bluuebunny/crossref_metadata_2025 huggingface dataset:
Fragmentos biográficos, significados nacionais
Authors: Ramires Augusto Martins
Published: November 2023

Em face da considerável quantidade de biografias publicadas no espaço sul-americano durante o oitocentos, é possível distinguir diferentes modos de elaboração biográfica. Destarte, o objetivo do artigo é descrever as variáveis de elaboração da escrita biográfica no século XIX no espaço sul americano. Examinaremos composições biográficas no intuito de propor categorias heurísticas para apreender o movimento biográfico durante o século XIX e ressaltar suas especificações discursivas e suas estratégias de composição. De forma específica, será analisada a dupla versão da biografia de José de San Martin escrita por Domingo Faustino Sarmiento e publicada no Chile e na Argentina em meados do século XIX. Nossa hipótese é que as biografias funcionam como um modo de elaboração do discurso histórico que estrutura e temporaliza uma experiência nacional da história. Desta forma, sustentamos que a biografia, dentre os diversos modos de articulação do discurso histórico, pode ser considerada como um modo fundamental  para a elaboração da experiência da história, tendo em vista seu direcionamento específico aos valores identitários e excepcionalidades nacionais.
Qualidade e autodepuração da água do Córrego do Sapo na zona urbana de Rio Verde - GO
Authors: Assis Márcia Franco de , Silva Júnior Édio Damásio
Published: November 2023

O monitoramento da qualidade de corpos hídricos em trechos urbanos é ferramenta essencial de suporte aos municípios para sua adequada gestão sanitária. Esta pesquisa teve por objetivos determinar a qualidade da água no Córrego do Sapo, trecho urbano de Rio Verde - GO, e estimar sua capacidade de autodepuração de matéria orgânica. Desenvolveu-se, durante nove meses, medições de vazões, coletas e análises laboratoriais de oxigênio dissolvido (OD) e demanda bioquímica de oxigênio (DBO5,20) da água do corpo hídrico principal e em seus afluentes, para posterior modelagem de qualidade da água, pelo modelo QUAL-UFMG. A capacidade de autodepuração de matéria orgânica foi obtida para quatro cenários de vazões. Os resultados apontaram que o Córrego do Sapo sofreu maior desequilíbrio em suas condições naturais nos cenários de menores vazões, durante o período de estiagem. Ademais, verificou-se que os afluentes do Córrego do Sapo com piores qualidade de água corresponderam ao Córrego Buriti, seguido do Córrego São Tomás de Baixo. O trecho com maior capacidade de reinserção de oxigênio e autodepuração da matéria orgânica está localizado após a confluência do corpo hídrico principal com o Córrego Barrinha. O Córrego do Sapo apresentou satisfatória capacidade de autodepuração até a confluência com o Córrego Buriti, quando apresentou condições de autodepuração reduzidas, não conseguindo reestabelecer seu equilíbrio dentro do trecho estudado. No período de estiagem a qualidade da água do Córrego do Sapo apresentou baixos índices (classe 3 ou 4, na maior parte do tempo), enquanto no período chuvoso, valores superiores (classe 2 principalmente).
The Role of Hla Genes in Immune Response, Disease Susceptibility, and Social Behaviours: A Comprehensive Review
Authors: N Simi , Suresh Arumugam , D Dinesh Roy , Muninathan Natarajan , Punitha Velam Chokkalingam , Baskaran Kuppusamy , Gopikrishnan Venugopal , Varma Poornima R
Published: November 2023

Major Histocompatibility Complexes (MHC), which assist to code for proteins that distinguish between self and non-self, are significantly influenced by the Human Leukocyte Antigen (HLA) genes. Particularly important in the suppression of immune response are the HLA genes. The bulk of the genes in the MHC region shows considerable variation. The two most important functions of HLA molecules are selection of T cell accumulation and the formation and control of immunological responses. The causes of HLA-G gene-associated illnesses and the underlying mechanisms are still up for dispute. The HLA-G gene has an impact on social behaviour as well. Numerous polymorphisms have been connected to heightened susceptibility to the beginning of autoimmune illnesses as well as heightened disease severity. The lifetime of some HLA genes is shorter.Genetic background, environmental circumstances, and certain polymorphisms have been linked to increased illness severity. certain HLA genes have shorter life spans than others, and vice versa. The major functional elements of HLA-G in both normal and autoimmune disorders are summarized in this study.
Pattern of Otorhinolaryngolic Diseases in Geriatric Population
Authors: Singh Himani , Bist S S , Agarwal Vinish Kumar
Published: November 2023

Objective- To determine the pattern of otorhinolaryngological disorders in geriatric population and to establish a correlation with socioeconomic factors. Methods- A total of 1020 geriatric patients who attended the otorhinolaryngology department were included in the study. They were subjected to brief history, examination and the socioeconomic status. Results were analyzed by using appropriate statistical tests analyzing percentage and proportion. BG. Prasad’s classification was used to categories patients into classes based on the socioeconomic status of an individual. Investigations pertaining to the system involved were carried out and the diagnosis was made according ly. Results- The most common affected organ was ear (33%) and the most common disease diagnosed among geriatric patient assessed was presbycusis (25.2%). Although epistaxis, chronic pharyngitis and malignancy larynx were also commonly diagnosed. Among all patients’ males was on the lead and the middle-class patients mostly attended the otorhinolaryngology department. Conclusion- In present study the male patients formed the major bulk of geriatric patients. The majority of geriatric patients belonged to age group between 60 to 70years and most of them belonged to middle socioeconomic class. The aim of our study was to find out the pattern of otorhinolaryngological diseases in which we observed that most common affected organs among the geriatric patients was ear. Presbycusis out of all disorder was the most common ear disease among geriatric patients.
Foreign Linkage of Insurgent’s Groups in the North East India: A study on National Social Council of Nagaland and United Liberation Front of Assam
Authors: Rashmi Rekha Taye  , Lakhindra Gogoi
Published: November 2023

