bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnostic Value of C-Reactive Protein and Total Leukocyte Count in Acute Appendicitis
Authors: Komal Erisha , Muhammad Saeed Akhtar  , Khurrum Niaz  , Wasif Idris Ahmed  , Muhammad Ahsan Mustafa
Published: October 2024

Objective: To find the diagnostic value of C-Reactive Protein and Total Leukocyte Count in acute appendicitis.
Study Design: Validation study.
Place and Duration of Study: Department of Surgery, Combined Military Hospital, Bahawalpur Pakistan, from Oct 2022 to Sep 2023.
Methodology: A total of 210 patients were included who underwent appendectomy. Total Leukocyte Count and C-Reactive Protein C-Reactive Protein were checked pre-operatively. Per operative findings, histopathology and duration of the start of symptoms were also noted.
Results: Out of 210 patients, 127(60.47%) were male and 83(39.53%) were female. There was a significant difference (p-value <0.001) in an increase of Total Leukocyte Count and C-Reactive Protein with positive operative findings. When compared with histopathological findings both show a significant difference (p-value<0.001). As the duration of symptoms increased there was a statistically significant difference in the values of both Leukocyte Count and C-Reactive Protein (p-value<0.001). The sensitivity, specificity, positive predictive value, negative Predictive Value, and accuracy of Total Leukocyte Count were (75.39%), (78.95%), (97.30%), (24.19%), and (75.71%), and for C-Reactive Protein were (72.77%), (78.95%), (97.20%), (22.39%), and (73.33%).
Conclusion: The results suggest that both C-Reactive Protein and Total Leukocyte Count have potential as diagnostic markers for acute appendicitis. The values of Both C-Reactive Protein and Total Leukocyte Count increase as the duration of symptoms increases.
Hysterosalpingographic Pattern of Primary Sub-fertility and Secondary Sub-fertility in Women of Reproductive Age
Authors: Kayani Anashia , Khan Raheel , Siddiqui Tariq Saeed , Rehman Atiq Ur , Ahmed Rizwan , Khan Yasir
Published: October 2024

Objective: To evaluate the structural abnormalities of uterus and fallopian tubes in women diagnosed with primary and Secondary Sub-fertility using hysterosalpingogram.
Study Design: Cross-sectional study.
Place and Duration of Study: Armed Forces Institute of Radiology and Imaging, Rawalpindi Pakistan, from Jul to Nov 2019.
Methodology: This study investigated potential anatomical causes of primary and secondary subfertility in women of reproductive age. A total of 500 participants, referred from Gynecology and Obstetrics Departments, underwent hysterosalpingography during the pre-proliferative phase following comprehensive medical history assessment.
Results: Out 500 women, 340(68.0%) had Primary Sub-fertility while 160(32%) had Secondary Sub-fertility. Mean age of presentation was 31.5±3.5 years. Bilateral free peritoneal spill was recorded in 340(68%) patients. Unilateral tubal blockage was present in 50(10%) patients while bilateral tubal blockage was observed in 40(8.0%) patients. Bilateral hydrosalpinx was present in 15(3 %) women. Patients with uterine congenital anomalies were also examined, and bicornuate uterus was seen in 25(5%) women and unicornuate uterus was noted in the same number, that is, 25(5%) women.
Conclusion: Hysterosalpingography is a baseline assessment test done for evaluation of patency of uterus and uterine tubes. Positive hysterosalpingography cases were more prevalent in Secondary Sub-fertility. Tubal abnormalities were more commonly observed as compared to uterine cavity pathologies. Secondary Sub-fertility was found to be more associated with older age groups.
10-Year Atherosclerotic Cardiovascular Disease (ASCVD) Risk Score Calculation in Out-Patient Department
Authors: Khan Hafiz Waleed , Imran Muhammad , Khan Samia , Athar Muhammad Hammad , Tahir Hasham Bin , Ali Imran
Published: October 2024

Objective: To calculate 10-year Atherosclerotic Cardiovascular Disease risk score in outdoor department of a tertiary care hospital and identify individuals at high risk of cardiovascular disease.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Malir, Pakistan, from Oct 2020 to Mar 2021.
Methodology: 116 patients presenting to Out-Patient Department of General Medicine of CMH, Malir, Pakistan, without previous evidence of cardiovascular disease were included. Previous history of diabetes, smoking, use of anti-hypertensives, Aspirin and statins was recorded. Systolic and diastolic blood pressures, waist circumference, HbA1c, fasting blood sugar, fasting LDL, HDL and total cholesterol were tested for each patient. 10-year ASCVD risk score was calculated using online ASCVD Risk Estimator calculator.
Results: Mean age of the patients was 58.6±9.92 years with 62.1% being males and 37.9% being females. Mean 10-year ASCVD risk score was 13.37±7.1, of which 21 patients (18.1%) had Very High, 66(56.9%) had Intermediate and 29(25%) had Low 10-year ASCVD risk score. Among Very High cases, 80.9% were males, all were in age group 50-79 years, 61.9% were diabetic, 33.3% were smokers and 66.7% were obese.
Conclusion: A very high percentage of study group had Intermediate or Very High 10-year ASCVD risk score. Identifying those individuals at high risk early and controlling the modifiable risk factors can help lessen the morbidity and mortality associated with cardiovascular diseases.
Comparison of Peripheral Neurotoxicity of Weekly Paclitaxel Versus Thrice Weekly Paclitaxel Chemotherapy Among Cancer Patients
Authors: Lone Tahir Manzoor , Zulfiqar Ali Amin  , Zeeshan Ahmed Alvi  , Muhammad Nadeem  , Misbah Hamid  , Amjad Khan
Published: October 2024

