bluuebunny/crossref_metadata_2025 huggingface dataset:
METHODOLOGICAL FEATURES OF GENERALIZING KNOWLEDGE OF SCHOOL STUDENTS ABOUT FUNDAMENTAL PHYSICAL PRINCIPLES
Authors:   Бердянський державний педагогічний університет, SHKOLA O.
Published: January 2023

The article is devoted to solving the urgent, complex and multifaceted problem of increasing of the level and quality of fundamental training of schoolchildren in physics in modern educational conditions. The author notes that the solution of this problem requires the implementation of methodical approaches and learning technologies that will provide students with a purposeful and consistent mastery of a system of organically interconnected subject, worldview and methodological knowledge, followed by their generalization with the help of relevant physical principles at the level of modern physical pictures of the world. In this regard, the author determined the sequence of studying the material and highlighted the theoretical and methodological aspects of generalizing students' knowledge about the fundamental physical principles of relativity, conservation and atomism, which should be the focus of teachers' attention both during the educational process and at the final classes on the relevant topics. Schoolchildren's awareness of the physical essence of the principle of relativity contributes not only to the understanding of the general laws of mechanical motion and the interaction of bodies in different reference systems, but also expands and deepens knowledge of two basic scientific concepts (mass, energy) and forms an idea of a single four-dimensional space-time continuum that encompasses. Students' understanding of the fundamental importance of the principle of conservation is connected not only with the unity of space-time, but also with the symmetry of space, symmetry of interactions, and symmetry of laws. Elucidation by students of the physical essence of the fundamental principle of atomism involves a consistent awareness of the discrete structure of matter, electromagnetic radiation, the discreteness of the physical characteristics of micro-objects. It is noted that students' understanding of the physical essence and methodological significance of the latter will not only correspond to the development trends of modern physical science, but will also contribute to increasing the level of subject competence, the formation of a scientific worldview, and will be a guarantee of the success of further education and future professional growth. Key words: fundamental physical principles, systematization and generalization of schoolchildren's knowledge, scientific outlook, subject competence of students in physics.
FIRST PSYCHOLOGICAL AID FOR CHILDREN AND ADOLESCENTS
Authors:   Національний педагогічний університет імені М. П. Драгоманова, YASTOCHKINA I.
Published: January 2023

The concept of «psychological first aid» is revealed. First psychological aid is defined as «a set of general human support measures and practical psychological assistance to people who have been exposed to significant stressors». An important characteristic of psychological first aid is its simplicity. It is emphasized that psychological first aid includes both psychological and social support. Vulnerable groups that need special help in crisis conditions are listed, including children and adolescents. The main principles of providing psychological first aid are considered. Stress factors are described, factors from which people suffer in an extreme situation. Among the disorders of mental processes and signs of providing first psychological aid, the following are highlighted: disorders of cognitive function; disturbance of emotional response; disorganization; loss of ability to control one's behavior; violation of adaptation to the surrounding world; demoralization. Ethical rules for providing psychological first aid, as well as prohibitions in providing it, are considered. The tasks of psychological first aid are determined: to create a sense of security, connection with other people, peace and hope; promote access to social, physical and emotional support; to strengthen faith in the possibility of helping oneself and others. Elements of psychological first aid are listed, as well as four operational principles: prepare, observe, listen and connect. Psychological first aid covers humane, supportive measures to respond to the suffering of a person who may need support. The main features of a specialist, which should be present when communicating with persons who have experienced a stressful situation, are indicated. These are politeness, benevolence, tact, modesty, accuracy and obligation. The peculiarities of psychological communication in the provision of psychological first aid to children and adolescents are indicated. Risks for children and adolescents during the crisis are considered. The algorithm for providing psychological first aid to children and adolescents is described. The need to take care of the mental health of specialists who provide psychological first aid to children and adolescents is emphasized. Key words: psychological first aid, crisis situation, stress, stressful situation, children, teenagers.
ANÁLISE DE SUSTENTABILIDADE EM UMA UNIDADE DE BENEFICIAMENTO DE CARNE NO MUNICÍPIO DE TAQUARITINGA, SÃO PAULO
Authors: Da Silva Geisa Mamédio , Lemos Stella Vannucci
Published: January 2023

O crescimento da pecuária especificamente no Brasil tem sido palco de algumas discussões, especialmente sobre a manutenção da sustentabilidade nos processos desde o abatimento até a produção de produtos cárneos. Diante dessa realidade, o objetivo dessa pesquisa é analisar o cumprimento dos Objetivos de Desenvolvimento Sustentável (ODSs) de uma unidade de beneficiamento de carne na cidade de Taquaritinga, interior do estado de São Paulo. A metodologia utilizada foi Revisão de Literatura e pesquisa em campo. Foram consultados artigos e realizadas análises com os responsáveis da beneficiadora para entendimento das práticas sustentáveis utilizadas.  Os resultados mostram que a indústria de carne vem crescendo e ganhando cada vez mais destaque, no entanto é preciso que haja fiscalização já que essas atividades assim como muitas tendem a impactar o meio ambiente.
IMPORTÂNCIA DO RH 4.0 NAS ORGANIZAÇÕES CONTEMPORÂNEAS
Authors: Da Silva Julia Chan Novais Carneiro , Serrano Cristiane de Oliveira , Da Costa Elvio Carlos
Published: January 2023

