bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of Ability to Solve Geometry Problems in terms of Spatial Ability of Class XII Students of SMA Cokroaminoto Tamalanrea Makassar
Authors: Madya Setiawan , Rahman Abdul , Ruslan Ruslan
Published: August 2023

This study aims to describe the ability of class XII students of SMA Cokroaminoto Tamalanrea Makassar to solve geometry problems in terms of their spatial ability. This was a qualitative study with a descriptive approach. The selected subjects were three students in the 2022/2023 academic year. The selected subjects consisted of one from the high category of spatial abilities, one from the medium category, and one from the low category. The instruments in this study consisted of the main instrument, namely the researcher, and supporting instruments, namely spatial ability tests, problem-solving ability tests, and interview guidelines. Checking the validity of the data using source triangulation. Based on the results of the data analysis, it was concluded that: (1) students' mathematical problem-solving abilities in geometric materials with high spatial abilities were able to solve problems with four stages of problem-solving ability indicators: understanding the problem, preparing a solution plan, carrying out the settlement plan, and re-checking the solution; (2) students' mathematical problem-solving abilities in geometric material with moderate spatial abilities were able to solve problems with three stages of problem-solving ability indicators: understanding the problem, developing a solution plan, and carrying out the settlement plan; (3) students' mathematical problem-solving abilities in geometric material with low spatial abilities were not able to solve problems with four stages of problem-solving ability indicators, namely understanding the problem, planning the problem, carrying out the problem-solving plan, and re-checking the solution.
PREVALENCE OF KNEE DYSFUNCTION AND ITS ASSOCIATED FACTORS IN HOUSEMAIDS IN PATIALA.
Authors: Agrawal Richa , Raghu Harshita , Gupta Lovish
Published: August 2023

The knee is a complex modied hinge joint. The stability of joint is provided by various soft tissue structures like the anterior and posterior cruciate ligaments, the medial and lateral collateral ligaments, the menisci, the capsule and the muscles crossing the joint The majority of housemaids are women, poor and immigrants with minimal education and has to work like cleaning, washing utensils, clothes, cooking etc. Factors like travelling distance, BMI, parity etc may have effect on the knee pain. The main objective is tond the prevalence of knee dysfunction and its associated factors in housemaids in Patiala. Based on inclusion and exclusion criteria Methods: 100 subjects were taken for the study, subjects ll the questionnaires about Knee injury and Osteoarthritis Outcome Score, and self made questionnaire on factors affecting knee pain. The subjects were assessed on the basis of Knee i Result: njury and osteoarthritis outcome score (KOOS) scoring in which 39.1% of the subjects had no problem in knee (Frequency=52), 33.1% had mild problem (Frequency=44), 18% had moderate problem (Frequency=24), 8.3% had severe problem (Frequency=11) and 1.5% had extreme problem (Frequency=2). Conclusion: 39.1% of subjects had no problem in knee while, 33.1% had mild problem, 18% had moderate problem, 8.3% had severe problem and 1.5% had extreme problem.Association of knee pain with factors is signicant for working hours, travelling distance, number of deliveries, Body Mass Index and economical status
PINEAL CYST: A GROSS AND RADIOLOGICAL STUDY
Authors: Mannarackal Soumya , P. R Ashalatha , Perumbalath Naufal
Published: August 2023

Understanding the normal age-related macroscopic changes that occur in the human pineal gland will be useful for clinicians and neurologists to plan the course of treatment of various conditions affecting the gland. AIM: To study agerelated cystic changes in the pineal gland. MATERIALS AND METHOD: Studied 24 cadaveric specimens and 100 MRIs of the Brain. RESULT: The pineal gland cyst was noted in 8 specimens (33.3%) in a gross study and 10 patients (10%) in a radiological study. There was no correlation between age and pineal gland cyst (chi-square = 0.421, p value= 0.936).
URODYNAMIC FINDINGS AFFECTING INITIAL MEDICAL TREATMENT OUTCOMES IN PATIENTS WITH OVERACTIVE BLADDER: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Ezhil Sundar V. , Narayanan Jayaprakash , B Patravale Tanmay
Published: August 2023

I Treatment of overactive bladder is challenging due to its distressing sympt ntroduction and Objective: oms and complications associated with medical management. This study aims to prospectively evaluate the effects of the various ndings during urodynamic evaluation of overactive bladder (OAB) on success of initial medical management. Patients with OAB Methods: underwent urodynamic studies at index presentation and those with urodynamic detrusor overactivity (DO) were started on solifenacin, mirabegron, or combination of both for 1-3 months. Success of these drugs was evaluated using ICIQ OAB questionnaire and regression of symptoms and was according to bladder capacity, compliance, post void residue, and presence of phasic or terminal DO, DHIC, bladder outlet obstruction (BOO) and central nervous system (CNS) lesions. Out of 150 patients, those Results: with phasic DO (69%), BOO (67%) and no CNS lesions (62%) had higher success rates at follow-up. No signicant difference in efcacy was noted between three types of drug therapy. onclusions: Presence of terminal DO, absence of BOO and presence of CNS lesion have a negative correlation with success of initial OAB pharmacotherapy
CONCEPT OF AADHOSHAKHAGATA KURCHASIRA MARMA AND ITS APPLIED ASPECT
Authors: Maithani Varun , Vats Satish
Published: August 2023

