bluuebunny/crossref_metadata_2025 huggingface dataset:
Rasgos determinantes para la conformación de territorios solidarios en Colombia
Authors: Varón Triana Nubia , Buitrago Mejía Aracelly , Izquierdo Hernández Patricia del Pilar , Rubio-Rodríguez Gustavo Adolfo
Published: September 2023

Esta investigación tiene por objeto analizar los rasgos económicos, sociales y culturales que caracterizan a las organizaciones de la economía social y solidaria como determinantes para configurar territorios solidarios donde prevalezcan los principios de esta economía. La investigación es descriptiva y su enfoque es cualitativo. La población está conformada por tres asociaciones dedicadas a la producción de mangos y sus derivados en el municipio de El Espinal - Colombia. Como resultado, se evidencia que los asociados gozan de una mejor calidad de vida que sus padres; se consideran afectados por el abandono del Estado al sector rural y no participan activamente en cargos de elección popular. Se identifican problemas en vías de acceso, educación y servicios públicos. Se concluye que las características económicas, sociales y culturales son determinantes para promover la conformación de territorios solidarios en Colombia. La discusión establece una línea de investigación para determinar el papel de estos rasgos en los territorios solidarios.
Políticas públicas y economía popular y solidaria en ecuador: entre el deber ser y el ser
Authors: Mero Loor Kerly Andrea , Zambrano Montesdeoca Jasson Luis
Published: September 2023

En la presente investigación se realizan valoraciones teóricas en torno al deber ser del sector de la economía popular y solidaria (EPS) y a las relaciones problemáticas, como parte del orden jurídico y normativo de Ecuador, y el ser efectivo de las prácticas con que operan las políticas públicas vinculantes en el país. La metodología centra su atención principal en el análisis y síntesis como proceder, para ubicar las principales concepciones teóricas sobre el estado del arte respecto al tema que se estudia y tomar partido epistémico al respecto; asimismo, fueron necesarias operaciones en cuanto a observación empírica y análisis de la información a la que se pudo acceder. Como resultados de la revisión sistemática se concluye que al menos existe una paradoja entre letra y espíritu de la Constitución y el tipo de políticas públicas que se llevan a cabo en el país, respecto a la efectividad económica y social de la economía popular y solidaria.
Políticas ambientales: responsabilidad educativa para el cuidado de la naturaleza
Authors: Chicaiza Cóndor María Gladys , Cornejo Urbina Rodolfo , Oyola Tamayo Ana Senia , Hernández Pillajo Paola Carolina
Published: September 2023

El objetivo del estudio se fundamenta en analizar la educación ambiental y la promoción de políticas ambientales efectivas en la formación de estudiantes responsables en el cuidado de la naturaleza. La metodología utilizada fue teórica, dirigido a profundizar las políticas ambientales frente a la responsabilidad de los actores educativos para su cumplimiento. Se analizaron dos componentes: las políticas relacionadas con la educación ambiental con el fin de evaluar el alcance en la responsabilidad de cuidar y proteger el planeta; y la gestión de la educación direccionada a proteger el medio ambiente con el propósito de seguir un camino que promueva las prácticas sostenibles en la comunidad educativa. La existencia de políticas nacionales e internacionales para abordar el daño humano al medio ambiente es un avance importante, como también la evaluación y monitoreo de estas políticas, para asegurar que se produzcan los resultados deseados. Se concluye que, a pesar de existir muchas políticas ambientales, su efectividad depende en gran medida de cómo se aborde la educación ambiental en cada país; es decir, el éxito está en formar a la comunidad educativa en conciencia ambiental, para que puedan solucionar a corto plazo el cambio climático y la degradación ambiental.
Gestión pública y desarrollo del sector educativo y de salud de la Región Amazonas, Perú
Authors: Cueva Vega Edinson , Chauca Valqui Policarpio , Zumaeta Barrientos Marden Rigoberto , Cruz Caro Omer
Published: September 2023

Hablar de gestión pública es atribuir al Estado la responsabilidad de crear las condiciones adecuadas de vida y bienestar para la población. En este sentido, el objetivo de este trabajo fue determinar el impacto de la Gestión Pública en el desarrollo del sector educativo y salud de la Región Amazonas, durante el período 2008 - 2021. Se realizó una investigación no experimental, correlacional y longitudinal de tipo cuantitativo. Se utilizó como muestra la base de datos anuales disponibles en el Instituto de Estadística e Informática y Ministerio de Economía y Finanzas, concernientes al período antes mencionado, con una muestra de 14 datos. Los resultados evidencian que el gasto per cápita en educación inicial, primaria y secundario, número de alumnos matriculados y devengado del presupuesto en educación están indirectamente relacionadas con la tasa de analfabetismo. Asimismo, la tasa de desnutrición está relacionada indirectamente con el devengado; número de enfermeras; población con enfermedades crónicas y población con Seguro de Salud. Se concluye que el avance de la ejecución presupuestaria en el sector educación y salud durante el período 2008 al 2021, fue en promedio 99.31% y 92% respectivamente. Sin embargo, aún siguen existiendo grandes brechas de analfabetismo y desnutrición, para el año 2021 los resultados muestran una tasa de 9.6% de analfabetismo y 18% de desnutrición crónica. Lo cual evidencia una deficiente gestión de los recursos económicos en el sector público.
Interacciones organizacionales en el contexto de las empresas públicas venezolanas
Authors: Narváez-Castro Mercy , González Testa Nirda , Senior-Naveda Alexa , Romero Fonseca Mónica
Published: September 2023

