bluuebunny/crossref_metadata_2025 huggingface dataset:
SINGLE VERSUS MULTIPLE-TRACT PERCUTANEOUS NEPHROLITHOTOMY IN THE SURGICAL MANAGEMENT OF SINGLE LARGE STONE: PROSPECTIVE STUDY OF 50 CASES AT SINGLE CENTRE (OUR INSTITUTE).
Authors: K Desai Paresh , Bhat Mahakshit , Sharma Lokesh , Ahmed Nisar , Tomar Vinay , Mathur Rajeev
Published: September 2023

Purpose: Renal calculi are a common urological disorder characterized by a high recurrence rate. Single large calculus still represents an
intractable challenge for urologists. Percutaneous nephrolithotomy (PCNL) is the gold standard procedure used for large kidney stones, and
multiple tracts of PCNL are applied to achieve better stone clearance if not cleared by single tract PCNL. However, the creation of multiple tracts
may have the potential risk of bleeding and higher complication rates compared with single-tract procedures. The purpose of this study is to assess
the safety and efcacy of single tract access for single large renal calculi in comparison to multiple tract access. Records Materials and Methods:
of 50 patients with single large calculi who underwent PCNL at our institution between January 2021 and Dec 2022 were studied prospectively.
twenty-ve patients were managed by single-tract access (Group 1), and 25 patients underwent multiple-tract access (Group 2). Mean age was
(42.84 years) Both groups were compared in terms of perioperative ndings and postoperative outcomes and complication like postoperative
bleeding, post op fever, sepsis, pulmonary complication, necessitated blood transfusion and selective angio-embolization. Results: In group 1 the
initial access were either superior, or middle, or inferior. In group 2 The mean number of percutaneous accesses in the multiple-tract group was
(2.5), with most patients requiring two tracts. The mean duration of uoroscopy screening time is 3.22±0.85 in group 1 and 6.05±1.18 in group 2
which is higher compared to group 1. The operative time was 72.60±15.55 minutes in group 1 and group 2 it is 109.80±13.03 minutes which is
longer in Group 2. Stone-free rates (in a view of with no residual stone) were 80% and 60% in Groups 1 and 2, respectively. The mean hospital stay
was higher in group 2 compare to group 1. Complications included blood transfusion, resulting from a haemoglobin drop of 0.74±0.81 and
1.96±1.51 g/dL in Groups 1 and 2, respectively. Mean pre- and post-operative creatinine change were 0.26 mg/dL in Group 1 and 0.26 mg/dL in
Group 2. Mean changes in creatinine values were not statistically was likely to fail signicant between the groups. Clavien–Dindo Classication
Grade II complications included blood transfusion, which occurred in one patient in Group 1 and ve in Group 2, urosepsis occurred in two patients
in group 2. Pseudoaneurysm attributed to Grade III complications occurred in one patient in Group 2. This study indicated that Conclusion.
STPCNL is the only best an effective method for treating single large calculi. Compared with MTPCNL, STPCNL is associated with many
advantages, less blood loss, fewer blood transfusions, fewer pulmonary complications without an increase in other complications and less hospital
stay.
INCIDENCE OF ACUTE KIDNEY INJURY IN VENOMOUS SNAKE BITE PATIENTS
Authors: Akram Mohd. , Rajak M , Narang Saloni
Published: September 2023

Introduction Snake bite envenomation is a signicant public health issue, particularly in rural and forested regions of India. This study aims to
investigate the incidence of Acute Kidney Injury (AKI) in patients with venomous snake bites, identify early predictors of AKI, and evaluate the inhospital outcomes of AKI. Objective To study the incidence of Acute Kidney Injury in Venomous Snake Bite patients. Methods A prospective
observational study was conducted at Bokaro General Hospital, India, from June 2018 to May 2020. The study involved 90 conrmed venomous
snakebite patients. Clinical data, laboratory investigations, and outcomes were recorded. AKI was dened using the Kidney Disease: Improving
Global Outcome (KDIGO) criteria. Results The study revealed a mean age of 44.49 years among patients. Symptoms such as reduced urine output,
vomiting, hematuria at presentation, and hematuria a day after admission were signicantly associated with poor outcomes (p<0.05). Symptoms
including fang mark, signs of inammation, bleeding from the bite site, and neurotoxicity-related symptoms did not show signicant associations.
Patients with poor outcomes had a signicantly higher need for dialysis and ventilatory support (p<0.00001). Among the cases, 72.22%
experienced AKI, with varying stages of severity (Stage I: 44.44%, Stage II: 7.78%, Stage III: 20.00%). AKI was strongly associated with
symptoms such as hematuria at presentation, hematuria a day after admission, bleeding from the bite site, and neurotoxicity-related symptoms
(p<0.00001). Conclusion This study highlights signicant associations between certain symptoms and outcomes in venomous snakebite patients.
Recognizing symptoms like reduced urine output, vomiting, and hematuria can help predict poor outcomes. Patients with poor outcomes often
require dialysis and ventilatory support. AKI is prevalent among venomous snakebite patients and is strongly associated with specic symptoms.
Early identication and appropriate interventions are crucial for improving patient outcomes in cases of snake bite envenomation.
STRUCTURAL CONSTRAINTS TO SKI TOURISM: A CASE STUDY OF A CALIFORNIA MOUNTAIN RESORT
Authors: W. Whiting Jason
Published: September 2023

