bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise da cobertura vacinal e prevalência de internações por doenças do trato respiratório por agentes imunopreveníveis em Campos dos Goytacazes
Authors: Tarouquela Vieira Poeys Arícia , Granato Ferreira Gomes Luisa , Albertini Pereira Gomes Micaela
Published: November 2023

As infecções do trato respiratório são as mais frequentes no nosso meio, seu combate se dá por meio de antimicrobianos e imunização. Portanto, a cobertura vacinal torna-se imprescindível para a prevenção dessas infecções. Esta pesquisa se propôs analisar a cobertura vacinal e prevalência de internações por infecções do trato respiratório em Campos dos Goytacazes, no período de 2018 a 2022. Trata-se de um estudo transversal, descritivo, a partir da verificação de dados provenientes do Sistema de Internação Hospitalar do SUS (DATASUS) correspondentes à cobertura vacinal do Programa Nacional de Imunizações. Foram selecionadas as vacinas Pneumocócica, Pneumocócica 1° reforço, Tríplice viral D1, Tríplice viral D2, Tetra Viral, Pentavalente e Influenza. A pesquisa mostrou que apenas as vacinas Pneumocócica, Pneumocócica 1° ref, Tríplice Viral D1 e Pentavalente alcançaram a meta preconizada estabelecida pelo PNI, em 2018. No ano de 2019, constatou-se cobertura significativa somente as vacinas Pneumocócica 1° ref., Tríplice Viral D1 e D2. Posteriormente, nenhuma das vacinas analisadas teve a meta alcançada no município. As taxas de internação por pneumonia não tiveram um aumento proporcional à diminuição das taxas de vacinação, mostrando apenas uma crescente em 2022. Não foi constatada no DATASUS nenhuma internação por Sarampo no período em análise. Outrora, houve um aumento constante das taxas de internações por Influenza. Esse crescimento está relacionado à baixa cobertura vacinal e à falta de compreensão por parte da sociedade de que o imunizante atua, sobretudo, na prevenção contra internações e mortes, sendo consistente com estudos que relatam benefícios substanciais da vacinação para a prevenção desses desfechos na saúde pública, no contexto sul-americano e internacional. O estudo apresenta limitações, principalmente por ser um estudo ecológico com dados secundários. Os dados revelaram que, apesar da significativa queda nas taxas de cobertura vacinal, as taxas de internação por pneumonia não aumentaram proporcionalmente, diversamente aos índices de internações por Influenza, que sofreram um aumento. Logo, verifica-se a relevância da promoção de campanhas de imunização, para garantir uma ampla cobertura vacinal e a saúde da população.
Indicação Cirúrgica em Fibroestenose na Doença de Crohn em uso de Imunobiológico
Authors: da Silva Viana Moreira Kamila , Gomes de Alvarenga Nathália , Rodrigues Monteiro Ferreira Tainá , Gomes da Silva Neto Alline , Monteiro Machado Enilton
Published: November 2023

A Doença de Crohn (DC) é uma das formas das doenças inflamatórias intestinais, e no Brasil tem sido observado um aumento na prevalência, número que corresponde à soma de novos casos e casos já existentes. É uma patologia inflamatória sistêmica de origem transmural e com etiologia desconhecida. Desse modo, o objetivo do presente trabalho é descrever com clareza suas manifestações, tratamentos adquiridos no caso e as implicações nas condições de saúde. É relatado um caso de um paciente de 18 anos em tratamento imunobiológico iniciado em 2021, após o diagnóstico da doen- ça. Procurou atendimento médico após 7 meses do início dos sintomas, com episódios de diarreia, intensas dores abdominais e perda de peso de aproximadamente 40kg. Foi realizada uma enterorressonância no mesmo ano, visando confirmação diagnóstica e avaliação da extensão da doença, obtendo como resultado o espessamento do íleo e outras áreas com subestenose, além de um laboratório constando PCR elevado, que indica um processo inflamatório. Em 2023, o paciente encontra-se com a enterografia e laboratório normais, não cursando com a doença em atividade e valores de ferro dentro da faixa de normalidade, podendo, então, realizar cirurgia para ressecar a parte estenosada e fornecer ao paciente jovem uma melhor qualidade de vida.
Relação da anemia falciforme com pneumonias recorrentes: relato de caso
Authors: Chagas Barros Martins Emilly , Rodrigues Crespo Letícia , Gomes Mussi Isis , De Vasconcellos Sales Pizelli Júlia , Romanel Vinco Lara , Corrêa Campos Barreto Juliana
Published: November 2023