La competitividad empresarial se enmarca en el modelo organizativo de la sociedad en forma conjunta y en indicadores de relevancia competitiva en todos los niveles del sistema que la rodea, además, de la interacción entre dichos niveles, lo cual impacta en la capacidad para producir bienes y servicios en forma eficiente. Sobre la base de esta premisa, este artículo pretende analizar las interacciones que se producen entre las Empresas Públicas del estado Falcón – Venezuela con diferentes organizaciones y por medio de la conjugación de distintos niveles. La investigación se encuadra en la metodología descriptiva con un diseño de campo haciendo uso de una muestra intencional conformada por cuatro (4) empresas adscritas a la Gobernación del estado. Los resultados evidencian la existencia de relaciones de interacción y cooperación con un significativo conjunto de actores con los cuales las Empresas Públicas mantienen conexiones, tanto recíprocas como en un solo sentido, con presencia de vínculos fuertes en muchos casos. Se concluye en la necesidad de la construcción de un tejido robusto con la participación de diferentes instituciones para superar las diferencias que existen con el sector gubernamental y abocarse a la solución conjunta de los problemas de la sociedad.
Estratégias de ensino aprendizagem em contextos de alunos com necessidades educativas especiais. Estudo de caso: Escola Primária Completa Patrice Lumumba
Authors: Manuel Amone Alfredo , Martiniak Vera Lucia
Published: September 2023

Este artigo é resultante da dissertação de mestrado sobre Estratégias de Ensino-Aprendizagem em Contextos de Alunos com Necessidades Educativas Especiais. Estudo de Caso: Escola Primária Completa Patrice Lumumba, com o objetivo geral de compreender como os professores utilizam as estratégias na sala de aula em contextos de alunos com Necessidades Educativas Especiais (NEE). Para o alcance do objetivo geral, foram elaborados dois objetivos específicos, identificar as NEE existentes nas turmas da 4ª classe da Escola Primária Completa Patrice Lumumba e analisar as estratégias de ensino-aprendizagem utilizadas pelos professores nas turmas da 4ª classe da Escola Primária Completa Patrice Lumumba. Para a melhor compreensão do tema, recorreu-se aos estudos realizados nos contextos internacionais e nacionais. Para ambos os contextos, a educação de alunos com NEE é vista como um desafio para todos, em particular para o professor enquanto agente mediador do processo de ensino-aprendizagem, que procura formas de abranger todos os alunos. Para a metodologia do estudo, recorreu-se ao paradigma qualitativo com recurso ao estudo de caso, enquanto uma estratégia de investigação, apoiando-se do método indutivo. A amostra foi de 7 participantes da pesquisa, selecionados de forma intencional. Para a coleta de dados, optou-se por utilizar entrevista (guião de entrevista) e observação participante (protocolo de observação). Os resultados evidenciaram que, os professores utilizam as estratégias de ensino-aprendizagem em contextos de alunos com NEE mediante a combinação delas, como forma de tornar as aulas inclusivas, o que contribui significativamente para o alcance dos objetivos de aprendizagem, mesmo com a ausência de uma lei específica para a Educação Inclusiva em Moçambique.
As contribuições das tecnologias digitais de informação e comunicação para o processo de inclusão escolar
Authors: Pinheiro Charlene dos Santos Tugne , Justus Fabiano José Costa
Published: September 2023

O estudo se ocupou de pesquisar na literatura científica dados relevantes sobre as contribuições das Tecnologias Digitais da Informação e Comunicação (TDIC’s), para o processo de inclusão escolar, considerando os princípios dos Direitos Humanos e a importância da leitura como uma habilidade fundamental para alcançar a inclusão social. A natureza da pesquisa é bibliográfica realizada no Google Acadêmico, acompanhada da leitura de obras e documentos legais que referenciam o tema abordado. Os resultados e discussões apontam para a necessidade de formação continuada direcionada ao professor a fim de priorizar a qualidade do ensino, o tema sobre os Direitos Humanos é uma questão que precisa ser considerada no interior da escola e as Tecnologias Digitais da Informação e Comunicação precisam ser consideradas nas práticas pedagógicas devido ao potencial que ofertam a educação.
Políticas de acesso e permanência das crianças nas escolas do campo: direito e dignidade humana
Authors: Silva Flávia Aparecida dos Santos , Peroza Marilúcia Antônia de Resende
Published: September 2023

O estudo é resultante de reflexões realizadas no desenvolvimento de uma pesquisa de mestrado, o qual se propõe a discutir a caracterização da educação do campo, quais as leis que estabelecem as diretrizes para esse ensino, bem como para a permanência das crianças nas escolas do campo. Partindo dessas reflexões iniciais, propõe-se como objetivo geral: identificar como o acesso e a permanência das crianças nas escolas do campo é garantida na legislação brasileira. Como objetivos específicos pretendemos: apresentar a legislação sobre a educação do campo; analisar os possíveis desafios existentes no acesso e na permanência das crianças em escolas do campo; e por fim perceber quais as ações que precisam ser realizadas, para o acesso e a permanência dos alunos em escolas do campo. A metodologia utilizada foi o levantamento bibliográfico, o qual busca o aprofundamento científico sobre a temática. O trabalho revelou que a educação do campo possui desafios; que seu reconhecimento e compreendimento por vezes são incorretos, e o acesso e a permanência das crianças nessa modalidade de ensino é em alguns momentos prejudicada, os motivos são: precariedade ou falta do transporte escolar, e a falta de compreensão sobre a importância da escolarização e valorização da cultura campesina.
Educação inclusiva e o aumento no número de matrículas de educandos com deficiência em escolas regulares com ensino bilíngue
Authors: Gebiluka Jessica , Oliveira Rita de Cássia da Silva
Published: September 2023

