bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of Kangaroo Mother Care on Physiological Parameters of Low-Birth-Weight Neonates
Authors: Mateen Amna , Awan Nagham Nawaz , Gul Syeda Shireen , Adeel Bushra , Razzak Sana , Mushtaq Saira
Published: May 2023

Background: Maternal skin contact has impact on physiological parameters in newborns, some studies showed positive effects but as we live in under developing country and the data on impact of kangaroo mother care (KMC) on physiological parameters is very limited. We hypothesized that KMC is effective in stabilizing the heart rate, respiratory rate and maintaining the oxygen saturation and body temperature of low birth weight (LBW) newborns. Objective: The aim of the study was to determine effects of 3 hours KMC on physiological parameters such as body temperature, heart rate, respiratory rate and oxygen saturation in LBW neonates. Study Design: Observational Quasi-experimental study Study Setting: This study was conducted in Department of Neonatology, Children Hospital, PIMS, Islamabad, Pakistan from 1st June 2022 to 1st December 2022. Methodology: The neonates were hemodynamically stable admitted in NICU and Nursery of Children Hospital, PIMS with LBW with the bodyweight <2 kg was enrolled in the study after taking the consents from mother or other female attendant. Data were collected by structured questionnaire and observational checklist after taking consent from each participant. After inclusion neonates was received KMC for 03 hours. Participants physiological parameters were monitored closely before and after KMC. The statistical analysis was done by using SPSS version 20. Results: Out of the 60 mother-child couples enrolled in the study. There was high frequency of neonates between 1-1.5 kgs with 36.7%. Out of 60, 33 were baby boys and 27 were baby girls. After three hours of KMC, temperatures showed significant increased (p<0.001). Most infants' temperatures were maintained during KMC, and no cases of hypothermia were reported. Also, statistically significant increases in heart rate were seen throughout KMC (p<0.001), with mean increases of exhibited bradycardia before starting KMC, but at the end of the session, all of their heart rates were normal (100-170 beats per minute) and stable. Practical implications Though KMC has been proven to be an efficient and feasible approach of caring for LBW infants in a hospital setting, there is a lack of evidence on its outcomes in Pakistan. In light of this, we set out to examine the impact of 3 hours of KMC on vital signs in LBW infants, namely their core temperature, heart rate, respiratory rate, and oxygen saturation. The ultimate goal is to collect enough evidence to advocate for the strategy's widespread adoption. Conclusion: Better quality and more humanized care for preterm and low birth weight babies and their mothers may be achieved by encouraging the use of the Kangaroo Mother Care approach in neonatal intensive care units in Pakistan. Keyword: KMC, temperature, oxygen saturation, respiratory rate, heart rate. Low birth weight
Early Removal of Foleys Catheter within 48 Hours of Transurethral Resection of the Prostate
Authors: Memon Mahmood Ahmed , Rajper Shahnawaz Rafique , Noonari Shah Muhammad , Baig Muhammad Babar , Suri Bilal , Bhatti Muhammad Shahid
Published: May 2023

Objectives: To study outcomes of early removal of foley’s catheter after transurethral resection of prostate (TURP). Study Design and Duration: This is a cross sectional study completed in six months duration from May to October 2022. Setting: study was conducted in the department of urology Shaheed Mohtarma Benazir Bhutto Medical College. Methodology: All male patients above 50 years of age with prostate more than 30 gm and less than 60 grams with definitive indication of TURP were included in this study. Those with age less than 50 years, prostate less than30 gram, more than 60, patient with cerebrovascular disease or psychiatric disorder and history of stricture urethra were not included in this study. Results: Total 60 patients were included in this study with maximum age 70 years and minimum age was 55 years. Average size of prostate determined by trans-abdominal ultrasound was 52 grams, maximum size was76 grams and minimum size was 30 grams. Foleys catheter was removed in all patients on the second postoperative day within 48 hours after TURP. Patient voided with good stream after Foley’s removal. Out of sixty patients one patient (1.7%) developed urinary retention immediately after Foley’s removal who was recatheterized and Foley’s was kept for further three days and trial of catheter was given which was successful. One patient (1.7%) developed mild hematuria and Foley’s was kept for 2 days and trial was successful. Conclusion: Early removal of Foley’s reduces hospital stay, early return to work, prevents catheter related side effects and reduces patients anxiety due to catheter. Keywords: Foleys Catheter, TURP, Catheterization, BPH
Role of Recombinant Activated FVII in Severe Post‐Partum Haemorrhage
Authors: Khanum Fatima , Qayyum Muniza , Khanum Amna , Khanum Zohra
Published: May 2023

