bluuebunny/crossref_metadata_2025 huggingface dataset:
La crise sanitaire dans les petites et moyennes agglomérations suisses. Quels effets sur la mobilité et quels enjeux pour les transports publics ?
Authors: Ravalet Emmanuel , Utz Stephan
Published: January 2023

Si les plus grandes agglomérations suisses sont souvent très bien desservies par les transports publics (TP), il serait mal avisé de faire un lien trop mécanique entre la taille des agglomérations d’une part et la qualité de la desserte TP ou leur part modale d’autre part. De fait, les situations des petites et moyennes villes suisses sont très diverses sur le plan de la mobilité. Aussi et même si la crise sanitaire a eu des effets assez similaires dans ces territoires, les outils à disposition pour faire (re-)croître l’usage des TP et plus généralement pour une nouvelle régulation des mobilités post-crise sont très différents dans chaque contexte urbain.
Deliktna odgovornost liječnika u rimskom pravu
Authors:   Pravni fakultet Sveučilišta Josipa Jurja Strossmayera u Osijeku, Osijek, Hrvatska, Žiha Nikol
Published: January 2023

The subject of this paper is non-contractual liability of physicians in Roman law. Contrary to the common perception of Roman society, where “only a physician can commit homicide with complete impunity” (Plinius, Nat. Hist. 29,8), parallel to the development of medicine, rudimentary stages of a physician's liability for damage through negligence also evolved. Through the interpretation of available legal sources, focusing particularly on situations concerning slaves and free persons as patients, the forms of legal protection of patients are primarily determined. Special attention in the central part of the paper is devoted to the problem of causality and the development of fault-based liability. The last part of the paper examines the forms of compensation for damage, based on which conclusions are finally drawn about the extent of the development of medical liability ex delicto.
Artificial Intelligence in Higher Education
Authors: Al Husseiny Fatima
Published: January 2023

Artificial intelligence (AI) can address some of the most significant issues facing education today, innovate teaching and learning methods, and eventually quicken the fulfillment of SDG 4. However, these quick technological advancements carry with them several challenges that have thus far surpassed regulatory structures and policy discussions. The Education 2030 Agenda can be achieved with the help of AI technologies. AI has already been used in education, especially in various tools and assessment platforms that aid skill development. The goal is that as AI educational solutions continue to develop, they will help close gaps in learning and teaching and free up schools and teachers to accomplish more than before. To provide teachers the time and freedom to teach understanding and adaptability—uniquely human talents where computers would struggle— while AI can promote efficiency, personalization, and streamline administrative procedures. This chapter presents challenges and opportunities related to AI use in education and ends with recommendations.
Lightweight Neural Networks for Pedestrian Detection in Intelligent Vehicles
Authors: Ayachi Riadh , Afif Mouna , Said Yahia , Ben Abdelali Abdessalem
Published: January 2023

Most actual intelligent vehicles (IV) are powered by a variety of sensors and cameras. Vision-based applications for IV mainly require visual information. In this paper, the authors introduce a pedestrian detection application used for pedestrian safety. The authors proposed a deep fully convolutional neural network (DFCNN) for pedestrian detection. The proposed model is suitable for mobile implementation. To do this, the authors propose to build lightweight blocks using convolution layers, and replace pooling layers and fully connected layers with convolution layers. Training and testing of the proposed DFCNN model for pedestrian detection were performed using the Caltech dataset. The proposed DFCNN has achieved 85% of average precision and an inference speed of 30 FPS. The reported results have demonstrated the robustness of the proposed DFCNN for pedestrian detection. The achieved performance was low computation complexity and high performance.
Teaching-learning process and the attitude toward scientific research among midwifery students
Authors: Barja-Ore John , Ramos Willy , De La Cruz Vargas Jhony A. , Loli Ponce Rudi Amalia
Published: January 2023

BACKGROUND:

Research in universities requires systematic and participatory processes that integrate teachers, contents, strategies and tools, and students and their own interests. Therefore, the main objective of this study was to establish the relationship between the perception of the teaching-learning process (TLP) and the attitude toward scientific research among midwifery students.

MATERIALS AND METHODS:

Descriptive cross-sectional study, conducted on 250 students from second to fourth year of study selected by convenience sampling. The data were collected with two self-administered Likert-type scales that were validated in content and construct, both with high reliability. Descriptive statistics were carried out; the Spearman correlation test was used prior to the application of the Kolmogorov–Smirnov test and Kendall's tau-b test.

RESULTS:

The favorable perception of the TLP was greater among second-year students (42.6%), in addition, 15.2% agreed that the advice of teachers contributes to the elaboration of the research protocol. The attitude of indifference toward research was more frequent in third-year students (58.2%) and 28.4% were deemed in disagreement to be able to identify and operationalize the variables. In the analysis of dimensions, the role of the student had a moderate relationship with the research design (rho = 0.536; P < 0.001), while a weak relationship was demonstrated between media and techniques with ethical and scientific value (rho = 0.104; P < 0.001).

