bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluación de riesgos, desastres y atención inclusiva del centro gerontológico
Authors: Barragán Aroca Gray , López Bravo Oswaldo , Vega Calero Julieth Mariela , Valencia del Pozo Valeria Estefanía , Durán Priscila Vanessa
Published: August 2023

En el Ecuador se considera a las personas adultas mayores a partir de los sesenta y cinco años de edad, es por ello que esta investigación tiene como objetivos identificar amenazas y vulnerabilidades, evaluar la capacidad de respuesta del personal que atiende a la población adulta mayor y elaborar protocolos de actuación ante eventos adversos para grupos de atención prioritaria (adulto mayor) del centro gerontológico Guaranda. Elaborando un modelo de inclusión del adulto mayor en programas de Gestión de Riesgos que brindará a los cuidadores, familiares y tomadores de decisiones cómo actuar ante una emergencia. Sabiendo así la situación actual de este grupo vulnerable para incluirlos en programas sobre gestión de riesgos a nivel comunitario, institucional. Las técnicas que se utilizaron para el desarrollo del proyecto fueron: revisión bibliográfica en libros, internet, salidas de campo al área de estudio y levantamiento de información a través de encuestas y entrevistas a los adultos mayores participantes de este modelo de inclusión que se encuentran entre los 65 y 85 años de edad.
La invisibilidad de los adultos mayores suelen ser objeto por sus condiciones de salud o por su edad hacen que no se tomen en cuenta sus necesidades mediante una solución para sus derechos dar a conocer un modelo de inclusión para personas adultas mayores sean incluidas en la elaboración y diseño de planes sobre gestión de riesgo. Con el paso del tiempo esto ha sido un tema de mucha discusión ya que los adultos mayores hoy en día tienen leyes que les respaldan en todos sus derechos la constitución de la República del Ecuador nombró tal cual a la Ley del anciano y a su vez la normativa técnica para el adulto mayor.
Estrategias empresariales en el contexto de las medianas empresas manufactureras. Una búsqueda especializada de literatura.
Authors: Lalaleo Analuisa Freddy , Martínez Yacelga Amanda
Published: August 2023

Las estrategias empresariales son acciones que ayudan a las organizaciones al cumplimiento de sus objetivos, las mismas deben ser planteadas en función de un análisis previo tanto del contexto interno como del contexto externo. Sobre esta base, el objetivo del presente trabajo fue analizar de manera crítica y analítica las estrategias empresariales en el contexto de las medianas empresas manufactureras. Dentro de la metodología empleada se utilizó un análisis cualitativo pues el estudio pretendió descubrir patrones y categorías apoyado en el uso de diferente material bibliográfico. A partir de lo señalado, la información fue procesada a través del software ATLAS.Ti9 con la finalidad de estructurar, categorizar y contrastar la información obtenida a través de redes semánticas, tabla de co-ocurrencia y el cálculo del Índice de Emergencia. Ente los principales resultados se destaca la obtención de 30 códigos, los mismos que fueron generados a través del procesamiento de información de artículos científicos, mismos que fueron agrupados en las categorías orientadoras (estrategias empresariales y dirección estratégica), mientras que como categorías emergentes resultaron un total de 9 códigos siendo los más relevantes: ventaja competitiva, análisis del entorno, logro de objetivos, plan de acción, desempeño empresarial, resultados a largo plazo, asignación de recursos, conjunto de acciones, escenarios futuros. Finalmente, se puede mencionar que las estrategias empresariales constituyen un conjunto de acciones que se llevan a cabo en una empresa con el fin de crear una ventaja competitiva, es decir, representan aquellas acciones que se llevan a cabo con el fin de alcanzar determinados objetivos.
Fetichismo, enajenación y abstracción real, conceptos clave de Marx y Sohn-Rethel para una epistemología crítica del derecho
Authors: Chuchuca Serrano Jaime Vicente
Published: August 2023

En este artículo hago un aporte a la epistemología crítica del derecho desde las categorías fetichismo, enajenación y abstracción real. Rebaso la ruptura entre los escritos de la juventud y madurez de Marx y relaciono dialécticamente los conceptos de fetichismo y enajenación. En esta relación conceptual, el derecho es un constituyente de las relaciones sociales de producción y de intercambio en sus distintas funciones. Desde el análisis del fetichismo y la abstracción real de Sohn-Rethel, me aproximo a las posibilidades epistemológicas que existen de por medio en el derecho, las abstracciones jurídicas y los desvíos del derecho. En consecuencia, explico cómo los sujetos-objetos de las ciencias sociales y particularmente el derecho, son interrelacionales en la estructura conceptual de la síntesis social. Finalmente, resumo que las abstracciones reales no solo vienen de la abstracción-intercambio, sino que forman parte de la producción de la propiedad esclavista sobre otros seres humanos y las famulus.
Estilos de liderazgo y clima organizacional: un estudio correlacional en la Escuela de Ingeniería Militar “Gral. Guillermo Rodríguez Lara”
Authors: Calderón Arregui David Alexander
Published: August 2023

