bluuebunny/crossref_metadata_2025 huggingface dataset:
Pattern of Skin Diseases in Patients Attending the Dermatology Outpatient of a Tertiary Care Hospital
Authors: Habib Aamir , Arslan Ahmed Basra  , Hafsa Nazeer  , Mohsin Mehmood Ansari  , Asfa Ahmed  , Nida Arif  , Muhammad Imran Khan  , Rabia A Ghafoor Sadal
Published: November 2023

Objective: To know the pattern of skin disorders amongst patients reporting to the Dermatology outpatient of a tertiary care hospital.
Study Design: Cross-sectional study.
Place and Duration of Study: Dermatology OPD Combined Military Hospital, Bahawalpur Pakistan from May to Oct 2022.
Methodology: Eight thousand sixty-eight patients attending the outpatient department (OPD) for skin problems were included in the study. Consultants with Postgraduate qualifications in Dermatology diagnosed all cases. Diagnosis of skin problems were noted for each patient. Diseases were categorized into various groups.
Results: The mean age of patients was 29.04±15.941 years. 54.35% of patients (n=4385) were in the 20-40 years age range. Infections were the most commonly seen disease group (n=2152,26.7%), followed by dermatitis and eczematous disorders (n=1784,22.1%), parasitic diseases (n=1341,16.6%) and acquired pigmentary disorders (n=579,7.2%) in descending order of frequency. Together, these four groups of diseases accounted for 72.6% of total patients. Infections and infestations accounted for 43.3% of patients reporting to our outpatients during the study period. Scabies was the most common disease in 15.6% (n=1262) of our patients. Scabies and dermatophyte infections were the two most commonly encountered diseases. These two diseases comprised 26.5% (n=2141) of the total cases.Conclusion: Infections and infestations accounted for 43.3% of patients reporting to our outpatients during the study period. Scabies and dermatophyte infections were the two most commonly encountered diseases. Public health education regarding personal hygiene and dermatological care availability can help lessen the burden of skin diseases.
Religious Leaders and Resistance to Repression: The Bishops Opposed to Argentina’s Dirty War
Authors: Edwards Pearce
Published: November 2023

Can religious leaders who oppose state violence reduce its use? Communal elites, such as religious leaders, may oppose human rights violations. This article argues that these leaders, part of institutions embedded in local communities and with influence based on traditional power, reduce
repression when they oppose dictatorships. The argument's main implication is tested in Argentina during the Dirty War of its 1976-1983 military dictatorship, using original archival data on the country's Catholic bishops. Opposed bishops are associated with reduced disappearances
and killings. A variety of evidence is consistent with opposed bishops taking two types of actions to resist repression: assisting likeminded local agents and participating in human rights advocacy campaigns. The findings point to the importance of influential civil society actors in reducing
state violence.
Examination of the Relationship Between TPACK Competencies and Mathematics Teaching Anxiety: The Mediating Role of Mathematics Anxiety
Authors: Çetin İbrahim , Yazlık Derya Özlem
Published: November 2023

This study aimed at exploring the mediating role of mathematics anxiety in the relationship between TPACK competencies and mathematics teaching anxiety. This mediation role stated in the hypothesis of the study was tested through structural equation modeling using data from 426 pre-service mathematics teachers selected through criterion sampling. TPACK Competencies Scale, Mathematics Anxiety Scale, and Mathematics Teaching Anxiety Scale were used to collect data. The data were analyzed using descriptive statistics, correlation analysis, and path analysis. The study revealed a negative relationship between TPACK competencies and mathematics anxiety, and mathematics teaching anxiety, while there was a positive relationship between mathematics anxiety and mathematics teaching anxiety. The results suggested that pre-service teachers' mathematics anxiety had a mediating role in accounting for the relationship between TPACK competencies and mathematics teaching anxiety. In addition, TPACK competencies explained 68% of the total variance in mathematics teaching anxiety through mathematics anxiety in the structural equation model. The findings are discussed in light of the related literature, and implications are offered for practitioners and researchers.
Developing Students’ Attitude Scale for The Online Education
Authors: Demirel Serkan
Published: November 2023

While discussions on the efficiency and adequacy of distance education, which has passed through various stages from the 1700s to the present day, and its accessibility has become easier with the opportunities provided by technology, it has to be experienced by almost everyone after the pandemic in 2019. While there are various scale studies for distance education before 2019 in the literature, there is a need for an up-to-date scale with proven validity and reliability. Therefore, this study aimed to develop an up-to-date scale with proven validity and reliability for the use of researchers who aim to study this subject. The item pool of the scale was designed considering the attitude and its sub-components as positive and negative. The scale, which took its final form before the application with the help of an assessment and evaluation specialist and a language expert, was applied to a group of 341 students consisting of Gazi University Education Faculty, Hacı Bayram Veli University Fine Arts Faculty, Hacı Bayram Veli University Faculty of Literature. As a result of Exploratory Factor Analysis and Confirmatory Factor Analysis, a structure consisting of 30 items with six factors was revealed. Cronbach's alpha values of the factors were measured as 0.84, 0.71, 0.85, 0.70, 0.75, and 0.76, respectively. The total Cronbach's alpha value of the scale, which constituted the whole of the factors, was 0.92. As a result of the analyses performed at the end of this research, a valid and reliable scale was put forward to measure the attitudes toward online education.
Content-related solution quality in invention activities and worked solutions – promoting the professional vision of classroom management
Authors: Wedde Sonja , Busse Annette , Bosse Dorit
Published: November 2023

