bluuebunny/crossref_metadata_2025 huggingface dataset:
The Reality of Secondary School Principals in Palestine’s Practice of Entrepreneurial Leadership and Its Relationship to Some Variables
Authors: Abuhelal Sana H. , Al-Sarairah Khaled A.
Published: October 2024

Objective: The purpose of this study is to identify the reality of public secondary school principals in Palestine practicing entrepreneurial leadership, from the point of view of the principals and teachers working with them, and its relationship to the variables of gender, academic qualification, and job. Method: To achieve the objectives of the study the descriptive survey method was used, and the study sample consisted of (332) individuals (79 principals and 252 teachers). To collect data, a questionnaire was developed as a tool for the study, It included (35) items divided into five dimensions: strategic vision, risk tolerance, creativity, proactiveness, and investing in opportunities, and its validity and reliability were confirmed. Results: The results of the study showed that the reality of public secondary school principals in Palestine’s practice of entrepreneurial leadership came with a high score on the overall score and on four dimensions of study, while it came at a moderate score on the risk tolerance dimension. The results also showed that there were no statistically significant differences attributed to the variables of gender and qualification. Scientific, and the presence of statistically significant differences attributed to the job variable and in favor of managers. Recommendations: The study came up with recommendations, the most important of which are the need for the Ministry of Education to adopt policies of decentralization in administrative work, delegate powers to school principals, and develop an educational administrative guide to activate school principals’ practice of entrepreneurial leadership in a systematic manner.

هدفت هذه الدراسة التعرف إلى واقع ممارسة مديري المدارس الحكومية الثانوية في فلسطين للقيادة الريادية، من وجهة نظر المديرين والمعلمين العاملين معهم وعلاقتها بكل من متغيرات الجنس والمؤهل العلمي والوظيفة. منهج الدراسة: لتحقيق أهداف الدراسة استخدم المنهج الوصفي المسحي، وقد تكونت عينة الدراسة من (332) فرداً (79 مديراً، و252 معلماً)، ولجمع البيانات طُورت استبانة كأداة للدراسة تضمنت (35) فقرة موزعة على خمسة أبعاد هي: الرؤية الاستراتيجية، تحمل المخاطر، الإبداع، الاستباقية، واستثمار الفرص، وتم التأكد من صدقها وثباتها. النتائج: أظهرت نتائج الدراسة أن واقع ممارسة مديري المدارس الثانوية الحكومية في فلسطين للقيادة الريادية جاء بدرجة مرتفعة على الدرجة الكلية، وعلى أربعة أبعاد من أبعاد الدراسة (الرؤية الاستراتيجية، الإبداع، الاستباقية، استثمار الفرص)، فيما جاءت بدرجة متوسطة في بعد تحمل المخاطرة، كما أظهرت النتائج عدم وجود فروق ذات دلالة إحصائية تعزى لمتغيري الجنس والمؤهل العلمي، ووجود فروق ذات دلالة إحصائية تعزى لمتغير الوظيفة ولصالح المديرين. الاستنتاجات والتوصيات: خرجت الدراسة بتوصيات أهمها ضرورة تبني وزارة التربية والتعليم لسياسات اللامركزية في العمل الإداري، وتفويض الصلاحيات لمديري المدارس، وتطوير دليل إداري تربوي لتفعل ممارسة مديري المدارس للقيادة الريادية بأسلوب ممنهج.
Values Of Oral Literature in African Society: A Case of Yorùbá Folksongs and Traditional Festivals
Authors: Badru Surajudeen Adewale , Ogunniran Victoria Oludunni , Hamzat Saudat Adebisi
Published: October 2024

Folksongs and traditional festivals are central to almost every activity of the Yoruba people. The contemporary world is full of pains, worries, sufferings and despair and various anti-social activities, in spite of pompous claims and glaring efforts of science and technology in solving old problems to create many new ones. Hence, every individual needs to relax, amuse, and get his or her mind off the dull struggles, worries and sorrows of life through folksongs and festivals. The Yoruba folksongs and festivals as soul-searchers and soul-menders therefore, serve the aesthetic, therapeutic and communicative purposes as tension relievers as well as elixir through which individuals are firmly reassured that there is still hope for humanity. Folksongs and traditional festivals, as manifestations of oral literary genre, possess the remarkable ability to simultaneously entertain, educate, heal and provide solace in individuals. Through them, virtues of the community are upheld and cultural values are projected. It thus concluded that Yoruba folksongs and festivals are a vital communicative instrument for pleasure and a therapy to heal and soothe individuals. Therefore, it is recommended that the Yoruba people continue to utilize folksongs as a means of entertaining, educating, consoling, and comforting themselves as the need arises. Additionally, the study underscores the importance of preserving and perpetuating traditional festival celebrations in Yoruba society, as they serve as a unifying force among the people and a potent platform for showcasing the rich culture and traditions of the Yoruba people to the wider world. Other African societies should also intensify efforts in employing folksongs and festival performances to project their respective cultural identity to the wider world.
Exploring Hybrid Vehicle Integration in Nablus Urban Shared-Taxis: Cost-Benefit and Exhaust Emissions Assessment
Authors: Salman Sharif Bassam , Al-Sahili Khaled
Published: October 2024

