bluuebunny/crossref_metadata_2025 huggingface dataset:
Insulin Use in Type 2 Diabetes and the Risk of Dementia: A Comparative Population-Based Cohort Study
Authors: Alkabbani Wajd , Maxwell Colleen J. , Marrie Ruth Ann , Tyas Suzanne L. , Lega Iliana C. , Gamble John-Michael
Published: June 2023

Objective

Evidence of an increased dementia risk with insulin use in type 2 diabetes is weakened by confounding by indication and disease severity. Herein we reassess this association, while accounting for confounding through design and analysis.

Research Design and Methods

Using administrative health care data from British Columbia, Canada, we identified patients diagnosed with type 2 diabetes in 1998–2016. To adjust for confounding by diabetes severity through design, we compared new users of insulin to new users of a noninsulin class, both from a restricted cohort of those who previously received two noninsulin antihyperglycemic classes. We further adjusted for confounding using 1) conventional multivariable adjustment and 2) inverse probability of treatment weighting (IPTW) based on the high-dimensional propensity score algorithm. The hazard ratio [HR] (95% CI) of dementia was estimated using cause-specific hazards models with death as a competing risk.

Results

The analytical comparative cohort included 7,863 insulin versus 25,230 noninsulin users. At baseline, insulin users were more likely to have worse health indicators. A total of 78 dementia events occurred over a median (interquartile range) follow-up of 3.9 (5.9) years among insulin users, and 179 events occurred over 4.6 (4.4) years among noninsulin users. The HR (95% CI) of dementia for insulin use versus noninsulin use was 1.68 (1.29–2.20) before adjustment and 1.39 (1.05–1.86) after multivariable adjustment, which was further attenuated to 1.14 (0.81–1.60) after IPTW.

Conclusions

Among individuals with type 2 diabetes previously exposed to two noninsulin antihyperglycemic medications, no significant association was observed between insulin use and all-cause dementia.
Deep Learning-based Classification of Breast Tumors using Raw Microwave Imaging Data
Authors: Biçer Mustafa Berkan , Eliiyi Uğur , Türsel Eliiyi Deniz
Published: June 2023

Breast cancer is the leading type of malignant neoplasm disease among women worldwide. Breast screening makes extensive use of powerful techniques such as x-ray mammography, magnetic resonance imaging, and ultrasonography. While these technologies have numerous benefits, certain drawbacks such as the use of low-energy ionizing x-rays, a lack of specificity for malignant tissues, and cost, have motivated researchers to investigate novel imaging and detection modalities. Microwave imaging (MWI) has been extensively studied due to its low-cost structure and ability to perform measurements using non-ionizing electromagnetic waves. This study proposes a novel convolutional neural network (CNN) model for detecting and classifying tumor scatterers in MWI simulation data. To accomplish this, 10001 different numerical breast models with tumor scatterers of varying numbers and positions were developed, and the simulation results were derived using the synthetic aperture radar (SAR) technique. The presented CNN structure was trained using 8000 pieces of simulation data, and the remaining data were used for testing, achieving accuracy rates of 99.61% and 99.75%, respectively. The proposed model is compared to three state-of-the-art models on the same dataset in terms of classification performance. The results demonstrate that the proposed model effectively performs effectively well in detecting and classifying tumor scatterers.
Use of Various Industrial and Eggshell Wastes for the Sustainable Construction Sector
Authors: Aydın Ertuğ
Published: June 2023

The alternative composites’ production alleviates the serious problem generated by global warming. Methods to reduce the amount of cement used in concrete production, for example, are being investigated to determine how to reduce carbon dioxide emissions in many applications. Egg shells and various industrial wastes, which are recommended to use in the construction sector at an appropriately high rate, also cause serious environmental damage. Bottom ash (BA) and marble powder (MP) wastes are used today in civil engineering applications. In addition, it is important to increase the use of eggshells due to their rich calcium carbonate content. In this work, BA and MP wastes were blended with eggshells to produce cement paste composites. Two different sets of composites were prepared during this study. The composites were prepared with cement (80%), BA (20%), and MP (20%) wastes by weight with 0.3%, 0.75%, 1.5%, and 2.5% eggshell waste. The fresh (flow table), physical (dry unit mass, apparent specific gravity, and porosity), mechanical (unconfined compressive strength and flexural strength), and durability (water absorption, seawater resistance) tests were conducted. According to the experimental results, the composites can be classified as lightweight construction materials. The test results showed that 0.75% eggshell by weight of cement in bottom ash and marble powder can be used as an optimum value for better performance. The bottom ash mixtures groups are higher water absorption and porosity values when referring to the marble powder mixture groups. The highest compressive strength value was found at 56.03 MPa in the MP mixture group and 52.79 MPa in the BA mixture groups with these optimum eggshell combinations at 56 days. The MP mixture group showed better resistance to seawater when referring to the bottom ash blended mixtures. Laboratory-produced composites are possible candidates for cost-effective and environmentally friendly building materials. The eggshells have a promising alternative binder for concrete in the near future and they are utilized together with industrial wastes such as BA and MP in sustainable concrete construction.
Implementation of Three Phase Induction Motor Pre-Design Program on Electronic Circuit
Authors: Apaydın Hasbi , Serteller Füsun , Oğuz Yüksel
Published: June 2023

