bluuebunny/crossref_metadata_2025 huggingface dataset:
From Textile to Structure: Advancing Sustainability in Construction Practices
Authors: Ms. P. Priyanka  , Ms. J. J. Gayathri  , Ms. K. Shobika
Published: April 2024

The construction industry, with its significant environmental footprint, is increasingly turning towards sustainable practices to mitigate its impacts. This article explores the potential of integrating textile materials into construction processes to enhance sustainability. Textiles offer versatility, lightweight properties, and potential for recycling, making them a promising alternative to traditional construction materials. Through a review of current research and innovative case studies, this paper examines the application of textiles in various construction contexts, including structural components, insulation, and façade systems. Additionally, it investigates the environmental benefits associated with utilizing textiles in construction, such as reduced carbon emissions, energy consumption, and waste generation. Furthermore, challenges and opportunities in implementing textile-based construction methods are discussed, including material durability, cost-effectiveness, and regulatory considerations. By highlighting the advancements and possibilities in textile-based construction practices, this article contributes to the discourse on sustainable construction methodologies, providing insights for practitioners, researchers, and policymakers seeking to foster greener approaches within the built environment.
UsersTCP 2023/24 Annual Report
Authors:   IEA User-Centred Energy Systems Technology Collaboration Programme
Published: April 2024

This report provides an overview of the activities and outputs of the UsersTCP and its Tasks during 2023.
An Assessment of Waste Management in Slum Communities in Freetown. It’s Implications on the Health and Safety of Inhabitants
Authors: Showers Dandeson
Published: April 2024

Purpose: The study objective is to assess the state of Solid Waste Management (SWM) in slum communities in Freetown, its factors and effects on the safety and wellbeing of slum dwellers together with the challenges faced by authorities in combatting inadequate SWM system in slum and to provide recommendations with regards to interventions to promote adequate waste management in slums.

Materials and Methods: The study took place in three slum areas around Freetown in Sierra Leone. A total sample size of 400 respondents comprising of household heads were selected. A self-administered structured questionnaire was given to a total of 400 respondents of household heads above eighteen years old. Only 392 of the 400 respondents that were initially targeted for the study completed their questionnaires at the end of the survey. The data collected was presented in tables and statistical analytical techniques or methods such as percentages and graphs were used to analyse the data and to find out the factors, effects and challenges associated with inappropriate solid waste management services in slum areas in Freetown.

Findings: According to the study, it was found that the major categories of waste generated in households were biodegradable and food (39%) while plastic remains (31%). Most households stored their wastes in polythene bags (59.1%) and sacks (20.2%) before disposal and 10.3% of the households did not have waste storage containers and kept their wastes outside the house in the open. Poor knowledge in waste segregation practices with very minimal recycling, reuse of wastes and a resultant poor waste management system were observed in slum communities.  The study helps provide a much-needed data on solid waste management (SWM) in Freetown for authorities and other stakeholders as there are limited sources of data on waste management in Sierra Leone. It also provides further literature on waste management issues for further research, policy development by the authorities and recommendations for best practice by communities and stakeholders.

Implications to Practice and Policy: It was recommended that waste management should be prioritized as a social service, with adequate budget lines. Engage several stakeholders in the management of waste to generate a sense of responsibility and interest from all stakeholders.
Nevus Sebaceous Syndrome: A Case Report and Literature Review of the Associated Neurological Complications
Authors:   Department of Pediatrics and Pediatric Neurology, Aristotle University of Thessaloniki,  USA, P. Panteliadis Christos , Dev Apurva ,   School of Medicine, Johns Hopkins University, USA, Sugarman Jeffrey ,   Department of Dermatology, University of California, USA
Published: April 2024

The epidermal nevus syndromes (ENS) are a heterogeneous group of congenital anomalies characterized by epidermal or sebaceous nevi that are associated with extracutaneous manifestations that most often involve the central nervous system (CNS), ocular, and skeletal systems. We report a case of an 18-month-old female with widespread nevus sebaceous and brain and eye abnormalities.
Influence of Customer Relationship Management on Customer Retention in the Banking Sector in Tanzania
Authors: Malima Boniphace D. , Mbogo Crispin John
Published: April 2024

This study aims to assess the influence of customer relationship management on customer retention in the banking sector in Tanzania with particular reference to Tanzania Commercial Bank (TCB). In this study, customer relationship management was measured by customer complaint handling and improved customer service quality. The study employed mixed method research design were qualitative and quantitative methods were used. The study gathered data from 100 respondents through structured questionnaires and interview. The collected data were analysed by SPSS 24.0 for giving out results that were really presented through descriptively and inferentially statistics. However, the respondents’ profile was analysed with descriptive analysis with the help of frequency table and percentages. On other hands the relationship of the study variables was performed by correlation and multiple regression analysis. Data obtained using interviews were transcribed and interpreted using content analysis. The study findings revealed that customer complaint handling and improved customer service quality have positive and statistically significant effects on customer retention in TCB. This implied that customer retention in the banking industry is influenced by customer relationship management practices assessed in this study. The findings of the study showed that the predicting variables of the study; improved customer quality service and complaint handling have a statistically positive and significant influence on customer retention in banking sector in Tanzania.
Women’s Perceived Barriers to Mental Health Help-Seeking for Post-Partum Depression: Insights from Mabvazuva Estate in Goromonzi District, Zimbabwe.
Authors: Mudokwani Abigail T. S. , Chirombe Tsitsi C. , J. Marwisa , Maziya N.
Published: April 2024

