bluuebunny/crossref_metadata_2025 huggingface dataset:
Modelo interactivo-sistémico para el fortalecimiento de la competencia escrita en estudiantes de educación media, Managua, Nicaragua
Authors: Flores Ramírez María Teresa , Peña Ruiz Estrella Luz
Published: February 2025

La competencia escrita en estudiantes de educación media ha sido un tema de estudio, debido a su importancia en el cumplimiento de las exigencias académicas. Los estudiantes deben redactar diversos tipos de textos como parte de su formación, de acuerdo con la malla curricular del quinto ciclo de secundaria establecida por el Ministerio de Educación. Este estudio es relevante, puesto que los docentes de secundaria deben actualizarse continuamente en estrategias y técnicas de enseñanza de la expresión escrita. El propósito de esta investigación es determinar las principales deficiencias que poseen los estudiantes de décimo grado partiendo del dominio de las fases del proceso de escritura (planificación, textualización y revisión). Para ello, se adoptó un enfoque cualitativo, bajo el paradigma interpretativo y es un diseño de investigación descriptiva. Se emplearon métodos de análisis, sintético, deductivo e inductivo. La muestra, seleccionada de manera no probabilística, estuvo conformada por 125 estudiantes de los tres grupos de décimo grado de secundaria del Colegio Villa Libertad y 14 estudiantes de un colegio Privado Hermano Tom Patterson del D-VII de Managua. Se aplicó una prueba diagnóstica y se logró verificar que los estudiantes de décimo grado de Educación Media no dominan la expresión escrita, presentando dificultades en planificación de textos, la organización de ideas, la coherencia y concisión, no poseen fluidez y claridad en sus escritos. La realización de la prueba diagnóstica reflejó que el estado de la competencia escrita en los estudiantes debe mejorarse. Asimismo, se aplicó una secuencia didáctica, cuestionario a estudiantes, entrevistas a docentes que laboran en los diferentes subsistemas y entidades educativas tanto públicas como privadas. Como resultado del estudio, se concluye que es necesario proponer modelos didácticos de acción como el Modelo Interactivo Sistémico para obtener un aprendizaje significativo en la expresión escrita.
Análisis de inundación en la cuenca número 9529319- 6 (Río Seco) del pacífico de Nicaragua, empleando el modelo HEC-RAS
Authors: Blandón Chavarría Lisseth Carolina
Published: February 2025

La vulnerabilidad de Nicaragua ante los desastres quedó expuesta con el paso del Huracán Mitch en octubre de 1998 lo que motivó que el Estado nicaragüense estableciera en marzo del 2000, un sistema integral para la Reducción del Riesgo de Desastre (RRD) que se denomina “Sistema Nacional para la Prevención, Mitigación y Atención de Desastres (SINAPRED) (FICR, 2013, p. 5). El municipio de Nagarote está expuesto a amenazas tanto naturales como antrópicas; principalmente asociados a fenómenos hidrometeorológicos. En una clasificación de nivel de riesgo realizada en 151 municipios de Nicaragua, Nagarote ocupa el lugar 14, donde el puesto 1 representa el mayor riesgo. Las principales amenazas en la zona son la sequía, calificada con el nivel más alto, seguida por el riesgo de inundaciones y actividad sísmica (ENACAL, 2019, p.60). Además, la falta de cartografía detallada impide identificar con precisión las áreas afectadas y la extensión de la lámina de agua en superficie. Ante este panorama, el presente estudio realiza un análisis de inundación en la cuenca, con el objetivo de identificar espacialmente las zonas más vulnerables y el nivel de la lámina de agua en superficie. Para ello, se empleó una modelación hidrológica mediante sistemas de información geográfica y la herramienta HEC-GeoRAS, simulando escenarios para periodos de retorno de 10 y 25 años. Los principales resultados indican que las zonas con mayor exposición a inundación corresponden con las áreas más pobladas del municipio. De igual manera, en su mayoría el río seco no logra canalizar las aguas lo que provoca inundaciones en ambas márgenes del río donde las velocidades del agua van de 01 a 39 m/s, mientras que la lámina de agua en superficie varía entre 1 y 3 metros de altura en algunas áreas de la cuenca. Es por ello por lo que la identificación de las zonas de inundación frente a un evento extremo cobra gran importancia en la planificación territorial y gestión del riesgo, en especial en municipios altamente expuestos de Nicaragua.
Biología reproductiva del guapote pinto Parachromis managuensis (¨Gunter 1867¨) en Caño Negro - Humedales de Mahogany, El Rama, Nicaragua
Authors: Gonzalez Aleman Nestor Joel , Marenco Vivas Izayana Adelina , Solano Briton Oliver Orlando
Published: February 2025

