bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of Turkish Curriculum at the Middle School Level Prepared during the Republican Era
Authors: AĞLAR Cengiz , ARSLAN Aysel , ŞAHBAZ Ahmet Furkan
Published: February 2024

This study examines Turkish Curriculums during the Republican Era, focusing on objectives, learning outcomes, content, teaching-learning processes, and evaluation dimensions. Analyzing 11 curriculums (1924, 1929, 1931-32, 1938, 1949, 1962, 1981, 2006, 2015, 2017, and 2019), we obtained five primary sources and accessed the remaining sources through the examination of 289 previous studies. Through document analysis, we present changes in components, objectives, domains, themes, methods, and assessment in the programs. Although there were no significant modifications from 1949 to 1981 and from 1981 to 2006, the Ministry of National Education has continuously changed programs. Findings reveal various approaches to Turkish language education, with significant changes after 2006, particularly in reading and comprehension skills. These changes reflect evolving educational goals and global trends. The study emphasizes the need for continuous development and adopting contemporary educational approaches in Turkish Curriculums to meet changing needs and ensure progress in the education system.
Development of Electronic Portfolio Attitude Scale
Authors: GÖK Bilge , AYAZ Mahmut , ERDEM Yasemin
Published: February 2024

The aim of this study is to develop an electronic portfolio attitude scale (EPAS) for prospective teachers. The scale, which was prepared during the scale development phase, was applied to 524 prospective teachers studying in the third and fourth grade. Exploratory factor analysis results (EFA) showed that 40 items in the scale were gathered under three factors. These are: "benefit for the student", "denial (negation)" and "effectiveness in terms of the instructional process". The three-factor structure obtained by confirmatory factor analysis was confirmed. When these factors are evaluated together, their contribution value to the total variance is 39.37%. Factor loadings were found to vary between .33 and .71. However, according to the results obtained in the item analysis, it was determined that all the items in the scale were distinctive. In addition, it is seen that the CR value is greater than .70, and the dimensions of the scale fulfill the composite reliability requirement. In addition, as a result of ANOVA, it was revealed that the attitudes of prospective teachers towards e-portfolio differ significantly according to their knowledge about e-portfolio and their competence in using technology. The McDonald’s ω coefficient (known as congeneric reliability) of the three factors in the scale were .97, .91 and .88, respectively, and the McDonald’s ω coefficient for all items of the scale was .96. As a result of the reliability and validity analysis, it was concluded that the electronic portfolio attitude scale is a reliable and valid measurement tool for prospective teachers.
Aproximación a las ideas de Banerjee y Duflo sobre la pobreza
Authors: Sará-Marrugo Jorge Armando , González-Escobedo Yamile Gisella
Published: February 2024

Desde una visión macroeconómica, las teorías de desarrollo han oscilado desde las visiones que privilegian la cooperación internacional, hasta las que sostienen que la alternativa para superar la pobreza es el crecimiento económico sostenible. En medio ha quedado la economía del desarrollo cuyos estudios se han alejado del trabajo de campo como modalidad para la investigación empírica. El objetivo de este artículo es reflexionar sobre los planteamientos centrales del enfoque experimental propuesto por Esther Duflo y Abhijit Banerjee, aplicado desde la economía, para entender y combatir la pobreza. Se da cuenta de sus principales ideas, críticas y debates propuestos tanto al campo académico como a la gestión pública. Los alcances epistemológicos de esta teoría serán relevantes en la medida que estimule una lectura interdisciplinar de la pobreza, donde se considere a los pobres como sujetos y no como agentes de un modelo analítico.
Relación teórica entre capacidad de absorción, transferencia del conocimiento e innovación en empresas de servicios
Authors: Saavedra-Gutiérrez Sandra Milena , Riascos-Erazo Sandra Cristina
Published: February 2024

La transferencia de conocimiento, la capacidad de absorción y la innovación son factores clave para el éxito de las empresas. El propósito de este artículo es estudiar la relación teórica entre los conceptos: capacidad de absorción, transferencia de conocimiento e innovación en empresas de servicios, a través de una investigación bibliométrica, abordando 506 artículos científicos. Los resultados indican que existe una relación teórica positiva entre la Capacidad de absorción y la innovación, la transferencia de conocimiento y la innovación, así como  entre la transferencia de conocimiento y la capacidad de absorción, cabe destacar el impacto que tienen estos conceptos y su relación para la gestión empresarial, y su importancia para fortalecer la competitividad e innovación, especialmente en los procesos de las organizaciones de servicios.
Divulgación de información corporativa basada en ODS en páginas web de empresas chilenas y polacas cotizadas
Authors: Morales-Parada Fernando , Hollander-Sanhueza Reinier Freddy , Węgrzyńska Małgorzata
Published: February 2024

