bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of nervomuscle coordination in the act of swallowing using dynamic imaging tests performed by cone beam computer tomography
Authors: Zomkowska Edyta , Zakrzewska Magdalena , Pilewski Dawid , Zajączkiewicz Hanna 
Published: December 2023

WprowadzenieDysfagię neurogenną, czyli zaburzenia aktu połykania o podłożu neurologicznym, należy odróżnić od innych objawów utrudniających lub uniemożliwiających połykanie, takich jak odynofagia czy afagia. W diagnostyce należy uwzględnić również inne objawy sugerujące dysfagię, np.: ruminacje oraz tzw. gałkę (globus). Dysfagia neurogenna dotyczy fazy ustnej, gardłowej oraz przełykowej aktu połykania. Najczęstszą przyczyną dysfagii neurogennej jest ostry incydent naczyniopochodny pod postacią udaru mózgu. W tym przypadku dysfagia może występować u 50–80% chorych. Do powikłań aspiracyjnych może dojść u 20% chorych.CelCelem pracy jest omówienie nowatorskiej czynnościowej diagnostyki całego aktu połykania (ustnej, gardłowej, przełykowej) wykonanej metodą tomografii stożkowej.Materiał i metodyNovum w diagnostyce zaburzeń połykania stanowią czynnościowe badania obrazowe zapisywane w formie 20-s filmiku. Badanie CBCT aktu połykania umożliwia ocenę fizjologii oraz patofizjologii określonych faz połykania. W trakcie analizy uwzględniamy: ocenę ruchomości języka, dynamikę unoszenia podniebienia miękkiego, pracę nagłośni oraz ruch kości gnykowej. Badanie uwidacznia przechodzenie treści pokarmowej do przełyku i/lub tchawicy.Wyniki i ich omówieniePrecyzyjna diagnostyka etiologii zaburzeń połykania pozwala na znaczne zmniejszenie powikłań pulmonologicznych, związanych z aspiracją treści pokarmowej, np.: zespołu kaszlowego, astmy nocnej – skurcz oskrzeli wywoływany przez refluks żołądkowo-przełykowy, zapalenia oskrzelików, zachłystowe zapalenie płuc, przewlekła obturacyjna choroba płuc, ropień płuc i ropniak opłucnej czy idiopatyczne włóknienia płuc.WnioskiDynamicznie rozwijające się w ostatnich latach metody obiektywnych ocen zaburzeń połykania, w tym wdrożenie badania CBCT aktu połykania, jako badania z wyboru, znacznie przyśpieszyło proces leczniczo-rehabilitacyjny pacjentów z dysfagią neurogenną. Precyzyjna diagnostyka poszczególnych faz ułatwia stosowanie celowej elektrostymulacji, mającej istotny wpływ w procesie usprawniania funkcji połykania.
Treatment of arterial hypertension in patients with severe obesity
Authors: Moczulska Beata , Leśniewska Sylwia , Osowiecka Karolina , Gromadziński Leszek 
Published: December 2023

IntroductionObesity is one of the most important cardiovascular risk factors for mortality. It increases the risk of developing hypertension and influences the response to antihypertensive drugs. Ambulatory blood pressure measurement (ABPM) is a tool for a detailed analysis of mean blood pressure values and assessing the blood pressure (BP) profile during the night with the daily values and optimal treatment determination.AimThe study aimed to evaluation the type of antihypertensive drugs and control assessment of hypertension based on ABPM in patients with severe obesity.Material and methodsThe study group consisted of 129 overweight and obese patients (group 1: BMI < 40 kg/m<sup>2</sup>; group 2: BMI ≥ 40 kg/m<sup>2</sup>).They were interviewed, taking into account the antihypertensive drugs taken. We divided drugs into 5 groups: beta-blockers, angiotensin converting enzyme inhibitors (ACE-I) / angiotensin II receptor blockers (ARB), diuretics, calcium channel blockers and others. Mean systolic BP and diastolic BP from the day, day and night, mean heart rate from day to day was assessed based on ABPM.Results and discussionThe most frequently administered drugs in both groups were ACE-I/ARB. The second most often taken drug was β-blocker and diuretics. Group 1 was significantly older than group 2. Based on the analysis, HR level was significantly dependent on age, BMI, and diabetes. The systolic BP and diastolic BP level was dependent on age and sex.ConclusionsOnly a combination of individually designed pharmacological therapy with personalized dietary interventions, regular exercise, cognitive behavioral therapy, and bariatric interventions, when needed, could guarantee the final success. ABPM should be used routinely in every patients to control assessment of hypertension.
Cabeças cortadas
Authors: Ferreira Júnior José , Silva Vanderlan Francisco da 
Published: December 2023