Objective: To compare peripheral neurotoxicity of weekly Paclitaxel vs thrice weekly Paclitaxel chemotherapy among cancer patients.
Study Design: Quasi-experimental study.
Place and Duration of study: Oncology Department, Combined Military Hospital, Rawalpindi, Pakistan from Feb to Nov 2021.
Methodology: We enrolled 200 patients with diagnosed malignancies taking Paclitaxel chemotherapy for more than three months and less than one year. They were divided into two groups: Group-A received Paclitaxel weekly while Group-B received this medication thrice weekly. Peripheral neurotoxicity was assessed by consultant oncologist on the basis of Eastern Cooperative Oncology Group score and patients in both groups were categorised into four grades from 0 to 3, on the basis of clinical symptoms described in ECOG score.
Results:  Out of 200 cancer patients prescribed Paclitaxel, 67(33.5%) were male while 133(66.5%) were female, 107(53.5%) received Paclitaxel weekly while 93(46.5%) received thrice weekly, 65(32.5%) had Grade 0 neuropathy, 90(45%) had Grade-I, 42(21%) had Grade-II while 03(1.5%) had Grade-III neuropathy. Dosage schedule was not associated with presence and severity of neurotoxicity.
Conclusion: A significant number of cancer patients using Paclitaxel had presence of neuropathy in our study, regardless of weekly or thrice weekly dosing of Paclitaxel.
Impact of Fibromyalgia on Disease activity in Inflammatory Arthritis: A Cohort Study Conducted at Tertiary Care Hospital of Peshawar, Pakistan
Authors: Hayat Waqar , Khan Suleman , Adnan Saqib , Din Zia Ud , Mustafa Syed Hassan , Hussain Ibrar
Published: October 2024

Objective: To determine the frequency of fibromyalgia in patients with inflammatory arthritis and to evaluate the impact of fibromyalgia treatment on disease activity in these patients.
Study Design: Prospective cohort study.
Place and Duration of Study: Rheumatology Division, Lady Reading Hospital, Peshawar Pakistan, from Apr to Dec 2021.
Methodology: A total of 400 patients were enrolled in the study of which 320 were diagnosed with rheumatoid arthritis, 55 with ankylosing spondylitis and 25 with psoriatic arthritis. The diagnosis of fibromyalgia was made with 2016 American College of Radiology Criteria and patients were classified according to the presence or absence of fibromyalgia. Disease Activity Score-28 for Rheumatoid Arthritis with Erythrocyte Sedimentation Rate (DAS28-ESR), Bath Ankylosing Spondylitis Disease Activity Index and Disease Activity in Psoriatic Arthritis Score-28 were recorded for rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis, respectively. Patients of fibromyalgia were treated by either pregabalin or duloxetine with 3-month follow-up. Patients with Widespread Pain Index <7 and Symptoms Severity Scale <5 after treatment for 3 months were labeled as responders.
Results: Fibromyalgia was present in 90(28.1%) patients with Rheumatoid Arthritis, 14(25.5%) with ankylosing spondylitis and 8(32%) with Psoriatic arthritis. Fibromyalgia was more common in Rheumatoid Arthritis patients whose disease duration exceeded 5 years (p-value <0.001). Similarly, obesity significantly contributed to Fibromyalgia development in Rheumatoid Arthritis (p-value <0.001) but not in Ankylosing spondylitis and Psoriatic arthritis patients. Disease duration >5 years, obesity, female gender and rising age increased the odds of developing Fibromyalgia in ...
Conclusion: Patients with concomitant Fibromyalgia presented higher
Switching Trends in Medical Education: Faculty Perception
Authors: Shah Tazeen , Zehra Talat , Irshad Zareen , Sultan Binish Arif , Afshan Gull , Wahid Yasmin
Published: October 2024

Objective: To determine the level of awareness among faculty members of Sindh Medical College regarding switching trends in medical education from traditional to integrated modular system.
Study Design: Qualitative study (Phenomenology).
Place and Duration of Study: Sindh Medical College, Karachi Pakistan, from Nov 2019 to Jan 2020.
Methodology: The perception of 32 faculty members working in Sindh Medical College regarding Integrated Modular System (IMS) was explored through interviews, where participants were asked 12 open-ended questions, responses were coded, and theme and subthemes were drawn.
Results: Based on the participant’s view, an integrated modular curriculum offers a more comprehensive approach to teaching. The majority of faculty believed that if only horizontal mode of IMS is implemented, it will be more effective and helpful for students to acquire in-depth knowledge.
Conclusion: The findings of the study suggest that IMS is a better option for medical education with the majority of faculty favoring horizontal IMS.
Iron Deficiency Anemia Among Women in Skardu, Gilgit-Baltistan
Authors: Zia Qasim , Khattak Irfan , Azam Malik Nadeem , Rasheed Ahmar , Ali Asad , Manzoor Anam
Published: October 2024

ABSTRACT
Objective: To determine the frequency of iron deficiency anemia among women in Skardu, Gligit-Baltistan.
Study Design: Cross-sectional study.
Place and Duration of Study: Combined Military Hospital, Skardu, Pakistan, from Dec 2021 to May 2022.
Methodology: A total of 202 women were selected through consecutive sampling from General Medical OPD of Combined Military Hospital, Skardu, Pakistan. Hemoglobin globin levels (Hb gram/deciliter), mean corpuscular volume (MCV fL) and red cell distribution width (RDW%) were determined for all enrolled patients.
Results: Mean age of participants in this study was 34.46±10.93 years. Reduced Hb was observed in 62(30.69%) women with a mean hemoglobin level of 9.48±1.59 gl/deciliter and mean corpuscular volume of 79.97±10.7d fL. Among these women, 5(2.47%) were severely anemic (6.56±0.39 gl/deciliter), 28(13.86%) moderately anemic (8.51±0.83 gl/deciliter) while 29(14.35%) were mildly anemic (10.92±0.48 gl/deciliter). Women of younger age group, between18-35 years, were found to suffer more from iron deficiency anemia (39.14%) with mean hemoglobin levels of 11.31±1.80 and mean corpuscular volume of 79.34±10.86 fL.
Conclusion: Iron Deficiency Anemia is present in female population of Gilgit-Baltistan in general and woman of childbearing age in particular. Emergency measures for awareness and fortification of basic food items with iron should be undertaken at large scale.
Duas propagandas: o futuro mitificado, polivalência e tecnicismo, dois projetos de educação brasileiros (1968 – 1971)
Authors: Oliveira George Fredman Santos , Vaz Alexandre Fernandez
Published: October 2024

