bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Awareness, Knowledge, and Approval of Orthodontic Treatment among Dental Patients in Northwestern Nigeria: A Cross-sectional Study
Authors: Bala Mujtaba , Braimah Ramat Oyebunmi , Taiwo Abdurrazaq Olanrewaju , Sulaiman Amidu Omotayo , Sulaiman Kazeem Adisa , Bawa Anas Tsafe , Yekini Lateef Alani
Published: May 2024

Background:

Malocclusion is a common presenting problem in the dental setting. This study aimed to evaluate the awareness, knowledge, and approval of orthodontic treatment among patients in Northwestern Nigeria.

Materials and Methods:

This was a cross-sectional study conducted in the Department of Dental and Maxillofacial Surgery of Usmanu Danfodiyo University Teaching Hospital, Sokoto, over 10 months using a self-administered questionnaire. After obtaining ethical approval from the institution’s research and ethics committee, 510 respondents filled out and returned the questionnaires. The questionnaire was designed to test for awareness, source of awareness, knowledge, willingness to approve, and reason for not being willing to approve orthodontic treatment. The data obtained were analyzed using Statistical Package for the Social Sciences (IBM SPSS) software version 25.

Results:

A total of 510 appropriately filled and returned the questionnaires among which there were 346 (67.8%) male and 164 (32.2%) female respondents. The mean ± standard deviation age of the respondent was 24.54 ± 9.53 in the range of 17–68 years. Only 184 (n) respondents were aware of orthodontic treatment, and dentist 81 (44.0%) was the main source of information. Those respondents who claimed to know about orthodontic treatment scored a total of 38.4% in the knowledge assessment. A total of 122 (66.3%) of the respondents were willing to approve orthodontic treatment.

Conclusion:

This study revealed below average level of awareness and knowledge of patients about orthodontic treatment. Awareness and knowledge about orthodontic treatment are capable of sensitizing the patients to accept and cooperate better, hence the higher success of the treatment.
Sequential Bilateral Total Hip Arthroplasty for Osseous Ankylosed Hips with Severe Flexion Deformity in a Teenage Girl – A Case Report and Review of Literature
Authors: Ansari Sajid , Raja Balgovind S , Paul Souvik , Kalia Roop Bhushan
Published: May 2024

Total hip arthroplasty (THA) in an ankylosed hip is a challenging procedure, especially in the presence of severe flexion deformity. The outcome of surgery largely depends on the surgical technique apart from the degree of the change that occurs in the muscles and soft tissues at the hip from long immobilization, and considerable postoperative rehabilitation is necessary. The complications in these cases are also higher than primary THA for nonankylosed hips. We report a case of a young teenage girl with both hips fused in severe flexion deformity. Surgical technique is described in detail, and pertinent literature is reviewed.
Osteoporosis
Authors: Dheeraj  , Kumar Nirmal , Ronanki Kavya , Kant Ravi
Published: May 2024

Osteoporosis is characterized by low bone mass and microarchitectural deterioration of bone tissue, with a subsequent increment in bone fragility and susceptibility to fracture. It is the most common metabolic bone disorder. It is a common condition affecting one in three women and one in five men over 50, resulting in substantial morbidity, excess mortality, and health and social services expenditure. Osteoporosis is undertreated and underrecognized, considering the silent nature of the disease. Therefore, it is essential to develop strategies for early detection, prompt prevention, and treatment of osteoporosis in both men and women. This paper reviews the risk factors associated with osteoporosis, diagnostic approach, investigation, and management. This should include multidynamic lifestyle changes to reduce bone loss and decrease the risk of falls and identify and treat secondary causes of bone loss and specific treatment for osteoporosis. Hormone replacement therapy, raloxifene, bisphosphonates, calcium and Vitamin D, calcitonin, and parathyroid hormone have all been shown to improve bone density and decrease the risk of fracture in specific situations. Treatment must be tailored to the individual patient to ensure compliance and optimize the potential benefits.
A New Diagnostic and Therapeutic Method for the Conservative Management of Sciatica
Authors: Malik Vivek , Agarwal Varun Kumar
Published: May 2024

Background:

The term “Sciatica” is commonly used for describing nerve pain in the leg which is caused due to the irritation or compression of the sciatic nerve. It is a source of disability and can interfere with the physical occupation aspect. Estimates for the lifetime incidence of sciatica range from 13% to 40%. Two common nonsurgical interventions used are physical therapy and epidural steroid injections. Pain is regulated by a subset of voltage-gated sodium channels, (NaV1.3, NaV1.7, NaV1.8, and NaV1.9). For this character of sodium channels in neurological pain, a peripheral nerve block is an upcoming treatment other than conventional treatment options such as steroid injections or opioids, analgesics.

Methods:

We conducted a randomized placebo-controlled trial in which after the application of injection we compared Visual Analog Scale Score, subjective satisfaction scale, straight leg raise (SLR) test preinjection and postinjection at 10 min, 1 week, and at 1 month.

Results:

In our study, a total of 92 patients were taken for the study: 66 patients in drug mixture group and 26 patients in the placebo group. The present study showed relief from pain up to the maximum follow-up period of 1 month; it also showed improvement in the SLR and also a better patient satisfaction, without any complications.

