bluuebunny/crossref_metadata_2025 huggingface dataset:
Resgatando as coberturas vacinais: como um município paulista atingiu a meta da campanha da poliomielite
Authors: Messora Thereza Cristina de Carvalho , Sato Ana Paula Sayuri
Published: September 2024

Objetivo: Em um cenário de quedas de coberturas vacinais, faz-se necessário planejar estratégias locais de vacinação para evitar a reintrodução de doenças controladas ou eliminadas. O objetivo desse trabalho foi relatar a estratégia de vacinação realizada por um município paulista para atingir a meta de 95% de cobertura vacinal durante a campanha de vacinação contra a poliomielite. Métodos: Trata-se de um relato de experiência sobre a execução da campanha de vacinação contra a poliomielite no município de Louveira – SP no ano de 2022. O público-alvo selecionado para a ação foi a população residente, na faixa etária de um a quatro anos, que consiste em 3.061 crianças. Resultados: Foram vacinadas 2.522 crianças nas unidades básicas de saúde, 154 nas escolas e 240 na ação casa a casa, atingindo-se a meta de 95%. Considerando as ações extramuros, houve um incremento de 13,5% na cobertura vacinal. Observou-se que, mesmo com a ampliação do acesso à vacinação nas unidades básicas de saúde, muitas crianças foram vacinadas apenas durante estratégia de busca ativa. Não foi notificado nenhum caso suspeito de poliomielite pelos serviços de saúde. Conclusão: Deve-se traçar estratégias inovadoras para aumentar as coberturas vacinais, considerando potencialidades e fragilidades de cada território.
Penyuluhan Stunting: Upaya Promotif dalam Penurunan Angka Stunting pada Ibu Hamil di Desa Pabelan, Magelang
Authors: Cathrine Cindi Alfiana , M Anjun Nikmah Wakhidatul , Zachary Nabilla Vastusya , Khotimah Nur , Faisal Muhammad , Nurfadhylah Eky Yuliana , Syukur Mursalin Abd. , Kusuma Afifah Nidayati , Arjuniati Arjuniati , Rajabani Mesya Kahla , Alfian Danni , Izzati Etika Shovi Nur , Hayani Aida
Published: September 2024

Penanganan stunting memiliki signifikansi yang mendalam, mengingat potensinya untuk menghambat optimalisasi sumber daya manusia dan berhubungan langsung dengan tingkat kesehatan, bahkan dapat menyebabkan kematian anak. Oleh karena itu penelitian ini bertujuan untuk mengetahui cara yang dapat dilakukan untuk penurunan angka stunting di desa pabelan. Sampel yang digunakan adalah sebanyak 44 ibu hamil. Penelitian ini menggunakan jenis penelitian survey deskriptif dengan melakukan penyuluhan sebagai langkah yang dilakukan untuk menurunkan angka stunting di desa Pabelan. Hasilnya pelaksanaan penyuluhan stunting pada ibu hamil memiliki pengaruh yang signifikan terhadap pengetahuan ibu terkait cara mencegah stunting dapat dilihat dari  pemahaman ibu hamil setelah dilakukan penyuluhan terkait stunting 95% tergolong baik. Pelaksanaan penyuluhan stunting pada ibu hamil memiliki pengaruh yang signifikan terhadap pengetahuan ibu terkait cara mencegah stunting. Sikap dan perilaku ibu yang memiliki pengetahuan gizi kurang dapat mempengaruhi status gizi dan memilih makanan dengan gizi seimbang sehingga kejadian stunting dapat tercegah dan janin dalam kandungan tidak mengalami gangguan pertumbuhan yang dapat menyebabkan bayi lahir dengan Berat Badan Lahir Rendah (BBLR).
Analysis of Social Dynamics and Village Potential: Case Study in Pamriyan Village, Gemuh District, Kendal Regency
Authors: Jalaludin Galang
Published: September 2024

In social life, the attitude of wanting to be recognized and appreciated is a common thing.From this basic need to be recognized, a feeling is born which we often call prestige. These dynamics often result in complex patterns of competition and collaboration among different groups in society (Majhi et al., 2022). This study aims to analyze the social dynamics that occur in Pamriyan Village, Gemuh District, Kendal Regency. Pamriyan Village is a rural community that has experienced various social changes due to economic developments, technology, and government policies. This study uses a qualitative approach with a case study method to deeply understand social interactions, structural changes, and adaptation of village communities to the changes that occur. Data were collected through participant observation and document analysis. The results of the study indicate that social dynamics in Pamriyan Village are influenced by internal factors such as changes in mindset and social roles, as well as external factors such as modernization and development programs. This study provides insight into how rural communities adapt to change, as well as its implications for the social structure and relationships between residents in the village.
Das individuelle Entwicklungs- und Kompetenzprofil (EKP) für Kinder von 6-12 Jahren. Manual
Authors: Knauf Tassilo , Huber-Kramer Barbara
Published: September 2024

Je genauer und strukturierter Kinder beobachtet werden, desto erfolgreicher können sie in ihrer individuellen Entwicklung begleitet werden. Das Entwicklungs- und Kompetenzprofil (EKP) ist ein standardisiertes Instrument, das die gesamte geistige, körperliche, emotionale und soziale Entwicklung sowie die Persönlichkeit und das Kompetenzprofil des Kindes in den Blick nimmt. Ein erprobtes Verfahren, welches handhabbar und alltagstauglich ist und dabei die zeitlichen Ressourcen pädagogischer Fachkräfte und Lehrer:innen schont.
Resilienz erleben in der Kita
Authors: Wilmes-Mielenhausen Brigitte
Published: September 2024

Gerade in Zeiten der Krise und Unsicherheit brauchen Kinder Unterstützung darin, sich innerlich stark und selbstbewusst zu fühlen. Die hier enthaltenen Spiele machen Spaß, sind leicht umsetzbar und vielfältig. Ob bei "Geister und Jäger", "Prinzessin befreien", "Escape-Room" oder "Lob-Dusche" – hier werden die kindliche Selbstwahrnehmung, Selbstwirksamkeit, Problemlösefähigkeit, Selbstregulation, soziale Kompetenz und Stressverarbeitung gefördert.
Genderbewusste Pädagogik in der Kita
Authors: Focks Petra
Published: September 2024

