bluuebunny/crossref_metadata_2025 huggingface dataset:
Sosyal Bilgiler Ders Kitaplarında “Küresel Bağlantılar” Öğrenme Alanında Yer Alan Değerlerin İncelenmesi
Authors: Temur Süleyman
Published: August 2024

Değerler toplumsal birlik ve beraberliği sağlayan ve toplumsal yaşam pratiklerinde etkin bir şekilde yer almamızı sağlayan en önemli olgulardan birisidir. Değerlerin öğrencilere kazandırılması noktasında ise amacı etkin vatandaşlar yetişmek olan sosyal bilgiler dersi kilit rol oynamaktadır. Nitekim değişen ve gelişen şartlara bağlı olarak küresel bir vatandaşlık profili oluşturmak ve dünyadaki sorunlara karşı duyarlı olan bireyler yetiştirmek amacıyla Sosyal Bilgiler Dersi Öğretim Programı’na (SBDÖP) “Küresel Bağlantılar” öğrenme alanı eklenmiştir. Ders kitapları ise öğretim programı doğrultusunda tasarlanan, öğretmen ve öğrencilere rehberlik eden bir işleve sahiptir. Bu nedenle çalışmanın amacı “Sosyal Bilgiler Ders Kitaplarında “Küresel Bağlantılar” Öğrenme Alanında Yer Alan Değerlerin İncelenmesi” olarak belirlenmiştir. Çalışmada nitel veri toplama yöntemlerinden doküman incelemesi tekniği kullanılmıştır. Veriler içerik ve betimsel analiz tekniğiyle analiz edilmiştir. Araştırma sonucunda sosyal bilgiler ders kitaplarında “Küresel Bağlantılar” öğrenme alanında 14 farklı değere yer verildiği tespit edilmiştir. Ayrıca en fazla “duyarlılık”, “barış”, dostluk”, “saygı”, “dayanışma” ve “yardımseverlik” değerlerine yer verildiği görülmektedir. Sınıf düzeyi bağlamında ise en fazla değerin 7. sınıf en az değerin ise 5. sınıfta verildiği sonucuna ulaşılmıştır. Tüm bu verilerden hareketle bazı önerilerde bulunulmuştur.
Türkiye’de Öğretmen Adaylarına Yönelik Bilgi İletişim Teknolojileri Araştırmalarının Sistematik İncelemesi: 2014-2023
Authors: Korukluoğlu Pınar , Şen Ahmet İlhan
Published: August 2024

Bu araştırma Türkiye’de 2014-2023 yılları arasında Bilgi İletişim Teknolojileri (BİT) alanında öğretmen adaylarına yönelik makale ve tezlerin araştırma eğilimlerinin sistematik incelemesini amaçlamaktadır. Bu amaçla YÖK Tez ve ULAKBİM Tr Dizin veri tabanlarında 35 makale, 26 yüksek lisans tezi ve 9 doktora tezi olmak üzere toplamda 70 araştırma incelenmiştir. İncelenen araştırmaların daha çok makale türünde olduğu ve bu araştırmaların çoğunlukla 2020 yılında yayınlandığı görülmüştür. Araştırmalarda öncelikle BİT kullanımı, daha sonra ise BİT yeterliliği konularının ele alındığı gözlemlenmiştir. Araştırmaların yöntem bakımından daha çok nicel yaklaşımla tasarlandığı ve deneysel olmayan desende betimsel taramaya ağırlık verildiği görülmüştür. Nicel yöntemin baskın olduğu araştırmalarda, veri toplama araçları olarak ölçek ve anket uygulamalarının en fazla tercih edildiği görülmüştür. Örneklem grubunun, farklı bölümlerdeki öğretmen adaylarından oluştuğu araştırmaların yoğunluğu dikkat çekerken, örneklem büyüklüğünün genellikle 31 ile 100 arası olduğu gözlemlenmiştir. Veri analizinde, nicel veri analiz türlerinden betimsel analizin ortalama ve standart sapma hesaplamalarının daha yoğun olarak kullanıldığı, ardından frekans ve yüzde hesaplamalarının yapıldığı görülmüştür. Bu analizlerin yanı sıra, kestirimsel yöntemlerden t-testi ve ANOVA'nın da tercih edildiği belirlenmiştir.
Okul Yöneticilerinin Örgütsel Değerlerinin Okul Toplumuna Yansımalarına İlişkin Fenomenolojik Bir Araştırma
Authors: Çelik Hande , Koşar Didem
Published: August 2024

Bu araştırmanın amacı okul yöneticilerinin örgütsel değerlerini belirleyerek bu değerlerin okul toplumunda yer alan öğretmen ve öğrenciler tarafından nasıl anlamlandırdıkları ortaya çıkarmaktır. Araştırma yöntemi olarak nitel araştırma yöntemi ve fenomenoloji deseni seçilmiştir. Araştırmanın çalışma grubu 2021-2022 eğitim öğretim yılında Balıkesir ilindeki ortaöğretim okullarındaki 15 okul yöneticisi, 20 öğretmen ve 8 öğrenciden oluşmaktadır. Görüşmeler yoluyla elde edilen veriler içerik analizi yapılarak çözümlenmiştir. Araştırmanın sonucunda okul yöneticilerinin “birey odaklı”, “ilişki odaklı”, “yönetim odaklı” ve “gelişim odaklı” olarak dört alt tema altında toplanan 30 örgütsel değeri ifade ettikleri görülmektedir. Öğretmenlerin görüşlerine göre 39 ve öğrencilerin görüşlerine göre 16 örgütsel değer ortaya çıkmıştır. Örgütsel değerler öğretmenlere göre “okul müdürlerine atfedilen değerler”, “okul ikliminde somutlaşan değerler” ve “okuldaki yitik değerler” olarak; öğrencilerin görüşlerine göre ise “ilişkisel değerler”, “bireysel değerler” ve “yapısal değerler” olarak üçer alt temadan oluşmaktadır. Araştırma sonuçlarına göre, okul toplumu tarafından algılanan örgütsel değerlerin okul ikliminde ve okul kültürünün oluşturulmasında belirgin bir etkisi olduğu söylenebilir. Öğrenciler, öğretmenler ve okul müdürlerinin örgütsel değerleri arasında ortaya çıkan ortaklaşmalar ve farklılıklar, okul yöneticileri için örgütsel değerlerin geliştirilmesi ve sürdürülmesi konusunda yol gösterici olabilir.
Türk ve Suriyeli Ortaokul Öğrencilerinin Türkiye Kavramına İlişkin Algılarının Metaforlar Yoluyla Belirlenmesi
Authors: Ünal Rabia , Çalışkan Hüseyin
Published: August 2024

