bluuebunny/crossref_metadata_2025 huggingface dataset:
Modern Methods of Psychological Work with Post-Traumatic Stress Disorder in Military Personnel
Authors: Gnezdilov G.V. , Shevchenko N.V.
Published: September 2024

The article describes the importance of psychological work with military personnel, primarily in the presence of post-traumatic stress disorder (PTSD) associated with participation in hostilities. A brief description of the causes and symptoms of PTSD is given. The main directions of psychological work with military personnel participating in hostilities are described. The topic of the qualifications of psychologists who come into contact with this complex issue in their professional activities is touched upon. The possibilities of various areas of psychological work with PTSD are discussed, including art therapy, cognitive behavioral therapy, aromatherapy, and others. Psychological work with PTSD in interaction with military personnel is described in the following main areas: directly during combat operations, in hospitals, and in rehabilitation centers. Psychodiagnostic techniques used in the detection of PTSD and the current condition of a servicemember are mentioned. Studies confirming the effectiveness of various methods and techniques of working with PTSD are described.
THE CONSEQUENCES OF VIOLENT AND NONVIOLENT BLACK LIVES MATTER PROTESTS FOR MOVEMENT SUPPORT
Authors: Olzak Susan
Published: September 2024

This study examines the effect of violent and nonviolent tactics in gaining support for social movements using information on protests by the Black Lives Matter (BLM) movement. The theoretical dispute over whether violence benefits or harms a movement remains unsettled, and the empirical evidence is inconclusive. Violence increases media attention and generates recognition of a movement and its goals, but violence also raises fears of instability and risks disapproval. This article aims to bring coherence to this debate by arguing that while violence can benefit a movement by emphasizing the contrast between peaceful and violent protesters, the costs associated with the use of violence ought to diminish support for a movement. The analysis that uses a hybrid model to analyze panel data from two national surveys finds evidence that both peaceful and violent BLM protests are associated with higher support for BLM, but they do not change individuals’ support over time.
PATRIARCHAL ERASURE AND MANUFACTURED PASSIVITY: ASYMMETRIC GOVERNMENT AND NEWS MEDIA ATTENTION TO PROTESTS IN CHINA
Authors: Cheng Linda Hong , Lu Yao , Zhang Han
Published: September 2024

Is media attention to protest events gendered, and what is the relationship between gender, media, and protest? Using novel big data from Chinese social media, Weibo, spanning 2010-2017, this study offers the first systematic analysis of gender bias in media selection and description of protests in China and establishes the “gender-protest-media triad.” In accounting for this gender bias, we distinguish between two types of media accounts on Weibo: government and news media outlets. The results indicate that women-majority protests, despite being more violent and risky, are less likely than men-majority protests to receive coverage in both government and news media outlets (media selection bias). Furthermore, when reporting on women-majority protests, government media sources tend to describe them as more passive than men-majority protests (media description bias). Our research establishes the “gender-protest-media triad”: (1) Women participate violently in protests as a reactive response to exploitation and marginalization; (2) Women's protests are disproportionately underreported and misrepresented in the media; (3) Such patriarchal media bias deprives women protesters of the public attention and resources necessary to pressure institutions for redress of their grievance. This triadic cycle is symptomatic of what we term the “paternalist stability model”: A mode of governance converging patriarchal logics with neo-Confucian stability maintenance, central to the maintenance of patriarchal hegemony in China and throughout the Sinosphere.
Pilates Üzerine Yapılan Bilimsel Çalışmaların Bibliyometrik Analizi
Authors: Özandaç Polat Sema , Aksay Ufuk Can , Tunç Mahmut , Göker Pınar
Published: September 2024

Pilates; konsantrasyon, güç ve hareketliliğe odaklanan 'Kontroloji' temeline dayanan bir yöntemdir. Bu çalışmanın amacı pilates ile ilgili yapılmış ya da pilatesin de içinde yer aldığı çalışmaların bibliometrik analizini yapmaktır. Bu amaç doğrultusunda Web of Science Core Collection veritabanından veriler alınarak VOSviewer görsel bilimsel haritalama yazılım progamında işlenmiştir. Program çıktısı olarak alınan bibliometrik veriler ile (ülke, kaynak, yazar, yayın, anahtar kelime, gibi) tablo ve bilimsel haritalara aktarılarak detaylı olarak analiz edilmiştir. Bu veriler ışığında Brezilya ve ABD’nin bu konuda yapılan bilimsel çalışmalarda öncü rol oynadığı görülmüştür. Ayrıca ‘rehabilitasyon’ alanında çalışmaların yoğunlaştığı görülmüştür. Yaptığımız bu bibliometrik analizin alanda çalışan klinisyenlere ve akademisyenlere hem mevcut durum hakkında bilgi vereceği hem de ileride yapılabilecek çalışmalar için yeni bakış açıları sunacağı kanısındayız.
Semiótica Social e Multimodalidade pelas lentes de Kress
Authors: Santos Záira Bomfante dos , Barbosa Vânia Soares , Gualberto Clarice Lage
Published: September 2024

Este trabalho traz uma discussão sobre Semiótica Social e Multimodalidade. Para tanto, fazemos um levantamento das principais obras que marcam o pensamento de Gunther Kress e colaboradores. Nesse sentido, ao revisitar suas obras, encontramos a presença de formulações teóricas de Michael Halliday (1978) que ancoram a visão sociossemiótica como escolha, interesse, signo motivado, todas funções que norteiam uma visão específica de linguagem e de gramática. No escopo da teoria, encontramos as contribuições do pensamento Kressiano sobre multimodalidade com interesse em explorar as formas de significação moderna. Assim, a partir desses princípios, apresentamos um conjunto de pesquisas que trazem reflexões do seu pensamento para os estudos da linguagem e comunicação.
Estátuas ou bailarinas?
Authors: Paiva Francis Arthuso
Published: September 2024

