bluuebunny/crossref_metadata_2025 huggingface dataset:
MANAJEMEN KEPEMIMPINAN KEPALA SEKOLAH DALAM MENINGKATKAN KINERJA GURU DI KECAMATAN BELAWANG (MULTI KASUS SDN BELAWANG 1 DAN SDN PARIMATA 1)
Authors: Renny Fitriati  , Khuzaini Khuzaini , Muhammad Yuliansyah
Published: September 2023

Research objectives To find out the principal's leadership planning in improving teacher performance at SDN Belawang 1 and SDN Parimata 1, 2) To find out the implementation of the principal's leadership in improving teacher performance at SDN Belawang 1 and SDN Parimata 1, 3) To find out the evaluation of the principal's leadership in improve teacher performance at SDN 1 Belawang and SDN 1 Parimata Belawang 1 and SDN Parimata 1.

This study uses a qualitative research method with a phenomenological approach. The use of this method is based on the reason that the focus in this study is the leadership of the principal in improving teacher performance. Meanwhile, the phenomenological approach aims to describe the meaning of the life experiences experienced by several individuals, regarding concepts or phenomena.

The results of the study 1) the planning that was made before the implementation of a program in the fields of curriculum, student affairs, and infrastructure, from changing the K13 curriculum to the Mardeka curriculum, for the students of the two schools had different ways of using literacy, gymnastics, reading the Koran, scouting, and for infrastructure facilities are less supportive for one school while school one for infrastructure facilities is adequate. 2) implementation of teacher performance The implementation of facilities is still lacking, it cannot be said that it is ready to implement delays in budgeting BOS funds, the current lesson plan uses teaching modules because it is made beforehand before implementation. and less time of execution. 3) evaluation before carrying out the assessment the teacher gets an implementation schedule in the form of lesson plans to assessments in class when learning an assessment is carried out by the principal of the suitability of the teaching module plans made and the implementation carried out, methods that can make children focus on media that support learning.
ANALISIS KUANTITATIF KELENGKAPAN FORMULIR KOHORT IBU DI BAGIAN POLIKLINIK KESEHATAN IBU DAN ANAK PUSKESMAS PORIS PLAWAD TAHUN 2021
Authors: Anas Fajry Rhomadon  , Daniel Happy Putra  , Lily Widjaja  , Puteri Fannya
Published: September 2023

Medical records are documentation of identity, examination, treatment, actions, and services that have been provided to patients. Health services during pregnancy must be documented in the mother's card, medical record, mother's cohort, and mother and child health book. The maternal cohort is a collection of data collected from the mother's card. The documentation must be filled in completely because it affects further contact if needed and in certain circumstances, it is required for a medical audit. This study aims to determine the completeness of filling out the mother's cohort form at the MCH polyclinic at the Poris Plawad Health Center in 2021. This study used a quantitative descriptive method. Determining the number of samples using the slovin formula, so that a sample of 68 maternal cohort data was obtained. The results of the research from 68 maternal cohort data obtained an average of completeness of identification (77%), important reports (62%), and procedures for documentation (49%). Factors that influence incompleteness are the absence of an SOP for Filling in the Maternal Cohort, no updating of guidelines, no recording of medical record numbers, less communicative staff, no column for filling in authentication, and double working forms. Suggestions from researchers are to update the guidelines, create SOP Filling in the Cohort of Mothers and carry out outreach, update forms to add authentication records, conduct training/seminars to increase midwifery insights, and devise a workable system of more than 1 person for recording health data in the system.
Pemanfaatan Inovasi Teknologi Pada Proses Produksi Madu yang Berkualitas dan Berkelanjutan
Authors: Irmawanty Irmawanty , Syam Haerul , Rufaidah Salwa
Published: September 2023

Program Pengabdian Kepada Masyarakat (PKM) kelompok tani madu hutan dalam pemanfaatan inovasi teknologi pada proses produksi madu yang berkualitas dan berkelanjutan berlokasi di Desa Kanreapia Kecamatan Tombolopao Kabupaten Gowa Sulawesi Selatan. Kegiatan PKM ini bertujuan untuk meningkatkan taraf perekonomian petani madu dengan tambahan pengetahuan pengolahan madu mulai dari panen hingga memasarkan produk. Diharapkan dengan kegiatan ini produksi madu para petani madu hutan semakin meningkat dan berkelanjutan sehingga dapat menambah penghasilan mereka. Tahapan penelitian ini terdiri dari sosialisasi dan monitoring dan evaluasi. Hasil dari kegiatan ini adalah petani madu hutan mampu menggunakan inovasi teknologi dalam pengolahan, pengemasan dan pamasaran produk madu mereka. Mitra sangat terbantu dengan adanya kegiatan PKM ini karena selama ini mereka hanya menggunakan alat-alat sederhana dalam pengolahan madu yang mereka hasilkan.
α-AMYLASE AND ITS APPLICATIONS IN INDUSTRY
Authors: СУЛЕЙМЕНОВА Ж.Б. , БЛИЕВА Р.К. , НАРМУРАТОВА Г.Б. , ЖУМАГАЛИЕВА Г.К. , КАЛИЕВА А.К. , AЛЬ-MААЛИ Г.A. , АДМАНОВА Г.Б. , БАҚЫТЖАНҚЫЗЫ Б.
Published: September 2023

Амилазы представляют собой группу ферментов, которые широко распространены в микробном, растительном и животном мире. Они разлагают крахмал и родственные полимеры с образованием олигосахаридов. По субстратной специфичности амилазы классифицируются на α- и β- амилазу, которые катализируют гидролиз гликозидных связей в амилозе и амилопектине. Настоящий обзор посвящен ферменту α-амилаза, который составляет основную долю ферментов на мировом рынке и находит широкое применение в разных отраслях промышленности, таких как пищевая, текстильная, бумажная, крахмалоперерабатывающая, где он полностью заменил химический гидролиз.