Bu araştırmada, Türk ve Suriyeli ortaokul öğrencilerinin Türkiye kavramına ilişkin algılarının karşılaştırmalı olarak belirlenmesi amaçlanmıştır. Bu amaçla 110 Türk ve 100 Suriyeli öğrenci araştırma grubunu oluşturmuştur. Betimsel tarama modelinin kullanıldığı bu araştırmanın verilerine, Türkiye kavramının benzetileceği metafor ve bu metafora benzetme gerekçesinin yazıldığı form ile ulaşılmıştır. Elde edilen veriler nitel araştırma yöntemlerinden biri olan içerik analizi yoluyla çözümlenmiştir. Türk ve Suriyeli öğrenciler tarafından oluşturulan metaforların frekans değerleri hesaplanmış ve kategorilendirilmiştir. Araştırmada ulaşılan veriler incelendiğinde Türk öğrencilerin 23 ve Suriyeli öğrencilerin 22 metafor geliştirdikleri görülürken metaforların beş farklı kategori etrafında toplandığı tespit edilmiştir. Türk öğrenciler tarafından en fazla aile, baba, cennet, anne, gökkuşağı ve yuva metaforlarının üretildiği, Suriyeli öğrenciler tarafından en fazla aile, baba, vatan, anne, cennet ve çiçek metaforlarının geliştirildiği belirlenmiştir. Türk ve Suriyeli öğrencilerin metaforlarının daha çok aile unsuru ve değer unsuru kategorilerinde toplandığı saptanmıştır. Suriyeli öğrencilerin Türk öğrencilerden farklı olarak vatan metaforunu ürettikleri ve bu metaforu değer unsuru kategorisiyle ilişkilendirdikleri anlaşılmıştır. Türk ve Suriyeli öğrencilerin ortak olarak cennet metaforunu üreterek manevi değerlerine bağlılıklarını gösterdikleri, gökkuşağı, aşure metaforlarını geliştirerek Türkiye’nin kültürel zenginliklerinin farkında oldukları anlaşılmıştır.
Babaların Okul Öncesi Dönem Çocuklarıyla Birlikte Okuma Tutumları ile Çocuk Baba İlişkisi Arasındaki Durum
Authors: Kavgacı Ahmet Kenan , Yurtbakan Ergün
Published: August 2024

Çalışmanın amacı, babaların demografik özelliklerinin okul öncesi eğitim kurumlarında öğrenim görmekte olan çocukları ile birlikte okuma tutumlarındaki ve çocuklarıyla ilişkilerindeki etkisini incelemenin yanında babaların çocuklarıyla okuma tutumları ile baba çocuk ilişkisinin durumunu incelemektir. Bu amaç doğrultusunda çalışmada ilişkisel tarama deseninden yararlanılmıştır. Çalışmaya uygun durum örnekleme yolu ile Yozgat ilinde okul öncesi okulda öğrenim görmekte olan 254 çocuğun (4-6 yaş) babası dâhil edilmiştir. Araştırmanın amacına uygun olarak veriler “Ebeveyn Çocuk Okuma Tutum Ölçeği” ve “Çocuk Ebeveyn İlişki Ölçeği” ile toplanmıştır. Elde edilen veriler tek yönlü anova ve bağımsız t testi ile analiz edilmiştir. Çalışmanın sonunda; babaların eğitim durumlarının ve mesleklerinin çocuklarıyla birlikte okuma tutumlarında ve çocuklarıyla ilişkilerinde istatistiksel olarak anlamlı farklılık oluşturmadığı tespit edilmiştir. Üç ve daha fazla çocuğu olan babaların çocuklarıyla ilişkilerinin çocuk sayısı üçten daha az olan babalara göre daha gelişmiş olduğu belirlenmiştir. Bunun yanında birlikte okuma tutumu puanları yüksek olan babaların ise çocuklarıyla aralarındaki ilişkilerin daha iyi olduğu ve çatışmaları azalttığı ortaya çıkmıştır.
Novice and Experienced Teachers’ Beliefs and Stated Attitudes About Oral Corrective Feedback
Authors: Aydın Hale Ülkü , Özmen Kemal Sinan
Published: August 2024

This study aims to investigate novice and experienced teachers’ stated beliefs and attitudes about oral corrective feedback (OCF) and the similarities and differences between them. Certain qualitative and quantitative research techniques were employed in this study to answer the research questions. Regarding qualitative design, some interviews were conducted to find out novice and experienced teachers’ stated beliefs about OCF. The quantitative part of the study is based on data collected through Situations for Error Correction (SEC) Simulation. The novice and experienced teachers were asked to write how they would respond to each situation and why they would respond that way. The aim of this tool was to identify the novice and experienced teachers’ stated attitudes. The results indicated that although there were some similarities between the novice and experienced teachers’ beliefs and attitudes about OCF, their OCF strategies and beliefs varied regarding correcting errors concerning language components.
Çocuktan Çocuğa Yaklaşımı Temel Alınarak Hazırlanan Eğitim Etkinliklerinin Suriyeli Çocukların Türkçe Dil Becerilerine Etkisi
Authors: Temel Fulya , Tezel Şahin Fatma , Bekır Hatice , Ersay Ebru , Kurtulmuş Zeynep , Bayraktar Vedat , Akpınar Ümmühan , Kunt Müge , İnci Mehmet Akif , Genç Çopur Hilal , Yıldız Altan Rukiyye , Aydın Kılıç Zeynep Nur , Bulut Öngen Merve
Published: August 2024

