bluuebunny/crossref_metadata_2025 huggingface dataset:
Ukraine : affirmation d’une nation
Authors: Goujon Alexandra , Euvé François
Published: June 2022

L’invasion russe en Ukraine a contribué à renforcer un sentiment national. C’est l’aboutissement d’un long chemin depuis les mouvements nationalistes du XIX e siècle jusqu’à la Révolution de la dignité de Maïdan (2013-2014). En dépit de grandes différences entre l’Est et l’Ouest, la défense de la liberté, en opposition à l’autoritarisme russe, l’emporte largement.
La France au Sahel : les raisons d’une défaite
Authors: Pérouse de Montclos Marc-Antoine
Published: June 2022

L’opération Barkhane représente la plus grosse opération extérieure française depuis la fin de la guerre d’Algérie. Son bilan mérite d’être fait. Quelques succès ponctuels ne doivent pas masquer la situation que laisse derrière elle l’armée, après son retrait. Cela pose une fois encore la question de la politique africaine de la France.
Les multiples visages de la biodiversité
Authors: Blondel Jacques
Published: June 2022

Le mot « biodiversité » est d’emploi courant, mais recouvre une pluralité de significations, tant dans le domaine des sciences de la vie que dans celui des sciences de l’homme et de la société. L’important est de prendre conscience de l’ensemble des interconnexions du vivant, à l’encontre d’une réduction utilitariste. Les zoonoses en sont une bonne illustration. Cela remet en cause l’anthropocentrisme moderne au profit d’un « écocentrisme ».
Simone de Beauvoir et le féminisme contemporain
Authors: de Villeneuve Camille
Published: June 2022

La convocation de Simone de Beauvoir dans les ouvrages féministes récents révèle une nécessité, celle de l’actualisation de la description de la condition féminine pour traiter les questions saillantes aujourd’hui : celles des violences dont les femmes sont victimes, à commencer par le viol et le meurtre. Mais, contrairement aux mouvements féministes actuels, l’œuvre beauvoirienne n’ouvre pas au régime de la plainte mais à celui de l’émancipation. Si elle fait l’éloge de la fraternité entre hommes et femmes, la dimension de sororité si présente dans le féminisme contemporain, de même que les questions de la maternité et du couple restent des impensés.
Ecov, l’innovation privée au service de l’action publique
Authors: Ménétrier Laure
Published: June 2022

Ecov aide les collectivités à développer des lignes régulières de covoiturage, en complément des réseaux de transports publics, dans une logique de “service public partagé” assuré par les citoyens. L’idée est née d’un double constat : d’une part, l’urgence écologique et le besoin de justice sociale replacent la puissance publique au centre du jeu économique ; d’autre part, on ne saurait relever ces défis sans innover radicalement, exercice auquel les entreprises du secteur privé sont plus rodées que la puissance publique…
Après la raison d’être, la raison de venir ?
Authors: Serre Benoit
Published: June 2022

La crise sanitaire a amplifié des tendances déjà présentes et auxquelles les entreprises doivent désormais répondre, dont le travail à distance. La question cruciale est cependant celle de l’engagement des salariés. Contrairement à une idée répandue, ils sont d’accord pour revenir dans l’entreprise, mais avec de nouvelles exigences en matière d’autonomie, d’organisation du travail, de partage de la valeur. Cette transformation aura un effet déterminant tant sur le rôle des managers que sur celui de l’entreprise dans la société.
Chapitre 3. Les technologies de modification du génome : quels enjeux pour la paix et quelle place pour le droit international ?
Authors: Byk Christian
Published: June 2022

Les technologies de modification du génome humain sont-elles susceptibles de constituer une menace pour la sécurité et comment celle-ci pourrait-elle être contrôlée par un ordre juridique international qui cherche sa voie entre l’application du droit existant au désarmement et l’invention d’un nouveau droit issu des principes d’éthique applicables aux nouvelles technologies ?
The Future of Workforce Development in Professional Nursing Practice
Authors: Graebe Jennifer , McIntyre-Hite Lisa , Monaghan Darcy
Published: June 2022

The nursing shortage has caused health care systems—as employers—to re-evaluate how to support their nurses better, provide opportunities for nurses to achieve their goals, and address workforce shortages. In the white paper
Pathways to Lessen the Nursing Shortage and Increase Equity in the Field for Working Adult Learners
, a strategic plan is laid out to address workforce development via partnerships and innovative models. This column builds on that work to address the shortage of nurses in advanced roles. It examines how to account for the real lives of nurses who are working adult learners, including credit for prior learning, and how ANCC accredited CE can be leveraged to propel academic and professional role advancement. The time is now for health care organizations and institutions of higher education to partner and create meaningful talent pipelines and innovate and evolve the growth and learning of nurses on a continuum.