Invention activities and worked solutions are considered to be effective learning tasks. To date, limited research has been conducted regarding these tasks in teacher education and the process of solving these tasks. This study focuses on the solution quality of student teachers’ task solutions. 149 students were randomly assigned to one of two experimental conditions: invention activity and worked solution. The latter group were given a set of categories; the former group had to invent their own categories to compare two constructed contrasting auditive cases with a focus on the subject classroom management. To determine whether it is more effective to compare cases with given categories (worked solution) or with self-generated categories (invention activity), we coded the 149 solutions regarding the content-related solution quality using qualitative content analysis. Students in the worked solution condition demonstrated a significantly higher content-related solution quality than those in the invention activity condition. Thus, it may be assumed that students of the worked solution gained a better conceptual understanding of classroom management through working on this task. Implications for the use of this task format in teacher education are discussed.
Effect of Parental Interest on the Self-Regulation Ability of Preschool Children
Authors: EREN SALİHA , BAŞAL HANDAN ASUDE
Published: November 2023

This study was conducted to examine the effect of parental attention on the self-regulation ability of children aged between 48 and66 months who have just started their preschool education. For this purpose, an example of a training program to improve parental interest was prepared for the parents of the children participating in the study. The study group consisted of 40 children who attended an independent kindergarten affiliated to the Ministry of National Education in Nilüfer District of Bursa Province in the 2019–2020 academic year and their mothers (40) and fathers (40), totaling 120 people. The “Parental Interest Scale for Children” and the “Preschool Self-Regulation Scale (OÖDÖ)” have been used as data collection tools. In addition, the “General Information Form” was used to obtain information from the participants. The obtained data were analyzed with ’Statistical Package for Social Science (SPSS)’26 package program. In light of the findings; it was seen that parental attention has an effect on the self-regulation ability of children aged between 48 and66 months who have just started their preschool education, and this positively observed effect is due to an increase in parental interest. As a result, when the correlation test analyzes between parental interest scores and self-regulation skill scores are considered. Parental interest has a positive effect on the self-regulation skills of 48-66-month-old boys and girls who have just started preschool education. Training aimed at improving parental interest is effective in achieving this.
Effect of Interactive Online Learning Material Developed on Digital Rights and Responsibilities on Students' Self-efficacies
Authors: AKCAN FATMA , BAYIR ESMA AYBİKE , ÇOBAN BETÜL
Published: November 2023

This research aims to examine the impact of interactive online learning material on students' self-efficacy, prepared for achievements related to "digital rights and responsibility" in the Social Studies and Information Technologies and Software course. The study design is a quasi-experimental design with a pretest-posttest paired control group. The study group consisted of 40 students studying in the 7th grade in a secondary school affiliated with the Ministry of National Education (MEB) located in Ankara province. The working group was divided into experimental and control groups. Within the framework of the research purpose, the interactive online learning material was made available to the experimental group through Learning Management Systems (LMS). On the other hand, control group studentsto-face training. As a data collection tool, five-point Likert-type “Digital Rights and Responsibility Scale” was used. In data analysis, Shapiro-Wilk analysis, Levene homogeneity test, independent sample T-test, and Paired sample T-test were used. According to the results of the study, the interactive online learning material planned and designed according to learner characteristics significantly increased students' self-efficacy levels.
Bibliometric and content analysis of meta-analysis studies in the field of STEM education
Authors: Kahraman Emine
Published: November 2023

Purpose of this research is to analyze the scientific studies conducted from 2015-2023 the past to the present by using the meta-analysis method in STEM education and to reveal the general trend in this field. Scientific studies determined within the scope of the study were examined using bibliometric and content analysis methods, which are among the systematic compilation methods. At first access is gained to the WoS database and a subject-based search was conducted using the keywords "STEM education" and "Meta-analysis." In this context, a total of 38 scientific studies containing these relevant keywords were found in the search. The collected data were initially analyzed based on descriptive attributes in the WoS database. Subsequently, the listed publications were analyzed using the bibliometric analysis tool VOSviewer for bibliographic attributes, including citation counts, co-citation, co-authorship, co-occurrence, and bibliographic coupling analysis types, based on authors, institutions, and countries. Finally, out of these scientific publications, 18 articles were evaluated through content analysis. It was found that the most prominent keywords associated with the examined concepts included technology-related terms like "computer-based learning," "digital game-based learning," "academic achievement," "active learning," and "problem-centered instruction." Furthermore, the general focus of the scientific studies appears to be on determining the impact of a method in STEM education on student performance.
Yoga intervention as a promising approach to improve quality of life for 21-60 years people with HIV: a literature review
Authors: Anak Agung Gede Angga Puspa Negara
Published: November 2023

Background: Human immunodeficiency virus (HIV) prevalence is a critical challenge for global public health systems. People living with HIV (PLHIV) experience a variety of physical, mental, and social difficulties that can have a negative influence on their overall quality of life. Yoga, for example, has received attention for its potential to increase well-being in people living with HIV. This review of the literature investigates the effect of yoga intervention on the quality of life of PLHIV aged 21 to 60 years old.

Methods: This study employed library research, which drew on online scientific literature about the influence of yoga intervention on the quality of life of PLHIV aged 21 to 60. Six relevant papers demonstrating the beneficial effects of yoga on PLHIV were discovered in the review.

Results: When compared to control groups, yoga therapies significantly improved physical well-being, mental health, social functioning, and emotional well-being. Yoga's holistic and integrative nature, which included physical postures, breathing exercises, and meditation, helped PLHIV reduce stress, increase mood, and promote psychological well-being. Yoga benefits include increased physical fitness, flexibility, and a sense of community and togetherness.

