bluuebunny/crossref_metadata_2025 huggingface dataset:
Parto humanizado X cesárea: a importância da humanização do parto e suas vantagens
Authors: Reis Ana Beatriz Souza , Napoli Andréia Lívia Gonzalez , Santos Ana Roberta Alves da Costa , Kuymjian Valter
Published: April 2023

OBJETIVO: O parto humanizado consiste em uma prática que objetiva a saúde e o conforto da parturiente e do recém-nascido, minimizando as intervenções cirúrgicas e reafirmando a autonomia da mulher durante o parto. MÉTODOS: Esse estudo consiste em uma revisão bibliográfica, na qual foram utilizados artigos selecionados nas bases de dados PubMed e MEDLINE, utilizando os descritores “parto humanizado” e “saúde da mulher”, visando discutir a humanização do parto e seus benefícios para a saúde da parturiente e do bebê. RESULTADOS: A humanização do parto possui como fundamento práticas que objetivam torná-lo menos hospitalar, ainda que este evolua para uma cesárea, caso ocorra emergências. Outrossim, a preferência por um parto vaginal deve prevalecer, pois este apresenta diversos benefícios para a mãe e o bebê. Para isso, são realizadas práticas que direcionam o andamento do procedimento, entre elas a presença de doula e de um acompanhante. Por fim, existem organizações que estimulam essa prática, como o REHUNA. CONCLUSÃO: Para que a concepção ocorra de maneira adequada, é necessário que a parturiente compreenda os sinais e o processo do trabalho de parto, colocando em prática ações que visem prevenir a morbimortalidade da mãe e do recém-nascido e, para isso, é importante que os auxiliares compreendam os confortos e os desconfortos que podem manifestar-se.
Fatores preditivos para o não uso de preservativos em profissionais do sexo
Authors: Piantino Victória , Silva Marcela Seixas Maia da , Cunha Maria Júlia Ferreira de Carvalho Mariano Rodrigues da , Carvalho Nathália Marques Vinhal de , Carvalho Izabella Carneiro Cunha de
Published: April 2023

OBJETIVO: Elencar os fatores responsáveis pelo não uso de preservativos em profissionais do sexo. MÉTODOS: Foi realizado uma revisão integrativa utilizando os temas: Profissionais do Sexo, Preservativos, Doenças Sexualmente Transmissíveis, nas bases de dados: Medline, Lilacs e Scielo. RESULTADOS: Entre os fatores preditivos observados de maior incidência estão a baixa condição socioeconômica, baixo grau de escolaridade, parceiro sexual fixo, envolvimento emocional, uso de drogas lícitas e ilícitas e preferência do cliente. CONCLUSÃO: São necessárias políticas intervencionistas para melhoria da adesão ao uso de preservativos de barreira como forma de prevenção de doenças sexualmente transmissíveis entre esses profissionais.
About That Life
Authors: Cheney Matthew
Published: April 2023

Why write? Why ask a reader to give their time and attention to your words? How can writing be more than narcissism and self-aggrandizement?

These questions were ones that the writer and naturalist Barry Lopez asked at the Bread Loaf Writers’ Conference in the summer of 2000, and they are questions at the heart of About That Life, a meditation on matters of living, making, and seeking.

While Lopez is best known for such works of nonfiction as the National Book Award-winning Arctic Dreams, Matthew Cheney brings our attention to the many works of short fiction that Lopez published throughout his life, demonstrating how they fit within Lopez’s sense of ethical aesthetics. That sense is then set alongside the work of San Francisco’s New Narrative writers, insights from David Hinton’s translations of Tu Fu, the story of community arising around a pottery kiln in western Oregon, the beauties and contradictions of Sōetsu Yanagi’s The Unknown Craftsman, and the implications of the right-wing mob attack on the U.S. Capitol – an event that occurred on what would have been Barry Lopez’s 76th birthday.

Through a collage of memoir, history, literary criticism, philosophy, aesthetic theory, and creative writing exercises, About That Life wonders how we might live and dream in a world that seems ever more cruel and destructive.
Project microbiological quality of water in the school environment as a subsidy for health education activities
Authors: Ferreira Gleyciane , Gracia Alice , Watanabe Karinne , Da Silva Iran , Bezerra Danilo , Coimbra Viviane , Bezerra Nancyleni
Published: April 2023

The objective was to carry out the microbiological quality of water project as a subsidy for health education activities in municipal schools in São João do Caru, state of Maranhão. For this, the project was carried out with the application of semi-structured questionnaires to 136 students and seven managers, educational lectures on the importance of water quality and microbiological analysis of 47 water samples from 11 schools. The results obtained with the questionnaires applied to managers and students showed little or no knowledge about water quality and that minimum care is used with this resource in the school environment. Afterwards, lectures were held on the themes “micro-organisms”, “importance of water as a carrier of pathogenic agents” and “meaning of the water potability standard” in force in Brazil, in which there was effective participation of students and administrators. Of the water samples collected, 76.59% (n=36) were in disagreement with the Brazilian potability standard for the Escherichia coli parameter, and reports were formally passed on to managers and measures were suggested to minimize the problem encountered. It is concluded that the teaching strategy is suitable as an educational subsidy for providing moments of interaction, concentration and socialization and, to work on the cross-sectional health theme, in the perspective required by the National Curriculum Parameters.
First Report of Fire Blight Caused by Erwinia amylovora on Korean Mountain Ash (Sorbus alnifolia) in Korea
Authors: Lim Yeon-Jeong , Oh Hyeonseok , Lee Mi-Hyun , Roh Eunjung , Ham Hyeonheui , Park Dong Suk , Park Duck Hwan , Lee Yong Hwan
Published: April 2023

