bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Critical Thinking Strategy on Students' Motivation in EFL Speaking Class
Authors: Wiranto Muhammad , Dollah Syarifuddin , Muhayyang Maemuna
Published: May 2024

This research was to analyze the effect of critical thinking strategy on students’ motivation in speaking class in the first year of the English Education Department, UIN Alauddin Makassar. It employed a quantitative approach with a true experimental design. Its population was the first-year students of the English Education Department consisting of 20 students as the experimental group and 20 students as the control group. A questionnaire was used to find out the students’ motivation to see the effect of critical thinking strategy in speaking class. This research results show that the mean score of students’ motivations in the experimental class was categorized into a positive level (80.75) in the pre-questionnaire and a very positive level in post- questionnaire (97) meaning that there was a significant increase in students’ motivation in speaking class. Conversely, the student's motivation in the control group was categorized into a very positive level (83.45) in the pre-test and a very positive level (88.6) in the post-questionnaire meaning that the student’s motivation was stable. Moreover, the calculation statistics of the Mann-Whitney U test of students’ motivation are valued at sig. 0.020 < 0.050 figuring out that critical thinking strategy affected the students’ speaking motivation in the control group. These findings take into account that the students were to speak comprehensively as a discipline, to maintain speaking achievement as a satisfaction, and to create a feeling of safety in the speaking process as a security.
Legal Implications of Consumer Protection on Healthcare Access: A Qualitative Study of Consumer Experience in Community Health Centers
Authors: Prayuti Yuyut , Lany Arman , Santosa Budi , Romika Juliantary Sella , Antoni Risqi
Published: May 2024

This study aims to explore the application of consumer protection law to health access services from the perspective of society. The research method used is qualitative with a descriptive approach. Primary data were obtained through interviews and observations, while secondary data were obtained from relevant literature reviews. The results showed that healthcare users in community health centers experienced variations in satisfaction, selection factors, quality of service, problems faced, and consumer protection. The main factors influencing the selection of a health center are location, quality of service, and reputation. Although most respondents were satisfied with the friendly and efficient service, they also complained of a lack of information and slow administrative processes. Variations in assessments of service quality include medical staff competence, waiting times, and levels of coordination. Problems include excessively long waiting times, lack of clear information, and lack of communication between medical staff and administration. Consumer protection is also a concern, especially related to access to patient rights information and the fulfillment of these rights.
Legal Protection for Tumor Surgeons on the Side Effects in Breast Cancer Chemotherapy Services
Authors: Prayuti Yuyut , Lany Arman , Abidin Zainal , Halim Tofan , Dersiana Verasonti , Rahmawan Rendy
Published: May 2024

Legal protection for tumor surgeons in facing chemotherapy side effects in breast cancer patients is essential in contemporary medical practice. This study employed a narrative method and legal approach to explore the legal protection available to tumor surgeons in addressing risks and side effects during chemotherapy services. The narrative method was used to explore the role of the law in protecting tumor surgeons and providing a clear framework for addressing side effects in chemotherapy services. Literature analysis regarding medical practice standards, professional responsibilities, and relevant legal cases were used to formulate a comprehensive perspective of this legal protection. The research highlights the need for meticulous documentation of procedures, risks, and patient consent before undergoing chemotherapy. Additionally, legal protection also depends on adherence to applicable medical practice standards and effective communication between tumor surgeons and patients. In conclusion, the understanding of tumor surgeons is needed for the legal implications of their medical practices, including in the context of chemotherapy services. Thus, the use of narrative methods in this study provides valuable insights for tumor surgeons to protect themselves and provide safe and quality services to breast cancer patients.
Effectiveness of Pro-Environmental Interventions to Improve Ecological Behavior
Authors: Sulastri Tri , Amaliah R. St. Ichlasatul , Wirawan N. Muh. Alif , Ayu Sadya Sarira , Wati Yuyun Widia
Published: May 2024

This research aims to determine the effectiveness of Pro-Environmental Behavior intervention in improving ecological behavior. The interventions provided are in the form of psychoeducation and individual tasks related to aspects of pro-environmental behavior which include recycling, energy conservation, and vicarious social behavior towards conservation. This research uses a quasi-experimental method with a one-group pretest-posttest design. Sampling was carried out using a purposive sampling method which was determined through inclusion and exclusion criteria. The participants selected in this study were 8 members of Fishing Community X who showed low ecological behavior as measured by the General Ecological Behavior Scale (GEB). The data analysis used in testing the pre-test and post-test data was the paired sample t-test. In this study, t-count > t-table was obtained, namely 8,683 > 2.365. The results of this analysis show that pro-environmental behavior interventions have proven effective in improving the ecological behavior of research participants through providing psychoeducation and activities that provide benefits to the environment.
FAKTOR YANG BERHUBUNGAN DENGAN BAYI BERAT LAHIR RENDAH (BBLR) DI RUMAH SAKIT UMUM SAWERIGADING PALOPO
Authors: Marlina Marlina , Devianti Devianti , Fitriana Fitriana Ibrahim
Published: May 2024

Low Birth Weight (LBW) is one of the health problems experienced by the community, which is marked with a birth weight less than 2500 grams. Low Birth Weight are basically related to the lack of nutrition during pregnancy, but there are still some nutritional factors, in this case the mother's age, parity, and education, and not only that, there are many more factors that can cause the LBW. Design research study is a descriptive cross sectional study with a sample of 22 people, who use the test perarson chi - square in SPSS 23. The purpose of this study is to know and identify factors associated with Low Birth Weight at Hospital General Sawerigading Palopo.based on stastiscal test found no association between Low Birth Weight with maternal age, parity, and education Where to maternal age obtained p-value = 0.003 with Low Birth Weight, for parity obtained p value = 0.001 with significance level α = 0.05, which means that there is a relationship between parity with Low Birth Weight, while the value obtained for educational p = 0.000 with significance level α = 0.05, which means that there is a relationship between education and Infant Birth Weight low. Conclusion there is a relationship between low birth weight infant(LBW) with maternal age, parity. Sebmitted suggestions notice and researchers in order to improve health care, especially during pregnancy and frequent checkups on the health of health care workers so that the baby can be improved.

