bluuebunny/crossref_metadata_2025 huggingface dataset:
A Prospective Comparative study to assess the effect of modified del Nido versus standard del Nido on Myocardial protection in Adults
Authors: Kumar Pardeep , Lahiri Raja , Gupta Anish , Kumar Ajay , Singh Rawat Shubham , Darbari Anshuman
Published: October 2024

Objective. This comparative observational study aimed to assess the efficacy and safety of modified del Nido cardioplegia (MDN) prepared using Ringer Lactate [Group R] compared to the standard del Nido cardioplegia (SDN) with Plasmalyte–A [Group P] in adult patients undergoing cardiac surgery with cardioplegic arrest.
Materials and Methods. A total of 88 patients were evaluated. The primary outcome of myocardial injury was measured by specific markers viz cardiac Troponin I (cTnI), Creatine Phosphokinase–MB (CPK–MB), and Coronary Sinus (CS) Lactate at various time points. Secondary outcomes were postoperative left ventricular ejection fraction, inotropic score, and duration of intensive care unit (ICU) stay. The differences in primary and secondary outcomes between the groups were measured and analysed.
Results. Two primary outcome parameters showed significant differences between the two groups viz. the CS lactate levels measured immediately after the removal of the aortic cross–clamp (group–R 3.23 ± 1.07, group–P 2.58 ± 0.99, p–0.004) and troponin–I levels measured at 24 hours post–surgery (group–R 6.45 ± 4.89, group–P 4.64 ± 3.98, p–0.012). However other primary and secondary parameters did not exhibit significant differences between the two groups.
Conclusion. Although there were no significant differences in the secondary outcome parameters, two of the primary outcome parameters associated with myocardial injury showed significant difference. Hence modified del Nido should be used with caution unless the safety is validated by large multi–centric RCTs.
Possibilities of endovascular treatment of vascular complications in mine–blast trauma
Authors: Furkalo С. M. , Kondratyuk V. A. , Mazanovych I. A. , Vagis Y. G.
Published: October 2024

Objective. To optimize approaches to endovascular treatment of posttraumatic false aneurysms and arteriovenous fistulas in patients with complications of mine–blast trauma.
Materials and Methods. The results of examination and treatment of 9 patients with complications of mine–blast trauma were analyzed. False aneurysms of various localizations were detected in 5 (55.6%) patients, and arteriovenous fistulas of the same localization were detected in 4 (44.4%) patients.
Results. We performed 5 endoprosthetics with the use of stent grafts to exclude lesions from the circulation, as well as 5 selective embolizations with coils. In 1 patient, embolization with endoprosthetics was performed simultaneously. In all 9 patients, the treatment was technically successful, that is, the technical success of the interventions was 100%. None of the patients had any complications. All patients regressed clinical symptoms after the intervention.
Conclusions. Endovascular treatment of post–traumatic false aneurysms and arteriovenous fistulas in patients with mine–blast trauma is highly effective. In all 9 patients with arteriovenous fistulas and false aneurysms, endoprosthetics with stent grafts and selective embolization of lesions with complex anatomy were successfully performed. Further study of the long–term results of treatment of these patients is necessary to increase technical and clinical success.
Review for the monograph "Vacuum Therapy in Surgery": a textbook for military doctors and doctors of the health care system of Ukraine / S. Aslanian, V. Bilyi, Y. Zarutskyi, S. Korol, A. Laksha, I. Sobko – Kyiv, 2023. 247 p.
Authors: Desyaterik V. I.
Published: October 2024

Review for the monograph "Vacuum Therapy in Surgery": a textbook for military doctors and doctors of the health care system of Ukraine / S. Aslanian, V. Bilyi, Y. Zarutskyi, S. Korol, A. Laksha, I. Sobko – Kyiv, 2023. 247 p.
The effect of viral anxiety experienced by nurses working in pediatric service on psychological factors during Covid-19 period
Authors: Haylı Çiğdem Müge , Chung Seockhoon , Demir Kösem Dilek
Published: October 2024

During the Covid-19 period, nurses, as healthcare professionals, have been under a great workload, and their anxiety levels have also increased their psychological effects. Therefore, this study was conducted to examine the effect of viral anxiety experienced by nurses working in the pediatric ward during the Covid-19 period on psychological factors. This is a descriptive study. Permission was obtained from Hakkari University Scientific Research and Publication Ethics Committee for research permission. Sociodemographic data were collected online from 1200 nurses working in the pediatric service who voluntarily participated in the study between October 13, 2023 and December 25, 2023 using the sociodemographic data collection form and the stress and anxiety scale for health workers due to virus epidemic-9 items (SAVE-9), Patient health questionnaire-9 (PHQ-9), Obsession with Covid-19 Scale (OCS), Reassurance-seeking behavior scale against coronavirus (CRBS). In order to compare SAVE, PHQ, OCS and CRBS scale scores according to sociodemographic information and vaccination status variables, independent groups t test one-way variance analysis Levene's F test was applied and data were analyzed using a statistical package program. It is understood that 59.9% of the participants are male and 40.1% are female. The proportion of married participants was 95.4%. The results of the scores obtained from the SAVE and PHQ scales show that the stress and anxiety related to the virus epidemic are above the middle level, the result of the OCS scale score shows that the dysfunctional thoughts associated with the coronavirus, and the scores obtained from the CRBS Total scale show that the assurance-seeking behavior is exhibited according to the results. The effect of viral anxiety on the psychological factor according to sociodemographic characteristics (gender, age, marital status, socioeconomic status, educational status, working area in pediatric service, vaccination status) showed significant and different results according to scale scores. It was concluded that the viral anxiety experienced by the nurses working in the pediatric service during the Covid-19 period showed different characteristics in terms of psychological factors and sociodemographic characteristics, and the nurses were not very effective due to the decrease in the effect of Covid-19.
Chronic kidney disease and risk factors among Type 2 Diabetic patients in selected hospitals in Dhaka, Bangladesh
Authors: Mahbub Md Rasel , Shadat Maksudul  Akash , Goni Md. Osman , Chowdhury Shahanaz
Published: October 2024