El presente trabajo se desarrolló con el objetivo de identificar la relación existente entre los estilos de liderazgo y el clima organizacional en la Escuela de Ingeniería Militar “Gral. Guillermo Rodríguez Lara” ESINGM. Para cumplir con este propósito se planteó identificar la percepción existente en los instructores de la ESINGM, acerca del liderazgo y clima organizacional que se promueve en esta institución educativa. Para esto, se planteó un diseño de investigación no experimental, con enfoque cuantitativo, y de alcance descriptivo correlacional, con un corte transversal. Se realizó un trabajo de campo partiendo de una muestra intencional, no aleatoria, conformada por 44 miembros de la institución. Esta investigación se posiciona en los estilos de liderazgo transformacional, transaccional y Laissez Faire, cuyo enfoque se basa en el liderazgo de Bass (1985). Se empleo como instrumento de recolección de la información a la encuesta de estilos de liderazgo CELID S, propuesto por Castro et al. (2007), el mismo que alcanzó un coeficiente de confiabilidad Alfa de Cronbach por encima de 0.876. La medición del clima organizacional se basa en factores personales, grupales, organizacionales extrínsecos e intrínsecos, empleando el instrumento de medición de clima organizacional propuesto por Hernández et al. (2016), el mismo que alcanzó un Alfa de Cronbach por encima de 0.960. Los resultados de esta investigación permitieron concluir que la variable estilos de liderazgo no se relaciona con el clima organizacional, debido que alcanzaron una significancia mayor a 0.05. Sin embargo, estas dos variables son percibidas como buenas de acuerdo a la escala utilizada.
Refuerzo del vinculo humano animal a treves de la doma natural de caballos
Authors: Moscoso Piedra Andres Leonardo , Palacios Heras María José , Maldonado Cornejo Manuel Esteban
Published: August 2023

El presente trabajo parte de demostrar mediante indicadores físicos y fisiológicos que el vínculo humano animal, va más allá de un utilitarismo, evidenciando como el trato ético a los animales refuerza los vínculos seguros y la relación con los mismos. Para ello se estudio durante 6 meses el proceso de doma de 20 caballos criollos en la Hacienda Chisinche Machachi. Se comparó dos tipos de domas frecuentes en el Ecuador: la Doma Natural que consiste en un proceso de respeto de los límites de tolerancia y la Doma Tradicional que es la más común y parte del propósito de la monta como meta final, sin importar el método.  Luego de analizar en un Etograma basado en la evaluación de la doma clásica, se evaluó el lenguaje corporal con 41 signos distribuidos en 8 conductas y 2 factores fisiológicos. Se estableció un indicador aritmético del proceso. Al comparar las dos metodologías se encontró que los animales domados de forma natural presentan una menor presencia de conflictos de comportamiento (p<0,01), así como mejor recuperación fisiológica basado en la frecuencia cardiaca basal  (p<0,01), Se puede concluir que el uso de técnicas no abrasivas refuerzan el vínculo humano animal, generando una relación positiva.
Optimizing the Flexural Behavior of Bamboo Reinforced Concrete Beams Containing Cassava Peel Ash using Response Surface Methodology
Authors: Awolusi Temitope F. , Aladegboye Oluwasegun J. , Babalola Olusola E. , Ayo Emmanuel K. , Azab Marc , Deifalla Ahmed F.
Published: August 2023

The growing concern to reduce global warming has necessitated the use of more eco-friendly materials in construction. The study is focused on the utilization of cassava peel ash as supplementary cementitious material and bamboo as reinforcement in concrete beams. The response surface methodology approach was explored to determine the effect of simultaneously varying the cassava peel ash content, bamboo size, beam length, and beam depth on the flexural strength and strain of beams. An analysis of variance was carried out on experimentally obtained results to determine the accuracy of the obtained models and the contributions made by the linear interaction and quadratic terms on flexural strength and flexural strain. The coefficient of determination obtained for RSM models showed a good correlation between all predicted and experimentally obtained results. The optimum conditions obtained for bamboo-reinforced concrete containing cassava peel ash were 3% cassava peel ash, 16 mm bamboo diameter, 500 mm beam length, and 150 mm beam depth. The predicted flexural strengths were 11.85, 14.34, and 14.95 N/mm2 and flexural strains of 0.64, 0.67, and 0.91 for 28 days, 56 days, and 90 days, respectively. To validate the model prediction, a laboratory experiment was conducted using the optimum mix design proportion. From the results obtained, it was observed that the experimental results were close to those predicted by the models. These models can be efficiently used for simulating the flexural behavior of bamboo-reinforced concrete beams. Doi: 10.28991/CEJ-2023-09-08-011 Full Text: PDF
Surface-enhanced Raman spectroscopy for searching pharmacodynamic predictors of response to antiplatelet therapy
Authors: Moiseeva E. M. , Rafalskiy V. V. , Sokolov A. N. , Zyubin A. Yu. , Bychkova Ya. A. , Samusev I. G.
Published: August 2023

Aim: To study the possibility of applying surface-enhanced Raman spectroscopy (SERS) in the search for pharmacodynamic biomarkers to predict patients' response to antiplatelet therapy (AT).

Material and Methods. The study included 152 healthy volunteers and patients with cardiovascular disease (CVD). They were divided into four groups: healthy volunteers did not receive (group 1) and receiving (group 2) acetylsalicylic acid (ASA); patients with CVD receiving (group 3); and who did not receive AT (group 4). Gold particle-modified nanostructured titanium surfaces were developed to obtain SERS spectra of the platelets. To obtain GRS spectra of platelets, an original optical sensor was developed based on a nanostructured titanium surface modified with gold particles.

Results. Statistically significant differences were detected in some SERS spectra intensities between both group 1 vs group 3 and group 1 vs group 4 at four SERS frequency shifts (FS): 485, 505, 990, 1465 cm–1. Correlations were found between the SERS spectra of group 2 and the results of aggregometry under the Coll/ADP activator. The SERS spectra of all participants and the results of aggregometry under the P2Y activator; the SERS spectra of the patients in group 4 and the results of aggregometry under the P2Y activator also were found.