CONCLUSION:

The TLP perceived by midwifery students and their attitudes toward scientific research had a direct and significant correlation. The proportion of students with favorable perception was greater among those with a favorable attitude.
Functionality of self-care for pregnancy mobile applications
Authors: Pouriayevali Behnaz , Ehteshami Asghar , Kohan Shahnaz , Saghaeiannejad-Isfahani Sakineh
Published: January 2023

Self-care may help prevent pregnancy complications and mortality by informing parents. Mobile health applications (apps) can help individuals to improve the quality of self-care. Although it has been claimed that mobile apps have various benefits, their functionalities in pregnancy self-care are still unclear. A clear understanding of current apps can help researchers, practitioners, and app developers to identify appropriate functionalities for new development and future refinement of current apps. This review endeavored to identify appropriate functions for pregnancy self-care mobile apps and user interface (UI) features. The scope of this review integrates self-care for pregnancy apps published in Google Play and Cafe Bazaar (an Iranian Android marketplace), popular Android app stores, from July to October 2019 by sing the systematic search technique. All 4196 downloaded apps were installed, and it was found that 76 of them met the inclusion criteria. This way, their features were extracted and categorized by the conventional content analysis. Three main themes and 69 subthemes in terms of apps functionalities and their UI features were extracted as follows: 1) Training materials (maternal and paternal) with 27 subthemes; 2) self-care functionalities (consultations, fetus tracking, clinical examination, supportive assistance, and reminders) with 26 subthemes; and UI features with 16 subtheme. The findings underlined the mHealth solutions for pregnancy self-care and the need for development of the apps regarding the extracted functionalities and UI features; however, controlled trials are needed. It is recommended that transparent reporting of mHealth interventions needs to be prioritized to enable effective interpretation of the extracted data.
Investigate the role of positive and negative memories from dentistry in the anxiety of dental patients in Kerman, Iran
Authors: Hashemipour Maryam Alsadat , Mohammadi Farideh , Kamyabi Homa
Published: January 2023

BACKGROUND AND AIM:

Several research works show that anxiety is more common in women, low-income classes, and middle-aged and elderly populations. The present study aimed to investigate the role of positive and negative memories in patients’ anxiety referred to the dental clinics, offices, and schools of Kerman, Iran, in 2018–2019.

MATERIALS AND METHODS:

In this cross-sectional, descriptive, analytical study, the participants were selected among individuals referred to the dental offices, schools, and clinics of Kerman, Iran. In this study, 500 questionnaires were distributed among the participants (based on census method), and of these, 482 of which were reviewed (response rate = 96.4%). The questionnaire used in this study contained four categories of questions, including demographic information, general questions about dentistry, Corah's Dental Anxiety Scale, and Autobiographical Memory Questionnaire. Analysis of variance,t-test, and Chi-square test were used to analyze.

RESULTS:

Overall, 281 participants were female, and 201 were male. Based on the findings, dental visits were enjoyable and pleasant experiences for 154 participants, and 165 patients were anxious while the dentist prepared for a restorative treatment. This study showed that people with negative memories had more anxiety. Anxiety was also significantly associated with positive memories, higher education, and gender (female) (P< 0.05). Also, the most negative memories of dental treatments were associated with increased anxiety about dental treatments in adults (P< 0.05), while positive memories did not have a relationship any with decreased anxiety (P> 0.05).

CONCLUSION:

The most negative memories of dental treatments were associated with increased anxiety about dental treatments in adults, while positive memories did not have any expected inverse relationship with anxiety.
Psychometric properties of clinical competency assessment instruments for psychiatric nurses
Authors: Sheikhbahaeddinzadeh Effat , Ashktorab Tahereh , Ebadi Abbas
Published: January 2023

BACKGROUND:

Facilitating the healing process of patients with psychiatric disorders depends on high-quality mental health care and expert psychiatric nurses. A valid tool is required to objectively evaluate the quality of performance and competency of psychiatric nurses. This systematic review aimed to investigate and critique the psychometric properties of some psychiatric nursing clinical competency assessment instruments with Consensus-based standards for the selection of health status measurement instruments (COSMIN) checklist and according to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA).

MATERIALS AND METHODS:

To retrieve published articles using Persian and English keywords “psychiatric nursing,” “competence,” “competency,” “tool,” “checklist,” “scale,” “questionnaire,” “psychiatric mental health nurse,” were searched in databases without time limitation. Then, psychometric properties of selected instruments were evaluated using the COSMIN checklist and reported according to the PRISMA statement.

RESULTS:

Most of these tools did not entirely and desirably report psychometric properties. It is not designed as a special tool for postgraduate psychiatric nursing.

CONCLUSION:

The methodology of existing instruments does not meet the COSMIN checklist criteria; therefore it needs to develop. To assess the competency of psychiatric nursing postgraduate, a tool tailored to the cultural and social context and with acceptable psychometric properties is necessary.
The effect of education based on the health belief model in improving anxiety among mothers of infants with retinopathy of prematurity
Authors: Salehnezhad Azam , Zendetalab Hamidreza , Naser Shoeibi , Voshni Hamidreza Behnam , Abrishami Mojtaba , Astaneh Mohmmadreza Ansari , Sani Belin Tavakkoli , Moghadam Zahra Emami
Published: January 2023

BACKGROUND:

Due to the role of education in improving anxiety and essential skills of mothers for caring for their infants, this study aimed to investigate the effect of education based on the health belief model (HBM) on anxiety among mothers of infants with retinopathy of prematurity (ROP).

MATERIALS AND METHODS:

This randomized controlled clinical trial was performed on 67 mothers with premature infants admitted to the ROP unit of Khatam Al Anbia Eye Hospital in Mashhad, Iran from 2019 to 2020. Participants were randomly allocated to intervention and control groups. Intervention was designed based on HBM during six sessions, each of 45–60 minutes duration. The control group received routine educations according to the hospital policies. The maternal anxiety, adherence with follow-up examinations and the rate of neonatal retinal vascularization were evaluated using an HBM- based questionnaire and State-Trait Anxiety Inventory questionnaire and checklists, respectively. Data was analyzed by using SPSS software, version 16, using Chi-squared test, Fisher's exact test, independent t test, and Mann–Whitney U test.

RESULTS:

Based on our findings, no significant difference was observed between the two groups before the intervention regarding the mean score of maternal anxiety (P = 0.141). However, after intervention, the mean score of maternal anxiety decreased significantly from 67.0 ± 6.3 to 38.5 ± 6.6 in the intervention group and increased from 69.8 ± 3.1 to 68.3 ± 3.4 in the control group (P < 0.001). In the intervention group, the mean scores of model constructs (perceived susceptibility and severity, perceived benefits, barriers, self-efficacy and cue to action) increased significantly after intervention (P < 0.001).

