bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Kedisiplinan terhadap Hasil Belajar Siswa pada Mata Pelajaran PPKn di Kelas X SMA Negeri 14 Medan
Authors: Nainggolan Titin Irawati , Habeahan Sampitmo
Published: November 2024

The aim of this research is to determine the influence of learning discipline in relation to their achievement in Civics lessons at level X SMA Negeri 14 Medan. This research was carried out at SMA Negeri 14 Medan which is located on Jalan Siswa Timur Ujung, Gang Darmo, Medan Denai District, Medan City. The type of research carried out by the author is qualitative research which is correlational in nature and applies quantitative descriptive research methods. This quantitative study includes two variables, namely x which describes the level of discipline and y which shows student learning outcomes. The population of this study includes all class In this research, the tools used in data collection include questionnaires, observation and documentation. In this research, the data applied uses quantitative statistical methods by calculating product moment. Research findings indicate that discipline has a minimal impact, namely 24.3%, on the learning achievement of class X students at SMA Negeri 14 Medan. This can be proven by calculating the correlation coefficient between variable x and variable y, which produces a calculated r value of 0.493. If this value is compared with the rtable value at a significance level of 5% then n=40, then rcount is obtained which is the specified criterion. If the rcount value is greater than rtable (rcount > rtable) or 0.493 > 0.312, then the conclusion will be drawn that it can have a significant influence between disciplines and the learning outcomes of level X students at SMA Negeri 14 Medan.
Pengaruh Model Direct Instruction Berbantuan LKPD terhadap Kemampuan Literasi Statistis Kelas V SDN 13 Pontianak Utara
Authors: Hermansyah Rahmi , Tomo Tomo , Hairida Hairida
Published: November 2024

This study examines the effectiveness of the Direct Instruction learning model, enhanced by LKP, on statistical literacy skills in statistics among fifth-grade students at SDN 13 Pontianak Utara. An experimental design with a quasi-experimental approach was employed, involving a sample of 47 fifth-grade students. Data collection utilized test questions, which were analyzed using descriptive statistics and an independent samples t-test with SPSS version 22. The impact of the Direct Instruction model on students' statistical literacy was assessed using the effect size formula. The findings reveal that: (1) the learning process utilizing the Direct Instruction model supported by LKPD was implemented as intended and adhered to the established materials, (2) a significant difference exists in statistical literacy skills between students who engaged with the Direct Instruction model supported by LKPD and those who did not, and (3) the effect of this instructional model on statistical literacy skills is considered substantial, with an effect size of0.91.
EFFECTIVENESS OF NURSES TRAINING PROGRAMME ON KNOWLEDGE REGARDING HYPNOBIRTHING AMONG NURSING OFFICERS AT DIFFERENT HOSPITALS IN MORADABAD, UTTAR PRADESH
Authors: Rastogi Muskan , Pal Sangeeta , Kaur Ekjot , Kumar Mukul
Published: November 2024

Hypnobirthing is a complete birth education programme, that teaches particular relaxation and breathing techniques as well as easy-to-follow
methods for a better birth. This study was conducted in Teerthanker Mahaveer Hospital, Moradabad. The Quantitative research approach with a
pre-experimental study (one group pre-test post-test design) was adopted. The samples were selected by using convenient sampling technique. The
sample size was 80 female Nursing Ofcers. The data was collected by using Self-structured knowledge Questionnaire. The result of the study
showed that Pre-test mean knowledge score 11.9 with SD 4.78 and post-test mean knowledge score was 24.69 with SD 3.48 which is higher than
that of pre-test. “t” value is 34.203 signicant at 0.05 level of signicance which indicates that Nurses Training Programme was effective.
STUDY OF CLINICAL AND FUNCTIONAL OUTCOME OF TOTAL ELBOW ARTHROPLASTY IN A PATIENT WITH NEGLECTED CASE OF DISTAL HUMERUS FRACTURE WITH UNUSUAL FOLLOW-UP
Authors: Lingayat Maruti B. , N. Nawkhare Raj , Patil Swapnilkumar , Rashinkar Omkar , P V Vimal
Published: November 2024

Background: Presenting a case of 50 year old female who presented with pain, swelling and deformity in left elbow with history of fall 2 months
back. There was decreased range of movements of left elbow with normal neurovascular status. Radiological investigation showed distal humerus
fracture with intraarticular extension. Patient underwent total elbow arthroplasty. After discharge of patient from hospital, patient had unusual
follow up. After 1 year post operatively, patient presented with complaints of pain, squeaking sound in left elbow during regular household activity.
Radiologically, a rare complication as Hinge Dislodgement seen. Patient underwent revision surgery for the same. On regular follow up of the
patient, there was good clinical and functional outcome of the patient and achieved good range of motion of elbow.
OCULAR MANIFESTATIONSIN HEAD INJURY.
Authors: Garg Ritish , Arora Pankaj , Sharma Abhimanyu
Published: November 2024