Objetivando compreender como se dá a articulação do educando com deficiência na escola regular que ofertam o ensino bilíngue, foi exposto em quatro etapas reflexões acerca dos direitos humanos e a educação inclusiva, destacando a importância dos direitos e a necessidades de escolas e uma sociedade verdadeiramente inclusiva; o modelo escolar e a necessidade de um espaço físico preparados para o público escolar e a preparação de funcionários das instituições para melhor atender cada educando dentro da sua necessidade e realidade; o ensino bilíngue da língua inglesa e a sua importância para o cenário atual de uma sociedade cada vez mais globalizada; e o aumento dos educandos com deficiência que passaram a frequentar as escolas regulares com ensino bilíngue visando uma melhor preparação para a vida, sociedade e o mercado de trabalho.
Formação docente e educação inclusiva
Authors: Garbuio Lidiane Kingeski , Braga Lucimar Araujo
Published: September 2023

Este artigo analisa a formação do professor que leciona nos anos finais do ensino fundamental para alunos com deficiência. O objetivo geral analisa a formação do professor no processo de inclusão dos alunos com deficiência. Os objetivos específicos buscam investigar a formação docente, inicial ou continuada, na perspectiva da inclusão; verificar se a formação do professor se encontra em consonância com o processo de inclusão em sala de aula e identificar se a formação do professor corresponde às necessidades dos alunos com deficiência. Trata-se de uma pesquisa bibliográfica, com o intuito de explorar estudos relacionados ao tema. Entre os principais resultados a serem alcançados com a pesquisa considera-se o da importância da reflexão sobre a formação docente e como esta implica diretamente no processo de ensino dos alunos incluídos. Conclui-se que a formação docente inicial ou continuada possibilita que os professores possam conhecer e desenvolver novas atitudes docentes que os auxiliem nas situações complexas de ensino voltadas à inclusão, além de refletir sobre o que precisa ser mantido ou aperfeiçoado para que a inclusão realmente se confirme e para que haja um ensino realmente inclusivo e igualitário.
A formação de professores na perspectiva da educação inclusiva: um olhar com base nos direitos humanos
Authors: Bach Luana Gonçalves , Zanedin Raquel , Manjinski Everson
Published: September 2023

Este estudo discute a formação de professores na perspectiva da Educação Inclusiva tendo como princípio os Direitos Humanos, tem como objeto analisar a formação dos professores na perspectiva da Educação Inclusiva para atender as necessidades dos alunos com deficiência. Para discussão teórica foram empregados os estudos dos autores: Bezerra (2012), Cunha (1999), Mantoan (2011), Souza e Silva (2005). A metodologia utilizada foi pesquisa bibliográfica a partir da discussão e de referenciais teóricos da área. A pesquisa expõe a importância das formações constantes para os professores atuantes na Educação Especial e Inclusiva, pois antes mesmo de pensar em suas atualizações como profissionais, deve-se pensar no aluno com necessidades especiais e dentro dos parâmetros a seguir nos Direitos Humanos.
Ensino regular e a inclusão do aluno com transtorno do espectro autista
Authors: Santos Osni Junior dos , Martiniak Vera Lucia
Published: September 2023

O acesso a uma educação adequada é um direito humano universal adquirido pelo indivíduo ao nascer. O Transtorno do Espectro Autista (TEA), afeta diretamente as relações sociais do indivíduo, com alterações de interação e comunicação, entre outras, necessitando então da adequação, seja do indivíduo, seja da instituição, a padrões regulares de ensino, adequação esta denominada inclusão. Este estudo realizou uma discussão sobre a inclusão do aluno com TEA no ensino fundamental regular. A discussão foi realizada após a leitura e análise de conteúdos publicados por profissionais da educação e da psicologia, em sua maioria, referências nas áreas de inclusão e TEA. Concluiu-se que embora haja acesso à criança com TEA ao ensino fundamental regular, a real inclusão ainda é pouco efetiva, sendo que nem sempre o aluno tem suas necessidades atendidas, acarretando prejuízos na aprendizagem no sofrimento psíquico.
Direitos da família inclusiva na escola regular
Authors: Moura Solange Farias de , Tavares Carolina Paioli
Published: September 2023