Este artigo possui pressuposto sociossemiótico e proprioceptivo. Do ponto de vista sociossemiótico, a prática comunicacional das pessoas consiste em ressignificar, mais do que criar originalmente. Ao mesmo tempo, existe má distribuição de recursos de linguagem motivada pelas relações desiguais de poder entre pessoas e classes sociais. Por isso, grupos com recursos escassos tendem a reproduzir práticas comunicacionais com os recursos mais disponíveis e que são compartilhados por mais pessoas. A ressignificação e a reprodução de recursos fazem com que as práticas comunicacionais se tornem hábitos. Do ponto de vista proprioceptivo, os hábitos são oriundos de atitudes formadas pelos músculos, provocadas pelas relações de força entre as pessoas e o mundo. Logo, este artigo apresenta como tese que uma prática comunicacional de ressignificação, ao se tornar hábito, pode ela mesma se tornar uma linguagem. Trata-se de artigo de desenvolvimento teórico, embasado em pesquisa bibliográfica, que busca síntese entre duas teorias. O objetivo é propor fundamentação para analisar a multimodalidade corporificada. O artigo sistematiza como práticas comunicacionais se tornam hábitos e propõe método de análise dessas práticas. Fundamentado nesse método, apresenta análise da linguagem dos manifestantes antidemocráticos pós-eleições brasileiras 2022. O resultado aponta para uma linguagem antigeocêntrica, da negação do corpo, do mundo e da vida, que emerge dos hábitos de ressignificação incorporados pelos manifestantes, cujo discurso é pautado no idealismo religioso, e o militarismo é sua consequência. A conclusão é que as próprias escolhas de design das práticas comunicacionais dos manifestantes são uma linguagem, pois são passíveis de produção de sentido.
Multimodalidade e a representatividade racial sugerida em E foi assim que eu e a escuridão ficamos amigas, do rapper Emicida
Authors: Gomes Francisco Wellington Borges
Published: September 2024

Sabe-se que a multimodalidade é uma característica inerente e todo e qualquer texto. Entretanto, em áreas como a literatura, ela ainda encontra obstáculos para ser reconhecida plenamente como portadora de significados e como objeto de apreciação estética, em parte por causa da cultura de enaltecimento do texto verbal escrito que perdurou durante boa parte da história dos estudos literários. Entretanto, novas perspectivas trazidas à tona pela efusão de textos que mesclam diversos modos semióticos, especialmente aqueles divulgados em meios digitais, têm indicado que o texto literário começa a ser visto com outros olhos. O mesmo pode ser dito em relação à adoção de uma perspectiva para a leitura do texto literário como uma ferramenta de conscientização social, empoderamento e de ação voltada para a solução de problemas, tais como o racismo e as desigualdades sociais ligadas à etnia. A partir dessas perspectivas, neste texto, apresentamos uma análise multimodal da obra infantil E foi assim que eu e a escuridão ficamos amigas, tanto em sua versão impressa quanto em sua versão audiovisual, para demonstrarmos que embora os enunciados verbais não apresentem explicitamente conotações ligadas à valorização da cultura negra, tais sentidos são expressos por meio da relação multimodal estabelecida entre textos verbais escritos, sonoros e visuais, entre outros. Ao final da análise, ainda sugerimos a transmodalidade (Bezermer; Kress, 2008), como um conjunto teórico adequado para a interpretação dos textos em tela.
Social-Semiotic Approach to Color Analysis in Digital Media
Authors: Matumoto André de Oliveira , Gonçalves-Segundo Paulo Roberto
Published: September 2024

This article aims to discuss the study of color from a social-semiotic perspective. The article begins with an overview of Gunther Kress and Theo van Leeuwen’s distinctive feature approach to color in their Grammar of Visual Design (2021) and concludes that the authors base their claims primarily on paintings and print media, which may skew the categories toward analog media. Drawing on color theory, mainly the contributions of Rhyne (2017), this article argues that social-semiotic analyzes can benefit from systematized and quantitative categories for color analysis, especially for digital media corpora. The article introduces several analytic categories, such as color harmony and the RGB color space, that are relevant to understanding how color works in digital spaces. The paper proposes the use of the free and open source software GIMP and ImageMagick for a qualitative and quantitative approach to the distinctive features of color and for a better understanding of the complexity of colors and their meaning potential. Based on these methodological procedures, the distinctive feature approach is revised with Rhyne’s contribution. Finally, the categories are applied to two stock images as a case study.
The history of post-Soviet Armenia through its political myths and symbols
Authors: Zolyan S.T.
Published: September 2024

