bluuebunny/crossref_metadata_2025 huggingface dataset:
The Extent of Intermediate Stage Students' Knowledge of Green Chemistry Principles and their Attitudes Towards it
Authors: Shihab Baraa Saeed Hamad , Abdul Rahman Amani Abdul Rahman Makawi
Published: November 2024

The aim of the research is to: Identify the level of knowledge of middle school students about the principles of green chemistry and thenature of their attitudes towards it. Identify the correlation between middle school students' knowledge of the principles of green chemistry and their attitudes towards the principles. The descriptive research method was followed and a questionnaire was prepared with two areas, the first related to the principles of green chemistry consisting of 20 paragraphs and the second about the attitude towards the principles of green chemistry consisting of 20 paragraphs. They were valid and reliable, and were applied to a sample of (362) male and female students,(219) male and (143) female students. The results of the research showed that the level of knowledge of middle school students about the principles of green chemistry was average. The degree of attitude ofmiddle school students towards the principles of green chemistry was high.
Good and Evil's Conflict in Human Nature and Their Interaction with Religion in William Golding's "Lord of the Flies"
Authors: Khalaf Jameel Ahmed
Published: November 2024

Evil will always exist on Earth as long as there are humans since humanity is unable to become completely pure. Religious narratives typically center on the concept of goodagainst evil, illustrating the conflict between virtues and vices, heroism and betrayal, light and darkness. Lord of the Flies by William Golding examines human nature in great depth in the absence of social structures by concentrating on the connection between religion and ideas of good and evil using physiological approach and Freud’s theory of personality. The aim of the study is to investigate how religious symbols and moral frameworks are used to represent the fight between the forces of good and evilin the novel's plot. A qualitative literary analysis method is employed in the study, emphasizing the struggle between right and wrong as well as the application of religious symbols. Data was collected from reading the novel itself, highlighting character actions, thematic components, symbols, and narrative aspects. The study concludes that Golding's story reflects biblical ideas of original sin and the fall from grace, with characters like Simon and the "Lord of the Flies" representing Christ and demonicpower respectively. The novel highlights the struggle between good and evil, highlighting the fragility of moral accountability and the innate capacity for evil in humans.
Grupo Focal como método de avaliação da usabilidade da plataforma de edição de vídeos Runway
Authors: Santa Rosa José Guilherme , Veloso Isis Tatiane de Barros Macêdo , Peixoto Gustavo André Falcão , Silva e Santos Diego Ygor , Guedes João Pedro Morais
Published: November 2024

Este artigo apresenta estudo sobre a avaliação da usabilidade na interação de usuários com a plataforma de edição de vídeos Runway que faz uso de ferramentas baseadas em Inteligência Artificial, por meio da técnica de Grupo Focal, com vistas à caracterização da qualidade na interação com a interface do software, contribuindo para o contexto do âmbito da pesquisa. A pesquisa envolveu a realização de um workshop com o software de edição de vídeos Runway, bem como o universo amostral de oito participantes com conhecimento básico sobre edição de vídeos. Durante o workshop realizou-se de maneira participativa a interação com o software mediante a execução de cinco tarefas. Após a conclusão de todas as atividades, aplicou-se a técnica de Grupo Focal com todos os participantes no intuito de obter feedback sobre a interface da plataforma no tocante à qualidade da interação sob o viés da Experiência do Usuário. Os resultados indicam que prevalece uma avaliação positiva após a interação com o Runway, com ênfase em respostas relacionadas às qualidades inerentes ao software, bem como à avaliação da usabilidade.
Origins of information visualization in corporate bullet points: an archaeology of the graphic configuration paradigm in data visualizations (1979–1995)
Authors: Ranoya Guilherme , De Castro Andrade Rafael
Published: November 2024

The present work seeks to highlight the origin of the current paradigm of data visualization design and the logic of creating charts and presentations, which emerged with the personal computer revolution. The initial digital tools developed for producing corporate communication artifacts were crucial in establishing the reasoning and production flow of visualizations up to the present day. Knowing beforehand that the origin of data visualization predates personal computing by centuries, it’s surprising that it is now entirely subject to models and guidelines originating from computer sciences. Through an investigation conducted with an archaeological method adapted to design artifacts, it is possible to understand the discontinuity and abrupt transformations experienced in the conventions and values of this practice. Through this methodological approach, along with the analysis of the productive mindset discourse and the available tools in this specific period, it becomes possible to explain the changes that aparted the craft of visualization artifacts from the domain of art and/or design, subjecting them to corporate sphere empowered by emerging arsenal of information technologies.
Desafios do design da informação para inclusão digital de idosos na perspectiva da literacia em saúde: uma revisão de escopo
Authors: Fragelli Thaís Branquinho Oliveira , Oliveira Junior Arthur Campêlo de , Machado Vitor Pedra , Garcia Kerolyn Ramos , Pereira Leonardo Costa , Karnikowski Margô Gomes de Oliveira , Areda Camila Alves
Published: November 2024