This study looks at the complex networks of foreign assistance, drug and weapon smuggling, and insurgency activity in Northeast India, especially in the states of Assam and Nagaland. It draws attention to the important role that outside parties, such as intelligence services and nearby nations, play in maintaining these illicit activities. Examined are China's ties to Pakistan and its role in backing rebel organizations in the area. Illustrative instances include the division within the Naga movement, smuggling routes, and the recent arm seizures in Bangladesh. To improve security and stability in Northeast India, addressing these issues calls for regional collaboration, intelligence sharing, and initiatives to stop the trafficking in illegal weapons and drugs.
Evaluating The Design, Prototype, and Acceptability of a Tote-To-Backpack Convertible Canvas Bag Among College Students and Young Professionals
Authors: Gajo Elizabeth G. , Parreño Mary Elizabeth B.
Published: November 2023

This research study centers on the design and evaluation of a versatile tote-to-backpack convertible canvas bag tailored to meet the needs of college students and young professionals. The primary objectives are to create a functional prototype based on predefined design concepts, assess its acceptability among the target demographic, and contribute to environmentally conscious bag design by minimizing plastic and metal hardware use. The study reveals that the convertible bag design enjoys significant acceptance among college students and young professionals, with respondents highlighting its functionality, flexibility, and aesthetics. Recommendations are made to refine the bag's design and marketing strategies while emphasizing its features and benefits. This study not only provides insights into the potential for a convertible bag but also contributes to sustainable bag design practices.
Oil Price Volatility and Business Profitability: Evidence from The Local Market
Authors: Moralista Rome B. , Martir Erly M.
Published: November 2023

This study seeks to investigate the impact of oil price volatility on business profitability in the Province of Guimaras. Through a mixed-methods approach, the study aims to answer important research questions such as the correlation between crude oil price changes and micro business profitability and investment, potential differences in the effect of crude oil prices during periods of high and low prices, trends in the profitability of micro businesses entrepreneurs, the role of the oil and gas upstream segment and its prospects for the future, and proposes an extension program toolkit to help micro business entrepreneurs mitigate the impact of oil price fluctuations on their businesses. The study will collect and analyze data from 200 micro business entrepreneurs operating in five municipalities within the Province of Guimaras, which represent approximately 90 percent of micro businesses in the area by population. By providing significant insights into the impact of oil price volatility on small businesses, the findings of this study can help inform policymakers and business owners to improve economic sustainability and competitiveness in the local market. The researchers recommend several strategies to help small businesses better manage the risks associated with oil price volatility. These include diversifying business operations and revenue streams, developing proactive risk management strategies, seeking financial support and education, and advocating for policies that promote energy efficiency or diversify energy sources. The researchers hope that these recommendations will help small businesses maintain profitability in the face of changing market conditions.
Evaluation of the Compatibility between the Contemporary Additions and the Historical Buildings
Authors: Fathy Mervat A. , Abdalla Mohamed R.
Published: November 2023

The adaptive reuse of a historical building may require new additions to replace the demolished parts or accommodate the repurposed function. If this addition belongs to modern architecture, it is necessary to study the relationship between this new addition and the historical building in terms of its compatibility with the building without dissonance or distortion. The aim of the research is to identify recommendations for using contemporary addition. It focuses on the external formal characteristics of the addition (length, width, height, form, materials, color, open ratio and its Rhythm, and transparency). This process will be done by surveying architects who support the contrasting approach to determine the weight of external formal characteristics. It will also evaluate case studies regarding the degree of Compatibility between contemporary additions and Historical Buildings. Through analytical and comparative study, an assessment method will be developed based on points of similarity and contrast between an addition and a Historical Building.
Optimizing Antibiotic Prescriptions and Infectious Disease Management in Hospitals using Neural Networks
Authors: Vibha Tiwari  , Urmila S Soni  , Divya Jain  , Akshra Tiwari  , Priyanka Tiwari
Published: November 2023

This study introduces an innovative approach to antibiotic optimization and improved infectious disease management in healthcare facilities. Antibiotic stewardship and patient-specific outcomes are prioritized in the suggested strategy that uses neural networks to increase the precision and utility of antibiotic prescriptions. There are three primary algorithms at the heart of the technique. When it comes to identifying infectious illnesses from a picture, Algorithm 1 uses a Convolutional Neural Network (CNN). In order to provide educated antibiotic recommendations, Algorithm 2 uses a Recurrent Neural Network (RNN) containing Long Short-Term Memory (LSTM) cells. The third algorithm integrates reinforcement learning to automatically modify therapies based on patient results and antibiotic use. The outcomes prove that the suggested strategy is better than the status quo. The F1 score, recall, and precision all increase dramatically, and the overall diagnostic accuracy is much higher. Antibiotic stewardship also improves noticeably, leading to fewer antibiotic prescriptions, more effective measures against antibiotic resistance, better health outcomes for patients, and lower overall healthcare expenditures. Addressing the difficulties of fluctuating patient states and changing disease patterns, the suggested methodology provides a comprehensive strategy for managing infectious diseases. Using this method, antibiotic prescriptions may be optimized while still meeting all legal and ethical requirements. The ethical use of AI in healthcare is further ensured by constant monitoring and flexibility.
In memory of Alexander Markusovich Bronshtein
Authors: Shahmardanov Murad Z.
Published: November 2023