Este artigo teve como objetivo aprofundar o conceito do RH 4.0 de maneira a identificar, analisar e compreender os desafios encontrados pelo setor, buscando conhecer a nova Gestão de Pessoas e trazer a definição, mudanças e desafios, além de conhecer como o atual RH 4.0 engrena com o papel da liderança neste novo cenário. A metodologia está embasado em pesquisas bibliográficas, sendo utilizado duas bases de dados: Scielo e periódicos da Capes, com a finalidade de identificar os trabalhos já empreendidos nessa área. Os resultados foram apresentados em três categorias de análises: 1) O paradoxo do RH 4.0; 2) Desafios na implantação do RH 4.0 e seu impacto para as empresas e 3) Competências de um gestor. Verificou-se que nesse novo olhar do RH, as pessoas são consideradas essenciais para o funcionamento de uma organização e sobretudo como é fundamental que os gestores desenvolvam hard e soft skills para atuar nas transformações e mudanças das organizações contemporâneas.
CRIAÇÃO E MANEJO DA CODORNA COTURNIX JAPÔNICA
Authors: Benivente Andrieli Costa , Moraes João Antônio Tonon , Da Silva Luciano Pereira , Ferrarezi Junior Edemar
Published: January 2023

A Codorna Japônica é uma ave originária do norte da Ásia e pertence a subfamília das galinhas, é uma das espécies mais precoces e produtivas, dando início a postura em torno dos 40 dias de idade e tendo uma produção de em média 300 ovos no seu primeiro ano de vida. a coturnicultura é considerado um novo setor econômico que está em constante expansão, se apresentando como uma alternativa econômica para os pequenos e os grandes produtores rurais. O tipo de pesquisa utilizado foi a bibliográfica, e o objetivo central deste estudo foi o de elaborar um documento que trouxesse diretrizes para a criação de codornas destinadas a produção, demonstrando a viabilidade financeira para futuros investimentos e rentabilidade neste tipo de negócio. A justificativa para a coturnicultura são as grandes vantagens devido sua alta precocidade sexual, garantindo rápido retorno. Assim os resultados obtidos foram satisfatórios, considerando todo corolário demonstrou-se ser economicamente viável, podendo promover renda aos produtores no fomento da atividade, sendo ela como atividade principal ou secundária.
SCRUM NA PERSPECTIVA DO DESENVOLVEDOR DE SOFTWARE
Authors: Stein Nassr Ingrid , Gibertoni Daniela
Published: January 2023

Com o constante crescimento do mercado, ocorreu uma evolução no gerenciamento de desenvolvimento de software tendo em vista que métodos antigos não eram mais adequados às necessidades do cliente e do desenvolvimento do produto, fazendo surgir novos métodos ágeis. Diante disso, este trabalho apresenta a relevância do Scrum como ferramenta de gestão de projetos a partir de um estudo de caso feito em uma empresa de desenvolvimento de um software denominada Future Tech. Para a fundamentação teórica, inicia-se com uma revisão bibliográfica do tema, baseada em livros e documentações. No estudo de caso, serão apresentadas características de cada processo de desenvolvimento mostrando as suas vantagens no gerenciamento de um projeto como, por exemplo, melhoria em qualidade, priorização das tarefas importantes, tempo de entrega, divisão de tarefas e diminuição nas tarefas que precisam ser refeitas.
IMPLEMENTAÇÃO DA FERRAMENTA 5W2H NO PROCESSO DE PRODUÇÃO PARA A OBTENÇÃO DE RESULTADOS E MELHORIAS NO PROCESSO
Authors: Cioffi Lucas gualande , Okada Roberto Hirochi
Published: January 2023

O presente trabalho tem como finalidade entender como acontece a troca de setup de máquinas do processo produtivo de uma empresa alimentícia especializada em suplementos nutricionais. Foi provado através de resultados que essa troca tomava muito tempo do processo da empresa. Após estudos internos foi usada a ferramenta 5w2h para otimizar o tempo desta atividade. Por meio de revisão bibliográfica, são difundidos os conceitos de processo produtivo, setup, controle e garantia de qualidade, Indústria 4.0 e Ferramenta 5w2h. Também é explicitado neste trabalho a metodologia e os planos de ação dentro de um estudo de caso na empresa já citada anteriormente. As ações definidas otimizaram os tempos da troca de setup, aumentando assim a produtividade.
CANCRO CÍTRICO
Authors: Re Tais Arieli , Rios Marcelo , Bueno Ana Flavia Garcia Moraes
Published: January 2023

A citricultura brasileira é de suma importância econômica para o país, porém está vulnerável a algumas pragas e doenças que afetam sua produtividade. Dentre estes, destaca-se principalmente o cancro cítrico causado pela bactéria Xanthomonas axonopodis pv citri. Como alerta, o Ministério da Agricultura, Pecuária e Abastecimento, em ofício circular nº 11/2022, informa que apenas estabelecimentos habilitados estarão aptos para a exportação para a União Europeia devido à situação atual da doença. O referente trabalho aborda aspectos gerais sobre o cancro cítrico no limão, que está entre as doenças que mais afeta a cultura dos citros. O trabalho tem como objetivo fazer um levantamento abrangente em artigos científicos, trabalhos que forneçam subsídios para a compreensão da doença, ressaltando brevemente sobre etiologia, epidemiologia, sintomatologia, controle e métodos preventivos da doença. Atualmente a doença resultou um grande aumento no número de disseminação, provocando assim um alto prejuízo econômico, levando a diminuição na comercialização e rentabilidade da atividade no Estado de São Paulo e região.
EROTISMO NU E CRU NA PUBLICIDADE
Authors: Oliveira Thainá Beatriz , Del Vechio Gustavo
Published: January 2023