Keywords : Low birth Weight, Maternal Age, Parity
A Study of the First Ashwamedh Mahayagya in Jaipur, Rajasthan (November 7-10, 1992) Under the Dev Sanskriti Digvijay Campaign of All World Gayatri Pariwar
Authors: Shrivastava Sorabh
Published: May 2024

In the current era, due to the increase in industrialization and energy usage, numerous adverse problems such as air pollution, water pollution, temperature rise, ozone layer depletion, and atmospheric imbalance are visible on a global scale. On the individual and social fronts, we observe a lack of humanity, immorality, depression, anxiety, anger, and other discrepancies. At the root of these adversities are human narrow-mindedness and insensitivity. Therefore, awakening the wisdom of the age and engaging it in new creation appears to be a significant need of the present era. In ancient Indian knowledge tradition and culture, various methods have been described for this purpose - one of the most important being the Ashwamedh Yagya. In this context, the current research paper provides a detailed description of the first Ashwamedh Mahayagya conducted by the Gayatri Pariwar in Jaipur, highlighting its various teachings and understanding their relevance in the present time.
To realize the Dev Sanskriti Digvijay campaign initiated by the founder of All World Gayatri Pariwar, Pandit Shriram Sharma Acharya, after his physical departure, the founder of the Gayatri Pariwar, Mata Bhagwati Devi Sharma, launched the Dev Sanskriti Digvijay Ashwamedhik campaign following her Himalayan journey. The pre-preparation (Pra-Yaj) for organizing the Ashwamedh Yagya includes the formation of a large number of dedicated practitioners to support and participate in the event, the collection of water and soil from various sanctified pilgrimage sites, and raising awareness about the Yagya and inviting people to it. This was also done for the Ashwamedh Mahayagya in Jaipur. During the organization of the Ashwamedh Yagya (Yaj), various programs were conducted such as Yagya, rituals, discussion forums, etc., in which millions of people participated - thus imparting the knowledge of Dev Sanskriti to the masses. After the organization of the Ashwamedh Yagya (Anuyaj), a systematic plan was made, and the energy generated in this Yagya was channeled for the construction of individuals, society, and the nation. The first Ashwamedh Mahayagya conducted by the Gayatri Pariwar in Jaipur in November 1992 was executed as a powerful means to address various individual and global problems of the present time. Aiming at the emergence of divinity in humans and the reconstruction of the nation, this journey has conducted 47 Ashwamedh Yagyas by 2024.
Coeficiente PCR/albúmina como marcador precoz de mortalidad en pancreatitis aguda
Authors: Vera Franco Victor Jonathan , Mieles-Nivela Cila Natali , Sánchez Vivar Rosa Angélica , García-Pacheco Andrea Verónica
Published: May 2024

La pancreatitis aguda es un trastorno digestivo de progresión rápida, con alto grado de morbilidad y mortalidad. Las escalas de gravedad suelen ser difíciles de determinar, lo cual hace necesario el uso de un parámetro simple, rápido y accesible.
Objetivo: establecer el coeficiente proteína C reactiva/albúmina (PCR/albúmina) como marcador precoz de mortalidad en los pacientes con pancreatitis aguda hospitalizados en el Hospital Luis Vernaza (2018-2019).
Diseño: estudio analítico retrospectivo de casos.
Población: se incluyeron 220 casos de adultos con pancreatitis aguda que a su ingreso hospitalario constaban con análisis de albúmina y proteína c reactiva.
Análisis de datos: para establecer si el coeficiente PCR/albúmina es un predictor precoz de mortalidad, se realizó análisis univariado y bivariado entre las variables, se obtuvo un punto de corte y mediante regresión logística se determinó el poder predictivo, según significancia estadística (p<0.05).
Resultados: La mediana del coeficiente PCR/albúmina fue 42.02, se determinó que el punto de corte ≥40 (IC 95% 1.20-29.26) es predictor de mortalidad con un valor de p 0.029. La edad promedio fue 43.47 años, el sexo que predominó fue el femenino con 70% de los casos. La comorbilidad más frecuente fue HTA con el 16.5% de los casos. La media de APACHE II fue 6.26, la media de BISAP fue 1.43, la mortalidad fue 4.50%. La mediana de estancia hospitalaria fue 25.2 días, 15% ingresaron a UCI. Se demostró correlación positiva entre APACHE II y el coeficiente PCR/ albúmina con un valor de p<0.001, con similar significancia para BISAP.
Abordaje de la hipoglicemia sintomática en un paciente no diabético
Authors: Guerrero-Bermúdez Camila Andrea , Oliveros-Riveros Laura María , Vargas-Ramírez Valentina , Fernández-Garcés Emmanuel , Mosquera-Klinger Gabriel Alonso
Published: May 2024

La hipoglicemia mediada por tumores es un fenómeno infrecuente que amerita un abordaje integral, donde es fundamental establecer el diagnóstico preciso para definir las intervenciones a seguir. El tumor que produce con mayor frecuencia hipoglicemia es el insulinoma. Sin embargo, una variedad de neoplasias tanto sólidas como hematológicas pueden causar hipoglicemia paraneoplásica por diferentes mecanismos fisiopatológicos. Presentamos el caso clínico de un paciente con hipoglicemias sintomáticas en el contexto de una neoplasia maligna de órgano sólido activa en estadio avanzado, donde se realizó un abordaje integral para determinar la causa precisa y así el tratamiento y pronóstico en relación a la hipoglicemia.
Síndrome poliglandular autoinmune tipo 3 con compromiso hipofisiario en una paciente latinoamericana
Authors: Dulcey Sarmiento Luis Andrés , Gómez-Ayala Jaime Alberto , Theran-León Juan Sebastián , Martínez-Morales Juan Camilo , Hernández-Sarmiento Carlos Julio , Ciliberti-Artavia Maria Paula , Blanco-Pimiento Edgar Camilo , Parales-Strauch Rafael Guillermo
Published: May 2024