During the nationwide survey of fire blight, the typical shoot blight symptoms were found on Korean mountain ash (Sorbus alnifolia) which was located near an orchard that produced fire blight on pear trees in Eumseong, Korea, May 2021. To identify the causal agent, we progressed isolation from the symptomatic leaves and shoots. Two white and mucoid colonies were isolated into the pure culture. Two isolates were identified as Erwinia amylovora according to the colony–polymerase chain reaction (PCR) with amsB primers and the phylogenetic tree using 16S rRNA sequences. To test of pathogenicity of two isolates, we inoculated immature pear fruits and understock of apple. We observed necrosis and oozes on immature pear fruits and shoot blight resulting in necrosis on apple shoots six days after inoculation. Colonies were recovered from the inoculated pears and apples, and identity was confirmed through colony PCR for amsB genes. To our knowledge, E. amylovora was first reported on Korean mountain ash native to South Korea.
The Ship Optimalization Model at The Pemenang Port in West Lombok Regency
Authors: Ilham Chairul Insani
Published: April 2023

Pemenang of the harbor is one of the Ports located in West Lombok regency. Seaport Village Pemenang connect with the three Gili. Gili Air, Gili Meno and Gili Trawangan, Gili where to go to the third can not be by road, but the number of boats are available at the Port Pemenang does not match the number of passengers at the Port so that the ship - its can not operate every day. The analysis used in analyzing the existing problems in the Pemenang's Port is: Load Factor Analysis, Needs Analysis of the Canoe Motor Boat. Based on the results obtained from the data analysis needs of an ideal Canoe Motor Boat operating in the Port Ward Pemenang of Gili Air trajectory for the year 2008 as many as four ships, with restrictions on the number of trips for each trip is 2 - each ship.
Improve Performance Of Watchkeeping Duties By Fix Overtimes Analysis In MT. Ontari PT. Buana Listya Tama
Authors: Tazani Afdolludin Afta , Santiko Tony
Published: April 2023

Fix overtime on MT. Ontari at PT. Buana Listya Tama, can help Crews finish work on time with limited time, but the implementation of fix overtime at PT. Buana Listya Tama has not been going well to improve the performance. The purpose of this study is to determine the cause of fix overtime in order to improve the performance of Watchkeeping are given to Ship Crews to improve. This research uses descriptive qualitative method which will reveal facts, phenomena, variables and conditions that occur when the research is going on regarding fix overtime experienced by Crews. The results of the study indicate the causes of fix overtime including, the role of the rear face when leaning or off the dock, existence of anchor, loading and unloading, drill, bunkering, and ship engine maintenance. Policy of the fix overtime are not comfortable so many crew want to sign off before the contract expires, and the policy of fix overtime there are problems or obstacles that need time and process for the creation of efforts or steps taken can realized business that can be done including, increasing salaries, providing incentives and compensation and vessel allowance to the crew at PT. Buana Listya Tama.
Legitimiteit van sociaal beleid: maatschappelijke ontwikkelingen en bestuurlijke dilemma’s
Authors: van der Steen Martijn , Fenger Menno , van der Torre Lieske , van Wijk Arno
Published: April 2023

Legitimacy of social policy: social developments and administrative dilemmas

Social policy has to be legitimate. But what is legitimacy? And what makes policy legitimate? This article argues that in order to be legitimate policy needs to answer to three different logics: the logic of the policy system, of external conditions, and of societal preferences. However, these three logics are often not coherent and point in different directions. Also, signs are often not coherent and are ambiguous at best. Therefore, following the three logics is not merely a matter of reading the signs, but of interpreting and balancing them. This article shows how policy makers in the Netherlands are balancing for responsiveness in three cases of social policy: social assistance policy, sheltered work policy and labor migration policy. The cases learn that responsiveness does not come from large decisive reforms, but from a wide range of small and often hardly politicized steps. Also, we see that in balancing the various logics, policy makers have a strong bias towards the logic of the policy system and that of public preference, and pay far less attention to external conditions. However, on the longer term external conditions cannot be neglected and policy makers face tough decisions about short term responsiveness towards public preferences and more longer term actions that make for policies that are more balanced with external conditions and therefore sustainable on the longer term.
Watergovernance: het belang van ‘op tijd’ samenwerken
Authors: Eshuis Jasper , van Buuren Arwin
Published: April 2023

Water governance: the importance of ‘working on time’ in collaborative processes

The factor time is an often neglected issue in the literature on network governance. In this article we analyze the differences in perceptions on time between actors involved in water governance and describe the managerial interventions aimed at synchronizing time horizons, managing the available amount of time and the tempo of the governance process. Two case studies of governance processes in the district of Water Board Delfland are included to provide insight in the question how the factor time influences the governance processes and how aspects of time are managed. The case studies show that different perceptions of time may cause tensions in collaborative relationships, and even cause the end of collaborations. This underscores the importance of time-sensitive governance.
Arbeidsmigratie en overheidsbeleid opnieuw belicht
Authors: Verhoeven Imrat
Published: April 2023

