bluuebunny/crossref_metadata_2025 huggingface dataset:
Disease associated with antiMOG antibody: a case report
Authors: Chagas Julia de Oliveira , Silva Giovanna Alice de Oliveira , Peixoto Fernanda Mathias Rabelo , Cantarelli Isadora Azevedo Cardeliquio , Lopes Maycon Melo
Published: July 2023

Introduction: Anti-MOG Antibody Associated Disease (MOGAD) is an autoimmune neurological condition with antibodies directed against the myelin glycoprotein of oligodendrocytes, with a monophasic or relapsing course. Symptoms include optic neuritis (ON), transverse myelitis, cerebral, brainstem, and cerebellar dysfunction. The diagnosis is based on the clinical picture and complementary exams, mainly the anti-MOG antibody. Treatment involves, in the acute phase, pulse with corticosteroids, plasmapheresis and, especially in children, immunoglobulin, and in the chronic phase (recurrent course), immunosuppressants, immunobiologicals and, especially in children, monthly immunoglobulin. Objectives: To report a case of MOGAD. Methods: Review of medical records and brief literature review. Results: A 16-year-old male patient started with headache and fever, and the next day, low visual acuity (LVA) in the right eye (RE) with gradual worsening, and after two weeks, amaurosis in the RE and LVA in the left eye (LE). He received methylprednisolone pulse for five days, with improvement. After three weeks, he presented a new bilateral LVA, with amaurosis in the LE. Opted for new pulse therapy. Relevant findings included cerebrospinal fluid (CSF) with 15 cells, absence of oligoclonal bands in blood and CSF, neuraxial magnetic resonance Imaging with extensive bilateral ON affecting up to the optic chiasm, with gadolinium enhancement, and perineuritis. After results of non-reactive antiaquaporin 4 and reactive serum antiMOG, the diagnosis of MOGAD was confirmed, prednisone was maintained and azathioprine was prescribed. There was complete visual recovery afterwards. Conclusion: This case sheds light on the diagnosis of an uncommon demyelinating disease that is MOGAD, however, a condition that should be remembered as one of the differential diagnoses of ON, especially in patients with atypical ON and in children.
Pseudotumoral demyelinating lesion in a teenager, case report
Authors: Diniz Maria Ondina Machado , Gurian Jordana Gaudie , Bispo Amanda Nascimento , Ferreira Aline Boaventura , Silva Mariana Moreira da , Diniz Paulo Sérgio Machado , Borges Fernando Elias
Published: July 2023

Introduction: Pseudotumor lesions are an atypical presentation of demyelinating diseases, commonly associated with Multiple Sclerosis (MS) of different varieties (Balo, Schilder and Marburg) and occasionally linked to other demyelinating processes, such as MOGAD, ADEM and NMOSD. Estimated prevalence of three cases per million per inhabitant and occurrence of 1.4–8.2% in patients with MS. Objectives: To report a case of Pseudotumoral Demyelinating Lesion (PDL) in a teenager, attended at the General Hospital of Goiânia. Methods: Information obtained through clinical follow-up in a Neurology ward. Results: Male, 14 years old, onset of seizures 40 days ago. Ten days ago, he presented left crural monoparesis. On examination, hemiparesis of left crural predominance, left hyperreflexia, patellar and plantar clonus, left hemihypoesthesia. Normal cerebrospinal fluid (CSF), negative oligoclonal bands and oncotic cytology. Brain magnetic resonance imaging (MRI) showed an expansive cortical and subcortical lesion in the superior frontal gyrus and paracentral lobe on the right, cingulate gyrus and trunk of the corpus callosum on the right, with hypersignal on T2/FLAIR (T2-weighted-Fluid-Attenuated Inversion Recovery) and focal areas of gadolinium enhancement, predominantly subcortical. Spectroscopy increased Choline and reduced peaks of N-Acetyl Aspartate. The perfusion study showed cold perfusion. Proposed therapy with high doses of intravenous corticosteroids for five days, with improvement of the deficit. A control MRI showing partial regression of the lesion after therapy, therefore the first hypothesis is a PDL. Conclusion: PDL is a diagnostic challenge, as they mimic tumors and abscesses. Diagnosis based on the combination of clinical evolution, neuroimaging, CSF and brain biopsy, when appropriate. Initial treatment with high doses of intravenous corticosteroids, and most patients has good response. This case highlights pseudotumoral demyelinating diseases in teenage.
Results obtained with cranial nerve block in the treatment of migraine in patients assisted in a reference hospital
Authors: Lee Annelise Akemi Higa , Domingues Renan Barros
Published: July 2023

Introduction: The performance of Cranial nerve blocks (CNBs) in migraine has been increasingly used. CNBs are generally safe and well-tolerated procedures that can be performed in either emergency or outpatient settings. There is currently no guideline standardizing CNBs in migraine. In clinical practice, as well as the few published studies, the results are encouraging, justifying further studies in the area. Objectives: Evaluate the clinical response, safety and tolerability to the CNBs performed in patients with diagnostic criteria for migraine accompanying in the headache clinic in a reference hospital, and evaluate the response through objective scales (HIT 6 and EVA) evaluating comparatively pre and after application in a time interval of 60 days. Methods: Cross-sectional and retrospective observational clinical study in a convenience sample, in which the response to the CNBs performed in patients with migraine diagnostic criteria who accompany the headache clinic in a reference hospital, through the application of objective scales (HIT 6 and EVA) comparatively evaluating pre and after application in a time interval of 60 days, in the period from January 2021 to July 2022. Results: There were 15 patients included in the present study. The evaluation of the averages from EVA and HIT 6 pre and after application was statistically significant with P < 0.001. Only 6.66% (1) complained of some adverse effect such as initial insomnia. 93.33% (14) denied any post-application adverse effect. Unilateral and bilateral application, type of drug used in nerve block and prophylaxis concomitant also showed statistical relevance in the variation of the VAS scale. Conclusion: Despite the limitations and the reduced sample size, restricting to a more conclusive interpretation, the findings point to a potential therapeutic benefit and for the safety of the CNBs, justifying the performance of more studies in the area in order to create a protocol for the practice of CNBs.
Neurocysticercosis with spinal cord involvement, case report
Authors: Diniz Maria Ondina Machado , Gurian Jordana Gaudie , Bispo Amanda Nascimento , Ferreira Aline Boaventura , Borges Fernando Elias , Faria Paulo Sergio de
Published: July 2023