o artigo a seguir descreve e analisa duas peças de propagandas fílmicas educacionais do governo dos militares nos anos de 1972 e 1973, correspondentes a dois projetos urdidos entre os anos de 1968 e 1971, os quais relacionam educação-trabalho-desenvolvimento, mas mantém, entre si, semelhanças e singularidades tensas. Ao procurarem veicular o imaginário social perseguido pelo governo militarizado, tais propagandas procuraram veicular, ao mesmo tempo, a suposta neutralidade político-educacional daquele governo, que, por meio do trabalho de dominação viabilizado pelo golpe de 31 de março de 1964, intentava inculcar a crença numa sociedade imaginada, harmônica e conciliada em suas relações de classes, étnicas, geracionais, culturais.
Alfabetização e mudança cultural em Paulo Freire no contexto pré-ditadura militar
Authors: Modesti Tatiane , Couto Gabriela Albanás
Published: October 2024

O artigo faz uma análise da tese de Paulo Freire sobre “educação e desenvolvimento” no Brasil como sendo uma resposta ao discurso educacional de desenvolvimento no final dos anos de 1950, o qual propunha uma mudança cultural. As autoras do artigo consideram que este enredo sistematizou o pensamento freiriano, tendo em vista a conjuntura político-social do período pré-ditadura militar (1964-1985). Assim, investigar o contexto, os usos e as significações do “desenvolvimento” do referido período histórico, bem como os discursos em torno dessas significações torna-se fundamental para entender a formação do pensamento de Paulo Freire.  Realizar uma leitura de suas ideias sobre “educação e desenvolvimento” e sobre como seu “método de alfabetização” se articula com o contexto do golpe de 1964 foram objetivos deste artigo.
A Lei Federal nº 5.645/1968 e seus impactos na UFV
Authors: Carneiro Carvalho Thaís , Hollerbach Joana D'arc Germano , Ortega André Randazzo
Published: October 2024

Levando em conta os debates sobre as políticas educacionais durante a Ditadura Civil-Militar (1964-1985), o presente artigo tem por objetivo discutir a Lei Federal nº 5.465/1968, conhecida como a Lei do Boi, e os seus impactos na Universidade Federal de Viçosa (UFV). Nessa seara, buscamos analisar os efeitos da lei na instituição e caracterizar os estudantes ingressantes na UFV por meio desta, notando seu local de origem e perfil socioeconômico. Trata-se de uma pesquisa qualitativa de tipo documental e bibliográfica. Os resultados obtidos mostram que a UFV se beneficiou da lei, consolidando sua vocação para o ensino das ciências agrárias em um contexto de desenvolvimento da economia agrícola brasileira. Não obstante, a pesquisa também indicou que a política acabou se tornando um instrumento de manutenção de privilégios no acesso ao Ensino Superior e do controle das elites agrárias sobre a formação de quadros técnicos para o trabalho rural, perpetuando a desigualdades.
Geotecnologias no ensino de geografia: um olhar a partir da gamificação
Authors: Filho Ronaldo Antônio Ramos , Santos Francisco Kennedy Silva dos
Published: October 2024

A educação é fundamental para o desenvolvimento socioeconômico de uma sociedade, sendo essencial para o progresso sociocultural, político e econômico. Investir na formação do campo educacional, é crucial para atender às crescentes demandas de planejamento, gestão, ensino e aprendizagem. Os professores desempenham um papel central nesse processo, destacando-se como protagonistas na melhoria da qualidade do ensino, tornando vital investir em seu desenvolvimento profissional. Com as transformações no mundo do trabalho, os professores precisam adquirir habilidades e competências para construir novos conhecimentos. A formação contínua dos docentes, especialmente em tecnologia, é fundamental para enfrentar esses desafios. A utilização das Tecnologias Digitais na educação, incluindo as redes digitais, tem sido amplamente discutida, proporcionando novas formas de interação e aprendizado. Uma pesquisa é proposta para investigar como as tecnologias digitais, especialmente as geotecnologias, podem contribuir para o ensino de Geografia na educação básica. A metodologia qualitativa será adotada, envolvendo tanto professores em formação quanto professores em exercício. O estudo será realizado em quatro etapas: revisão bibliográfica, análise de conteúdo online, oficinas reflexivas e tratamento dos dados, visando aprimorar as práticas educacionais e promover uma aprendizagem mais significativa e interdisciplinar. Esse estudo busca não apenas entender o papel das tecnologias digitais no ensino de Geografia, mas também fornecer subsídios para o desenvolvimento de políticas e práticas educacionais mais eficazes, preparando os alunos para a sociedade contemporânea e futura.
Building Resilient FMCG Supply Chains in South Africa Amid Prevailing Load-Shedding Challenges
Authors: Pooe David , Tazvivinga Kudakwashe
Published: October 2024

Load-shedding (the controlled interruption of electricity supply) has become a prevalent challenge in South Africa, and it has had a significant impact on the operations of fast-moving consumer goods (FMCG) supply chains. The goal of this study was to find ways of developing FMCG supply chains that are resilient enough to endure the negative consequences of prevailing power outages. The frequent and erratic nature of load-shedding poses serious issues for South Africa’s FMCG sector. An exploratory research approach was used to uncover six overarching themes in the midst of prevailing load-shedding challenges in South Africa. Semi-structured interviews were used to explore primary data from 25 supply-chain industry professionals, complemented by secondary data from industry reports and literature. In the face of persistent issues with energy supply, this study adds to the body of knowledge by offering FMCG companies in South Africa useful insights and practical recommendations for sustaining operations and achieving long-term sustainability. Furthermore, the findings can provide FMCG businesses in South Africa with useful tactics and information. This useful advice is priceless for operational effectiveness and business continuity planning. Although supply-chain resilience and uncertainty management are extensively covered in the current literature, there is a deficiency of research concentrating specifically on the FMCG industry in South Africa and its particular load-shedding difficulties.
Consumo de leña en comedores turísticos tradicionales en un paisaje biocultural del sureste de México
Authors: Martínez-Camilo Rubén , Hernández-Rodríguez Juana P. , Grajales-López Guadalupe de Jesús , Martínez-Meléndez Nayely , Martínez-Meléndez Manuel
Published: October 2024

