bluuebunny/crossref_metadata_2025 huggingface dataset:
Randomized Double-Blind Trial Comparing Efficacy of Intravenous Nalbuphine vs Intrathecal Nalbuphine for Prevention of Intrathecal Morphine Induced Pruritus in Orthopaedic Surgeries
Authors: Kurhekar Pranjali , Krishna J. Shesha dhiviya
Published: October 2023

Intrathecal morphine provides excellent postoperative pain relief but results in pruritus in 30-60% of patients. Nalbuphine, an opioid agonist-antagonist prevents intrathecal morphine-induced itch when given by intravenous route. In this study, we compared efficacy of intrathecal and intravenous nalbuphine for the prevention of intrathecal morphine-induced pruritus. 90 patients were randomly divided into two groups. IT group received 100 mcg of morphine with 400 mcg of nalbuphine intrathecally. IV group received 100 mcg of morphine intrathecally and 400 mcg of nalbuphine intravenously. Incidence of itching, respiratory depression, hypotension, nausea, vomiting, sedation and analgesia were compared between the groups every 4th hourly for 24 hours. Data were analyzed with Chi-square test and Mann-Whitney test. Incidence of itching in 24 hours period was 11.6% (5 patients) in IV group and 4.8% (2 patients) in IT group which was comparable. (P= 0.250) Two patients in IV group had intractable itching requiring naloxone. Incidence of itching at all time intervals was comparable between the groups. Analgesia was prolonged in IV group (P=0.03) Incidence of nausea, vomiting, sedation and respiratory depression was comparable. We conclude that intrathecal nalbuphine and intravenous nalbuphine were equally effective in preventing intrathecal morphine induced pruritus. The duration of analgesia was more when nalbuphine was given by IV route as compared to IT route.
Internal Carotid Artery Blood Flow Response to Anaesthesia, Pneumoperitoneum and Head-Up Tilt During Laparoscopic Cholecystectomy: A Clinical Study
Authors: Bharadwaj Avnish , Gupta Shubhina , Gupta Ayush , Singhal Shruti , Mathur Vijay , Goswami Vikrant
Published: October 2023

Background: Control of cerebral blood flow (CBF) is complex and is only beginning to be elucidated. There is paucity of information on how implementation of pneumoperitoneum and head-up tilt under general anaesthesia affects CBF. This study was designed to observe changes that occur in the internal carotid artery (ICA) blood flow with pneumoperitoneum and head-up position and corelate these changes with changes in cardiac output in patients undergoing laparoscopic cholecystectomy.Methods: ICA blood velocity and diameter was measured by Doppler ultrasound in 35 ASA grade I and II patients undergoing laparoscopic cholecystectomy, at four time points: awake, after anaesthesia induction, after induction of pneumoperitoneum, and after head-up tilt; and ICA blood flow was calculated. Simultaneously, heart rate, blood pressure, and end-tidal carbon dioxide (ETCO2) were recorded, and cardiac output was calculated.Results: ICA blood flow decreased upon anesthesia induction from 164 mL/minute to 151 ml/minute (p>0.05). ICA blood flow increased with pneumoperitoneum (from 164 mL/minute to 179ml/minute p= 0.04). Head-up tilt resulted in decrease in ICA blood flow (from 164 mL/minute to 151ml/ minute, P = 0.09).Conclusion: ICA blood flow significantly increased after the creation of pneumoperitoneum in patients undergoing elective laparoscopic cholecystectomy under general anaesthesia. Induction of anaesthesia and head-up tilt, however, did not have any significant change in ICA blood flow. We suggest that ICA blood flow during anaesthesia is influenced by an interplay of actions of anaesthetic agents, positive pressure ventilation and patient position besides the changes in blood pressure, ETCO2 and cardiac output.
Capture of the oak ambrosia beetle within the host tree canopy
Authors: Yamasaki Michimasa , Tatsumi Kenshiro , Ito Yasuto
Published: October 2023

Because bark and ambrosia beetles fly during their dispersal and host location processes, their flight height is important for assessing their host selection strategy. There is no consensus regarding the height of their dispersal flight in forests, and their method of approaching trees is unclear. This is also the case for Platypus quercivorus (Murayama) (Coleoptera: Platypodinae), which causes Japanese oak wilt by transporting a pathogenic fungus. To clarify the vertical distribution of the flying population of P. quercivorus inside the host tree canopy, interception traps were set up at heights of 1–9 m from the ground near the main trunk of eight host trees, Quercus serrata Thunberg (Fagaceae). Captured beetles were collected between July and October 2022. Hole-boring activities were observed on all trees during the season, and beetles were captured at all heights from 1 to 9 m. Beetle capture probability increased with a decrease in height, and the number of captured beetles increased with a decrease in distance from the main trunk. However, the trap design in this study could not capture individuals coming directly above and must be addressed to elucidate their method of approaching their host plant.
An investigation of geographical clusters of leptospirosis during the outbreak in Pangandaran, West Java, Indonesia
Authors: Widawati Mutiara , Dhewantara Pandji Wibawa , Anasi Raras , Wahono Tri , Marina Rina , Pertiwi Intan Pandu , Wibowo Agus Ari , Ruliansyah Andri , Riandi Muhammad Umar , Widiastuti Dyah , Astuti Endang Puji
Published: October 2023

