bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence and Associated Factors of Anxiety and Depression among Medical Interns during the Third Wave of COVID-19 Pandemic in Oman
Authors: Al-Mahrouqi Tamadhir , Kamal Manar Ahmed , Elsayed Mohamed , Al-Sinawi Hamed
Published: May 2022

Objectives:

Medical interns were among the frontline healthcare workers during the coronavirus disease 2019 (COVID-19) pandemic and represented a special group of key workers. They were both learners and care providers, experiencing great challenges during the pandemic. This study examined the prevalence of depression and anxiety symptoms among Omani medical interns during the COVID-19 pandemic and determined the independent predictors of depression and anxiety among the study sample.

Methods:

This online cross-sectional study was conducted among a random sample of Omani medical interns from 2020 to 2021, using a self-reported questionnaire that included the patient health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7) information related to vaccination status and caring for patients with COVID-19.

Results:

A total of 193 interns participated in this study (81% females). The median age was 26 years. Female participants scored higher for both anxiety (P = 0.200) and depression scales (P = 0.183). Most of the participants (143, 74.1%) had a negative result following testing for severe acute respiratory syndrome-associated coronavirus 2 (SARS-CoV-2), with significant association with vaccination status (P = 0.004), especially for participants who had taken the first dose (51%). Participants who had the first dose of the vaccine significantly tested negative for SARS-CoV-2 (P = 0.053) compared to participants who had not had the vaccine. The GAD-7 and PHQ-9 showed that 150 (79%) and 91 (47%) participants had mild to severe anxiety and depression.

Conclusion:

The COVID-19 pandemic has directly contributed to the development of psychologic distress among medical interns, which can lead to adverse outcomes. This study emphasizes the importance of including disaster management and psychologic well-being training program during the internship to help medical interns better cope in crises, such as a pandemic.
Effect of the Automatic Needle Destroyer on Healthcare Providers’ Work in an Emergency Department: A Mixed-Methods Study
Authors: Kim Su Min , Kim Taerim , Lee Jee Hyang , Cho Sun Young , Cha Won Chul
Published: May 2022

Objectives: This study introduced a novel Automatic Needle Destroyer (AND) to an emergency department (ED) and assessed its effect on healthcare providers’ work.Methods: Between August and September 2019, in the ED of a tertiary hospital in Seoul, we conducted a mixed-methods study to evaluate the efficiency, safety, and usability of the AND using video analysis, surveys, and in-depth interviews, wherein participants described the advantages and disadvantages of the AND.Results: Compared to the existing method, introducing the AND significantly reduced the operating time from 2.32 ± 1.14 seconds to 1.77 ± 3.71 seconds (p < 0.001). The normal operation rate was 90.6%. The rate of needle-stick injuries (NSIs) and the mean system usability scale (SUS) showed no significant differences. The in-depth interviews indicated that the disadvantages of the AND were mostly operational. The advantages were related to profit, reduced direct contact with hazardous waste, and behavioral changes, such as not having to recap syringes.Conclusions: We introduced the AND to an ED environment, where NSIs occur frequently and many syringes are used, to evaluate its effect on providers’ work. The AND reduced the time for needle disposal, but the normal operation rate was low. No significant differences were found in the SUS score or the rate of NSIs. Although there are some restrictions on introducing the AND immediately, this study’s results showed its potential usefulness. Efforts to improve the operation of the device and a longer study period are needed to fully achieve safety and efficiency.
Factors Influencing the Adoption of Advanced Cryptographic Techniques for Data Protection of Patient Medical Records
Authors: Lewis Nehama , Connelly Yaron , Henkin Gil , Leibovich Max , Akavia Adi
Published: May 2022

Objectives: Healthcare organizations that maintain and process Electronic Medical Records are at risk of cyber-attacks, which can lead to breaches of confidentiality, financial harm, and possible interference with medical care. State-of-the-art methods in cryptography have the potential to offer improved security of medical records; nonetheless, healthcare providers may be reluctant to adopt and implement them. The objectives of this study were to assess current data management and security procedures; to identify attitudes, knowledge, perceived norms, and self-efficacy regarding the adoption of advanced cryptographic techniques; and to offer guidelines that could help policy-makers and data security professionals work together to ensure that patient data are both secure and accessible.Methods: We conducted 12 in-depth semi-structured interviews with managers and individuals in key cybersecurity positions within Israeli healthcare organizations. The interviews assessed perceptions of the feasibility and benefits of adopting advanced cryptographic techniques for enhancing data security. Qualitative data analysis was performed using thematic network mapping.Results: Key data security personnel did not perceive advanced cybersecurity technologies to be a high priority for funding or adoption within their organizations. We identified three major barriers to the adoption of advanced cryptographic technologies for information security: barriers associated with regulators; barriers associated with healthcare providers; and barriers associated with the vendors that develop cybersecurity systems.Conclusions: We suggest guidelines that may enhance patient data security within the healthcare system and reduce the risk of future data breaches by facilitating cross-sectoral collaboration within the healthcare ecosystem.
Stakeholders’ Requirements for Artificial Intelligence for Healthcare in Korea
Authors: Yu Jae Yong , Hong Sungjun , Lee Yeong Chan , Lee Kyung Hyun , Lee Ildong , Seo Yeoni , Kang Mira , Kim Kyunga , Cha Won Chul , Shin Soo-Yong
Published: May 2022