There is a worldwide concern about the increase in vehicles’ exhaust emissions of traditional fuels and the rise in fuel prices. Nablus city is a major city in the West Bank, Palestine with peculiar topography and traffic congestion. This increases fuel consumption and the gas emission of the diesel operated public transport (PT) shared-taxi vehicles. This paper investigates the viability of introducing hybrid vehicles to the urban shared-taxis in highly congested areas with peculiar topography. Interviews were conducted and questionnaires were distributed among PT drivers and route managers to obtain the operational and cost characteristics of each route. The existing expenses and revenues and gas emissions of diesel vehicles were analyzed. Expenses-revenues analysis revealed that there is no immediate urgency in switching all diesel-fuel shared-taxis to hybrid; therefore, two scenarios were developed. The first was replacing old PT cars (2009 or older) with hybrid vehicles, which provided an average financial saving of 20.9% with a reduction in exhausts emission of CO2-equivalent by 33%. The second scenario included replacing PT vehicles with production dates from 2009-2014, which produced financial savings of 15% and reduction of exhaust emissions by 35%. The comparison showed a preference for the first scenario at the current time, while implementing other scenarios gradually. The first scenario is simple and close to reality; as old vehicles should typically be replaced. The study recommends using hybrid vehicles for new shared-taxis introduced to the service, and establishing national level policies to encourage the use of alternative fuels for the transportation sector, focusing on PT. However, several critical factors must be considered, including topography and route characteristics.
Enhancing Agricultural Extension Programs: A Practical Guide to Designing and Implementing Randomized Controlled Trials
Authors: ABU-ALSOUD Amin , Mehrez Ameur , Bichni Houcine
Published: October 2024

Evidence-based practices in agricultural extension programs must be guided by precise evaluation strategies and reliable data. Methods like randomized controlled trials (RCTs) are vital for assessing specific program interventions. However, not all studies use experimental designs, and their quality varies, as noted in a 2010 World Bank study. RCTs, known for providing robust impact assessments, involve complex steps and are applied in various fields. This guide focuses specifically on RCTs used for agricultural extensions; a topic covered less often than clinical trials. More precisely, this guide provides (1) definitions and key steps for RCTs, (2) a simplified RCTs study design methodology, (3) an exploration of challenges and mitigation, and (4) a summary of relevant RCTs studies in extensions. This guide is formulated to enhance the present understanding of RCTs and elaborate on the ways to use them in their application in agricultural research. Furthermore, the goal here is to make sure that our policies and methods are presented with solid evidence. This approach is meant to encourage the implementation of agricultural practices that are not only more effective but also sustainable.
Influence of Campus Outdoor Spaces on Students Behavior: Enhancing Social Interaction and Learning at An-Najah University
Authors: Hasan Nada , Hijazi Ihab , Enab Diana , Qanazi Saleh , Shahrour Isam , Al-Qadi Hasan , Qamhieh Khaled
Published: October 2024

This study examines how the physical features of university campus outdoor spaces affect student behavior, aiming to promote social interaction and improve learning outcomes. Two central questions guide the research: how student movements relate to open space features, and how campus layout influences student circulation and interaction. By employing a mixed-method approach, including field observations and space syntax analysis, five areas at An-Najah University Campus are studied. The findings highlight the importance of these insights in urban design and planning, especially for teaching staff, students, and visitors. Results indicate that spatial layout and physical features significantly affect space usage, with students favoring areas with seating, shade, and social opportunities, adapting to informal setups when formal options are limited. Visibility is key, with students favoring spaces offering maximum visibility for seating. This understanding informs architects and planners in creating engaging campus environments for social interaction and learning.
Efektivitas Pemberian Makanan Tambahan (PMT) dalam Meningkatkan Berat Badan dan Tinggi Badan Balita Stunting di Kabupaten Bengkayang
Authors: Dedi Fransiskus , Selviana Selviana , Suwarni Linda
Published: October 2024

Masalah kekurangan gizi kronis atau stunting masih menjadi persoalan besar di seluruh dunia, termasuk di Indonesia. Data terbaru menunjukkan bahwa di Provinsi Kalimantan Barat, khususnya Kabupaten Bengkayang, jumlah balita stunting terus meningkat dalam beberapa tahun terakhir. Untuk mengatasi masalah ini, pemerintah telah menjalankan program pemberian makanan tambahan (PMT) kepada balita stunting. Penelitian ini bertujuan untuk mengukur seberapa efektif program PMT dalam jangka waktu tiga bulan untuk meningkatkan berat badan dan tinggi badan anak-anak di bawah lima tahun yang mengalami stunting di Kabupaten Bengkayang pada tahun 2024. Waktu penelitian pada bulan Oktober 2023–Mei 2024. Penelitian ini menggunakan penelitian Quasi Eksperimen dengan one group pretest-posttest design. Jumlah sampel dalam penelitian ini adalah 53 balita usia 6 – 59 bulan pada desa lokus stunting di Kabupaten Bengkayang. Uji Chi-Square digunakan dalam analisis bivariat. Hasil penelitian menunjukkan bahwa program PMT berhasil meningkatkan berat badan dan tinggi badan balita secara signifikan (p-value < 0.05). Rata-rata, berat badan balita bertambah lebih dari setengah kilogram dan tinggi badan bertambah sekitar 2,8 sentimeter setelah mengikuti program selama tiga bulan.
Pianificazione multilivello per una gestione forestale responsabile, rinnovata ed efficace
Authors: Marchetti Marco
Published: October 2024

Viene presentata la prospettiva futura della pianificazione forestale, come articolata nei tre livelli gerarchici prefigurati dal TUFF del 2018, suoi successivi decreti attuativi e Strategia Forestale Nazionale del 2022. Essa si presenta quale strumento rinnovato e potenzialmente molto efficace per implementare le politiche di gestione e conservazione attiva dei beni forestali, in un quadro articolato di pianificazione territoriale multidisciplinare necessario al soddisfacimento di tutte le utilità ecosistemiche che la collettività richiede, nel quadro degli obiettivi globali, europei e nazionali di miglioramento del benessere della società, in un quadro di azioni ed attività antropiche ecologicamente e socialmente compatibili.
Esperienze di realizzazione dei nuovi piani di gestione nel patrimonio agricolo forestale regionale toscano
Authors: Puglisi Annalena
Published: October 2024