Introdução: A anemia falciforme é uma doença genética causada por uma mutação no cromossomo 11 que determina a substituição do ácido glutâmico pela valina, dando origem à hemoglobina S. As principais manifestações são crises vaso-oclusivas, icterícia, infecções de repetição, sequestro esplênico, crise aplásica, complicações renais e oculares. A principal causa de morte em crianças falcêmicas é a infecção por germes encapsulados, em especial o Streptococcus pneumoniae. Por isso a vacinação é uma das medidas que reduzem a morbimortalidade da doença. Objetivos: Relatar um quadro de pneumonia em um portador de anemia falciforme. Relato de caso: B.A.L, 4 anos de idade, sexo masculino, diagnosticado com a doença falciforme através do “teste do pezinho”, residente em Campos dos Goytacazes-RJ. Em entrevista com a mãe da criança, as internações hospitalares são em média quatro vezes por ano. A terapia farmacológica é feita com ácido fólico, complexo B e penicilina benzatina mensal. A criança deu entrada em uma unidade de emergência com quadro de febre e iniciou amoxicilina. Evolui com tosse secretiva, astenia, recusa alimentar e vômito; retorna ao pronto socorro, necessitando de internação hospitalar. Ao exame físico estava desidratado, febril, taquicárdico, taquipneico, com retração de fúrcula esternal, estertores crepitantes difusos e saturando 90% de oxigênio em ar ambiente. Solicitado suplementação de oxigênio e exames complementares: Hemoglobina 7,4 g/dL, Hematócrito 22,6%, Plaquetas 544 mil/mm³, Leucócitos 28.890/mm³, Proteína C Reativa 110 mg/L. Dentre o esquema antibiótico terapêutico, inicialmente foi utilizada Penicilina Cristalina. Logo após houve a troca para Ceftriaxona associado a Oxacilina devido a extensão da pneumonia. No terceiro dia de internação, apresentou uma palidez cutânea intensa e foi realizada uma transfusão de concentrado de hemácias. Após 4 dias sem resposta ao tratamento e com manutenção do quadro de febre e dessaturação, foi iniciada a vancomicina associada ao cefepime. Após o tratamento e melhora do quadro, o paciente recebeu alta. Conclusão: Embora estivesse em uso diário de ácido fólico e complexo B, assim como a profilaxia mensal com Penicilina G Benzatina, visando prevenir infecções secundárias e minimizar as complicações inerentes à esta hemoglobinopatia, o paciente apresenta episódios de pneumonia recorrentes. Além disso, ressaltamos que a autoesplenectomia e a resistência bacteriana, devem ser sempre consideradas no manejo desses pacientes, como observado neste caso em que houve resposta ao tratamento apenas após a troca de antibiótico. Conclui-se, portanto, a importância de uma abordagem multidisciplinar para oferecer o melhor cuidado a essas crianças, visando à melhora na qualidade de vida e redução da morbimortalidade associada a essa condição.
O BEM DE FAMÍLIA NO CONTRATO DE ALIENAÇÃO FIDUCIÁRIA EM GARANTIA E A RENÚNCIA CONSCIENTE.
Authors: Silva Fernanda Pereira Rosario da
Published: November 2023

Resumo: Este artigo científico tem como objetivo abordar o problema da alienação fiduciária em garantia e o bem de família, tem como função abordar a evolução histórica, alguns aspectos referidos à Lei n° 8.009/1990 onde norteia o que é o bem de família, além de fomentar a impenhorabilidade do bem de família ocasionando a impossibilidade de transferência do bem a instituição financeira em caso de inadimplência do alienatário mesmo diante da renúncia da impenhorabilidade por parte do mesmo.
Astratto: Questo documento scientifico mira ad affrontare il problema dell'alienazione fiduciaria nella garanzia di terzi e della famiglia, la sua funzione è quella di affrontare l'evoluzione storica, alcuni aspetti riferiti alla legge n. 8.009/1990, che dirige ciò che è bene familiare, oltre a incoraggiare l'impenabilità del bene familiare, provocando l'impossibilità di trasferire il bene all'istituto finanziario in caso di inadempimento dell'alienatore anche di fronte alla rinuncia all'impenitenza da parte dello stesso.
Reconciling industrialization and environmental protection for sustainable development in Bangladesh: The textile and apparel industry case
Authors: Hussein Shahadat
Published: November 2023

The textile and apparel (T&A) industry in Bangladesh has been the biggest engine for economic growth for the last three decades. Thanks to the growing contribution of T&A industry, the country has consistently achieved high economic growth, alleviated poverty, and increased per capita income. The comparative advantage of a large pool of cheap labor, easy access to power, and a high potential of creating employment opportunities turned T&A industry as the most thriving sector for Bangladesh. However, the pursuit of speedy economic growth has resulted in a large-scale and poorly planned rapid rise of textile factories and enterprises. A growing number of textile industries and their clustering in a few districts in the country are taking a heavy toll on human health, ecosystems, and the overall environment. As a result, the most productive and profitable industry has become one of the most polluting industries in the country and therefore, it is of paramount importance to address the intensifying threat of environmental degradation in a sustainable manner that balances T&A industrial growth and causes the least damage to human health and natural environment. This paper will explore the major drivers of poorly planned T&A industry in Bangladesh and their adverse impacts on human health and the environment followed by some recommendations that can improve the environmental performance of T&A industry to ensure safe growth in Bangladesh.
Characteristics and electrochemical membrane sensors for selective study and determination of some antidepressant drugs in their pharmaceutical preparations
Authors: Anwar A. Wassel  , Shabaan A. Abdullatif
Published: November 2023

The construction and electrochemical characterisation of potentiometric sensors of the PVC-membrane type are described being developed for the determination of selected antidepressants; namely: Olanzapine, Oxazepam, and Lorazepam. The sensing PVC-membranes incorporate the ion-associates of the drug cations with ammonium reineckate as selective materials dispersed in 2-nitrophenyl-octylether (NPOE) or dibutyl sebacate (DBS) as the plasticizers of choice. These ISEs exhibit rapid, stable and nearly Nernstian response over a relatively wide concentration range of 1 ´ 10-7 M – 0.01 mol L-1 for Olanzapine and 1 ´ 10-6 – 0.01 mol L-1 for Oxazepam and Lorazepam, in mild acidic solutions with pH 4.5. No interferences caused by either inorganic or organic species were found. The three electrodes developed have been tested for potentiometric titrations of all three drugs, as well as for their direct determination via the respective calibration curves. The individual experiments then resulted in average recovery rates in an interval of 98.4-99.2 %, with the R.S.D. of ca. ±1.5 % (n = 3) for all three analytes of interest. Finally, the method proposed has been applied to the determination of the three drugs in pharmaceutical formulations and in urine, when the results obtained were comparable to those obtained with the reference HPLC measurements.
Analysis bibliometrics driving distraction
Authors: Vivin Noviatun Jannah  , Novie Susanto  , Manik Mahachandra
Published: November 2023