In Pakistan, improvement of health care structure and evolution of perinatal care, have led to momentous drop in pregnancy related deaths, however obstetrical haemorrhage maintains to be the principal cause of maternal motility. The aim of this study was to probe the utilization of activated, and recombinant, Factor VII (rFVIIa) in cases of severe postpartum haemorrhage (PPH). This study was carried out at Unit 2 of Obstetrics & Gynaecology Department of Sir Ganga Ram Hospital (Fatima Jinnah Medical University), Lahore, over a period of 10 weeks, from 15/01/2023, to 31/03/2023. Fifteen females with severe PPH who were treated with rFVIIa were included in this study. The overall observed median and mean blood loss were 8639 mL and 11835 mL respectively. The management prior to rFVIIa involved trans-arterial embolization in five patients, while three of them had hysterectomy. One patient had one single dose, two of them had two doses, three of those patients had four doses, two patients had five plus doses, and a single patient had twenty plus doses of rFVIIa. The mean (± SD) of single dose was at 81.60 ± 16.25 µg/kg. Fourteen of those females could survive, however one of them died due to complication. The cause of that death was uterine rupture, and the quantum of haemorrhage in that case of death, was 6428–43 810 mL. This may, therefore, lead us to conclude that, irrespective of the fact whether a patient would survive or otherwise, much dependents upon her general health and proceeding rFVIIa infusion, rather than haemorrhage. Four of those females presented thromboembolic events post rFVIIa management deep vein thrombosis (DVT), DVT plus pulmonary embolism (PE), PE and acute myocardial infarction (MI). This study revealed that rFVIIa infusion had promising effects for severe PPH and markedly reduced the maternal motility. Keywords: Post-Partum Haemorrhage, Hystectomy, rFVIIa, thromboembolism
Diagnostic Accuracy of Magnetic Resonance Imaging for Detection of Metastatic Cervical Nodes at Level I and II in Patients with Oral Squamous Cell Carcinoma Taking Postoperative Histopathology as Gold Standard
Authors: Nauman Muhammad , Rahim Ashfaq-ur- , Ali Sadiq , Khan Abdullah , Kirmani Urooj , Ali Asif
Published: May 2023

Background: Head and neck carcinoma is the malignant lesions which develops on lips, oral cavity, nasal mucosa, paranasal sinuses, inside or outside the throat or parotid glands. Magnetic resonance imaging can be a good alternative to invasive procedures for detection of metastatic disease in cases of head and neck tumors. Objective: To evaluate diagnostic accuracy of magnetic resonance imaging in detecting metastasis in neck nodes of oral squamous cell carcinoma with reference to postoperative neck histopathology. Study Design: Cross sectional study Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Mayo Hospital Lahore from 1st January 2014 to 30th June 2014. Methodology: Eighty seven patients with biopsy proven squamous cell carcinoma of orofacial origin were enrolled who had single malignant tumor at the time of diagnosis. Results: The mean age of the patients was 50.44±12.44 years. There were 58 (66.67%) males and 29 (33.33%) females. In terms of sensitivity, specificity, and diagnostic accuracy, magnetic resonance imaging was 94.12%, 61.11%, and 80.46% respectively taking histopathology as gold standard. Conclusion: For the detection of cervical nodal metastases in oral squamous cell carcinoma, MRI is a useful and trustworthy method with a high sensitivity and specificity, especially when compared to postoperative neck histopathology. Keywords: Histopathology, Carcinoma, Magnetic resonance imaging (MRI),Metastasis
La Balanza de Pagos y la Posición de Inversión Internacional de España en 2022
Authors: Alves Pana , Jiménez Martínez Patricia , del Portillo Miguel Gregorio , Simón Gil María Isabel
Published: May 2023

Motivación

La Balanza de Pagos y la Posición de Inversión Internacional (PII) informan de las relaciones económicas con el resto del mundo y son relevantes por el impacto que estas tienen en la economía nacional. Acontecimientos recientes, como la guerra de Ucrania y su impacto en los precios de la energía, hacen que su análisis resulte todavía de mayor interés.

Ideas principales

•En 2022, la capacidad de financiación de la economía española disminuyó, debido en gran medida al deterioro de la balanza comercial energética. El saldo de los servicios evolucionó favorablemente, en especial el del turismo, que recuperó niveles previos a la pandemia.

•La PII deudora neta continuó corrigiéndose en 2022, hasta situarse en el 60,5 % del PIB, el nivel más bajo en 18 años, gracias al avance del PIB, al importe positivo de las transacciones financieras con el exterior y a los efectos valoración también positivos.

•La inversión directa de España en el exterior y la del exterior en España recuperaron los niveles previos a la pandemia; destaca el elevado dinamismo del sector de las sociedades no financieras.
EFFECT OF INTELLECTUAL CAPITAL ON PROFITABILITY OF HEALTHCARE FIRMS IN NIGERIA.
Authors: Peter Izuchukwu Ndueche
Published: May 2023

This study examines the causal effect relationship that exist between intellectual capital and profitability of listed health care firms in NigeriaExchange Group. The study used panel data and adopted ex-post facto research design. Four objectives and hypotheses formulated for the study were tested using data collated from financial report of the health care companies used in the study between 2011 to 2021 fiscal year. The data collated were analysed using regression analysis, however some preliminary analysis such as descriptive statistics, correlation analysis, as well as some diagnostic analysis like Shapiro wilk test normality test were carried out to ascertain the presence of multi-colinearity, and the normality/fitness of the data used. The study finds that intellectual capital components have 53.5% impact on the profitability of health care companies in Nigeria. The finding from the specific objectives indicated that human capital, structural capital and capital employed have positive and significant effect on profitability of health care firms in Nigeria Exchange Group. While relational capital has positive but insignificant effects on profitability of health care firms. Based on the result and findings, the study recommends that management of Health care companies listed on the Nigeria exchange group promotes policies that would attract quality human capital and retaining them as this would enhance the possibility of achieving high profitability.
STATISTICAL METHOD FOR EMPIRICAL TESTING OF COMPETING THEORY IN ANAMBRA STATE POLYTECHNIC, MGBAKWU..
Authors: BONIFACE CHUKWUMA OKOLI, , Patience Amaoge Enukonwu
Published: May 2023

