bluuebunny/crossref_metadata_2025 huggingface dataset:
Moderation of the Narrative Discourse and Historical Authenticity in William Faulkner's ABSALOM, ABSALOM!
Authors: Mohammed Marwan Kadhim , Farhan Mohammed Deraa
Published: March 2024

Objectives: The study aims to introduce Faulkner's concept of moderation in narrative discourse and its relationship to historical authenticity, to determine how this concept is embodied in the structure and the language of the novel. The study also aims to show how Faulkner's novel Absalom, Absalom!  Reflects aspects of historical authenticity by employing the concept of moderation as a basis for balance in narrative discourse. 

Methods: Fisher and Ravizza's theory of responding to moderate reasons was chosen as the theoretical framework for the study. The descriptive analytical method was used to analyze selected texts from Faulkner’s novel Absalom, Absalom! to investigate how moderation and historical authenticity are embodied in the narrative discourse of that novel. The results obtained from the analysis were then compared with Fisher and Ravizza's theory to highlight the relationships between the concepts of moderation and historical authenticity and how each influences the other. 

Results: The concept of moderation is evident in highlighting important aspects of historical authenticity. The narrative discourse relies on historical authenticity as as a crucial foundation for achieving a balance, effectively influencing the portrayal of the concept of moderation. Faulkner's narrative discourse is closely associated with historical authenticity. Balance is achieved in the novel by embodying the concepts of moderation and historical authenticity. 

Conclusions: Faulkner reformulates the narrative discourse of the concept of moderation with historical authenticity that leads him to strengthen the spirit of tolerance as an essential component of the balance of that discourse.
Acidente Vascular Encefálico Perioperatório: Relato de Caso
Authors: Renata Reis de Almeida  , Catharina Borges  , Kleuber Lemos  , Marcio Henrique Barbosa
Published: March 2024

Acidente vascular encefálico (AVE) perioperatório é definido como infarto cerebral, de etiologia isquêmica ou hemorrágica, que ocorre durante a cirurgia ou em até 30 dias após o procedimento cirúrgico. Na prevenção desse evento, é de suma importância identificar os fatores de risco para essa complicação, bem como o contexto cirúrgico no qual o paciente se encontra.
Artroplastia Primária de Revisão Após Sequela de Doença de Blount: Relato de Caso
Authors: Eduardo Alencar Filho  , Marcelo Passos  , Robson Rocha  , Marcus Frederico  , Daniel Araújo  , Rodrigo Daniel
Published: March 2024

Os autores relatam um caso de doença de Blount bilateral em paciente adulto, após falha do tratamento cirúrgico realizado na infância, tendo como resultado uma deformidade multiplanar complexa e limitante, associada a um quadro de artrose.
Jaccoud’s arthropathy
Authors: Mittermayer B. Santiago  , Viviane Machicado
Published: March 2024

Trata-se da descrição de um caso muito ilustrativo de Artropatia de Jaccoud (AJ), em um paciente com lúpus eritematoso sistêmico (LES), acompanhado no nosso serviço há muito tempo. Tal manuscrito representa a nossa décima sexta publicação sobre o tema, incluindo artigos originais e revisões, consolidando, assim, essa linha de pesquisa no nosso serviço.
A szomáliai fegyverembargó feloldásának lehetséges hatásai helyi és regionális viszonylatban
Authors: Sinkó Gábor
Published: March 2024

Szomália a világ egyik legszegényebb országa, ahol magas a rendszerszintű korrupció és széles körben elterjedt a fegyverekkel történő visszaélés. Az alábbi tanulmány célja, hogy átfogó képet nyújtson a szomáliai fegyverembargó feloldásának lehetséges hatásairól helyi és regionális viszonylatban. A jelenlegi szomáliai történelmi, társadalmi-politikai és biztonsági helyzetben a fegyverembargó feloldása nemcsak pozitív következményekkel járhat, előnyökhöz és lehetőségekhez juttatva a Szomáliai Szövetségi Kormányt, hanem negatívumokkal is, komoly kihívások elé állítva mind az országot, mind pedig az egész Afrika szarva területét. Fontos tehát a fokozott óvatosság, a következmények gondos mérlegelése és a szomáliai helyzet teljes körű megértése ahhoz, hogy a fegyverembargó feloldása hosszú távon is a stabilitás malmára hajtsa a vizet helyi és regionális szinten egyaránt. Ehhez minden bizonnyal leginkább egy olyan megközelítés szükségeltetik, amely egyenlő hangsúlyt fektet Szomália önkormányzati és szuverenitási törekvéseire, valamint a regionális és a globális biztonság fenntartására.
Gyermekkatonák alkalmazása Latin-Amerikában és Délkelet-Ázsiában
Authors: Balogh Áron
Published: March 2024

A gyermekkatonaság intézménye régóta velünk él. Számos aspektusát kutatták már magyar és nemzetközi szakértők is, Latin-Amerika és Délkelet-Ázsia ilyen irányú vizsgálata mégis hiányos e tekintetben. Jóllehet ezek Magyarországtól és Európától távolabb eső régiók, a gyermekkatonák itt megfigyelhető újfajta alkalmazása általánosságban is értelmezhető tendenciákat mutat. Globalizálódott világunkban, ahol a biztonság értelmezése már nehezen különíthető el különböző szintekre, szükségszerű ezen újfajta összefüggések és tapasztalatok megértése. Ezt az igényt igyekszik kielégíteni kutatásában a szerző.
A modern dunai vízi- és folyamrendészet szervezeti története, 1897–2022 (2.)
Authors: Fekete Tamás , Balázs Benedek
Published: March 2024

