bluuebunny/crossref_metadata_2025 huggingface dataset:
Physicochemical characterization of the pseudofruits of strawberry hybrids in northern Minas Gerais
Authors: Lima Joana D'ark Nunes da Silva , Souza Débora Ferreira de , Gomes Izabela Cristina Pires , Silveira Elizangela Kele Celestina Pereira , Londe Luciana Cardoso Nogueira , Dias Mario Sérgio Carvalho
Published: October 2023

The strawberry plant is disseminated in a state of the most diverse climatic conditions, it is traditionally cultivated in the states of the southern region, seeking a better recommendation for the current market where a hybrid breeding experiment was elaborated. Aiming to generate a new pure strain with favorable alleles, present in two or more genotypes, presenting characteristics of the strawberry tree that is desired, such as shape, aroma, flavor, color and properties. Based on these factors, the objective of this work was to perform the physicochemical characterization of pseudofruits of ten strawberry hybrids obtained by hybridization, in order to verify the best recommended cross for the current market. Evaluations of 10 hybrids obtained by the complete diallel system named EP01 to EP10 were carried out, the results were submitted to analysis of variance and used for the test of means, Tukey's test at the level of 5% probability. Thus, obtaining values for determination of soluble solids (SS) content, °Brix, quantification of titratable acidity (TA) of strawberry fruits, and pH values. It should be noted that for the characteristics (SS) the hybrid EP08 presented a higher value of °Brix, the hybrids EP01 and EP03 revealed a higher value of TA, being 3.00% of citric acid in both. For the pH, the hybrids EP02, EP03 and EP08 showed the highest mean values. In the end, it can be concluded that the EP08 hybrid presents physicochemical characteristics of the pseudofruits superior to the other hybrids evaluated.
Layout analysis and restructuring in the pre-assembly sector of the serial line in a furniture industry
Authors: Trevisol Janyel
Published: October 2023

The constant search to reduce operating costs, as well as to increase productivity and reduce internal problems, has been the target of companies to remain inserted within a highly competitive market. To this end, internal changes are part of the strategies to achieve these goals. The present work aims to implement a new layout with optimization of the productive space in the pre-assembly sector of the serial line, in a furniture industry. The method used for the elaboration of this work was action research, which enabled a detailed analysis and allowed the implementation of a new physical arrangement, compatible with the company's manufacturing process. As a result of the work, it was obtained clarity of the process, optimization of the physical space, reduction of material movements and transports, reduction of inventory in process, ease in internal logistics flows due to the well-dimensioned corridors, better visibility of the sector, organization and cleaning, more efficient production control and reduction of waste.
Patients' perception of physical therapy at the UNEC Health Care Center (CASU) – Nanuque Campus/MG
Authors: Ferraz Mariana Figueiredo , Amorim Patrícia Brandão , Braz Gabriely Mendes , Matos Júlia Souza de , Morais Thaís Gonçalves de
Published: October 2023

Introduction: Few longitudinal studies have been done on the perception of patients about physical therapy care, through a questionnaire where it was possible to survey the perception of care at the Health Care Center of UNEC (CASU) - Campus Nanuque/MG. Objective: This study was carried out with the purpose of analyzing the perception of patients about the physiotherapeutic care dedicated to them by Physical Therapy trainees at the Health Care Center of UNEC (CASU) Campus of Nanuque/MG. Methodology: Through a descriptive and exploratory quantitative approach composed of 35 patients from CASU, where the instrument used for the study was the questionnaire adapted from  the survey "Evaluation of the satisfaction of users of physiotherapy services", containing 15 closed questions. Results: When analyzing the data obtained, the vast majority of patients (77.17%) considered the attributes of physical therapy care very satisfactory. It is correct to consider that the conducts were followed adequately due to the high percentages defined as excellent (62.86%) to the results obtained with the physiotherapeutic treatment. Conclusion: The study was of great importance to have a survey of the perception of patients obtained through physical therapy and showed a population satisfied with the services it has been receiving, in this case, at the Health Care Center of UNEC (CASU).
Musculoskeletal complaints in caregivers of the elderly in the municipality of Ecoporanga - ES
Authors: Oliveira Pétrila Casagrande , Amorim Patrícia Brandão , Ribeiro Laís Antunes , Rocha Mércia Emili Soares Tonon , Mourão Rafaella Storari
Published: October 2023

Introduction: The caregiver of the elderly is the person responsible for taking care of the elderly, participating in their routine and taking care of their physical, emotional and social needs. The caregiver donates his/her time to care by working most of the day in positions that are uncomfortable and harmful to the musculoskeletal system, leading to the development of occupational diseases. Objective: To analyze musculoskeletal complaints in caregivers of the elderly. Methodology: This is a quantitative, exploratory and descriptive research carried out through the application of the Nordic Musculoskeletal Symptom Questionnaire composed of 18 structured questions. The sample consisted of 14 Caregivers of the Elderly in the Municipality of Ecoporanga-ES. The questionnaires were applied from May 23 to 24, 2023. Of the inclusion criteria, caregivers who agreed to participate in the research were observed. Results: It was noted that the questionnaire was answered by 57.14% of women and 42.85% of men aged between twenty-one and fifty-nine years, 71.41% of the interviewees felt cervical discomfort and 85.69% felt discomfort in the lumbar stomach. Conclusion: It was concluded that all caregivers complain of at least one type of musculoskeletal disorder associated with the activity of caregiving, and that despite the pain, 85.71% never took sick leave and no caregiver underwent surgery to treat the pain.
The right to mental health in the Brazilian prison system between 2018 and 2023
Authors: Soares Vieira Guilherme , Martins Ferreira Luana
Published: October 2023