Introduction: Cysticercosis is caused by the larval stage Taenia solium. Clinical manifestations are divided into neurocysticercosis (intra- or extraparenchymal) and extraneural cysticercosis. Despite being an endemic disease in Brazil, in only 1% of cases it occurs with spinal cord injury. The aim is to report a case of subarachnoid neurocysticercosis with spinal cord involvement in a patient at Hospital Geral de Goiânia. Information was obtained through clinical follow-up in a neurology ward. Case report: Female, 59 years old, patient with initial stabbing back pain at rest, evolving with lower limb paresthesia and progressing to paraparesis and paraplegia with urinary and fecal retention. On examination, areflexia in the lower limbs, Babinski and alteration of proprioception and palesthesia. On thoracic spine magnetic resonance imaging, the presence of a signal suggesting a subarachnoid blood component in metabolization and loculation of an anterolateral cystic configuration on the right at T4-T5 level, compressing and displacing the thoracic spinal cord, in addition to an alteration in the distribution of the roots of the cauda equina adjacent to the medullary cone with post-contrast intradural radicular enhancement in the equine tail, suspicious findings for arachnoiditis. The patient was urgently referred for neurosurgery, which, during the procedure, showed the presence of cysticercus and also the anatomopathological examination. Conclusion: Despite being an endemic disease in Brazil, extraparenchymal neurocysticercosis with spinal cord involvement is rare, and it is necessary to report it in order to include it in the differential diagnoses of spinal cord diseases.
Neurosarcoidosis with meningeal impairment, cranial nerves and peripheral neuropathy, case report
Authors: Diniz Maria Ondina Machado , Gurian Jordana Gaudie , Bispo Amanda Nascimento , Ferreira Aline Boaventura , Borges Fernando Elias
Published: July 2023

Introduction: Sarcoidosis is an immune-mediated disease in which there is granulomatous inflammation of the affected organs. Neurosarcoidosis occurs in 5–10% of all patients with sarcoidosis. Treatment is based on expert opinion and there are no randomized clinical trials in this regard. The aim is to report a case of neurosarcoidosis diagnosed at Hospital Geral de Goiânia. Information was obtained through clinical follow-up in a neurology ward. Case report: Female, 58 years old, reports that three years ago she had paresthesia evolving with tetraparesis, rotatory vertigo, holocranial headache radiating to the neck and worsening with decubitus, hypoacusis, blurred vision and episodes of horizontal diplopia. On examination, saccadic fragmentation, mild anisocoria, fundoscopy bilateral papillary blurring and reduced vessel caliber, hypotonia and hypotrophy, grade 4 tetraparesis, brachial hyporeflexia, crural areflexia, gait ataxia, heel-knee dysmetria. During hospitalization, she developed polyuria and severe hyponatremia, water restriction and fludrocortisone were proposed, followed by prednisone. Brain Magnetic Resonance Imaging raised the hypothesis of carcinomatosis or an infectious process of the meninges. Screening for neoplasms was negative. Performed a meningeal biopsy suggestive of amyloidosis. However, evolution was not compatible with amyloidosis. Reviewed medical records, found axillary lymph node enlargement on chest computed tomography, performed biopsy, with diagnosis of sarcoidosis. Conclusion: Neurosarcoidosis is rare and its treatment is based on expert opinions. The case described represents Neurosarcoidosis with involvement of the meninges, cranial nerves and peripheral neuropathy, treated with corticosteroid therapy, with good therapeutic response. This study contributes to future research in this area, since knowledge related to sarcoidosis is still scarce and more research is needed.
Methodological aspects and results of conducting focus group interviews in the study of the opinion of children left behind by labor migration
Authors: Vaculovschi Elena
Published: July 2023

Focus group interviewing is a technique frequently used as a qualitative approach to gain an in-depth understanding of social issues. In this article, I propose to present the experience of conducting focus group interviews with children, carried out within the project Children left behind by labor migration: supporting Moldovan and Ukrainian transnational families in the European Union. In order to obtain better qualitative results, the research sought the free expression of the opinion of all respondents participating in the research. This aimed to highlight the various possible negative aspects related to the phenomenon of transnational families and children left without care whose parents are away working abroad. The guide for moderation of focus groups with children was structured in five modules. It included topics related to perception of migration and its impact on transnational families and children left without parental care, caring for the child after the parents leave, the changes that occur after the parents’ migration, existing social services in the community and future perspectives of children. Each module, the experience of conducting focus group interviews and the results of the opinion study of children left behind by labor force migration were presented and analyzed in depth in the article.
Building supply chain resilience and antifragility: strategies and technologies for mitigating disruptions
Authors: Ivascenco Iulia
Published: July 2023

This paper examines the role of redundancy and robust supplier relationships in enhancing supply chain resilience, specifically focusing on the cosmetics industry. It explores strategic redundancy measures such as maintaining safety stock levels, diversifying transportation modes, strategic distribution center locations, and collaborating with backup suppliers. The study further discusses the importance of robust supplier relationships and details strategies to strengthen these relationships, including effective communication, collaborative planning, aligning goals, and fair and ethical treatment. To illustrate these concepts, the paper leverages case studies from global corporations, including Unilever, Estée Lauder, Toyota, Nike, Coca-Cola, Procter & Gamble, Apple, and Walmart. Conclusively, it provides future outlooks and actionable recommendations for enhancing resilience in the cosmetics industry's supply chain.
Key factors in selecting economic higher education institution: Republic of Moldova case study
Authors: Siscan Ecaterina
Published: July 2023

