bluuebunny/crossref_metadata_2025 huggingface dataset:
Causes, impact, and reversibility of glare in patients with Fuchs endothelial corneal dystrophy: A review
Authors: Abbas Khaldon , Gill Karanvir , Alenazi Mohammed , Gulamhusein Husayn
Published: July 2024

Fuchs endothelial corneal dystrophy (FECD) is a degenerative, autosomal dominant disorder predominantly affecting the female population and can lead to progressive loss of vision. A primary and debilitating symptom of FECD is glare, which severely impairs visual acuity and quality of life. Glare in FECD is caused by light scatter due to structural changes in the cornea, particularly central guttae formation in the Descemet membrane. These changes result in forward and backward light scatter, leading to disability glare and reduced contrast sensitivity. These visual disturbances are particularly dangerous, contributing to a higher risk of road traffic accidents. Many intrinsic factors such as certain genetic mutations can lead to degeneration of the Descemet’s membrane. Extrinsic factors such as smoking, dietary and lifestyle factors, ultraviolet radiations, oestrogen quinones can also lead to corneal dystrophy. Addressing glare through surgical interventions, primarily Descemet stripping automated endothelial keratoplasty (DSAEK) and Descemet membrane endothelial keratoplasty (DMEK), has shown to improve visual clarity and reduce glare symptoms. Understanding and addressing glare in FECD is essential for improving patient outcomes. Continued research and advancements in treatment techniques are vital for enhancing the quality of life for individuals affected by this debilitating condition. This review focuses on highlighting the various aspects leading to FECD, the impact of glare on patients, and summarizes the surgical options for glare reversal in these patients.
Salp Swarm Algorithm-Based Fractional Order PID Controller for Grid-Connected Hybrid Renewable Energy System
Authors: Quteishat Anas , Younis Mahmoud , Badr Arman , Khezerlou Ali , Safari Amin
Published: July 2024

One of the most important tasks of sustainable energy is to store and keep natural resources while also developing practical solutions to environmental problems. The performance of renewable energy systems is significantly impacted by their control system. In order to model and control the system more efficiently, the fractional order PID (FOPID) controller - as a generalized version of the classical controller - employs fractional derivative-integral calculus. The design of an optimal FOPID controller for the grid-connected hybrid solid oxide fuel cell-wind turbine system is the primary objective of this research in addition to assessment of its dynamic stability. The proposed controller parameters are optimally scheduled using the Salp Swarm Algorithm (SSA), with the objective function that minimizes the absolute value of the error. The simulation results of the studied system subjected to various configurations and operating conditions are presented to demonstrate the effectiveness of the proposed control scheme, and a comparison of the FOPID controller with the PID controller has also been conducted. The simulation findings show that the effectiveness of the proposed SSA technique is based on criteria regarding the steady-state error, overshoot, as well as the settling ‎ time related to the power, speed, and delta deviations associated with the system under study.
Evaluation of the perceptions and attitudes of medical teachers toward online teaching: A cross-sectional study
Authors: Belhekar Mahesh
Published: July 2024

Background: During coronavirus disease-19 pandemic, medical teachers used online teaching as it was the only teaching platform available due to the lockdown imposed by the government of India. Many teachers had trouble while using this teaching method as they were exposed to it for the 1st time due to the lockdown. There are very few studies reporting perception and attitude of medical teachers toward online teaching in India. Hence, this study was planned.

Aims and Objectives: The aim of the study was to evaluate the perception and attitudes of medical teachers toward online teaching and to understand the advantages and disadvantages of using e-platforms for teaching.

Materials and Methods: This was a descriptive cross-sectional questionnaire-based study. Participants were invited through email and online questionnaires were distributed as Google form through e-mail. Outcome measures presented as proportion and percentage.

Results: A total of 100 medical teachers participated in this study. Less than half participants perceived online teaching effective (45%). We observed that (61%) of medical teachers found remote online teaching learning to be more advantageous than the traditional method. The challenges faced in online teaching learning were lack of physical contact (99%), time-consuming (61%), and difficult to manage time (58%) and adapt (71%), also 76% reported a lack of self-motivation. After a few sessions of online teaching, challenges such as time management, adaptation to new teaching technology, and lack of self-motivation were found to be less problematic. We found that zoom was the most preferred e-platform tool for online teaching (78%).

Conclusion: Online teaching cannot replace traditional classroom teaching, and in the future, we can think about blended teaching learning platforms.
A study to find out association between pulmonary function changes in various blood group systems
Authors: Dubal Gitesh , Vala Nileshwari
Published: July 2024

Background: This study investigates the correlation between different blood groups and pulmonary function, hypothesizing that certain blood groups may exhibit unique pulmonary function profiles, potentially influencing susceptibility to respiratory conditions, thereby providing valuable insights for personalized medicine and improving patient care in respiratory health.

Aims and Objectives: The aim of this research is to explore the correlation between different blood groups and pulmonary function, with the objective of identifying unique pulmonary function profiles across blood groups, thereby potentially influencing susceptibility to respiratory conditions, and providing valuable insights for personalized medicine to improve patient care in respiratory health.

