bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of Ureterorenoscopy with Semirigid Ureteroscope and Laser Lithotripsy as a Treatment Modality for Upper Ureteric Stones Less Than 20 mm
Authors: Batra Ravi , Batra Pooja , Garg Shreyak , Yadav Sneha
Published: February 2022

Context:

Technological developments over the past two decades have revolutionized the treatment of ureteric stones. With the emergence of flexible, small-diameter ureteroscopy, the paradigm of ureteral stone treatment has shifted to ureteroscopy. The success rate is close to 95%, but it has its own complications.

Objective:

The objective of this study is to assess the effectiveness of ureterorenoscopy (URS) with semirigid ureteroscope and laser lithotripsy in the treatment of upper ureteric stones of size less than 20 mm and its associated complications.

Methods:

This is a prospective cohort study designed to assess the effectiveness of URS for the treatment of upper ureteric calculi. We present data from 57 patients who received URS as their primary treatment at our center and were followed up for at least 3 months.

Results:

We found that when stone size was less than 10 mm, the stone-free rate was 80% (28/35), while when stone size was in the 10.1–20 mm range, the stone-free rate increased to 90.9% (20/22). Stones were found in 41/48 patients (85.41%) with symptoms lasting less than a month. Only 7/9 patients (77.77%) were stone-free in the group with symptoms lasting more than a month. A total of 28.1% of patients encountered complications among which proximal migration of the stone was the most common (12.3%). Mean procedure time was 40.37 min.

Conclusion:

This study shows that URS had a higher stone-free rate when treating stones of size ranging from 10.1 to 20 mm. In upper ureteric stones ranging in size from 10.1 to 20 mm, we strongly advise using URS as the primary treatment option.
Spotlight on some psychiatric aspects of hepatitis-C virus patients
Authors: Elkholy Mostafa G. , Shamma Gamal T. , Enaba Mohammed E. , Eldeeb Fatma A.
Published: February 2022

Background

Hepatitis C viral infection is one of the most burdensome diseases affecting 2–3% of the world population. At least 50% of patients infected with HCV suffer from one psychiatric illness.

Aim

The aim was to evaluate some psychiatric aspects and life quality in cirrhotic and noncirrhotic hepatitis-C virus (HCV) cases.

Patients and methods

A case–control study in the Neuropsychiatry Department and Internal Medicine Department in Tanta University Hospital. Patients were divided into 50 cirrhotic HCV patients (group I), 50 noncirrhotic HCV patients, both were nonmedicated (group II), and 30 healthy controls (group III). We used Child–Turcotte–Pugh, Beck Depression Inventory, Taylor's Manifest Anxiety Scale, Mini-Mental State Examination, and Liver Disease Symptom Index 2.

Results

Beck Depression Inventory showed a statistically significant higher percentage of mild and moderate depressed patients in patient groups (groups I and II) than the control group (group III), unlike between patient groups. Educational level was found to be significant in comparison between depressed and nondepressed groups. Taylor's Manifest Anxiety Scale showed mild and moderate anxiety high percentage in patient groups (groups I and II) than the control group (group III) and this difference was of statistical significance, unlike between patient groups. Mini-Mental State Examination revealed mild cognitive impairment of high percentage in patient groups (groups I and II) than the control group (group III) and this difference of statistical significance, unlike between patient groups. Liver Disease Symptom Index 2 showed strong affection of health-related quality of life in patient groups.

Conclusion

Psychiatric disorders can occur frequently in HCV patients, with a higher incidence of depression, anxiety, and cognitive impairment. All these psychiatric disorders were found in both cirrhotic and noncirrhotic patients. Also, health-related quality of life was affected in such patients markedly independent of the stage of liver disease.
A comparative study of the effects of chloroquine and praziquantel on splenomegaly in experimental Schistosomiasis mansoni
Authors: El-Saadi Esraa G.A. , Saad Marwa A.H. , Ali Dareen Abd E.M. , Eid Mohamed E.M.
Published: February 2022

Background

Splenomegaly is a major morbid sequela of schistosomiasis. Praziquantel (PZQ) is the only recommended schistosomicidal drug despite its erratic bioavailability and growing resistance. Moreover, neglecting early treatment of splenomegaly eventually necessitates splenectomy. With drug repurposing, the antimalarial drug chloroquine (CLQ) has gained much interest because of its anti-inflammatory effect. Additionally, CLQ inhibits hemozoin formation essential for in vivo survival of blood-feeding parasites.

Aim

To investigate the schistosomicidal effect of CLQ and its role in splenomegaly modification, with or without PZQ in an experimental model.

Patients and methods

The study was conducted on 180 mice equally divided into three groups: control; infected and early treated with CLQ, PZQ, or both drugs; and infected and late treated. In group II, each drug was given in its optimum time of action to study the effect on worm eradication/reproductivity and pathology development. In group III, repeated drug regimens were applied to study the effect on the already established splenomegaly. Mice were euthanized 7 weeks P.I. to calculate the parasitic load and 15 weeks post infection (P.I.) to assess tissue pathology by hematoxylin and eosin staining.

Results

Combined CLQ and PZQ administration produced a significant reduction of parasitic load compared with CLQ alone. A highly significant decrease (P<0.001) in hepatic granulomas mean number and splenic index was also recorded in early combined subgroup, with improved structure. With late treatment, the combined rather than single therapy showed an overall less pathology; however, early therapy showed better outcome.

