bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors associated with depressive and anxiety symptoms among Jamaican women during the COVID-19 pandemic
Authors: Mitchell Gabrielle , Campbell Williams Kayan , Agu Chinwendu , Harrison Joy , Bailey Althea , Oshi Daniel , Abel Wendel , Whitehorne-Smith Patrice
Published: October 2024

Abstract
Objectives
The study sought to examine the risk and protective factors associated with depressive and anxiety symptoms among women during the COVID-19 pandemic.

Methods
A cross sectional, population-based online survey was utilised. Jamaican women, 18 years and older, were recruited via the Facebook social media platform and routed to a separate survey platform. Data related to socio-demographics, effects of COVID-19, coping strategies and well-being was captured. Depressive and anxiety symptoms were assessed using the Patient Health Questionnaire (PHQ-2) and Generalized Anxiety Disorder (GAD-2) Questionnaire.

Results
There were 432 female respondents aged 18 to 83 years. The mean age was 41.5 years (±13.1, SD). About 98.4% believed that COVID-19 had affected their lives and 87.6% were worried or fearful of COVID-19. About 50% reported significant depressive symptoms and anxiety symptoms. Pearson’s correlation revealed significant negative associations between effects of COVID-19 on employment, finances, and family and significant depressive and anxiety symptoms (p<0.05). Regression analyses revealed that those who were worried about providing for their families, experiencing relationship problems, and feeling lonely had a greater risk for significant anxiety and depressive symptoms. Those who were hopeful about the future, found a new hobby and meditated/practiced mindfulness were less likely to have depressive and anxiety symptoms.

Conclusion
This study indicates that having good coping skills, increased social support and less interpersonal conflict helped to moderate the levels of psychological distress during the pandemic. Further, proactive adaptive methods of coping enhance the wellbeing and mental health of women.
The Legacy of Fatima Dudija Hatun, Sarajevo Benefactor
Authors: Omanović-Veladžić Alma
Published: October 2024

In this paper based on the available Ottoman archival sources and accessible secondary literature, an attempt is made to reconstruct the life of a Sarajevo benefactor from the end of the 18th and the first half of the 19th century, who bequeathed part of her property for religious and educational purposes.
Based on the inventory of the property remained after her death, we tried to get a closer picture of the private life of a woman benefactor, then to provide information about the way and style of her life, then on the type of household furniture, textile furniture, kitchen utensils, decorative objects and other things that adorned and filled the interior of her home. Likewise, we analyzed the jewelry she owned, the style of her daily clothing, the type and quality of the materials of the clothing, and information about the rest of her movable and immovable properties. The person in case was named Fatima Dudija hatun, daughter of Pehlivan Husejn-aga, from Sarajevo, resident of Careva Mahala.
Sign Language to Speech Conversion
Authors: Sharad Gholap  , Ayush Shirbhayye  , Prathmesh Palkurtiwar  , Sreejith Nair
Published: October 2024

Human communication relies heavily on verbal and non-verbal cues, with sign language serving as a crucial method of interaction for individuals with hearing impairments. However, the communication barrier between sign language users and those unfamiliar with it remains a significant challenge. This paper presents an innovative approach to bridging this gap through an Arduino-based system that converts sign language gestures directly into speech without the use of a camera. By utilizing flex sensors and an accelerometer, this system detects hand gestures and movements, processes this data, and produces corresponding audio output. This approach offers a more accessible and portable solution compared to traditional camera-based systems, potentially revolutionizing real-time communication for the deaf community. The experimental results demonstrate a gesture recognition accuracy of 92% and a response time of under 500 milliseconds, indicating the system's viability for practical applications
La vida del antiguo Seminario de Teruel
Authors: Sancho-Mir Miguel , Martín-Domínguez Beatriz , Agustín-Hernández Luis
Published: October 2024

El antiguo Seminario de Teruel, obra barroca de mediados del siglo XVIII, marcó durante casi dos siglos el paisaje urbano de la ciudad. Su estratégica posición, en el noroeste de la muela en la que se asienta la población, y su imponente impronta marcaron la imagen desde la vega del río Turia, la más icónica y representada, pero estas mismas características lo convirtieron en un enclave fundamental para la defensa de la ciudad, que desgraciadamente sufrió numerosos conflictos bélicos que marcaron la vida de este edificio, hasta su ruina en la fatídica Guerra Civil que tuvo devastadoras consecuencias para Teruel. La investigación propuesta actúa sobre un patrimonio muy singular, el existente en un tiempo pasado, estudiando y recuperando su imagen histórica. No por tratarse de edificios desaparecidos se puede descuidar su revalorización, ya que debido a esta condición son especialmente sensibles a ser olvidados. La investigación de las distintas fuentes existentes, especialmente las gráficas, es una estrategia imprescindible para que estos sean devueltos a la memoria colectiva como parte de su identidad.
Postdigital augmented spaces: A conceptual framework
Authors: Başarır Sıla Burcu , Demir Yüksel
Published: October 2024

Contemporary augmented spaces are situated in-between digital-analog, material-immaterial, online-offline, and real-virtual binaries. Relatedly, postdigital as a concept suggests that digital technologies are now integrated with almost all aspects of the individual and social atmosphere. Therefore, we should engage digitality through a critical approach by focusing on its intermingled situation. For this reason, reading augmented spaces with a postdigital perspective is essential to understanding and evaluating the potential of digital technologies in the context of the current line of vision. This paper aims to provide a better understanding of contemporary debates on digital technologies in the context of design. For this purpose, the article briefly reviews the definition of augmented space, and later postdigital as a concept is discussed with its fundamental characteristics. In what follows selected projects amongst the 2023 Media Architecture Biennale finalists are studied concerning the postdigital augmented spaces. As an outcome of this research, we suggest a conceptual framework that can be effective for the theory and practice of postdigital augmented spaces.
Limits of Design and Technique: Lina Bo Bardi Staircases
Authors: Yaman Muammer , Eroğlu Esma
Published: October 2024