Aims: To study a variety of ocular manifestations in cases of head injury admitted in a tertiary care hospital of Uttarakhand Materials and
Methods: The present study was conducted on 352 patients admitted for head injury who were systematically screened for ocular manifestation.
All patients underwent proper clinical evaluation including Glasgow Coma Scale (GCS), and Ocular Trauma Score (OTS). Out of 352 patients
studied, 113 presented with Ocular ndings while 239 did not exhibit any ophthalmic association. Those with Ocular Manifestations were further
analysed for their distribution to look for any associated risk factor. Results: Out of 113 patients of head injury, 88(77.88%) were males, and 25
were females (22.12%) with the mean age found to be 35.19 ± 15.5 years. Most common mode of injury was found to be road trafc accident (RTA)
in 89(78.76%) cases, followed by assault (12.39%), fall from height (7.96%) and sport (0.88%). Ocular ndings included Lid edema +ecchymosis
(68.14%), hyphema (2.65%), subconjunctival haemorrhage (38.94%), chemosis (13.27%), corneal edema (4.42%), rupture (3.54%), foreign body
(2.65%), traumatic cataract (2.65%), vitreous haemorrhage (6.19%) and fracture lateral wall of the orbit (17.70%). OTS showed no signicant
association with mode of injury (P=0.081) and type of injury (P=0.591). Conclusion: In patients with head injury, many types of ocular
manifestations can occur, leading to visual impairment at presentation. Young males presenting with fractures, Extra Dural Haemorrhage (EDH)
and lower GCS scores are at a signicantly higher risk of ocular morbidities.
A CROSS-SECTIONAL STUDY OF THE ASSESSMENT OF KNOWLEDGE OF BREAST FEEDING AND ITS SOURCE IN DIFFERENT AGE GROUPS OF FEMALES ATTENDING A TERTIARY CARE HOSPITAL IN NORTH KARNATAKA.
Authors: Nayak Duragappa , Mayappanavar Ramesh
Published: November 2024

Background: A child's survival and growth depend on proper nutrition, which begins with early breastfeeding and colostrum, continues with
exclusive breastfeeding for six months, and then introduces complementary foods. Breastfeeding is a global priority and lowers the risk of breast
cancer. Breastfeeding should begin within the rst hour and continue for at least two years, according to WHO and UNICEF recommendations.
Methods: We conducted a cross-sectional study in the inpatient and outpatient departments of the Gadag Institute of Medical Sciences, with a
sample size of 300 participants. The study was hospital-based. The study's participants were divided into four groups: women over 44 years,
adolescents (16–19 years), primigravida, and multigravida. Results: The study showed 13.7% of adolescents have poor knowledge, whereas the
other group's multigravida, women over 44 years old, and primigravida had 20.0%, 14.7%, and 10.3% good knowledge, respectively. There is a
signicant p-value between the study group and breastfeeding. Higher education levels correlate with better knowledge; SES shows no signicant
association. Rural areas have higher moderate (27.7%) and poor knowledge (11.7%) compared to urban areas (better knowledge at 22.0%).
Conclusions: This study found that level of breastfeeding knowledge was generally low across all study groups, with primigravida and
multigravida showing slightly better knowledge compared to adolescent and women over 44 years. There was a lack of health education among
adolescents, indicating the need for targeted educational groups.
PREGNANCY WITH GRADE 3 UV PROLAPSE
Authors: Ruksana Dudekula , Devi G. Prameela , Umadevi R. , Karuna B.
Published: November 2024

Uterine prolapse in pregnancy is uncommon in pregnancy. It can be preexistent or else manifest in course of pregnancy. During pregnancy prolapse
is usually associated with adverse outcomes such as vaginal infection, cervical ulceration and preterm delivery. A22-year-old Smt.X, married for 2
½ Years, presented to obstetric OP with complaint of mass per vaginum and pain abdomen. Her LMP was 19/09/2023 and EDD was
26/06/2024.Her cycles are regular with 5/30 days cycle. Her obstetric formula was G2P1L1.She was diagnosed with grade 3 uterovaginal descent 3
months after rst delivery. We treated her with vaginal pessary and antenatal corticosteroids for fetal lung maturation. The pregnancy proceeded
with no obstetric complications and vaginal delivery at term of a healthy neonate. Conservative management is the best option to treat uterovaginal
prolapse in pregnancy.
IMAGING SPECTRUM IN PEDIATRIC CASES WITH CEREBRAL HEMIATROPHY: A BRIEF REVIEW OF LITERATURE
Authors: Nandeibam Sareenjoy , M U Jeevika
Published: November 2024

Childhood pediatric hemi atrophy is a rare imaging nding with various etiologies (congenital and acquired) which can further be clinically
classied to progressive and non-progressive causes. Here, we describe MRI and CT imaging ndings in 6 pediatric cases of cerebral hemiatrophy
presenting with contralateral hemiplegia, refractory seizures, developmental delay and cognitive impairment, all of which underwent MRI brain
study and CT brain study in few cases. A clinico-radiological approach plays a major role in early diagnosis of cerebral atrophy and its causes,
which in turn helps in early treatment and a better prognosis.
A COMPARATIVE STUDY OF ILIZAROV RING FIXATOR AND LIMB RECONSTRUCTION SYSTEM IN MANAGEMENT OF INFECTED NON UNION OF LONG BONES
Authors: Amar Amar , Maurya Manish Kumar , Srivastava Sanjay , Srivastav Deepak , Jain Ashish , Singh Jai Kumar , Khan Saifer
Published: November 2024

Background: Traumatic injuries are a signicant global health concern, with India reporting over 4.5 million open fractures annually. Non-union
of long bone fractures, dened as fracture which persists for 9 months, without any visible signs of healing for last 3 consecutive months, account
for 2% to 7% of these cases. These infections pose severe challenges to orthopaedic surgeons, leading to functional impairments and considerable
economic and social burdens. This study aims to compare the radiological and functional outcome and Objectives: complication rates between
Ilizarov ring xator and Limb Reconstruction System (LRS) in managing infected non-unions of long bones. An analytical Methodology:
prospective study of 40 patients with infected non-unions of long bones is performed, treated using either the Ilizarov ring xator or LRS, allotted
by consecutive sampling and followed up for 18 months. The outcome measured were the bone union rate, complication rate and functional status
assessed according to ASAMI criteria. SPSS software was used for statistical analysis. Most were in Results: age group 31-50 years males. Pin
tract infection was the most complication. The majority of LRS patients (80%) underwent treatment for 9-12 months, whereas the majority of
Ilizarov patients (40%) received treatment for 14-17 months. In the Ilizarov group, 25% of patients achieved excellent, 35% had good, 35% had
fair, and 5% had poor outcomes. Similarly, in the LRS group, 40% of patients achieved excellent, 45% had good, 15% had fair, and no patients had
poor outcome. Bony union was achieved in 100% of the patients. Treatment index was 60.6 days/cm ± 16.5 days/cm for Ilizarov group and 56.7
days/cm ± 14.1 days/cm for LRS group. Both the Ilizarov ring xator and LRS are effective in managin Conclusion: g infected non-union of long
bones, with high union rates and favorable functional outcomes. LRS offers a shorter treatment duration and slightly better functional results.
Individual patient factors should guide the choice of treatment modality, and further research is needed to optimize strategies.
A RARE CASE OF CO-EXISTING CROHN'S DISEASE WITH GASTROINTESTINAL TUBERCULOSIS : A CASE REPORT
Authors: Kamalakar Honrao Kapil , Kanodia Nishant , Gautam Vivek , Singh Divya , Noor Sabeeha
Published: November 2024

