bluuebunny/crossref_metadata_2025 huggingface dataset:
A Spatial Variation Analysis of In-Hospital Stroke Mortality Based on Integrated Pre-Hospital and Hospital Data in Mashhad, Iran
Authors: Nazar Eisa , Esmaily Habibollah , Yousefi Razieh , Jamali Jamshid , Ghandehari Kavian , Hashtarkhani Soheil , Jafari Zahra , Shakeri Mohammad Taghi
Published: October 2023

Background: Despite significant advances in the quality and delivery of specialized stroke care, there still persist remarkable spatial variations in emergency medical services (EMS) transport delays, stroke incidence, and its outcomes. Therefore, it is very important to investigate the possible geographical variations of in-hospital stroke mortality and to identify its associated factors. Methods: This historical cohort study included suspected stroke cases transferred to Ghaem Hospital of Mashhad by the EMS from March 2018 to March 2019. Using emergency mission IDs, the pre-hospital emergency data were integrated with the patient medical records in the hospital. We used the Bayesian approach for estimating the model parameters. Results: Out of 301 patients (142 (47.2%) females vs. 159 (52.8%) males) with a final diagnosis of stroke, 61 (20.3%) cases had in-hospital mortality.Results from Bayesian spatial log-logistic proportional odds (PO) model showed that age (PO=1.07), access rate to EMS (PO=0.78), arrival time (evening shift vs. day shift, PO=0.09), and sequelae variables (PO=9.20) had a significant association with the odds of in-hospital stroke mortality (P<0.05). Furthermore, the odds of in-hospital stroke mortality were higher in central urban areas compared to suburban areas. Conclusion: Marked regional variations were found in the odds of in-hospital stroke mortality in Mashhad. There was a direct association between age and odds of in-hospital stroke mortality. Hence, the prognosis of in-hospital stroke mortality could be improved by better control of hypertension, prevention of the occurrence of sequelae, increasing the access rate to EMS, and optimizing shift work schedule.
Recurrent Ileo-ileal Intussusception Caused by Inflammatory Fibroid Polyp: A Rare Case Report
Authors: Güzel Gökmen , Ergenç Muhammer
Published: October 2023

An inflammatory fibroid polyp is a rare benign lesion of the gastrointestinal tract, which can cause obstruction or intussusception when it reaches a large diameter. We present a case of a 46-year-old female admitted to our clinic with recurrent ileus attacks. We performed segmental resection of the small bowel due to a 3-cm pedunculated polypoid lesion located in the terminal ileum that caused ileo-ileal intussusception and whose pathology was reported as an inflammatory fibroid polyp. In adults presenting with ileus, the possibility of intussusception should be kept in mind.
Multiple Substance Use Patterns and Its Relationship with Imprisonment in a High-Risk Group of Iranian Adults
Authors: Ale-Ebrahim Jalal , Afrashteh Sima , Janani Leila , Seyed Alinaghi Seyed Ahmad , Motevalian Seyed Abbas , Kasavandi Arezoo , Sedgh Azar Mahdi , Sajadipour Mansour , Farhoudi Behnam , Abbasi-Ghahramanloo Abbas
Published: October 2023

Background: Substance use is recognized as an important factor associated with many diseases and premature deaths and the main risk factor for disability worldwide. This study aims to identify subgroups of substance use in adults and detect the effect of imprisonment on the membership of participants in latent classes of substance use. Study Design: A cross-sectional study. Methods: This study was performed on 930 adult people who were referred to behavioral health counseling centers in Tehran province. All participants completed some checklists and questionnaires. Data analysis was performed using chi-square, Fisher’s exact test, and latent class analysis (LCA). Results: Four latent classes were identified, including non-users (58%), cigarette smokers (11.6%), users of low stigma substances (27.4%), and drug users (3.1%). After adjusting for other studied variables, having a history of imprisonment increased the odds of membership in the cigarette smoker class (Odds ratio [OR]=5.82, 95%, confidence interval [CI]: 3.19-10.63) and drug user class (OR=53.59, 95% CI: 18.00- 159.52) compared to non-user class. Among all participants, 84 (9.0%) had a history of imprisonment. Conclusion: Results from the present study indicate that 30.5% of the participants fell under the user of the low-stigma substance or drug user group. Focusing on increasing prisoner’s knowledge of the dangers of using different substances and considering various programs for prisoners’ leisure time may help reduce substance use prevalence.
İlkokula Hazırlık Sürecinde Birlikte Ebeveynlik: Bir Ölçek Geliştirme Çalışması
Authors: YILMAZ HİĞDE Aylin , COŞKUN Fatma , POLAT Özgül , ÖZDEMİR Yalçın
Published: October 2023

Bu çalışmada, İlkokula Hazırlık Sürecinde Birlikte Ebeveynlik Ölçeği’nin (İHBEÖ) geliştirilmesi amaçlanmıştır. Araştırmanın çalışma grubu, çocuğu ilkokula hazırlık sürecinde bulunan 506 ebeveynden (284 anne, %56.1; 222 baba, %43.9) oluşmaktadır. Araştırma kapsamında geliştirilen ölçeğin, yapı geçerliğini belirlemek için açımlayıcı faktör analizi (AFA) ve doğrulayıcı faktör analizi (DFA) tekniklerinden yararlanılmıştır. İki farklı örneklem üzerinden gerçekleştirilen analizlerde ilk olarak AFA tekniği ile İlkokula Hazırlık Sürecinde Birlikte Ebeveynlik Ölçeği’nin "Anlaşma (5 madde)", "Çatışma (5 madde)" ve "İş Bölümü (5 madde)" olmak üzere üç alt boyut ve 15 maddeden oluşan ölçek yapısı ortaya çıkarılmış ve ikinci örneklem üzerinden yapılan DFA’da üç faktörlü ölçek yapısının doğrulandığı görülmüştür. Araştırma kapsamında geliştirilen ölçeğin güvenirlik düzeyini belirlemek amacıyla hesaplanan Cronbach Alpha değerlerinin .80 ile .90 arasında değiştiği belirlenmiştir. İHBEÖ’nün kararlılık düzeyini belirlemek amacıyla test tekrar test yöntemi kullanılmıştır. Araştırma sonuçları, Türk kültüründe çocuğu ilkokula hazırlık sürecinde olan ebeveynlerin birlikte ebeveynlik ilişkilerini ölçmek için geliştirilen ölçeğin geçerli, güvenilir ve kullanışlı bir ölçme aracı olduğunu göstermiştir.
A GEOGRAFIA NOS CURRÍCULOS NACIONAIS DA EDUCAÇÃO BÁSICA NO BRASIL E NA ITÁLIA: APROXIMAÇÕES E DISTANCIAMENTOS
Authors: Botelho Lucio Antonio Leite Alvarenga , Valadão Roberto Célio
Published: October 2023