The ski industry is rapidly changing as external factors such as global warming, changes in the sociodemographic makeup of the population, and
societal relevance affect the economic viability of resort operation. While many studies have examined challenges facing the ski tourism industry,
one area that remains unexplored is understanding the recreation constraints that limit the potential visitation of individuals that would otherwise
frequent ski resorts. By better understanding the barriers that keep individuals from visiting, managers can implement changes to decrease
constraints to visitation. This study examined the recreation constraints of winter recreationists to China Peak Mountain Resort (CPMR), a medium
sized resort in Central California. Data collection occurred “onsite” at sno-parks (sites that provide snow-cleared parking lots with sanitation
facilities and access to snow play areas, cross-country ski and snowmobile trails) and “offsite” at public parks in communities within 60 miles of
CPMR. The evidence of different constraint categories was found with structural constraints being the prominent limitations affecting visitation to
CPMR. Structural constraints were reported of greater signicant to racial/ethnic minorities and individuals from lower levels of household
income than other groups. Commercial resort management (e.g., CPMR) can benet from addressing structural constraints to increase visitation
and address additional challenges facing the industry
TOXIC ENCEPHALOPATHY – BACLOFEN INDUCED
Authors: Ann Koshy Bini , Elizabeth Sabu Hannah , Mohan M Manish , James Elizabeth
Published: September 2023

Baclofen is an antispasmodic drug, which reduces the frequency and intensity of muscular spasms by acting on spinal cord nerves in patients with
specic spinal cord diseases. It is commonly used in patients above 12 years to treat spasticity. It is excreted via the kidney, unchanged in the urine.
Therefore, in patients with renal dysfunction, there are chances of accumulation of baclofen and leading to toxic effects like encephalopathy. One
such condition in which a patient with end-stage renal disease had just taken baclofen is described here. The patient had toxic encephalopathy,
which was treat
THE ENIGMA OF CHILDHOOD EPISTAXIS: A CASE SERIES
Authors: Devi K Mamatha , K Kotturu Mounika , Sagar S Vidya , Krishna P Vamsi , Y Phanisree
Published: September 2023

Epistaxis is one of the frequently endured problems in pediatric outpatient and emergency departments. Childhood epistaxis is a compilation of a
wide variety of local, systemic, and environmental factors. Most of the cases are benign and can be effortlessly diagnosed and treated. On the
contrary, certain cases have rare presentations that are recognized by comprehensive clinical history taking and examination. Such elements should
never be missed as they could signify serious disease patterns entailing prompt attention and thereby prevent fatality. We hereby proffer two such
uncommon exhibits of childhood epistaxis. The rst child presented to emergency department with severe epistaxis, diagnosed as Acute
lymphoblastic leukemia (ALL) and the second case to the outpatient clinic with mild epistaxis and was diagnosed with Dengue Hemorrhagic Fever
(DHF) with warning signs.
THE INFLUENCE OF THE STORYTELLING METHOD ON THE TOPIC OF TEETH BRUSHING IN INCREASING PRESCHOOL CHILDREN'S KNOWLEDGE ABOUT TEETH BRUSHING IN TUNAS KASIH CIMAHI KINDERGARTEN
Authors: D Saragih Berlyna , Fuadah Fahmi
Published: September 2023

Dental health is often ignored and considered unimportant, so far it has not received adequate priority in community welfare programs. In fact,
dental disease is a disease that affects many people throughout the world, from children to the elderly, and causes serious harm. According to the
World Health Organization (WHO), about 90% of the population has experienced dental disease, most of which are preventable. As many as 78%
of children in the world, namely around 573 million children, suffer from dental disease that is not treated, and this is mainly due to a lack of
accessibility to dental facilities. This research aims to determine the effect of the storytelling method on the topic of brushing teeth in increasing
pre-school children's knowledge about brushing teeth at TKK Tunas Kasih Cimahi. The research method used is a research design with a
quantitative analytic approach with a cross-sectional research design. The research population consisted of 54 students and used the Total Sampling
technique. Data collection was carried out using a questionnaire technique using a questionnaire measuring instrument. Data analysis was carried
out in three stages, univariate (frequency distribution), bivariate (Wilcoxon signed rank test). The results of the research show that there is an
inuence of the storytelling method in increasing pre-school children's knowledge about brushing teeth at TKK Tunas Kasih Cimahi with a
knowledge p-value of 0.000 <α 0.5 and an attitude p-value of 0.000 <α 0.5. It is recommended for students to increase their knowledge about daily
hygiene, educational institutions can optimize education about the health of pre-school children by collaborating with health workers in the
surrounding environment.
CONTRACTED SOCKET RECONSTRUCTION AND PROSTHETIC EYE IMPLANTATION FOLLOWING ENUCLEATION: A CASE REPORT
Authors: Baruah Pankaj , Kuma Srijandeep , Das Ipsita , Hoque Baharul , Gupta Anusa , Sultana Semim
Published: September 2023

This case report presents a complex and challenging case of a 23-year-old female patient with a history of ocular injury resulting in corneal scar and
subsequent enucleation. The patient underwent multiple procedures, including articial eye implantation and socket reconstruction, over a span of
15 years. The report highlights the successful management of a contracted socket through a staged approach involving contracted socket
reconstruction and prosthetic eye implantation.
PERORAL EXTRUSION OF VENTRICULOPERITONEAL SHUNT: AN UNUSUAL COMPLICATION WITH LITERATURE REVIEW
Authors: Sirajul Islam Chowdhury , Shirodkar Akshay , Bala Ankur , B. Shankar K. , Tanwar Ishita
Published: September 2023

Background: VP shunt surgery is a commonly performed surgery. There have been various shunt-related complications among which peroral
extrusion of a ventriculoperitoneal shunt is the rarest of all. Although its mechanism is unknown, prompt diagnosis and appropriate treatment of
such instances may result in better outcomes and a reduction in morbidity and mortality. A 5-year-old girl presented with peroral Case description:
extrusion of a VP shunt catheter. Four months back, the girl had been diagnosed with craniopharyngioma for which she was operated and the VP
shunt system was inserted subsequently. A head CT was done and the girl underwent emergency surgery. Peroral extrusion of a VP Conclusion:
shunt is a rare complication to be encountered. Hence, clinicians should be aware of such complications and should recognise subtle changes or
neurological dysfunctions related to shunt malfunction and hydrocephalus. The likelihood of a successful recovery is extremely high with early
diagnosis and appropriate treatment.
VEGAN PRODUCTS: AN ALTERNATIVE DIET FOR OBESITY
Authors: Savalapurapu Bhargavi , Sanyasi Gayathri
Published: September 2023

