bluuebunny/crossref_metadata_2025 huggingface dataset:
Manajemen Symptom oleh CareGiver dalam Home Care Meningkatkan Kemandirian Aktivitas Harian Klien Cuple Dengan kelumpuhan
Authors: Sujati Ni Ketut , Dea Wahyuni Elisa , Supangat  , Akbar M Agung
Published: January 2023

Tirah baring stroke biasanya berlangsung sangat lama, dan klien dirawat di rumah. Komplikasi yang dapat terjadi bisa berupa jatuh, kontraktur, nyeri, depresi dan luka dekubitus. keluhan tersebut hilang timbul dan  mengganggu kualitas hidup klien. Manajemen Symptom sangat penting diajarkan pada klien stroke. Tujuan : menggambarkan manajemen symptom klien couple stroke di area home care. Metode : Studi kasus dilaksanakan bulan April sampai dengan Mei 2022 dengan subjek sepasang suami-istri  menderita stroke berumur 50-65. Istri klien yang mengalami stroke diajarkan terapi massage, terapi dzikir, dan RoM.untuk kemudian melakukan sendiri sekaligus melatih suaminya. Hasil : pada klien couple diperoleh masalah sama sama mengalami nyeri akut, gangguan pola tidur, dan gangguan mobilitas fisik. Setelah dilakukan terapi massage, terapi dzikir, dan RoM pada kedua klien mengalami keluhan nyeri menurun, keluhan sering terjaga menurun, dan pergerakan ekstermitas meningkat. Kesimpulan :Manajemen symptom nyeri, gangguan tidur, dan mobilitas dengan intervensi  terapi massage, terapi dzikir dan RoM berhasil untuk memperbaiki Aktifitas Kebutuhan sehari hari seperti keluhan nyeri, keluhan tidur dan gangguan mobilitas fisik pada 2 penderita stroke yang mengalami nyeri, gangguan pola tidur, dan gangguan  mobilitas fisik. Saran: Kehadiran perawat memberikan home care service sangat diperlukan pada klien yang dirawat di rumah, terutama klien couple.
Pengaruh Pemberian Jus Buah Naga Terhadap Kadar Hemoglobin Pada Ibu Hamil
Authors: Astriana Willy , Eni Folendra Rosa  , Puspitasari Yeviza
Published: January 2023

Anemia pada ibu hamil di Indonesia masih tergolong tinggi sebanyak 48,9%. Anemia sendiri dapat dicegah dengan mengkonsumsi makanan bergizi salah satunya dengan buah naga. Buah naga merah mengandung kalium dan flavonoid yang tinggi sehingga dapat menurunkan tekanan darah. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian jus buah naga terhadap kadar hemoglobin (HB) pada ibu hamil. Jenis  penelitian  ini  adalah  Quasi eksperimental dengan rancangan one group pre-test and post-test. Teknik pengambilan sampel menggunakan Non Probability cara penentuan sampel dengan Teknik Purposive Sampling. Total sampling berjumlah 15 responden. Hasil  analisa  dengan  uji statistic paired t-test didapatkan nilai p-value = 0,000 < α = 0,05. Kesimpulannya bahwa ada pengaruh pemberian jus buah naga terhadap kadar hemoglobin (HB) Ibu Hamil. Saran untuk ibu hamil untuk memerikasan kehamilannya dari trimester I sehingga cepat diketahui masalah pada kehamilannya.
Internal structure of the metagranitoids in the Sakar region, Southeastern Bulgaria
Authors: Dimitrov Ivan
Published: January 2023

In ordеr to unravel thе complex structural еvolution of thе metagranitoids from southern Sakar Mountain, known as Lesovo gneiss-granites, various techniques have been applied. Optical microscopy has shown that the texture has been reworked in a ductile intracrystalline mode. Twinning, recovery, grain boundary migration and subgrain rotation recrystallization operated during general grain size reduction. Some of the most reworked samples indicate high temperature secondary growth of quartz in static еnvironment. Two metamorphic events are distinguished. The intensity of the microstructural reworking related to them is irregularly distributed in space. The analysis of mesostructures with emphasis on their geochronological significance also confirmed superimposition of two deformation paths earlier being related to formation of the dome-like structure of a gneiss-granite body. At micro- and mesoscopic scale a variety of kinematic indicators is found related to the interfoliational gliding during the first event or to restricted shear zones belonging to the second event. Deformation analysis performed by integration of randomly oriented sections of ellipsoidal amphibolitic xenoliths and centre- to- centre technique revealed that constricted strain ellipsoid is present near the boundary of the Radovets body, and the strain intensity is lower at the central part of the same body. A model for the structural evolution of the gneiss-granites is deduced including early constitution of the dome during ballooning followed by regional deformation. and a later second regional event of lesser intensity.
Parallel biostratigraphy on micro-and megafauna and new data about the age of the Babino Formation (Middle Triassic) in the Iskur Gorge, Western Stara Planina
Authors: Benatov Samouil , Budurov Kiril , Trifonova Ekaterina , Petrunova Lyudmila
Published: January 2023

Two sections of the Babino Formation (Iskur Carbonate Group) situated in the Iskur Gorge were studied – one to the north of the Lakatnik railway station and the other to the northwest of the hamlet Sfrazhen of the Milanovo village. Two brachiopod associations were found and described for the first time. The first one indicates the Coenothyris aulis, Taxonrange Zone and the other - the Schwagerispira sp. - Dinarispira avariea Assemblage Zone. Ammonoid and bivalve assemblages are poorer, and indicate respectively the ammonoid zone Baiatonites baiatonicus and the bivalve zone Lima striata. Although the microfauna represented by conodonts and foraminifers does not show big diversity, it is sufficiently significant for determining the age of the rocks. The Paragondoiella bulgariea conodont Zone is determined and the presence of the Pridaella bifurcata Zone is hinted. Foraminifer association proves the Pilammina densa Zone. Above this zone, Ychtyoiaria aff. phyloidea (Kr. -Tollman) and the algal species Baecanella floriformis Pantić appear. Analysis of the megafauna, microfauna and microflora, found in the Babino Formation, undoubtedly proves its stratigraphical position, and namely, middle parts of Pelsonian Substage - lower parts of IIIirian Substage of the Anisian Stage.
A Lower Miocene gull (Larinae gen. indet.) (Laridae Vigors, 1825 - Charadriiformes Huxley, 1867) from Hrabarsko (W Bulgaria)
Authors: Boev Zlatozar
Published: January 2023