Empirical testing of competing theories lies at the heart of social science and applied Science research. We demonstrate that a well-known class of statistical models, called finite mixture models, provides an effective way of rival theory testing. In the proposed framework, each observation is assumed to be generated either from statistical models implied by one of the competing theories or more generally from a weighted combination of multiple statistical models under consideration. Researchers can then estimate the probability that a specific observation is consistent with each rival theory. By modeling this probability with covariates, one can also explore the condition under which a particular theory applies. We discuss a principles way to identify a list of observations that are statistically consistent with each theory and propose measure of the overall performance of each competing theory. We illustrate the relatives’ advantages of our method over existing methods through empirical and stimulation studies.
NAXALISM: A SOCIOLOGICAL PERSPECTIVE
Authors: Kumar Yadav Dr. Vinod
Published: May 2023

India is a subcontinent of nationalities, where people of different castes, creed and religion coexist in unity. This ‘unity in diversity’ is the key to the smooth functioning of society. As per the Directive Principles of State Policy, it is the aim of the state to create such type of social and economic conditions under which the citizens can lead a good life. Any manner of oppression on any section of society will cause unrest and eventually the upheaval of uproar in the whole society.
ANALISIS PENERAPAN MODEL PEMBELAJARAN PROJECT BASED LEARNING (PjBL) MATERI PERUBAHAN FISIKA DAN KIMIATERHADAP KEAKTIFAN BELAJAR PESERTA DIDIK
Authors: Herowati Herowati
Published: May 2023

Tujuan penelitian ini adalah menganalisis penerapan model pembelajaran Project Based Learning (PjBL) serta mengetahui keaktifan peserta didik selama proses penerapan model pembelajaran PjBL. Jenis penelitian yang digunakan yaitu penelitian kualitatif dengan teknik pengumpulan data menggunakan observasi. Subjek yang digunakan yaitu peserta didik kelas VII MTs Al Mujahidin Sumenep. Hasil penelitian yaitu berdasarkan hasil observasi yang telah dilakukan oleh peneliti, model pembelajaran PjBL dapat digunakan guru dalam proses kegiatan pembelajaran. Model pembelajaran PjBL merupakan salah satu alternatif yang dapat digunakan oleh guru untuk meningkatkan hasil belajar yang dapat dilihat dari keaktifan peserta didik karena model pembelajaran PjBL berpusat pada peserta didik saat proses kegiatan pembelajaran. Model pembelelajaran PJBL juga dapat membuat peserta didik menjadi lebih aktif dan fokus dalam menyelesaikan masalah, serta membuat peserta didik berpikir secara mandiri maupun berkelompok.
Relação entre tempo sentado, exercício físico, perfil lipídico e hba1c de crianças e adolescentes com Diabetes Mellitus Tipo 1
Authors: Vaz Alves Lucas , Andrade Alves Rayssa , Cápia Castro de Carvalho Lucas , Leal de Castro Lucas , Maria Alves Josiana , Biteli Piero , Francisco dos Santos Haber Jesselina , Federighi Baisi Chagas Eduardo
Published: May 2023

O estudo analisou a relação entre o tempo sentado e de exercício físico com o perfil lipídico e hemoglobina glicada (HbA1c) em portadores de Diabetes Mellitus Tipo 1 (DM1). Participaram do estudo 81 pacientes de ambos os sexos, com idade de 4 a 19 anos e diagnosticados com DM1 a pelo menos 1 ano atendidos no Centro Interdisciplinar em Diabetes (CENID) da Universidade de Marília (UNIMAR). Foram realizadas dosagens de colesterol total (CT), triglicérides, HDL-c eLDL-c, apolipoproteína B (ApoB) e hemoglobina glicada HbA1c. O tempo sentado e de exercício físico foi coletado por meio do recordatório de atividade física de Bouchard. A amostra demonstrou que quanto menor o tempo envolvido na prática de exercícios físicos, maiores são os valores das variáveis do perfil lipídico e HbA1c o que sugere grande relevância do exercício físico para o controle metabólico dos lipídios e HbA1c em portadores de DM1, portanto a sua recomendação é de extrema importância para evitar futuras complicações neste público.
Old, elderly, ancient, baluarte or velha guarda: reflections and life experiences
Authors: Hüther Cristina Moll , Carvalho Alcione Silva De , Ferreira Patricia Garcia , Ferreira Vitor Francisco
Published: May 2023

The objective of this article was to carry out a reflection on several aspects that affect the life of the elderly and that could be improved, as well as to present what has already started as a movement to reduce this problem, but which is still far from being ideal in some countries, as there is a lot of discrimination and stereotypes created, such as being dependent on care, physical and often mental decay, which can often be considered unproductive. Old or elderly are terms that refer to the generic concepts of ageism, ageism or ageism which, in turn, refer to discrimination or prejudice based on people's age. However, each of the terms (old or elderly) or titles (ancient, bulwark and old guard) are used by a culture, tribe, social group or community, with common interests, but all refer to one issue: you can only get old more advanced and not necessarily all are negative. There is still much to be done to improve the quality of life of this important part of the population, as well as opportunities and reduce social discrimination. However, if someone says that you are too old for such a thing, answer: do not put your time limit on my dreams.
Can Chatbots replace human coaches? Issues and dilemmas for the coaching profession, coaching clients and for organisations
Authors: Passmore Jonathan , Tee David
Published: May 2023