Ayurveda as a science of life and spiritualism provides many ways of healthy living and focuses on preventing and treating diseases. Ayurveda has its own concepts related to the physiological functioning and anatomy of the body. Marma is one such part of Ayurveda considered as resuscitative and penetrable area of the body. Marmas points in body are mainly built up by groups of muscles, ligaments, vessels, tendons and bones, etc. Ayurvedic classics have described 107 marma, which are located in different parts of the body. Kurchasira Marma is one of the Shakhagata marma situated on both upper and lower extremities and are four in number. This marma is located below ankle joint with a dimension of one Angula. Based on predominant structural entity it is a Snayu marma. While classifying on the basis of traumatic effect, these come under Rujakara marma. Trauma to this Marma causes swelling and pain, associated with functional disability in the extremities. As, injury to the marma structures may lead to deformity, one should be very careful while performing surgery at the site. The knowledge of actual structures in the marma sites is of vivid importance in the clinical eld. This review will give a complete summary of Aadhoshakhagata Kurchasira Marma regarding its location, structural entity and applied aspect.
RISK FACTORS ASSESSMENT FOR MODERATE TO SEVERE POSTOPERATIVE PAIN AFTER PERCUTANEOUS NEPHROLITHOTOMY : A PROSPECTIVE STUDY
Authors: Soni Amit , Goyal Shailendra , Jhanwar Ankur , Chauhan Abhishek , Kumar Jain Nilesh
Published: August 2023

Objective: To nd out Risk Factors for Moderate to Severe Post Operative Pain after Percutaneous Nephrolithotomy. Materials And Methods: We Concluded a prospective study in a tertiary care hospital at Govt. Medical College, Kota (Raj.) between January 2022 to February 2023 in 176 patients with Renal calculus in whom PCNL was done ( 10 patients were excluded as they were unable to provide VAS score properly ). Data collection was performed for age, gender, diameter of renal calculus, number of renal calculi, pre-operative urine culture, number of tracts, operative time, postoperative pain and VAS pain score. Pain intensity was assessed with VAS scoring system every 4 hr on POD-0. Patients categorised into 2 groups according to VAS pain score: GROUP A- mild or no pain (VAS score, 0–3) and GROUP B - moderate (4-6) to severe pain (7–10). 112 ( 67.46 % ) patients out of 166 had m Results : oderate- to-severe pain . Signicant difference in Diameter of renal calculus, Number of renal calculi , operative time and number of tracts were seen using Chi-Square test. Multivariate logistic regression analysis showed that the independent risk factors for Moderate to Severe postoperative pain after PCNL were diameter of renal calculus (P = 0.001), number of renal calculi (P < 0.01), operative time (P < 0.01) and number of tracts ( P = 0.032 ). Conclusions: Diameter of renal calculus, Number of renal calculi, Number of tracts and Operative time are signicant predictors of Moderate to Severe postoperative pain after PCNL. Early identication of risk factors and formulating preventive measures are essential to control postoperative pain and to improve patients' quality of life.
FUNCTIONAL OUTCOME OF DOUBLE ENDOBUTTON AUGMENTED USING CORACOACROMIAL LIGAMENT TRANSFER IN ACUTE AC JOINT DISLOCATIONS
Authors: Rochek Buragohain Chao , Mishra Kartikey , N.G Harikrishnan , Boruah Abhishek , Kumar Bhawesh
Published: August 2023

Purpose - This study's objective is to assess the functional and radiological outcomes of 25 patients who underwent double Endobutton with coracoacromial ligament transfer treatment for acute type 3, 4, 5 acromioclavicular dislocation. Methodology - 25 adult patients (19 men and 6 women) with Rockwood types 3, 4, and 5 acromioclavicular joint dislocation were treated using this technique in our Orthopaedic department at JMCH Jorhat from January 2022 to December 2022. Within 3 weeks of trauma, the same Results - surgical team operated on each patient. During follow-up, 2 patients were lost. Out of the remaining 23, 15 patients (65.21%) had excellent outcomes and 8 patients (34.78%) had good results, according to the UCLA score. The met Conclusion - hod provided excellent patient satisfaction while successfully treating acute type 3, 4, and 5 dislocations.
A DESCRIPTIVE STUDY TO ASSESS THE KNOWLEDGE REGARDING CARE OF PLASTER CAST AMONG CAREGIVERS IN SELECTED HOSPITAL BHOPAL, (M.P.)
Authors: Mewada Rameshwar
Published: August 2023

Introduction: A fracture is a breakdown in the stability of the bone and it will occur at any age and in any bone. Some minor fractures are treated on the ambulatory basis, others fractures are more complex for that the surgical intervention is required with hospitalization and rehabilitation. Hospitals in the India lack specialized nursing care due to the untrained, unskilled nurses especially in the orthopaedic care centers. So, to maintain the ratio between the nurse and client is highly impossible. As there is grave need to train and educate the caregivers regarding the care of plaster cast, an effort is made by the researcher to prepare an informational booklet regarding the plaster cast and its care. Objectives: Ÿ Assess the knowledge regarding care of plaster cast among caregivers. Ÿ Associate the knowledge regarding care of plaster cast among caregivers with their selected demographic variables. Ÿ Disseminate information through booklet on care of plaster cast among caregivers. Methodology: A sample of 60 caregivers was selected using by purposive sampling technique. Structured knowledge questionnaire were used by the investigator for the data collection. Information Booklet was distributed to caregivers to enhance the knowledge. Result & Conclusion: The computed knowledge score of care givers, 60% of caregivers had inadequate knowledge, 40% had moderate knowledge and none of them had adequate knowledge regarding care of plaster cast which showed that caregivers need more information about the care of plaster cast. The computed chi square values of knowledge of caregivers with their selected demographic variables. In relation to caregiver's gender, education and type of family chi square values were 4.29, 10.65, 8.16 which shows these three were associated at level of P<0.05 signicance
A CASE STUDY ON AVABAHUKA(FROZEN SHOULDER) WITH NASYA, RAKTAMOKSHAN (CUPPING THERAPY) AND AYURVEDIC SHAMAN THERAPY
Authors: Kumar Gupta Arun , Parwe Shweta , Gupta Trupti
Published: August 2023

