bluuebunny/crossref_metadata_2025 huggingface dataset:
STRATEGI PEMBELAJARAN EACH ONE TEACH ONE DALAM MENINGKATKAN HASIL BELAJAR SISWA PADA MATA PELAJARAN PENDIDIKAN AGAMA ISLAM
Authors: Hariyanto Hariyanto , Arfandi Arfandi
Published: March 2023

The results of observations at SMP Negeri 3 Situbondo showed that student learning outcomes in PAIBP material, especially the Thaharah subject, still reached the percentage of 50% or 16 students who completed out of 32 students. This is because students are still not able to master how to stay well. The reason is not only students but teachers who are less innovative in using learning strategies. Less varied learning models that have been applied by teachers in the field of study do not provide the widest opportunity for students to be active. Although the teacher has tried to make improvements, student learning outcomes are still relatively low. Therefore, efforts or methods can be made to improve student learning outcomes, one of which is by applying the each one teach one learning strategy. The each one teach one learning strategy, the reasons for using this strategy are 1) Support and improve the learning process. 2) Train students to be responsible. 3) This strategy can be used in all subjects: this research has two formulations (1) How is the implementation of the each one teach one learning strategy for the subject of PAIBP thaharah class VII material at SMP Negeri 3 Situbondo for the academic year 2021-2022?, (2) How is it improving student learning outcomes in PAIBP subjects through the implementation of the each one teach one learning strategy for class VII material at SMP Negeri 3 Situbondo for the academic year 2021-2022?. This study uses classroom action research with various kinds of data collection, namely observation, interviews and documentation. Based on the results of the research and discussion, it can be concluded as follows: (1) The application of the learning strategy of each one teach one subject of PAIBP thaharah class VII material at SMP Negeri 3 Situbondo in the 2021-2022 academic year is very effective, (2) There is an increase in student learning outcomes by 19% from 75% of the first cycle to 94% of the second cycle of PAIBP subjects through the application of the each one teach one learning strategy for class VII material at SMP Negeri 3 Situbondo in the 2021-2022 academic year.
Tam Donanımlı Bir Hastanede Afet Ekibinin KBRN Farkındalığının Değerlendirilmesi
Authors: KAYNAK Ceren , KUTLU Yusuf Arif
Published: March 2023

Kimyasal, Biyolojik, Radyolojik ve Nükleer (KBRN) ajanlara maruz kalmak çok tehlikeli ve ölümcüldür. KBRN vakalarında yaralılara ilk müdahale afet ve acil yardım çalışanları ve Hastane Afet Planı (HAP) ekibi tarafından yapılır. KBRN ajanlardan etkilenenlerin birçoğu kendi olanaklarıyla hastaneye gider. Bu nedenle arındırma işlemi yapılmadan hastaneye gelen kişi sayısı oldukça fazladır. İlk müdahalede bulunacak hastane sağlık personelinin KBRN bilgi düzeyi düzenli olarak ölçülmeli ve uygulamaya dönük eğitimlerle güncel tutulmalıdır. Bu çalışmada tam teşekküllü bir hastanenin HAP ekibinin KBRN bilgi ve eyleme dönük bilinç düzeylerinin ölçülmesi ve iyileştirme yönünde alınacak kararlara katkı sunulması amaçlanmıştır. Örnek olarak seçilen tam teşekkülü bir hastanenin HAP ekibinin KBRN bilgi düzeyleri yüz-yüze anket tekniği kullanılarak araştırılmıştır. Buna göre, katılımcıların büyük çoğunluğu HAP organizasyonundaki görev ve sorumluluklarını bilmemektedir. HAP çalışanları anlamlı düzeyde KBRN terminolojisine aşina olsalar da KBRN tehdit ve risklerden haberdar olma oranları ortalamanın altındadır. HAP görevlilerinin KBRN bilgi ve bilinç düzeylerinin, katılım sağlanan eğitim ve tatbikatların ise içerik açısından yeterli olmadığı görülmektedir.
Accurate Prediction of Residual Stresses in Machining of Inconel 718 Alloy through Crystal Plasticity Modelling
Authors: KESRİKLİOĞLU Sinan , KAPÇI Mehmet Fazıl , BUYUKCAPAR Ridvan , ÇETİN Barış , YILMAZ Okan Deniz , BAL Burak
Published: March 2023

This study presents the dynamic and buckling analysis of the laminated composite thin arch plate frame
structures employing Classical Plate Theory with Finite Element Analysis. For this purpose, the effects of the radius of curvature, aspect ratio, and stacking order of such structures on the first ten natural frequencies, mode shapes, critical buckling load, and the first unstable regions are investigated. Besides, the two-bay curved plate frame structure is investigated. In order to perform dynamic and buckling analyses, a computer code is developed and executed via MATLAB. The results are compared and validated with those of ANSYS. It is concluded that the aspect ratio or the stacking order affects the dynamic characteristics of the curved plate frame structure considerably while the radius of curvature relatively has less impact on such dynamic properties of the structure.
Investigating the Wear Behaviors of Silane Coated Silica Filled Glass/Epoxy Nanocomposites
Authors: UZAY Çağrı
Published: March 2023

