bluuebunny/crossref_metadata_2025 huggingface dataset:
Effects of reflexology on pain in patients with rheumatoid arthritis: A systematic review
Authors:   Razi Teaching Hospital, Mazandaran University of Medical Sciences, Sari, Iran, Taheri Hatkehlouei Seyed Ali , Sandanasamy Stephanie ,   Taylor’s University, Subang Jaya, Malaysia, Yildirim Nilufer ,   Department of Public Health Nursing, Faculty of Health Sciences, Erzurum Technical University, Turkey, McFarlane Philip ,   Department of Medicine, Division of Nephrology, University of Toronto, Ontario, Canada, Jaafari Badri ,   Department of Nursing, College of Nursing and Midwifery, Kazerun Azad University, Kazerun, Iran
Published: September 2024

This systematic review was conducted to investigate the impact of reflexology on pain management in individuals diagnosed with rheumatoid arthritis. A comprehensive search was executed on international electronic databases, including Scopus, PubMed, Web of Science, and Iranian electronic library including Iranmedex and Scientific Information Database, covering the earliest available data up to January 25, 2024. The search employed keywords derived from Medical Subject Headings such as "reflexology", "pain", and "rheumatoid arthritis". The quality assessment of randomized controlled trials (RCTs) was conducted using the Joanna Briggs Institute's (JBI) critical assessment checklist. A total of four studies, encompassing 206 participants, were included in the review. Notably, 70.97% of the enrolled patients were female, with 61.17% assigned to the intervention group. The mean age of participants was 50.06 (standard deviation [SD]=8.48) years. The average study duration and follow-up period were approximately 25 and 5 weeks, respectively, with an intervention duration averaging 40 minutes. In three studies interventions were effective in decreasing pain of patients with rheumatoid arthritis. However, in one study, the intervention was not effective in decreasing pain of patients with rheumatoid arthritis. The findings indicated that health professionals, including nurses, can effectively employ reflexology as a means to alleviate pain in individuals with rheumatoid arthritis. Consequently, it is recommended that healthcare managers and policymakers create an enabling environment within hospitals, facilitating the integration of reflexology into patient care protocols. This strategic approach holds the potential for reducing the pain experienced by patients afflicted with rheumatoid arthritis.
Transforming the future of nursing care: Artificial intelligence in pediatrics autism nursing care
Authors:   School of Nursing and Midwifery, Faculty of Health, Community, and Education, Mount Royal University, Calgary, Ab, Canada, Osuji Joseph C.
Published: September 2024

The advent of artificial intelligence (AI) is revolutionizing various fields, including healthcare. AI's impact is increasingly evident in managing and caring for autistic pediatric patients [1]. The integration of AI into pediatrics autism nursing care is revolutionizing the approach to diagnosis, treatment, and ongoing management of children with autism spectrum disorder (ASD). Through their capacity to process and analyze vast amounts of data, AI technologies offer new possibilities for enhancing the precision, efficiency, and personalization of care for children with autism. ASD presents unique challenges that require specialized, often intensive, care strategies. According to Zhao et al., (2024), integrating AI into nursing care for children with autism offers promising opportunities to enhance diagnostics, personalize treatment plans, and improve overall patient outcomes [2]. This commentary explores how AI is transforming pediatric autism nursing care and the vital role nurses play in this evolving landscape. ASD is a developmental disorder characterized by challenges with social interaction, communication, and repetitive behaviors. Symptoms and their severity vary widely among individuals, making ASD a spectrum disorder. Research indicates that early diagnosis and intervention are crucial for improving outcomes, yet these can be difficult due to the complex and varied presentation of the disorder [3].
Assessing the Impact on Gentrification of Senate Bill (SB) 375 Streamlining: Case Study of Sacramento, CA
Authors: DeLeon Graham , Volker Jamey M. B. , Pike Susie , Affolter Bailey
Published: September 2024

This study investigates whether the development streamlining provisions in California’s Senate Bill 375 (2008) – which reduce the review required under the California Environmental Quality Act for qualifying transit-oriented development (TOD) projects – contribute to gentrification. Gentrification can have positive and negative outcomes for nearby communities, including the disproportionate displacement of marginalized communities of color and low-income residents (Drexel University Urban Health Collaborative (UHC) 2019). We use case studies of three TOD projects in Sacramento that utilized SB 375 streamlining. We find medium evidence of gentrification from all three projects, with the Sacramento Commons project showing the most signs of gentrification.
Estudios iberoamericanos del comportamiento positivo en adolescentes
Authors: Gaxiola Romero José Concepción , Ruvalcaba Romero Norma Alicia , Barcelata Eguiarte Blanca Estela , González Lugo Sandybell , Bravo Andrade Héctor Rubén , Orozco Solís Mercedes Gabriela , Rodríguez Fernández Arantzazu , Ramos Díaz Estibaliz , Fernández Zabala Aranzazu , González Arratia López Fuentes Norma Ivonne , Torres Muñoz Martha Adelina , Ruiz Martínez Ana Olivia , Escobedo Hernández Paola , Villalta Paucar Marco Antonio , Gaxiola Villa Eunice , Frías Armenta Martha , Corral Frías Nadia Saraí , Coppari de Vega Norma Beatriz , Serrano Arias Martha Esther
Published: September 2024