Reflection and Debate

Reflection and Debate initiates academically inspired discussions on issues that are on the current policy agenda.
De invloed van grenzen in internationale arbeidsmigratie
Authors: van Houtum Henk
Published: April 2023

Reflection and Debate

Reflection and Debate initiates academically inspired discussions on issues that are on the current policy agenda.
A Review on Plants and Plant/Microbial Systems in Reducing Exposure
Authors: Niazi Parwiz , Monib Abdul Wahid , Azizi Azizaqa
Published: April 2023

Plants and plant-microbial compounds can be a viable means of remediating contaminated soils, in this review, two approaches to phytoremediation are discussed, the first approach how plants can promote the growth of degrading microorganisms in the soil rhizosphere, which can lead to enhanced degradation of chlorinated pesticides; the second approach focuses on the potential of plants to remove and accumulate metals from their environment, a unique test system, the Target Neighbor Method, is used to evaluate how plant density affects metal uptake, these studies could provide valuable information for optimizing plant density to improve metal removal and remediate metal-contaminated soils or to minimize toxic metal accumulation in crops and reduce human exposure.
Treatment Selection and Survival in Patients with Gray Zone Lymphoma: A Comprehensive Population-Based Analysis
Authors: Samhouri Yazan , Jayakrishnan Thejus T. , Alnimer Lynna , Bakalov Veli , Wegner Rodney E. , Khan Cyrus , Fazal Salman , Lister John
Published: April 2023

Background and objectives:

There are no treatment guidelines for gray-zone lymphoma (GZL), given the disease's rarity and being a relatively new entity. Our objective was to assess factors affecting treatment selection in GZL and its effect on survival, focusing on combined modality treatment (CMT) versus chemotherapy alone.

Patients and methods:

We identified 1047 patients with GZL treated with CMT or chemotherapy alone between 2004 and 2016 from the National Cancer Database (NCDB). We excluded patients without histologic confirmation of the diagnosis, those who did not receive chemotherapy, and those who started chemotherapy >120 days or radiation >365 days from diagnosis to account for immortal time bias. Factors affecting treatment selection were investigated using a logistic regression model. A propensity score-matched methodology was used to compare survival outcomes.

Results:

Only 164 patients (15.7%) received CMT, while 883 (84.3%) received chemotherapy alone. Treatment selection was affected by clinical factors (age, odds ratio [OR] 0.99, 95% confidence interval [CI] 0.98–0.997, p-value 0.01 and advanced stage, OR for stage 4: 0.21, 95% CI 0.13–0.34, p-value < 0.001) but not socioeconomic factors. Higher median income was associated with better survival, while increased age, higher comorbidity score, and B symptoms were associated with worse survival. The use of CMT had a survival advantage over chemotherapy alone (hazard ratio [HR] 0.54, 95% CI 0.351–0.833, p-value 0.005).

Conclusion:

CMT is associated with survival advantage in our analysis. Careful selection of patients is essential to achieve the best outcomes with minimal toxicity. Socioeconomic factors affect treatment selection in patients with GZL that can alter outcomes. Future work should focus on strategies that access disparities without compromising survival.
JAK2/STAT5 Pathway Mutation Frequencies in South African BCR/ABL Negative MPN Patients
Authors: Shires Karen L. , Rust Adriana J. , Harryparsad Rushil , Coburn Justin A. , Gopie Ruth E.
Published: April 2023

Background:

Mutations in JAK2/STAT5 proliferation pathway genes are key in the diagnosis of myeloproliferative neoplasms (MPNBCR/ABLneg), with JAK2V617F being found in 50-97% of MPNBCR/ABLneg subtypes. Low JAK2V617F positivity at our facility suggested that our South African MPNBCR/ABLneg population may have a different mutational landscape.

Objectives:

We aimed to determine the JAK2/STAT5 mutation frequencies associated with our local MPNBCR/ABLneg population, thus determining the relevance of these molecular tests in this group. We also investigated the haemato- pathological relevance of each test request, to assess testing practises.

Method:

This study involved the retrospective audit of 886 patients for whom JAK2V617F mutation testing had been requested for a suspected MPN diagnosis. FBC indices, erythropoietin levels and bone marrow biopsy results were used to classify the patients. JAK2V617F
negatlve patient DNA was tested for calreticulin (CALR) exon9, myeloproliferative leukaemia protein (MPL) codon515 and JAK2 exon12 mutations.

Results:

Only 23% of the patients demonstrated JAK2V617F positivity, with an additional 29 cases of CALR/MPL mutations being detected. Mutations were only detected in patients with abnormal FBC indices, as expected, yet 37% of the test requests were not associated with abnormal parameters at the time of testing. Mutation frequencies were as follows: Polycythaemia Vera: 97% JAK2V617F/3% (JAK2,CALR,MPL) triple negative; Essential thrombocythemia: 72% JAK2V617F/23%CALR/5%triple negative; Primary Myelofibrosis: 78%JAK2V617F/16%CALR/6%triple negative.