Avabahuka is a disease that mostly affects the shoulder joint (Amsasandhi) and it is due to aggrevation of Vatadosha. Avabahuka is not stated in Nanatmaja Vata Roga, Amsashosha (Wasting of shoulder joint) can be measured the starting stage of Avabahuka where dryness or diminution of the Shleshaka Kapha from the shoulder joint occurs. In Frozen shoulder a leisurelybeginning of pain felt around the insertion of the deltoid muscle, inability to sleep on the exaggeratedlateral, and restriction in both dynamic and inactive elevation and exterior rotation. A 60-year-old patient came to Panchakarma Department, L. N. Ayurveda Hospital, OPD number being 2004068, with the complaint of Pain and Stiffness in the shoulder region, which radiates to the upper limb forsix years, and proper lifting of the upper limb was also not possible. 6 Year back patient felt mild pain in the cervical region, which later radiated to the upper limb. Many a time, he consulted anorthopaedic surgeon but did not get permanent relief. No accidental and fall history found. The patient was treated with Nasya(nasal medication) with Anutaila, Cupping therapy, Local massage with Mahanarayantaila and Sthanika Nadisweda and Oral Ayurvedic Medicinesymptoms of Frozen Shoulder and cured the disease. Nasya (nasal medication) and Cupping therapy is the best modality to cure Avabahuka.
EXTRAMEDULLARY MANIFESTATIONS OF CHRONIC MYELOID LEUKEMIA – OUR EXPERIENCE OF 2 CASES
Authors: Voonna Praveena , Bendi Chandrasekhar , Prasanna Veni , Reddy Rakesh , Priya Rajani , Kishore Kumar K
Published: August 2023

Chronic Myeloid leukemia (CML) is a myeloproliferative disorder characterized by the dysregulated production and uncontrolled proliferation of mature and maturing granulocytes with fairly normal differentiation. It is associated with the fusion of two genes: BCR (on chromosome 22) and ABL1 (on chromosome 9) resulting in the BCR:ABL1 fusion gene. In the absence of treatment, CML has a triphasic or biphasic clinical course as it progresses from a chronic phase (CP) to an accelerated phase (AP)and on to a terminal blast crisis. Extramedullary involvement is uncommon at initial presentation or relapse, mostly occurs in accelerated or blast phase and it is rarely associated with pleural and peritoneal involvement. Only few cases of CML with ascites and pleural effusion have so far been reported world wide. Out of these, chronic phase cases are very few. Here we report 2 cases of CML CP, out of which one patient presented which massive ascites and another patient with pleural effusion. Cytology smears of ascitic uid and pleural uid showed collections of myeloid precursors with CML CP picture in peripheral blood and bone marrow. Finally diagnosed as having CML CP with serous cavity involvement.
Quality Culture and Innovation in Higher Education
Authors: Togni Fabio
Published: August 2023

The Quality Assurance history and, in general, the building of quality concept have accompanied the humanity history. With the advent of the production systems of the second and third Industrialisations Movement, this meant strengthening the control of products and services. With the end of the last century, more and more quality has affected processes and organisations as a whole. Today, Total Quality Management models cover all sectors of goods and services. Thus, also education systems can have great benefits from the spread of a Quality Culture. The essay aims to trace the history of TQM and shows how it also concerns formal and informal training. It also wants to show how the introduction of Quality Assurance Systems helps to create positive effects at both the micro, meso, macro and mega levels.
Ethics in Educational Reserch
Authors: Torlone Francesca
Published: August 2023

The ethical dimension of research in adult education is deeply connected to the real, substantial quality of research. The ethical dimension of adult education research, mostly neglected, is analysed from an epistemological perspective. We assume that ethical conduct of educational research is more complex than adhering to a set of rules and procedures as it has to deal with the meaning and purpose of adult education research, the distribution of pedagogical powers and the control over them to put individual and collective answers in practice.
Balancing Between Smart and Inclusive: Learning Cities for Sustainable Urban Communities
Authors: Németh Balázs
Published: August 2023

Since 2012, Global Learning Cities has become a successful network-based movement of UNESCO which demonstrates not only linkages, but also dependencies amongst
community development, adult learning and active citizenship (UNESCO 2017). Examples of Cork, Espoo, Belgrade and South Korea have highlighted (Németh 2020), that communities are unable to develop successful models of learning cities unless they combine smart, creative and sustainability dimensions through community-based adult and lifelong learning for social cohesion, economic stability, growth and environmental awareness.
Equitable ways of community learning can better reach underrepresented groups of adults who want to develop and sustain their neighbourhoods through collecting and sharing knowledge (Ó Tuama 2020). Other examples from India, Palestine and the UK demonstrate that it is not the label itself, but the smart and creative urban adult learning which can be combined with needs of communities (Németh et al. 2020). In the evolution of learning cities, we have arrived to an Era of uncertainties, therefore, we have to demonstrate that the learning cities depend on better participation, performance and partnerships in learning, surrounded by collective actions for better futures of education.
Learning in Cities to Create Sustainable Societies
Authors: Piazza Roberta
Published: August 2023

