bluuebunny/crossref_metadata_2025 huggingface dataset:
O uso de Tecnologias Assistivas para inclusão do aluno surdo na Educação Básica
Authors: Pereira Ana Carolina Reis , Pasian Mara Silvia
Published: March 2023

A utilização das Tecnologias da Informação e Comunicação (TIC) em prol da Educação vem sendo amplamente discutida na sociedade atual. Este trabalho teve o objetivo de identificar quais Tecnologias Assistivas (AT) têm sido utilizadas no processo ensino-aprendizagem dos alunos surdos na Educação Básica considerando as teses e dissertações defendidas entre os anos de 2014 e 2019, e mapear quais se mostram mais adequadas a suprir as necessidades dos alunos surdos. Entretanto, após consulta aos bancos de dados digitais das teses e dissertações, verificou-se haver uma profunda escassez de investigações orientadas à análise da inclusão de alunos surdos na Educação Básica, através do uso das Tecnologias Assistivas. Dentre as pesquisas que atenderam aos critérios estabelecidos, é possível identificar um hiato entre a produção destas tecnologias e o seu uso neste locus. Assim, após a análise dos dados, concluiu-se que, não obstante todo o avanço das Tecnologias Assistivas nos últimos anos, ainda há um longo caminho a ser percorrido para que elas possibilitem a inclusão das crianças surdas no contexto escolar.
Individual market underwriting profitability in health insurance
Authors: Born Patricia , Sirmans E. Tice
Published: March 2023

We analyze the underwriting performance of insurers operating in the individual health insurance market from 2010-2017. Our sample consists of both life and health insurance companies. First, we offer descriptive sample statistics of key financial performance measures in this market. Then, we study the difference in performance pre- and post-2014, which represents the year that state online marketplace exchanges were implemented as part of significant health care reform, namely the federal Affordable Care Act (ACA). Our analysis allows us to test whether health care reform affected insurers operating in this market and in what ways. Our results suggest that underwriting profitability was worse in the post-ACA period: Generally, loss ratios and losses per enrollee were significantly higher in the post-reform time period. On the other hand, insurer administrative expenses were significantly lower post-2014. Furthermore, we show that these effects are not uniform across all insurers in the market.
A Study on Perception of Evidence-Based Practices and Perceived Barriers in Implementing Evidence Based Practice in Stroke Patient Management among Physiotherapists of Surat
Authors: Shah Saloni , Mamarawala Tabassum , Verma Neha
Published: March 2023

Introduction: Stroke is recognized as the leading cause of disability and a primary cause of death. Various resources have been developed to facilitate the implementation of EBP into everyday clinical
practice in managing stroke patients.
Aim & Objective: To assess the perceptions about EBP among physiotherapists and to rule out the barriers to EBPs in Stroke patient’s management among Physiotherapists of Surat.
Methodology: This observational study is conducted among physiotherapists of Surat who are currently treating stroke patients. The survey was conducted online using a semi-structured questionnaire from Salbach et al. (2007)[5] & Jette et al. (2003)[6]. The survey tool was developed on Google Forms. The purpose & procedure of the study was explained in the form and online consent was obtained. Total of 52 responses were recorded.
Result: The respondents have a positive attitude about implementing EBP in their daily practices. Majority of the participants i.e. 36% faced lack of time as a barrier. Lack of collective support among colleagues and it takes too long to read guidelines were second most reported barriers by 30.8% on the respondents. 26.9% reported with lack of research skills. 25% of them reported that lack of information were one of the barrier. 17.3% believed that very a few or none guideline exists for my patient population. And least i.e. 7.7% faced lack of information as the Barrier.
Conclusion: The respondents have a positive attitude about implementing EBP in their daily practices. They are very sure that EBP is important in their daily practices, EBP facilitates their work and it helps them to make decision in choice of treatment. EBP helps in improving patients care and quality of treatment. Lack of time, lack of peer support in work place, & it takes too long to read an article emerged as top 3 barriers in our study. Other barriers perceived are lack of research skill, lack of information resources, very few or none articles available for the patient population and lack of interest.

Key words: Evidence-based practice, Physiotherapists, Stroke.
Knowledge Regarding Protection of Children from Sexual Offence Act (POCSO-ACT): Significance in Nursing Education, Literature Review
Authors: K M Kotturesha , Latif Abdul , Gowda Yathikumarswamy
Published: March 2023

In parents education learning, knowledge and other factors which includes many more things. These features communicate as parents of adolescents go in the direction of their aims and gain new knowledge, practices, and abilities that add to their scope of Punishment of POSCO. There are number of techniques for teaching are, class conversation with parents, role play, discussion, Utilization of internet, video teaching, power-point presentations, structured teaching programme demonstration methods are the modern educating and learning strategies. structured teaching program play vital role, as the topic are carefully planned, structurally prepared and presented in fronts of group of people which would help the investigators to teach the necessary topics and avoid certain matters and respect the confidentially and privacy of both parents and adolescents.

