bluuebunny/crossref_metadata_2025 huggingface dataset:
AKTIVITAS PLP DASAR SEBAGAI ALTERNATIF PENGENALAN LINGKUNGAN SEKOLAH DI SD UNGGULAN PURI TAMAN SARI
Authors: Rasti Amalia  , Ratnawati
Published: December 2024

Pada lingkup FKIP Unismuh Makassar program pengenalan akan lapangan persekolahan(PLP) Dasar bertujuan:(1) Membangun landasan jti diri pendidik dan memantapkan kompotensi akademik kependidikan:(2)Membentuk dan meningkatkan kompotensi mahasiswa dalam aspek sikap,pengetahuan,dan keterampilan sebagai calon pendidik. Pelaksanaan PLP dasar berlangsung disekolah secara luring dan dikampus secara daring, Kegiatan PLP dasar disekolah dilakukan dalam bentuk observasi sedangkan kegiatan kampus dilakukan pembekalan, refleksi dan ujian lisan secara daring atau luring.Skema pelaksanaan PLP Dasar dilaksanakan dengan sistem blok yang ditempuh selama 16 hari.4 hari dilaksanakan dikampus secara daring atau luring dan 12 hari dilaksanakan disekolah secara daring dengan waktu pelaksanaan 5 jam 40 menit berdasarkan hasil observasi yang dilakukan dalam kegiatan pengenalan lapangan persekolahan UPT SPF SD UNGGULAN PURI TAMAN SARI maka dapat disimpulkan bahwa dari hasil pengamatan mengenai profil terdapat visi misi sekolah, organisasi sekolah yang mencakup struktur organisasi dan tugas serta tanggung jawab pimpinan.
PEMANFAATAN POJOK BACA DI DALAM KELAS DALAM MENINGKATKAN MINAT BACA SISWA SEKOLAH DASAR
Authors: Fitra Angraeni  , Nur Rahma
Published: December 2024

Minat baca merupakan keterampilan yang diperoleh setelah seseorang lahir, bukan keterampilan bawaan. Minat baca yang tinggi akan membuat seseorang semakin sering membaca dan memahami apa yang dibaca. Penelitian ini dilatarbelakangi oleh pemanfaatan pojok baca didalam kelas dalam meningkatkan minat baca siswa kelas V UPTD SDN 4 Barru. Penelitian ini bertujuan untuk mendeskripsikan pemanfaatan pojok baca dalam meningkatkan minat baca peserta didik. Penelitian ini menggunakan metode deskriptif kualitatif. Pengumpulan data dilakukan dengan teknik observasi, wawancara dan dokumentasi. Penelitian dilakukan di UPTD SDN 4 Barru. Analisis data yang digunakan adalah reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pemanfaatan pojok baca berperan penting dalam meningkatkan minat baca siswa. Pemanfaatan pojok baca ini didukung oleh beberapa faktor:1) Desain Menarik: Pojok baca didesain dengan menarik, dengan buku-buku yang disusun rapi dan beragam, termasuk buku cerita dan nonfiksi. 2) Lokasi Strategis: Pojok baca terletak di lokasi yang strategis dan mudah dijangkau oleh siswa. 3) Suasana Nyaman: Pojok baca menyediakan suasana yang nyaman dan mendukung kegiatan membaca. Wali kelas V juga memiliki peranan penting dalam memberikan motivasi serta dorongan terhadap siswa siswa untuk terus membaca sehingga pemanfaatn pojok baca dikelas V UPTD SDN 4 Barru bisa berjalan dengan baik
Implementation of digital marketing strategies. Problems and benefits to the financial sector
Authors: Cardenas John , Martinez Diana , Carreño Hanna
Published: December 2024

Introduction: Financial digital marketing relies on different electronic media to reach a greater number of people who could become potential clients of different financial corporations through it. The objective pursued is to identify the problems and benefits that it has brought to the financial sector in terms of the use and implementation of digital marketing strategies. Methodology: The methodology of this study was based on a systematic review of primary information housed in open access databases, mainly Scopus, Web of Science and Google Scholar in the last five years (2020-2024). Results: Marketing strategies focus on directing resources toward opportunities that increase sales and provide long-term competitive advantages. In the financial services space, competition has driven a transformation towards customer satisfaction through a wide range of options. Conclusion: Digital marketing is essential and combining digital and traditional approaches is crucial to success, with conversion metrics playing a critical role. In less advanced regions, policies to support technological innovation are needed to harness digital potential. The financial sector has experienced greater competition and diversity, driven by digital marketing and the inclusion of fintech companies, which has benefited SMEs and entrepreneurs
Roles of Pharmacy, Medicine, Nursing, Laboratory, Anesthesia, Urology, Public Health, and Occupational Health, Infection Control, and Hospital Management, in the Integration of Telehealth in Saudi Arabia: A Comprehensive Review
Authors: Hanbashi Yasser Mohammed , Alessa Mohammed Hassan , Dighriri Ibrahim Mohammed , Al Kulayb Jaamil Ali Hussain , Almohamedh Hamad Saleh Faraj , Alyami Mutared Mohammed Mutared , Badr Khalid Ghazi , Almufadhili Ahmed Homoud , Al-Sulimani Suhaib Talal , Al-Moqren Abdullah Fawzi , Huldar Abdullatif Adnan , Al- Ghamdi Ali Ahmed , Asiry Ali Abdullah , Barhamain Alaa Sami , Almutairi Sultan Faris , Ghulam Ahmed Zakaria , Alyami Marzooq Hadi Marzooq
Published: December 2024