A dunai vízirendészet 2022-ben ünnepelte szervezeti felállításának 125. évfordulóját. 1897-ben alapították a budapesti rendőrségen belül a dunai kerületi kapitányságot, amely az alapvető rendőri feladatok mellett a ma is meglévő vízirendészeti feladatok nagy részét már ellátta Budapesten és közvetlen vonzáskörzetében. A kapitányság működésével párhuzamosan 1921-ben felállították a m. kir. Folyamőrséget, amelynek bár haderőrejtési célja is volt Trianon után, mégis az első országos hatáskörű vízirendészeti szervként működtette révkapitányságait. 1939-ben kettévált a folyamőrség, katonai része a honvédségen, míg vízirendészeti része a rendőrségen belül folytatta működését. Ekkor a budapesti révkapitányság magába olvasztotta a megszűnő dunai kerületi kapitányság vízirendészeti feladatrendszerét. A második világháború után a révkapitányságok több alkalommal is más-más felügyeleti szerv alá tartoztak, olykor feladataik is megváltoztak, míg végül 1966-ban megszületett a ma is ezen a néven működő Dunai Vízirendészeti Rendőrkapitányság.
Regarding the Hybrid Fuel Cell: On a Design Interlinking and Gaining the Most From Microbial and Hydrogen-Powered Fuel Cells
Authors: Simon Rahsaan
Published: March 2024

As renewable-energy technologies are garnering much attention due to the
necessary mitigation of climate change, the requirement for a fuel cell
utilizing a clean source of dihydrogen input appears to be of the utmost
importance. The following work hypothesizes a hybrid fuel cell utilizing
both microbial and technological means for clean in-situ hydrogen
production and subsequent energy production at potentially higher rates
than standardized microbial fuel cells and with a negative carbon
footprint.
UNVEILING THE LANDSCAPE: NETWORK ANALYSIS IN PAKISTAN'S ACADEMIC REALM
Authors: Farhad Ali
Published: March 2024

Network analysis has played a pivotal role in shaping the academic landscape in an era characterized by connectivity and information sharing. Pakistan is at the intersection of this technological revolution with a strong academic heritage and a growing desire for knowledge. The goal of the editorial piece "Unveiling the Landscape: Network Analysis in Pakistan's Academic Realm" is to highlight the increasing importance of network analysis in Pakistani academia and the ways in which it is changing the production, utilization, and dissemination of knowledge.
EFFECTS OF PHYSICAL THERAPY-BASED MANAGEMENT APPROACHES FOR TENSION TYPE HEADACHE
Authors: Ahmed Aribah , Baig Nabeel , Zain-ul-Abedin Dr. Ummul Kiram Sheikh
Published: March 2024

Background of the Study: Multiple Physical Therapy approaches have recently been developed and reported in the literature for providing better results in the treatment regimens of tension-type headaches. The advancement in the field of Physical therapy towards the treatment approaches of tension-type headaches has become the driving force for writing this article.
Methodology: Studies comparing the effects of physical therapy management with conventional treatment approaches are included in the meta-analysis. PRISMA guidelines were used for performing the qualitative analysis and assessment of risk of biases.
Results: According to the findings of nine randomized controlled trials, the analysis of the results had revealed that physical therapy intervention demonstrated a significant improvement in reducing headache severity. In a random effect model, the pool effects of physical therapy strategies in terms of Standardized Mean Difference had an impact of 1.41, which according to a Cohen rule of thumb displays a larger effect of physical therapy management in significant decrease in pain intensity among tension-type headache patients
Conclusion: The study has concluded that physical therapy-based management strategies as provided in several RCTs analyzed in this review article revealed a pool effect of moderate size in managing the frequency of pain and a larger effect size in managing pain intensity and duration. Further, it was concluded that tension-type headaches can be effectively managed through physical therapy-based approaches.
Keywords: Functional status, parkinson disease, cognitive dysfunction, disease progression, orthostatic hypotension, tremors.
SMART FOOT INSOLE FOR REDUCING THE RISK OF FOOT ULCERS IN DIABETIC PATIENTS BY MEASURING PLANTAR PRESSURE
Authors: Faiz Mehwish , Imtiaz Tamima , Zafar Bushra , Shamim Fahad , Khan Sehrish , Abid Hamnah
Published: March 2024

Background of the Study: The prevailing cause of Diabetes is a decline in insulin production, the outcome of which is an elevated glucose level in the blood. The superabundance of glucose in the blood can cause severe complications, damaging other body organs, including kidneys, nerves, heart, and upper and lower limbs. However, the common complication in diabetic patients is foot ulcer, which is directly associated with Diabetic peripheral neuropathy (DPN), which is the extensive cause of this. DPN is the inability of nerves to sense any external change, due to which the foot plantar pressure is altered and evolves because of the high glucose level.
Methodology: This paper provides a solution in the form of a portable and cost-effective device based on force sensors for diabetic patients to monitor the change in foot plantar pressure at home and overcome the risk of foot ulceration. The device is implemented on 30 participants to characterize the plantar pressure values with flat foot and normal foot types for the Control group and diabetic group.
Results: An evident difference in the value of Mid-foot pressure is observed for both the groups, Control group (Normal foot = 144+2.63 kPa, Flat foot = 150+2.72 kPa) and Diabetic Group (Normal foot = 213+2 kPa, Flat foot = 216+1 kPa). Deviation in these values discriminates the mid-foot pressure for the two groups, thus providing us a range for the individuals of the control group for the alarming situation.
Conclusion: Noticing the plantar pressure through the proposed device helps diabetes patients reduce their risk.
Keywords: Blood glucose, type 1 diabetes mellitus, flat foot, metatarsal, foot orthosis, diabetic neuropathy, foot ulcers.
FREQUENCY OF TIBIA VARA AMONG OBESE ADOLESCENTS: DESCRIPTIVE CROSS-SECTIONAL STUDY
Authors: Hamid Nadiyya , Faisal Somia , Safdar Nabeela , Asim Hafiz Muhammad
Published: March 2024

