bluuebunny/crossref_metadata_2025 huggingface dataset:
Detection of Ovarian Tumors Using TVUS Imaging and Segmentation Techniques
Authors:   Assistant Professor, Dept of Medical Electronics, Sengunthar Engineering College (Autonomous), Tiruchengode. TamilNadu, INDIA, Sathik Muhammadu , . Indumalar ,   PG Scholar, Dept of Medical Electronics, Sengunthar Engineering College (Autonomous),  Tiruchengode,TamilNadu, INDIA, . Divya ,   PG Scholar, Dept of Medical Electronics, Sengunthar Engineering College  (Autonomous), Tiruchengode. TamilNadu, INDIA, . Mohanapriya ,   PG Scholar, Dept of Medical Electronics, Sengunthar Engineering College (Autonomous), Tiruchengode. TamilNadu, INDIA
Published: November 2024

Ovarian most cancers remains a giant health subject due to its regularly asymptomatic development until superior stages, where treatment options are confined. Early detection is critical for enhancing affected person outcomes and survival costs. This observe proposes a comprehensive technique leveraging superior photograph processing techniques for the early detection and category of ovarian tumors the usage of trans vaginal ultrasound (TVUS) snap shots. The method starts with preprocessing steps which include median filtering to do away with noise artifacts inclusive of salt and pepper noise from ultrasound photos. Ultimately, picture enhancement techniques are applied to enhance contrast and intensity, observed through binary sample evaluation to signify texture features vital for tumor identification. Photo segmentation is performed the use of okay- manner clustering and gray degree Co-prevalence Matrix (GLCM) analysis to isolate and analyze areas of interest within the ovarian photos. A Convolutional Neural community (CNN) is then hired for correct classification of ovarian tumors as regular, benign, or malignant primarily based on the extracted functions. This approach not handiest enhances the diagnostic accuracy but also minimizes affected person publicity to ionizing radiation, making it appropriate for ordinary medical applications. The proposed methodology represents a considerable advancement within the discipline of ovarian cancer detection, presenting a non-invasive and green way to evaluate ovarian health and facilitate timely intervention. Destiny research directions include refining the set of rules’s performance with large datasets and exploring additional imaging modalities for complete ovarian fitness evaluation.
A Scientometrics Analysis of Global Research on Social Media: Trends, Influential Works, And Future Directions Explored
Authors: Kosasi Rindi , Nurmandi Achmad , Misran Misran
Published: November 2024

This research aims to study regulations on the use of social media around the world. This study uses a qualitative scientometric approach. The data source for this study was taken from the Scopus Database with the keywords "Social Media Use" and "Policies." There were 173 documents analyzed, and the data was filtered using bibliometrics based on keyword relevance, author country, and year of publication, which was limited to 2018-2022. Citespace software was used to process the data stored in RIS format. The study found that, firstly, 173 publications were addressing social media use and policy from 2018 to 2022. Second, the most published publications in the United States are 73; third, ten authors have collaborated in research on social media use and policy. The study also found that the social media use and policies of governments and countries worldwide continue to evolve as technology advances and people's behavior changes. Governments should make appropriate regulations and make good use of social media to communicate with the public and achieve their goals.
The Commodification of Religious Values in Indonesian Hijab Shampoo Advertisements
Authors: Hariyanti Rosana , Hapsari Dyah Eko
Published: November 2024

Beauty has become a precious commodity that the cosmetics business has captured by presenting the best image possible, particularly through advertising. The huge increase in the number of hijab wearers (hijabers) in Indonesia over the last few decades is one phenomenon to which the business has responded. This raises the topic of how religion is depicted in commercials for hijab shampoo products. These commercials are deconstructed to locate meaning, which leads to commodification practices using a semiotic approach, particularly Roland Barthes' examination of myth. The examination is then carried out from a sociological standpoint, using Karl Marx's idea of commodification. This qualitative research method uses content analysis on ten different hijab shampoo advertising from three different international manufacturers. The findings suggest that the advertisements are more than merely conveying the word that the product is useful for hair maintenance. There are also messages to wear the hijab regularly, that the hijab does not limit women's activities, and that hair health has ramifications for psychological disorders. The image depicted is a type of commodification in which the hijab is paired with cosmopolitanism, and the sacred significance of the headscarf itself is diminished.
A Threefold Examination of University Digital Leadership, Teacher Digital Competency, and Teacher Technology Behavior for Digital Transformation of Education
Authors: Zhu Rui , Alias Bity Salwana , Hamzah Mohd Izham Mohd , Hamid Mohd Rashid Ab
Published: November 2024

In the digital age, it is imperative that Higher Education Institutions (HEIs) should cultivate digital talent to adapt to social development and occupational requirements. To achieve this, HEIs need to effectively implement digital transformation by understanding how leadership and teacher competencies contribute to technology use in educational settings. This study explored universities’ digital leadership and its relationship with teacher technology behavior, with teacher digital competency serving as a mediating variable in universities from Jilin Province, China. Data were collected through convenience sampling of 402 teachers from 25 universities in Jilin Province, and analyzed using descriptive analysis and structural equation modeling. Findings revealed that all three key variables are highly significant. Moreover, digital leadership has a strong effect on teacher digital competency, a weak effect on teacher technology behavior, and teacher digital competency has a moderate effect on teacher technology behavior. The findings also indicated that teacher digital competency mediates the relationship between digital leadership and teacher technology behavior. In conclusion, this study provides valuable insights into the ways in which HEIs can navigate digital transformation by leveraging leadership and focusing on building teacher competency, which in turn can enhance technology usage in teaching practices. This study considered how higher education institutions can cope with the complex challenges of the digital age and suggested ways in which the implications of this research can better enable universities to promote digital transformation.
Online Instructional Supervision in an Advanced Higher Education
Authors: Cadosales Maria Nancy Quinco , Bacus Remedios C. , Abao Ethel L. , Boholano Helen B. , Dayagbil Filomena T.
Published: November 2024

