bluuebunny/crossref_metadata_2025 huggingface dataset:
STUDY OF THE PATIENTS WITH LOWER MOTOR NEURON TYPE FACIAL NERVE PARALYSIS IN TERTIARY HEALTH CARE CENTER.
Authors: Paikrao Yogesh , Kumar Duveep
Published: January 2024

Facial paralysis happens when your facial nerve becomes damaged. This results in weakness, droopiness and a loss of
facial movement on one side (unilateral) or both sides (bilateral) of your face. Facial nerve damage can occur for several
reasons, including infection, trauma or stroke. It can also occur without a known cause, which is referred to as Bell's palsy. Face paralysis may
complete or partial and can be temporary or permanent. The role of facial nerve to mirror the human character and expression was rst described by
Sir Charles Bell in 1821.
RED CELL ALLOIMMUNIZATION IN MULTI TRANSFUSED ONCOLOGY PATIENTS IN A TERTIARY CARE HOSPITAL
Authors: Unni Harsha , D Meena
Published: January 2024

Introduction: Blood transfusion is an integral part of multifaceted therapy in oncology patients owing to the intense
marrow suppression resulting from chemotherapy, radiotherapy, or disease pathology. Transfusion dependence exposes
these patients to consequences of blood transfusion including alloimmunization against one or more red cell antigens. Alloimmunization can
result in delayed hemolytic transfusion reactions on subsequent transfusion of antigen- positive donor RBCs. Objectives: To assess the factors
and their association with the development of antibodies in multiple transfused individuals. Materials & Methods: A hospital-based
Descriptive Study was conducted among 100 multi-transfused oncology patients. All oncology patients aged above 18 years who had received ≥
2 packed red blood cell transfusions were included, and post-hematopoietic stem cell transplant patients were excluded. After obtaining
informed consent, blood grouping, Rh typing and antibody screening were performed on all blood samples. Antibody identication of screening
positive samples was done using a commercial 11-cell panel of reagent red cells (BioradID Dia-panel). The statistical analysis was done using
SPSS version 22.0 software. In the study population, only 1% of multi-transfused oncology patients Results: developed alloimmunization. The
association of alloimmunization with the total number of transfusions (p value = 0.017) and, the cumulative number of PRC and PC transfusions
(p value = 0.045) is statistically signicant in this study. The mode of cancer treatment undergone by the patient also has a signicant association
with the total number of transfusions received by the patient. The rate of alloi Conclusion: mmunization is low (1%) in multi-transfused
oncology patients. Routine pretransfusion antibody screening before crossmatching on patient blood samples should be mandated as part of
pretransfusion testing in multi-transfused patients to ensure transfusion safety.
COMPARISON OF WHITENING TOOTHPASTES ON ENAMEL ROUGHNESS AND MICRO-HARDNESS - AN INVITRO STUDY
Authors: Navalagunda Preeti S , Prasad B. S. Keshava , G S Tarun , G Shetty Rashmi , Umesh Sahana
Published: January 2024

Objective: The growing demand for an enhanced aesthetic appearance has led to the development of whitening products
in the market. The whitening effects are usually achieved by incorporation of bleaching and abrasive components. An
ideal whitening toothpaste should remove stains effectively, with minimal effect on tooth structure. This study was done to evaluate the effects of
different whitening toothpaste on enamel roughness and micro hardness. 24 human premolar Methodology: teeth were collected for this study
and then randomly divided into 3 groups (n=8) Group I: Whitening toothpaste containing peroxide, Group II: Whitening toothpaste containing
abrasives, Group III: Regular toothpaste. Tooth brushing was performed for 30 days and then subjected to surface roughness (Ra) and micro
hardness test. There were statistically signicant differences in e Results: namel roughness which had increased after 1 month equivalent tooth
brushing between three groups. There were signicant differences in enamel micro hardness values for all groups which showed a decrease in
micro hardness. Brushing teeth with whitening toothpaste for an extended period of time Conclusion: increases enamel roughness and decreases
enamel micro hardness, increasing the risk of caries.
UNCOMMON PRESENTATION OF MOLAR PREGNANCY MIMICKING TUBAL ECTOPIC PREGNANCY: A CASE SERIES
Authors: Choudhary Shaista Mehtab , Salian Harshit Hemant , Choudhary Shazia
Published: January 2024

This case report describes a rare presentation of molar pregnancy initially misdiagnosed as a tubal ectopic pregnancy. The
patient presented with clinical and imaging ndings consistent with tubal ectopic pregnancy, leading to a challenging
diagnostic process. Subsequent pathological examination conrmed the presence of a complete molar pregnancy within the fallopian tube. This
case highlights the importance of considering molar pregnancies in the differential diagnosis of ectopic pregnancies, particularly in instances
where clinical and imaging features deviate from the typical presentation.
OBSERVATIONAL ANALYSIS OF STEREOTACTIC BIOPSY AT A PERIPHERAL NEUROSURGERY CENTRE: SHARING AN EXPERIENCE
Authors: Gupta Darpan , Carvalho A S , Srivastava Chinmaya , Sudharshan Kola
Published: January 2024