Em que medida há aproximações e distanciamentos de currículos nacionais de Geografia prescritos por países distintos? Em busca de compreender como as diretrizes para o componente Geografia estão organizadas em outro contexto além do brasileiro, este artigo apresenta uma comparação entre as orientações inerentes à disciplina Geografia contidas no currículo nacional para a educação básica no país (Base Nacional Comum Curricular – BNCC) e na Itália (Indicazioni Nazionali per il Curricolo della Scuola dell’Infanzia e del Primo Ciclo d’istruzione). Em atendimento a este objetivo apresentamos, de início, a divisão escolar vigente no Brasil e na Itália, bem como as normas gerais para a formação docente nestes países na busca por fornecer um quadro de seus sistemas escolares, para, em seguida, tratar da estrutura de suas normativas curriculares e diretrizes para o componente Geografia. As normativas curriculares nacionais aqui analisadas, embora se destinam a prescrever diretrizes para uma mesma disciplina escolar, revelam aproximações e distanciamentos. De modo geral, ambas as normativas convergem para a ideia de que a Geografia deve ultrapassar a condição simplista e meramente descritiva e avançar na direção de uma Geografia significativa e problematizadora das questões contemporâneas. Por outro lado, os distanciamentos estão presentes na estrutura do documento, no conteúdo a ser tratado pela disciplina na escola e nas indicações de como se atingir os resultados esperados.
ﺣﻠﻑ ﺷﻣﺎﻝ ﺍﻻﻁﻠﺳﻲ (ﺩﺭﺍﺳﺔ ﻓﻲ ﺍﻟﻧﺷﺄﺓ ﻭﺍﻟﺗﻭﺳﻊ)
Authors: ﻡ. ﺳﻌﺩ ﺭﺯﻳﺞ ﺇﻳﺩﺍﻡ
Published: October 2023

ﻛﺘــب ﺒرﻴزﻨﺴــﻛﻲ ﻓــﻲ ﻛﺘﺎﺒــﻪ (اﻟﻔوﻀــﻰ اﻟﻌﺎﻟﻤﻴــﺔ) وﻫــو ﻴﺴﺘﺸــرف ﻤﺴــﺘﻘﺒﻝ اﻟﻌــﺎﻟم ان

اﻫﻤﻴــﺔ اﻟﻘــوة اﻟﻌﺴــﻛرﻴﺔ ﻟــن ﺘﺘ ارﺠــﻊ اﻟــﻰ ﻤﺴــﺘوﻴﺎت دﻨﻴــﺎ ﺒــﺎﻟرﻏم ﻤــن ﺘﺼــﺎﻋد اﻫﻤﻴــﺔ اﻟﻘــوة

اﻻﻗﺘﺼﺎدﻴﺔ ٬ ﻫذا ﻴﻌﻨﻲ ان اﻟﺒﺸرﻴﺔ ﺴﺎﺌرة ﺒﺎﺘﺠـﺎﻩ ﺘوطﻴـد دﻋـﺎﺌم دﻓﺎﻋﻴـﺔ ﻓـﻲ ﻋـﺎﻟم ﻴﻨﺤـدر ﻴوﻤـﺎً

ﺒﻌــد اﺨــر ﻨﺤــو ﻨ ازﻋــﺎت ذات ﻤﺴــﺘوﻴﺎت ﻤﺘﺒﺎﻴﻨــﺔ واﻻداة اﻟﺤﺎﺴــﻤﺔ ﻓــﻲ ﻛــﻝ ذﻟــك ﻫــو اﻻداة

 

اﻟﻌﺴﻛرﻴﺔ.

ان ظﺎﻫرة اﻻﺤـﻼف اﻟﻌﺴـﻛرﻴﺔ ﺠـﺎءت اﺴـﺘﺠﺎﺒﺔ ﻟرﻏﺒـﺔ اﻟﻘـﺎدة اﻟﺴﻴﺎﺴـﻴون ﻟﺘﺤﻘﻴـق ﻨـوع

ﻤـن اﻻﻤـن اﻤـﺎ ان ﻴﻛـون ﻤﻔﻘـود ﻴﺴـﻌون ﻻﺴـﺘردادﻩ او ﻤوﺠـود ﻴﺤـﺎوﻟون ﺘﻌزﻴـزﻩ ٬ وﻗﻠـﺔ ﻤـﻨﻬم

ﻫـدﻓت ﻤـن و ارء ذﻟـك اﻻﺴـﺘﻴﻼء واﻟﺴـﻴطرة ﻋﻠـﻰ اﻻﺨـرﻴن ٬ وﻻ ﻴﺨـرج ﺤﻠـف ﺸـﻤﺎﻝ اﻻطﻠﺴـﻲ

 

ﻋن ﻫذﻩ اﻟﻘﺎﻋدة ﺒﻝ ﻴﺜﺒﺘﻬﺎ ﻻﺴﻴﻤﺎ ﻓﻲ اﻟﻤرﺤﻠﺔ اﻻوﻟﻰ ﻟﻨﺸﺎﺘﻪ.

وﻤـﻊ اﻟﺘطـور اﻟـذي اﺼـﺎب اﻟﻌﻼﻗـﺎت اﻟدوﻟﻴـﺔ وﻟﻤ ارﺤـﻝ زﻤﻨﻴـﺔ ﻤﺘﺘﺎﺒﻌـﺔ ﺘطـور اﻟﺤﻠـف

اﻴﻀـﺎً ﻤـن ﺤﻴـث اﻻﻫـداف واﻟوظـﺎﺌف ٬ ﺤﺘـﻰ ﺼـﺎر اﻗـرب اﻟـﻰ ﺘﻛﺘـﻝ ﻟﺘﺤﻘﻴـق اﻫـداف ﻀـﺨﻤﺔ

ﺘﺘﻨﺎﺴـب واﻟﻀـﺨﺎﻤﺔ اﻟﺘـﻲ طـ آرت ﻋﻠـﻰ ﻤﻌﻨـﻰ اﻻﻤـن ﻓـﻲ اﻟﻤﻔﻬـوم اﻟﻐرﺒـﻲ ٬ وﻴﺘﻤـدد ﻋﻠـﻰ وﻓـق

 

رؤﻴﺎ ﺠدﻴدة ﺘﺘﺨذ ﻤن اﻟﺤرب اﻻﺴﺘﺒﺎﻗﻴﺔ ﺴﺘ ارﺘﻴﺠﻴﺔ ﻨﺎﺠﻌﺔ ﻟﺘﺤﻘﻴق اﻻﻤن.

وطﺒﻴﻌـﻲ ان ﻴﻼﻗـﻲ ﻫـذا اﻟﺘﺤـوﻝ اﻟـذي طـ أر ﻋﻠـﻰ اﻟﻨـﺎﺘو ﻤـن ﺤﻴـث اﻟﺘطـور واﻟﺘوﺴـﻊ

ﻤوﻗﻔﺎً ﻤن اﻟطرف اﻻﺨر (روﺴﻴﺎ) اﻟﺘـﻲ ﻛﺎﻨـت ﻋﻠـﻰ اﻟـدوام ﺘﻤﺜـﻝ ﺠﺎﻨـب ﻤـن اﻟﻤﻌﺎدﻟـﺔ اﻻﻤﻨﻴـﺔ

ﻓـﻲ اﻟﻌـﺎﻟم ٬ وﻤـن اﻟﻤﻨطـق ان ﻴﻛـون ﻫـذا اﻟﻤوﻗـف ﻤﺘﻼﺌﻤـﺎً ﻤـﻊ اﻟظـرف اﻟـدوﻟﻲ واﻟـداﺨﻠﻲ ﻟﻬـذﻩ

 

اﻟدوﻟﺔ اﻟﺘﻲ ﺘﻌﻴش ﺤﺎﻻت ﻤن اﻟﻀﻌف اﻻﻗﺘﺼﺎدي ﻓﻲ ﻤرﺤﻠﺘﻬﺎ اﻻﻨﺘﻘﺎﻟﻴﺔ.

