bluuebunny/crossref_metadata_2025 huggingface dataset:
Examining Preceptors’ Perceptions of Need Around Facilitating Clinical Immersion Experiences
Authors: Gessel Chyrsten , Singe Stephanie M. , Pagnotta Kelly , Crocker Heidi M.
Published: August 2024

Context

Clinical immersion experiences allow students to gain firsthand, authentic experiences to help them successfully matriculate into the profession. Preceptors supervise athletic training students during these experiences and are critical in the student’s clinical competence development. It is important to understand their needs to help facilitate a successful experience for the student.

Objective

To explore the needs of preceptors as they facilitate clinical immersion experiences for their athletic training students.

Design

Qualitative case study.

Setting

Athletic training practice settings facilitating clinical immersion.

Patients or Other Participants

Eight preceptors (6 female, 2 male) who met our inclusion criteria participated in our study.

Data Collection and Analysis

An exploratory, multiple-case study design was completed with preceptors.

Results

Four major themes emerged regarding preceptor needs for facilitating a clinical immersion experience: onboarding, communication on individual student needs, professional development as an educator, and relying on social support network.

Conclusions

Preceptors in our study communicated several needs that would better assist them in facilitating an immersive clinical experience for their students. Understanding these needs as a program administrator can better enhance the relationship between the didactic and clinical components of the educational program. Preceptors must also ask for additional information, resources, and support to help serve their needs in facilitating an immersive clinical experience for a student.
Organisational innovation and gender diversity: Insights from the civil engineering industry
Authors: Lamola Mitah , Pooe David , Munongo Shallone
Published: August 2024

Orientation: The civil engineering industry is vital in ensuring that infrastructure development has a beneficial social, economic, and environmental impact.Research purpose: This study explored the role of gender diversity and organisational innovation with a view to address social ills in the civil engineering industry in South Africa.Motivation for the study: The study is premised on the paucity in extant research and responds to calls for more research on the role of gender diversity and organisational innovation with a view to address social ills in the civil engineering industry.Research design, approach and method: Employing the interpretivist paradigm, 15 civil engineering professionals were purposively selected based on their extensive experience and comprehensive deep knowledge of the industry and interviewed using the semi-structured approach of interviews using the Microsoft Teams (MS Teams) platform. Thematic analysis was used to analyse the interview transcripts.Main findings: From thematic analysis, the following themes emerged from the primary data: skewed gender representation, females’ retention challenges, creation of an inclusive environment, building a strategic female structure, inclusive innovation, and role models and mentors’ deficit.Practical and/or managerial implications: The civil engineering industry needs to empower women occupying positions of power and not just fill the numbers through the removal of the male gatekeeping effect as the current status shows male dominance. It is also critical to create an inclusive environment, grow the pool of females to build the numbers critical for gender diversity, particularly at the top, and promote mentorship opportunities.Contributions and/or value add: This article advances knowledge on the role of gender diversity and organisational innovation with a view to address social ills in the civil engineering industry and exposes the shared patriarchal values that many organisations appear to promote. It further highlights that society still struggles with infrastructure that does not address its needs and points the civil engineering industry towards the current skill sets and experiences of its female workforce, and how to leverage those capabilities to benefit the industry and the entire society.
Oral Health Literacy Status, Knowledge Levels, Beliefs, and Behaviors of Pregnant Women
Authors: Çabuk Aİ , Çabuk DS , Üstdal KBT , Sucu M , Akpinar E
Published: August 2024

Context:

Pregnancy may exacerbate the frequency and severity of some dental problems. However, most pregnant women avoid going to the dentist.

Aims:

To examine the oral hygiene and dental care behaviors of women during pregnancy, to measure their knowledge levels, to reveal their oral and dental health literacy status, and their beliefs about treatment.

Settings and Design:

The study was conducted for a period of 1 month with pregnant women over the age of 18 who presented to the obstetrics outpatient clinic and agreed to participate in the study and who had no known anomalies or complications.

Methods and Material:

A survey was completed by face-to-face interviews with 317 pregnant women of different ages and gestational weeks. Participants were asked questions regarding their sociodemographic characteristics, pregnancy characteristics, oral hygiene-related beliefs, behaviors, and knowledge levels.

Statistical Analysis Used:

The data obtained in the study were analyzed with SPSS 21.0 program. Since the kurtosis and skewness values were between +3 and -3, parametric tests were used.

Results:

In total, 317 pregnant women between the ages of 18 and 43 participated in the study. The most common beliefs are listed as; babies receive the necessary calcium from the teeth, antibiotics given during dental treatment harm the baby, and panoramic radiography taken during treatment harms the baby. 91.5% of the participants did not visit the dentist after planning a pregnancy, and 89% of them did not visit the dentist during pregnancy. The most common reason not to visit the dentist is not having a dental problem. The rate of knowing that dental infections during pregnancy will affect the baby is 50.5%.

Conclusions:

In the present study, it is seen that pregnant women do not have adequate oral hygiene. The reasons were listed as various false beliefs and lack of sufficient knowledge. Health professionals should provide information about oral hygiene to pregnant women and direct them to the dentist.
Sinonasal Anatomic Variations in the Adult Population: CT Examination of 1200 Patients
Authors: Ağcayazı S , Salcan İ , Erşahan AA , Seçkin E
Published: August 2024

Background:

The nasal cavity and paranasal sinuses are one of the most frequently anatomically varied regions. Their size and shape vary from person to person, and ethnic origin may have a role in this variety. Recognizing this variations is so important for ear nose throat (ENT) specialists because they predispose to sinonasal pathologies and affect the complication rate and success of endoscopic sinus surgery.