The continuity of learning in graduate and post-graduate education was ensured through online instructional supervision during the COVID-19 pandemic. This initiative aligns with the fourth Sustainable Development Goal (SDG 4), emphasizing the preservation of quality education amidst unprecedented challenges. The pandemic-induced shift to online learning environments underscored the critical need for robust supervisory practices that promote equitable and inclusive education for all students in the graduate studies. Employing a phenomenological approach, this study explored the experiences of 15 internal stakeholders involved in online instructional delivery at a state-funded university. The thematic analysis yielded five key insights: the lived experiences of internal stakeholders during the pandemic, transformative shifts in work and learning dynamics, perceptions of the internal stakeholders on online supervision, strategies for effective online supervision, and the opportunities and challenges inherent in this modality. Despite inherent limitations, online instructional supervision in advanced higher education during the pandemic proved to be both complex and transformative. The study recommends ongoing investment in human capital and technological infrastructure by educational institutions to secure sustainable educational outcomes for graduate and post-graduate students in the long term.
Investigation of Computational Thinking Skills through Instructional Techniques, Games and Programming Tools
Authors: Selamat S. Saidah M. , Nasir M. Khalid M. , Adnan Nor Hafizah
Published: November 2024

Computational thinking (CT) has become a vital approach to problem-solving. This method has been proven successful in various areas, especially science, technology, engineering, mathematics (STEM), and professional development. The integration of CT in education provides a practical approach to solving problems. This concept paper investigated the various uses of instructional techniques and programming tools to enhance CT skills used in previous empirical research. CT consists of four main pillars: decomposition, which refers to breaking down identified problems into smaller parts; pattern recognition, which involves finding occurring patterns that can be seen; abstraction through identification of important details and removing unnecessary information; and algorithm, where a step-by-step procedure is solution is made. By exploring instructional strategies and programming environments, this paper outlines the possible impacts of these instructional strategies, games, and programming environments on improvement in CT skills, thus providing a theoretical basis for future empirical studies. The strength and combination of these approaches provide a comprehensive learning experience. This paper also suggests instructional techniques and programming tools to enhance underexplored CT skills based on research gaps.
Indonesian Junior High School Students’ Perceptions of Using Digital Storytelling Media in Learning to Write Fantasy Stories
Authors: Hanifah Dwiana Nur Rizki , Sumarwati Sumarwati , Suhita Raheni
Published: November 2024

Using digital storytelling media in Indonesian schools is a new method that helps students with written work, including the writing of fantasy story texts. This study explores and describes the perceptions of junior high school students in Indonesia toward using digital storytelling media (YouTube and Spotify) to write fantasy story texts. This research employed a mixed-methods approach with a case study design. The participants consisted of 132 students from three junior high schools in Banyumas, Indonesia. The sampling technique used was cluster sampling to select schools with equivalent qualifications, followed by random sampling to choose two of the seven classes in each school. The data collection techniques included questionnaires with Likert scales and in-depth interviews. The results of this study demonstrated that most students agreed that digital storytelling media could help them get ideas for writing fantasy story texts; they were flexible, easy to operate, and not boring. Hence, the students wanted to use them again. The researchers' recommendations include that students should improve their digital literacy and teachers and students need to receive training in using digital storytelling. In addition, digital storytelling media developers need to develop more interesting features.
Saudi Postgraduate Students` Ethical Commitment between Awareness and Application of Artificial Intelligence in Scientific Writing
Authors: Hegazy hmed Zakaria , Gaber Sherif Adel , Alkhateeb Ibrahim Abdullah , Alqatam Mohammed Ahmed , Almughyirah Sultan Mubarak , Mahgoub Yassir Mohammed , Ali Hussien Ahmed
Published: November 2024

This research explores the extent of ethical awareness among postgraduate students and their commitment to ethical standards when using artificial intelligence (AI) techniques in scientific writing (SW). It identifies gaps between what students know about ethics and how they apply this knowledge in their SW, specifically in content generation, analysis, and data handling. The study also evaluates the implications of postgraduate students’ increasing use of AI for academic integrity and the verification of sources, focusing on developing effective strategies and measures to ensure ethical compliance. The study participants comprised 68 male and female students from the College of Education at King Faisal University, Saudi Arabia. A descriptive survey research design was used: researchers developed a questionnaire to determine postgraduate students’ level of moral commitment between awareness and the application of AI in their dissertations, theses, and research projects. Results indicated that this commitment is moderate. There were no statistically significant differences between the participants` scores due to age, gender, seniority at university, study type, study state, or subject specialization. The study recommends establishing and implementing intensive awareness training programmes for postgraduate students focused on the importance of ethics in using AI in accordance with academic integrity standards. The study also suggests that institutions review and update academic policies to ensure clear ethical principles regarding the use of AI in SW are included.
Using Mother Tongue in Teaching and Learning Legal English Terminology in a Vietnamese University: Teachers and Learners’ Voices
Authors: Nhac Thanh-Huong , Nguyen Nguyet-Huong Dang
Published: November 2024