Wear behaviors of silane coated silica (SiO2) nanoparticle-filled glass fiber reinforced polymer composites were investigated depending on the type of silane coating (KH550: -Aminopropyl-triethoxy-silane and KH570: -Methacryloxypropyl-trimethoxy-silane) and nanoparticle percentages within the polymer matrix. Unlike the cases given in most research studies, the silanized silica nanoparticles were used as received. Therefore, the synergistic effects of silanization and nanoparticle reinforcement were successfully applied since the silanization process was eliminated. The matrix modification with the nanoparticles was carried out using an ultrasound homogenizer, and then the modified matrix was reinforced with glass fibers. Scanned electron microscopy revealed the disperse ability of silanized silica nanoparticles within the glass/epoxy composites. The wear behaviors of the developed composites were investigated via a ball-on-disc tribology device. Wear track profiles were obtained depending on the width and depth of the wear. The length of wear track and wear mechanisms were determined by a stereomicroscope. The findings have shown that both types of silane coating and silica nanofiller percentages significantly affected the wear rate of the composite structures.
Increasing the Robustness of i-vectors with Model Compensated First Order Statistics
Authors: DİŞKEN Gökay , TÜFEKCİ Zekeriya
Published: March 2023

Speaker recognition systems achieved significant improvements over the last decade, especially due to the performance of the i-vectors. Despite the achievements, mismatch between training and test data affects the recognition performance considerably. In this paper, a solution is offered to increase robustness against additive noises by inserting model compensation techniques within the i-vector extraction scheme. For stationary noises, the model compensation techniques produce highly robust systems. Parallel Model Compensation and Vector Taylor Series are considered as state-of-the-art model compensation techniques. Applying these methods to the first order statistics, a noisy total variability space training is aimed, which will reduce the mismatch resulted by additive noises. All other parts of the conventional i-vector scheme remain unchanged, such as total variability matrix training, reducing the i-vector dimensionality, scoring the i-vectors. The proposed method was tested with four different noise types with several signal to noise ratios (SNR) from -6 dB to 18 dB with 6 dB steps. High reductions in equal error rates were achieved with both methods, even at the lowest SNR levels. On average, the proposed approach produced more than 50% relative reduction in equal error rate.
Doğal Gaz Boru İçi Denetleme Robotları İçin Enerji Depolama Sistemlerinin Tasarlanması
Authors: YAVAŞOĞLU Hüseyin Ayhan
Published: March 2023

Boru içi denetleme teknolojisi doğal gaz dağıtım hatlarında robotik sistemler ile gerçekleştirilebilmektedir. Robotik sistemlerin tasarlanmasındaki en büyük zorluklar, patlayıcı ortamdan korunma standartlarına (ATEX) uyum ve kritik operasyon sürelerine göre enerji depolama sistemlerinin boyutlandırılmasıdır. Bu çalışmada, robotik sistemler için enerji depolama sisteminin boyutlandırma adımları paylaşılmış, literatürdeki mevcut tasarım yöntemlerinden farklı olarak, tasarım ve üretim aşamalarını kolaylaştıracak iki ayrı maliyet etkin çözüm sunulmuştur. Önerilen tasarım yaklaşımları ATEX Bölge-1 tanımlı modüllere ihtiyaç duymamakta, özellikle küçük çaplı doğal gaz boru hatlarına yönelik tasarım çalışmalarını kolaylaştıracağı değerlendirilmektedir.
Topónimos alaveses de base antroponímica que tienen huri o villa como formante
Authors: Salaberri Zaratiegi Patxi
Published: March 2023

En este artículo hacemos un estudio de los topónimos alaveses que presentan como formante huri o villa ‘propiedad’, ‘población’, y que tienen como base un nombre personal, en la mayoría de los casos de origen latino, si bien hay un par (Herramell(i), Obeko) de procedencia discutida. El nombre villa puede aparecer al principio del topónimo o al final del mismo; huri, en cambio, va siempre pospuesto. Por otro lado, villa acompaña en general a un nombre que en origen era genitivo, y solo en el caso de Villabezana va acompañado de un antropónimo más el sufijo -ana, hecho que nos da pie a pensar que también en otros casos como Baternia / Paterniana había un nombre villa que se elidió...
International Banking Institute named after Anatoliy Sobchak
Authors: Grishkov V. F.
Published: March 2023

Aim.The presented study aims to analyze the organization and results of the industrialization of the USSR economy in 1928–1940 and to evaluate the possibilities of using this experience for the restructuring of the modern domestic economy developing under the conditions of antiRussian sanctions.

Tasks.The authors examine the features of the current stage of economic development in Russia and the impact of economic sanctions on it; analyze the experience of socialist industrialization in the USSR; provide recommendations for improving the manageability of the modern domestic economy and accelerating its industrial development.

Methods.This study uses the methods of historical and economic analysis, comparison, statistical processing of economic data, monographic method, expert assessment, and institutional approach.

Results.Nowadays, the Russian economy is developing turbulently due to the numerous political and economic sanctions imposed on the country. That said, the current stage of economic development in the Russian Federation is in many ways similar to the period of Soviet industrialization carried out in the USSR before World War II (1941–1945) in terms of the totality of influencing factors and mechanisms of their manifestation. This makes it possible to take into account the lessons of Soviet industrialization in the modern economic policy of the Russian Federation. Soviet industrialization was based on centralized public administration and directive five-year planning. Such approaches are not applicable in modern Russia without institutional restructuring. Therefore, the experience of Soviet industrialization should be used selectively.

Conclusions.In the context of increasing sanctions pressure, it is advisable to strengthen state intervention in the economy — not only to preserve its stability, but also to set the vector of long-term development. Such development is associated with the increasing importance of industrial production based on a new technological base. This calls for an approach to the modernization of economic macro-regulation that would be differentiated by industry and region. Such an approach can be developed using the experience of Soviet industrialization. However, it should be used selectively based on an assessment of the ratio of public and private interests. Today, the transition to a full-scale mobilization economy in Russia is impractical.
Implementation of Pre-Marriage and Parenting Education Information System with Android-Based Agile Method
Authors: Fahlevi Reza , Riyanto Joko
Published: March 2023

A lot of couples do early marriage, but most of them do not understand what marriage really means. The unpreparedness of the couple in marriage can have a big impact on their married life which leads to divorce and also have a negative impact on their children. An Android-based pre-marriage and parenting education information system can be an alternative to simplify the preparation and learning process for couples and parents. The method used for the analysis and design of the pre-marriage and parenting education information system uses the literature study method and data collection methods such as: observation and questionnaires to married couples and their parents, the aimed as a source for designing and building information systems related to pre-marriage and parenting education. The results of the method used include couples and parents being able to learn and prepare for married life as well as increasing knowledge about child parenting through their Android smartphones with the materials sourced from experts and there was a forum that can be used to discuss with other users or discussion with educator.