In this study, the performance analysis of a 5.5 kW, 460 V, 60 Hz, 4-pole, and 3-phase squirrel- cage induction motor (IM) has been carried out by developing a portable electronic circuit, design, and the software, independent of any commercial software. The mathematical equations used in the design steps and the preliminary design of the main dimensions of the squirrel cage IM are realized with a developed electronic circuit. To perform preliminary design calculations Nextion 7-inch touch screen, Arduino mega 2560 microcontroller is used in electronic circuit design. Briefly, IM basic data are entered from the Nextion 7 inches touch screen in the electronic circuit created and the data are sent to the Arduino Mega 2560 microcontroller card via serial communication. On the Arduino Mega 2560 microcontroller board, IM mathematical calculations are accomplished, and the calculation results are presented on the Nextion screen. It has been observed that the analytical calculations and the calculation results in the developed calculation tool have been obtained in good agreement.
The Pitfalls and Possibilities of Laughter—Sustainability in the Light of Parental Collaboration involving Refugee Parents
Authors: Myrann Maria Kristianne
Published: June 2023

The aim of this article is to explore how laughter is played out in parental collaboration between ECEC practitioners and refugee parents. This part of the communication is seen in relation to the terms of ECEC practices regarding social and cultural sustainability, operationalised as inclusive institutions that enable parents’ participation and the sense of belonging. The study includes six days of observation during delivery and pick-up in the hallway of a Norwegian ECEC practice, and observation of one parents meeting. Four communication sequences are interpreted in the light of theories regarding laughter and different aspects of social and cultural sustainability. The findings suggest that laughter might contribute to strengthening relationships between ECEC practitioners and refugee parents. However, laughter can also create boundaries between the collaborators, leading to a notion of “us” and “them.” The article suggests that ECEC practitioners reflect upon their use of laughter in communication with minority parents and take cultural aspects into consideration, in order to enable equal participation and achieve social and cultural sustainability.
Características clínicas e fonoaudiológicas de neonatos hospitalizados em uma Unidade de Tratamento Intensivo neonatal com suspeita de doença genética
Authors: Mattos Chayane Dias , Larré Melaine Czerminski , Rosa Rafael Fabiano Machado , Zen Paulo Ricardo Gazzola , Almeida Sheila Tamanini de
Published: June 2023

Introdução: A prematuridade é um fator de risco para o crescimento e o desenvolvimento dos neonatos. Objetivo: Analisar as características clinicas e fonoaudiológicas de neonatos hospitalizados na unidade de tratamento intensivo (UTI) neonatal com suspeita de doença genética. Material e Método: Estudo transversal descritivo, conduzido em um hospital na região sul do Brasil com coleta de dados entre novembro de 2020 e setembro de 2021. Todos os neonatos que se encontravam internados na UTI, atendidos pelo Sistema Único de Saúde e que apresentavam suspeita de etiologias genéticas foram acompanhados pela equipe de Fonoaudiologia. Foram analisados todos os prontuários dos recém-nascidos com suspeita de alteração genética, extraindo-se os dados médicos e fonoaudiológicos. Resultados: A amostra foi constituída por 14 neonatos prematuros com média de idade gestacional de 36 semanas e 5 dias e uma média de tempo de nascimento, no momento da avaliação fonoaudiológica, de 14,6 dias de vida. No que se refere às comorbidades, 71,4% dos recém-nascidos apresentavam alguma malformação, sendo múltiplas na maior parte dos casos (64,29%). Todos os neonatos estavam fazendo uso de via enteral de alimentação durante a avaliação fonoaudiológica. Na avaliação de reflexos orais, observou-se que houve um predomínio de pacientes com reflexo de procura débil, sendo que a maior parte apresentava reflexo de sucção presente. Conclusões: Pode-se afirmar que, neste estudo, a amostra foi composta por pacientes principalmente prematuros que apresentavam malformações múltiplas e que todos faziam uso de via alternativa de alimentação sugerindo, assim, a necessidade de atendimento fonoaudiológico como parte da assistência multidisciplinar desses neonatos.
Causes and legal consequences of deviant behavior
Authors: Tymoshenko V. , Korolchuk V.
Published: June 2023

The essence of deviant behavior, the factors leading to it, its varieties and legal consequences are considered. Illegal behavior, immoral acts, various addictions, suicides are all realities of today. Abnormality and deviance become a typical and widespread phenomenon, especially dangerous is the fairly widespread delinquent behavior, as a result of which society gradually sinks into a state of anomie, which is a companion of any crises and social upheavals. This determines the topicality of the topic. Currently, the spread of deviant forms of behavior is facilitated by the crisis state of society, corruption, the war waged by Russia against Ukraine, legal nihilism, and social injustice. Deviant behavior affected the criminalization of society, an increase in crime rates and a change in its structure in the direction of expanding the social base at the expense of deviants, a decrease in public interest in moral issues, an increase in immorality and hypocrisy, and deformation of legal consciousness. Deviance is a relative characteristic associated with the changing standards and social expectations of a community that change in space and time. Social factors are not the only determinants of deviations. Personal factors also lead to deviant behavior, including criminal behavior. The essential determinants of deviant behavior are antisocial personality development, unfavorable social conditions and psychological characteristics of the individual. Marginality is both a prerequisite and a consequence of deviance. Characteristic features of the process of marginalization are a value vacuum, social maladaptation, and social disintegration, manifested in deviation. Marginalization can be a source of social conflicts, delinquent behavior and criminalization of society. The theoretical provisions and conclusions of the article develop and complement a number of sections of the general theory of law, criminology, will contribute to more effective implementation of rights and freedoms, crime prevention and prevention of individual crimes. This is the practical significance of this article.
Artificial intelligence and copyright and related rights
Authors: Bysaga Y.M. , Byelov D.M. , Zaborovskyi V.V.
Published: June 2023