Chronic kidney disease (CKD) may be defined as abnormalities of kidney function or structure present for more than 3 months. Around 10% of people worldwide have CKD. The data about chronic kidney disease among diabetics in Bangladesh is inadequate, and very few studies have been done on specific populations, i.e., male or female. Thus, the study aims to determine the prevalence of CKD and its risk factors among diabetic patients in selected hospitals in Dhaka city. The specific objectives of the study were to assess the participants through physical and laboratory evaluations, categorize them into the different stages of CKD, analyze their socio-demographic characteristics, and determine the association between CKD and various risk factors. This is a cross-sectional study. The study population consisted of different outpatient diagnostic centers and outpatient and indoor patients of Shaheed Suhrawardy Medical College and Hospital. The sample size of the study is 369. The Modification of Diet in Renal Disease equation was used to calculate eGFR. This study revealed that in Dhaka, 18.2% of Type 2 Diabetic patients had CKD. Most of the participants were between 46 and 65years old. Most of the CKD patients had a low education level and a lower family income. Having diabetes for more than 3 years and hypertension for more than 5 years were associated with a higher risk of developing CKD, especially among individuals who consumed added salt in their diet.
The effect of environmental stressors perceived by surgical intensive care unit patients on hopelessness level
Authors: Güneş Dilek , Okşak Elif
Published: October 2024

The aim of the research was to determine the effects of environmental stressors perceived by patients hospitalized in the surgical intensive care unit on hopelessness level. This descriptive research was performed between September 2023 and February 2024. The population of the study included all adult patients hospitalized in the Surgical Intensive Care Clinic of a City Hospital in Eastern Türkiye.  The sample of the study includes 230 patients selected by random sampling method from this population.  We used Personal Information Form, Intensive Care Unit Environmental Stressors Scale (ICUESS) and Beck Hopelessness Scale (BHS) to collect the data.  Descriptive statistics, t-test, ANOVA, and correlation analysis tests were used to evaluate the data. The ICUESS mean score of the patients participated in the study was found to be at a high level with 102.13±15.95.  Beck hopelessness scale score mean was found to be at a mild level with 6.36±5.78.  It was found that the patients' gender, age, educational status, chronic disease status and previous intensive care experience affected the level of hopelessness. The relationship between ICUESS and BHS scores of the patients included in the study was examined and it was found that there was a low level of positive significant relationship between them (r: 0.162, p: 0.014). The hopelessness level of patients in surgical intensive care units was found to increase as the level of exposure to environmental stressors increased.  It may be recommended to identify environmental stressors affecting the hopelessness level of patients and to implement interventions to reduce them.
The association of vaccine hesitancy with other public health practices in well child care: a cross-sectional study
Authors: Erdal İzzet
Published: October 2024

Vaccination is one of the most successful public health initiatives in human history. Despite all the benefits of vaccination, it is noteworthy that the number of vaccine hesitant parents has increased in recent years. Individuals with vaccine hesitancy are known to have similar attitudes towards other scientific initiatives. In this study, we investigated the relationship between the attitudes of vaccine hesitant parents and other practices and interventions in well child care. The “Parental Attitudes Towards Childhood Vaccinations (PACV) scale was applied to parents of children aged 2-6 without chronic diseases. A PACV score of 50 or above was considered as vaccine hesitancy. Sociodemographic characteristics, economic status and practices in well child care were questioned. Parents' vaccine hesitancy and their approaches to other practices in well child follow-up were compared. A total of 329 parents were included in the study. The rate of parents with vaccine hesitancy was 22.8% (n=75). In both groups, most participants had an undergraduate/graduate level of education. Those with vaccine hesitancy were less likely to have received vitamin K at birth (81.3% vs. 97.6%, p<0.01), and use of prophylactic vitamin D (72% vs. 88.2%, p<0.01) and iron supplements in the first year of life (66.7% vs 78.3%, p=0.038) were lower. No difference was found for developmental hip dysplasia and hearing screening. The current attitudes of vaccine hesitant parents are not limited to vaccination, but also affect other health initiatives. In our study, we have shown that vaccine hesitant individuals are also opposed and/or reluctant to child health initiatives. Taking this into account when developing strategies to overcome vaccine hesitancy may lead to more effective results.
Combination of oral anticoagulant and antiplatelet therapy does not change the 1-year prognosis compared to oral anticoagulant alone in stroke patients with atherosclerosis and atrial fibrillation
Authors: Zeytin Demiral Gökçe , Demirbaş Hayri , Güzel Abdullah , Betaş Akın Selin , Yorgancı Sinem , Çulhaoğlu Gökçek Dilara , Hoşgeldi Hilal , İncebacak Furkan
Published: October 2024