Conclusion: Yoga intervention has the potential to improve the quality of life and overall health of PLHIV. Yoga can improve well-being and coping mechanisms when incorporated into HIV management plans.
Jadi Diri Manusia Dalam Pendidikan Islam
Authors: Ginting Debrina Raseuki
Published: November 2023

Pada dasarnya manusia dalam kehidupan sosial dengan pendidikan memiliki keterkaitan erat. Jadi, persoalan manusia merupakan tema sentral dan titik tolak dalam memaknai pendidikan karena pendidikan pada dasarnya ingin mengantarkan manusia menuju kemanusiaan sejati. Untuk menguraikan solusi terhadap hal tersebut maka metode penelitian yang digunakan dalam penelitian ini adalah kualitatif dengan pendekatan pustaka. Maka dalam hal ini, berbagai referensi tentang kemanusiaan dan pendidikan menjadi literatur yang menjadi kajian. Berdasarkan hasil analisis data, maka diproleh bahwa manusia dalam pendidikan Islam dipandang sebagai khalifah Allah di muka bumi.Allah membekali manusia dengan potensi fitrah yang mendukung keberadaannya sebagai khalifah Allah. Paradigma kemanusiaan dalam pendidikan Islam berbeda dengan paradigma kemanusiaan dalam pandangan pendidikan Barat.Perbedaan itu terletak pada sumber nilai moral manusia dan dimensi transenden yang tidak terjangkau oleh psikologi Barat. Pandangan humanistik Barat mengakui bahwa nilai-nilai moral manusia bersumber pada manusia itu sendiri, sementara Islam mengakui sumber nilai moral adalah Allah. Selain itu, psikologi Barat mengkaji rentang perjalanan hidup manusia sejak masa konsepsi hingga kematian.
Analysis on the Effectiveness of Implementing Journal Vocabulary Strategy in Reading Comprehension Texts
Authors: Wariyati Pipit Syahara,
Published: November 2023

Vocabulary is the main thing that needs to be known in English, without vocabulary no one can speak English. Many students at school do not know vocabulary in English. Therefore an effective strategy is needed for students to be able to find vocabulary easily, especially when reading in English. Understanding the vocabulary is highly needed to makes students easy in learning. This study aims to examine the use of a learning strategy, namely journal vocabulary in reading comprehension texts.  The research method used is library research (literature study) from 5 journals in Indonesia in the period 2013-2023. The results of the study show that the use of journals vocabulary is very effective for students. Journals vocabulary can help them to enrich their vocabulary knowledge, because it is easier for them to memorize vocabulary. In addition, the use of journals vocabulary also increases their independence in learning English vocabulary and journal vocabulary can facilitate them to track their progress in vocabulary knowledge and make it easier for them to understand reading texts.  Thus, the use of journals vocabulary is really necessary for students so that they can learn English more pleasantly in the classroom by using this strategy.  These results are expected to contribute ideas for skills in the field of English, especially the learning strategy because it has unlimited benefits in the field of education to be developed.
Manajemen Strategi Pengembangan Sumber Daya Tenaga Pendidik Di Sekolah Menengah Atas Negri 2 Kota Pasuruan
Authors: Muhammad Anas Ma’arif, Muchamad Syaifudin Moh. Salim,
Published: November 2023

Memasuki era 4.0 yang ditandai dengan berbagai kemajuan dalam bidang-bidang tertentu dalam kehidupan manusia, menuntut masyarakat unuk mempersiapkan diri untuk memiliki daya saing yang penuh supaya mampu memanfaatkan peluang-peluang yang ada di lingkungan mereka, potensi pendidik yang nantinya ditunjukkan dalam beberapa aspek yang salah satunya adalah kualitas, dan hanya dapat dicapai dengan adanya manajemen strategik pengembangan sumber daya pendidik. Karena dapat memfasilitasi aktualisasi dan pengembangan kompetensi pendidik melalui program-program pengembangan dan pemberdayaan yang dilakukan secara sistematik. Sekolah Menengah Atas (SMA) Negeri 2 Kota Pasuruan berusaha untuk meningkatkan atau mengembangkan kemampuan sumber daya pendidik yang mereka miliki, Dalam upaya untuk terus mempertahankan dan mengembangankan kemampuan profesional sumber daya pendidik yang ada di lembaga pendidikan saat ini. Metode penelitian yang digunakan adalah penelitian kualitatif, sedangkan jika ditinjau dari sudut kemampuan atau kemungkinan penelitian dapat memberikan informasi atau penjelasan maka penelitian ini termasuk penelitian termasuk penelitian deskriptif. Untuk menguji data digunakan keabsahan data menggunakan uji kredibilitas data, uji transferabilitas, uji dependabilitas, uji konfirmabilitas.Hasil penelitannya adalah implentasi pengembangan sumber daya pendidik di SMAN 2 Kota Pasuruan yakni di mulai dengan melakukan perencanaan 1) identifkasi   masalah 2) penentuan   kebutuhan  3)keberadaan   dana 4) penentuan   sasaran 5)   penentuan   program  6) pelaksanaan program yang terdiri dari : a) recruitment b) motivasi c) monitoring d) pembinaan e) teguran f ) bantuan dana pendidikan g) workshop h) seminar dan i) training dan kegiatan tersebut di akhiri dengan 7) evaluasi.
Pengaruh Pembelajaran Ushul Fiqih Dengan Multi Metode Terhadap Minat Belajar Siswa Kelas XI IPK MAN 3 Pesisir Selatan
Authors: Zulkifli Zulkifli
Published: November 2023