The method used for the analysis and design of the pre-marriage and parenting education information system uses the literature study method and data collection methods such as: observation and questionnaires to married couples and their parents, the aimed as a source for designing and building information systems related to pre-marriage and parenting education.

The results of the method used include couples and parents being able to learn and prepare for married life as well as increasing knowledge about child parenting through their Android smartphones with the materials sourced from experts and there was a forum that can be used to discuss with other users or discussion with educator.
A STUDY OF PREVALENCE OF OBESITY AMONG MEDICAL STUDENTS AND ITS RELATION WITH FOOD HABITS AND EXERCISE
Authors: D.  Mehta Mihir , Elizabeth  Varghese Irene , Marwah Simbita
Published: March 2023

Introduction: Obesity is widely regarded as a major global pandemic as it is associated with numerous comorbidities
such as increased cardiovascular diseases and diabetes. Increased intake of junk food and a sedentary life has increased
the rate of obesity among the youth over the last 20 years. The present study wa Materials and Methods: s conducted at a medical college to
check the prevalence of obesity among medical students and its relation with food habits and exercise. Students were given a self-administered
questionnaire about obesity which had an information regarding age, sex, food habits, frequency of consumption of junk foods, duration of sleep,
exercise, etc. The prevalence of obesity and overweight was 29.2% and 18.8% respective Results: ly. The prevalence of obesity was higher in the
18-21 years (17.2%) than in the 22 -25 years age group (12%). It was found that among obese students, 89% of students skipped their meals and
only 11% had their regular meals. The students who tended to skip their breakfast less than three times a week were more obese (45.2%) than
those who had never skipped their lunch (22%). It was also found that among obese students, 24.7% of students never did exercise, whereas
43.8% of students used to do exercise for < 1 hour, 28.8%% used to do exercise for 1-2 hours, and 2.7% used to do a regular exercise for >2 hours a
day. The students who did not do exercise or exercise for <1 hour a day were more than those who used to do exercise for 1-2 hours and those who
used to do regular exercise for >2 hours a day. The study concluded that the obesity Conclusion: and overweight is a serious health issue for
medical students as they are future doctors and health leaders in the community
On the Computation of Meaning, Language Models and Incomprehensible Horrors
Authors: Bennett Michael Timothy
Published: March 2023

We bring together foundational theories of meaning and a mathematical formalism of artificial general intelligence to provide a mechanistic explanation of meaning, communication and symbol emergence. We establish circumstances under which a machine might mean what we think it means by what it says, or comprehend what we mean by what we say. We conclude that a language model such as ChatGPT does not comprehend or engage in meaningful communication with humans, though it may exhibit complex behaviours such as theory of mind.
Model-Driven Compressive Spherical Array Sampling of Base-Station-Antenna Near Field Using Accelerated Pseudo-Skeleton Tensor Approximation
Authors: Sun Weirong , Zhang Ying , Zong Xianzheng , Wu Chunhua
Published: March 2023

The near-field samples (NFSs) of base-station antennas are obtained by a circular array of probes (CAP) in spherical array sampling systems. In order to reduce sampling time, this paper proposes a compressive spherical array sampling technique based on pseudo-skeleton tensor approximation (PSTA). Specifically, the Huygens’ principle and the method of moments are applied to construct a tensor-based radiation model. Then the skeleton sampling positions of CAP are decided via PSTA of the tensor model. In the proposed method, NFSs in non-skeleton sampling positions can be computed from those in skeleton sampling positions, which realizes the compression of NFSs and thus reduces the sampling effort. Since the proposed model-driven method is independent of sampling data and provides the deterministic sampling positions, it is attractive to multi-beam antennas, especially with dynamic beamforming techniques. Moreover, a fast algorithm is developed to accelerate PSTA of the tensor model. Numerical experiments show that the proposed method can find the skeleton sampling positions with high computation efficiency and reduce the number of samples by 50% compared with uniform sampling.
فحص معاني الحروف في الدعاء الثاني و الأربعين للصحيفة السجادية «دراسة حالة تستند إلى المخططات التصويرية لنظرية جونسون»
Authors: زاده لیلا , یوسفی محمد , معصومی محمد
Published: March 2023

تتناول الدراسة الحالية المخططات الحجمية و الحركية و القوية التي اقترحها جونسون في معاني حروف الدعاء الثاني و الأربعين للصحيفة السجادية. كما نقل الإمام سجاد () أدعيته على مستوى الفهم البشري من خلال مخططات مصورة بالحروف. لذلك، في هذا المقال، و بطريقة وصفية تحليلية، قمنا بفحص المخططات التصويرية التي تم إنشاؤها في معاني حروف الدعاء الثاني و الأربعين للصحيفة السجادية. نسعى في هذه الدراسة إلى فحص مدى استخدام هذه المخططات الثلاثة في معاني حروف الدعاء المعنية. الغرض من هذه الدراسة هو إظهار الدور البارز للمخططات التصويرية كأحد الأدوات الدلالية في صنع فضاءات انتزاعية، مثل وصف القرآن و تفسيره من قبل النبي () و الأئمة () في أذهان المخاطبين. بعد تحليل البيانات، وجد أنه في الدعاء الثاني و الأربعين للصحيفة السجادية، كان تخطيط الحركة يحتوي على أكبر قدر، في حين أن مخططات الحجم و القوة في المرتبة التالية.
وصفُ دمشق في شعر البحتري
Authors: اصغري محمد , اشكذري كمال
Published: March 2023