Nel presente articolo viene illustrato il lavoro portato avanti da Ente Terre Regionali Toscane per una gestione unitaria ed omogenea dei 57 Complessi di Patrimonio Agricolo Forestale Regionale sparsi per la Toscana.
Considerazioni conclusive
Authors: Stefani Alessandra
Published: October 2024

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ATENÇÃO PRIMÁRIA NA FORMAÇÃO EM SAÚDE: UMA ANÁLISE QUALITATIVA DE PROJETOS PEDAGÓGICOS DE CURSOS DE SAÚDE DE UMA UNIVERSIDADE PÚBLICA NO NORDESTE DO BRASIL
Authors: Dos Santos Milena Amorim , Barreto do Carmo Maria Beatriz , De Souza Teixeira Carmen Fontes
Published: October 2024

Introdução. A Atenção Primária à Saúde (APS) constitui o primeiro nível de atenção em saúde, sendo coordenadora do cuidado prestado à população pelo Sistema Único de Saúde (SUS). As Diretrizes Curriculares Nacionais (DCNs) possuem um papel importante para uma formação crítica e alinhada aos pressupostos do SUS e da APS. Entretanto, muitas proposições das DCNs acabam não sendo consideradas na prática. Objetivos. Analisar como os cursos da área da saúde em uma universidade púbica federal no nordeste do Brasil contemplam a APS em seus projetos pedagógicos. Método. Estudo exploratório de natureza qualitativa e documental, caracterizado como um estudo de múltiplos casos, no qual cada curso foi considerado um “caso”. O software IRAMUTEQ foi utilizado como ferramenta de análise de dados combinado com a Análise de Conteúdo (análise temática) com vistas a identificar núcleos de sentido/temas nos materiais analisados e, com base na presença ou frequência de sentidos, identificar o objeto em análise, o qual, neste projeto, é a Atenção Primária à Saúde, e o modo como tal objeto se apresenta. Resultados. O curso com maior percentual de atividades dedicadas a Atenção Primária foi o de Saúde Coletiva, enquanto o que menos o fez foi o de Medicina. Os cursos que mais enfocaram a APS, o SUS e o conceito ampliado de saúde foram os de Saúde Coletiva, Enfermagem e Fonoaudiologia. De modo geral, a frequência e conteúdos relativos à APS nos cursos é baixa. Tais resultados demonstram uma tensão entre o conceito ampliado de saúde e o modelo biomédico, com maior foco nas ementas que abordam conteúdos especializados e os níveis de atenção secundário e terciário. Considerações finais. Torna-se necessário que novas investigações sejam realizadas no sentido de aprofundar a análise das mudanças curriculares em função da preparação dos profissionais para atuarem no âmbito da Atenção Primária à Saúde.
ENFORCEMENT OF NOTARY CODE OF ETHICS AGAINST PROMOTION VIOLATIONS THROUGH INTERNET MEDIA IN INDONESIA
Authors: Ananda Adhe Ismail
Published: October 2024

This study discusses the enforcement of the notary code of ethics against promotional violations through internet media in Indonesia. As a public official, Notary have a great responsibility in maintaining integrity and professionalism in carrying out their duties. However, in the current digital era, promotion through internet media is a complex issue due to the prohibition in the notary Code of ethics related to self-promotion. This study uses juridical-normative approach and descriptive-analytical approach to analyze the legal regulations and notary practices related to promotion in the internet media. The results showed that violation of this promotion ban may result in disciplinary sanctions from the notary Supervisory Board. However, the effectiveness of enforcing the code of conduct is still a matter of debate, with challenges in consistency and transparency in enforcing the rules. The importance of enforcing this code of ethics is not only as law enforcement, but also as a preventive effort to maintain the integrity of the notary profession and public trust. Thus, this study provides a more comprehensive understanding of the enforcement of the notary code of ethics against promotional violations through internet media in Indonesia.
TEN YEARS OF PRESIDENT JOKO WIDODO'S LEADERSHIP FORGING A DOMINANT NATIONAL LEGACY
Authors: Rizza Shofa Zulfikar , Kurniawan Anfal
Published: October 2024

This article examines Joko Widodo's ten years in office in Indonesia with a focus on key policies and their impact on society. It begins with the need to understand the social and economic transformation that has taken place under Jokowi's administration, as well as the challenges faced by the country. Initially, Jokowi was known as a populist leader as he showed his simplicity in living his life. However, politics can take a different course. The presidential term in Indonesia lasts for five years in one term and can be re-elected for one more term. Based on Article 7 of the 1945 Constitution. This means that the leadership era of President Joko Widodo or familiarly known as Jokowi is coming to an end, because he has been in power for two periods or the equivalent of ten years. The issues raised include how the implemented policies contribute to economic growth, infrastructure, and social welfare, as well as the community's response to these policies. The purpose of this study is to analyze the impact of government policies and evaluate Jokowi's leadership performance in the political and social context. The results show that despite significant progress in infrastructure development and poverty reduction, there are still major challenges in terms of uneven development and human rights issues that need to be addressed to build a more inclusive future for Indonesia.
Assessment of the Quality and Reliability of the Information on Retinal Detachment on YouTube
Authors: Demir Süleyman
Published: October 2024

Introduction: This study aimed to evaluate the reliability and effectiveness of YouTube videos on retinal detachment.
Materials and Methods: A total of 85 videos were analyzed on YouTube using the search terms "retinal detachment", "retinal detachment symptom" and "retinal detachment symptoms and treatment". A total of 63 videos were included in the study. Finally, the quality and reliability of the videos included in the study were evaluated using the DISCERN score, the Global Quality Scale (GQS) and the JAMA score.
Results: The mean the DISCERN score was 55.8 ± 18.1, the JAMA score was 2.6 ± 1.4, and the GQS score was 3.7 ± 1.3 for a total of 63 videos analyzed. The total number of likes of the videos watched was 3090±1977, while the total number of dislikes was 50.2±40.6. The total duration of the videos was 392±93.1 seconds. The DISCERN, the JAMA and the GQS scores of videos uploaded by physicians were found to be statistically significantly higher than videos uploaded by YouTube health channels (p
Evaluating The Factors Affecting Mortality and Survival of the Patients Who Underwent Percutaneous Endoscopic Gastrostomy; The Short-term and Long-term Results
Authors: Keskinkılıç Yağız Betül , Yalaza Metin
Published: October 2024

