bluuebunny/crossref_metadata_2025 huggingface dataset:
The doctrine of the unity of being in the works of St. Dionysius the Areopagite and Ibn Arabi
Authors: Мелас С.
Published: May 2024

В статье представлены результаты исследования ареопагитской и акбарийской космологий с целью выявления соизмеримых и несоизмеримых элементов учения о единстве бытия. В ареопагитском учении о единстве бытия основными понятиями являются: причинность сущего в сверхсущественном Боге, единство сущего в Боге как в его причине, различие Бога и творения, троичность Бога, различие божественной сущности и божественных энергий, различение и единство божественной и человеческой природ в Иисусе Христе. По акбарийскому учению о единстве бытия Бог является самой предельной и истинно существующей реальностью. Бог — и «похожий», и «непохожий» на творение. В рамках акбарийской космологии выделены структура бытия, понятия «перешейка», «воображения», «Дыхания» и «Облака», «божественных имен» и «воплощённостей». Обсуждена роль божественной свободы и любви в сотворении мира. Результаты исследования показывают впервые, что ареопагитское и акбарийское учение о единстве бытия соизмеримы в области учения о Боге как причине творения. Однако в области триадологии и христологии возникают несоизмеримые элементы. Оценена степень их несоизмеримости.

The focus of this study is the identification of commensurabilities and incommensurabilities between the Areopagite and Akbarian cosmologies centered on the doctrine of the unity of being. The Areopagite doctrine of the unity of being includes the following fundamental concepts: the causality of being upon the supra-essential God; the unity of being in God as its cause; the difference between God and creation; triplicity of God; the difference between the divine essence and divine energies; and, the distinction and unity of the divine and human natures in the Lord Jesus Christ. As far as the Akbarian doctrine of unity of being is concerned: God is the ultimate and only truly existing reality, “similar” and “dissimilar” to the seen and unseen cosmos. Within the framework of Akbarian cosmology, the structure of being, the concepts of “isthmus”, “imagination”, “breath” and “cloud”, “divine names” and “entities” are highlighted. The role of divine freedom and love in the creation of the world is discussed. The results of the study show that from the point of view of God as the cause of the cosmos, the Areopagite and Akbarian teachings on the unity of being are largely commensurable. However, incommensurable elements arise in the fields of triadology and christology. The degree of incommensurability of these elements is evaluated.
Cultural and Historical Origins of the Marriage of “Caesar” Theodosius and the Persian Princess Nika. On the Nature of the Dynastic Policy of Emperor Heraclius (610-641)
Authors: Митрофанов А.Ю.
Published: May 2024

В статье рассматривается творчество византийского историка Феофилакта Симокатты, секретаря императора Ираклия (610–641). Исследуется история брака Феодосия, сына Ираклия и Мартины, и персидской царевны Ники, рассказанная патриархом Никифором. Делается вывод, что Феофилакт преднамеренно умолчал об этом браке как о событии, которое не вписывалось в концепцию прославления императора Ираклия — победителя персов. Исследуется прецедент бракосочетания персидского шаха Хосрова II Парвиза и возможной родственницы византийского императора Маврикия. Дается характеристика культурному состоянию Византийской Империи и Сасанидского Ирана в эпоху военного конфликта, названного Л. Н. Гумилевым «Мировой войной VII века». Делается вывод о возможной гибели Феодосия и Ники в ходе репрессий, последовавших после свержения императрицы Мартины и ее сыновей Ираклона и Давида в ноябре 641 года.

The article considers the work of the Byzantine historian Theophylact Simocatta, secretary of Emperor Heraclius (610-641). The article examines the story of the marriage of Theodosius, the son of Heraclius and Martina, and the Persian princess Nika, narrated by Patriarch Nikephoros. It is concluded that Theophylact deliberately kept silent about this marriage as an event that did not fit into the concept of glorifying Emperor Heraclius, the conqueror of the Persians. The precedent of the marriage of the Persian Shah Khosrow II Parviz and a possible relative of the Byzantine emperor Maurice is being investigated. The article describes the cultural state of the Byzantine Empire and Sasanian Iran in the era of the military conflict, called by L. N. Gumilev “The World War of the VII century”. It is concluded that Theodosius and Nika may have died during the repressions that followed the overthrow of Empress Martina and her sons Heraklion and David in November 641.
Strategi Komunikasi PALTV dalam Mempertahankan Eksistensinya Sebagai Televisi Lokal di Palembang
Authors: Khadijah Siti , Syarifudin Achmad , Hamandia Muhammad Randicha
Published: May 2024

