bluuebunny/crossref_metadata_2025 huggingface dataset:
RECONSTRUCTION OF SOFT TISSUE DEFECTS AROUND KNEE AND PROXIMAL LEG USING PROXIMAL BASED SURAL ARTERY FLAP
Authors: Abdul Sattar Sumaira , Waqas Sami  , Faisal Akhlaq  , Saira Bhutto  , Shiza Mehak Sohail  , Rabeeaa Farrukh
Published: November 2024

Background: Soft tissue defects around the knee and proximal leg represent a challenging clinical scenario for plastic and reconstructive surgeons. These defects can arise from a variety of causes, including traumatic injuries, such as crush injuries and road traffic accidents, thermal injuries like burns, and surgical complications such as infection. Objective of the study was to evaluate the success of proximally based sural artery flap for soft tissue defects around the knee and proximal leg in patients presenting to our tertiary care hospital. Methods: This prospective observational study was conducted at the Department of Plastic & Reconstructive Surgery, Civil Hospital, Karachi, Pakistan. The study included patients with soft tissue defects around the knee and proximal leg, excluding those with specific comorbidities, high BMI, or active smoking. Non-probability convenience sampling was employed. After ethical review committee approval and informed consent, if needed wounds were optimized with thorough debridement then patients underwent proximal-based sural artery flap surgery for soft tissue defects around knee and proximal leg. Flap survival and complications were assessed over three to six weeks. Results: The study included 37 patients, with a median age of 30 years. The most frequent cause of defects was road traffic accidents (73%). Of the patients, 73% were male, and 27% were female. The median duration of soft tissue injury was 5 weeks, and the median duration of surgery was 90 minutes. Flap survival was 97.3%, with 28 flaps surviving without any complications. One patient with a 20-year-old chronic defect experienced partial flap failure. Conclusion: The use of the proximally based sural artery flap represents a promising approach for the successful reconstruction of soft tissue defects around the knee and proximal leg.
DIAGNOSTIC ROLE OF ULTRASONOGRAPHY FOR INTUSSUSCEPTION IN CHILDREN
Authors: Azmat Ali  , Mashaal Farooq  , Javed Hamza , Shamsullah Burki  , Ummar Nasim Khan
Published: November 2024

Background: Intussusception is a common cause of bowel obstruction in children, and early diagnosis is crucial to prevent complications. Ultrasonography is widely used to diagnose intussusception, but its validity parameters in children have not been well-established. The objective of this study is to determine the validity parameters of ultrasonography in diagnosing intussusception in children, taking surgical findings as the gold standard. Methods: This cross-sectional validation study was conducted at the diagnostic radiology and surgery departments of Ayub Teaching Hospital, Abbottabad. This study duration spans from September 2022 to December 2023, and 127children of both sex with ages in the range of 3 months to 12 years suspected to have intussusception on ultrasound as per operational definition were included, and patients managed conservatively were excluded. Ultrasound scan was performed with Toshiba Xario-100 machine using high frequency 8.5 MHz probe. All data, including patients' demographics were recorded on a proforma. Data analysis was conducted using SPSS version 25. Results: The mean age of patients was 6.50±3.38 years. The diagnostic accuracy of ultrasonography was 85.83%, with sensitivity of 82.93%, specificity of 91.11%, positive predictive value (PPV) of 94.44%, and negative predictive value (NPV) of 74.55%. Conclusion: The use of ultrasonography as a first-line diagnostic tool for intussusception in children can help in early diagnosis and prompt management of the condition, which can significantly reduce the risk of complications.
ROLE OF AUTOLOGOUS NANOFAT GRAFTING IN THE TREATMENT OF POST ACNE AND POST BURN SCARRING OF THE FACE
Authors: Firdous Khan  , Muhammad Kashif  , Muhammad Shadman
Published: November 2024

Background: Post acne and post burn facial scarring are more common in young generation leading to disfigurement and unpleasing result. These scars have major aesthetic, functional, and social effects on the affected person. Aim of the study was to establish the role of Autologous Nanofat grafting in treating post acne & post burn facial scarring in terms of pleasing aesthetic appearance of face & patient satisfaction. Methods: A total no. of 24 patients with mean age of 23 years was enrolled in the study. Thirteen patients were of post acne face scarring and 11 patients were suffering from post-burn face scarring. There were 10 male and 14 female patients. All patients were treated with Nanofat grafting with an average of 3 sessions at an interval of 4-6 weeks. The results were assessed after 6 months from the last session by comparison of pre procedure & post procedure pictures and patient satisfaction. Results: Scars started improving after first session of Nanofat grafting and significant improvement in the scars was noted after 3rd session in terms of pigmentation, scar thickness and softness. Overall appearances of the scar were aesthetically improved a lot with a higher patient satisfaction rate. Conclusion: Autologous Nanofat grafting is a potential effective treatment modality for post-acne and post burn facial scarring with a good aesthetic outcome and higher patient satisfaction rate.
COMPARISON OF BACTERIAL PROBIOTICS (BIFIDOBACTERIUM AND LACTOBACILLUS) VERSUS FUNGAL PROBIOTICS (SACCHAROMYCES) IN TREATING ACUTE DIARRHEA IN CHILDREN AGED 6 MONTHS TO 5 YEARS
Authors: Safar Ali Shah  , Samia Naz  , Fazaila Jabeen  , Rashid Muhammad Adnan , Abdul Rahman  , Zeeshan Khan
Published: November 2024