Aim:

This study aimed to determine the frequency of sinonasal anatomic variations on paranasal sinus computed tomography (CT) in the Turkish population.

Methods:

Patients who had undergone paranasal sinus CT with any complaints between 2013 and 2020 and aged over 18 years were included in the study. A total of 1209 patients who had undergone paranasal sinus CT were examined for coronal, axial, and sagittal plans retrospectively by two ENT professionals, and anatomical variations were evaluated. To assign the frequency of anatomic variations in a healthy population, patients who had previously undergone paranasal sinus and nasal surgery, who had nasal polyposis, and for whom CT evaluation was not possible due to intense sinusitis were excluded from the study.

Results:

Among 1209 patients, 644 were male and 565 were female. The mean age of the patients was 33.7 years. The most common sinonasal anatomical variations were nasal septal deviation and agger nasi cells, while the least common variation is the supreme turbinate. No variation was found in 48 (3.9%) CTs.

Conclusion:

Almost all patients had at least one sinonasal anatomical variation. These variations should be known by the professionals who have interest in sinonasal disease and surgery.
Effect of Propofol in the Cardiovascular System and its Related Mechanism Research Progress
Authors: Zhang X , Wei Ke-Ying , Huang D
Published: August 2024

Propofol is the most widely used short-acting intravenous anesthetic in clinical practice. Existing studies have shown that propofol has many effects on the cardiovascular system in addition to its anesthetic effect. Propofol can antagonize a variety of tachyarrhythmias and reduce the risk of recurrence, regulate autonomic balance of the heart, modulate circulatory dynamics, thereby increasing blood perfusion to vital organs such as the kidney, intestine, and brain, and exert myocardial protection and cerebral protection during ischemia-reperfusion injury. In this paper, we review the potential mechanisms of these effects and provide and ideas for future research and novel drug development of propofol and its derivatives in cardiac electrophysiology and circulatory dynamics.
Comparison of the Results of BAL and ETA Culture in Intubated COVID-19 Patients
Authors: Kilic HH. , Gozukucuk R
Published: August 2024

Background:

The isolation of pathogens using bronchoalveolar lavage (BAL) culture or endotracheal aspirate (ETA) culture may enhance the treatment success for secondary pneumonia due to COVID-19, thereby reducing the risk of morbidity and mortality.

Aim:

This study aimed to retrospectively analyze the results of BAL and ETA cultures in intubated COVID-19 patients and to determine whether BAL has an advantage over ETA.

Methods:

We routinely perform BAL culture via bronchoscopy or ETA culture within the first 48 h after intubation. We retrospectively reviewed cases that underwent BAL and ETA. The patients were divided into two groups: Group B (BAL) and Group E (ETA). Various parameters were evaluated and compared between the two groups.

Results:

The demographic data and blood test results were similar between the two groups. However, ICU stay, duration of intubation, and culture positivity were significantly higher in Group B. Although not statistically significant, the mortality rate was higher in Group E. The most commonly isolated microorganisms were Candida species.

Conclusion:

The observed mortality rates were consistent with the existing literature. Since the microorganism isolation rate is higher with BAL, leading to more effective antimicrobial treatment, early deaths were prevented, and ICU stay durations were prolonged. Conversely, these durations were shorter in the ETA group due to higher mortality. In intubated COVID-19 patients, a more effective treatment process can be achieved by clearing the airway with fiberoptic bronchoscopy and tailoring the treatment based on BAL culture results. This approach may positively impact prognosis and mortality rates.
Prognostic Role of Neutrophil to Lymphocyte Ratio at Diagnosis in Patients with Diffuse Large B-Cell Lymphoma
Authors: Korkmaz G , Ceran F , Dağdaş S , Güneş AK , Sunu C , Pepeler MS , Pamukçuoğlu M , Özet G
Published: August 2024

Background:

Aim to investigate the prognostic value of neutrophil to lymphocyte ratio (NLR) at the time of diagnosis, which is an inexpensive and easily accessible parameter, compared to factors known as prognostic value (such as R-IPI and NCCN-IPI) in patients with diffuse large B-cell lymphoma (DLBCL).

Aim:

Prognostic value of NLR at diagnosis in DLBCL.

Methods:

A hundred (100) newly diagnosed DLBCL patients were included. The correlations between the NLR with clinical characteristics, treatment response, and survival were analyzed. The NLR cut-off value was taken at 3.5 accordıng to the receiver operating characteristic curve.

Results:

There were 53 patients with an NLR of 3.5 and 47 patients with an NLR < 3.5. Patients with NLR ≥ 3.5 had a complete response (CR) rate of 66.0% (n = 31/47), and patients with NLR < 3.5 had a CR rate of 98.1% (n = 51/52). The median progression-free survival (PFS) was 132.5 months (95%CI 103.1–162.0). PFS in the NLR ≥ 3.5 group (36 months) was significantly (P< 0.000) shorter than in the NLR < 3.5 group (185 months). The median overall survival (OS) for NLR ≥ 3.5 and NLR < 3.5 was 79.2 months (95% CI 51.6–106.8) and 197.8 months (95% CI 173.2–222.5), respectively. NLR ≥ 3.5 was associated with worse OS than NLR < 3.5 (P= 0.000). The high value of NLR (≥3.5) had lower treatment response rates, higher relapse, and death rates.