Conclusion:

Our study demonstrated that our MPNBCR/ABLneg patients have a similar genetic landscape to other MPN populations, with >93% being able to be diagnosed by testing for the JAK2V617F and CALR exon9 mutations alone. Adoption of the WHO 2016 guidelines is recommended to guide testing practices.
Agile Organization Model for Local Government in Klungkung Regency, Bali Province
Authors: Rivelino Rivelino , Nur Ardiles
Published: April 2023

Agile Organization departs from the old paradigm shift that places organizations as machines (organization as machines) developed by Frederick.W.Taylor (1985-1915) towards a new paradigm that makes organizations as living organisms (organizations as living organisms). The current condition of the Regional Government organization is still looking for a form that suits the needs of the Regional Government organization. The purpose of this study is to better know, analyze and explain the agile organizational model for the Regional Government in Klungkung Regency, Bali Province in accordance with local wisdom. This study used a descriptive qualitative research method by reviewing the literature on various regulations and scientific papers related to the title and using Schwab and Davis' Agile Governance Theory in 2018 and Aghina Mc.Kinsey's Agile Organization Theory in 2017. The data collection technique was carried out by in-depth interviews with the participants. key informants and stakeholders, direct observation and review of documentation related to the current Klungkung Regional Government Organization. Data analysis includes reducing data, presenting data, and drawing conclusions. The validity of data collection was obtained by testing using triangulation of sources, techniques and theories. The findings are that local government organizations must be willing to change. Work mechanisms, performance targets, working relations mechanisms with the community, and reward systems need to be adapted to changes in working days.
Imagem técnica e o sujeito científico:
Authors: Andrade Rízia Eduarda
Published: April 2023

A vulgarização do uso das imagens técnicas no cotidiano das pessoas trouxe várias outras formas de manifestação de discursos e do exercício de poder. As formas de relacionamento social do mundo atual exigem que se olhe com mais atenção para as remodelações semânticas da instância simbólica por meio da qual o ser humano se localiza nos referentes de sentidos e valores que conferem a realidade vivenciada. Este trabalho tem um caráter ensaístico e busca compreender como as formas tecnocientíficas atuais já demonstram está em processo decadente porque os elementos críticos da modernidade, longe de terem sido superados, vem recebendo uma revalorização maior tendo em vista a multiplicação da linguagem técnica. Usa-se como metodologia principal o viés hermenêutico-filosófico, sobretudo baseado em autores contemporâneos como Heidegger e Flusser. Os objetos de análise são principalmente os conceitos filosóficos e científicos envolvidos nos processos de comunicação e produção de informação. Ao final, procura-se evidenciar a tensão entre o pensamento sem sujeito e o intelecto humano e como tal situação tende a consumar os aspectos históricos e epistemológicos ocidentais em escala global.
O que revelam as práticas discursivas e as propostas didáticas do professor em formação nas áreas de Letras e Ciências Sociais:
Authors: Reis Fernanda de Oliveira Valle
Published: April 2023

Este artigo desenvolve uma reflexão sobre os resultados de uma pesquisa de iniciação científica, que investigou os modos como o sujeito autor se posiciona frente aos saberes de sua área, em uma interface entre os processos de constituição do futuro professor, nos âmbitos de Letras e de Ciências Sociais, e o possível impacto das ações desse futuro profissional na formação humanista de crianças e jovens da educação básica, por meio de suas propostas didáticas. O corpus revelou mais semelhanças do que diferenças entre os graduandos dos dois cursos, em relação às dificuldades com a escrita acadêmica e o desenvolvimento da autoria. A contribuição do ensino de Língua Portuguesa para a formação humanista dos alunos está em avançar os limites da metalinguagem, enquanto a de Sociologia é relacionar a luta de sujeitos históricos com o cotidiano dos alunos. A análise foi desenvolvida à luz do aporte teórico do Círculo de Bakhtin (VOLÓCHINOV, 2017), sob a perspectiva interacionista e sociodiscursiva de construção do conhecimento (LOPES, RINCK, 2019), de acordo com os princípios dos Estudos Culturais do Letramento (STREET, 2014; KLEIMAN, ASSIS, 2016; LOPES, 2018) e da análise do discurso (ORLANDI,1999). O exame das práticas discursivas concentrou-se nos modalizadores que indiciam posicionamentos enunciativos (BRONCKART, 1999 e 2006) e nos índices de avaliação e indicadores atitudinais (KOCH, 2015).
A Framework for Design Patterns in TROPOS
Authors: Do T. Tung , Kolp Manuel , Hoang T. T. Hang , Pirotte Alain
Published: April 2023

Multi-Agent Systems (MAS) architectures are gaining popularity over traditional ones for building open, distributed, and evolving software. Since the fundamental concepts of multiagent systems are social and intentional rather than object, functional, or implementationoriented, the design of MAS architectures should be eased by using what we call social patterns rather than object-oriented design patterns. Social patterns are idioms inspired by social and intentional characteristics used to design the details of a system architecture. The paper presents a framework called SKWYRL used to gain insight into social patterns and help design a MAS architecture in terms of these new idioms. The framework is integrated in the TROPOS agent methodology. It is developed according to the five modeling dimensions provided by TROPOS: social, intentional, structural, communicational, and dynamic. We consider the Broker social pattern as a combination of patterns and use it to illustrate the modeling dimensions of SKWYRL. A framework for code generation is also presented as well as an e-business broker module.
Enriquecendo o Código com Cenários
Authors: Silva Lyrene Fernandes da , Sayão Miriam , Leite Julio Cesar Sampaio do Prado , Breitman Karin Koogan
Published: April 2023