This study aims to evaluate the effectiveness of combined antiplatelet and oral anticoagulant (OAC) therapy versus OAC therapy alone on one-year post-stroke outcomes in patients with non-valvular atrial fibrillation (NVAF) and systemic atherosclerosis. A retrospective study was conducted using the recorded data of patients diagnosed with ischemic cerebrovascular disease between January 1, 2022, and January 1, 2023, at the Neurology Clinic, Afyonkarahisar Health Sciences University. Patients with non-valvular atrial fibrillation (NVAF) and systemic atherosclerosis were included in the study. Collected data included demographic information, medical history. Patients were divided into two groups based on the treatment regimen used at discharge: those receiving OAC alone and those receiving a combination of OAC and antiplatelet therapy. Clinical outcomes were evaluated within one year following the stroke. A total of 671 stroke patients were screened, and 565 (84.2%) had ischemic stroke. Among these, 113 (20%) had NVAF, and 53 had both NVAF and systemic atherosclerosis. Data from these 53 patients were analyzed. The mean age was 71.81±11.90 years, with a female gender ratio of 52.8%. Logistic regression analysis showed no statistically significant differences between the two treatment groups in terms of all-cause mortality, bleeding, recurrent stroke, and hemorrhagic stroke (p>0.05 for all comparisons). The combination of antiplatelet and OAC therapy did not demonstrate superiority over OAC therapy alone in reducing the risks of recurrent ischemic stroke, hemorrhagic stroke, myocardial infarction, and mortality in patients with NVAF and systemic atherosclerosis. These findings suggest that OAC therapy alone may provide sufficient protection in this patient population. Prospective studies with larger samples are needed to confirm these results.
Changing direction for health in Africa
Authors: Edouard Lindsay
Published: October 2024

Current developments augurs well for sexual and reproductive health in Africa. With the African Union joining the G20 group, it is expected that its regional health priorities will be given special consideration. Social protection and empowerment of youth and women were prominent at the recent Summit of the Future. The impending change in leadership at the African regional office of the World Health Organization brings great expectations for sound policy formulation and surveillance for detecting outbreaks of epidemics. At the United Nations, Africa will benefit from reform of the Security Council besides intensified activities pertaining to the Sustainable Development Goals.
A premarital services education model of preventing stunting among prospective newlyweds from North Sumatera, Indonesia
Authors: Andayani Lita S. , Harahap Juliandi , Amelia Rina , Lubis Nenni D. A. , Sari Dina Keumala , Rohmawati Lili , Aulia Destanul , Lubis Zulhaida
Published: October 2024

Stunting, attributed to insufficient nutrition during the critical first 1000 days of life, remains a pressing public health issue in North Sumatera, Indonesia. This study investigates the influence of pre-marital education on prospective couples' knowledge and nutritional status as a stunting prevention strategy. Employing a quantitative, cross-sectional design, the study involved 1000 prospective couples across 10 districts. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling (SEM). The findings demonstrate that pre-marital education significantly enhances knowledge of nutrition, family planning, and stunting prevention, leading to improved nutritional status. However, increased knowledge of stunting was inversely related to nutritional status. The study concludes that comprehensive pre-marital education is vital for effective stunting prevention. It recommends a thorough revision of pre-marital educational content, emphasizing a tailored and integrative approach to health and nutrition, to address specific regional challenges and enhance overall program efficacy.
Assessing the impact of climate change on reproductive health: A content analysis of climate journalism coverage
Authors: Yuvaraj Bharath R. , Masilamani Vaageessan , Saravanan M. , Karthikeyan Harie , Moses Fenn , Abraham A , Kumar Ravi P. , Manjula K
Published: October 2024

This research explores the intricate relationship between climate change and reproductive health through an analysis of 1000 global news articles from 2018 onwards. Utilizing Latent Dirichlet Allocation (LDA), key topics in media coverage are identified, encompassing fertility challenges, pregnancy complications, infectious diseases, maternal and infant health in disasters, gender-based violence, healthcare access inequities, mental health impacts, and food security issues. Findings reveal an uneven distribution of coverage across continents, with potential language bias in English-dominated sources. Acknowledging limitations, future research directions emphasize a more inclusive approach, incorporating diverse linguistic perspectives and qualitative exploration of community experiences. The study underscores the imperative for global representation in media discourse and advocates for comprehensive, evidence-based strategies to address the complex interplay between climate change and reproductive health.
Expression of thyroid antigens in the female reproductive system
Authors: Aissiou Selma , Boucekkine Nadjia , Cunnane Eoghan M. , Gashti Nasrin G. , Oumeziane Amina , Kaci Naima
Published: October 2024

Thyroid autoimmunity (TAI) has been linked to fertility disorders and pregnancy complications, even in euthyroid women. However, the exact pathophysiological mechanism underlying this association is not fully understood. This study seeks to investigate the expression of thyroid antigens within the human female reproductive system, potentially identifying targets for thyroid antibodies. Human biopsies of endometrium and follicular granulosa cells were collected and thyroperoxidase (TPO) and thyroglobulin (TG) expression was evaluated in these tissues by immunohistochemistry. Results showed, for the first time, the expression of TG protein and confirmed the presence of thyroid TPO in human endometrium and granulosa cells. Results suggest that TPO antibodies (TPOAbs) and TG antibodies (TGAbs) could interact with TPO and TG expressed in the reproductive system in patients with positive thyroid antibodies, thereby disrupting the function of TPO and TG and generating an inflammatory response, leading to fertility disorders and pregnancy complications.
Innovative pre-exposure prophylaxis interventions among adolescent girls and young women during COVID-19 lockdown period in sub-Saharan Africa: A systematic review
Authors: Olifant Lerato L. , Phalane Edith , Phaswana-Mafuya Refilwe N.
Published: October 2024