Leptospirosis is neglected in many tropical developing countries, including Indonesia. Our research on this zoonotic disease aimed to investigate epidemiological features and spatial clustering of recent leptospirosis outbreaks in Pangandaran, West Java. The study analysed data on leptospirosis notifications between September 2022 and May 2023. Global Moran I and local indicator for spatial association (LISA) were applied. Comparative analysis was performed to characterise the identified hotspots of leptospirosis relative to its neighbourhoods. A total of 172 reported leptospirosis in 40 villages from 9 sub-districts in Pangandaran District were analysed. Of these, 132 cases (76.7%) were male. The median age was 49 years (interquartile range [IQR]: 34-59 years). Severe outcomes including renal failure, lung failure, and hepatic necrosis were reported in up to 5% of the cases. A total of 30 patients died, resulting in the case fatality rate (CFR) of 17.4%. Moran’s I analysis showed significant spatial autocorrelation (I=0.293; p=0.002) and LISA results identified 7 High-High clusters (hotspots) in the Southwest, with the total population at risk at 26,184 people. The hotspots had more cases among older individuals (median age: 51, IQR: 36-61 years; p<0.001), more farmers (79%, p=0.001) and more evidence of the presence of rats (p=0.02). A comprehensive One Health intervention should be targeted towards these high-risk areas to control the transmission of leptospirosis. More empirical evidence is needed to understand the role of climate, animals and sociodemographic characteristics on the transmission of leptospirosis in the area studied.
Cold agglutinin syndrome in a patient with human immunodeficiency virus infection
Authors: Naini Abhilash , Sree Aakula Suguna , Nouduri Abhishek Venkata , Pappu Sai Subrahmanyam , Prasad A. Krishna
Published: October 2023

A 44-year-old female with no prior comorbidities presented with a history of easy fatiguability and yellowish discolouration of eyes of 3 months duration. On examination, she had pallor and icterus. Jugular venous pressure was elevated. Earlier, the patient was diagnosed to have autoimmune haemolytic anaemia and was started on steroids 2 weeks ago elsewhere. Laboratory investigations showed severe anaemia, elevated mean corpuscular volume and lactate dehydrogenase levels. Corrected reticulocyte count was 2.5%. Unconjugated hyperbilirubinaemia was evident. Coomb’s test was positive. In view of suspicion for cold agglutinin syndrome (CAS), monospecific agglutinin test with cold agglutinin titres was done, which tested positive. Serological testing was positive for human immunodeficiency virus (HIV) 1. The patient was diagnosed to have CAS secondary to HIV infection.
An unusual cause of right lower lobe rounded opacity in an adult
Authors: Gowrinath K. , Gayatri M.
Published: October 2023

In adults, congenital partial eventration of the diaphragm is usually asymptomatic and detected as an incidental chest radiographic finding during health check-up for other reasons. Any rise in intra-abdominal pressure due to underlying pulmonary diseases such as asthma or chronic obstructive pulmonary disease or abdominal conditions such as obesity and ascites may further distend the eventrated portion of the hemidiaphragm by pushing the abdominal contents upwards to fill the space and resulting in spurious radiologic appearance of a tumour. Computed tomography of the chest helps both in diagnostic confirmation of hemidiaphragmatic eventration and evaluation of lung parenchyma, mediastinal and subdiaphragmatic pathology.
Concomitant pulmonary tuberculosis and venous thromboembolism
Authors: Gowrinath K. , Mohapatra Aswini Kumar
Published: October 2023

Globally, tuberculosis (TB) is a common communicable disease and every year affects millions of people, particularly in developing countries. Venous thromboembolism (VTE) is common in elderly people with higher mortality. TB is also common in old people and is an independent risk factor of VTE. However, the association of VTE and active TB is rare, even in high-prevalence countries like India, and the reason is not known. In developing countries, failure to suspect thrombotic events clinically by those who treat a large number of TB cases in the peripheral health centres may be one of the reasons for underreporting VTE in active TB. In active TB, deep venous thrombosis (DVT) is more frequent than pulmonary thromboembolism (PTE) or VTE. DVT or PTE or VTE may present with TB or develop during treatment for TB, but simultaneous occurrence of active pulmonary TB and VTE is rare. We report concomitant active pulmonary TB with VTE without comorbid illnesses in an elderly man as a rare occurrence.
Clinical characteristics and risk factors for COVID-19-related adverse outcomes in patients with type 2 diabetes mellitus
Authors: Kumar Akash , Darshan Arathi , Prabhu Madhav , Appajigol Jayaprakash , Patil Bhagyashri , Gautam S.
Published: October 2023

Background:

The association between risk factors and severe acute respiratory syndrome coronavirus-2 disease (COVID-19) related mortality among people with diabetes mellitus (DM) is uncertain.

Methods:

Consecutive patients with COVID-19 with type 2 DM admitted to our tertiary care centre from July 2020 to January 2021 were included in this cross-sectional study. Data including clinical, laboratory, respiratory, inflammatory biomarkers and radiological parameters were collected and compared between non-survivors and survivors. Cox-proportional hazards regression analyses were performed to analyse the risk factors associated with the mortality in COVID-19 patients with diabetes.

