bluuebunny/crossref_metadata_2025 huggingface dataset:
Assessment of Funding Approach to Adult Learning and Education in Rural Communities
Authors: Ojobanikan Emmanuel Idowu , Mandah Njitum C. A. , Foyewa Abosede Olubukola
Published: May 2024

The challenges of Nigeria as a nation require holistic approach and appropriate education to tackle for socio-economic development and peaceful co-existence of Nigerians. Adult learning and education (ALE) being a discipline with huge potentials for adults, is capable of tackling the problems. However, it needed to be scaled up through new initiatives and approaches. This study therefore, assessed the funding approach to ALE programmes in Ekiti State, Nigeria; with a view to understand how ALE programmes have been funded and implemented in Nigeria in recent times. Review of concepts and terms were carried out. Qualitative research method was used to obtain data. It was discovered that Ekiti state Government adopted specific need and service-oriented approach to funding and implementation of adult learning and education programmes in the State. The approach yielded positive results with 67 adult literacy centres established and 5,029 adult learners enrolled between 2019 and 2022. A total of 45 individuals and 12 faith based organisations sponsored ALE programmes. It is therefore recommended that government at all levels should adopt need and service-oriented approach to funding and implementation of ALE programmes with a view to make ALE relevant in providing solution to the Nigeria’s socio-economic, political, environmental and security challenges.
Analisis Implementasi Enterprise Risk Management dan Nilai Perusahaan
Authors: Naibaho Dameria , Sipayung Friska , Simbolon Bernadetta A.J. , Ratna Ratna , Simanjuntak Darmawati
Published: May 2024

Latar belakang penelitian ini adalah konsep yang mengatakan oleh karena masa depan penuh dengan ketidakpastian, maka diperlukan pengelolaaan risiko manajemen yang baik untuk mencapai keselarasan tujuan stakeholder dengan manajemen yaitu meningkatkan nilai perusahaan. Tujuan penelitian ini adalah untuk melihat bagaimana penerapan Enterprise Risk Management mempengaruhi nilai perusahaan. Penelitian ini merupakan studi literatur yang melihat bagaimana Enterprise Risk Management  mempengaruhi nilai perusahaan dengan menggunakan 13 artikel  bertemakan Enterprise Risk Management dan nilai perusahaan, yang dimuat dalam jurnal selama periode 2014 – 2023. Pengambilan sampel dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa komitmen perusahaan dalam mengelola risiko pengungkapan Enterprise Risk Management yang semakin luas dan specific meliputi  Chief Risk Officer, Risk Management Committee, Manajemen Risiko Strategis, Manajemen Risiko Konsollidasi, Manajemen Risiko Holistik, Manajemen Risiko Terintegrasi. di annual report akan menjadi good news bagi stakeholder yang digunakan sebagai dasar berinvestasi yang akan menjadi strategi untuk meningkatkan nilai perusahaan.
Influence of Thyroid Dysfunction on Electrolyte Levels of Outdoor Patients of Tertiary Care Hospitals
Authors: Haq Nawaz  , Rabiah Khushi Muhammad  , Amna Aslam  , Sajid Hussain  , Mehmood Rubaida
Published: May 2024

The study aimed to evaluate the impact of thyroid dysfunction on serum electrolyte levels in individuals visiting outpatient departments of tertiary care institutes. The study included 88 participants who were divided into five groups: NTF, Hypo-TF, Hyper-TF, NTFT, and HC. The thyroid hormones T3, T4, and TSH and electrolyte levels, were analyzed in the sera obtained from the control and study groups. The results showed a statistically significant variation in thyroid hormone levels among the different study groups of both genders. The Hyper-TF group had higher levels of T3 and T4, while the TSH level was higher in the Hypo-TF group of both genders. The age of the patients and duration of treatment did not significantly affect the thyroid hormones and electrolyte levels of the study groups. The Na+ level was positively correlated with T3 and T4 levels of the control and Hypo-TF groups and TSH of the Hyper-TF group. The K+ level was negatively correlated with the thyroid hormone levels of each group except TSH of the Hyper-TF group. The study found that thyroid dysfunction significantly affected the thyroid hormone levels in male and female patients, which were positively correlated with Na+ level and negatively correlated with K+ level.
Reinforcement Learning Approaches for Exploring Discrepancy Variations: Implications for Supply Chain Optimization
Authors: Hemanth Volikatla
Published: May 2024

Combinatorics discrepancy theory studies the ways in which a given state deviates from the ideal. A set system's disparity in its classical form has been shown to be bound in certain situations. Though they may not hold for other types of discrepancy, no mathematician has been able to produce an example that defies these limits as of yet. Due to the large number of set systems (kmn for m sets and n elements, each choosing one of k possible values), it is not viable to use traditional techniques, such as human reasoning or computer brute forcing, to identify the few set systems with a significant discrepancy. However, in a 2021 preprint, Adam Zsolt Wagner shows how the deep cross-entropy method—a popular Neural Network (NNs)-based Reinforcement-Learning (RL) technique—could effectively find examples that disprove open conjectures in two other combinatorial subfields: pattern avoidance and graph theory. Therefore, in light of these encouraging findings, we wondered if Wagner's method could help us find examples that defy the upper bound of discrepancy variations. To start answering this question, we examined whether Wagner's approach might be extended to find set systems that exhibit significant inconsistencies, either as classical or variant (prefix and fractional in our instance) systems. Our findings could help approximation algorithms, which employ discrepancy theory to tackle certain problems, as well as discrepancy theory itself.
Enhanced Brain Tumor Classification: A Hybrid Classifier Approach
Authors: G.Srinivasa Rao
Published: May 2024

