bluuebunny/crossref_metadata_2025 huggingface dataset:
An Exploration of the Relationship Between Vaccine Knowledge and Vaccine
Willingness
Authors:   Saddleback College, Kawile Leo , Fisher Keli , Noergaard Mia
Published: October 2023

The ongoing COVID-19 pandemic has lasted nearly three years, costing millions of
lives worldwide. How-ever, increased availability of COVID-19 vaccines has provided an
opportunity to increase survival rates. Willingness to receive a COVID-19 vaccine has
seen fluctuations in the United States. Key pivotal shifts have been due to increasing
accessibility of COVID-19 vaccines and public knowledge of how COVID-19 vaccines work,
largely influenced by both the spread of information and misinformation. This study
exam-ined patterns between COVID-19 vaccine knowledge and willingness to receive a
COVID-19 vaccine in southern California residents over 18. Responding to an online
survey, participants (n = 77) reported demographic information (including vaccine
status), rated their willingness to receive the vaccine based on social pressures and
perceived safety. Participants also answered questions about their individual and
perceived vaccine knowledge. Data were analyzed using Pearson’s r. In support of the
hypotheses, participants with higher levels of vaccine knowledge and greater perceived
threat of COVID-19 were more willing to receive a vaccine. However, perception of
vaccine knowledge was not significantly correlated with vaccine willingness or actual
vaccine knowledge. Our findings add further understanding of factors that influence
willingness to receive the COVID-19 vaccine. The results can inform researchers, policy
makers, and the general public, furthering progress toward sufficiently immunizing the
American population against COVID-19.
The Impact of Personality on College Student Connectedness, Course Satisfaction,
and Mental Well-Being
Authors:   Lorain County Community
            College, Baker Alyssa , Card Jillian , Foust Michelle , Jordan James
Published: October 2023

The adaptability of college students during the academic paradigm shift caused by
the COVID-19 pandemic is important to investigate in order to understand how we can
encourage positive and healthy experiences for students. This study focused on analyzing
the relationships between personality traits (extroversion, openness to experience,
shyness) and college connectedness, course satisfaction, mental well-being, and desire
to be more connected to college. Participants included 209 randomly selected students
aged 18 years or older recruited from a community college in the Midwest. Participants
completed a 150-item self-report survey in March 2022 that assessed the variables using
standardized measures. As expected, correlational analyses found that extraversion had a
significant positive relationship with college connectedness and mental well-being.
However, we did not find significant relationships between extraversion and course
satisfaction or desire to be more connected. Consistent with our hypothesis, openness
had a significant positive correlation with each of the variables but was assessed
cautiously due to a low alpha level. As expected, shyness had a significant negative
correlation with college connectedness, course satisfaction, and mental
well-being-being, but not with desire to be more connected. In studying personality as a
static trait, we can better understand that extraverted, open, and shy individuals tend
to maintain levels of college connectedness, satisfaction, and mental well-being even
when unexpected turmoil (e.g., a pandemic) occurs. Future research can investigate how
educators can adjust the culture of their courses to accommodate personality variation
among students and develop personality-specific ways to strengthen the adaptability of
college students.
Honor Students Serve as Peer-Teachers to Implement the Introductory Psychology
Initiative
Authors:   Irvine Valley
            College, Dhindsa Hartrisha , Rudmann Jerry
Published: October 2023

Our department has developed a unique way to support APA’s Introductory Psychology
Initiative (IPI) (Rudmann et al., 2022). Advanced students, all Psi Beta honor students,
train and deliver supplemental instruction to introductory psychology students.
Supplemental instruction includes lessons covering evidence-based study skills and
applications of basic scientific concepts to topics of interest to students. The
scientific concepts align with material presented in most introductory psychology
courses (Becker-Blease et al., 2021; Stevens et al., 2016). Several forms of
instructional delivery are used: In class presentations, live presentations via Zoom, or
on-demand interactive web presentations using the PlayPosit platform. A comprehensive
assessment plan gauges the supplemental instruction’s impact on student outcomes: Course
SLOs, a pre- and post-presentation assessment battery, and longitudinal tracking of the
academic progress of the introductory psychology students. In addition, our Psi Beta
student presenters benefit from participating in a combined service and research
project. Preliminary results indicate improved learning, but more comprehensive
evaluation research is planned to overcome limitations of the current study.
Does a Sleep Workshop Reduce Student Stress?
Authors:   Bellevue College, MacDonald Andra
Published: October 2023

Increasing mental illness among college students continues to be a critical issue.
College life is often a time of great transition, contributing to and exacerbating
students’ rising stress, anxiety, and other mental health struggles. Poor sleep habits
may develop during college, and poor sleep quality can amplify stress. To explore how
institutions might help students struggling with stress, we conducted this study to
examine whether a sleep-focused workshop would reduce stress levels in students at a
Pacific Northwest community college. We generated an online pre- and post-workshop
survey consisting of the Beck Anxiety Inventory, the Perceived Stress Scale (PSS), and
the Sleep Quality Scale, which was distributed to participants before and after a sleep
workshop presented by the college’s psychology department. It was hypothesized that (1)
poor sleep quality correlates to higher student stress levels, and (2) that the sleep
workshop intervention would reduce stress levels. Sleep quality and stress were found to
be moderately negatively correlated be-fore the workshop, r(57) = -.482, p < .001,
and after the workshop, r(40)= -.500, p < .001. Additionally, there was a
statistically significant decrease in stress after the workshop (M = 26.50, SD = 7.91)
compared to before the workshop (M = 28.77, SD = 7.41), t(56) = 29.33, p < .001.
These results provide more insight into the utility of sleep workshops for students and
whether they can help students manage stress and im-prove their sleep quality,
potentially improving student mental health by lowering stress and improving quality of
life and education overall.
Sleep and Experiences of Stress on College Campuses: Evaluating Effectiveness of a
Sleep Wellness Workshop
Authors:   Bellevue College, Martin Tristan
Published: October 2023