Objectives: The outlook of artificial intelligence for healthcare (AI4H) is promising. However, no studies have yet discussed the issues from the perspective of stakeholders in Korea. This research aimed to identify stakeholders’ requirements for AI4H to accelerate the business and research of AI4H.Methods: We identified research funding trends from the Korean National Science and Technology Knowledge Information Service (NTIS) from 2015 and 2019 using “healthcare AI” and related keywords. Furthermore, we conducted an online survey with members of the Korean Society of Artificial Intelligence in Medicine to identify experts’ opinions regarding the development of AI4H. Finally, expert interviews were conducted with 13 experts in three areas (hospitals, industry, and academia).Results: We found 160 related projects from the NTIS. The major data type was radiology images (59.4%). Dermatology-related diseases received the most funding, followed by pulmonary diseases. Based on the survey responses, radiology images (23.9%) were the most demanding data type. Over half of the solutions were related to diagnosis (33.3%) or prognosis prediction (31%). In the expert interviews, all experts mentioned healthcare data for AI solutions as a major issue. Experts in the industrial field mainly mentioned regulations, practical efficacy evaluation, and data accessibility.Conclusions: We identified technology, regulatory, and data issues for practical AI4H applications from the perspectives of stakeholders in hospitals, industry, and academia in Korea. We found issues and requirements, including regulations, data utilization, reimbursement, and human resource development, that should be addressed to promote further research in AI4H.
Implementing Augmented Reality to Facilitate the Learning of Oral Histology
Authors: Sharmin Nazlee , Chow Ava K. , Votta Dominic , Maeda Nathanial
Published: May 2022

Objectives: The study of biological materials under a microscope is known as histology, which is one of the most challenging subjects for students. Our objective was to develop a learning tool that can reduce the extrinsic load of studying histology and make learning enjoyable and flexible. We used augmented reality (AR) to create a cellphone application called Dental AR. With Dental AR, students can use their cellphones as dynamic flashcards to hide or reveal the annotations of a histology slide. Our application enables students to study, practice, and self-test oral histology knowledge at their own pace.Methods: We used Unity3D with Vuforia to develop Dental AR. To generate a set of target images, oral histology glass slides were scanned and converted to digital images. Annotated versions of the slides were used as output for the corresponding target images. To understand user experiences and satisfaction with Dental AR, first-year dentistry students were invited to complete an online survey.Results: Dental AR was successfully developed and released on both the Apple and Google Play online app stores. The survey of dentistry students indicated overall satisfaction with Dental AR and willingness to use similar applications in other subjects.Conclusions: Dental AR can be used for in-class activities, gamification, and providing students with practice questions to study and self-test outside the classroom. This application can be expanded in the future to incorporate more target images, videos, and interactive components to make learning histology less challenging and more enjoyable.
Communication between Adolescents and their Parents on Sexual Risk-Taking Behaviours and Facilitating factors in Rwanda
Authors: Nyirandegeya Jacqueline , Rugema Joselyne , Katende Godfrey
Published: May 2022

BackgroundYounger generation engages in sexual activities that often result in early pregnancies, unsafe abortions, sexual abuse, and sexually transmitted infections. Parent-adolescent communication could be a sustainable solution to improved adolescent reproductive health.ObjectiveTo determine factors facilitating adolescent communication with the parents on sexual risk-taking behaviours.Methods: A cross-sectional study design was used with a sample of 199 adolescents. A self-administered questionnaire through a simple random sampling technique was employed, and participation was voluntary. Descriptive and inferential statistics were performed using the Statistical Package for Social Science (IBM-Version 21). ResultsThe adolescents who never spoke to their mothers on sexual risk activities were 20.1%. The factors that facilitated adolescent communication with their parents about sex risk behaviours were: age of adolescents (r = -0.166, p = 0.023), living arrangement of adolescents (r = 0.147, p = 0.045), Having home mate brothers and sisters (r = 0.142, p = 0.05) and living with grandparents (r = 0.220, p = 0.003). ConclusionParents’ time to interact with their adolescent children was insufficient. There are numerous factors that positively and negatively influence parent-adolescent communication on sexual risk behaviors. General communication was found to be an important facet and a strategy to conveying reproductive and sexual issues to adolescents by the parents

Rwanda J Med Health Sci 2022;5(1):20-33
Development and long-term operation of aerobic granular system for simultaneous removal of COD, nitrogen, and phosphorous in a conical SBR
Authors: Desireddy Swathi , Madhavan Sneha , P. C. Sabumon
Published: May 2022

This study evaluates the performance of a simple sequencing batch reactor (SBR) with conical geometric configuration in terms of aerobic granulation and simultaneous removal of COD, nitrogen, and phosphorous from synthetic wastewater. The reactor was operated for 328 days in 3 different phases. Stable granules measuring around 0.9±0.3 mm with good settling properties were formed in phase III of operation. Optimum removals of COD (90%), NH4+-N (91%), total nitrogen (87%), and PO43--P (83%) were achieved in phase III, while the influent concentrations were COD (640±32 mg/L), NH4+-N (53±2.5 mg/L), and PO43--P (9±0.6 mg/L). Mixed liquor suspended solids increased from 0.26 g/L to 2.3 g/L while sludge volume index (SVI30) decreased from 380 mL/g to 65 mL/g during start-up to end of the study, respectively. The conical geometry induces an effective velocity gradient along with aeration in the reactor for better flocculation of biomass which has a good impact on the formation of stable and resistant aerobic granules. This system in conical SBR is advantageous as it attains simultaneous nutrient removal (CNP) with effective biomass retention without automatic process control. This treatment system has the potential to employ in low volume wastewater treatment in many decentralized applications.
Fe3O4@-KRG-aşı-PDMAEMA manyetik nanopartiküllerden pH kontrollü doksorubisin salımı
Authors: GEYİK Gülcan , IŞIKLAN Nuran
Published: May 2022