On August 11, 2023, at the age of 79 years, Alexander Markusovich Bronstein, Doctor of Medical Sciences, Professor of the Department of Infectious Diseases and Epidemiology of the Faculty of Medicine of the Russian National Research Medical University named after N.I. Pirogov, who worked on the editorial board of our magazine for more than a quarter of a century.
El Júpkila: una historia que cuentan los pimas bajos
Authors: Valenzuela Romo José Abel , Estrada Fernández Zarina , Rentería Galaviz Blanca
Published: November 2023

Este artículo es una contribución a la documentación, descripción y análisis de materiales discursivos del pima bajo, una de las lenguas nativas del noroeste de México que muestra un grave desplazamiento lingüístico y cultural. Los estudios sobre esta lengua son relativamente escasos, en particular aquellosque abordan muestras discursivas de la lengua, ya que casi no existen publicaciones que proporcionen un análisis y además incluyan un texto adjunto a la publicación (Estrada y Oseguera, 2015). El material discursivo discutido en este artículo es un discurso oral del pima bajo de Sonora, documentado en 2020 con la ayuda de una de las últimas hablantes. El texto, titulado El Júpkila, trata de una historia mítica muy conocida entre los pima bajo, que habla de un ser mitad humano y mitad animal parecido a un halcón, pero de grandes dimensiones, que robaba mujeres y mataba personas.
Jiak jammutta etejoi. Historia de una mujer yaqui
Authors: Guerrero Lilián , Mendoza Álvarez Aurelia , Flores Mendoza Iván
Published: November 2023

Este texto busca contribuir a la documentación de narrativas orales de la lengua yaqui, en particular, de las historias de vida. Estas son testimonios que entrelazan, en primera persona, vivencias personales, contextos sociales y hechos históricos del individuo y de la comunidad. La autora de esta historia es una mujer yaqui: hija, hermana, esposa, madre, abuela y una gran maestra. Además de sus experiencias, la protagonista nos comparte preocupaciones y consejos para el futuro. Las historias de vida son textos personales, de ahí que es material sensible y que debe ser tratado con ética y respeto.
El saber colectivo del tesgüino rarámuri: una mirada lingüística a Norogachi
Authors: Villalpando Quiñonez Jesús , Espino Romero Alberta , Espino Moreno Regina
Published: November 2023

La lengua rarámuri, también conocida como tarahumara, pertenece a la familia lingüística yutoazteca y es hablada en el estado de Chihuahua por alrededor de 91 500 personas. La variación interna de la lengua ha llevado a diferentes clasificaciones de ésta en variantes, distinguiendo al menos cinco: norte, oeste, sur, cumbres y centro (Valiñas, 1991, 2017). El presente artículo reúne información de la variante central hablada en la localidad de Norogachi en el municipio de Guachochi. En el artículo se presenta una breve caracterización de la lengua (§2), las convenciones de representación gráfica empleadas (§3), el estado del arte en cuestión de descripción y documentación lingüística para la variante centro (§4), y por último en (§5) presento la información relacionada con tres textos orales recopilados en Norogachi y que aparecen al final de este artículo transcritos y glosados. Los textos dan cuenta de la importancia del tesgüino, una bebida fermentada hecha a base de maíz, para el trabajo comunal en la vida cotidiana de los rarámuri.
NEDÎM’İN GAZELLERİNDE YİNELEMELER
Authors: GÜMÜŞ Mustafa Yunus
Published: November 2023

Nedîm, divan şiirinin önemli şairlerinden biridir. Divan şiirine birçok konuda yenilik getiren şair, serbestçe söyleyişi ve mahalli kalışıyla diğer şairlerden ayrılır. Anlaşılır bir dil kullanan Nedim’in şiirlerini anlamak, anlamlandırmak zor değildir. Ancak metinleri daha iyi alımlamak, anlamak ve yorumlamak her zaman bir problem olmuş ve bu problemi çözmek için farklı yollar denenmiştir. Deyişbilim de bu yöntemlerden biridir. Deyişbilim, bir metnin dilbilimsel ölçütler ışığında, dilbilimin kaynaklarını kullanarak yapılan çözümlemelerdir. Deyişbilimsel inceleme dört başlıktan oluşmaktadır: önceleme, yineleme, koşutluklar ve sapma. Çalışmamızda Nedim’in şiirlerini deyişbilimsel çözümleme başlıklarından biri olan yineleme açısından değerlendirmeye çalıştık. Şiirlerdeki yinelemeleri biçimbirimsel yineleme, koşut yineleme, anlambilimsel yineleme ve sesbilgisel yineleme başlıkları altında sınıflandırdık.
LEFEBVRE’NİN MEKÂNSAL ÜÇLÜ KAVRAMSALLAŞTIRMASI BAĞLAMINDA DEPREM VE KENT: 1939 ERZİNCAN DEPREMİ ÖRNEĞİ
Authors: YETİŞKİN Fatma Nur
Published: November 2023

