bluuebunny/crossref_metadata_2025 huggingface dataset:
A Study on the Health and Socioeconomic Impact of COVID-19 Pandemic and Barriers to Self-management of Diabetes during the Lockdown among Rural Residents of South India
Authors: Lakshmi Natarajan , Anjana Ranjit Mohan , Siddiqui Moneeza , Sonie Sait , Pearson Ewan R. , Doney Alexander , Palmer Colin N. A. , Mohan Viswanathan , Pradeepa Rajendra
Published: August 2022

Aim:

To study the health and socioeconomic impact of the COVID-19 pandemic and to assess the barriers to self-management of diabetes during the lockdown, in rural South India.

Materials and Methods:

Details of demographic, social, economic, migration and health status were collected using a structured questionnaire from participants aged ≥18 years belonging to the 21 villages of Chengalpattu and Kancheepuram districts of Tamil Nadu state in south India as part of the Telemedicine pRoject for screENing Diabetes and its complications in rural Tamil Nadu (TREND) study. From the 11,249 TREND participants, a random list of 25% (n = 2812) was system-generated using random numbers and 2812 participants were contacted for the study, of whom 2511 individuals participated. Telephonic interviews were conducted during the lockdown from June to August 2020. Further, qualitative interviews(Focus group discussions) were conducted among 27 individuals with diabetes between September and December 2020. Data were analyzed using thematic analysis.

Results:

The mean age of the study population was 43 ± 14 years and 50.4% were women. Diabetes was present in 14.7%, hypertension in 31.9%, generalized and abdominal obesity in 33.3% and 46.5% respectively. When the lockdown was implemented in March 2020, 37% had migrated from urban to rural areas. Lack of daily wage jobs (68%), price of essential commodities (41.7%), social distancing/curfew (34.8%), mental fatigue/depression (14.7%), and loss of job (7.1%) were some reasons stated for their adverse social and financial circumstances. People with diabetes stated that they had to avoid or cut down their regular hospital visits due to travel restrictions. Many of the patients took the same medications for almost a year.

Conclusion:

Unemployment, poor mental health, and reduced household income were the most significant negative impacts faced by rural residents during the lockdown due to COVID-19. People with diabetes experienced disruptions in diabetes management due to the pandemic.
Anomalous Left Coronary Artery from the Right Pulmonary Artery with an Intramural Course
Authors: Subramaniam Krishnan Ganapathy , Sharma Dhruva , Bhende Vishal Vinayak , Kudumula Vikram , Reddy Shrinath N
Published: August 2022

Anomalous left coronary artery from the right pulmonary artery (RPA) is a rare congenital coronary anomaly and is one of the surgically treatable causes of ventricular dysfunction in infants. The left coronary artery when it arises from the RPA or near its base tends to follow the intramural course. Careful echocardiographic evaluation of the course of the coronary artery is necessary under sedation to avoid missing this anomaly. Unroofing of this coronary artery and closing of the pulmonary artery origin are recommended for treatment. We report a case where the intramural course was retrocommissural and unroofing would have resulted in aortic incompetence. We describe how a 90° rotation is possible by augmenting the coronary button with an anterior pericardial hood. The reconstruction of the RPA should be done with adequate mobilization and redundancy to prevent compression and bowstringing of the reimplanted coronary artery.
Silent Rheumatic Severe Mitral Stenosis with Left Ventricular Noncompaction Cardiomyopathy and Ramifying Normal Coronaries
Authors: Das Debasish , Banerjee Anindya , Kumar Abhinav , Singh Shashikant , Dixit Manaranjan
Published: August 2022

We report a unique association of rheumatic heart disease with left ventricular (LV) noncompaction cardiomyopathy in an octogenarian. He had severe mitral stenosis with severe LV systolic dysfunction secondary to noncompaction. Although the association of rheumatic heart disease with LV, noncompaction cardiomyopathy has been described sparsely in the literature, our case is a unique illustration of the presence of LV noncompaction cardiomyopathy contributing toward severe LV systolic dysfunction in rheumatic mitral stenosis in an octogenarian with no coronary artery disease.
Thrombolysis in the de Winter Electrocardiography Pattern
Authors: Kumar Amit , Chetiwal Rajesh , Tanwar Shweta , Gupta Sudhish , Kumar Rohit
Published: August 2022

The de Winter's pattern is an electrocardiography (ECG) finding characterized by ST depression and tall prominent T-waves in precordial leads with ST elevation in lead aVR. It signifies the occlusion of proximal left anterior descending artery (LAD). Although it is considered a ST-elevation myocardial infarction (STEMI) equivalent, current guidelines recommend against the use of thrombolytic therapy in the absence of STEMI. As the question whether to use thrombolysis in such situations remains unanswered and controversial, we preferred to provide thrombolytic therapy with tenecteplase to our patient admitted with acute retrosternal chest pain with de Winter's ECG pattern so as to prevent myocardial damage and improve the patient outcome as the percutaneous coronary intervention facility was not immediately available. The thrombolysis was successful and the proximal LAD occlusion was confirmed later on coronary angiography which was treated with stent implantation. This case report tends to highlight the therapeutic dilemma while managing patients with de Winter's ECG pattern.
Genetic Targets in the Management of Atrial Fibrillation in Patients with Cardiomyopathy
Authors: Zigova Michaela , Petrejčíková Eva , Blaščáková Marta Mydlarova , Kmec Ján , Bernasovská Jarmila , Boroňová Iveta , Kmec Martin
Published: August 2022

