bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Penggunaan Media Elektronik Terhadap Motivasi Belajar Siswa Kelas X BKP SMK Negeri 1 Bireuen
Authors: San'ani
Published: August 2022

Teachers as educators must be able to use the right learning media so that the desired learning objectives can be achieved. One of the learning media that is widely used is electronic media. The purpose of this study was to increase students' learning motivation in drawing regular pentagons by knowing one side and in a circle in class X BKP SMK Negeri 1 Bireuen through electronic media. The research was carried out for 3 months. The research subjects were students of class X BKP SMK Negeri 1 Bireuen for the 2016/2017 academic year. The number of students in class X BKP is 39 male students. The data obtained came from class X BKP students of SMK Negeri 1 Bireuen and teachers/collaborators who were collaborators in carrying out this research activity. Based on this research, it can be concluded that using Electronic Media can increase learning motivation for Basic Building Drawing subjects, especially the basic competence of Drawing Regular pentagons by knowing one side and in a circle for class X BKP students at SMK Negeri 1 Bireuen. 2016/2017 Academic Year. At the end of the first cycle, students who achieved complete learning were 46% (18 children), and 54% students who had not completed (21 children), while at the end of the second cycle, 92% (36 children) and 8% (3 children) have not achieved mastery learning. With an average grade of 67.07 for the first cycle and 83.79 for the second cycle. Meanwhile, in the initial conditions, the students' average score was 61.23 and only 23% of students completed. the results of non-test observations of the learning process showed changes in students being more active during the learning process
Problematika Pembelajaran Biologi Urban dan Solusinya
Authors: Pratama Farhan , Banila Lidya , Kartika Sari Indah Heriyanti , Dayuwati Tri Isna , Suryanda Ade
Published: August 2022

The purpose of this study was to find out the problems of learning urban biology and to explore the characteristics of learning urban biology at SMAN 1 Bojonggede. The research method used in this study is a case study which is qualitative research with a descriptive design, where the researcher conducts a detailed exploration of an event, process, activity of more or one person by means of interviews or observations with resource persons, with data collection techniques. in the form of interviews and observations of biology teachers at SMAN 1 Bojonggede in Bojong Gede District, Bogor Regency, West Java. The data analysis techniques used are 1) Data collection, 2) Data reduction, 3) Data presentation, 4) Data analysis, and 5) Conclusions. In the interview, the research team asked several questions to the informants, including 1) How is the process of biology learning activities in urban areas, 2) about literacy in urban areas, 3) about the practicum process carried out in urban schools, and 4) the use of the internet in urban areas. urban area. Most of the interviews that have been conducted on urban biology learning activities at SMAN 1 Bojonggede mostly use internet-related devices to support learning activities. The conclusion in this study is that the characteristics of urban biology learning activities at SMAN 1 Bojonggede use media related to the internet to support learning.
Penanggulangan Dampak Negatif Media Sosial Melalui Peran Guru dan Masyarakat di Sekolah
Authors: Yasin Muhammad , Siti Sri Fattul Jannah
Published: August 2022

The growing flow of globalization makes all countries and levels of society able to accept the entry and exit of outside influences on various aspects of life. The flow of globalization followed by technological developments can have a considerable impact on society, especially for teenagers who can affect their lifestyle and will have various positive and negatif impacts on these changes. This study aims to describe the role of teachers both at school and in the community in overcoming the negatif impact of social media related to juvenile delinquency at Sepaso Junior High School, Bengalon and what efforts have been made by the school and community leaders to tackle juvenile delinquency. This research method uses a qualitative method with a descriptive approach. This study utilizes data collection techniques in terms of interviews, document analysis, observation, documentation, and drawing structured conclusions as a support for the completeness of analysis and research so that it requires skills for researchers in terms of recording and collecting research data. The results of this study can be concluded that the role of teachers and the community in guiding a teenager is important so that teenagers are no longer wrong in terms of using social media as a means of broad information. The implication of the school is to hold regular socialization with students or parents of SMP Sepaso Bengalon students in order to find out the negatif impact of social media and how to use social media correctly and the information that is searched on social media can be according to the age of the students as well as an educator always guides and directs his students to always do positive activities. Meanwhile, the implication of the community is that community leaders always create a positive environment for teenagers with a minimal environment for crime and parents provide a positive environment in their homes and work together between schools and community leaders in guiding or supervising the activities of the students. teenagers to stay away from activities that are included in the juvenile delinquency section.
Implementasi Penggunaan Aplikasi Mendeley dalam Membangun Kemampuan Menulis Karya Tulis Ilmiah pada Mahasiswa STAI Jam’iyah Mahmudiyah Tanjung Pura Langkat
Authors: Zaifaturridha  , Satria Wiguna  , Nurmisdaramyani
Published: August 2022

Mendeley is an application that makes it easy for us to create footnotes and bibliography on journal articles, make reports, coursework, theses, theses, dissertations, and others. Many applications are used to make it easier for someone to write in accordance with the rules / rules in scientific writing, such as Endnote. However, the Mendeley application is not only easy, it is also free to use or easy to download. This type of research is qualitative research. Qualitative research can be used to view data through in-depth observations of the research focus, interacting with implementers in the field so as to obtain information from informants. The research method is by observation, interviews and documentation. The results showed that the use of the Mendeley application for students in writing scientific works in the form of a thesis. From the research that has been done by researchers, almost all respondents understand how to use the Mendeley application, but there are still respondents who still do not understand how to operate the Mendeley application. This is because when attending training on how to use the Mendeley application there are still students who are not serious and also do not attend during the training process
Supervisi Akademik Pengawas dalam Meningkatkan Profesionalisme Guru Pendidikan Agama Islam Sekolah Umum di Kabupaten Malang
Authors: Arito
Published: August 2022