Amylases are a group of enzymes that are widely distributed in microbial, plant and animal kingdoms. They degrade starch and related polymers to small oligosaccharides. By substrate specificity, amylases are classified to α-, and β- amylases, which catalyze the hydrolysis of glycoside bonds in amylose and amylopectin. This review focuses on the microbial α-amylase, which has potential application in a wide number of industrial processes such as food, textile, paper, starch processing, where enzymes have completely replaced chemical hydrolysis.
Dietary intervention program based on short messages service for mothers of children with iron deficiency anemia
Authors: Ismail Maysa Saber Mohamed , Almakarem Amal S Abu , Abdalla Sara Sayed , Salem Nagwa Mahmoud , Abdelwahed Amal Yousef , Elbilgahy Amal Ahmed
Published: September 2023

Background: Iron deficiency anemia (IDA) can happen at any age; it is more common in young children. Anemia is a nutritional issue that has a major influence on growth, cognition, work performance, and other areas throughout a person's reproductive years and beyond. Aim: The study aimed to investigate the effect of dietary intervention-based short messages service for mothers of children with iron deficiency anemia. Design: A quasi-experimental research design was used in the current study. Setting: The research was carried out in Pediatric Outpatient Clinics at Damanhour University Hospital. Subject: Non-probability purposive sampling technique was used to select a sample of 100 mothers with their children. Tools: Tool (I): Mothers' interview questionnaire, it was composed of four parts: Part (1): Mothers' personal data, Part (2): Children's' personal data, Part (3): Children's medical history, Part (4): Mothers' knowledge assessment questionnaire regarding iron deficiency anemia, Tool (II): Mothers' reported practices assessment questionnaire regarding iron deficiency anemia, and Tool (III): Iron level was determined by measuring hemoglobin and serum ferritin concentrations. Results: There was a highly statistically significant difference and improvement between the studied mothers regarding total knowledge and reported practices about iron deficiency anemia pre and post-dietary intervention-based short messages service implementation.
Evaluation of prenatal administration of valproic acid on the cerebellum of albino rat offspring
Authors: Eid Lubna Taher Mahmoud , El-Habeby Mostafa Mahmoud , Issa Noha Mohey , El-Dien Nermeen Mohamed Noor
Published: September 2023

Introduction: Autism is a severe neurodevelopmental disorder of poorly understood etiology; which may be genetic, epigenetic or environmental. Valproic acid (VPA), the most widely used antiepileptic drug, has been reported to increase the risk of autism among the offspring of human mothers who are medicated with it during early pregnancy. Aim: The current work aimed to study the biochemical and histological changes in the cerebellum of the offspring of prenatally VPA treated rats. Materials and Methods: Twelve pregnant female albino rats were divided into two groups; control and VPA treated (50 mg/kg/day orally). The cerebellar sections of male offspring rats were subjected to biochemical tests (brain tissue Malondialdehyde (MDA), Superoxide dismutase (SOD), Tumor necrosis factor-alpha (TNF-α) and glutamate), histological examination, immunohistochemical analyses for the expression of glial fibrillary acidic protein (GFAP) and Bcl-2 associated X protein (Bax), and electro microscopical studies. Results: VPA caused significant elevation in the brain levels of oxidative stress marker MDA, proinflammatory cytokine TNF-α and excitatory neurotransmitter glutamate, with significant reduction in the level of brain antioxidant marker SOD, compared to the control group.
Las ceremonias de los autos de fe en España y la Nueva España (1559-1574): significados, contrastes y funciones
Authors: Álvarez Sara , Manjarrés Elízabeth
Published: September 2023

El presente estudio comparativo centra la atención en los rituales celebrados durante tres autos de fe generales oficiados en México y España en la segunda mitad del siglo XVI. El objetivo del estudio es superar visiones unidireccionales sesgadas por viejas impresiones y polémicas en torno al Santo Oficio y comprender la articulación del ritual del auto de fe, teniendo en cuenta su naturaleza miscelánea y su función como unidad comunicativa. Se ha realizado una investigación analítico-sintética de testimonios pertenecientes a testigos oculares y participantes de estos eventos como principal fuente de los datos a comparar.
Una guitarra Larense con relevancia organológica
Authors: Peña Marco
Published: September 2023

En esta miscelánea se detalla una inusual guitarra de lóbulo superior extendido, hecha en Aguada Grande, municipio Urdaneta del Estado Lara, Venezuela, en la primera mitad de siglo XX. El instrumento en cuestión tiene valor patrimonial, al ser una obra única que plantea, por una parte, el sorprendente nivel de calidad y creatividad de la violería larense en los primeros años de la centuria pasada (en medio de las condiciones adversas propias de la provincia en ese período) y por otra, la existencia de un violero hasta ahora desconocido, pese a compartir los apellidos de una insigne familia de violeros populares de esa localidad.
Isaac López: De memorias y nostalgias. Nuevas crónicas de Coro y Paraguaná. Volúmenes 1 y 2. Mérida, Biblioteca Guaruguaja, 2020. (Colección Pliegos del mar)
Authors: Montero Ana
Published: September 2023

A través de esas crónicas de la cotidianidad paraguanera, López nos habla de la gente con sus aciertos y errores, de las vivencias y experiencia de los viejos, de los personajes pasados y de los actuales, de las cosas, de la cotidianidad, de lo importante que hemos sido y somos. Del paisaje natural y cultural peninsular, de la importancia de la corianidad en la falconianidad, de las tantas que nos definen como pueblo y también, del sufrimiento vivido por esa desatención, de la violencia, del maltrato que inclusive ha vivido en carne propia, pero también de la lucha perenne por seguir adelante, contra viento y marea. Pero por encima de todo nos da luces para abordar ese saudade y retomar la memoria, la auténtica, esa que nos rescata y humaniza a los héroes, con sus faltas y sus aciertos, pues no son personajes de Marvel o de comiquitas que siempre ganan.
Factors influencing health anxiety
Authors: Hylan Jessica
Published: September 2023