Bu araştırmada, “Çocuktan Çocuğa Yaklaşımı” temel alınarak hazırlanan eğitim etkinliklerinin ilkokula devam eden Suriyeli öğrencilerin okul öncesi dönemdeki kardeşlerinin Türkçe dil becerilerine etkisi incelenmiştir. Araştırmada zayıf deneysel desenlerden tek grup ön test-son test deneysel desen kullanılmıştır. Araştırmanın çalışma grubu, Ankara ilinde iki farklı ilkokulun 4. sınıfına devam eden geçici koruma altındaki Suriyeli öğrencilerden (53) ve bu çocukların okul öncesi dönemde olan kardeşlerinden (54) oluşmaktadır. Veri toplama aracı olarak Genel Bilgi Formu, ilkokul 4. sınıfa devam eden geçici koruma altındaki Suriyeli öğrenciler için Türkçe İfade Edici ve Alıcı Dil Testi (TİFALDİ), Suriyeli öğrencilerin okul öncesi dönemdeki kardeşlerine ise İki Dilli Çocuklar için Türkçe Değerlendirme Aracı (İÇ-TDA) ön test ve son test olarak uygulanmıştır. Etkinlikler öğretmen adayları ve araştırmacılar tarafından uygulanmıştır. Araştırma sonucunda, uygulanan eğitim etkinliklerinin ilkokul 4. sınıfa devam eden geçici koruma altındaki Suriyeli öğrencilerin Türkçe dil beceri düzeylerini istatistiksel olarak anlamlı fark oluşturacak şekilde desteklediği, ancak okul öncesi dönemdeki kardeşlerinin Türkçe dil gelişimlerini desteklemekle beraber istatistiksel olarak anlamlı fark oluşturacak kadar etkili olmadığı görülmüştür.
Eğitim Alanındaki Çoklu Ortam Konulu Lisansüstü Tezlerin İncelenmesi: (1999-2023)
Authors: Çırak Adnan
Published: August 2024

Bu çalışmanın amacı Türkiye’de eğitim alanında 1999-2023 yılları arasında çoklu ortam konulu hazırlanmış lisansüstü tezlerin incelenmesidir. Araştırmada tarama modeli kullanılmıştır. Araştırma kapsamında veriler YÖK Ulusal Tez Merkezi’nden elde edilmiştir. Örnekleme alınan lisansüstü çalışmalar türlerine, hazırlandığı yıllara, araştırmacıların cinsiyet özelliklerine, üniversitelere, enstitülere, anabilim dallarına, bilim dallarına, yazım diline, örneklem grubuna, araştırma yöntemine, veri toplama araçlarına, araştırma konularına ve kullanılan çoklu ortam materyallerine göre incelenmiş ve içerik analiziyle çözümlenmiştir. Elde edilen veriler araştırmacı tarafından geliştirilen Tez İnceleme Formu aracılığıyla toplanmıştır. Araştırma sonuçlarına göre incelenen çalışmalar arasında yüksek lisans tezlerinin sayısının doktora tezlerinin sayısından fazla olduğu ve en fazla çalışmanın 2019 yılında yapıldığı ortaya çıkmıştır. Ayrıca kadın araştırmacıların sayısının erkek araştırmacılara göre daha fazla olduğu ve en fazla lisansüstü çalışmanın Anadolu Üniversitesi’nde hazırlandığı tespit edilmiştir. Eğitim bilimleri enstitülerinin en fazla tercih edilen enstitü olduğu, çalışmalarda daha çok nicel araştırma yöntemlerinin kullanıldığı, çalışmaların yazım dilinin genel olarak Türkçe olduğu, örneklem grubu olarak üniversite öğrencilerinin daha çok tercih edildiği, incelenen çalışmalarda veri toplama aracı olarak başarı testlerinin kullanıldığı ve çoklu ortam materyali olarak eğitsel yazılımların daha çok kullanıldığı araştırmanın diğer sonuçları arasındadır.
Türkiye’deki Açık Öğretim Konulu Çalışmaların Sistematik İncelenmesi: Bir İçerik Analizi
Authors: Gürer Gülten Türkan
Published: August 2024

Bu araştırmanın amacı, Türkiye’de açık öğretim konulu çalışmaları belirli ölçütlere göre incelemek ve çalışmalara ilişkin bütüncül bir bakış açısı sunarak açık öğretim konusunda yapılmış olan çalışmaların ne tür bir eğilim gösterdiğini belirlemektir. Bu amaç kapsamında, araştırmada içerik analizi türlerinden betimsel içerik analizi yöntemi ve kategorik çözümleme tekniği kullanılmıştır. Araştırmada ölçüt örnekleme yöntemi doğrultusunda belirlenen ölçütlere uyan toplam 49 (18 tez – 31 makale) çalışmaya ulaşılmıştır. Örneklem dâhilinde olan her bir çalışma araştırmacı tarafından geliştirilen kodlama formuna göre değerlendirilmiştir. İçerik analizi türlerinden kategorik çözümleme tekniği kullanılarak verilerin analiz süreci tamamlanmıştır. Araştırma sonuçları açık öğretim konusunda yapılan çalışmaların 2016 yılı itibariyle niceliksel dağılımının ivme kazandığını ve çoğunlukla makale türünde çalışmaların yayımlandığını ortaya koymuştur. Ayrıca sonuçlar açık öğretim konusunda yayımlanan çalışmalarda nitel araştırmanın yanı sıra nicel araştırma yöntemlerinin de sıklıkla tercih edildiği ve buna bağlı olarak verilerin analizinde ise betimsel istatistiklere ve betimsel analize daha çok yer verildiğini göstermiştir. Açık öğretim konulu çalışmaların eğilimleri göz önünde bulundurularak farklı ülkelerdeki açık öğretim konulu çalışmaların eğilimleri karşılaştırılabilir ve mevcut durum üzerinden konuya ilişkin eğitimde kültürel farklılıklar bağlamında değerlendirme yapılabilir. Böylece açık öğretim konusundaki eğitim politikalarının geliştirilmesi ve uygulamasına katkı sağlanabilir. Ayrıca farklı veri tabanlarında dizinlenen ve farklı ölçütler kullanılarak örnekleme grubuna dâhil edilen çalışmaların eğilimlerinin incelenmesi önerilmektedir.
Physical Education in the Restoration of Damaged Functions in Students After Blast Tbi Complicated By Acuborotrauma
Authors: Blavt Oksana , Gurtova Tetyana
Published: August 2024