Researchers suggest that college students experience especially elevated levels of
stress and notoriously poor-quality sleep. To address this, many schools provide
wellness workshops designed to increase awareness and educate students on topics such as
healthy sleep habits, stress management tips, and ways to avoid burnout. While the aim
of these workshops is to improve students’ well-being, are they successful, and are
students experiencing a measurable benefit from attending? This study assesses whether a
sleep-focused wellness workshop improved students’ sleep quality and reduced their
perceived stress levels. To evaluate the effectiveness of these methods, we hosted a
sleep-focused wellness workshop open to all registered students and measured pre- and
post-workshop perceived stress, anxiety, and sleep quality. The online pre- and
post-surveys contained forty-six questions, consisting of demographics, the Perceived
Stress Scale, modified versions of Beck’s Anxiety Inventory, and the Sleep Quality
Scale. We hypothesized that students who learn about better sleep habits by attending
the sleep-focused wellness workshop would experience a reduction in their perceived
stress and anxiety along with better overall sleep quality two weeks after
participating. We hoped that the methods being taught were effective and that students
effectively incorporated what they learned into their daily lives. This study found that
attending a wellness workshop reduced students’ levels of perceived stress and anxiety
but had no effect on sleep quality. These findings provide confirmation that student
support initiatives are an effective way of helping students manage stress and anxiety
in college, even when the intervention is limited to a one-hour virtual wellness
workshop. Future research should assess if offering more robust interventions yields a
greater positive effect on students’ well-being.
HUBUNGAN PAPARAN POLUSI UDARA DI DALAM RUMAH DENGAN KEJADIAN INFEKSI SALURAN PERNAPASAN AKUT(ISPA) PADA BALITA DI DESA SUMBER MULYA UPTD PUSKESMAS SUMBER MULYA KABUPATEN MUARA ENIM
Authors: Sari Putri Mayang , Yansyah Eka Joni
Published: October 2023

SPA merupakan penyakit yang masih terdapat di beberapa negara berkembang dan juga negara maju dikarenakan angka kematian yang disebabkan oleh ISPA terus meningkat. Jenis penelitian yang digunakan adalah desain penelitian Cross Sectional Populasi seluruh ibu balita yang berusia 1-5 tahun yang berada di desa Sumber Mulya yaitu 250 balita, sampel dalam penelitian ini berjumlah 154 sampel. Analisa univariat menunjukan 154 responden 54 (35,1%) balita yang menderita ISPA , balita yang tidak menderita ISPA 100 (64,9%). 56 (36,4%) responden dengan kebiasaan meroko di dalam rumah , kebiasaan tidak meroko di dalam rumah 98 (63,6). 65(42,2%) responden dengan kebiasaan menggunkan obat nyamuk bakar, kebiasaan tidak menggunkan obat nyamuk bakar 89 (57,8%). 60 (39,0%) responden dengan membakar sampah di sekitar lingkungan rumah, tidak membakar sampah di sekitar lingkungan rumah 94(60,0%).  Analisa Bivariat menunjukan  hasil uji Chi-square diperoleh p value 0,000 berarti bahwa ada  hubungan yang bermakna antara kebiasaan merokok di dalam rumah dengan kejadian ISPA pada Balita. p value 0,000 berarti bahwa ada hubungan yang bermakna antara kebiasaan menggunakan obat nyamuk bakar dengan kejadian ISPA pada Balita. p value 0,001 berarti bahwa ada  hubungan yang bermakna antara kebiasaan membakar sampah di lingkungan rumah dengan kejadian ISPA pada Balita. Dari hasil analisa di simpulkan bahwa tergapat hubungan yang bermakna  antara kebiasaan merokok di dalam rumah, kebiasaan menggunakan obat nyamuk bakar dan kebiasaan membakar sampah di lingkungan rumah dengan kejadian ISPA pada balita.
The Effect Of Cognitive Apprenticeship Enriched Argument-Driven Inquiry Method On Pre-Service Teachers' Academic Achievement And Scientific Research Skills
Authors: KAÇAR Sevinç
Published: October 2023

This study aimed to determine the effect of cognitive apprenticeship enriched argument-driven inquiry method on pre-service primary teachers’ academic achievement and scientific research skills about environmental issues/problems. The study was conducted with 24 1st-grade pre-service primary teachers from the Primary Teacher Department of a private university in Northern Cyprus. The study is conducted mixed-methods research design. The data collection tool used in this research is an academic achievement test, open-ended question form for transferring knowledge to daily life, and students' video/photo, reflective diary protocol, scientific research proposal-article-poster, and Moodle discussion contents. The research found that pre-service teachers' academic achievement and scientific research skills improved. According to this result, it can be said that cognitive apprenticeship enriched argument-driven inquiry improved pre-service teachers' academic achievement related to the Environmental Education Course and their scientific research skills related to environmental topics and concepts.
Emotion-Focused Communication Training on Assertiveness Levels of Counselor Candidates: A Mixed Design Study
Authors: METE OTLU Bahar
Published: October 2023

