bluuebunny/crossref_metadata_2025 huggingface dataset:
The lived experiences of providing nursing care in coastal areas: A qualitative study
Authors: Bayhakki  , Nurul Huda  , Yesi Hasneli
Published: October 2024

Objective: To explore nurses’ experiences in providing care in coastal areas.Method: The phenomenological study was conducted from July to September 2020 in two coastal areas located in theRiau province of Indonesia, and comprised nurses working in public health centers, hospitals and district health offices.Data was collected using in-depth interviews. Data was subjected to thematic analysis.Results:Of the 13 nurses, 10(77%) were females and 3(23%) were males. The overall age range was 24-44 years. Four themesthat emerged were health problems in coastal areas, obstacles in nursing care delivery, irrelevant duty, and procedures indelivering nursing care. There were a total of 10 sub-themes as well.Conclusion:Despite the challenged faced by the nurses, communities in coastal areas deserve to get due healthcare services.Keywords: Nursing care, Coastal areas, Experiences, Qualitative.
The utilization of provider-initiated testing counselling services for citizens at risk of HIV/aids at the polyclinic of class IIA Abepura penitentiary in Papua province
Authors: John Toding Padang  , Agung Waluyo  , Sri Yona  , Aria Kekalih  , Nurul Huda
Published: October 2024

Objective: To analyse the factors related to the use of provider-initiated test and counselling services for inmates at high risk of HIV /AIDS.Method: This descriptive cross-sectional study was conducted at the Polyclinic of Class IIA Abepura Correctional Institution, Papua Province, Indonesia, from November to December 2020, and involved 140 inmates, of age 18 years or older selected by simple random sampling technique, at high risk of HIV after obtaining informed consent. All had been tested for HIVstatus were fluent in Indonesian and willing to participate in the study. The use of provider-initiated testing and counselling services was recorded in 112 (80%) cases. Data were collected using a structured questionnaire exploring aspects relatedto testing and counselling. Data were analysed using SPSS v.21.Results: The association between use of provider-initiated testing and counselling services and acceptance of HIV/AIDS related stigma and discrimination was significant (odds ratio=20.781; p<0.001). The association between use of provider-initiated testing and counselling services was also significant with belief in its usefulness (odds ratio=12.372; p<0.001), family and institutional support (odds ratio = 9.993; p<0.001), need for services (odds ratio = 6.587; p<0.001), and knowledge of services (odds ratio = 6.130; p<0.001).Conclusion: It is essential to build a cross-programme collaboration between health workers and security officers in the form of regular counselling to reduce the stigma and discrimination among inmates.Keywords: Immunodeficiency, Odds Ratio, Counselling, HIV, Prisoners.
Nutritional fulfillment for anaemia prevention in female adolescents: Perceived benefits, barriers and commitment
Authors: Mira Triharini  , Ni Ketut Alit Armini  , Retnayu Pradanie
Published: October 2024

Objective: To identify the correlation of preventive nutrition for anaemia with perceived benefits, perceived barriers andcommitment among young females.Method: The correlational, cross-sectional study was conducted from June to July 2022 in Surabaya, East Java, Indonesia,and comprised young females. The independent variables were perceived benefits, perceived barriers, and commitment.The dependent variable was preventive nutrition for anaemia. Data was collected online using Google Form. Data wasanalysed using a software SPSS version 23Results: There were 112 females with mean age 19.63±1.501 years. There were 101(90.2%) aged 18-24 years, and 100(89.3%)were in senior high school. Perceived benefits (p=0.021; r=0.218), perceived barriers (p=0.002; r=-0.286) and commitment(p=0.000; r=0.345) had a significant relationship with preventive nutrition for anaemia.Conclusion: Perceived benefits and high commitment to increase preventive nutrition against anaemia was seen in femaleadolescents. However, high perceived barrier could suppress their preventive nutrition.Keywords: Adolescent behaviour, Anaemia, Diet, Health promotion, Nutritional status.
Breaking down barriers: creating a community of learning development at the University of St Andrews
Authors: Harris Eilidh , Villegas Paula
Published: October 2024

This presentation outlined a collaboration that delivered an integrated in-sessional academic and learning development provision for students at the University of St Andrews.  Staff from the student learning development team in the Centre for Educational Enhancement and Development, and the Academic English Service, situated in the International Education Institute, partnered to bring previously segregated provisions together for academic year 2023/24.
Historically both units have provided separate in-sessional one-to-one tutorials dictated by students’ first language or stage of study, but with overlap in some skills areas such as writing development.  Each service had different parameters in terms of who could access the tutorials and how often they could do so.  Due to the restrictions of each provision, and the siloed nature of the services, we identified that students were often not accessing the most appropriate form of tutorial, and that some tutorials were not being used to best effect.
The provision has been reimagined to proffer a new Academic Development Community with the aim of creating a more effective and inclusive resource.  This presentation unpicks motivations for pursuing a unified service and reflects on the changes made. The session shared the results of qualitative and quantitative student feedback on the newly aligned provision, and the perceptions of focus group participants on the unified service and relationship with contributing units. Combining the feedback collected thus far with our own professional reflections we explored the outcomes of these changes, as well as the challenges encountered in our collaborative approach.  We concluded by sharing the future directions of this collaboration.
A co-creation approach to using generative AI for enhanced learning gain
Authors: Webster Rachel , Griffin Stephen Michael , Chatterjee Irene , Kuriakose Anitha , Nguyen Hieu
Published: October 2024