The purpose of this study was to examine the perceived potential barriers and challenges to mental health help-seeking for post-partum depression in women. Data were collected by means of in-depth interviews from a convenient sample of 15 women who have experienced post-partum depression. Participants were queried as to the symptoms of post-partum depression, possible coping mechanisms, if they had any support for their mental health, what they perceived to be the barriers or hindrances to seeking help for their mental health, the advice they would give to other women going through the same experience. The participants were also asked about the solutions they would recommend addressing these problems. Findings from the research revealed that the greatest perceived barriers to seeking help were lack of knowledge about PPD, inability to distinguish between depression and the emotional maladjustment that comes with becoming a parent, difficulty determining the severity of depressive symptoms, unawareness of the services that are available and the advantages of those services. Additionally, unfulfilled expectations for motherhood, extreme vulnerability, shame, and guilt, as well as the experience of stigma associated with both mental health problems and the idea that having PPD implies failing as a mother were also identified as potential barriers to seeking help. All the respondents indicated that there was indeed lack of support for women experiencing postpartum depression. There was also a consensus on the most prevalent symptoms for post-partum depression including but not limited to depressed mood, social withdrawal, loss of appetite, insomnia, severe anxiety and panic attacks and loss of energy. When asked what advise they would give to other women struggling with post-partum depression, most of the respondents indicated recommending professional help as opposed to suffering in silence. In addition, most of the women expressed a preference for integrated strategies that included all facets of society and lessened the burden of postpartum mental illness on women. Better treatment rates for depression and potential improvements to the general health of women who are of a childbearing age could result from knowing what discourages women from seeking or receiving care for depression related to childbirth and what kind of treatment they prefer.
Plant selection for rain gardens in temperate climates: The case of Izmir, Turkey
Authors: Doğmuşöz Burçin Burcu
Published: April 2024

Rain gardens have gained importance in recent years as a green infrastructure strategy. These gardens, created to capture, filter, and absorb runoff from impervious surfaces, offer a sustainable method for addressing water-related challenges in urban areas. Incorporating rain gardens into urban areas not only addresses the challenges of heavy rainfall and flooding but also brings about ecological advantages by encouraging biodiversity, improving water quality, increasing resilience, and enhancing the aesthetic appeal of urban settings. Plant selection in rain gardens plays a crucial role in their effectiveness and sustainability. The research focused on exploring the importance of carefully choosing plants for rain gardens, aiming to help in selecting the most suitable flora and creating visually appealing, resilient, and ecologically important landscapes. For this purpose, Izmir Katip Celebi University was selected as a study area.  The first step was to locate an appropriate space for a rain garden and evaluate its potential for a rain garden implementation. Next, plants suitable for a rain garden in a temperate climate were listed. Among these plants, those that can be found in Izmir were selected after contacting nurseries. Only fourteen of them were available. Utilizing the plants listed that align with the project requirements and the plant design criteria such as diverse color, high density, and proportion outlined in the literature review, a proposal for a rain garden design was recommended. Since the rain garden consists of three different zones (dry, wet, and moderate), the plants were arranged accordingly. This design was tailored to suit existing conditions, such as a temperate climate and proximity to the building. Factors like varying climate conditions or alternative rain garden placements were not accounted for in this design. Given the necessity for diverse plant selections in varying climates, research carried out across different regions holds significant value. This study, conducted in Izmir province, will enrich existing literature and provide municipalities with crucial guidance in plant selection in a rain garden project, offering valuable insights.
Bhakti Blossoms: Tamil Poetry’s Journey into Spiritual Depths, Unraveling Devotion and Cultural Significance
Authors: Srinivasan Ramanathan , Aithal P. S.
Published: April 2024

Purpose: Tamil Bhakti Poetry is a captivating exploration of devotion and spirituality found within the depths of Tamil literature. Emerging from the Bhakti movement these poetic compositions beautifully delve into themes of profound love and unwavering dedication to deities providing a unique glimpse into the spiritual landscape of historic Tamil Nadu.
Methodology: The exploratory research method is used where the relevant information are collected through keyword-based search using search engines like Google, Google Scholar, and AI-driven GPTs and analysed, compared, and evaluated using suitable analysing frameworks.
Analysis & Findings: The evolution of Bhakti in Tamil literature mirrors the historical changes of that era nurturing a vibrant tradition of poetic expression. This paper delves into the themes of love and devotion woven within Bhakti poetry analysing the distinctive contributions made by revered poets like the Alvars and Nayanars.
Originality/Values: The paper examines how Tamil Bhakti Poetry extends beyond its influence to shape religious practices, and rituals and imbue ancient Tamil society with its spiritual ethos.
Passive Voice Teaching: Recent Trends and Effective Strategies
Authors: Eragamreddy Nagamurali
Published: April 2024