А skеlеtоn of аn adult individual, included in а соаl slab is described. The layers belong to the Balsha Member of the Gnilyane Formation. Age: Middle to Upper Turolian – to Maeotian-Pontian (МN 11-13). Measurements (mm): skull length - са. 60,0; mandibula length - са. 48,0; humerus length - са. 58,8; tarsometatarsus length - са. 36,0. The tind is rather damaged because of the flattenation and former attempts to bе preserved. More precise taxonomic identitication would bе speculative. The described gull is the second water bird after Phalacrocorax serdicensis Burchak-Abr. & Nikolov, 1984, а species described from the same site and it confirms the presence of large water bodies in the Middle Miocene in this part of the country.
Kết quả và tính an toàn của liệu pháp bổ sung dapagliflozin trên người bệnh đái tháo đường típ 2
Authors: Tuấn Nguyễn Mạnh
Published: January 2023

Mục tiêu: Đánh giá kết quả và tính an toàn của liệu pháp bổ sung dapagliflozin 10mg ở người bệnh đái tháo đường típ 2. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang có theo dõi dọc trong 12 tuần, so sánh trước và sau điều trị trên 124 người bệnh đái tháo đường típ 2, điều trị ngoại trú tại bệnh viện Trung ương Quân đội 108 từ tháng 12/2021 đến tháng 4/2022, có mức HbA1c 7%-10%, đang điều trị ít nhất 1 thuốc hạ glucose máu đường uống trước đó mà chưa kiểm soát được glucose máu, được bổ sung dapagliflozin 10mg. Tất cả người bệnh được khám lâm sàng, xét nghiệm cận lâm sàng tại thời điểm bổ sung thuốc và sau 12 tuần. Kết quả: Sau 12 tuần điều trị bổ sung: HbA1c giảm 0,54% (KTC 95%: -0,64, -0,44; p<0,001), glucose máu lúc đói giảm 1,12 mmol/l (KTC 95%: -0,77, -1,44, p<0,001); trọng lượng cơ thể giảm 1,0kg (KTC 95%: -1,35, -0,69; p<0,001), và huyết áp tâm thu/tâm trương giảm 4,5 / 2,7mmHg. Tỷ lệ người bệnh đạt mục tiêu HbA1c < 7% là 13,7%, tỷ lệ kiểm soát kém (HbA1c > 8%) giảm từ 62,1% lúc ban đầu xuống 33,1% sau 12 tuần điều trị, 62,3% người bệnh vừa giảm cân và giảm HbA1c. Tác dụng không mong muốn ghi nhận được: 6,5% có triệu chứng hạ glucose máu nhẹ, 6,5% ngứa bộ phận sinh dục, nữ giới nhiều gấp đôi nam giới, 8,1% có nhiễm trùng đường tiểu, nam giới và nữ giới như nhau, không có trường nhiễm toan ceton, tăng áp lực thẩm thấu, hoặc cắt cụt chi. Kết luận: Liệu pháp bổ sung dapagliflozin 10mg cải thiện đáng kể việc kiểm soát glucose máu, trọng lượng cơ thể và huyết áp ở người bệnh đái tháo đường típ 2.
Nghiên cứu hiệu quả cải thiện triệu chứng lâm sàng và cận lâm sàng của liệu pháp thay huyết tương trong điều trị bệnh nhân viêm tụy cấp do tăng triglycerid
Authors: Dương Lê Xuân
Published: January 2023

Mục tiêu: Đánh giá hiệu quả cải thiện triệu chứng lâm sàng và cận lâm sàng của liệu pháp thay huyết tương (Plasma Exchange-PEX) trong điều trị bệnh nhân viêm tụy cấp (VTC) do tăng triglycerid (TG). Đối tương và phương pháp: Nghiên cứu tiến cứu, can thiệp tiến hành trên 83 bệnh nhân viêm tụy cấp do tăng TG điều trị bằng PEX tại Bệnh viện Bạch Mai từ năm 2016 đến 2019. Các bệnh nhân được đánh giá các triệu chứng lâm sàng, cận lâm sàng trước và sau PEX. Kết quả: Các triệu chứng lâm sàng và cận lâm sàng cải thiện rõ rệt (với p<0,05) sau PEX lần đầu: đau bụng (giảm từ 100% xuống 60,2%), chướng bụng (giảm từ 100% xuống 72,3%), tăng áp lực ổ bụng (giảm từ 63,3% xuống 16,9%), nhịp tim (giảm từ 108,2 ± 19,2 xuống 98,1 ± 14,7 lần/phút), huyết áp trung bình (tăng từ 73,4 ± 25,1 lên 80,1 ± 30,2mmHg), nồng độ trong huyết tương: triglycerid (giảm 70,8%), cholesterol (giảm 61,6%), amylase (giảm 56,4%), lipase (giảm 44,4%). Kết luận: Thay huyết tương giúp cải thiện các triệu chứng lâm sàng và cận lâm sàng rõ rệt ở bệnh nhân viêm tụy cấp do tăng triglycerid.
Nghiên cứu mối liên quan giữa tình trạng sarcopenia và kết cục bất lợi ở người cao tuổi
Authors: Hiếu Huỳnh Trung Quốc
Published: January 2023