Background: Acute diarrhoea among children mainly due to infection must be treated prophylactically to reduce mortality. The objective of this study was to compare the outcome of using bacterial probiotics (Bifidobacterium and Lactobacillus) versus fungal probiotics (Saccharomyces) for acute diarrhoea among children aged 6 months to 5 years. Methods: A non-randomized control trial was conducted at diarrhoea ward, the Children's Hospital, Lahore from 1st March 2022 to 1st March 2024. 200 children were recruited in the study using non-probability consecutive sampling technique which were divided equally into two groups receiving either bacterial probiotics or fungal probiotics. The children were followed up till resolution of diarrhoea. Diarrhoeal duration and stool frequency were noted. Data was entered and analysed using SPSS Version 26. Results: Out of 200 children, 52.5% were male and 47.5% were female. Mean age of the sample was 2.24±1.54 years, mean baseline and follow up diarrhoea duration was 3.52±1.44 and 3.47±1.25 days and stool frequency at follow up was 3.75±1.15. Complete diarrhoeal resolution was seen among 95% of the children using bacterial probiotics while 87% of the children using fungal probiotics (p=0.048). Regarding diarrhoeal duration (days) among the two groups, the mean was 3.11±1.36 (bacterial probiotic group) and 3.88±1.02 (fungal probiotic group) (p<0.001) and regarding stool frequency, the mean was 2.97±0.55 (bacterial probiotic group) and 4.57±1.07 (fungal probiotic group) (p<0.001). Conclusion: It can be concluded from this study that diarrhoeal resolution along with stool frequency was better among children using bacterial probiotics as compared to those using fungal probiotics.
THE EFFECT OF PRE-MEDICATION WITH ORAL STEROIDS ON INTRA-OPERATIVE BLEEDING IN PATIENTS WITH CHRONIC RHINOSINUSITIS UNDERGOING FUNCTIONAL ENDOSCOPIC SINUS SURGERY
Authors: Saira Iftikhar  , Ayesha Jawad  , Mumtaz Ahmad Umar  , Farhan Ahmed  , Maimoona Shafqat  , Seema Naveed
Published: November 2024

Background: An inflammation of the nasal and paranasal sinus mucosa that lasts longer than three months is known as chronic rhinosinusitis. When corticosteroids and other medicinal treatments fail to relieve a patient's symptoms, then functional endoscopic sinus surgery (FESS) is a commonly performed procedure to alleviate the symptoms. The aim of the study was to evaluate the impact of oral steroids given prior to surgery on intraoperative bleeding in patients having functional endoscopic sinus surgery for chronic rhinosinusitis. Methods: The study was conducted in ENT Department of Shifa Foundation Community Health Centre (SFCHC) and Shifa International Hospital (SIH) Islamabad, in a period of three years from June 2019 to June 2021. A total of 72 patients consisting of 36 patients in study group and 36 in control group, fulfilling the inclusion criteria were included in the study. Per-operative bleeding was assessed by measuring the amount of blood collected in suction bottle at the end of the procedure (the amount of saline used during the procedure was subtracted) and the number of surgical gauzes stained with blood (1 partially stained gauze = 5 ml and 1 completely stained gauze = 10 ml). The surgeon performing the surgery was unaware of the study group of the patient. All the collected data was entered and analyzed with SPSS v. 25. Results: The mean age of group A (35.39±13.86 vs. 29.83±15.86, p-value > 0.05) was similar to group B. There was male dominance in both group (69.4% vs. 72%) males in group A and group B. Nasal obstruction and nasal discharge was observed in all patients of both groups. Post nasal drip (88.9% vs. 88.9%), headache (97.2% vs. 91.7%) and facial pain (97.2% vs. 94.4%) was present in majority patients of both groups without any significant (p-value >0.05) difference. Both the groups were compared on the basis of amount of blood loss per-operatively and it was seen that the mean blood loss in group A was (164.03±42.99 ml) significantly (p-value <0.05) lower as compared to (215.83±39.397 ml) in group B. Conclusion: This study showed that individuals with nasal polyps receiving preoperative steroids could successfully lower their perioperative morbidity, specifically intraoperative haemorrhage, after undergoing functional endoscopic sinus surgery.
COMPARISON OF CLINICOPATHOLOGICAL AND SURVIVAL ANALYSIS OF ENDOMETRIAL DEDIFFERENTIATED, UNDIFFERENTIATED CARCINOMAS AND CARCINOSARCOMAS
Authors: Usman Hassan  , Iram Asrar  , Hina Maqbool  , Mudassar Hussain  , Maryam Hameed  , Asif Loya
Published: November 2024

Background: Endometrial cancer ranks as the sixth frequently detected cancer and the 14th highest contributor, to cancer-related fatalities, among women globally. High-grade endometrial carcinomas encompass a diverse array of clinically aggressive tumors, including FIGO grade 3 endometrioid adenocarcinoma, uterine papillary serous carcinoma (UPSC), clear cell carcinoma, undifferentiated carcinoma, dedifferentiated carcinoma, and carcinosarcoma. The classification and diagnosis of these tumors pose challenges due to the absence of well-established molecular markers or panels The main purpose of this study is to assess and compare the clinicopathological characteristics of and survival rates of undifferentiated endometrial carcinoma (UEC), dedifferentiated carcinoma (DEC), and carcinosarcoma (CS) in the Pakistani population at SKMCH&RC. Methods: All patients diagnosed with DEC, UEC, and CS were analyzed from January 2011 and December 2022. Clinicopathological and survival data was retrospectively reviewed and analyzed using SPSS version 27. Kaplan-Meier analysis was used to calculate overall survival (OS) and disease-free survival (DFS). Results: Among 71 selected patients, 47.9% had CS, 29.6% had DEC, and 22.5% had UEC. Mean±S.D age at diagnosis was 58.18±11.35 years. A statistically significant association of DEC, UEC, and CS was identified (p-value <0.05) with myometrial invasion (p=0.02), lymphovascular invasion(p=0.006), positive margins(p=0.003), and involvement of adnexa/ parametria/ vaginal /other organ (p=0.01). The commonest pathological stage was pT1 38(53.5%). 56.3% of patients received chemotherapy, 29.6% received radiotherapy, and 38.0% received a combination of chemotherapy and radiation treatment. Recurrence occurred in 19.7% and death occurred in 37.7% of patients. The highest 5-year OS rate for pathological stage 1 was 59.1% (95% C.I: 42.9-81.3%) and 5-year-DFS was 62.2% (95% C.I: 42.9-81.3%). Conclusion: Patients diagnosed at an early pathological stage demonstrate better survival outcomes compared to an advanced stage, as documented in previous studies. Nevertheless, survival rates remain lower than Western population, indicating a necessity for gathering additional clinical data and alter the management strategies in our population.
PREVALENCE OF POST-OPERATIVE WOUND INFECTIONS AMONG ORTHOPEDICS PATIENTS WITH SURGICAL IMPLANT TERTIARY CARE HOSPITAL
Authors: Abdul Rauf Tippu  , Muhammad Ishfaq Mazari  , Muhammad Shahnawaz Ahmad  , Muhammad Usman Faisal  , Naveed Shamsheer Mughal  , Rasheed Ahmed Bhatti
Published: November 2024