This study investigates current practices and useful methods for teaching passive voice. To find effective teaching strategies, a thorough review of the literature produced between 2018 and 2024 was undertaken. Using keywords associated with passive voice instruction, data was gathered from academic sources, and thirty pertinent papers were chosen for examination. The Experience, Generalization, Reinforcement, Application (EGRA) method, task-based learning, cooperative learning, flashcards, and web-based storytelling are just a few of the successful teaching techniques that thematic analysis identified. These strategies improve learning outcomes, comprehension, and student engagement. It was stressed that context-based learning is crucial to knowing when and how to employ passive voice. It has been discovered that technology, especially web-based storytelling, increases student engagement and recall of material. Students' memory and understanding were also enhanced by the Jigsaw method and inductive training. In general, it was discovered that teaching passive voice may be accomplished effectively using a range of teaching techniques, such as active learning and technology integration. To learn more about these strategies' long-term consequences and how they affect different student demographics, more study is required.
Comparison of physical fitness and game demands between young female rugby sevens athletes in different sports development contexts
Authors: Müller Camila Borges , Silva Amanda Franco da , Veiga Rousseau Silva da , Arruda Ademir Felipe Schultz de , Pinheiro Eraldo dos Santos
Published: April 2024

Aim: This study aimed to compare the physical and game demands among young women rugby sevens athletes inserted in a long-term athlete development process (LTAD) and selected to the national team. Methods: Twenty-four athletes were recruited in two different contexts: thirteen participants were inserted in the LTAD process (VSR) and eleven Brazilian athletes were selected for the youth national team (BRA). One-repetition-maximum tests, jumping performance, sprint times, and aerobic capacity determined the physical performance and GPS recorded the game demands in the national championship. T-tests for independent samples and Mann-Whitney were used to compare the groups, and effect size (ES) was presented using Cohen's d. Results: 10-m sprint time (p = 0.001; ES = 1.47), 30-m sprint time (p = 0.005; ES = 1.42), sprint distance (p = 0.030; ES = 1.14) and distance in zone 5 (p = 0.040; ES = 0.92) showed differences between groups, with better results in BRA. Moreover, VSR athletes covered greater distances in zone 1 while BRA had greater distances in zone 4, with moderate ES. The strength, power of lower limbs, and aerobic fitness variables did not present significant differences between the groups. However, VSR had the highest mean in squat jump and countermovement jump, with moderate ES. Conclusion: Speed in physical tests and game demands differentiated the groups, and these parameters are essential for selection for the national team. However, the LTAD process can bring physical
Análise da segurança e da eficácia do uso do palivizumabe como prevenção de agravos nas infecções por vírus sincicial respiratório em grupos pediátricos de risco: uma revisão sistemática
Authors: Paniago Marina , Tabak Isabella , Carvalho Matheus , Diniz Felipe , Pereira Alexandre
Published: April 2024

O vírus sincicial respiratório (VSR) possui comportamento sazonal e é responsável pela principal causa de hospitalização entre crianças menores de um ano. Dessa forma, o palivizumabe, um anticorpo monoclonal, pode ser uma profilaxia para casos de crianças com altas taxas de agravo por VSR. O objetivo deste artigo foi analisar a eficácia e a segurança do uso do palivizumabe como prevenção de agravos nas infecções por VSR em grupos pediátricos de risco. Desse modo, foi realizada uma busca bibliográfica nas bases Pubmed, Scielo, MEDLINE (via BVS) e LILACS (via BVS) sobre a prevenção de agravos da infecção por VSR pelo uso de palivizumabe em crianças prematuras, com displasia broncopulmonar ou cardiopatia congênita hemodinamicamente significativa, excluindo estudos que não abordavam tais aspectos. Foram incluídos 9 estudos. As taxas de hospitalização relacionadas ao VSR foram significativamente menores nos grupos de intervenção com palivizumabe, com uma média de 5,49%, enquanto que o grupo controle teve uma média de 29,75%. De forma semelhante, também houve redução nas taxas de admissão em UTI, sendo esta de 57-98,5%. Em relação à necessidade de suporte ventilatório, houve uma pequena redução, sendo que apenas 2,89% do grupo em uso do palivizumabe teve necessidade de suporte ventilatório e 5% do grupo controle. Sobre o nível sérico do palivizumabe, foi observado que um maior nível acarreta em uma maior proteção, sendo que a cada 10 µg/mL, as taxas de agravo diminuem substancialmente. Já os efeitos colaterais, foram relatados eventos não graves como corrimento nasal, infecção de ouvido e erupção cutânea. Logo, os resultados dessa revisão sistemática suportam o benefício do uso de palivizumabe nas populações indicadas.
Fatores de risco e manejo da asma na infância
Authors: Manso Gabriela , Braz Juliana , Barreto Ana , Cunha Isabella , Ramos Bruno , Salomão Maria
Published: April 2024

A asma constitui-se como uma enfermidade crônica - que tem como principal aspecto a obstrução episódica das vias aéreas inferiores, resultante de uma doença inflamatória crônica que afeta milhões de crianças em todo o mundo. É uma das doenças respiratórias mais frequentes na infância e pode ter um impacto importante na vida das crianças e de suas famílias. Portanto, esta revisão tem como objetivo sintetizar as evidências pertinentes disponíveis sobre a asma na infância, incluindo os fatores de risco associados à sua ocorrência, bem como as estratégias para manejo eficaz. Trata-se de uma revisão integrativa, que reúne dados secundários obtidos por meio de uma busca na base bibliográfica digital PubMed, onde foram selecionados 11 artigos, em português ou inglês, publicados nos últimos três anos (2018 a 2023) e que estavam alinhados com o tema da pesquisa.
Prevenção e conduta da hemorragia pós-parto
Authors: Galvão Ana , Topedino Karla , Oliveira Luana , Oliveira Vanessa , Oliveira Isabella , Moura Adriana
Published: April 2024