Cardiomyopathies are heterogeneous health conditions with the potential for atrial fibrillation. The management of patients with cardiomyopathy accompanied by atrial fibrillation is complicated by the maintenance of sinus rhythm, toxicity, or other complications. There is a lack of information about the reasons for therapy response heterogeneity or therapy failure. Our searching strategy of scientific databases declares a potentially important role of genetics in patients' management. The promising target could be the 4q25 locus and its sequence variants. Molecular-genetic analyses may shed new light on anti-atrial fibrillation therapy in cardiomyopathy patients and help reveal the genetic subtypes of cardiomyopathy patients. In this sense, the purpose of our study is to examine the evidence for genetic variation influencing the efficacy of pharmacological or invasive therapies for atrial fibrillation, especially at the 4q25 locus, in cardiomyopathy patients and declare the importance of detected genetic markers responsible for positive or negative responses to specific anti-atrial fibrillation therapies.
Simple Surgical Technique for Epicardial Pacemaker Wire Preparation and Insertion
Authors: Mishra Amit , Patel Kartik , Ananthanarayananh Chandrasekaran , Wadhawa Vivek , Pandya Himani
Published: August 2022

Epicardial pacing wire (EPW) insertion is an integral part of open heart surgery. However, the use of EPW insertion is also associated with complications such as bleeding, tamponade, arrhythmias, and occasionally even death of the patient. Various techniques have been described for preparing, placing, and removing EPW. We present our simple, yet effective technique of preparing, inserting, and removing EPW where the incidence of complications is nil.
Electrocardiographic Changes in Pregnant Women with COVID-19
Authors: Yousefzadeh Mojtaba , Asgarian Azadeh , Ahangari Roghayeh , Vahedian Mostafa , Mirzaie Monireh
Published: August 2022

Introduction:

One of the unique challenges for obstetricians in pregnancy is cardiovascular changes. This study aimed to evaluate electrocardiographic (ECG) changes in mothers with COVID-19.

Materials and Methods:

In a retrospective study, 89 pregnant women with positive reverse transcription-polymerase chain reaction for COVID-19, between 19 and 44 years old, were selected for the study, and 12 lead ECGs were extracted and recorded from the medical documents for all cases and all parameters analyzed.

Results:

Of the 89 patients that met inclusion criteria, only eight patients were admitted to intensive care unit. Of all, 64 cases (71.9%) had normal ECG, three patients showed atrioventricular (AV) block (3.4%), and three patients had first-degree AV block type (PR interval >200 ms). The mean QTC interval was 428.6 ± 37.4 ms and 15 (17%) patients had long QTC intervals (QTC ≥460 ms). There was a significant relationship between antivirus treatment (P = 0.027), as well as hydroxychloroquine (HCQ) with PR interval (P = 0.002). A significant relationship was found between corticosteroids with QTC (P = 0.019) and antibiotics with QTC (P = 0.018).

Conclusion:

A significant association between corticosteroids usage and QTC interval as well as antiviral and HCQ treatment with PR interval. These changes during pregnancy and COVID-19 should be interpreted with caution by physicians. Understanding changes in electrocardiography can help in better and early diagnosis and management of pregnant mothers to prevent adverse outcomes.
Umbilical Artery Doppler Reference Indices in Normal Pregnancy
Authors: Okochi Owoicho Daniel , Isah Aliyu Yabagi , Kolade-Yunusa Hadijat Oluseyi , Abdullahi Habiba Ibrahim
Published: August 2022

Background:

Umbilical artery Doppler (UAD) studies offer a noninvasive method of indirectly assessing the fetal and uteroplacental circulation. However, the umbilical artery (UA) velocimetry reference currently in use was established in developed countries and derived from pregnant women that are likely to have had different biophysical characteristics. There is a need to develop an UA index nomogram for the indigenous pregnant population.

Aim:

The aim of this study was to determine the UAD reference indices among women with normal singleton pregnancy.

Materials and Methods:

This was a cross-sectional descriptive study of 422 women with uncomplicated pregnancies who attended the antenatal clinic of the University of Abuja Teaching Hospital with pregnancy ages between 28 and 40 weeks' gestation. The systolic and diastolic (S/D) ratio, the resistance index (RI), and the pulsatility index (PI) of the UA were obtained.

Results:

The mean UAD showed a progressive decrease with increasing fetal gestational age with S/D ratio, PI, and RI being 3.05 ± 0.28, 1.07 ± 0.1, and 0.68 ± 0.05 at 28 weeks and 2.10 ± 0.17, 0.73 ± 0.09, and 0.52 ± 0.04 at 40 weeks, respectively. Estimated reference values for relatively normal singleton fetuses S/D ratio, PI, and RI were 2.98, 1.03, and 0.67 and 2.07, 0.72, and 0.52 at 28 and 40 weeks of gestation, respectively. The S/D ratio (r = [FIGURE DASH]0.741, P≤ 0.002), PI (r = [FIGURE DASH]0.694, P≤ 0.001), and RI (r = [FIGURE DASH]0.366, P≤ 0.001) were significantly different from the existing reference value of 3.02 (S/D ratio), 1.05 (PI), and 0.62 (RI) and 2.18 (S/D ratio), 0.82 (PI), and 0.52 (RI). The respective existing values were at 28 weeks and 40 weeks of gestation.