Este texto objetiva discutir a prática de cortar cabeças, utilizadas por policiais volantes, quando da perseguição empreendida a cangaceiros, nos sertões nordestinos, entre os anos de 1922 e 1938. A discussão leva em conta o imaginário do nordestino sertanejo sobre esta prática, mostrando-a como uma das muitas representações de uma sociedade construída distanciada do que era tido como “civilização”, que desenvolveu um modo de ser e estar no mundo específico, onde a violência se revelava traço característico de sua identidade. Para a construção desse texto foi feita revisão bibliográfica, sendo trazido à luz conceitos da história cultural, bem como narrativas presentes na historiografia que trata da temática volantes e cangaceiros.
De Região a Território: um movimento de demarcação (in)visível, Bahia, Nordeste do Brasil
Authors: Aras Lina Maria Brandão de , Aras Lina Maria Brandão de 
Published: December 2023

O presente artigo trata de uma análise historiográfica dos processos de regionalização do território baiano em diferentes momentos históricos. Desse modo, problematizaremos as noções de Região, Território e sertão como categorias de análise e de uso da História. A pluralidade dos sertões baianos e o Recôncavo da Bahia são algumas das regionalizações abordadas no presente trabalho que contou com revisão bibliográfica assentada na vasta produção de dissertações e teses em História defendidas em diferentes programas de pós-graduação e conta com autores e autoras que estudaram a Bahia a partir de diferentes recortes cronológicos e espaciais. A trilha percorrida neste artigo traça o processo de regionalização a partir da exploração portuguesa e a divisão estabelecida a partir da dualidade entre o litoral e o interior do território baiano, o que contribuiu para as bem demarcadas áreas e as suas respectivas caracterizações, seja pelo seu aspecto positivo, seja pelo aspecto negativo, o que criou um imaginário sobre elas e que podem ser verificados nas suas próprias definições. Assim, trataremos do conceito de região como uma construção histórica e as suas mudanças de recortes regionais em diferentes momentos históricos, pois os processos em curso em cada demarcação trouxe acréscimos ou recuos numa mesma área. Este trabalho está vinculado aos estudos regionais brasileiros com enfoque na Bahia e, por sua vez, tem como proposta avançar com as reflexões teóricas e metodológicas acerca da História Regional transversalizando a História Social, História Cultural, História Política, História Econômica e História Ambiental.
Novo sindicalismo e a Reforma Agrária no Sertão
Authors: Cruz José Vieira da , Aline Oliveira da SILVA 
Published: December 2023

Esse artigo discute a experiência dos participantes do Sindicato dos Trabalhadores/Trabalhadoras Rurais (STTR) de Inhapi, município localizado no Sertão de Alagoas, Nordeste do Brasil, no período de transição entre a ditadura civil-militar e o advento da Nova República. Nesse contexto, a ação de católicos próximos à Teologia da Libertação, em particular através das pastorais e das Comunidades Eclesiais de Base (CEBs), aproximou-se dos debates da reforma agrária, do novo sindicalismo e das mobilizações em favor da redemocratização. Em termos temporais, esse estudo toma como ponto de partida o ano de 1984, a partir da análise dos registros das ações, experiências e posicionamentos da nova diretoria eleita para o STTR/Inhapi. Recorte estendido até 1986, quando alguns desses sindicalistas participaram das iniciativas de mobilização para a criação da Central Única dos Trabalhadores (CUT) e do Movimento dos Trabalhadores Rurais Sem Terra (MST). O exame das fontes – escritas e orais –, revelam como as sementes do novo sindicalismo e dos movimentos sociais do campo atuaram em favor do direito a terra, à justiça social e à democracia. Nesse sentido, as experiências desses sertanejos ajudam a compreender meandros dos horizontes de expectativas políticas, sociais e sindicais do cenário nacional no contexto do final do século XX.
Palavras-chave: novo sindicalismo, reforma agrária, sertão.
SOKAKTAN EKRANA ÇOCUK OYUNLARI
Authors: DOĞANAY Emrah , GÖDE Halil 
Published: December 2023