Communicative Language Teaching (CLT) approach has led to the minimization of the use of the mother tongue (L1) in second (L2/SL)/ foreign (FL) language/ English for Specific Purposes (ESP) settings. Nevertheless, in recent years, there has been an increasingly tendency to use L1 in language teaching and learning, especially in the ESP contexts, for its undeniable efficacy, one of which is terminological standardization (Glušac, 2023, p.100). Accordingly, this paper focuses on investigating the teachers and learners’ perceptions together with their L1 utilization in teaching and learning legal English (LE) terminology in English-for-law classes at a tertiary law education institution. To achieve the aims, a mixed-method approach by dint of a survey questionnaire and semi-structured interviews with the participation of 164 students and five LE instructors. Classroom observations were also conducted to justify the teachers’ practice of using L1. The findings show that there was congruence between learners and teachers’ supportive views on the benefits of L1 in teaching and learning LE terms. LE majors and law majors share similar attitudes in the choice of either L1 or L2, yet statistically significant differences were witnessed as regards their English language proficiency levels in acquiring LE terms. Such findings are hoped to be worthy to both LE instructors and learners in teaching and learning LE terminology process.
Integrating indicator-based and event-based surveillance data for risk mapping of West Nile virus, Europe, 2006 to 2021
Authors: Serres Kyla , Erazo Diana , Despréaux Garance , Vincenti-González María F , Van Bortel Wim , Arsevska Elena , Dellicour Simon
Published: November 2024

Background

West Nile virus (WNV) has an enzootic cycle between birds and mosquitoes, humans being incidental dead-end hosts. Circulation of WNV is an increasing public health threat in Europe. While detection of WNV is notifiable in humans and animals in the European Union, surveillance based on human case numbers presents some limitations, including reporting delays.

Aim

We aimed to perform risk mapping of WNV circulation leading to human infections in Europe by integrating two types of surveillance systems: indicator-based and event-based surveillance.

Methods

For indicator-based surveillance, we used data on human case numbers reported to the European Centre for Disease Prevention and Control (ECDC), and for event-based data, we retrieved information from news articles collected through an automated biosurveillance platform. In addition to these data sources, we also used environmental data to train ecological niche models to map the risk of local WNV circulation leading to human infections.

Results

The ecological niche models based on both types of surveillance data highlighted new areas potentially at risk of WNV infection in humans, particularly in Spain, Italy, France and Greece.

Conclusion

Although event-based surveillance data do not constitute confirmed occurrence records, integrating both indicator-based and event-based surveillance data proved useful. These results underscore the potential for a more proactive and comprehensive strategy in managing the threat of WNV in Europe by combining indicator- and event-based and environmental data for effective surveillance and public health response.
A névtani tudománykommunikáció szerepe és fórumai napjainkban
Authors: Hauber Kitti , Wendl Dávid
Published: November 2024

The importance of science communication lies in countering misconceptions that are often deeply rooted in the public consciousness, and the pseudo-scientific content spreading with unprecedented dynamism. The cultural and social changes brought about by the technicisation and virtualisation of information flows mean an unprecedented challenge. But it has also opened up new venues for science communication. Over the last decade and a half, the emergence of blogs and various multimedia and internet platforms has been a major development in the field of onomastic and science communication in general. After a more general introductory section, the paper presents a selection of good examples of contemporary platforms for science communication in onomastics, both in Hungary and abroad, with a more detailed discussion of the onomastic blog of the Onomastic Student Study Circle at ELTE Eötvös Loránd University, the NÉVállomás.
Individual Instrument Training I Mandolin Beginning Education Program’s Status of Achieving the Objectives
Authors: AKTÜRK Zhanna , YILDIZ Gökay , SENEMOĞLU Nuray
Published: November 2024

Bu araştırma, Bireysel Çalgı Eğitimi I Mandolin Başlangıç Öğretim Programının hedeflerine ulaşma derecesini ölçmek amacıyla yapılmıştır. Eylem araştırması yöntemiyle gerçekleştirilen bu çalışmada veri toplama araçları olarak bilişsel
alan öğrenme düzeyini belirleme testi, derecelendirme ölçeği ve görüşme formu kullanılmıştır. Araştırma sırasında toplanan nitel veriler içerik analizi yapılarak, nicel veriler ise yalın istatistiki yöntem olan aritmetik ortalama
kullanılarak çözümlenmiştir. Bireysel Çalgı Eğitimi I Mandolin Başlangıç Öğretim Programını değerlendirmeye yönelik verileri toplamak için 2022-2023 eğitim öğretim yılında Alanya Alaaddin Keykubat Üniversitesi Güzel Sanatlar Eğitimi
Bölümü Müzik Eğitimi Anabilim Dalı 1. sınıfta öğrenim gören dört mandolin öğrencisinden bir çalışma grubu oluşturulmuştur. Bireysel Çalgı Eğitimi I Mandolin Başlangıç Öğretim Programının hedeflerine ulaşma durumunu tespit etmek
amacıyla final sınavı olarak derecelendirme ölçeği, final sınavından sonra ise bilişsel alan öğrenme düzeyini belirleme testi ve görüşme formu uygulanıp hedef davranışlar yoklanmıştır. Değerlendirme sonucunda programda yer alan
hedef davranışların gerçekleşme oranlarının yüksek olduğu, programın bilişsel, devinişsel ve duyuşsal alan hedeflerine ulaştığı saptanmış, öğrenciler için programın etkisinin yüksek olduğu sonucuna ulaşılmıştır.
Evidence-based breast cancer recommendations guide for empowering asymptomatic women
Authors: Duarte Gláucia Pina Guimarães Porto , Franco Maria Helena Pereira
Published: November 2024