Mục tiêu: Phân tích mối liên quan giữa tình trạng sarcopenia (chẩn đoán theo AWGS 2019) với một số kết cục bất lợi về sức khỏe ở người cao tuổi sinh sống trên địa bàn Quận 9, Thành phố Hồ Chí Minh sau 6 tháng theo dõi. Đối tượng và phương pháp: Nghiên cứu đoàn hệ tiến cứu trên hai nhóm đối tượng nghiên cứu (584 người cao tuổi ≥ 60 tuổi), có và không có sarcopenia và ghi nhận kết cục bất lợi sau 6 tháng (tử vong, nhập viện, té ngã). Thời gian từ tháng 10/2020-06/2021. Kết quả: Tuổi trung bình của mẫu nghiên cứu là 69,57 ± 7,25 tuổi; 29,97% nam giới. Tỷ lệ sarcopenia nặng, sarcopenia và không sarcopenia lần lượt: 4,97%, 48,63%, 46,40%. Tỷ lệ các tiêu chí thành phần đánh giá sarcopenia theo AWGS 2019: Giảm khối lượng cơ 55,65%, giảm sức mạnh cơ 61,82%, giảm hoạt động thể chất 17,98%. Người cao tuổi có sarcopenia có nguy cơ xuất hiện các kết cục bất lợi (tử vong, nhập viện, té ngã) gấp 1,77 lần so với người cao tuổi không có sarcopenia (p<0,001; KTC 95%: 1,31-2,39). Đồng thời giảm hoạt động thể chất thông qua test đi bộ 6m là yếu tố có liên quan đến nguy cơ mắc kết cục bất lợi ở người cao tuổi (RR = 1,40, KTC 95%: 1,02-1,92, p=0,036), giảm khối lượng cơ (đo bằng phương pháp BIA), cũng có liên quan đến các kết cục bất lợi ở người cao tuổi (RR = 1,78, KTC 95%: 1,31-2,43, p<0,001). Kết luận: Sarcopenia có liên quan với nguy cơ cao mắc các kết cục bất lợi chung về sức khỏe (tử vong, nhập viện, té ngã) ở người cao tuổi sống trong cộng đồng, đồng thời giảm hoạt động thể chất (tets đi bộ 6m < 1m/s), giảm khối lượng cơ (đo bằng phương pháp BIA) cũng có liên quan đến gia tăng nguy cơ xuất hiện các kết cục bất lợi.
Nhận xét đặc điểm lâm sàng và X-quang gãy lồi cầu xương hàm dưới tại Bệnh viện Trung ương Quân đội 108
Authors: Đức Nguyễn Quang
Published: January 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, X-quang của bệnh nhân gãy lồi cầu xương hàm dưới giúp định hướng chẩn đoán nhanh chính xác gãy lồi cầu. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 95 bệnh nhân được chẩn đoán gãy và điều trị gãy lồi cầu xương hàm dưới được điều trị tại Trung tâm Phẫu thuật Sọ mặt và Tạo hình, Bệnh viện TWQĐ 108 từ tháng 1/2018 đến tháng 12/2021. Đối tượng nghiên cứu được khai thác tiền sử, khám lâm sàng, chụp X-quang để ghi nhận các chỉ số nghiên cứu. Kết quả: Đối tượng nghiên cứu có tuổi trung bình 31,5, tỷ lệ nam/ nữ = 3,5; nguyên nhân chủ yếu do tai nạn giao thông với 85,9%. Triệu chứng lâm sàng sưng nề biến dạng và hạn chế há miệng gặp trên 100% bệnh nhân, tiếp đến là sai khớp cắn (74,7%), mất cử động lồi cầu (65,3%); đau vùng tai (58,9%); thấp nhất là chảy máu ống tai ngoài (15,8%). Chụp phim CT xác định chính xác vị trí gãy, gãy cổ lồi cầu thấp chiếm 46,1%, gãy chỏm lồi cầu 23,5%, gãy cổ lồi cầu cao chiếm 19,1%, gãy dưới lồi cầu là 11,3%. Gãy lồi cầu đơn thuần 22,1%, gãy phối hợp là 77,9%. Tỷ lệ gãy 1 bên/gãy 2 bên lồi cầu là 3,5/1. Kết luận: Gãy lồi cầu xương hàm dưới chủ yếu gặp ở đối tượng nam giới trẻ tuổi, thường từ 19-39 tuổi với nguyên nhân chủ yếu là tai nạn giao thông. Triệu chứng lâm sàng thường khá đa dạng và vị trí gãy được phát hiện đầy đủ chính xác trên phim CT scanner. Vị trí gãy hay gặp nhất là cổ lồi cầu thấp. Tỷ lệ gãy lồi cầu có phối hợp với các chấn thương khác rất cao.
Nhân một trường hợp có hiện tượng “khóa hàm” khi kiểm soát đường thở
Authors: Tiến Nguyễn Nhật
Published: January 2023

Hiện tượng “khóa hàm” xảy ra trong quá trình kiểm soát đường thở được y văn ghi nhận và được đề cập đến trong một số báo cáo trên thế giới. Mặc dù hiện tượng này hiếm gặp nhưng có thể dẫn đến hậu quả nặng nề, thậm chí đe dọa tính mạng bệnh nhân. Chúng tôi báo cáo một trường hợp lâm sàng xảy ra hiện tượng “khóa hàm” trong quá trình hồi sinh tim phổi, bệnh nhân không thể mở hàm trong quá trình kiểm soát đường thở nâng cao và phải can thiệp mở khí quản trong quá trình cấp cứu ngừng tuần hoàn hô hấp.
Harnessing performance counters to detect malware using deep learning models
Authors: Mohamed Omar , Chirila Ciprian-Bogdan
Published: January 2023

Computing systems are challenged by security exploits and malware. The following methods are used for detecting anomalies and discovering vulnerabilities in computing systems: malware aware processors, static program analysis, and dynamic program analysis. Online hardware to detect malware is not always a practical and scalable solution because of the costs. Automated static analysis tools have limited performance and detection capabilities that may not meet the criticality requirements of the project regarding static analysis methods. In the latest trends, dynamic analysis has overcome static analysis. Several approaches have been used to analyze performance counters in this sense. Performance counters are collected from both operating systems/software and processors/hardware and stored as time series: 1) in the presence and 2) in the absence of malware. For software performance counters (SPCs), fourteen deep learning models were used for time series classification, while for hardware perfornamce counters (HPCs), ten deep learning models were used. For SPCs two models were able to detect accurately malware in infected operating systems, while the rest tend to overfit the data. For HPCs three models were able to detect malware.
EFFECT OF BIO FERTILIZER ON HEAVY METALS IN RHIZOSPHER OF POTATO
Authors: Abdulsada Ali jabbar , Dheyab Naeem Saeed , Mutlag Khamees Habeeb , Hasoon Wafaa Hadi , Aboud Hadi Mahdi
Published: January 2023