Com o crescente acesso aos recursos digitais, o uso desses no monitoramento e autogerenciamento de condições de saúde pode ser promissor. Contudo, para a integração efetiva dessas tecnologias nas rotinas de saúde, é crucial identificar habilidades e recursos do usuário, bem como desenvolver estratégias que atendam às suas necessidades. O objetivo deste estudo foi identificar os tipos de literacias necessárias para que pessoas idosas utilizem aplicativos de saúde. Foi realizada uma revisão de escopo orientada pela metodologia JBI Evidence Synthesis e utilizado o PRISMA-ScR. Selecionaram-se 19 trabalhos, distribuídos entre 2014 e 2024, divididos nas categorias literacia computacional, literacia informacional, literacia midiática e literacia em saúde. Os estudos encontrados apontam para a necessidade de que futuras pesquisas possam aprimorar métodos para avaliar, melhorar a usabilidade e promover a acessibilidade de aplicativos de saúde para pessoas idosas.
Caractérisation des automorphismes CR d'une classe d'hypersurfaces dans C⁴
Authors:   , Julien Cyril
Published: November 2024

Cette thèse de doctorat s’intéresse au groupe de stabilité, Aut(Mg), qui est l’ensemble des automorphismes (ou biholomorphismes fixant un point) d’une hypersurface réelle et continue Mg. Pour étudier Aut(Mg), il s’avère suffisant de classifier l’ensemble des automorphismes infinitésimaux réels analytiques CR, hol(M), d’une hypersurface, M, plus simple, polynomiale, homogène et modèle. M est associée à Mg dans le sens que son équation définissante n’est constituée que des premiers termes du développement de Taylor de celle qui définit Mg. Certains résultats généraux, dans Cn+1, existent ; des résultats plus précis existent dans C3 ; et, nous apportons dans ce travail des résultats pour C4. Les hypersurfaces qu’il s’avère pertinent d’étudier sont réelles, holomorphiquement non dégénérées, de type fini et Levi dégénérées. Le chapitre 1 présente les notions élémentaires, une problématique ainsi que l’ensemble des résultats principaux. Le chapitre 2 traite du cadre général, dans Cn+1. Inspiré de « Chern-Moser operators and polynomial models in CR geometry », ce chapitre présente la description complète de la démarche générale qui a pour outil l’opérateur de Chern-Moser, appuyée par des précisions ainsi que des exemples. Le but du chapitre 3 est double. D’une part, il est à considérer comme tremplin avant la généralisation dans C4 et dans ce sens, il reformule les résultats de « Infinitesimal CR automorphisms for a class of polynomial models » et offre une description des automorphismes infinitésimaux réels analytiques CR d’une hypersurface homogène et modèle de C3, M, décrite par l’équation Imw = PQ + QP, où (z,w) = (z1, z2,w) 2 C3, et P et Q sont des polynômes en z. D’autre part, ce chapitre apporte plusieurs précisions importantes pour ce cas, notamment concernant la décomposition des rotations. Le chapitre 4 présente les nouvelles contributions concernant une hypersurface homogène M de C4 décrite par Imw = PQ + QP + RR, où (z,w) = (z1, z2, z3,w) 2 C4, et P, Q et R sont à nouveau des polynômes en z. Ce cas est appelé problème PQR. Un cas modèle est à considérer comme une introduction, un cas découplé (pour lequel une variable est strictement réservée à R) donne des résultats intéressants, mais c’est surtout le cas général, tou- tefois monomial, qui semble important : le théorème qui décrit une décomposition des rotations s’avère être le résultat le plus important, mais la dimension de l’ensemble de tous les automorphismes infinitésimaux réels analytiques CR de l’hypersurface est détaillée. Le chapitre 5 ouvre la porte aux perspectives nouvelles et propose de nouvelles pistes, tout en rappelant le lien fondamental entre M et Mg, entre les automorphismes infinitésimaux réels analytiques CR décrits de l’hypersurface modèle et les automorphismes de l’hypersurface générale.
Diez años de Cebemo: cristianos y desarrollo
Authors: Sobrino Jon
Published: November 2024

No abstract available.

ECA Estudios Centroamericanos, Vol. 37, No. 402, 1982: 279-284.
El problema de las Malvinas
Authors: E. B.
Published: November 2024

No abstract available.

ECA Estudios Centroamericanos, Vol. 37, No. 402, 1982: 289-290.
Leyendo el Diario oficial no. 402
Authors: ECA: Estudios Centroamericanos
Published: November 2024

No abstract available.

ECA Estudios Centroamericanos, Vol. 37, No. 402, 1982: 296-300.
Equity in healthcare supply chain access: a narrative review of challenges and strategies in the U.S.
Authors: Gbenga Adewumi  , Jude Shagan Azai  , Faith Chidinma Okonkwo  , Jemima Adwoa Misszento
Published: November 2024

This article presents a narrative review of some challenges and strategies associated with the healthcare supply chain in the USA. The healthcare supply chain, which includes manufacturers, distributors, providers, and patients plays a critical role in ensuring cost-effective and timely delivery of medical products and services. However, access to these resources is hindered by some significant disparities, impacting health outcomes, and complicating existing inequities. Some key barriers to equitable healthcare supply chain access include geographical disparities between rural and urban areas, socioeconomic factors such as income inequality, racial and ethnic disparities, technological gaps, and regulatory challenges. This review also explores strategies for improving equity, including strategies for improving equity such as policy interventions, technological solutions, community-based approaches, supply chain optimization, and workforce development. By analyzing case studies of successful implementations and lessons learned from challenges, this review aims to inform policy, practice, and future research in healthcare supply chain management and health equity. The paper also highlights the relevance of this topic pointing to the current healthcare reforms and increased focus on health inequality. Finally, it stresses the potential impact of solving these challenges by adopting policy interventions, technological innovations, community engagement, and systemic changes in healthcare delivery and supply chain management.
Keywords: Supply Chain, Health Equity, Risk Management, Healthcare.
Pembrolizumab (Keytruda)
Authors: CDA-AMC
Published: November 2024

Reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform nonbinding recommendations that help guide the reimbursement decisions of Canada’s federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses pembrolizumab (100 mg/4 mL vial solution for IV infusion).
Indication: Pembrolizumab in combination with gemcitabine-based chemotherapy is indicated for the treatment of adult patients with locally advanced unresectable or metastatic biliary tract carcinoma.
Concrete Pictorial Abstract Approach Use in Teaching Mathematics on Secondary Students’ Participation in Six Selected Schools in Kicukiro District, Rwanda
Authors: Umuhoza Rozata , Hakizimana Theoneste
Published: November 2024

Mathematics is pivotal in science and technology, serving as a gateway discipline. Effective teaching should foster positive attitudes by engaging students with real-world examples. The SPECIFIC objective of this study was to investigate how the use of Concrete-Pictorial -Abstract approach in mathematics subject affects students’ participation in selected schools in Kicukiro District. This study was based on investigating the use concrete pictorial abstract approach in teaching mathematics on secondary students’ participation in selected ordinary secondary schools in Kicukiro district. The population targeted in this study was all 2520 senior two students, 51 mathematics teachers and 36 directors of studies and the sample size comprised 540 students, 6 directors of studies and 6 mathematics teachers.  This study applied constructivism theory. A qualitative research approach was used since the topic for research requires an in-depth study in a real situation together with descriptions which can be done better in words than in numbers. Instruments used in data collection in this research are interview and observation. To analyze the data obtained during interview and observation, this study used content analysis. Content analysis is a technique utilized for organizing spoken or written materials into predetermined categories with similar meanings. Findings reveal that when teachers use the CPA approach in teaching mathematics, students participate in lessons through manipulating concrete materials. The stage of pictorial use enables students to develop critical thinking by transitioning from concrete to abstract concepts. This final step involves students using numbers and symbols. At this step the findings show that the students try to make general rule by using numbers and symbols though students seem less active than during the steps of using concrete and pictorial. Conclusion, learners participate in learning mathematics and improve their performance through the usage of concrete pictorial abstract approach, by using tangible materials and visuals aids. This research will help the teachers who teach mathematics to involve the students in order to make the class active and stick on the learner centered approach, by engaging the students in all levels, and it will help both teachers and students to understand that mathematics concepts are tangible by using the materials, and this will attract students’ interest and participation which lead to performance.
Influence of Communication on Smallholder Farmers’ Adoption of Agriculture Innovations in Damongo of the Savannah Region of Ghana
Authors: Mahama Smith Wayo , Abudu Jacob Ibrahim , Damwah Agape Kanyiri , Arhin Ebenezer Tawiah
Published: November 2024

Farmers continue to adopt varied innovations as a way of helping them improve their food security. This study assessed communication factors affecting the adoption of agricultural innovations among farmers in Damongo in the Savannah region. The study relied on Rogers' Diffusion of Innovation theory. The study employed a descriptive cross sectional study design. The study was targeted at smallholder farmers within the study area. Simple random sampling technique was applied to obtain eligible participants of 272 from a study population of 850. A structured questionnaire was used to gather the data. The collected data was analyzed using Statistical Package for Social Science (SPSS) windows version 26.0. The results show that all 272 farmers indicated that they were adopting the application of fertilizers at the study setting. About 60.7% of the respondents did not adopt disease resistant crop varieties at the study setting as part of innovations in farming. From the results, 55.1% of respondents indicated that they had ever felt the positive effect of using agricultural innovations. There was a significant association between off farm occupation and age of respondents, and Innovation usage (p= 0.000, p=0.014). Also, a logistic regression model was adopted to analyze the effect of channels of information on farmers’ adoption of agriculture innovations. The results revealed that all channels of information were statistically significant and farmers that used these channels were more likely to adopt. From the results, 72.1% of respondents said agricultural innovation helps them to process cassava into flour. The results also indicate that there is a moderate association between educational level and innovation usage. Based on the results, the study concluded that, farmers were aware of certain agricultural innovations used in the study setting. The study also concluded that age and off farm occupation also influences Innovation usage.  The study recommended more education by Extension Officers on how farmers in the study setting could adopt agricultural innovation to improve food security.
Monitoring and Evaluation Practices and the Performance of Kenya National Highways Authority Road Maintenance Projects in Central Region, Kenya
Authors: Thuo Simon Kariuki , Ndungu Antony
Published: November 2024