Background: Stereotactic biopsy is a minimally invasive technique of surgical intervention for tissue diagnosis which is
being used for deep seated tumors not easily accessible. Stereotactic biopsy is a three-dimensional cartesian coordinate
system with software amalgamation used for localising lesions in the brain. This facility has recently been added at our peripheral set up about a
year ago. This is observational study including eight patients with ten biopsy s Methodology: amples with denitive diagnostic yield. Ten Results:
biopsy samples were obtained from the eight patients; the results were positive in all. In two patients, two samples were obtained from two
different area of the brain. Conclusion: Stereotactic biopsy is a safe procedure for deep seated lesions providing a good diagnostic yield. It can also
help in multiple lesions in the same individual.
GASTRODUODENAL INTUSSUSCEPTION- A PICTORIAL CASE SERIES
Authors: Gupta Manu , Yadav Arzoo , Kumar Mishra Hemant
Published: January 2024

Intussusception is dened as an invagination, or telescoping of the full thickness of a portion of the alimentary tract
(intussusceptum) into the portion just cephalad or caudad (intussuscipiens). We have reported 3 cases of gastroduodenal
intussusception, it is an unusual location of intussusception. the diagnosis can be conrmed using multimodality radiological approach: Barium
meal follow through, Ultrasonography, Computed tomography. Computed tomography is the superior modality amongst them as avails us
information about lead point complications associated with it.
STUDY OF LIPID PROFILE AND RBS IN CHRONIC SCHIZOPHRENIA PATIENTS WHO ARE RECEIVING TREATMENT AND WHO ARE NOT
Authors: Carpenter Krishna Kumar , Mansoori Abdul Sajid , Pandey Renu
Published: January 2024

Introduction Schizophrenia is really one of the most perplexing but disabling of all brain diseases, with its severity and
persistency of psychotic manifestations accompanied by means of variable cognitive dysfunction and profound
psychosocial impairment. Abnormalities in glucose regulation have been reported in schizophrenia before and after the introduction of
antipsychotic medications. Patients with schizophrenia have higher levels of serum lipids (cholesterol and triglyceride) than a healthy population
Aim To study lipid prole and RBS in chronic schizophrenia patients who are receiving treatment and who are not. Material and methods
Overall, 200 subjects of both the sexes had been enrolled in the study. 100 subjects having chronic schizophrenia for over 2 years had been
evaluated. Subjects having history of psychiatric illness, substance abuse, mental retardation, dementia as well as delirium were excluded from
the study. Pregnant as well as lactating females were also not included in the study Results There is no statistically signicant difference in the
blood parameters of with treatment schizophrenic patients and without treatment schizophrenic patients. Conclusion It was concluded that
impairement in metabolic parameters causes signicant morbidity and mortality in schizophrenic patients. There is no signicant difference in
the metabolic parameters of with treatment and without treatment schizophrenia patients
PANCHAVALKAL KWATH YONIDHAVAN IN SHWETA PRADAR -A REVIEW STUDY
Authors: Kumari Mamta , Kumari Neelam , Kumari Prabha
Published: January 2024

Shwetapradar is correlate in modern science with leucorrhoea, leucorrhoea means Leuco= white, rrhoea-discharge i.e.
white discharge per vagina. Discharge may be watery, thick curd, greenish, Whitish. It is a common symptom in woman
particularly in the reproductive age group. It is causes due to change in life style, like junk food, fast food, Dincharya ,ratricharya is not suitable
according to life .Cervical cancer, reproductive tract infection including STD(Sexually transmitted diseases) Panchavalkal is one of the
commonest therapies for shwetpradar and cervical erosion . It is used in antibacterial, antifungal and anti-inammatory in gyneacological practice
and also has been documented in recent times by research of biological science to have remarkable antibacterial and anti-inammatory activity
hence a conceptual type of study of panchavalkal kwath, yonidhavan in shwetpradar was conducted.
'DOT IN CIRCLE SIGN' – A SONOGRAPHIC CLUE TO MUSCULOSKELETAL MYCETOMA
Authors: Ambroise Marie Jennifer , Pany Preeth , Manuel Joseph , Phansalkar Manjiri
Published: January 2024

Mycetoma is a chronic granulomatous disease, most commonly affecting the foot. A diagnosis of mycetoma should be
considered in a patient with a swelling that is present for a longer duration. This case report highlights the importance of
ultrasound in diagnosing musculoskeletal mycetoma with the knowledge of the characteristic 'Dot in Circle' sign on ultrasound, as an MRI is not
always available and is expensive for a common man, thus helping the radiologist and the clinician to arrive at a diagnosis at an early stage, thereby
avoiding misdiagnosis or neglect and thus avoiding the consequence of subjecting the patient to the progression of the disease, leading to
disability
Assessment of Seed Quality Loss of Soybean under Existing Threshing Methods
Authors: Tujuba Chaluma
Published: January 2024

Quality seed production is an important pre requisite for the agricultural production. Soybean seeds are susceptible to mechanical injury due to its very thin seed coat which mediated damage during post-harvest handling. This injury leads to deterioration during storage. Threshing is an important postharvest operation. The purpose of this investigation was to evaluate the effects of different threshing methods (mechanical, Tractor, Stick, Cattle) on soybean seed quality. The results showed significant differences among threshing methods on soybean seed quality. The seeds sampled from stick beating threshing method recorded 88.5 percent germination (normal seedling) followed by seeds sampled from cattle threshing (77.5 percent). The lowest germination of 69.5 per cent was recorded by tractor threshing method. From this study, it could be inferred that among threshing methods, beating with sticks recorded less mechanical damage and maximum germination.
Resistance Evaluation of Gurage Coffee Accessions Against Coffee Berry Disease (Colletotrichum Kahawae Waller and Bridge)
Authors: Amare Dereje , Daba Gerba
Published: January 2024