We address the semiotics of conceptual shifts in the dominant discursive political and sociocultural practices of the Post-Soviet Armenia. The political history of independent Armenia is expressed through dominant political symbols and concepts, with a heterogeneous mixture of mythologized ancient history, Soviet and anti-Soviet ideologies. Attempts to create new symbols or re-interpret old ones led to significant transformations in the main discursive practices, which could form the foundation for the legitimization of the Armenian political identity. In general, if we depart from the substantive aspects, semiotic operations are governed by two main transformational principles: recursion and inversion, precisely those that Levi-Strauss described in relation to myth. At the same time, different cycles of this process can coexist in the same socio-cultural space. The political post-Soviet history of Armenia is divided into four periods, each of which is associated with a specific political regime (1990 - 1998; 1998 - 2018; 2018 - 2020; 2020 - up to present). Each of them gives rise to different political myths, both dominant (official) and oppositional, but in general, they are all based on the basic vocabulary that was formed in the late 1980s and early 1990s. Therefore, from the point of view of symbolic conceptual patterns, they are all based on the transformation (negation, inversion, and recursion) of the previous stages. Thus, the initial stage was characterized by a revaluation of values: everything Soviet was to be denied, and the Republic of Armenia of 1918-1920 was considered as a model. However, the new authorities intended to establish themselves through the myth of the creation of a fundamentally new - namely, a political nation, therefore, a tension has emerged between the concepts of reincarnation and creation. Soviet Armenia is contrasted with non-Soviet Armenia, which is then split into two opposed concepts: the First vs. the Third Republic. Then their “reconciliation” took place. It is reflected in the metanarrative of the Three Republics, and the Soviet Armenia occupies a worthy place as an intermediate link from incomplete to full-fledged independent statehood. In the 1900s, primordial narratives were revived, asserting the immutability of Armenia, starting with the legendary progenitor Hayk. At present, there is an obvious attempt to create the concept of the “Fourth Republic” based on the negation of the previous ones, up to the rejection of the Declaration of Independence as a Soviet legacy and the annulment of previous symbols (the coat of arms, the anthem, the Mount Ararat).
Factors Affecting Stunted Status in Children Under Two Years at Karya Mulia Public Health Center 2023
Authors: Wahyudi Dery , Fahiratunnisa Namira Alifah , Refaldi Muhammad Wildan , Asseggaf Syarifah Nurul Yanti Rizki Syahab
Published: September 2024

Background
Stunted (short stature), defined as a height-for-age condition less than two standard deviations below the median of the WHO child growth standards, is caused by inadequate nutritional intake during the first 1000 days of life. Various factors contribute to the stunted status in children. Therefore, this research focuses on factors that can be examined at primary healthcare facilities, such as public health centers, and their relationship with the stunted status in children.
Objective
To determine the relationship between birth weight, basic complete immunization, and vitamin A supplementation on the stunted status of children aged 12-23 months at Karya Mulia Public Health Center, Pontianak, in the year 2023.
Methods
This study employed an analytical design with a cross-sectional approach. A total of 86 research samples were selected using total sampling techniques that met the sample criteria. Bivariate analysis was conducted using the fisher’s exact test and chi-square test.
Results
The results indicate no significant relationship between birth weight (0.623), basic complete immunization (0.342), and vitamin A supplementation (0.602) on the stunted status of children aged 12-24 months at Karya Mulia Public Health Center in 2023, statistically with p-value > 0.05.
Conclusions
There is no relationship between birth weight, basic complete immunization status, and vitamin A supplementation on the stunted status of children aged 12-23 months at Karya Mulia Public Health Center.
Massive Transfusion and Intensive Management after Hysterectomy in Placenta Accreta
Authors: Trsitiarti Alfi Marita , Yuliantara Eric Edwin
Published: September 2024

Background
Placenta accrete remains a problem in developing countries. The incidence rate has increased over the last 30 years accompanied by the risk of maternal death. Bleeding is still the main cause of death. This rising incidence rate has increased Sectio Caesaria (SC) operations, resulting in greater treatment costs. This is due to its cost management as it requires intensive care and massive use of blood transfusions. This study aims to describe the characteristics, management, and maternal outcomes of placenta accrete spectrum cases.
Methods
A Cross-sectional study was conducted at Moewardi Hospital Surakarta between January 2016 and December 2021. Sample selection was based on medical records with a suspected diagnosis of PAS. A total of 121 cases of placenta accrete spectrum had been confirmed by anatomical pathology results were analyzed Assessments were carried out on maternal characteristics, risk factors, MAP score, intraoperative management, and postoperative care. Statistical analysis was carried out with a 95% confidence interval (CI), chi-square test, and odds ratio assessment using SPSS edition 23.
Results
Hysterectomy has more morbidity and maternal complications than conservative management in blood loss, massive transfusion, iatrogenic incident, and a long stay in the Intensive care unit.
Conclusions
The high rate of morbidity in the management of the placenta accrete spectrum requires comprehensive management to reduce maternal mortality.
Enhancing Salivary DNA Preservation via DNase I Inactivation: Role of Temperature and EDTA
Authors: Yamamoto Zulham , Sulviani Nurul , Widjaja Sry Suryani
Published: September 2024