Introducción. La leña es una de las fuentes energéticas más importantes en el medio rural. Los estudios hacen énfasis en evaluar los patrones de uso de leña solo en el sector doméstico, pero hay poca atención como actividad económica.
Objetivo. Determinar los patrones de consumo y preferencias de uso de leña en dos comedores turísticos del Parque Nacional Lagunas de Montebello, México.
Materiales y métodos. El consumo de leña se evaluó con entrevistas semiestructuradas y con medición directa. Para determinar las especies más importantes se usaron índices de valor de uso cultural y de importancia relativa (biomasa y frecuencia). Con pruebas t-Student se analizaron las diferencias en los patrones de consumo a lo largo del año.
Resultados y discusión. Las cocinas dependen de la compra de leña como el principal recurso energético con una inversión mensual de 1 408.33 ± 836.7 MXN y un consumo promedio por comedor de 21.1 ± 10.1 kg∙día-1. El consumo varió entre la temporada baja vs. alta (t = 2.4478, p = 0.018), siendo mayor en la temporada alta (25.3 ±10.0 kg∙día-1 vs. 19.1 ± 9.6 kg∙día-1). Las especies más importantes, valoradas culturalmente por su uso en la cocina, fueron Pinus sp., Quercus sapotifolia Liebm., Liquidambar styraciflua L. y Quercus sp.
Conclusión. El uso diversificado de la leña está cambiando a uno específico y simplificado que podría promover el comercio ilegal del producto. Se requieren programas de reforestación y de plantaciones dendroenergéticas que favorezcan el uso sustentable del recurso.
Development of Recreation in Improving the Health of the Population
Authors: Gennadievich Yelizarov Maxim
Published: October 2024

This article investigates the potential of developing recreational and military-recreational zones, particularly focusing on the Chimgan-Charvak resort area in Uzbekistan. Despite the rapid global growth of recreational tourism, military recreation remains underexplored, presenting a knowledge gap, especially in Uzbekistan. The study employs SWOT analysis and expert surveys to assess the region's strengths, weaknesses, opportunities, and threats, alongside mapping techniques to analyze the population's health challenges. Findings reveal significant untapped potential in ecotourism and the necessity of balancing recreational development with environmental conservation. The study underscores the importance of innovative approaches to tourism management and calls for better investment in tourism infrastructure and specialized training for tour guides. These insights have broad implications for enhancing Uzbekistan’s economic growth through sustainable tourism development.
Theoretical Dimensions of Classification and Segmentation in Therapeutic Wellness Tourism
Authors: Khairullayev Abdulatif
Published: October 2024

The article explores the rapidly growing field of wellness tourism, emphasizing the segmentation and classification of therapeutic tourism. It identifies four main types: healing tourism, wellness tourism, spa tourism, and spiritual tourism, all of which contribute significantly to this sector. The knowledge gap lies in the need for a more comprehensive framework for classifying wellness tourism segments and understanding the different health, economic, and cultural implications. The study employs a multi-dimensional analysis that includes therapeutic services, socio-demographic factors, and geographical locations. Findings indicate that hydrotherapy, balneotherapy, and spiritual tourism play a central role in promoting health and wellness, with distinct implications across different regions and tourist profiles. The results underscore the importance of utilizing natural resources like thermal springs for both recreational and medical purposes, emphasizing their historical and current relevance in tourism. The implication of this research suggests that categorizing wellness tourism can aid in targeted marketing strategies, enhance tourist satisfaction, and support the sustainable development of wellness tourism hubs globally.
INTERAÇÕES IMUNOPATOLOGICAS ENTRE DOENÇAS AUTOIMUNES E INFECÇÕES PARASITARIAS: REVISÃO DA LITERATURA
Authors: Rodrigues Lisandra Nunes Lima , Siqueira Hérica Vitória Farias , Souza Nara Rúbia
Published: October 2024

Doenças autoimunes como lúpus eritematoso sistêmico (LES), apresenta manifestações multissistêmicas que ocorre quando há relação com parasitas, podendo deflagrar respostas autoimunes ou apresentar um papel imunomodulador. Nesta revisão exploramos as interações que podem surgir de doenças autoimunes e infecções parasitarias. Para alcançar este objetivo foi realizada uma revisão integrativa da literatura relacionada às doenças autoimunes em principal o lúpus e infecções parasitarias, elucidando quais são os principais parasitas, como eles interagem com pacientes imunocomprometidos, quais os meios de se ter um diagnóstico e tratamento. Após pesquisas nas plataformas de dados foram selecionados 17 trabalhos, que deram fim a revisão que foi feita. Diante do que foi encontrado fica claro, que é de suma importância que sempre haja pesquisas e estudos a respeito da interação dos parasitas com pacientes que possuem doenças autoimunes, porque ao mesmo tempo que pode trazer malefícios, essa interação também oferece benefícios em alguns casos de pacientes autoimunes.
HIDRADENITE SUPURATIVA
Authors: Moura Geizilmone de Oliveira , Araujo Karen Marinho de , Campos Lucas Vinicius Barros , Nascimento Erika Fabris do
Published: October 2024