Objective: This study aimed to carry out a systematic review of the literature that pointed to studies that used sychoeducation resources in health for asymptomatic women as a way to face the barriers in the prevention and early detection of breast cancer and to build an evidence-based guide of recommendations for health professionals to empower asymptomatic women with breast cancer, to contribute to disease control programs in Brazil. Methodology: A systematic literature review was carried out from September to December 2021 with a search strategy process used in the databases. The mapping and survey were built by PRISMA2020. Results: A total of 146 studies were identified; 35 were excluded; 111 were evaluated by title/abstract; 23 were for descriptive analysis and 09 for qualitative analysis. (1) Descriptive analysis categories: author, year/publication, country, impact factor, objective, design, number, age range, program, location, protocol, actions, and results. (2) Qualitative analysis – The Checklist STROBE was the instrument that served to confirm and refute the observations previously made in the included studies. Training through psychoeducational activities in health is resources for empowerment, expansion of knowledge, and autonomy for health promotion. Health education can be the empowering resource that asymptomatic women need to demystify the disease. Constructivist sharing and accessible vocabulary were an important analysis factor. From health literacy, the Guide of Recommendations on Breast Cancer for Empowering Asymptomatic Women aims to guide health professionals as facilitators to change the behavior of asymptomatic women for breast cancer into healthy habits and actions, in the construction of autonomy, in personal and social resources, in the improvement of the quality of life. Conclusion: It is expected that individual and collective dialogues will be expanded, and that psycho-oncology, in an innovative and critical way, will help asymptomatic women in a transformation of themselves and many others for the prevention and early detection of the disease and collaborate with breast cancer control programs in Brazil.
Epidemiological analysis of the pandemic and post-pandemic period in the diagnosis of breast cancer in north of Brazil
Authors: Soares Dalila Pereira , Araújo Vinícius Marçal de , Sales Maria Clara de Oliveira Gomes , Santana Beatriz Cardoso Batista , Tassi Ana Julia , Léda João Pedro Bezerra Arruda , Milhomem Monielli Muribeca Silva
Published: November 2024

Objective: This study aimed to discuss Brazilian statistical data after the end of the COVID-19 pandemic in the diagnosis of breast cancer in the screening age range recommended by the Ministry of Health (MS) 50–69 years, served in the states of the north of Brazil. Methodology: An epidemiological, descriptive, quantitative, and comparative study was carried out from January 2020 to December 2023 based on data collected from the Cancer Information System (SISCAN). The options that were chosen were as follows: “mammogram by patients,” “Brazil by region”; “period: 2020 to 2023”; “female” “age range: 50 to 69 years”; and “BI-RARDS 4 and 5 mammography report.” The number of mammograms suggestive of breast cancer between the period of 2020 and 2021 (pandemic years) and 2022 and 2023 (post-pandemic years) was compared, analyzing the states: Amazonas, Pará, Acre, Roraima, Rondônia, Amapá, and Tocantins. Results: Throughout 4 years among the 7 selected states, the total number of mammograms suggestive of breast cancer was 2557. Most states saw an increase in the number of breast cancer diagnoses, except Pará (-25%) and Amapá (-57%), comparing 2020 and 2021. Overall, the states continued to see an increase in the number of diagnoses, except Acre (-27%) and Amapá (-95%), in the years 2021 and 2022. Finally, all states increased diagnoses between 2022 and 2023, except Acre (-20%), and Rondônia (-3%). Conclusion: Therefore, given the results obtained in this work, it is clear the importance of producing new qualitative research on the topic, in a way that the relationships between the pandemic and post-pandemic period of breast cancer in Brazil are understood, as there are not many discussions about whether the tracking that occurred during the period was satisfying or not. With that being said, it is expected that this analysis will encourage news searches so that the question gets fully understood.
Epidemiological analysis of the impact of the COVID-19 pandemic on breast cancer screening in the north of Brazil
Authors: Tassi Ana Julia , Araújo Vinicius Marcal de , Soares Dalila Pereira , Santana Beatriz Cardoso Batista , Sales Maria Clara de Oliveira Gomes , Milhomem Monielli Muribeca Silva , Leda João Pedro Bezerra Arruda , Magalhães Myllena Suarte
Published: November 2024