Different sectors have contributed to successfully integrating telehealth services into the Saudi healthcare system during the emergent need for high-quality health services. Hence, this review attempts to assess different sectors and their professionals for their contribution toward the implementation and sustainability of telehealth services, including pharmacy, medicine, nursing, laboratory services, anesthesia, urology, public health, occupational health, infection control, and hospital management. Each sector offers a unique contribution to the emergence and continuity of telehealth services, and physicians have implemented telehealth for diagnosis while maintaining chronic patients at home with distant control. Pharmacists have started providing medication support through telehealth, and physicians have extended their use by treating chronic patients through teleconsulting. Hospital nurses have improved their professional access by providing virtual education and consulting to treat chronic patients. Laboratory services enable fast and accurate diagnosis, and anesthesiologists have begun to use it for preoperative and postoperative assessments. Urologists have integrated telehealth into the management of chronic patients. Public health professionals provide telehealth services for health promotion, disease prevention, and management. Occupational health practitioners provided remote ergonomic consultation. Infection prevention and control teams delivered training sessions and telehealth surveillance of hygiene-related practices. In addition, initiatives to plan and create a system for telehealth implementation are a significant contribution to hospital management. The incorporation of telehealth across professional silos has increased the quality-of-care delivery, enhanced patient empowerment, and built system resilience in Saudi Arabia. This multidisciplinary collaboration thus underscores how furthering telehealth services can only be realized through cooperation to ensure equitable access and advance healthcare modernization under any national initiative.
The Macroeconomic Effects of Monetary Policy and Government Expenses in Response to Covid-19: Evidence from Saudi Arabia
Authors: Bogari Adel
Published: December 2024

The purpose of this paper is to test the effectiveness of the interaction between monetary and budgetary policies during the Covid-19 crisis in Saudi Arabia. To this end, we use the Markov regimes technique to take into account change in regimes of the two policies. We adopt the SVAR modelling of sign restrictions to test the joint effect of a stagnation in tax revenues and a 1% increase in government spending over a time horizon of four periods identified as tax shocks during the Covid-19 period. The results of impulse response tests show that this shock did not lead to an improvement in industrial production. The results show tax dominance by financing state resources to compensate for the burden of government expenditure. If the central bank has raised the interest rate to anchor inflationary expectations, it will in turn have negative effects on economic activity as measured by the industrial production index. This scenario coincides with the second regime of the monetary rule, where the central bank acts in response to expected inflation.
INTEGRATING GREEN EDUCATION FOR SUSTAINABLE DEVELOPMENT: A STUDY OF INDIA'S EDUCATIONAL APPROACH
Authors:   Engineering College Bharatpur, Rajasthan, India, Lunayach Abhishek , Khichar Vijay ,   Engineering College Bharatpur, Rajasthan, India
Published: December 2024

This study delves into the integration of Green Education in India’s academic framework as a crucial mechanism for driving sustainable development. In the face of rapid industrialization and urban growth, environmental education is pivotal for fostering environmental awareness and cultivating sustainable practices among the youth. The research closely examines the implementation of initiatives like the National Green Corps and the Green Schools Programme, which aim to instil environmental consciousness and responsibility within the education system. Despite the promise of these initiatives, considerable challenges persist, including limited resources, insufficient curriculum alignment and inadequate teacher training, which collectively restrict the impact of green education efforts. To address these challenges, the study advocates for a comprehensive approach that includes reinforced policy support, creative teaching methodologies, strategic public-private partnerships and active community engagement. By fortifying these areas, India can better equip its younger generation to understand and tackle environmental issues, nurturing a sustainability-oriented mindset that is essential for the nation's long-term ecological health. This study aligns with the United Nations Sustainable Development Goals, particularly SDG 4, underscoring the importance of inclusive, equitable and quality education for sustainable development. Through the enhancement of green education, India can prepare its students to contribute meaningfully to environmental resilience, creating a future where sustainable practices are ingrained across all levels of society.
IMPACT OF BRANDING ON BUYING PERCEPTION OF ELECTRIC, FUEL OR HYBRID CAR USERS
Authors:   Vivekananda Institute of Professional Studies, New Delhi, India, Gupta Jyoti , Vashishth Renu ,   Vivekananda Institute of Professional Studies, New Delhi, India
Published: December 2024

To examine Indian consumers' perceptions of both domestic and international brand names in light of the growing popularity of foreign brand names and both positive and negative country-of-origin stereotypes. 112 customers in the city of Delhi were given a standardized questionnaire in person. Seven-point semantic difference scales were used to test attitudes toward "foreign" or "Indian" brands, while CETSCALE was used to quantify consumer ethnocentrism. Using factor analysis with varimax rotation, the factors impacting the reported degree of ethnocentrism in brand decisions were identified. Indian consumers were not prejudiced against international brand names, despite high levels of nationalism and preference for domestic manufacturing, as shown by high factor ratings on an ethnocentrism scale, which may suggest a favourable bias towards local businesses. In actuality, they gave those nations of origin more legitimacy and rated them higher than Indian companies in terms of technology, quality, status, and esteem. In a vast and rapidly expanding market, this study contributes to the body of knowledge regarding the country-of-origin effect. Instead of emphasizing economy and value for money, global brand marketers in the Indian market should focus on quality and technological features. demonstrates that animosity toward foreign products is not always the result of ethnocentrism. Indianized, integrative, and spiritual tactics must be used to maintain Made in India. Although this has started to change in the Indian market, consumers still choose the best brand over the best product. Demand is higher for the best products. The brands that are most meaningful to you are ingrained in your memory and are associated with your culture, history, geography, spirituality, religion, and essential qualities, such as indigenous products, which Indians like.
A STUDY ON THE EFFECT OF SELF-EFFICACY AND RESILIENCE AMONG TEACHERS IN SOUTH GUJARAT
Authors:   Banasthali Vidyapith, Rajasthan, India, Thomas Rona , Mehta Anil ,   Banasthali Vidyapith, Rajasthan, India
Published: December 2024