Background: Germs may infect an injured site via the tissues when the host's systemic and local defenses are compromised. Pus discharge may be a sign of a significant wound infection, requiring a follow-up operation to ensure sufficient draining. Additionally, generalized symptoms may appear, and returning home may need to be postponed. Objective was to identify the prevalence of post-operative wound infections among orthopedics patients with surgical implant tertiary care hospitals. Method: A cross-sectional study was conducted at a tertiary care hospital from July 2023 to December 2023, involving 180 patients with closed long bone fractures. The patients were immune-competent, not diabetic, and older than 10 years. All patients underwent surgery using implants, with general anesthesia and a third-generation cephalosporin prophylactic antibiotic. Patients were monitored monthly for 6 months to monitor infection symptoms. Cultures were obtained from wound discharges, and patients experienced perioperative fever for two days following surgery. Data was collected and analyzed using the SPSS 22 version. The study aimed to improve the management of bone fractures. Results: A total of 180 patients were selected for the current study including both males (65.60 %) and females (34.4 %) with closed fractures. Most of them were above 31 years of age, furthermore, 20.5 % and 24.4 % of them were 41-50 as well as above 60 years of age. 13 (7.22 %) of them had developed them post-operatively. 0.76 % had pre-operative stays in the hospital for more than 10 days. Staphylococcus aureus was the most frequent 5 (38.6 %) bacteria. 6 (46.15 %) were managed by frequent irrigation along with 4 (30.76 %) by the administration of antibiotics. Conclusion: Post-operative infection is one most troublesome complication among implanted patients. in the current the prevalence of post-op infection is 7.22 % which is comparable in developing nations, but far higher than that in developed countries. As a result, it should be managed with early detection and treatment, as well as by eradicating the prevalent causes of wound infections following surgery that the present research identified.
POSTPARTUM PSYCHIATRIC DISORDERS - A NEGLECTED AREA IN PAKISTAN
Authors: Yousafzai Abdul Wahab , Shezah Khalid
Published: November 2024

Postpartum psychiatric disorders, from mild Postpartum Blues to severe Depression and Psychosis, represent an underrepresented crisis in Pakistan. Despite their impact on maternal and neonatal health, these conditions are often misdiagnosed and untreated. Contributing factors include weak familial support, sociocultural stigma, and lack of awareness, especially in underserved areas. The negligence towards new mothers highlights the gaps in maternal mental health care in Pakistan, where regulatory frameworks are still evolving. This editorial explores the crisis, critiques existing services, and provides recommendations to improve early identification and intervention, aiming to raise awareness and provide strong support for affected mothers.
First report of Alternaria leaf blight of Radish (Brassica napus): A Growing Concern in Pakistan's Agriculture
Authors: Ghuffar Salman , Saeed Muhammad Sajjad , Haq Ehsan Ul , Mehmood Arif , Yousuf Muhammad , Uddin Ameer , Yasin Muhammad Ussama , Mehmood Nasir , Hussain Abid , Sana Sadia , Shahid Muhammad
Published: November 2024

Alternaria species are necrotic plant pathogens that cause dark spot disease to nearly one hundred host plants, affecting them from vegetative to reproductive stages.  Infection typically appeared on leaves and stems as dark brownish to black spots that form concentric ring patterns as they enlarge, typically showing blight symptoms. The objective of the study was to characterize Alternaria species associated with radish leaf blight in Pakistan. In this study, a total of six isolates causing typical symptoms of leaf blight were collected from radish leaves (cv. Sufaid Pari) during a survey in February 2023 at the Vegetable Research Station Sahiwal (VRSS) Punjab, Pakistan. Being the first identification, all recovered isolates from symptomatic radish leaves were characterized based on morphological traits, pathogenicity and molecular analysis of internal transcribed spacer regions (ITS) of the 5.8S rDNA gene. Sequence analysis showed that radish isolates grouped to three Alternaria species: mainly A. brassicae, A. brassicicola and A. alternata respectively. Pathogenicity tests demonstrated that all isolates could produce similar necrotic lesions on detached radish leaves as observed during the field survey.  Morphological characteristics act as a primary method for identifying Alternaria spp. although it is not feasible due to some Alternaria genera are morphologically related, consequently, molecular method of identification was sufficient for accurate species identification. This study represents is the first comprehensive investigation of Alternaria spp. causing leaf blight of radish in Pakistan.
Analisis Strategi Guru dalam Menanamkan Karakter Disiplin Pada Siswa Kelas V di SDN Tlogorejo
Authors: Nisa Ristiya Khoirun , Nugraheni Luthfa , Ardianti Sekar Dwi
Published: November 2024