[
J Contin Educ Nurs
. 2022;53(6):246–250.]
Accidental Fall Death in McLean County: Examining Variables in Community-Dwelling Older Adults
Authors: Shropshire Michele , Hovey Susan , Dyck Mary J. , Johnson Brenda , Yoder Kathleen , Denton Scott
Published: June 2022

Fall risk assessment is a complex phenomenon involving several risk factors, including an individual's balance and mobility status, chronic health conditions, visual impairment, hearing deficits, environmental hazards (e.g., loose rugs, clutter), and being homebound or semi-homebound. Comprehensive fall risk assessment is the cornerstone of fall prevention in older adults throughout the community. The current study was based on secondary data and sought to examine variables associated with death due to accidental fall in a rural, midwestern county in Illinois, and to heighten awareness for consistent screening and risk assessment in older adults residing in the community. Results illustrated that among community-dwelling older adults with accidental falls, blunt injury or subdural hematoma had significantly fewer days until death than a fracture. [
Journal of Gerontological Nursing, 48
(6), 26–32.]
Psychosocial Well-Being of Older Spouses During End-of-Life Caregiving for Their Partners With Cancer: A Phenomenological Study
Authors: Peters Sanne , Van Hout Elien , Jansen Leontien , van den Akker Marjan
Published: June 2022

Specific burdens of older spousal caregivers often remain invisible, and spousal caregivers rarely receive the support they need to perform their role. To provide suitable support for spousal caregivers, it is crucial to develop a comprehensive understanding of their well-being, particularly during end-of-life caregiving. The aim of the current study was to gain more insight into the psychosocial well-being of older spouses engaged in end-of-life caregiving for their partners with cancer. This qualitative study uses a phenomenological approach with in-depth interviews conducted with older (aged ≥65 years) spousal caregivers of individuals who died of cancer. Eleven spouses participated in the study. Strains on psychosocial well-being during end-of-life caregiving fell into four major themes:
The Disease Itself
,
The Caregiving Process
,
The Partner Relationship
, and
Support From Others
. Results suggest that older spousal caregivers are experiencing issues that might be more pronounced due to their older age, for example, physical and emotional exhaustion and loneliness. Providing care is time-consuming and often leads to a reduced social network, which enhances loneliness. Moreover, as relationships with ailing partners changed and communication deteriorated, participants reported feeling more like a caregiver rather than a partner. [
Journal of Gerontological Nursing, 48
(6), 33–39.]
Positive solutions to a nonlinear fractional equation with an external source term
Authors: Li Qi , Pan Kefan , Peng Shuangjie
Published: June 2022

This paper deals with the following nonlinear fractional equation with an external source term

   \begin{document}$ \begin{equation*} \label{eqS0.1} (-\Delta)^{s}u +u = K(x)u^{p}+f(x), \; u>0, \; x\in{\Bbb R}^N, \end{equation*} $\end{document}

where \begin{document}$ N>2s $\end{document}, \begin{document}$ 0<s<1 $\end{document}, \begin{document}$ 1
, \begin{document}$ 2_{\ast}(s) = \frac{2N}{N-2s} $\end{document}, \begin{document}$ K(x) $\end{document} is a continuous function and \begin{document}$ f\in L^{2}({\Bbb R}^{N})\cap L^{\infty}({\Bbb R}^{N}) $\end{document}. Using a Lyapunov-Schmidt reduction scheme, we prove that the equation admits \begin{document}$ k $\end{document}-peak solutions for any integer \begin{document}$ k>0 $\end{document} if \begin{document}$ f $\end{document} is small and \begin{document}$ K(x) $\end{document} satisfies some additional assumptions at infinity. The main difficulty is to improve the estimate of the remainder obtained in the reduction process.
The well-posedness for semilinear time fractional wave equations on $ \mathbb R^N $
Authors: Zhou Yong , He Jia Wei , Alsaedi Ahmed , Ahmad Bashir
Published: June 2022

This paper is concerned with the semilinear time fractional wave equations on the whole Euclidean space, also known as the super-diffusive equations. Considering the initial data in the fractional Sobolev spaces, we prove the local/global well-posedness results of $ L^2 $-solutions for linear and semilinear problems. The methods of this paper rely upon the relevant wave operators estimates, Sobolev embedding and fixed point arguments.
Characterization of DEF affected concretes: detection and modification of properties
Authors: Pichelin A. , Carcassès M. , Cassagnabère F. , Multon S. , Nahas G.
Published: June 2022

The evolutions of the different physicochemical and mechanical properties as a function of the expansion due to Delayed Ettringite Formation (DEF) in concrete are studied. In comparison of sound materials, some characterizations were made in accordance to the level of expansion: in the initial time, in the latent period, in the accelerating phase and at the end of expansion. The characterization was as follows; SEM analysis was used to observe the presence of DEF. Physical tests linked to transfer properties; gas permeability and electrical resistivity were measured to detect micro-cracks generated by the DEF advancement. To observe the impact of micro-cracks, compressive strength and static modulus were experimentally determined. It was observed that few tests can be used to detect theses pathologies earlier, during the latent period. Gas permeability, electrical resistivity and elastic modulus results were promising. These tests are very sensitive to the development of micro-cracks generated in the concrete by the development of swelling due to DEF.
Guerre et idéologie dans la trajectoire de Carlos Drummond de Andrade
Authors: Bortoloti Marcelo
Published: June 2022