Conclusion:

The UA index nomogram obtained from this study showed significantly lower values compared with the existing values, and therefore, it is advocated for use among African pregnant population.
Setting Up a Sustainable Interventional Radiology Practice in a Resource-Limited Environment
Authors: Olowoyeye Omodele A. , Soyebi Kofo O. , Omidiji Olubukola , Adeyomoye Adekunle , Irurhe Nicholas Kayode , Ninalowo Hammed
Published: August 2022

Interventional radiology (IR) is a developing sub-specialty in Nigeria. Although IR equipment and consumables are expensive, the benefit to patients on the long run compensates for the financial costs. There are various measures that should be put in place to ensure a safe IR practice. There are associated challenges that may be peculiar to different types of hospitals in our environment. This paper focuses on the steps to consider when setting up an IR practice in a resource-limited teaching hospital setting. It also highlights possible challenges and strategies to overcome such challenges.
Experience with Percutaneous Drainage of Body Fluids in a Tertiary Center in Benin City
Authors: Igbinedion Blessing O. , Ehigiamusoe Festus , Agbebaku Esongboriaimen Mabel
Published: August 2022

Background:

Percutaneous drainage is the evacuation of body fluids either using needle aspiration or by catheter placement under imaging guidance. Abnormal collections in the body which may be idiopathic, postinfectious, posttraumatic, or postsurgical (iatrogenic) can be free (e.g., ascites) or loculated (e.g. cysts and abscesses). Most cases of significant fluid accumulation require evacuation. Interventional radiology offers treatment and even cure to such patients who may be too ill to withstand surgery or not able to afford the cost of open surgery. The aim of this article is to review the common percutaneous drainage procedures done in the Radiology department of the University of Benin teaching hospital.

Materials and Methods:

A retrospective analysis of percutaneous drainage requests to the department of radiology of the hospital from January 2017 to march 2020 was performed. Data on age, gender, clinical diagnosis, the radiologic findings, procedures, and instrumentation utilized were retrieved and analyzed using IBM SPSS version 23.

Results:

A total of 49 patients' data were recruited for this study; 40 (81.6%) were female. The most common indication for intervention was liver abscess (14.3%), followed by liver cyst, endometriosis, obstructive jaundice, and pelvic abscess. The IV cannula/sheath was the most widely used instrument, followed by the pigtail catheter. All patients had their procedures done under antibiotic cover and the cases of hepatic cysts had albendazole added to their drug regimen.

Conclusion:

Despite the limited availability of resources for interventional radiology, basic procedures like cyst and abscess drainages can be successfully carried out using available materials and catheters.
Role of Magnetic Resonance Imaging in Defining Rectal Anatomical Landmarks and Primary Rectal Cancer Evaluation
Authors: Felangu Kenis Shedrack , Shattah Akims , Akanegbu Ubaka Edwin , Oisenele Omofuma Ighodalo , Oluleke Ibinaiye Philip
Published: August 2022

In contemporary practice, magnetic resonance imaging (MRI) has become a useful tool in evaluating rectal and perirectal anatomy. It encourages accurate local staging of rectal cancer and has overall improved presurgical evaluation and planning, leading to reduce local recurrence and more sphincter conserving procedures. This article aims at providing a concise review of rectal MRI technique and anatomy and to relate this to local staging and surgical management. Locally generated images in our practice were reviewed and images that best depict different anatomical landmarks and pathologies were selected and presented. Also, PubMed database was searched for relevant and contemporary existing literature on the subject.
The Value of Cross-Sectional Imaging in Evaluation of Stroke Patients
Authors: Dahiru Yunusa , Umar Umar H , Aminu Usman U , Suleiman Suleiman T , Ibinaiye Philip Oluleke , Dahiru Aminu M. C , Hadiza Yusuf
Published: August 2022

Background:

Due to poor availability of functional cross-sectional imaging in the developing countries, cerebrovascular accident (CVA) and its management has continued to be a major health problem. The need for cross-sectional imaging such as computed tomography (CT) of the brain for the exclusion of stroke mimics and for therapeutic decision cannot be overemphasized.

Materials and Methods:

This was a prospective case study conducted at the Federal Teaching Hospital, Gombe, from June 2016 to December 2016. One hundred and thirty patients who presented with clinical features and provisional diagnosis of CVA (also known as stroke) and were referred to the radiology department for brain CT were consecutively selected. A total of 111 had CT scan features of acute stroke, 6 had brain atrophy, 8 had intracranial space-occupying lesions, and 5 were normal brain scan. Data were analyzed using SPSS version 16.0 package. P≤ 0.05 and a confidence interval of 95% were adapted for the statistical analysis. All comparisons of variables were done applying kappa statistical analysis.

Results:

There were 81 (62%) males and 49 (38%) females aged 18–80 years (mean ± standard deviation of 57.49 ± 13.47 years). About 15% (19) of the patients had a diagnosis other than stroke (stroke mimics). One hundred and eleven (85%) had a stroke, of which 94 (84.7%) were ischemic stroke, while the remaining 17 (15.3%) were hemorrhagic stroke. This study also found a discordance between clinical and CT diagnosis of stroke and stroke subtypes; κ = 0.289.

Conclusion:

The clinical diagnosis of stroke and stroke subtypes may not be reliable without neuroimaging, and the need for CT scan for proper evaluation of stroke patients is well justified.
Radiology Request Form
Authors: Robinson Ebbi Donald , Ijeruh Olukumni Yetunde , Wonodi Woroma , Abam Rufus , Wekhe Chidinma
Published: August 2022

Introduction:

Radiology request form (RRF) is a medical referral to a radiologist requesting input concerning the diagnosis, treatment, follow-up of patients, and intervention where necessary. The RRF usually provides information on the patient(s) and the investigation(s) being requested.