Materials and Methods: This study, approved by the Institutional Ethics Committee, involved 102 healthy male and female individuals aged 18–20 years, with no known lung diseases. Participants were informed about the study’s aims, objectives, risks, and benefits, and their voluntary consents were obtained. Blood groups were determined, and basic information was collected. Pulmonary function was assessed using a computerized spirometer developed by RMS company, performing tests including forced vital capacity (FVC), forced expiratory volume in first second (FEV1)/FVC, forced expiratory flow rate (FEFR), FEF 25–75, and maximum voluntary ventilation (MVV). Faulty procedures were repeated for accuracy, and data were analyzed using single-factor analysis of variance with MedCalc v22.023, considering P > 0.05 as not significant, P < 0.05 as significant, and P < 0.001 as highly significant.

Results: The results of our study indicate significant associations between certain blood groups and various pulmonary function test parameters. The highest obtained FVC was found in the B- blood group, with a significant association (P = 0.041). However, no significant association was found between the percent FVC and blood group (P = 0.924). The FEV1/FVC ratio showed a significant association with the blood group for both obtained and percent values (P = 0.001 and P = 0.002, respectively). The obtained FEF 25–75 showed a strong association with the blood group (P = 0.013), but no association was found for percent FEF 25–75 (P = 0.328). The obtained FEFR showed a strong association with the blood group (P = 0.031), as did the percent FEFR (P = 0.043). Finally, no association was found between MVV and blood groups (P = 0.656). These findings contribute to our understanding of the complex relationship between blood groups and pulmonary function.

Conclusion: Our study suggests that individuals with the B-positive blood group tend to have higher pulmonary function values, particularly FEV1/FVC and FEFR. However, further research is needed due to the lower sample size and fewer cases in Rh-negative blood groups.
Effects of Communicative Language Teaching in Grammar Class
Authors: He Ting
Published: July 2024

The Communicative Language Teaching approach was first put forward in the 1970s, reached its peak and was introduced into our country in the mid-eighties. In the previous researches, a lot of scholars explored its application in speaking, listening, reading and writing. But few researches focus on its application in grammar teaching in junior high school. Some researches also showed CLT is more effective than the traditional approaches in arousing students’ interest, initiative in learning English and other aspects. Nowadays, people have realized the shortcomings of traditional grammar teaching methods that overemphasize language forms and mechanical exercises. Therefore, the traditional grammar teaching method should be reformed under the framework of CLT to combine the learning of language forms with the cultivation of students' ability. Through writing this paper, it aims to explore effects of CLT in teaching grammar.
PLANEJAMENTO REPRODUTIVO: FRAGILIDADES E RESILIÊNCIAS DO SISTEMA ÚNICO DE SAÚDE
Authors: Menaguali Richely Ritta , Silva Cristiane Vanessa da , Silva Adriana Peixoto da , Vieira Kelly Pinheiro , Barreto Bruna de Paula Pereira , Oliveira Camilla de
Published: July 2024

Este estudo tem por objetivo apresentar o perfil de mulheres que optam por laqueadura tubária no planejamento reprodutivo, enfatizando as fragilidades e resiliência dos serviços públicos na promoção da saúde reprodutiva. Estudo de caráter quantitativo, documental, retrospectivo, que analisou a ficha de atendimento de 71 usuárias que participaram do planejamento reprodutivo, no ambulatório de pré-natal, de uma maternidade de alto risco fetal do Rio de Janeiro. Utilizou-se o programa RSutdio e o teste Qui-Quadrado de homogeneidade com nível de significância alfa de 5% para estabelecer a relação entre a realização da Laqueadura Tubária e as variáveis: idade, escolaridade, número de filhos, renda, cor, tipo de parto e número de aborto. A maioria das mulheres que optaram por laqueadura tubária eram pardas, entre 30-39 anos, com ensino médio completo, renda inferior a R$1000,00 Reais, e tinham, no mínimo, 2 filhos vivos. As fragilidades do planejamento reprodutivo foram: gravidezes não planejadas, uso inadequado do anticoncepcional oral, não proteção das infecções sexualmente transmissíveis. Constata-se a necessidade de uma atitude resiliente de todo sistema envolvido na assistência ao planejamento reprodutivo, buscando garantir os direitos sexuais e reprodutivos das mulheres.
SUÇLA MÜCADELEDE SAVCILIK KURUMUNUN ROLÜ ÜZERİNE BİR DEĞERLENDİRME
Authors: Demir Nuri
Published: July 2024

Günümüzde suç oranlarının arttığı yadsınamaz bir gerçeklik olarak karşımıza çıkmaktadır. Bu çalışmanın amacı toplumsal güvenlik ve barış ortamının tesis edilebilmesi için suçla mücadeleye katkı sağlamaktır. Bu bağlamda bir suçla mücadele mekanizması olarak kabul edilen ceza adalet sisteminde savcılık kurumunun rolü ön plana çıkmaktadır. Çalışma kapsamında öncelikle suç ve ceza kavramları açıklanmış, literatürde bu alanlara yönelik ortaya atılan teoriler değerlendirilmiştir. Daha sonra savcılık kurumunun tarihçesi, ceza muhakemesi sistemlerindeki pozisyonu, karşılaştırmalı hukuktaki konumu ve soruşturmayı sonlandıran kararları ışığında açıklamalar yapılmıştır. Çalışma çıktılarında savcılık kurumunun yapılandırılmasında teşkilat, görev ve yetkiler bakımından tereddüt oluşturabilecek hususlar olduğu görülmüştür. Suçla mücadelede kilit rol atfedilen savcılık kurumunun güçlendirilmesi ve yetkilerinin hesap verebilirlikten uzaklaşmadan genişletilmesinin suçla mücadeleye katkı sağlayacağına olan inanç ile bazı öneriler getirilmiştir. Savcılık kurumunun, ceza adalet sistemine yön veren, suçla mücadelede görevli makamlar arasındaki koordinasyonu ve işbirliğini temin eden bir ceza adalet politikasının uygulayıcısı şeklinde konumlandırılması umut verici olacaktır.
The Effect of Dust Accumulation on Photovoltaic (PV) Panel Surface in Politeknik Mersing, Johor, Malaysia
Authors: Ali Norazida , Jamaludin Abdul Aziz , Sungip Zalina
Published: July 2024