This presentation explored how the University of Birmingham’s Academic Skills Centre (ASC) is responding to urgent needs to equip taught students with the skills and knowledge for effective use of generative AI (GAI) tools for study. As Martin Compton (2023) noted, there is an ‘ongoing drive to centre information literacy and critical-thinking skills in the development of our students’. The introduction of tools like ChatGPT and Copilot reshapes how knowledge is acquired and applied, underscoring this imperative.
With expertise in embedding information literacy and critical thinking across a range of disciplines, learning developers are uniquely equipped to adapt these skills to the challenges posed by GAI. Through this adaptation, students will be better positioned to navigate the complexities of studying and learning in environments influenced by GAI. Learning developers can take the lead in shaping the ethical frameworks and guidance for using GAI tools. Our ASC produced the university’s student-facing guidance on using GAI tools and is currently working with postgraduate students — ‘GAI Ambassadors’ — to co-create an interactive and accessible Canvas resource. A co-creation approach has allowed these students to be active participants in their own learning (Katz, 2021) whilst ensuring they bring their unique perspective to using these tools. Ultimately, this presentation had a dual purpose: to allow us and our students to showcase what we have produced and to share best practice; secondly, advocating for learning developers, alongside their students, to be at the forefront of leading university policy on how and when GAI tools should be used.
Critical learning development and the crisis of the university: a collective consideration
Authors: Asher Gordon
Published: October 2024

This participatory session concerned consideration of the ‘critical turn in LD’ (Syska and Buckley, 2023: 107), manifest through an emerging critical LD movement – as centring an academic literacies approach (Hilsdon, 2018; Asher, 2022, 2023a; Dhillon, 2023; Rooney, 2023) – as a response to ‘the crisis of the university’ (Bacevic, 2017). The focus is on the positionality of LD/LDers within the increasingly neoliberal university, and to this critical learning development movement. Time and space are provided for sharing experiences, worries and hopes for LD/HE and to collectively explore the contemporary realities/trajectory of LD/HE – and alternative futures.
The central cause of the crisis of UK HE, exacerbated by government and senior management responses to COVID-19, is intensifying and accelerating processes of the ‘deep neoliberalisation’ of the public university – reflected in industrial action concerning ‘pay devaluation; pay inequality, based on gender and race; excessive workloads; and casualisation’ (Hall, 2020a). The session explores where LD/LDers are positioned within the HE crisis, before considering how critically oriented LD/LDers who believe HE should be a social and public good can best respond to the crisis, while connecting such to wider contemporary societal and global crises. Specifically:

How might LD/LDers respond to different contexts of crisis in ways that encompass LD’s developmental/pedagogical ethos, emancipatory values and empowering academic literacies approach (Syska and Buckley, 2023; Webster, 2019)?
How do we link with wider critical educational theories, practices, communities and struggles?
What might be the role of critical Learning Development and academic literacies?

The objective is critical reflection on contemporary LD/HE contexts – with take-aways, as thus grounded in actual lived experiences of the crisis, including:

Developing understandings as to self, team and LD contemporary positionality.
Considerations of possible actions and next steps, including the potential for an ALDinHE CoP focused on critical LD and academic literacies.
Resisting ideological echo chambers: if we are all critical pedagogues, how will we know we are doing LD well?
Authors: White Steven
Published: October 2024

At the launch of How to be a Learning Developer in higher education (Syska and Buckley, 2024), a common thread emerged during contributor presentations: the need to develop a shared critical approach to position ourselves effectively within higher education. This approach would identify and implement strategies to resist the challenges of neoliberalism, working towards social justice for our students, using critical pedagogy. These themes are relatively common in the LD literature, and the ALDinHE value of ‘embracing […] critical pedagogy’ accompanies the manifesto statement that ‘neutrality is not an option’ (ALDinHE, 2023). These terms carry political connotations and implications for LD practice. Together, these factors suggest a move to develop a ‘signature’ critical LD pedagogy, underpinned by an explicitly ideological vision. Under these circumstances, we risk constructing ‘a bounded, enclosed media space that has the potential to both magnify the messages delivered within it and insulate them from rebuttal’ (Jamieson and Capella, 2008, p.76) — in short, an echo chamber. This raises some important questions:

Given the explicitly political nature of critical pedagogy, in recruitment of new LD colleagues, should we test for and limit entry to our critical pedagogy club to those with ‘acceptable’ political views?
Critical pedagogy is skeptical of dominant narratives. How will we prevent critical pedagogy from becoming the dominant narrative in our community?
What if we are wrong? Even if our diagnosis of the challenges we face is correct, how will we test our solutions in the absence of robust challenges from alternative perspectives?
Analisis Pertimbangan Hakim Terkait Operasi Tangkap Tangan Tindak Pidana Narkotika
Authors: Yansah Nopri
Published: October 2024