Background. In the conditions of a long armed conflict, and, therefore, a permanent increase in the number of students affected by the war, there is a need to reorganize the content of physical education in higher schools, in accordance with modern requests and needs.
Objectives. The purpose of the article is to reveal the effectiveness of the implementation of a differentiated PE program in restoring gait and balance functions in students after blast TBI, complicated by acuborotrauma.
Materials and methods. The “10 Meter Walk Test” was used for the implementation of the experiment, the results of which were processed using the methods of mathematical statistics. The studied sample consisted of 20 students after blast TBI, complicated by acuborotrauma, in the first year of study at a higher education institution.
Results. In conclusion, according to the results of the final test cut, there is every reason to consider the implemented differential program effective in achieving the effectiveness of the correction of vestibular dysfunctions. This was reflected in the improvement of the results of the “10 Meter Walk Test” both in integral results and in intermediate sections, as well as in the results of tests used to control the level of balance development. The recorded positive dynamics within 9-19% of all students of the studied sample is evidence in favor of the implemented program.
Conclusions. Research-experimental verification of the effectiveness of the implementation of the developed differentiated physical education course program for students after blast TBI, complicated by acuborotrauma, proved the effectiveness of the proposed innovations. The established dynamics of the studied indicators and their analysis made it possible to answer questions about the effectiveness of the implemented differentiated program aimed at eliminating functional disorders in the body of students as a result of blast TBI, complicated by acuborotrauma. The effectiveness of the implementation of the program is proven on the basis of the established improvement of the test results of the students of the studied sample.
Improving the Learning Outcomes of Volleyball Passing Through the Wall-Bounced
Authors: Shellen Sherial , Usra Meirizal , Destriani Destriani , Bayu Wahyu Indra , Nanda Fitri Agung
Published: August 2024

Objectives. The purpose of this research was to find out the improvement in learning to pass under volleyball through reflections on the wall in SMA Arinda Palembang students. 
Materials and methods. This research method uses class action research methods. The sample used in this study amounted to 35 people. The research instrument is 1) passing skills test, 2) knowledge test, and 3) observation of learning activities. 
Results. From the results and analysis of research data, it can be concluded that the learning outcomes of class XI students of SMA Arinda Palembang always increase in each cycle. The results of this study show that learning bottom pass-through reflections on the wall in volleyball games can improve the learning outcomes of bottom pass volleyball in class XI SMA Arinda Palembang. 
Conclusions. The implication of this research is that passing exercises through reflections on the wall can be used as learning to improve learning to pass in volleyball games.
Acceptance of advanced radiation therapy in a remote new radiotherapy facility of central India: an analytical observational study
Authors: Ghosh Gopa , Patel Ganesh , Agarwal Ankit , Goenka Aniket , Jain Rashmi
Published: August 2024

Background: For more than 50% of cancer cases requiring radiotherapy, some 500-odd radiation facilities in India widely cater to urban areas and big towns. Few studies indicate that one of the potential strategies to limit geographic disparity is to build cancer centers in areas of need or to develop compact fully mobile linacs to facilitate access of rural population and reduce travel. This study was designed to evaluate feasibility of an advanced radiation center at the block/tehsil level, asses acceptance of new technologies, evaluate compliance to treatment in terms of daily attendance and treatment breaks, compare total duration of treatment among various techniques.
Methods: Histopathologically proven cancer cases from May 2016 to December 2022 reported in a new tehsil-level tertiary radiotherapy facility in central India were included in this observational study.
Results: Total of 2869 cases from various sites were evaluated and advised to be treated with radiotherapy in the department of radiation oncology from May 2016 to December 2022. Over a while shift in trend from 3D CRT to IMRT with image guidance and from 2021 few cases of SBRT to metastatic sites have been observed amongst physicians and patients with reduced toxicity along with improved patient compliance.
Conclusions: Advanced radiation treatment at semi urban/tehsil level is well accepted and feasible.
Trends and factors affecting in-hospital mortality of patients with pulmonary arterial hypertension
Authors: Pandey Mandvi , Sivakumar Nithila , Test Victor
Published: August 2024