وﻤـن اﺠـﻝ اﻴﻀـﺎح ﻛـﻝ ذﻟـك ﺠـﺎءت ﻫـذﻩ اﻟد ارﺴـﺔ (ﺤﻠـف ﺸـﻤﺎﻝ اﻻطﻠﺴـﻲ د ارﺴـﺔ ﻓـﻲ

اﻟﻨﺸـﺄة واﻟﺘوﺴـﻊ) وﺒﻬﻴﻛﻠﻴـﺔ ﺘ ارﺘﺒﻴـﺔ وﻋﻠـﻰ ﻓﺼـﻠﻴن . اﻻوﻝ ﺘﻨﺎوﻟﻨـﺎ ﻓﻴـﻪ ﻨﺸـﺄة اﻟﺤﻠـف وﺘطـور

وظﺎﺌﻔــﻪ وﻤــن ﺨــﻼﻝ ﻤﺒﺤﺜــﻴن ٬ ﻋــﺎﻟﺞ اﻟﻤﺒﺤــث اﻻوﻝ ﻤﻨــﻪ ﻨﺸــﺄة وﺘطــور اﻟﺤﻠــف ٬ واﻟﺜــﺎﻨﻲ

اﻟوظﺎﺌف اﻟﺘﻲ اﻨـﻴط ﺒـﻪ ﺘﺤﻘﻴﻘﻬـﺎ ﻓـﻲ ﺤـﻴن. ﺒﺤﺜﻨـﺎ ﻓـﻲ اﻟﻔﺼـﻝ اﻟﺜـﺎﻨﻲ ﺘوﺴـﻊ اﻟﺤﻠـف واﻟﻤوﻗـف

اﻟروﺴﻲ ﻤن ﻫذا اﻟﺘوﺴﻊ اﻴﻀﺎً ﻤن ﺨﻼﻝ ﻤﺒﺤﺜﻴن ﺘﻀﻤن اﻻوﻝ ﻤﻨـﻪ ﺘوﺴـﻊ اﻟﺤﻠـف ﻓـﻲ ﺤـﻴن

ﺒﻴن اﻟﺜﺎﻨﻲ اﻟﻤوﻗف اﻟروﺴﻲ ﻤن ﻫذا اﻟﺘوﺴﻊ.
ﻧﻘﺎﺩ ﻧﺟﻳﺏ ﻣﺣﻔﻭﻅ ﻭﻣﺻﻁﻠﺢ (ﺍﻟﺭﻭﺍﻳﺔ ﺍﻟﻘﺻﻳﺭﺓ)
Authors: ﺃ.ﻡ. ﺩﺍﻭﺩ ﺳﻠﻣﺎﻥ ﺍﻟﻌﻧﺑﻛﻲ
Published: October 2023

ُﻴﻌﻨـﻰ ﻫـذا اﻟﺒﺤـث ﺒﺘﻌﺎﻤـﻝ اﻟﻨﻘـﺎد اﻻﺼـطﻼﺤﻲ ﻤـﻊ رواﻴـﺎت ﻨﺠﻴـب ﻤﺤﻔـوظ اﻟﻘﺼـﻴرة

وﺒﺨﺎﺼﺔ رواﻴﺘﻪ اﻟﻘﺼﻴرة اﻷوﻟﻰ (اﻟﻠص واﻟﻛﻼب) اﻟﺼﺎدرة ﺴﻨﺔ .١٩٦١

 

وأظﻬـر اﻻﺴﺘﻘﺼـﺎء اﻟﻨﻘـدي ﻟﻤـﺎ ﻛﺘـب ﻤـن ﻛـّم ﻨﻘـدي ﻛﺒﻴـر ﻋـن ﻫـذﻩ اﻟرواﻴـﺔ ان ﻫﻨـﺎك

ﻨﻘـﺎداً ﻗــد أﺒـدوا وﻋﻴــﺎً ﻨﻘـدﻴﺎً ﺠــﺎداً ﺒﻬـذا اﻟﺸــﻛﻝ اﻟﺠدﻴـد اﻟــذي ﻤﺜﻠﺘـﻪ رواﻴــﺔ (اﻟﻠـص واﻟﻛــﻼب)

 

واﻨﺸﻐﻠوا ﺒﺎﻟﻘﻀﻴﺔ اﻻﺼطﻼﺤﻴﺔ ﻛﺄﻨور اﻟﻤﻌداوي ود. ﺸﻛري ﻤﺤﻤد ﻋﻴﺎد وأن ﻨﻘﺎداً آﺨـرﻴن ﻗـد

 

ﺘﻨﺒﻬوا إﻟﻰ اﻟﺸﻛﻝ اﻟﺠﻴد ﻟﻬذﻩ اﻟرواﻴﺔ وﻟﻛﻨﻬم ﻟم ﻴﺜﻴروا اﻴﺔ ﻤﺸﻛﻠﺔ اﺼطﻼﺤﻴﺔ ﻛﺎﻟدﻛﺘور رﺸـﺎد

 

رﺸـدي ود.ﻟطﻴﻔـﺔ اﻟزﻴـﺎت ود.ﻟـوﻴس ﻋـوض… أﻤـﺎ ﻨﻘـﺎد اﻟرواﻴـﺎت اﻟﻘﺼـﻴرة اﻟﻼﺤﻘـﺔ ﻓـﺎﻨﻬم ﻟـم

 

ﻴﻠﺘﻔﺘوا ﻓﻲ اﻷﻏﻠب إﻟﻰ ﻗﻀﻴﺔ اﻟﻤﺼطﻠﺢ اﻟﻘﺼﺼﻲ.

 

وﻋـرض اﻟﺒﺤـث أﻴﻀـﺎً ﺼـو اًر ﻤﺨﺘﻠﻔـﺔ ﻤـن اﻻﻀـط ارب ﻓـﻲ اﺴـﺘﺨدام اﻟﻤﺼـطﻠﺢ ﻟـدى

 

ﺒﻌض ﻨﻘﺎد ﻨﺠﻴب ﻤﺤﻔوظ.