O presente estudo tem como objetivo apresentar e refletir sobre os direitos constitucionais da família inclusiva, ou seja, núcleos familiares as quais um ou mais membros é pertencente ao público-alvo da educação especial – PAEE perante a legislação vigente no Brasil. O intuito desse trabalho é promover o debate dobre acesso à inclusão escolar e contribuir para tornar a presença da família uma realidade em todas as instituições escolares de ensino regular. Metodologicamente, essa pesquisa é de caráter bibliográfica. A referência teórica é composta por artigos trabalhados durante a disciplina Princípios da Educação Inclusiva em Direitos Humanos ofertada pelo Programa de Mestrado em Educação da Universidade Estadual de Ponta Grossa – UEPG. Além desses artigos, também foi realizada uma pesquisa exploratória no “Periódicos da Capes”, em especial, artigos sobre o tema publicados no período de 2011 a 2022. Espera-se que este estudo contribua para o entendimento do papel da família na execução dos direitos à inclusão educacional do aluno PAEE, garantindo seu acesso de forma digna e condizente a sua especificidade.
Analyzing the Needs of General Education Teachers to Teach Students with Visual Impairment in Inclusive Settings
Authors: Ashraf Samina , Jahan Musarrat , Fida Farah , Fatima Iqra
Published: September 2023

The main objective of the current study was to analyze the needs of general education teachers to teach SWVI in inclusive settings and explore the differences based on gender and locality.The quantitative research approach was used to frame the study. A survey was conducted to collect data from teachers. The population of the study comprised teachers teaching in regular schools in 10 divisions of Punjab. 190 teachers(male=56, female=136)were selected for the study from 20 districts, and 2 schools from each division were randomly selected. A self-administered questionnaire comprised of 8 units was used as a research instrument. Data was analyzed through SPSS IBM 22. It was decided to use both descriptive and inferential statistics. The findings of the study revealed the needs of general education teachers in terms of awareness, classroom management, curriculum adaptation, instructional methodology, and materials, and assessment procedures adaptation to accommodate SWVI in inclusive settings. No difference was revealed in the needs of teachers based on gender or locality. Based on the findings, teachers' training, awareness, and empowerment to educate students with visual impairment in inclusive settings is recommended by the researchers.
ROLE OF SOUTH CHINA SEA IN FUTURE POLITICS OF ASIA PACIFIC: US INTEREST AND ROLE IN REGIONAL POLITICS
Authors: Dr. Rani Erum, Dr. Muhammad Kamran Khan
Published: September 2023

The conflict in the South China Sea (SCS) is the new battleground of old-fashioned world politics which creates buzz everywhere. The third busiest sea route in the world is very significant for the region. Initially, the issue was raised among the six states for SCS reefs and islands which all occupy China. The pattern of world politics from past to present remains the same which is always favorable to power centered. Real politick supports powerful states whether they violate laws or give any baseless logic, accepted greatly. Might is right is the law of acceptance that can be seen in the past and today. It does not matter that the claimant or complainant justifies his claim the important part is how much power the state has to get what it believes belongs to them. The essay intended to discuss the importance of the sea for the regional states, the United States, the reasons for conflicts, Chinese-occupied territorial tactics, and the prospects of complete PRC occupation of the sea. The future political scenario of the region and the role of the USA will also be discussed.
THE IDEOLOGICAL RESONANCE OF RADICALIZATION AND EXTREMISM: A CASE STUDY OF PAKISTAN
Authors: Asif Amin, Marriyam Siddique, Qasim Khan
Published: September 2023

Ideology has always exercised a role in constructing or deconstructing narratives of societies such as Pakistan. Pakistan’s society has been radicalized in recent years, with religious intolerance leading to terrorism and violent extremism. This research examines factors surrounding radicalization, violent extremism, and terrorism. Essentially, this study aims to answer how Pakistan has become a radical society. Moreover, what role ideology played in the radicalization of Pakistani society? The authors investigated the role of Jihad-based ideology, first from a local perspective and then from a global perspective, in testing the hypothesis. The authors use secondary sources to analyze the study. The study applies process tracing research method to develop a casual mechanism between the dependent variable of radicalization and the independent variable of Religious ideology. Pakistan has been chosen as a case study to display the ideological resonance of Jihad.
NAVIGATING SINO-INDIA RELATIONS IN THE INDIAN OCEAN: PROSPECTS AND CHALLENGES FOR PAKISTAN
Authors: Dr. Muqarrab Akbar , Shereen Gul
Published: September 2023

Sino-India relations in the Indian Ocean have emerged as a critical aspect of geopolitical dynamics in the region. This abstract explores the prospects and challenges for Pakistan arising from this evolving relationship. With China's increasing naval presence and economic interests in the Indian Ocean, and India's own ambitions to safeguard its strategic interests, the region has witnessed a power struggle between the two Asian giants. The prospects for Pakistan lie in the potential for economic cooperation and infrastructural development through China's Belt and Road Initiative, which could enhance connectivity and trade opportunities. However, challenges arise for Pakistan as it navigates its delicate balance between China and India. These challenges include concerns over the deepening strategic and military ties between China and India, potential encirclement, and the impact on Pakistan's strategic autonomy. It is crucial for Pakistan to carefully manage these challenges while leveraging the opportunities to ensure its own security, economic growth, and regional stability.
Bad NEWS: standing still is risky for patients admitted to hospital (even with normal vital signs)
Authors:   DM, FRCP School of Medical Sciences, Bangor University Brigantia Building, Subbe Christian P ,   Penrallt Rd,   Bangor LL57 2AS,   UK
Published: September 2023