CONCLUSIONS:

Education based on HBM appear to be an efficient method to improve maternal anxiety among mothers of infants with retinopathy of prematurity. Accordingly, nurses and treatment staff can provide interventions in the NICU based on the HBM to the parents of hospitalized and premature infants.
Sub-optimal knowledge with positive attitude and belief of frontline health workers toward the use of information technologies
Authors: Sathiyamoorthy Ramadass , Chandra Ankit , Poudel Sagar , Kumar Rakesh , Salve Harshal R. , Yadav Kapil , Kant Shashi
Published: January 2023

BACKGROUND:

Information technology (IT) can be used by frontline health workers (FLWs) to connect and deliver care to the community. Various studies in India have assessed the beneficial impact of IT usage by FLWs, but for the long-term sustainability, the attitude and belief toward IT usage have not been adequately studied. We conducted this study to assess the knowledge and attitude and to explore the beliefs of FLWs toward the use of IT in a rural area of Haryana.

MATERIALS AND METHODS:

We conducted a mixed-method study (qualitative and quantitative approach) in a rural setting of Haryana, India. We included FLWs of two primary health centers (PHCs). Data were collected from October 19, 2020 to December 31, 2020. We collected data from 75 accredited social health activists (ASHAs), 37 Anganwadi workers (AWWs), 28 multi-purpose workers (MPWs), two information assistants, and two medical officers using a semi-structured interview schedule. Their knowledge about the benefits of IT use, past use of IT applications and devices, and self-rating of knowledge regarding computers or laptops were collected. We used 14 attitude statements, each with a five-point Likert scale to assess the attitude; a total score ≥35 was considered a positive attitude. We conducted eight focus group discussions (FGDs) to explore the beliefs regarding IT usage (four FGDs with ASHAs, two FGDs with AWWs, and two FGDs with MPWs). A descriptive analysis was performed for the quantitative data, and a thematic analysis was performed for qualitative data.

RESULTS:

Knowledge about the benefits of IT use was present among 77.8% of FLWs. Among the FLWs, 79.2% self-rated their knowledge of computers/laptops as ‘do not have knowledge’, 16% self-rated as ‘low knowledge’, and 4.8% self-rated as ‘good knowledge’. The median total score for attitude statements among all the FLWs (n = 144) was 54 [inter-quartile range – 48–59]. Four themes emerged for beliefs toward IT usage, namely, positive beliefs, negative beliefs, challenges anticipated in adopting IT use, and facilitation factors. The positive beliefs were related to improvement in work efficiency and social status, less paperwork, timely report generation, and better learning. The negative beliefs were related to an increase in working hours, close monitoring, and feeling over-burdened.

CONCLUSION:

We found that FLWs had knowledge regarding the benefits of IT use, but they lacked knowledge regarding laptop/computer use. They had a satisfactory level of confidence in using smartphones, and most of them were using mobile applications. The majority of the FLWs had a positive attitude and beliefs toward IT use and wanted to use it in the future.
Relationship between the development of musculoskeletal disorders, physical activity level, and academic stress among undergraduates students of University of Nigeria
Authors: Ikenna Uchenwoke Chigozie , Nwobodo Loveth Nwuka , Ezeukwu Antoninus Obinna , Ilo Ijeoma Judith , Ede Stephen Sunday , Okemuo Adaora Justina , Okoh Chisom Favour
Published: January 2023

BACKGROUND:

Academic stress is a common experience among university students. It can affect the body composition of the students through behavioral changes, which further affect their physical activity level (PAL). Musculoskeletal disorders could arise from the interaction of these factors. This study aimed to determine the relationship between PAL, academic stress, selected anthropometric indices, and the development of MSDs among a selected Nigerian population.

MATERIALS AND METHODS:

This was a cross-sectional study of 256 (129 females and 127 males) undergraduates of the University of Nigeria, Enugu Campus aged 15–30 years using Student's Stress Inventory to evaluate academic stress, the short-form of the International Physical Activity Questionnaire to determine the PAL, and a Standard Nordic Musculoskeletal Questionnaire to assess MSDs.

RESULTS:

The results showed a high PAL with the male students having more PAL (61.4%) than female students. Secondly, the prevalence of MSDs among the population was high (66.02%) and the students faced moderate academic stress with the prevalence being more among the female students (75.2%). A significant difference was observed between academic stress and the development of MSDs (P = 0.009).

CONCLUSION:

This study's findings support the hypothesis that increased academic stress and low level of physical activity are linked to increased risks of MSDs among students. Thus, it is warranted that the University curriculum is re-adjusted and incorporate public enlightenment programs on possible causes and prevention of musculoskeletal disorders, stress management, and coping strategies.
Heat wave adaptation paradigm and adaptation strategies of community
Authors: Kiarsi Maryam , Amiresmaili Mohammadreza , Mahmoodi Mohammadreza , Farahmandnia Hojjat , Nakhaee Nouzar , Zareiyan Armin , Aghababaeian Hamidreza
Published: January 2023

BACKGROUND:

Heat wave adaptation is a new concept related to experiencing heat. The present study aims at investigating a conceptual definition, that is, the mental framework of heat wave adaptation and its strategies.

MATERIALS AND METHODS:

A phenomenological study was performed to explain the mental concept. At the same time with the data collection process, data analysis was also performed using Colaizzi method. Semi-structured interview method and purposeful sampling with maximum variety were used. Interviews were conducted with 23 different subjects in the community. The accuracy of the data was guaranteed using Lincoln & Guba scientific accuracy criteria.

RESULTS:

The two main themes of the adaptation paradigm as well as its strategies were divided into the main categories of theoretical and operational concepts, as well as personal care measures and government measures. Under the category of individual measures, we obtained “clothing, nutrition, building, place of residence and lifestyle,” and under the category of governance actions, the “managerial, research, health, organizational” subcategories were obtained.

