bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Mindfulness -Based Stress Reduction Program on Work Stress in Nurses: A Systematic Review
Authors: Ataç Merve , Avcı Dilek
Published: May 2024

Purpose: This study was conducted to examine the randomized controlled studies investigating the effects of mindfulness-based training programs given to nurses on occupational stress and to systematically evaluate the data obtained from the studies.
Methods: In order to determine the effect of mindfulnessbased training programs on occupational stress in nurses, PubMed, Web of Science, Science Direct, Google Scholar, EBSCO host and Cochrane data bases were searched. The search was in English and was conducted using 3 key words (nurse, mindfulness, occupational stress). As a result of the literature rewiew, 7.382 articles were reached and 5 studies were included in the study. Studies were evaluated using the PRISMA checklist. As a result of the literature review, 5 articles including 380 participants were included in there view.
Results: When the content of the 5 studies included in this study is examined, it is noteworthy that after the training, the awareness levels of nurses increased, their job stress levels decreased, their job satisfaction and patient care quality increased. It was determined that MBSR education reduced the depression and anxiety levels of nurses and played an important role in increasing their awareness levels and sleep quality significantly. In addition, with the data obtained, it was found that the mindfulness-based stress eduction program also reduced sleep problems and fatigue levels.
Conclusion: The studies examined showed that mindfulness-based stress reduction program greatly decreased occupational stress in nurses. So it can be recommended to use the MBSR program in nursing inservice training.
Böbrek Sağlığı: Posa Alımı Yararlı mı?
Authors: Ayhanci Nisa Nur , Beyhan Yasemin
Published: May 2024

Öz
Diyet kısıtlamaları nedeniyle kronik böbrek hastalarının posa tüketimi oldukça düşük olmaktadır. Bununla birlikte çalışmalar yüksek miktarda posa tüketiminin böbrek sağlığını koruduğunu, kronik böbrek hastalığının ilerlemesi ve hastalık ile ilişkili komplikasyonları önleyebileceğini göstermektedir. Mevcut kanıtlar yeterli miktar ve çeşitlilikte tüketilen posanın dışkılamayı iyileştirerek, mikrobiyatayı olumlu yönde modüle ederek ve bağırsak bütünlüğünü iyleştirerek üremik toksinlerin serum seviyelerini ve inflamasyonu düşürebildiğini böylelikle böbrek sağlığını ve genel sağlığı olumlu yönde etkileyebildiğini göstermektedir. Bu derleme, konu ile ilgili mevcut kanıtları özetlemeyi ve kronik böbrek hastalığı olan hastalarda böbrek sağlığı ve hastalık komplikasyonlarını iyileştirmek için diyet posası alımını artırma olanaklarını tartışmaktadır. Mevcut kanıtlara dayanarak, kronik böbrek hastalığı olan hastalarda yeterli miktar ve çeşitlilikte posa tüketimi önerilmektedir. Bu tür hastaların böbrek sağlığı alanında uzmanlaşmış bir diyetisyene yönlendirilmesi hastalığın tıbbi beslenme tedavisi açısından önemlidir.

Anahtar Kelimeler: Kronik böbrek hastalığı, posa, mikrobiyata.
Abstract

Due to dietary restrictions, the fiber consumption of chronic kidney patients is very low. However, studies show that high fiber consumption protects kidney health and can prevent progression of chronic kidney disease and disease-related complications. Current evidence shows that fiber consumed in sufficient quantity and variety can reduce serum levels of uremic toxins and inflammation by improving defecation, positively modulating the microbiota, and improving gut integrity, thereby positively affecting kidney health and overall health. This review summarizes the available evidence on the subject and discusses the possibilities of increasing dietary fiber intake to improve kidney health and disease complications in patients with chronic kidney disease. Based on the available evidence, adequate and varied fiber consumption is recommended in patients with chronic kidney disease. Referring such patients to a dietitian specialized in kidney health is important in terms of medical nutrition therapy of the disease.

Keywords: Chronic kidney disease, fiber, microbiota.
DUKUNGAN KELUARGA TERHADAP DIET PASIEN HIPERTENSI DIRUMAH SAKIT UMUM DAERAH SITI FATIMAH AZ – ZAHRA PROVINSI SUMATERA SELATAN
Authors: Sukron
Published: May 2024

Pendahuluan: Hipertensi mencapai sebesar 34,1%, dimana angka tesebut mengalami peningkatan disbanding dengan prevalensi hipertensi pada tahun 2013 sebesar 25,8%. Dengan tingkat penderita tertinggi terjadi di Kalimantan Selatan dengan tingkat angka sebesar 44%, dan tingkat penderita terendah berada di Papua dengan tingkat penderita sebesar 22,2%. Tujuan: Tujuan penelitian ini untuk mengetahui Untuk mengetahui dukungan keluarga terhadap diet pada pasien hipertensi. Metode: Metode penelitian ini menggunakan metode deskriptif analitik dengan jumlah responden 30 orang yang memenuhu kriteria iklusi. Penelitian ini dilakukan di RS. Fatimah Az-Zahra Provinsi Sumatera Selatan dari tanggal 16 – 31 April 2023. Hasil: Usia responden dengan frekuensi terbanyak pada usia 43 tahun, jenis kelamin perempuan sebanyak 22 responden (73,3%), pendidikan terakhir SMA (56%), Dukungan keluarga dalam kategori baik dengan frekuensi 15 responden (50%). Kesimpulan: Penelitian menunjukkan bahwa dukungan keluarga mempengaruhi terhadap berjalannya diet hipertensi dengan baik. Hal ini karena dukungan keluarga cukup berperan penting dalam membangun semangat dan perilaku baik oleh pasien.
Kata Kunci: Hipertensi, Dukungan Keluarga, Diet Hipertensi.
HUBUNGAN MOTIVASI PERAWAT DENGAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUMAH SAKIT MUHAMMADIYAH PALEMBANG
Authors: Romiko
Published: May 2024

