bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of vaginal, abdominal and laparoscopic hysterectomy performed in our hospital
Authors: Serin Aliye , Savci Gamze
Published: October 2023

Hysterectomy is the most common pelvic surgical operation and is often performed for benign reasons. We aimed to compare clinical total abdominal hysterectomy (TAH), total laparoscopic hysterectomy (TLH), and vaginal hysterectomy (VH) in benign gynecological conditions. Patients' age, operation duration (min), length of stay in the hospital (days), Preop Hb (g/dL), Postop Hb (g/dL) values, complications according to the performed surgical procedures were analyzed. Determining which procedure will be the most appropriate option for which patient is the most important factor in preventing complications. it was observed that the patients' ages were significantly higher in the VH group (H=71.721; p=0.000), the operation duration was significantly shorter in the TAH group (H=125.689; p=0.000), and the length of hospital stay was significantly shorter in the TLH group (H=71.492; p=0.000). Preoperative and postoperative hemoglobin values were significantly higher in the VH group (H=57.222; p=0.000, H=52.824; p=0.000). It was determined that the complication rate was lower in the TAH group. The type of surgical procedure was found to not have a statistically significant effect on transfusion requirement (χ2=4.852; p>0.05) and history of previous surgery (χ2=0.115; p>0.05). The surgical approach of hysterectomy plays a significant role in postoperative morbidity. Determining which procedure will be the most appropriate option for which patient is the most important factor in preventing complications.
Proposta de exercícios da disciplina de Química Orgânica para o fortalecimento da aprendizagem da nomenclatura de álcoois nos estudantes ISCED-Huambo
Authors: Viltres Rodríguez Roberto Alfonso , Litonga Jéssica Helena , Pascual Luis Arza
Published: October 2023

Ensinar química orgânica não é uma tarefa fácil, pois não se trata apenas de transmitir informações a respeito de um determinado assunto ou simplesmente passar regras de nomenclatura ou classificação; é necessário que o aluno veja a importância daquilo que esta sendo ensinado, entretanto é necessário ensinar para a vida, pois isso torna o ensino mais dinâmico. O objectivo do presente trabalho é propor um sistema de exercicios de nomenclatura de alcoois de maneiras a contribuir para o melhoramento do processo de ensino – aprendizagem da química orgânica nos estudantes do ISCED-Huambo. Os métodos empregados foram análise documental e o histórico lógico. Os resultados mostram um sistema de exercicios de nomenclatura de alcoois encaminhada ao fortalecimento das habilidades de classificar, nomear e formular, que implicam o conhecimento do estudante das regras de nomenclatura IUPAC. Desenvolvem-se passos metodológicos em exercicios resolvidos e se proponem outro conjunto de exercicios de maneira de contribuir com o fortalecimento da aprendizagem das reglas IUPAC nos alcoois. A proposta é desenvolvida pela extraordinária importância que têm os álcoóis no campo da disciplina de química orgânica e os usos como solventes, medicamentos e combustíveis.
Proposta de um manual didáctico da flora do jardim botânico “estufa fria” da cidade do Huambo
Authors: Saiengue Mariona Nana , Capitango Pedro
Published: October 2023

Segundo resultados de investigações recentes realizadas no curso de Ensino de Biologia do ISCED-Huambo, permitiu constatar insuficiências no desenvolvimento de aulas práticas de campo na área de Biologia Vegetal. Para o efeito, o presente estudo tem como objectivo propor a elaboração de um manual didáctico da flora do Jardim Botânico da Cidade do Huambo “Estufa-Fria”, como base para o desenvolvimento de habilidades pedagógicas na realização de aulas práticas de campo. O manual didáctico será dividido em três partes. A primeira apresentará a caracterização da área de estudo, a segunda contará com a descrição de uma amostra representativa de 54 espécies de embriófitas registadas na área de estudo, agrupadas em 32 famílias botânicas. Cada espécie estará representada com uma ficha de informações referentes ao nome científico, família botânica, nome comum, ilustração fotográfica (folhas, flores e frutos), descrição botânica, distribuição geográfica e usos. A terceira parte será apresentada os modelos, tipos, a serem seguidos na planificação de uma aula prática de campo, de caracter flexíveis e adaptáveis a diferentes contextos. Este material visa ainda contribuir na investigação, divulgação, consultas na planificação de aulas práticas de campo na área de Ciências da Natureza em diferentes níveis de ensino e, na formação de uma sociedade com valores e atitudes de conservação e/ou preservação da biodiversidade.
Sensing the Divine
Authors:   , Jo Hyeong Rae
Published: October 2023

John Owen (1616–83), a prominent English Reformed theologian, emphasized the importance of affections in Christian life. Recent studies on the history of emotions have revealed a nuanced differentiation between “affections” and “passions” before the rise of secular psychology in the eighteenth century. Christian theologians, prior to the seventeenth century, distinguished affections and passion and used the concept of affections extensively. Affections, as opposed to turbulent emotions, are regarded as a more delicate inclination and disposition of the soul.

As Kelly Kapic suggests, one of the characteristics of Owen’s theology is his anthroposensitive approach, which refers to the intertwining of theological considerations and practical human application. Owen's theology is built in a theocentric way, with a particular emphasis on the experiential and pastoral aspects. This research investigates how Owen used the concept of affections to construct his anthroposensitive theology.

The research examines how Owen’s view of affections was influenced by other theologians in the tradition of affective spirituality and how he used this concept in his own theology. This study thus poses sub-questions including the context in which Owen developed his understanding of affections, how Owen viewed divine love and affections, and how his affective spirituality related to believers’ divine communion with God. Additionally, this study investigates how Owen’s views on affective spirituality were related to his ideas on worship and the edification of Christian life and how this concept provided the foundation for human flourishing and happiness.