This research was motivated by the problems encountered at SDN Tlogorejo, namely the low level of discipline. Through these problems, teachers need to have strategies regarding instilling disciplined character in students. The aim of this research is to describe teacher strategies and obstacles that influence the growth of students' disciplined character. The research method used is qualitative research with a descriptive approach. Data collection techniques used were observation, interviews and documentation. The research results show that habituation and reinforcement are strategies carried out by teachers. The obstacles encountered include students' different abilities, students not being able to control their emotions, and an environment that is not conducive. The conclusion of this research is that the teacher's strategy for instilling discipline in students' character is by using habituation and reinforcement. There are obstacles that arise, including students' different affective abilities, controlling students' moods, and an environment that is not conducive.
Desain Proyek Penguatan Profil Pelajar Pancasila (P5) dalam Kurikulum Merdeka di SMK Negeri 1 Sitolu Ori
Authors: Zendrato Muli Adil , Bawamenewi Adrianus , Lase Berkat Persada , Harefa Hendrikus Otniel Nasozaro
Published: November 2024

The Pancasila Student Profile Strengthening Project (P5) aims to achieve the Pancasila student profile through project-based learning with a new paradigm. This study aims to determine the design of the P5 project in the Merdeka Curriculum at SMK Negeri 1 Sitolu Ori, as well as the obstacles faced in the design process. This study uses a descriptive approach with a qualitative method, with researchers as the main instrument. Data collection techniques include observation, interviews, and documentation. The results of the study indicate that the design of the P5 project at SMK Negeri 1 Sitolu Ori began with the formation of a P5 facilitator team responsible for facilitating discussions and learning processes, both indoors and outdoors, as well as designing dimensions, themes, and time allocations to ensure a smooth learning process. Obstacles faced in the design of P5 include limited time and resources, where teachers need more time and resources compared to traditional learning. Teachers also need to provide books, tools, and materials needed by students. In addition, the lazy attitude of some students and the limited media owned by teachers are also obstacles in the teaching and learning process. Efforts to overcome these obstacles include providing students with a better understanding of the goals and components of P5, designing P5 activities according to students' interests and talents, and understanding the goals and principles of the Pancasila student profile strengthening project at SMK Negeri 1 Sitolu Ori.
Pemanfaatan Media Youtube dalam Meningkatkan Motivasi Belajar Bahasa Indonesia di Paud Aster 36
Authors: Agustini Setyorini Dwi , Yuliana Siti , Hamliyah Hamliyah
Published: November 2024

Early childhood education (ECED) is a critical phase in child development that encompasses cognitive, social and emotional aspects. In today's digital era, social media such as YouTube offers great potential to enrich early childhood learning experiences. This research aims to explore how the utilization of YouTube can increase children's Indonesian language learning motivation at PAUD ASTER 36. The research method used is descriptive qualitative, which allows for an in-depth understanding of the use of YouTube in the context of early childhood education and its impact on Indonesian language learning motivation. Data collection techniques included in-depth interviews and observations with parents, educators and children. The results show that educational videos on YouTube that are engaging and interactive, such as animations and educational songs, increase ECED children's interest and engagement in Indonesian language learning. However, it is important to choose quality content and manage the duration of screen time wisely. This study concludes that YouTube can be an effective learning tool if used in the right way, including integration with traditional learning methods and close monitoring of screen time.
Inovasi Penggunaan Media Audio Visual Terhadap Hasil Belajar Siswa (Studi Kasus) di SDN Rancaekek 02
Authors: Kartika Ruliyatna , Purwanda Eka
Published: November 2024

This research aims to analyze the impact of innovative use of audio-visual media on student learning outcomes at SDN Rancaekek 02. A qualitative approach was used by collecting data through interviews with five teachers and the principal. The research results show that the use of audio-visual media, such as video and animation, contributes significantly to improving student learning outcomes. Students who learn with this media are more involved in the learning process and show a better understanding of the subject matter. In addition, young teachers who are more creative in using technology have succeeded in creating an interactive and interesting learning atmosphere, thereby increasing student motivation and achievement. However, challenges arise for senior teachers who have difficulty adapting to technology. Therefore, additional training is needed to maximize the potential of this innovation. This research emphasizes the importance of integrating technology in education to support better learning outcomes and be relevant to today's student needs.
Pengembangan Pendidikan Agama dan Al-Qur'an dalam Pondok Ramadhan di SDN Bulukerto 2 Magetan
Authors: Suparman Yogi , Al Fudiah Nurul , Aisy Nurul , Mansoor Jihan Nur Hidayah
Published: November 2024

Religious Education and the Qur'an in the Ramadhan Huts at SDN Bulukerto 2 Magetan is one of the initiatives for the development of religious education carried out in the elementary school environment. This program was carried out by Team VI of the Real Work Lecture (KKN) of STIQ Zad Cianjur and the teacher council of SDN Bulukerto 2 Magetan in the month of Ramadan, with the aim of increasing religious understanding and love for the Qur'an among children. Pondok Ramadhan activities include learning to read and write the Qur'an, tadabbur and tafsir of the Qur'an, as well as providing material and practices for the implementation of daily worship such as fasting, ablution and prayer. The results of these activities show an increase in children's religious understanding and worship practice and make a positive contribution in the formation of spiritual values at primary school age. The Pondok Ramadhan program at SDN Bulukerto 2 Magetan provides an example of how religious education can be effectively integrated in the formal school curriculum to strengthen children's character and religious education.
Lichens of the genus Peltigera found during
the 13th summer polar expedition in 1997
on the Kaffiøyra Plain, Oscar II Land
(NW Spitsbergen, Svalbard)
Authors: Adamska Edyta , Krzewicka Beata
Published: November 2024