Background: Pulmonary arterial hypertension (PAH) can be fatal without prompt treatment, but targeted therapies have greatly improved life expectancy in the 21st century. Despite these advances, PAH still involves high morbidity and mortality. Over the past decade, new drugs have been approved for PAH, yet research remains limited, and optimal management guidelines are lacking.
Methods: This retrospective study used the NIS database from 2016 to 2020 to examine PAH patients. Univariate and multivariate analyses were conducted, adjusting for confounders and Elixhauser comorbidity index was used to assess baseline comorbidity impact. Primary outcomes included mortality trends and factors influencing mortality. Secondary outcomes focused on length of stay and hospitalization charges.
Results: PAH admissions increased from 3.8% in 2016 to 30.36% in 2020s. A mortality rate of 6.4% was observed. Despite advancements in therapies, no significant difference in mortality rates was observed during these years. However, total hospitalization charges increased from 2016 to 2020. Age and race significantly influenced mortality. Female gender was associated with lower mortality, while the northeastern and western US had the highest mortality rates compared to the Midwest and South. Uninsured status was linked to higher mortality odds, while obesity had a protective effect. No significant difference in length of stay was noted.
Conclusions: This study summarized PAH trends and outcomes from 2016 to 2020, identifying predictive factors for inpatient mortality, length of hospital stays, and treatment costs.
An insight into Eikenella corrodens infections in humans-experience from a tertiary care centre in South India
Authors: Rajkumar Maanasa Bhaskar , Kumaresan Mahalakshmi , Olavera Hyma , Jamir Imola , Sistla Sujatha , Raja Kalaiarasi , Govindaraj Vishnukanth
Published: August 2024

Eikenella corrodens is present in the natural microbial community of mucosal surfaces, but it can potentially cause illness in diverse medical contexts. We retrospectively analysed medical records of twelve cases of E. corrodens infection from 2020-23. Demographic characteristics, clinical manifestations and treatment outcomes of twelve patients were described. Seven of the twelve patients had carcinoma and they were treated with surgical drainage or abscess resection in addition to antibiotic administration. Only one patient died due to the infection. The most effective treatment often involves a combination of surgical drainage and antibiotics, tailored to the specific site of infection.
Hydroxychloroquine pleiotropic benefits: is there any evidence beyond rheumatological diseases?
Authors: Anil Pareek  , Siddharth Nikam
Published: August 2024

Once used as an antimalarial medication, hydroxychloroquine (HCQ) is now widely used to treat a variety of rheumatic diseases, including rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). HCQ has shown benefits in rheumatic diseases because of its anti-inflammatory and immunomodulatory properties. HCQ has demonstrated cardioprotective effects in rheumatic disorders, including SLE and RA. Recently, the role of inflammatory mediators has drawn a lot of attention in the pathophysiology of prediabetes, type 2 diabetes (T2D), diabetic complications and atherosclerotic cardiovascular diseases (ASCVD). In a prospective observational study of RA patients, taking HCQ for longer than four years, the incidence of diabetes has been found to be substantially decreased. In a mechanistic human pharmacodynamic study of T2D patients, HCQ showed improvements in insulin resistance and beta-cell function. These outcomes are associated with reductions in inflammatory markers such as interleukin 6 (IL6) and high-sensitivity C-reactive protein (hs-CRP). With its anti-hyperglycemic potential, anti-inflammatory, and pleiotropic effects (lipid-lowering, antiplatelet, antithrombotic) HCQ stands out as a therapeutic option that is affordable for patients with uncontrolled T2D who are at risk for complications. The pleiotropic benefits of HCQ extend beyond rheumatic diseases with potential in prediabetes, T2D and ASCVD.
Whispers of dedication; unraveling motivational narratives among midwives in reproductive healthcare: a qualitative exploration
Authors: Khan Ambareen , Nausheen Sidrah , Muhammad Shah , Soofi Sajid
Published: August 2024

Background: Family planning is an important component of reproductive health care. Midwives play a key role in bridging the gap between community and essential reproductive health services. However, our focus extends beyond their service and deeper into what motivates them in this important area of ​​healthcare. We seek to understand the motivations for their commitment, and the challenges they face in meeting the needs of their patients and communities.
Methods: A qualitative study was conducted involving ten midwives with structured guide in a focus group discussion. The interviews were recorded, transcribed, coded and thematic analysis was done.
Results: Four themes were derived. The theme “Pinnacle Aspirations" essentially presented the motivation for training as an expression of passionate desire for career advancement and self-interest. “Navigating the Terrain” derived the challenges faced by midwives and their expectations which were limited resources, strong beliefs, and misinformation within the community as well as family resistance hindered contraception intake. “Dismal work realities” portrays midwives’ expectations to be acknowledged in terms of higher salary, position and status in health care system. “Women Empowered” explored midwives’ readiness to raise awareness among women about their rights to choose spacing and appropriate methods available.
Conclusions: The study revealed the motivations of midwives and explored the various challenges faced by them and their desire to be acknowledged and rewarded for their invaluable service either through formal recognition of position of authority, monetary incentive or financial support, to aid them in their professional endeavors.
Perspectives of mothers and primary caregivers on undernutrition in children under 5 years in the Northwest region of Cameroon: a community based cross-sectional study
Authors: J. Eyong Ndohtabi , Navti Lifoter K. , Atanga Mary B. S.
Published: August 2024

Background: Cameroon is one of the sub-Saharan African countries where undernutrition is a significant public health concern, with a national prevalence of 29% among children under five. The Northwest Region of Cameroon in particular, faces a triple burden of undernutrition, with high rates of stunting (32%), wasting (6.5%) and underweight (17.2%). Caregivers play a critical role in the management of undernutrition. This study analyzed their knowledge, attitudes and predictors of knowledge levels on undernutrition.
Methods: A community-based cross-sectional study was carried out among 1279 mothers and primary caregivers of under five children from six health districts. Data on their knowledge and attitudes towards undernutrition was collected using a pre-tested questionnaire. Binary logistic regression analysis was used to identify predictors of nutrition knowledge levels.
Results: Overall, 78.5% of the caregivers had ‘good knowledge’ on undernutrition and 21.7% had ‘poor knowledge’. Correct knowledge was highest on the causes of undernutrition and incorrect knowledge was highest on prevention of undernutrition in children especially as 32.9% didn’t know that exclusive breastfeeding could prevent undernutrition in children below six months. Regarding attitude, 52.2% had a ‘positive attitude’ and 47.7% had a ‘less positive or negative attitude’. The main predictors of knowledge levels among primary caregivers were sex of carer (p=0.001), household size (p=0.001), religion (p=0.010), residence status (p<0.001), occupation (p<0.001), and degree of urbanization (p=0.002).
Conclusions: Caregivers in Northwest Cameroon showed good undernutrition knowledge (78.5%), but lacked knowledge on prevention, especially breastfeeding benefits. Sociodemographic factors influenced knowledge. This could inform interventions to improve practices.
Health professional regulation and provision of quality health services; cross sectional analysis of private health care providers in Wajir County, Kenya
Authors: Qadar Ali Ahmed Mohamed , Mwaura-Tenambergen Wanja , Mwangi Eunice Muthoni , Kinyua Luke Wahome
Published: August 2024

