relacionada aos contextos esportivo, familiar e acadêmico, utilizando como referência Botelho, Cunha e Macedo (2011). Dos nove estudos selecionados, o maior número concentra-se nos continentes europeu e americano. As pesquisas, em sua maioria, foram quantitativas e, nas variáveis, identificou-se prevalência na análise da influência do esporte no desempenho acadêmico. O elo entre os estudos foi a prática esportiva, mas a análise de outras variáveis tornou cada pesquisa única. Três categorias surgiram: Esporte-Escola, Esporte-Família-Desempenho Acadêmico, e Esporte-Desempenho Acadêmico. Os estudos apontam barreiras, mas sugerem que, por meio do suporte da família e da escola, tais dificuldades podem ser minimizadas. Além disso, recomendam a elaboração de políticas educacionais sobre a importância da atividade física e da prática esportiva para o desenvolvimento de crianças e adolescentes.
Ancient Practice of Garbh Sanskar and its Importance in Modern Scenario
Authors:   Assistant Professor, Samhita Dept., Govt. Ashtang Ayurveda College, Indore (M.P.) India.
Published: October 2024

Garbh Sanskar is ancient practice of nurturing mental, physical and emotional environment of mother during her pregnancy stage to promote overall well-being of both mother as well as her unborn child. This ancient practice combines holistic habits that include balanced nutrition, Yoga, recitation of Mantra, prayer and meditation, etc. This process inculcates positive values in the subconscious mind of Garbh (fetus) and also nourish mother in all means to manifest optimal strength in all dimensions. The practices of Garbh Sanskar maintain well being of mother and child, these effects subsequently reflects in the later stages of pregnancy and after the child birth. The current scenario witnessed hampered pattern of life style which significantly deteriorate health of women carrying fetus, this may cause problem in normal child birth or disrupt health of new born. Therefore practices of Garbh Sanskar become crucial in modern’s day life style to prevent mother and child from the harmful effects of stressful pattern of current scenario. This article highlights ancient practice of Garbh Sanskar and its importance in modern scenario.