Introducción: el síndrome poliglandular autoinmune (SPA) se define como la coexistencia de al menos dos tipos de enfermedades autoinmunes endocrinas. El SPA tipo 3 comprende enfermedades tiroideas autoinmunes y otras enfermedades autoinmunes que no incluyan enfermedad de Addison. Hasta el momento, solo se tenía reporte de un caso de SPA tipo 3 en Asia, combinado con reducción aislada de la hormona liberadora de gonadotropina (GnRH) causada por enfermedad hipotalámica.
Presentación del caso: presentamos el caso de una mujer de la tercera década de la vida con antecedentes de enfermedad de Hashimoto de un año de evolución y diabetes tipo 1, que se presentó con hipotiroidismo e hiperglucemia los cuales se encontraban controlados, pero cursaba con amenorrea secundaria. Tras la prueba de estimulación con GnRH se realizó el diagnóstico amenorrea secundaria, atribuida a una posible hipotalamitis autoinmune y SPA tipo 3. El perfil HLA de nuestro paciente reportó el alelo DQB1*0201 y el sitio del gen DRB1*0301 y *0803, DQ2 y DR8.
Discusión: este es el primer reporte en la literatura Latinoamericana de un SPA tipo 3 asociado a compromiso hipofisiario junto a los dos otros elementos diagnósticos. Se recomienda realizar la prueba de estimulación con GnRH ante pacientes con SPA combinado con amenorrea secundaria que no mejore pese al manejo de la patología tiroidea. El presente caso es anecdótico siendo pertinente la caracterización de esta patología en nuestras latitudes
EFFECT OF SALINITY STRESS ON LONG WHISKERS CATFISH MYSTUS GULIO (SILURIFORMES: BAGRIDAE): FROM PERSPECTIVES OF GONADAL HISTOLOGY AND SEX STEROID HORMONES
Authors: Mondal (Parui) Sanjukta , Mitra Jhinook , Banerjee Shiwangini , Gupta Arpita , Maity Swastidipa , Ghosh Puhavi
Published: May 2024

Mystus gulio (Hamilton, 1822), a euryhaline sh belonging to the family Bagridae was subjected to
increasing salt concentrations of upto 22.27 PSU in experimental tanks within a study period of 21 days
with an aim to investigate into the effect of salinity stress on the histology and development of the gonads and synthesis of sex
steroid hormones estradiol and testosterone. The GSI (%) was found to decrease in both the male and female shes with
exposure to increasing salt concentrations. The histological sections of the ovary after exposure to salinity stress showed a
decline in the number and size of the developing oocytes with structural deterioration of follicles and tissue alterations like the
expansion, rupturing and detachment of follicular basement membrane, cytoplasmic vacuolization, hypertrophied follicular
epithelium and more number of atretic oocytes. In case of testes there was thinning of the basement membrane resulting in
fusion of some tubules, hypertrophy of spermatocytes, degenerative appearance with different degrees of vacuolation,
decrease in size of testicular lobules, hemorrhage in the intertubular space, brosis and vacuole formations. Low salinity stress
upregulated estradiol synthesis but level of testosterone showed a decrease with increasing salt concentrations.
SEX DETERMINATION AND CLINICAL IMPORTANCE OF FORAMEN MAGNUM ON BASIS OF ITS MORPHOMETRICAL ANALYSIS IN ADULT HUMAN DRY SKULL IN TRIBAL REGION OF CENTRAL INDIA.
Authors: Gathe Nita Fatturam , Bansod Parul Sanjay
Published: May 2024

Background: The Foramen Magnum lies in an anteromedian position and leads into the posterior
cranial fossa. Its dimensions can be used in the eld of forensic identication and anthropology for
determination of the gender of the human skulls. There are certain diseases like Arnold chiari malformation (tonsillar
herniation), Achondroplasia, its stenosis, meningioma and Atlanto-occipital fusion associated with it. So, we are proposing the
present study on basis of its morphometry for sex determination and its clinical importance. The present study is planned To
evaluate its morphometry by following parameters: a. Anteroposterior diameter(APD)/Length(L) b.Transverse
Diameter(TD)/Width(W) c. Area of FM by Radinsky Formula(1/4×APD×TD×π) d.FM index(TD×100/APD) e. Shape of FM. To
nd correlation between male and female FM by using above parameters. 50 dry adult human skulls of Materials and Method:
unknown sex and vernier calliper. After classication, Male (29) and Female (21) skulls were taken with All the above stated
parameters and unpaired t-test is applied statistically. Antero-posterior diameter 34.90±2.366 is l Result: arger in male as
compared to females 32.43±2.481, mean transverse diameter is slightly larger in male than females i.e. 29.76±1.864 and
29.24±3.375 respectively, Area of Foramen magnum is 816.79±85.145 in males and 748.95±128.391 in females, where males
show the higher value. The Foramen Magnum index is larger in Females 90.14±8.344 than in males 85.55±6.738.The results
were found to be Statistically Signicant except for Transverse diameter. The dimensions of Foramen Conclusion: Magnum -
Anteroposterior diameter, Transverse diameter and its Area are larger in male skull as compared to female skulls. The Foramen
Magnum index is larger in Females than in Males. Its shape shows sexual dimorphism, Oval shape being more common in
Males. These parameters are helpful for posterior and lateral approach to Cranio-verterbral junction by neurosurgeons and
orthopedicians. Radiological evaluation is also important for surgical approach to prevent complications like Haemorrhage,
Atlanto-occipital instability.
AORTITIS IN A PATIENT WITH PSORIATIC ARTHRITIS
Authors: Tejaswini R N , Parimi Vijaya Prasanna , Bhavana S
Published: May 2024