Penelitian ini bertujuan untuk menguji pengaruh pembelajaran Ushul Fiqih dengan multi metode terhadap minat belajar siswa kelas XI IPK MAN 3 Pesisir Selatan. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan asosiatif. Sampel pada penelitian menggunakan teknik purposive sampling yakni siswa kelas XI IPK MAN 3 Pesisir Selatan yang berjumlah 40 siswa. Pengumpulan data dilakukan dengan kuesioner berupa skala Likert dan dokumentasi. Data dianalisis menggunakan analisis regresi linier sederhana dengan menggunakan SPSS versi 25.0 for windows. Hasil analisis regresi linier sederhana diperoleh nilai thitung diperoleh sebesar 28,773 > ttabel sebesar 2,024 dan nilai sig. diperoleh sebesar 0,000 (p<0,05). Artinya terdapat pengaruh yang signifikan pembelajaran Ushul Fiqih dengan multi metode (X) terhadap minat belajar siswa (Y) kelas XI IPK MAN 3 Pesisir Selatan. Adapun nilai koefisien determinasi (R2) sebesar 0,956. Dari hasil tersebut dapat dinyatakan bahwa terdapat pengaruh yang signifikan pembelajaran Ushul Fiqih dengan multi metode terhadap minat belajar siswa kelas XI IPK MAN 3 Pesisir Selatan sebesar 95,6% dan sisanya 4,4% dipengaruhi oleh variabel lain yang tidak diidentifikasi dalam penelitian ini.
Katalog archiwum "Naszej Przeszłości"
Authors: Nir Roman
Published: November 2023

Celem niniejszego opracowania jest zaprezentowanie zasobu archiwum „Naszej Przeszłości” według stanu na rok 1978. Obejmowało ono około 1000 jednostek.
Analisis Ekonomi Pengoperasian Ketel Uap Bantu Laboratorium Permesinan Kapal Polimarin Dengan Variasi Bahan Bakar
Authors: Santo Susanto , Rochadian Okpina , Pujiyanto Fajar
Published: November 2023

Heat energy and steam pressure are very important properties in various life applications. The steam production process in a boiler can occur in a container or in a pipe. Fuel as a source of chemical energy for steam boilers can use solid, liquid or gas types. The use of solid fuel is relatively easier to use, by simply putting it into the fire kitchen. Use of gas as boiler fuel can use a gas burner as in a gas stove. The type of fuel oil used as boiler fuel is diesel oil. Diesel oil in order to be used as boiler fuel requires a burner as a fogger combined with compressed air. This study was conducted for the purpose of studying the performance of the boiler when operated from cold conditions to the maximum achievable pressure. Specifically, to determine the specific fuel consumption and the amount of fuel cost required. The experimental method was chosen for the study. Steam pressure and the amount of fuel required during combustion and steam production were the two parameters measured. There are 3 types of diesel oil grades that will be analysed in this study. Fuel type and quality affect the time required to reach maximum pressure. Bio diesel takes the longest time, dexlite takes a shorter time, and pertamina dex takes the shortest time. Total difference in fuel consumption for one operation of bio diesel oil, dexlite, and pertamina dex is 4.68, 4.38, and 4.19 litres respectively. The amount of cost required to pay for bio diesel oil, dexlite, and pertamina dex is Rp 31,824, Rp 62,415, and Rp 64,526 for one operation respectively. Fuel consumption for laboratories is recommended to use dexlite with better quality than bio diesel at a lower price than using Pertamina dex.
HUBUNGAN KONDISI FISIK RUMAH DENGAN KEJADIAN TUBERKULOSIS PARU (TB PARU) DI WILAYAH KERJA PUSKESMAS KUALA KECAMATAN KUALA KABUPATEN BIREUEN TAHUN 2021
Authors: Armiatin Armiatin
Published: November 2023

Tuberkulosis adalah penyakit menular langsung yang disebabkan oleh kuman TB (Mycobacterium Tuberkulosis). Bakteri penyebab tuberkulosis akan menurunkan daya kerja atau produktivitas kerja, menularkan kepada orang lain terutama pada keluarga yang bertempat tingga serumah, dan dapat menyebabkan kematian. Kejadian TB paru di Puskesmas Kuala sejak tahun 2019 s/d 2021 sebanyak 82 orang. Tujuan Penelitian: Untuk mengetahui hubungan kondisi fisik rumah dengan kejadian tuberkulosis paru (TB Paru) di Wilayah Kerja Puskesmas Kuala Kecamatan Kuala Kabupaten Bireuen Tahun 2021. Desain penelitian: Penelitian analitik dengan pendekatan cross sectional study. Populasi sebanyak 82 orang. Hasil Penelitian: Ada hubungan kepadatan penghuni dengan kejadian tuberkulosis paru (TB Paru) dimana nilai p-value = 0,03 (p-value ≤ 0,05). Ada hubungan ventilasi dengan kejadian tuberkulosis paru (TB Paru) dimana nilai p-value = 0,03 (p-value ≤ 0,05). Ada hubungan luas bangunan rumah dengan kejadian tuberkulosis paru (TB Paru) dimana nilai p-value = 0,00 (p-value ≤ 0,05), ada hubungan sarana air bersih dengan kejadian tuberkulosis paru (TB Paru) dimana nilai -value = 0,00 (p-value ≤ 0,05). Saran: Diharapkan karya tulis ini dapat mendorong instansi kesehatan untuk melakukan penyuluhan tentang rumah sehat khususnya keadaan ventilasi yang cukup terhadap penderita TB paru yang tinggal dirumah padat huniannya,  pencahayaan dan kelembaban  yang tidak  memenuhi syarat  guna  mencegah  terjadinya  keparahan penyakit TB paru yang dapat mengakibatkan pengobatan berlangsung lama atau menyebabkan kematian.
Cookeina tricholoma (Pezizales): a new distributional record of an unexpected edible fungus in Brazilian Northeast rain forests
Authors: Praxedes Manuella , Peixoto Andreza , Wartchow Felipe
Published: November 2023