Objective: This study aimed to discuss Brazilian statistical data after the end of the COVID-19 pandemic in the diagnosis of breast cancer in the screening age range recommended by the Ministry of Health 50–69 years, served in the states of the north of Brazil. Methodology: An epidemiological, descriptive, quantitative, and comparative study carried out between January 2018 and December 2021 using data collected in the Cancer Information System (SISCAN) as a basis. The options that were chosen were as follows: “mammogram by patients,” “Brazil by region”; “women”; “mography screening”; “target population”; and “mammography report all categories.” The history of mammograms performed in the period 2018 and 2019 (pre-pandemic years) and in the period 2020 and 2021 (pandemic years) was compared, analyzing the states: Rondônia, Acre, Roraima, Pará, Amazonas, Amapá, and Tocantins. Results: The total number of mammograms performed for breast cancer screening performed in the 4 years and 7 selected states was 375,170. Comparing the period between 2018 and 2019, all states showed an increase in the number of screenings. When comparing 2019 and 2020, only the states of Amapá (+55%) and Acre (+52%) increased the tracking rate. Finally, all states increased the number of screenings comparing 2020 and 2021, with the exception of Amapá (-92%). Conclusion: Therefore, a bimodal pattern of breast cancer screening is noted, as the number of mammograms decreased in 2020, compared with the years 2018, 2019, and 2021. To sum up, it is assumed that the result presented due to the period of Lockdown and social distancing present during the pandemic.
Angiogenesis, heroine, or villain? The expression and significance of vascular endothelial growth factor when dealing with the prognosis of patients with breast cancer
Authors: Andrade Gustavo Moreira , Moraes Leonardo Chaves de Oliveira , Souza Diogo Casagrande Nunes de , Gomes Isadora de Sousa , Milki Marcos Vinícius , Nascimento Izabela Ramos
Published: November 2024

Objective: Vascular endothelial growth factor (VEGF) is an important signaling protein that acts in muscle and tissue regeneration and promotes angiogenesis. However, it can help spread the tumor through metastases. Therefore, the objective of this review was to evaluate the expression and significance of VEGF when dealing with the prognosis of patients with breast cancer. Methodology: We comprehensively searched the PubMed database for studies and trials that included expression of VEGF and breast cancer prognosis in their papers. Our systematic review followed the PRISMA statement guidelines. Results: VEGF is a signaling protein and appears to be an effective direct pro-angiogenic factor that increases vascular permeability and promotes neoangiogenesis, playing a crucial role in the development and progression of vascularization and tumor growth. Furthermore, it stimulates the proliferation and migration of endothelial cells in a way that promotes tumor survival, invasion, and metastasis through the inhibition of endothelial cell apoptosis. It also shows a suppressive function in antitumor immune activity by promoting the recruitment and proliferation of immunosuppressive cells such as Treg cells and myeloid-derived suppressor cells. Thus, in several types of breast cancers, such as locally advanced breast cancer, the edematous inflammatory form, and subtypes, such as triple-negative breast cancer, increased VEGF levels were observed resulting from secretion by cancer cells and a significant correlation between inflammatory cytokines and VEGF due to the activation of signaling pathways in the tumor microenvironment. In turn, in breast cancer metastases, mainly bone, lung, brain, and lymph nodes, there was high expression of VEGF due to its role in the recruitment of tumor-associated macrophages (TAMs) and metastasis-associated macrophages, contributing to cancer severity and worse prognosis. Conclusion: Therefore, the use of VEGF as a prognostic biomarker and therapeutic target is relevant, as factors related to angiogenesis may have significant prognostic value for patients with breast cancer and/or metastatic disease.
Medullary breast cancer. An experience of a tertiary Peruvian cancer center
Authors: Trujillo Gustavo Adolfo Flores , Otiniano Raquel Sanchez , Ortiz Maria Fernanda Alvarado , Licham Milagros Abad , Lazaro Andy Pantoja
Published: November 2024

Objective: The aim of this study was to describe clinical features, treatment, and overall survival of medullary breast cancer of a tertiary Peruvian cancer center in the North of Peru. Methodology: We analyzed 07 patients with the diagnosis of medullary breast cancer at the Instituto Regional de Enfermedades Neoplásicas “Dr. Luis Pinillos Ganoza” between 2012 and 2020. Clinical features such as the timing of the disease and average age were collected. Data related to the neoplasm included stage and treatment. The overall survival was analyzed until September 2021. Categorical and continuous variables were expressed as percentages and means, respectively. The survival analysis was performed using the KaplanMeier curves and log-rank test. Results: A total of 07 patients were included in this research. The mean age was 40 years. Mostly in the right breast also, we found stages III and IV in around 57% of cases. We found more than half were cases associated with triple-negative molecular type. The mean overall survival was 64 months; most of the patients were treated with surgery, but there is no difference in overall survival with surgery alone or associated with other treatments and also no difference in overall survival regarding the molecular type. Conclusion: Medullary breast cancer has a very low incidence in our hospital. Most of them have locally advanced disease as initial presentation and are triple-negative molecular type. The median overall survival was more than 5 years.
Epidemiological analysis of the impact of the COVID-19 pandemic on the diagnosis of breast cancer in Northern Brazil
Authors: Milhomem Monielli Muribeca Silva , Santana Beatriz Cardoso Batista , Léda João Pedro Bezerra Arruda , Soares Dalila Pereira , Sales Maria Clara de Oliveira Gomes , Araújo Vinícius Marçal de , Tassi Ana Júlia , Anjos Fabiana Cândida Queiroz Santos
Published: November 2024