Economic higher education institutions in the country operate in an extremely complex and dynamic environment, characterized by demographic decline of the population, mass emigration of the younger population, high level of competition on the national and international markets, quantitative reduction in the demand for higher education services and the change of its structure, etc. The challenges from the external environment bring to the attention of university management the need to develop effective marketing strategies for the attraction and retention of students. The success of this approach largely depends on the awareness of potential students’ motivations for applying to a training program and the criteria for choosing the university. Understanding the expectations and preferences of potential customers allows the design and development of more relevant educational programs and services, the development of effective communication strategies, that help recruit and retain a sufficient number of students to achieve the educational and financial goals. In this vein, the present study aims to analyze the existing behavioral models to identify the determinants that influence the university selection process by potential students. At the same time, the paper presents the results of the survey carried out in order to identify the key factors used by Moldovan students in the process of choosing the training program and the economic education provider. This study is part of a complex descriptive research on the behavior of consumers of economic higher education services.
Analysis of the situation regarding returned migrants. Challenges and solutions
Authors: Vaculovschi Dorin , Dogaru Raisa
Published: July 2023

The given article describes the trends of return migration, but also the situation of labour migrants returned to the Republic of Moldova, the factors that initially led to labour migration, and then to their return. The very process of migrants' return presents them with the same difficulties and challenges as in the case of their going to work abroad. Citizens returning home face a lack of jobs, impediments in the recognition of diplomas and qualifications obtained abroad, difficulties in the process of opening a business, etc. However, the state makes great efforts to stimulate the return of labour migrants, but also their (re)integration into society. However, according to the Universal Declaration of Human Rights (Universal Declaration of Human Rights, 1948), the right of citizens to return to their countries of origin is a right recognized and reaffirmed in other international normative acts, such as the International Convention on the Protection of the Rights of All Migrant Workers and Their Families (United Nations Convention, 1990).
Analysis of the data sources for sizing the phenomenon of international migration in the context of the major exodus of Romanian labor force
Authors: Prelipcean Gabriela , Ivan Paul-Panfil
Published: July 2023

Being a complex and multi-criteria phenomenon, the international migration can have a lot of different meanings, which suppose different scopes and methods of estimating various data, depending on the hypotheses and research objectives pursued. In the last decade the mass-media also gave an increased importance to the phenomenon and in the era of fake news, it led to the fact that the magnitude of the phenomenon was often communicated differently from the real situation or the existing statistics. Even though there is a great diversity of data sources that could be used to estimate international migration flows, these are not directly oriented to measure migration, so great difficulties in terms of data comparability occur very often. In Romania the phenomenon of international migration has taken a large scale, the country being on the first places worldwide in terms of labor force exits to destination countries, but, practically, the Romanian authorities have very less information regarding the residence of Romanian citizens abroad and, implicitly, no data is collected regarding the real volume of the migration phenomenon. This paper aims to inventory the available data sources regarding international migration from Romania and, as much as possible, to propose solutions by which this phenomenon could be better quantified to support the development of effective migration policies. The research methodology consists in the theoretical analysis of data sources and indicators that measure the migration phenomenon in order to identify a possibility to quantify the volume of the migrant population by proposing a model that calculates the potential migrant workforce calculated as a difference between the labor resource and the employed population.
فاعلية برنامج إرشادي قائم على نظرية الذات في تنمية مهارات السلوك القيادي لدى طلاب مرحلة الطفولة المتوسطة والمتأخرة
Authors: السعيدية رجاء بنت حمدان , المجالي مصلح بن مسلم , عبد الرشيد ناصر سيد جمعة
Published: July 2023

هدفت الدراسة إلى الكشف عن فاعلية برنامج إرشادي قائم على نظرية الذات في تنمية مهارات السلوك القيادي لدى طلاب مرحلة الطفولة المتوسطة والمتأخرة بمدارس الحلقة الأولى من التعليم الأساسي بمحافظة ظفار بسلطنة عُمان، تكونت عينة الدراسة التجريبية من 24 طالباً وطالبة من قادة مجالس الفصول كعينة قصدية، تراوحت أعمارهم بين تسعة أعوام إلى 11 عاماً، تم تقسيمهم إلى مجموعتين متكافئتين ومتساويتين: مجموعة تجريبية ومجموعة ضابطة. تبنت الدراسة المنهج التجريبي (التصميم شبه التجريبي) ذا المجموعتين التجريبية والضابطة مع قياس قبلي، وقياس بعدي، وقياس تتبعي، استخدم مقياس تقدير المعلمات لمهارات السلوك القيادي المكون من (36) عبارة موزعة على أربعة أبعاد هي: ومهارة تحمل المسؤولية، ومهارة التخطيط، ومهارة العمل بروح الفريق، ومهارة اتخاذ القرار. وأظهرت النتائج فاعلية البرنامج الإرشادي القائم على نظرية الذات في تنمية مهارات السلوك القيادي لدى الطلبة من خلال الفروق بين متوسطي رتب درجات القياسين القبلي والبعدي للمجموعة التجريبية، لصالح القياس البعدي، والفروق ما بين متوسطي رتب درجات المجموعتين التجريبية والضابطة في القياس البعدي لصالح المجموعة التجريبية، في حين كانت الفروق غير دالة بين القياسين البعدي والتتبعي للمجموعة التجريبية مما يدلل على استمرارية فاعلية البرنامج الإرشادي، وأوصت الدراسة بتبني البرنامج الإرشادي لدراسات مماثلة بمجتمعات بحثية أخرى.
مستوى الشعور بالسعادة لدى طلبة جامعة الكويت بعد جائحة كوفيد-19 في ضوء بعض المتغيرات
Authors: عبد المطلب عبد المطلب عبد القادر
Published: July 2023