Adolescent girls and young women are key, and priority populations impacted by a higher risk of acquiring human immunodeficiency virus. In 2015, pre-exposure prophylaxis was introduced as a biomedical human immunodeficiency virus prevention tool. However, its uptake continues to be lower in sub-Saharan countries, particularly among adolescent girls and young women. The uptake may have worsened during the Coronavirus disease 2019 lockdown restrictions. Innovative interventions to improve its uptake were implemented, this review aimed to identify and describe these interventions in sub-Saharan Africa. We searched four electronic databases (PubMed, Scopus, Google Scholar, and MEDLINE) between 01 April 2019 and 30 April 2024 and 1212 articles were identified. Of these 287 full-text articles were assessed and ultimately, 14 articles were included since they reported on the pre-exposure prophylaxis interventions implemented before and during the lockdown period among adolescent girls and young women. Innovative interventions like using social media platforms and decentralizing pre-exposure prophylaxis through community delivery were identified across Sub-Saharan African countries. Irrespective of the challenges in implementing these interventions, improvements in pre-exposure prophylaxis uptake and adherence were observed. These interventions can potentially improve access to traditionally hard-to-reach individuals and address structural barriers to better access human immunodeficiency virus prevention service delivery.
Experiences of maternal healthcare delivery in South Africa: Perinatal women’s viewpoints
Authors: Nkoane Naomi L. , Makhubela-Nkondo Olga N.
Published: October 2024

Becoming a mother should be an exciting experience in woman’s life. No mother should have to endure adverse encounters. while seeking healthcare in any maternal services facility. this is a phenomenon occurring globally. Delivery of these maternal healthcare services has a bearing on the obstetrical outcomes of mothers from preconception until six weeks after delivery. The study aims to understand the experiences of perinatal women regarding maternal healthcare services in the public hospitals of Gauteng province in South Africa. This study followed an exploratory and descriptive qualitative approach using a purposive sampling method. The study was conducted in three selected public hospitals representing different levels of care namely, district, tertiary provincial, and academic in the Gauteng province. A total of forty-six perinatal women were selected to take part in six focus groups. Data were thematically analysed following the six steps given by Braun and Clarke (2013). Three themes emerged as follows: 1) individual 2) interpersonal reasons and 3) impact of poor complaints procedure on maternal healthcare. The study showed that maternity services rendered to perinatal women in the three selected public hospitals are affected by several factors, such as midwives’ attitudes, knowledge and skills, professional ethics, communication, and delayed maternal healthcare. These findings demonstrate an urgent need for practice and policy interventions that go beyond just a routine service but quality and organised maternal healthcare services provided in public hospitals, for improved healthcare outcomes at the point of service.
Link between pregnancy planning and antenatal care utilization in sub-Saharan Africa: An analysis of DHS data (2010-2023)
Authors: Ouedraogo Sibiri C. , Bougma Moussa
Published: October 2024

This study aims to analyse the relationship between pregnancy planning and antenatal care in sub-Saharan Africa and to identify which categories of mothers are most likely to make inadequate use of antenatal care in the event of a mistimed or unwanted pregnancy. The latest data from the Demographic and Health Surveys of 32 countries were analysed using bivariate and multivariate descriptive methods. The results show that compared with planned births, mistimed and unwanted births are respectively 27% (OR=0.733) and 29% (OR=0.711) less likely to have an antenatal visit in the first three months of pregnancy, and 25% (OR=0.752) and 29% (OR=0.705) less likely to have the four recommended antenatal visits. In addition, the births of the most privileged women (richest, educated and exposed to the media) are the least likely to have an adequate prenatal visit in the event of mistimed or unwanted pregnancies, probably due to an increased psychosocial impact linked to school dropouts, damage to professional projects and a desire to hide the pregnancy from those around her.
Predictors of depression, anxiety and stress symptoms among maternity nurses and midwives in a Middle Eastern country
Authors: Alsaraireh Arwa , Al Hashmi Iman , Raghavan Divya , Arulappan Judie , Aziz Hakima
Published: October 2024

This study assessed anxiety, depression, and stress levels among midwives and maternity nurses in Oman using the DASS-21 questionnaire in a cross-sectional survey of 200 participants from three public hospitals. Results indicated that 27.0% experienced mild to moderate depression, while 33.5% and 32% reported mild to moderate anxiety and stress, respectively. No severe cases were observed, but the findings highlight significant predictors such as sleep quality, job satisfaction, caseload per shift, age, and working area. These factors were significantly associated with the mental health outcomes measured. The study underscores the importance of addressing the psychological and emotional well-being of midwives and maternity nurses through targeted support and interventions, given the substantial percentage experiencing mild to moderate symptoms. Continuous efforts are essential to mitigate these issues and promote a healthier work environment for these healthcare professionals.
Exploring the child marriage practices and their impact on women's lives in Pakistan: A qualitative analysis
Authors: Charan Iftikhar A. , Xin Shen , Soomro Shazia
Published: October 2024

The study aimed to qualitatively explore the relationship between intimate partner violence and early marriage, focusing on the psychological and physical health issues faced by married women in rural Pakistan. Specifically, it investigated how resilience moderates the effects of early marriage, physical health problems, intimate partner abuse, and psychological issues. Using an intrinsic qualitative approach, the research involved interviews with 20 household heads, 62 husbands, and 40 wives in Sindh province. The findings indicated significant differences related to early marriage, intimate partner abuse, physical health issues, stress, anxiety, and depression. The results align with other South Asian studies, highlighting early marriage as a major risk factor for physical health issues and intimate partner violence. Additionally, the study underscores the widespread nature of violence as a social problem affecting married couples' health in Pakistan.
Impact of iron deficiency anemia on academic achievement among female university students in Saudi Arabia
Authors: Essawi Khaled , Hakami Shahd , Abdullah Albandri , Badr Dhai , Madkhali Afiaa A. , Hakami Waleed , Saboor Muhammad , Yousif Tagwa , Alshaikh Nahla A. , Mobarki Abdullah A. , Madkhali Aymen , Chandika Rama , Alyahyaw Yara , Dobie Gasim , Hamali Hassan A.
Published: October 2024

