bluuebunny/crossref_metadata_2025 huggingface dataset:
O IMPACTO DA COVID-19 NO DIAGNÓSTICO E TRATAMENTO DA TUBERCULOSE NA REGIÃO NORTE: UM LEVANTAMENTO DE DADOS DOS ÚLTIMOS 5 ANOS (2019-2023)
Authors: Silva Ana Karoliny Almeida da
Published: December 2024

A Mycobacteruim tuberculosis é a bactéria que causa tuberculose, um grave problema de saúde pública em todo o mundo, especialmente em países de baixa e média renda, onde a pobreza, a desnutrição e a falta de acesso a cuidados de saúde adequados aumentam o risco de infecção e transmissão da patologia. A tuberculose é transmitida de pessoa para pessoa através do ar e é uma das principais causas de morte por doenças infecciosas no mundo. Relatar os achados de pacientes acometidos por Mycobacterium tuberculosis e as dificuldades encontradas no diagnóstico e tratamento após o início da pandemia por COVID-19 na região norte do Brasil.O estudo, com delineamento descritivo, realizado a partir de uma junta literária através da extração de obras dos últimos 5 anos (2019-2023). Tais documentos serão subdivididos em estudos com o grupo-alvo de pacientes de acordo com o diagnóstico de Mycobacterium tuberculosis após o início da pandemia por COVID-19 e prontuários hospitalares que apresentaram dificuldades relacionadas ao prognóstico da doença em virtude da semelhança de sintomas da M. Tuberculosis e COVID-19. Após o início da Pandemia por COVID-19 no Brasil o índice de mortalidade da doença ultrapassou a tuberculose em relação ao número de mortes por dia em todo o mundo. A combinação de tuberculose e COVID-19 ainda possui grande potencial de morbidade e mortalidade. A pandemia de COVID-19 teve um impacto significativo no diagnóstico e tratamento da M. Tuberculosis. Neste estudo de revisão, abordou-se a tuberculose concomitante e a COVID-19, com especial atenção na região norte do Brasil. Além disso, discutiu-se as prioridades em cuidados clínicos, saúde pública e pesquisa. Tais achados foram expostos nas secções de Resultados presentes nesta pesquisa.
Tekstkohærens i faget dansk på mellemtrinnet
Authors: Larsen Line Kjærgaard
Published: December 2024

Artiklen er et kvalitativt enkeltcasestudie, som består af tekstkohærensanalyser af to elevtekster skrevet af den samme 4. klasseelev, Oscar, henholdsvis før og efter en forskergenereret intervention i faget dansk med fokus på tekstsammenhæng. Studiet indskriver sig i den tekstorienterede skriveforskning, men inkluderer også en social­kontekstuel forståelsesramme (Schultz & Fecho, 2000) ved at belyse tekstanalyserne gennem analyser af de to konkrete undervisningskontekster, hvori Oscar har skrevet sine to tekster. Tekstanalyserne bidrager med en detaljeret forståelse af, hvordan Oscar skaber kohærens i sine to tekster, samt hvordan kohærens kan undersøges på dette klassetrin. Studiets inklusion af kontekstanalyser nuancerer tekstanalyserne og under­streger, at en forståelse af samspillet mellem tekst og empirisk skrivekontekst er afgørende for at forstå Oscars skrivning. Tekstkohærensen undersøges gennem en analyse af semantiske kæder, funderet i en funktionel lingvistik inspireret af Hasan (1984, 1989), men også af Enkvist (1974), Källgren (1979) og Nyström (2001), mens de kontekstuelle data (feltnoter, fotos, skriverammer og to interviews med Oscar om hans tekster) analyseres gennem en fortolkende analyse af udvalgte nøgleomstændig­heder (Erickson, 1977, 1986). Tekstanalyserne viser blandt andet, at postteksten på nogle områder er mindre kohærent end præteksten, mens kontekstanalyserne finder, at kohærenssvækkelsen i Oscars posttekst med sandsynlighed kan tilskrives den konkrete undervisningskontekst, som teksten er skrevet i, herunder særligt lærerens instruktion af skriveopgaven. Studiets fund, herunder dets didaktiske implikationer, diskuteres afslutningsvis i artiklen.
The Complete Genome Sequences of 30 Species of Falcons (Falconiformes, Aves)
Authors: Catanach Therese , Hains Taylor , Pirro Stacy , Bates John , Hackett Shannon
Published: December 2024

We present the complete genome sequences of 30 species of falcons. Illumina sequencing was performed on genetic material from wild-caught specimens. The reads were assembled using a de novo method followed by a finishing step. The raw and assembled data are publicly available via Genbank.
DEFICIÊNCIA INTELECTUAL SINDRÔMICA POR MICRODUPLICAÇÃO 1P31.1: UM RELATO DE CASO
Authors: Neto Aérsio Estábile , Franco Matheus Felipe de Oliveira , Gigonzac Thaís Cidália Vieira , Giogonzac Marc Alexandre Duarte
Published: December 2024

O presente estudo relata o caso de uma paciente do sexo feminino, 18 anos, com deficiência intelectual leve, dismorfias familiares e dores articulares recorrentes. A paciente foi encaminhada para avaliação genética no Centro Estadual de Reabilitação e Readaptação Dr. Henrique Santillo (CRER), em Goiânia, Goiás. Detalhamento do caso: A paciente apresentou desenvolvimento neuropsicomotor inicial dentro dos padrões normais, mas com o tempo desenvolveu dificuldades motoras e acadêmicas. Avaliações neuropsicológicas revelaram um QI total de 65, com comprometimento nas funções cognitivas e executivas, além de prejuízos na memória de curto e longo prazo. A análise genética identificou uma duplicação na região 1p31.1 do cromossomo 1, classificada como Variante de Significado Incerto (VUS). Considerações finais: O acompanhamento multidisciplinar e genético segue como conduta para melhor compreensão do quadro clínico e para o desenvolvimento de estratégias terapêuticas personalizadas, visando a melhoria da qualidade de vida da paciente.
PERFORMANCE ANALYSIS OF QUADRIFILAR HELICAL ANTENNA: A COMPREHENSIVE SURVEY
Authors: Alao Olufunke Janet , Titus Adediji Adekunle , Ojo Joseph Sunday , Ewetumo Theophilus
Published: December 2024