La adolescencia es una etapa del ciclo vital del ser humano con cambios físicos y psicológicos que presenta riesgos, pero también oportunidades. El enfoque más común para el abordaje de la adolescencia consiste en el análisis de los comportamientos negativos y de los riesgos que se enfrentan en esta etapa. Esta obra presenta una postura diferente, su interés es mostrar a los lectores un conjunto de investigaciones realizadas en Iberoamérica sobre el comportamiento positivo adolescente. En la adolescencia se aprenden y evolucionan una serie de comportamientos positivos que permiten la adaptación psicológica a los diversos contextos sociales, que establecen demandas concretas dependientes del contexto cultural. Es una etapa de cambios y de ajustes psicológicos, que pueden enfrentarse y superarse con el apoyo de las personas significativas que rodean al adolescente. Esperamos que el contenido de la presente obra ayude a cambiar la perspectiva de que la adolescencia es una etapa negativa de que la adolescencia es una etapa negativa del desarrollo humano; es un periodo lleno de oportunidades de crecimiento, incluso ante la presencia de amenazas psicosociales.
SÜRDÜRÜLEBİLİR GASTRONOMİ KAPSAMINDA KADIN GİRİŞİMCİLERİN ROLÜ: AKÇAKOCA YUKARI MAHALLE PAZARI ÖRNEĞİ
Authors: Akkil Atıf , Kale Emine , Kadam Sercan
Published: September 2024

Her geçen gün büyük bir öneme sahip olan gastronomi turizminde sürdürülebilirliğin devamlılığı için yöresel pazarlarda yer alan kadın girişimciler önemli bir faktör haline gelmektedir. Yöresel pazarlarda bulunan kadın girişimciler, ziyaretçileri bu yörelere çekerek destinasyonda yeni pazarların oluşmasına zemin hazırlamaktadırlar. Destinasyona gelen turistlere yöresel ürünleri tanıtmakta ve destinasyon bilinirliğine katkıda bulunmaktadırlar. Ayrıca yöresel gastronomik ürünlerin satışını gerçekleştirerek destinasyonda ekonomik hareketliliği canlandırmaktadırlar. Bu sayede destinasyonda yöresel gastronomik ürünlerin sürdürülebilirliği sağlanmaktadır. Bu çalışmanın amacı, Akçakoca destinasyonunda yer alan kadın girişimcilerin yöresel pazarlarda sundukları ürünlerin ekonomik refahın oluşturulması ve sürdürülebilirliğin devam etmesindeki rolünü ortaya koymak ve destinasyonu ziyaret eden turistler üzerindeki etkisini belirlemektir. Çalışma verilerine, nitel araştırma yöntemlerinden biri olan görüşme tekniği ile ulaşılmıştır. Bu bağlamda Akçakoca Yukarı Mahalle pazarında bulunan yöresel yiyecek içecek üretimi ve yöresel ürün satışı ile ilgili olan kadın girişimciler ile görüşmeler yapılmıştır. Toplanan veriler betimsel analiz yöntemiyle analiz edilmiştir. Çalışma sonucunda pazarda faaliyet gösteren kadın girişimcilerin butik işletmeler olduğu, işletmelerinde yöresel ve doğal ürün kullandığı tespit edilmiştir. Ayrıca pazar sayesinde ekonomik kalkınma sağlanmış ve Yukarı Mahalle pazarı kooperatifinin kurulması ile birlikte pazarın daha da büyümesi amaçlanmaktadır. Bununla birlikte yöresel ürünler gelecek nesillere verimli ve etkin bir şekilde ulaşma fırsatı bulmaktadır.
DÜZCE İLİNİN GASTRONOMİ TURİZM POTANSİYELİ ÜZERİNE BİR ARAŞTIRMA
Authors: Akkil Atıf , Mesci Zeynep , Yıldırım Güler Aylin , Durcan Öznur
Published: September 2024

Son yıllarda, insanların seyahat tercihleri önemli ölçüde değişim göstermeye başlamıştır. Dolayısıyla deniz, kum, güneş üçlüsünü tercih edenlerin yanı sıra kültürel ve gastronomik unsurlara olan ilgi de gün geçtikçe artış göstertemeye başlamış ve farklı lezzetler deneyimlemeye olan ilginin artmasıyla birlikte gastronomi turizm faaliyetleri hızlı bir gelişim göstermektedir. Ülkemiz, farklı mutfak kültürlerini, yeme içme alışkanlıklarını yiyecek içecek türlerini deneyimlemek; özellikle farklı medeniyetlere ev sahipliği yapan ülkeler için vazgeçilmez bir unsur haline gelmektedir. Bu kültürel çeşitlilik, farklı bölgelerde çeşitli geleneklerin ve yemek kültürlerinin oluşmasına katkı sağlamıştır. Bu bağlamda çalışma da farklı milletlerden birçok toplumun bir arada yaşadığı Düzce ilinin gastronomi turizm potansiyelini belirlemek amaçlanmaktadır. Ayrıca gastronomi turizminin mevcut durumunu belirleyerek gelişimi için gerekli şartların neler olduğunu ortaya çıkartmak hedeflenmektedir. Bu çalışma, nitel araştırma yöntemleri içerisinde değerlendirilen görüşme tekniği ile gerçekleştirilmiştir. Bu amaç doğrultusunda tecrübeli ve bilgili 8 katılımcı ile görüşme gerçekleştirilmiştir. Düzce ilinin demografik yapısının, çeşitli kültürel grupların bir arada yaşadığı bir coğrafyada bulunması, bölgenin kendine özgü bir gastronomik kimliğe sahip olmasını sağlamaktadır. Bu araştırma, Düzce'nin diğer illerden farklılık gösteren kültürel ve gastronomik zenginliğini belirlemeyi amaçlamıştır. Çalışma, bölgede yaşayan farklı etnik grupların, göç tarihi ve ticaret yollarının, Düzce'nin yemek kültürünü nasıl etkilediğini incelemiştir. Yerel malzemelerin kullanımı, pişirme teknikleri ve yeme alışkanlıkları, Düzce'nin gastronomi mirasının diğer bölgelerden ayrışmasında belirleyici olmuştur. Sonuç olarak, Düzce ilinde kendine özgü bir lezzet haritasının bulunduğu ve bu durumun bölgenin kültürel çeşitliliği ve tarihi geçmişiyle sıkı bir bağlantısı olduğu tespit edilmiştir. Düzce'ye ait yöresel yiyeceklerin tanıtımı için fuarlarda stantlar kurularak tanıtım yapılması gibi öneriler sunulmuştur.
Beverage Culture in The Ottoman Palace Cuisine
Authors: Teyin Görkem
Published: September 2024