La discusión mundial sobre la sostenibilidad incluye como parte fundamental a las compañías cotizadas pues, como resultado del desarrollo de sus negocios, afectan su entorno. Este estudio tiene por objetivo medir la comunicación empresarial realizada en los sitios web de compañías cotizadas chilenas y polacas, relacionada con los Objetivos para el Desarrollo Sostenible (ODS). La metodología consta, en primer lugar, de la revisión de una lista de chequeo con 25 variables elaborados a partir de los indicadores contenidos en los ODS; en segundo lugar, se construyó un índice a través de estadística descriptiva y, finalmente, se evaluó las variables influyentes de la divulgación, la cual fue medida a través de un análisis multivariante basado en regresión múltiple. La muestra está compuesta por 214 empresas cotizadas, 107 chilenas y 107 polacas. Los resultados muestran un buen nivel de divulgación, aunque con brechas importantes en algunas materias comparadas por país. Este trabajo aporta evidencia empírica sobre la transparencia en la web, por lo tanto, contribuye a la amplia discusión sobre sostenibilidad e información a diferentes grupos de interés, toda vez que se concentra la atención en aspectos por mejorar en la comunicación corporativa en Chile a partir de las buenas prácticas polacas en materias medioambientales.
Trastorno depresivo mayor secundario a síndrome de Sheehan, diagnóstico tardío.
Authors: Kuratomi Nakamura Kenyi , Agudelo Zamorano Angela , Ochoa Cano Maira Alejandra , Casanova Valderrama María Eugenia , Abreu Lomba Alin
Published: February 2024

Introducción: El síndrome de Sheehan o infarto de la glándula hipofisiaria es una causa de panhipopituitarismo secundario a una hemorragia uterina posparto que produce necrosis de la glándula pituitaria. Sus manifestaciones clínicas son inespecíficas y pueden presentarse varios meses o años después del parto. Los síntomas iniciales más comunes son agalactia y/o amenorrea, en algunos casos pueden presentar síntomas psiquiátricos de los cuales el 32% corresponden a depresión mayor.
Presentación de caso: Paciente con antecedente de trastorno depresivo mayor, ideación e intentos suicidas, con relación temporal de inicio de síntomas posterior a hemorragia postparto 30 años atrás, acompañado de agalactia y oligomenorrea en el postparto. Consulta por fatiga crónica, dolor muscular generalizado, astenia y adinamia acompañado de atrofia mamaria y perdida de vello facial. Se documenta hipotiroidismo central y estudios de laboratorios e imagenológicos compatibles con panhipopituitarismo y silla turca vacía. Se consideró paciente con síndrome de Sheehan, fue instaurado tratamiento antidepresivo, terapia cognitivo conductual, reposición hormonal con evolución mejoría de síntomas constitucionales y depresivos. 
Conclusión: El panhipopituitarismo secundario a síndrome de Sheehan hace parte de las etiologías secundarias de trastornos afectivos en pacientes con antecedentes obstétricos, se recalca la importancia del diagnóstico y tratamiento oportuno.
Déficit de hormona de crecimiento en el adulto
Authors: Pantoja María Elena , Mejía Andrés Felipe , Abreu Lomba Alín
Published: February 2024

Introducción: La deficiencia de hormona de crecimiento (DHC) es una enfermedad endocrina caracterizada por una producción insuficiente de esta hormona por la glándula pituitaria. Las causas pueden ser congénitas o adquiridas.
Objetivo: Realizar una revisión sobre las causas, características clínicas, diagnóstico y tratamiento del déficit de hormona de crecimiento en el adulto.
Métodos: Se realizo una revisión narrativa de la literatura sobre sobre las causas, características clínicas, diagnóstico y tratamiento del déficit de hormona de crecimiento en el adulto.
Resultados: La hormona de crecimiento (HC) en la edad adulta está implicada en múltiples órganos y procesos fisiológicos; como metabolismo de sustratos, remodelación ósea, composición corporal, función física y psicosocial, su déficit tiene efectos a nivel de todos estos procesos, efectos que son potencialmente reversibles con la suplementación hormonal.
Conclusiones: el déficit de hormona de crecimiento en la edad adulta es una enfermedad poco diagnosticada por lo cual muchas veces los pacientes no reciben el tratamiento indicado, pero cuyos efectos abarcan múltiples órganos y procesos fisiológicos, síntomas que pueden mejorar con la suplementación hormonal, proporcionando al paciente una mejor calidad de vida.
Cambios en las recomendaciones de cirugía bariátrica metabólica
Authors: Rivera Martínez Wilfredo Antonio , Abreu Lomba Alín , Arias Rafael Humberto , Vélez José Pablo
Published: February 2024

Introducción: La prevalencia de la obesidad ha aumentado globalmente en los últimos 50 años, considerándose actualmente una pandemia. Representa un gran desafío para la salud porque aumenta sustancialmente el riesgo de enfermedades como la diabetes mellitus tipo 2, enfermedad por hígado graso, apnea obstructiva del sueño, aumento del riesgo cardiovascular, e incluso varios tipos de cáncer, lo que contribuye a disminución de la calidad de vida y disminución de la supervivencia de esta población. Siendo la cirugía bariátrica y metabólica una herramienta que permite una mayor reducción de peso, con impacto en desenlaces cardiovasculares y mortalidad.
Objetivo: Dar a conocer los aspectos fisiopatológicos relacionados con la obesidad, además de los aspectos técnicos de la cirugía bariátrica y metabólica actual, analizando los resultados y el impacto de esta estrategia, y finalmente conocer las indicaciones actuales sobre de cirugía bariátrica y metabólica.
Resultados: La experiencia global con la cirugía bariátrica y metabólica, ha demostrado consistentemente que es un tratamiento efectivo y duradero de la obesidad severa superior a los tratamientos no quirúrgicos, impactando en la morbilidad y mortalidad, por esto la importante de conocer sus indicaciones.
Conclusión: La obesidad es una enfermedad crónica y la cirugía bariátrica y metabólica ha logrado disminuir mejorar la calidad de vida de estos pacientes, además de ofrecer reducción en la mortalidad y en otros escenarios servir como terapia adyuvante para otros tratamientos.
Síndrome de ovario poliquístico, el riesgo cardiovascular olvidado
Authors: Corredor-Rengifo David , Betancur Pérez Tatiana , Galvis Martinez Cristhian Alfonso , Abreu-Lomba Alín
Published: February 2024

