bluuebunny/crossref_metadata_2025 huggingface dataset:
CT measurements of the proximal femoral medullary cavity in healthy adults: a cross-sectional study
Authors: Ran Zhao  , Cai Hong , Tian Hua , Zhang Ke
Published: December 2023

Objective: To analyse the proximal femoral morphology on three-dimensional reconstructed imagery to explore the factors influencing the relevant parameters.
Method: The cross-sectional study was conducted at Peking University Third Hospital in northern China from January 2019 to August 2020, and comprised healthy adults who underwent computed tomography scanning. Three-dimensional computed tomography reconstruction of the proximal femoral medullary cavity was performed using Mimics 22. The anatomical parameters related to total hip arthroplasty were measured to examine the relationship among gender, age and femoral length. Data was analysed using SPSS 20.
Results: Of the 63 adults, meaning 126 hips, 21(33.3%) were males, meaning 42(33.3%) hips, and 42(66.6%) were females, meaning 84(66.6%) hips. The overall mean age was 51.5±23.1 years (range: 23-68 years). The inflection point of the medullary cavity curved at 5-10mm distal to the lesser trochanteric line. Most horizontal plane parameters significantly differed between men and women (p<0.05), with the mean medullary cavity being wider in men than women. There was a significant difference between the genders in the sagittal anterior-posterior diameter of the canal flare index (p<0.05). Age was negatively correlated with the coronal medial-lateral diameter and coronal lateral diameter of canal flare index. In the coronal and sagittal planes, there was a positive correlation between the metaphysis and diaphysis, and the coronal and sagittal planes were positively correlated with the orthogonal plane.
Conclusions: Femoral morphology could be influenced by gender and age. Morphological changes of the proximal femoral medullary cavity were not present in a single plane, but were affected by multiple planes. When the diameter of one plane became larger, its orthogonal plane concomitantly increased.
Key Words: Proximal femoral, Morphology, CT measurement, Correlation.
Assessment of clinical spectrum of thrombocytopenia and its association with different disease states reported in Dow Diagnostic Reference and Research Lab (DDRRL)
Authors: Abbas Farah Fatima , Kouser Shaheen
Published: December 2023

Objective: To evaluate the relevance of thrombocytopenia to other disease states in patients reporting at a haematology laboratory.
Method: The cross-sectional, retrospective study was conducted at the Dow Diagnostic Research and Reference Laboratory of the Dr Ishrat ul Ebad Khan Institute of Blood Diseases, Down University of Health Sciences, Karachi, and comprised data from the blood bank and haematology laboratory related to patients who visited during October 2021to August 2022. Data was analysed using SPSS 26.
Results: Of the 1,249 patient with mean age 38.5±19.7 years (range: 0-89 years), 79(6.3%) were aged <12 years, 592(47.4%) were aged 12-40 years and 578(46.3%) were aged >40. Most of the patients were males 793(63.5%), and 604(48.4%) had Grade 1 thrombocytopenia. Among the females, Grade 1 thrombocytopenia was found in 246(53.9%) and Grade 2 in 140(30.7%) patients compared to 358(45.1%) and 222(28%) in males, respectively (p<0.05). Association between thrombocytopenia and diagnoses was not significant (p>0.05).
Conclusion: Thrombocytopenia was found to be strongly associated with gender.
Key Words: Thrombocytopenia, Bleeding, Dengue, Malaria.
The role of single-cell RNA sequencing in cardiac tumour - a case report
Authors: Qi Xian-Jie , Wei Ting , Abba Isah Amir , Zhang Sheng-Qiang , Meng Jin-jin , Shi Chao , Jiang Yiyao
Published: December 2023

A 65-year-old woman presented to our hospital with 5 days of chest tightness, dyspnoea, and lower abdominal distension. Echocardiography revealed a mass in the right atrium. An emergency operation was carried out to prevent tumour shedding. The patient was discharged on the 4th day of tumour resection, without any complications At the 18 months follow-up, she suffered from kidney and lung tumours. She refused any treatment and passed away. scRNA-seq was applied to analyse the nature of the tumour. The cellular components of benign tumours include chondrocytes, smooth muscle cells, fibroblasts, mesenchymal stromal cells, and osteoblasts. Additionally, the cyclic guanosine monophosphate (cGMP-PKG) signalling pathway, transcriptional misregulation in cancer, and the p53 signalling pathway may be related to the growth of this tumour. scRNA-seq is a good approach to analyse growth patterns of cardiac tumours and helpful for distinguishing the nature of the tumour.
Keywords: Sequence Analysis, RNA, Cardiac tumour.
Case of Covid-19 co-infection with Crimean Congo haemorrhagic fever (CCHF) in a CCHF endemic country: a case report
Authors: Musani Sadaf Hanif , Alam Muhammad Mehmood , Latif Asad
Published: December 2023

Covid-19 pandemic affected the health care systems globally. In many countries, healthcare services were overwhelmed by the huge number of Covid cases; hence, shifting the focus from locally endemic infectious diseases. Such a case presented to us that was initially managed along the lines of critical Covid pneumonia with steroids, Remdesivir, and supplemental oxygen for hypoxic respiratory failure. The patient also received Baricitinib, to which he was non-responsive and thus offered invasive mechanical ventilation. Post intubation, the patient was managed for Covid-associated ARDS with lung protective ventilation. He later also developed liver dysfunction, renal failure, coagulation derangements, and shock. Workup for malaria and dengue were negative. Later, Crimean Congo PCR was sent which came positive; a possible cause of progressive deterioration. In CCHF endemic areas, it is crucial to rule out the CCHF infection among patients presenting with critical Covid pneumonia due to similar clinical presentation in both the infections.
Intraocular medulloepithelioma: an unusual and challenging entity in paediatric population
Authors: Uzma Imam  , Marya Hameed  , Anis Irma , Israr Bhutto  , Syed Habib Ahmed  , Attiya Rizvi  , Zubair Ahmad
Published: December 2023