To evaluated the role of bio agent Mycorrhiza fungi (Glomus sp) and bacteria (Azotobacter chrococcum) in the rhizospher which accumulated by heavy metals. the results were showed that in comparison to the soil which not inoculated ، the heavy metals (Ni، Fe، Mn، Zn، Cu and Co) decrease from ( 0.325، 86.5 60، 1.493، 0.576، 0.034 and 0.019 mg/g soil ) respectably from control treatment to ( 0.261، 76.460، 1.329، 0.416، 0.015 and 0.017 mg/g soil) respectively from interaction treatment between fungi and bacteria in spring season, the same results were obtain in the autumn season ، heavy metal decreased from (0.347، 90.16، 1.693، 0.612، 0.054 and 0.048 mg/g soil) respectively from control treatment to (0.2880، 80.06، 1.629، 0.459، 0.036 and 0.047 mg/g soil ) respectively from interaction treatment between fungi and bacteria
EFFECT OF PACKAGING OF CHICKEN PARTS WITH MANFACTURED LOCALLY EDIBLE FILMS CONTAIN FEATHER PROTEIN IN SENSORY EVALUATION DURING REFRIGERATED STORAGE
Authors: AL- Azzami Amar A. , AL-Dhanki ZIAD T.
Published: January 2023

This study was conducted in order to test the efficacy of locally produced edible keratin protein extract from chicken broiler chicken feathers in maintaining the basic specifications of chicken carcasses (chest, thigh and drum stick) and stored in 4 Cₒ heat, by slaughtering 35 meat broths with marketing age After the extraction of the pieces, it was distributed to nine treatments in a laboratory experiment consisting of two factors: the first storage period of 0, 7 and 14 days, and the second agent, the keratin packaging. The first three were not stored and were unpackaged and coated with an edible package containing 2.5 g of keratin and coated with (T1, T2 and T3), respectively. The following three treatments werestored for 7 days in a manner similar to the first three treatments (T4, T5 and T6) respectively, and were stored and the last three treatments were filled for 14 days with the same Previous transactions (T7, T8 and T9), respectively. The results of the study showed that the packaging of chicken pieces 2.5 and 5 keratin contributed to maintaining the sensory specifications of meat in the cuttings (chest, thigh and drum stick) stored from 7 to 14 days, and edible casings made of keratin protein had a role in Maintain the sensory specifications of the studied models for their sequentality, reduce the number of microorganisms that lead to chicken meat's parts spoilage.
EFEECT OF IRRIGATION MANAGEMENT AND FERTILIZATION ON N, P AND K CONCENTRATION OF TWO WHEAT VARIETIES
Authors: Ati Alaa Salih , Wahaib Hadeel Abdulrazzaq , Hassan AbdulKareem Hamed
Published: January 2023

A Field experiment was conducted during the season 2016-2017 in AlMahaweel Research Station in Babel Governorate /Ministry of Agriculture to determine the role of irrigation and fertilization management in growth and yield of two wheat varieties IPA 99 and Al-Rasheed 22. The experiment included four irrigation treatments: River water irrigation (I0), Salty well water irrigation (I1), Alternate irrigation one irrigation with river water followed by two irrigation with well water (I2) and Traditional farmer irrigation treatment (I3). Six fertilization treatments: treatment without fertilization and without foliar application (T0), fertilization treatment with NPK without foliar application (T1), fertilization treatment with NPK with foliar application with Zn (T2), fertilization treatment with NPK with foliar application with Zn and Fe (T3), fertilization treatment with NPK with foliar application with Zn, Fe and Mn (T4) and fertilization treatment with NPK with foliar application with Zn, Fe, Mn and Cu (T5). Two varieties of wheat IPA 99 (V1) and Al-Rasheed 22 (V2). Determine the amount and period irrigation depended on sensors reading of volumetric water content was measured using GS3 sensors. Irrigation water was applied at 50% depletion to the depth of effective root zone and calculates depth of water applied up to field capacity. Amount of irrigation water to the local farmer irrigation was determined according to traditional irrigation schedule by farmer up to field capacity. The most important results can be summarized: The amount of irrigation water added varied with a variation of irrigation treatments I0, I1, I2 and I3. The amounts were 4938, 4141, 4864 and 4138 m3 ha-1 for IPA 99 and 4909, 4172, 4829 and 4192 m3 ha-1 for Al-Rasheed 22 respectively, irrigation water quantity added varied depending on the sensor's reading. The irrigation treatment I0, I2 and I3 significantly increased the concentration of N, P and K in grain while the concentration of N, P and K in grain decrease on I1 irrigation treatment for IPA 99 and Al-Rasheed 22. The foliar application treatments significantly increased the concentration of N, P and K in grain for IPA 99 and Al-Rasheed 22.
A Teoria da Aprendizagem Significativa em pesquisas na área de Ensino de Ciências da Natureza: uma revisão sistemática da literatura
Authors: Ferreira Luiz Henrique , Mateus Paola Gimenez , Moretti Andressa Algayer da Silva
Published: January 2023

No presente trabalho o objetivo foi caracterizar como a Teoria da Aprendizagem Significativa (TAS) tem sido utilizada em pesquisas brasileiras da área de Ensino de Ciências da Natureza. Para isso, adotamos como método de pesquisa a revisão sistemática da literatura. Como banco de dados para busca, utilizamos o portal de periódicos da Capes e como descritores “aprendizagem significativa”, “Ausubel” e “Unidade de Ensino Potencialmente Significativa”. A partir da aplicação de uma série de filtros avançados de busca e, da consideração de uma série de critérios de inclusão e exclusão de artigos, analisamos um total de 16 trabalhos publicados que utilizavam a TAS como referencial teórico-metodológico. Desta análise, pudemos inferir que: a área de Ensino de Física corresponde aquela em que a teoria é mais empregada; apesar de em menor frequência, são encontrados trabalhos atuais que se baseiam na TAS; a Educação Básica corresponde ao nível de ensino em que mais se investiga as implicações da TAS, por meio de propostas de sequências de ensino; não encontramos trabalhos voltados para o Ensino Superior; enquanto instrumento de constituição de dados de pesquisa, temos que o mapa conceitual é o mais empregado; infere-se, na limitação da presente pesquisa, que poucas pesquisas da área em questão se fundamentam na TAS.
Um possível percurso formativo visando a promoção da Aprendizagem Significativa de Física no Ensino Médio
Authors: Clebsch Angelisa Benetti , Marin Adriana , Alves Filho José De Pinho
Published: January 2023