Traditional Turkish cuisine has a very rich cultural accumulation with its food and beverages in the historical process from past to present. In the Ottoman period, which hosted the important processes in the shaping of Turkish cuisine, the infrastructure of many elements of culinary culture was created. One of them is the traditional beverage culture. The meaning of beverage or drink is the liquids obtained from food and prepared by adding some nutrients. The most important liquids mentioned in the Ottoman palace cuisine are; It consists of liquids such as water and flavored waters, coffee, boza, tea, salep, compote, hardaliye and sherbet. In the study, which aims to provide information about the place, importance and types of traditional beverages belonging to the Ottoman palace cuisine, its also aimed to transfer the beverages in the Ottoman palace cuisine to future generations in order to increase their awareness and ensure their sustainability.
Investment Policy of Industrial Enterprise: Theoretical Aspects and Features of Formation in Crisis Conditions
Authors:   National Technical University «Kharkiv Polytechnic Institute», Koliesnichenko Anastasiia S. , Kupryhin Maksym O. ,   National Technical University «Kharkiv Polytechnic Institute»
Published: September 2024

The article defines that ways of interpreting the essence of the concept of "investment policy" may vary depending on the opinions and considerations of different authors. Based on the generalization of the main approaches to the definition of investment policy in economic literature, various aspects of investment policy were highlighted, in particular, the key ones are: strategic planning, regulation, stimulation and influence on the distribution of resources. It is substantiated that the role of investment policy in the activity of an industrial enterprise is expressed through the connection of the concepts "investment – policy – investment policy", the essence of which is subject to a certain logic. In fact, we are talking about investing resources or assets in a certain project or enterprise, which should stimulate and support investment activity through a complex of processes of formation, realization and implementation of decisions, strategies and actions. It is proved that even in unstable economic conditions, large enterprises can implement large-scale investment programs related to the purchase of expensive, often imported, high-performance equipment, while the investment funds of small and medium-sized businesses are directed mainly to the purchase of relatively not very expensive low-performance machines. During periods of crisis, investors become more attentive to corporate fundamentals, which leads to an outflow of capital from defensive portfolios. Investors find a way out in approaches focused on the long-term sustainability of firms. World experience shows that one of the most effective investment options is involvement in innovative investment activities, which should become a leading reference point in the implementation of the investment policy of industrial enterprises. This will not only help protect equity from loss or depreciation, but will also allow the business to receive regular income in the form of interest or dividends and a number of other benefits.
Evaluating Return on Investment for Digital Technology Investments in Multinational Corporations
Authors:   Sumy State University, Zhang Kuan
Published: September 2024

The study examines the return on investment (ROI) of digital technology for multinational enterprises (MNEs), focusing on key metrics and challenges associated with ROI measurement. Using a mixed methods approach, it highlights that accurately measuring ROI requires establishing clear Key Performance Indicators (KPIs), conducting benchmarks, and utilizing a balanced scorecard to align digital initiatives with strategic goals. To measure ROI effectively, businesses must define KPIs that are specific, measurable, achievable, relevant, and time-bound (SMART). These KPIs should capture both financial impacts, such as cost savings and revenue growth, and non-financial benefits, such as improved operational efficiency and customer satisfaction. Benchmarking against industry standards or historical performance provides additional context for evaluating the success of digital investments. The study identifies several challenges in ROI measurement. Defining appropriate metrics can be complex, especially when objectives are not clearly articulated. Data quality issues also arise, as data required for ROI analysis is often fragmented, leading to incomplete or skewed results. Furthermore, valuing intangible assets like enhanced customer experience or improved employee productivity is difficult, complicating the ROI calculation. Addressing these challenges is crucial for obtaining a precise assessment of the impact of digital transformation.
Subsidizing Housing and Communal Services and Social Stability of the State: The Theoretical and Problematic Aspects
Authors:   Kyiv National Economic University named after Vadym Hetman, Fomenko Oleksii O.
Published: September 2024

The problems of subsidizing housing and communal services in the context of ensuring the social stability of the State are considered. It is substantiated that subsidizing housing and communal services is a key tool of social policy, which allows to ensure the availability of basic communal services for socially vulnerable strata of the population. This helps to reduce social inequality and improve the standard of living of citizens. The tasks of social policy in the context of ensuring a decent standard of living of the population are analyzed. It is also argued that subsidies are a significant burden on the State budget, so it is important to find a balance between social support and financial stability of the State, since an increase in the volume of payments to the population may cause inflationary pressure, which will reduce the purchasing power of citizens and the efficiency of subsidies. The key aspects of such subsidizing are studied, in particular its impact on economic inequalities, efficiency of public funds, financial and ecological sustainability. The mechanisms for the distribution of subsidies, the problems of targeting and transparency in their provision are considered. Both the State-based and regional programs are analyzed, which, together with subsidies, reduce the burden of households on paying for utilities and increase energy efficiency in the use of natural resources. A structural diagram of the mechanism of the program of «warm loans» within the framework of the program of cooperation with the State-owned banks has been formed. At the same time, the environmental consequences of subsidies can also lead to certain problems, since reducing energy costs can lead to an increase in resource consumption and greenhouse gas emissions. The positive aspects of the impact of subsidizing housing and communal services at the macro and micro levels, as well as the directions of the impact of subsidies on the social stability of the State, are allocated.
Погляди і перспективи створення системи протибезпілотної оборони, її роль та місце в системі протиповітряної оборони України
Authors: Волотівський П. Б. , Самойленко О. В. , Стешенко П. М. , Глущенко П. А.
Published: September 2024