Intraocular medulloepithelioma is a rare, congenital tumour of the non-pigmented ciliary epithelium. It most frequently arises from the ciliary body but can also have its origin from the retina, iris and optic nerve. The age when lesion first appears is typically around 2-10 years. Nearly 50-60% of patients having this lesion may also have secondary features such as cataract and neovascular glaucoma. Those with extrascleral medulloepithelioma are at risk for metastasis. Systemic correlation of the tumour with pleuropulmonary blastoma/DICER1 gene is reported in the literature.
Here, we report a case of a 15 years old boy with one year history of right eye proptosis and painful red right eye along with decreased vision for one week. He was assessed and operated for cataract elsewhere three years back.
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Exercise induced muscle weakness in a young adult: McArdle’s disease unusual presentation
Authors: Kalsoom Hira , Haseeb Mukhtar  , Rizwana Kilchew Latif
Published: December 2023

McArdle’s disease (Glycogen storage disease type V) is a rare inherited autosomal recessive disease involving defect in enzyme, glycogen phosphorylase (PYGM) which results in accumulation of glycogen mainly affecting skeletal muscles. It commonly presents in childhood and rarely in adults with symptoms like exercise intolerance, muscle weakness, cramps and fatigue. Herein, we report an unusual case of a 22 years old male in Pakistan with probable McArdle’s Disease presenting with repeated episodes of generalized cramping muscle pain, exercise intolerance and haematuria. The diagnostic approach to identifying this disease as well as the differentials of other rare types of skeletal muscle disorders that should be kept in mind while dealing with a similar clinical picture, irrespective of the age of presentation, have been discussed.
Keywords: Glycogen Storage Disease Type V, Myoglobinuria.
Kasabach-Merritt Syndrome: a case study of successful treatment with vincristine and propranolol
Authors: Mazhar Aqsa , Ghouse Afza Naureen , Shahid Saba , Lubna Samad
Published: December 2023

Kasabach-Merritt syndrome is a rare condition, characterised by the presence of an enlarging vascular tumour associated with thrombocytopenia, microangiopathic haemolytic anaemia and consumptive coagulopathy. The syndrome manifests in infancy, with high morbidity and mortality rates. No standard guidelines have been established for the treatment of Kasabach-Merritt syndrome to date. To existing literature we add this report of a four-month-old female child with Kasabach-Merritt syndrome who was successfully treated with propranolol and vincristine. This drug combination helped reverse the severe thrombocytopenia as well as decrease in size of her haemangioma. Management of Kasabach-Merritt syndrome continues to be a challenge, with varying response to first line drugs. Early diagnosis and initiation of treatment in a closely monitored setting is essential to ensure good outcomes. Since this is a relatively rare condition and large studies are not feasible, documenting treatment experience for single cases or small series becomes even more important.
Awareness of Silver Diamine Fluoride Among Dental Practitioners of Pakistan
Authors: Ashraf Muneeba , Shamim Laiba
Published: December 2023

Dear Editor,
I am writing this letter to bring attention to a concerning issue in Pakistan’s dental community: the lack of awareness about Silver Diamine Fluoride (SDF). Despite being discovered in 1960 by Professor Reiichi Yamaga from Osaka University Japan, many dentists in Pakistan are unfamiliar with this approach[1][2]. Silver Diamine Fluoride is a safe option to treat dentinal caries, particularly in primary teeth.
Silver Diamine Fluoride has been widely used in other countries for many years and is effective in arresting dental caries and preventing their progression[3]. A meta-analysis and systemic review of 27 randomized controlled trials found that SDF was 60% more effective than other fluoride therapies in preventing caries[4]. According to the research, it is an effective option for children and elderly patients who may be unable to tolerate more invasive treatment options. Hence, it has reduced dental chair anxiety, making treatment easy for the patient and the practitioner[5].
Despite these benefits, SDF is not commonly used or discussed in Pakistan. A recent study conducted in Lahore found that only 25% of dental practitioners surveyed were aware of SDF, but only 10% had used it [6]. It is a concerning finding, particularly given Pakistan's high prevalence of dental caries.
Dental professionals in Pakistan must be made aware of the potential benefits of SDF and are encouraged to consider it as a treatment option for their patients. Doing so, can potentially reduce the need for more invasive and costly procedures and improve patient oral health outcomes.
I urge the dental community in Pakistan to prioritize education and training on SDF and to consider its potential benefits for their patients.
Neurotoxic effects of a well known antibiotic!
Authors: Sajjad Mariam , Navaira Shoaib
Published: December 2023