Results:

Two hundred and sixty three patients with COVID-19 were included. Of these, 173 (65.8%) had survived. Demographic, laboratory, inflammatory and pulmonary parameters were significantly different between the survivors and non-survivors (P < 0.05 for all). Time to hospitalisation from symptom onset (days) was longer in non-survivors compared to survivors (7 Vs 4 days; P = 0.0001). Computed tomography severity scores were higher in non-survivors than survivors (P = 0.0001). The hospital stay was prolonged in non-survivors (P < 0.0001). Adjusted cox-proportional hazard model showed increased neutrophil count and intensive care unit (ICU) admission were independent factors associated with COVID-19-related mortality in diabetic patients.

Conclusions:

We found that the non survivors as compared to the survivors showed multiple negative outcomes in terms of laboratory, inflammatory and pulmonary findings. ICU admission and elevated neutrophil count were independently associated with death in COVID-19 patients with DM.
Thrombocytopenia in malaria and its diagnostic significance: A prospective study
Authors: Krishna Prudhivi , Chalamalasetty Manoj Kumar
Published: October 2023

Background:

Thrombocytopenia is a common finding in malaria. Although a reliable diagnostic marker, prognostic implications could vary in the types of malaria.

Methods:

This hospital-based prospective study was carried out at our tertiary care teaching hospital. We studied the occurrence of thrombocytopenia, the association of thrombocytopenia with disease severity and outcome.

Results:

During the study period, 100 patients with malaria P. vivax (n = 42) and P. falciparum (n = 24) were studied. Their mean age was 42.4 ± 12.1 years; there were 76 males. were detected. Fever was present in 42 patients with P. vivax, 24 with P. falciparum and 34 patients with clinically diagnosed malaria. Thrombocytopenia was present in 81/100 cases.

Conclusions:

Thrombocytopenia is helpful in predicting the outcome of complicated malaria but does not help in the early diagnosis.
Application de pediatric sequential organ failure assessment (pSOFA) chez les enfants diagnostiqués de Sepsis selon les critères SIRS : Une série des cas de l’hôpital Saint Joseph
Authors: Balekelayi Jacques Balekelayi wa , Bodi Joseph Mabiala , Bikoumou Victoire Audray , Keto Ariane Mankiele , Monkoti Mamy-gloire Manzi , Mabela Thideline Mankanga , Fwani Agathe Maku , Mbambi Stéphanie Mikalo , Itokua Karem Efombola , Lembalemba Jennyfer Misengabu , Bola Valerie Bolingo , Nsibu Celestin Ndosimao
Published: October 2023

Context and objective. The burden of sepsis using the Pediatric Sequential Organ Failure Assessment (pSOFA) in sub-Saharan Africa is not known. The aim of the present study was to determine the frequency of sepsis applying the pSOFA score in children.

Methods. This was a case series including children aged between 1 and 15 years, previously suspected of sepsis by means of the Systemic Inflammatory Response Syndrome (SIRS) criteria, using the pSOFA score (≥ 2), in the Pediatric Emergency Department of Saint Joseph Hospital / Kinshasa.

Results. Ninety-two children were enrolled. Males predominated (53.3 %). Their median age was 4.5 years. Clinical signs on admission were marked by fever (97.8%) and physical asthenia (60.8 %). The pSOFA sepsis test showed that 39.1% of patients had sepsis, while 60.9 % were misdiagnosed (pSOFA < 2). The frequency of sepsis according to pSOFA was 7.2 % of all admissions.

Conclusion. The pSOFA score allowed sepsis to be diagnosed in only one child out of four, compared with the SIRS score, which tends to overestimate it.

Contexte et objectif. Le fardeau du sepsis utilisant le Pediatric Sequential Organ Failure Assessment (pSOFA) en Afrique subsaharienne n’est pas connu. L’objectif de la présente étude était de déterminer la fréquence du sepsis appliquant le score pSOFA chez les enfants.

Méthodes. C’était une série des cas incluant les enfants âgés entre 1 et 15 ans, préalablement suspectés de sepsis au moyen des critères SIRS, en utilisant le score pSOFA (≥ 2), au service des urgences pédiatriques de l’hôpital Saint Joseph / Kinshasa.

Résultats. Nonante deux enfants ont été examinés. Le sexe masculin était prépondérant (53,3 %). Leur âge médian était de 4,5 ans. Les signes cliniques à l’admission étaient marqués par la fièvre (97,8 %) et l’asthénie physique (60,8 %). La mise en évidence du sepsis pSOFA a montré que 39,1% des patients avaient sepsis alors que 60,9 % étaient diagnostiqués à tort (pSOFA < 2). La fréquence de sepsis selon pSOFA était de 7,2 % sur l’ensemble d’admission.

Conclusion. Le score pSOFA a permis de diagnostiquer le sepsis seulement chez un enfant sur quatre par rapport au score de SIRS qui a tendance à le surestimer.
Crude protein digestibility in broiler chickens fed rice husk-based diets supplemented with phytase
Authors: Ilaboya I. I , Omatsuli M. O.
Published: October 2023

