bluuebunny/crossref_metadata_2025 huggingface dataset:
Children in the Workplace
Authors: Swenson Sharolyn , Bischoff Marissa , Lee Ryan
Published: February 2024

Children in the workplace are becoming a more common discussion in various work environments, including libraries. Since the university has no policy addressing this issue, a task force was charged to draft a recommended policy for the university library regarding bringing children to the workplace. The task force reviewed existing policies and conducted a survey and interviews with library employees. The resulting policy provided guidelines for employees and their supervisors without being overly prescriptive. This article provides a case study of how the task force used assessment methods and tools to create an appropriate and inclusive policy. While the specific policy and results are unique to this institution, the framework used to create a policy can be more broadly applied to all types of libraries.
Language, Culture, And Gender: A Sociolinguistic Study
Authors:   Wisnuwardhana University Malang, Kustyarini K. , Pujiati Eko ,   Wisnuwardhana University Malang, Koesmiyati Endang ,   Wisnuwardhana University Malang
Published: February 2024

Culture is indeed a social force. When this social force is dominated by a specific gender, various forms of repression of subject terminology, initially considered equal in gender contexts, occur. Due to the dominance of a specific gender, culture is engineered to favor one gender, with males considered superior to females. Discussing language, culture, and gender essentially involves examining everyday life around us. From the moment of birth, one cannot escape the cultural webs created by previous generations, parents, grandparents, great-grandparents, and so on. Sociolinguistic studies conducted will reveal strong factors influencing language usage between men and women. Surveys were distributed across several aspects: nature, word choices, openness, courage, communication intonation, roles, and responsibilities among 50 male respondents and 50 female respondents. Gender refers to the differences between men and women based on social construction, culture, language, status, as well as roles and responsibilities in society. However, there are many differences in language use related to gender. Overall, the average results from respondents indicate that gender influences language usage. Men tend to be rougher, more open, and bold when expressing themselves. In contrast, women must consider numerous factors when expressing themselves. Word choices and intonation are carefully observed, as women tend to be gentle and empathetic.
Influence of Robusta Coffee (Coffeea Canephora) Waste Type and Coffee Waste Substitution on Chemical and Organoleptics of Roasted Brownies
Authors: Arzetha ragilia Novita  , Fadjar Kurnia Hartati
Published: February 2024

Most Indonesians choose robusta as a coffee that is often consumed, one type of robusta that is often consumed is arjuna and temanggung. With the increase in coffee consumption, there will also be a lot of coffee grounds left. Coffee has a distinctive aroma coffee also has several contents which include several flavonoid compounds and other chemical compounds. So that coffee grounds can still be utilized, one of which is as a substitute for cocoa powder in baked brownies. The purpose of this study was to determine the type of robusta coffee grounds and the best coffee grounds substitution on chemistry and organoleptic. This study used a Completely Randomized Design (CRD) which was arranged with factorial and consisted of two factors, namely robusta arjuno coffee and robusta temanggung with each concentration of 15 g, 22.5 g, 30 g per treatment. The results showed that the type of interaction effect of robusta coffee grounds with coffee grounds substitution had no significant effect on moisture content, ash content and fiber content. Organoleptic test based on Kruskal Wallis showed that the addition of coffee grounds did not significantly affect the parameters of color, aroma, taste and tenderness. The best treatment for brownie products is 30 g robusta arjuno coffee grounds with treatment code (R1A3), with the highest Result Value (NH) of 0.577. And has a non-parametric criteria value of aroma 4.90 (neutral), fiber 9.08%, water 9.08%, tenderness 4.96 (neutral), ash 2.80%, taste 5.32 (somewhat like), color 5.29 (somewhat like).
Mechanical and Barrier Properties of Biocellulose Nata de Coco-Based Edible Film: Influence of Purple Yam (Dioscorea alata) Flour and Glycerol Concentration
Authors: Muflihah Ramadhia  , Indrastuti Y. Erning , Ledy Purwandani
Published: February 2024

Edible films represent biodegradable food packaging. Potential material used as an edible film is biocellulose nata de coco, but flour made from purple yams needs to be added to increase the solubility of composites in water. The purpose of this research was to study the effects of purple yam flour and glycerol concentrations on moisture, ash content, thickness, barrier properties (WVTR), and mechanical properties biocellulose based edible film. Edible films made with the proportion of slurry biocellulose and purple yam flour were 100: 0; 98: 2; 96: 4% and glycerol were added 0, 1, and 2% and aquades was added to the total volume of 200 ml. The suspension is put in a mould and dried in a 40 ° C oven for 24 hours. Increased concentrations of purple yam flour at biocomposite and glycerol reduce tensile strength and modulus of elasticity, increase the thickness of the edible film. Interaction between biocellulose-purple yam flour and glycerol at high concentrations reduced mechanical strength as a result of network integrity disruption. Interaction between biocellulose-purple yam flour and glycerol reduced moisture content but increased ash content. Glycerol concentrations that were too low and high cause antiplastizicer properties that affected the elongation at break and WVTR edible film. This study demonstrated that proportion of biocellulose-purple yam flour 98:2% and glycerol 1% has good potential for producing the edible films
CONCEPÇÕES DOCENTES SOBRE INCLUSÃO: PRÁTICA PEDAGÓGICA COM ALUNOS COM DEFICIÊNCIA FÍSICA E INTELECTUAL NO ENSINO BÁSICO EM SÃO BENTO-PB
Authors: Ramalho Neto Adaci Estevam
Published: February 2024