هدفت الدراسة الحالية إلى الكشف عن مستوى الشعور بالسعادة لدى طلبة جامعة الكويت بعد جائحة كوفيد-19 في ضوء بعض المتغيرات، وتم استخدام المنهج الوصفي المقارن، وتضمنت عينة الدراسة الأساسية (237) طالباً وطالبة من طلبة جامعة الكويت. وتم استخدام استبيان أكسفورد للسعادة من إعداد هيلز وأرجيل (2002). وبينت نتائج الدراسة وجود مستوى منخفض من الشعور بالسعادة لدى طلبة جامعة الكويت، وقد بين حوالي (32%) من الطلبة أنهم غالبًا ما يشعرون بالسعادة، وبين حوالي (23.5%) من الطلبة أنهم نادرًا ما يشعرون بالسعادة، بينما بين حوالي (44.5%) من الطلبة أنهم أحيانًا ما يشعرون بالسعادة، ولا توجد فروق بين الطلاب والطالبات في الشعور بالسعادة، وهناك أربع متغيرات تؤثر في الشعور بالسعادة لدى طلبة جامعة الكويت، وهي: المستوى الاقتصادي، والحالة النفسية، والحالة الصحية، والسمنة.
تصميم برنامج تعليمي قائم على المايكروبت (Micro: Bit) وأثره في إكساب المهارات الأساسية للبرمجة ومهارات التفكير الحاسوبي لدى طلاب المرحلة الابتدائية
Authors: النملة عبدالعزيز بن عبدالرحمن , العثمان عبدالرحمن بن علي
Published: July 2023

هدفت الدراسة الحالية إلى تصميم برنامج تعليمي قائم على المايكروبت (Micro: Bit) وقياس فاعليته نحو إكساب المهارات الأساسية للبرمجة ومهارات التفكير الحاسوبي لدى طلاب المرحلة الابتدائية، واستخدمت المنهج شبه التجريبي، وتألفت عينة الدراسة من (22) تلميذًا، وبعد التحقق من ثبات وصدق أدوات الدراسة (بطاقة الملاحظة للمهارات الأساسية للبرمجة، ومقياس التفكير الحاسوبي)، تم تطبيقها على العينة قبليًّا، ثَم نُفِّذَ عدد (15) درسًا بأسلوب التعلم بواسطة المشاريع لمدة شهرين، ثم تم إعادة تطبيق المقاييس البَعدية، وأسفرت النتائج عن وجود فروق ذات دلالة إحصائية عند مستوى الدلالة (0.001) لصالح القياس البعدي لمقياس مهارات التفكير الحاسوبي والمهارات الأساسية للبرمجة للمقياس ككل، وبحجم تأثير عالي مقداره (0.81) لمقياس مهارات التفكير الحاسوبي، وحجم تأثير متوسط مقداره (0.74) للمهارات الأساسية للبرمجة، كما أظهرت تباينًا نسبيًّا في مستويات الدلالة وحجم الأثر في المهارات الفرعية لكلٍّ من المهارات الأساسية للبرمجة، ومهارات التفكير الحاسوبي. وأوصت الدراسة بتضمين دروس تعليم البرمجة باستخدام المايكروبت في مقررات المهارات الرقمية لطلاب المرحلة الابتدائية.
عوامل التطوُّر الكتابيّ الكميّ لدى طلاب برنامج اللغة العربيَّة في كُليَّة التربية بجامعة الكويت
Authors: جوهر محمَّد رضا
Published: July 2023

هدفت هذه الدراسة إلى تحديد العوامل والأسباب المؤدِّية إلى تطوُّر الأداء الكتابيّ لدى 48 طالبًا وطالبةً ممّن يُتوقَّع تخرُّجُهم في برنامج اللغة العربيَّة في كُليَّة التربية بجامعة الكويت في الفصل الأول من العام الأكاديميّ 2022/2023. وقد اعتمدت هذه الدراسة منهجيَّة التفسير التسلسليّ التي تُبنى على مسارين: كمّيّ ونوعيّ، ففي المسار الكمّيّ تلقّتْ عيَّنة البحث دورةً تدريبيَّة تطبيقيَّة في مراحل عمليَّة الكتابة مدّتها 12 أسبوعًا، وقد جرى التحقُّق من تطوُّرِ أفراد العيّنة الكتابيّ من خلال إجراء أربعة اختبارات كتابيَّة مثّلت أربعَ نقاطِ تَثَبُّتٍ إحصائيَّة، وكشفت نتائج تحليل المسار الكمّيّ تطوُّرًا ذا دلالة إحصائيَّة في الأداء الكتابيّ لعيّنة البحث في نهاية الدورة. وفي المسار النوعيّ أثبتت نتائج المقابلات الشخصيَّة أنَّ تعلُّمَ مراحل عمليَّة الكتابة وتطبيقها عمليًّا أدَّيا إلى زيادة مُعدّل القراءة قبل الكتابة بمُعدّل وسطيٍّ بلغ ثلاث ساعات، وإلى تفعيل ممارسات ما قبل الكتابة مثل: المناقشة واستعمال المخططات البصريّة والكلام الداخليّ، وكذلك كتابة نسخة أولى كتابةً متحرّرة من الضغط النفسيّ، وتفعيل مرحلة المراجعة بصورةٍ كبيرة، وقضاء أكثر من يوم في التنقيح، والاعتماد على المحكّمين الخارجيّين اعتمادًا لافتًا. وقد توصّلت هذه الدراسة إلى جملة من التوصيات أبرزها: تأكيد أهمّيَّة تدريس مراحل عمليَّة الكتابة لمعلمي اللغات في مقرَّرات الإعداد المهنيّ في كُليّات إعداد المعلم، وتقديم دورات التطوير المهنيّ لمعلمي اللغات الحاليّين، وإجراء دراسات مستقبليّة في ضوء نتائج الدراسة الحاليّة.
PERFORMANCE REWARD STRATEGIES AND TEACHERS’ COMMITMENT IN PUBLIC SECONDARY SCHOOLS IN TESO-NORTH SUB-COUNTY, KENYA
Authors: Ronald Kikechi
Published: July 2023