The driving process is a very complex activity like awareness, retrieval decision, and execution. Introduction Circumstances distracting the driver are significant for ensuring the driver's safety. Therefore, research This study trends article about distracted driving. Data from the Scopus database is collected, published between 2013 and December 2022, and processed using Vosviewer. The combination of words used to find an article related to distracted driving is "driving distraction" and "behavior." Studying this endeavor answers the formulation problem: " What just trend main, topics key, and the sources that contributed most in the research domain? How development study scientific related distraction driving, especially in context security Then cross section and the factors that influence it, are reflected in literature scientific?". The result of the study This is as follows: Disruption trends driving from year to year experience enhancement so that matter the show that study regarding “Driving Distraction” and “Behavior” are still exciting For researched more further, factors the resulting distraction in study various things, including factor internal and external distraction. Internal factors are existing factors _ from self-drivers and external factors like the use of the telephone, side billboards road, navigation while driving, and listening to music at the moment driving.
The influence of mother's belief on determining dental visit in pandemic covid-19: Literature review
Authors: Tiffany Adistyana Krishna Santi  , Nabilla Pramadhani Kurniawan
Published: November 2023

Coronavirus disease or known as COVID-19 hugely impacted individual's psychological health and individual’s well-being worldwide. This phenomenon has an impact on maternal dental anxiety. Mothers tend to feel a higher level risk of COVID-19 transmission due to treatment while at the dentist, which might lead to avoiding dental visits. Through maternal dental anxiety, it may affect children’s oral and dental health. This behavioral phenomenon can be studied using the Health Belief Model (HBM). The aim of this review was to analyze the influence of the mother's beliefs in determining the need to visit the dentist during a pandemic in terms of the Health Belief Model (HBM) aspect. In this review, we used The Health Belief Model because it can be used to show disease prevention programs and health promotion. The method that we used in this review is a narrative review. Search for articles via ResearchGate, PubMed, and Google Scholar with databases published in 2019-2023. The keywords that we used to search the article were "Health Belief Model in Mother Dental Anxiety" AND "Maternal Dental Fear and Anxiety in COVID-19" or “Toddlers Dental Anxiety in COVID-19.” Articles that we use are original research articles including full text, open access articles, and articles that discuss dental anxiety during COVID-19. The results for this review is HBM influenced maternal dental anxiety in perceived susceptibility and severity. In conclusion, The Influential Health Beliefs Model affects maternal dental anxiety through the perceived susceptibility and perceived severity component.
Factors leading to high levels of indiscipline cases among pupils: A case of selected secondary schools in Lusaka District, Zambia
Authors: Chanda Chansa Thelma  , Lufeyo Chitondo  , Edwin Vinandi Phiri  , Chisebe Sylvester
Published: November 2023

Indiscipline among pupils refers to a situation in which pupils do not control their behavior or obey school rules. Indiscipline entails any act that diverges from acceptable societal norms and values. It is a violation of school rules and regulations which is capable of obstructing the smooth and orderly functioning of the school system. Discipline in a classroom situation, is the ability to guide and control the class towards the attainment of predetermined objectives of education, while Indiscipline on the other hand entails a situation whereby energy and impulses are uncontrolled by moral principles or external authority. To this end, indiscipline in a school may be defined as the unwillingness of pupils and staff to respect authority, obey school rules and regulations, and maintain a high standard of moral and attitudinal behavior conducive to the teaching-learning process as essential to the smooth running of the school. It was for this aim that the study was conducted to analyze factors that lead to a high level of indiscipline among pupils in secondary schools of Lusaka district. The study employed a mixed-method approach and a descriptive survey design that sampled head teachers, teachers, and pupils. Data was obtained from the respondents by means of interviews and questionnaires. The sample consisted of three hundred respondents. Percentages, tables, graphs, and pie charts were used to analyze the data with a combination of software MS Access and MS Excel (version 26). The results of the analysis showed that pupils and teachers agreed on the causes and effects of indiscipline cases in secondary schools which included among others; the Influence of peers, Negative attitudes towards education, Irresponsible parents, and Schools’ inability to enforce rules and regulations. The study therefore recommended that the Ministry of Education should intensify monitoring of schools to ensure that teachers and pupils are fully involved or committed to the teaching and learning process. Additionally, Rules and regulations should be realistic and stated clearly for the absorption of all pupils in all secondary schools.
A Instrução Pública Brasileira e o Ensino de Ciências no final do Império
Authors: Santos Araújo Nazaré Edlani , Costa David Antonio da , Lima Maria Consuelo Alves
Published: November 2023