Cookeina tricholoma is an operculate discomycete belonging to Pezizomycetes, growing saprobe on dead trunks. The species distribution is widespread around the world, occurring in tropical and subtropical regions. It is characterized by its bright colors, hirsute/hairy surface, stipitate apothecia, operculate asci, and ascospores with longitudinal ribs. This paper provides a new distributional record of C. tricholoma in a “brejo de altitude” forest in the State of Paraíba and, in a submontane rain forest of the Federal Biological Reserve of Pedra Talhada, in the State of Alagoas, with morphological description of the ascomata, discussion and photographs
The dual effects of health risks and crowd perception on marine traveller behaviour: The case of shared day cruise charter
Authors: Paker Neslihan , Paker Serim
Published: November 2023

This study investigates the dynamics of traveller behaviour toward shared day cruise charters regarding Covid-19 as a health-risk situation through the theory of planned behaviour. Following interviews with 22 customers, the findings were evaluated using directed content analysis. The results show that, besides Covid-19's moderating role, physical (e.g., high noise, absence of physical barriers) and social (e.g., a high number of out-group members, high customer heterogeneity) attributes of the service concept intensify the perceived crowdedness in the yacht. Despite being a one-day outdoor activity, the tour is perceived as risky due to the crowded service environment. Thus, crowds and health risks have a dual impact on travellers' attitudes toward tours. The perceived risk is not the only concern related to the traveller personally, it also includes risks related to the transmission of the virus to one’s family and friends. Travellers attributed crowding to the opportunistic behaviours of service providers, hence relying on their own precautions. Furthermore, there is an inverse relationship between crowding and the perceived hedonic value of the service. Companion unavailability is a significant barrier; however, there is a negotiation dilemma to persuade hesitant group members. The study contributes to the travel services offered in crowded environments that especially pose health risks and offer important implications for yacht tourism practitioners.
TETRACYCLINE RESISTANCE AND DISCOLORATION OF TEETH: A COMPREHENSIVE STUDY ON DRUG RESISTANCE AND ITS IMPLICATIONS IN THE FEDERAL AREA OF PAKISTAN
Authors: BATOOL M , JAMALI M , SIDDIQUE HF , JAVAID A , RUK M , UJAN JA , SOLANGI SP , SOOMRO MA , IRAM T , BILAL M
Published: November 2023

Tetracycline antibiotics have been pivotal in managing bacterial infections in Pakistan and globally. However, the rampant misuse and overuse of tetracyclines have catalyzed the emergence of antibiotic resistance, presenting a pressing public health challenge. Additionally, the administration of tetracyclines during tooth development can result in tooth discoloration, exerting a profound impact on oral health and the overall quality of life. This research paper delves into assessing the prevalence of tetracycline resistance within the Federal Area of Pakistan, scrutinizes the interplay between tetracycline usage and tooth discoloration by enlisting 682 participants, and comprehensively evaluates the implications of antibiotic resistance on public health within the region. A rigorous examination of tetracycline resistance in the Federal Area of Pakistan comprised an extensive survey involving 682 individuals. The study encompassed diverse age groups and demographic characteristics to ensure a representative sample. The participants were interviewed, and their medical histories were scrutinized to establish the extent and patterns of tetracycline usage. Subsequently, dental examinations and assessments were carried out to identify cases of tooth discoloration associated with tetracycline exposure. Bacterial isolates from clinical specimens were subjected to susceptibility testing to determine the prevalence of tetracycline resistance in the region. The findings of this study revealed a substantial prevalence of tetracycline resistance among bacterial isolates in the Federal Area of Pakistan. Furthermore, the investigation demonstrated a significant correlation between tetracycline usage during tooth development and tooth discoloration in the surveyed population. The high incidence of tetracycline-induced tooth discoloration emphasized the need for increased awareness regarding the judicious use of antibiotics, especially in vulnerable populations. Tetracycline resistance in Pakistan's Federal Area is a pressing concern. Irresponsible use during tooth development can cause discoloration. To combat resistance, regulate use, educate the public, and promote alternative treatments. An integrated approach is urgently needed to protect public health.
Challenges in the Receiving and Inspection of Supplies & Equipment in an International Organization in West Africa
Authors: Co Maricel , Bermudez Ralyn
Published: November 2023

The warehouse operation has enabled physical inspection activities, including receiving and inspection of materials and equipment. It has been found that there are certain challenges faced by inspectors during the receiving and inspection of materials. The warehouse custodian has performed the physical inspection, but not all cross-checking activities are accurate. Therefore, receiving and inspection are crucial to the delivery process, and distinct approaches must be implemented to deal with internal and external clients, including international and local suppliers. To effectively deal with these challenges, a process for entry document processing must be established. This process should include harmonizing the purchase order's terms and supporting it with the delivery note, packing list, invoice, bill of lading, and airway/waybill provided by the supplier. This will ensure that the material's quantity, quality, and specifications are accurately documented. A total of 14 responses were collected among managers and supervisors of receiving and inspection unit through interviews and survey questionnaires in the seven geographical locations of Mali, West Africa. The independent variables, namely (PI) physical inspection, (HOV) handover, and (DOC) documentation, significantly impact the dependent variable.
Happiness
Authors: King John Henry
Published: November 2023