Objective: This study aimed to analyze Brazilian statistical data on the impact of the COVID-19 pandemic on the diagnosis of breast cancer in all age groups, served in the states of the northern region of Brazil. Methodology: This epidemiological, descriptive, quantitative, and comparative study was carried out from January 2018 to December 2021 based on the data collected from the Cancer Information System (SISCAN). Mammograms were analyzed in women in the states of the northern region of Brazil presenting suspicious lesions by the systematization Best Imaging – Reporting and Data System (BI-RARDS 4 and 5). Comparing mammograms performed in the period 2018 and 2019 (pre-pandemic) and, 2020 and 2021 (pandemic years), analyzing the states: Amazonas, Pará, Acre, Roraima, Rondônia, Amapá, and Tocantins. Results: In total, 20,2579 mammograms (2018 and 2019) and 190,219 (2020 and 2021) were performed, a drop of 7.2%. In the pre-pandemic period, 1.1% of the diagnoses of suspected injuries increased to 1.3% in the pandemic period. According to the data found, only Acre and Amapá increased the number of mammograms in the pandemic period (from 10,043 to 19,941 – Acre, 4,395 to 5,560 – Amapá), increasing 2.67 times the number of suspicious lesions in Acre and 3.97 times in Amapá. In Roraima, Pará, and Tocantins, the absolute number of diagnoses decreased in the BI-RADS 4 and 5 categories. However, it maintained the proportion of diagnosis within the mammograms performed. Comparing the pre-pandemic and pandemic periods, in the seven selected states, there was an increase in the diagnosis of suspected injury by 12%, despite having decreased the number of mammograms performed. Conclusion: During the period of the COVID-19 pandemic, although breast cancer screening in the States of the Northern Region of Brazil showed a decrease, the findings of BI-RADS 4 and 5 increased, showing that patients at higher risk for breast cancer continued their screening.
Urinary tract infection and associated risk factors among pregnant women at a tertiary care hospital.
Authors: Iram Aslam  , Nadia Sharif  , Uzma Manzoor  , Saima Qureshi  , Tasneem Azhar  , Saadia Bano  , Uzma Shahzad
Published: November 2024

Objective: To determine prevalence of UTI in pregnant women and its associated risk factors at a tertiary care hospital. Study Design: Cross Sectional study. Setting: Department of Gynae & Obstetrics Independent University Hospital, Faisalabad. Period: 1-10-2022 to 31-3-2023. Methods: All pregnant patients visiting gynae OPD (5280) were enrolled for study. Mid-stream urine sample was taken and analyzed. UTI was diagnosed if >10 pus cells / HPF were seen. Inclusion Criteria: All pregnant females attending antenatal clinic during study period. Exclusion Criteria: Women with chronic renal disease. History of antibiotic treatment in last one week, Congenital renal abnormality. Patients on immuno suppressive therapy. Results: The prevalence of UTI in our study was 28%. In this study 593 patients (40%) were <20 years of age, 258(17%) were in 21-30 years age group, 246 (16%) were 31-40 years and 381(26%) were >40 years of age. In our study 526 (35%) were primigravidas, 249(17%) were G2, 272(18%) were G3 and 431 (29%) were G4 or above. In this study 698 (47%) patients were in first trimester, 320(22%) were in second trimester, 460(31%) in third trimester. Among risk factors 245 patients (16%) were anemic and 421(28%) were diabetic. Conclusion: The Prevalence of UTI in pregnant female of independent university hospital Faisalabad is quite high. Anemia and diabetes are major associated risk factors. Owing to its association with a number of complications, UTI needs to be diagnosed and treated promptly to lessen perinatal and maternal morbidity and mortality.
The anatomical relationship between recurrent laryngeal nerve and inferior thyroid artery in thyroidectomy patients.
Authors: Rizwan Ali Qaiser  , Muhammad Tariq Saeed  , Sikandar Hayat Gondal  , Naeemullah Khan  , Sharoz Sikandar  , Kamran Cheema
Published: November 2024

Objective: To identify the anatomical relationship of recurrent laryngeal nerve with inferior thyroid artery. Study Design: Prospective Clinical study. Setting: Department of Surgery, Kishwar Fazal Teaching Hospital. Period: July 2019 to February 2023. Methods: Total 64 patients underwent subtotal thyroidectomies for proven benign goiters were enrolled. Results: Out of these 64 patients, 8 were male and 56 were female, male to female ratio 1:7 with median age 34 years. In 64 patients, 128 dissections were performed and in all patients (RLN) and its relation with Inferior Thyroid Artery (ITA) was identified. On right side of neck in 63 (98.43%) patients out of 64 (100%) patients RLN found deeper to ITA and in one (1.56%) patient it was found superficial to ITA. On left side of neck in 61 (95.31%) patients out of 64(100%) patients it was deeper to ITA and in 3 (4.68%) patients the nerve was superficial to ITA. Identification of RLN was difficult in 16 (12.5%) dissections and the reason was adhesions and huge multinodular goiter. Conclusion: During thyroid surgery, the connection between RLN and ITA is significant to surgeons. When it comes to RLN security, visible anatomical identification is still the gold standard.
Comparison of analgesic efficacy of transversus abdominis plane block with direct infiltration of local anesthetic into surgical incision in lower abdominal gynecological surgeries.
Authors: Faisal Niaz  , Mobeen Ikram  , Salman Iqbal  , Ameer Hamza Shaheed  , Maria Niaz  , Usama Niaz
Published: November 2024