Faz-se uma discussão, em torno da obra Primeiras Lições de Coisas, traduzida por Rui Barbosa, e sobre as ideias pedagógicas que circulavam no Brasil, no fim do século XIX, sobre o ensino de ciências no cenário educacional brasileiro, do ano de 1880 ao de 1890. O estudo foi norteado pelos questionamentos: Quais as principais características da instrução pública brasileira no período imperial? De que forma a difusão do ensino de ciências corrente, na época, em outros países, influenciou as propostas pedagógicas do ensino de ciências nas escolas primárias brasileiras? Na tentativa de obter respostas, referentes ao recorte temporal em estudo, investigou-se o contexto de circulação e a implementação de propostas de renovação pedagógica nas escolas primárias da época e buscou-se identificar possíveis concepções pedagógicas sobre o ensino de ciências. As análises foram desenvolvidas no âmbito da História do Ensino de Ciências e com o aporte teórico e metodológico da História Cultural. Nesse quadro educacional brasileiro, observou-se que o processo de modernização da nação teve o desenvolvimento industrial como o principal aspecto que desencadeou um ciclo intenso de debates sobre a renovação da instrução pública brasileira, em que a escola passa a assumir um papel totalmente diferente do que exercia nos anos anteriores.
Libro del Conoscimiento de todos los reinos: as viagens na Ásia em um livro de viagem imaginário do século XIV
Authors: Voloski Jorge Luiz
Published: November 2023

Escrito no século XIV, o Libro del conoscimiento de todos los reinos constitui um prático guia de viagem cujo conteúdo aborda a descrição de praticamente todo o mundo conhecido naquele contexto. Narrado em primeira pessoa, o relato redigido por um itinerante anônimo percorre as regiões da Ásia de maneira imaginária, mesclando o conhecimento da época referente a tais localizações. Assim, apresenta informações a respeito dos lugares percorridos, como a cultura e religião dos povos, a geografia da região, as bandeiras dos reinos, algumas curiosidades, entre outras coisas. Dessa forma, o presente artigo busca entender a relação do livro com as viagens medievais ao Oriente. Para tanto, partiremos das problemáticas atuais dos pesquisadores referentes às razões que levaram o autor a narrar, e não à veracidade das descrições. Relacionaremos a obra com outros escritos de viagens da época, percebendo, por exemplo, como apresenta a situação dos deslocamentos naquele contexto, os tipos de embarcações utilizados, os grupos itinerantes daquelas regiões e a expectativa no que diz respeito às cidades.
IDENTIFIKASI PINTU AIR DI DESA RASAU JAYA SATU KECAMATAN RASAU JAYA KABUPATEN KUBU RAYA
Authors: Nurhidayati Ely , Panjaitan Monika Stella Leonita
Published: November 2023

Desa Rasau Jaya Satu merupakan satu dari desa yang berada di Kecamatan Rasau Jaya yang dilakukan pengembangan jaringan irigasi untuk mendukung program swasembada pangan pada tahun 1970-an. Pengembangan jaringan irigasi dilakukan dengan membangun saluran pengairan serta pengaturan pengairan berupa pintu air pada saluran tersier. Permasalahan ditemukan oleh peneliti saat observasi awal pada pintu air yang telah dibangun oleh pemerintah, yaitu pintu air sudah banyak yang mengalami kerusakan baik itu disebabkan oleh faktor alam maupun faktor dari oknum yang kurang bertanggungjawab. Penelitian ini menggunakan metode analisis deskriptif, melalui penilaian Indikator Jenis Kerusakan Pintu Air. Hasil Penelitian, menunjukkan bahwa kondisi kerusakan pintu air yang sebagian besar berada di Jalan Pahlawan banyak mengalami kerusakan terutama pada bagian stir pintu dan daun pintu karena jumlah sebagian besar pintu air berada di Jalan Pahlawan. Tingkat kerusakan pintu air yang terjasi terbagi menjadi 3 yaitu rusak berat terdapat 14 pintu air, rusak sebagian terdapat 15 pintu air dan keadaan pintu yang baik terdapat 16 pintu air.
CEGAH OSTEOPOROSIS MELALUI PELATIHAN SENAM LANSIA DAN CERAMAH KESEHATAN DI DESA TANJUNG GUSTA
Authors: Simorangkir Saharnauli Janna Verawaty , Novita Hasiani Simanjuntak
Published: November 2023

Osteoporosis is a systemic bone disorder, which is characterized by damage to the micro-architecture of bone tissue, which occurs as a result of an imbalance in the bone remodeling process. Various actions that can be taken to prevent osteoporosis one of which is to increase physical activity such as exercise. Exercise can stimulate bone growth and maintain bone mass. The series of activities carried out were training in elderly gymnastics at the beginning of the event, then followed by providing counseling about Osteoporosis using the health lecture method. The purpose of this activity was to provide education about osteoporosis and to train elderly gymnastic movements as a step to prevent osteoporosis. This activity was attended by 30 participants in Dusun II Timur, Tanjung Gusta Village, all of whom were female. The results of this activity showed that as many as 22 people (73.3%) participants showed an increase in test results, and the results of the paired t test showed a significant difference between the pretest and posttest results with a p value <0.05, meaning that this activity was effective in terms of increasing knowledge about Osteoporosis in all participants
INOVASI LATIHAN FISIK DALAM MENGURANGI NYERI PUNGGUNG BAWAH DI KELURAHAN KROBOKAN
Authors: Nurrizky Mianti , Saptawati Tunik , Aldila Silvy
Published: November 2023