Staircases, a part of architectural circulation and structure, can become a unique design value with the application technique that directs design and functionality. However, here, attention is drawn to the directive nature of the technique rather than its perception as a deterministic attitude in design. Bo Bardi’s architectonic approach has placed her in a distinguished position among modern architects. The effect of the architect’s staircase design and application technique on building tectonics is worth examining. Thus, this study aims to examine the staircases of Lina Bo Bardi, where design and technique are dissolved in integrity. Bo Bardi’s staircases were examined in terms of meaning, form, function, and technique, with classification for material use. In this context, unique situations were observed in the design and technical applications of reinforced concrete, wood, and metal materials used in stairs. The fact that the place, technique, and the architect’s thought guided the design turned the staircase into a symbolic value and has made the staircase the founding element of the space. This approach, which does not consider design and technique independently, creates a strong reference for today that structural elements such as stairs can be produced as symbols in space.
Sport Architecture. Technological evolution models and paradigms
Authors: Allegri Davide , Faroldi Emilio
Published: October 2024

The paper focuses on technological evolution applied to sports architecture, considered as urban infrastructures. A field of research – that has not been given its due importance both by architectural historiography and by technological culture – despite the fact that sports architecture has always represented privileged places of formal, technical and engineering experimentation. Some design experiences in the field of sports venues – from the twentieth century to the contemporary age – have instead represented significant steps of technological development. In particular, the latest generation of sports infrastructures, represent the architectural typology where it is possible to find, concentrated, paradigms such as those of resilience, flexibility, sustainability technologies for adaptive skins and many others innovative parameters.
Améliorer les illustrations dans les livres jeunesse à destination des enfants avec un handicap visuel : cinq pistes d’adaptation proposées ou validées par la recherche
Authors: Valente Dannyelle , Mascle Carolane , Chennaz Lola , Galiano Anna Rita , Gentaz Edouard
Published: October 2024

Les enfants avec un handicap visuel ont besoin de livres jeunesse adaptés à leurs façons spécifiques de lire et de percevoir le monde. La première partie de cet article présente une synthèse des études ayant examiné la compréhension des illustrations dans les livres jeunesse par ces enfants. Nous explorons ensuite cinq pistes de conception d’illustrations accessibles apportées ou validées par la recherche : 1) explorations tactiles simulant des expériences réelles du corps et de la main 2) mise en avant des textures pertinentes 3) association du toucher et du son par des dispositifs multimodaux 4) personnalisation des illustrations au type de déficience visuelle 5) participation des enfants et leur entourage à la création de ces illustrations. Ces pistes prometteuses, appuyées sur des données scientifiques, ouvrent des voies à la création de livres jeunesse plus inclusifs et plus proches des besoins et des modes d’exploration spécifiques de ces enfants.
Pembelajaran Membatik dengan Zat Pewarna Alam di Studio Batik Kembang Mulyo Jepara
Authors: Khakim Achmad Luqmanul , Widagdo Jati
Published: October 2024

Batik adalah seni dan cara menghias suatu kain dengan penutup lilin yang dalam pembentukan corak dan pola hiasnya dengan menggunakan pewarna. Dua pewarna tersebut, yaitu zat pewarna alami dan zat pewarna kimia. Dalam perkembangannya zat pewarna alami makin diminati, selain karena memiliki warna cantik dan unik juga baik untuk kulit pemakai. Untuk itu, tulisan ini bertujuan memaparkan mengenai zat pewarna alam yang dapat digunakan sebagai alternatif pewarna batik. Sifat dari penelitian adalah penelitian lapangan dan penelitian kepustakaan. Teknik penelitian dilakukan dengan berbagai langkah, diantaranya: teknik Observasi. Data yang telah diperoleh kemudian disusun dan diklasifikasikan serta dianalisa secara deskriptif kualitatif. Serta untuk mendapatkan data pelengkap penelitian ialah dengan teknik penelitian kepustakaan. Dari studi ini, didapatlah hasil  pembuatan batik dengan menggunakan berbagai zat pewarna alami. Baik yang sudah sering digunakan ataupun zat pewarna alami baru yang dapat digunakan sebagai pewarnaan dalam pembuatan batik. Dalam pengaplikasian zat pewarna alami direkomendasikan untuk menggunakan bahan sekitar agar nantinya dapat menjadi ciri khas warna batik Jepara dan disarakan untuk sering  mencoba, agar dihasilakan warna yang sesuai dengan yang di inginkan.
Strategi Pembelajaran Efektif Guru PAI dalam Mengatasi Kesulitan Belajar di SMPN 3 Grogol
Authors: Safitri Amanda Oktavia , Mustofa Triono Ali
Published: October 2024