El síndrome de ovario poliquístico (SOP) es un trastorno muy prevalente en las mujeres en edad fértil. Se acompaña de manifestaciones estéticas como el acné y el hirsutismo, así como algunas implicaciones en el riesgo cardiovascular (RCV), como la obesidad, la resistencia a la insulina, la inflamación y el aumento del estrés oxidativo. Se ha relacionado ampliamente como un factor de RCV independiente, que debe ser diagnosticado y tratado con la misma importancia que otras condiciones, como la hipertensión, la diabetes y la dislipidemia. Dentro del tratamiento, no se cuentan con estudios grandes; sin embargo, un componente importante es el impacto en el peso y las variables metabólicas. Se pueden considerar opciones como el estilo de vida y medidas farmacológicas, como el uso de metformina, empagliflozina, liraglutida y semaglutida, así como intervenciones como la cirugía de control de peso en aquellos pacientes con obesidad significativa y otros factores de RCV. Traemos una visión de este riesgo cardiovascular, muchas veces olvidado, evaluando su epidemiología, factores fisiopatológicos y tratamiento.
Análisis del impacto en los ámbitos laboral, académico, investigativo y de proyección social de los egresados de la Especialización en Pediatría de la Universidad Libre Seccional Cali
Authors: Garces Gomez Jheymmy Lorena , Pacheco López Robinson , Torres Arango Martha Inés , Gómez Urrego José Fernando
Published: February 2024

Antecedentes: La alta calidad de un programa académico puede ser evidenciado por medio de sus egresados, debido a que permite validar el proceso formativo a partir de sus experiencias profesionales, investigativas, de innovación y proyección social.

Objetivo: Determinar el impacto en los ámbitos laboral, académico, investigativo y de proyección social de los egresados de la Especialización en Pediatría de la Universidad Libre Seccional Cali en las promociones de 2005 a 2021.

Métodos: Estudio observacional de corte transversal en los egresados de la especialidad en pediatría de la Universidad Libre Seccional Cali entre 2005 y 2021. La información fue recolectada a través de la aplicación de una encuesta y una búsqueda de las publicaciones científicas realizadas por los egresados en Google Académico o Scholar, PubMed y Scopus.

Resultados: Participaron de la encuesta 60 de 81 egresados. Se encontró una participación del 35.0% (21) y 71.7% (43) en los ámbitos académico y de proyección social. Entre los 81 egresados, se encontró que el 39.5% (32) habían realizado al menos una publicación, identificando un total de 66 artículos. La realización de una maestría o segunda especialización clínica y laborar en una sola empresa fueron identificados como factores que incrementaban la oportunidad de publicación (p<0.05). Se observó un aumento de las publicaciones con el paso del tiempo.

Conclusiones: Los resultados encontrados en este estudio muestran que el programa impacta a través de sus egresados en los ámbitos laboral, académico, investigativo y de proyección social de la región.
Management of colorectal large cell neuroendocrine carcinoma: case report and literature review
Authors: Coelho Marcio B. , Kovacs Thomas M. , Stephensen Bree D.
Published: February 2024

Large cell neuroendocrine carcinoma (LCNEC) of the colorectum is a rare, aggressive subtype of neuroendocrine cancer with a dismal prognosis. Accounting for a mere 0.25% of colorectal cancers, LCNEC is associated with a median overall survival of 4 to 16 months, and nearly all patients succumb within a year. Pure colorectal LCNEC reports are scarce, and this review and case study presents a 40-year-old male, the youngest reported patient, diagnosed with rectal LCNEC. A comprehensive PubMed search for “large cell neuroendocrine carcinoma” and “colorectal” was conducted. Titles were meticulously screened for relevance to the nuanced management of colorectal LCNEC. Despite aggressive therapeutic interventions, including chemotherapy with carboplatin and etoposide, the patient experienced rapid disease progression, emphasizing the challenging nature of LCNEC. The paper discusses the evolving classification of NEC, morphological features, and immunophenotypic characteristics that differentiate LCNEC from other neuroendocrine tumours. Survival rates underscore the aggressive nature of colorectal NEC, and treatment options, primarily relying on retrospective studies, reveal limited efficacy. While surgery remains the preferred approach for localized disease, the optimal chemotherapy regimen for LCNEC is yet to be established. Current evidence suggests platinum-based therapy as a common first-line treatment, but the demand for more effective options persists. The paper highlights the need for additional research, including prospective trials, to elucidate the genuine benefits of adjuvant chemotherapy and to explore emerging therapies, such as immunotherapy, in the context of LCNEC.
Screening of herbal extracts for rapid effect on activity-induced knee joint discomfort: a randomized and placebo-controlled pilot study
Authors: Srivastava Shalini , Girandola Robert N.
Published: February 2024