Acute Physicians care for acutely unwell patients. Recognising and prioritising those at greatest risk of death is therefore at the heart of our specialty. The risk of catastrophic deterioration in the Acute Medical Unit is usually quantified through the measurement of vital signs. These are being summarised into the National Early Warning Score or similar instruments. Those with higher Early Warning Scores are usually prioritised by clinicians in and out of hospital and being seen before those with lower grades of abnormalities and preferably assessed by a more senior clinician.
Emergency admissions’ diagnoses and risk of in-hospital death according to the primary ICD-10 chapter assigned at discharge and the National Early Warning Score on admission
Authors:   School of Clinical and Biomedical Sciences, University of Bolton, UK, Holland Mark , Dannatt Alexander ,   School of Medical Sciences, University of Manchester, UK, Kellett John ,   Department of Emergency Medicine, Odense University Hospital, Odense, Denmark, Green Darren ,   Department of Renal Medicine, Northern Care Alliance NHS Foundation Trust, UK
Published: September 2023

Background: The relationship between diagnosis, illness severity, and mortality risk for unselected emergency admissions is poorly defined. Aim: To define primary ICD-10 diagnostic chapters at discharge, admission illness severity by the National Early Warning Score, and in-hospital mortality for all unselected emergency admissions. Method: Retrospective, observational, cohort study of 122,259 unselected, adult emergency admissions to Salford Royal Hospital between 2014 and 2022. Results: In-hospital mortality was 4.3% but most patients had an ICD-10 chapter associated with a lower risk of death. 60% of in-hospital deaths were in four chapters, infections, circulatory and respiratory diseases, or neoplasms. An admission NEWS ≥3 was associated with earlier mortality and an eight-fold increased risk of in-hospital mortality. 45% of all in-hospital deaths occurred in patients with an admission NEWS <3. Conclusion: Mortality in emergency hospital admissions is associated with illness severity and four diagnostic chapters. NEWS should not be the only arbiter of hospital admission, as for certain diagnostic chapters the risk of death is high even if vital signs on presentation are normal.
Both acuity and long term prognosis are important Emergency Department metrics: comparison of mobility assessment with the Emergency Severity Index
Authors:   MD, Emergency Department, University Hospital Basel, University of Basel, Basel, Switzerland, Isabelle Arnold , Tobias Kuster ,   MD, Emergency Department, University Hospital Basel, University of Basel, Basel, Switzerland, Jeannette-Marie Busch ,   MD, Emergency Department, University Hospital Basel, University of Basel, Basel, Switzerland, John Gale Kellett ,   MD, Department of Emergency Medicine, Hospital of Southwest Jutland, Denmark, Mikkel Brabrand ,   MD, Department of Emergency Medicine, Odense University Hospital, Denmark, Roland Bingisser ,   MD, Emergency Department, University Hospital Basel, University of Basel, Basel, Switzerland, Christian Nickel ,   MD, Emergency Department, University Hospital Basel, University of Basel, Basel, Switzerland
Published: September 2023

Objective: To compare the SUHB mobility scale (i.e., stable(S), unstable gait(U), needing help to walk(H), or bedridden(B)) and the Emergency Severity Index (ESI) associations with admission and mortality outcomes. Design: Post-hoc analysis of a prospective observational study including all consenting presenting to the ED over a period of 3 weeks. Odd ratios and AUCs were calculated to assess predictive performance of SUHB and compared with ESI. Results: Out of 2422 patients, 65% presented with a stable gait, 45% with an ESI level 3. With increasing mobility impairment on the SUHB scale, the probability for admission and mortality increased. SUHB had a higher AUC than ESI for 1-year mortality. Conclusion: SUHB was a better predictor than ESI of long-term mortality. The scale, which is rapid, requires little additional training, and no extra costs, could be used as a useful supplement to the triage process.
Acute Medicine: How will we grow? - An analysis of organisational capabilities for quality improvement, research & education from SAMBA 2021
Authors:   Internal Medicine Trainee, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough, United Kingdom, Galloway Georgia Kate , Subbe Christian Peter ,   School of Medical Sciences, Bangor University & Consultant Acute, Respiratory & Critical Care Medicine, Ysbyty Gwynedd, Bangor, United Kingdom, Holland Mark ,   Associate TIRI Professor, School of Clinical and Biomedical Sciences, Faculty of Health and Wellbeing, University of Bolton, Bolton, United Kingdom, Atkin Catherine ,   Assistant Professor, Birmingham Acute Care Research Group, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, United Kingdom
Published: September 2023

Background: Education, research, and Quality Improvement (QI) are key enablers for high quality care. We aimed to map the capability of Acute Medical Units (AMUs) to facilitate excellence in these areas. Methods: AMUs were surveyed in an organisational questionnaire within the Society for Acute Medicine Benchmarking Audit 2021. Results: 143 units participated. 80 units had a QI lead, 24 had a research lead and 99 had a medical education lead. 15 units had all three leadership roles. Most QI work considered service structure rather than changes in processes or care outcomes. Conclusion: The organisational capability of AMUs in the strategic areas considered is variable. Improving leadership and disseminating learning could help build a strategic foundation for acute medicine to grow.
Becoming the medical registrar: a qualitative study of a professional transition as a transformative learning event
Authors:   MBBS MSc MRCP FHEA Specialty Registrar in Acute Internal Medicine West Middlesex Hospital, Ferguson Zachary , Selman Rebecca ,   FHEA, Joint Head of Education Development and Delivery Royal College of Physicians
Published: September 2023