Oyun, kavram olarak geçmişten bu yana var olan ve var olmaya da devam edecek bir değerdir. Oyun özellikle çocuklar için önemli bir iş ya da eylem olarak nitelendirilmektedir. Özellikle 0-6 yaş grubunu kapsayan süreçler içerisinde oyun vazgeçilmez bir eylemdir. Çocukların gelişim ve kazanımları yönünden oyun temel bir araçtır. Her çocuk istemsiz olarak oyun oynama isteğini dışa vurmaktadır. Bu durum çocuk için amaçlanmadan ya da hedeflenmeden doğrudan eyleme geçmesi ve geçilen eylemde de istenilen durumları ortaya çıkarması olarak temellendirilmektedir.
Oyun, her yaş grubunu kapsam alanına dâhil etse de her yaşın oyun anlayışı ve beklentileri değişim göstermektedir. Bu bağlamda öncelikli olarak oyun 0-6 yaş grubu için bir ihtiyaç olurken, diğer yaş grubunu kapsayan çocuklar için boş vaktin eylemi olarak dikkat çekmektedir. Oyun, insanın her alanında gereksinim duyduğu bir alan olsa da çocuklar için farklı etkiler oluşturmaktadır. Özellikle değişen dünya içerisinde çocukların oyun anlayışı da değişim göstermektedir. Bu durum ise çocukların gelişimleri üzerinden olumsuz etkileri de ortaya çıkarabilmektedir. Gelişimin taban olarak en iyi sağlandığı ve en iyi gösterildiği dönem içerisinde çocuklar, mobil oyunlar ile olumsuz gelişim kaydetmektedir. Dolayısı ile etki alanı olarak da hem fiziksel hem de ruhsal gelişimlerinde ilerleme sağlanamamaktadır. Bu durum elbette ki önlenebilir ve çocukların olması gerektiği yönde gelişim sağlamasının önü açılabilir. Bu durumun olumlu yönde sirayet edebilmesi için çocuklardan daha çok ebeveynlere görev düşmektedir. Bu görevler ise yerine getirildiği takdirde çocukta temel gelişimin yolu açılmış olacak ve çocuk gelişimde olması gereken düzeyi sağlayabilecektir. Araştırma, sokaktan ekrana çocuk oyunlarının gelişimini doküman analizi yöntemi kullanılarak ele almaktadır. Araştırma sonucunda sokak oyunlarının, çocukların fiziksel ve sosyal gelişimi açısından önemli olduğu tespit edilmiştir. Bunun yanı sıra, çocukların sokak oyunları ile dönüştürücü hayal güçleri gelişmekte ve arkadaşları ile paylaşmayı öğrenebilmektedir.
PENGARUH KECANDUAN GAME ONLINE TERHADAP KETERAMPILAN SOSIAL PADA REMAJA GEN Z
Authors: M. Noer Pasha Radandi  , Deadalina  , Thalia Indah Desrina  , Syakira Salsabila  , Suta Nurrahman  , Laura Oktreza Delin  
Published: December 2023