PAI berperan penting dalam kurikulum sekolah yang berfungsi untuk membentuk karakter, moral, dan spiritual siswa. Namun, guru sering dihadapkan pada kesulitan belajar siswa. Guru PAI perlu memiliki strategi pembelajaran efektif untuk membantu siswa mengatasi kesulitan belajar. Penelitian ini memiliki tujuan menganalisis strategi guru, mengimplementasikan strategi serta mengklasifikasi faktor internal dan eksternal dalam mengalami kesulitan belajar. Penelitian ini menggunakan penelitian kualitatif melalui pendekatan fenomenologi. Pengumpulan data dilaksanakan melalui observasi, wawancara dan dokumentasi. Observasi dilaksanakan di SMPN 3 grogol Sukoharjo. Teknik analisis data yang dipakai analisis data kualitatif, yaitu reduksi data, penyajian data, dan menarik kesimpulan. Berdasarkan hasil wawancara dengan Guru PAI masih banyak siswa yang kurang termotivasi dalam mengikuti pelajaran dan banyak siswa mengalami kesulitan belajar. Kesulitan yang dialami dalam segi proses, materi baca tulis ayat Al-Qur’an dan keahlian dalam menghafal. Guru PAI harus memiliki strategi pembelajaran efektif dalam mengatasi kesulitan belajar siswa yaitu 1). mendekati siswa, 2). menerapkan metode pembelajaran interaktif, 3). pembinaan siswa melalui program rohis, dan 4). melaksanakan evaluasi. Faktor internal yang mempengaruhi kesulitan belajar siswa yaitu: 1). rendahnya minat belajar pada mapel PAI, 2). motivasi belajar siswa rendah, 3). rendahnya kemampuan membaca, menulis dan menghafal Al-Qur’an. Faktor eksternal meliputi: 1). metode dan media pembelajaran yang tidak sesuai dengan karakter siswa, 2). orang tua kurang perhatian terhadap anaknya, 3). penggunaan teknologi secara berlebihan.
PENDIDIKAN AUD: Berpikir Kritis Berbasis Flip Chart Gambar Seri
Authors: Wahyuni Sri , Suyadi Suyadi
Published: October 2024

Berpikir kritis sangat diperlukan di dunia seperti sekarang ini, sehingga harus diajarkan pada anak-anak sejak dini. Berpikir kritis membantu peserta didik mengembangkan keterampilan memecahkan masalah yang efektif. Sehingga peserta didik dapat menganalisis masalah, mengidentifikasi solusi, dan memilih solusi terbaik. Penelitian ini bertujuan untuk menstimulasi kemampuan berpikir kritis anak usia 4-5 tahun. Metode yang digunakan dalam penelitian ini adalah kualitatif. Teknik pengumpulan data   yang   digunakan   adalah observasi terhadap perilaku peserta didik saat menggunakan media flip chart gambar seri  dan wawancara guru dan peserta didik untuk mengetahui bagaimana pendapat mereka terhadap implementasi media tersebut.  Teknik   analisis data dalam penelitian ini disajikan dalam bentuk   deskriptif   yang   bersumber   dari wawancara, pada penelitian ini yang menjadi subjek penelitian adalah guru dan anak. Hasil penelitian menunjukkan bahwa media flip chart gambar seri yang digunakan dapat menstimulasi kemampuan berpikir kritis anak usia 4-5 tahun dalam memecahkan suatu masalah yang ada pada cerita gambar seri dan mampu memberikan solusi atau pendapat terkait masalah yang ada. Anak mampu memahami dan mengenali informasi lewat gambar, anak mampu mengenali hubungan sebab akibat melalui gambar, anak mampu mengevaluasi isi cerita, anak mampu memberikan kesimpulan terkait dengan isi cerita gambar seri.
ADVANCES IN CARE FOR PATIENTS WITH STROKE
Authors: Alves Torquato Beatriz , Lemos de Almeida Elisdárquia , Lucas Avinte Bentes Jean , Virna Monteiro de Abreu Luisa , Soares Liliane , De Sousa Martins Nataly , Melo Lopes Rafael , Gondim Moreira Raquel
Published: October 2024

Stroke is a medical emergency characterized by the sudden onset of neurological deficits, classified as either ischemic, caused by obstruction of blood flow, or hemorrhagic, due to the rupture of a cerebral vessel. It remains one of the leading causes of death and disability worldwide, with early diagnosis being crucial for improving patient outcomes. This study presents an integrative review of advancements in stroke care, emphasizing the importance of prompt treatment to reduce complications and enhance functional independence. The review analyzed 14 relevant studies from the last five years, sourced from databases like PubMed and Google Scholar. Key findings highlight the significance of rapid hospital arrival, early use of MRI to predict cognitive impairments, and clear communication regarding prognosis. The study also identified barriers in patient care flow, indicating a need for Continuing Education and improved coordination within the Emergency Care Network. Effective integration among healthcare professionals is essential to optimize care quality and rehabilitation outcomes for stroke patients.
Outcomes of Type-1 Tympanoplasty with and without use of Topical Nasal Steroids; a Comparative Study
Authors: Khan Ayesha , Naeem Riaz  , Manzoor Faisal , Malik Kamran Zamurrad , Sunarays Akhtar  , Hanif Shahzad
Published: October 2024

Objective: To compare the outcome of Type-1 tympanoplasty procedure in patients given intranasal steroids post-operatively versus those not given intranasal steroids after procedure.
Study Design: Quasi-Experimental study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi. Pakistan from May 2021 to May 2023.
Methodology: A total of 464 patients, 232 of which were given intranasal steroids (Group-A), and 232 who were not given intranasal steroids (Group-B) were made part of this research. Upon inclusion, all pre-operative demographics were documented. Patients in post-operative follow up period were assessed for condition of tympanic membrane and improvement of hearing ability.
Results: In current study, post-operatively, in patients who were given intranasal steroids, graft take-up frequency was 227(97.84%) and residual perforation was 5(2.16%) was better than in patients who were not given intranasal steroids, which came to 224(96.55%) and 8(3.45%), respectively (p=0.399). In terms of post-operative WHO grade of hearing impairment distribution (p<0.001) and post-op hearing status (p=0.005) difference between patients who were given intranasal steroids and those not given intranasal steroids was statistically significant.
Conclusion: Addition of intranasal steroid spray to the treatment regimen following tympanoplasty is provides better outcomes in terms of higher graft take-up frequency and an improvement in hearing from preoperative levels.
Effect of Long-term Azithromycin in Reducing Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Authors: Saleem Husnain , Amir Muhammad , Gardezi Syed Anees Ahmed , Amir Mumtaz , Zulqarnain  , Saleem Hasan
Published: October 2024

