bluuebunny/crossref_metadata_2025 huggingface dataset:
Chemotherapy Health Hazards among Oncology Nurses and its Possible Relation to Malpractice and Workplace Environment
Authors: Gamal Gehan A. , Gamal Lobna M. , Eldessouki Khaled Hussien M. , Abozied Aziza M.
Published: May 2021

Context: Chemotherapeutic drugs are chemical substances used for cancer treatment and known to be carcinogenic, teratogenic, and mutagenic to humans. Occupational exposure to chemotherapeutic drugs has led to higher health hazards among nurses who handle them. Aim: Assess chemotherapy health hazards among oncology nurses and its possible relation to malpractice and workplace environment. Method: A descriptive and exploratory research design used in the present study. All available nurses from both sexes working in the chemotherapy department comprised of 50 nurses, of one-year experience at least. The study conducted at Oncology Center in Minia City, Egypt, in the outpatient and inpatient chemotherapy department. Three tools used to collect the study data. An interview structured questionnaire for nurses, designed to assess socio-demographic characteristics and medical history of the studied nurses. The second tool is nursing practice observation checklists to assess safe practice in chemotherapy handling. The third tool was environmental safety checklists to assess workplace environmental safety.

Results: The main results of this study clarified that about half of the study sample (48%) complained of health hazards presented as skin irritation/allergy, chest allergy, and inflammation of eyes (45.8%, 16.7%, 37.5% respectively). Maternal hazards presented mainly as irregular menstrual bleeding (50%), menorrhagia, and abortion (33.3%). Decrease environmental safety presented mainly as absence of biological safety cabinet, specific personal protective equipment (PPE), safe handling chemotherapy guidelines. Along with certain nurses' malpractice as the majority of the study sample (74%) has poor practice score in the handling of chemotherapy.

Conclusion: This study indicated the presence of general and maternal health hazards among nurses handling chemotherapy in the form of general and maternal health hazards. The study also clarified nurses’ malpractice among about three-fourths of nurses and provide evidence of an unsafe environment. The results strengthened the increased need for improving nurses' knowledge and practice regarding chemotherapy handling along with the provision of needed equipment/supplies to underpin safe and effective practice in this area.
Relationship between Nursing Informatics Competency and Innovativeness among Qualified Nurses
Authors: Hassona Farida M. , Ali Aziza Z. F.
Published: May 2021

Context: Nursing informatics is an important quality resource for patient care, which in effect promotes, enhances, and increases the organization's growth and influences the innovativeness level of the individuals.

Aim: The aim of this study was to assess the relationship between nursing informatics competency and innovativeness among qualified nurses.

Methods: Descriptive correlational cross-sectional study design used to conduct this study on all units (57 units) at Benha University Hospital, Egypt.  A Convenience sample of all available (223) qualified nurses working at Banha University Hospital Nursing informatics competency assessment tool and individual innovativeness (II) questionnaire.

Results: 28% of the participants rated themselves as experts in the nursing informatics competency. While 40% and 22% were early adopters and innovators respectively regarding the total level of individual innovativeness. There was a positive, highly statistically significant correlation between the overall score of informatics competency and individual innovativeness for qualified nurses (r= 0.263, p-value = 0.000). A highly statistically significant relationship also detected between the demographic variables in the study and both informatics competency and individual innovativeness for qualified nurses.  

Conclusion: A positive, highly statistically significant correlation evidenced between the overall score of informatics competency and individual innovativeness for qualified nurses. In order to prepare nursing students to meet the ever-changing technical needs of patients, computer and information skills should be integrated into the nursing curriculum. Also, nursing education programs should utilize educational methods that encourage innovativeness among their students.
Eco-Cultural Tourism and Socio-Economic Development: A Case Study of Chandubi Festival of Chandubi Area in South Kamrup, Assam
Authors:   Guest Faculty Member Department of Tourism & Travel Management Bhattadev University, Bajali Pathsala-781325, Assam, India, Das Dr. Satyajit
Published: May 2021

Eco-Cultural Tourism is a new area which emphasizes on the promotion and development of culturally rich and ecologically important sites and locations or places. Through the promotion of this kind of tourism, the inhabitants living in the surrounding and peripheral areas may be socio-economically benefited. The community participation process would have also continued in this eco-cultural tourism. In eco-cultural tourism, the emphasis should be given on conservation of ecological diversity and cultural heritage of the respective community. In eco-cultural tourism, tourists are attracted towards the local culture and flora and fauna constituting the ecology. Chandubi is a well-known natural lake located 64 km away from the Guwahati city and included in the Rabha Hasong Autonomous Council area of south kamrup region, Assam. Chandubi Festival has been organized at the bank of the Chandubi Lake for the last 4-5 years. It is a promotional festival for attraction of visitors and tourists to Chandubi. But most prominent objective of Chandubi Festival is to create awareness among the mass for conservation of ecological diversity of the lake as well as to promote folk culture and ethnic tradition of the different communities especially of the Pati Rabha community for domestic and foreign tourists at this place. Through organizing this festival, the organizer tries to draw the attention of the concerned Departments of Government and Non-Government organizations for infrastructural development of the place and the attainment of socio-economic development of the entire community who have been participated in the different process in the promotion of eco-cultural tourism.
Security Issues in Pakistan: Its Solution in the light of Seerah
Authors: Khattak Ahmad Hassan , Zaheer Shamsul Hussain , Khattak Khalid Usman
Published: May 2021