Key words: Structured teaching programme, parents education, Learning, knowledge
Relationship with a semioreferential object as a predictor variable: The case of insiders’ and outsiders’ uses of “very New York” on Twitter
Authors: Frazer-McKee Gabriel , Courbon Bruno
Published: March 2023

Nous examinons ici plus d’un millier d’occurrences de la construction very New York utilisée sur Twitter par des personnes qui appartiennent ou non à la communauté new-yorkaise. L’analyse s’appuie sur des caractéristiques constructionnelles, sémantico-pragmatiques et métalinguistiques. Nous faisons entre autres ressortir la valeur majoritairement positive de la construction, ainsi que la richesse des représentations convoquées et la récurrence de leurs relations (p. ex. la mode, l’alimentation). Nous mettons en évidence, en recourant à la régression multinomiale, que l’appartenance à la communauté new-yorkaise prédit plusieurs caractéristiques linguistiques de la construction, même lorsque sont prises en considération les variables sociodémographiques disponibles. Les résultats montrent que la relation des utilisateurs avec l’objet sémioréférentiel « New York » influence très probablement leur façon de donner du sens à la construction. L’étude souligne l’importance, pour étudier des phénomènes sémantiques, de prendre en compte de façon détaillée les caractéristiques relatives aux participants des médias sociaux
Le signifiant linguistique : de la corporéité aux (micro-)réseaux
Authors: Grégoire Michaël
Published: March 2023

Cette introduction repart du constat que le signifiant, notamment dans le domaine de l’énaction et de la cognition incarnée ne prend en charge que certains aspects de l’émergence de la cognition liée au langage comme résultant des interactions vécues. Elle ne prend en effet pas assez en compte le fait que le signifiant linguistique, outre d’être le produit d’un acte corporel, possède une dimension éminemment systémique et culturelle. La question posée ici est de réconcilier la dimension réticulaire du signifiant et sa dimension corporelle.
Synthesis and sintering of SrTiO3–ZnO ceramics: Role of ZnO content on microstructure and dielectric properties
Authors: Kashif Muhammad , Habib Muhammad Salman , Rafiq Muhammad Asif , Waqar Moaz , Hussain Muhammad Asif , Iqbal Ayesha , Abbasi Mehboob Ahmed , Saeed Shahid
Published: March 2023

The classical system of combining modern perovskite and wurtzite structure semiconductor materials is used to model the internal structure for the applications of functional novel electronic devices. The structure-property relation has a significant impact on the properties of metal oxides-based functional ceramics. The structural and electrical properties of SrTiO3-xZnO (0 ≤x≤ 10 wt%) ceramics produced via solid-state reaction (SSR) were thoroughly examined. X-ray diffraction (XRD) and scanning electron microscopy confirmed the presence of a mono-phase cubic structure with Pm3̅m space group and resulted in increased density respectively. Complex impedance spectroscopy (CIS) was carried out from 300 to 500 °C temperature within the frequency range of 100 Hz to 1 MHz to study the contribution of grain bulk and grain boundary for impedance behavior. Grain boundaries dominated the overall resistance of the samples and the addition of ZnO in SrTiO3 caused an increase in the overall conductivity. Increasing temperature decreases the resistance of both components, and at higher frequencies that confirms the negative temperature coefficient resistance (NTCR) behavior of the samples. Increasing temperature decreases the relaxation of grain bulk and grain boundary thus predicting the hopping conduction mechanism. The results will be helpful to engineer the microstructure of SrTiO3 based on practical applications such as sensors, actuators, and energy devices.
Predictors of Complications at Common Femoral Artery Access Site among Patients on Oral Anticoagulants and Undergoing a Cardiac Catheterization
Authors: Faraz Noor , Arfat Yasir , Soomroo Imran Ellahi , Mangi Sarfraz Ali , Qasim Afzal , Sharfi Masroor Hussain
Published: March 2023

Introduction: It is not clear whether patients receiving oral anticoagulants (OC) during surgery involving access to the common femoral artery would experience more adverse effects than those not receiving OC. In this analysis, we determine whether patients receiving oral anticoagulants undergoing cardiac catheterization are at high risk of complications related to femoral site than subjects not receiving OACs. Study Settings: This study was held in the Cardiology department of Qazi Hussain Ahmed Medical Complex, Nowshera and Peoples University of Medical and Health Sciences for Women PUMHSW (SBA) Nawabshah for one-year duration from January 2021 to December 2021. Methods: A total of 300 patients were selected for the study. We regularly reviewed data from patients undergoing cardiac surgery at the same tertiary care center. A patient was classified as fully or partially anti-coagulated (Group A) if his international normalized ratio (INR) was greater than 1.6 on the surgery day or if he received new OAC or warfarin within 48 hours or less after surgery. The group without anticoagulants (Group B) had an INR of 1.6 or had stopped the new OAC and warfarin more than 48 and 24 hours prior to surgery, respectively. Results: A total of 300 patients (mean age 65.6±12.2, 60% male) were registered in the study. 20 (6.7%) were in Group A and Group B included 280(93.3%) patients. The intervention was done among 162/300 (54%) patients and received treatment with Intra-procedural anticoagulation with heparin (50.0%), bivalirudin (23.3%) or both (3.3%). GpIIb/IIIa inhibitors were used infrequently (1%). Conclusions: Compared to patients who did not receive anticoagulants during the procedure, OAC patients experienced no major serious adverse events after 30 days. Keywords: Oral anticoagulant, Common femoral artery, complications, access site.
Comparison of Shear Bond Strength of Orthodontic Brackets with Fifth and Eighth Generation Adhesive Systems
Authors: Khalid Qasim , Rahbar Muhammad Imran , Chaudhry Naseer Ahmad , Riaz Asim , Aziz Anum , Ata Saadia
Published: March 2023