 

(اﻟرواﻴـﺔ اﻟﻘﺼـﻴرة) ﺼـﻨف رواﺌـﻲ ﺨـﺎص ٬ وﻫـو اﻟﺒـدﻴﻝ ﻋـن ﺘﻌﺒﻴـ ارت ﻤـن ﻤﺜـﻝ (رواﻴـﺔ

 

ﺼـﻐﻴرة) أو (رواﻴـﺔ ﻏﻴـر ﻛﺒﻴـرة) أو (رواﻴـﺔ ﻤﻀـﻐوطﺔ). واﻷﻋﻤـﺎﻝ اﻟﺘـﻲ ﺘﻨﻀـوي ﺘﺤﺘـﻪ ﻫـﻲ

 

أﻋﻤﺎﻝ ﺘﻨﺘﻤﻲ إﻟﻰ ﻗﺎﻟب (اﻟرواﻴﺔ). ﻓﺎﻟرواﻴﺔ اﻟﻘﺼﻴرة ﺘﺘﺴم ﺒﺘﻨوع اﻷﺤداث وﺘﻌـدد اﻟﺸﺨﺼـﻴﺎت

 

وﺘﻠـون اﻷﻤﻛﻨــﺔ واﻤﺘــداد اﻷزﻤﻨــﺔ وﺘــداﺨﻠﻬﺎ إﻻ اﻨﻬــﺎ ﻻ ﺘﺼــﻝ إﻟــﻰ اﻟﺴــﻌﺔ اﻟﺘــﻲ ﺘﺘﺼــف ﺒﻬــﺎ

 

(اﻟرواﻴﺔ) اﻻﻋﺘﻴﺎدﻴﺔ ﻓﻲ ﺘوظﻴﻔﻬﺎ وﺘﻌﺒﻴرﻫﺎ ﻋن ﺘﻠك اﻟﻌﻨﺎﺼـر واﻟﺘـﻲ ﻗـد ﺘﺼـور أﺤﻴﺎﻨـﺎً أﺠﻴـﺎﻻً

 

ﻋدﻴدة ﻤن اﻟزﻤن واﻟﻨﺎس.

 

وﻟﻴس ﻤﺼطﻠﺢ (اﻟﻘﺼﺔ اﻟﻘﺼـﻴرة اﻟطوﻴﻠـﺔ)- واﺨﺘﺼـﺎرﻩ (اﻟﻘﺼـﺔ اﻟطوﻴﻠـﺔ)- ﺒـدﻴﻼً ﻋـن

 

ﻤﺼطﻠﺢ (اﻟرواﻴﺔ اﻟﻘﺼﻴرة) أو ﻤ اردﻓﺎً ﻟﻪ ذﻟك ان (اﻟﻘﺼـﺔ اﻟطوﻴﻠـﺔ) ﻤﺼـطﻠﺢ آﺨـر داﻝ ﻋﻠـﻰ

 

ﺼـﻨف ﻗﺼﺼـﻲ ﺜـﺎن ﻴﻨﺘﻤـﻲ إﻟـﻰ ﻗﺎﻟـب (اﻟﻘﺼـﺔ اﻟﻘﺼـﻴرة) ﻻ إﻟـﻰ ﻗﺎﻟـب (اﻟرواﻴـﺔ). و(اﻟﻘﺼـﺔ

 

اﻟطوﻴﻠـﺔ) ﻫـﻲ اﻟﺒـدﻴﻝ ﻋـن ﺘﻌﺒﻴـري (ﻗﺼـﺔ ﻗﺼـﻴرة ﻤﻛﺒـرة) و (ﻗﺼـﺔ ﻗﺼـﻴرة ﻤطوﻟـﺔ) ﻓﻬـﻲ ﻓـﻲ

 

اﻷﺼﻝ ﻗﺼﺔ ﻗﺼﻴرة ﺘﺘﺴم ﺒﺎﻟﺴﻤﺎت اﻟﻔﻨﻴﺔ اﻟﻤﻌروﻓﺔ ﻟﻠﻘﺼﺔ اﻟﻘﺼﻴرة ﻤن ﻤﺜﻝ اﻻﻴﻘﺎع اﻟﺴرﻴﻊ

 

واﻻﻤﺘداد ﻏﻴر اﻟﻤﺘﻔرع إﻟـﻰ ﻓـروع ﺠﺎﻨﺒﻴـﺔ ووﺤـدة اﻟﺨـط اﻟﺤـدﺜﻲ وﻗﻠـﺔ اﻷﺤـداث اﻟﺘـﻲ ﺘﻘـوم ﺒﻬـﺎ
English Discontinuous Structures
Authors: Nibras Hashim Hani
Published: October 2023

This paper examines the possibility of inserting linguistic elements

in unusual positions. The outcome of such insertion has come to be

known as a discontinuous structure. Learners of English as a foreign

language are warned against the use of such structures in their speech or

writing. However, in several cases the insertion of a word or a clause

within a constituent or between constituents becomes obligatory or

stylistically preferable. One striking example is the use of adverbials

between the main verb of a sentence and its direct object when the object

of the sentence is long or heavy.
PENGARUH LABA BERSIH, ARUS KAS DAN UKURAN PERUSAHAAN TERHADAP KEBIJAKAN DIVIDEN PADA PERUSAHAAN SEKTOR INDUSTRI BARANG KONSUMSI YANG TERDAFTAR DI BURSA EFEK INDONESIA TAHUN 2018-2020
Authors: Riana Riana , Setiorini Hesti , Yusmaniarti Yusmaniarti , Sriwahyuni Mira
Published: October 2023

Penelitian ini bertujuan untuk mengetahui pengaruh laba bersih, arus kas dan ukuran perusahaan terhadap kebijakan dividen pada perusahaan sektor industri barang konsumsi yang terdaftar di bursa efek indonesia tahun 2018-2020. Penelitian ini merupakan jenis penelitian asosiatif. Teknik pengambilan sampel dilakukan dengan menggunakan teknik purposive sampling. Sehingga sampel yang diperoleh sebanyak 15 perusahaan sektor barang konsumsi yang terdaftar di bursa efek indonesia tahun 2018-2020 dengan jumlah observasi sebanyak 45 observasi selama 3 tahun penagamatan. Teknik pengumpulan data yang digunakan adalah dokumentasi. Teknik analisis data yang digunakan dalam penelitian ini adalah analisis regresi linear berganda melalui aplikasi IBM SPSS Statistic 16. Hasil penelitian laba bersih menunjukkan bahwa adanya pengaruh terhadap kebijakan dividen. Arus kas menunjukkan tidak berpengaruh terhadap kebijakan dividen. Ukuran perusahaan (size) menunjukkan tidak berpengaruh terhadap kebijakan dividen. Secara bersama-sama laba bersih, arus kas dan ukuran perusahaan menunjukkan adanya pengaruh antara laba bersih, arus kas dan ukuran perusahaan terhadap kebijakan dividen.
Kata Kunci: Laba Bersih, Arus Kas, Ukuran Perusahaan, Kebijakan Dividen
ANALISIS PENGGUNAAN SISTEM INFORMASI AKUNTANSI DAN PENERAPAN PENCATATAN AKUNTANSI PADA UMKM USAHA KAYU UD MANDIRI DI KECAMATAN AIR BESI
Authors: Putra Mandala , Setiorini Hesti , Ranidiah Furqonti , Fitria Desi , Astuti Budi
Published: October 2023