In this study, the effect of Emotion-Focused Communication Training (EFCT) developed by the researcher was examined on the assertiveness levels of counselor candidates. The study has a mixed design because it includes quantitative and qualitative dimensions. In the quantitative dimension of the study, a quasi-experimental design with a pretest-posttest control group was used. The experimental group of the study consisted of 12 (7 female, 5 male) counselor candidates studying at Dokuz Eylül University, Buca Faculty of Education, Psychological Counseling and Guidance undergraduate program; the control group consisted of 12 (8 female, 4 male) counselor candidates studying in the same department and not included in the experimental group. The Voltan-Acar Assertiveness Scale was used to measure the assertiveness levels of counselor candidates. The quantitative data of the study were analyzed using the SPSS program. In addition, a semi-structured interview form developed by the researcher was used to determine the views of the counselor candidates on the training. The qualitative data of the study were analyzed using the content analysis technique. As a result of the study, it was found that the EFCT led to a significant increase in the levels of assertiveness of counselor candidates. In the study, the counselor candidates' opinions about the effects of the EFCT were that the training contributed positively to their communication skills, awareness of communication, and assertiveness levels.
Employee Perceptions on the Implementation of Talent Management at PT Pegadaian Office Region VIII Jakarta
Authors: Ardhani Hani Rahma , Indriati Fibria
Published: October 2023

PT Pegadaian Regional Office VIII Jakarta is an organization that is committed to managing its internal talent well. However, to ensure the effectiveness of this program, it is important to evaluate employee perceptions of talent management implementation. This research aims to describe employee perceptions regarding the implementation of talent management in this regional office. This research uses a qualitative approach. Data collection techniques in this research were carried out using interviews and a literature study. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation, and conclusion. The research results show that employees of PT Pegadaian Regional Office VIII Jakarta generally have a positive perception of the implementation of talent management. Employees assess that the implementation of talent management in this regional office has helped them to improve their skills and knowledge, helped employees to develop their careers, and helped employees to contribute better to the organization. However, several things need to be improved regarding the implementation of talent management, including communication about the implementation of talent management that needs to be improved, the talent selection and development process needs to be optimized so that the right employees can be identified and developed, and the evaluation and compensation system needs to be integrated with the implementation of talent management so that employee performance can be measured and rewarded more effectively.
“Feminism Passed Her By”: A Feminist Critique on Penelope Lively’s Moon Tiger and The Photograph
Authors: Yu Shuiqing , Gong Yilin
Published: October 2023

Penelope Lively is a female British novelist whose novel Moon Tiger won the Booker Prize in 1987. Scholar Mary Moran argued that Moon Tiger is “a feminist history”. Challenging this argument, this article analyzes the characterization and plot in Moon Tiger and The Photograph, arguing that the two novels do not show enough feminist consciousness, but convey the support for male hegemony and misogyny complex instead.
THE EFFECT OF GENDER ROLE ATTITUDES ON THE NUMBER OF CHILDREN AND CHILD GENDER PREFERENCE
Authors: KORUK Fatma , BEYAZGÜL Burcu , KORUK İbrahim
Published: October 2023

Fertility is a biological phenomenon for reproduction, yet it is influenced by cultural and social values. Therefore, to examine health problems related to high fertility in a society, it is necessary to determine the fertility-related behaviors and attitudes of that society. This research was conducted to determine the effect of gender roles attitude on the number of children and child gender preference. The sample of this descriptive study consisted of 101 women who were born and had spent most of their life in Şanlıurfa, who were married and had not yet reached menopause were included in the study. The data were collected by face-to-face interview method through the Data Collection Form and the Gender Roles Attitude Scale. In the study, in terms of gender roles, 8.9% of women had a traditionalist and 91.1% of them had an egalitarian attitude. Also, it was determined that socio-cultural factors such as education, working status, family type and ethnicity affect women's attitudes towards gender role, while gender roles attitudes have an effect on the number of children and gender preferences. According to the research findings, women with traditionalist gender role attitudes had higher number of children and preference for male children.
Adölesanlarda Teknoloji Bağımlılığı
Authors: TİMUR Ahmet , METİN Salih , BAKIŞ Betül
Published: October 2023