The problem in this research is what is the basis of the judge's considerations in Decision Number: 317/Pid.Sus/2021/PN.Plg, and whether Decision Number: 317/Pid.Sus/2021/PN.Plg is in accordance with the Laws of the Republic of Indonesia Number 35 of 2009 concerning Narcotics Juncto Emergency Law of the Republic of Indonesia Number 12/Drt/1951. This research is a type of normative research. Normative legal research is research that places law as a system of norms. The norm system in question is about principles, norms, rules from laws and regulations, court decisions, agreements and doctrines (teachings). Therefore, this research was carried out by analyzing the court and its general vision from various aspects of the case that occurred in Decision Number: 317/Pid.Sus/2021/PN.Plg. The results of the research showed that the basis of consideration used by the judge was the balance of the elements of the article being charged, the ability to take responsibility for the witch, the absence of justifiable and forgiving reasons and the presence of aggravating and mitigating circumstances. Decision Number: 317/Pid.Sus/2021/PN.Plg there is an error in the application of the article so that it is contrary to Law of the Republic of Indonesia Number 35 of 2009 concerning Narcotics and the decision does not reflect the principles of justice, the principle of expediency and the principle of legal certainty.
Analisis Hukum dalam Penggunaan E-Materai di Kantor Notaris/Pejabat Pembuat Akta Tanah (PPAT)
Authors: Aji Anella Amayaffa  , Deny Slamet Pribadi  , Khristyawan Wisnu Wardana
Published: October 2024

This study focuses on the analysis of legal studies in the use of e-stamps in notary offices/land deed making officials (PPAT). This study aims to determine how the use of e-stamps in authentic deeds made before a notary/PPAT and how legal protection is provided for e-stamp users in notary/PPAT offices. This study uses a doctrinal approach which is a type of legal research on a collection of written norms/regulations and other secondary legal materials. The results obtained from this study are, first, that documents affixed with e-stamps are perfect evidence if used as evidence at a conference, the existence of e-stamps does not affect the validity of civil documents, only the authentic evidentiary force is degraded to a private deed due to the prohibition as stipulated in Article 5 paragraph (4) letter b of the ITE Law. Second, legal protection if the disputed document can be preventive, namely education and socialization related to the use of e-stamps in authentic deeds and repressive, namely providing protection to buyers as victims related to lawsuits for the Cancellation of certificates issued due to legal defects related to e-stamps sold to the State Administrative Court.
Perizinan Lingkungan Sebagai Upaya Mengendalikan Pencemaran Akibat Industrial Waste Sesuai Undang-Undang Nomor 6 Tahun 2023
Authors: Dea Amalia Novela  , Sadino  , Aris Machmud
Published: October 2024

This journal examines environmental permits in the enforcement of current legislative rules aimed at mitigating industrial pollution. The author elucidates that the issue of environmental pollution stemming from industrial waste has emerged as a global concern, as it poses a threat to human health and environmental sustainability. Despite the existence of legislation concerning environmental contamination, numerous infractions continue to be perpetrated by industry. The urgency of this research is considering that the environmental permit policy is a preventive government tool as an effort to control community behavior, and also repressive in overcoming environmental problems caused by human activities. Environmental licenses are a crucial governmental regulation designed to safeguard the environment from industrial waste contamination, thereby preventing harm that could adversely affect the community. Consequently, obtaining an environmental permit is crucial for implementing legislation pertaining to environmental protection, ensuring that industries adhere to established standards and are accountable for their waste production. The author asserts that robust environmental legislation may eliminate industrial waste contamination. Nevertheless, sustained collaboration is essential among all stakeholders, including the government, industry, and society, to guarantee the success of these initiatives.
INVESTIGATIONS ON THERMAL PERFORMANCE OF AN ELECTRONIC BOARD USING CONDUCTION-BASED FINITE ELEMENT METHOD WITH A NEW MODELING APPROACH
Authors: Usul Yener , Başkaya Şenol , Acar Bülent , Çalışır Tamer
Published: October 2024

Electronic systems are used in almost all areas of industry, with an increasing power consumption rate. This trend makes thermal management of electronics compulsory in order for proper operation. Several methods can be employed to examine electronics’ thermal behavior. Conduction-based Finite Element Method (FEM) for heat transfer analysis is one of them; providing accurate solutions within short solution times is one of its outstanding advantages. Nevertheless, the fluid inside or around the system, usually air for electronic systems, is not included directly in the conduction-based FEM analysis model. This is an essential deficiency in terms of solution accuracy. If this drawback is overcome, conduction-based FEM will become a preferred analysis method, especially for transient problems under natural convection. In this study, a conduction-based FEM analysis model of an electronic board with two heat-dissipating components inside an enclosure under transient natural convection was developed. The procedure of the model involves the correction of unknown input parameters. An experimental investigation was performed, the results of which were used as reference values for the correction process. These unknown parameters were determined iteratively. The iteration was continued until the results of the analysis and those of the experiment matched. The difference between the results of the analysis and those of the experiment was less than 2-3°C. Some parametrical thermal investigations were performed on the electronic board using the final analysis model.
Environmental Factors Affecting Growth of MSME’s Owned by Entrepreneurs with Disabilities in Rural Areas in Kenya: A Case of Meru County
Authors: Lyria Rita , Gichuru Johnstone , Njoroge Justine
Published: October 2024

Purpose: In the recent past, the government of Kenya has paid much attention to entrepreneurship primarily because of the positive relationship between entrepreneurship, job creation and economic growth. In Kenya, over 1.3 million Persons live with disabilities with most of them being generally economically deprived and over-represented among the poor. The aim of the study study was to investigate the external business factors affecting growth of MSME’s owned by entrepreneurs with disabilities in rural areas in Kenya: a case of Meru County.
Methodology: The target population comprised of 2021 entrepreneurs with disabilities. The researcher used a combination of stratified sampling, census and purposive sampling method to select the respondents. Data was collected by administration of questionnaires designed based on the research objectives. The data collected was then coded, entered, and analyzed using Statistical Package for Social Sciences (SPSS).
Findings: The findings showed that if all factors; political-legal environment, social –cultural environment and technological environment had a positive and significant effect on growth of MSME’s. Political –legal factors had the greatest effect at 0,882, followed technological at 0.799 while social factors had 0.633.
Unique Contribution to Theory, Practice and Policy: The study recommended that the government should provide adequate and timely funding to vocational and technical training institutions. Government funding programs such as Women, Youth and Uwezo fund should increase the minimum loan amount, simplify loan application process and ensure timely disbursement of funds as well as establish strategies of lending to individuals. Finally, a mentorship office should be established in every constituency to offer sector specific programs including activities geared towards exposing EwD’s to successful entrepreneurs.
AI use in the workplace. Some legal risks and challenges
Authors: VOLOSEVICI Dana
Published: October 2024