Die vollständig überarbeitet Neuausgabe zum Thema Gender in der Kita: Nicht erst durch die Diskusssion um die Schulleistungen hat sich die Erkenntnis durchgesetzt, dass eine geschlechterbewusste Pädagogik notwendig ist, um Kinder in ihren individuellen Interessen, Fähigkeiten und in ihrer Vielfalt zu fördern und gleiche Chancen herzustellen. Petra Focks stellt die Erkenntnisse aus Theorie und Praxis geschlechterbewusster Pädagogik verständlich und praxisorientiert für den Alltag in der Kita dar. Es geht darum, eine eigene Haltung zu entwickeln und geschlechterbewusste Pädagogik umzusetzen.In allen Teilen des Buches gibt es Materialien für Studium, Fortbildung und Umsetzung in der eigenen Einrichtung. Mit vielen konkreten Übungen, Spielen und Materialien für die Umsetzung in die Praxis.
WaBe. Wahrnehmung kindlicher Bedürfnisse
Authors: Dreyer Rahel
Published: September 2024

Das Wohlbefinden junger Kinder ist Voraussetzung, dass sich Kinder auf die vielfältigen Bildungsimpulse in Einrichtungen einlassen und von ihnen profitieren können. Die Wahrnehmung kindlichen Wohlbefindens ist somit die Grundlage jeglicher pädagogischen Arbeit. Die Autorinnen stellen ein auf wissenschaftlichen Erkenntnissen und in der Praxis erprobtes Beobachtungsverfahren vor, das explizit das Wohlbefinden junger Kinder in den Blick nimmt.Es unterstützt pädagogische Fachkräfte in der Wahrnehmung und Förderung kindlichen Wohlbefindens. Dabei wird eine Verknüpfung praktischer Anfragen mit einer fundierten Rezeption der vorliegenden Theorie- und Forschungslage mit vielen Praxistipps, Beispielen und Handlungsempfehlungen ermöglicht.
Wenn nichts fehlt, wo Gott fehlt
Authors: Loffeld Jan
Published: September 2024

Dass der Mensch "unheilbar religiös" sei oder irgendwann die Frage nach Gott stellen wird, gehörte lange zu den unhinterfragten Voraussetzungen von Theologie und Pastoral. Empirische Daten melden jedoch Zweifel an diesen Gewissheiten an. Wenn man zulässt, dass es auch anders sein könnte, verschieben sich nicht nur theologische Gedankengebäude, auch die Koordinaten der Seelsorge verändern sich von Grund auf. Dann geht es nicht mehr allein um eine Optimierung pastoraler Vollzüge bzw. Strukturen, sondern um das Gestalten einer fundamentalen Transformation. Das Buch analysiert die Herausforderungen für das Christentum inmitten der weit verbreiteten religiösen Indifferenzen und zeigt Perspektiven für ein zukünftiges Christentum unter radikal veränderten Vorzeichen auf. Ein anregendes Buch für alle pastoral Engagierten und theologisch Interessierten, nah am Puls der Zeit und mit dem Mut, out of the box zu denken.
Nächstenliebe
Authors: Bartmann Peter
Published: September 2024

Die Nächstenliebe steht im Zentrum christlicher Ethik. Gleichzeitig reicht sie weit über die Grenzen des konfessionellen Christentums hinaus. Der Blick in die biblischen Texte zeigt, dass sie vor allem darin besteht, in Konflikten mit anderen Menschen nicht in Zorn, Hass, Verachtung zu versinken, sondern den anderen Menschen als gleichwertiges Gegenüber anzusehen und sich in ihn oder sie hineinzuversetzen. Die Verpflichtung zur Nächstenliebe hat über die intuitive Mitmenschlichkeit hinaus einen religiösen Grund: Wer sich im Gebet an den einen Gott wendet, der muss auch die anderen Menschen, die sich an diesen einen Gott wenden können, als gleichrangig anerkennen. Einfühlsam erschließt Peter Bartmann in diesem Buch den Sinn des biblischen Gebotes und bringt es in ein Gespräch mit unserer Zeit.
Philosophie und okkulte Wissenschaften in der islamischen Welt
Authors: Pielow Dorothee
Published: September 2024

What are the topics of the mysterious, occult sciences and how are they to be understood? These important questions were thoroughly discussed by renowned Muslim philosophers. This study shows how they dealt with the contents of occult teachings and, in a second step, examines the role of philosophy in a famous Arabic grimoire from the 4th/10th century. The monograph is addressed to all those who are interested in the history of the occult sciences in the Islamic world and beyond.
Sportdidaktik
Authors: Bräutigam Michael
Published: September 2024

Das Buch versteht sich als eine Einführung in die Sportdidaktik. Wer einen ersten Überblick über wichtige Fragen und Probleme des Schulsports gewinnen will, findet eine geordnete Zusammenstellung grundlegender Erkenntnisse und Einsichten. In der Hauptsache geht es darum, ein differenziertes Verständnis für die Aufgaben und Probleme des Sportlehrerberufs zu entfalten, die Analyse und Reflexion des pädagogischen Auftrags des Schulsports und seiner Ziele, Inhalte und Methoden anzubahnen, den theoretischen Grundstein für die Planung, Gestaltung, Durchführung und Auswertung des Sportunterrichts zu legen und die Stellung der Sportdidaktik als Arbeitsbereich innerhalb der Sportwissenschaft zu klären. Die vorliegende Einführung in die Sportdidaktik ist als Lehrbuch angelegt und vor allem für Studienanfänger geschrieben, die noch keine wissenschaftlichen Vorkenntnisse besitzen.
Kompetenzorientierter Sportunterricht
Authors: Baumberger Jürg
Published: September 2024