Aortitis refers to inammation of the wall of aorta and includes both infectious and non-infectious
etiologies. With the advances in imaging modalities and the increasing ease of availability, there is
increasing incidence of aortitis and the phenotypic spectrum associated with the disease has widened. Giant cell arteritis and
Takayasu arteritis, are the most common causes of non-infectious aortitis. Infectious aortitis can be a result of certain bacterial,
viral or fungal pathogens, though uncommon, it can be devastating. Aortitis without a secondary cause or lack of involvement of
other territories is dened as isolated aortitis. The management strategies and prognosis differs between aortitis subgroups
which highlights the need for an extensive diagnostic workup. The areas of unmet clinical needs include proper disease
classications and lack of dened short-term and long-term management strategies. Here we report a case of aortitis in a
middle aged lady who is a known case of psoriatic arthritis on treatment since past 5 years. We also address the diagnostic
dilemmas in this case and discuss the available management strategies.
Framing cognitive machines: A sociotechnical taxonomy
Authors: Albuquerque Pedro H. , Albuquerque Sophie
Published: May 2024

Aims: we propose a sociotechnical taxonomy for the analysis of
socio-economic disruptions caused by technological innovations.
Methodology: a transdisciplinary principled approach is used to build
the taxonomy through categorization and characterization of technologies
using concepts and definitions originating from cybernetics,
occupational science, and economics. The sociotechnical taxonomy is then
used, with the help of logical propositions, to connect the
characteristics of different categories of technologies to their
socio-economic effects, for example their externalities. Results: we
offer concrete illustrations of concepts and uses, and an Industry 5.0
case study as an application of the taxonomy. We suggest that the
taxonomy can inform the analysis of opportunities and risks related to
technological disruptions, specially of those that result from the rise
of cognitive machines.
Dietary Supplements and Its Health Benefits: An Overview
Authors: Verma Navneet Kumar , Singh Asheesh Kumar , Rao Praveen Kumar , Singh Satysaran , Mishra Swati , Singh Janhvi
Published: May 2024

Different nations define dietary supplements differently, and regulations are sometimes ambiguous and seem to prioritise corporate profits over the general welfare. Supplements may have direct negative effects or interact negatively with drugs or other supplements. It turns out that many supplements include heavy metals, and some of them don't have the expected amounts of active ingredients. Generally speaking, supplements are not necessary unless deficits are shown, and consuming excessive amounts of some nutrients may increase your risk of cancer. There are strong reasons to support the introduction of dietary recommendations for expecting mothers, such as those pertaining to iodine and folate. The most widely used nutritional supplements are amino acids and calcium, neither of which has much evidence to support their benefits for healthy teenagers. For competitive athletes who don't eat a balanced diet, nutritional supplements could be helpful if a specific dietary deficiency has been found. This assessment discusses possible dangers to the public's health related to dietary supplements and offers suggestions for upcoming legislative actions.
Practices and the Interest of Practitioners Regarding Female Fertility in Morocco
Authors: KHATEM Soukaina , Karam Harou
Published: May 2024

Treatment regimens for cancer patients are known for their toxicity and pose a threat to their fertility. This study takes the form of a survey aimed to analyzing the current knowledge and motivation of physicians involved in cancer care. The majority of surveyed physicians believe that fertility is a concern for women cured of cancer. A significant portion of physicians do not offer preservation methods to their patients, either due to the unavailability of an oncofertility center or due to the severity of the type of cancer. The main challenge in the coming years will be to improve access to fertility preservation techniques for patients whose treatments could affect their ovarian reserve.
Peritoneo-Cutaneous Fistula Secondary to Pigtail Catheter Insertion in a Blunt Abdominal Trauma Patient: A Case Report
Authors: Saxena Dr Prasoon , Gupta Dr Jitendra , Kumar Dr Krishna Raja , Garg Dr Palak
Published: May 2024

We hereby present the first case of iatrogenic peritoneal-cutaneous fistula (PCF) formed at the site of removal of the pigtail catheter. The patient was admitted and underwent local site fistulous tract excision under general anaesthesia. Patient was discharged after an uneventful post-op period. Our intervention led to closure of the fistula leading to improved quality of life of the patient. Our case demonstrates that PCF can be created due to epithelialization secondary to chronic inflammation in a previous pigtail catheter tract.
Kesiapan Keluarga Pasien yang Menjalani Terapi Continous Ambulatory Peritoneal Dialysis (CAPD) Scoping Review
Authors: Fatimah Siti
Published: May 2024