Conclusion:

In conclusion, peripheral sodium-channel block can be considered as a diagnostic as well as an option for short-term relief from pain in the patient suffering from sciatica, allowing physiotherapy, and rehabilitation exercises.
Use of Trochanteric Femoral Nail System in the Management of Un-United Proximal Femoral Fracture
Authors: Sah Saroj , Dhingra Mohit
Published: May 2024

The mode of fixation of proximal femur fracture has evolved immensely. Inspite of use of number of implants the failure of fixation is reported to be between 5 to 14%. The fixation failure is mainly due to loss of fixation in the proximal femur. Quality of bone is the major factor for loss of fixation. Here in our study we present a case report where trochanteric femoral nail advanced system has been used for fixation of proximal femur which had compromised bone quality and had undergone multiple surgeries. We here have highlighted the methodology for use of this implant and along with peroperative experiences.
Plate Osteosynthesis
Authors: Dharmshaktu Ganesh Singh , Dharmshaktu Ishwar Singh , Agarwal Naveen , Agarwal Anant
Published: May 2024

Plate osteosynthesis involves open reduction and internal fixation of fractures with plate application abiding various principles of fixation. The conventional plates currently in widespread use are dynamic compression plate, tubular pates, and locking compression plates. There have always been modifications and advancements in implant development and the plates have also undergone various updates. Many of these developments are in vogue but many are in their primary stages. The newer technical developments and newer implants enrich the surgical armamentarium and address a critical issue in their usage and application. As part of the continuous professional development, working knowledge of key recent advances and new implant development is important for a relevant orthopedic practice.
Differential distribution of PINK1 and Parkin in the primate brain implies distinct roles
Authors: Liu Yanting , Huang Wei , Wen Jiayi , Xiong Xin , Xu Ting , Wang Qi , Chen Xiusheng , Zhao Xianxian , Li Shihua , Li Xiaojiang , Yang Weili
Published: May 2024

JOURNAL/nrgr/04.03/01300535-202504000-00028/figure1/v/2024-07-06T104127Z/r/image-tiff

The vast majority of in vitro studies have demonstrated that PINK1 phosphorylates Parkin to work together in mitophagy to protect against neuronal degeneration. However, it remains largely unclear how PINK1 and Parkin are expressed in mammalian brains. This has been difficult to address because of the intrinsically low levels of PINK1 and undetectable levels of phosphorylated Parkin in small animals. Understanding this issue is critical for elucidating the in vivo roles of PINK1 and Parkin. Recently, we showed that the PINK1 kinase is selectively expressed as a truncated form (PINK1–55) in the primate brain. In the present study, we used multiple antibodies, including our recently developed monoclonal anti-PINK1, to validate the selective expression of PINK1 in the primate brain. We found that PINK1 was stably expressed in the monkey brain at postnatal and adulthood stages, which is consistent with the findings that depleting PINK1 can cause neuronal loss in developing and adult monkey brains. PINK1 was enriched in the membrane-bound fractionations, whereas Parkin was soluble with a distinguishable distribution. Immunofluorescent double staining experiments showed that PINK1 and Parkin did not colocalize under physiological conditions in cultured monkey astrocytes, though they did colocalize on mitochondria when the cells were exposed to mitochondrial stress. These findings suggest that PINK1 and Parkin may have distinct roles beyond their well-known function in mitophagy during mitochondrial damage.
Pro-resolving lipid mediator reduces amyloid-β42–induced gene expression in human monocyte–derived microglia
Authors: Wang Ying , Zhang Xiang , Biverstål Henrik , Bazan Nicolas G. , Tan Shuai , Li Nailin , Ohshima Makiko , Schultzberg Marianne , Li Xiaofei
Published: May 2024

JOURNAL/nrgr/04.03/01300535-202503000-00031/figure1/v/2024-06-17T092413Z/r/image-tiff

Specialized pro-resolving lipid mediators including maresin 1 mediate resolution but the levels of these are reduced in Alzheimer’s disease brain, suggesting that they constitute a novel target for the treatment of Alzheimer’s disease to prevent/stop inflammation and combat disease pathology. Therefore, it is important to clarify whether they counteract the expression of genes and proteins induced by amyloid-β. With this objective, we analyzed the relevance of human monocyte–derived microglia for in vitro modeling of neuroinflammation and its resolution in the context of Alzheimer’s disease and investigated the pro-resolving bioactivity of maresin 1 on amyloid-β42–induced Alzheimer’s disease–like inflammation. Analysis of RNA-sequencing data and secreted proteins in supernatants from the monocyte-derived microglia showed that the monocyte-derived microglia resembled Alzheimer’s disease–like neuroinflammation in human brain microglia after incubation with amyloid-β42. Maresin 1 restored homeostasis by down-regulating inflammatory pathway related gene expression induced by amyloid-β42 in monocyte-derived microglia, protection of maresin 1 against the effects of amyloid-β42 is mediated by a re-balancing of inflammatory transcriptional networks in which modulation of gene transcription in the nuclear factor-kappa B pathway plays a major part. We pinpointed molecular targets that are associated with both neuroinflammation in Alzheimer’s disease and therapeutic targets by maresin 1. In conclusion, monocyte-derived microglia represent a relevant in vitro microglial model for studies on Alzheimer’s disease-like inflammation and drug response for individual patients. Maresin 1 ameliorates amyloid-β42–induced changes in several genes of importance in Alzheimer’s disease, highlighting its potential as a therapeutic target for Alzheimer’s disease.
Therapeutic potential of stem cells in subarachnoid hemorrhage
Authors: Kanamaru Hideki , Suzuki Hidenori
Published: May 2024

