bluuebunny/crossref_metadata_2025 huggingface dataset:
Capítulo 28: Direccionamiento de las políticas públicas que influyen en la población indígena Wayuu en Manaure - La Guajira – Colombia
Authors:   Universidad de La Guajira, Sánchez Barliza Clara Elena , Epieyu Epinayu Maria Eugenia ,   Universidad de La Guajira, Serna Ortiz Esmider Alberto ,   Universidad de La Guajira
Published: February 2024

El presente artículo, direccionamiento de las políticas públicas de Salud, que influyen en la población indígena wayuu del municipio de Manaure, Departamento de La Guajira; se abordó esta temática estudiando los indicadores: formulación, implementación, seguimiento y evaluación de dichas políticas, derivadas del resultado de la investigación “Políticas Públicas de Salud en la Población Indígena Wayuu del Municipio de Manaure en el Departamento de La Guajira, Colombia”. Fundamentada en las teorías del Ministerio de Salud y la Protección Social (2016); (Martínez, 2011 citado por Torres y Santander, 2013; Delgado, 2009; Quintero, 1995) citado por García (2013); entre otros autores. Bajo un enfoque cuantitativo aplicando una encuesta tipo Likert compuesta por veintidós afirmaciones y cinco categorías como escalas de respuesta. Los resultados arrojaron la importancia de contar con la formulación de políticas públicas de salud que cumplan con su finalidad. Cabe considerar la falencia que existe en la implementación de políticas públicas de salud, el seguimiento y evaluación rigurosa de dichas políticas. Finalmente, se sugiere gestionar por parte de las directivas administrativas pequeños puestos de salud para las comunidades más dispersas del municipio.
Capítulo 3: La participación Infantil desde las prácticas etnoeducativas de la comunidad Wayuu y en las primicias educativas del Siglo XXI
Authors:   Universidad de la Guajira, Brito Carrillo Clara Judith , Rodríguez Valencia María Elizabeth ,   Institución Universitaria Antonio José Camacho, Girón Ledesma Natalia ,   Institución Universitaria Antonio José Camacho, Castaño Zapata Manuela ,   Institución Universitaria Antonio José Camacho
Published: February 2024

Los resultados de la investigación cualitativa realizada en el programa Delfín "Por una cultura científica" de la Universidad Autónoma de Nayarit 2021, en representación del Semillero de Investigación en Arte y Pedagogía SIAP, titulada Primicia Educativa para Fortalecer la Participación de los niños y niñas en los procesos de Enseñanza y Aprendizaje en Educación Inicial Centro Etnoeducativo Pasito #4, Riohacha, La Guajira, permiten precisar que dentro de “Las primicias educativas” existen enfoques pedagógicos que aportan significativamente a la participación infantil en el aula y las comunidades, exponiendo cómo esta se evidencia en centros etnoeducativos Wayuu. Se analizan las primicias educativas del S. XXI y la articulación con los procesos de enseñanza y aprendizaje que viven los niños y niñas, para comprender la participación infantil y sus formas de expresión en ambientes educativos. Mediante entrevistas con madres de familia y docentes de la comunidad Wayuu, se obtiene una comprensión más amplia de sus costumbres y relaciones en el contexto etnoeducativo. Finalmente, se profundiza valorando la etnoeducación y el aporte teórico de los pedagogos Freire, Dewey y Freinet, basándose en el libro Legado Pedagógico del Siglo XIX para la Escuela del Siglo XXI (2001), de los autores: Fernández, González e Imbernón.
Capítulo 7: Satisfacción de los usuarios y necesidades insatisfecha de productos farmacéuticos en un centro de salud en Trujillo - Perú
Authors:   Universidad César Vallejo, Lora Loza Miryam Griselda , Moncayo Vargas Nadya Katherine ,   Universidad César Vallejo, Mejía Pinedo Davis Alberto ,   Universidad César Vallejo, Escobar Bermejo Gloria Regina ,   Universidad Nacional Jorge Basadre Grohmann, Rodríguez Beas Tomas , Sotelo Gonzales Soledad Carmen
Published: February 2024

La calidad y la satisfacción del servicio de salud se ven afectadas por la falta de acceso a los productos farmacéuticos, lo cual provoca insatisfacción, frustración y desconfianza en los usuarios, perjudicando así su adherencia al tratamiento, su salud y su bienestar. El presente estudio tuvo como objetivo determinar la relación entre la demanda insatisfecha de productos farmacéuticos y la satisfacción del usuario externo en el centro de salud Víctor Larco Herrera Trujillo, 2018. Se trata de una investigación de tipo descriptiva correlacional de diseño transversal, con un enfoque cuantitativo, un método deductivo y un paradigma positivista, en la que se aplicaron dos cuestionarios adaptados al servicio de farmacia. El primer cuestionario fue el elaborado por la Doctora Kelly Ibañez y el segundo cuestionario fue la escala multidimensional de SERVQUAL, las cuales constaron de 7 y 22 preguntas respectivamente. La muestra estuvo conformada por 134 usuarios. Los resultados mostraron que el 42,5% de los usuarios presentaron alta demanda insatisfecha de productos farmacéuticos, el 17,2% presentaron demanda insatisfecha media de productos farmacéuticos y el 40,3% presentaron baja demanda insatisfecha de productos farmacéuticos. Asimismo, las dimensiones de fiabilidad, capacidad de respuesta, seguridad, empatía y tangibilidad se categorizaron como regulares con valores de 23,1%, 14,9%, 20,9 y 17,9%, respectivamente. Se concluyó que la demanda insatisfecha de productos farmacéuticos presenta una baja correlación con la empatía y seguridad con coeficientes de Rho Sperman (-0,371) y (-0,274) y con (p<0,01) estadísticamente muy significativo. Se discuten las implicaciones de estos hallazgos para la gestión del servicio de farmacia y la satisfacción del usuario externo.
Capítulo 8: Inversión en automóviles: un estudio de la limitante en su monto máximo deducible en México
Authors:   Universidad Politécnica de Tulancingo, López Torres César Ángel , Monroy Templos Héctor ,   Universidad Politécnica de Tulancingo, Tenorio Pastrana Edgardo Alejandro ,   Universidad Politécnica de Tulancingo, Ocádiz García Julieta ,   Universidad Politécnica de Tulancingo, López Torres María del Rosario ,   Universidad Politécnica de Tulancingo
Published: February 2024