This study analyzed the right to mental health in the Brazilian prison system between 2018 and 2023. It conducted a comprehensive literature review and an analysis of policies, programs and living conditions in the country's prisons. The results revealed a complex situation, with advances in expanding access to mental health services, early diagnosis of mental disorders and recognition of the importance of the issue. However, persistent challenges such as overcrowding, violence and lack of coordination between agencies were identified. It is concluded that it is essential to adopt an integrated approach, involving different government sectors, to ensure respect for human rights, the promotion of mental health and the effective reintegration of inmates into society.
Jogos para o ensino de Física Térmica para o Ensino Fundamental 2
Authors: Alves Araceli Felicia Fernandes Pereira , Romão Estaner Claro
Published: October 2023

As cartilhas incorporadas neste livro fazem parte do estudo realizado no Programa de Pós – Graduação em Projetos Educacionais de Ciências da Escola de Engenharia de Lorena, da Universidade de São Paulo. As Cartilhas são produtos da dissertação intitulada “Desenvolvimento de jogos para apoio no ensino de termologia e termodinâmica no ensino fundamental”. No estudo ficou evidente a importância de desenvolver jogos didáticos com embasamento teórico, também mostrou que apesar dos jogos didáticos serem bastante utilizados no Ensino Fundamental, na área de ciências, os jogos não são utilizados da mesma maneira, tal como não são muito divulgados. Por esse motivo faz-se necessário tanto o desenvolvimento quanto a aplicação de jogos no ensino de ciência quanto sua divulgação. Dessa forma a ideia deste livro é o compartilhamento desses jogos para que possam auxiliar os professores de ciências que buscam alternativas para suas aulas
Society with the State: Indigenous politics, voting and elections
Authors: Rufino Marcos Pereira
Published: October 2023

Born from the discussions held in the Working Group “Indigenous Policies in Non-Indigenous Politics” at the 31st Brazilian Meeting of Anthropology in 2018, and supported by a project developed at the Laboratory of Research in Ethnicity, Culture, and Development (Laced) at the National Museum, the book Antropologia da Política Indígena [Anthropology of Indigenous Politics] (Verdum & De Paula, 2020), with just over 500 pages, brings together articles by Brazilian and Latin American researchers on the participation of indigenous peoples from Brazil, Colombia, Peru, Argentina, Mexico, and Ecuador in municipal-level electoral processes. Predominantly ethnographic in nature, most of the chapters that make up the work explore the wide range of situations faced by indigenous people in their attempts to engage with non-indigenous political structures of representation, listing the main obstacles and difficulties that must be overcome by this form of indigenous politics. The book reveals the importance of a multidisciplinary perspective in the study of the phenomenon and the dialogue with an emerging anthropology focused on the study of voting, elections, and political parties.
SECONDARY LIABILITY AND SAFE HARBORS FOR PLATFORM PROVIDERS IN INDONESIAN E-COMMERCE LAW
Authors: Hermawan Anis Wahyu , Pramana Yudha
Published: October 2023

Meluasnya dampak perdagangan online, yang setidaknya setidaknya berdampak pada financial benefits, job creation, buyer benefits, and social equality, menimbulkan beragam bentuk platform digital dan ragam pengaturan, terutama dalam hal legal liability. Legal liability memastikan perilaku secara bertanggung jawab the actors untuk melindungi nilai-nilai dasar, menumbuhkan kepercayaan transparansi dan memastikan keadilan, dan menjaga pasar tetap terbuka dan tidak diskriminasi untuk mendorong ekonomi berbasis data. Berdasarkan metode yuridis normative dengan mempergunakan pisau analisis berupa secondary liability dan safe harbors, kajian ini menghasilkan dua kesimpulan. Pertama, pengaturan pertanggungjawaban for platform providers in Indonesia masih belum mengatur universalisme for its users dan belum mengatur pertanggungjawaban dan sengketa platform providers yang berkedudukan di luar wilayah Indonesia yang memberikan jasa terhadap konsumen di wilayah Indonesia. Kedua, pengaturan pertanggungjawaban for platform providers in Indonesia harus dilakukan dengan mengatur universalisme safe harbors dan secondary liability terhadap platform providers (baik yang berkedudukan di Indonesia maupun yang berkedudukan di luar wilayah Indonesia) yang memberikan jasa terhadap konsumen di wilayah Indonesia.
Electrodeposition of CoNi Bimetallic Catalyst for Ethanol Electrooxidation Application
Authors: Fazri Abdul Asywalul , Alvida Nor Puspita  , Selvia Ningsih  , Annisa Auliya
Published: October 2023