Palembang Televisi (PALTV), sebagai televisi lokal pertama di Bumi Sriwijaya, telah hadir di tengah-tengah masyarakat sejak 9 September 2005. Bertahan dalam industri penyiaran lokal bukanlah tugas yang mudah bagi PALTV, karena harus bersaing dengan televisi nasional, lokal di wilayah yang sama, televisi digital, dan media penyiaran streaming internet lainnya. Untuk bertahan, PALTV membutuhkan strategi yang efektif. Penelitian ini bertujuan untuk mengeksplorasi strategi komunikasi PALTV dalam mempertahankan eksistensinya sebagai televisi lokal di Palembang. Teori Ekologi Media oleh Dimmick dan Rohtenbuhler digunakan sebagai kerangka teoretis, yang menyoroti tiga sumber penting bagi media untuk bertahan, yaitu modal, jenis isi media, dan jenis khalayak sasaran. Metode penelitian yang digunakan adalah deskriptif kualitatif, dengan teknik pengumpulan data melalui wawancara, observasi, dan pengumpulan dokumen terkait. Hasil penelitian menunjukkan beberapa strategi yang digunakan PALTV: 1. Strategi Program: PALTV melakukan perencanaan program jangka panjang, menengah, dan pendek, serta memanfaatkan media sosial untuk promosi. Mereka juga memperhatikan moment tertentu dalam perencanaan program, mengelola produksi dan pembelian program, menyesuaikan jadwal program dengan kebiasaan penonton, dan melakukan pengawasan serta evaluasi program. 2. Segmentasi, Targeting, dan Positioning: PALTV melakukan segmentasi audien dari berbagai kalangan, memilih target penonton sesuai dengan program, dan membangun persepsi masyarakat melalui tagline. 3. Strategi Pemasaran: PALTV melakukan pemasaran program dengan menawarkan ratecard kepada pemasang iklan, menjalin kerjasama dengan instansi pemerintah dan swasta, serta mengadakan event dan kegiatan off air. Dengan menerapkan strategi-strategi ini, PALTV berupaya mempertahankan eksistensinya dan menghadapi persaingan di industri penyiaran yang semakin ketat
The Influence of Work Discipline and Workload on the Performance of Employees in the Project Division of PT Gala Karya Surabaya
Authors:   Universitas Pembangunan Nasional “Veteran” Jawa Timur, Putri Anggun Dhenniar Permata , Swasti Ika Korika ,   Universitas Pembangunan Nasional “Veteran” Jawa Timur
Published: May 2024

This study aims to determine the effect of work discipline and workload on employee performance. In this study, the population is employees of the project division of PT Gala Karya, with a saturated sampling technique where the entire population is sampled, so that a sample size of 60 respondents is obtained. The data collection method in this study uses the survey method and uses partial least square as a data analysis tool. From the results of the study it was found that work discipline on employee performance where the better the employee's work discipline, it will affect the performance produced by employee employees, workload also has a significant effect on employee performance where the higher the workload felt by employees, the less good the performance produced by employees.
RPL Management Model for Capacity Building of Village Apparatus: A Case Study on Cooperation between Surabaya State University and Bojonegoro District Government
Authors:   State University of Surabaya, Ma’ruf Muhammad Farid , Said Abdullah ,   Brawijaya University Malang, Suprapto Firre An ,   State University of Surabaya
Published: May 2024

Law Number 23 of 2014 grants regional autonomy, which means that each regional institution is authorized to manage its own policies. This includes village governments, which are regulated by Law Number 6 of 2014. Therefore, it is crucial to have competent village personnel who can provide exceptional services to the citizens. In 2021, 45,387 village heads, 43,876 village secretaries, 31,147 village-owned enterprise managers, and 7,889 professional assistants graduated from high school, according to data from the Ministry of Village, Development of Disadvantaged Regions, and Transmigration. This highlights the need to strengthen the education of village apparatus. One way to achieve this is through the Recognition of Prior Learning (RPL) program, which is a collaboration between the Ministry and universities such as the State University of Surabaya and the State University of Yogyakarta. This program can help improve the skills of village apparatus. However, there is a gap between the reality and the implementation of the collaboration between the Ministry and Pertindes regarding the implementation of RPL for village apparatus. In Bojonegoro Regency, for instance, only 61% of village heads had a high school educational background in 2022, according to the Office of Community Empowerment and Village Government. To address this issue, the researcher aims to understand the management of RPL in Bojonegoro Regency to improve the capacity of village apparatus. The research is based at the State University of Surabaya and Bojonegoro Regency. The study obtained primary data from interviews, literature studies, and a memorandum of understanding between the State University of Surabaya (UNESA) and the Bojonegoro Regency Government. The researcher used a knowledge management approach in program planning, which focused on six main stages in development planning. These stages included problem identification, problem diagnosis, design stage, design implementation, design testing, and solution formulation. The results of the study showed that collaboration and support from educational institutions are strategic solutions for improving village human resources. Additionally, the RPL program is relevant to the functions of higher education institutions in preparing personnel for village government administration. The implementation of RPL in Bojonegoro is in accordance with the principles of cooperation. However, there were some technical obstacles in the implementation of activities.
The Fiscal Space for Health in Vietnam: Challenges from Population Aging
Authors:   University of Labour and Social Affairs, Hanoi, Vietnam, Pham Duc Trong , Thai Ngoc Khanh ,   SNV Netherlands Development Organization in Vietnam, Nguyen Thi Hai Anh ,   University of Labour and Social Affairs, Hanoi, Vietnam (Student of class D16BH1)
Published: May 2024

Vietnam's population is aging, leading to a higher proportion of elderly individuals. Despite significant health financing reforms, But changes in epidemiology, demographics, and growing demand for health care will continue to put pressure on health spending. This paper examines the fiscal space for health in Vietnam amidst population aging by analyzing data from 2009 to 2020. Findings reveal that healthcare resources have not kept pace with the escalating demands due to the aging of Vietnam's population faster than forecast. Total health expenditure as a percentage of GDP shows this clear increase. Private healthcare spending, particularly out-of-pocket expenses, is on the rise. Spending from the health insurance fund also increases every year,, placing future burdens on young workers. In addition, the State budget allocations for healthcare have also grown, but economic growth will compensate for this shortfall.
History of research at Švédův stůl Cave in the Moravian Karst
Authors: Mlejnek Ondřej , Oliva Martin , Nývltová Fišáková Miriam , Lisá Lenka , Bajer Aleš
Published: May 2024