У статті розглянуто питання щодо ролі й місця боротьби з безпілотними авіаційними комплексами в системі протиповітряної оборони України. Чинна система ППО України за своїм оснащенням має обмежені кількісні і технічні показники й у протистоянні масованим ракетним ударам і масованим атакам ударних безпілотних літальних апаратів має значний дефіцит спроможностей щодо захисту як окремих об’єктів, так і території України загалом. Саме дефіцит спроможностей системи ППО зумовлює необхідність і напрями її розбудови. Тому постає питання про необхідність створення та розбудови системи протибезпілотної оборони як складової системи ППО України. Зроблено висновок, що боротьба з безпілотними авіаційними комплексами постає як оперативно-стратегічне завдання Збройних Сил України на рівні з протиракетною обороною.
Corchorus Olitorius Leaves Affect Nutrient Utilization and Improve Biochemical Indices of Alloxan Induced Diabetic Wistar Rats
Authors:   Department of Food Science and Technology, Abia State University, Umuahia Campus, Abia State Nigeria., Oganezi Nuria Chinonyerem , Ojimelukwe Philippa Chinyere ,   Department of Food Science and Technology, Abia State University, Umuahia Campus, Abia State Nigeria.
Published: September 2024

The effective management of type 2 diabetes depends on the ability to improve insulin utilization, regulate blood glucose, and control hyperlipidaemia. Performance of Corchorus olitorius leaves in these three areas was evaluated using alloxan induced diabetic Wistar rats. Nutrient composition of C. olitorius leaves was determined using standard AOAC methods; alpha-amylase inhibitor content of the leaves was determined after extraction with four solvent systems. Some bioactive compounds in C. olitorius were identified with GC-MS. Diets were formulated to contain 0-20% C. olitorius and fed to alloxan-induced diabetic rats for 70 days. Indices of nutritional quality, biochemical indices and histopathology of the pancreas were compared in the experimental animals. Water and 99% ethanol were the best solvents for extracting alpha amylase inhibitor from C. olitorius leaves. 9-octadecanoic acid (Z), benzoic acid,2 phenyl ester, 9-octadeceneZmethylester and hexadecenoic acids were major bioactive compounds identified in C. olitorius leaves by GC-MS. Formulated diets containing C. olitorius decreased feed intake, body mass gain, glycosylated haemoglobin (HBA1c), fasting blood glucose (FBG), total cholesterol (TC), triglycerides (TGs) in a concentration dependent manner. HDL-C (good cholesterol) increased. C. olitorius caused the regeneration of the pancreas of the alloxan -induced diabetic rats. Corchorus olitorius leaves is effective for the control of hyperglycaemia and hyperlipidaemia.
Emergency Admissions and Associated Factors among Children Admitted to the Pediatric Emergency Unit at Selected Public Hospitals at Addis Ababa, Ethiopia – A Retrospective Cross-Sectional Study
Authors:   School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia, Asinakew Tsegaye , Habte Teshome ,   School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Published: September 2024

Background: A pediatric emergency condition is a life-threatening process that, without timely and standard clinical intervention, may lead to death. Therefore, this study aimed to assess the outcomes of emergency admissions and associated factors among children admitted to the pediatric emergency of selected public hospitals. Methods: An institutional-based retrospective cross-sectional study design was conducted on children admitted to the emergency unit of randomly selected public hospitals from January 02, 2020, to January 08, 2022. Data were extracted from admitted Childrens’ chart using prepared checklists from February 1 to March 1, 2022. Result: A total of 303 admitted children’s charts were reviewed with 100% coverage. The mean age of children was 37.47 months, and the male-to-female ratio was 1.16:1. The study revealed that mortality rate is 5% and the most common causes of emergency admission were pneumonia (22.4%) with high mortality rate, surgical emergencies (14.5%), and late-onset sepsis (9.2%), respectively. More than half (53.8%) of children were admitted to the Pediatric Emergency Department for less than 24 hours, and the mean length of stay was 2 days. 39.6% of children were discharged with clinical improvement. Known comorbidity and length of stay less than 24 hours were strongly associated with the health care intervention. Conclusion: The study indicates that high mortality rates and pneumonia are taking the lead, with known comorbidity showing a significant association with mortality. Federal Ministry of Health recommended developing national pediatric emergency care guidelines as standard documents and providing skill gap training for healthcare workers.
Comparison Between Digital Subtraction Angiography And Magnetic Resonance Angiography In The Investigation Of Acute Ischemic Stroke In A Tertiary Care Hospital In Bangladesh
Authors: Ahmed Muhammad Jamil , Rahman Aminur , Ali Zahed , Russel Abul Hasnat Md , Khan Shahjada Mohammad Dastegir , Rahman Mohammad Moshiur , Paul Biplab , Saha Pallab Kanti , Hossain Md Alamgir , Agarwalla Ajay Kumar
Published: September 2024