Introduction: Crohn's disease and gastrointestinal tuberculosis both have similar presentations because of which dilemma is faced in
differentiating them. Here we present a rare case of a 22 year old female having coexistence of gastrointestinal tuberculosis with crohn's disease.
Case presentation: We report a case of 22 years old female patient resident of Biswa, Sitapur district, Uttar Pradesh presenting with chief
complaints of increased frequency of stools since 8 years, intermittent abdominal pain since last 5 years, blackish red colored stool associated with
foul smell and atus since 3 years, swelling in the left axilla since 2 years. On investigating the patient, she had anemia with leucocytosis, raised Creactive protein level, erythrocyte sedimentation rate. On stool routine and microscopic examination red blood cells of 4 - 5 per high power eld
were observed. Mantoux test and interferon gamma release assay(Tb Gold- IGRA) were positive. On radiological examination ultrasonography of
whole abdomen, left axilla and CT enterography favored an tubercular etiology whereas on colonic biopsy with histopathological examination
crohn's disease was suspected. Crohn's disease and gastrointestinal tuberculosis are chronic granul Discussion: omatous diseases with overlapping
symptomatology, radiological and histopathological ndings. Not many cases have been reported with the coexistence of both. India being a
tuberculosis endemic area (infectious disease) is currently seeing a rise of inammatory bowel disease like crohn's disease (non-infectious disease)
which was earlier known to be a disease of the west. To differentiate between the two is a difcult Conclusion: condition. They both have different
pathogenesis leading to different therapeutic approaches for which there conclusive diagnosis is a must.
THORACIC SEGMENTAL SPINALANESTHESIA FOR UMBILICAL HERNIA REPAIR SURGERIES
Authors: Naz Farooqui Sameen , P Wasmatkar Nageshkumar , P Lonikar Madhuri
Published: November 2024

Introduction: Segmental Spinal Anaesthesia (SSA) is a specialized regional anaesthesia technique designed for precise and targeted block of
specic spinal segments, offering advantages over traditional spinal anaesthesia in terms of reduced drug dosage and minimized side effects. This
study was aimed to assess the feasibility and efcacy of SSA in patients undergoing elective umbilical hernia surgery. Methodology: 10 patients,
aged 18-60 years and classied as ASA grade I & II, were selected after approval from ethical committee. Preoperative evaluations included
thorough systemic examination and necessary laboratory investigations. SSAwas performed using landmarks identied at T12-L1, and injections
of 0.5% hyperbaric bupivacaine followed by 0.75% isobaric ropivacaine with fentanyl 25µg were administered. Parameters recorded included
changes in pulse rate, blood pressure, peripheral SPO2. Onset of sensory level targeted at T6 dermatomal level, onset of motor block (assessed by
Modied Bromage scale), two segment regression time, complete block regression time and surgical duration were assessed. Results: SSA gives
effective sensory and motor blockage within targeted dermatomes. All patients achieved adequate surgical anaesthesia without the need for
conversion to general anaesthesia. Postoperative outcomes were favorable, with no signicant complications observed during or after the
procedure.
Impacto de la inteligencia emocional en conductas disruptivas de estudiantes de primaria
Authors: Pacheco Carvajal Edna Sileydy , Hernández Mesa Leidy
Published: November 2024

A través de la historia y de estudios científicos se ha logrado establecer que la Inteligencia Emocional (IE) es fundamental en el desarrollo de los niños, ya que les proporciona las herramientas necesarias para comprender y gestionar sus emociones, así como para establecer relaciones saludables con los demás dado que, da paso al fortalecimiento de la resiliencia y por tanto el control de las actuaciones de acuerdo con las situaciones a las que se enfrenten en su cotidianidad. Partiendo de lo anterior, el objetivo principal del presente documento se centra en la realización de un análisis crítico y reflexivo con relación a la manera en la que la IE incide en los comportamientos disruptivos de los niños de primaria, específicamente en grado tercero, según los resultados de la investigación doctoral “Incidencia de la inteligencia emocional en el comportamiento disruptivo de estudiantes de tercero de primaria del Colegio Nuestra Señora de la Concepción”, desarrollada bajo los parámetros del enfoque mixto y diseño de Investigación Acción Educativa (IAE). Los resultados reflejaron que la IE es fundamental para que los niños aprendan a comportarse de manera prosocial y se concluyó que, para disminuir los comportamientos disruptivos de los estudiantes en el aula de clase es fundamental aplicar estrategias que promuevan la participación de los padres en la formación emocional de sus hijos.
Algunos errores radicales de nuestra educación
Authors: De la Herrán Gascón Agustín
Published: November 2024