This article provides an overview of the published archaeological, geological, anthropological, and paleontological research that has been undertaken at Švédův stůl Cave at Ochoz u Brna in the southern part of the Moravian Karst. Most of these excavations took place from the end of the 19th century to the present and have already been described in the literature; however, to date, there has been no comprehensive review for an English-speaking audience. The authors focus on the excavations of Bohuslav Klíma between 1953–1955 and the discovery of a Neanderthal’s mandible by the student Karl Kubasek in 1905, and the circumstances under which this find entered the collections of the Moravian Museum in Brno. The article also includes, for the first time ever, photographs from the Bohuslav Klíma archive documenting his excavations in the cave in the 1950s. This documentation was also used to place the test pits excavated in front of the cave in 2019 by an international research team in the spatial framework of Klíma’s excavations.
Advanced Traffic Clearance System for Emergency Vehicles
Authors: Dr. Nita Thakare  , Astha Morey  , Khushboo Gajbhiye  , Sahili Bhalerao  , Pratiksha Nehare  , Avantika Meshram
Published: May 2024

This paper elaborates development of Traffic Clearance System using camera and mobile Net. In urban areas, navigating through traffic congestion poses a significant challenge for emergency vehicles, often leading to delays that can impact response times and potentially endanger lives. This paper presents an innovative traffic control system leveraging camera technology to prioritize the passage of emergency vehicles. The proposed system utilizes a network of cameras strategically placed at intersections to detect emergency vehicle sirens and flashing lights. Upon detection, the system dynamically adjusts traffic signal timing to create a green corridor, facilitating the swift and safe passage of emergency vehicles. Additionally, the system incorporates machine learning algorithms to optimize traffic flow, minimize congestion, and ensure efficient utilization of road space. Through simulation studies and real-world testing, the effectiveness and reliability of the proposed system are evaluated, demonstrating its potential to enhance emergency response capabilities and improve overall traffic management in urban environments.
Análise de processo participativo em um Programa de Educação Ambiental sob a ótica da Complexidade e da Aprendizagem Social
Authors: Formenton Nathália , Louro Ferreira Silva Rosana
Published: May 2024

O objetivo principal deste trabalho é analisar a elaboração do Programa de Educação Ambiental das APAs Corumbataí-Piracicaba (PEA-APAs) sob o referencial teórico da Aprendizagem Social (AS) e da complexidade. Acompanhamos as reuniões da Câmara Técnica de Educação Ambiental e Comunicação, caracterizando uma pesquisa participante. Os dados foram coletados por meio de gravações de reuniões, atas e documentos oficiais. Analisamos os dados utilizando o software NVivo com base na complexidade e nas dimensões da AS: ação, reflexão, comunicação, negociação e participação, a fim de traçar relações entre os dois referenciais teóricos. Os resultados mostraram que o processo de elaboração do PEA-APAs foi colaborativo e dialogado, mostrando grandes redes complexas de conhecimentos e ações, contemplando também as dimensões da AS. Concluímos que a AS e a complexidade são complementares e de suma importância para embasar processos colaborativos de gestão em unidades de conservação.
The role of accounting information systems characteristics in improving the quality of insurance services An applied study for the National Insurance Company
Authors: Madhi Maiyda hassan
Published: May 2024

Our modern world is experiencing rapid development at various levels of information and social systems, and it is natural for this development to be reflected in people and organizations. This development was in the information system and the field of its application. The characteristics of accounting information systems are a fundamental goal in the success or failure of the organization, because this information is used to support and coordinate administrative operations. In addition to using it as a tool for coordination and communication within the organization and its external environment on the other hand. It is considered one of the most important information that the organization needs, and the accounting information system used within the insurance company is specific to it and is compatible with the nature of its work. This is because it is used to process the collection of insurance premiums in addition to paying compensation. The accounting information system collects, classifies and communicates information to the company's management. Therefore, the use of accounting information shows us the financial reality of the insurance company because it depends on the collection of premiums and compensation.
THE RÔLE OF LAW PROTECTING THE ENVIRONMENT AND NATURAL RESOURCES - CASE STUDY OF ALGERIA
Authors: MALIKA Researcher. Beldjillali , CHEIKH Researcher. Bousmaha
Published: May 2024

This study aims to shed light on the vital role that the law plays in preventing environmental damage, promoting sustainable development, and ensuring the conservation of natural resources, on the basis that this protection still witnesses many contradictions at the theoretical or even applied levels, knowing that the international community has gone through many Among its institutions, especially the United Nations, it stipulated resolutions and charters affirming the right of peoples to self-determination and their right to complete control over their wealth and natural resources. Some countries even went so far as to care about the environment to make its preservation a constitutional principle, such as the Indian Constitution of 1976 and the Algerian Constitution of 2020. Due to the importance of environmental law in regulating the impact of human activities on the natural environment, through legislation protecting land, water resources, wildlife, air, soil, and others that are implemented through bodies such as the Environmental Protection Agency. Environmental law also includes penalties for violating behavior, such as fines and even imprisonment in some cases. It also relied mainly on the analytical approach, by analyzing and allocating the legal texts related to environmental protection in a way that enables us to determine the extent of their adequacy or deficiency in providing the necessary protection for various environmental interests, after which the descriptive approach is an exception. This is a situation that requires raising the following problem: How effective and efficient are laws in protecting the environment and natural resources? The study was divided into two sections, in the first section it dealt with the role of law in protecting the environment, and in the second section it addressed the role of law in protecting natural resources - a case study o
Formulation and Evaluation of Logenzes for Anticoagulantion
Authors: Pawar Sanket Sambhaji  , Gagare Sagar Devram  , Waphare Sampada Thakaji  , Gund Sanket Dhyandev  , Mr. Agale Sir
Published: May 2024