Mekân ve insan etkileşimi karşılıklıdır ve insanlar mekânları inşa ederken aynı zamanda mekân tarafından inşa edilir. Kendisinden önceki düşünürlerden farklı olarak Lefebvre mekâna bu açıdan yaklaşmış ve mekânı toplumsal bir bağlamda ele almış ve teorisini bu düşünce üzerine inşa etmiştir. Bu çalışmada Lefebvre’nin mekân teorisinin bir ucu olan mekân üçlemesi, depremden büyük ölçüde etkilenen Erzincan kentinin yeniden inşası ile ilişkilendirilmeye çalışılacaktır. Tarihi boyunca birçok deprem yaşanan Erzincan kentinde özellikle 1939 yılında meydana gelen 7.9 şiddetindeki depremde kent neredeyse tamamen yıkılmış ve kentin yeniden inşa süreci başlamıştır. Uzun yıllar süren bu yeniden inşa sürecini inceleme açısından Lefebvre’nin mekân üçlemesi kavramsallaştırması işlevseldir
İRAN’DA PROTESTO KÜLTÜRÜNÜN ORTAYA ÇIKIŞI: İSLÂM DEVRİMİ’NE KADAR TARİHTEN BAZI KESİTLER
Authors: KARADENİZ Yılmaz , DEVEBAKAN Mikail
Published: November 2023

Protesto, insan gruplarının bir ülkede belirli bir amaç etrafında mevcut siyasi idarenin idari, dini, içtimai, iktisadi ve mesleki uygulamalarına itiraz ederek değişmesi için topluluklar halinde toplanmasıdır. İran tarihinde geçmişten günümüze çeşitli dönemlerde bu türden hareketlere rastlamak mümkündür. Ahameniş döneminde II. Ardeşir’in uygulamalarına karşı çıkan Anadolu satraplarının sebep olduğu protestolar, Elamlıların I. Darius’a karşı isyanları, Selevkos kralı II. Ardavan döneminde yedi yıl süren isyanlar, Sasanilerin Eşkanilere karşı siyasi içerikli isyanları, Sasani döneminde Hristiyan Ermenilerin isyanları, Behram Çupin isyanları önemli hadiseler olarak tarihe geçmiştir. İslami dönemde toprak derebeylerine ve Emevi uygulamalarına karşı meydana gelen isyanlar, Selçuklu döneminde Kirman olayları, Safeviler döneminde merkezi idareye karşı Kızılbaş isyanları, Kaçar döneminde Reuter ve Talbut gibi İngiliz sermayedarlara verilen imtiyazlara karşı yapılan itirazlar ve isyanları saymak da mümkündür.

Çalışmamızın amacı, protestonun ortaya çıkışını sağlayan sebepleri ve tarihte İran toplumunda görülen protestoların tarihi süreç içerisindeki kesitlerinden örnekler vererek ortaya koymaktır. İran’ın ilkçağlarından Kaçar idaresinin sonlarına kadar olan zaman diliminde önemli olanlarını yazılı kaynaklar çerçevesinde ortaya koymaya çalıştık.
IMPROVING THE RESULT OF STUDENTS’ LEARNING ON SQUARE AND RECTANGLE MATERY THROUGH COLLABORATIVE LEARNING AT CLASS VII MTS YTPI AL-BUKHARI MUSLIM
Authors: Nasution Nurul Rafiqah
Published: November 2023

This study aims to find out: 1) Students mathematics learning outcomes before and after being taught with collaborative learning at class VII MTs YTPI Al-Bukhari Muslim. 2) Improving students mathematics learning outcomes through collaborative learning at class VII MTs YTPI Al-Bukhari Muslim. 3) The process of learning mathematics through collaborative learning at class VII MTs YTPI Al-Bukhari Muslim MTs. 4) Response of students taught through collaborative learning at class VII MTs YTPI Al-Bukhari Muslim. The research method used is classroom action research with the aim of improving the quality of classroom learning practices and improving the results of mathematics learning. Respondents in this study were seventh grade students of MTs YTPI Al-Bukhari Muslim. The types of data obtained in this study are quantitative data and qualitative data. The results of this study indicate that learning by implementing collaborative learning for the cycle I of 23 students on the test I learning outcomes there are 16 students (69,57%) who achieve mastery learning, while 7 more students (30,43%) have not achieve mastery learning with classical completeness of 69.57%. In the learning outcomes test II for the cycle II has reached as many as 19 students learning completeness (82,61%), while 4 students (17,39%) have not achieved mastery learning with classical completeness of 82,61% to obtain improved learning outcomes mathematics in cycle I and cycle II was 13,04%. This shows that collaborative learning can improve student learning outcomes and student activities and can be used as an alternative to improve student learning interest.
THE DEVELOPMENT OF ASSESSMENT INSTRUMENT OF REASONING ABILITY ON HOTS FOR PHYSICS LEARNING
Authors: Supriyati Yetti
Published: November 2023

The purpose of this study is to develop an assessment instrument of reasoning ability on HOTS-based science learning assessment model on the Primary School Education Program’s students. The research method used is a research and development method. This method developed the evaluation model of HOTS-based science learning assessment that has the characteristics to measure the ability of deductive hypothesis between variables, to predict phenomenom represent it with logical thinking. Moreover to analyze theoretical statement by using if-then provison. HOTS-based science learning assessment model is validated by physics education experts and science education practitioners. After that, the assessment tools were tested by students in the Primary School Education Program. The result showed that the assessment model has 7 items characteristic deductive hypothesis that valid and reliable.
Ideas: Critical Realism of Moral-Material Complementarities
Authors: Shakespeare Rodney
Published: November 2023