The electromagnetic spectrum band of frequency of 2.4 GHz to 5 GHz, were allocated to industry in the past, but recently in the advancement of Technology development the frequency band are been shared by Industrial, Scientific and Medical (ISM). Now, this band of frequency as also being used for Wi-Fi, Bluetooth, and cordless devices. Due to different types of antennas such as a Quadrifilar helical antenna, dielectric resonator antenna, microstrip patch antenna, etc. are used for the above-mentioned devices. However, due to small size and weight microstrip patch antenna become dominant in this field from last few years. In this paper, various antenna designs for ISM band application have been discussed with their performance analyses from various papers on which this survey is conducted. Alongside, the comprehensive survey examines the performance of QHAs, focusing on advancements in design, optimization techniques, and practical implementations was also examined. By reviewing recent literature, this article aims to provide a thorough understanding of the key performance metrics, challenges, and future directions in QHA research.
Pengunaan Lagu Anak-anak Sebagai Media Pembelajaran PAKEM untuk Perkembangan Kognitif Siswa
Authors: Meko Emanuel Lambertus , Suprihatien Suprihatien , Larasati Diyas Age
Published: December 2024

Tujuan penelitian ini adalah untuk mengetahui penggunaan lagu anak-anak sebagai media pembelajaran Pembelajaran Aktif, Kreatif, Efektif, dan Menyenangkan (PAKEM) untuk perkembangan kognitif siswa. Taksonomi Bloom menggolongkan tujuan pembelajaran menjadi tiga ranah: kognitif, afektif, dan psikomotorik (Magdalena dkk, 2020). Berdasarkan observasi awal di kelas 1B Sekolah Dasar Katolik Xaverius Surabaya, hasil belajar pada ujian semester ganjil tahun ajaran 2023/2024 menunjukkan bahwa beberapa siswa kelas 1B belum mencapai kriteria ketuntasan minimal (KKM) sebesar 75. Penyebab rendahnya hasil belajar siswa adalah keterlibatan siswa yang pasif dalam proses pembelajaran, kurangnya kesempatan bagi siswa untuk berpartisipasi secara aktif dan kreatif, serta kurangnya minat yang dibangkitkan. Guru cenderung menggunakan metode ceramah dan jarang menggunakan media pembelajaran yang bervariasi. Nilai rata-rata siswa kelas 1B masih rendah, dan mayoritas siswa merasa bosan dengan model pembelajaran yang monoton. Penerapan lagu anak-anak sebagai media pembelajaran PAKEM bertujuan untuk mendorong keaktifan, kemandirian, dan tanggung jawab dalam diri siswa.
Pengaruh Digital Citizenship terhadap Karakter Kebhinekaan Global Peserta Didik
Authors: Zahra Sela Faztiara , Solihatin Etin , Abdillah Fauzi
Published: December 2024

Karakter berkebhinekaan global merupakan kemampuan peserta didik untuk mempertahankan budaya luhur, lokalitas, dan identitas, sembari tetap berpikiran terbuka dalam berinteraksi dengan budaya lain. Karakter ini mendorong rasa saling menghargai dan kemungkinan terbentuknya budaya baru yang positif tanpa bertentangan dengan nilai-nilai budaya bangsa. Penelitian ini bertujuan untuk menganalisis pengaruh digital citizenship terhadap pembentukan karakter berkebhinekaan global pada peserta didik. Pendekatan kuantitatif dengan metode survei digunakan dalam penelitian ini, melibatkan 74 responden yang dipilih melalui teknik simple random sampling dari total populasi sebanyak 287 peserta didik. Analisis data dilakukan menggunakan regresi linier sederhana. Hasil penelitian menunjukkan bahwa digital citizenship memiliki pengaruh signifikan terhadap karakter berkebhinekaan global, dengan kontribusi sebesar 63,6%. Temuan ini menegaskan pentingnya peran literasi digital dalam membentuk peserta didik yang mampu menghargai keberagaman global tanpa meninggalkan jati diri budaya lokal. Penelitian ini memberikan wawasan bagi pendidik untuk mengintegrasikan pendidikan kewarganegaraan digital dalam upaya menanamkan nilai-nilai kebhinekaan global.
Penerapan Model Pembelajaran Problem Based Learning Berbantuan Media Interaktif YouTube dan Quizizz untuk Meningkatkan Hasil Belajar
Authors: Khaerunnisa Khaerunnisa , Ulpa Nur Aulia , Magfirah Magfirah , Syahri Andi Alim
Published: December 2024