Os cuidados com o corpo, isto é, com a forma física, beleza, saúde e bem-estar são cada vez mais evidentes entre jovens, adultos e idosos. Por essa razão, muitas marcas exploram asensualidade em seus anúncios publicitários, na tentativa de chamar a atenção para as imagens e os produtos que apresentam. Posto dessa forma, este estudo procura avaliar se imagens com conotações sexuais ajudam as marcas a ganharem mais visibilidade. Para isso, após a construção da fundamentação teórica, o estudo avalia uma marca em específico, a Calvin Klein, que por várias décadas tem explorado a sensualidade em suas campanhas, tornando essa característica parte de sua identidade. O que se verifica, a partir do estudo, é que a sensualidade pode chamar a atenção e realmente exercer influência em decisões de compra; no entanto, é preciso tomar cuidado com exageros, pois más escolhas podem gerar polêmicas e críticas por parte do público, algo que pode não ser benéfico para as marcas envolvidas.
ROTINA PL/SQL PARA A ATUALIZAÇÃO E DISTRIBUIÇÃO DE KITS SUBSISTÊNCIA AOS REFUGIADOS DE PAÍSES EM GUERRA
Authors: Manzutti Matheus de Lourenço , Ferreira Hulgo Rafael , Da Silva Thiago Carvalho , Ribeiro Patricia Bellin
Published: January 2023

A guerra iniciada pelos russos na Ucrânia obrigou a fuga de milhares cidadãos ucranianos para os países vizinhos em busca de proteção, no qual a ONU e a OTAN ajudaram essas pessoas por meio da distribuição de kits de subsistências. Posto isso, o vigente trabalho tem por objetivo demonstrar a criação do banco de dados e sua eficiência, com rotina PL/SQL para automatizar os dados através das procedures e triggers, contendo uma function para uma rápida consulta num Sistema de Gerenciamento de Banco de Dados (SGBD) Oracle. Metodologicamente, conceitua-se uma pesquisa aplicada, para o contexto da guerra na Ucrânia, no acolhimento dos refugiados com a ajuda dos países parceiros, por meio de artigos científicos e jornalísticos, com temática publicados a partir do ano 2022, na base de dados do Google Acadêmico, utilizando os identificadores “guerra na Ucrânia”, “ONU”, “refugiados ucranianos” e sites eletrônicos. Por fim, a criação do banco de dados e suas rotinas PL/SQL propostos foram cumpridos, sendo eficiente a sua automação com a consulta dos dados.
Pengembangan E-modul dengan Pendekatan SETS (Science, Environment, Technology, and Society) pada Materi Sistem Peredaran Darah Kelas XI SMA/MA
Authors: Akram Siti Aisya , Nurhidayah Nurhidayah , Jirana Jirana
Published: January 2023

Jenis penelitian ini adalah penelitian dan pengembangan (R&D) yang bertujuan untuk mengembangkan e-modul dengan pendekatan SETS (science, environment, technology, and society) pada materi sistem peredaran darah kelas XI SMA/MA dan mengetahui validitas, kepraktisan, serta keefektifan terhadap e-modul yang dikembangkan. Penelitian ini termasuk jenis penelitian (R & D) research and development dengan menggunakan model pengembangan ADDIE yang terdiri dari lima tahap, yaitu: analysis (analisis), design (desain), development (pengembangan), implementation (implementasi), dan evaluation (evaluasi). Hasil validasi e-modul dengan Pendekatan SETS menggunakan lembar penilaian ahli media dan ahli materi yang dinilai oleh validator sebesar 4,3 memperoleh kategori valid. Hasil kepraktisan e-modul dengan Pendekatan SETS menggunakan angket respon guru dan angket respon siswa. Hasil analisis angket menunjukkan nilai dari respon guru sebesar 87,7 % memperoleh kategori praktis dan nilai dari respon siswa sebesar 80,7 memperoleh kategori praktis. Hasil keefektifan e-modul dengan Pendekatan SETS menggunakan soal tes hasil belajar diperoleh sebesar 80% berada pada kategori efektif.
Mesenchymal Stem Cells as A New Approach for the Treatment of Multiple Sclerosis: A Literature Review
Authors: Jafarinia Morteza , Rostami Amirabbas , Abbasi Yusef , Asadian Asma , Enani Hossein , Jamalnia Sheida
Published: January 2023

Multiple sclerosis (MS) is a high-prevalence autoimmune and neurodegenerative disease that affects young adults. An ideal treatment for MS should have two characteristics. First, its immunosuppression and immunomodulation effects reduce the abnormal immune response, and second, it improves repair by enhancing intrinsic repair processes or even cell replacement. Most available therapies have the first characteristic. Recent studies have proposed mesenchymal stem cells (MSCs) as a new therapeutic candidate for MS. Different clinical trials and animal models of MS have shown the therapeutic effect of MSCs. In the current study, we reviewed the therapeutic effects of MSCs in the animal model and patients with MS.
Impact of Financial Literacy on Investment Decisions with Mediating Role of Behavioural Biases
Authors: Iqbal Muhammad Javed , Hassan Shoaib , Kayani Muhammad Bilal
Published: January 2023

The current research aims to analyze the impact of financial literacy on investment decisions in Pakistan with mediating role of behavioural biases (self-attribution, illusion of control, and hindsight). The secondary data is collected from 217 investors using self-administered questionnaires. Descriptive and inferential statistics identified that financial literacy has a substantial and positive influence on investment decisions, but has a negative effect on behavioural biases (self-attribution, illusion of control, and Hindsight). Furthermore, the illusion of control bias and hindsight bias partially mediates the relationship between financial literacy and investment decisions, whereas the results of mediation for self-attribution bias were insignificant. The current research is beneficial for the investors as they will be able to recognize the relevance of financial literacy and the biases that impeded their decision-making, as well as create alternative ways to overcome these biases and minimize irrational behaviour.
Thanatophobia and Psychological Distress among Health Care Workers during COVID-19
Authors: Zulfiqar Najia , Habib Alveera , Hassan Muhammad
Published: January 2023