Background: Health professional regulatory bodies oversee and enforce standards in healthcare to safeguard patient safety and prevent harm. However, international consistency in these regulations remains limited. The Kenya health sector relies on various bodies to enforce standards among professionals and institutions, albeit constrained by financial and human resources that hinder effective oversight. This study aimed to assess how regulatory practices- such as licensing, training oversight, inspection of practice, and quality assurance mechanisms- affect the quality of healthcare provided by private providers.
Methods: The study targeted 108 healthcare providers from 36 private health facilities, primarily nurses and clinical officers. A sample of 86 participants was drawn using purposive sampling. The data were collected using a structured questionnaire.
Results: The licensing of health professionals, training, inspection of practice, and quality assurance mechanisms collectively influenced 47.9% of the variation in service quality. Statistical analysis revealed significant associations between licensing (p=0.003), practice inspections (p=0.01), quality assurance (p=0.001), and service quality.
Conclusions: Regulatory bodies play a crucial role in ensuring healthcare standards; however, their effectiveness hinges on tailored strategies that address local challenges and foster collaborative efforts towards sustainable quality improvement in healthcare services. Routine inspections, conducted in a supportive manner, are likely to ensure ongoing adherence to standards. Moreover, adequate resource allocation for regulatory compliance and continuous quality improvement activities, including the formation of internal quality improvement (QI) teams and the maintenance of regular QI meetings and assessments, was deemed essential.
Readiness of malaria elimination in community and health facility of Mannaung Township, Rakhine State, Myanmar in 2022: a mixed-methods study
Authors: Than Wint Phyo , Mon Aye Sandar , Mon Khaing Lay , Soe Than Naing , Win Hla Hla
Published: August 2024

Background: Myanmar aims to eliminate Plasmodium falciparum malaria by 2025 and all human strains by 2030. In 2018, three townships including Mannaung township in Rakhine State were chosen for elimination pilot projects. The readiness assessment of community health-seeking behaviour and healthcare services of a malaria surveillance system for malaria elimination was conducted in Mannaung township.
Methods: In December 2022, a mixed-methods survey interviewed 400 villagers regarding health-seeking behaviour and in-depth interviews (IDI) with Healthcare Providers (HCPs) from eight Health Centers and three hospitals for healthcare services of surveillance systems for malaria elimination.
Results: Of 400 households, 154 (38.5%) had at least one family member contracting fever in the last 3 months. Among the 686 members contacted, 220 (32.1%) had a fever within the 3 months. Of these reported fever, 70 respondents (31.8%) were tested with RDT of which 51 (72.9%) were tested within 24 hours. Three main themes emerged from qualitative data analysis: experience of malaria prevention and control activities, malaria case-based response activities and suggestions to improve malaria surveillance. Although most of the HCPs expressed their understanding of testing criteria for malaria elimination, some had a knowledge gap in malaria elimination response activities.  The HCPs received malaria elimination training in 2019, but they suggested providing malaria elimination-related training annually.
Conclusions: The readiness assessment revealed delayed health-seeking behaviour in malaria thus awareness raising within the community should be provided. The HCPs need to enhance their ability to conduct surveillance activities for malaria elimination.
Health facility and workforce factors influencing utilization of reproductive health services in selected South Sudan public health facilities
Authors: Onak Emmanuel Timothy Thwol , Odongo Alfred Owino , Kariuki John
Published: August 2024

Background: Despite representing only one-tenth of the global population and 20% of worldwide births, nearly half of all maternal deaths occur in Africa. RH issues account for up to 18% of the global disease burden and 32% for women of reproductive age. Access to essential RH interventions, including family planning, is limited in Sub-Saharan Africa, characterized by low contraceptive use (13%) and a high total fertility rate (5.5 children per woman).
Methods: This study used a mixed-method research design, integrating both quantitative and qualitative approaches to provide a comprehensive understanding of the factors influencing RH service utilization in South Sudan. This design allowed for in-depth exploration and quantitative analysis of data patterns and trends.
Results: The study identified significant barriers to RHS utilization among women in South Sudan. Although many women were aware of the nearest RH clinic, 42.3% were not. Accessibility was a major issue, with 45.8% of women living more than 2 km from the nearest clinic, and the average distance being 2.2 km. Statistically significant relationships were found between health facility characteristics and RHS use. Interviews indicated that higher education levels among healthcare providers improved their skills, critical thinking, and ability to deliver comprehensive RH care, positively influencing service utilization.
Conclusions: Key determinants of RHS utilization included awareness of services, proximity to facilities, and availability of contraceptives. The health workforce’s education, staffing levels, workload management, and fair compensation were also critical. To improve RHS utilization, the study recommends community outreach to raise awareness, expand facilities in remote areas, and offer diverse contraceptive options. Future research should address limitations like sampling biases and regional focus, explore broader geographical areas, longitudinal trends, and the impact of specific interventions, and consider technology’s role in enhancing access.
Exploring factors affecting Anganwadi workers’ performance motivation: a mixed-methods study in a tertiary care center of central India
Authors: Pandey Snigdha , Patil Sonali , Narlawar Uday , Dhumal Komal
Published: August 2024