Abstract: One of the initiatives aiming at supporting green technology sustainability education in the Politeknik Mersing is the generation of power using renewable energy sources like solar. Considered as more efficient and able to meet current power needs of the community, the generation of electricity from limitless green energy sources is Dust accumulation on the photovoltaic (PV) panel surface has been one of the main environmental elements influencing the declining sun irradiation since Politeknik Mersing located in a tropical rainforest and coastal location. Moreover, in humid environments the accumulation of dust forms mud and contamination on the PV panel surface, which subsequently reduces the relative power efficiency of PV by up to 30%. Therefore, the study has been carried out to investigate the effects of dust accumulation on PV panel surfaces on the amount of output power generated by the PV system. While the lowest relative performance of 69.6% occurred at a 30° tilt angle, the best relative performance of 97% was obtained at a 0° tilt angle during peak solar hours. The relative power efficiency was used to analyse the performance of PV panels under clean and dusty conditions since there was no pyranometer to measure solar irradiation. Several tilt angles (0°, 10°, 20°, and 30°) were assessed in order to situate the panel optimally with respect to the latitude of the location and peak solar hours (10:00 am, 11:00 am, 12:00 pm, and 1:00 pm). The performance of the PV system was evaluated using total output power that is derived from open-circuit voltage (Voc) and short-circuit current (Isc). Results showed that dust accumulation affects the efficiency of PV panels thus necessitating effective maintenance strategies within such environments.
African Contextual Theology: A Holistic Response to Neo-Traditionalism in Igbo Society
Authors: Chukwudebelu Ifeanyi A. , Chidebem Molokwu Ven. Dr. Geoffrey
Published: July 2024

This research examines the challenges of neo-traditionalism in contemporary Igbo society of Nigeria and proposes a comprehensive response grounded in African Contextual Theology. Through a multidisciplinary approach encompassing theological, sociological, and anthropological perspectives, the study explores the theological underpinnings and socio-cultural implications of neo-traditionalism, highlighting the tensions between tradition and modernity. Drawing from existing literature and primary data, the research delineates the complexities of neo-traditionalism and advocates for a holistic framework that integrates theological insights with socio-economic, political, and cultural considerations. By emphasizing indigenous Igbo theologies, contextual evangelization strategies, social sensitivity, and pastoral inclusiveness, the study offers practical solutions to navigate the challenges posed by neo-traditionalism while honoring cultural heritage and fostering social progress. It underscores the global relevance of African Contextual Theology in enriching theological discourse, addressing emerging challenges beyond the Igbo context, positioning it as a transformative tool for empowerment, justice, and inclusivity across African societies and beyond.
Socio-Economic Dynamics and Neo-Traditionalism in Igboland: Exploring Factors, Shaping Cultural Revival
Authors: Chukwudebelu Ifeanyi A. , Chidebem Molokwu Ven. Dr. Geoffrey
Published: July 2024

This study explores the resurgence of neo-traditionalism in Igbo society, analyzing its link to socio-economic factors. Against a backdrop of economic challenges and cultural shifts, traditional beliefs resurface as responses to adversity and quests for meaning. Through a multidisciplinary approach, combining qualitative and quantitative methods, the research investigates how poverty, social injustice, unemployment, illiteracy, and parental influence shape cultural revival in Igboland. Findings reveal the intricate interplay between socio-economic dynamics and cultural identity, highlighting the resilience of Igbo communities. The study underscores the importance of addressing socioeconomic challenges to foster sustainable development and social cohesion. Ultimately, it emphasizes the significance of preserving cultural traditions for identity and collective well-being amidst contemporary complexities in Igbo society.
An Assessment of Social Media Usage Patterns and Influences among Tribal Naga Women of North East India
Authors: Panmei Lungsanliu , Meshack Samuel Wilson
Published: July 2024

Social media platforms have been acclaimed as providing immense potential for the empowerment of diverse societal groups regardless of gender, caste, class or race. But studies on women’s online experiences have authenticated the hindrances faced by women in access and engagement in social media discourses. This study aimed to assess the pattern of social media use, influences and hindrances faced by tribal Naga women of North East India in their engagement in social media public platforms. Data was collected through a questionnaire survey of 360 female respondents from the States of Nagaland and Manipur. The results showed that WhatsApp Messaging is the most popular platform (n=338) among Naga women, followed by YouTube (n=298) and Facebook (n=286). About seventy-four per cent (74.55%) of the respondents stated that they access social media several times daily. Using social media for news and information ranked the highest (95.93%) followed by social relationships (92.51%). It was observed that social media exposure and usage has positively increased Naga women’s gender awareness (97.16%) as well as their awareness of political and civic issues (96.15 %). However it has not significantly increased their public opinion expression (20%) on socio-political and civic issues. The main hindrances in engagement on social media discussions were Lack of Knowledge about issues (73.98%), followed by a Lack of Interest (71.13%) and a Lack of Time (62.14%). Based in the findings, despite the hindrances and low level of engagement in social media public discourses, it was concluded that Naga women’s information seeking behaviour being the main motivation behind social media could be a positive indicator for the development of their agency.
Pengaruh Motivasi Terhadap Kinerja Pegawai Dengan Kepuasan Sebagai Variabel Intervening Pada Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Sukoharjo
Authors: Nur Fajar Ali Maulana  , Esti Dwi Rahmawati  , Nur Hadi
Published: July 2024