The material was collected during studies of the vegetation of Kaffiøyra in the
course of „Thirteenth Toruń Polar Expedition, Spitsbergen - 1997” of N. Copernici
University of Toruń. The studied areas were situated only on moraines, some
mountain massif slopes, and all terraces. Samples of lichens were taken from 24
out of 61 total squares with an area of 1 km2. In the study area, 12 taxa of the
genus Peltigera were noted, including nine new ones to the Kaffiøyra Plain, such as
P. aphthosa, P. canina, P. didactyla, P. frippii, P. kristinssonii, P. lyngei, P. neckeri,
P. polydactylon, P. ponojensis and three previously noted, such as P. leucophlebia,
P. malacea, and P. rufescens. The most frequently recorded species in the study area
were P. canina (9 localities), P. malacea (9), P. ponojensis (9) and P. rufescens (9).
The greatest species diversity occurred on Waldemar Glacier Sander. As many as
10 species of Peltigera genus were recorded there. An average of five species per
square were recorded in that region.
A responsabilidade civil dos adotantes pela desistência injustificada: Uma reflexão à luz do princípio da proteção integral do ECA
Authors: Lima Camila Rufino , Santos Guilherme Augusto Martins
Published: November 2024

O artigo aborda a adoção no Brasil, destacando suas mudanças históricas e os aspectos jurídicos e sociais envolvidos. A pesquisa adota uma abordagem dedutiva e qualitativa, fundamentada na análise de normas jurídicas, doutrina e jurisprudência para compreender a possibilidade de responsabilização civil em casos de desistência injustificada no processo de adoção. A investigação utiliza como base o Estatuto da Criança e do Adolescente (ECA) e o Código Civil, examinando os impactos emocionais sofridos pela criança ou adolescente e a viabilidade de reparação por danos morais. Para tanto, são analisados precedentes judiciais que reconhecem o direito à indenização e enfatizam a importância de proteger o melhor interesse do adotado. O problema de pesquisa busca responder à seguinte questão: como o sistema jurídico brasileiro pode responsabilizar civilmente os adotantes que desistem do processo de adoção sem justificativa válida, considerando os danos emocionais causados ao adotado e o princípio do melhor interesse da criança?
Assistência de Enfermagem em Mulheres com Câncer Colorretal
Authors: Santo Mariane do Espírito , Vasconcelos Mayra Fernandes Silva , Passos Sandra Godoi de
Published: November 2024

O câncer colorretal é uma das neoplasias malignas mais comuns mundialmente, sendo uma causa significativa de morbidade e mortalidade, especialmente entre as mulheres. O tratamento, que pode envolver cirurgia, quimioterapia e radioterapia, é complexo e requer um acompanhamento contínuo e especializado. Objetivo: descrever a assistência e os cuidados de enfermagem oferecidos às mulheres com câncer colorretal. Metodologia: Trata-se uma Revisão de Literatura, com busca de artigos nas bases de dados SciELO, BDTD, LILACS, BVS e Pubmed. Foram incluídas 27 publicações dos últimos cinco anos (2019-2024), entre artigos, dissertações e livros. Resultados e Discussão: Indicaram as práticas de enfermagem direcionadas a mulheres com câncer colorretal mostraram-se relevantes para a adesão ao tratamento e para o enfrentamento dos desafios associados à doença, como efeitos colaterais e o impacto de estomias. Conclusão: A assistência de enfermagem é essencial para a qualidade de vida das mulheres com câncer colorretal, ao oferecer suporte abrangente e personalizado. A atuação proativa e humanizada dos profissionais de enfermagem contribui significativamente para a promoção da adesão ao tratamento, a minimização dos efeitos adversos e o fortalecimento emocional das pacientes durante todas as etapas do cuidado.
O papel da nutrição funcional no emagrecimento saudável e na promoção da estética corporal
Authors: Aguiar Caroline França Sepúlveda
Published: November 2024

O presente resumo do artigo a ser submetido para publicação tem como A Nutrição Funcional tem ganhado destaque como uma abordagem eficaz para o emagrecimento saudável e a promoção da estética corporal, ao considerar a individualidade bioquímica e a regulação hormonal. O objetivo deste estudo foi analisar o impacto da Nutrição Funcional na modulação hormonal, na preservação da massa muscular e na promoção da saúde estética. Para tanto, foi realizada uma revisão sistemática da literatura em bases de dados científicas, com a seleção de estudos publicados entre 2019 e 2023 que abordassem o tema. Foram considerados critérios de inclusão que envolviam intervenções nutricionais focadas na regulação hormonal, composição corporal e estética. Os resultados indicaram que a Nutrição Funcional é eficaz na regulação de hormônios como insulina, leptina e cortisol, favorecendo o controle de peso de forma sustentável. Além disso, a preservação da massa muscular foi destacada como um diferencial, contribuindo para a melhora da composição corporal. A promoção da estética corporal, especialmente da saúde da pele, cabelo e unhas, também foi observada com a inclusão de nutrientes específicos na dieta. Conclui-se que a Nutrição Funcional não apenas promove o emagrecimento saudável, mas também melhora significativamente a estética corporal, oferecendo benefícios holísticos para a saúde e bem-estar.
Keterampilan Membaca Parargaf Prosedur dalam Pembelajaran Berbasis Google Form melalui Teknik Tugas Menyalin dan Teknik Tes
Authors: Permana Dede , Kurniawan Otang
Published: November 2024

