bluuebunny/crossref_metadata_2025 huggingface dataset:
Vulvo-Perineal Crohn’s Disease: A Challenging Diagnosis!
Authors:   Department of Dermatology and Venereology, Ibn Rochd University hospital, Hassan II University, Casablanca, Fouzia Hali , Salma Zakaryaa ,   Department of Dermatology and Venereology, Ibn Rochd University hospital, Hassan II University, Casablanca, Bouchra Baghad ,   Department of Dermatology and Venereology, Ibn Rochd University hospital, Hassan II University, Casablanca, Farida Marnissi ,   Anatomopathology Department, Ibn Rochd University hospital, Hassan II University, Casablanca, Wafaa Hliwa ,   Gastrology department, Ibn Rochd University hospital, Hassan II University, Casablanca, Soumiya Chiheb ,   Department of Dermatology and Venereology, Ibn Rochd University hospital, Hassan II University, Casablanca
Published: August 2024

Crohn's disease (CD) is a chronic inflammatory bowel disease with polymorphous cutaneous manifestations. Vulvar localization is rare and may be either isolated, revealing the disease, or associated with digestive manifestations. Treatment is difficult and not well codified. Based on 4 case reports of vulvo-perineal involvement, we present a reminder of the diagnostic and therapeutic challenges of this particular site. In 2 out of 4 patients, vulvar involvement was incipient, with no gastrointestinal symptoms at the time of diagnosis. The vulva may present with many dermatological manifestations: knife-like ulcerations, oedema, labial hypertrophy, lymphangiectasia, abscesses and fistulae. The presence of non-caseating granulomas on histology may help to confirm the diagnosis. Vulvar CD affects quality of life and requires long-term medical and surgical management with a multidisciplinary approach involving gastroenterologists, dermatologists, gynecologists and pathologists.
Analysis of Validation Results on the Development of Journalistic Innovation Modules in Higher Education
Authors:   Universitas Muhammadiyah Purwokerto, Jl. K.H. Ahmad Dahlan, Kembaran, Banyumas Regency, Indonesia., Sukirno Sukirno , Wardianto Bayu Suta ,   UIN Prof. K.H. Saifuddin Zuhri Purwokerto, Jl. A. Yani, North Purwokerto, Banyumas Regency, Indonesia., Muharudin Eko ,   Universitas Muhammadiyah Purwokerto, Jl. K.H. Ahmad Dahlan, Kembaran, Banyumas Regency, Indonesia.
Published: August 2024

Journalism is a superior product of the changing times in terms of news. In it there are various news that are witnesses to the progress of human civilization. Along with its development, journalistic products have become more and more varied. Not only print media, but also in the form of audio and video, as well as live broadcasts. Therefore, journalism is a science that must be developed and inherited from generation to generation. Based on this description, this study aims to develop an innovative module used in the journalistic learning process. The module is developed with innovations that are adapted to conditions and situations in the field based on needs. This research uses the research and development (R&D) method. The research was carried out by involving students with the provisions of majors/study programs that conduct journalism learning. The development of this module is carried out as a form of caring for and 'developing' journalistic science so that it is easier to practice and learn, both in the classroom and outside the classroom with a learning process that refers to the update of the material and innovations presented.
Corporate Mergers from the Perspective of Private International
Authors:   University of Babylon, College of Law, Iraq, Sheaan Firas Karim , Al-Hasoon Hind Faez Ahmed ,   University of Babylon, College of Law, Iraq
Published: August 2024

Economic competition casts its shadow on economic projects, as it pushes most of these projects to move towards economic blocs, and international merger is the legal means through which companies and economic projects can achieve their goals in creating these economic blocs. This merger technique directly affects the merging companies because the companies concerned with it not only lose their economic independence, but also lose their legal entity and thus their legal personality, as they disappear completely and are dissolved in the merging company. Also, the international merger of companies takes place through a contract called the merger contract, and these companies are usually of different nationalities, which raises the problem of searching for the law applicable to the merger contract itself, as it is a contract that includes a foreign element, and what is the legal system to which the international merger of companies is subject.
Education of Exemplarity in Building Inclusive Villages
Authors:   Politeknik Gusdurian Purwokerto,, Rohman Thofiqur , Hartono Hartono ,   UIN Profesor Kiai Haji Saifuddin Zuhri Purwokerto, Basit Abdul ,   UIN Profesor Kiai Haji Saifuddin Zuhri Purwokerto, Aziz Fathul Aminudin ,   UIN Profesor Kiai Haji Saifuddin Zuhri Purwokerto
Published: August 2024

The purpose of this paper is to describe the conscious and planned efforts undertaken by the Village Government together with the Village Deliberation Agency (BPD) and the community elements of Sawangan Wetan Village, Patikraja District, Banyumas Regency, Central Java Province, in striving to transform themselves into an inclusive village. This research employs a qualitative research approach with a descriptive method. Data collection techniques include observation, interviews, and documentation. The findings of this paper indicate that education of exemplarity in realizing inclusive villages must be carried out simultaneously by all parties involved in the village, including the Village Government, BPD, village institutions, and community elements. Exemplary education as an effort to achieve inclusive villages in Sawangan Wetan Village should begin with the example set by the Head of Village. The Head of Village is the highest leader of the village who must provide the best examples in terms of mindset, attitude, and actions in village development and community empowerment activities. The purpose of setting these examples is to inspire and motivate the Village Apparatus, BPD, and community elements to emulate the working pattern of the Head of Village. Therefore, the conclusion drawn from the education of exemplarity in realizing inclusive villages in Sawangan Wetan Village is that the initiative must begin with continuous exemplary leadership from the Head of Village, who is the highest leader in the village. These examples should then serve as inspiration and be emulated by other village elements to collectively build the village.
How Psychological Safety Impacts Job Crafting: Roles of Self-Efficacy and Humble Leadership
Authors:   School of Business Administration, Zhejiang Gongshang University, Hangzhou, China, 310018., Odai Leslie Afotey , Rezge Bilal Beshir Mohamed ,   School of Management Science and E-business, Zhejiang Gongshang University, Hangzhou, China, 310018., Korankye Benard ,   School of Business Administration, Zhejiang Gongshang University, Hangzhou, China, 310018., Nkgowe Stancey Tumiso ,   School of Business Administration, Zhejiang Gongshang University, Hangzhou, China, 310018., Ansah Jackson ,   School of Management Science and E-business, Zhejiang Gongshang University, Hangzhou, China, 310018., Shmetkova Arina ,   School of International Education, Zhejiang Gongshang University, Hangzhou, China, 310018.
Published: August 2024