This article examines the impact of artificial intelligence (AI) on copyright and related rights in the context of today’s digital environment. The growing role of AI in creativity and content creation creates new challenges and questions regarding ownership, authorship and legal protection.The article considers two main aspects: first, how AI affects the creation of creative works, in particular, the generation of texts, music, images and videos without direct human intervention. Second, what are the problems of recognizing the authorship of AI-created works and establishing responsibility for copyright infringement.The article examines different legal approaches to these issues, including a discussion of the concept of AI «creative contribution,» which determines whether an AI can be considered the author of a work. It also examines the challenges of recognizing authorship and establishing ownership of AI-generated works, especially in the context of machine learning and deep learning.Additionally, the article analyzes the current state of copyright and related rights legislation in many countries and points to the need to adapt legislation to the challenges arising from the use of AI in the creative process. It is important to strike a balance between protecting the rights of creators and fostering AI-powered innovation.The article is devoted to analysis of issues related to the emergence of questions regarding the ownership and legal status of works created by artificial intelligence (AI). Thanks to advanced algorithms and machine learning, AI can generate new creative outputs such as music, drawings, literary texts and even videos.In this connection, questions arise regarding the legal protection of these works and the recognition of authorship. Can AI be a copyright holder? Can authorship be attributed to the developer of the algorithm or the owner of the AI? What rights do AI-generated works have and how do they affect intellectual property?The article examines various legal aspects of this problem, including national copyright legislation, concepts for new laws or international discussions on setting standards for copyright and artificial intelligence.
Performance Review: The Sign in Sidney Brustein's Window
Authors: Peterson Dave
Published: June 2023

Dave Peterson reviews the Brooklyn Academy of Music's (BAM) production of The Sign in Sidney Brustein's Window. This play was written by Lorraine Hansberry. The revival was directed by Anne Kauffman. The production dates were February 23, 2023 - March 24, 2023. Peterson examines how Kauffman visually teased out the major themes in the play. He highlights how the performances contributed to a nuanced current sociopolitical and culturally relevant understanding of one of Hansberry's less-produced works.
Under Shannon’s Bandwagon. Rethinking the Reception of Information Theory in Thermal Physics, 1948-1957
Authors: Anta Javier
Published: June 2023

In this paper I analyze the historical case of how Shannon’s theory of information, among other alternative theories, began to be applied rapidly and systematically within thermal physics in the 1950s. After evaluating this theory and the intellectual context in which it is inserted, I argue that it was not the formal-conceptual features of Shannon’s theory but the particular motivations of influential scientists such as von Neumann, Weaver and Wiener that properly made it possible for information science to become deeply rooted in thermal physics during the 1950s, as shown by the proposals of Brillouin and Jaynes.
Cândido Baptista de Oliveira and the “Forgotten Memoir”: The First Plan of a National Astronomical Observatory After Brazilian Independence (1822-1831)
Authors: Farias Millena Souza
Published: June 2023

On February 1, 1828, the newspaper Diario Fluminense published in full the Plan for the establishment of an astronomical observatory in the city of Rio de Janeiro. The document was written by the Brazilian mathematician Cândido Baptista de Oliveira and substantiated the approval of the law determining the creation of the future Imperial Astronomical Observatory of Rio de Janeiro (IORJ). This paper discusses the influences embedded within Oliveira’s project, by analyzing the appropriation of different scientific traditions gained during his training as a mathematician at the Observatory of the University of Coimbra and during his studies at French scientific institutions, such as the Polytechnic School and Paris Observatory. I argue that this project had a nationalistic ideal, imbued with the notions of progress and modernity, both effects of the ongoing circulation of people and scientific knowledge during the beginning of the nineteenth century.
The Saint Euplus Miracle in China: The Local Version of a Motif Complex
Authors: Starostina Aglaia
Published: June 2023

A Eurasian motif complex built around the illusion of a flood was described by Artёm Koz’min in 2011 under the preliminary name of the Saint Euplus Miracle. Subsequently, this discovery proved to be productive in the understanding of the development of some Chinese plots including the image of a magic paintbrush. This article deals with a combination of the magic paintbrush image and the borrowed motif complex centred around water that apears miraculously, or the illusion of it, in Chinese tradition. The image of a magic brush has been widespread in the literature and folklore of China for centuries, although this combination, which underlies the famous tale Ma Liang and his Magic Brush, remains unnoticed. The aim of the article is to describe the Chinese version of the Saint Euplus Miracle and to point out its characteristic features.