نتيجةً لتطور الحضارة الجديدة، أصبحت المدينة مِنَ الظواهر البارزة في شعر العصر العباسي وقد تجلّت بشكلٍ لافتٍ للنظر في شعر شعراء هذا العصر كالبحتري ؛ تطرق هذا الشاعر إلي وصف كثير من المُدن التي زارها خلال حياته، ومن هذه المدن هي مدينة دمشق. وصف البحتري بعض سمات هذه المدينة في أشعاره المدحية، فَهُو لايفرد لها قصيدةً مُستقلةً، وإنّما يرسم صورتها إمّا في إفتتاح بعض قصائده بدلا من الوقوف أمام الطلل البالية أو المحبوب، وإمّا ضمن القصائد؛ فبناءً علي ما ذُكرَ، تُعوّل الدراسة علي المنهج الوصفي-التحليلي وذلك عبر الاعتماد علي الأبيات التي قالها الشاعر حول دمشق في ديوانه. وأما أهمّ النتائج التي توصّلت إليها الدراسة فهي أنّ البحتري وظّف بعض الصناعات البديعية كالجناس والتضاد والمبالغة والتناص القرآني وغير البديعية كالتشبيه الحسي في سبيل تصوير مدينة دمشق، وهو يكرّر بعض الحروف في أبياته لكي يخلق نغما موسيقيا؛ من ناحية أخري، يكثر من وصف الطبيعة في تصويرها ويدمج الطبيعة الحيّة بالصامتة؛ غير أنّ الحظّ الأوفر في هذا المجال يتعلّق بالطبيعة الحية، فهو يصوّر المدينة تصويرا متحرّكا. يعجب البحتري بالربيع في كلامه عن مدينة دمشق ولعلّ هذا الإعجاب يُعتبرُ رمزا للعطاء والكرم أو إزدهار الحياة في زمن ممدوحيه.
Efficacy of Cleaning and Disinfecting Infant Bottle Feeding by Mothers in Raparin Teaching Hospital at Erbil City/Kurdistan Region
Authors: Othman Nazar Ramadhan , Majaed Azad Omer , Gardy Zahir Tahir Mosheer
Published: March 2023

Background: Safe use of infant formula is challenging in developing world settings. Because water and sanitation infrastructure are often suboptimal in these communities, infants who are not breastfed remain at high risk of morbidity and mortality caused by diarrheal pathogens.
Objectives: The study aimed to find out the association between methods of cleaning and disinfecting bottle feeding and culture result, determine most sterilize methods by mothers.
Methodology: A survey study was carried out at Rapern Teaching hospital in Erbil City Iraq/Kurdistan Region of (15-June-2015 to15-September-2015) .A convenience sample of 40 mothers were selected who used bottle feeding,(10) Mothers of each method ( boiling water, salt (Nacl),Detergent) and tap water only),Then the Then the swape was taken in the screw line of bottle after the cleaning and washing by mother and send to laboratory for culture was taken in the screw line of bottle after the cleaning and washing by mother and send to laboratory for culture. A questionnaire was designed that composed of four parts, (Socio-demographic data of mother and their infant, some questions method of cleaning and disinfecting bottle feeing, the data were analysis by usingFrequency, percentage and Chi square (SPSS, 19 ).
Results: The results found (32.5%) of mothers were age (26-30) years old, (37.5%) were illiterate, (45%) of them were at Urban, (82.5%)of infant have history of previous diarrhea (10%) positive culture swap of boiling methods of cleaning and sterilizing the bottle feeding, while (90%) positive pathogen culture swap is seen in detergent method, (100%) was positive culture swap of both methods( tap water and salt). (35%) of bacterial growth was E. Coli, (17.5%) of them was Klepssela. pneumonia, while only (5%) of bacteria were ( Multi bacteria), Regarding the fungi (15%) was positive (Monilia), there is highly significant association between (Culture result, Type of Bacteria, Duration of cleaning and sterilization and Type of bottle) with method of cleaning and sterilization.
Conclusions: The study concludes that method of cleaning and sterilization of bottle feeding were sterilize because there are a lot of pathogen were isolated of bottle after cleaning and sterilization by mothers and Boiling method was the most sterilize method and The study indicate that bottle feeding does not provide a safe feeding.
Recommendations: The study recommend a guideline and an educational program about method of cleaning and sterilization of bottle feeding for mothers and family must be provide to all maternal and child heath care center in Kurdistan region / Iraq, Encourage mother to use breast feeding and use glass bottle feeding instead of plastic one, because its easer to sterilize and clean. Tap water not recommended for cleaning the bottle feeding because of poor sanitation.
Etnochemistry: Analysis Relevance Of Cultural “Pacu Jalur” In Chemical Materials As Learning Sources
Authors: Irfandi Irfandi
Published: March 2023

Explanation of chemistry that only focuses on concepts makes students have difficulty understanding the material. So there must be an integration of chemical material with the daily lives of students to better understand the material The purpose of this study was to analyze the relationship between culture of “pacu jalur” and chemistry for learning sources. This type of research is an ethnographic research. Data collection techniques are observation, interviews, and documentation. The data obtained were analyzed using a qualitative analysis technique which is a combination of the Miles & Huberman model. Based on the results of the study, it was found that the form of cultural of “pacu jalur” relevance with chemical materials can be implemented into 4 subjects reaction rate, elemental chemistry, atomic structure of the periodic system of elements, and chemical bonds.
Crypto Currency In The Perspective Of The Fatwa DSN MUI In 2021
Authors: Butary Burhanuddin Al , Majid Butary M. Shabri Abd. , Widya Helma
Published: March 2023