Summary
Aim
Percutaneous endoscopic gastrostomy (PEG) is a common minimally invasive technique performed in patients with oral feeding problems. The aim of the current study is to evaluate the associated factors that have an impact on the short- and long-term survival and mortality in these patients who received PEG tube placement.
Materials and Methods
The patients who underwent PEG placement between June 2020 and June 2023 are enrolled in the study. Mortality data was extracted from the National Death Registry database. Data regarding the demographics, indications of PEG, co-morbidities, length of hospital stay prior to PEG procedure, the need for mechanical ventilator support, body-mass index, serum levels of hemoglobin, leukocyte, albumin, and c-reactive protein are extracted retrospectively. Kaplan Meier and Cox regression analyses were used to evaluate the factors affecting survival.
Results
A total of 137 patients are enrolled in the study (71 female and 66 male). One-month mortality was 16.7% and overall mortality during a follow-up of 38 months was 51%. Survival was significantly higher in patients with motor neuron diseases than the patients with Alzheimer’s (p=0.036). Length of hospital stay before PEG placement and hemoglobin levels were found to have a significant impact on survival in Cox regression analysis (p=0.000, p=0,009).
Conclusion
Length of hospital stay before PEGplacement, need for mechanical ventilator support and hemoglobin levels were found significantly associated with survival. Higher mortality in Alzheimer's patients may indicate that indications of PEG should be re-evaluated in these patients.
Effectiveness of Propolis on Experimental Colitis Model In Rats
Authors: Bolat Levent , Parsak Cem Kaan , Topal Uğur , Yavuz Burak , Kılıç Bağır Emine , Döğüş Yusuf , Gorur Ozlem , Seydaoğlu Gülşah , Eray İsmail Cem , Sakman Gürhan
Published: October 2024

Aim: This study investigated the therapeutic potential of propolis in an experimental colitis model induced by acetic acid in female Wistar albino rats.
Materials and Methods: Thirty rats were divided into five groups: a control group and four experimental groups. Colitis was induced in the second, third, and fifth groups by rectal administration of 1 ml of 4% acetic acid. The third group received rectal propolis solution (50 mg/ml), while the fourth group was given only rectal propolis solution. The fifth group received 1 ml of olive oil rectally after the onset of colitis. Stool consistency and weight loss were monitored, and colon tissue samples were collected for microscopic and macroscopic evaluation. The levels of MDA, MPO, and caspase-3 in tissue, as well as TNF-α and IL-10 levels in blood samples, were examined.
Results: The group administered propolis showed a significant decrease in microscopic and macroscopic scores compared to the other experimental groups. The levels of MDA, MPO, and caspase-3 in the tissue, as well as TNF-α and IL-10 levels in blood samples, were significantly decreased in the propolis group compared to the other experimental groups. Weight loss and stool consistency also showed improvement in the propolis group compared to the other experimental groups.
Discussion: Propolis may have therapeutic effects in experimental colitis induced by acetic acid. The decrease in oxidative damage and inflammation seen in the propolis group indicates that it may be a useful therapeutic agent for colitis treatment.
Comparison of three methods of greater trochanter fixation in intertrochanteric femur fractures (AO type 31/A2) treated with cementless bipolar hemiarthroplasty
Authors: Gökmen Mehmet Yiğit , Uluöz Mesut , Varmış Hasan Orkun , Çiçek Hakan
Published: October 2024

Aim: The aim of this study was to compare the three most commonly used fixation methods for the fractured trochanter major fragment in patients undergoing uncemented bipolar hemiarthroplasty for unstable intertrochanteric fractures.
Methods: The medical records of 231 acute hip fracture cases aged 65 years and older with AO classification 31/A2.2 and 31/A2.3 who underwent unilateral primary cementless bipolar hemiarthroplasty at Adana Şehir Training and Research Hospital between January 2021 and January 2023 were retrospectively analyzed. The files were classified into three groups based on the fixation technique used in the operation.
Results: There were 231 files, with a mean age of 82.3±7.9. The majority (55.8%) were classified as ASA III. The analysis resulted in no significant differences between the groups in terms of age, number of days between the day of the injury and the day of the surgery, fixation failure, nonunion, number of revision surgeries, hospitalization duration, and HHS recorded at the third and sixth-month follow-up visits. Among the 73 males and 158 females, the ratio of the side in which the fracture occurred showed no difference (p=0.854). The female rate was significantly higher in group 3 compared to other groups (p=0.003). Regarding union success, cases in group 1 had significantly lower trochanter major union rates (p
Câncer gástrico: análise do consumo alimentar e os fatores de risco socioambientais em pacientes de hospital oncológico pernambucano
Authors: De Albuquerque Santana Maria Eduarda , Fernandes dos Santos Natália
Published: October 2024