A total of 288, one day-old Arbor acres broiler chicks (BC) fed broiler starter till day 20 were used to investigate the effect of phytase on the digestibility of crude protein. On day 21, the chicks were weighed and allotted to 6 treatments with 6 replicates of 8 birds each using a 3x2 factorial arrangement in a randomized complete block design. Between days 25 and 27 post-hatch, samples of fresh excreta were collected once daily, bulked and stored in the freezer at -4ºC. On day 28, the birds were euthanized with carbon (IV) oxide asphyxiation and dissected to obtain digesta from the distal two-third of the ileum. Six semi-purified diets with 150, 300 and 450g/kg rice husk (RH) and 0 or 1000 units of phytase (Natuphos) were formulated. Ileal crude protein (CP) of the birds was significantly (P< 0.05) reduced by feeding graded levels of RH, while interaction of phytase and CP had no significant effect on the excreta CP (P>0.05). Apparent CP digestibility and retention of the birds had no linear and quadratic (P>0.05) responses as the dietary supply of protein from RH increase. Increasing dietary concentration of protein intake from RH, addition of phytase and the interaction, influenced digested and retained CP significantly (P<0.05). Therefore, digestibility of crude protein by broiler chickens fed RH-based diets supplemented with phytase improved digested and retained crude protein in broiler chickens.
Prospects of platform cooperatives among agripreneurs in Lagos State, Nigeria
Authors: Ogunyemi O. I. , Kolawole T. D. , Okeowo T. A.
Published: October 2023

Ceaseless efforts have been on to improve the livelihood of rural-urban people through many channels. One medium is the exploitation of the growing application of internet-based facilities. This study investigated the feasibility of a platform cooperative; a website, mobile application, or another kind of online platform that is structured as a cooperative being owned democratically by the users and other stakeholders, as a medium of improving rural-urban income. A survey design was adopted while primary and secondary data were used. A questionnaire was administered to 210 agripreneurs using a simple random sampling technique but 170 were successful for analysis. Data were analysed using content analysis, descriptive statistics, net present value, and internal rate of return. Findings revealed that platform cooperative promotes the exchange of goods and services in agribusiness and boosts the income of members. Also, 38.82% were aware of platform cooperatives. The requirements, such as internet, computer gadgets, and software, for setting up platform cooperatives are available in the study area. It is financially feasible with a net present value of N1,407,150:00 and an internal rate of return of 95.66% over a 5 years period at a 14% discount rate. It is recommended that investment in platform cooperative establishment should be given top priority by entrepreneurs and the supervisory agency of cooperatives. Platform cooperatives should be encouraged through public enlightenment programmes to promote inclusive income growth.
Students’ and lecturers’ perceptions about the effectiveness and challenges of online mathematics instruction during the Covid-19 partial lockdown
Authors: Amoah Emmanuel Kojo , Kyeremeh Patrick , Yeboah Dennis Osei
Published: October 2023

This study sought to assess the nature of online mathematics teaching and learning, the associated challenges and the support system put in place for students due to COVID-19 at the University of Education, Winneba (UEW), Ghana. The study employed concurrent mixed method design. A sample size of 507 comprising 490 students and 17 lecturers respectively were used for the study. In the study, proportionate stratified sampling, and list-based sampling frame were employed by the researchers to select the sample of mathematics students whereas census was used to include lecturers. Data for the quantitative phase were garnered using questionnaire while interview was used for collecting data for the qualitative phase. Descriptive statistics and thematic analysis were used to analyse the quantitative and qualitative data respectively. From the study it was deduced that, among the challenges facing students and lecturers in the online teaching and learning of Mathematics are; high cost of internet data bundle, unreliable internet connection, unfamiliarity with some online platforms, difficulty in accessing some online platforms using smartphones, and difficulty in teaching some topics online. In addressing the issue of encountering difficulty in teaching some topics online, we recommend the University’s Management to partner with agencies that host learning resources platforms to provide mathematics contents to help students explore. Again, we recommend that University’s Management commences discussions with telecom providers to allow zero charges on the use of smartphones for content download from the university’s learning sites.
Inquiry-Based Experimental Design for Enhancement of Teaching and Learning of Chemistry Concepts
Authors: Kwitonda Jean de Dieu , Sibomana Aimable , Gakuba Emmanuel , Karegeya Claude
Published: October 2023

Chemistry concepts to be well learned by students, there might be a conducive learning environment and this is due to the approach employed by educators. This review then is about inquiry-based experiment design as an innovative teaching and learning tool that enhances chemistry instruction. By collecting all related kinds of literature, we used Google Scholar, ERIC, and Web of Science database. The conclusion of this literature review revealed that effective implementation of inquiry-based experiment design enhances the teaching and learning of chemistry concepts. It is also recommended that chemistry educators could be trained on the professional use of the approach for the good classroom implication and students’ understanding of the concepts learned. Further studies should focus on the use of inquiry-based experiment design in the teaching and learning chemistry concepts.
A correlational analysis of the relationship between Congolese students’ achievement in relations in sets and domains of functions
Authors: Kibonge Alexandre , Uworwabayeho Alphonse
Published: October 2023

This paper explores whether there is any relationship between Congolese students’ achievement in relations in sets and their achievement in domains of functions. Since 2005, in Democratic Republic of the Congo (DRC), the secondary mathematics curriculum reform has brought many changes including the suppression of sets and relations (SR) topics in the first and second forms of secondary. At the same time, the same reform provided for the teaching of the concepts of the domains of definition of functions (DDF) at the final level of secondary schools. Data collection was carried out through a coherent survey questionnaire administered to a sample of 354 out of 3050 finalist students in Bukavu-Town. Those selected students from 7 schools generated 7 pairs of the form data (x, y), where, x represents students’ achievement on SR concepts (independent variable), and y represents students’ performance on DDF concepts (dependent variable). At 0.05, level of significance, the study reveals existence of strong positive correlation between students’ achievement on SR concepts and their performance on DDF concepts among respondents. We don’t understand what basis of curriculum designers which motivated them to remove the SR from the mathematics curriculum. The study recommends to the reform designers in order to reformulate a plea to the Ministry of National Education to be able to include the SR concepts back into the DRC's mathematics curriculum.
Mathematics Teachers’ Views and Use of Differentiated Instruction: The case of two teachers in the Winneba Municipality, Ghana
Authors: Owusu-Ansah Nana Akosua , Apawu Jones
Published: October 2023