Early detection of brain tumors is crucial for enhancing patient survival rates and treatment effectiveness. Analyzing magnetic resonance imaging (MRI) images by manually is a difficult task. Therefore, there is a requirement for digital techniques to improve the accuracy of tumor diagnosis. Study of this work was to enhance the performance of Machine Learning classifiers rather than move to deep learning. Machine Learning classifiers are advantageous compared to deep learning methods because of their ability to train on small datasets, low computing time complexity, affordability, and ease of adoption by individuals with less expertise The proposed methodology encompasses image processing, segmentation, feature extraction, feature reduction, and classification, leveraging techniques such as Otsu’s thresholding, GLCM, BWT, and PCA to extract pertinent information while minimizing dimensionality. By integrating a hybrid classifier that combines SVM, DT, and KNN, along with ensemble techniques, significant improvements in classification accuracy and robustness are achieved. Experimental results on the TCGA-GBM dataset showcase accuracy of 96.9%, with high specificity (95.14%) and sensitivity (97.14%) for classify normal tumors (benign tumors) and cancerous tumors (malignant tumors). Furthermore, the proposed methodology demonstrates efficiency with relatively low execution time, rendering it suitable for real-world applications.
Incidence of perioperative morbidity by anaesthesia depth
Authors: Karanikolas Menelaos
Published: May 2024

The prognostic value of age, physical status, and duration of surgery on perioperative course has been extensively studied. However, the impact of deep hypnotic time (time when Bispectral Index values are less than 40) has not been well evaluated. Methods.We designed an observational study to clarify the relative influence of deep hypnotic time (DHT) on outcome. Eligible participants were mentally stable patients over 18 years old scheduled for elective major abdominal surgery. In total, 248 patients enrolled. Data were analyzed using Fisher’s exact test and multiple logistic regression. Results. Five variables (DHT, hypotension, age, comorbidity, and duration of surgery) showed statistically significant association with complications, when examined independently. However, when all variables were examined together in a multiple logistic regression model, age and comorbidity were no longer associated with the outcome. DHT, hypotension, and duration of surgery were significant predictors of “complications,” and “hypotension” was a significant predictor of prolonged hospital stay (𝑃 < 0.001). Conclusion. Deep hypnotic time emerged as a new factor associated with outcome, and its impact compared to other factors such as age, surgery duration, hypotension, and comorbidity is redefined. Monitoring and managing depth of anesthesia during surgery are important and should be part of careful operation planning
Myoclonic Movement After Mandibular Cyst Enucleation Under General Anesthesia, A rare case report during COVID-19 pandemic
Authors: Elzohry Alaa Ali M
Published: May 2024

Myoclonic movement is not common side effect after general anaesthesia. Since we use various intravenous agents during general anaesthesia recently, it is troublesome to find out the exact cause of this neurologic complication
The randomized, prospective study: compares the hemodynamic effects of intravenous dexmedetomidine vs midazolam
Authors: Nath Mridu Paban
Published: May 2024

The stress produced by anesthesia and surgery may produce undesirable hemodynamic effects. Different agents have been used as preoperative medication to eliminate or suppress stress reactions. We hypothesize Dexmedetomidine provides better hemodynamic control as compared to midazolam when used as a premedication for patients. In this study, we evaluated the effects of a pre-anesthetic single dose of intravenous Dexmedetomidine in a dose of 0.06 mcg/kg body weight with intravenous midazolam 0.05mg/kg body weight on hemodynamic parameters.
Increasing the use of blocks 192% using an Internet based diagnostic test
Authors: Hendler Nelson
Published: May 2024

Research by Johns Hopkins Hospital physicians found that 40%-95% of chronic pain patients were not properly diagnosed. By using an on-line diagnostic test which gives diagnoses with a 96% correlation with diagnoses of Johns Hopkins Hospital doctors, several physician groups reported an increase use of interventional testing up to 192% of the time.
Introduction: A Colonial War
Authors: Boulos Sonia , Sorek Tamir
Published: May 2024

The settler-colonial paradigm has gained traction in the study of Palestine/Israel in recent years. The current war in Gaza, with the International Court of Justice ruling that a genocide is plausible, has highlighted the pivotal role of settler colonialism as an analytical framework to understand and contextualize the current wave of apocalyptic violence. At the same time, references to settler colonialism have triggered discursive resistance among certain academic circles. To debate this issue, Palestine/Israel Review organized a special webinar titled “Israel–Hamas: A Colonial War?”. While the title focuses in its first part on Israel versus Hamas, the second part challenges the claim that Israel is fighting a war against Hamas, and suggests that the recent violence inflicted on Gazans is an escalation of a continuous physical and symbolic erasure of Palestine and Palestinians. Five scholars from different disciplines participated in the webinar.
Settler Colonialism and Decolonization
Authors: Zreik Raef
Published: May 2024