Conclusions

CLQ combined with PZQ has a synergistic schistosomicidal, has a valuable anti-inflammatory effect, and restrains the effect on splenomegaly, especially with early administration.
A comparative control study of ophthalmic artery Doppler velocimetry in patients with primary open angle glaucoma in Kano, Nigeria
Authors: Gombe Adamu Ibrahim , Kabiru Isyaku , Anas Ismail , Adamu Yahuza Mansur , Sadiq Hassan
Published: February 2022

Objective:

The objective of the study is to sonographically determine the hemodynamic changes in ophthalmic arteries of patients with primary open angle glaucoma (POAG) at Kano, Nigeria.

Subjects and Methods:

We conducted a prospective case–control study at Aminu Kano Teaching Hospital, Nigeria, on 108 newly diagnosed POAG and 108 control subjects. Intraocular pressure (IOP) and Doppler ultrasound velocimetry of ophthalmic arteries were assessed. Peak systolic velocity (PSV), end diastolic velocity (EDV), resistive indices (RIs), pulsatility indices (PIs) and systolic/diastolic (S/D) ratios of the ophthalmic arteries were evaluated and documented.

Results:

The mean IOP values of POAG group in the right and left eyes were higher than the values of the right and left eyes of the control group. This was statistically significant (P = 0.000). The mean PSV, EDV, RI, PI, and S/D values in the POAG group of the right and left eyes were lower than values for the right and left eyes of the control group, which was also statistically significant (P = 0.000). The IOP showed positive correlation with PSV and EDV in both eyes of POAG cases but negative correlation with PI and S/D in both eyes in the POAG group. It however correlated positively with RI in the right eye and negatively with RI in the left eye.

Conclusions:

The study showed significant differences between ophthalmic artery Doppler indices of patients with POAG and the healthy control subjects.
Evaluation of inadequately filled radiology request forms with its impact on patient radiation exposure and waiting time in a tertiary care hospital
Authors: Garba Idris , Bashir Hussain Shaiu , Mohammed Sidi , Dambele Musa , Hikima Mustapha Shuaibu , Lawal Yusuf , Yahuza Mansur Adamu
Published: February 2022

Background:

Adequate and accurate clinical history on a properly filled request form is indispensable if a clinically relevant radiological diagnosis is to be made. Moreover, clinicians need to clearly justify their requests for radiological procedures on a request form to prevent unnecessary radiation exposures and examinations with attendant prolonged waiting time.

Objective:

The study audited inadequately filled radiology request forms to determine their impacts on diagnosis, patient radiation exposure, and waiting time.

Materials and Methods:

Following an institutional review board approval, a total of 158 inadequately filled request forms for conventional X-ray examinations were sequentially enlisted and evaluated. Scorings as filled, inadequately filled, and unfilled were used to score each item based on the following: patient biodata/demographic information and patient referral details and referring physician details. Request forms for repeat examinations were further analyzed for remote factors tied to inadequate filling or lack of filling of the details on the repeat forms. Data were analyzed based on descriptive statistics using SPSS statistical software.

Results:

Patient names including first and surname were adequately filled on all the request cards (100%). Information related to patient referral details such as previous X-ray examination, blood pressure, and last menstrual period were inadequately filled with 4.4%, 2.5%, and 19.7% completion, respectively. Of the 158 request forms assessed, 33 (20.9%) examinations were repeated due to partial or complete cutoff of anatomic region of interest analysis showing inadequate clinical history and requested examination accounting for 45.5% and 24.2% of the remote factors tied to the repeats.

Conclusion:

The practice of adequate, correct, and consistent filling of radiology request forms was suboptimal with resultant prolonged waiting time and possibly increased exposure among repeat cases. A continued reminder of all referring clinicians needs to be improved to protect patients from prolonged waiting times and unnecessary radiation exposure, for the overall improvement of quality of services.

Implications for Practice:

Adequate information on the request forms improves diagnostic acuracy, reduced waiting time, and increased overall quality of service delivery.
Gordon's Conjecture 3: Fourier transforms in the hyperfinite setting
Authors: Zlatos Pavol Jan
Published: February 2022

Using methods of nonstandard analysis and building upon the results of our previous paper in which we proved Gordon's Conjectures~1 and~2 we will show that for any locally compact abelian group $\mathbf G$ the Fourier transform $\mathbf F\colon \operatorname{L}^1(\mathbf G) \to \operatorname{C}_0\bigl(\widehat{\mathbf G}\bigr)$, the Fourier-Stieltjes transform $\mathbf F\colon \operatorname{M}(\mathbf G) \to \operatorname{C}_{\operatorname{bu}}\bigl(\widehat{\mathbf G}\bigr)$, as well as all the generalized Fourier transforms $\mathbf F\colon \operatorname{L}^p(\mathbf G) \to \operatorname{L}^q\bigl(\widehat{\mathbf G}\bigr)$ or any pair of adjoint exponents $p \in (1,2]$, $q \in [2, \infty$ can be approximated in a fairly natural way by the discrete Fourier transform $\mathcal F\colon \Bbb C^G \to \Bbb C^{\widehat{G\,}}$ on a (hyper)finite abelian group $G$. In particular, we will prove Gordon's Conjecture~3, originally stated for the Fourier-Plancherel transform $\mathbf F\colon \operatorname{L}^2(\mathbf G) \to \Lb^2\bigl(\widehat{\mathbf G}\bigr)$, and generalize it to all the above mentioned cases. Some standard consequences will be considered, as well.
Online Learning Quality of Engineering Faculty Universitas Negeri Surabaya Towards Legal Entity State University
Authors: Edy Sulistiyo  , Nugroho Yuli Sutoto , Lilik Anifah  , Unit Three Kartini  , Maulana Rizki Aditama  , Rifqi Firmansyah  , Sari Cahyaningtias
Published: February 2022