Road maintenance projects frequently encounter issues such as delays in completion, inadequate user satisfaction, and inconsistent quality of work. This study examined how Kenyan road maintenance projects performed in relation to Monitoring and Evaluation (M&E) procedures. This research purposed to determine the impact of M&E budget allocation on the Central region's Kenya National Highways Authority (KeNHA) road repair projects' performance. In this investigation, the guidance was drawn from the theory of constraints. This research employed descriptive survey research and targeted 24 roads under KenHA maintenance in Central region. The intended participants comprised 72 road engineers and 50 KeNHA staff from various counties in the central region. A census sample approach was employed in the study. Both closed-ended and open-ended questionnaires were used in the study. A small sample of ten road engineers working on KeNHA projects participated in a pilot study. The data was statistically analysed using SPSS version 27. The study on budget allocation in road maintenance projects found positive evaluations of budget management, with a composite mean of 4.19. Correlation analysis showed a strong positive link between budget allocation and project performance (r = 0.670, p < 0.001), while regression analysis indicated budget allocation accounts for 57.3% of performance variance (R² = 0.573). Overall, effective budget allocation for M&E activities, including training and logistics, significantly boosts project success. The study recommended that KenHA should ensure adequate allocation of M&E funds to enable training of monitoring team and for logistical support.
Linguistic Exploitations in T&C/T and S Apply: A Matter in the Digital Age
Authors: Faleke Victoria Ogunnike , Ampong Bernard , Antwi Fordjour Emmanuel
Published: November 2024

The study considers the ‘Terms and Conditions (T & Cs) Apply’ as a data for the study. The main objective is to highlight the linguistic exploitation inherent in the document also known as ‘Terms of Services’ (T & Ss). T & Cs Apply is a legal agreement between a service provider and the person who requests for the service, of which the recipient must agree by abiding by the Terms of Services in order to use the offered service(s).  The study takes into cognizance a qualitative approach and a random data sampling of ‘T & Cs/T & Ss Apply’ of the following institutions: banks, online businesses and network service providers. Twenty of T&Cs Apply documents of banks, some online businesses and some networks providers were sampled from online between June 2022-2023 January. They were downloaded, screenshot (where they could not be downloaded) and were scanned through to ascertain their features. The pragmatic concept used to account for the data is the ‘Cooperative Principle’ (CP). All the maxims were used to account for the data. The following findings were revealed: linguistic verbosity, linguistic falsity, linguistic ambiguity, and linguistic irrelevance. The study concludes that there are breakdowns of the maxims. The breakdown of the maxims transcends impositions on the users’ right and infringement of their human rights. The study recommends that the cyberspace is another space for human existence in the 21st century, where many human engagements take place; therefore, all legal documents need to be properly disseminated. The study calls for simplicity of language use.
UPAYA MENINGKATKAN PEMAHAMAN SISWA PADA MATA PELAJARAN TPACK PPKN MENGGUNAKAN PENDEKATAN DI MAN 1 LOMBOK TIMUR
Authors: APRIANI RIKA , MUSTARI MOH. , HADI SAMSUL , ZUBAIR MUHAMMAD
Published: November 2024

This study examines how MAN 1 Lombok Timur teachers use the TPACK approach to help students better understand Civics material. This study used a descriptive research design and qualitative research methodology. Interviews, observations, and documentation were the methods used to collect data. Data reduction, data presentation, and conclusion drawing were the data analysis methods used. The research findings show that there is an increase in students' understanding of Civics subjects through the use of the TPACK approach, namely learning using technology and listening to podcasts about diction. Supporting factors are teacher competence and school infrastructure and inhibiting factors are limited access to technology, lack of teacher skills in TPACK, unsupportive curriculum, mismatch of technology with learning needs, lack of support and resources, and rapid changes in technology.
ABSTRAKStudi ini meneliti bagaimana guru MAN 1 Lombok Timur menggunakan pendekatan TPACK untuk membantu siswa memahami materi PPKn dengan lebih baik. Penelitian ini menggunakan desain penelitian deskriptif dan metodologi penelitian kualitatif. Wawancara, observasi, dan dokumentasi adalah metode yang digunakan untuk mengumpulkan data. Reduksi data, penyajian data, dan penarikan kesimpulan adalah metode analisis data yang digunakan. Temuan penelitian menunjukkan bahwa terdapat peningkatan pemahaman siswa terhadap mata pelajaran PPKn melalui penggunaan pendekatan TPACK yaitu pembelajaran menggunakan teknologi dan mendengarkan podcast tentang diksi. Faktor pendukungnya yaitu kompetensi guru dan sarana prasarana sekolah serta faktor penghambat yaitu keterbatasan akses teknologi, kurangnya keterampilan guru dalam TPACK, kurikulum yang tidak mendukung, ketidaksesuaian teknologi dengan kebutuhan pembelajaran, kurangnya dukungan dan sumber daya, serta perubahan yang cepat dalam teknologi.
MODEL PEMBELAJARAN COOPERATIVE SCRIPT DALAM MENINGKATKAN KETERAMPILAN MEMBACA INTENSIF SISWA KELAS IV SD
Authors: KHAIRUNNISA ASNI DESELIA
Published: November 2024