As políticas públicas recentes relacionadas ao Ensino Médio, definiram uma base nacional comum curricular como referência para a elaboração dos currículos bem como uma nova estrutura para este nível de ensino que deve ser organizado em Formação Geral Básica e Itinerários Formativos. Apresenta-se um olhar crítico a estas políticas e discute-se sobre a necessidade da promoção da aprendizagem significativa de conceitos de Física, como alternativa necessária à aprendizagem mecânica. O problema de pesquisa que motivou os autores foi: como obter um percurso formativo de Física para o Ensino Médio com vistas à aprendizagem significativa de conceitos físicos? O objetivo deste artigo é apresentar indicativos para o desenvolvimento de percursos formativos para o ensino de Física no Ensino Médio, de forma a contribuir com a implementação do currículo oficial no âmbito das escolas e da sala de aula. Trata-se de uma pesquisa documental com análise qualitativa e teórica utilizando como ferramenta mapas conceituais e como base teórica a teoria da aprendizagem significativa. Como resultado, apresenta-se uma proposição teórica de uma perspectiva possível para o percurso formativo para a Física do Ensino Médio.
Contribuições da sala de aula invertida para a promoção de subsunçores de energia mecânica
Authors: Monteiro Deponti Maria Aparecida , Bulegon Ana Marli
Published: January 2023

Neste artigo, discutem-se os resultados de um estudo que objetivou analisar as contribuições da Sala de Aula Invertida (SAI) para abordar conceitos de Energia Mecânica (EM), por um viés da Teoria da Aprendizagem Significativa (TAS), realizado em 2018 e 2019, com estudantes do primeiro ano do Ensino Médio do curso técnico em Sistemas de Energia Renovável, numa escola pública federal do Rio Grande do Sul. Duas Unidades de Ensino foram organizadas a fim de verificar indícios de aprendizagem significativa acerca de EM: uma seguindo os pressupostos da SAI (grupo experimental - GE), planejada na perspectiva dos Três Momentos Pedagógicos (TMP) e outra organizada com a metodologia expositiva (grupo controle – GC). Numa abordagem quali-quanti, utilizou-se como instrumentos de coleta de dados: pré-teste, pós-teste, diário de campo, material de aula dos estudantes, registros de áudio, imagem e das interações com o ambiente virtual de aprendizagem (AVA). Utilizou-se as cinco etapas de Moraes (1999) para a análise de conteúdo e o teste estatístico t-Student para a análise quantitativa. Os resultados indicaram significativa evolução conceitual dos estudantes do GE em relação aos do GC e a SAI, organizada de acordo com os TMP, contribuiu para a promoção de subsunçores sobre conceitos de EM.
Formação continuada de professores na perspectiva da teoria da aprendizagem significativa
Authors: De Souza Graziela Ferreira , Pinheiro Nilcéia Aparecida Maciel , Da Silva Sani De Carvalho Rutz
Published: January 2023

Este artigo tem por objetivo propor uma reflexão sobre as mudanças e demandas do trabalho docente, em busca do aperfeiçoamento e qualidade das aprendizagens, tendo como contexto a formação continuada de professores. Nesse sentido, articula-se no estudo, a Teoria da Aprendizagem Significativa como um caminho à formação docente, a partir da proposição de um curso de formação continuada ofertado a um grupo de professores dos anos iniciais do ensino fundamental. A formação, organizada na forma de uma Unidade de Ensino Potencialmente Significativa (UEPS), teve como intuito subsidiar teoricamente os docentes para o desenvolvimento do conhecimento pedagógico de conteúdo-PCK (SHULMAN,2015) e também oferecer ferramentas para a articulação de procedimentos práticos e didáticos, em busca de aprendizagens mais qualificadas. Conclui-se que movimento teórico-prática proposto no curso, possibilitou aos participantes reflexões sobre sua práxis, bem como a tomada de consciência e o fortalecimento das práticas de ensino, consolidando saberes e aprimorando os conhecimentos que auxiliam professores na docência.
Etiology, Sensitivity and Resistance Pattern of Urinary Tract Infection Among Children (0 To 16 Years)
Authors: Kumar Manoj , Khalid Warda , Ali Amin , Sajid Syed Khurram , Aslam Yumna , Rehman Ayaz Ur
Published: January 2023

Objective: To determine etiology, sensitivity and resistance pattern of urinary tract infection in pediatrics age group 0 to 16 years at tertiary care hospital. Methodology: It was a cross-sectional study conducted inPediatric department of Aga khan university hospital and its affiliated secondary care centers in Karachi and Hyderabad. All urine culture proven children aged 0-16 years were included in the study. Urine culture showed growth of single pathogen and pathogen had more 10,000 colonies. Urine samples were obtained by SPA, clean catch, urinary catheter. Pre-designed proforma was used to note down the etiology and resistance pattern of urinary tract infection. SPSS version 25 was used to analyse data. Results: Of 177 patients, 70.1 % were females and 29.9% were males. Most common organism was E.coli 71.2% (n=126) followed by Klebsiella pneumonia 16.9% (n=30). Proteus Mirabilis 6.8% (n=12), and Pseudomonas aeruginosa 5.1% (n=9). Most common organism E.coli was 78% and 72.7% sensitive to nitrofurantoin and amikacin respectively and 85.1%, 91.4% and 77.3% resistance to ceftriaxone, ciprofloxacin and ampicillin respectively. This study will help in choosing choice of antibiotic on empirical basis for better outcome in resources limited setting like in remote areas and reduced financial burden on community. Conclusion: E.coli was the most common bacterial isolates among children with UTI. Nitrofurantoin and Amikacin showed higher sensitivity against E.coli., while Ciprofloxacin, Ceftriaxone and Ampicillin showed high resistance against E.coli. Keywords: Bacterial resistance, E.coli, urinary tract infection, paediatric population, antimicrobial sensitive
Chest Pain in Young Patients (5-15 Years) Referred to Pediatric Cardiology Outpatient Clinic
Authors: Sharfi Masroor Hussain , Abbas Anum , Farrukh Riffat , Uzair Muhammad , Masood Shaheen , Alghamdi Abdulhadi Abdullah
Published: January 2023