Purpose: This study examined the relationship between Self-efficacy and resilience among teachers.
Method: A reliability test was applied on 16 items scale of self-efficacy as well as on 14 items on resilience. We received 0.817 Cronbach alpha for the self-efficacy scale and 0.855 Cronbach alpha for the resilience scale. A structured Questionnaire was used to take responses from front teachers of the south Gujarat Region. A descriptive study was used to know the level of self-efficacy and resilience among front-line workers. Correlation, Friedman, and Kruskal Wallis test was applied to explore the possible relationship of respective factors.
Result: We expected that higher Self-efficacy would be positively correlated with resilience. As expected, the self-efficacy of teachers was related to resilience.
Conclusion: This study reveals that self-efficacy and resilience have a good association. We are quite enthusiastic about the other possible association between self-efficacy and resilience since it may be used to develop an effective training program for our teachers to help them become more resilient.
Transcatheter Aortic Valve Implantation (TAVI): An Overview on Current Trends and Future Directions
Authors: Kumar Dr Viveka
Published: December 2024

Aortic stenosis (AS) is a common heart valve disease, particularly affecting elderly populations. Surgical aortic valve replacement (SAVR) has long been the standard of care, but its invasive nature excludes many highrisk patients. Transcatheter aortic valve implantation (TAVI) has emerged as a less invasive alternative. It is a pioneering medical interventional procedure that has now become a standard procedure for treating patients with severe AS. The paper highlights TAVI's effectiveness, including its benefits, procedure protocols, and future perspectives, while also addressing its limitations and challenges.
Penerapan Terapi Sleep Hygine Pada Anak Usia Prasekolah Yang Mengalami Gangguan Pola Tidur Di Desa Mataram Baru Wilayah Kerja UPT Puskesmas Mataram Baru Lampung Timur
Authors: Daulay Erliani Delima , Yusrita Lusi , Kusuma Anggi
Published: December 2024

Pendahuluan: Gangguan pola tidur adalah kumpulan gejala yang ditandai oleh gangguan dalam jumlah, kualitas dan waktu tidur pada seseorang. Riset WHO prevalensi masalah tidur pada anak yang mencakup 17 negara dalam sebuah studi mengatakan bahwa masalah tidur pada anak prasekolah berkisar antara 20% dan 30% menurut laporan orang tua terjadi karena sering terbangun di malam hari.
Tujuan: Untuk Mengetahui Penerapan terapi Sleep Hygiene Pada Anak usia Prasekolah Yang mengalami Gangguan Pola Tidur Di desa Mataram Baru Wilayah Kerja UPT Puskesmas Mataram baru Lampung Timur.
Metode: Kegiatan ini menggunakan pendekatan studi kasus. Partisipan 2 pasien yang mengalami gangguan pola tidur di Desa Mataram Baru. Pengumpulan data dengan wawancara, observasi dan kuesioner, pemeriksaan fisik. Instrumen yang digunakan dalam penelitian ini adalah format pengkajian asuhan keperawatan anak.
Hasil: Hasil evaluasi menunjukkan pemberian terapi sleep hygine pada anak prasekolah yang mengalami gangguan pola tidur sangat efektif sehingga pada hari ketiga anak tidak terbangun lagi ditengah malam dan sulit tidur.
Simpulan: Simpulan dan saran bagi Puskesmas untuk memaksimalkan pemberian terapi sleep hygine pada anak prasekolah yang mengalami gangguan tidur dan sebaiknya tidak hanya memberikan terapi farmakologi, bisa juga diberikan intervensi berupa terapi non farmakologi.
Research on the Packaging of Agricultural Products in Sichuan Province Empowered by AIGC in the Context of Intangible Cultural Heritage
Authors: Hang REN  , Hongfan SHEN  , Xinrui YE
Published: December 2024

As a major agricultural province in China, Sichuan Province offers a wide variety of distinctive agricultural products. For these products, good packaging design not only helps generate greater economic benefits for farmers with the same level of output but also supports rural areas in achieving industrial revitalization. With the growing awareness of intangible cultural heritage protection, the interplay and communication between intangible cultural elements and other industries have increased. This interaction promotes the redevelopment and preservation of intangible cultural heritage. Integrating intangible cultural elements into the packaging of agricultural products can better reflect local culture and regional characteristics, effectively enhance the promotion of intangible cultural heritage, inject vitality into agricultural products, and contribute to spiritual and cultural development while meeting people's material needs. Based on this, this study aims to explore how generative artificial intelligence (AIGC) can be used to enhance the packaging design of characteristic agricultural products in Sichuan Province, thereby improving the market competitiveness of these products and supporting rural industry revitalization. By analyzing the current state of the integration of intangible cultural heritage with agricultural product packaging, proposing innovative strategies, and examining practical applications of AIGC technology, this study seeks to provide a new perspective for the packaging design of agricultural products.
Construção de documentários em sala de aula: um relato de experiência
Authors: D’Avila Yasmin Daniella
Published: December 2024