Coffee Arabica is an important crop in the national economy of Ethiopia. Coffee berry disease (CBD), coffee wilt disease (CLD) and coffee leaf rust (CLR) are the most important coffee diseases in the country. Development of coffee cultivars for different localities having a character of diseases resistant, high yielding and quality coffee is important. Previous research works have little effort to provide varieties that are suitable for Gurage zone southern parts of Ethiopia. Hence, this study was carried out to evaluate Gurage coffee accessions against CBD. Evaluations of Gurage coffee accessions were conducted under field by Attach Berry Test and laboratory by Detach Berry Test methods in Randomized Complete Block Design and Completely Randomized Design, respectively in 2018. The study result indicated that Gurage coffee accessions Gu-18, Gu-1 and Gu-4 had lower CBD infection level in both field and laboratory experiment, which was 5.4, 8.29 and 11.37 and 32.5, 45.0 and 25.8 %, respectively. Those coffee accessions that showed low level of infection are an opportunity for further breading research work and could be the best alternatives to CBD management particularly for the study area. Future research should focus on evaluating the promising Gurage coffee accessions in seedling inoculation test and in multi-location field trials for several years.
Agronomic Performance and Grain Yield Stability of Elite Field Pea (Pisum Sativum L.) Genotypes Tested at Various Potential Growing Environments in Ethiopia
Authors: Argaye Sisay , Tadele Mesfin , Tilahun Nigat
Published: January 2024

Field pea is a multipurpose crop. Despite its diverse benefits, its production and productivity in Ethiopia has remained low compared to its potential due to several biotic and abiotic constraints. Hence, this experiment was carried out with the objective to select best field pea genotypes in terms of yield potential, stability, pest resistance and other desirable agronomic traits for high potential production areas of the country. A total of 17 field pea genotypes including two standard checks, Burkitu and Bursa were arranged in a randomized complete block design with four replications over nine locations in 2019 and 2020 main cropping seasons. The computed analysis of variance showed highly significant differences (p < 0.01) among the genotypes for all studied agronomic traits. One field pea genotype, GPHA-38 found better having 4 and 5%grain yield advantage over the two checks, Bursa and Burkitu, respectively. Additionally, GPHA-38 had comparable performance on the other agronomic traits with standard checks. Moreover, this genotype was found stable in grain yield among the test entries based on GGE biplot stability analysis. However, this genotype may not fulfill the criteria to present as candidate for variety verification trial due to low grain yield advantage and other agronomic traits compared with the checks. Therefore, considering its consistent performance and relatively better yielding capacity, the line GPHA-38 can alternatively be used as a trait donor parent in the pre-breeding programs.
The Role of Gender in Agricultural Development and Food Security: The Case of Halaba and Gedeo Areas of Southern Ethiopia
Authors: Gebretsadik Teklu , Alemu Tsadiku , Fola Mulugeta
Published: January 2024

Although the role of gender play a great role in the livelihoods of greater portion of rural households in the study area, the participations level on the activities of the agricultural production is little focused. This study, therefore was designed to assess gender participation and integration constraints in Gedeo and Alaba Zones in southern Ethiopia. The study was designed in cross sectional design. The data were collected in two zones, 3 woredas, and 8 rural kebeles. Samples who randomly selected were 86 men and 69 women farmers a total 155 farmers were selected so as to collect the required data through triangulation of different tools, which are key informants interview, focus group discussion and household survey and the data was analyzed using descriptive statistics, participation index scoring and ordered logit analysis. Based on the data analysis result frequency of men and women participation in selected agricultural practices were computed. There were six gender participation factors evaluated in descriptive statistical tools, based on the respondents, 118(76.2%) respondents believed that community norm can affect the participation of gender in agricultural practice and 1(0.6%) respondent believed that cultural norms couldn’t affected by community norm. The average task share of the household is 30%, 15%, 43% and 12% for men, boy, women and girl, respectively. Women and men performed larger share of the gender role in rural household as compared to boys and girls. The reproductive work of women in the household covered 67% of the total household care work. Generally the gender participation index was 73.8 which indicated that the gender participate on all agricultural activities but concerning to women it needs effort to amend the factors affecting women participation. Even though the gender role of boys and girls in selected agricultural commodities is very low, they were highly engaged in their academic persuasions in school and at home. According this statistical result household members spent agricultural labor hour in differently, as converted this labor share in to daily labor hours indicated that women, men, boys, and girls are spending 10, 7, 4 and 3 hours per day on average, respectively. Results obtained from the ordered logit model indicated that institutions, awareness level, opportunities to agricultural extension, credit access, education level and land size showed positive significant relationship with their gender participation in farming activities Women are just as efficient agricultural producers as men and can achieve similar yields when given access to resources, including training and services. Therefore, increasing the opportunities for women and youths can have a powerful impact on productivity and agricultural-led growth and are recommended for better rural development.
Factors Influencing Participation Decision of Smallholder Farmers on Cluster Farming: The Case of Wheat Technologies in Dawoo District, South-West Shewa Zone, Oromia Region, Ethiopia
Authors: Milkias Dawit , Beri Gemechu
Published: January 2024