O desenvolvimento de software livre tem sido freqüente e tem mostrado resultados positivos. No entanto, um dos pontos considerados críticos é a qualidade da documentação disponível, quer seja de código ou de informações acessórias. Isto gera dificuldades tanto na compreensão da estrutura do sistema como na identificação dos módulos que devem sofrer alterações quando há mudanças em requisitos. Entendemos que aqui os preceitos de Engenharia de Software podem ser úteis, sem, no entanto, alterar a filosofia de desenvolvimento do software livre. Propomos o uso de Cenários como uma maneira prática e fácil para enriquecer o código aberto. Cenários fornecem uma representação uniforme da informação, promovem o reuso facilitando a identificação de funcionalidades, agilizam a manutenção e a identificação de partes do código que seriam afetadas no caso de mudanças. Além disto, a padronização oferecida pelos cenários permite a automação de parte destas tarefas. Apresentamos um protótipo de ferramenta que ilustra a implementação da nossa proposta.
Adapting the NFR Framework to Aspect-Oriented Requirements Engineering
Authors: Sousa Geórgia Maria C. de , Silva Ismênia G. L. da , Castro Jaelson Brelaz de
Published: April 2023

One of the most important principles in Software Engineering is separation of concerns. At first, the research towards applying that principle throughout the software development process has provided structured and object-oriented methods. However, when using those methods it is difficult to achieve separation of concerns such as security, performance, reliability, persistence, distribution, etc., the so-called crosscutting concerns. Hence, Aspect-Oriented Paradigm has emerged to address those issues. Similar to what happened with structured and object-oriented paradigms, in the last years, the Software Engineering community has been interested in propagating the Aspect-Oriented Paradigm to early stages of the software life cycle. The purpose of this paper is to give a contribution to Aspect-Oriented Requirements Engineering, adapting the NFR-Framework in order to improve the mapping of crosscutting non-functional requirements onto artifacts at later development stages and to make better the composition of those requirements with non-crosscutting ones.
Modification of Physicochemical Properties of Active Pharmaceutical Ingredient by Pharmaceutical Co-Crystals
Authors: Thenge Raju , Adhao Vaibhav , Mehetre Gautam , Chopade Nishant , Chinchole Pavan , Popat Ritesh , Darakhe Rahul , Deshmukh Prashant , Tekade Nikesh , Mohite Bhaskar , Kayande Nandu , Mahajan Nilesh , Patel Rakesh
Published: April 2023

The oral drug delivery is widely used and accepted routes of administration, but it fails to provide the therapeutic effectiveness of drugs due to low solubility, poor compression and oral bioavailability. Crystal engineering is the branch where the modification of API is of great importance. Co-crystallization of API using a co-former is a hopeful and emerging approach to improve the performance of pharmaceuticals, such as micromeritic properties, solubility, dissolution profile, pharmacokinetics and stability. Pharmaceutical co-crystals are multicomponent systems in which one component is an active pharmaceutical ingredient and the others are pharmaceutically acceptable ingredients that are of GRAS category. In multidrug co-crystals one drug acts as API and other drug acts as coformer. This chapter illustrates the guidance for more efficient design and manufacture of pharmaceutical co-crystals with the desired physicochemical properties and applications.
Spinal Versus General Anesthesia for Spine Surgery During the COVID-19 Pandemic: A Case Series
Authors: Daneshi Seyed Abdolhadi , Nabiuni Mohsen , Taheri Morteza , Pour Roustaei Ardekani Reza
Published: April 2023

Background: Hospitals are one of the primary resources for disease transmission, so many guidelines were published, and neurosurgeons were advised to postpone elective spine surgeries during the COVID-19 pandemic. Objectives: To avoid pulmonary complications and reduce the risk of spreading the virus and contracting the disease during the COVID-19 era, we operated a group of our patients under spinal anesthesia rather than general anesthesia. Methods: We retrospectively analyzed all patients who underwent discectomy surgery for lumbar spinal disc herniation under SA between September 2020 and 2021. Results: Sixty-four patients diagnosed with lumbar disc herniation underwent lumbar discectomy with SA. All patients except three were male. The mean age was 44.52 ± 7.95 years (28 to 64 years). The mean procedure time for SA was 10 minutes. The duration of the surgery was 40 to 90 minutes per each level of disc herniation. The mean blood loss was 350 cc (200 to 600 cc). The most common involved level was L4/L5 intervertebral disc (n = 40 patients; 63.5%). The mean recovery time was 20 minutes. Only three patients requested more analgesics for relief of their pain postoperatively. All patients with discectomy were discharged a day after surgery, and in the case of fusion, two days after surgery. All the patients were followed up for six months, showing no recurrence symptoms, good pain relief, satisfaction with the surgery, and no bad memory of the surgery. Conclusions: Spinal anesthesia is a good alternative or even the main anesthesia route for patients with lumbar disc herniation. More studies are needed to elucidate the best candidate for SA in patients with lumbar pathology.
Periodic Fever in Children: A Report of Three Unusual Cases
Authors: Goel Neha , Kashyap Vikas , Saini Isha , Sharma Shobha , Singh Amitabh
Published: April 2023