Background: Ischemic stroke is the most common type of stroke. Digital subtraction angiography (DSA) is a definite method for demonstrating vascular lesions, while High-resolution Magnetic Resonance Angiography (MRA) imaging has recently been introduced as a promising diagnostic modality in intra-cranial artery disease. This study aimed to compare between DSA and MRA as the modality of investigation of ischemic stroke.
Methods: This quasi-experimental study was conducted at the department of Neurology, Sir Salimullah Medical College & Mitford Hospital, Dhaka, for one year following ethical approval. Total of 30 patients with acute ischemic stroke were enrolled in this study. DSAs and MRAs of all patients were analyzed and reported by two experienced neurologists. Collected data will be recorded into the separate case-record form and analyzed by SPSS 24.
Results: The mean age of the studied respondents was 47.50±10.42 (SD) years with male predominance (63.3%).Among the male patients, 73.7% were smoker and female patients 81.8% were non-smoker. Among the total patients 80.0% had HTN and 73.3% DM, 24.1% had history of other cardio-vascular diseases and 36.7% of the patients had family history of stroke. Maximum patients had arm weakness (66.7%), leg weakness (60.0%), self-reported speech disturbance (53.3%) and dysphasia or dysarthria (53.3%). Hypertension and diabetes mellitus were present in 80% and 73.3% cases, respectively. For the majority of the patients the affected artery was MCA (Middle cerebral artery) and it was among 17 out of 30 patients. The aetiology based on TOAST diagnosis was similar by both MRA and DSA in 16 (out of 30). All the DSAs and 22 out 30 MRAs revealed abnormalities.
Conclusion: MRA has significant agreement with DSA to identify etiology of acute ischemic stroke. Hence, it is better to use MRA in ischaemic stroke considering its non-invasiveness and cost-effectiveness.
Bangladesh J Medicine 2023; 34(2): 126-132
Anti-Covid antibody status in health care professionals of Bangladesh after 3 months of completion of two doses of Covid-19 vaccination
Authors: Nesa Ayatun , Rahman Kazi Muhammad Mahbubur , Ali Abdul , Yesmin Roksana
Published: September 2024

Background: Coronavirus 2019 (COVID-19) is a pandemic disease, where huge number of populations was infected, and massive death occurred worldwide for its rapid spread. Naturally produced antibody or artificially given vaccination can only give protection.This study evaluated the anti-Covid antibody status in health care professionals of Bangladesh after 21 days and 3 months of completion of two doses of Covid-19 vaccination.
Methods: This study was conducted at the Department of Laboratory Medicine, BIRDEM, Dhaka. Total 100 respondents who had completed two doses of Covid-19 vaccinationwere enrolled according to inclusion criteria. After taking informed written consent a structured questionnaire was filled up for each subject. First sample (3 ml whole blood) was collected after 21 days of completion of 2nd doses of SARS-CoV-2 vaccination and a 2nd sample (3 ml whole blood) was collected again after 3 months.SARS-CoV-2 IgG was estimated by indirect chemiluminescence assay. Collected data were analyzed by SPSS 22.
Results: The mean age of the study subjects was   32.09 ± 7.98. Study subjects were divided into two groups: those with history of past Covid infection (PCR positive) (n=33) and those with no evidence of past infection (n=67).  SARS-CoV-2 IgG antibody level was found significantly reduced after 3 months of completion of vaccination, compared to the titer of 21 days of vaccination. A significant difference of mean SARS-CoV-2 IgG antibody level among subjects with and without previous history of Covid 19 infectionwas observedafter 21 days of completion of 2nd dose of Covid 19 vaccination.  However, after 3 months of 2nd dose of vaccination no significant differences ofmean SARS-CoV-2 IgG antibody level were observed between the groups.
Conclusion: SARS-CoV-2 IgG antibody level was significantly reduced after 3 months of completion of two doses of vaccination. Moreover, antibody level was found significantly higher among the study subjects with previous positive H/O of Covid 19 infection compared to subjects without any H/O previous Covid infection. Therefore, this study recommended that, a third booster dose would be necessary to maintain the effectiveness of vaccines.
Bangladesh J Medicine 2023; 34(2): 80-85
Association of Vitamin-D Status with Ischemic Stroke and It’s Risk Factors In Bangladeshi Patients: A Case-Control Study
Authors: Chowdhury Md Abu Hanif , Ahmed Sahed Uddin , Abedin Md Jaber , Chowdhury Md Raihan , Rahman Aminur , Paul Sujat , Dutta Asok Kumar
Published: September 2024

Background: Vitamin D (VD) shortage and inadequacy are serious global health issues affecting people of all ages. Several studies have shown a link between VD insufficiency and ischemic stroke. Unfortunately, VD is rarely measured, diagnosed, or treated, especially in patients with severe neurological disorders like stroke in our context. The study aimed to explore the association between VD and the risk of acute ischemic stroke along with its risk factors in Bangladeshi patients.
Methods: Forty-four patients with ischemic stroke and 44 age and sex-matched healthy subjects were included in this study from Chittagong Medical College Hospital. Demographic and clinical data were collected with a structured interview questionnaire. Fasting 25(OH) VD, calcium, lipid profile, and blood sugar were measured. VD levels classified the individuals in sufficient (VDSe”30.0 ng/mL), insufficient (VDI: 20.0–29.9 ng/mL), and deficient (VDD<20.0 ng/mL) status.
Results: Out of 44 stroke patients, 27 (61.4%) were men, and the mean age was 54.6±11.0 years (age range: 18-70 years). The frequency of hypertension, diabetes mellitus, obesity, and dyslipidemia were 68.2%, 31.8%, 52.3%, and 81%, respectively, among stroke cases. VDD and VDI was observed in 29 (65.9%), 9 (20.5%) stroke patients and 5 (11.4%), 12 (27.3%) controls respectively. Multiple logistic regression analysis showed an independent association of 25(OH)D deficiency or insufficiency with ischemic stroke (odds ratio: 10.71, 95% confidence interval: 2.21-51.88, p=0.003).
Conclusions: This study shows that low VD levels may be associated with an increased risk of ischemic stroke.
Bangladesh J Medicine 2023; 34(2): 105-111
Artificial Intelligence in Medicine
Authors: Hasan Mahmud
Published: September 2024