Background: A feasibility study was conducted to investigate the effect of different proprietary extracts on joint discomfort associated with repeated episodes of physical activity.
Methods: A single-dose randomized, double-blind, placebo-controlled cross-over study was conducted in three phases with different extract combinations. Seventeen individuals aged 40-60 years with a history of knee joint pain aggravation on physical stress were randomized to receive the investigational product or the placebo in a 1:1 ratio. The primary outcome was the time taken to achieve meaningful pain relief (MPR) from baseline using a pain visual analog scale (VAS) compared to the placebo. The secondary outcomes were the pain intensity difference (PID) and joint discomfort at 1-, 2-, 3-, and 4-hours post-product administration and the time-weighted sum of pain intensity difference (SPID) over 4 hours compared to placebo.
Results: Participants in two out of eight investigational product groups achieved MPR successfully. The proprietary combination ZV-E (consisting of Z. officinale and V. negundo) showed the fastest pain reduction with more than 50% of the participants achieving meaningful relief. The BS-ZP (consisting of B. serrata + Z. officinale + P. lanceolata) group also had more than 50% of participants reporting MPR at 4 hours post-IP administration. Subsequently, the SPID was found to be lowest in the participants of above stated groups.
Conclusions: The proprietary combination of Z. officinale and V. negundo extracts, 200 mg could be a promising lead to conduct a further trial to investigate its effect on joint pain.
Study on clinical, histopathological and dermoscopic features of palmoplantar pustulosis and palmoplantar psoriasis with pustules
Authors: George Neethu M. , Sangolli Prabhakar M. , Thomas Rosamma , John Jerry R.
Published: February 2024

Background: Palmo-plantar pustulosis (PPP) and palmoplantar psoriasis with pustules (PPso)/Palmoplantar pustular psoriasis are entities that present with chronic cyclical eruptions of vesicles and pustules of palms and soles, which were initially considered to be similar but was defined as separate entities by the international psoriasis council in 2007. Individuals with PPP are at increased risk of psoriasis vulgaris, psoriatic arthritis, autoimmune thyroid disease and 90% of pustulosis patients can have psoriasis-like rash at some stage of the disease. Aim was to assess the clinical, histopathological and dermoscopic features of PPP and palmoplantar psoriasis with pustules.
Methods: A cross sectional analysis of all patients who presented to us over 1 year with vesicles and/or pustules of hands and/or feet and were diagnosed with PPP and palmoplantar psoriasis with pustules/palmoplantar pustular psoriasis, both clinically and histologically, were done. The severity was analysed using palmoplantar pustulosis area severity index (PPPASI) and the clinical, histological and dermoscopic features were noted.
Results: Twenty-four patients were categorized into 2 groups of 12 each, with a male predominance in both the groups. Majority (66.6%) of PPP belonged to the age group of 20-40 years whereas 83% of PPso belonged to >40 years of age. Dermoscopic findings noted in both groups were translucent yellow areas, yellow/red-brown globules, dotted regularly arranged vessels, yellow crust and globules following dermatoglyphics.
Conclusions: The study, though with limited sample size, highlights few clinical, histopathological and dermoscopic features which helps in differentiating the two groups.
Cyril Lucaris and the “Unfinished” Reformation of Romanians in Transylvania
Authors: Tăut Madalin Vasile , Dumitrașcu Nicu
Published: February 2024

The occurrence of the Protestant Reformation in the sixteenth century in Western Europe caused a real earthquake inside the Roman Catholic Church, also causing extremely interesting reverberations in the Eastern Christian world. This short essay intends to show the impact that the reformation has had on the Orthodox Romanians in Transylvania, who, although a numerical majority, were not recognized as a nation though their faith enjoyed certain tolerance. The episode that we will examine here takes place in the early part of the XVII century during the time of Prince Gabriel Bethlen. Under the pretext of the so-called religious, cultural, and even national emancipation of the Romanians, he proposed their conversion to Calvinism. In this regard, he asked for help from the ecumenical Patriarch Cyril Lucaris, an unusual hierarch for his time, flexible and firm at the same time, who was open to dialogue with other Christian denominations. With good knowledge of the political and religious realities in Transylvania, Patriarch Cyril replied to him in the most possible ecumenical way, defending the right of the Orthodox Romanians to keep their faith, language and customs they hold in common with their brethren beyond the Carpathian Mountains, Moldova and Wallachia.
Cultivating Characteristic Critical Thinking: Exploring Critical Thinking Abilities through the CBL Learning Model
Authors: Har Besse Harnanengsi , Arsyad Nurdin , Rusli
Published: February 2024

This research aims to explore students' critical thinking abilities through the CBL (Character-Based Learning) learning model which focuses on character development. This research uses a qualitative descriptive method with a case study design. The research subjects were class XI students at SMA Negeri 11 Wajo who took CBL lessons in Mathematics. Data was collected through tests, observations, interviews and document analysis. The research results show that the CBL learning model is able to improve students' critical thinking skills in the aspects of analysis, interpretation and evaluation. Apart from that, the CBL learning model has also proven effective in cultivating student characters such as responsibility, cooperation and independence.
Effects of Irrigation with Sodium Nitroprusside on Physiological Characteristics of Soybean under Drought Stress
Authors: Zhao W. , Wei X.H. , Dong S.K.
Published: February 2024

Background: Although it is a key soybean-producing region, northeast China frequently faces drought. Drought severely affects soybean growth, development and even leads to yield reduction. Methods: Sand cultivation method was employed to investigate the changes in malondialdehyde (MDA) content, nitric oxide (NO) content and individual leaf area of drought-tolerant soybean variety Heinong 44 (HN44) and drought-sensitive soybean variety Heinong 65 (HN65) under drought stress during the flowering stage, with different concentrations of sodium nitroprusside (SNP) used for irrigation. Result: The NO and MDA contents of HN44 and HN65 leaves rose in response to drought stress, MDA content in HN44 and HN65 leaves was noticeably elevated, the individual leaf area showed a downward trend. Irrigation with SNP further increased NO accumulation and reduced membrane lipid peroxidation in the leaves, with the best effect observed at a concentration of 1000 μmol·g-1. In practical production, SNP can be used to alleviate membrane lipid peroxidation damage in soybean leaves and improve soybean drought resistance when encountering drought.
River of Life
Authors: Howgate Sandra , Cannon Mariah , Hrynick Tabitha , Madden Vaishnavee
Published: February 2024