The Outbreak of COVID-19 has caused distress all around the world. The healthcare professionals significant risk of transmitting coronavirus to others. This research determines the predictive effects of thanatophobia on psychological distress among healthcare workers during COVID-19. The demographic differences were related to age, gender, job title, and year of experience examined in the study variables. The data were collected on the Kessler Psychological Distress Scale and the Templer’s Death Anxiety Scale from doctors, nurses, and paramedical staff in different hospitals of District Haripur, KPK Pakistan via a convenient sampling technique. Findings showed that thanatophobia predicted a 33.5% increase in psychological distress. Women and doctors were more phobic and distressed than men, nurses, and paramedical staff. The older workers with more job experience had high thanatophobia and low psychological distress than their counterparts. The study’s limitations and recommendations are discussed.
Effect of Job Stress on Job Burnout of Early Childhood Education Teachers
Authors: Sultana Nayyar , Aurangzeb Wajeeha
Published: January 2023

Teachers, particularly those employed in the Early Childhood Education (ECE) system, suffer from physical and mental stress. The combination of an excessive workload and a lack of appreciation leads to job burnout and job discontent. Over 70% of ECE teachers worldwide report feeling burned out at work. It is necessary to look into the causes of stress and how it affects teacher work burnout. The purpose of this study is to examine the relationship between occupational stress and burnout among Early childhood education teachers. The current study, which mostly focused on ECE teachers and their difficulties associated with occupations, studied the impact of work stress on job burnout. Through the use of a questioner and the cluster sampling technique, information was gathered from 100 ECE teachers. The findings of this study will assist in understanding the problems and stress experienced by ECE teachers and in developing a plan to improve their working conditions.
The Study Exploring the Causes of Moral Decay in Society: A Mixed Method Analysis
Authors: Alvi Syeda Tehzeeb , Saleemi Adeela , Asad Zoobia
Published: January 2023

This study explored the current status of moral decay in societyfollowed by identifying the causes behind it. The study opted a Mixed Methods Research Design for the research. The quantitative data has beengathered from conveniently selected 500 participants through a researchermade Thurstone scale to identify the priorities and the method of Borda CountMethod by Benini, (2013) was used to explore the optimum choice ofparticipants, whereas the qualitative data has been collected from purposivelyselected 33 participants through a structured interview. The participants werethe representatives of both male and female, urban and rural society members based at Punjab Province. The results indicated that the existing status of morality is not satisfactory in the province. The study revealed that inadequacy of religious education, the influence of media, poor parenting, injustice in society, economic disparities, materialistic approach, discriminatory rule of law and absence of content in school curriculum are the main causes of the moral decay in society. Thus, the study recommends the integration of moral and character education, Islamic values and ethical practices in the curriculum at all levels with practical and operational approach.
Quality Enhancement of Pre-Service Teacher Education Using Philosophy for Community (P4C) as a Teaching Maneuver
Authors: Noor Soofia , Lodhi Huma , Shafiq Farah
Published: January 2023

The study's aimed to identify the effect of the P4C teaching maneuver on the critical thinking skills (CTS) of teacher candidates by using a quantitative, quasi-experimental approach. The population comprised of teacher candidates of B.Ed. (Hons) programmes of University of Education whereas the sample was intact two sections of 5th-semester candidate teachers in Division of Education, UE Lahore. CTS were assessed through Watson Glaser Critical Thinking Appraisal (WGCTA). The results of the t-test suggested that P4C significantly improved the CTS (Inference and Overall CTS) of teacher candidates in the experimental group as compared to the control group. However, both groups' teacher candidates were equally skilled in the remaining WGCTA sub-scales (Recognize Assumptions, Deduction, Interpreting Information, and Evaluation of Arguments). It is suggested that a comparable study be carried out at all educational levels (primary, secondary, higher education) in both public and private sectors as well as in other disciplines by adopting a mixed-method approach.
Effect of Instructional Leadership on School Performance
Authors: Akram Muhammad , Malik Muhammad Irfan , Taj Saira
Published: January 2023

The study examined the effect of instructional leadership on school performance. Instructional leadership is a process that how quality practices: building and sustaining the school vision, monitoring of curriculum and instruction, leading a learning community, data gathering and assessing, and shared leadership were implemented by head teachers effectively. School performance is defined as the attainment of targets by teachers, students and schools. In district Sahiwal, head teachers were evaluated for instructional leadership by their SSTs (N=1026) on HTEQ. For school performance, a score of student achievement were obtained from their schools, while data on factors: cleanliness of schools, student presence, the functionality of facilities, and teacher presence were obtained through monthly visit reports of MEAs. The study revealed that head teachers were used practices of instructional leadership effectively and excellent level of schools' performance were found. The study explored a moderate relationship between variables (r=.54), and a 39 % variance in school performance could be explained through instructional leadership. The recommendations were also added in the study.
Allegorizing Nation Building in Fiction: An Analysis of Mumtaz Shahnawazâs The Heart Divided
Authors: Ghazanfar Amina , Kumar Fayaz Ahmad
Published: January 2023