Health anxiety can have a detrimental impact to psychological wellbeing and is linked to increased healthcare utilisation and associated costs for healthcare providers. This study investigated relationships between health anxiety and age, gender, trait anxiety, medical care-seeking, and serious illness diagnosis in the individual and their blood relatives. A cross-sectional, correlational design was used to assess these relationships across a sample of 108 adult participants. Analysis revealed significant associations between health anxiety and age, gender, and trait anxiety. It is concluded that younger adults and females are at increased risk of developing health anxiety. These findings inform practical interventions that could increase health anxiety detection and reduce associated costs.
Growing up as a third culture kid and its impact on identity and belonging
Authors: Donohue Chloé
Published: September 2023

In an increasingly globalised world, understanding the experiences of individuals living interna-tionally mobile and cross-cultural lives is vital. Third culture kids (TCKs) are individuals who have lived outside of their parent(s) passport country for more than a year, before the age of 18 for tem-porary reasons, such as a parent’s work or advanced training. This systematic review of empirical literature aimed to investigate the extent to which growing up as a TCK impacts identity and be-longing. An initial yield of 509 articles was found across seven databases. Using inclusion and ex-clusion criteria, the final six research articles were used for analysis. The content analysis revealed three themes for identity: identity negotiation, cultural multiplicity, and a pervasive otherness from their passport country and three themes for belonging: belonging everywhere and nowhere, a home with other cross-cultural individuals, and a home in identifying as a TCK. Therefore, growing up as a TCK was found to have an impact on identity and belonging in several ways. Contrary to pre-vious knowledge, this review found that TCKs are not confused by the multiplicity of their identity, rather it does not fit the current social construction of identity. Limitations and directions for future research were discussed.
The impact of emotional intelligence (EQ) in the B2B exchange processes: Increasing salespeople’s adaptive selling behaviour (ASB)
Authors: Gbormittah Ewenam
Published: September 2023

In today’s globalised markets, the business-to-business (B2B) exchange processes have become much more complex, as a result adaptive selling behaviour (ASB) has become essential to sales success within B2B organisations. This study has explored the phenomenon by examining whether emotional intelligence (EQ) has an impact on salespeople’s adaptive selling behaviour. Scholars have suggested that individuals possessing high EQ traits are more likely to be successful in adaptive selling, however there are limited studies available to address the gap in research. The research question is as follows, RQ1: To what extent does EQ have an impact on salespeople’s ASB? An exploratory qualitative approach, which consisted of a semi-structured interview, complemented with the Schutte Self-Report Emotional Intelligence Test (SSEIT) and a case study performance assessment, was conducted on 8 salespeople, employed in a B2B telemarketing company. The results of the thematic analysis have identified consistent themes within the interview, indicating that higher EQ scores could potentially enhance sales behaviour adaptability. 6 themes were identified as being reflective of the ‘Analytical’ adaptation criteria, 6 themes were identified for ‘Driver’ adaptation, 6 themes were identified for ‘Amiable’ adaptation and 8 themes were identified for ‘Expressive’ adaptation. These results highlight practical implications of incorporating EQ into employee selection, performance management and leadership training policies, within the current workforce.
In the absence of truth at least not the lie: Travels toward self, other and relatedness
Authors: Lewis Gail
Published: September 2023

One paradoxical effect of feminist, critical race and poststructuralist challenges to the ‘truths’ of race and gender was to afford a redefined politics of presence for those who were often little more than stereotyped cardboard cut-outs constituted through the norms of racalised-gendered intelligibility. The contestation and destablisation of the truths of these norms enabled the emergence of ‘fleshy’ subjects and new forms of knowledge through which to constitute new selves who were concerned with crafting new forms of intersubjective relatedness. Yet this was often, in another paradoxical move, at the expense of the acceptance of the legitimacy of psychic and emotional ‘truths’ grounded in individual and collective experience of the dynamics of race and gender. In this paper I attempt to trace how concepts and approaches taken from post-Kleinian psychoanalytic theory offer a way to afford knowledges grounded in the experiential due epistemological weight and contribute to a nuanced delineation of the grounds of relationality through and upon which ever evolving but in some sense ‘integrated’ selves meet and interact with others.
The Attitudes Towards the Use of Anglicisms in the Croatian Language of Medicine
Authors: Gjuran-Coha Anamarija , Tomak Tajana
Published: September 2023

In this research paper, we will explore the laypersons’ attitudes towards the use of Anglicisms in medical language. Some communication difficulties may arise between patients and their doctors because patients’ knowledge of medicine and medical terminology is insufficient. Therefore, they often remain uninformed and misunderstood. A questionnaire-based study was carried out among 100 laypersons in Rijeka, Croatia. It aimed to explore understanding, acceptance, use, and need for Croatian equivalents, which show their attitudes towards using Anglicisms in medical communication. The findings show some statistically significant differences in terms of understanding and use of Anglicisms with respect to the age of the respondents and the level of their education. The respondents mainly justify the use of English medical terms in medicine when there is no adequate Croatian equivalent. However, a high percentage of them support the need for creating Croatian equivalents, which should be more understandable and transparent than the English ones. We can conclude that Anglicisms are widely used in the Croatian medical language, but the Croatian equivalents should be created in collaboration between doctors and linguists.
The new name Seringia impressa A.R.Bean is proposed for the species formerly known as Seringia lanceolata Steetz
Authors: Bean A. R.
Published: September 2023

The new name Seringia impressa A.R.Bean is proposed for the species formerly known as Seringia lanceolata Steetz.
Editoriale
Authors: Groundbreaking Redazione
Published: September 2023