Owen associated affections with various ideas, such as habitus, spiritual mindedness, conjugal affections, and human flourishing. This study analyzes Owen’s anthroposensitive theology and affective spirituality in relation to his views on God, mystical union, sanctification, public worship, human flourishing, and affective assurance of salvation.

By studying Owen’s view of affections, the research sheds light on this concept as a key element in understanding his anthroposensitive theology. Ultimately, for Owen, the affections were sufficient to unite Christian doctrine with its practice. This study contributes to the understanding of Owen’s anthroposensitive theology and affective spirituality by highlighting his extensive use of the concept of affections in his theology.
Telemonitoring disease activity with electronic patient reported outcomes in patients with inflammatory arthritis
Authors:   , Wiegel Jimmy
Published: October 2023

In this thesis we showed that telemonitoring disease activity with ePROs can
reduce the number of clinic visits safely. Thus, telemonitoring disease activity with
ePROs can be used in clinical practice. However, adherence to reporting ePROs
is a point of concern. To improve this, it is important that patients experience
ePRO completion as useful and barriers to use are limited. We found several
associations between patient factors and adherence (i.e. SES and gender), but
they do not explain the variance in adherence completely.
Abraham Kuyper, journalist among journalists
Authors:   , Snel Johan
Published: October 2023

Summary: Journalist among journalists

Two major themes dominated the life of Abraham Kuyper (1837-1920): theology and politics. These interests led him to mainly publish, and in this he was unique, in two specific print media. As a politician, Kuyper primarily voiced his ideas in his own daily newspaper, De Standaard, and as a theologian he wrote first and foremost for his own weekly magazine, De Heraut. He literally worked seven days a week alternately on this daily and weekly. His total production for the weekly was not much less than that for his daily, because he supplied more columns for De Heraut. His main articles appeared in De Standaard on fixed days: on Monday, Wednesday, and Friday. His output for De Heraut usually amounted to three or four different articles and was also accomplished during the week. He invariably wrote the meditation on Sunday mornings when the rest of his family was in church, or when he was having a day of rest during his travels.
For more than half a century, from July 1869 to December 1919, Kuyper worked as a journalist in this way. Most of the time he combined his journalistic work with his other public duties, as a pastor and professor at his own Vrije Universiteit Amsterdam, a Member of Parliament and chairman of the ARP, the Anti-Revolutionary Party. Even as Prime Minister (1901-1905), he continued to covertly supply copy for De Standaard in which, among other things, he commented on his fellow ministers, both in editorials and three-stars (i.e. brief commentaries announced by three little stars). However, in retrospect it is no longer possible to determine with certainty what was his own work and what was the work of others on the editorial staff.
For about as long, from 1870 to 1920, he was editor-in-chief: first of the weekly De Heraut, then from 1872 of the daily De Standaard. From December 1877, moreover, he formally led a weekly and a Sunday paper, again to be called De Heraut (but with a more theological content). Only in the years of his premiership and subsequent trip around the Mediterranean Sea, from 1901 to 1906, did he not formally function as editor-in-chief, although he did supply some copy from time to time. During his nine months’ travel around the Mediterranean, he is even said to have supplied an editorial for every Saturday.
For half a century, journalism formed the basis of Kuyper’s public appearance. He launched the ideas that also guided his political and public life mainly in his own newspaper. This is where he also fought his many opponents. His editorials and three-stars were read by his opponents as well as by his anti-revolutionary followers: precisely as a journalist and a publicist, Kuyper enjoyed a wide reputation, not only among journalists. The fact that he took position and expressed his own anti-revolutionary sound did not deviate from the equally clear position held by liberal and certainly socialist journalists alongside him. Political outspokenness was a widely recognized feature of Dutch journalism around 1900.
Connecting white and grey matter damage in multiple sclerosis using multimodal MRI
Authors:   , Weeda Merline Maria
Published: October 2023

The aim of this thesis was to study the temporal and spatial relationships between white matter (WM) damage and grey matter (GM) atrophy in early stages of multiple sclerosis (MS) using multimodal magnetic resonance imaging (MRI) techniques, in order to better understand how neurodegeneration is related to neuroinflammation and other pathological changes in MS. Our main research question was to investigate whether GM atrophy progressed faster when there is more damage in the connected WM, and how this related to disability, in subjects with early relapsing-remitting (RR)MS.

In conclusion, this thesis has given some new insights in the relation between WM and GM damage, both temporal and spatial, in early RRMS brain and spinal cord by using multimodal MRI techniques. In summary, the research presented in this thesis has led to the following conclusions:

Chapter 1 - Introduction
• In non-progressive MS, more WM lesions (size and/or number) correlated to more GM atrophy, both globally and regionally. In progressive MS, these correlations were less consistent.
• Harmonization of methodology in MRI studies of MS is of importance to enable between-study comparisons of data.

Chapter 2 – Challenges related to lesions in MS
• Lesion segmentation methods vary largely in their volumetric and spatial accuracy compared to manual segmentation.
• Using only one manual segmentation image as input for deep learning software (such as nicMSlesions) can already outperform commonly used (semi-)automated methods.
• LESIM is a new lesion simulation tool that enables the user to introduce realistic looking MS lesions with correct shapes, locations, intensities and signal-to-noise ratios in healthy control images. This allows optimization and validation of new segmentation software in MS.

Chapter 3 – Atrophy and lesions in the MS spinal cord
• Upper cervical cord area (UCCA) cannot be robustly reproduced between scanners or between vendors and comparisons in multi-center studies should therefore be made with caution.
• UCCA can be robustly measured when cervical cord lesions are present.
• There was no temporal nor spatial relation between UCCA and cervical cord lesions in our cohort of early RRMS subjects.
• Increasing cord atrophy, and not cord lesions, were predictive of increasing disability over time.