Son muy pocos los estudios de biología reproductiva de las especies icticas de importancia comercial en Nicaragua. Es por eso que, el interés principal de esta investigación es estudiar los aspectos relacionados con la biología reproductiva del guapote pinto (Parachromis managuensis) en el Parque Ecológico Municipal Humedales de Mahogany. Se recolectaron datos a partir de 122 ejemplares capturados en la zona de estudio durante un año, de los cuales se analizaron 26 gónadas de hembras maduras (EMIII), para finalmente corroborar si la especie presenta un único desove o múltiples desoves. Se encontró que la relación Hembra y Macho (H:M) promedio fue de 1H: 0.6M, siendo la longitud total promedio de esta muestra de 19.7 cm y 152.11 g de peso. En general, los machos alcanzaron mayores tamaños y pesos en comparación con las hembras. La Fecundidad absoluta (FA) fue de 2468 ovocitos, mientras que la fecundidad promedio (Fx) fue de 2450 ovocitos con diámetro promedio de 1.86 (+/- 0.10 mm): con un límite de confianza del 95%. De la relación entre el peso W y longitud furcal LF (W=0.39*LF1.96), el modelo potencial explica el 84% de la variabilidad del peso, presentando un crecimiento alométrico negativo. La talla de madurez sexual del 50% de la población (L50%M) fue de 12.2 cm en hembras y de 17.8 cm en machos. Se identificó que la temporada reproductiva ocurre en mayo, julio y septiembre, con un índice gonadosomático (IGS) máximo de 4.3 en julio. Además, se determinó que el número de ovocitos aumenta con el tamaño de la hembra, estimándose un incremento de 166 ovocitos por cada centímetro adicional de longitud. Se recomienda la protección de esta especie mediante la disminución de la pesca en las áreas de desove, durante la época reproductiva.
PENERAPAN METODE DISKUSI PRESENTASI PADA MATA PELAJARAN DAN BUDI PEKERTI UNTUK MENINGKATKAN KEMAMPUAN BERFIKIR SISWA
Authors: Ni'mah Zahrotun
Published: February 2025

Penelitian ini bertujuan untuk mendeskripsikan upaya peningkatan kemampuan berpikir siswa mata mata pelajaran PAI dan Budi Pekerti melalui metode diskusi-presentasi. Jenis penelitian yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Penelitian ini dalam mengumpulkan data menggunakan teknik pengamatan langsung (observasi) dan dokumentasi, kemudian data dianalisis menggunakan teknik analisis fenomenologi yaitu sebuah teknik dimana kesimpulan ditarik berdasarkan data dari lapangan yang sesuai dengan tujuan penelitian yang dilakukan. Hasil penelitian menunjukkan bahwa pembelajaran PAI dan Budi Pekerti yang dilakukan dengan menggunakan metode diskusi-presentasi memberikan hasil yang optimal terhadap kemampuan berpikir peserta didik. Dengan adanya metode ini, membuat siswa menjadi lebih aktif lebih memiliki keberanian untuk mengemukakan pendapatnya, dan lebih bersikap kritis terhadap masalah-masalah yang ada. selain itu, dengan penerapan metode diskusi-presentasi ini membuat siswa menjadi memiliki kepercayaan diri untuk berbicara di depan banyak orang untuk mrnyampaikan apa yang telah di perolehnya. Dengan adanya diskusi kelompok, siswa mendapat kemampuan untuk memecahkan masalah secara bersama-sama dengan saling bertukar pendapat dan menghargai pendapat yang berbeda, sehingga masalah yang dihadapi akan semakin cepat terselesaikan dan siswa menjadi mudah untuk memahaminya.
SYSTEMATIC LITERATURE REVIEW: EFEKTIVITAS IMPLEMENTASI KURIKULUM MERDEKA DI PONDOK PESANTREN
Authors: Ramadhan Narendra Jumadil Haikal , Amilusholihah Amilusholihah , Marno Marno
Published: February 2025

Penelitian ini bertujuan untuk mengeksplorasi dan menganalisis efektivitas implementasi kurikulum merdeka di pondok pesantren. Penelitian ini menggunakan pendekatan penelitian Systematic Literature Review (SLR) dengan desain PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) yang melibatkan beberapa tahapan, seperti strategi pemilihan data, kriteria penelitian, dan ekstraksi data. Sumber data sekunder yang digunakan adalah database Google Scholar dan Garuda, untuk mencari literatur yang relevan antara tahun 2022 hingga 2024. Hasil penelitian menunjukkan bahwa kurikulum merdeka terbukti efektif dalam meningkatkan kualitas mutu pendidikan di pondok pesantren. Namun, masih ada tantangan dan hambatan dalam pelaksanaannya, termasuk penyesuaian dengan perubahan paradigma pembelajaran serta penggabungan kebijakan kurikulum baru dengan struktur organisasi yang sudah ada, serta keterbatasan fasilitas dan akses teknologi. Oleh karena itu, peneliti selanjutnya disarankan melakukan studi komparatif antara pondok pesantren yang telah berhasil mengimplementasikan Kurikulum Merdeka dengan pondok pesantren yang masih menghadapi kendala signifikan.
TELAAH PENDIDIKAN AKHLAK MENURUT MAHFUDZ ‘ALI ‘IZAM DALAM KITAB AL-AKHLĀQ FĪ AL-ISLĀM : BAINA NADZRIYYAH WA TATHBĪQ
Authors: Zahra Bahezta Lama'a , Mahmudi Kholis Ali
Published: February 2025

Abstrak
Substansi pendidikan akhlak memegang peranan krusial dalam esensi pendidikan Islam. Hal ini disebabkan oleh kemampuan akhlak dalam menciptakan kedamaian, keharmonisan dan suatu keadaan yang disebut sebagai ketenangan hidup di antara sesama manusia. Artikel ini akan menjelaskan Telaah pendidikan akhlak menurut Mahfudz 'Ali 'Izam dalam Kitab Al-Akhlāq Fī Al-Islām: Baina Nadzriyyah Wa Tathbīq. Penelitian ini mengadopsi pendekatan kualitatif dengan jenis penelitian kajian pustaka atau penelitian perpustakaan . Pendekatan kualitatif umumnya digunakan untuk memahami fenomena secara mendalam, sementara kajian pustaka fokus pada analisis literatur yang relevan. Penelitian ini dilaksanakan dengan bertumpu dari sumber primer yaitu Kitab Al-Akhlāq Fī Al-Islām: Baina Nadzriyyah Wa Tathbīq karya Mahfudz 'Ali 'Izam dan sumber sekunder yaitu buku yang relevan dengan tema pembahasan dan artikel yang terkait dengan topik penelitian. Kemudian dianalisis dengan menggunakan metode analisis isi. Analisis isi atau metode analaisis isi penelitian ini telah menentukan pendidikan akhlak menurut Mahfudz 'Ali 'Izam, meliputi (1) Tujuan akhlak (2) Darurat akhlak (3) Keberanian (4) Amanah (5) Jihad. Hasil penelitian menunjukkan akhlak memiliki peran sentral sebagai fondasi nilai utama dalam kehidupan manusia untuk membimbing manusia menuju kebahagiaan didunia dan diakhirat. Kepentingan pendidikan akhlak tidak boleh diabaikan, terutama dalam lingkungan pendidikan seperti sekolah, mengingat bahwa pergaulan dan akses informasi di era modern dapat mengancam suatu krisis akhlak.
Kata kunci : Pendidikan, Akhlak, Krisis akhlak, Eraglobalisasi
Impacts of Alexandria Catechetical School’s Sacred-Secular Education and its Implications for Theological Institutions in Nigeria
Authors: Anzaku Danjuma Umaru
Published: February 2025