This research aims to explore the potential of vegan products as an alternative dietary option to counter the rising epidemic of obesity. The study
seeks to understand the nutritional value, benets, and practicality of adopting a vegan lifestyle for weight management and overall health. The
research is grounded on the premise of nutritional science and metabolic processes. Utilizing the theories of caloric intake, energy expenditure, and
the physiological effects of plant-based nutrients, the study delves deep into how vegan diets can inuence weight and health outcomes. A
systematic review of peer-reviewed articles, clinical trials, and case studies related to vegan diets, obesity, and weight management was
undertaken. Qualitative narratives were explored to provide a comprehensive understanding of the subject. Results indicate that vegan products
offer a lower caloric density while being rich in essential nutrients, thereby promoting satiety and weight loss. Adopters of the vegan diet were
found to have a reduced risk of obesity-related health issues. However, it's essential for individuals to ensure they are obtaining all necessary
nutrients, as some deciencies are more common in vegan diets. Embracing vegan products can offer a sustainable and healthy alternative for
weight management. Besides personal health benets, a shift towards veganism can have positive environmental implications, given the lower
carbon footprint of plant-based diets. Socially, it can lead to reduced medical burdens related to obesity and its complications. This review stands
out in its holistic approach, not only examining the efcacy of vegan products in weight management but also addressing its broader impacts on
health, environment, and society.
A boszorkányüldözés történeti távlatai, perspektívái
Authors: Nagy Emese Ingrid
Published: September 2023

Recenzió. Klaniczay Gábor: A boszorkányüldözés története. Balassi Kiadó, Bp. 2022. 438 old. (Vallásantropológiai tanulmányok Közel-Kelet-Európából 13., sorozatszerkesztő: Pócs Éva, felelős szerkesztő: Hradeczky Moni)
Beszámoló a Kriza János Néprajzi Társaság muzeológiai konferenciájáról
Authors: Trandafir Kinga
Published: September 2023

Múzeum – örökség – kommunikáció. A KJNT vándorkonferenciája. Kriza János Néprajzi Társaság – Sapientia EMTE Alkalmazott Társadalomtudományok Tanszék. Kolozsvár, Erdélyi Néprajzi Múzeum. 2022. október 14.
Tiltott gyász : A Szolyvai Emlékpark története
Authors: Bódi Ferenc
Published: September 2023

A tanulmány a Szolyván, Kárpátalján felállított szovjet koncentrációs tábor és az itt létrejött emlékhely történetét írja le. A szovjet korszak idején tilos volt megemlékezni a deportálások áldozataira, akik 1945 után a Szovjetunió koncentrációs táboraiban haltak meg. Amikor a kommunista rezsim összeomlott, megnyílt az emlékezés lehetősége a nyilvánosság előtt, hogy feltárják több tízezer ember történetét, akiket málenkij robot miatt deportáltak szovjet munkatáborokba, és akik közül sokan soha nem tértek haza. Így a feledés zónája az emlékezés helyévé változott, ahol a magyar és német áldozatok emlékét megőrizhették az utókor számára. Kárpátalja helyi közösségei meggyászolhatták és megemlékezhettek szeretteikről, akik a megszállás áldozatai lettek. Ezáltal a magyar kisebbség a visszanyert és megmentett kollektív emlékezetével a jelenben is esélyt kapott a túlélésre.
Taxonomia de Riscos: uma ferramenta do Gerenciamento de Riscos Corporativos – ERM
Authors: Dos Santos Martins Mário Sérgio
Published: September 2023

A taxonomia é uma regra de classificação aplicada a um conjunto de objetos, utilizada com sucesso nas áreas de biologia, educação e medicina. No ambiente desafiador em que as organizações se encontram, a gestão de riscos é instrumento essencial para responder adequadamente aos desafios que emergem das ações executadas para o alcance dos objetivos organizacionais. A necessidade de avaliação de riscos coletivos aos quais as instituições estão expostas, evidencia a taxonomia como solução para viabilizar o gerenciamento integrado de riscos e fortalecer o programa de Enterprise Risk Management (ERM) da empresa. A revisão de literatura ora realizada, com foco na avaliação dos resultados provenientes da implementação de programas de ERM, apresenta as seguintes conclusões: a) o gerenciamento de riscos corporativos pode ser visto como combinação de governança de riscos e gerenciamento integrado de riscos. A governança de riscos estabelece as diretrizes e estruturas de gerenciamento de risco, papeis e responsabilidades com objetivo de garantir a manutenção e eficácia do programa de ERM, enquanto gerenciamento integrado compreende a habilitação de sistemas e processos capazes de prover resposta adequada para a coletividade de riscos que podem impactar os objetivos da organização; b) são diversos os estudos que defendem resultados positivos, inclusive financeiros, decorrentes da implementação de programas de ERM, o que sugere entrega de valor que extrapola o benefício de aderência a requisitos regulatórios previstos para alguns setores; c) taxonomia de riscos é um tema incipiente na literatura de ERM, apesar do potencial promissor para gerir a coletividade de riscos aos quais as empresas estão expostas.
Śląsk w zmiennym oku kamery – nowe kino powstające w regionie w kontekście filmowego „imaginarium”
Authors: Copik Ilona
Published: September 2023