Anemia, particularly iron deficiency anemia (IDA), is a prevalent health issue globally and in Saudi Arabia, especially among young adult females. This study investigates the association between anemia and academic achievement among female students at the Female Health Campus of Jazan University, Jazan, Saudi Arabia. This cross-sectional study included 118 randomly selected participants aged 18–22. A validated questionnaire was administered to the study participants. The participants underwent blood tests for complete blood count (CBC) parameters and iron profile analysis. The study reported that 52.5% of the female students had anemia and low serum iron levels. Regarding academic performance, significant positive correlations were found between various CBC parameters including white cell count, hemoglobin, hematocrit, mean cell volume, mean cell hemoglobin, mean cell hemoglobin concentration, and serum iron. However, no significant correlations were observed between red blood cell count and platelet count with academic performance. Demographic variables were also associated with a higher odds ratio of anemia. The study highlights the prevalence of anemia among female students and its potential impact on academic achievement. The current study underscores the importance of addressing anemia in young adult females and implementing appropriate interventions to improve their educational outcomes.
Pioneer of epidemiology and anesthesiology – John Snow (1813–1858)
Authors: Radkowski Paweł , Jeznach Martyna , Truszczyński Damian Bronisław , Banasiak Łukasz , Sztaba Klaudia
Published: October 2024

Introduction

John Snow, a British physician of the 19th century, played a pivotal role in challenging prevailing medical beliefs during his time. His groundbreaking studies on the cholera epidemic led to the rejection of the miasma theory and the establishment of the link between contaminated water and the spread of the disease.

Aim

This study aims to explore the contributions of John Snow to the fields of anaesthesiology and epidemiology, focusing on his significant findings and methodologies.

Material and methods

This study utilizes a literature review approach to examine John Snow's contributions to anaesthesiology and epidemiology. Searches were conducted in databases using relevant keywords, focusing on peer-reviewed articles and authoritative sources. The data was qualitatively synthesized to extract key insights into Snow's methodologies and findings, aiming to provide a brief overview of his impact on medical science.

Results and discussion:

John Snow (1813-1858) is celebrated as a pioneer in epidemiology and anaesthesiology. He identified contaminated water as the source of the 1854 cholera outbreak in London, establishing the basis for modern epidemiology. Snow's innovative mapping of cholera cases was crucial in controlling the epidemic. He also advanced anaesthetic techniques, notably using chloroform on Queen Victoria during childbirth, improving the safety of anaesthesia. His work remains influential in both fields.

Conclusions:

John Snow's pioneering work significantly impacted the development of anaesthesiology and epidemiology. His insights into cholera transmission and anaesthetic agents, along with his seminal publication On Chloroform and Other Anaesthetic, continue to inspire advancements in medical science. Snow's legacy underscores the importance of evidence-based medicine and the pursuit of knowledge in addressing public health challenges.
The Effectiveness of Augmented Reality with Adapted Books as Emotional Expression Media for Children with Autistic Spectrum Disorders (ASD)
Authors: Tolle Herman , Nerea López Jonathan Del Moral
Published: October 2024

Autism Spectrum Disorder (ASD) is a neurological condition that affects a person's ability to recognize and understand emotions, thereby hindering social interactions. This research introduces AREmotion, an augmented reality (AR) mobile application integrated with an adapted book, designed to aid children with ASD in recognizing emotional expressions. Using images as markers in the AR application, AREmotion facilitates the learning process for these children. The study employed a pre-experimental design with a one-group pre-test and post-test to evaluate the application's effectiveness. Results indicated a significant improvement in the participant's ability to understand emotional expressions, with each respondent showing a significance value of less than 0.05. These findings demonstrate that combining AR technology with traditional printed books can effectively enhance emotional recognition in children with ASD, showcasing a promising advancement in this field.
Development of Detection and Mitigation of Advanced Persistent Threats Using Artificial Intelligence and Multi-Layer Security on Cloud Computing Infrastructure
Authors: Hartono Hartono , Wijaya Ryan Aji , Khotimah Khusnul
Published: October 2024