Nuestra educación es incompleta, parcial y externalizante. Se polariza en lo externo a la persona, aunque se denomine ‘interior’, y coincide con en gran medida con lo que los sistemas educativos globalizados, las sociedades y los Estados demandan. El objetivo de este trabajo es indagar en la realidad pedagógica actual y posible al revés de como se suele hacer: en lugar de centrarnos en buscar la mejora y los cambios necesarios, intentaremos aproximarnos a lo que es insuficiente, está mal construido, se hace mal o se deja de hacer. Para dar respuesta al objetivo, la metodología será el ensayo pedagógico apoyado en el “enfoque radical e inclusivo” (Herrán, 2014). El ensayo se considera la metodología de investigación más necesaria, en la medida en que puede contribuir a la relación y a la apertura, fibras íntimas de la innovación o creatividad aplicada en contextos sociales. Su contenido puede considerarse innovador y orientado al cambio pedagógico, aunque difiere de la noción de cambio educativo al uso (v. g. Fullan, 2012, 2020; Fullan & Hargreaves, 1992), pues responde a un cambio radical de lo que por cambio educativo se entiende normalmente en Pedagogía y en Didáctica General (Herrán, 2013). Los resultados se identificarán con el contenido del ensayo, aunque específicamente en diferentes errores o insuficiencias identificadas. Conciernen, de manera especial, a los responsables de la investigación educativa y de la formación pedagógica de educadores. El anhelo del estudio es contribuir al desempeoramiento (paso de situaciones ‘malas’ a otras ‘menos peores’) de la educación, la formación, la enseñanza y los currículos, para, en un futuro, aspirar a una mejora evolutiva. Se confía en que lo que sigue pueda tener alguna incidencia en la transferencia investigativa, profesional y social que toma como referencia la escuela y la sociedad. El trabajo se desarrolla en un marco de renovación pedagógica que afecta, en general, a las Ciencias de la Educación y, en particular, a la Pedagogía y la Didáctica General o polivalente, comprendida esta última como disciplina “en el núcleo de la Pedagogía” (Sevillano, 2011). Sus desarrollos pueden considerarse incluidos, primordial o nuclearmente, en la Didáctica General -de forma inseparada de la Pedagogía-, en la medida en que esta disciplina “se preocupa de analizar críticamente las grandes corrientes del pensamiento didáctico y las tendencias predominantes en la enseñanza contemporánea” (Alves de Mattos, 1960, p. 30). Entendemos que el estudio verifica criterios de excelencia del Consejo Europeo de Investigación (2024), a saber: es una propuesta de investigación muy innovadora, con cierto riesgo, busca adquirir conocimientos al límite de lo experimentado hasta el momento y propone nuevas teorías o metodologías.
Hacia una apropiación “ socio-natural” de la ciencia
Authors: Arboleda Julio César
Published: November 2024

La apropiación “social” de conocimiento (ASC) podría ser más edificante si ganara connotaciones socio-naturales. No se trataría de una apropiación meramente “social” en el sentido de que sea desarrollada, con apoyo estatal o privado, por parte de las comunidades y en razón de fortalecer las condiciones de vida de estas como entidades humanas. Pensadas y asumidas las comunidades y colectivos sociales como entidades socio-naturales, por y para la vida interconectada, conferiría tanto a las apropiaciones de conocimiento y saber, incluidos los propios, así como a las intervenciones implicadas en estas, un carácter ético-político que potenciase el tejido de humanos y no humanos del que hacemos parte, ese mundo de mundos, de seres biofísicos, de naturalezas, cosmovisiones, universos, espiritualidades y culturas que conforman el cuerpo pluriversal de la vida.
Socio-Demographic Factors of Children with Nephrotic Syndrome and Their Clinical Correlation
Authors: Akter Dr. Shayla , Nargis Dr. Nilima , Ferdousi Dr. Tahmida , Tabassum Dr. Sadia , Rahman Dr. Md. Bayazidur
Published: November 2024

Background: Nephrotic syndrome (NS) is a chronic kidney disease in children marked by variability in treatment response, potentially influenced by socio-demographic and clinical factors. In resource-limited settings such as Bangladesh, understanding these potential influences is crucial for tailored healthcare strategies. This study investigates the socio-demographic profile of children with nephrotic syndrome and its clinical correlation to treatment outcomes. Methods: This cross-sectional study was conducted at Dhaka Shishu (Children) Hospital over six months, involving 168 children with nephrotic syndrome selected through convenient purposive sampling. Data were collected via structured interviews, focusing on socio-demographic factors and clinical outcomes. Statistical analysis was conducted using SPSS, with chi-square tests used to examine associations between socio-demographic factors and treatment response. A p-value <0.05 was considered significant. Results: Of the 168 participants, 61.31% were male, and half were aged 4 to 7 years. Most participants (70.24%) resided in rural areas, with 64.88% belonging to the lower socio-economic class. In terms of treatment response, 48.81% achieved remission, 38.10% experienced a relapse, and 13.10% were resistant to treatment. Although trends were observed, such as higher relapse rates among male children and resistance in females, no statistically significant associations were found between socio-demographic factors and treatment outcomes. Conclusion: The study highlights observed trends in socio-demographic characteristics and treatment outcomes in children with nephrotic syndrome in Bangladesh; however, no significant associations were identified. These findings underscore the importance of larger, more comprehensive studies to further investigate these variables and support the development of tailored management approaches in resource-limited settings.
Radioanatomy of the Petrous Bone
Authors: Ayoub Zidani , Aalloula K. , Slioui Pr. , Hammoune Pr. N. , Mouhsine Pr.
Published: November 2024