Introduction: Self-etching primers (SEPs) has streamlined orthodontic braces placementprocess by minimizingclinical process, chairside time and has enhanced patient comfort. Materials & Methods: 60 untreated extracted premolars from all quadrants of jaws of males and females, aged between 12-35 years, were included. Defective, restorative and anomalous premolars were excluded. Attachment of brackets on the facial surface, with composite (Transbond XT 3M UNITEK) which then was cured for 20 seconds by a light source, using Transbond XT (fifth generation) and Futurabond DC (eighth generation) as bonding agents was done. Universal testing machine was used to test Shear bond strength (SBS), in COMSATS. Results: Group 1 had 22.87 ± 6.08 years as average age,whilegroup 2 had 20.67 ± 5.20years.34 patients (56.67%) were males and 26 (43.33%) were females. Group 1 (fifth generation) had an average SBS of 16.40 ± 3.47 MPa, and in Group 2 (eight generation), it was 34.9 ± 4.02 MPa. Conclusion: The research concluded, that in brackets average SBSwith generation eight wass superiorto the onesattached with fifth generation adhesive. Keywords: SBS, Self-etching primer, Orthodontic adhesive
Evaluation of Mortality Frequency in Cardiogenic Shock in Anterior Wall Myocardial Infarction in the Patients Presented to Lady Reading Hospital, Peshawar
Authors: Ahmad Ijaz , Ali Jabar , Soomroo Imran Ellahi , Mangi Sarfraz Ali , Kumar Vickee , Aslam Muhammad
Published: March 2023

Background: The insufficient supply oxygen and blood to the myocardium is characterized by the coronary artery disease. The coronary arteries occlusion leads to this condition. The plaques formation in coronary arteries lumen is indicative of the condition. These plaques impede blood flow. It is a major concern worldwide. Objective: To evaluate the mortality frequency in cardiogenic shock in anterior wall myocardial infarction in patients presenting to Lady Reading Hospital, Peshawar. Study Design: It is a descriptive case study conducted at department of Cardiology, Lady Reading Hospital Peshawar and NICVD, Nawabshah. This study was conducted from 1st June 2021 to 30th November 2021. Subjects and Methods: A total of 139 patients diagnosed with cardiogenic shock were selected for the study. According to the operational definition the followed up of all patients till discharge and mortality was recorded. Results: The age range of the patients selected for the study was 18-70 years. The mean of age was 47.841±6.66 years, mean weight 83.259±7.39 Kg and mean duration of symptoms was 8.870±3.76 hours. Male patients were 77.7% and females were 22.3%. Mortality was seen in 20.9% patients. Conclusion: Patients with anterior wall myocardial infarction and cardiogenic shock undergoing percutaneous coronary intervention have better clinical out-comes. The decreased mortality is also observed. Without the delay of time the patients must be transferred to the primary percutaneous coronary intervention facility if it is far away. There is need to establish more primary percutaneous coronary intervention centers. Keywords: Anterior wall myocardial infarction, cardiogenic shock, mortality.
Histopathological Evaluation of Ameliorated Effect of Citric Acid on Infarcted Myocardium
Authors: Imran Aziz Hafiz Muhammad , Talha Muhammad Umar , Afzal Ajmal , Anwar Binish , Khaliq Zarrin , Iqbal Namra
Published: March 2023

The estimated disease burden of ischemic heart disease in Pakistan is in millions and discovery of cardioprotective agents of organic origin has great importance to decrease the financial burden on society. Objective: The study was designed to analyze and grade histopathological changes in experimental model of myocardial infarction. Study Design: This was an experimental randomized controlled trial. Place and Duration: The study was organized at King Edward Medical University and University of Veterinary and Animal Sciences, Lahore for a period of 180 days. Methodology: During initial 14 days, cont-group and Isopro-group were treated with 1 ml normal saline, while Citric-250 and Citric-500-group were treated with citric acid at 250 mg and 500 mg per-kg-body-weight respectively. Isoproterenol (85mg per-kg-body-weight) was injected subcutaneously for induction of acute myocardial infarction in all rabbits except for cont-group. Histopathological analysis was done, serum-C.K-M.B (creatine-kinase-M.B), serum-L.D.H (lactate-dehydrogenase) and cTn-I (cardiac.troponin-I) were recorded at the end of experiment. S.P.S.S software (statistical package for social sciences) was applied for statistically analyzed of data. Results: Isopro-group showed augmented odema, infiltration and necrosis in myocardium on histopathological study along with elevated level of C.K-M.B, L.D.H and cTn-I as compare to other group. Citric-250 and citric-500-group showed significant recovery with reduced odema, infiltration and necrosis in myocardium on histopathological analysis along with lesser values of C.K-M.B, L.D.H and cTn-I as compare to Isopro-group. Practical Implication: Consumption of citric acid protects from acute myocardial infarction. Conclusion: It is concluded that citric acid possesses strong cardioprotective potential. It reduces the myocardial injury during infarction in term of edema, infiltration and necrosis that help myocardium to survive during ischemic condition. Keywords: Citric acid, Isoproterenol, Formalin, cTn-I, Infiltration and Myocardial Infarction.
Evaluating Heme-Oxygenase-1 and Bilirubin Concentration from the Recovered and Glomerulonephritis Patients from Lady Reading Hospital (LRH) District Peshawar, Pakistan
Authors: Ishaq Bibi Hajira , Iqbal Mohammad , Aziz Sundal , Shah Faridullah , Azam Hafiz Mahmood , Rehman Aziz U , Ahmed Zahoor , Mushtaq Alia , Noureen Asia
Published: March 2023