Wheat is the most widely grown cereal crop in the world, with an ever-increasing demand. It plays a fundamental role in food security, and a major challenge is to meet the additional requirements with new cultivars and improved cropping technologies. This research evaluated the determinant factors influencing participation decisions of smallholder farmers in wheat cluster farming at Dawo District South-West Shewa Zone Oromia region. Dawo District was purposefully selected from the South-West Shewa Zone due to its wheat potential agro-ecological area and implemented wheat cluster farming. Based on the proportion of PAs that undertake cluster farming, four PAs were selected. Then using stratified random sampling PAs stratified into two strata: These are Wheat cluster farming and wheat non-cluster farming participants. In total, 138 (participants 92 and non-participants 46) respondents were selected using systematic random sampling. The binary logistic regression results revealed that the education level of the household head, wheat farming experience of the household head, landholding size, distance to extension services, membership to cooperative, and access to credit services were the variables that significantly affected participation decision of smallholder farmers in wheat cluster farming. Therefore, the research results recommend the need for continued and broad public and private awareness creation in agricultural innovations participation to address vital development challenges and the need for policy support for improving extension efforts and access to the full package for cluster implementation among smallholder farmers that stimulate participation decision on cluster farming of improved agricultural technologies.
Faults and Solutions for Smart Traffic Lights
Authors: Ahmad Muhammad Baballe , Musa Umar Farouk , Ohiani Yakubu Abdulkareem , Abimbola Mustapha Babatunde
Published: January 2024

Ambulances, fire departments, and police cars are examples of emergency vehicles (EVs) that greatly benefit communities by saving lives and deterring theft and criminal activity. Automatic control systems are a novel kind of advanced system that function as a driving system using hardware controllers and computers. We require automatic adaptive controllers to manage the traffic light system's open and shut functions since an increase in the number of cars while maintaining the same infrastructure led to a significant traffic issue. In addition to the difficulty emergency vehicles have reaching their location due to traffic congestion caused by heavy cars, traffic problems also include red-light traffic violations, which typically result in accidents on the roadways. Traffic conditions worsen as a result of more cars on the road, making it more difficult to make room for emergency vehicles like ambulances, rescue fire engines, and emergence vehicles. An IoT sensor-based system that detects the arrival of an ambulance at the hotspots using the signals the ambulance sends out can be built to prevent problems waiting for traffic signals in an emergency. The system would then maintain the signals appropriately.
Advantages of Automated License Plate Recognition Technology
Authors: Ahmad Muhammad Baballe , Musa Umar Farouk , Dahiru Muntaka , Abimbola Mustapha Babatunde
Published: January 2024

Automatic Number Plate Recognition (ANPR) is a technology that can be utilized by mall and movie theater parking management as well as toll booths on roads, expressways, etc. to expedite the toll collection process. Automated systems to retain vehicle information are becoming more and more important as the number of vehicles rises. It is imperative that communication be prioritized in order to effectively manage traffic and reduce crime. Number plate recognition is a dependable technique for automatic vehicle identification. With current algorithms, which are based on the concept of learning, developing adequate outcomes takes a long time and a lot of experience. An innovative use of machine learning is Automatic Number Plate Detection, which recognizes photos and transforms them into text. Using picture segmentation, the system locates, picks up, and extracts the vehicle's image and number plate. Afterwards, optical character recognition technology is used to identify characters in the retrieved image. This technology is used in military zones, apartment buildings, and traffic surveillance.
The Effects of Blended Learning Methods on Second Language Acquisition in Paragraph Writing: A Systematic Review of Literature
Authors: Ghafar Zanyar Nathir
Published: January 2024

Scholars have spent many years doing in-depth study on the link between blended learning and various instructional strategies. However, there are very few relevant journal articles that address how content evaluation affects the blended learning paradigm's integrated impact. Therefore, in order to better understand the advantages and disadvantages of using blended instructional methods for language learning, the goal of this conceptual study is to identify patterns in research on paragraph writing skills in second language acquisition. The aim of this research was to create a synthesis of several previously published works utilizing the literature review technique in order to get knowledge of the notion of mixed learning in connection with the capacity to write paragraphs. The several essential elements are included in each of the two separate parts that make up this study. In order to illustrate the pertinent benefits and constraints of blended learning in relation to the instruction of paragraph writing, an examination of the evaluated studies is conducted in the second phase of the procedure. The results of the present research can potentially be used in the future to further investigate the possibility of a relationship between the Blended Learning method and students' paragraph-writing skills.
Socialization of The Importance of Knowing The Benefits of Investments and Financial Securities in Budisatriya Medan Vocational School
Authors: Amin Hou  , Ester Hervina Sihombing  , Sabaruddin Chaniago  , Ahmad Rivai  , Nasib  , Martin  , Ratih Amelia  , Manda Dwipayani Bhastary  , Widy Hastuty HS  , Ahmad Fadli
Published: January 2024

There are various types of investment to choose from. Starting from real investments in physical form such as land, houses and gold as well as non-real investments in the financial sector. An example of non-real investment is investment in the financial sector such as in the capital market. Many students still don't understand the benefits of investing

 For this reason, education in the form of training given to students about the benefits of financial investment and the capital market will certainly be a door to change in character for students to be braver in making various investment choices in the future. The solution offered for community service carried out at SMK S Budisatrya Medan is in the form of presenting material about the benefits of investment and various ways of making financial investments in the current money market or capital market.
Problemas cardíacos desencadeados pelo mal controle da glicemia no diabetes mellitus: da etiologia ao tratamento
Authors: Zanuto Thiago , Arthur Alcides Dantas Maciel  , Bianca Mayara Sampaio de Araújo  , Sophia Shinohara Soares do Rêgo  , Mariana Galhardo Carneiro  , Michelle Enes Pereira Xochimitl  , Geiziele Lasmar Bispo  , Moacir Encarnação de Lira Bisneto  , Sebastian Torres  , Douglas Fabian Mac Alpin  , Maria Fernanda Rodrigues Barroco  , Paulo Eduardo Oliveira Medeiros
Published: January 2024

A persistência da hiperglicemia na diabetes está associada a complicações crônicas micro e macrovasculares, resultando em aumento da morbidade, diminuição da qualidade de vida e maior taxa de mortalidade. A doença está diretamente ligada a problemas como insuficiência renal, ataques cardíacos, AVC e amputação de membros inferiores, representando um ônus social significativo ao limitar a eficiência e autonomia na rotina diária de muitos pacientes (WHO, 2018).