Objective: To determine the effect of long-term Azithromycin administration in reducing acute exacerbation of Chronic Obstructive Pulmonary Diseases.
Study Design: Quasi-experimental study.
Place and Duration of Study: Medicine and Pulmonology Departments of Combined Military Hospital, Peshawar Pakistan, from Jun 2019 to May 2020.
Methodology: Patients of Chronic Obstructive Pulmonary Diseases who had more than three hospital admissions in the last one year or required parenteral steroids for management were included in the study. They were randomly divided into two groups where Group-I was administered Azithromycin 500mg, thrice weekly, in addition to routine Chronic Obstructive Pulmonary Diseases medications, and Group-2 received only routine Chronic Obstructive Pulmonary Diseases medications. Both groups were compared for hospital admission due to Chronic Obstructive Pulmonary Diseases, hospital admission due to other causes, parenteral steroid use and Emergency Department visits after six months.
Results: Out of 150 patients of Chronic Obstructive Pulmonary Diseases, 78(52%) received Azithromycin for six months while 72(48%) received only usual treatment of Chronic Obstructive Pulmonary Diseases, while 13(16.6%) patients from Azithromycin-Group had more than three Chronic Obstructive Pulmonary Disease related hospital admissions in six months. However, 34(47.2%) patients in non-Azithromycin-Group had more than three such admissions. More than three Chronic Obstructive Pulmonary Disease related hospital admissions and use of parenteral steroids were found significantly more in non-Azithromycin-Group (p-value <0.001).
Conclusion: Long-term Azithromycin use was found beneficial for patients suffering from Chronic Obstructive Pulmonary Diseases. Use of parenteral steroids and Chronic Obstructive Pulmonary.....
Children with Developmental Dysplasia of Hip - Our Experience of Outcome at a Tertiary Care Centre
Authors: Shah Mian Qaisar Ali , Kiani Rizwana Bashir , Ahmad Asrar , Malik Hamza Ali , Rehman Javed Ur , Anwar Zahid
Published: October 2024

Objective: To assess the operative outcome of children who underwent surgical management for developmental dysplasia hip at a tertiary care center.
Study Design: Case series.
Place and Duration of Study: Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Oct 2021.
Methodology: This case series included 25 children who underwent triple procedure encompassing open reduction, femoral shortening and Salter’s pelvic osteotomy. Post-operative analysis of the clinical outcome was done using McKay’s classification and radiological assessment done using Severin’s classification.
Results: Age of enrolled participants ranged from 02 to 07 years, mean age being 4.3±1.45 years, of which 8(32%) were male and 17(68%) were female. Mean pre-operative acetabular index was 40.3±3.38 while the mean post-operative acetabular index was 25.1±3.10. On follow-up, one child had subluxation while another had complete dislocation of the hip joint.
Conclusion: Triple procedure with open reduction, femoral shortening and Salter’s osteotomy gives satisfactory results in patients aged 2 to 7 with substantial reduction in post-operative acetabular index.
Metabolic Syndrome Severity Score in Subjects with and without Poly Cystic Ovarian Syndrome
Authors: Sikandar Hayat Hhan  , Hafeez Ayesha , Shahid Rahat , Noor Chaudhry Qamar Ul Haq , Hafeez Javeria , Gillani Mehreen
Published: October 2024

Objective: To compare polycystic ovarian syndrome and their defining criteria with metabolic syndrome severity score among females with and without polycystic ovarian syndrome.
Study Design:  Comparative cross-sectional study.
Place and Duration of Study: Naval Hospital Islamabad, from Jan 2018 to Dec 2021.
Methodology: We evaluated 293 female subjects for Poly Cystic Ovarian Syndrome after several exclusions who presented with an initial complaint of disturbances in menstrual cycles. These subjects underwent clinical examination including blood pressure and anthropometric indices and measurements of modified Ferriman Gallway score. Biochemical measurements included fasting plasma glucose, HDL cholesterol, triglycerides and insulin measurement. These parameters were measured for various components included in defining the Poly Cystic Ovarian Syndrome as per Rotterdam criteria and Metabolic Syndrome Severity Score equation to compare metabolic syndrome severity and insulin resistance among subjects with Poly Cystic Ovarian Syndrome and without Poly Cystic Ovarian Syndrome.
Results: Mean age among participants were 29.46±6.74 years. Disturbances in menstrual cycle reporting oligo/anovulation was reported by (181/293) 61.8% in comparison to (112/293) 38.2%. Hirsutism (modified Ferriman Gallway score>8) was present in (142/293) 48.5%. Radiological findings pointing towards Poly Cystic Ovarian Syndrome diagnosis were found in (72/293) 24.6%. Metabolic Syndrome Severity Score showed higher correlation with age, and insulin resistance in contrast to hirsutism and free androgen indices. Hirsutism was higher among oligo/anovulation females than participants without menstrual complaints (14.17+8.99 vs. 11.16+7.88, p=0.004). Similarly, bioc
Conclusion: Metabolic Syndrome Severity Score equation does not associate with Poly Cystic Ovarian Syndrome criteria as defined by Rotterdam. Insulin resi
Comparison of Awake Craniotomy with Craniotomy Under General Anesthesia for Resection of Tumors in Eloquent Areas of Brain
Authors: Ahmed Waqar , Fazal Fazal hussain , Saeed Muhammad , Yasin Bilal , Khan M. Umair , Tariq Waqas
Published: October 2024