Background
Deoxyribonuclease I (DNase I) catalyzes the cleavage of double-stranded DNA into its end products. This enzyme requires cations for its activity. In addition, DNase activity is influenced by indirect DNase inhibitors (i.e. EDTA) and temperature. EDTA is an indirect DNase I inhibitor. Therefore, DNase inactivation is crucial for DNA preservation, especially for salivary samples, and the downstream application of genetic techniques using non-blood samples. Saliva is a complex mixture contaminated with oral microbes and contains DNase which is harmful for DNA preservation. This study aims to preserve salivary DNA through temperature and EDTA treatment.
Methods
This is an experimental study. Salivary DNA was extracted using the spin-column method. DNA degradation assays were carried out using either 5 µL of salivary supernatant or 2.5 mg/mL of DNase I which were incubated at -20°C, 2-8°C, room temperature, 40°C, and 50°C; and added with 0.125 mM, 0.25 mM, 0.5 mM, 1 mM, and 2 mM EDTA for 60 minutes. After incubation, the results were visualized using agarose gel electrophoresis.
Results
The average concentration of salivary DNA was 61.70 µg/mL (30.50-109.05) and the purity was 1.893 µg/mL (1.800-2.005). Incubation at -20°C, 2-8°C, and room temperature degraded salivary DNA but incubation at 40 and 50°C did not completely degrade DNA. Addition 0.125 mM, 0.25 mM, 0.5 mM, 1 mM, and 2 mM EDTA to 5 µL of salivary supernatant or 2.5 mg/mL DNase I preserved salivary DNA.
Conclusions
Temperature of 40 and 50°C, and 0.125 mM EDTA can inactivate DNase and preserve salivary DNA.
The Effect of Mung Bean Sprout Extract (Phaseolus radiatus L.) on Catalase Levels in Male Wistar Rats Induced Paraquat Herbicide
Authors: Sundawa Angga Pria , Trisnasdi Reza Adityas , Hikmah Annisa Nurul
Published: September 2024

Background
Exposure to herbicide paraquat affects the body's organs of antioxidants that can exceed the capacity of antioxidant enzymes in the human body which causes the production of Reactive Oxygen Species (ROS). cause oxidative stress. This causes the endogenous antioxidants to decrease so prevention requires exogenous antioxidants such as mung bean sprout supplements. The effect of mung bean sprouts can reduce oxidative stress caused by the herbicide paraquat. This study aimed to determine the effect of mung bean sprout extract on catalase levels in male Wistar rats induced with paraquat herbicide.
Methods
This research is experimental with a posttest-only controlled Group Design. The research subjects were 25 male Wistar rats randomly divided into 5 groups, namely K1, K2, K3, K4, and K5. Groups K3, K4, and K5 were given a green bean sprout extract supplement at 21.6 mg/200 g BW/day, 43.2 mg/200 g BW/day, and 86.4 mg/200 g BW/day. 16 blood samples were taken for examination of catalase levels. Data were analyzed using the Kruskal-Wallis test.
Results
The mean catalase level was highest in the K1 group compared to the K3, K4, and K5 groups. The results of the Kruskal-Wallis test on catalase levels showed a significant difference between groups (p=0.000).
Conclusions
Supplementing green bean sprout extract with doses of 21.6 mg/200 g BW/day, 43.2 mg/200 g BW/day and 86.4 mg/200 g BW/day could increase catalase levels in male Wistar rats induced by paraquat herbicide.
The Effect of Preoperative Oral Glucose Administration on Blood Glucose Levels in Diabetes Mellitus Patients in General Anesthesia Surgery
Authors: Harahap Dhiny Yolanda , Hanafie Achsanuddin , Lubis Andriamuri Primaputra , Amelia Rina
Published: September 2024

Background
The administration of general anesthesia during surgery can trigger the body’s stress response causing changes in regular metabolic patterns that result in hyperglycemia and ketosis. The goal of this study is to investigate how preoperative oral glucose and non-glucose administration affect patients with diabetes mellitus with blood glucose levels during surgery under general anesthesia.
Methods
This is a single-blind, randomized controlled trial (RCT) being carried out by the Central Surgical Installation and postoperative recovery area at Haji Adam Malik General Hospital Medan. The study sample consists of 38 patients with diabetes mellitus who underwent electively scheduled laparotomies under general anesthesia and met inclusion/exclusion criteria. For treatment group participants, mineral water containing 50 grams of glucose was administered with 400 cc. Research hypotheses were assessed using the t-test, and significant findings had p-values equal to or less than 0.05 within a confidence interval of 95%.
Results
The study sample had a mean age of 50.1 ± 12.73 and showed a significant effect between glucose levels before (178.47) and after (163.78) administration of maltodextrin, with a P value (0.001). No side effects were observed during or after the post-operative evaluation process conducted in this study's participants.
Conclusions
Patients with diabetes mellitus experience a preoperative oral glucose-induced impact on blood glucose levels.
Suspek Atresia Bilier Dengan Infeksi Cytomegalovirus dan Malaria : Infeksi Menular Lewat Transfusi Darah?
Authors: Mario Mario , Mashabi Yasmine , Hairunisa Nany
Published: September 2024

Pendahuluan: Transfusi darah dapat menyebabkan komplikasi infeksi melalui: transfusi mikroba dari darah pendonor asimtomatik dan/atau kontaminasi produk darah yang disimpan seperti infeksi Hepatitis B, Hepatitis C, HIV, sifilis, malaria, Cytomegalovirus (CMV). Resiko infeksi meningkat seiring dengan jumlah produk darah yang ditransfusikan.
Kasus: Anak laki-laki, lima bulan tanpa ada riwayat ke daerah endemis malaria dengan jaundice disertai pembesaran abdomen sejak dua bulan terakhir, demam selama satu bulan, sklera ikterik. Pemeriksaan laboratorium didapatkan anemia, leukositosis, hiperbilirubinemia, peningkatan enzim hepar, IgM dan IgG anti-CMV positif . Hapusan darah tepi ditemukan parasit malaria bentuk tropozoit dan ring. USG Abdomen : suspek atresia bilier tipe I, splenomegali, ascites, efusi pleura kanan.
Diskusi: Infeksi CMV akut akibat transfusi darah pada pasien dengan resiko tinggi dapat memberikan komplikasi berat seperti atresia bilier, miokarditis, retinitis, ensefalitis, dan ensefalopati. Pemberian transfusi darah jenis leucodepleted dapat menurunkan resiko tersebut. Pemeriksaan tetes darah tebal dan tipis masih digunakan sebagai baku emas untuk mendiagnosis malaria namun tidak dapat digunakan untuk skrining darah donor. Infeksi malaria asimtomatik dapat tetap tidak terdeteksi.
Kesimpulan: Skrining darah transfusi terhadap penyakit infeksi masih sangat terbatas untuk Hepatitis B, Hepatitis C, Sifilis, dan HIV. Sangatlah penting untuk dipikirkan mengenai pemeriksaan skrining darah transfusi terhadap penyakit infeksi lain seperti CMV dan malaria terutama di daerah endemis untuk mencegah munculnya kejadian IMLTD.
Study on clinical profile, risk factors, morbidity and mortality patterns of intrauterine growth restricted babies admitted in neonatal intensive care unit of tertiary care hospital, Vijayapura
Authors: Lifam Asiya , Malagi Naushad Ali N. , Thobbi A. N.
Published: September 2024