This section of JOCRISE is devoted to briefly ventilate innovative ideas on diverse perspectives of socio-scientiᢚc theories in general and developing economies particularly, for the common wellbeing of global holism. Writers may contribute ideas in this space for readers to gain theoretical, academic, and institutional insights
Endangered Religious Cultural Heritage
Authors: Quattrone Giuliana
Published: November 2023

In the Carpathian region, there are numerous churches of different denominations built in different architectural styles, including masterpieces of wooden architecture, which are of particular interest from both a cognitive and pilgrimage perspective. The churches of wooden architecture in the Carpathian region are the subject of excursions and cognitive religious tourism, and some of them are included in the UNESCO heritage list.  The paper aims to represent and interpret this religious heritage through the narration of places, understood as "topoi" endowed with distinctive identities. The religious heritage of wooden churches is in fact the identity expression of ethnic minorities; identity is substantiated in architecture through the use of particular construction techniques.
Starting from the analysis of the heritage of wooden churches in the Carpathian region, the paper intends to propose innovative ways of multiple immersive narratives where the built religious heritage assumes the function of a tool capable of restoring the narrated reality and acting as a support for a hermeneutics of places. Constructing narratives of these places is very important for the preservation of the heritage of wooden churches, which today is experiencing many threats. In addition to bearing witness to local identity processes and conflicts and cooperation between different religions, they are able to increase the attractiveness of their territory and invite and guide visitors to come into contact with these places and establish an empathetic and reciprocal relationship with them.
THE NEXUS BETWEEN CHILD ABUSE AND ECONOMIC CONDITIONS: EMPIRICAL EVIDENCE FROM MALAYSIA
Authors: Zainal Nurazilah , Hitam Mizan , Md Zin Norlaila , R. Vijayarajoo Angeline Ranjethamoney , Senturk Recep
Published: November 2023

This research attempts to examine the impact of economic conditions on number of child abuse cases in Malaysia. Yearly time series data has been included in data collection from year 1988 until 2019. To achieve the objective of the study, an estimation method of Autoregressive Distributed Lagged (ARDL) has been employed. The ARDL methodology consists of two steps analysis; first, ARDL Bound test which to determine the existence of cointegration relationship between child abuse and economics condition and second, ARDL Level Relation test with purpose to identify the cointegration relationship does significant in the long run. The findings have found cointegration relationship among the variables. However, only inflation (INF), unemployment (UEM), and minimum wage (MIN) appear significant to affect number of child abuse cases in Malaysia in the long run. The results suggest except poverty (POV), the number of child abuse cases in Malaysia are fully adjusted by the movement in INF, UEM and MIN. Overall, output from this study provide recommendation for policy-makers in readjusting the existing policies so that they able to curb the rising number of child abuse as well as to promotes economic growth and peaceful environment in Malaysia.
RIVERBANK PROTECTION STRUCTURE FAILURE FACTORS AND REMEDIAL APPROACH: A CASE STUDY IN KELANTAN MALAYSIA
Authors: Kay Leng See Too , Ata Frankie Marcus , Jaafar Mokhtar , Torima Mohd Ekhwan , Kamarudin Mohd Khairul Amri
Published: November 2023

Numerous structural mitigation measures have been implemented to ensure the sustainability of socio-environmental systems. Riverbank erosion can be avoided through the installation of reinforced walls, groynes, and sheer piles, among other measures. However, these structures sometimes fail to protect riverbanks from collapsing due to various factors, including environmental and anthropogenic influences. Therefore, this study aims to identify the factors contributing to the failure of riverbank protection structures and determine remedial approaches to enhance them. The study utilized a combination of site visits, document analysis, and interviews with riverbank protection structure engineers and contractors to gather the necessary information to achieve study objectives. The study found that geomorphology; hydraulics; and unstable sheet pile construction were the factors to the riverbank failure. Besides, study also recommend the suitable remedial approach in terms of design; construction and maintenance to build a stable riverbank protection structure (rock embankment). The findings of this study can contribute to the development of more effective and sustainable riverbank protection measures, which are essential to protect vulnerable communities and ecosystems from the impacts of environmental hazards. The study's results can guide policymakers, engineers, and other stakeholders involved in riverbank protection to better understand the factors that contribute to structure failure and how to mitigate these risks. It can also contribute to the advancement of knowledge in the field of riverbank protection, specifically in identifying the most effective mitigation strategies.
RURAL DEVELOPMENT: MOTIVATIONAL FACTORS IMPACTING COMMUNITY SUPPORT FOR RURAL TOURISM
Authors: Pimid Marcela , Marzuki Azizan , Scian Joanna , Krishnan Kumara Thevan
Published: November 2023

Rural tourism has emerged as a viable domestic tourism option and a means of raising the standard of living and enhancing the environment for rural residents. Successful rural tourism greatly depends on rural tourism products and the local communities residing in particular areas. This study examines factors that influence rural community support for developing tourism in remote areas. The theoretical concept is framed by integrating social exchange theory with social representation theory. It employs a case study approach by examining multiple stakeholder views located in remote Kinabatangan, Sabah. Using a mixed-method approach and four labels of data convergence, the findings reveal conflicting views among the stakeholders pertaining to Indigenous motivation and participation in rural tourism activities. The study highlights employing a comrade approach to encourage aboriginal participation in tourism ventures, not merely depending on monetary incentives and tourism awareness campaigns.
Teaching English to Kurdish Students with Special Educational Needs: Challenges and Solutions
Authors: Hamasaeed Zhulia Bahadin , Abdulrahman Barham Sattar
Published: November 2023