This research was conducted with the aim to describe the planning of academic supervision, the strategy for implementing academic supervision and the evaluation of academic supervision carried out by PAI supervisors in increasing PAI teacher professionalism in public schools in the Malang district. The research design used was case study method with a qualitative approach. The participants enrolled in this study were PAI supervisors, PAI teachers, school principals, and curriculum representatives. The data collection techniques used were interviews, observations, and documentation. Data analyses used were based on Miles, Huberman and Saldana theory which consisted of data collection, data condensation, data presentation, and conclusion/verification. The results show that: (1) the academic supervision planning which is carried out at the beginning of the year is based on the Pokjawas PAI programs and the evaluation results of the PAI supervisor program in the previous year; (2) the academic supervision is carried out individually and classically with a friendliness approach. In individual supervision, PAI supervisors conduct assessment of learning administration, RPP, learning implementation in the class, and learning assessment. In classical supervision, PAI supervisors provide guidance on the preparation of learning administration, IT-based learning models and media, and learning assessment; (3) the result evaluation of academic supervision is conducted by analyzing the results of academic supervision. The advantages and disadvantages of academic supervision findings are directly communicated to PAI teachers and principals to follow-up. Good findings should be maintained and improved, while poor findings should be corrected with the guidance of PAI supervisors.
Efektifitas Metode Hypnoteaching untuk Meningkatkan Kemampuan Belajar Berhitung pada Anak Kelompok B di TK An-Nur Perumahan Griya Srimulya Palembang
Authors: Erni Muliddya  , Taty Fauzi  , Rahmah Novianti
Published: August 2022

The purpose of this study was to determine the effectiveness of the implementation of the Hypnoteaching in Improving the Learning Ability to count in Group B Children in An-Nur Kindergarten, Griya Srimulya Housing, Palembang. This research was conducted in An-Nur Kindergarten, Griya Mulya Housing, Palembang City. The time of the research was carried out in the academic year 2021-2022, starting from March-April-May 2022. The study took the type of cluster sampling, the research sample was divided into 2 classes, the experimental class, and the control class. the number of samples in this study was 15 students in class B2 in the experimental class and in-class B1 as many as 15 students in the control class. In this study, the t-count results were 2.898 where the t-table value was 2.131 at a significance level of 0.05 and with a one-sided test. Because the t-value obtained is greater than the t-table value of 2.898 > 2.131, the null hypothesis (Ho) is rejected and the alternative (Ha) is accepted. This means that there is effectiveness in increasing early childhood numeracy skills by using the hypnoteaching in An-Nur Kindergarten, Griya Srimulya Housing, Palembang.
AN IMPROVED ARTIFICIAL ATOM ALGORITHM WITH THE OPERATOR OF SHUFFLED FROG LEAPING ALGORITHM
Authors: ERDOĞAN YILDIRIM Ayşe
Published: August 2022

Artificial Atom Algorithm is an optimization technique that developed inspired by nature. This algorithm used for both continues problems and discrete problems in previous studies. In this study, an arrangement that would increase the success of this algorithm was envisaged. For this purpose, the ionic bond function of Artificial Atom Algorithm has been improved benefiting an algorithmic step of Shuffled Frog Leaping Algorithm. As a result of the updates, the search space was narrowed for the ionic bond operator. Thus, the state of getting away from the solution in each iteration was prevented. The success of Improved Artificial Atom Algorithm was tested with benchmark functions. Experimental results for the proposed method were interpreted comparatively.
Fatores determinantes da (não) adoção de gestão de custos interorganizacionais em indústrias de calçados de Nova Serrana, Minas Gerais
Authors: Sousa Luana Martins Guimarães , Brunozi Júnior Antônio Carlos , Fehr Lara Cristina Francisco de Almeida , Leroy Rodrigo Silva Diniz , Marques Maycon Henrique
Published: August 2022

O presente estudo partiu da premissa de que a Gestão de Custos Interorganizacionais (GCI) é um instrumento de gestão que pode ser, ou não, adotado pelas empresas em atividades de cooperação e compartilhamento de operações que envolvam os custos de uma cadeia de valor. Com isso, esta pesquisa, diferentemente das demais, buscou verificar se havia adoção de GCI no setor calçadista de Nova Serrana, Minas Gerais, e quais os fatores explicavam este cenário. Portanto, o objetivo foi identificar os fatores que determinam a adoção ou não da GCI em indústrias de calçados em Nova Serrana, Minas Gerais. Para isso, realizou-se um estudo multicaso em três empresas do setor calçadista, utilizando-se como método de coleta de dados entrevistas semiestruturadas, baseadas nos estudos de Duarte (2017) e Souza (2008). Os resultados encontrados evidenciaram que, apesar de haver relacionamentos estáveis das indústrias analisadas com seus fornecedores e clientes, os indícios deste estudo são mais para a não adoção da GCI do que para a sua aplicação nas empresas analisadas. Há vários fatores que influenciam a efetividade dos relacionamentos e que cada indústria tem um ambiente específico. O principal limitante observado é o medo de compartilhar diferenciais e informações devido à falta de confiança nos outros e existência de comportamentos oportunistas num ambiente de buscas particulares e lucrativas, ratificando a Teoria de Agência.
Transfer Pricing Policy: The Role of Taxes, Incentive Tunneling and Bonus Mechanism
Authors: Farkhah Elfa Elfaumi , Ismaya Hasanudin Agus , Lestari Tri Lestari
Published: August 2022