Chapter 4 – Grey and white matter damage in the MS brain
• Thalamic atrophy progresses faster when more damage is present in the connected WM in early RRMS and CIS.
• Cortical GM atrophy progresses faster when more damage is present in the connected WM in early RRMS subjects with increasing disability.
• WM integrity measures such as NODDI and MWF had additional value to standard DTI parameters in determining this WM-GM relationship, and including these acquisitions is recommended for future MRI research studies in MS.
Acil Uzaktan Eğitim Sürecinde Karşılaşılan Sorunlara İlişkin Öğretmenlerin Değerlendirmeleri: Tarama Çalışması
Authors: TATLI Zeynep , GÜLAY Ahmet , BAŞDAĞ Ozan
Published: October 2023

Bu araştırmanın amacı, acil uzaktan eğitim sürecinde karşılaşılan sorunlara ilişkin öğretmenlerin değerlendirmelerinin incelenmesidir. Araştırmada nicel yaklaşımlardan tarama yöntemi işe koşulmuştur. Araştırmanın örneklemini, Türkiye’nin çeşitli şehirlerinde görev yapan farklı branşlardan 330 öğretmen oluşturmuştur. Veriler, araştırmacılar tarafından geliştirilen “Uzaktan Eğitim Sürecinde Karşılaşılan Sorunların Değerlendirilmesi Formu” ile toplanmıştır. Elde edilen araştırma verileri, betimsel istatistiğe tabi tutulmuştur. Araştırma sonucunda öğretmenlerin senkron yürütülen acil uzaktan eğitim sürecinde internet bağlantısının kopması veya yavaş olması, yeterli eğitim materyali bulunmaması, öğrencilerin bu eğitime uygun ortamlarının bulunmaması, derse aktif olarak katılmaması ve iletişiminin zayıf olması gibi sorunlarla karşılaştıkları belirlenmiştir. Araştırma sonuçlarına dayalı olarak uzaktan eğitimde öğretmenler ve öğrenciler için gerekli alt yapının, ortamın ve materyallerin sağlanması önerilmiştir.
ASPECTOS CLÍNICOS E EPIDEMIOLÓGICOS DA SÍFILIS GESTACIONAL NO NORTE DO BRASIL
Authors: Mendes Mayza Ribeiro , De Oliveira Nágylla Alves , Feitosa Maria Aparecida Lima , Neres Liberta Lamarta Favoritto Garcia , Markus Glaucya Wanderley Santos
Published: October 2023

A sífilis é uma doença infectocontagiosa exclusiva do ser humano, ocasionada por agente etiológico bacteriano da espécie Treponema pallidum. Sua principal via de transmissão é sexual e, devido a sua fisiopatogenia, apresenta diversas manifestações clínicas. Entre as suas classificações, há a sífilis congênita, um agravo de interesse à saúde pública, por sua capacidade de desencadear complicações graves para o feto e o recém-nascido. Assim, a mensuração e o monitoramento da sífilis congênita são de interesse para a vigilância epidemiológica, sendo a notificação compulsória, visto que as fichas de notificação fornecem informações que permitem analisar a eficácia das estratégias de prevenção, detecção e tratamento da doença. Esses dados podem ser usados ​​para orientar políticas de saúde pública, melhorar o atendimento pré-natal e desenvolver medidas de prevenção mais eficazes para reduzir as taxas de sífilis congênita. Esta análise epidemiológica do agravo avaliou o perfil social e demográfico das usuárias do Sistema Único de Saúde (SUS), afetadas pela sífilis gestacional na população brasileira da região Norte, baseado nos dados do Sistema de Informação de Agravos de Notificação (SINAN), em um período de quatro anos, compreendido entre 2018 a 2021. Para a coleta dos dados, foram utilizadas as informações disponíveis no software TABNET, do Departamento de Informática do Sistema Único de Saúde (DATASUS). Foram analisados,  para condução deste estudo, os dados referentes a faixa etária, raça, escolaridade e realização de testes treponêmicos e não treponêmicos. Após a análise dos dados, observou-se que os 3 principais notificadores do agravo são Pará, Amazonas e Acre, respectivamente. O perfil das gestantes mais acometidas são pardas, de baixa escolaridade, entre 20-39 anos. Diante do aporte teórico e dos resultados da pesquisa, o estudo concluiu que é importante ressaltar a importância da sífilis gestacional e seu impacto na saúde pública devido ao risco que representa para as gestantes e seus bebês. Ainda notou-se, de acordo com o aporte teórico consultado, a necessidade de compreender o perfil epidemiológico em cada região, pois é fundamental criar ou melhorar as estratégias de prevenção e controle de acordo as necessidades regionais.
HUBUNGAN JUMLAH LEUKOSIT TERHADAP HASIL PEMERIKSAAN NS-1 PASIEN SUSPEK DBD
Authors: Wulandari Melan Fitri , Hadi Suparlan , Eka Putri Dian
Published: October 2023