Cardiovascular diseases represent a significant global health burden, necessitating effective prevention and treatment strategies to mitigate their impact. Anticoagulant therapy plays a crucial role in managing these diseases by preventing the formation of blood clots, which can lead to life-threatening complications such as heart attacks and strokes. However, conventional anticoagulants are associated with limitations, including the risk of bleeding complications and the need for frequent monitoring. In recent years, there has been increasing interest in exploring natural alternatives to conventional anticoagulants, with Cayenne pepper (Capsicum annuum) emerging as a potential candidate due to its bioactive compound, capsaicin. This paper aims to review the existing literature on the anticoagulant properties of Cayenne pepper lozenges. By examining the pharmacological mechanisms of capsaicin and summarizing preclinical and clinical studies, this paper evaluates the efficacy, safety, and therapeutic potential of Cayenne pepper as an alternative or adjunctive therapy for cardiovascular diseases. The findings suggest that Cayenne pepper lozenges may hold promise as a novel anticoagulant agent, offering potential benefits in terms of cardiovascular health and reducing the burden associated with conventional anticoagulant therapy
formación del estudiante como lector analítico y crítico en la educación superior
Authors: Medina Morán Deysi Esther , Gutiérrez F. Diana K.
Published: May 2024

Este artículo de revisión bibliográfica acerca de estudios publicados en el Repositorio Centroamericano del CSUCA, en los últimos 10 años aborda la temática sobre la formación lectora del estudiante universitario, con el objetivo de determinar las estrategias significativas que formen al estudiante como lector analítico y crítico en la educación superior. Como resultado de este estudio se demostró que hay diferentes estrategias de comprensión lectora que se aplican desde que el joven está en el nivel de Premedia. De hecho, el docente, como guía, juega un papel muy importante, debe dedicarle tiempo suficiente a las estrategias o técnicas de lectura para que el proceso de comprensión y análisis se logre en sus estudiantes. La metodología utilizada se basó en el paradigma cualitativo, mediante estudios descriptivo y documental. Cualitativa puesto que permitió el análisis múltiples teorías de autores destacados en temas de educación, para darles una interpretación subjetiva a esos planteamientos; descriptiva porque se plantean las diferentes situaciones del fenómeno objeto de estudio, es decir, la formación que debe tener el estudiante universitario para ser analítico y crítico ante cualquier situación o problemática y es de carácter documental porque nos permite hacer el estudio de teorías que argumentan  La formación del estudiante como lector analítico y crítico en la educación superior. Según Bernal (2016) “la investigación documental consiste en el análisis de la información escrita sobre un determinado tema, con el propósito de establecer relaciones, diferencias, etapas, posturas, o estado actual del conocimiento con respecto al tema objeto de estudio” (p.146).
Effects of Construction Contracts on Performance: The Case of Construction Firms in Kampala, Uganda
Authors: Gilbert Ahereza
Published: May 2024

The study aimed to investigate the influence of construction contracts on the overall performance of selected construction firms in Kampala district. Specifically, it sought to assess the impact of formally contracting personnel, evaluate the effect of special contract conditions, and examine the role of surety bonds on firm performance within the construction industry. A descriptive design utilizing quantitative methods was utilized. The study utilized purposive and random sampling techniques to select relevant respondents from various positions within construction firms, ensuring a comprehensive analysis of the subject matter. A sample size of 76 respondents was involved in the study. Data collection was facilitated through a structured questionnaire comprising Likert scale type questions, piloted to ensure relevance and logical flow. The study achieved an 88.3% response rate, with 80 questionnaires returned and analyzed. The study found that there exist a significant controlling effect on the relationship between (i) contracted (temporary) personnel and performance of construction firms (r=0.778, p=0.000), (ii) special conditions of contract and performance of construction firms (r=892, p=0.000) and (iii) surety bonds and performance of construction firms (r=0.830, p=0.000). Analysis of performance indicators highlighted the importance of factors such as adherence to construction codes, client satisfaction, and innovative practices in determining firm success. In conclusion, the study underscored the critical role of construction contracts in shaping the performance of construction firms in Kampala district. To optimize firm performance, it is recommended that firms prioritize the recruitment and retention of skilled personnel, adhere meticulously to construction contracts, and leverage surety bonds for risk mitigation. These findings provide valuable insights for construction industry stakeholders, guiding strategic decision-making to enhance operational efficiency and project outcomes.
Jurisprudencia del Tribunal de Justicia de la Unión Europea en materia del IVA en 2023 y su aplicación práctica a nuestro país
Authors: Bas Soria Javier
Published: May 2024