CONCLUSION:

According to the results of the conceptual-operational definition, heat wave adaptation is an active process and an effort to reduce the adverse effects of heat waves on individual and social life, and striking a balance that will not only result in individual awareness and actions that will lead to lifestyle changes, but also mostly requires integrated and comprehensive planning in the community. On the one hand, heat waves could not only be regarded as a threat or danger, but can also become an opportunity for the development of a community through identification and smart measures, and for adaptation, the community must take it as a risk. The community should have a plan in advance, apply the necessary rules and training, and use the new facilities and rules where necessary. This practical concept definition includes the main features of heat wave adaptation.
Cognitive behavioral therapy as treatment intervention for aggressive behaviors in clients with intellectual disabilities and concomitant mental health conditions
Authors: Orim Matthew A. , Orim Samuel O. , Adeleke Philip O. , Essien Essien E. , Olayi James E. , Essien Cecilia K. , Dada Oluseyi A. , Ewa James A. , Eke Vitalis U. , Igba Innocent U. , Ogar Raymond O. , Owan Valentine J.
Published: January 2023

BACKGROUND:

Few researchers have examined the effectiveness of cognitive behavioral therapy in treating aggressive behaviors among individuals with dual diagnosis (intellectual disability and mental health conditions) due to the relatively recent interest in the field of psychopathology in intellectual disability. This study investigated the effectiveness of cognitive behavioral therapy in treating aggressive behaviors among clients with dual diagnoses in a community rehabilitation center, Ibadan, Oyo state, and the moderating effects of parenting style and socioeconomic status in the associations.

MATERIALS AND METHOD:

A 2 × 2 × 2 pre-test post-test factorial design was used. Parenting style and socioeconomic status at two levels each moderated the associations. A sample of 22 participants purposively selected was exposed to treatment using cognitive behavioral therapy, while the other five were exposed to placebo treatment all for 8 weeks. Data collected were analyzed using Line Chart and Analysis of Covariance (ANCOVA).

RESULTS:

Improvements were found in the post-treatment scores obtained on the Aggressive Scale for Youths. A reduction in the Aggressive Incidents chart was recorded for each participant in the treatment group when compared with the control group, using a line chart and Analysis of Covariance (ANCOVA). Evidence also demonstrated that parenting style (authoritarian and authoritative), F (1,14) = 0.75, P <.05, η2 =0.05), and socioeconomic status (high and low), F (1,14) = 0.01, P =0.020, η2 =.00), moderated the associations.

CONCLUSION:

Cognitive behavioral therapy is seen as a treatment intervention for individuals with intellectual disability co-existing with mental health manifesting aggressive behaviors in the community or other settings. This should be used to improve the client's quality of life under these conditions.
Impact of relaxation therapy on premenstrual symptoms
Authors: Jose Ancy , Nayak Sabitha , Rajesh Aparna , Kamath Neetha , Nalini M
Published: January 2023

Relaxation therapy (RT) is considered to be helpful in the management of symptoms of premenstrual syndrome (PMS). This systematic review (SR) was conducted to find the impact of RT on PMS management, which could be utilized in clinical and community populations. Five major databases like Google Scholar, PubMed, ResearchGate, Scopus, and Web of Science were used as search engines. The Joanna Briggs Institute checklist is used to analyze the quality of articles selected for this review. Only 35 different studies among 71 relevant articles which focused on the topic were selected for this SR. All of the 35 different trials reported that the selected RTs, namely Laura Mitchell, Jacobson, Benson, relaxation unnamed, yoga, aerobic exercise, and massage, significantly decreased PMS. The outcome of this SR suggests that the selected seven RTs effectively relieve PMS and ensure a productive life for all reproductive women.
Chemotherapy administration checklist for patients receiving chemotherapy
Authors: Miglani Gitika , Kumar Ashok , Pandey Vandna , Pareek Puneet , Nair Shrikant K.
Published: January 2023

BACKGROUND:

With the increase in the number of new cancer cases, the number of patients receiving chemotherapy increases. The administration of chemotherapy is a very significant task. Unfortunately, the availability of a chemotherapy administration checklist still lags behind. The aim is to develop a chemotherapy administration checklist for patients receiving chemotherapy.

MATERIALS AND METHODS:

This study was conducted at the oncology day care and in-patient department (IPD) wards of the All India Institute of Medical Sciences, Jodhpur, Rajasthan. Methodological research design was used in this study. It took place in five phases: preliminary phase includes literature review, focussed group discussion, assessment of current practices, generation of item pool, and preparation of preliminary draft; then its validation by modified Delphi technique, pilot testing; final try out, and evaluation phase. A total of 260 patients were enrolled.

RESULTS:

The content validity index was 0.97. To perform factor analysis and principal component analysis KMO and Bartlett's test of sphericity was used, which allows the data for factor analysis to yield eight components. A total of 26 items were formulated. The scoring was done dichotomously; a score of 1 is for done and 0 for not done and not applicable. Cronbach's alpha was used to find out the internal consistency of the checklist was found to be 0.72. For interrater reliability, the Cohen kappa's value was found to be 0.91.