This article explores how the Alexandria Catechetical School educational system which combined sacred and secular learning can be applied in theological institutions in Nigeria. The study adopts a qualitative research approach, utilizing historical analysis and literature review to explore the historical context and educational practices of the Alexandria Catechetical School. Major findings from the study reveal that such holistic approach to education did not only enrich the theological understanding of students but also equipped them with practical and contextualized skills for engaging with the secular world. The study also highlights how theological institutions in Nigeria can apply similar system such as interdisciplinary training, contextualization and community engagement, spiritual and moral values, discipleship through godly leadership by example and development of entrepreneurship skills in order to produce all-round competent manpower to address current challenges confronting the Nigerian church and society. The study recommends that theological institutions in Nigeria should consider incorporating elements of the Alexandria Catechetical School's educational system to better prepare students for the challenges of the modern world. These include integrating more secular subjects into the curriculum, providing practical training opportunities, and fostering a culture of intellectual curiosity and critical thinking. With holistic approach to education, theological institutions in Nigeria will not only be better in equipping their students to engage with the complexities of the contemporary world, but will also attract public relevance while remaining rooted in their sacred missions.
THE EFFECT OF ANIMATION MOVIE AGAINST ANXIETY LEVEL IN DENTAL TREATMENT OF ELEMENTARY SCHOOL 15 PADANG STUDENT
Authors: Fitriana Aida , Noer Mustafa , Rabiansyah Pratama Afriza
Published: February 2025

Anxiety, a normal condition which part of human development that happen from childhood. Dental anxiety has been studied for 10 years ago and still be the basic problem for dental treatment. Distraction is a technique to manage dental anxiety. Distraction is a method to distract patient to something that patient like. Audiovisual distraction is one of many techniques that effective to use for children. One of the idea to distract children to watch animation movie. This study use post test only control group design. This study use 50 samples. The anxiety level is measured by blood pressure, breathing, heartbeat, psychological sign, and physiological sign when student being treated for dental plaque record. Based on Kolmogorov-smirnov test, the result showed that there was an effect of animation movie for dental treatment with value of p<0.05 compare to control group. The conclusion of this study is animation movie have an effect against anxiety level in dental treatment.
RELATIONSHIP BETWEEN DENTAL VISIT TOWARDS QUALITY OF LIFE IN PRIMARY HEALTH CITEREUP CIMAHI
Authors: Asri Lestari Ayu , Belva S Almira , Khaitunnisa Khansa , Widjaja Aisyah
Published: February 2025

The aim of this study was to determine the relationship between Oral Health Quality of Life (OHRQoL) and the number of visits to the dentist. This is a cross-sectional study. This study using OHIP questionnaire and additional question about healthcare insurance ownership. Data were analysis using SPSS version 25. The findings of a study including 62 respondents. The prevalence respondent on 44-60 years old were 38,7%. Most of them as BPJS ownership and as unemployment. The highest prevalence OHRQOL based on dental utilization were low categorize and more than 6 months dental visit. The result bivariate analytic and statistically of Pearson chi square test, there are differences between OHRQol categorize towards dental visit p=0,000. Correlation between OHRQoL with dental visit statistically significant p=0,000 r=0,606. Maintaining dental and oral health by providing promotive and preventive programs can reduce the prevalence of visits to the dentist and can improve quality of life status. There are several determinant factors affected towards dental utilization. Universal health coverage is one of determinant factors to prevent out of pocket expenditures.
THE DIFFERENCES IN THE EFFECTS OF PROPOLIS, SODIUM HYPOCHLORITE, AND EDTA AS AN IRRIGANT SOLUTIONS ON THE MICROHARDNESS OF ROOT CANAL DENTIN: IN-VITRO STUDY
Authors: lorencia Farrent Br S. Pandia Ellen , Soraya Tanjung Dian , Reni Purba Member
Published: February 2025

Sodium hypochlorite (NaOCl) and EDTA are commonly used irrigants due to their antimicrobial properties and ability to dissolve both organic and inorganic components. However, the use of these chemicals at varying concentrations and durations can affect the physical and chemical properties of root canal dentin. Recently, propolis has gained attention as an alternative irrigant because it shows similar potential to conventional irrigants. The aim of this study is to examine whether there are differences in the effects of propolis extract, NaOCl, and EDTA on the microhardness of root canal dentin. This study utilized 24 single-rooted premolar teeth. The crowns were removed, and the roots were longitudinally split into two halves. Samples were randomly divided into six groups (n=8), each immersed in 8% propolis, 20% propolis, 30% propolis, 2.5% NaOCl, 5% NaOCl, and 17% EDTA. The microhardness of root canal dentin was measured using a Vickers Hardness Tester before and after immersion. Data were analyzed using One Way ANOVA. The results showed that 8% propolis had the smallest decrease in microhardness among all treatment groups, with an average difference in initial and final microhardness of 3.68, followed by 20% propolis, 2.5% NaOCl, 5% NaOCl, 30% propolis, and 17% EDTA. The conclusion of this study is that there are significant differences (p<0.05) among the treatment groups regarding the microhardness of root canal dentin. Extracts of 8% and 20% propolis can be used as alternative irrigants.
RELATIONSHIP BETWEEN STRESS AND TEMPOROMANDIBULAR JOINT DISORDERS IN MEDICAL AND DENTISTRY STUDENT OF UNIVERSITAS JENDERAL ACHMAD YANI
Authors: Patria Nawawi Azkya , Arifianti Isti , Berniqca Amanda Kayla
Published: February 2025

