bluuebunny/crossref_metadata_2025 huggingface dataset:
ASSESSING PATIENT KNOWLEDGE AND COMPLIANCE WITH ANTIHYPERTENSIVE TREATMENT IN TECHIMAN MUNICIPALITY
Authors:   AFAC Research Solutions Consult., Agyapong Adomah Anthony ,   New Leaf Hospital., Saah Donkor Franklin ,   AFAC Research Solutions Consult.,   New Leaf Hospital.,   Marfran Asset Group, Institutional Affiliation(s)., Dela Frimpong Kenneth ,   New Leaf Hospital., Alidu Adam ,   New Leaf Hospital., Agyemang Seth ,   New Leaf Hospital.
Published: February 2024

The study focused on hypertension (HPT), commonly known as high blood pressure, which is defined as persistently elevated blood pressure levels in adults. It aimed to assess the knowledge and compliance of hypertensive patients with their antihypertensive treatment in the Techiman Municipality. The study employed a hospital-based cross-sectional quantitative descriptive approachusing convenience sampling with a sample size of 234 adult hypertensive patients as respondents. The data was collected using structured questionnaires. The findings indicated that most patients believed that hypertension was caused by an increase in blood pressure. Furthermore, most of them were aware of practices that could elevate blood pressure, such as excessive salt intake and consuming fatty foods. Interestingly, some patients attributed hypertension to factors like witchcraft or financial constraints. The findings called for several key recommendations: Firstly, conduct larger-scale research to delve deeper into factors driving antihypertensive non-compliance. Strengthen health promotion initiatives, including advocating healthy lifestyles, patient education, family counseling, and robust social support networks, to boost treatment adherence and well-being. Implement compliance monitoring studies to pinpoint noncompliant patients more accurately and potentially reduce healthcare costs. Ensure convenient access and sufficient availability of antihypertensive medications. Lastly, prioritize patient education to dispel misconceptions about hypertension, especially beliefs related to witchcraft. In sum, these recommendations offer promise for improving hypertension management in Techiman Municipality.
ECTHYMA GANGRENOSUM THAT REVEALED AN AGAMMAGLOBULINEMIA: A CASE REPORT
Authors:   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco., El Boukili Hafsa , Elloudi Sara ,   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco., Douhi Zakia ,   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco., Soughi Meryem ,   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco., Baybay Hanane ,   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco., Zahra Mernissi Fatima ,   Department of Dermatology, University Hospital Hassan II, Fez, Morocco.  Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
Published: February 2024

Ecthymagangrenosum is a distinctive skin infection caused by P. aeruginosa bacteremia; it typically occurs in immunocompromised or critically ill patients. However, in previously healthy children with pseudomonas sepsis, the infection may be the first manifestation of underlying pathology, such as agammaglobulinemia. We report a case of echtymagangrenosum in previously healthy boy, leading to the diagnosis of agammaglobulinemia.
ATTITUDE OF STUDENTS TOWARDS COMMUNICATIVE COMPETENCY IN FOREIGN LANGUAGE AT ENGINEERING STREAM
Authors:   Ph.D. Scholar, University of Calcutta, Department of Education., Sahin Sagufta , Sinha Sridipa ,   Professor Department of Education University of Calcutta.
Published: February 2024