O diabetes tipo 1 é causado por um processo autoimune que destrói as células beta do pâncreas, levando à falta total de insulina. Os sintomas incluem poliúria, polifagia, polidipsia, perda de peso e alterações visuais. Há riscos de complicações crônicas, como aterosclerose e infarto do miocárdio, além de maior suscetibilidade a infecções. A administração de insulina é crucial para prevenir cetoacidose, coma e morte (FIGUEIREDO; RABELO, 2009).

Pacientes com diabetes tipo 2 podem apresentar sintomas semelhantes, sendo influenciados por fatores hereditários e obesidade. Apesar de produzirem insulina normalmente, enfrentam resistência à insulina, resultando em níveis elevados no sangue (FIGUEIREDO; RABELO, 2009).

Em relação aos problemas cardiovasculares indivíduos com diabetes enfrentam um risco significativamente elevado de desenvolver doenças cardiovasculares. Diante desse cenário, as Sociedades Brasileiras de Diabetes, Cardiologia e Endocrinologia e Metabologia uniram esforços para elaborar estratégias voltadas à prevenção de doenças cardiovasculares nessa população. Destaca-se que o plano de prevenção cardiovascular precisa ser personalizado para cada paciente, levando em consideração seu perfil de risco cardiovascular.

Sobre o tratamento destaca-se que a abordagem DM evoluiu além de uma simples gestão centrada na glicose, adquirindo um caráter metabólico abrangente. A busca pela regulação glicêmica essencial agora visa eficácia, minimizando os riscos de hipoglicemia, e otimizando o cuidado abrangente para mitigar outros fatores de risco cardiometabólicos. Este enfoque visa reduzir a morbimortalidade cardiovascular associada à DM. Destaca-se a importância das novas terapias anti-hiperglicêmicas, com evidências comprovadas de benefícios na redução de eventos cardiovasculares adversos, como parte crucial do tratamento para indivíduos com DM2.
TUBERCULOSE NA ATENÇÃO PRIMÁRIA À SAÚDE
Authors: Dias Renan Italo Rodrigues , Araújo Ada Rhalinne Dias Arruda Silva , Neto José De Moura Sampaio , Costa Deyse Wanessa de Oliveira , Leite Landsteiner dos Anjos , Dantas Luciano Ribeiro , Segundo Robson Prazeres de Lemos , Cruz Sarah Leny Gomes Madeiro , Melo Saulo Barreto Martins de , Muniz Thaynara Maria Honorato , Braz João Pedro Mendonça Raphael , Silva Cleber Aparecido Medeiros da
Published: January 2024

A Tuberculose (TB) é uma doença infecciosa causada pelo Mycobacterium tuberculosis, que afeta principalmente os pulmões, mas pode ocorrer em outros órgãos. A Atenção Primária à Saúde (APS) desempenha um papel crucial no controle da tuberculose, sendo a porta de entrada para o sistema de saúde. O diagnóstico precoce, o tratamento adequado e a prevenção da disseminação são essenciais nesse nível de atenção. A APS desempenha um papel fundamental na identificação de casos suspeitos, por meio da investigação de sintomas como tosse persistente, febre, sudorese noturna e perda de peso inexplicada. A realização do teste tuberculínico e de exames complementares, como radiografia de tórax, são ferramentas importantes na abordagem diagnóstica. O tratamento da tuberculose é realizado com uma combinação de antibióticos por um período mínimo de seis meses, sendo crucial para a cura e a interrupção da transmissão. A APS também desempenha um papel fundamental na garantia da adesão ao tratamento, monitorando e apoiando os pacientes ao longo do processo. Ações de educação em saúde e campanhas de conscientização na APS são estratégias importantes para prevenir a tuberculose, incluindo informações sobre a transmissão, os sintomas e a importância da busca por atendimento precoce. Em resumo, a APS desempenha um papel central na detecção, tratamento e prevenção da tuberculose, contribuindo para a redução da carga da doença na comunidade e para a promoção da saúde pública. A Tuberculose (TB) representa um desafio global de saúde pública, sendo crucial o papel desempenhado pela Atenção Primária à Saúde (APS) na prevenção, diagnóstico e tratamento eficaz dessa doença infecciosa. A APS serve como a base do sistema de saúde, atuando na identificação precoce de casos suspeitos, por meio da abordagem de sintomas como tosse persistente, febre, sudorese noturna e perda de peso inexplicada. Estratégias como o teste tuberculínico e exames de imagem, como radiografia de tórax, são instrumentos fundamentais para a abordagem diagnóstica.
ENTENDENDO A SÍNDROME PITT-HOPKINS
Authors: Dias Renan Italo Rodrigues , Araújo Ada Rhalinne Dias Arruda Silva , Neto José De Moura Sampaio , Costa Deyse Wanessa de Oliveira , Leite Landsteiner dos Anjos , Dantas Luciano Ribeiro , Segundo Robson Prazeres de Lemos , Cruz Sarah Leny Gomes madeiro , Melo Saulo Barreto Martins de , Muniz Thaynara Maria Honorato , Braz João Pedro Mendonça Raphael , Silva Cleber Aparecido Medeiros da
Published: January 2024