In all the Chinese examples analysed, the role of the magic helper was prominent, while in the non-Chinese cases the helper was generally absent. Another feature specific to the Chinese cases was the helper giving the hero a magic object for use in drawing.
The Cult of the Chinese God Guan Yu in the Studies of Russian Sinologists: Fieldwork Observations, Approaches, Methodology
Authors: Zavidovskaya Ekaterina
Published: June 2023

The paper explores materials, methods and approaches used by Russian sinologists to define and analyse the cult of Guan Yu (also known as Guan-gong, Guandi, etc.), a popular god of the Chinese pantheon, revered by Daoists, Buddhists and educated Confucians, and who was also granted a number of imperial titles. Guan Yu was worshipped in late imperial China as god of war and wealth, paragon of moral virtue and loyalty to the ruler. Published and unpublished materials by Russian scholars shed light on beliefs and practices related to Guan Yu and display an array of methods including translation of original Chinese sources, field observations, scrutiny of numerous written and oral sources as well as mythological motifs. The paper displays how various angles and approaches to the same subject – worship of Guan Yu – allow a multifaceted and wholesome vision of this god’s place in Chinese traditional culture.
Death Beyond Death: Jian Spirits in Chinese Popular Belief
Authors: Volchkova Elizaveta
Published: June 2023

This article* examines the origins and development of notions about jian spirits, beings into which, according to Chinese folk tradition, the souls of the dead transform after their demise. An analysis of the few available references to jian in Chinese literature and folklore suggests that the first mention of jian as ‘ghosts of ghosts’ appears relatively late, in the 13th century, as the result of a combination of two independent traditions: the written jian formula used in apotropaic practices from at least the Tang period (618–907), and a complex of ideas about the mortality of ghosts and their posthumous fate that took shape in the early Middle Ages, possibly under the influence of Buddhism. A detailed development of the ghosts of ghosts motif occurs as part of High Qing supernatural discourse in the works of writers Pu Songling and Yuan Mei. By the end of the 19th century notions that had been created by such literary representation were inherited by the popular belief system. The evolution of ideas about jian, which continues to the present, as far as one can judge from the supply on the market of magical paraphernalia and the material of modern supernatural web novels, provides a vivid example of how new concepts of Chinese folk religious tradition emerge and transform.
Cat Spirits in North-Western China: Worship Practices, Origin, and External Relations
Authors: Gruntov Ilya , Mazo Olga
Published: June 2023

This paper examines the cult of cat spirits in north-western China and their veneration by the Han Chinese, Tibetans, and Monguors. These spirits are revered as family spirits and guardians of wealth and property, but possess resentful and revengeful personalities. The paper explores the origins of the cult, local worship and summoning practices, protection methods, and links with other vernacular traditions in the region. The study uses a combination of research methods, including analysis of Chinese historical sources, published modern narratives, and the authors’ own fieldwork in Mongolia. The paper employs a qualitative and comparative approach to identify invariant features of cat spirits across various local traditions and highlights the assimilation of the cult into different traditional belief systems where it is enriched with new traits. The paper sheds light on the rich and complex tapestry of beliefs and practices associated with cat spirits. The article suggests that the cult of cat spirits may have had non-Han and non-Tibetan origins, possibly connected to Proto-Mongolic tribes.
A Concern for the Invisible: Dwelling with Sensitive Horses and Vanishing Graves in Mongolia
Authors: Delaplace Gregory
Published: June 2023

Dwelling well, for the Dörvöd herders with whom I have interacted over the years, involves getting a few things right about the invisible. On the one hand, they need to navigate spaces that are teeming with ‘things’ that not everybody can see plainly, and which are best left undisturbed. On the other hand, behaving properly towards spiritual ‘land masters’ that constitute the places through which herders circulate involves them conforming to a certain regime of marking, i.e. a geography that implicitly values discretion and disappearance. Considering two apparatuses with which the invisible is either taken care of or produced – saddled horses and gravesites –, this paper explores a concern, and a talent, that people in Mongolia exhibit for things that exist by virtue of (dis)appearing.
Reflecting with Schmemann on the Functions of Byzantine Hymnography: The Case of the 15 Antiphons during Holy Friday Matins
Authors: Lossky-Laham Olga
Published: June 2023

Schmemann’s harsh judgement of the antiphons of Holy Friday matins invites us to consider the role of hymnography in the liturgical celebration. By analysing the historical context of the appearance of the antiphons – according to the methodology proposed by Schmemann – it is possible to consider the way in which these hymns make use of scriptural material by means of patristic intertextuality. The hymns privilege some biblical interpretations in order to encourage the believer to join in the participation in the Kingdom. This parenetic bias, however, often masks the eschatological message contained in the hymns themselves, and even degenerates into denunciatory rhetoric. It is then necessary to recontextualize the functions of hymnography to actualize it, especially by questioning its relationship to Scripture in order to refocus on the theological message.
A Sacred Cyberspace? Towards the Ontology of Virtual Worship
Authors: Seppälä Serafim
Published: June 2023