Background of the study: Tibia Vara is defined as a growth abnormality which leads to Varus malalignment of the lower limb. It is caused by excessive loading on the medial part of proximal tibia. Progressive Tibia Vara can result in a bowleg deformity which is most noticeable in posteromedial part of upper tibial physis. Other than that, it gives rise to in toeing of feet and lateral knee thrust, altering the normal biomechanics of an individual. This study aim to determine the frequency of Tibia Vara among obese adolescents (13-18years).
Methodology: A descriptive cross-sectional study was done using non probability convenient sampling. Total 214 obese adolescents of age range 13 to 18 years were recruited from different parks and schools of Lahore. Adolescents with BMI less than 30 and with history of fracture or dislocation in the lower limb were excluded from the study. Manual goniometer was used to assess tibia vara in obese adolescent which had an intra-rater reliability of 0.75.
Results: Out of 214 obese adolescents, 128 were male and 86 were female. The percentage of Tibia Vara in this population was found to be 38% (n= 82). Whereas; on the basis of gender, male participants presenting with Tibia vara was found to be 26% (n= 56) and the percentage of females reported with Tibia vara was only 12% (n= 26).
Conclusion: Tibia vara had been reported in 38% of the obese adolescents in Lahore, Pakistan. Whereas, on the basis of gender most frequently tibia vara was reported among male participants.
Keywords: Adolescents, juvenile, biomechanics, blount disease, obesity, sedentary lifestyle, slipped capital femoral epiphysis.
EFFECTS OF RELAXING MUSIC THERAPY ALONG WITH TASK-ORIENTED TRAINING OF LOWER LIMB ON BALANCE AND FUNCTIONAL INDEPENDENCE IN PATIENTS WITH CHRONIC STROKE: A RANDOMIZED CLINICAL TRIAL
Authors: Zahid Hafsa , Jamil Ayesha , Khalid Fariha
Published: March 2024

Background of the Study: To compare the effects of relaxing music therapy with task-oriented training of lower limbs on the balance and functional status in patients with chronic stroke.
Methodology: This randomized clinical trial was conducted in three outpatient physiotherapy clinics in Lahore, Pakistan. A sample of 76 participants with chronic stroke, aged 40-60 years, and on assistance walking, were recruited through a purposive sampling technique. Individuals who had physical impairments and visual or hearing deficits were not included in the study. Group A received task-oriented training with routine physical therapy while Group B received Music therapy additionally. Three sessions on alternate days per week for eight weeks were given. Balance and functional independence were the outcome variables measured using the Berg Balance Scale and Functional Independence Measure respectively. Mann-Whitney U test and Friedman ANOVA were applied for between-group and within-group differences respectively. P-value was significant at ≤0.05.
Results: The mean age of participants was 54.05 ± 3.64 years, the majority i.e., 55 (72.4%) were male, 46 (60.5%) had ischemic stroke and 53 (69.7%) were presented with left-sided weakness. A statistically significant difference was observed among both groups in balance (p =.000) and functional independence (p=0.000). The within-group difference was also significant for balance (p=0.000) and functional independence (p=0.000).
Conclusion: The integration of relaxing music therapy, task-oriented training, and routine physiotherapy is effective in improving balance and functional independence in chronic stroke patients.
Keywords: Balance, berg balance scale, functional independence, functional independence measure, music therapy, coordination impairment.
ROS1 Positive Non-Small Cell Lung Cancer Patient with Brain Metastases Who Overcame Crizotinib Resistance with Lorlatinib: Case Report
Authors: Bekkouche Soukaina , Salma Najem , Ibrahim El Ghissassi , Saber Boutayeb , Hind Mrabti , Hassan Errihani
Published: March 2024

Background: ROS1-positive patients account for 1-2% of non small cell lung cancer (NSCLC) cases. Crizotinib is the first tyrosine kinase inhibitor (TKI) indicated in first line treatment of ROS1-rearranged NSCLC. However, crizotinib resistance is frequent within the first 12 months of treatment. Lorlatinib is a novel tyrosine kinase inhibitor of ROS-1 recently indicated for metastatic or locally advanced crizotinib-resistant NSCLC. Case report: We report a case of a 43-year-old female patient with no medical history, diagnosted with stage IVB NSCLC including asymptomatic brain metastasis, and harboring ROS1 rearrangement. Within the first three months of starting crizotinib, the patient showed on CT scan evaluation new bone and brain metastases. Lorlatinib in the second line revealed a noteworthy improvement in metastasis and primary lesion. Conclusion: Brain metastases frequently occur in ROS1-rearranged NSCLC at the time of diagnosis and treatment course. However the efficacy of crizotinib might not translate to intracranial control of the disease, one of the cause of resistance to this drug.
Evaluation and Surgical Outcomes of Primary Closure for Breast Abscess- 3 Year Experience in Rangpur Zone
Authors: Diba Saimun Nahar , Hanif Md. Abu , Nasrullah Syeda Shahnaz , Alam Md. Shafiul
Published: March 2024