Background: The medical registrar is a daunting role to take on for the first time. While studies have explored how preparedness can be improved through simulation, less has been written about how doctors learn to be registrars through clinical practice. Method: Doctors working as medical registrars were invited to participate in semi-structured interviews. The qualitative data collected underwent thematic analysis. Results: The clinical environment was considered fertile ground for transformative experiential learning, but opportunities for debriefing and guided reflection were rare. Participants felt they needed additional support from supervisors after difficult experiences and mistakes, but this support was not always forthcoming. Conclusion: Acute physicians involved in supervising new medical registrars must facilitate meaningful independent practice to encourage the next generation of medical generalists.
Artificial Intelligence: its Future and Impact on Acute Medicine
Authors:   PhD, Center for Experimental and Molecular Medicine (CEMM), Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Schinkel Michiel ,   Department of Internal Medicine, Division of Acute Medicine, Amsterdam UMC, VU University, Amsterdam, The Netherlands., Paranjape Ketan ,   PhD, Department of Internal Medicine, Division of Acute Medicine, Amsterdam UMC, VU University, Amsterdam, The Netherlands., Bhagirath Sheena Charente ,   MD, Department of Internal Medicine, Division of Acute Medicine, Amsterdam UMC, VU University, Amsterdam, The Netherlands., Nanayakkara Prabath WB ,   PhD, Department of Internal Medicine, Division of Acute Medicine, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Published: September 2023

This commentary explores the potential impact of artificial intelligence (AI) in acute medicine, considering its possibilities and challenges. With its ability to simulate human intelligence, AI holds the promise for supporting timely decision-making and interventions in acute care. While AI has significantly contributed to improvements in various sectors, its implementation in healthcare remains limited. The development of AI tools tailored to acute medicine can improve clinical decision-making, and AI’s role in streamlining administrative tasks, exemplified by ChatGPT, may offer immediate benefits. However, challenges include uniform data collection, privacy, bias, and preserving the doctor-patient relationship. Collaboration among AI researchers, healthcare professionals, and policymakers is crucial to harness the potential of AI in acute medicine and create a future where advanced technologies synergistically enhance human expertise.
Renal replacement and extracorporeal therapies in critical care: current and future directions
Authors:   MBBS BSc MRCP(UK) (2018) FRCA FFICM Registrar in Intensive Care Medicine & Anaesthesia, Imperial College Healthcare NHS Trust, Lane Sophie F , Harvey-Jones Elizabeth ,   MBChB, MRCP Registrar in Clinical Oncology, The Breast Cancer Now Research Unit, Guy’s Hospital Cancer Centre, The City of London Cancer Research UK Centre, Kings College London, Ward Olivia ,   MBChB, CT3 Anaesthetics, University Hospitals Sussex NHS Trust, Davies Roger ,   MBChB MRCP FRCA EDIC FFICM MD(Res) Consultant in Intensive Care Medicine & Anaesthesia, Chelsea & Westminster Hospital NHS Foundation Trust
Published: September 2023

There are a wide number of indications for extracorporeal therapies in the critical care environment. A common indication seen by the acute physician is continuous renal replacement therapy (CRRT) in a proportion of patients with acute kidney injury. It is therefore important that acute physicians have a sound understanding of the principles of CRRT in the acutely unwell patient. This review will outline the indications for its use, commonly used methods and anticoagulation considerations. It will discuss when to start and stop CRRT as well as describing potential treatment complications. This review will also discuss the role of therapeutic plasma exchange in critical care and novel extracorporeal therapies including blood purification in sepsis and carbon dioxide removal in acute respiratory distress syndrome and acute exacerbations of obstructive lung disease. Extracorporeal membrane oxygenation is outside of the scope of this article.
Development of groundwater pollution removal technology
Authors: GARBA HARUNA  , DAUDA MAILAFIYA JERA
Published: September 2023

A trial treatment plant model was constructed and the performance of the model was found to be effective as an effective technique for removing iron and other contaminants from groundwater. With an effective size of 0.45 mm, a uniformity factor of 1.5 and a porosity of 0.6, the filter material was able to filter water with a high iron content and other parameters. The backwash speed of the sand filter is 1.44 m/s (86.4 m/h). At this speed, the pressure was sufficient to cause the media to expand and boil, so that the iron sludge, flakes and other dirt remained in the filter. Nine (9) daily inflows and outflows at depths of 60 cm, 70 cm and 80 cm were determined. An iron removal efficiency of 99.1% was achieved at a depth of 60 cm and 90.63% at a depth of 80 cm. Similarly, the model was able to remove physical and organoleptic parameters (color, turbidity, fluorine, manganese, nitrite, Ph, zinc, E-coli and total coliforms). The technology developed in this research can be used as an alternative, simple and cost-effective way to remove iron and other contaminants from groundwater.
Representation of Life, Death and Afterlife in Mexican Culture: An Analysis of The Book of Life and Coco
Authors: Naqui Ahamd John  , Sushmita Soni
Published: September 2023