This study aims to determine and examine the effect of taxes, tunneling incentive, and bonus mechanism for transfer pricing indications. The approach used in research is a quantitive approach. The population in this study uses registered manufacturing companies on the Indonesia Stock Exchange in 2016-2020. The number of samples in this research used after going through purposive sampling technique as many as 14 companies for 5 year. The data in this study are secondary data and data obtained from the site www.idx.go.id and company performance reports. The analytical method used in this study is multiple linier regression analysis with using SPSS Statistics 25 software in data processing starting from descriptive statistical tests to hypothesis testing. The results showed that the tax have an effect on indications of transfer pricing. And tunneling incentives have an effect on indications of transfer pricing. Meanwhile the variable bonus mechanism has no effect on transfer pricing indications.
The Influence of Internal Audit, Capital Structure, Independent Board of Commissioners and Institutional Ownership on the Financial Performance of Banking Sector Companies Listed on the IDX for the 2018-2020 Period
Authors: Khairunnisa Ulfa , Yazid Helmi , Ismawati Iis
Published: August 2022

The purpose of this study was to determine whether Internal Audit, Capital Structure, Board of Commissioners, and Institutional Ownership have a significant effect on the financial performance of banking companies listed on the Indonesia Stock Exchange. This research uses quantitative methods. The sampling technique used purposive sampling and obtained as many as 9 companies. The population in this study are banks listed on the IDX. The analytical method used in this research is multiple linear regression analysis method. The data processing process uses SPSS 22. From the results of this study, all of the banking sector companies that are sampled generate profits by using research assets; the average number of internal audit members in the banking sector is 4; Companies in the banking sector in using their capital structure are still larger from sources of debt than their own capital; the company has the support to provide supervision on the company's performance; Relatively high institutional ownership.
The Effect of Leverage, Firm Size, Profitability and Political Connections on Income Smoothing
Authors: Angraeni Windy , Bastian Elvin , Lestari Tri
Published: August 2022

This study aims to determine the effect of leverage, firm size, profitability and political connections on income smoothing with firm value as a moderating variable. The approach used in this research is a quantitative approach. The data in this study are secondary data and data obtained from the site www.idx.go.id and company performance reports. The sampling technique used was purposive sampling technique with a total sample of 90 observation data from manufacturing companies in the consumer goods industry sector in 2016-2020. The data analysis technique uses multiple linear regression analysis using SPSS version 23 program. The results of this study indicate that the Leverage variable has no effect on income smoothing, while Company Size, Profitability and Political Connections affect income smoothing. For the moderating variable, firm value is proven to be able to moderate Leverage and Profitability, and not able to moderate the variables of Firm Size and Political Connections.
Major clinical evidence of cervicofacial liposculpture: a concise systematic review
Authors: Garcia Vanessa Rodrigues do Prado , Garcia Julio Leal Villela , Valente Sandro Marcelo de Moraes , Emerick Enos , Freitas Silvio Kello de , Rosa Rossana Abud Cabrera , Santos Bruno da Silva , Rosa Laerte Soares , Moraes Luciana Porto , Salatiel Fernando Domingo , Landmann Patricia N. , Luppino Lethicia Abramides
Published: August 2022

Introduction: Liposculpture (LS) can complement cervicofacial aging surgery. Modern trends in face sculpting are expanding and adipose tissue transfer can result in optimal esthetic effects with minimally invasive techniques. Facial LS focuses on repositioning adipose tissue and increasing facial transition zones. This is accomplished using internal suspension sutures as well as with autologous fat grafting. Objective: To carry out a concise systematic review of the main clinical considerations and advances in facial and cervical liposculpture as an important aesthetic tool for dental surgeons. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The search was carried out from November 2021 to February 2022 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Fifty articles were found involving facial liposculpture. A total of 30 articles were fully evaluated and 16 were included and developed in the present study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 10 studies at high risk of bias and 4 studies that did not meet the GRADE. Most patients who were involved in the studies showed improvements in facial augmentation and contouring. In patients with loss of facial volume, high-density fat transfer with SVF-gel facial injection resulted in significantly higher improvement scores and better patient satisfaction, with an improved/much improved esthetic appearance being observed. As a follow-up analysis of the studies, at an average of six months after completion, most patients were satisfied with the results. All procedures were well tolerated. Conclusion: According to the main clinical studies selected in the present study, cervicofacial liposculpture proved to be advantageous, with safety and efficacy.
Early palliative care to decrease suffering in neonatal intensive care unit: narrative review
Authors: Santos Mariana Gomes de Oliveira , Ferrari Natália , Alvarenga Marcela Rodrigues da Cunha , Cury Patrícia Maluf
Published: August 2022