Latar Belakang: Dokumentasi keperawatan merupakan bukti pencatatan dan pelaporan yang dimiliki perawat yang berguna untuk kepentingan klien. Dokumentasi umumnya kurang disukai oleh perawat karena dianggap terlalu rumit, beragam, dan menyita waktu, hal ini berdampak pada penurunan mutu pelayanan keperawatan. Salah satu faktor yang dapat mendorong perawat melaksanakan dokumentasi keperawatan adalah motivasi perawat itu sendiri. Tujuan: Untuk mengetahui hubungan antara motivasi perawat dengan pendokumentasian asuhan  keperawatan  di rumah  sakit muhammadiyah Palembang. Metode Penelitian: Penelitian kuantitatif dengan desain penelitian cross sectional. Pengambilan sampel dengan Purposive Sampling sebanyak 43 responden. Uji statistik menggunakan chi square. Hasil Penelitian: Hasil analisis univariat menunjukkan bahwa sebagian besar responden memiliki motivasi yang baik (60,5%) dan Pendokumentasian asuhan keperawatan kategori lengkap sebesar (65,1%). Hasil analisis bivariat didapatkan bahwa ρ value =0.709 (ρ value >0.05), yang berarti tidak terdapat  hubungan antara motivasi perawat dengan pendokumentasian asuhan keperawatan. Kesimpulan: Motivasi perawat tidak menjadi faktor yang signifikan dalam mendorong perawat untuk melakukan pendokumentasian asuhan keperawatan, namun motivasi perawat dan pendokumentasian asuhan keperawatan harus terus ditingkatkan.
Simulation Model to Optimize Hospital Pharmacy Operation using Queuing Theory
Authors: Himanshu Mittal
Published: May 2024

The pharmacy sector is a vital component in the ever-changing landscape of the healthcare business, with increased demands with high percentage of ageing population and the initiation of manufacturing and import of specialised medications. The efficient management of pharmacy operations is paramount to meet patients' rising expectations for swift, accurate, and safe medication services. This research explores the use of queuing theory, a mathematical framework for analysing waiting lines and service systems, in the pharmaceutical industry. It dives into how queuing models are used, their influence on operations, and their future possibilities. The results suggested that application of queuing theory can enhance the operation efficiency and could minimize the operational challenges. As pharmacies adjust to changing patient requirements and technology improvements, the application of queuing theory becomes more important, promising improved patient care and operational efficiency.
A study of B-school student’s perception on their employability skills
Authors: Saha Sonali , Kankekar Tejaswini , Tyagi Tanmay , Shinde Parikshit , Patil Aditya
Published: May 2024

The declining demand for MBA programs at mid-tier and lower-tier B-schools has a ripple effect, notably reducing the employability of graduates from these institutions. As these school’s face dwindling admissions interest, they've relaxed their entry criteria, resulting in a flood of students enrolling. Consequently, the overall quality of MBA graduates has suffered, leading to diminished employability prospects. An alarming report in the Economic Times disclosed that only 10 percent of B-school graduates are deemed employable. Citing the National Employability Report 2012, skill assessment company Aspiring Minds issued a press release underscoring the dismally low employability rates among Indian MBA graduates. The press release revealed that in 2011, employability rates for functional roles in HR, marketing, and finance were below 10 percent. For specialized roles such as business consulting and analyst positions, which demand exceptional cognitive and English language skills, employability rates among B-school graduates were significantly lower, at 2.5 percent and 7.9 percent, respectively. This study aims to assess the current perceptions of employability skills among students from selected B-schools in Pune through a survey of 100 students.
Some characteristics of pumpkins grown at different altitudes
Authors: Ekaterina Georgieva Petkova  , Petya Stankova Kasnakova  , Biynka Lubchova Tornyova  , Tanya P. Packaleva-Stoycheva  , Stoyan Iliev Papanov  , Dobrin Ivanov Popov  , Ivan Georgiev Ivanov  , Lefter Ynaki Nasto
Published: May 2024

According to the classification, the pumpkin belongs to the annual herbaceous, dicotyledonous, flowering plants of the Pumpkin family. Due to its unique taste and health properties, the pumpkin quickly spread throughout the continent. The use of pumpkins is determined by people's desire to consume healthy foods. Objective: Analysis of some characteristics of pumpkins grown at different altitudes. Research methods used: Systematic approach and critical analysis of the accessible scientific periodicals; Determination of moisture content, carotenoid content and total content carbohydrates, the total soluble solids, pectic substances and degree of esterification. Conclusions: The data obtained show that dry weight content and carbohydrate composition does not depend on altitude.
Integrating blockchain in HR and finance: A conceptual review and future directions
Authors: Blessing Dienyu Ucha  , Funmilayo Aribidesi Ajayi  , Olufunke Olawale
Published: May 2024