Methodology:

This was a cross-sectional descriptive study, in which request forms were retrospectively reviewed over a period of 6 months in the Radiology Department of the Rivers State University Teaching Hospital. A total of 1131 request forms filled by medical doctors were analyzed to ascertain the degree of completeness of filling the forms. The data were collated and analyzed using the IBM Statistical Package for the Social Sciences version 23. The results were expressed in simple percentages, frequencies, and presented in tables, charts, and graphs.

Results:

Ultrasonography was the most requested radiologic investigation (55.4%), while X-ray and computed tomography scan account for 41.4% and 1.1%, respectively. Majority of the forms had adequately entered date of request (97.7%) and required investigation and patient's names (99.6%). Patient's age was appropriately entered in 51.9% of cases, while 34.1% kept the space blank. Clinical information was indicated in 50.8% of the forms, while 97.2% did not include history of patient's allergy as regards the use of radiopharmaceutical agents. The patient's consultant and resident's doctor names were appropriately entered in 72.1% and 81.7% of the request forms, respectively. Signature authentication by the resident doctor is available in 13.2% of the request forms.

Conclusion:

It was observed that majority of the RRFs were not completely and appropriately filled; thus, complete information regarding the patient is not provided to the radiologist to enhance report accuracy. Clinical information if adequately provided can improve the quality of patient management, follow-up, training, and research.
Covariant derivatives of eigenfunctions along parallel tensors over space forms and a conjecture motivated by the vertex algebraic structure
Authors: Qi Fei
Published: August 2022

We study the covariant derivatives of an eigenfunction for the Laplace–Beltrami operator on a complete, connected Riemannian manifold with nonzero constant sectional curvature. We show that along every parallel tensor, the covariant derivative is a scalar multiple of the eigenfunction. We also show that the scalar is a polynomial depending on the eigenvalue and prove some properties. A conjecture motivated by the study of vertex algebraic structure on space forms is also announced, suggesting the existence of interesting structures in these polynomials that awaits further exploration.
Aggregating estimates by convex optimization
Authors: Juditsky Anatoli , Nemirovski Arkadi
Published: August 2022

We discuss the approach to estimate aggregation and adaptive estimation based upon (nearly optimal) testing of convex hypotheses. We show that in the situation where the observations stem from
simple observation schemes
(Juditsky and Nemirovski, 2020) and where the set of unknown signals is a finite union of convex and compact sets, the proposed approach leads to aggregation and adaptation routines with nearly optimal performance. As an illustration, we consider application of the proposed estimates to the problem of recovery of unknown signal known to belong to a union of ellitopes (Juditsky and Nemirovski, 2018 and 2020) in Gaussian observation scheme. The proposed approach can be implemented efficiently when the number of sets in the union is “not very large.” We conclude the paper with a small simulation study illustrating practical performance of the proposed procedures in the problem of signal estimation in the single-index model.
Reincarnation: revisiting the transmigration of souls as systematic and pastoral issue.
Authors: Kleinhempel Ullrich
Published: August 2022

The issue of reincarnation has factually been laid to rest in Christian theology at the end of Greco-Roman Antiquity. Not so in the cultural histories of European countries, where is revived continuously, most forcefully from the 18th century in onwards, as in Germany. This requires a new look at the idea, and at practices of ‘past-life regression’ that are widespread, from a dogmatic and pastoral perspective. Recent academic publications on the issue, reflecting different attitudes to it in theology, are therefore presented and discussed here, with further considerations added. The link of this issue to opinions about the post-mortal state of the soul, are thus included. In critique of ‘whole-death’ positions, in recent Protestantism and Catholicism, the Vatican’s renewed affirmation of a living soul in the post-mortal state, and the call of Metropolitan Kallistos Ware, to review the rejection of reincarnation, are picked up for this presentation, that argues to connect these two.
Popularity, Populism and Prophetism in the NeoPentecostal Movement: the Jehoshaphat-Ahab Narrative
Authors: Resane Dr Kelebogile Thomas
Published: August 2022

The Jehoshaphat-Ahab narrative is used as a textual base for popularity, populism and prophetism in the current political landscape and in the Neo-Pentecostal Movement. The two kings formed a political alliance strengthened through marriage. The alliance was subtly and subliminally influenced by a foreign power in the name of the Phoenician Queen Jezebel, who was an embodiment of state capture. At the height of this alliance, stepped in the prophetism that took two strands of popular prophets who saw socio-political life from the prosperity viewpoint, and the unpopular but authentic prophecy embodied in a character known as Micaiah. The modern Neo-Pentecostal Movement is characterised with popularity, populism and prophetism that may be popular or unpopular due to its humanistic proclivities. The discussions start with Jehoshaphat (popularity), followed by Ahab (populism), Jezebel the state capturer, then Israel’s prophets who sided with populism, and Micaiah who is the representative of Yahweh’s authentic prophetism. Ahab’s prophets were prophesying in the name of the Lord. They were either backsliders or syncretic believers due to Phoenician idolatry that had ‘slithered’ itself into Israel. This pictures the modern prophets who do almost everything in God’s name, but their prophecies are often highly questionable. The narrative is put into the context of Neo-Pentecostal Prophetism, exposing their activities – strange practices that disregard human dignity; and their proclivity to the political powers that are populist oriented. Weaknesses identified are poor hermeneutics, and
the shift from Christ as the object of faith to objects such as water, oil etc. Recommendations made include the return to the fundamentals of faith, and sensible consideration of church regulation in South Africa.
KUYUMCULUK DÖKÜM TEKNİĞİNİ UYGULAYAN ATÖLYELERDE TASARIM, ÜRETİM VE PAZARLAMA DURUMLARININ DEĞERLENDİRİLMESİ
Authors: ERGÜN Birsen
Published: August 2022

Araştırmanın amacı, kuyumculuk sanatında mum kalıba alma ve döküm tekniğini uygulayan atölyelerde çalışan ustaların tasarım, üretim ve pazarlama durumları hakkında görüşlerinin anket yolu ile değerlendirilmesidir.