Entre les années 1930 et 1940, le poète Carlos Drummond de Andrade (1902-1987), originaire du Minas Gerais, assuma une posture politiquement engagée qui s’est reflétée aussi bien dans sa production poétique que dans sa vie d’intellectuel. Ce changement de trajectoire d’un écrivain jusqu’alors tourné vers des problèmes intimes et existentiels rapprocha Drummond de la position de nombreux poètes européens, eux aussi sensibles aux problèmes politiques et sociaux de leur temps. Cet article vise à montrer à quel point la guerre civile espagnole (1936-1939) joua un rôle fondamental dans l’activation du sentiment participatif qui s’empara des écrivains de tout l’Occident et, donc, du poète brésilien. Le type de poésie qui surgit du conflit espagnol pour se diffuser partout en Europe et dans les Amériques, aux aspirations à la fois guerrières et idéologiquement engagées, servit d’inspiration aux vers que Drummond écrivit jusqu’à la fin de la Seconde Guerre mondiale (1939-1945).
Tavern revenues and alcohol consumption in the Muscovite state, 1620s-1640s
Authors: Liseitsev Dmitrii
Published: June 2022

The level of alcohol consumption and the role of alcohol taxes as a source of state revenue in pre-Petrine Russia have been the subject of much scholarly interest and political speculation, yet reliable data on the magnitude of trade in “grain wine” is still lacking. This article draws on the records of central government agencies from the 1620s to the early 1650s to partially fill this gap. In the decades immediately following the Times of Trouble, tavern revenues nearly doubled in absolute numbers and accounted for about a quarter of the total state revenue of Muscovy. The growth rate of tavern revenues was on par with the rate of population growth (the urban population increased by 60 percent between the 1620s and 1640s). The article discusses different methods of running the state alcohol monopoly and estimates the profitability of alcohol trade and the overall levels of alcohol consumption during the period under study.
Patrick Gordon and Peter I, 1690-1698: Favorites and foreign policy
Authors: Bushkovitch Paul
Published: June 2022

Patrick Gordon was an almost constant companion of Peter I in the tsar’s first decade of independent rule. Aristocratic contemporaries and later historians have ascribed to him predominant influence on the young Peter. An examination of the full text of Gordon’s diary does not sustain that belief. Gordon certainly had an impact on Peter’s military affairs, and served at Azov and against the musketeer revolt of 1698, but he does not seem to have any impact on Peter’s decisions in foreign policy. He was in close contact with the ambassadors of the Habsburgs and Poland, Peter’s allies against the Ottomans and may have been the source of much of the information in their reports. Gordon, a Scottish Catholic, seems to have supported the Turkish War as did the main Catholic states in Europe other than France, ironically the patron of the Scottish Jacobites. Gordon was a major figure in Moscow in the 1690’s, but his impact was more military and cultural than political.
«Восточный проект» Петра I
Authors: Петрухинцев Николай Н.
Published: June 2022

Dans cet article, l’auteur analyse ce qu’il appelle le « projet oriental » de Pierre Ier, – un ensemble de mesures interdépendantes afférentes à la politique « orientale » de la Russie à la fin du xviie siècle –, qui occupa une place centrale au début du règne indépendant de Pierre Ier. Initié au tournant des années 1694 et 1695 avec des plans d’intensification de la guerre russo-turque de 1686-1700, le « projet oriental » de Pierre Ier (1695-1712), selon l’auteur, connut trois phases principales de développement, associées à un changement cohérent de stratégie dans la confrontation avec l’Empire ottoman, et eut une influence significative sur la phase initiale des réformes (la Grande Ambassade de Pierre Ier [1697-1698] fut ainsi un élément important du « projet oriental »). Éclipsé par le projet « occidental » plus connu, le « projet oriental » est clairement sous-estimé dans l’historiographie (cela est probablement dû, pour une grande part, au fait que sa dernière phase était en cours de développement au début de la guerre du Nord).
Преподавание в российских университетах XVIII в.: не «токмо на латинском и русском»
Authors: Костина Татьяна В.
Published: June 2022

En Russie, au xviiie siècle, comme en Europe, les universités ont été confrontées au problème de « l’affaiblissement » de la langue latine comme langue d’enseignement. Cependant, en Russie, l’alternative au latin n’était pas seulement le russe, il fallait compter aussi avec les langues européennes modernes, au premier chef l’allemand, puis le français.Au milieu du xviiie siècle, l’enseignement dans les langues européennes modernes était interdit dans les universités russes ; du point de vue du législateur, la transition depuis le latin ne pouvait s’effectuer que vers le russe. Pourtant, une analyse des sources a montré que les enseignements à l’université académique de Saint-Pétersbourg et à l’université de Moscou n’étaient pas soumis au même niveau de restriction dans l’utilisation de langues alternatives : à Saint-Pétersbourg, l’interdiction s’appliquait à tous les cours et à Moscou, uniquement à ceux ouverts au public. Cela permit aux enseignants de l’université de Moscou de contourner partiellement l’interdiction et, de temps en temps, de dispenser certains cours dans des langues européennes modernes, ce qui fut très bien accueilli par l’auditoire.L’article émet l’hypothèse qu’il était politiquement inacceptable pour Catherine II d’approuver l’utilisation de la langue moderne d’une nation non-titulaire comme langue d’enseignement dans les universités qui faisaient partie d’un espace éducatif européen. C’est probablement l’une des raisons pour lesquelles de nouvelles universités n’ont pas été fondées et l’Université académique transformée en un collège universitaire où les cours de sciences exactes et naturelles étaient dispensés dans les langues européennes modernes. En outre, à partir des années 1770, le Sénat autorisa les inscriptions à l’université sans qu’il fût obligatoire de connaître le latin.
Asian Infrastructure Investment Bank and Development
Authors: Saiz-Alvarez Jose Manuel , Castillo-Nazareno Uriel Hitamar , Alcívar-Avilés María Teresa
Published: June 2022