This review paper explores the integration of blockchain technology in human resources (HR) and finance sectors, examining its potential applications, benefits, challenges, and future directions. Beginning with an overview of blockchain technology, it delves into the challenges faced by traditional HR and finance systems, including data security concerns and inefficiencies. The paper discusses the transformative impact of blockchain on recruitment, employee records management, payroll, smart contracts, payments, and auditing processes. Key benefits of blockchain integration, such as enhanced security, transparency, efficiency, and potential barriers to adoption, are highlighted. The paper discusses emerging trends and innovations in blockchain technology. It offers recommendations for organizations to leverage their full potential in HR and finance. It emphasizes embracing blockchain technology to drive innovation, efficiency, and value creation in the HR and finance sectors.
Mensagens curtas de texto sobre adesão à profilaxia pré-exposição ao HIV: análise preliminar da aceitabilidade
Authors: Gomes Júlia Freitas , Antonini Marcela , Rocha Daniel de Macêdo , Rocha Karyanna Alves de Alencar , Elias Henrique Ciabotti , Trigo Marina Andreoli , Reis Renata Karina , Gir Elucir
Published: May 2024

Introdução: Apesar da alta eficácia da profilaxia pré-exposição (PrEP) para prevenção da infecção pelo HIV, os indicadores de descontinuidade sinalizam a existência de desafios para adesão e indicam a necessidade de intervenções válidas, efetivas e baseadas em evidências. Objetivo: Descrever a aceitabilidade de mensagens curtas de texto sobre adesão à PrEP ao HIV. Métodos: Estudo transversal desenvolvido em cinco serviços de atenção especializada de Ribeirão Preto, São Paulo. Participaram 235 pessoas com idade igual ou superior a 18 anos, de ambos os sexos e em acompanhamento regular para uso da PrEP. A intervenção proposta compreendeu o envio sistemático e interativo de mensagens de texto durante 120 dias. A análise foi expressa por estatística descritiva e a taxa de aceitabilidade considerou a manifestação de aceite para intervenção proposta. A participação foi condicionada à assinatura do Termo de Consentimento Livre e Esclarecido. Resultados: Foram produzidas oito mensagens de texto, com conteúdo fundamentado em evidências disponíveis sobre eficácia, segurança, efeitos adversos, desafios e dificuldades no uso da PrEP, além de estratégias para retenção do usuário ao serviço de saúde. Utilizaram-se recursos linguísticos e conteúdo de mídia para facilitar a compreensão, a atratividade e possibilidades de interação. Os resultados demonstraram que dos 235 usuários de PrEP, 181 manifestaram a concordância e o aceite no recebimento das mensagens de texto. Nessas condições, a taxa de aceitabilidade foi de 77,81%. Predominaram homens cisgêneros (205, 87,20%), com idade média de 33 anos, autodeclarados brancos (147, 62,8%), solteiros (192, 81,7%), com ensino superior (122, 51,9%) e trabalho formal (121, 51,9%). Durante o seguimento do estudo, 11 (4,8%) usuários interromperam o recebimento de mensagens e nove (3,8%) descontinuaram o uso da PrEP. Conclusão: Evidenciou-se boa taxa de aceitabilidade de mensagens de texto entre os usuários de PrEP. Mensagens sistemáticas e interativas podem constituir método plausível para melhorar a adesão à estratégia de prevenção combinada.
Análise do impacto da ampliação da Rede Nacional de Quantificação da Carga Viral do HIV, HBV e HCV point-of-care no Sistema Único de Saúde
Authors: Conte Fernanda Lopes , Morais Amanda Alencar Cabral , Guedes Nivea Orem de Oliveira , Martins Mariana Villares , Bigolin Álisson
Published: May 2024

A Rede Nacional de Quantificação da Carga Viral Rápida (CVR) do HIV e do vírus da hepatite C (HCV), que utiliza a tecnologia point-of-care GeneXpert (Cepheid®), foi implementada em 22 serviços de saúde em julho de 2019, ofertando os exames em regiões de difícil acesso e com infraestrutura laboratorial limitada. Com a finalidade de aumentar a acessibilidade e a agilidade no diagnóstico e monitoramento dessas infecções no Brasil, iniciou-se, em 2022, a expansão da Rede para novos serviços, indicados pelas coordenações estaduais, e a incorporação do teste de CVR do vírus da hepatite B (HBV). Com o intuito de analisar o impacto da ampliação da rede com relação ao quantitativo de resultados liberados, o tempo de liberação de resultados e o fluxo de amostras, os dados foram obtidos dos sistemas de registro de resultados de CV-HBV e HCV (GAL) e CV-HIV (SISCEL), e comparados pré (janeiro de 2020 a agosto de 2022) e pós (setembro de 2022 a julho de 2023) a ampliação da rede. A rede passou de 22 para 54 serviços de saúde. A média mensal de exames de CVR-HIV liberados passou de 1.365 para 3.034, os exames de CVR-HCV passaram de 95 para 168 exames/mês, e os exames de CVR-HBV apresentam média de 352 exames/mês. O tempo médio de liberação de resultados não apresentou diferença entre os períodos, sendo 4 dias para HIV e 1 dia para HCV e HBV. Antes da ampliação, a rede contava com 47 instituições coletoras de amostras, passando para 97 em julho de 2023. A incorporação de novos serviços possibilitou ampliar a oferta aos exames de CVR do HIV e HCV, e contribuir para a ampliação de acesso ao diagnóstico e monitoramento da infecção pelo HBV. Verifica-se a necessidade de qualificação da rede quanto à celeridade na liberação dos resultados, considerando os objetivos da metodologia point-of-care e visando à agilidade nos cuidados de saúde.
Autoteste para detecção do Vírus da Imunodeficiência Humana em Unidades Dispensadoras de Medicamentos da região Norte do Brasil: acesso assegurado?
Authors: Franca Francisco Alisson Paula de , Alencar Tatianna Meireles Dantas de , Moura Lilian Nobre de , Oliveira Romina do Socorro Marques de , Alonso Neto José Boullosa , Nascimento Tayrine Huana de Sousa , Riberio Maria Clara Gianna Garcia , Hallal Ronaldo Campos
Published: May 2024