Penelitian ini bertujuan untuk mengetahui Penggunaan Sistem Informasi Akuntansi dan Penerapan Pencatatan Akuntansi Pada UMKM Usaha Kayu UD Mandiri di Kecamatan Air Besi Bengkulu Utara. Metode penelitian yang digunakan dalam penelitian ini adalah metode kuantitatif dengan pendekatan deskriptif sampel dalam penelitian ini adalah UD Mandiri di Kecamatan Air Besi Bengkulu Utara. Teknik pengumpulan data yang digunakan yaitu Wawancara, Dokumentasi dan Observasi. Hasil Penelitian ini menunjukan 1) Laporan keuangan yang disusun oleh UD. Mandiri masih sangatlah sederhana dan simpel. Laporan keuangan yang disusun masih secara manual dan sebatas pengetahan yang dimiliki oleh pemilik usaha. UD. Mandiri hanya mencatat laporan keuangan berupa penjualan dan biaya-biaya namun tidak semua laporan keuangan dan data masih dicatat menjadi satu akun. 2) Laporan keuangan yang disusun oleh UD. Mandiri belum disusun sesuai dengan SAK EMKM, sehingga perlu dilakukan adanya penyusunan dan penyajian laporan keuangan yang sesuai dengan SAK EMKM. Penyusunan dan penyajian laporan keuangan yang sesuai dengan SAK EMKM dimulai dengan cara mengumpulkan data, menganalisis data, dan kemudian membuat laporan keuangan yang dimulai dengan cara menyusun Laporan Posisi Keuangan, Laporan Laba Rugi, dan kemudian menyususn Catatan Atas Laporan Keuangan.
Kata kunci: Sistem Informasi Akuntansi, Pencatatan Akuntansi, SAK EMKM
Implementing Writing Skills through The Genre Approach
Authors: Hidayad Ferri , Agustin Ariya , Despita Despita , Purwanto Muhammad Bambang
Published: October 2023

Despite being largely regarded as a foreign language; English plays an undeniably significant part in Palembang's economy and educational system. Contrarily, research reveals that English proficiency among Palembang pupils’ declines. This article details a study that looked at how much EFL English majors at PGRI Palembang University improved their ability to write argumentative essays after being subjected to genre-based writing exercises with their writing instructors. The findings showed that students consistently struggled to criticize or refute opposing viewpoints and come up with more powerful rebuttals, even after being exposed to the preparation of genre-based argumentative essays. However, they were able to demonstrate development in their ability to recognize the rhetorical structures (genres) and lexicon-grammatical characteristics of the full argumentative essay. The strategy received favourable feedback from the participants. The paired sample t-test also revealed that students' post-intervention argumentative texts significantly outperformed their pre-intervention drafts. It is commonly accepted that students may regulate the linguistic aspects of the type of text with a specific communicative aim and comfortably enhance their writing skills by studying through a genre-based approach to writing. The consequences for teaching writing in an EFL setting are demonstrated in this essay. Additionally, it urges the adoption of a genre approach in EFL writing classes.
Developing an English Proficiency Test for Higher Education
Authors: Rionaldi Rionaldi - , Saputra Boni
Published: October 2023

Universities worldwide have recognized the significance of assessing students' language abilities to ensure they can actively participate in academic discourse. However, many universities do not have institution-based English proficiency test yet. The aim of the research is to explore the significances of developing university-based English proficiency test, the essential steps involved in crafting it, and challenges in developing a robust institution's English proficiency test. The method used in this research is library research. The results underscore the critical role of an English proficiency test in ensuring academic excellence, promoting global communication, and preparing students for success in an increasingly interconnected world.  Developing a well-structured and reliable English proficiency assessment tool starts with a decision to provide a test, developing the test, and followed by those stages connected with test use. Nevertheless, defining test objective and ensuring test validity, choosing the right format, ensuring fairness and inclusivity, preparing substantial cost and resources, adapting for specific contexts are challenges in developing it. In sum, universities can develop a robust English proficiency test by having collaboration with language experts, assessment specialists, and educators, as well as adherence to established principles of language testing and assessment .
The Variation of Swear Word “Kleng” and its Flexibility in Denpasar
Authors: Mahayana I Made Astu , Pratama Agus Darma Yoga
Published: October 2023

The paper investigates the Balinese swear word kleng and its variations used by teenagers in Denpasar. They use this word in various types whose functions differ depending on the context of the situation. Basically, kleng is a swear word used to insult others or show anger. However, some people can use this word to show intimacy toward others and humour. This study investigates variations of the word kleng and its flexibility used by the young generation in Denpasar based on linguistic anthropology. This research is descriptive research through a qualitative approach. The data were collected from conversations of the young generation in several coffee shops in Denpasar. Besides, the social media platforms, namely Instagram and Tiktok, were also used as secondary data. Based on the results, this research found several variations of the word kleng, including naskleng, kle, klieng, klie, nanas klengkeng leci, and klek. These variations reflect psychological, social, and linguistic functions. This research underscores language's importance in reflecting evolving cultures, feelings, and social dynamics, offering insights into an ever-changing society.
The Use of Discovery Learning Model and Authentic Material to Improve Students’ Writing Ability of Procedure Text
Authors: Rojiyah Siti
Published: October 2023

The ability to communicate in English, the ability to collaborate, and creativity are needed for SMK graduates, including students of the Multi Media Class. However, English language skills specifically for MM class are still lacking, around 73.46% or 7 students stated that writing is an obstacle. Therefore, Discovery Learning (DL) research using authentic materials was applied to achieve learning outcomes and determine the improvement of students' learning outcomes, especially in composing procedure texts. Classroom action research, where each cycle has stages of planning, implementation, observation and reflection of action, was carried out at SMK Muhammadiyah Aimas through three cycles (6 meetings) involving 13 students majoring in Multi Media class X in odd semester. The teacher acted as the main researcher. Data was collected using tests and product assessment sheets. Data analysis was carried out by comparing the results in cycles I, II and III quantitatively, while observation data was investigated qualitatively. The results showed that Discovery Learning and the Use of Authentic Materials are likely to be effective in improving the learning outcomes of students in class X majoring in Multi Media. In terms of process, students felt that their learning outcomes improved from an average of 73.46 to 81.38. A score improvement was also seen in the students' test results which increased from 46.2% in cycle I to 77.23% in cycle II, and further to 81.38% in cycle III. In conclusion, Discovery Learning and Authentic Material can be an alternative effort to create meaningful experiences in creative learning, independence, and skill in communicating orally and in writing.
The Role of The Area Business Manager on the Work Motivation of Bancassurance Consultants ( A Case Study at AIA CIMB Niaga)
Authors: Budiastuti Dewi Retno , Sari Ratna Kartika
Published: October 2023

BC working for an insurance company, namely AIA Financial, must be able to locate and present themselves at the partner bank where the BC is placed. With all this work, BC often experiences a decline in performance and motivation. So, the task of an Area Business Manager is to monitor and motivate the BCs. The research method used in this research is qualitative research, which was carried out in one of the AIA areas in 5 CIMB Niaga bank branches in Jakarta. The efforts made by ABM to BC so far have been quite successful in motivating BC, as can be seen from BC's active communication and good relations with bank staff so that the referrals provided are active every day. In the first week, BC received data on customers who will be offered AIA products; apart from that, BC is also active in following up on data on customers who have joined AIA to resell. The training carried out by AIA management also had a positive impact on BC's motivation, increasing their ability to know products, sell well, and understand the sales process without incorrect data.
Financial Distress Analysis using The Altman Z – Z-Score Method in Hotel Companies Listed on The Idx
Authors: Wulansari Murwani
Published: October 2023