Im Zentrum steht die Frage, wie sich curriculare Vorgaben des Lehrplans 21 Bewegung und Sport mit möglichst geringen Transformationsverlusten in die Schule übertragen lassen. Es wird ein Konzept für die Einführung kompetenzorientierten Sportunterrichts entwickelt und evaluiert. Das Vorhaben leistet einen Beitrag zur Frage, inwiefern sich intendierte Wirkungen der Kompetenzorientierung auf der operativen Ebene widerspiegeln und welches die Gelingensfaktoren darstellen. Das qualitative methodische Vorgehen entspricht einem erlebenden und verstehenden Zugang zum Forschungsgegenstand. Dabei werden die Instrumente Interview und Unterrichtsbeobachtung eingesetzt. Die Auswertung der Daten erfolgt nach Grounded Theory und gestützt auf ethnografisch orientierte Videointeraktionsanalysen. Die Ergebnisse zeigen, dass der Lehrplan 21 Bewegung und Sport aus Sicht der Lehrpersonen hohe Akzeptanz erfährt. Die inhaltsoffenen Beschreibungen der Kompetenzen bieten einerseits Spielraum für individuelle inhaltliche Ausgestaltung; andererseits werden sie allerdings zur Belastung, wenn entsprechendes Unterrichtsmaterial fehlt. Die aus den Ergebnissen abgeleiteten Folgerungen liefern wichtige Anhaltspunkte für die Diskussion, wie sich kompetenzorientierter Sportunterricht professionell umsetzen lässt.
Design of Quality of Experience-based Green Internet Architecture for Smart City
Authors: Raman Dr. Arasu , Balakrishnan Dr. Rajani , Arokiasamy Dr. Anantha Raj , Pant Dr. Manu , Sukirthanandan Dr. Priya
Published: September 2024

In Smart City (SC), things can connect with humans intelligently through the Internet of Things (IoT). IoT and ecological sensors will enable the detection of pollutants, contributing to developing environmentally friendly SC. Green Internet Architecture (GIA) in SC ensures the long-term viability of friendly spaces by enabling autonomous and intelligent sustainability practices through collaboration. Governments and organizations worldwide are promoting the significance of reducing energy usage and carbon emissions while highlighting the relevance of using GIA in SC. Several SC layouts connected to the IoT have previously been proposed in the literature. However, this study introduces the "Green Internet" notion of providing a friendly setting that focuses on conserving energy in SC. This research presents a suggested design for a GIA in SC. The main objective is to minimize energy usage at every level and ensure the implementation of IoT in a friendly manner. The suggested GIA is founded on a cloud-based system that diminishes hardware usage with Blockchain technology.
Portraying Charisma
Authors: Cusack Carole M. ,   Academic Publishing
Published: September 2024

George Ivanovich Gurdjieff (c. 1866–1949) was an esotericist and spiritual teacher whose charisma and authority were recognised and celebrated by his pupils. He attained a measure of fame during his life, and after his death in 1949 several pupils published memoirs that contained literary portraits of their teacher, making it possible for seekers who had never met Gurdjieff to experience his charisma. Over time, fictional portraits of Gurdjieff were created by novelists, playwrights, and authors of short stories, ranging from deferential and ennobling (Peter Neagoe’s The Saint of Montparnasse), to humorous and mocking (Leonora Carrington’s The Hearing Trumpet). The majority of novels featuring Gurdjieff were written during or close to his lifetime, by people who had first-hand knowledge of his teachings, or of his direct pupils. Few of these fictions garnered large readerships, yet they are interesting as they reflect the cultural context in which Gurdjieff lived and taught, and are attempts to transmit, however faultily, those qualities that made him a ‘remarkable man’ in textual form. This article examines several fictional portraits of Gurdjieff, focusing on his image as a ‘remarkable man,’ and his impact on the characters and plots, which authors crafted as evidence of his transformative power.
Recomendaciones de la sociedad chilena de reumatología (SOCHIRE) para el tratamiento de la artritis reumatoide en pacientes adultos
Authors: Goecke S. Annelise , Stange N. Lilith , Maluje B. Viviana
Published: September 2024

N/A
Tuberculosis cutánea en paciente con un lupus eritematoso sistémico activo
Authors: Braun Walder María Jesús , Contreras Meléndez Luis , Espinoza Villegas Francisco
Published: September 2024

El compromiso pulmonar de la tuberculosis es ampliamente conocido, no obstante, la ocurrencia de otras manifestaciones, sobretodo en el grupo de pacientes inmunosuprimidos, es posible. El eritema indurado de Bazin corresponde a un tipo infrecuente de tuberculosis cutánea, que ocurre más comúnmente en mujeres, manifestándose como nódulos subcutáneos indurados eritematosos de curso crónico en extremidades inferiores. Esta presentación clínica es causada por una reacción de hipersensibilidad al Myco­bacterium Tuberculosis. A continuación, presentamos el caso de una mujer con un lupus eritematoso sistèmico activo bajo terapia inmunosupresora, que desarrolló un eritema indurado de Bazin.
The Implication of Social Media on Online Purchasing Behavior in Bangladesh: An Empirical Study Focusing University Students
Authors:   Jagannath University, Jewel Mahathy Hasan , Amin Md. Al ,   Jagannath University, Akter Tamanna ,   Hamdard University Bangladesh
Published: September 2024

Purpose: The study aimed to investigate the implication of social media networks on online purchasing behavior, specifically focusing on consumer patronage, decision-making processes, and purchase intentions. Methodology: This study utilized convenience sampling as a form of non-probability sampling. This investigation utilized a quantitative research design and gathered data from 200 University students using a structured questionnaire. Structural Equation Modeling (SEM) techniques with SMART PLS-4.0 were used to test hypotheses. Findings: According to the research, social media networks significantly impact the purchasing habits of internet users, influencing the decision-making process, purchase inclinations and store brand patronage. Consumers, as a result, take into consideration social media platforms like Facebook and Twitter etc. while making purchases from online retailers. Practical Implications: This study's findings will streamline the e-commerce industry by attracting more e-commerce customers, especially the young generation. This study will assist internet marketing practitioners in creating campaigns that take into account social media networks and customer purchasing behavior. Value: This study examined online purchasing behavior in three contexts: customer patronage, decision-making process, and purchase intentions, to provide a comprehensive understanding of the online buying landscape inside the realm of social media. Limitations: This survey focused solely on university students in Dhaka city, implying that students from other cities may hold divergent opinions. This study employed convenience sampling, which is less accurate than probability sampling in order to prevent sample biases.
Taxonomic revision of the genus Elmomorphus Sharp, 1888. II. Redescription of the genus and review of the species from India, Nepal, Bhutan, Myanmar, China, Thailand, Laos, Cambodia, and Vietnam (Coleoptera: Dryopidae)
Authors: Selnekovič Dávid , Jäch Manfred A. , Kodada Ján
Published: September 2024