Introduction: Periodic fever syndrome (PFS) is a rare monogenic autoinflammatory disease group. The innate immune system abnormalities have a characteristic onset and spontaneous inflammation without any infectious or autoimmune trigger. It differs from autoimmune disorders (e.g., systemic lupus erythematosus (SLE)) occurring due to a defect in the adaptive immune system with auto-antibodies. Case Presentation: The clinical features of three patients presented with a periodic pattern of fever and a different constellation of symptoms were investigated. The final diagnosis of Periodic fever syndrome was reached based on standard diagnostic criteria and genetic testing. All three cases were observed to present with recurrent fever episodes at an interval of 6 - 12 weeks, 3 - 4 weeks, and one month, respectively. The first patient, presenting with a diffuse erythematous plaque-like lesion along the calf with severe calf pain and tenderness with signs of meningeal irritation, was diagnosed with a tumor necrosis factor receptor-associated periodic fever syndrome (TRAPS) like phenotype. The genetic panel was negative in this case. The second patient presenting with recurrent pharyngitis, cervical adenitis, and tonsillitis unresponsive to antibiotics was diagnosed with periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome. The last patient presenting with recurrent monoarthritis, hepatosplenomegaly, and a positive Mediterranean fever (MEFV) gene mutation was diagnosed with familial Mediterranean fever (FMF). All three patients had normal growth and development. Conclusions: Although periodic fever syndrome was an uncommon entity, it was recommended that this syndrome should be considered when a patient presented with recurring fever episodes with a characteristic constellation of symptoms.
Comparison of the Effect of Oral Versus Parenteral Vitamin D on Serum Levels of Vitamin D in Premature Infants with Vitamin D Deficiency
Authors: Kashaki Mandana , Mohammadi Zohreh , Mazouri Ali , Norouzi Elahe
Published: April 2023

Background: Vitamin D levels lower than 20 ng/mL are defined as vitamin D deficiency and levels between 20 and 30 ng/mL are defined as insufficient vitamin D. Due to the high prevalence of vitamin D deficiency in premature infants and the need for obtaining optimal treatment methods, we compared the serum levels of vitamin D before and fifteen days after administration of the drug orally and by injection. Methods: In this randomized clinical trial, 90 premature infants with gestational age < 37 weeks were admitted to NICU of Shahid Akbarabadi Hospital, with concomitant vitamin D deficiency and insufficiency entered the study and randomly received oral (with oral drops of 1,000 units daily for 15 days) or injectable (a single dose of 15,000 units intramuscularly) vitamin D supplement and followed on the 16th day after drug administration by measuring 25 (OH) D, calcium, phosphorus, and serum alkaline phosphatase (ALP). Results: In this study, the gestational age of the patients was 29.39 ± 2.42 weeks, and their average birth weight was 1,208.45 ± 238.98 grams. There was no significant difference between the two groups that received the drug, and they were similar. The level of vitamin D in premature infants suffering from vitamin D deficiency was equal to 13.20 ± 6.37 ng/dL. There was no significant difference between the serum levels of ALP, phosphorus, and calcium in the patients of the injection and oral groups before and after the intervention (P-value > 0.05). Although there was no significant difference between the serum vitamin D levels in the two groups before the intervention, its level in the oral group was significantly higher than in the injection group after the intervention (P-value = 0.006). However, none of the treatment methods independently changed the effectiveness of the treatment (P-value = 0.073). Conclusions: The results of our study showed that, in premature infants with vitamin D deficiency or insufficiency, administration of vitamin D orally or by injection significantly increases the serum concentration of 25 (OH) D3 to sufficient levels safely, and both treatment routes can be used in practice.
Creating and Testing a Model to Predict Postoperative Discomfort in Patients with Hepatocellular Carcinoma Receiving Transarterial Chemoembolisation
Authors: Song Ping-Wei , Wang Jian-Lei , Wang Tao , Zou Hai-Ning , Liu Ye-Hui
Published: April 2023

Background: Abdominal pain is a frequent adverse event in patients with hepatocellular carcinoma (HCC) after transarterial chemoembolisation (TACE). However, there remains uncertainty regarding the determinants of post-TACE pain. Objectives: We aimed to create and verify a prediction model for postoperative pain in patients with HCC after TACE treatment. Methods: This prospective study included all patients with HCC undergoing TACE in our hospital. According to the time of treatment, the dataset was divided into two cohorts (development and validation) in a 3: 2 ratio. After TACE, the participants used a visual analog scale to quantify their pain level at rest over a 24-hour period. The age, gender, tumor location, tumor size and number, medication administration route, and presence of portal vein tumor thrombosis (PVTT) were recorded in all patients. Results: In total, 137 (mean age: 60.3 ± 10.1 years; 78.1% male) and 91 (mean age: 61.1 ± 10.5 years; 73.6% male) patients were included in the development and validation cohorts, respectively. Furthermore, 46.0% and 39.6% of the patients experienced acute moderate to severe pain after TACE in the development and validation cohorts, respectively. The tumor location, the drug delivery method, and the presence of PVTT were independently associated with post-TACE pain, all of which were combined to develop a prediction model based on a logistic equation. The discrimination of this risk score was satisfactory in both the development (area under the curve (AUC): 0.693, 95% confidence interval (CI): 0.609 to 0.769, P < 0.001) and validation (AUC: 0.652, 95% CI: 0.544 to 0.748, P = 0.002) cohorts. There was no significant difference between the two cohorts (difference: 0.042, 95% CI: -0.081 to 0.164, P = 0.506). The risk score had good specificity for predicting post-TACE pain in both the development (83.8% (95% CI: 73.4% to 91.3%)) and validation (76.4% (95% CI: 63.0% to 86.8%)) cohorts. Conclusions: The presence of PVTT, the tumor location, and the drug administration method were risk factors for post-TACE discomfort. A prediction model based on these risk factors was useful for identifying patients who were vulnerable to post-TACE pain. However, further studies are required to validate these findings and optimize the model’s performance.
Acute Pancreatitis as a Rare and Unusual Manifestation of COVID-19 in a Child with Acute Lymphoblastic Leukemia
Authors: Miri-Aliabad Ghasem , Dahmardeh Hamid
Published: April 2023