To the Editor,
Cefepime is a fourth-generation cephalosporin with broad-spectrum antimicrobial activity covering a wide range of both gram-negative and gram positive organisms. It is administered parenterally to treat pneumonia, urinary tract infections as well as skin and soft tissue infections. It is generally well tolerated with the most commonly reported side effects being diarrhea and rash. However, cefepime induced neurotoxicity is a rare but life- threatening adverse effect that, despite being described in literature, is often overlooked.
According to the literature, about 15% of ICU patients managed with cefepime may develop neurological symptoms, including altered consciousness, aphasia, myoclonus, encephalopathy, seizures and coma. EEG abnormalities such as non-convulsive status epilepticus, myoclonic status epilepticus, triphasic waves and focal sharp waves have also been reported. Risk factors for cefepime neurotoxicity include renal function impairment, overdosing, previous brain injury and elevated serum cefepime concentrations.1
A case study published in 2021 reported a rare case of cefepime induced neurotoxicity where an elderly female suffering from chronic renal transplant rejection was given cefepime. Despite renal dosage adjustment, the patient developed neurotoxicity and presented with acute delirium, inability to tolerate oral intake and non-convulsive status epilepticus on EEG. Discontinuation of cefepime resulted in improvement of symptoms.2 Another case series published in 2017 reported cefepime induced neurotoxicity in 3 patients, one of whom had normal kidney function. These patients presented with asynchronous myoclonus and expressive aphasia.3
Considering the common use of cefepime in hospital settings, it is very important to heed the possible neurological adverse effects of this antibiotic which can be potentially fatal. Cefepime should be used with caution especially in individuals with preexisting renal impairment. Fortunately, cefepime neurotoxicity is reversible and usually resolves with discontinuation of the drug. In a few cases, dialysis may be needed to hasten the elimination of the drug.4 Anticonvulsants may be needed if patient presents with seizures or non-convulsive status epilepticus.5 Since treatment is simple and recovery rates are good, prompt recognition is crucial. Especially in ICU patients, recognition of cefepime induced neurotoxicity is challenging as it may present with neurological symptoms that are common in critically ill patients. Therefore, ICU patients receiving cefepime should be closely monitored. It is of vital importance to raise awareness regarding the neurotoxic effects of cefepime to facilitate early recognition which will help reduce morbidity and mortality associated with this drug.
Hope on the horizon: how pegbelfermin offers a glimmer of hope for NASH sufferers?
Authors: Mukhtiar Sawairah , Nisha Babar  , Fatima Rehan
Published: December 2023

Madam,
Non-alcoholic steatohepatitis (NASH), is described as having hepatic steatosis of >5%, inflammation, and hepatocyte damage (such as ballooning), including or excluding fibrosis¹. NASH falls under a group of liver diseases termed Non-alcoholic Fatty Liver Disease (NAFLD) varying from benign steatosis to inflammatory NASH and hepatic fibrosis.
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The Role of Reward in Teachers’ Job Satisfaction Towards Job Performance: A Literature Review
Authors: Mohd Rokeman Nor Roselidyawaty , Che Kob Che Ghani , Che Sobry Hanzolah
Published: December 2023

Job satisfaction significantly influences teachers' commitment, productivity, and their decision to remain in the field of education. The growing trend of early retirement among teachers in Malaysia, as well as their transition to other professions, highlights a potential issue within the educational sector. This emphasizes the importance of understanding the factors contributing to teachers' job satisfaction. This paper aims to analyse the specific ways in which reward factors can amplify teachers' satisfaction, drawing on previous research to explore the effects and correlations between rewards and job satisfaction. The study begins by emphasizing the significance of job satisfaction among teachers in educational institutions. It observes that when teachers receive rewards and recognition tailored to their individual needs and preferences, it can significantly enhance their overall job satisfaction.
Risco socioambiental às inundações na bacia do rio Macabu, Região Hidrográfica IX (Baixo Paraíba do Sul e Itabapoana), Rio de Janeiro, Brasil
Authors: Vinícius Santos Lima  , Rezende Carlos Eduardo de
Published: December 2023

No presente trabalho objetivou-se compreender a ocorrência integrada das inundações, bem como das intervenções antrópicas na bacia do rio Macabu, Rio de Janeiro, atentando para seus efeitos sobre o uso da terra e cobertura vegetal. Para tanto, criou-se um banco de dados georreferenciados multicriterial em ambiente SIG (ArcGIS 10.6.1), onde foram analisadas as variáveis de declividade, elevação, densidade de drenagem, precipitação e usos da terra para se gerar o modelo do risco socioambiental das áreas sujeitas às inundações, divididas em 4 classes: baixa ou nula, média, alta e muito alta. Juntas, as classes “alta e muito alta” somam 37,8% da bacia. Todos os usos da terra mapeados estão em áreas sujeitas a inundações, notadamente as áreas antrópicas não-agropastoris (78%) e as áreas naturais não florestadas (90,3%). Os resultados obtidos podem auxiliar o planejamento e ordenamento territorial-ambiental da bacia, ou de áreas em condições socioambientais similares.
Hegemonia do capital imobiliário na (re)produção do espaço da Orla Atlântica de Salvador, Bahia, Brasil, entre 2006 e 2018
Authors: Mariana de Oliveira Santana  , Maina Pirajá Silva
Published: December 2023

O capital imobiliário tem apresentado grande dinâmica na (re)produção do espaço urbano brasileiro, sobretudo nas últimas décadas. Em Salvador, a Orla Atlântica destaca-se nesse processo, pois além de ser um dos principais vetores de crescimento, é uma área voltada às classes de média e alta renda. Nesse sentido, este estudo se propôs analisar a (re)produção da Orla Atlântica de Salvador, entre 2006 e 2018, período que compreende as mudanças de planos diretores da cidade, as grandes modificações na Orla Atlântica, além da atuação dos diferentes agentes envolvidos no processo. O artigo respalda-se em uma abordagem de cunho qualitativo e quantitativo, tendo como métodos de procedimentos o histórico e o comparativo. Os principais resultados mostraram que o capital imobiliário é o maior agente de (re)produção da cidade, bem como existe um grupo heterogêneo, porém hegemônico de agentes privados, e que a cidade vai sendo (re)produzida com vistas aos interesses desses agentes.
Accès aux soins de santé : freins, défis et exigences d'équité territoriale. Le Cas de la province d’al Haouz. Maroc
Authors: Salima Salhi  , Bouirbiten Salah  , Wafaa Benhsain
Published: December 2023