Artykuł podejmuje problem zmiennego wizerunku Górnego Śląska w kinie polskim. Myślą przewodnią jest stosunek współczesnych reżyserów dzieł śląskich do filmowego imaginarium regionalnego wypracowanego przez mistrzów: Kazimierza Kutza, Janusza Kidawę, Lecha Majewskiego i innych. Kontekst rozważań stanowią odzwierciedlone w filmach antropologiczne i społeczne przemiany przestrzeni kulturowej regionu, będące efektem transformacji ekonomiczno-ustrojowej oraz różne strategie odnoszenia się do tradycji i poetyki kina regionalnego stosowane przez dzisiejszych twórców. Materiał badawczy stanowią filmy fabularne ostatniej dekady należące do kina głównego nurtu.
Cicha rewolucja: kobieca perspektywa w filmie dokumentalnym w Polsce
Authors: Taszycka Anna
Published: September 2023

Autorka opisuje nowe zjawisko, czyli kobiecą falę w dokumencie, na przykładzie analizy dwóch filmów: Komunia w reżyserii Anny Zameckiej (2016) oraz Więzi w reżyserii Zofii Kowalewskiej (2016). W obydwu przypadkach mamy do czynienia z intymnym portretem rodzinnym oglądanym z kobiecej perspektywy. Filmy te wydają się dobrymi przykładami szerszych przemian, jakim współcześnie podlega polskie kino. W obu obrazach brak co prawda perspektywy zaangażowanego feminizmu, a jednak wymykają się one „patriarchalnej perspektywie” z racji konsekwentnego przyjęcia przez autorki kobiecego spojrzenia.
A systematic mapping study of standards and frameworks for information management in the digital era
Authors: Auth Gunnar , Jokisch Oliver
Published: September 2023

The close links of Information Management (IM) and Information Technology (IT) create an evolving environment of tasks and processes. Management standards are normative descriptions of an agreed-upon set of management tasks and suggested ways of task execution. Certain standards like ITIL and COBIT (both used as a brand only by the owners, Axelos and ISACA respectively) have been popular for a long time in sub-areas of IM including IT governance, IT service management, or IT project management. Driven by digitalization, the number and update frequency of IM-related standards have significantly increased recently, making standard selection and implementation more difficult. This study presents a systematic mapping of the current state of IM standardization with respect to standardization bodies, types of standards, and certifications. Visual maps provide an overview of the IM standard landscape and reveal relevant topics and other categories. The article identifies the most relevant standardization bodies, standard types, and topics of the IM domain based on a full set of 109 IM standards. As a mapping outcome, the correlations of standardization bodies versus standard types, and of the topics versus IM task areas are clearly arranged in diagrams.
Cross-country comparison of sustainable e-commerce entrepreneurship impact on sustainable development goals implementation: The case study of Germany and India
Authors: Waliczko Tomasz
Published: September 2023

E-commerce plays a significant role in driving global economic growth, and the integration of sustainable practices into business has given rise to the concept of Sustainable E-commerce Entrepreneurship (SEE). As the number of SEE initiatives continues to grow, examining their impact on implementing Sustainable Development Goals (SDGs) becomes crucial. This study aims to explore the disparities between German and Indian SEEs regarding their perspectives on SDG implementation. This study presents a unique approach by comparing the viewpoints of e-commerce entrepreneurs in the Indian National Capital Region of New Delhi and the Berlin-Brandenburg Region in Germany regarding SDG implementation through SEE activities. The interviewees from both countries were asked about three key aspects: (1) the current impact of SEE on SDGs implementation, (2) the future impact of SEE on a specific category of SDGs, and (3) whether e-commerce should be seen as a source of global patterns for SDGs implementation or should be tailored to local needs. Semi-structured interviews were conducted to gather data, and the scripted interviews were analyzed with the assistance of ATLAS.ti software. The study collected semi-structured interviews with ten Indian and nine German SEEs. The study’s findings indicate that German SEEs place a greater emphasis on SDGs related to the biosphere compared to their Indian counterparts. This divergence in prioritization aligns with the socio-economic challenges currently faced by Indian society, which influences their focus on social and economic SDGs. Indian SEEs do not foresee significant contributions to improving the biosphere through SEE activities in the future. In contrast, German SEEs demonstrate an idealistic perspective on SDG implementation, with a stronger emphasis on the biosphere category of SDGs.
Conhecimentos próprios da docência na Licenciatura em Matemática
Authors: De Paula Enio Freire , Pazuch Vinícius , Mazzi Lucas Carato
Published: September 2023

Nesse artigo, socializamos as problematizações e os encaminhamentos decorrentes das atividades desenvolvidas no Grupo de Discussão 02: Conhecimentos próprios da docência na Licenciatura em Matemática (GD 02). Tais discussões estiveram vinculadas às ações do VIII Fórum Paulista de Formação de Professores que Ensinam Matemática sediado nas dependências do Instituto Federal de Educação, Ciência e Tecnologia de São Paulo, campus São Paulo, em 2023. O GD 02 teve como objetivo promover discussões a respeito das especificidades dos processos formativos dos professores de matemática, com a intencionalidade de problematizar: (i) os conhecimentos próprios dos professores de matemática; (ii) os elementos constitutivos de sua Identidade Profissional enquanto docentes da área e (iii) os desafios urgentes da Licenciatura em Matemática frente aos contextos atuais. Ao reunir 17 integrantes no decorrer do momento de discussão, sendo oito docentes, sete estudantes, uma diretora de departamento e um coordenador de curso de Licenciatura em Matemática, as(os) participantes problematizam questões elencadas pelos debatedores convidados, bem como propuseram outros elementos desafiadores à Licenciatura em Matemática.
Políticas públicas curriculares para a formação de professores que ensinam matemática
Authors: Lopes Celi Espasandin , Bertini Luciane de Fatima , Borelli Suzete Souza
Published: September 2023