In October 2013, at the Asia-Pacific Economic Cooperation Summit in Jakarta, Indonesia, China's President Xi Jinping proposed creating a new multilateral development bank: the Asian Infrastructure Investment Bank (AIIB). Headquartered in Beijing, launched in October 2014, and operational on January 16, 2016, the AIIB has a governance structure similar to other MDBs to achieve green, technology-enabled, sustainable, and high-quality infrastructure focused on promoting regional, national, and international connectivity. Although there is US opposition, the AIIB has grown up to 103 approved members worldwide to promote regional cooperation and partnerships to address development challenges by working closely with other multilateral and bilateral development institutions and the private sector. This chapter aims to show how China is using the AIIB as a tool to be the first economic power on the planet shortly.
Global Institutional Roles in Access to Inclusive Education
Authors: Ilic Biljana Stojan , Djukic Gordana P. , Cvetkovski Tatjana
Published: June 2022

The aim of the chapter is to point the importance of global institutions and their role in access to inclusive education. Globalization as a world phenomenon has brought great changes both in the way of doing business and in other social spheres. First of all, a positive attitude towards the acceptance of diversity among people is the key word concerning at the social component. The modern world is facing great changes and the most important issues can be solved by education for sustainable growth and development. The authors will emphasize the comparison of Serbia and one developed European country in terms of inclusive education to highlight good practice and to apply it in Serbia.
Integrated Reporting for Inclusive and Sustainable Global Capitalism
Authors: Randa Isaac Okoth
Published: June 2022

There is growing universal agreement that neoliberalism, a form of political economy governance, has under-delivered for a majority of people over many years. This is exhibited in the extent of job losses, reduced tax revenues, dwindling overall savings, and so on. Whereas several contributory factors are identifiable, fundamentally these policy ambiguities are issues of failing global governance. This chapter analytically describes the influence of integrated reporting as an instrument for embedding corporate transparency, accountability, and responsibility, hence inclusive corporate governance for the common good in emerging economies. This investigation identified three channels through which integrated reporting connects with sustainable and inclusive capitalism, transparency and adequate disclosures in capital markets, stakeholder engagement, and corporate legitimacy. Integrated reporting provides the required cultural shift in corporate management by emphasising multi-capital long-term value creation, which ultimately promotes long-term behaviour in capital markets.
Urban Heat Islands in Degenerative and Regenerative Cities
Authors: Hefnawy Hamdy , Elshater Abeer , El Fayoumi Mohamed , Gulsrud Natalie Marie
Published: June 2022

This chapter examines a community developed in the early 20th century as a sustainable development paradigm. However, today saw the implementation of particular development plans in some cities in the global south that may not align with this community's long-term goals. Two Delphi rounds and an Envi-Met micro-climate simulation helped researchers of the present work use Heliopolis as a case of investigation. After a Heliopolis' urban development plan competition, this approach's results show a considerable drop in the site's initial values and ecological effect. Surface and mean temperatures and carbon dioxide levels are predicted to decline because of this significant loss. Future studies can look at how local streets become urban boundaries and context segregation because of development plans that cannot regenerate urban areas.
Developing Instructional Methods
Authors: Blackburn Joey , Stair Kristin
Published: June 2022

Determining which methods of teaching to use is an important step in developing content for your classroom. Teacher-focused methods involve more direct instruction to students and include methods such as lecture, questioning, demonstration, resource people, field trips, and checking for understanding. Learner-focused methods of teaching include more student input and collaboration and include discussion, debate, problem solving approach, contextualized teaching and learning, flipped classes/team-based learning, case study, inquiry-based learning, experiential learning, problem-based learning, project-based learning, cooperative learning, and role playing. Each method of teaching has different strengths and weaknesses and allows teachers to achieve their learning objectives in different ways and increase their variability.
Managing the Classroom and Laboratory
Authors: Pate Michael L. , McKendree Robert Bud
Published: June 2022

This chapter focuses on management strategies for classroom and laboratory instruction for school-based agricultural education teacher preparation. Specifically, the focus is on teaching methods, techniques, and strategies to proactively sustain positive student engagement in activities to prevent behavioral issues that disrupt the learning process. Characteristics and guidelines for instructional technology are discussed for effective management of student learning. Management practices for both instructional spaces and student behavior are incorporated. Highlights of underlying causes of behavior such as issues within social and psychological disruptions provide context for student engagement efforts. A portion of the chapter differentiates appropriate professional interactions of teachers with students. Behavior scenarios are utilized to provide application of theoretical concepts.
Social Entrepreneurship
Authors: Singh Jashandeep , Kaur Amanjot
Published: June 2022