Conclusion:

High NLR was associated with poor treatment response, PFS, and OS. NLR can be used as a cost-effective and easy-to-interpret prognostic marker in DLBCL patients.
Effect of Verapamil on Glycemic Control in Type 2 Diabetic Hypertensive Patients in Saudi Arabia: A Quasi Experimental Study
Authors: Alharbi E , Abanmy N , Mullen A , ElAbd S , Makhzoum Z , Alzahrani S
Published: August 2024

Background:

Type 2 diabetes is a common chronic disease that continues to increase in prevalence globally and is a major healthcare burden. Diabetes and hypertension frequently occur concurrently, and the use of antihypertensive agents is common in diabetic patients. One antihypertensive agent, verapamil, has tentatively shown potentially positive effects on glycemic control in assorted pre-clinical models.

Aim:

To evaluate the effect of verapamil on glycemic control in hypertensive type 2 diabetic patients.

Methods:

Type 2 diabetic hypertensive patients were recruited from King Fahad Medical City, Riyadh, KSA, to receive oral verapamil therapy. Blood pressure and glycometabolic parameters, including fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), C-peptide, and homeostatic model assessment insulin resistance (HOMA-IR), were monitored at baseline and after 6 months of verapamil therapy.

Results:

Thirty-five patients (16 male, 19 female) with a mean age of 57.2 years were recruited. The use of verapamil was associated with non-significant decreases in HbA1c, FPG, C-peptide, and HOMA-IR. However, a sub-group of 17 participants showed a decrease in HbA1c that was ≥0.5%. Univariate logistic regression showed that baseline BMI, HOMA-IR, and C-peptide were significantly (P < 0.05) associated with HbA1c reductions of ≥0.5%.

Conclusion:

Verapamil is metabolically neutral and allows the stabilization of glycometabolic parameters in type 2 diabetic individuals. Additional research exploring the mechanism behind the variable response to verapamil therapy is warranted.
Association of Positive TwaVR/STaVR ECG Changes with Adverse Outcomes in Heart Failure Patients with Reduced Ejection Fraction Undergoing CABG in Turkey: A Retrospective Study
Authors: Uncu H , Badak TO , Ucak HA , Cereb F , Cakallioglu A , Yıldırım A
Published: August 2024

Background:

Positive T-wave polarity in the augmented vector right lead (Tw-aVR) and ST-segment deviation in the augmented vector right lead (STaVR) have been identified as potential predictors of adverse outcomes in various cardiac conditions.

Aim:

The aim of the study was to examine the effect of positive Tw-aVR and STaVR on in-hospital mortality after coronary artery bypass grafting (CABG) surgery in patients with heart failure with reduced ejection fraction (HFrEF).

Methods:

A five-year retrospective study was conducted on 250 HFrEF patients who underwent CABG at a tertiary care hospital between January 2018 and December 2022. The primary outcome was in-hospital mortality, and the main exposures were positive Tw-aVR and STaVR on preoperative electrocardiograms. Logistic regression models were used to assess the factors associated with in-hospital mortality.

Results:

Two hundred and fifty patients with a mean age of 67.4 ± 8.1 years were studied. Males constituted 68% of the participants. Among the participants, 60 (24%) had positive Tw-aVR, and 96 (38.4%) had STaVR. The overall in-hospital mortality rate was 7.6%, and patients with positive Tw-aVR and STaVR had significantly higher mortality rates than those without (odds ratio: 3.62 and 2.87, respectively, P < 0.01). These associations remained significant even after controlling for potential confounders such as age (adjusted odds ratio [AOR]: 1.11; 95% confidence interval [CI]: 1.03–1.20; P = 0.008), sex (AOR: 0.82; 95% CI: 0.31–2.18; P = 0.684), diabetes mellitus (AOR: 2.12; 95% CI: 0.88–5.12; P = 0.091), and chronic kidney disease (AOR: 1.79; 95% CI: 0.75–4.27; P = 0.194).

Conclusion:

Positive Tw-aVR and STaVR were found to be associated with in-hospital mortality in HFrEF patients after CABG. These findings suggest that identifying patients with positive Tw-aVR and STaVR may help identify those at higher risk of adverse outcomes and facilitate closer monitoring and more aggressive interventions.
Repurposing of Anti-Cancer Drugs Against Moderate and Severe COVID Infection: A Network-Based Systems Biological Approach
Authors: Alzahrani KJ
Published: August 2024

Background:

The COVID-19 pandemic caused by SARS-CoV-2 is an unparalleled health risk, needing fast antiviral medication development. One of the most effective strategies for developing therapies against novel and emerging viruses is drug repurposing. Recently, systems biology approaches toward the discovery of repurposing medications are gaining prominence.

Aim:

This study aimed to implement a systems biology approach to identify crucial drug targets as well as potential drug candidates against COVID infection.

Methods:

Our approach utilizes differential gene expression in COVID conditions that enable the construction of a protein-protein interaction (PPI) network. Core clusters were extracted from this network, followed by molecular enrichment analysis. This process identified critical drug targets and potential drug candidates targeting various stages of COVID-19 infection.