The genus Elmomorphus Sharp, 1888 is redescribed based on morphological characters. Elmomorphus bryanti Hinton, 1935, E. montanus (Grouvelle, 1913), E. prosternalis Hinton, 1935, and E. striatellus Delève, 1968 are redescribed based on type material. Elmomorphus nepalensis Satô, 1981 is redescribed based on material collected in the vicinity of the type locality. Eighteen species of Elmomorphus were known so far world-wide, and only five species have been recorded from the study area (India, Nepal, Bhutan, Myanmar, China, Thailand, Laos, Cambodia, and Vietnam). In the present revision, 45 new species are described: E. auratus sp. nov. (China), E. auripilosus sp. nov. (Vietnam), E. bispinosus sp. nov. (China), E. calvus sp. nov. (China, Vietnam), E. catenatus sp. nov. (China), E. comosiclunis sp. nov. (China), E. corpulentus sp. nov. (China), E. cuneatus sp. nov. (Thailand), E. curvipes sp. nov. (China, Vietnam), E. dentipes Kodada, Selnekovič & Jäch sp. nov. (China, Laos, Myanmar, Thailand, Vietnam), E. depressus sp. nov. (China), E. donatus Kodada, Selnekovič & Jäch sp. nov. (China, Vietnam), E. ellipticus sp. nov. (China), E. elmoides sp. nov. (Vietnam), E. fusiformis sp. nov. (China), E. glabriclunis sp. nov. (China), E. globosus sp. nov. (China), E. hamatus sp. nov. (China), E. hongkong sp. nov. (China), E. horaki Kodada, Selnekovič & Jäch sp. nov. (Cambodia, Myanmar, Thailand), E. jendeki Kodada, Selnekovič & Jäch sp. nov. (Vietnam), E. jii sp. nov. (China), E. longitarsis sp. nov. (Thailand), E. mazzoldii sp. nov. (Thailand), E. minutus sp. nov. (China), E. oblongus sp. nov. (Vietnam), E. ovalis Kodada, Selnekovič & Jäch sp. nov. (China), E. parabrevicornis sp. nov. (China), E. paradonatus Kodada, Selnekovič & Jäch sp. nov. (China), E. paramontanus Kodada, Selnekovič & Jäch sp. nov. (China, Laos, Malaysia, Myanmar, Thailand, Vietnam), E. parvulus sp. nov. (Thailand), E. punctulatus sp. nov. (China), E. reticulatus sp. nov. (China), E. sausai Kodada, Selnekovič & Jäch sp. nov. (Vietnam), E. schillhammeri sp. nov. (China), E. schoenmanni sp. nov. (China), E. siamensis Kodada, Selnekovič & Jäch sp. nov. (Cambodia, Laos, Myanmar, Thailand, Vietnam), E. similis sp. nov. (China, Laos, Vietnam), E. simplex sp. nov. (China), E. simplipes sp. nov. (Vietnam), E. superficialis sp. nov. (China), E. sulcatus sp. nov. (China), E. umphangicus Kodada, Selnekovič & Jäch sp. nov. (Thailand), E. vietnamensis sp. nov. (Vietnam), and E. yunnanensis Kodada, Selnekovič & Jäch sp. nov. (China). The genus Elmomorphus is recorded for the first time from Bhutan, Cambodia, Myanmar, and Laos. In China (31 spp. from Anhui, Fujian, Guangdong, Guangxi, Guizhou, Hainan, Hong Kong, Hubei, Hunan, Jiangxi, Shaanxi, Yunnan, Zhejiang) and Vietnam (16 spp.), this genus is especially diverse.
Prospects for Investigative Reporting in Private Media Organization in Nigeria: A Case Study of Unity FM and Al’barka Radio
Authors: Abdullahi Shehu Abdulkadir , Olanase Sarah Oluwadamilola
Published: September 2024

This research work was conducted in order to determine the Prospects for Investigative Reporting in Private Media outlets in Bauchi and Jos. The objective of the study was to find out whether the two private radio stations (Unity FM, Albarka Radio) in Jos and Bauchi do practice Investigative Journalism. A qualitative, cross-sectional survey was employed for the study. In-depth interview was used as means of data collection from a purposively sample of six radio journalists, consisting of two editor and four reporters. Following from the social responsibility and surveillance theoretical discourse, findings revealed that both the radio stations in Jos and Bauchi do practice Investigative Journalism and are also training young minds on the beat. This research work recommends that the practical aspect of the course should receive more attention than the theoretical part in tertiary institutions, there should be constant training, retraining and retraining staff in each media organization and also adequate budgets of funds should be put into considerations by the management of any media organization.
Sağlık Hizmetleri Yönetiminde Hemşire Yöneticilerin Liderlik Davranışlarının Önemi
Authors: Bilgen Funda Gül
Published: September 2024