Temporomandibular joint disorder is a condition that is often unrecognized by patients. One of the etiologies of temporomandibular joint disorder is stress. Medical and dental students may experience stress associated with symptoms of temporomandibular joint disorders. The aim of this study was to determine the relationship between stress and temporomandibular joint disorders in dental and medical faculty students. The research design is analytic with a cross-sectional method on 196 students of Medicine and Dentistry at The University Jenderal Achmad Yani, class of 2020. Chi-square analysis was utilized to investigate the relationship between temporomandibular joint disorders and stress. The results indicate a significant association between symptoms of temporomandibular joint disorders and stress (p = 0.002). Stress is one of the etiological factors in the occurrence of temporomandibularjoint disorders.
TREATMENT OF CANINE TOOTH EDGE TO EDGE MALRELATION AND INDIVIDUAL DENTAL MALPOSITION WITH REMOVABLE ORTHODONTIC DEVICE: CASE REPORT
Authors: Beta Arnanda Bramita , Nurhayati
Published: February 2025

Edge to edge is a malocclusion characterized by the upper teeth experiencing premature contact with the lower teeth. Treatment to improve anterior edge to edge is by retroclination of lower jaw teeth that experience initial contact or premature contact so that they fit into the normal mandibular arch. Case report: A 26 year old male patient came to RSGM FKG UMS with complaints of crowding in the front teeth of the lower jaw. This treatment is carried out using a removable orthodontic appliance which consists of an active component in the form of a labial arch with the aim of correcting edge-to-edge malrelation and a simple spring with the aim of correcting individual tooth malposition. As a result of 2 months of treatment, the anterior edge-to-edge was corrected, malposition of individual teeth was corrected and the appearance improved. Conclusion: Removable orthodontic treatment using a labial arch in cases of edge-to-edge malrelation of canines over 8 meetings gave quite good results. Appropriate case selection and patient compliance are necessary to achieve successful removable orthodontic treatment.
Ruolo dell’infermiere nella promozione della salute in età scolare: indagine sui bisogni formativi dei docenti nella gestione dei bambini affetti da diabete
Authors: Miniotti Lorena , Ardizzi Elena
Published: February 2025

Il personale scolastico è un alleato importante nella gestione del diabete infantile di tipo 1, tuttavia, non è scontato quali siano le sue conoscenze concernenti la gestione ed il trattamento di questa malattia cronica. Questo studio, pertanto, si propone di valutare le conoscenze ed i bisogni formativi degli insegnanti sulla gestione e trattamento di un bambino affetto da diabete nella scuola primaria. E’ stato condotto uno studio trasversale tramite la somministrazione di un questionario creato ad hoc agli insegnanti di tre istituti scolastici piemontesi. I risultati rinvenuti supportano la necessità della presenza di un infermiere scolastico con ruolo di supporto sanitario ed educativo nei confronti del personale scolastico.
Rischi psicosociali nel lavoro degli infermieri di sala operatoria: studio osservazionale trasversale condotto con il copenhagen psychosocial questionnaire
Authors: Durante Fortunato , Pasquot Loredana
Published: February 2025

BACKGROUNDLo stress lavoro correlato viene definito come un insieme di reazioni dei lavoratori, quando vengono fatte loro delle richieste o subiscono pressioni che non coincidono con le loro conoscenze, abilità e li sfidano nella loro capacità di affrontarle. Principali effetti organizzativi negativi: la riduzione delle prestazioni, aumento dell'assenteismo e dei tassi di infortunio, burn out, intenzione di lasciare prematuramente la professione.
SCOPOMisurare lo stress lavoro correlato dovuto a fattori psicosociali tra gli infermieri di sala operatoria usando il COPSOQ II short validato in italiano.
METODIÈ stato condotto uno studio osservazionale trasversale su un campione di Infermieri delle sale operatorie di una fra le maggiori strutture sanitarie lombarde. È stato somministrato online (Piattaforma Forms) e compilato in modo anonimo dal 7 ottobre 2023 al 10 novembre 2023.
RISULTATILa maggioranza degli infermieri non percepisce di essere esposta ad alto rischio psicosociale (solo il 16,6% delle risposte mostra una media nel range di alto rischio). Sostanziale consenso degli infermieri di percezione di rischio psicosociale riguarda solo la dimensione Work Pace per entrambi gli item (m=6,08; M=3 e 3 e IQR 1 e 1,25).
 