Cet article traite les obstacles d'accès aux soins de santé dans la province d'Al Haouz au Maroc, les défis qui en découlent et comment répondre aux exigences d'équité territoriale. L’approche utilisée est géographique, en adoptant des méthodes quantitatives et une représentation cartographique des données pour analyser la situation. Il ressort des résultats que des facteurs géographiques et socio-économiques, entravent l'accès aux soins notamment le relief difficile, la répartition inégale des services de santé, l'insuffisance des ressources et la pauvreté persistante. Ces problèmes demeurent un défi majeur dans la province d'Al Haouz malgré les efforts du gouvernement marocain pour l’amélioration d'accès aux soins de santé. Une redéfinition donc de politiques du système de santé publique est à prévoir, à travers une stratégie élaborée sur la base des spécificités locales, y compris le développement de programmes de santé mobiles, la formation du professionnel de santé, la sensibilisation à la santé et l'investissement dans de nouvelles installations de santé. Ils nécessitent également la réduction des dépenses directes des ménages pour les soins de santé et la généralisation des programmes d'assurance maladie
A moderna colonização dos trópicos: geografia e planejamento na primeira metade do século XX
Authors: Carlo Eugênio Nogueira
Published: December 2023

O problema da colonização dirigida das terras tropicais é o assunto que será abordado nas próximas páginas. Especificamente, analisa-se o modo como alguns geógrafos abordaram esse tema ao longo da primeira metade do século XX, durante o processo de afirmação da geografia como campo disciplinar. A argumentação será dividida em dois momentos básicos. Primeiramente, discute-se de forma breve como a colonização de espaços tidos como vazios, mormente os localizados em terras tropicais, transforma-se num tema relevante de uma geografia já preocupada com problemas globais. Posteriormente, no contexto histórico dos anos 1950, problematiza-se a avaliação que a geografia brasileira estava efetuando das políticas territoriais de colonização levadas a cabo no país.
América Latina/Abya Yala no Sistema Mundo: De Geopolítica, de outras configurações socioespaciais e de Outros Horizontes de Sentido (A questão da terra e da Terra revisitada)
Authors: Carlos Walter Porto-Gonçalves
Published: December 2023

Este artigo era destinado, inicialmente, a ser publicado no livro organizado com as intervenções das mesas do XVI Simpurb – Simpósio Nacional de Geografia Urbana[1] realizado em Vitória na Universidade Federal do Espírito Santo entre os dias 14 e 17 de novembro de 2019. Como o texto na época não teve tempo de ser revisado e adequado às normas do livro ele não pode ser publicado. Revisamos o artigo e procuramos adequar algumas partes, mas nossas intervenções foram mínimas, quando necessário acrescentamos uma nota explicativa como Nota dos Editores (NE). Parte do texto que nos foi enviado por Carlos Walter foi retirada de artigo publicado por ele em um periódico[2]. A palestra de Carlos Walter que deu origem ao texto fez parte da Mesa redonda 7, intitulada A geopolítica urbana na América Latina contemporânea: disputas dos comuns e cujos palestrantes foram Carlos Walter, Rodrigo Hidalgo, Mónica Arroyo e teve como debatedora Ester Limonad[3]. Muitas das referências que fez Carlos Walter não puderam ser encontradas, portanto nem sempre o texto segue as normas consagradas de citações. A revisão do texto foi feita por Ana Maria Leite de Barros e por Cláudio Zanotelli.

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[1] BARROS, A.M.L.; ZANOTELLI, C.L; ALBANI, V. (ORGS.) Geografia urbana. 30 anos do Simpósio Nacional de Geografia Urbana. Cidades, revoluções e injustiças: entre espaços privados, públicos, direito à cidade e comuns urbanos. Rio de Janeiro: Ed. Consequência, 2020. Disponível em https://simpurb2019.ufes.br/sites/simpurb2019.ufes.br/files/field/anexo/livro_xvi_simpurb._cidades_revolucoes_e_injusticas_1.pdf .

[2] Ver PORTO-GONÇALVES, C. W. De utopias e de topoi: espaço e poder em questão. Geographia Opportuno Tempore, Londrina, v. 3, n. 2, p. 10-58, 2017. Disponível em https://doi.org/10.5433/got.2017.v3.32464. Acessado em 08-11-2023.

[3]A Mesa redonda, como todas aquelas do XVI Simpurb, foi gravada e pode ser vista em https://youtu.be/qs_Clt2WljI?si=Q8yFsS6S1Oa3qCyF
Pareceristas do Volume 3, número 37
Authors: Zanotelli Claudio Zanotelli
Published: December 2023

Pareceristas
Obtaining glycerol from the transesterification of used edible oils
Authors: Analuisa Mero Steeven Jose , Moreno Ponce Luis Alberto , Garcia Muentes Segundo Alcides , Cevallos Cedeno Ramon Eudoro , Garcia Bowen Ariana Milena
Published: December 2023