Aneurysm rupture can result in subarachnoid hemorrhage, a condition with potentially severe consequences, such as disability and death. In the acute stage, early brain injury manifests as intracranial pressure elevation, global cerebral ischemia, acute hydrocephalus, and direct blood–brain contact due to aneurysm rupture. This may subsequently cause delayed cerebral infarction, often with cerebral vasospasm, significantly affecting patient outcomes. Chronic complications such as brain volume loss and chronic hydrocephalus can further impact outcomes. Investigating the mechanisms of subarachnoid hemorrhage-induced brain injury is paramount for identifying effective treatments. Stem cell therapy, with its multipotent differentiation capacity and anti-inflammatory effects, has emerged as a promising approach for treating previously deemed incurable conditions. This review focuses on the potential application of stem cells in subarachnoid hemorrhage pathology and explores their role in neurogenesis and as a therapeutic intervention in preclinical and clinical subarachnoid hemorrhage studies.
Clinical characteristics and management of orbital apex syndrome: a 10-year multicentre experience
Authors: Im Y H , Kang Y J , Park C-S , Kim D H , Kim Y C , Kim J-S , Ra H , Park S H , Bae D-W , Yum H R , Chung Y W , Hwang S H
Published: May 2024

BACKGROUND: Orbital apex syndrome (OAS) is a condition characterised by lesions within the orbital apex, leading to various ophthalmologic symptoms. This study aimed to analyse the clinical characteristics and treatment strategies of OAS with respect to aetiology. METHODS: This retrospective analysis utilised data from 5 medical institutions between 2013 and 2022. Patients who were diagnosed with OAS were initially enrolled, but patients who failed to follow up at least 1 month were excluded. The prevalence of initial ophthalmologic symptoms and visual improvement after treatment was compared according to aetiology. Factors related to visual improvement were analysed. RESULTS: Among 73 enrolled patients, the leading aetiology was tumours, followed by fungal infections and inflammation. Visual impairment and proptosis were prevalent in tumour-related OAS cases. Inflammation-related OAS exhibited a higher likelihood of painful eye movements and ophthalmoplegia. Ptosis was most frequently observed in fungal infection-related OAS. Notably, fungal infections emerged as the sole significant factor negatively impacting vision progression. In inflammation-related OAS, the time interval between symptom onset and the administration of steroids was longer in patients without visual improvement, even though there was no statistically significant difference. CONCLUSIONS: Tumours were the predominant cause of OAS. Visual impairment was a common manifestation in tumour-related OAS, while fungal infections were strongly associated with a poor visual prognosis. The timely administration of steroids might be helpful for improving vision in patients with inflammation-related OAS. However, further studies are needed to enhance understanding and management of OAS.
RETRACTED : The Influence of Democratic Leadership Style, Work Discipline, Intrinsic Motivation and Physical Work Environment on Employee Performance
Authors: Gunawan Mohammad Febri , Krisnandi Herry , Digdowiseiso Kumba
Published: May 2024

This research aims to analyze the influence of democratic leadership style, work discipline, intrinsic motivation and physical work environment on the employees’ performance of PT. Straw Plus East Jakarta. This research data uses primary data in the form of a questionnaire to 100 respondents using the multiple linear regression method which was processed using SPSS 17.0 software. From data that has met the validity test, reliability test and classical assumption test. the variables are democratic leadership style, work discipline, intrinsic motivation and physical work environment on employee performance. From the model feasibility test, it shows that the four independent variables studied are proven to have a positive and real effect on the dependent variable together. Through testing the coefficient of determination (R2), it can be seen that democratic leadership style, work discipline, intrinsic motivation and physical work environment, each have an influence on employee performance, namely 93.9%, meaning that 93.9% of the dependent variable of employee performance can be explained by the independent variables are democratic leadership style, work discipline, intrinsic motivation and physical work environment. Meanwhile, the remaining 6.1% is explained by other variables that were not included in this research.
A Bibliometric Analysis of Possibilistic Portfolio Selection Models
Authors: Göktaş Furkan
Published: May 2024

Possibility theory is one of the most used uncertainty theories in decision-making. This study aims to examine possibilistic portfolio selection models. In this context, we perform their bibliometric analysis with the Web of Science (WOS) data, using the Bibliometrix, without limiting the timespan. We get many results by analyzing the data of 303 documents, of which timespan is from 1995 to 2023. We see that W. G. Zhang is the most influential author in this field. The paper introducing the possibilistic mean-variance (MV) model is the most influential document in this field. The paper introducing Markowitz’s MV model is the most influential reference. China is the most productive country in this field, whereas The South China University of Technology is the most productive institution in this field. Fuzzy Sets and Systems is the most influential journal in this field. Variance originated from Markowitz’s MV model is the most critical keyword plus in this field. It has also maintained its trend topic position for a long time. To the best of our knowledge, this is the first paper making a bibliometric analysis of possibilistic portfolio selection models.
Sistem Informasi Penjualan Berbasis Web untuk Toko Ritel
Authors: Putra Angga Wahyu Surya , Suprianto Suprianto
Published: May 2024

Perkembangan teknologi yang cepat berdampak signifikan terhadap kemajuan masyarakat dalam konteks globalisasi, namun ketidaksesuaian antara data keuangan yang diharapkan dan aktual masih berlanjut. Penelitian ini menyelidiki pengembangan sistem informasi penjualan berbasis web yang bertujuan untuk mengatasi ketidaksesuaian tersebut dalam operasi ritel. Secara tradisional, manajemen data ritel melibatkan proses manual yang rentan terhadap kesalahan, mulai dari pengumpulan data inventaris hingga pencatatan dan pelaporan transaksi. Dengan mendigitalkan proses-proses ini, sistem yang diusulkan memanfaatkan platform PhpMyadmin untuk meningkatkan akurasi dan efisiensi. Implementasi di sebuah toko ritel umum memudahkan penyederhanaan operasi penjualan umum, menunjukkan penurunan yang signifikan dalam kesalahan pengumpulan dan pencatatan data. Studi ini menekankan potensi sistem digital untuk meningkatkan integritas data dalam manajemen ritel, sehingga menyarankan implikasi yang lebih luas untuk meningkatkan standar operasional dalam praktik ritel global
Menggunakan I-Chat untuk Menjembatani Kesulitan Komunikasi Anak Tuli
Authors: Nugraha Rahadian , Sinduwiatmo Kukuh
Published: May 2024