Mexican culture has a unique and rich tradition of representing life, death, and the afterlife in art and storytelling. This is particularly evident in the animated movies The Book of Life (2014) and Coco (2017), both of which draw heavily on Mexican folklore and mythology to explore these themes. In The Book of Life, the afterlife is depicted as a colourful and vibrant world, full of music, dancing, and celebration. The movie emphasizes the importance of honouring one's ancestors and remembering those who have passed away, while also acknowledging the pain and grief that comes with loss. Similarly, in Coco, the afterlife is depicted as a beautiful and mystical world, full of music and wonder. The movie explores the idea that death is not the end, but rather a continuation of life in a different form, and emphasizes the importance of maintaining a connection with one's ancestors and family history. Both movies also highlight the cultural significance of Dia de los Muertos, the Mexican holiday that celebrates the dead. The movies depict various traditions associated with the holiday, such as creating ofrendas (altars) to honour the deceased, decorating grave-sites with flowers and offerings, and preparing special foods and drinks. These traditions serve as a way to remember and connect with loved ones who have passed away, and to celebrate the cycle of life and death. The Book of Life and Coco both offer a rich and nuanced representation of life, death, and the afterlife in Mexican culture. Through their use of vibrant imagery, music, and storytelling, the movies celebrate the importance of family, community, and tradition, while also acknowledging the universal experiences of loss and grief, and this will be looked up in the paper.
The Dalit among the Dalits; the Issues of Dalit Women in Bama’s Sangati and Urmila Pawar’s Motherwit
Authors: Ibadur Rahman
Published: September 2023

The present research article aims to deal with the intricate interplay between gender and caste as articulated in two seminal literary works— Bama’s Sangati and Urmila Pawar’s Motherwit. It unpacks the manifold layers of marginalization and social exclusion faced by Dalit women in the Indian society, who often find themselves in the interstices, bearing the brunt of both caste and gender-based discrimination. Sangati’s narrative is centered on the collective experiences of Dalit women, weaving in the motifs of resistance and solidarity, whereas Motherwit employs autobiographical accounts to expose the primeval and structural violence inflicted upon the marginalized. Through a critical analysis of the characters, plotlines, and linguistic elements, the study elucidates how both texts subvert the dominant discourse and bring forth the voices that have long been silenced. It scrutinizes the narrative strategies employed by Bama and Urmila Pawar in portraying the complexities of Dalit women’s lives. The plights of Dalit women are not only appendages to their Dalit identity, but constitute a distinct space where caste and gender oppressions conflate. Furthermore, it discusses the empowering aspects of storytelling as a means of social critique and consciousness-raising. Through an intersectional lens, this paper underscores the need for acknowledging and addressing the unique challenges faced by Dalit women in their pursuit of social justice and emancipation.
Secular Philosophy of Peace in Shashi Tharoor’s Why I Am a Hindu
Authors: Dr. Mukesh Kumar Maurya
Published: September 2023

The research article elucidates and critically evaluates the prominent ideologies and perspectives articulated by Shashi Tharoor in his seminal book, Why I Am a Hindu He presents a cogent narrative on the diverse philosophical tenets of Hinduism, and accentuates their relevance in nurturing a secular and peaceful society. The crux of his exposition lies in the contention that Hinduism, as a religion, embodies pluralism, tolerance, and a non-dogmatic approach, which can be the catalysts for fostering peace in an increasingly polarized world. Not only in ancient era but also in modern scenario, here everyone is playing the “religious and communal card” to achieve the desired supremacy in society. Some innocent believers of religion believe that the condition of their religion is extremely in danger and there is an urgent need to be the revival and protection of it. In act of protection of their religious ethics, they can inter any extreme to be under the political umbrella. There are many literary minds who wrote against such religious extremist who crossed the boundary constitutional secularism. Tharoor’s adeptness in contrasting the philosophical underpinnings of Hinduism with the prevailing notions of religious chauvinism is emphasized, particularly in the Indian context. To him, the Hinduism began in the Indian subcontinent and spread other parts of the world through the migrants and immigrants. The central core of Hindu religion is that it respects every religion in tolerable limits. The novel is divided into three parts and each part of it well described the concept of Hinduism and Hindutva. It is all about tolerance and peace and not about supremacy to other religions. The article investigates the position of religious tolerance and tries to explore the challenge of radical extremism as a source of national disharmony that spares the opportunities of national unity. The focal point is the elucidation of how Tharoor propagates and transcends parochial boundaries. The article encapsulates an incisive exploration of the synthesis between ancient Hindu wisdom and modern secular values, and their collective potential in the establishment of a more inclusive and peaceful global society.
The Inevitable Hardship Journey of Women in Shashi Deshpande’s Small Remedies
Authors: Mr. T. Jeyas  , Dr. K. Balachandran
Published: September 2023

This article explores the poignant depiction of the hardships faced by women in Shashi Deshpande’s novel Small Remedies. Through an in-depth analysis of the characters, narrative, and plot, the researcher underscores how Deshpande skillfully exposes the societal structures that lead to gender inequality in Indian society. Each individual in the world has experienced some form of hardship. There are wounds which cannot be mended or forgotten. Majority of a girl’s life will be suffering, which will follow her around like a bad dream. When kids don’t get the love they need, they feel worthless and a lot of them end up drifting away from their families and becoming rebellious adults. In order to get what they want out of life, they need to be directed, motivated and encouraged both by family and society. Women learn to approach the world more cautiously as a result of their painful experiences. They crave for their parents’ attention and love while they are young. This study examines the impact of hardship and trauma on Savitribai and her daughter Munni in Shashi Deshpande’s Small Remedies. The degree to which the pain disrupts one’s life differs from person to person. The novelist consistently uses her characters to show the range of emotions that arise when living in a patriarchal society, including anguish, wrath, misery, disappointment and distress. Most of her protagonists are lonely introverts. This study emphasises the characters’ disappointments and the childhood trauma that has left an indelible mark on their adulthood. This paper ultimately sheds light on Deshpande’s narrative as a critique of patriarchal society, emphasizing the need for women’s emancipation and self-determination. It offers readers an interpretative lens to understand the novel's thematic richness, its representation of gender dynamics in a traditional Indian context, and its call for reformative societal change.
Issue of River and Dam in the Fiction of Arundhati Roy
Authors: Shyamal Ghosh  , Dr. N. K. Pandey
Published: September 2023