Results:

The network was built using the top 200 differently expressed genes in mild, moderate, and severe COVID-19 infections. Top 3 clusters for each disease condition were identified, representing the core mechanism of the network. Molecular enrichment revealed the majority of the pathways in the mild state were associated with transcription regulation, protein folding, angiogenesis, and cytokine-signaling pathways. Whereas, the enriched pathways in moderate and severe disease states were predominately linked with the immune system and apoptotic processes, which include NF-kappaB signaling, cytokine signaling, TNF-mediated signaling, and oxidative stress-induced cell death. Further analysis identifies 28 potential drugs that can be repurposed to treat moderate and severe COVID-19, most of which are currently used in cancer treatment.

Conclusion:

Interestingly, some of the proposed drugs have demonstrated inhibitory effects against SARS-CoV-2, as supported by literature evidence. Overall, the drug repurposing method described here will help develop potential antiviral medications to treat emerging COVID strains.
Microvesicles derived from mesenchymal stem cells inhibit acute respiratory distress syndrome-related pulmonary fibrosis in mouse partly through hepatocyte growth factor
Authors: Chen Qi-Hong , Zhang Ying , Gu Xue , Yang Peng-Lei , Yuan Jun , Yu Li-Na , Chen Jian-Mei
Published: August 2024

BACKGROUND

Pulmonary fibrosis is one of the main reasons for the high mortality rate among acute respiratory distress syndrome (ARDS) patients. Mesenchymal stromal cell-derived microvesicles (MSC-MVs) have been shown to exert antifibrotic effects in lung diseases.

AIM

To investigate the effects and mechanisms of MSC-MVs on pulmonary fibrosis in ARDS mouse models.

METHODS

MSC-MVs with low hepatocyte growth factor (HGF) expression (siHGF-MSC-MVs) were obtained via lentivirus transfection and used to establish the ARDS pulmonary fibrosis mouse model. Following intubation, respiratory mechanics-related indicators were measured via an experimental small animal lung function tester. Homing of MSC-MVs in lung tissues was investigated by near-infrared live imaging. Immunohistochemical, western blotting, ELISA and other methods were used to detect expression of pulmonary fibrosis-related proteins and to compare effects on pulmonary fibrosis and fibrosis-related indicators.

RESULTS

The MSC-MVs gradually migrated and homed to damaged lung tissues in the ARDS model mice. Treatment with MSC-MVs significantly reduced lung injury and pulmonary fibrosis scores. However, low expression of HGF (siHGF-MSC-MVs) significantly inhibited the effects of MSC-MVs (P < 0.05). Compared with the ARDS pulmonary fibrosis group, the MSC-MVs group exhibited suppressed expression of type I collagen antigen, type III collagen antigen, and the proteins transforming growth factor-β and α-smooth muscle actin, whereas the siHGF-MVs group exhibited significantly increased expression of these proteins. In addition, pulmonary compliance and the pressure of oxygen/oxygen inhalation ratio were significantly lower in the MSC-MVs group, and the effects of the MSC-MVs were significantly inhibited by low HGF expression (all P < 0.05).

CONCLUSION

MSC-MVs improved lung ventilation functions and inhibited pulmonary fibrosis in ARDS mice partly via HGF mRNA transfer.
An improved etymology for the Tupi-Guarani ethnonym Kagwahiva
Authors: de Carvalho Fernando
Published: August 2024

The present contribution challenges the traditional etymology of the well-known ethnonym kagwahiva, which goes back to the first decades of the 20th century. It is shown that the hypothesized etymological association with the reflexes of the Proto-Tupi-Guarani *kap/*kaβ- ‘wasp’ is formally untenable. An alternative proposal is presented, supported by argumentation at phonological, morphological, semantic and syntactic levels, and based on the identification of clear, yet so far, unacknowledged cognates in Old Tupi, Old Guarani and other languages within the family. A PTG etymon *-kawaip/*kawaiβ- ‘to be aggressive, prone to violence’ is tentatively proposed, and further etymologization is advanced on the grounds of formal and semantic associations to *-kaʔu ‘to drink (alcoholic beverage)’.
Studies in tense, aspect and augment use: An unrecognized (?) timeless injunctive in Early Epic Greek. Part 2: Actual analysis
Authors: Decker Filip De
Published: August 2024

Since West’s seminal 1898 article, it has been assumed that there were (only) four instances in epic Greek (Homer, Hesiod and the Homeric Hymns) in which the injunctive (often called an unaugmented indicative in the commentaries) could be interpreted as having a timeless (or omnitemporal) meaning. In the second part of the article, I will argue and show that there could be more of these injunctive forms than West originally argued for. I will also analyze several other instances in which an injunctive has been transmitted, instances in which it refers to a background action or an event in a remote past, and argue that some injunctive forms indeed describe the timeless habits of the gods, while others are not timeless, but refer to actions in a remote or even mythical past, or describe background actions; moreover, even some indicative present forms could conceal older timeless injunctive forms (without arguing that the indicative forms should be altered, however). In all these instances I will also investigate and describe the aspectual stems, as well as show that their use can be explained by the distinction perfective – imperfective, which agrees with what we would find in Attic Greek and is not controlled by the metre.
Phonotactic and morphonotactic influences on the (a)synchronicity of consonant clusters in Polish
Authors: Geoffrey Schwartz  , Katarzyna Dziubalska-Kołaczyk  , Radosław Święciński
Published: August 2024