As Artificial Intelligence (AI) advances, businesses benefit from its ability to exponentially enhance process effectiveness and efficiency, while also facing risks related to personal data protection, human dignity, and ultimately, human identity. This article aims to investigate two domains where AI is frequently employed in labor relations: recruitment and employee monitoring. In these areas, the article seeks to discuss aspects that could help clarify the conditions for the legitimate use of AI. A potential application of the ECJ's SHUFA case solution in recruitment is proposed, while the case of Amazon France Logistique is analysed concerning AI-based employee monitoring.
Optimizing goldfish hatchery of the oranda variety Carassius auratus to improve cultivation performance at BSD fish farm
Authors: Iskandar Andri , Nurfauzi Eka Haris , Carman Odang , Indriastuti Cecilia Eny , Siregar Budyansah
Published: October 2024

The business of cultivating ornamental fish is quite popular because its sales are profitable for cultivators. Ornamental fish also have attractive colors; therefore, many people are interested in this commodity. One ornamental fish commodity that is in great demand is the oranda goldfish Carassius auratus, which has a variety of colors, unique movements, and body shapes. The annual increase in market demand for oranda goldfish reaches 95,000 fish annually, and each year, there is an increase in the production of 3,000 fish of around 3% each year. This study was carried out in an effort to explore technical information on goldfish cultivation so that the information obtained can be disseminated widely and used as a reference source for the community so that it will add value to the benefit of improving sustainable welfare. The results of the study show that the technique of spawning oranda goldfish can be performed naturally using a substrate in the form of a water hyacinth. The average fecundity produced by one female parent oranda goldfish was 6429 eggs, with a presentation hatching rate of 74% and a presentation survival rate of 64%.
Fluxes of carbon dioxide gases (CO2) in the mangrove soil of Passo Village, Ambon City
Authors: Rahman Rahman , Ratuluhain Eva Susan , Fakaubun Fahrul Rozy , Soukotta Imanuel Villian Trayanta
Published: October 2024

Mangrove ecosystems play a significant role in carbon absorption. However, the accumulation of organic matter in mangrove sediments undergoes decomposition, which triggers the release of CO2 gas flux. This study aimed to analyze the CO2 gas flux in mangrove sediments of Negeri Passo, Ambon City. Gas data collection was performed using cylinder canopies at the three observation stations. Gas was passed through the syringe five times with an interval of 30s. Gas concentration analysis was carried out using the gas chromatography method, while CO2 flux was analyzed with flux equations referring to slope regression, volume and area of the scope, temperature, molecular weight of the gas, ideal gas settings, and time constants based on gas intake intervals. The results showed that the average CO2 concentration in St. 1 was 465.14 ± 96.52 ppm, and was the lowest compared to St. 2 and St. 3 with values of 638.60 ± 90.05 ppm and 630.98 ± 54.09 ppm, respectively. Meanwhile, the average CO2 flux was 50.44 mg/m2/hour. The largest CO2 gas flux was observed at St. 2 at 103.69 mg/m2/hour. Meanwhile, the lowest flux was found at St. 3, which was 16.24 mg/m2/hour. Based on this, it can be concluded that] the mangrove ecosystem in Negeri Passo has a higher concentration of CO2 gas than the average concentration of climate change stabilization scenarios. However, the CO2 flux was lower than that at other locations in the Ambon Dalam Bay area. In addition, the potential for significant carbon sequestration based on the Tier 1 model approach indicated that mangrove ecosystems in this location play an important role in climate change mitigation.
Dijital Oyun Konusunda Ebeveynlerin Uyguladıkları Stratejiler ve Çocukların Dijital Oyun Bağımlılık Eğilim Düzeyleri Arasındaki İlişki
Authors: Ertekin Emin , Çoban Ömür
Published: October 2024