O artigo tem como tema central o ensino de Ciências Humanas a partir da realidade dos educandos, afirmando a importância de um Ensino disruptivo com o eurocentrismo, ou seja, uma prática que valorize os saberes, realidades e histórias locais. Ao longo das páginas se apresenta uma metodologia para a escrita de roteiros de documentários desenvolvida com uma turma do 2º ano do Ensino Médio, em uma escola do estado do Rio Grande do Sul. A sequência didática foi desenvolvida ao longo dos componentes curriculares da área de Ciências Humanas e dos Itinerários Formativos regulamentados na Lei nº 13.415/2017. O objetivo central é o desenvolvimento de uma metodologia voltada para a escrita de roteiros para documentários de fácil acesso para educadores e estudantes. Constatou-se a aplicabilidade de forma acessível da metodologia por meio de um documentário produzido pelos educandos.
Enhancing Auditor Reputation Through CSR Activities and Their Impact on Audit Firms Client Base Growth
Authors: Zhoulie Lin , Williams Quent
Published: December 2024

Purpose: This study aims to investigate the relationship between audit firms’ corporate social responsibility (CSR) activities and their reputations, as well as the impact of this on the audit firms’ abilities to gain and keep clients. The article examines the need for corporates to engage in corporate social responsibility (CSR) in order to enhance their reputations, potentially extending the same rationale to audit firms, as CSR engagement for corporates and audit firms are likely to have different implications on their client base.Method: Using a quantitative approach, a sample of audit firms was analyzed for a three years’ period. Using regression analysis, the study examined whether CSR involvement and intensity influence client acquisition and whether firm size and profitability moderate this relationship.Findings: Audit firms with higher CSR engagement are shown to have a significant increase in their client base. CSR activities build firm reputation, wherein the stakeholders are able to trust the company and also manage to stand out in the competitive market. Furthermore, this relationship is positively moderated by both firm size and profitability.Novelty: CSR impacts on marketing have been studied for other industries, but its importance within the audit industry is unique.Implications: The results indicate that audit firms may strategically allocate their resources towards CSR activities to align themselves with the competitive advantage and gain client advantage in the market. In addition, it underlines the need for alignment between CSR strategies and firm resources for the long-term growth and sustainability of the competitive advantage
Enhancing Firm Efficiency Measurement Using DEA and Fuzzy Approaches with Integrated Corporate Social Responsibility
Authors: Gaillard Gallego , Behrouznia Keskin
Published: December 2024

Purpose: We propose a new scientific approach by integrating Corporate Social Responsibility (CSR) into the measurement of firm efficiency through a dynamic fuzzy Data Envelopment Analysis (DEA) model. It aims to investigate the relationship between CSR practices and firm performance over time across industries.Findings: Higher CSR engagement companies appear to obtain better efficiency scores and show resilience when adapting to external challenges. Especially, capital-intensive industries where environmental risk is high benefit most from integrating CSR into their operational structures. The corresponding dynamic fuzzy DEA model introduced by Yang, et al. (2023) successfully analyses the non-neutrality of input metrics on CSR resilience, along with uncertainties inherent in CSR metrics, hence offering valuable insights into their industry-specific and temporal variability.Novelty: This research is the first to apply a dynamic fuzzy DEA approach to integrating CSR in terms of a key measure of firm efficiency. This study fills the gap between sustainability practices and operational performance by addressing the complexity of multifaceted impacts of CSR.Implications: These results provide practical recommendations for policy makers and managers to reflect the reconciliation of environmental or social objectives with financial performance in CSR strategies. Moreover, the methodological framework paves the way for other studies to consider dynamic and uncertain variables into efficiency measurement.
SAÚDE E BEM-ESTAR PARA IDOSOS: UM RELATO DE EXPERIÊNCIA
Authors: Aires Bianca Fermontt , Martins Brunna Maia , Bueno Gabriel Resende de Lima , Rodrigues Gabriella Boaventura , Vasconcelos Gustavo Messias , Santos Maria Luiza Benício dos , Oliveira Marina Duarte Gomes de , Santos Ana Maria Dias Batista dos , Sales Márcia Ferreira , Lopes Sara Janai Corado
Published: December 2024

O presente relato de experiência baseia-se no projeto de extensão "Saúde e Bem-Estar para Idosos", realizado por acadêmicos do 4º período de Medicina do Instituto Tocantinense Presidente Antônio Carlos (ITPAC) e que visa promover a saúde e a qualidade de vida dos idosos residentes no Abrigo João XXIII, em Porto Nacional-TO. Este trabalho destaca a importância da integração entre teoria e prática na formação acadêmica, permitindo que os estudantes apliquem seus conhecimentos em contextos reais e contribuam para o bem-estar da comunidade. A iniciativa foi fundamentada em atividades que utilizam a música como ferramenta central, promovendo a reminiscência e o fortalecimento de vínculos sociais entre os participantes. Durante as atividades, foram realizadas oficinas e apresentações musicais que incentivaram a interação social e o resgate de memórias afetivas, fundamentais para a autoestima dos idosos. A escolha de músicas populares da juventude dos participantes ajudou a criar um ambiente acolhedor, onde os idosos puderam expressar suas preferências e se sentir valorizados. Além disso, o projeto também focou no desenvolvimento de habilidades motoras e cognitivas através de danças leves e exercícios com instrumentos de percussão. Os resultados demonstraram que a prática da musicoterapia não apenas melhorou a qualidade de vida dos idosos, mas também teve um impacto positivo na saúde mental, contribuindo para a redução do isolamento social e dos sintomas depressivos. Ao final do projeto, evidencia-se que as atividades promovidas não apenas beneficiaram os participantes, mas também enriqueceram a formação dos estudantes, tornando-os mais conscientes sobre as realidades enfrentadas pela população idosa. Em suma, o projeto "Saúde e Bem-Estar para Idosos" exemplifica como ações integradas podem transformar vidas, promovendo um envelhecimento ativo e saudável. Essa experiência reforça o papel das universidades como agentes de mudança social, destacando a necessidade de políticas públicas que atendam às demandas crescentes da população.
GESTÃO DE CUIDADOS DE PACIENTES EM UNIDADE DE TERAPIA INTENSIVA
Authors: Pedreiros Andréia , Conceição Maria do Carmo , Dezena Rita de Cássia de Aguirre Bernardes
Published: December 2024