Objective: To compare the mean time for analgesic requirement of transversus abdominis plane block with direct infiltration of local anesthetic into surgical incision in lower abdominal gynecological surgeries. Study Design: Randomized Controlled Trial. Setting: Department of Anesthesia, Combined Military Hospital, Kharian. Period: 1st July 2022 to 1st January 2023. Methods: A total of 60 patients with 30 patients in each group undergoing elective c section were included in the study. Patients were counselled about VAS scoring system before procedure. Time (in minutes) for first rescue analgesia and requirement in 24 hours was noted. Results: Mean time required for first analgesia was 143.966±8.15 minutes in group A as compare to 86.400±7.08 minutes in group B (p=0.000). Conclusion: Our study has concluded that TAP block is a promising technique in alleviating postoperative pain in patients undergoing lower abdominal gynecological surgeries.
Neurotrophic keratitis caused by trigeminal nerve palsy secondary to a cerebellopontine angle epidermoid cyst: A rare case presentation.
Authors: Shahid Abbas  , Tahmina Sajjad  , Shahroze Ahmed
Published: November 2024

Neurotrophic keratitis (NK) is a rare corneal disorder characterized by decreased corneal sensitivity and impaired corneal healing due to damage or dysfunction of the trigeminal nerve. We present a case of NK caused by trigeminal nerve palsy secondary to a cerebellopontine angle (CPA) epidermoid cyst. The patient exhibited corneal epithelial defects, persistent corneal ulceration, and decreased corneal sensation. Prompt diagnosis and management of the underlying brain lesion were crucial for successful treatment of the disease.
FUNGSI GRUP ICR DAKWAH FACEBOOK SEBAGAI SARANA DAKWAH
Authors: Arin Kharisma Dewi
Published: November 2024

This study discusses ICR Dakwah group on Facebook which is useful for spreading Islamic da'wah. Judging from the phenomenon, the development of the times, the influence of social media is very strong for the community. several ways from each era are carried out so that da'wah continues to develop and continues to run as it should. therefore, the author is very interested in analyzing it. The method used is descriptive qualitative method which aims to collect detailed actual information that describes the existing problems. The results of this study have illustrated that a social media forum continues to run well in spreading Islamic da'wah. Social media is very helpful in spreading da'wah today, in which many people prefer social media as a medium of communication and provide news quickly. This is a forum for expressing or communicating with each other in adding knowledge about da'wah according to the times.
Penelitian ini membahas grup ICR Dakwah yang ada di facebook yang mana berguna sebagai penyebaran dakwah islam. Dilihat dari fenomenanya, semakin berkembangnya zaman, pengaruh sosial media sangat kuat untuk para masyarakat. Beberapa cara dari setiap zaman dilakukan agar dakwah terus berkembang dan terus berjalan sebagimana mestinya. Metode yang digunakan adalah metode deskriptif kualitatif yang bertujuan untuk mengumpulkan informasi aktual secara rinci yang menggambarkan persoalan yang ada. hasil penelitian ini telah menggambarkan bahwa suatu forum sosial media terus berjalan dengan baik dalam penyebaran dakwah islam. Media sosial sangat membantu dalam penyebaran dakwah masa kini, yang mana banyak masyarakat lebih memilih sosial media sebagai media komunikasi dan memberikan kabar secara cepat. Hal ini merupakan salah satu wadah mengekspresikan atau saling berkomunikasi dalam menambah ilmu tentang dakwah sesuai perkembangan zaman.
A UTILIZAÇÃO DAS MÍDIAS SOCIAIS NA ODONTOLOGIA SOB ASPECTOS ÉTICOS - REVISÃO DE LITERATURA
Authors: Moura Caio Regadas Regadas , Batista Roberta M.
Published: November 2024

A utilização das mídias sociais na odontologia tem se tornado cada vez mais comum entre os dentistas devido ao alto uso das redes sociais, que torna possível a divulgação dos tipos de procedimentos realizados de forma rápida e de grande alcance público, conseguindo assim atrair maior número de pacientes. Porém percebe-se que muitas publicações são feitas em desacordo com a legislação referente à ética odontológica. Este trabalho teve o objetivo de analisar, através de uma revisão de literatura os aspectos éticos do uso das mídias sociais pelos dentistas e permitiu concluir que apesar da facilidade ao acesso às legislações pertinentes ao assunto, muitos cirurgiões dentistas desrespeitam a legislação, colocando a necessidade de divulgação para propaganda acima dos aspectos éticos da profissão.
ANÁLISE DE RISCO GEOTÉCNICO EM UMA BARRAGEM DE TERRA UTILIZANDO A FERRAMENTA FMEA
Authors: Barbosa Beatriz Borges , Gonçalves Monique Ribeiro , Silva Adriano Frutuoso
Published: November 2024

Os desastres que envolveram o rompimento de barragens, ocorridos na última década, geraram impactos não só nas legislações brasileiras, mas também em padrões globais de gestão de rejeitos. Nesse sentido a gestão de risco em barragens passou a ser um item mandatório de acordo com o Padrão Global da Indústria para Gestão de Rejeitos (GISTM). Dentre as várias estratégias e ferramentas para a gestão de risco, a ferramenta FMEA (Failure Mode and Effects Analysis) é uma das mais amplamente utilizadas. Desta forma, o presente estudo tem como objetivo promover a aplicação de uma análise qualitativa utilizando a ferramenta FMEA, como um mecanismo de gestão de risco de uma barragem de terra de espessamento de rejeito, situada no Pará. Os modos de falha analisados foram definidos com base no estudo de ruptura hipotética da estrutura. A partir do desenvolvimento do FMEA foi possível gerar a matriz de risco onde identificou-se que o maior risco presente na estrutura era de rompimento devido ao piping quando analisado sobre a ótica da consequência em relação a imagem e reputação da empresa. Para evitar que o modo de falha venha a ocorrer, foram definidos controles críticos que devem ser aplicados regularmente na estrutura.