Este artigo decorre das discussões realizadas o VIII Fórum Paulista de Formação de Professores que Ensinam Matemática, realizado em São Paulo em 31 março e 01 de abril de 2023, no Grupo de Discussão denominado Políticas Públicas Curriculares para a Formação de Professores que Ensinam Matemática.  Este grupo teve por objetivo promover reflexões sobre as políticas públicas curriculares para os cursos de Licenciatura em Pedagogia; Licenciatura em Matemática e processos de formação continuada para professores que ensinam matemática na Educação Básica. As discussões contemplarão a estrutura e organização desses cursos a partir das Diretrizes Curriculares Nacionais para a Formação de Professores, examinando a carga horária de Matemática e/ou Educação Matemática, os estágios curriculares, o trabalho de conclusão de curso e, a diversidade de ações de formação continuada que tem ocorrido no contexto do estado de São Paulo.
Perspectivas e encaminhamentos do VIII Fórum Paulista de Formação de Professores que Ensinam Matemática
Authors: Ribeiro Rogério Marques , Traldi Júnior Armando , Luchetta Valéria Ostete Jannis
Published: September 2023

O VIII Fórum Paulista de Formação de Professores que Ensinam Matemática reuniu profissionais, pesquisadores e estudantes em São Paulo, com o propósito de abordar questões relacionadas à formação de professores que ensinam matemática. O evento teve como objetivo fomentar o diálogo e a colaboração entre os participantes, com especial atenção às necessidades atuais que permeiam a capacitação desses educadores. Adicionalmente, as conclusões e insights obtidos durante o fórum foram compartilhados com o Fórum Nacional de Formação Inicial de Professores que Ensinam Matemática, ampliando o alcance das reflexões e propostas. O tema central do encontro foi "Desafios da Formação do Professor que Ensina Matemática em Tempos de Reconstrução", e a partir desse tema foram ministradas palestras, conduzidos grupos de discussão e promovidos debates. Em particular, foram propostos cinco Grupos de Discussão, com o objetivo comum de envolver ativamente os participantes, resultando em debates e reflexões sobre tópicos como a inclusão da Educação Matemática nos programas de formação de professores de Pedagogia, a especificidade dos conhecimentos necessários para o ensino de matemática na formação de professores, o perfil profissional e acadêmico dos formadores de professores, políticas públicas curriculares e a formação sob uma perspectiva de práticas interculturais. As sínteses dessas discussões revelaram diversos desafios enfrentados na formação de professores que ensinam matemática, incluindo a necessidade de reavaliar a carga horária dedicada ao conhecimento específico em matemática durante a graduação em Pedagogia, preocupações com a integração de atividades de extensão e o uso de ensino a distância nos cursos de Pedagogia. Entre as recomendações do fórum, destaca-se a ampliação do envolvimento da Sociedade Brasileira de Educação Matemática (SBEM) nas discussões sobre a formação de professores, a mobilização de formadores e professores para participarem dos fóruns regionais e nacional, a necessidade de desenvolver pesquisas e ações para a formação de formadores de professores e o estímulo à formação contínua de professores no ambiente da escola da Educação Básica.
Coarctation Repair in an Adult Funambulist (Dombari)
Authors: Potnis Abhishek Rajendra
Published: September 2023

Five to seven percent of all congenital cardiac disorders are caused by aortic coarctation. Funambulism or tight rope walking is a part of street circus acts earning livelihood for Dombari community, which requires utmost upper and lower limb strength and balance. Coarctation can be repaired surgically or with interventional approach. End-to-end anastomosis, subclavian flap aortoplasty, and extra-anatomic bypass grafts are a few surgical fixes. However, these approaches are not without risks involving the subclavian artery and spinal arteries thus putting limbs in jeopardy. Interventional procedures include balloon angioplasty and use of bare metal or covered stents but are associated with complications like repeated interventions or surgery, migration of stents compromising branches of aorta, thereby causing limb paresis or plegia, and are not very cost effective. The authors hereby discuss a cost-effective surgical management and spinal protection strategy for coarctation in a funambulist patient.
Regulatory role of phospholipase A2 inhibitor in oxidative stress and inflammation induced by an experimental mouse migraine model
Authors: YAZĞAN Betül , YAZĞAN Yener
Published: September 2023

Migraine is a complex neurological problem whose primary symptom is headache and is common in the human population. It is well known that neuroinflammation plays a vital role in the pathogenesis of migraine, with adverse effects on the nervous system, including headache disorders such as migraine. The infusion of the nitric oxide donor glyceryl trinitrate (GTN) is often used in experimental models of migraine because it is the best-known model of migraine provocation. N-(p-amyl cinnamoyl) anthranilic acid (ACA) has been shown to inhibit both TRPM2 and phospholipase A2 (PLA2). Recent research has explored potential interventions to mitigate GTN-induced neurotoxicity. One such candidate is ACA, a compound with anti-inflammatory and antioxidant properties.

Thirty-six C57BL/6j black mice were divided into the control groups of ACA, GTN, and ACA+GTN. Mice in the ACA were treated intraperitoneally with ACA (25 mg/kg) for three days. Mice in the GTN were treated intraperitoneally with a single dose of GTN (10 mg/kg) for migraine induction. After the experimental stages were completed, the mice in all groups were sacrificed, and brain tissue and erythrocyte samples were taken from the mice.

The levels of inflammatory cytokines (TNF α, IL 1β, and IL 6), apoptosis, intracellular ROS, lipid peroxidation, caspase 3-9, and mitochondrial membrane potential increased in the GTN group. However, their levels were decreased in the ACA+GTN group by the injection of ACA. The treatment of ACA regulated the GTN treatment-induced decreases of glutathione levels, glutathione peroxidase activation, and cell viability in the brain and erythrocytes.