O objetivo desta dissertação foi compreender os significados atribuídos professores à sua prática pedagógica com meninos e meninas que sofrem de dificuldades motoras e habilidades cognitivas em duas escolas do município de são Bento-PB. Embora meninas e meninos com deficiência hoje dia são sujeitos de direito, onde diferentes documentos nacionais e internacionais reconhecer os direitos das pessoas com deficiência de acessar e participar diferentes esferas sociais, como o acesso à educação inclusiva nos sistemas de segurança social, escolas regulares. Portanto, esta pesquisa enfocou o paradigma qualitativo a partir a abordagem interpretativa compreensiva, que corresponde a um estudo de caso, com recurso a da técnica da entrevista semi-estruturada que procurou captar a realidade social, através do olhar do professor que foi estudado, ou seja, da percepção que o professor tem professor sobre o contexto educacional. Assim, os achados encontrados mostram que os professores têm uma visão de mundo própria para compreender as diferentes realidades, especificamente no que diz respeito a meninas e meninos que sofrem de alguma dificuldade. Os professores direcionam seu trabalho pedagógico de acordo com as necessidades dos alunos. Alunos com deficiência, diretamente relacionados com o que eles significam para eles e a construção intersubjetiva que realizam como produto da interação cotidiana na sala de aula com esses alunos.
Efekty suburbanizacji aglomeracji szczecińskiej
Authors: Kiepas-Kokot Anna , Kokot Sebastian
Published: February 2024

The article presents results of surveys related to some socio-demographical as well as financial and economic phenomena changes connected with the sub-urbanisation of Szczecin. The survey covered Szczecin City as well as adjacent communes. Results confirm the strong developing, but irregular, sub-urbanisation. In particular, Dobra and Kołbaskowo communes are affected by very strong sub-urbanisation expansion. In Goleniów, Gryfino, Kobylanka and Police communes, the process is noticeable, but not so significant like in the two earlier named communes. Stare Czarnowo commune does not suburbanize.
Abstracts ANVC Annual Conference 2023
Authors: Seagraves Karen
Published: February 2024

2023 ANVC Annual Conference Accepted Abstracts
Message from the Editor-in-Chief
Authors: Alexandrov Anne
Published: February 2024

Message from the Editor-in-Chief
E-Ticketing for Public buses
Authors:   Assistant Professor, Dept. of I.T., P.E.S Modern College of Engineering, Savitribai Phule Pune University, Maharashtra, India., Kulkarni Sampada , Nagare Krushna , Amrutkar Hansika , Alekhya Siddi Usha Sree , Hibare Yash
Published: February 2024

By replacing the antiquated manual, cash-based ticketing procedures with a state-of-the-art digital system, this initiative seeks to modernise public bus transportation in India. Long wait times, operational challenges, and inefficiencies are common outcomes of the current system. The goal of the suggested solution is to completely transform the public transportation experience by putting in place a cutting-edge, digital ticketing system that improves security, convenience, and efficiency for both administrators and users. This project's main goals are to eliminate manual cash transactions, shorten wait times, and fix operational inefficiencies. With the use of digital technology, the suggested system would expedite the ticketing procedure and provide passengers with an easy-to-use interface for smooth ticket purchases. This invention increases transaction security while also making the public bus transportation system more efficient overall. Passengers will have a more flexible and easy method to utilise public transport services thanks to the digital ticketing system, which will also significantly reduce wait times and traffic. Real-time data analytics will help administrators by facilitating improved resource allocation and decision-making. The introduction of this digital ticketing solution has the potential to revolutionise India's public transport sector by promoting a more sophisticated and user-friendly framework.
The Leiden Ranking goes beyond ranking
Authors: Gadd Elizabeth , Waltman Ludo , Eck Nees Jan van
Published: February 2024

The CWTS Leiden Ranking has always been a bit different from other university rankings. It has never sought to identify an overall ‘winner’ from amongst all the universities it features, preferring instead to offer a range of indicators and rank institutions on each one separately. It also looks beyond traditional citation measures and reputation surveys to assess concepts such as open access and gender balance.
"Smart alone, brilliant together"
Authors: Veer Anna van ‘t , Leeuwen Thed van , Rudmann Dan , Waaijers Leo , Waltman Ludo
Published: February 2024

Imagine academic publishing that is fast, transparent, and free. Is that a pipe dream or something within reach? We already have preprint publishing (fast), open peer review (transparent), and diamond/overlay journals (free). If we could connect these disparate initiatives, would that make our dream come true? And how could this best be done? These are questions that are currently being discussed by us and others at Leiden University.
Why are diversity and inclusion important for Global Science?
Authors: Rafols Ismael , Meijer Ingeborg , Costas Rodrigo
Published: February 2024

Created in 1992, the UNITWIN/UNESCO Chair programme is intended to support developing expertise in areas related to UNESCO’s mandate, such as education, culture, communication and the natural and social sciences. This network of over 850 institutions in 117 countries mobilises knowledge to address pressing societal challenges and contribute to development.
The CWTS Leiden Ranking 2023
Authors: Eck Nees Jan van , Waltman Ludo , Anli Zeynep , Calero-Medina Clara , Gibson Dan , Neijssel Mark , Elizondo Andrea Reyes , Visser Martijn , Winter Henri de , Yegros Alfredo
Published: February 2024