Purpose: Different studies suggest the defending role of bilirubin and “heme-oxygenase-1(HO-1)” in inflammatory illnesses, but there are limited studies that evaluate these two in recovered patients. Methods: Therefore, the current study evaluates the bilirubin and HO-1 in patients who suffered from glomerulonephritis and recovered (6 months ago) from the glomerulonephritis and control group. Findings &Practical Implication: After obtaining the informed consent, sample of the urine and blood were collected from the Lady Reading Hospital (LRH) in district Peshawar, Pakistan. After analysis, it was established that HO-1 and bilirubin levels were found to be greater in participants with kidney infections (HO-1:3.220 and bilirubin: 5.536) compared to the control group (HO-1:1.402 and bilirubin: 2.637). Surprisingly, the levels of HO-1 and bilirubin were in upper limits in the recovered individuals (HO-1:2.333 and bilirubin 4.295) compared to the control group but lower in the glomerulonephritis patients. Further, it was found from the regression analysis that there was no association among the level of HO-1 and bilirubin of the subjects in all study groups. Conclusion: From the current study, it was concluded that there was no effect of HO-1 on the level of bilirubin in blood plasma. Moreover, it was still unknown why HO-1 and bilirubin levels were in upper limits in the recovered patients. Future research should focus on the levels of HO-1 and bilirubin in recovered patients to see whether they indicate any underlying medical issues. Keywords: Heme-oxygenase-1; Bilirubin; Glomerulonephritis; Recovered patients
A Rare Complication of Typhoid Fever: Perforated Gallbladder in Children
Authors: Ahmed Imtiaz , Akbar Muhammad , Qureshi Rooman , Aslam Iqra , Hasham Ali , Memon Asma
Published: March 2023

Background: Gall bladder perforation is a rare complication in the pediatric age group secondary to enteric fever and a definitive diagnosis is necessary to deal with the management. Preoperative diagnosis of gallbladder perforation is challenging and demanding in most cases diagnosed intraoperatively. Our study aims to evaluate the pattern of presentation, investigation, and complication. Methods: A descriptive case series was carried out in our pediatric department of surgery at Liaquat University Hospital Hyderabad Sindh Pakistan from January 2016 to December 2021. Data were analyzed regarding age, clinical presentation, investigation, surgical procedure, site of perforation, complication, and outcome. Results: Eleven patients were managed in five years. The patient's ages ranged from 6 years to 12 years old child of 9.19 years was the mean age of presentation. The fundus and body was the commonest site of perforation and was diagnosed intraoperatively. The presenting feature was fever, abdominal pain with distension, vomiting, constipation, and a sign of peritonism. The gallbladder perforation was managed by cholecystectomy in 10 patients and partial in one due to difficult dissection. In our series, zero mortality, and all eleven patients were symptom-free in the postoperative outpatient department clinic. Conclusion: In Perforated gallbladder patients early and aggressive management improves mortality and morbidity but represents a special diagnostic and surgical challenge. Keywords: Typhoid Fever, Perforated Gallbladder, Acalculous Cholecystitis.
Nurses’ Knowledge and Practice Regarding Prevention of Surgical Site Infection at Governmental Hospitals in Wasit City, Iraq 2022
Authors: Hassan Amina Hilal , Roudsary Daryadokht Masror-
Published: March 2023

Objective: The study was aimed at determining nursing knowledge and practices regarding prevention of surgical site infection in governmental hospitals in Wasit city. Methods: This cross-sectional study was conducted with descriptive design to determine knowledge and practice of nurses who work in surgical wards regarding prevention of SSI in governmental hospitals in Wasit City. A sample of 180 surgical nurses participated in the study (100% response rate); convenience sampling method was used in this study. The instrument used for data collection was a questionnaire which is composed of three parts: Demographic characteristics, Nurses’ knowledge questionnaire, and Nurses’ practice questionnaire. Results: The results of current study revealed that (58.3%) of the nurses expressed a poor knowledge regarding SSI as described by low average, which is equivalent to 7.68 (±7.441), and (75.6%) of the nurses expressed an inadequate practice regarding SSI as described by low average, which is equivalent to 36.89 (±13.55). The results show that nurses practices is positively significant correlated with their knowledge (r = 0.216; p = 0.000). Conclusion: Knowledge and practices among nurses working in surgical words in governmental hospitals (both teaching and non-teaching) in Wasit city regarding SSI prevention were found to be low. Being male with high educational level were factors which were significantly associated with knowledge of prevention of SSI. On the other hand, serving for 1–5 years is a factor that was significantly associated with the practice of SSI prevention activities. Therefore, efforts have to be made to update the knowledge of nurses regarding SSI prevention activities. Additionally, hospital administrators ought to motivate highly educated nurses to concentrate on putting their learning into practice.
Factors affecting the Staff Turnover and its Impact on Quality Care in Tertiary Care Hospital
Authors: Ali Farzana Mehboob , Adeel Atiyyah , Masood Wasif , Noreen Sofia , Ahmed Danish , Siddiqui Danish Ali
Published: March 2023