In conclusion, GTN plays a role in neurotoxicity caused by increased apoptosis and ROS. We observed that ACA modulated the brain and erythrocyte oxidant, antioxidant parameters, and apoptotic processes. The neuro-protective role of ACA treatment may be explained by its modulating activity against increased apoptosis and oxidative stress.
The Effectiveness of Reproductive and Sexual Health Education by Counselling and Small Group Discussion on Knowledge and Attitudes of Adolescents Aged 16-17 Years
Authors: Khotimah Khusnul
Published: September 2023

Adolescents are in a phase of rapid growth and development physically, psychologically, intellectually, socially, and sexually. This gives rise to great curiosity and a tendency to take risks without consideration. This causes various consequences, including sexual transmitted diseases and unwanted pregnancies. This research aims to explain the effectiveness of reproductive and sexual health education using counselling and small group discussion methods on adolescents' level of knowledge and attitudes. This research is a quasi-experimental study with two treatment groups and one control group. A total of 154 teenagers from 556 respondents were involved using the proportional random sampling method. Each treatment group was treated with different learning methods, namely the lecture and small group discussion methods, totaling 154 respondents. Data was collected using a before and after questionnaire, then analyzed using the Wilcoxon Signed Rank Test and Mann Whitney Test with a significance level of p<0.005. The results of the research show that the effectiveness of the lecture method and small group discussion is: 1) knowledge about the small group discussion method and the lecture method have the same significance value p=0.000 (<0.05), 2) attitudes towards the behavior of the counselling method are significantly different compared to small group discussion p=0.000 (<0.05). In conclusion, small group discussion method is better used to increase knowledge and attitudes towards sexual and reproductive health behavior in adolescents.
Delayed memory for complex visual stimuli does not benefit from distraction during encoding
Authors: Bartsch Lea M. , Musfeld Philipp
Published: September 2023

The covert retrieval model (McCabe, Journal of Memory and Language 58(2), 480–494, 2008) postulates that delayed memory performance is enhanced when the encoding of memoranda in working memory (WM) is interrupted by distraction. When subjects are asked to remember stimuli for an immediate memory test, they usually remember them better when the items are presented without distraction, compared to a condition in which a distraction occurs following each item. In a delayed memory test, this effect has been shown to be reversed: Memory performance is better for items followed by distraction than without. Yet, this so-called McCabe effect has not been consistently replicated in the past. In an extensive replication attempt of a previous study showing the effect for complex visual stimuli, we investigated five potential boundary conditions of the predictions of the covert retrieval model: (1) Type of Stimuli (doors vs. faces), (2) type of distractor (pictures vs. math equations), (3) expectation about task difficulty (mixed vs. blocked lists), (4) memory load in WM (small vs. large), and (5) expectation about the long-term memory (LTM) test (intentional vs. incidental encoding). Across four experiments we failed to replicate the original findings and show that delayed memory for faces and other complex visual stimuli does not benefit from covert retrieval during encoding – as suggested as being induced by distractors. Our results indicate that the transfer of information from WM to LTM does not seem to be influenced by covert retrieval processes, but rather that a fixed proportion of information is laid down as a more permanent trace.
Analisis Kebutuhan Lembar Kerja Mahasiswa Elektronik Berbasis Model Pembelajaran Think Pair Share Untuk Meningkatkan Kemampuan Berpikir Kritis
Authors: Sumargiyani Sumargiyani , Azty Acbarrifha Nour
Published: September 2023

Adanya perkembangan teknologi yang semakin maju menuntut pengajar untuk selalu berinovasi dalam pembuatan media pembelajaran. Tujuan penelitian ini menganalisis kebutuhan mahasiswa mengenai Lembar Kerja Mahasiswa (LKM) elektronik untuk memfasilitasi perkuliahan kalkulus diferensial yang dilaksanakan dengan model pembelajaran think pair share untuk meningkatkan kemampuan berpikir kritis. Penelitian deskirpitif ini dilakukan dengan mengambil data melalui angket dan wawancara. Analisis data yang dilakukan dengan mengumpulkan data, mereduksi data dan yang terakhir menarik kesimpulan. Dari hasil penelitian yang diperoleh adalah: 1) Mahasiswa membutuhkan LKM dalam bentuk elektronik yang isinya mudah dipahami, 2) Mahasiswa senang jika dibuatkan LKM oleh dosen dalam bentuk elektronik yang tampilannya sederhana, 4) Mahasiswa setuju jika pelaksanaan pembelajaran diajak untuk berpikir kritis, berdiskusi secara berpasangan dan ada tahap presentasi di depan kelas. Sehingga hasil analisis kebutuhan adalah mahasiswa menginginkan LKM dalam bentuk elektronik sebagai penunjang pembelajaran think pair share dan melatih mahasiswa untuk berpikir kritis.
THE APPLICATION OF UNIFIED THEORY OF ACCEPTANCE AND USE OF TECHNOLOGY IN MUSICAL METAVERSE
Authors: Maurlen Carlence , Pranoto Henry Susanto
Published: September 2023

This research study observes the musical Metaverse and applies the theories of UTAUT (Unified Theory of Acceptance and Use of Technology) and IDT (Innovation Diffusion Theory). It aims to examine the acceptance of the musical Metaverse toward the behavior intention to use (BI), which is influenced by performance expectancy (PE), effort expectancy (EE), social influence (SI), and facilitating conditions (FC), moderated by personal innovativeness (PI). The Google form data was collected from 250 Ciputra University students who familiarized themselves with the musical Metaverse, and the data was later processed using SmartPLS 4. The results showed that PE has a significant effect on BI, EE has no significant effect on BI, and SI has no significant effect on BI. FC has a significant effect on BI; PI has not been able to strengthen other factors to have the intention to use the musical Metaverse. Thus, performance expectancy and facilitating conditions influence the intention to use the musical Metaverse. Meanwhile, personal innovativeness cannot significantly moderate the relationship between PE, EE, SI, and FC
Assessment of the Nutritive and Anti-Nutritive Values of Some Selected Browse Plants in Mayo-Ine, Fufore LGA of Adamawa State, North-Eastern Nigeria
Authors: Gworgwor Z. A. , Tuwanga J.V. , Hyelda A.J.
Published: September 2023