Las deducciones, para efectos fiscales tienen una relación directa con la base imponible, a mayor deducción menor base y por consiguiente menor impuesto causado. En México existen deducciones cuyo monto está limitado a cierta cantidad, tal es el caso de la adquisición de automóviles y, esa limitación en la deducción, tiene una incidencia directa en el pago de las contribuciones, ya que, mientras el precio de los automóviles aumenta cada año, el monto de la deducción permanece fijo desde hace muchos años, situación que no permite un pago justo en el Impuesto Sobre la Renta. El objetivo de la investigación es aplicar los índices inflacionarios en las cifras fijas relativas, a la limitante en la deducción de automóviles, y poder determinar una Impuesto Sobre la renta acorde a la realidad contributiva de las empresas. Los resultados obtenidos permitieron realizar una petición a un síndico del contribuyente, con la fundamentación y cálculos necesarios, concluyendo que este, pueda realizar un debido planteamiento ante las autoridades fiscales, a fin de que se establezca en la legislación un procedimiento que permita la actualización de la limitación en la deducción de automóviles acorde a la realidad económica.
Risk Factors Associated With Distress Among Postoperative Patients in an Academic Gynecologic Oncology Practice
Authors: Gross Maya E. , Sobecki Janelle N. , Park Chan , Yu Menggang , Wallace Sumer K.
Published: February 2024

Background: Distress among gynecologic oncology patients correlates with poor clinical outcomes and decreased quality of life. The purpose of this study was to determine risk factors for elevated NCCN Distress Thermometer (DT) results among postoperative gynecologic oncology patients. Patients and Methods: We performed a retrospective chart review of all postoperative visits over a 5-year period. NCCN DT results were analyzed as both discretized values (DT ≤3 = low distress; DT 4–8 = moderate distress; DT ≥9 = high distress) and continuous variables. Patients with a DT score ≥4 were referred to social work. Univariate and multivariate regression analyses were performed to compare NCCN DT results with clinical and sociodemographic variables. Statistical significance was P<.05. Results: In total, 1,795 NCCN DT results were included, with uterine (37.72%) being the most common disease site. Benign pathology was known prior to completion of the NCCN DT in 13.15% of patients. Most patients (71.75%) endorsed low levels of distress. Moderate/High levels of distress were reported by 28.25% of patients. Increasing levels of distress were significantly associated with younger age (P=.006), history of depression (P≤.001), status as a current smoker (P=.028), and history of asthma (P=.041). Knowledge of benign pathology was associated with low levels of distress (P=.002). Procedure type and disease site were not associated with distress. Conclusions: More than one-fourth of postoperative patients in a gynecologic oncology practice reported moderate or high distress. Distress was highest among those with malignancy regardless of disease site or surgical intervention. Benign pathology correlated with decreased distress. Identified associations with distress provide opportunities for prevention, early intervention, and tailored counseling.
Tingkat Literasi Keuangan Syariah Warga Muhammadiyah Di Kabupaten Sidrap
Authors: Alisa  , Agusdiwana Suarni  , Sahrullah
Published: February 2024

Penelitian ini merupakan jenis penelitian kuantitatif dengan metode random sampling, analisis data dilakukan dengan statistik deskriptif, yang bertujuan untuk mengetahui lebih lanjut mengenai pemahaman literasi keuangan syariah warga muhammadiyah di kabupaten sidrap tujuan untuk mengetahui dan melnganalisis tingkat kelulangan syariah warga mulhammadiyah di kabulpateln sidrap. Adapun sumber data penelitian ini  adalah data primer yang berasal dari penyebaran kuesioner. Data sekunder juga didapatkan dari data yang tidak secara langsung diperoleh penelitian atau berupa dokumen. Berdasarkan hasil penelitian dapat disimpulkan bahwa Tingkat Literasi Keuangan Syariah Warga Muhammadiyah Di Kabupaten Sidrap sudah relatif tinggi. Hal ini dapat dilihat dari rata – rata responden yang menjawab pertanyaan sebesar 99.88%  yang tergolong dalam kategori tinggi (75% - 99%).
Apparatus Competence, Internal Control System, Information Technology Utilization and Accountability of Village Fund Allocation Management
Authors: Mukarramah Nurtisatul
Published: February 2024