Background: When hospital staff leave their positions, it may be difficult to satisfy patients' demands and maintain a good standard of care, which in turn can put more pressure on the remaining staff. The outcome may be a dramatic shift in how nurses conduct in their employment, with repercussions including decreased job satisfaction, decreased productivity, and even employee turnover. Objective: The goal of this research was to identify the causes of staff turnover in tertiary care hospitals. Methods: shaheed mohtarma benazir Bhutto institute of trauma a tertiary care hospitals in karachi,participants were included in a cross-sectional study, from 01/05/2022 to 31/10/2022. Participants had to be registered staff with at least a year of experience working in a clinical environment at either hospital. Quota sampling was used to pick staff from hospitals, stratified by shift, with signed informed permission from each participant. Information was gathered by a self-administered questionnaire with four parts (Brooks' assessment of QNWL, Anticipated Turnover Scale (ATS), free-form questions, and demographic details). Results: A total 80 participants were recruited to carry out the present study. According to the cutoff for willingness to depart as determined by the ATS (> 3.5), 61% of people are interested in finding another employment. Hospital employees were more likely to be dissatisfied with their quality of life on the job if the QNWL cutoff satisfaction level (≤4.2) was lower. There was an equal gap in discontentment between men and women on the quality of their work lives. There is a considerable increase in work dissatisfaction among participants between the ages of 31-40 (19%) (P0.000). Nonetheless, those between the ages of 41- 50 accounted for the largest percentage of respondents (21%) who were interested in leaving their current place of employment. Conclusion: Because of the implications and effects on patient care, the QNWL and nurse turnover pose serious difficulties for healthcare organizations. Keywords: staff turnover, survey-base, quality of life, Tertiary hospital
Postpartum Discharge on Labetalol was Associated with Increase Risk of Readmission for Hypertension Compared with Discharge on Nifedipine
Authors: Salman Nayla , Mumtaz Amara , Noreen Sobia , Butt Anoos , Ahmed Madiha , Fatima Touseef
Published: March 2023

Introduction: Hypertension complicating pregnancy is common and, when uncontrolled, can have devastating consequences. Objectives: The main objective of the study is to find the postpartum discharge on labetalol was associated with increase risk of readmission for hypertension compared with discharge on nifedipine. Material and methods: This cross-sectional study was conducted in Islam medical college and teaching hospital Sialkot during June 2022 to September 2022. The data was collected with the permission of ethical committee of hospital. Data was collected with the permission of ethical committee of hospital. Participants were randomized to labetalol versus extended release nifedipine using a computerized random number generator. Results: Data was collected from 50 female patients. Baseline maternal characteristics were similar between groups, including age, race, body mass index (BMI), gravidity and parity, rate of twins, and presence of medical comorbidities including chronic hypertension. Data was collected in two groups, one group of labetalol and second group of nifedipine. Practical implication: This study will help us to find the efficacy of both the drugs that we used in the study for the purpose of postpartum hypertension. Conclusion: It is concluded that both oral labetalol and oral extended release nifedipine are effective and well tolerated for management of postpartum hypertension. Keywords: Hypertension, Postpartum, Oral, Management, Labetalol, Nifedipine
Predictors of Full Recovery in Patients with Early-Stage Schizophrenia Spectrum Disorders
Authors: Qasim Muhammad Fahim , Kamal Muhammad Asif , Huma Shafqat , Khan Fatima Aamir , Naveen Nadia
Published: March 2023

Introduction: In the last 20 years, there has been an increase in research on self-stigma among persons with severe mental illness. Objectives: The main objective of the study is to find the predictors of full recovery in patients with early-stage schizophrenia spectrum disorders. Material and methods: This cross-sectional study was conducted in Wah medical college / POF hospital Wah Cantt during 2021-2022. Data was collected with the permission of ethical committee of hospital. At the time of analysis, 57 patients with early-stage psychosis had enrolled. Early-stage was defined as the duration of adequate antipsychotic treatment of more than 4 weeks but less than or equal to 2 years. We restricted analysis to individuals diagnosed as having SSD (schizophrenia [SZ] and schizophreniform disorder [SZFD]) and PNOS. Results: Data were collected from 34 patients. Mean age of the patients was 28.4 ± 8.5 years. There were 8 (39.0) males and 26 (61.0) female patients. 2.37% patients were unemployed. There were 28 (94.9) patients with family history of diseases. A comparison of the demographic and clinical characteristics of subjects being followed up versus those that had dropped out revealed no significant differences, with the exception of education and intensity of suicidal ideation. Practical implication: This study will help us to find the predictors of full recovery in patients with early-stage schizophrenia. Conclusion: It is concluded that significant predictors for full recovery were duration of untreated psychosis (DUP), family intimacy and physical activity. We observed similar or better results on remission, recovery, and relapse rates compared to other previous studies. Keywords: Early, Relapse, Compared, Recovery, DUP, Physical, Significant
El aumento de los contratos indefinidos y su posible impacto en el gasto
Authors: Anghel Brindusa
Published: March 2023

Motivación

Este artículo analiza el efecto que ha podido tener el aumento de los contratos indefinidos observado a lo largo de 2022 sobre el gasto de las familias.

Ideas principales

•Los empleados con contrato indefinido dedicaban en 2019 (de media) un 81 % de la renta de su hogar al gasto, mientras que quienes tenían un contrato temporal dedicaban un 72 %.

•La conversión de un contrato temporal en indefinido ha conllevado, históricamente, un aumento de la ratio de gasto sobre renta del 20 % (aproximadamente) en los dos trimestres siguientes.