Amaç: Bu çalışmanın amacı adölesanlarda internet bağımlılığı düzeylerinin ve ilişkili faktörlerin belirlenmesi, riskli gruplara psikososyal danışmanlık hizmeti verilerek öğrenci ve ailelerine internet bağımlılığı konusunda farkındalık eğitimlerinin düzenlenmesidir. Yöntem: Araştırmaya Nisan 2018 tarihinde Bursa Ticaret ve Sanayi Odası (BTSO) Eğitim Vadisi Okulları'nda eğitim gören adölesan yaş grubu öğrencilerinde başlanmıştır. BTSO Eğitim Vadisi Okulları'nda öğrenim gören 2452 adölesan öğrenciye ulaşmak hedeflenmiştir. Devamsız öğrenciler, iki kez görüşmeye gidilip ulaşılamayan öğrenciler ve çalışmaya katılmayı kabul etmeyen öğrenciler nedeniyle 2107 öğrenciye yüz yüze anket uygulanmıştır. Çalışmada veri toplama aracı olarak 2 bölümden oluşan anket formu kullanılmıştır. Birinci bölüm sosyo-demografik değişkenlerden, ikinci bölüm geçerlilik ve güvenilirlik çalışması Kayri ve ark. tarafından yapılan ‘’İnternet Bağımlılık Ölçeği’’ kullanılmıştır. Bulgular: İnternet bağımlılığı ile ilişkili faktörler; öğrenim gördüğü lise türü, persentil değeri, yaş grubu, günlük internet kullanım süresi ve kişisel cep telefonuna sahip olma olarak bulundu (p0.05).Sonuç: Literatürle benzeşen birçok bulgumuza rağmen literatürden farklı bulduğumuz bulgularımızı anlamlandırmaya çalıştık. Birçok neden ortaya atılsa da ulaşılabilirliğin artığı ve küreselleştiğimiz günümüzde elimizdeki küçük bir telefonla bir mesaj ile kıtalar arası haberleşmenin, aklımıza gelenin soracağımız başucu kitaplığı gibi olan arama motorlarının ve belki de birçok kolaylığı hayatımıza sokan internetin de birçok madde gibi patolojik kullanımının yol açacağı hastalıkları yakın gelecekte göreceğiz. Bu bağımlılığın şiddete eğilimi, asosyal, antisosyal davranışları tetiklediği çeşitli ruhsal hastalıklara zemin hazırladığı düşünülecek olursa koruyucu hekimliğin temeli olan aile hekimliği ve halk sağlığı branşlarının bu konu üzerinde fazlaca düşünmesi ve çözüm önerileri getirmeye çalışması yararlı olacaktır.
Abnormal Expression of miRNA in Women with Polycystic Ovary Syndrome (PCOS)
Authors: TOPKARAOĞLU Sude , HEKİMOĞLU Gulam
Published: October 2023

Polycystic ovary syndrome (PCOS) is a debilitating endocrine and metabolic disorder that affects a large proportion of women in their reproductive years. It differs by a range of symptoms including polycystic ovary appearance, hyperandrogenism, chronic anovulation, insulin resistance, and obesity. Despite years of research, the exact cause of PCOS remains elusive, but recent studies have suggested that epigenetic mechanisms may play a significant role in its pathogenesis. Of particular interest are micro-RNAs (miRNAs), short non-coding RNAs that are transcribed from DNA but not translated into protein. Recent research has demonstrated that abnormal expression of miRNAs is present in PCOS and may contribute to the development and progression of the disease. This review aims to provide an in-depth analysis of the current knowledge and challenges related to abnormal miRNA expression in PCOS, shedding light on a potential avenue for targeted therapies and improved management of this debilitating condition. The review summarizes the findings from various studies that have investigated the role of miRNAs in PCOS. It discusses the specific miRNAs that have been found to be dysregulated in PCOS and their potential impact on the pathophysiology of the disease. The review also highlights the challenges associated with studying miRNAs, including the complexity of their regulation and the need for standardized methodologies for miRNA profiling. Based on the available evidence, abnormal expression of miRNAs appears to be a significant contributor to the development and progression of PCOS. Targeting these dysregulated miRNAs could offer new therapeutic strategies for the management of PCOS. Biomarkers and gene therapies associated with miRNA may improve the accuracy and effectiveness of PCOS diagnosis and treatment. However, further research is needed to fully understand the functional roles of specific miRNAs and their potential as diagnostic or therapeutic targets.
Conservative Management of Large Vertex Extradural Hematoma: A Case Report
Authors: TUNÇ Bekir , ÇAĞIL Emin , GUNERHAN Goksal , IŞITAN Egemen
Published: October 2023

Vertex extradural hematomas may be missed when axial section brain computed tomographic scans are used alone for diagnosis. Conservative treatment may be preferred in such patients when actualized the essential conditions. A 24-year-old mentally retarded male patient was admitted to the emergency department with a history of falling from the same level and head trauma. Neurological examination and axial cross-sectional brain computed tomography performed in the emergency room were evaluated as normal, and the patient was discharged. Vertex extradural hematoma adjacent to the bone fracture was diagnosed with axial, coronal and sagittal reconstructed brain computerized tomography sections of the patient who came back with headache complaint 2 days later. Despite the difficulties in neurological examination due to mental retardation, surgical treatment was not planned with very close neurological examination. The patient was followed up in the neurosurgery intensive care unit for 2 days and in the neurosurgery service for 7 days. He was discharged because there was no abnormality in his neurological follow-ups and no increase in hematoma size. In the first outpatient follow-up, one month later, the hematoma was completely resorbed. The patient was treated conservatively with close conscious and neurological examination follow-up. In order not to miss vertex extradural hematomas in the brain computed tomography performed in patients presenting to the emergency department with head trauma, coronal and sagittal sections should be reconstructed in addition to axial sections. Conservative treatment can be preferred if vertex extradural hematomas are neurological examined closely, no motor deficits and there is no increase in hematoma size in control imaging.
Indirect Tax and Economic Growth
Authors: Sushma Rayamajhi
Published: October 2023

The study investigates the empirical relationship between indirect taxes and economic growth in Neal. For estimation, the annual time series data (1975 to 2022) was used. The main purpose of the research is to find the long-run and short-run relationship between indirect taxes and economic growth. Augmented Dickey fuller unit root tests were used to check the stationarity of every variable in the study. Auto Regressive Distributed Lag (ARDL) bounds testing approach for co integrations (developed in 2001) was applied to estimate the long-run and short-run relationship among the variables. Indirect taxes have negative and significant effect on economic growth in long-run while its coefficients in short-run were insignificant.
Perceptions of Education Students on Philippines to Pursue a Renewable Energy Program
Authors: D. Dalogdog Carlo Anthony , Cunado Joy , Dacles Danieza Khan
Published: October 2023