Purpose: This research aims to determine and analyze the influence of apparatus competency, internal control systems, and information technology on village government accountability in managing village fund allocations.
Research Design and Methodology: The data analysis method that will be carried out consists of descriptive statistical analysis, validity test, reliability test, classical assumption test, and hypothesis testing through multiple linear regression analysis, t test and f test.
Findings and Discussion: The research results show that apparatus competency has a negative and insignificant effect on village government accountability in managing village fund allocation. Meanwhile, the internal control system and information technology positively and significantly affect village government accountability in managing village fund allocations.
Implications: The practical implication of the results of this research is the need for serious attention to increasing competence, implementing an effective internal control system, and optimizing the use of information technology in managing village funds.
The Evolution of Full Stack Development: Trends and Technologies Shaping the Future
Authors: Gurusamy Ashokkumar , Mohamed Ikram Ahamed
Published: February 2024

The evolution of full stack development has witnessed significant shifts driven by emerging trends and advancing technologies, fundamentally shaping the future landscape of software development. This paper explores the dynamic trajectory of full stack development, analyzing key trends and technologies that are influencing its evolution. From the emergence of new programming languages and frameworks to the adoption of cloud-native architectures and DevOps practices, the evolution of full stack development reflects a continual adaptation to meet the demands of modern software development paradigms. By examining these trends and technologies, this paper provides insights into the evolving role of full stack developers and anticipates future directions in the field.
The Role of AI and Machine Learning in Full Stack Development for Healthcare Applications
Authors: Gurusamy Ashokkumar , Mohamed Ikram Ahamed
Published: February 2024

The integration of Artificial Intelligence (AI) and Machine Learning (ML) techniques into full stack development has brought about significant advancements in healthcare applications. This paper explores the role of AI and ML in enhancing full stack development methodologies tailored specifically for healthcare. By leveraging AI and ML algorithms, developers can create intelligent systems capable of analyzing vast amounts of medical data, providing personalized treatment recommendations, automating administrative tasks, and improving overall patient care. This paper discusses key techniques, challenges, and opportunities associated with incorporating AI and ML into full stack development for healthcare applications, highlighting the transformative potential of these technologies in revolutionizing healthcare delivery.
Terminologija klinične prehrane: Načrt prehranskih ukrepov in organizacija prehranske oskrbe v zdravstvenih in negovalnih ustanovah
Authors: Rotovnik Kozjek Nada , Tonin Gašper , Puzigaća Luka , Veninšek Gregor , Pirkmajer Sergej , Košir Božič Tajda , Mlakar Mastnak Denis , Košir Jurij Aleš , Petrica Laura , Berlec Karla , Kogovšek Katja , Marš Tomaž , Jordan Taja , Lainščak Mitja , Farkaš Lainščak Jerneja , Poličnik Rok , Peklaj Eva , Majdič Neža , Brecelj Erik , Marič Cevzar Alenka , Škoberne Andrej , Korošec Barbara , Franko Rada , Brumen Avramović Brigita , Hribar Renata , Jelovčan Ana , Stubelj Mojca , Bratina Nataša , Sernec Karin , Povhe Jemec Katja , Stražišar Branka , Kozar Sergeja , Jensterle Mojca , Šarc Irena , Strel Jaka , Schara Klemen , Gabrijelčič Mojca , Kerin Povšič Milena , Lipovec Neža , Benedik Evgen , Klen Jasna , Blaž Kovač Milena
Published: February 2024

Izhodišča: Na podlagi prehranske obravnave in postavljene diagnoze motnja prehranjenosti ali s prehranjenostjo povezane motnje lahko oblikujemo posamezniku prilagojeni načrt prehranskih ukrepov. Ta je nujen, da vzdržujemo ali izboljšamo posameznikovo prehranjenost, pripravijo in izvajajo pa ga bolnik, njegovi bližnji in večstrokovna skupina, ki deluje v okviru različnih organizacijskih oblik ukvarjanja s klinično prehrano.

Metode: Skupina 42 slovenskih strokovnjakov iz 19 slovenskih zdravstvenih ustanov je oblikovala eksplicitni terminološki dogovor. Osnovnim pojmom s področja prehranske oskrbe in organizacijskih oblik klinične prehrane smo določili slovenski termin in ustrezno terminološko definicijo, pri čemer smo izhajali tako iz strokovne literature področja kot iz jezikoslovne literature. Temelj oblikovanja terminologije so terminološke smernice Evropskega združenja za klinično prehrano in presnovo.

Rezultati: V prispevku predstavljamo slovenske termine in terminološke definicije načrta prehranskih ukrepov, prehranske podpore in prehranske terapije. Opredelili smo tudi prehransko okolje, diete, paliativno prehrano in oblike hrane ter hranjenja v klinični prehrani. Opisali smo tudi možnosti za organizacijo prehranske oskrbe v zdravstvenih in negovalnih ustanovah.