CONCLUSIONS:

Chemotherapy administration checklist was a valid and reliable checklist. This checklist is feasible and easy to incorporate into clinical practices.
Hastanede Yatarak Takip Edilen Covid-19 Tanılı Hastalarda Aşılanma Durumu
Authors: ALPAY Ali Seydi , ERDOĞAN Haluk , ERDOĞAN Aşkın , ÖZEN Naciye
Published: January 2023

Amaç: Koronavirüs hastalığı 2019 (COVID-19) asemptomatik klinik seyirden ciddi klinik tablo gibi geniş bir yelpazede kendini gösterebilen akut solunum yolu hastalığıdır. Tüm dünyada devam eden aşı uygulamaları; aşılanmanın COVID-19 hastalığına bağlı hastaneye, yoğun bakım ünitesine (YBÜ) yatışı ciddi oranda azalttığı gösterilmiştir. Bu çalışmada hastanede yatan COVID-19 tanılı hastaların aşılanma durumu ve hastalığın ciddiyeti arasındaki ilişkiyi irdelemek amaçlanmıştır.Yöntem: Alanya Alaaddin Keykubat Üniversitesi Eğitim ve Araştırma Hastanesinde 25.08.2021 tarihinde COVID-19 tanısı ile yatan hastalarda aşılanma durumları sorgulanarak kesitsel bir çalışma yapıldı. Hastalar taburcu oldukları güne kadar izlendi. Hastaların başvuru anındaki sahip olduğu risk faktörleri, aşılanma durumları, hastane yatış süreleri gibi bilgiler hazırlanan formlara kaydedildi. Bulgular: Değerlendirmeye alınan 139 COVID-19 hastasının %48.2’sinde delta varyantı (B.1.617.2 and AY lineages) saptandı. Hastaların sadece dörtte biri tam aşılı idi. Rapel doz gereken aşılı hasta %14.5, eksik aşılı hasta %10.1 saptandı. Hastaların %56.1’inde COVID-19 aşısı olmadığı görüldü. 15-49 yaş grubunun %76.1’inin, 65 yaş ve üstü hasta grubunun %37’sinin aşısız olduğu gözlendi (p<0.05). Hastanede ortalama yatış günü tam aşılı hastalarda 8 gün, aşısız hastalarda 10 gün, eksik aşılı ve rapel doz gerektiren aşılı hastalarda 14 gün olarak saptandı (p<0.05). Serviste yatan hastaların yaş ortalaması 54.19±18,34, YBÜ’nde yatan hastaların yaş ortalaması 61.29±16,18 olarak saptandı (p<0.05). Sonuç: Aşılanma ile bağışıklık COVID-19 pandemisinin önlenmesinde hala en geçerli öneri olarak kabul görmektedir. Tam aşılı hastalarda hastanede yatış süresi kısa ve YBÜ yatış oranlarının düşük olduğu görüldü. Hastaların yaklaşık dörtte birinin tam aşılı olması aşıdan kaçan varyant virüslerin olma ihtimalini akla getirmektedir. Buda tam aşılı olunsa bile enfeksiyon kontrol önlemleri olan maske, mesafe ve el hijyenini uyumunun önemini göstermektedir.
Yoğun Bakımda Uygulanan Endotrakeal Aspirasyon İşlem Basamaklarının Aspirasyon Komplikasyonlarına Etkisi
Authors: YILMAZ İlkin , ÖZDEN Dilek , GÜROL ARSLAN Gülşah
Published: January 2023

Amaç: Rehber önerileri doğrultusunda yapılmayan aspirasyon işlemleri komplikasyonlara yol açmaktadır. Çalışmanın amacı, aspirasyon standardı uygulanmayan bir yoğun bakım ünitesinde aspirasyon işlem basamaklarında sıklıkla yapılan hataları belirlemek ve aspirasyon komplikasyonlarını incelemektir.Yöntem: Çalışma üçüncü basamak bir yoğun bakım ünitesinde gözlemsel desende yürütülmüştür. Hemşirelerin aspirasyon sırasındaki işlem basamakları gözlenmiş; hastaların aspirasyondan hemen önce ve sonrasındaki birinci ve beşinci dakikalarda kan basıncı, kalp atım hızı, solunum sayısı, periferal oksijen satürasyonu, tidal volüm değerleri, aritmi, hemorajik sekresyon gelişimi takip edilmiştir. Bulgular: Toplam 35 hemşirenin 45 hastada uyguladığı 210 aspirasyon işlemi izlenmiştir. Hemşirelerin en sık yaptığı uygulama hataları 150 mmHg üstü aspiratör basıncını (%99.5) 10 sn’den fazla uygulama (%63.3), aspirasyon öncesi ve sonrası hiperoksijenasyon uygulamama (%98.1, %96.2), derin aspirasyon uygulama (%97.6), aspirasyonun toplam süresinin 15 sn’den fazla sürmesi (%72.9) olarak belirlenmiştir. On saniyeden fazla aspiratör basıncı uygulamak birinci dakikada taşikardi görülme riskini 3.074, hemorajik sekresyon riskini 2.790, takipne riskini 2.024, desatürasyon riskini 5.496 kat arttırmıştır. Toplam aspirasyon süresini 15 sn’den fazla uygulamak birinci dakikada diyastolik hipotansiyon riskini 15.108, aritmi riskini 2.630, beşinci dakikada taşikardi görülme riskini 3.725, takipne riskini 2.750 kat arttırmıştır.Sonuç: Bu çalışmanın sonuçları, hemşirelerin aspirasyon standardına uygun olmayan birçok hatalı işlem yaptığını, hatalı yapılan her işlemin hastalarda önemli fizyolojik değişimlere yol açtığını göstermektedir.
Gebelerin Psikososyal Sağlık Durumları İle Annelik Rolü Algısı Arasındaki İlişki
Authors: UÇAR Hülya , ÖZKAN Hava
Published: January 2023