Este estudo tem como objetivo identificar o papel do enfermeiro na gestão do cuidado de enfermagem ao paciente critico internado na unidade de terapia intensiva UTI, um setor de alta complexidade, que atende pacientes críticos e com necessidade de cuidados invasivos e intensivos. O profissional enfermeiro é um dos que mais tem se envolvido na implantação da gestão de segurança e qualidade nas instituições hospitalares, uma vez que o mesmo tem a oportunidade de interagir diretamente com o cliente, prestando cuidados em saúde envolve não somente o paciente, mas os gastos que se tem ao realizar procedimentos.
REABILITAÇÃO FUNCIONAL E ESTÉTICA EM PACIENTE PORTADORA DE COMUNICAÇÃO BUCONASAL ADQUIRIDA
Authors: Cardoso Jânderson de Medeiros , Santos Gabriela Moretto dos , Peixoto Hugo Eduardo , Miyasawa Erton Massamitsu , Padovan Luis Eduardo Marques , Garcia Valdir Gouveia
Published: December 2024

Patients with oro-nasal communication face numerous challenges that compromise their quality of life, including difficulties with eating due to the leakage of liquids and food into the nasal cavity. Speech can also be affected, often presenting with pronounced nasal resonance, which hinders effective communication. Additionally, depending on the severity of the case, facial appearance may be altered, impacting the smile, lip volume, and overall aesthetic harmony. This article presents a clinical case report describing a functional and aesthetic rehabilitation using osseointegrated implants and a protocol-type prosthesis, combined with a removable palatal obturator prosthesis retained by precision attachments, in a patient with sequelae of a cleft palate caused by a car accident.
SUSTENTABILIDADE E DESEMPENHO NA CONSTRUÇÃO CIVIL: ESTRATÉGIAS E INOVAÇÕES NA PRODUÇÃO DO CONCRETO COM AGREGADO RECICLÁVEL
Authors: Coêlho Guilherme da Silva , Alves Johanna Luiza Nascimento , Andrade Teixeira Mascarenhas de
Published: December 2024

In the context of sustainability in the construction industry, it is essential that we think of alternatives to reduce the impacts and costs of a construction project. Therefore, this work aims to analyze an alternative for reducing landfill waste used to dispose of materials from construction sites, through their reuse in the production of concrete and derivatives, through the use of recycled material as aggregate, specifically ceramic material from bricks and tiles, analyzing its properties, workability and resistance through laboratory tests. The study is based on bibliographical research of scientific articles, as a way of obtaining the results of the aforementioned tests, thus highlighting whether this alternative is viable as a sustainable and lower-cost way of doing things.
OSTEOMIELITE RELACIONADA A IMPLANTES EM HOSPITAL REFERÊNCIA DE TRAUMA DO CEARÁ: PERFIL CLÍNICO, RADIOLÓGICO E MICROBIOLÓGICO DAS CULTURAS DE FRAGMENTO ÓSSEO
Authors: Castro Ítalo Sousa de Moraes , Amorim Neto Aldenizio Uchoa , Galiza Kamilla da Silva de , Santana Melyssa Cavalcante , Hiluy Mariana Fontenele Ferreira , Dias Maria Isadora Fernandes , Almeida Júnior Antônio Mauro Barros
Published: December 2024

Osteomyelitis remains a major challenge in medical practice and has growing importance in the national public health scenario by increasing the number of orthopedic surgeries with implant use and, mainly due to the increase in the number of high energy traumas associated with exposed fractures. Failure to identify the correct microorganism can result in potentially toxic and expensive treatments, as well as possible failure to eradicate the pathogen and increase the length of hospitalization. Implant-related osteomyelitis is considered a serious and difficult to treat complication, representing a challenge for all professionals involved in patient care, as it significantly increases the time needed for recovery, In addition to also raising the cost of treatment and causing impairment in long-term functional results. It is known that, although infection occurs less frequently than mechanical loss of the prosthesis, it is considered the most devastating of complications, leading to long-term hospitalization, repeated surgical interventions and even permanent with shortening of the affected limb and significant permanent deformities. Therefore, it is of great importance the recognition of clinical, radiological and surgical aspects of patients hospitalized with diagnosis of implant-related osteomyelitis in reference centers such as the Instituto José Frota (IJF). The study aimed to characterize patients with diagnosis of implant-related osteomyelitis in a trauma referral hospital in Ceará. At the end of the study, we recognized the microbiological and sensitivity profile of the bone fragment cultures, as well as the main risk factors related to infection.
ASPECTOS DOS FATORES EPIDEMIOLÓGICOS E TRATAMENTO DO MELASMA
Authors: Gomes Ana Beatriz Oliveira , Fonseca Daiane Victória , Mazzarolo Maria Joicy De Oliveira , Rezende Gabriel de Oliveira
Published: December 2024