Universities in the Leiden Ranking 2023

As Figure 1 shows, the number of universities in the Leiden Ranking keeps increasing. Like in the last three editions of the ranking, a university needs to have at least 800 fractionally counted publications in the most recent four-year time window to be included in the ranking. This year 1411 universities meet this criterion, 93 more than last year and 235 more than in 2020.
Research(er) assessment that considers open science
Authors: Amanatidis Anestis
Published: February 2024

Research assessment practices that largely rely on publication-driven assessments of research(ers) are slowly running out of steam. A remnant of a science system that is largely inward-focused and output-oriented, these assessments paint a rather monochrome picture of science that is not fit for today’s developments that reconfigure the relationship between science and society.
Expanding the visualization toolbox: Lessons from a Tableau training
Authors: Dudek Jonathan , Bordes Carole de
Published: February 2024

A large part of our daily work at CWTS consists of collecting, analyzing and presenting data - be it in our research, for institutional projects, or for our research agency. Over the years, CWTS has paid particular attention to developing conversational and participatory approaches to understand science and its dynamics.
To Count or not to Count: How to Deal with Funding Acknowledgements
Authors: Nosten Tobias , Calero-Medina Clara , Honk Jeroen van
Published: February 2024

Funding data (and the funding database)

Funding acknowledgements are a familiar component of scholarly publications. In most cases, authors use this segment of the publication to list any grants, programs or other forms of financial support that made the research possible. In some cases, authors also use this space to express gratitude for any personal support they have received.
Indicadores responsables y posiciones en rankings. ¿Qué significa una posición en el Leiden Ranking? [Spanish blog post]
Authors: Elizondo Andrea Reyes , Calero-Medina Clara
Published: February 2024

El Leiden Ranking de Universidades 2023 ha sido publicado el 21 de junio del presente año. Contiene 1411 universidades de todo el mundo, incluyendo 58 de América Latina. Al abrir la página para 2023 encontramos en un listado a la Universidad de São Paulo en la posición 12 y la Universidad Nacional Autónoma de México en la 98. Pero ¿qué significan estas posiciones?
Unlocking the frontiers of Scientometrics: CWTS Summer School 2022
Authors: Leonard Anna , Mahfouz Basil , Ruiz-Navas Santiago , Šímová Tereza , Weimer Verena , Xie Qianqian
Published: February 2024

The 2022 CWTS Summer School provided a thorough introduction to scientometrics. First, we defined scientometrics. We then discussed major scientometric data sources, their strengths and limitations, including Web of Science, Scopus, and Dimensions as well as explored cutting edge tools available to scientometricians, including Elsevier’s International Center for the Study of Research Lab (ICSR) and Dimensions on Google Big Query.
Empowering Pomegranate Farmers in Tumkur District: A Comprehensive Approach to Cultivation Practices and Marketing Dynamics
Authors: Kumar Vijaya , Jagadeesan Dr. L.
Published: February 2024

This research aims to empower pomegranate farmers in Tumkur District by addressing knowledge disparities, cultivation practices, and market dynamics. Utilizing a descriptive research method and simple random sampling, data from 500 farmers were analyzed, revealing diverse knowledge levels (35.83% low, 43.34% medium, 20.83% high). Age-wise analysis indicated a significant association between awareness of water use rights and satisfaction among younger farmers (20-40 years). Despite moderate knowledge, farmers displayed limited market engagement, necessitating targeted education. Gaps identified include a lack of awareness on water redistribution rights and room for improvement in cultivation practices. Suggestions involve tailored educational programs, youth-centric workshops, interactive training, and collaborative knowledge platforms. The study emphasizes age-specific interventions and recommends continuous monitoring of empowerment initiatives. Future research should explore additional factors influencing empowerment and broaden its geographical scope for a comprehensive understanding of agricultural dynamics.
Resource-limited guidelines for cancer care
Authors: Warfa Khadija
Published: February 2024

Background: Guidelines have been shown to improve cancer care by standardizing care. In resource-limited settings where there is a consistent increase in disease burden, we need to use finite resources
well to ensure adequate care is provided nationwide. In 2016, the African Cancer Coalition wasestablished as a regional collaboration to develop comprehensive standard cancer treatment guidelinestailored to sub–Saharan Africa. Cancer experts from African countries collaborated with the NationalComprehensive Cancer Network (NCCN) and the American Cancer Society through a series oforganized meetings to harmonize cancer treatment guidelines. To date, all gynecologic malignancieshave been reviewed and updated on the website.These resource-stratified guidelines are not intended to lower the bar for cancer care in resource-limitedsettings, but to use resources adequately in already constrained settings.Objectives1. Educate members on how to use the harmonized guidelines.2. Use of the guidelines as an educational tool for gynecologic oncology fellowship programs in Kenya.3. Access the wider obstetric and gynecology fraternity to ensure appropriate use of finite resources andto avoid multiple tests before referring patients for care by the gynecologic oncologist.4. Compare the harmonized guidelines to the Kenya national guidelines.
Twin-to-twin transfusion syndrome – challenges in management: A case series
Authors: Odhiambo Martin , Sikolia Wanyonyi , Michael Maina
Published: February 2024

