bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN PENGETAHUAN, SIKAP DAN TINDAKAN DENGAN PENGELOLAAN SAMPAH DI KECAMATAN KADIA KOTA KENDARI TAHUN 2022
Authors: Antika Rindi , Jumakil Jumakil , Nurmaladewi Nurmaladewi
Published: May 2023

Permasalahan sampah seringkali terjadi di sekitaran sungai tidak terkecuali sungai Wanggu yang ada di Kota Kendari Kecamatan Kadia. Hal ini diakibatkan karena kurangnya pengetahuan masyarakat yang tinggal disekitaran sungai tersebut tentang permasalahan sampah dan dampak yang dapat di timbulkan oleh sampah. Tujuan dalam penelitian ini adalah Untuk mengetahui hubungan pengetahuan, sikap dan tindakan masyarakat dengan pengelolaan sampah di Kecamatan Kadia Kota Kendari Tahun 2022. Jenis penelitian yang di gunakan adalah kuantitatif bersifat survei analitik dengan menggunakan pendekatan Cross Sectional Study. Populasi pada penelitian ini adalah Seluruh Masyarakat yang ada di kecamatan Kadia Kota Kendari. Adapun Sampel dalam penelitian ini menggunakan Simple random Sampling dengan jumlah Sampel 381 orang. Pengumpulan data dilakukan dengan menggunakan kuesioner dan observasi kemudian di analisis dengan uji Chi- Square.  Hasil penelitian ini menunjukkan bahwa hubungan pengetahuan dengan pengelolaan sampah di kecamatan kadia memiliki status baik, hubungan sikap dengan pengelolaan sampah status baik,  hubungan tindakan dengan pengelolaan sampah di kecamatan kadia memiliki status baik dan hubungan dengan pengelolaan sampah di kecamatan kadia memiliki status baik. Terdapat hubungan yang saling mempengaruhi antara pengetahuan dengan pengelolaan sampah dengan p-value = 0,000 (p<0,005), Artinya semakin baik pengetahuan akan semakin baik pula pengelolaan sampah. Terdapat hubungan yang saling mempengaruhi antara sikap dengan pengelolaan sampah dengan p-value = 0,000 (p<0,005), artinya semakin baik sikap akan semakin baik pula pengelolaan sampah. Terdapat hubungan yang saling mempengaruhi antara tindakan dengan pengelolaan sampah dengan p-value = 0,001 (p<0,005), artinya semakin baik tindakan akan semakin baik pula pengelolaan sampah.
OVERVIEW OF TRANSFORMER-BASED MODELS FOR MEDICAL IMAGE SEGMENTATION
Authors: Nam Diana , Pak Alexandr
Published: May 2023

Premedical diagnostics is the process of examining survey results. Correct premedical diagnostics can improve the process of patient management and reduce the burden on the medical sector. Diagnostics of medical images such as computed tomography and X-ray are obligatory steps for further treatment. However, the shortage of clinicians causes delays in this step. We observed two state-of-the-art algorithms proposed for medical image segmentation: TransUnet and Swin-Unet. We conducted a theoretical comparison of algorithms in terms of the applicability of pre-hospital diagnostics according to quality and speed of training. The comparison is based on the original source of code provided by the authors of the original articles. We chose these two algorithms because they have similar U-form architecture, a high level of citation, and show competitive DICE scores on pictures of various human organs. Some architectural features were also important. Both models inherit key elements of U-net. TransUnet is a hybrid Transformer and CNN model. It consists of Transformer encoder and a convolutional decoder. Some additional computations are required in the bottleneck. Swin-Unet is a fully Transformer-based model. These architectural differences give rise to a difference in the number of trainable parameters. Generally, deeper architectures with a bigger number of parameters usually show better performance, however, according to our review, Swin-Unet has a smaller number of parameters and shows better DICE and Hausdorff Distance. It should be noted that the distribution between false positive and false negative predictions is important in medical image processing. It is crucial to avoid overloading the medical sector while also not missing any sick patients. Precision and recall can be used to evaluate the ratio of incorrect predictions. Therefore, we also observed the results of caries segmentation where precision and DICE were provided. In this specific case, TransUnet shows better DICE and recall values but worse precision.
INVESTIGATION OF THE METHOD OF EVALUATING THE EFFECTIVENESS OF THE INFORMATION SECURITY SYSTEM BASED ON FUZZY INFERENCE
Authors: Ziro Aasso , Gnatyuk Sergiy , Toibayeva Shara
Published: May 2023

As organizations increasingly rely on digital technology to operate, protecting their information and data has become a critical concern. Information security systems are designed to safeguard digital assets against unauthorized access, use, disclosure, disruption, modification, or destruction. However, evaluating the effectiveness of an information security system can be challenging due to the complexity of the system and the diversity of threats it faces. In recent years, researchers have proposed using fuzzy inference to evaluate the effectiveness of information security systems. Fuzzy inference is a mathematical approach that can handle uncertain and imprecise information, making it well-suited for evaluating the effectiveness of information security systems. This research aims to develop a method for evaluating the effectiveness of an information security system based on fuzzy inference. The proposed method uses a set of performance indicators to measure the effectiveness of the system, such as the number of security incidents detected, the response time to security incidents, and the number of false positives and false negatives [1]. These indicators are then combined using fuzzy inference to generate an overall effectiveness score for the system. The proposed method will be evaluated using a real-world case study of an information security system deployed in an organization. The effectiveness score generated by the fuzzy inference method will be compared to the results obtained using traditional evaluation methods, such as the cost-benefit analysis or the return-on-investment analysis. The results of the study will demonstrate the effectiveness and usefulness of the proposed method for evaluating information security systems.
APPLYING MACHINE LEARNING TO IDENTIFY COUNTERFEIT FOODS
Authors: Tyulepberdinova Gulnur , Myrzabek Bekzat
Published: May 2023