This study attempts to investigate how college students studying science perceive renewable energy initiatives. The phenomenology approach was used to perform this qualitative investigation. The six participants in the in-depth one-on-one interview were chosen on purpose. To ensure the subjects' rights and privacy, the researchers sought their informed consent. With the participants' consent, the interview was audio recorded, and notes were taken during it for record-keeping purposes. The responses were collated, verbatim transcriptions of the data were made, and a thematic analysis was done on the responses. The perceptions, challenges, and insights of the science education college students are the nine themes that emerge from the data analysis. The government and energy company stakeholders are helped by the participants' shared accounts of their experiences in raising awareness of why there is a need to improve renewable energy programs and policies. Finally, implications were indicated about what measurements were needed to formulate in order to address the renewable energy policy concerns
Het verhaalsrecht van de WAM-verzekeraar
Authors: Schellevis R.J.
Published: October 2023

Het verhaalsrecht van de WAM-verzekeraar

In de polisvoorwaarden van een WAM-verzekeraar staan veelal meerdere uitsluitingsclausules opgenomen, zoals de veel voorkomende alcoholclausule. De WAM-verzekeraar mag dergelijke dekkingsuitsluitingen echter niet aan benadeelden tegenwerpen. Dat heeft tot gevolg dat een WAM-verzekeraar verplicht kan zijn om schade te vergoeden, terwijl deze schade niet onder de bij hem gesloten verzekering is gedekt. Deze schade kan de WAM-verzekeraar onder bepaalde voorwaarden op zijn verzekerde proberen te verhalen. In dit artikel wordt toegelicht onder welke voorwaarden de WAM-verzekeraar verhaal kan nemen op zijn verzekerde.
任务型教学法在初中英语阅读教学的应用—以人教版九年级英语“From Shy Girl to Pop Star”的阅读课教学设计为例
Authors: 王 田
Published: October 2023

任务型教学法是指教师通过引导学生在课堂上完成任务来进行教学，强调“做中学”的教学方法。本文通过以人教学九年级英语“From Shy Girl to Pop Star”阅读教学设计为例，分析了任务型教学法在英语阅读教学中的应用方法与过程，进一步探索提高学生英语阅读学习能力的有效方法，更好将任务型教学法贯彻到初中英语阅读教学中去，使学生明确他们需要完成的任务，通过任务驱动学生完成阅读，利于激发学生对阅读的动力，强化学习的兴趣和动力以达到有效利用教学方法和教学资源。
Constraining the 3-D Geometry of Fold-Thrust Belts Using Section Balancing vs. 3-D Interpolative Structural and Probabilistic Modeling
Authors:   Geological Institute, RWTH Aachen University, Aachen, 52062, Germany, Frings Kevin , von Hagke Christoph , Wellman Florian , Heim Elisa , de la Varga Miguel , Ortner Hugo , Luijendik Elco
Published: October 2023

Quantitative uncertainty analysis, 2-D and 3-D modeling of the subsurface, as well as their visualization form the basis for decision making in exploration, nuclear waste storage and seismic hazard assessment. Methods such as cross-section balancing are well established and yield plausible kinematic scenarios. However, they are based on geological data with errors and subject to human biases. Additionally, kinematic models do not provide a quantitative measure of the uncertainty of structures at depth. New 3-D modeling approaches have emerged that use computational interpolation, which are less dependent on human biases. Probabilistic extensions enable the quantification of uncertainties for the modeled structures. However, these approaches do not provide information on the time evolution of structures. Here, we compare classical cross-section balancing (2-D, kinematic modeling) with 3-D computational modeling to pave the way towards a solution that can bridge between these approaches. We show the strengths and weaknesses of both approaches, highlighting areas where probabilistic modeling can possibly add quantitative structural uncertainty information to improve section balancing. On the other hand, we show where probabilistic modeling still falls short of being able to cover the observed geometric complexities. We ultimately discuss how a workflow that iteratively combines results of the approaches can improve structural and kinematic constraints. As an example, we use the fold-and-thrust belt of the northern Alpine Foreland, the so-called Subalpine Molasse, focusing on the Hausham Syncline (Bavaria) and adjacent areas. We take advantage of the fact that here the stratigraphy as well as the tectonic history are well constrained. We show that shortening within the syncline progressively increases from west to east, independent from structural uncertainties. Two equally viable models can explain this. First, strain in the west is accommodated underneath the syncline in a triangle zone that progressively tapers out, or second, the strain difference is accommodated in more internal units. This highlights the importance of introducing uncertainty modeling also in kinematic restorations, as it enables identifying key regions, where different hypotheses can be tested.
A Tale of Two Viruses: Seroepidemiological and a Cross-Sectional Insights into HIV/HBV Coinfection in Selected Hospitals in Rivers State, Nigeria
Authors:   Virus & Genomics Research Unit, Department of Microbiology, University of Port Harcourt, Choba, Port Harcourt, Rivers State, 500102 Nigeria., Mercy Elenwo , Phillip O. Okerentugba ,   Virus & Genomics Research Unit, Department of Microbiology, University of Port Harcourt, Choba, Port Harcourt, Rivers State, 500102 Nigeria., Nnenna Oketah Edith ,   Virus & Genomics Research Unit, Department of Microbiology, University of Port Harcourt, Choba, Port Harcourt, Rivers State, 500102 Nigeria., Okonko O. Iheanyi ,   Virus & Genomics Research Unit, Department of Microbiology, University of Port Harcourt, Choba, Port Harcourt, Rivers State, 500102 Nigeria.
Published: October 2023