Current technological developments include digitalization in various fields, including the field of financial investment. Cryptocurrency or digital currency is the result of the development of financial technology.. This researchaims to explore cryptocurrency analysis in the perspective of the 2021 MUI DSN fatwa and the Islamic financial system.The methodology used is a literature study approach to national and international journal articles, as well as books and other literature related to cryptocurrencies. The main findings produced in this study, the current global financial system mostly adheres to an interest-based economic system. There are at least 3 factors behind the birth of Islamic finance, namely: ideological religiosity, pragmatic empiricism, and idealistic academics. The importance of crypto currency as a legal tender according to the perspective of Indonesian law and the Islamic financial system, both at the level of theoretical and practical philosophy.From the results of this study, it is hoped that it will answer the advantages of theoretical philosophy-practice Islamic financial system at the theoretical and practical levels. However, stakeholders in the field of Islamic finance should not be passive, but proactive in the existence of the cryptocurrency
Impact of a Novel Insulin Management Service on Non-insulin Pharmaceutical Expenses
Authors: Schneider John , Parikh Anjani , Stojanovic Ivana
Published: March 2023

Background: Studies have shown that improvements in glycemic control are associated with avoidance or delayed onset of diabetes complications, improvements in health-related quality of life, and reductions in diabetes-related health care costs. Clinical practice guidelines recommend maintaining a hemoglobin A1c (HbA1c) level less than 7%, but among type 2 diabetes patients using insulin, two-thirds have HbA1c above 7% and one-third have HbA1c above 9%. Objectives: This study examined the use of insulin management services to enable patients to optimize insulin dosing to achieve HbA1c targets and subsequently reduce health care costs. Cost savings may be achieved through reduced complications and hospitalizations, as well as reduced outpatient, physician, and clinic costs. This study quantified the reduction in pharmaceutical expenses related to the use of an enhanced insulin management service to improve glycemic control. Methods: Two hundred seventeen insulin-reliant patients were enrolled in the d-Nav® Insulin Guidance Service through a participating insurance group. A prospective cost analysis was conducted using data from enrolled patients who completed the first 90 days of follow up. Results: Of the 192 patients who completed the 90-day study period, 54 (28.13%) were prescribed one or more expensive medications at baseline, but 45 (83.33%) of those patients were eligible for medication discontinuation after 90 days. At baseline, the annual cost of expensive medications per patient was $7564 (CI: $5191-$9938) and $1483 (CI: -$1463-$4429) at 90 days (p<0.001). Direct savings from medication elimination was estimated to be $145 per patient per month (PPPM) or $1736 per patient per year (PPPY) for all patients and $514 PPPM/$6172 PPPY for the target group. Patients that completed the 90-day period significantly reduced HbA1c levels from 9.37% (CI:7.72%-11.03%) at baseline to 7.71% (CI: 6.70%-8.73%) (p<0.001). A total of 170 (88.54%) patients had improved HbA1c at 90 days. Conclusions: Use of the insulin guidance service achieved improved glycemic control by optimizing insulin dosing, which enabled most patients using the service to reduce or eliminate the use of expensive diabetes medications. Further study is needed to assess the impact of optimized insulin dosing on other diabetes related health care costs in a usual practice setting.
Cost-effectiveness of Simple Insulin Infusion Devices Compared to Multiple Daily Injections in Uncontrolled Type 2 Diabetics in the United States Based on a Simulation Model
Authors: Wahlqvist Peter , Warner Jay , Morlock Robert
Published: March 2023

Background: As type 2 diabetes (T2D) progresses, administering basal and bolus insulin through multiple daily injections (MDI) is often required to achieve target control, although many people fail to achieve target levels. Continuous subcutaneous insulin infusion (CSII) treatment with traditional pumps has proven effective in this population, but use remains limited in T2D due to CSII cost and complexity. A new class of simple insulin infusion devices have been developed which are simpler to use and less expensive. This paper assesses at what price one such simple insulin infusion device, PAQ® (Cequr SA, Switzerland), may be cost-effective compared to MDI in people with T2D not in glycemic control in the United States. Methods: Published equations were used in a simulation model to project long-term cost-effectiveness over 40 years, combined with data from the recent OpT2mise study, assuming similar efficacy of CSII and simple insulin infusion. Cost-effectiveness was pre-defined in relation to per capita gross domestic product (GDP), where incremental cost-effectiveness ratios below 1X the per capita GDP per quality-adjusted life year (QALY) gained were defined as “highly cost-effective” and below 3X GDP per capita as “cost-effective.” Results: Simple insulin infusion resulted in 0.17 QALYs gained per patient compared to MDI, along with lifetime cost-savings of USD 66 883 per person due to reduced insulin use and less complications. Analyses on price sensitivity of simple insulin infusion indicated that a device such as the PAQ is cost-effective compared with MDI up to price points of around USD 17 per day. Conclusions: For people with T2D not in glycemic control on MDI, simple insulin infusion devices such as PAQ have the potential to be highly cost-effective in the United States.
Tecnologias disponí­veis para o manejo de ostomia intestinal: revisão integrativa de literatura
Authors: Reis Bianca Leal , Brandão Euzeli da Silva , Garcia Karina Rangel da Silva
Published: March 2023