A hemorragia pós-parto (HPP) é a principal causa de mortalidade materna em todo o mundo, sendo mais frequente em países com escassez de recursos. O mnemônico dos 4T’s (Tônus, Trauma, Tecido e Trombina) é utilizado para a identificação das principais causas e para o direcionamento da conduta, sendo o manejo ativo do terceiro estágio do trabalho de parto a principal forma de prevenção da HPP. Para que haja bom prognóstico da paciente, é necessário que o diagnóstico e as medidas de prevenção e manejo sejam realizadas de forma rápida e adequada e, com esse fim, deve haver controle do volume da perda sanguínea pela gestante durante o trabalho de parto, o parto e o puerpério. A administração de uterotônicos é eficiente para a prevenção de HPP, podendo ser administrados até minutos antes do nascimento, contudo, alguns desses medicamentos possuem especificações de uso, o que pode interferir em seu uso e funcionamento. Em casos de sangramento elevado, realizam-se medidas de suporte da paciente, buscas para determinação do fator desencadeante da hemorragia e, posterior a isso, tratamento da causa específica. Após episódio de HPP, a mulher deve ser acompanhada para verificação da estabilidade de fatores biológicos, hemodinâmicos e psicológicos devido a intercorrência durante as fases do parto.
Violência doméstica contra a mulher e lesões corporais: aspectos médico-legais
Authors: Carvalho Murillo , Galhano Jr. Francisco , Moni Rafael , Lopes Maria , Demczuk Isabella , Tabak Isabella
Published: April 2024

A violência doméstica é um fenômeno transgeracional e transitório, com características multifacetadas, que perpassa em todas as classes sociais e econômicas, respeitando as especificidades de cada classe, mas que se confundem no fato de que a mulher é a principal afetada, e abrange cinco formas: física, psicológica, sexual, patrimonial e moral. Por isso, constitui um problema grave de saúde pública e violação dos direitos humanos femininos. Assim, representa um grave problema social que precisa ser solucionado pelo Estado, ainda que existam mecanismos de proteção, combate e prevenção, como a Lei Maria da Penha. Estatisticamente, uma a cada três mulheres em idade reprodutiva já foi vítima de alguma forma de violência, seja ela física ou sexual. Em específico, a violência doméstica ocasiona uma série de sequelas físicas, mentais e emocionais às vítimas, tendo como consequências a serem lidas pelo resto de suas vidas: o maior risco de desenvolvimento de doenças crônicas, infecções sexualmente transmissíveis, transtornos de saúde mental e até mesmo o autoextermínio. É um esforço que requer profissionais de várias áreas para atuar de maneira integrada e coordenada para prevenir, identificar, ajudar, proteger e empoderar mulheres vítimas das várias formas de violência. Em adição a isso, a sociedade deve-se engajar no combate contra a violência à mulher, de modo a combater o machismo, o patriarcado, o sexismo e outras muitas e variadas formas de discriminação e opressão que afetam as mulheres em muitos aspectos. No âmbito da medicina legal e perícias médicas, as lesões corporais ocasionadas das violências domésticas, em todas as suas formas e apresentações, são corriqueiras e representam um importante fator para o exame de corpo de delito, contribuindo para que a lei seja aplicada, assim como a assistência à vítima seja prestada da forma adequada, identificando e assegurando os seus direitos.
Anemia in elderly rheumatoid arthritis patients: a cohort study
Authors: Sun Zhanjuan , Shao Haiyan , Liu Huijie , Ma Linxiao
Published: April 2024

Introduction

Anemia is common in elderly patients with rheumatoid arthritis (RA). This study aimed to evaluate the current status and influencing factors of anemia in RA patients, to provide insights for clinical RA treatment and care.

Material and methods

This study included elderly patients with high RA activity treated in our hospital from June 1, 2021 to December 31, 2022 for analysis. The characteristics of RA patients were analyzed. Pearson correlation and logistic regression analysis were conducted to analyze the influencing factors of anemia in elderly patients with RA.

Results

A total of 285 RA patients were included. The incidence of anemia in high RA activity patients was 62.46%. There were significant differences in the course of RA, hemoglobin (Hb), low density lipoprotein cholesterol (LDL-C), platelet/lymphocyte rate (PLR) and albumin (Alb) between RA patients with anemia and without anemia (all p < 0.05). Pearson correlation analysis indicated that course of RA (r = 0.522), Hb (r = 0.797), LDL-C (r = 0.558), PLR (r = 0.615) and Alb (r = 0.604) were correlated with anemia in patients with high RA activity (all p < 0.05). Logistic regression analysis indicated that course of RA ≥ 8 years (OR = 2.584, 95% CI: 1.822–3.647), LDL-C ≤ 2.8 mmol/l (OR = 3.202, 95% CI: 2.804–3.431), PLR ≥ 8 (OR = 2.183, 95% CI: 1.744–2.457), Alb ≤ 35 g/l (OR = 1.716, 95% CI: 1.401–2.006) were the risk factors of anemia in elderly patients with high RA activity (all p < 0.05).