The aim of this research is to partially determine whether motivation has a significant effect on employee performance, motivation has an effect on job satisfaction, job satisfaction has an effect on performance, and whether job satisfaction mediates work motivation on employee performance. This research was conducted quantitatively using an explanatory and descriptive approach and data collection through questionnaires. A total of 40 employees of the Sukoharjo Regency Satu Pindu Investment and Integrated Services Service consist of 27 civil servants, 3 PPPK and 10 freelance daily workers (THL). Regression correlation analysis was used. The results of the analysis show that work motivation has a significant effect on performance and job satisfaction, job satisfaction has a significant effect on performance and job satisfaction has succeeded in mediating work motivation on employee performance.
Repensando la antropología digital: estructurismo, mediación tecnológica e implicaciones epistémicas y morales
Authors: Linares-Peralta Raúl , Llorca Albareda Joan
Published: July 2024

El mundo digital pone en cuestión los conceptos y las categorías fundamentales de la antropología filosófica. Los aspectos definitorios y exclusivos de los seres humanos pierden su vigencia con la aparición de entidades sintéticas que comparten dichas características. En este artículo nos hemos propuesto realizar un análisis filosófico de la antropología digital. Primero, hemos examinado las cuatro estrategias seguidas hasta el momento para dar cuenta de las continuidades ontológicas entre seres humanos y tecnologías. Defendemos que ninguna de ellas resulta convincente por dos razones: las tres primeras reducen la antropología a ontología y la última descarta completamente la dimensión ontológica. Por ello, nos hemos ocupado, en segundo lugar, de desarrollar un nuevo enfoque antropológico que dé cuenta de forma más exitosa del mundo digital, a saber, una concepción estructurista que entienda al ser humano como un ser biopsicosocial abierto a entablar relaciones con otras entidades. Esto nos ha llevado, en tercer lugar, a desarrollar los aspectos relacionales del mundo digital a través del concepto de mediación tecnológica. La noción de información que introducen las nuevas tecnologías media de un modo cualitativamente novedoso nuestra acción y percepción: produce entornos digitales cerrados, inclina a la igualdad informacional e induce dinámicas de descontextualización. Por último, hemos desarrollado las implicaciones epistémicas, la posverdad, y éticas, los cambios tecnomorales, de la mediación tecnológica digital.
Los conceptos empíricos en las comunidades discursivas reaccionarias en línea: una mirada desde el esquematismo kantiano
Authors: Morán Roa Alberto
Published: July 2024

Redpilled es un término con el que las comunidades en línea del espectro reaccionario identifican su posición política: aunque pueden agruparse dentro del espectro de la extrema derecha, los estudios de estos espacios destacan su carácter heterogéneo e indefinido. El presente trabajo aspira a contribuir al estudio de estas comunidades en línea considerándolas como espacios de construcción y resignificación de conceptos para la confrontación ideológica. Para ello, se argumentará que constituyen comunidades discursivas que emplean el lenguaje para conseguir objetivos ideológicos y que la doctrina kantiana del esquematismo puede contribuir a explicar el modo en que dicho lenguaje mantiene su coherencia, pese a la heterogeneidad del grupo y lo impreciso de los conceptos que se manejan.
Avaliação da assistência estudantil do Instituto Federal Sudeste de Minas Gerais, campus Muriaé
Authors: Marques Nara Faria Silva , Barros Geórgia Fernandes
Published: July 2024

O trabalho tem por objetivo avaliar os efeitos do Programa de Atendimento aos Estudantes em Baixa Condição Socioeconômica do Instituto Federal Sudeste de Minas Gerais – campus Muriaé sobre o rendimento acadêmico, taxa de evasão e retenção escolar no ano 2019 dos discentes matriculados no curso Técnico Integrado ao Ensino Médio em Agroecologia. Os procedimentos metodológicos adotados foram análises bibliográficas e documentais. Foram analisados 158 requerimentos de matrículas do curso Técnico Integrado ao Ensino Médio em Agroecologia no ano de 2019. A abordagem utilizada foi quantitativa, obtida através do uso do método Propensity Score Matching (PSM), com a finalidade de avaliar a efetividade da política pública sobre os resultados escolares dos alunos. A análise aponta que a assistência estudantil do Instituto Federal Sudeste de Minas Gerais – campus Muriaé influenciou diretamente sobre os índices de evasão e de rendimento acadêmico, tendo impacto positivo sobre os mesmos. Porém, com relação à repetência, a política pública não teve efeitos.
She keeps on cooking: the gendered organization of domestic cooking among heterosexual brazilian couples in the Amazon region
Authors: Oliveira Mayara Sanay da Silva , Unsain Ramiro Fernandez , Arceño Mark Anthony , Ulian Mariana Dimitrov , Sato Priscila de Morais , Scagliusi Fernanda Baeza
Published: July 2024