Cities play a leading role in addressing many of the global challenges of the 21st century. They are an important part of the 2030 Agenda for sustainable development, which assigns them multiple tasks. Cities should be committed to reducing the ecological footprint and to creating solutions that respond in a differentiated way to the challenges and opportunities in different areas of the world. The sustainable development strategies of cities have determined the definition of different urban models, focused on the need to offer citizens well-being and innovation. This contribution presents the model of learning cities (LC), cities that put learning and education at the heart of their strategies. The paper identifies some of the possible strategies to make cities more responsive to the learning needs arising from the recent pandemic crisis.
Learning and Teaching in Higher Education in Post-Covid Times: A Digital Transformation
Authors: Schmidt-Lauff Sabine
Published: August 2023

Learning and teaching in higher education can help to face the rapidly changing demands and transformations in social, professional, and individual life. «Digitalisation is not only an additional challenge but also an effective means to address key challenges for higher education in the 21st century» (Rampelt et al. 2019, 6). Digital practices in Higher Education forced by the Covid-19 disruption are challenging educational processes at every level. Digitization is here no longer just about the question of the technical dimension, but, about the structural interweaving and relational co-constitution of the digital with the social, the cultural, and the individual. Here the INTALL@home vision of learning international comparison without being physically mobile – theoretically framed and elaborated in this paper – starts.
Evaluating the extent to which contemporary scientific techniques are used in geographical research, a comparative study
Authors: الوائلي مثنى , ابراهيم مريم , عبيس كفاح
Published: August 2023

The use of methods of collecting data and information, analyzing and interpreting them to reach accurate and advanced results that keep pace with the scientific and technical development that moved the science of geography from description to application.
Men's documentation of the martyr Muhammad Baqir al-Sadr
Authors: الموسوي ثائر
Published: August 2023

It is well known that the Ahl al-Bayt school (peace be upon them) produced scientific personalities at the level of structure and application. Islamic knowledge was influenced by what was distinguished by its cognitive rooting in the legal product. And with broad horizons, therefore, we notice the depth of production as the research is rooted and deepened, and the impact of the cognitive achievement in this school, and this is what we find clearly in the school of the martyr Muhammad Baqir al-Sadr, as his school was characterized by the comprehensiveness of all branches of Islamic and human knowledge. It is multiple in all aspects of life, and It was not limited to specializing in the sciences of Islamic law from jurisprudence and principles only, although this field was the broadest of his scientific achievements and innovations.
Problems facing fish farming and production in Pablo province, the development of this activity
Authors: السميع محمود , محمد نهى
Published: August 2023

This study aims to reveal the problems faced by fish farming and production in the province of Babylon, and the possibility of developing it, by diagnosing the problems that impede the means of this development. As fish farming and production is one of the important economic activities because of its impact on providing job opportunities for the population as well as its contribution to the optimal investment of the land.
Movement and paths of dust phenomena affecting Najaf Governorate
Authors: أبو رحيل عبد الحسن , محمد محمد
Published: August 2023

The ability of the air to carry large quantities of sand and dust depends on the wind speed, the size of the sand or dust grains, the degree of soil cohesion, the stability of the atmosphere, and the intensity of the vertical air currents. In general, the movement of dust particles is a function of both the strength of the wind and the characteristics of the granules that carry it from its place.
Dust storms are generated when the wind speed exceeds 7 m / s, as the soil atoms attached to the surface of the earth will lose their bonding strength with their molecules. These atoms begin to move when the wind speed increases, which overcomes the force of friction of the atom with the surface of the earth and the weight of the atom itself.
The phenomenon of rising dust occurs during the day or night, especially in the summer season, as a result of the intense heating of the earth’s surface and the surface air in contact with it, which results in a sharp instability of the surface air layer.
PASSO A PASSO: A PESQUISA EM DESIGN EDUCACIONAL PARA IMPLEMENTAR A AVALIAÇÃO DOCENTE PELO DISCENTE
Authors: Jadenilse Silva de Lemos  , Angela Maria Moreira Canuto Mendonça  , Rosana Brandão Vilela
Published: August 2023

A pesquisa em design educacional vem ganhando força nos últimos anos, particularmente no campo dos estudos educacionais. Este estudo teve por objetivo conhecer a potencialidade da pesquisa em design educacional para o desenvolvimento de grupo gestor de uma faculdade de medicina,no trato sobre o tema avaliação do desempenho docente pelo discente. Trata-se de um estudo descritivo, com abordagem qualitativa, conduzido a partir do modelo de abordagem para a pesquisa em design educacional. Descreve-se aqui a análise de conteúdo, na modalidade temática, realizada no primeiro mesociclo dessa pesquisa, constituído por três fases. São elas: análise e exploração do tema; desenho e construção do produto; avaliação e reflexão. O estudo foi realizado com 18 participantes do grupo gestor, onde, por meio de observação, anotações e diagnósticos, possibilitou identificar categorias associadas às características de um processo pedagógico que busca mudança na avaliação do desempenho docente pelo discente. Os resultados revelaram as categorias: trabalho colaborativo; comunicação entre os participantes; preparo para a temática; construção de soluções e produção teórica. Foi possível concluir que a abordagem foi indicada corretamente e o uso da pesquisa em design educacional ajudou a evidenciar ações, reações e desafios, contribuindo para o desenho de propostas de curto, médio e longo prazo a fim de transformar e melhorar a avaliação docente pelo discente nessa instituição. O presente estudo é oferecido como uma contribuição para mostrar que a pesquisa em design educacional tem um grande potencial para aprofundar e buscar soluções para questões complexas e desconfortáveis do ensino superior.
DIFICULDADES NA AMAMENTAÇÃO ENFRENTADAS POR PUÉRPERAS PRIMÍPARAS
Authors: Edson Batista dos Santos Júnior  , Maria Salete Abreu Rocha Miranda  , Keila Maria Carvalho Martins  , Viviane Oliveira Mendes Cavalcante  , Ana Hirley Rodrigues Magalhães
Published: August 2023