CONCLUSIONIIl COPSOQ è utile nel monitorare un insieme di variabili che possono effettivamente creare difficoltà al singolo infermiere o al gruppo infermieristico. Un clima psicosociale sicuro può essere correlato a una miglior soddisfazione lavorativa.
La valutazione della qualità di vita nei pazienti ospedalizzati affetti da scompenso cardiocircolatorio: uno studio osservazionale prospettico
Authors: Bona Vincenzo Girolamo , Ingrosso Filippo
Published: February 2025

Lo scompenso cardiocircolatorio (SCC) è una sindrome caratterizzata da disfunzione cardiaca, con un notevole impatto sulla longevità e sulla qualità di vita. Ad oggi non ci sono studi in Italia se pazienti affetti da SCC ricoverati presso una degenza specialistica di cardiologia abbiano percezione di una migliore qualità di vita. Questo studio si propone quindi di effettuare una comparazione della qualità di vita del paziente affetto da SCC all’ingresso e successivamente alla dimissione. È stato eseguito uno studio osservazionale prospettico, con somministrazione del questionario EQ-5D-5L e della scala VAS QoL ai pazienti reclutati. I risultati fanno emergere che l’assistenza e il trattamento sanitario ricevuti presso una degenza specialistica come la cardiologia hanno un impatto positivo in termini di qualità di vita percepita.
Il Ruolo della Leadership Infermieristica in un’Organizzazione Etica e Sostenibile
Authors: Zerulo Sipontina Rita , Filice Maria Romilda , Maddalo Chiara , Pirreco Angelo , Ruta Federico , Ulvieri Davide , Cavaliere Bruno
Published: February 2025

BACKGROUND:La leadership infermieristica riveste un ruolo essenziale nel raggiungimento degli obiettivi dell'Agenda 2030 dell'ONU, basata sui 17 SDGs. Infatti vi è sovrapposizione tra gli SDG e i principi etici infermieristici. Tra le responsabilità dei leader infermieristici rientra garantire l'applicazione dei principi etici nell'assistenza infermieristica e creare un ambiente di lavoro con elevati standard etici. Pertanto, i manager infermieristici influenzano i valori, gli atteggiamenti e i comportamenti di un'organizzazione.
OBIETTIVI:Esplorare il ruolo della leadership infermieristica in un contesto etico e sostenibile
METODO:Nel periodo tra marzo e giugno 2024, è stata condotta una revisione della letteratura analizzando la letteratura disponibile attraverso la banca dati PubMed.
RISULTATI:I risultati indicano che la leadership in infermieristica è di fondamentale importanza. È in grado di influenzare la soddisfazione del paziente, il carico di lavoro infermieristico e il turnover. Nonostante il dovere ontologico alla figura stessa del manager infermieristico, è ancora celata la correlazione tra la leadership infermieristica ed esiti etici e sostenibili. La causa appare risiedere nella scarsa formazione al tema specifico della classe dirigente.
CONCLUSIONE:Molti studi hanno analizzato il tema degli SDG in relazione ai professionisti infermieri. È importante includere in questo ragionamento etico ed ispirato alla sostenibilità il responsabile della filiera infermieristica: il dirigente infermieristico. Quindi sarebbe opportuno considerare l’etica e la sostenibilità un elemento identitario del management infermieristico e revisionare il sistema formativo ed organizzativo per rendere indissolubile questa relazione.
The nursing profession: challenges, intentions to leave and new roles.
Authors: Azzellino Gianluca , Vagnarelli Patrizia
Published: February 2025

In recent years, the nursing profession has been experiencing significant challenges. Despite the efforts made during the COVID-19 pandemic, many nurses today express their intention to leave the profession mainly due to the lack of adequate recognition. In this already difficult context, a new professional figure is emerging, the nursing assistant. However, the introduction of these new support figures may not solve the underlying problems of the nursing profession, on the contrary, it risks further reducing the attractiveness of the profession. Therefore, it is essential to urgently implement policies that improve working conditions and that recognize the value of the nursing profession by offering concrete paths of professional growth.
La comunicazione come atto complesso nella Sclerosi Laterale Amiotrofica: indagine conoscitiva su paziente e caregiver
Authors: Tufoni Simona , Grappini Laura , Baglioni Isabella , Sarzana Fabio , Ceroni Enrico
Published: February 2025

La Sclerosi Laterale Amiotrofica (SLA) è una patologia caratterizzata dalla graduale degenerazione del I e II motoneurone, che progressivamente porta a una paralisi muscolare che crea deficit di movimento, respirazione, deglutizione e fonazione. Diviene difficile per chi ne è affetto comunicare i propri bisogni, esperienze e sensazioni. Da ciò nasce l’esigenza per le persone con SLA ed i loro caregiver di apprendere nuove modalità di comunicazione come la comunicazione aumentativa alternativa (CAA). L’obiettivo dello studio è indagare le difficoltà comunicative tra persona affetta da SLA e caregiver e l’utilizzo di modalità comunicative alternative. È stato somministrato un questionario a 20 persone affette da SLA ed ai loro caregivers (39). Dai dati emersi si riscontra che le difficoltà di comunicazione vengono vissute dalla persona affetta da SLA e dal caregiver, limitando la comunicazione allo stretto necessario. Inoltre, il 50% è in possesso di un mezzo di Comunicazione aumentativa alternativa CAA.
COMPARATIVE EFFICACY OF PROTON PUMP INHIBITORS VS. H2 RECEPTOR ANTAGONISTS IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE
Authors: KHAN S , MUNEEB A , AHMAD MS
Published: February 2025