Penelitian ini bertujuan mengeksplorasi: 1) prosedur pembelajaran keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes; 2) hasil belajar keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes; 3) sama-tidaknya hasil belajar keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes per kelompok sampel. Penelitian dilaksanakan di Prodi Pendidikan Guru Sekolah Dasar, Fakultas Keguruan dan Ilmu Pendidikan, Univesitas Riau. Penelitian ini berlangsung di semester ganjil tahun akademis 2024/2025. Populasi penelitian adalah mahasiswa kelas A semester 5 yang mengikuti pembelajaran keterampilan membaca paragraf prosedur berbasis google form melalui teknik tugas menyalin dan teknik tes. Mereka berjumlah 36 mahasiswa. Sampel ditetapkan 33 mahasiswa. Untuk mengumpulkan data pembelajaran keterampilan membaca paragraf prosedur berbasis google form melalui teknik tugas menyalin dan teknik tes digunakan pedoman observasi. Data hasil belajar dikumpulkan menggunakan tes pilihan ganda menggunakan media google form. Data spembelajaran keterampilan membaca paragraf prosedur dianalisis secara tematik. Data hasil belajar dianalisis menggunakan prosedur statistik inferensial paramterik. Hasil penelitian: 1) prosedur pembelajaran keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes melibatkan 5 kegiatan awal, 37 kegiatan inti dan 2 kegiatan akhir; 2) hasil belajar keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes berkategori tinggi; 3) hasil belajar keterampilan membaca paragraf prosedur berbasis google form menggunakan teknik tugas menyalin dan teknik tes tidak berbeda per kelompok sampel.
Prosedur Pembelajaran Menentukan Kalimat Pendukung Menggunakan Teknik Latihan Intensif melalui Media Kartu Soal
Authors: Susana Rita , Srimulyani E. Berkah
Published: November 2024

Penelitian ini betujuan untuk mendeskripsikan: 1) prosedur pembelajaran menentukan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci bagi siswa kelas 6 SD Negeri 17 Kota Bengkulu; 2) hasil belajar menentukan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci bagi siswa kelas 6 SD Negeri 17 Kota Bengkulu. Penelitian berlangsung di semester ganjil tahun ajaran 2024/2025. Populasi penelitian ini adalah para siswa kelas 6 SD Negeri 17 Kota Bengkulu yang mengikuti pembelajaran dan tes menentukan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci. Para siswa berjumlah 20 orang. Sampel ditetapkan sebanyak anggota populasi. Pedoman observasi digunakan untuk mengumpulkan data pembelajaran. Tes pilihan ganda banyak kunci digunakan untuk mengumpulkan data hasil belajar menentukan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci bagi siswa kelas 6 SD Negeri 17 Kota Bengkulu. Data pembelajaran dianalisis secara tematik sedangkan data hasil belajar dianalisis menggunakan statistik deskriptif. Hasil penelitian: 1) prosedur pembelajaran menentukan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci bagi siswa kelas 6 SD Negeri 17 Kota Bengkulu melibatkan 3 kegiatan awal, 15 kegiatan inti, dan 2 kegiatan akhir; 2) hasil belajar menetapkan kalimat pendukung atas dasar kalimat utama menggunakan teknik latihan intensif melalui media kartu soal opsi pilihan ganda banyak kunci bagi siswa kelas 6 SD Negeri 17 Kota Bengkulu mencapai mean 72,50.
Pembelajaran Menulis Paragraf Faktual Menggunakan Pendekatan Keterampilan Proses dan Teknik Tes Pilahan Ganda
Authors: Amaya Muhidin , Robo Anwar
Published: November 2024

Penelitian ini betujuan untuk mendeskripsikan: 1) prosedur pembelajaran menulis paragraf faktual menggunakan pendekaan keterampilan proses dan teknik tes pilihan ganda; 2) hasil belajar menulis paragraf faktual menggunakan pendekaan keterampilan proses dan teknik tes pilihan ganda. Penelitian ini dilakukan di SD Negeri Negeri 2 Guraping pada semester ganjil tahun ajaran 2024/2025. Populasi penelitian ini adalah siswa kelas 6 yang mengiktui pembelajaran menulis paragraf faktual menggunakan pendekatan keterampilan proses dan teknik tes pilihan ganda yang berjumlah 22 siswa. Penelitian ini menggunakan sampel total karena jumlah populasi tergolong kecil. Untuk mengumpulkan data prosedur pembelajaran digunakan instrumen nontes yakni pedoman observasi. Untuk mengumpulkan data hasil belajar digunakan instrumen tes menulis paragraf deduktif melalui satu kalimat pokok yang sudah disiapkan dalam soal. Anggota sampel diinstruksikan untuk menambah dua kalimat pendukung. Data prosedur pembelajaran dianalisis menggunakan pendekatan tematik dengan melihat kesesuaian antara prosedur pembelajaran di kelas dengan rencana pembelajaran. Data hasil belajar dianalisis menggunakan prosedur statatik deskriptif melalui mean skor mentah dan persen. Hasil penelitian: 1) prosedur pembelajaran menulis paragraf faktual menggunakan pendekaan keterampilan proses dan teknik tes pilihan ganda mencakup 4 kegiatan aeal, 20 kegiatan inti, dan 2 kegiatan akhir; 2) hasil belajar menulis paragraf faktual menggunakan pendekaan keterampilan proses dan teknik tes pilihan ganda mencapai target mean sebesar 67,50.
Pembelajaran Identifikasi Pendekatan Kajian Sastra melalui Bahan Ajar Berbasis Google Form Menggunakan Teknik Ganda
Authors: Damayanti Welsi , Putri Istiqomah
Published: November 2024