A Síndrome Pitt-Hopkins é uma rara condição genética caracterizada por deficiência intelectual, problemas respiratórios, e padrões faciais distintivos. Foi identificada pela primeira vez em 1978 por Pitt e Hopkins. A síndrome é causada por mutações ou deleções no gene TCF4 localizado no cromossomo 18, e geralmente não é herdada, ocorrendo de forma esporádica. Uma característica proeminente da síndrome é a deficiência intelectual grave, muitas vezes acompanhada por atraso no desenvolvimento motor e na fala. As habilidades motoras finas podem ser afetadas, contribuindo para desafios na coordenação motora. A comunicação é frequentemente limitada, com alguns indivíduos desenvolvendo habilidades verbais mínimas. Padrões faciais distintivos também são observados, incluindo testa alta, nariz largo, boca larga com lábios espessos e fenda palatina ou arqueamento do palato. Além disso, muitos indivíduos com a síndrome Pitt-Hopkins apresentam hiperventilação e respiração ofegante, podendo ser acompanhados por episódios de hiperventilação seguidos por períodos de apneia. Problemas gastrointestinais, como constipação e refluxo, são comuns, assim como episódios de movimentos repetitivos das mãos, como bater palmas. Além disso, alguns pacientes podem manifestar comportamentos autoagressivos ou estereotipados. O diagnóstico da síndrome Pitt-Hopkins geralmente é confirmado por meio de testes genéticos que identificam mutações no gene TCF4. O manejo da síndrome envolve uma abordagem multidisciplinar, com intervenções focadas no suporte à comunicação, desenvolvimento motor, e tratamento de condições associadas. Embora a síndrome Pitt-Hopkins seja uma condição desafiadora, a compreensão aprofundada da genética subjacente tem facilitado o desenvolvimento de estratégias de manejo mais eficazes. A conscientização e o suporte contínuo a pacientes e suas famílias são essenciais para melhorar a qualidade de vida e enfrentar os desafios únicos associados a essa síndrome rara.
ANESTESIA E DOENÇAS NEUROMUSCULARES: GESTÃO SEGURA E EFICAZ
Authors: Gonçalves Stenio Ramos Medeiros , Farias Felipe Matheus dos Santos , Miranda Vinícius , Baroncelli Lucas Fernandes Verdasca , Lemes Maria Leticia Estefano Saldanha , Ferreira Ana Laura Rissato , Ribeiro Gabriel Francisco Murakami , Caparroz Letícia , Alencar Victor Hugo Arantes Sisterolli , Cardoso Mateus Vinicius Fernandes , Silva Amanda Marques , Faria Leticia Sperandio
Published: January 2024

As doenças neuromusculares abrangem um amplo espectro de condições que afetam a função dos nervos periféricos, da junção neuromuscular e dos músculos. Pacientes com essas condições podem apresentar desafios únicos no contexto anestésico devido a alterações na resposta muscular, risco de complicações respiratórias e sensibilidade a certos agentes anestésicos. Assim, a anestesia desempenha um papel essencial ao proporcionar conforto e ausência de dor durante intervenções médicas, especialmente em casos de doenças neuromusculares, onde deve ser realizada a administração adequada e o entendimento aprofundado da fisiologia muscular e do sistema nervoso. Objetivo: Investigar e analisar os protocolos, técnicas e intervenções que contribuem para a gestão segura e eficaz de anestesia em pacientes com doenças neuromusculares. Metodologia: Foram utilizadas as bases de dados Scielo, Medline e Science Direct, buscando artigos publicados nos idiomas Português, Inglês ou Espanhol. Considerações finais: Ao adotar uma abordagem multidisciplinar e atualizar constantemente as práticas clínicas de acordo com os avanços científicos, os profissionais de saúde podem promover um ambiente anestésico seguro e eficiente para indivíduos com doenças neuromusculares, contribuindo assim para a melhoria da qualidade de cuidados médicos nesse contexto específico.
" ANÁLISE DA ATENÇÃO PRIMÁRIA NA SAÚDE MENTAL E PSICOSSOCIAL: UMA BREVE ABORDAGEM "
Authors: Soares Maria da Silva , Santos Samilles do Socorro Guimarães dos , Santos Givaldo Alves dos , Ferreira Rosilene Márcia do Carmo , Silva Bárbara Vitória Maciel , Silva Rosimere da Conceição , Santos Laissa Deyviele Nascimento dos , Silva Karine Santos da , Almeida Taciana Bezerra de Oliveira , Batista Ana Veronica , Pereira Vinicius de Oliveira , Adeilda da Silva Barbosa
Published: January 2024