Background: Twin-to-twin transfusion syndrome (TTTS) affects up to 20% of monochorionic pregnancies and has a mortality rate as high as 90% without timely intervention. The underlying mechanism is believed to be unbalanced placental blood flow via arteriovenous anastomoses. Early diagnosis and prompt management are crucial.  
Case series: This study presents four cases of TTTS managed at Aga Khan University Hospital Nairobi, highlighting the challenges faced. 
Case 1: We diagnosed stage 2 TTTS and selective fetal growth restriction in a 21-year-old with a monochorionic diamniotic (MCDA) twin pregnancy. TTTS progressed to Stage 5 despite undergoing serial amnioreduction. Financial constraints and religious beliefs complicated continued care, necessitating transfer to another facility.  
Case 2: A 28-year-old with a MCDA twin pregnancy presented with abdominal discomfort. We diagnosed stage 1 TTTS and opted for expectant management. The patients was lost to follow-up despite presenting later with symptoms of worsening TTTS, increased abdominal discomfort, and reduction in fetal movements. 
Case 3: We diagnosed stage 2 TTTS in a 30-year-old with MCDA twin pregnancy. The patient opted for the termination of pregnancy, highlighting the complex ethical considerations involved in TTTS management. 
Case 4: A 24-year-old with an MCDA twin pregnancy and stage 2 TTTS at 24 weeks of gestation was scheduled for amnioreduction but experienced prelabor rupture of membranes a priori. She eventually experienced the neonatal demise of both twins. 
Discussion: These cases illustrate the challenges faced in managing TTTS in a resource-limited setting. Delayed diagnosis due to inadequate prenatal care, limited access to specialist centers, and financial constraints are significant obstacles. The unavailability of fetal laser ablation, the gold standard treatment, necessitates reliance on palliative measures, such as serial amnioreduction, with limited effectiveness. 
Conclusion: Expanding access to prenatal care through telemedicine in rural areas can enable an early diagnosis. Upgrading healthcare infrastructure and addressing financial barriers are crucial to facilitate regular follow-up and access to advanced interventions, such as laser coagulation, thus improving the prognosis of TTTS.
Fetal lower urinary tract obstruction caused by sacrococcygeal teratoma: A case report
Authors: Mwangi Maryanne , Wanyonyi Sikolia
Published: February 2024

Background: Fetal lower urinary tract obstruction (LUTO) is a rare occurrence that is usually associatedwith major morbidity and mortality after birth. It has an incidence of 2.2 in 10000 pregnancies. In males,the most common cause is persistent posterior urethral valves (50-60%). Other causes include urethralatresia with a poor prognosis. Most fetuses that survive to term with LUTO need dialysis or renaltransplant.Case presentation: A 35-year-old gravida 3 presented for routine antenatal follow-up. Her antenatalfollow-up remained normal until she underwent a growth scan at 33 weeks. Ultrasound revealed a fetuswithin normal growth centiles, but the renal system had features of obstruction. Renal calyces weredilated with hyperechoic renal parenchyma. The bladder was also markedly distended and had athickened wall, and a keyhole sign was present. There was a multicystic lesion in the sacral regionwithout blood flow on Doppler imaging. There was oligohydramnios. She had fetal vesicocentesis, whichrevealed normal kidney function. She had serial fetal vesicocentesis, and renal ultrasound showedimprovement in the corticomedullary differentiation of the kidney. At 38 weeks, the patient underwent acesarean delivery. Imaging studies showed a sacrococcygeal teratoma that was causing pressure on therenal system. This was excised, and the patient was allowed to return home on physiotherapy. Renalfunction test after delivery remained normal.Conclusion: Fetal lower urinary tract obstruction in males is mostly managed using the placement ofvesicoamniotic shunts or stents. In male fetuses with posterior urethral valves, ablation is performed inutero using cystoscopy. In this case report, LUTO was managed by serial vesicocentesis, whichpreserved renal function. In low-resource settings where surgery is not available, serial vesicocentesiscan be performed to relieve obstruction.
Renal failure in a patient with preeclampsia requiring hemodialysis and subsequent termination of pregnancy: A case report
Authors: Miheso Johnstone
Published: February 2024

Background: Pregnancy in patients with end-stage renal disease is a rare condition that requires multidisciplinary care. Severe preeclampsia can lead to severe maternal and fetal morbidity and mortality, including kidney failure and intrauterine growth restriction. 

Case presentation: A 31-year-old para 1 gravida 2 presented to KNH Othaya at 29 weeks of gestation with elevated blood pressure and generally feeling unwell. She had been transferred from a different facility where she had been found to have a small for gestational age pregnancy. She had been started on methyldopa and nifedipine. Her admission blood pressure was 166/102mmHg, and urinalysis revealed severe proteinuria (+++). She denied any severe features. On examination, the patient was sick-looking, and her feet were swollen. Her abdomen was soft, and her fundal height was 24 weeks. An obstetric ultrasound scan showed an estimated fetal weight of 200g and gestational age of 24 weeks. Her biophysical profile was 6/8 with a reduced amniotic fluid index. Her hemoglobin was 10g/dL, platelets of 132x10^9/L, normal liver function test, urea 30 mg/dL, and creatinine 700 umol/L. She was admitted and started on magnesium sulfate and corticosteroids. She was also reviewed by a nephrologist and started on hemodialysis. Despite twice-weekly dialysis, there was no recovery of renal function and no significant change in fetal growth with fortnightly obstetric scans. Her general condition remained the same and her blood pressure labile, requiring constant adjustment of antihypertensives. After six weeks, a multidisciplinary decision was taken to terminate the pregnancy to save the mother’s life. This was discussed with her parents and her partner, and prostaglandin induction was successfully undertaken. Her kidneys recovered subsequently, dialysis was stopped, and she was discharged home.