Background: Intrauterine growth restriction (IUGR) is an important clinical problem associated with increased perinatal mortality and morbidity. The neonate may be either constitutionally small or small due to pathophysiological changes with maternal, placental or foetal factors involved. A foetus with IUGR has not achieved its genetic growth potential. In addition, emerging evidence suggests that they are also more likely than normal weight babies to suffer from degenerative diseases like hypertension, diabetes and cardiovascular diseases in adulthood.
Methods: This is a cross-sectional study carried out in the neonatal unit, tertiary care hospital, Vijayapura. This study was carried out between April 2022 to April 2024. 120 IUGR babies were included in this study.
Results: Of the 120 babies 22 (18.3%) have died in the hospital. 19 (15.5%) have been discharged with abnormal neurological examination and 79 (66.3%) have been discharged with good condition at discharge condition. Morbidity pattern of IUGR shows that hypoglycaemia (63.3%) and perinatal asphyxia (45.0%) are the commonest complication. Other commoner are sepsis (33.3%), hypocalcaemia (30.0%), hypothermia (28.3%) and thrombocytopenia (25.0%).
Conclusions: Perinatal asphyxia and meconium aspiration are significantly associated with abnormal neurological examination at discharge. Perinatal asphyxia, pulmonary haemorrhage and persistent PH are significantly associated with death during the hospital stay. 73 (77.5%) mothers had one or more risk factors. Malnutrition is the commonest (40.0%), other are anaemia (34.2%), pregnancy-induced hypertension (PIH) (18.3%), multiple gestations (8.3%) and lower age of the mother.
Prevalence of overweight and obesity, and associations with socio-demographic and etiological factors
Authors: Singh Adity , Rathoria Ekansh , Singh Saurabh Kumar , Rathoria Richa , Yadav Suresh Kumar , Bansal Utkarsh
Published: September 2024

Background: Adolescent obesity and overweight (OW) prevalence are rising quickly. The present study was done to assess the prevalence of OW and obesity and its association with demographic and etiological factors.
Methods: An observational study including 386 adolescents aged 10-19 years was conducted using a pre-designed questionnaire. Anthropometric measurements of weight (kg) and height (cm) were taken and body mass index (BMI) calculated by weight (kg)/height2(m2). The weight status was classified as underweight (UW) <5th percentile, healthy weight (HW) between the 5th and <85th percentile, OW between >85th and <95th percentile, and obese (OB) equal to or >95th percentile using the CDC percentile ranking for BMI-for-age. Statistical data analysis was done by SPSS software version 20. P<0.05 was considered significant.
Results: The mean age of adolescents in early, mid, and late adolescent age groups were 11.52 (1.13), 15.01 (0.82), and 17.72 (0.77) years respectively. The overall mean age of adolescents was 14.19 (2.63) years. The mean weight, height, and BMI of adolescents were 44.84 (11.35) kg, 1.54 (0.12) meters, and 18.91 (3.89) kg/m2 respectively. The prevalence of OW and obesity was 11.7%, and 5.4% respectively. A significant association was found between OW and obesity with upper socioeconomic status (p<0.0001), daily junk food intake (p<0.0001), screen time of more than 2 hours per day (p<0.0001), and no or decreased physical activity (p<0.0001).
Conclusions: Adolescent obesity is a prevalent issue that requires early primordial and primary intervention through coordinated policy activities made by policymakers and medical professionals.
A unique and rare presentation of Henoch-Schonlein purpura: a case report
Authors: V. K. Rahees , Jimo Likta N. , Golmei Namganglung , Sananganba Raj Kumar , Chettri Priyanka
Published: September 2024

Henoch-Schönlein purpura (HSP), or IgA vasculitis, is a common small vessel vasculitis in children, typically presenting with palpable purpura, abdominal pain, arthritis, and renal involvement. However, atypical presentations can delay diagnosis and management. A 12-year-old girl presented with multiple episodes of loose stools and abdominal pain. The initial diagnosis focused on acute gastroenteritis, and she was treated symptomatically. Subsequently, she developed urticarial rashes with breathing difficulty, complicating the diagnosis. Despite symptomatic treatment, she experienced severe abdominal pain, hematemesis and melena. Further investigations revealed antral gastritis, duodenitis, and cystitis. On the 14th day of admission, the patient developed characteristic palpable purpura on the lower limbs. Skin biopsy confirmed leukocytoclastic vasculitis with IgA deposits, consistent with HSP. The patient recovered with supportive care and remained symptom-free on follow-up. This case underscores the importance of considering HSP in pediatric patients with atypical presentations, such as gastrointestinal symptoms and urticaria without initial purpura. Early recognition and appropriate management are essential to prevent complications and ensure favourable outcomes. The variability in HSP presentations necessitates a high index of suspicion for timely diagnosis and treatment.
Uso de módulos nutricionales en la práctica pediátrica actual
Authors: López-Mejía Lizbeth Alejandra , Nuñez-Barrera Isela , Bautista-Silva Miriam , Silva-Mladonado Isabela , Vela-Amieva Marcela Beatriz , Guillén López Sara
Published: September 2024