Demam dengue (DD) merupakan penyakit yang disebabkan oleh infeksi virus dengue yang ditularkan melalui gigitan nyamuk Aedes aegypti. Indonesia merupakan negara tropis yang memiliki musim penghujan pada bulan Juli–Desember. Curah hujan dan kelembapan udara merupakan faktor peningkatan kasus DBD. Non structural-1 (NS-1) merupakan pemeriksaan cepat yang banyak digunakan untuk diagnosis DBD mulai dapat dideteksi pada hari pertama demam. Jumlah leukosit merupakan salah satu parameter hematologi sederhana yang sering diperiksa pada pasien DD. Penelitian ini bertujuan untuk mengetahui hubungan jumlah leukosit terhadap hasil pemeriksaan NS-1 pada pasien suspek demam berdarah dengue di RSUD Pasar Rebo. Penelitian retrospektif cross-sectional dilakukan pada bulan Maret - April 2022 di RSUD Pasar Rebo. Sampel pada penelitian ini adalah pasien suspek demam berdarah dengue berusia >18 tahun dan melakukan pemeriksaan hitung jumlah leukosit dan NS-1. Penelitian ini menggunakan data sekunder dengan pengambilan sampel menggunakan teknik purposive sampling dan mendapatkan data sebanyak 30 subjek. Uji bivariat menggunakan uji kolerasi Spearman Rank Hasil penelitian 30 subjek terdiri dari 6 orang (20%) NS-1 positif dan 24 orang (80%) NS-1 negatif.  Terdapat 4 (66,7%) subjek NS-1 positif mengalami leukopenia dan 2 (33,3%) subjek lainnya dengan leukosit normal. Terdapat hubungan antara jumlah leukosit terhadap hasil NS-1 pada pasien suspek DBD.
ORGANIZATIONAL EFFORT FACTORS DAN BURNOUT PADA PERAWAT DI UNIT PERAWATAN TERPADU
Authors: Kesworowati Dian , Setiyadi Agung , Handayani
Published: October 2023

Burnout sebagai suatu gejala yang terjadi pada tingkat individu, yang merupakan pengalaman internal yang bersifat psikologis karena melibatkan perasaan, sikap, motif, dan harapan-harapan yang menyebabkan keadaan kelelahan secara fisik, emosi, dan mental yang disebabkan oleh keterlibatan seseorang dalam pekerjaan pelayanan akibat hubungan yang tidak seimbang antara pemberi dan penerima pelayanan. Organizational effort factor merupakan factor dukungan organisasi yang dapat mempengaruhi dalam melaksanakan berbagai tugas dalam suatupekerjaan atau kegiatan. Tujuan penelitian ini adalah untuk mengetahui hubungan organizational effort factors dengan burnout perawat pelaksana di unit perawatan terpadu. Desain penelitian ini deskriptif kuantitatif yang menggunakan desain cross sectional. Sampel yang digunakan sebanyak 72 responden. Hasil penelitian dilakukan uji analisis regresi linear sederhana menunjukkan bahwa signifikasi sebesar α=0,000 yang membuktikan adanya hubungan organizational effort factors dengan burnout pada perawat. Hal ini menunjukkan bahwa semakin tinggi organizational effort factors maka akan menurunkan burnout pada perawat. Perawat dapat memberikan dukungan kepada rekan kerja, menciptakan lingkungan kerja yang nyaman, dan menciptakan suasana kerja secara kekeluargaan.
PENGETAHUAN DAN PERILAKU IBU TERHADAP DETEKSI DINI DEMAM BERDARAH DENGUE PADA ANAK
Authors: Nur Intan Amanda  , Puji Astuti Wiratmo  , Yuli Utami
Published: October 2023

DBD merupakan penyakit infeksi yang banyak menyerang usia anak. Penting bagi ibu untuk mengetahui tanda dan gejala DBD sedini mungkin sebagai upaya pencegahan  komplikasi DBD.  Penting juga melihat bagaimana perilaku ibu mendeteksi dini  tanda dan gejala DBD untuk menentukan tindakan yang tepat. Penelitian ini bertujuan untuk mengetahui hubungan  pengetahuan ibu terhadap perilaku deteksi dini tanda dan gejala DBD pada anak. Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross sectional pada 36 ibu di Posyandu Flamboyan 2 Kelurahan Gedong Kecamatan Pasar Rebo secara purposive sampling. Hasil analisa data dengan Spearman menunjukkan adanya hubungan pengetahuan ibu terhadap perilaku deteksi dini tanda dan gejala DBD ( p 0,025 dan r 0,373). Pengetahuan ibu tentang DBD merupakan domain yang penting untuk  membentuk perilaku ibu dalam  melakukan deteksi dini tanda dan gejala DBD sehingga anak yang mengalami DBD dapat segera diberikan penanganan yang tepat untuk mencegah komplikasi dan meningkatkan derajat Kesehatan anak.
STUDI HUBUNGAN PENGETAHUAN DAN PENGGUNAAN ANTIBIOTIKA TERHADAP PERANAN TEKNOLOGI INFORMASI DI RT 04-05 CAWANG
Authors: Tesha Sari Angrainy Rodesia  , Humaedi Aji , Ani Rahayu
Published: October 2023

Antibiotika merupakan obat yang yang berfungsi sebagai bakterida maupun bakteriostatik. Penggunaannya sering tidak tepat dan tidak rasional sehingga menyebabkan resistensi. Hal ini disebabkan karena minimnya pengetahuan dan informasi serta tata laksana antibiotika. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan dan sikap penggunaan antibiotika bagi masyarakat terhadap peranan teknologi informasi. Penelitian deskriptif ini menggunakan metode Random Sampling dengan kuesioner sebagai instrumen untuk pengumpulan data yang dilaksanakan di wilayah RT 04-05 Kelurahan Cawang Kramat Jati. Hasil penelitian menunjukkan data variabel terbanyak adalah responden perempuan sebesar 63,3%,  usia 18-25 tahun sebesar 36,4%, pendidikan SMA sebesar 65,5%, dan pekerjaan sebagai karyawan swasta sebesar 52,7%. Tingkat pengetahuan warga terhadap penggunaan antibiotika masih sangat rendah yaitu sebesar  85,5%. Uji bivariat menunjukkan nilai signifikansi (p) sebesar 0,013 dan 0,015 (p<0,05). Dengan demikian, terdapat hubungan bermakna antara tingkat pengetahuan dan sikap penggunaan antibiotika terhadap peranan teknologi informasi dengan nilai p<0,005.
STUDI LITERATUR : HASIL TES DIAGNOSTIK CEPAT MALARIA NEGATIF PALSU DAN POSITIF PALSU
Authors: Desi Aryani
Published: October 2023