Abstract not available
Bangladesh J Medicine 2023; 34(2): 69-71
If the Mind Doesn’t Know, the Eyes cannot See: A Case report of Localized Tetanus
Authors: Noor Nawsabah , Hossain Homayra Tahseen , Mohsin Mohammad , Rishad Mahbub Mayukh , Zahiruddin Mohammad
Published: September 2024

Tetanus is a vaccine-preventable disease caused by a potent neurotoxin released by an obligate anaerobic bacterium, Clostridium tetani infection. Presentations of tetanus include generalized tetanus, neonatal tetanus, cephalic tetanus, and localized tetanus, the latter two being much rarer. This is a case report of localized tetanus involving the facial muscle in the form of lock jaw in 63-year inadequately immunized gentleman following an unhygienic tooth extraction from rural area. The condition deteriorated further, and the patient was under ventilatory support for 3days. The patient had antibiotics, antitetanus serum, sedatives, and wound care. The case is reported because of the rarity of localized tetanus, the diagnostic dilemma presented by the case, and the cultural interplay and understanding of the disease process by the patient/caregivers. It is also reported to highlight the gap in routine immunization and the need for booster doses in this age group. Successful management includes prompt diagnosis, neutralization of circulating toxin and elimination of C. tetani infection, control of spasms, maintenance of the airway, and management of respiratory failure and autonomic dysfunction.
Bangladesh J Medicine 2023; 34(2): 168-170
A Girl Presented with Learning Difficulty and Poor School Performance: A case report
Authors: Rahman Aminur , Islam Md Daharul , Rahman Md Ekhlasur , Ali Zahed , Quraishi Firoz Ahmed
Published: September 2024

DiGeorge Syndrome (DGS) which is also known as chromosome 22q11.2 deletion syndrome is a primary immunodeficiency caused by the deletion of chromosome 22. Its main features include dysmorphia, hypoparathyroidism, hypocalcemia, hypoplasia or aplasia of the thymus, cardiac anomalies, renal anomalies, and behavioral/ psychiatric issues. This incurable syndrome could be treated for its complications to increase the quality of life. With the advancement of technology, DGS can now be identified in childhood itself where FISH is the main diagnostic method used. A case report of a 7 year-old girl who visited the learning difficulty, poor memorization,poor school performance and socialization problems is presented here. On the evaluation of his case, DiGeorge Syndrome was confirmed.
Bangladesh J Medicine 2023; 34(2): 147-150
A case report of Takayasu’s arteritis with stroke as initial presentation
Authors: Islam Mohammad Sirajul , Hossain Ahmed , Islam Md Daharul , Bala Chandra Shekhar , Rahman Aminur , Abira Mahmuda , Islam Md Ranaul , Mahmud Khaled , Sarker Partha Sarothi
Published: September 2024

Takayasu’s arteritis a rare, idiopathic, chronic granulomatous vasculitis that affects aorta and its major branches. Stroke is a common complication; however, this is hardly the initial presentation.Here we reported one such case of a 39-year-old man presented with sudden onset right sided hemiparesis, facial deviation towards the left and motor aphasia for last 21 days. He was diagnosed as ischemic stroke with right sided hemiparesis with motor aphasia due to Takayasu’s arteritis.
Bangladesh J Medicine 2023; 34(2): 143-146
Medical Quiz-1 Vol. 34(2) 2023
Authors: Islam AKM Monwarul , Jesmin Humaira
Published: September 2024

Abstract not available
Bangladesh J Medicine 2023; 34(2): 172
Uso de la inteligencia artificial en el laboratorio clínico y la diabetes, en países en vías de desarrollo: El control de la calidad y la estimación de la glucosa a partir de la hemoglobina glicada.
Authors: Enriquez Castro Darwin Wiliams , Raraz Vidal Jarvis Giusseppe
Published: September 2024

La inteligencia artificial juega un papel muy importante en el laboratorio; actualmente, se está viendo un crecimiento en las aplicaciones generales. No obstante, en lo relacionado al diagnóstico temprano y seguimiento de la diabetes, aún falta concretar algunos pasos que son de extrema importancia, como son la estimación de la incertidumbre combinada de los exámenes como la hemoglobina glicada y la glucosa; de esta manera, se podría evaluar con mayor prontitud a los pacientes, generando buena calidad de vida en los pacientes y disminuyendo costos a nivel de salud pública. En la presente se proponen herramientas de la inteligencia artificial para la estimación de la glucosa a partir de la hemoglobina glicada y la incertidumbre combinada.
Características del estrés académico y estrategias de afrontamiento en estudiantes universitarios
Authors: Pauca Lazo Carlos Francisco Sabino
Published: September 2024

Objetivo: Caracterizar el estrés académico y sus estrategias de afrontamiento en estudiantes de la Escuela Profesional de Educación de la Universidad Nacional Jorge Basadre Grohmann, Tacna. Material y métodos: Estudio descriptivo, transversal, en 133 universitarios de los semestres V, VI y IX - 2019 de la Escuela de Educación. Para evaluar el estrés académico se aplicó el Inventario Sistémico Cognoscitivista (SISCO) y una versión ampliada y adaptada para evaluar los estresores académicos y las estrategias para el afrontamiento, previo consentimiento informado y anónimo. Para su procesamiento se empleó la estadística descriptiva y la prueba Chi-cuadrado de Pearson. Resultados: Los estudiantes presentan niveles de estrés académico moderado en un 69,9 % y severo en un 17,3 %. Los principales estresores asociados fueron sobrecarga de tareas, tipo de demandas evaluativas, tiempo asignado para su realización, métodos y estilos empleados por el profesor para impartir la docencia. Como síntomas físicos, el 38,3 % presentó fatiga o cansancio crónico y el 33,9 %, sudoración en las manos. Como síntomas comportamentales, el 37,6 % presentó cambios de humor constante y el 35,3 %, deseos de gritar, golpear o insultar. Las principales estrategias que emplearon para afrontar los estresores fueron mantener un control sobre sus emociones para que no interfieran a la hora de enfrentar la situación que les preocupa y elaborar un plan y ejecutar sus tareas para resolver la situación que les preocupa. Conclusión: Los estudiantes universitarios de Tacna tienen estrés académico moderado, caracterizado por fatiga, inquietud y cambios de humor. Las estrategias de afrontamiento más empleadas estuvieron centradas en la solución del problema.
El reactivo de Dragendorff:
Authors: Vargas Mamani Juan Jose
Published: September 2024