English has been taught as a second language for many years in India. A causal relationship exists between attitude and learning outcome. Though English learning is a common problem of the students of West Bengal Board but in rural areas this problem is more serious and terrific and gradually this problem is getting the shape of an alarming issue. In this article an attempt is made by the researcher to find out the attitude of under-Engineering students toward Communicative Competency in Foreign Language.The present study has been made with two objectives and two hypotheses. The data has been collected from the samples with standardized scales, analyzed with Statistical analysis of data i.e. mean, SD,t-test using SPSS 22 version.The study has found that the mean of attitude of rural students and the mean of attitude of urban students differs from each other. It means that rural students and urban students are differing in some opinions related to problems of learning communicative competency in English language and there are no such gender wise differences in the attitude toward Communicative Competency in English Language.
CHARACTERISTICS OF LOCAL GUINEA FOWL (NUMIDA MELEAGRIS, L.) EGGS IN BURKINA FASO
Authors:   Centre National de Recherche Scientifique et Technologique (CNRST)/Institut de lEnvironnement et de RecherchesAgricoles (INERA)/Laboratoire de Recherche en Production et Sante Animales (LaRePSA), Ouagadougou, Burkina Faso., Yacouba Zare , Ibrahima Traore ,   Universite NaziBONI, Centre Universitaire de Banfora, BurkinaFaso., Claudine Gorga ,   Institut de Recherchesen Sciences Appliques et Technologies (IRSAT), Ouagadougou,BurkinaFaso., B. Isidore Gnanda ,   Centre National de Recherche Scientifique et Technologique (CNRST)/Institut de lEnvironnement et de RecherchesAgricoles (INERA)/Laboratoire de Recherche en Production et Sante Animales (LaRePSA), Ouagadougou, Burkina Faso., Boureima Traore ,   Universite Thomas SANKARA, Centre Universitaire de Dori, BurkinaFaso., Michel Kere ,   Universite NaziBONI,Institut du Developpement Rural (IDR), Bobo-Dioulasso,BurkinaFaso., Isidore Houaga ,   UniversityofEdinburgh, Centre for Tropical Livestock Genetics and Health (CTLGH), Roslin Institute, Midlothian,EH259RG,UnitedKingdom., Romdhane Rekaya ,   UniversityofGeorgia,Athens, Department of Animal and Dairy Science, Department of Statistics, Institute of Bioinformatics, 106 Animal and Dairy Science Complex, GA30602,USA., A. Joseph Nianogo ,   Universite NaziBONI,Institut du Developpement Rural (IDR), Bobo-Dioulasso,BurkinaFaso.
Published: February 2024

Eggs are an important source of animal protein for humans. However, their physico-chemical and nutritional characteristics vary across and within breeds. The aim of this study was to determine the physico-chemical and nutritional quality of 109 eggs from local guinea fowl (Numida Meleagris, L.) in Burkina Faso. For the that purpose, the following parameters were collected for each egg: egg weight albumen, yolk, and shell weights, egg length and width, pH, shape, and coloration of the shell and yolk. The physical parameter values analyzed showed that local guinea fowl lay small eggs with average weight of 34.91 g (ÃƒÂ‚Ã‚Â± 3.33 g). The length and width were 46.95 ÃƒÂ‚Ã‚Â± 2.48 mm and 36.80 ÃƒÂ‚Ã‚Â± 1.09 mm, respectively. The egg a shape index was 0.79. The majority of eggs were oval in shape (90.83%) and reddish in color (70.64%). The albumen, yolk, and shell weighed on average 14.79 ÃƒÂ‚Ã‚Â± 3.47 g, 13.17 ÃƒÂ‚Ã‚Â± 2.28 g, and 5.95 ÃƒÂ‚Ã‚Â± 0.84 g respectively. The majority of eggs had a pH ranging between 9 and 10 for the yolk and around 7 for the albumen. The yolk had a light-yellow color with an average index of 4.66. Water and ash contents were higher in the albumen than in the yolk and while the dry matter content was higher in the yolk. These results, although limited in terms of the number of parameters studied, represent a very interesting basis for assessing the nutritional quality of local guinea fowl eggs consumed by Burkina Faso population.
A PROSPECTIVE OBSERVATIONAL STUDY ON PRESCRIPTION ANALYSIS OF ANTIEPILEPTIC DRUGS AT TERTIARY CARE HOSPITAL
Authors:   Department of Pharmacy Practice, Sree Chaitanya Institute of Pharmaceutical Sciences, Karimnagar, Telangana, India., Mohammad Awaizuddin , Tul Kubra Syeda Khatija ,   Department of Pharmacy Practice, Sree Chaitanya Institute of Pharmaceutical Sciences, Karimnagar, Telangana, India., Hussain Maimuna ,   Department of Pharmacy Practice, Sree Chaitanya Institute of Pharmaceutical Sciences, Karimnagar, Telangana, India., Thotla Ganesh ,   Department of Pharmacy Practice, Sree Chaitanya Institute of Pharmaceutical Sciences, Karimnagar, Telangana, India., Audurti Dhananjay ,   Associate Professor, Department of Pharmacy Practice, Sree Chaitanya Institute of Pharmaceutical Sciences, Karimnagar, Telangana, India.
Published: February 2024