Dünya çapında, sağlığın iyileştirilmesine yönelik sağlık hizmetlerinin yönetimini anlama açısından eski paradigmalar giderek geçerliliğini yitiriyor olup yeni fikirler, yeni bakış açıları ve yaklaşımlar hayata geçiriliyor. Bu değişim doğrultusunda en iyi hizmeti verebilmek için sağlık liderlerinin yenilikçi düşünme, çözüm odaklı etik davranış ve yaşa uygun liderlik tarzı geliştirmeleri gerekmektedir. Sağlık ekibi içerisinde çalışan her bir üyenin varlığı çok önemlidir. Bu nedenle sağlık hizmetleri içerisinde hemşirelik mesleğinin geleceği kucaklayabilmesi için bilimselleşme sürecinde postmodern ve çağdaş düşünceleri mesleğine uyarlaması gerekmektedir. Hemşirelik, kendine özgü uzmanlık alanları ve pratiğe dayalı uygulamalara sahip, araştırma ve sorgulamayı ön planda tutan bir meslek dalıdır. Hemşireler, hastaların tedavi ve bakımına ilişkin ortaya çıkan problemleri çözmek için planlar oluşturur, bu planları uygular ve sonuçlarını değerlendirirler. Mesleki rolleri gereği, toplum içinde çeşitli gruplara rehberlik ederken, sağlık hizmetlerinin kalitesini artırmak adına önemli görevler üstlenirler. Örgüt içerisinde personeli, hasta bakımını ve organizasyonları olumlu yönde etkileyebilmeleri için hemşire liderlerinin işyerinde başarılı olmaları çok önemlidir. Hemşirelik mesleğinde hemşirelik hizmetlerinin kalitesinin artmasında yönetici hemşirelerin astlarına karşı sergiledikleri liderlik özellikleri oldukça önem arz etmektedir.  Bu nedenle çalışma hemşire yöneticilerinin liderlik algı ve davranışlarının araştırılması amacıyla derleme türünde gerçekleştirilmiştir.
Ophthalmic Complications in Inflammatory Bowel Disease
Authors: Bélair Marie-Lyne , Esposito Evangelina
Published: September 2024

The prevalence of inflammatory bowel disease (IBD), estimated at 843 per 100,000 people (95% PI 828-859) (i.e., 0.843% of the population) in 2023 is increasing in Canada and is expected to reach 1.1% of the Canadian population by 2035. Consequently, extraintestinal manifestations and complications will also increase. Up to 50% of patients suffering from IBD will develop an extraintestinal manifestation (EIM) during the course of their disease, patients with Crohn’s disease (CD) being more often affected then those with ulcerative colitis (UC). Ocular manifestations are the third most common EIM after articular and dermatological involvements. Ocular complaints in patients with IBD can represent an EIM, a complication of systemic treatment or an unrelated affection. All patients presenting with a red eye, light sensitivity, loss of vision or any acute ocular symptom(s) should be promptly evaluated by an eye specialist. Early detection of ophthalmologic diseases and appropriate management require collaboration between specialists and are of utmost importance to avoid permanent visual loss. 
The most common ocular manifestations reported in IBD patients are episcleritis (2-5%) and anterior uveitis (0.5-3.5%). Other less common manifestations include scleritis, intermediate and posterior uveitis, retinal vasculitis, retinal vascular occlusions, orbital inflammatory syndrome, and optic neuritis. Ocular manifestations can also be associated with malabsorption syndromes encountered in some patients with IBD. Secondary vitamin A deficiency can result in night blindness and keratoconjunctivitis sicca.
Inteligência artificial aplicada à saúde: Qualidade na busca de diagnóstico
Authors: Vazquez Fabio José Buchedid
Published: September 2024

Este estudo investiga a aplicação da Inteligência Artificial (IA) na área da saúde, com foco na melhoria da qualidade dos diagnósticos médicos por meio da análise de imagens. Utilizando a doença de Alzheimer como estudo de caso, a pesquisa explora o funcionamento dos algoritmos de autoaprendizagem e propõe uma solução alternativa para auxiliar o diagnóstico médico. Métodos de data mining e deep learning foram empregados para melhorar a precisão diagnóstica, especialmente em casos simples. Redes neurais convolucionais (CNN) foram utilizadas na análise de imagens médicas, como ressonâncias magnéticas e raios-X, destacando o papel do aprendizado profundo em diagnósticos mais precisos e na previsão da saúde futura dos pacientes. Os resultados indicam que a IA tem um grande potencial para apoiar e, em alguns casos, substituir o diagnóstico médico em situações menos complexas, enquanto, para diagnósticos mais complexos, algoritmos mais robustos são necessários. No entanto, para que essa integração da IA na medicina se torne realidade, é fundamental o investimento em infraestrutura, desenvolvimento de tecnologia e educação. Além disso, a proteção da propriedade intelectual das novas inovações deve ser garantida. Conclui-se que a IA não substituirá os médicos, mas complementará suas atividades, potencializando o poder de diagnóstico ao combinar a capacidade humana de tomar decisões com a capacidade da IA de analisar grandes quantidades de dados. O equilíbrio entre humanos e máquinas é essencial para um futuro promissor na medicina diagnóstica.
Strategi Komunikasi Customer Service Dalam Meningkatkan Pelayanan Prima PT Omega Media Global
Authors: Van Basten Johannes
Published: September 2024

Selama beberapa tahun terakhir, industri layanan pelanggan telah menjadi fokus utama perusahaan dalam upaya mempertahankan dan meningkatkan kepuasan pelanggan. PT Omega Media Global merupakan perusahaan penyedia jasa dibidang pemasangan Internet Service Provider (ISP). Perusahaan dengan brand Bnetfit telah berhasil menarik lebih dari 94.000 pengguna aktif berlangganan layanan internetnya. Namun, seperti bisnis lainnya, perusahaan juga menghadapi berbagai tantangan dalam menjalankan operasional mereka seperti hambatan dalam melayani keluhan pelanggan secara online. Tujuan dari penelitian ini yaitu untuk mengetahui strategi pelayanan yang dilakukan dan hambatan yang dihadapi customer service dalam melayani keluhan pelanggan secara online. Metode yang digunakan dalam menjawab tujuan penelitian yaitu dengan pendekatan deskriptif kualitatif. Pengambilan data dilakukan dengan cara observasi, wawancara dan dokumentasi. Berdasarkan hasil dan temuan dari penelitian ini bahwa strategi yang digunakan PT Omega Media Global dalam memberikan pelayanan keluhan pelanggan secara online yaitu pelayanan berkesinambungan, pelayanan prima dan penanganan keluhan efektif dan efisien. Sedangan hambatan yang dialami oleh customer service dibagi menjadi dua kategori yaitu hambatan internal meliputi ketergantungan dengan aplikasi dan sistem pada aplikasi, sedangkan hambatan eksternal yaitu tingkat pendidikan dan umur pelanggan yang berbeda-beda serta dual sistem pelayanan via chat dan telepon oleh pelanggan.
Peningkatan Ekowisata Berkelanjutan di Kota Pekalongan: Analisis Jumlah Pengunjung dan Dampak Ekonomi (Studi Kasus Museum Batik Pekalongan)
Authors: Risqi Harywibowo Muhammad
Published: September 2024