Editoriale
Collage
Authors: Groundbreaking Redazione
Published: September 2023

Collage
Stile Ateneo
Authors: Venturini Elena
Published: September 2023

Stile Ateneo
Paco Rabanne
Authors: Segalerba Kelly
Published: September 2023

Paco Rabanne
Schiaparelli e Prada: conversazioni impossibili
Authors: Ferraris Matilda
Published: September 2023

Schiaparelli
Moda 4.0
Authors: GTP Chat
Published: September 2023

Moda 4.0
Per saperne di più
Authors: Groundbreaking Redazione
Published: September 2023

Per saperne di più - bibliografia degli articoli
Effect of auxins and phenolic acids on adventitious rooting in semi-hardwood cuttings of Ginkgo biloba
Authors: Parkash Om , Nagar P. , Lal Brij , Ahuja P.
Published: September 2023

The effect of IBA and two phenolic compounds have been examined for stimulatory effects on rooting of semi-hardwood cuttings of mature Ginkgo biloba L. trees. IBA alone did not exert a favourable influence on rooting but in combination with polyphenols, viz., catechin and phloroglucinol improved rooting and root growth characteristics. Amongst various treatments, IBA (500 mg/l) + catechin (5 mg/l) is superior over other treatments since 96% rooting was observed in this combination. This treatment could be used successfully for vegetative propagation of this species.
Studies on some pests of Mulberry (Morus alba) in Uttar Pradesh and Uttaranchal
Authors: Chauhan T. , Lochan Rajeev , Siddiqui Abad , Yadav Anand , Singh B.
Published: September 2023

A survey study was undertaken in Sericultural Zones falling in different agroclimate of hill, tarai and plain areas of Uttar Pradesh and Uttaranchal during 1998, 1999 and 2000. A few lepidopterans and coleopteran have been identified as pest on mulberry. The seasonal occurrence of major pests causing damage to mulberry foliage to the economic threshold level have been studied. A calendar of infestation of different pests has been drawn with special reference to the major pests on mulberry.
Pest damage touched the economic threshold level during June and July with increase in pest population. The pest population came down with the pruning of mulberry bushes during the July-August. The pest population increased again with the leaf sprout and reached the high level during the month of September to November. The pest population then decreased in the month of December due to leaf abscission and fall in winter conditions.
Provenance evaluation in the seed and seedling characters of Neem (Azadirachta indica A.Juss.)
Authors: Vinod S. , Vijayakumar N.
Published: September 2023

A total of eight provenances of Azadirachta indica A. Juss. collected from the different agro-climatic regions of peninsular India comprising of the states of Kerala, Tamil Nadu and Karnataka were evaluated for their seed and seedling characters.
Significant variations were observed for their seed characters, namely, hundred seed weight, seed length, seed length breadth ratio, thickness of pericarp and germination percentage. For the seedling characters studied, the maximum height and leaf number were observed for Coimbatore (Tamil Nadu) at both the growth phases of 180 and 360 DAS. The shoot root ratio was maximum for Palakkad (Kerala) and root length for Dindigul (Tamil Nadu). The study indicates that Coimbatore provenance can be considered as the most suitable seed source for planting neem in the agro-climatic conditions prevailing in the present experimental area.
Modal analysis and harmonic response analysis of the Petronas Twin Towers
Authors: Li Zeyu , Yu Mingyi , Zhuang Shuxuan , Qian Yiru , Feng Run
Published: September 2023

The Petronas Twin was once the tallest building in the world and the tallest twin tower nowadays. We are interested in the twin towers structural performance. In this regard, a simplified geometric model of the Petronas Twin Towers has been developed, and the structural performance has been simulated using the finite element analysis software, Ansys. The analysis primarily focuses on investigating the behavior of the towers when subjected to wind loads, and other external factors that may affect the structural integrity of the buildings. We were especially interested in buildings performance when a damper is not existed or when it is small. The modal and harmonic response analyses are used to observe the response of the Twin Towers at different frequencies. The mesh independence study is also conducted for the accuracy of the results.
HEALTH LITERACY LEVELS OF UNIVERSITY STUDENTS AND FACTORS RELATED TO PATIENT'S RIGHTS
Authors: KÜÇÜK Ayten , ÇALIŞ İBİŞ Kamuran , MADAN Gülay , AYTUĞ KANBER Nurhan
Published: September 2023

Objective: It is aimed to evaluate the knowledge, attitudes and behaviors in health literacy and patient rights of health vocational school students who will be health personnel in the future.

Materials and Methods: The descriptive study was conducted between 02-28 September 2020 with the participation of 202 volunteer students using the internet survey method. A 32-item questionnaire on individuals' descriptive information, health literacy and patient rights was used.

Results: It was observed that 72.3% of the students did not read books regularly and they preferred health workers in the first place to obtain information about health. A difference was observed between those who have health literacy knowledge and understand the information about their health (p
ÇEVRİM İÇİ EĞİTİMİN İLK VE ACİL YARDIM PROGRAMI ÖĞRENCİLERİ ÜZERİNDEKİ ETKİLERİNİN DEĞERLENDİRİLMESİ
Authors: BEKİRCAN Esra , BOĞAN Fatma , YILDIRIM Emrullah
Published: September 2023

Amaç: Bu araştırma çevrim içi eğitimin ilk ve acil yardım programı öğrencileri üzerindeki etkilerini değerlendirmek amacı ile yapılmıştır.

Gereç ve Yöntemler: Tanımlayıcı nitelikte olan bu çalışmanın örneklemini Türkiye’de bulunan dört farklı üniversitenin ilk ve acil yardım programında okuyan 505 öğrenci oluşturmuştur. Veriler literatür doğrultusunda hazırlanan yapılandırılmış soru formu kullanılarak toplanmıştır. Veriler Statistical Package for Social Science 25 programıyla analiz edilip, değerlendirmede; sayı, yüzde, ortalama, standart sapma kullanılmıştır.