Penyakit gagal ginjal kronik selalu mengalami peningkatan dalam tiap tahunnya baik secara global maupun di Indonesia. Penatalaksanaan gagal ginjal kronik seperti CAPD menajadi terapi pengganti ginjal yang cukup banyak digunakan di Indonesia. Namun hal ini harus menjadi perhatian keluarga karena dalam implementasinya terapi ini dilaksanakan dirumah. Kesiapan keluarga disini menjadi sangat penting dalam membantu pasien gagal ginjal yang menjalani CAPD karena akan membantu memonitor pelaksanaan CAPD selama dirumah. Tujuan dalam tinjauan literatur ini untuk mendeskripsikan kesiapan keluarga pasien yang menjalani terapi CAPD. Data dalam penelitian ini menggunakan beberapa database seperti PubMed, Science Direct, PROQUEST dan Google Scholar pada tahun 2018 hingga Desember 2023. Kata kunci yang digunakan dalam penelitian ini menggunakan 3 kata kunci utama yaitu kesiapan keluarga, GGK dan CAPD dan ditemukan artikel sebanyak 1724 dengan rincian PubMed sebanyak 635, Science Direct sebanyak 240, PROQUEST sebanyak 345 dan Google Scholar sebanyak 504 Penentuan jurnal menggunakan menggunakan PICOST. Berdasarkan hasil pencarian literatur terdapat 3 artikel yang sesuai dengan topik dan tujuan penelitian. Kesiapan keluarga pasien yang menjalani. Kesimpulan dari hasil review ini menjalaskan 3 aspek penting dalam kesiapam keluarga pasien yang menjalani CAPD yaitu CAPD menjadi suatu budaya baru, dukungan keluarga dan peningkatan pengetahuan keluarga.
Four-Rod Technique for Stabilization of Lumbar Spine in a case of Spine Metastases
Authors: Tharmaseelan Shival , Lim Teck Siang , Harun Mohd Hezery , Ramlee Fadzrul Abbas
Published: May 2024

Objective: The occurrence of spine metastases often indicates disseminated disease and portends a short-term prognosis in cancer patients. This study discusses the challenges in the surgical management of spinal metastases and evaluates the effectiveness of a 'Four-rod' technique in a patient with disseminated renal cell carcinoma.
Case: A 40-year-old male with renal cell carcinoma and metastases presented with severe lower back pain and instability due to extensive vertebral destruction. Despite the poor prognosis, a 'Four-rod' construct was employed to stabilize the spine. Post-surgery, the patient experienced significant pain reduction and improved mobility.
Conclusion: The 'Four-rod' technique minimized complications such as pseudoarthrosis and implant failure. It proved effective in stabilizing the spine without increasing operative time or blood loss, thereby enhancing the patient's quality of life. This study underscores the importance of addressing spinal instability in patients with metastatic disease and suggests that multiple-rod constructs may offer superior outcomes.
FISIOTERAPIA APLICADA À REABILITAÇÃO DE ARTRITE REUMATÓIDE
Authors: Melo Orivaldo Pereira , Macêdo Jessica Evangelista de , Moraes Raquel Cabral , Pereira Pabloena da Silva
Published: May 2024

A artrite reumatoide é uma doença autoimune crônica que afeta as articulações do corpo. A causa exata da artrite reumatoide não é completamente compreendida, mas é considerada uma doença autoimune, na qual o sistema imunológico ataca o próprio corpo. Objetivo Geral:apresentar material científico que abrange estudo detalhado sobre a origem, causas e evolução da Artrite Reumatoide (AR), bem como identificar as abordagens mais utilizadas no tratamento fisioterapêutico. Metodologia: Trata-se de uma revisão bibliográfica.As consultas aos indexadores de pesquisa nas bases de dados foram: MEDLINE/PubMed, SciELO e LILACS, abrangendo o período de janeiro de 2017 a dezembro de 2023.Resultados e Discussão:A pesquisa inicial resultou em 137 resultados, dos quais apenas 10 atenderam aos critérios de seleção estabelecidos para a elaboração da revisão bibliográfica. A fisiopatologia da artrite reumatoide (AR) é complexa e envolve vários processos imunológicos e inflamatórios que levam à inflamação crônica das articulações e, eventualmente, à destruição do tecido articular. Considerações Finais: A fisioterapia desempenha um papel significativo na reabilitação de pacientes com artrite reumatoide (AR), proporcionando uma série de benefícios importantes para reduzir o quadro de sintomas, especialmente a dor, além de melhorar a funcionalidade e a qualidade de vida.
AÇÕES DE CONTROLE E PREVENÇÃO DE INFECÇÕES EM UNIDADE DE TERAPIA INTENSIVA ADULTO
Authors: Nascimento Maria Eduarda Bezerra do , Leite Letícia Gadelha , Silva Ana Claudia Rodrigues da , Almeida Diego Tomas de , Santos Samara Pereira , Santos Thalita Midiã Abreu Dos , Neves Tayná Maciel Paravidino , Maia Samira Oliveira , Costa Raíssa Héllen Pereira , Assem Ana Clara Corrêa , Almeida Letícia Rebello Dias de , Carvalho Erica Lima
Published: May 2024

Objetivo: examinar as evidências científicas dos fatores que interferem no tratamento e na prevenção de infecções hospitalares no contexto do trabalho do enfermeiro em unidades de terapia intensiva adulto. Método: Trata-se de uma revisão integrada da literatura baseada nas bases de dados da Biblioteca Virtual em Saúde; Biblioteca eletrônica científica on-line e banco de dados de enfermagem. Resultados: Os estudos mostraram que a adesão às precauções padrão, o controle da corrente sanguínea e das infecções respiratórias são fatores importantes no controle e prevenção de infecções nesses ambientes. Conclusão: confirmou-se a importância do trabalho da equipe de enfermagem, e a formação contínua desses especialistas é essencial para a prevenção e controle de infecções em terapia intensiva.
CONDROSSARCOMA DE CAVIDADE NASAL EM CÃO: RELATO DE CASO
Authors: Nascimento Thaís Evangelista , Martins Pricilla , Silva Carlos Eduardo Emídio da , Martins Jéssica Rayla da Silva , Rodrigues Lígia Rayssa Figueirêdo de Paiva , Silva Maria Bernardete Oliveira Trajano da , Silva Maria Raquel
Published: May 2024