This research proposes a novel approach for detecting and mitigating Advanced Persistent Threats (APTs) in cloud computing infrastruc ture, offering more comprehensive protection compared to previous methods. By integrating detection and mitigation, this study addresses the shortcomings of prior research that focused solely on detection. Based on the conducted research, Artificial Intelligence (AI) detected Cross-Site Scripting (XSS) attacks with an accuracy of 0.9951, SQL Injection (SQLI) at 0.9964, and Remote Code Execution (RCE) at 0.9876. In trials against new attacks, the detection success rates reached 70% for XSS, 98% for SQLI, and 100% for RCE. During the deployment phase, the system successfully identified 23.040 out of 108.394 requests as XSS attacks, 2.684 out of 128.750 as SQLI attacks, and 1.135 out of 46.450 as RCE attacks. The detection and mitigation methods were directly tested on cloud server experiencing APT attacks. The daily attacks on the server reached 1.980, with 663.000 requests. Additionally, the number of attacks directed at authentication or sensitive pages reached 17.913.701. Attack mitigation was tested through seven layers of security, including DNS Protection, Config Server Firewall (CSF), OWASP ModSecurity, HTTP middleware, data filter or sanitizer, template engine, and manual mitigation successfully blocking million of persistent attacks. The DNS protection layer successfully mitigated 59,000 out of a total of 19 million requests. The CSF layer mitigated 173 sources IP of DDoS attacks. The ModSecurity layer mitigated 17,916,204 attacks. All attacks were successfully mitigated before reaching the HTTP Middleware stage or next layer. The use of NIST 2.0 standards helps manage security risks through identification, protection, detection, response, and recovery. Test results indicate that this multi-layered system is more efficient and effective in detecting and mitigating attacks compared to traditional methods. However, the complexity of implementation and maintenance poses challenges that must be addressed. This research significantly contributes to a more adaptive and sustainable cybersecurity strategy.
Prediction of Performance and Emissions Diesel Engines Fueled-Biodiesel Using Artificial Neural Network (ANN) Resilient Backpropagation Algorithm (Rprop)
Authors: Amrulloh Riva , Widayat Widayat , Warsito Budi
Published: October 2024

In order to increase energy security and improve environmental quality, the Indonesian Goverment set a target of 23% renewable energy mix in 2025, one of which is the Mandatory Bioediesel Program. A higher biodiesel blending ratio will affect the performance and emissions of diesel engines because biodiesel is chemically different from diesel oil. Research related to the prediction of diesel engine performance and emissions using Artificial Neural Network (ANN) has been conducted, but the author sees a research opportunity for the implementation of the ANN Resilient Backpropagation (Rprop) algorithm. The data used to create the ANN model prediction was secondary data from previous research. The model designed multi input and multi output (MIMO) with 4 input variables and 7 output variables. Model building done by varying the number of neurons and hidden layers. Model evaluation selected based on the largest coefficient of determination parameter R2  and the smallest RMSE or MAPE. The results showed that the ANN single layer 4-20-7 network architecture is the best model for predicting diesel engine performance and emissions with test data R2 , RMSE and MAPE of 0.962532, 6.699428 and 6.0% respectively, while for overall data testing has a performance of 0.982869, 3.908542 and 4.3%. The results also show that based on the ANN prediction results, the increasing biodiesel ratio can increase NOx emissions and decrease HC, CO and CO emissions2 . In terms of performance, the addition of biodiesel can increase BSFC and BP and decrease BTE. The results also show that the addition of ZnO concentration can reduce emissions while in terms of performance it will increase BTE and reduce BSFC and BP.
Kentleşme, Enerji Tüketimi, Ekonomik Büyüme ve Dış Ticaret Açığının Türkiye’de Ekolojik Ayak İzi Üzerine Etkisi
Authors: Kekül Okan
Published: October 2024

Küresel ısınma, iklim değişikliği, karbon salınımı vb. çevresel sorunlara ek olarak ekolojik ayak izine yönelik gerçekleştirilen bilimsel çalışmalar son yıllarda ivme kazanmıştır. Türkiye’ye ait verilerin kullanıldığı bu çalışmada, 1980 – 2021 dönemi esas alınmış ve ekolojik ayak izi üzerinde kentleşme, ekonomik büyüme, dış ticaret açığı ile enerji tüketiminin etkilerinin ortaya konulması amaçlanmıştır. A-ARDL sınır testi yaklaşımının benimsendiği araştırmada ilk olarak eş bütünleşmenin varlığı ortaya konulmuştur. Analizin bulgularına bakıldığında, ekonomik büyümenin ve enerji tüketiminin hem uzun hem de kısa dönemde çevreyi olumsuz etkilediği sonucuna ulaşılmıştır. Modele yönelik hata terimleri katsayısı elde edilmiş ve bu katsayı ile gerçekleşen hesaplamalarda kısa dönemde oluşabilecek sapmaların yaklaşık %80’lik bir bölümü sonraki dönemde düzeleceği tespit edilmiştir. Bu çalışmaya ait sonuçların çevre politikaları ve stratejilerine katkı sağlayabileceği düşünülmektedir.
ANALISIS PDRB MENURUT LAPANGAN USAHA YANG MEMPENGARUHI LAJU PERTUMBUHAN EKONOMI KABUPATEN BOJONEGORO TAHUN 2011-2023
Authors: Adiseputra Yudhistira , Adianita Happy , Susilowati Dados , Isna Aulida
Published: October 2024

Penelitian ini bertujuan untuk menganalisis faktor-faktor PDRB menurut Lapangan Usaha yang mempengaruhi laju pertumbuhan ekonomi Kabupaten Bojonegoro. Penelitian ini menggunakan data sekunder dan primer. Penelitian ini menggunakan data sekunder yaitu Produk Domestik Regional Bruto (PDRB) Menurut Lapangan Usaha Atas Dasar Harga Konstan Tahun Dasar 2011-2023, PDRB, Data sekunder bersumber dari BPS (Badan Pusat Statistik) Kabupaten Bojonegoro. Data diperoleh dengan metode dokumentasi. Data diolah dengan teknik Pearson Correlation Analysis dengan menggunakan SPSS 20 untuk mengetahui kuat atau lemahnya hubungan antara variabel 17 sektor lapangan usaha (X) dengan Variabel PDRB (Y) Kabupaten Bojonegoro. Analisis korelasi sektor usaha terhadap PDRB Kabupaten Bojonegoro menunjukkan bahwa sektor pertambangan dan penggalian merupakan sektor dengan pertumbuhan tertinggi, didukung oleh kekayaan sumber daya alam yang melimpah. Sektor jasa, terutama di bidang administrasi pemerintahan dan perusahaan, juga memperlihatkan pertumbuhan yang signifikan, menandakan adanya peningkatan aktivitas ekonomi yang berkaitan dengan sektor ini. Temuan penelitian mendapati hubungan yang paling besar keeratannya atau korelasinya yaitu pada Pertambangan dan Penggalian dengan PDRB, dengan angka korelasi yang paling besar yaitu 0,9880. Koefisien korelasi tersebut bernilai positif, artinya peningkatan pada Pertambangan dan Penggalian akan diikuti dengan peningkatan PDRB. Temuan berikutnya adalah terdapat hubungan signifikan antara Pertambangan dan Penggalian dengan PDRB, ditandai dengan nilai sig(2-tailed) sebesar 0,000000000229.
Makna Pesan Ekologis Dalam Pentas Tuno Wujo
Authors: Zaini Zaini , Wissang Imelda Oliva , K.Keban Sirilus Karolus
Published: October 2024