Due to COVID-19 restrictions, the Orthodox Church was compelled to move its worship to online platforms. What does such a shift mean in terms of liturgical theology and ontology? To what extent, and in what sense, is participation possible online? How does the virtual space function as a liturgical space? What kind of ontological and aesthetic problems are involved? Orthodox theologians have not yet developed answers to such questions. This paper approaches the problem in the light of Pseudo-Dionysian ontology, supplemented by Alexander Schmemann’s ideas, proposing that virtual worship offers a new sub-category of liturgical reality that reflects the higher forms of reality. To paraphrase the words of Pseudo-Dionysius, cyberspace constitutes a medium in which “like represents like,” though it uses formations that are “even entirely inadequate and ridiculous.”
The Role Of Workload And Work Motivation In Influencing Performance Through Job Satisfaction
Authors: I Nyoman Swedana
Published: June 2023

Job satisfaction is quite an exciting and essential issue because it has greatly benefited the interests of the individual, the company, and the existing community. This study aims to analyze the performance of nurses who are influenced by workload and motivation through job satisfaction. This research was conducted on nurses at Undata Hospital, Palu, where 152 were used as respondents. Data collection techniques used questionnaires with Likert scale measurements and interval scales. The analytical method used is Partial Least Square (PLS) using WarpPLS 7.0 software. The results of this study indicate that motivation has a positive and significant effect on nurse performance. At the same time, the workload does not affect performance. Satisfaction does not affect performance. These results are expected to be considered by related parties in maintaining nurse performance.
Tendencia de suicidios en el Estado de Nayarit, México, 2013-2019
Authors: Cabrales-Arreola Jorge Luis , Hernández-Girón Carlos
Published: June 2023

El suicidio es actualmente un problema de salud pública en todos los estados que conforman el país, y también se observa un incremento dinámico año con año de las tasas de ocurrencia en todo el mundo. Son los trastornos de salud mental el principal desencadenante del suicidio, que trae consigo consecuencias psicológicas devastadoras para las familias de quienes lo cometen. En el estado de Nayarit (México) se encontró un incremento notable, de casi el doble, de los suicidios consumados en el periodo comprendido entre los años 2013 y 2018. Estos datos se obtuvieron a través del Departamento de Salud Mental de la Secretaria de Salud de Nayarit y el Servicio Médico Forense de la Fiscalía General del Estado. Para su análisis, se utilizó un diseño descriptivo de series temporales del evento epidemiológico de muertes por suicidio en México durante un periodo de seis años. Para prevenir este fenómeno es necesario aplicar las estrategias ya existentes recomendadas por la Organización Mundial de la Salud y las instituciones de salud mexicanas, así como instrumentar estrategias para detectar oportunamente a quienes puedan cometer suicidio a fin de dar un mejor apoyo psicológico y psiquiátrico. El presente trabajo analiza algunos factores predisponentes que podrían haber provocado ese incremento de suicidios en la mencionada entidad.
Intervención cognitivo-conductual en línea para mejorar el estilo de vida en la diabetes mellitus tipo II
Authors: Lara-Acosta Elda Madaí , Pérez-Pedraza Bárbara de los Ángeles
Published: June 2023

México se encuentra en un estado de emergencia epidemiológica por la prevalencia de la diabetes mellitus tipo II (DM2). El incremento en los niveles de glucosa y de las complicaciones derivadas de la enfermedad pone de relieve la necesidad en el paciente de modificar su estilo de vida, por lo que resulta importante poner en práctica intervenciones eficaces para ese propósito. Con el objetivo de medir la eficacia de una intervención cognitivo-conductual para mejorar el estilo de vida y disminuir las distorsiones cognitivas sobre la enfermedad en pacientes con tal enfermedad, se llevó a cabo un estudio cuasiexperimental con pretest y postest de un solo grupo. Se halló un aumento con tamaño del efecto grande en las subescalas de nutrición, información sobre la diabetes, adherencia terapéutica y en la escala total de estilo de vida, así como una reducción con un tamaño del efecto grande en la subescala de pensamiento dicotómico y el total de las distorsiones cognitivas del Cuestionario para Evaluar Distorsiones Cognitivas por Lerma. Se concluye que la terapia cognitivo-conductual es un recurso útil para el cambio estilo de vida y de pensamientos en la DM2.
Síntomas de déficit de atención, ansiedad y depresión en estudiantes universitarios
Authors: Navarro-Calvillo María E. , Flores-Lázaro Julio C. , Medrano Eliana , Bustos-Rojas Narda D. , Zapata-Enríquez Luis R.
Published: June 2023

Antecedentes. El trastorno por déficit de atención del adulto (TDA-A), la ansiedad y la depresión se encuentran entre los problemas de salud mental más importantes en todo el mundo. Método. En este trabajo se analizaron los síntomas autorreportados de las tres condiciones clínicas en una muestra de estudiantes universitarios. Procedimiento. Se efectuó un tamizaje con 575 participantes, identificándose 110 (70 mujeres y 40 hombres) con suficientes indicadores clínicos que denotan síntomas de TDA-A, lo que representa 19% de la muestra. A quienes conformaron esta submuestra se les aplicó la versión de 18 ítems de la ASRS. V.1.1 y las escalas de ansiedad y depresión de Beck. Resultados. En ambos grupos, la correlación de síntomas ansiedad-depresión fue de moderada a alta. Sin embargo, fue más alta para las mujeres; en tanto que la correlación TDA-A/ansiedad fue más alta en los hombres. En la regresión lineal, la predicción de las variables ansiedad-depresión en las mujeres no fue significativa, ni de forma conjunta ni separada en los puntajes de síntomas TDA-A, a diferencia de los hombres, una predicción explicada únicamente por la ansiedad. Discusión. Los resultados indican diferencias de constructo entre mujeres y hombres, lo que denota la necesidad de desarrollar parámetros específicos de salud mental basados en los criterios de sexo y género.
Asociación entre depresión, ansiedad, estrés y lugar de origen (migración interna-no migración) en estudiantes universitarios
Authors: Cabrera-Díaz Esperanza , Charry-Méndez Sergio Andrés , Astaiza-Arias Gilberto
Published: June 2023