A Christian is called to live in a consumer oriented world that is governed more by greed and pleasure than principle. Since the end of World War 1 civilized individuals have wanted the return of the “golden twenties” because any trust in God has culturally been replaced with a sense that no one can rely on anyone except themselves. This is a search for happiness that leads nowhere. Christians must be awake and alert to avoid being sidetracked (one word for sin means to fall from the path) into carnal thinking and carnal interests. This article was written in the hopes that believers will take serious their social surroundings and the world they are called to witness in and take steps to keep their witness pure, not alloyed with what at first seems like innocent fun, the amusements of the time. Too many believers have no real understanding of carnality, the deceiver that Eve knew in the garden continues to this day to spin evil into golden strands of fun. We need the Holy Spirit to teach us the difference between righteousness and sin which is what He came to do. Seek the Lord, let Him refill you daily with His Spirit so that your discernment will be sharp and you can enjoy true happiness in Him. Seorang Kristen dipanggil untuk hidup dalam dunia yang berorientasi pada konsumen yang lebih diatur oleh keserakahan dan kesenangan daripada prinsip. Sejak akhir Perang Dunia 1, orang-orang beradab menginginkan kembalinya "masa 20-an emas" karena kepercayaan apa pun kepada Tuhan secara budaya telah digantikan dengan perasaan bahwa tidak ada yang bisa mengandalkan siapa pun kecuali diri mereka sendiri. Ini adalah pencarian kebahagiaan yang tidak mengarah ke mana-mana. Orang Kristen harus terjaga dan waspada agar tidak teralihkan (satu kata untuk dosa berarti jatuh dari jalan) ke dalam pemikiran duniawi dan kepentingan duniawi. Artikel ini ditulis dengan harapan bahwa orang percaya akan menganggap serius lingkungan sosial mereka dan dunia tempat mereka dipanggil untuk bersaksi dan mengambil langkah-langkah untuk menjaga kesaksian mereka murni, tidak dicampur dengan apa yang pada awalnya tampak seperti kesenangan yang tidak bersalah, hiburan saat itu. Terlalu banyak orang percaya yang tidak memiliki pemahaman yang nyata tentang kedagingan, penipu yang Hawa kenal di taman terus memutar kejahatan menjadi untaian emas kesenangan hingga hari ini. Kita membutuhkan Roh Kudus untuk mengajar kita perbedaan antara kebenaran dan dosa untuk apa Dia datang. Carilah Tuhan, biarkan Dia mengisi Anda setiap hari dengan Roh-Nya sehingga ketajaman Anda akan tajam dan Anda dapat menikmati kebahagiaan sejati di dalam Dia.
Sotos syndrome: a case report
Authors: Garmes Fernanda dos Santos , Donaire Paula Beatriz Grangera , Lima Lyssa Faria , Gonçalves Luiz Antônio Skalecki , Capeloci Marcela Zandonadi , Haber Jesselina Francisco dos Santos , Dall’Antonia Camila Tiverom
Published: November 2023

Background and Objective: This clinical case study analyzed the characteristics of Sotos syndrome. Since it is a rare syndrome and is related to the occurrence of behavioral disorders. Health professionals who work with this population were informed so that this condition is recognized, enabling appropriate treatment and consequently a good quality of life. This study was analyzed and approved by the Research Ethics Committee according to the reasoned opinion number, under number 6,089,691, and the patient's consent was obtained through the Free and Informed Consent Form. Final Considerations: Sotos Syndrome should be considered when the patient presents macrocrania, growth acceleration, and behavioral changes associated with varying degrees of delay. The diagnosis is clinical, but complementary tests help, as they rule out other possible causes for such an association of symptoms since there is no specific test for the syndrome to date. The treatment of these patients must be individualized, using pharmacological and non-pharmacological strategies according to the needs of the moment. Clinical follow-up is always necessary, due to complications that may arise.
Cross-discipline teaching and learning of cardiology through an augmented reality application
Authors: Lee Chooi Yeng , Moffat Kevin , Harris Philippa , Shepherd Irwyn , McIntosh Paul
Published: November 2023

Undergraduate health sciences and health professional degree programmes introduce students to common heart diseases and associated treatments, including atrial fibrillation (AF). Our students, second-year biomedical science and pharmacy students, through formal and informal feedback on their learning experience with cardiology, noted AF as the most difficult to comprehend. The learning challenges include electrophysiology and pharmacology aspects of AF. This study, therefore, aims to investigate the potential use of augmented reality (AR) to enhance students’ engagement and understanding of AF.

Based upon students’ feedback, and guided by the learning outcomes of our degree programmes, we developed an AR application (App) to teach AF, covering general as well as discipline-specific learning content. The development was done through an iterative process, grounded in the constructivist learning theories. A survey consisting of 13 Likert-scale questions and an open-ended question formulated around user interface principles was conducted to gather students’ feedback of the App.