Background: Breast abscesses are a common medical concern, often associated with pain, cost implications, and dressing-related complications. Managing breast abscesses presents an opportunity to optimize patient outcomes while streamlining healthcare resource utilization. This study aimed to evaluate the effectiveness of primary closure as a surgical approach for breast abscess management in a private practice setting, focusing on reducing hospital stays and associated costs, particularly improving patient compliance. Methods: This prospective study was conducted in private practice settings over three years, from July 2020 to June 2023. A total of 119 patients, comprising both acute (n=72) and chronic (n=47) breast abscess cases, were included in the study. The surgical procedures included incision, drainage, curettage, and primary closure using 16 FR/18 FR drains. Special measures included iodine irrigation, keeping drains for at least 7 days, suture removal on 10th-14th postoperative days, and administering antibiotics for up to 14 days. Follow-up appointments occurred after 3 weeks. Results: Among the 119 patients, 72 (60.5%) presented with acute breast abscesses, while 47 (39.5%) had chronic abscesses. All patients were discharged on the 2nd postoperative day. In cases of chronic breast abscess, drains were removed between 5-7 postoperative days, while in acute cases, drains were removed at the 10th postoperative day or upon suture removal. No suction drains were used. Over 95% of patients resumed breastfeeding shortly after surgery. Suture removal on the 10-12th postoperative days showed healthy wounds in 88 patients, minor wound gaps in 13 patients (requiring no further intervention), and secondary stitching in 10 patients. Ten patients experienced delayed abscess formations under the scar, necessitating drainage under local anesthesia and oral antibiotics. The most frequently isolated causative organism from pus was Staphylococcus aureus. .........
Sociodemographic, Clinical & Biochemical Features in Children with Nephrotic Syndrome: A Study in a Tertiary Care Hospital of Bangladesh
Authors: Uddin Md. Reaz , Khan Mohammed Anwar Hossain , Alam Md. Kabir , Ashraf Rezwana , Khatun MT. Anjumanara , Jesmin Habiba , Imtiaz Mohammad Tareq , Bushra Farhana , Roy Subrata , Akter Sabrina , Sharmin Shabnam
Published: March 2024

Background: The estimated incidence of nephrotic syndrome is between 2-7 per 100,000 children worldwide, with higher rates reported among those with African and South Asian ancestry. There is a significant gap in the literature on the role of socio-demographic modifiers of nephrotic syndrome in children in the long term. This study aimed to evaluate the sociodemographic & clinical features in children with nephrotic syndrome. Methods: This descriptive study was conducted at the Department of Pediatric Nephrology in the National Institute of Kidney Diseases & Urology (NIKDU), Sher-E-Bangla Nagar, Dhaka, from November 2019 to June 2021. Children of age group 1-12 years with primary NS enrolled in this study and a total of 108 patients were included. Informed written consent was taken from the parents. Ethical clearance was obtained from the institutional ethical committee. A purposive sampling technique was used in this study. On entry into the study, a detailed history was taken & proper physical examinations were done. Routine investigations such as complete blood count, CRP, serum albumin, serum cholesterol, serum creatinine, Mantoux test, screening tests for hepatitis-B & hepatitis-C, urine RME and culture sensitivity, X-ray chest, and serum C3 level were done. All investigation was done from NIKDU except the MT test that was done from Dhaka Shishu Hospital. Infection was screened out and appropriate measures were taken. The data were collected and preserved in a case record form (CRF). The collected data were analyzed using Statistical Package for Social Sciences (SPSS) software, version 23.0. Results: The majority of the patients (50, 46.29%) were 5 to 8 years old, followed by (40, 37.03%) 1-4 years old. Mean ±SD 5.42±2.67. Most of the patients (73, 67.6%) were male and the rest (35, 32.4%) were female, the majority (71%) belonged to rural areas. Regarding socioeconomic status, the majority of the patients (80, 74.08%) belonged to low-income families. .......
Post-Operative Blood Glucose Level in Various Anaesthetic Techniques (General & Spinal) Among Non-Diabetics Patients
Authors: Islam Md. Monzorull , Islam Md. Sirajul , Mamun Salim Al , Hema Sultana Jahan , Ahmed Rowshon Ara
Published: March 2024

Introduction: The metabolic and hormonal responses to anaesthetics and surgery have been a subject of extensive evaluation and discussion for the past many decades. In normal man, anabolism and catabolism are finely balanced. Surgery produces a stress response resulting in various biochemical and hormonal changes. Apart from surgical stress, anesthesia related procedures like Tracheal intubation, recovery from anesthesia, and post-operative pain can increase the stress induced hormonal changes. This study aims to find out post-operative blood glucose level in various anaesthetic techniques (general & spinal) among non-diabetics patients. Methods: An institution based, observational, cross-sectional study was conducted among patients who were operated at Dept. of Anesthesiology, Anwer Khan Modern Medical College Hospital, Dhaka, Bangladesh from January to December 2022. A total of 120 non diabetes patients who received either general or spinal anesthesia for their surgery. Data was analyzed using SPSS, version 20.0 for windows. Chi-Square test was used to show association between categorical variables and independent sample t-test was used to show mean difference among normally distributed continuous variables. All statistical tests were 2-tailed and a p-value of <0.05 was considered significant. Results: 65.8% of study population received general anesthesia and 34.2% received spinal anesthesia. In postoperative period, 41.6% of study population had their plasma glucose in pre diabetes range and 20.0% had their plasma glucose in diabetes range. Frequency of postoperative hyperglycemia (IFG + Diabetes) was 61.7%. Mean postoperative plasma glucose was significantly higher among study population who received general anesthesia. Increasing age, female gender, overweight, obesity, hypertension and hypothyroidism was significantly associated with high risk of postoperative hyperglycemia. Conclusion: There is high prevalence of postoperative hyperglycemia. The frequency of
Sexual Dysfunctions Among Female Major Depressive Disorder Patients of Reproductive Age
Authors: Habiba Rezwana , Sharif-ul-Alam Sayed , Uddin Md. Jasim , Singha Romendra Kumar , Sayed Md. Abdullah , Chowdhury Ahmed Riad
Published: March 2024