Objetivo. Determinar la asociación entre depresión, ansiedad, estrés y lugar de origen (migración interna-no migración) en estudiantes universitarios de primer semestre de la Facultad de Educación de una universidad pública. Método. Investigación cuantitativa, descriptiva de corte trasversal. El tamaño de la muestra fue de 102 estudiantes matriculados para el periodo académico 2019-1, a quienes se aplicó el Inventario de Depresión de Beck, el Inventario de Ansiedad de Beck y la Escala de Estrés Percibido. Los datos se computaron con el procesador Excel y el programa SPSS, versión 24, mediante análisis estadístico descriptivo univariado de frecuencias y tablas de contingencia. Resultados. Se determinó una asociación entre el lugar de origen (migración-interna, no migración) y grados moderados de depresión, altos de ansiedad y estrés en los participantes. Conclusiones. La depresión, ansiedad y estrés se relacionan significativamente con el lugar de origen, lo cual podría influir en su adaptación a los estudios universitarios.
Response of sorghum commercial hybrids to sugarcane aphid, Melanaphis sacchari (Hemiptera: Aphididae) and threshold-based chemical management in Guanajuato, Mexico
Authors: Pecina-Quintero Víctor , Bujanos-Muñiz Rafael , Jiménez-Becerril María Fernanda , Montes-García Noé , Pecina-Becerril Andrea , Yáñez-López Ricardo , Mayek-Perez Netzahualcoyotl
Published: June 2023

The sugarcane aphid, Melanaphis sacchari (Hemiptera: Aphididae) (SCA) affects grain sorghum, Sorghum bicolor (Poaceae) production. The response of sorghum hybrids to SCA was evaluated during 2017 in Guanajuato, Mexico. Experiments were established under strip-plot designs with two factors (hybrids, threshold-based chemical management -TBCM- treatments) and under irrigated or dryland conditions. Experiments were established on two sowing dates at Celaya and Valle de Santiago (irrigated) using the SCA-tolerant hybrids APACHE, BRS-70, MEZQUITE, SCAP-618, and SCA-susceptible UPM-219. Dryland experiments were established at Celaya, Valle de Santiago, and Pénjamo using MEZQUITE, and SCAP-618 (tolerant), and lines UPM-219, SHORTER, and MAJESTIC-355 (susceptible). The TBCM strategies were a) with TBCM (seed treatment with thiamethoxam; flupyradifurone or sulfoxaflor applied to foliage), and b) without TBCM (control). Significant differences (p < 0.05) between treatments under irrigated and dryland conditions for the number of aphids per leaf and grain yield were found. APACHE, BRS-70, and MEZQUITE had the highest grain yields under both TBCM and no-TBCM. UPM-219 was competitive under TBCM conditions, but without TBCM showed total yield losses. The yield–aphid cumulative density linear regressions were negatively significant (p ≤ 0.05) to sorghum cultivated without TBCM. Irrigation increased 64 % grain yields compared with dryland experiments. TBCM increased grain yield (50 % in irrigated and 100 % in dryland conditions). TBCM increased grain yields and reduced cumulative SCA populations under irrigated or rainfed conditions, mainly for susceptible sorghum. Resistant germplasm and TBCM could control SCA in sorghum cultivated in Guanajuato, mainly at late sowings frequently carried out under dryland conditions.
Parenting Education for Early Childhood Social-Emotional Development
Authors: Agus Suprijanto  , Etty Kartikawati  , May Roni  , Sri Purwanti N
Published: June 2023

Social-emotional development is a process that includes changes in individuals with other people, changes in emotions, and personality changes. One of the potentials and abilities of children that need to be developed by educators and parents is the potential social-emotional abilities of children. Harmonious interaction will facilitate the child's socialization process. So the family is the most critical institution in child development. This research uses case study research with descriptive qualitative research methods involving teachers, parents, and children, Data was collected through observation, interviews, and documentation. This research was conducted at Qurrota A'yun Kindergarten, East Betung Bay.  The sample was shown to parents who have early childhood and attend Qurrota A'yun Kindergarten in East Betung Bay. Then the data that has been collected is analyzed and presented in narrative form so that the desired conclusions can be drawn.  The results showed that the role of family education in children's social-emotional development at Qurrota A'yun Kindergarten in Teluk Betung Timur plays a good role. This is due to the exemplary education carried out by parents/family in words, deeds, attitudes, and behavior that can help children know feelings of pleasure, sadness, anger and fear. Optimally in teaching to get along or socialize with others helps children make friends, play and work together with others.
The Use of Percussion Instruments to Improve Musical Intelligence of Young Children
Authors: Ajeng Ninda Uminar
Published: June 2023