Objective: The objectives of this review are to ascertain the diseases that result in palliative care in neonates in NICU and whether such care can ease the suffering of the child or the family. Methods: This is a narrative and descriptive literature review carried out in MEDLINE, PUBMED, VHL, and LILACS BVS databases during November 2020 to May 2021. Descriptors used are “Intensive Care Units,” “Ethics,” “Palliative Care,” and “Newborn,” which are related to Boolean descriptor “AND.” Articles published in English and within the last five years were included in this article. Results: The respiratory diseases and distress, prematurity, congenital abnormalities, and patients at risk of neurological injury represents some of the reasons to refer the patient to the ICU. Beyond that, the three most life-timing complex chronic conditions are neurological, neuromuscular, and cardiovascular diseases. The research emphasizes that the relief in the neonatal ICU is an important factor, in this way, palliative care should be focused mostly on the patient. Conclusion: To date, palliative care is appropriate from the moment when a serious diagnosis is made, otherwise it requires the creation of a protocol that guides patients to healthcare professionals. Regardless, to improve the life quality of the neonates during development, their care must be maintained at all moments of the therapeutic intervention.
Arboviroses notification in Brazil in the COVID 19 pandemic
Authors: Ferrari Natália , Santos Mariana Gomes de Oliveira , Moraes Letícia Peres , Dadona Maria Júlia de Oliveira , Iembo Tatiane , Cursino Lúcia Mara Lopes
Published: August 2022

Introduction: During tha Sars-Cov-2 pandemic the focus was the COVID-19, but what about other disease? In this way, our study shows what happen to the arbovirus’s notifications. Objective: Analyze the record of notifications of arboviruses during the Sars-Cov-2 pandemic in 2020 in Brazil and compared with notifications occurred in between 2015 to 2020. Methods: Through a descriptive and epidemiological study, the data was collected in DATASUS BRASIL, INMET and CPTEC databases. Results: The drop in the notification of arbovirus cases in 2020 was proven, linked to the predominance of compulsory notifications of Dengue in the first half of 2020; this data confirms the seasonality of the occurrence of dengue. Similarly, Zika virus cases had a higher percentage of notifications in the first half of the year, contrasting with previous data. In addition to the persistence of the highest incidence of cases in the early months of 2020, Chikungunya notifications showed a constant percentage incident from 2017 to 2019, data on rainfall from 2015 to 2019 indicated low levels in the month of January compared to previous years, while in the month of 2020 a considerable increase of precipitation anomalies. Conclusion: Compared to previous years, the data show a considerable drop in arbovirus reports during the period of the Sars-Cov-2 pandemic in 2020. To establish more clearly the correlation between low arbovirus reporting and the COVID pandemic -19 it is necessary to carry out further studies.
Major clinical findings of the oral hygiene relationship and increase in the predisposition to COVID-19: a systematic review
Authors: Brasileiro Sarah , Dias Marcela Diniz , Moraes Fabrício Correa de , Fernandes Patrícia Garani
Published: August 2022

Introduction: The disease caused by the novel coronavirus 2019 (COVID-19) is caused by a newly identified virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The risk of nosocomial transmission is a reality that requires the development of guidelines by the dental community to reduce the chances of infection by the new coronavirus. In particular, poor oral hygiene, opportunistic infections, stress, immunosuppression, vasculitis, and a hyperinflammatory response secondary to COVID-19 are the most important predisposing factors for the appearance of oral lesions in patients with COVID-19. Objective: It was to highlight the main clinical studies on the relationship between hygiene and care in the oral cavity to reduce the chances of contamination with COVID-19, as well as to observe the interrelation between poor oral hygiene and the increased risk of this contamination. Methods: The rules of the Systematic Review-PRISMA Platform were followed. The research was carried out from March 2022 to May 2022 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 124 articles were found. In total, 42 articles were fully evaluated and 10 were included and evaluated in this study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 42 studies that were excluded with a high risk of bias (studies with small sample size). Also, 30 studies were excluded because they did not meet the GRADE. COVID-19 affects oral health most likely in patients with serious illness, which may be due to the disease itself, immune response, and lack of motivation for personal hygiene measures. Furthermore, the results indicated that gargling with mouthwashes composed of unique antiseptic agents may play a minor role in potentially reducing transmission rates, and therefore these findings are of utmost importance when considering alternative COVID-19 prevention strategies.
Left-dominant arrhythmogenic cardiomyopathy in a Fila Brasileiro dog
Authors: Belerenian Guillermo , Donati Pablo , guez Cristian , Castillo V , Guevara Juan , Olivares Roberto
Published: August 2022

Background: In human medicine, arrhythmogenic left ventricular cardiomyopathy was described as a primary disease of the heart characterized by fibroadipose replacement of the myocardium.
Case Description: We report the case of a dog, with history of syncope and irregular cardiac rhythm. Electrocardiogram, echocardiography and a 24-hours Holter monitoring showed, respectively, presence of premature ventricular complexes with right bundle branch block morphology, increase of the left ventricle end‐diastolic diameter with preserved fractional shortening and ejection fraction, and a sinus arrhythmia as baseline rhythm with supraventricular tachycardia episodes and ventricular complexes with left bundle branch block morphology. After the death of the canine, postmortem examination showed cardiomegaly. Fibroadipose replacement of the septum and both ventricles, with left ventricle myocardial fibrosis, suggestive of a previous necrosis, was observed.
Conclusion: These findings are suggestive of a left-dominant arrhythmogenic cardiomyopathy which, to the best of our knowledge, has not been described in veterinary medicine.
Establishment of “Retinoblastoma center” in A Tertiary Eye Care Center of Bangladesh – A New Hope for Retinoblastoma Patients
Authors:   Head of Orbit & Oculoplasty & Ocular Oncology Department, Chittagong Eye Infirmary & Training Complex, Zakir Hossen Road, Pahartali, Chattogram – 4202, Bangladesh, Soma Rani Roy
Published: August 2022