Penelitian ini bertujuan untuk menganalisis peningkatan hasil belajar matematika peserta didik dengan menerapkan model pembelajaran berbasis masalah yang didukung oleh media interaktif YouTube dan Quizizz pada materi Sistem Persamaan Linier Dua Variabel di kelas IX Sekolah Menengah Pertama Negeri 1 Sungguminasa. Penelitian ini merupakan penelitian tindakan kelas yang dilaksanakan dalam dua siklus. Subjek penelitian adalah 36 peserta didik kelas IX G Sekolah Menengah Pertama Negeri 1 Sungguminasa. Pengumpulan data dilakukan melalui observasi dan tes, yang dianalisis menggunakan metode analisis data kualitatif dan kuantitatif. Hasil penelitian menunjukkan adanya peningkatan hasil belajar matematika peserta didik setelah diterapkannya model pembelajaran berbasis masalah berbantuan media interaktif. Pada siklus kedua, hasil belajar matematika peserta didik meningkat secara signifikan dan memenuhi indikator keberhasilan penelitian. Dengan demikian, dapat disimpulkan bahwa penerapan model pembelajaran berbasis masalah berbantuan media interaktif efektif dalam meningkatkan hasil belajar peserta didik di kelas IX G Sekolah Menengah Pertama Negeri 1 Sungguminasa.
Building Comprehension: A Step-by-Step Approach for High School EFL Students in Indonesia
Authors: Harfal Zaldi , Ariyanfar Somayyeh
Published: December 2024

A This study examines a structured instructional framework for teaching comprehension strategies to high school EFL students in Indonesia. It focuses on the challenges teachers face in fostering students' independent literacy skills by implementing Duke and Pearson’s (2002) five-step model: explicit instruction, collaborative learning, guided practice, gradual release of responsibility, and independent application. The framework integrates comprehension strategies like Summarizing and Chunking with instructional strategies such as Think-Pair-Share and Modeling to ensure effective classroom implementation. A lesson plan for a professional development workshop is proposed to train EFL teachers in applying these strategies. The findings show that a systematic approach enhances students' cognitive and metacognitive skills, enabling them to comprehend texts independently. The study recommends adapting this framework for younger learners and low-proficiency adult students to ensure its applicability across diverse learning contexts. This approach helps address gaps in literacy instruction and prepares students for academic and real-world challenges.
Trend Analysis of Blended Learning Research Output from Scopus: A Scientometric Study
Authors: P. Senthilkumar, , M. Sankar, , M Deivamani, , M Senthilkumar, , P Ayyadurai, , Sivakumar.B  , K Sasikumar, , K Govindan,
Published: December 2024

This research study is a scientometric analysis of blended learning research output indexed in Scopus from 2015 to 2023, revealing significant growth in publications and citation metrics. The analysis indicates an upward trend in records, escalating from 854 publications in 2015 to 22,344 in 2023. The findings highlight that articles constitute the majority of publications (~83.11%), with an impressive citation per record average of 10.49. Notably, 2020 exhibited a peak in records (1,466) and citations (22,455). Utilizing Time Series and Trend Analysis, projections for 2030 and 2045 suggest continued positive growth in blended learning research output. Overall, this study underscores the increasing global interest in blended learning and its implications for future research directions.
The Effect of CIDR Treatment in Estrus Synchronization on Insulin Like Growth Factor in Iraqi Ewes
Authors: Mohamed Ameer Mansour , Hatif Saad Akram
Published: December 2024

The aim of study the ability of CIDR alone and in combination with PMSG in improving the fertility potential of the ewes and Determine the concentration of insulin like growth factors in blood of studied animals. Eighteen multiparous local Iraqi ewes aged between 3-4 years were randomly divided into three groups (n= 6/ group). Ewes were synchronized by CIDR The total number of animals used in the experiment was Eighteen ewes, The animals were subdivided into three groups; Group1 (n=6) ewes treated with CIDR for 12 day and treated with a single dose of  intramuscular injection of  PMSG 500 IU at the time of CIDR removal. Group 2 (n=6) non pregnant ewes treated only by CIDR, which applied by intra-vaginal route for (12 days), then withdrawal. Group3 (n=6 ) ewes control without treatment throughout the study. Regarding the insulin like growth factor (IGF-I), a significant upward increase in the level of the mentioned factor was observed as the study periods progressed in the treatment groups compared to the control group, which maintained similar levels of the studied factor in the different study periods. The period at lambing also recorded the highest level of the hormone under study, at a level of 21.61 ng/ml. A gradual significant (p˂0.05) increase was also observed with the progression of the study and pregnancy periods in the level of insulin like growth factor-1 in pregnant studied animals compared to those that did not become pregnant, which maintained close and almost constant levels despite the progression of the study periods. The period at the end of pregnancy and near birth (at lambing) also recorded the highest levels of the aforementioned factor at a level of 24.21 ng/ml. The results of the current study recorded a significant superiority (p˂0.05) in the weights of single births, males and females, compared to twins that gave births with lower weights, with significant superiority(p˂0.05) for single male births compared to those of single females. The treatment groups in the current study recorded a clear significant superiority (p˂0.01) in the pregnancy rate compared to the control group in which the pregnancy rate was 0%, in addition to the large difference, but not significant between the treatment groups themselves, as group G1 gave a much higher percentage compared to group G2, at 83% and 33% for the two treatment groups, respectively. The treatment groups showed a clear significant superiority in the lambing rate compared to the control group, in which the birth rate was 0%. The difference was also noted between the treatment groups themselves, as the G1 group recorded a lambing rate of 100%, which is higher than the lambing rate given by the G2 group, which did not exceed 33%.
Hepatoprotective Potential of Esculetin Loaded Chitosan Nanoparticles (ESC-CNPs) in DMBA- Induced Mammary Carcinogenesis in Sprague-Dawley Rats
Authors: Thirugnanam Siva Sankari , Ragunathan Subashini
Published: December 2024