Diagnosis malaria di banyak negara endemik malaria bergantung pada penggunaan uji diagnostik cepat atau Rapid Diagnostic Test (RDT). Uji diagnostik cepat (RDT) Malaria merupakan pemeriksaan dengan antibodi pasien terhadap antigen target dari satu atau lebih spesies plasmodium. WHO merekomendasikan membatasi pengobatan pada infeksi malaria hanya diberikan pada pasien diagnosis malaria yang konfirmasi parasitologis. Pemeriksaan baku emas malaria adalah ditemukannya plasmodium secara mikroskopis. Selain itu, WHO juga merekomendasikan peningkatan penggunaan RDT malaria sebagai komponen penting dalam pengelolaan dan pengawasan infeksi malaria. Sensitivitas dan spesifisitas RDT malaria sangat penting untuk meminimalkan hasil positif palsu dan negatif palsu Penelitian ini bertujuan untuk mengetahui sensitivitas dan spesifisitas penggunaan RDT malaria. Penelitian menggunakan metode literatur review dengan melalui peninjauan dokumen pada search engine google scholar dengan keyword malaria RDT positif palsu dan negatif palsu. Data didapatkan melalui peninjauan jurnal yang dipilih dari 10 jurnal yang terkait antara tahun 2010 sampai dengan tahun 2022. Hasil kajian ini menyimpulkan bahwa RDT menunjukan efektifitasnya dan kecepatan dalam diagnosis malaria. Tetapi untuk hasil yang lebih akurat, pengujian lain tetap perlu dilakukan dengan menggunakan mikroskopis sebagai gold standar, dan jika diperlukan lanjut analisa dengan menggunakan PCR.
KARAKTERISASI KOMPREHENSIF NANO PARTIKEL EKSTRAK DAUN SIRSAK
Authors: Zahara Indah , Effionora Anwar  , Dian Ratih Laksmitawati  , Deni Rahmat
Published: October 2023

Nanoteknologi telah merevolusi berbagai bidang, termasuk kedokteran, dengan memberikan peluang baru untuk penelitian dan aplikasi. Penelitian ini berfokus pada karakterisasi nanopartikel yang berasal dari ekstrak daun sirsak. Nanopartikel disintesis menggunakan polimer kitosan dan ekstrak daun sirsak, dan sifat-sifatnya dianalisis. Hasil penelitian menunjukkan rentang ukuran partikel yang luas, dengan ukuran rata-rata 210,9 nm dan modus 161,4 nm. Nanopartikel menunjukkan potensial zeta negatif sebesar -31,5 mV, yang menunjukkan stabilitasnya dalam larutan. Efisiensi penyerapan ditemukan sebesar 87,90%, dan kapasitas muatan obat mencapai 37,92%. Mikroskop elektron pemindaian mengonfirmasi morfologi nanopartikel yang berbentuk bulat. Temuan ini menyoroti potensi nanopartikel dari ekstrak daun sirsak untuk pengiriman obat dan menekankan pentingnya karakterisasi komprehensif untuk aplikasi di masa depan.
Current Early Educator Knowledge, Practice, and Needs Regarding Informal Assessment
Authors: Classen Audra I. , Kang Jean , Cheatham Gregory A.
Published: October 2023

Early educators are urged to use authentic assessments which assess young children's development using systematic observation of real-life experiences and activities (Susman-Stillman, Bailey, & Webb, 2014). However, only a limited number of studies are available regarding early educators' current practices and needs associated with systematic informal assessment (Early et al., 2007; Madaus, Rinaldi, Bigaj, & Chafouleas, 2009; Pretti-Frontczak, Kowalski, & Brown, 2002). Researchers provide a framework for this study by dividing the DEC recommended assessment practices (2014), and NAEYC assessment indicators of effectiveness (2003) into four themes: choosing assessment methods, collecting data, collaborating with families, and analyzing data. The framework was then used to design the survey instrument for the purpose of determining early educators' current: (a) use of informal assessment methods, (b) knowledge and beliefs about the effectiveness of informal assessment methods, and (c) needs for training related to using informal assessment methods. Results indicate that early educators working in settings other than Head Start revert to using two informal assessment methods (i.e., anecdotal notes, event/frequency) which match most teachers' self-rating of their knowledge regarding anecdotal notes. Finally, early educators in the current study reported needing additional training related to all informal assessment methods except for anecdotal notes.
Examination of Children Referred and Identified with Socioemotional and Behavioral Needs in Head Start
Authors: Bulotsky Shearer Rebecca , Delgado Christine , Bailey Jhonelle , Futterer Jenna , Gruen Rinatte
Published: October 2023