The advent of artificial intelligence (AI) and machine learning (ML) has led to the speculation that chatbots could revolutionise the coaching industry in the coming decade, replacing humans as the main provider of coaching conversations. The development of GPT4 has led to these bots becoming increasingly sophisticated and effective at providing support and guidance in various fields. Coaching providers have been quick to operationalise these generative language tools to create new products like AIMY, evoach and Vici. This paper examines the potential of AI chatbots and their integration into coaching tools. It will review the advantages and current limitations of AI coaching chatbots and offer a preliminary definition for the field, seeking to differentiate chatbots from human coaching. The paper also explores the role of coaching psychology, professional bodies and governments in the development and evolution of AI systems and coaching chatbots, and suggests the urgent need for action to protect clients and organisations from unregulated and unethical practices.
Using Distracting Capsule and Resin Bridge for Segmental Distraction Osteogenesis for an Implant-supported Ceramic Crown in the Esthetic Zone of the Anterior Maxilla: 10-year Clinical Report
Authors: Valcanaia Andre
Published: May 2023

Implant therapy for the esthetic zone of the anterior maxilla is a challenge when the support is deficient with the loss of alveolar bone. This article presents a 10-year clinical report of implant therapy for 23-year-old woman with a significant loss of alveolar bone following a loss of the maxillary right central incisor. The central incisor was restored with a screw-retained single implant ceramic crown where the implant site was augmented through sectional distraction osteogenesis involving a distracting capsule and a resin bridge to restore the missing span and serve as an anchorage for distraction. At the 10-year follow-up appointment, the implant-supported crown was stable with no signs or symptoms of biological and/or mechanical complications.
Beyond the Art Museum: A Phenomenological-Hermeneutic Account of Everyday Aesthetics
Authors: Ashrafi Soheil , Garbutt Michael , Kapalova Altyn
Published: May 2023

The article presents a phenomenological-hermeneutic account of everyday aesthetics based on the Playful Eye, an experiential method for encountering the “Other” through contemplative, somatic, and embodied practices informed by the concept of play. The experiences co-curated with participants—illustrated here by a Playful Eye event held in Osh, Kyrgyzstan—are grounded in an understanding of the relationship between the self and Other, cultivating a sense of inner truth that is unconcealed when the sensing agent experiences itself through being sensed. It is contended that everyday aesthetics provides a muted, fleeting experience of the Other, the seamless and ceaseless succession of the parts that constitute the totality of engagement with the world. This transformative understanding as “extended self,” also evident in many Indigenous traditions, can provide the common ground for dialogue, empathy, and compassion in contexts where conflicting values and beliefs might otherwise result in indifference or hostility.
Aesthetic Education in Developing a Historically Relevant Pedagogy
Authors: Belesis Georgia
Published: May 2023

In this article, I argue that by integrating aesthetic education into history instruction, teachers can create a “historically relevant pedagogy.” This approach paints a more complete picture of history and reflects students’ varied learning styles and their sociocultural needs, interests, and experiences. Historically relevant pedagogy integrates the frameworks of aesthetic, historical, and culturally relevant educational approaches. Through this pedagogical combination, students can develop historical literacy, experience academic excellence, and become socioculturally aware of their role in society. The conclusions of this study suggest a need to redesign high school history courses to include more aesthetics-based instruction.
Research on Investors' Right of First Refusal in Private Equity Investment
Authors: Fan Xiaoya , Kong Ziyan , Sun Shini , Zhang Ziyi , Li Deyu
Published: May 2023

The right of first refusal clause for investors in private equity investment is one of the fastest terms to reach agreement between investors and the founding team in investment agreements. However, due to the complexity of transactions in practice and the imperfect relevant regulations, various conflicts and disputes such as shareholder transfer of equity and other shareholders claiming the right of first refusal often occur in practice, which not only affects the internal stability of the company but also affects the interests of third parties. Therefore, this article provides a deep analysis of the right of first refusal through its background and practical value, sorts out and analyzes the key points that may be involved in the exercise of this clause, and puts forward relevant suggestions for the improvement of the right of first refusal. This has important practical significance for both investors to better protect their own rights and interests in practice.
Ruthenium-based metal oxide for acidic oxygen evolution reaction: advances and challenges
Authors: Liu Changpeng , Xing Wei
Published: May 2023

Utilizing proton exchange membrane water electrolyzers (PEMWE) to produce hydrogen is a promising way to provide clean energy, reduce carbon emissions and improve the utilization rate of renewable energy. The slow kinetics of oxygen evolution reaction (OER) at the anode is considered to be the crucial obstacle to its conversion efficiency. Due to the strong acidic and oxidizing environment of OER reaction, it is essential to develop electrocatalyst with high activity and high stability to reduce the high kinetic barrier of OER and improve the reaction rate. Among them, Ru-based catalysts have outstanding catalytic activity and relatively low price, which has aroused great interest in its practical application. Many Ru-based catalysts with superior performance have been developed in recent years. In this review, we mainly focus on the development of Ru-based catalysts towards OER, with OER mechanisms discussed first, followed by discussion in the factors affecting the catalytic performance, and then introduce current research progress of Ru-based catalysts under acidic conditions. We finally conclude the prospect of the development direction of Ru-based catalysts in the future, hopefully guiding further development of Ru-based catalysts towards real world operation.
Ionic liquid induced controllable synthesis of nickel-hydroxide-encapsulated NiFe layered double hydroxide for efficient oxygen evolution
Authors: Xia Bao Yu , Yan Ya , Wang Xianying
Published: May 2023