Studi ini meneliti integrasi aplikasi I-CHAT sebagai alat komunikasi digital untuk anak-anak dengan gangguan pendengaran. Menggunakan metodologi kualitatif, termasuk observasi dan wawancara, penelitian ini bertujuan untuk mengeksplorasi strategi komunikasi orang tua dengan anak-anak tuli mereka di era digital. Peserta adalah orang tua dari anak-anak tuli yang aktif menggunakan aplikasi I-CHAT untuk memfasilitasi komunikasi. Temuan mengungkapkan peningkatan keterlibatan antara orang tua dan anak-anak tuli mereka melalui aplikasi, menyoroti potensinya sebagai bantuan komunikasi yang efektif. Studi ini menekankan pentingnya literasi media digital dan solusi komunikasi inovatif dalam mendukung komunitas kebutuhan khusus, menyarankan implikasi signifikan untuk meningkatkan komunikasi dan interaksi sehari-hari dalam demografi ini.
The Rule of Civics Education Teachers to the Development of Students’ Moral Intelligence
Authors:   Civics Education Department, Halu Oleo University, Kendari, Indonesia, Hamuni Hamuni , Idrus Muhammad ,   Civics Education Department, Halu Oleo University, Kendari, Indonesia, Aswati Aswati ,   History Science Department, Halu Oleo University, Kendari, Indonesia, Karsadi Karsadi ,   Civics Education Department, Halu Oleo University, Kendari, Indonesia, Hijrah Wa Ode ,   Civics Education Department, Halu Oleo University, Kendari, Indonesia
Published: May 2024

This study attempts to define and clarify the role of Civics education teachers in the moral intelligence development of students. This study used a descriptive qualitative method to look at the phenomenon that the research subjects encountered. Data is collected through observation, interviews, and documentation. Nine people made up the study’s informants, who were chosen through the purposive sample method. The findings indicated that SMP Negeri Kendari 1 students had developed their moral intelligence through instruction in and reiteration of moral principles, discussion of and demonstration of concrete moral examples indirectly integrated with subjects and group learning processes, and encouragement of participation in extracurricular activities as a means of fostering students’ morale, particularly tolerance and self-control. Consequently, it can be said that Civics education teachers at SMP Negeri 1 Kendari actively contribute to students’ moral intelligence development by incorporating the inculcation of moral intelligence values into the learning process, discussing subject matter and associating it with moral intelligence values, encouraging extracurricular activities, and providing examples or models about people who have moral intelligence values. Civics education teachers play a crucial role in helping students acquire moral intelligence, which is necessary for the development of morally upright citizens who can build civilizations that uphold societal norms and values.
Analytics Integration in Performance Management: A Bibliometric Analysis
Authors:   Research Scholar, Department of Personnel Management, Loyola College of Social Sciences, University of Kerala, Thiruvananthapuram, Kerala, Chithra R Lekshmi , Pillai R Dr Prakash ,   Assistant Professor, Department of Personnel Management, Loyola College of Social Sciences, University of Kerala, Thiruvananthapuram, Kerala
Published: May 2024

Performance management enables measurement, identification, prediction and retention of resources which are critical to the success of the organization. Literature shows that traditional performance management systems suffer from subjectivity, lack of continuity and ineffective use of data. Application of analytics in performance management function is one variation which has been receiving increased interest in the recent years due to this. This paper explores the integration of HR Analytics (HRA) in performance management function. The study relies on bibliometric analysis to understand the publication pattern, dominating themes and upcoming research trends in this area. Bibliometric data from SCOPUS database is subjected to analysis using VOSviewer. Findings reveal an increase in research activity in this area over the years. Application of analytics in performance management, employee engagement, evaluating training needs and predicting attrition are observed to be the significant topics in the recent years.
Experience of Grief and Coping Strategies Following Patients’ Death among Nurses Working in a Tertiary Level Hospital, Kathmandu, Nepal
Authors:   Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu, Nepal, Karmacharya Shristi , Devi Thapa Rupa ,   Yeti Health Science Academy, Kathmandu, Nepal
Published: May 2024

Grief is feelings and emotions to loss that individuals might experience as they attempt to accept the loss. Like general people, nurses also experience such grief as they have to face the situations of many patients’ loss at hospital. Prolonged grief can cause a decline in productivity, increase absenteeism, job turnover, and pose physical and mental health risks among nurses. Hence, the study aimed to explore the experience of grief and the use of coping strategies among the nurses following patients’ deaths. A descriptive study design was carried out among 111 registered nurses working in different departments of Manmohan Cardiothoracic Vascular and Transplant Center (MCVTC), Maharajgunj, Kathmandu, Nepal using a non-probability enumerative sampling technique. A structured, self-administered questionnaire was used to collect the data. The respondents obtained the highest percentage of mean score on experience of grief on feeling (45.55%). Among the respondents, 40.9% use social support, 76.53% engage in the care of other patients, 74.55% form personal goals, 45.08% use self-help method, and 70.76% use the self-assessment method to cope with the death of a patient. The conclusion of the study emphasized how critical it is to comprehend nurses’ grieving processes when patients pass away in order to help them identify and manage psychological stress.
Acute effect of ischemic preconditioning with different pressures on training volume, work, and fatigue index in an upper limb session
Authors: Nogueira Coelho Olívia , Telles Luiz Guilherme , Andrade Paz Gabriel , Gonçalves Corrêa Neto Victor , Leitão Luís , Alvarenga Renato Alvarenga , Da Silva Novaes Jefferson , Scudese Estêvão , Miranda Humberto
Published: May 2024