Pengertian dari kecanduan game adalah penggunaan bermain game secara berlebihan dan berulangkali yang menghasilkan munculnya permasalahan pada aspek sosial, emosional dan pemain game tidak bisa mengendalikan aktivitas bermain game secara berlebihan. Saat ini peminat game online sudah marak di Indonesia. Di era digital, game berkembang dengan sangat cepat. Game online saat ini merupakan produk yang sedang naik daun dan populer di kalangan remaja. Game online adalah untuk hiburan, tetapi banyak remaja yang memainkan game online secara berlebihan dan digunakan sebagai pelarian dari kenyataan, yang menyebabkan kecanduan. Hal ini berdampak negatif terhadap berbagai aspek kehidupan kaum remaja. Penelitian in bertujuan untuk mencari adanya hubungan antara kecanduan game online dab keterampilan social. Serta pengaruh kecanduan game online terhadap eterampilan social pada remaja. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif korelasional. Pengumpulan data melalui kuesioner google form. Hasil penelitian ini menunjukan bahwa adanya hubungan korelasi yang lemah antara kecanduan game online dan keterampilan sosial, dengan nilai rho = 0,301. Penelitian ini juga menunjukan bahwa laki-laki lebih sering mengalami kecanduan game online dibandingkan perempuan. Dan juga kecanduan game ini lebih rentang di alami remaja usia (22-23).
Perbandingan Bagi Hasil Deposito Bank Syariah Dan Suku Bunga Deposito Bank ‎Konvensional Pada Bank Syariah SPM PT. BPRS Sarana Prima Mandiri Dan Bank ‎Jatim Cabang Pembantu Waru
Authors: Bahri Mat 
Published: December 2023

Penelitian ini bertujuan untuk mengetahui sistem pelaksanaan pembagian return suku bunga deposito bank konvensional dan bagi hasil deposito bank syariah pada dan perbedaan tingkat bagi hasil deposito bank syariah dan tingkat suku bunga bank konvensional,sertaApa keunggulan deposito bank syariah dan deposito bank konvensional pada Bank Syariah SPM PT. BPRS Sarana Prima Mandiri dan Bank Jatim Pembantu Waru. penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif, pengeumpulan data yang dilakukan yaitu: observasi, wawancara, dan dokumentasi. Berdasarkanhasil penelitian menunjukkan bagi hasil deposito pada Bank SPM PT. Sarana Prima Mandiri lebih tinggi dari pada suku bunga deposito Bank Jatim Capem Waru. Karena bagi hasil deposito pada Bank SPM PT. BPRS Sarana Prima Mandiri sewaktu-waktu bisa lebih meningkat sesuai dengan tingkat pendapatan pada bank itu sendiri, dan prosentase bagi hasil yang di tawarkan dari angka 6% -6,5% atau 8,5% - 9% per-jatuh tempo. Sedangkan pada suku bunga Bank Bank Jatim Capem Waru bergantung pada hasil keputusan pemerintah, market rate dan pendapatan daerah, prosentase yang ditawarkan per-jatuh tempo yaitu 4,25%, 4,75%, 5,50% dan 5,5%. Dalam sistem pelaksanaan pembagian return unrtuk mendapatkan hasil yang menguntungkan, Bank Syariah SPM PT. BPRS Sarana Prima Mandiri (1), menggunakan akad mudharabah (2), Menguatkan bentuk kerja sama terhadap penanam saham (3), Bank syariah mengelola dana tersebut menggunakan sistem pool of fund, selanjutnya bank akan menginvestasikan dana tersebut kedalam proyek/usaha yang layak dan menguntungkan serta memenuhi aspek syariah. Sedangkan pada Bank Jatim Capem Waru, (1), meningkatkan peluang pada para kreditor (2), Menjaga keseimbangan harga pasar (3), dan biaya dana (cost of fund) agar tetap rendah, menganalisa keunggulan simpanan deposito iyalah, dalam bank syariah SPM (1), Akad Syar’i tidak terjerat riba (2), Dapat dijadikan sebagai jaminan pembiayaan (3), Bagi hasil yang kompetetif (4), Dan tidak terpengaruh oleh besar kecilnya suku bunga. Sedangkan pada bank jatim (1), Keuntungan bunga yang melimpah dari pada tabungan biasa (2), Bunga bisa langsung ditransfer ke rekening deposan (3), Bisa diperpanjang secara otomatis dengan menggunakan Deposito Berjangka Otomatis (ARO).
Penerapan Analisis SWOT Sebagai Strategi Pemasaran Pada Swalayan KOIM MWR di ‎Ketapang Sampang Kecamatan Ketapang
Authors: Iftihor  , Yudi  
Published: December 2023