Objective: To compare awake craniotomy with craniotomy under general anesthesia for early post-operative parameters in patients undergoing resection of tumors in eloquent areas of brain.
Study Design: Quasi experimental study.
Place and Duration of Study: Department of Anesthesia, Combined Military Hospital, Rawalpindi Pakistan Apr 2021 to May 2022.
Methodology: All the patients who underwent resection surgeries for brain tumors in eloquent areas of brain were included in the study. They were divided into two Groups via lottery method. Group A underwent awake craniotomy while Group B underwent craniotomy under general anesthesia. Relevant intraoperative and early post-operative parameters were compared in both the Groups.
Results: A total of 60 patients who underwent resection of eloquent area brain tumors in our hospital during the study period were included in the final analysis. Out of these 40(66.7%) underwent craniotomy under general anesthesia while 20(33.3%) underwent awake craniotomies. Mean age of the study participants was 45.61±7.889 years. Frontal lobe tumors were the most encountered brain tumors in our study participants. Patients who underwent awake craniotomy had statistically significantly lower KORNAFSKY score, lesser days of post-operative admission days and lesser neurological deficits (p-value <0.005) as compared to those who underwent craniotomy under general anesthesia.
Conclusion: Awake craniotomy emerged as superior option as compared to craniotomy under general anesthesia in terms of early post-operative parameters. Lower KORNAFSKY score, lesser days of post-operative admission days and lesser neurological deficits were seen in patients undergoing awake craniotomy.
Relationship of Dyspeptic Symptoms with Dinner to Breakfast Time Interval
Authors: Chandkai Vishal Kumar , Karim Shahid , Rahat Adeel , Kumar Dheeraj , Khan Punhal , Kumari Madhuri
Published: October 2024

Objective: To ascertain the relationship of dyspeptic symptoms with dinner to breakfast time interval.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Gastroenterology, Liaquat National Hospital, Karachi Pakistan, from Aug 2021 to Apr 2022.
Methodology: We enrolled patients of either gender, between 18 to 50 years of age, with persistent symptoms of dyspepsia for at least two months and/or confirmed cases of dyspepsia. Written, informed consent was taken from all patients prior to recruiting them. Patients visiting outpatient department with symptoms of dyspepsia and/or confirmed cases of dyspepsia were interviewed to fill out Short-form Leeds Dyspepsia Questionnaire (SF-LDQ).
Results: Total 400 patients were studied with nearly half of the participants being female 188 (47%) with 72(18%), 87(21.8%), 113(28.2%) and 128(32%) patients had dinner to breakfast duration of ≤8 hours, 8.1-10 hours, 10.1-12 hours and >12 hours, respectively. There was moderate positive correlation between fasting duration and SF-LDQ (r=0.46, p<0.001). Nightly fasting duration of more than 10 hours had increased risk of indigestion, heartburn and regurgitation.
Conclusion: Longer duration between dinner and breakfast was found to be associated with increased likelihood of dyspeptic symptoms including indigestion, heartburn and regurgitation.
Evaluation of Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Scoring System for Detecting Necrotizing Soft Tissues Infections in Patients with Diabetes
Authors: Zia Shakeel Ahmed , Orfi Fayyaz Ahmad , Khalid Muhammad Umair , Rehman Abdul , Ali Waqas Farooq , Muhammad Shahzad
Published: October 2024

Objective: To determine the risk of necrotizing fasciitis using Laboratory Risk Indicator for Necrotizing Fasciitis scoring system.
Study Design: Comparative prospective study.
Place and Duration of Study: Department of General Surgery, Combined Military Hospital, Rawalpindi, Pakistan, from Jan to Aug 2022.
Methodology: Using non-probability consecutive sampling technique, 278 participants were enrolled in the study. Among these patients with NF, 98 were cases and 180 were controls, having uncomplicated soft tissue infections (cellulitis or abscesses). A preliminary demographic profile, history of comorbidities, drug history, smoking history, or history of trauma within a week of enrolment at the inpatient facility was acquired. LRINEC Score was calculated with baseline C-reactive protein, white cell counts, sodium, creatinine, hemoglobin, and glucose.
Results: Mean age of participants was 46.92±8.18 years where 208(74.8%) of the participants were males. LRINEC score ≥6 (cut off value) was computed among 78(79.6%) in confirmed cases of NF whereas only 13(7.2%) among controls. The sensitivity, speciﬁcity, positive predictive value, and negative predictive value were 79.6%, 92.7%, 85.7%, and 89.3% respectively.
Conclusion: LRINEC scoring system in conjunction with clinical suspicion is a useful, reliable, and cost-effective scoring system that can help diagnose NF and distinguish it from other soft tissue infections.
Association Between Helicobacter Pylori Infection and Vitiligo
Authors: Rashid Nazia , Rahman Atiya
Published: October 2024

Objective: To determine the association between Helicobacter pylori infection and vitiligo in patients visiting a tertiary care hospital of Punjab, Pakistan.
Study Design: Case control study.
Place and Duration of Study: Department of Dermatology, Combined Military Hospital, Lahore Pakistan, from Oct 2021 to Mar 2022.
Methodology:  A total of 60 adult vitiligo patients and 60 healthy controls, of both genders, were included in the study. Their ages ranged from 18-70 years. All study participants underwent stool antigen test to detect the presence of Helicobacter pylori antigen.
Results: The mean age of the cases was 43.47±8.16 years whereas it was 40.08±7.42 years in the controls. The mean duration of disease was 4.133±1.21 months. H. pylori Infection was detected in 36(60%) cases as compared to 11(18.3%) controls (p<0.001, OR=6.68); which was found to be statistically significant.
Conclusion: Significant association between H. pylori infection and vitiligo was demonstrated in the current study.
Reimagining motherhood:Media narratives and gender dynamics in contemporary Kenyan magazines
Authors: Maoncha Job
Published: October 2024