Introdução: O autoteste para detecção do Vírus da Imunodeficiência Humana (AT-HIV) passou a ser fornecido pelo Ministério da Saúde (MS) em 2020, como uma das estratégias para ampliar o diagnóstico do HIV e no intuito de reduzir a iniquidade do acesso ao diagnóstico do HIV, onde, entre outras regiões, o Norte é prioritário para o MS. Objetivo: Analisar a disponibilização do AT-HIV em Unidades Dispensadoras de Medicamentos (UDM) na região Norte do país. Métodos: Trata-se de estudo exploratório a partir de dados secundários coletados em março de 2022 com informações registradas em 2020 e 2021 no Sistema de Controle Logístico de Medicamentos (SICLOM) do MS referente às UDM da região Norte. Resultados: Nos anos analisados, o MS distribuiu 50.895 unidades de AT-HIV para as 191 UDM distribuídas nos estados da região Norte. Apesar do número relativo de UDM, apenas quatro no Amazonas e duas em Roraima dispensaram o autoteste. Foram 564 unidades de AT-HIV dispensadas a 216 indivíduos. A maioria dos beneficiários era do sexo masculino (84,3%, n=182), de cor parda (66,7%, n=144), com nível de escolaridade de 8 a 11 anos (33,3%, n=72). A idade média dos indivíduos era de 34,6±8,4 anos, com variação entre 17 e 56 anos. Conclusão: Foi observado que, apesar da disponibilização do insumo pelo MS, o acesso ao AT-HIV por meio das UDM na região Norte é limitado. Fatores diversos impactam nesse acesso, por exemplo, a resistência dos profissionais de saúde frente a essa tecnologia. Esses fatores preocupam, dado o contexto de acesso à saúde da região, especialmente entre populações menos favorecidas socialmente. Portanto, é necessário um esforço maior dos gestores e profissionais de saúde para expandir o fornecimento do AT-HIV nas UDM da região Norte.
Operação Verão no Paraná: estratégias de diagnóstico das IST/HIV e hepatites virais
Authors: Francisco Maria da Penha , Franzoloso Mara Carmen Ribeiro , Nasr Acacia M. Lourenço Francisco
Published: May 2024

O Brasil se destaca pela resposta social/institucional no enfrentamento ao HIV/AIDS, às infecções sexualmente transmissíveis (IST) e às hepatites virais, assim como por conduzir ações em relação ao acesso universal e ao cuidado integral. Por sua vez, o Paraná é pioneiro na descentralização dos testes rápidos para as unidades de saúde, estratégia que leva a ampliação do acesso ao diagnóstico de forma mais equânime aos paranaenses, contudo ainda não é suficiente. O programa Operação Verão, criado pelo poder Executivo e executado por diferentes áreas de atuação do governo Estadual, apresenta-se como uma alternativa; na saúde, tem como componente o incentivo financeiro de custeio, a ser repassado do Fundo Estadual de Saúde para os Fundos Municipais dos municípios do Litoral Paranaense e outros oito municípios com prainhas de água doce. O objetivo principal é qualificar o atendimento à população flutuante, em virtude do afluxo populacional excepcional, historicamente observado no período de final de ano e férias escolares nesses municípios. As ações concentram-se em vigilância em saúde e ações de urgência e emergência, além do já ofertado. Assim, o enfrentamento ao HIV/AIDS, às IST e às hepatites virais ganha um reforço por meio de ações extramuros, sendo organizados espaços de testagem rápida em locais de fácil acesso em dias e horários alternativos aos turistas e à população local em geral. A estratégia tem gerado resultados satisfatórios, tanto do ponto de vista de aceitação em realizar os testes quanto ao ambiente: diferentemente da unidade de saúde, as pessoas se sentem mais à vontade, e mesmo nos resultados reagentes tratam de forma mais leve, desmistificando principalmente questões ligadas ao teste de HIV. Assim, sabe-se que o diagnóstico precoce é essencial para o alcance das metas estabelecidas: eliminação, risco zero de transmissão e cura, e que essa estratégia deve alcançar mais municípios no Estado.
The Crown in the Decoration of the Iconostasis. Iconographic Study of the Restoration Object
Authors: Еремин Д.А. , Шигапова А.Р.
Published: May 2024

Поступивший в реставрацию к специалистам Санкт-Петербургской государственной художественно-промышленной академии имени А.Л. Штиглица памятник — резная деревянная корона — позволил, с одной стороны, взглянуть на корону как на декоративную деталь убранства храмов православной традиции, а с другой — расширить понимание символической значимости этого предмета. Рассматривая корону не только как атрибут царской власти, но и как элемент религиозного значения, можно увидеть, как социокультурные изменения отразились на форме и стиле атрибута в разные исторические периоды. Это позволяет более глубоко понять, как христианская церковь адаптировала свои символы и обряды к изменяющемуся миру, а также как сменяющиеся исторические периоды влияли на представления о священной власти в православной традиции. Такой подход к изучению декоративных корон в контексте храмового убранства дает возможность обогатить представление о символике и религиозном значении данного декоративного элемента.