This study aimed to assess the acute effects of ischemic preconditioning at varying pressures on training volume, work, and fatigue index during an upper limb workout session. The sample consisted of 13 participants, comprised of six women and seven men. Each subject was directed to two training sessions that included a bench press and a closed-row exercise. They executed three sets up to concentric failure at 75% of their one-repetition maximum, with two minutes of recovery between sets and exercises. Prior to each experimental session, participants underwent four cycles of five-minute ischemia-reperfusion applied unilaterally and alternately to the arms. In one protocol, the pressure point was set at 50 mmHg above the resting systolic blood pressure, while in the other, a fixed pressure of 220 mmHg was applied. The 50 mmHg protocol led to greater work (p=0.02) and volume (p=0.01) in the closed-row exercise, and additionally, it resulted in a higher overall work (p=0.04). For enhanced upper limb performance, the protocol of 50 mmHg above resting systolic blood pressure proved more effective.
Keywords: Ischemic Preconditioning, Strength Training, Upper Limbs, Training Volume, Pressure Occlusion.
Formação para atuação na Atenção Básica: a perspectiva de egressos de um curso de Terapia Ocupacional
Authors: Cazeiro Ana Paula Martins , Barbosa Sebastião  Barbosa de Sousa , Souza Patrícia Lorena Pimentel de , Melo Vitória de Araújo , Alonso Carolina Maria do Carmo
Published: May 2024

Introdução: A Atenção Básica é a porta de entrada para o Sistema Único de Saúde, mas ainda se discutem as dificuldades para formar profissionais aptos a atuarem neste contexto, incluindo-se o terapeuta ocupacional. Objetivos: Investigar a percepção de egressos de um Curso de Graduação em Terapia Ocupacional sobre o papel deste profissional na Atenção Básica e identificar aspectos da formação que contribuíram para essa percepção. Método: Pesquisa qualitativa que contou com a participação de 41 egressos, que responderam a um questionário com cinco questões abertas, cujas respostas foram analisadas por meio da análise de conteúdo. Resultados: A categorias obtidas relacionam-se tanto aos princípios da Atenção Básica quanto aos referenciais teórico-práticos da Terapia Ocupacional. A maioria dos sujeitos considerou que as experiências na graduação foram insuficientes para prepará-los para atuar na Atenção Básica. Discussão: Observa-se que o terapeuta ocupacional pode contribuir de forma diferenciada com as ações da Atenção Básica, tanto ao se considerar a sua especificidade em relação aos demais profissionais das equipes, quanto ao se comparar a sua ação neste e em outros contextos de atuação. Contudo, os esforços do Curso, como a participação em programas indutores da mudança curricular na saúde, mostraram-se insuficientes no fornecimento de instrumentos que permitam que o egresso se perceba capaz de trabalhar na Atenção Básica. Conclusão: Reforça-se a necessidade de repensar a formação do terapeuta ocupacional, favorecendo o contato com a Atenção Básica desde o início da graduação e revendo a inclusão desta temática em outros níveis de formação profissional.
Integração curricular do NEM:
Authors: Gonçalves Ana Carolina Fernandes
Published: May 2024

Este relato de experiência é fruto o trabalho de coordenação geral do Novo Ensino Médio em uma escola de médio porte no interior da Zona da Mata mineira. Com o objetivo de expor as falhas de implantação, já apontadas por outros estudos, do ponto de vista do chão da escola, o relato apresenta a função do Coordenador na integralização curricular dos componentes de Formação Geral Básica e Itinerários Formativos e a estratégia desenhada pela Secretaria de Educação para realizá-la, problematizada pelas dificuldades materiais e institucionais enfrentadas no dia a dia escolar. Ao final, destaca-se a negligência do plano estratégico de implantação com a hierarquia institucional da Secretaria Estadual, que reduziu a reforma apenas à gestão da sala de aula.
Neoconservadorismo e agenda antigênero em políticas de educação no Brasil:
Authors: Vergara Rodrigues Carolina , Seffner Fernando
Published: May 2024

O artigo investiga a mobilização da agenda antigênero no campo das políticas da educação básica do Brasil. Em específico, o presente texto tem por objetivo analisar as alterações nas versões da Base Nacional Comum Curricular (BNCC) da etapa do Ensino Médio (EM), em torno da perspectiva de gênero e sexualidade. As sucessivas redações da BNCC foram construídas em meio a uma crise democrática, marcada pela ascensão da extrema direita ao poder e pela aliança entre neoliberalismo e conservadorismo moral, cujos impactos foram sentidos em todo o tecido social. Nesse contexto, a esfera da educação foi palco de disputas acirradas, de propagação de pânico moral e de perseguição a docentes. As recentes reformas da educação básica e a reformulação dos documentos que norteiam o ensino no país expressam em muito a coalizão entre forças neoliberais e neoconservadoras. Observa-se na última versão da BNCC um novo arranjo em torno do papel da família, assim como a supressão dos enfoques sobre gênero e sexualidade nos itinerários formativos de todas as áreas do conhecimento. A pesquisa documental realizada aponta para o predomínio de temas genéricos que não impossibilitam o trabalho docente sobre os marcadores. Em contrapartida, ao não tratarem discursivamente dos enunciados, tais documentos reiteram narrativas morais de silenciamento e reforço da cisheteronormatividade como único modo de se viver as relações de gênero e sexualidade.
fundamentos pedagógicos das escolas Firjan SESI para o Ensino Médio
Authors: Gawryszewski Bruno , Andrade Gisele
Published: May 2024