Background: Low back pain is a case that is often found in society, this is because people still do not pay attention to proper body posture when carrying out daily activities so as not to cause low back pain. In the Kerobokan sub-district itself, after observation, most of the vulnerable aged 30-60 years had complaints of lower back pain, especially when doing certain activities, such as sitting for too long, lifting gallons, and several other activities. The target and output of this activity are in the form of posters and pocketbooks that will be given to the community so that they can provide benefits. This activity was carried out in the front yard of the Kerobokan Village Hall with the target participants being women farmer groups, PKK, and residents of Kerobokan Village as many as 30 Participants. The results obtained based on the questionnaire showed a significant change in increasing knowledge of lower back pain reduction education before and after the delivery of the material. It can be concluded that knowledge influences the level of society to pay more attention to the right position during activities to prevent lower back pain.
TRAINING ON THE APPLICATION OF KINESIOTAPING COMBINED WITH CONTRACT RELAX AS A PREVENTIVE AND REHABILITATIVE MEASURE FOR SPORTS INJURIES
Authors: Kardi Ipa sari , Wijaya I Putu Eka , Ita Saharuddin , Leni Ari Sapti Mei , Ibrahim  , Hasan Baharuddin , Nurhidayah Dewi , CS Ansar , Nopiyanto Yahya Eko
Published: November 2023

The problems experienced by PPLP/D Papua athletes is sports injuries which limit athletes in running an optimal training program. The dense and heavy training program causes a tendency for sports injuries to occur. The purpose of this community service is to upgrade knowledge and skills on how to install kinesiotaping and contract relax as an effort to preventive and rehabilitative sports injuries. The method used is training with the flow of delivering material and demonstration. Population in this community service are PPLP/D Papua athletes with a total of 98 athletes. The sample used was 60 athletes from 12 sports. The results obtained are an increase in PPLP/D athletes' knowledge about kinesiotaping and contract relax, the dominant pretest results of the very low category 53 athletes (88.3%) become the dominant category of very high 19 athletes (31.7%), high category 18 athletes (30%), and medium category 18 athletes (30%). The results of the t test analysis (paired sample test) found the sig value (2-tailed) = 0.001 <0.05. Based on the results obtained, it can be concluded that the training provided has a positive impact on PPLP/D Papua athletes in terms of increasing knowledge about the application of kinesiotaping and contract relax as preventive and rehabilitative sports injuries.
PENINGKATAN PENGETAHUAN KADER STUNTING DI WILAYAH BINAAN PUSKESMAS BRINGIN MELALUI EDUKASI BERBASIS DIGITAL DENGAN METODE BRAINSTORMING DI ERA GLOBALISASI DALAM PENCEGAHAN STUNTING
Authors: Devi Devi Pramita Sari , Nur Hikmah  , Fifi Anisa Nur Hidayati  , Alifah Sari Nugraini
Published: November 2023

Stunting is a condition of failure to grow to achieve normal growth due to poor nutritional status in a long period of time. In the preliminary study, there were 5 children under two who were stunted at the Bringin Health Center and it was found that there was a lack of training and knowledge of cadres related to stunting. PkM participants are Stunting Cadres assisted by Bringin Community Health Center. The purpose of this PkM activity is to increase the knowledge of stunting cadres through digital-based education with the brainstorming method in stunting prevention. This is the basis for conducting community service with the title "Increasing Knowledge of Stunting Cadres in the Assisted Areas of Bringin Health Center through Digital-Based Education With Brainstorming Methods in the Era of Globalization in Stunting Prevention". The activity stage was preceded by coordination and communication activities with the Head of the Puskesmas and the Head of Cadres of the Assisted Areas of the Bringin Public Health Center, Semarang Regency. The implementation of Community Service (PKM) is carried out offline through digital-based education using the brainstorming method. The outputs of this PkM activity are the publication of scientific articles in the PkM journal, a 5-minute video of PkM activities, and the integration of the results of PkM activities in courses. The output of this PkM is expected to have an impact on increasing knowledge, improving the quality of abilities, as well as the real practice of stunting cadres in the Bringin Community Health Center target area in stunting prevention.
Increased versus stable doses of inhaled steroids for exacerbations of chronic asthma in adults and children: Protocol
Authors: BS Quon , JM FitzGerald , C Lemière , N Shahidi , FM Ducharme
Published: November 2023

Background
Written action plans providing guidance in the early treatment of asthma exacerbations have traditionally advocated doubling of inhaled
corticosteroids (ICS) as one of the first steps in treatment.
Objectives
To compare the clinical effectiveness of increasing the dose of ICS versus keeping the usual maintenance dose as part of a patientinitiated action plan at the onset of asthma exacerbations.
Search methods
We searched the Cochrane Airways Group Specialised Register (last search October 2009) which is derived from searches of CENTRAL, MEDLINE, EMBASE and CINAHL, as well as handsearched respiratory journals and meeting abstracts.
Selection criteria
Randomised controlled trials (RCTs) that compared the strategy of increasing the daily dose of ICS to continuing the same ICS dose in the home management of asthma exacerbations in children or adults with persistent asthma on daily maintenance ICS.
Data collection and analysis
Two review authors independently selected trials, assessed quality and extracted data. We contacted authors of RCTs for additional information
Main results
Five RCTs (four parallel-group and one cross-over) involving a total of 1250 patients (28 children and 1222 adults) with mild to moderate asthma were included. The mean daily baseline ICS dose was 555 mcg (range 200 mcg to 795 mcg) and the mean daily ICS dose achieved following increase was 1520 mcg (range 1000 mcg to 2075 mcg), in CFC beclomethasone dipropionate equivalents. Three parallel-group studies in adults (two doubling and one quadrupling; mean achieved daily dose of 1695 mcg with a range of 1420 to 2075 mcg), involving 1080 patients contributed data to the primary outcome. There was no significant reduction in the need for rescue oral corticosteroids when patients were randomised to the increased ICS compared to stable maintenance dose groups (OR 0.85, 95% CI 0.58 to 1.26). There was no significant difference in the overall risk of non-serious adverse events associated with the increased ICS dose strategy, but the wide confidence interval prevents a firm conclusion. No serious adverse events were reported.
Authors’ conclusions
There is very little evidence from trials in children. In adults with asthma on daily maintenance ICS, a self-initiated ICS increase to 1000 to 2000 mcg/day at the onset of an exacerbation is not associated with a statistically significant reduction in the risk of exacerbations requiring rescue oral corticosteroids. More research is needed to assess the effectiveness of increased ICS doses at the onset of asthma exacerbations (particularly in children).
Penggunaan Media Pembelajaran Teka-teki Silang Online untuk Meningkatkan Kemampuan Menyusun Kalimat Majemuk
Authors: Kuncara Kusuma Peny , Farikah  , Mulyani Mimi
Published: November 2023