This fictional River of Life illustrates one family’s journey in the borough of Ealing. Based on research from the Enabling Early Child Development in Ealing (ECDE) project, it shows some common challenges faced by local families, but more importantly, how families felt support should be, in order to ensure all children get the best start in life. While every family is unique with diverse backgrounds and needs, we hope this tool sparks discussion about how all healing families can be supported whoever they are.
Solution-Focused Brief Counseling: An Effective Strategy for Reducing Anxiety During School Exams
Authors: Wahyudin Herul , Ramli M. , Chusniyah Tutut , Eva Nur , Oktasari Maria
Published: February 2024

This study explores the effectiveness of brief solution-focused counseling (SFBC) in reducing exam anxiety in students. Exam anxiety is one of the factors that can interfere with students' mental health and academic performance. SFBC, as a solution- and outcome-oriented approach, relies on students' internal and external resources and has been proven effective in the school context. Through techniques such as problem-free talk, magic questions, scaling questions, exclusion questions, marking minefields, and formulaic first session tasks, this study aims to identify strategies that can reduce students' exam anxiety.  The method used is Systematic Literature Review (SLR) to determine the effectiveness of using SFBC in reducing students' exam anxiety. The results showed that SFBC is effective in reducing students' exam anxiety by emphasizing the development of counseling strengths and resources. The conclusion of this study is that SFBC is an efficient and effective therapeutic approach to help reduce student exam anxiety.
Natural Ingredients in Skincare: A Scoping Review of Efficacy and Benefits
Authors: Gonçalves Sara , Gaivão Isabel
Published: February 2024

The search for safe, durable and effective skincare products has increased the popularity of natural products. Traditional skin care practices across cultures use plant, mineral and animal derivatives believed to provide benefits such as moisturising, anti-ageing, anti-inflammatory and soothing effects. However, with the abundance of skincare products claiming to contain natural ingredients, it is crucial to evaluate the scientific evidence supporting their efficacy and benefits critically. This scoping review aims to comprehensively review the effectiveness and benefits of natural skin care products. This study attempts to explain the impact of existing literature results and the collection of skin health attributes, such as hydration, elasticity, wrinkles, pigmentation, and overall skin appearance. A rigorous search of the databases will identify relevant searches, followed by quality assessment and data extraction. After thorough quality assessments and data extraction, we found many natural ingredients, from botanical extracts to essential oils, demonstrate promising effects on skin health. Notable findings include the potential to be used as a sunscreen agent and antioxidant properties of Viola odorata (sweet violet) flower extracts, the potential cosmetic applications of Hypericum species, and the effectiveness of fermented jasmine rice in promoting skin health. In conclusion, this review aims to comprehensively examine the scientific evidence on skin's natural properties.
Giant Proliferating Trichilemmal Tumor of the Scalp
Authors: João Tony , Silva Joana , Tavares João
Published: February 2024

N/a.
O Lean Healthcare : o pensamento Lean aplicado no desdobramento do planejamento estratégico de um hospital público universitário
Authors:   Universidade Estadual de Campinas, Silva Nilcilene Pinheiro , Ribeiro Mayra ,   Universidade Estadual de Campinas, Schweller Mariana ,   Universidade Estadual de Campinas, Moitinho Ana Carolina ,   Universidade Estadual de Campinas, Meschiatti Raissa ,   Universidade Estadual de Campinas, Marques Airam ,   Universidade Estadual de Campinas
Published: February 2024

Introdução: Este trabalho foi realizado em uma instituição de saúde pública universitária, com 76 macroáreas,176 lideranças e um total de 3324 colaboradores. A instituição ficou um período de 11 anos sem Planejamento Estratégico (PE) e, no final de 2021 o PE foi realizado, permitindo que em 2022, uma área realizasse o desdobramento. Objetivo: Alinhar as ações da área com as metas e objetivos estratégicos estabelecidos no PE da instituição, reduzir desperdícios e melhorar os processos de trabalho com uso dos princípios Lean. Metodologia: Foi utilizado o método do relatório A3 para o desenho do projeto, princípio Lean que visa resumir todas as informações em uma única folha de papel A3. Resultados: obteve-se 47 iniciativas alinhadas aos objetivos estratégicos, concluído 34% das ações, 51,1% estão em andamento e 14,9% estão dentro do prazo para iniciar. A gestão de documentos atingiu 95% (72) das áreas, gerenciando, 2050 documentos, com 344 destes publicados na intranet e um aumento de 26% da taxa de atualização em 2023, redução do tempo de revisão de 3 anos e 2 meses para apenas 54 dias. O treinamento de líderes oferecido pela Divisão de Recursos Humanos alcançou 42 (24%) do público alvo até o momento, com um Net Promoter Score (NPS) de 97%. Na gestão sanitária em 2023 obteve-se um aumento de 59% das auditorias internas. Conclusão: O aprendizado com o desdobramento do PE para a área deste trabalho foi registrado para subsidiar a replicação para outras áreas da instituição e já iniciado em uma unidade piloto.
Desenvolvimento rápido de página na internet com conteúdo multidisciplinar para aplicação da Lei 14.133/2021 na Universidade
Authors:   Universidade Estadual de Campinas, Vieira Rafael Barbosa Marçal , Nakata Lina Amaral ,   Universidade Estadual de Campinas, Schedenffeldt Patricia Ferrari ,   Universidade Estadual de Campinas, Miguel Joseane Antonia dos Santos ,   Universidade Estadual de Campinas, Ishii Hector Allen ,   Universidade Estadual de Campinas
Published: February 2024