Conclusions

Anemia in elderly patients with high RA activity is closely related to the course of RA, LDL-C, PLR and Alb. Close attention should be paid to the monitoring of those indicators to take early intervention measures to improve the prognosis of RA patients.
Novel scoring system for early diagnosis of necrotizing enterocolitis: integrating clinical and laboratory data with urinary caveolin-1 levels
Authors: Corebima Brigitta I.R.V. , Rohsiswatmo Rinawati , Santosaningsih Dewi , Barlianto Wisnu , Handono Kusworini
Published: April 2024

Introduction

Necrotizing enterocolitis (NEC) poses a significant threat to preterm infants, with nonspecific early manifestations complicating timely diagnosis. Therefore, this study aimed to develop a novel scoring system for early diagnosis of NEC, incorporating clinical and laboratory data with urinary caveolin-1 levels.

Material and methods

A single-center prospective cohort study was conducted at a tertiary hospital in East Java, Indonesia. NEC diagnosis was established by Bell’s criteria and proven gut dysbiosis. Urinary levels of claudin-2, caveolin-1, and epidermal growth factor (EGF) were assessed as potential indicators of tight junction disruption. The selected urine biomarker cutoff value was determined using symbolic classification analysis and combined with clinical and laboratory parameters from Bell’s criteria to create an NEC scoring system, validated with the Aiken index. Sensitivity and specificity analyses were performed.

Results

Thirty-four neonates, comprising NEC, preterm non-NEC, and term infants, were included. qPCR analysis highlighted elevated Klebsiella, Lactobacillus, Clostridium, and Bacteroides levels in NEC patients, indicating a gut dysbiosis trend. Among 3 biomarkers, caveolin-1 ≥ 17.81 ng/dl on day 3 demonstrated 72.86% negative predictive value and 87.50% positive predictive value. The combined scoring system which comprised abdominal cellulitis, distension, radiology, advanced resuscitation at birth, prematurity or low birthweight, platelet count, sepsis, orogastric retention, metabolic acidosis and caveolin-1 findings exhibited an AUC of 0.922 (95% CI: 0.81–1.00, p < 0.001), with ≥ 1.81 as the cutoff, offering 93% sensitivity and 94% specificity.

Conclusions

Urine caveolin-1 on day 3 signifies enterocyte tight junction damage and the acute phase of NEC in premature infants. The proposed scoring system demonstrates good performance in predicting NEC incidence in preterm infants.
Estudo de suscetibilidade a movimentos gravitacionais de massa e inundações na região urbana de Patos de Minas, Minas Gerais
Authors: GONÇALVES Leonardo Pêgo de Miranda , LOPES Eliane Cândida , SOUSA Jean Felipe Pereira de , VIANA Rodrigo Fábio
Published: April 2024

Every year Brazil registers thousands of accidents considered natural disasters, where the State of Minas Gerais contributes yearly, mainly accidents linked to the intense rains. Thus, this study aims to indicate areas that have the propensity to develop natural physical processes linked to mass movement and flooding in the urban perimeter of the city of Patos de Minas. From maps of land use and occupation, soil classes, hypsometry, average annual precipitation, slope, road mesh and NDVI, map algebra and analytical hierarchy process was applied. As the result, the susceptibility classification of the area was obtained. It was concluded that the urban perimeter has medium to high susceptibility for mass movements and flooding, preventive measures should be taken to avoid major accidents.
Avaliação escolar para alunos especiais: importância da implementação e utilização da sala de recursos pedagógicos
Authors: KOLOGESKI Anelise
Published: April 2024

Inclusive education is the branch of education that aims to teach students with special needs in the educational field, and can be in special classes or in regular classrooms. The pedagogical resource room is a place of the educational institution where the specific skills of each inclusive student can be used to the fullest, and can be within the regular classroom or in a separate location. The methodology used for this study was the literature review where we searched the scientific database for papers and books already published on the theme to be treated. The general objective was to discuss school evaluation for special students and the importance of implementing and using the pedagogical resource room. Thus, it is concluded that for the good development and learning of a special student the pedagogical resource room is an essential ally for each one to develop in his time, focusing on his/her skills.
Care Seeking Behavior and Social Support for Sexual and Reproductive Health Needs of Adolescents in Ibadan, Nigeria.
Authors: Dorcas Ayo-Dada Oluwaseun , Mofeyisara Omobowale Oluwatoyin , Adekemi Akinpelu Oyepeju , Oluwabusayo Adeyemi Susana
Published: April 2024

Background: The importance of caring and meaningful relationships, as well as social connections with individuals and social institutions cannot be overlooked in addressing the sexual and reproductive health issues(SRH) of adolescents. This is a descriptive cross-sectional study to assess care seeking behaviour and social supports for adolescents’ sexual and reproductive health issues. Their ability to be able to seek and find help from formal or informal sources of social support is a protective factor for adolescent health, development and overall satisfaction in life. Materials and Methods: The study populations were in and out of schools adolescents between the ages of 10 and 19, from selected secondary schools and community in Ibadan North Local Government Area (IBNLGA) of Oyo State, Nigeria, who gave their consent voluntarily to participate in the study. Results: Findings from this research work revealed that the sources of social support available for adolescent sexual and reproductive health in this study were supports from family, friends, school teachers and religious leaders. Majority of the respondents have high perception of support for SRH issues from family, friends, school teacher and religious leader. In conclusion, adolescents in this study rely more on their family for supports than other sources because of their availability, accessibility it is necessary to offer relevant information on sexual and reproductive health of adolescents to family as social support as well as other social supports outside of professional care-giving settings, to best promote the prevention and treatment of SRH problems among Nigerian adolescents. Also, future interventions by Adolescent health care providers on sexual and reproductive health of adolescents, should integrate all of the sources of social support and media to deliver evidence based health interventions.
Evaluation of Geology and Hydrochemistry of Nawfia-Agulu Axis of Anambra State, Southeastern Nigeria
Authors: Okolo C.M , Korie J.I. , Madu F.M , Ifeanyichukwu K.A
Published: April 2024