Currently, the shelves of shops and supermarkets are filled with food that people consume daily, with many products coming from abroad. However, are all these products useful for the human body, and do they meet the standards? In this article, we will talk about how to identify low-quality products using modern machine learning. Recognition and classification of images and text based on machine learning can be a key technology in the fight against low[1]quality food. Automatic image and text recognition and classification of product information enable end customers to identify counterfeit products accurately and quickly by comparing them to trained templates. However, it is clear that this does not apply to all food processing enterprises. In food production, low-quality and non-standard products are used to reduce the cost of the product. Manufacturers can change their products by replacing higher quality products with lower quality ones. They may use confusing terms on the label to mislead you. When buying and serving counterfeit products, consumers suffer in different ways. First, they may not be getting the nutrients they need, adulterated foods may not be safe for their health, and may also be an economic loss for consumers. We evaluate the technical feasibility of the components of this food fraud detection architecture using a real-world scenario, including machine learning models to distinguish multiple products from each other. It allows you to control the circulation of food products at the state level, thereby protecting the end consumer from purchasing low-quality and potentially dangerous goods. In this article, we used the MobileNetV2 model and multiclass classification and evaluated the model we received from different angles.
The Changing Face of Precious Jewellery as a Body Adornment: An Exploratory Study in the Ashanti Region of Ghana
Authors: Fening Peggy Ama , Agyei Isaac Kwabena , Baidoo Mohammed Kwaku
Published: May 2023

This paper provides empirical evidence on the factors influencing the upsurge in the use of fashion jewellery in the Ashanti region of Ghana. An inductive research approach based on qualitative research methodology was adopted. Questionnaires and personal interviews were used to collect data from 400 respondents comprising jewellers, chiefs and traditional rulers, jewellery traders and the general public in the Ashanti Region of Ghana. Netnography was also used to gather insight from online communities regarding fashion jewellery in Ghana and factors that account for their purchase. The findings of this study showed that traditional precious jewellery has been influenced dramatically by designs of global trends. More fashion jewellery is being manufactured that combines traditional and Ghanaian “adinkra’ symbol designs with contemporary global trends. The majority (58%) of the people interviewed now focus on fashion jewellery for frequent wear. They considered jewellery generally as fashionable material pieces that are worn from casual to special occasions and from day to night and hence do not need to be precious. Product-related factors included availability, fashion innovativeness, fine finishing and societal acceptability. In terms of marketability dynamics, the study observed that price affordability and celebrity endorsements played a significant role towards the purchase intentions of respondents. Access to websites and software applications also influenced respondents’ options beyond local craftsmen and retail shops to enable them to opt for more contemporary designs inspired by global trends. The findings of this study suggest that the face of precious jewellery as a body adornment in Ghana is being influenced by several operating factors and, therefore, there is a need for players in the industries to fashion out strategies in accordance with the dimensions of these identified factors, to safeguard and preserve the rich cultural heritage of Ghana.

Keywords: Body Adornment, Consumer Preference, Global Culture, Jewellery, Trade Liberalization
EFFECTIVE PUBLIC ADMINISTRATION OF AGRICULTURAL ECONOMY SECTOR TO ADVANCE A COUNTRY’S ECONOMIC DEVELOPMENT
Authors: Kiforenko Oksana
Published: May 2023

Effective public administration of any economy sector is a key prerequisite for the sustainable and, afterwards, advanced development of a country’s economy as a whole. Therefore, the purposes of the study are to analyse the institutional frame for the public administration of Ukraine’s agricultural economy sector and to assess its effectiveness by evaluating the agricultural exports dynamics in comparison with the total exports amount of Ukraine as the country’s exports are a powerful tool of its economic development advancement. Different tools and methods of scientific research were employed to conduct the presented research, like empirical analysis, comparative analysis, statistical analysis, a method of trends, data visualization tools like bar charts, etc. The analysis results show the agricultural products exports of Ukraine to be rather changeable through the researched time frame, though showing positive general trend with the projections being at the approximately the same level as that of the last analysed year having upward tendency.
Richard Siddoway Bagnall (1884-1962), Entomologist
Authors: Berridge Louise
Published: May 2023

Richard Siddoway Bagnall was born into a prominent industrial family from the north-east of England, and throughout his life and career tried to balance his commitment to his business with his interest in entomology, which brought him much recreation and enjoyment. As a young man Bagnall was friendly in Edwardian entomological circles and very active in the founding years of the Vale of Derwent Naturalists' Field Club, a workers recreational natural history group in County Durham. At age 27 Bagnall had the chance to work as a professional taxonomist with the Museum collections at Oxford University but the pull of his business and the First Word War derailed his plans. Bagnall was party to some career controversies, especially regarding the dispersal of his Thysanoptera (Thrips) collection in the 1930s, but his reputation allowed him to continue working with insects to some degree until almost the end of his life.