Amaç: Araştırma, gebelerin psikososyal sağlık durumları ile annelik rolü algısı arasındaki ilişkiyi değerlendirmek amacıyla tanımlayıcı olarak yapılmıştır.Yöntem: Araştırma, Erzurum il merkezinde bulunan Nenehatun Kadın Doğum Hastanesi polikliniklerine Eylül 2013-Haziran 2014 tarihleri arasında antenatal kontrolleri için gelen 420 gebe ile yürütülmüştür. Veriler, ‘Kişisel Bilgi Formu’, ‘Gebelikte Psikososyal Sağlığı Değerlendirme Ölçeği (GPSDÖ)’ ve ‘Anlamsal Farklılık Ölçeği-Anne Olarak Ben (AOB) ölçeği’ kullanılarak toplanmıştır. Verilerin değerlendirilmesinde; sayı, yüzde ve ortalama ortalama gibi tanımlayıcı istatistikler, t-testi, Tek Yönlü Varyans analizi, Kruskall- Wallis H, Mann Whitney-U testi ve Pearson Korelasyon analizi kullanılmıştır. Bulgular: Gebelerin, GPSDÖ’den aldıkları toplam puan ortalamasının 4.33±0.37 olduğu, AOB ölçeğinden alınan toplam puan ortalamasının ise 60.5±9.9 olduğu saptanmıştır. Gebelerin gelir durumu algısı, gebelik sayısı, gebeliğin planlanma durumu ve eşin gebeliği istemesi durumuna göre GPSDÖ puan ortalamaları arasında fark olduğu belirlenmiştir (p<0.05). Gebelerin; gebelik haftası, gebeliğin planlanma durumu ve eşin gebeliği istemesi durumuna AOB ölçek puan ortalamaları arasında fark olduğu saptanmıştır (p<0.05). GPSDÖ ile AOB ölçeği puan ortalamaları arasında pozitif yönde zayıf ilişki olduğu bulunmuştur ( p<0.01, r= .162).Sonuç: Bu çalışmada, gebelerin, psikososyal sağlık ile annelik rolü algısının iyi düzeyde olduğu saptanmıştır. Psikososyal sağlık düzeyi arttıkça kendilerini anne olarak daha olumlu algıladıkları belirlenmiştir.
Meme Kanseri Hücre Dizisi Üzerinde (MCF-7) Oğulotu (Melissa Officinalis) Bitki Ekstresinin Antiproliferatif, Apoptotik ve Antioksidan Etkilerinin Araştırılması
Authors: ÖĞÜT Serdal , ERDOĞAN Ömer , BÜYÜKÖZTÜRK KARUL Aslıhan
Published: January 2023

Amaç: Meme kanseri, dünyada ve ülkemizde kadınlarda en sık teşhis edilen kanser türlerinden biridir. Dünya geneline bakıldığında ölüm sebepleri arasında kadınlarda ikinci sırada yer aldığı bilinmektedir. Bu çalışmanın amacı, Melissa officinalis ekstresinin meme kanseri hücre dizisinde (MCF-7) antiproliferatif, apoptotik ve antioksidan etkilerinin belirlenmesidir.Yöntem: Araştırmada oğulotu bitki ekstresinin farklı konsantrasyonları (1 µg/mL, 10 µg/mL, 100 µg/mL ve 1000 µg/mL) MCF-7 hücre dizisi üzerine uygulanmıştır. Sitotoksik aktiviteleri 24 saatte MTT yöntemi, apoptotik aktiviteleri ise muse anneksin V yöntemi kullanılarak belirlenmiştir. Biyokimyasal parametrelerin belirlenmesinde 1 µg/mL, 10 µg/mL, 100 µg/mL ve 1000 µg/mL dozlarda hücrelere uygulama yapılmış ve sonra hücre lizatları elde edilmiştir. Hazırlanan numuneler ile ilk olarak hücrenin protein düzeyi hesaplanmıştır. Ardından TOS, TAS, OSİ, SOD, GPx aktivite tayini, MDA ve NO analizleri yapılmıştır.Bulgular: Sonuçlar değerlendirildiğinde, araştırmamızda doz ve zamana bağlı olarak Melissa officinalis ekstresinin MCF-7 hücre proliferasyonunu azalttığı belirlenmiştir. Aynı zamanda elde ettiğimiz apoptoz artışı da bu proliferasyon inhibisyonunu açıklamaktadır. Araştırma çerçevesinde ortaya çıkan antioksidan sonuçları da proliferasyonun inhibisyonunu ve aynı zamanda apoptozun artışını desteklemektedir. Sonuç: İstatistiksel olarak tüm veriler yorumlandığında Melissa officinalis ekstresinin, MCF-7 hücrelerinde moleküler antikanserojenik mekanizmaları, tekli ya da kemoterapötik ajanlarla kombine çalışılarak, meme kanseri tedavisi için yeni kemoterapötik ve kemopreventif ajanların gelişimine önemli katkı sağlayacağı mevcut araştırma ile belirlenmiştir.
Introduction to Special Issue: Re-imagining Teaching and Learning in the Context of Current Crises
Authors: Johnson Chrystal S. , Sdunzik Jennifer
Published: January 2023

In this editorial, we describe the reasons for the special issue, namely the need to understand and re-imagine the “new normal” of teaching, learning, and teacher professional development in light of the societal inequities and economic injustices laid bared by the COVID-19 pandemic. We summarize the extent to which the articles in this issue help us take a new look at classroom practices of teachers within higher education and K-12 spaces, and re-envision of educational policies and theoretical frameworks within and beyond learning spaces to enhance inclusivity.
Conceptualizing Adolescent Black Youth Political Efficacy in an Era of Crises
Authors: Johnson Chrystal S. , Sdunzik Jennifer
Published: January 2023

Tackling adolescent youth political efficacy is indispensable to the success American democracy. Racism coupled with health and economic disparities predispose Black youth to adverse political engagement, political efficacy, and social emotional outcomes.  The COVID-19 pandemic has aggravated pandemic-induced stressors such as the current experiences of Black youth with racial injustice and the potential of economic insecurity, homelessness, and a health disaster affecting a family member, further challenge their political engagement and political efficacy. In this theoretical piece, we therefore bring forth two separate, yet compatible theoretical frameworks, Black Resilience Neoliberalism (BRN) and the sociopolitical development model (SPD), to grasp the racialized identity and the political efficacy of adolescent Black youth in an era of crises.
An unusual association of folic acid deficiency with gastric neuroendocrine tumor type I
Authors: GORCİAC Victoria , BARBOİ Oana Bogdana , NEGURA Ion , SORODOC Laurentiu , LİONTE Catalina
Published: January 2023