Os tumores de cavidade nasal costumam ser invasivos e difíceis de serem diagnosticados devido a sua localização. O condrossarcoma é uma neoplasia maligna muito agressiva com origem nos condrócitos e condroblastos possuindo um prognóstico ruim. O presente artigo tem como objetivo relatar o caso de um cão, macho, da raça Border Coollie, 15 anos de idade, castrado, que apresentou histórico de epistaxe nasal unilateral do lado esquerdo sem presença de deformação na face, inicialmente. Foram realizados exames hematológicos, radiográfico, citológico, rinoscópico e histopatológico constatando-se o diagnóstico de condrossarcoma de cavidade nasal. Embora a radioterapia associada à quimioterapia e manejo da dor sejam os métodos de tratamentos mais utilizados, e de bastante êxito para a sobrevida do paciente oncológico. No presente relato o paciente teve o acompanhamento clínico até ser eutanasiado. O objetivo desse trabalho foi relatar sua ocorrência da neoplasia nos seios da face e descrever a evolução clínica do caso até o óbito do animal.
Pengaruh Mutasi, Motivasi dan Lingkungan Kerja Terhadap Kinerja Pegawai Badan Pertanahan Nasional (BPN) Karanganyar
Authors: Wulandari Niken Tri , Cahyani Rusnandari Retno , Prihatini Prima
Published: May 2024

Penelitian ini bertujuan untuk mengetahui pengaruh mutasi, motivasi dan lingkungan kerja terhadap kinerja pegawai Badan Pertanahan Nasional (BPN) Karanganyar. Penelitian ini merupakan penelitian deskriptif dengan menggunakan metode kuantitatif. Populasi dalam penelitian ini adalah pegawai Badan Pertanahan Nasional (BPN) Karanganyar, sampel yang digunakan sebanyak 118 responden. Hasil penelitian ini menunjukan bahwa nilai Fhitung > Ftabel = 11,978 > 2,68 dengan nilai signifikansinya sebesar 0,000 < 0,05 artinya bahwa mutasi, motivasi dan lingkungan kerja secara simultan dan signifikan berpengaruh terhadap kinerja pegawai Badan Pertanahan Nasioal (BPN) Karanganyar. Diantara ketiga varibel diatas mutasi dan lingkungan kerja secara parsial tidak berpengaruh signifikan terhadap kinerja pegawai sedangkan motivasi secara parsial berpengaruh signifikan terhadap kinerja pegawai Badan PertanahanNasional (BPN) Karanganyar. Diketahui hasil perhitungan Nilai koefisien determinasi R Square diperoleh sebesar 0,240 artinya bahwa variabel bebas dalam menjelaskan variabel terikat sebesar 24% sedangkan sisanya 76% dipengaruhi oleh faktor lain yang tidak diteliti di penelitian ini.
Perbedaan Pshycologhy Well Being Perokok Aktif Dan Tidak Aktif Pada Anggota Pmku (Persatuan Mahasiswa Kalimantan Utara) Sumbawa
Authors: Kina Nurul syakinah , Imammul Insan
Published: May 2024

Penelitian ini bertujuan untuk menganalisis mengetahui perbedaan pshycologhywell being pada perokok aktif dan tidak aktif pada Persatuan Mahasiswa Kalimantan Utara (PMKU) Sumbawa. Penelitian ini menggnakan metode kuantitatif. Populasi dalam penelitian ini adalah 204 mahasiswa yang tergabung dalam PMKU Sumbawa. Adapun sampel dalam penelitian ditentukan dengan tabel krejcie dengan jumlah sampel yakni 127 orang yang terdiri dari 50% mahasiswa perokok aktif dan 50% mahasiswa perokok pasif. Data yang diperoleh kemudian diolah menggunakan software SPSS versi 16. Hasil dalam penelitian ini menunjukkan bahwa dapat disimpulkan bahwa tidak terdapat perbedaan psikologi well being pada anggota PMKU Sumbawa. Hal tersebut dikarenakan status perokok aktif maupun perokok pasif bukan menjadi faktor untuk dapat menerima diri sendiri, berperilaku positif terhadap orang lain, berkapasitas dalam membuat keputusan (otonomi), menguasai lingkungan dan tujuan hidup pribadi, serta mengembangkan pertumbuhan masing-masing
Reflexiones acerca del irpado o «casamiento» en los ritos ganaderos altoandinos
Authors: Elizaga Coulombié Julieta
Published: May 2024

In this study, we explore the concept of irpado within the context of the señalakuy ritual. Described by shepherds as an «animal marriage», it refers to the selection of two animals, breeding in the upcoming year. The term encompasses two main meanings: the actions of guiding and accompanying, possibly related to interregional travels and herding, and the symbolic connection between birds and camelids, as indicated by its translation to pichón. This prompts an investigation into the dynamics between High Andean shepherds and their flocks.
Measuring and Evaluating Marketing Effectiveness
Authors: Ketevan Lochoshvili Ketevan Lochoshvili , Lia Berikashvili Lia Berikashvili
Published: May 2024

The article presents marketing as a philosophy of entrepreneurship and a tool that is actively implemented and used in the process of the formation of tangible and intangible assets of market structures. At the same time, marketing is considered by the author to be the main factor in gaining the advantage of consumers, because, according to them, it acts as an effective means of increasing competitiveness and creating capital for commercial entities, as well as a source of cash flow. The paper notes that value creation, which involves marketing, is closely related to the rational search and use of material resources of energy and information. To manage the process of value creation, it is necessary to measure it, which can be considered the process of interaction of the measuring system with the object to be measured in a certain period. The article points out that everything that goes into creating added value is subject to measurement. It is not only financial, but also logistics, material, energy, information, marketing, and other flows, which is the first system of commercial structure. Marketing flows are also integrated into this structure, as it opens the door to identifying ways to improve market efficiency and explore new opportunities.
The methodology of measuring and developing metrics of indicators of the economic effectiveness of marketing activity is based on the role and importance of marketing in the production process and meeting human needs. The measurement of marketing characteristics and the formation of marketing metrics should be based on the theory of economic measurements, the process of building relationships between the subjects of the marketing system in connection with the exchange of values. Marketing metrics act as a form of communication in the marketing performance management system and are a means of justifying critical success factors of marketing decisions, as well as a basis for a reasonable choice of criteria for economic evaluation of marketing expenses.
Keywords: effectiveness, interaction marketing, measurement, metrics.
The Role of Time-Management in Human Life
Authors: Levani Kereselidze Levani Kereselidze , Nino Geliashvili Nino Geliashvili
Published: May 2024