Introdução: a primeira gravidez é envolvida por várias questões, entre essas às relacionadas a amamentação. Embora seja consenso que a amamentação traga vários benefícios para mãe, sobretudo para o bebé, alguns obstáculos podem surgir e interromper o processo de amamentação. Objetivo: buscou-se analisar as dificuldades na amamentação de primíparas no período puerperal. Metodologia: trata-se de um estudo exploratório, com abordagem qualitativa, no qual foram aplicados questionários com perguntas abertas e fechadas às puérperas primíparas no cenário da atenção primária a saúde. Foram analisadas informações de nove pacientes, por meio da análise de conteúdo de Bardin, que estrutura a análise em três fases: 1) pré-análise, 2) exploração do material e 3) tratamento dos resultados.  O estudo foi aprovado pelo comitê de ética de pesquisas com seres humanos. Resultados: foram identificadas quatro principais dificuldades referidas pelas puérperas: leite insuficiente, trauma mamilar, agarre incorreto e mamilo invertido. Considerações finais: o método de análise qualitativa foi essencial para identificar as dificuldades no processo de amamentação e, assim, permitir estratégias de promoção da saúde das lactantes de forma individualizada, compreendendo seus aspectos subjetivos.
Postgraduate education of dentists in Poland - current state and perspectives
Authors: Grudziąż-Sękowska Justyna , Kocik Janusz , Kapica Magdalena , Shamsa Sara , Mazurek Magda , Wywrot Małgorzata , Religioni Urszula , Pinkas Jarosław , Zgliczyński Wojciech Stefan
Published: August 2023

Introduction: In the Polish medical education system, dentists, after graduating from university studies, obtain the right to practice their profession with the possibility of continuing their education. One of the forms of postgraduate development is specialist training. In the face of dynamic demographic, economic and social changes taking place in Polish society, the availability of an appropriate number of qualified specialists is a guarantee of health safety. Conducting reliable analyzes allows to set the right directions for the development of specialization education and its adaptation to changing health needs.

Aim of the article: The aim of the study was a quantitative analysis and evaluation of changes taking place in the system of specialist education of dentists in treatment specializations in the years 2010-2020.

Material and methods: The analysis included the data from the register of doctors undergoing specialization training; register of entities authorized to conduct this training, kept by the Centre of Postgraduate Medical Education of Warsaw(CMKP); data of the Medical Examinations Center on the number of dentists taking the specialization examination and on the number of diplomas issued and the passing rate of the National Specialization Examination. The material analysis was quantitative.

Results: The analysis of data register about dentists undergoing postgraduate training shows that in 2010-2020 there was a gradual increase in the number of entities offering dental specializations and the number of training places they provide, including residential places. These changes were accompanied by an increase in the number of dentists receiving specialist training more by 50% (52,3%) in 2020 in comparison to 2010 . The situation differed between the seven analyzed specializations: conservative dentistry with endodontics, pediatric dentistry, orthodontics, dental surgery, periodontics, dental prosthetics and maxillofacial surgery.

Conclusions: The changes that took place in the system of specialization education of dentists in 2010-2020 included an increase in the number of dentists undergoing training, an increase in the percentage of people undergoing specialization as part of the residency, an increase in the number of entities conducting specialization, and thus increasing the availability of training places.
Trends in postgraduate education of doctors in oncology in Poland in 2010-2020 in the face of demographic and epidemiological challenges
Authors: Kocik Janusz , Moczydłowska Marta , Mazurek Magdalena , Zgliczyński Wojciech Stefan , Pinkas Jarosław , Religioni Urszula , Pruszyński Jacek , Ostrowski Janusz , Grudziąż-Sękowska Justyna
Published: August 2023

Introduction: The system of specialization training in oncology is subject to constant shifts in response to the changing health needs in Poland. Both the specialization programs and the training mode have evolved, and the system's ability to train more specialists has increased. Epidemiological trends in cancer diseases indicate a further increase in the incidence and mortality. Moreover, the advancement at diagnosis is likely to be higher in the coming years due to neglect during the COVID-19 pandemic. Treatment of advanced neoplasms will require the availability of more specialists in oncological disciplines, especially conservative ones, as well as specialists supporting oncological care.

Aim of the study: The study aimed to determine the quantitative changes taking place in the system of specialist education of doctors in oncological fields between 2010 and 2020 and to assess the trends of changes in relation to the growing demand and challenges of the pandemic.

Material and methods: The material for the analysis was the data of the register of doctors undergoing specialization training conducted by the Centre of Postgraduate Medical Education of Warsaw in 2010-2020. The material analysis was quantitative.

Results: The conducted analysis shows the constant development of specialization education in the fields of oncology in 2010-2020, aimed at covering the demand for specialists in the studied fields. The pace of growth may prove insufficient in the long term in view of the aging of the population and the associated increasing incidence and prevalence of neoplastic diseases. Worryingly, the newly formed specialists will have to deal in the near term with the post-pandemic wave of patients with advanced cancers who require more frequent treatment combined with careful palliative care during and after treatment. Detailed results are presented in Tables 1-7 and 8 in the Annex.