Modern world is facing issues like poverty, starvation, pollution, exploitation of the poor, and the status of woman in society. However, the most prominent issue of the modern world is that of lawlessness and insecurity. It has become a kind of root cause for the rest of the allied issues, hence affecting the peace and prosperity across the globe. This paper discusses the said problems and gives a way forward for its solution in the light of the Seerah, the way, the Holy Prophet Muhammad (SAW) practiced his life. This is a qualitative and descriptive research in which the interpretations of Ahadith has been used as a tool for the analysis of this complex problem. At the end, suggestions have been given in the light of the analysis and discussion to conclude the study.
Dismantling Panopticonic Regime: Study of Orwell’s 1984
Authors: Arif Muhammad , Ahmed Humaira , Rahman Bakht
Published: May 2021

The current study has taken into consideration Orwell’s 1984 to find the elements of despotism for the establishment of totalitarian regimes and to reduce them to an absurdity. The aim of this study is to highlight the failure of totalitarian regimes in terms of ground realities. Historical instances show that such governments used various techniques like, insurgency, censorship of media, changing the facts and oppression of the masses by the totalitarian rulers to sustain the authority in the state. The study has highlighted the ineffectuality of the regime in the selected text in the light of totalitarian absurdity on practical grounds. The theoretical framework which has been used is totalitarian absurdity. It has looked for the totalitarian governments and the tactics they used to rule the masses and has reduced them to an absurdity as they failed badly eventually. In the light of the results, it can be safely argued that there had been a constant effort on the part of the state to suppress the masses but there had always been a revolt on the part of the oppressed masses who denied the authority. The more the authority proved to be strict the more it augmented the potential of the subjugated masses to show revolt. Thus, one can rightly say that totalitarian regimes besides their every effort can be drawn to an absurdity.
A Historical Perspective of China’s Peaceful Policies and its Rise as World Economic Power
Authors: Khatoon Aasia , Rahim Nazim , Ali Barkat
Published: May 2021

China’s rise as an economic power on the canvas of world politics is immensely being discussed by the scholars and experts around the globe whether it will create a chaotic situation or it will be peaceful for global peace and security. World seems astonished by experiencing the speed of Chinese economic development and getting its maximum share in international trade. The descriptive-analytical approach is used to investigate that how at present the history of China plays a significant role in development and promotion of its passive and non-violent image. Liberal Institutionalism has been applied for the data analysis and further explaining the situation. This study focuses on historical peaceful and accommodating political character of China while interacting with its neighbouring states. The same is going to happen in the scenario of current rise of China and especially its mega project of “Belt and Road initiative.” While studying the political and military nature of historical China, we can easily assess that China is ready for collaborating and cooperating not only with its neighbouring countries but also seems serious to bring the other countries in the nexus. China is very well aware of the suspicion, misconception, fear and threat that prevails in the regional states viz-a-viz the status quo world powers that powerful China could create threats for their security and survival.
Impact of Teacher’s Attitudes on Academic Achievement of Students in Mathematics: A Quantitative Assessment in Peshawar, Pakistan
Authors: Ullah Kaleem , Badshah Sareer , Qamar Hina
Published: May 2021

This study is conducted to find out the factor related to teacher which may contribute to the students` achievement in mathematics. For this purpose, a sample of 605 students is collected from 14 departments of different educational institutions in Peshawar, Khyber Pakhtunkhwa. Furthermore, the data is collected from BS, 5th semester except form department of mathematics. Data is analysed through the SPSS version 20. Data is subjected to statistical analysis using various statistical tools including descriptive statistic, t-test for independent sample, odd-ratio and binary logistic regression. Findings reveal that teaching method of the teacher has a significant impact, the value of teacher’s attitude in the class is also highly significant, teacher delivery of lecture in understandable language value shows a significant impact on students achievement in Mathematics and teacher motivated in mathematics learning’s value also shows the high significant result. The value of providing teaching material is also significant. Findings also shows that teachers take interactive class, adopt positive attitude, use understandable language, motivate and provide teaching material contribute to students` academic achievements.
Women’s Political Empowerment through Local Government in the Patriarchal Society of Pakistan
Authors: Ahmad Niaz , Bano Abida
Published: May 2021

The democratic local government empowers community members to decide their destiny. However, it bears different meanings for different people in different socio-cultural settings. This study assesses the intended outcome of the local government system, revived by General Pervez Musharraf’s regime in Pakistan since 2001 regarding women’s political empowerment. In the Devolution Plan 2001, the gender quotas of 33% have been reserved for women in all the three tiers of local government at the district level. However, the existing informal institutional forces like socio-cultural and religious practices did not let women to fully participate and achieve the desired political status. Local women’s representatives have not been able to participate meaningfully in the policymaking at the local level. Therefore, this study suggests revising the design of the local government with a focus on eligibility criteria for the candidates. Moreover, to ensure the political empowerment of women, policymakers should focus on other alternatives like women education, political awareness, and monitoring by the civil society and media.
The Causes of Kidnapping and its Implications on Nigeria
Authors: Ibrahim Yusuf Kamaluddeen , Ahmad Abdullahi Ayoade
Published: May 2021