Introdução: Com a transição para a Nova Lei de Licitações e Contratos, nº 14.133/2021, fez-se necessária uma ferramenta com governança de todas as informações, regulamentos, bibliografias e capacitações. O projeto organiza esse conteúdo, de forma cronológica e confiável, em um único ambiente digital, ágil e visualmente atrativo. Objetivo: Divulgação de orientações e materiais para atualização e capacitação das equipes da Instituição nesse processo de mudança e implementação de um novo ordenamento jurídico. Multiplicando experiências e resultados com transparência nesse canal específico de comunicação. Metodologia: Foi utilizada a metodologia baseada em 05 (cinco) fases, sendo elas: 1: Fase de entendimento: entender o assunto, os problemas, as causas e os atores envolvidos; 2: Fase de solução: estudar e propor soluções para os problemas encontrados; 3: Fase de prototipação: construir protótipos das soluções de modo a torná-los tangíveis; 4: Fase de teste: realizar testes em pequena escala para garantir a eficácia da solução prototipada; 5: Fase de implantação: planejar a implementação das soluções validadas. Resultados: Página na internet desenvolvida e publicada em 60 dias. Centralizando informações organizadas e atualizadas de forma simples, clara e acessível. Além de um repositório com capacitações, normas, regulamentos federais, estaduais e internos. Tudo facilitado para ser multiplicado para outros Órgãos Públicos. Conclusão: O projeto atendeu as expectativas se tornando um canal de comunicação e uma ferramenta de trabalho. Centralizando uma curadoria com todas as informações sobre a Nova Lei Federal nº 14.133/2021. Otimizando tempo na busca e propiciando o compartilhamento entre os Órgãos e interessados.
Os atos administrativos: a falta de padronização na utilização dos ofícios em processos administrativos da Unesp
Authors:   Universidade Estadual Paulista, Pontes Lucas de Almeida , Abreu Bruna Nadi de ,   Universidade Estadual Paulista, Viegas Daniele Perez ,   Universidade Estadual Paulista, Freza José Luís ,   Universidade Estadual Paulista, Perone Kely Cristina Capecci ,   Universidade Estadual Paulista, Pinho Silvia Aparecida Silva ,   Universidade Estadual Paulista, Coelho Vivian Meireles ,   Universidade Estadual Paulista
Published: February 2024

Os atos administrativos são instrumentos jurídicos essenciais para que a Administração Pública realize suas funções executivas, tornando-se componentes fundamentais no rol de atividades dos Assessores Administrativos da Unesp. Para alcançar sua eficácia, tais atos devem ser de competência do agente que o pratica e serem materializados na forma correta e a inobservância destes requisitos na escolha do ato poderá causar vícios substanciais, tornando-os passíveis de invalidação. A presente pesquisa propõe uma análise sobre como a falta de padronização na utilização dos ofícios interfere na materialização de atos administrativos nos diversos campi da UNESP. Utilizando-se de metodologia qualitativa de natureza aplicada, o trabalho se estrutura em uma investigação exploratória. Os procedimentos caracterizam a pesquisa como bibliográfica e documental, sendo utilizada como instrumento a análise de Manuais de Redação e de estudos de casos, baseados na troca de experiências entre os membros do grupo. Espera-se que a pesquisa possa contribuir para a padronização de procedimentos da Unesp, promovendo o uso adequado dos atos administrativos para que possam garantir a eficácia dos documentos emitidos, assim como seus efeitos jurídicos. Este estudo poderá, ainda, servir de base para a tomada de decisões no sentido de padronizar e capacitar os assessores por meio de treinamentos e de divulgar as normas padrões a todos os servidores, incluindo a apresentação de alternativas apropriadas para cada atividade de seções, departamentos e diretorias.
The Synthesis of Fe2O3 from Domestic Waste as a Multipurpose Material
Authors: Gustiana Himmah Sekar Eka Ayu , Rahmawati Aleida Dwi , Margaretta Alma Putri , Mutiara Dyah Ayu , Aszhari Fajar
Published: February 2024

Indonesia is categorized as an industrial country that produces a lot of metal waste, so it is necessary to process this metal waste. One way of processing metal waste is that it can be used as pigment. Pigments are natural substances that give rise to color, namely optical properties whose applications are endless, almost all industrial fields really need pigments, from the ceramics industry, paint industry, and plastics industry to batik craftsmen who also need pigments or dyes. The method used in this test is hydrometallurgy, which consists of a leaching process and recovery. In this research, the pigment was produced oxide red from iron wool raw materials. The weight of the oxide red pigment obtained for Experiment 1: 0.20 grams, Experiment 2: 4.96 grams, Experiment 3: 2.63 grams, Experiment 4: 2.22 grams. Then the yield obtained in Experiment 1: 0.204 grams of pigment/gram of iron, Experiment 2: 1.984 grams of pigment/gram of iron, Experiment 3: 1.052 grams of pigment/gram of iron, and Experiment 4: 0.888 grams of pigment/gram of iron. The conversion obtained in Experiment 1: 60%, Experiment 2: 74%, Experiment 3: 81% and Experiment 4: 78%. The pigment results obtained using this method can be further applied in industry because the conversion results obtained are quite high.
Perlindungan Hukum Terhadap Korban Crypto Dihubungakan Dengan Undang-Undang Nomor 8 Tahun 1999 Tentang Perlindungan Konsumen
Authors: Syafdinan Dhidan
Published: February 2024