Analysis of the quality of the learning process is very important in teaching and learning activities in ensuring and maintaining the quality of learning well. In the teaching and learning process, the quality assurance instrument or learning quality is an instrument or tool that aims to improve quality in the education sector through observations and assessments produced by research on students. The objective of this research is to test the quality of the online learning process during the Covid-19 pandemic at the Faculty of Engineering (FT) of the State University of Surabaya (Unesa) towards a Legal Entity Higher Education (PTN-BH). The method used in this research is descriptive qualitative which aims to find out social phenomena from the point of view of students and lecturers. The result of this study is that from the ten statements given to respondents, all shown positive results. it can be concluded that Faculty of Engineering students and lecturers support Unesa to become a Legal Entity State University.
Women's Leadership in Creating a Healthy Cultural Climate for Early Childhood Education
Authors: Kusnawawati Edi Titik
Published: February 2022

Research aims to examine and analyze the role of women in holding school leadership, especially at the Early Childhood Education Programs level. This research method analyzes studies related to women's leadership in Early Childhood Education. This type of research uses in-depth qualitative analysis. The study results show that women have an adequate ability to hold leadership in schools. Women tend to share more of their differences and are more motivated. Female principals tend to have higher teaching methods and techniques than males. In addition, it shows a more democratic nature and a more participatory style. Female principals tend to behave better and wiser than males in achieving goals. Departing from the low view and assumption of women, in the early childhood education programs world, women show many advantages in occupying the positions of Principals and Teachers compared to men, i.e., 95% are women. And the research implication is that women have more potential in the building and leading Early Childhood Education.
“EMPRESAS LOCAIS” e “GRUPOS DE SOCIEDADES”: UMA COMPARAÇÃO
Authors: Nogueira Serens M.
Published: February 2022

Resumo: Com os olhos postos no art. 19.º do Regime Jurídico da Actividade Empresarial Local e das Participações Locais (RJAEL), aprovado pela Lei n.º 50/2012, de 31 de Agosto, faz-se, no artigo, (um)a comparação entre o regime das sociedades comerciais (anónimas e por quotas), que nele se dizem ser empresas locais, e os principais aspectos da regulamentação global sobre os “grupos de sociedades” (“grupos de empresas”, também se diz), constantes dos arts. 481.º a 508.º CSC.
OS DESAFIOS SUSCITADOS AO DIREITO DA CONCORRÊNCIA DA UNIÃO EUROPEIA PELAS GRANDES EMPRESAS TECNOLÓGICAS, EM ESPECIAL OS CASOS DA APPLE E DA AMAZON
Authors: Cabrita Mendes Maria de Fátima
Published: February 2022

Resumo: Este artigo é composto por duas partes. Na primeira parte procede-se à análise da investigação da Comissão Europeia de 17 de julho de 2019 relativamente à Amazon. Apresenta-se as funções da Buy Box da Amazon e sublinha-se a possibilidade da utilização efetuada pela Amazon da Buy Box constituir um abuso de posição dominante por parte da empresa referenciada. Após concluir que o facto de a Amazon privilegiar os seus produtos e serviços em relação aos concorrentes constitui uma situação de autopreferencing, procedemos a uma breve abordagem deste tipo de comportamento empresarial e o abuso de posição dominante por parte da Amazon ao adotar esta prática.

Na segunda parte releva-se os factos e conclusões constantes da comunicação de objeções e Comissão Europeia enviada à Apple em 2021. Analisam-se duas situações consideradas preocupantes na ótica do Direito da Concorrência. Apresentamos e concordamos com a tese defendida por Geradin e Katsifis (2020) que sustentam que algumas práticas adotadas pela Apple relativamente à sua app store são abrangidas pelo artigo 102.º do Tratado sobre o Funcionamento da União Europeia.
OS FUNDAMENTOS POLÍTICOS DA CONCORRÊNCIA: ALINHANDO A DEFESA DA CONCORRÊNCIA COM A CONSTITUIÇÃO ECONÓMICA E O MODELO ECONÓMICO-SOCIAL PORTUGUÊS
Authors: Castro Marques Nuno
Published: February 2022

Resumo: as recentes propostas de evolução do quadro jurídico-processual e investigatório do direito da concorrência justificam que se revisitem os fundamentos e bens jurídicos tutelados pelas normas de defesa da concorrência, questionando-se se é sustentável manter-se uma ideia de que o direito da concorrência visa (apenas) defender a eficiência económica ou os consumidores quando se projeta a atribuição às entidades de defesa da concorrência de mais e novos poderes e instrumentos e que se inserem, indubitavelmente, numa lógica de investigação de ilícitos de natureza particularmente grave e, assim, dotados de dignidade penal.
A SOBERANIA E A CONCORRÊNCIA FISCAL PREJUDICIAL NA UNIÃO EUROPEIA
Authors: Gameiro António
Published: February 2022

Resumo: No presente artigo, pretendemos, analisar os efeitos da soberania fiscal no atual estado da concorrência fiscal prejudicial, em particular, relativamente ao quadro tributário das empresas na União Europeia, enquanto objeto de investigação policêntrica. Esta análise incidirá primordialmente sobre a tributação direta sobre as sociedades, considerada como o último reduto da soberania fiscal dos Estados-Membros.
Capa & Editorial
Authors: Fernandes Godinho Inês , Castro Marques Nuno
Published: February 2022