The high-resolution computed tomography (HRCT) scan used in the 1980s offers a distinct advantage in interpreting images of the temporal bone. To obtain a right image reconstruction and to provide meaningful information, a certain degree of tilt is required so that radiologists and clinicians can get more real imaging information on structural abnormalities in the temporal bone and its soft tissue constituents. The technique or protocol in HRCT of the temporal bone becomes an essential primary aspect in presenting the analyzed structure, the assessment of the small form of the auditory bones, the soft tissue of the inner ear and the cranial nerves that pass through the temporal bone structure is much easier to analyze, of course with the help of reconstruction according to the HRCT protocol for temporal bone, however, soft tissue evaluation is preferable to MRI. In the end, the standard structure, congenital abnormalities and pathological problems in the temporal bone structure can be identified and informed to the clinician as a step to determine further treatment action.
Comparison of Superior and Inferior Limbal Conjunctival Autograft Transplantation in Primary Pterygium Surgery: A Retrospective Analysis
Authors: Akanda Md. Ameenur Rashid , Salam Dr. Md. Abdus , Ferdousi Dr. Sharmin
Published: November 2024

Introduction: Conjunctival autografting is the cornerstone of pterygium treatment. The most typical way to harvest the conjunctival graft is superior. Nonetheless, it is not always possible to harvest a graft from the superior bulbar conjunctiva, which could impact the functionality and result of a subsequent filtering procedure [1]. This study aims to compare the effectiveness of superior conjunctival autografting and inferior conjunctival autografting without using glue or sutures. Methods: This was a prospective observational study conducted in the Department of Ophthalmology, Pabna Medical College Hospital, Pabna, Bangladesh during the period from January 2019 to December 2020. In our study, we included 200 eyes of 198 patients with primary pterygium who underwent surgical procedures in Pabna Medical College Hospital. Results: A total of 200 cases were included in this case series. 100 of them underwent superior limbal conjunctival autograft transplantation (Group A) and 100 of them underwent inferior limbal conjunctival autograft transplantation (Group B). There was one eye with recurrence in both groups, which was not statistically significant; there were two eyes with graft dehiscence in group B and one eye with graft dehiscence in group A. Graft retraction was not statistically significant in 12 cases in group A and 10 cases in group B. The inferior conjunctival autografting techniques are great alternatives with similar results and no increased risk of serious problems in cases where the superior conjunctiva must be maintained. Conclusion: Our findings show that suture-less and glue-free superior or inferior limbal conjunctival autograft is safe, cost-efficient, and successful.
HOUSING SUPPORT POLICIES IN PANDEMIC TIMES AND INTERRELATIONS WITH INSTITUTIONAL TRUST: A MIXED-METHODS APPROACH
Authors: Ribeiro Raquel
Published: November 2024

Housing was crucial during the COVID-19 pandemic, as “staying at home” was the first line of defense against the virus. To reduce the economic downturn’s impact on housing security, preventive and supportive measures were developed, such as moratoria on rents and mortgages.
This paper aims to analyze the opinions of tenants and indebted homeowners about the housing support policies implemented during the pandemic crisis and explore the relation with the level of trust in institutions — an aspect not yet studied. A mixed-methods approach is used based on quantitative and qualitative data from a nationwide online survey conducted in 2021. Quantitative data was analyzed using the software SPSS, and qualitative data was analyzed through thematic analysis.  Thematic analysis of 377 answers to open questions (e.g., “What is your opinion on the exceptional financial regime for payment of rents?”) shows that homeowners’ opinions (positive or negative) are mainly supported by their perceptions of the effectiveness of measures introduced to protect families from economic shocks resulting from the pandemic. For tenants, besides effectiveness, opinions are also determined by evaluation of the quality-of-service delivery and responsiveness. Variance analysis shows that tenants with a positive opinion tend to present higher levels of trust in public institutions compared to those with an unfavorable opinion.  The study shows that housing support measures during COVID-19 in Portugal were met with mixed trust levels, with positive views linked to higher institutional trust and negative perceptions tied to concerns over fairness, efficiency, and long-term impacts. It concludes by emphasizing the importance of effective policy design and implementation in times of crisis and the psychosocial consequences of not achieving envisioned aims.
O CONSUMO DE LUXO. MAMÃ, HERMÉS E EU - UMA IDENTIDADE SOCIAL?
Authors: De Carvalho Dina
Published: November 2024

A pertinência de uma Investigação sobre o Consumo de Luxo prende-se com o realentar a Distinção Social que concebe diferenças culturais. Partindo deste ponto, este estudo tem como objetivo refletir sobre os atores sociais e o que os conduz à procura de um Estatuto Social de Prestígio; a uma Identidade e Imagem que este Consumo de Ostentação lhes concede, as Culturas Subjetivas, os Estilos de Vida como sinais externos de classe e, os projetos que exprimem narrativas de sentido. Estudo de interesse incontornável para quem pretende abordar e compreender a reprodução das desigualdades de classe, os Gostos e a Identidade dos atores sociais. Utilizando conceitos dissemelhantes como os de habitus e de trajetórias de classe, centra-se na elaboração simbólica das subjetividades, na estruturação de estilos de vida e nas suas configurações de distinção. É uma abordagem focalizada na classe alta da sociedade portuguesa. Uma análise onde se articulam as vertentes socioculturais e económicas. Numa sociedade que não só privilegia o consumo em detrimento da produção, como lhe concede desmedido protagonismo enquanto elemento de diferenciação social, o consumo passou a centrar-se no significado social dos bens. É por essa via que os indivíduos marcam posições na estrutura social, e compõem as suas identidades e estilos de vida. Estabelece-se assim uma relação de condicionamento entre o volume de capital que o indivíduo detém e os seus gostos. A sociedade de consumo caracteriza-se pelo paradoxo de prometer a satisfação dos desejos humanos, como nenhuma outra sociedade foi capaz de o fazer, e do poder de sedução desta promessa só? se manter enquanto o sujeito não estiver completamente satisfeito.
Doença de Graves: manifestações clínicas, diagnóstico e tratamento
Authors: Fernandes Anderson Rodrigo , Mossini Gratão Valentina , Araújo Sousa João Victor Araújo Sousa , Sousa Magalhães Vitória , Fonseca da Silva Marcos Vinícius , Arantes Da Cunha Maria Eduarda , Prado Barbosa Guilherme , Lucas Fernandes Anderson
Published: November 2024