A hidradenite supurativa (HS) é uma doença inflamatória crônica que afeta as glândulas apócrinas, caracterizada pela formação de nódulos dolorosos e recorrentes em áreas como axilas, virilhas e região perianal. Embora a causa exata da HS ainda seja desconhecida, fatores genéticos, hormonais e inflamatórios desempenham um papel relevante no seu desenvolvimento. A doença impacta negativamente a qualidade de vida dos pacientes devido à dor, estigma social e limitações físicas. Objetivo: Avaliar as principais dificuldades enfrentadas por pacientes com hidradenite supurativa, propondo soluções para melhorar a qualidade de vida e otimizar os cuidados médicos. Metodologia: A pesquisa utilizou uma abordagem qualitativa com base em uma revisão de literatura, analisando estudos recentes sobre HS, com foco em questões relacionadas ao diagnóstico, tratamento e qualidade de vida dos pacientes. Resultados: Os resultados indicam que as principais dificuldades enfrentadas pelos pacientes incluem o atraso no diagnóstico, o manejo inadequado da dor e a falta de suporte emocional. Conclusão: Os tratamentos disponíveis, como antibióticos e cirurgias, muitas vezes oferecem alívio temporário, mas não resolvem completamente a condição. A doença também afeta significativamente a saúde mental, levando à depressão e isolamento social.
A FAMÍLIA NA EDUCAÇÃO INFANTIL
Authors: Costa Juçara Cândido da , Dariva Mayrerrose Cândido
Published: October 2024

Este artigo tem como objetivo examinar a influência da família na Educação Infantil, destacando a importância das interações familiares no ambiente escolar e seu impacto no desenvolvimento integral da criança. Ao explorar o conceito de família e suas diversas configurações, o trabalho ressalta como as práticas educativas dos pais e o ambiente familiar afetam o desenvolvimento cognitivo, emocional e social das crianças. A pesquisa foi realizada por meio de uma revisão bibliográfica, utilizando artigos das plataformas SciELO e Google Acadêmico. Como resultado, identificou-se que a colaboração entre família e escola é crucial para o sucesso educacional das crianças. Concluiu-se que o fortalecimento desse vínculo pode promover um ambiente favorável ao desenvolvimento educacional e pessoal, oferecendo subsídios valiosos para educadores e responsáveis.
La cobertura periodística del videojuego en los informativos españoles de cadenas de televisión generalista
Authors: Paredes-Otero Guillermo
Published: October 2024

La importancia del videojuego como fenómeno cultural es cada vez mayor pero no siempre se refleja en el periodismo televisivo, donde predominan los sucesos y el sensacionalismo. El objetivo es analizar la información emitida sobre videojuegos en los informativos españoles de las cadenas generalistas entre abril de 2023 y marzo de 2024. Se ha realizado un análisis de contenido comparativo sobre las publicaciones de TVE, Antena 3, Telecinco y La Sexta tanto en televisión como en sus webs. Los resultados demuestran que la presencia del ocio interactivo en los informativos tradicionales es escasa y negativa al basarse en sucesos, aunque también está presente la importancia del desarrollo y la industria española. El usuario debe consultar sus homólogas en web si quiere encontrar una difusión mayor sobre el videojuego como cultura, alejada de estigmas y más fuentes y géneros periodísticos.
Gamificación e innovación en parques temáticos: mecánicas de Juego en experiencias narrativas inmersivas
Authors: Fonts González Elisabet , Hurtado Torres Daniel , Duran Castells Jaume
Published: October 2024

Este estudio examina la integración de mecánicas de juego y tecnologías inmersivas en atracciones de parques temáticos, específicamente Spider-Man W.E.B. Adventure, Millennium Falcon Smugglers Run y Mario Kart Ride. El objetivo es comprender cómo estos elementos transforman la experiencia del visitante de pasiva a activa. La metodología incluye un análisis comparativo de las atracciones, enfocándose en la interactividad, tecnología, experiencia del usuario y coherencia narrativa. Los resultados indican que tecnologías avanzadas como el reconocimiento de movimiento y la realidad aumentada mejoran significativamente el compromiso del visitante. Además, las características que permiten experiencias variadas en visitas repetidas aumentan la satisfacción y lealtad del visitante. El estudio destaca la importancia de la integración narrativa y las experiencias personalizadas, sugiriendo que estos elementos establecen nuevos estándares en la industria de los parques temáticos.
Siyasal İletişim Dili ve Parti Disiplini Bağlamında Liderlik Söyleminin İncelenmesi
Authors: SARIASLAN Ayhan
Published: October 2024

When the issue is approached in terms of political communication and party discipline, President Recep Tayyip Erdogan comes across as the most basic and dominant actor that stands out in Turkey. President Erdogan's leadership and discourse have established an action and discourse with a language that differs from the task of civilizing and modernizing society, which the state elites, soldiers and bureaucrats consider to be their duty in the process of modernization. In other words, society puts the popular will and civic politics in the foreground instead of the bureaucratic tutelage that has existed since the last two centuries of the Ottoman Empire and wants the bureaucracy to return to its own spatial boundaries. Erdogan, on the other hand, has managed to convey the relevant reactivity to the political establishment through action and discourse. As a result of every military coup that dampens social, economic and political life, the fact that the people support parties that adopt a policy against guardianship, not parties that position themselves on the side of military-bureaucratic hegemony, can be presented as evidence for the relevant phenomenon. From a historical point of view, it will not be surprising to see that the longing for a politics predisposed to civil politics and political culture in the style of Erdogan is psychologically desired and supported in society. In other words, it is not surprising that from the first years of his leadership, the Erdogan leadership has painted an image that assigns civic politics as a part of practical life as well as discursive, far from being centralized, but at the heart of daily political discourse, blended with his conservative-religious-nationalist electorate, which was defined as the periphery before his leadership. The use of language and rhetoric under Erdogan's leadership is a preliminary means of showing that he is like one of the nation. While Erdogan uses the relevant language and rhetoric, he has taken the path of refuting or neutralizing the opposition's ideas with the expression of a man of the nation. When Erdogan uses the aforementioned style and language, he intones a psychological effect that, in addition to being a populist, a native and a nationalist, he has suffered or experienced sufferings in public and has experience and experience. Key Words: The Language of Political Communication, Party Discipline, Leadership Discourse
Entre tramas, dispositivos y redes para gobernar lo socioeducativo: seis aportes (neo)foucaultianos para el campo teórico de la Política Educativa
Authors: Aguirre Elías Gonzalo , Giovine Renata
Published: October 2024