Zaključek: Poenoteno razumevanje osnovnih pojmov s področja prehranske terapije, prehranske podpore in organizacijskih oblik klinične prehrane je nujno za uspešno sporazumevanje med strokovnjaki, poenoteno poučevanje in razvoj ter vključitev organizacijskih oblik klinične prehrane v zdravstveni sistem.
Nowe technologie – nowe praktyki? Artywistyczne działania na rzecz zmiany społecznej w Dolinie Krzemowej
Authors: Pankau Joanna , Binicewicz Aleksandra
Published: February 2024

The authors reflect on the artivistic practices of The Anti-Eviction Mapping Project (AEMP) collective operating in the San Francisco Bay Area. Their activity is stretched between the demands of adapting to the neoliberal reality of the technosphere (Silicon Valley) and using adaptation to accumulate new competencies and knowledge to develop critical positions. Looking at technologically saturated spaces, the so-called silicon cities, through the prism of AEMP’s artivism allows us to stay attuned to the changes in contemporary artivistic engagement occurring due to the emergence of new technological tools. These play a key role in the authors’ findings regarding the limits of the methodology of resistance produced by the collective. The analysis of AEMP’s practices also provides insight into the difficulties of activists’ rejection of an anti-systemic narrative that is not only incompatible with the interdisciplinary methods, practices, and systems of social organization they propose, but also seems to hinder the possibility of developing a positive project of socio-political change. Key-words: artivism, new technologies, resistance, technosphere, Silicon Valley, anti-systemism
Muzeum dobra wspólnego i dziwne użytki: Solidarny Dom Kultury „Słonecznik”
Authors: Stefańska Bogna
Published: February 2024

The “Sunflower” Solidarity Community Center has been operating as part of the Museum of Modern Art in Warsaw since the outbreak of the full-scale Russian invasion of Ukraine in February 2022. The author treats this activist-artist initiative as a litmus test of the possibilities for activist involvement in Polish cultural institutions. Referring to examples of similar activities from recent years and theoretical studies, she analyzes it in terms of questions about activism in the “safe” environment of a public institution, the stability and possibility of long-term sustainment of such cooperation, and the tensions associated with the institutionalization of the activist impulse. The author uses collected interviews with members of the “Sunflower” SCC collective and people working at the Museum of Modern Art in Warsaw, as well as participant observation, to answer questions, such as whether art institutions are able to support activist initiatives without taking away their potential and preying on the efforts of activist individuals; whether they can be a place for what Sara Ahmed describes as “queer uses ,” and what shape “solidarity museology” or a “museum of the common good” can take. Key-words: “Sunflower,” Ukraine, museum of the common good, solidarity museology, queer uses
Na krawędzi odkrywki. Praktyki postartystyczne i zaangażowanie klimatyczne na plenerach w Opolnie-Zdroju
Authors: Depczynski Jakub
Published: February 2024

The author analyzes the network of activist-artistic practices carried out as part of transdisciplinary gatherings in Opolno-Zdrój, located on the edge of the Turów open-pit coal mine, where the pioneering artistic ecological plein-air event Ziemia Zgorzelecka “Science and art in defense of the natural human environment” took place in 1971. The author describes these activities, conducted by the Office for Post-Artistic Services, using the theory of post-artistic practices and “usology,” and pointing out similarities and differences with related concepts of artivism, socially engaged art, or art with community. Borrowing concepts from the field of environmental humanities and written art theory in the context of the climate crisis, the author shows how those associated with the Office experiment with using art as a tool to enter into relationships and intervene in the reality of Opolno-Zdrój. The post-artistic practices carried out in Opolno-Zdrój are a successful exercise in “ecologizing” the methods and language of art, which allow for meaningful engagement with the issues of the planetary climate and environmental crisis, and provide a valuable tool for expanding imagination, useful speculation, and practical shaping of the future. Key-words: climate, ecology, post-art, post-artistic practices, extractivism, plein-air, Opolno-Zdrój, “Turów” mine
Re-envisioning the Heritage: Towards Interpreting Mandalay’s Multi-ethnicity through the Lens of Old City Quarters
Authors: Shwin Win Thant Win , Su Su , Myo Ohmmar , Aung Tharaphy , Htay Yamin , Thu Soe Kyaw , Khaing Nang Ei Ei , Zin Kay
Published: February 2024

Mandalay is a multi-ethnic metropolitan city since the 19th century. Mandala symbolism is included in the city structure of Mandalay. In order to compete the Western power structure, Mandala was based in Mandalay’s city planning design which was planned in parallel with Yangon to go against the colonial power. It was quite transparent which ethnic groups were kept there, how they served the king and made cultural exchange among them and formed the national centre of cosmopolitan power and future multi-ethnic capital city. After the king was sent to exile and during the colonial period, these diverse cultural patterns were disturbed. It has undergone many changes since its creation, very slow and inappropriate ad-hoc developments after independence and only promoting the ancient Myanmar cultural heritage in past few decades. This paper highlights the multi-ethnic cultural heritages of Mandalay where Mandala symbolism is included in the the city planning concept. The unique Myanmar feature of Mandalay not only lies in its Buddhist and ritual believes, but also in its multi-ethnic groups’ rituals and meanings because of nearly 170 years of impermanence of different heritage of diverse ethnic groups. There are some parts still visible in daily fabric and activities. The paper concludes that the complexity of urban cultural heritage highlights that simple definition of urban identity does not make sense for Mandalay. Capturing Mandalay’s ethnic complexity is beyond the range of a single short paper. In this paper we will limit our discussion to a focused discussion of Islamic, Thai, Chinese, Christian and Manipuris and Assamese communities. Mandala’s cultural exchange was transparent and there are still the possibilities to be so in 2023 landscape.
ANALYSIS OF IMPLEMENTATION OF DIVERSION AND RESTORATIVE JUSTICE AS A FORM OF PROTECTION OF CHILDREN'S RIGHTS IN CONFLICT WITH THE LAW
Authors: Malagano Tahura , Dainty Andrew R.J.
Published: February 2024

Background. Restorative justice involves all parties involved in a crime working together to find solutions, focusing on children and the community, with the ultimate goal of creating restorative justice. The use of restorative justice and diversion as a means of defending the rights of minors in legal trouble, as well as the nature of the issue and its impediment, are major concerns in the study's purpose.