Metode penelitian ini menggunakan pendekatan kuantitatif dengan jenis deskriptif yang bertujuan untuk membuat gambar atau deskriptif tentang suatu keadaan secara objektif yang menggunakan angka, dari pengumpulan data, penafsiran pada tersebut. Hasil dari penelitian menunjukkan bahwa Swalayan KOIM memiliki kekuatan produk, sumber daya, manajemen, keuntungan, permodalan, dan jalinan kerjasama yang baik. Kelemahannya adalah kurangnya ketegasan, tenaga ahli, teknologi, pesaing, dan promosi. Peluangnya meliputi lokasi strategis,, kerjasama, dan kepercayaan konsumen. Sedangkan ancamannya adalah banyaknya pesaing yang lebih mempuni dalam strategi dan operasional pesaing yang lebih mumpuni.
Hubungan Kompetensi Pedagogik terhadap Kemandirian Anak Usia Dini Kelompok B TK Dharma Wanita Persatuan 1 Sepulu
Authors: Maria Ulfa  , Maya Fadhilaturrohmah  , Lailatil Izzati Faruzda 
Published: December 2023

Penelitian ini bertujuan untuk mengetahui hubungan kompetensi pedagogik terhadap kemandirian anak usia dini kelompok B TK Dharma Wanita Persatuan 1 Sepulu. Penelitian ini menggunakan pendekatan Kuantitatif dengan teknik penelitian korelasional. Adapun pengujian hipotesis dilakukan dengan taraf signifikan 0,05. Subjek penelitian ini merupakan guru dan anak usia 5-6 tahun melalui guru dan anak. Teknik pengumpulan data melalui angket, observsi, dan dokumentasi. Analisis yang dilakukan pada anak usia 5-6 tahun di Dharma Wanita Persatuan 1 Sepulu memperoleh nilai r = 1,04 dapat disimpulkan bahwa ada korelasi. Penelitian ini juga dapat diketahui bahwa kompetensi pedagogik x 100% = 63,89%, dengan perkembangan kemandirian anak usia 5-6 tahun di TK Dharma Wanita Persatuan 1 Sepulu Kabupaten Bangkalan Sebesar x 100% = 69,62% . berdasarkan hasil tersebut dapat di simpulkan bahwa kemandirian anak dapat di tingkatkan melalui kompetensi pedagogik.
THE MEDICOLEGAL EVALUATION OF OCCUPATIONAL INJURY CASES APPLIED TO EMERGENCY DEPARTMENT OF CUMHURIYET UNIVERSITY HOSPITAL
Authors: ARTAR Adem , BUTUN Celal , YÜCEL BEYAZTAŞ Fatma 
Published: December 2023

Work accidents are of great concern to society because they directly affect the health and life of workers and the production process of the enterprise, as well as creating significant social and economic costs for workers, employers, the country's economy and society. In this study, the total of 1.048 occupational injury cases who applied to Emergency Department of Cumhuriyet University Faculty of Medicine between 2011-2015 was evaluated.
In this study; frequency, chi-square and percentage tests were used in the analysis of data. 1.034 (98.7%) of the cases was male and the rest was female. The cases were more often between the ages of 25-34 (36.2%). 64.2% of applications to emergency were occured between 08:01-17:00. The accidents were more often at metal/machine industry (20.8%). It was seen that it was not mentioned whether the injuries could be resolved with simple medical intervention in 84.4% of the reports. There wasn’t an alcohol evaluation at most (92%) of the cases. Most of the injuries were located at upper extremity (39.6%). The most observed lesion was soft tissue damage (35.3%). 624 of the cases (59.6%) were discharged after treatment in emergency department. It was determined that the number of cases applied to the Department of Forensic Medicine by the prosecutor's office or court decision after occupational accident was 29 (2.8%); in 79.3% of cases, the injuries could be resolved with simple medical intervention; in 24.1%, there was life-threatening; in 3.4%, there was declining function; in 6.9%, there was loss of function.
Inadequacies in the writing of forensic reports will cause serious legal problems. In addition, it was concluded that it is important to raise awareness for all healthcare personnel, especially emergency physicians, and to provide up-to-date training for forensic case reporting and proper-complete preparation of forensic reports.
THE RELATIONSHIP BETWEEN POSTPARTUM ANXIETY AND MATERNAL FUNCTION IN MOTHERS
Authors: KILIÇ DOĞAN Emine , CESUR Büşra 
Published: December 2023