Abstrak
Permasalahan dalam penelitian ini yaitu bagaimanakah makna pesan ekologis dalam pentas Tuno Wujo? Tujuan penelitian untuk mendeskripsikan makna pesan ekologis dalam pentas Tuno Wujo. Jenis penelitian ini adalah penelitian deskriptif kualitatif. Metode pengumpulan data yang digunakan dengan teknik observasi, wawancara, dan dokumentasi. Sumber data dalam penelitian ini nara sumber, video pementasan, teks teater Tuno Wujo. Berdasarkan hasil analisis data, terdapat makna pesan ekologis dalam pementasan Tuno Wujo, yakni ( 1) menjaga relasi dengan Tuhan melalui ketekunan dan setia, moral yang tinggi, berjuang dan bekerja keras selalu bersyukur atas setiap pemberian Tuhan dalam alam semesta ini, (2) menjaga relasi dengan sesama terbuka, saling mendengarkan, saling membantu, selalu semangat dan penuh harapan, seperti alam yang selalu memberi harapan, memberi tanda, mengingatkan manusia  dalam menata kehidupannya, (3) menjaga relasi dengan alam lingkungan dengan sikap berani, berjuang, dan berkorban, (4) menjaga relasi dengan diri dengan memiliki keterbukaan dan ketulusan, dan (5) menjaga relasi dengan adat budaya dengan penuh tanggung jawab, kerja keras, korban, cinta budaya.
Kata kunci: makna, pesan, ekologi, pentas
ASPECTOS SOCIAIS, CULTURAIS E NUTRICIONAIS EM TORNO DO FRUTO BABAÇU: UMA INVESTIGAÇÃO BIBLIOGRÁFICA
Authors: SILVA KAIO GERMANO SOUSA DA , Santos José Jaciel F. dos , Rocha Maurisrael de Moura
Published: October 2024

RESUMO: O babaçu apresenta importância do ponto de vista ecológico, social e político. É um recurso extrativista oleífero, sua exploração envolve o trabalho de milhares de famílias. É uma palmeira do reino vegetal, Monocotyledoneae, Palmae, do gênero Orbignya, nativa do meio norte brasileira. Estudo tem como objetivo: Descrever a inserção do babaçu nas multifaces de aplicabilidade em pesquisa. Sendo este se caracterizando em uma revisão narrativa de abordagem qualitativa e descritiva, sendo realizada através de dados online de pesquisa: Scielo (Scientific Eletronic Library OnLine), Periódicos da CAPES e Latindex. Além de estabelecer uma relação com a prática, utiliza tecnologia auxiliar para buscar a aquisição científica e sua importância para já enfática no estado Maranhão, em termos de estratégias de ciências para fortalecer as de pesquisa do babaçu na cidade de Caxias, Maranhão, uma vez que é inerte pesquisadores locais da temática e promover o futuro trabalho social em contexto científico
Palavras-chave: babaçu; farinha do mesocarpo do coco babaçu; etnografia do babaçu.
A PRODUÇÃO DOS CONHECIMENTOS SOBRE A INCLUSÃO DE ALUNOS COM ALTAS HABILIDADES/SUPERDOTAÇÃO
Authors: Coqueiro Raymara Cris Lopes
Published: October 2024

RESUMO: O presente trabalho tem como fulcro abranger a inclusão como conquista aos alunos com altas habilidades/superdotação. Ele tem como público-alvo estes alunos em busca de um espaço maior de inclusão, pois necessitam de total apoio e compreensão por parte de outras pessoas no contexto de inserção em todas as áreas de desenvolvimento humano, inclusive
no sistema educacional. Neste contexto, tem-se o Objetivo Geral que é desenvolver práticas de conscientização sobre a inclusão aos alunos com Altas Habilidades e Superdotação enfatizando através da relevância de informações a obtenção de conhecimentos por meio dos Objetivos Específicos, que são desenvolver esta pesquisa através de acervos bibliográficos que relatam ideias relevantes de autores sobre os aspectos influenciadores para concretização da inclusão desses alunos por meio de práticas sugeridas no contexto de sala de aula, compreender a importância da inclusão, conhecer novas perspectivas metodológicas para a prática de inclusão.
Palavras-chave: alunos superdotados/altas habilidades; produção do conhecimento; inclusão.
A RELEVÂNCIA DA COLABORAÇÃO ENTRE FAMÍLIA E ESCOLA NO INCENTIVO À LEITURA NO PERÍODO PANDÊMICO E SEUS ASPECTOS POSITIVOS NO PÓS-PANDEMIA
Authors: Oliveira Rauenas Silva , Carvalho Maria do Socorro
Published: October 2024