Platinum is potentially employed as a catalyst in direct ethanol fuel cells (DEFCs). However, its scarcity and susceptibility to carbon monoxide poisoning give rise to novel challenges necessitating resolution. Transition metals such as nickel and cobalt are regarded as highly auspicious catalysts for DEFCs due to their perceived potential to reduce the expenditure associated with the synthesis procedure. In the present investigation, the synthesis of a cobalt-nickel (CoNi) catalyst with bimetallic properties was effectively accomplished through the electrodeposition technique utilizing the stimulator mode. Subsequently, an evaluation was conducted to assess the catalyst's proficiency in ethanol electrooxidation. The CoNi samples underwent comprehensive characterization through the utilization of various analytical techniques, namely X-ray diffraction (XRD), scanning electron microscopy (SEM), elemental dispersive X-ray analysis, and electrochemical impedance spectroscopy (EIS). The XRD analysis confirmed the formation of CoNi, while the SEM characterization demonstrated that the CoNi samples exhibited a homogeneous morphological feature. The impedance measured by the EIS technique displayed a resistance to charge transfer value of 21.21 kΩ, while the solution resistance value amounted to 66.67 kΩ. The catalytic efficiency of the specimens in ethanol electrooxidation was evaluated using the cyclic voltammetry technique, resulting in a peak current density of 3.14 mA/cm2 proving the potential of bimetallic CoNi to be a low-cost catalyst for ethanol electrooxidation process.
Պարսից միջնադարյան պոեզիան հայ թարգմանական արվեստում
Authors: Կոզմոյան Արմանուշ
Published: October 2023

Interest in Persian poetry in the Armenian milieu began as early as the 13th century. The author of one of the first translations was Frick. For the most part, the translators were native Persian speakers, or translations were made from an intermediary language. For a long time, no attention was paid to academic translations which, as we see in the poetical translations, are sometimes excellent examples. Some-times the subjective approach of the translator compromises the adequacy of the translation. An example of this is Silva Kaputikyan's translation of Hafiz's famous third ghazal, in which (where) the first bayt is missing the image of a handsome Turk. The aesthetic consciousness of S. Kaputikyan is alien to any positivism associated with the image of the Turk. The Turk is replaced by the image of the peri. And the next byte of the same ghazal accurately and literally translates the description of a Turkish burglar, which is fully consistent with Ka-putikyan's perceptions.
Интерес к персидской поэзии в армянской среде начал проявляться еще в 13 веке. Автором одного из первых переводов был Фрик. В основном переводчиками были носители персидского языка или же переводы делались с языка-посредника. Долгое время не принимались во внимание академические подстрочники, которые, как видим на примере поэтических переводов, порой представляют собой великолепные образцы. Иногда субъективный подход переводчика нарушает адекватность перевода. Таким примером может служить перевод Сильвы Капутикян знаменитой третьей газели Хафиза, где в первом бейте пропадает образ красавца-турка. Эстетическому сознанию С. Капутикян чужды какие бы то ни было позитивы, связанные с образом турка. Турок заменяется образом пери. А в следующем бейте той же газели точно и буквально переводится описание турка-грабителя, что полностью соответствует представлениям С.Капутикян.
Ընկերագիրք-հուշամատյանի ժանրը ԺԶ-ԺԹ դդ. Է. Քեմփֆերի Album amicorum-ի օրինակով
Authors: Աղաբեկյան Լիանա
Published: October 2023

Since the 16th century in a number of German universities, the so-called genealogical books, which were also known as album amicorum-the book of the friendship, are in use. During that period, students and scholars took small notebooks with blank pages with them during their travels, where their friends, acquaintances, or notable people they met along the way left their notes. Taking as an example the German scientist E. Kaempfer's similar work, the structure of album amicorums, the methodology of their formation, the influence of significant historical events of the time on them, as well as the role of friend-books as a reliable source in the coverage of various historical events have been analyzed in the following article.
EVALUASI PROGRAM PENDIDIKAN SOSIAL WANITA THERAVADA INDONESIA JAWA TENGAH
Authors: Dewi Sukhitta
Published: October 2023

Penelitian ini bertujuan untuk mengevaluasi program pendidikan social Wanita Theravada Indonesia (Wandani) Provinsi Jawa Tengah. Pendidikan social disini merupakan usaha membimbing dan mengembangkan potensi anggota Wandani secara sadar dan sistematis agar anggota Wandani dapat membiasakan diri dalam mengembangkan dan mengamalkan perilaku social dengan baik dengan didukung dengan ajaran Buddha. Pendidikan social disini terkait dengan kegiatan sucita dana, samajivita, sentuhan kasih Wandani, dan bagi rupang Buddha. Penelitian ini merupakan kualitatif evaluative. Data dikumpulkan menggunakan teknik wawancara, dokumentasi dan observasi. Data didapat dari pengurus daerah, cabang dan anggota Wandani yang tersebar di beberapa daerah di Jawa Tengah. Hasil analisis menunjukkan pengelolaan program pendidikan social di Provinsi Jawa Tengah sudah mencapai sebagian dari obyektifnya dengan adanya penerapan tahap perencanaan, pengorganisasian, pelaksanaan, dan evaluasi program pendidikan sosial.
Descemetopexy: A Little More Than Just Providing Support!! A Gist on Descemet Membrane Detachment and Descemetopexy Procedure
Authors: Bhardwaj Kanika , Chauhan Tulika , Patyal Sagarika
Published: October 2023