Conclusion. SERS spectroscopy can be used to detect and differentiate changes in the molecular structure of platelets after exposure to CVD or AT. The SERS spectrum intensities most suitable for the study of AT pharmacodynamic effects are 485, 505, 990 and 1465 cm–1. The detected spectral changes of peripheral blood platelets in patients with CVD correlate with the aggregometry changes obtained using a P2Y activator cartridge.
Desarrollo profesional permanente en Colombia y ley estatutaria de la salud
Authors: Burgos César
Published: August 2023

La educación médica continua virtual surge con potenciales dinámicas de mayor eficiencia, no solo desde el punto de vista económico y de logística, sino en la cobertura y alcance, así como la mayor flexibilidad en el uso del tiempo.
Hamartoma fibrolipomatoso precalcáneo congénito
Authors: Bustamante-Benjumea Isabel , Forero-Buitrago Manuel Salvador
Published: August 2023

El hamartoma fibrolipomatoso precalcáneo congénito es una lesión infrecuente y poco descrita en la literatura científica. Aparece típicamente al nacimiento o en la infancia, y se caracteriza clínicamente por la presencia de nódulos subcutáneos eucrómicos localizados en la región de la planta del pie, anterior a los talones.Se describe el caso de una paciente de 12 meses de edad con hamartoma fibrolipomatoso precalcáneo congénito localizado en ambos pies, y se discute la patogénesis, el diagnóstico y los principios terapéuticos, así como el pronóstico de esta condición.
Banco de semillas del suelo bajo individuos aislados de especies arbóreas del Matorral Espinoso Tamaulipeco
Authors: Valdes Alameda Renata Aide , Jurado Enrique , Flores Joel , Estrada Eduardo
Published: August 2023

Estudiar el banco de semillas permite interpretar el estado de sitios perturbados, la respuesta a cambios impulsados por disturbios y la consecuente dinámica de una comunidad vegetal. La heterogeneidad en la formación del banco de semillas está influida por la latencia de estas, su tipo de dispersión y componentes del paisaje como topografía o vegetación. El número de semillas en el suelo depende, en parte, de la vegetación presente, sin embargo, en paisajes deforestados y fragmentados, los árboles aislados representan los únicos reservorios potenciales para la regeneración de la vegetación. En este trabajo se exploró, durante dos años, la variación espacial y temporal en la abundancia, densidad y número de especies de semillas germinables en el suelo bajo cinco especies arbóreas aisladas comunes en áreas abiertas del Matorral Espinoso Tamaulipeco. Las características del banco de semillas se calcularon para cada especie de árbol aislado y se compararon entre ellas, estaciones y año de colecta. El banco de semillas bajo las copas de dos árboles zoócoros (Neltuma laevigata y Diospyros texana) fue más rico y denso que bajo otras tres especies (Yucca filifera, zoócora; Parkinsonia aculeata y Vachellia farnesiana dispersión no asistida). También se registraron más especies y semillas germinadas en otoño que en primavera, y más herbáceas que arbóreas.
Effectiveness of E-LKPD IPA through Socioscientific Inquiry Based Learning (SSIBL) Model to Improve Students’ Scientific Literacy Skills
Authors: Putra I Made Tri Pramana , Sudiatmika A. A. Istri Agung Rai , Suardana I Nyoman
Published: August 2023

The aim of this study was to test the effectiveness of E-LKPD IPA through Socientific inquiry-based learning (SSIBL) Model in improving students’ scientific literacy skills. The research type used is pre-experimental with one group pretest-posttest design. The effectiveness test was undertaken at SMP Negeri 3 Kubutambahan in the even semester of the 2022/2023 school year. The research subjects were students of class VII A, it consisted of 36 students. The research instrument used was a scientific literacy test which adjusted for scientific literacy indicators in PISA 2018. The data analysis used was descriptive analysis in the form of an average score (mean) and a normalized n-gain score obtained from the pretest and posttest results. The results indicated that a normalized n-gain was 0.59 in the medium category and the results of the one-sample proportion test showed that students’ mastery of scientific literacy was more than or equal to 75%. Thus, E-LKPD of SSIBL model is effective in improving student’s scientific literacy skills
Effect of STEM Learning in Building Creative Dispositions and Creative Thinking Skills of Junior High School Students
Authors: Sawu Maria Rosalinda Febrianti , Sukarso AA , Lestari Tri Ayu , Handayani Baiq Sri
Published: August 2023

Education in the 21st century, students need to be equipped with life skills, one of which is creative thinking skills. Creative thinking skills cannot be separated from creative dispositions or what can be called creative character and habits. This study aims to determine the effect of using the STEM learning approach in building creative dispositions and creative thinking skills of junior high school students. The research design used was Nonequivalent control group design and the sampling technique was random sampling method. The independent variables of the research are the STEM learning approach (experimental class) and the scientific learning approach with verification practicum methods (control class). The dependent variable of the research is creative disposition and students' creative thinking skills. Data on students' creative dispositions were obtained from a creative disposition questionnaire while data on students' creative thinking skills were obtained from tests of creative thinking skills which were compiled based on indicators of creative thinking skills. Hypothesis testing in this study used the ANACOVA test. The results of the research on students' creative dispositions obtained the value of Sig. (α) = 0.000 <0.05 while creative thinking skills obtained Sig. (α) = 0.005 < 0.05. The results of the study showed that students who were taught using the STEM learning approach were better than students who were taught with a scientific learning approach using the verification practicum method.
Analysis of Students' Learning Motivation Using Guided Inquiry Learning Model
Authors: Sari Monica Julia , Paidi
Published: August 2023