This study investigates how psychological safety influences job crafting through self-efficacy as a mediating mechanism and humble leadership as a moderator. A three-wave design, yielding 663 accurate responses, was employed to recruit employees in the banking industry. A structural equation modeling approach and SPSS PROCESS macro were used to arrive at valid outcomes. The results demonstrate that psychological safety positively impacts self-efficacy. Self-efficacy relates positively with job crafting and mediates the association between psychological safety and job crafting. Also, humble leadership moderates and boosts the association between psychological safety, self-efficacy and job crafting. Theoretical and practical implications are offered.
Analisis Pembangunan Ekonomi, Sosial, dan Lingkungan Berbasis Hutan di Provinsi Nusa Tenggara Barat
Authors: Susanto Wahyudi
Published: August 2024

Studi ini ditujukan untuk mengetahui capaian pembangunan kehutanan dengan langkah rehabilitasi hutan dan lahan kritis di Provinsi NTB berbasis road map RHL NTB 2016-2026. Di sisi lain, studi ini juga bertujuan untuk menganalisis strategi langkah RHL yang berkelanjutan dan memiliki nilai tambah. Dari studi ini diharapkan dapat memberikan: tersusunnya langkah-langkah strategis RHL yang efektif, efisien, dan tepat sasaran sebagai bagian dari pembangunan kehutanan berkelanjutan di Provinsi NTB; tercapainya perencanaan peningkatan kualitas hutan dan lahan melalui pengelolaan hutan lestari; tercapainya pembangunan yang selaras dengan core business kehutanan; dan meningkatnya taraf hidup masyarakat yang tinggal di sekitar kawasan hutan. Metode yang digunakan adalah diskusi terfokus; pengambilan data primer dan analisisnya dengan teknis analisis leverage dan ; wawancara; studi literatur; dan observasi lapangan. Untuk mencapai pembangunan yang berkelanjutan berbasih hutan, dari hasil studi ini adalah: penyusunan langkah strategis RHL yang efektif, efisien, dan tepat sasaran sebagai bagian dari pembangunan kehutanan berkelanjutan; peningkatan kualitas hutan dan lahan melalui pengelolaan hutan lestari; pembangunan yang selaras dengan core business kehutanan; dan meningkatkan taraf hidup masyarakat yang tinggal di sekitar kawasan hutan.
Analisis Sektor Unggulan dan Infrastruktur dalam Pengembangan Wilayah Kota Sabang
Authors: Rachmadsyah Angga Satria
Published: August 2024

Pengembangan wilayah di Kota Sabang sangat memengaruhi ekonomi dan kesejahteraan penduduk. Pembangunan ekonomi di tingkat regional mencakup sektor primer, sekunder, dan tersier, dengan sektor dominan memberikan kontribusi signifikan terhadap produk nasional atau regional. Secara geografis, pusat pertumbuhan adalah area yang memiliki infrastruktur dan fasilitas yang menarik berbagai jenis usaha dan masyarakat untuk memanfaatkan fasilitas tersebut. Penelitian ini bertujuan untuk menganalisis sektor-sektor unggulan dan non-unggulan dalam Produk Domestik Regional Bruto (PDRB), yang menunjukkan tingkat pertumbuhan relatif cepat serta daya saing yang kuat, serta untuk mengkaji tingkat pembangunan wilayah dan pengelompokan wilayah berdasarkan karakteristiknya. Analisis yang digunakan mencakup Location Quotient (LQ), Shift Share Analysis(SSA), Skalogram, dan K-Means Clustering. Hasil penelitian menunjukkan terdapat sepuluh sektor basis yang memberikan kontribusi signifikan terhadap perekonomian daerah, dengan sektor sekunder dan tersier lebih dominan dan memiliki keunggulan komparatif, sementara sektor primer lebih berfokus pada pemenuhan kebutuhan lokal. Diketahui bahwa sektor Pendidikan menunjukkan pertumbuhan ekonomi yang lebih cepat dan memiliki keunggulan kompetitif, sedangkan sektor Pertanian, Kehutanan, dan Perikanan, sektor Jasa Keuangan dan Asuransi, serta sektor Administrasi Pemerintahan, Pertahanan, dan Jaminan Sosial Wajib tumbuh lebih lambat dan tidak kompetitif. Analisis infrastruktur menunjukkan bahwa Gampong Kuta Ateuh, Kuta Timu, Kuta Barat, dan Iboih adalah wilayah dengan tingkat perkembangan tinggi, infrastruktur yang memadai, dan berperan sebagai pusat kegiatan ekonomi, perdagangan, serta pariwisata. Tipologi wilayah Kota Sabang terbagi menjadi tiga klaster, di mana karakteristik wilayah menunjukkan kemiripan wilayah dengan aktivitas ekonomi (Cluster 1), administratif (Cluster 2) dan pariwisata (Cluster 3).
The Right to Manage Coastal Tourism to Support Indigenous People's Income in the Perspective of Coastal Community Welfare
Authors: Saija Ronald , Pariela Marselo Valentino Geovani , Sihite Sri Rumada
Published: August 2024