This study investigates the portrayal of motherhood in contemporary Kenyan media, focusing on how women's conventional roles within the family are depicted. Through critical discourse analysis (CDA), the research examines narratives from The Parents Magazine and True Love East Africa magazines, revealing how motherhood is framed as a natural and preferred life choice for women. The analysis uncovers the emotional and challenging aspects of motherhood, societal expectations, and the reinforcement of traditional gender norms. The study also highlights the evolving concept of millennial motherhood in Kenya, emphasising how modern Kenyan women navigate career and family challenges while defying traditional roles. Additionally, the study explores the construction of the ideal and authentic woman through media representations, challenging patriarchal structures and redefining gender roles, illustrating a shift towards a more liberated and self-sufficient model of motherhood. The findings underscore the complex power dynamics and persistent traditional norms that shape women's identities and social roles in contemporary Kenyan society.
Florestan Fernandes e Ditadura Militar no Brasil
Authors: Campos Névio de
Published: October 2024

Este artigo tem o objetivo de explicitar as tomadas de posição de Florestan Fernandes em relação à transição da ditadura à democracia, privilegiando seu engajamento no interior do campo político, ao se filiar ao Partido dos Trabalhadores e se tornar deputado da Assembleia Nacional Constituinte. Apoia-se nos seus escritos da década de 1980 e dialoga com a história intelectual e sociologia dos intelectuais para expor os argumentos desse personagem, ao problematizar o que chamou de “dialética venenosa e destrutiva da transição, nada de impedir a revolução democrática” e o que denominou de “a democratização do ensino público está na raiz da revolução democrática no Brasil”.
Preparando os caminhos do economicismo em educação: os debates sobre educação e desenvolvimento no CRPE Recife em 1962
Authors: Faria Filho Luciano Mendes , Gil Natália de Lacerda
Published: October 2024

Este texto pretende jogar luz sobre os modos pelos quais as proposições nacionais e internacionais sobre a temática do desenvolvimento e educação foram recebidas no Brasil e algumas das apropriações de que tais proposições foram objeto. O foco de análise se concentra em uma “comunidade de leitores” e pesquisadores muito específica, aquela que se fazia presente no Centro Regional de Pesquisas Educacionais do Recife, um dos Centros Regionais criados por Anísio Teixeira e seus colaboradores na década de 1950. Para isso, exploramos a literatura especializada sobre o tema e a documentação histórica do Centro Regional de Pesquisas Educacionais do Recife, sobretudo um dos periódicos publicados pela instituição, os Cadernos Região e Educação.
Desafios e aprendizagens na integração de TDICs no ensino de Geografia: estudo de caso em uma escola pública em Garanhuns-PE
Authors: Lima Eanes Porto , Silva Ailson Barbosa da
Published: October 2024

As Tecnologias Digitais de Informação e Comunicação (TDICs) têm transformado as práticas educacionais, oferecendo novas oportunidades para o ensino e a aprendizagem. Este estudo analisa os desafios e as aprendizagens na integração das TDICs no ensino de Geografia, com foco em uma escola pública em Garanhuns-PE. A pesquisa, fundamentada na fenomenologia, investiga as percepções de residentes e alunos sobre a aplicação das TDICs. Os resultados revelam que a falta de infraestrutura adequada, como acesso à internet e recursos digitais, representa um obstáculo significativo para a implementação das TDICs. Contudo, diversas estratégias foram adotadas para contornar essas limitações e promover a participação ativa dos alunos. A pesquisa também destaca a importância da formação continuada dos professores para garantir uma integração efetiva das TDICs, enfatizando a necessidade de habilidades e conhecimentos específicos para utilizar as tecnologias de forma crítica e significativa. Conclui-se que a integração das TDICs no ensino de Geografia requer não apenas a disponibilidade de recursos tecnológicos, mas também uma abordagem pedagógica inovadora e adaptativa, capaz de transformar os desafios em oportunidades de aprendizagem.
Az állampolgárság mint nemzetépítési eszköz : Lettország a jog, a politika és történelem háromszögében
Authors: Manzinger Krisztián
Published: October 2024

A Szovjetunió által megszállt Lettország területére több százezer embert költöztettek be 1945 után, jelentős mértékben megváltoztatva az állam etnikai viszonyait. Mivel a beköltözött, döntően orosz nyelvű lakosság jelentős része 1991 után sem távozott, Lettország az állampolgársági szabályozással próbálta az állam nemzeti jellegét biztosítani, ami a lakosság mintegy 30%-ának lett állampolgárságból kizárását eredményezte. Habár a balti állam részese a hontalanságot kizáró nemzetközi egyezményeknek, azok alkalmazását nem tartotta szükségesnek, mert érvelése szerint a Szovjetunió széthullásakor nem függetlenedett, hanem visszaállította az 1940-ben jogellenesen felszámolt függetlenségét és azoknak az állampolgárságát, akik maguk vagy felmenőik révén akkor lett állampolgárok voltak. Nemzetközi nyomásnak engedve később Riga létrehozta a nem-állampolgár státuszt, amelyre az állam a lett állampolgárság megszerzésének előszobájaként tekintett. Habár mára a nem-állampolgárok és a hontalanságot az orosz állampolgárság felvétele révén kikerülők száma jelentősen csökkent, annak oka elsősorban demográfiai tényezőkre és nem a honosítás sikerére vezethető vissza. A lett állam célja továbbra is az állampolgárság kiterjesztése, ami a Lettország területén született hontalan és nem-állampolgár újszülöttek esetében immár automatikus, a felnőttek esetében azonban a raison d’état okán továbbra is honosításhoz – vagyis a lett nyelv elsajátításához és az állam szempontjából való megbízhatósághoz – kötött, abban az esetben is, ha az illető az ország területén született, és nem rendelkezik más állampolgársággal. A fő kihívást ma is az érintett, lett állampolgársággal nem rendelkező, állandó jelleggel Lettországban élő, a lakosság mintegy 10%-át kitevő társadalmi réteg motivációjának alacsony szintje okozza, ráadásul a 2022-es Ukrajna elleni orosz agresszió újabb kihívást teremtett az állam számára.
TRABALHO AUTÔNOMO E DIREITOS TRABALHISTAS
Authors: Belizario Luciana da Silva , Resende Adriano de Oliveira
Published: October 2024