The article considers time use abroad and in Georgia. It notes that time management is formulated the doth scientifically and for studying in abroad, while nothing is done in this direction in Georgia.
The article gives the rules of planning time usage, its analysis as well as the article considers the time absorbing factors that make people to lose much time.
The author recommends preparing time calendar and to live and work according to it. If it takes 10 minutes to prepare the calendar then it will save on 2 hours per day.
Keywords: Time-Management; Time-Plan.
STRATEGIC PERSONNEL MANAGEMENT MODELS AND THE IMPORTANCE AND NECESSITY OF THEIR REDESIGN TODAY
Authors: SHALVA KERESELIDZE SHALVA KERESELIDZE , MARIKA KHVADAGIANI MARIKA KHVADAGIANI
Published: May 2024

In the article - "Strategic personnel management models and the importance and necessity of their redesign today" - strategic management models are listed and discussed. Among them are: D. Guest model, Michigan and Harvard models, Armstrong model, Fottler model, Cheveldry model, Shuler and Jackson model. These models were developed in previous centuries. The authors of the article have compared them with their current requirements, in particular with the current needs of companies in this field. Today's needs are to provide managers not with general models of strategic personnel management, but with specific ways of achieving the characteristics that are fixed in these models.
In the article, the authors have performed exactly this work on the model of scientist Fottler and have also shown it graphically.
Keywords: personnel; strategic management; Models of strategic personnel management.
LÖKBATAN-PUTA-QUŞXANA SAHƏSİNDƏ QUYU VƏ SEYSMİK MƏLUMATLARIN TƏHLİLİNİN NƏTİCƏLƏRİ
Authors: Səidə İbrahimova, Günel Ağamalıyeva Səidə İbrahimova, Günel Ağamalıyeva , Leyla Həsənova Leyla Həsənova
Published: May 2024

Abşeron yarımadasının cənub-qərbində olan Lökbatan-Puta-Quşxana yatağı Abşeron yarımadasının cənub-qərb hissəsində, Bakıdan 15-20 kilometr aralıqda yerləşir. Yataq Yasamal dərəsi ilə şərq, cənub-şərq tərəfdən, Güzdək yaylası ilə şimaldan, qərbdən «Bakı qulaqları» ilə sərhədlənmişdir. İnzibati bölgüyə əsasən yataq Qaradağ rayonuna aiddir. Antiklinalların tağ hissəsində vulkan püskürməsi məhsullarına rast gəlinir, IV dövr allüvial çöküntüləri ilə isə düzən hissə örtülmüşdür. Abşeron NQR-nin tədqiq olunan sahəsində Məhsuldar qat və ondan altda yatan çöküntüləri (Diatom və Maykop) üzrə kollektorların yayılma arealınının öyrənilməsi məqsədilə, Quyu geofiziki tədqiqatları (QGT) və 2D seysmik məlumatlarına görə aparılmış kompleks tədqiqatların nəticələri araşdırılmışdır.
Açar sözlər: kollektor, məhsuldar qat, məsaməlik, atribut,kəsiliş
Predictors of Growth Mindset among Ghanaian Classroom College of Education Teacher Trainees
Authors: Sofo Seidu , Thompson Emmanuel , Asola Eugene F.
Published: May 2024

The study aimed to examine the important predictors of Ghanaian classroom Diploma in Basic Education teacher trainees' growth mindset toward student learning. Participants included a purposive sample of 328 (177 male and 151 female) second- and third-year teacher trainees in one college of education in the northern part of Ghana. The predictor variables were the type of program, year in program, age, sex, and marital status. The student learning subscale of the Physical Education and Sports Ability Survey (Sofo et al., 2016) served as the main data source. The items were adapted for the classroom setting. Most of the trainees had a growth mindset but with some fixed ideas for student learning (80.18%). Approximately 19.21% of the trainees had a strong growth mindset in student learning. The mean decreased Gini (MDG) values for the year in the program, program type, and marital status (married vs. single) showed that these predictors were important for student learning. A logistic regression analysis showed that type of program, year in program, and marital status were significant predictors of growth mindset for student learning. Trainees in the early childhood program were approximately seven times more likely to have a growth mindset regarding student learning compared to those in the primary education program. Trainees in their third year were approximately 145 times more likely to have a growth mindset regarding student learning compared to trainees in their second year. Single teacher trainees were approximately 213 times more likely to have a growth mindset regarding student learning compared to married teacher trainees. The study provides insights for teacher educators regarding the profiles and factors that promote the development of a growth mindset in teacher education settings in Ghana
TINJAUAN YURIDIS PEMECAHAN TANAH LEBIH DARI LIMA BIDANG UNTUK HAK MILIK PERORANGAN
Authors: Yutanti Trinda , Dewi Hariyana Trinas , Wahid Hasyim Moch.
Published: May 2024