Background: Depression, a pervasive public health issue, is associated with substantial morbidity and mortality. Existing literature suggests a connection between depression and female sexual dysfunction, impacting the overall quality of life. Recognizing the prevalence of sexual dysfunction in Major Depressive Disorder (MDD) patients becomes crucial for holistic patient care. Objective: This cross-sectional observational study, conducted at Sylhet MAG Osmani Medical College Hospital from September 2018 to August 2020, aimed to assess the patterns and frequencies of sexual dysfunction in female MDD patients of reproductive age. The primary objectives included evaluating the correlation between the severity of depression and sexual dysfunction, as well as exploring the association between sexual dysfunction and socio-demographic variables. Method: Sixty-eight married, reproductive-age females diagnosed with MDD were included. Diagnosis followed DSM-5 criteria, with severity assessed using the Bangla version of the Depression Anxiety and Stress Scale (DASS-21) and sexual dysfunction evaluated via the Female Sexual Function Index (FSFI) scale. Statistical analyses employed Chi-square tests and Pearson’s correlation coefficient tests. Results: Of the participants, 77.9% experienced sexual dysfunction, with 41.2% exhibiting extremely severe depression. Dysfunction in desire (72.1%), arousal (67%), and satisfaction (54.4%) were prevalent, while 51.5% reported lubrication difficulties. Dysfunction in orgasm (44.1%) and pain (45.6%) were less frequent. A significant correlation was observed between female sexual dysfunction and depression severity (p=<0.001), while no statistically significant correlation was found between the duration of MDD and sexual dysfunction (p=0.122). Conclusion: This study underscores a high prevalence of sexual dysfunction in female MDD patients, emphasizing the necessity of routine inquiry into sexual health in the clinical management ...........
Intraventricular Schwannoma: A Case Report
Authors: Arjdal Badr , Tran Gia Van , François Caire
Published: March 2024

Ventricular schwannomas are very uncommon. We report such a tumor in the right lateral ventricle of a 17-year-old young man. The various etiopathogenic hypotheses are discussed.
Mediastinal Thymic Cyst in Adults: A Rare Case Report
Authors: Benjelloun Hanane , Benmerzouq Zineb , Chaanoun Khadija , Zaghba Nahid , Yassine Najiba
Published: March 2024

Thymic cysts are rare, benign lesions located in the cervico-thoracic region, often incidentally discovered. The only curative treatment is complete surgical excision, which eliminates symptoms, prevents complications, and provides a definitive diagnosis through histopathological examination, typically revealing the presence of Hassall's corpuscles. Minimally invasive approaches are preferable. We present the case of a 40-year-old patient with an anterior mediastinal cystic mass that underwent successful complete surgical resection. The histopathological examination confirmed a diagnosis of benign unilocular thymic cyst, resulting in favorable clinical and radiological outcomes.
An Uncommon Presentation of Hepatocellular Carcinoma
Authors: Chama ElManjra , Oussama Nacir , Hajar El Marmouk , Ibtissam Bounouar , Ezzahra Lairani Fatima , Adil Ait Errami , Sofia Oubaha , Zouhour Samlani , Khadija Krati
Published: March 2024

Hepatocellular carcinoma (HCC) is the most frequent type of primary liver cancer, with an important characteristic being the development on a background of cirrhosis. HCC in non-cirrhotic liver is rare. We report a case of an HCC on a non-cirrhotic liver in a 66-year-old patient who was admitted with a 3 months history of right hypochondriac pain and weight loss. He had a medical history of hypertension, type 2 diabetes, obesity, and no alcohol abuse. Abdominal computed tomography (CT) and hepatic magnetic resonance imaging (MRI) showed a 115x100x110mm mass in the segment V and VIII, hypodense with heterogeneous and early arterial enhancement, and clearing in portal and late phase. He underwent a liver biopsy that confirmed an HCC without underlying cirrhosis. Surgical treatment was not an option since our patient presented multiple risk factors of recurrence. The patient underwent two sessions of transarterial chemoembolization (TACE) but the follow-up showed signs of progression.
VARIABILIDADE TEMPORAL DA INSEGURANÇA ALIMENTAR E NUTRICIONAL NO BRASIL: ANÁLISE DE PESQUISAS NACIONAIS ENTRE OS ANOS DE 2013 E 2022
Authors: Amanda Silva Albuquerque Laiza , Santos de Sousa Fernandes Matheus , Ferreira Barbosa Vania , Laís Pereira Santos de Almeida Oliveira Tafnes , Freitas Coelho Muniz Claudia , Carvalho Jurema Santos Gabriela
Published: March 2024