This essay makes two arguments. First, it argues that the analytical frame of settler colonialism is very productive in order to understand, describe, and at times even predict certain future trends of the Israeli state and society, while putting aside questions of legitimation or justification. On the other hand, this analytical frame is underdetermined when it comes to offering possible solutions for the future of Palestine-Israel. From the mere fact that Israel is a settler colonial project no particular future normative solution could be deduced logically. Future situations are political, not logical, and as such they are subject to different kinds of considerations including ethical and practical ones. Furthermore, we bear certain responsibility for political decisions that we do not while making logical judgments, and this different must be kept.
Colonial—And Counter-colonial: The Israel/Gaza War through Multiple Critical Perspectives
Authors: Yiftachel Oren
Published: May 2024

The current Israel–Hamas war is one horrific outcome of a century-long Zionist settler colonial project, which continues to violently shape the political geography of Israel/Palestine. Yet a valid account of the war must identify several other structural forces—most conspicuously national, religious, and geopolitical. Such forces interact, intersect, and at times clash with colonial logic. Further, to complete the colonial perspective, scholars must incorporate and illuminate the Palestinian and Islamic “counter-colonial” visions, rarely discussed in critical accounts. Such visions, and their political and terrorist mobilization, radically differ from the horizon commonly taken for granted by most indigenous and progressive narrrations. Hence a distinction should be made between “counter-colonial” and “decolonial” mobilizations. The current war is an expression of the clash between (deeply asymmetric) Israeli and Palestinian colonial and counter-colonial forces.
Concept for an innovative screw coupling system production process
Authors: Szulc Samuel , Nowakowski Tomasz , Tomaszewski Franciszek , Motyl Mateusz , Komorski Paweł , Finke Szymon
Published: May 2024

The article presents the concept of an innovative approach to the production of a screw coupling system, a key element in rail vehicles. The use of ready-made components from various subsuppliers, combined with new quality control methods, offers an opportunity for a significant reduction in cost and production time while increasing the efficiency and flexibility of the process. Key stages of the production process are highlighted, from the selection of semifinished products, through quality control, to the final assembly and validation. The applied strategies can minimise waste, increase material efficiency, and have a positive impact on the environment. This study constitutes a significant contribution to the development of sustainable production in the railway industry, with an emphasis on organisational, process, and product innovations.
The Effect of Gamification Using Kahoot on Students' Critical Thinking Abilities: The Role of Mediating Learning Engagement and Motivation
Authors: Petrusly Petrusly , Lambertus Kollo Fredik , D. S. Bani Marsi , Mahfud Tuatul , Zulkarnain Zulkarnain
Published: May 2024

Gamification plays an important role in learning by bringing play elements into educational settings. One platform often used is Kahoot, the application of Kahoot in learning brings a pleasant experience for students. Many studies highlight the important role of gamification in education. However, limited studies still prove how Kahoot can improve students' critical thinking skills by involving motivation and engagement. This study investigates the effect of Kahoot gamification on students' critical thinking skills by involving motivational and engagement mediators. Three hundred twenty-nine state university students in Lombok were involved in filling out the data. Structural equation modeling (SEM) analysis was used to test the hypothesis of this study. The study's results revealed that the application of Kahoot gamification succeeded in influencing students' critical thinking skills directly and indirectly through motivational and engagement mediators. This study has important implications for improving the quality of teaching by optimizing various gamification platforms.
Utilizing Gamification To Enhance English Writing Skills Of Tertiary Level Students – An Experimental Study
Authors: Saiyad Mohammad Azim M. , Mevada Dr. Shemal
Published: May 2024

The success of students in school and in their future careers depends on their ability to write effectively. Despite this, a sizable portion of students struggle to improve their English writing skills due to a variety of obstacles. Gamification is a cutting-edge teaching approach that incorporates game elements into non-game settings. It has the ability to enhance learning outcomes and motivation in a variety of academic subjects. This study aims to test whether or not incorporating gamification strategies into higher education may help students in the Charotar region of Gujarat enhance their writing. Gujarat is a state in India. A sample of college students with engineering backgrounds was randomly selected to participate in a randomized controlled experiment. A random lottery was used to place participants in either the experimental group or the control group.
The Activities Conducted on Students from Vernacular Background to Improve Their English Communication.
Authors: Kaknani Ms. Bharati Harishkumar
Published: May 2024

Scholars and educators have begun re-evaluating the approaches and objectives of teaching English in diverse contexts due to its widespread usage across various sectors and its status as a global language. This study examined Indian University students' views about the English language and their identity development and negotiation throughout their English language learning process. 25 respondents filled out a questionnaire, which was used to gather data. The study analysed how English is taught and learned in light of students' academic and professional requirements and interests. The study found that students thought activities would help them academically and professionally. Finally, the researcher recommended preparing activity-based teaching materials that fit students' needs and interests.
Relationship of Motor Fitness Components with Volleyball Ability of Volleyball Players
Authors: Mangela Dharmeshkumar Pravinbhai  , Dr. Hemant Pandya
Published: May 2024