Descemet membrane detachment can be seen after any intraocular procedure but is more common after cataracts and cornealsurgeries, especially in the hands of novice surgeons early in their training period. Prompt recognition and appropriatemanagement can prevent the decompensation of cornea timely. Descemetopexy is a popular method to reduce cornel edemaand improve patient prognosis. This article gives an insight into the procedure as well as the identification and managementof a descemet membrane detachment.
Recent updates on medical management of Glaucoma.
Authors: Srivastava Rajat M , Agrawal Siddharth
Published: October 2023

Glaucoma is the leading cause of irreversible blindness worldwide. It is estimated to affect more than 110 million people globally by the year 2040. The disease is characterised by progressive loss of the retinal ganglion cells resulting in characteristic visual field defects. Modulating intraocular pressure is the widely accepted and practiced strategy in managing glaucoma. While most of the available drugs either suppressed aqueous formation or shunted it across the uveo-scleral pathways, rho kinase inhibitors have been introduced targeting the trabecular meshwork. Latanoprostene Bunod and its combination with Latanoprost, and Omidenepeg Isopropyl are new additions soon to be available in India. Durysta, a sustained release Bimatoprost implant is already approved in United States and other implants involving Travoprost are in pipeline. Neuroprotection is the ultimate goal in glaucoma management and recent trials with neurotrophic factors, glutamate antagonists, stem cells and antioxidant therapy have been encouraging. Coenzyme Q10 with vitamin E combination (Coqun) eye drops have demonstrated efficacy as an adjunct antiglaucoma therapy. While Brain Derived Neurotrophic factor have demonstrated efficacy in animal studies, experimental study with Nerve Growth Factor eye drops have shown promising results in humans. Stem cell research has a great potential in neuroprotection but still is in infancy. Concerns such as mode of delivery, graft survival and potential side effects remain to be known before stem cell therapy comes to the fore of clinical management of glaucoma. The present provides an overview of the recent developments in the wide arena of medical management of glaucoma.
Traumatic Phacocele- A Case Report
Authors: Chaurasia Shivang , Mohan Shalini
Published: October 2023

The term phacocele is derived from a Greek word, where ‘phaco’ denotes lens and ‘kele’ meaning herniation. It is an unusual and very rare clinical condition.[1]A  blunt  trauma can  result  in a  scleral rupture with  subsequent  dislocation  of  the  crystalline  lens through  the  ruptured  sclera  into  the subconjunctival  or Tenon’s  space  termed  as  phacocele.  Most of the cases of phacocele are due to high impact blunt trauma. The eyeball behaves like  a  fluid  filled  incompressible  structure  and whenever a blunt force sufficient enough in magnitude hits the eyeball, it can either cause a scleral rupture at the  site of impact (direct injury) or somewhere else (indirect injury) associated  rarely  with  dislocation  of  lens  into  the subconjunctival or Tenon’s space. Here, we report a case of Left traumatic phacocele due to trauma by bull’s horn with no history of previous trauma,ocular surgery or Myopia.
Prozessfinanzierung und Interessenkonflikte
Authors: Boerner Timon
Published: October 2023

In the wake of the diesel scandal and the trucks cartel, mass litigation by financed debt collection service providers have gained massively in importance. In this context, it is repeatedly criticised that there are conflicts of interest between the service provider, the funder and the claimant. In a comparative legal analysis and taking into account the principal-agent theory of behavioural economics, the author outlines the development of third-party litigation funding, the current state of regulation and its necessity. It is shown why there is still a need for legislative action in Germany even after the RDG reform has come into force and to what extent the regulation in England and Australia can serve as a model for this.
Meningkatkan Hasil Belajar Siswa Kelas 3 MIN 02 Boalemo Dalam Memahami Hukum Bacaan Qolqolah Melalui Media Audio Visual
Authors: Muhsin Nuryadin K.
Published: October 2023

Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa pada materi Hukum Bacaan Qolqolah. Penelitian termasuk jenis Penelitian Tindakan Kelas (Classroom Action Research). Subjek dari penelitian ini adalah Fase B siswa kelas 3 MIN 02 Boalemo Tahun Pelajaran 2023/2024, yang terdiri dari 12 siswa. Teknik pengumpulan data menggunakan  observasi, dokumentasi dan tes. Hasil penelitian yang diperoleh dari penggunaan Media Audio visual berhasil meningkatkan hasil belajar siswa kelas 3 MIN 02 Boalemo Tahun Pelajaran 2023/2024 pada materi Hukum Bacaan Qolqolah. Presentase ketuntasan hasil belajar siswa pada pembelajaran sebelum menggunakan media audio visual  secara klasikal yaitu mencapai 57%. Presentase ketuntasan hasil belajar siswa pada pembelajaran setelah menggunakan  media audio visual  secara klasikal yaitu pada siklus 1 mencapai 70 % dan presentase ketuntasan hasil belajar siswa pada siklus 2 lebih meningkat yaitu mencapai 92 %.
PENGARUH PENERAPAN ARTIFICIAL INTELLEGENCE PADA KEHIDUPAN MASYARAKAT DI INDONESIA
Authors: Mustofa Zamzam , Arifatuzzahro Aulia , Nazira Arni , Wahyuni Ruslina Dwi , Mukminin Amir
Published: October 2023