The present study was aimed to analyze the prescription patterns of various uses of antiepileptic drugs (AEDs)in the strategic treatment of different types of epilepsy in a tertiary care hospital in the northern Telangana of India. A total of 157 patients were included in this study and patients with epilepsy of specific group are included. The demographic data shows a greater number of males 99 (63%) and female 58 (37%). The majority of patients were 44 (28%) belonged to 20-30 years of age group, 43 (27%) patients belonged to 30-40 years of age group. Generalized tonic clonic seizures (GTCS) were the most commonly diagnosed epilepsy (46%) and monotherapy (75%) were prescribed. Levetiracetam was the most common monotherapy (54%). Levetiracetam with clobazam was commonly prescribed two drug combinations (6%). Among polytherapy levetiracetam with sodium valproate and clobazam (2%). Levetiracetam was commonest prescribed AED as monotherapy and in combinational as well as polytherapy. The study concluded that educating patients regarding the antiepileptic drugs is necessary to avoid the medications related problems which helps in improving patient for better care.
FINANCIAL PERFORMANCE ANALYSIS OF PRE- AND POST-MERGER OF KOTAK MAHINDRA BANK AND STATE BANK OF INDIA
Authors:   Assistant Professor & Research Scholar School of Commerce, REVA University Bengaluru, Karnataka., G. Kantharaju , A. Shubha ,   Pro Vice Chancellor and Dean of Faculty, REVA Business School, REVA University, Bengaluru, Karnataka.
Published: February 2024

The banking sector is one of the most important and fastest growing sectors in India. It occupies a unique place in the growth of the economy. The economic development of a country is evident from the reliability of the banking system. Mergers in the banking sector lead to significant growth in business, help in reducing costs and reduce competition as mergers lead to elimination of competitors in the banking sector. Today, every bank strives to be financially strong and more effective and efficient in its operations. Public sector banks face strong challenges from private sector banks and are under great pressure to keep up with the facilities offered by private sector banks. The study is conducted to understand the performance of Kotak Mahindra Bank and SBI before and after merger. One private sector bank and one public sector bank were selected for the study. Kotak Mahindra Bank is one of the leading and growing private sector banks, while SBI is the largest bank in India with a market share of more than 23% in assets and 25% in loans and deposits. The analysis before and after the merger of SBI with its partner banks and Kotak Mahindra Bank with ING Vysya Bank shows that the net profit margin, return on capital employed, return on equity and leverage ratio have no significant difference in these ratios. There is a significant difference in operating profit margin for Kotak Mahindra Bank but not for SBI and its partners.
A LARGE INTRAMURAL FIBROID WITH STAGE 3 UTERO VAGINAL PROLAPSE - A RARE CLINICAL PRESENTATION
Authors:   Assistant Professor, Sri Ramachandra Institute of Higher Education and Research., Thondaiman Mirunalini , Agarwal Preet ,   Professor, Sri Ramachandra Institute of Higher Education and Research., Rajeswari K.S ,   Professor, Sri Ramachandra Institute of Higher Education and Research.
Published: February 2024

Fibroid uterus are the benign tumors of the uterus comprising of smooth muscle fibres. There are 3 main types of fibroid uterus - submucosal, subserosal and intramural. Fibroid with the prolapse usually present as submucosal fibroid prolapsing into the vagina or intramural fibroid becoming submucosal and prolapsing out. A large intramural fibroid usually pulls up the uterus due to its growth and hence uterine prolapse is little rare scenario. In this case a perimenopausal women with mass descending per vaginum and pain abdomen for four years, on examination found to have a large intramural fibroid of size 20*10 cm and uterovaginal prolapse with cervix as leading point with cystocele, enterocoele and rectcoele. After routine pre operative work up, hysterectomy was planned by abdominovaginal route. Supracervical hysterectomy done abdominally followed by removal of cervical stump and anterior and posterior colpoperineoraphy by vaginal route.
FASCIITE NECROSANTE DE LA PAROI ABDOMINALE POST-CESARIENNE
Authors:   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Bouzida Mounia , Bassir Ahlam ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Fakhir Bouchra ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Harou Karam ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Boukhanni Lahcen ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Aboulfalah Abderrahim ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Asmouki Hamid ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco., Soummani Abderraouf ,   Obstetrics and Gynecology Department, Mohammed VI University Hospital Center, Faculty of Medicine and Pharmacy, Marrakech, Morocco.
Published: February 2024