Gastroesophageal reflux disease (GERD) is a common condition characterized by acid reflux into the esophagus, leading to symptoms such as heartburn and regurgitation. Objective: To compare the efficacy of Proton Pump Inhibitors (PPIs) and H2 Receptor Antagonists (H2RAs) in treating GERD in a cohort of 800 patients, assessing symptom relief, healing rates, and side effects. Methods: A total of 800 patients diagnosed with GERD were added to receive either PPIs (n=400) or H2RAs (n=400) for a treatment period of 8 weeks. The primary outcome was improved GERD symptoms, measured using a standardized GERD symptom questionnaire. Results: The study found that the PPI group demonstrated a significantly higher improvement in symptom relief, with 78% achieving complete symptom resolution compared to 54% in the H2RA group (p < 0.05). Esophageal healing rates were also superior in the PPI group, with 84% showing complete healing compared to 62% in the H2RA group. Furthermore, the time to symptom relief was shorter in the PPI group (average of 5 days) compared to the H2RA group (8 days). Adverse effects were minimal and comparable between the two groups, with mild headaches (8% vs. 6%) and gastrointestinal discomfort (10% vs. 9%) being the most frequently reported. Conclusion: Proton Pump Inhibitors are more effective than H2 Receptor Antagonists in relieving symptoms, accelerating symptom resolution, and promoting esophageal healing in patients with GERD. Although both treatments are generally well-tolerated, PPIs remain the preferred choice for patients requiring more potent acid suppression due to their superior efficacy.
Применение STEM и STEАM в методике химического образования
Authors: Космодемьянская С.С. , Емельянова А.А.
Published: February 2025

Статья актуализирует STEM-образование его преимущества и перспективы применения. Подчеркивается его важность для повышения мотивации, развития критического мышления, формирования исследовательских навыков, развития творческого потенциала, повышения коммуникативных навыков, установления междисциплинарных связей, объединяя естественные науки и искусство для решения комплексных проблем. Сделан анализ STEM-образования в методике химии, где особое внимание уделено проектированию инновационного преподавания в рамках современного школьного образовательного процесса. Эффективность STEM и STEАM подходов в обучении химии авторы связывают с фактической реализацией синергии между различными областями знаний в образовательном процессе. В статье представлен анализ существующих проблемы и векторного развития STEM и STEАM образования в области методики химии для подготовки квалифицированных специалистов, будущих учителей химии. Детально описывается использование проектной работы, междисциплинарности и исследовательского подхода на практических занятиях со студентами 1-4 курсов педагогического образования (профиль Химия). Анализируется эффективность применения STEAM-технологий, включая демонстрационный эксперимент, самоанализ уроков, выполнение творческих заданий (конспект-газеты) и исследовательской деятельности студентами. Статья подчеркивает важность сочетания теоретических знаний и практических навыков, а также роль личного опыта в формировании профессиональных компетенций будущих педагогов.

The article actualizes STEM-education its advantages and application perspectives. It emphasizes its importance for increasing motivation, developing critical thinking, developing research skills, developing creativity, improving communication skills, establishing interdisciplinary links, combining science and art to solve complex problems. STEM-education in chemistry methodology is analyzed, where special attention is paid to the design of innovative teaching within the framework of modern school educational process. The authors attribute the effectiveness of STEM and STEAM approaches in teaching chemistry to the actual realization of synergy between different fields of knowledge in the educational process. The article analyzes the existing problems and vector development of STEM and STEAM education in the field of chemistry methodology for the training of qualified specialists, future teachers of chemistry. The use of project work, interdisciplinarity and research approach in practical classes with students of 1-4 courses of pedagogical education (Chemistry profile) is described in detail. The article analyzes the effectiveness of STEAM-technologies application, including demonstration experiment, self-analysis of lessons, creative assignments (outline-newspaper) and research activities by students. The article emphasizes the importance of combining theoretical knowledge and practical skills, as well as the role of personal experience in the formation of professional competencies of future pedagogues.
Понятие «профессиональный интерес» в контексте психолого-педагогических исследований
Authors: Безродная Е.А. , Шимлина И.В.
Published: February 2025

Профессиональный интерес – это важнейший фактор в развитии профессиональных навыков, личностной мотивации и удовлетворенности трудовой деятельностью. Понимание профессионального интереса критически важно для успешной профориентации. Он является одним из ключевых факторов выбора профессии, влияя на удовлетворенность работой, производительность и личностное развитие. Знание своих интересов позволяет сосредоточиться на профессиях, которые будут приносить не только доход, но и моральное удовлетворение. Школьное обучение закладывает основу для формирования у обучающихся интереса к познанию нового и ориентации на будущую профессию. В статье представлен обзор подходов к пониманию и формированию профессионального интереса, опирающийся на труды отечественных и зарубежных исследователей. В статье авторы рассматривают этапы формирования профессионального интереса у школьников, начиная с пробуждения общего познавательного интереса и заканчивая осознанным самоопределением и подготовкой к выбору профессии. Выделены ключевые стадии развития профессионального интереса, которые помогут прийти к понимание более точной диагностики уровня развития профессионального интереса у человека, определить его готовность к выбору профессии. Исследование ключевых стадий развития профессионального интереса дает множество ценных данных, которые могут быть использованы в различных областях.

Vocational interest is a critical factor in the development of vocational skills, personal motivation, and job satisfaction. Understanding vocational interest is critical to successful career guidance. It is one of the key factors in career choice, influencing job satisfaction, performance, and personal development. Knowing one's interests allows one to focus on occupations that will bring not only income but also moral satisfaction. School education lays the foundation for the formation of students' interest in learning new things and orientation to the future profession. The article presents a review of approaches to understanding and formation of professional interest, based on the works of domestic and foreign researchers. In the article the authors consider the stages of formation of professional interest in schoolchildren, starting from the awakening of general cognitive interest and ending with conscious self-determination and preparation for choosing a profession. The key stages of professional interest development are highlighted, which will help to come to an understanding of more accurate diagnostics of the level of professional interest development in a person, to determine his readiness to choose a profession. The study of key stages of professional interest development provides a lot of valuable data that can be used in various fields.
An Efficient Learning Approach to Imbalanced Multinomial Classification
Authors:   Faculty of Economics and Business Administration, Sofia University St. Kl. Ohridski, Sofia 1113, Bulgaria, Ivan Ivan ,   Faculty of Economics and Business Administration, Sofia University St. Kl. Ohridski, Sofia 1113, Bulgaria,   Faculty of Economics and Business Administration, Sofia University St. Kl. Ohridski, Sofia 1113, Bulgaria, Toleva Borislava , Ivanov Ivan
Published: February 2025