Los módulos nutricionales son mezclas o aislados de macronutrimentos que pueden estar enriquecidas con micronutrimentos. Se añaden generalmente en pediatría a la fórmula o a preparados enterales para aumentar el aporte energético o de algún nutrimento específico. Existen módulos de hidratos de carbono entre los cuales se puede mencionar: maltodextrinas, cereales, almidón de maíz. En los módulos de proteína se considera la concentración, así como la adición de fortificadores y finalmente los módulos de lípidos están integrados por aceite vegetal, triglicéridos de cadena media y mezclas mixtas. La osmolaridad debe considerarse dependiendo el tipo de fórmula y módulo a utilizar, los módulos de hidratos de carbono por lo general son los que más aumentan la osmolaridad. La utilidad de la adición de módulos nutricionales en la pediatría actual persiste y resulta una herramienta beneficiosa en diversas patologías y estados nutricionales.
PALABRAS CLAVE: soporte nutricio, nutrición enteral, terapia nutricia, nutrición infantil, fórmula infantil
Fracture mechanism and ductility performances of fiber reinforced shotcrete under flexural loading insights from digital image correlation (DIC)
Authors: Asheghi Mehmandari Tohid , Mohammadi Davood , Ahmadi Mohammadreza , Mohammadifar Mehrdad
Published: September 2024

This paper investigates the fracture mechanism and ductility performance of fiber-reinforced shotcrete (FRS) under flexural loading through digital image correlation (DIC) analysis. The focus is on determining the optimal mix design, utilizing recycled and manufactured fibers in shotcrete through four-point bending tests. These tests reveal significant improvements in flexural strength and ductility, as well as crack resistance, attributed to the synergistic effect of both types of fiber in hybrid fiber reinforcement. Notably, the inclusion of recycled fibers from automobile tires enhances mechanical characteristics and impact resistance, contributing to environmental sustainability and cost reduction. DIC analysis offers crucial insights into crack initiation and propagation in shotcrete, highlighting the impact of fiber reinforcement on crack patterns. Manufactured fibers delay crack onset effectively, while hybridization enhances fracture characteristics, offering improved crack control and flexural strength. The study underscores the potential of hybrid fiber mixes for enhancing structural performance in tunnel support applications, emphasizing the synergistic effect of hybrid of different fiber types. Overall, the research contributes to advancing understanding of fracture behavior in fiber-reinforced shotcrete and provides practical insights for optimizing mix designs to achieve superior mechanical properties and durability.
Customizing English Language Teaching to Suit Individual Learning Styles of Students
Authors: Gonzalo Guamán Condoy Erich
Published: September 2024

This article explores the importance of understanding individual learning styles in the context of English language instruction for students. It argues that tailoring instructional methods and materials, to match the learning preferences of each student can enhance their overall learning experience and lead to better outcomes. The article reviews different learning styles and presents strategies for identifying them through assessment tools. It then discusses specific techniques and activities that can be used to target each learning style, including visual, auditory, kinesthetic, and tactile approaches. The article concludes by emphasizing the importance of flexibility and creativity in instructional design to meet the diverse needs of students.
Keywords: learning styles, English language instruction, individual needs, instructional design, assessment, visual, auditory, kinesthetic
Exploring the Effectiveness of Motivational Stories and Videos Shared via Facebook in Enhancing the Writing Skills of English as a Foreign Language (EFL) Students
Authors: Condoy Erich Gonzalo Guamán
Published: September 2024

This study analyzes the development of writing skills through the pedagogical use of motivational stories and videos on Facebook. Participants in this study were students from different parts of the country. Particularly, this mixed-methods research aims to determine how these technological tools help students enhance their writing skills at the same time find out students’ perceptions about the use of Facebook. In order to achieve these goals, a Facebook group page was created. The students were then asked to complete different activities, like reading short motivational stories and watching several motivational videos. The intervention lasted for two months. The students’ progress was assessed using rubric for measuring their ability to discover the main idea of the stories and videos, reporting the event sequence, using correct grammar and vocabulary, and summarizing information. A survey was conducted to determine students’ perceptions about the use of Facebook in this particular context. The results show that the pedagogical use of Facebook was positive since it catches students’ attention and helps them develop writing activities collaboratively.
Keywords: writing, reading, watching, skill, Facebook, pedagogical.
Resumen
Este estudio analiza el desarrollo de las habilidades de escritura mediante el uso pedagógico de historias y videos usando Facebook. Este estudio se realizó con estudiantes de diferentes partes del país. Particularmente, el propósito de esta investigación es determinar cómo estas herramientas tecnológicas ayudan a los estudiantes a mejorar su escritura y, correlativamente, conocer las percepciones de los estudiantes sobre el uso de Facebook. Para lograrlo, se creó un grupo en Facebook. Se pidió a los estudiantes que completaran diferentes actividades, como leer historias y ver videos de motivación. La intervención duró dos meses. El progreso de los estudiantes se evaluó con una rúbrica para medir su capacidad para descubrir la idea principal de las historias y videos, informar la secuencia de eventos, usar la gramática y el vocabulario correctos y resumir la información. Se aplicó una encuesta para conocer las percepciones de los estudiantes sobre el uso de Facebook en este contexto. Los resultados muestran que el uso pedagógico de Facebook es positivo ya que llama la atención de los estudiantes para desarrollar actividades de escritura de forma colaborativa.
Palabras Clave: escritura, lectura, observación, habilidad, Facebook, pedagógico.
Monte Carlo Simulation of Radioactive Elements Production in Tissues by Spallation in Cancer Therapy
Authors: Rezaie Rayeni Nejad Mohammad Reza , Khezripour Saeedeh , Nouraddini Ali
Published: September 2024