The hepatoprotective effects of Esculetin Loaded Chitosan Nanoparticles (ESC-CNPs) were  assessed in this work using a model of 7,12-dimethylbenz(a)anthracene (DMBA)-induced mammary carcinogenesis. DMBA (25 mg/rat) was injected subcutaneously once close to the mammary gland in Sprague-Dawley rats to cause mammary tumors. To find the ideal dose, several ESC-CNPs concentrations were taken orally. The evaluation of hepatoprotective effects involved the examination of liver marker enzymes (AST, ALT and ALP), enzymatic antioxidants (SOD, CAT, and GPx), and non-enzymatic antioxidants GSH, lipid peroxidative markers (TBARS and LOOH), phase I enzymes (NADPH-cytochrome P450 reductase and NADH-cytochrome b5 reductase) and phase II enzymes GGT and DDT, lipid profile (TC, TG, PL, and FFA) and glycoprotein components (hexose, hexosamine, and sialic acid). The histology of liver tissue was also investigated with PAS staining.  According to the results, ESC-CNPs treatment increased phase II detoxification enzyme activity and antioxidant levels in the liver while decreasing levels of liver marker enzymes, lipid peroxidation, phase I detoxification enzymes, lipid profiles and glycoprotein components in comparison to rats treated with DMBA. Furthermore, histopathological investigation validated ESC-CNPs ability to prevent liver damage caused by DMBA. This study employs statistical analysis through Analysis of Variance (ANOVA) to examine the differences between multiple groups in a given dataset.
The Public-interest whistleblower Protection Act and Protecting Public-interest Whistleblowers
Authors:   The Korean Society of Private Security, Lee Cheol-Ho
Published: December 2024

The act of exposing and addressing illegalities and corruption within organizations such as government agencies, schools, and corporations is a challenging yet necessary step toward building a better society. Therefore, encouraging whistleblowing and protecting public-interest whistleblowers is beneficial for all of us.
The suffering that an ordinary citizen endures while exposing the corruption or irregularities they have witnessed within an organization is often indescribable. The Public-Interest Whistleblower Protection Act serves to protect and support individuals who report violations of public interest. Since its enactment in 2011, the Act has expanded its scope of protection. Public interest infringements include actions that harm public health and safety, the environment, consumer interests, fair competition, and other related public interests, all of which are subject to penalties or administrative action under laws related to public-interest whistleblowing. As of October 2024, 491 laws address public-interest infringements.
Promoting public-interest whistleblowing and protecting whistleblowers is the most effective way to detect and prevent organizational corruption. Regardless of how robust a system is, preventing corruption is challenging if individuals within an organization engage in secretive or collusive behavior. Unfortunately, public-interest whistleblowers in our society have often been wrongfully labeled as “traitors to the organization.” Government agencies and companies must renew their perspective on whistleblowers and the whistleblowing process, striving to identify and address the root causes of problems highlighted through these disclosures. Organizations should view whistleblowing as an opportunity to strengthen ethical standards and prevent corruption-related risks.
The Public-Interest Whistleblower Protection Act safeguards whistleblowers through confidentiality requirements, personal protection measures, prioritized personnel considerations, applications for protection measures, prohibitions against adverse actions, and reduced liability for whistleblowers.
Retaliatory lawsuits against public-interest whistleblowers have been used to discourage them and sever their social networks. To prevent such retaliatory actions and to aid whistleblowers in recovering damages from these lawsuits, amendments to the Public-Interest Whistleblower Protection Act and related provisions are necessary.
Evaluation of Smartphone Applications to Provide Intersection Information
Authors: Tikkun Sean , Wiener William R. , Thurman Jennifer
Published: December 2024

This article reports on a two-part study that examined the effectiveness of two types of technology designed to provide information and increase safety for travelers who are blind or have low vision as they prepare to make street crossings at complex signalized intersections. The project was approved by the institutional review board of North Carolina Central University. The subjects of this study consisted of 31 individuals who were blind or had low vision and who self-identified as experienced cane travelers. The first objective of this study was to evaluate a means of communicating intersection information to travelers from Bluetooth beacons to user smartphones so that they could better understand the configuration and characteristics of a complex intersection. The study identified the most critical information that should be presented through this system and obtained data on its level of importance to the traveler. The second objective of this study was to explore the use of a smartphone to initiate the walk signal at an accessible pedestrian signal (APS) and, thus, avoid the need to find and press the pedestrian button. The study evaluated the value of these smartphone applications and identified changes that would enhance their use. The results from part one of this study verified the relative importance of the information provided to subjects and established the value of a Bluetooth beacon system in providing information about the characteristics of an intersection prior to making crossings. The results from part two of this study found that the use of a smartphone to initiate the walk signal at an APS eliminated the need of the traveler to leave the crossing point to find the call button and then return. Subjects reported that, without having to turn and find the APS, they were able to maintain a direct line of approach to the corner, which allowed them to better establish alignment with the traffic prior to initiating a crossing. In addition, the use of a countdown timer embedded in the application provided helpful information about the time remaining during the crossing.
Photoprotection des enfants scolarisés en primaire à la Réunion. Evaluation des connaissances et des comportements
Authors: BRETON N , BRUNEAU L , DUMEZ J , MIQUEL J , VILLEROY F , BEYLOT-BARRY M , SULTAN-BICHAT N , BERTOLOTTI A
Published: December 2024