Investasi pada masa ini tidak hanya bersifat uang non tunai saja, namun dapat berbentuk uang digital sebagai salah satu kemajuan spektakuler teknologi di bidang ekonomi adalah diciptakannya cryptocurrency atau uang virtual yang berada di dunia maya. Saat ini aset kripto sudah diatur dalam Peraturan Menteri Perdagangan Republik Indonesia Nomor 99 Tahun 2018 Tentang Kebijakan Umum Penyelenggaraan Perdagangan Berjangka Aset Kripto (crypto asset). Jenis Penelitian yang digunakan dalam penelitian ini adalah metode yuridis normatif. Dengan adanya legal tentang kripto dan diakui oleh Bank Indonesia meskipun bukan sebagai alat pembayaran yang sah, namun dalam beberapa peraturan, Di Pasar Fisik Aset Kripto tidak mengatur tentang perlindungan investor crypto yang mengalami kerugian akibat penipuan. Kripto diharapkan mendapatkan perlindungan hukum dari pemerintah khususnya oleh Undang-Undang Nomor 8 tahun 1999 Tentang Perlindungan Konsumen, Undang-Undang ini akan lebih menjadi payung hukum yang kuat untuk melindungi investor dari penipuan.
Best Practices Guide for Centrifugal Pump Maintenance
Authors: Yahya Wahyu Hikmatiarun , Mulyadi Mulyadi
Published: February 2024

This study examines the efficiency of centrifugal pumps, which enhance fluid movement by converting kinetic to dynamic potential energy via an impeller. Maintenance strategies—regular, predictive, and preventive—are analyzed for their impact on pump longevity and reliability. Results demonstrate that effective maintenance reduces operational costs and extends pump life, suggesting significant performance improvements across industrial applications.
Highlight :

Effective maintenance boosts pump longevity and reliability.
Regular, predictive, and preventive maintenance methods analyzed.
Significant performance improvements achievable with proper maintenance.

Keywords: Centrifugal pumps, Maintenance strategies, Pump efficiency, Operational costs, Industrial applications
Analyisis Of Boiler Reliability Maintenance System With Availability Ratio At PT. XXX
Authors: Setiawan Luthfi Frans , Widodo Edi
Published: February 2024

This study investigates a food manufacturing firm's efforts to enhance operational efficiency by optimizing its maintenance strategy and spare parts management within the context of noodle production. The research focuses on reducing prolonged machine downtimes caused by boiler malfunctions, which negatively impact production targets. A novel approach combining total minimum downtime calculations and a hybrid corrective-preventive maintenance methodology has been proposed. To bolster this initiative, an efficient spare parts procurement scheme was implemented. Results demonstrate a substantial reduction in unplanned downtime following implementation, thereby improving overall productivity and profitability. Implications highlight the potential for widespread application across similar industries seeking to minimize disruptions while maximizing equipment lifetimes.
highlight :

Reduced downtime through improved boiler maintenance.
Hybrid corrective-preventive maintenance for efficient operations.
Optimized spare parts procurement for enhanced productivity.

Keywords: noodle production, boiler maintenance, downtime reduction, spare parts management, hybrid maintenance.
"Spatio-temporal Dynamics and Risk Cluster Analysis of Highly Pathogenic Avian Influenza HPAI (H5N1) in Poultry: Advancing Outbreak Management through Customized Regional Strategies in Egypt"
Authors: Elsobky Yumna , Eltholth Mahmoud , Abdalla Ehsan , Eissa Nourhan , Hadad Ghada , Nayel Prof. Dr. Mohamed Aboalez , Salama Akram , Mousa Walid , Kamal Ahmed , Elkamshishi Mohamed
Published: February 2024

Highly Pathogenic Avian Influenza HPAI (H5N1) has been endemic in Egypt for almost two decades, profoundly impacting both the poultry industry and public health. Egypt stands as a prominent epicenter for HPAI H5N1 outbreaks in Africa, marked by the highest number of positive human cases. Despite continuous governmental efforts, prior research underscores the inadequacy of strategies in controlling the virus spread. Our innovative epidemiological approach focuses on identifying spatiotemporal patterns and high-risk clusters of HPAI H5N1 outbreaks at the subdistrict level. This involves trial tracking of HPAI H5N1 endemicity dynamics, enabling tailored interventions at a regional level based on robust epidemiological investigations to address the persistent challenge of HPAI H5N1 in Egypt. The study aims to illuminate spatiotemporal outbreak dynamics, with specific attention on Menofia. Despite the region's early poultry impacts, initial outbreaks didn’t originate from Menofia in studied epidemic waves.
Outbreak risk spatial distribution displayed an escalating pattern at the northern border, followed by risk reduction through the sixth epidemic wave. The predominant hot spot region was localized within rural districts, particularly villages, while urbanization coincided with lower outbreak density. Observed smoothed densities revealed epidemic propagation within urban centers, preceding its transition to new areas and establishing direct connections with neighboring cities. Primary cluster prognostication is plausible, occurring in regions previously hosting elevated relative risk clusters during preceding epidemic waves. Identification of enduring pinpoint clusters, persistent for extended durations, indicates close contact dynamics and localized viral circulation within populations.
In conclusion, our study highlights the significance of Customized regional interventions based on the rigorous epidemiological framework. This approach is pivotal in the profound comprehension of endemicity dynamics, efficiently limits geographical infection spread, and contains outbreaks within delineated areas.
Haem iron versus ferrous iron salts to treat iron deficiency anaemia in Gambian children: protocol for randomised controlled trial {1}
Authors: Bah Mamdou , Verhoef Hans , Okoh Emmanuel , Bah Abdoulie , Prentice Andrew , Cerami Carla
Published: February 2024