Introduction: The right to manage coastal tourism to support the customary income of the land of West Seram Regency from the perspective of the welfare of coastal communities, where it can be said that tourism management is one of the efforts made by the community and government to preserve tourist attractions.Purposes of the Research: The tourism management responsibilities that are interesting to carry out research, especially the tourism management of Negeri Eti in the Baray part of Seram Regency and providing management obligations to the Negeri Eti community in the West Seram Regency as well as research related to the welfare allocation or it could be said to be the results of the allocation of customary land to be managed for beach tourism.Methods of the Research: The research method used is in accordance with the research objectives where the type of research used is sociolegal (sosiolegal research) namely a research method combining doctrinal legal research and empirical legal research methods.Results of the Research: The results of this research show that developing tourism potential in an area requires information, physical factors and a good coastal environment which includes accessibility, supporting facilities and infrastructure. There is Village Regulation Number 1 of 2022 concerning Management of Land, Coastal and Marine Natural Resources. Eti Village, West Seram District, Maluku Province, can be implemented by Eti Village to provide welfare for coastal indigenous communities in the future.
E-contract Consensus in Indonesian Contract Law
Authors: Sulistyaningrum Helena Primadianti
Published: August 2024

Introduction: In the era of Society 5.0, the use of IT in implementing agreements in Indonesia is inevitable. The development of e-contracts, becoming increasingly necessary in society, is demanding the business world's attention. Particularly in Indonesia's Treaty Law, the concept of consensual e-contracting emerged, suggesting that even in the absence of direct meetings, parties could still realize an agreement through the e-contract. Purposes of the Research:  This study aims to analyze and describe the existence of e-contract consensus in contract law in Indonesia from the point of view of contract theory. Methods of the Research: This specific type of investigation is doctrinal law research, which endeavors to uncover the truth by employing legal principles, foundational doctrines, and doctrinal law as supporting material. This work utilizes an inductive methodology, first presenting specific assertions and then drawing a general conclusion from them.Results of the Research: One of the legal prerequisites for an agreement is consensus. The study's findings indicate that legislative regulations in Indonesia have incorporated e-contract consensus into contract law. We apply Uitings theory, Verzending theory, and Ontvangs theory as agreement theories to determine the existence of e-contract consensus. The legislation contains provisions that specifically address the maintenance of electronic transactions. In general, it establishes that an electronic transaction has taken place when the parties to an electronic contract (e-contract) issue a statement of acceptance of an offer.
Fényvezetés, képtovábbítás üvegszál segítségével: út a merevszárú endoszkóptól (borescope) a laparaszkópiáig
Authors: Borbás Lajos
Published: August 2024

Az eszközök, gépek, berendezések megbontás nélküli vizsgálatának, állapotuk felmérésének lehetősége mindig is kihívást jelentett a rendszerek használói, üzemeltetői számára. Hasonlóképpen évszázados igény az emberi szervezetbe történő betekintés lehetősége annak jelentős mértékű feltárása nélkül, minimális fizikai terhelés okozásával, amely vizsgálódás során a feltárt rendellenességek esetleges orvoslása is megvalósítható. A 21. század modern képalkotó rendszerei megteremtették az élő szervezetek belső viszonyainak pontos feltárási lehetőségét (ultrahang, röntgen, CT, MR), a mérnöki gyakorlatból átvett és továbbfejlesztett beavatkozásra is alkalmas eszközök párhuzamos alkalmazásának biztosítása mellett.
Potencialidades de copromover o desenvolvimento local sustentável por meio da governança pública territorial: uma análise do turismo de base comunitária de Paraty/RJ (Brasil)
Authors:   , Almeida Thiago Chagas de
Published: August 2024

Por todos os seus princípios, o Turismo de Base Comunitária (TBC) é considerado como uma prática que pode impulsionar o Desenvolvimento Local Sustentável (DLS). Contudo, o fomento do TBC ao DLS não é algo meramente orgânico, mas que é favorecido pela sua interação adequada com outros atores territoriais, para estabelecer as prioridades de questões públicas e articular esforços coletivos. Ou seja, favorecido pela sua inserção em uma Governança Pública Territorial (GPT) bem estruturada. A partir dessa problemática e da consideração de que é necessária uma discussão teórica mais profunda sobre o tema, este trabalho objetiva analisar como a GPT pode auxiliar o TBC a copromover o DLS. Tal pesquisa é realizada por um estudo de caso crucial em Paraty/RJ, por esse território ter um TBC consolidado e com mecanismos de governança abertos aos seus representantes. A coleta dos dados ocorreu por revisões da literatura, levantamentos documentais, questionários semiestruturados e observações diretas. Já a interpretação dos dados foi oriunda da técnica analise de conteúdo do tipo temática. Os resultados indicaram que, apesar dos desafios que o TBC enfrenta para realizar práticas compatíveis com os seus princípios endógenos-sustentáveis e dos elementos a serem melhorados nos mecanismos de gestão coletiva do território, a GPT tem sido fundamental para potencializar as ações desses modos de gestão das atividades de visitação associadas ao DLS. Assim, a Tese contribui teoricamente para compreender como a GPT pode potencializar os benefícios do TBC para o DLS, que é uma lacuna da literatura. Como implicações à prática da administração pública, este trabalho mostra a importância da participação qualificada de representantes do TBC nos espaços de governança – tendo em vista seus benefícios para uma perspectiva de desenvolvimento autodeterminado e equilibrado. Palavras-chave: Turismo de Base Comunitária. Desenvolvimento Local Sustentável. Governança Pública Territorial. Sustentabilidade Territorial. Paraty/RJ.
Aborto infectado
Authors: Diniz Pinto Bravo Filho Jose , Santos Fialho Pedro Henrique , Dos Santos Teixeira Avelino Gleydson , De Carvalho Gomes Carlos
Published: August 2024