Research Method. The normative approach and empirical jurisdiction are the methodological approaches employed in this work. The information used in this study was gathered from both field and library sources.

Findings. The community of research conducted by the Correctional Center that the rights of children in conflict with the law are less protected at lower levels, ranging from examination of the investigation up to the trial, and the application of diversion and restorative justice as a form of protection of those rights. The application of law enforcement efforts to justice restorative running optimally is a solution to these constraints. One impeding factor is the lack of a common application of the law as the foundation and guide for all law enforcement agencies, as well as the inconsistent application of regulations in the field in the handling of children in conflict with the law.

Conclusion. The initiative aims to promote restorative justice in legal cases involving children, transforming law enforcement's perspective from retributive and restitutive justice to a more equitable approach.
Political Conflicts and Global Political Problems as a Factor of Destabilization of Socio-Economic Development of Ukraine: The Role of Political Elites
Authors: Nazarchuk Oleksandr , Komarnytska Hanna , Batrymenko Oleh , Haponenko Vira , Mogyl Vladyslav
Published: February 2024

The aim of the research is to analyze the impact of the Russian-Ukrainian war (political conflict) and global political problems on the socio-economic development of the state. The Russian-Ukrainian war leads to an economic crisis, a drop in incomes and welfare, and an increase in unemployment. In addition, environmental problems caused by war crimes lead to an increase in the number of diseases and slow down socio-economic development. The study was conducted in Ukraine from the start of a full-scale Russian invasion (February 2022) to April 2023. The following scientific approaches were used: political, conflict, and typological. As well as general scientific methods: analysis and synthesis, systematic method, induction and deduction, generalization. The results emphasize that one of the reasons for the Russian-Ukrainian war is the different political and socio-economic interests that lead to the war.  This study's findings underscore the global ramifications of a full-scale conflict within Ukraine's borders. Moreover, it highlights the substantial impact of political conflicts and global political challenges as destabilizing factors, casting a detrimental influence on the socio-economic progress of the nation. The scientific novelty of the study consists in a comprehensive and systematic analysis of the impact of the Russian-Ukrainian war on the socio-economic development of Ukraine.
Allah is the Only True God
Authors: Mussa Mussa Ame
Published: February 2024

People in this world worship multiple gods, others worship only one God, and others worship no god Polytheism was practiced by ancient Egyptians, and ancient Mesopotamians, ancient Greeks and ancient Romans.(.Kimmerle Heinz,2006).   Abrahamic religion replaced polytheism to monotheism belief, which only one deity is worshiped. This paper analyzes the concept of the existence of God, who is the true God, who is Allah. Allah is the true name of God of all Prophets, and Islam is the religion of all Prophets from Adam, Moses to Muhammad, all the Prophets were Muslims and Islam is the only true religion, and Allah is the only true God. ( Quran 3:19)
Interdisciplinariedad en el derecho
Authors:   Universidad Autónoma de Sinaloa, Martínez Díaz Edgar Israel
Published: February 2024

El libro que el lector tiene en sus manos es una valiosa investigación de la situación sociocultural en torno a la violencia infantil en Culiacán; innovadora en su propuesta de interdisciplinariedad para el Derecho contemporáneo que enfrenta un reto mayúsculo en su compromiso de hacer realidad una sociedad de paz y tranquilidad, particularmente en Sinaloa, donde la violencia tiene raíces profundas, y donde la cultura antinormativa ha desplazado los ideales socioculturales legítimos de una sociedad civilizada. El autor sostiene que desde el marco del Derecho clásico, que individualiza la criminalidad y se orienta primordialmente a lo punitivo en lugar de enfatizar la prevención, no es posible dar respuesta a la compleja problemática que representa la violencia. El estudio de las Representaciones Sociales, del pensamiento social de los niños del Internado Infantil del Estado Paquita Núñez Zepeda revela la lacerante realidad en la que se está desarrollando la niñez. Su libro también es un llamado urgente a la sociedad y al Estado para atender y transformar la vida presente y futura de la infancia sinaloense.
A hívő élet alapjai a Jelenések könyve szerint
Authors: Riczingerné Garai Szilvia
Published: February 2024