Son yıllarda manyetik yapılı biyouyumlu nanoparçacıkların kanser tedavisinde etkinliği artmaktadır. Hedefli ilaç salım sistemi, geleneksel kanser tedavi yöntemlerinin yan etkilerini azaltmakta ve tedavi etkinliğini artırması sebebiyle yakın zamanda umut verici kanser tedavisi olarak ortaya çıkmaktadır. Çalışmamızda hibrit yapılı manyetik nanopartiküller sentezlenmiştir. Nanopartiküller anorganik yapılı demir oksit çekirdeği (Fe3O4) ve organik yapılı kopolimerden (-KRG-aşı-PDMAEMA) oluşmaktadır. Manyetik nanopartiküllerin yapısı UV ve Zeta-sizer ile karakterize edilmiştir. Sentezlenen Fe3O4@-KRG-aşı-PDMAEMA nanopartiküllerine anti-tümör etkiye sahip kanser ilacı doksorubisin (DOX) yüklenerek Fe3O4@-KRG-aşı-PDMAEMA@DOX manyetik nanopartikülleri elde edilmiştir. İlaç yüklü manyetik nanopartiküllerin fosfat tamponunda (pH 7,4), asetat tamponunda (pH 5,5) ve asidik ortamda (pH 1,2) 37 oC’de in vitro salımı incelenmiştir. Sentezlenen Fe3O4@-KRG-aşı-PDMAEMA@DOX manyetik nanopartiküllerin pH’ya duyarlı olduğu ve yüksek salım performansına sahip olduğu gösterildi. Fe3O4@-KRG-aşı-PDMAEMA@DOX nanopartiküllerin DOX salımı pH 7,4, pH 5,5 ve pH 1,2 ortamlarında sırası ile %66,53, %70,08 ve %90,47 bulunmuştur. Manyetik nanopartiküllerin kinetik hesaplamaları yapılmıştır. Manyetik nanopartiküllerin demir içeriği %66,77 bulunmuştur.
PANi/PPy and PANi Films on ZnNi Alloy Coated Carbon Steel; Electrochemical Syntheses and Corrosion Performances
Authors: FİLAZİ Ibrahim , OZYİLMAZ Ali Tuncay
Published: May 2022

Zinc–nickel alloy coating (ZnNi) was successfully deposited on carbon steel (CS) applying current density of 47 mAcm-2 with galvanostatic technique. The ZnNi alloy coating image showed that CS metal surface was plated with a blue-grey homogeneous layer. Polyaniline film (PANI) film was synthesized with cyclic voltammetry technique from 0.10 M aniline containing 0.20 M sodium oxalate solution on ZnNi coated carbon steel (CS/ZnNi) electrode surface. And then the synthesis of top PPy film was achieved in pyrrole monomer containing acetonitrile + tetrabutyl ammonium perchlorate medium successfully. After the top PPy synthesis, it was observed that both the PANi homopolymer film and the ZnNi coating continued to exist on the CS surface. The corrosion behaviors of uncoated and coated electrodes were investigated in 3.5% NaCl solution. For this aim, the anodic polarization plots and electrochemical impedance spectroscopy technique were used. The results showed that the top PPy homopolymer film provided an effective barrier property on CS/ZnNi/PANi electrode and a remarkable anodic protection to substrate for longer exposure time.
ALTERNATIVE EUPHEMISMS: INVESTIGATING THE PRESENCE OF “PEOPLE-FIRST” EXPRESSIONS IN THE COCA CORPUS
Authors: Stamenković Ivan
Published: May 2022

Politically correct language seems to have become a norm in the past three decades; however, this type of language is in constant flux, with alternative expressions replacing old ones. Among key expressions used in politically correct language are expressions known as euphemisms, a euphemism being “a word or phrase used as an alternative to a dispreferred expression.” (Allan 2001: 148) This research focuses on politically correct euphemisms used for people with disabilities, which are introduced in an attempt to create a more neutral and non-discriminatory attitude towards this group of people. The subtype of politically correct euphemisms about people with disabilities explored in this paper falls under the label of “peoplefirst” language, which replaces premodified with postmodified nouns. This paper aims to ascertain the level to which these prescribed guidelines for talking about people with disabilities have been implemented in everyday American English by exploring their distribution in the Corpus of Contemporary American English (COCA) in comparison to their “non-people-first” counterparts within the 1990–2010 period. The hypothesis is that the research will show a larger proportion of the politically correct people-first expressions coupled with non-offensive lexical euphemisms and that the progress of time will coincide with the increase in people-first terminology in comparison to its non-people-first counterparts.
АЛТЕРНАТИВНОСТ ЕНДОЦЕНТРИЧНОГ АНТЕЦЕДЕНТА РЕЛАТИВНЕ КЛАУЗЕ СА РЕФЕРЕНЦИЈАЛНОМ АНАФОРОМ
Authors: Русимовић Тања
Published: May 2022