This conceptual article describes the use of online crossword puzzle learning media to improve the ability to compose compound sentences. Online crossword puzzle learning media can be used as an alternative in varying the learning media. The existence of innovative and appropriate learning variations can help to achieve learning objectives and improve student achievement. The use of online crossword puzzle learning media also has various advantages. There are seven advantages of using online crossword puzzle learning media, namely, 1) learner-centred learning, 2) students become creative and think critically, 3) students can solve problems, 4) varied and interesting learning media, 5) students become motivated, 6) increase student achievement, and 7) can be accessed anywhere. In addition, the online crossword puzzle learning media is very effective in learning to compose compound sentences. Making crosswords online for learning to compose compound sentences is very easy, you only need to go through a few steps. Making crosswords online using the Eclipse Crossword Puzzle application and the LIVEWORKSHEETS webpage. It is also easy to apply the results from the Eclipse Crossword Puzzle application and the LIVEWORKSHEETS webpage. Just need to share the link from the LIVEWORKSHEETS webpage with students. Students can also easily access the link via smartphones, laptops, or PCs that are connected to the internet.
Potret Kekerasan dalam Cerpen-cerpen Pilihan Kompas 2010
Authors: Suratno Pardi
Published: November 2023

Violence is a natural condition in a person’s life or society. Everybody, indeed, does not desire violence, however, its occurrence never ends. This article examines violence in short stories selected by Kompas 2010. From the data, there are a number of short stories in the anthology that contains violence, including vigilante violence, medical violence, domestic violence, sexual violence, and cultural violence. “Pengunyah Sirih”, “Ada Cerita di Kedai Tuak Martohap”, “Sunya Ruri”, ”Ordil Jadi Gancan”, “Lebih Kuat dari Mati”, and “Pohon Jejawi” are the short stories contain violence. Text excerpts that contain violence are the data in this research. This research is classified as literature research with a qualitative descriptive framework. The analysis is carried out with an objective literary analysis framework, namely analyzing reality in literary texts autonomously. The results of the study are in the form of conclusions that state that there are variations of violence in the short stories chosen by Kompas 2010, including violence against the law, violence against anarchist demonstrations, domestic violence, sexual violence, medical violence and cultural violence.
Amanat Tentang Nilai Pendidikan Karakter dalam Novel Selena Karya Tere Liye sebagai Bahan Ajar Sastra di SMA
Authors: Anisya Galih Rismon , Cahyani Dzikrina Dian , Hapsari Theresia Ratna Ning
Published: November 2023

This study aims to describe the message about the value of character education in Tere Liye's novel Selena and produce the implementation of the message about the value of character education in Tere Liye's novel Selena as a literature teaching material in high school. The approach in this study is a descriptive qualitative approach. The research subject is the message about the value of character education in the novel Selena. The data are in the form of sentences and paragraphs containing a message about the value of character education in the novel Selena. The data source of this research is the novel Selena by Tere Liye. Data collection techniques used reading and note-taking techniques. Then the data analysis technique uses content analysis techniques. The results of the study found four values ​​of character education, namely, religious values, integrity, mutual cooperation, and independence. Implementation of research results in the form of handouts for learning literature for class XII SMA Curriculum 2013. Contains material KD 3.9 analyzing the content and language of novels and KD 4.9 designing novels by paying attention to content and language.
Analisis Gaya Bahasa Personifikasi dalam Kumpulan Cerpen Sepasang Sepatu Tua Karya Sapardi Djoko Damono
Authors: Fauziyah Rahmah , Nugroho Rudi Adi
Published: November 2023

Language style in short stories is an important element in building a unique story. The choice of language and story development in a collection of short stories of a pair of old shoes by Sapardi Djoko Damono has a deep meaning. One of them is the personification style used to describe various conditions and feelings. The disclosure of the contents of the short story collection book is wrapped in a distinctive language style. Deep messages can be felt from the use of a unique language style. It is not only the imagination in the story that is conveyed but also the feelings of the author that are poured out properly. The existence of phenomena related to current conditions is a special attraction because it is presented in a unique style of language. This study used a qualitative descriptive method with observing, note-taking and literature study techniques.
Pathogen Disgust Does Not Predict Stigma Towards Obsessive-Compulsive Disorder
Authors: Bond Ben
Published: November 2023

 It has been suggested that both the avoidance of individuals with infectious diseases and stigmatisation of others are driven by the emotion disgust. Previous research lends credence to this hypothesis, however, whether disease avoidance and disgust play a role in stigma towards those with mental disorders remains unclear. To test this, the present study examined whether pathogen disgust scores on the Three Domain Disgust Scale were associated with stigmatising attitudes towards those with four different presentations of obsessive-compulsive disorder (n=70). Moral disgust and sexual disgust were also incorporated as exploratory variables. Our results indicated that neither pathogen disgust, moral disgust nor sexual disgust scores could predict stigma towards any of the obsessive-compulsive disorder presentations, suggesting that variation in disgust may be unable to completely explain individual differences in stigma towards obsessive-compulsive disorder. 
Improving the forms and methods of economic education of workers in the conditions of their production activities in the Urals in the 1970s.
Authors: Perebeynos Artem , Ptashko Tatyana , Nikitin Leonid , Pavlenko Elena , Moiseeva Elena
Published: November 2023