The implementation of this study aims to analyze students' learning motivation toward the application of the Guided Inquiry learning model at SMA Colombo Yogyakarta. The research design used in this research is experimental. The sample used in this study was class XI students with a total of 9 students, but learning activities were carried out in one class but focused on 9 students. The sampling technique used was purposive sampling. The data collection technique was carried out by filling in the student's learning motivation questionnaire. The data analysis used is a descriptive analysis by calculating the percentage of the overall score on the learning motivation questionnaire. The results of this study are the level of learning motivation of students at SMA Colombo Yogyakarta in the high category by filling out a questionnaire by 5 students and very high by filling out a questionnaire by 4 students. The role of the teacher in learning activities using the Guided Inquiry model has a very large role in developing students' learning motivation.
Effect of Using Comic-based E-Module Assisted by the Flipbook Maker for Remediation of Newton’s Law Misconceptions
Authors: Mukramah Widya An Nisa , Halim Abdul , Winarni Sri , Yusrizal  , Safrida  , Jannah Misbahul , Wahyuni Agus
Published: August 2023

Misconceptions are seen as a learning barrier because they hinder students from learning and understanding new concepts. Misconceptions about mastering physics concepts occur in Newton’s Laws. The language that is difficult to understand and errors in writing are some of the causes. To overcome those problems, this study aims to use a comic-based e-module assisted by a flipbook maker to remediate misconceptions about Newton’s Laws. The research method is a pre-experimental design, with one group for prе-tеѕt and pоѕt-tеѕt. A total of 22 samples were selected based on the purposive sampling technique. The data were collected twice during the pretest and post-test using a three-tier multiple-choice diagnostic test consisting of 20 items. The analysis of misconception remediation indicates a decrease in misconceptions from 57.01% to 20.24%, with an N-Gain score of 0.71. This implies a significant reduction of misconceptions before and after treatment. This data is also supported by the results of the Wilcoxon test analysis, that is, 0.000<0.5, which means that the use of comic-based e-module significantly affects the remediation of students’ misconceptions of Newton’s Law material. This e-module is expected to be an alternative for teachers in remediating misconceptions in learning physics.
Electronic Whorksheet Development Based on ESD (Education for Sustainable Development) Biodiversity Subject
Authors: Kiswandini Dina Ayu , Suyanto Slamet , Pratama Anggi Tias , Yustisiana Sugma Rizki Tri Utami
Published: August 2023

The learning resources used in the learning process only use print media which is limited and does not attract student motivation in the learning process, for this reason learning media is needed that can stimulate student motivation through electronic media in the form of e-workseet. This study aims to develop education for sustainable development (ESD) based biodiversity e-whorksheets learning media products on biodiversity material for class X SMA. This type of research is development research with the ADDIE model consisting of 5 stages, namely the analysis, design, development, implementation, and evaluation stages. This research produced a development product in the form of an ESD-based biodiversity e-whorksheets which was developed based on an assessment from a class X biology teacher at Kasihan 1 Public High School. E-whorksheet was developed with the help of the liveworksheet application. The validation results from the biology teacher were obtained with a percentage of 3.55 with the category "Very Good" in the presentation aspect, the convenience aspect was 3.40 with the criteria "Very Good", the attractiveness aspect was 3.25 with the criteria "Good".
Strategies for Adoption of Circular Economy in the Nigeria Construction Industry
Authors: Bello Abdulkabir Opeyemi , Idris Abdullahi
Published: August 2023

The concept of circular economy has gained recognition as a way to manage waste and conserve resources sustainably, and has the potential to transform the construction industry. This is particularly relevant in the construction industry due to the significant amounts of waste generated during the construction and demolition process. This study examines the perceived importance and effectiveness of strategies related to the circular economy in the construction industry. The data were collected through a survey administered to professionals in the construction sector, capturing their perceptions of various strategies. The results reveal that most strategies received high mean ratings, indicating their perceived significance. Strategies such as waste management and recycling facilities, design for disassembly, and prioritising the use of renewable and sustainable materials were highly valued by the respondents. Additionally, statistical analyses confirmed the significance of these strategies. However, some strategies received comparatively lower ratings, suggesting the need for further attention and improvement. The findings have important implications for policymakers, industry professionals, and stakeholders, guiding decision-making and resource allocation. By prioritising and implementing the identified strategies, stakeholders can drive the adoption of circular economy principles, enhance resource efficiency, and reduce waste in construction practices. Furthermore, this study lays the foundation for future research, highlighting the importance of exploring barriers to implementation, understanding synergies and trade-offs among strategies, conducting longitudinal studies to assess long-term impact, and broadening the participant pool for a more comprehensive understanding. Overall, this study contributes to the growing body of knowledge on the circular economy in the construction industry and provides valuable insights for promoting sustainability and circularity within the sector.
CONTEXT ANALYSIS OF THE CONCEPT OF OBJECTIVITY, ACCURACY AND “OTHER” IN ETNOGRAPHIC CONTEXT
Authors: BAZANCİR Recai
Published: August 2023