Introduction. La Réunion est soumise à des indices ultraviolets très élevés. Son incidence de mélanome tend vers celle de l’Australie. Dès l’enfance, il y a un risque d’exposition.
Objectif. Décrire les comportements et les connaissances des enfants scolarisés concernant la protection solaire.
Méthode. Cette étude transversale, multicentrique de type recherche-action s’est déroulée dans plusieurs écoles élémentaires. Les caractéristiques cliniques, les habitudes scolaires/extra-scolaires et les connaissances en matière de photoprotection ont été recueillies par auto-questionnaire. L’action a consisté en une formation autour de la prévention solaire. Les enfants ont été classés en 3 catégories principales, phototypes I-II, III-IV et V-VI, et 2 sous-groupes, plus de 10 naevi et antécédents de coup de soleil.
Résultats. L’étude a inclus 1 138 enfants. Les groupes de phototypes I-II, III-IV et V-VI représentaient respectivement 157, 815 et 145 enfants. Les mesures de prévention étaient appliquées significativement moins à l’école qu’au cours des activités extrascolaires (p < 0,01). Les enfants de phototype I-II, avec antécédents de coups de soleil et plus de 10 naevi mettaient en place plus de mesures de photoprotection et obtenaient une meilleure moyenne aux questions (p < 0,01). La moyenne du score des connaissances était insuffisante (< 12/20) chez tous les enfants (moyenne 10,5/20 ; écart-type 4,1).
Conclusion. Cette étude identifie un manque de connaissances sur la prévention solaire et un frein du système scolaire dans la photoprotection. La photoprotection était insuffisante et moins importante à l’école alors que les enfants y sont aux heures où l’indice ultraviolet est le plus élevé. Les populations à risque obtenaient de meilleurs résultats aux questions de prévention solaire que le reste des enfants interrogés et appliquaient davantage de mesures de protection en milieu extrascolaire qu’à l’école. Cela semble témoigner d’une éducation directe de l’entourage familial et d’une sensibilisation à la photoprotection dès le plus jeune âge. Une meilleure sensibilisation est nécessaire ainsi que le développement d’une large campagne de prévention solaire.
Endométriose et infertilité : ressenti des femmes durant leur parcours avec le médecin traitant
Authors: MALLET A , BARGIER J
Published: December 2024

Contexte. L’endométriose affecte environ une femme sur dix, entraînant une précarité pluridimensionnelle aux conséquences sévères sur leur qualité de vie.
Objectif. Comprendre en quoi la relation médecin traitant-patientes a pu influencer le ressenti de ces femmes dans leur parcours de soins.
Mé thode. Étude qualitative par analyse interprétative phénoménologique. Les participantes ont été recrutées par volontariat via les réseaux sociaux ou en cabinet de médecine générale (MG). Elles étaient majeures, atteintes d’endométriose confirmée, suivies par un spécialiste, résidant en France, avaient un médecin traitant (MT) et étaient prises en charge pour infertilité.
Ré sultats. Dix entretiens individuels avec des femmes de 27 à 40 ans du 10 février au 15 mars 2023 ont été réalisés. Les patientes, face au manque d’information et de soutien des soignants, exprimaient détresse, solitude et « devenaient expertes en cherchant elles-mêmes des solutions » à leurs douleurs. Cependant, les participantes relataient un manque de coordination persistant entre les MG, les soignants pratiquant des médecines alternatives et les spécialistes. L’ignorance et l’exclusion du MT du parcours de soins ont été des obstacles. Elles attendaient de lui humanité, écoute, empathie pour leur combat contre la maladie. L’expérience a prouvé qu’un MT compréhensif et informé améliorait significativement la prise en charge.
Conclusion. Les femmes avec endométriose endurent douleurs prolongées et isolement. Elles aspirent à une approche proactive et humaine de la part des MG, favorisant un soutien psychologique et une prise en charge moins compartimentée avec les spécialistes. Cela souligne l’importance pour les MG de jouer un rôle central dans l’orientation dès le diagnostic. Une prise en charge pluridisciplinaire est primordiale pour répondre aux besoins des patientes et éviter la chronicisation des symptômes.
Revisión de la literatura sobre estrategias para la prevención de la Mpox en Chile: Nuevos desafíos
Authors: Zúñiga Pizarro Constanza , Muñoz Vásquez Beatriz , Recabarren Dueñas Catalina , Jimenez Durán Felipe , Zúñiga Pizarro Sebastián
Published: December 2024

Introducción. La Mpox es una enfermedad zoonótica emergente que ha demostrado capacidad de propagación global, afectando regiones fuera de sus áreas endémicas en África. En Chile, aunque no se han registrado brotes endémicos, la presencia de casos importados subraya la necesidad de medidas preventivas efectivas para evitar su diseminación.

Materiales y métodos. Se utilizó la base de datos PUBMED con una búsqueda independiente por cuatro revisores durante julio y agosto del año 2024. Se utilizó el término MeSH “Mpox”, combinado con subheadings: epidemiology, zoonoses, vaccination, y public health, unidos por el operador booleano “OR”, obteniendo 55 artículos en inglés y español. De estos, se limitaron a publicaciones de los últimos 5 años, de tipo Review, Systematic Review y Practice Guideline. Finalmente, se seleccionaron 27 artículos para el desarrollo de esta revisión.

Resultados. Las vacunas de segunda y tercera generación generadas inicialmente para combatir la viruela, han mostrado ser eficaces en la prevención y mitigación de los síntomas del Mpox. La vigilancia epidemiológica activa y el rastreo de contactos son fundamentales para la identificación precoz de casos importados y para prevenir la transmisión local. Además, se ha observado un cambio en la vía de transmisión del virus, ahora predominantemente asociada al contacto sexual, lo que requiere ajustes en las estrategias preventivas, siendo fundamental evitar el contacto directo con lesiones en piel y promover el uso de preservativos durante las relaciones sexuales, sobre todo en poblaciones de riesgo de desarrollar una enfermedad grave o complicaciones, como mujeres embarazadas, personas inmunosuprimidas como VIH sin tratamiento o en etapa SIDA y pacientes con cáncer.