Penelitian ini menganalisis peningkatan jumlah pengunjung dan dampak ekonomi Museum Batik Pekalongan dalam konteks ekowisata berkelanjutan. Museum Batik Pekalongan, yang diresmikan pada tahun 2006, telah menjadi salah satu destinasi ekowisata penting di Kota Pekalongan. Berdasarkan data dari BPS Kota Pekalongan (2023), jumlah pengunjung wisatawan nusantara meningkat dari 6.193 pada tahun 2021 menjadi 40.697 pada tahun 2023. Peningkatan ini memberikan dampak ekonomi signifikan bagi kota, termasuk pendapatan asli daerah (PAD) sebesar Rp180 juta pada tahun 2023, melampaui target Rp103 juta. Penelitian ini menggunakan metodologi kualitatif dengan pendekatan studi kasus, menganalisis data dari wawancara, literatur, dan sumber sekunder. Hasil penelitian menunjukkan bahwa peningkatan jumlah pengunjung disebabkan oleh program edukasi dan promosi yang efektif, serta keterlibatan masyarakat lokal. Dampak ekonomi terlihat dari perkembangan kawasan sekitar museum dan peningkatan aktivitas ekonomi lokal. Museum Batik Pekalongan berkomitmen untuk terus meningkatkan ekowisata berkelanjutan melalui pemeliharaan gedung, inovasi digital, dan pengembangan sumber daya manusia. Dengan strategi ini, museum diharapkan dapat terus berkontribusi pada ekonomi lokal dan mempromosikan pelestarian budaya.
Avaliação da cultura de segurança do paciente em um hospital geral
Authors: Moraes Marcio Venicio Alcantara de , Carvalho Rhanna Emanuela Fontenele Lima de , Avelino Fernanda Valéria Silva Dantas
Published: September 2024

Objective: to assess patient safety culture (PSC) from the perspective of the multidisciplinary team working at a general hospital. Method: this a cross-sectional study with a quantitative approach, based on the application of the Brazilian electronic version of the Hospital Survey on Patient Safety Culture from the Agency for Healthcare Research and Quality. Data collection took place in August 2022 through E-questionário de PSC. Results: a total of 236 nursing professionals, doctors and multidisciplinary teams responded to the questionnaire. Of the 12 PSC dimensions assessed, seven stood out with percentages between 63.3% and 95%, considered strong, one with 50% positivity, indicating a growing dimension, and four with lower percentages, with 50% of positive answers identified as weak areas. Conclusion: it was possible to assess PSC in the hospital environment and perceive the strong, weak and growing dimensions. Progressing in this practice is challenging for teams looking for a reliable organization.
Contribuições da auriculoterapia à saúde de profissionais de enfermagem de unidades perioperatórias: estudo qualitativo
Authors: Munhoz Oclaris Lopes , Morais Bruna Xavier , Luz Emanuelli Mancio Ferreira da , Uminski Júlia de Carvalho , Ilha Silomar , Magnago Tânia Solange Bosi de Souza
Published: September 2024

Objetivo: analisar as contribuições da auriculoterapia à saúde de profissionais de enfermagem de unidades de perioperatório. Método: estudo exploratório, descritivo, desenvolvido com oito profissionais de enfermagem de unidades de perioperatório de um hospital de ensino da região central do Rio Grande do Sul. Dados coletados com entrevista semiestruturada. Aplicou-se análise textual discursiva. Resultados: construiu-se categoria central: repercussões da auriculoterapia para profissionais de enfermagem perioperatória; ela foi unitarizada em uma unidade de base e três categorias de análise. Conclusão: a auriculoterapia demonstrou-se uma prática benéfica para a saúde dos profissionais de enfermagem perioperatória, ao passo que auxiliou no alívio de sintomas como ansiedade, estresse, cansaço, irritabilidade, bruxismo e desconfortos gastrintestinais, bem como proporcionou melhora do sono, do relacionamento interpessoal com familiares e equipe de trabalho, na redução do uso de tabaco e na perda de peso. Esta pesquisa revela a auriculoterapia como prática promissora à saúde do trabalhador de enfermagem perioperatória.
Associação do clima ético e variáveis laborais entre enfermeiros hospitalares
Authors: Lanes Taís Carpes , Schutz Thaís Costa , Pompeu Kelen da Costa , Pereira Liliane Alves , Morais Felipe Santos de , Dalmolin Graziele de Lima
Published: September 2024

Objetivo: verificar a associação entre o clima ético e as variáveis laborais entre enfermeiros hospitalares. Método: estudo transversal com enfermeiros de um hospital universitário do Rio Grande do Sul, Brasil. Utilizou-se para coleta um questionário laboral e o Hospital Ethical Climate Survey-Versão Brasileira. Empregou-se estatística descritiva e analítica. Resultados: participaram do estudo 269 enfermeiros. Dentre as variáveis sóciolaborais, escolaridade, setor de trabalho, turno de trabalho, o cargo de chefia, satisfação no setor de trabalho, afastamento do trabalho, intenção de deixar o emprego e intenção de deixar a enfermagem estiveram associados a um ou mais fatores da escala de clima ético, isto é, pares, pacientes, gerentes, hospital e médicos, e ainda a uma variável de clima ético geral. Conclusão: o clima ético está associado a variáveis de formação, condições de trabalho, satisfação e intenção de deixar o trabalho, o que remete à necessidade de se investir em ambientes saudáveis de trabalho.
Pengaruh Stress Kerja, Kompensasi Dan Kepuasan Kerja Terhadap Kinerja Dokter
Authors: Tresia Sofia
Published: September 2024