An antecedent referring to a group of syntactically related words, in which the subordinate member is functionally equivalent to the group, is an endocentric antecedent. The elliptation of the noun from the antecedent is enabled by the context, for that reason the forcedness of the antecedent is crucial in achieving the specificity of the referent and the informativeness of the discourse. The focus of this paper is the referential anaphora of the anacataphoric endocentric antecedent expressed by a demonstrative pronoun (Ex. Boccaccio is the one who was the first to bring Dante to the square). The endophoric antecedent (that) first anaphorically refers to its own noun (Boccaccio), i.e. to a referent who is unique, which makes the anaphora referential. Then, he cataphorically refers to the content of the relative clause, which represents a new relevant provision of an already determined referential expression and contributes to the informativeness of the statement. In such examples, the anacataphoric endocentric antecedent with the adjective relative clause is in fact the predicate of the superior clause, i.e. represents a predicative clause. If the copula, endocentric antecedent and relativizer were annulled, an independent sentence would be obtained and the informativeness of the statement would not be endangered (for example, Boccaccio was the first to bring Dante to the square). An independent sentence is an alternative to the relative one in the communicative sense, however, the expressiveness of the statement, which was achieved by emphasizing the subject by its reduplication in the relative sentence, is impaired. So the reasons are stylistic.
ALTERNATIVNI POSTUPCI PRILIKOM UČENJA PREZENTA U NASTAVI SRPSKOG KAO STRANOG JEZIKA
Authors: Novaković Aleksandar
Published: May 2022

The aim of this paper is to consider alternative procedures when learning the present tense at the beginner level of learning Serbian as a foreign language. Practice shows that foreigners who learn Serbian al level A1 have great difficulties in mastering the way the present tense is formed, both due to a lack of clear rules and due to a large number of suffixes. For example, in the formation of the 3rd person plural in the present tense, there are as many as three suffixes (-e, -u, -ju) and there is no possibility of free choice. According to a tacit rule, the present tense is studied first, and then all the other verb forms in textbooks for learning Serbian. However, the authors of this paper believe that learning the present tense should be preceded by learning imperative forms, because there is a direct link between the way the 3rd person plural in the present tense and the (second person singular form of the) imperative are generated. The imperative is a verb form that students encounter very often during their stay in the Republic of Serbia, as well as at the very beginning of the course when getting acquainted with the instructive part of the textbook (circle, underline, listen, say, etc.). In that way, the imperative becomes a form that foreigners gladly use ”for survival” in real life circumstances. In other words, knowledge of this verb form helps students find the right way to perform everyday activities until they develop basic language competencies. In this paper, the authors try to show how a changed order of studying verb forms (imperative-present) can help in mastering the formation and use of the present tense more efficiently, highlighting two very useful rules and applying them to all the verbs provided by the curricula and textbooks at the beginner level of learning Serbian. In the control group, verb tenses were studied in the order in which they were presented in the textbooks (present-imperative). In the experimental group, the order of the processed content was different (imperative-present). The results of the study showed that the students in the experimental group were able to generate imperative and present verb forms almost without any mistakes, while the success of the students in the control group varied depending on the task.
DOBA DEZINTEGRACIJE – ALTERNATIVNI OSVRT NA ŠIPARICU U DELU F. SKOTA FICDŽERALDA
Authors: Mušović Azra
Published: May 2022

The great American modernist F. Scott Fitzgerald, usually rembered as a chronicler of the 1920s, was a writer who recognized, described and popularized the modern female representative of the age – the flapper. By accepting flapper as a symbol of modernity, he offered to public audience the image of a young woman who was self-indulging, sexually liberated, egocentric, amusing and magnetically attractive. Alternatively, the heroine can be viewed as a new philosophy of romantic individualism, rebeliousness and freedom, i.e. the sublimation of romantic ideals in the new, modern age. Within the fields of feminist criticism and gender studies, the paper aims at presenting Fitzgerald’s oeuvre, which highlights the importance of inspirational symbols, specifically in a time of personal, sexual, familial and national disintegration.Convinced that men and women have a complementary nature, the author expresses restlessness because of the feminization of American culture by seductive girls as well as masculine women. In the world of modern uncertainty, an androgynous complexity becomes the alternative. However, the Fitzgerald who once presented the energetic young woman resisting the old code of morality lamented the loss of the same code and the disappearance of the patriarchal principle. Those androgynous tendencies were the impulse which supported his fascination with female nature and inspired his characterization of exquisite men and women, so that his art transcended its historical contingency.
NAJSTARIJA JAPANSKA DELA, KOĐIKI I NIHONGI, KAO PRIMER ALTERNATIVNE UPOTREBE MITOVA
Authors: Vasić Danijela
Published: May 2022