O trabalho autônomo é toda atividade exercida por profissionais de forma liberal, prestando serviços para empresas ou pessoas por um tempo específico, sem vínculo empregatício. Nos dias atuais, muito se discute sobre a os direitos e garantias desses trabalhadores em relação aos que se enquadram no trabalho formal. Diante desse cenário, esse estudo teve o objetivo de analisar os efeitos jurídicos e sociais do trabalho autônomo em relação aos direitos trabalhistas. Baseou-se em uma revisão bibliográfica, com fundamento em artigos científicos, livros, periódicos e na legislação atual sobre o respectivo tema. A coleta de dados será realizada por meio de banco de dados tais como Scielo, Google Acadêmico, dentre outros, no período de 2019 a 2024. Nos resultados, tem-se que a Reforma Trabalhista – Lei nº 13.467/2017, trouxe uma importante mudança ao estabelecer que o trabalho autônomo não gera vínculo empregatício mesmo que o profissional preste serviços de forma contínua a uma empresa. No entanto, essa prestação de serviços deve ocorrer sem subordinação direta. Ademais, o trabalhador autônomo, por definição, não possui um contrato formal de emprego nem subordinação a uma empresa, o que o excluí dos direitos previstos na Consolidação das Leis do Trabalho (CLT), como 13º salário, férias remuneradas, Fundo de Garantia do Tempo de Serviço (FGTS) e outros benefícios típicos do emprego formal.
ANÁLISE COMPARATIVA DE PACIENTES ONCOLÓGICOS E NÃO ONCOLÓGICOS EM CUIDADOS PALIATIVOS EM UM HOSPITAL UNIVERSITÁRIO
Authors: França Larissa Pivetta Ferreira , Pereira Erica Cristina da Silva , Cristofolini Maria Eduarda Souza , Krinski Gabriela Garcia , Rossatto Isabella Razente Fontes , Oliveira Juliano Karvat de , David Juliano Maximiano
Published: October 2024

Introdução: Cuidados paliativos são essenciais para melhorar a qualidade de vida de pacientes com doenças graves, proporcionando alívio de sintomas e suporte psicossocial. Embora tradicionalmente associados ao câncer, a demanda por cuidados paliativos para doenças não oncológicas está crescendo, ressaltando a necessidade de comparações entre esses grupos. Objetivo: Comparar a trajetória clínica de pacientes oncológicos e não oncológicos em cuidados paliativos em um hospital universitário, avaliando diferenças nos desfechos clínicos e uso de recursos. Método: Estudo observacional, retrospectivo e quantitativo, que analisou 311 prontuários de pacientes atendidos entre janeiro e julho de 2024. As variáveis analisadas incluíram idade, comorbidades, uso de medidas invasivas, tempo de internação e desfechos clínicos. Resultados: Dos 311 pacientes, 21,5% eram oncológicos e 78,5% não oncológicos. Pacientes não oncológicos apresentaram maior tempo de internação (média de 28,11 dias) e menor pontuação de desempenho funcional (PPS: 18,61) em comparação aos oncológicos (PPS: 31,12). Pacientes oncológicos iniciaram cuidados paliativos mais precocemente e apresentaram melhor controle de sintomas. A mortalidade foi maior no grupo não oncológico, com diferenças estatisticamente significativas em vários indicadores clínicos.
INDUÇÃO DA PUBERDADE EM NOVILHAS DE CORTE: REVISÃO DE LITERATURA
Authors: Siqueira Diogo Fernando , Pereira Thyeron da Silva , Guaitolini Rosiára Rosária Dias Maziero
Published: October 2024

A idade a puberdade afeta de forma direta a produtividade animal e a lucratividade da propriedade. O período é marcado pelo começo dos ciclos estrais regulares, envolve a maturação do eixo hipotálamo-hipófise-gonadal, que é dependente tanto de um estado metabólico e peso corporal adequados, quanto da idade mínima necessária. A idade que as novilhas atingem a puberdade é um fator importante, pois quando isso ocorre as novilhas irão parir aos dois anos, gerando um impacto direto no sistema de produção. No entanto, isso é um desafio em novilhas Bos indicus, que tendem a atingir a puberdade mais tarde do que as Bos taurus e geralmente entre 16 e 40 meses. Neste contexto, a implementação de estratégias reprodutivas como a indução à puberdade e protocolos de inseminação artificial em tempo fixo (IATF), podem ser utilizados visando otimizar o potencial reprodutivo dessas fêmeas. Assim, o principal objetivo dos protocolos de indução de ovulação antes da IATF é acelerar o início da atividade reprodutiva das novilhas. Contudo, apesar dos benefícios, os custos relacionados ao uso de biotecnologia e medicamentos para aumentar a taxa de prenhez são desafios a serem enfrentados. A análise econômica dessas práticas permite que os produtores avaliem os impactos financeiros e tomem decisões mais assertivas. Dessa forma, o objetivo deste trabalho foi realizar uma revisão bibliográfica sobre a indução da puberdade em novilhas de corte.
International Learning for EdD Learners
Authors: Shiffman Catherine Dunn
Published: October 2024