Thirteen per cent of pharmacy students (

This study shows that AR technology has enhanced students’ engagement as well as perception of understanding of AF, specifically in the areas that students find difficult. This authentic learning tool has successfully addressed some of the learning challenges raised by students of both disciplines. Students’ positive feedback suggests that a carefully designed AR App, guided by learning theories, is a suitable and viable option to improve students’ understanding of complex subjects, apart from making learning immersive and engaging.
Pengaruh Experiential Marketing Terhadap Revisit Intention Melalui Customer Satisfaction Sebagai Variabel Intervening Di Glamping Lakeside Rancabali
Authors: Paulina Paulina , Facrureza Dewanta
Published: November 2023

Experience-based tourism has replaced good-based tourism in this modern era. The accommodation industry, such as glamping, must adapt to market developments. Experiential Marketing, which creates unforgettable experiences for tourists, is needed to promote glamping. Tourists may want to visit again if they get a memorable experience. This study examines the impact of Experiential Marketing Glamping Lakeside Rancabali on Customer Satisfaction and Revisit Intention. This study used a quantitative research method with a sample of 100 respondents who were selected using a purposive non-probability technique. The selected sample is tourists who have stayed at Glamping Lakeside Rancabali. The T test shows that Customer Satisfaction is partially affected by the Sense, Think, and Relate. Revisit Intention is partially influenced by Act, Relate, and Customer Satisfaction. The F test shows that all Experiential Marketing variables together significantly affect Customer Satisfaction and Revisit Intention. According to the route analysis test, Customer Satisfaction can mediate the Sense, Feel, and Think variables. According to the Determination Coefficient Test, experiential marketing has a 55.4% impact on customer satisfaction and a 69.8% impact on revisit intention.
Descriptive Study of The Risk of Mental Health Disorders in Midwives at The Putra Medika Group Cikarang Clinic in 2022
Authors: Maya Silvia , Azteria Veza , Sangadji Namira Wadjir , Yusvita Fierdania
Published: November 2023

Introduction: Mental health problems that occur in medical and health workers not only affect the quality of service and decision-making capacity which can hinder health service efforts, but have a lasting effect on their overall well-being.  Objective: The purpose of this study was to describe the risk of mental health disorders in midwives at Putra Medika Group Cikarang Clinic in 2022. Method: This type of quantitative research is descriptive in nature, the research sample was all midwives at Putra Medika Group Clinic totaling 37 midwives, Result and Discussion: The results showed that of the 37 midwives, more than half of the sample, namely 30 midwives (81.1%) had normal stress. The results of anxiety showed that 14 midwives (37.8%) had normal anxiety, 10 midwives (27.0%) had severe anxiety. Conclusion: More than half of the sample, namely 30 midwives (81.1%), had depression in the normal category. As for the characteristics of the respondents, they included: 37 midwives (100%) aged <35 years, 29 midwives (78.4%) were single, and 34 midwives (91.9%) had a working period of <5 years
Randomized control trial to compare effects of ultra-low dose (Ethinylestradiol 20 μg or 15 μg) with low dose (Ethinylestradiol 30 μg) hormonal pills on lipid discordance in non-obese PCOS women
Authors: Dasgupta Subhankar , Mondal Joyeeta , Goswami Barnali , Dasgupta Jija
Published: November 2023

Objective Regular users of hormonal contraceptive pills show marked heterogeneity in metabolic effects with variations in compositions. This might be due to choice of outcome variables for comparison. Total cholesterol-high-density lipoprotein ratio (TC/HDL) discordance with low-density lipoprotein (LDL-C) has now become an established marker of future risk for atherosclerotic cardiovascular disease and stable to variations in user.Methods The present study was a randomized controlled trial to compare prevalence of TC/HDL and LDL discordance among non-obese women with polycystic ovarian syndrome (PCOS) treated with hormonal pills. Women were randomized into three arms, two arms received ultra-low dose pills (Ethinylestradiol [EE] 20 μg with drosperinone 3 mg or EE 15 μg with gestodene 60 μg) and one arm received low dose pill (EE 30 μg with desogestrel 150 μg). The role of baseline participant features and pill composition on discordance was determined.Results Discordance was observed in more than a quarter of the participants before intervention. After 1 year of treatment, less than a fifth of the participants were discordant. Ultralow-dose pill users had lower discordance, LDL, and TC than low-dose pill users after 1 year of treatment. The random forest, a non-linear classifier, showed the highest accuracy in predicting discordance. The baseline Parameters with the maximal impact on the occurrence of discordance were triglyceride, homeostatic model assessment for insulin resistance, body mass index, and high density lipoprotein.Conclusion Non-obese PCOS women on ultra-low dose pill have a lower risk of acquiring future atherosclerotic cardiovascular disease.
A ESCOLA CONTEMPORÂNEA: DESAFIOS E OPORTUNIDADES NA EDUCAÇÃO DO SÉCULO XXI
Authors: Santos Silvana Maria Aparecida Viana , Narciso Rodi , Fernandes Allysson Barbosa , Barros Ayrla Morganna Rodrigues , Dos Santos Filho Elzo Brito , Medeiros Jéssica Marinho , Da Silva Marcos Vinícius Malheiros , Meroto Monique Bolonha das Neves Meroto
Published: November 2023

O principal objetivo deste artigo é analisar a dinâmica da escola contemporânea à luz dos desafios e oportunidades que ela enfrenta na era da educação do século XXI. Pretendemos identificar e explorar as mudanças e tendências mais significativas que estão influenciando a educação, compreender como essas transformações afetam educadores, alunos e sistemas de ensino, e fornece uma visão abrangente do estado atual da escola contemporânea. Para alcançar o objetivo proposto, este estudo utiliza uma abordagem que combina uma revisão detalhada da literatura acadêmica relevante e a análise de dados empíricos quando apropriado. A revisão da literatura se concentra em trabalhos recentes que abordam as mudanças na educação no século XXI, incluindo conceitos-chave como aprendizagem ativa, tecnologia na sala de aula, personalização do ensino e questões de equidade e inclusão. A pesquisa bibliográfica demonstra que a escola contemporânea está em constante evolução para enfrentar os desafios e aproveitar as oportunidades oferecidas pela sociedade do século XXI. Educar os alunos para serem pensadores críticos, adaptáveis e globalmente conscientes é fundamental. A integração eficaz da tecnologia, a personalização do ensino e o compromisso com a equidade são elementos essenciais para o sucesso da escola contemporânea. No entanto, é importante destacar que a implementação dessas mudanças não é uniforme e enfrenta obstáculos, como falta de recursos, resistência à mudança e desafios na avaliação do aprendizado personalizado. Portanto, as escolas e os educadores devem continuar a adaptar-se e inovar para enfrentar os desafios em constante evolução da educação no século XXI.
ÓBITOS DE MULHERES EM IDADE FÉRTIL POR CARDIOPATIAS EM UM ESTADO DO NORDESTE
Authors: Santos Lidyane Rodrigues Oliveira , Miranda Maria Clara Bento de Viana , Lima Maria Ingredy de Araújo , Cavalcante Milena France Alves , Branco Nayra Ferreira Lima Castelo , Gomes Bruno da Silva , Pereira Gustavo Henrique Alves , Nery Gisele da Silva , Veras Paula Fernanda Lemos
Published: November 2023