A Empresa como investigação policêntrica: à luz dos direitos do ambiente, da concorrência, regulação, europeu, fiscal e sancionatório
Analysis of Difficulties of Junior High School Students in Solving Closed and Open Mathematical Problems
Authors: Anggraeni Rina , Juandi Dadang , Usdiyana Dian
Published: February 2022

This study aims to describe the difficulties of junior high school students in solving closed and open mathematical problems and to describe the causes of junior high school students experiencing these difficulties. As many as 25 students of class VIII-D from one of the State Junior High Schools in Bandung Regency were used as research samples. Data was collected by using test techniques, interviews, and document studies. The stages of data analysis carried out are data collection, data reduction, data presentation, and drawing conclusions. The results of the study showed that students had difficulty in converting the problem into a mathematical model, determining the required decision variables, calculating multiplication and division operations, and determining more than one answer in solving open problems. The difficulties experienced by these students are caused by the following: students feel that the problem given is something new, students are less careful in understanding the problems given, students still do not master the material, students are less careful in performing arithmetic operations, and students not accustomed to solving problems in the form of problem solving and open questions.
Influence of Instrumental Motivation and Integrative Motivation on English Learning Outcomes
Authors: Wisnuwardhani Sitaresmi Imaniyati
Published: February 2022

This research addresses students’ motivation in influncing learning outcomes. The purpose of this study is to describe the students’ condition of motivation in learning English whether it tends to be integrative or instrumental and the extent to which their motivation in learning English may influence students’ learning outcome. This research was conducted based on principles of qualitative research. The researcher conducted an online interview to collect the data. The mid-term test grade are used as the learning outcome. Data gained in the interview and Mid-term test grade were compared and then analyzed it descriptively. Population of this study are students at grade nine. It is about 29 students in a class. The result performs that students in learning English were motivated by both instrumental and integrative motivation. That is motivation to have wider social contact with target language speakers and also motivation to utilize English as a tool to gain certain goals like good grade or future goals. Based on the findings, it is suggested that the teacher should able to motivate the students’ in learning through developing his/her teaching materials concerned with integrative and instrumental motivation to motivate students’ in learning English
Ethnomathematical Exploration in the Geulis Group Tasikmalaya West Java
Authors: Azahra Astrid Sulistya , Munahefi Detalia Noriza , Wijayanti Kristina , Prabowo Agung
Published: February 2022

In this study, mathematical concepts are used to explore the existence of mathematics in culture, especially in the Tasikmalaya group of geulis. By observing the current conditions, the activity of making kelom geulis is seen as a "mathematical-free" activity. It is still rare and there is still a lack of public knowledge about ethnomathematics which colors the activities of making kelom geulis as a motivation to investigate the mathematical knowledge contained in it. In addition, with the decreasing number of kelom geulis craftsmen as a result of the use of kelom geulis left by the original community producing these products. This study aims to determine and describe the ethnomathematics of the geulis group. The method used is qualitative with ethnographic methods. The subjects in this study were selected using a purposive sampling method with the research subject being a kelom geulis craftsman in the Tamansari (Gobras) area, Mulyasari, Tasikmalaya. Data collection techniques used are interviews, observation and documentation. The data analysis technique used in the research is data reduction, data presentation and drawing conclusions. Based on the results of data analysis, it can be concluded that there are mathematical concepts in the geulis group, especially in the discussion of flat shapes such as rectangles, circles and triangles. This research also produces a linear equation that relates the length of the foot to the size of the geulis group.
Политические элиты как фактор нестабильности политической системы
Authors: Maksimova Elena N.
Published: February 2022

Политические элиты, являясь основными акторами политических процессов, при наличии определенных характеристик становятся фактором нестабильности политической системы. Существенными характеристиками политических элит выступают форма рекрутирования, тип деятельности и тип межэлитных взаимодействий. В рамках исследования выдвигается гипотеза о взаимосвязи между дисфункциональностью политической системы, и как результат, высокой вероятностью ее дестабилизации, с одной стороны, и наличием у политических элит таких качественных характеристик, как закрытость, латентизация деятельности, раскол и конфронтационный характер межэлитных взаимодействий. В основу методологии исследования положены аналитический и сравнительный подходы. На страновых примерах доказывается связь между закрытостью элит и ростом дестабилизационного потенциала политической системы. Анализируется опасность латентизации деятельности политических элит, которая, как правило, связана с распространением теневых практик, в частности, коррупции. В ходе сравнительного анализа типов межэлитных взаимодействий подтверждается негативное влияние расколотых элит на устойчивость политической системы. Делается ряд выводов в отношении выдвинутой гипотезы. Во-первых, в условиях современного развития опасность дестабилизации политической системы несет в себе не только закрытая форма рекрутирования элит, но и чрезмерно открытая форма отбора элит, которая приводит к размыванию политических элит и делает вероятным рост некомпетентности элит. Во-вторых, такой критерий как принцип деятельности элит, оказался характеристикой, играющей ведущую роль в оценке стабильности политической системы. В-третьих, анализ характеристик межэлитных взаимодействий подтвердил, что дестабилизация политической системы наиболее вероятна при существовании расколотых политических элит.
Противоречия элитарного сознания в условиях социального кризиса
Authors: Mironov Andrey V.
Published: February 2022