Günümüz dünyasında sağlıktan, eğitime, ulaşıma birçok alanda vazgeçilmez olan teknoloji, sadece bu alanları etkilemekle kalmayıp çocuklarımızı hatta onların oyun anlayışlarını da etkilemektedir. Özellikle COVİD 19 salgın döneminde okul öncesi eğitimdeki çocukların dijital oyun eğilimleri artmış ve ebeveynler bununla başa çıkma konusunda yetersiz kalmışlardır. Bu araştırmanın amacı, okulöncesi dönemdeki çocukların dijital oyun konusunda ebeveynlerin uyguladıkları stratejileri ve çocukların dijital oyun bağımlılık eğilim düzeyleri arasındaki ilişkiyi saptamaktır. Bu nedenle “okulöncesi dönemdeki çocukların dijital oyun konusunda ebeveynlerin uyguladıkları stratejileri ölçeği” ve çocukların dijital oyun bağımlılık eğilim düzeyleri ölçeği kullanılmıştır. Bu araştırma 2022-2023 eğitim öğretim yılında Ankara ili Mamak İlçesi Minik Kalpler Anaokulu velileri ile yürütülmüştür. Bu araştırmada hem nicel hem de nitel desen eş zamanlı olarak kullanılmıştır. Nicel kısmında toplamda 36 öğrencisi bulunan bu okulda 36 veliye “çocukların dijital oyun konusunda ebeveynlerin uyguladıkları stratejiler” ve “çocukların dijital oyun bağımlılık eğilim düzeyleri” ölçekleri uygulanmıştır. Nitel kısmı için ise yarı yapılandırılmış görüşme formu hazırlanmıştır. Bu formla hem yüz yüze görüşmeler yapılmış hem de 8 ila 10 arası ebeveyn ile odak grup görüşmesi yapılmıştır. Araştırma sonucuna göre, çocuklarının dijital oyun eğilimlerinin orta düzeydedir ve dijital oyun konusunda ebeveynler en fazla aktif ebeveyn stratejisi uygulamaktadırlar. Bununla birlikte, dijital oyun bağımlılığı eğilimi ile dijital oyun konusundaki ebeveyn stratejilerinden serbest rehberlik ve dijital yönlendirme arasında pozitif yönlü ilişki bulunmaktadır. Velilerin dijital oyun bağımlılığı ile başa çıkabilmeleri için onlara aktif ebeveyn rehberlik stratejileri uygulama konusunda derinlemesine eğitimler verilmelidir. Bununla birlikte okul müdürlerine aktif ebeveyn rehberlik stratejileri uygulama konusunda verilecek eğitimlerle farkındalık kazandırılmalıdır. Alan araştırmacıları ise aktif ebeveyn rehberlik stratejileri uygulama konusunda etkili bir eğitim programı geliştirebilir ve bu stratejilerin etkililiğini araştırabilirler.
Walking and mapping methodologies: creative explorations of people’s relationships with space
Authors: Bradley Jessica , Herrick Tim , Szabó Tamás Péter
Published: October 2024

This discussion note reflects on the experiences of collaborating to produce a hybrid workshop on walking and mapping methodologies (author 1 & author 2, 2023) building on research, scholarship and teaching in this area that we, the authors, have been undertaking over the past decade. The workshop explored how walking and mapping might be used in educational settings, in particular multilingual and transnational environments in higher education institutions. It brought together multidisciplinary perspectives on ‘space’, drawing on creative inquiry and applied linguistics, linguistic landscapes, and social geography. Our workshop was aimed at anyone with interests in creative approaches to research, particularly those engaged with participants’ lives and interactions within, across, and through space; and we intended to examine the challenges and opportunities of these approaches, including applications in their own research, scholarship and teaching. Here we outline the processes and thinking behind them, in the form of a two-part dialogue. We raise questions for researchers and educators about boundaries between research, teaching and scholarship, in addition to how walking and mapping methodologies might be critically engaged with in higher education.
Surgical treatment of infective endocarditis: some experiences at the Heart Institute, Ho Chi Minh City
Authors: Ho Huynh Quang Tri , Pham Thi Mai Hoa , Van Hung Dung , Pham Huu Minh Nhut , Bui Minh Trang
Published: October 2024

Objective: To determine the factors associated with in-hospital mortality and the appropriate timing of operation in patients with infective endocarditis undergoing cardiac surgery.
Methods: Cross-sectional study in patients admitted to the Heart Institute from 01/01/2021 to 31/12/2023 who had a diagnosis of infective endocarditis and had undergone cardiac surgery within the same hospital admission.
Results: 128 patients (87 men, age: 44,8 ± 15,8 years) were enrolled. Streptococcus (37,5%) and Enterococcus (12,5%) were the most frequent pathogen agents. Aortic valve replacement and mitral valve replacement or repair were the main procedures. In-hospital mortality was 6.3%. The factors associated with in-hospital mortality included the presence of a prosthetic valve or pulmonary artery graft, abscess and/or fistula, and severe heart failure necessitating urgent operation. Preoperative duration of antibiotic therapy >21 days vs ≤21 days, and >14 days vs ≤14 days had no influence on in-hospital mortality. There was no infective endocarditis relapse. While waiting for cardiac surgery, the cumulative incidence of embolic events rose markedly beginning from the 3rd week after antibiotic therapy initiation.
Conclusions: Factors associated with in-hospital mortality should be taken into account in the preoperative risk assessment. Patients with infective endocarditis who have indication for cardiac surgery and favorable response to antibiotic therapy should be operated after 2 weeks of antibiotic treatment.
Pulmonary aortic endocarditis in patient with patent ductus arteriosus
Authors: Dam Hai Son , Nguyen Cong Huu , Pham Thanh Dat
Published: October 2024

Introduction: Right-sided heart endocarditis is uncommon, comprising only 5-10% of all infective endocarditis cases. The infective process may be isolated to pulmonary valve or concomitantly involve other valves. Prompt diagnosis by transthoracic echocardiography, aggressive antibiotics from the beginning, and surgical removal of the vegetation for infective endocarditis help prevent the risk of multiorgan failure and fatal pulmonary embolism.
Case summary: A 38-year-old female, the medical history was normal, gave birth naturally at a district hospital 3 months ago. She admitted to the hospital because of fever and continuous shortness of breath 1 month before admission. Echocardiography detected: vegetations (10x23mm) on left pulmonary aortic and patent ductus arteriosus. A CT scan showed a mixed-echo mass in the left pulmonary artery. The patient had surgery to remove the vegetation and close the patent ductus arteriosus. The patient was stable after surgery and discharged 2 weeks after surgery.
Conclusion:  Pulmonary aortic vegetations and patent ductus arteriosus are rare lesions and high risk of death. The diagnosis should be considered in any febrile, septic patient with congenital heart disease. Surgery removal of vegetations and aggressive antibiotic treatment should be performed together to improve the outcome.
Imaging characteristics of lower limb venous insufficiency on doppler ultrasonic
Authors: Vo Tuan Anh , Nguyen Ngoc Hoa Quynh , Nguyen Thoi Hai Nguyen , Le Trung Duc Tai
Published: October 2024