To ensure that the global sustainable development goal on education is achieved, the implementation of differentiated instruction (DI) is beginning to gain attention in the Ghanaian education system. But is Ghana embracing and implementing DI effectively in the mathematics classroom? This paper investigated two junior high school (JHS) mathematics teachers’ views and use of DI in their mathematics classrooms. Qualitative data obtained through observations and semi-structured interviews in an embedded mixed methods study that employed the Solomon four group quasi-experiment design were analyzed and in this report. The results show that teachers used flexible grouping, tiered assignment, end of unit assignments, worksheets and ICT tools (though extremely challenging) as the convenient DI strategies. The interview data after the experiment disclosed that, DI impacted students’ performance positively. However, the data showed that DI is time consuming, extremely challenging, expensive and required resources not readily available in public schools. Recommendations are made for the embracing of convenient strategies of DI in Ghanaian classrooms.
Teaching and learning circle theorems with Dynamic Autograph technology: Should we employ the social-interaction or the self-exploration strategy?
Authors: Erebakyere John , Darko Agyei Douglas
Published: October 2023

The use of technology as a pedagogical practice is growing at a phenomenal rate due to the availability of numerous computer mathematics software. As a result, conscientious efforts need to be made by teachers to integrate technology effectively to enhance the teaching and learning processes and consequently learning outcomes of students. This non-equivalent quasi-experimental study sought to explore students’ achievements and their attitudes after using a dynamic Autograph software technology to learn circle theorems. One hundred and fourteen Senior High School students purposively selected from three different schools participated in the study. While students from two of the schools were taught using the Autograph technology in a social-interaction and self-exploration environment respectively, the group of students from the last school were taught conventionally without the use of the Autograph technology. The findings of this study showed that the three teaching strategies had a significant positive effect on students’ achievements. However, the social-interaction Autograph-assisted group significantly outperformed, followed by the self-exploration Autograph-assisted group, and then the conventional group. The study also showed that though the self-exploration group showed higher positive attitudes than the social-interaction, the Autograph-assisted groups in general reported overall positive attitudes towards using the technology indicating further that the Autograph-support made lessons practical, stimulating, and provided imagery simulations and multiple representations that enhanced visualisation and understanding. Implications of the Autograph technology use in teaching, while engaging students in small groups are discussed.
Factors Influencing Pre-Service Teachers’ Performance in Mathematics in Colleges of Education: Re-counting Experiences in Ghana
Authors: Tetteh Helena , Agyei Douglas
Published: October 2023

This study explored the factors affecting pre-service teachers’ performance in mathematics in the colleges of education in Ghana. A descriptive cross-sectional survey design was employed. Data was collected with the use of a questionnaire from a sample of 400 first-year pre-service teachers selected using stratified random sampling technique from the three regions across the Ghana. Data were analyzed using exploratory factor analysis and regression analysis. The results suggested that pre-service teachers perceived the following as factors affecting their performance in mathematics: teaching-learning conditions, motivation, parents’ educational background, valuing of mathematics, and health and safety issues. It was also revealed that pre-service teachers’ motivation was the best predictor of their performance in mathematics, followed by health and safety issues and then teaching-learning conditions. Implications of the findings are discussed in the study.
Effects of Multimedia Courseware on Senior School Students’ Performance in Linear Equations involving Word Problems in Gombe, Nigeria
Authors: Akanmu Alex Morenikeji , Bala Ayuba
Published: October 2023

This study investigated the effects of multimedia courseware on senior school students’ performance in linear equations involving word problems. The study employed a quasi-experimental design to explore whether or not students taught linear-equation-word-problems using the multimedia courseware can perform better than their counterparts taught using the conventional teaching methods. It also investigated gender and score-level effects of on the students' performance. The non-randomized non-equivalent groups pre-test post-test control group design involved exposing a sample of 73 second year mathematics students (39 males and 34 females) from two co-educational senior schools in Gombe, Nigeria, to two treatments (multimedia courseware and conventional teaching) a pre-test and post-test. Two instruments (Multimedia Courseware on Linear Equation Word Problems in Mathematics (MCLEWPs) and Mathematics Performance Test on Linear Equations Word Problems (MPTLEWPs)) were developed, duly validated and approved for data collection. The reliability coefficient of MPTLEWPs was found to be 0.76. The data gathered were analyzed using a t-test and Analysis of covariance at a significance level of .05. Giving to the study's findings, there was a significant difference in the performance of students taught using multimedia courseware and those taught with conventional teaching, with those taught using multimedia courseware outperforming their counterparts (t(71) = 2.19, p<0.05); a significant difference was observed between the performance of male and female students with the males taught using multimedia courseware outperforming their female counterparts (t(27) = 2.99, p<0.05); significant differences were observed among the students in the three scoring levels (high, medium, and low) with the high scorers outperforming the others (F (2,25) = 21.64, p<0.05). The study established that Multimedia courseware enhanced students' performance in linear equation involving word problems, particularly among males and high-scoring students. It is recommended that students should be engaged in learning by using multimedia courseware that is relevant and meaningful to them on a regular basis.
Teacher Trainees’ Experiences and Challenges in Project Work at Colleges of Education in Ghana: The Case of a College in Southern Ghana
Authors: Davis Etheldreda Charlotte , Amos Sabina
Published: October 2023