The incessant incidences of kidnapping in Nigeria have grown into a severe National threat to its society and is ravaging the country’s socioeconomic wellbeing. The study aims to explore the national security and socioeconomic implications of this menace. The study applied the functionalism theoretical assumptions and employed Qualitative Document Analysis (QDA) based on the previous studies review conducted on kidnapping such as current literature, media reports, and newspaper to figure out the gap and come up with new findings on the causes of this menace. The study found that the government's reluctance to address such challenges is the force igniting heinous crimes in the country. It is due to the negligence of the Nigerian government to address the root-causes of the phenomenon such as; youth unemployment, quick-money syndrome, hard-drug influence, and others. The study suggests some measures such as public awareness programs, a synergic approach between the security forces and community police, appropriate sanctions, phone sim-card registration, quit ransom payment, and job creation.
Arab Spring Failure: A Case Study of Egypt and Syria
Authors: Khan Raid , Mahmood Amna , Salim Asif
Published: May 2021

The Arab Spring was assumed to reform the prevailing regime pattern and to bring socio-economic reforms. However, it failed to get its intended outcomes at large. The objectives of the revolution that are to bring a positive transformation in the social, economic, and political domains were not attained effectively and was considered a failed revolution in the case of Egypt and Syria. The present paper focuses on exploring the reasons and factors behind its failure in the particular context of Egypt and Syria. Although Egypt observed regime transition from dictatorship to democracy, yet within one and a half year, a military coup overthrew the democratically elected government of Mohammad Morsi, and the military regime was reinstalled. In the case of Syria, since 2011, a civil war is going on where Bashar-ul-Asad still holds dictatorial powers. The study reveals that the lack of stable political institutions, weak democratic norms, and the absence of a vibrant civil society paved the way for state authorities to rule out the attempts of protestors. Excluding a few of the countries, the rest of the Middle Eastern countries are still ruled by the powerful elites. The successes of the Arab Spring are still to be awaited.
Are the Millennials Getting Less Married?
Authors: Khan Khalid , Zubair Seema , Koseoglu Sinem Derindere
Published: May 2021

The study investigates the causal link between the Millennials (ML) Population (18-37 year age) and the Marriage Rate (MR) (married population/total population) for the countries of France, Germany, Italy, Netherlands, Spain, and the United Kingdom (UK) by using the bootstrap causality test. The findings suggest that ML population has a significant negative impact on MR in Italy and the Netherlands, while MR has a significant negative impact on ML population in Spain. Besides, the System Generalized Method of Moment Regression (SGMM) is conducted to release the effects of the Divorce Rate (DR), Education Attainment (EA), Globalization (GB), Social Protection (SP), Secularization (SEC), House Prices (HP), Financial Crisis (FC), and Working Population of women (WP) variables on MR and ML population. Likewise, the outcomes display that these are the leading factors of explaining ML population. Our results support the two-period model of Peters (1986), which states that MR is the combination of the economic, social, and religious elements and has important policy implications.
Political and Economic Impacts of Brexit on European Union
Authors: Mustafa Ghulam , Hussain Mazhar , Aslam Muhammad Adnan
Published: May 2021

The Brexit is a term used to explain about the withdrawal of Great Britain from the European Union. Brexit is an important political development in the recent political scenario of Europe. It has its impacts on the economic and political future of the UK and the EU. In mid of 2016, a referendum was held in the UK to decide whether they should remain in the EU or exit. The British decided in favour of exit. In this study, descriptive analysis study covers the impacts of Brexit on the EU, possible post-Brexit challenges, and way forward for the EU. The post-Brexit challenges for the EU such as rise of anti-EU political forces spreading anti-migrants’ sentiments in member states and economic challenges such as Budgetary gap, impact of Brexit on the structures of the EU institutions have been observed. It has also been observed that the EU will remain stable despite of the challenges. If it deals the situation with unity and harmony among its member states, the challenges can be turned into opportunities.
Academic tutorship and personal tutorship student’s postgraduate with anxiety
Authors: Abrego Ramírez Adrián
Published: May 2021

Anxiety in university students is a problem that has a high prevalence, one of the factors that can influence is education, although it also needs to make use of different resources to improve care This activity has to be done by considering quality, maintaining good and appropriate didactic practice, revising general education results, and by carrying on tutorship, a supporting alternative.
Association addictive behavior to social networks high school students: A study in Mexico
Authors: Gutiérrez Sánchez Francisco Javier , Gutiérrez-García Raúl A.
Published: May 2021

Addictive behavior to Social Networking Sites (SNS) has increased significantly in recent decades, whose psychological consequences have been the appearance of symptoms similar to any addictive process and also affects considerably in adolescence.
Instituto Butantan: História Institucional - Desenho metodológico para uma periodização preliminar
Authors: Ibañez Nelson , Wen Fan Hui , Femandes Suzana C. G.
Published: May 2021

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Obras Raras da Faculdade de Saúde Pública da Universidade de São Paulo
Authors: Marques Maria Cristina da Costa , Kanikadan Paula Yuri Sugishita , Silveira Dalma de , Silva Lenita Cunha
Published: May 2021

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Sobre a história da Genética no Instituto Butantan
Authors: Beçak Willy
Published: May 2021