The present paper is a New Historicist analysis of Mumtaz Shahnawaz's novel The Heart Divided (1957). Keeping in view the theoretical postulates of Stephen Greenblatt, the paper analyzes the literary text in conjunction with the author's life and time to evaluate how the different prevailing political discourses impacted the text. During the turbulent times of the Partition of the Subcontinent, the significance of the social and political forces that prompted the author to write the novel cannot be denied. Shahnawaz herself was a political activist during the Independence Movement so she closely witnessed the process of nation building and the emergence of the concept of Two Nation Theory so she incorporates these details in her fictional work. As a New Historicist study, this paper assumes that the selected fictional text has been shaped by the time and place in which it was produced and that it reflects the time and place it is set so the study explores the cultural forces surrounding the text and infusing meaning to it.
New Historicist Study of Geoffrey Chaucerâs poem Prologue to the Canterbury Tales
Authors: Khan Raees , Aryan Ayaz Ahmad , Riaz Sana
Published: January 2023

The current study examines the historical and social elements of 14th century England, through Geoffrey Chaucer’s poem, Prologue to theCanterbury Tales. the study also unfolds the analogy of the current situation of developing countries with Chaucer's era. The research is carried out, using the lens of New Historicism as a framework. New Historicism is a postmodern critical theory presented by Stephen Greenblatt (1943). The purposive sampling technique is used to proceed with the study because the research is descriptive in nature. Geoffrey Chaucer is considered as a father of the art of characterization. He placed his characters in the prologue from almost every walk of life, the characters reflect the historical and cultural background of 14th-century England. The history of Medieval England is traced down by analyzing the writings of Chaucer. Chaucer picked coomon characters from various fields to give an accurate picture of 14th-century England.
Cerebral tumor embolism from thyroid cancer treated by mechanical thrombectomy: illustrative case
Authors: Fujiwara Yuta , Hayashi Kentaro , Shibata Yohei , Furuta Tatsuya , Yamasaki Tomohiro , Yamamoto Kazuhiro , Uchimura Masahiro , Nakagawa Fumio , Kambara Mizuki , Nagai Hidemasa , Akiyama Yasuhiko
Published: January 2023

BACKGROUND

Development in mechanical thrombectomy is progressing dramatically. Tumor embolism has been rarely reported on the basis of pathological study of the retrieved thrombus. Herein, the authors report a case of cerebral tumor embolism from advanced thyroid cancer, which was successfully treated with mechanical thrombectomy.

OBSERVATIONS

A 57-year-old man was diagnosed with thyroid cancer with multiple lung metastases and chemotherapy was planned. He experienced left hemiparesis and was bought to the emergency section of the authors’ hospital. Magnetic resonance angiography revealed right internal carotid artery occlusion and endovascular treatment was performed. Using a combination of aspiration catheter and stent retriever, white jelly-like embolus was retrieved. The pathological study demonstrated thyroid cancer embolism. Pulmonary vein invasion following lung metastasis of thyroid cancer was most presumably the cause of the tumor embolism.

LESSONS

Lung metastasis invading the pulmonary vein may be a cause of tumor embolism. Mechanical thrombectomy using a combination of stent retriever and aspiration catheter is effective in removing the tumor embolus and the pathological examination of the embolus is essential.
Leptomeningeal metastasis from neuroendocrine carcinoma of the cervix: illustrative case
Authors: Patterson John D. , Farach Andrew M. , Singh Monisha , Britz Gavin W. , Rostomily Robert C.
Published: January 2023

BACKGROUND

Leptomeningeal carcinomatosis is a rare feature of metastasis that is characterized by thickening and increased contrast enhancement throughout the meninges of the central nervous system (CNS). Leptomeningeal disease (LMD) can occur as spread from primary CNS tumors or as a manifestation of metastasis to the CNS from primary tumor sites outside the CNS. Leptomeningeal disease is, however, rare in cervical cancer, in which metastasis occurs typically from local invasion.

OBSERVATIONS

The authors discuss the case of CNS metastasis with LMD from the rare neuroendocrine carcinoma of the cervix (NECC). Cervical cancer infrequently metastasizes to the CNS, but NECC is an aggressive variant with greater metastatic potential. Many of these patients will have previously received pelvic radiation, limiting their candidacy for craniospinal radiation for LMD treatment due to field overlap. This illustrative case documents the first known case of NECC CNS metastasis accompanied by LMD treated with intrathecal chemotherapy.

LESSONS

Reported is the first known case of NECC with CNS metastasis accompanied by LMD. The authors highlight the potentially critical role of intrathecal chemotherapy, in addition to radiotherapy, in treating leptomeningeal metastasis from cervical cancer.
Cerebrospinal fluid fistula as a complication of reverse transcriptase–polymerase chain reaction collection for the detection of coronavirus disease 2019: illustrative cases
Authors: Palavani Lucca B. , Andrade Camila V. F. , Andrade Renato A. , Alves Egmond , Barros Marcio Falchi , Barbieri João F.
Published: January 2023

BACKGROUND

The most used method to detect coronavirus disease 2019 during the pandemic is reverse transcriptase–polymerase chain reaction with nasal swab. Despite being highly effective, the test does not leave the patient risk-free and can lead to serious complications. These can be traumatic nasal cerebrospinal fluid (CSF) fistula and its consequences, such as meningitis.

OBSERVATIONS

In this article, the authors present 4 case reports and a literature review. The following MeSH terms in the research were used: “CSF leak case report and covid 19.” Six results were found and after searching the references and keywords 16 articles were identified. By using them, the authors tried to clarify the etiology of the fistula, its influences, and complications.