Introdução: Com o crescente aumento da prevalência entre as doenças crônicas não transmissíveis (DCNT), o câncer se tornou um dos principais problemas de saúde pública no mundo. Entre eles, o câncer de estômago ocupa a quinta posição entre os tipos mais frequentes no Brasil, estando frequentemente associado a distúrbios nutricionais. A detecção e o manejo adequado desses distúrbios podem contribuir para melhorar a qualidade de vida e a sobrevida dos pacientes. Objetivo: Avaliar a adequação nutricional e fatores socioambientais em pacientes com câncer de estômago virgens de tratamento em uma unidade de alta complexidade em oncologia de Recife/PE. Metodologia: Trata-se de um estudo quantitativo, transversal e descritivo, com duração de 9 meses. Foram coletadas informações sobre o consumo alimentar, por meio do recordatório de 24 horas (R24h), bem como dados antropométricos, socioeconômicos e clínicos dos pacientes. Resultado: Foram analisados os dados de 56 pacientes, sendo 38,2% do sexo feminino e 61,8% do sexo masculino. Observou-se uma predominância de eutrofia entre os adultos, enquanto nos idosos prevaleceu a desnutrição, que acometeu 55,2% dos indivíduos. Em relação à avaliação do consumo alimentar, 83,9% da amostra apresentou ingestão calórica insuficiente, com maior inadequação entre os homens e nos pacientes com IMC indicativo de desnutrição ou eutrofia. Conclusão: Os resultados deste estudo reforçam a importância da avaliação e do acompanhamento nutricional, além do monitoramento da ingestão alimentar em pacientes, principalmente idosos, com câncer gástrico que apresentam vulnerabilidade à desnutrição.
DOENÇA DE WOLMAN: UMA PATOLOGIA RARA
Authors: Araujo Jacobina Brito Vanessa , Jacobina Brito Passos Matheus
Published: October 2024

A doença de Wolman ou xantomatose de Wolman é uma forma infantil grave de doenças hereditárias de armazenamento lipídico lisossômico, secundária à deficiência de lipase ácida (esterol esterase). É uma condição ultra rara com incidência de 1/500.000 casos. Nesta doença, a forma mais rara de deficiência de lipase ácida, estes lipídeos acumulam-se na maioria dos tecidos.  É uma variante alélica da doença de armazenamento de colesterol. Tem hereditariedade autossômica recessiva.
Perfil epidemiológico da Tuberculose Miliar nos anos de 2019 a 2023 no Brasil
Authors: Bressiani Macedo Rafael , Meggiolaro Coppetti ⁠Milena , Aragão Pereira João Pedro , Augusto Pinheiro Borges ⁠Luís , Moreira de Oliveira Raimunda , Giovana de Oliveira Sousa Laís , Carvalho Martins Moreira Maria Fernanda , Ribeiro Benevides ⁠Vitória , Lopes Araújo Daniel
Published: October 2024

A tuberculose (TB) é uma infecção causada pela bactéria Mycobacterium tuberculosis, transmitida principalmente por vias respiratórias. Anualmente, mais de 10 milhões de pessoas contraem TB, com prevalência maior entre homens e adultos, especialmente nas formas pulmonares. Uma variante grave é a tuberculose miliar, resultante de uma resposta imunológica inadequada, comum em pacientes imunodeprimidos, como aqueles com AIDS. Foi realizado um estudo observacional, descritivo e analítico sobre internações por tuberculose miliar no Brasil, entre 2019 e 2023. A pesquisa utiliza dados do Sistema de Informações Hospitalares do SUS (SIH/SUS) e do Sistema de Informação de Agravos de Notificação (SINAN), focando em variáveis como número de internações, sexo, região, faixa etária, raça, status de imigrante, comorbidades e outros fatores. Entre os 6.541 casos confirmados, a maioria ocorreu no Sudeste (2.324) e em homens (71,7%). A faixa etária mais acometida foi de 20-59 anos (78%). A tuberculose miliar esteve associada a comorbidades como AIDS, alcoolismo e diabetes. Casos novos representaram 78% das notificações, indicando desafios no diagnóstico precoce e adesão ao tratamento. A análise contribui para políticas públicas e vigilância epidemiológica. A predominância de casos novos ressalta a importância da detecção precoce e do acesso a serviços de saúde. A disparidade entre grupos demográficos, como sexo e raça, evidencia a necessidade de políticas públicas focadas em reduzir desigualdades sociais. O estudo enfatiza a importância de vigilância epidemiológica robusta e de uma abordagem integrada para o controle da tuberculose miliar no país.
Abordagem de Urgência no AVC: Diagnóstico Rápido e Intervenção Eficaz para Reduzir Sequelas
Authors: Meneses dos santos Leticia , Gomes Azevedo Neto Manoel , Dias Campos Sabrina , Santos Nunes Larissa , Franklin Lopes Kelly Caroline , Alves Lopes Victor Hugo , Santos de Carvalho André Elias , Casali Tessaro Heloiza , Pinto Alvim Isabele , Louback Pinto Domingos Maria Eduarda , Viana de Lima Bastos Lara , Negrini de Souza Eduarda
Published: October 2024

Introdução: O acidente vascular cerebral (AVC) é um dos principais desafios de saúde pública, sendo a segunda causa de morte no mundo, apesar dos avanços na redução da mortalidade. Este estudo revisa a literatura sobre o manejo do AVC, com foco no diagnóstico rápido e na abordagem de urgência. O reconhecimento precoce dos sintomas e a ativação eficiente dos serviços médicos de emergência (EMS) são fundamentais para a sobrevivência dos pacientes, bem como na redução de sequelas. Objetivo: Analisar o manejo agudo do acidente vascular cerebral (AVC), enfatizando o reconhecimento precoce dos sintomas, a otimização da ativação dos serviços médicos de emergência e a melhoria da comunicação entre equipes de atendimento. Metodologia:  Foi realizada uma revisão bibliográfica na Biblioteca Virtual em Saúde (BVS), entre agosto e outubro de 2024, selecionando artigos publicados nos últimos 10 anos que abordavam as temáticas propostas para esta pesquisa.  Resultados: O reconhecimento eficaz dos sinais de AVC e a rápida ativação dos serviços médicos de emergência são cruciais para minimizar atrasos no tratamento, aumentando a elegibilidade para intervenções como trombólise e trombectomia. Além disso, a tomografia computadorizada desempenha um papel vital no diagnóstico precoce e na determinação da causa do AVC, influenciando diretamente as decisões de tratamento. É essencial implementar estratégias que aumentem a conscientização pública sobre os sinais do AVC, capacitem profissionais de saúde e integrem tecnologias que melhorem a comunicação entre equipes pré-hospitalares e hospitalares. Conclusão: Em conclusão, essas ações são fundamentais para otimizar o atendimento ao AVC, melhorar os desfechos clínicos e reduzir o impacto da doença, promovendo uma vida mais saudável para os pacientes afetados. O compromisso contínuo com a pesquisa e a educação da população é crucial para enfrentar o AVC de forma eficaz.
EVOLUTION OF DYNASTIES IN KARNATAKA: A HISTORICAL REVIEW OF POLITICAL AND CULTURAL TRANSITIONS
Authors: Sharanappa Annigeri
Published: October 2024