Objetivo: identificar quais são as inovações tecnológicas disponí­veis para o manejo da ostomia intestinal descritos na literatura. Método: revisão integrativa da literatura, utilizou-se as bases de dados LILACS, Scielo, CINAHL e COCHRANE, buscando artigos no perí­odo de 2013 a 2018 utilizando os descritores "equipment and supplies" e "ostomy". Dos artigos encontrados foram selecionados 6 que tratam de tecnologias diversas no contexto das ostomias. Resultados: as tecnologias apresentadas se modulam em torno do eixo flexibilidade versus segurança. A dicotomia apresentada em todos eles é a de que as barreiras cutâneas precisam ao mesmo tempo fornecer aderência í  pele, liberdade de mobilidade e a sensação de segurança. Conclusão: foi possí­vel observar que as inovações tecnológicas se detiveram, quase em sua totalidade, no formato e material utilizado em produtos anteriormente existentes.
A judicialização no sistema único de saúde: pesquisa integrativa
Authors: Chrizostimo Raquel Marinho , Silvino Zenith Rosa , Chrizostimo Miriam Marinho , Sanchez Maritza Consuelo Ortiz , Xavier Maria Lelita
Published: March 2023

O estudo objetiva analisar as demandas judiciais que abordam a judicialização da saúde no âmbito do Sistema Único de Saúde (SUS). A pesquisa integrativa foi realizada em 2017. Os resultados foram 13 produções emergindo duas categorias: a judicialização da saúde para obtenção dos produtos de saúde e a judicialização da saúde relacionada í s demandas de gestão que visam alocação de recursos. Os procedimentos; medicamentos; tratamentos; exame; consulta geral e especializada; leitos de hospitais, inclusive CTI; e insumos estão entre os serviços de saúde não atendidos. Em relação í  gestão, houve a citação de alocação de recursos, função e interligação entre os três poderes. A conclusão no âmbito do SUS é que as demandas judiciais são evidenciadas nas produções cientí­ficas, ao considerar que o indiví­duo apela ao sistema judiciário para obter o que necessita para recuperar a saúde. Há de se pensar na reestruturação administrativa para atender as demandas da população.
Condições de saneamento básico na fronteira Puerto Quijarro (Bolí­via) e Corumbá (Brasil) e impactos sobre a saúde
Authors: Batista Joice Barbosa , Jurado Sonia Regina
Published: March 2023

Objetivo: avaliar as condições de saneamento básico no municí­pio de Corumbá, estado de Mato Grosso do Sul (Brasil) e Puerto Quijarro (Bolí­via) e o impacto na saúde da população fronteiriça. Método: Tratou-se de uma pesquisa exploratória e descritiva, com aplicação de questionário semiestruturado a 50 moradores do bairro Cervejaria (Corumbá) e 49 da Vila Comercial (Puerto Quijarro). Resultados: A totalidade dos domicí­lios visitados estava interligada ao abastecimento de água no bairro Cervejaria, 41% na Vila Comercial e mais de 90% utilizava o serviço público de coleta de lixo, em ambas as localidades. No bairro Cervejaria, 98% dos domicí­lios fazia uso de fossas sépticas e, na Vila Comercial, 86%. Conclusão: A visita aos domicí­lios em Corumbá e Puerto Quijarro permitiu conhecer a realidade de famí­lias, identificando determinantes do processo saúde-doença e possibilitando o fornecimento de dados para o poder público na tomada de decisões de polí­ticas públicas de saúde.
Implantação da Comissão de Auditoria Interna em uma instituição de saúde pública do Brasil Central
Authors: Lima Flavio Henrique Alves de , Palos Marinesia Aparecida Prado , Barbosa Maria Alves , Pelazza Bruno Bordin , Silva Maria Isabel , Rezende Marlos Pereira de , Approbato Mario Silva
Published: March 2023

A pesquisa teve por intuito implantar a Comissão de Auditoria Interna (CAI) a partir dos indicadores de desempenho de serviço de um hospital materno infantil da região central do Brasil. Estudo descritivo e analí­tico realizado a partir de um diagnóstico situacional dos indicadores de desempenho de serviço, utilizando fichas de notificação de infecção referente a 2012 e 2016, e indicadores de desempenho de serviço de janeiro a junho de 2017 obtidos junto a CCIH e ao Núcleo Interno de Regulação. Como resultados, os dados mostraram taxas de infecção global do hospital, em média de 8,7% anual em 2012 e 3,06% em 2016, com a taxa de mortalidade na UTI neonatal em média de 32,4%. As condutas para a implantação da CAI consistiu na elaboração de checklist e intervenção educativa, favorecendo a comunicação e o esclarecimento das dúvidas sobre auditoria, numa perspectiva apoiadora e educativa, buscando qualidade da assistência em saúde.
Condição de Saúde e utilização da árvore dos problemas em pacientes hipertensos na atenção primária
Authors: Vercezi Giovanna Dante , Dias Raphaela Ferrari , Antunes Marcos Benatti , Almeida Caroline Rodrigues de , Bolsoni Ludmila Lopes Maciel , Silva Juliana Dalcin Donini e , Charlo Patrí­cia Bossolani
Published: March 2023

Objetivou-se identificar a autonomia do paciente frente a doença e caracterizar os desafios para controle dos ní­veis pressóricos. O estudo foi realizado com 40 adultos acima de 18 anos pertencentes í s áreas de abrangência de duas Unidades Básicas de Saúde, selo Ouro, em Maringá-PR. Avaliou-se o conhecimento dos usuários sobre os programas preventivo e a patologia envolvida, por meio de metodologias ativas com abordagem quali-quantitativa. Foram analisados os conteúdos e opiniões, bem como a frequência relativa e absoluta de dados sóciodemográficos dos entrevistados. Os resultados se refletiram na efetividade da intervenção educacional com a comparação dos dados coletados frente aos problemas direcionados pela árvore. Constataram-se a relevância do acompanhamento básico somado a capacidade de enfrentamento da doença frente í  integralidade do sistema e í s particularidades de cada famí­lia.
O Núcleo de Segurança do Paciente e a Vigilância Cirúrgica
Authors: Regadas Claudia Tavares , Motta Deise Luci Batista , Escosteguy Claudia Caminha
Published: March 2023