The purpose of the study was to determine the extent to which performance reward strategies influence teachers’ commitment in public secondary schools in Teso-North Sub-County, Kenya. Descriptive survey research design was adopted study. The target population of the study was 1215 persons that encompassed 3 Sub- County Education officers and 1212 teachers from public secondary schools in Teso North Sub-County. Krejcie and Morgan (1970) Table was used to determine the sample size. Hence a target of 1212 persons gave a sample size of 291 persons. The study then used stratified random sampling technique to identify the respondents. Structured questionnaires and interviewing guides were the main primary data gathering tools for the study. The instruments were approved by the experts in subject area. A pilot study was used to determine the instrument's reliability, of which they yielded a correlation coefficient (r) of 0.79. This demonstrated the instrument's dependability. While qualitative data was broken down into themes as well as sub-themes and presented using quotations, quantitative data was, examined utilizing descriptive as well as inferential statistics and presented in tables.

The study found a statistically significant relationship amongst teachers' commitment as well as performance appraisal procedures, assessor feedback, objectivity, and performance reward strategies in public secondary schools. The research will help academics, decision-makers, and community people. Therefore, it can be, said that the performance evaluation system implemented by the Teachers' Service Commission increased teachers' dedication in public secondary schools.
PHYSICAL FACILITIES AVAILABILITY ON CHILDREN ATTENDANCE IN PUBLIC PRE-PRIMARY SCHOOLS IN MWATATE SUB-COUNTY, KENYA
Authors: Ronald Kikechi
Published: July 2023

The purpose of this study is to establish the influence of physical facilities availability on children attendance in public pre-primary schools in Mwatate Sub-County, Kenya. The study employed a descriptive survey research design. The target population for this study was 279 comprising of 184 Pre-Primary School teachers in 92 School Committee Chairpersons and 3 ECDE supervisors in three zones of Mwatate sub-county. The study employed a census method to determine the sample sizes of Pre-Primary School teachers (184) and ECDE supervisors (3); and a ten percent rule for School Committee Chairpersons (11). This gave a total sample size of 178 persons. Three instruments namely: the Pre-Primary School Teacher Questionnaire, School Committee Chairperson Interview and ECDE supervisors Interview Schedule was employed to collect data from the respondents. The instruments were validated by use of expert judgment while reliability of the tools was established through the use of test-retest procedures. Internal consistency of the tool was be established through the use of the Cronbach’s Alpha measures. The questionnaire was deemed to be reliable after attaining a reliability value of α = 0.88. Data was analyzed statistically using percentages and Chi-Square measures at 0.05 confidence levels. The study established that there is a statistically significant relationship between physical facilities availability and children attendance in public pre-primary schools in Mwatate Sub-County, Kenya. Overall, the study highlights the need for institutions and parents to work together to create a conducive learning environment for all children. This includes providing a variety of learning resources, maintaining clean and orderly classrooms and encouraging regular school attendance. By addressing these issues, institutions and parents can help ensure that all children have access to quality education and the opportunity to reach their full potential.
EFFECTS OF TRANSPARENCY-FOCUSED SOCIAL ACCOUNTABILITY ACTIONS ON PUBLIC SERVICE DELIVERY IN KAKAMEGA COUNTY GOVERNMENT MINISTRIES, KENYA
Authors: Barasa Patrick Simiyu , Shitetswa Ayub , Ngome Charles Kibanani
Published: July 2023

The provision of public services in the Republic of Kenya has encountered difficulties over the years. The implementation of many policies, such as performance contracts and measurement and evaluation, has not produced the desired outcomes. Therefore, it was necessary to concentrate on alternative approaches to enhance public service delivery, such as the implementation of social accountability measures. By encouraging openness through social accountability initiatives, corruption and bureaucratic inefficiencies are reduced, which enhances the delivery of services. Few studies have examined the link between the acts of social of accountability and delivery of services in Kenya, despite the fact that they are, thought to increase service delivery in the public sector. This study therefore sought to interrogate the effect of transparency-focused social accountability actions on public service delivery in Kakamega County Government Ministries, Kenya. The study was centered on Vance, Lowry, and Eggett's Accountability theory (2015). The research used a descriptive survey research approach. The employees from different ministries, county assembly members, as well as chief officers, who take part in public decision-making processes, made up the target population. A population of 1,904 persons was targeted. Accordingly, using Krejcie and Morgan (1970) table, a sample size of 322 was obtained. To analyse the quantitative data, the researcher employed the Statistical Package for Social Sciences. Content analysis was, used to look at qualitative data. The research instruments’ validity was certified by the experts in the area of study, while reliability of the research instruments was determined by use of Cronbach's alpha coefficient. This was meant to check on the internal consistency of the research instruments. A standardized questionnaire and interviews was used to collect the data, which was then analyzed using descriptive and inferential statistics and presented using tables. For this investigation, a multivariate regression analysis was, used. The findings revealed that transparency focused (β=.652, p<.05) had a positive significant effect on service delivery and accounted for 41.7%. The employees of Kakamega County may gain from this research because it will allow them to engage in more discussions with the county by engaging in advisory boards, project implementation, and project feasibility analysis, all of which can enhance the county's provision of public services.
DEMOCRATIC MANAGEMENT STYLE AND STUDENTS’ UNREST IN PUBLIC BOYS BOARDING SECONDARY SCHOOLS IN BUNGOMA COUNTY, KENYA
Authors: Ronald Kikechi
Published: July 2023