Este texto busca compreender a articulação do cuidado entre o Centro de Atenção Psicossocial álcool e outras drogas e a Estratégia Saúde da Família, dentro de uma análise que possibilite a proposição de estratégias que melhorem a articulação/colaboração na perspectiva interdisciplinar entre os profissionais dos serviços. Trata-se de um estudo de natureza qualitativa, de caráter descritivo-exploratório, em duas Unidades de Atenção Primária à Saúde e um Centro de Atenção Psicossocial álcool e outras drogas em um município do interior do Ceará. O estudo ocorreu entre março de 2021 e julho de 2022, tendo a participação de 15 profissionais, cujas informações foram coletadas por meio do envio de roteiro semiestruturado via google docs. Utilizou-se a análise de conteúdo para a construção das categorias empíricas, analisadas conforme a literatura específica deste campo temático. As informações coletadas demonstram haver fragilidades para a construção do trabalho na perspectiva da rede de atenção à saúde. Tal fragilidade se deve às falhas sobre a produção e continuidade dos processos de educação permanente em saúde mental, a ausência de cronograma de ações matriciais e a fragilidade dos processos de referência e contrarreferência, impactando tanto no cuidado prestado quanto na gestão e corresponsabilização do cuidado. É preciso fortalecer tanto a Política Nacional de Saúde Mental como a de Educação Permanente em Saúde, para que a articulação entre equipes possa ser re- construída de forma fluída.
STUDENTS’ GRAMMATICAL PROBLEMS IN DEVELOPING THE PARAGRAPHS OF ARGUMENTATIVE ESSAY
Authors: Permata Riyen
Published: January 2024

This research aimed to determine the grammatical problems found in students’ argumentative essays. The type of research used was descriptive research and the data source of this research was argumentative essays written by English Department students. Research data were collected by giving writing assignments and coding sheets. The collected data were grouped based on the research objectives, then described and analyzed to get the actual facts. The research findings showed that some of the grammatical problems that were often faced by students in writing argumentative essays were subject-predicate compatibility, verb forms, verb tenses, plural forms, and word formation errors as well as problems in the use of conjunctions, auxiliary modals and the use of personal subjects. In conclusion, the students still do not understand the concept of grammar well, and it will be difficult for them to produce a good argumentative essay.
STUDENTS’ PERCEPTION ON THE USE OF E-LEARNING IN THE ENGLISH SUBJECT
Authors: Munalia Munalia , Saputri Kurnia , Larasati Finza , Ismail Gunawan
Published: January 2024

The objectives of this study were to find out students’ perception about E-learning in English Subject to the Tenth Grade Students’ Madrasah Aliyah Darun Najah Bangun Jaya and to find out strengths and weaknesses in using E-learning faced by the Tenth Grade Students’ Madrasah Aliyah Darun Najah Bangun Jaya. This study used a mix method by using questionnaires and open-ended questionnaires. The researchers used total sampling and the sample was 69 students. The data were collected through an online questionnaire distributed through Google Form and WhatsApp application. For analyzing the data, the researchers used a percentage analysis formula. Based on the result of the questionnaire, 36 students or 52.2% had negative perception of E-learning in English subjects, 31 students or 44.9% had positive perception and 2 students or 2.8% had neutral perception. It could be concluded that the Tenth Grade Student of Madrasah Aliyah Darun Najah Bangun Jaya has negative perception on E-learning in English subject. The result of the open-end questionnaire found that the strength in using the WhatsApp application is that it is easier to submit the assignment. E-learning can eliminate hesitation / unconfidence to practice English, and interaction and communication between teacher and students better. The weakness in using E-learning was students are difficult to understand the material given. They faced limited internet access and the time was not flexible, so that learning activities became ineffective.
BLOOM TAXONOMY USED BY TEACHER IN LESSON PLAN
Authors: Susanti Roza , Mahaputri Dwi Settya
Published: January 2024

Taxonomies used in education are referred to as following Bloom's Taxonomy. This study examines the use of Bloom's Taxonomy in the English teacher's lesson plans at the senior high school in East Payakumbuh. Descriptive research is what this study fell under. East Payakumbuh Senior High School served as the research setting. Th participants included English teachers from grades X and XI. As a source of information, the researcher studied official documents. Peer debriefing was employed by the researcher to verify the reliability of the data. The researcher followed the steps Gay suggested for data analysis. There were a few procedures involved in analyzing the descriptive data, including data data managing, reading or memoing, description, classifying, and writing report (2003:239). According to the findings, the English teacher used the cognitive domain the most in lesson plans, specifically C1 (Knowledge) 110 times; the affective domains were A2 (Responding) 6 times; and the psychomotor domains were P3 (Precision) 37 times.
INTEGRATING POWTOON VIDEO INTO WHATSAPP GROUP CLASS IN TEACHING READING
Authors: Ningsih Nuri Ati , Kuswardani Yuli , Ambarwati Rosita
Published: January 2024

This research integrates Powtoon videos and WhatsApp group classes to teach reading in Intensive reading subjects. It describes the implementation of Powtoon Video and Whatsapp Group Classes in Intensive Reading classes for English Teaching Department students of Universitas PGRI Madiun during the pandemic era. Descriptive qualitative was chosen as a research method. The subject of this research is the first-semester students of the English Teaching Department consisting of 16 students. The research data were collected through observation and interviews. The collected data was then analyzed through data reduction, data display, and conclusion. The result of this research shows that, in general, the process of online teaching by using Whatsapp Group Class and Powtoon video is conducted into two sections. The first is preparation and the second is implementation. In preparation, the lecturers have to prepare some teaching devices, such as lesson plans, Powtoon video material,  YouTube channel, and some rules for conducting the class. The class implementation consists of pre, main /breaking time, and closing activities. The different things in this research are found in the main activities or it’s called breaking time. It’s different from real classroom activities. The class was conducted with extraordinary treatments and in boundless time caused of the low access to internet signal and most of the students live in rural areas. This type of combination makes the students feel comfortable because they can access the material at every time and everywhere. By this situation, it will create a meaningful teaching-learning process, the student’s motivation will appear automatically, and they become a more active and self-individual learner.
POR UMA DEFESA DO MÉTODO CARTESIANO ENQUANTO INSTRUMENTO PARA A AUTONOMIA RACIONAL DO INDIVÍDUO
Authors: Ramalho Vial Romério
Published: January 2024