The article highlights the issues of improving the methods of economic education of workers in the conditions of their daily working life in the 1970s. Based on the archival documents discovered by the authors, the main direction of increasing the level of economic knowledge of the working people is the training of propaganda personnel for all forms of economic education. The result of the activities of propagandists was the use by workers of creative approaches to work, the development of personal plans for improving their work activities, the development and implementation of group counter plans.
Transformative Trends and Sustainable Practices in Modern Manufacturing: A Comprehensive Exploration
Authors: Egon Kaledio , EUGENE RUSSELL
Published: November 2023

This comprehensive exploration delves into the dynamic interplay between transformative trends and sustainable practices in modern manufacturing. Charting the evolution of the manufacturing industry from historical roots to its present state, the study unveils a landscape characterized by technological innovations, environmental imperatives, and a heightened societal commitment to responsible production.Key transformative trends, including digitalization, artificial intelligence, and resilient supply chains, are dissected in tandem with the adoption of sustainable practices such as circular economy principles and ethical supply chain management. Case studies of industry leaders exemplify the tangible impact of aligning these trends with sustainable practices, providing valuable insights for stakeholders.Looking towards the future, the outlook anticipates continued integration of emerging technologies, advancements in sustainable materials, and an increased focus on resilient and sustainable supply chains. Regulatory frameworks and global collaboration are poised to play pivotal roles in shaping the industry's trajectory.This exploration serves as a roadmap for manufacturers, policymakers, researchers, and industry enthusiasts, offering a nuanced understanding of the modern manufacturing landscape. By navigating the complexities of transformative trends and sustainable practices, stakeholders can make informed decisions, foster innovation, and contribute to a manufacturing industry that is not only efficient and competitive but also environmentally conscious and socially responsible.
PENTINGNYA PENDIDIKAN MULTIKULTURAL DALAM KURIKULUM
Authors: Jati Hendar
Published: November 2023

Pendidikan multikultural adalah pendidikan yang berlandaskan pada asas dan prinsip konsep multikulturalisme yakni konsep keberagaman yang mengakui,menerima dan menegaskan perbedaan dan persamaan manusia yang dikaitkan dengan gender, ras, dan kelas,agama berdasarkan nilai dan paham demokratis yang membangun pluralisme budaya dalam usaha memerangi prasangka dan diskriminasi. Adapun pentingnya pendidikan multikultural di Indonesia yaitu sebagai sarana alternatif pemecahan konflik, peserta didik diharapkan tidak meninggalkan akar budayanya, dan pendidikan multikultural sangat relevan digunakan untuk demokrasi yang ada seperti sekarang.
The spiraling brain: Combinatorial, reciprocal, and reentrant macro-organization
Authors: Pessoa Luiz
Published: November 2023

This paper proposes a framework for understanding the macro-scale organization of anatomical pathways in the mammalian brain. The architecture supports flexible behavioral decisions across a spectrum of spatiotemporal scales. The proposal emphasizes the combinatorial, reciprocal, and reentrant connectivity between cortical, basal ganglia, thalamic, amygdala, hypothalamic, and brainstem circuits. Thalamic nuclei, especially midline/intralaminar nuclei, are proposed to act as hubs routing the flow of signals between areas. The hypothalamus also participates in multi-region circuits via its connections with cortex and thalamus. At slower timescales, long-range behaviors integrate signals across levels of the neuroaxis. At fast timescales, parallel engagement of pathways allows urgent behaviors while retaining flexibility. Overall, the proposed architecture enables context-dependent, adaptive behaviors spanning proximate to distant spatiotemporal scales. The framework promotes an integrative perspective and distributed, heterarchical view of brain function.
Pemikiran ekonomi oleh para khulafarasyidin
Authors: arif Nurul muthmainnah
Published: November 2023

Pemikiran sistem ekonomi masa khulafarasyidin
Convergence in simulating global soil organic carbon by structurally different models after data assimilation
Authors: Tao Feng , Houlton Benjamin , Huang Yuanyuan , Wang Ying-Ping , Manzoni Stefano , Ahrens Bernhard , Mishra Umakant , Jiang Lifen , Huang Xiaomeng , Luo Yiqi
Published: November 2023

The current generation of biogeochemical models produce large uncertainty in carbon-climate feedback projections. Structural differences in these models have been identified as a major source of inter-model uncertainties when simulating soil organic carbon (SOC) dynamics worldwide. However, parameterization could also play a role, particularly when common observational data are used to constrain model simulations. Here we demonstrate the critical role of observational data in reducing model-based uncertainty in global estimates of SOC. We applied the PROcess-guided deep learning and DAta-driven modeling (PRODA) approach to constrain both a microbial implicit model based on first-order kinetics (i.e., Community Land Model version 5, CLM5) and a microbial explicit model based on Michaelis-Menten kinetics (i.e., CarbOn cycle and Microbial PArtitioning Soil model, COMPAS) with >50,000 globally distributed SOC vertical profiles. Overall, the two constrained models predicted similar carbon transfer efficiency, baseline decomposition rate, and environmental effects on carbon fluxes. These converged model components contributed to similar SOC patterns simulated by the two structurally different biogeochemical models. Carbon input allocation and vertical transport were less constrained by SOC profile data and require other data sets to constrain. Moreover, after being constrained by SOC observations, the Michaelis constant in COMPAS tends to be much larger than its corresponding substrate concentration in SOC decomposition. Thus, the Michaelis-Menten kinetics in the COMPAS model can be approximated by multiplicative kinetics (i.e., first order with respect to both donor and received pool carbon) in these global scale simulations. Our results highlight the importance of observational data in informing model development and constraining model predictions.
Interference across time: Dissociating short temporal interference from long temporal interference
Authors: Hochmitz Ilanit , Abu-Akel Ahmad , Yeshurun Yaffa
Published: November 2023