Kinerja yang menjadi fokus utama dalam mengelola sumber daya manusia oleh perusahaan dalam hal ini rumah sakit berusaha untuk itu mendorong kinerja untuk mencapai tingkat terbaik sehingga rumah sakit mencapai tujuan yang telah ditetapkan dalam rencana strategis. Tujuan penelitian adalah untuk menganalisis pengaruh stress kerja, kompensasi dan kepuasan kerja terhadap kineraj. Model yang digunakan untuk menguji penerimaan teknologi adalah teori Quality of work. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian explanatoris causalitas. Tenik pengambilan data dengan kuesioner dan diuji menggunakan regresi berganda. Berdasarkan hasil penelitian diatas dapat dirangkum bahwa temuan pada penelitian ini adalah sejalan dengan teori Quality of work dengan variabel stress kerja, kompensasi dan kepuasan kerja terhadap kinerja baik secara simultan. Selain itu, secara parsial stress kerja dan kompensasi tidak berpengaruh terhadap kinerja. Penelitian ini membantu manajemen rumah sakit dalam mengembangkan sistem untuk meningkatkan kualitas sumber daya manusia khususnya dokter dalam kesehatan mental seperti halnya regulasi sehingga dapat meningkatkan kualitas kerja dokter itu sendiri dan mereduksi tingkat sress dalam bekerja
PERBANDINGAN HUKUM ISLAM DAN POSITIF DALAM PENETAPAN NAFKAH PASCA CERAI
Authors: Syafi'i Alfan , Febriyanti Tisya
Published: September 2024

In determining the nominal post-divorce living, there was disagreement between the applicant and the respondent. So, the judge decides using his considerations in deciding the case. This research aims to determine the considerations of the Kuningan Religious Court judges in deciding case no. 0119/Pdt.G/2020/PA.Kng concerning the nominal amount of living as a result of divorce due to a disagreement between the applicant and the respondent and to analyze the conformity of the Kuningan Religious Court judge in deciding case No. 0119/Pdt.G/2020/PA.Kng regarding the nominal amount of living as a result of divorce due to a disagreement between the applicant and the respondent. The research method used by researchers is qualitative research using this type of data, namely data obtained from field research (field research). Then the data collection technique is by conducting interviews and documentation. Based on the research that has been carried out, it can be concluded that the considerations that the judge used in deciding case No.0119/Pdt.G/2020/PA.Kng were by looking at the ability, feasibility and claim. Moreover, the view of Islamic law and the law of positive considerations that judges use in deciding case No. 0119/Pdt.G/PA.Kng is in accordance with Islamic law and applicable positive law, as explained in the Al-Qur'an and the Compilation of Islamic Law (KHI). There are similarities between the basis of Islamic law and the basis of positive law used by judges, which have been explained in terms of both legal bases.
The Multisystem Impact of Pseudoxanthoma Elasticum (PXE): Systemic Manifestations, Multidisciplinary Management, and Diagnostic and Therapeutic Advances
Authors: Kerna Nicholas A. , Holets Hilary M. , Azi Cornelius I. , Flores John V. , Pruitt Kevin D. , Carsrud N.D. Victor , Ngwu Dabeluchi C. , Khan Maria , DelGiodice Michael J. , McKee Devin , Nwokorie Uzoamaka , Saini Sawanjit , Egli Anna , Samuel Opara Uchechi , Jomsky Breanna M.
Published: September 2024

The review discusses pseudoxanthoma elasticum (PXE) as a multisystem disorder with diverse manifestations across dermatological, ophthalmological, and cardiovascular systems. It covers the primary dermatological signs, such as yellowish papular lesions and altered skin texture, typically in flexural areas. The review also addresses ophthalmological issues, like angioid streaks and progressive vision loss, and cardiovascular effects, including arterial calcification, hypertension, increased risk of aneurysms, and peripheral arterial disease. Also, the review mentions less common symptoms involving the gastrointestinal, pulmonary, and urological systems. It examines how systemic calcification leads to gastrointestinal problems, impacts lung function, and potentially affects the urinary tract. The diagnostic approach is outlined, encompassing patient history, imaging, blood tests, genetic analysis, and skin biopsies, with supplementary diagnostic tools for gastrointestinal, pulmonary, and urological assessments. The review emphasizes the benefits of a multidisciplinary management strategy, noting how various specialties address skin, eye, cardiovascular issues, and other specific complications. It presents emerging technologies like artificial intelligence (AI) and health informatics for improved diagnosis and personalized treatment. The review also covers advances in toxicology, environmental medicine, and gene therapy, focusing on how these fields contribute to targeted and individualized treatment strategy development.
Towards Inclusive Democracy: Reforming Nepal's Electoral System for Fair Representation and Governance
Authors: Guragain Govinda Prasad , Pokharel Saroj , Adhikari Bhawani Shankar
Published: September 2024

The purpose of this research paper is to examine various electoral systems used worldwide and to determine the most suitable electoral system for Nepal as it transitions into a federal system. It aims to explore inclusive democracy and the electoral practices observed in contemporary politics and Constituent Assembly (CA) polls. The discussion centers on the challenges faced in Nepal's political landscape, particularly focusing on the First-Past-The-Post (FPTP) and List Proportional Representation (List PR) systems utilized in the CA elections of 2008 and 2013. The paper evaluates the merits and drawbacks of different electoral systems implemented globally, providing insights into selecting an appropriate system for Nepal. It also analyzes the outcomes of the 2008 CA elections and proposes reforms for enhancing the fairness and inclusivity of the FPTP and List PR systems, or potentially adopting a Parallel Mixed System or another electoral framework that better aligns with Nepal's context and aspirations for proportional representation.
Mechanism of the Masamune-Bergman reaction. Part 3: The transition state for Calicheamicin models.
Authors: Rzepa Henry
Published: September 2024