Este trabalho discute os desafios encontrados para implementação do Protocolo de Cirurgia Segura, a partir da experiência de um hospital público no municí­pio do Rio de Janeiro, por meio de revisão documental interna do Núcleo de Segurança do Paciente e de documentos normativos nacionais e internacionais. O Protocolo de Cirurgia Segura foi parcialmente implantado, com adesão baixa, impactada pela frágil cultura de segurança e parcos recursos para monitoramento e retorno de informação í s equipes cirúrgicas. Isto corrobora a necessidade de qualificação em estratégias de treinamento de equipes e informações de retorno sobre o funcionamento das mesmas, assim como recursos adicionais e mudanças nos sistemas clí­nicos para garantir a conformidade com a lista de verificação e seus princí­pios.
Educação em saúde mental no ambiente escolar: relato de caso
Authors: Lima Ana Luí­sa de Oliveira , Santos Beatriz Ferreira de Toledo dos , Almeida Giulia Lemos de , Ferreira Hikari Watanabe , Mota Cristina Portela da , Messias Cláudia Maria , Silva Jorge Luiz Lima da
Published: March 2023

Objetivo: descrever a experiência obtida por meio de roda de conversa, acerca de temas como depressão, ansiedade e automutilação. Método: estudo descritivo, expondo as experiências no ambiente escolar, no qual foi trabalhado o tema de saúde mental com alunos de idade entre dez e doze anos, dividido em quatro momentos: interação entre coordenação pedagógica e acadêmicos; definição dos temas; construção do material e roda de conversa, em 2/2018. Resultados: a roda de conversa em semicí­rculo incentivou o debate sobre os temas e assuntos correlatos sob demanda. A relação de confiança criada permitiu canal de diálogo franco e o aumento da participação. Conclusão: a consciência da existência dessas disfunções entre as crianças, assim como postura de passividade, mediante í s realidades das doenças mentais, mostra a sua vulnerabilidade.
Study of Identification of Multiple Sclerosis using different CNN Architectures
Authors: Reddy A. Chetana , Ch Akhila  , Kalyan  , Mehdi Mohd. Javeed
Published: March 2023

Multiple Sclerosis (MS), an autoimmune condition in which the immune cells of the body destroys the covering (myelin sheath) surrounding the nerves, hinders the brain from effectively communicating with the body. If progressed to the later stages, the condition can lead to irreparable deterioration of the nerves. Neurologists use Magnetic Resonance Images (MRI) to classify them. Due to the complexity of the brain and MRI scan images, manual examination might be time consuming. To aid doctors across the world and reduce the time taken to diagnose this disease, Convolutional Neural Networks (CNNs) have been suggested. Moreover, this paper is a comparative study using two CNN Architectures done on MRI scan images for MS diagnosis. The dataset constitutes MRI scan images of MS patients in 2 different orientations and healthy brain MRI images. Expeditious diagnosis leads to an earlier medicament which can help contain the spread of the disease. Metrics like accuracy and other evaluation criteria are considered for the comparison of the CNN models.
SEGURANÇA DO TRABALHO NA CONSTRUÇÃO CIVIL
Authors: Moitinho July Stefany da Silva , Mlak Diles
Published: March 2023

O trabalho exerce papel central na vida humana, proporcionando a construção da identidade e dos vínculos sociais conquistando realização pessoal e desenvolvimento econômico. A Segurança do Trabalho é uma área de conhecimento que visa a prevenção de acidentes de trabalho e doenças ocupacionais, bem como a melhoria das condições de trabalho e o aumento da produtividade. Objetivo: verificar o cenário da construção civil no que diz respeito à segurança dos trabalhadores nos espaços laborais do setor. Metodologia: Trata-se de um estudo de revisão narrativa sobre a segurança do trabalho na construção civil. Resultados: De acordo com a literatura a segurança no espaço laboral é conquistada não apenas com uso dos equipamentos de proteção, mas com a adoção de medidas que irão corroborar de forma eficiente e segura durante as obras das edificações. Conclusão: Apesar da existência e uso das Normas Regulamentadoras que determinam medidas a serem seguidas para a garantia da saúde e segurança no trabalho, ainda há muito que progredir.
EFEITOS DE UM PROGRAMA DE TREINAMENTO FÍSICO COMBINADO PARA PORTADORA DE HIPOTIREOIDISMO: ESTUDO DE CASO
Authors: Aguiar Michel Frank de , Silva Elisangela , Freitas Wagner Zeferino de , Silva Júnior Autran José da , Carvalho Anderson dos Santos , Almeida Klebson da Silva , Oliveira Heleise Faria dos Reis de , Martins Gustavo Celestino , Oliveira José Ricardo Lourenço de , Camargo Leandro Borelli de , Carvalho Alexandre Freitas de , Maneschy Mariela de Santana , Ferreira Heros Ribeiro , Abdalla Pedro Pugliesi , Passos Ricardo Pablo , Vilela Junior Guanis de Barros , Rodrigues Marcelo Francisco , Vespasiano Bruno de Souza , Fileni Carlos Henrique Prevital , Pereira Adriano de Almeida
Published: March 2023