This article presents an analysis of gender perspectives that organize and sustain domestic culinary work among cisgender and heterosexual couples in the Brazilian Amazon. 19 semi-structured interviews were conducted with both women and men, with a focus on gender interactions related to domestic culinary work. Our findings indicate that men and women engaged in domestic culinary work in accordance with or in contrast professional status, individual income, perceived time availability, culinary skills, and partner demand patterns. To illustrate, husbands assumed control of domestic cooking if he has the lower income, lower workload or are unemployed. Women who sought more equitable gender perspectives encouraged their sons to engage in domestic cooking at home, while instructing their daughter in the value of pursuing a college education and engaging in external employment. Women continued to cook at home when they had the lowest family income and were the only ones responsible for providing food to children. In contrast, men ceased cooking when they received higher wages, thereby reproducing their hegemonic masculinities through traditional family social relations. Consequently, domestic culinary work is inextricably linked to the higher value placed on paid extra-domestic work and the general lack of prestige attached to unpaid domestic work. Ultimately, this study contributes to a deeper understanding of gender dynamics in the domestic context, highlighting the importance of recognizing and valuing domestic culinary work as a fundamental part of everyday life and gender relations.
Restrição de sono em médicos trabalhadores em turnos e consequências à saúde: uma revisão integrativa
Authors: Oliveira Kesley Garcia de , Garcia Janyne Aline Correia de Lima , Brum Evanisa Helena Maio de , Gusmão Waléria Dantas Pereira , Trindade Filho Euclides Mauricio
Published: July 2024

Introdução: A restrição de sono entre profissionais médicos é um tema de extrema relevância, visto que a falta de descanso adequado pode afetar não apenas o bem-estar dos médicos, mas também a segurança dos pacientes. Objetivo:  Esta revisão integrativa tem por objetivo examinar os impactos da restrição de sono efeitos na saúde dos profissionais médicos. Metodologia: Foi realizada uma revisão integrativa da literatura, com a inclusão de 13 estudos, para a pesquisa foram usadas as bases de dados PubMed, BVS e Scopus e usados os descritores “shift work", "sleep deprivation" e "physicians”. Resultados: A partir dos estudos revisados, observou-se a necessidade urgente de atenção e intervenção para mitigar os efeitos negativos da restrição de sono entre os profissionais médicos, a fim de garantir condições de trabalho mais seguras e saudáveis para todos os envolvidos. As pesquisas apontam que a restrição de sono representa um desafio significativo para os profissionais médicos, com impactos substanciais na saúde, desempenho e segurança. A implementação de estratégias de enfrentamento eficazes é fundamental para minorar efeitos adversos e garantir a qualidade do atendimento aos pacientes. Além disso, é crucial que políticas e práticas de gerenciamento do trabalho levem em consideração os aspectos do sono e do ritmo circadiano, visando melhorar a segurança do paciente e reduzir o impacto da fadiga nos profissionais que trabalham em turnos prolongados ou que incluem o turno da noite. Conclusão:  Mediante os estudos, pode-se inferir que a restrição ao sono impacta diretamente na saúde dos médicos e na qualidade de atendimento aos pacientes. A promoção de um ambiente de trabalho saudável e equilibrado é essencial para garantir o bem-estar tanto dos médicos quanto dos pacientes que dependem de seu cuidado.
Construção e validação de um website sobre cuidados aos usuários de álcool e outras drogas
Authors: Devechi Anny Caroline Ribeiro , Harmuch Camila , Barbosa Cecily , Lima Ana Luisa Serrano , Nacamura Paula Antunes Bezerra , Jaques André Estevam , Paiano Marcelle
Published: July 2024

Objetivo: construir e validar um website de orientação para os profissionais da Atenção Primária à Saúde sobre cuidados aos usuários em uso de álcool e outras drogas. Método: estudo descritivo e metodológico de produção de um website conforme o método DADI – definição, arquitetura, design e implementação, com posterior validação do conteúdo por profissionais experts na área de saúde mental, saúde pública e educação em saúde, através da análise estatística simples e cálculo do Índice de Validade de Conteúdo. Resultados: o website foi composto por um menu inicial com informações sobre a autoria, objetivo e manual de navegação, além de outras sete subpáginas com conteúdo que aborda desde o contato inicial, cuidados, redes de apoio e preparo profissional ao lidar com os usuários de drogas. Utilizou-se tons de azul e verde, padronizou-se a fonte Lato, para título 22 e texto 12. Para tornar o ambiente virtual dinâmico, podcasts, imagens e vídeos foram utilizados como recursos audiovisuais. No processo de validação, participaram 10 juízes enfermeiros, o Índice de Validade de Conteúdo foi superior a 0,8 e o website foi considerado adequado. Conclusão: o website é uma ferramenta importante para apoiar os profissionais de saúde, com melhorias feitas com base no feedback de especialistas, tornando-se um recurso educacional digital de educação permanente e fonte de informação em saúde mental.
Registro de aspectos sociais no cuidado à pessoa com Tuberculose na atenção primária: discurso de enfermeiros
Authors: Frade Dilyane Cabral , Silva Junior José Nildo de Barros , Guedes Haline Costa dos Santos , Silva Adriana Maria da , Trigueiro Débora Raquel Soares Guedes , Barrêto Anne Jaquelyne Roque
Published: July 2024