This paper deals with the alternative use of myths in Japanese antiquity, on the example of the two oldest extant books in Japan. These are the historical chronicles Kojiki (712) and Nihongi (720), which represent collections of myths and legends. Kojiki was written for the Japanese. It was created during the intensive efforts of Emperor Tenmu to create a centrally organized state. One of the measures was the compilation of an official genealogy, which showed the divine origin of the imperial and other important families, and thus proved the legitimacy of the imperial government. That is why Kojiki insists on one, carefully selected official variant of a certain myth, the one that corresponded to the ruling ideology. On the other hand, Nihongi was written for the neighboring countries, China and Korea. It was the first official Japanese historical chronicle, modeled on the histories of Chinese dynasties. That is why Nihongi emphasizes the national identity of the Japanese and proves the autonomy of the empire in relation to China and the then Korean state. The compiler also intended to collect all variants of myths and legends available throughout Japan, in order to show the richness of Japanese tradition and the diversity of local cultures. The analysis of the selected narratives shows clearly that these two chronicles from the 8th century represent an exc ellent example of the alternative use of myths for ideological and political purposes
„СМРЗНУТО ТЕЛО, А НЕ БЛАГА ОВОГА СВЕТАˮ: АЛТЕРНАТИВА КОЛЕКТИВНОМ ЖИВОТУ У СТАРОЕНГЛЕСКИМ ЕЛЕГИЈАМА
Authors: Spremić Končar Milica
Published: May 2022

Taking into account the critical practice of new historicism, especially Stephen Greenblatt’s concept of power which has always contained fragmentations and conflicts even though it seems monolithic,i.e. the subversion of the dominant order, in the paper we analyze Old English elegies ‘The Wanderer’, ‘The Seafarer’ and ‘The Wife’s Lament’. The Old English society rested on belonging to a community ̶ family, comitatus, and to a tribe ̶ in which life was regulated by the heroic code. The community falls into the new historicist concept of the dominant order as it guarantees safety and provides material resources, but also requires unconditional submissiveness and moulds each member. The Old English elegies ‘The Wanderer’, ‘The Seafarer’ and ‘The Wife’s Lament’ depict life circumstances in which individuals stop being part of the community and adopt an alternative way of life of lonesome exiles, unwillingly or sometimes even of their own free will. The alternative way of life is depicted through expressions such as ˮbereft of joyˮ, ˮof native land deprivedˮ and ˮto travel the paths of exileˮ, while remembrance of a happy life in the community is evoked by the images of a mead-hall and a gold-giver or those of love between spouses and marital happiness. The new circumstances those people face and the ways in which they accept the change reveal fragmentations within the dominant order, while their experiences lead to the conclusion that survival outside the community is a rare option. That is why voluntary and compulsory exile can be understood as the only manifestation of an alternative to the community to which the rare individuals did not want to or could not return but were rewarded instead with freedom, wisdom or stoicism.
АЛТЕРНАТИВНИ ПРАВАЦ У КЊИЖЕВНОСТИ ЗА ДЕЦУ: КЊИЖЕВНЕ ПОТРАГЕ
Authors: Вељковић Мекић Јелена
Published: May 2022

In contrast to classical stories, fairy tales and novels, that are characterized by a “closed” structure and do not require any additional intervention of the recipient, there are literary works that are based on a special author- literary text-recipient relationship. The aim of the research is to examine the specific features and forms of these alternative literary texts for children in which the reader is the decisive factor in creating the course of the story and its ending. This paper analyzes the collections of stories: Stories of Almost Everything and Pocket Stories by Igor Kolarov, Mysteries of Ginkgo Street, Mysterious Stories and Secret Skills of Marta Smart by Uroš Petrović, history quest novels: Race through Rome, Minotaur’s Maze, Tomb of Terror: Egyptians, Medieval Mayhem by Timothy Knapman, math quest novels: The Cavern of Clues, The Planet of Puzzles, Mansion of Mazes and Museum of Mysteries by David Glover and adventurous novels: Who Killed Harlowe Thrombey, Underground Kingdom and The Forbidden Castle by Edward Packard, The Abominable Snowman and The Mystery of the Maya by Raymond Montgomery, The Throne of Zeus by Deborah Lerme Goodman, By Balloon to Sahara by Douglas Terman and The Secret of the Pyramids by Richard Brightfield. Publishers and authors have labeled this relatively new class of books as “literary adventures,” “history quests,” “stories for finishing, fooling around, tickling, and who knows what else” and have warned readers that they are responsible for what will be embodied in their receptive act.
COMMONISM AND IDEOLOGY IN ALI SMITH’S “COMMON”
Authors: Ljubinković Dušica
Published: May 2022

This paper deals with alternative modes of human existence as presented in Ali Smith’s short story “Common” (2009). Commonism, according to Nico Dockx and Pascal Gielen is a new radical ideology that is based on the values of sharing, common intellectual ownership and new social co-operations. The notion of the alternative will be examined through the analysis of the characters’ in/capability to diverge from dominant ideologies as well as the analysis of the degree of alienation and liberation from both outside authority and one’s “disunited existence” (Fromm 1956) which prevents one from accepting the alternative commonist ideology. The main goal is to examine how oppressive ideologies affect both adults and children presented in the story and to determine what enables them to seek alternative ways of dealing with existence and morality. This paper addresses how family and interpersonal relationships contribute to the development of one’s method of dealing with the issue of human existence. Furthermore, the theoretical framework of the paper is based on Erich Fromm’s and Eduardo Galeano’s thoughts and writings on the state of human existence in the modern world, as well as Althusser’s thoughts on ideology and its influences.
ALTERNATIVE LITERARY HISTORIES: TONI MORRISON’S A MERCY AND COLONIAL NORTH AMERICA
Authors: Kocić Stanković Ana
Published: May 2022