This paper presents a study on obtaining glycerol as a by-product of the transesterification of edible oils used to prepare hydrogel. The main results show that obtaining pure and refined glycerol is possible. In addition, it was observed that the parameters were within the regulations presented by several authors. It was also observed that the glycerol with better properties was obtained at 60 minutes at a temperature of 60 °C. In this way, it is possible to affirm that it is viable to use discarded oils as an alternative for their application in the elaboration of products that benefit the chemical, cosmetic, and pharmaceutical industries, as is the case of hydrogel, thus avoiding their incorporation into the environment.
Awajún Education and Worldview
Authors: Fernandez Alvarado Julio Cesar , Bocanegra Vilcamango Beder , Carrasco Huaman Dilser Ivan , Cervera Gomez Rovin Liskens , Rojas Torres Celeste Bilbeth
Published: December 2023

The work addresses the distinctive characteristics of the native community of Naranjo, located in Cajamarca, of Awajún origin, also known as Aguarunas and belonging to the Jíbaro linguistic family. The Awajún constitute an indigenous people of the Peruvian Amazon, with an average population of 70,468 individuals distributed across the regions of Amazonas, Loreto, Cajamarca, and San Martín. This ethnic group holds significant representation within Peruvian territory. In this context, an analysis is conducted of the role played by the leader or wise individual within the Awajún native community, known in their culture as Pámuk. The main results highlight that the person considered a leader or sage within the Awajún community holds a role of great importance for its residents. Furthermore, they play a crucial role as a central link and mediator in transmitting ancestral knowledge between teachers and students.
Use of stories and metacognitive strategies to promote positive school life
Authors: Romero Saldarriaga Miriam Alexandra , Bravo Aguirre Byron Antonio , Espinoza Franco Carmen Annabell , Chamba Dioses Deysi Marisela
Published: December 2023

Developing personal and social skills in a school environment is indispensable in the learning process. Therefore, the objective of this article is to present a literature review of the use of storytelling and metacognitive strategies to promote positive school coexistence. The research is basic, with hermeneutic phenomenological design, literary review technique, and card use to register fifty-four scientific articles consulted from Scielo, Redalyc, ProQuest, and Dialnet since 2019. The results show the story as a didactic resource that favors reading comprehension and facilitates written, verbal, and gestural communication, developing creativity and integration capacity with metacognitive strategies that promote self-regulation and social cohesion bonds. In conclusion, a positive school coexistence is based on inclusive relationships and respectful language where diversity and different personal and social skills are valued under harmonious environments that strengthen socialization.
Noise generator by free FPGA technology
Authors: Cortez Alfredo , Franco Zulay , Borjas Jose
Published: December 2023

The IceStorm project by Clifford Wolf, which involved reverse engineering of an FPGA from Lattice, has sparked interest in developing open-source software and hardware within free FPGA communities. As a contribution to these communities, this paper presents the development of a block generator of random sequences with Gaussian distribution in the Icestudio environment. This block was used in the design and implementation of a Gaussian White Noise generator on the open-source FPGA of the Alhambra II board. Experimental tests demonstrated the similarity of the obtained distribution with the results from the simulation in Matlab and the Fast Fourier Transform (FFT) of the generated noise signal, verifying its limited bandwidth spectrum.
Influence of the Nuestra Señora de Morcá sanctuary on the social and religious attitude of young people
Authors: Rincon Morales Victor Alfonso
Published: December 2023

The study's objective was to determine the influence of the Nuestra Señora de Morcá Sanctuary on young people's social and religious attitudes in an educational institution in Colombia. Methodologically, the research was developed under the hypothetical-deductive method, descriptive and correlational, with a non-experimental design. A survey was administered to 26 high school students between 15 and 18 years of age. The results showed that both the social attitude and the religious attitude of the young students are associated with an index in Pearson's Alpha coefficient of 0.808, given what the religious representation of Our Lady of Morcá symbolizes. It is concluded that the system of social values that the study students manage is closely linked to the effects generated by their religious and cultural roots, which have surely been transferred from generation to generation.
El papel de la programación orientada a objetos en el desarrollo de software sostenible y escalable
Authors: Vera Vera Jose Belisario , Vera Vera Jose Rafael
Published: December 2023

This study empirically evaluates how various object-oriented programming (OOP) practices and principles impact the sustainability and scalability of software projects. A detailed analysis of real-world projects is carried out, considering aspects such as enc code reuse, modularity, and the application of inheritance and polymorphism. The objective was to identify patterns and best practices that contribute to developing efficient and adaptable software over time. The main results highlight that adopting OOP practices, such as encapsulation, code reuse, modularity, inheritance, and polymorphism, can be essential for developing efficient and adaptable software over time, effectively addressing scalability and sustainability challenges in real-world projects.
CRITICAL STATES OF THIN-WALLED CYLINDRICAL SHELLS WITH ANNULAR SEAMS UNDER AXIAL COMPRESSION AND INTERNAL PRESSURE
Authors: Dilman V.L. , Karpeta T.V.
Published: December 2023

We consider the loading conditions of a thin-walled cylindrical shell containing an annular layer of less durable material under its axial compression and internal pressure. The main pipeline of seamless pipes of large diameter containing annular mounting seams is considered as an application. The main material of the shell and the material of the layer are elastoplastic hardenable. The limits of strength and yield strength of the layer are lower than these values of the base material. The purpose of the article is to establish the
dependences of critical deformations, stresses and pressures on the shell on its mechanical and geometric parameters and loading conditions. The research method is based on the application of the Swift - Marciniak criterion for the loss of stability of the process of
plastic deformation of the material using new approximations of deformation diagrams. Explicit analytical expressions for the required quantities are obtained. The results make it possible to determine the critical pressures under given loading conditions and the pipeline wall thicknesses at a given operating pressure.
Toplumda Yaşayan Asırlık Bireylerin Yaşam Tarzı ve Klinik Özellikleri: Küçük Örneklemle Bir Çalışma
Authors: AVCI Candeniz , KAYAHAN Neslihan , NAHARCİ Mehmet İlkin
Published: December 2023

Amaç

100 yaş ve üzeri bireylerin sağlık durumları, yaşam tarzları hakkında ülkemizde yeterli bilgi birikimi bulunmamaktadır. Çalışmamızın amacı asırlık bireylerin sosyal, demografik ve klinik karakteristik özelliklerini tanımlamak ve sağlık politikalarının yeniden düzenlenebilmesine katkı sağlamaktır.