Technology is very important in the 4.0 revolution era in this industrial sector. The impact of technology on human life cannot be overstated. The emergence of technology brings several changes. Technological developments can be seen to go hand in hand with the development of time. The field of science and technology is always advancing and innovating rapidly, as seen from the technical breakthroughs that have been made. Rapid technological advances impact human existence and enable rapid social transformations that often occur without our even realizing it. Artificial intelligence is one of the technical advances that has the greatest potential impact. For the purpose of finding a solution to a challenge, a technology known as artificial intelligence (often referred to as AI) is used to replicate the intelligence of living and inanimate organisms. The use of artificial intelligence has an impact on human existence in various contexts. The purpose of this essay is to investigate how the use of artificial intelligence in Indonesia contributes to the ongoing transformation of society in this country. Library research is the approach used in this study. Literature research is a methodology for collecting data that involves completing a review study of books, literature, notes, and reports that are related to the problem being addressed. Researchers will read as much relevant literature as possible to collect as much data as possible in their search for hypotheses. Books, journals, periodicals, research results (theses and dissertations), and other acceptable sources such as newspapers, the internet, and other sources can all be considered library resources.

Keywords: Technology, Artificial Intelligence, Social Change
Analysis of CT Numbers in Thoracic CT Scan Image Segmentation and Spirometry on Pulmonary Vital Capacity
Authors: Suryo Saputro Annila , Latifah Lenny , Masrochah Siti
Published: October 2023

This research aims to analyze the correct CT Number to calculate the capacity volume of vital lungs using process segmentation image CT Scans. Compare results from capacity volume vital lungs on segmentation with results measurement volume capacity vital from spirometry. The research method used is an applied experiment that compares the results of lung vital capacity volume in segmentation with the results of vital capacity volume measurements from spirometry. Testing is carried out by calculating each volume on the CT Number used in segmentation and then comparing it with results from spirometry. Analysis data use test Correlation Pearson And Test paired Q Test Results study show that application segmentation image CT Scans with CT Numbers -850 HU up to -950 HU is quite good in calculating the volume of vital lung capacity. There is no significant difference between the results of lung vital capacity volume in segmentation and the results of vital capacity volume measurements in spirometry with a value (p > 0.05) of 0.06. The conclusion of this research is that segmentation image CT Scans of Thorax with the use of CT Numbers -850 HU until -950 HU can considered as an alternative in calculating the volume of vital lung capacity in patients with COPD.
The Metaphysics of Mathematical Explanation in Science
Authors: Fisher Patrick ,   Philosophy Documentation Center
Published: October 2023

Debates between contemporary platonist and nominalist conceptions of the metaphysical status of mathematical objects have recently included discussions of explanations of physical phenomena in which mathematics plays an indispensable role, termed mathematical explanations in science (MES). I will argue that MES requires an ontology that can (1) ground claims about mathematical necessity as distinct from physical necessity and (2) explain how that mathematical necessity applies to the physical world. I contend that nominalism fails to meet the first criterion and platonism the second. I then articulate an alternative, Aristotelian approach to mathematical objects and defend such a view as meeting both criteria.
ATTITUDES OF PROFESSIONAL NURSE DEGREE STUDENTS ON THE ROLE OF PROFESSIONAL NURSES IN THE HEALTHCARE TEAM
Authors: Rodić Ana
Published: October 2023

Background: The unique role of a nurse is to assist an individual, sick or healthy, in performing activities that contribute to health or recovery (or a peaceful death), which the individual would perform independently if they had the necessary strength, will, or knowledge. Virginia Henderson (1897–1996) A nurse today, apart from possessing professional knowledge and skills, must be an emotionally mature and stable person in order to be able to understand and deal with human suffering, emergencies, health problems, and ethical dilemmas. She should be ready to accept responsibility and work independently and in a team. Nurses have an important role in solving public health problems. They provide safe, high-quality, effective, and efficient health services, which makes this profession particularly important for the protection and improvement of people's health. Aim: To examine the attitudes and opinions of students about the role of a nurse as a mandatory member of the health team, the satisfaction of the position, and the respectability of the nurse profession in Serbia. Material and Methods: The research was conducted as a cross-sectional study over a period of 2 months. The research was conducted electronically, and the sample consisted of 95 students majoring in professional nursing at the Preschool Teacher Training and Business Informatics College of Applied Studies “Sirmium” and the Preschool Teacher Training and Medical College “Mihailo Palov” in Vršac, students of different genders and ages who actively attended studies at the time of questioning. Results: Most of the surveyed students were female, 85%, while the other 15% were male. Out of the total number of surveyed students, 46.4% do not agree at all or mostly agree with the statement that other members of the team value professional nurses. The majority of students agree with the statement that continuous education is necessary (83.4%). The largest number of students agree with the statement that the job of a professional nurse is as responsible as the job of other members of the healthcare team (92.5%). The opinion of the majority of students is that the job of a professional nurse is more valued abroad than in Serbia (87.5%). Conclusion: Based on the results of the research, we can conclude that there is a prevailing dissatisfaction among students with the position of professional nurse in the health team. Students believe that the job of a professional nurse is just as responsible as the job of other members of the health team, and the continuous education of the nursing staff would contribute to the respectability and adequate position of the nursing profession in Serbia.
NURSE IN THE HEALTHCARE QUALITY SYSTEM
Authors: Veličković Jasmina
Published: October 2023