Background: The World Health Organization recommends universal iron supplementation for children aged 6-23 months in countries where anaemia is seen in over 40% of the population. Conventional ferrous salts have low efficacy due to low oral absorption in children with inflammation. Haem iron is more bioavailable and its absorption may not be decreased by inflammation. This study aims to compare daily supplementation with haem iron versus ferrous sulphate on haemoglobin concentration and serum ferritin concentration after 12 weeks of supplementation.
Methods: This will be a two-arm, randomised controlled trial. Gambian children aged 6-12 months with anaemia will be recruited within a predefined geographical area and recruited by trained field workers. Eligible participants will be individually randomised using a 1:1 ratio within permuted blocks to daily supplementation for 12 weeks with either 10.0mg of elemental iron as haem or ferrous sulphate. Safety outcomes such as diarrhoea and infection-related adverse events will be assessed daily by the clinical team. Linear regression will be used to analyse continuous outcomes, with log-transformation to normalise residuals as needed. Binary outcomes will be analysed by binomial regression or logistic regression, Primary analysis will be by modified intention-to-treat (i.e., those randomised and who ingested at least one supplement dose of iron), with multiple imputations to replace missing data. Effect estimates will be adjusted for baseline covariates (C-reactive protein, alpha-1-acid glycoprotein, haemoglobin, ferritin, soluble transferrin receptor)
Discussion: This study will determine if therapeutic supplementation with haem iron is more efficacious than with conventional ferrous sulphate in enhancing haemoglobin and ferritin concentrations in anaemic children aged 6-12 months.
Trial registration: This trial is registered with the Pan African Clinical Trial Registry (PACTR202210523178727). https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=23910
Reproductive and Sexual Health Literacy and associated factors among late-adolescent high school students in Arba Minch and Sawla towns, Southern Ethiopia, 2023: a cross- sectional study
Authors: Kelecha Yirgalem Tola , Mohammed Bedria , Goda Samuel , Toma Mohammed
Published: February 2024

Background
Adequate literacy in reproductive and sexual health is necessary for the process of obtaining, comprehending, evaluating, and applying information on sexuality and reproduction in order to make well-informed decisions. Adolescents with low literacy make harmful decisions, take risks, and have worse health and self-management. These factors contribute to the magnitude and severity of problems related sexuality and reproduction, including unintended pregnancy, HIV/STIs, unsafe abortion, and death. On the other hand, information regarding level of literacy in reproductive and sexual health is scarce.
Methods
Cross-sectional study design among late adolescent students was carried out in Arba Minch and Sawla town high schools from May 20–June 20, 2023. Multistage sampling technique was employed to recruit 577 students. EpiData-3.1 used to enter data and analyzed using SPSS-25. Binary logistic regression analyses were used to identify associated factors with limited reproductive and sexual health literacy. Variables with a p-value < 0.25 in bivariable logistic regression were candidates for multivariable logistic regression. A Hosmer-Lemeshow goodness-of-fit statistic was checked and was satisfied. Statistical significance was indicated at p-value < 0.05.
Result
The proportion of limitation in reproductive and sexual health literacy was 69.6% (CI 65.3%, 72.8%) [35.6% problematic and 34.0% inadequate]. Limited literacy was significantly associated with school type [public school AOR 0.28 (0.17–0.46)], mother’s occupation [merchant AOR 0.42 (0.23–0.76)], family monthly income [income 10,000–20,000 birr AOR 0.45 (0.22–0.95)], having regular physical exercise > 30 min [more than once per week, AOR 0.44 (0.23–0.84)], and knowledge about condoms [poor knowledge related to condoms AOR 2.23 (1.38–3.64)].
Conclusion
A notable segment of adolescent exhibited inadequate reproductive and sexual health literacy. The result emphasizes the necessity of all relevant parties works diligently to guarantee that adolescents can easily obtain, comprehend, evaluate, and utilize reproductive and sexuality related information.
Calculation of Ecological Land-Footprint – Based on the Input-Output Model and Focusing on the Imported Commodities
Authors: Dobos Imre , Toth-Bozo Brigitta
Published: February 2024

The ecological footprint has been a crucial ecological indicator for more than two decades, and the methodology for calculating it has developed significantly over the years. However, some issues and shortcomings still need to be addressed and specified further. This paper focuses on the embedded land requirements of imported commodities in input-output modelling approaches. Based on a critical review of two fundamental models in the field, we propose a refined model to overcome their shortcomings. Our model quantifies the embedded ecological land-footprint of imported commodities and their allocation between direct final consumption and production. Additionally, we allocate the latter again among final consumption and exports using the framework of linear algebra and matrix arithmetic. Moreover, we propose extending the model to overcome the general but misleading assumption in the literature that imported commodities have an equal per unit ecological footprint to domestic products, assuming that trading partners have the same technological background.
JEL: Q56, D57