The presented methodology provides an innovative way to answer a question that is rarely observed in academic literature: How can complex data issues like multiple class imbalance be solved using the available models in a simple and efficient way? In this approach, observations are modeled without additional preprocessing. Several classification models including Random Forest (RF), Support Vector Machines (SVM), and Decision Tree (DT) are utilized for conducting the classification analysis. The parameters of these models and the cross-validation function are adjusted to each individual set of observations. This approach has not been researched in depth. We test it about class imbalance in the target variable. Our results demonstrate the benefits of the proposed method. First, parameter tuning of ML models can be an effective strategy to handle class imbalance. Second, random shuffling prior to cross validation can be a key to resolving the bias coming from multiclass imbalance. Another important finding is that the best results can be achieved when random shuffling, cross validation and parameter tuning are combined. These findings are key to handling class imbalance in classification. Therefore, this research extends the opportunities to handle class imbalance in a simple, quick, and effective way in cases without adding additional complexity to the model.
Survey of Research Opportunities that use Artificial Intelligence in Image Steganography
Authors:   Artificial Intelligence Department, Libyan International University, Benghazi, Libya, Sultan Sultan ,   School of Computing, University of Portsmouth, Portsmouth PO1 3HE, UK,   Computer Department, Applied College, Najran University, Najran 66462 , Kingdom of Saudi Arabia,   Computer Science Department, Faculty of Computing and Information, Al-Baha University, Al-Baha, 65779, Saudi Arabia,   Department of Computer Engineering, College of Computer Science and Information Technology, Majmaah University, Majmaah, 11952, Saudi Arabia,   Department of Computer Science, University of Idaho, Moscow, ID 83844, USA, Al-rimy Bander Ali Saleh Al , Almalki Sultan Ahmed , Alghamdi Tami Abdulrahman , Alkhorem Azan Hamad , Sheldon Frederick T.
Published: February 2025

Steganography conceals ”secrets” within an convenient and expedient multimedia carrier. The carrier could be text (i.e., not plain text), images, audio andor video files (i.e., carrier channels). The fact that concealed information is contained in the otherwise ordinary and mundane carrier file is known only by the sender-receiver pair. Only they share the existence of the secret. Images are the most popular (i.e., multimedia) carriers because of their inherent property that enables better obfuscation. Content adaptive image steganography is a new trend in the field for messaging secrets inside unsuspected image file transfers. As the name suggests, the embedding locations are altered adaptively depending on the image content that optimizes the decision of choosing a location inside the carrier so that an embedding is not discernible (i.e., additive distortion is minimized). Herein, we critique the various approaches used for content-adaptive image steganography which can be broadly categorized as CNNbased, GAN-based, along with minimizing additive distortion function-based. We provide a brief historical account toward better anticipating the future research opportunities in terms of properties, and evaluation metrics. A summary table of these past and future directions is provided. Moreover, we highlight trends along with their concomitant advantages and disadvantages toward identifying opportunity gaps.
On the Numerical Approximation and Optimization Techniques for Solving an Inverse Cauchy Problem of Viscous-Burgers’ Equation
Authors:   Baquba Technical Institute, Middle Technical University (MTU), Baghdad, Iraq, Mohammed Mohammed ,   Collage of Administration and Economics, University of Baghdad, Iraq,   Department of Mathematics, College of Education for pure science, University of Anbar, Iraq, Alwan Faris M. , Auad Alaa Adnan
Published: February 2025

This paper deals with some inverse problems for nonlinear time-dependent PDEs in one spatial dimension, we investigate an inverse Cauchy problem that is settled by the nonlinear viscous Burgers equation. The viscous Burgers equation is a partial differential equation that is encountered in fluid dynamics studies, particularly in the domain of upward flow. The simplified model of the viscous Burgers equation explains the behavior of incompressible viscous fluid. The inverse Burgers problem belongs to a class of problems called ill-posed problems, which implies that there may be multiple sets of initial andor boundary conditions that result in the same solution of the Burgers equation. To obtain robust and reliable solutions, it is essential to use regularization and cross-validation methods. However, it is often difficult to solve analytically, so numerical approaches are developed to overcome this difficulty. Domain decomposition (DDM) was used with alternative iterative methods. We performed a numerical reconstruction of the velocity and normal stress tensor that were vanished on an inaccessible part of the boundary using the over-prescribed noisy data obtained on the other accessible part of the boundary.
Investigating Workplace Challenges: A Neutrosophic Soft Set Analysis of Female Workers' Problems in Diverse Industries
Authors:   Department of Mathematics, AMET University Chennai, Tamil Nadu India, N. N. ,   Department of Mathematics, St. Joseph’s College of Engineering, Chennai-600119, India,   Department of Mathematics, St. Joseph’s College of Engineering, Chennai-600119, India,   Laboratory of Information Processing, Faculty of Science Ben M’Sik, University of Hassan II, Casablanca, Morocco, Jayasimman I. Paulraj , Praveena N. Jose Parvin , said Broumi
Published: February 2025