Objetivo: O presente estudo teve por objetivo caracterizar os óbitos de mulheres em idade fértil por doenças do sistema circulatório, especificamente por cardiopatias, no período de 2017 a 2021 no estado do Piauí. Método: Estudo epidemiológico com abordagem quantitativa-descritiva. Os dados foram coletados no DATASUS, tabulados pelo TABNET referente aos casos de morbidade hospitalar e óbitos por cardiopatia da região do estado do Piauí no período de 2017 a 2021. Resultados: Observou-se maior percentual de óbitos de mulheres em idade fértil em três regiões de saúde: Entre Rios, Vale do Rio Guaribas e Cocais. Na primeira, o grupo de doenças “doenças cerebrovasculares” teve o maior percentual de óbitos, com 33,4%. Na segunda região, o grupo de doenças “doenças isquêmicas do coração” teve a maior porcentagem, com 38%. Na região dos Cocais, o grupo com maior incidência de morte foi “doenças cerebrovasculares”, com 41%. Houve maior incidência de óbitos nos grupos “doenças isquêmicas do coração” e “doenças cerebrovasculares”. A partir de mudanças no perfil epidemiológico observa-se maior incidência das doenças crônicas não transmissíveis, com maior predomínio em países em desenvolvimento e locais de maior vulnerabilidade. Conclusão: os dados apontam para direcionamento políticas públicas de gênero e que atendam demandas específicas sobre doenças crônicas não transmissíveis tendo em vista ainda ser uma das causas de maior óbito.
A RELEVÂNCIA DAS CIÊNCIAS SOCIAIS NA PESQUISA JURÍDICA
Authors: Batista Simmône Corrêa da Silva
Published: November 2023

O presente artigo tem como escopo apresentar uma análise sobre a importância das Ciências Sociais na pesquisa jurídica, reconhecendo que o Direito não se resume a simples análise textual das normas, mas envolve uma compreensão mais aprofundada das pesquisas jurídicas em seu contexto sociológico, antropológico e cultural. O estudo aborda como as Ciências Sociais enriquecem nossa compreensão do Direito, contribuindo para decisões jurídicas informadas e eficazes, necessárias à uma sociedade complexa e diversificada. O objetivo é investigar e analisar a Relevância das Ciências Sociais na pesquisa jurídica e para alcançar esse objetivo adotou-se uma pesquisa bibliográfica, o que permitirá um aprofundamento no assunto. Nestes termos, está pesquisa mostra-se pertinente e cientificamente relevante, sobretudo, demostra que a pesquisa em Direito deve ser dinâmica e interdisciplinar o que contribuirá para uma justiça equitativa.
PNEUMONIA ASSOCIADA À VENTILAÇÃO MECÂNICA EM UNIDADES DE TERAPIA INTENSIVA: UMA REVISÃO DA LITERATURA
Authors: Assunção Christian Fróes , Cunha Letícia Gomes Melo , Correia Jennifer Martins , Verçosa Ádria Beatriz Barbosa da Silva , Andrade Júlia Nare de Oliveira , Lima Vinícius Gomes , Rodrigues Nicolle Martins , Rolim Thullyan de Souza
Published: November 2023

Introdução: A ventilação mecânica é uma intervenção vital na Unidade de Terapia Intensiva que proporciona suporte respiratório a pacientes com insuficiência respiratória grave, salvando vidas em muitos casos.  No entanto, essa terapia não está isenta de riscos, e um dos desafios mais significativos que os pacientes enfrentam é o desenvolvimento de Pneumonia Associada à Ventilação Mecânica. Objetivo: Descrever a incidência de pneumonia associada à ventilação mecânica em pacientes críticos internados em unidade de terapia intensiva. Metodologia: Trata-se de uma revisão integrativa de literatura, utilizou-se bases de dados eletrônicas (LILACS, BDENF, MEDLINE/PubMed), nos idiomas inglês, português e espanhol, ficha de dados da Literatura adaptada da Ficha de Ursi para atender a modicidade das análises. Resultados: Observou-se que grande parte dos pacientes na terapia intensiva são submetidos a procedimentos invasivos, prejudicando desta forma seu sistema de defesa, e influenciando na incidência de PAVM nesses pacientes, com média de 20-25%. Apesar de existirem inúmeros tipos de pneumonia, a pneumonia nosocomial se destacou, elevando de seis a vinte vezes o índice de pacientes submetidos à VM. Conclusão: A pneumonia foi classificada como uma doença de alta morbidade na Unidade de Terapia Intensiva. Torna-se necessária a implementação de medidas eficazes de qualidade e segurança no cuidado de pacientes críticos.