Gereç ve Yöntem

Bir Geriatri polikliniğine başvuran 100 yaş ve üzeri bireyler hastane bilgi sistemi üzerinden retrospektif olarak taranmıştır. 100 yaş ve üzerinde olup verileri tam olan 7 birey çalışmaya dahil edilmiştir. Katılımcıların demografik değişkenleri, kronik hastalıkları, kullandığı ilaçları, fiziksel işlevsellikleri ve Sağlıklı Yaşam Biçimi Davranışları-II Ölçeği (SYBDÖ-II) kullanılarak yapılan sosyal açıdan değerlendirilmeleri not edilmiştir.

Bulgular

Çalışmaya dahil edilen bireylerin hepsi kadın olup yaş ortalamaları 101’di. Çoğu günlük yaşam aktivitelerinde tam bağımlıydı. Buna rağmen bu bireyler SYBDÖ-II’ye göre sağlıklarının orta veya iyi düzeylerde olduğunu belirtmişlerdir. Katılımcıların çoğu yaşamlarının büyük bir kısmını köy ve kırsal alanda geçirmişti. Hiçbir katılımcı hayatları boyunca sigara ve alkol kullanmıştı. Hipertansiyon (%85,7) en sık görülen kronik hastalıktı ve bireylerin kullandıkları ortanca ilaç sayısı 7’idi.

Sonuç

Bu sonuçlar toplumumuzda sağlıklı yaşam biçimini korumanının 100 yaşına ulaşmada önemli bir rol oynayabileceğini göstermektedir ve ülkemizde sağlıklı yaşlanma ve artan bu popülasyonun hakkında geliştirilecek politikalara fayda sağlayabilir
Hpv prevalence and risk of premalignant and malignant lesions in women with asymptomatic cervical erosion: A population-based study
Authors: OYARDI Pelin , DAĞISTANLI Funda , ALBAYRAK Merve Ecem , EKİCİ Mustafa Ayhan
Published: December 2023

Objective: To evaluate the prevalence of HPV and the risk of the cervical premalignant and malignant diseases in women with cervical erosion.

Material and Methods: The results of 32649 women who were screened for cervical cancer between January 2014 and December 2019 were retrospectively analyzed. The results of HPV positive and HPV negative women with cervical erosion were compared. Kruskal-Wallis test and Chi-square test was used to compare of data between the groups.

Results: Of the 32649 women who were screened for cervical cancer, 2566 had cervical erosion and 1585 (4.85%) had HPV positivity. HPV was found to be positive in 126 (4.91%) women with cervical erosion and no significant difference in the incidence of HPV positivity in asymptomatic women with and without cervical erosion (p=0.112). As in the general population, Hpv 16 and 18 were found to be most common in women with cervical erosions. Abnormal cervical cytology was found in 217 (0.72%) women without cervical erosion and 31 (1.21%) women with cervical erosion, which was significantly higher than in women without cervical erosion (p=0.045). There was no significant difference between those with and without cervical erosion in terms of CIN 1, CIN 2, CIN 3, LSIL, HSIL in situ cancer and total abnormal cervical pathology results.

Conclusion: The incidence of HPV and the likelihood of cervical pathology in asymptomatic women with cervical erosion do not differ from the general population.
Digital Media-Based Interventions to Promote Healthy Lifestyles and Psychological Wellbeing of Nurses in Kenya
Authors: Njeru Margaret
Published: December 2023

Purpose: The purpose of this paper is to find out the effectiveness of applying digital media tools as an intervention to enhance the availability of information and resources related to mental health care to nurses and promote a healthy lifestyle. A growing number of health care workers suffer from mental health issues and poor psychological well-being. Many workers report cases of anxiety, burnout, and depression because of poor working conditions and unfavorable environments. Protecting health and well-being of care workers through integration of interventions aimed at increasing knowledge on mental health is one of the best strategies that could yield good outcomes for care givers. Nurses spend a large proportion of their lives in hospitals, hence, a need to create a healthy and safe working environment. Investing in a culture of managing and preventing mental health issues among the nursing staff by integrating modern approaches aimed at supporting education and training on mental health and psychological wellbeing remains a key agenda for the improvement of wellbeing of nurses. Emerging digital technologies such as social media, mobile-based and web-based applications have created new ways that individuals use to interact with one another, and could be very useful in creating awareness and enhancing knowledge on mental health and wellbeing of nurses. Majority of nurses have access to smartphones, which makes it easy to access mental health care through various mobile applications.

Methodology: The study targeted nurses in Kenyan hospitals, with specific focus on public hospitals in Embu County. A quantitative research was conducted with a sample size of 100 nurses from level-4 and level-5 hospitals. 65 responses were collected.

Findings: The outcome showed that majority of nurse have active social media channels and have been using them to learn more about mental health. Also, it was found out that using social media has a major role to play in increasing awareness on mental health among nurses, and it ensures nurses embrace a healthy lifestyle.