Introduction : La fasciite necrosante est une infection rare de la peau et des tissus sous-cutanes profonds qui se propage le long des fascias et du tissu adipeux. Elle represente 0,2 a 0,4 /100000 adultes. Le but de cette etude est de rapporte le cas dune patiente qui a developpe une fasciite necrosante de la paroi abdominale sept jours apres une cesarienne au centre hospitalier Mohammed VI de Marrakech chez qui la prise en charge medico-chirurgicale a permis une evolution favorable. Resultats: Femme ÃƒÂ¢gee de 33 ans, deux enfants vivants par cesarienne ayant un antecedent de salpingectomie pour grossesse extra uterine, il y a neuf ans. Elle a beneficie dune cesarienne avec des suites operatoires immediates simples. Sept jours apres son intervention, la patiente sest presentee aux urgences pour douleurs abdominales intenses. Lexamen clinique a revele une patiente febrile, algique et asthenique. Lexamen abdominal a objective une peau induree, rouge, chaude et cartonnee, une grande plage de necrose au-dessus de la cicatrice de pfannenstiel avec issues de pus. Lexamen au speculum a objective, un ecoulement purulent. A la biologie, Lhemogramme a note une hyperleucocytose a 25 700 elements/mm3. La CRP etait a 377 mg/l. Un scanner abdomino-pelvien fait en urgence a montre le pannicule adipeux sous cutanee tres epais 60mm, luterus post gravidique siege dune dehiscence au niveau du segment inferieur de 30 mm avec collection hydro-aerique en regard mesurant 53*40 mm. Cette derniere est fistulisee dans la paroi et la graisse sous cutanee realisant une 2eme collection de 14*5cm. La prise en charge a ete medico-chirurgicale et les suites operatoires simples. Conclusion: La fasciite necrosante constitue une urgence medico-chirurgicale majeure, en raison de la rapidite de progression de la necrose fascia-cutanee et de la mortalite elevee.
REVIEW PAPER-TRENDS IN PAIRING IN WIRELESS TECHNOLOGY
Authors:   Asst. Professor, V.S. Patel College Of Arts & Science, BCA-BBA Course, Affiliated to Veer Narmad South Gujarat University Surat Gujarat India., Navnitrai Dave Chetan , Ravi Mallika ,   Assitant Professor, S.S.Agarwal College, BCA course, Navsari, Affiliated to Veer Narmad South Gujarat University Surat Gujarat India.
Published: February 2024

Pairing research has been conducted since the invention of Bluetooth. Today, tethering is also used in IOT. Bonding has a lot to do with security. The global IoT market size will grow from USD 399.41 billion in 2022 to USD 486.7 billion in 2023 at a compound growth rate (CAGR) of 21.9%. The IoT market in India is projected to reach $27.31 billion in revenue by 2023. Industrial IoT dominates the market and is projected to reach a market size of USD 9.67 billion by 2023. Revenues are expected to grow at a compound annual growth rate (CAGR 2023-2028) of 17.05%. The global Bluetooth 5 market exceeded USD 4.1 billion in 2022 and is projected to grow at a CAGR of 11.0% during the forecast period 2022-2027 to reach more than USD 7.0 billion by 2027. The India wireless speaker market is expected to reach USD 271.32 million in 2023 and will grow at a CAGR of 21.20% to reach $709.56 million by 2028. In short, growth projections are quite high, so security considerations are very important. I looked at 100 papers in this review and categorized them below. 11 papers on attacks 8 papers on security against attacks 32 papers on new algorithms, new architectures and systems 14 papers on evaluation of the current connection method. Their components 15 papers on proposals for existing coupling techniques, 20 papers on existing coupling techniques. Objectives of this review are study of how an attack can be simulated on pairing and how to simulate defensive mechanisms.
A STUDY ON UTILIZATION OF MATERNAL AND CHILD HEALTH CARE SERVICES IN RURAL FIELD PRACTICE AREA OF KHAJABANDANAWAZ INSTITUTE OF MEDICAL SCIENCES, KALABURAGI-KARNTAKA
Authors:   Assistant Professor, Department of Community Medicine, Al Ameen Medical College Vijayapur Karnataka., Mujahid Mujeeburehman , Naaz Faraha ,   Assistant Professor, Department of Community Medicine, Apollo Institute of Medical Sciences, Hyderabad., a Shivanand ,   Associate Professor, Department of Community Medicine, Mahadevappa Rampure Medical College Kalaburagi Karnataka.
Published: February 2024