O presente texto tem como objetivo apresentar e interpretar os fundamentos pedagógicos da formação escolar nas escolas Firjan SESI para o ensino médio. Para tanto, como procedimentos metodológicos foram adotados a revisão bibliográfica sobre a presença da fração burguesa industrial na educação brasileira, a consulta a dados do Censo Escolar da educação básica entre 1995 e 2020 e análise de documentos e normativas das escolas em questão. Diante do material analisado, foi possível depreender que os fundamentos pedagógicos estão ancorados em preceitos baseados no determinismo tecnológico e na utilização de narrativas aparentemente emancipadoras aos indivíduos, mas que os fundamentos presentes nas escolas Firjan SESI apontam para a formação de força de trabalho adaptável e suscetível às relações sociais de produção capitalista contemporânea, marcada pela instabilidade e imprevisibilidade.
O “novo” Ensino Médio na Amazônia do Baixo Tocantins:
Authors: Conceição de Moraes Andrade Anderson , Da Conceição Alves João Paulo
Published: May 2024

Analisa aspectos formativos do processo de implementação do “Novo” Ensino Médio e suas implicações para a educação das juventudes de Limoeiro do Ajuru/PA, a partir das perspectivas de professores da Escola Estadual “Professor João Ludovico”, que faz parte da Política de Fomento à Implementação de Escolas de Ensino Médio em Tempo Integral, instituída pela Lei n.º 13.415/2017. Promoveu-se revisão bibliográfica e análise documental sobre a atual reforma do ensino médio. Realizou-se ainda pesquisa exploratória do tipo estudo de campo, utilizando-se como instrumento de coleta de dados a entrevista semiestruturada com professores que atuam no Ensino Médio em Tempo Integral desde o início da implantação do programa na instituição pesquisada, bem como a observação direta. A análise dos dados utilizou a técnica de análise de conteúdo. A pesquisa demonstra que as realidades das juventudes da Amazônia não foram consideradas, especialmente a dos estudantes ribeirinhos. Concluiu-se que a flexibilização curricular implementada pela atual reforma prejudica os aspectos formativos das juventudes de Limoeiro do Ajuru/PA ao limitar a formação geral, o que tende a aprofundar a dualidade educacional e a diferenciação escolar. Destaca-se que boa parte dos sujeitos da pesquisa rejeita esse formato de flexibilização, bem como a ideia de protagonismo juvenil de base neoliberal, porém, isto não se dá de forma fundamentada em bases teóricas. Contraditoriamente, esses sujeitos demonstram simpatia por algumas concepções que orientam a atual reforma do ensino médio. Evidenciou-se, ainda, que a infraestrutura inadequada compromete a qualidade da educação no Ensino Médio em Tempo Integral na escola estudada.
Acupuncture for the Treatment of Diabetes Related Distal Sensory Neuropathy: A Review of Study Designs and Quality of Randomized Controlled Trials
Authors:   Independence Foundation Endowed Professor, Founding Director, Division of Special Studies in Symptom Management, New York University, New York, USA, Anastasi Joyce K , Capili Bernadette ,   Director, Heilbrunn Family Center for Research Nursing, The Rockefeller University, New York, NY; Special Studies in Symptom Management, New York University, New York, USA
Published: May 2024

Diabetes affects nearly every organ system in the body, including the peripheral nervous system, and leads to the development of distal sensory peripheral neuropathy (DSP) in roughly 50% of patients. Between 30% to 50% of patients with DSP experience pain and impaired quality of life. Dissatisfaction with currently available pharmacological treatments for neuropathic pain is common, primarily due to limited effectiveness and potential for adverse side effects. Acupuncture, a non-pharmacologic intervention, is often used in the management of chronic pain and is widely available and acceptable to many patients. In this narrative review, we describe clinical research related to acupuncture and diabetes related DSP management including meta-analyses, systematic reviews, and randomized controlled clinical trials (RCTs). Data from the few clinical trials available support the use of acupuncture to reduce neuropathic pain including DSP pain; however, available studies suffer from methodological weaknesses including inadequate blinding, sample size justification, lack of well-designed controls, and gaps in reporting. These limitations highlight a critical gap and an unmet need for more rigorous and robust clinical research requiring the use of Standards for Reporting Clinical Trials of Acupuncture (STRICTA) guidelines as a design, implementation, and reporting template.
Role of Information Communication Technology in Enabling Management of Day Secondary Schools
Authors: Kimani Joseph W. , Njati Ibuathu C.
Published: May 2024

World over, the teaching and learning institutions have been redesigning their methodologies of service delivery using the modern and efficient platform if information technology propelled by the forth industrial revolution paradigm shift. The study sought to establish the role of information communication technology as an enabler in the management of secondary school affairs. The study sought to: Establish the availability of information communication technology (ICT) used in the day to day teaching and learning services at day secondary schools; Find out the status of day secondary schools’ principal’s current awareness on the use of ICT in the day to day running of their schools’ affairs; and assess the extent of ICT employability in the management of school records. The study employed descriptive survey and systematic random sampling drawing a sample of 110 respondents who responded to interview schedules and questionnaires. The study established that 49% of the teaching force in day secondary schools were had bachelor’s degree. On ICT integration, 87% of the sampled academic and examination departments conducted their activities through ICT processes. The study concluded that information communication technology is as an indispensable tool in the daily management of secondary schools, teaching and learning process during the 4th industrial revolution era of information technology. Finally the study recommended that schools should endeavour to retool teachers on ICT skills and competencies as enablers for 21st century pedagogies for teaching and learning.
INTEGRATING PSYCHOEDUCATION INTO MOTIVATIONAL THERAPY: A PROTOCOL FOR POSITIVE CHANGE IN DEPRESSIVE SUBJECTS
Authors: TAOUFIQ Prof. Dr. Imane
Published: May 2024