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Olhares histórico-comparativos sobre dois institutos de pesquisa na Amazônia (Brasil e Colômbia)
Authors: Faulhaber Priscila
Published: May 2021

O objetivo deste trabalho é comparar duas unidades de pesquisa da Amazônia: Imani/Universidade Nacional da Colômbia e o Museu Paraense Emílio Goeldi. Enfatiza-se, na história desses dois institutos, sua significação como centros na história da ciência na Amazônia. Parte, em uma antropologia da política científica, de indagações sobre relações entre campo científico e tradução. A análise focaliza as relações entre projetos nacionais e intervenção regional, em uma discussão sobre as definições de “fronteira científica” e os limites da autonomia científica. Diferentes disciplinas da biologia ou das ciências humanas têm alcances variados no campo científico, ainda que sejam complementares nos programas de pesquisa sobre processos desenvolvimento sustentável ou de proteção indigenista. Ambos os institutos desenvolvem programas de pesquisa e pós-graduação em um sistema onde predominam relações verticais determinadas pelos centros científicos “estabelecidos”, apesar da concepção de simetria cara a uma concepção dinâmica de difusão e tradução científica. Este trabalho, portanto, sublinha a especificidade dos institutos amazônicos como um local da pesquisa científica profissional.
O médico e suas interações: a crise dos vínculos de confiança, de Lilia Blima Scraiber
Authors: Mota André
Published: May 2021

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An Inverse Kinematics Demonstration of a Custom Robot using C# and CoppeliaSim
Authors: Chakraborty Sudip , Aithal P. S.
Published: May 2021

Purpose: Inverse Kinematics (I.K.) is not as easy as Forward kinematics (F.K.), where we get a definite result. I.K. algorithm provides several possible solutions. From those finding the best solution is such a critical task. For standard robots which are commercially available in the market, the user is not concerned about I.K.'s complexity. They provide the control board and programming IDE to make it easy. However, when we develop a robotic arm from our D.H. parameter and driver board, complexity arises due to lots of difficulties for executing and successful completion. To make life easy, keeping CoppeliaSim background can eliminate the calculation overhead and get good results. The custom robot is running with less computation power. It may be a good approach. We are using C# for User Interaction. Following step by step, anyone can create a robust I.K. engine with little effort. The complete code is available in GitHub to test and experiment further.
Design/Methodology/Approach: The data are propagated through Interprocess communication. For the user interaction, we use visual studio IDE using the most accessible language, C#. The user interaction data are sent to another application, CoppeliaSim, which calculates inverse kinematics, and effective results are displayed through robotic arm movement.
Findings/Result: Implementing this procedure can get the excellent result of the robotics arm. Furthermore, by imposing the Value on the real robot, we can get effective results. It minimizes the research overhead on I.K. calculation.
Originality/Value: Without knowing I.K. calculation complexity, receiving the Value, we can apply it to the real robot. Two issues we can solve here. One is the calculation, and another one is experiment overhead.
Paper Type: Simulation-based Research.
ПРОЧНОСТНОЙ АНАЛИЗ ЭЛЕМЕНТОВ ПЛЕНКОУКЛАДЧИКА
Authors: Касенов Асылбек Жумабекович , Абишев Кайратолла Кайроллинович , Быков Петр Олегович , Муканов Руслан Батырбекович , Амеркулов Акрам Тлеужанович
Published: May 2021

В статье приведен расчёт элементов проектируемого пленкоукладчика с применением системы APM FEM. Применение современных программных средств позволит качественно, надежно и конкурентоспособно проектировать и выполнять всесторонний инженерный анализ и на его основе принимать конструктивные решения. На основании результатов расчёта были выбраны наиболее оптимальные значения основных параметров, а также выполнен инженерный анализ для повышения качества проектных решений и сокращения затрат времени на этапе технологической подготовки. Применение системы APM FEM при расчёте элементов сельскохозяйственной техники позволяет повысить производительность проектирования без натурных испытаний, возможно определить недостатки конструкции.
UNIVERSITY STUDY PROBLEMS FROM THE POINT OF VIEW OF STUDENTS: MOTIVES AND EXPECTATIONS
Authors: Lamanauskas Vincentas , Augienė Dalia , Makarskaitė-Petkevičienė Rita
Published: May 2021