Arundhati Roy is not only an author but also a committed environmentalist and campaigner for human rights. She is widely credited with revitalising the effort to halt the enormous Narmada Dams project, in particular the construction of the Sardar Sarovar Dam. Besides writing, she has acquired a distinctive place in the mind of people as an activist.  Roy shows a propensity to explore environmental issues and the devastation of the ecosystem due to human avarice in her writings. The river has been the lifeline of our society and culture since ancient times, but in recent times it has lost its glorious past, it has become contaminated and in various cases, its natural flow has been obstructed because of dam construction by providing excuses of modernity and progress. The river water is an integral part of our daily lives, as we drink it, use river water in cultivation, wash our clothes in it, and cook with it. River is a means of livelihood to many. Aquatic organisms find their means of survival there. However, the river has suffered a lot as a result of human interference. In her novel, The God of Small Things, and The Ministry of Utmost Happiness, Arundhati Roy pens down the horrible condition of the river and unplanned dam construction. This paper uses the lens of river ecology to investigate the symbiotic interaction between humans and other species in river ecosystems.
The Question of Identity: An Analysis of Meena Kandasamy’s The Gypsy Goddess, and Urmila Pawar’s Motherwit
Authors: Ibadur Rahman
Published: September 2023

The present article explores the complex trap of identity as depicted in Meena Kandasamy’s The Gypsy Goddess and Urmila Pawar’s Motherwit. It aims to elucidate the multifaceted dimensions of identity, specifically focusing on social, cultural, and gender aspects within the confines of marginalised communities in postcolonial India. The Gypsy Goddess, Kandasamy’s poignant narrative, is centred around the 1968 Kilvenmani massacre of landless Dalit laborers, while Motherwit, Pawar’s candid autobiographical account, examines the trials and tribulations of Dalit women’s lives in Maharashtra. By juxtaposing these two works, the article seeks to investigate the interplay between collective historical narratives and individual lived experiences, and their implications on the formation of identity. The article explicates how Kandasamy’s novel employs a kaleidoscope of narrative techniques to articulate the voice of the oppressed, while Pawar’s work explores the intersectionality of caste and gender through her personal journey. This paper employs various theoretical frameworks, such as postcolonial theory, feminist theory, and subaltern studies, to unravel the nuances of the characters’ identity crises and quests for self-actualization amidst sociopolitical upheaval. Moreover, the article scrutinizes the role of memory and storytelling as pivotal components in the construction and preservation of identity. The juxtaposition of Kandasamy’s historical fiction with Pawar’s autobiographical narrative enables the reader to discern the ways in which individual and collective identities are continuously shaped and reshaped through the prism of historical events and personal experiences. The article aims at illuminating the intricate pathways through which identity is negotiated within marginalized communities, and asserts the significance of literature as a potent tool in amplifying marginalized voices and fostering a more inclusive understanding of human identity.
The Role of Women Characters in the Select Novels of Salman Rushdie
Authors: Ashutosh Kumar Yadav  , Prof. Sanjoy Saxena
Published: September 2023

Salman Rushdie, a postmodernist immigrant, is considered as one the greatest novelist of the 20th century. His apt use of magical realism, incorporates mythology, religion, history, fantasy, and humor into the real world. He narrates his life story and relates it to the national history of India. Rushdie uses the magical realist technique to deal about the postcolonial people of India, and various postcolonial issues. His writing focuses on India’s history, politics, and identity as seen through his narrators. There is a blending of fantasy and reality with his fantastical fiction. Salman Rushdie presents women as strong characters to break free from their oppressive roles through his works. He develops strong female characters who face life with great fortitude and strength rather than meek personality. This research article critically investigates the role of women characters in selected novels by the acclaimed author, Salman Rushdie. A corpus of three major works—Midnight’s Children, The Satanic Verses, and Shame—has been selected for detailed analysis. The study aims to illuminate the varying dimensions of women’s representation, their influence, and the evolution of their roles in these narratives, serving as mirrors to the sociopolitical realities of their time. The article applies a combined theoretical framework of feminist literary criticism and postcolonial discourse to unpack the intricate characterizations and their wider implications. Findings reveal that Rushdie’s women characters are often depicted as multi-dimensional, complex individuals who actively influence the plot and resist conforming to traditional roles. They embody strength, resilience, and liberation in the face of cultural, political, and religious adversities, breaking the mold of passive feminine stereotypes. Despite being enmeshed within patriarchal societal structures, these characters often subvert normative constraints, highlighting the intersection of gender, power, and resistance in Rushdie’s novels. Through the use of magical realism, Rushdie juxtaposes reality with the fantastical, further challenging conventional expectations of women in literature. Rushdie’s depiction of women provides significant insights into the complexities of postcolonial feminist identities, societal norms, and cultural heritage. His novels, while being grounded in their specific contexts, resonate on a universal scale, enriching the discourse around the representation of women in literature.