The Digitisation Team at the Natural History Museum, London has recently completed the digitisation of the NHM’s c.95,000 Thysanoptera slides, including around 5,000 that originate from Bagnall’s collection - of which approximately 1,200 represent his primary or secondary types. This biography was written as part of research into Bagnall's collection, and will be followed by a future paper on Bagnall's types.
Allium cytogenetics: a critical review on the Indian taxa
Authors: Bhowmick Biplab Kumar , Sarkar Sayantika , Roychowdhury Dipasree , Patil Sayali D. , Lekhak Manoj M. , Ohri Deepak , Rama Rao Satyawada , Yadav S. R. , Verma R. C. , Dhar Manoj K. , Raina S. N. , Jha Sumita
Published: May 2023

The genus Allium Linnaeus, 1753 (tribe Allieae) contains about 800 species worldwide of which almost 38 species are reported in India, including the globally important crops (onion, garlic, leek, shallot) and many wild species. A satisfactory chromosomal catalogue of Allium species is missing which has been considered in the review for the species occurring in India. The most prominent base number is x=8, with few records of x=7, 10, 11. The genome size has sufficient clues for divergence, ranging from 7.8 pg/1C to 30.0 pg/1C in diploid and 15.16 pg/1C to 41.78 pg/1C in polyploid species. Although the karyotypes are seemingly dominated by metacentrics, substantial variation in nucleolus organizing regions (NORs) is noteworthy. The chromosomal rearrangement between A. cepa Linnaeus, 1753 and its allied species has paved way to appreciate genomic evolution within Allium. The presence of a unique telomere sequence and its conservation in Allium sets this genus apart from all other Amaryllids and supports monophyletic origin. Any cytogenetic investigation regarding NOR variability, telomere sequence and genome size in the Indian species becomes the most promising field to decipher chromosome evolution against the background of species diversity and evolution, especially in the Indian subcontinent.
A new species of the Cyrtodactylus brevipalmatus group (Squamata, Gekkonidae) from Tak Province, northwestern Thailand
Authors: Chomdej Siriwadee , Suwannapoom Chatmongkon , Pradit Waranee , Phupanbai Apichaya , Grismer L. Lee
Published: May 2023

An integrative taxonomic analysis was used to delimit and diagnose a new species of the Cyrtodactylus brevipalmatus group from Tak Province in western Thailand. Although Bayesian phylogenetic analyses place C. denticulatussp. nov. within the brevipalmatus group, the new species is neither nested within nor is it the sister species of any other species in the brevipalmatus group. Furthermore, based on the mitochondrial NADH dehydrogenase subunit 2 gene (ND2) and adjacent tRNAs, it bears an uncorrected pairwise sequence divergence of 7.87–21.94% from all other species in the brevipalmatus group. Cyrtodactylus denticulatussp. nov. is differetiated from all other species in the brevipalmatus group by having a number of unique charateristics such as denticulate ventrolateral body folds and ventrolateral subcaudal ridges, characters not seen in any other species of the group (n = 51 individuals). Additionally, based on a multiple factor anlaysis, C. denticulatussp. nov. does not overlap with any other species in multivariate space. The discovery of C. denticulatussp. nov. underscores the unrealized diversity of upland ecosystems across Thailand and the urgent need for increased exploration and conservation of these unique imperiled montane refugia, especially in this era of climate change.
« Ce sont ses sous, il en fait ce qu’il veut »
Authors: Ducourant Hélène , Foucault Béatrice , Mortain Blandine
Published: May 2023

À partir d’une étude qualitative menée par entretiens auprès de jeunes âgés de 10 à 19 ans et de leurs parents, l’article montre dans quelle mesure l’argent de poche est un outil de socialisation économique familiale, ainsi qu’un moyen d’accéder à la culture adolescente. Il met également en évidence les formes de marquage social et les significations sociales spécifiques associées à l’argent de poche. Des dépenses deviennent envisageables, d’autres paraissent illégitimes, non pas seulement en fonction de la quantité d’argent disponible, mais aussi en raison du fait qu’il s’agit d’« argent de poche ».
Grossesses à l’adolescence et scolarité en Guyane
Authors: Le Tyrant Marion , Beaumel Capucine , Monfort Marianne
Published: May 2023

Les taux de grossesses chez les mineures et les niveaux de décrochage scolaire en Guyane sont, comparativement aux autres départements d’outre-mer et à la France hexagonale, nettement supérieurs. Cet article interroge les conditions du suivi scolaire pour les adolescentes enceintes et nouvellement mères en Guyane et le rôle de l’institution scolaire dans le repérage, l’accompagnement et la prévention du décrochage scolaire de ces dernières. Il met en évidence le fait que dépit de l’ampleur de ces grossesses à l’adolescence, leur méconnaissance institutionnelle et l’insuffisance des dispositifs existants amplifient les inégalités et rendent illusoire le désir de poursuite scolaire de nombreuses élèves.
Grandir en Polynésie française et se projeter dans l’avenir
Authors: Bréant Hugo , Durand Mickaël
Published: May 2023