Paciente brasileira de 22 anos com amenorreia de 9 semanas, internada no hospital São João Batista devido a quadro de febre com calafrios e dor abdominal, com diagnóstico clínico na semana anterior de aborto completo. O aborto séptico tem evolução rápida e pode ser letal, por isso deve ser investigado em qualquer paciente no contexto de gravidez ou perda de gravidez com dor abdominal ou pélvica e febre. Além da investigação, é de extrema importância o correto e preciso tratamento do paciente no que tange à antibioticoterapia imediata e remoção do foco infeccioso. Pela gravidade apresentada e por ser uma patologia tão comum relacionada a abortamentos, se torna extremamente relevante discutir o manejo de tratamento mais adequado para os pacientes.
Ferramentas de avaliação de risco para mutações nos genes BRCA1/2 e sua aplicabilidade no Brasil
Authors: Aguiar Vinícius , De Souza Gonzaga Lucas , Vilhena de Castro Souza Fabrício , Rodrigues de Camargo Renan , Resende Heloisa , Yamada Utagawa Claudia
Published: August 2024

Aproximadamente 10% dos casos de câncer de mama e de ovário são hereditários, sendo que mutações nos genes BRCA1/2 são responsáveis por cerca de 45% desses casos. O diagnóstico de câncer hereditário impacta no seguimento, tratamento e prognóstico da paciente e sua família. A realização do teste molecular para detecção das mutações requer o preenchimento dos critérios estabelecidos pela diretriz da Agência Nacional de Saúde Suplementar (ANS) no Brasil. Percebe-se, todavia, dificuldade no reconhecimento e encaminhamento das pacientes de risco para os serviços especializados, devido à complexidade do preenchimento dos critérios e pelo desconhecimento por parte dos médicos. A introdução de ferramentas de avaliação de risco para mutações dos genes BRCA1/2 poderia auxiliar na identificação de portadoras. O objetivo do estudo foi comparar ferramentas para a triagem dessas pacientes, considerando se esses instrumentos contemplam os critérios da ANS, servindo de instrumento para indicação de testes genéticos no Brasil. Trata-se de um estudo exploratório, realizado a partir de um algoritmo para a comparação entre os critérios determinados pelas ferramentas e os estabelecidos pela ANS. As ferramentas selecionadas foram a Manchester Scoring System (MSS), Referral Screening Tool (RST), Ontario Family History Assessment Tool (Ontario-FHAT), Pedigree Assessment Tool (PAT), Tyrer-Cruzick Model Breast Cancer Risk Evaluation Tool (IBIS) e a Seven-Question Family History Screening (FHS-7). A ferramenta RST aparece como a principal alternativa para ser utilizada no contexto brasileiro, visto que possibilita o preenchimento de um maior número de critérios da diretriz da ANS e apresenta maior facilidade para aplicação.
Prevenção da toxoplasmose congênita através da construção de cartilha educativa para promoção da saúde em gestantes
Authors: Carneiro Teixeira Clarice , Pedro Lima João , Oliveira Mascarenhas Kaialla , Mangeon do Amaral El Jurd Mariah , Leonardo Pedrosa Rodrigo , Monteiro Juliana , Ramos Alves Dimitri
Published: August 2024

A toxoplasmose gestacional é uma doença de prevalência nacional, urbana, que independe de idade ou classe social. Trata-se de uma doença que gera grande preocupação devido a restrições no crescimento uterino, prematuridade e disfunções neurológicas e visuais que o feto pode desenvolver. Assim como, sequela tardia da doença que pode se manifestar na adolescência e na fase adulta. A aplicação da metodologia participativa e comunicativa por meio de materiais educativos impressos e eletrônicos da área da saúde é prática comum no Sistema Único de Saúde e, são capazes de promover resultados relevantes para os envolvidos nessas atividades educativas. Diante disso, identificou-se a necessidade de confecção de um material educativo que aborde a toxoplasmose gestacional, e que seja de fácil acesso para conscientizar as gestantes e profissionais da saúde. Foi realizada uma cartilha educativa mediante revisão bibliográfica sobre a temática, a fim de buscar conteúdo teórico fidedigno para a cartilha. Foram escolhidas ilustrações para serem inseridas na cartilha, a fim de garantir a melhor compreensão do conteúdo.
O tabagismo e o risco de recorrência de acidente vascular cerebral
Authors: De Queiroz Aguiar Vinícius , Vilhena de Castro Souza Fabrício , Rodrigues de Camargo Renan , César Meyer Júlio
Published: August 2024