This study sought to find out the influence of democratic management style on students’ unrest in public boys boarding secondary schools in Bungoma County, Kenya. The study was guided by the style and behavior theory. The survey was descriptive in nature. The target population was made up of 9,993 persons comprising of 396 teachers, 9575 students and 22 Principals from 22 public boys boarding secondary schools in Bungoma County. Using Krejcie and Morgan (1970) table for determining sample sizes, the target population gave a sample size of 373 respondents.  The study utilized two questionnaires i.e. for teachers and students, and interview schedules, for Principals, to collect data.  Descriptive statistics and inferential statistics were used to analyse data, which was later presented in tables. Qualitative data from the Principals was analysed using the theme under study and presented in a narrative form. The study established that democratic management style had an effect on students’ unrest in public boys’ boarding schools in Bungoma County. The model coefficient was found to be positive, indicating that democratic management style had a favorable effect on student unrest. Thus the findings showed democratic management style (β = .201, p <.05) had significant effect on student unrest. Therefore principals should consider involving students in decision-making, providing opportunities for student voice and input on decisions made, and establishing clear channels of communication. Principals should foster open communication, provide opportunities for student input, and create a culture of shared decision-making.
TEACHERS’ PROFESSIONAL KNOWLEDGE APPLICATION PRACTICES AND STUDENTS’ ACADEMIC PERFORMANCE IN PUBLIC SECONDARY SCHOOLS IN KAKAMEGA NORTH SUB-COUNTY, KENYA
Authors: Chimuche Simon Kangwana , Kikechi Ronald Werunga , Ngome Charles Kibanani
Published: July 2023

The purpose of this study was to assess the effect of teachers' professional knowledge application practices on students' academic performance in public secondary schools in Kakamega North sub-county, Kenya. The study was guided by the Goal setting theory. A descriptive survey research design was utilized. The target population was 772 persons comprising of 723 teachers, 49 principals, and 49 deputy principals from Kakamega North's public secondary schools. A sample size of 232 was obtained using Krejcie and Morgan's Table for determining sample sizes. The researcher then applied proportionate sampling approach to determine the number of respondents in each group. Thus, 217 teachers, 15 principals, and 15 deputy principals were used as respondents. Questionnaires, interview schedules, and document analysis were utilized in data collection. The reliability coefficient of the instruments was determined using the test-retest technique with Cronbach's alpha statistic being used to calculate its reliability. A reliability value of 0.842 was established which was considered sufficient to get consistent outcomes. The validity of the instruments was determined by the experts in the area of specialization. Data was analyzed using descriptive statistics and Chi-Square analysis. The qualitative data was processed and presented using quotations according to the study's topics and sub themes. The study established that there is no statistically significant relationship between teacher professional knowledge application appraisal practices and students’ academic performance in public secondary schools in Kakamega North Sub-county, Kenya. The study recommends that a policy is needed to strengthen these variables in order to realize better academic results from students in public secondary schools. The study is hoped to benefit the education stake holders, policy makers and community members in improving the students’ academic performance.
Üniversite Öğrencilerinin Karar Verme Stilleri ile Üniversite Yaşamına Uyum Düzeyleri Arasındaki İlişkinin İncelenmesi
Authors: MUTLU Şahabettin , KAYA Zöhre , ALTINIŞIK Kaan
Published: July 2023

Bu araştırmada, üniversite öğrencilerinin karar verme stilleri ile üniversite yaşamına uyum düzeyleri arasındaki ilişkinin incelenmesi amaçlanmıştır. Araştırmada, nicel araştırma yöntemlerinden ilişkisel tarama modeli kullanılmıştır. Araştırmanın katılımcılarını, 2021-2022 eğitim öğretim yılında Türkiye’nin farklı üniversitelerinde eğitimlerine devam eden 257 kadın ve 114 erkek olmak üzere toplam 371 öğrenci oluşturmaktadır. Çalışmanın verileri, “Melbourne Karar Verme Stilleri Ölçeği”, “Üniversite Yaşamına Uyum Ölçeği” ve “Kişisel Bilgi Formu” aracılığıyla toplanmıştır. Verilerin analizinde, Pearson korelasyon analizi, ilişkisiz örneklemler t testi, tek yönlü varyans analizi (ANOVA) ve çoklu doğrusal regresyon analizi kullanılmıştır. Araştırmadan elde edilen bulgulara göre, öğrencilerin karar verme stilleri ile üniversite yaşamına uyum düzeyleri arasında anlamlı ilişki olduğu tespit edilmiştir. Yapılan regresyon analizine göre, karar verme özsaygısının kişisel uyumu anlamlı düzeyde yordadığı, dikkatli karar verme stilinin ise akademik ve sosyal uyumu anlamlı olarak yordadığı görülmüştür. Ayrıca demografik değişkenlere göre yapılan karşılaştırmada; kadınların panik karar verme stili puanlarının erkeklerin puanlarından anlamlı olarak daha yüksek olduğu, sınıf değişkeninin ise öğrencilerin karar verme stilleri ve üniversite yaşamına uyum düzeyleri açısından anlamlı bir farklılık yaratmadığı saptanmıştır. Çalışmadan elde edilen bütün bulgular bir arada değerlendirildiğinde, öğrencilerinin üniversite yaşamına uyum sağlamalarında karar verme stillerinin önemli rol oynadığı belirtilebilir.
Self-Revelation: An Origin Myth Interpretation of the Göbekli Tepe Culture (An Alternative Perspective on Anthropomorphic Themes)
Authors: AYAZ Orhan
Published: July 2023