A pilot speech production experiment combined articulatory data obtained using Electromagnetic Articulography (EMA), along with acoustic measures, to investigate the effects of cluster size (CC vs. CCC) and morpheme boundaries on consonant cluster synchronicity for five speakers of Polish. We found that being placed in a larger cluster leads to less synchronous productions of two-consonant sequences. We also found, surprisingly, greater synchronicity for clusters spanning a morpheme boundary than for the same cluster within a morpheme. Our findings may be interpreted from a listener-oriented perspective in which speech production is sensitive to perceptual considerations.
Effect of rainfall-derived inflow and infiltration on dissolved organic matter in urban sanitary sewers using chemometric and machine learning approaches
Authors: Nam Seong-Nam , Lee Sunghoon , Oh Jeill
Published: August 2024

This study investigated changes in dissolved organic matter (DOM) properties within urban sanitary sewers influenced by groundwater infiltration and excessive rainfall-derived inflow and infiltration (RDII). It employed optical indices and fluorescence excitation-emission matrix-parallel factor analysis (PARAFAC) coupled with self-organizing map (SOM) to compare DOM characteristics during wet weather flows (WWFs) and dry-weather flows (DWFs). Sampling sites impacted by RDII were identified based on flowrate. Optical indices and PARAFAC components (C1–C4) were used to differentiate DOM properties between DWFs and WWFs. In WWFs, E2/E3 and S350-400 increased, while spectral ratio (SR) decreased, indicating a shift towards smaller organic matters. Reduced fluorescence and humidification indices suggested the input of fresher/terrestrial organic matters. C3 and C4 exhibited significant distinctions, showing increased C3 and decreased C4 levels. The PARAFAC-SOM modeling further illustrated that water samples in the urban sewer system could be categorized based on the dominance of DOM properties. Principal component analysis revealed separation between DWF and WWF samples in principal component 1 (PC1), associated with molecular size. PC2 was linked to microbial activity in WWFs. Notably, DWF samples from the NY-11 site shifted to the positive side of the PC1 axis, while their corresponding WWF samples moved to the negative side.
“Three-Quarters of an Hour to Consume Everything”: Dorian Gray and Commodified Aesthetics
Authors: Çün Başak
Published: August 2024

This paper examines the commodification of aesthetics in Oscar Wilde's only novel, The Picture of Dorian Gray (1890). The novel is most extensively investigated within the artistic context employed, where Wilde’s approach to art, aesthetics and beauty is regarded as surviving on a transcendental ground. Indeed, despite his identity as a decadent of fin de siècle Britain, and his depreciating critique of the middle and working class for their material pursuits, Wilde gets conceptually closer to the capitalist stream of consumption. The novel ostensibly highlights aestheticism, and hence, art living for its sake on the lines of the manner Wilde launches himself to the world of artistry and literature, particularly through the characters of Dorian Gray, Basil Hallward, and Lord Henry. However, the deep desire to experience artistic pleasure and beauty, as illustrated mainly by Dorian, gets along very well with, and ends up as, the British materialist pursuit. Dorian’s initial position as the embodiment of beauty degenerates due to the same dynamic of beauty commodifying itself, and so, the others implementing it. The very commodities where aesthetic pleasure is sought commodify the aesthete. Wilde's use of ornamental and decorative elements, Dorian’s search for eternal youth, and the whole structuration of aestheticism in the novel necessitate a political reading of the text, calling for the recognition of colonial, material and modernist platform the narrative deeply bases itself on.
The effect of preoperative in-person education on the pain severity of patients undergoing coronary artery bypass graft (CABG) surgery
Authors: Sadeghisu Roghayeh , Babaee Touraj , Bakhshandeh Hooman , Naderi Maziar
Published: August 2024

Pain is one of the most common symptoms experienced by patients undergoing coronary artery bypass graft (CABG) surgery. Adequate pain management is critical to the well-being and overall recovery of these patients. This study aimed to evaluate the effect of preoperative in-person pain education on the pain severity experienced by patients undergoing CABG surgery in Rajaie Cardiovascular, Medical and Research Center in Tehran in 2022. In this quasi-experimental study, 72 patients undergoing coronary artery bypass surgery were selected and randomly divided into intervention (n=36) and control (n=36) groups. The intervention group received pain control education for 20 to 30 minutes and the control group received only standard preoperative care. The pain severity was measured using the numerical rating scale (NRS) tool at different time points, including before the operation, as well as 2, 5 and 8 hours after the surgery. Based on the results, preoperative pain education did not show a significant difference in pain severity between the intervention and control groups immediately (2 hours) after endotracheal tube removal (P=0.313). However, a significant difference in the pain severity was observed at 5 hours (P=0.006) and 8 hours (P=0.015) after removal of the endotracheal tube. Moreover, the intervention group had lower pain severity when taking analgesics and higher pain severity when using non-pharmacological methods compared to the control group (P=0.046). Preoperative in-person education may be effective in reducing pain severity in patients undergoing CABG surgery, especially when they are not taking analgesics. These findings demonstrate the importance of implementing preoperative education programs to improve patient outcomes and improve postoperative pain management.
Fibromyalgia, perfectionism, and interpersonal style. Further evidence for a person-centered approach
Authors: Maes Frank , Vanaerschot Greet , Goossens Els , Houdenhove Boudewijn Van
Published: August 2024

Objectives. We carried out a controlled, cross-sectional investigation in patients with Fibromyalgia (FM) to determine the presence of perfectionism and three interpersonal styles, namely ‘subjugation’, ‘approval-seeking’, and ‘self-sacrifice’.