This chapter details social entrepreneurship. The idea of social entrepreneurship implies various things to various individuals and analysts. A few specialists allude to social businesses as not-revenue-driven businesses and others are of a different viewpoint. Being an emerging concept, social entrepreneurship has certain challenges that are faced by promoters. The chapter enlists the various developments in the area of social entrepreneurship and also explains the challenges faced by social entrepreneurs while going through the various phases.
Sustainable Development of Bihar Tourism
Authors: Dhiraj Ankit , Kumar Sanjeev , Rani Divya
Published: June 2022

The entrepreneurial opportunity is found in the different segments such as accommodation, recreation and entertainment, transportation, and travel services. Hotels, restaurants, tour operators, and travel agents have been providing direct business opportunities to people at different levels of the local community. Bihar is a land of enlightenment and salvation. Bihar occupied an important position in the early history of India. Bihar is the birthplace of two religions (i.e., Buddhism and Jainism) and the birthplace of Guru Govind Singh, the 10th guru of the Sikh religion. There are many holy places for Hindus and important places for the Gandhian movement. Bihar is rich in spiritual, heritage, cultural, and recreation places. The total share of tourism is 11.99% of Bihar SGDP and the 11th largest wage earner in revenue with $3.13 billion in 2017. Tourism is one of the economic areas where the entrepreneurial sector requires a high level of involvement: diversification of tourism products and services is required to meet the rising demand for new sorts of tourism demands.
Institutionalization of Spatial Resources in Participatory Governance Systems
Authors: Vargas-Hernández José G.
Published: June 2022

The study has the purpose to analyze the implications of the institutionalization process of spatial resources in the participatory governance system. It departs from the assumption that the institutional participatory governance policy as a political option has a chronic neglect despite the omnipresent decision-making authority, there is not binding authoritative allocation of values, public support, and the distribution of resources with a growing acceptance among the non-institutional space. The method employed is the analytic reflective thinking based on the theoretical and empirical review of the literature. It is concluded that the allocation of values and spatial resources from the institutional state power to society requires development in spatial form and new modes of participatory governance system in which actors and stakeholders through political actions allocate values and spatial resources to deal legitimately and effectively in the context of unity for the notion of common good for the community.
Conceptual Institutional Elements of Participatory Governance
Authors: Vargas-Hernández José G.
Published: June 2022

This study aims to analyze the conceptual elements of institutional participatory governance from an institutional perspective. It is assumed that the efforts to increase institutional participation in governance through the inclusion of minority groups may lead to fairer and responsive government. The analysis is also based on the assumption that participation models applied to institutions as legal and political instruments to foster regional mobilization and citizenship participation lead to the merging of the concepts of institutions, participation, and governance. The method employed is the analytic sustained on the reflection of the theoretical and empirical literature. It is concluded that the conceptual framework of institutional participation in governance is related to projects focusing on the domains of politics of life issues and concerns.
Developing the AAMC Competencies With Pre-Health Professional Students Through the Use of the Intercultural Development Inventory
Authors: Selzer Robin A. , Khan Fatima
Published: June 2022

Educators at colleges and universities have utilized the American Association of Medical Colleges (AAMC) core competencies to advise students who aspire to become health professionals. Cultural competence is included as a core interpersonal competency and has become increasingly important in the wake of the global pandemic and racial uprising in the United States. This chapter builds on prior research related to the efficacy of using an intercultural competence assessment tool with pre-health professional students. The Intercultural Development Inventory (IDI) and accompanying debrief was utilized with 75 high-achieving, pre-health professional students. Findings corroborated prior outcomes and revealed students continued to significantly overestimate their intercultural competence. The results suggest pre-health advisors could use the IDI LLC guided development® model as an evidence-based best practice to encourage students to practice reflection on perspective-taking as a professional trait and thereby supporting them to be competitive applicants.
Understanding Backwards
Authors: Nelson Julie Renee
Published: June 2022

In this chapter, the author explores the application of counseling approaches in advising pre-health professional students. After identifying and reviewing three counseling models, the chapter offers theory-to-practice strategies for developing psychological flexibility and perspective taking with pre-health students. The author discusses common challenges for all pre-health students and structural inequalities that disadvantage students from underrepresented groups and how counseling approaches help advisors and students build a trusting alliance to address challenges inherent on the path to becoming a health professional. The chapter includes practical tips and suggestions to empower educators and advisors to apply counseling-inspired approaches to enhance advising practice and creatively support this student population.
The Foundations of Success in Health Professions Education
Authors: Heck Amber Jene , Chase Amanda J. , Cross Courtney
Published: June 2022

Pre-health professions learners are physically mature adults. However, in early adulthood, cognitive and emotional development are incomplete, and the transition to higher education presents a challenge for learners. The academic environment is demanding, requiring strong will, advanced skill, and self-regulation ability. Even exceptional learners may struggle. With so many variables, how can pre-health professions educators best support learner success? The goal of this chapter is to establish the model of strategic learning as a foundation for identifying and adopting strategies that support learner success. Here, the authors present the model of strategic learning and each of its four components: academic environment, skill, will, and self-regulation. Within each section, the authors discuss the impact of these on learner success and make recommendations to cultivate a strategic academic environment in pre-health professions programs. The authors conclude by justifying a holistic approach to developing pre-health profession learners into strategic learners.
Archetypes of Otherness
Authors: Çakın Ömer , Günay Mehmet Akif
Published: June 2022