Retinoblastoma is the most common primary intraocular tumor in children with an incidence of 1:16,000 to 18,000 live birth. Worldwide newly detected cases per year are about 8000 and in India above 1400. It represents 11% of cancer that develops in the first year of life. The revolutionary management strategy has increased the survival rate of retinoblastoma above 95% in developed countries, and this rate is the highest among all pediatric cancers. But still, it is deadly cancer worldwide. Survival from retinoblastoma based on income >90% vs. 40% (in high to low-income countries). The incidence of metastasis is more in lower-income countries (32% vs. 12% in middle-income). Notably, Forty-three percent of the world’s estimated cases reside in only 6 countries in Asia (China, Indonesia, Philippines, India, Pakistan, and Bangladesh). The mortality rate varies on different continents. Worldwide estimated death from retinoblastoma is more than 40%, and most of them are from Asia and Africa. Bangladesh is one of the developing countries in the South-East Asia region, and retinoblastoma constitutes 83% of all pediatric cancer under 4 years of age. For proper management of retinoblastoma with an international standard, the establishment of a retinoblastoma center consisting of ocular oncologist, clinical oncologist, radiation oncologist, pediatrician, oculoplastic surgeon, retina specialist, pediatric ophthalmologist, and ocularist is needed. Management includes proper diagnosis, treatment of the disease, genetic counseling, regular follow-up, rehabilitation of survivors, and screening of siblings. Chittagong Eye Infirmary & Training Complex is a tertiary eye care center and one of the referral centers of Bangladesh and is treating retinoblastoma since its inception. Due to the demand of time, the hospital has been reorganized with various facilities to serve retinoblastoma patients with a team approach in 2017. From January 2017 to March 2022, a total of 304 patients were diagnosed. Among them, 132 received vincristine, etoposide, and carboplatin (VEC) chemotherapy from this center, and 79 underwent enucleation with the long optic nerve. Besides treatment, the hospital is conducting sibling screening, visual and psycho-social rehabilitation for the RB survivors, and community awareness programs.
Scenario of Retinoblastoma Among Bangladeshi Children – A Single Center Experience of 10 Years
Authors:   Head of Oculoplasty & Ocular Oncology dept, Chittagong Eye Infirmary, Chattogram, Bangladesh, Soma Rani Roy , Murtuza Nuruddin ,   Consultant and Academic director, Chevron Eye Hospital & Research center, Chattogram, Bangladesh, Ali Asgar ,   Assistant Professor, Radiotherapy dept. Chittagong Medical College Hospital, Bangladesh
Published: August 2022

Background: Retinoblastoma is the most common intraocular tumor of childhood and most detected cases are from Indian subcontinent. Here we explore the presentation of retinoblastoma with its histopathological features and treatment outcome in a tertiary eye care center in Bangladesh.

Method: This was a retrospective study of 70 eyes of 60 patients in a ten years period from 2006 to 2016 who had met the criteria regarding demographic profile, clinical presentation, management and histopathology. Tumor was classified based on IIRC (International Intraocular Retinoblastoma Classification) for intraocular tumor and IRSS (International Retinoblastoma Staging System) for extraocular tumor by reviewing the data revealed from EUA, imaging and histopathology.

Result: The mean age of presentation was (Table 1) 31.3 ± 21.68 months, range was 4 months to 96 months and the most frequent presenting age was 12 months. Fifty three percent of children presented between 13 months and 59 months. Mild male predominance was 53.3% (n = 32). Unilateral cases were 71.3% (n = 43) and 6.7% (n = 4) of patients had positive family history. The most common presenting sign was leucocoria (85%) followed by strabismus (18.3%) and proptosis (13.3%). Fifty five (91.6%) children presented with intraocular tumor and 64.9% were with Group E. Enucleation (91.6%) was the prime treatment modality and histopathological risk factor was positive in 51.7% cases among 63.3% cases of primary enucleation. Fifty percent of treated children were in regular follow up.