Using the Cooperative Script Learning method, this initiative aims to help fourth graders at SDN Aluh-Aluh Besar 1 improve their reading comprehension and fluency. Classroom action research, with its two sessions each cycle, is the research method used. Planning, carrying out, observing, and reflecting are the four phases that make up each cycle. Seventeen fourth graders from the second half of the 2023–2024 school year participated in this research. Intensive reading learning outcomes, student characteristics, and instructor variables were the components evaluated. Observation, testing, and documenting were the methods used to acquire data. The research demonstrated that students' learning outcomes from intense reading may be enhanced when teachers and students use the Cooperative Script learning technique. This is predicated on the findings of the first cycle's 65.6% teacher activity and the second cycle's 85.9% teacher activity. The level of student participation increased from 63.7% in cycle I to 85.5% in cycle II. After a 53% completion rate in cycle I, students were able to shift their attention to reading with 82% completion in cycle II. Discussions and findings suggest that during the 2023–2024 school year, fourth graders at SDN Aluh–Aluh Besar 1 may benefit from the Cooperative Script learning strategy when it comes to intense reading.
ABSTRAKMenggunakan metode Cooperative Script Learning, inisiatif ini bertujuan untuk membantu siswa kelas empat di SDN Aluh-Aluh Besar 1 meningkatkan pemahaman dan kelancaran membaca mereka. Penelitian tindakan kelas, dengan dua sesi setiap siklus, adalah metode penelitian yang digunakan. Perencanaan, pelaksanaan, pengamatan, dan refleksi adalah empat fase yang membentuk setiap siklus. Tujuh belas siswa kelas empat dari paruh kedua tahun ajaran 2023–2024 berpartisipasi dalam penelitian ini. Hasil pembelajaran membaca intensif, karakteristik siswa, dan variabel instruktur adalah komponen yang dievaluasi. Observasi, pengujian, dan dokumentasi adalah metode yang digunakan untuk memperoleh data. Penelitian menunjukkan bahwa hasil belajar siswa dari membaca intensif dapat ditingkatkan ketika guru dan siswa menggunakan teknik pembelajaran Cooperative Script. Ini didasarkan pada temuan aktivitas guru 65,6% pada siklus pertama dan 85,9% pada siklus kedua. Tingkat partisipasi siswa meningkat dari 63,7% pada siklus I menjadi 85,5% pada siklus II. Setelah tingkat penyelesaian 53% pada siklus I, siswa mampu mengalihkan perhatian mereka ke membaca dengan tingkat penyelesaian 82% pada siklus II. Diskusi dan temuan menunjukkan bahwa selama tahun ajaran 2023–2024, siswa kelas empat di SDN Aluh–Aluh Besar 1 mungkin akan mendapatkan manfaat dari strategi pembelajaran Cooperative Script dalam hal membaca intensif.
CUIDADOS DE ENFERMAGEM NA PREVENÇÃO DO RISCO DE QUEDAS EM IDOSOS HOSPITALIZADOS: UMA REVISÃO DE LITERATURA
Authors: Lacerda Adriana dos Santos , Pires Valquiria Pinheiro Pereira , Cartaxo Kellyane Moreira Lima Mariz , Silva Macerlane de Lira , Souza Anne Caroline de , Lucena Jalles Dantas de
Published: November 2024

Introdução: As quedas em pacientes idosos durante a internação hospitalar representam uma realidade preocupante que constitui um desafio de saúde significativo, devido às suas implicações pessoais e aos custos institucionais associados. Reconhecer uma queda é crucial para implementar medidas preventivas de forma oportuna e mitigar os danos secundários que possam prejudicar a reabilitação do paciente. Objetivo: Descrever através de revisão da literatura, a atuação da enfermagem na prevenção ao risco de queda em idosos no ambiente hospitalar. MetodologiA: Trata-se de um estudo de revisão literária. Foi realizado um levantamento bibliográfico nas bases de dados eletrônicas: LILACS, MEDLINE e BDENF. Para a seleção dos artigos, utilizou-se o operador booleano "AND" e os descritores cadastrados no DECS: Envelhecimento; Hospitalização; Acidentes por quedas; Cuidado de enfermagem. Também foram aplicados alguns critérios de inclusão: artigos publicados em português, inglês e espanhol, textos completos, publicados nos últimos cinco anos. Foram excluídos teses, monografias e trabalhos que não respondessem ao objetivo proposto. Após a identificação dos artigos, realizou-se a leitura dos resumos, selecionando-os para leitura na íntegra. Em seguida, os resultados foram dispostos em gráficos e tabelas e confrontados com a literatura especializada. Resultados e discussão: Algumas estratégias são apontadas na prevenção de quedas nos idosos hospitalizados adotadas pela equipe de Enfermagem, incluem o uso de escalas de risco para identificar condições específicas e comunicação eficaz com pacientes e familiares sobre o cuidado seguro. Além do uso de pulseiras de identificação, ajustes no ambiente e supervisão constante buscam minimizar o risco de quedas, prevenindo danos físicos e psicológicos. A prevenção ativa e individualizada é considerada um indicador essencial de qualidade nos cuidados de enfermagem em ambientes hospitalares. Conclusão: A prevenção de quedas em idosos é essencial para garantir um cuidado seguro e de qualidade. A equipe de enfermagem deve identificar riscos e implementar estratégias preventivas, com foco na comunicação e em práticas baseadas em evidências, promovendo um ambiente seguro e complicações físicas e emocionais para o paciente.
TRANSTORNO DE ANSIEDADE SOCIAL NA ADOLESCÊNCIA PELA PERSPECTIVA DA TEORIA COGNITIVO-COMPORTAMENTAL: UMA REVISÃO INTEGRATIVA
Authors: Jesus Débora Oliveira de , Silva Paula Oliveira , Pucci Silvia Helena Modenesi
Published: November 2024