Objetivo: analisar o discurso de enfermeiros sobre o registro de aspectos sociais no cuidado à pessoa com tuberculose na Atenção Primária à Saúde. Método: pesquisa qualitativa, realizada com 31 enfermeiros das Unidades de Saúde da Família de um município do estado da Paraíba. A coleta de dados ocorreu por roteiro de entrevista semiestruturado. A organização do material empírico aconteceu utilizando o software Atlas.ti, fundamentado pelo aporte teórico-metodológico da análise do discurso de linha francesa. Resultados: nos discursos, emergiram cinco formações discursivas: monitoramento do tratamento diretamente observado (TDO); registro da alimentação; incentivo social; interrupção do tratamento; e estigmatização e preconceito. Considerações finais: os discursos dos enfermeiros elucidaram a falta de familiaridade com o registro dos aspectos sociais no cuidado à pessoa com TB, visto não abranger o papel da família na dinâmica do cuidado, o aspecto psicológico, a dimensão mental, a retirada de dúvidas e as orientações ao usuário.
Perigos da intoxicação por paracetamol em cães e gatos: revisão sistemática de literatura
Authors: Machado Adrya Ettielly Barbosa , Oliveira Ana Vitória Gonçalves de , Valente Gabriela Alves Belo , Pereira Giovanna Albino , Marques Laura França , Venturini Marina Cruz , Couceiro Giselle Almeida
Published: July 2024

A intoxicação por paracetamol em pequenos animais pode ser fatal mesmo em pequenas quantidades, esse fármaco é administrado via oral, metabolizado no fígado e excretado na urina, podendo causar danos graves ao fígado e afetar outros órgãos. Gatos são mais sensíveis devido à ausência da enzima glicuronil transferase. Os principais intomas podem surgir de 1 a 4 horas após a ingestão. O diagnóstico se baseia no histórico de exposição e sinais clínicos, inclui hemograma, bioquímica, urinálise e dosagem de paracetamol no plasma. Quanto ao tratamento, é utilizado primordialmente a N-acetilcisteína e outros fármacos como S-adenosilmetionina, procedimentos como lavagem gástrica podem ser adicionados para acelerar a desintoxicação. Com o objetivo de realizar uma revisão sistemática dos artigos publicados sobre o assunto, através de uma revisão sobre farmacologia, sinais clínicos, diagnóstico e tratamento, foi realizada uma pesquisa utilizando as bases de dados Scielo e Google scholar. Sete artigos foram selecionados e revisados, dentre eles quatro (57,14%) sobre felinos, um (14,28%) sobre caninos, três (23,07%) sobre felinos e caninos e dois (28,57%) sobre humanos. Constatou-se que os estudos sobre o assunto estão avançando cada vez mais, porém ainda conta com literatura científica incipiente. É indiscutível que as intoxicações por paracetamol representam um sério risco à saúde dos animais, com potencial para causar danos hepáticos irreversíveis e até mesmo levar à morte e a conscientização de tutores e o conhecimento acerca das consequências que ele pode causar no organismo de cães e gatos ainda precisa ser mais abordado e discutido.
Configuração do Microempreendedor Individual (MEI) nas relações de trabalho no Brasil (2009-2022): apontamentos para um balanço
Authors: Fernandes Vinicius Tomaz
Published: July 2024

O artigo apresenta como a forma jurídica Microempreendedor Individual (MEI) se configurou nas relações de trabalho no Brasil, compreendendo-o em termos de período histórico desde sua efetivação no ano de 2009 até fins de 2022. Foram submetidos à análise os dados oriundos da Receita Federal e também os Relatórios Técnicos do Sebrae, possibilitando uma avaliação sobre diferentes dimensões dessa política pública, desde a sua expansão acelerada, o perfil desses trabalhores vinculados, a eventual mudança de focalização do público-alvo e o mascaramento de vínculos empregatícios. Neste panaroma, é possível observar uma alteração de composição de sua população majoritária, que se desloca dos trabalhadores informais em direção àqueles de maior renda e, muitas vezes, antes já inseridos nas relações formais de trabalho. Isso, por conseguinte, converteria o MEI em um dos principais intrumentos de pejotização vigentes no mercado de trabalho brasileiro, isto é, responsável por nublar relações de assalariamento sob a forma empresa-MEI.
Fascite plantar - o que é? Causas e tratamento: uma revisâo bibliográfica
Authors: Arrais-Lima Cristina , Telles Josué Moura , Véras Saul Felipe Oliveira , Coriolano Thais Araújo , Silva Erlândia Maria da , Marques Daniela Ferreira , Souza Ivaldo Mauricio de , Silva Antônio Veimar da
Published: July 2024

A fascite plantar (FP) é a inflamação do tecido denso localizado na parte anterior do tubérculo interno do calcâneo, sendo a causa mais frequente de dor na planta dos pés, afetando significativamente o desempenho laboral do indivíduo. É a principal causa de dor nessa região do corpo em adultos. Existem poucas diretrizes de prática clínica sobre o tema e as pesquisas disponíveis são escassas. Assim, o objetivo desta pesquisa é investigar os diferentes tipos de tratamentos para a fascite plantar relatados na literatura. Para a realização deste estudo, foi feito um levantamento bibliográfico nas bases de dados Cochrane Library, Medline, Lilacs, IBECS, IME, PEDro e Enfispo, utilizando os descritores: fascite plantar, fisioterapia, especialidade e tratamento. A busca de estudos originais na base de dados Medline, por exemplo, utilizou as seguintes equações de busca: “fascite plantar” AND “especialidade fisioterapêutica” e “tratamento” AND “fascite plantar”, tanto em português quanto em inglês. Conclui-se que a fascite plantar afeta um grande número de adultos, principalmente aqueles com mais de 40 anos. Para a recuperação dessa lesão, diferentes métodos podem ser aplicados para aliviar ou melhorar total ou parcialmente os sintomas. Para o tratamento da fascite plantar, muitas intervenções têm sido descritas, com uma grande variedade de técnicas fisioterapêuticas, sendo mais frequente a combinação de várias dessas técnicas. A eficácia dessas técnicas foi comprovada na maioria dos casos.
Challenges in the legal protection of urban fauna in modern environments
Authors: Enríquez Valenzuela Melany Sabrina , Fuentes Ayala Kelly Vanessa , Méndez Cabrita Carmen Marina , Sandoval Malquin Danny Mauricio
Published: July 2024