The study was conducted to evaluate the nutritional value of some selected semi-arid browse forages. Ten browse forages consumed by ruminants were selected for the study. They were subjected to chemical, mineral and anti-nutritional analysis as well as rumen degradation. Results revealed that the browse species had high levels of crude protein that varied among the species ranging from 8.15% in Vitellaria paradoxa to 21.07% in Acacia senegal. The mean rumen degradability of the browses showed 17.79%, 33.38%, 45.65%, 50.17%, 54.31% and 62.21% at 0, 6, 12, 24, 48 and 72 hours of incubation respectively. All the browses had degraded over 50% at 48 hours of incubation except Detarium microcarpum (49.90%) and Magnifera indica (49.70%). Therefore, all the browse plants studied can be used to support ruminant nutrition.
Percepción de Docentes y Estudiantes de la Disponibilidad de Alimentos y Seguridad Alimentaria en el IPT el Rincón de las Palmas, en la Provincia de Veraguas
Authors: Enrique Urriola Javier , Cerrud Álvarez Franklin , De León Odalila , Rodriguez de Brea Eva
Published: September 2023

Investigación con enfoque cuantitativo, secuencial y diagnóstico, de carácter exploratoria, orientada a conocer la disponibilidad de alimentos y la seguridad alimentaria para los estudiantes del IPT El Rincón, Las Palmas (IPTER). Se aplicó un cuestionario validado por el (WFP, 2019), a los estudiantes y para los administradores, un cuestionario con escala de Likert de 14 ítems. Nuestros sujetos de estudio corresponden a 60 estudiantes y 3 administradores. Los hallazgos sugieren aceptación en la disponibilidad de alimentos y programas de alimentación saludable por parte de los estudiantes y el desarrollo de programas ambientales en la producción de alimentos, además, del aporte de los estudiantes a través de la práctica. Se concluye que el consumo de alimentos es balanceado, existe disponibilidad de alimentos, agradable en los distintos grupos, en donde en su producción se reconoce el desarrollo de programas de alimentación saludable. El estudio permite fundamentar que existe producción de alimentos sostenible, con una modalidad de cultivo que tiene efectos benéficos en el manejo agrícola y acompañados como estrategia con los productos químicos sintéticos, mejora la nutrición de las plantas y aumenta la productividad de los cultivos, garantizando la seguridad alimentaria y la formación de los estudiantes a través de la práctica.
Una Comprensión Ampliada del Trastorno Afectivo Bipolar a partir de la Neuropsiquiatría y Enfoques Clínicos Basados en la Evidencia
Authors: Peñuela Velásquez Leonardo Alejandro , Mendoza Múzquiz Pedro Luís , Martínez Saldaña Dionicio Enrique , Parra-Bolaños Nicolás , Benjumea Garcés Juan Sebastián
Published: September 2023

La bipolaridad es un trastorno del ánimo que tiene repercusiones sobre la calidad de vida y en la estabilidad social, familiar, laboral y humana de todas las personas que se ven afectadas por este trastorno. El objetivo de este estudio de revisión ha consistido en la generación de una matriz de datos en donde se recolectó un número significativo de artículos científicos que abordan a este cuadro clínico a partir de los avances y desarrollos de la neuropsiquiatría. Se concluye que, la bipolaridad requiere no solo de la psiquiatría y la medicina para proporcionarle tratamiento a estas poblaciones, sino que también se necesitan emplear las más recientes técnicas y herramientas devenidas de los enfoques psicoterapéuticos basados en la evidencia para garantizar los cuidados psicosociales y psicológicos que necesitan los pacientes afectados por este trastorno, haciendo énfasis en las aportaciones que la neuroeducación puede hacer para vincularse al diseño de programas de reforzamiento mucho más eficaces para el abordaje de pacientes bipolares.
REVIEW: TONIC POTENCY OF ZINGIBERACEAE FAMILY HERBAL PLANTS IN IMPROVING BODY WELLNESS
Authors: Nihlah Nabilah Azka , Wicaksono Imam Adi , Lestari Keri
Published: September 2023

Body wellness is closely related to health; it is the ability of a person to perform activities without fatigue. Herbal plants can be used to help improve body health and endurance. The Zingiberaceae family is widely found and used by the Indonesian people. This family is widely used as an ingredient in herbal medicines and seasonings. Herbal plants with the potential to improve body wellness can be seen in their tonic effects. Testing the tonic effect can use several methods, namely, the natatory exhaustion test, hanging test, sleep induction test, and rotarod test in mice. Among these, the natatory exhaustion method is the simplest and can be performed quickly. The method used in preparing this article is to collect and understand the primary literature from online databases, such as Google Scholar. This review article aims to provide scientific information to the public regarding herbal plants from the Zingiberaceae family, which have the potential to help maintain a healthy body. Plants that can be used as health enhancers include Red Ginger, Gajah Ginger, Temu Kunci, Temu Giring, Lempuyang Gajah, and Cardamom.
Keywords: Herbal Plant, Zingiberaceae, Tonicum, Health
PREVALÊNCIA DA DEPRESSÃO EM IDOSOS INSTITUCIONALIZADOSNUMA ESTRUTURA RESIDENCIAL PARA PESSOAS IDOSAS (ERPI)
Authors: Batista Lucinda , Santos Mariana
Published: September 2023