The efficiency of electrochemical water splitting is severely restricted by the slow oxygen evolution reaction (OER) on the anode. Therefore, the design and synthesis of high-performance electrocatalysts for anodic oxygen evolution is crucial for the industrialization of hydrogen production by electrolysis of water. Herein, an efficient core-shell Ni(OH)2@NiFe LDH electrocatalyst was designed with the assistant of ionic liquid for OER. The ionic liquid delayed the crystallization ability of Ni2+ ions and then facilitated the formation of NiFe LDH coated Ni(OH)2 structure. The as-obtained core-shell Ni(OH)2@NiFe LDH exhibited outstanding OER electrocatalytic activity that only required overpotentials of 258 mV to deliver current densities of 100 mA cm-2, and a decent stability of at least 300 h under a large current density of 100 mA cm-2. This study provides a valuable reference for the structure design of NiFe LDH based catalyst.
Thermoelectric transport properties of single-crystalline ZrCoBi half-Heusler
Authors: Pan Yu
Published: May 2023

Half-Heusler compounds are one of most promising thermoelectric materials for power generation at high temperatures. Recent studies focus on fine-grained polycrystalline samples because of their lower thermal conductivity, and the induced defects are found to play an important role in the thermoelectric transport properties. Here, we report the thermoelectric transport properties of single-crystalline ZrCoBi. Two samples from different batches clarify the same charge carrier concentration of ~1020 cm-3, denoting the robust Fermi level position in the ZrCoBi single crystals. The high electron density is attributed to the Zr interstitial point defects. Moreover, a high power factor of over 3.3 mWm-1K-2 is achieved in the single-crystalline ZrCoBi. By comparing the thermoelectric properties of single-crystalline and fine-grained polycrystalline samples, we reveal the role of grain boundary scattering in reducing the thermal conductivity from ~11.5 Wm-1K-1 to ~9 W/mK at 300 K. The present work declares the significance of defects in tuning the transport properties of ZrCoBi half-Heusler compound.
Risk Factors for Revision Surgery Following Revision Total Knee Arthroplasty Using a Hinged Knee Prosthesis for Septic and Aseptic Indications
Authors: Green Cody C. , Stelzer John W. , Kerr Matthew S. , Tang Alex , Menken Luke G. , Romanelli Filippo , Miller Justin M. , Liporace Frank A. , Haidukewych George J. , Yoon Richard S.
Published: May 2023

Introduction:

The use of hinged knee replacements (HKRs) for limb salvage is a popular option for revision total knee arthroplasty (RTKA). Although recent literature focuses on the outcomes of HKR for septic and aseptic RTKAs, little is reported on the risk factors of returning to the operating room. The purpose of this study was to evaluate risk factors of revision surgery and revision after receiving HKR for septic versus aseptic etiology.

Methods:

A multicenter, retrospective review was conducted on consecutive patients who received HKR from January 2010 to February 2020 with a minimum follow-up of 2 years. Patients were separated into two groups: septic and aseptic RTKAs. Demographic, comorbidity, perioperative, postoperative, and survivorship data were collected and compared between groups. Cox hazard regression was used to identify risk factors associated with revision surgery and revision.

Results:

One-hundred fifty patients were included. Eighty-five patients received HKR because of prior infection, and 65 received HKR for aseptic revision. A larger proportion of septic RTKA returned to the OR versus aseptic RTKA (46% vs 25%, P = 0.01). Survival curves revealed superior revision surgery–free survival favoring the aseptic group (P = 0.002). Regression analysis revealed that HKR with concomitant flap reconstruction was associated with a three-fold increased risk of revision surgery (P < 0.0001).

Discussion:

HKR implantation for aseptic revision is more reliable with a lower revision surgery rate. Concomitant flap reconstruction increased the risk of revision surgery, regardless of indication for RTKA using HKR. Although surgeons must educate patients about these risk factors, HKR remains a successful treatment option for RTKA when indicated.

Level of evidence:

prognostic, level III evidence.
Using Mobile-Supported Self-Learning Modules in Developing Oral Communication Skills of Grade 9 ESL Students
Authors: Santos Emmanuel
Published: May 2023

With the recent pandemic, the development of oral communication skills became more challenging to address. Hence, the study sought to determine the effect of mobile-supported SLMs on oral communication skills and identify the attitudes of students toward the use of the material. The study used one-group pretest-posttest design. The scores in the pretest and posttest were analyzed through paired-samples t-test, while the answers in the attitude survey questionnaire were analyzed through the median of every item and triangulated with the students’ essay and teacher’s log. The study found a statistically significant difference in students’ oral communication skills before and after exposure to the mobile-supported SLMs, and students generally have a positive attitude towards the use of the materials. It was concluded that students in low-resource contexts can still develop their oral communication skills and that they like using mobile-supported SLMs to develop their oral communication skills during education in emergencies.
FATORES DETERMINANTES PARA OS ÍNDICES DE MORBIMORTALIDADE DOS CASOS DE DENGUE NO ESTADO DA BAHIA, BRASIL
Authors: Ribeiro Mariana Gomes de Cerqueira , Martins Maísa Mônica Flores
Published: May 2023