RESUMO: Discute a relevância da relação família-escola no período crítico de pandemia, considerando a urgente necessidade de que ambas juntassem forças colaborativas para o incentivo da leitura. Trata-se de uma pesquisa bibliográfica que contou com o auxílio de grandes referências teóricas Kaercher (2001), Conceição (2005), Muneveck (2010), Durkheim (2012) , a fim de corroborar a tese de que a união entre essas instituições oportuniza um aprendizado de qualidade, além de propiciar raízes firmes na educação básica de crianças e jovens. Aponta discussões também sobre a necessidade de reformulação do ensino literário no pós-pandemia, considerando as modificações no formato de ensino que os alunos foram expostos em decorrência de COVID-19, pois é fato que o aluno pós-pandemia não é o mesmo que antes ocupava o espaço da sala de aula, e todas essas esferas devem ser consideradas ao adotar metodologias de ensino.
Palavras-chave: educação; literatura; pandemia.
AS TECNOLOGIAS DIGITAIS DE INFORMAÇÃO E COMUNICAÇÃO COMO FERRAMENTAS MEDIADORAS NA EDUCAÇÃO E O FAZER DOCENTE: UM RELATO DE EXPERIÊNCIA NA ESCOLA MILITAR, NO MUNICÍPIO DE CAXIAS – MA
Authors: Lima Magno dos Santos , Amâncio Michael da Silva
Published: October 2024

RESUMO: O estudo aborda o uso das novas tecnologias digitais de informação e comunicação na educação, enfatizando seu impacto nos processos educativos. O objetivo é compreender como essas tecnologias são utilizadas em sala de aula pelos professores, identificando as formas de inserção, metodologias e recursos tecnológicos aplicados. O presente estudo consiste em um estudo de caso, de caráter descritivo, que visa analisar as formas que vem acontecendo a inserção das NTDIC's nos processos educacionais. Seguindo a coleta de informações de fontes bibliográficas primárias e secundárias, foi possível concluir que há a necessidade de trabalhar melhor as novas tecnologias de informação e comunicação em sala de aula, visto que foi identificada dificuldades no manuseio dessas tecnologias em sala e sua aplicação nos conteúdos ministrados em aulas. É fundamental trabalhar de forma mais estratégica as NTDIC's na prática educacional, a fim de promover uma educação de qualidade alinhada com as demandas da sociedade contemporânea.
Palavras-chaves: Recursos tecnológicos; tecnologias de informação e comunicação; Metodologias ativas.
NARRATIVAS (AUTO)BIOGRÁFICAS E IMAGENS DE SI NO CONSTITUIR-SE PROFESSOR/A
Authors: Morais Joelson de Sousa
Published: October 2024

RESUMO: A pesquisa formação de doutorado em educação do autor (MORAIS, 2022) realizada na UNICAMP, resultou no artigo em pauta na qual trago escritas narrativas (auto)biográficas e imagens fotográficas de três professores/as pedagogos/as, durante a pandemia de Covid-19, partilhadas no ano de 2020 pelo Google Meet e por e-mail. Os objetivos do estudo buscam: compreender os processos de constituição de si e da docência em memórias, narrativas (auto)biográficas e imagens fotográficas de álbuns de família de professores/as em formação, bem como refletir acerca das contribuições que as fotografias podem trazer na formação docente. As reflexões fundamentam-se na abordagem da pesquisa narrativa (auto)biográfica com contribuições de: Marie-Christine Josso (2007), Paul Ricoeur (2007), Christine Delory-Momberger (2010), Walter Benjamin (2012) e outros. Os dispositivos metodológicos utilizados durante o estudo foram: escritas narrativas, diário de pesquisa, encontros virtuais pelo Google Meet e conversas via WhatsApp e e-mail. Os resultados da pesquisaformação, possibilitou pensar na riqueza e potencialidade do uso metodológico do álbum de fotos de família, nas compreensões de si e na tessitura de aprendizagens e construção de conhecimentos na formação de professores/as, prática essa formativa e potencialmente significativa, transformadora e emancipatória.
Palavras-chave: escrita narrativa (auto)biográfica; formação de professores/as; fotografias; memória; pesquisaformação.
O DISCURSO DA CONTINUAÇÃO DAS QUEBRADEIRAS DE COCO BABAÇU E AS NOVAS GERAÇÕES
Authors: Silva Edson Sousa da
Published: October 2024

RESUMO: Este trabalho tem por objetivo debater como as quebradeiras de coco babaçu na região do Médio Mearim-Maranhão lidam com a continuação da luta e da identidade para as novas gerações. As quebradeiras estão organizadas no município de Lago do Junco desde 1989, através da Associação das Mulheres Trabalhadoras Rurais (AMTR). Em uma assembleia realizada em dezembro de 2016 realizaram um resgate histórico da entidade e as falas compõem o corpus deste trabalho. Servirão de base teórica para este trabalho os debates sobre as dimensões da Argumentação de Amossy (2002, 2005), Kock (1996, 2011), de argumentação retórica de Ducrot (2004), sobre os auditórios de Perelman (1999). No âmbito da construção da identidade Bauman (1998, 2003, 2005), Giddens (1991, 2002) e Hall (1998). Os resultados apontam para o debate de que há uma responsabilização da juventude para continuidade dos trabalhos das quebradeiras de coco babaçu, usados como argumentos para a continuação da luta.
Palavras-chave: quebradeira de coco babaçu; identidade; novas gerações.