This study utilized a population-based approach to examine the prevalence of children identified with disabilities in a large, urban Head Start program serving diverse preschool children living in poverty (N=7,301). In addition, the study examined demographic differences in patterns of screening and identification for disability with respect to socioemotional and behavioral needs. Two administrative data systems were integrated for analysis: program enrollment and demographic records; and a mental health screening assessment database including all children enrolled within the Head Start program. Findings suggested that gender (boys) and ethnicity (Hispanic) were associated with higher rates of identification for disability, including emotional/behavioral disability. In addition, of those children identified with an emotional/behavioral disability, the program-wide social-emotional screening tool showed greater rates of externalizing behavior problems compared to internalizing behavior problems. Implications for policy, future research, and practice within early childhood programs such as Head Start are discussed.
A Program-wide Look at Early Identification of Socioemotional and Behavioral Needs in Head Start Programs to Better Serve Children
Authors: Bulotsky Shearer Rebecca , Delgado Christine , Bailey Jhonelle , Futterer Jenna , Gruen Rinatte
Published: October 2023

Early childhood programs, such as Head Start, that serve children at risk can implement programmatic screening procedures to ensure equitable identification of children displaying a range of socioemotional and behavioral needs. We examined administrative records linked to a program-wide mental health screening tool to examine patterns of special needs referral and identification for children within the Head Start program (N=7,301 children). Findings showed that male, Hispanic, and Spanish-speaking Dual Language Learner (DLL) children were identified with a disability at a higher rate compared to female, non-Hispanic, and non-DLL children. Children displaying challenging behaviors such as aggressive, oppositional, or disruptive behavior were identified at higher rates than children displaying shy or socially withdrawn behaviors.
The Transition from Pre-K to Kindergarten: Parent, Teacher, and Administrator Perspectives
Authors: Vitiello Virginia E. , Basuel Nica Kyra N. , White Emily S. , Whittaker Jessica E. , Ruzek Erik A. , Pianta Robert C.
Published: October 2023

The present study aimed to identify commonalities and points of divergence in the ways that parents, teachers, and administrators characterize childrenâ€™s transition from public pre-K into kindergarten within a large, diverse school district. A wide range of transition practices were in use across the district, including practices designed to educate parents, connect pre-K and kindergarten stakeholders, train teachers, and provide transition experiences to children. Transition experiences were not uniform across programs, though. Using a consensual qualitative coding approach, we identified three crosscutting themes related to pre-K transitions: (1) pre-k programs and staff invest significant time and effort in supporting successful transitions; (2) preschool programsâ€™ school readiness efforts often center on the â€œmechanicsâ€ of the transition, like completing paperwork and teaching children basic school behaviors; and (3) there are concerns about a lack of alignment between pre-K and kindergarten in terms of readiness, behavioral expectations, and learning goals.
Implementing I am Moving, I am Learning in a Head Start Program: Strengths and Challenges
Authors: Miller M. Elizabeth , Nicely Stephanie
Published: October 2023

The I am Moving, I am Learning (IMIL) curriculum enhancement program has been adopted by many Head Start (HS) programs as a way to incorporate physical activity and movement into the curriculum. This study evaluated the implementation of the IMIL strategies within one Head Start program through the use of caregiver and teacher surveys, along with classroom observations that were conducted by trained HS nutrition specialists. This study presents barriers and facilitators to one HS program’s IMIL implementation and provides valuable insight into areas of future research and potential strategies to ensure IMIL program integration sustainability.
Teacher-Level Traits as Moderating Factors of Professional Development
Authors: Ascetta Kate , Harn Beth
Published: October 2023

This professional development (PD) study investigated the role of teachers’ initial receptive language skills on the implementation of language enhancement strategies. Head Start lead (n=12) and assistant (n=9) teachers received PD designed to increase their use of language enhancement strategies. Results indicated that teachers’ receptive vocabulary scores did predict their pretest language strategy usage; F(1, 19) = 6.40, p < .05, accounting for 25.2% of the variation in the frequency of language enhancing strategy. Additionally, there was a significant difference detected by role at pre-intervention indicating that assistants delivered fewer language enhancement strategies compared to lead teachers M = 41.25 (SD = 16.16) vs. M = 25.67 (SD = 11.98). However, post-intervention means demonstrated a closing of the gap between lead and assistant teachers’ implementation of language enhancement strategies. Results interpreted by discussing the importance of examining the moderating impact of teacher-level traits in evaluating the effectiveness of PD.
Comparing Louisana and Pennslyvania Head Start Teachers' Physical and Mental Health
Authors: Blancher Adam , Yetman Michelle , Reekes Tyler
Published: October 2023

Racial disparities have been found to exist within the health care setting; this paper investigates the existence of such differences among Head Start (HS) staff in terms of health and wellness. The purpose of the study was to compare physical health indicators from a Louisiana HS sample to a previously published data set of Pennsylvania HS staff (Whitaker et al., 2013). We surveyed a predominately Black (85.6%) group of HS teachers (N = 195) using a modified questionnaire developed by a Pennsylvania research team. The responses were analyzed against a national reference and Pennsylvania group of HS teachers (Whitaker et al., 2013). Results indicated that HS teachers have a higher prevalence of health-related problems than the national sample. However, our sample of Black teachers in HS start classrooms experienced worse physical health than White women with similar characteristics (age, marital status). These results have profound implications regarding health disparities and the physical well-being of HS teachers.
La Nacionalización de la idea de cruzada: el caso italiano de 1848
Authors: Menozzi Daniele
Published: October 2023

La cultura romántica rehabilitó las cruzadas medievales del juicio histórico negativo de la Ilustración. Esta reevaluación tuvo éxito en diversos sectores del mundo católico que calificaron de «cruzada» la movilización popular para lograr sus objetivos políticos. La participación de voluntarios en la primera guerra de independencia italiana se definió como una «santa cruzada» por el Estado nacional unitario. A pesar de que Pío IX no legitimó la cruzada, hubo una transferencia de sacralidad del Santo Sepulcro a la nación: varios predicadores atribuyeron a la muerte en combate por la unidad de la patria el mismo valor que al martirio en la liberación de la Tierra Santa.
Armar la insurrección. La trama suiza del separatismo catalán en la revolución de octubre de 1934
Authors: Esculies Serrat Joan
Published: October 2023