The present study aims to investigate teaching English language to Kurdish students with special educational needs in Sulaimani city. The study focuses on the challenges that the teachers and students with special need face in teaching/learning English. Furthermore, the researchers designed two different tools to collect data: an interview for the teachers of English language and a questionnaire to be answered by the students with special needs. The data is collected from Runaki Institute and Hiwa Institute in Sulaimani city during the academic year 2022-2023. Moreover, mixed-method research is used in this study. The quantitative collected data is analyzed using SPSS, meanwhile thematic analysis is used to analyze the qualitative data. The results show that there are many challenges of teaching English to students with special needs which are relevant to curriculum, shortage of resources, lack of teaching training courses, and so on. Finally, the study presents some possible solutions to overcome the challenges facing students and teachers; the solutions are limited to designing special curriculum for English, conducting different training courses by the national and international experts, setting classes in a special way so that the students can get benefit from, and treating each student as an individual.
Feasibility and Acceptability of a Mobile Technology Intervention to Support Postabortion Care After Surgical Abortion (the FACTS Study Phase 3): Mixed Methods Prospective Pilot Study
Authors: Gill Roopan , Ogilvie Gina , Norman Wendy V , Fitzsimmons Brian , Maher Ciana , Renner Regina
Published: November 2023

Background

In Canada, 1 in 3 women and people of gestational age undergo an abortion in their lifetime. Despite the liberal legal context, barriers continue to exist for women and people who can become pregnant to access this service.

Objective

This study aims to (1) conduct a pilot study to demonstrate the feasibility and acceptability of myPostCare to support follow-up care after a procedural abortion; (2) use the findings to understand whether myPostCare has the potential to improve contraceptive behavior and knowledge, emotional well-being, and sexual health knowledge; and (3) develop a better understanding of how innovative mobile solutions can support integrative health programs in British Columbia with the goal of expanding to other sites across Canada.

Methods

People of gestational age (aged 14-45 y) who underwent a procedural abortion were recruited from 2 urban abortion facilities in British Columbia. The participants completed a baseline quantitative survey and were provided access to myPostCare for up to 30 days. A follow-up quantitative survey was sent via email on day 30. Qualitative interviews were conducted to explore user satisfaction and usability of myPostCare. Responses to the survey questions were summarized using descriptive statistics, and the system usability scale (SUS) was scored according to the instructions. A secure analytics platform was implemented to obtain data on the overall use of the website by users. Qualitative analysis was conducted with NVivo using a thematic analysis approach. This study was approved by the Women’s and Children’s Research Ethics Board.

Results

Overall, 62 participants were recruited (average age 30 y); 40% (25/62) of the participants completed the exit surveys, and 24% (6/25) consented to participate in the semistructured interviews; 40 participants had undergone an immediate postabortion intrauterine device (IUD) insertion, and 22 did not have an IUD inserted. Participants were satisfied with myPostCare. The SUS average score was 81.5 (SD 9.7; median 82.5, IQR 77.5-87.5), indicating high usability of the tool. Overall, 88% (22/25) of the participants changed their contraceptive method to an IUD. Web-based analytics demonstrated that there were 61 unique visitors to the site, and the top pages visited were Postprocedure Care, Emotional Well-Being, and Contraception Explorer. The longest time spent on the website was 56 minutes. The overall email open rate was 80%, with a click rate of 36%.

Conclusions

This study demonstrates that communities and individuals are important collaborators in developing a mobile innovation that facilitates access to high-quality patient-centered abortion care. Through the cocreation process, a digital platform such as myPostCare highlighted a gap in abortion care in Canada, particularly around follow-up support after a procedural abortion.
Survey of the Impact of Decision Support in Preoperative Management of Anemia (i-Anemia): Survey Study
Authors: Mignanelli Gaëtan , Boyer Richard , Bonifas Nicolas , Rineau Emmanuel , Moussali Yassine , Le Guen Morgan
Published: November 2023

Background

Major surgery on patients with anemia has demonstrated an increased risk of perioperative blood transfusions and postoperative morbidity and mortality. Recent studies have shown that integrating preoperative anemia treatment as a component of perioperative blood management may reduce blood product utilization and improve outcomes in both cardiac and noncardiac surgery. However, outpatient management of anemia falls outside of daily practice for most anesthesiologists and is probably weakly understood.

Objective

We conducted a simulated case survey with anesthesiologists to accomplish the following aims: (1) evaluate the baseline knowledge of the preoperative optimization of anemia and (2) determine the impact of real-time clinical decision support on anemia management.

Methods

We sent a digital survey (i-Anemia) to members of the French Society of Anaesthesia and Critical Care. The i-Anemia survey contained 7 simulated case vignettes, each describing a patient’s brief clinical history and containing up to 3 multiple-choice questions related to preoperative anemia management (12 questions in total). The cases concerned potential situations of preoperative anemia and were created and validated with a committee of patient blood management experts. Correct answers were determined by the current guidelines or by expert consensus. Eligible participants were randomly assigned to control or decision support groups. In the decision support group, the primary outcome measured was the correct response rate.