The humans of the Göbekli Tepe Neolithic culture of the Upper Euphrates Basin left behind long-term settlements with surprising monumental structures and a rich set of symbolism. This study puts the various symbolic themes of this culture to its center, and attempts to offer a reasonable interpretation of how the people of this culture and period constructed a “reality” about themselves. When the themes of human head and phallus are positioned at the center of the interpretations of this period’s symbolism, it is possible to claim that the Neolithic people conceptualized/explained themselves through an complex mythological narrative. This paper also hopes to contribute to the disciplines of archaeology, anthropology, sociology and history of religions by asserting that the T-shaped pillars of the Göbekli Tepe Culture are the phalli of the ancestors representing these ancestors’ remaining fragment/aspect on “the world,” and thus, are the material representations of the “now” and “this world,” rather than mythological ancestors, supernatural beings or gods. In this context, it is possible to relate the T-shaped pillars with ancestor cult, and also an important part of the anthropomorphic statues and reliefs with the initiation rites in which a person gains status in society. One of the biggest goals of this study is to begin a discussion about what can be the main mythological narrative of this culture.
A Research on Beekeeping Sector in Şemdinli
Authors: ERTAŞ Numan
Published: July 2023

Humans have benefited from animals throughout their lives by hunting before the Neolithic and then controlling them by domestication. One of the animal groups under control is the bees, which existed long before humans. Bees, which are in circulation in natural life, have been taken under control by humans and turned into an important livestock breeding used in many different fields such as food, cosmetics, and medicine. These bees, which are of Asian origin, are spread all over the world except the extreme places. The world colony existence, which was around 50 million in 1960, has increased to over 100 million today. Today, the leading countries of beekeeping activities are China, Turkey, and India. Turkey has an important role in world beekeeping. Turkey's beekeeping potential has increased up to ten times compared to the first years of the Republic. The majority of the country's honey production is provided from the Mediterranean, Eastern Black Sea, Aegean and Middle Eastern Anatolia regions. Şemdinli (Hakkâri) district, which constitutes the study area, is also located in the Middle East Anatolia region. Şemdinli is among the districts where the most honey and beeswax production are made in Turkey. In 2021, 313 tons of honey and 32 tons of beeswax were produced in the district. In the study, in addition to data portals such as FAO, TUIK and TOB, data sets were produced by interviewing beekeepers in settlements where beekeeping is most common. In the study, a phenomenological design was used to reveal the beekeepers' own experiences from their point of view.
Aby Warburg ve Sinema İlişkisi Üzerine Bir Deneme
Authors: GÜLERYÜZ Behçet
Published: July 2023

Sanat tarihine yepyeni bir soluk getiren Aby Warburg, 1924-1929 yıllarında adını bellek tanrıçası Mnemosyne’den alan bir Bellek Atlası oluşturur. Warburg, sanat tarihinin, doğrusal zaman anlayışına dayalı ve birbiri ardına gelen sanat akımlarının tarihi olduğunu varsayan geleneksel yaklaşımını terk eder. Buna göre sanat tarihi, imge temelinde sanat eserlerinin birbirleriyle kurduğu etkileşimler üzerinden düşünülmelidir. İmgeler, zaman ve mekandan bağımsız birbiriyle ilişkilendirilerek atlasta yer alırken, bu şekilde aslında durağan olan imgelere bir nevi sinemasal bir hareket kazandırır. Film kuramlarının çağdaş yorumlarında Aby Warburg’un imge temelli yaklaşımının izleri rahatlıkla gözlemlenebilmektedir. Sözgelimi, Philippe-Alain Michaud Warburg’un analizlerini hareketli imgeler üzerinden görsel kültür ve sinema ile ilişkilendirmektedir. Giorgio Agamben ise geliştirdiği film kuramını Warburg’dan esinlenerek ele alırken, tarihçinin çalışmalarını bir tür ‘imge bilimi’ olarak tanımlamakta ve dolayısıyla ‘Bellek Atlası’ndaki imgeleri birer film karesi gibi görmektedir. Gilles Deleuze ise kendine özgü sinema tarihi ve felsefesinde Warburg’a doğrudan bir atıfta bulunmamasına karşın düşünürün sinemaya dair kavramları Warburg’un sanat tarihi anlayışı açısından tartışılacaktır. Böylelikle, bu makalede imge, hareket ve zaman gibi kavramlar Warburg ve sinema ilişkisi üzerinden tartışılacaktır.
Aile Aidiyetine Çok Yönlü Bakış
Authors: MUKBA Gamze , AKGÜN Gülşah Ezgican , YAYLA Ahmet
Published: July 2023

Bu araştırmada aile aidiyetinin tanımlanmasına, aidiyet kavramının ilişkili olduğu bağlamlar ve kuramlara ilişkin açıklamalara ve örneklere yer ver verilmiştir. Bu araştırmada aile aidiyetine çok yönlü bir bakış açısı sağlanması amaçlandığı için kuramsal araştırmalar derinlemesine incelenmiştir. Bu araştırmanın yöntemini nitel araştırma yöntemleri arasında yer alan doküman inceleme araştırması oluşturmaktadır. Aile aidiyetinde aile üyeleri arasındaki kişilerarası ilişkilerin ötesinde bütünsel karşılıklı etkileşime ve kişinin kendisini, içsel huzur gibi duygularını ifade edebildiği aile kavramına vurgu yapılmaktadır. Aile aidiyetinin tanımlanmasında ve kavramsallaştırılmasında etkili olan kuramlar arasında insancıl kuramlar ile pozitif psikolojiye işaret eden psikolojik iyi oluşa vurgu yapan kuramlar ve aile bütünselliğine, kişilerarası ilişkilere vurgu yapan sistemik aile terapisi kuramı gibi kuramlar yer almaktadır. Aile aidiyetine etki eden unsurlara bakıldığında ise aile içi paylaşımlar ve aile içinde anlam yüklenen değerler, sosyo-kültürel durumlar ve ilişkilerde rolleri dengeli sürdürme gibi durumlar öne çıkmaktadır. Bu unsurlar aynı zamanda aile aidiyetinin sağlanması ve sürdürülmesinde anahtar niteliği taşıyan unsurlar olabilmektedir. Sonuç olarak aile aidiyetinin tek boyutla ele alınabilecek bir kavram olmadığı, çeşitli kuramlar ve aile aidiyetinin ilişkili olduğu unsurlar ile bağlamlar açısından değerlendirilmesinin anlamlı olduğu söylenebilir.
ESTUDIO SOBRE EL USO DE MARKETING ODONTOLÓGICO EN CLÍNICAS DE LA CIUDAD DE CUENCA.
Authors: Venenaula Ortega Katherine Janneth , Orellana Velez Jose Enrique , Picón Rentería Alexa Daniela , Bravo Calderon Manuel Estudardo
Published: July 2023