Durante el verano y otoño de 1934 los líderes del separatismo catalán, Josep Dencàs y Miquel Badia, contactaron con una red de traficantes de armas suizos para comprar fusiles Máuser y preparar la insurrección armada contra el gobierno de la Republica española que tuvo lugar el 6 de octubre de ese año. El artículo expone la trama a partir de documentación inédita procedente de los Archivos nacionales franceses y corrobora unos contactos de los que hasta hoy no se tenía constancia que se hubiesen producido, además de aportar información sobre su alcance.
Comparative Analysis of Demographic Transition Processes in Ukraine and Croatia and Recent Refugee Waves
Authors: Komušanac Monika
Published: October 2023

The comparative analysis established the similarity of the demographic transition processes in Ukraine and Croatia as a consequence of the specific historical, social and economic conditions of development within the former state communities. Consideration of post-transition characteristics and demographic heritage confirmed the comparability of modern demographic characteristics and processes of these two countries. The recent geopolitical situation in Eastern Europe related to the Russian aggression on Ukraine has caused intensified forced relocations of the population in Ukraine and Europe in the context of exile and refugee movements. The main sources of migration waves, the directions and intensity of certain forms of forced (war) migration to and from the territory of Ukraine are defined. In addition to the increased spatial mobility of the population (both internal and external) and direct demographic losses, other demographic consequences will be visible with a delayed effect, and after the end of the war in Ukraine.
Transgender dalam Perspektif Hukum Hak Asasi Manusia Internasional dan Hukum Positif di Indonesia
Authors: Azahro Salsa Amalia
Published: October 2023

Human rights become a hot world issue when their recognition becomes a commitment of every country in the world. The global community is also worried about violations of human rights which frequently occur and are becoming more massive as time goes by. Lesbian, gay, bisexual and transgender issues became increasingly hot on the lips of the public when there was news in the mass media about the ASEAN-wide LGBT meeting being held in Jakarta last July. In this article, the author uses normative juridical research methods. The author will review secondary legal materials, including laws, books, journals and literature related to the research subject, and explain them through descriptive analysis. 20th century, issues surrounding transgender identity began to emerge in various big cities in Indonesia. In the context of performing and martial arts, as well as among male communities in some ethnic groups, same-sex interactions have become common. Human Rights freedoms are supported by the Universal Declaration of Human Rights, namely liberalization of freedom of expression, especially transgender sexual behavior. Transgender issues began to emerge in several large cities in Indonesia at the beginning of the 20th century. Then it began to experience rapid development around the 1960s. Indonesia is a country that respects and upholds human rights in its constitution. The lack of clarity regarding transgender people in both the Universal Declaration of Human Rights and positive law in Indonesia is used as an opportunity for transgender people to fight for their rights
HAK MEMILIH TNI DAN POLRI DALAM PERSPEKTIF HUKUM POSITIF DAN HAK ASASI MANUSIA
Authors: Salsabila Mikyal
Published: October 2023

Members of the TNI and POLRI as part of Indonesian citizens should have human rights, especially the political right to vote in elections. However, in reality, the right to vote for these two agencies is limited by the provisions in force in the legislation. Therefore, this research was conducted to analyze the provisions on the right to vote for members of the TNI and POLRI from a positive law and human rights perspective. This research uses normative juridical methods such as a conceptual approach, a state approach, a historical approach and an analytical approach. Based on the research results, there is a decline in democracy looking at the history of elections in 3 periods, namely the old order, the new order and the reform era. Apart from that, there is a lack of synchronization between positive legal provisions and each other which regulate human rights and political rights of Indonesian citizens
Kisah Israiliyat tentang Ya’juj dan Ma’juj menurut Tafsir Ibnu Katsir dan Tafsir Ath-Thabari
Authors: Ikhda Khusna
Published: October 2023

Salah satu topik menarik dalam kajian tafsir adalah tentang kisah-kisah Israiliyat yang ada dalam tafsir Al-Qur’an. Salah satu kisah Israiliyat yang menarik untuk dikaji adalah kisah Israiliyat tentang Ya’juj dan Ma’juj menurut penafsiran Tafsir Ibnu Katsir dan tafsir Ath-Thabari. Dalam literatur tafsir, kisah Ya’juj dan Ma’juj menjadi subjek yang menarik untuk diteliti karena memiliki peran penting dalam memahami eskatologi Islam dan akhir zaman. Penelitian ini bertujuan untuk mendalami kisah Israiliyat tentang Ya’juj dan Ma’juj dalam dua tafsir yang berbeda, yaitu Tafsir Ibnu Katsir dan Tafsir Ath-Thabari. Penelitian ini membahas bagaimana kedua mufassir tersebut menanggapi tentang kisah Israiliyat Ya’juj dan Ma’juj, bagaimana keduanya menginterpretasikan kisah Ya’juj dan Ma’juj serta referensi yang diambil oleh masing-masing mufassir, dan bagaimana kisah tersebut memengaruhi pemahaman umat Islam terhadap Ya’juj dan Ma’juj. Hasil penelitian ini menunjukkan bahwa Ibnu Katsir dan Ath-Thabari tidak memberikan kritik atas riwayat Israiliyat tentang Ya’juj dan Ma’juj. Kedua mufassir merujuk pada riwayat salah seorang Yahudi (ahli kitab) yang masuk Islam yang bernama Wahab bin Munabbih. Penafsiran Ibnu Katsir terkesan lebih umum daripada penafsiran Ath-Thabari. Dari penafsiran kedua tokoh mufassir tersebut, disimpulkan bahwa Ya’juj dan Ma’juj adalah salah satu diantara tanda-tanda hari kiamat yang muncul sebelum hari kiamat terjadi.
Technical modification of alkali leaching circuit to improve slurry throughput into the autoclave
Authors: SHARMA VIPIN KUMAR
Published: October 2023