Bulgular: Öğrencilerin %53,86'sı eğitim süreçlerinde hiç gerçek hasta ile temaslarının olmadığını, %80,20'si hiçbir uygulama dersini yüz yüze yapmadıklarını, öğrencilerin yaklaşık %60’ı uzaktan eğitimde derslerin verimli geçmediğini, öğrenme ihtiyaçlarının karşılanmadığını ve uzaktan eğitimden dolayı kendilerini hasta bakacak düzeyde hissetmediklerini belirtmişlerdir. Öğrencilerin %64,16'sı uzaktan eğitim aldıkları için işe başlarken hata yapmaktan korktuklarını ve % 53,47’si hastaya zarar vermekten korktuklarını ifade etmektedirler. Öğrencilerin yaklaşık %60’ı uzaktan eğitimin ilk ve acil yardım programı için uygun olmadığını belirtmişlerdir.

Sonuç: Öğrencilerin çevrimiçi eğitim süreçlerinde aldıkları eğitimleri yetersiz buldukları ve buna bağlı olarak iş hayatında hata yapmaktan ve hastaya zarar vermekten korktukları sonucuna ulaşılmıştır.
SAĞLIK SİSTEMLERİ İÇİN AFET ve ACİL DURUM YÖNETİMİ PLANLARI
Authors: ÖZMEN Bülent , TEKELİ YEŞİL Sıdıka
Published: September 2023

Türkiye coğrafik konumu ve jeolojik yapısı nedeniyle başta deprem olmak üzere çok sayıda farklı doğa kaynaklı tehlikelerin yanı sıra ulaşım kazaları gibi teknolojik afetlerle de çok sık karşılaşmaktadır. Ayrıca son yıllarda tüm dünyayı ve Türkiye’yi de etkileyen kuş gribi, domuz gribi ve COVID-19 pandemisi gibi biyolojik afetler de Türkiye’de ciddi kayıplara yol açmıştır. Geçmiş yıllarda yaşanan afetler nedeniyle çok sayıda can ve mal kaybının olması, önemli derecede ekonomik ve sosyal kayıplara maruz kalınmış olması Türkiye’nin yeterince afetlere dirençli hale getirilemediğini sağlık sistemi dahil bütün alanlarda daha yapılacak çok sayıda çalışmanın olduğunu bize açık bir şekilde göstermektedir. Makalenin amacı sağlık sistemi ile ilgili hazırlanmakta olan afet ve acil durum yönetimi planlarının tarihçesi hakkında bilgiler sunmak ve sağlık kurumları ve çalışanlarına yönelik hazırlanması gereken afet ve acil durum yönetimi planlarının genel ilkeleri hakkında bilgiler vermeye çalışmaktır.
OBSTETRİK TRİYAJ MEMNUNİYET DEĞERLENDİRME ÖLÇEĞİ GEÇERLİK VE GÜVENİRLİK ÇALIŞMASI
Authors: ÇAĞAN Emine Serap , SOLMAZ Ebru , TAŞKIN Rumeysa , EMİNOV Elmin
Published: September 2023

Amaç: Araştırma ile obstetrik triyaja başvuran hastaların memnuniyetini değerlendiren ölçeğin Türkçe geçerlik ve güvenirliğini yapmak amaçlanmıştır.
Gereç ve Yöntem: Araştırma Eylül 2022– Ocak 2023 tarihleri arasında uygulanmıştır ve metodolojik türdedir. Araştırmanın evrenini bir hastanenin Kadın Doğum acil birimine başvuran gebeler oluşturmuştur (n:130). Veri toplama aracı olarak sosyo-demografik özellikler soru formu ve obstetrik triyaj memnuniyet ölçeği kullanıldı ve veriler yüz-yüze görüşme tekniği ile toplandı. Veriler SPSS (Statistical Package for the Social Sciences) 25.0 paket programı ve AMOS 22.0 paket programında analiz edildi.
Bulgular: Ölçeğin Türkçe uyarlaması dil ve kapsam geçerliği, yapı geçerliği ve güvenirlik analizleri ile gerçekleştirildi. Ölçeğin KGİ değeri 0.96 saptandı. Ölçeğin açıklayıcı faktör analizi sonucuna göre ölçek 9 madde iki boyut altında toplanmış ve toplam varyansın %62.92’ini açıklamıştır. Modele uygulanan DFA sonucunda elde edilen uyum indeks değerleri x²⁄sd=2,665, GFI=0.890, CFI=0.911, NFI=0.868, IFI=0.913, , TLI=0.877, , RMSEA=0.078 saptandı. Ölçeğin Cronbach Alfa değeri 0.840, Süreç Memnuniyeti alt boyutu Cronbach Alfa değeri 0.776 ve Kurum Memnuniyeti alt boyutu Cronbach Alfa değeri 0.846 saptandı. Ölçek maddelerinin madde toplam puan korelasyonlarının 0.456 ile 0.766 arasında değiştiği saptandı.
Sonuç: Çalışma sonucunda Obstetrik Triyaj Memnuniyet Ölçeği’nin Türkçe uyarlamasının Türk toplumunda kullanılabilir geçerli ve güvenilir bir ölçüm aracı olduğu saptandı.
Peculiarities of the Commencement of Prescription Period in Obligatory Relations: International Standards and the Armenian Legislation
Authors: Grigoryan Arman
Published: September 2023