The doctrine of Johannes Fabian and Rigoberta Mençu, which is discussed and discussed in our study, includes a lot of variability in context. If these doctrines and the conceptual terminology, they contain are mentioned; the analysis of Menchú’s work has seems a bit more complex and ambiguous. These ambiguities lie in different aspects of the work: Here, there is a more complex knower-known relationship than the binary opposition between the subject which produces knowledge about the other and the passive object which expects the knowledge to be produced about itself. In relation to this, to employ a genre different from the dominant genres within humanities, particularly in anthropology, and its reliability are questionable according to the current science paradigms. Moreover, the emerging of such contradictory views about the production, reproduction, representation, and reception of Menchú's work -the attempt of producing and representing a different knowledge for and about her own community- brings about questioning of possibility of producing an absolute knowledge/abstract truth about the other communities independent from social, political and economic context. This again draws our attention to the power-knowledge relation, the partiality of knowledge and situated knowledge. Thus, establishing a relation with the other needs to study epistemology of contemporary ethnography willing to produce better understanding, and requires investigating this epistemology embedded within/along broader social relations that locate researcher and researched in different places. This attempt entails to deal with the positivist scientifism inherited by ethnography from modern anthropology that is to say with the dominant assumptions of western modernity project. In our study, these concepts were questioned, interpreted, and discussed.
Role of digitalization to increase resource productivity (Balkan cluster case study)
Authors: Aneta Elenkova Marichova  , Dafina Georgieva Doneva
Published: August 2023

Purpose: In today's dynamic conditions an important determinant of economic growth and well-being in each country is increasing resource productivity, which is a prerequisite for the transition to sustainable production and consumption. The aim of the study is: 1) Analysis of resource productivity in selected nine countries in the Balkan region, 2) Assessment of the role of digitalization (and four key characteristics) as a factor for increasing the productivity of resources in the Balkan cluster. Method: The survey uses a method based on statistical analysis of Eurostat data and data collected in an open and standardized way, using a correlation coefficient. Results: The results of the empirical study should demonstrate the link between the digitization process in the Balkan cluster and increasing resource productivity. The survey was conducted among 25 working clusters in Bulgaria and all of them have active cooperation with partners from the Balkan countries. Conclusions: The study and conclusions demonstrate the significant opportunities for increasing resource productivity in the Balkan region by digitizing processes, resulting in optimizing consumption and separation of economic activity from material consumption. This process requires a new development strategy, strategic and flexible cooperation between the private and public sectors, between different companies, educational and research institutes, between companies from different countries in a region, which can be most effectively implemented in the cluster union.
Morris syndrome (Androgen Insensitivity Syndrome)
Authors: José Eduardo Alvarado Pérez  , Brissia Lazalde Medina  , Víctor Manuel Cano Pérez
Published: August 2023

Morris syndrome, also known as Androgen Insensitivity Syndrome (AIS), is an intriguing and extraordinary genetic condition that exerts a remarkable influence on individuals with male sex chromosomes (XY). Within the realm of this rare syndrome, the body displays a captivating indifference to androgens, the very essence of male hormones like testosterone, leading to the emergence of physical characteristics typically associated with the female gender. It is an occurrence that befalls a mere fraction of the population, affecting around 1 in 20,000 individuals. Morris syndrome is caused by a genetic mutation located on the sex X chromosome affecting the AR (androgen receptor) gene. Androgen insensitivity syndrome is characterized by the presence of external female phenotype, 46,XY karyotype, and intraabdominal testes. This syndrome is the third most frequent cause of primary amenorrhea, after gonadal dysgenesis and congenital absence of the vagina. In approximately 40% of AIS patients, there is no family history of the disease. Morris syndrome unfolds with an intricate interplay of internal and nonfunctional testicles, which, despite their presence, fail to fulfill their intended biological purpose of sperm production. Meanwhile, on the external front, the genitalia manifest a striking semblance to that of the female anatomy, featuring a vagina and labia. Additionally, some individuals with Morris syndrome may witness the existence of an enlarged clitoris, bearing an uncanny. Comprehending Morris syndrome is vital for healthcare professionals to offer accurate diagnoses and appropriate treatment modalities. Increased awareness among the general populace can foster an inclusive and supportive environment for individuals navigating life with Morris syndrome. Objective: The objective of this article is to provide a comprehensive understanding of Morris syndrome, also known as Androgen Insensitivity Syndrome (AIS), including its genetic basis, clinical manifestations, challenges faced by individuals with the syndrome, and the importance of accurate diagnosis and appropriate treatment modalities. Methods: To achieve the objective, the article will employ a literature review approach, drawing information from scientific and medical sources. Peer-reviewed research articles, medical textbooks, and authoritative online resources will be consulted to gather relevant information on Morris syndrome.
The vitamin- D quantity versus bone quality: A logistic based regression modeling in Jordanian cohort who at higher risk of osteoporotic fracture
Authors: Hayat Yaser Abdalraheem Hilan  , Haneen Anwar Salameh Al-Tarawneh  , Manar Nader Ibraheem Jweinat  , Safa Hassan Ahmad al qiam  , Aishah Awwad Flaih Alkhalailah  , Samer Mahmoud Mohammad Ali Alboun
Published: August 2023