Tummalapalle Mill represents an alkali leaching-based uranium processing plant. Alkali leaching occurs inside pressurized autoclaves at controlled temperature and pressure. Although the rated capacity of the Tummalapalle Mill is 3000TPD [1], few obstructions were present to achieve the rated capacity. The technical study was done by the process and mechanical engineer team of Tummalapalle Mill for necessary improvements to achieve the rated capacity, which helped in the overall grinding rate of the processing plant. In the alkali leaching section of the Tummalapalle unit, Autoclaves (pressure vessels) are used for alkali leaching purposes. To run the plant at full rated throughput, i.e. 3000TPD, it is required to push the slurry into autoclaves by double hose-diaphragm pumps through spiral heat exchangers with a sufficient flow rate. During the regular course of operation, each double hose-diaphragm pump was able to discharge a limited flow rate with the existing motor-designed parameters. This paper deals with the technical details of double hose-diaphragm pumps, recent technical modifications incorporated & consequent trials taken to increase the pump flow rate and thereby achieve the required throughput into autoclaves.
Desarrollo, aceptación y efectividad de una herramienta de ayuda a las decisiones en la promoción de ejercicio físico saludable
Authors: Coronado Vázquez M.ª del Valle
Published: October 2023

OBJETIVO
Desarrollar una herramienta de ayuda a las decisiones (HAD) en la promoción del ejercicio físico saludable y valorar su aceptación y efectividad.

MATERIAL Y MÉTODOS
Diseño en tres fases (criterios de la Fundación IPDAS [International Patient Decision Aid Standards]).

Fase 1: 1) Grupo multidisciplinar de pacientes y profesionales sanitarios para guiar el diseño de la HAD. 2) Revisión sistemática de la evidencia científica sobre el ejercicio físico saludable.

Fase 2: Pilotaje de campo Alfa.

Objetivo: valorar la exhaustividad de HAD, aceptabilidad, comprensibilidad y utilidad entre pacientes y profesionales sanitarios.

Diseño: estudio iterativo mixto.

Material y método: estudio de tres rondas en clínicos y pacientes a través de cuestionarios de aceptabilidad y usabilidad, y entrevistas semiestructuradas. Análisis iterativo con ATLAS.ti.

Fase 3: Pilotaje de campo Beta.

Objetivo: evaluar la efectividad de la HAD para promocionar el ejercicio físico saludable.

Diseño: ensayo clínico aleatorizado.

Material y métodos: estudio piloto en una muestra de 70 personas (35 por grupo) de 18-65 años, que realizan menos de 150 minutos de ejercicio moderado/semana, sin enfermedad cardiovascular u otra que limite el ejercicio físico.

Intervención: promoción de ejercicio físico con la HAD.

Control: práctica clínica habitual en la promoción de ejercicio físico.

Variable principal: actividad física medida con IPAQ (International Physical Activity Questionaire) y contaje de pasos mediante podómetro.

Análisis estadístico: para analizar el ejercicio físico, se utilizará un modelo de análisis de la covarianza (ANCOVA), con el valor en METs obtenido en el IPAQ y el número de pasos semanales registrados por el podómetro. Conflicto con las decisiones.
Necesidades formativas de los profesionales de Atención Primaria en torno al duelo perinatal
Authors: Martínez Satorres Alba
Published: October 2023

ANTECEDENTES
La formación continuada es la vía más adecuada para mantener la competencia profesional y garantizar su adaptación a las nuevas situaciones, tecnologías y conocimientos. Es necesario planificar las actividades de formación continuada teniendo en cuenta las necesidades formativas de los profesionales a los que va dirigida. El abordaje del duelo perinatal todavía supone un tabú en nuestra sociedad y crea incomodidad e inseguridades a los profesionales de Atención Primaria (AP), poco preparados para abordarla. Estudios cualitativos que entrevistan a personas en duelo perinatal muestran las dificultades de comunicación que tenemos en torno a este duelo.

HIPÓTESIS
El duelo perinatal es un tema tabú e incómodo entre las profesionales de AP, que tienen pocos conocimientos sobre cómo abordarlo.

OBJETIVOS
Detectar las necesidades formativas en torno al abordaje y acompañamiento del duelo perinatal en las profesionales de AP.

MATERIAL Y MÉTODOS
Estudio observacional transversal tipo encuesta vía web, dirigida a los profesionales de AP, iniciado en marzo de 2022. Se analizan: variables demográficas, conocimientos sobre factores de riesgo de pérdidas gestacionales, características y abordaje del duelo perinatal, recursos comunitarios y necesidades formativas percibidas.

Medidas principales: encuesta autocumplimentada y anónima.

Análisis estadístico: medias y desviaciones estándares en el caso de variables cuantitativas, y frecuencias absolutas y relativas para las cualitativas.

RESULTADOS ESPERADOS
Se espera detectar un nivel bajo de formación en cuanto al abordaje del duelo perinatal, dificultades para establecer una comunicación empática y asertiva con las personas en duelo y un elevado interés en formación sobre el mismo.

APLICABILIDAD Y RELEVANCIA
Identificar las necesidades formativas y el interés por la formación sobre duelo perinatal de las profesionales de AP para poder ofrecer una formación continuada de interés y calidad sobre un tema todavía tabú y de difícil abordaje en este nivel de asistencia sanitaria.