Results

Overall, 1123 participants were enrolled and randomly divided into control (n=568) and decision support (n=555) groups. Among them, 763 participants fully responded to the survey. We obtained a complete response rate of 65.6% (n=364) in the group receiving cognitive aid and 70.2% (n=399) in the group without assistance. The mean duration of response was 10.2 (SD 6.8) minutes versus 7.8 (SD 5) minutes for the decision support and control groups, respectively (P<.001). The score significantly improved with cognitive aid (mean 10.3 out of 12, SD 2.1) in comparison to standard care (mean 6.2 out of 12, SD 2.1; P<.001).

Conclusions

Management strategies to optimize preoperative anemia are not fully known and applied by anesthesiologists in daily practice despite their clinical importance. However, adding a decision support tool can significantly improve patient care by reminding practitioners of current recommendations.
Increased risk of osteoporosis in patients with chronic rhinosinusitis: prospective and genetic risk score studies (Preprint)
Authors: Ding Weizhong , Dong Yimin , Wu Minglong , Xu Kai , Song Kehan , Li Feng
Published: November 2023

BACKGROUND

Previous studies have shown an association between inflammatory diseases and bone metabolism.

OBJECTIVE

This study explores the relationship between chronic rhinosinusitis (CRS) and incident osteoporosis.

METHODS

We used multivariate Cox regression analysis to explore the association between CRS and the risk of osteoporosis at the individual level in a prospective cohort from the UK Biobank. We also calculated a poly-genetic risk score (PRS) of CRS using the genome sequencing data of UK Biobank participants and investigated the association between the PGS and the risk of osteoporosis.

RESULTS

The hazard ratios (HRs) for osteoporosis risk were 1.23 (95% confidence interval (CI), 1.06 to 1.45), 1.22 (95% CI, 1.05 to 1.43), and 1.20 (95% CI, 1.03 to 1.40) in participants with CRS, respectively, after adjusting for individual characteristics, lifestyle factors, and comorbidities. In addition, we calculated the PRS of CRS for each participant. All participants were divided into low-, middle- and high-risk groups according to tertiles of the PRS. Compared with the low-risk group, the middle-risk group (HR 1.06; 95% CI, 1.00 to 1.10) and the high-risk group (HR 1.08; 95% CI, 1.03 to 1.17) were associated with a significantly increased risk of osteoporosis.

CONCLUSIONS

Patients with CRS are more likely to develop osteoporosis than those without. In addition, those with genetic susceptibility to CRS are all predisposed to higher risk of osteoporosis. These findings may help develop more personalized treatments for patients with CRS.
Reference values for human semen characteristics: a multicentre study in China (Preprint)
Authors: Zhou Jiayi , Wu Haisheng , Dai Tingting , Wang Lingxi , Cai Xiaoyan , Yao Yunchong , Xu Ting , Ni Haobo , Xiao Lina , Li Yushan , Meng Tianqing , Yang Jigao , Zhang Zhou , Liang Xiaowei , Sheng Huiqiang , Lin Faxi , Li Fuping , Wang Zhiqiang , Huai Xiaohong , Song Chunying , Liang Zuowen , Dong Hao , Zhang Aiping , Gong Guihua , Wang Qiling , Guo Pi , Zhang Xinzong
Published: November 2023

BACKGROUND

There has been no comprehensive evaluation of semen characteristics in reproductive age group nationwide in China. The applicability of the current standard reference values to Chinese males is limited.

OBJECTIVE

This study was designed as an integrated analysis for multicentre data. We aimed to establish semen reference values for the grneral population and conduct a comprehensive evaluation of them to provide solid evidence for the current national semen status.

METHODS

This multicentre population-based cohort study enrolled 65,335 semen donors from 16 human sperm banks covering all 7 geographic regions, from April 20, 2013 to August 31, 2019. Healthy young men aged 20 to 45 years were included in this study. Participants were included and semen samples were analyzed according to the standard practices recommended by WHO.

RESULTS

The study revealed significant variations in semen characteristics across different geographic regions, age groups, years, and seasons in China, but no notable declining trend was observed. A stronger decreasing trend with age was observed for the upper distributions of all semen parameters compared with the lower distribution. And age-related trends were divergent in different semen parameters. The variance-weighted estimates and 95% confidence intervals (CI) of 5th centiles were: 1.2478 ml (95% CI: 1.2477, 1.2479) for semen volume, 10.776 × 106/ml (10.749, 10.804) for sperm concentration, 16.513 × 106/ejaculate (16.304, 16.722) for total sperm count, 24.430% (24.369, 24.492) for progressive motility, 25.926% (25.861, 25.990) for total motility, and 5.829 × 106/ejaculate (5.770, 5.887) for motile sperm count.