The artifact submitted for restoration to specialists at Saint Petersburg State Academy of Art and Design named after A.L. Stieglitz — a carved wooden crown — has allowed, on the one hand, to view the crown as a decorative detail of Orthodox church adornment, and on the other hand, to broaden the understanding of the symbolic significance of this item. By considering the crown not only as an attribute of royal authority but also as an element of religious significance, one can see how sociocultural events impacted the shape and style of this attribute in different historical periods. This enables a deeper understanding of how the Christian church adapted its symbols and rituals to a changing world, and how successive historical periods influenced perceptions of sacred authority in the Orthodox Christian tradition. This approach to studying decorative crowns as an element of church adornment allows for enriching the understanding of the symbolism and religious significance of this decorative element.
EDUCATION FOR SUSTAINABLE DEVELOPMENT: AN ANALYSIS OF ENGLISH TEXTBOOK GRADE-V
Authors: Jamil Muhammad , Khalil Farwa , Noorani Zainab
Published: May 2024

The current research adopted qualitative content analysis with the help of NVivo 12 software and a purposive sampling technique to select a Grade 5 English textbook. The main purpose of study was to analyze the document regarding six aspects of sustainability by Tawanti framework. Findings of study revealed that sustainability has been viewed holistically consisting of environmental, social, economic, institutional, cultural and values-based approaches. The study of textbook revealed that most parts of the textbook were seen promoting the environmental awareness, gender equality, social responsibility, financial literacy, national pride, cultural diversity & values. Furthermore, specific lessons and activities were also found in the textbook to offer knowledge and training related to sustainable practices, empathy, ethical decision making & cultural heritage of Pakistan. It was concluded that the textbook of Grade 5 English is aligned with many aspects of the sustainability that give a more inclusive view of sustainable development. The study suggested further emphasis on economic dimension to prepare the students with the knowledge and skills that align with the economic sustainability.
OCCUPATIONAL WELL-BEING IN BRICK KILN INDUSTRY: A SOCIOLOGICAL ANALYSIS OF WORKERS' EXPERIENCES IN PUNJAB, PAKISTAN
Authors: Bhatti Rab Nawaz , Yasin Mian Ghulam , Lak Tauqeer Ahmed
Published: May 2024

The study's objective was to explore occupational well-being of brick kiln workers. The impetus of this research is to improve the brick kiln laborers' well-being. The study's population of concern included the four districts of Punjab, Pakistan. Two districts selected from the South, Punjab, Multan and Jhang, and two from east of the Punjab are Sialkot and Kasur. The in-depth interviews (qualitative) & interview schedule (quantitative) methods were used to collect data. For the qualitative part, 10 stakeholders were selected purposively for in-depth interviews. For quantitative part, the convenient sampling technique was used for data collection. Both, qualitative data and quantitative data were analyzed through diverse statistics procedures as per requirements of study. Results show that occupational well-being was moderately positively correlated with theoretical model of Keyes. The findings are based on qualitative part with theme interpretation, and next quantitative part is divided into two distinct segments, namely descriptive data analysis and inferential data analysis. Data was analyzed by using SPSS & smart PLS-SEM, which are main tools used to scrutinize structural equation models.
TECHNOLOGICAL INNOVATION IN TEACHING-LEARNING PROCESS: A COMPARATIVE VIEW OF BELIEFS & PRACTICES OF TEACHERS
Authors: Muneer Munib-Ul- , Ali Shafqat , Ali Shaukat
Published: May 2024

Technology advances must be incorporated into teaching process to create dynamic, interactive learning environments that will equip students for the challenges of digital age. Examining attitudes & practices about technology developments in secondary education was the primary focus of the study. The study question "What is the impact of teachers' beliefs on their practices regarding the use of technological innovations at the secondary level?" was created to accomplish this goal. The data was gathered using an instrument based upon a five-point Likert scale. Through the use of stratified random sampling, 400 secondary school teachers were chosen as a sample. The SPSS software was used to examine gathered data. The data analysis revealed a substantial disparity in views of experienced and beginner teachers about usage of technological development. There was notable distinction between the approaches taken by inexperienced and experienced educators when implementing technology improvements. It was advised that the curriculum designers incorporate information upon the significance and application of technological developments at the secondary level based on the findings and conclusions.
WOMEN VIOLENCE DEPICTION IN DYSTOPIAN FICTION: AN ECOFEMINIST EXPLORATION OF THE PATRIARCHAL PATTERNS IN BINA SHAH’S BEFORE SHE SLEEPS
Authors: Naz Ansa , Hussain Muhammad Sabboor , Tariq Sitara
Published: May 2024

The current research explores Bina Shah's (2018) dystopian novel Before She Sleeps, which depicts violence against the women destroying nature's biodiversity. The worst effects on nature and women are examined using the ecofeminism framework by Vandana Shiva and Maria Mies (2014). Males use science to fulfil their goals under pretext of strengthening society. Both women & nature are cruelly disrupted by science, firming totalitarian state. Patriarchy, science, and technology all play interconnected role in shaping the world. Science, which is considered as a blessing, brutally disrupts both the normal cycles of women and of nature. Also, totalitarian regime benefits from it. The study reveals that development is a patriarchal project. Using the descriptive textual analysis method, the study's findings indicate that the scientific advancements, sexism, and innovation harm women and the environment. This study paves the way for studying the materialism from an ecofeminist perspective to provide new insights & add significant research to the literature.
THE USE OF META-COGNITIVE SELF-ASSESSMENT STRATEGY FOR DEVELOPING WRITING SKILLS AMONG STUDENTS
Authors: Noor Misbah , . Aqsa , Rana Rizwan Munawar
Published: May 2024