University education is a multiplex phenomenon. Both global and local political, socioeconomic changes condition higher education system’s development too. Universities seek to adequately react to various challenges, though not always successfully. An obvious thing is growing competition among universities – both at national and international levels. It is natural, that various hardships are being faced. It is understandable, that solution to any problem requires reliable and adequate information. University students’ opinion on higher education problematics questions research doesn’t lose its relevance. On the contrary, in this way rather objective initial information is obtained about the processes taking place in this sector. The empiric research (N=544) carried out between January and February 2012 showed, that students’ opinions about higher university education are, in fact, controversial. Having accomplished expectation analysis of the respondents, it was stated, that young people mostly orientate into self-realisation. Finding a job according to the acquired speciality, having a likable job, making career are the very essential students’ expectations. Education seeking, career possibilities are also the most important motives having determined the students’ decision to study at university. The main motive, having encouraged the students to choose university studies is seeking for education. Seeking for education is becoming a very important value for contemporary youth. A very important motive choosing university studies is seeking for future career and better (or imaginably better) person’s, having a university education, position in labour market. People of great significance (parents, teachers, friends and other) have very little influence on choosing university studies. Personal decision has the greatest influence while making a decision. Having graduated from university, and acquired necessary education, the biggest part of students relate their expectations with the open opportunities to realise themselves and seek professional career both in the country and outside its boundaries. A part of students after graduation from bachelor studies are planning to seek further education studying for master’s degree in Lithuania or abroad. Another part of students, as the main expectation related with university studies, point out the nearest, obviously pragmatic purposes – to successfully graduate the studies, not foreseeing further goals and opportunities. A very essential thing that came into light is student’s expectations focused on finding a job, getting it and so on. Almost unexpressed expectations are related with personal working place creation (own business, enterprise establishment and so on), which would be a very significant indicator and result of a qualitative university education. Key words: survey, empiric research, qualitative analysis, university education, expectations.
Determination of Some Physico-Chemical Parameters and Water Quality Index (WQI) of Laguna de Bay, Philippines
Authors: S. Caabay Jessa Marie S. Caabay
Published: May 2021

Water quality monitoring activities is a vital part in assessing the status of certain bodies of water such as the Laguna de Bay. The lake has been a significant natural resource as a catchment of an expansive watershed providing various ecological and economic values. It is the largest inland water body in the Philippines and the third largest in South East Asia. Water quality monitoring network is a critical element in the assessment, restoration and protection of Laguna de Bay. This paper measured some important physico-chemical properties of four selected sites from Laguna de Bay such as temperature, pH, electrical conductivity, alkalinity, dissolved oxygen levels, and phosphate and ammonia concentrations. Water Quality Index (WQI) utilizing Weighted Arithmetic Water Quality Index Method was also evaluated.
The Determinants of Capital Structures in Automotive and Component Industries as Listed in IDX (Indonesia Stock Exchange)
Authors: Triantoro Dani , Bertuah Eka
Published: May 2021

This study was conducted to determine the determinants of capital structure in the automotive industry and components, and provide the evidence of whether the capital structure influences the company value. The study was done on 12 automotive companies and components as listed Indonesia Stock Exchange (IDX) from 2008 to 2017. The data analysis using logistic regression and different tests. The results of this study indicate that the determinants of capital structure in the automotive industry and components are profitability and sales growth. The research result also prove that there is no different firm value between the company with high debts funding and low debts funding structures. This gives empirical support totrade off theory from Modigliani and Miller.
The Brazilian Stock Market Indicator: Determinants to Measure Variation and Direction
Authors: Arevalo Jorge Luis Sanchez , de Souza Gabriela Moreira , Meurer Rodrigo Malta
Published: May 2021

The volatility has a great influence on agents' decision-making, therefore, measuring the degree and effect of the determining factors of the stock market indicator is of paramount importance. The study, based on the premise that assets with greater weight in the portfolio, as well as the foreign currency (dollar) quotation, can serve as predictors to assess the volatility of the indicator. For this purpose, an error correction model - VEC was used, starting from four explanatory variables defined and theoretically supported. The results show the importance of the autoregressive method, which is manifested by means of significant statistics to explain the variation and direction of Ibovespa. Although the importance of oil, iron ore and the dollar are determining variables, other factors such as cooperation agreements and / or stimuli aimed at the recovery of the economy cannot be neglected.
A systematic framework for the evaluation of rural telecommunications infrastructure
Authors:   , Nepal Thiruthlall
Published: May 2021

The evaluation of telecommunications infrastructure in rural areas is a complex and messy problem that involves many tangible and intangible factors. Some of them are technical in nature while others are soft, involving social, cultural and political aspects of the problem. The evaluation requires, inter alia, societal intervention, and since societies reflect a multiplicity and diversity of values and goals, the intervention should confront these realities. One such reality that can be highlighted is the fact that we are dealing with rural communities that are disadvantaged in terms of telecommunication and other service provision. This underlies the need to consider the evaluation process from multiple perspectives, explore methodologies that will facilitate participation and engagement, and include emancipation of the disadvantaged. This research proposes a framework for the evaluation of rural telecommunications in a regional context. As such, it is viewed not just as an engineering phenomenon, but also as an economic and social phenomenon. Its complexity requires the use of a mix of methods in a complementary manner. It is based on the combination of the strengths of Soft Systems Methodology by Checkland, Critical Systems Thinking following some ideas of Jackson ensuring the guaranteeing of the interests of the poor and the weak in the rural environment, and the Analytic Hierarchy Process by Saaty.
Fecal microbiota transplantation in hepatic encephalopathy : a review of the current evidence and future perspectives
Authors: Afecto E , Ponte A , Fernandes S , Silva J , Gomes C , Correia J , Carvalho J
Published: May 2021

Hepatic encephalopathy (HE) is a leading cause of hospita-lization and morbimortality in advanced cirrhosis with limited therapeutic options available. Given the paramount role of gut microbiota in HE, and the efficacy of fecal microbiota transplantation (FMT) in other diseases, this review intends to summarize the evidence supporting the safety, efficacy and future perspectives of FMT in HE. Current evidence, despite being scarce, points towards FMT being a safe, effective and tolerable procedure in HE. Some unanswered questions remain about the optimal dose, the administration route, the long term effects and the selection of the optimal donor. Future trials, some of which are already underway, will provide us additional evidence and hopefully the necessary answers.
Evaluation of Depression among Medical Students of Gujarat during COVID-19 Pandemic
Authors: Joshi Saumya , Patel Heer , Patel Nirmika
Published: May 2021