CONCLUSIONS

Lower reference values have been established for sperm concentration, total sperm count, progressive motility, total motility, and total motile sperm count, differing from current standard reference values. These newly developed reference values could serve as a more applicable representation of the general male population in China, benefiting from a large number of subjects that provide robust and geographically representative information.
Географічна інформаційна система в моніторингу орфанних та соціально значущих захворювань у дітей
Authors: Aryayev M.L. , Senkіvska L.I. , Biryukov V.S. , Pavlova V.A. , Streltsov M.S. , Streltsov M.S. , Kengelyan T.R.
Published: November 2023

Мета: покращити моніторинг орфанних та соціально значущих захворювань у дітей на основі використання географічної інформаційної системи (ГІС) і вивчити зв’язок між поширеністю дефіциту гормону росту (ДГР), муковісцидозу (МВ), гострого лімфобластного лейкозу (ГЛЛ), цукрового діабету 1-го типу (Т1ЦД) й еколого-геофізичними факторами навколишньої території. Матеріали та методи. Моніторинг випадків ДГР, МВ, ГЛЛ та Т1ЦД у дітей в Одеській області проводився з 2016 по 2020 роки. Ми зареєстрували дані 862 дітей, серед яких 92 мали ДГР, 54 — МВ, 88 — ГЛЛ і 628 — T1ЦД. У дослідженні використано клінічні та епідеміологічні методи, а також локальну ГІС. Для аналізу даних застосовували локальний медико-соціологічний шар ГІС і накладали його на еколого-геофізичний шар тієї ж ГІС. У дослідженні використано інформацію, отриману при проведенні Чорноморської геофізичної експедиції в Одеській області. Поширеність захворювань аналізували за χ2-тестом. Значення р < 0,05 вважалося статистично значущим. Результати. Під час перевірки «нульової гіпотези» щодо розподілу випадків ДГР, МВ, ГЛЛ та Т1ЦД у дітей за трьома фізико-географічними зонами Одеської області виявлено суттєві відмінності в поширеності захворювань на різних територіях. У лісостеповій зоні, зокрема в Ананьївському районі, виявлено найбільшу поширеність ДГР, водночас у Миколаївському районі степової зони переважав Т1ЦД. У Придністровській зоні у Біляївському районі найвищими були показники Т1ЦД, тоді як в Овідіопольському районі — показники МВ, а в Одесі — ГЛЛ. При дослідженні поширеності ДГР, МВ, ГЛЛ та Т1ЦД у дітей разом із картуванням геофізичних та екологічних аномалій в Одеській області виявлено істотну роль еколого-геофізичних факторів. Висновки. Використання методу ГІС при епідеміологічному дослідженні ДГР, МВ, ГЛЛ та Т1ЦД у дітей сприяє покращенню моніторингу орфанних та соціально значущих захворювань.
Functionality of oral and articulatory praxis in older preschool children with logopathology
Authors: Bielova O. , Konopliasta S.
Published: November 2023

Background. The purpose of this study is to identify the current state of neuromotor functionality of oral and articulatory praxis, which affects speech readiness for schooling, in older preschool children with logopathology. Materials and methods. Research methods are aimed at studying the kinesthetic and kinetic oral and articulatory praxis. Kinesthetic oral praxis is studied during the diagnosis of static articulatory motility. Kinetic praxis was evaluated when investigating dynamic articulatory switching from one movement to another. The study of kinesthetic articulatory praxis takes place during the diagnosis of sound speech. To evaluate the results of the task, all sounds are conditionally divided into groups: whistling, hissing, sonorous, iotated sound combinations and all other sounds. To study the kinetic articulatory praxis, we investigated the sound-syllabic structure of the word. Results. The results of the experimental study give a clear idea that there are significant differences in the formation of neuromotor functionality of oral and articulatory praxis between the groups of children with logopathology and those with normotypical psychophysical development. In older preschool children with speech disorders, low abilities were found when performing tasks of kinesthetic and kinetic praxis: oral (problematic switching of the articulators; long search for an articulatory posture, incomplete range of motion, deviation from configurations, presence of synkinesis, hyperkinesis), articulatory (defect of all sounds of groups; replacement, mixing, distortion or absence of individual sounds during their isolated pronunciation; distortion of the sound-syllabic structure of words). Children are passive during classes, they need constant support from the teacher. Conclusion. The revealed unformed state of neuromotor functionality of oral and articulatory praxis in older preschool children with speech disorders affects the development of their speech skills. This will lead to the difficulties during their mastery of educational material in institutions of general secondary education.
Difficulties in diagnosing cat scratch disease in children
Authors: Prokopiv O.V. , Lyshenyuk S.A. , Zhukovskyi V.S. , Karmazyn H.M.
Published: November 2023

Cat scratch disease (CSD), a zoonotic infection caused mainly by the bacterium Bartonella henselae (B.henselae), is widespread throughout the world. The main carriers of B.henselae are domestic cats that get infected by fleas. In humans, the disease occurs after a contact with a cat, typically through a bite or scratch from an infected animal. Difficulties in diagnosing the disease are associated with the variety of its clinical manifestations. Three clinical cases of CSD in children are presented, in two of them skin manifestations preceded common clinical symptoms such as fever and lymphadenopathy. In these patients, false diagnoses of scarlet fever and pityriasis rosea made it difficult to diagnose CSD in a timely manner. As a result, etiotropic treatment was started on days 16 and 21 of the illness, respectively. In the third case, a patient experienced abscess formation in one of the affected lymph nodes after prolonged fever for a month and regional lymphadenopathy, which necessitated surgical intervention. In all three cases, the family physicians did not ade­quately consider the epidemiological history, specifically failing to recognize the persistent, long-term contact of the children with cats. Patients received antibacterial therapy with clarithromycin, which led to clear positive dynamics and recovery. These clinical cases emphasize the importance of considering B.henselae infection in all cases of lymphadenopathy accompanied by skin rashes to ensure early diagnosis and appropriate treatment, thereby preventing complications, particularly when children have contact with cats.