Conclusion: This case illustrates the importance of a multidisciplinary team in the management of antenatal renal failure secondary to preeclampsia.
Approaches to the management of ovarian cysts in pregnancy: A case series
Authors: Michael Maina  , Hassan Mjahid  , Joan Okemo
Published: February 2024

Background: The incidence of ovarian cysts in pregnancy is postulated to be approximately 3%. Most ofthese cysts are benign, with 6% of them being benign. Most of these masses are diagnosed incidentallyduring routine ultrasound. The most common are functional cysts. Most of these cysts do not havesymptoms and are managed conservatively. For persistent symptomatic cysts, medical and surgicalmanagement is a viable option.Case series: We present cases of three patients, two of whom were managed conservatively. One of thepatients with a corpus luteum cyst was managed surgically and did well, whereas the other two patientswere noted to have asymptomatic dermoid cysts. Pregnancy outcomes for the two who delivered wereunaffected, including their modes of delivery.Conclusion: Adnexal masses are common during pregnancy. There is a need to evaluate andcharacterize these masses even during pregnancy. Management options for adnexal masses areprimarily conservative, but for masses that meet the criteria for surgical management, surgery is safe,especially in the second trimester. A laparoscopic approach for abdominal surgery in the second trimesteris feasible and relatively safe, as demonstrated in the present case. Modification of entry and surgicalapproaches and preoperative planning are important when considering surgery during pregnancy. Reliefof pain symptoms during pregnancy will lead to a positive pregnancy experience.
Complete mole coexisting with a normal fetus in a dichorionic diamniotic pregnancy: A case report
Authors: Maryanne Mwangi  , Mjahid Hassan  , Wambugu Justus  , Wanyonyi Shikolia
Published: February 2024

Background: Complete hydatidiform mole with a coexisting normal pregnancy is an exceptionally rareoccurrence with a reported incidence of 1 in 22,000-100,000 pregnancies. Management remainscontroversial due to the risk of maternal and fetal complications and limited data on optimalmanagement.Case presentation: A para 1 + 0 presented to the Maternal Fetal Unit at 19 weeks. Ultrasound revealed atwin pregnancy with a single live fetus in one sac and a second sac with multiple cystic lesions and atypical snow-storm appearance consistent with a complete molar pregnancy. The placenta of the molarpregnancy was also low-lying, covering the internal cervical os. She had several episodes of antepartumhemorrhage, which was managed expectantly because she was keen on conception. At 25 weeks, shepresented with copious vaginal bleeding and chills. Speculum examination revealed vesicles withultrasound revealing a single live fetus, but complete molar pregnancy was not observed. Afteradmission, the patient became febrile with tachycardia. Amniocentesis was performed to rule outintraamniotic infection in viable pregnancy. A decision was made to undertake an emergencyhysterotomy because of deteriorating maternal status, placenta previa, and breech presentation.Maternal blood culture was positive for group B Streptococcus, with fetal blood and amniotic fluid culturesbeing sterile. Histopathology of the placenta revealed features consistent with acute chorioamnionitis andperipheral molar pregnancy.Conclusion: This case highlights the difficulty in the management of such cases, as illustrated bymultiple episodes of antepartum hemorrhage and subsequent maternal sepsis. Multidisciplinary care andshared decision making remain integral to management.
Laparoscopic surgery: My Journey
Authors: Rafique Parkar
Published: February 2024

For 35 years, there has been a rapid spread and evolution of laparoscopic surgery in the developed world, where this modality is now regarded as a safe and first choice for up to 98% of all surgical interventions by adequately trained surgeons. The advantages of laparoscopic surgery are now well established. Surgeons must be encouraged to undergo the required training to provide safe laparoscopic surgery. Having pursued my Master’s in Obstetrics and Gynecology at the University of Nairobi, I was posted to Kilifi District Hospital where I served for nine years. I later moved back to Mombasa and ventured into private practice. I developed an interest in and pioneered minimal access surgery in 1994. I developed an immense interest and passion in minimal access surgery and initially pursued a Diploma in Laparoscopic Surgery at the Coimbatore Institute of Gastrointestinal Endosurgery (CIGES). Subsequently, I attended dedicated workshops and additional training in Kiel, Hamburg (Germany), Clermont-Ferrand and Strasbourg (France), and various institutions in Asia and Europe, attending over 40 dedicated workshops, including advanced laparoscopic and hysteroscopic procedures. In 2000, I moved my practice to Nairobi and worked at various private institutions. To increase the awareness of laparoscopic surgery in Kenya. I organized workshops and encouraged many gynecologists and general surgeons to embrace change. I was later fortunate to be invited to several African countries where I trained and mentored numerous surgeons. In conclusion, laparoscopic surgery faces many challenges but is a safe and effective alternative to the traditional open modalities of surgery. The training of surgeons and support staff should be made a priority. I pray that my journey will be an inspiration and encouragement to many in our fraternity in the years ahead.
A person-centred approach to female genital mutilation prevention: Results of a multi-country, cluster-randomized trial
Authors: Ndavi P  , Balde M.D  , Ahmed A.M  , Diriye A.M  , Soumah A.M  , Sall A.O  , Diallo A  , Munyao J  , Kemboi J  , Esho T  , Abdirahman S  , Ahmed W  , Mochache V  , Stein K  , Nosirov K  , Thwin S.S  , Pallitto C.C  , Petzold M
Published: February 2024

Background: Healthcare providers are influenced by prevailing social norms. Addressing their underlying values on female genital mutilation (FGM) as well as their knowledge and skills in person-centred care could enable them to be effective change agents in the prevention of FGM. However, there is limited evidence on what works to achieve this. 