The paper offers a reading of Toni Morrison’s 2008 novel A Mercy as an alternative history of colonial North America focused on empowering the powerless and giving a voice to those silenced and overlooked in mainstream histories. The theoretical framework is based on Hayden White’s idea of history as inevitably imbued with fictionalized elements, Homi Bhabha’s interpretation and Morrison’s idea of ‘rememory’ and the black feminist idea of acquiring one’s own voice by becoming the speaking subject. The main thesis is that Morrison’s book offers an alternative version of early American history by giving voices to the representatives of various minority groups from the colonial period of North America: white immigrant, African American, mixed-race and Native American women and indentured servants. Using multiple narrators, Morrison not only manages to complement ‘official’ history books but also to use individual narrators as symbols of the collective experiences of their respective groups.
AN ALTERNATIVE WORLD-VIEW: IAN MCEWAN’S NUTSHELL
Authors: Stojanović Aleksandra
Published: May 2022

The goal of this paper is to explore the alternative modes of representing Shakespeare’s Hamlet in McEwan’s novel Nutshell and to determine the purpose of including Shakespearean references in the latter. We shall explore Harold Bloom’s views on the anxiety of influence as opposed to Julia Kristeva’s notion of intertextuality and Linda Hutcheon’s theory of adaptation, in which intertextuality is used to present previous literary works solely as material for constructing a new postmodern literary framework. By analyzing intertextual relationships, this paper shows that Nutshell is a postmodern adaptation of Hamlet. The very form of narration chosen by McEwan, namely that of an unborn fetus, raises the question of the reliability of the narrator. The main source of unreliability, apart from the age and limited viewpoint of the narrator, is the wide spectrum of genres displayed in the novel, varying from a psychological thriller, to a murder mystery to a fantasy novel. The novel may thus be seen as a postmodern alternative in two manners: as a rewriting of Shakespeare’s Hamlet with the aim of presenting contemporary readers with an alternative to a well-known story and as a utilization of an alternative narrative technique that culminates in a questionably reliable narrator.
ONLINE LITERATURE COURSE MODEL: AN ALTERNATIVE TO FACE-TO-FACE TEACHING
Authors: Škobo Milena , Sentov Ana
Published: May 2022

In recent months, educators have been striving to design and introduce new remote learning formats in order to offer an alternative to in-person classroom teaching, adapt the content of their courses to online teaching and create compelling and engaging material that can be efficiently used in the virtual learning environment (VLE). Most teachers in Serbia and the Republic of Srpska, countries with a challenging social and economic situation where the education system offers limited access to high-quality alternative teaching and learning models, have never experienced or experimented with more advanced forms of remote teaching. Literary studies pose a particular challenge in this regard, as it is difficult to find reliable models of online literary courses in these countries, where formal information or recommendations on teaching literary courses online are unlikely to be found. Therefore, this paper aims to provide literature teachers at the tertiary education level with a viable alternative to face-to-face literature courses by proposing an online English literature course model that would primarily serve as a basic online counterpart to traditional English literature courses and as such, can be offered as a solid reference point for planning, designing, managing, and conducting more advanced online literature classes. The authors’ purpose is to encourage their peers to exchange ideas and to be ready to creatively adapt the ideas offered within this online literature course model to suit their needs. The online literature course model that focuses on conducting lectures in the VLE has been developed using the Victorian Literature syllabus (Department of English, Sinergija University) and the Nineteenth-Century English Literature syllabus (Department of English, Faculty of Law and Business Studies Dr. Lazar Vrkatić). This paper offers various online activities and tools that can be used to efficiently conduct literature courses with detailed procedures and guidelines to create an effective learning environment.
A coercibilidade na execução de alimentos sob a perspectiva do código de processo civil de 2015
Authors: Campos Lucas de Rezende Oliveira , Souza Ana Paula Veloso de Assis
Published: May 2022

A presente pesquisa é qualitativa, tendo como método utilizado a pesquisa exploratória, na qual, foram revisadas doutrinas, jurisprudências, artigos científicos e dentre outras fontes de conhecimento essenciais, para as discussões aqui traçadas, neste contexto, o tema a ser trabalho é: a coercibilidade na execução de alimentos sob a perspectiva do Código de Processo Civil de 2015. Com isso, dividiu-se este artigo em três seções, com fulcro em auxiliar a leitura, a primeira parte traz a discussão acerca da obrigação alimentícia de forma breve, na segunda seção, discorre-se sobre as formas de execução de alimentos de acordo com os preceitos normativos do Código de Processo Civil de 2015, por fim, na última seção, aborda-se os reflexos gerados na obrigação alimentar por causa da chegada da pandemia. Ao final, se torna possível concluir que, essas novas formas coercitivas que o legislador de 2015 trouxe são maneiras de fixar a credibilidade e o fundamento do direito do alimentante.
El servicio social frente a la estructura universitaria y los modelos educativos de hoy
Authors: Sánchez Josefina Barojas , Barragán Héctor Herrera
Published: May 2022