This article presents issues concerning the commencement of prescription periods relating to obligatory relations. The discussion begins with some general concepts and then focuses on international standards as well as an analysis of relevant Armenian legislation (pertaining to obligations) in that context. The aim of this article is to discuss the nature of prescription periods and determine how best to interpret regulations addressing prescription periods in obligatory relations or, if necessary, how they should be amended.
Concept of Rights and Security of Nagorno-Karabakh People in Light of ICJ’s Advisory Opinion on Kosovo
Authors: Khalatyan Artashes
Published: September 2023

This article is dedicated to the comparative analysis of the advisory opinion of the International Court of Justice on Kosovo, thereby revealing the criteria of the legality of realization of the right of peoples to self-determination and clarifying the question of their applicability to the Artsakh case. Historical and comparative methods of scientific research were used in the article, by means of which positive and negative aspects of the advisory opinion of the UN Court were highlighted. The analysis has shown that perhaps for the first time, an attempt was made by the International Court of Justice to define the criteria of the legality of the act of declaration of independence by a national community seeking self-determination, which aims to remove the right of peoples to self-determination from the sphere of political speculation and place it in the realm of legal certainty. The analysis also showed that the standards developed by the UN Court are fully applicable to Artsakh as well. The article also made an important record that even in the seemingly non-pro-Armenian stance of the ongoing negotiation process, new negotiation approaches being formed by Armenia are within the context of the legal logic of the UN court and thus have the potential to achieve legal confirmation of the independence of the people of Artsakh, if appropriate diplomatic and military-political work is carried out.
An interprofessional medical malpractice mock trial: event evolution and assessment of efficacy
Authors: Dickinson Karen J , Ward Wendy L , Minarcin Robert , Trudeau Christopher , Neill Kathryn K
Published: September 2023

Abstract

Introduction

Medical malpractice trials improve understanding of law and healthcare intersection. Healthcare professional curricula rarely include interprofessional (IP) medical malpractice simulation learning. We describe a framework and student impressions for delivery of a large-scale interinstitutional IP mock trial.

Methods

An interinstitutional IP mock trial established in 2018 evolved from in-person to hybrid to virtual delivery formats. Healthcare and law students participated as trial attorneys, witnesses and jury members. Jurors heard the case (opening statements, Plaintiff/Defendant cases, closing statements) before IP juries convened to deliberate. A debriefing discussion followed verdict delivery. Student evaluations from in-person, hybrid and virtual offerings were compared.

Results

Learners from 19 professions across four institutions and 12 IP facilitators participated in in-person (n = 102), hybrid (n = 77) and virtual (n = 201) events. Similar improvement in perceived IP competency was seen across formats. Equivalent improvement in Interprofessional Education Collaborative (IPEC) competencies was seen for in-person, hybrid and virtual events. The vast majority of learners felt that all events, in-person, hybrid and virtual formats, respectively, provided a high level of psychological safety (93%, 95%, 96%), active engagement (93%, 96%, 91%), reduced anxiety about medical malpractice trials (93%, 90%, 93%). Benefits of the virtual approach included greater diversity of IP learners and facilitators due to elimination of the geographical distance barrier.

Discussion

A large-scale interinstitutional IP mock medical malpractice trial increased students’ perception of learning and IP skills, and supported healthcare and law students learning with, from and about each other. Virtual large-scale simulation events effectively increase accessibility for learners and expert faculty.
Meigs syndrome: a case report and literature review
Authors:   Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo EST, Bergamo, Italy, Paola Algeri , Marta Seca ,   University of Milano-Bicocca, Monza, Italy,   Department of Obstetrics and Gynaecology, San Gerardo Hospital, Monza Italy, Marco Manzoni ,   Department of Pathology, Bolognini Hospital, ASST Bergamo EST, Bergamo, Italy, Francesco Clemente ,   Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo EST, Bergamo, Italy, Marco Adorni ,   Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo EST, Bergamo, Italy, Massimo Ciammella ,   Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo EST, Bergamo, Italy
Published: September 2023

Introduction: Meigs syndrome is defined by the presence of an ovarian benign tumor, ascites, and pleural effusion. The restoration of normal conditions following the removal of the ovarian mass is typical. Although an increase in CA 125 has been reported in association with Meigs syndrome, a level above 1000 IU/mL is unusual, and there is no clear association between patients’ or tumor/cancer characteristics and CA 125 increment to the best of our knowledge. Materials and methods: We conducted a review of Meigs syndrome cases associated with high CA 125 levels and then divided and compared all cases found in the literature and the one described in the text, taking into account the increase of CA 125 = 1000 IU/mL, to identify any possible factor influencing the CA 125 increase. Results: A 55-year-old woman with Meigs syndrome (hydrothorax, ovarian fibroma, and ascites) presented CA 125 of 1713 IU/mL. In our review, we found 43 articles that collected 55 cases of Meigs syndrome with an increase in CA 125 of 25% or more than 1000 IU/mL. Considering two groups, divided considering the CA 125 value of 1000 IU/mL, we found that the presence of bilateral masses and ascites over 2 L represented independent risk factors for high elevation of CA 125. Conclusion: The presence of bilateral mass and an increase in ascites were associated with an increase in CA 125 of 1000 IU/mL, which could be useful in maintaining a benign lesion hypothesis even if the definitive diagnosis could not be made until after surgery, at histological evaluation
Diagnostic accuracy in the detection of depth of myometrial invasion with MRI in early-stage endometrial cancer
Authors:   Department of Gynecological Oncology, Cancer Institute (WIA), Chennai, India, Wakpaijan Ujwala Prakash
Published: September 2023