Our ability to identify an object is often impaired by the presence of preceding and/or succeeding task-irrelevant items. Understanding this temporal interference is critical for any theoretical account of interference across time and for minimizing its detrimental effects. Therefore, we used the same sequences of 3 orientation items, orientation estimation task, and computational models, to examine temporal interference over both short (<150ms; visual masking) and long (175–475ms; temporal crowding) intervals. We further examined how inter-item similarity modifies these different instances of temporal interference. Qualitatively different results emerged for interference of different scales. Interference over long intervals mainly degraded the precision of the target encoding while interference over short intervals mainly affected the signal-to-noise ratio. Although both interference instances modulated substitution errors (reporting a wrong item) and were alleviated with dissimilar items, their characteristics were markedly disparate. These findings suggest that different mechanisms mediate temporal interference of different scales.
विद्यालय सुधार योजनालाई प्रभावकारी बनाउने उपायहरू {Measures to make the school improvement plan effective}
Authors: खनाल Khanal दिपक Dipak
Published: November 2023

प्रस्तुत लेख विद्यालय सुधार योजनालाई प्रभावकारी बनाउने उपायहरूमा केन्द्रित रहेको छ । यस लेखको मुख्य उद्देश्य विद्यालय सुधारयोजना निर्माण र कार्यान्वयनबाट विद्यालयका विभिन्न पक्षमा सकारात्मक परिवर्तन ल्याउने रहेको छ । काठमाडौं जिल्लाको नागार्जुन नगरपालिकाभित्र रहेका ११ वटा सामुदायिक माध्यमिक विद्यालयहरूलाई उद्देश्यमूलक नमुना छनोट विधिबाट चयन गरी सरोकारवालाको प्रतिनिधिमूलक सहभागिताको आधारमा अन्तरक्रिया, सामूहिक छलफल, अन्तरवार्ता, प्रश्नावली र अवलोकनजस्ता साधनहरूको प्रयोग गरी प्राथमिक तथ्याङ्क सङ्कलन गरिएको छ । विभिन्न अनुसन्धानमूलक लेखहरू, अनुसन्धान प्रतिवेदनहरू र अन्य दस्तावेजहरूबाट द्वितीय स्रोतको रूपमा सूचना तथा जानकारी प्राप्त गरिएको छ । यस अध्ययनमा मिश्रित अनुसन्धान ढाŖचाको प्रयोग गरिएको छ । यस अध्ययनमा प्रधानाध्यापक, शिक्षक, विद्यार्थी र विद्यालय व्यवस्थापन समितिका पदाधिकारीहरूसंग गरिएको अन्तर्वार्ता र जानकारीबाट प्राप्त सूचनालाई अन्य सरोकारवाला व्यक्तिहरूसŖग उनीहरूको दृष्टिकोणलाई वैधता दिनका लागि त्रिभुजीकरण गरेर विभिन्न ऐननियमसंग तुलना गरी विश्लेषण गरिएको छ । हर्जवर्ग, १९५९ ले भने झैŖ उत्कृष्ट कार्यसम्पादनलाई अभिप्रेरित गर्न अनुकूल वातावरण तयार गर्ने कुरा यस अध्ययन क्षेत्रमा समेत सान्दर्भिक भएको देखिन्छ । अध्ययन क्षेत्रका विद्यालयहरूले योजना निर्माण गर्दा भौतिक पक्षलाई बढी प्राथमिकता दिएको पाइयो । निर्माण भएका योजना नब्बे प्रतिशतभन्दा बढी कार्यान्यन भएका छन्। निर्माण र कार्यान्वयन गरिएका योजनाबाट सरोकारवालापक्षको क्षमता अभिवृद्धि, भौतिक पक्षको सुधार, आर्थिक पारदर्शिता, सिकाइ उपलब्धिमा अभिवृद्धि, स्थानीय स्रोत साधनको अधिकतम उपयोगजस्ता परिवर्तनहरू आएका छन् । विद्यालय सुधार योजनालाई अझ बढी प्रभावकारी बनाउन सम्बन्धित व्यक्तिमा अपनत्वको भावना जागृत हुनुपर्ने, समन्वय, प्रभावकारी निरीक्षण र अनुगमन, अनुकूल, कार्यवातावरण, निर्माण, दण्ड एवम् पुरस्कारलाई प्रभावकारी कार्यान्वयन गर्नुपर्ने जस्ता उपायहरू सरोकारवालाले औंल्याएका छन् । अतः सरोकारवालाले औल्याए जस्तै अनुकूल विद्यालय सुधार योजनालाई प्रभावकारी बनाउने उपायहरू कार्यवातावरण निर्माण गरी विद्यालय सुधार योजनालाई अझ बढी प्रभावकारी बनाउनुपर्ने देखिन्छ ।