O tabagismo está entre as principais causas preveníveis de morte no mundo e a mortalidade geral em fumantes é três vezes maior do que em não fumantes. Aproximadamente um quarto da população mundial é tabagista, sendo que 80% dessa população está em países subdesenvolvidos ou em desenvolvimento. O tabagismo é um fator de risco independente para o acidente vascular cerebral (AVC), com risco de duas a quatro vezes maior de desenvolver um episódio do que na população não tabagista. A cessação do tabagismo após uma síndrome coronariana aguda (SCA) é associada a um menor risco de recorrência de eventos vasculares e mortalidade. Em pacientes que sofreram um AVC, a relação entre o status tabágico e a recorrência de um novo AVC ainda não está definida. Dessa forma, o objetivo do estudo foi avaliar a associação entre o tabagismo e a recorrência de AVC após um primeiro episódio. Foi realizada uma revisão da literatura a partir de artigos publicados até março de 2023 nas plataformas MEDLINE (PubMed), Cochrane Central Register of Controlled Trials (Cochrane) e Scopus (Elsevier). A manutenção do hábito de tabagismo após um evento inicial de AVC foi associada a um maior risco de desenvolver um segundo episódio de AVC nos três estudos. Os pacientes que se mantiveram tabagistas demonstraram um maior risco para a recorrência do AVC quando comparado aos que nunca fumaram. De forma semelhante aos estudos sobre recorrência em SCA, os pacientes que interromperam o uso de cigarro logo após o evento inicial ou até 6 meses depois, não apresentaram diferença significativa do risco de recorrência comparado aos pacientes que nunca foram tabagistas. O risco de recorrência de AVC é dose dependente, com o risco podendo ser duas vezes maior a partir de 20 cigarros fumados por dia comparado com os não tabagistas. A cessação do tabagismo parece estar relacionada a um menor risco de recorrência de AVC, mostrando-se como uma oportunidade para atuação médica desde o hospital até o acompanhamento futuro do paciente.
Incidência de patologias endometriais em mulheres na pré-menopausa em uso de tamoxifeno como terapia adjuvante no câncer de mama
Authors: Lucas de Souza Gonzaga Lucas de Souza Gonzaga , De Queiroz Aguiar Vinícius , Buzzato Rainer Júlia , Santos Bastos Rodrigo , Victor Figueiredo Brito Thales , Lara Danielle Nowak Lara Danielle Nowak
Published: August 2024

O câncer (CA) de mama é a neoplasia mais diagnosticada em todo o mundo. No Brasil, a maioria dos casos ocorre em mulheres na pós-menopausa, todavia, até 20% dos diagnósticos são realizados em pacientes menores de 45 anos. A utilização de tamoxifeno como terapia adjuvante no CA de mama é associada ao aumento do risco de CA de endométrio e de outras patologias endometriais em mulheres na pós-menopausa. Em pacientes na pré-menopausa, tal relação permanece incerta. O objetivo do estudo foi analisar a incidência e a prevalência de patologias endometriais em mulheres em uso de tamoxifeno como terapia adjuvante ao CA de mama na pré-menopausa. Trata-se de uma revisão de literatura realizada com artigos selecionados das plataformas MEDLINE (PubMed), Cochrane Central Register of Controlled Trials (Cochrane) e Scopus (Elsevier), publicados até março de 2023. O Colégio Americano de Obstetrícia e Ginecologia não indica o rastreamento de patologias endometriais em pacientes em uso de tamoxifeno na pré-menopausa, baseado em estudos publicados no final do século passado e início do século XXI. Tais artigos não encontraram a relação nas pacientes na pré-menopausa, porém, as pesquisas foram realizadas com pequeno percentual de mulheres na pré-menopausa e baseadas em pacientes hospitalizadas. Em estudos publicados nos últimos cinco anos, o uso de tamoxifeno em mulheres com CA de mama na pré-menopausa foi associado a elevação do risco de desenvolvimento de CA de endométrio, pólipos e hiperplasia endometrial. Dessa maneira, com o crescimento dos diagnósticos de CA de mama em mulheres mais jovens e com o consequente aumento do uso de tamoxifeno em pacientes na pré-menopausa, há a necessidade de realizar a investigação de patologias endometriais em mulheres com CA de mama na pré-menopausa em uso de tamoxifeno como terapia adjuvante.
A causalidade de morte materna e os desafios de qualificação da assistência dos serviços de saúde.
Authors: Simas de Oliveira Lopes Luana , De Oliveira Rocha Villela Arthur , De Oliveira Pires Gabrielle , Saka Moreira Dornellas Maria Fernanda , Rodrigues Guedes Fábia , Gonçalves Silva Guimarães Flávia , Batista Costa Laura
Published: August 2024

A morte materna é quando uma mulher morre durante a gestação ou no período que se segue por 42 dias depois. Entre as principais causas de óbito materno destacam-se o baixo nível socioeconômico, más condições de trabalho, insegurança na prestação de serviços locais e dificuldades de acesso aos serviços de saúde. Durante a pandemia do SARS-COV 2 o número de mulheres que morreram durante esse ciclo aumentou consideravelmente. Plataformas como scielo e pubmed serviram como base para o presente estudo, que chegou à conclusão de que a atenção primária e o atraso obstétrico são pretextos fundamentais para o alto índice de mortalidade materna, bem como o não comparecimento às rotinas de pré-natal e puerpério inadequado.
Miosite benigna aguda na infância
Authors: De Souza Bastos Lijamar , Becker Araujo Yasmin , Domingues de Freitas Régia , Rodrigues Costa Luciano
Published: August 2024