Conclusion: Most children presented delayed and prime treatment modality was enucleation. Only half of the patients were in regular follow up. Generation of awareness, proper referral, information regarding treatment availability and early detection of cases can increase the survival rate and globe salvage.
An Investigation Into the Impact of COVID-19 on the Academic Performance of Students in Higher Education Institutions in Namibia
Authors:   Department of Management Science, Namibia University of Science and Technology, Windhoek, Namibia, Angula Nikodemus ,   Department of Management Science, Namibia University of Science and Technology, Windhoek, Namibia, Schroeder Amanda , Beukes Lindie ,   Department of Management Science, Namibia University of Science and Technology, Windhoek, Namibia, Olivier Deoni ,   Department of Management Science, Namibia University of Science and Technology, Windhoek, Namibia, Du Plessis Sandra ,   Department of Management Science, Namibia University of Science and Technology, Windhoek, Namibia
Published: August 2022

This study aimed to investigate the impact of COVID-19 on the academic performance of students during emergency remote teaching and learning in higher education institutions in Namibia. This study used qualitative methods, meaning qualitative data were collected and analysed using interpretive techniques. This study employed a case study research design as a single unit of analysis. In this case study, the fourth-year NUST students were the participants. This study used semi-structured interviews to collect qualitative data to establish the experiences and views of honour students’ self-regulation learning skills during emergency remote teaching and learning and how it affected their academic performance. The study participants were 30 honour students who provided information regarding their experience and views influence of COVID-19 on the academic performance of students in higher education institutions in Namibia during emergency remote teaching and learning. The study findings were that most students were facing the challenges of not having devices to participate in online teaching and learning. Some students do not know how to use gadgets to learn, and network coverage was the main issue for some students, such as network data and self-teaching or learning. In addition, some students stated that there was a lack of Internet access for online classes that lack commitment and self-discipline for many students because they know that they do not write the examination on their respective campuses. This study recommends that higher education institutions in Namibia use parallel hybrid teaching and learning of both online and face-to-face modes of teaching and learning.
The Study of Clinical Profile of Acute Kidney Injury in COVID-19 Patients
Authors:   Nephrology Department, SAIMS Indore, MP, India, Shraddha Goswami , Mohit Mahajan ,   Nephrology Department, SAIMS Indore, MP, India, Naresh Pahwa ,   Nephrology Department, SAIMS Indore, MP, India, Vijay Malviya ,   Department General Medicine, Consultant ESI Hospital Indore, India, Vishnu Shukla ,   DM Resident, SAIMS Medical College, Indore, India, Trishala Chhabra ,   DM Resident, SAIMS Medical College, Indore, India
Published: August 2022

All prior studies have demonstrated that acute renal damage in People who have the coronavirus disease of 2019(COVID-19)areoftendiagnosedandhaveadismalprognosis.AcuterenalinjuryinCOVID-19patientshasnot been well reported in developing countries like India. Examining the clinical traits, biochemistry, and prognosis of acute kidney injury (AKI) in COVID-19 patients is the aim of this article. Methods: The Department of Nephrology at the Sri Aurobindo Medical College and Graduate Institute (M.P.) in Indore, India, conducted this study from April 1, 2020, to January 31, 2021. We examined 130 COVID-19 cases of AKI recorded by SAMC & PGI in Indore. Included 18-year-old and older COVID-19 patients veriﬁed by real-time reversepolymerasechainreaction(RT-PCR).Theterm“sepsis”wasemployedinitsconventionalsense.TheKidney Disease Improving Global Outcomes (KDIGO) guidelines of AKI were adhered to. Patients under the age of 18 undergoing renal replacement therapy for CKD in stages I to IV and ESRD were not eligible. Results: A total of 12,438 COVID patients were admitted to our hospital during this period. The incidence of AKI was 1.04% (130). The mean age was 51.2 years. The male-to-female ratio was 1.4:1 (76:54). Commonest symptoms were fever in 71.5% (93) of patients, headache in 62% (81) of patients, and cough in 51.5% (67) of patients, followed bybreathlessnessin37.5%(49)patients.Thetypicalcreatininevaluesatthetimeofadmissionwerewere3.57mg/dl. AKIstage1wasseenin30%(39)cases,stage2in45.5%(59)cases,andstage3in24.5%(32)cases.Themostcommon aetiology was sepsis in 65% (84) and drugs in 14% (18). T2DM was the most common comorbidity in 42% (55) of patients, HTN in 41.5% (54) of patients, Coronary Artery Disease (CAD) in 9.2% (12) of patients, and malignancy in 5% (7) of patients. Oxygen by nasal mask/nasal prongs was required in 59% (77) of patients, BIPAP in 16% (21) of patients, and ventilatory support in 12.5% (16) of patients. The average hospitalization was 12.3 days. Dialysis was required in 16% (21) of patients. Notably, 87% (113) of patients recovered completely, and 13% (17) of patients expired. The majority of patients had elevated inﬂammatory markers. Erythrocyte sedimentation rate (ESR) and Creactive protein (CRP) were elevated in 81% (105) of patients, and ferritin was raised in 71% (92) of patients. Conclusion: Hospitalized COVID-19 patients commonly get AKI, which is associated with a poor prognosis and high mortality. In COVID-19 patients, increased inﬂammatory markers, type 2 diabetes, sepsis, older age, and male sex were the main risk factors for developing acute renal injury.
Implications in the educational process of a municipality of Amapá, in the Sars-Cov-2 pandemic
Authors: Corrêa Naeli Gomes , Brito Andrielly Lobato , Soares Sandy Barbosa da Silva , Santos Mayssa Girlayne Neves dos , Fonseca Lorrane Caroline Pinheiro da , Maciel Cátia Cilene Lopes , Silva Marlucilena Pinheiro da , Menezes Rubens Alex de Oliveira
Published: August 2022