The association of gastric neuroendocrine tumour type I with macrocytic anaemia due to vitamin B12 deficiency is commonly encountered. The etiological cause of macrocytic anaemia must always be precisely established for the subsequent treatment guidance. We present the case of a 63-year-old patient admitted for marked physical asthenia, palpitations, abdominal pain, flatulence, paresthesia in the upper and lower limbs and concentration difficulties. Clinical examination revealed pale, dry skin, Hunter's glossitis, and tachycardic heart sounds. Bloodwork showed pancytopenia with macrocytic normochromic anaemia, vitamin B12 within normal limits, but with low folic acid levels. The reticulocyte crisis was documented on day three after initiating folic acid treatment. Exploration by upper digestive endoscopy and colonoscopy described multiple polypoid tumours in the greater curvature of the stomach. The histopathological and immunohistochemical examination lead to the diagnosis of gastric neuroendocrine tumours (NET) type G1. To our knowledge, there are no reports about an association of this type of tumour with folate deficiency-induced anaemia.
Biological Agent Use in Behçet's Patients Who Are Resistant to Conventional Treatments: A Multidisciplinary Retrospective Study
Authors: YAĞIZ Burcu , COŞKUN Belkıs Nihan , ÇAKAN Zeliha Kübra , UÇAN GÜNDÜZ Gamze , YALÇINBAYIR Özgür , YAZİCİ Serkan , SARICAOĞLU Hayriye , DALKILIÇ Hüseyin Ediz , PEHLİVAN Yavuz
Published: January 2023

Background Comparing treatment modalities is difficult in Behcet's syndrome, even if tumour necrosis factor-alpha (TNF-α) inhibitors are a treatment option for all involvements resistant to conventional therapy. This study evaluated how different departments dealt with treatment, particularly with TNF-α inhibitors.

Material and Methods The study comprised 111 patients from our Behcet's syndrome cohort who were treated with TNF-α inhibitors between 2010 and 2019. Data on patients were retrieved retrospectively from the rheumatology, ophthalmology, and dermatology clinics' patient records.

Results Patients followed up in rheumatology (n: 40) were classified as Group 1, and patients followed up in ophthalmology (n: 49) and dermatology (n: 5) as Group 2. In Group 1, genital ulcers, erythema nodosum (p=0.009, p=0.003, respectively), lower extremity deep vein thrombosis, arterial aneurysm and neurological involvement were more common (p=0.005, p=0.008, p=0.001, respectively). In Group 2, the use of cyclosporine and interferon-α before the anti-TNF agent was higher (p
Positive status of Hepatis B Virus seroprevalence in local people and immigrants
Authors: METİN Salih , DEMİR Canan
Published: January 2023

Background In our study, we aimed to examine the seroprevalence of hepatitis B virus (HBV) infection and whether there is a sociodemographic difference between the two groups according to the hepatitis B surface antigen (HBsAg) results obtained in the blood samples given by the Turkish population and Syrian immigrants living in Bursa in their primary, secondary, and tertiary care applications.

Material and Methods All patients with HBsAg serology who applied to family health centers, migrant health centers, 2nd and 3rd level hospitals in Bursa province during the 5-year period from January 2017 to the end of December 2021 were included in our study.

Results During our study, HBsAg tests were taken from 955,528 people until the end of 2017-2021. The rate of Turkish citizens was 96.1% (n: 918,140), and the rate of Syrian origin was 3.9% (n: 37,388). Of all patients, 39.4% (n: 376,388) were male, and 60.6% (n: 579,140) were female. The HBsAg test was negative in 96.4% (n: 921,582) and positive in 3.6% (n: 33,946) of the patients. HBsAg positivity was found to be 3.6% in Turks and 2.4% in Syrians. HBsAg positivity was found to be 4.6% in men and 2.9% in women. The highest HBsAg positivity rate was 7.4% in the 50-59 age group.

Conclusions The dissemination of the hepatitis B vaccine, which is currently in use, seems to be the most crucial weapon in the hands of humanity to prevent this infection and the diseases it will cause.
The efficacy of the direct-acting antiviral combination in hemodialysis patients with chronic hepatitis C virus Genotype 1 infection
Authors: ERÜRKER ÖZTÜRK Tuba , GÜREL Selim , ORUÇ Ayşegül , ERSOY Alparslan
Published: January 2023

Background Interferon and ribavirin treatments previously used in treating chronic hepatitis C virus (HCV) infection cannot be used effectively in hemodialysis patients due to dose adjustment and drug-related side effects. Direct-acting antivirals (DAAs) therapies have been reported to be effective in hemodialysis patients. This study aimed to evaluate the effectiveness of DAAs in hemodialysis patients with chronic hepatitis C.

Material and Methods Twenty hemodialysis patients with chronic hepatitis C followed in the gastroenterology outpatient clinic between 2016 and 2018 were evaluated retrospectively.

Results Twelve of the 20 patients were male, and eight were female. The mean age of the patients was 50.7±8.6 years. Six patients had no treatment experience. Fourteen patients had been previously treated with interferon and/or ribavirin but did not achieve sustained virological response (SVR). Genotype 1b was detected in 14 patients, genotype 1a in 4 patients, and genotype 1 in 2 patients. Patients were treated with ombitasvir/paritaprevir/ritonavir (OBV/PTV/r) and dasabuvir (DSV) or ribavirin (RBV) for 12 or 24 weeks. Two patients were cirrhotic and had a Child-Pugh score of A. Treatment was discontinued in 2 patients due to thrombus formation in the arteriovenous fistula in the first month of DAAs treatment. SVR12 was evaluated in 14 of 18 patients and found to be 100%. One of the ten patients accepted as SVR24 had a relapse. This rate of SVR24 was similar to that in the general population.