The purpose of the study was to find out the relationship of motor fitness components with Service Ability of volleyball players. For the present study the selection of the sampling was based on Veer Narmad South Gujarat University, Surat Volleyball intercollege tournament. Here for this said tournament participating colleges were divided into four zones, Surat city, Surat Rural, Bharuch and Valsad district respectively. Out of these zones the four semi-finalists team of each zone means sixteen best teams, four from each zone having 192 male best players based on their performance, select total 180 subjects out of 192 for the present study. The subjects selected was in the age range of 17 -25 years. After being informed of the study's requirements, each participant willingly consented to participate in the testing program. The research scholar met and had a special conversation to orient the subjects on the research study. A detailed explanation of the testing, experimental process, and exercise schedules was provided so that the subjects would know exactly what to expect and how much effort would be required of them.
The standard of measurement in this research study was measuring Speed - 50 Yard Desh test, Agility-4 X 10 m shuttle run, Flexibility- Seat and Reach, Explosive power- Sargent jump, Cardio – vascular endurance through the Cooper’s 12 minutes ran/walk. In order to investigate the motor fitness components and skill performance of volleyball players, descriptive analysis statistics; such as mean, standard deviation, minimum value, maximum value was applied. The relationship of motor fitness components and skill performance of volleyball players, was established by computing Karl Pearson’s Product Moment Co-relation was used. The combined contribution of separately considered motor fitness components to skill performance was obtained through multiple correlations. Further in order to find out which aspect has the maximum impact on the skill performance score of volleyball players, multiple regression analysis was applied. For testing the hypothesis, the levels of confidence were set at p<0.05. The Conclusion are as under The speed significantly positive. And agility and flexibility significantly negative correlation with the volleying ability. The negative but not statistically significant correlation between explosive power and cardio-vascular endurance and volleying ability. The explosive power significantly negative correlation with the service ability. The positive but not statistically significant correlation between speed, flexibility and agility. And the cardio-vascular endurance negative not statistically significant correlation with the service ability.
Ethnography Of Traditional Bell Metal Craft Technology Practiced In Bankura District
Authors: Milan Chandra Roy
Published: May 2024

Tradition of brass and bell metal work is still persisting in different parts of eastern India.  Rarh Bengal is one of the most important traditional brass and bell-metal crafts region.  These are non-industrial mode of technology and production, which is Practice by a number of hereditary groups. As example Kangsbanik, Karmakar, Kansari and Dhokra Kamar etc. Pukhuria (22.9351°N, 86.9662°E) is one important traditional bell metal technology center of Bankura district as well as Rarh Bengal, West Bengal, India.   The artisans of Pukhuria village are specialized in making different sizes bell metal bowl and followed cast and wrought metal technique. This is locally known as Jam Bati, Ci Bati, Sada Bati etc. In this paper an attempt has been made to discuss the technological aspect of contemporary brass and bell metal work, which is practiced by artisans of Pukhuria, Bankura district. It may also highlight the sources of raw material, different tools, processing, finishing of objects etc.
Assessing effective half-life of I-131 in 39 thyroid cancer patients at Dong Nai General Hospital
Authors: Nguyen Tan Duoc , Do Ha Phuong , Tran Pham Ngoc Trinh
Published: May 2024

Radioiodine therapy to kill the residual cells after surgery in thyroid cancer patients is a widespread treatment method nowadays. Despite the therapeutic benefits, the amount of I-131 that remains in the patient's body also causes radiation risks to caregivers and persons in close contact. This study assesses the effective half-life () of I-131 in 39 patients underwent thyroid cancer treatment at Dong Nai General Hospital. Radioactive activity on the patient's body was measured by survey meter GAL20-C (ELSE SOLUTIONS), placed 1.0 meters away from the patient, at 0.5; 2.0; 4.0; 6.0; 24.0 hours; and 7 days after administration. The measurement data was fitted by a mono-exponential function respecting time by the least squares method to figure out the effective half-life. The result function has a good coefficient of determination, R2 ~ 1, Te was 7.89 +- 1.55 h (high-activity group), and 5.83+-1.76 h  (low-activity group). The effective half-life was proved to be different between these two groups of patients.
Chiang Mai's Royal Crematorium: Siamese Influence Evident in Lanna Cremation Heritage
Authors: Chindapol Sumavalee , Arkarapotiwong Piyadech
Published: May 2024

The Chao Luang crematorium was a temporary architecture made for the cremation and funeral of Chao Luang Chiang Mai (King of Chiang Mai). The creation of the Chao Luang crematorium reflected the social and political pressures of Siam that influenced Lanna territories during the reign of Phra Chao Inthawichayanon in 1873 till 1932 (coup d’etat), resulting in a change in the architectural style of these funeral structures. This research aims to study the architectural style changes of Chao Luang crematorium in Chiang Mai from the moment when Siam began to draw power from Lanna to the central part of the territory. The study results reveal that, originally, the funeral rites of Chao Luang followed a specific form of Lanna rituals. However, during the reign of Phra Chao Inthawichayanon, the 7th Chao Luang of Chiang Mai, new power from Siam was imposed on Lanna, which resulted in changes to the Lanna architecture and cremation traditions, aligning them more closely with Siamese traditions. Eventually, the traditional Lanna rituals were amalgamated into the style of Siam. The evolving architectural style of the Chiang Mai Royal Crematorium provides evidence of Siamese colonization’s ongoing impact on Lanna.
Existem vantagens em desenvolver vacinas gênicas para prevenção de doenças infecciosas virais?
Authors: Alcantara Carlos Henrique Leite de , Correia Leonardo Temóteo Wanderley de Jesus , Ribeiro Guilherme Costa , Yulita Julio Gonçalves , Lacerda Mariana Carvalho , Falcao Sara Tenorio de Albuquerque , Silva Eduardo Valdemar da , Tenorio Yuri Calvacanti Albuquerque
Published: May 2024