Introdução: No idoso, a depressão é a perturbação mental com maior prevalência, exibindo comorbilidades que afetam a qualidade de vida deste. A depressão geriátrica é frequentemente subdiagnosticada e subtratada atribuindo-se os sintomas desta ao processo próprio do envelhecimento.Materiais e métodos: Pretende-se analisar a prevalência de depressão nos idosos institucionalizados (idade ≥ 65 anos) numa ERPI de Portugal. Será aplicada a escala de avaliação do estado mental, um questionário e a escala de avaliação da depressão de Yesavage, de 30 itens. Trata-se de um estudo quantitativo, descritivo e correlacional, com uma amostragem por conveniência.Resultados: A amostra é composta por 51 idosos, com uma idade prevalente entre os 81 e 85 anos. Observou-se uma maior predominância de depressão no género feminino (n=22; 43.1%) e na faixa etária mais prevalente (n=10; 19.6%). A prevalência de sintomas depressivos foi de 56.86%. Verificou-se que o estado civil de viuvez está diretamente relacionado com o estado de depressão (p= 0,048; r=0,279), bem como a profissão (p=0,043; r=0,284) nos idosos institucionalizados.Discussão e Conclusão: A percentagem de idosos com perturbações depressivas é elevada e tem tendência a aumentar. Desta forma, é essencial que se implementem estratégias de identificação precoce e prevenção de sintomas depressivos. Palavras-chave: Idoso; Depressão; Estrutura residencial para pessoas idosas.
REABILITAÇÃO CARDÍACA - CUSTOS E BENEFÍCIOS
Authors: Mendes Eugénia , Fernandes Hélder
Published: September 2023

A análise do custo-efetividade é um método de análise económica que compara os custos e resultados relativos (efeitos) de diferentes programas ou ações desenvolvidas. A análise de custo-efetividade é distinta da análise de custo-benefício, que atribui um valor monetário ao efeito medido. A análise do custo-efetividade é frequentemente utilizada no campo dos serviços de saúde, onde pode ser inadequado atribuir um valor monetário ao efeito na saúde. Normalmente, este tipo de análise é expresso em termos de uma razão em que o denominador é um ganho em saúde de uma medida (anos de vida, nascimento prematuro evitado, esperança de vida após intervenção) e o numerador é o custo associado ao ganho em saúde. A medida de resultado mais usada como denominador são os anos de vida ajustados pela qualidade, designados na literatura internacional por QALYs (Quality-Adjusted Life Years).
AVALIAÇÃO DA FARMACOTERAPIA EMPREGADA EM RESIDENTES DE UMA INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS
Authors: Alecrim Jackeline De Souza , Castro Josiane Marcia , Neto Ruggero Zalla , Miranda Gilmar Machado , Alves Rodrigo Nascimento , Borja-Cabrera Gulnara Patricia , Chagas Ana Flavia Sousa , Vez Aline Guimarães , Pereira Giselle Cristina Andrade , Ruas Heluana
Published: September 2023

O fenômeno das interações medicamentosas constitui na atualidade um dostemas mais importantes relacionados ao consumo de medicamentos. O usoconcomitante de fármacos principalmente entre os idosos é o principal fator envolvidoem reações de interferência mútua de ações farmacológicas e toxicológicas, podendoresultar em inúmeros efeitos indesejáveis e até mesmo potencialmente perigosos. Opresente estudo tem por objetivo analisar prescrições de residentes em uma Instituiçãode Longa Permanência para Idosos. Foi realizado um estudo descritivo, transversal, pormeio de uma abordagem quanti-qualitativa, sendo que as informações foram coletadaspor meio do cartão de medicação que continha a relação dos medicamentos utilizadospor cada paciente. Dessa forma, foi realizada uma avaliação farmacoterapêutica dos medicamentosprescritos, descrevendo-se as interações prevalentes, possíveis reações adversas e osfármacos inadequadamente indicados para essa população. Os dados obtidos após arealização do presente estudo podem ser considerados preocupantes, já que 91% dasprescrições apresentavam pelo menos uma interação medicamentosa. Transformar essaprática de erros consecutivos acerca das prescrições é uma tarefa difícil, mas nãoimpossível, que exige empenho e capacitação por parte dos profissionais envolvidos napromoção da saúde e na prevenção de agravos.
TRATAMENTOS HOMEOPÁTICOS OFERTADOS PELOS SUS
Authors: Sousa Aída Santana , de Araújo Thaís Soares , Coelho Viviane Amaral Toledo , Coelho Thomaz , de Souza Carla Giselly , Nascimento Ednardo de Souza , e Souza Lucas Rodrigues de Figueiredo , Machado Anna Lethicia de Oliveira , Reis Leonardo Henrique Guimarães , de Araújo Luanna Botelho Souto
Published: September 2023

O objetivo desse estudo foi demonstrar possíveis intervenções alternativas que o SUS pode incluir em seu sistema para melhorar as terapêuticas utilizadas nos pacientes. A metodologia aplicada trata-se de uma revisão bibliográfica, realizada a partir da leitura e seleção de artigos que colaborem para o estudo teórico e prático sobre os benefícios oferecidos pelo tratamento homeopático. Diante do exposto, percebe-se que a homeopatia possui características interessantes para o atendimento médico, sendo essencial para prescrição de medicamentos sem efeitos colaterais e com baixo custo. Além disso, por meio da inserção do tratamento homeopático no SUS, é possível adquirir os medicamentos de forma gratuita, sendo essencial para a democratização da saúde. Contudo, as práticas homeopáticas ainda são vistas negativamente, sendo alvo de preconceitos e desinteresse pelos profissionais da saúde, sobretudo os médicos, que não acreditam na funcionalidade do tratamento e não buscam entender a metodologia, prejudicando o atendimento prestado ao paciente por meio da padronização do atendimento prestado.