Background: The integrated child development services (ICDS) scheme in India employs Anganwadi workers (AWWs) to improve child well-being, reduce health risks, and support maternal education. Despite their crucial role, factors influencing AWWs’ motivation and performance are not well understood. This study examined how individual, program, community, and organizational factors impact AWWs’ motivation in a tertiary care center in central India.
Methods: A mixed-methods study was conducted in a tertiary care center in central India, involving 105 AWWs surveyed with a validated questionnaire and 40 AWWs participating in focus group discussions. The study explored individual, community, and health system factors influencing AWWs’ motivation.
Results: Results showed that motivation levels were high among 42.85% of AWWs, moderate among 40%, and low among 17.14%. Key motivators included social responsibility, job satisfaction, supportive supervision, and adequate training. However, demotivating factors included inadequate incentives, high workload, insufficient family support, and lack of essential tools and supplies.
Conclusions: AWWs’ performance motivation is influenced by a combination of individual, community, and health system factors. Enhancing their motivation requires addressing these factors through targeted interventions such as improved incentives, workload management, better family support, and ensuring the availability of essential tools and supplies. Understanding and addressing these factors can significantly enhance the effectiveness of the ICDS scheme.
Assessment of anemia in cases of acute myocardial infarction in a tertiary care hospital in South India
Authors: Shrivatsam Paidi , Yadav Preeti K. , Toodi Abhijeeth Reddy , Elhussein Musaab Abdalla , Chand Purna , Velaga Lakshmi Chandana
Published: August 2024

Background: Anemia is a known risk factor for ischemic heart disease and heart failure. It is also associated with increased mortality in acute myocardial infarction (AMI) patients. The study aimed to determine the anemia status of AMI patients and educate them on anemia and its impact on health.
Methods: This was a cross-sectional study conducted among 150 AMI patients admitted to the ICCU of Government General Hospital Srikakulam, Andhra Pradesh over 3 months. Hemoglobin levels were recorded and patients were classified as non-anemic, mildly, moderately, or severely anemic based on WHO criteria. Patients’ sociodemographic profiles and risk factors were also collected.
Results: Of the 150 patients (mean age 59.6 years), 70% were males. 83% of patients had anemia- 67% mild, 12% moderate, and 4% severe. The 50-65 years age group reported the highest frequency of mild anemia cases (38 out of 54). Absence of anemia was highest among the younger 45-50 years group (3 out of 15). Anemia was higher in females, and patients with a vegetarian diet had comparatively more anemia than those consuming a mixed diet. Additionally, 24% of the cases of anemia were in the 65-75 age group.
Conclusions: A high prevalence of anemia was found among AMI patients. Counselling can help improve health by increasing awareness of anemia management. Screening AMI patients for anemia and therapeutic interventions were recommended.
Prevalence and correlates of undernutrition in children of 6-60 months of the age living in urban slums of Mumbai, India: a cross-sectional study
Authors: Pankaj Kumar  , R. Kembhavi  , Prahatheeswaran G.
Published: August 2024

Background: In urban slums, several socio-demographic factors contribute for the occurrence of undernutrition in children, this study aimed at assessment of prevalence and correlates of undernutrition in children of 6-60 months of the age in an urban slum of Mumbai and to study associated factors.
Methods: A cross-sectional study was conducted in urban slum which is a field practice area of institution. Children of 6-60 months of the age were included in the study. Data was analysed with SPSS v.22.0 with suitable tests.
Results: Prevalence of undernutrition was found 50.6%, more per cent of undernutrition was found in 25-60 months age 100 (54.1%), 90 (53.3%) girls, 132 (51%) nuclear family dwellers, in 9 (56.3.3%) and 39 (50.0%) children defecation practices in anywhere and open within compound. About 75 (72.1%) children whose mother not practiced hand washing before eating/handling food, 90 (63.8%) children whose mother not practiced hand washing with soap and water after defecation, 20 (80.0%) children whose mother’s hands appeared were unclean and 106 (94.6%) children who intake of daily energy requirement were inadequate, 139 (72.4%) children who intake of daily protein requirement were inadequate. 88 (71.5%) children with undernutrition belonged to class IV, (B. G. Prasad classification) and it was statistically significant association of undernutrition.
Conclusions: Mumbai’s urban slums continue showing a higher prevalence of undernutrition, and is significantly influenced by inadequate intake of daily requirement of protein, unclean water, poor sanitation and hygiene, and with the improvement in these socio-demographic factors, enhancement in the nutritional state of the child is expected.
Role of homoeopathy of AYUSH in tuberculosis
Authors: Das Shankar , Tripathy Tridibesh , Nayak C. , Singh D. P. , Dwivedi Rakesh , Tripathy Byomakesh , Sahu D. R. , Gautam Mohini , Prusty Umakant , Mishra Madan Mohan , Pradhan Pramod Bihari , Pattanaik Jeevan Krushna , Pandey S. N. , Dixit Sudhanshu , Tripathy Sanskriti , Tripathy Anjali , Dubey Anil , Tripathy Sovesh Chandra
Published: August 2024

The article deals with an age-old problem called Tuberculosis. In India, the condition is known as ‘Kshaya’ as the body gets wasted. Similarly, the programmatic portal to deal with the disease is called ‘Nikshaya portal’. The disease is also associated with the partition of India. It is believed that if the TB condition of Jinnah was known to the congress leaders, they would have delayed the formation of partition and thus avoiding the horrors of partition. Raj Kapoor’s movie ‘Aah’ showed him dying from TB as the world did not have any curative method by the time of release of the movie. One of the exponent of homoeopathy, Dr. E. A. Farrington who introduced the concept of comparative materia medica lost his life to TB at the age of 38 years. In 1994, the lead author had a young girl suffering from cough and the cough did not subside with the Homoeopathic medicines. Eventually, the case was referred and it turned out to be a case of pulmonary TB. Thus, the article sees the role of homoeopathy through the eyes of medical pluralism where homoeopathy has a specific and critical role in the entire gamut of TB. It suggests a treatment protocol as a complement to the existing therapeutics. It builds on the property of homoeopathy as essential medicine (EM) where it is cost effective, therapeutically effective while having no side effects. Using these three properties, mass coverage can be done through inclusion of Homoeopathy. The approach will surely lessen the TB burden of the nation.
Challenges were faced during radiography of pregnant women
Authors: Arfat M. , Beg Tarana , Haq Afifa
Published: August 2024