This review paper explores the historical evolution of Karnataka, focusing on the impact of various dynasties on its political, social, and cultural landscape. It highlights the responsibilities of notable kings including the “Kadambas, Chalukyas, Hoysala, and Vijayanagara Empire” in influencing government, developing Kannada literature, and cultivating regional pride by examining their contributions. Additionally, the study investigates into the architectural marvels erected by these kingdoms, including palaces and temples, which stand as everlasting representations of Karnataka's tradition. In addition, the impact of social reforms and religious movements is examined to show how these past events still have repercussions in modern days Karnataka. The complexity of Karnataka's identity and the enduring traces of its past may be better understood by comprehending the interaction between history and modernity, which is the goal of this article. At the end of the day, it stresses how vital it is to acknowledge Karnataka's vibrant history as a basis for the state's progress and advancement.
ДЕЕПРИЧАСТНЫЕ ФОРМЫ В ЧЕЧЕНСКОМ ЯЗЫКЕ: СТРУКТУРА И СЕМАНТИКА
Authors: Ирезиев С.-Х.С.-Э.
Published: October 2024

Данная статья посвящена изучению форм деепричастий в чеченском языке, их грамматических особенностей, функций и структуры. Автор ставит целью исследовать как общие закономерности образования деепричастий, так и редкие или уникальные случаи, способные пролить свет на эволюцию чеченской грамматической системы.
В статье анализируется структура деепричастий, которые в чеченском языке представляют собой особую глагольную форму с категорией времени. Автор исследует существующие научные работы по данной теме, уделяя внимание образованию деепричастий настоящего и прошедшего времени с помощью суффиксов -ш и -ий. Также подробно рассматривается явление редупликации, при котором удвоение гласного усиливает семантическое значение. Особое внимание уделено сложным деепричастиям, которые формируются через редупликацию и добавление форманта -ш, а также композитным деепричастиям, представляющим собой сочетание различных значений.
Отдельно обсуждается различие между деепричастиями и другими глагольными формами, такими как прошедшее неопределённое время и причастия. В заключение подчеркивается необходимость дальнейшего изучения деепричастных и других глагольных форм нахских языков.
НЕКОТОРЫЕ ОСОБЕННОСТИ ИТУМ-КАЛИНСКОГО ДИАЛЕКТА
Authors: Сосаева А.К. , Ирезиев С.-Х.С.-Э.
Published: October 2024

Статья посвящена анализу некоторых особенностей итум-калинского диалекта чеченского языка. В исследовании использован материал, собранный от носителей данного диалекта, а также данные из трудов учёных, изучавших чеченские диалекты. Основное внимание уделено особенностям согласных кластеров итум-калинского диалекта. В частности, рассматриваются замены: использование комплексов «рк», «рс», «рш» вместо «хк», «рк», «рч» в литературном языке, а также замена комплексов согласных «ст», «цкъ» на «с» и «цI» в итум-калинском диалекте.
В работе исследуются также фонетические особенности формообразования имён существительных и глаголов. При образовании глагольных форм настоящего времени в итум-калинском диалекте начальные гласные инфинитивной основы («и», «ӣ», «ие», «иē») остаются неизменными. Однако аффиксальный гласный «у» подвергается процессу редукции и превращается в «а». В литературной норме чеченского языка, напротив, происходит лабиализация этих гласных под влиянием последующего гласного «у»: трансформируются следующим образом «и»→«уь», «ӣ»→«ȳь», «ие»→«уоь», «иē»→«уōь».
В статье также анализируются процессы редукции некоторых согласных, наблюдаемые в структуре отдельных глаголов итум-калинского диалекта.
Особое внимание уделяется случаям, когда фонетические изменения в этом диалекте способствуют сохранению архаичных элементов, что играет ключевую роль в реконструкции исторических этапов развития чеченского языка.
ОБРАЗОВАТЕЛЬНАЯ ТЕХНОЛОГИЯ «ФОРУМ-ТЕАТР» В ПРОФЕССИОНАЛЬ-НОЙ ПОДГОТОВКЕ СТУДЕНТОВ – БУДУЩИХ ПСИХОЛОГОВ
Authors: Сердюкова Е.Ф.
Published: October 2024