Conclusions Our results supported that the OBV/PTV/r and DSV or RBV regimen was a safe and effective therapy for hemodialysis patients with chronic hepatitis C virus genotype 1.
Perceptions of Church Financial Transparency: Ethical-Theological Analysis and Financial Accountability
Authors: Christanti Rossalina , Wibowo Wahju Satria , Wijaya Yahya
Published: January 2023

This paper examines the perception of transparency among the Church Councils with an ethical-theological analysis and an analysis of financial accountability. The background of the problem is that there are different perceptions among the congregations regarding church financial accountability. These differences reflect differences in theological ethical content. The data collection method used is a mix-method, which uses quantitative tools by distributing questionnaires and in-depth interviews with several church assemblies. The final number of respondents is 167 church assemblies from two church groups, namely the Indonesian Christian Church of the Central Java Regional Synod (Gereja Kristen Indonesia Sinode Wilayah Jateng/GKI SW Jateng) Region of Solo and the Javanese Christian Churches (Gereja-gereja Kristen Jawa/GKJ) Region of North Yogyakarta. The result is a moral obligation is proven to have a significant effect on transparency and intention to disclose financial information to the congregation. This moral obligation to make church finances transparent is based on the church community or congregation members. The ethical drive mainly comes from the community. Theologically, this result on the one hand confirms the existence of the church as a community of faith that drives the formation of values. On the other hand, it presents an opportunity for the church to make a program that formed a personal value of transparency in the Church Council. The research contribution is to the development of the Church Council's guidance on financial accountability and the development of theological ethical values.
LIK KRALjICE JAKVINTE U ISTORIJI I DRAMSKIM OSTVARENjIMA JOVANA SUBOTIĆA
Authors:   University Edukons, Sremska Kamenica, Sebia, Bulat Snežana R. , Kartalija Nebojša M. ,   University of Novi Sad, Faculty of Philosophy
Published: January 2023

The opposition during the creation of the characters of a wife of a ruler from the Kingdom of Duklja, appears in many Serbian historical dramas. At one side stands Kosara, a loyal wife of king Vladimir, a true heroine, and on the other, Jakvinta, the wife of king Bodin, taken to the edge of hell by various playwrights. The primary subject of this paper is the portrayal of Queen Jakvinta’s character in historical writings and in Jovan Subotić’s dramas. The impact of historical writings on the drama biography of Queen Jakvinta will be determined. Research attention will be paid to the transformation of Queen Jakvinta’s character, from charming, devoted mother and caring advisor to the bloodthirsty and soulless wife. The focus will also be on the comparison of Queen Jakvinta with Shakespeare’s Richard III.
Masyarakat Bantaran Sungai: Penggunaan Media untuk Kebutuhan Informasi
Authors: Atika  , Chandrabuwono Achmad Bayu , Nadila
Published: January 2023

Media menjadi salah satu elemen penting dalam menyusun perencanaan dan strategi komunikasi. Pemilihan media yang tepat menjadi salah satu faktor penentu sampainya pesan kepada sasaran, sehingga perlu mengetahui kepemilikan dan akses media pada masyarakat tertentu. Tujuan penelitian yang dilakukan adalah menganalisis penggunaan media pada masyarakat bantaran sungai dalam memenuhi kebutuhan informasinya. Sampel sebanyak 348 orang dengan taraf kesalahan 5%. Teknik penarikan sampel menggunakan proportionate stratified random sampling. Teknik tersebut digunakan untuk menarik sampel berdasarkan proporsional jumlah penduduk pada masing-masing kecamatan, dipilih secara random dengan melihat karakteristik geografis responden adalah yang berdomisili di bantaran sungai dalam wilayah Kota Banjarmasin. Hasil penelitian menunjukkan bahwa penggunaan media untuk memenuhi kebutuhan informasi pada masyarakat yang bertempat tinggal di bantaran sungai Kota Banjarmasin masih termasuk rendah dalam hal frekuensi dan durasi penggunaan. Dari sejumlah media konvensional, internet dan media sosial, serta pesan singkat, diketahui bahwa televisi dan whatsapp menjadi media yang paling sering dan paling lama digunakan dibanding media lainnya. Temuan penelitian ini dapat menjadi rujukan bagi para komunikator program kesehatan, lingkungan, ekonomi, sosial, budaya, maupun program bidang lainnya dalam menentukan media yang tepat, khususnya yang menjadikan masyarakat bantaran sungai sebagai khalayak sasarannya.
Actitudes de los ciudadanos neoloneses en la integración de los migrantes centroamericanos
Authors: Prado Maillard Vera Patricia , Gonzáles Cruz Salvador Gerardo
Published: January 2023

El presente trabajo tiene por objetivo analizar las actitudes de los ciudadanos de Nuevo León ante la llegada masiva de migrantes del Triángulo del Norte. De tal manera que se integren laboral y socialmente a la comunidad. Este análisis se realiza desde una perspectiva nacionalista, en donde se determinan elementos relacionados con la identidad, la cultura y la homogeneidad nacional, los cuales se pueden ver afectados por los estereotipos representativos de los grupos sociales. Por medio de la investigación documental, en donde se analizaron aspectos históricos, contextuales, institucionales y de opinión pública se determinó que el estado de Nuevo León ofrece condiciones para que los migrantes puedan tener una mejor calidad de vida, sin embargo el choque cultural puede tener un impacto negativo en la integración social del mismo. Por esa razón se genera un debate entre integrar de manera productiva a las personas que recién se establecen en la entidad para continuar con el impulso industrial que siempre ha caracterizado a Nuevo León o bien segregarlas de la sociedad ante la posibilidad de que se vea afectada la cultura y la identidad del estado.