En el presente artículo nos proponemos sistematizar una serie de aportes para el estudio de las políticas educativas que busca proseguir las discusiones sobre el campo teórico de la Política Educativa y sus objetos de estudio(Giovine, 2016b; Mainardes, 2015; Tello, 2022). Ello a partir de una concatenación de investigaciones empíricas realizadas en dicho campo en las cuales ponemos el acento en el problema del gobierno de la educación. Así los aportes que presentamos surgen de la hipótesis de que las trayectorias que siguen las políticas educativas requieren de grillas cuya potencia analítica sean capaces de describir los objetivos gubernamentales que persiguen las políticas educativas; los procesos de problematización y objetivación que éstas producen; las articulaciones discursivas en el orden del saber, el poder y la subjetividad; y, principalmente, los agenciamientos múltiples y heterogéneos que descentran el rol del Estado en la formulación y puesta en acto de las políticas educativas –aun cuando éste siga poseyendo de manera exclusiva la facultad de legislar-. Particularmente desarrollamos este debate desde perspectivas posestructuralistas que se ubican en las diversas trayectorias y derivas que recorre el pensamiento foucaultiano y neo foucaultiano en los últimos años.
A construção do sujeito protagonista em Chamada, de Carrascoza
Authors: Oliveira Bruno , Marchezan Renata Maria Facuri Coelho
Published: October 2024

Neste artigo, analisamos o conto Chamada, presente no livro O volume do silêncio (2017), de João Anzanello Carrascoza. Partimos da perspectiva dialógica da linguagem do Círculo de Bakhtin para compreender como os discursos são elementos formadores do sujeito, e, no caso em tela, do protagonista do conto. Com base, em especial, nos escritos do Círculo, operamos com os conceitos de sujeito, enunciado, discurso interior e excedente de visão. Como método, relacionamos os conceitos do Círculo de Bakhtin com o corpus de análise de modo a evidenciar a construção do sujeito. A análise mostra que o sujeito protagonista é constituído, no conto em estudo, por suas relações com o outro, atravessadas, principalmente, pelos valores ligados à morte e à ausência.
Cão, patativa e bode de vingança: Pirandelo e Gastão Cruls
Authors: Topa Francisco
Published: October 2024

O artigo analisa dois contos separados por um quarto de século: La vendetta del cane, de Luigi Pirandello (publicado pela primeira vez em 1913) e A patativa, do brasileiro Gastão Cruls, incluído no volume História puxa história, de 1938. Está em causa nesta análise a representação do animal, a perceção da crueldade com que ele é tratado, mas sobretudo o modo como cada um dos contos entende o significado do humano.
54. KHẢO SÁT CÁC YÊU TỐ ẢNH HƯỞNG TỚI NHU CẦU ĐIỀU TRỊ RĂNG HÀM MẶT CỦA SINH VIÊN Y KHOA TẠI TRƯỜNG ĐẠI HỌC Y HÀ NỘI
Authors: Hà Vũ Lê , Huynh Nguyễn Hữu , Ngọc Tăng Văn , Tuấn Trần Anh , Minh Võ Nhật
Published: October 2024

Mục tiêu: Khảo sát các yếu tố chính và phổ biến nhất ảnh hưởng đến nhu cầu điều trị răng hàm mặt của sinh viên y khoa tại địa bàn Hà Nội, xác định mối tương quan giữa thái độ đối với nhu cầu điều trị và đặc điểm xã hội học của sinh viên y khoa tại địa bàn Hà Nội.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu cắt ngang mô tả trên 84 sinh viên ngành y khoa Trường Đại học Y Hà Nội được thực hiện từ tháng 8/2024 đến tháng 1/2025.
Kết quả: Phần lớn sinh viên (58,3%) ở độ tuổi 19-20. Họ thường chỉ khám khi có triệu chứng đau răng hoặc bất thường trong miệng (77,4%). Thủ thuật phổ biến nhất là lấy cao răng (57,1%), và đa số sinh viên chọn điều trị tại các cơ sở ngoài công lập (51,2%). Yếu tố ưu tiên khi chọn nha sỹ là trình độ chuyên môn, thái độ chuyên nghiệp và vệ sinh phòng khám.
Kết luận: Nghiên cứu khẳng định sự đa chiều của việc sử dụng dịch vụ chăm sóc răng miệng, với xu hướng chỉ khám khi có vấn đề và ưu tiên các cơ sở nha khoa ngoài công lập.
55. ĐÁNH GIÁ TỶ LỆ VÀ MỘT SỐ YẾU TỐ TIÊN LƯỢNG ĐẶT NỘI KHÍ QUẢN KHÓ Ở NGƯỜI BỆNH PHẪU THUẬT APXE VÙNG HÀM MẶT
Authors: Tú Vũ Doãn , Bình Nguyễn Quang , Tú Nguyễn Hữu , Luân Nguyễn Văn
Published: October 2024