La Polynésie française est un territoire particulièrement centralisé, dans lequel le système éducatif est confronté à nombre de difficultés et où le marché de l’emploi offre des opportunités professionnelles limitées. Dans un tel contexte, quelles sont les aspirations éducatives et professionnelles des jeunes ? À partir des données d’une enquête quantitative réalisée en 2019 auprès de l’ensemble des collégien∙ne·s de Polynésie, cet article étudie notamment la propension à envisager un diplôme de l’enseignement supérieur. L’article interroge la « spécificité » de ces jeunes ultramarin∙e·s et montre que si leurs aspirations apparaissent moins élevées qu’en France hexagonale, les différences observées s’expliquent moins par le contexte archipélagique polynésien que par les profils des élèves (genre, milieu social et trajectoires scolaires).
A prediction-correction based proximal method for monotone variational inequalities with linear constraints
Authors: Ma Feng , Li Bangjie , Wang Zeyan , Li Yaxiong , Pan Lefei
Published: May 2023

The monotone variational inequalities are being widely used as mathematical tools for studying optimal control problems and convex programming. In this paper, we propose a new prediction-correction method for monotone variational inequalities with linear constraints. The method consists of two procedures. The first procedure (prediction) utilizes projections to generate a predictor. The second procedure (correction) produces the new iteration via some minor computations. The main advantage of the method is that its main computational effort only depends on evaluating the resolvent mapping of the monotone operator, and its primal and dual step sizes can be enlarged. We prove the global convergence of the method. Numerical results are provided to demonstrate the efficiency of the method.
Fuzzy adaptive learning control network (FALCN) for image clustering and content-based image retrieval on noisy dataset
Authors: Neelakandan S. , Easwaramoorthy Sathishkumar Veerappampalayam , Chinnasamy A. , Cho Jaehyuk
Published: May 2023

It has been demonstrated that fuzzy systems are beneficial for classification and regression. However, they have been mainly utilized in controlled settings. An image clustering technique essential for content-based picture retrieval in big image datasets is developed using the contents of color, texture and shape. Currently, it is challenging to label a huge number of photos. The issue of unlabeled data has been addressed. Unsupervised learning is used. K-means is the most often used unsupervised learning algorithm. In comparison to fuzzy c-means clustering, K-means clustering has lower-dimensional space resilience and initialization resistance. The dominating triple HSV space was shown to be a perceptual color space made of three modules, S (saturation), H (hue) and V (value), referring to color qualities that are significantly connected to how human eyes perceive colors. A deep learning technique for segmentation (RBNN) is built on the Gaussian function, fuzzy adaptive learning control network (FALCN), clustering and the radial basis neural network. The segmented image and critical information are fed into a radial basis neural network classifier. The suggested fuzzy adaptive learning control network (FALCN) fuzzy system, also known as the unsupervised fuzzy neural network, is very good at clustering images and can extract image properties. When a conventional fuzzy network system receives a noisy input, the number of output neurons grows needlessly. Finally, random convolutional weights extract features from data without labels. Furthermore, the state-of-the-art uniting the proposed FALCN with the RBNN classifier, the proposed descriptor also achieves comparable performance, such as improved accuracy is 96.547 and reduced mean squared error of 36.028 values for the JAFE, ORL, and UMIT datasets.
Supercritical Trudinger-Moser inequalities with logarithmic weights in dimension two
Authors: Leuyacc Yony Raúl Santaria
Published: May 2023

In this work, we are interested in studying the existence of nontrivial weak solutions to the following class of Schrödinger equations

   \begin{document}$ \left\lbrace\begin{array}{rcll} -{\rm div}(w(x)\nabla u) \ & = &\ f(x, u), &\ x \in B_1(0), \\ u \ & = &\ 0, &\ x \in \partial B_1(0), \end{array}\right. $\end{document}

where $ w(x) = \big(\ln (1/|x|)\big)^{\beta} $ for some $ \beta \in [0, 1) $, the nonlinearity $ f(x, s) $ behaves like $ {\rm \exp}((1+h(|x|))|s|^{2/(1-\beta)}) $ and $ h $ is a continuous radial function such that $ h(r) $ tends to infinity as $ r $ tends to $ 1 $. The proof involves variational methods and a new version of Trudinger-Moser inequality.
Knowledge, attitude and practice towards pelvic floor muscle training among childbearing women
Authors: Mohd Fauzey Nur Fairuz , Muda Siti Mariam , Hasan Haliza , Nusee Zalina , Mustapa Kamal Basha Muzaitul Akma
Published: May 2023

Objectives: This study aims to identify knowledge, attitude, and practice of pelvic floor muscle training (PFMT) and to identify the prevalence of urinary incontinence. Materials and methods: The method used was a cross-sectional study. Self-administered knowledge, attitude, and practice questionnaires were distributed among childbearing women attending Maternal & Child Health Clinics in the East Coast region of Malaysia. Results: The findings revealed that most respondents (N = 896) had good or moderate knowledge (80.1%) and attitudes (77.3%) regarding PFMT but most of them (87.2%) still lacked practice. However, there was no association between urinary incontinence and PFMT practice. On the contrary, married women showed a higher risk of urinary incontinence. Conclusions: The practice of pelvic floor muscle training should be recommended and emphasized to childbearing women by healthcare professionals.
Treatment outcome of Fournier's gangrene and its associated factors: A retrospective study
Authors: Al-Kohlany Khaled , Baker Khaled , Ahmed Faisal , Mohamed Murtadha , Alshami Majdi , Badheeb Mohamed
Published: May 2023