Background: Chest pain is the communal complaint among pediatric age groups. Chest pain due to heart disease is rare in children and adolescents, with an incidence of less than 6%. History and physical examination may be sufficient to identify the most important etiologies. Aim: The aim of the study is to review various causes of chest pain in young patients admitted to a pediatric cardiology clinic. Method: We retrospectively analyzed the clinical data of our patients visited to emergency or outpatient clinics in our hospital with chest pain from March 2022 to October 2022. A total of 56 patients (36 females and 20 males), aged 5-15 years were included in this study. Follow-up of the patients was carried out by calling all relatives of the patient and asking about the child's condition and chest pain. Clinical history and physical examination were performed. Results: A total of 56 patients between the ages of 5 and 15 were enrolled in the study, with a mean age of 11.78 ± 2.95 years. Six cases (10.7%) were identified to have a cardiac cause. 16 individuals (28.6%) had a respiratory cause identified. 3(5.4%) of patients referred to a gastroenterology clinic with gastrointestinal causes. The diagnosis of idiopathic chest pain was made in 6 individuals (10.7%) after a negative history, physical examination, and testing. Conclusion: Chest pain in children is usually mild. However, thorough physical examination and detailed history should be performed to detect any signs of disease. Keywords: Chest pain, Pediatric patients, Echocardiography.
Central Neurocytoma: Determining Rate of Shunting and Results after Subtotal and Total Excision
Authors: Mallah Fahmida Arab , , , . Sardar , Ujjan Badar Uddin , Shah Syed Aamir , Sharif Muhammad Mujahid , Dilber Muzamil
Published: January 2023

Objective: To assess the shunting rate and the results of control measures in patients having central neurocytoma who underwent total and subtotal resection. Study design: A cross-sectional study Place and Duration This study was conducted in People's University of Medical and Health Sciences for Women Nawabshah from Septmeber 2016 to Septmber 2020 . Methodology: In this study, overall 15 patients were included. Every patient had a follow-up of 2 years. The age of participants was between 13 to 49 years. The data of every patient was recorded which included the demographics (age, gender), early mortality and morbidity, presentation of clinical factors, and radiological findings. The radiological findings include features, tumor location, hydrocephalus, recurrence, and residual. A transcortical approach was used for the treatment of individuals for both, total or subtotal excision. EVD (External Ventricular Drain) was installed which was later replaced by a shunt. For confirmation of diagnosis and guidance of the follow-up, the MIV index and histopathology were used. For residual tumor and recurrence, radiosurgery of Gamma knife or adjuvant radiotherapy was used. Results: There were 3 patients who died due to sepsis and thalamic infarction after the total and subtotal excision. There were 9 patients who had a total excision and 6 patients who had a subtotal excision. Among the 9 patients with a total excision, 3 of them showed small recurrence at 1 year and 18 months follow-up along with a high MIB index. A total of 2 of them needed a shunt. In the remaining participants,the shunt was not placed. Among the 6 patients who had a subtotal excision, 2 of these patients had an early shunt insertion. Five patients were controlled by radiotherapy while one was controlled by radiosurgery. One patient, who was controlled by radiotherapy, failed radiotherapy in his second treatment at 18 months of follow-up. Practical implication : total excision has better results for central neurocytoma and should be considered procedure of choice Conclusion: Central neurocytoma may have a better chance of recovery than other intraventricular tumors if treated with total excision, with a lower incidence of shunt insertion throughout its course. Keywords: neurocytoma, shunt insertion, excision, radiotherapy, total excision
Diagnostic Accuracy of Magnetic Resonance Imaging in Diagnosing ACL Injuries Taking Arthroscopy as Gold Standard
Authors: Afaq Muhammad , Talib Amaar , Nasim Rukhsana , Javed Khalid , Butt Hira Ashfaq , Shahid Fareeha , Uddin Islah
Published: January 2023

Introduction: Low velocity, non - intrusive, acceleration-deceleration, and contact traumas with a rotating component are the most common causes of anterior cruciate ligament (ACL) injuries. The objective of the study was: To determine the diagnostic accuracy of magnetic resonance imaging in detecting anterior cruciate ligament tear using arthroscopy as a gold standard.” Materials and methods: MRI scans of all the cases performed in the hospital radiology department and reported by a radiologist for ACL tear. Arthroscopy reports which were performed under general anesthesia by a senior orthopedic surgeon were also reviewed. ACL tear was assessed as an operational definition. Whole data was collected and recorded on an already structured Performa Results: Arthroscopy confirmed anterior cruciate ligament tear in 78 (62.40%) cases whereas 47 (37.60%) patients revealed no anterior cruciate ligament tear. In MRI-positive patients, 72 (True Positive) had an anterior cruciate ligament tear and 06 (False Positive) had no anterior cruciate ligament tear on arthroscopy. Among, 47 MRI negative patients, 06 (False Negative) had anterior cruciate ligament tear on arthroscopy whereas 41 (True Negative) had no anterior cruciate ligament tear on arthroscopy Conclusion: This study concluded that magnetic resonance imaging has high sensitivity and accurate modality, which has not only dramatically enhanced our tendency to diagnose anterior cruciate ligament injury but also helpful in reducing the number of pure diagnostic arthroscopies. So, we recommend that preoperative MRI should be done in every patient with ACL injury for selecting proper therapy for these particular patients. Keywords: Trauma, Anterior cruciate ligament (ACL) injuries, MRI, Arthroscopy, Diagnostic Accuracy
Comparison of Minimally Invasive Carpal Tunnel Release with Open Carpal Tunnel Release
Authors: Shah Syed Aamir , Khan Faizullah , Ejaz Hamza , Kanth Rayif Rashid , Ahmed Waseem , Qureshi Zara
Published: January 2023