Method. Several validated self-report questionnaires were filled-in by 100 female FM patients and 36 women with rheumatoid arthritis as a control group.

Results. We found significantly higher scores in the FM group for all perfectionism subscales, except for the subscale ‘organization’. Moreover, FM patients scored higher for the three interpersonal styles.

Conclusions. Our results support our clinical observations suggesting that maladaptive perfectionism as well as excessive other-directed interpersonal styles may be highly prevalent in patients with FM. These results add to growing evidence that a personalized, biopsychosocially oriented approach taking these factors into account may be a useful addition to standard therapy. However, the effectiveness of additional psychotherapy for FM should be further investigated.
COMPARISON OF MECHANICAL DESIGN AND FLOW ANALYSIS OF QUADRUPED ROBOTS
Authors: Uzun Enes , Tepe Cengiz
Published: August 2024

In recent years, there has been a trend of developing innovative technologies inspired by living creatures in nature. Quadruped robots, in particular, have emerged as walking mobile systems with articulated leg structures that can skilfully perform dynamic movements that wheeled systems are limited to. These robots offer advantages in technical criteria such as manoeuvrability, cross-capability, controllability, terrain adaptability and stability. It is important to note that this evaluation is based on objective technical criteria rather than subjective opinions. This study compares the advantages and disadvantages of quadruped robots to wheeled systems. It highlights that quadruped robots outperform wheeled systems in manoeuvrability, obstacle overcoming, and speed, particularly in rough terrains. The study also suggests that designers of quadruped robots should consider aerodynamic factors, which are often overlooked. Flow analysis using the finite element method is crucial in robot design to enhance aerodynamic performance. This paper aims to comprehensively analyse the flow structure around quadruped robots using Computational Fluid Dynamics and investigate passive flow control methods to reduce the drag coefficient (Cd). The study examines four different robots, and the resulting Cd average percentage calculations are presented. The aerodynamic efficiency of Robot 4 compared to Robot 2 was found to be 95%. Similarly, the aerodynamic efficiency of Robot 3 was determined to be 28% compared to Robot 2. Additionally, it was determined that the aerodynamic efficiency of Robot 2 was 76% compared to Robot 1. These results provide an important comparison to understand the energy efficiency, differences in aerodynamic performance and relative effectiveness of quadruped robots.
OPTIMIZATION OF ANNEALING AND 3D PRINTING PROCESS PARAMETERS OF PLA PARTS
Authors: Alabd Mhd Usama , Temiz Abdurrahim
Published: August 2024

Fused Filament Fabrication (FFF) has gained significant popularity as the prevalent additive manufacturing method due to its ability to reduce production time and expenses. However, the constraints of limited dimensional precision, poor surface quality, and relatively low Ultimate Tensile Strength (UTS) hinder compliance with the stringent regulatory norms of conventional manufacturing, necessitating post-processing for enhancement. In this investigation, the response surface method was used to optimize annealing and specific printing parameters to enhance the quality of PLA parts produced by FFF. Tensile specimens were printed with varying production parameters and annealed at varying heat treatment parameters. The following parameters are specified: layer height (0.1, 0.2, and 0.3 mm), build orientation (0°, 22.5°, 45°, 67.5°, and 90°), annealing temperature (70, 90, 110, and 130 ºC), and annealing time (60, 120, 180, and 240 min). The optimization technique aimed to enhance the UTS and match the CAD dimensions while minimizing surface roughness. The RSM optimization analysis identified the optimal parameters as layer height of 0.1 mm, build orientation at 0 degrees, annealing temperature of 110 degrees, and annealing time of 180 min. The consistent achievement of high levels of agreement between estimated and experimental response values substantiates the proposed models. A composite desirability value of 0.80 was derived for the variables due to the optimization investigation.
Adımların Ötesinde Ayakkabı Üretiminde Kullanılan Malzemeler ve Sürdürülebilir Ayakkabı Tasarımı
Authors: Battal Özgenur , Acar Mervenur , Derindere İlayda , Uzun Muhammet , Karcıer Ali , Yalgın Mahmut Tolga
Published: August 2024

Ayakkabı; insanoğlunu zorlu koşullardan koruyarak konfor sağlayan ve günümüzde bunun ötesinde kullanım yeri ve modaya göre şekillenen bir araç haline gelmiştir. Önemi ve kapsamının artmasıyla birlikte modern dünyanın temel sanayilerinden biri haline gelmiştir. Tekstil malzemelerindeki gelişmelerden de etkilenerek deri yapısından bağımsız olarak çok farklı ürün gamlarına doğru eğrilmiştir. Modanın tamamlayıcısıyken kendi başına bir moda olmuştur. Buzul Çağı’na dayanan keçe ve deri geçmişiyle insanlık tarihinin vazgeçilmez bir parçasını olan ayakkabı günümüzde moda, siyaset, sanat gibi her türlü akımdan etkilenerek sınırsız bir tasarıma dönüşmüştür. Bu derleme çalışmanın ana amacı genel olarak; ayakkabı tanımı, kullanılan malzemeler, sektör hacmi ve günümüzün gerekliliklerinden sürdürülebilirlik perspektifinde ayakkabının tanımlanmasıdır.
Rate of Return (RoR) and Return on Investment (RoI) of Indonesia and India
Authors: Sari Rika Yohana , Utami Batina Yulia , Hadianto Hadianto , Yahya Yahya
Published: August 2024