Introduction: Fournier's gangrene (FG) is a rapidly progressive necrotizing infection that affects the perineal and abdominal regions and is known for its high mortality rate. This study aims to present the practical experience of managing FG patients and identify factors that may affect their clinical outcomes. Materials and methods: A retrospective study was conducted from April 2009 to December 2020 at General Military Hospital in Sana'a, Yemen including 26 patients who were diagnosed with FG and treated on. Data on demographic characteristics, time to admission, surgical intervention, and treatment outcomes were collected. Univariate analysis was performed to determine factors that affect patient outcomes. Result: The mean age of the patients was 65.77 ± 5.04 years, and 65.4% of them were over the age of 65. Most patients (57.7%) presented after five days of experiencing symptoms, and 65.4% were in septic conditions. Of the patients, 17 (65.4%) survived, and the total mortality rate was 34.6%. Univariate analysis showed that delayed presentation (p = 0.001), a history of diabetes mellitus (p < 0.001), end-stage renal disease (p < 0.001), heart failure (p < 0.001), cerebrovascular accident (p = 0.032), liver cirrhosis (p < 001), presence of multiple comorbidities (p < 001), involvement of lager area (p < 001), septic conditions (p = 0.009), advanced age (p = 0.018), and intensive care unit admission (p = 0.002) were found to be risk factors for mortality in patients with FG. Conclusions: FG is a potentially life-threatening medical condition, even with aggressive and specialized treatment. Our study revealed a mortality rate of 34.6%. Factors such as older age, the presence of multiple comorbidities, septic conditions, the abdominal spread of the disease, intensive care unit admission, and delayed presentation contribute to higher mortality rates.
Sexual dysfunctions of rheumatological patients are a neglected issue: Results from a national survey of Italian Society of Rheumatology
Authors: Napolitano Luigi , Pantano Ilenia , Romano Lorenzo , Cirillo Luigi , Manfredi Celeste , Matrangelo Francesco , Fusco Giovanni Maria , Mauro Daniele , Spirito Lorenzo , La Rocca Roberto , Arcaniolo Davide , Franzese Corrado Aniello , Sciorio Carmine , Romano Marco , De Sio Marco , Mirone Vincenzo , Ciccia Francesco
Published: May 2023

Introduction: Sexual dysfunctions (SD) are frequently encountered in patients with rheumatologic diseases. In this scenario, a multidisciplinary approach to rheumatologic diseases is often mandatory. The aim of this survey was to assess whether Italian rheumatologists routinely explore sexual health of their patients, their knowledge on the topic, and the barriers to discussing SD in clinical practice. Methods: A 32-items anonymous questionnaire was mailed to members of the Italian Society of Rheumatology (rheumatologists and residents in rheumatology training) in February 2023. The questionnaire aimed to determine attitudes, knowledge, and practice patterns regarding the discussion of SD with rheumatologic patients. A descriptive analysis of responses was performed. Results: A total of 162 responses were received. Overall, 50.0% of respondents occasionally asked patients about SD related to their rheumatologic pathologies, while 37.1% never did so. Respondents declared that patients occasionally (82.3%) or never (16.1%) reported SD related to rheumatologic diseases. The main barriers to discussing sexual health were lack of time during medical examination (46.6%), patients’ discomfort (44.8%), and lack of knowledge/experience (39.7%). Overall, 41.9% and 33.9% of respondents respectively totally and partially agreed that rheumatologists should routinely investigate patients' sexual health. Most of the respondents (79.0%) thought that discussing sexual health problems could help patients cope with their rheumatologic diseases. Of all respondents, 74.2% felt the need to broaden their personal knowledge about SD. Finally, 45.9% and 34.4% of respondents respectively partially and totally agreed that training courses for rheumatologists could be helpful in the management of sexual health in rheumatological patients. Conclusions: SD was not routinely discussed in rheumatology practice, still remaining a neglected issue. The most frequent explanations for the lack of attention toward SD were lack of time, patients’ discomfort, and lack of knowledge/experience. Most of the respondents expressed the possible usefulness of attending SD courses to improve knowledge about these conditions.
Telemedicine and YouTube™: Video quality analysis before and after COVID-19 pandemic
Authors: Mirone Vincenzo , Abate Marco , Fusco Giovanni Maria , Cirillo Luigi , Napolitano Luigi , Morra Simone , Di Bello Francesco , Califano Gianluigi , Mirone Claudia , La Rocca Roberto , Creta Massimiliano , Celentano Giuseppe , Capece Marco , Mangiapia Francesco , Longo Nicola , Collà Ruvolo Claudia
Published: May 2023

Objective: To assess the quality content of YouTube™ videos on telemedicine during COVID-19 pandemic. Materials and methods: First, the frequency of worldwide YouTube™ and Google™ searches for telemedicine was analyzed. Second, we queried YouTube™ with telemedicine-related terms. Third, the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT A/V), the Global Quality Score (GQS), and the Misinformation tool were used for the quality assessment. Results: According to selection criteria, 129 videos were collected for the analysis. From January 2018 to January 2022, the peak relative interest on YouTube™ and Google™ occurred in March 2020. Of all, 27.1 and 72.9% were uploaded before (Jan 2018-Feb 2020) and after (Mar 2020-Mar 2022) the COVID-19 outbreak, respectively. According to the PEMAT A/V, the overall median understandability and actionability was 50.0% (33.3 [IQR 0-66.7] vs 50.0 [27.1-75], p = 0.2) and 66.7% (63.6 [IQR 50.0-75.7] vs 67.9 [50.0-79.2],p = 0.6), respectively. According to GQS, 3.9%, 17.8%, 24.0%, 26.4% and 27.9% were classified as excellent, good, medium, generally poor, and poor-quality videos, respectively. The highest rate of poor-quality videos was recorded in videos uploaded before COVID-19 pandemic (37.1 vs 24.5%). According to overall misinformation score, a higher score was recorded for the videos uploaded after COVID-19 pandemic (1.8 [IQR 1.4-2.3] vs 2.2 [1.8-2.8], p = 0.01). Conclusions: The interest in telemedicine showed a significant peak when the COVID-19 pandemic was declared. However, the contents provided on YouTubeTM were not informative enough. In the future, official medical institutions should standardize telemedicine regulation and online content to reduce the widespread of misleading information.
Adult-onset Still’s disease with secondary macrophage activation syndrome: a case report
Authors: Nicoletti Giuseppe , Bonelli Antonio , Clemente Rocco , Ciuffreda Simona , Dentamaro Gaetano , La Masa Agata Tiziana , Lascaro Vito , Santarcangelo Pasquale
Published: May 2023