Project work plays a key role in the training of teachers because it prepares them to be able to research their practices to improve teaching and learning. This case study explored teacher trainees’ experiences and challenges in doing project work using the views of a cross section of trainees from one College of Education in southern Ghana. Twenty-two Diploma in Basic Education teacher trainees who completed their programme from 2017 to 2020 participated in the study. The data was collected through an open-ended online questionnaire. The data collected were analysed qualitatively and presented as narratives with some illustrative examples. The results from the study revealed the trainees reporting that their experiences working with supervisors were generally good. They however reported a number of challenges, with financial challenges associated with the cost of traveling to their colleges to see supervisors being the most common. The study recommended among other things, the need for the management of the Colleges of Education to ensure that trainees would not have to travel frequently to colleges to meet supervisors to save cost and equip the trainees to ensure that their experiences through project work build their core skills.
Imaging findings of head and neck and intracranial sinus histiocytosis with massive lymphadenopathy (Rosai–dorfman disease): A rare case report
Authors: Balcha Tewodros Endale , Woldeyohannes Abebe Mekonnen , Turi Ermias Assefa
Published: October 2023

This case report describes a multifocal involvement of Rosai–Dorfman disease (RDD), which is a benign lymphohistiocytosis, with emphasis on imaging findings in a 19 yrs old Ethiopian female patient who was sent to radiology department at Tikur Anbessa Specialized Hospital (TASH) for head and neck and brain imaging evaluations for an indication of bilateral painless neck swelling of 2 years duration. The head and neck computed tomography (CT) and brain magnetic resonance imaging (MRI) revealed numerous enlarged cervical lymph nodes and soft tissue infiltration of paranasal sinuses with associated lytic osseous changes as well as multiple intracranial extraaxial dural-based masses. Smears of fine needle aspiration biopsy from cervical lymph nodes confirmed the diagnosis of Rosai–Dorfman disease (RDD).
Nexus between Working Capital Management and Financial Performance of Small Enterprises
Authors: Waibe Bature Samson , Salihu Asmau , Akudo Nwogu Jorji
Published: October 2023

This study investigates the impact of working capital management on the financial performance of small enterprises in Kano, Nigeria. A  cross-sectional survey of small enterprises owners or managers in Kano was conducted through selfadministered questionnaire.  Variance-base structural equation modelling statistical technique called partial least square (PLS) version 4.0.9.5 was utilized to examine  the relationship between working capital management and financial performance. The findings of the study indicate that working capital  management has a statistically significant positive impact on financial performance of small enterprises. Specifically, the results show  that small enterprises with higher working capital management have better financial performance in terms of sales growth, profitability,  liquidity, solvency, and return on assets. The study offers useful recommendations to small business operators and suggests interesting    direction for future research.
Brand Image and Customer Purchase Intention in Nigeria’s Telecommunications Sector
Authors: Muhammed Elle , Ojeleye Yinka Calvin , Tunde Salaudeen Jamiu , Taiwo Kazeem Hajarat
Published: October 2023

This study examines the effect of brand image on consumer purchase intentions in the Nigerian telecommunication sector. A survey was  administered to a sample of 1,000 individuals in Katsina State, Nigeria revealing their level of familiarity and knowledge of the leading  telecommunication brands in the country. The survey data was analyzed using structural equation modelling to examine the effect of  brand image on consumer purchase intentions in Nigerian telecommunication sector. Results showed that brand image had a positive  and significant effect on consumer purchase intentions in Nigerian telecommunication sector. The findings of this study provide valuable  insights into consumer behaviour and could assist marketers in developing efficient strategies to improve consumers’ purchase intentions for their brand. Implications of the findings and future research directions were discussed.
Genome assembly of the bearded iris, Iris pallida Lam.
Authors: Bruccoleri Robert E. , Oakeley Edward J. , Faust Ann Marie E. , Altorfer Marc , Dessus-Babus Sophie , Burckhardt David , Oertli Mevion , Naumann Ulrike , Petersen Frank , Wong Joanne
Published: October 2023

Irises are perennial plants, representing a large genus with hundreds of species. While cultivated extensively for their ornamental value, commercial interest in irises lies in the secondary metabolites present in their rhizomes. The Dalmatian Iris (Iris pallida Lam.) is an ornamental plant that also produces secondary metabolites with potential value to the fragrance and pharmaceutical industries. In addition to providing base notes for the fragrance industry, iris tissues and extracts possess antioxidant, anti-inflammatory and immunomodulatory effects. However, study of these secondary metabolites has been hampered by a lack of genomic information, requiring difficult extraction and analysis techniques. Here, we report the genome sequence of Iris pallida Lam., generated with Pacific Bioscience long-read sequencing, resulting in a 10.04-Gbp assembly with a scaffold N50 of 14.34 Mbp and 91.8% complete BUSCOs. This reference genome will allow researchers to study the biosynthesis of these secondary metabolites in much greater detail, opening new avenues of investigation for drug discovery and fragrance formulations.
SKIN CANCER IN CHILDREN WITH XERODERMA PIGMENTOSUM
Authors: Meildi Maria , Soemitro Monty Priosodewo , Abdurahman Maman , Yohana Raden , Rizki Kiki Akhmad , Usman Hermin Aminah
Published: October 2023