A Doença de Graves é uma condição autoimune comum que afeta a glândula tireoide, levando ao hipertireoidismo e a importantes efeitos na qualidade de vida, como sintomas psiquiátricos, incapacidade para o trabalho e aumento do risco de morte. Este artigo aborda os aspectos epidemiológicos, a apresentação clínica, o diagnóstico e o tratamento da Doença de Graves (DG), enfatizando a importância do manejo eficaz dessa condição. O objetivo é aprimorar as práticas clínicas e reduzir o impacto da doença na população afetada. A metodologia empregada foi uma revisão sistemática da literatura, examinando estudos experimentais e não experimentais em bases de dados como PubMed, Medline, SciELO e Google Acadêmico. A seleção dos artigos foi baseada em critérios que incluíam relevância direta ao tema e disponibilidade completa em inglês. Os dados encontrados indicam que a DG se manifesta por meio de sintomas como perda de peso, ansiedade e taquicardia, frequentemente exacerbados por estresse emocional e fatores ambientais. O diagnóstico diferencial é crucial para excluir outras causas de hipertireoidismo, e exames laboratoriais, como dosagem de hormônios tireoidianos e anticorpo anti-receptor do hormônio estimulador da tireoide (TRAB), são fundamentais na investigação. O tratamento envolve o uso de medicamentos antitireoidianos, terapia com iodo radioativo e, em alguns casos, cirurgia, além de monitoramento contínuo da função tireoidiana. Práticas baseadas em evidências são essenciais para otimizar os resultados clínicos e minimizar as consequências dessa condição na população.
Intervenções precoces em crianças com Transtorno do Espectro Autista (TEA): Abordagens e resultados
Authors: Reis de Albuquerque Juliana , Francisca Viana Eliana , Soares Loureiro Jullie , Manhães Moreira Matheus , Gonçalves Sabino Macedo Bedas Maria Eduarda , Monteiro Fernando , Miranda Eliana Cristina , Samir Laila Fauze , dos Santos Tebet Danielle , Flamini Gustavo , Borges de Aguiar Bárbara , do Vale Lopes Janaína , Silva Nogueira Isabela Christina , Kirmse Karina , Oliveira Normanha de Carvalho Juliana , Nicacio Alles de Castro Dellano
Published: November 2024

O Transtorno do Espectro Autista (TEA) é uma condição do neurodesenvolvimento caracterizada por déficits persistentes na comunicação social, na interação social e pela presença de padrões restritos e repetitivos de comportamento, interesses ou atividades. Esses sintomas podem manifestar-se de diversas formas e em diferentes graus de severidade, o que leva à classificação do TEA como um espectro. As características do transtorno se tornam evidentes geralmente na primeira infância, e sua prevalência tem aumentado nas últimas décadas, levantando preocupações sobre os fatores ambientais, genéticos e neurológicos associados. A relevância deste artigo reside na necessidade crescente de compreender as intervenções precoces no TEA, dado que a detecção e o tratamento precoces têm mostrado um impacto significativo no desenvolvimento das crianças. Intervenções realizadas nos primeiros anos de vida podem não apenas mitigar os sintomas, mas também melhorar as habilidades sociais e a qualidade de vida das crianças afetadas.  Trata-se de uma revisão sistemática da literatura, a qual investigou sobre o manejo precoce do TEA, para avaliar segurança e eficácia terapêutica, pela coleta de dados nas plataformas PubMed, LILACS, Periódicos CAPES, EMBASE e Scielo, dos últimos 5 anos. Assim, os achados sugerem um caminho promissor para o avanço nas intervenções precoces em TEA, embora ainda haja uma necessidade premente de mais pesquisas. Investigações futuras devem focar em ensaios clínicos com amostras maiores e na comparação direta de diferentes abordagens de intervenção, assim como na identificação de fatores que possam moderar ou mediar os resultados. Além disso, a exploração de estratégias que incorporem as preferências familiares e contextos culturais pode contribuir para a eficácia e aceitação das intervenções, potencializando os resultados positivos para crianças com TEA e suas famílias.
Estágio Curricular Obrigatório e Supervisionado em Atenção Primária à Saúde I - Município de Jaboatão dos Guararapes, estado de Pernambuco (PE)
Authors: Guimarães Sampaio Trajano Dos Santos Pedro , Cavalcanti de Lima Félix Lucas , Alves Sarmento José Henrique , Coelho Travassos Rosana Maria , Scavuzzi Carneiro Cunha Rodolfo , Perez Leyva Ataíde Juliana , Coelho de Ataíde Filho Ailton , Fonsêca da Silva Hadassa , De Queiroz Marques Filho Eudoro , Barreto Silva Luciano
Published: November 2024