Terapêuticas baseadas em vacinas atenuadas ou inativadas para doenças infecciosas tem se mostrada altamente desafiadora devido a sua comum instabilidade térmica e hidrolítica, que acaba por exigir uma serie de cuidados, além de diversos possíveis colaterais que podem desencadear processos patológicos em pessoas imunodeprimidas. A duas décadas atrás, as vacinas Gênicas, em especial a vacina de DNA baseada em plasmidios bacterianos tem demonstrado resultados em induzir respostas adaptativas primarias em mamíferos infectados com patógenos virais, Devido à boa biocompatibilidade do DNA plasmídico, sua produção econômica e longa vida útil, muitos pesquisadores vêm objetivando desenvolver estratégias imunoterapêuticas baseadas em vacina gênicas. Com isso Esta revisão visa destrinchar nosso conhecimento atual sobre o curso de ação das vacinas gênicas.
Saúde ambiental em uma universidade pública: diagnóstico situacional de técnicos administrativos em educação
Authors: Santos Antonio Jose dos , Costa Jailton de Jesus , Jesus Robson Andrade de , Almeida Gênisson Lima de , Jesus Cristiane Neyre Almeida de , Andrade Joyce Dalline Silva , Santos Iuri Oliveira dos
Published: May 2024

A saúde ambiental engloba a interação entre os seres humanos e o ambiente no qual residem e desempenham suas atividades laborais. Neste contexto, este artigo tem como objetivo analisar as percepções dos servidores técnicos administrativos da Universidade Federal de Sergipe, Cidade Universitária Professor José Aloísio de Campos, localizada em São Cristóvão/SE, com relação à saúde ambiental à luz de uma política institucional permanente. Para tanto, adotou-se uma abordagem quanti-qualitativa, provenientes técnicas da estatística descritiva e de associações entre variáveis categóricas nominais, por meio de um questionário composto por dezessete questões abertas e fechadas, além de visitas in loco nas repartições de trabalho em que os participantes desenvolvem suas atividades laborais. Obteve-se uma amostra de cento e sessenta e oito (168) questionários, equivalente a um grau de confiança de 90%, com a margem de erro de 5,86%, resultando em uma amostra significativa e representativa da população. Para a aplicação dos questionários, levou-se em considerações questões éticas, respeitando a disponibilidade de horário de todos os participantes, de forma a não comprometer as atividades individuais em seus ambientes de trabalho. Dentre os resultados, destaca-se a importância de cuidar da saúde dos trabalhadores como meio de garantir condições favoráveis para o desempenho de suas atividades no local de trabalho e para promover sua longevidade. Os participantes avaliaram como pertinente a aprovação de uma norma/resolução que regulamenta a Política Interna Permanente quanto à saúde dos servidores com 47%, seguido de muito bom com 26%, bom com 21% e desnecessário com 6%. Conclui-se, assim, que as condições do ambiente devem ser consideradas pelos gestores, pois representam os requisitos mínimos para a realização saudável de atividades individuais ou em grupo.
Corpo e sensibilidade na experiência latino-americana/brasileira: a diferença cultural na formação docente em educação física
Authors: Carvalho Marília Menezes Nascimento Souza , Silva Maria Cecília de Paula
Published: May 2024

Ao identificar uma lacuna importante nos estudos acerca da relação corpo e cultura na formação docente em Educação Física no Brasil, problematizamos caminhos para uma formação engajada, intercultural e sensível às diferenças. O objetivo deste artigo foi apontar caminhos para descolonizar os corpos e aguçar a sensibilidade para a diferença cultural ao longo da experiência da formação docente em Educação Física no Brasil. Trata-se de uma pesquisa qualitativa, bibliográfica e documental. A partir da relação entre corpo, experiência e sensibilidade na Sociologia e Antropologia do corpo, desenvolvida nas obras de David Le Breton, em diálogo com o pensamento decolonial e os Estudos Culturais sobre cultura e educação, discutiu-se aspectos que marcam o contexto cultural local latino americano, brasileiro e sergipano. Questionou-se como os contextos sócio histórico culturais afetam os corpos e as sensibilidades nas práxis pedagógicas. A discussão dialogou com e entre a produção teórica nos campos anunciados com um relatório de experiência produzido por um grupo de bolsistas do Programa de Iniciação à Docência da Universidade Federal de Sergipe, subprojeto Educação Física, no ano de 2017. Como resultados, apontam-se caminhos que evidenciam a formação outra possível. Destacamos o posicionamento crítico fronteiriço e intercultural em que sensibilidades outras se constituem. Sugere-se interagir com a multiplicidade de corpos e culturas promovendo experiências de formação docente que revertam a história de subalternização e oportunizem a incorporação do diferente, da diferença, da singularidade, da localidade, da multiplicidade, como caminho possível e necessário para a descolonização dos corpos e o fortalecimento da educação democrática.
Relação entre aleitamento materno, hábitos bucais deletérios e má oclusão dentária
Authors: Souza Taiane Oliveira , Cardoso Lívia Alves , Alves Fernanda de Fátima , Araújo Márcia Maria de , Diogo Ana Tereza Silva e
Published: May 2024