Objective: To test the effectiveness of an intervention involving person-centered communication (PCC) for FGM prevention in antenatal care (ANC) settings in Guinea, Kenya, and Somalia.

Methods: A cluster randomized implementation study was conducted between August 2020 and September 2021. Sixty ANC clinics were randomized to the intervention and control arms in each country. ANC providers from the intervention arm received training to build their knowledge of FGM, question their FGM-related values and attitudes, and conduct FGM prevention counseling using a PCC approach. Data were collected at baseline, three months, and six months using tablets and were analyzed using multilevel regression models. 

Results: Over six months, 222 ANC providers (n=105 intervention; n=117 control) were followed up from 163 clinics. In month six, 1,630 new clients (n=820 intervention; n=810 control) were interviewed after their ANC clinic visit. ANC providers in the intervention arm were more likely than providers in the control arm to apply the PCC approach (p<0.001), communicate effectively about FGM prevention (p<0.05), and have higher FGM knowledge scores (p=0.005). Provider attitudes against FGM were consistently high in both arms across all time points. After the ANC clinic visit, a higher proportion of ANC clients in the intervention arm than in the control arm reported a change in their support for FGM (52% vs. 29%, p<0.001), were strongly opposed to FGM (61% vs. 47%, p<0.001), reported that they did not intend to cut their daughters (84% vs. 70%, p<0.001), and wanted to be actively engaged in FGM prevention (83% vs. 66%, p<0.001). 

Conclusion: This study provides robust evidence that training primary care providers to challenge their FGM-related values and attitudes and build their interpersonal communication skills using a person-centered approach is effective for strengthening FGM prevention in the health sector. 

 

Study impact and recommendations:  This is the first randomized controlled trial to provide evidence on the effectiveness of a social norm change approach for FGM prevention in the health sector. The strength of the evidence should inform the scale-up of this approach to ensure effective delivery of FGM prevention services at the primary care level.
Teste 3 - Artigo
Authors: Admin Admin
Published: February 2024

Esse é um teste do artigo
Una Pastoral del turismo Laudato Si: renovar el valor de las personas y de la casa común
Authors: Lopes Neto Miguel , Franca Margarida , Cortés Moreira Sandra
Published: February 2024

Partiendo de la reflexión sobre lo que la Iglesia y su Magisterio actual proponen como camino para una Pastoral específicamente vinculada al Turismo;
considerando las reflexiones de entidades supranacionales sobre este tema;
con referencia al análisis realizado en las V Jornadas Nacionales de Pastoral
del Turismo (Coimbra, 2023), este artículo propone una reflexión sobre el
concepto de Pastoral del Turismo, señalando la necesidad de que incluya
dimensiones como el Patrimonio Religioso, la Acogida y la Sinodalidad,
como ejes vertebradores de una acción dirigida al desarrollo integral del ser
humano (que incluye no solo las dimensiones del conocimiento, sino también la ética, la economía y la sostenibilidad) y de un proceso de aprendizaje
permanente que permita a los agentes turísticos adaptarse y formarse como
primeros anunciadores del Evangelio.
Las personas con discapacidad en la acción pastoral de la Iglesia. Necesidades de apoyo de las familias y de las Instituciones Católicas
Authors: Bravo Álvarez María Ángeles , Vadillo Costa Pablo
Published: February 2024

La discapacidad es un fenómeno complejo resultado de la interacción de la
persona y sus condiciones de vida en un determinado contexto. Esta interacción se ve afectada positivamente por la introducción de recursos y estrategias (apoyos) que mejoran su funcionamiento ya que reduce la discrepancia
persona-entorno y los resultados personales se mejoran. No obstante, estos
apoyos deben ser individualizados y centrados en la persona con discapacidad y sus necesidades. Por ello, el objetivo de este estudio ha sido analizar
las necesidades de las personas con discapacidad y sus familias, así como de
las Instituciones que las acogen, de modo que se pueda valorar a partir de
ellas el perfil e intensidad de apoyo que requieren para que puedan participar
de manera activa y autodeterminada en nuestras comunidades cristianas. La
recogida de información se realizó mediante dos encuestas diseñadas ad hoc,
una aplicada a familias y otra a Instituciones. Los resultados indican que las
familias presentan importantes necesidades de para obtener información,
necesidad de asesoramiento, de apoyo/alivio y necesidad de contactos y
comunicación. Instituciones constatan la presencia de mayores necesidades en personas con discapacidad y sus familias, demandando espacios de formación especializada.
Palabras clave: Catequesis, discapacidad, necesidades de apoyo, inclusión,
Iglesia.
La acción caritativa-social eclesial tiene su fundamento en el ejercicio de la justicia-caridad-misericordia: en el seguimiento de Jesucristo
Authors: Cester Martínez Armando
Published: February 2024