The emergence of a regulation of the Minister of Agrarian Affairs and Spatial Planning or the Head of the National Land Agency on the prohibition of land division of more than five parcels for individual property rights is a way to overcome the rampant housing or disguised lots that have sprung up so far. The regulation is stipulated in Regulation of the Minister of Agrarian Affairs and Spatial Planning or Regulation of the Head of the National Land Agency Number 16 of 2021 concerning the Third Amendment to Regulation of the Minister of Agrarian Affairs or Head of the National Land Agency Number 3 of 1997 concerning Provisions for the Implementation of Government Regulation Number 24 of 1997 concerning Land Registration. The purpose of this writing is to find out how the juridical review of land splitting of more than five parcels for individual property rights and what the legal consequences are for individuals who split more than five parcels of land. This research uses normative juridical approach with legislation. The result of this research is that the ownership of property rights to individual land or the division of individual land parcels is not allowed to exceed five parcels except if the base of the right comes from the transfer of inheritance rights or the base of the right with the building rights certificate. Apart from that, the division of more than five parcels must also be balanced with permits from the authorized agency, and usually with the base of the Building Rights Title, but in the current era there are still many Individual Property Rights whose ownership exceeds five parcels. However, with the emergence of the Regulation of the Minister of Agrarian Affairs and Spatial Planning or Regulation of the Head of the National Land Agency Number 16 of 2021, the regulation is more strictly applied in practice.
Keywords: Land Division of More than Five Parcels, Agrarian.
PENGATURAN PENGAKUAN KEBERAGAMAN SUMBER HUKUM DALAM MASYARAKAT MULTIKULTUR MELALUI FILSAFAT HUKUM PLURALISME
Authors: Puri Rahayu Danik , Estu Bagijo Himawan
Published: May 2024

A multicultural society with a variety of legal sources used requires a legal philosophy of pluralism. However, in Indonesia the use of pluralist legal philosophy still leaves problems related to its application and implications. This article discusses the issue of the application and implications of pluralist legal philosophy in Indonesia. This type of normative juridical research, with a qualitative approach and analytical descriptive analysis. Research results: (1) the application of the legal concept of pluralism in Indonesia requires an approach that is inclusive, participatory, and based on recognition of various existing legal sources. This step is important in achieving legal justice and balance between various interests in a multicultural society. (2) Overall, the application of the legal philosophy of pluralism has significant implications for legal certainty, inclusiveness and conflict resolution in a heterogeneous society. By recognizing and respecting the plurality of legal norms, society can build a more inclusive, fair and sustainable legal system that strengthens social peace and justice.
Key words: diversity of legal sources, multicultural society, legal philosophy of pluralism
Peningkatan Perekonomian Warga Desa Kaliputih dengan Pelatihan Pembuatan Buket Snack
Authors: Jati Sumarah  , Ajeng Tiara Wulandari  , Asni Tafrikhatin
Published: May 2024

PKK Kaliputih di Kutowinangun, Kebumen, telah menjalin kerja sama dengan Politeknik Piksi Ganesha Indonesia untuk menyelenggarakan kegiatan pengabdian yang melibatkan pembinaan pada Kelompok Kerja (Pokja) II. Tujuan utama dari kegiatan ini adalah memberikan pembinaan tentang keterampilan dalam pembuatan buket snack kepada masyarakat. Cara yang digunakan dalam aktivitas ini adalah penyuluhan. Harapannya, setelah mengikuti pelatihan tersebut, warga masyarakat dapat mengembangkan usaha dan meningkatkan perekonomian keluarga mereka.
Pemberdayaan Masyarakat Untuk Mengatasi Keluhan Muskuloskeletal Melalui Pelatihan Senam Kombinasi Aerobic Low Impact Dan Progressive Muscle Relaxation Pada Masyarakat Dusun Ngegot, Selokaton, Gondangrejo, Karanganyar
Authors: Lis Sarwi Hastuti  , Rina Kurnia
Published: May 2024

Keluhan muskuloskeletal yang berkaitan dengan aktifitas sehari-hari merupakan masalah kesehatan yang sering terjadi pada siapapun dan dapat menyebabkan disabilitas ringan maupun berat pada individu. Masalah ini mempengaruhi otot, saraf, pembuluh darah, ligament, tendon dan biasanya diakibatkan oleh posisi beraktifitas yang tidak alamiah/ergonomis, penggunaan otot berlebihan, posisi monoton dan gerakan berulang. Upaya yang biasanya dilakukan oleh masyarakat adalah dengan mengkonsumsi obat anti nyeri (farmakologis). Upaya ini dalam jangka Panjang dan terus menerus dapat berdampak kurang baik bagi tubuh. Kegiatan Pengabdian pada Masyarakat ini bertujuan untuk memperkenalkan dan mengajak masyarakat memiliki pola hidup lebih sehat khususnya dalam mengatasi masalah keluhan muskuloskeletal melalui kegiatan senam bersama kombinasi aerobic low impact dan progressive muscle relaxation (PMR). Diharapkan masyarakat mendapatkan manfaat dari kegiatan ini dan memiliki daya untuk mencegah dan mengatasi masalah musculoskeletal secara mandiri.
A comprehensive review on chemical and pharmacological potential of Synsepalum dulcificum (Schumach. & Thonn.) Daniell
Authors:   King Faisal University, Afzal Sheryar , Manap Aimi Syamima Abdul ,   King Faisal University, Zelynn Chan ,   MAHSA University
Published: May 2024

The fruit of plant Synsepalum dulcificum(Schumach. & Thonn.) Daniell, is found native to tropical regions of West Africa, and vernacularly recognized as the “Miracle Fruit” by Africans. The property of the plant has traditionally been employed in many food industries, besides its ethnopharmacological significance. The phytochemical analysis from literature reveals that various parts of plant contains many bioactive components including alkaloids, lignans, phenolic acids, glycoproteins and flavonoids. Recent studies exhibit its pharmacologicalpotential such as antidiabetic, antihyperlipidemic, anti-cancer, antimicrobial, antioxidant, anti-hyperuricemia and anti-convulsant properties. Therefore, this review aims to systematically summarizes scientific evidences with the therapeutic, ethnopharmacological and traditional claims found in literature. However, the data acquired is still very imperfect, thus future research is hopeful to discover the precise mechanism of action of its bioactive components to explore chemical constituents, and their nutraceutical and clinical uses of this multipurpose plant to employ its valuable effects on human beings.