The investigation of the geological, hydrochemical, and engineering characteristics of the Nawfia – Agulu area was carried out. The study aimed at mapping the geology through field data collection, outcrop logging, and laboratory analysis. Consequently, eleven soil and ten water samples were collected and analyzed through particle size distribution test; Atterberg limits tests and hydrochemical analysis to provide insights into the lithology, sediment characteristics, and water quality. The results indicated the dominance of the Ameki/Nanka Formation and Imo Formation as the underlying geology of the study area. The grain sizes of the sand samples ranged from medium to coarse grained, moderately to poorly sorted, and strongly positive to positively-skewed. The depositional environment was nearshore/beach, influenced by nearshore waves and turbulent currents. Engineering properties highlighted the prevalence of uniformly to well-graded soil and moderately to highly plastic behavior, as indicated by the mean plasticity index (PI) value of 26%. These findings suggest potential challenges for infrastructural development in some parts of the area. The water quality indicated slightly acidic water. The physical parameters and the major ions were within the permissible limits of World Health Organization (WHO) and the Nigerian Standard for Drinking Water Quality (NSDWQ). However, elevated concentrations of heavy metals, including lead, chromium, mercury, iron, and cadmium, in water sources exceeded the respective permissible limits for drinking water indicating contamination/pollution. The dominant water type was Ca2+ – Mg2+– SO42- – Cl– and the dominant hydrochemical process was simple dissolution or mixing and ion-exchange.
AVANÇOS DA INTELIGÊNCIA ARTIFICIAL NA CARDIOLOGIA: UMA REVISÃO ABRANGENTE
Authors: Martins Victor Balceiro Legname , Thom Laysla Rangel Freitas , Gonçalves Júlia Mayse Soares , Destefani Afrânio Côgo
Published: April 2024

Introdução: A cardiologia é um campo crucial da medicina, e os avanços da inteligência artificial (IA) estão moldando significativamente sua prática. Esta revisão abrange diversas aplicações da IA na cardiologia, desde o diagnóstico até o tratamento e monitoramento de doenças cardiovasculares. Objetivo: O objetivo desta revisão bibliográfica é explorar as diversas aplicações da inteligência artificial na cardiologia, abrangendo áreas como diagnóstico cardiovascular, predição de eventos cardíacos, interpretação de eletrocardiogramas (ECG), personalização do tratamento, monitoramento remoto e otimização de procedimentos cardíacos. Método: Trata-se de revisão abrangente seleção dos artigos foi realizada uma busca na base de dados Biblioteca Virtual de Saúde (BVS). Para a busca utilizou-se os descritores baseados no Decs, e assim montou a estratégia de busca: “Inteligência artificial” AND “Cardiologia” AND “Aprendizado de máquina”. Resultados: Exploramos como a IA está sendo utilizada para analisar imagens médicas, prever eventos cardíacos, interpretar eletrocardiogramas, personalizar tratamentos, monitorar pacientes remotamente e otimizar procedimentos cardíacos. Discutimos também as considerações éticas, regulatórias e de segurança associadas à implementação da IA na prática clínica. Conclusão: Esta revisão destaca o potencial da IA para melhorar os cuidados cardiológicos, ao mesmo tempo que destaca a importância de abordar desafios éticos e garantir a segurança dos pacientes.
Extreme ozone episodes in a major Mediterranean urban area
Authors: Massagué Jordi , Torre-Pascual Eduardo , Carnerero Cristina , Escudero Miguel , Alastuey Andrés , Pandolfi Marco , Querol Xavier , Gangoiti Gotzon
Published: April 2024

Abstract. This study analyses three extreme ozone (O3) episodes that occurred in Barcelona (NE Spain) during the summers of 2015, 2018, and 2019. These episodes exceeded the EU's hourly information threshold (180 µg m−3) for the first time since at least the year 2000, raising concerns due to Barcelona's large population. By employing experimental data and various modelling tools, our main objective is to elucidate the underlying phenomena of these recent O3 episodes and improve predictive capabilities. The findings indicate that the factors contributing to these occurrences are largely consistent across episodes. These factors, with estimated O3 contributions specified for particular instances, comprise (i) initial O3 accumulation in surrounding coastal areas; (ii) weekend occurrence, accompanied by the corresponding weekend effect (+15 µg m−3); and (iii) the prevalence of Tramontana meteorological conditions during above-normal temperatures, which (iv) force the convergence of multiregional polluted air masses to the city (+45–65 µg m−3). Major source areas include regions of southern France through the Gulf of Lion, the interior of the Mediterranean, and eastern Spanish coastal regions, including Barcelona's pollution plume. Some of these factors, which may manifest in the days preceding the episodes, are observable or can be anticipated. This study enhances understanding of the mechanisms driving extreme O3 episodes recently observed in Barcelona and provides valuable insights for prediction.
Characteristics of dew on leaves of typical plants in Loess Hill and Gully Region of China
Authors: Jia Zhifeng , Li Ge , Jin Cheng , Xing Jun , Chang Yingjie , Liu Pengcheng , Chen Danzi
Published: April 2024