LESSONS

The authors conclude that professionals must receive training, since CSF fistula originates from technical failure and lack of anatomical knowledge. The diagnosis cannot be neglected because it can bring complications to the patient’s health.
L5 mononeuritis, an uncommon cause of foot drop: illustrative case
Authors: Peselzon Oleg , Colditz Michael , Maclachlan Liam R.
Published: January 2023

BACKGROUND

New-onset adult foot drop is commonly encountered in neurosurgical practice and has a broad differential, including radiculopathy, peroneal nerve palsy, demyelinating diseases, and central causes. Etiology is commonly identified with comprehensive history, examination, imaging, and investigations. Despite familiarity with the management of lumbar spondylosis and peroneal nerve compression causes, rare or uncommon presentations of nonsurgical causes are important to consider in order to avoid nonbeneficial surgery.

OBSERVATIONS

The authors report a very uncommon cause of foot drop: new-onset isolated L5 mononeuritis in a 61-year-old nondiabetic male. They provide a review of the etiology and diagnosis of foot drop in neurosurgical practice and detail pitfalls during workup and the strategy for its nonsurgical management.

LESSONS

Uncommon, nonsurgical causes for foot drop, even in the setting of degenerative lumbar spondylosis, should be considered during workup to reduce the likelihood of unnecessary surgical intervention. The authors review strategies for investigation of new-onset adult foot drop and relate these to an uncommon cause, an isolated L5 mononeuritis, and detail its clinical course and response to treatment.
Rapidly progressive diffuse leptomeningeal glioneuronal tumor in an adult female: illustrative case
Authors: Bao Jonathan , Sweeney Jared F. , Liu Yang , Genovese Frank L. , Adamo Matthew A. , Heller Robert S.
Published: January 2023

BACKGROUND

Diffuse leptomeningeal glioneuronal tumor (DLGNT) is a rare brain tumor only recently classified by the World Health Organization in 2016 and has few reports on its incidence in adults.

OBSERVATIONS

The authors describe a case of DLGNT presenting in a 47-year-old female with seizures, cranial neuropathies, and communicating hydrocephalus with rapid clinical progression. Workup demonstrated progressive leptomeningeal enhancement of the skull base, cranial nerves, and spine, and communicating hydrocephalus. Elevated serum rheumatological markers and early response to systemic corticosteroids and immunosuppressant therapy complicated the diagnosis. Multiple biopsy attempts were required to obtain diagnostic tissue. Pathology demonstrated hypercellularity surrounding leptomeningeal vessels with nuclear atypia, staining positive for GFAP, Olig2, S100, and synaptophysin. Molecular pathology demonstrated loss of chromosome 1p, BRAF overexpression but no rearrangement, and H3K27 mutation. Repeat cerebrospinal fluid (CSF) diversion procedures were required for hydrocephalus management due to high CSF protein content.

LESSONS

This report describes a rare, aggressive, adult presentation of DLGNT. Leptomeningeal enhancement and communicating hydrocephalus should raise suspicion for this disease process. Biopsy at early stages of disease progression is essential for early diagnosis and prompt treatment. Further study into the variable clinical presentation, histological and molecular pathology, and optimal means of diagnosis and management is needed.
Usługi społeczne w polityce senioralnej. Rola, stan, wyzwania
Authors: Trafiałek Elżbieta
Published: January 2023

Głównym wyznacznikiem efektywnej polityki senioralnej – obecnie i w przyszłości – są ogólnodostępne, zróżnicowane usługi społeczne. Ich znaczenie zyskuje szczególną rangę w warunkach takich tendencji demograficznych, jak starość demograficzna, wzrost liczebności populacji 80+ i depopulacja. Ważnym zjawiskiem jest również nowy styl życia rodzin oraz popularność gospodarstw jednoosobowych. Coraz dłuższemu życiu często towarzyszy niepełnosprawność, wielochorobowość, samotność – kojarzone głównie z domami opieki społecznej, szpitalami i hospicjami. Z dobrych praktyk wynika, że zróżnicowane zakresowo dostępne usługi w środowisku lokalnym dają seniorom większe gwarancje pomyślnego starzenia się i bezpieczeństwa społecznego. Dlatego traktowanie ich w kategoriach niezbędnych rozwiązań systemowych stanowi obecnie ważkie wyzwanie wobec polityki publicznej, instytucji pomocy społecznej i pracy socjalnej.
The EU’s External Democracy Action in a New Geopolitical Reality - Recommendations Report
Authors: Brasseur Charles , Pachta Vera , Grigolo Chiara
Published: January 2023

The European Union has traditionally been one of the world’s staunchest advocates of democracy but major changes have affected the global democracy landscape in recent years. With the support of the Swedish Ministry for Foreign Affairs, International IDEA led an analysis of the EU’s external democracy policy during 2022 to inform the EU discussion on democracy during Sweden’s 2023 Presidency of the Council of the EU. The report looks at questions related to the relevance and coherence of the EU’s external democracy policy in a rapidly evolving geopolitical environment and pays special attention to the 2020–2024 EU Action Plan on Human Rights and Democracy as a guiding framework. The research consisted of a desk study, online surveys, in-depth interviews with more than 40 key EU democracy policy stakeholders, and regional dialogues with more than 100 civil society representatives from across the globe.
Скрайбінг-технології в корекційно-розвивальній діяльності з дітьми дошкільного віку з ТПМ
Authors: Курєнкова Анна Володимирівна
Published: January 2023

Охарактеризовано особливості скрайбінг-технології в корекційно-розвивальній діяльності з дітьми дошкільного віку з ТПМ. Техніка скрайбінгу не потребує витрат і може бути використана в будь- якому місці і в будь-який час, як на індивідуальних, так і на підгрупових заняттях.
Understanding the Theory of Force with Islamic Philosophy
Authors: Tebriani Sylvina , Akmal Huriyatul , Tasman Sisilia Marseila
Published: January 2023