Objetivo: O presente trabalho teve como objetivo apresentar as principais técnicas e intervenções da Terapia Cognitivo-Comportamental (TCC) no tratamento do Transtorno de Ansiedade Social (TAS) na adolescência. Metódo: Realizou-se uma revisão integrativa de ensaios clínicos randomizados (ECR’s) com adolescentes (13-18) com transtorno de Ansiedade Social, selecionados a partir das principais bases de dados de saúde Cochrane, Pubmed e Biblioteca Virtual de Saúde (BVS), considerando os últimos 5 anos. Resultados: As amostras analisadas sugerem que as técnicas da TCC, quando adaptadas para os aspectos específicos do TAS na adolescência, promove uma redução significativa nos sintomas do TAS. A investigação dos estudos selecionados, demonstrou que os instrumentos de avaliação mais utilizados para medir os sintomas foram: ADIS-C/P, ASAQ, ASBQ, ASCQ, LSAS-CA-SR, Mini-SPIN e DASS. As principais técnicas utilizadas nos ECR’s incluíram psicoeducação do modelo cognitivo, hierarquia do medo, redução de comportamentos de segurança e evitativos, exposição, desenvolvimento de habilidades de resolução de problemas, prevenção de recaídas, revisão de metas e planejamento do futuro. Conclusão: O tratamento do TAS de forma precoce é fundamental para reduzir prejuízos e sofrimento na vida adulta do sujeito. A TCC de forma individual ou grupal quando adaptada especificamente para o tratamento em adolescentes, obteve resultados preliminares satisfatórios em comparação ao tratamento padrão estabelecido para adultos. O suporte online, demonstrou não substituir o tratamento estruturado com um profissional especializado, porém, a TCC fornecida pela internet a partir de suporte e módulos, sugere ser superior a nenhuma intervenção. Desta forma, o suporte pela internet sugere ser eficaz para pacientes que não aderiram ao tratamento padrão, além de oferecer uma relação favorável de custo-benefício, sendo um tratamento mais acessível.
A PESSOA IDOSA E O DIREITO PRIORITÁRIO À SAÚDE: APONTAMENTOS A PARTIR DA LEGISLAÇÃO BRASILEIRA
Authors: Silva Ana Paula Pereira da , Silva Laylla Fernanda Lopes da
Published: November 2024

Esse artigo tem como objetivo analisar as dificuldades na efetivação do direito prioritário à saúde para a população idosa no Brasil, com foco na legislação vigente e nas limitações práticas que comprometem sua aplicação. A metodologia adotada é a pesquisa bibliográfica, com revisão de textos legais, documentos institucionais e estudos acadêmicos sobre o tema. Os principais achados indicam que, apesar das garantias legais, como a Constituição Federal e o Estatuto do Idoso, a escassez de recursos financeiros e humanos, a infraestrutura insuficiente, o desconhecimento dos idosos sobre seus direitos e a desarticulação entre os níveis de governo são fatores que dificultam a concretização desse direito. A pesquisa aponta ainda que a fiscalização limitada e a capacitação inadequada dos profissionais de saúde são fatores que agravam a situação. O estudo destaca a necessidade de uma gestão mais eficiente e transparente, além da disseminação de informações sobre os direitos dos idosos, como estratégias para fortalecer a efetividade das políticas públicas de saúde voltadas para essa faixa etária.
OS IMPACTOS PSICOLÓGICOS DA COVID-19 NA TERCEIRA IDADE
Authors: Santos Vânia Dionilia da Conceição dos , Mendonça Francisco Cardoso , Ramos Elissandra de Jesus Oliveira
Published: November 2024

A pandemia de COVID-19 trouxe grandes desafios à saúde mental da população idosa, devido ao isolamento social e à vulnerabilidade desse grupo. Este estudo investiga os impactos psicológicos da pandemia, focando em ansiedade, depressão e solidão, além de explorar estratégias de enfrentamento e apoio psicossocial. A pesquisa destaca a importância do suporte social e da resiliência como fatores de proteção, propondo intervenções para promover o bem-estar emocional dos idosos. O estudo visa contribuir para políticas públicas eficazes, analisando as implicações emocionais e cognitivas em pessoas com 60 anos ou mais. Também identifica fatores de risco, como percepções negativas sobre o envelhecimento e excesso de informações, que agravam o sofrimento psicológico. Em contraste, resiliência e satisfação com a vida surgem como elementos que reduzem a ansiedade e depressão. A pesquisa sugere que fortalecer redes de apoio e promover resiliência são medidas eficazes para melhorar a qualidade de vida e saúde mental dos idosos durante e após a crise.
A APLICABILIDADE E AS FALHAS NA LEI MARIA DA PENHA
Authors: Araújo Larissa Yasmin Pereira , Medeiros Anna Flávia Andrade , Dias Pauliana
Published: November 2024

A Lei Maria da Penha (Lei 11.340/2006) representa um marco no combate à violência doméstica e familiar contra a mulher no Brasil, garantindo medidas protetivas e punições mais severas aos agressores. O presente trabalho analisa a aplicabilidade dessa legislação, considerando seu impacto positivo na proteção das mulheres e na conscientização sobre os direitos femininos. No entanto, apesar dos avanços, a lei enfrenta desafios na sua efetividade, como a falta de infraestrutura adequada, a morosidade do sistema judiciário e a insuficiência de políticas públicas para acompanhar as vítimas. O estudo aborda as falhas na implementação da Lei Maria da Penha e propõe soluções que possam fortalecer seu funcionamento, visando uma maior eficiência na proteção das mulheres vítimas de violência doméstica.
ANÁLISE DA EXODONTIA EM USUÁRIOS DE MEDICAMENTOS ANTICOAGULANTES
Authors: Lima Filipe Rehem , Moreira David Costa
Published: November 2024