As health professionals, nurses actively and directly participate in achieving the best possible welfare for the patient and have a direct influence on the patient’s health outcome. By applying professional standards, nurses can take responsibility for professional conduct, the quality of care they provide, and their own practice. This work is focused on the principle of improving care and improving the overall quality of treatment, which contributes to safe treatment aimed at achieving favorable health outcomes, thereby reducing treatment costs for the individual, family, employer, and society. To look at the improvement and development of the quality of health care (patient safety) requires knowledge, selection, and application of specific methods and tools adapted to the capabilities of individual health institutions. Current nursing practice is burdened with problems that can affect the quality of care provided, the safety of patients, and the safety of nurses in the workplace. The establishment of clearly defined standards is necessary, given that they represent the framework for the implementation of all nursing activities. Standards are the basis of nursing action that ensures legal, professional, and scientifically based action. They serve as a measure of the quality of practice and the development of the nursing profession. Employers have a responsibility to ensure a support system, including human and material resources, that will enable standards to be met. Quality control provides nurses and other healthcare systems, education, nurses, and physical therapists workers with feedback on the quality of their work as well as on how it can be improved. Users should also be actively involved in determining the quality of organizational care.
THE EDUCATION PATHWAY FOR NURSES IN MONTENEGRO
Authors: Lalović Dijana
Published: October 2023

Nursing education in Montenegro has a relatively long tradition. Due to the great need for medical personnel in Montenegro, in 1946, a school for paramedics, caretakers, and nurses was opened in Cetinje, located in the facilities of the former Girls’ Institute. Since the establishment of the first school, there have been several reforms in nursing education. In Montenegro, nursing practice begins after the completion of nine years of general education. At both the secondary and higher education levels, there are two types of nursing education. After completing four years of secondary school, one can obtain the title of health technician. The educational program for the health technician was developed in accordance with occupational standards for pediatric and medical nursing. The development of a modular educational program for Health Technicians is currently underway. The Health Technician curriculum is based on occupational standards for various fields, including Health Technician for hospital work, Health Technician for primary healthcare institutions, Health Technician for preschool institutions, and Health Technician for geriatric and palliative care institutions. A person can acquire the title of nurse by completing a three-year higher education program, consisting of applied basic studies (bachelor’s degree). In addition to the basic studies, there are also one-year postgraduate applied specialist studies in healthcare and two-year Master’s studies in healthcare. In 2017, following the reaccreditation of the Faculty of Medicine in Podgorica, a study model was designed based on the 3+2 principle. This nursing education program, in alignment with European directives, enables the training of qualified personnel to provide healthcare services. Graduates of this program will have degrees recognized outside the borders of Montenegro.
DEVELOPMENT DIRECTIONS OF PROFESSIONAL NURSING EDUCATION
Authors: Knežević Milan , Janić Lazar
Published: October 2023

Background: With the signing of the Bologna Convention by the Republic of Serbia, higher schools were reformed into higher vocational schools for a period of three years. The paper analyzes the education programs of professional healthcare workers and their importance for the business of modern healthcare institutions. Method: A survey was conducted that included the gender, age, and educational structure of the respondents, the number of children and household members they live with, the length of service and the type of employment relationship of the respondents, and the attitudes and opinions of health workers. Results: The results of a survey conducted among students of specialized studies at the High School of Professional Studies in Belgrade are shown in tables. The importance of higher education for healthcare workers for the successful operation of healthcare institutions was confirmed. Discussion: The authors dealt with this problem in the course of their work as professors, and their observations, which they presented at expert meetings, were cited in the literature. Conclusion: Based on the results of the work, the conclusions were reached that knowledge from the management of the work organization helps in acquiring managerial positions in the institution and that the acquired skills and abilities encourage the staff in carrying out the social mission. Health workers have shown that they want to improve their profession and support changes and additions to the school's program contents in accordance with the progress of medicine.
CONTINUOUS EDUCATION OF NURSES AND PHYSIOTHERAPISTS AS A PREREQUISITE FOR ENHANCING COMPETENCIES IN PLANNING AND ORGANIZATION
Authors: Kovačić Popović Anita
Published: October 2023