Objetivo: este estudo buscou relacionar o tempo de aleitamento materno à presença de hábitos bucais deletérios e más oclusões dentais em bebês de 2 e 3 anos, na cidade de Montes Claros-MG. Métodos: trata-se um estudo transversal, realizado com 60 crianças e seus respectivos responsáveis, atendidos na Clínica de Bebês (OdontoBaby) da Faculdade de Ciências Odontológicas-FCO. Aprovado pelo Comitê de Ética em Pesquisa da UNIMONTES-MG, mediante parecer (n° 5.464.797). A forma de aleitamento, presença de hábitos e dados socioeconômicos foram coletadas através de questionário autoaplicável. As características da oclusão foram verificadas por meio de exame clínico. Os dados foram tabulados e avaliados por meio software SPSS, versão 26.0. Foram conduzidas análises bivariadas, através do teste do qui-quadrado de Pearson. Os modelos múltiplos foram ajustados através da Regressão de Poisson, estimando a Razão de Prevalência (RP) e intervalo de confiança de 95% (IC95%). No modelo final, foram mantidas apenas as variáveis que mostraram nível de significância menor ou igual a 0,05 (p≤0,05). Resultados: a maioria das crianças (91,7%) recebeu o aleitamento materno. A presença de hábitos deletérios foi encontrada em 48,3%. A presença de má oclusão dentária esteve presente na metade (50%) da população avaliada. A análise bivariada mostrou associação da má oclusão dentária com a idade, alterações respiratórias, aleitamento artificial, interposição lingual e o uso de bicos artificiais. Já na análise múltipla ajustada, a chance de desenvolvimento da má oclusão foi maior entre as crianças acima de 2 anos (RP=0,439; IC95%=1,01-1,47); com interposição lingual (RP=1,748; IC95%=1,177-2,596) e que faziam uso de aleitamento artificial (RP= 2,029; IC95%=1,062-3,876). Conclusão: percebeu-se associação da má oclusão dentária com a idade, interposição lingual e o aleitamento artificial.
New Tudivasum Rosenberg & Petit, 1987 (Mollusca: Vasidae) from Queensland and the first report of sinistralism in that genus
Authors: Maxwell Stephen , Dekkers Aart , Zheng Yao , Berschauer David
Published: May 2024

Five new Tudivasum species are described from Queensland, Australia. Currently, only Tudivasum armigerum (Adams, 1856) and Tudivasum rasilistoma (Abbott, 1959) are recognized from the east Australian Coast, and are of comparable in size to the new species. An additional species, Tudivasum kurtzi (Macpherson, 1964) from northwestern Australia is included in this study as it is also of comparable size to the new species described here, although it is not found in the same biogeographical area. A coastal species, Tudivasum annettae n. sp. is described from Shoal Point, Central Queensland, where it has been found on intertidal sand/mud flats and near shore reefs. Tudivasum barbaracollinsae n. sp. is described from the far northern region of Queensland off the Cairns coastal trawler grounds. Tudivasum glendae n sp. is described from the northern Queensland trawling grounds off Townsville. Tudivasum amandacantamessae n. sp. is described from the central Queensland trawler grounds off Bowen. Tudivasum variabilis n. sp. is taken from the southern Queensland trawler grounds off Yeppoon. The first example of a sinistral Tudivasum from Australia is also presented.
A New Species of Cymbiola (Volutidae) from Western Australia
Authors: Petuch Edward , Berschauer David
Published: May 2024

The widespread Western Australian volute that is referred to as "Cymbiola nivosa" is shown here to actually represent a complex of closely-related sibling species, each with its own distinct geographical distribution: a northern species, Cymbiola oblita (E.A. Smith, 1909), which ranges from near Port Hedland north to Cape Leveque and the Dampier Archipelago; a central species Cymbiola nivosa (Lamarck, 1804), which ranges from Port Hedland south to Shark Bay; and a new southern deep water species, here named Cymbiola cooperi Petuch and Berschauer, n. sp., which ranges from Shark Bay south to near Leeman.
Dentists’ Perspective on Osteoporosis Therapy: A Pilot Survey Study
Authors:   Lyman Briggs College, Michigan State University, East Lansing, MI, USA, Bhan V , Simon Rebecca ,   Division of Endocrinology, Diabetes, and Bone & Mineral Disorders, Henry Ford Health, Detroit, MI, USA, Rao S ,   Division of Endocrinology, Diabetes, and Bone & Mineral Disorders, Henry Ford Health, Detroit, MI, USA
Published: May 2024