Introduction: The coronavirus disease 2019 (COVID-19) mainly causes pulmonary disease. However, extrapulmonary manifestations, which affect the gastrointestinal tract and hepatobiliary system, have been reported. Case Presentation: Here we reported a 4-year-old boy with acute lymphoblastic leukemia and abdominal pain who had acute necrotic pancreatitis secondary to COVID-19. Conclusions: According to the COVID-19 epidemic, if drug-induced pancreatitis is ruled out, viral causes, especially COVID-19, should be considered.
Candida spp. Carrying in Post-exodontia Sutures of Retained Third Molars
Authors: Puia Sebastián , Jewtuchowicz Virginia , Pérez Cristina , Brusca María Isabel
Published: April 2023

Background: When sutures are removed, bacteriemia and infections of odontological origin may cause bacterial endocarditis and other diseases. Objectives: This study aimed to investigate the colonization by Candida species in sutures after extraction of retained third molars as well as to examine the influence of the position of the dental piece and the material used in sutures. Methods: A total of 56 male and female patients aged 21 - 55 years and with retained lower third molars were examined. Suture threads were removed a week later, and yeasts were isolated and grown in differential chromogenic medium and in Sabouraud dextrose agar. Results: Out of 56 patients, 16 (28.57%) were found to carry some species of the yeast of genus Candida. The predominant species was C. albicans (23.20%), followed by C. parapsilosis complex (5.40%). Although 19 out of 33 patients (57,58%) tested negative, the yeasts were detected in the vertical position of the teeth of 14 patients (42.42%). The horizontal and mesioangular position carried the yeasts in 12.50, and 8.33% of the patients, respectively, while the distoangular position was yeast-negative. No significant difference was observed among the different positions. Yeasts were detected in 9 out of 26 patients (34.61%) with nylon threads and in 7 out of 30 patients (23.33%) with silk threads. According to the results from statistical analysis, no significant difference was found between the materials. Conclusions: The post-extraction suture threads of retained third molars were found to carry some species of the genus Candida. Candida albicans was the predominant species, followed by C. parapsilosis. The vertical position of the molar tended to carry yeasts to a greater degree than the horizontal and mesiangular one, although it was not statistically significant. No significant differences were detected between nylon and silk suture threads either.
MORTGAGE LENDING AS A FACTOR OF SOCIAL STABILITY
Authors: Акылбекова Нелли Ильинична , Мукамбаева Ирина Борисовна , Аматова Мээрим Абдуманаповна
Published: April 2023

Статья посвящена анализу современного состояния ипотечного кредитования в Кыргызской Республике. Авторами был проведен сравнительный анализ уровня развития ипотечного кредитования в Кыргызской Республике, странах ЕАЭС и развитых странах-лидерах по доступности ипотеки в 2021 году. Авторами был также проведен анализ динамики общих объемов кредитов и объемов кредитов по ипотеке коммерческих банков Кыргызской Республики, динамики средневзвешенных процентных ставок кредитов действующих коммерческих банков Кыргызской Республики, в том числе по ипотеке. Авторами рассмотрены причины сдерживания развития ипотеки в Кыргызской Республике и подчеркнута роль государства в дальнейшем ее развитии.

The article is devoted to visited by the analysis of the current state of mortgage lending in the Kyrgyz Republic. The authors conducted a comparative analysis of the level of development of mortgage lending in the Kyrgyz Republic, the EAEU countries and the leading developed countries in terms of the availability of mortgages in 2021. The authors also analyzed the dynamics of total volumes of loans and volumes of mortgage loans of commercial banks of the Kyrgyz Republic, the dynamics of weighted average interest rates of loans of operating commercial banks of the Kyrgyz Republic, including mortgages. The authors considered the reasons for the restraint of mortgage development in the Kyrgyz Republic and emphasized the role of the state in its further development.
The Effect of Online-based Emotional Freedom Technique on the Blood Pressure during the Covid-19 Pandemic
Authors: Sirait Healthy Seventina , Said Faridah Mohd , Umar Nur Syazana
Published: April 2023

Complications due to hypertension are dangerous. Therefore self-care management is needed. Freedom emotional technique (EFT) therapy is a non-pharmacological treatment that can help change blood pressure. During the Covid-19 pandemic, online EFT is the right solution. This study aims to determine the effect of online-based EFT on blood pressure during the Covid-19 pandemic. This research method uses pre-experimental, namely one group pretest and posttest design. The sample was selected using purposive sampling technique with a total sample of 50 respondents. The research location is Kalimeang village, Karangsembung Sub-district, Cirebon District, Indonesia. The research instruments used were observation sheets, sphygmomanometers, and stethoscopes. The data analysis used the Wilcoxon test. The results of this study indicated that online-based EFT therapy affected the change in blood pressure among patients with hypertension during the covid-19 pandemic. This research contributes to the reference of nursing practice by applying EFT therapy to patients to change their blood pressure with online treatment.
Seeking Oasis in Book Deserts: Building Home Libraries to Create Equity in Book Ownership
Authors: McChesney Elizabeth
Published: April 2023