Возникающие противоречия в сфере взаимоотношений внутри элитарной корпоративности оказывают существенное воздействие на общественную атмосферу в социуме. Ситуация усложняется в том случае, если смена моральных и социальных парадигм совпадает во времени с неустойчивостью государственных институтов, обусловленной следующими факторами: борьбой за сферы влияния вновь сформировавшихся элитарных альянсов и традиционных коалиций, определяющих ментальные векторы общественного развития; клановым противостоянием между различными элитарными группами, обусловленной авторитарными формами правления; сменой ценностных ориентаций, как внутри элитарной прослойки, так и большинством населения, мотивированной превалированием латентных доминант над утратившими значение официальными декларациями. В исследовании выдвигается гипотеза, что нравственная альтернативы, формирующаяся внутри элитарных групп, есть следствие трансформации моральной модели, происходящей в социуме в результате нарастающего социального кризиса. Рассматривается поливариантная ситуация в становлении ценностной шкалы в элитарных группах, имевшая место в древнем Риме времен перехода от республиканских идеалов к императорским формам правления. В основе методологии исследования используется метод историко-сравнительного анализа, позволяющий выявить причины нравственной трансформации в элитарном сознании.
Имперские амбиции китая: рецензия на книгу Р. Доши «Игра в долгую: великая стратегия Китая по смене американского миропорядка»
Authors: Upir Irene R.
Published: February 2022

В данной рецензии рассматривается работа директора по Китаю в Совете национальной безопасности США Р. Доши «Игра в долгую: Великая стратегия Китая по смене американского миропорядка». В своей книге автор отмечает, что руководство Китайской Народной Республики разрабатывало последовательную стратегию распространения своего влияния на протяжении трех ключевых этапов. Первый этап характеризовался окончанием холодной войны, распадом СССР и внутриполитическим кризисом в Китае. В результате данного этапа КПК стала считать Соединенные Штаты своим главным противником. На втором этапе, совпавшем с крупным финансовым кризисом 2008 г., руководство Китая отметило сократившийся разрыв между своей мощью и мощью США. А третий этап, который ознаменовала инаугурация Д. Трампа в качестве президента США, стал решающим для КПК, поскольку она утвердила в глазах Китая упадок Запада. В результате руководство КНР заявило о своих имперских амбициях, отметив, что им недостаточно регионального лидерства, и пришло время выходить на глобальный уровень. В своей работе Р. Доши опирается на официальные документы КПК, анализируя двусторонние отношения Китая и Соединенных Штатов.
A Educação Popular em Saúde e o papel social do Agente Comunitário de Saúde de uma comunidade ribeirinha
Authors: Araujo Rodrigo Guedes
Published: February 2022

O presente artigo apresenta importantes reflexões acerca do papel do Agente Comunitário de Saúde (ACS) como agente de transformação social em uma comunidade ribeirinha na cidade de Serra do Ramalho – Bahia. As políticas de Educação popular em saúde dentro do sistema e das políticas de Saúde do país têm evidencia a importância do trabalho realizado por esse profissional na garantia da oferta dos serviços de saúde á todas as pessoas e comunidades. Sob essa perspectiva, a motivação da escrita deste artigo parte da seguinte problemática: que impactos de transformação são alcançados através do trabalho do Agente Comunitário de Saúde em comunidade ribeirinha? Como forma de alinhamento desse questionamento, o objetivo geral pautou em analisar as atribuições e atuação do Agente Comunitário de Saúde no âmbito da Atenção primária em saúde como agente de transformação social. A abordagem da pesquisa foi a qualitativa, considerando os diferentes aspectos e enfoque dados no tanto na coleta dos dados, quando no trato e análise das informações. Nessa perspectiva, a metodologia de plicada a pesquisa se deu através dos instrumentos da entrevista narrativa e da aplicação do questionário Google doc. disponibilizado pelo aplicativo de mensagem WhatsApp na forma individual e coletiva no grupo específico de saúde da comunidade. A motivação de escolha por esse instrumento de coleta de dados se justifica pelo período pandêmico que o país enfrenta, do qual se estabelece protocolos de cuidado e prevenção do coronavírus. Portanto, conclui-se que as atividades realizadas pelo ACS tem caráter social e com vista para o cuidado e proteção das pessoas e suas famílias, haja vista que os relatos das entrevistas revelam um cuidado social por parte do profissional.
A IMPORTÂNCIA DOS JOGOS E BRINCADEIRAS COMO ELEMENTO PSICOMOTOR NO PROCESSO ENSINO E APRENDIZAGEM
Authors: Silva Rafael Soares , Silva Fabio José Antonio da
Published: February 2022

Na alfabetização, durante a aquisição da leitura e da escrita, a criança necessita de habilidades psicomotoras para se desenvolver cognitivamente. Portanto, todo educador que alfabetiza necessita compreender como a criança constrói a noção de espaço e de tempo. Assim sendo, esta pesquisa buscou analisar a importância da psicomotricidade no processo da escrita. Considerando esses aspectos, para alcançarmos esse objetivo, foi realizada uma pesquisa bibliográfica para apoiar um estudo sobre os processos de desenvolvimento da escrita e sua correlação com a psicomotricidade, haja vista que, a partir do momento em que a criança tem a noção de direção e espaço, os processos de escrita tendem a ser mais fluentes. O procedimento metodológico utilizado para o desenvolvimento da pesquisa foi a análise de literaturas produzidas nesta área, fundamentando-se em autores que defendem a psicomotricidade e sua contribuição no processo de alfabetização. Assim, concluímos que este trabalho contribuiu significativamente com o debate acerca do desenvolvimento e da aprendizagem da criança, garantindo situações favoráveis de aprendizagem.
A LEI 13.465/2017 E SUAS PRINCIPAIS REPERCUSSÕES PARA O DIREITO DE PROPRIEDADE NO BRASIL
Authors: Scheffer Denise da Costa Dias , Golçalves Eduardo de Moura , Souza Guilherme Karyel Rohden , Costa Marcelo Cacinotti
Published: February 2022