Objective: Osteoporotic fractures are a major public health problem worldwide. Effective therapies have been available since 1995, with bisphosphonates (BPs) as the most used first-line drugs. Zoledronic acid and denosumab (Dmab) became available soon thereafter. However, both BPs and Dmab, but not other osteoporosis therapies, are associated with rare occurrences of osteonecrosis of the jaw (ONJ) and atypical femur fracture (AFF), the two most common major barriers either for initiating or maintaining effective anti-fracture therapies. In this pilot study, we aimed to determine dentists’ perceptions and practice patterns to mitigate ONJ. Methods: After approval from the Institutional Review Board, we e-mailed an online 7-point survey questionnaire to licensed dental practitioners, the members of the Michigan Dental Association (MDA), to ascertain the range of approaches dentists would take to treat patients who were using osteoporosis medications. Results: Members of the MDA were surveyed with a series of questions, and 40 responses were received. Respondents were 50% women, and 28 worked in suburban areas, 8 in urban areas, and 4 in rural areas. 48% of the dentists have been practicing for > 20 years, 32% for 5–20 years, and 20% for < 5 years. When asked about the interruption of osteoporosis medications for low-risk dental procedures, such as cavities, 68% never stopped therapy, 17% stopped in certain scenarios, and 15% reported stopping after a discussion with the patient’s provider. When asked about the interruption of osteoporosis medications for high-risk dental procedures, such as tooth extractions, 15% would not interrupt therapy, 23% would interrupt in certain scenarios, 7% would always interrupt therapy, and 55% would interrupt therapy after discussion with the patient’s provider. Conclusion: Despite the extreme rarity of ONJ, no specific guidelines exist from the American Dental Association (ADA), and dentists’ perspectives on mitigating ONJ are quite varied. Our study suggests that many dentists feel that osteoporosis therapy is a major barrier to safe dental practice and indicates an urgent need for education of our dentist colleagues on the rationale and validity of interrupting osteoporosis therapies.
Comparing the Implementation of Different Diabetic Retinopathy Screening Models in Primary Health Care Settings in Northern India: Pragmatic Three-Arm Observational Study
Authors:   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Duggal Mona , Chauhan Anshul ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Gupta V ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Kankaria A ,   All India Institute of Medical Sciences, Bathinda, Punjab, India, Sood N ,   Punjab Health Services; Punjab, India, Miglani V ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Tigari B ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Kaur G ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Kumar L ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Naveen M ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Budhija D ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Badada SK ,   Post Graduate Institute of Medical Education and Research, Chandigarh, India, Vale L ,   Population Health Sciences Institute, Newcastle University, England, United Kingdom
Published: May 2024

Introduction: Early screening is recommended to prevent vision impairment (VI) and blindness globally due to diabetic retinopathy (DR). We aim to analyze the factors influencing the implementation of DR screening models in primary healthcare facilities. Methods: A pragmatic three-arm observational study will be conducted in the district of Mohali in Punjab, India. The study will compare three equal-sized groups with type 2 diabetes mellitus (T2DM) at age 30 and above. The T2DM participants and healthcare providers (HCPs) will be interviewed to identify the barriers to retinal examinations in primary healthcare settings. The study includes a comprehensive economic evaluation to determine the cost-effectiveness of implementing different DR screening models in primary health settings. The present study will use the RE-AIM framework (reach, effectiveness, adoption, implementation, and maintenance), to assess the implementation of two DR screening interventions and the extent of variation in outcomes. Qualitative and quantitative data collected from participants and research team observations will be examined to report on the five RE-AIM domains. Discussion: A screening program should ensure early detection and referral for DR treatment before it results in irreversible vision loss. However, understanding the problems of accessing DR screening and estimating the cost-effectiveness of such programs in a primary health setting is important before allocating public health resources.
On the Development of Fuzzy Estimators for Life Time Distributions based on Censored Fuzzy Life Times
Authors:   College of Business Administration, American University of the Middle East, Kuwait, Muhammad Muhammad ,   Institute of Numerical Sciences, Kohat University of Science  Technology, KP, Pakistan,   Institute of Numerical Sciences, Kohat University of Science  Technology, KP, Pakistan,   Department of Statistics, University of Peshawar, KP, Pakistan, Shafiq Muhammad , Shah Syed Habib , Atif Muhammad
Published: May 2024

Lifetime analyses comprise the techniques dealing with observations obtained from the occurrence of a specified event(s). In most of the situations dealing with lifetime observations, some units are recorded as censored observations. Dealing with censored observations makes these techniques unique. Countless standard statistical tools are available for inference based on censored lifetime observations. These classical techniques consider lifetime observations as precise numbers and ignore the uncertainty of single observations. Whereas in practical applications it is not possible to measure life times as precise numbers, they are always more or less nonprecise. The imprecision in measurements can be covered by neutrosophic set. Fuzzy estimators for life time distributions potentially use neutrosophic system to model and analyze the inherent uncertainties and neutalities present in the data and the parameter estimates. This study aimed to obtain estimators for the Weibull parameters and two exponential parameters based on the up-to-date fuzzy number approach, a special case for neutrosophic set. The suggested estimators incorporate fuzziness in addition to random variation, which makes these estimators more realistic. The same techniques need to be extended to fuzzy and neutrosophic sets.
Immunohistochemical (IHC) Expression of p16 in Various Grades of Oral Squamous Cell Carcinoma (OSCC) with Snuff Use in Tertiary Care Hospitals of Peshawar
Authors: Ali Karishma , Alam Sadaf , Kamran Natasha , Nasir Sabeen , Aamir Razia , Yousuf Sarah
Published: May 2024