Background: Nurses and physiotherapists play a pivotal role in providing high-quality healthcare and patient rehabilitation, underscoring the importance of possessing a high level of expertise in planning and organizing their activities. The healthcare sector continually evolves and refines itself due to technological advancements, making it imperative for professionals to remain open to continuous learning and adapt to new information and techniques. Consequently, the maintenance and development of essential competencies through continuous education play a crucial role. Aim: To examine the significance of continuous education for nurses and physiotherapists in the context of enhancing their competencies in healthcare service planning and organization. Results and Discussion: The findings demonstrate that continuous education is essential for maintaining relevance and improving skills in the dynamic environment of contemporary professions. However, it is frequently accompanied by challenges such as financial constraints, time limitations, motivational issues, and technological adaptation barriers. Regarding the methods of continuous education available to nurses and physiotherapists, these encompass formal education, professional workshops, seminars, practical training, online education, and mentorship. A combination of these methods can contribute to the development and enhancement of healthcare professionals and competencies in their practice. Furthermore, attention is directed toward key competencies in healthcare service planning and organization, encompassing time management, teamwork, communication skills, decision-making, and problem-solving. Conclusion: It can be inferred that continuous education not only contributes to improved practice and patient care but also ensures that healthcare professionals stay aligned with changes within the healthcare system and the latest techniques and technologies.
HISTORY OF NURSING IN SERBIA
Authors: Ćirković Radenka
Published: October 2023

The first secondary medical school in Serbia was founded in 1921. Its name was "School for Nurses", with the involvement of the Red Cross Society from Geneva and the Red Cross Society from Belgrade, and at the suggestion of Dr. Reeder, head of the American mission. The first headmistress of the school was the English Miss Edith Newton, a student of Florence Nightingale. In 1924, the first generation of 18 sisters graduated. Most of them were assigned to medical facilities in southern Serbia; two were sent to America at the expense of the Rockefeller Foundation, and one to England for training at the expense of the League. In 1952, the Higher School for Nurses of the Red Cross of Yugoslavia was opened. Today, there are a large number of secondary medical schools, both private and state. School today lasts for four years.
EDUCATION OF NURSES IN THE INSTITUTIONS OF BOSNIA AND HERZEGOVINA
Authors: Pavlović Jelena
Published: October 2023

Background: In times of daily change, it is necessary to turn to the progress of the nursing profession, precisely through permanent learning in programs of continuous education and training. The aim of this work was to show the levels of education of nurses in the areas of Republika Srpska, Bosnia and Herzegovina. Secondary and higher medical schools, some of which grew into health faculties, played a significant role in organizing quality health care in Bosnia and Herzegovina. For a long time, secondary and senior medical staff could not be educated in B&H due to the lack of educational institutions, but also due to the lack of teaching staff. Until 2002, nurses in B&H acquired knowledge through secondary and higher education (two years). At the B&H level, the establishment of nursing studies was started in Sarajevo (2002), Tuzla (2005/2006), Zenica (2005), Bihać (2006), Mostar (2008), and then in Foca, Banja Luka and Prijedor (2007). Also, master’s and doctoral studies for nurses are organized in Bosnia and Herzegovina. There are no specializations for nurses in the education system in Bosnia and Herzegovina. Respecting the Directives of the European Council, in which the processes and norms of the education of nurses are precisely defined, some countries have equalized the competencies and levels of education of nurses. Changing nursing reform requires professional recognition in society and the entire healthcare system. Education partially follows the practice in terms of degree recognition. There is no Chamber of Nurses in the Republic of Srpska. In numerous institutions, internal and external education for nurses is organized. The Federation has a Chamber for nurses, and after passing a professional exam and registration in the Register of Chamber members, a request for a license is submitted with the documentation prescribed by the Rulebook on the License Issuance Procedure. The independent and interdependent work of nurses is in a highly interactive relationship and constitutes a unique field of nursing practice that must be understood and nurtured to maintain and develop a professional nursing identity. Therefore, it can be said that the purpose and goal of the nursing education strategy are pragmatic and visionary, and excellence can only be achieved through education. Conclusion: To raise the reputation and state of the nursing profession, it is necessary to define the scope of work and set clear boundaries between the competencies of nurses of different levels of education at the level of the whole of Bosnia and Herzegovina. Part of the strategic plan for the further development of the nursing profession should also be the promotion of the profession in the media and means of public information.
Eksplorasi Guru Pendidikan Agama Islam dalam Menanamkan Karakter Islami di SMP Muhammadiyah 4 Surabaya
Authors: Amani Alika Atha , Amalia Saniyah Rizky , Sari Venika Devita
Published: October 2023

This writing is presenting about the Pendidikan Agama Islam (PAI) class for the pupils.  One of the most crucial pillars of character education is Pendidikan Agama Islam (PAI).  The development of students' religious sense will be the foundation for a strong character education program; as a result, the PAI lesson serves as a supporting lesson for character education.  Through the teaching and learning of PAI, students are taught the importance of believing in God as the cornerstone of their faith, the quran and hadith as their way of life, fiqh as a code of law when studying Islam, the history of Islam as a moral example, and ethics as the standard of human behavior.
Hubungan Gaya Kepemimpinan Transformasional Kepala Sekolah dengan Motivasi Kerja Guru di SMA Negeri Kecamatan Lubuk Basung
Authors: Ramahyani Annisa , Marsidin Sufyarma
Published: October 2023