The Bolsheviks seized power in Russia with the October Revolution of 1917 and began the process of establishing a new society. Propaganda is used to influence the public in this process, and posters were an important tool in the propaganda toolbox. The archetypes of “otherness” in Soviet propaganda posters are the subject of this research. The goal of this research is to discover how otherness archetypes are used in the narrative structure of Soviet propaganda posters. To accomplish this goal, the study will conduct a review of pertinent literature and examine the characteristics and transformation of the Soviet Union's marginalizing images on posters. Additionally, the study will identify marginalizing elements and the manner in which they are used.
Truth Trying to Survive
Authors: İnal Ufuk , Şevik İnal Elif
Published: June 2022

The place where most of us face the perception of reality in the pre-internet social life consists of a miraculous glowing box in the focal point of our rooms. Television is perhaps one of the most basic media tools that create our perception of reality by using the power of sound and image. The urge to believe what you see continues to make us addicted to this device. Television audience surveys in Turkey show that Turkish people watch television for an average of 4.5 hours a day. Considering that the average person works 8 hours a day and sleeps 8 hours, it is understood that people spend more than half of their free time in front of the television. With the use of the internet in all areas of social life, an average of 3 hours of leisure time consumption of people is devoted to social media. This situation reveals that television has a very serious competitor in directing our perception of reality. This study is about the construction of reality in the Survivor program, which is the most consumed competition program on Turkish television.
Interweaving Narrative Methods Into a Mandala of Transformational Practices
Authors: Riva Susan Mossman
Published: June 2022

Narrative therapy can be understood as part of a narrative continuum where generative story threads are interwoven into a mandala of transformational practices. Individual and social transformation is elicited by narrative practices that reinforce narrative coherency. Through engagement with narrative methods, phases of narrative practice and inquiry are analyzed, revealing the emergence of narrative concrescence within an integrated narrative framework. Autoethnography, narrative therapy, narrative mediation, narrative conflict resolution, and transformational learning using “transformagram portfolios” can be understood as connected storying practices contained in mediatorship. This holistic approach to narrative methods creates linkages that further the generative potential of narrative practices as illustrated in case studies. By reinforcing narrative coherency in the noosphere, “narrative truth” can be generated and used as a guiding force in a post-truth era.
Geophysical reassessment of the role of ancient lineaments on the development of the western margin of Laurentia and its sediment-hosted Zn-Pb deposits, Yukon and Northwest Territories
Authors: Hayward N , Paradis S
Published: June 2022

The role of crustal lineaments in the development of the western margin of Laurentia, Selwyn basin and associated sediment-hosted Zn-Pb deposits (clastic-dominated, Mississippi-Valley-type) in Yukon and NWT, are reassessed through a new 3-D inversion strategy
applied to new compilations of gravity and magnetic data. Regionally continuous, broadly NE-trending crustal lineaments including the Liard line, Fort Norman structure, and Leith Ridge fault, were interpreted as having had long-standing influence on craton, margin, and sedimentary basin development.
However, multiple tectonic overprints including terrane accretion, thrust faulting, and plutonism obscure the region's history.
The Liard line, related to a transfer fault that bounds the Macdonald Platform promontory, is refined from the integration of the new geophysical models with published geological data. The geophysical models support the continuity of the Fort Norman structure below the Selwyn basin, but the presence
of Leith Ridge fault is not supported in this area. The ENE-trending Mackenzie River lineament, traced from the Misty Creek Embayment to Great Bear Lake, is interpreted to mark the southern edge of a cratonic promontory. The North American craton is bounded by a NW-trending lineament interpreted as
a crustal manifestation of lithospheric thinning of the Laurentian margin, as echoed by a change in the depth of the lithosphere-asthenosphere boundary. The structure is straddled by Mississippi Valley-type Zn-Pb occurrences, following their palinspastic restoration, and also defines the eastern
limit of mid-Late Cretaceous granitic intrusions. Another NW-trending lineament, interpreted to be associated with a shallowing of lower crustal rocks, is coincident with clastic-dominated Zn-Pb occurrences.
Venous Thromboembolism
Authors: Okoye Helen C. , Nwagha Theresa U. , Eweputanna Lisa I. , Efobi Chilota C. , Ezigbo Eyiuche D. , Ugwu Angela O. , Obodo Onochie I. , Nonyelu Charles E.
Published: June 2022

Background:

The burden of venous thromboembolism (VTE) can be reduced through awareness programs, as VTE is largely preventable.

Objective:

We sought to determine the level of knowledge among medical students in Southeast Nigeria.

Materials and Methods:

We conducted a descriptive cross-sectional study in clinical students at four medical schools in the southeast of Nigeria. The pretested and prevalidated version 11 of the Ipsos-Reid questionnaire was used.

Results:

A total of 784 students with a mean age of 23.5 ± 3.0 years participated in the study. Our respondents showed a high level of awareness of VTE (99.1%). The majority 638 (87.6%) of the respondents correctly described vein thrombosis as a blood clot in a vein. A little more than half of them knew how clots feel in the legs (51.0%) and lungs (57.5%). Their level of awareness of possible risk factors for VTE was above 57%. The relationship between medical school and the level of perception was statistically significant ([P ≤ 0.0001.