En este trabajo se consideran tres aspectos: uno, introductorio, parte de un interés específico concerniente a la indefinición del marco de la ley con respecto al servicio social y desemboca en una reflexión sobre la pertinencia del mismo en el marco de la universidad pública autónoma y en el contexto de la propuesta educativa universitaria que tiende a ser dominante en el ámbito nacional e internacional; otro, relacionado con una propuesta específica de seguimiento y evaluación del servicio social en la Coordinación de Psicología de la Universidad Juárez Autónoma de Tabasco [UJAT] y la experiencia efectiva que se ha tenido en el curso de dos años de estar en operación y; uno último, fundamental, consistente en un esfuerzo de análisis crítico de las vicisitudes del programa que se ha implementado en dicha coordinación, lo cual comprende las problemáticas de los estudiantes en cuanto a su inserción en un campo profesional considerando que el servicio social exige precisamente de habilidades profesionales y, por el lado de la universidad, el reto que supone la integración de esta práctica profesional en los nuevos formatos de formación por competencias.
An observational study of correlation of cardiac manifestations with severity of COPD.
Authors: Chawla Dr. Karan , Golwalkar Dr. Jayant K. , Shaikh Dr. Nisar , Chavre Dr. Pratap
Published: May 2022

Introduction: Various systemic manifestations and complications have been observed throughout the course of Chronic Obstructive Pulmonary Disease. Out of those manifestations one of the important manifestations is cardiac involvement. The major and well-known cardiac complications of COPD are pulmonary vascular disease and its impact on right ventricular function, higher incidence of myocardial infarction and arrhythmias. These complications correlate inversely with survival. Aim: To study cardiac manifestations in COPD patients and its correlation with severity of the disease. Methodology: This observational study was conducted in the department of medicine at a tertiary care hospital in Solapur, Maharashtra. Data of 80 patients diagnosed and their cardiac status assessed on the basis of clinical findings, radiological changes and spirometry, electrocardiography and echocardiography. All patients were analyzed for cardiac involvement based on symptomatology, ECG and 2D-ECHO results. Results: Out of 80 COPD patients 6 patients were GOLD class 1 (mild), 28 in class 2 (moderate), 36 in class 3 (severe) and 10 patients belonged to GOLD class 4 (very severe). Cardiovascular complications were found in 40 patients out of 80. Of these, pulmonary hypertension was found in 45%, IHD in 30%, cor-pulmonale in 20% and arrhythmias were found in 10% of which supraventricular arrhythmias were seen in 75% and ventricular arrhythmia in25%. Conclusion: Our study concluded that patients with mild to moderate COPD may also have cardiac complications. Due to common symptomatology, they are difficult to diagnose. Hence, it is necessary at the time of initial diagnosis to carry out ECG and 2DECHO for early detection and for better management of these patients.
Prolonged Apnoea after Suxamethonium, Diagnosis & Treatment: A Case Report
Authors: Pol Dr. Milind , Joshi Dr. Lalitram
Published: May 2022

Plasma Cholinesterase Deficiency is an autosomal recessive inherited blood plasma enzyme abnormality in which the Body’s production of butyrylcholinesterase is impaired resulting in prolonged apnoea following depolarising muscle relaxants like Succinyl Choline (Suxamethonium) or Mivacurium. This is associated with paralysis & little or no neurological response. Individuals with plasma cholinesterase (Pseudocholinesterase) deficiency are often diagnosed only after experiencing prolonged apnoea after standard intubating dose of Succinyl Choline. Plasma Cholinesterase is not produced artificially & can be supplied through Blood & fresh frozen plasma. Hence treatment includes mechanical ventilation & supplementation of either whole blood or fresh frozen plasma.
Posterior vault distraction osteogenesis in Apert syndrome
Authors: Raposo-Amaral Cassio , Raposo-Amaral Cesar Augusto , Ghizoni Enrico
Published: May 2022

Apert syndrome is an uncommon autosomal dominant condition with a varied clinical spectrum which includes  premature cranial and facial suture fusion and complex upper and lower limb syndactilies. In this manuscript, we share our posterior vault distraction osteogenesis (PVDO) experience regarding Apert syndrome patients so that a larger patient population may benefit. In addition, we aimed to determine an onset of elevated intracranial pressure in the long term follow up.

A retrospective study was performed on consecutive patients with syndromic craniosynostosis who were diagnosed with Apert syndrome, underwent PVDO between 2012 and 2019, and received at least 2 years of follow-up care. Demographic data, diagnosis, surgery related data, and outcome data (perioperative and mid-term complications and need for additional surgery), were verified by means of medical records, clinical photographs, radiographic images, and interviews with all included patients and/or their parents.

The present study included 14 patients who were diagnosed respectively with Apert syndrome (n = 14). The average posterior advancement distance achieved was 19.37 ± 3.0 mm. Two patients included in this study presented major complications, but neither experienced permanent sequelae or a lethal course. Two Apert patients presented cerebral spinal fluid (CSF) leakage (Clavien–Dindo type II).   One patient presented a onset of elevated intracranial pressure at 4 years of follow up.

PVDO is an effective procedure at alleviating intracranial pressure and present a low complication rate.
Pelatihan Belanja Online dan Jasa Antar Langsung Pada Pedagang Pasar Tradisional di Pasar Wadung Asri Sidoarjo
Authors: Ella Anastasya Sinambela  , Rahayu Mardikaningsih
Published: May 2022