Introdução. Objetivo. Identificar a evolução temporal de IAN e seus níveis na população brasileira por meio de inquéritos epidemiológicos entre os anos de 2013 e 2022. Métodos. Foi realizada uma pesquisa com dados secundários de quatro inquéritos epidemiológicos, realizados entre os anos de 2013 e 2022. Os inquéritos avaliaram domicílios brasileiros e identificaram a presença da IAN nutricional por meio da Escala Brasileira de IAN. Dados em percentuais foram coletados, assim como a variação temporal foi calculada. A sua normalidade foi testada e posteriormente as frequências foram comparadas pelo teste de x²-quadrado e p < 0,05 foi considerado. Resultados. A IAN no país alcançou amplitudes entre 17,1% e 78,6%, 7,7% e 36,4%, e 5,1% a 54,4% nas formas leve, moderada e grave, respectivamente. A maior taxa de IAN grave ocorreu entre os anos de 2020 e 2022, na região Norte. Também se observou uma variação temporal positiva para a IAN. Por outro lado, o estado de segurança alimentar e nutricional reduziu ao longo dos anos tantos nas regiões urbanas e rural do Brasil. Conclusão. A IAN é problema grave que afeta o Brasil, e sua ocorrência apresentou aumento ao longo dos anos.
ACADEMIC SELF-ACTUALIZATION AND ACADEMIC ACHIEVEMENT AMONG PROSPECTIVE TEACHERS IN MADURAI DISTRICT
Authors: Dr. K. Vinothkumar  , Mrs. M. Saratha  , Dr. F. Vincent Rajaseker
Published: March 2024

The purpose of this study is to determine the academic self-actualization and academic achievement of the prospective teachers. The study group consists of a total of 300 prospective teachers studying in colleges Education in Madurai district. The study group was determined through simple random sampling. Descriptive analysis, t test and Pearson correlation was used for the analysis of the data. The findings reveal that there was significant difference between male and female prospective teachers in their academic achievement and academic self-actualization. There was significant difference between undergraduate and postgraduate prospective teachers in their academic achievement and academic self-actualization. There was significant difference among language, science and arts pedagogy prospective teachers in their academic achievement and academic self-actualization. There was significant difference among prospective teachers parental annual income of below 15000, 15000-25000 and 25000 and above in their academic achievement and academic self-actualization. There was significant difference between rural and urban prospective teachers in their academic achievement and academic self-actualization. There was significant positive correlation between academic achievement and academic self-actualization of prospective teachers.
KEYWORDS: Academic Achievement, Academic Self-Actualization, Leadership, Psychological Needs, Prospective Teachers.
Musykilah At-Thulab fi Ta'alum Al-Lughah Al-Arabiyah Li al-Fashl At-Tahdiri bi Jamiah Darussalam Gontor / Student Problems in Learning Arabic In the Matriculation Class at Darussalam Gontor University
Authors: Suryadarma Yoke , Ismail Moh. , FahrulRozi Muhammad
Published: March 2024

This research aims to analyze student problems in learning Arabic in Arabic matriculation class at Darussalam Gontor University, Siman Campus in the 2022-2023 academic year. The result of this research is that two basic problems were founded in student’s problems in learning Arabic in the matriculation class, are linguistic problems such as a) lack of student understanding of the lessons that have been delivered by the teacher, b) lack of student’s writing on Arabic, c) lack of student’s memorization on Arabic vocabulary. And non-linguistic problems such: as a) lack of student motivation in learning Arabic, b) The decrease in Arabic-language textbooks among students, etc. Based on the results of the study, the researcher suggests that the parties involved with students, especially Arabic language teachers, pay attention to the seriousness of student learning and give them continuous motivation in learning Arabic so that they are motivated to continue learning Arabic and able to communicate with it in their daily lives. This research naturally made a high contribution to spreading the knowledge that there are problems in learning Arabic from the student’s side that are not only linguistic but also non-linguistic.المستخلص: يهدف هذا البحث إلى تحليل مشكلات الطلاب في تعلم اللغة العربية في الفصل التحضيري بجامعة دار السلام، الحرم سيمان، في العام الدراسي 2022-2023. وتوصلت نتيجة هذا البحث إلى وجود مشكلتين أساسيتين في مشكلات الطلاب في تعلم اللغة العربية في هذا الفصل، وهما: المشكلات اللغوية مثل: (أ) قلة فهم الطلاب للدروس التي قدمها المعلم، (ب) نقصان قدرة الطلاب في الكتابة العربية ، (ج) قلة حفظ الطلاب لمفردات العربية. والمشكلات غير اللغوية مثل: (أ) قلة دافعية الطلاب في تعلم اللغة العربية، (ب) نقصان الكتب المقررة باللغة العربية لدي الطلاب، وغيرها. استنادًا إلى نتائج البحث، يقترح الباحث للأطراف المعنية بالطلاب، وخاصة معلمي اللغة العربية، ينبغي أن يولوا اهتمامًا لجدية تعلم الطلاب وأن يقدموا لهم دافعية مستمرة في تعلم اللغة العربية حتى يكون لديهم النشاط لمواصلة تعلم اللغة العربية والقدرة على التواصل بها في حياتهم اليومية. وأسهمت هذه الدراسة بشكل طبيعي في نشر المعرفة بأن هناك مشكلات في تعلم اللغة العربية من جانب الطلاب ليست مشكلات لغوية فحسب، بل إنما مشكلات غير لغوية أيضًا.
Jurnalul de pe Frontul de Răsărit al sergentului sanitar Nicolae Olaru (1942-1943)/Diary from the Eastern Front of the medical sergeant Nicolae Olaru (1942-1943)
Authors: Herteg Florin
Published: March 2024