A miosite benigna aguda na infância é uma síndrome caracterizada pela ocorrência repentina de dor muscular intensa na região gemelar bilateral, resultando na incapacidade de caminhar, se locomover e manter o equilíbrio. A doença é frequentemente precedida por infecções virais do trato respiratório superior em crianças pré-escolares e escolares, geralmente entre 6 e 9 anos de idade. Além da mialgia, outros sintomas como febre, fadiga, fraqueza muscular generalizada e dor ao toque podem estar presentes. A maioria dos casos de miosite benigna aguda na infância tem uma resolução espontânea em algumas semanas, sem a necessidade de tratamento específico. No entanto, em casos mais graves, podem ser prescritos medicamentos anti-inflamatórios não esteroides e sessões de fisioterapia para aliviar os sintomas e promover a recuperação muscular. É fundamental que os profissionais de saúde estejam cientes dos sinais e sintomas dessa síndrome para um diagnóstico correto e diferenciação de outras condições musculares graves. O presente trabalho trata-se de uma revisão de literatura em pesquisa bibliográfica com o objetivo de descrever a fisiopatologia da doença além de citar os fatores de risco, relatar as atualizações terapêuticas no contexto hospitalar e reconhecer os impactos na qualidade de vida do paciente pediátrico. Ao adotar uma abordagem cautelosa e baseada em evidências, o médico pediatra pode estabelecer um diagnóstico preciso e tranquilizar os pais, fornecendo informações claras sobre a natureza autolimitada da doença. É importante destacar que o estou demonstrou que o uso criterioso de recursos médicos evita intervenções desnecessárias, minimizando riscos e custos associados.
СПЕЦИФИКА РИТМИЧЕСКОЙ ОРГАНИЗАЦИИ ПРОЗЫ МАРИНЫ ЦВЕТАЕВОЙ
Authors: Эргашева Асаль
Published: August 2024

Статья посвящена рассмотрению проблемы особенностей поэтики прозаических произведений Марины Цветаевой.  Особое внимание уделяется ритмической специфике прозы. Предпринята попытка определить сюжетно-композиционную ритмическую структуру произведений: эссе, воспоминаний.
TILSHUNOSLIKDA “YAQIN – UZOQ” OPPOZITSIYASINING CHOGʻISHTIRMA TADQIQI MASALASI (ingliz va oʻzbek tillari misolida)
Authors: Xaitova Gulhayo
Published: August 2024

Ushbu maqolada, oppozitsiyalarning tarixi va tavsifi yuzasidan ma’lumotlar berilgan. Shuningdek, maqolada oppozitsiyalar tadqiqi uchun N.S. Trubetskoy nazariyasi metodologik asos sifatida qabul qilingan. Ingliz va oʻzbek tillaridan toʻplangan faktik materiallar mazkur nazariya asosida tasniflangan (vaqt, masofa, munosabat, faraz va joy kabilar) va tahlillangan. Tahlillar natijasida ingliz va oʻzbek tillarining farqlanish jihatlari ochib berilgan.
ATAMALAR LUGʻATIDA LUGʻAT MAQOLASINING TUZILISHI
Authors: Rustamova Dilrabo
Published: August 2024

Terminologik lugʻatning makro va mikrostrukturasi oʻziga xos boʻlib, terminlarni tavsiflashning oʻziga xosligini koʻrish mumkin.Terminologik lugʻatning boshqa lugʻatlardan farqi uning kompozitsiyada koʻrinadi: lugʻatning asosiy va yordamchi qismlari, lugʻat maqolalarini tartiblashtirish qoidalari, maxsus leksikaga oid turli axborotlarni tizimli taqdim etish kabi jarayonlar muhim. Maqolada atamalar lugʻatida lugʻat maqolasining tuzilishi xususida fikr yuritamiz. Sinxron tadqiqot metodlari:empirik, qiyosiy va statistik tadqiqot metodlridan foydalanilgan. Tadqiqot natijalari tahlil qilingan.
El neoconstitucionalismo boliviano cambio de paradigma de los derechos de la naturaleza
Authors: Oña Sabaté María Laura Del Pilar , Torres Muñoz María Gabriela , Plata Quisbert Yhostin Gary , Acuña Chuquimia Leonardo
Published: August 2024

El neoconstitucionalismo boliviano trajo consigo varios cambios, desde su denominación hasta su caracterización como un Estado unitario social de derecho plurinacional comunitario, libre e independiente, soberano, democrático, intercultural, descentralizado y con autonomías, fundado en el pluralismo. En este contexto, los derechos de la naturaleza marcan una transición crucial, donde los derechos colectivos han sido concebidos desde una visión antropocentrista en lugar de una ecosistémica, para el cumplimiento de los principios como el suma qamaña (vivir bien), ñandereko (vida armoniosa), teko kavi (vida buena), ivi maraei (tierra sin mal) y qhapaj ñan (camino o vida noble), instaurados en la Constitución Política del Estado y que orientan el marco jurídico actual. El objetivo fue evaluar el avance o retroceso y discordancia de los derechos de la naturaleza con relación al nuevo modelo constitucional boliviano junto con sus desafíos para su consolidación efectiva. En la investigación, se utilizó una metodología de corte descriptivo, mediante la revisión normativa jurídica documental con enfoque cualitativo, desde un posicionamiento reflexivo, para abordar el análisis de si existen o no los derechos de la naturaleza en Bolivia. En relación con los resultados, se analizó la evolución constitucional boliviana en el surgimiento y reconocimiento de los derechos de la naturaleza. Sin embargo, la concepción ambientalista enfocada en los seres humanos da paso a un cambio de paradigma: el concebir los derechos de la naturaleza desde una visión ecosistémica. En la conclusión, se destaca la necesidad de reconocer los derechos de la naturaleza como derechos fundamentales para configurar una justicia ecológica que contemple a todos los seres vivos del planeta
Effect of Aloe Vera, Wood Ash, and Indole-Butyric Acid on In-Vivo Macro Propagation of Robusta Coffee Stem Cuttings
Authors: Keimusya Rauben , Arinaitwe Byarugaba , Osiru David
Published: August 2024