Introduction: The Covid-19 pandemic is a public health emergency with both physical and mental health risks. During this pandemic general medical complications have received the most attention, whereas only few studies address the potential direct effect on mental health of SARS-CoV-2 and the neurotropic potential. Objectives: To evaluate the depression score of an individual based on PHQ-9 scoring scale and to further classify the severity of depression among medical students. Method: It was a cross-sectional observational study, where primary quantitative data was collected using the PHQ-9 scale to assess the level of depression among the medical students of Gujarat through Google forms. Results: Most of the participants were from 1st year MBBS (>50%) and 2nd year MBBS (37%) and rest were from 3rd year. Around 29.4% students suffered from minimal depression, 34% has mild depression, 19% had moderate depression, 12% had moderately severe depression and 5.6% students suffered from severe depression. Conclusion: COVOD-19 pandemic is having impact on mental health of the medical students. Early evaluation of depression may help to decide intervention to reduce further depression among the students.
La paradoja del octubre rosa
Authors: Kopitowski Karin
Published: May 2021

En este comentario editorial, la autora repasa la controversia sobre la promoción del rastreo mamográfico del cáncer de mama en el contexto de las campañas de des-información durante el octubre rosa.
La dieta vegetariana en niños y preadolescentes
Authors: Arona Daniela , Pietropaolo Guillermo Gregorio , Franco Juan Victor Ariel
Published: May 2021

Basándonos en una consulta de una niña que desea realizar una dieta vegetariana se realizó una búsqueda bibliográfica para identificar evidencia sobre el impacto de este tipo de dieta en la salud. La evidencia actual indica que la dieta vegetariana es una opción saludable que no produciría un impacto negativo en el crecimiento y desarrollo de los niños, si bien existiría la posibilidad de déficit de micronutrientes.
Alteraciones de la voz y deglución en pacientes neurológicos post ruptura de aneurisma cerebral
Authors: Herreras Huamán Vicente José , Yauyo López Susan Leonor
Published: May 2021

El objetivo del estudio fue determinar las alteraciones de la voz y de la deglución en pacientes con deficiencias neurológicas secundarias a hemorragia subaracnoidea por ruptura de aneurisma cerebral. El estudio es descriptivo de corte transversal; realizado en 30 pacientes del Hospital Nacional Guillermo Almenara Irigoyen de Perú, quienes cumplieron los criterios de elegibilidad. Las cualidades de la voz y deglución fueron evaluadas mediante la Evaluación Clínica de la Voz y de la Deglución en pacientes con Accidente Cerebrovascular hemorrágico que emplea el sonómetro, auscultación laríngea y pulsioxímetro. Los resultados obtenidos fueron: según las cualidades de la voz: timbre un 63,3% opaco, tono el 86,7% tono grave, intensidad una intensidad disminuida con un 90%; la duración un 86,7% corta. En Características de la deglución de la fase oral en texturas alimenticias el 83,3% deficiente, número de masticaciones un 76,7% deficiente, en tiempo/duración de la masticación 86,7% deficiente y restos alimenticios el 90% presente. Características de la deglución en la fase faríngea según número de degluciones un 46,7% inadecuado, según tos y carraspeo 36,7 % lo presentan y el 73,3% presencia de apnea. Grado de disfonía un 70% de Grado II. Grado de disfagia un 60% de presenta grado grave. Por lo que se concluye que existen alteraciones de la voz con predominancia del timbre opaco, tono grave, intensidad disminuida y duración de tipo corta, alteraciones de la deglución en la fase oral y presencia de un alto porcentaje de disfagia de grado severa y disfonía de grado II.
PERSON CENTERED THEORY AND CONSIDERATIONS FOR COUNSELING PRACTICE AND TEACHING
Authors: Campbell Joseph A.
Published: May 2021

This article reviews person centered theory and the core conditions: congruence, unconditional positive regard, and empathy. The discussion explores considerations for practice including effectiveness, communication of the condition, and the multicultural considerations of the theory. Additionally, cultural considerations are presented with regards to the values of person centered theory, pedagogy, and additional limitations.
THE DYNAMICS OF GENDER ROLES AND CULTURAL DETERMINANTS OF AFRICAN WOMEN’S DESIRE TO PARTICIPATE IN MODERN POLITICS
Authors: Okrah Kwadwo A.
Published: May 2021

Until recently the African woman was invisible in the modern political context. Even though the trend is changing, women remain marginal in active politics. One wonders if cultural and ideological interests that privilege male representations inform women’s non-participation in politics. Thus, the rise of women in African politics continues to struggle with patriarchal structures that seek to relegate them to the realm of only economic production and reproduction. The 21st century quest to liberate women in Africa stimulates a discussion that would clarify the position of the modern African woman, among other things, in a challenging male bias society in the construction of an inclusive political system as well as rethinking and positioning women to fully participate in the governance of Africa. This paper seeks to explore the historical perspective and kindred factors that have consciously or inadvertently excluded African women in modern politics. Attempt would also be made to recapture women’s contributions to African traditional system of government and how those support systems could be transferred to modern political structure to advance appropriate and responsible governance for Africa.
EXPLORING PERSONAL DEATH ANXIETY: INCREASING COUNSELOR COMPETENCE FOR GRIEF AND LOSS
Authors: Rogalla-Hafley Kylie B.
Published: May 2021