Abstract. Dew plays an important role as a non-precipitation input to the hydrological cycle and vegetation recovery in semi-arid ecosystems. To clarify the characteristics of dew on plant leaves, typical plants such as Tribulus, Hippophae and Elm were selected in the hilly and gully region of the Loess Plateau in China. The dew amount of typical plant leaves by manual weighing measurement was combined with automatic observation data from leaf wetness sensors (LWS) further to realize the automatic observation of dew on the leaf surface. The results showed that the cumulative dew amount on Tribulus, Hippophae and Elm from May to October in 2022 was in the order of Tribulus (17.46 mm) > Hippophae (11.14 mm) > Elm (5.88 mm), and the difference in the amount was mainly related to the leaf inclination angle and the microstructure of the leaf blade. Dew mainly occurred from 22:00 to 9:00 the next day on a daily scale, and was mainly concentrated in July–October during the year. The dew amount on the leaves of the three plants was less than the amount of rainfall, but the dew frequency was higher than that of rainfall. It was more favorable for the dew formation when the relative humidity is greater than 80.0 %, the difference between air temperature and dewpoint was less than 2 °C, and the wind speed was less than 1.0 m/s. In addition, there was more dew on the first day after a rainfall than on the day before due to sufficient moisture.
Impact of Domestic Environment & Personal Hygiene on Morbidity Pattern and Health Status of Children: A Community Based Cross Sectional Study in Surendranagar City.
Authors: Thakrar Dhara V. , Tundia Mohnish N. , Sochaliya Kishor , Dabhi Priya
Published: April 2024

Introduction: Children are more vulnerable than adults to environmental risks, both physical and psychosocial, because of factors related to the development and growing up. Comprehensive risk assessments suggest a cluster of environmental hazards, many of which may concur in the places where children dwell, play and learn. With this background, current study can help to improve hygiene practices and thereby health of children. Objectives: To ind the prevalence of various childhood morbidities and to assess the relationship of personal hygiene and domestic environmental factors with childhood its morbidity pattern and health status. Method: A cross sectional study was carried out in Surendranagar, including 210 children (5 to 14 years) selected by cluster sampling method. Results: Prevalence of morbidity among children was 82.38%. About 89% of students brushed their teeth once/day; for brushing, 70% used toothbrush and 97% used toothpaste. Majority (84%) of participants were taking bath daily while only 48% were using soap daily for bathing. Hygiene score was more in normal weight individuals as compared underweight and overweight participants and this difference was statistically signi icant. (p=0.00001) Various domestic environmental factors like type of house (p=0.03), presence of exhaust fan/window in kitchen (p=0.003) drinking water facility (p=0.02), size of house (p=0.02), cross ventilation (p=0.0003) and mosquito presence (p=0.007) were all signi icantly associated with presence of morbidity. Conclusion: The results of the present study conirm that there is great effect of personal hygiene practices and domestic environmental factors on morbidity pattern of children.
Assessment of Physicochemical and Microbiological Qualities of Drinking Water in Ahmedabad Slum, India: A Cross-Sectional Study
Authors: Raval Devang A , Rathod Dinesh , Panchal Ripal , Ghevariya Jaydeepkumar Ghevariya , Patel Kinner
Published: April 2024

ntroduction: The quality of drinking water is a public health concern, especially in urban slum areas. Drinking water quality and contamination are seriously threatened by the growing slum population and irregular water supply. Objective: To examine the physicochemical and microbiological quality of drinking water in the field practice area of one of the Tertiary-care hospital in Ahmedabad a part of PG teaching activity. Method: A cross-sectional study was carried out for water quality assessment using stratified random sampling. A total of 139 water samples were collected; samples were collected from different households in different areas of the Asarwa ward of Ahmedabad Corporation. From each ASHA worker’s area, according to population of that area, 6 to 10 samples were selected. The samples were analysed using standard methods and compared with WHO and BIS water quality standards. Results: TDS and alkalinity are above permissible levels in 42.4% and 46.7% samples respectively. pH, turbidity, conductivity, total hardness, and magnesium were found altered in a few samples. The mean free residual chlorine was 0.05 mg/L. Microbiological analysis of water samples revealed the presence of coliform in 5 (3.6%) samples. Conclusion: Except for total alkalinity and TDS, most physicochemical parameters of drinking water were acceptable. By storing water, a low level of free residual chlorine can be justified. A few samples (3.6%) with coliform bacteria indicate water contamination somewhere in the distribution system or at the consumer level.
Identifying Typical Presentations of Vitamin B-12 Deficiency among Individuals Attending Tertiary Care Hospital in Central Gujarat: A Case Control Study.
Authors: Patel Sangita	V. , Makwana Alpesh B. , Gandhi Archana U.i , Chugh Latika T. , Bhavsar Vipul
Published: April 2024