The combination of psychoeducation and motivational therapy is proved to be a powerful approach to help individuals making positive changes in their lives.(Miller & Rollnick, 2013) This scientific paper provides practitioners with information on a draft protocol for psychoeducation in motivational therapy,which is combining the two approaches to optimize the change process. This protocol emphasizes the importance of tailoring treatment to the patient's individual needs, and reinforcing the motivation induced to promote lasting change. The protocol begins with the establishment of a trusting relationship between therapist and patient, followed by in-depth information on the problem to be treated. Next, sessions are organized to explore motivation, identify the advantages and disadvantages of change, set goals for change and, finally, reinforce the skills needed to achieve these goals. In addition, relapse prevention strategies are discussed with the patient, and a long-term support plan is drawn up involving his collaboration. This protocol offers a holistic and personalized approach to guide practitioners in the application of psychoeducation in motivational therapy, promoting positive and lasting results for people seeking change. The scientific paper concludes by highlighting the interest of this integrated approach for a variety of issues in Depressive Subjects, while emphasizing the need for follow-up sessions to maintain progress and ongoing support
THE ROLE OF KINDERGARTEN TEACHERS IN EMPLOYING EARLY INTERVENTION PROGRAMS TO DETECT DEVELOPMENTALLY DELAYED CHILDREN UNDER THE AGE OF SIX YEARS IN AMMAN
Authors: ALODWAN Dr. Shirin S.
Published: May 2024

Child care homes are characterized by great importance, as is the importance of the role of schools. It is also considered the most important stage because it is the first step in a child’s education, even if this education does not depend on reading and writing, because it develops the child’s movement skills, helps him express himself and his imagination, and works to strengthen Personality if he is raised correctly, and this depends greatly on the teachers. We must also pay attention to these teachers and develop their skills, and give them courses to develop their skills so that they can carry out their duties in the best way, as child care homes can be the most dangerous stages for them if the development is not done. His abilities and skills correctly. The importance of the role played by the teacher in childcare centers is demonstrated by building the child properly. Therefore, the teacher must have many specifications on the personal and practical levels, so that the teacher can carry out his duty in the best way, as the teacher works in the kindergarten. To determine the child’s abilities and personal inclinations, through the use of activities and methods appropriate to those characteristics that characterize the child, in addition to that the teacher must know the problems to which the child is exposed, cooperate with the psychological counselor to treat the problems, and establish the necessary procedures that are considered preventive measures before problems occur. Other psychological. The problem of delayed growth is considered one of the most prominent problems that the kindergarten teacher must pay attention to, which is the delayed development of movement skills and mental skills, or both. This may be accompanied by delayed speech, and sometimes excessive movement and distraction, and the delay in development is trainable and taught.
Recurrence of Phyllodes Tumour Breast with Transformation into Metaplastic Carcinoma
Authors: S H Waqar  , Sana Sharafat Ali  , Kanza Farrukh  , Fahad Akhtar  , Manzer Mehmood  , Fahim Sakhizada  , Mohiba Khaliq  , Fatima Shahzad
Published: May 2024

Phyllodes tumours of the breast are rare fibroepithelial neoplasms, that can recur as metaplastic breast carcinoma. Metaplastic breast carcinoma is an uncommon invasive carcinoma that constitutes 0.2% to 1% of all breast cancers. We report a rare case of a 45-year-old female with a recurrent phyllodes tumor with transformation into metaplastic carcinoma, who presented with ahuge recurrent mass in the right breast that was treated with mastectomy. Histopathological and immunohistochemistry analysis confirmed it to be metaplastic carcinoma. Postoperatively she had adjuvant therapy and was followed regularly for up to 6 months after surgery.
YEŞİL EKONOMİ ÇERÇEVESİNDE KOZMETİK SEKTÖRÜNDE YEŞİL YATIRIM UYGULAMALARI ÜZERİNE BİR İNCELEME
Authors: Konu Aylin , Tezel İpek
Published: May 2024

Ülkelerin sürdürülebilir kalkınma stratejileri çerçevesinde, firmaların yaptıkları yeşil yatırımlar yeşil ekonominin ayrılmaz bir parçası olarak kabul edilmektedir. Yeşil yatırımlar, yenilenebilir enerji, temiz teknoloji ve enerji verimliliği gibi alanlar başta olmak üzere son yıllarda hızla artmaktadır. Yeşil yatırım kavramı sadece çevre ve enerji gibi alanlarla sınırlı kalmayıp sosyal sorumluluk ve yönetişim yatırımları gibi diğer yatırım yaklaşımlarıyla yakından ilişkili çok geniş bir kavramdır. Kimyasal maddelerin tehlikeleri konusunda artan kamu bilinci, kozmetik sektöründe de yeşil yatırımların payını artıran en önemli nedenler arasında sayılmaktadır. Bu çerçevede bu çalışmanın amacı, tüketicilerin organik ürün kullanımlarına ilişkin artan tercihleri nedeniyle kozmetik sektöründe önemli bir ivme kazanan yeşil yatırım uygulamaları çerçevesinde renkli kozmetik ürünü üreten firmaları araştırmaktır.
Frutas processadas sob a forma de salada: preferências dos consumidores e suas implicações no mercado
Authors: Rosado Patrícia Lopes , Pires Mônica Moura , Perez Ronaldo
Published: May 2024