Conclusion:

Awareness is high, but general knowledge was low among our medical students. This may be a call to curriculum adjustment in our medical schools.
Adherence and Implementation-related Challenges of Integrated Management of Childhood Illness Guidelines among Nurses at Health Centers in Port Harcourt, Nigeria
Authors: Amachree Damiete M. , Eleke Chinemerem
Published: June 2022

Background:

The Integrated Management of Childhood Illness (IMCI) guidelines are a standardized diagnostic and treatment approach developed by the World Health Organization for the management of common childhood diseases.

Objective:

This study assessed the adherence and implementation-related challenges of the IMCI guidelines among nurses at health centers in Port Harcourt, Nigeria.

Materials and Methods:

A cross-sectional descriptive-analytical design was employed to examine nurses in all the 12 Model Comprehensive Primary Healthcare Centers (MCPHCs) in Port Harcourt, Nigeria. The census sampling technique was used to enroll 52 consenting participants. Data were collected by (1) observation and recording on a checklist and then (2) semi-structured questionnaire. Collected data were analyzed using frequency, percentages, Chi-square, and prevalence ratio at a 5% level of significance with the aid of IBM-SPSS version 25.

Results:

About half (53.8%) of the participants demonstrated adequate overall adherence to all the steps of the IMCI guidelines. Adequate adherence to all the steps of the IMCI guidelines was 83% higher among participants trained on the IMCI guidelines (P = 0.038). The participants’ educational qualifications (P = 0.722) and years of professional nursing practice (P = 0.477) were not associated with adherence to the IMCI guidelines. The categories of the IMCI guidelines implementation-related challenges reported by the participants were a lack of training update on the IMCI guidelines (94.2%), a lack of the IMCI booklets (69.2%), and work-time pressure (53.8%) among others.

Conclusion:

Adherence to the IMCI guidelines was short of desired levels. In recommendation, frequent training and regular provision of the IMCI booklets in the MCPHCs are required.
Predictors of Dietary Diversity among HIV Clients in a Low-resource Tertiary Health Facility in Southeast Nigeria
Authors: Ezenwosu Ifeyinwa , Ugwunna Nwachukwu , Ajuba Miriam , Ezenwosu Osita , Otache Emmanuel , Ejike Ijeoma
Published: June 2022

Background:

In a resource-limited setting where nutrient availability is a challenge, it may be necessary to determine factors that affect dietary diversity in people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) as addressing them could lead to better access to diversified diets in this group.

Objective:

The objective of this study was to determine the factors that influence dietary diversity among HIV clients attending the HIV clinic in a low-resource tertiary health facility.

Materials and Methods:

An institutional-based cross-sectional study was conducted among HIV clients receiving anti-retroviral therapy in Enugu state, Nigeria. A systematic random sampling technique was employed in selecting the study participants. Bivariate analysis was done using the chi-square test which was further subjected to multivariate logistic regression analyses to determine predictors of dietary diversity.

Results:

In this study, respondents who earned a family monthly income of 72.5 US dollars and below were 2.6 times less likely to have high dietary diversity (AOR = 0.378, CI = 0.180–0.792) compared to those who earned above 145 dollars. Also, HIV clients on cotrimoxazole prophylaxis were 2.3 times more likely to have high dietary diversity (AOR = 2.304, CI = 1.155–4.598) compared to those who were not on the prophylaxis.

Conclusions:

High family monthly income and being on cotrimoxazole prophylaxis were predictors of high dietary diversity in People living with HIV/AIDS. Therefore, there is a need to improve the income of PLWHA as well as ensure the ready availability of cotrimoxazole to reduce the rate of opportunistic infections thus leading to better consumption of diversified diets.
Prevalence, Pattern and Sociodemographic Correlates of Psychosocial Disorders in Obese Adolescents in Enugu, Nigeria
Authors: Ozoalor Okechukwu N. , Ikefuna Anthony N. , Aronu Ann E. , Ojinnaka Ngozi C.
Published: June 2022

Background:

Adolescent obesity is a serious public health issue. Inconsistent findings on its association with mental health problems are reported.

Objective:

This study aimed to determine the prevalence, pattern, and sociodemographic correlates of psychosocial disorders among obese adolescents in Enugu metropolis, Nigeria.

Materials and Methods:

A cross-sectional study was conducted over a 5-month period in 16 secondary schools in Enugu, Nigeria. A multi-staged systematic sampling technique was used to select participating schools. A total of 4364 adolescents aged 10–19 years from these schools were screened for obesity by measuring their height and weight, and calculating their body mass indices (BMIs), which were plotted on the Centers for Disease Control and Prevention BMI percentile chart. Seventy-four obese students were identified, and from their respective class registers, systematic sampling scheme was applied in selection of equal number of apparently healthy normal BMI (5th–84th percentile) controls matched for age and sex. The youth version of the Pediatric Symptom Checklist was used to screen for psychosocial disorder in the study participants.