Introduction: Vitamin B12 is mainly obtained through non vegetarian diet, milk and milk products. Malabsorption and inadequate intake leads to haematological and neurological disorders. Objective:To determine the symptoms and signs associated with Vitamin B12 deficiency. Method: A case control study was conducted at the medicine department of tertiary care hospital. Patients visiting hospital with serum Vitamin B12 level below 200pg/ml were labelled as cases and more than 200 pg/ml were labelled as controls, irrespective of signs and symptoms of Vitamin B 12 deficiency.Controls were matched for age to minimize confounding. 160 cases and 160 controls were selected. Pretested semi structured questionnaire was used to identify signs and symptoms of Vitamin B12 deficiency among cases and controls. Chi square test was applied for each symptom between cases and control, of which 10 were significant (p<0.05). ROC curve was plotted for the 10 symptoms to check their usefulness for diagnosing vitamin B12 deficiency. Results: Area-Under Curve (AUC) was maximum under knuckle pigmentation (0.794), (Positive Likelihood Ratio (PLR)=3.24) followed by poor memory (0.684), (PLR=3.25) tingling and numbness (0.624), (PLR=1.84) and dizziness (0.605), (PLR=1.38) in respective order. Whereas fatigue, sore and swollen tongue, pale skin, breathlessness, palpitation, insomnia, memory loss were not associated with Vitamin B12 deficiency(p>0.05).Conclusion: Presence of knuckle pigmentation, poor memory, tingling and numbness, and dizziness can be defined as hallmarks of Vitamin B12 deficiency and can be used to predict and start Vitamin B12 supplementation.
Prevalence	of	Depression	among	Geriatric	Population	and	its	Association	with	Dependency:	A	Cross-Sectional	Study	in	Rural	Eastern	Haryana,	India
Authors: Jolear Swati , Tak Himani , Aggarwal Satish	Kumar
Published: April 2024

Introduction: Depression in the elderly is becoming common and has dangerous implications on
elderly that not only lowers quality of life, but it also has an impact on the prognosis of other chronic
conditions leading to disability. According to WHO, depression occurs in 7% of elderly population and in India
prevalence of depression among elderly is 9.3%. Objectives: To estimate the prevalence of depression among
geriatric age group and to determine the association between the depression and the dependency among
geriatric population. Method:Present cross sectional study was conducted with 220 villagers of age above 60
years from catchment area of Rural Health training center of medical college. The identiication of depression
and dependency was carried out using the Geriatric Depression Scale (GDS) and Barthel Index respectively.
Results: The prevalence of depression and dependency among the geriatric population was found out to be
28 % and 31%, respectively. There was signiicant association between median scores of Barthel Index
among depressed and non-depressed individuals (p value< 0.001). There was signiicant association
between depression and dependency (P value=0.05).Conclusion: The present study shows 28% of
prevalence of depression among elderly population and dependency as a signiicant risk factor for
depression, thus showing the importance of analyzing dependency status while screening for the mental
health status of the elderly person.
Keywords:Barthel Index, Dependency, Depression, Geriatric Depression Scale
Mothballs, status dystonicus and critical care: an unusual case of G6PD deficiency
Authors: Varghese Timothy , Ganesan Rishi
Published: April 2024

Glucose 6 Phosphate Dehydrogenase (G6PD) is a critical enzyme in the pentose phosphate pathway, a pathway that acts to provide reducing energy to cells. G6PD deficiencies are X-linked inherited disorders, in which the G6PD on red blood cells (RBCs) is defective. This case report will focus on an G6PD deficient individual of Thai descent, Sill, who was exposed to moth balls at an early age. The damage left him with severe dystonic Cerebral Palsy (CP), a permanent movement disorder, causing him to constantly display asymmetric posturing and opisthotonic movements. This article follows Sill through his admission, initially for GJ Tube re-insertion, then for hypoxemia. Sill is seen by several services, who attempt various forms of medication and procedures. This case ends with the insertion of an Intrathecal Baclofen pump; a potential remedy for Sill's current symptoms. Lastly, we discuss the implications of screening for conditions that are typically benign, such as G6PD deficiencies, but can have lethal outcomes.
Construction and Optimization of Power Quality Risk Spillover Trend Prediction Model Based on Deep Learning
Authors: Duan Yu
Published: April 2024

This study aims to establish and refine a deep learning-based predictive model for power quality risk spillover trends, thereby addressing the challenges posed by the escalating diversity and adaptability of power systems in the evolution of the renewable energy industry. Initially, the study introduces the concept of power quality risk spillover, referring to the influence exerted by power quality issues in one region on other regions. This influence initiates a chain reaction, ultimately leading to a more widespread deterioration in power quality. Then, the advantages and applications of the deep learning model in power quality risk spillover trend prediction are expounded. During the model development process, we employed deep learning algorithms such as the multilayer perceptron and extended short-term memory network, tailored specifically to the unique characteristics of power quality data. To enhance the model's predictive accuracy and stability, we implemented optimization strategies encompassing data preprocessing, feature engineering, and model integration. Our experimental findings demonstrate that the optimized model exhibits remarkable precision and stability in anticipating power quality risk spillover trends, thereby offering robust support for risk management and ensuring the stable operation of power systems. This study provides a valuable exploration and practice for the application and development of a power quality risk spillover trend prediction model based on deep learning.