Background: Several studies validated the positive impacts of Cholecalciferol derivatives; including dietary and non-dietary sources, on the bone architectural contents and the overall skeleton densities. We primarily aimed in this study to explore the optimal thresholds for the studied patients’ 25-OH Cholecalciferol levels that are correlated with the higher probabilities for having lumbar bone mineral density (LBMD) exceeding 0.835 g per cm2 and femoral hip bone mineral density (fH_BMD) exceeding 0.755 g per cm2. Methods: An observational retrospective study was conducted for patients, who are at risk of osteoporotic fracture, Firstly, a Binary Logistic Regression analysis was separately conducted for the investigated patients’ vitamin D levels against the patients’ fH_BMD ≥0.755 (Positive state) vs <0.755 (Negative state) and against the patients’ LBMD≥ 0.835 (Positive state) vs <0.835 (Negative state). Both the Receiver Operating Characteristic and the Sensitivity analyses were thereafter be conducted and the performances indices were explored. Results: Our constructed BLgR models, that logistically integrated the binary correlation between the investigated patients’ Vit D levels and their femoral hip or lumbar bone mineral densities, respectively, were constructed as [= e (--1.455+0.109× Vit D) /1+ e (--1.455+0.109× Vit D)] or [= e (--22.127+0.829× Vit D) /1+ e (--22.127+0.829× Vit D)], respectively. Conclusion: The optimal Vitamin D levels for our investigated Jordanian cohort to have a higher probability of lumber and femoral hip bone mineral; densities were identified at 27.05 ng/ml and 27.25 ng/ml, respectively.
ANALISIS PENGARUH PEMENDEKAN PONDASI TIANG PANCANG TERHADAP KAPASITAS DUKUNG PADA PROYEK GEDUNG KULIAH 4 LANTAI UNIVERSITAS MUHAMMADIYAH PURWOKERTO
Authors: Azizi Amris , Marhendi Teguh
Published: August 2023

Gedung Kuliah 4 lantai Universitas Muhammadiyah Purwokerto dirancang menggunakan pondasi tiang pancang dengan kedalaman ujung mencapai 6,00 meter. Dalam pelaksanaannya, pemancangan tiang hanya mencapai kedalaman rata-rata 4,00 m karena ujung tiang sudah mencapai tanah keras dan tidak mampu menembus kedalaman yang direncanakan. Hal ini akan mempengaruhi kapasitas dukung tiang.Analisis dilakukan pada pondasi tiang pancang Gedung Kuliah Universitas Muhammadiyah Purwokerto. Analisis menggunakan metode statik dihitung secara empiris dari nilai qc hasil uji Sondir (CPT).Hasil analisis menunjukkan bahwa kapasitas dukung ultimit pondasi tiang yang mengalami pemendekan lebih kecil dibandingkan dengan kapasitas dukung ultimit pondasi tiang rencana. Kapasitas dukung kelompok tiang terpasang mengalami penurunan rata-rata 27% dari kapasitas dukung kelompok tiang rencana dengan angka aman untuk setiap tipe pondasi rata-rata 2,19. Dengan demikian dapat dikatakan bahwa pondasi terpasang cukup aman terhadap beban struktur yang bekerja diatasnya.
EDITORIAL
Authors: Silva Claudinei Aparecido de Freitas da , Weber José Fernandes
Published: August 2023

Convidamos à leitura dos textos que compõem este número da Revista Dialectus, o segundo volume dedicado ao problema do niilismo, que abordarão, na sua quase totalidade, o niilismo no século XX, e dos quais faremos uma breve apresentação a seguir.
HANS JONAS E O NIILISMO: O HÓSPEDE MAIS SINISTRO NÃO PODE DESTRUIR A CASA
Authors: Oliveira Jelson R. de
Published: August 2023

Pretende-se com este artigo, demonstrar como o niilismo é um dos conceitos centrais da obra de Hans Jonas. Para isso, analisaremos como o problema se desdobra em sua obra a partir de três perspectivas complementares: a identificação de um niilismo cósmico, cujo primeira aparição são os movimentos gnósticos da Antiguidade tardia e seus impactos sobre o cristianismo primitivo; um niilismo antropológico derivado dessa posição gnóstica e agravado pela filosofia existencialista; um niilismo ético e tecnológico, que tanto serve para diagnosticar a tecnologia como “vontade de ilimitado poder” quanto para compreender a crise ambiental a partir da crise de valores que marca o Ocidente a partir da modernidade. Com isso, o niilismo, interpretado como velle nihil, ou seja, como vontade de negação e, mais especificamente, de destruição, é uma chave interpretativa para a crise ambiental. Dessa forma, a obra de Jonas pode ser considerada como uma tentativa de evitar que o “mais estranho dos hóspedes” destrua a própria morada.
L'HUMANISME DU CRI : DE L'ABSENCE DE L'HUMAIN À L'HUMAIN ABSENT DANS LE MALHEUR ET LE NIHILISME
Authors: Dionizio Mayara
Published: August 2023

La réflexion sur le nihilisme, dans l'œuvre de Maurice Blanchot, est fondamentalement liée à la pensée de la rupture. Ainsi, si le nihilisme se configure comme la rupture avec le sens absolu, métaphysique et humain, la fin devient l'horizon de la transcendance pour l'humain avec la mort de Dieu. En ce sens, pour Blanchot, la transcendance, à partir du concept de Surhomme, s'inscrirait toujours dans une certaine dimension de l'humanisme, même si l'œuvre de Nietzsche se détache de l'idéal humaniste. C'est pourquoi Blanchot se consacre à réfléchir, à partir des notions de nihilisme, de l'humain inséré dans le champ de connaissance des Sciences Humaines, de la rupture du sens comme expérience du langage littéraire et du malheur dans les camps de concentration, à la possibilité d'un autre humanisme chez Nietzsche. Partant de cette hypothèse, cet article articule ces notions afin de penser la rupture comme une condition éthique qui se réalise à travers le langage comme seul moyen d'approximation, de distanciation, de fragmentation et d'itérabilité infinie.
High Degree AV Block in Infants
Authors: Cahyono Agus
Published: August 2023

Background: Atrioventricular (AV) block in children may pose a challenge for phycisians. However, it can be detected with careful physical examination.