The role of meta-cognition is significant in teaching and learning process, such as the reading, writing development, problem solving, social cognition, self-control, attention, communication & in the development of personality. Thus, merely awareness about the learning procedure would not assurance of good instruction, on other hand, lacking it, teaching is just a trial and error as well as monotonous practice and most of the teachers can be destructive to their learners. This research conducted to explore the metacognitive self-assessment strategy effect on Writing Skills of 7th grade students in context of Pakistan in public school of Punjab. The experimental design was adopted in this study which involves two groups (experimental and control groups) pretest and posttest design. The sample consisted of 60 students of a public girls' high school. Writing Skills test was developed by researcher for data collection, mean, standard deviation and independent t-test were applied for data analysis. Results indicated that those students given the treatment attained higher scores compared to control. So, it is suggested that teachers should use metacognitive self-assessment strategy for teaching of writing skills in classroom.
Ukrainian piano music paradigm of the past and present in the performance dimension
Authors: Lastovetska-Solanska Zoryana , Dyka Nina , Lypetska Mariya , Saldan Svitlana , Makovetska Iryna
Published: May 2024

The research relevance on the specificity of Ukrainian piano composition, both solo and ensemble, is predefined by its demand for modern society, as well as in the content and significance of this sphere of musical art. The research aims to highlight the phenomenon in question as a voluminous, complex and, at the same time, holistic system, as well as to identify its leading components, their content, functional significance, and principles of interconnection between themselves and with the society. To achieve the above objective, the following methods were used: historical, culturological, analysis, structuring, synthesis, comparative characterization, and systematization. The research analyses the complexity of the phenomenon. The study examined several components of the phenomenon, namely the leading components of the foundation of piano performance in Ukraine, the sectors of pianism implementation and the nature of its impact on them, the modernisation of social life directions under the influence of music, Ukrainian piano art and performance in different historical eras, elements of the art of piano performance, software functions in the sphere of modern pianism. The research results illuminate processes of Ukrainian academic national piano art integration into world professional creative and performing culture as well as the uniqueness of Ukrainian music which embodied stylistic and technical achievements of classicism, romanticism, directions of the twentieth century and modernity on the ground of original colourful ethnic origins. The practical significance of the proposed study consists in the fact that its materials can be used in the concert activities of pianists, in compiling educational programs of secondary and higher music schools in piano performance, as well as in the implementation of research projects aimed at finding discoveries in the field of pianism, its specificity, manifested in different areas.
Development of the technique of forming the professionalism of a pop artist: Vocal discourse
Authors: Maychyk Ostap , Slyusar Tetyana , Voitovych Oleksandr , Katrych Olha , An Lu
Published: May 2024

Pop vocals play a significant role in today’s music industry and cultural environment. The pop style of singing has become extremely popular among young people, which determines the relevance of studying the methods of teaching pop vocals, which is characterized by technical features, emotional expression and the use of specific artistic techniques. The purpose of this study is to study effective approaches and create the own methods of teaching pop vocals, in particular, the formation of vocal qualities, to support and develop the potential of young performers. The analytical method, typological approach and generalization were used in the research work. As a result of the research, the key aspects and factors influencing the successful adaptation of young performers to the pop style of singing were revealed. As a result of the scientific work, it was established the importance of systematic classes and vocal practice for achieving a high level of vocal skill. As a result of the research work, it was possible to develop a method of teaching pop vocals, aimed at the effective formation of vocal qualities in young performers. This technique took into account the key aspects and factors influencing the successful adaptation of young performers to the pop style of singing. The developed method of teaching pop vocals can be used as a basis for the systematic and step-by-step development of vocal abilities of young performers. It is aimed at improving voice quality, control of performance technique, musical interpretation and stage presentation. The obtained work results can be used to improve approaches to teaching pop vocals and developing musical talents in young performers. This research can serve as a basis for further research and development in the field of pop singing and music pedagogy.
The structural and activity method of studying the universal creative personality (on the example of musical culture)
Authors: Komenda Olha , Kysliak Bohdan , Marach Oleksandr , Moskvych Olha , Rehulich Iryna
Published: May 2024

The trend of the global educational process aimed at developing a universal creative personality is leading young people to expand their professional spectrum. The study of the universal personality of a musical artist is a prominent issue in the context of socio-cultural changes in the life of modern society. The aim of the research is to study the specific and characteristic features of a creative personality as well as to clarify the aspects of the formation of a musician’s universal personality. This article uses the following scientific methods to study the issue of universal creative personality of a music student: description, analysis, synthesis, comparison, abstraction and generalisation. The paper highlights the issues of formation and development of the universality of the creative personality in the representatives of musical culture. The authors studied the functions of leading and auxiliary activities in the process of forming a musician’s creative personality in view of personal motivation. The work analyses and highlights the ways of forming and developing the creative aspects of a musician’s personality. This study also examines the typology of the universal creative personality, which resulted in the formation of the following types of musical personalities, in particular, the musician-master and the musician-creator and the differences between them. The article explores the structure and activity of the creative personality of a composer, performer, musicologist, teacher and public figure. The authors’ work can be a subject of further investigation by researchers and teachers who will study the topic of universal creative personality of music students.
The Imagery of Death in the Visual Discourse of French Illumination of the 13th-15th Centuries: Iconographic Typologies and Artistic Practice
Authors: Hrynda Bohdana , Tkachuk Ilona , Lysun Yaryna , Shymin Yaroslav , Odrekhivskyi Vasyl
Published: May 2024