This descriptive, cross-sectional, and relationship-seeking study aimed to determine the relationship between postpartum anxiety and maternal function in mothers with 6-10 weeks old babies.
The study was carried out with 258 mothers who were 6-10 weeks postpartum. The data were collected using the Personal Information Form, Postpartum Specific Anxiety Scale (PSAS), and Barkin Index of Maternal Functioning (BIMF).
It was determined that the majority of the mothers participating in the study were between the ages of 27-34, high school graduates, not working, having health insurance, having a moderate income, living with a nuclear family, and married for 2-6 years. The majority of mothers had babies who were 8-9 weeks old, had a vaginal delivery, experienced 2-3 pregnancies, had assistance with postpartum care, and received education/information about postpartum care. The mean PSAS score for the mothers was determined to be at a moderate level (83.71±21.71), while the mean BIMF score was above a moderate level (71.49±13.89). It was found that there was a moderate, negative significant relationship between the PSAS total score and the BIMF total score, and it was determined that the level of maternal functioning decreased as postpartum anxiety increased (p
PAST AND PRESENT OF WOMEN'S RIGHTS AND VIOLENCE AGAINST WOMEN
Authors: YILDIRIM Ali , BIYIK Ersin 
Published: December 2023

In history, the greatest aspiration of people is that all humanity has equal rights regardless of race, language, religion or gender. Gender inequality seen in communities where patriarchal structure prevails has caused women to be deprived of their rights. The exclusion of women who have been deprived of their rights due to their gender and even exposure to violence is a global problem that continues from past to present.
Violence against women, which is as old as the history of humanity, is a phenomenon that affects all societies deeply and negatively. As a fundamental human rights and freedom problem, it continues to exist all over the World as a universal public health problem, regardless of ethnic origin, class, religion, social status, culture, economic and geographical boundaries. Domestic violence is the most common form of violence against women.
In this study, the historical process of women and their rights, the place of women in society today, the historical process of violence against women, the causes and types of violence against women, femicides, the end point of violence against women, the effects of violence on public health, violence in our country will be discussed. Furthermore, institutions and organizations that women victims of violence can apply to, and suggestions against violence towards women are mentioned.
A influência da incerteza ambiental no comportamento estratégico, nas capacidades dinâmicas e no desempenho de micro e pequenas empresas: um estudo aplicado às panificadoras de Belo Horizonte
Authors: De Oliveira Marina Magda , Pardini Daniel Jardim , Pinheiro Carolina , Costa Yuri Richard da Silva 
Published: December 2023

O objetivo principal deste estudo é verificar por meio da criação de modelo, na ambiência de incerteza, as manifestações do comportamento estratégico, das capacidades dinâmicas e do desempenho em micro e pequenas empresas do setor de panificação. A amostra compreendeu 159 empresas do ramo de panificação, situadas em Belo Horizonte. Como resultados, destacam-se que o ambiente é percebido em grande parte pelos gestores como complexo (51,6%) e dinâmico (42,8%). O comportamento estratégico nesse setor está mais voltado para as dimensões de comportamento “Defensor” e “Prospector. Observou-se também que a adoção de estratégias defensivas e prospectoras apresentaram relações diversas com o ambiente. Os resultados da pesquisa evidenciaram também que nem todo ambiente é favorável para as capacidades dinâmicas. Logo a influência do ambiente sobre o comportamento estratégico e as capacidades dinâmicas apresenta reflexos no desempenho organizacional.