Mục tiêu: Nghiên cứu này nhằm xác định tỷ lệ và làm rõ một số đặc điểm lâm sàng có giá trị trong tiên lượng đặt nội khí quản khó ở những người bệnh phẫu thuật apxe vùng hàm mặt.
Đối tượng và phương pháp: Nghiên cứu tiến cứu, mô tả trên 347 người bệnh apxe hàm mặt được phẫu thuật tại Bệnh viện Răng Hàm Mặt Trung ương Hà Nội từ tháng 8/2023 đến tháng 10/2024.
Kết quả: Độ tuổi trung bình của người bệnh là 48,92 ± 18,02 tuổi; tỷ lệ nam/nữ là 3/1,8. Vị trí apxe thường gặp là apxe cơ cắn (43,5%), dưới hàm (25,4%), apxe dưới hàm - sàn miệng - thành bên họng (20,8%). Tỷ lệ đặt nội khí quản khó 46,97%. Các yếu tố khít hàm, nuốt khó, khó thở, khàn tiếng, mất bờ nền xương hàm dưới, hạn chế vận động lưỡi có giá trị tiên lượng (p < 0,001).
Kết luận: Tỷ lệ đặt nội khí quản khó là 46,97%. Các yếu tố có giá trị tiên lượng đặt nội khí quản khó là: khít hàm, tổn thương đường thở, phù nề sàn miệng - thành bên họng.
56. THỰC TRẠNG KHẢ NĂNG CUNG ỨNG DỊCH VỤ PHÒNG CHỐNG LAO VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở CÁC TRẠM Y TẾ XÃ TẠI TỈNH NGHỆ AN NĂM 2023
Authors: Ngân Vũ Thị , Thắng Nguyễn Hữu , Hải Bùi Thanh , Mai Nguyễn Phương , Hiệp Ngô Trí
Published: October 2024

Mục tiêu: Mô tả thực trạng cung ứng dịch vụ phòng chống lao và các yếu tố liên quan của các trạm y tế xã tại tỉnh Nghệ An năm 2023.
Đối tượng và phương pháp nghiên cứu: Thiết kế nghiên cứu cắt ngang được thực hiện trên 401/460 trạm y tế xã tại tỉnh Nghệ An.
Kết quả: Kết quả của nghiên cứu cho thấy hơn 90% trạm y tế xã tham gia nghiên cứu ở khu vực nông thôn (57,61%) và miền núi (32,42%). Tỷ lệ trạm y tế có bác sỹ chỉ chiếm 74,12% và chỉ có 39,65% trạm y tế có chẩn đoán lao, phương pháp chuẩn đoán lao phổ biến nhất hiện nay tại các trạm y tế xã tại Nghệ An đó là triệu chứng lâm sàng (98,74%). Tỷ lệ thuốc sẵn có tại cả 3 khu vực còn thấp và khác biệt giữa các khu vực là không có ý nghĩa thống kê.
Kết luận: Thực trạng khả năng cung ứng dịch vụ phòng chống lao của tỉnh Nghệ An còn nhiều hạn chế về mặt nhân lực, chẩn đoán, điều trị, cơ sở vật chất, sinh phẩm và thuốc.
Challenges in diagnosing and treating Liddle syndrome in resource-limited settings: A case report from Indonesia
Authors: Prabowo Nurhasan A. , Putranto Wachid , Myrtha Risalina , Ardyanto Tonang D. , Gautama Coana S. , Wulandari Evi L. , Hermawati Berty D. , Putri Desy P. , Ramadhani Artika , Dewi Herlina K.
Published: October 2024

Liddle syndrome, a rare form of monogenic hypertension, poses significant diagnostic and therapeutic challenges due to its phenotypic variability and the need for genetic testing. The rarity of the condition, coupled with the limited availability of first-line treatments such as epithelial sodium channel (ENaC) blockers, makes this case report particularly urgent and novel, highlighting alternative management strategies in resource-limited settings. The aim of this case report was to present the diagnostic challenges, therapeutic strategies, and clinical outcomes of a patient with Liddle syndrome who did not have access to ENaC blockers, emphasizing the importance of early recognition and personalized treatment. A 35-year-old female presented with resistant hypertension (190/100 mmHg) and bilateral limb weakness. Laboratory results revealed persistent hypokalemia, hypernatremia, and metabolic alkalosis. Low aldosterone levels, alongside clinical and family history, led to the diagnosis of Liddle syndrome. Genetic testing was not conducted due to resource limitations, and ENaC blockers were unavailable. The patients were managed with a combination of alternative antihypertensive agents, potassium supplementation, and a low-sodium diet. Although this approach led to modest improvements in blood pressure and motor strength, persistent hypokalemia and hypernatremia underscored the suboptimal control of the syndrome's underlying pathophysiology in the absence of ENaC blockers. This case highlights the challenges faced in resource-limited settings and the need for innovative strategies to manage rare conditions like Liddle syndrome. Liddle syndrome's diagnostic and therapeutic challenges underscore the critical importance of early recognition and access to targeted therapies. In the absence of ENaC blockers, alternative treatment strategies can provide some benefit, but they often fall short of optimal management. This case emphasizes the need for enhanced clinical awareness, improved access to genetic testing, and the development of personalized treatment approaches to achieve better patient outcomes.
Mesenchymal stem cells for immune modulation in systemic lupus erythematosus: From bench research to clinical applications
Authors: Ginting Andi R. , Munir Delfitri , Amin Mustafa M. , Darlan Dewi M. , Putra Agung , Rusda Muhammad , Mutiara Erna , Mayasari Evita , Rozi Muhammad F.
Published: October 2024

Systemic lupus erythematosus (SLE) is a prevalent autoimmune disease affecting multiple organ systems. Disease progression is inevitable as part of its natural course, necessitating aggressive therapeutic strategies, particularly with the use of immunosuppressants. Long-term use of steroids and other immunosuppressants is associated with significant adverse effects. Mesenchymal stem cells (MSCs) have been shown to modulate the immune response, leading to immunosuppressive effects against self-antigens. MSCs have demonstrated the ability to modulate several immune cell populations, contributing to favorable outcomes in controlling immune and inflammatory conditions. Recent evidence has shown an increase in Treg and Breg cell subsets following MSC administration, along with modulation of other immune cells, including dendritic cells, B cells, and T cells. However, the balance between MSC pro-inflammatory and anti-inflammatory phenotypic activation remains a critical factor in determining therapeutic outcomes. Various covariates also influence the efficacy of MSC therapy. The aim of this study was to provide a comprehensive overview of the utilization of mesenchymal stem cells (MSCs) in SLE treatment, leveraging their immunomodulatory and immunosuppressive capabilities. Understanding the fundamental preclinical effects of MSCs and recent findings from clinical studies may enhance the potential of MSC therapy in the management of SLE patients.
Princípio Responsabilidade e política do decrescimento: aproximações e convergências
Authors: Alencastro Mario Sergio Cunha , Cabral Eleandro de Souza
Published: October 2024