The purpose of this study was to determine the business continuity of PT. Eastparc Hotel Tbk, PT. Bukit Uluwatu Village Tbk and PT. Hotel Sahid International Tbk uses secondary data as financial statements for 2019 – 2021. This study uses the Altman Z Score method, which is one method for assessing a company's bankruptcy. The covid 19 pandemic caused a significant decrease in performance at PT. Bukit Uluwatu Village Tbk Z. Z Score PT. Bukit Uluwatu Village Tbk in 2020 was -2.91, it decreased from 0.35 in 2019. Such conditions indicate that PT. Bukit Uluwatu Village Tbk experienced financial distress
The Influence of Digitalization on the Increase in MSME Turnover in West Java
Authors: Nurhayati Herny , Rifki Dadang
Published: October 2023

This research analyzes the effect of digitalization on increasing turnover in Micro, Small and Medium Enterprises (MSMEs) in West Java. Digitalization, such as the internet, social media and digital payment technology, has provided new opportunities for MSMEs to increase sales. This research used data from 20 journals related to digitalization and MSMEs in West Java. The research results show that adopting digital technology significantly impacts increasing the turnover of MSMEs in West Java. MSMEs that use social media and have an online presence through websites or e-commerce platforms tend to experience higher turnover growth. Apart from that, MSMEs that implement digital payment methods also experience a significant increase in turnover. This research explains the importance of digitalization for MSMEs in West Java in increasing turnover. This research implies the need for government and stakeholder support to facilitate digital access for MSMEs and provide training and assistance in using digital technology.
Prevalence of Diarrheagenic Escherichia coli and its Relation to Household Factors and Symptoms Distribution among Children in Babylon Governorate Hospitals, Iraq
Authors: Hameed Ali Majeed , Farid Wasen A. Ameer , Al-Saad Dheya Shinyar Hamad
Published: October 2023

Background: Diarrheagenic Escherichia coli, pose a significant threat and have been associated with a range of disorders, including gastrointestinal infections that may develop into various diseases such as diarrhea, Urinary tract infection, septic shock, and meningitis.
Objective: to determine the Prevalence of E. coli and household factors and symptom distribution associated with E. coli among children under-12 years in Babylon Governorate.
Methods: Using a descriptive cross-sectional type of study design and a Non-random convenient sampling technique with a proposed sample of 200 children were used to evaluate the Prevalence of Escherichia coli bacteria at two hospitals in the Babylon Governorate. They were: (Babil educational hospital for Maternity and Children and Al Noor Hospital for Children) located in Al Hillah City, the center of Babylon Governorate. This study was performed from October 1st, 2022, to May 1st, 2023.
Results: The majority of participants, 63%, did not have E. coli, while 37% were found to have E. coli. which indicates a high prevalence of E. coli infection among under 12 years children. The highest reported symptom is diarrhea, accounting for 35.40%, followed by vomiting at 20.40%, fever at 16.60%, and loss of appetite at 14.70%. Approximately 33.5% of respondents confirmed that someone in their family experienced similar symptoms during the same period. Families with 4-5 members and 6-8 members were more likely (41%) to have E. coli in comparison to families with 3 members (15.4%). Families with more than 4 children were more likely to have E. coli (100%) in comparison to families with only one child (23.2%). Families with 4 and more rooms were less likely to have E. coli (25%, 0%).
Conclusions: These results indicate that diarrhea followed by vomiting and fever were the highest reported symptoms. Approximately 53% of respondents confirmed that someone in their family or neighbor experienced similar symptoms during the same period. The results also showed that Families with 4-5 members and 6-8 members, Families with more than 4 children, Families with 3 or fewer rooms, Families who raise animals (especially sheep), and family members of the same infected child were more likely to have E. coli with significant association.
Maternal Age and Adverse Pregnancy Outcomes among Women Attended Kirkuk City Hospitals: A Comparative Study
Authors: Rafaat Batool medhat , Shakoor Jenan
Published: October 2023

Background: Adolescent pregnancy is one of the most common public health issues in the world today, causing harm to the fetus, mother, and newborn .World Health Organization (WHO) defined adolescents as individuals between the age of 10 and 19 years old, and according to the ,  adolescents make up approximately 20% of the world's population.
Objective: To identify and compare the adverse pregnancy outcomes among two age groups of pregnant women attended Kirkuk city hospitals.
Methods:A Quantitative (descriptive) study design was carried out between October  2022 and may 2023 on a sample of 280women, aged less than or equal to 19years old&more than or equal to 35 years. Purposive sample selected from 3 main hospitals in  Kirkuk City. A structured questionnaire was employed as an instrument for data collection. SPSS version22.0 was used for data entry and analysis. Both descriptive and inferential statistical methods  used.
Results: A total of 280 mothers participated, both groups were primary school graduated ,house wife with insufficient income. Adolescent group had 1-2 gravida & para, While advanced age had from 3-4 with delivery by CS for both groups. Significant relationship of maternal  outcome found as complication before labor as placenta previa ,gestational hypertension, eclampsia and  olighydrominos. In addition for neonatal outcome need to admission to neonatal intensive care unit and early neonatal death had significant relationship at p ˂ 0.05.
Conclusions: No significant relationships were accounted for between  the distribution of maternal outcomes among both groups, and the expectation for some complications before labor, a significant relationship at P<0.05 according to the need for neonatal intensive care unit admission & neonatal death among both age groups.
The Psychological Health of A couple Planning for Divorce
Authors: ALHatab Dr. Ali Ahmed
Published: October 2023

Background:   One of the social phenomena that has come to be seen as a primary problem in the society is divorce, which has had a devastating impact not only on the institution of the family but also on society as a whole.
Objective:  To assess the Psychological Impact of Planning for Divorce and to find-out the association between the psychological health and their socio- demographic data for married couples planning a divorce.  
Material and Methods: Descriptive-Analytic study design was used to describe the variables and the relationships that occur among them in this study. This design was carried out in order to achieve the aims of the present study to identify the psychological impact on spouses planning divorce in Karbala Federal Court of Appeal / Presidency of the Karbala Criminal Court, the second body during the period from 12th December 2021 to 15th February 2022. Purposive sampling (nonprobability) of (70) spouses planning divorce in Karbala. The questionnaire it has 3 subscales (depression, anxiety, and stress). The data collection started by using questionnaire format and fill out sampling was obtained by spouses planning divorce in Karbala city. The process of collecting data for the researcher through the interview questionnaire to spouses planning divorce in Karbala Federal Court of Appeal, took time to fill the questionnaire time of 10-15 minutes and participants were asked to read the questionnaire. The correlation between psychological state and demographic characteristics has been examined using Chi-square tests.  
Result: This table shows that there is high significant and significant relationship between Depression with (Age at marriage, Age difference between spouses, do you want to return to a single life, does divorce negatively affect children, what do you think is the main reason for divorce in our society, Number of divorces) at p value < 0.05.
Conclusions: The majority of samples were had Psychological Impact of couples. There is a significant relationship between impact psychological health of planning for divorce with socio- demographic characteristics.
Association between Bolton Analysis and Dentoskeletal Parameters of Patients with Malocclusion
Authors: López-Contreras Carlos Alberto , Pérez-Cortez Guillermo , Soto-Castro Tely Adriana , Hermida-Rojas Maikel , Ramírez-Ruíz Fernanda Itatí
Published: October 2023