Background: In any community, mothers and children constitute a priority group. In sheer numbers, they comprise approximately 71.14% of the population of the developing countries. In India, women of the childbearing age (15-44 years) constitute 22.2% and children under 15 years of age about 35.3% of the total population. Together, they constitute nearly 57.5% of the total population. Mothers and children not only constitute a large group, but they are also a vulnerable or special-risk group. The main aim of MCH Services remains to ensure that, throughout pregnancy and puerperium, every mother maintain optimal health, and at the end of pregnancy, a healthy mother and a healthy baby and promote the child health throughout the infancy and childhood. Methodology: A community based cross sectional study was done among 400 pregnant and lactating mothers having infant residing in rural field practice area of Aurad, department of Community Medicine of KhajaBandanawaz Institute of Medical Sciences, Kalaburagi from January -December 2017 for a duration of one year. A predesigned and pretested proforma was used to collect the sociodemographic details, utilization of Mother and child service at Aurad . Result: Majority of the subjects 184 (46.0%) were in age group 21-25 years and the mean age of mothers in present study is 24.53 Â± 2.85 years. While, 30% Utilized ANC service and around 56% Utilized PNC service. Religion and utilization of antenatal services was found to be statistically significant. Conclusion: The better utilization of the maternal health services can be achieved by overall socio-economic development including focus on women empowerment and education, incorporation of religious norms and faiths in the health policies.
ANTI-HYPERGLYCAEMIC EFFECT OF EUPHORBIA HIRTATO SWISS ALBINO MICE
Authors:   Associate Professor, Department of Unani Medicine, Hamdard University Bangladesh, Hamdard City of Science, Education & Culture,Gazaria, Munshiganj, Dhaka, Bangladesh., Marjhan Nargish , Abdul Mannan Md ,   Assistant Professor, Department of Unani Medicine, Hamdard University Bangladesh, Hamdard City of Science, Education & Culture,Gazaria, Munshiganj, Dhaka, Bangladesh.
Published: February 2024

Diabetes is a chronic disease that affects the bodys ability to utilize the energy found in food. This is a condition in which the pancreas does not produce enough insulin, which the body needs to regulate glucose metabolism. Diabetes mellitus is a complicated health condition with multiple causes and many natural treatment options.In Euphorbiahirtaafzelin, quercitrin, myricitrin,rutin, quercitin, euphorbin-A, euphorbin-B, euphorbin-C, euphorbin-D, 2,4,6-tri-O-galloyl-ÃŽÂ²-d-glucose, 1,3,4,6-tetra-O-galloyl-ÃŽÂ²-d-glucose, kaempferol, gallic acid, and protocatechuic acidhave been isolated.Euphorbia hirtahas antidiabetic, antioxidant, antibacterial, sedative, anxiolytic, anti-epileptic, anti-inflammatory, analgesic, antipyretic, antihistamine, anti-asthmatic, anti-diabetic, anti-cancer, and wound healing properties. It exerts healing, gastrointestinal, diuretic, antiparasitic, immunological, hepatoprotective, galactose-producing, and angiotensin-converting enzyme inhibitory effect.Medicinal plants have been reported to be useful for diabetes all over the world and are empirically used as antidiabetic and antihyperlipidemic agents. Therefore, the present study was designed to investigate antihyperglycaemic effect of Euphorbia hirtawith different doses. The antihyperglycaemic properties of methanolic extract of the Euphorbia hirtawas evaluated in Swiss albino mice in order toscientifically validate its traditional therapeutic use with the different doses as per bodyweight. In this experiment, among all the doses, the methanolic extract of Euphorbia hirta decrease the blood sugar level. The low dose (50 mg/kg body weight) decrease the glucose level compared to control but not as much as standard value. Oral administration of methanolicextract of Euphorbia hirtadoses equivalent to 100, 200 and 400 mg/kgbody weight produce significantantihyperglycaemic effects respectively.
MICROPHOTOGRAPHY- A REVIEW
Authors: Biswas Bishal , Singh Sanjeet , Sharma Kanika , Singh Paramjit
Published: February 2024

Microphotographs are useful biology teaching aids. In laboratory activities that require microscope slide preparation, they are an effective tool for pre- and post-lab discussions. They are also useful mechanisms to enhance lectures that deal with the microscopic world.1Microphography is useful to generate high quality micrographs with high resolution with a larger field of view, that enable to view the crucial ultrastructure relevant for pathological diagnosis. Incorporation into correlation and multi-modal microscopy workflows will assist with solving problems not only in research but also in specific fields of pathology and medical diagnosis.2
IMPACT OF ANTIMICROBIAL STEWARDSHIP PROGRAMMES ONBACTERIAL RESISTANCE LEVEL IN THE UAE: A SYSTEMATICREVIEW
Authors:   MPH, Clinical Pharmacy, Independent Researcher., Gomaa Ahmed , Aly Sherif ,   MD, M.B.B.CH, M.Sc. Anesthesia, Egyptian Fellowship in Anesthesia and ICU, Dubai Health, Hatta Hospital., Elswerky Emadeldein ,   B.SC Pharmacy, Independent Researcher., Husseiny Ahmed ,   B.Sc. Pharmacy, CPHQ, CMQ, Independent Researcher.
Published: February 2024