A dengue é um dos principais problemas de saúde pública em todo o mundo, com incidência anual estimada em 390 milhões de casos. Seu delineamento epidemiológico é fruto de fatores socioeconômicos, demográficos e ambientais e em seu controle se destaca a atuação da Atenção Primária com ações de combate ao vetor, diagnóstico, notificação e tratamento. O presente trabalho teve por objetivo analisar os fatores socioeconômicos, etiológicos e demográficos relacionados aos indicadores de morbimortalidade da dengue na Bahia. Para tal, desenvolveu-se um estudo epidemiológico ecológico com base nas nove macrorregiões de saúde do estado entre os anos de 2011 e 2020. Analisou-se as notificações do Sistema de Informação de Agravos de Notificação (SINAN) e os registros de óbitos do Sistema sobre Mortalidade (SIM) por ano, sexo, escolaridade, raça, faixa etária e macrorregião, os indicadores de incidência (CI), mortalidade (CM) e letalidade (LT%) por macrorregião por ano, o Índice de Desenvolvimento Humano Municipal (IDHM) (2010), a tipologia viral e a Cobertura da Atenção Básica Municipal (CAB%) por ano. Entre 2011 e 2020 foram notificados na Bahia 453.903 casos prováveis de dengue, com maior pico epidêmico em 2019-2020 (151.641 casos), e a maioria acometida de mulheres (57,4%) e jovens de 20 a 39 anos (38,6%). Para o mesmo período, constam 92 óbitos, em maioria de homens (66,3%) e idosos (≥80 anos) (22,8%). Houve prevalência do DEN1 (63,7%) nas amostras testadas e aumento de 5.800% na detecção do DEN2 entre 2016 (1) e 2019 (59). Os maiores CI (2.225 casos/100 mil hab.) e CM (0,49 óbitos/100 mil hab.) ocorreram em 2016, na macrorregião Sul. Os testes estatísticos entre os CI, CM e LT% com o IDHM apresentaram correlações diretas com rhoSpearman de 0,175; 0,187 e 0,203, respectivamente. Já entre os CM e LT% e a CAB%, houve associações indiretas com rhoSpearman de -0,143 e -0,163, respectivamente, reforçando a importância da atuação da atenção básica na redução da mortalidade pelo agravo. Assim, destaca-se a necessidade de uma boa gestão dos determinantes, dentre os quais a CAB%, no território visando o sucesso do combate à dengue bem como a melhoria geral da qualidade de vida da população
SUSTENTABILIDADE DAS TELECONSULTAS NO CENÁRIO BRASILEIRO PÓS PANDEMIA DE COVID-19
Authors: Ruas Sandra Silva Mitraud , Da Silva Viviane Lino
Published: May 2023

RESUMOObjetivo: Analisar o impacto da Pandemia de COVID19 no uso das teleconsultas no Brasil e as perspectivas de sua incorporação nos serviços tradicionais de saúde de maneira sustentável. Método: estudo de caso por meio de revisão bibliográfica e de dados de domínio público disponíveis em websites. Pesquisa realizada nas bases de dados MEDLINE e LILACS, nos últimos 4 anos (2020 a 2023). Foram analisados 17 estudos e dados de 5 websites (DATASUS, Conselho Federal de Medicina, Ministério da Saúde e duas empresas privadas de telemedicina) para apresentar a experiência nacional de utilização de teleconsultas a partir de 2020. Resultados: Os serviços de saúde empreenderam esforços de reorganização e de utilização de tecnologias para garantir o isolamento e a continuidade do cuidado ao mesmo tempo. Aplicações diversificadas de teleconsulta ocorreram no cenário brasileiro em todos os níveis de atenção (primário, secundário e terciário), no setor público e privado, e permitiram identificar barreiras e facilitadores. Conclusão: Mudanças legais e organizacionais viabilizaram o uso da teleconsulta no período do isolamento, rompendo a barreira legal e de aceitação dessa modalidade de atendimento. A integração definitiva da teleconsulta aos serviços tradicionais de saúde dependerá do estabelecimento de diretrizes e protocolos abrangendo padrões de qualidade e de segurança, critérios de elegibilidade, fluxos e processos de trabalho. Cuidados adicionais devem ser tomados para que a nova modalidade de atendimento não acentue as iniquidades de acesso daqueles com menos recursos tecnológicos e menor nível educacional.
PRAZER E SOFRIMENTO NO ESPORTE DE ALTO RENDIMENTO INDIVIDUAL
Authors: De Mendonça César Henrique , Cappelle Mônica Carvalho Alves , Maciel Luiz Henrique Rezende
Published: May 2023