Background: Hepatitis B virus (HBV), a circular DNA virus with humans serving as the only reservoir, remains a worldwide public health problem. The similarity in transmission routes for HBV and HIV makes co-infection very common. Thus, this study aimed at unveiling the seroepidemiological patterns of HBV coinfections among HIV-infected individuals in some selected hospitals in Rivers State, Nigeria. Materials and methods: A cross-sectional study was conducted on 350 HIV-infected individuals attending ART clinics at selected hospitals in Rivers State, Nigeria. Sociodemographic data were collected based on interviewer-based questionnaire, and clinical history was obtained from participants' medical records. Serological analysis for HBsAg was done using ELISA method. Results: Of the 350 HIV-infected patients, 9(2.6%) were positive for HBsAg. The majority of HIV/HBV coinfected participants were in age groups >41 (3.7%), females (2.9%), singles (3.0%), tertiary education holders (3.5%), and business owners (1.1%) as shown in Table 1. Furthermore, immunological and virological markers analysis revealed that HBV seropositivity is more common with patients having CD4 count of 350-499 cells/mm3 (6.2%) and viral loads as target not detected (TND) with 5.4%. Conclusion: This study observed an HIV/HBV coinfection rate of 2.6% which has further confirmed the persistence of HIV/HBV co-infection in Rivers State, Nigeria. Ongoing and persistent public health interventions among the study population are thereby advocated.
Experience in the use of endovenous methods and cell technologies in the treatment of patients with chronic venous insufficiency C6
Authors: Savoliuk Sergii , Dembitskyi Andrii
Published: October 2023

Introduction: Severe forms of chronic venous insufficiency (CVI) CEAP C3–C6 occur in 17–20% of all CVI cases among adults.

Aim: The aim of this study was to compare the standard treatment of CVI C6 with endovenous methods and cellular technologies.

Materials and methods: Group I consisted of 28 patients with trophic ulceration treated using modern wound coverings, cell technologies and minimally invasive operations. Group II had 42 patients with trophic ulceration who underwent crossectomy with stripping of the trunk of the target vein and local treatment with “standard” ointments. The results of the treatments were evaluated using the Venous Clinical Severity Score (VCSS), the Numeric Pain Rating Scale (NPRS), and ulcer healing time.

Results: After 1 month, the VCSS scores were 13.8 2.3 and 16.4 3.3 points in Groups I and II, respectively; after 3 months, they were 10.2 2.1 and 13.6 2.4 points. VLU was healed in 20 (71.43%) and 16 patients (38%) after 3 months in Groups I and II, respectively; in 26 (92.86%) and 30 patients (71.43%) after 6 months; and in 28 (100%) and 40 patients (95.24%) after 12 months. After 1, 3, and 6 months, occlusion of the target segment was achieved in 14 patients (100%) of Group I. NPRS was significantly lower in Group I. The hospital stay in Group I was 8.2 2.4 days, while for Group II it was 14.5 3.8 days.

Conclusions: The use of modern wound coverings, platelet-rich plasma (PRP), and negative-pressure wound therapy (NPWT) reduced the period of preoperative preparation and sped up the stage of cleaning and healing of VLU compared to conventional wound coverings in patients with CVI C6.
Selected factors affecting the rate of reduction of body weight components during the first six months after bariatric surgery: A cohort study
Authors: Iljin Aleksandra , Antoszewski Bogusław , Szewczyk Tomasz , Sitek Aneta
Published: October 2023

Aim: To determine whether the rate of slimming following bariatric surgery depends on the sex, type of bariatric surgery, time elapsed since surgery or body weight components.

Materials and methods: The material is comprised of the results of three series of anthropometric measurements in 91 obese patients (before bariatric surgery, about 3 months after bariatric surgery and about 6 months afterwards). The inclusion criteria were patients of Polish origin admitted to the hospital from July 1, 2017 to January 31, 2019 for surgical treatment of obesity and written consent for the surgery and participation in the study. The measurements included body weight components assessed by bioelectrical impedance analysis.

Results: The reduction of all features was greater after SG than GB (p<0.0001), greater in the first quartile than in the second quartile after surgery (p<0.0001), and higher for fat mass than for other body weight components (p<0.0001). The sex of the patients, type of bariatric surgery, time elapsed since the operation, and type of body weight component constituted interactive modifiers of the rate of reduction.

Conclusion: After bariatric surgery, the reduction of fat mass was quicker in men than in women. SG and RYGB lead to a greater reduction of fat mass than GB. Among all three analyzed procedures, only for SG did the rate of body weight component reduction not decrease in the second quartile after surgery. This finding should be taken into account when creating an algorithm for treating a patient after bariatric surgery
Tumoral pseudoangiomatous stromal hyperplasia (PASH) of the male breast: A systematic analysis
Authors: Salati Sajad Ahmad , Sulaiman Alsulaim Lamees , Elmuttalut Mohammed Ahmed , Alfehaid Mohammed , Ahmad Alsuwaydani Saleh
Published: October 2023

Aim: The study was conducted to systematically analyze the recent peer-reviewed literature related to tumoral pseudoangiomatous stromal hyperplasia (PASH) in males.

Materials and methods: Articles published in peer-reviewed journals of repute from 2012 to 2023 were evaluated for eight variables: 1) the age of the patient, 2) clinical presentation, 3) laterality (unilateral or bilateral), 4) associated breast disorder, 5) the presence of systemic co-morbidity, 6) imaging modalities aiding diagnosis, 7) treatment, and 8) recurrence.