Araştırmanın örneklemini, İstanbul ve Ankara’dan rastgele seçilen 30 kuyumcu atölyesi ve çalışanları oluşturmaktadır. Bu çalışanlara araştırmacı tarafından hazırlanan anket formları uygulanmıştır. Anketlerden elde edilen verilerden frekans ve yüzde hesaplamaları yapılmıştır.

Araştırma sonucunda; İstanbul ve Ankara’da bulunan döküm atölyelerinde döküm makinelerinin gelişmiş olduğu, atölye araç ve gereçlerinin yeterli sayıda bulunduğu görülmüştür. Gelişen teknolojinin de katkılarıyla tasarım ve döküm tekniğinin de hayli ilerlediği görülmüştür. Altın ve gümüş dökümcülüğünün eskiye oranla şimdi daha iyi olduğu saptanmıştır. Ayrıca incelenen atölyelerde kişilerle görüşme sonucunda pazarlamada işçilik kalitesi ve fiyatın önemli birer unsur olduğu düşünülmektedir.
The need for reconstruction: students’ learning of the calculus of bivariate functions
Authors: Trigueros Gaisman Maria , Martínez-Planell Rafael
Published: August 2022

This article presents a review of our research on students’ understanding of the calculus of bivariatefunctions. It summarizes findings from studies conducted during 15 years of research on the topic with the aim ofdisseminating our overall results in an accessible format. The results discussed underscore the new challenges thatstudents face when dealing with this new type of function and suggest that the belief that students can easily generalizefrom their knowledge of one-variable functions is not sustained by research, so the different foundational notionsnecessary for the context of bivariate functions need to be considered explicitly during instruction. We include researchbased suggestions that have practical value for teaching these functions, and update the state of research in thisimportant area of the didactics of mathematics, which makes the need for further research apparent.

. Une revue de nos recherches sur la compréhension par les étudiants du calcul des fonctions bivariées estprésentée. Il résume les résultats des études menées tout au long de 15 ans d'activités de recherche sur le sujet. Sonobjectif est de communiquer nos résultats de recherche dans leur ensemble de manière accessible. Les résultats dontnous discutons soulignent les nouveaux défis que les étudiants rencontrent lorsqu'ils traitent ce nouveau type defonction, et suggèrent que la croyance selon laquelle les étudiants peuvent facilement généraliser à partir de leurconnaissance des fonctions à une variable, n’est pas soutenue par la recherche, de sorte que différentes notionsfondamentales qui sont nécessaires dans le contexte des fonctions bivariées, doivent donc être explicitement prises encompte lors de l'enseignement. Nous incluons la présentation de suggestions, fondées sur la recherche, qui ont unevaleur pratique pour l'enseignement des fonctions bivariées et peuvent éclairer l'état de la recherche dans ce domaineimportant de la didactique des mathématiques, ce qui rend évident la nécessité de poursuivre des recherches.
The Role of Student Employment in Persistence and Efficiency in STEM Higher Education
Authors: Kocsis Zsófia , Alter Emese , Pusztai Gabriella
Published: August 2022

The high dropout ratios that characterize STEM fields can be explained by several factors, one of which is the employment of students during their studies. Our research aims to explore the impact of student employment on persistence and academic performance in STEM fields. During our research, we used the data of the Hungarian subsample of the PERSIST 2019 database (N=1045). According to our results, IT trainings are more resistant to the negative effects of employment than other trainings, as students working in this field did not differ from their non-employed peers in terms of either persistence or academic progress. Concerning the science, engineering, and non-STEM training, employment had a significant negative effect on academic performance, but it was primarily compensated by being employed in study-related jobs in science training, which also had a favorable effect in non-STEM training courses. However, in the field of engineering, employment in the profession reinforced this adverse effect too. In the field of informatics, study-related work also had a negative impact. Based on our results, we think it is worth considering the broader spread of dual training courses in higher education, during which students can complete an internship at a company or partner organization in addition to theoretical training.
Implementing Entrepreneurship Education in Extracurricular Activity (ECA) for Students
Authors: Adisel Adisel , Andriany Debby , Suryati Suryati , Putra P. Heldy Ramadhan
Published: August 2022