Palavras-chave: barragem, análise de risco, FMEA.
Empresas Familiares e a IA: Governança, Desafios e Sucessão
Authors: Luche José Roberto Dale , Freitas Claudia Regina de
Published: November 2024

O livro explora a importância das empresas familiares na economia global, destacando sua estrutura única que combina interesses familiares e empresariais, gerando desafios e oportunidades. Aborda a dinâmica interna e a governança, como o Modelo dos Três Círculos, evidenciando os impactos das relações familiares nos processos decisórios e a necessidade de práticas empresariais profissionais. A obra discute o papel da inovação e da transformação digital, especialmente o uso da Inteligência Artificial para otimizar operações e promover a governança. Também enfatiza a preservação dos valores e da cultura organizacional como elementos centrais para a identidade e longevidade dessas empresas, e sugere estratégias para monitoramento de desempenho e parcerias estratégicas. Conclui-se que a inovação, alinhada aos valores familiares, é essencial para a sustentabilidade e competitividade das empresas familiares em um mercado digitalizado e globalizado.
EDUCAPRO EM FOCO: ABORDAGENS MULTIDISCIPLINARES EM EDUCAÇÃO - VOLUME VOLUME 01
Authors: Nascimento Edinardo Aguiar do , Rodrigues Antonio Janilson Costa , Lima Glória Fernandes , Souza Angela Maiara Costa , Silva José Francisco Lima , Costa Elvys Januário da , Silva Rafael Araújo , Nunes Cíntia Paz , Brito Ivan Eudes Gonçalves de , Queiroz Plácido Anthony Lima Martins , Pereira Francisco Gilvan , Santos Sandra Benites dos , Barbosa Teresa Cabral , Ferreira Lucélia Maria Lopes
Published: November 2024

Este e-book reúne uma coleção de capítulos que refletem sobre a importância da educação ambiental e a inclusão no ensino básico, bem como as práticas pedagógicas que favorecem o desenvolvimento integral dos alunos. Cada capítulo traz contribuições de diferentes autores, que discutem temas cruciais para a formação de cidadãos conscientes e responsáveis, abordando desde a alfabetização até metodologias ativas de ensino.

O primeiro bloco de capítulos, escrito por Edinardo Aguiar do Nascimento e Glória Fernandes Lima, explora a educação ambiental como um pilar para a conscientização e ações sustentáveis nas escolas, enfatizando a formação de uma cidadania ecológica. Os capítulos abordam como a sustentabilidade pode ser integrada ao currículo escolar, oferecendo uma base sólida para a formação de alunos comprometidos com a preservação do meio ambiente.

Antonio Janilson Costa Rodrigues e Elvys Januário da Costa contribuem com discussões sobre a inclusão escolar de estudantes com deficiência e a importância do brincar na educação infantil. Esses temas são fundamentais para garantir que todos os alunos tenham acesso a um aprendizado de qualidade e a um ambiente escolar harmonioso.

Nos capítulos dedicados à alfabetização, Angela Maiara Costa Souza apresenta desafios e perspectivas que envolvem a construção da base para a leitura e escrita, essencial para o desenvolvimento cognitivo dos alunos nos anos iniciais. As práticas pedagógicas, como os experimentos práticos no ensino de química, discutidos por José Francisco Lima Silva, proporcionam um aprendizado ativo e engajante.

Os capítulos sobre metodologias ativas, escritos por Rafael Araújo Silva e outros, exploram abordagens inovadoras para o ensino de ciências, mostrando como essas metodologias impactam positivamente o desempenho escolar e a aprendizagem dos alunos.

Por fim, os capítulos de Cíntia Paz Nunes e Ivan Eudes Gonçalves de Brito destacam a relevância das abordagens interdisciplinares e a avaliação do impacto das metodologias ativas, reforçando a necessidade de uma educação que não apenas transfira conhecimento, mas que também forme indivíduos críticos e reflexivos.

Este e-book é um convite à reflexão e à ação, destinado a educadores, gestores e interessados em promover uma educação mais inclusiva, sustentável e eficiente.
Geopoesias
Authors: Macedo Samuel
Published: November 2024

Um mergulho nas profundezas dos rios que moldam o coração e a alma das paisagens do Baixo Sul da Bahia. Através de uma linguagem poética, cada rio torna-se um personagem que carrega histórias de resistência, lutas e transformações. As águas, ora pacíficas, ora turbulentas, refletem não apenas a natureza em sua força bruta, mas também as interações humanas com o ambiente, revelando as marcas do tempo, da colonização e das intervenções contemporâneas. Esta obra transcende o olhar geográfico, convidando o leitor a repensar o papel da humanidade na preservação e na destruição dos ecossistemas. É uma jornada pelos rios e suas histórias, que fluem entre o lírico e o crítico, entre a memória e o futuro incerto.
About Efficiency of High-order Harmonic Generation in Attosecond Physics
Authors: Ang-Yang Yu
Published: November 2024

For the first time, the interaction between Hydrogen atom and Free-Electron Lasers (FEL) is simulated. The conversion efficiency of High-order Harmonic Generation (HHG) can be enhanced by utilizing a two-color free electron laser with frequency multiplication. It is found that the conversion efficiency of HHG is improved to the largest extent when fourth-fold frequency multiplication is introduced into two-color FEL. The microscopic mechanism of improving the efficiency of HHG is analyzed and discussed.