Results: There were 10 patients ranging in age from 1 year to 67 years (mean: 34.5 years). In 8 cases (80%), there were breast lumps; in 2 cases (20%), there were axillary lumps at presentation. Pain was not a prominent symptom. Six patients (60%) had another breast disorder at presentation and 3 (30%) had significant systemic co-morbidities, including diabetes and renal insufficiency. The greatest dimension of the lumps ranged from 2 cm to 12 cm, with 80% of the lumps being below 5 cm in size. Imaging modalities utilized in evaluation included breast ultrasound (USG), mammograms, computerized tomography (CT), and magnetic resonance imaging (MRI). All the cases were treated surgically, and the final diagnosis was made only after the analysis of the surgical specimen. Recurrence was recorded in 2 (20%) cases.

Conclusions: Tumoral PASH is a benign myofibroblastic proliferation disorder rarely reported in males. This condition should be considered a differential diagnosis of breast or axillary lumps, and an evaluation should be initiated accordingly. The recommended course of treatment is adequate surgical excision with regular clinical and radiological follow-up.
Endoscopic finding versus CT nose and paranasal sinuses appearance in chronic rhinosinusitis: A comparative study
Authors: Dawood Mohammed Radef , Hamad Abbas , Hussien Mohanad
Published: October 2023

Background: Chronic rhinosinusitis (CRS) is a common disease encountered in otorhinolaryngology field, however, there is no consensus about its definitive diagnostic method. Nasal endoscopy and sinus CT scan are successfully used as diagnostic modalities. Aim: To evaluate the correlation between nasal endoscopy as compared to sinus CT in CRS diagnosis. Material and methods: A prospective randomized study, in which, 80 patients attended outpatient ENT clinic, from March 2018 to April 2019, whom met the diagnostic criteria of CRS guidelines, were recruited, and the diagnostic modalities were; nasal endoscopy using Lund-Kennedy scoring system, followed with sinus CT scan using Lund-Mackay scoring system within 1 week. Both modalities were compared, with focus on pathological findings, as well as, the specificity, sensitivity, positive predictive value and negative predictive values, in addition, to the anatomic variations data. All the above-mentioned respective parameters were statistically analyzed. Results: Nasal obstruction (92.5%), maxillary sinus (82.5%) with mucosal thicken opacity (83.75%) by CT scan, and muco- -purulent middle meatus discharge (73.75%) by nasal endoscopy. The association between diagnostic endoscopy and CT scan had P value = 0.001 by Student-t-test, and r = 0.734 by Pearson`s correlation coefficient. Diagnostic accuracy of nasal endoscopy was 95%, sensitivity was 91.6 % (95% CI 87.38–93.67%), specificity was 88.3% (95% CI 85.91–89.59%), while positive predictive value 81.7% and negative predictive value was 79.87%. Conclusion: Strong and statistical correlation between the nasal endoscopic and sinus CT findings, also between nasal obstruction symptom and nasal endoscopy, while, no significant difference on anatomical variants data.
Contralateral laryngeal reinnervation in the patient with the right-sided vocal cord paralysis – case-report
Authors: Szczepanek Elżbieta , Banaszek Łukasz , Szczepanek Małgorzata , Rudzińska Monika , Niemczyk Kazimierz
Published: October 2023

Introduction: Paralysis of the nerves supplying the larynx leading to the vocal fold paralysis may have iatrogenic, proliferative, idiopathic or post-traumatic etiology. The most common etiology is iatrogenic, including a complication of the removal of paraganglioma tumors. One of the therapeutic options for vocal cord paralysis in the course of nerve damage is reinnervation of the larynx. One of the most frequently used reinnervation techniques is the anastomosis of the recurrent laryngeal nerve with the cervical ansa, usually ipsilateral or, less often, contralateral. Case presentation: The description concerns a 41-year-old patient with right-sided laryngeal paralysis after removal ofa paraganglioma of the parapharyngeal space, the area of the jugular foramen and the skull base who underwent laryngeal reinnervation using a contralateral cervical ansa. Conclusion: Laryngeal reinnervation procedure involving anastomosis of the recurrent laryngeal nerve with the contralateral cervical ansa allows recovery of the vocal fold function in a situation when the ipsilateral cervical ansa is damaged. This reinnervation involves taking a much longer section of the cervical ansa than in cases of ipsilateral reconstruction. Moreover this method requires creating a tunnel under the prelaryngeal muscles and passing the cervical ansa over the trachea or larynx.
The effect of comorbidities on the clinical profile and outcomes of surgery for carpal tunnel syndrome
Authors: Żyluk Andrzej , Żyluk-Gadowska Paulina , Ceruso Massimo
Published: October 2023

Introduction: The results of some studies show that predictors of less favourable outcomes of surgery for carpal tunnel syndrome might include the presence of comorbidities, such as diabetes and thyroid gland diseases. The role of these factors has not been clearly determined, but in most trials the patients burdened with comorbidities conducive to CTS are excluded from the analysis.

Aim: The aim of this study was to investigate the effect of concomitant diseases on the clinical profile and outcomes of surgery for carpal tunnel syndrome.