O melasma é um dos distúrbios hiperpigmentares mais comuns, encontrado principalmente em mulheres e pacientes de pele escura. A luz solar, os hormônios, a gravidez e a genética continuam sendo os mais implicados na causa do melasma. Embora bastante recalcitrantes ao tratamento, agentes tópicos como hidroquinona, regime de Kligman modificado, ácido azelaico, ácido kójico, vitamina C e arbutina ainda permanecem a base da terapia, sendo a proteção solar a pedra angular da terapia. Existem vários novos agentes botânicos e não botânicos e futuras terapias orais para o futuro. Sendo uma doença pigmentar cutânea adquirida comum, caracterizada por uma pigmentação macular simétrica em áreas expostas ao sol, como o rosto. Os principais três padrões de pigmentação no melasma são centro facial (bochechas, testa, lábio superior e nariz), malar (bochechas e nariz) e mandibular (área mandibular das bochechas). Está doença afeta muito mais as mulheres do que os homens. Vários fatores, como genética, luz solar, cosméticos, gravidez, tratamentos hormonais, disfunção tireoidiana e medicamentos, têm sido implicados na patogênese do melasma. OBJETIVO GERAL > METOLOGIA > RESULTADOS ESPERADOS.
IMPLANTAÇÃO DE MATÉRIA DE DIREITO NA EDUCAÇÃO DE ENSINO FUNDAMENTAL II
Authors: Barros Tainara do Nascimento , Reinke Augusto
Published: December 2024

O artigo visa mostrar a relevância de incluir dos estudos no  desenvolvimento da criança especificamente com a inclusão da matéria do Direito na  educação infantil, especialmente no ensino fundamental II, destacando como isso  contribui para o desenvolvimento de crianças e adolescentes. Provando o quanto a  educação é essencial para a formação de valores e para a integração do indivíduo à  sociedade, proporcionando o aprendizado e a compreensão de diferentes culturas e  pessoas.  

O estudo baseia-se nos Direitos Fundamentais, na Declaração Universal  dos Direitos Humanos, na Constituição Federal de 1988 e nas diretrizes do Estatuto  da Criança e do Adolescente (ECA), além de pesquisas acadêmicas e documentos  sobre o tema. Os resultados apontam que essa implantação de estudo pode beneficiar  crianças e jovens, permitindo que se tornem mais conscientes de seus direitos e  deveres, além de ajudar na educação e vida pessoal. Nesse artigo destaca-se a  responsabilidade dos pais e do Estado na garantia desse direito, conforme previsto  em lei.
MUCOCELE BILIAR EM FELINOS: DESAFIOS DIAGNÓSTICOS E TERAPÊUTICOS
Authors: Bueno Mirella Garcia
Published: December 2024

Biliary mucocele in felines is a pathological condition characterized by epithelial hyperplasia and excessive accumulation of mucus in the gallbladder, which can result in serious complications such as ischemic necrosis and biliary peritonitis. This paper reports the case of a 3-year-old feline, of no defined breed, positive for FIV, which developed obstruction of the common bile duct as a result of a mucocele. The animal presented with jaundice, severe dehydration, anorexia and vomiting. The diagnosis was confirmed by ultrasound, which revealed distension of the gallbladder and the presence of thick mucus. After initial clinical treatment was ineffective, the patient’s condition worsened, leading to the need for cholecystectomy and the insertion of an esophageal feeding tube. After surgery, there was a significant improvement in clinical parameters. The gallbladder was sent for histopathological examination, which confirmed the diagnosis of mucocele. After six months, the patient returned for a castration assessment, showing satisfactory progress in his examinations. Although biliary mucoceles only show significant results with clinical treatment, in some cases surgical intervention is necessary, making clinical correlation with laboratory and imaging tests essential. This report highlights the importance of early diagnosis and surgical intervention for the proper management of biliary mucocele in felines.
OS PRINCIPAIS EFEITOS ADVERSOS RELACIONADOS À INTERAÇÃO FARMACOLÓGICA ENTRE DIGOXINA E BENZODIAZEPÍNICOS: UMA REVISÃO INTEGRATIVA
Authors: Mancini Cezar Ernani , Gomes João Victor Santos , Campos Tiago Cunha Berno , Araújo Daniel Nassau de , Entringe Bernardo Pinto , Vaz Priscilla Calleia Carneiro , Souza Camila Queibre Baltazar de , Souza Samara Lima de Oliveira Brum de , Hilário Ana Beatriz Dutel
Published: December 2024

O estudo revisou os principais efeitos adversos relacionados às interações farmacológicas entre digoxina e benzodiazepínicos, destacando os riscos dessa combinação terapêutica amplamente usada. A digoxina, um glicosídeo cardíaco, é essencial para o tratamento de insuficiência cardíaca e fibrilação atrial, mas sua estreita janela terapêutica a torna vulnerável a interações que potencializam efeitos adversos como arritmias, náuseas e toxicidade digitálica. Benzodiazepínicos, moduladores do receptor GABA-A, são eficazes para transtornos de ansiedade e insônia, mas podem causar sedação excessiva, dependência e maior risco de quedas. A interação entre esses medicamentos ocorre por mecanismos farmacocinéticos, envolvendo competição metabólica pelo citocromo P450, e farmacodinâmicos, amplificando efeitos como bradicardia e hipotensão. Estudos revisados indicam que benzodiazepínicos de longa meia-vida, como diazepam, apresentam maior potencial de interação com a digoxina, enquanto opções de curta duração, como lorazepam, são preferíveis em casos de coadministração. A análise de metanálises revelou aumento de hospitalizações por eventos adversos cardiovasculares em pacientes idosos ou com função renal comprometida. Recomenda-se o monitoramento rigoroso dos níveis plasmáticos de digoxina, ajustes individualizados de dose e escolha criteriosa do benzodiazepínico para minimizar riscos. Este trabalho reforça a necessidade de diretrizes claras e maior conscientização entre profissionais de saúde, promovendo um manejo clínico seguro e eficaz, com base em evidências.
REABILITAÇÃO COMPLEXA COM PRÓTESES REMOVÍVEIS: UM RELATO DE CASO
Authors: Abreu Giovanna Ferreira Campelo de , Soares Felipe Augusto Sousa , Melul Danielle Costa Ribeiro , Ghassan Hiam
Published: December 2024