This research proposes a novel approach to rank the problems faced by female employees in various sectors by utilizing the concept of the bipolar single-valued Neutrosophic soft set-in variable. The feature assessment used an enormous collection of multi-observer information as a basis for examining the issues encountered by women employed in a variety of sectors. An effective method for identifying the Neutrosophic domain's choice-making problem is the Neutrosophic Soft Set. The creation of similar tables has shaped the investigation into classification. In a Neutrosophic setting, grouping objects and persons according to their properties, capacities, the result, etc., is advantageous.
Some New Results about Neutrosophic KU-Module
Authors:   Department of Mathematics, Faculty of Education for Pure Sciences, University of Anbar, Ramadi, Anbar, Iraq, Mohammed Mohammed ,   Department of Mathematics, Faculty of Education for Pure Sciences, University of Anbar, Ramadi, Anbar, Iraq, Abed Majid Mohammed
Published: February 2025

In this paper, we present new concept namely neutrosophic algebra. Some types of notions such as KU-module, KU-ideal and KU-submodule. We proved that if AI is minimal submodule, then AI ascending (descending) chain condition. On the other hand, more results about Neutrosophic exact sequence and Neutrosophic homomorphism KU-module have been presented.
The Influence of Multiple Modifiable Risk Factors on 30-day Readmissions and 90-day Major Complications After a Total Hip and Knee Arthroplasty: An Analysis of a Large Claims Database
Authors: Luong Lucas M. , Kostyun Regina O. , Witmer Daniel K. , Grady-Benson John C.
Published: February 2025

Background:

Preoperative optimization of modifiable risk factors (MRFs) for arthroplasty patients is a critical aspect of predicting and improving postoperative outcomes. This study evaluates the correlation between seven MRFs and postoperative adverse outcomes after total hip arthroplasty (THA) and total knee arthroplasty (TKA).

Methods:

A retrospective review of primary TKA and THA were identified from a large medical claims database. Patients were categorized based on the number of MRF diagnoses present before surgery (anemia, malnutrition, obesity, opioid abuse/dependence, mental illness, type 2 diabetes mellitus, and tobacco use), from zero to seven. Adverse outcomes evaluated were surgical site infections (SSIs), venous thromboembolic events (VTEs), and readmissions.

Results:

Of the patient records queried (THA = 303,857; TKA = 692,157), two or more MRFs were identified in 41% of THA patients and 47% of TKA patients. Patients with two or more MRFs were at an increased odds of developing an SSI, and patients with three or more MRFs had increase odds of having a 30-day hospital readmission.

Conclusions:

This study adds to the compendium of literature, which promotes preoperative optimization of MRFs in arthroplasty patients to decrease the risks of 90-day postoperative complications.
The Association between Vitamin B12 Deficiency and Metformin Therapy in Libyan Diabetic Patients
Authors: Nagat Elbarghathi  , Narmin Elbouri
Published: February 2025

Metformin is the first line treatment of diabetic hyperglycaemia. However, numerous studies have shown that long-term use of metformin can result in a vitamin B12 deficiency. In this study, we sought to assess the prevalence of vitamin B12 deficiency in diabetic patients taking metformin on a long-term basis as well as the association between vitamin B12 deficiency and diabetic neuropathy. Across sectional study was conducted on 143 Libyan diabetic patients attending endocrinology outpatient diabetic centre in Benghazi, who are on metformin for at least 6 months, and eligible to the inclusion criteria. Data on metformin intake and confounding variables were collected from questionnaires. Serum vitamin B12 levels were estimated, and vitamin B12 deficiency was defined as serum B12 less than 196pg/ml. Data analysis was performed using the statistical package for social sciences (SPSS) version 28. The study involved 143 patients, with a majority being women (50.3%) and men (49.7%). The mean duration of diabetes was 10.52 ± 7.260 years. The mean daily dose of metformin was 1435.42 ± 377.766 mg for females and 1495.77 ± 392.678 mg for males. The mean duration of metformin intake was 7.93 ± 5.859 years for females and 7.34 ± 5.780 years for males. The mean serum vitamin B12 level was 469.78 ± 233.477 pg/mL, with males having non-significantly higher levels than females. 59.2% of male patients had vitamin B12 levels ≤420 pg/mL, while 51.4% of female patients had levels ≤420 pg/mL. Nevertheless, no patient had a vitamin B12 deficit. No significant correlation was observed between serum vitamin B12 levels with metformin dose, duration of action, or patient characteristics. Despite the high prevalence of peripheral neuropathy (36.4%), there was no significant difference in B12 levels between patients with and without neuropathy.
Nutritional Screening and Assessment of Children with Congenital Heart Diseases: A Cross-Sectional Study in a Tertiary Level Hospital in Libya
Authors: Hawa Gamaa  , Mohammed Abubaker
Published: February 2025

Congenital heart disease (CHD) is prevalent in Libyan children who are referred to a cardiac clinic tertiary center. These patients may experience mild malnutrition, which can progress to failure to thrive (FTT). Therefore, the aim of this paper is to determine the frequency of malnutrition and evaluate the nutritional status of children with congenital heart disease. The study adopted a descriptive cross-sectional design. It involved pediatric patients aged from 2 months to 18 years presented to the pediatric department at Ibn Sina Teaching Hospital with CHD. Data were collected over the period between April 2024 and September 2024. Subsequently, data was analyzed using the Statistical a Package for Social Science (Rstudio) version 2.3.2. Results showed that, 53.3% were males and 46.7% were females. The participants' age ranged between (2.8-180) months with mean ± SD (29.5 ± 38.1) months. A total of 130 participants were found to have low weight-for-age or a low Body Mass Index (BMI). The prevalence of malnutrition among the participants was 32.8% additionally, 24.7% of the participants were wasted, and 38.6% were stunted. Conversely, 14.1% of children were classified as overweight, and obesity was observed in 5.1% of the participants. Malnutrition is remains highly prevalent among children with CHD. However, the management of nutritional status can be improved by providing patients with early nutritional counseling and conducting periodic nutritional status assessments.