Antimicrobial resistance is a global problem that needs to be addressed immediately due to its huge clinical and economic burden ((WHO, 2021a). The death toll associated with antimicrobial resistance approached 5 million cases in 2019 while total cost that can impact the whole society is around Â£10 billion each year (Antimicrobial Resistance Collaborators, 2022: Smith and Coast, 2012). Eventually, this has motivated the World Health Organization (WHO) to set a global action plan to counteract the antimicrobial resistance all-over the world as a priority issue (WHO, 2015). In 2015, the United Nations (UN) released the updated Sustainability Development Goals (SDG) that is aiming to improve the public health and general well-being of the globe through tackling 17 topics. Treatment and prevention for multiple common infections such as Human Immunodeficiency Virus (HIV), malaria, tuberculosis and others were among the main targets in its agenda (UN, 2019). In UAE, although several initiatives have been adopted such as launching antimicrobial stewardship programmes and surveillance programmes, antimicrobial resistance is still an unresolved issue (National sub-committee for AMR surveillance, 2021 UAE Higher Committee for Antimicrobial Resistance, 2019). The resistance of Acinetobacter species to several cephalosporins and penicillins exceeded 20% (National sub-committee for AMR surveillance, 2021). Current evidence available publicly does not include a systematic review that is evaluating the effect of antimicrobial stewardship programmes on bacterial resistance level in UAE. With the scarcity of data and complexity of the issue, it is important to conduct this systematic review to assess the impact of these programmes on bacterial resistance level and identify gaps and challenges in the implementation.
The Relationship Between Marketing Strategies and Customer Satisfaction in the Fast-Food Restaurant Industry
Authors: Santos John Angelo , Sotelo-Drequito Glory
Published: February 2024

This research examines the relationship between marketing strategies and customer satisfaction within the fast-food restaurant industry, focusing on product and promotional strategies. The study unveils critical insights gathered from a representative sample of 400 respondents. Findings reveal that product strategies, such as incorporating local and international flavors, offering unique menu items, introducing new products, and improving existing offerings, significantly attract and satisfy customers. Moreover, emotionally resonant promotional strategy and celebrity endorsements have a compelling impact on customer purchasing decisions. The study underscores the importance of a comprehensive marketing approach, harmonizing both product and promotional strategies, in enhancing overall customer satisfaction. The positive correlations observed between marketing strategies and customer satisfaction highlight the paramount role of marketing strategies in shaping the success of fast-food restaurants, underscoring their crucial influence on customer satisfaction and overall restaurant performance. These findings provide actionable recommendations for the industry, emphasizing the need for adaptability, convincing advertisements, and culinary innovation to meet evolving consumer preferences and expectations.
Desfechos maternos associados às intervenções no trabalho de parto de nulíparas de baixo risco
Authors: Coelho Tatiane da Silva , Castro Régia Christina Moura Barbosa , Da Costa Camila Chaves , Carneiro Jéssica Lourenço , Maciel Nathanael de Souza , Damasceno Ana Kelve de Castro
Published: February 2024

Este estudo objetivou analisar os desfechos maternos associados às intervenções realizadas durante o trabalho de parto de nulíparas de baixo risco. Trata-se de um estudo transversal, com 534 parturientes nulíparas. Foram utilizados modelos de regressão gamma e regressão logística, para o nível de significância p<0,05. O uso do partograma, venóclise, métodos não farmalógicos para alívio da dor, analgesia neuroaxial e manobra de valsalva estão associados a redução do tempo do período expulsivo. A cardiotografia na admissão (OR=0,20), ocitocina (OR=0,22) e jejum (OR=0,15) durante o trabalho de parto diminuíram as chances de parto vaginal, enquanto que, partograma (OR=11,00) e métodos não farmacológicos para alívio da dor no parto aumentaram as chances (OR=2,12). O estudo não revelou associação entre as intervenções e o grau de laceração perineal. O uso de ocitocina (OR=3,04), a realização manobra de kristeller (OR=9,03) demonstraram aumentar as chances de intercorrências após o parto, com prevalência para a hemorragia pós-parto. Conclui-se que as intervenções durante o trabalho de parto de nulíparas devem ser individualizadas e minimizadas, de modo a serem implementadas para obtenção de desfechos favoráveis às parturientes e seus conceptos.
Eating habits of pregnant women with Gestational Diabetes Mellitus: a pilot study
Authors: Pereira Fernanda Campos , Loiola Samara Ingryd Salvador , Rosa Damiana Diniz , Vieira-Souza Lucio Marques , Nogueira Gislaine Ferreira
Published: February 2024