Introduction: Xeroderma pigmentosum) is a rare disease, inherited in an autosomal recessive manner with disturbances in the repair of deoxyribonucleic acid (DNA) which often occur in malignancy. Irreversible DNA lesions and mutations also occur in the genes which regulate skin cancer development in Xeroderma Pigmentosum. Purpose: To explain the signs, symptoms, and management of  skin cancer Xeroderma Pigmentosum. Case Report : A 6 year old girl with basal cell carcinoma arising from Xeroderma pigmentosum.  The histopathological picture of the left nasolabial biopsy preparation was found to show basal cell carcinoma (BCC). The patient was treated with 5FU administration and were followed after 6 week In the second patient, a 3 year old boy, squamous cell carcinoma in the oocipital area. From the histopathological picture, moderately differentiated squamous cell carcinoma on the left frontalis occipital dextra and corresponds to mottled hypermegrance on the parietal dextra. In this patient, a wide excision of the occipital lump was performed and the defect was closed with a full-thickness skin graft. Provided education to the parents of both patients for direct prevention of sun exposure by using sunscreen/hats. Discussion and Conclusion: Xeroderma Pigmentosum patients who are Xeroderma Pigmentosum  to ultraviolet radiation (UV) can result in the development of highly cancerous lesions consisting of squamous cell carcinoma (SCC), basal cell carcinoma (BCC), and malignant melanoma (MM). Clinical management of Xeroderma Pigmentosum includes sun avoidance, minimizing UV eXeroderma Pigmentosumosure, early detection, skin lesions, and genetic counseling. Topical application of 5-fluorouracil or imiquimod is used for premalignant lesions, and surgical excision is performed for malignant neoplasms of the skin, tongue, eyelids, conjunctiva, and cornea.
Modification Of Ropita (Round Spin Table) Education Model As An Effort To Improve Behavior In Maintaining Dental Health In Students At Sdn Sendangmulyo 01, Semarang
Authors: Septiarini Dwi
Published: October 2023

Background:  Dental caries is a multifactorial disease that demineralises dental hard tissues. One of the factors that cause caries is dental hygiene behaviour. The proportion of dental caries in students at SDN 01 Sendangmulyo, Semarang was 80% and the average debris index score was 2,2 with a poor category. Efforts to overcome this problem through modification of the ROPITA (Round Spin Table) education model provide education through game methods so that the learning process is fun and interesting. Objective: To produce a modification of the ROPITA (Round Spin Table) educational model that is feasible and effective in its application as an effort to improve behaviour in maintaining dental health in students at SDN Sendangmulyo 01, Semarang. Methods: Research and Development with true experiment research design (pretest-postest with control group design). The sample totalled 60 respondents including 30 intervention group respondents and 30 control group respondents. Model test data using paired t-test and independent t-test. Results: Expert validation test of the modified ROPITA (Round Spin Table) educational model obtained interclass correllation coefficient with a p-value of 0,001. The results of the independent t-test data effectiveness test of knowledge, attitudes, actions and debris index score obtained a p-value of 0,000 <0,05.

Conclusion: Modification of the ROPITA (Round Spin Table) educational model is feasible and its application is effective as an effort to improve behaviour in maintaining dental health in students at SDN 01 Sendangmulyo, Semarang compared to the control group
Control Of Various Types Of Traps Flies In Pasar Aur Duri Jambi City
Authors: Ariyani Susy , Krisdiyanta Krisdiyanta , Setiawan Budi , Tarigan Ramly
Published: October 2023

The background of flies as a mechanical vector of flies can spread disease, through germs (seeds of disease) attached to the legs, feathers, wings, body of flies so that flies can be dangerous to humans. The purpose of this study was to determine the control of various types of fly traps in Pasar Aur Duri Jambi City. This research method is quasi-experimental with a post test only design with control group with a statistical test approach Anova.The location of the study was on the stalls of fish traders, vegetable traders, and chicken traders in Pasar Aur Duri Jambi City. There are three types of traps, namely fly trap blowers, fly traps, and glue traps. Repetition in the study 9 times. The results of the study The number of flies trapped with fly trap blowers as fly control in Lapak 1 (fish traders), Lapak 2 (chicken meat traders) and stall 3 (vegetable traders) Pasar Aur Duri Jambi City showed that in the 1st to 9th repeats, the average number of flies trapped to the fly trap blower was 6 flies with flies trapped in Chrysomia megachepala as many as 116 flies. While the number of flies in the fly trap trapped was 54 flies, the average fly was 2 flies, and for the fly glue trap showed as many as 121 flies with an average of 3 flies, the type of fly trapped was Chrysomia megachepala. The results of one way Anova analysis showed that there was a significant difference in the number of flies trapped between Fly trap blowers, Fly traps, and Glue flies with F = 71.86; p < 0.001. Post-hoc analysis with the LSD method also showed that the Fly trap blower (M = 6.00; SD = 0.866) had significantly more flies than fly traps (M = 2.00; SD = 0.50) and Glue flies (M = 4.44; SD = 0.73), p < 0.001. While glue flies have a significantly greater number of flies trapped than fly traps (p < 0.001).  Conclusion: The highest number of flies with a total of 334 flies with the effectiveness of trapping tools is Fly trap blowers and the most common type of fly Chrysomia megacephala. Suggestions for fly control in Pasar Aur Duri Jambi City should be to increase the full power of the portable flytrap blower that is easy to carry and place anywhere
Pemikiran dan Gerakan Dakwah Jamaah Tabligh (Studi Komunitas Waria di Kota Makassar)
Authors: Muliadi
Published: October 2023