Google form memiliki banyak fungsi dalam dunia pendidikan. Di antara fungsi itu adalah dapat dijadikan media untuk menempatkan bahan ajar dan strategi pembelajaran seperti teknik tugas menyalin dan teknik tes dalam suatu pembelajaran di perguruan tinggi. Penelitian ini betujuan untuk mengeksplorasi: 1) prosedur pembelajaran identifikasi pendekatan kajian sastra melalui bahan ajar berbasis google form menggunakan teknik ganda; 2) hasil belajar identifikasi pendekatan kajian sastra melalui bahan ajar berbasis google form menggunakan teknik ganda. Penelitian ini dilakukan di Prodi Pendidikan Bahasa dan Sastra Indonesia, Fakultas Pendidikan Bahasa dan Seni, Universitas Pendidikan Indonesia pada semester ganjil tahun akademis 2024/2025. Populasi penelitian ini adalah para mahasiswa semester-1 yang mengikuti prosedur pembelajaran identifikasi pendekatan kajian sastra melalui bahan ajar berbasis google form menggunakan teknik ganda. Mereka berjumlah 24 mahasiswa yang submit dari 27 mahasiswa. Seluh anggota populasi diikutsertakan menjadi anggota sampel. Data pembelajaran dikumpulkan menggunakan teknik tes via google form. Data pembelajaran dianalisis secara tematik sedangkan data hasil belajar dianalisis menggunakan prosedur statistik deskriptif. Hasil penelitian: 1) prosedur pembelajaran identifikasi pendekatan kajian sastra melalui bahan ajar berbasis google form menggunakan teknik ganda melibatkan 3 kegiatan awal, 35 kegiatan inti, dan 5 kegiatan akhir; 2) hasil belajar identifikasi pendekatan kajian sastra melalui bahan ajar berbasis google form menggunakan teknik ganda mencapai nilai mean A.
Pembelajaran Keterampilan Membaca Paragraf Terpadu untuk Siswa Kelas Tinggi Bebasis Supervisi Klinik Kepala Sekolah
Authors: Sutiyono Hendik , Srijayanti Arief
Published: November 2024

Penelitian ini bertujuan untuk mendeskripsikan: 1) reproduksi paragraf faktual terpadu sebagai materi pembelajaran keterampilan membaca; 2) keterbacaan reproduksi paragraf terpadu sebagai materi pembelajaran keterampilan membaca. Penelitian dilaksanakan di SD Negeri 003 Tarakan pada awal semester genap 2023/2024. Populasi adalah para siswa kelas 6 yang mengikuti tes kloz untuk menghasilkan data keterbacaan paragraf faktual terpadu. Mereka berjumlah 72 siswa yang terbagi dari tiga kelas paralel. Sampel ditetapkan sebanyak 61 siswa yang dipilih secara random tanpa pengembalian. Instrumen penelitian adalah tes kloz dan daftar cek-ricek. Data reproduksi paragraf faktual terpadu dianalisis secara tematik yakni analisis menurut perspektif struktur paragraf. Data keterbacaan teks prosedur dianalisis menggunakan prosedur statistik deskriptif. Hasil penelitian: 1) adanya reproduksi 6 paragraf faktual ttema profetik sebagai materi pembelajaran keterampilan membaca; 2) adanya reproduksi 6 paragraf faktual tema maematika sebagai materi pembelajaran keterampilan membaca; 3) adanya reproduksi 6 paragraf faktual tema IPA sebagai materi pembelajaran keterampilan membaca; 4) reproduksi paragraf terpadu sebagai materi pembelajaran keterampilan membaca memenuhi syarat keterbacaan. Kata Kunci: reproduksi paragraf, faktual terpadu, siswa kelas tinggi, keterbacaan paragraf
Optimizing Crew Scheduling and Absence Management using Microservices: Enhancing Reliability and Efficiency in Crew Management Systems
Authors: Saikumar Banda
Published: November 2024

Microservices can manage the crew management system by managing the crew data and the microservices can manage the scheduling practices and absence management. Clear communication, effective work planning, API guidelines, and several others are the relevant technical and organizational factors that can improve the absence management and scheduling procedures of the crew management system. Secondary data collection method and thematic analysis have been used to explore the importance of microservices in the crew management system. Eventdriven architecture, as well as API guidelines, can be implemented to increase efficiency and reliability of the crew scheduling process.
ANÁLISE COMPARATIVA DAS RESPOSTAS DE SAÚDE PÚBLICA ÀS PANDEMIAS DE GRIPE ESPANHOLA, H1N1 DE 2009 E COVID-19: LIÇÕES APRENDIDAS E DESAFIOS ÉTICOS
Authors: Ferreira Samuel de Souza
Published: November 2024

As crises de saúde pública de saúde pública são imprevisíveis, podendo ocorrer em qualquer localidade em um espaço de tempo. Podem ter como consequências sofrimento humano, mortes e graves desdobramentos econômicos. Na crise de saúde se excede a capacidade normal de resposta dos sistemas de saúde ao agravo instalado. Epidemias ocorrem quando se têm em determinada região demográfica e em determinado recorte temporal uma incidência de determinado agravo a saúde acima do previsto. Quando as epidemias atingem uma escala global, atingindo países e regiões distintas passam a ser classificadas como pandemias. Dentre as pandemias, nesse artigo destacaremos gripe espanhola, h1n1, e covid 19. Os primeiros casos de covid 19 foram descritos no final de 2019 em Wuhan na China, vírus esse do tipo RNA, que apresenta alta transmissibilidade e que pode evoluir com quadro de síndrome da angústia respiratória grave em parte dos pacientes. A pandemia do covid-19 levou a mais de 6 milhões de óbitos e apresentou grande desafio para saúde pública. O vírus H1N1 entre os anos de 2009 e 2010 levou a 8768 óbitos, tendo sido notificado em 207 países. A gripe espanhola foi a maior pandemia do século 20 infectando mais de 600 milhões de pessoas e levando entre 20 a 40 milhões de óbitos. Esse artigo tem por objetivo comparar as respostas de saúde pública às pandemias de covid-19, gripe espanhola e h1n1 de 2009. Como metodologia foi feita a revisão bibliográfica de artigos a partir dos seguintes descritores: covid 19, gripe espanhola, h1n1 e pandemia.
Applications of Sound Therapy: A Holistic Approach to Healthcare
Authors: Ravikumar Dr. Hemachandran , Sathyanarayanan Mr. Suresh
Published: November 2024