O objetivo deste estudo foi avaliar os hábitos alimentares de gestantes com Diabetes Mellitus Gestacional (DMG). A amostra foi composta por 74 gestantes com DMG; a maioria com idade entre 20 e 40 anos (92%) e com renda familiar de até R$ 2.090,00 (53%). Entre as participantes, 44,6% relataram que foram diagnosticadas com DMG no 1º trimestre de gestação e 68% das participantes não se preocupavam com a alimentação antes do diagnóstico. As frutas (88,3%) foram os alimentos mais consumidos nos intervalos das grandes refeições. Em relação à frequência alimentar, a maioria das gestantes relatou consumir frutas, verduras e legumes, leite e derivados, arroz, feijão e carnes mais de cinco vezes na semana. Alimentos ricos em sódio, açúcar, gordura e aditivos alimentares como fast food, frituras, doces, refrigerantes, sucos artificiais e industrializados e embutidos foram consumidos menos de uma vez por semana, o que pode indicar adequação nas escolhas alimentares. Assim, podemos concluir que há necessidade de mais ações voltadas à educação alimentar e nutricional voltadas para mulheres com DMG.
Análise do homem em uma caverna tecnológica
Authors: Dos Santos Ivanaldo Oliveira , De Souza Gerizilda Dantas
Published: February 2024

O presente estudo tem por objetivo analisar o discurso na obra A Caverna, de José Saramago, do personagem Cipriano. O fragmento selecionado na obra aborda o impasse do homem moderno diante do avanço da tecnologia. A análise teve como trajeto temático as categorias de interdiscurso, cena discursiva e ethos discursivo desenvolvidas por Maingueneau. Além disso, foram utilizados, dentre outros, Charaudeau e Orlandi. Por fim, apontamos o interdiscurso que se entrelaça com o discurso da obra de Platão. Observamos que Saramago reformulou o discurso platônico para apresentar como o homem contemporâneo ainda é prisioneiro de suas próprias correntes.
USO DA POLÊMICA POR “SUJEITOS DA RELIGIÃO” PARA “QUEBRAR” HEGEMONIAS DA FÉ
Authors: Assunção Franco Eduardo
Published: February 2024

Partimos da hipótese, neste artigo, de que a polêmica, como recurso argumentativo/retórico definido por Amossy (2017), pode ser utilizada por “sujeitos da religião” para estruturar novas confissões religiosas ou criar dissidências dentro da Igreja à qual pertencem. Mesmo se valendo das “verdades de fé” para se estabelecerem e captarem fiéis, algumas Igrejas monoteístas utilizam recursos retóricos e ensinamentos filosóficos de Platão e Aristóteles. Nosso corpus é composto por alguns excertos do Alcorão, livro sagrado dessa mesma confissão religiosa; e de duas teses de Lutero, que deflagrou a Reforma Protestante. A metodologia utilizada consistiu em analisar esses fragmentos, considerando componentes da polêmica, como o dissenso e a erística. O referencial teórico que utilizamos é composto por estudos sobre polêmica realizados por Amossy (2017), Dascal (1988) e Kerbrat-Orecchioni (1980); além de pesquisas sobre retórica feitas por Reboul (2004), Meyer (2000), Perelman & Olbrechts-Tyteca (1996) e Aristóteles ([1377-1403 a.C.], 2000); assim como publicações sobre religião de Costa (1993), Abdalla (1996) e Chaunu (2002). Os resultados que obtivemos confirmam nossa hipótese de que a polêmica cumpre um importante papel na religião, no sentido de gerar discussões necessárias, combater a opressão e “quebrar” hegemonias de ideias e grupos religiosos.
Análise da argumentação de parlamentares na Constituição de 1988 a partir de enunciados sobre enfiteuse
Authors: Gomes de Abrantes Elaine Maria
Published: February 2024