Introdução: A exodontia ou extração dentária, é um procedimento comum na odontologia. A análise da exodontia em usuários de medicamentos anticoagulantes é importante para garantir a segurança do paciente durante e após o procedimento. Objetivo: este trabalho teve como objetivo investigar a segurança e eficácia da exodontia em pacientes que fazem uso de medicamentos anticoagulantes, com o propósito de fornecer informações valiosas para a prática odontológica e melhorar a qualidade do atendimento a esse grupo de pacientes. Materiais e métodos: foi realizado um levantamento bibliográfico, em seguida foram coletados dados com a finalidade de identificar variáveis relevantes como tipo de anticoagulante, tempo de suspensão de medicação, recuperação ou complicações pós-exodontia. Resultados: o uso de anticoagulantes em pacientes submetidos a cirurgias de extração dentaria minimiza o risco de complicações hemorrágicas, além de requerer uma abordagem multidisciplinar. O uso destes anticoagulantes nestes pacientes, envolve passos críticos, como: a avaliação do risco de sangramento, a adaptação da terapia anticoagulante de acordo com as características do paciente e o tipo de cirurgia. Conclusão: portanto ao seguir esses passos, os profissionais podem otimizar a segurança dos pacientes, reduzindo o risco de complicações hemorrágicas e tromboembólicas.
Management of Gingival Enlargement during Orthodontic Treatment by Diode Lasers versus Conventional Method
Authors: H. Almusawi Fatima , S. Mahdi Shaimaa , A. Alkurtas Salah
Published: November 2024

Objective: The aim of this study was to assess the efficacy of diode lasers (810-980 nm) in treating gingival enlargement caused by orthodontic appliances. Additionally, to compare the outcomes of diode laser treatment with the conventional method (scalpel) in managing gingival enlargement.
Materials and Methods: For this study, a total of 20 patients ranging in age from 14 to 28 years old were included. These individuals were divided into two groups: the laser group and the conventional group. In the laser group, surgery was performed on 10 patients using an 810–980 nm diode laser in continuous wave mode with energy settings of 1.5–2 watts. On the other hand, the conventional group also consisted of 10 patients who underwent gingival enlargement management due to an orthodontic appliance using a scalpel. To assess pain and discomfort, patients were provided with a questionnaire to record their experiences daily for the first seven days following the surgery. Pain and discomfort were evaluated using a verbal rating scale. During follow-up visits, plaque index, bleeding on probing, healing, and swelling were assessed. Additionally, the duration of the surgery and bleeding scores were recorded during the surgical procedure.
Results: The initial postoperative bleeding score was significantly lower in the laser group compared to the conventional group. The duration of the procedure was shorter in the laser group than in the conventional group. Additionally, the laser group exhibited lower levels of PI and BOP percentages compared to the conventional group. Notably, there was a significant different in the percentage of BOP, with a P=0.03 in the first week, and a P=0.002 in the fourth week, as determined by T-tests. When comparing individuals in the laser group to those in the conventional group, it was observed that the pain and discomfort scores decreased.
Furthermore, the swelling score was significantly lower in the laser group compared to the conventional group, particularly in the third week (Chi square statistic = 4.9, P=0.05). Lastly, there was a significant variation in healing scores in the laser group throughout all weeks of follow-up, as indicated by the T-test (P< 0.05).
Conclusion: Based on the results obtained, it can be concluded that diode lasers operating within the range of 810-980 nm, when set at the appropriate power level, prove to be an effective method for managing gingal enlargement caused by orthodontic appliances.
Evaluation of Diode Laser Treatment on Implant Stability, Healing Edema and Implant Survival in a Sample of Iraqi Patients Seeking Dental Implants: Single Center Study
Authors: Bakir Ghanem Murrad  , Bouguila Jed , A. Hasan Thair
Published: November 2024

Objective: To investigate the impact of diode laser therapy on pre-implant site preparation and post-implant healing, primary and secondary stability of the dental implant osteointegration, to measure crestal bone level, and the survival rate of the dental implants.
Methods: This prospective clinical study was organized from November 2022 to August 2024 at the Dentistry College Teaching Hospital, Department of Oral and Maxillofacial Surgery/Dental Implant Unit/University of Kut. Patients were randomly allocated into two groups: study group receiving diode laser and control group receiving no laser treatment. Outcome variables included mainly healing edema score, implant stability, and survival of implant.
Results: Regarding primary stability, there was no significant difference in its mean level between study group and control group, 67.12 ±5.44 ISQ versus 68.54 ±5.77 ISQ, respectively (p = 0.208). Regarding secondary stability following 7 days, 4 weeks, 8 weeks, and 12 weeks, there was no significant difference in its mean level between study group and control group (p> 0.05). Higher scores of healing edema were found in the control group when compared to study groups at 3 days, 7 days and 14 days intervals (p< 0.001).