Purpose: This study investigated the influence of Aloe Vera, Wood ash and a synthetic growth hormone Indole-butyric acid (IBA) on root and shoot in the proliferation of Coffee Wilt disease-resistant (CWD-R) Robusta coffee stem cuttings.
Methodology: Stem cuttings of CWD-R Robusta coffee were treated with five levels of rooting natural substances and IBA independently and in combination. The treated cuttings were propagated in a uniform potting medium under humidity chamber conditions. Data was collected on the number of surviving cuttings, shoot and root number, and root and shoot lengths.  At 90 days after planting, data on root proliferation, the number, and lengths of roots were collected and analyzed for variance (ANOVA) using GenStat 11th Edition.
Findings: The survival, root, and shoot development were significantly (p<0.05) influenced by the rooting substances applied. A combination of Aloe Vera and IBA, 0.8% IBA, and Aloe Vera gel applied alone gave the highest percentages (90, 70 and 70%, respectively) of stem cuttings that survived to form roots and shoots. A mixture of aloe Vera and IBA, 0.8% IBA, and Aloe Vera gave the highest mean number of shoots and roots per cutting; that is (8.75, 8.5, and 8.5 cm) and (13.87, 12.85 and 12.39 cm) for shoots and roots respectively. Cuttings treated with wood ash and control gave the lowest mean number of shoots and roots that formed per cutting; that is (5.25 and 4.50 cm) and (11.75 and 11.38 cm) for shoots and roots respectively.
Unique Contribution to Theory, Practice and Policy: Propagation of Coffea canephora, by stem cuttings can be adequately achieved by using Aloe Vera, IBA, or their mixture, but not with wood ash.
Budget Control on Capital Project Delivery in Samburu County Government
Authors: Lesorogol Nelson , Achimba Clement , Opondo Florence
Published: August 2024

Purpose: This study   aimed to evaluate the effects of budget control on delivery of capital project delivery in Samburu County-Kenya.
Methodology: This study examined the effect of budget control procedures on the completion of capital projects using a descriptive research design. A total of 52 employees who were department heads and routinely took part in the budgeting process, belonging to the J, K, and L job groups, comprise the research sample. To effectively represent the intricate dynamics at work and to offer insightful information about how budget control affects the efficacy and efficiency of capital project delivery within the framework of the Samburu County Government, data was provided in linear regression models.
Findings: The findings of this study can assist county governments in better understanding the factors that affect county budget management systems and performance as well as what needs to be changed to enhance the aforementioned budget performance. The findings can also be helpful to academics while looking into how budgetary control affects the provision of public services. Finally, it may offer politicians and other decision-makers new insights into the delivery of capital projects and the management of public resources. The study's results demonstrated that budget control significantly impacted capital project delivery in Samburu County, accounting for 77.3% of the variance with P ˂ 0.05.
Unique Contribution to Theory, Practice and Policy: The study investigated how capital project delivery and budget control interact using the agency theory. Kenyan county governments and legislators should tighten budget control to address issues. The primary finding of the study was that counties can accomplish their financial and quantitative objectives with the aid of budget control. Additionally, it can help the county meet its goals, identify the operating activity items in the budgets, and fortify the relevant accounting structures.
Television Viewing Frequency and Mode of Delivery Preferences among Primiparous Women in Nairobi, Kenya
Authors: Musyoki Christopher , Mberia Hellen , Sikolia Geoffrey
Published: August 2024

Purpose: This study aims to establish television viewing frequency and mode of delivery preferences among primiparous women in Nairobi Kenya, aiming at developing informed strategies to minimize health risks and costs, promoting safer childbirth choices in a media-driven urban environment.
Methodology: The study utilized a sequential mixed-methods approach, which involved 300 purposefully selected primiparous women from eleven sub-counties in Nairobi during routine child immunization schedules. Among the participants, 150 had vaginal deliveries, while the remaining underwent elective caesarean deliveries. Data collection was carried out through interviewer-administered questionnaires, focus group discussions, and in-depth interviews. Quantitative analysis involved the use of mean-weight scores, Chi-square tests, and Cramer's V using SPSS version 28.0.1.1(15). Thematic analysis was employed for qualitative data using Nvivo 14 to comprehensively understand the research topic. The findings were presented through both numerical analysis and narrative exploration.
Findings: Respondents who underwent elective caesarean deliveries had higher mean TV viewing frequencies on both weekdays and weekends, compared to those who had vaginal deliveries. Both for weekdays and weekends had significant associations with moderate effect sizes. The null hypothesis was rejected due to the significant correlation and linear regression explaining 81.3% of the variability. Each additional weekday TV-watching hour increased the odds in preferring a particular mode of delivery by 40%, and on weekends, by 39%. Qualitative analysis confirmed that viewing frequency is influenced by factors such flexible schedules, cost-effectiveness, accessibility, and content preferences.
Unique Contribution to Theory, Practice and Policy: The study uses cultivation and medicalization theory to establish that television viewing frequency shapes perceptions and subsequent childbirth preferences among urban women, adding to existing body of knowledge on media effects theories. To promote informed childbirth choices, recommendations include encouraging women to critically evaluate media information and seek reliable sources. Additionally, integrating media literacy into antenatal care, implementing targeted campaigns, and researching other media forms beyond television are essential.
“Moody Melodies”: An Analysis of Coping Strategies Exhibited By Listeners of Sad Music
Authors: Kaswala Krish
Published: August 2024