El tema de este estudio es: Estudio sobre el uso de Marketing odontológico en clínicas de la ciudad de Cuenca. En este contexto, diferentes factores han intervenido directa o indirectamente en la evolución de los mercados, tornándose mucho más competitivos, y por consecuencia incidiendo en la forma en que estos se relacionan con los clientes y viceversa. Las empresas en todo el mundo se ven condicionadas a una serie de factores de carácter económico, político, socio – cultural, jurídico-legal, ambiental y tecnológico, que componen lo que se denomina el entorno empresarial. La metodología descriptiva se enfoca en describir y analizar la población o muestra objeto de estudio, sin intervenir en ella, tiene un enfoque cuantitativo, tipo no experimental, con una población de 15 clínicas. Los resultados muestran que aproximadamente el 53% de los encuestados utilizan estrategias de marketing dentro de su atención clínica, mientras que el 47% no lo hace, Esto indica que existe una división entre aquellos que reconocen la importancia del marketing en su práctica clínica y aquellos que aún no lo han implementado. Se concluye: el estudio sobre el uso de marketing odontológico en clínicas revela varias tendencias y aspectos significativos, el Reconocimiento de la importancia del marketing, Necesidad de mejorar estrategias de marketing, Variación en el gasto en marketing, el deseo de obtener más información sobre el marketing dental.
MANAJEMEN FISIOTERAPI PADA KASUS MORBUS HENSEN MULTI BASILER REAKSI II
Authors: Aulia Izki , Wijianto Wijianto , Teguh Prihastomo
Published: July 2023

Latar Belakang: Penyakit Morbus Hensen atau yang biasa disebut kusta merupakan penyakit granulo matosa kronis yang dikarenakan bakteri Myobacterium leprae. Dan untuk morbus hensen Multi Basiler Reaksi II sendiri merupakan reaksi hormonal antara M. Leprae dan antibody pasien yang menimbulkan respon inflamasi pada pasien. Kusta awal mula ditemukan oleh Gerhard Armauer Hansen pada tahun 1873 di Norwegia. Penyakit ini menyerang pada sistem saraf tepi, perifer dan saraf sensoris, dengan manifestasi klinik berupa kulit kering hingga xerosis dan kelemahan otot. Tujuan: Manajemen fisioterapi pada kasus ini bertujuan untuk mengetahui manfaat diberikannya intervensi fisioterapi berupa oiling dan terapi latihan, ambulasi dan edukasi dalam mengurangi xerosis dan kemampuan fungsional pasien. Metode: case report ini dilakukan di RSUD Kelet Donorejo dengan mengambil salah sample salah satu pasien kusta dengan pemberian modalitas fisioterapi berupa oiling, terapi latihan dan ambulasi sebanyak 3 kali sesi terapi. Selanjutnya melakukan pengukuran pada terapi pertama dan terapi ketiga dan didapatkan hasil peningkatan skala ODSS dan peningkatan skala kemampuan fungsional. Hasil: dari manajemen fisioterapi yang diterapkan pada kasus Morbus Hensen Multi Basiler Reaksi II didapatkan hasil berupa meningkatnya skala ODSS dan meningkatnya skala aktifitas fungsional. Kesimpulan: Manajemen fisioterapi pada case report ini terbukti dalam peningkatan skala ODSS dan peningkatan skala kemampuan fungsional pasien
ACTIVE ASSISTED MOVEMENT DALAM MENJAGA KEMAMPUAN FUNGSIONAL PADA KONDISI DUCHENNE MUSCULAR DYSTROPHY
Authors: Faqih M Izza Zulfana , Wahyu Tri Sudaryanto  , Salma Muazzaroh
Published: July 2023

Background: Duchenne muscular dystrophy which is a recessive x-linked disorder that often affects males. Duchenne muscular dystrophy is caused by mutations in the dystrophin gene at the Xp21 locus so that dystrophin protein is not produced or dystrophin deficiency and structural abnormalities occur. Dystrophinopathies are X-linked recessive disorders affecting 1 in 5,000 to 1 in 6,000 live male births. The prevalence of DMD is less than 10 cases per 100,000 males. Objective: Physiotherapy management in this case aims to determine the benefits of providing physiotherapy interventions in the form of active assisted and passive movement and stretching in patients with Duchenne muscular dystrophy. Methods: This case report was conducted at PLDPI Surakarta by taking patients with Duchenne muscular dystrophy cases by providing physiotherapy modalities in the form of active assisted and passive movement and stretching for 3 physiotherapy sessions. Furthermore, measurements were taken with the GMFM and XOTR Scale in the first to third physiotherapy. Results: From the physiotherapy management given, it was found that functional ability and muscle strength remained unchanged and did not develop. Conclusion: Physiotherapy management in this case report is proven to be able to maintain functional ability and muscle strength in patients with Duchenne muscular dystrophy.