Unique Contribution to Theory, Practice and Policy: Findings from the study are of great significance towards developing interventions and policy approaches for promoting healthy lifestyle and improving psychological wellbeing of nurses. Also, the outcome would be of help in developing policy frameworks for managing and preventing mental health among health workers.
Kajian Nilai Moral dalam Tradisi Seblang Olehsari
Authors: Ningrum Siti Rahayu Estu , Fadillah Elia Nur , Shabrina Rifdah Nurjihan
Published: December 2023

Tradisi Seblang merupakan salah satu warisan kebudayaan Indonesia yang masih dilestarikan hingga saat ini. Seblang Olehsari adalah salah satu kebudayaan yang memiliki maksud dan tujuan yang mengandung kebiasaan ataupun nilai kehidupan yang sudah tertanam sejak dahulu. Terdapat cerita yang melatarbelakangi sebuah tradisi Seblang yang dimaksudkan dalam hal kebaikan ataupun tuntunan. Seblang lebih identik dengan tarian yang menjadi daya tarik masyarakat sehingga diminati banyak orang karena keunikannya. Namun, masyarakat sekarang tidak melihat nilai-nilai yang terkandung dalam sebuah tradisi yang sakral hanya sebagai tontonan yang unik. Seperti halnya dalam konteks Tradisi Seblang di Desa Olehsari, Kabupaten Banyuwangi. Penelitian ini menggunakan perspektif Teori Representasi Media oleh Stuart Hall. Menurutnya, bagaimana “media” melihat atau menggambarkan suatu objek. Tujuan penelitian ini untuk mengetahui nilai-nilai moral yang terkandung dalam tradisi Seblang Olehsari. Jenis penelitian yang digunakan adalah riset kualitatif dengan pendekatan etnografi. Hasil penelitian menunjukan bahwa banyak sekali nilai-nilai moral yang dapat diambil dan diimplementasikan oleh masyarakat luar yang sekedar hanya menonton tradisi.Kata kunci: Nilai Moral, Representasi, Seblang Olehsari
WORKSHOP FUNDAMENTAL INTERNET of THINGS (IoT)
Authors: Simanjuntak Rossi Peter , Sirait Donna Nurhaida Masdiana , Panjaitan Albert
Published: December 2023

Internet of things (IoT) merupakan sebuah konsep komputasi yang menghubungkan sebuah benda atau objek ke perangkat lain sehingga mampu berkomunikasi dan bertukar data yang terhubung dengan internet. Teknologi IoT banyak diterapkan dalam berbagai bidang khususnya dalam bidang kelistrikan. Saat ini sistem otomasi dalam bidang kelistrikan dengan menggunakan teknologi IoT sangat berkembang sehingga dibutuhkan sumber daya manusia yang mampu memahami teknologi IoT. Siswa SMK jurusan Teknik Intalasi Tenaga Listrik merupakan sumbar daya manusia yang bergerak di bidang kelistrikan. Dari hasil observasi dan interview di lapangan bahwa Siswa SMK jurusan Teknik Intalasi Tenaga Listrik masih minim pemahamannya terkait sistem otomasi dengan menggunakan teknologi IoT dan penerapannya di bidang kelistrikan. Untuk meningkatkan pemahaman dan pengetahuan siswa SMK terkait Teknologi IoT dan penerapannya dilaksanakan workshop. Workshop dilaksanakan selama dua hari dengan menyampaikan pengenalan teknologi IoT dan  siswa mempraktekkan penerapan teknologi IoT. Siswa membuat rangkaian listrik dengan menghubungkan berupa sensor suhu, relay dan mikrokontroler berbasis Arduino. Setelah siswa mengikuti kegiatan workshop dilakukan evaluasi. Dari hasil evaluasi diperoleh bahwa 93,33% siswa paham dengan teknologi IoT dan penerapannya dibidang kelistrikan.
Implications of Discipline and Job Stress on Employee Performance at Mother and Child Hospital
Authors:   Institut Maritim Prasetiya Mandiri, Lampung, Indonesia, Yuniastuti Rina Milyati , Felida Elisabeth Mega ,   Institut Maritim Prasetiya Mandiri, Lampung, Indonesia, Vitratin Vitratin ,   Institut Maritim Prasetiya Mandiri, Lampung, Indonesia, Harahap Aderina K ,   Institut Maritim Prasetiya Mandiri, Lampung, Indonesia, Hairani Tuti ,   Institut Maritim Prasetiya Mandiri, Lampung, Indonesia
Published: December 2023

Low levels of employee work discipline and high levels of work stress causes the decreased of employee performance. This problem become an internal problem at the Santa Anna Maternal and Child Hospital in Teluk Betung. The aim of this research is to determine the implications of work discipline and work stress towards employee performance at maternal and child hospitals. The researcher used quantitative research method with the population of 169 employees. The research data was obtained from interview and survey. The instrument was tested using validity and reliability tests, while data analysis used the t test and F test. The result of the t test shows that the work discipline variable has an effect towards employee performance, the work stress variable has no effect towards employee performance at the Santa Anna Marital and Child Hospital in Teluk Betung. The result of the F test shows that work discipline and work stress affects the employee performance. The implications of this research is to give attention on work discipline and work stress in order to improve the employee performance. For further research, it is recommended to add moderating variables or intervening variables.
The Effect of Environmental Performance, Profitability, Leverage, and Industry Type on CSR Disclosure of Consumer Goods Industry Companies
Authors:   Denpasar National Education University, Bali, Wijaya Gede Crisna , Lestari Lorensa Dwi ,   Denpasar National Education University, Bali
Published: December 2023