Case illustration: A 4 month old infant presented with bradycardia that did not improve during observation period. Her electrocardiography (ECG) showed complete atrioventricular block and her echocardiography showed secundum atrial septal defect (ASD)  and patent ductus arteriosus (PDA). Her father’s ECG showed first degree AV block. She was recovered well after pacemaker implantation and PDA ligation.  

Conclusion: An infant who suffered from complete AV block was successfully treated with pacemaker.
Analysis of Hand Hygiene Compliance and Official Personal Protective Equipment Compliance on the Incidence of Nosocomial Infection In Outpatient Karanganyar Regencyhospital to Support of Hospital Accreditation
Authors: Budi Kusumawardani Oktavy , Kismanto Joko , Adji Iwan Setiawan , Widyastuti Kristina , Adriana Nadya Puspita
Published: August 2023

Background: A nosocomial infection is an infection acquired or acquired in a hospital related to the provision of health services in health care facilities, where caregiver behavior includes hand washing, the use of protective equipment, the handling of medical equipment, the disinfection of the action site, the prevention of care and treatment, wound closure, and waste management.

Objective: To assess officers' compliance with hand hygiene and use of personal protective equipment on the incidence of nosocomial infections in outpatients at Karanganyar District Hospital in support of hospital accreditation.

Methodology: This study uses a type of quantitative research. The sample technique used total sampling with a population of all outpatient employees at Karanganyar District Hospital.

Result: Compliance with hand hygiene and adherence to the use of personal protective equipment by officers affected the incidence of nosocomial infections where the F count exceeded the F table (47.313 > 3.10). Meanwhile, partially, handwashing compliance and compliance with the use of personal protective equipment for officers had an effect on the incidence of nosocomial infections.

Conclusion: Compliance with hand hygiene and adherence to the use of personal protective equipmen
Pengembangan Konsep Desain Kemasan Produk Lealoe dengan Pendekatan Kansei Engineering
Authors: Delfitriani Delfitriani , Uzwatania Fina , Maulana Iqhfar , Ariyanto Dodik
Published: August 2023

Persaingan dalam pemasaran produk sabun mengharuskan para pemilik usaha memiliki keunggulan atau diferensiasi produk agar tetap diminati konsumen. Tujuan dari penelitian ini yaitu merancang model bisnis untuk sabun cair pencuci tangan dari minyak biji mimba dan minyak atsiri sereh menggunakan kanvas model bisnis. Elemen penyusun kanvas model bisnis terdiri atas 9 elemen diataranya customer segments, value propositions, channels, customer relationships, revenue stream, key resources, key activities, key partnerships, dan cost stuctures. Segmentasi pelangan dalam model bisnis ini yaitu masyarakat kalangan menengah ke atas serta masyarakat pengguna produk natural. Hal ini sesuai dengan proporsi nilai yang ditawarkan yaitu produk dengan tren back to nature. Produk ini aman digunakan karena bahan natural sebagai komposisi produk. Peran segmentasi yang mendukung sangat diperlukan dalam perancangan model bisnis agar produk dapat bersaing dan sesuai dengan keinginan konsumen terhadap produk sabun cair. Kanvas model bisnis dengan pendekatan social emterprises diharapkan memberikan nilai keberlanjutkan dalam usaha sabun cair berbahan baku minyak biji mimba dan minyak atsiri sereh. Perancangan model bisnis social enterprises diperoleh berdasarkan hasil analisis kondisi saat ini dan analisis modifikasi elemen kunci kanvas model bisnis.
Karakteristik Kimia Makanan Tradisional Kecimpring Dengan Fortifikasi Ikan Lele dan Pegagan (Centella asiatica)
Authors: Handayasari Faridah , Kusumaningrum Intan , Juanda Dede , Nurrohmah Shadiah
Published: August 2023

Dalam penelitian ini dilakukan karakterisasi kimia terhadap makanan tradisional Kecimpring yang difortifikasi menggunakan ikan lele dan pegagan (Centella asiatica). Kecimpring terfortifikasi yang ditentukan karakteristik kimia adalah kecimpring dengan konsentrasi protein 10% dan pegagan 5%  berdasarkan skor uji organoleptik tertinggi dari hasil penelitian sebelumnya. Tujuan dari penelitian ini adalah untuk membandingkan kandungan gizi, serat kasar, dan energi kecimpring yang difortifikasi dengan kecimpring yang tidak difortifikasi dan mengeksplorasi potensi penggunaannya sebagai sumber protein dengan tambahan manfaat kesehatan. Analisis laboratorium dilakukan untuk mengetahui persentase kadar air, abu, protein, lemak, serat kasar, dan energi pada kecimpring yang difortifikasi dan tidak difortifikasi sedangkan analisis kandungan karbohidrat dilakukan menggunakan perhitungan carbohydrate by difference. Hasil penelitian menunjukkan bahwa fortifikasi kecimpring dengan ikan lele dan pegagan secara nyata meningkatkan kandungan protein kecimpring terfortifikasi dari 1,75% menjadu 5,27% meskipun tidak ada perbedaan signifikan dalam penambahan kadar lemak, karbohidrat, serat kasar, dan kandungan energinya. Hal ini menunjukkan bahwa penambahan daging ikan lele pada kecimpring dapat digunakan sebagai penambah protein pada makanan tradisional.
Pendampingan Program Anates untuk Menganalisis Butir Soal Bagi MGMP Bahasa Inggris SMP di Kota Magelang
Authors: Ratna Kusumaningrum Widya
Published: August 2023