Conclusions: The conducted analysis shows the constant development of specialization education in the fields of oncology in the years 2010-2020, aimed at covering the demand for specialists in the studied fields.
New technologies in elderly care
Authors: Pruszyński Jacek , Jasik Agnieszka , Marcinowska-Suchowierska Ewa , Puzianowska-Kuźnicka Monika , Zgliczyński Wojciech Stefan
Published: August 2023

The aging society in the European Union (EU) is a long-lasting trend and it is reflected in transformations of the age structure of the European population. These changes lead and will continue to lead to an increasing demand for care and support for elderly persons in the foreseeable future. Bearing this in mind, it is important to define the health and social needs of the elderly subpopulation in order to properly plan and implement actions within the broadly understood senior policy. Advanced age and the related diseases as well as geriatric syndromes are associated with a gradual deterioration of mobility and loss of independence that lead to disability and lower quality of life. According to the Public Opinion Research Centre (CBOS) the second most frequently indicated source of satisfaction of seniors are their ties with the “small homeland”. Responsible senior policy recognizes the fact that the stay of older people in a well-known, friendly environment with which they are emotionally connected, improves their well-being and, if the place of residence is properly adapted to their needs, improves the quality of life. The above rule complements and clarifies the assumptions of the model of community support for seniors taking into account the principles of independence, participation, care, self-fulfilment and dignity. The use of modern supporting technologies such as telecare and telemedicine or mobile phone applications allow for monitoring and support of the elderly, including the chronically ill, using teleinformation tools in their home setting. Since we are still a country with a relatively low level of advancement in terms of economy and digital society, it is necessary to undertake actions aimed at eliminating the existing social divisions through profiling targeted assistance.
Selected issues in, civil and labour liability of medical professions in Poland. Analysis of the jurisprudence and proposals for changes.
Authors: Wrześniewska-Wal Iwona , Winciunas Piotr , Hajdukiewicz Dariusz , Sałbut Katarzyna
Published: August 2023

The article presents the legal liability that may be borne by medical professionals, with particular emphasis on a group of doctors and dentists. The paper discusses the evidentiary and procedural aspects of civil and labour liability, together with relevant courtroom examples. Each of the above-mentioned types of liability has been commented taking into account the fundamental principle for the medical professions: provision of services in accordance with the current medical knowledge.

The systematically increasing number of compensation suits and long-lasting court proceedings, which do not always end in a positive decision for the defendant, i.e. a member of the medical personnel or a healthcare entity, prompts to seek other solutions to the dispute. The authors of the article indicate the need to develop a new, systemic solution to these issues based on a single structure, uniform procedures and premises for determining the right to compensation.
DOENÇA DE ALZHEIMER: ESTRATÉGIAS DE CUIDADO DIANTE DAS DIFICULDADES AO PORTADOR E CUIDADOR.
Authors: Da Silva Manuelle Rodrigues , Carvalho Lorena Rocha Batista , Barjud Ludmilla Lustosa Elvas , Da Silva Filho Manoel Lopes
Published: August 2023

A doença de Alzheimer se caracteriza por ser uma doença neurodegenerativa, com um declínio progressivo de funções cognitivas e motoras. Devido a esse quadro irreversível e apresentar deterioração progressiva, tem efeitos devastadores nos portadores e seus familiares. Este trabalho foi desenvolvido com o objetivo de analisar na literatura os impactos, desafios e as atribuições da enfermagem durante o processo de cuidar da doença de Alzheimer na vida do paciente e do cuidador. Trata-se de uma revisão integrativa de literatura  acerca das formas de cuidados e de estratégias de enfermagem ao portador de alzheimer, nos anos de 2015 a 2022, dentro das seguintes bases de dados Biblioteca Virtual de Saúde (BVS), Bases de Dados de Enfermagem (BDENF), Scientific Eletronic Library Online (SCIELO), Literatura Latino- Americana e do Caribe em Ciência da Saúde (LILACS) e Medline, utilizando os descritores: Doença de Alzheimer; mal de Alzheimer; Apoiador; Demência, idoso, enfermagem. Os resultados apresentados demonstraram que tanto os portadores da doença de alzheimer como os cuidadores necessitam de uma atenção mais intensiva dos profissionais de saúde devido ao comprometimento mental e outras co-morbidades como a demência. Essa síndrome demencial possui um forte impacto sobre a qualidade de vida tanto dos portadores quanto dos familiares/cuidadores, é considerada como um dos maiores problemas de saúde pública da atualidade. É necessário que o profissional de saúde, em especial, o enfermeiro atualize seus conhecimentos a respeito do cuidado ao idoso portador de demência de Alzheimer, para que possa construir plano de cuidado e estratégias individuais e coletivas. Desse modo, A doença de Alzheimer se configura como um desafio para a sociedade contemporânea, sendo que a Enfermagem tem  papel fundamental no cuidado ao portador e ao cuidador.
bases filosóficas da astrobiologia
Authors: Nascimento-Dias Bruno Leonardo , Furtado Matheus Tostes , Vilas Boas Aline Hamdan de S. , Martins Volnei Ramos , Olszewski Fernando , Passos Videira Antonio Augusto
Published: August 2023

Este artigo descreve o papel que a filosofia desempenha no processo de constituição da astrobiologia como uma ciência legítima. Dirigindo o foco da discussão para os conceitos de vida e habitabilidade, procuramos mostrar de que modo a analogia contribui para que a astrobiologia seja uma disciplina científica. Defendemos que a noção de habitabilidade esclarece adequadamente a função exercida pela filosofia.
ANALISIS PENERAPAN PAJAK PENGHASILAN FINAL PASAL 4 AYAT 2 ATAS JASA KONTRUKSI (Studi Kasus Pada CV. Tuberta)
Authors: Harefa Meilinda Stefani , Laia Andalkris Yuliasih
Published: August 2023