Objetivo: O objetivo deste relato de experiência é relatar detalhadamente as experiências vivenciadas durante o estágio na Atenção Primária à Saúde I, abordando o que foi feito durante esse período, o que foi visto em cada área vivenciada dentro do estágio, relatando a vida dos profissionais de saúde em que os estagiários acompanharam, mostrando como funciona a USF. Metodologia: Durante o período de estágio foram realizadas 8 visitas à USF, durante essas visitas, monitoramos como funciona a área de vacinação e da farmácia, visitamos moradores da região juntamente com um agente comunitário de saúde que nos orientou e apresentou os moradores e suas respectivas casas e ruas, além disso, acompanhamos o dentista da unidade, o que possibilitou o acompanhamento de diversos procedimentos e casos odontológicos. Resultados: Durante o estágio foi observado o ótimo relacionamento interprofissional dentro da unidade, onde cada profissional de saúde atua de forma a auxiliar e promover o outro, realizando um trabalho que depende e se relaciona com os diferentes profissionais de saúde que compõem a unidade. Conclusão: Dessa forma, observou-se que a unidade recebe um grande fluxo de pacientes, uma grande demanda por medicamentos, materiais e procedimentos que auxiliem a saúde do paciente, o que evidenciou o quanto unidade é essencial na vida dos moradores da região, que em sua grande maioria procuram regularmente a unidade em busca de serviços que possam beneficiar e promover a saúde.
Incidência de internações por Embolia e Trombose Arteriais: Avaliação dos fatores de risco e impactos clínicos
Authors: Santana Mara Cristina Silva , Matos Larissa Silva de Oliveira , Lima Calebe Matos de , Aragão Elia Frota , Rachid Luisa Beloto , Baltar Letícia Merchid , Barillari Enzo Caetano , Chaves Maria Letícia dos Reis , Reis Luana Lacerda Barros , Sousa Kennedy Haielly Leão de , Lopes Samuel Sousa , Aissami Nadia , Teixeira Igor Luis Lins , Almeida Ana Clara Santos , Teodoro Ellen Paula , Silva Brenda Campelo da , Barros Bethânia Silva , Almeida Maria Fernanda Brunetta Sant'Ana , Araújo Bruna Adalgiza Pinto de
Published: November 2024

As internações por embolia e trombose arteriais representam um desafio significativo para a saúde pública, dada a gravidade e o potencial de complicações fatais dessas condições. Caracterizadas pela obstrução dos vasos sanguíneos, elas podem levar a eventos como infarto agudo do miocárdio e acidente vascular cerebral, exigindo intervenções médicas urgentes. A análise da incidência dessas hospitalizações permite identificar padrões regionais e demográficos, auxiliando no direcionamento de políticas de prevenção e tratamento. Além disso, compreender o perfil dos pacientes mais afetados é crucial para a implementação de estratégias que visem reduzir o impacto dessas doenças no sistema de saúde. O objetivo desse trabalho foi descrever um panorama epidemiológico das internações causadas por embolia e trombose arteriais no Brasil, no período de 2019 a 2023. Este é um estudo de séries temporais, que usou dados do Sistema de Informações Hospitalares (SIH) do DATASUS. Os resultados indicam 120.639 internações por embolia e trombose arteriais no Brasil entre 2019 e 2023, com destaque para o Sudeste (45%) e predominância de casos urgentes (92%). Homens, pessoas pardas e idosos foram os grupos mais afetados, especialmente aqueles entre 60 e 69 anos. O pico de hospitalizações ocorreu em 2022, seguido por uma leve queda em 2023. As considerações finais ressaltam a necessidade de políticas de saúde pública voltadas à prevenção, diagnóstico precoce e manejo eficaz dos fatores de risco, além de estratégias regionais para reduzir a incidência e gravidade dessas internações.
"دور القيادة التحويلية في تعزيز فاعلية إدارة الأزمات"
Authors:   كلية الاقتصاد والإدارة - جامعة الملك عبد العزيز-  المملكة العربية السعودية, عواض السلمي ابرار عايض عوض
Published: November 2024

هدفت هذه الدراسة إلى التعرُّف على دور القيادة التحويلية في تعزيز فاعلية إدارة الأزمات لدى الموظفين في وزارة الصحة بمحافظة جدة، كما هدفت إلى التعرف على مدى توفر أبعاد القيادة التحويلية (التأثير المثالي - التحفيز الإلهامي - الاستثارة الفكرية - الاعتبارات الفردية - التمكين) لدى الموظفين في وزارة الصحة بمحافظة جدة. والتعرف على مدى توفر أبعاد إدارة الأزمات (اكتشاف إشارات الإنذار - الاستعداد والوقاية - احتواء الاضرار - استعادة النشاط - التعلم) لدى الموظفين في وزارة الصحة بمحافظة جدة. والكشف عن الفروق ذات الدلالة الإحصائية في توفر أبعاد القيادة التحويلية وإدارة الأزمات لدى الموظفين في وزارة الصحة بمحافظة جدة والتي يمكن أن تُعزى للمتغيرات الديموغرافية (الجنس، العمر، المؤهل العلمي، طبيعة الوظيفة، سنوات الخبرة).
"أثر استخدام نظم التعليم الإلكتروني على تحسين جودة التعليم في الجامعات السعودية"
Authors: السبيعي هادي بن محمد نايف
Published: November 2024

هدفت الدراسة إلى الكشف عن أثر استخدام نظم التعليم الإلكتروني على تحسين جودة التعليم في الجامعات السعودية من وجهة نظر أعضاء هيئة التدريس في الجامعات السعودية. ولتحقيق أهداف الدراسة، تم الاعتماد على المنهج الوصفي التحليلي، بالاعتماد على أدوات الدراسة نظم التعليم الإلكتروني، ومعايير تحسين جودة التعليم التي طبقت على (130) عضو من أعضاء هيئة التدريس في الجامعات السعودية. وأظهرت النتائج أن مستوى استخدام نظم التعليم الالكتروني في الجامعات السعودية من وجهة نظر أعضاء هيئة التدريس جاء مرتفعاً، كما بينت النتائج أن مستوى معايير تحسين جودة التعليم في الجامعات السعودية من وجهة نظر أعضاء هيئة التدريس جاء وبدرجة (مرتفعة)، وجاءت أداء عضو هيئة التدريس في المرتبة الأولى، ويليه معيار المقرر الدراسي، ويليه معاير إدارة الجامعة، في حين جاء معيار أداء الطلبة في الترتيب الأخير. كما أظهرت النتائج وجود أثر ذو دلالة إحصائية لاستخدام نظم التعليم الإلكتروني في تحسين جودة التعليم، بما يشمل أداء الطلبة، المقررات الدراسية، أداء أعضاء هيئة التدريس، وإدارة الجامعة. في حين بينت النتائج عن عدم وجود فروق ذات دلالة إحصائية بين متوسطات تقديرات الأعضاء وفقاً للمتغيرات الجنس، الدرجة الأكاديمية، وسنوات العمل. وأوصت الدراسة بضرورة استثمار الجامعات السعودية في تحسين وتطوير البنية التحتية التكنولوجية لضمان توفير نظم التعليم الإلكتروني بشكل فعال وداعم لاحتياجات جميع الطلبة وأعضاء هيئة التدريس.
"الالتزام بإعادة التفاوض في عقود التجارة الدولية: دراسة تأصيلية مقارنة"
Authors: مالكي أحمد سمير , بلحاج العربي أحمد
Published: November 2024