No cenário mundial, o Brasil ainda possui grande destaque, sendo em muitos aspectos considerado uma potência de nível global. Todavia, quando se passa a analisar ou simplesmente observar a organização e gestão interna do país, diversos, “porém” vêm à tona. Em que pese as inúmeras tentativas de organização fundiária que se apresentaram ao longo dos tempos, o povo brasileiro passa por uma das maiores e mais complexas, fruto da Lei 13.465/17 (Lei da REURB), que aduz a Regularização Fundiária Urbana. Dadas tais proporções, baseando-se na perspectiva de apresentar a legislação retro, buscou-se por meio de pesquisas bibliográficas estudar as principais ideias presentes na Lei da REURB.
REFLEXÕES ACERCA DO DIREITO E O CAMPO PROCESSUAL
Authors: Scheffer Denise da Costa Dias , Lopes Isadora Nogueira , Aquino Fabrício da Silva , Cardoso Ciro Portella , Costa Marcelo Cacinotti
Published: February 2022

O objetivo do presente artigo é analisar o direito e o campo processual, bem como seus princípios, sob o viés histórico, a constitucionalidade das diretrizes normativas para vida em sociedade. Dessa forma, a pesquisa observará sua reflexão em dois momentos, sendo o primeiro dedicado contextualizar a história do surgimento do direito, sua origem oriunda do latim, além de sua relevância no campo das relações sociais. O segundo momento do texto versará a respeito do Princípio da Legalidade e seu decorrer a partir das Constituições Brasileiras existentes, evidenciando a trajetória até a Constituição Federal, de 1988. O encerramento do estudo se dá na temática do direito e sua atuação no campo processual no decorrer do tempo e sua atuação em prol do desenvolvimento social da coletividade nas normativas jurídicas e cidadãs dos sujeitos.
Strategies for Emotional Healing among Adventist Pastors in Central Kenya
Authors: Mwenda Marambi Jeremy
Published: February 2022

This paper explored how pastors in Central Kenya Conference can experience emotional healing using 40 pastors as participants in the questionnaire and eight pastors’ representatives in the interview as informants. The study employed a questionnaire and an interview protocol as data collection instruments. The questionnaire was administered to the purposively selected participants, five (5) from each of the eight stations. In addition, interviews were conducted with the eight pastors’ representatives to deduce their particular views and perspectives on emotional hurt and healing. Five items emerged: prayer, sermons, good relationships, forgiveness and counselling support as healing strategies. The study thus recommends that for emotional healing and/or wellbeing to take place, pastors should be intentional about prayer, believing in what they preach, reconciling their broken relationships, forgiving in order to be forgiven and embracing counselling services.
The Response of Tanzania Higher Learning Institutions to e- Learning during Covid-19 Pandemic
Authors: Pholld Mwakyusa Wilson , Masome Ng`webeya Lucas
Published: February 2022

This study examined how the Tanzanian Higher Learning Institutions (HLIs) responded to the e-learning implementation during the COVID-19 pandemic period. It employed the Actor Network Theory that informs the socio-technical interactions. The study employed an explorative case study design with qualitative techniques, involving a total of 13 participants from selected HLIs. A thematic analysis framework was used to analyze data. The study revealed that HLIs in Tanzania have partially implemented e-learning systems and there is limited use of e-learning technology among HLIs in Tanzania. The e-learning implementation is in terms of tuition fee payment, examination results, online learning and presentation of research proposals through mobile technologies and Zoom. It is important for the government to make more emphasis on development of e-learning policies which will increase participation, commitment and accountability in HLIs. It is also important for HLIs to redefine e-learning strategies and develop facilities that will enhance transformations in teaching and learning amidst the Covid 19 Pandemic. This requires good internet networks as well as availability of robust learning management systems. Furthermore, HLIs should establish collaboration with other learning institutions within and outside the country for sustainable e-learning outcomes.
Efectividad de ejercicios para rehabilitar la disfagia orofaríngea posterior a un accidente cerebrovascular: una revisión integradora
Authors: Sepúlveda-Contreras Jorge , Jarpa-Muñoz Francisca
Published: February 2022

Introducción. La selección del tratamiento para pacientes con disfagia debe basarse en evidencia con la mejor calidad posible. Este tratamiento puede involucrar ejercicios de rehabilitación con el objetivo de modificar la fisiología de la deglución y promover cambios a largo plazo.
Objetivo. Explorar los efectos de ejercicios y maniobras destinadas a la reactivación de la función de deglución en personas con disfagia orofaríngea posterior a un accidente cerebrovascular, a través de publicaciones científicas existentes en los últimos diez años.
Metodología. Se realizó una revisión de la literatura en las bases de datos PubMed con los términos MeSH “Deglutition Disorders” y “Exercise Therapy”, y con los términos libres “Dysphagia” y “Swallowing Therapy”, combinados con el booleano de intersección “AND”.
Resultados. Los ejercicios con entrenamiento de resistencia de lengua al paladar, entrenamiento de la fuerza muscular espiratoria (EMST), chin tuck contra resistencia (CTAR), Shaker y apertura mandibular fueron los que mostraron, con mayor respaldo bibliográfico, efectos positivos en el tratamiento de la disfagia.
Conclusiones. La información recopilada podría ser de utilidad clínica para guiar la selección de uno u otro procedimiento terapéutico. Se debe continuar generando evidencia relacionada con la efectividad de los ejercicios deglutorios en la disfagia orofaríngea posterior a un ACV.
Rol del fisioterapeuta y la importancia de la educación sexual integral en la mujer
Authors: Rendón-Galvez Natali , Tamayo-Perdomo Gladys
Published: February 2022