O presente estudo teve como objetivo verificar junto à ex-atletas de modalidades individuais de alto rendimento, ou seja, que tiveram o esporte como profissão, percepções de prazer e/ou sofrimento no trabalho. Foi demonstrado que o esporte de alto rendimento representa um campo de trabalho, uma vez que gera recursos financeiros, sociais, culturais, e desperta o interesse do Estado e da sociedade. Através da Análise de Conteúdo realizada por meio de duas categorias, uma que agregou as vivências de prazer no esporte de alto rendimento, e outra as vivências de sofrimento, verificou-se que os elementos que compõem o cenário esportivo provocam no atleta tanto emoções positivas quanto negativas. Concluiu-se que, como nas demais profissões, a carreira no esporte apresenta possibilidades diversas para os atletas, tanto de sensações de prazer como de sofrimento, cabendo ao esportista buscar meios de enfrentamento das situações menos gratificantes, objetivando sempre conquistas prazerosas através da superação das adversidades.
DIFERENÇAS ENTRE TESE E RATIO DECIDENDI: EXTRAÇÃO, ALCANCE E DINÂMICA
Authors: Pugliese William Soares
Published: May 2023

O presente artigo argumenta que a identificação dos precedentes com as teses deles extraídas não é uma prática adequada, nos termos da teoria dos precedentes. Apesar disso, o uso dos enunciados tem efeitos positivos, desde que compreendidos os elementos que diferenciam esse instituto do precedente propriamente dito. Para tanto, o presente trabalho é organizado em três tópicos. Em primeiro lugar, apresenta-se a teoria tradicional dos precedentes e da ratio decidendi. Neste item, o principal destaque será destinado ao que integra a ratio, com a finalidade de demonstrar que o precedente é, por natureza, um instituto complexo. Em um segundo momento, o artigo examina os enunciados extraídos de decisões. Ou seja, trata das súmulas, das teses e dos temas. O último tópico explica as razões pelas quais os precedentes e os enunciados não são compatíveis.
The Implementation of the Child’s Right To Be Heard
Authors: Kraljić Suzana , Drnovšek Katja
Published: May 2023

The Convention on the Rights of the Child represents a crucial international instrument related to children’s rights. Article 12 enshrined children’s right to express their views or be heard. Right to be heard ensures that children are listened to and taken seriously. They are entitled to give their opinions on all matters affecting them, especially in judicial proceedings. Slovenia adopted a new Family Code (2017) and the Non-Contentious Civil Procedure Act (2019). Both acts brought about essential improvements in the children’s right to be heard. The article offers a general analysis of the conventional understanding of this right, followed by a presentation of its inclusion in the two new legal acts and Slovene contemporary case law.
The True Face of the Right to Privacy on the Example of the Secret of Confession in Criminal Proceedings
Authors: Wielec Marcin
Published: May 2023

The scientific paper concerns the image of the right to privacy on the example of the secret of confession in criminal proceedings. First of all, the introductory comments, including the scope of the study, will be provided. After that, considerations regarding the concept of privacy as a term of fundamental importance will be presented. This will also include an indication of privacy features. Then, the right to privacy will be presented with the definition of elements forming its concepts. After the above, criminal proceedings will be outlined as an area of applying the right to privacy in criminal law practice. This will give the opportunity to present a legal institution in procedural criminal law, which is an example of the functioning of privacy. For this reason, the study will analyze the secret of confession and will deal with the relationship between the penitent and the confessor. The current reasoning in study will lead to the analysis of the standards of Polish criminal proceedings with the legal institution of the secret of confession. In this context, it will be also important for paper to deal with the sources of the secret of confession and analysis of the secret of confession in other legal acts of the Polish legal system, apart from the Code of Criminal Procedure. The paper ends with a concise summary where it will be noticed that the secret of confession is the highest-ranking example of respecting the right to privacy in criminal proceedings. The analysis contained in paper also applies to natural law.
Parental Care Following Divorce in the Republic of Croatia
Authors: Korać Graovac Aleksandra
Published: May 2023

The author explains family law rules concerning the exercise of parental responsibility (parental care) after divorce in Croatia. The new family legislation emphasizes the importance of encouraging parents to reach agreements and reduce manipulations of their children after divorce. Parents may divorce in simplified, non-contentious proceedings, having previously reached an agreement on their divorce and on how they will exercise parental care. If there is no agreement on the exercise of parental care, they divorce in civil contentious proceedings. In that case, a parent that does not live with the child is not entitled to exercise joint parental responsibility. Novum is that a child is considered a party in all court proceedings where the court decides on his or her rights. The child is represented by a special guardian appointed by a social welfare office that is an employee of the Center for Special Guardianship. The representation system provokes new challenges due to its implementation weakness.

The author carefully analyses legal situations where parents may represent their child jointly, one of them solely, or combined: jointly regarding the essential personal rights of the child, or one of them solely with regard to any other matters. Serious questions are raised because of significant limitations on the right to parental care of the parent who does not live with the child (as a part of the content of their human right to respect for family life). According to the author’s opinion, these restrictions are not justified, especially concerning the goal to protect the child’s best interests in post-divorce families.
Parental Autonomy v. Child Autonomy v. State Authority Powers
Authors: Kovaček Stanić Gordana
Published: May 2023

In this paper the author analyzes relations between parental autonomy, child autonomy and State authority powers within the purview of the content of the parental rights, family status of the child (maternity and paternity) as well as in exercise of the parental rights. These issues are presented according to Serbian law and court practice, from a comparative and international perspective.
The Primacy of Parents in Child-Rearing for a Child in Foster Care
Authors: Andrzejewski Marek
Published: May 2023