In the era of globalization and economic liberalization, cross-border investment has become the main strategy for developing countries to increase their economic growth and global competitiveness. This research aims to explore and compare RoR and RoI in Indonesia and India and identify key factors that influence the differences in RoR and RoI between the two countries. This research method uses literature study and conceptual analysis to collect and analyze data from various sources. The research results show that the comparison of RoR and RoI between Indonesia and India involves various factors such as macroeconomic conditions, infrastructure, political stability, investment regulations, labor market, market, and industry, as well as innovation and technology. The two countries show significant differences and similarities in these factors, which influence investment returns. Indonesia has relatively good political stability and a developed capital market, while India stands out in the technology sector and economic reform. However, challenges such as complex regulations, inadequate infrastructure, and fluctuations in currency exchange rates remain obstacles to achieving optimal ROI for investors.
Revitalization of Ijarah Agreements in Islamic Banking Service Products
Authors: Khulwah Juhrotul
Published: August 2024

The revitalization of the ijarah contract is urgently needed by the community so that the community not only uses the classic ijarah contract in daily life but can use the ijarah contract that has been revitalized in modern times, such as the muntahiyah bi al-tamlik ijarah contract and multi-service ijarah contract, so that more service products can be produced from the ijarah contract, and can make the community more empowered by the continuous development of the times. This study aims to explain ijarah contracts that have undergone revitalization so that they can be used more by the community, to develop the service products used. So the problem in this study is "What are the forms of the revitalization of ijarah contracts in Islamic banking service products." To find the answer to this question, the research method uses qualitative research, the type of research library research, and the nature of analytical descriptive research. The findings in this study are that there has been a revitalization of ijarah contracts in service products in Islamic banking, such as ijarah muntahiyah bi al tamlik and multi-service ijarah contracts. If this contract is maximized both in products and their use, it will be very profitable and convenient to get, both from the service provider and the community.
THE INFLUENCE OF MOTIVATION, PERCEPTIONS OF PROSPECTIVE STUDENTS, AND UNIVERSITY PROMOTIONS ON INTEREST IN STUDYING UNDERGRADUATE PROGRAMS MEDIATED BY ONLINE LECTURES (EMPIRICAL STUDY: INDONESIAN GO-JEK PARTNERS)
Authors: Lizki Abraham Charis , Pardede Ratlan
Published: August 2024

The purpose of this study is to investigate the influence of Motivation, Perception, and Promotion of higher education on interest in studying undergraduate programs among prospective students from Go-Jek Indonesia's partners, as well as the mediation role of online lectures in this relationship. Data were collected cross-sectionally from 264 prospective students using a questionnaire as the primary data collection method. The results of the study show that the perception of prospective students has a positive and significant effect on the interest in undergraduate programs. Higher education promotion to prospective students, including the quality of education, reputation, and job prospects of graduates, has proven to have a negative and significant impact on their interest in choosing online lectures. Online lectures mediate the effect of perception and promotion, both directly and through online lecture mediation. This study is expected to provide new insights into the role of Online Lectures in mediating the relationship between motivation, perception, and promotion and interest in study undergraduate programs in universities in Indonesia.
Hubungan Muqsam Bih dan Muqsam ‘Alaih pada Surah Al-Tin
Authors: Lianfin Safira Aulia  , Murtaza Ahmad
Published: August 2024

Surah Al-Tin is a surah where most of the verses begin with a qasam (oath). Every qasam has muqsam bih which comes after it. The muqsam bih recitations in Surah Al-Tin have good meanings as written by the commentators. After muqsam bih which means good, then a verse suddenly appears which has the meaning of insulting humans who do bad things. Here the author wants to know what is the relationship between muqsam bih which has a good meaning and some muqsam alaih (contents of surahs) which explain bad connotations (contempt for humans who do bad things). Using Ferdinand De Saussure's semiotic theory, the writer tries to analyze the structure of Surah Al-Tin to find the relationship between qasam, muqsam bih, and muqsam 'alaih. This study uses a qualitative method, namely by analyzing existing data to find a new theory from the results of the analysis.
Penelitian ini bertujuan untuk mengungkap hubungan antara muqsam bih dan muqsam ‘alaih dalam Surah Al-Tin dengan menggunakan analisis linguistik Ferdinand de Saussure. Penelitian merupakan kajian pustaka dengan metode kualitatif. Hasil penelitian ini menunjukkan bahwa surah al-Tin yang diawali dengan  qasam (sumpah) ternyata menyimpan makna kebaikan. Setiap  qasam memiliki muqsam bih yang datang setelahnya. Lafal-lafal muqsam bih dalam Surah al-Tin memiliki makna yang baik-baik yang kemudian muqsam bih yang bermakna baik tersebut disusul dengan ayat yang memiliki makna penghinaan terhadap manusia yang mengerjakan keburukan. Adapun hubungan antara muqsam bih dan muqsam ‘alaih dalam surah al-Tin yaitu menjadi tanda bahwa Allah akan membalas manusia dengan kasih sayang dan keadilan sesuai dengan amal perbuatan mereka.
Prinsip Pemerintahan dalam Islam menurut Muhammad Asad
Authors: Nabil amir Ahmad
Published: August 2024