Personal death anxiety is a universal human experience, and many clients seek counseling as they attempt to find meaning of grief experiences due to loss. Counselors are called to provide congruent, empathetic, unbiased, and unconditional support throughout this process, although sparse, research explores how counselor death anxiety may also enter into the therapeutic relationship. Counselors who work with clients presenting with grief and loss needs are vulnerable to imposing personal values or risking potential harm to clients if their own worldview surrounding death remains unexplored and unresolved. Humanistic psychology, terror management, post traumatic growth, and the counselor will to meaning all provide theoretical rationale for the exploration of personal death anxiety. Counselor education programs and professional development opportunities are encouraged to introduce didactic and experiential activities for practitioners to explore new ways of conceptualizing death as it affects clients and understanding death as it relates to personal belief held by each counselor.
Review on Pharmaceutical Co-Crystals and Design Strategies
Authors: Bhavani A.V.S. Ksheera , Usha A. Lakshmi , Ashritha Kayala , E. Radha Rani
Published: May 2021

Poor aqueous solubility and low oral bioavailability of an active pharmaceutical ingredient are the major constraints during the development of new product. Various approaches have been used for enhancement of solubility of poorly aqueous soluble drugs, but success of these approaches depends on physical and chemical nature of the molecules being developed. Co-crystallization of drug substances offers a great opportunity for the development of new drug products with superior physicochemical such as melting point, tabletability, solubility, stability, bioavailability and permeability, while preserving the pharmacological properties of the active pharmaceutical ingredient. Co-crystals are multi component systems in which two components, an active pharmaceutical ingredient and a coformer are present in stoichiometric ratio and bonded together with non-covalent interactions in the crystal lattice. This review article presents a systematic overview of pharmaceutical co-crystals, differences between co-crystals with salts, solvates and hydrates are summarized along with the advantages of co-crystals with examples. The theoretical parameters underlying the selection of coformers and screening of co-crystals have been summarized and different methods of co-crystal formation and evaluation have been explained.
موقف إيران من الاتفاقية التركية- الإسرائيلية عام1996
Authors: Dawood Salman Al-Shallal Vrakd
Published: May 2021

تعد الاتفاقية التركية- الإسرائيلية عام1996من المتغيرات الاستراتيجية الهامة والمؤثرة في الشرق الأوسط , لأنها جاءت متناغمة إلى حد كبير مع مصالح تركيا, وتحقيقاً لاستراتيجيات إسرائيل في المنطقة, في حين وجدت فيها إيران خطرا يهدد أمنها القومي، ومصالحها الكبيرة في آسيا الوسطى وبخاصة في أذربيجان, فضلا عن إنها منحت امتيازاً لإسرائيل في التواجد على الحدود الإيرانية وتهديدها ,وانطلاقاً من هذه المعطيات اضطرت إيران إلى زيادة نفقاتها العسكرية والدفاعية لمواجهة تلك التهديدات.
أزمة الهوية والانتماء في الرواية اليهودية
Authors: Mohammed Hattab Ammar
Published: May 2021

ساد شعور بالغربة وضياع الهوية عند العديد من الادباء الإسرائيليين على مدى التاريخ الحديث للأدب العبري وهذا الامر امتد لينطبق على كافة المهاجرين اليهود إلى أرض فلسطين بوصفها أرضاً جديدة عليهم وغريبة عنهم، حيث انسلخت الهوية اليهودية - سواء برضاهم أو رغماً عنهم – من الواقع الذي تأقلموا عليه عبر سنوات طويلة، وسارت بهم إلى الوهم الذي زينته لهم الصهيونية بالحياة في إسرائيل في ظل الذات الإسرائيلية الجديدة، فقد أصيبوا بالإحباط التام بعدما تكشفت لهم الأبعاد الحقيقية لهذا الوهم.

وبهذا يمكن القول إن الشخصية اليهودية شعرت بالغربة والعزلة حينما انسلخت عن واقعها في البلدان التي كانت تعيش فيها وحاولت ان تخلق مجتمعا جديدا، إلا أنه بدا مجتمعا غريبا مركبا ومشوها، وهذا المجتمع لا يملك المقومات التي يمكن أن يمنحها لأبنائه ليحيوا حياة سوية. ومن ثم فقدت هذه الذات هويتها في رحلة اغتراب لا نهائية. وقد استفحل هذا الشعور بالاغتراب لدى المهاجرين بعد حرب 1948، ففضلا عن الأسوار التي حاصرتهم بداخلها مشاعر الغربة، حاصرتهم أسوار أخرى هي أسوار الماضي الأليم الذي ظلوا حبيسين بداخله، يقض مضاجعهم بين الحين والآخر، والشعور بعدم وجود صورة واضحة لمستقبل مستقر.