В статье рассматриваются возможности художественно-педагогической технологии «форум-театр» в профессиональной подготовке студентов вуза – будущих педагогов-психологов. Рассматриваемая технология представляется как вариант рассмотрения конфликтных ситуаций, возникающих во взаимоотношениях между людьми в семье и в профессиональной деятельности. Также приводятся некоторые сходные моменты между игровыми методами активного социально-психологического обучения, но все же более выраженный акцент делается на специфических отличиях форум-театра от других образовательных технологий и на возможностях рассматриваемой технологии в подготовке студентов – будущих педагогов-психологов к работе с конфликтными ситуациями. Автор стремится показать, что именно технология «форум-театр» дает возможность обучаемым осознать влияние изменения форм и моделей поведения протогониста (угнетаемого) на благоприятное разрешение конфликтной ситуации, помогает сформировать у студентов навык выделять существенные моменты конфликтной ситуации и максимально экологично влиять на них, развивает культуру спора и умение аргументированно и спокойно говорить о своих правах и потребностях.
MAIN DIRECTIONS OF STATE POLICY OF UKRAINE CONCERNING THE SOLUTION OF PROBLEMS IN THE FIELD OF MEDICAL, PHYSICAL AND PSYCHOLOGICAL REHABILITATION OF PARTICIPANTS IN COMBAT ACTIONS
Authors:   Hryhorii Skovoroda University in Pereiaslav, Payenok Andriy , Hunko Leonid ,   Hetman Petro Sahaidachnyi National Army Academy, Tymochko Ivan ,   Lviv Polytechnic National University, Zabolotnya Vasylyna ,   Armed Forces of Ukraine
Published: October 2024

he article summarizes information on the main directions of the state policy of Ukraine in solving problems in the field of medical, physical and psychological rehabilitation of combatants. The study of the main directions of the state policy of Ukraine in solving problems in the field of medical, physical and psychological rehabilitation of combatants has a systemic nature. Therefore, research methods are also multidisciplinary, because the research concerns administrative law, public administration, and the field of health care. The functional-competence approach was specially applied, according to which the competence of the central bodies of the executive power of Ukraine was analyzed in terms of the development and implementation of state policy. The effectiveness of state policy in the field of state financial guarantees of medical care for the population under the medical guarantee program has been analyzed. Provision of sanatorium-resort treatment and medical benefits are considered. Problems have been identified when the transition of military personnel to civilian life will become a serious challenge for the country. The problem will arise in the context of ensuring a unified approach to the provision of benefits. The issue of rehabilitation financing was considered, in particular, it was noted that all the listed services are provided either exclusively at the expense of local budgets, or under a mixed system, when local authorities receive a partial subvention from the state budget. The problem of transfer of benefits administration functions to local self-government bodies and the introduction of an automated system for servicing the needs of veterans was declared.
Qualidade de vida e nível de atividade física de indivíduos frequentadores de academia
Authors: Vilela Junior Guanis de Barros , Prates Davi M.
Published: October 2024

Introdução: é evidente que o constructo qualidade de vida não depende, prioritariamente e muito menos, exclusivamente, da prática de atividade física regular. Indivíduos com elevado nível de atividade física podem ter um percepção de qualidade de vida muito ruim. Objetivo: avaliar a qualidade de vida e o nível de atividade física de um grupo de praticantes de atividades físicas em uma academia de musculação na cidade de Campinas-SP. Métodos: A amostra intencional e de conveniência foi constituída de 30 indivíduos, sendo eles 15 homens e 15 mulheres, com (28,79, ±4,18) anos de idade e (82,58; ±7,32) Kg de massa corporal. A qualidade de vida foi mensurada através do protocolo WHOQOL-BREVE e o nível de atividade física através do IPAQ, versão longa. A tabulação e análise dos dados foram realizadas através do programa Excel Microsoft e SPSS versão 13. A significância adotada foi de p<0,05. Resultados: foram encontrados valores satisfatórios nos quatros domínios do instrumento. Em relação ao domínio 1 (físico) foi obtida uma pontuação de 82,98; nos domínios 2 e 3 (psicológico e relações sociais) 78,89 pontos e no quarto domínio (meio ambiente) a pontuação foi de 67,50. O nível de atividade física foi de 67% para as atividades moderadas, 30% para as atividades com baixo nível de atividade física e 3% de atividades físicas de elevado nível de intensidade. Os indivíduos frequentadores de academia apresentaram qualidade de vida e nível de atividade física satisfatórios, especialmente nas questões relativas à saúde, atividade física e nível de atividade física, onde os resultados foram significativos, isso evidencia que a prática regular de atividades físicas pode contribuir de maneira significativa na melhoria da qualidade de vida e saúde dos praticantes. Entretanto, o meio ambiente comprometeu a percepção da qualidade de vida dos sujeitos, fato que atesta a falta de políticas públicas sérias nas esferas federal, estadual e municipal; uma prova do mal uso dos altos impostos que a sociedade brasileira paga.
TERAPIA ESPELHO EM HEMIPARÉTICOS CRÔNICOS: ANÁLISE FUNCIONAL
Authors: Fagundes Marcela Araújo , Lobato Samara Melo , Magno Lizandra Dias , Sobral Luciane Lobato , Rocha Rodrigo Santiago Barbosa , Rocha Larissa Salgado de Oliveira
Published: October 2024

Este estudo objetivou verificar a influência de um protocolo de Terapia Espelho sobre a Funcionalidade de pacientes com sequelas de Acidente vascular encefálico. Selecionou-se oito voluntários de idade média de 52,75 ± 6,63 anos com hemiparesia crônica após Acidente vascular encefálico, submetidos a um protocolo de exercícios ativos com a caixa espelho, realizando 12 sessões durante três vezes na semana, por 35 minutos e avaliados no pré e pós-tratamento por meio da escala modificada de Fulg-Meyer Assessment para análise das variáveis do membro superior. Utilizou-se o teste de Shapiro Wilk  para normalidade e os testes t de Student e Qui-quadrado para análise pré e pós-tratamento (p≤0,05). Na análise quantitativa da escala de Fulg- Meyer Motor Assessment foi verificado melhora de todas as variáveis do membro superior no pós-tratamento quando comparado ao pré-tratamento (p≤0,05). Conclui-se que o protocolo de terapia espelho utilizado no estudo influenciou na funcionalidade do membro superior parético dos indivíduos com Acidente vascular encefalico, que tendem a apresentar os piores prognósticos, uma vez que os mesmos passaram a utilizar mais a extremidade superior acometida para realizar suas atividades funcionais gerando maior independência funcional.
Síndrome do Túnel do Carpo: Definição, Diagnóstico, Tratamento e Prevenção – Revisão da Literatura
Authors: Alves da Silva Geovany Antonio
Published: October 2024