La caridad es el amor de Dios entregado al mundo por medio de Jesucristo,
que actúa por la fuerza del Espíritu. Es el amor de Dios que transforma interior e integralmente a la persona humana dotándole de una capacidad de
amar a los demás, tal como Jesucristo nos amó: con entrañas de misericordia.
Nuestra manera de hacer operante esa caridad, está en el seguimiento de
Cristo, por eso debemos lanzar una mirada atenta a la vida de Jesús en la que
su amor se hace preferencial por los más pobres, ya que nos traza el camino
de nuestra propia existencia: amar a nuestros semejantes, especialmente a
los empobrecidos, mediante unas relaciones cercanas, de persona a persona
y contando con ellos y desde ellos.
Este amor incluye necesariamente el reconocimiento de la dignidad y de los
derechos del prójimo, lo que implica una exigencia absoluta de justicia.
No podemos olvidar que el desvalido que tenemos que amar se encuentra
siempre en sociedad, por lo que se le debe servir en el plano social, eliminando aquellos factores comunitarios que causan su indigencia.
Toda acción y servicio para con los marginados, no puede ser para tranquilizar nuestra conciencia, sino motivo de nuestro compromiso cristiano que actualiza la presencia de Cristo en nuestra sociedad, haciendo realidad el
Reino de Dios.
Palabras clave: Amor, caridad, misericordia, pobreza, justicia.
Analysis Sentiment On Social Media Instagram Towards Metaverse Games Saindbox Aplha 2 With Support Vector Machine Algorithm
Authors: Prahmana I Gusti , Br Sitepu Kristina Annatasia , Selfira
Published: February 2024

Metaverse is part from development technology in the metaverse SandBox Alpha 2 Game world taking place worldwide , games in the virtual world like real very possible thing done . metaverse now Already in progress for can be implemented most affected technology to opinion from particular society _ enthusiasts game metaverse saydbox alpha 2. where game can create her world alone and various game For look for missions and coins can make money to sell _ in metaverse sandbox alpha. since emergence exists game that has been appeared on facebook that has been replaced be meta, create attention world public increasingly highlight technology this , someone _ welcome game the with good and some have _ worries to development technology the . So study This will dig analysis sentiment public Indonesia against development and use metaverse technology uses method algorithm Algorithm Support Vector Machine. analysis sentiment that will done on social media Facebook. Programming language used _  is  Language  Jupyter Notebook Python. Study This get results opinion  public  Indonesia  to  metaverse technology that shows  behave neutral , negative and positive .
Analysis Of Poverty Level Mapping In Riau Province Using The K-Means Method
Authors: Erlisa Santri  , Brahma Dede
Published: February 2024

This research aims to understand the pattern of poverty distribution in Riau Province, identify clusters that reflect similar characteristics and provide a basis for developing more targeted policies. This approach uses machine learning techniques, especially the K-Means algorithm, to form clusters based on poverty level data. The results of the analysis show cluster 0 (C0) with a high poverty level and cluster 1 (C1) with a low poverty level. K-Means proved effective in grouping areas with similar levels of poverty, and provided a strong foundation for further analysis. Evaluation results using the Adjusted Rand Index (ARI), Silhouette Score, Davies-Bouldin Index, and Calinski-Harabasz Index show that the quality of cluster formation is good. This analysis provides detailed insight into poverty patterns in Riau Province and provides an empirical basis for implementing more contextual policies.
Classification of Public Sentiment Toward 2024 Presidential Candidates on Social Media Platform X Using Naïve Bayes Algorithm
Authors: Ramdhan Hakiki  , Pambudi Agung , Asriyanik
Published: February 2024

This research examines the use of Naïve Bayes algorithm to classify public sentiment on social media X towards Indonesia's 2024 presidential candidates. Against the backdrop of the importance of presidential elections in a democracy, this research focuses on analyzing public sentiment from June to August 2023. The Naïve Bayes method was chosen to process review data about the three main candidates. The classification results provide insight into the positive and negative sentiments of the public, providing benefits for political parties and researchers in understanding public opinion. This research also enhances the understanding of sentiment classification in a political context and provides readers with a useful reference on the Naïve Bayes approach to sentiment classification. In terms of accuracy, the developed naïve bayes model shows a success rate with an accuracy of 74% for Anies Baswedan, 74% for Ganjar, and 88% for Prabowo.
Performance Analysis of Ensemble Learning and Feature Selection Methods in Loan Approval Prediction at Banks
Authors: Muhammad Iqbal , Dahlia Rizka , Muhammad Ifan Rifani Ihsan  , Lisnawanty  , Rabiatus Sa’adah
Published: February 2024

Applying for a loan at a bank has a series of relevant assessments based on data and credit scores in determining a borrower's eligibility to receive a loan from the bank. Machine learning is the basis for evaluating whether an individual is worthy of obtaining a loan, in order to reduce the potential risks faced by banks. This research aims to obtain the best accuracy value from the Loan Approval Prediction dataset which is sourced from the open dataset provider website, namely Kaggle. This Loan Approval Prediction dataset has 14 features with 4,269 data. The results of dataset analysis carried out on 4,269 data showed that the amount of data that could be studied was 4,173 data (2,599 data were approved and 1,574 data were rejected). The results of the feature importance evaluation on 14 features show that loan amount is the most important feature compared to other features, while bank asset value is the feature that has the lowest influence. Research on the Loan Approval Prediction dataset was also carried out by testing several Decision Tree ensemble models, including Extreme Gradient Boosting or XGBoost, Light Gradient Boosting Machine (Light GBM), Gradient Boosting, Random Forest, Adaptive Boosting (Adaboost) and Extra Trees. The comparison results show that the XGBoost (Extreme Gradient Boosting) model is the best model, with Accuracy 0.9974, AUC 0.9998, Recall 0.9963, Prec 0.9969, F1 0.9966.
Application for Recommending Tourist Attractions on The Island of Java with Content Based Filtering Using Cosine Similarity
Authors: Sovina Mutiara , Yusfrizal Yusfrizal , Harahap Faisal Amir , Lazuly Ivi
Published: February 2024