This study addressed the adequacy and effectiveness of local and national legal regulations in relation to the environmental preservation of urban fauna in the city of Tulcán, in Ecuador. To this end, this research focused on analyzing the effectiveness and applicability of the ordinance that regulates the possession, management and protection of urban fauna and, thereby, proposing solutions to improve awareness and compliance with environmental regulations. Therefore, surveys and interviews with residents and local authorities have been used, in a combination of methods developed under quantitative and qualitative approaches. Among the results obtained, it has been observed that 58 % of those surveyed are unaware of the current regulations. Jointly, the lack of resources and training among authorities has prevented effective application of the sanctions applied for the violation of the rights of urban fauna. Consequently, it has been concluded that it is crucial to improve the dissemination of regulations, by strengthening inter-institutional collaboration. In addition to promoting a culture of shared responsibility that ensures effective protection of urban fauna and
Situational teaching of emergency language curriculum constructs
Authors: Zhu An , Peng Fei Chen
Published: July 2024

In the situation of sudden disasters, linguistic communication became a key part of disaster research. Both China and the West emphasized the importance of disaster education, and the development of emergency language courses in universities has become an important concern in the above context. This study constructs an emergency language course based on the situational teaching theory to improve the emergency language competence of Chinese university students. Firstly, the curriculum was designed using the situational teaching method, based on which the 4 units of the emergency situation design were used to prepare the draft of the curriculum. Then the content validity of the curriculum was reviewed by experts, finally form the capability indicators of emergency language talent and the simulation-oriented emergency language curriculum
Pendampingan Positive Diviance Pemberian Makanan Tambahan dalam Upaya Penanganan Stunting di Desa Tanjung Agung
Authors: Kurniati  , Nurfadila  , Rosmiati Meiti , Usviany Veny
Published: July 2024

Kabupaten Bulungan Kecamatan Tanjung Palas Timur Khususnya di Desa Tanjung Agung, tercatat terdapat 24 anak penderita stunting yang mayoritas faktor penyebabnya antara lain yaitu lingkungan yang kurang bersih dan kurangnya pengetahuan mengenai gizi penunjang pertumbuhan anak. Salah satu solusi yang dapat dilakukan adalah Program Positif Daviance dengan Pemberian Makanan Tambahan (PMT). Metode yang dilakukan dalam program ini yaitu melalui tahap perencanaan, tahap pelaksanaan dan tahap evaluasi program dan juga pendampingan dalam pembuatan PMT dan melakukan sedikit edukasi kepada orangtua balita. Dimana anggota pengabdi melakukan pendampingan monitoring kepada Kader Mempesona dan Ibu Balita dalam kegiatan pembuatan PMT dan juga melakukan sedikit edukasi kepada orangtua balita mengenai penaganan stunting melalui Pemberian Makanan Tambahan (PMT).  Kegiatan ini bertujuan untuk membantu meningkatkan tumbuh kembang anak yang terlanjur mengalami Stunting. Hasil pelaksanaan kegiatan Positif Daviance PMT yang dilakukan selama 28 hari dengan 2 kali melakukan evaluasi penimbangan pada saat peningkatan berat badan secara bertahap. Hasil kegiatan juga menunjukkan terjadinya peningkatan kesadaran orangtua terhadap gizi anak yang harus terpenuhi yaitu hampir 100%, melalui kegiatan mengedukasi orangtua balita supaya penaganan stunting khususnya di Kecamatan Tanjung Palas Timus di desa Tanjung Agung dapat segera teratasi.
Impact of Green Transformational Leadership on Green Work Engagement with Mediating Role of Green Intrinsic Motivation
Authors: Javed Hafiz Muhammad Intizar , Raza Basharat
Published: July 2024

In today's rapidly changing business landscape, the importance of sustainability has obtained exceptional significance. Organizations are increasingly adopting green initiatives that benefit the environment and contribute to long-term success. This study explores the concept of GTL and its impact on GWE among employees. GTL is described by leaders who inspire and motivate employees to engage in sustainable practices. This research proposes a mediation model wherein GIM mediates the relationship between GTL and GWE. While the impact of GTL on sustainability is widely acknowledged, the mechanisms through which it affects GWE remain underexplored. This study addresses this gap by exploring the role of GIM as a mediator. Empirical results support the hypothesized model, demonstrating that GTL is positively associated with GWE and exerts an indirect effect through GIM. The findings underscore the vital role of transformational leaders in fostering a sense of meaning and purpose in green work, leading to higher levels of GWE. Practical implications suggest that organizations should promote green leadership and instill green motivation among employees to achieve sustainable production. Theoretical contributions include the elucidation of GTL's influence on GWE through GIM, advancing understanding in the context of cleaner production. Limitations and future research directions are discussed, emphasizing the need for longitudinal studies, industry-specific validations, and consideration of cultural factors. This research highlights the pivotal role of green transformational leaders in driving environmental sustainability within organizations by motivating employees to engage in eco-friendly behaviors, ultimately contributing to a deeper understanding of the dynamics between leadership, motivation, and GWE.
Design Guidelines for Implementation of Daylighting Strategies in Buildings of Pakistan
Authors: Aslam Seemin , Hashmi Arsala , Naeem Saira
Published: July 2024