•Utilizando esos resultados, la conversión de contratos temporales en indefinidos observada en 2022 podría haber contribuido a incrementar la ratio de gasto sobre renta entre 0,18 y 0,24 puntos porcentuales.
Exodus Allusions in the Midsection of the Gospel of Matthew
Authors: Vine Cedric E. W.
Published: March 2023

Matthean scholarship is divided as to whether the first recipients of the Gospel considered themselves to be part of early formative Judaism. Within the context of this debate, this study calls for the recognition of multiple exodus allusions in the midsection of the Gospel. These allusions reveal an Evangelist who either anticipated the possible need for withdrawal from hostile host communities or, equally plausibly, affirmed an ongoing separation process.
CONTROLE ESTATÍSTICO DE PROCESSOS: UMA AVALIAÇÃO NA AGREGAÇÃO DE FARINHA EM UM PROCESSO DE EMPANAMENTO
Authors: Hendges Julia Cantú , Suhre Tainara Ketlin , Butarelli Fernanda Paola
Published: March 2023

À medida que a logística e novos modelos de comercialização têm avançado, as empresas têm disputado mercado com organizações de todo o mundo, assim, a busca por melhores resultados em produtividade e qualidade tem sido contínua. O controle estatístico de processos (CEP) é uma ferramenta que permite o controle e melhoria do processo. Este trabalho tem por objetivo a aplicação do CEP em uma indústria alimentícia de grande porte para avaliar o percentual de agregação de uma farinha utilizada no processo de empanamento de determinado produto e posteriormente avaliar se o processo está sob controle e se é capaz de atender as especificações dos clientes. Os dados foram tratados a partir do uso da ferramenta Minitab, apresentados os gráficos de controle e calculados os coeficientes de capabilidade Cp e Cpk. Ao final da análise o processo se mostrou capaz de atender a amplitude dos limites de controle com um cp de 1,55, porém o cpk apresentou o valor de 0,64, demonstrando um deslocamento significativo em relação ao valor alvo das especificações, ou seja, incapaz de atender as especificações do processo. Com esse resultado, foram formuladas algumas hipóteses que podem ser estudadas em pesquisas futuras.
School-to-school mobility patterns and retention rates of payroll teachers in Sierra Leone
Authors: Espinoza-Revollo Patricia , Ali Yusuf , Garrod Oliver , Atherton Paul , Mackintosh Alisdair , Ramirez Ana , Beoku-Betts Iman , Haßler Björn
Published: March 2023

An output of the EdTech Hub, https://edtechhub.org
HAK MEWARIS ANAK ANGKAT DI INDONESIA DITINJAU DARI HUKUM PERDATA DAN HUKUM ISLAM
Authors: Rohma Athiyyah Nur , Habibah Aulia Jihan Ramadhana
Published: March 2023

Writing this scientific paper aims to determine the position of adopted children as heirs in civil law and Islamic law, as well as know the distribution of inheritance that can be obtained by adopted children. This study uses a juridical-normative method. The results of the research in the form of the existence of the rights and position of adopted children in civil law are not contained in BW but are regulated in Stbld 1917 Number 129, which states that there are equal rights for adopted children and legitimate children in inheritance. Islamic law does not regulate inheritance to adopted children due to differences in the lineage of adopted children and their adoptive parents, but there are other ways related to the method of inheritance in Islamic law, namely wajibah testament.
THE CONCEPT OF “HOMELAND” IN KAZAKH FOLKLORE
Authors: Olzhabayev B.K. , Pangereyev A.Sh. , Soylemez О.
Published: March 2023

The article provides a comprehensive analysis of the concept “homeland” in Kazakh folklore. The purpose of the study is to аnalyzing the notions and representations of “homeland” in the Kazakh creativity, the national features of the people's knowledge of the world, nature, the environment were determined. The scientific work analyzed the image of homeland in the national folklore of the Kazakh people, the linguistic use of the concept of homeland. At the same time, the concept of “homeland”, which is used in toponymic folklore genres, was also studied.

The study of the verbalization of the concept “homeland” in Kazakh folklore revealed that the concept of Motherland for the nomadic Kazakh people is associated with the space in which they grew up and lived as a nation.

Folklore works are one of the testimonies that show the height of spiritual being of Kazakh people. This great work of art is a boundless ocean, an inexhaustible treasure, and it does not grow old, and with the change of time grows anew, acquires a new genre character.

The reason why the native land is hot for the human race is that it has lived in harmony with nature since time immemorial. It seems that the endless dark field expresses the value of the land to the generations and gives spirit from its side. That's why the people who defended their homeland with the tip of the spear and the edge of the sword until the last drop of blood on the spoon, named the places where they touched with childish love, taking into account its symbols, adding them to songs and songs, turning them into the core of legends.

The results of the work can be used in the research work of students in the humanities.
ФОЛЬКЛОРИЗМ В РОМАНЕ А. ЖАКСЫЛЫКОВА «ПОЮЩИЕ КАМНИ»
Authors: Ибраева Ж.Б. , Шашкина Г.З. , Адилбекова М.К.
Published: March 2023

В статье подчеркивается научный интерес к исследованию праоснов художественного произведения, рассматриваются универсальные модели, архетипы, раскрывающие общекультурный и общечеловеческий уровень художественного текста, что указывает на важность его оценки в диахроническом аспекте. В статье раскрываются теоретические и практические аспекты особого типа жанрового повествования, ставшего архетипом одного из классов романа, его «метаструктурой», - классической волшебной сказки. При определении истоков жанра романа к волшебно-сказочному архетипу указана связь с бахтинской концепцией «памяти жанра».

В работе показаны устойчивые постоянные элементы классической сказки, выявленные В.Я. Проппом, на основе которых была выстроена практическая часть исследования.