Calicheamicin was noted in the previous post as a natural product with antitumour properties and having many weird structural features such as  an unusual “enedidyne” motif. The representation is shown below. A partial structure shown below for Calicheamicin replaces the -(CH

2

)4- substructure with a four carbon chain that includes two sp

2

centres instead of two sp

3

centres.
Right to Deduct – Is the Right Absolute?
Authors: Dale S.
Published: September 2024

The author, in this article, focuses on the EU VAT system and reflects upon a number of recent court cases, to try and determine to what extent the right to deduct VAT is “an absolute right” and the role of the Court of Justice of the European Union in reiterating the fundamental principle of the neutrality of the EU VAT system by ensuring the deduction in full of eligible input VAT, as regards businesses. Whilst the focus of this article is on the EU VAT system, inevitably the principles discussed, and their application, will pertain to any country operating a VAT system similar to the European Union’s.
Memory-based thermoelastic modelling of an annular disc under heating and cooling processes
Authors: Lamba Navneet Kumar , Varhadpande Indrajeet , Murty VRK
Published: September 2024

The goal of this effort is to determine the interaction among the heating and cooling processes in order to understand how solids behave when subjected to temperature changes. In this instance, the temperature, displacement, and stress relations are determined analytically and numerically while a thin annular disc is subjected to both the heating and cooling processes. The ability of a material to withstand stress is essential for the design of diverse mechanical structures that aim to enhance performance, durability, characteristics, and strength. This ability is demonstrated in many physical processes where the material structure crosses over into heating and cooling processes. Furthermore, memory derivatives used in the modelling of heat transfer equations more accurately depict the memory behaviour of an imagined disc and explain its physical significance.
Pengaruh Promosi Klinik Lelaki Terhadap Antusias Masyarakat Untuk Melakukan Pemeriksaan Kesehatan
Authors: Soejoto Nina
Published: September 2024

Promotion is one part of a series of marketing activities for a good/service. Promotion is not only a communication tool between companies and consumers, but is also a tool to influence consumers in purchasing activities or using services according to their desires and needs. This research aims to determine the influence of men's clinic promotions on people's enthusiasm for carrying out health checks. The research method used is a qualitative method with unpatterned research. Because it is patterned, you can use this design to help in research. From the research results, it can be concluded that the current health problem in Indonesia is that millennials still have low awareness about using social media as a health promotion tool. The author gives a suggestion that in the future it is hoped that in the future the clinic will further increase the promotions that have been carried out so that the public is more aware of men's clinics and the public is more aware of the dangers of male reproductive health and how to overcome them.
Analisis Penanganan Polip Nasal di RSUD Labuang Baji
Authors: Alfrida Alfrida
Published: September 2024

Nasal polyps are a chronic inflammatory disease of the mucous membranes of the nose and paranasal sinuses. The shape of the polyp can be round or oval with a smooth surface and a translucent color like jelly. Even though these nasal polyps have been discovered for a long time, until now the causal factors and pathogenesis are not known for certain. Several factors that are thought to play a role include allergies, chronic inflammation, vasomotor imbalance, and changes in polysaccharides. In this research the researcher used a descriptive research strategy. Namely research that attempts to describe phenomena that occur realistically, real and contemporary. The results of the research show that polyps can appear in both male and female sufferers, from children to old age. If there are polyps in children under 2 years of age, the possibility of meningocele or meningoencephalocele must be ruled out. Epidemiological studies show that the ratio of men to women is 2-3: 1 with a prevalence of 0.2%-4.3%.
Penerapan Perilaku Hidup Bersih Dan Sehat Rumah Tangga di Wilayah Kerja Puskesmas Pattalassang Desa Borongpa’la’la Kabupaten Gowa
Authors: Ilyas Muhammad , Syafar Muhammad , Azis Rahmawati , Nurambiya Nurambiya
Published: September 2024

This research aims to analyze the implementation of Clean and Healthy Living Behavior (PHBS) in households in the work area of ​​the Patalassang Community Health Center, Gowa Regency. This research aims to examine the encouraging and inhibiting factors for household PHBS implementation.Qualitative research methods using sentiment analysis research methods and assisted by data analysis software called MAXQDA were used to explore the driving and inhibiting factors in implementing PHBS through in-depth interviews, focus group discussions and observations. The research results show that adequate knowledge about PHBS, social support, both from family, community health centers and the government, as well as educational programs run by community health centers are the main driving factors. On the other hand, lack of knowledge, low personal awareness, and limited facilities such as sanitation, clean water and proper toilets are significant obstacles in implementing PHBS. The conclusions of this research emphasize the importance of increasing health education, strengthening social support, providing adequate sanitation facilities, and increasing individual awareness and motivation to achieve optimal PHBS implementation. With an integrated and collaborative approach, it is hoped that the implementation of PHBS in households in the Patalassang Community Health Center working area can continue to be improved, thus contributing to improving the overall quality of community health.
Edukasi Dan Konseling Terhadap Tingkat Stres Pada Ibu Hamil Dalam Menghadapi Persalinan
Authors: Manuntungi Andi Ernawati , Musdalifah Musdalifah , Rabuana Susi , Thalib Kiki Uniatri
Published: September 2024

Anxiety is a feeling of fear that is unclear and not supported by the situation. Individuals who feel anxious will feel uncomfortable or afraid, but do not know the reason why this condition occurs. The aim of community service activities is to educate pregnant women who are anxious about the normal delivery process and to be able to increase the level of knowledge and skills of pregnant women as an effort to improve health during pregnancy. The method used in this community service activity is to carry out community service activities by providing material starting with a pre-test and post-test. These results indicate that there are differences in the level of knowledge before and after mentoring activities. Cadre optimization activities in pregnant women's classes are quite effective in increasing the level of knowledge as an effort to improve health during pregnancy. The conclusion is that this community service activity is to assist pregnant women who experience stress and anxiety in facing childbirth continuously and sustainably, to accompany and guide pregnant women in efforts to improve their health during pregnancy.