Sound therapy has emerged as a revolutionary practice in healthcare, integrating ancient traditions with cutting-edge scientific methodologies. It encompasses the therapeutic use of sound frequencies and vibrations to address various health challenges, including sleep disorders, chronic pain, mental health issues, and rehabilitation. This article explores the diverse applications of sound therapy, detailing its nature, methodologies, identification processes, and implementation across healthcare settings.
Sustainable Bituminous Pavements: Incorporating Copper Slag for Improved Performance and Environmental Benefits
Authors: Mohanty Deepak Kumar , Ekka Madhusmita , Kumar Sethi Prashanta
Published: November 2024

Copper slag, a byproduct from the copper roasting process where sulfur is eliminated, poses significant environmental and health risks when improperly disposed of. This research investigates the performance enhancement of bituminous pavements through the incorporation of copper slag as a partial replacement for fine aggregate, aiming to improve pavement properties, support environmental sustainability, and lower construction costs. Previous studies have shown that using copper slag up to 30% as fine aggregate or filler can enhance the mechanical and volumetric properties of bituminous mixes, including Bituminous Macadam, Dense Bituminous Macadam, Bituminous Concrete, and Semi-Dense Bituminous Concrete. This study focuses on evaluating the effect of copper slag as a fine aggregate substitute in bituminous mixtures, varying its proportion at 10%, 20%, and 30%, with stone dust employed as the filler material. The Marshall method was utilized for mix design and to assess the paving mixtures' performance. Key properties analyzed include Marshall Stability, flow value, air void percentage, voids in mineral aggregate (VMA), voids filled with bitumen (VFB), and the determination of optimum bitumen content. Results indicate that the addition of copper slag enhances the volumetric and mechanical properties of bituminous mixes, contributing to improved pavement stability and performance. This research underlines the potential of copper slag to not only serve as an effective alternative material for road construction but also mitigate environmental challenges associated with waste disposal, promoting sustainable development in infrastructure projects.
Trabajo social y educación inclusiva en la Universidad Estatal del Sur de Manabí: una mirada hacia la equidad y el acceso
Authors: García-Merino Mary Janeth , García-Merino Erick Marino , Baque-Anchundia Italo Raul
Published: November 2024

La accesibilidad a la educación superior es un derecho fundamental que debe ser garantizado para todas las personas sin importar su contexto socioeconómico. El programa de formación de Trabajo Social de la Universidad Estatal del sur de Manabí es 100 % en línea y propone alternativas para solucionar problemas sociales considerando la diversidad cultural y de género, contribuyendo así a la equidad en el acceso y la permanencia en igualdad de oportunidad en la educación superior. Bajo estos parámetros se presentan una revisión de los aspectos legales de manera práctica sobre inclusión, equidad y acceso, la investigación incluyo el rol del trabajador social como facilitador de iniciativas de sensibilización y promoción de una educación inclusiva, así mismo se empleó una metodología deductiva- inductiva con enfoque de investigación cuantitativa para ello se llevó a cabo entrevistas semiestructuradas aplicadas a trabajadores sociales que permitieron obtener datos cuantitativos. De los hallazgos más significativos de la investigación se destaca que no existe iniciativas colaborativas entre los trabajadores sociales y otras unidades académicas para crear redes de apoyo en los procesos de inclusión y equidad, la falta de formación especializada impide que los docentes desarrollen metodologías efectivas, lo que puede resultar en una inclusión insuficiente y en el riesgo de permanecía en igualdad de oportunidades de aprendizajes para todos, por ende es transcendental aplicar programas de acompañamiento y políticas integrales que permitan posesionar a la Unesum como pionera de una educación inclusiva en el Ecuador.
Anemia ferropénica como consecuencia del daño renal en pacientes que acuden a diálisis Hospital General Esmeraldas Sur, enero a junio 2023
Authors: Aveiga Maldonado Pedro , Palma Villavicencio Ambar Nicole
Published: November 2024

La anemia ferropénica es el resultado de una deficiencia de hierro, que afecta directamente la síntesis de hemoglobina, esta es una proteína presente en los glóbulos rojos que desempeña un papel crucial en el transporte de oxígeno a los tejidos y la eliminación de dióxido de carbono. El objetivo de la investigación fue evaluar la hemoglobina y parámetros indicativos de anemia ferropénica en pacientes con insuficiencia renal crónica en diálisis, Hospital General Esmeraldas Sur de enero a junio del 2023. La metodología presentada se basó en un enfoque cuantitativo de tipo retrospectivo y transversal. Se trabajó con un total de 80 pacientes con insuficiencia renal crónica en diálisis. En los resultados se presentó que un 38.8% (IC95%: 28.1% - 50.3%) presentó anemia leve, seguido de un 37.5% (IC95%: 26.9% - 49%) con anemia moderada y un 23.8% (IC95%: 14.9% - 34.6%) de casos graves. La prevalencia anemia ferropénica fue del 61,25%. En cuanto a la relación del perfil de hemoglobina y los parámetros indicativos de anemia ferropénica, se presentó una asociación significativa (p<0.05).En conclusión, la prevalencia de la anemia ferropénica en los adultos mayores que presentan insuficiencia renal crónica en diálisis es relativamente alta comparada con otras investigaciones.