Introduction: Chronic lower limb venous insufficiency is becoming common worldwide. The location and distribution of venous insufficiency correlates with clinical features and contributes to determining treatment strategy.
Methods: Descriptive cross-sectional study, performed at Dong Nai General Hospital from May 2023 to May 2024. The research subjects were cases of venous insufficiency diagnosed with Doppler ultrasound. The reflux patterns of great saphenous vein insufficiency are classified into 4 types as follows: type 1, reflux in both the ankle and saphenofemoral junction; type 2, ankle reflux, preserved saphenofemoral junction; type 3, reflux at the saphenofemoral junction, preserved ankle area; type 4, total great saphenous vein reflux
Results: There were 130 patients participating in the study. Average age is 59 ± 11 years, female/male ratio = 2.2. The rate of great saphenous, lesser saphenous, and deep vein insufficiency is 91.0, 15.8 and 15.0%, respectively. The majority of patients are in stage C2 with 37.6%. The most common locations for great saphenous vein reflux are mid-thigh, above the knee and below the knee (>70%). 96.7% of cases have reflux in the middle of the thigh and/or below the knee. The rates of reflux types 1, 2, 3, and 4 of the great saphenous vein are 34.2; 24.3; 23.7 and 17.8%. CEAP 4 has the highest incidence in types 3 and 4 and the lowest in type 1. VCSS scores in types 1 and 2 are significantly smaller than those in types 3 and 4.
Conclusion: Great saphenous vein insufficiency is most common in patients with venous insufficiency. Terminal valve regurgitation (types 3 and 4) is associated with clinical severity. Checking for reflux at the mid-thigh and below-the-knee locations may increase the likelihood of detecting great saphenous vein insufficiency.
Arthritis and Health Related Quality of Life in Adult Outpatients in Trinidad: A Cross Sectional Study
Authors: Motilal Shastri , Dawar Akshita , Mankee Anil , Goberdhan Nirupa , Goberdhan Vishram , Greene Ayesha , Greenslade Nicolette , Guerra Theana , Hassan Nuha , Hassett Brandon , Hillhouse Andrille , Hosein Tawfeeq
Published: October 2024

ABSTRACT
Objectives
Arthritis is a major public health concern due to the high prevalence reported globally and its impact on health-related quality of life (HRQOL). The main objectives of this study were to determine the prevalence of self-reported joint pain in Trinidad, arthritis and its associations with HRQOL in a Trinidadian primary care population.

Method
A cross-sectional study was conducted on adult primary care attendees from 16 randomly selected centres during the period January to June 2016 using an interviewer administered de novo questionnaire. Data was analysed using Statistical Package for the Social Sciences for predictors of HRQOL.

Results
Of 421 subjects approached, 392 (93%) completed this survey. The average age was 46 ± 17.8 years with 60.5% of respondents being female and 75% being of either East Indian or African descent. Joint pain in the past 6 months, reported by 57.9% of participants, was associated with older age (P <0.001), female gender (P = 0.016), East Indian descent (P = 0.001) and unemployment (P <0.001) Joint swelling was reported by 48% of those who reported joint pain (28% of entire sample). A self-reported diagnosis of Chikungunya related arthritis, osteoarthritis, lupus, rheumatoid arthritis, and gout was made by 12.0%, 9.8%, 9.3%, 7.6% and 1.3% of the sample, respectively. There was significant (P <0.005) upset in all domains of quality of life in those with joint pain.

Conclusion
One third of adult primary care attendees reported arthritis with upset in all HRQOL domains. These findings lend support for the improvement in rheumatology services in this setting.

Keywords: Arthritis, Trinidad, Quality of life, Joint pain
Costotransversectomy for a symptomatic thoracic disc herniation – a complex approach for management of a rare pathology
Authors: Seetahal-Maraj Panduranga , Thomas Dylan
Published: October 2024

ABSTRACT
Symptomatic thoracic disc herniation is a rare pathology, with a quoted incidence of one in one million persons. We present a case of a middle-aged male with bilateral neuropathic pain in both lower limbs, associated with myelopathy. His MRI revealed a midline disc herniation at T10-11, with myelomalacia of the thoracic cord.