This study investigates the legal status of parents of children placed in foster care, in view of the constitutional principle of the primacy of parents in child-rearing. It analyzes the legal status of parents in all possible cases when a child has been placed in foster care or in a childcare facility, especially the case based on a ruling that restricts parental authority, which is the most common circumstance and the most ambiguous in terms of the research problem explored here. Moreover, this study examines the thesis that both parents and foster carers jointly affect the child, making it difficult to defend the position that parents should enjoy the primacy. Nevertheless, the purpose of the provisions of the Family and Guardianship Code and the Act on Family Support and Foster Care System is clearly to restore the primacy of parents.
Individualisme Agama Dalam Modernitas
Authors: Ilman Siti Zidni
Published: May 2023

The purpose of this research is to know that the faith of religion is entirely based on their individual and personal achievement, and given by the pride given to the personal experience that guides everyone in their own way. Religion is a basic human necessity, because religion is a means of defending itself against all acts of violence that threaten human life. Religion gives meaning to individual life and also gives hope for survival after death. Religion can be a human tool to rise from the world's life of suffering, to achieve spiritual independence. Religion as a symbol of society is no longer visible since religion has been established as religious institutions, institutional religions in principle create a good institutional regime based on faith validation, using a secure president according to the authoritarian organisation that conforms to each tradition, in connection with the line of religious descent. Religion has become a legitimate tool for a group of people who have economic and political resources
Ulos Sebagai Simbol Berkat dalam Budaya Batak Toba dan Relevansinya bagi Gereja Katolik
Authors: Situmorang Albertus B.A.H , Manik Iman Jaya
Published: May 2023

In every ethnic life, there are various ways in which humans can express their faith. The symbols contained in the customs help humans to concrete their faith. For the Batak people, ulos is a symbol that expresses who they believe in, while the mangulosi event is a sign of giving blessings, blessings, and prayers. Therefore, between Catholic culture and faith there are theological similarities and relationships, especially regarding blessings. The purpose of this paper is, that the author wants to explore the meaning of ulos as a symbol of blessing in the Toba Batak marriage and its relevance in the Catholic faith. Also, it provides an understanding of the use of ulos in marriage as one of the Batak ancestral heritages that are maintained and lived by the Toba Batak people until now. The type of research used by the author is qualitative research. While the research method used in this study is the phenomenological method. The result obtained is that ulos become a means of blessing that is used by Allah to bless his fellows. Therefore, ulos is very relevant to be used both in community life and in religious life
Menangkal Radikalisme Agama Menguatkan Perdamaian Umat di Toraja Melalui Penggunaan Kitab Keagamaan dan Nilai Budaya Orang Toraja
Authors: Welem Theofilus
Published: May 2023

Writing This background about anxiety will problem religious radicalism that brings split for public lately this. Although during This Not yet sound action radicalism on deep religious basis life people religion in Toraja will but threat from beyond what can just bring up matter the need for watch out. Writing This aim for describe use book religion (Bible and the Koran) and mark culture toraja as bridge in ward off radicalism and strengthening peace people religion in Toraja. Method research to be used is method qualitative with approach descriptive. Results found is Book religious containing text about life each other love neither word nor action and text the can combined together with mark culture Toraja that lasts This lived by public Toraja because values culture the can Also found in texts book religious. Conclusion from writing This is that book religion and mark culture Toraja can used as bridge in ward off action radicalism and guard peace people in Toraja Because text theological and non-theological the own role important in life society as people religious at a time cultured society Because owned values inside it can combine for strengthen life harmony in society.
Contextual Factors, Individualism Value, and Theory of Planned Behavior That Affect Student Entrepreneurial Intention in Indonesia
Authors: Arrasyid Fadhil
Published: May 2023

This study integrates predictions from the theory of human values and combines contextual support with the theory of planned behavior (TPB) as a form of research renewal. The main purpose of this study is to investigate the mechanism by which internal factors in humans (individualism values) and contextual factors (contextual support) with entrepreneurial intentions use a sample of 200 students or who have graduated in Indonesia. This study uses the Entrepreneurial Intention Questionnaire (EIQ) to measure the theory of planned behavior, Portraits Value Questionnaire (PVQ) to measure individualism values, and the entrepreneurial support model (ESM) to measure contextual support. The data analysis method uses Partial Least Square (PLS) - Structural Equation Modeling (SEM). The results showed that individualism values (self-enhancement, and openness to change) had a positive and significant effect on students' entrepreneurial intentions. Contextual support (perceived educational support, perceived relational support, and perceived structural support) has a positive but not significant effect and the theory of planned behavior has a positive and significant role on student entrepreneurship intentions. Self-enhancement and openness to change cannot be mediated by Subjective Norms on student entrepreneurship intentions.
Influence of Price Promotion and Discounts on Sales
Authors: Harahap Rifqah , Situmorang Anita
Published: May 2023

This study aimed to determine the effect of promotions and price discounts on sales. This research uses quantitative methods. The population in this study is all consumers at a medical device company in Medan City from April to June 2020, totaling 355 buyers. The research sample is 100 consumers, and the determination technique uses random sampling. Data collection methods in this study used observation, interviews, questionnaires, and documentation. The data analysis method used in this study is multiple linear regression analysis. The results showed that partial promotions and price discounts positively and significantly affected sales. Simultaneously promotions and price discounts have a positive and significant effect on sales. In testing the adjusted R square coefficient of determination of 90.4%, the variable promotions and price discounts affect sales.