The mesiodistal diameter of the teeth must be considered during orthodontic diagnosis; the implementation of measurement tools has made it possible to classify each patient into parameters that determine their treatment needs. The aim of this study is to analyze the association between the Bolton Index and dentoskeletal parameters in patients who come to receive orthodontic treatment at the University Polyclinic of the Mexicali Faculty of Dentistry of the Autonomous University of Baja California. A cross-sectional analytical observational study was carried out. The sample consisted of 45 initial plaster models that met the inclusion criteria. The models were measured to obtain the Bolton Index. Lateral skull radiographs were plotted to determine skeletal class according to Steiner's cephalometric analysis. The data were collected and tabulated in Microsoft Excel 365. A two-factor analysis of variance was performed with several samples per group to determine the association between the Bolton Index with dentoskeletal parameters and sex. To compare the mesiodistal measurements of the teeth, a test was performed. hypothesis for a two-tailed mean difference where the normal distribution was used in both with a significance level of α=0.05. No statistically significant results were found between the values of the analysis of variance and the normal distribution value with a confidence interval of α=0.05. In conclusion no statistically significant difference was found between the results of the dentoskeletal parameters between men and women that determine an association with Bolton index discrepancies.
Giant Synovial Chondromatosis of the Shoulder: The Limits of Arthroscopic Treatment and Technical Tips
Authors: Saadi Chedi , Bellil Mehdi , Ketata Souheil , Jaouedi Mohamed amine , salah Mohamed ben , Kooli Mondher
Published: October 2023

Synovial chondromatosis (SC) is a rare disease. It is a chondrocytic metaplasia and is characterized by the presence of cartilaginous loose bodies in the involved joint, bursa or tendon sheath, it occurs most often in those aged 30_50 years and 3 times more in males than females, The shoulder is an exceptional location. It causes significant functional disability in young people. The clinical presentation is not specific, and the diagnosis is based on MRI. Confirmation is still anatomopathological. Classically, the mainstay treatment for SC of the shoulder has been open arthrotomy and removal of loose bodies, followed by either complete or partial synovectomy, removing the affected tissue, with recent advances in arthroscopic techniques and methods, arthroscopy becomes the gold standard. We present this case report of a 26-year-old man, who was left-hand dominant, a maintenance technician, amateur football player presented a left shoulder inflammatory pain; ; plain radiography demonstrated multiple calcific densities over the glenohumeral joint , the MRI showed multiple calcified intra-articular loose bodies around the anterior and posterior joint and axillary recess ; At arthroscopy, a large number of loose bodies were observed together with marked synovitis ,it only allowed the removal of small foreign bodies < 1 cm, partial synovectomy was performed with a shaver ; anatomopathological examination confirmed the diagnosis of sc. the extraction of giant fragments >2 cm was impossible so it was subsequently removed by open surgery. This was carried out one month later using a delto-pectoral approach: all foreign bodies > 1 cm were successfully extracted. We report this case report in order to review the role of shoulder arthroscopy and magnetic resonance imaging (MRI) in diagnosis and treatment and to highlight the operative difficulties, technical tips of arthroscopic extraction of giant Synovial chondromatosis of the shoulder.
Simultaneous Bilateral Acetabular Fractures: A Case Report
Authors: Rbai Hedi , Fredj Aymen Ben , Daadoucha Abderrahmen , Boughattas Anouar
Published: October 2023

Simultaneous bilateral acetabular fractures are extremely rare. The authors report a rare case of simultaneous bilateral acetabular fracture in an adult due to a road accident. Clinical diagnosis can be misleading in many patients seen in the context of polytrauma. Managing these fractures is a complex task that requires careful planning and surgical intervention, and the foremost goal of surgical intervention is to achieve an anatomically precise reduction of the fracture, as this factor greatly influences the future function of the hip joint.
Evaluation of the Relationship Between Peak Growth Hormone Response to Growth Hormone Stimulation Tests and Body Mass Index
Authors: Er Eren , Evin Ferda
Published: October 2023

Objective: A contrary relationship between body mass index (BMI) and growth hormone (GH) secretion has been demonstrated in adults. BMI-specific cutoff levels are suggested for identifying growth hormone deficiency (GHD) in adulthood. However, specific values for BMI and growth hormone stimulation test responses in the childhood age group are not certain. In this research, our purpose was to investigate the relationship between GH peak response and BMI in children who underwent GHST with a pre-diagnosis of GHD.
Material and Methods: This was a retrospective study of stimulative GH testing with clonidine and L-dopa performed in 150 children 2–18 year-old with short stature (< -2 SDS) in the Pediatric Endocrinology Unit at Bakırçay University Çiğli Training and Research Hospital from the years of 2018 to 2023. Anthropometric measurements, insulin-like growth factor-1 (IGF-I) and IGFBP- 3 levels, especially peak-stimulated GH, were evaluated.
Results: A total of 150 patients [98 boys (65.3%) and 52 girls (34.7%)] were included in the study. The mean age of the individuals during testing was 10.26 ± 3.37 years, mean height standard deviation score (SDS) was -2.64 ± 0.89, mean weight SDS was -1.85 ± 1.01 and mean body mass index (BMI) SDS was -0.47 ± 1.07. Ninety-two of the patients (63%) were prepubertal. The mean value for maximum growth hormone serum level (GHmax) clonidine collected during the growth hormone stimulation test was 4.46 ± 2.83 ng/mL, while the mean value in L-dopa test was 3.29 ± 2.57 ng/mL. There was no statistical distinction in terms of both test responses. The correlation between peak GH and BMI-SDS, in terms of clonidine and L-dopa tests, was significantly negative [β = -0.257 (p = 0.010), β = -0.283 (p = 0.004), respectively]. Age, gender and puberty were not significantly associated with peak GH value. In terms of L-dopa peak GH level, the GH level in group 4 (>1 SDS) was revealed to be statistically lower than that in group 1 (< -1 SDS), nevertheless, similar relationship was not detected for clonidine.
Conclusion: In our study, a negative correlation was found between GHmax and BMI-SDS in terms of clonidine and L-dopa tests. Therefore, keeping BMI-SDS in mind when evaluating growth hormone stimulation tests performed in short children may be guiding. Still, future studies are needed to make it a determining factor when deciding on treatment.
Blockchain-based Electronic Health Record Management System
Authors: Shrestha Sulav , Panta Sagar
Published: October 2023