Отмечено, что в пределах сказочного сюжета эти элементы могут варьироваться, повторяться в различных комбинациях. Подчеркнуто, что в процессе взаимодействия фольклора и литературы код сказки по сравнению с кодом романа следует рассматривать как код формальный и однослойный. В реалистическом романе над первичным кодом, сюжетным кодом надстраивается новый – культурно-исторический. Вторичный код – код той культуры, которому приурочено действие произведения: способов общения, условий воспитания, манер, языковых норм, господствующей моды. Выявлено, что фабула «Поющих камней» на первый взгляд проста и укладывается в известные сюжетные схемы поисков и обретения себя. Условная схема истории главного героя в «Поющих камнях», если ее вычленить из различных сюжетных перипетий романа и представить в линейной последовательности, оказывается параллельной вышеприведенной структуре.

В статье проведена практически значимая работа по выявлению архетипов в романе А. Жаксылыкова, что дало возможность заглянуть вглубь произведения, обнаружить в нем потаенные психологические предпосылки.

Проведенный анализ архетипов в фантасмагорическом романе А. Жаксылыкова «Поющие камни» (первая книга трилогии «Сны окаянных» позволяет не только оценить масштабность произведения с общекультурной точки зрения, но и определить его значимость для культуры.

В представленной работе выявляются глубинные связи романа с волшебной сказкой на уровне структуры, сюжета, композиции и образной системы.
АҚЫТ ҮЛІМЖІҰЛЫНЫҢ «ҒАЗИЗ ПІРЛЕР ЕСТЕЛІГІ» («МАНАҚИБ ПИРОН ҒАЗИЗАН») КІТАБЫНЫҢ ТЕКСТОЛОГИЯЛЫҚ МӘСЕЛЕЛЕРІ
Authors: Мырзақұлов Б.Т.
Published: March 2023

Аңдатпа. Мақалада ұлт ақыны, ғұлама ойшыл – Ақыт Үлімжіұлының ХХ ғасырдың басында Қазанда жарық көріп, кейіннен «Ғылым ордасы» РМК Орталық ғылыми кітапханасының сирек қорында сақталған «Минақиб пиран ғазизан» («Ғазиз пірлер естелігі») кітабының текстологиялық мәселелері сөз болады.

Ақынның елді білім мен ғылымға үндеген өлең-толғаулары, түрлі тақырыптағы жыр-дастандары, өлеңмен жазылған романдары, Абай хәкім бастаған алашшылдармен үндес шығармаларының қазақ әдебиетіндегі тиісті бағасы әлі күнге толық берілді деп айта алмаймыз. Бұған ақынның Монғолия мен Қытай тарапында өмір сүруі және елімізде ақын шығармаларының тәуелсіздік алған жылдардан кейін ғана насихаттала бастауы себеп болса керек.

Біз осы зерттеу жұмысында Ақыттың сирек қорда сақталған «Минақиб пиран ғазизан» («Ғазиз пірлер естелігі») кітабында келген шығармалардың мазмұнымен танысамыз. Сондай-ақ аталған еңбек кейінгі жылдары (2011) жарық көрген ақынның толық шығармалар жинағымен салыстырылып, қырқарту мен толықтырулардың орын алғаны дәйектеледі.
НОВЫЕ СИМВОЛЫ И МОТИВЫ В БАЛЕТНОЙ ИНТЕРПРЕТАЦИИ «КОЗЫ КОРПЕШ - БАЯН СУЛУ»
Authors: Tани A.Б. , Жумасеитова Г.Ж.
Published: March 2023

Аннотация. Научный подход к процессу осмысления постановки балета на тему эпического произведения является актуальным вопросом в свете изучения развития национального балета. Степень понимания ключевых вопросов самого эпоса и его драматургических узлов (пролог, завязка действия, кульминация, развязка, заключение) играет наиважнейшую роль в балетной интерпретации сюжета. Отход от данных концептов приводит к искажению сюжетной линии и изменению основной мысли эпоса. В нашем случае, жанровое отклонение с включением элементов фантастики и сказки послужило созданию нового прочтения известного эпоса, интересным поиском и сотрудничеством с театрами других стран. Казахстанский балет претерпевает сложные периоды становления в силу отсутствия идеологических констант или иных сопутствующих факторов. В работе над данным исследованием использованы культурно-ретроспективный, сравнительный методы.

Ключевые слова: балет, эпос, жанр, композитор, хореограф, музыка, постановщик, балетмейстер, спектакль, история, жанр.
Contributing Factors Towards Low Back Pain Among Front Line Health Care Workers in Lahore, Pakistan
Authors: Sultana Razia , Cheeme Shamikha , Cheema Umaima , Parveen Sajida , Ahmed Cheema Shahbaz
Published: March 2023

For nurses’ low back pain is a serious health issue. Objective: To determine the contributing factors towards low back pain among front line health care workers in Lahore, Pakistan. Method: The design of this study was cross-sectional, descriptive, and quantitative. 191 nurses were selected for this study through non-probability purposive sampling.  Data were collected by adopted Performa by Prof. Cilliers. Results: This study encompassed 191 nurses working in the four public hospitals of Lahore. The response rate was 100%. The regular prevalence of low back pain was 41.4%. The highest ratio of contributing factors towards low back pain was physical, (poor posture 36.6%), while in the psychological factors fatigue 52.4%, whereas in the social factors age 35.6%, similarly in patient care Lifting a heavy Patient 23.6%, and work environment workload 36.6%. Conclusion: Low back pain was moderately prevalent among front-line health care workers. A physical, psychological, social, patient care, and work environment are all contributing factors towards low back pain.
Nürnbergi és wöhrdi kései középkori és kora újkori textilplombák az Óbecsei Városi Múzeum gyűjteményéből
Authors: Raško Ramadanski
Published: March 2023