O hipotireoidismo é um problema na tireoide (glândula que regula a função de órgãos importantes como o coração, o cérebro, o fígado e os rins), e se dá pela queda na produção dos hormônios T3 (triiodotironina) e T4 (tiroxina). No que diz respeito ao auxílio no tratamento do hipotireoidismo, pesquisadores relatam a importância da prática de exercício físico de forma regular. No entanto, existe uma escassez de estudos que relacionam treinamento físico para portadores de hipotireoidismo, dificultando dessa forma a escolha de uma metodologia para prescrição de exercícios físicos para esse público. Isso torna necessária a investigação utilizando diferentes formas de treinamento. O objetivo do presente estudo é investigar os efeitos de um programa de treinamento combinado (treinamento resistido e HITT) em relação aos hormônios tireoidianos (TSH, T3, T4 livre), composição corporal, força máxima e consumo máximo de oxigênio em portadora de hipotireoidismo. Os dados do estudo foram organizados no Excel® onde foram apresentados os valores das variáveis analisadas nos momentos pré e pós-intervenção e a diferença entre esses dois momentos. Os resultados demonstraram diminuição dos níveis dos hormônios tireoidianos (diminuição do hormônio estimulante da tireoide TSH, T3 e T4 livre), melhora na composição corporal e aumento na força muscular e na aptidão cardiorrespiratória. Conclui-se que o programa de 12 semanas de treinamento combinado aplicado a voluntária portadora de hipotireoidismo promoveu diminuição dos hormônios tireoidianos, melhora da composição corporal, aumento da força muscular e da aptidão cardiorrespiratória.
DEVELOPMENT OF A BASED LEARNING MODEL TO IMPROVE STUDENT LEARNING OUTCOMES IN ENGLISH LEARNING IN SUGGESTION/ADVICE MATERIAL IN CLASS XI MIPA 1 SMA NEGERI 1 BANDUNG
Authors: Rr. Lestari Abiyanti  , Shirli Putri Asri
Published: March 2023

This study aims to develop a Problem Based Learning learning model to improve English learning outcomes on suggestion or advice material in class XI MIPA at SMA Negeri 1 Bandung. This study aims to improve students abilities. The method used is the development research method (Research & development). Meanwhile, the development of learning and research will produce a new way or syllabus in teaching learning that will provide motivation to students. The results of research with the application of the PBL learning model can significantly improve student learning outcomes. This is evident from the acquisition of scores before and after the application of the PBL learning model. The results of the average pretest score of 55.50% were in the Less category, which reached the KKM score of 3 people (8.33%). In cycle 1 after implementing the PBL learning model, the average score was 75.02, categorized as Good, which achieved a KKM score of 19 people (52.77%). In the second cycle, the average score increased again to 86.08, in the Very Good category, which reached the KKM score of 34 people (94.44%).
KEYWORDS: learning model Problem Based Learning, research and development methods (Research & development and learning English)
Teaching peer reviewing to medical students through authentic peer reviews: how to build the next generation of scholars
Authors: Schmidt Cindy , Thiel Grace , Murtha Celeste
Published: March 2023

Implication StatementThe peer review process is a critical step in producing sound scientific literature, traditionally conducted by professionals well-established in their field. It is uncommon for students, even at the graduate level, to contribute. Faculty created a novel course in which 18 medical students (nine per year) delivered peer reviews to the Canadian Medical Education Journal (CMEJ). The positive feedback and competency gained is described in the students’ Letter to the Editor. While this course was initially created to benefit students, it has also helped to address a known deficit in peer reviewers.
Water Pollution due to Industrial Waste Effluents and their Management
Authors: - Neelu Jain
Published: March 2023

Before the industrial wastes, this river was unpolluted. Our globe is more than half water, and as a result of various factors, including people's activity, among the most prominent of which is industrial wastes and chemicals, it is becoming more and more contaminated every day. Water exists in all three states of matter—liquid, solid, and gas., which is an essential component. But the fundamental problem is that many anthropogenic and natural activities carried out by humans have an impact on this natural source. These are releasing dangerous chemicals and other organic and inorganic materials into the water, modifying it, and either causing harm, either directly or indirectly, to this natural water source. The current research analyses the potential repercussions of industrial effluents' influence on India’s aquatic ecosystem through the biological system.
Savitri's Tryst with Death
Authors: - Surekha Verma
Published: March 2023

This paper proposes to discuss the mythical tale of Savitri and Sat ya van on a magnanimous scale via symbols by the poet Sri Aurobindo in his magnum opus ' Savitri'.Quintessentially it is a tale of a wife so devoted that she brings back her husband from the clutches of death. However the poet transforms this folk lore into a saga of spiritual warfare where the light of divinity transcends the phenomena of death which has the element of time and karma under its fold. Covertly Sri Aurobindo's Savitri transcends the cycle of birth, life and death during the tryst with the latter.
Resting Heart Rate and Exercise Heart Rate of Adult Men Smokers and Non-smokers: A Comparative Study
Authors: - Nitai Biswas , - Samaresh Jana , - Raj Kumar Maity , - Shivlal Yadav
Published: March 2023

The purpose of the present study was to compare the resting heart rate and exercise heart rate efficiency of smokers and non-smokers. In the conducted study the researcher was taken Fifty (n=50) subjects, each twenty five (25) smokers and twenty five (25) non-smokers from Jadavpur University, Kolkata, between the age group of 18–25 years. To know the difference between Resting Heart Rate and Exercise Heart Rate between smokers and non-smokers, the researcher was selected the following two cardio respiratory parameters Resting Heart Rate (RHR) and Exercise Heart Rate (EHR). Mean, Standard Deviation, and ‘t’-test were employed for statistical analysis. The level of significance was set at 0.05 (p ≤ 0.05). There was a significant difference in Resting Heart Rate (RHR) and Exercise Heart Rate (EHR), between smokers and non-smokers. Thus, we concluded that in non-smokers, Resting Heart Rate and Exercise Heart Rate are good compared to the smokers group.