Surgical decompression and fusion were performed, utilising a costotransversectomy to enable a safe lateral approach to the midline disc. The ultrasonic bone cutter aided in performance of this procedure, and we report on our experience with this instrument. The patient had resolution of his radiculopathy and weakness postoperatively.
Gio Ponti y la transparencia del espacio doméstico
Authors: Cervero Sánchez Noelia
Published: October 2024

El arquitecto italiano Gio Ponti (Milán, 1891-1979) compendia en su apartamento en vía Dezza 49 (Milán, 1956-1957) su investigación sobre la transparencia del espacio doméstico. La incorporación de la tecnología y funcionalidad modernas al hogar, sin olvidar su identificación con el habitante, presente desde la definición de casa all’italiana en 1928, aporta una “arquitectura transparente” y “cristalina,” que sintetiza en la afirmación l’architettura è un cristallo. Define la transparencia del espacio doméstico unitario y dinámico, a partir de las experimentaciones gráficas realizadas para la representación del alloggio uniambientale presentado en la X Triennale de Milán de 1954, que muestra la prolongación visual de la planta a través de la fachada libre, la denominada “finestra arredata” y el alloggio uniambientale per quattro persone de 1956, que aporta la continuidad espacial de la planta libre. En este artículo, se analiza cómo Ponti desarrolla en ambos sentidos la orientación espacial, favoreciendo la transparencia en sus distintos niveles de significación, aportados por Colin Rowe y Robert Slutzky: transparencia literal como cualidad real de la materia, y transparencia fenomenal como cualidad aparente inherente a la organización. Esta lectura de la transparencia permite analizar de manera objetiva cómo Ponti aspira a alcanzar el máximo espacio para vivir y la más pura sensación de libertad en la casa moderna.
Ansatz zur Objektivierung der Hochgeschwindigkeitsempfindlichkeit von Reifen
Authors: Grabbe Larissa Jasmin
Published: October 2024

Die vorliegende Ausarbeitung beschäftigt sich mit dem Ansatz zur Objektivierung der Hochgeschwindigkeit von Reifen. Dazu muss als Grundlage für Hochgeschwindigkeitsmessungen auf dem Prüfstand zunächst eine Prozedur für Geschwindigkeiten bis zu 200 km/h entwickelt werden. Mithilfe von dieser validierten Reifenprüfprozedur können dann Hochgeschwindigkeitsmessungen durchgeführt werden, die in der Auswertung den Geschwindigkeitseinfluss auf den Reifen zeigen. Diese Ergebnisse werden mit objektiven fahrdynamischen Gesamtfahrzeugmessungen und subjektiven Fahrverhaltensbewertungen verknüpft und korreliert, sodass sich ein Gesamtbild hinsichtlich der Hochgeschwindigkeitsempfindlichkeit von Reifen ergibt. Inhalt Abkürzungsverzeichnis VII Formelzeichen und Indizes XI Kurzfassung XVI Abstract XVII 1 Einleitung 1 1.1 Motivation........................................... 1 1.2 Wissenschaftlicher Ansatz .................................. 2 2 Stand der Forschung 4 2.1 Entwicklungsprozess Reifen ......................................................................... 4 2.2 Grundlagen Reifen ........................................................................................ 5 Re...
RELATIONSHIP BETWEEN MYOCARDITIS AND DENGUE
Authors: Melo Lopes Rafael , Dantas Fernandes Veras Yana , Zenette Alves Guedes Da Silva Janielly , De Sena Bernardo João , Paulo de Sena Rodrigues Marcos , De Holanda Angelim Santos Sean , Eloisa De Castro Lima Maria , Dário Coelho Campelo Raimundo , Gomes Ripardo de Azevedo Orleâncio , Gondim Moreira Raquel
Published: October 2024

Introduction: Myocarditis, an inflammation of the heart muscle, can arise as a complication of dengue fever, a mosquito-borne disease. It is essential to adopt a multidisciplinary approach to monitor and treat cardiac complications in patients with dengue fever at an early stage. Diagnostic tests include serology, PCR, and echocardiography. From a review study on cardiac involvement in dengue, it was found that this complication is significant and demands a multidisciplinary approach . Objective: The objective of this study was to conduct a comprehensive integrative review to explore the relationship between myocarditis and dengue fever. Methodology: Articles were searched in databases such as PubMed, Google Scholar,Ministry of Health, and ScienceDirect, using search terms in both Portuguese and English. Out of 122 articles found, 74 were selected for analysis, and 13 were included in the results. Results: The studies examined the relationship between dengue fever and myocarditis, with a focus on the cardiovascular manifestations of dengue fever and the prevalence of myocarditis in infected patients. Analysis of the articles revealed a significant prevalence of myocarditis in patients with dengue, highlighting a strong association between the two conditions. Discussion: Dengue patients frequently present with cardiac issues such as myocarditis, necessitating early detection to prevent serious complications. Effective vector control is crucial to reducing the impact of dengue. These findings provide direction for future research and the development of targeted therapies. Conclusion: Early identification of cardiac complications, such as myocarditis in dengue patients, is crucial to reducing morbidity and mortality. Ongoing research into the pathophysiological mechanisms is vital for the development of specific treatments. The study concludes that myocarditis is commonly associated with dengue, requiring meticulous medical monitoring.
Comparison of Self-Esteem in Patients Before and after Chemical Skin Peeling: An Interventional Study
Authors: Rasheed Maria , Zulfiqar Sumeera , Bari Ahsan , Zainab Alina
Published: October 2024

Objective: To evaluate the self-esteem of patients undergoing chemical peeling for therapeutic reasons.
Study Design: Pre-post Observational study.
Place and Duration of Study: Department of Dermatology Combined Military Hospital, Multan Pakistan, from Mar to Aug 2021.
 Methodology: Forty-four patients were included in the study. After detailed history and clinical examination, self-esteem of all selected patients meeting the inclusion criteria was determined using RSES (Rosenberg Self-Esteem Score) score. Four sessions of chemical peeling were done using 30% salicylic acid with interval of 2 weeks between each session. (At week 0, 2, 4 and 6) All patients were advised the use of similar sun blocks during the treatment period. Post-peel RSES was re-assessed at 6 weeks.
Results: The pre-peel RSES score (17.95±2.29) improved significantly after the sessions of chemical peeling. The post-peel RSES score was (19.47±1.95). p-value<0.001
Conclusion: Our study showed chemical peeling with 30% salicylic acid caused a significant enhancement of patients’ self- esteem, as significant difference in Rosenberg Self-Esteem Scores was seen before and after chemoexfoliation.
Clinico-Dermoscopic Consensus in Patients of Scabies presenting in a Tertiary Care Hospital
Authors: Muhammad Umair  , Malik Tariq , Ahmed Najia , Bari Arfan ul , Hasan Fatima , Fahad Hafiz Muhammad
Published: October 2024