The purpose of this study was to analyze the application of the final income tax article 4 paragraph 2 on CV. Tuberta which includes calculation, deduction, deposit, and reporting. Based on the results of research for 2021 in the implementation of construction services the tax rate charged to CV. Tuberta 4%. In 2022 CV. Tuberta performs construction service activities as the executor and the tariff is 1.75%. The final income tax rate of article 4 paragraph 2 imposed both in 2021 and 2022 is in accordance with government regulations for the current year. Withholding and depositing taxes are carried out by the government treasurer as a service user. There are still tax reports that are reported late due to incomplete documents from service users. CV. Tuberta is expected to follow changes in tax regulations, especially those related to final income tax for construction services.
AN EVALUATION OF LEADERSHIP IN THE PERFORMANCE OF GOVERNMENT OWNED HOSPITALS IN SIERRA LEONE-A CASE STUDY OF MAKENI GOVERNMENT HOSPITAL
Authors: Joseph Noah Bangura  , Xinglong Xu  , Lovel Fornah
Published: August 2023

Leadership plays a crucial role in healthcare facilities to ensure proper health service delivery. This research was undertaken to assess leadership in the performance of government-owned hospitals in Sierra Leone, with a focus on Makeni Government Hospital.
A stratified and purposeful sampling strategy was employed in the investigation. For this study, we selected employees from Makeni Government Hospital to participate as respondents. A sample of 100 respondents were carefully chosen from the hospital. The study collected data from both primary and secondary sources. Interviews and a structured questionnaire were used to gather the primary data. We conducted both quantitative and qualitative data analysis. We used descriptive statistics, regression, and Pearson correlation to analyze the quantitative data and presented the findings in tables, pie charts, and bar charts.
This study found that the hospital leadership possesses the necessary skills and competencies, with a predominant transformational leadership style that effectively contributes to proper health service delivery. The results also reveal a weak positive correlation between leadership styles, health service delivery, health workers commitment to work, and hospital performance. These findings suggest that an effective and efficient leadership style can improve hospital performance.
KEYWORDS: leadership, government-owned hospitals, leaders, performance, leadership styles.
PROGRAM PENDAMPINGAN PENINGKATAN KEDISIPLINAN SISWA MELALUI PEMBIASAAN SALAT DUHA DI MTs. SA MIFTAHUL ULUM AL-KHAIRIYAH
Authors: Febriyanti Beby Dwi , Hanifiyah Fitriyatul , Crismono Prima Cristi , Pitasari Mely Agustin Reni
Published: August 2023

Kedisiplinan merupakan salah satu kunci seseorang untuk dapat melaksanakan pekerjaannya dengan baik dan tepat waktu. Disiplin menjadi salah satu karakter yang perlu ditanamkan sejak dini di kalangan siswa sekolah. Hal ini dikarenakan siswa yang sekaligus berperan sebagai anak di rumah, dikelilingi dengan adanya aturan yang harus mereka patuhi. Tujuan penamanaman disiplin ini adalah melatih kepatuhan dan ketaatan terhadap aturan yang berlaku. Tidak sebatas itu, dengan disiplin juga dapat mengontrol tindakan dan perbuatan yang harus dilakukan dan tidak boleh dilakukan, termasuk berhubungan dengan ketepatan waktu dalam menyelesaikan tugas. Di sekolah MTs. SA Miftahul Ulum Al-Khairiyah dengan latar belakang pendidikan agama ini belum ada program pembiasaan sholat dhuha berjamaah. Padahal, program tersebut dapat melatih siswa untuk belajar disiplin dan mengatur waktunya. Program pendampingan peningkatan disiplin siswa melalui pengadaan sholat dhuha ini dilakukan melalui beberapa tahapan yaitu persiapan, pelaksanaan program, dan evaluasi program. Sasaran program ini adalah seluruh siswa dan siswa MTs. SA Miftahul Ulum Al-Khairiyah. Metode yang digunakan adalah observasi, wawancara, diskusi, dokumentasi. Hasil dari pelaksanaan program pendampingan ini adalah 1) sekolah membuat jadwal rutin secara bergiliran setiap kelas untuk sholat dhuha sebelum dimulai pelajaran, 2) berkurangnya kebiasaan mengerjakan PR di kelas sebelum mulai pelajaran, 3) meningkatnya karakter religius siswa.
OPTIMALISASI KINERJA MANAJEMEN DAN SADAR LEGALITAS USAHA TERHADAP PEMBERDAYAAN UMKM DESA JENGGAWAH KABUPATEN JEMBER
Authors: Prabowo Rachmat Udhi , Soejono Djoko , Zahrosa Dimas Bastara , Nugraheni Dyah Ayu , Sari Sasmita , Pratama Akbar Yoga
Published: August 2023

Masyarakat sesungguhnya sangat menginginkan adanya keamanan pangan yaitu produk pangan yang bergizi dan tidak menimbulkan pada terganggunya kesehatan seseorang. Pada kenyataannya banyak produk pangan yang mengakibatkan masyarakat sakit. Pasalnya, produsen makanan tidak memperdulikan unsur keamanan pangan, namun ada juga pelaku bisnis yang sengaja melakukan kesalahan demi mendapatkan banyak keuntungan. Desa Jenggawah merupakan salah satu wilayah administrasi dari Struktur Pemerintahan Kabupaten Jember. Tujuan dari program pengabdian ini adalah penggalian potensi desa, desa Jenggawah merupakan salah satu daerah yang merupakan sentra dari para pelaku usaha khususnya usaha di bidang pengolahan pangan yang sehat. Hasil dari kegiatan tersebut adalah (1) Hasil yang diperoleh berupa masalah umum dan ide pemecahan masalah yang terdiri dari keinginan mayoritas pelaku usaha di Desa Jenggawah yang berkepentingan dengan diberlakukannya usaha yang sedang berlangsung (2) Meningkatkan efisiensi pengelolaan keuangan pelaku usaha yang selama ini menjadi masalah umum khususnya kegiatan penjualan produk. Selanjutnya didapatkan rekomendasi di dalam memberikan solusi yang terdiri dari sosialisasi, penyuluhan dan pendampingan teknis dalam pentingnya pelaksanaan perijinan SPP-IRT dan optimalisasi manajemen usaha melalui proses manajemen keuangan digital.
PENYULUHAN PENDIDIKAN KESELAMATAN JALAN SISWA SEKOLAH MENENGAH KEJURUAN
Authors: Hidayati Tri Susila , Siswanto Joko , Hadi Suprapto , Ayu Brasie P.S.B.R
Published: August 2023