We describe a case of adult-onset Still’s disease (AOSD) with secondary macrophage activation syndrome. AOSD is a rare disease with unknown origin. Rarely it’s complicated by secondary macrophage activation syndrome, which is a life-threatening disorder. Because the diagnosis of AOSD is essential for exclusion and complications are life-threatening, it is mandatory for a prompt and extensive diagnostic workup and treatment.
A modified Delphi study to determine the contents of a seizure diary for patients living with epilepsy in South Africa
Authors: Egenasi Chika Kennedy , Moodley Anandan Angamuthu , Steinberg Wilhelm Johannes , Joubert Gina
Published: May 2023

Background. Epilepsy is a debilitating chronic medical condition affecting many patients globally. A seizure diary is used in monitoring and managing patients with epilepsy. In South Africa, no standardized diary is currently being used.Objective. This study intended to develop a consensus among experts managing patients with epilepsy on the content of a seizure diary.Methods. The modified Delphi method consisted of three survey rounds spanning six months. Using a three-point Likert scale questionnaire, in round one, the panelists were required to choose an option (definitely required, optional, and not required) for 50 items and comment on the contents of the diary. In round two, three items were added based on comments from the panelists. In round three, panelists were allowed to deliberate further on unresolved items and change their responses in view of the group responses. The consensus was determined as an a priori threshold of 70% on items definitely required, optional, or not required.Results. Eleven local and two international panelists were enrolled in this study. Twelve completed all three rounds. The consensus was achieved in 21 of 50 items in round 1, three of seven items in round 2, and one of two items in round 3, of which 18 were definitely required as contents of a seizure diary.Conclusions. Based on expert opinions, the modified Delphi study determined the essential contents of a seizure diary for use by patients with epilepsy in South Africa.
Gli strumenti per valutare la pratica basata sulle prove di efficacia tra gli studenti in infermieristica: una revisione narrativa
Authors: Longo Donato , Ramacciati Nicola
Published: May 2023

La pratica basata sulle prove (EBP) di efficacia rappresenta un prerequisito importante per poter fornire cure efficaci, effi- cienti e personalizzate per il paziente. Le Università devono fornire le basi formative agli studenti per metterli in grado di implementare l'uso dell'EBP nella pratica quotidiana. Ne sussegue la necessità di valutare l'apprendimento e l'avvicinamento da parte degli studenti all'EBP.
Natural polysaccharides for ulcerative colitis
Authors: Arora Akshita , Sharma Nitin , Kakkar Dipti
Published: May 2023

Ulcerative colitis is a colonic disease characterized by the disruption of the mucosal epithelial layer and inflammation. For the treatment of this disease, various chemotherapeutic agents are available. However, the toxicities associated with chemotherapeutics greatly hamper treatment. Polysaccharide from natural resources is emerging as a potentially therapeutic substance with comparative minimum adverse effects. In this article, we are discussing polysaccharide from diverse sources (plants, edible mushrooms, and algae) which are being used in the treatment of ulcerative colitis. These polysaccharides exert their therapeutic action on ulcerative colitis through several mechanisms, including suppression of inflammatory cascades NF-ĸB, MAPK, IL-6/JAK2/STAT3, preventing the release of certain inflammatory mediators, modulating the intestinal microbiome, maintaining the integrity of intestinal barriers, and regulating the certain inflammatory markers. The present review compiles the role of different polysaccharides being used successfully in the management/treatment of ulcerative colitis. Special emphasis was given to explaining the biomolecular pathway.
In vitro antioxidant and wound healing activity of Sargassum polycystum hydroethanolic extract in fibroblasts and keratinocytes
Authors: Woonnoi Wanwipha , Moolsap Furoida , Tanasawet Supita , Khumpirapang Nattakanwadee , Aenglong Chakkapat , Sukketsiri Wanida
Published: May 2023

Objective:

To investigate the in vitro antioxidant and wound healing properties of the hydroethanolic extract of Sargassum polycystum, and elucidate the mechanism of its wound healing activity.

Methods:

Human dermal fibroblast and HaCaT cells were used to evaluate the proliferation by sulforhodamine B and dsDNA assay after treatment with Sargassum polycystum extracts. Scratch wound healing and phalloidin-rhodamine staining were employed to observe migratory activity and filopodia formation, respectively. Western blot and real-time RT-PCR assays were performed to determine the protein and gene expressions related to wound healing activities.