El Tribunal de Justicia de la Unión Europea (TJUE) dicta, todos los años, un número creciente de sentencias tanto en procedimientos prejudiciales como de incumplimiento. Siendo el impuesto sobre el valor añadido (IVA) un impuesto armonizado a nivel comunitario, los criterios interpretativos del TJUE tienen gran relevancia para la comprensión y correcta aplicación del IVA.
El presente trabajo realiza un estudio detallado las sentencias dictadas en 2023, acompañándose de un juicio sobre las principales conclusiones que cabe extraer para nuestro país tanto de orden normativo como en la aplicación de los tributos.
Contemporary interventions in counselling children and adolescents: A literature review
Authors: Kiptiony Gladys Jarobon , Ohongwa Margaret S
Published: May 2024

This study explores the evolving landscape of therapeutic interventions for children and adolescents in contemporary society. It examines the growing body of research on practical counselling approaches tailored to address the unique challenges young people face today. The review acknowledges the importance of considering developmental stages when selecting interventions and emphasizes the need for culturally competent practices. Mental health concerns among children and adolescents are on the rise. Factors such as social media pressures, academic stress, and family dysfunction contribute to a complex landscape of emotional and behavioural issues. Effective therapeutic interventions are crucial to supporting the mental wellbeing of this population. By examining contemporary counselling approaches, this review aims to equip mental health professionals with the knowledge and tools to provide the most effective care for their young clients. This review employs a systematic search of academic databases and peer-reviewed journals, focusing on publications within the past five years. Additionally, relevant books and chapters by leading authorities in the field will be incorporated. This review is expected to identify a range of effective contemporary interventions for counselling children and adolescents. It will highlight the importance of tailoring interventions to address specific needs, developmental stages, and cultural backgrounds. The review may also identify gaps in the current research and suggest areas for future investigation. By providing a comprehensive overview of contemporary interventions in counselling children and adolescents, this review aims to contribute to the advancement of evidence-based practices in the field. Equipping mental health professionals with effective tools will ultimately contribute to improved outcomes and enhanced wellbeing for young people facing mental health challenges.
Pyridine Based Chalcone Derivatives as Inhibitor Against Breast Cancer: A Computational Approach.
Authors: Olalekan Imran Musah
Published: May 2024

To evaluate the potency of two pyridine chalcone derivatives, CHA and CHB, against breast cancer, their inhibitory activities were assessed on four different cancer cell lines (6CZ2, 6CZ3, 6CZ4, and 5TWU) using the docking and scoring method. The binding energies of CHA on the four receptors were found to be -8.0, -8.5, -8.6, and -8.3 kcal/mol, respectively, and for the CHB ligand, they were -7.9, -8.3, -8.0, and 8.1 kcal/mol. A standard breast cancer drug, exemestane, was also docked with these cancer cell lines, yielding binding energies of -8.1, -8.9, 8.9, and -8.4 kcal/mol, respectively. Both ligands demonstrated good conformity with the standard drug, with CHA exhibiting higher binding energy than CHB. Additionally, both compounds adhere strictly to the Rule of Five (Lipinski’s rule), suggesting that these drug-like compounds may be suitable for oral administration.
Newborn Screening for Congenital Cytomegalovirus
Authors: CADTH
Published: May 2024

What Is the Issue?

Congenital cytomegalovirus (cCMV) is estimated to affect between 0.2% and 2.4% of newborns worldwide, and may cause long-term effects, including hearing loss and neurodevelopmental disability.
Newborn screening for cCMV can identify affected neonates and provide an opportunity for early treatment, which may reduce any long-term effects from infection.
We wanted to know if universal newborn screening is a clinically effective and cost-effective intervention for identifying and managing cCMV.

What Did We Do?

We identified and summarized published literature comparing the clinical effectiveness and cost-effectiveness of universal newborn screening with either targeted newborn screening or no screening for congenital cytomegalovirus in neonates. We also identified and summarized published, evidence-based guidelines that make recommendations concerning the use of newborn screening for congenital cytomegalovirus to help inform decisions considering the use of this intervention.
An information specialist searched for peer-reviewed and grey literature sources published between January 1, 2014, and March 19, 2024. The search was limited to English-language documents. One reviewer screened articles for eligibility based on predefined criteria, critically appraised the included studies, and narratively summarized the findings.

What Did We Find?

Evidence from 1 prospective cohort study in the US found that, compared to universal newborn screening for cCMV, targeted newborn screening failed to identify a significant proportion of neonates who developed hearing loss associated with infection.
Three cost-effectiveness evaluations concluded that universal newborn screening for cCMV was cost-effective when compared to targeted newborn screening or no screening. None of these analyses were specific to the Canadian context.
While 1 of 3 evidence-based guidelines identified by this review makes a recommendation favouring universal newborn screening for cCMV, 2 evidence-based guidelines recommend against the implementation of universal newborn screening for cCMV (including 1 from the Canadian context), generally citing a lack of sufficient clinical evidence.

What Does This Mean?