A Jelenések könyve második és harmadik fejezetében található hét üzenet különösen koncentráltan mutatja be a hívő élet lényegét. Amit Jézus vár az őt követőtől, az a halálig való kitartás, az ő hűséges követése (ὑπομονή). Ha ez valamiképpen sérül, megtérésre (μετάνοια) van szükség. A tanulmány szerzője a hét gyülekezethez szóló üzeneteket sorba véve tekinti át a kitartás és a megtérés motívumát, majd összegzi a kapott eredményeket, megmutatva, mennyire szoros a kapcsolat a két fogalom között. Ezután tér rá arra, hogy a hívő életfolytatásra nézve mindezeknek milyen tanulságai vannak.
Examine the Differences in the Dynamic Balance of Young Adults and Middle-Aged Women as Determined by the Star Excursion Balance Test
Authors: Shahid Rabia , Alam Muhammad Mahmood , Akhtar Waseem , Shabbir Sidrah , Naseem Mahrukh , Ali Mubashar , Nehal Adan , Farooq Kashaf
Published: February 2024

Background: Dynamic balance is crucial for performing daily activities and preventing falls, particularly as individuals age. Previous studies have indicated that dynamic balance, as assessed by the Star Excursion Balance Test (SEBT), tends to diminish with aging, impacting overall quality of life and increasing the risk of injuries.
Objective: The aim of this study was to examine the differences in dynamic balance between young adults and middle-aged women using the SEBT, to understand how aging affects balance and postural control.
Methods: A cross-sectional study design was employed, involving fifty fit and active women, divided into two age groups: young adults (aged 18–25 years, n=25) and middle-aged women (aged 40–60 years, n=25). Participants with any lower extremity or spinal musculoskeletal disorders in the last 6 months, those who were physically unfit, and pregnant women were excluded. The SEBT was administered to assess dynamic balance, with participants performing three reaches in each of the eight directions in a randomized order. The mean reach distance was calculated for each direction. Data analysis was conducted using SPSS version 25, with independent sample t-tests to compare reach distances between the two groups. A P-value of <0.05 was considered statistically significant.
Results: The young adult group demonstrated significantly greater reach distances compared to the middle-aged group in all directions of the SEBT. Specifically, medial reach distances were 54.96 ± 5.63 cm for the young adults and 41.79 ± 7.36 cm for the middle-aged group, with a P-value of <0.001. Similar trends were observed in anteromedial, anterior, anterolateral, lateral, posterolateral, posteromedial, and posterior reaches, indicating a consistent decline in dynamic balance with age.
Conclusion: The study confirms that dynamic balance, as measured by the SEBT, significantly decreases from young adulthood to middle age in women. This underscores the importance of incorporating balance training and physical activity into lifestyle interventions to mitigate age-related declines in balance and postural control.
Challenges Faced by Family Caregivers of Patients with Spinal Cord Injury
Authors: Karim Shazia , Masih Sarfraz , Sarwar Hajra
Published: February 2024

Background: Spinal Cord Injury (SCI) presents significant challenges not only to the individuals directly affected but also to their family caregivers. The sudden onset of SCI demands immediate adaptation to new caregiving roles, inducing physical, financial, emotional, and psychological strains on caregivers. Understanding these dynamics is crucial for developing supportive interventions that can alleviate the burdens faced by caregivers and improve the quality of care for SCI individuals.
Objective: This study aimed to explore the experiences of family caregivers of individuals with SCI, focusing on the challenges they face, the roles they assume, the strains encountered, and the coping strategies they employ.
Methods: A qualitative exploratory study was conducted among family caregivers of individuals with SCI at the Punjab Institute of Neurosciences, Lahore. Purposive sampling was used to select participants who were engaged in caregiving for at least 10 hours per week. Data were collected through semi-structured interviews, utilizing a specifically designed interview question grid. Demographic data were analyzed using SPSS software, while thematic analysis of interview data was conducted using NVivo 12 software. The study adhered to ethical standards, including obtaining informed consent from all participants.
Results: The study comprised an equal distribution of male and female participants, with a majority engaged in caregiving for nine to twelve hours per week. Four main themes emerged: the initial challenge of becoming a caregiver, the multifaceted roles of caregiving, the strains of caregiving, and the coping strategies adopted. Caregivers reported significant physical strain, financial burdens, emotional and psychological stress, and relied on a combination of spiritual beliefs, optimism, and social support to navigate their caregiving responsibilities. The study also highlighted the importance of psychotherapy and comprehensive caregiving training sessions for caregivers.
Conclusion: Family caregivers of individuals with SCI face substantial challenges that impact their physical, financial, emotional, and psychological well-being. Supportive interventions, including psychotherapy, comprehensive training, and the establishment of support groups, are essential to aid caregivers in managing the complexities of their roles effectively. Further research is needed to quantify these challenges and evaluate the effectiveness of proposed interventions.
Comparison of Hand Grip Strength in Hypertensive and Non-Hypertensive Middle-Aged People
Authors: Shahid Muhammad Kamran , Sohail Muhammad Usama , Amjad Aneela , Azhar Ghazal , Raza Ali , Khokhar Laiba
Published: February 2024