Results:

The phytochemical analysis found a higher level of flavonoid than phenolic compound in Sargassum polycystumextracts. In human dermal fibroblast cells, Sargassum polycystum extracts at 50 and 100 µg/mL significantly increased fibroblast proliferation and the gene expressions of hyaluronic acid synthase 1 (HAS1), HAS2, HAS3, collagen type 1 alpha 1 chain (COL1A1), collagen type 3 alpha 1 chain (COL3A1), and elastin. The phosphorylation of Akt, ERK1/2, and p38 MAPK was also significantly upregulated after treatment with Sargassum polycystumextracts. Additionally, 50 and 100 µg/mL of the extracts prominently enhanced the proliferation, migration, and filopodia formation of HaCaT cells, as well as the protein levels of pFAK/FAK, pSrc/Src, pAkt/Akt, pERK1/2/ERK1/2, Rac1 and Cdc42.

Conclusions:

Sargassum polycystum extracts show promising wound healing activities in human dermal fibroblasts and keratinocytes.
Designing and determining the effectiveness of a suicide intervention package for psychologists working in the primary health care system
Authors: Hakami Mousa Chakeri , Poursharifi Hamid , Dolatshahee Behrouz , Seddigh Seyed Hamzeh
Published: May 2023

ABSTRACT

Aims:

Suicide is a major public health problem around the world. The present study aimed to design and determine the effectiveness of a suicide intervention package for psychologists working in the primary health care system in Hormozgan Province.

Materials and Methods:

This study was conducted in two phases: qualitative and quantitative phases. In the qualitative phase, it was a thematic analysis type, and in the quantitative phase, it was quasi-experimental type with pretest–posttest in two groups of intervention and comparison. To standardize the suicide intervention package, Delphi method was used, and for quantitative content validity, content validity index (CVI) and content validity ratio (CVR) were used. In the quantitative phase of the study, the statistical population of the study included 270 people who had suicidal ideations and had no history of suicide attempt. Among them, 135 people were included in the intervention group and 135 people were included in the comparison group using a convenience sampling method. They were selected among those referred to eight comprehensive rural and urban health service centers in eight cities of Hormozgan Province. The results were analyzed by MANCOVA statistical test.

Results:

CVR was more than 0.75 and CVI was more than 0.87. In the quantitative phase, the results showed a significant difference between the means before and after the intervention for the variables of psychological distress, suicidal ideation, and hopelessness (P < 0.01).

Conclusion:

It seems that psychological suicide preventive interventions in the primary health care system are effective in reducing psychological distress,suicidal thoughts and hopelessness.
COVID-19 infection following influenza vaccine injection and its complications among nurses working in educational-medical hospitals of Ardabil in 2020
Authors: Kerigh Ali Bakhtiari , Mohammadi Rahele , Shaker Hamidreza , Seyedjavadi Mehri
Published: May 2023

ABSTRACT

Objectives:

Health care workers are one of the groups at risk of influenza. Currently, influenza vaccination is very important more than ever before. Influenza is evolutionarily similar to SARS-CoV-2, and they have some common epitopes and mechanisms. Thus reducing the severity of COVID-19 disease by influenza vaccination seems possible. Therefore, the aim of this study is to investigate the relationship between influenza vaccination and COVID-19 infection among clinical nurses.

Methodology:

The present study is a prospective analysis of nurses working in educational-medical hospitals of Ardabil. In this study, two groups of nurses were considered as case and control groups. The collected data were analyzed using SPSS software and descriptive (mean, standard deviation and frequency) and analytical (Chi-square) tests.

Results:

A total of 279 individuals were included in the study according to the research criteria. The maximum duration of the disease was one week in the control group and four weeks in the case group. Chi-square test showed that there was a significant difference in terms of disease duration between the two groups (P= 0.000). Chi-square test showed that there was a statistically significant difference in terms of disease treatment between the two groups (P= 0.000).

Conclusion:

Influenza vaccine reduces the incidence of COVID-19 and reduces the need for hospitalization in patients with this disease. However, due to the positive effects of influenza vaccine on COVID-19 and its low cost, it is recommended to inject influenza vaccine more than before.
Laws of child abuse in Indian perspective: A review
Authors: Dinesh Theertha , Ayilliath Ambili , Ephraim Rena , Parikkal Ramnesh
Published: May 2023

ABSTRACT

Child abuse is harm or neglect toward a child by another person, whether an adult or child. It is common in all cultural, ethnic, and income groups. It can be physical, emotional–verbal, sexual, or even neglect. Abuse may cause serious injury and may even result in the death of the child. The aim of the paper is to review the child abuse laws prevalent in our country. Literatures were collected from the Google Scholar and E-Journals of legal services to get a sight of the child protection laws and to enlighten indigent children. Even though our country has different sections in the Indian penal code and many laws for the protection of children, still at the zeroth hour many corrupt rises.
Rare presentation of the cutaneous metastasis of colon cancer imitating herpes zoster
Authors: Swezey Elizabeth , Blake Rodrigo , Alamprese Sarah , Luong Teresa , Angus Lambros D.G.
Published: May 2023