The interruption of face-to-face classes and their consequent replacement by non-face-to-face activities subsidized by digital means, aiming to reduce the spread of the virus, so that primary and secondary education continued online. The study aims to characterize the impacts and challenges on access to education from the perspective of teachers from a municipality in the State of Amapá, in the Sars-CoV-2 pandemic. This is a cross-sectional study, and two schools were selected, one private and the other public. Regarding the adaptation to remote teaching, teachers evidenced problems related to the below involvement of students during classes, quality of internet connections, increased workload, which generated overload, and knowledge in the use of support tools for teaching-learning. It was evidenced that the teaching process learning for teachers in the remote modality, caused the work overload to be increased and became even more difficult, due to the need to understand and possess skills in the handling of digital technologies, so that classes were continued, in which they often did not have guidance/training of these tools.
Cuidados de enfermagem ao paciente submetido a transplante cardíaco: revisão integrativa
Authors: Lohn Vitória Letícia , Flores Fátima de Lourdes Klaus , Alves Brenda Gonçalves Donay
Published: August 2022

Objetivo: Analisar a produção científica dos enfermeiros acerca dos cuidados de enfermagem ao paciente submetido ao transplante cardíaco. Método: Revisão integrativa, com levantamento de artigos dos últimos 10 anos indexados na bases de pesquisa SciELO, LILACS e BVS, nos idiomas inglês, português e espanhol. Resultados: Os estudos mostram que o enfermeiro é de suma importância para o processo do transplante cardíaco, seja no pré, trans e pós-operatório. Ainda nota-se baixa adesão dos profissionais á produção de artigos e bibliografias. Conclusão: O TxC é um procedimento de alta complexidade, que necessita de acompanhamento de uma equipe multiprofissional, sendo o enfermeiro o profissional que estará próximo do paciente em todas as etapas do procedimento. Esclarecendo suas dúvidas quanto aos procedimentos, no controle da ansiedade e inseguranças, orientando os familiares e o próprio paciente quanto as mudanças no estilo de vida, transmitindo confiança e segurança para ambos.
Definições legais acerca da doação de órgãos e tecidos no Brasil: uma revisão de literatura
Authors: Pereira Elza Messias dos Santos , Da Cruz Gabriel Freire Gadelha
Published: August 2022

O Brasil é referência em transplantes de órgãos e tecidos no cenário internacional, no entanto, o número de doações em relação ao número de mortes encefálicas ainda é escasso devido às negativas familiares no que tange à burocracia jurídica envolvida no processo. A intenção do estudo é compreender o impacto e a viabilidade da flexibilização da legislação na disponibilidade de órgãos para transplante e na redução da espera.
Aspectos motivacionais na carreira esportiva de atletas de voleibol feminino de base
Authors: Lorscheiter Tiago Andrei , Rother Rodrigo Lara
Published: August 2022

Introdução: Descobrir o porquê de um indivíduo praticar uma atividade física é de extrema importância pois, com o poder dessa informação, aumentam-se as possibilidades de abranger mais praticantes para determinada atividade física, além de auxiliar na manutenção e melhora da sua qualidade de vida. Objetivo: Identificar o motivo de atletas femininas de voleibol de base ingressarem, manterem-se praticando voleibol e também quais são suas perspectivas de futuro junto a modalidade. Metodologia: Participaram da pesquisa 37 atletas de base, dos 12 aos 18 anos. Para a coleta de dados usou-se a ferramenta questionário EMPE-Escala de Motivos para Prática Esportiva, além de mais três perguntas abertas relacionadas ao ingresso no esporte e também as expectativas futuras. As respostas foram coletadas através de formulário do Google Forms, que  foram tabuladas, estratificadas por idade e analisadas em planilha do Excel. Resultados: Foram encontrados nos fatores motivacionais de ingresso grande influência familiar e iniciativa própria das atletas. Já nos fatores motivacionais de permanência as maiores questões influentes foram as relacionadas a saúde e ao aperfeiçoamento técnico. Ainda, ao analisar as perspectivas futuras no voleibol, as atletas mais velhas ficaram divididas entre seguir carreira profissional e não saber certamente o que quer no futuro, porém, as atletas mais jovens, em sua maioria, afirmaram que pretendem tornar-se atletas profissionais. Conclusão: Conclui-se através da pesquisa que para ingressar no voleibol, as atletas contaram com o auxílio da influência familiar e da iniciativa própria, já para se manter treinando a modalidade elas elegeram como mais importantes os fatores ligados a saúde e aperfeiçoamento técnico, e como perspectivas futuras, metade das mais velhas afirmaram querer seguir no voleibol como profissional e outra metade informou não saber o quer no futuro, e as mais novas, em sua maioria confirmou que quer ser atleta profissional.
A eticidade do palhaço de hospital na dinâmica do cuidar
Authors: Silva Maria José Araújo da , Saraiva Ana Maria Pinto
Published: August 2022

A Humanização hospitalar constitui-se como um tema atual e fundamental no âmbito dos cuidados de saúde. Enquanto processo que assenta no respeito pela dignidade e valorização da vida humana, inclui competências pessoais, sociais, educacionais, relacionais e éticas (Howard, 1975), constrói-se e transforma-se em relações de confiança e positivas, de forma (inter)ativa e dinâmica, e alicerça-se numa cultura de qualidade inscrita no modelo holístico da saúde. Este artigo visa explorar a intervenção dos Doutores Palhaços (DP) enquanto agentes de humanização e as suas relações com a ética do cuidar.
Aspectos da sexualidade no curso gestacional: intervenção do enfermeiro pré-natalista
Authors: Souza Viviane Noriko , Carvalho Geraldo Mota de , Vieira Rosemeire dos Santos , Camiá Gislaine Eiko Kuahara , Soares Lenir Honório , Régio Luciane
Published: August 2022