The included cost-effectiveness studies and evidence-based guidelines in this report emphasize that limited clinical evidence is currently available to inform decision-making concerning newborn screening for cCMV.
Jurisdictions where universal newborn screening for cCMV has been implemented provide an opportunity for clinical research to support and inform future decision-making.
The current limitation of available clinical data describing newborn screening for cCMV will require decision-makers to draw from a broader set of inputs and sources than those available from empirical studies.
A INFLUÊNCIA DA PANDEMIA DO COVID-19 NOS PACIENTES DE UM AMBULATÓRIO DE ONCOLOGIA: UM ESTUDO QUALITATIVO
Authors: Assunção Vinícius Rodrigues , Batista Gabriella Lima Chagas Reis , Oliveira Neto Ismael Fernandes de , Batista Isabella Lima Chagas Reis
Published: May 2024

Desde o início da pandemia pelo COVID-19 no ano de 2019, medidas tomadas para mitigar a propagação do vírus afetaram a população de forma geral, inclusive os pacientes diagnosticados com câncer. A pandemia causou um impacto incalculável em todo o mundo, afetando gravemente os sistemas de saúde, entre eles o serviço oncológico. O objetivo da pesquisa foi identificar a influência da pandemia do COVID-19 nos pacientes oncológicos que tiveram seu diagnóstico no período pandêmico no ambulatório de oncologia do CEMI em Imperatriz, Maranhão. Um estudo descritivo, observacional, retrospectivo e de abordagem qualitativa foi realizado no período de dezembro de 2021 a maio de 2022. A pesquisa foi composta por pacientes com diagnóstico de câncer do ambulatório de oncologia do CEMI (Centro de Especialidades Médicas de Imperatriz). A amostra constituída de 44 participantes. A análise temática revelou os seguintes temas: (1) aumento do sofrimento psicológico; (2) risco de infecção pelo COVID-19 no ambulatório; (3) possível impacto no prognóstico do câncer; (4) isolamento social e a menor relação familiar; (5) aumento das responsabilidades domésticas; (6) medidas higiênicas da quarentena; (7) medo e a mídia; (8) teleconsulta. Nesse panorama, o presente estudo avaliou a influência da pandemia do COVID-19 no ambiente oncológico do Centro de Especialidades Médicas de Imperatriz e identificou que a pandemia levou a diminuição da busca do serviço médico pelos pacientes, além de os pacientes descreverem que a redução do contato familiar, informações midiáticas constantes e aumento da dificuldade financeira tiveram impacto no bem estar físico e psicológico na pandemia.
NÍVEIS DE ANSIEDADE ASSOCIADO AO ATENDIMENTO ODONTOLÓGICO
Authors: Rocha Swellen Silva da , Lima Yasmin Amaral Rolim , Campos Marta Rosado de Oliveira , Rego Isabel Cristina Quaresma , Verde Giselle Maria Ferreira Lima , Lima Luciana Reinaldo
Published: May 2024

Introdução: A ansiedade dentária ou odontofobia são um dos principais motivos para evitar o atendimento odontológico. Pode ser classificada em medo, ansiedade e fobia. A alta ansiedade dentária prejudica o tratamento e a saúde bucal, podendo ser influenciada por experiências traumáticas, fatores socioeconômicos e culturais. Objetivos: analisar a prevalência e os fatores que influenciam a ansiedade dentária em clínica odontológica de graduação em odontologia. Métodos: estudo descritivo e exploratório, com abordagem quantitativa, realizada por meio de questionário semi estruturado e escala de ansiedade MDAS. As entrevistas foram realizadas em uma Instituição de Ensino Superior, de caráter privado, situado em Teresina, Piauí, Brasil em 2023. Resultados: Não foram encontradas correlações significativas entre a ansiedade odontológica e vários fatores, como procedimentos odontológicos, gênero, idade, nível de escolaridade, frequência de visitas ao dentista e estado de espírito antes da consulta. No entanto, observou-se uma relação significativa entre as manifestações físicas dos pacientes durante o tratamento e a ansiedade odontológica. Conclusão: Os fatores demográficos( gênero, idade, nível de escolaridade) e os procedimentos odontológicos não mostraram relevância estatística na ansiedade, apesar dos relatos dos pacientes. Mais pesquisas são necessárias para investigar o impacto desses fatores na ansiedade odontológica.
A RELEVÂNCIA DA ABORDAGEM INTERDISCIPLINAR NA CAPACITAÇÃO DOS PROFESSORES DURANTE O PROCESSO DE LETRAMENTO
Authors: Silva Paulo Rangel Germino da , Silva Maria Elizângela da
Published: May 2024

Este trabalho aborda a necessidade de repensar as práticas educativas tradicionais, que muitas vezes ensinam conteúdos de maneira fragmentada e não promovem uma compreensão articulada do conhecimento. Destaca-se a importância da abordagem interdisciplinar na educação, especialmente diante dos desafios enfrentados pelos alunos no domínio da leitura e escrita, o que pode afetar sua inserção futura no mercado de trabalho. O estudo propõe reflexões para os professores sobre como integrar o currículo de forma interdisciplinar, visando facilitar a construção do conhecimento. Para embasar essa proposta, são apresentados métodos e conceitos de diversos teóricos. Entre eles Japiassu (1976), Fazenda (1993; 1994; 2003), Soares (2001; 2004; 2006), Luck (1994; 2013), Durkheim (2010) entre outros, evidenciando a relevância da formação docente para enfrentar esses desafios. O trabalho também aborda os obstáculos enfrentados na implementação da interdisciplinaridade na educação básica, com contribuição conceitual.
EFEITOS DAS QUEIMADAS NA SAÚDE DA POPULAÇÃO COM FOCO PARA AS DOENÇAS PULMONARES
Authors: Sousa Hugo Felipe Machado de , Silva Laiz Stephane Veiga da , Costa Flávio Nogueira da
Published: May 2024