Classical historical and art studies in the context of the development of modern humanities are frequently synthesised with research on visual culture and social art history, forming a broad discourse on the study of the culture of a particular era, country, or community. This optics is taken as the basis for this study, wherein such a fundamental philosophical concept as the attitude towards death is considered from the standpoint of art history iconographic and cultural studies to identify worldviews and ideology in the development of visual narratives that cover and represent them. In this dimension, illuminated manuscripts are the research subject and object where, through the synthesis of text and image, the ability to semiotically read images and decode the symbolic content of cultural categories opens up wide interpretative possibilities for the researcher. The purpose of this study is to outline the wide variability of iconographic typologies associated with the theme of death in the late medieval European culture of the Latin West and to cover the features of the connection of visual culture with the system of worldview representations based on symbolism rooted in religion, folklore, and court aristocratic culture. The proposed study uses an interdisciplinary scientific approach and an art history approach. The research is based on the methods of stylistic and formal analysis, semiotics, and hermeneutics. The typological approach allowed identifying groups of images united by identical semantics of image interpretation, joint compositional and plot solutions designed to accessibly decode their semantics. First, the ontological and metaphysical foundations of the perception of death as a phenomenon in the philosophical and anthropological dimension in culture in general, and in western European culture in particular, are defined and characterised. In the context of the analysis of the features of the symbolic and iconographic interpretation of images of death in the visual culture of illumination of the 13th-15th centuries, groups of images are identified, united by identical semantics of interpretation of these images, joint compositional and plot solutions designed to accessibly decode their semantics, namely the imagery of the death of saints and clergy, imagery of the death of monarchs, the death of soldiers, noble chivalry, the death of fallen in battle, the death of women, imagery of suicides, as well as imagery of violent death, murder. This study covers a wide range of potential recipients in modern humanitarianism and can be useful for historians, medievalists, art historians, anthropologists, and cultural scientists.
Bronchoscopic Evaluations in Preterm Infants with Moderate to Severe Bronchopulmonary Dysplasia
Authors: Suh Min Ji , Choi Chang Won , Jung Young Hwa
Published: May 2024

Purpose: Bronchopulmonary dysplasia (BPD) is a chronic lung disease that primarily affects premature infants receiving mechanical ventilation and oxygen therapy. Severe BPD leads to long-term respiratory complications, including lung tissue damage, vascular abnormalities, and airway diseases. This study aimed to investigate bronchoscopy findings and characteristics in patients with moderate-to-severe BPD, and to investigate BPD-associated airway diseases.Methods: A retrospective study of preterm infants diagnosed with moderate-to-severe BPD who underwent bronchoscopic evaluation in the neonatal intensive care unit at Seoul National University Bundang Hospital between 2004 and December 2022 was conducted.Results: Nineteen patients with a mean gestational age of 28.0±1.6 weeks and mean birth weight of 960.5±271.0 g were included in the study. Among these 19 patients, 18 were diagnosed with severe BPD. Tracheobronchomalacia, laryngomalacia, and subglottic stenosis were observed in 63.2%, 52.6%, and 36.8% of patients, respectively. Tracheostomy was performed in nine of the 19 patients (47.4%); five were discharged without requiring tracheostomy following surgical or medical interventions.Conclusion: Tracheobronchomalacia, laryngomalacia, and subglottic stenosis were common in patients with moderate or severe BPD who underwent bronchoscopic evaluations, of which 50% required tracheostomy. Our study findings provide valuable insights into the pathophysiology of BPD-associated airway diseases and may inform future clinical management strategies for patients with BPD.
Risk Factors Contributing to Extrauterine Growth Restriction in Very Low Birth Weight Infants
Authors: Hwang Hye Su , Chung Mi Lim
Published: May 2024

Purpose: Despite advances in neonatal care, extrauterine growth restriction (EUGR) remains common in preterm infants. This retrospective single-center study aimed to determine the incidence and risk factors of EUGR in very low birth weight (VLBW) infants.Methods: Data were collected concerning VLBW infants with gestational age (GA) <32 weeks between 2011 and 2020. EUGR was defined as a decline in weight z-score >1.2 from birth to discharge, using Fenton growth charts.Results: Among 331 eligible preterm infants, the prevalence of EUGR at discharge was 71.6%. Infants with EUGR had lower GA and birth weight than those without EUGR. They also underwent prolonged durations of parenteral nutrition, invasive ventilation, and hospitalization. Neonatal morbidities, such as bronchopulmonary dysplasia, patent ductus arteriosus, necrotizing enterocolitis, gastrointestinal surgery, sepsis, and parenteral nutrition-associated cholestasis were more prevalent in the EUGR group. Multivariate analysis identified lower GA and longer time to reach full enteral feeding as independent risk factors, whereas maternal use of antenatal steroids and history of gestational diabetes mellitus were independent protective factors for EUGR.Conclusion: As VLBW infants are at a high risk of EUGR, continuous attention and efforts to achieve early full enteral nutrition are required to decrease the incidence of EUGR.
VAGINAL BLEEDING IN PREGNANCY AND ADVERSE CLINICAL OUTCOMES IN TERTIARY CARE HOSPITAL
Authors: NIGAR F , EJAZ Z , HABIB A , BALOCH H , JAVED A , MARYAM .
Published: May 2024