El artículo de revisión presenta una breve biografía de Johann Georg Noel Dragendorff, así como detalles de su vida académica. Luego, se hace un análisis de las reacciones químicas que ocurren en el proceso de identificación. También, se presentan las diversas variantes de cómo preparar el reactivo de Dragendorff, dependiendo de la aplicación que se le desee dar; por último, en un cuadro se presentan las diversas fórmulas químicas del subnitrato de bismuto para luego exponer las principales conclusiones a las que se llegó.
Asumissosiaalinen lähityö gentrifioituvalta asuinalueelta poismuuttamaan joutuvien asukkaiden parissa
Authors: Juhila Kirsi , Raitakari Suvi , Mäki Jenni , Karjalainen Rosa , Kuoppakangas Päivikki
Published: September 2024

Artikkelissa paneudutaan prosessiin, jossa haavoittuvassa asemassa olevat asukkaat joutuivat muuttamaan pois eräältä kaupungin vuokrataloalueelta. Muutto tuli ajankohtaiseksi kaupunkirakenteen tiivistämisen myötä. Prosessia tarkastellaan gentrifikaation viitekehyksestä käsin. Tutkimuksen aineisto koostuu asukkaiden parissa alueen tyhjentämisen viimeisten kuukausien aikana työskennelleiden, asumissosiaalista lähityötä tekevien työntekijöiden haastatteluista. Haastattelujen kerronnallinen analyysi rakentaa kuvaa työntekijöiden vahvasta toimijuudesta tiukkojen aikataulujen ja toiminnallisten reunaehtojen raameissa. He auttoivat asukkaita uusien asuntojen etsimisessä ja lievensivät eri tavoin muuton negatiivisia seurauksia. Tulokset tekevät näkyväksi myös kaupunkitilan muutoksiin kytkeytyvää kaupunkitilallista epäoikeudenmukaisuutta. Sosiaalisesti kestävän kaupunkikehityksen takaamiseksi olisi tärkeää hyödyntää asumissosiaalisessa lähityössä syntyvää tietoa ennakoivasti kaupunkisuunnittelussa.
THE USE OF SIMULATORS AS A WAY TO INCREASE THE EFFICIENCY OF TRAINING SPECIALISTS TO OPERATE LOGISTICS EQUIPMENT
Authors:   The National academy of hte National Guard of Ukraine, Alboshchii Oleksandr , Kaplun Serhii ,   National Academy of the National Guard of Ukraine, Sokoliuk Nazarii ,   National Academy of the National Guard of Ukraine
Published: September 2024

The methodical aspects of creating and using simulators for training military personnel to operate the technical means of the logistic services are analyzed (based on the example of food cooking means and transportation in field conditions).
THEORETICAL FOUNDATIONS FOR IMPROVING THE CAREER PROGRESSION OF SERVICEMEN OF THE NATIONAL GUARD OF UKRAINE
Authors:   The National academy of hte National Guard of Ukraine, Bielai Serhii , Buriak Ihor ,   National Academy of the National Guard of Ukraine
Published: September 2024

The article proves the relevance of studying the essence of career development and progression of servicemen of the National Guard of Ukraine in the context of military service, identifying key aspects of a career in the security and defence sector, as well as analysing the factors influencing the career and professional development of servicemen. By analyzing the current state of manning, the authors have revealed the outdated system of career progression in the National Guard of Ukraine. Professional training and development have been identified as a key criterion for career progression, education being its basic component. It has been proven that professional military education requires continuous development and leadership competence taking into account specialisation and the level of management. A generalised description of the components of leadership qualities has been justified.
DEVELOPMENT STRATEGIES FOR HIGHER MILITARY EDUCATIONAL INSTITUTIONS OF UKRAINE: ANALYSIS BASED ON BENCHMARKING
Authors:   National Academy of the Security Service of Ukraine, Kravets Valentyna
Published: September 2024

The article analyses the development strategies of higher military educational institutions of Ukraine on the basis of benchmarking (studying the best practices of Ukrainian and foreign universities with a view to introducing them into the management activities of higher military educational institutions). The general trends in the positioning of development strategies of higher military educational institutions on the map of strategic alternatives, as well as strategies similar in positioning (with a similar vision of their own place in the system of higher military education, competitive advantages, etc.) It is established that the priority functional areas of development of higher military educational institutions are education, research and internationalisation, and the strategic goals of these institutions are mostly different from the strategic goals of leading Ukrainian universities, although some of them are common. Proposals are made to update the development strategies of higher military educational institutions in view of global changes in the external environment.
APPLICATION AND DEVELOPMENT PROSPECTS OF MOBILE RADIOELECTRONIC INTELLEGENCE MEANS OF TACTICAL LINK OF THE SECTOR OF SECURITY AND DEFENCE FORCES OF UKRAINE
Authors:   The National academy of hte National Guard of Ukraine, Maiboroda Ihor , Vlasov Kostiantyn ,   National Academy of the National Guard of Ukraine, Hlushchenko Mykola ,   National Academy of the National Guard of Ukraine
Published: September 2024