Indonesia is a country with a high level of tourism, with natural beauty and historical places and other tourist destinations that continue to develop from year to year. Java Island is one of the islands visited by many tourists with various tourist attractions. Currently, many tourists like to travel, but during holidays tourists are confused about which tourist destination to visit. With advances in internet technology and the abundance of information in online media, it can make it easier for tourists to find information, but because there is so much information provided, it will make tourists confused about deciding and choosing a place. A tourist recommendation application is very necessary to provide good recommendation accuracy to make it easier for tourists to find tourist destinations according to the desired category. To get the best results, the Content Based Filtering method using Cosine Similarity used in this research will provide several tourist recommendations according to the level of similarity of various cities on the island of Java.
Sunda Script Detection Using You Only Look Once Algorithm
Authors: Arifadilah Daffa , Asriyanik  , Pambudi Agung
Published: February 2024

The Sundanese script is a writing system used in the Sundanese language, one of the regional languages of West Java, Indonesia. This study investigates the use of the YOLO v8 algorithm for the real-time video detection of Sundanese script. Various versions of YOLO v8, including YOLO v8n, v8s, v8m, v8l, and v8x, were tested to determine the most effective model. After a comprehensive evaluation involving the analysis of mean Average Precision (mAP), F1-Confidence, and precision, the study selected the YOLO v8s model as the primary detection method. YOLO v8s demonstrated superior performance with the highest mAP of 98.835%, an F1-Confidence of  98%, and a precision of 76,2%. This choice was based on a balance between high accuracy and computational efficiency. The results indicate significant potential for object recognition technology in the learning and preservation of Sundanese script.
FIRE TESTS OF A MOBILE UNIVERSAL FIRE EXTINGUISHING SYSTEM
Authors: Sytdykov Maxim , Shilov Alexander , Brusyanin Dmitry
Published: February 2024

To assess the effectiveness of a full-size mobile universal fire extinguishing system, fire tests of the developed layout of an experimental mobile universal fire extinguishing system were carried out, taking into account the requirements of national standards, which determined the choice of the operating pressure range and nozzle diameters. Numerical values of the duration of the supply, the length of the jet and the rate of discharge of fire extinguishing agent from the vessel of the layout of a mobile universal fire extinguishing system from the diameters of the nozzles with a change in pressure are obtained. The results showed that

the duration of the supply and the length of the jet of fire extinguishing agent, regardless of the diameters of the nozzles, depend on the pressure, the flow rate and outflow rate of fire extinguishing agent depend on both the diameters of the nozzles and the pressure. The relationship between the parameters of the layout and its extinguishing capacity has been determined, which confirms the declared capabilities of its working cycle.
A METHOD FOR DETERMINING THE FREQUENCY OF FIRES AT FACILITIES WITH STORAGE AND MAINTENANCE OF VEHICLES RUNNING ON GAS FUEL
Authors: Prostov Evgeny
Published: February 2024

The paper analyzes statistical data on the number of vehicles in Russia, on the number of cars with installed gas cylinder equipment, as well as the number of fires on them. The main causes of fires on cars without a gas cylinder equipment device and with it have been identified and analyzed. Gas cylinder equipment is an integral part of the design, therefore, in a comprehensive assessment of the frequency of fires on the gas-powered cars, it is advisable to take into account statistical data on fires and accidents separately on gas cylinder equipment. Using the proposed method, statistical indicators were determined to determine the frequency of fires at facilities with the placement of gas-powered vehicles. Calculated values of the frequency of fire occurrence have been obtained, which can be used in calculating fire risk at facilities for the storage and maintenance of cars, including those with installed gas cylinder equipment.
TOOLS FOR OPERATIONAL SUPPORT IN ASSESSING THE INTENSITY OF THERMAL RADIATION IN CASE OF A FIRE IN A BUILDING WITH AN ENLARGED WINDOW OPENING
Authors: Kuzmin Anatoly , Permyakov Alexey , Romanov Nikolay
Published: February 2024

It is shown that the task of taking into account the impact of thermal radiation from a fire for determining safe distances for situating fire engines and choosing positions for firefighters during developing operational fire extinguishing plans for industrial buildings with enlarged window openings is not fully supported by the functionality of existing software systems. Since thermal radiation as one of the components of dangerous fire factors valuable only with a sufficient exposure, we analyze events tree branches associated with the process of diffusion combustion on the surface of a flammable liquid spill. Algorithms of the fire temperature regime module in the room of an industrial building with an enlarged window opening are presented based on an integral model and the module of the directional pattern of thermal radiation through window openings. The results of numerical modeling using the presented software product allow us to conclude that the effect of thermal radiation diaphragmization by window openings weakens with distance from the front of the heat-emitting surface and becomes negligible at distances of five meters and more.