Objective: To study the diagnostic accuracy of pre-operative magnetic resonance imaging (MRI) in early-stage endometrial cancer with postoperative International Federation of Gynecology and Obstetrics (FIGO) staging after comprehensive staging surgery. Methods: Retrospectively, the medical records of 78 patients with early-stage endometrial cancer were analyzed for the involvement of the myometrium with the tumor by diagnostic MRI and compared with histopathological reports after surgical staging. Results: The median age of patients was 56 years (ranging from 32 to 73). The median body mass index (BMI) of these women was 29 (ranging from 20 to 40). On histopathology, 72 women (92.3%) had type I endometroid endometrial cancer and 6 (7.7%) had type II carcinoma; four had papillary serous carcinoma, one had clear cell carcinoma and one had undifferentiated carcinoma. However, 43 (55.1%) had a grade I tumor, 12 (15.1%) had a grade II tumor and 17 (21.6%) had a grade III tumor. Further, 35 (44.8%) were staged laparoscopically, and 43 (55.1%) underwent open staging laparotomies. Pre-operative MRI radiological staging was carried out on all patients before surgery. However, 52 (66.7%) had stage IA disease, which suggested less than half of myometrial infiltration by tumor. Further, 21 (26.9%) showed more than half myometrial infiltration stage IB. One (1.2%) patient had stage IIIC1 disease with pelvic nodes of 2.5 × 2 cm near the obturator fossa; one (1.2%) patient had retroperitoneal nodes and para-aortic nodes of the largest 2 × 2 cm; three patients (3.8%) showed involvement of the endocervix with the tumor. Patients were histopathologically staged postoperatively according to the FIGO classification following complete staging surgery. Further, 46 (59%) were stage IA, 26 (33.3%) were stage IB, 3 (3.8%) showed stage II and 3 (3.8%) had stage IIIC1. The sensitivity for MRI for stage IA was 95.65% with (85 to 99.4%) 95% CI. The specificity was 75%, with 56.6 to 88.55% of the 95% CI. The positive likelihood ratio was 3.83, with a 95% confidence interval of 2.09 to 6.99. The sensitivity of MRI for stage IB was 69.23%, ranging from 48.2 to 85.6% of the 95% CI. The specificity was 94.23%, with 84 to 98% of the 95% CI. The positive likelihood ratio was 12, with a 95% confidence interval of 3.8 to 37. Conclusion: A pre-operative MRI contributes to the accurate staging of endometrial cancer to allow planning for the scale of the surgery. This is important for pre-operative counseling. The depth of myometrial infiltration aids in the planning of pelvic and para-aortic lymphadenectomy. Our study is comparable with the results of previous studies.
ADMINISTRAÇÃO DE EMPRESAS DE PEQUENO PORTE: ESTRATÉGIAS DO EMPRESÁRIO COMO GESTOR
Authors: Gomes Mayra de Sousa , Ximenes Elvia Florencio Torres , Pinto Liliane Araújo
Published: September 2023

Dada a dinâmica no mundo dos negócios, os gestores devem considerar os fatores externos e internos, para avaliar e escolher as estratégias possíveis. No caso das pequenas empresas, o empresário geralmente gerencia sozinho de forma empírica. Nesse contexto, surge o questionamento: Como empresários de pequeno porte utilizam estratégias de superação de desafios na sua atuação como gestores? Diante disso, o objetivo do trabalho foi compreender as estratégias empregadas por pequenos empresários que, mesmo sem formação na área de gestão, têm se mantido competitivos no setor que atuam. O estudo justifica-se pela alta representação econômica das pequenas empresas na economia brasileira. A pesquisa foi feita em três pequenas empresas na cidade de Teresina - PI. Para coleta e análise dos dados foi utilizada a matriz SWOT, sob a ótica do modelo de Weihrich (1982). A pesquisa foi de natureza qualitativa, tendo como procedimentos metodológicos a revisão bibliográfica e o estudo de caso, com realização de entrevista semiestruturada com cada gestor. Concluiu-se que o processo administrativo, mesmo sem a teoria, é realizado com eficácia e foi identificada a estratégia de crescimento como a mais utilizada para diminuir as deficiências e fraquezas, a partir das oportunidades.
UTILIZAÇÃO DE MEIOS VIRTUAIS NA COMUNICAÇÃO ESCOLAR: UM RELATO DE EXPERIÊNCIA APÓS A PANDEMIA COVID-19
Authors: Abud Junio Gilberto , Oliveira Maria Heloisa Souza , Gonçalves Reginaldo Luiz
Published: September 2023

Com a volta das aulas presenciais, assim como muitas pessoas, as instituições escolares enfrentaram ainda mais dificuldades com a socialização dos alunos e funcionários. Pensando nisso, o Grêmio Evolução da ETEC – Taubaté criou o PodETEC, um podcast para fomentar a interação entre os membros da comunidade escolar. Os objetivos foram: melhorar a comunicação e promover a integração entre o grêmio estudantil, os alunos e funcionários (ETEC e Extensão Fatec). Optou-se por esse recurso, pois, para Foschini (2018), o podcast é uma forma veloz de difundir informações, utilizando as plataformas digitais, bastante acessadas na atualidade. Consideramos, ainda, a potencialidade dos meios de comunicação para o aprendizado, já que, segundo Araújo (2003), há muito tempo o rádio traz entretenimento, mas também muitas informações aos seus ouvintes, de modo que, num ambiente escolar, torna-se ferramenta pedagógica. De maneira descontraída e com o intuito de tornar a relação interpessoal mais agradável, foram realizados bate-papos entre os entrevistadores (membros do grêmio estudantil) e os entrevistados (professores/coordenadores ou colaboradores) por meio de áudios gravados. Cada entrevista baseou-se em um roteiro com 10 (dez) perguntas, sendo 5 (cinco) delas com relação ao ambiente escolar e outras 5 (cinco) com a finalidade de entreter os ouvintes. Essas perguntas podiam ser lidas pelos entrevistados, antes do podcast, para evitar constrangimentos durante as gravações, as quais foram feitas por meio de um aparelho celular. Os episódios já gravados estão disponíveis através das plataformas de streaming YouTube e Spotify, pelo nome de PodETEC. Conforme a postagem dos episódios já gravados, de 15 em 15 dias, foi possível perceber que os alunos se sentiram mais confortáveis em se comunicar com outros alunos e com os professores/coordenadores devido ao clima descontraído do podcast. Notou-se, ainda, que os estudantes ficaram cada vez mais informados sobre diversos assuntos da escola. Pôde-se concluir que os meios virtuais de comunicação são importantes ferramentas para contribuir com a socialização entre os alunos e funcionários das instituições escolares, tendo em vista o atual mundo digitalmente interconectado.
POLÍTICAS NEOLIBERAIS: O QUE ISSO TEM A VER COM A BNCC?
Authors: De Souza Rafaela do Nascimento , Santos Viviane Corrêa
Published: September 2023