Neste estudo avaliam-se as preferências do consumidor quanto ao consumo de salada de frutas minimamente processadas em Viçosa, Minas Gerais. Especificamente, identificam-se os tipos de fruta para compor a salada; o preço que o consumidor estaria disposto a pagar pelo produto; a quantidade de produto por embalagem; o perfil do consumidor, entre outros fatores determinantes do consumo. Os dados obtidos foram submetidos à estatística descritiva. O consumidor potencial possui um perfil de indivíduo propenso a adquirir novos produtos, o que indica sua boa aceitação no mercado. Com relação à embalagem, poder-se-ia optar por cinco tipos de tamanho: 50g, 100g, 150g, 200g e 250g. De maneira geral, percebe-se que a salada de fruta pode-se constituir em oportunidade de mercado para o setor frutícola da região, e em mais um mercado para escoar a produção local, especialmente àqueles da Zona da Mata Mineira.
सामान्य बीमा निगम की दि न्यू इंडिया एश्योरन्स कम्पनी लिमिटेड की मेडिक्लेम पाॅलिसी का समीक्षात्मक अध्ययन
Authors: नेहा पुरोहित  , डाॅ. आषीष पाठक
Published: May 2024

मानव जीवन में स्वास्थ्य का मुख्य प्रमुख स्थान हैं यदि किसी भी व्यक्ति का स्वास्थ्य ही ठीक नहीं होंगा तो उसके सभी भौतिक सुख-सुविधाओं से लिप्त साधन और ऐष्वर्य प्रायः फीके से पड़ जाते हैं। वर्ष 2000 के उपरांत यह बात सुनने में अच्छी प्रतीत होती हैं कि भारतीय व्यक्तियों की स्वास्थ्य के प्रति जागरूकता बढ़ी हैं और उसके बढ़ने से स्वास्थ्य लागत भी निरंतर बढ़ रही हैं। भारत में स्वास्थ्य बीमा का व्यवसाय का क्षेत्र एक बढ़ता हुआ क्षेत्र हैं। प्रायः स्वास्थ्य बीमा होने की स्थिति में व्यक्ति अपनी-अपनी आर्थिक स्थिति के अनुसार स्वयं की एवं परिवार के अन्य सदस्यों की स्वास्थ्य लागत को बनाये रखने का तरीका खोजता रहता हैं। ऐसी परिस्थिति में मेडीक्लेम बीमा पाॅलिसी उन व्यक्ति विषेष के लिये रामबाण साबित होती हैं। यह अध्ययन भारत के सामान्य बीमा व्यवसाय की सार्वजनिक कम्पनी दि न्यू इंडिया एष्योरन्स कम्पनी लिमिटेड के लिये किया गया हैं। इस अध्ययन में द्वितीयक संमको के आधार पर दैवनिदर्शनश् पद्धत्ति का प्रयोग करके सांख्यिकीय उपकरण की सारणीबद्ध एवं विष्लेषण तकनीक का उपयोग किया गया हैं, ताकि दि न्यू इंडिया एष्योरन्स कम्पनी लिमिटेड की विभिन्न मेडीक्लेम पाॅलिसी की विषेषताओं की पहचान करके व्यक्ति सही पाॅलिसी का चयन कर सकें।
Optimizing Service Placement and Enhancing Service Allocation for Microservice Architectures in Cloud Environments
Authors: Roshan Mahant  , Sumit Bhatnagar  , Vikas Mendhe
Published: May 2024

With the increasing popularity of microservice architecture, there is a growing need to deploy service-based applications efficiently in cloud environments. Traditional cluster schedulers often fail to optimize service placement adequately, as they only consider resource constraints and overlook traffic demands between services. This oversight can lead to performance issues such as high response times and jitter. To address this challenge, we propose a novel approach to optimize the placement of service-based applications in clouds. Our approach involves partitioning the application into segments while minimizing overall traffic between them, and then strategically allocating these segments to machines based on their resource and traffic demands. We have developed a prototype scheduler and conducted extensive experiments on test bed clusters to evaluate its performance. The results demonstrate that our approach surpasses existing container cluster schedulers and heuristic methods, significantly reducing overall inter-machine traffic and improving application performance
Enhancing Underwater Wireless Sensor Networks With Flexible Communication and Positioning
Authors: Kumaran M  , Mohanraja C  , Praveen P  , Dr R Priyadharshini
Published: May 2024

An innovative approach centred around underwater wireless communication and positioning in Underwater Wireless Sensor Networks, addressing limited coverage by proposing a dual-hop system combining optical fiber and wireless links. Time frame design and Code Division Multiplexing Access enhance multi-user signal transmission efficiency. Proof-of-concept experiments validate feasibility, with the introduction of the hybrid fish eye routing protocol further enhancing performance by intelligently combining fish-eye routing and traditional protocols for improved coverage and reliability. Moreover, the hybrid fish eye protocol incorporates adaptive routing algorithms that dynamically adjust to changes in underwater conditions, ensuring robustness and adaptability in challenging environments. Additionally, the hybrid fish eye protocol optimizes energy consumption by minimizing unnecessary transmissions, thereby prolonging the lifespan of underwater sensor networks. With full-duplex communication, precise positioning, and an extended transmission range, convergent system demonstrates significant potential for supporting high-capacity transmission among mobile nodes in forthcoming underwater scenarios