Purpose: High-energy heavy ions generated by accelerators utilized in industrial and medical uses. Ar, C, and He heavy ions have been used in the treatment of cancer. In this research, it was tried to calculate the radioactive elements production in healthy tissues around tumors by heavy ions spallation process in the direct usage of high-energy ions for the treatment of cancerous tumors.
Materials and Methods: The radioactive elements production in body tissues irradiated with heavy ions was calculated by Monte Carlo N Particle X-version (MCNPX) code based on the Monte Carlo method. The F8 tally card with FT8 command was utilized to derive the activation and spallation data in the range of Z1 to Z2 atomic numbers.
Results: A wide range of radioactive elements was created in healthful tissues in Ne, C, Ar, and He heavy ions therapy. Results show that 10Be,14C, 26Al, 36Cl, 39Ar, 40K, 39Ar, 32Si, 22Na, and 36Cl radioactive materials were produced for high-energy heavy ions spallation in healthy soft tissue.
Conclusion: The results of this research show that due to using directly high-energy ions to treat internal tumors, healthy soft tissue is activated. Also, by irradiated Ne, C, Ar, and He ions, the radioactive elements are produced with high gains and long half-lives. Therefore, in the therapy of cancerous tumors with high-energy ions, due to the production of radioactive agents, healthy tissues are at high risk.
A Five-Year Survival Analysis of Patients with Gastric Cancer in Kerman Province
Authors: Shamsi Sara , Larizadeh Mohammad Hasan , Bahador Maryam , Nouri Masoumeh
Published: September 2024

Purpose: Gastric Adenocarcinoma (GAC) is the second most frequent cause of cancer-related deaths worldwide. Determining survival and its associated prognostic factors provides a basis for further interventions to prolong survival among patients with GAC. In this study, we aimed to perform a 5-year survival analysis among GAC patients in Kerman, Iran.
Materials and Methods: This retrospective multi-centric study was conducted on all patients with GAC who were referred to Afzalipour, Bahonar, and Shafa Hospitals in Kerman, Iran in 2009-2019. The 5-year survival rates were calculated based on prognostic factors, including age, histopathology, stage/grade of the tumor, metastatic status, and surgical procedures using the Kaplan-Meier analysis and log-rank test.
Results: The 5-year survival rate of GAC patients with total gastrectomy was higher than those with subtotal gastrectomy (P = 0.03). Also, the 5-year survival rate was substantially improved after lymph node dissection (P < 0.001). Overall survival has not been significantly different in terms of age, sex, grade, histological type, clinical T stage, lymphovascular invasion, and perineural invasion.
Conclusion: Overall survival was different for the two surgical procedures and lymph node dissection. Therefore, total gastrectomy and lymph node dissection are significant independent prognostic factors for overall survival in patients with GAC.
Effects of Idiopathic Restless Leg Syndrome on Intima-Media Thickness of Carotid Artery: A Case Control Study
Authors: Hashemi Mohamad Ghazanfari , Mastanabad Mahsa Vafaei , Alaei Maryam , Kaviani Mohammad Ali , Asadifar Ali , Momivand Rahim , Helali Helia , Hashemi Meadeh Ghazanfari , Gholami Marjan , Miratashi Yazdi Seyedeh Nooshin
Published: September 2024

Purpose: Restless legs syndrome is claimed to be associated with a higher risk of cardiovascular diseases. Intima-media thickness has been reported to be the most valuable surrogate marker and predictor of atherosclerosis progression and upcoming cardiovascular diseases. In this study, we aimed to evaluate the relationship between restless legs syndrome and intima-media thickness of the carotid artery.
Materials and Methods: In this case-control study, a total of 23 patients with restless legs syndrome without other known risk factors of cardiovascular diseases were evaluated with regard to the intima-media thickness of the carotid artery by employing a high-resolution B-mode ultrasound study. The findings of the ultrasound study between the case and the control group were compared and statistically analyzed.
Results: Intima-media thickness was revealed to be of a lower value in subjects with restless legs syndrome (0.79 ± 0.10) compared to the control group (0.88 ± 0.13). Also, our study showed that older age and the presence of hypertension directly correlates with intima-media thickness.
Conclusion: It can be concluded that restless legs syndrome is associated with a lower intima-media thickness.
Evolution in Spinal Fracture Diagnosis and Brain Tumor Detection in the Last two Decades: A Timeline-Based Study
Authors: Gharote Yashodhan , Nagare Gajanan
Published: September 2024

Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are arguably the most prominent and most widely used healthcare diagnostic modalities for a wide range of applications. There are certain specific applications for which a particular modality is specifically used or has been adopted over a period of time because of reasons like good diagnostic accuracy, fast diagnosis, etc. One such application for CT has been “Spinal Fracture Diagnosis” and for MRI has been “Brain Tumor Detection”. This study presents case studies from different time periods to demonstrate the evolution of these respective applications and emphasizes the role of Artificial Intelligence (AI) based techniques like machine learning, deep learning, etc. for advancements in the diagnostic process. The case studies will enable the new researchers to understand the background and the work done in the respective time period. The time period of the studies referred to is between the years 2000 and 2023 (Present date). The purpose of this study is to enlighten the reader about the evolution of spinal fractures and brain tumor diagnosis which are understood to be primary applications of CT and MRI, respectively and, encourage further study into topics pertaining to AI-based tools used in diagnostic modalities for applications like automatic detection and prediction, smart decision making, early detection, etc.
A glance at the economic consequences of migration of specialists: the concern of medical education
Authors: P Rezaei Gazki , M Salajegheh
Published: September 2024

The Article Abstract is not Available.
Entrustable professional activities in medical education and their importance
Authors: Madhavifard Hamid
Published: September 2024

The Article Abstract is not available.
Enhancing Skincare Formulas with Olive Oil-Infused Citrus Peel Extracts: A Comprehensive Study
Authors: Benguechoua Mebarka Imane , Benguechoua Madjda , Benarous Khedidja , Kaouka Alaeddine , Yousfi Mohamed
Published: September 2024

The increasing global demand for natural and organic ingredients in cosmetics has spurred a surge in research exploring innovative formulations. This study delves into the utilization of citrus fruit peels and seeds macerated in olive oil as a foundation for novel ointments. Through the analysis of extracts from a variety of citrus sources, including orange, lemon, tangerine, grapefruit, and citron peels, as well as lemon and tangerine seeds, their physicochemical properties and antioxidant activity were meticulously examined using thin-layer chromatography (TLC). A groundbreaking aspect of this research is the revelation of the in vitro antioxidant potential of DMSO extracts obtained from these citrus-infused olive oils. Chemical assays unequivocally confirmed the presence of phenols and flavonoids, renowned for their robust antioxidant properties, across all extracts. These significant findings not only reinforce the well-documented benefits of citrus fruits in combating premature aging and diseases but also underscore the untapped potential of citrus by-products as valuable natural cosmetic ingredients. This preliminary investigation serves as a beacon illuminating the promising prospects of integrating citrus fruit remnants into cosmetic formulations. The imperative for further exploration in this realm is evident, aiming to refine formulations and advocate for the sustainable exploitation of citrus resources within the cosmetics sector. By embarking on deeper research endeavors, an inclusive comprehension of leveraging the inherent potency of citrus fruits for the creation of cutting-edge and efficacious natural cosmetic products can be achieved.
The relationship between leukocyte-based inflammation indices and essential tremor
Authors: Aygün Demet , Dundar Bagnu
Published: September 2024

Aim: Previous limited studies have indicated that pro-inflammatory cytokines are elevated in patients with essential tremor (ET). This elevation could lead to a more pronounced inflammatory response in these patients. Thus, this study aimed to investigate the relationship between leukocyte-based inflammatory indices and ET.
Material and Methods: In this retrospective study, 103 patients diagnosed with ET between January 2021 and December 2023 were included, along with 103 healthy individuals who were matched by age and gender, participated in check-up programs, and had no other comorbidities. To evaluate tremor severity, the Fahn-Tolosa-Marin (FTM) tremor rating scale was utilized. The leukocyte-based inflammatory indices were calculated as follows: NLR= neutrophils / lymphocytes, PLR = platelets / lymphocytes, systemic immune-inflammation index (SII) = platelets × neutrophils / lymphocytes, and systemic inflammatory response index (SIRI) = neutrophils × monocytes / lymphocytes.
Results: The ET group exhibited higher levels of leukocytes, their subtypes, CRP and leukocyte-based inflammatory indices compared to the control group. Increased CRP (OR= 3.71, p < 0.001) and SIRI (OR= 11.73, p < 0.001) levels were independent predictors of ET. In predicting ET. SIRI exhibited superior diagnostic performance compared to other inflammatory parameters. The threshold for SIRI levels was set at 7 and above, with a sensitivity of 85.4% and a specificity of 82.5%. There was a positive correlation between SIRI and FTM scores.
Conclusion: Among the leukocyte-based inflammation indices, SIRI demonstrated superior diagnostic performance in predicting ET and was associated with higher tremor severity. This suggests that inflammation may play a potential role in the pathophysiology of ET.
Effect of temperature on water evaporation coefficient (E) in a thermobalance: A solar-driven steam generation approach
Authors: Rojas-Sánchez Carlos Enrique , Hernández-Chaverri Rodolfo Antonio
Published: September 2024

During this investigation, the variation of the water evaporation phenomenon with the defined drying temperature and mass of water was analyzed, five levels were studied (50, 60, 70, 80 and 90 ℃), finally a correlation between temperature and evaporation rate was generated. With the study carried out, it was defined that the water evaporation velocity can be calculated with an initial mass of 35 g at 90 ℃, while the necessary time for the determination was 120 min. In addition, it was determined that the evaporation velocity follows a quadratic behavior with temperature, according to the experiments carried out with the Sartorius MA-100 balance, while the maximum deviation recorded was 0.349 mmol/m2s for a temperature of 80 ℃. It is concluded that the determination of the water evaporation velocity is highly dependent on the temperature and mass of water. Furthermore, this study can be used as a basis for future studies aimed at improving the efficiency of processes such as steam and electricity cogeneration.