Discusión. La experiencia adquirida durante la pandemia de COVID-19 ha demostrado la capacidad de respuesta de Chile ante emergencias sanitarias, lo que es alentador para enfrentar posibles brotes endémicos. Adaptar y actualizar continuamente las políticas de salud pública, en combinación con una vacunación efectiva y estrategias de educación a la población, es fundamental para enfrentar cualquier amenaza emergente de este virus. Los resultados de esta revisión destacan la importancia de un enfoque proactivo y coordinado para la prevención y control de Mpox, asegurando así la protección de la salud pública en Chile.
Una mirada a la realidad: hospitalizaciones por trastorno afectivo bipolar entre el período 2018-2021 en Chile
Authors: Lecaros Franchesca , Henríquez Flavia , Mondaca Gustavo , Opazo Anais , Pinto Marina , Maluenda Eliecer
Published: December 2024

Introducción: El Trastorno Afectivo Bipolar (TAB) se caracteriza por fluctuaciones del estado de ánimo. Su mal pronóstico se relaciona con elevadas tasas de suicidio y conductas autolesivas. Sólo el 38% de los chilenos son diagnosticados y reciben atención adecuada. El objetivo es calcular la tasa de egreso hospitalario (TEH) por Trastorno Afectivo Bipolar en el periodo 2018-2021 en Chile.

Materiales y métodos: Estudio descriptivo transversal observacional sobre egresos hospitalarios por TAB durante los años 2018 - 2021 en Chile (n=10.323), según sexo, grupo etario, promedio días de hospitalización y clasificación diagnóstica. No fue requerido un comité de ética

Resultados: Se obtuvo una TEH de 14,68 por 100.000 habitantes. La TEH del período para el sexo femenino fue de 18,77 y para el sexo masculino fue de 10,42. El grupo etario de 20 - 44 años obtuvo la mayor TEH de 31,81. El diagnóstico “Trastorno Afectivo Bipolar, No Especificado” presenta un mayor porcentaje de hospitalización con un 42,94%( 4.433).

Discusión: Diversos hitos, como la crisis sanitaria, generaron repercusiones en la salud mental de las personas. La alta TEH en mujeres se puede asociar a factores biológicos y sociales. El grupo etario con mayor TEH coincide con la edad debut del TAB. Es importante indagar los egresos reportados con diagnóstico de TAB no especificado, probablemente asociado a falta de psiquiatras en la urgencia, errores en los registros y el no contar con un sistema estandarizado de diagnóstico de patologías de salud mental.
Comorbilidades asociadas a pacientes con insuficiencia cardíaca en Temuco, Chile
Authors: Henríquez Vejar Esteban , Ansieta Sandoval Felipe , Toro Mora Francisco , Escobar Galindo Ignacio , Vergara Riquelme Bastián , Salinas Gallegos Alejandra
Published: December 2024

Objetivo. Caracterizar pacientes con diagnóstico de insuficiencia cardíaca en el Hospital Hernán Henríquez Aravena. Materiales y métodos. Estudio retrospectivo, descriptivo, de corte transversal y por ende sin seguimiento, se registraron pacientes que habían sido hospitalizados por insuficiencia cardíaca y se agregaron pacientes que se controlaron en policlínico de insuficiencia cardíaca durante el año 2017 en el hospital Dr. Hernán Henríquez Aravena (HHHA). Resultados. Se obtuvo una muestra de 160 pacientes. La edad media del estudio es 69.6 años con una mediana de 70 años, con un 53,8% corresponden a hombres y el 46,3% corresponden a mujeres. Las comorbilidades más frecuentes corresponden a hipertensión arterial (78,7%), diabetes (50,6%), cardiopatía coronaria (28,7%), dislipidemia (21,2%) y ser usuarios de marcapasos (13.7%). Conclusión. La presencia de múltiples comorbilidades es habitual en pacientes con insuficiencia cardiaca, es muy importante conocer el perfil de estos pacientes de manera detallada para poder tener un manejo adecuado para tratar y prevenir descompensaciones.
Exploring Classroom Management Strategies Used by English Teachers in Speaking Classes
Authors: Aziza Nur , Ashadi Ashadi , Umar Nasir
Published: December 2024

Classroom management continues to be a teacher's struggle for teaching performances because it relates to students learning. There needs to be more understanding and knowledge about managing the students and classrooms with diverse student behaviour to solve the problems, particularly when identifying students' problems and understanding their different characteristics. However, this study explored teacher classroom management strategies in teaching speaking classes, especially in secondary schools. This study aims to (1) explore and describe the classroom management used by English teachers in teaching speaking. (2) find out the teacher strategy used to deal with the students' problems during classroom management's teaching and learning speaking process. (3) examine the impact of classroom management strategy in teaching practice. This study uses semi-structured interviews, observations, and document analysis to collect the data. The data findings reveal that teachers have different ways of dealing with different classroom situations based on their experiences and understanding, especially in speaking classes. Most of them claim to take action on how to respond to students' problems, such as understanding classroom management strategies, organizing, problem-solving, and applying teaching strategies. These strategies have a positive impact on learning engagement in the classroom, such as the students being more interested in learning English lessons, obeying the rules, talking actively, and having motivation.
The Role of Village Websites in Increasing Community Participation: A Case Study of Batur Village, Semarang Regency
Authors: Susano Adhi , Rachmawati Meida
Published: December 2024

This study aims to analyze the role of village websites in enhancing community participation in Batur Village, Getasan District, Semarang Regency. With a total population of 7,600, the research employed a simple random sampling method to select 100 respondents. Data were collected through a questionnaire that included questions regarding the level of access and use of the village website and participation in village activities. Data analysis was conducted using statistical tests, including Pearson Correlation Test and T-Test, to determine the relationship between website usage and community participation. The results showed a positive and significant relationship between the frequency of accessing the village website and the level of community participation, where respondents who actively used the website tended to be more involved in village activities, such as consultations and development programs. Comparative analysis also revealed significant differences between active users and non-active users of the website. Although the village website has significant potential to enhance participation, challenges such as a lack of community awareness and technological accessibility hinder its utilization. The study recommends that village officials be more proactive in educating the community about the importance of the website and providing relevant information to increase participation. Thus, the village website can serve as an effective means to enhance transparency and community engagement in the village development process.
Legal Vacuum Regarding the Filling of Regional Heads During the Transition Period of the 2024 Simultaneous Regional Elections
Authors: Rustam Rustam , Barthos Megawati
Published: December 2024