Introducción. Colombia es un país que enfrenta diversas situaciones provenientes de la falta de educación sexual y educación en salud adecuada: casos de abuso sexual, embarazos en niñas menores de catorce años y la incidencia y prevalencia de la incontinencia urinaria por afectación del piso pélvico.
Objetivo. El presente artículo busca dar cuenta del desconocimiento en temas de salud sexual y sus consecuencias, evidenciar los beneficios que podrían generar las intervenciones de educación sexual integral en el país y reflexionar sobre el rol del fisioterapeuta en la rehabilitación y prevención de disfunciones del piso pélvico en las mujeres.
Reflexión. Si se incorporaran procesos de fisioterapia pélvica como componente preventivo, que incluya educación, se podría reducir el desconocimiento, el riesgo de vulneración de los derechos sexuales y reproductivos y futuras disfunciones del piso pélvico. La importancia de la educación desde la fisioterapia radica en que las mujeres reconozcan que, al aumentar la fuerza de su musculatura, están cuidando de su piso pélvico hasta edades avanzadas, en las que se estima que la prevalencia de incontinencia urinaria es del 34%.
Conclusiones: Un programa de educación sexual impartido desde el currículo podría disminuir las condiciones de salud del piso pélvico, así como los factores de riesgo de abuso sexual. Además, permitiría el acompañamiento médico adecuado para orientar el inicio de la vida sexual en un proceso seguro y consciente, así como la expresión de la sexualidad con libertad, al ser concebida como un derecho.
PENGEMBANGAN BUKU PANDUAN PELAKSANAAN BIMBINGAN KELOMPOK DENGAN METODE DISKUSI UNTUK MENINGKATKAN MOTIVASI BELAJAR SISWA
Authors: Oktavia Eva , Sholih  , Prabowo Arga Satrio
Published: February 2022

Salah satu upaya untuk meningkatkan motivasi belajar siswa adalah dengan bimbingan kelompok. Penelitian ini bertujuan untuk mengembangkan buku panduan pelaksanaan bimbingankelompok dengan metode diskusi, tujuannya adalah untuk memudahkan guru Bimbingan danKonseling dalam melakksanakan bimbingan kelompok dan memberikan gambaran serta inovasidalam pelaksanaan bimbingan kelompok dengan metode diskusi dan diharapkan mampumeningkatkan motivasi belajar siswa melalui kegiatan bimbingan kelompok yang menarik. Metodeyang digunakan adalah metode penelitian dan pengembangan (R&D) dengan mengadaptasi modelADDIE yang di sederhanakan dalam tiga tahapan yaitu tahap analisis, perancangan danpengembangan. Teknik pengumpulan data yang di gunakan yaitu melakukan uji kelayakan ahliterhadap produk yang dikembangkan. Adapun teknik analisis data untuk menguji kelayakan produkpengembangan adalah dengan menggunakan kriteria kelayakan dari Arikunto. Hasil uji ahli materimenyatakan kesesuain materi memperoleh persentase sebesar 71%, mendorong keingintahuanmemperoleh persentase sebesar 62,5%, teknik penyajian, lugas, komunikatif, kesesuain dengankaidah Bahasa memperoleh persentase sebesar 75%. Sedangkan hasil uji ahli media menyatakanukuran buku memperoleh persentase sebesar 75%, desain cover buku memperoleh persentase sebesar92% dan desain isi buku memperoleh presentase sebesar 81%. Hasil uji kelayakan produkpengembangan yang telah dilakukan oleh satu dosen ahli media dan satu dosen ahli materi darikeduanya diperoleh hasil penilaian rata-rata adalah 80 %, artinya buku panduan pelaksanaanbimbingan kelompok dengan metode diskusi yang dibuat peneliti termasuk dalam kriteria “layak”
Persepsi dan Pola Pergerakan Wisatawan Di Kota Yogyakarta Kasus: Kawasan Malioboro
Authors: Salim Tatang , Fosterharoldas Swasto Deva
Published: February 2022

Pariwisata merupakan salah satu industri jasa yang mengutamakan dan menciptakan tingkat kepuasan bagi wisatawan. Provinsi Daerah Istimewa Yogyakarta miliki banyak objek wisata yang memiliki karakteristik berbeda-beda sehingga terjadinya perpindahan elemen antar lokasi. perpindahan wisata dapat dilihat dari perubahan ruang, mulai ruang privat menuju ruang publik. Ruang publik yang selalu ramai dengan pengunjung wisatawan di kota Yogyakarta adalah kawasan Malioboro. Tujuan dari penelitian ini adalah mengidentifikasi persepsi dan pola pergerakan wisatawan dan faktor yang mempengaruhinya di kawasan Malioboro. Penelitian ini dilakukan dengan metode kualitatif dengan sifat penelitian deskriptif. Pengumpulan data dilakukan secara dengan observasi, wawancara dan pengamatan lapangan dalam kurun waktu tertentu. Sampel dipilih dengan teknik non-random purposive sampling yaitu wisatawan domestik yang mengunjungi kawasan Malioboro. Hasil analisis menunjukkan bahwa melakukan perjalanan dengan motivasi merelaksasi atau hiburan dari aktivitas keseharian. Perjalanan wisata di kawasan Malioboro dengan pola pergerakan multi pattern yaitu base site dan stopover. Faktor yang mempengaruhi dalam wisata adalah faktor pendorong yaitu escape, educational opportunity dan faktor penarik yaitu destinasi, tingkat kemudahan
Peran Literasi Digital Keluarga dalam Upaya Mengurangi Kecanduan Gawai Pada Anak
Authors: Prasetya Dimas
Published: February 2022