Radiography of pregnant patients poses significant challenges to radiographers due to the need to balance diagnostic requirements with the safety of the developing foetus. This article explores the challenges faced by radiographers when conducting radiographic procedures on pregnant women and their foetus and discusses strategies employed to minimize radiation exposure. Key challenges include the risk of foetal radiation exposure, timing of examination, proper positioning of the patient and patient anxiety. Strategies such as radiation shielding, collimation, low-dose techniques and alternative imaging modalities are crucial for minimizing radiation exposure while obtaining diagnostic information. Clear communication between radiographers and patient is essential to ensure the safety and well-being of both the mother and the foetus during radiographic procedure. Radiographers knows the dangers of radiation exposure to fetal health. Now days, diagnostic imaging of pregnant women is increasing. X-ray risks depending on the gestational age of the pregnancy, and other potential health effects. In addition, ethical issues have been considered by improving overall communication to minimize unnecessary radiation exposure to pregnant women and fetuses.
Restoring rest: exploring yoga’s influence on sleep quality in cancer patients
Authors: Shivarama Anantha Krishna Bettukaje
Published: August 2024

Sleep disturbances are prevalent among cancer patients, significantly impacting their quality of life and prognosis. Yoga, an ancient mind-body practice, is increasingly recognized for its potential to improve sleep quality in this population. This narrative review explores yoga's impact on sleep quality in cancer patients, examining mechanisms, scientific evidence, and implications for future research and clinical practice. Yoga enhances sleep through psychological and physiological mechanisms. Practices like asanas, pranayama, and meditation activate the parasympathetic nervous system, promoting relaxation and reducing stress. Additionally, yoga promotes mindfulness, helping individuals manage psychological distress and improve sleep quality by reducing rumination and anxiety. Numerous studies, including randomized controlled trials, demonstrate significant improvements in sleep parameters among cancer patients practicing yoga. Meta-analyses and systematic reviews further support these findings, highlighting yoga's broad applicability and effectiveness. However, existing research has methodological limitations, such as variability in intervention protocols and reliance on self-reported sleep measures. Future research should focus on larger, more diverse populations and employ objective sleep assessments to validate findings. Investigating long-term effects and identifying effective practices for different patient subgroups are essential. In conclusion, yoga holds significant potential as a therapeutic intervention for improving sleep quality in cancer patients. Integrating yoga into standard cancer care can effectively address sleep disturbances and enhance well-being. Ongoing research and innovative approaches are needed to fully harness yoga's therapeutic potential, ensuring evidence-based practices that improve patient outcomes.
Teoria sócio–histórica: uma reflexão a partir dos jogos digitais aplicados ao ensino de química
Authors: Fróes Júnia Dariane , Araújo Wanderson Pereira , Fernandes Alyson Trindade , Alves Janainne Nunes
Published: August 2024

Este estudo tem suporte na teoria sócio-histórica e apresenta reflexões sobre as tecnologias educacionais aplicadas como instrumentos de interação e mediação, e, portanto, capazes de ativar processos mentais por meio de diferentes estímulos e linguagens. Para tal, são reportadas experiências provenientes da instrumentalização do jogo Quizz Química desenvolvidas com o auxílio de um Guia Pedagógico. O guia aborda os conteúdos curriculares, ao mesmo tempo em que suporta a compreensão dos processos cognitivos relacionados.  A presente investigação ocorreu na Escola Estadual XXXXX (XXXXX-MG) com estudantes do Ensino Médio Integrado do Curso de Administração. Utilizou-se como metodologia a pesquisa-ação, a qual envolveu a observação da prática pedagógica no ensino de Química e a aplicação de questionários a estudantes e professores. Os estudantes foram unânimes em considerar que a compreensão do conteúdo foi simplificada e afirmaram desejar mais aulas com jogos digitais. Os resultados sugerem elevado potencial mediático e estímulo ao desenvolvimento de habilidades cognitivas, possibilitando melhor apreensão do conteúdo. Entretanto, é importante compreender que esta experiência positiva não significa que o uso de tecnologias digitais por si só modifica o processo de aprendizagem, sendo imprescindível a atuação e mediação do professor para que o objetivo pedagógico seja alcançado.
Professores(as) de Libras surdos(as): reflexões acerca da constituição da identidade profissional docente no Ensino Superior
Authors: Borges Fábio Alexandre , Tecco Edna Fabrícia
Published: August 2024

Professores(as) surdos(as) na disciplina de Libras no Ensino Superior carregam características específicas e que são inerentes, também, à Cultura Surda da qual pertencem. Com o presente estudo, objetivou-se investigar indícios da constituição da identidade profissional de docentes surdos de Libras que lecionam no Ensino Superior. Caracteriza-se como um estudo de natureza qualitativa, no qual o procedimento utilizado para a produção de dados foi uma entrevista semiestruturada que foi gravada e transcrita. As entrevistas envolveram cinco professores(as) surdos(as) da disciplina de Libras. Os dados produzidos foram analisados com base em elementos da Análise de Conteúdo, quais sejam: Preparação das informações; Unitarização; Categorização; Descrição; e Interpretação. Concluiu-se com esse estudo que os professores entrevistados compreendem que a Cultura Surda e a Libras são componentes que interferem fortemente na constituição e fortalecimento de suas identidades como educadores. Destacam-se, também, a influência positiva de outros professores surdos na trajetória docente, a necessidade de pensarmos na formação do docente surdo para esse contexto, bem como a busca por igualdade em relação aos demais docentes ouvintes nas instituições de Ensino Superior.