This study looks at industrial enterprises that has a significant social and environmental effect. Because industrial enterprises offers products to customers, the concerning health, safety, and product security are critical in revealing to the public about the effect of environmental performance, profitability, leverage, and industry type towards the disclosure of corporate social responsibility in manufacturing enterprises in the consumer products industry sector. The population in this study was manufacturing businesses in the consumer products industry sector listed on the Indonesia Stock Exchange (BEI) and PROPER (Company Performance Rating Assessment Program in Environmental Management) for 2017-2021. The firms used as samples in this study were chosen using a purposive sampling approach based on a variety of criteria, and a total of eight companies were acquired. This study used content analysis in CSR disclosure using the Global Reporting Index (GRI) indicator. Multiple linear regression was used to analyze data in this study. The finding reveals that leverage and industry type have a strong positive effect towards the disclosure of corporate social responsibility.
Mastering Principles of Risk Management, Insurance, and Takaful: A Comprehensive UiTM Massive Open Online Course
Authors: Ghafar Nor Mariyah Abdul , Jamal Nur Faezah , Mohamad Masurah
Published: December 2023

The need to integrate technology into the education system has always been on the rise in the 21st century. The emergence of Coronavirus 2019 (COVID-19) has further increased the need for web-based education since educational institutions have to temporarily close to curb the spread of the virus. Universiti Teknologi MARA (UiTM) has also chosen to migrate its face-to-face classroom teaching and learning approach to open and distance learning (ODL). UFUTURE is a platform developed by UiTM for lecturers and students to have online learning through the development of massive online open courses (MOOCs) which can also be accessed by anyone who wants to self-learning. Principles of Risk Management, Insurance and Takaful course has also been transformed into MOOC to assist anyone especially UiTM students in learning this course remotely. This paper will discuss the design of ASC173 in the UFUTURE platform that implements various types of learning materials and evaluate the usability of the platform using the System Usability Scale (SUS) test among the students who took this course in the semester March 2022. The obtained SUS score 92/100 indicated that respondents were satisfied with the form of the proposed MOOC and it is acceptable to be implemented for anyone who wants to learn this course.
Factors Influencing Promotion Strategies towards Service Delivery among Independent Agencies in Tanzania: The Case of Dares Salaam Water Sanitation Authority (DAWASA).
Authors: konyi Joseph Renson M , Komba Dr. Silverius Cosmas
Published: December 2023

The study examined the factors influencing promotion strategies towards service delivery among public independent agencies in Tanzania. It was conducted using explanatory design since three predicting variables were identified and tested on service delivery as the dependent variable. The study was mainly conducted to examine the extent to which customer awareness influenced service delivery in DAWASA, but also to examine the extent to which business branding influenced service delivery in DAWASA. The predicting variables included customer awareness, customer increase and business branding. The survey was carried out at the Dar es Salaam Water and Sanitation Authority (DAWASA) as the selected inquiry case where primary data were collected through structured questionnaires as the instrument for data collection from a sample of 50 respondents. The information obtained was grouped in the Statistical Package for Social Science (SPSS) data sheet to generate relevant statistical measurements for presentation of results. Descriptive statistics were generated to provide description of the profile of the respondents; while the relationship between study variables was described by using correlation and multiple regression. The findings showed that two predicting variables out of three tested to the dependent variable; namely, customer increase and business branding are positive with significant outcome statistically with p<0.05. However, customer awareness has been found positive as well with insignificant effect towards service delivery as the dependent variable with p>0.05. The implication of the results is that service delivery through sales promotion strategies in Tanzania public independent agencies is influenced by customer increase and business branding. The study recommends the government to incorporate private actors in some sectors dominated by public independent agencies.
DEFICIÊNCIAS NUTRICIONAIS DE VITAMINAS E MINERAIS EM PACIENTES PÓS- BARIÁTRICOS: REVISÃO BIBLIOGRÁFICA
Authors: Tavernard da Rocha Caiado Alline , Forero Salomão Gabriela , Pereira do Nascimento Silva Ziletai
Published: December 2023

A cirurgia bariátrica é um dos tratamentos utilizados em pacientes com obesidade, exigindo critérios a serem seguidos para a técnica, com respaldo científico, direcionadas ao tratamento da obesidade mórbida ou grave e de doenças crônicas relacionadas ao excesso de gordura corporal. As modificações ocorridas no trato gastrointestinal decorrentes da cirurgia bariátrica, afetam a absorção de micronutrientes, levando a deficiências nutricionais como vitamina B12, B1, C, folato, A, D, E e K, juntamente com os minerais ferro, selênio, zinco e cobre. Estudo de revisão bibliográfica com objetivo de discorrer sobre as principais deficiências de vitaminas e minerais que afetam os pacientes pós-bariátricos durante o processo de emagrecimento, buscando identificar o tratamento mais eficaz para a recuperação da saúde nutricional do paciente. A pesquisa bibliográfica investigou os resultados de estudos clínicos publicados no período de 2018 a 2023, nas bases de dados como Scielo, Pubmed, e Google Scholar, usando os seguintes descritores: ‘Bariátrica’, ‘Micronutrientes’, ‘Suplementação’. Os dados analisados mostram as deficiências de minerais como: ferro, zinco, selênio, cálcio, e as vitaminas como B12, ácido fólico, D, B1 e E. e que persistem além do primeiro ano após a bariátrica, tornando essencial a suplementação e acompanhamento dos níveis séricos conforme a recomendação da American Society for Metabolic and Bariatric Surgery.