O neoliberalismo olha para a educação a partir das reformas educacionais pensadas no decorrer deste movimento político-filosófico, caracterizado por contrapor-se aos anseios de bem-estar social da classe trabalhadora, com adjacência do Estado nas tomadas de decisão econômica e social no território, assim o mercado assumido a função de autorregulador dos processos educacionais. Nesse contexto, a necessidade de analisar até que ponto há influência das políticas neoliberais na elaboração da Base Nacional Comum Curricular-BNCC. Como a BNCC está inclusão nesse pacote das reformas liberais. O foco é justamente tensionar o debate, e não o esgotar. Tendo em vista, a importância dessa política curricular para todos os processos que permeiam a educação brasileira. Este estudo é de natureza qualitativa, realizado por meio de levantamento bibliográfico e documental.
Multidimensional poverty: an analysis based on the functionings, dimensions and weights attributed by the families of the Ilha das Onças - Pará, Brazil
Authors: Lima Rodrigues Danuzia , Nascimento dos Santos Ricardo Bruno , Pengo Bagolin Izete , Araujo Fernandes Danilo
Published: September 2023

Aiming to assess the multidimensional poverty of Ilha das Onças - Metropolitan Region of Belem, Pará, Brazil, we use Sen’s Capabilities Approach, with the objective of defining the dimensions and functionings indicated as priorities by the studied population itself. We build a multidimensional poverty indexes (MPIs) adjusted according to the needs of the local population, using Alkire and Santos (2010) methodology. Field research was carried out during November and December 2018 interviewing 80 families. Four versions of the MPI were calculated. From the original version from Alkire and Santos (2010) to a version adjusted by the proposed dimensions and their respective weights attributed by the interviewees consulted in the field work, which we refer to as the MPIisle. The results show that the inclusion of what people consider important, to be or to do, reveals deprivations not generally considered by indexes constructed from exogenously determined weights, as in synthetic indexes.
A DEEP LEARNING BASED METHOD FOR PARKINSON'S DISEASE DETECTION USING SVM
Authors:   Al-Ameen Engineering College,Tamil Nadu, Karpagavalli Mrs.S.M , Thahaseen Mrs.A.Aafiya
Published: September 2023

Parkinson's disease (PD) is a critical neurological disorder that requires accurate and early diagnosis to improve patient quality of life. A machine learning-based prediction system was proposed, using a support vector machine (SVM) and L1-Norm feature selection for accurate target classification. The system was validated using K-fold cross-validation and metrics such as accuracy, sensitivity, specificity, precision, F1 score, and execution time. The experimental findings suggest that the proposed method can accurately predict PD and be easily integrated into healthcare for diagnosis purposes. This approach fills a gap in feature selection and classification using voice recordings data.
NGHIÊN CỨU BƯỚC ĐẦU KẾT QUẢ CHỤP VÀ NÚT MẠCH TRONG ĐIỀU TRỊ CHẢY MÁU TIÊU HÓA DƯỚI
Authors: Trần Doãn Khắc Việt , Võ Tấn Đức , Phạm Ngọc Minh Triết , Đặng Quốc Việt , Nguyễn Hoàng Bắc
Published: September 2023

Đặt vấn đề: Chảy máu tiêu hóa (CMTH) dưới là một cấp cứu nguy hiểm đặc biệt trong trường hợp nội soi tiêu hóa thất bại hay không tiếp cận được. Cùng với sự phát triển và áp dụng các kỹ thuật xâm lấn tối thiểu, chụp và nút mạch cầm máu số hóa xóa nền ngày càng được áp dụng nhiều hơn bên thay thế phẫu thuật trong các trường hợp này.

Mục tiêu nghiên cứu: Đánh giá kết quả bước đầu của kỹ thuật chụp và nút mạch trong điều trị CMTH dưới với 2 mục tiêu cụ thể gồm: Mục tiêu chính: Xác định tỷ lệ thành công về kỹ thuật, thành công về lâm sàng và tai biến – biến chứng của nút mạch cầm máu CMTH dưới Mục tiêu phụ: Xác đinh tỷ lệ chụp mạch cho kết quả không tìm thấy chảy máu hoạt động trong chẩn đoán CMTH dưới.

Phương pháp: Đoàn hệ hồi cứu.

Kết quả: Từ tháng 01/2019 đến tháng 01/2022, có 23 lượt thực hiện nút mạch cầm máu trên tổng số 35 lượt thủ thuật trên 24 bệnh nhân. Trong đó, 12 lần chụp mạch không tìm thấy hình ảnh chảy máu hoạt động (34.3%). Trong 23 lượt nút mạch với 21 lượt thủ thuật là nút mạch lần đầu với tỷ lệ cầm máu thành công về kỹ thuật là 95.2%, tỷ lệ cầm máu thành công về lâm sàng là 76.2%. Không có trường hợp hoại tử hay thủng ruột.

Kết luận: Chụp và nút mạch cầm máu là kỹ thuật hiệu quả và an toàn trong kiểm soát chảy máu tiêu hóa dưới với tính xâm lấn tối thiểu.