RESUMO: A presente pesquisa tem como objetivo compreender abordagem temática sobre a “ética da responsabilidade” proposta pelo filósofo alemão Hans Jonas em sua mais influente obra: O Princípio Responsabilidade: Ensaio de uma ética para a civilização tecnológica, apresentando uma discussão acerca de como seus fundamentos ético-filosóficos se encontra em sintonia com a proposta política de decrescimento, assim como, em contrapartida demonstrar apontamentos pelos quais o autor se afasta das concepções do atual modelo de desenvolvimento sustentável. Esta pesquisa possui caráter bibliográfico, e efetiva uma análise acareando um posicionamento consequencialista frente ao descompasso entre a factual imprevisibilidade dos atos praticados pela humanidade e a degradação do meio ambiente promovida pela “Era da Civilização Tecnológica”. Intenciona refletir sobre o posicionamento humano em relação à natureza ressaltando seu antropocentrismo exacerbado, perpassando a proposta de decrescimento como possibilidade de mediação responsável que atenda cuidados para com as gerações futuras e a vida planetária.
Palavras-chave: Hans Jonas; Responsabilidade; Decrescimento;
Pengaruh Pelaksanaan Aksi Bergizi Terhadap Perilaku Pencegahan Anemia Bagi Remaja Putri di SMPN 1 Cibinong Kabupaten Bogor Jawa Barat Tahun 2023
Authors: Nilawaty Evi , Kridawati Atik , Ulfa Laila
Published: October 2024

Hasil Riskesdas tahun 2018 menunjukkan remaja Indonesia menghadapi tiga masalah gizi utama: kelebihan berat badan, kekurangan gizi, dan anemia. Untuk mengatasi masalah ini, program Aksi Bergizi diperkenalkan dengan tujuan meningkatkan status gizi remaja dan mendorong perilaku hidup sehat, terutama dalam pencegahan anemia bagi remaja putri di SMPN 1 Cibinong, Kabupaten Bogor, pada tahun 2023. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional, melibatkan 150 siswi yang dipilih secara proportional sampling. Data dikumpulkan melalui kuesioner yang diuji validitas dan reliabilitasnya, dan dianalisis menggunakan uji Chi-square serta regresi logistik. Hasil penelitian menunjukkan sekitar 56% responden berperilaku positif dalam pencegahan anemia. Uji Chi-square menunjukkan aktivitas fisik bersama, sarapan bersama, minum tablet tambah darah bersama, dan pemberian edukasi kesehatan dan gizi memiliki hubungan signifikan dengan perilaku pencegahan anemia. Analisis regresi logistik menunjukkan minum tablet tambah darah bersama dan sarapan bersama memiliki pengaruh yang paling dominan. Kesimpulannya, pelaksanaan Aksi Bergizi berdampak positif terhadap perilaku pencegahan anemia bagi remaja putri. Oleh karena itu, disarankan agar sekolah, Dinas Pendidikan, dan Dinas Kesehatan memberikan dukungan terhadap pelaksanaan Aksi Bergizi, terutama dalam kegiatan minum tablet tambah darah bersama dan sarapan bersama, karena kedua kegiatan tersebut terbukti signifikan.
Kata kunci: anemia, perilaku, remaja putri, Aksi Bergizi
Hubungan Jam Kerja Fleksibel, Tunjangan dan Beban Kerja Terhadap Kinerja Pegawai Melalui Disiplin
Authors: Maunah Nur Ashri , Hartono Budi , Samingan Samingan
Published: October 2024

Berdasarkan Laporan Kinerja Balai Besar Kekarantinaan Kesehatan Tanjung Priok Tahun 2020, 2021 dan 2022 diperoleh hasil telah memenuhi target akantetapi terdapat penurunan rata – rata capaian kinerja. Tujuan penelitian untuk mengetahui hubungan jam kerja fleksibel, tunjangan dan beban kerja terhadap kinerja pegawai melalui disiplin di Balai Besar Kekarantinaan Kesehatan Tanjung Priok. Penelitian ini menggunakan jenis penelitian kuantitatif dengan menggunakan pendekatan cross sectional, teknik pengambilan sampling menggunakan total populasi berjumlah 116 pegawai. Hasil penelitian dengan menggunakan SEM PLS menunjukkan adanya hubungan signifikan antara tunjangan kinerja (t hitung 2,504) dan beban kerja (t hitung 3,010) terhadap kinerja pegawai melalui disiplin kerja, serta antara jam kerja fleksibel (t hitung 2,112) dan disiplin kerja (t hitung 3,413) terhadap kinerja pegawai. Adanya hubungan yang tidak signifikan antara jam kerja fleksibel (t hitung 0,425) terhadap kinerja melalui disiplin kerja, serta antara tunjangan kinerja (t hitung 0,123) dan beban kerja (t hitung 1,028) terhadap kinerja pegawai. Kinerja pegawai juga meningkat dengan tunjangan kinerja dan beban kerja yang sesuai melalui bertambahnya disiplin kerja. Kinerja pegawai meningkat dengan adanya jam kerja fleksibel dan bertambahnya disiplin kerja. Untuk meningkatkan kinerja dilakukan dengan cara membuat aplikasi pengajuan cuti, memberikan penghargaan kepada pegawai yang berhasil memenuhi target pengembangan kompetensi sebanyak 20 jam pelajaran serta sanksi bagi pegawai yang tidak memenuhi target tersebut, memberikan tunjangan penambah daya tahan tubuh, serta menambah jumlah petugas piket malam dan mengikutsertakan pegawai dalam program asuransi jiwa tambahan.

Kata kunci : Disiplin, kinerja, tunjangan, pegawai