The Blockchain-based Electronic Health Record (B-EHR) system represents a significant advancement in healthcare data management. Concerns over data confidentiality and security have become increasingly critical in the healthcare sector, given the need for immediate data accessibility. Traditional centralized systems face accessibility issues, necessitating a transformative solution, and blockchain technology emerges as a promising candidate. This research introduces a patient-controlled, blockchain-based system that efficiently manages and safeguards individuals' health-related data. By harnessing the Ethereum network and utilizing tools such as Ganache, Solidity, and web3.js, this system takes a systematic approach to overcome the limitations of centralized systems. Smart contracts, the basis of blockchain technology, serve as the backbone for storing and processing patients' data in a decentralized manner. Transactions are conducted securely through these smart contracts, ensuring patient privacy and data security. Notably, any modifications to transactions can be verified and propagated across the entire distributed network, enhancing data integrity. Complementing this system is a cryptocurrency wallet like MetaMask, providing a centrally controlled repository where records can be swiftly accessed and secured by authorized individuals, including doctors and patients. This integration significantly improves data accessibility and security within the healthcare domain. Ultimately, this research aims to leverage blockchain technology for simultaneous data retrieval, enhancing efficiency, credibility, and accessibility. It offers a robust framework for securely storing data with tailored access permissions and facilitates the safe transfer of patient medical records. In essence, it introduces a swift and secure health record system and an innovative protocol, promoting greater transparency and ownership of sensitive data in the healthcare sector through blockchain integration.
Anestesia Regional e Bloqueios Nervosos: Uma análise das técnicas de anestesia regional, incluindo bloqueios nervosos periféricos e raquianestesia, e suas aplicações em cirurgias específicas.
Authors: Tavares Nicolas Conter , Brinati Ana Luiza Sales , Mendes Lorrane Machado , Correa Katryne Ferreira Rodrigues , Zinn Anna Karina Araujo
Published: October 2023

A anestesia regional, abrangendo técnicas como a raquianestesia e os bloqueios nervosos periféricos, desempenha um papel fundamental em cirurgias específicas, oferecendo benefícios significativos em termos de controle da dor, recuperação pós-operatória e redução dos riscos associados à anestesia geral. Este artigo de revisão explora as aplicações dessas técnicas em diversas especialidades cirúrgicas, incluindo ortopedia, ginecologia, obstetrícia e cirurgia abdominal. A anestesia regional tem demonstrado eficácia notável em procedimentos ortopédicos, proporcionando uma recuperação mais rápida e redução na necessidade de analgésicos sistêmicos. Em cirurgias ginecológicas, como histerectomias, a anestesia regional também contribui para uma recuperação mais tranquila e menos complicações pós-operatórias. Em procedimentos obstétricos, como cesarianas, a raquianestesia permite que as mães permaneçam conscientes durante o parto, interagindo imediatamente com seus bebês. No entanto, a escolha adequada da técnica anestésica é essencial, levando em consideração as características do paciente, a natureza da cirurgia e a experiência do anestesiologista. A segurança e a eficácia da anestesia regional dependem do treinamento adequado e da compreensão completa de suas limitações. A pesquisa futura deve se concentrar no aprimoramento das técnicas, na otimização de protocolos e na colaboração interdisciplinar para avançar na prática clínica. Em resumo, a anestesia regional desempenha um papel vital na melhoria da experiência e dos resultados dos pacientes em cirurgias específicas, desde que aplicada criteriosamente e com treinamento adequado.
Cuidados Paliativos em Geriatria: Um estudo dos princípios e práticas dos cuidados paliativos para idosos, com foco na melhoria da qualidade de vida e no alívio do sofrimento.
Authors: Faria Marcelo Ribeiro , Merçon João César Almeida , Malveira Lucas Lopes , Correa Katryne Ferreira Rodrigues , Júnior Gelson Cordeiro de Oliveira
Published: October 2023

Os cuidados paliativos em geriatria desempenham um papel vital na melhoria da qualidade de vida e no alívio do sofrimento de idosos que enfrentam doenças crônicas, graves ou avançadas. Este artigo de revisão explora os princípios e práticas que sustentam essa abordagem de cuidado, destacando a importância da abordagem centrada no paciente, que coloca o idoso no centro das decisões relacionadas ao seu tratamento, respeitando sua autonomia e dignidade. A gestão de sintomas, com foco no controle da dor, é fundamental para aliviar o sofrimento físico, permitindo que os idosos participem de atividades significativas. Uma equipe interdisciplinar de profissionais de saúde é essencial para abordar as diversas dimensões do sofrimento dos idosos, promovendo cuidados abrangentes. A promoção da autonomia e o envolvimento dos idosos em decisões relacionadas ao seu tratamento são cruciais para manter um senso de controle e significado em suas vidas. Além disso, a espiritualidade e a terapia de reminiscência desempenham um papel importante na oferta de conforto emocional e sentido aos idosos em cuidados paliativos. Em última análise, uma abordagem abrangente que leve em consideração o bem-estar físico, emocional, social e espiritual dos idosos é essencial. A integração desses elementos, juntamente com uma compreensão profunda dos princípios e práticas dos cuidados paliativos em geriatria, é fundamental para proporcionar cuidados compassivos e eficazes a essa população vulnerável. À medida que a população idosa continua a crescer em todo o mundo, o compromisso com os cuidados paliativos em geriatria torna-se mais crucial do que nunca, garantindo que os idosos recebam o apoio de que precisam em suas últimas fases de vida.
Artroplastia Total de Quadril e Joelho: Uma revisão das técnicas cirúrgicas, materiais utilizados e resultados a longo prazo das artroplastias total de quadril e joelho.
Authors: Santos Luiz Guilherme Sastre dos , Franco Rodrigo Guimarães , Tavares Nicolas Conter , Rodrigues Carolina Sastre , Pereira Elder Nascimento
Published: October 2023

A artroplastia total de quadril e joelho é uma intervenção cirúrgica fundamental na ortopedia, proporcionando alívio da dor e melhora na qualidade de vida de pacientes com doenças articulares graves. Este artigo revisa as técnicas cirúrgicas, materiais utilizados e resultados a longo prazo dessas cirurgias. No que diz respeito às técnicas cirúrgicas, a escolha da abordagem específica deve ser baseada em fatores individuais, como anatomia do paciente e experiência do cirurgião. Tanto no quadril quanto no joelho, técnicas avançadas, como a abordagem anterior e a unicompartimental, têm sido exploradas, com ênfase na curva de aprendizado e habilidades cirúrgicas. Os materiais utilizados, incluindo implantes metálicos, polietileno de alta densidade e cimentos ósseos, são cruciais para a durabilidade dos implantes. A pesquisa também se concentra em materiais inovadores, como implantes cerâmicos e nanomateriais, visando aprimorar a biocompatibilidade e a resistência a infecções. A avaliação dos resultados a longo prazo é essencial para compreender o impacto na qualidade de vida dos pacientes. A satisfação do paciente é um indicador chave, com a maioria relatando melhora significativa. No entanto, a gestão das expectativas do paciente e a orientação pós-operatória são fundamentais. Em conclusão, as artroplastias total de quadril e joelho representam avanços significativos na ortopedia, com benefícios notáveis para os pacientes. Embora desafios persistam, a pesquisa e a prática clínica colaboram para otimizar esses procedimentos, aumentar a durabilidade dos implantes e garantir o bem-estar contínuo dos pacientes.