Vaginal bleeding during pregnancy poses significant concerns due to its association with adverse clinical outcomes. Optimising mother and fetal health requires an understanding of the connection between vaginal bleeding and unfavourable outcomes, particularly in tertiary care facilities where complicated cases are handled. Objective: The purpose of this retrospective cohort research was to look at the possible link between poor clinical outcomes in a tertiary care hospital and vaginal bleeding during pregnancy. Methods: In the study, 340 pregnant patients who were getting prenatal care at the tertiary care hospital and who were 18 years of age or older and whose gestational ages were within the viable range also presented with vaginal bleeding. Electronic medical records were used to gather information on demographics, obstetric history, prenatal treatment, ultrasound results, lab tests, delivery method, newborn outcomes, and mother problems. Multivariable logistic regression analysis, chi-square tests, and descriptive statistics were all used in the statistical study. Results: The distribution of parity (37.94% nulliparous, 28.82% primiparous, and 33.24% multiparous) and maternal comorbidities (18.24% diabetes, 10.88% thyroid issues, and 15.59% gestational diabetes) were among the noteworthy results. Delivery procedures were 52.94% vaginal births and 47.06% cesarean sections. The following complications were observed: postpartum haemorrhage (29.41%), placental abruption (20.59%), premature labour (26.47%), and maternal ICU hospitalisations (23.53%). Adverse outcomes, such as preterm delivery, low birth weight, neonatal illness, and perinatal death, were substantially linked (p < 0.05) with vaginal bleeding. Significant predictors were discovered by odds ratios, and they included maternal problems, delivery mode, placental position, type of vaginal bleeding, prior bad outcomes, gestational age at presentation, and trimester of presentation (p < 0.05). Conclusion: Vaginal bleeding during pregnancy is significantly associated with adverse clinical outcomes, including preterm birth and neonatal morbidity. Improving clinical management techniques and maximising pregnancy outcomes in tertiary care settings may be facilitated by understanding the determinants of these outcomes.
Sharing in the Indiscriminate Generosity of God
Authors: Natalie Magnusson
Published: May 2024

This article probes three of the findings of the author’s D.Min. project thesis, which explored God’s call of racial justice in a predominantly white, affluent Episcopal parish. The research revealed theological and missional challenges that inhibit the church from joining in God’s mission of justice, namely participants viewing the church as the host of mission, white privilege hindering the practice of listening, and the reluctance of members to articulate the presence and activity of God as it relates to justice. In consideration of these obstacles, this article calls upon the indiscriminate generosity of God for funding the imagination of the missional community for faithful innovation related to racial justice.
Hartman, Tim. 2020. Theology After Colonization: Bediako, Barth, and the Future of Theological Reflection
Authors: Labuschagne Pieter
Published: May 2024

Book review
Müller, Sabrina. 2023. Religious Experience and Its Transformational Power: Qualitative and Hermeneutic Approaches to a Practical Theological Foundational Concept
Authors: Joynt Shaun
Published: May 2024

Book review
De Nederlandse naleving van internationale verplichtingen inzake Nader Onderzoek naar de Doodsoorzaak van Kinderen
Authors: Gregoire Cédrique , Duijst-Heesters Wilma
Published: May 2024

Voor het geval een kind plotseling en onverklaard overlijdt in Nederland, heeft de wetgever voorzien in een systeem waarin de forensisch arts de doodsoorzaak nader kan onderzoeken. Sinds 2016 heeft dit vorm gekregen in de Nader Onderzoek naar de Doodsoorzaak van Kinderen (NODOK)-procedure. Niet alleen de procedure is gaandeweg bijgeschaafd, maar ook de aanvankelijke hybride medische/justitiële doelstelling is aangepast. Het achterhalen van de doodsoorzaak vindt plaats op nadrukkelijk verzoek van de ouders ter bespoediging van rouwverwerking. In het IVRK en het EVRM is overeengekomen het recht op leven van een kind te beschermen. De plicht die hieruit voortvloeit vervalt niet na de dood. In dit artikel wordt de Nederlandse naleving van internationale eisen inzake het nader onderzoeken van de doodsoorzaak van kinderen onder de loep genomen.
De menselijke waardigheid van EU-arbeidsmigranten nader beschouwd
Authors: De Lange Tesseltje
Published: May 2024

In Nederland kunnen arbeidsmigranten, zowel EU als niet-EU onderdanen die gebruik maken van het vrij verkeer van werknemers en het vrije-dienstenverkeer, hier tijdelijk werken. Zij kunnen niet altijd rekenen op eerlijk, gezond en veilig werk en een menswaardige woonsituatie. Dit soort misstanden zijn zeker niet uniek voor Nederland en de aandacht ervoor is ook niet nieuw. Al decennia is bekend dat met name arbeidsmigranten uit de nieuwe EU-lidstaten werkzaam in laagbetaald, vaak repetitief werk, er niet altijd rooskleurig bij zitten. Uit een aantal Unierechtelijke normen zoals die voor maatschappelijk verantwoord ondernemen, en uit nationale normen, zoals de Wet goed verhuurderschap, en de voorgenomen invoering van een effectrapportage voor nieuw te vestigen bedrijven, blijkt dat de Unierechtelijke en nationale wetgever met man en macht proberen marktpartijen, die betrokken zijn bij deze misstanden, te reguleren en te bewegen tot menswaardige behandeling van arbeidsmigranten. In deze bijdrage wordt het debat in Nederland geduid in het licht van het streven naar een menswaardig bestaan voor arbeidsmigranten. Welke actoren leveren een bijdrage aan de verbetering van hun positie? Kan of moet de regulering beter en/of is een cultuurverandering nodig?