Oral squamous cell carcinoma (OSCC) is a significant health concern, with various factors influencing its development and progression. Understanding these factors, including p16 expression and clinicopathologic features, is crucial for improved diagnosis and treatment. Objective: To compare various grades of OSCC based on immunohistochemical expression of p16 and clinicopathologic parameters. Methods: The comparative cross-sectional study was conducted at the Department of Pathology, Peshawar Medical College (PMC), and Peshawar Dental College (PDC) from August 2020 to August 2021. It included 53 cases of OSCC with documented snuff use history. Tumor sections were stained with Hematoxylin and Eosin and underwent immunohistochemical staining for p16 expression. Sample size calculation utilized G Power software. Statistical analysis was performed using SPSS version 20.0, employing the Chi-Square test to assess categorical variables. Results: Among the 53 OSCC cases, the majority were male (66.0%) with ages ranging from 26 to 85 years, the most common age group being 51-70 years. The tongue was the primary site for OSCC development. Well-differentiated cases were predominant (64.2%), followed by moderate (20.8%) and poor grade cases (15.1%). However, no significant association was found between p16 expression and OSCC grades. Notably, p16 expression tended to be higher in snuff users and well-differentiated OSCC cases, although not statistically significant. Conclusions: Well-differentiated OSCC cases exhibited the highest expression of p16, followed by moderate and poorly differentiated cases. However, no significant correlation was observed between p16 expression and OSCC in snuff users.
Microdebrider Assisted Endoscopic versus Conventional Sinus Surgery in Sinonasal Polyposis: A Comparative Study
Authors: Khalily Waqas , Durrani Aamna , Syed Sarwat Hassan , Naveed Amir , Qazi Zia Us Salam , Qamar Sabih
Published: May 2024

For sinonasal polyposis, functional endoscopic sinus surgery or conventional is the standard surgical approach. Microdebrider assisted endoscopic sinus surgery provides patients with a better therapeutic approach. Objective: To assess and compare intraoperative, loss of smell, synechiae formation and polyp recurrence between microdebrider and conventional method in nasal polyposis patients. Methods: Cohort Study was carried out in Department of Ear Nose Throat, Shaikh Zayed Hospital, Lahore, 2022-2023. A total of sixty individuals with sinonasal polyposis, presenting in both genders, were included. Once written consent was obtained, the patient's comprehensive demographics were documented. Every patient was split evenly into two groups. Thirty patients each from Group A and Group B underwent endoscopic sinus surgery using traditional endoscopic tools and microdebrider respectively. Results were compared between the two groups in terms of synechiae production, length of operation, postoperative crusting, loss of smell, and intraoperative blood loss. Results: Age and gender differences between the two groups were not statistically significant (p-value >0.05). Regarding synechiae and loss of scent, there was no discernible difference between the two groups. Conclusions: The endoscopic sinus surgery with microdebrider was more effective for sinonasal polyposis as compared to conventional procedure
Pengaruh Terapi Generalis Terhadap Penurunan Tanda Dan Gejala Klien Halusinasi Pendengaran Di Ruang Rawat Inap Elang, Perkutut, Dan Merak
Authors: Restyan Rico
Published: May 2024

Introduction: The application of generalist therapy to the reduction of signs and symptoms of clients with auditory hallucinations in the inpatient room has a good impact on clients in controlling their hallucinations when they relapse.
Methods: This study used a quasi-experimental design using a pre-posttest non-control group approach with hallucination nursing care interventions. The total sample used was 30 respondents who met the criteria with auditory hallucinations. All respondents were given generalist therapy from sessions 1-4 which were divided into 2 groups in the inpatient room Eagle, Turtle, and Peacock at Soeharto Heerdjan Mental Hospital Jakarta. Then the data is processed using a Paired Sample T-test.
Results: The results of the study obtained that the mean value before being given generalist therapy was 43,30 and the mean value after being given generalist therapy was 24,60. There was a decrease in the mean value to 18,7. The results of statistical tests using the Paired Sample T-Test test obtained a p-value (0,000) <0,05.
Discussion: There is a difference in the decrease in signs and symptoms of clients with auditory hallucinations before and after being given generalist therapy in the Eagle, Turtle, and Peacock inpatients at Soeharto Heerdjan Mental Hospital.
Pengaruh Pengetahuan, Budaya Dan Dukungan Suami Terhadap Pengambilan Keputusan Alat Kontrasepsi
Authors: Hat Futi
Published: May 2024

Introduction: Family planning programs have a major impact on population growth, both quantitatively and qualitatively. Strengthening the use of contraceptives aims to reduce dropouts and prevent the increase in the incidence of unwanted pregnancies and the possibility of a "baby boom". The reluctance to use contraception according to the 2017 Indonesian Demographic and Health Survey is mostly due to fear of side effects, methods that are not suitable for them, and also because they do not get the husband's approval. The purpose of this study was to determine the effect of knowledge, culture, and husband's support on the decision-making of the choice of contraceptive method. 
Methods: Quantitative research methods collect data by distributing research questionnaires, sampling technique using simple random sampling, data analysis using multivariate follow-up analysis using logistic regression, and simultaneous testing. 
Results: From the test results there is a significant effect between the knowledge variable with a p-value of 0,033. Culture p-value 0,014 and husband's support p-value 0,033 because the p-value is less than 0,05. Simultaneously there is an influence between the variables of knowledge, culture, and husband's support on decision making. With a calculated F value of 2,863, it is greater than F table 2,70 and a sig value of 0,041 is less than 0,05. 
Discussion: The influence of these three variables on contraceptive decision making because good knowledge, a supportive culture, and full support from the husband will make the acceptor or respondent feel comfortable using contraception and make the right decision in choosing the contraceptive used.