Banyak gangguan keselamatan, keamanan, kenyamanan, dan ketertiban lalu lintas yang ditimbulkan Siswa dengan perilaku pelanggaran lalu lintas. Pendidikan keselamatan jalan diperlukan supaya Siswa SMK atau Sederajat meningkatkan kesadaran berlalu lintas yang selamat dan aman. Penyuluhan berupa sosialisasi diperlukan Siswa tentang keselamatan dan regulasi lalu lintas yang berlaku. Kegiatan tersebut terselenggara di SMK Negeri 1 Cirebon dengan 3 aspek materi yaitu jalan, rambu lalu lintas, dan marka jalan. 3 tahapan pelaksanaan penyuluhan meliputi identifikasi, penyuluhan, dan evaluasi. Partisipan sebanyak 94 (36 OSIS dan 58 PKS). Penyuluhan mengindentifikasi kebutuhan dari perlengkapan, alat peraga atau praktikum, media, dan ruangan. Pemahaman keselamatan berlulintas pada 3 aspek diatas 81% menjadi perwujudan dasar kehidupan di sekolah, rumah, dan lingkungan. Evaluasi hasil akhir seluruh aspek ada direntang 51-75 termasuk kategori Cukup Baik.
Pola Perjalanan Wisata Kuliner Kota Medan
Authors: Yunita Dina
Published: August 2023

Wisata kuliner memiliki peranan besar bagi perkembangan pariwisata di sebuah daerah, salah satunya yaitu untuk menumbuh kembangkan potensi makanan asli daerah tersebut. Oleh karena itu, perlu adanya pola perjalanan yang dapat memperkenalkan potensi wisata kuliner asli daerah tersebut, khususnya wisata kuliner di Kota Medan. Penelitian ini bertujuan untuk mengetahui dan membuat rute perjalanan wisata kuliner di Kota Medan serta perkiraan jarak dan waktu tempuh lokasi wisata kuliner di Kota Medan. Penelitian ini menggunakan metode desktiptif kualitatif, metode pengumpulan data berupa wawancara, studi kepustakaan dan studi dokumentasi. Hasil penelitian ini menunjukkan bahwa rute perjalanan wisata kuliner di Kota Medan berbentuk base site dan perkiraan jarak tempuh rata-rata 6 kilometer dengan waktu tempuh berkisar 10 menit. Dalam Penelitian ini juga menghasilkan peta yang memudahkan wisatawan untuk memahami rute wisata kuliner Kota Medan. Peta wisata kuliner Kota Medan tersebut juga dapat digunakan oleh pemerintah maupun media sebagai bahan promosi wisata kuliner Kota Medan.
Strategi Pemasaran Camilan Tradisional Sasagun Sebagai Oleh-Oleh Khas Kabupaten Toba
Authors: Firani Sofi
Published: August 2023

Potensi masakan lokal dapat menjadi sebuah jalan atau jawaban untuk memulai atau membuka upaya pembangunan kepariwisataan di Kabupaten Toba melalui strategi pemasaran cemilan tradisional Sasagunyang kemudian selanjutnya di buat model pengembangan produk yang tepat dan menyesuaikan dengan potensi dan kekuatan yang dimiliki kabupaten Toba.Tujuan dari penelitian ini adalah untuk mengetahui Bagaimana Strategi pemasaran cemilan tradisional Sasagun sebagai oleh-oleh Kabupaten Toba.
Jenis penelitian ini menggunakan pendekatan kualitatif yang terfokus pada upaya penguraian dan penyimpulan yang bersifat holistik dengan rangkaian data/fakta dan generalisasi yang ada dilapangan yaitu fokus pada strategi pemasaran dalam usaha. di mana penentuan strategi ini diambil melalui 12 tindakan yaitu integrasi ke depan integrasi ke belakang integrasi horizontal, penetrasi pasar, pengembangan produk, pengembangan pasar, diversifikasi konsentrik diversifikasi konglomerat diversifikasi horizontal, retrectmen, divestasi dan likuidasi.
Hasil dari penelitian ini adalah Pelaku usaha Sasagun harus mampu menyusun strategi pemasaran dengan strategi pengembangan produk dan strategi pengembangan pasar, seperti pengembangan produk sasagun menjadi cookies sasagun. Untuk strategi pengembangan pasar pengusaha sasagun dapat melakukan promosi melalui sosial media dan menambah pangsa pasar yang lebih luas lagi dengan mengurus izin halal MUI. Pemerintah setempat juga harus lebih sering memperkenalkan dan mempromosikan sasagun sebagai makanan khas kabupaten Toba. Mengingat cemilan ini sudah sangat jarang di temui, bahkan dua generasi terbaru tidak menegetahui jenis makanan ini.