Este trabalho de conclusão de curso aborda o atendimento odontológico e a reabilitação protética de um paciente masculino de 76 anos, com queixas relacionadas à dificuldade de realizar funções básicas como alimentação e mastigação, devido à ausência de diversos dentes. A abordagem terapêutica seguiu uma sequência minuciosa que incluiu procedimentos como exodontias, endodontiais e restaurações, além de uma orientação sobre higiene oral adequada. O planejamento para reabilitação foi realizado com foco em próteses parciais removíveis, utilizando análises biomecânicas e técnicas de moldagem para garantir a adaptação e funcionalidade das próteses. A importância do preparo adequado da boca e o uso de materiais de alta qualidade foram essenciais para o sucesso do tratamento. O estudo destaca a relevância da reabilitação odontológica na melhoria da qualidade de vida de pacientes idosos, com enfoque no conforto e na estabilidade da prótese. Por fim, teve  o impacto positivo da reabilitação oral na saúde geral e no bem-estar do paciente, traz a necessidade de um acompanhamento periódico para assegurar a longevidade do tratamento. A experiência adquirida neste caso contribui para o aprimoramento das práticas clínicas e destaca o valor da abordagem interdisciplinar na odontologia.
Indeks Pembangunan Manusia Terhadap Produk Domestik Regional Bruto di Provinsi Aceh
Authors: Mukarramah  , Muhammad Zulkarnain
Published: December 2024

Indeks Pembangunan Manusia atau IPM diketahui adalah gambaran dari kemampuan penduduk atas pembangunan dengan indicator kesehatan, pendidikan dan pendapatan. Sementara Produk Domestik Regional Bruto adalah gamabaran total barang maupun jasa yang dihasilkan dalam satu  kondisi (wilayah dan waktu tertentu). Berdasarkan kedua variabel maka tujuan penelitian ini adalah untuk mengetahui pengaruh IPM terhadap PDRB di Kabupaten dan Kota Provinsi Aceh. Metode yang digunakan adalah metode kuantitatif. Sementara populasi adalah seluruh kabupaten dan kota di Provinsi Aceh terdiri dari 23 daerah dengan data IPM dan PDRB tahun 2022-2023. Teknik analisis data menggunakan regresi linier sederhana. Hasil penelitian diperoleh tingkat IPM tertinggi di Kota Banda Aceh dan terendah di Kota Subulussalam. Sementara PDRB tertinggi ada di Kabupaten Aceh Utara dan terendah di Kota Subulussalam. Kemudian hasil regresi diketahui bahwa IPM berpengaruh positif dan signifikan terhadap PDRB di Kabupaten dan Kota di Provinsi Aceh.
Prevalence and associated risk factors of gout among patients at Khyber Teaching Hospital Peshawar: A cross-sectional study
Authors: Khan Inam Ullah , Khan Moheb Ullah , Khan Shameem , Ullah Ahmad , Khan Muhammad Waqas , Ullah Wahid
Published: December 2024

Hyperuricemia and gout represent significant global public health challenges with varying prevalence rates across populations. This study aimed to investigate the prevalence and associated risk factors for gout among patients at the Khyber Teaching Hospital, Peshawar, Pakistan. This cross-sectional analytical study was conducted from January to March 2024 and involved 100 patients (57% female, 43% male) aged 18–65 years. Participants were recruited via systematic random sampling from the orthopedic department. Data collection included demographic information, anthropometric measurements, medical history, and serum uric acid levels, which were analyzed via the uricase enzymatic colorimetric method. 93% of the patients were between 21 and 60 years old, with 54% reporting a family history of gout. Notably, 95% of the participants presented elevated uric acid levels (>6.8 mg/dL in men, >6.0 mg/dL in women), with 40% falling within the 7.1–8.0 mg/dL range. The major comorbidities included hypertension (72%), thyroid problems (45%), and kidney disease (34%). Protein-rich diet consumption was reported by 84% of the participants, whereas alcohol consumption was reported by 17%. The general health assessment classified 65% of the participants as unhealthy. The findings indicate a greater prevalence of gout among females in this population, contradicting traditional patterns, along with significant associations with comorbidities and dietary factors. This study highlights the need for sex-specific screening protocols and comprehensive management approaches that address both primary gout symptoms and associated conditions. These results emphasize the importance of early intervention and lifestyle modification strategies in gout management within the South Asian.
Gambaran Kadar Hemoglobin Pada Siswi SMA Negeri 1 Tanjung Palas Kabupaten Bulungan
Authors: Rahmadita Aulia , Sulistyarini Riski , Maulida Faizatun
Published: December 2024

Penelitian ini bertujuan untuk mengetahui gambaran kadarHemoglobin pada Siswi SMA Negeri 1 Tanjung Palas Kabupaten Bulungan. Metode yang digunakan pada penelitian ini adalah deskriptif dengan teknik Cross Sectional pengambilan sampel menggunakan metode purposive sampling dengan jumlah sampel sebanyak 73 responden. Pengambilan data dilakukan dengan penyebaran informed consent dan form data karakteristik kemudian pemeriksaan kadar Hemoglobin menggunakan Hemoglobinometer dari EasyTouch GCHb. Hasil Penelitian menunjukkan sebanyak 52 Siswi (71.2%) memiliki kadar Hemoglobin rendah dari kadar normal, dengan karakteristik rutin konsumsi sayur dan buah sebanyak 43 Siswi (58.9%), status gizi normal sebanyak 58 Siswi (79.5%), serta aktivitas fisik yang rendah sebanyak 52 Siswi (71.2%). Kesimpulan yang dapat diambil dari penelitian ini sebanyak 52 Siswi (71.2%) di SMA Negeri 1 Tanjung Palas memiliki kadarhemoglobin yang rendah dari kadar normal. Disarankan Siswi di SMA Negeri 1 Tanjung Palas dapat meningkatkan aktivitas fisik sehingga dapat mencegah terjadinya Anemia.
The Role Of Teachers In Improving Learning Interest In Civics Education Learning Of Grade IV Students Of Nusukan Barat State Elementary School
Authors: Afni Arifatul Hidayah  , Aisha Azmi Zahran  , Ananda Ayu Rahmadhani  , Rawanoko Endrise Septina
Published: December 2024