The article publishes the diary kept at the front by the young Nicolae Olaru from Sita Buzăului (Ciumernic) commune, nowadays Covasna County, son of a World War I veteran, enlisted in the 89th Infantry Regiment / Command Company – 1939 Contingent. His diary contains his daily entries from 9 August 1942 (the day he left Sita Buzăului and Brașov railway station for the front) to 5 February 1943 (the day he returned from the front to Brașov and Sita Buzăului), during which time he was at the front in the USSR as a medical sergeant. The diary contains notes about places, events, duty, hardships, anxieties, fears, homesickness and so on, and is a testimony to the experience of the young soldier, who saw and lived the horrors of war not through the eyes and feelings of the man who wielded the weapon, but of the man who fought with death trying to save the wounded comrades. The diary was, as its author records, his confidant, to whom he entrusted ‘all his sorrows with the aim that it would end up in the hands of my beloved family’ if ‘it should be my fate to be a hero’.
Valorificarea expoziţională și educaţională a colecţiei de figurine Cucuteni-Ariușd din situl arheologic Păuleni-Ciuc - Dâmbul Cetăţii, jud. Harghita. Proiect de educaţie muzeală/ Exhibition and educational valorisation of the Cucuteni-Ariușd figurine collection from the archaeological site Păuleni-Ciuc - Dâmbul Cetății, Harghita County. Museum education project
Authors: BAUBEC-FELEA Ioana-Cristina
Published: March 2024

The valorisation, for the benefit of the museum public and the community, of the collection of anthropomorphic and zoomorphic figurines/statuettes belonging to the Cucuteni-Ariușd Cultural Complex (5th-4th mill. BC), is carried out by the team of the National Museum of the Eastern Carpathians (NMEC) in Sfântu Gheorghe, Covasna County, through several cultural products. The collection of Cucuteni-Ariușd figurines consists of anthropomorphic and zoomorphic representations, pendants, objects of different shapes and sizes, mostly made of clay, but there are also some pieces made of red deer antler and bone. The archaeological material presented in this article was discovered in the archaeological site of Păuleni-Ciuc-Dâmbul Cetății, Harghita County through systematic investigations. Anthropomorphic and zoomorphic figurines are an essential chapter in the context of the Cucuteni-Ariușd communities, closely linked to religious, cultic and ritual manifestations and as part of cult elements of monumental dimensions. The collection of Cucuteni-Ariușd figurines forms the basis for the development of unique educational programmes specific to the museum. The target audience of an educational museum service can be extremely varied, and museum education activities must be adapted to each category of beneficiaries. Anthropomorphic and zoomorphic figurines can form the basis for the development of materials and products for both the virtual environment and exhibition activities. The archaeological material presented in this article is particularly important in the context of the Cucuteni-Ariușd finds in Romania; anthropomorphic and zoomorphic figurines have the potential to convey many interesting stories about ancient times.
Der seminaristische Weg der Primarlehrerausbildung - Begründungen, Mythen und Entwicklungen
Authors: Strittmatter Anton
Published: March 2024

Die seminaristische Form der Lehrerbildung in der Schweiz zu beschreiben und kritisch zu würdigen ist - bei der Vielfalt der Verhältnisse - nur in stark vereinfachter Art möglich, und die unvermeidlichen Wertungen dürften Widerspruch erregen. Der Artikel versteht sich SO als Diskussionsanstoss. Ich sage zunächst kurz etwas über die Entwicklungsgeschichte der seminaristischen Lehrerbildung in der Schweiz, diskutiere dann die selbstformulierten Ansprüche des seminaristischen Weges und deren Kritik, um dann schliesslich einige absehbare Entwicklungslinien in die Zukunft hinein zu skizzieren.
Die einfache Lektion als Lehr- und Lernform in der berufspraktischen Ausbildung des Lehrers
Authors: Sutter Edi
Published: March 2024

In der Uebungsschule gehören Lehrübungen zum Alltag. Damit ist aber auch das Spannungsfeld zwischen den Bedürfnissen der Volksschüler und jenen der Seminaristen gegeben. Es ist eine Daueraufgabe, dem Schüler die Geborgenheit und ein gutes Lernmilieu zu erhalten und dem Lehrer- Studenten eine systematische Ausbildung zu gewährleisten. Die folgende Abhandlung will zeigen, wie an der Uebungsschule (Realstufe) in Kreuzlingen versucht wird, diesen Schwierigkeiten in der berufspraktischen Ausbildung zu begegnen.
Gender Differences in Students' Motivation and Conceptual Knowledge in Chemistry Using Technology-Integrated Formative Assessment
Authors: Hagos Tadesse , Andargie Dereje
Published: March 2024

This study examines the impact of gender and technology-integrated formative assessment on learning chemistry in general and chemical equilibrium in particular from the perspective of learning and motivation. To achieve the aforementioned objective, a quasi-experimental, non-equivalent, non-randomized pre-test and post-test research design was adopted. There were three groups in the study: two experimental and one comparative. The experimental groups implemented formative assessment (FA) and technology-integrated formative assessment (TIFA) strategies, whereas the comparison group used lecture style method. Two intact classes were chosen for treatment and one intact class was chosen for comparison groups using a random sampling technique. The Chemical Equilibrium Conceptual Test (CECT) and the Chemistry Motivational Questionnaire (CMQ), both adapted from the literature, were used to gather data. The reliability coefficient for CMQ was calculated using Cronbach's alpha. The Kudder Richardson formula 20 was used to check the CECT's internal consistency (KR-20). Two-way ANOVA statistics were used to analyze the data. Gender has no effect on students' motivation or conceptual knowledge when learning chemical equilibrium. There was no interaction impact of treatment and gender on the conceptual and motivational test scores. TIFA was shown to be more successful than the other two groups in promoting students' conceptions and motivation in learning chemical equilibrium, regardless of gender. Chemistry teachers should implement TIFA as a teaching method in their classes, according to the study. It is also recommended that teachers use it into their classes to help motivate students.
The Development of Interactive PowerPoint Game Media (POPOIN) in Jepara District Kindergarten
Authors: Hastutik Sri , Widjanarko Mochamad , Utaminingsih Sri , Pratama Hendri
Published: March 2024