Conclusion: Laser therapy resulted in improved healing edema score, but it had no significant impact on dental stability or implant survival.
A	Cross-Sectional	Study	on	Functional	Disability	among	the	Elderly	in	Rural	Area	of	Goa
Authors: Ravi Arya , G. Pinto Da Silva Vanita
Published: November 2024

Introduction: Functional disability among the elderly reduces autonomy, leading to dependency, decreased quality of life, increased hospitalization, and higher mortality rates, ultimately lowering general life expectancy and increasing disabled life expectancy. Objectives: 1. To estimate the prevalence of functional disability among the elderly residing in the field practice area of Rural Health and Training Centre, Mandur, Goa. 2. To determine the factors associated with functional disability among study participants Methods: A community-based cross-sectional study was conducted among elderly individuals (aged 60 years and above) in the field practice area of Rural Health and Training Centre, Mandur, Goa. Systematic random sampling recruited 372 participants from 1,588 households. Functional disability was assessed using the Barthel Index, with data analysed using SPSS 22.0. Prevalence was expressed as a percentage, and associations were evaluated using significance tests and Odds ratios with 95% confidence intervals. Results: Out of 372 participants (mean age: 71.24 ± 8.03 years), 95 (25.5%) had functional disabilities in ADL, visual, or hearing impairments. Significant associations were found with age, literacy, financial dependence, and current alcohol consumption (p < 0.05). Conclusion: The high prevalence of functional disability among the elderly in rural Goa highlights the need for targeted interventions to improve quality of life and independence. Health education, literacy, and financial support are critical for preserving functional abilities. Community based initiatives and supportive healthcare policies are essential for reducing disability and healthcare costs among the elderly
Assessment	of	Knowledge	and	Preventive	Practices	on	Latent	Tuberculosis
Infection	among	Nursing	staff	at	a	Tertiary	Care	Centre	at	Goa
Authors: V.C Aswin , G. Vanita , Da	Silva Pinto , Patnaik Sandeep , Hallur Apoorva , Vidyadhar	Tari Yamesh
Published: November 2024

Introduction: Latent tuberculosis infection presents with no symptoms. All nursing staff who work closely with patients must possess the appropriate knowledge and follow the right preventive practices to avoid latent tuberculosis infection. This study was carried out to assess knowledge and preventive practices on latent TB which will help in making recommendations for the control of TB infection among nursing staffs.
Objective: To assess knowledge and preventive practices regarding latent Tuberculosis infection and to assess infection control practices among the nursing staff. Method: This was a facility based cross sectional study conducted among nurses who works in Outpatient departments and wards of tertiary care centre. A complete list of the participants was made, and data from all nurses employed in every ward and outpatient department of the hospital was collected using a semi-structured self-administered questionnaire. A sample size of 384 nurses was calculated using Cochrane formula with p=50% and simple random sampling was used. Results: Out of 384 nurses, 376 (97.9%) were females and 8 (2.1%) were males. Regarding prevention of latent tuberculosis, 327 (85.1%) nurses answered wearing of mask, followed by regular sterilisation of hospitals which was 281 (73.1%) nurses. Out of 384 nurses, 298 (77.6%) of them wear a mask while dealing with coughing patients. In this, 242 (81.3%) reported usage of a surgical mask while N95 mask is only used by56 (18.7%) of them. Conclusion: Overall knowledge regarding latent tuberculosis was satisfactory among the nurses. Practice on infection control was not satisfactory.
Keywords:Infection control, Knowledge, Latent tuberculosis, Nurses, Practice
A Cross-Sectional Study on Cardiovascular Disease Risk Assessment among the Adult Population in Poonamallee Taluka, Tiruvallur District, Tamil Nadu
Authors: Sugavanam Anjugam , Vaishali R.N. , Vaishali R.N. , Durgadasimi Deepa , Kumaravelu Srivaishnavi , Parasuraman Gomathy
Published: November 2024

Introduction: Non – Communicable Diseases, driven by factors like increased life expectancy, urbanization and unhealthy lifestyles have become a leading cause of morbidity and mortality worldwide. India is undergoing a health transition, with Cardio Vascular Diseases now representing a significant part of its disease burden. Objectives: To estimate the prevalence of CVD risk and its associated factors using World Health Organization/ International Society of Hypertension risk prediction charts. Method: A community based cross-sectional study was conducted for a period of 18 months among 545 participants in Poonamallee Taluk, Tiruvallur district. Participants were selected using a multistage simple random sampling method. Sociodemographic data were collected through interviews, and blood samples were taken to assess blood sugar and cholesterol levels. Descriptive statistics for background variables were computed using SPSS 21. The association between various factors and cardiovascular disease (CVD) risk was analysed using the chi square test. Multiple logistic regression was performed to identify independent risk factors. Results: The mean age of the study subjects was 54.3+9 years with 60.2% being females. The 10-year CVD risk, based on the WHO/ISH risk prediction chart 30.6% had low risk (5 – 10%) and 30.3% had moderate risk (10 - <20%). Age, gender, education, socio – economic status and family history of NCDs, were significantly associated with CVD risk (p<0.05). Conclusion: This study highlighted that 11.8% have a high prevalence of CVD risk factors among adults over 40 years. The findings emphasize the importance of targeted interventions, including promoting physical activity, healthy diets, and regular screenings.
Police Officers' Memories of Induced Critical Incidents in a Training Program
Authors:   , Roscoe Michael
Published: November 2024

Obtaining accurate memory recall from police officers following critical incidents is crucial to effective policing. The studies aimed to find the optimal method of police officers' recall following both a low-stress and a high-stress condition using a simulated critical incident. Officer recall performance was tested immediately after the simulated critical incident. The key finding was that in the high-stress situation, the quantity of peripheral information recalled differed based on the method of recall. These differences in recall performance indicate that future investigative strategies must take these methodological effects into consideration found only subsequent to high-stress situations.