Objetivo: Realizar uma revisão da literatura sobre a definição, diagnóstico, tratamento e prevenção da Síndrome do Túnel do Carpo.Método: a metodologia utilizada foi revisão da literatura. Foram utilizadas 50 referências entre artigos, livros e legislação sobre o tema, publicados de 1990 até 2012. Resultados: A síndrome do túnel do carpo (STC) foi descrita pela primeira vez em 1854 por Paget que observou uma doença que acometia o antebraço punho e mão, cursando com parestesias, dor e incapacidade de realizar os movimentos anatômicos do segmento acometido. A eletroneumiografia é um exame considerado padrão ouro para o diagnóstico da STC, pois, verifica a condução nervosa no trajeto do nervo mediano através de eletródios de inserção. Considerações Finais: O tratamento cirúrgico da doença é bem definido na literatura, gerando melhora e desaparecimento da maioria dos sinais e sintomas apresentados pelo portador de STC. Verificou-se, também, uma quantidade mínima de artigos no campo de fisioterapia, não existindo assim um consenso sobre tratamento fisioterapêutico com terapia manual, porém, existem alguns autores que relataram o uso de ultrassom e laser no tratamento da STC. A incapacidade gerada pela doença leva a uma grande oneração aos cofres públicos (INSS) e as empresas com o aumento do absenteísmo
THE IMPACT OF GAMIFICATION ON EMPLOYEE LEARNING AND DEVELOPMENT: A COMPARATIVE STUDY OF TRADITIONAL AND GAMIFIED TRAINING METHODS
Authors: Anjana.M.R  , Seema.K.S
Published: October 2024

Gamification has become a popular trend in corporate learning, with many organizations incorporating game design elements into their employee training programs. However, there is limited research on the effectiveness of gamification in enhancing employee learning and development. This study aims to address this gap by conducting a comparative analysis of traditional and gamified training methods on employee learning outcomes. A mixed-methods approach was employed, involving both quantitative and qualitative data collection and analysis. The results of the study indicate that gamified training methods significantly outperform traditional methods in terms of engagement, motivation, and knowledge retention.
Additionally, the study found that gamified training methods were particularly effective in promoting soft skills development, such as teamwork and communication. The findings suggest that gamification can be a valuable tool for organizations seeking to improve employee learning and development outcomes. The study also highlights the importance of considering individual differences in learning preferences and styles when designing gamified training programs. The rise of gamification has revolutionized the way organizations approach employee learning and development. This study aims to investigate the impact of gamification on employee learning and development, comparing its effectiveness with traditional training methods.
A comprehensive review of existing literature suggests that gamification has the potential to increase employee engagement, motivation, and retention, as well as improve knowledge retention and transfer. In contrast, traditional training methods often rely on lectures, reading materials, and quizzes, which may not be as effective in promoting active learning and retention. This comparative study examines the effects of gamification on employee learning outcomes, including cognitive, affective, and behavioural outcomes, and compares them to traditional training methods. The findings of this study provide valuable insights for HR professionals, trainers, and managers seeking to design effective training programs that leverage the power of gamification to improve employee learning and development.
KEYWORDS: - Gamification, employee learning and development, traditional training methods, job satisfaction, engagement, productivity, employee retention.
Formulasi Salep Ekstrak Daun Mangrove (Rhizophora Mucronata Lamk) Sebagai Antibakteri Staphylococcus Aureus
Authors: Kurnia Atika Resti , Rochmah Nikmah Nuur , Pangesti Ira
Published: October 2024

Infeksi kulit akibat bakteri Staphylococcus aureus dapat menimbulkan berbagai kondisi seperti peradangan, jerawat, nekrosis, pembentukan abses, dan infeksi folikel rambut. Daun mangrove (Rhizophora mucronata Lamk) memiliki kandungan metabolit sekunder seperti tanin, flavonoid, alkaloid, saponin dan fenol  yang memiliki potensi sebagai antibakteri. Penelitian ini bertujuan membuat salep dari ekstrak daun mangrove (Rizhophora mucronata Lamk) dengan formulasi modifikasi yang memenuhi persyaratan uji mutu fisik, serta menghambat pertumbuhan dari bakteri Staphylococcus aureus. Ekstraksi yang dilakukan dengan menggunakan metode maserasi dan pengujian aktivitas antibakteri menggunakan metode sumuran (well) pada konsentrasi 2,5%, 5%, 7,5% dan 10% dengan gentamicin 1% sebagai kontrol positif. Hasil penelitian menunjukkan bahwa salep daun mangrove (Rhizophora mucronata Lamk) memenuhi persyaratan uji mutu fisik, termasuk uji organoleptis, homogenitas, pH, daya sebar, daya lekat,  stabilitas, hedonik dan iritasi. Uji antibakteri menunjukkan bahwa salep dengan ekstrak daun mangrove (Rhizophora mucronata Lamk) pada konsentrasi 2,5%, 5%, 7,5% dan 10% dapat menghambat dari pertumbuhan Staphylococcus aureus dengan diameter rata-rata 6,4 mm, 8,4 mm, 7,3 mm serta 8 mm.
THE USE OF A BALANCED SCORECARD TO IMPROVE THE QUALITY OF VETERINARY SERVICES IN CLINICS PROVIDING CARE TO PETS
Authors:   Moscow Practical Forum «Companion», Moscow, Russia, Stepanov Gennadiy R.
Published: October 2024

The article presents the data of the conducted research on the definition of indicators and their values for the development of a motivation system for doctors of veterinary clinics based on a balanced scorecard, which allows not only to improve the quality of veterinary services provided, but also aims to achieve the goals and performance indicators of the entire company.