The purpose of the article is to assess the capabilities of mobile electronic intelligence means of the tactical link of the sector of security and defence forces of Ukraine, to develop recommendations on the prospects for their development, to analyse the use of electronic intelligence systems and means of the russian federation army during the so-called "Special Military Operation" against Ukraine. The capabilities of means of radio-electronic intelligence in service with the Armed Forces of Ukraine and the National Guard of Ukraine are presented. A comparative analysis of the tactical and technical characteristics of Ukrainian and foreign-made equipment is carried out, as well as a brief analysis of the radio-electronic warfare equipment of the aggressor country and the results of their use. On the basis of the analysis, recommendations are made on the prospects for the use and development of electronic intelligence means of the tactical link of the forces of the security and defence sector of Ukraine.
Hallazgo incidental de mutación en el gen HBB asociada a B-talasemia heterocigota en gestante adolescente
Authors: Lopez Muñoz Diego Fernando , Castaño Rentería Melisa , Henao Lopez Sophia , Vargas Arrigui Stephania , Velandia Mosquera Cristhian Camilo , Arellano Genoy Camilo
Published: September 2024

Introducción: La coexistencia de hemoglobinopatía C y 𝛃-talasemia plantea desafíos diagnósticos y terapéuticos significativos, dada la complejidad de estas condiciones donde se caracterizan por la deficiencia de beta-globina, pudiendo ocasionar anemia hemolítica, esplenomegalia y microcitosis, siendo crucial un diagnóstico temprano para prevenir complicaciones. El objetivo del estudio es presentar el caso de una hemoglobinopatía C asociada a 𝛃-talasemia en una gestante adolescente y describir las patologías encontradas, teniendo en cuenta la epidemiología actual. Metodología: Se llevó a cabo un reporte de caso, apoyado por la revisión de literatura relevante y el análisis de datos clínicos. Reporte de caso: Se describe en profundidad el caso de una paciente de 16 años con 30.5 semanas de gestación que durante el embarazo presentó complicaciones como oligohidramnios, parto pretérmino y preeclampsia, siendo tratada con transfusiones de glóbulos rojos. Discusión: Se discuten ampliamente las implicaciones clínicas y terapéuticas de la coexistencia de estas dos hemoglobinopatías en el embarazo, así como las estrategias de manejo y seguimiento recomendadas para mejorar la salud materna y fetal. Conclusión: Se enfatiza la importancia de un enfoque integral y accesible para el manejo adecuado de estas patologías durante la gestación, así como para enfrentar las posibles complicaciones y mejorar los resultados perinatales.
Elaboração e validação de curso na modalidade a distância sobre pesquisa em bases de dados na área de saúde
Authors: Góis Filho Paulo Mário Brasil de , Medeiros Flávia Patrícia Morais de , Lorena Suélem Barros de
Published: September 2024

A disseminação de informações duvidosas sobre saúde é um desafio para a sociedade globalizada. No contexto acadêmico, o uso de fontes questionáveis pode comprometer a formação de futuros profissionais da área. Objetivo: elaborar e validar um curso, no formato a distância, sobre pesquisa em bases de dados na área de Saúde, para estudantes de graduação. Metodologia: estudo metodológico desenvolvido em uma instituição de ensino superior de saúde, seguindo o modelo de design instrucional de Kemp, Morrison e Ross, contendo nove etapas, permitindo ao participante seguir uma sequência lógica de conteúdos. A validação de conteúdo selecionou, por intencionalidade, quatro especialistas em educação, conforme critérios de Fehring adaptados. O consenso aconteceu em uma reunião por via remota. A validação semântica selecionou oito estudantes de graduação em Saúde, da mesma instituição de ensino, por conveniência, maiores de dezoito anos e devidamente matriculados, também em reunião remota de consenso. Os participantes, antecipadamente, receberam link para navegação no curso. Resultados: foi elaborado um curso, na modalidade a distância, autoinstrucional, carga horária de oito horas, apresentando três módulos de aprendizagem: informação ao longo do tempo; navegando nas principais bases de dados científicas; avaliando artigos científicos. A estrutura das avaliações abrange dois módulos com avaliação formativa e um terceiro módulo com avaliação somativa, com, no mínimo, 70% de aproveitamento para certificação. Ao final, foi disponibilizada uma autoavaliação do curso. Conclusão: o curso é um produto educacional robusto, contribuindo para formação profissional com qualidade, promovendo a disseminação de boas práticas em pesquisa científica na área de Saúde.
Disostose Mandibulofacial associada à fatores congênitos com impactação na cavidade bucal – Revisão integrativa
Authors: Silva Vitória Ferreira Hora da , Corazza Paola Fernanda Leal , De Martini Keller , Magalhães José Cássio de Almeida , Pacheco Valéria Bordallo , Baeder Fernando Martins
Published: September 2024

O presente estudo teve como objetivo analisar as relações entre a Disostose Mandibulofacial e seu impacto na cavidade bucal por meio de uma revisão integrativa da literatura. Para isso, foi realizada uma busca nas bases de dados MEDLINE®, IBECS®, LILACS® e SciELO®, utilizando Descritores em Ciências da Saúde (DeCS) relacionados, como Disostose Mandibulofacial, genética, Transtornos Congênitos e Síndrome, combinados com operadores booleanos AND e OR. A revisão integrativa contribui para a prática baseada em evidências na área da saúde. A coleta de dados seguiu seis etapas metodológicas: definição do tema, estabelecimento de critérios de inclusão/exclusão, coleta de informações dos estudos selecionados, avaliação dos métodos utilizados, interpretação e discussão dos resultados, e apresentação das conclusões. Os resultados indicaram uma escassez de artigos que investigam a relação entre fatores congênitos e impactos na cavidade bucal, evidenciando a necessidade de mais pesquisas para estabelecer correlações nesse sentido.