This research is motivated by transformational leadership, which refers to leaders who can motivate their followers to perform and manage their own interests for the benefit of the organization through individualized consideration, intellectual stimulation, and idealized influence, all of which result in extra effort from employees for better organizational effectiveness. However, in the Lubuk Basung District Public High School, it seems that transformational leadership has not been implemented effectively. The objectives of this research are to obtain data and information regarding 1) the transformational leadership of the school principal, 2) teacher's work motivation, and 3) the relationship between the school principal's transformational leadership style and teacher's work motivation in the Lubuk Basung District Public High School. The hypothesis proposed in this research is that there is a significant relationship between the school principal's transformational leadership and teacher's work motivation. This is a correlational research study. The population consists of all civil servant teachers teaching in the Lubuk Basung District Public High School, with a total of 83 individuals. The research sample is obtained using a proportional stratified random sampling technique with the Solvin formula, resulting in a sample size of 71 individuals. The research instrument used is a Likert Scale questionnaire with five answer options. Validity and reliability testing were performed using SPSS version 24. Data analysis involved the Product Moment Correlation test to examine the relationship between the two variables and the significance testing of the correlation using the t-test formula. The data analysis results show that 1) teacher's work motivation is at a relatively high interpretation level, at 79.40%, 2) the school principal's transformational leadership is interpreted as good, at 86.04%, and 3) there is a significant relationship between the two variables with a correlation coefficient of 0.550 and a correlation significance test of 5.465. Based on the research findings, it can be concluded that the school principal's transformational leadership is one of the factors that influence teacher's work motivation. This means that the higher the school principal's transformational leadership, the higher the motivation of teachers in the Lubuk Basung District Public High School.
Clinical Experience of a Long-acting Pegylated Erythropoietin-Stimulating Agent in Pediatric Chronic Kidney Disease
Authors: Bantounou Maria Anna , Lamb Angela , Young David , Ramage Ian James , Reynolds Ben Christopher
Published: October 2023

OBJECTIVE

Management of anemia of chronic kidney disease (CKD) often includes subcutaneous or intravenous administration of erythropoietin-stimulating agents (ESAs). Mircera, a pegylated continuous erythropoietin receptor agonist, has a longer duration of action and requires less frequent administration than other ESAs. Pediatric experience with Mircera is limited. We retrospectively reviewed our long-term experience of Mircera in a national pediatric nephrology center.

METHODS

Patients were identified via an electronic patient record database. Data collected included demographics (sex, age, etiology of CKD, CKD stage, dialysis modality), dosing information, and laboratory data—hemoglobin (Hb), parathormone (PTH), ferritin, hematinics prior to commencing Mircera and all subsequent values associated with dose adjustments.

RESULTS

Seventy-seven patients aged 2 to 18 years, with CKD stages 2 to 5T had received at least 1 dose of Mircera, with 75 patients having sufficient data and a total of 1473 doses. No patients discontinued Mircera owing to adverse effects. One patient experienced a potential severe adverse drug reaction. Mircera was effective in improving or maintaining Hb ≥10.0 g/dL in most (58/75, 77.3%) patients. The median dose to achieve Hb ≥10.0 g/dL was 2.1 µg/kg/4 wk. Most doses (1039, 71.5%) were administered 4-weekly. The doses (161, 11.1%) that were administered 6-weekly remained efficacious. Thirty-two patients started Mircera with Hb <10.0 g/dL; 26 (81%) achieved Hb ≥10.0 g/dL within a median time of 4 months. Mircera was less effective if given every 8 weeks, or in the presence of hyperparathyroidism or hyperferritinemia.

CONCLUSION

Mircera appears safe and effective in pediatric patients with CKD.
Penicillin Prophylaxis in Patients With Sickle Cell Disease Beyond Age 5 Years
Authors: Eastep Tyler G. , Kendsersky Rebecca M. , Zook Jessica , Moore Astrela
Published: October 2023

OBJECTIVE

Patients with sickle cell disease (SCD) are at increased risk for invasive pneumococcal disease (IPD) caused by Streptococcus pneumoniae. Immunization and antimicrobial prophylaxis may prevent this complication, and landmark clinical trials support discontinuation of antimicrobial prophylaxis at age 5 years. However, antimicrobial prophylaxis continues in some patients indefinitely. The objective of this study was to evaluate the incidence of culture-positive IPD and other infections in the setting of penicillin prophylaxis in the pediatric SCD population.

METHODS

This was a single-center, retrospective cohort study of patients with SCD who continued antimicrobial prophylaxis with penicillin, compared with those whose antimicrobial prophylaxis was discontinued. Included patients were aged 5 to 18 years during the study period and had no history of IPD or surgical splenectomy. Patient charts were reviewed for demographics, immunizations, penicillin prescription history, and microbiologic culture data.

RESULTS

Antimicrobial prophylaxis continued beyond age 5 years in 65% of patients, a higher percentage of whom had hemoglobin SS or S beta-zero disease. No patients whose antimicrobial prophylaxis was discontinued experienced IPD; 1 patient who continued antimicrobial prophylaxis died of S pneumoniae sepsis. Rates of other infections were comparable between groups (21% in prophylaxis versus 18% in no prophylaxis).

CONCLUSIONS

These results support appropriate de-prescribing of antimicrobial prophylaxis in patients with SCD who are not at high risk for IPD. Further multicenter studies are needed to evaluate consequences of antimicrobial prophylaxis with alternative agents on antibiotic resistance, examine provider rationale for continuation of antimicrobial prophylaxis, and assess quality of life effects (e.g., medication adherence, adverse drug reactions) of antimicrobial prophylaxis.