Estudos sobre o aumento dos efeitos do desmatamento na Amazônia para o meio ambiente e economia mostram outros efeitos indiretos que incluem a saúde da população, com o aumento do desmatamento, espera-se um aumento das queimadas e consequentemente a piora na qualidade do ar e na saúde da população. O presente estudo buscou discutir a prática das queimadas, os impactos dos poluentes na saúde humana e as principais doenças que são resultantes das queimadas. Tem como objetivos específicos: descrever sobre o desmatamento ilegal e os incêndios desenfreados na Amazônia; relatar quais efeitos e riscos que as queimadas causam a saúde pública; mostrar associação entre as queimadas e o surgimento ou agravamento das doenças pulmonares. Baseou-se em um estudo descritivo do tipo ecológico de série temporal: Foram trabalhados dados referentes aos focos de queimadas  obtidos no Instituto Nacional de Pesquisas Espaciais (INPE), os dados referentes a poluição atmosférica foram obtidos na Companhia Ambiental do Estado de São Paulo (CESTEB) e os dados referentes a internações hospitalares por doenças respiratórias na faixa etária de 60 ou mais de idade, em Manaus, Amazonas no período de 2008 a 2020  disponibilizados pelo Departamento de Estatística do SUS (DATASUS).O presente estudo revelou que as mudanças climáticas ocasionadas pelo aumento dos poluentes atmosféricos afetam várias esferas, como a biodiversidade, a economia e, em especial, a saúde da população, principalmente os agravos do sistema respiratório, o que por fim pode vir a aumentar o número de internações hospitalares por doenças respiratórias. A análise do estudo foi de fundamental importância para constitui em fontes de dados úteis para o desenvolvimento de parâmetros do setor de saúde na efetivação de ações mais resolutivas e integradas ao que diz respeito ao bem-estar da população.
GESTÃO ESCOLAR HUMANIZADA E A SUA RELEVÂNCIA PARA PRESTAÇÃO DE SERVIÇO NO ÂMBITO DAS INSTITUIÇÕES DE ENSINO
Authors: Santana Wagner Alex de , Paiva Alcione Valéria de Santana , Coutinho José Gusmão
Published: May 2024

O presente artigo tem como principal finalidade demonstrar através de conceitos e considerações, a importância de uma Gestão Escolar humanizada, diante da prestação de serviço de uma educação de qualidade. Foi utilizado como método principal de pesquisa a abordagem qualitativa através da revisão bibliográfica e os apontamentos resultam de reflexões sobre a leitura de autores que apresentam a discussão com temas correlacionados. Como principais autores foi apresentado citações dos pesquisadores Heloísa Luck, Cristiana Freitas e Iure Gurgel, que tratam com propriedade dos temas como Gestão Democrática e Liderança Participativa e a importância da execução dessa temática para uma escola de sucesso. Os textos comparativos e as diferentes obras nos fazem depreender que uma Gestão Escolar Humanizada, reflete no acolhimento dos estudantes, além de contribuir para o crescimento acadêmico, pessoal e humano de todos da instituição, apresentando positividade para um bom rendimento dos discentes relacionado a aprendizagem, como também uma prestação de serviço com excelência realizado pela comunidade escolar, na busca por uma educação e um serviço institucional eficaz.
TRATAMENTO DE HEPATOPATIAS CRÔNICAS: ESTRATÉGIAS EMERGENTES E RESULTADOS CLÍNICOS
Authors: Moreira Mariane Gomes Prata , Pereira Helena Costa , Braga Mariana Soares , Martins Danielle Paranhos , Cardoso Bruno Rodrigues Dias
Published: May 2024

As hepatopatias crônicas representam um desafio significativo para a saúde pública devido à sua progressão gradual e complicações potencialmente graves. Estratégias emergentes têm sido desenvolvidas para otimizar o tratamento dessas condições, buscando melhorar os resultados clínicos e a qualidade de vida dos pacientes. Objetivo: Examinar as estratégias emergentes no tratamento de hepatopatias crônicas e seus resultados clínicos, utilizando uma abordagem abrangente baseada em evidências científicas. Metodologia: A revisão foi conduzida de acordo com as diretrizes do PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). As bases de dados PubMed, Scielo e Web of Science foram consultadas para identificar artigos publicados nos últimos 10 anos. Os descritores utilizados incluíram "hepatopatias crônicas", "tratamento", "estratégias emergentes", "resultados clínicos" e "revisão sistemática". Os critérios de inclusão foram estudos que investigaram intervenções terapêuticas para hepatopatias crônicas e relataram resultados clínicos relevantes. Os critérios de exclusão foram estudos com foco exclusivo em hepatopatias agudas ou em populações pediátricas, e estudos sem dados disponíveis sobre resultados clínicos. Resultados: A revisão identificou uma série de estratégias emergentes no tratamento de hepatopatias crônicas, incluindo terapias antivirais de ação direta para hepatite crônica viral, agentes anti fibrótico para cirrose hepática e terapias de substituição hepática para doença hepática avançada. Resultados clínicos promissores foram observados, como altas taxas de resposta virológica sustentada em pacientes com hepatite crônica viral e melhorias na sobrevida em pacientes submetidos a transplante hepático. Conclusão: Em conclusão, o tratamento de hepatopatias crônicas está evoluindo rapidamente com o surgimento de novas estratégias terapêuticas. Esta revisão destaca a importância de uma abordagem integrada e baseada em evidências para melhorar os resultados clínicos e a qualidade de vida dos pacientes com essas condições complexas.
The role of atmospheric CO2 in controlling sea surface temperature change during the Pliocene
Authors: Burton Lauren E. , Haywood Alan M. , Tindall Julia C. , Dolan Aisling M. , Hill Daniel J. , McClymont Erin L. , Ho Sze Ling , Ford Heather L.
Published: May 2024