Musical intelligence is one of the essential aspects that should be given to children. With music, children can easily remember and manipulate patterns of musical forms. Music will primarily affect human life in the form of musical rhythms, musical instruments, and songs. Therefore, to improve musical intelligence in early childhood, an educator must use percussion instruments to improve children's musical intelligence. One way to improve it is to use percussion instruments, where percussion instruments are hit musical instruments found by children in the surrounding environment and can have a positive and educational influence on early childhood. This research was conducted at Raudhatul Atfhal Baitul Umi Pajaresuk Pringsewu in group B1 students. This research is a Classroom Action Research with a descriptive qualitative research type. The formulation of the problem that the author proposes in this study is "Whether the use of percussion musical instruments can increase the musical intelligence of children in group B1 RA Baitul Umi Pajaresuk Pringsewu. The research subjects were 20 students in group B1, while the object of research was early childhood musical intelligence. Based on the research results at RA Baitul Umi Pajaresuk Pringsewu, it can be concluded that using percussion musical instruments can improve children's musical intelligence at RA Baitul Umi Pajaresuk Pringsewu in the 2016-2017 school year with excellent results. This can be seen from the musical intelligence of students where in the pre-cycle of research, it can be seen that students who achieve very well development do not exist from all students totaling 20 students. Then in cycle I, students with perfect musical intelligence improvement still have not shown results. And in cycle II, it increased again to 1 learner or 80% of learners who had reached the predetermined assessment standards.
Development of Flashcard Media in Improving Cultural Knowledge of Early Childhood Students
Authors: Everhard Markiano Solissa  , Rahayu Setyaningsih  , Heppy Sapulete  , Sumarni Rumfot  , Agus Rofi’i
Published: June 2023

The purpose of this study is to develop flashcard media for introducing the culture of Central Java. This study also used development research (R&D), which was carried out in two trials, namely the one-to-one trial and the small group trial. The subjects in this study were to get to know the culture of the Central Java region, while the objects in this study were 10 students. The data were collected using guidelines in the form of observation, interviews, questionnaires and documentation. The analysis used is qualitative and quantitative data analysis. The results of this study indicate that the Flashcard media developed through a series of trials and validations is declared feasible. The results of the one-to-one trial get a percentage of 87.50%, and the results of the small group trial get a percentage of 83.60%; both categories are very good or very decent. Therefore, based on the results of this study, it can be concluded that Flashcard media is appropriate for use in learning to introduce Central Java regional culture to students.
“All that Glitters like Gold is Not Good.” Pericardial Effusion with Cardiac Tamponade in Hypothyroidism
Authors: Tammiraju Iragavarapu V. M. R. , Bhupathi Meghana
Published: June 2023

Among various cardiac manifestations of hypothyroidism, pericardial effusion is not an uncommon finding. But effusion leading to Tamponade is a rare complication owing to its slow collection due to increased capillary permeability. Most of the times patient can be managed conservatively but in case of hemodynamic compromise tapping of fluid will give immediate relief of symptoms. To discuss various pathophysiological issues and management options of pericardial effusion with Tamponade in hypothyroidism. Six cases of hypothyroidism with pericardial effusion and Tamponade were studied. Their demographic features and treatment issues were assessed. Five out of six cases underwent pericardiocentesis. One case was manged conservatively. All the cases were stable on follow up. Prompt diagnosis with early pericardiocentesis with thyroid supplementation will have better prognosis.
The interpretation of platelet indices (platelet count, mean platelet volume, and platelet distribution width) as additional diagnostic tool for neonatal sepsis
Authors: Gautam Vivek Kumar , Verma Manisha , Singh Abhishek , Agarwal Archana , Verma Anupama
Published: June 2023

Objective:

This study aims to determine whether platelet indices (PI) (platelet count, mean platelet volume [MPV], and platelet distribution width [PDW]) are an additional diagnostic tool for neonatal sepsis (NS).

Materials and Methods:

This observational and cross-sectional study was done between April 2020 and April 2021 at the neonatal intensive care unit (NICU) of Lala Lajpat Rai Memorial Medical College Meerut, Uttar Pradesh, India. Neonates with sepsis-like apnea, abdominal distension, refusal of feed, increased pre-feed aspirates, tachycardia, hypothermia, chest retractions, lethargy, and grunting; neonates with sepsis screen positive and/or culture positive; and neonates born to mothers with sepsis risk factors were included in the study. After proper aseptic condition, the venous blood sample was collected in ethylenediaminetetraacetic acid (EDTA) vial and sent to the pathology laboratory for further analysis of complete blood count (CBC) absolute neutrophil count (ANC), total leukocyte count (TLC), C-reactive protein, platelet frequency, MPV, and PDW. The data were analyzed using SPSS v26.0.

Results:

A total of 60 babies were enrolled, of which 30 neonates with sepsis were categorized as group “cases” (n = 30), and those (n = 30) neonates without sepsis were classified as group “controls.” Platelet count (low), MPV, and PDW (high) were found to be significant predictors of NS (P < 0.05).