Low student interest in citizenship education (civics education) is one of the problems often encountered in schools. This condition is influenced by various factors, including teacher teaching methods and student motivation. This study aims to describe the role of teachers in fostering students' interest in learning Civics Education in grade IV at ELEMENTARY SCHOOL Nusukan Barat, as well as the factors that influence this interest. This research uses a qualitative approach. Data collection techniques included observation during learning, semi-structured interviews with respondents from the fourth-grade teacher of ELEMENTARY SCHOOL Nusukan Barat, and documentation studies conducted in the fourth-grade classroom of ELEMENTARY SCHOOL Nusukan Barat. The results showed that the teacher's role as a facilitator, motivator, informator, and classroom manager has a significant influence in increasing students' interest in learning. In addition, there are supporting factors such as teacher creativity and competence, supportive school programs, and good communication between teachers and students. However, there are also inhibiting factors such as limited learning time, students' dislike of the subject, and lack of support from parents at home. Therefore, the active role of teachers in the learning process and classroom management is very important in fostering students' interest in learning. It is recommended that teachers continue to increase creativity in teaching and involve parents to support learning at home so that students' interest in learning Civics can be improved optimally.
Application Of Problem Based Learning Model In Civics Learning On Central Government Structure Material In Grade IV Of Pabelan Kartasura State Elementary School
Authors: Afifah Setyawati  , Ajeng Nurhidayah  , Asyifaa Jasmine Priyani P  , Rawanoko Endrise Septina
Published: December 2024

This research is entitled "Application of the Problem Based Learning Model in Civics Learning on Central Government Structure Material Class IV Sdn Pabelan Kartasura" This research aims to analyze the application of the Problem Based Learning (PBL) learning model in Civics Education (PKn) learning on Central Government Structure material in class IV SDN Pabelan, Kartasura. This research is motivated by the need to increase students' active participation and in-depth understanding of abstract material. The PBL model also encourages students to be more active in discussing, working together, and solving problems independently or in groups.  The research results show that the application of the PBL model can increase student involvement in the learning process, critical thinking skills, and student learning outcomes. The research methods used are direct observation in class, interviews with teachers, and documentation. The observation results show that Civics learning in class IV at SDN Pabelan 03 has been implemented in accordance with the learning plan prepared. Teachers use lecture, question and answer and group discussion methods to improve students' understanding of the material. Learning evaluation is carried out through written tests and student attitude assessments. Obstacles found included limited time and lack of student involvement in several discussion activities. The conclusion from this observation is that Civics learning at SDN Pabelan 03 has gone well, but innovation is needed in learning methods and media to improve the quality of learning.
Cancer du col utérin invasif et grossesse : à propos d’un cas
Authors:   Service d’Obstétrique – Gynécologie, CHU Ibn Rochd de Casablanca, Maroc, Laaliaoui Aymen , Fatimzahra Taouil
Published: December 2024

Cet article discute du diagnostic et de la prise en charge du cancer du col utérin pendant la grossesse, une situation relativement rare mais avec une incidence significante. Le cancer du col est le cancer le plus fréquemment découvert chez les femmes enceintes, affectant principalement celles de la trentaine avec une parité élevée. Environ 1 à 3 % des cancers du col sont diagnostiqués pendant la grossesse, souvent lors des examens prénatals tels que les frottis cervico-vaginaux. L’étude clinique présentée concerne une patiente de 36 ans, sans antécédents pathologiques, diagnostiquée avec un carcinome épidermoïde bien différencié du col utérin après une césarienne prophylactique. L’article souligne l’importance de dépister systématiquement les anomalies cervicales chez les femmes enceintes pour une détection précoce. Les résultats montrent que les cancers diagnostiqués pendant la grossesse tendent à être à un stade précoce comparé à ceux détectés en dehors de la grossesse. La gestion de ces cas nécessite une équipe multidisciplinaire, incluant obstétriciens, oncologues et chirurgiens cancérologues, pour évaluer et décider du traitement approprié en fonction du stade de la tumeur et de la gestation. Les recommandations pour la prise en charge incluent une surveillance étroite et une planification collaborative entre les professionnels de la santé et les patientes, afin d’optimiser les résultats pour la mère et l’enfant.
Translunate fracture-dislocation: a rare and challenging wrist injury
Authors:   Service de Traumatologie – Orthopédie aile IV CHU Ibn Rochd, Casablanca, Maroc, Sbihi Yasser , Roujdi Amine , Arfaoui Hicham , Cala Alban , El Adaoui Oussama , El Andaloussi Yasser , Haddoun Ahmed Reda , Bennouna Driss , Fadili Mustapha
Published: December 2024

Translunate fracture-dislocation is an exceptional wrist injury with some rare cases published that requires prompt diagnosis and management, we present the management and the evolution of 35-year-old man with translunate fracture dislocation and after 6 months follow-up.