قد يحدث أن تنشأ في أثناء تنفيذ العقود أمور وحوادث غير متوقعة تجعل تنفيذ العقد غير مفيد أو مجد بالنسبة إلى أحد طرفيه، بحيث يفقد العقد الفائدة منه، ذلك أن بعض العقود - كعقود التجارة الدولية وعقود نقل التكنولوجيا وعقود توريد الادوية وعقود توريد المعدات الإلكترونية - قد يمتد تنفيذها لفترة طويلة من الزمن، ومن ثم فهي عرضة لتغير الظروف المحيطة بتنفيذها خصوصا أن محل هذه العقود قد يتمثل بمعدات سريعة التطور، الأمر الذي يترتب عليه الإخلال بالتوازن الاقتصادي للعقد ويجعل تنفيذه على هذا النحو مرهقا للمدين أو غير مجد.
ТЕОРЕТИЧЕСКИЕ АСПЕКТЫ СИНДРОМА ПРОФЕССИОНАЛЬНОГО ВЫГОРАНИЯ ПЕДАГОГОВ
Authors: Насурова З.А.
Published: November 2024

В статье рассмотрена тема профессионального и эмоционального выгорания, являющаяся сегодня одной из самых актуальных среди профессий системы «человек-человек». Раскрыва-ется содержание понятия «эмоциональное выгорание», определяются основные факторы, вызывающие эмоциональное напряжение, приводящее впоследствии к данному синдрому.
Автор представляет нам выводы, сделанные им после анализа научно-практической лите-ратуры: синдром профессионального выгорания возникает из-за недовольства своей рабо-той, отсутствия поддержки и понимания со стороны руководства и коллег, что, в свою очередь, подчеркивает важность социальной среды в рассматриваемой проблеме.
Из статьи мы видим, что синдром эмоционального выгорания развивается постепенно, по-гружаясь поочередно в стадии истощения, перенапряжения, усталости, и личностной от-страненности и нам дают понять, какое важное место занимает в этой проблеме рацио-нальное планирование рабочего времени, чтобы интенсивная работа не приводила к перена-пряжению. Автор делает акцент на том, что проблема профессионального выгорания пе-дагогов является одной из злободневных в системе образования и требует совместных уси-лий администрации, сотрудников образовательного пространства, общества в целом, так как от них зависит не только обучение, воспитание учащихся сегодня, но и будущее под-растающего поколения.
FORMAÇÃO CONTINUADA PARA DOCENTES: INTEGRAÇÃO DE TECNOLOGIAS E SEQUÊNCIA DIDÁTICA NA EDUCAÇÃO INFANTIL
Authors: Nascimento Renato da Silva , Siqueira Ana Paula Legey de , Arantes Sheila da Silva Ferreira
Published: November 2024

Este artigo analisa os resultados de uma intervenção formativa implementada em uma escola municipal, objetivando o desenvolvimento profissional docente através da integração sistemática de tecnologias digitais no contexto educacional. A investigação examina como a aplicação estruturada de sequências didáticas, fundamentadas em princípios pedagógicos contemporâneos, potencializa os processos de ensino-aprendizagem, promovendo a compreensão aprofundada das múltiplas linguagens na primeira infância. A pesquisa adotou uma abordagem qualitativa, utilizando observação participante, entrevistas semiestruturadas e análise documental como instrumentos de coleta de dados. O programa de formação continuada estruturou-se em quatro módulos integrados, desenvolvidos com 22 professores da Educação Infantil, contemplando aspectos teórico-práticos da integração tecnológica e do desenvolvimento de sequências didáticas. O estudo considera as especificidades da Educação Infantil, analisando seus desafios particulares e oferecendo evidências empíricas sobre o impacto das tecnologias no desenvolvimento cognitivo e nas práticas pedagógicas. Os resultados indicam transformações significativas nas concepções e práticas docentes, estabelecendo conexões entre a formação continuada, a integração tecnológica e o desenvolvimento profissional no contexto da primeira infância.
The War Theme in the European Literature
Authors: Shawon Sahariar Alam
Published: November 2024

This research paper investigates the profound impact of war on European literary traditions, focusing on key events for example World War I, World War II, and the Spanish Civil War. Through a qualitative analysis of sensational novels and poems, the paper explores the representation of war’s brutality, trauma, and societal effusions. The study portrait into All Quiet on the Western Front by Erich Maria Remarque, In Flanders Fields by John McCrae, and The Waste Land by T.S. Eliot discusses the portrayal of World War One. For World War Two, works such as The Diary of a Young Girl by Anne Frank and Do Not Go Gentle into That Good Night by Dylan Thomas are analyzed, while For Whom the Bell Tolls by Ernest Hemingway is explored within the context of the Spanish Civil War. These works explore key themes such as disillusionment, loss, resilience, and patriotism, and critically examining of political and social structures. The paper emphasizes how literature serves as a mirror for the emotional and psychological toll war takes on both individuals and society, shaping our collective memory of war's aftermath. The study concludes that war literature not only captures the human experience during conflict but also provides enduring perspectives on the wider social and political changes that war brings.