Libraries have long promoted book giveaways to increase the love of reading and books. The educational benefits are well documented for increased print and book ownership access. Libraries also leverage programs such as 1000 Books Before Kindergarten and summer learning as popular programs to help families grow home libraries.Despite these efforts, there are many socioeconomic disparities in which children in this country own books. Espinosa et al. found that children in the highest socioeconomic status have over five times the books in their homes as children in the lowest quartile. A study by van Bergen et al. found that the number of books in the home helps predict early reading abilities, yet these gaps in book ownership persist.
Editor's Note: Awards Energy!
Authors: Verbeten Sharon
Published: April 2023

Five years ago, I penned an editor’s note that started: “I’m an awards show junkie.” I love all awards shows—the suspense . . . the pomp . . . the circumstance.That’s still true, as I sit here on Grammys night, half-watching, half-writing this note.And just last week—although I wasn’t there in person—I watched the Youth Media Awards livestream with great anticipation (darn, though, my predictions were wrong!).
Checkmates: Teens Mentoring Kids in Florida Chess Club
Authors: Pagano-Diaz Diana
Published: April 2023

What makes a chess club hip? Could it be that watching hours of Netflix’s The Queen’s Gambit made it more popular, or is it simply because of the players and facilitators involved?At the Miami-Dade Public Library System’s South Dade Regional Library, it is more of the latter. The library’s weekly Chess Club program has been offered for nearly a decade, but in March 2020 it came to a halt when in-library programming was suspended due to COVID-19. When the club resumed at the beginning of 2022, turnout was lower than it had been in the past. We had a low turnout of about five kids when we started after COVID, but it steadily increased to about fifteen to twenty kids weekly, not including the teen interns.
President’s Address: Creating Stone Soup Together
Authors: Koester Amy
Published: April 2023

As I head into the final months of my term as your 2022–2023 ALSC President, I find myself reflecting on all of the activities that have taken place during my term and all of the gifts fellow members have shared to make them possible. You’ve got a sampling of those gifts in this and every issue of Children and Libraries—articles from colleagues across the ecosystem of library service to children sharing effective practices, exciting ideas, and words of encouragement and support for all of us and the work we do each day. It is never lost on me that ALSC is a member-driven association. Without the talents, time, and commitment of our members, we would have very little to show for ourselves as an association.
Çocukların Gözünden Doğa
Authors: ESKİDEMİR MERAL Seda , TUTKUN YAŞAR Fatma , GÜL YILDIRIMOĞLU Leyla Şebnem
Published: April 2023

Çocukların doğayı nasıl gördüklerini belirlemek amacıyla yapılan bu çalışmada temel nitel araştırma deseni kullanılmıştır. Araştırmanın çalışma grubunu, Antalya ilinde Milli Eğitim Bakanlığı’na bağlı bir anaokuluna devam eden 54-77 aylık 45 çocuk oluşturmaktadır. Araştırmada veri toplamak amacıyla çocuklar tarafından çekilen doğa fotoğrafları ve yarı yapılandırılmış görüşme formları kullanılmıştır. Araştırmanın verileri içerik analizi ve doküman analizi yöntemi ile analiz edilmiştir. Çocukların fotoğraflarında en fazla canlı unsurlara yer vererek ağaç, çiçek ve yaprak fotoğrafı çektikleri görülmüştür. Çocukların en fazla ailesi istediği için /ailesi çektiği için ve güzel olduğu için fotoğrafı çekmeyi tercih ettiği bulunmuştur. Çocukların en fazla deniz/göl kenarında ve evlerinin önünde/bahçesinde fotoğraf çektikleri görülmüştür. Çalışma grubundaki çocukların doğa tanımlamaları; canlı unsurlara yer verilerek, olumlu benzetmelere yer verilerek, zarar vermeme ile ilişkilendirilerek, yaşam alanı/yer olarak yapılan tanımlamalar olmak üzere dört kategoride ele alınmıştır. Çocukların doğayı en fazla canlı unsurlara yer vererek hayvanlar, ağaçlar, yaşam/nefes/can ve çiçekler olarak tanımladıkları görülmüştür. Çalışma grubundaki çocukların doğada neler olduğuna yönelik görüşleri canlı unsurlar ve cansız unsurlar olmak üzere iki kategoride ele alınmıştır. Çocukların en fazla canlı unsurlar kategorisinde görüşleri olduğu görülmüştür. Çocukların doğada en fazla hayvanlar, ağaçlar ve çiçekler olduğunu ifade ettikleri bulunmuştur. Çalışma grubundaki çocuklar doğada en fazla; piknik yapabileceklerini, oyun/ oyuncak oynayabileceklerini, koşabileceklerini/yürüyebileceklerini/gezebileceklerini ve çiçek/ağaç dikebileceklerini/koklayabileceklerini/inceleyebileceklerini ifade etmişlerdir. Ayrıca çocukların doğada ağaçlara/çiçeklere zarar veremeyeceklerini, ateş/mangal yakamayacaklarını, hayvanlara zarar veremeyeceklerini ifade ettikleri görülmüştür. Ailelerin çocuklarıyla doğada daha fazla zaman geçirmeleri, okul öncesi öğretmenlerinin çocuklarla beraber doğa gezileri yapması ve çocuklarla doğada oyunlar oynaması önerilmektedir.