While existing research suggests that sad music can help listeners cope with trauma, it is unclear the ways in which sad music encourages listeners to exhibit different coping strategies and how these strategies may differ between sad vocal music and sad instrumental music. In order to answer the research question “How does sadness induced by sad vocal music help listeners cope with trauma compared to sad instrumental music?”, this paper employs a directed content analysis of YouTube comments from videos of sad music with lyrics and sad music without lyrics through codes derived from coping strategies identified by the Brief-COPE Inventory. The results indicate that the most prevalent adaptive coping strategies differed between both types of music with listeners of sad vocal music primarily coping through music-induced memories and listeners of sad instrumental music primarily relying on methods of self-reflection.
How are minority languages affected by government language policies?
Authors: Khaled Raya
Published: August 2024

Language policies are important and are imposed on minority languages around the world. Discussion about the effectiveness and morality of these policies can be found through scholarly articles and journals, and through the media. The purpose of this paper is to discuss whether it is moral to apply language policies that do not consider the linguistic diversity and linguistic rights of minority languages. In addition, this paper further explores the historical backgrounds of said policies, as well as present day policies and to analyse their virtue. Furthermore, this paper provides several recommendations to ensure linguistic diversity and that linguistic rights are preserved. The paper concludes with the argument that only ethical approaches to language planning by governments can ensure minority and Indigenous linguistic rights whilst also guaranteeing linguistic diversity in the world.
A Deep Learning Approach to Semantic Segmentation for Architectural Blueprint Interpretation and Geographic-based Material Recommendation
Authors: Chon Ashley , Gabor Peter
Published: August 2024

The planning and building of houses is financially-consuming and time-consuming, causing housing development to struggle to keep up with rapidly growing populations. In the rapid expansion of residences, the environmental implications of such developments are frequently disregarded. Though few recent scientists have attempted to leverage machine learning to expedite the house modeling process, these models do not take into consideration environmental factors such as geographic location, temperature, and landscaping. There is a pressing need for developing an automated and accurate system that offers comprehensive interpretation of architectural blueprints, providing essential guidance and insights for various aspects of the construction process. This study incorporates these factors by leveraging machine learning to develop software models for cost-effective and environmentally sustainable housing. To address the aforementioned problem, I propose a machine learning-based semantic segmentation network for architectural blueprint interpretation. This method is designed to address the complex task of understanding blueprints, discerning room types and their spatial arrangement. To achieve this, I employ convolutional neural networks widely recognized for their effectiveness in image analysis tasks. I also introduce a material recommendation method that aligns with the geographical context of the construction site. Extensive experiments, prove that the proposed method outperforms the previous state-of-the-art method in accurately generating semantic segmentation maps for the inputted blueprint images. I expect that these superior segmentation results will significantly enhance the architectural planning process by providing architects and designers with a more detailed and informative representation of blueprint layouts, thus aiding in better decision-making and design refinement.
The Analysis of Lawn Rebate Programs and Drought Tolerant Lawn Recommendations in California
Authors: Beck Sophia , Tallam Krti
Published: August 2024

California faces persistent cyclical droughts that are expected to worsen due to climate change. The state currently operates in an overall annual water deficit, and projections suggest a 10% reduction in water availability by 2040. To combat these water shortages, Governor Newsom's administration has unveiled a water supply strategy with substantial investments in water conservation policies, including rebate initiatives to encourage residents to replace lawns with drought-tolerant (DT) plants and non-living hardscapes. However, questions have arisen about the overall effectiveness and environmental impact of these costly programs. This study delves into the potential consequences of replacing living lawns with non-living hardscapes, specifically whether it might elevate local microclimate temperatures, akin to urban heat islands (UHI) caused by the substitution of natural land cover with man-made, impermeable surfaces. The research examines existing rebate programs across the state, assessing their reimbursement structures and variations. Surface temperatures of commonly recommended lawn alternatives are measured and compared, including comparisons between different alternatives and drought-tolerant ground cover plants. Additionally, the study includes an experiment involving a drought-tolerant ground cover seed mix to replace a traditional lawn. The findings indicate that hardscape lawn alternatives generate significantly higher temperatures than any of the drought-tolerant ground cover plants analyzed. Furthermore, there is notable temperature variability among the hardscapes studied. Consequently, this paper proposes modifications to the existing rebate programs and emphasizes the importance of ensuring that environmental solutions introduced to address one issue do not inadvertently exacerbate related problems.
Mental Health May Affect the Health Outcomes of Cancer Patients
Authors: Takkar Mehr
Published: August 2024

Cancer is a complex disease that can have a significant impact on a patient's mental health. This paper examines the interplay between mental health and cancer outcomes, focusing on the impact of social networks, the patient-doctor relationship, and mental health professionals. Specifically, the positive effects of social support, including emotional, informational, and tangible support, on patients' coping strategies, treatment adherence, and overall well-being will be highlighted. This paper will also highlight negative social interactions and stigma, which can have adverse effects on patients’ mental health and physical outcomes. The patient-doctor relationship plays a vital role in patients' treatment experiences, with effective communication, shared decision-making, and empathy enhancing treatment adherence, psychological well-being, and overall outcomes. On the other hand, a strained relationship can lead to increased patient distress and dissatisfaction with care. The inclusion of mental health professionals in cancer care has shown promising results, with psychosocial interventions reducing depression, anxiety, and distress. Mental health professionals also assist patients in addressing treatment-related concerns and managing mental health disorders. Future directions in cancer treatment include adopting a biopsychosocial approach in cancer therapy, developing effective screening tools for mental health disorders, integrating mental health care into routine cancer treatment, and exploring the long-term effects of mental health on survivorship care. By understanding the complex relationship between mental health and cancer outcomes, healthcare providers can develop targeted interventions and support strategies to improve the overall well-being and outcomes of cancer patients.