E tanulmány öt késő középkori és kora újkori ólom textilplombát ismertet, melyeket a bajorországi Nürnbergben és Wöhrdben bocsátottak ki, és jelenleg az óbecsei Városi Múzeumban (Szerbia) őriznek. Hála az elmúlt évek textilplombákra irányuló széles körű magyarországi kutatásainak, lehetőség van arra, hogy szélesebb kontextusban tárjuk fel a textilplombák használatát és elterjedését a Kárpát-medencében, és ezt a tudást alkalmazzuk új szerbiai leletek esetében is.
Two Sarmatian coin imitations from a Late Sarmatian grave at Békésszentandrás
Authors: Juhász Lajos
Published: March 2023

A child in the Late Sarmatian cemetery at Békésszentandrás-Fabó-tanya was buried with two Sarmatian coin imitations. Both coins were struck with the same obverse die and the reverses of both were decorated with stars and a crescent. The archaeological context of such coins is rarely known, although a few have been recovered from graves. For example, another burial in the same cemetery also contained some, confirming the assumption that these coins with a moon-and-star and crescent reverse served as amulets.
Diagnostic imaging of adnexal masses in pregnancy
Authors: Kim Junhwan , Lim Jihye , Sohn Jeong-Won , Lee Seung Mi , Lee Maria
Published: March 2023

Adnexal masses detected during pregnancy require a prompt and accurate diagnosis to ensure fetal safety and good oncological outcomes. Computed tomography is the most common and useful diagnostic imaging modality for diagnosing adnexal masses; however, it is contraindicated in pregnant women because of the teratogenic effect of radiation on the fetus. Therefore, ultrasonography (US) is commonly used as the main alternative for the differential diagnosis of adnexal masses during pregnancy. Additionally, magnetic resonance imaging (MRI) can assist in the diagnosis when US findings are inconclusive. As each disease has characteristic US and MRI findings, understanding these features is important for the initial diagnosis and subsequent treatment. Thus, we thoroughly reviewed the literature and summarized the key findings of US and MRI to apply these in real-world clinical practice for various adnexal masses detected during pregnancy.
India-ASEAN Trade Relations (2008-2018): A Decade of Redefining Bilateral Ties
Authors: Rishi Bhargav Das  , Aparajeeta Borkakoty, Ph.D
Published: March 2023

International Trade among ASEAN has been increasing and it has resulted in growth of regional trade in recent years. India and Southeast Asian Countries can be tracked from ancient time with common geographical proximity, cultural affinity, trade and investment, historical evidence have suggested there has been a flowing of trade relations between India and ASEAN. The trade between India and ASEAN has witnessed a change in the various policy reforms and trade agreements. The overall figure suggests that ASEAN is an export-oriented economy and has a great opportunity for India. India’s relationship to ASEAN has created a diplomatic initiative to promote economic and strategic connections across the region. The trade with ASEAN from the year 1992 has been underperforming but India compelled to look to its neighbors for better opportunities.
PROCESSO FORMATIVO EM ENFERMAGEM SOBRE MEDICAMENTOS EM SONDAS ENTERAIS
Authors: Schautz Evellyn Alves , Renovato Rogério Dias
Published: March 2023

No decorrer da formação acadêmica e profissional, questões envolvendo a administração de medicamentos merecem atenção diferenciada pela importância e pelos riscos que são gerados. Para a administração de medicamentos em pacientes com sonda enteral, o profissional enfermeiro deve analisar o risco de alteração do princípio ativo do fármaco, o risco de obstrução da sonda e se a velocidade de absorção do fármaco é alterada ou não pela presença da dieta enteral. O objetivo desse artigo foi relatar a experiência do desenvolvimento de curso de educação a distância (EaD), oriundo de um projeto de extensão universitária sobre administração de medicamentos por sondas enterais, aplicando a Teoria Sistêmica Ecológica Cibernética de Enfermagem (TSECE), de Rosalda Paim. O processo formativo do curso contemplou marcos teóricos e conceituais de práticas educativas em saúde e tecnologias educacionais em saúde. O curso ofereceu 30 vagas e teve duração de 45 dias. Foi organizado em quatro módulos de caráter sequencial, incluindo materiais didáticos e audiovisuais, sendo ofertado para uma turma composta por enfermeiros e estudantes de enfermagem. Inscreveram-se 12 participantes, três enfermeiros e nove estudantes de enfermagem. Dos 12 participantes, sete concluíram o curso e cinco evadiram. Aspectos positivos da experiência com o curso EaD foram relatados pelos participantes, como a facilidade de manejo na plataforma Moodle e a disponibilização dos materiais didáticos (manual e materiais bibliográficos complementares) que puderam ser utilizados no campo de trabalho. Sugeriram aprofundar mais o conteúdo de referencial teórico nos vídeos disponibilizados. Cursos na modalidade EaD, que possibilitem o acesso a materiais que facilitem a apropriação de conteúdos e a aprendizagem nos espaços de trabalho, são potentes para o aprimoramento técnico-cientifico para profissionais e estudantes de enfermagem. Estudos complementares são necessários, buscando compreender os motivos de abandono do curso.