The paper discusses Muhammad Asad’s work on the principle of Islamic governance and its basic constitution and foundational structure. In this regards, he formulated the constitutional ideas of Islamic state whose constitution contains the provision of Islamic law that practiced and implement the norms stated in the Qur’an and hadith. This ideas was partly enshrined in the Pakistan constitutional law whose political establishment was formed in 1947. It essentially discussed Muhammad Asad’s political ideas and its underlying philosophy as espoused in his works, such as The principles of state and government in Islam, This law of ours and other essays, Islamic constitution making, journal Arafat, The message of the Qur’an, Sahih al-Bukhari the early years of Islam and,  etc. The study is based on qualitative methods in the form of library research. The data were analysed using descriptive, analytical and comparative methods. The finding shows that Muhammad Asad had formulated comprehensive theoretical framework of legal aspect of Islamic governance based on the fundamental principle and doctrine of the shariah, derived from the teaching of the Qur’an and the sunnah, while advocating democratic ideals and system based on conventional practice and requirement of modern context of nation state.
proposta didática para o ensino de leitura com o gênero textual infográfico de divulgação científica
Authors: Gomes Rosivaldo
Published: August 2024

O objetivo deste artigo é apresentar uma proposta didática envolvendo atividades voltadas para práticas de leitura de textos de divulgação científica, mais precisamente de um infográfico. Para a elaboração da proposta didática foram considerados aportes teóricos de que tratam sobre divulgação científica (Brandão, 2012; Brasil, 2018), sobre transposição didática e modelos teórico e didática (Machado; Cristovão, 2006; Barros, 2012). A proposta didática aborda um roteiro de atividades visando o desenvolvimento e o aprimoramento de práticas de leitura por meio de um texto da divulgação científica com tema sobre o cuidado de uma planta.
Gamificação como estratégia pedagógica para a compreensão leitora
Authors: Sobral Denson André Pereira da Silva , Santana Roberta Maria
Published: August 2024

O artigo objetiva apresentar a gamificação como uma estratégia pedagógica para melhoria da compreensão leitora de textos narrativos no ensino fundamental, ciclo II. Em virtude disso, preparamos uma intervenção pedagógica denominada Itinerário Gamificado de Leitura (IGL) composto por atividades de leitura desenvolvidas a partir do conceito de gamificação. O referencial teórico da pesquisa embasou-se, principalmente, nas concepções de leitura e de compreensão textual enquanto processo de interação, consoante Leffa (1996), Kleiman (2002), Marcuschi (2008) entre outros e nas considerações sobre a gamificação conforme Mattar (2010), Alves (2014), Busarello (2016). Com efeito, pretende-se contribuir com o ensino de Língua Portuguesa, no tocante à formação leitora dos alunos, possibilitando o protagonismo dos discentes por meio da promoção da prática de leitura gamificada.
O direito contado em Terras do sem-fim, de Jorge Amado
Authors: Côrtes Sara da Nova Quadros , Silva Márcia Rios da
Published: August 2024

O trabalho realiza uma análise Interpretativa de Terras do sem-fim, de Jorge Amado (1943), no qual emergem questões agrárias seculares, confrontando-as com o contexto do ciclo do cacau. O estudo demarca os sujeitos beneficiados por uma concepção de direito à terra fundada no coronelismo. Recorre-se à proposta de François Ost (2004), em que o autor defende que o direito contado, encenado na literatura, contribui para a Interpretação do direito. Na imersão no particular como caminho mais curto para o universal, conclui-se que o romance expõe um cenário regulado por uma determinada concepção de direito no pós-abolição. A narrativa denuncia as Interdições à posse secular como forma jurídica de acesso ao direito de propriedade, por critérios étnico-raciais, assim como exerce funções Instituintes, ou seja, estimula a criação de imaginários de significações sócio-históricas novas, reparatórias e restitutivas da escravidão.
The impact of Azolla (Azolla pinnata R.Br.) dietary supplementation on broiler chicken
production performance and serum biochemical profile
Authors: Elhouda Asma , Beghoul Saber , Djemai Samir , Hafid Kahina , Amireche Douaa , Mansour Amir
Published: August 2024

For decades, Algeria has faced difficulties related to importing raw materials for livestock feed, such as soybeans and corn. The aim of this study was to valorize Azolla as an important source of nutrients, particularly proteins, in broiler production. For this purpose, 60 broiler chicks of the Cobb 500 breed were divided into two groups, each containing three repetitions of 10 birds. The diets of the tested and control groups were the same, except for the tested group, which received Azolla as a supplement. The nutritional value of Azolla incorporated into the diet was assessed chemically. Liveweight, feed intake, feed conversion ratio, offal weight, carcass yield, and biochemical profile for both groups were observed and compared. The intake of Azolla had no impact on production yield (p˃0.05); however, the best liveweight at sacrifice was obtained in the Azolla group, with a value of 2600.67 g, whereas the mean recorded in the control group was 2431.67 g. Regarding the weight and yield of offal and carcass, we found the same observation: the highest weight of thighs and wings was recorded in the Azolla group. All blood biochemical parameters examined (glucose, creatinine, cholesterol, triglyceride, high-density lipoprotein (HDL), total protein, albumin, and alanine aminotransferase (ALT)) showed no significant difference, except for aspartate aminotransferase (AST), which was found to be significantly higher in the Azolla group (P˂0.05). Azolla pinnata, a source of unconventional protein, may therefore be an alternative to the costly poultry feed used in Algeria.
Keywords: Azolla supplementation, broiler diets, sacrifice.