Objective: To determine the concordance between clinical and dermoscopic findings in patients of scabies.
Study Design: Cross-Sectional Study.
Place and Duration of Study: Dermatology Department, PNS Shifa Hospital, Karachi Pakistan, from Jun 2022-Dec 2022.
Methodology: All patients visiting Dermatology Outpatient during the study period with history of itching and age ranging from 18-50 years of either gender were included in this study after obtaining prior informed consent. Dermoscopic findings were recorded using HIEINE DELTA 20T dermoscope, captured at 10-16x magnification under standardized conditions of color and light, and stored using a 40-megapixel mobile camera for further investigation.
Results: The age of patients ranged from 18 to 50 years with a median of 28.0(10.0). In the distribution of gender, 119(69.6%) were male while 52(30.4%) were female. Concordance between clinical and dermoscopic findings was noted in 91 patients (53.21%).
Conclusion: Insignificant concordance was noted between clinical and dermoscopic findings among clinically suspicious patients of scabies.
Effects of Variable Doses of Neurokinin B on Hematological and Coagulation Parameters in Adult Male Rats
Authors: Ramzan Faiqah , Atta Tahira , Luqman Muhammad Waqas , Ramzan Muhammad Haris
Published: October 2024

Objective: To evaluate the dose-dependent effects of Neurokinin B on hematological and coagulation parameters in adult male Sprague Dawley rats.
Study Design: Laboratory-based experimental study
Place and Duration of Study: Gomal University and KMU Institute of Medical Sciences from February 2019 to April 2021.
Methodology:  Adult male Sprague Dawley rats (n=5 per group) were administered intraperitoneally with Neurokinin B at doses of 1 µg, 1 ηg and 1 ρg for 12 days consecutively. Control rats received distilled water injections. After 12 days, rats were sacrificed, and blood samples were collected from the left ventricle for hematological and coagulation analysis.
Results:  Bleeding time was significantly prolonged in NKB-µg (114±17.10sec) and Neurokinin B -ηg (72±22.25sec) compared to control (33±12.55sec). Clotting time (CT) was also increased (NKB-µg: 111±17.10sec; NKB-ηg: 69±17.10sec, control: 42±12.55sec), as did prothrombin time (PT) [NKB-µg: 93.60±10.92sec; NKB-ηg: 63.40±12.66sec, control: 15±4.12sec] and activated partial thromboplastin time (APTT) [NKB-µg: 94.80±14.04sec; NKB-ηg:68.60±13.74sec, control: 19.40±2.97sec]. Additionally, mean platelet volume [NKB-µg:8.94±0.36fl, control: 8.04±0.48fl] and leukocyte count (×103/µl) [NKB-µg: 12.14±0.69, control: 8.87±1.32] were significantly increased in NKB-treated animals compared to control. There was a significant increase in international normalized ratio in NKB-µg (6.86±0.80) and NKB-ηg (4.65±0.93) compared to control group (1.10±0.30). Conversely, platelet count (×103/µl) was decreased significantly in NKB-µg group (787.80±48.51) compared to the control group (960.60±58.71).
Conclusion: NKB administration led to leukocytosis, thromboctopenia, and affected coagulation pathways with prolonged BT, CT, PT, APTT and INR dose-dependently.
Barriers to Bedside Teaching: A Cross-Sectional Comparative Survey of Students and Faculty
Authors: Nisar Shazia , SH Waqar
Published: October 2024

Objective: To identify the barriers to bedside teaching among students and clinical faculty.
Study Design: Cross sectional comparative study.
Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan, from Dec 2019 to Jun 2020.
Methodology: The study participants included undergraduate students, postgraduate students and clinical faculty members. A self-designed questionnaire listing 25 common barriers to bedside teaching was distributed after pilot testing.
Results: The total number of participants was 160, out of which 78(48.75%) were males, and 82(51.25%) were females. There were 40 respondents in each of the categories of consultants, postgraduate trainees and 80 in the undergraduate student category. Twenty consultants (50%) were from Medicine and Allied specialties, 10(25%) from Surgical and Allied specialties while 10(25%) did not mention their specialty. Majority of postgraduate trainees 33(82.5%) were from Medicine and Allied specialties. Significant difference (p-value=0.004) was revealed among students and faculty regarding barriers to bedside teaching. Bedside teaching was accorded more value by faculty (p-value=0.026). Faculty deemed ambiguity in curriculum as a more important barrier as compared to the students (p-value=0.037). Common barriers identified by students were inadequate time allocation (p-value<0.001), large student groups (p-value<0.001), performance pressure on faculty (p-value=0.004), lack of problem solving skill teaching (p-value=0.028) and insufficient feedback (p-value=0.044).
Conclusion: Students as well as faculty value the role of bedside teaching in medical education but are cognizant of significant barriers in its execution. There are a number of common impediments that are narrated by both groups but students accord more importance to larger gro