   كما نجد أن غالبية الشخصيات في الرواية اليهودية تعاني من هذه الهواجس وهذا الشعور لذا يستعرض بحثنا هذا مسالة الاغتراب والانتماء في الرواية اليهودية الحديث من خلال دراسة وتحليل رواية ( " الحساب والنفس החשבון והנפש" ) " للروائي الاسرائيلي حانوف برطوف " تحليلاً يكشف ما قدمته من تفسيرات نفسية لسلوك الشخصيات الإنسانية ، زيادة على القيام بتحليل الدوافع السياسية والسجايا الشخصية للكاتب بوصفه العامل الأول في وجود تلك الشخصيات .((الباحث))
Nghiên cứu đặc điểm lâm sàng và cận lâm sàng ung thư cổ tử cung với các type hpv nguy cơ cao
Authors: Sơn Hoàng Xuân , Quyết Vũ Bá , Trung Nguyễn Vũ
Published: May 2021

Ung thư cổ tử cung là loại ung thư phổ biến ở phụ nữ. Ung thư cổ tử cung có HPV dương tính 99%, trong đó trên 70% gặp HPV type 16 và 18 .. Chúng tôi thực hiện nghiên cứu mô tả cắt ngang mô tả đặc điểm lâm sàng, cận lâm sàng và xác định biến thể gen của HPV ở bệnh nhân Ung thư cổ tử cung. Nghiên cứu 104 bệnh nhân đã được chẩn đoán ung thư cổ tử cung, có HPV dương tính (Xét nghiệm Cobas 4800): có 51,9% được chẩn đoán ung thư cổ tử cung UTCTC ở giai đoạn (0); Nhiễm HPV type 16 chiếm cao nhất với 55,8%, trong đó có 41,4% có triệu chứng bất thường là ra khí hư nhiều hoặc ra máu âm đạo bất thường. Ung thư biểu mô vảy chiếm 87,5%; nhiễm HPV 18 thì 89,8% là ung thư biểu mô tuyến. Soi cổ tử cung phát hiện bất thường 80,8%. Ung thư cổ tử cung có triệu chứng nghèo nàn, tỷ lệ phát hiện sớm thấp. Để phát hiện sớm cần làm test HPV.
The Security Sector Governance–Migration Nexus: Rethinking how Security Sector Governance matters for migrants’ rights
Authors: Wolff Sarah
Published: May 2021

The main argument is that improving migrants’ rights and conceptual linkages between SSG/R and migration is best achieved, by decentring our gaze, namely going beyond the ‘national’ and ‘state-centric’ view that characterizes traditionally SSG/R and to consider the agency of both migrants and SSR actors. First from a migrants’ perspective, it is key for SSR actors to go beyond traditional legal classifications and to consider the diversity of personal situations that involve refugees, stranded migrants and asylum seekers, which might endorse different roles at different times of their journeys and lives. Second, the transnational nature of migration calls for a transnationalization of SSG/R too. For too long the concept has mostly been applied within the national setting of SSR institutions and actors. Migration calls for a clear decentring that involves a transnational dimension and more work among transnational actors and policymakers to facilitate a norm transfer from the domestic to the interstate and international level. As such, the ‘transnational’ nature of migration and its governance needs to be ‘domesticated’ within the national context in order to change the mindset of SSG/R actors and institutions. More importantly, the paper argues that poor SSG/R at home produces refugees and incentivizes migrants to leave their countries after being victims of violence by law enforcement and security services. During migrants’ complex and fragmented journeys, good security sector governance is fundamental to address key challenges faced by these vulnerable groups. I also argue that a better understanding of migrants’ and refugees’ security needs is beneficial and central to the good governance of the security sector. After reviewing the key terms of migration and its drivers in section 2, section 3 reviews how SSG is part of the implementation of the GCM. SSR actors play a role in shaping migratory routes and refugees’ incentives to leave, in explaining migrants’ and refugees’ resilience, in protecting migrants and refugees, and in providing security. Although it cautions against artificial classifications and the term of ‘transit migration’, section 4 reviews what the core challenges are in the countries of origin, transit and destination. Section 5 provides a detailed overview of the linkages between migration and each security actor: the military, police forces, intelligence services, border guards, interior ministries, private actors, criminal justice, parliaments, independent oversight bodies and civil society. Section 6 formulates some recommendations.
“Yo creo que Berta Cáceres se convierte en un referente de rebeldía”
Authors: Cáceres Laura Zúñiga
Published: May 2021

Laura Zúñiga Cáceres es una de las hijas de Berta Cáceres, la lideresa indígena hondureña, miembra del pueblo lenca, asesinada el pasado 3 de marzo. Laura es una joven de 25 años que actualmente vive en Buenos Aires, Argentina y se considera a sí misma una exiliada política pues Honduras “expulsa a su población”. Para la hija de la lideresa indígena, el asesinato de su madre no es sólo el de una mujer, si no que se asesina a una “Berta Cáceres colectiva”, pues con su muerte se envió un mensaje de terror a los movimientos sociales. Sin embargo, Berta ha despertado conciencia en el país centroamericano y se ha convertido en “una señal de amor al pueblo” tan así, que Berta, según Laura, está a la par de del cacique Lempira, también lenca y el que es considerado como el personaje por excelencia que simbolizó la resistencia indígena en Honduras contra el dominio español.