ABSTRACT

The cutaneous metastasis of colon cancer is rare, and most commonly manifests as nodules or masses. In the case of our patient, a rarely described vesiculomaculopapular rash resembling herpes zoster was observed and treated as such; however, biopsy later revealed metastatic colonic adenocarcinoma. Metastasis of colon cancer to the skin typically confers a poor prognosis, however, early identification may allow for quicker intervention and more aggressive treatments, that may extend survival. Given the immunocompromised state of cancer patients undergoing antineoplastic therapy, a herpes zoster eruption would not be unexpected, but an astute primary care provider should keep metastatic disease in their differential.
Parents’ knowledge regarding first-aid management of epistaxis in children in Taif, Saudi Arabia
Authors: Alam Badr S. , Jawhari Amjad M. , Aljuaid Abdulaziz S. , Althomali Mohammed A. , AlMutairi Bader S. , Alobaylan Hamoud A. , Alosaimi Saleh M
Published: May 2023

ABSTRACT

Objectives:

Epistaxis among children is considered a scary issue for both the child and the parents. In Saudi Arabia, one third of children suffer from epistaxis. In our study, we aimed to assess the level of knowledge among parents regarding first-aid management of epistaxis in Taif city, Saudi Arabia.

Method:

We carried out a descriptive cross-sectional study among parents who visited Alhada Armed Forces Hospital and Prince Mansour Military Hospital between May 2022 and July 2022 in Taif, Saudi Arabia. A questionnaire with 17 questions was distributed among the participants. We excluded parents with children who were older than 18 years.

Results:

A total of 502 parents were included in the study. About two thirds (67.5%) of parents had a moderate level of knowledge and around one third (30.9%) showed a good level of knowledge regarding epistaxis first aid. Furthermore, higher knowledge scores were found among parents who had epistaxis previously (P = 0.026), who attended a course on first aid (P = 0.002), and who were aged more than 35 years (P = 0.017).

Conclusion:

Our study demonstrated that most Saudi parents had a moderate level of knowledge regarding first-aid management of epistaxis. Additionally, several factors, such as the number of children, age, those attending first-aid courses, and experience treating others with epistaxis, were associated with the level of knowledge among parents. Further larger studies are required among Saudi parents to examine the knowledge, practice, and related factors regarding first-aid management of epistaxis.
Central Line-Associated Bloodstream Infections: Effect of Patient and Pathogen Factors on Outcome
Authors: Arunan Bharathi , Ahmed Nishat H. , Kapil Arti , Vikram Naval K. , Sinha Sanjeev , Biswas Ashutosh , Satpathy Gita , Wig Naveet
Published: May 2023

Introduction:

Patients on central lines are often having multiple morbidities, and invasive devices provide a niche for biofilm formation, which makes central line-associated bloodstream infections (CLABSIs), a serious concern in health-care settings, as the infections difficult to treat. In this study, we evaluated the common bacteria causing CLABSI, and various patient and pathogen factors affecting the clinical outcome.

Methods:

In the prospective observational study, patients diagnosed with CLABSI were recruited. Extensive clinical, microbiological, and other laboratory workup was done, and observations were recorded. Congo red agar method, tube test, and microtiter plate assay were used for eliciting the biofilm-forming attributes of the bacterial pathogens.

Results:

Klebsiella
pneumoniae was responsible for 48% of CLABSI, followed by Coagulase-negative Staphylococci (16%) and Staphylococcus aureus and Acinetobacter
baumannii (12% each). Fifty-six percent of the isolates produced biofilms. The median (interquartile range) duration of hospital stay till death or discharge was 30 (20, 43) days. The all-cause mortality was 44%. Patients having a deranged liver function on the day of diagnosis (P value for total bilirubin 0.001 and for aspartate transaminase 0.02), and those infected with multidrug-resistant organisms (P value = 0.04) had significantly poor prognosis. The difference in the demographic, clinical, laboratory profile, and outcome of patients infected with biofilm producers and nonproducers was not found to be statistically significant.

Conclusion:

The study throws light on various host and pathogen factors determining the cause and outcome of CLABSI patients. To the best of our knowledge, this is the first study trying to decipher the role of biofilm formation in the virulence of pathogens and the prognosis of CLABSI.
miR-802-5p is a key regulator in diabetic kidney disease
Authors: Kiyanpour Farnoush , Abedi Maryam , Gheisari Yousof
Published: May 2023

Background:

Diabetic kidney disease has substantial burden and limited therapeutic options. An inadequate understanding of the complex gene regulatory circuits underlying this disorder contributes to the insufficiency of current treatment strategies. MicroRNAs (miRNAs) play a crucial role as regulators of functionally related gene networks. Previously, mmu-mir-802-5p was identified as the sole dysregulated miRNA in both the kidney cortex and medulla of diabetic mice. This study aims to investigate the role of miR-802-5p in diabetic kidney disease.

Materials and Methods:

The validated and predicted targets of miR-802-5p were identified using miRTarBase and TargetScan databases, respectively. The functional role of this miRNA was inferred using gene ontology enrichment analysis. The expression of miR-802-5p and its selected targets were assessed by qPCR. The expression of the angiotensin receptor (Agtr1a) was measured by ELISA.

Results:

miR-802-5p exhibited dysregulation in both the kidney cortex and medulla of diabetic mice, with two- and four-fold over-expressions, respectively. Functional enrichment analysis of the validated and predicted targets of miR-802-5p revealed its involvement in the renin-angiotensin pathway, inflammation, and kidney development. Differential expression was observed in the Pten transcript and Agtr1a protein among the examined gene targets.

Conclusion:

These findings suggest that miR-802-5p is a critical regulator of diabetic nephropathy in the cortex and medulla compartments, contributing to disease pathogenesis through the renin-angiotensin axis and inflammatory pathways.