This study explores the legal vacuum in filling regional head positions during the transitional period of the 2024 Simultaneous Regional Elections in Indonesia. The transitional period poses challenges in appointing interim regional heads, as existing regulations lack clarity on authority, responsibilities, and legitimacy. This research aims to analyze the gaps in the legal framework and provide recommendations to address these issues. Utilizing normative legal research methods with a statute and conceptual approach, this study examines existing laws and regulations, including Law No. 10 of 2016 and related ministerial regulations. The findings reveal significant limitations in defining the scope of interim officials' authority, creating uncertainty in governance and public trust. The research concludes that the absence of comprehensive regulations impacts regional administration stability, emphasizing the urgency of establishing clear guidelines for interim appointments. By addressing these legal voids, the study offers solutions to ensure effective governance, enhance transparency, and uphold democratic principles during the transitional period.
The Influence of School Principal Leadership, Work Environment, and Work Discipline on Teacher Performance at Yapparindo Klungkung Tourism Vocational School
Authors: Mandia I Ketut , Sirait Tongam
Published: December 2024

This research aims to identify the influence of school principal leadership, work environment, and work discipline on teacher performance at Yapparindo Tourism Vocational School. The research method used is quantitative with a multiple linear regression approach. The population in this study consists of all teachers at Yapparindo Tourism Vocational School, while the sample includes 56 teachers. The results of the regression analysis indicate that simultaneously, the three independent variables (school principal leadership, work environment, and work discipline) significantly affect teacher performance. However, partially, only the work discipline variable has a significant effect on teacher performance. Although the school principal leadership and work environment variables are not statistically significant, they remain important as both play a crucial role in creating a conducive work atmosphere. The coefficient of determination (R-square) obtained shows that the constructed regression model can only explain a small portion of the variation in teacher performance. This indicates that there are still other factors not covered in this study that also influence teacher performance. Based on the research findings, it is recommended that Yapparindo Tourism Vocational School focus more on improving teachers' work discipline. Additionally, the school needs to continually strive to enhance the quality of school principal leadership and improve working conditions. For future research, it is suggested to examine other factors that may affect teacher performance, such as work motivation, workload, and support from colleagues.
Efforts for Legal Renewal in the Fulfillment of Women's Health Rights in Indonesia
Authors: Fitri Selvi Relita , Redi Ahmad
Published: December 2024

This study discusses efforts for legal renewal in fulfilling the right to public health, with a specific focus on the fulfillment of health rights for women in Indonesia. In this context, the research analyzes various existing policies and regulations, as well as the challenges faced in their implementation. The research method used is literature review, in which data is collected from various sources, including laws, government regulations, and related academic literature. The research results indicate that although there are several regulations supporting health rights for women, there are still many obstacles in accessing quality health services, including discrimination, stigma, and a lack of understanding of health rights. Legal renewal is necessary to strengthen the protection of women's health rights, including through increasing the capacity of health services, education about health rights, and strengthening the role of civil society. This article recommends the need for collaboration between the government, health institutions, and society to create an environment that supports the fulfillment of women's health rights in a comprehensive and sustainable manner.
Ocurrencia del hongo Fusarium solani como patógeno causante de la muerte regresiva en el cultivo del aguacate
Authors: Chavez Huaman Nelsi Hermilia , Vega y Montecillo Pedro , Álvarez Benaute Luisa Madolyn , Castillo Nole Manuel Jorge , Campos Albornoz Miltao Edelio , Valverde Rodríguez Agustina
Published: December 2024

La pérdida de plantas productivas debido a la muerte regresiva del palto (Persea americanaMill) en Perú es de preocupación creciente en el sector agrícola. Este fenómeno devastador se manifiesta con necrosis en hojas, ramas, tallos y muerte de árboles, el Centro de Investigación Olerícola Frutícola alberga 22 variedades del palto, siendo las más susceptibles al ataque de la muerte regresiva las variedades Hass y Fuerte, por lo que el objetivo del presente trabajo Identifica el agente causal de la muerte regresiva en la variedad Hass. Se seleccionaron 20 plantas con síntomas de necrosis en hojas, ramas y tallos, junto con otros indicios como muerte de ramas, necrosis del pedúnculo del fruto y desarrollo de frutos pequeños de donde se extrajeron raíces como muestra y suelos. Se recolectaron y en laboratorio se procesaron raíces necróticas de plantas, las cuales fueron desinfectadas, maceradas y sembradas en agar PDA, se realizaron los aislamientos y la caracterización morfológica respectiva del cultivo en PDA.Los hallazgos permitieron identificar como el patógeno responsable de la muerte regresiva al hongo Fusarium solani. La confirmación del agente fitopatógeno se efectuó a través del reporte del Servicio Nacional de Sanidad Agraria. Fue demostrado la patogenicidad del hongo, al inocular a las plantas del palto en vivero y su evaluación a los seis meses posterior, evidenciándose síntomas de pudrición de la raíz, raíces secundarios escasas y quebradizas. En conclusión, el estudio demuestra que Fusarium solanies el patógeno responsable de la muerte regresiva en el cultivo.
Sosialisasi Sekolah Anti Perundungan, Kekerasan Seksual dan Intoleransi Di SMKN 2 Kota Bima
Authors: Nurhijriah Nurhijriah , Israfil Israfil , Imaniar Mahrati
Published: December 2024