Objetivo: compreender como gestantes vivenciam sua sexualidade durante o período gravídico e identificar fatores interferentes e mudanças de comportamento na atividade sexual do casal. Método: pesquisa exploratória e descritiva, com recursos de análise qualitativa, desenvolvida com 20 gestantes, entre 18 e 42 anos de idade e idade gestacional entre 15 e 38 semanas. Os dados foram coletados de julho a dezembro de 2019, por meio de entrevista semiestruturada e, submetidos à análise segundo o referencial de Bardin. Resultados: a partir da análise dos discursos emergiram três categorias: Vivência da sexualidade durante a gestação; Percepções sobre o desejo e o comportamento sexual do parceiro; e Influência da assistência pré-natal na atividade sexual dos casais. Considerações Finais: é relevante que os profissionais pré-natalistas possam esclarecer dúvidas do casal sobre a temática da maneira mais clara possível, contribuindo para a vivência saudável da sexualidade durante a gestação.
Avaliação clínica e epidemiológica do descolamento precoce de placenta em adolescentes no estado do Rio Grande do Sul: uma análise entre 2009 e 2020
Authors: Martini Eduardo Beltrame , Rossetto Bruna , Aquino Daniela Witz
Published: August 2022

Introdução: O descolamento precoce de placenta (DPP) se caracteriza pela separação prematura do útero de uma placenta implantada. Considerando que uma gravidez na adolescência aumenta muitos riscos para a gestação, o DPP é uma importante etiologia de morbimortalidade perinatal entre adolescentes. Objetivos: Analisar os perfis epidemiológicos do DPP em adolescentes, no Rio Grande do Sul (RS), entre os anos de 2009 a 2020. Metodologia: Estudo epidemiológico, cujas informações contidas foram obtidas por meio de uma revisão da literatura e de uma coleta no banco de dados do DataSus, sobre os quadros de DPP em adolescentes no Rio Grande do Sul. Resultados: Observou-se, no presente estudo, maior prevalência de DPP em mulheres caucasianas, entre 15 e 19 anos. No período avaliado, registrou-se um total de 773 internações, com a média de permanência de internação de 3,9, variando conforme a idade. A totalidade de gastos governamentais foi de R$ 592.041,97. Conclusões: A gravidez na adolescência relaciona-se com elevados riscos de desfechos adversos, sendo, a DPP, uma dessas complicações. Diante do elevado índice de internações por tal patologia no RS, entende-se a importância em definir populações prioritárias para intervenções precoces que permitam reduzir os desfechos negativos.
Tumor complejo intramuscular de antebrazo: a proposito de un caso
Authors: Díaz Juan Carlos Escudero , Yuan Chu Long , Mardones Gilberto Grau , Bustamante Ricardo Ríos , Acevedo Andrés Valenzuela , Leyton Diego Martinez
Published: August 2022

Introducción: Los tumores de origen adiposo, son los más frecuentes en partes blandas .En ocasiones puede ser un desafío clínico por su gran tamaño, localización profunda y posibilidad de confusión diagnóstica con procesos de naturaleza maligna. Un tipo específico tumoral es el Lipoma Intramuscular. Este puede simular un sarcoma de partes blandas por sus características. Su conocimiento es fundamental para el correcto manejo. Objetivo: El propósito de este reporte es presentar el caso clínico de una mujer ,     62 años ,con diagnostico confirmado de lipoma intramuscular en antebrazo. Se describe presentación clínica, examen físico, diagnósticos diferenciales ,manejo terapéutico y complicación postquirúrgica. Presentación Clínica: Paciente presenta cuadro de dolor persistente en antebrazo izquierdo de  4 meses de evolución. Sin antecedentes de trauma. El examen físico revela aumento de volumen difuso de partes blandas en región proximal cara anterolateral de antebrazo izquierdo. Sin déficit neurológico . Intervención y Resultado: Se estudia paciente inicialmente con radiografía simple de codo , sin destacar lesión ósea destructiva, sólo evidencia aumento de densidad de partes blandas en región descrita. Ecotomografía de partes blandas revela  masa bien delimitada, ovalada y ecogénica de  6.2 x 4.3 cms en el espesor del músculo braquiorradial,  compatible con estirpe lipomatosa. No tolera estudio de imágenes  adicional, por tanto, ingresa paciente para excisión completa de la masa. Biopsia diferida  post operatoria confirma tumor de estirpe adiposa : Lipoma Intramuscular.  Conclusión: El lipoma intramuscular es infrecuente dentro de los tumores de origen adiposo. Su localización, crecimiento, tamaño e infiltración,  pueden llevar a confusión diagnóstica. Si bien se recomienda estudio con resonancia  magnética, en este caso , el paciente no toleró dicho examen , de tal forma el rol de la ecotomografía  de partes blandas es fundamental. Este caso nos muestra que el conocimiento de la existencia del lipoma intramuscular es fundamental para su correcto tratamiento.