Community service activities are carried out as a form of concern for others. Community service is carried out as a forum to provide assistance in the form of knowledge to the community. This activity indicates that the implementers of community service activities contribute to the progress of the nation. This community service activity was carried out by a lecturer at Sunan Giri University, Surabaya. This training was attended by 20 vegetable traders in Sidoarjo's Wadnung Asri Market. This activity is carried out to help traditional traders at the Wadung Asri Market, Sidoarjo. The implementation of community service activities is carried out for approximately 2 hours. The presentation and training was carried out so that traditional traders at the Wadung Asri market in Sidoarjo could provide delivery services to customers and shop online with the Whatsaap application. This is done so that traditional traders can keep up with technological developments that have been applied to the modern market. In this activity, materials such as plastic and rope are also provided to make safe packaging when providing direct delivery services to customers. In addition, this activity is also carried out to build good relations between the community and the community of Sunan Giri University Surabaya
Estilos de liderazgo en empresas restauranteras de la ciudad de Ensenada Baja California México
Authors:   Universidad Autónoma de Baja California, Calderón Aguirre Alicia , Aranibar Mónica Fernanda ,   Universidad Autónoma de Baja California, Ramírez Barón María Concepción ,   Universidad Autónoma de Baja California, García Rivera Blanca Rosa ,   Universidad Autónoma de Baja California
Published: May 2022

En México la industria restaurantera es la segunda más importante para la generación de empleo en el sector de servicios. En la ciudad de Ensenada, esta industria ha tenido un auge creciente, no obstante, se ha percibido que los negocios, en especial las MiPES, no logran consolidarse y cierran permanentemente, para algunos autores el liderazgo influye en la consolidación de estas empresas en el mercado, es por ello que el objetivo de este capítulo consiste en caracterizar el estilo de liderazgo en la industria restaurantera de Ensenada Baja California, metodológicamente se hizo el abordaje con un alcance descriptivo, con diseño documental, ya que en esta primera etapa se recuperó información documental de la situación actual en la industria gastronómica de Ensenada. Se llego a la conclusión que comprender de qué forma un liderazgo eficiente puede promover mejores resultados, permitirá que la desaparición de las empresas que hacen vida en esta industria disminuya significativamente.
Actitud de los docentes sobe la implementación de las tics antes y durante la pandemia del covid-19 en los procesos de enseñanza y aprendizaje
Authors:   Universidad de Pamplona, Contreras Manrique Rocío de Belén , Toloza Martínez Claudia Elizabeth ,   Universidad Francisco de Paula Santander, Contreras Manrique Liliana ,   Universidad de Pamplona
Published: May 2022

Los docentes a nivel universitario en la interacción con los pares antes de la pandemia del COVID 19, no implementaban las TIC; ya que la mayoría de ellos tenían una actitud de rechazo y se justificaban, porque no sabían manejarlas, ni su beneficio en la didáctica pedagógica. La implementación de las TIC, poseen diversas metodologías como la sincrónica y asincrónica inversa, donde el educando es proactivo, siendo responsable en su quehacer educativo. Desafortunadamente, antes de la pandemia, las herramientas TIC, tuvieron un incorrecto uso, favoreciendo el ciberbullying, el plagio; por tal motivo, no las utilizaban; porque pensaban, que no desarrollan el análisis crítico, reflexivo; siendo relevante las TIC en el apoyo a nivel educativo, social, económico en la orientación de la interacción socioeducativo. El enfoque abordado fue el cuantitativo con un diseño descriptivo, muestreo intencional y con una muestra de 100 docentes de la UFPS y se aplicó una encuesta. La investigación tuvo como propósito analizar la actitud de los docentes en la implementación de las TIC en el COVID-19 en los procesos de enseñanza y aprendizaje; también, se identificó las TIC utilizadas por parte de los docentes antes y durante el COVID en la didáctica pedagógica. Resultados: Antes de la pandemia, los docentes implementaban herramientas como el e-mail, WhatsApp y esporádicamente el Plad. Por lo tanto, durante el COVID tuvo un mayor incremento en las nuevas plataformas como zoom, teams, moodle, bibliotecas virtuales y se vio un incremento en la base de datos de la biblioteca virtual UFPS. Un 90% los docentes con actitud positiva hacia las TIC en la didáctica pedagógica, se llegó a la conclusión que las TIC son valiosas en el proceso de enseñanza aprendizaje y la pandemia tiene un gran significado, ya que estas nunca se habían utilizado en las nuevas plataformas virtuales en la educación.
Efficacy of rituximab in patients with rheumatoid arthritis
Authors: Muhammad Bilal  , Ullah Ansar , Khattak Saima
Published: May 2022

Objective: To determine the efficacy of rituximab 2×500mg in rheumatoid arthritis patients.
Methods: The descriptive case series was conducted at the Department of General Medicine, Lady Reading Hospital, Peshawar, Pakistan, from November 25, 2018, to May 24, 2019, and comprised patients of either gender aged 30-60 years with rheumatoid arthritis diagnosis for >6 months. The patients received 2 doses of rituximab 2×500mg through intravenous infusion with pre-medications as a standard protocol. A follow-up visit was recommended for each patient after 24 weeks. The efficacy of the treatment in terms of disease progression and improvement were observed using the Disease Activity Score-28 scale at the baseline and on follow-up. Data was analysed using SPSS 20.
Results: Of the 97 patients, 83(85.6%) were female and 14(14.4%) were male patients. The overall mean age was 50.68±14.27 years. The baseline score was 6.68±1.14 while the follow-up score was 4.62±0.93 (p<0.05). In terms of efficacy, 25(25.8%) patients showed no improvement, while 72(74.2%) had improvement.
Conclusions: Rituximab 2×500mgI was found to be an effective treatment option for rheumatoid arthritis patients.
Key Words: Rituximab, Disease-modifying antirheumatic drug, DMARD, Rheumatoid arthritis, Efficacy, DAS-28 score.