Salah satu obyek atau komunitas yang menjadi objek dakwahnya atau masyarakat binaannnya adalah komunitas wanita-pria atau waria. Komunitas tersebut kerap kali dijauhi oleh masyarakat pada umumnya bahkan dianggap sebagai komunitas yang menyimpang dari kodrat sebagai manusia ciptaan Allah Swt. Komunitas waria seharusnya mendapat perhatian khusus bagi aktivis dakwah ataupun organisasi keagamaan supaya mereka menjadi hamba Allah yang taat dan berakhlak mulia. Perhatian kelompok jama’ah tabligh terhadap komunitas waria tersebut sangat menarik untuk dikaji lebih dalam dengan pendekatan dakwah.
INCAPACITY FOR WORK DUE TO MENTAL AND BEHAVIORAL DISORDERS IN BRAZILIAN SOCIAL SECURITY: A TEMPORAL ANALYSIS
Authors: Sá Brunna , Gomes Rebeca , Dantas Rosa
Published: October 2023

This article presents a cross-sectional study that analyzed the temporal evolution of granting sickness benefits related to mental and behavioral disorders in Brazil, between 2006 and 2021. illness and absence from work.
FOOD ALLERGIC DERMATITIS HYPERSENSITIZATION
Authors: Nilă Stratone Raluca Alexandra
Published: October 2023

One of the most common diseases encountered in a dog's life is dermatitis. Wet dermatitis, seborrheic, dermatitis, and atopic are just a few of the common cases in the canine species. A particular dermatitis that can be considered trivial, but difficult to treat is food dermatitis. This is the most difficult to detect because there are no specific tests that can indicate the source of dermatitis, as can be identified, for example in flea dermatitis caused by contact skin with its saliva. The common and the first clinical sign of all dermatitis is pruritus, regardless of the nature or secondary infection preceded by the inflammation. Food allergic dermatitis can be treated by testing and eliminating every nutrient in the animal's diet. To see if the food is good or not for the body it takes a few months of administration and any change in it can lead to other eczema, even if it has been treated before. The purpose of writing this article is to know the skin pathology of the animal and to give the right food.
Pengaruh Keterikatan Kecerdasan Kompetitif dalam Organisasi: Pengembangan Kerangka Konseptual
Authors: Galushasti Andarula , Kurniawan Bagus Putu Yudhia , Mahanani Retno Sari
Published: October 2023

Competitive Intelligence membantu organisasi mencapai keunggulan kompetitif ketika ada komitmen dari seluruh organisasi dan jaringan pasokannya untuk mengembangkan wawasan yang dapat ditindaklanjuti untuk mencapai kinerja yang unggul. Namun, tanpa model terintegrasi yang menilai lingkungan internal dan eksternal, sulit bagi organisasi untuk mengantisipasi perubahan di pasar untuk bersaing dan bertahan. Penelitian ini bertujuan untuk meninjau literatur saat ini, menganalisis, dan akhirnya mengusulkan model terintegrasi. Penelitian ini bersifat kualitatif, dan metode penelitian perpustakaan digunakan untuk mengidentifikasi artikel jurnal akademik peer-review dan memastikan keandalan. Metode grounded theory digunakan untuk melakukan analisis model. Temuan menunjukkan bahwa sebagian besar model tidak mengeksploitasi driver dan hasil. Sebagian besar model menunjukkan bahwa sistem dikembangkan untuk menganalisis, mengumpulkan, menangkap, menyimpan, dan menyebarkan informasi tanpa memasukkan faktor organisasi dan pasar yang memengaruhi kualitas dan penggunaan informasi.
LIÇÕES BÍBLICAS:
Authors: Soares Filho José , Soares Martins Edson
Published: October 2023

A presente pesquisa tem por objetivo realizar um estudo sobre a relação discursiva entre as esferas religiosa, de caráter pentecostal, e político/eleitoral. Para tanto, observamos como isso se manifesta e pode ser percebido em  enunciados concretos e relativamente estáveis ao analisarmos o capítulo de um periódico chamado Lições Bíblicas, na edição do 2º Trimestre de 2018, Ética Cristã e Política, publicado pela Casa Publicadora das Assembleia de Deus, e usado nos estudos da Escola Bíblica Dominical. Com isso, podemos perceber como essas duas esferas se relacionam de modo particular ao produzirem discursos que instruem como se deve exercer a democracia cristã. Assim, entendemos que essa instituição produziu um discurso político próprio, ancorado em elementos religiosos e pedagógicos, que é facilmente assimilado e reproduzido discursivamente por boa parte dos adeptos daquele meio religioso.