Material and methods: The study group consisted of 1117 patients – 909 women (81%) and 208 men (19%) – at a mean age of 63 years. A total of 972 patients (87%) declared having at least one comorbidity, whereas 145 patients (13%) declared no comorbidities. The measurements were performed preoperatively and at 6 months postoperatively; they included pain intensity, total grip and key-pinch strength, digital sensibility and hand function with Levine’s questionnaire.

Results: At baseline, the patients with comorbidities had significantly worse digital sensiblility, weaker total grip strength and greater functional impairment of the hand, but only grip strength reached the minimal important difference (3.5 kg). Carpal tunnel release resulted in significant improvement in the tested variables for all patients, although the outcomes at 6 months were less favourable for those with comorbidities with regard to digital sensiblility, total grip and pinch strength and function of the hand. All these differences were statistically significant, but only grip strength reached the minimal important difference (2.9 kg).

Conclusion: The results of this study show that comorbidities in patients suffering from CTS had a statistically and clinically significant negative effect only on the total grip strength pre- and postoperatively, and no significant effect on the outcome of surgery, which was satisfactory in all patients.
Brand Loyalty and Customer Retention Among Pharmaceutical Distributors in Lagos State, Nigeria
Authors: Godwin Patience Scholastical
Published: October 2023

Studies on brand loyalty posit that customers are motivated by factors external and internal to them. The former deals with items driven by brand makers and intermediate partnership; the latter is driven by cognitive and behavioral disposition. Against this backdrop, the study was conducted to examine moderating role of physician and pharmaceutical distributors in customer brand loyalty in Ikeja-Lagos. The study adopted descriptive survey, 25 sample size and qualitative method. Key informant interviews and semi structure interview were used as instrument of data collection. Study population consisted of middle class residents, who were brand customers, and pharmacy stores. Moderating role of physicians and brand customers in pharmacy stores were dominantly influenced by doctor’s prescriptions, history of illness, satisfaction and trust. Purchase intention of customers was driven by attachment and commitment to doctor’s brand prescription. Satisfaction predicted trust. Brand medicine which offered satisfaction was retained whether or not the price changed upward. Trust for brand depended on consistent satisfaction and this significantly predicted loyalty. Pharmacy distributors had little capacity to change purchase intention. Brand decision was predicted by moderating role of physician. This study recommended that the role of physicians should be mainstreamed in brand patronage in pharmaceutical distribution. Loyalty to brand was predicted by customer knowledge of efficacy in disease history. Physician intervention was valued by customers.
A FILOSOFIA POR TRÁS DA ENGENHARIA QUÍMICA: REFLEXÕES SOBRE DECOLONIALIDADE, TECNOLOGIA E ÉTICA
Authors: Moraes Sophia Schmitt , Santos Cleyton Pereira dos , Valim Ricardo
Published: October 2023

O artigo reflete a relação entre a Filosofia e a Engenharia Química, com foco na importância da reflexão filosófica para a compreensão da tecnologia e da ética na engenharia química. Através da análise de conceitos filosóficos como responsabilidade social, justiça distributiva, impacto ambiental e risco, o artigo busca contribuir para uma maior conscientização e comprometimento dos engenheiros químicos com o desenvolvimento sustentável e responsável da sociedade. Além disso, o texto discute a relação entre as ações da engenharia química, destacando a importância da consciência ambiental para com os resultados e como impactam na vida de quem depende desses recursos, os povos originários são citados como exemplos de impactados. O artigo conclui que a reflexão filosófica é essencial para uma prática mais consciente e responsável da engenharia química. A metodologia utilizada foi de investigação bibliográfica por meio do levantamento de artigos científicos disponibilizados na re
PENERAPAN MODEL PEMBELAJARAN KOOPERATIF TIPE STAD (STUDENT TEAM ACHIEVEMENT DIVISION) TERHADAP HASIL BELAJAR DALAM PEMBELAJARAN MATEMATIKA PADA MATERI PERBANDINGAN KELAS VII SMP
Authors: Patandungan Elisa Berlin , Pitoy Cori , Tumalun Nicky K
Published: October 2023

Permasalahan belajar yang dialami oleh siswa adalah kurang berkonsentrasi saat guru menerangkan materi. Guru masih kurang melibatkan siswa dalam kegiatan proses belajar mengajar. Tujuan penelitian ini adalah untuk mengetahui perbedaan hasil belajar siswa yang diajarkan dengan model STAD dan model Direct Instruction (DI) pada materi perbandingan.  Survei ini dilakukan di SMPN 8 Bitung pada tahun ajaran 2022/2023. Jenis penelitian yang digunakan adalah kuantitatif dengan rancangan posttest only control group design . Pemilihan sampel dipilih melalui hasil pretest dari ketiga kelas. Berdasarkan nilai pretest, kelas yang sama dan homogen adalah kelas VII A dan VII B. Melalui pengundian, kelas VII A sebagai kelas kontrol dan VII B sebagai eksperimen. Teknik pengumpulan data berupa test diakhir pertemuan. Hasil belajar diperoleh dari data hasil belajar siswa yang diperoleh dari ujian akhir (posttest) berupa test. Statistik penelitian dianalisis dengan menggunakan uji dua rata-rata (uji t) yang menunjukkan bahwa thitung=1,991 > ttabel=1,677 dengan H0 ditolak dalam  uji selisih dua rata-rata (uji-t) pada taraf nyata α = 0,05. Hal ini menunjukkan bahwa rata-rata hasil belajar siswa yang diajarkan dengan model pembelajaran kooperatif tipe STAD lebih tinggi dari rata-rata hasil belajar siswa yang diajarkan dengan model DI pada materi perbandingan