Objective: To compare the long-term results of conventional treatment [open carpal tunnel release (OCTR)] with the results of mini-open carpal tunnel release surgery (MCTR), performed through the palmar approach. Study design: retrospective study Place and Duration: This study was conducted at Pakistan Institute of Medical Sciences Islamabad from June 2020 to June 2022 Methodology: This research involves a total of 40 patients who were divided into 2 groups. Each group contained 20 patients respectively. One group was treated with mini-open carpal tunnel surgery and the other was treated with conventional treatment. Each patient had to conduct follow-ups for at least one years. The results were evaluated through SSS (Symptom Severity Scale), VAS (Visual Analogue Scale), DASH Score (Disability of arms, shoulder and hand), and FSS (Functional Status Scale). For a statistical analysis, confidence interval of 95% was set and significance was 0.05. Results: In the long-term follow-up, both groups showed comparable results. The mean follow-up for MCTR and conventional method was 2 years. The DASH score was 4.2 and 8.9, SSS was 1.2 and 1.1, VAS was 0.5 and 0.9, and the FSS was 1.4 and 1.1. The scar sensitivity was lower in MCTR. It was 5 percent in MCTR while 12 percent in conventional treatment. The pain, time taken in surgery, and recovery time were also lower in the MCTR group. Both groups showed less complications and there was not a single recurrence. Practical implication : To compare the long-term results of conventional treatment [open carpal tunnel release (OCTR)] with the results of mini-open carpal tunnel release surgery (MCTR), performed through the palmar approach. Practically less invasive surgery (minimal invasive) is more beneficial for patient in terms of wound complications Conclusion: Mini-open carpal tunnel release is a better option than the conventional treatment. It is a fast, reliable, and simple process which relieves the patient from scar sensitivity. Keywords: Mini-open carpal tunnel release, open carpal tunnel release, carpal tunnel syndrome
Hematological Indicators Assessing Severity in Dengue Patients
Authors: Rehman Ansa Kulsoom , Niazi Humaira Taj , Bahadur Laila
Published: January 2023

Background: Dengue is viral disease of human transmitted by Aedes aegypti mosquito. The clinical signs and symptoms of dengue infection range significantly, from mild dengue fever to a severe illness. Objective: Our study aims to describe the potential predictive hematological parameters which are associated with severity in dengue patients. Methodology: This study was descriptive study conducted at the department of Pathology (Hematology), Maqsood Medical Complex and General Hospital, Peshawar, for duration of six months from 1st May 2022 to 31st October 2022. Blood samples were taken aseptically from all the included patients and were sent to the hospital diagnostic laboratory where the hematological parameters were determined. All the data was collected in a pre-designed proforma. The data analysis was done by using IBM SPSS version 23. Results: In the current study, a total of 160 patients were enrolled. There were 102 (63.75%) male patients while female patients were 56 (36.25%). Based on the hematological parameters, the mean (±SD) Hematocrit (%), Hemoglobin (g/dl), White cell count (/µL), Lymphocytes(/µL), Neutrophils (%) and Platelets (/µL) in non severe dengue cases vs severe dengue cases were 39.2 (±5.1)% vs 42.3 (±4.3)%, 12.5 (±0.9) g/dl vs 13.9 (±1.8) g/dl, 3290 (±1.4) /µL vs 4750 (±1.6) /µL, 40.6 (±12.19)/µL vs 46.1 (±9.96) /µL, 44.4 (±16.56)% vs 49.4 (±12.44) % and 10,5000 (±1.12) /µL vs 56,000 (±2.36)/µL respectively. Conclusion: Our study concludes that some common hematological markers have a substantial correlation with the severity of dengue illness. Keywords: Hematological indicators; severe dengue; Non-severe dengue
Chronic Obstructive Pulmonary Disease Patients have A Higher Risk of Developing Gastroesophageal Reflux Disease than the General Population A-Multi-Center-Study
Authors: Mudasir Muhammad , Ullah Imran , Rehman Obaid Ur , Durrani Talha , Rahman Faheem Ur
Published: January 2023

Background: Partially reversible airflow restriction is a symptom typical of COPD, a kind of obstructive lung disease. Chronic obstructive pulmonary disease distinct pathological and clinical phenotypes: emphysema and chronic bronchitis (COPD). Both elements are quite individualistic. Whether or not to regularly examine COPD patients for the possibility of GERD and treat it effectively might be aided by the discovery of an increased prevalence of Gastroesophageal reflux disease (GERD) in this patient population. Objective: As GERD is associated with a worse prognosis in COPD patients, it is important to understand the prevalence of this condition among those who suffer from the disease. Methodology: From January 2021 to January 2022, researchers at a major hospital in Peshawar analyzed data from many similar hospitals. A total of 108 participants participated in this trial. Comprehensive histories and physical examinations were performed on patients (aged 20 to 75). Then, spirometry and the Q-questionnaire were administered to individuals who had satisfied the inclusion and exclusion criteria. All patients had their spirometry readings taken by the same CPSP-certified technicianpatients' FEV1 measurements following a bronchodilator treatment were assessed by the same CPSP-fellow consultant of pulmonology using the GOLD criteria, giving each patient a grade (from "01" to "04"). The prevalence of GERD was calculated as a percentage of all COPD cases in patients who completed the Q-questionnaire. Results: There was a 12.580 standard variation in the individuals' ages, with a mean of 58.76. Most patients were women (60%), while men made up just 40% of the Total. The prevalence of GERD among those with COPD was 52 percent. Conclusion: This study's findings led us to conclude that patients with COPD had a frequency of gastroesophageal reflux disease (GERD), which was 52%. Keywords: Acid Reflux In The Stomach; COPD, Multicenter
Locust Attack: Managing and Control Strategies by the Government of Pakistan
Authors: Muhammad Usman  , Muhammad Ijaz  , Mariam Aziz  , Muhammad Hassan  , Ahmed Agha Mushtaque , Din Muhammad Soomro  , Saif Ali
Published: January 2023