The issue with online learning is that children must study at home, thus teachers are expected to develop innovative and creative learning so that kindergarten students enjoy it. The objective of this research was to explore the methods involved in developing Interactive PowerPoint Game Media (POPOIN) for children aged 4 to 6 in Jepara Regency kindergartens. The research method was using research and development which was adopted from media development by Sugiyon. The research procedure has ten steps, but this study only uses four: (1) potential problems, (2) finding information, (3) product design, (4) design validation, and data collection techniques such as observation, student questionnaires, and evaluation tests. The sources of data are from teachers and students in Al-Hikmah Kindergarten, Kuwasen Kindergarten, Baitul Makmur Kindergarten, and East Suwawal Kindergarten IV at Jepara Regency. Techniques for collecting data include observation, questionnaires, and documentation. Data analysis used descriptive and qualitative descriptive analysis. The findings showed that media and material experts were validated using proper criteria. The score for the material expert is 80 and for the media, the expert is 83. This means that the development of interactive PowerPoint is suitable for learning of kindergarten in Jepara Regency.
The Scientific Literacy Test Instrument on Particle Dynamics for High School Students
Authors: Wati Mustika , Mahtari Saiyidah , Muthi'ah Anis , Dewantara Dewi , Suharno Suharno
Published: March 2024

The measurement of scientific literacy is very focused, this is shown by the urgency of preparing scientific literacy test instruments. This research develops a proper scientific literacy test instrument on particle dynamics material. This research is a development research adapted from the Borg and Gall model. The test subjects of this study were 202 students. Design validation, instrument validity, instrument reliability, instrument difficulty level and instrument differentiability are data analysis techniques. The product produced is a material science literacy test instrument for particle dynamics totaling 10 questions in the form of reasoned multiple choice questions. The results showed that (1) the questions were in the valid category, (2) had reliability with very good criteria of 0.83 (3) the difficulty level of the questions obtained 1 item in the difficult category and 11 questions with moderate criteria, (4) the results of the discriminating power of the questions show that there are 2 questions with sufficient discriminating power so that the items can still be used and there are 2 items with bias so that 2 items are discarded. It can be concluded that the developed scientific literacy test instrument can be used to measure students' scientific literacy competence.
The Importance of Using Checklist in Measuring the Comprehensiveness of English Teaching Materials: A Systematic Literature Review
Authors: Basaruddin Muhammad Azwan , Mustafa Hema  Rosheny
Published: March 2024

The aim of this paper was to provide evidence pertaining to the practice of using checklists in analysing the comprehensiveness level of the English teaching materials prepared to be used during the teaching and learning process. A systematic literature review (SLR) of empirical studies exploring the practices of using checklists in analysing the English teaching materials was performed. A total of 12 papers were included in the SLR. It was discovered that the use of a checklist in analysing teaching materials could highlight the differences in teachers’ perceptions; promote convenient methods to keep record; identify the strengths and weaknesses of the materials; encourage systematic method of analysis; offer flexibility for current changes; lead to adaptation of the existing materials. It is also suggested in the future, bigger-scale research should be conducted and repeating analysis using the similar checklist could be done in order to improve the accuracy in obtaining the data.
Women and Patriarchy in Post-colonial Kenya: A Critical Interrogation of Marjorie Oludhe Macgoye's Coming to Birth and The Present Moment
Authors: Ongere Firdous Nwanyidinma , Kamau- Goro Nicholas
Published: March 2024

Marjorie Oludhe Macgoye's Coming to Birth and The Present Moment, published just over two decades after Kenya's independence, explore the country's post-colonial inclination towards patriarchy. This paper is hinged on the premise that the post-colonial Kenya is replete with patriarchal tendencies, these tendencies permeate all spheres of its political and economic structures, thus leading to gender inequality. Contextualizing patriarchy within the socio-economic and political structure of the post-colonial Kenya, this paper seeks to highlight the challenges to women’s women's participation in Kenya's public sphere as depicted in Macgoye's novels. Informed by feminist theory, the paper seeks to demonstrate the various ways women seek to claim their agency as active participants in the society despite the challenges. The paper concludes that female characters in Coming to Birth and The Present Moment rise above the limitations brought about by the post-colonial patriarchal constructs
Fish Value Addition Practices by Women Fish Vendors in Dar Es Salaam: A Case of Mackerel Fish
Authors: Magesa Rehema John , Sewando Ponsian , Mkenda Lilian Daniel
Published: March 2024

Fish value addition has been linked with enhanced economy for women vendors worldwide. Despite the existence of enormous benefits linked to value addition, many fish traders in Dar Es Salaam still sell unprocessed fish and fish products while a few of them sell the processed product. A number of practices for fish value addition have been identified through this study conducted in Kinondoni Dar Es Salaam. The study employed a cross-sectional design. The study population was 100 fish traders involved in the fish business. Structured questionnaires were employed. Quantitative and qualitative analysis using frequency table proportions (percentage) was used to interpret the data, and descriptive statistics was used to analyse the data. The study established the fish vendors in Dar es Salaam were involved in fish cleaning (14%), grading (23%), processing (52), and packaging (11%). This implies thatthe majority of fish vendors were engaged in processing fish. Further, the study revealed that 5% of respondents were preserving fish in frozen devices, 77% of respondents were frying them, 7% were drying fish in the sun and11% were packing them. This implied that there are a number of methods used to ensure the quality of fish, but the most common one used by women fish vendors was to fry them. It was concluded that Value addition plays a crucial role in enhancing economic returns, expanding market opportunities, reducing waste, improving nutrition, and promoting food security