Bullying atau perundungan merupakan masalah yang bisa terjadi di berbagai tempat. Perilaku ini melibatkan tindakan negatif yang secara berulang ditujukan kepada seseorang oleh individu atau kelompok. Tidak hanya dialami oleh anak-anak, perundungan juga dapat terjadi pada orang dewasa. Sekolah menjadi salah satu lingkungan yang rawan terjadinya perundungan, yang dampaknya bisa bersifat jangka panjang dan memengaruhi baik korban maupun pelaku.Program s osialisasi di SMK 2 Kota Bima tentang pencegahan perundungan, kekerasan seksual, dan intoleransi merupakan inisiatif yang digagas oleh dosen Universitas Unggusuwaru. Kegiatan ini melibatkan kerja sama dengan Dinas DP3AP2KB Kabupaten Bima serta Satgas PPKS Universitas Nggusuwaru sebagai bentuk pengabdian masyarakat. Tujuannya adalah memberikan edukasi dan informasi terkait isu-isu tersebut, meningkatkan kesadaran masyarakat tentang dampaknya, khususnya perundungan, serta menciptakan lingkungan sekolah yang aman dan bebas dari kekerasan. Program ini juga mendukung implementasi Tri Dharma Perguruan Tinggi. Metode pelaksanaannya dilakukan secara tatap muka dengan penyampaian materi oleh Ketua Satgas Universitas Nggusuwaru dan Dinas DP3AP2KB. Hasil pelaksanaan pengabdian kepada masyarakat menunjukkan keberhasilan dalam kegiatan sosialisasi mengenai Anti Perundungan, kekerasan seksual, dan intoleransi di SMK 2 Kota Bima, yang dapat dievaluasi melalui kegiatan tersebut. Salah satu indikator keberhasilannya adalah tingginya partisipasi dan antusiasme peserta. Selain itu, seluruh peserta memperoleh pemahaman yang baik mengenai topik Anti Perundungan. Selama sosialisasi, peserta aktif berinteraksi dengan narasumber dan turut serta dalam diskusi untuk menyelesaikan berbagai permasalahan yang ada.
Adoção Tecnológica para gestão de negócios no campo do assentamento do Itamarati em Mato Grosso do Sul
Authors: Silva Luan Carlos Santos , Silva João Henrique Ferreira Barbosa da , Mauad Juliana Rosa Carrijo
Published: December 2024

A agricultura familiar tem grande importância na produção de alimentos que abastecem as cidades, principalmente aquelas de menor porte. Apesar à importância, os pequenos produtores sofrem com frequentam com os baixos lucros e produtividade, além da pouca automatização e tecnologias disponíveis em seu processo de produção. Consequentemente, em um mercado competitivo os pequenos agricultores perdem espaço para os produtores em larga escala. Dessa forma, a implementação de ferramentas tecnológicas como aplicativos de gerenciamento rural, armazenamento de informações da produção e vendas, se tornam fundamentais para contornar os obstáculos enfrentados pelos pequenos produtores e potencializar a produtividade. Nesse contexto, este projeto de extensão teve como objetivo o melhoramento tecnológico da gestão de negócios de pequenos produtores do maior assentamento da América Latina, o Itamarati, localizado no município de Ponta Porã, Mato Grosso do Sul, por meio do desenvolvimento de aplicativos de gerenciamento e comercialização dos produtos. Para tanto, elaboração deste trabalho seguiu o modelo e ferramentas do Design Thinking. Neste modelo foram realizadas visitas técnicas, entrevistas e acompanhamento da rotina dos pequenos produtores para identificar os problemas inerentes ao processo de produção. Observamos que estes trabalhadores fazem pouco ou nenhuma utilização de tecnologias de gerenciamento em campo e que estão propensos a aderir as ferramentas digitais específicas para a produção. Assim, conforme os principais problemas identificados na rotina dos trabalhadores foram elaboradas três propostas de desenvolvimento de protótipos digitais que são apresentadas neste trabalho juntamente com seu design inicial, informações do modo de utilização e principais funções.
Programa de Intervenção de Exercícios Físicos em Mulheres Sobreviventes de Câncer de Mama
Authors: Toscano Jean , Santos Petla , Santos Brenda , Silva Yasmin , Sampaio Júnior Marcelo
Published: December 2024

O objetivo deste trabalho foi descrever um modelo de intervenção de exercícios físicos em sobreviventes de câncer de mama, e sua adesão. A amostra foi constituída por 30 mulheres, idade média de 58 (±8,9) anos, com diagnóstico primário de câncer de mama. A intervenção foi realizada por acadêmicos de Educação Física de uma universidade federal sob coordenação de um docente dessa instituição, em um centro de alta complexidade em oncologia de Maceió-AL. Foram utilizados os componentes FITT da prescrição: frequência (4 dias na semana), intensidade (parte aeróbia por meio de batimento musical, escala de percepção subjetiva e os exercícios resistidos pelo número de repetições máximas), o tempo de cada sessão foi de 45 minutos, o tipo de atividade oferecida foi o combinado e caminhada. A adesão desse modelo foi avaliada no ciclo de 12 semanas da intervenção, sendo observada uma adesão da sessão combinada de 76,2%, na caminhada 65,5% e em ambas 70,8%, a taxa de desistência ao final desse ciclo foi de 20,0%. Em conclusão, a proposta de programa de exercício físico em mulheres sobreviventes de câncer de mama, durante um período de doze semanas, empregando os princípios da prescrição FITT, apresentou adesão dentro do previsto na literatura e baixa taxa de abandono.