Conclusion:

This study reports that the frequently employed PI (MPV, platelet count, and PDW) are significant predictors of the incidence of NS in NICU settings. There was no significant change in PI in prematurity and low birth weight neonates. These platelet indicators may be used as markers to detect the incidence of NS in low-resource settings.
The results of amnioplasty using two-component autofibrin glue in surgical treatment of pterygium
Authors:   S.M. Kirov Military medical academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia, Kozlova Y.V. , Churashov S.V. ,   S.M. Kirov Military medical academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia, Kulikov A.N. ,   S.M. Kirov Military medical academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia, Malafeeva A.Y. ,   S.M. Kirov Military medical academy of the Ministry of Defense of the Russian Federation, St. Petersburg, Russia
Published: June 2023

The only effective way of pterygium treatment is its removal with defect plasty by different tissues, including amniotic membrane. The choice of fixation method that will ensure maximum efficiency and minimize recurence risk remains actual. Using sutures increases operation time and leads to discomfort of patient in postoperative period. A comparative analysis of effectiveness of surgical treatment using designed by us two-component autofibrin glue and sutures for fixing the amniotic membrane was done. The study included 32 patients, they were divided into 2 groups depending on the method of fixing the amniotic membrane: the 1st group was the main group (22 patients), where the amniotic membrane was fixed with a two-component autofibrin glue, the 2nd group (10 patients) was the control group, where the sutures were used. Before and after surgery all patients underwent biomicroscopy and optical coherence tomography of the anterior segment, the groups were compared by the time spent on the operation, duration of epithelization and rehabilitation, as well as presence of discomfort in postoperative period. The presence of pterygium recurrence in the study groups was assessed during 12-month observation. During our study we found statistically significant differences between groups, which show the advantages of fixing amniotic membrane with two-component autofibrin glue. During 12-month observation one case of recurrence was fixed after using fixation by sutures. This makes possible to choose two-component autofibrin glue as a fixation method of amniotic membrane in pterygium surgery. Keywords: pterygium, autofibrin glue, surgical treatment, amniotic membrane, fixation
The use of cytoflavin in the complex treatment of patients with primary open-angle glaucoma
Authors:   Tashkent State Dental Institute, Uzbekistan, Tashkent, Tuychibaeva D.M. , Kayumova S.A. ,   Tashkent State Dental Institute, Uzbekistan, Tashkent
Published: June 2023

The term «glaucoma» unites a large group of eye diseases of various origins with a progradient, chronic course. The aim of this study was to study the neuroprotective effect of Cytoflavin in patients with POAG with normalized IOP based on the clinical and functional parameters of the organ of vision. Material and methods. The study involved 60 patients diagnosed with primary open-angle glaucoma (POAG) stage I, II and III. All patients were divided into 2 groups depending on the treatment received. Results. Cytoflavin has a pronounced neuroprotective effect in POAG, effectively protecting the nervous tissue and slowing down apoptosis. In addition to improving the clinical and functional indicators of the organ of vision, we noted an improvement in overall well-being, attention and overall performance in all patients. Conclusions. Analysis of the obtained results indicates a rather high clinical efficacy of Cytoflavin in the conservative treatment of patients with POAG with compensated IOP and can be recommended as a background neuroprotective therapy. Keywords: primary open-angle glaucoma, neuroprotective treatment, Cytoflavin, visual functions, glaucoma process
Transscleral diodelaser cyclophotocoagulation in micropulse mode in patients with refractory glaucoma
Authors:   Samarkand state medical university, Samarkand, Uzbekistan, Boboev S.A. , Kadirova A.M. ,   Samarkand state medical university, Samarkand, Uzbekistan, Boboev S.S. ,   Samarkand state medical university, Samarkand, Uzbekistan
Published: June 2023

The aim of the work was to study clinical efficacy of micropulsed transscleral diode laser cyclophotocoagulation (MTDСFC) in patients with refractory glaucoma. Material and methods. After careful standard ophthalmologic eye examination, 60 patients underwent mTDGFC to compensate the intraocular pressure (IOP) and stabilize the visual and functional indices. Results. Immediately on the next day after the procedure a brightening of the cornea and a decrease of the degree of perilymphalic congestion were observed. IOP level decreased from 42.0 ± 1.2 to 20.97 ± 1.12 in 47.6% of cases, and in a year – to 18.85 ± 0.7. In 40% of cases (n = 24) the visual acuity improved from 0.03 ± 0.01 to 0.06 ± 0.05 which was statistically significant (p < 0,05). In 16.7% of cases (n = 10) there was an increase in the visual field boundaries by an average of 5 degrees. In 15 eyes (25.0%) it became possible to observe fundus. An important advantage of mTDFC was a 52.4% decrease in the number of hypotensive drugs used by the end of follow-up: from 3.0 ± 0.5 to 1.0 ± 0.5 drugs (p < 0.05). In the early postoperative period subconjunctival hemorrhages in 5 (8.3%) patients, hyphema 1 mm in 1 (1,7%) patient were among the available complications; they dissolved after hematase and dexamethasone injection. Conclusions. mTDFC should be performed in patients at earlier stages of refractory glaucoma, providing compensation for varying degrees of elevated IOP. This procedure contributes to the elimination or significant reduction of pain syndrome, which preserves eye function, improves patients'quality of life, and is an alternative to laser treatment of refractory glaucoma. Keywords: refractory glaucoma, surgical treatment, laser cyclophotocoagulation, micropulse cyclophotocoagulation, transscleral cyclophotocoagulation