The entrepreneurship program has been rapidly growing as one of the extracurricular programs delivered in education institutions, including primary and high schools. One of the endeavors to advance students' interest in entrepreneurship education is providing ECA (extracurricular activity) for the students at school. This research is a case study focused on implementing the HBC (Hilaris Business Class) Program. The researchers conducted this research to see the effectiveness of this extracurricular activity program. The critical informants of this study consisted of the school principals and teachers who managed the program. The researchers collected the data through interviews, document analysis, and observations. The result of this research signified that HBC, uniquely, was designed based on the integration of the Indonesian Curriculum and Singaporean Curriculum by considering the students' need analysis and profile. The program was implemented inside (entrepreneurship literacy and business planning) and outside the school (cooperation with professional enterprises, company visits, and business plan execution). In the end, the program was evaluated by reflecting on student achievements and skills. Additionally, the HBC program was claimed to benefit the students and the teachers, school, and parents. This program might be helpful to meet much more demanding world development in the future by elevating its target and objectives.
Formation of TPACK and Acmeological Competency of Future Teachers in Foreign Language Education
Authors: Joldanova Dinara , Tleuzhanova Gulnaz , Kitibayeva Alfiya , Smanova Gaziza , Mirza Natalya
Published: August 2022

The aim of this study is to determine the effects of acmeological-based teaching activities in foreign language lessons on learners' foreign language self-efficacy, foreign language learning motivation and Technological Pedagogical Content Knowledge (TPACK) skills. The research was carried out in the Faculty of Foreign Languages, Department of the Theory and Practice of Foreign Languages Training of a university in Kazakhstan in the 2021-2022 academic year. The study, which was conducted with 35 students in the experimental and 35 control groups for 6 weeks, was designed according to the experimental model with the control group, which is one of the quantitative research methods. Foreign language learning self-efficacy scale, foreign language learning motivation scale and TPACK skill test were used as data collection tools in the study. According to the findings of the study, it was determined that there was a significant difference in favor of the experimental group in the post-test scores (foreign language learning self-efficacy, foreign language learning motivation and TPACK skill test scores) of the experimental group, in which activities based on the acmeological approach, and the control group, in which traditional teaching was applied.
ASSESSMENT OF THE QUALITY OF NATURAL RAIN WATER FOR DOMESTIC USE IN JIMETA-YOLA METROPOLIS, ADAMAWA STATE.
Authors: Maspalma G. A. , Ndonya A. E , Maryam U.A , Hamman K.S , Ogbusua K. N
Published: August 2022

A Preliminary study to provide information on the physical and chemical properties of rain water which purity depends on the freedom of the atmosphere above the location of its fall and or collection from volatile impurities existing and or sent up there through natural and man-made activities was conducted in selected wards in Jimeta and Yola metropolis. Physical and chemical parameter determined include pH, Electrical conductivity (EC), Total dissolved solid (TDS), Temperature (T0C), Colour (Hazen), Potassium (K) Calcium (Ca) Magnesium (Mg) Iron (Fe) and Zinc (Zn). Samples from the selected wards /Locations were analyzed using standard techniques. The levels of the parameter were found to be within the WHO, SON and NSDWQ limit for potable water except for turbidity value at Jambutu (8.33NTU), Gwadabawa (6.34NTU) and Temperature at Ngurore (28.20 0C) are slightly outside the guideline’s values. The pH values of the samples show that rain water from the three wards (Namtari, Yolde pate and Gwadabawa) showed slight acidity. This shows that it is possible to have acidic rain in these wards / Locations. However, the rain water is safe for drinking and can be used for other purposes.
TRENDS AND IMPACTS OF GAMING IN MODERN SOCIETY
Authors: Nandakishor P S  , Dhannya J  , Abhiram Krishna Jeevan  , Harikrishnan A  , Sangeeth Sabu
Published: August 2022

Games have always been a part of humans, throughout evolution. All these years only the methods
and medium of games have changed and not more. Earlier the games where just a mode of
entertainments for people, but now it has become a huge stage for gaining audience and making
revenue. In this modern world, the contribution of E-sports community in a country’s growth is
considered essential. By analyzing the impact of gaming in our modern society and its trends till date,
we will get a clear picture of the industry. The Indian gaming industry alone is expected to generate
$3.9 billion per year by 2025. By taking right steps in its course, this industry can be made an essential
part of the growth of a nation
Binaların Farklı Pencere Türlerine Bağlı Elektrik Enerjisi Tüketimleri ve Sosyal Emisyon Maliyetleri
Authors: KON Okan
Published: August 2022

Çalışmada, ilk olarak Türk yalıtım standardı TS 825’e göre dört iklim bölgesini temsilen seçilen; İzmir, Manisa, Afyon ve Kastamonu illerindeki binaların elektrik enerji tüketimi hesaplanmıştır. Bunun için örnek alınmış binanın elektrik enerjisi tüketimi hesaplanmıştır. Bina enerji tüketimi hesaplanırken cam türleri olarak, tek cam, çift cam, yalıtımlı cam ve üçlü cam olması dikkate alınmıştır. İkinci olarak, tüketimi yapılan bu elektriğin enerjinin santrallerinde üretiminde meydana gelecek CO2 ve NOx emisyonları tespit edilmiştir. Daha sonra bu emisyonların bertaraf edilmesi için sosyal emisyon maliyetleri hesaplanmıştır. Son olarak 2030, 2040 ve 2050 yılları için farklı iskonto oranlarına bağlı sosyal emisyon maliyetleri için öngörülerde bulunulmuştur. Enerji santrallerinin elektrik üretirken kömür ve doğal gaz kullandıkları kabul edilmiştir. Sonuç olarak, CO2 emisyonu için en yüksek sosyal emisyon maliyeti kömür kullanan enerji santrallerinde 2050 yılı ve % 2.5 iskonto oranında, dördüncü iklim bölgesindeki Kastamonu ilinde ve tek camlı pencerelere sahip binalarda 7092.089 $ ve en düşük ise doğal gaz kullanan enerji santrallerinde birinci iklim bölgesindeki İzmir ilinde yalıtım camlı pencerelere sahip binalarda, 2030 yılı ve % 5 iskonto oranında 98.7 $ olarak hesaplanmıştır. NOx emisyonu için sosyal emisyon maliyeti en yüksek doğal gaz kullanan enerji santrallerinde, 2050 yılı ve % 2.5 iskonto oranında, 958.1 $ ve en düşük ise kömür kullanan enerji santrallerinde, 2050 yılı ve % 2.5 iskonto oranında, dördüncü iklim bölgesindeki Kastamonu ilinde ve tek camlı pencerelere sahip binalarda 20.1 $ olarak tespit edilmiştir.
Improvement of Student’s Engine Room knowledge and operational skills during Simulator training
Authors:   University of Split, Faculty of Maritime Studies, Croatia, Čalić Ante , Stazić Ladislav , Pavlović Igor
Published: August 2022