O método filosófico utilizado por alguns pensadores desde a filosofia antiga, surgiu como uma proposta de encontrar um caminho que dê garantias para alcançar a verdade. Descartes por sua vez, diante de tanta dúvida, desenvolve o método com a proposta de chegar à verdade e obter em seu pensamento respostas claras e distintas. Seu método é fundado sobre as teorias matemáticas, pois diz ele que a matemática é quem tem os resultados mais exatos. Este trabalho apresenta um panorama do método filosófico, focalizando o método cartesiano. O texto aborda a importância de cada indivíduo obter um pensamento próprio, e de como poderá examinar os diversos conceitos de verdade existentes na sociedade atual, para que assim ele possa agir de forma própria sem se deixar ser enganado por outros indivíduos.
ITINERÁRIO TERAPÊUTICO DE CRIANÇAS E ADOLESCENTES COM TRANSTORNOS MENTAIS
Authors: Daltro Manuela Carla de Souza Lima , Lima Ana Karoline de Sousa Silva , Sousa Milena Nunes Alves de , Franken Roberto Alexandre
Published: January 2024

Objetivo: Analisar o itinerário terapêutico de crianças e adolescentes comtranstornos mentais, assim como, definir o perfil das crianças e dos cuidadoresestudados e avaliar o nível de religiosidade dos cuidadores. Método: Trata-se deuma pesquisa qualiquantitativa, descritiva, de campo, de levantamento e transversal,realizada na cidade de Patos no Estado da Paraíba. A amostra foi constituída por 64crianças e adolescentes com transtornos mentais e seus responsáveis atendidos noCentro de Atenção Psicossocial Infantil da cidade de Patos. A coleta de dados foirealizada com a aplicação de questionário sociodemográfico, a Escala deReligiosidade Da Universidade Duke (DUREL) e uma entrevista. Resultados:Demonstram que em relação a rede de suporte, 68,75% não recebiam apoio dafamília, amigos ou vizinhos. A procura por estratégias informais como rezadeiras,umbandomblé e igreja foi utilizada como estratégia informal para 8,38% dosentrevistados. A Escala de Religiosidade Da Universidade Duke (DUREL) revelouque 51,56% possuíam religiosidade organizacional (RO) baixa, 82,81% religiosidadenão organizacional (RNO) alta e 96,87% religiosidade intrínseca (RI) baixa.Conclusão: Os achados deste estudo podem contribuir para melhor entendimento doitinerário terapêutico e das principais alternativas buscadas para crianças eadolescente com transtornos mentais, colaborando na criação de uma visão maisampla do cuidado prestado a esse público.
RELATIONSHIP BETWEEN QUALITY OF LIFE AND SOCIAL SUPPORT AMONG PATIENTS WITH SCHIZOPHRENIA: A CROSS-SECTIONAL STUDY
Authors: Sridevi R G
Published: January 2024

Purpose: Numerous studies have shown that people with severe mental illnesses like schizophrenia have poor quality of life (QoL) for a variety of reasons, including lingering symptoms, medication side effects, and a lack of social support. Social support is a critical component of treatment in the recovery process for people with mental illness. It has been extensively researched in other psychiatric conditions, but not as much in people with schizophrenia who live in the community. It has been shown that pursuing social support improves the prognosis for schizophrenia. The purpose of this study is to determine the variables linked to quality of life (QoL) and investigate the relationship between QoL and social support in patients with schizophrenia who are in remission.
Methodology: A cross-sectional, descriptive study is carried out in a Psychiatry outpatient department of a hospital in Shivamogga. Patients diagnosed with Schizophrenia as per International Classification Disorders – 10 diagnostic criteria are recruited for the study.
Results:
Originality: The current study is interesting because it investigates the relationship between Quality of Life and Social Support among Schizophrenia patients, which can help people overcome adversity and prevent them from developing mental health problems. Further progress in this area may benefit humanity's overall well-being in a variety of ways.
Type of Paper: Quantitative and cross-sectional.
KEYWORDS: Schizophrenia, Quality of life, Social support.
PRACTICES, CHALLENGES, AND EXTENT OF IMPLEMENTATION ON DUMPING OF E-WASTE AMONG STAKEHOLDERS: BASIS FOR DEVELOPMENT OF AN ENHANCEMENT PROGRAM
Authors: Chief Engineer Ferdinand C. Villamil
Published: January 2024

This quantitative research using a descriptive survey design aimed to investigate the level and significant differences in practices, challenges, and extent of implementation of e-waste dumping among stakeholders. Using simple random sampling, 91 respondents from PNP Maritime Group, DENR personnel, and Philippine Coast Guards were taken. Utilizing the researcher-made questionnaire, data were gathered and analyzed using the appropriate descriptive and inferential statistical tools. The results revealed that the practices gained the response of highly practiced, an indication of very good execution and implementation of practices given dumping e-waste. On the other hand, given the challenges, it gained the response Very Difficult, an indication that addressing the challenges of the dumping of e-waste is very difficult. Excellent was the level indicating the extent of implementation because of e-waste dumping because the provision or condition is very extensive and functioning perfectly. Moreover, practices, challenges, and extent of implementation have shown significant differences because of dumping e-waste among stakeholders. Out of the results, the researcher proposed an enhancement program to continuously improve the stakeholders practices, challenges, and extent of implementation on the dumping of e-waste.
KEYWORDS: Dumping of E-Waste, Enhancement Program, Practices, Challenges