Tes merupakan salah satu komponen penting dalam proses pembelajaran yang digunakan untuk mengukur hasil belajar siswa. Untuk memastikan bahwa tes yang diberikan kepada siswa benar-benar mampu mengukur kompetensi yang seharusnya, setiap butir soal harus diuji terlebih dahulu validitasnya. Namun demikian, tidak semua guru memiliki cukup waktu dan tenaga untuk melakukan uji validitas ini. Untuk mengatasi permasalahan ini, tim pengabdian berinisiatif untuk mengadakan pelatihan penggunaan Anates untuk membantu guru dalam menganalisis butir soal. Pelatihan ini dilaksanakan secara daring melalui rangkaian kegiatan yang meliputi observasi lapangan untuk mengidentifikasi permasalahan, persiapan dan sosialisasi kegiatan, dan pelaksanaan kegiatan inti. Materi pelatihan disampaikan dengan metode ceramah, diskusi, penugasan, projek, dan demonstrasi. Subjek dari kegiatan pengabdian ini adalah 40 guru yang tergabung dalam Musyawarah Guru Mata Pelajaran (MGMP) Bahasa Inggris di Kota Magelang, Jawa Tengah. Setelah mengikuti pelatihan ini selama 8 kali pertemuan, para guru menilai penggunaan program Anates ini cukup efektif dalam membantu menganalisis butir soal.
Wealth-Based Inequalities in Higher Education Attendance: A Global Snapshot
Authors: Buckner Elizabeth , Abdelaziz Yara
Published: August 2023

This study provides a comprehensive global snapshot of wealth-based inequalities in higher education attendance. We draw on data from 117 countries to describe cross-national patterns in higher education attendance rates, disaggregated by wealth quintile and country income group. We then calculate four different indicators to quantify the size of wealth-based inequality in higher education attendance and completion for each country. Our findings point to large wealth-based inequalities in higher education attendance cross-nationally, which are: substantially larger than inequalities in secondary completion, larger in low- and middle-income countries than high-income countries, and negatively associated with national wealth. The results serve as a foundation for future studies on how country-level factors and policies exacerbate or reduce wealth-based inequalities.
Maternidades interditadas: A (in)justiça reprodutiva em circunstâncias de radical desigualdade
Authors: Fonseca Claudia , Scalco Lucia
Published: August 2023

Examinamos neste artigo a remoção de recém-nascidos de suas mães pobres logo após o parto para refletir sobre as repercussões da radical desigualdade socioeconômica para dinâmicas familiares no Brasil.  Inspiradas nas noções de “justiça reprodutiva” e “reprodução estratificada”, atentamos à dimensão política dessa rotina reprodutiva que, de outra forma, passaria despercebida, apagada por representações naturalizantes de gênero e família. Mapeando o jogo de moralidades que desemboca na desautorização da maternidade de certas mulheres (ou homens), procuramos sublinhar a complexidade de dinâmicas interseccionais de classe, raça, geração e gênero nas práticas de injustiça e discriminação.  Olhamos a convergência de certas tendências globais, saberes profissionais e mudanças legislativas nacionais para colocar a pergunta:  em vez de garantir os direitos dos mais vulneráveis, as atuais políticas de governo não estariam evoluindo numa direção que mantém e aprofunda a sub-cidadania de famílias vivendo na grande pobreza?
El Movimiento de las Madres de la Plaza del Juzgado: ‘’Tráfico legal de niños’’, adopción y pobreza en Brasil
Authors: Cardarello Andréa
Published: August 2023

En 1998, en São Paulo, Brasil, un movimiento de familias pobres exigió la revisión de los procedimientos legales que condujeron a la adopción de sus niños por parte de familias brasileras y extranjeras. El análisis de los fallos de pérdida de la patria potestad reveló que las autoridades judiciales permitieron que se llevaran a cabo adopciones ‘‘irregulares,’’ sin el consentimiento de las familias de origen y sin que éstas hayan podido defenderse legalmente de acusaciones de malos tratos y abandono. El estudio de este movimiento puso en evidencia la existencia de representaciones particulares sobre parentesco al interior de las clases populares, así como la percepción de la pobreza que prevalece en las élites del país. En este artículo planteo que las niñas y los niños pobres son vistos por un sector de estas élites tanto como una amenaza para la sociedad, como un medio para satisfacer los deseos de eventuales padres adoptivos, especialmente si se trata de recién nacidos blancos o de piel clara.
Redes comunitarias intra y extracarcelarias en Chile: apaquismo y voluntariados evangélicos
Authors: Mansilla Agüero Miguel Ángel , Vergara Juan Carlos
Published: August 2023

El propósito de este artículo es analizar el rol intercomunitario entre la comunidad apaquista,y el voluntariado evangélico en su relación de apoyo con el recluso. Para ello se destacan dos subapartados: Comunidad apaquista y Comunidad del voluntariado. En el primer apartado, destacamos el apaquismo como una comunidad intermedia entre la cárcel (una sociedad clausurada) en tanto realidad social existente y el recluso, a través del coaismo evangélico y la importancia de las ritualidades (de inserción, tránsitos, cotidianos) para enfrentar la cotidianidad carcelaria enajenante. En el segundo subapartado, la comunidad del voluntariado, se les destaca como proveedores de recursos simbólicos, sociales, materiales y económicos para hacer del apaquismo más suficiente en su interior y de ese modo reinsertar socialmente al recluso sirviendo de conexión. El resultado es que, sin la comunidad del voluntariado, la comunidad apaquista no tendría los resultados de crecimiento que ha tenido desde su creación en el año 1999.