Turn on the lights please! Heard this many times? Because we like to see things lit properly and use artificial lights to do that, despite having natural light available for half the day. A well-daylit space connects to the outdoors, providing visual and thermal comfort while maximizing artificial lighting savings and reducing peak energy loads. Daylight offers pleasant indoor environments with better color rendering and alignment with human visual responses compared to artificial light sources. The benefits of daylight on occupant comfort, health, well-being, and productivity are well-documented. Despite these advantages, daylight is not widely integrated into building design due to a lack of information and evaluation tools regarding its suitability and energy-saving potential. This study conducts a systematic literature review to understand existing research and synthesize findings. Literature from large databases was reviewed, focusing on daylight integration. This research aims to present a review of metrics and standards for indoor daylight availability to aid decision-makers. The study concludes with recommendations for implementing and interpreting Daylighting Building Standards for successful daylighting architecture.
Leadership Styles and Conflict Management in Pakistani Banks: The Role of Conflict Behaviors
Authors: Mubahsir Asim , Siddiqui Danish Ahmed
Published: July 2024

This study investigates the direct and mediating effects of transformational, transactional, and laissez-faire leadership styles on relationship conflict within the Pakistani banking sector. The objectives are twofold: to assess how these leadership styles directly influence relationship conflict and to analyze how problem-solving, dominating, and non-confronting conflict behaviors mediate these effects. Data were collected from non-managerial employees of the five largest private banks in Pakistan—Habib Bank Limited (HBL), United Bank Limited (UBL), Muslim Commercial Bank (MCB), Allied Bank Limited (ABL), and Askari Bank—via a self-administered survey. A convenience sampling technique was applied to ensure a representative sample of 384 respondents. The study utilized established instruments and employed SmartPLS 4 for data analysis. The results indicate that transformational and transactional leadership styles significantly reduce relationship conflict, whereas laissez-faire leadership has no significant impact. This underscores the effectiveness of proactive and reward-based leadership approaches in fostering a harmonious work environment. In the mediation analysis, problem-solving behavior and non-confronting conflict behavior were found to significantly mediate the relationship between transformational and transactional leadership and relationship conflict. This indicates that these leadership styles not only directly decrease conflict but also promote collaborative and accommodating behaviors among followers, further reducing conflict. On the other hand, dominating conflict behavior did not serve as a mediator, suggesting that aggressive conflict management is not fostered by these leadership styles. These findings highlight the crucial role of transformational and transactional leadership in managing relationship conflict both directly and through encouraging constructive follower behaviors. The study provides practical insights for the banking sector, recommending that leadership development programs should emphasize transformational and transactional qualities to effectively manage and reduce relationship conflict.
Prognostic value of KRAS G12C in advanced non-small cell lung cancer with high PD-L1 expression treated with upfront immunotherapy: a systematic review and meta-analysis
Authors: Erhart Caroline-Claudia , Cefalì Marco , Mangan Dylan , Kasenda Benjamin , Wannesson Luicano
Published: July 2024

AIM: This study aims to evaluate the prognostic role of the KRAS G12C mutation in patients with advanced non-small cell lung cancer and PD-L1 expression ≥50% who are treated with immune checkpoint inhibitor monotherapy.
METHODS: We conducted a systematic review of clinical studies fulfilling the following criteria: (1) enrolling patients with advanced/metastatic non-small cell lung cancer with high PD-L1 tumour expression receiving first-line therapy with anti-PD-(L)1 immune checkpoint inhibitors; (2) comparing the outcomes of patients with the KRAS G12C mutation to those without this mutation, and (3) reporting overall survival and progression-free survival (PFS). The electronic databases Medline, EMBASE, Cochrane and Google Scholar, along with reference lists, were systematically searched.
RESULTS: We identified four publications that fulfilled the inclusion criteria, comprising a total of 469 patients. Of these, two studies reported hazard ratios (HR) for PFS, resulting in a final pooled patient sample of 163 for the meta-analysis. In patients with non-small cell lung cancer who received anti-PD-(L)1 monotherapy, the presence of a KRAS G12C mutation was associated with improved PFS compared to patients with KRAS wild-type tumours, with a pooled hazard ratio of 0.39 and a 95% Confidence Interval (CI) of 0.25–0.63. Among all patients with KRAS mutations, those harbouring a KRAS G12C mutation had improved PFS compared to patients with any other KRAS mutation (pooled HR 0.33, 95% CI 0.19–0.57).
CONCLUSIONS: Patients with non-small cell lung cancer who have the KRAS G12C mutation and high PD-L1 expression demonstrate favourable PFS with first-line PD-(L)1 immune checkpoint inhibitor monotherapy compared to patients with KRASwt or other KRAS mutations and high PD-L1 expression.
Computation of topological indices of linear chains of perylene and coronene using M-polynomial
Authors: Yalnaik Ashwini Shivappa , Ranganath Mookanahallipatna Shivanna , Lokesha Veerabhadraiah , Jummannaver Raju Basavaraju
Published: July 2024

The M-polynomial yields degree based topological indices that anticipate different physical and chemical properties of material being scrutinized. In this work, M-polynomial of linear chains of perylene and coronene are acquired. From M-polynomial, some degree based topological dicriptors are determined. Some topological indices of these compounds are compared by plotting graphs.