Background: Hypertension is a leading risk factor for cardiovascular diseases, affecting millions globally. Previous studies have suggested an inverse relationship between hand grip strength (HGS) and hypertension, indicating the potential of HGS as a non-invasive marker for cardiovascular health. However, research exploring this relationship within the middle-aged population of Pakistan remains limited.
Objective: This study aims to compare hand grip strength between hypertensive and non-hypertensive middle-aged individuals and to assess the potential of HGS as a predictive marker for hypertension.
Methods: A comparative cross-sectional study was conducted over six months, from August 2022 to February 2023, involving 220 participants (110 hypertensive and 110 non-hypertensive), aged 35-45 years, at PSRD and Jinnah Hospitals in Lahore, Pakistan. Hand grip strength was measured using a CAMRY digital dynamometer, and blood pressure was assessed with a Certeza sphygmomanometer. Participants were excluded if they had wrist joint problems, neurological disorders, a history of frozen shoulders, limb fractures, cognitive impairments, diabetes, or were pregnant. Data were analyzed using SPSS version 25, employing independent sample t-tests with a significance level set at p<0.05.
Results: The mean age of participants was 39.81±3.16 years. Hypertensive individuals showed significantly lower hand grip strength compared to non-hypertensive individuals, with mean dominant HGS at 34.10±8.75 kg for hypertensives and 39.40±7.37 kg for non-hypertensives. Non-dominant HGS followed a similar pattern, with hypertensives at 31.87±8.75 kg and non-hypertensives at 36.97±7.57 kg. Additionally, a higher proportion of males was observed in the hypertensive group compared to the non-hypertensive group.
Conclusion: The study found a significant association between lower hand grip strength and hypertension among middle-aged individuals, supporting the potential of HGS as a screening tool for hypertension risk. This finding underscores the importance of incorporating hand grip strength assessment into routine health evaluations to identify individuals at higher risk of hypertension.
The Concordance of Patient-Reported Symptoms, Physical Examination and Ultrasound-Detected Synovitis, in Active Rheumatoid Arthritis
Authors: Naz Shumaila , Rasheed Aflak , Ilyas Shafaq , Jamal Maheen
Published: February 2024

Background: Rheumatoid arthritis (RA) is a chronic inflammatory disease characterized by joint synovitis and systemic inflammation, with joint swelling and tenderness as common clinical manifestations. Accurate assessment of disease activity is crucial for effective management and treatment planning. While ultrasound (US) has emerged as a sensitive tool for detecting synovitis, its concordance with clinical examination findings remains a subject of ongoing research.
Objective: The objective of this study was to evaluate the concordance between clinical examination findings and ultrasound-detected synovitis in RA patients, with an emphasis on the diagnostic value of joint swelling and tenderness.
Methods: This observational, cross-sectional study involved 40 RA patients with moderate to severe disease activity, assessed at a single center. Following ethical approval and informed consent, patients were evaluated for joint swelling, tenderness, and patient-reported symptoms. Ultrasound examinations were conducted to detect synovitis, employing gray scale (GS) and power Doppler (PD) modalities. Concordance between clinical findings and US-detected synovitis was analyzed using Cohen's kappa statistic. Disease activity was categorized using the DAS28 score, with subgroup analyses across different disease activity states.
Results: Joint swelling demonstrated the highest concordance with US-detected synovitis (kappa = 0.44), while joint tenderness showed lower concordance (kappa = 0.23). Analysis across disease activity states revealed consistent concordance for joint swelling (kappa values ranging from 0.38 to 0.41), regardless of disease severity. Patient-reported symptoms and the use of specific treatments (methotrexate and biologics) were also analyzed, with 90% of patients on methotrexate and 10% on biologics. The study population was predominantly female (86%) and middle-aged (20 to 40 years: 66%).
Conclusion: Our findings indicate that joint swelling is a more reliable clinical indicator of synovitis in RA patients compared to joint tenderness. This suggests that disease activity scoring systems in RA might benefit from placing greater emphasis on swelling and patient-reported symptoms. Future research should explore the integration of these parameters to enhance the accuracy and efficiency of RA management.
Comparison of PNF Stretching and Static Stretching to Reduce Spasticity of Lower Extremity in Spastic Cerebral Palsy Children
Authors: Zafar Marium , Rasool Anbreena , Fatima Nisar , Waqar Muhammad , Ali Zain
Published: February 2024

Background: Cerebral palsy (CP) presents a significant burden on childhood health, with the spastic type being the most prevalent manifestation. This neurological disorder, affecting 2-3 per 1000 births, stems from various prenatal, perinatal, or postnatal brain injuries. Commonly impacted outcome measures include muscle tone, pain, and range of motion, assessed by the Modified Ashworth Scale, Wong-Baker Face Pain Rating Scale, and popliteal angle measurement, respectively. While conservative static stretching is a widely used treatment option for spasticity, its efficacy remains inconclusive due to temporary effects. Conversely, proprioceptive neuromuscular facilitation (PNF) stretching, introduced by Harman Kabat and Margaret Knott in the 1940s, has shown promise in improving functional outcomes and reducing spasticity in neurological conditions like stroke and CP. However, limited evidence exists regarding its comparative efficacy with conventional static stretching in reducing spasticity among children with spastic cerebral palsy. Therefore, this study aims to compare the effectiveness of PNF stretching and static stretching in reducing lower extremity spasticity in children with spastic cerebral palsy, with pain and popliteal angle as secondary objectives.
Objective: The primary objective of this study is to assess the comparative effectiveness of PNF stretching and static stretching in reducing spasticity in the lower extremities of children with spastic cerebral palsy. Additionally, pain intensity and popliteal angle will be evaluated as secondary objectives.
Methods: A sample size of 60 children was determined using Epitool Google calculator and selected through non-probability purposive sampling. Participants were randomly assigned to either the experimental group, receiving PNF stretching, or the control group, receiving static stretching, with both groups undergoing identical baseline treatment. Pre- and post-intervention assessments were conducted for spasticity, pain intensity, and popliteal angle measurement using appropriate scales and instruments. Data were analyzed using SPSS 20.0, employing independent sample t-tests and paired sample t-tests for intergroup and intragroup comparisons, respectively.
Results: Inter-group analysis revealed significant improvements in both groups concerning pre- and post-treatment outcomes across all variables. However, intra-group analysis demonstrated statistically significant improvements in the PNF stretching group compared to the static stretching group across all measured variables.
Conclusion: The study concludes that proprioceptive neuromuscular facilitation stretching is more effective than static stretching in reducing spasticity in children with cerebral palsy. Nevertheless, both techniques exhibit efficacy in their respective capacities.
Transmission of Local and Traditional Music in Indonesian Popular Music (Case Studies of Indonesian Music Groups)
Authors: Sosrowijaya Kerso Manungga
Published: February 2024