One of the most important tools for maritime student education is the use of simulators, which provide practical instruction under controlled conditions. This article analyzes the behavior of Marine Engineering students at the Faculty of Maritime Studies in Split and their progress in knowledge and practice achieved through training in the Kongsberg Engine Room Simulator. The research was conducted by the instructors of the Kongsberg training simulator with the students of the third (last) year of the undergraduate study of Maritime Engineering. The progress was observed during the last semester of their studies on the practical problem of manual parallel connection of diesel generators. The obtained results clearly show that the training on the simulator helped the students to combine the learned theory from several subjects into one complex and that this happens gradually during the training.
Síndrome de burnout asociado a descontrol metabólico en pacientes Diabéticos tipo 2
Authors: Alcocer Betty Sarabia , Gutiérrez Tomás Joel López , Sosa Yunelly Paola Sarmiento , Rodriguez Pedro Gerbacio Canul , Caamal María Eugenia López , de Chavez-Figueroa María Concepción Ruiz , Gamboa Carmen Cecilia Lara , Diego Alicia Mariela Morales
Published: August 2022

El término de Síndrome de Burnout apareció por primera vez en 1974, cuando el psicoanalista Herbert J. Freudenberger observó que, al año de trabajar, la mayoría de los voluntarios sufría una progresiva pérdida de energía, hasta llegar al agotamiento, síntomas de ansiedad y depresión, desmotivación laboral y agresividad con los pacientes. Por otra parte, La Diabetes Mellitus 2, es un trastorno complejo caracterizado por deterioro de secreción de insulina y el aumento de la resistencia a la insulina con grados variables de predisposición hereditaria y con participación de diversos factores ambientales. Objetivo: Identificar la relación del síndrome de Burnout al control o descontrol metabólico en pacientes Diabéticos tipo 2. Metodología: Se trata de un estudio descriptivo, observacional, prospectivo y transversal. Participaron 70 trabajadores con edades entre los 27 y 60 años de ambos sexos de Instituciones de Salud; con Diabetes Mellitus 2, se aplicó la escala de Maslach Burnout Inventory para evaluar el grado de desgaste profesional y se obtuvo medición de la hemoglobina glucosilada. Resultados: Se demostró una prevalencia baja de 8.5% para el estrés laboral crónico o Burnout y en quienes se presentó este síndrome se mostró una correlación significativa con el grado de control o descontrol metabólico en un 83:3%
Türkiye'nin Vergi Yapısı: Edirne Değerlendirmesi
Authors: ÇAVDAR Fatih
Published: August 2022

Bireylerin bir arada yaşamaya başlamaları ile birlikte, devlet kavramı önem kazanmış ve gün geçtikçe bireylerin artan ihtiyaçları sonucunda devletlere ekonomik anlamda çeşitli fonksiyonlar yüklenmiştir. Devletlerin bu fonksiyonlarını yerine getirebilmesi, diğer bir ifadeyle, kamu harcamalarının finansmanını sağlayabilmesi için temel kaynak ise şüphesiz vergilerdir.

Bir ülkede uygulanan ve devletlerin egemenlik güçlerini kullanarak yürürlüğe koyduğu ve topladığı vergiler ile bunlarla ilgili yasal düzenlemelerin tamamı ise vergi sistemi olarak adlandırılabilir. Vergi sistemleri içerisinde farklı sınıflandırmalara tabi tutulan vergilerden elde edilen gelirler, iller itibariyle farklılık gösterebilmektedir.

Çalışmada, Türk vergi sisteminin genel görünümü üzerinden hareketle, Edirne ilinin vergi yapısı değerlendirilecektir. Edirne ilindeki vergi gelirlerinin dağılımı, mükellef sayıları, Edirne’nin seçilmiş (diğer) iller karşısındaki durumu gibi değişkenler yardımıyla, Edirne’nin vergi yapısı değerlendirilmeye çalışılacaktır. Bu anlamda, elde edilen bilgilerin ortaya konulan sonuçları doğruladığını söylemek mümkündür.
Giant Hepatic Subcapsular Hematoma after Endoscopic Retrograde Cholangiopancreatography (ERCP): A Case Report
Authors:   Espinosa General Surgery Department, Hospital General Regional 1 “Ignacio García Téllez”, IMSS, Mérida, México, Navarrete Deysi Laura
Published: August 2022

Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most commonly performed minimally invasive procedures for the diagnosis and treatment of biliary and pancreatic diseases. Hepatic hematoma secondary to ERCP is a rare and potentially serious complication with few cases described in the literature. Objective: The objective is to present a case of a giant hepatic subcapsular hematoma (HSH) secondary to ERCP, surgically resolved by laparotomy due to its recurrence and significant growth. Case report: We present the case of a 55-year-old female patient with a history of laparoscopic cholecystectomy and subsequent ERCP due to residual choledocholithiasis. The patient presented intense abdominal pain and fever after being discharged home, so she was admitted to the general surgery service where a HSH was diagnosed. Initially, conservative treatment with imaging follow-up is indicated, however, due to growth of the hematoma and recurrence, surgical treatment is indicated. Conclusion: Most patients respond to conservative treatment, however there will be patients who require surgical treatment, so suspecting this pathology will help provide timely treatment.
The Immune Aging in Elderly and the Potential Impact on the Immune Response against SARS-Cov-2 in Covid -19 Patients
Authors:   College of Dentistry / University of Tikrit ORCID ID: 0000-0002-9893-8085, Pambuk Chateen I. Ali
Published: August 2022

Coronavirus disease (COVID-19) is an infectious disease caused by a new strain of coronavirus. While most people infected with COVID-19 will have mild to moderate respiratory illness and recover without needing special treatment, the elderly are more likely to develop serious illness. With the ongoing mutation of the emerging coronavirus and the growing list of its symptoms, it is becoming increasingly necessary to remain vigilant about the signs of COVID-19. COVID-19 symptoms are different in the elderly compared to others. Some of these symptoms may be missing in the elderly and the aging of the immune system may play a role in your guide. The aim of this descriptive minireview, generally, is to shed light on The immune aging in elderly and the potential impact on the immune response against SARS-CoV-2 in Covid -19 patients.
Improve Patient–Care Provider Interactions and Shortage of Staff during Covid 19 by Implementing Person–Center Proposal Daily Round
Authors:   CQI & PS Department, Armed Forces Hospital Wadi Al Dawassir. Saudi Arabia, Fathy Neveen
Published: August 2022

Objective: evaluate the improvement of Patient – Care provider interactions by implementing a person – center proposal daily round ensured by trained non-medical staff for patients admitted in wards. Design: prospective comparative study, using check list extracted from person center care and data was collected from a third-party survey approved in Saudi Arabia health care since 2019. Setting: Wadi Al Dawasir region, Saudi Arabia. Population: The study period (July 2020 to July 2021). The person center proposal daily round was started as a proactive measure to improve the patient-care provider interaction after the decrease of patient satisfaction in the third-party survey data. We include all admitted inpatient wards (231 patients) except critical area and COVID – 19 units after pandemic. Main outcome measures: we compare Patient satisfaction about sleeping, level of noise in and around room, pain controlled, Promptness in responding to the call button, Instruction given about how to care at home and Staff effort to include the patient in decisions about his treatment before and during the person center proposal round. Results: the overall trajectory of patient satisfaction is increased according to the third-party survey upon implementation of the round. In the third quarter 2020 we remark increase of satisfaction about sleep from (85%) to (92.85%) in the third quarter 2021.the same improvement is seen in the others parameters as pain-controlled satisfaction (from 81.25% to 87.5%), promptness in responding to the call button (from 79.54% to86), instruction given about how to care at home (from 88% to 89.86%) and staff effort to include patient in decision about his treatment (from 80.81% to 88% of the third quarter 2021) Conclusion: When proposal round happens well it considered as incredible tool to improve communication between nurses’ staff who are in shortage at the unit and admitted patients
Covid-19 Pandemic and E-Learning: Socio - Economic Factors Influencing the Challenges Faced By Ghanaian Universities
Authors:   Kwame Nkrumah University of Science and Technology, PMB 40 Ghana, Anim, Andy
Published: August 2022

The pandemic of COVID-19, which swept the globe, has damaged all facets of human endeavor, including education. As a response to the hazards to life posed by the epidemic, educational institutions in Ghana have had to improvise in order to provide tuition to students in order to mitigate the impact of the virus on students. The school administration at the Nyankpala campus of the identified and implemented e-learning as an alternative to face-to-face instruction, which posed a hazard to the health of students during the epidemic. This study aimed to examine the socioeconomic factors influencing the challenges faced by students in the use of e-learning during COVID-19, with a specific focus on the students of Nyankpala Campus, using both primary and secondary data to debrief the conceptions and theories in order to assess the level of impact of the pandemic and e-learning on students' academic performance. The study also sought to investigate the sources of information on COVID-19 from the respondents and the preventive measures, as these two factors determine their access to electrical devices to participate in e-learning and the extent to which this approach has impacted their academics as the study solicits the pertinent information on the measures implemented by the university's administration to ensure continuous learning. In this regard, the study employed a case study design with qualitative technique as the strategy for eliciting pertinent information through the use of key interview guides and personal interviews. According to the results, 62.31 % of the students are from metropolitan areas, while 37.69 % are from rural areas. In terms of money and social status, the numbers show that 17.69% of students come from high-class societies and 57.69% come from low-class societies. 58.46 % consistently reported poor network coverage, compared to 41.54 % who always had network connectivity. Data bundles, a lack of e-learning devices, and inadequate training were highlighted as the primary obstacles. As a result, several students were forced to miss or leave lectures, which negatively impacted their academic achievement and the delivery of instruction. In the future, it is proposed that the university collaborate with a number of government regulatory agencies, such as the National Communication Authority (NCA), to reduce the cost of data in order to improve internet connectivity on campus, as well as subsidize student tuition fees in order to alleviate the financial burden placed on students.