Understanding science, especially physics, can not only be done with theory and formulation. It should relate the physics theory studied to everyday events. In addition, strengthening the characteristics of learning in madrasas can be done with an approach to religion (Qur'an science). The dichotomy occurring between science and religion makes them look like not interconnected. In fact, the Qur'an is the source of all sources of knowledge. The study of the integration between religion and physics presents a direction that can break the deadlock of physics problems. It is hoped to form an integration between religion and physics, which gives two understandings at once when learning. Examining the force and its relation to Newton's second law, also means examining the mass and acceleration. These quantities have a reciprocal relationship that can be peeled down in terms of religion and its relation to life. Mass can be analogous to the inertia (willingness) of a person to change his state, which is later also influenced by the quantity of the action (force) that a person will perform, and the determinant of the acceleration of his life (with a change in circumstances). Learning about force (F) will be closely related to acceleration and mass. A person with an enormous mass (m>>) will be more inert, because of which the acceleration he has will be smaller (a<<)
Development of a Guided-Discovery Learning-Based Module to Improve Mathematical Problem-Solving Ability on Quadrangle Materials
Authors: Syafitri Resy Rahmi , Yenti Isra Nurmai , Fisher Dahlia , Efendi Riswan
Published: January 2023

This study creates a valid, practical, and effective discovery-based module to improve students' ability to solve mathematical problems on quadrilateral content. This study employs the definition, design, and development phases of the research and development process. Validation sheets, student response questionnaires, and test questions were the study tools utilized. Techniques for data analysis using percentages and N-gain. Based on the findings of a study using guided exploration modules to enhance students' ability to solve quadrilateral problems in class VII SMP, which was  valid with 76.92%. Results from the practicality test with practical categories were 79.37%. Student ability to solve mathematical problems shows effectiveness. The increase in the mathematical problem-solving ability of each student is in the medium category with an average N-gain of 0.48139.
Factors Associated to Pap Smear Cervical Screening Behavior among Midwives in Yogyakarta, Indonesia
Authors: Meilani Niken , Setiyawati Nanik
Published: January 2023

Cervical cancer was the fourth most frequent cancer and approximately 90% of death occurred in low- and middle-income countries. Indonesia was the second country which has the most cervical cancer cases in the world. One recommended method of cervical cancer screening was pap smear test. This study aims to determine the factors that associated in midwive’s pap smear behavior. This study used a quantitative cross-sectional design. Subjects were 65 midwives in primary health care in Yogyakarta City.  Combination Theory used Precede and Procede and Health Belief Model. This research analysis  used univariate, bivariate and multivariate analysis. The results showed that there were 61.5% of midwives have did implementation of pap smear. There was a relationship between age (p=0.002), attitude (p=0.028), cost (p=0.208) and vulnerability (p=0.001) with pap smear behavior. There was no correlation between value  (p=0.724), benefit (p=0.403) and severity (p=0.813) with pap smear behavior. Multivariate analysis showed that age was the most dominant factors affecting pap smear behavior (p-value 0.009; PR 26.903; CI 95% 2.251-321.490). Need to improved promotive efforts about pap smear among midwives and also women in general.
Atención recibida por traumatismo dentoalveolar en la población urbana. Parroquia Monay. Cantón Cuenca. Año 2019
Authors: Llanes-Serrantes Maribel , Becerra Gomecuello Pedro Lucas , Bastidas-Calva Zulay , Jimenez-Romero Magaly
Published: January 2023

Objetivo: El propósito de esta investigación fue determinar la atención recibida posterior a trauma dentoalveolar en personasde la parroquia urbana Monay, del cantón Cuenca, en el año 2019. Materiales y Métodos: estudio descriptivo, analítico,cuantitativo; se utilizaron 283 encuestas, que fueron validados por expertos del Departamento de Investigación de la Carrera deOdontología de la Universidad Católica de Cuenca. Resultados: Fueron encuestados 345 personas de entre 1 y 80 años de edadde ambos sexos, que viven en esta ubicación geográfica del Ecuador. Solamente 3 reportaron haber recibido algún trauma ensus dientes (0,9%). En relación con la atención recibida, una persona reportó haber recibido atención por un profesional(33,3%) de manera inmediata. El 79,1% de los encuestados respondió que en caso de sufrir un traumatismo dentoalveolarpodían resolver la situación sin ayuda de profesionales. Conclusiones: Las personas que refirieron traumatismo dentoalveolar(TDA) fueron 3, de ellos uno solamente recibió atención especializada y fue de forma inmediata y la mayoría consideró nonecesitar ayuda profesional para resolver algún TDA.
Detección de Staphylococcus aureus en piezas de mano de alta velocidad de uso odontológico.
Authors: Reino Zumba Camila Berenice , Orellana-Bravo Paola Patricia , Andrade-Tacuri Carlos Fernando , Centeno Dávila María del Cisne
Published: January 2023