Abstract. We present the role of CO2 forcing in controlling Late Pliocene sea surface temperature (SST) change using six models from Phase 2 of the Pliocene Model Intercomparison Project (PlioMIP2) and palaeoclimate proxy data from the PlioVAR working group. At a global scale, SST change in the Late Pliocene relative to the pre-industrial is predominantly driven by CO2 forcing in the low and mid-latitudes and non-CO2 forcing in the high latitudes. We find that CO2 is the dominant driver of SST change at the vast majority of proxy data sites assessed (17 out of 19), but the relative dominance of this forcing varies between all proxy sites, with CO2 forcing accounting for between 27 % and 82 % of the total change seen. The dearth of proxy data sites in the high latitudes means that only two sites assessed here are predominantly forced by non-CO2 forcing (such as changes to ice sheets and orography), both of which are in the North Atlantic Ocean. We extend the analysis to show the seasonal patterns of SST change and its drivers at a global scale and at a site-specific level for three chosen proxy data sites. We also present a new estimate of Late Pliocene climate sensitivity using site-specific proxy data values. This is the first assessment of site-specific drivers of SST change in the Late Pliocene and highlights the strengths of using palaeoclimate proxy data alongside model outputs to further develop our understanding of the Late Pliocene. We use the best available proxy and model data, but the sample sizes remain limited, and the confidence in our results would be improved with greater data availability.
To what extent does CO2 diurnal cycle impact carbon flux estimates in CarboScope?
Authors: Munassar Saqr , Roedenbeck Christian , Gałkowski Michał , Koch Frank-Thomas , Totsche Kai U. , Botía Santiago , Gerbig Christoph
Published: May 2024

Abstract. Ignoring the diurnal cycle in surface-to-atmosphere CO2 fluxes leads to a systematic bias in CO2 mole fraction simulations sampled at daytime, because the daily mean flux systematically misses the CO2 uptake during the daytime hours. In an atmospheric inversion using daytime-selected CO2 measurements at most continental sites and not resolving diurnal cycles in the flux, this leads to systematic biases in the estimates of the annual sources and sinks of atmospheric CO2. This study focuses on quantifying the impact of this diurnal cycle effect on the annual carbon fluxes estimated with the CarboScope (CS) atmospheric inversion at regional, continental, and global scales for the period of time 2010–2020. Biogenic fluxes of hourly Net Ecosystem Exchange (NEE) obtained from the data-driven FLUXCOM estimates are used in the inversion together with global and regional atmospheric transport models. Differences between CO2 mixing ratios simulated with daily averaged and hourly NEE range between around -2.5 and 7 ppm averaged annually throughout a site network across the world. As a consequence, these differences lead to systematic biases in CO2 flux estimates when ignoring the diurnal variations of the CO2 flux in the atmospheric inversions. Although the impact on the global average of estimated annual flux is negligible (around 2 % of the overall land flux of -1.79 Pg C yr-1), we find significant biases in the annual flux budgets at continental and regional scales. For Europe, the annual mean difference in the fluxes arising from the diurnal cycle of CO2 represents around 48 % of the annual posterior fluxes (0.31 Pg C yr-1) estimated with CarboScope-Regional (CSR). Furthermore, the differences in NEE estimates calculated with CS increase the magnitude of the flux budgets for some regions such as northern American temperate and northern Africa by a factor of about 1.5. To the extent that FLUXOM diurnal cycles are realistic at all latitudes and for the station set used in our inversions here, we conclude that ignoring the diurnal variations in the land CO2 flux leads to overestimation of both CO2 sources in the tropical lands and CO2 sinks in the temperate zones.
Bajo el amparo de María: Cautivos, renegados y conversos en los Milagros de la Virgen de Guadalupe y la expansión territorial castellana en el siglo XV
Authors: Valdés Sánchez Amanda
Published: May 2024

Este artículo explora cómo, a lo largo del siglo XV, la Virgen de Guadalupe fue caracterizada en la colección de milagros creada en el santuario extremeño como patrona de la expansión territorial castellana y en especial de los habitantes del sur, que suponían la avanzada militar castellana, aliviando sus principales preocupaciones y facilitando la conversión de los territorios islámicos y de sus habitantes. Para ello este explora cómo la representación de cautivos, renegados y conversos del Islam en los milagros, evolucionó junto al proyecto editorial de la colección como reflejo de la evolución paralela de los intereses territoriales de Castilla y la emergencia de una progresiva necesidad por reafirmar su control del Mediterráneo.
Potrzeba metamorfozy polskich przepisów o formie testamentu
Authors: Załucki Mariusz
Published: May 2024

Prawo spadkowe w Polsce uchodzi za obszar stabilny, niemniej jednak od pewnego czasu, zwłaszcza w zakresie formy testamentu, dostrzegane są jego niedostatki i sugerowana potrzeba zmian. Podobne zdarzenia miały też miejsce w innych państwach, które przeobrażenia przepisów o formie testamentu mają już za sobą. Z tego powodu autor przygląda się wybranym obcym rozwiązaniom i poglądom doktryny, postulując na ich tle potrzebę zmian ustawy polskiej. Celem artykułu jest wskazanie możliwej przyszłej ścieżki zmian, a także sprowokowanie szerszej dyskusji naukowej dotyczącej tego obszaru.