During outbreaks of Schistocerca gregaria, the desert locust swarms, and plagues known to infest numerous regions across wide areas of Asia and Africa. The locust devours large amounts of crops and rangeland flora. Recently the locust outbreak began in June 2018 in Saudi Arabia’s distant areas and entered in Pakistan March 2019, destroying main crops such as cotton, wheat, rice and maize in many districts across Baluchistan, Punjab, Sindh and Khyber Pakhtunkhwa provinces. On February 1, 2020, a national emergency was proclaimed, and the Plant Protection department countered by launching monitoring and prevention activities with the help of other institutions in Pakistan, as well as global and bilateral organizations. Surveillance and control activities were carried out with the majority of the insecticide formulations being oil-based ultra-low volume, nonconventional and green technology approaches. In addition, the Pakistani government devised a comprehensive phase wised management strategy as well as a National Locust Control Center with fast retort troops deployed in critical areas. Additional surveillance and control measures are needed to stop or alleviate desert locust-related agriculture damages. The unusual characteristics of the desert locust, as well as the size and frequency of swarming events, make developing and implementing IPM measures difficult. The state of prospective integrated measures to control locusts is discussed, as well as proactive and preventive intervention options.
Penyuluhan Literasi Keuangan dan Peningkatan Minat Berwirausaha pada Siswa SMK Pawiyatan Surabaya di tengah Pandemi Covid-19
Authors: Suryawirawan Okto Aditya , Cahyono Krido Eko , Nugroho Novianto Eko , Mahargiono Pontjo Bambang
Published: January 2023

Tujuan dari kegiatan Pengabdian kepada Masyarakat melalui Penyuluhan Literasi Keuangan dan Peningkatan Minat Berwirausaha pada Siswa SMK Pawiyatan Surabaya ini adalah meningkatkan pengetahuan tentang literasi keuangan dan minat berwirausaha pada mereka yang masih duduk di bangku sekolah. Selain dosen dari STIESIA selaku pihak pelaksana kegiatan, penyuluhan ini juga dilakukan dengan melibatkan mitra yaitu mahasiswa STIESIA. Hasil dari kegiatan ini adalah peningkatan pemahaman terhadap literasi keuangan dan minat berwirausaha pada siswa SMK Pawiyatan Surabaya.
Imagining the future is a kind of nostalgia
Authors: Batt Vinod , Yadav Anita , Gupta Dev Brat , Bhatt Ravi
Published: January 2023

The paper in consideration talks about the impact of Indian philosophy in The Last Labyrinth. The paper opens various avenues on which the novel draws inspiration from the Indian Upanishadic traditions and how the actions of the characters reflect the influence of Indian Mythological Legends. The paper throws light upon the prevalent themes of Hindu Dharmic traditions that became the base for action in the novel. Having studied the life and actions of the characters like Som Bhaskar, Anuradha, Aftab, Mansoor, Amzad; the paper explores the relationship between their acts and the underlying Upanishadic implications. The paper also explores the role of an omniscient narrator who sets the tone for the action of the novel. The power further talks about Joshi’s Hindu psyche that was prevalent all along the novel through the actions of his characters like Bhaskar’s performing last rites of his father, names of the places like Haridwar, and reference to Hindu gods like Som Bhaskar’s mother’s prayers to Krishna. The paper shows how the personalities in the novel are not only characters but the personality types and how important was the conception of God.Hindu
ACT for the management of non-epileptic seizures
Authors: Boycott Naomi , Tyack Charlie
Published: January 2023

Non-epileptic seizures (NES) are a common yet poorly understood experience and are often associated with high levels of psychological distress. We share our reflections of introducing an Acceptance and Commitment Therapy (ACT)-based approach to our psychology service in Nottingham.
‘It’s quite a thin line to tread and every client is different’: The narratives of Black, Asian and Minority Ethnic young adults in relation to discussing racial experiences in cross-racial therapeutic dyads
Authors: Adewole Sarah , Atkins Ellie
Published: January 2023

The cross-racial therapy narratives of 35 BAME* young adults were analysed, to provide guidance for White therapists. Most participants preferred a BAME therapist over a White therapist, and felt better understood by a therapist of shared ethnic-background. Implications for therapists are discussed.
Reflections of psychology staff working on a mental health crisis phone line
Authors: Bodycote Hannah , Fakoudi Alexandra , Fletcher James , Kingsland Brooke , Rogers Megan
Published: January 2023

In this article, we reflect as a group on our experiences working on a mental health crisis line as members of the psychological workforce. These reflections came from supervisions, team meetings and informal, day to day conversations between practitioners.
Evaluation of a unified protocol transdiagnostic group for treatment of anxiety and depression
Authors: McPhail Leigh , Ferguson Marie
Published: January 2023

A 10 week group, following the Unified Protocol (UP) for the Transdiagnostic Treatment of Emotional Disorders, was delivered by an NHS Psychology service. Significant improvements in anxiety, depression, daily functioning, mental wellbeing and emotion regulation were reported, with positive satisfaction ratings.
Reflections on internet-based methods of increasing access and inclusion in clinical psychology
Authors: Mok Che Ling Michelle , Riches Simon
Published: January 2023

The internet offers important ways for UK clinical psychologists to engage the global community of aspiring psychologists. Increasing and diversifying the use of social media and internet-based platforms to target this audience may increase access and inclusion in clinical psychology.
Patient experiences of remote psychology sessions for management of Non-Epileptic Attack Disorder (NEAD)
Authors: Steele Claire , King Mary
Published: January 2023

Due to the rapid spread of Covid-19, the non-epileptic attack disorder (NEAD) service at Salford Royal Hospital had to quickly change its way of working. All appointments prior to this were face-to-face, yet from March 2019 all appointments were changed to telephone or video call. To understand how this may have impacted upon treatment experiences, and identify any changes that could maximise therapy effectiveness, a questionnaire was created and administered to NEAD service-users. Results highlighted wide acceptability of remote appointments, with most respondents indicating satisfaction with their treatment and a maintenance of therapeutic rapport. Face-to-face appointments were however, still preferred by over 50 per cent of respondents and limitations of remote working were raised, such as lack of personal connection and confidentiality. Long-term clinical implications for the service are also discussed, including proposed adaptions and future flexible way of working, that attempt to balance service and client needs.
Reflections on developing a group intervention within a Home Treatment Team
Authors: McIvor Lucy , Atnas Catherine
Published: January 2023

HTTs (Home Treatment Teams) have historically been the domain of psychiatry, with a welcome rise in psychological input over recent years. We reflect on our experience of developing a psychological skills group for clients within Southwark HTT, prior to and during the Covid-19 pandemic.