This essay explores the potential of short international study trips and virtual exchanges to foster EdD learner engagement with new ideas, practices, and peoples in other parts of the world. To frame the discussion, I consider alignment of frequently articulated goals for international learning with CPED (2022) Guiding Principles for Program Design, and related EdD preparation needs in three areas: culture and communication, global views, and professional expertise. I draw on research literature and my own work to discuss goals, curricular activities, and reported evidence associated with both approaches. I identify strengths and challenges for each approach. The essay concludes with recommendations for designing and leading short study trips and virtual exchanges for EdD learners.
Online Nonparametric Bayesian Hawkes Processes
Authors:   , Worrall John
Published: October 2024

Events occur in the world with their frequencies fluctuating over time. It is expected that some of these events are not isolated and that their occurrence increases the likelihood of more events. A type of point process, called the Hawkes process, describes the sequential arrival of events exhibiting a self-exciting behaviour. This thesis generalises the Hawkes Process to online nonparametric approaches. Motivated by the ever-increasing number of streaming applications and the challenges of selecting the functional form, the developed models demonstrate improved benefits in both flexibility and scalability.
On the history of ephemeral conditional subordinators: Evidence from the Penn Parsed Corpora of Historical English
Authors: Blanco-García Cristina
Published: October 2024

This article discusses the history of a selection of ephemeral adverbial subordinators (Kortmann 1997, 301), i.e., those that mainly originated in the Early Modern English period (16th -17th centuries) but whose subordinating function, however, either became obsolete rather quickly or was subject to further restrictions beyond this period. This phenomenon was particularly frequent in the CCC relations, these are: causality, conditionality and concessivity. The present article analyses a selected number ephemeral conditional subordinators and compares them with the prototypical conditional subordinator if. The methodology is corpus-based, and I examine the data in the Penn Parsed Corpora of Historical English. The examples discussed reveal that ephemeral conditional subordinators are scarce and serve as a clear illustration of the concept of ephemerality in the realm of adverbial subordinators.
O canto da sereia na política educacional paranaense: o Programa Parceiro da Escola em discussão
Authors: Flach Simone de Fátima
Published: October 2024

Neste texto, tem-se por objetivo apresentar discussões acerca do Programa Parceiro da Escola, instituído pela Lei nº 22.006/2024 no estado do Paraná, a qual autoriza o governo do estado a celebrar contratos com pessoas jurídicas que se responsabilizem pela gestão administrativa e financeira de escolas públicas. Tendo como suporte teórico-metodológico o pensamento de Antonio Gramsci, apresentam-se reflexões acerca do processo de tramitação da Lei que criou o Programa Parceiro da Escola, de modo a demonstrar como a coerção e o consenso estiveram presentes na tramitação legislativa, vilipendiando os princípios da gestão pública. Além disso, identificam-se pontos fulcrais de afronta ao princípio constitucional de gestão democrática do ensino público, demonstrando como propostas conservadoras atropelam as conquistas históricas e condenam toda a sociedade à lógica da subserviência aos ditames capitalistas marcados pela lógica neoliberal. Por fim, relaciona-se a proposta em curso ao canto da sereia, visto que o Estado acaba sendo seduzido pela lógica do mercado, colaborando para o fenecimento da gestão democrática do ensino público.
Entre becos: algumas considerações sobre história e romance a partir de Becos da Memória, de Conceição Evaristo
Authors: Santos João Paulo Ferreira dos
Published: October 2024

A história e a cultura afro-brasileira, assim como uma chamada literatura negra, têm ocupado especial atenção desde, pelo menos, a segunda metade do século passado. E é no calor do debate e das ações voltadas a esses temas que nasce o livro Becos da memória (2020), de Conceição Evaristo. Nessa obra, Evaristo apresenta um mosaico de histórias pessoais que, entrelaçadas num enredo fragmentado, e intensificado por comoventes dramas e tragédias humanas, revela certa impotência dos moradores da favela frente às adversidades sociais, econômicas e sanitárias. Pensando nessas questões, propomos, neste trabalho, tecer algumas considerações/reflexões, sobre história e romance, a partir da referida obra.
Mothers’ perception of husband support during breastfeeding: A qualitative study in Indonesia
Authors: Mardiyaningsih Eko , Widyawati Widyawati , Hapsari Elsi D.
Published: October 2024

The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted maternal and perinatal healthcare worldwide, including in Indonesia. Restrictions on access to health services have forced mothers to adapt to new challenges in breastfeeding during the pandemic. The aim of this study was to evaluate mothers’ breastfeeding experiences and the role of husbands in providing support during this period. This qualitative research used a phenomenological approach. Data were collected from August to October 2022 through a focus group discussion (FGD). Participants were selected using maximum variation sampling, with eight mothers participating in the FGD. Data were analyzed using qualitative content analysis, revealing four main themes: (1) not all husbands fully supported mothers’ efforts to provide exclusive breastfeeding; (2) supportive and inhibiting factors help to provide exclusive breastfeeding; (3) mothers understood the benefits and identified the causes of failure in providing exclusive breastfeeding and complementary food for breast milk; and (4) various stressors experienced by mothers did not impede breastfeeding efforts. In conclusion, the findings highlight the need for healthcare workers, especially maternity nurses, to encourage continued breastfeeding and emphasize the importance of husbands’ support in providing exclusive breastfeeding initiatives. Interventions should be designed to actively involve husbands in supporting exclusive breastfeeding practices.