Staphylococcus aureus es uno de los microorganismos responsables de múltiples infecciones, capaz de diseminarse en diferentes partes anatómicas del ser humano provocando enfermedades infectocontagiosas, también esta bacteria se encuentra principalmente en las fosas nasales y cavidad oral, formando parte de nuestro microbioma. Los odontólogos requieren el uso dediferentes instrumentos, de los cuales, la pieza de mano de alta velocidad es la más utilizada. Estos dispositivos permiten elingreso de saliva, sangre y detritos en su interior, restos que serán expulsados otra vez cuando se encienda la pieza, provocandoasí la contaminación cruzada hacia el paciente con los microorganismos que se encuentren en este equipo, entre ellos S. aureus.Objetivo: Detectar la presencia de Staphylococcus aureus, en piezas de mano de alta velocidad de uso odontológico. Materiales y Métodos: El estudio es de tipo analítico descriptivo. El diseño de la investigación es observacional y de corte transversal,en donde se detectó la frecuencia de S. aureus en 5 piezas de alta velocidad usadas en consultorios de docentes universitariosde la ciudad de Cuenca. Resultados: De las 25 muestras que fueron analizadas de las piezas de mano de alta velocidad seaislaron 2 cepas de Staphylococcus aureus mediante métodos genotípicos y fenotípicos. Conclusión: Las piezas de mano dealta velocidad se encuentran contaminadas con S. aureus, patógeno de importancia clínica, pudiendo contaminar con estabacteria a los pacientes que acuden a centros odontológicos, por lo que recomendamos que estos equipos se esterilicen despuésde cada uso
Efectividad del Hidróxido de Calcio con diferentes vehículos en Periodontitis apical
Authors: Gutierrez Paredes Soledad Jimena , Sacoto Figueroa Fernanda , Silva Morales Miguel Angel , Claure Venegas Denisse
Published: January 2023

El objetivo fue determinar en base a la revisión bibliográfica la efectividad, sustantividad de la acción antimicrobiana y pH delhidróxido de calcio con diferentes vehículos para medicación intraconducto. Metodología para este cometido, se realizó unarevisión de artículos publicados en las bases de datos: PubMed, Medline, Scopus, Scielo, Google académico aplicando unadelimitación temporal de 13 años e incluyendo cualquier idioma, en los cuales se eligieron de forma inicial 30 artículos de loscuales se excluyeron 10 debido a que no cumplen con los criterios de inclusión. Los vehículos que mostraron mejores resultados manteniendo un pH más alcalino del hidróxido de calcio fueron propilenglicol, agua destilada y clorhexidina al 2%. Elvehículo que mostró mejores propiedades para potencializar el efecto antimicrobiano del hidróxido de calcio es el propilenglicol puesto que es un vehículo viscoso que evidenció mejores características potenciadoras. Conclusiones: el propilenglicol esel predilecto para ser utilizado, manteniendo un pH estable y alcalino, con una gran acción antimicrobiana aportando así unadesinfección eficaz del sistema de conductos radiculares.
Calcificaciones pulpares por el uso de Estatinas: Revisión de literatura.
Authors: Mora Morales Dania Sucely , Cedillo Orellana Ivanna
Published: January 2023

El objetivo de este artículo fue describir la relación existente entre el uso de estatinas y calcificaciones pulpares, a través de larevisión y análisis de artículos científicos. Metodología: se evaluaron artículos publicados en las bases de datos de PubMed,Scopus, Research4life, Scielo y Google académico; aplicando una delimitación temporal de 10 años incluyendo artículos eninglés y español. De forma inicial se eligieron 26 artículos, de los cuales se excluyeron 6, debido a que no cumplían con loscriterios de inclusión. Cómo resultado la estatina que demostró una diferenciación odontogénica mejorada, una formación detejido mineralizado acelerado y aumento en la actividad de la ALPasa (un marcador temprano de mineralización) en estudiosin vivo e in vitro fue la Simvastatina. La formación de calcificaciones pulpares, a causa de la administración sistémica deestatinas, no se encuentra determinada; aunque por el hecho de padecer una enfermedad cardiovascular y tomar estatinas sepuede presentar una mayor incidencia de piedras pulpares, que a su vez producen estrechamientos del lumen en las arteriolasprecapilares medianas y pequeñas dentro de los vasos pulpares dentales. Conclusiones: la causa de las calcificaciones pulparespor el uso de estatinas administradas por vía sistémica, aún no se encuentra esclarecida. En cuanto al ámbito clínico, se hademostrado que las estatinas a ciertas cantidades, favorecen la formación de nódulos de mineralización y la promoción de ladiferenciación odontoblástica.
Tratamiento odontológico en pacientes pediátricos sometidos a tratamiento oncológico. Artículo de revisión.
Authors: Córdova-Vintimilla Juan José , Alvear-Córdova María Cristina
Published: January 2023

A menudo los tratamientos contra el cáncer implican la combinación de terapias dirigidas a mejorar la supervivencia, la calidad de vida y preservar la dignidad del paciente. La resección quirúrgica, la radioterapia y la quimioterapia crean una morbilidad sustancial. Además, el cáncer genera una gran carga psicosocial y financiera para el paciente, sus familias y la sociedad en general. El sistema inmunológico del infante durante la terapia oncológica puede estar gravemente afectado, estas terapias específicas si bien son benéficas para el proceso de recuperación traen consigo complicaciones orales con el transcurso del tiempo, producto de la aplicación citotóxica de los fármacos. La intervención dental previa, durante y después de la terapia, cumple un rol  en la reducción de la incidencia y la gravedad de las complicaciones.  Ante este contexto el objetivo principal de esta revisión es maximizar la calidad de vida del paciente pediátrico a través de la información actual disponible en las bases de datos digitales para lo cual se realizó una búsqueda integral. Esta revisión está dedicada a la discusión de la rehabilitación oral del paciente oncológico infantil, concluye que el papel del odontopediatra es un esfuerzo coordinado y multidisciplinario que requiere gran atención en los aspectos médicos, quirúrgicos y humanísticos del bienestar del paciente. Las mejoras en el tratamiento de la mucositis, las infecciones orales y la xerostomía podrían proporcionar un gran beneficio para la calidad de vida.