This article explores the dynamic process of transmitting local and traditional music within the context of Indonesian popular music. As Indonesia boasts a rich cultural heritage, the study delves into how traditional musical elements are incorporated and transformed within the works of contemporary Indonesian music groups. The research employs a qualitative approach, utilizing case studies of prominent Indonesian music groups. Through an in-depth analysis of their compositions, arrangements, and performances, the study aims to unravel how traditional musical influences are transmitted and integrated into the fabric of popular music. The findings reveal diverse strategies Indonesian music groups employ in incorporating local and traditional elements. Case studies showcase the adaptation of traditional instruments, melodic patterns, and rhythmic structures, providing insight into how cultural heritage is woven into the contemporary musical landscape. The discussion section engages with the implications of this transmission process, addressing questions of cultural identity, artistic innovation, and audience reception. It explores how the synthesis of traditional and popular music contributes to the evolution of Indonesia's musical identity and its resonance within a global context.  In conclusion, this article illuminates the multifaceted nature of the transmission of local and traditional music in Indonesian popular music. The case studies provide a lens to understand the dynamic interplay between tradition and innovation, shedding light on the creative processes that shape the country's musical tapestry. This study contributes to the broader discourse on the global dynamics of music transmission and the significance of cultural heritage in contemporary musical expressions.
Art and Philosophy: Harmony of Giring-Giring Dance, Manganjan Dance, Tambun Bungai Dance of Kalimantan Tengah
Authors: Lelunu Sapta , Putri Kesia Rosalina , Daniel  , Olivia Nia , Simanjuntak Nova Lady
Published: February 2024

The possibility of tradition collaborating with dance, music and performance art is an amazing art. However, it becomes problematic if the space to perform one of the parts of tradition, namely dance as an art or work in certain regions or localities, is still minimal. Either from the history of dances from certain regions, for example Central Kalimantan, especially the Ma'anyan Dayak community, or the method of usage or meaningful values in the form of ribut rukun, togetherness, care and exploration space. This research method uses a literature review that examines the results of previous studies as secondary sources, online media, and accompanying photos of dances originating from Central Kalimantan. The findings show that the Dayak Giring-Giring dance, Manganjan Dance and Tambun Bungai Dance have a variety of cultural richness, the meaning of friendship, as well as a rich history that must get space from generation to generation to the global community as a cultured, dignified, valuable and communal dance.
UTILIZATION OF BIM (BUILDING INFORMATION MODELING) TECHNOLOGY TO INCREASE EFFICIENCY AND ACCURACY OF INFRASTRUCTURE PROJECT PLANNING
Authors: Ilwandri  , Tomi Apra Santosa  , Dika Sulmadianti  , Arya Ningsih  , Insira Insani Fitri  , Alex Irawan Trianto
Published: February 2024

This research aims to investigate the use of BIM (Building Information Modeling) Technology as an innovative solution in increasing the efficiency and accuracy of infrastructure project planning. The research method consists of identifying stakeholder needs, developing an integrated 3D BIM model, validating and testing the model, integration into the Project Information Management System (PMIS), as well as training and application in the field. By adopting this approach, it is hoped that it will be able to improve the quality of planning information, provide a holistic view of the project, and optimize collaboration between stakeholders. This research focuses not only on the technical aspects of BIM models, but also on their practical implementation in real construction environments. The results of this research are expected to make a significant contribution to increasing the effectiveness of infrastructure project management through the use of BIM technology.
Community Empowerment in Drainage Management to Overcome Floods
Authors: Ilwandri  , Apriani Sijabat
Published: February 2024

Flooding is a serious problem that often disrupts the lives of urban communities. Increased rainfall intensity, climate change, and rapid urban development have made existing drainage systems less effective at coping with flooding. To face this challenge, this study aims to examine community empowerment efforts in drainage management as a flood mitigation strategy. This research was conducted by combining participatory approaches and field research methods. Local communities, local governments, and stakeholders are involved in planning, implementing, and evaluating empowerment programs. This program includes skills training, education on the importance of drainage maintenance, as well as the formation of community groups active in drainage maintenance. The results showed that community empowerment in drainage management has had a positive impact in reducing flood risk. Community groups involved in this program actively maintain the cleanliness and drainage function in their neighborhoods. In addition, education about climate change and rain patterns also helps people to be better prepared for extreme conditions.