Results:

The prevalence of psychosocial disorder was 17.6% and 12.2% among the obese and control adolescents, respectively (P = 0.02). Attention and externalizing problems were the highest among the obese adolescents, whereas psychosocial disorders were more in females than males (28.1% vs 9.5%; χ
2 = 4.34, P = 0.04).

Conclusion:

Obese adolescents have a higher prevalence of psychosocial disorder compared to controls, with attention and externalizing problems being most common, and this was influenced by gender. Periodic assessment of the mental health of obese adolescents is advocated.
Willingness to Pay (WTP) for Community-based Health Insurance Scheme (CBHIS) in a Nigerian State
Authors: Idoko Chinedu A. , Obienu Chuka
Published: June 2022

Background:

Since the turn of the millennium, efforts across the world have been aimed at promoting good living and reducing poverty. This has resulted in countries taking necessary steps to ensure increased access to affordable health care by promoting Universal Health Coverage. Nigeria is not an exemption especially as private health spending has its own substantial impoverishing effects on households.

Objective:

The objective of this study was to study willingness to pay (WTP) for Community-based Health Insurance Scheme in a Nigerian State.

Materials and Methods:

The study sample was purposively selected to cover the three senatorial zones of Enugu State, Nigeria. A questionnaire was used to collect data from the respondents that were randomly selected. Focus group discussions were held to collect qualitative data. Key variables which included WTP for in- and outpatient care for the different stated amount of of money in naira and dollar: N400 ($1.0), N500 ($1.25), N1000 ($2.5) or more) were compared across socio-economic status (SES) groups using “asset holding and level of WTP” with the groups classified into SES quartiles.

Results:

Most respondents were neither WTP a minimum of N400 ($1.0) nor a maximum of N1000 ($2.5) for inpatient or outpatient care. The overall maximum amount to pay by the groups was N500 ($1.25), whereas the minimum amount across the communities was N50 ($0.125).

Conclusion:

There was a ceiling of maximum/minimum willing amounts to pay across the different socio-economic strata and these ceilings were observed to be low.
The Nutritional Status of Children with Asthma and Its Relationship with Acute Exacerbations
Authors: Akhiwu Helen O. , Aliyu Ibrahim , John Collins , Yiltok Esther S. , Oguche Stephen
Published: June 2022

Background:

Asthma is a chronic inflammatory disease of the airways. There is increasing international interests in the role of nutrition in asthma control.

Objectives:

This study was carried out to determine the nutritional status of children with asthma using the World Health Organization (WHO) growth reference charts for height, weight, and body mass index (BMI) for age and to determine the relationship if any between nutritional status and frequency of acute asthmatic exacerbations.

Materials and Methods:

It was a descriptive cross-sectional study of children aged 6–17 years with asthma attending the pediatric respiratory clinic of a tertiary hospital from October 2017 to March 2019. All the values obtained were interpreted using the WHO reference growth charts z-scores.

Results:

A total of 71 children participated in the study. The study showed that 94% of the children with asthma were of normal height with 2.6% stunted and 2.6% severely stunted. There was no significant association between the height and the frequency of acute exacerbation. About 65% of the children had normal BMI. Those that were wasted/severely wasted were 19.7%, whereas 15.5% were overweight/at risk of overweight. There was no significant association between the BMI and the frequency of acute exacerbations (P > 0.05). The odds of having more frequent exacerbations in children with either above normal or below normal BMI were 1.05 (0.11–10.44) and 0.81 (0.08–7.88), respectively.

Conclusion:

Majority of the children with asthma were of normal height. Despite the fact that there were more children who were wasted/severely wasted than overweight/risk of overweight, these findings were not significantly associated with more frequent acute exacerbations.
Comparison of eyecare utilization at two service delivery levels during the COVID-19 pandemic as a measure of their impact: A multicentric retrospective analysis across four North Indian high-volume eyecare organizations
Authors: Sood Ishaana , Sabherwal Shalinder , Kuyyadiyil Subeesh , Khurana Ashi , Thakur Anshu , Chauhan Lokesh , Jain Elesh , Bhadauria Madhu , Majumdar Atanu
Published: June 2022

Purpose:

The purpose of this study was to assess the performance of the tertiary centers (TCS) and vision centers (VCs) of the four organizations participating in this research, once the lockdown was lifted, and to compare it with the performance during the same period of the previous year.

Methods:

This was a cross-sectional study assessing eyecare utilization in the first 2 months after resumption of services post the lockdown in 2020 and comparing that across the same time period in 2019. Anonymized data containing basic demographic details, proportions of patient visits and their reasons, as well as referral information was collected. The drop percentage method was used, and P values were calculated using paired t-tests.

Results:

Four TCs and 60 VCs were included. Overall, outpatient attendance dipped 51.2% at TCs and 27.5% at VCs, across the 2 years. At both levels of care delivery, the percentage drop in females was more than that in males; however, the overall drop at VCs was less than that at TCs, for both sexes. Eyecare utilization in pediatric populations dropped significantly more than in adult populations, across the overall sample. There was no significant change in referrals for refractive error as a proportion of total outpatients, although there was a significant decline in the same for cataract and specialty treatment.

Conclusion:

VCs are valuable and successful model for eyecare delivery especially in the continued aftermath of the COVID-19 pandemic.