Kemajuan teknologi menyisakan persoalan bagi anak-anak sebagai dampak dari terpaparnya pengaruh gawai dan internet. Gawai dapat diibaratkan dua sisi mata uang yang berseberangan. Jika gawai gunakan secara bijak dapat membawa manfaat, sebaliknya jika gawai digunakan secara berlebihan dan tanpa ada batas maka dapat dapat menimbulkan berbagai efek negatif. Dalam penggunaan gawai yang terlampau intens akan mendekatkan anak kepada kecanduan gawai yang mana hal ini dapat menyebabkan efek samping seperti gangguan baik yang bersifat psikologis maupun kesehatan. Menggunakan metode studi pustaka, paper ini berangkat dari argumentasi bahwa literasi digital keluarga memiliki peran yang penting dalam upaya mengurangi dampak buruk dari kecanduan gawai pada anak. Peran literasi digital keluarga dapat dielaborasi dari dua model pendekatan yakni model Uses and Gratification dan model protectionist. Pada model Uses and Gratification orang tua didorong untuk memiliki pemahaman mendasar tentang media termasuk keterampilan dalam memilih media hingga pada akhirnya keterampilan ini dapat ditularkan pada anak. Model protectionist melalui upaya pengaturan penggunaan media (diet media) dan pelibatan anak bersama orang tua melalui kegiatan-kegiatan bermain dan belajar
Effect of Financial Performance and Firm Size on Dividend Policy (Empirical Study on Consumer Goods Sector Issuers 2017-2020)
Authors: Tamara Bella , Mulyana Bambang
Published: February 2022

This study aims to examine and analyze the effect of Profitability (ROE), Liquidity (CR), Leverage (DER), and Firm Size (SIZE) on Dividend Policy (DPR) either partially or simultaneously. This research uses causal associative research. The population in this study is all issuers of the Consumer Goods sector listed on the Indonesia Stock Exchange with an observation period of 2017-2020 of 63 issuers. The sample used purposive sampling method, then 14 issuers were obtained as samples. The analytical method used in this study is panel data. The results showed that partially ROE has a significant negative effect on the DPR, CR has an significant positive effect on the DPR, DER has an insignificant positive effect on the DPR, and SIZE has an insignificant positive effect on the DPR. Simultaneously ROE, CR, DER, and SIZE have a significant effect on DPR. The coefficient of determination in this study is 49.45%.
EFFECT OF AUSFORMING ON MECHANICAL PROPERTIES OF 12%Cr FERRITIC/MARTENSITIC STEEL
Authors: Kislyak I.F. , Rostova H.Yu. , Andrievskaya N.F. , Kalchenko A.S. , Okovit V.S. , Tikhonovsky M.A. , Vasilenko R.L. , Tantsiura I.G. , Panov V.A.
Published: February 2022

Effects of ausforming through upsetting at 890 °C and following tempering on microstructure and mechanical properties under uniaxial tension of 12CrWMoNbVB ferritic/martensitic steel are studied. Electron microscopic investigations along with elemental analysis of the steel samples in various states provided detailed information about subgrain structure and typical precipitates, the latter mainly М23С6 and NbC carbides. Strength and plasticity parameters (σ0, σb, δ) are examined and shown to enhance under applied thermomechanical treatment as compared to standard characteristics of the steel. Preferred treatment of the steel is preliminarily evaluated.
HEALTH STATUS OF WOMEN IN PAKISTAN: A RESEARCH STUDY FROM SAIDPUR VILLAGE OF FEDERAL CAPITAL AREA OF ISLAMABAD, PAKISTAN
Authors: Mahmood Khalid , Farooq Hufsa
Published: February 2022

Background: The women make half of population of Pakistan which should not be neglected in any case. The women of the country are kept backward in our culture, due to which they are unable to participate in various fields of life which also affects their health. The objective of this study was to find the socio-economic, socio-cultural, and religious determinants that contribute to the poor health status of women.Materials Methods: This qualitative study was conducted in Department of Pakistan Studies, Allama Iqbal Open University, Islamabad, Pakistan from April to July 2019 through in-depth interviews from middle and lower middle class married women form Saidpur village of Islamabad. The sample size was 32 couples (64 individuals). Results: Major factors that are responsible for the poor health status of women are restrictions on the mobility of women, violence against women, and financial dependence. Women in the Saidpur village are not allowed to avail healthcare opportunities without permission of their male family members, even they are depended on men financially to visit a doctor. Moreover, violence against women including physical, emotional, and mental is another primary cause behind the poor health status of women in Saidpur village.Conclusion: In Pakistan, a large number of women are deprived from quality health. The causes include poverty, lack of food, unavailability of education and violence on women. Moreover, the issue of gender inequality is also uncontrolled element which strongly affects the women’s health. The civil society, media and the government should take their responsibility to remove the problems which are faced by the women of Pakistani society regarding their health.
MEDICAL EDUCATION IS CHANGING IN PAKISTAN
Authors: Ahmad Iftikhar
Published: February 2022

In 1910, Flexner report was published accusing the incompetent American, apprenticeship-based, medical education system. This system was producing low-grade physicians, with poor teaching and training standards in medical schools. The post-Flexnarian, discipline-based system transformed the structure of medical education in US, Canada and UK, by establishing the gold standard; the biomedical model of medical training. It became one of the most important revelations in the history of medicine and a foundation for the upcoming problem-based and clinical presentation based models of medical curricula.