Na Assembleia Nacional Constituinte brasileira de 1987-1988, um caloroso debate em torno da enfiteuse, sua extinção ou permanência, com ou sem modificações, foi travado. Através de pedido escrito e protocolizado junto ao Congresso Legislativo brasileiro, obtivemos a transcrição das falas dos parlamentares federais sobre a referida deliberação para a confecção da Carta Constitucional de 1988. Tais falas constituíram nosso corpus, cuja análise teve como teoria base a Nova Retórica (2005), nas categorias de teses e valores. Conta com o reforço teórico de diversos autores que tratam da argumentação em sala de aula, tais como Leitão (2007), Baker (2009), Goulart (2011), entre outros. O artigo é o resultado do trabalho de conclusão do Curso de Licenciatura em Letras a Distância (EAD) do Instituto Federal da Paraíba – IFPB. Sob uma perspectiva qualitativa e utilizando-se de um método essencialmente indutivo, mas também dedutivo, buscamos conhecer as conclusões prevalentes nas discussões da Carta Magna brasileira de 1988, situadas sobre o instituto milenar enfiteuse. A pesquisa nos permitiu compreender que análises de contextos reais poderão contribuir para trabalhar argumentação em sala de aula de Língua Portuguesa.
Recepção de Marcel Proust no Brasil: uma perspectiva a partir da teoria de Jauss
Authors: Furtado Helio Dias
Published: February 2024

O presente artigo tem por objetivo apresentar a recepção que o romance Em busca do tempo perdido do escritor francês Marcel Proust recebeu nas páginas do suplemento literário Letras e Artes do jornal carioca A Manhã. Para alcançar tal objetivo, apresentamos a Estética da Recepção do teórico alemão Hans Robert Jauss, onde vemos as sete teses que constituem sua teoria bem como conceitos fundamentais como horizonte de expectativas e distância estética. A etapa seguinte será uma contextualização político-cultural do suplemento literário do jornal A Manhã, o que ajudará no entendimento do momento histórico que o Brasil vivia e no qual o romance francês chegou ao nosso país. Essa definição do momento político-cultural do país é imprescindível para um entendimento do horizonte de expectativas na recepção de uma obra literária de acordo com a teoria de Jauss. No levantamento do material publicado no jornal, veremos não apenas artigos de crítica literária, mas também resenhas, textos diversos e textos do próprio Proust que foram publicados no suplemento. Concluímos que a recepção do romance francês revela como a cultura da França ainda era influente naquele momento da história do Brasil e, também, que o tipo de crítica literária que predomina naquele momento era diferente do que se estabeleceria posteriormente. Nesse sentido, veremos que os nossos críticos avaliavam uma obra literária procurando se orientar por valores estritamente estéticos.
A FRAGMENTAÇÃO DA SUBJETIVIDADE COMO CONDIÇÃO DE EXISTÊNCIA:
Authors: Domingos José
Published: February 2024

Neste artigo, propomos uma reflexão acerca das estratégias discursivas, realizadas nos enunciados que circulam na esfera publicitária, em que nos são dados a ver os relacionamentos entre pessoas do mesmo sexo. Mais amplamente, mostraremos as condições de possibilidade por que passa o sujeito gay a fim de constituir-se enquanto experiência histórica do presente. Este nosso propósito será ancorado pelo pensamento de Michel Foucault (2008; 2012) sobre como deve ser o sujeito, que posição deve ocupar no real ou no imaginário para se tornar sujeito legítimo deste ou daquele conhecimento. Retomamos também J-J Courtine (2006) para tratarmos de uma semiologia histórica que constitui os elementos imagéticos do corpus. Serão analisadas peças publicitárias das empresas IKEA e Tecnisa e da revista VIP. Observamos que nessa produção discursiva há um jogo da legitimação e do controle das imagens e dizeres, que funciona como verdade na ordem discursiva midiática do mercado publicitário por onde a subjetividade gay se inscreve como possibilidade de existência.
CRIAÇÃO POÉTICA COMO PRÁTICA DE LIBERDADE
Authors: Pereira Anísio Batista
Published: February 2024

As práticas discursivas se traduzem em várias formas e dimensões, sendo responsáveis pela constituição de sujeitos. Dentre as várias possibilidades, sem dúvida a criação poética merece atenção nesse contexto, pelas suas especificidades que a diferenciam das comunicações utilitárias. Pensando nessa questão, o presente estudo objetiva refletir sobre a produção discursiva poética e sua relação com as práticas de liberdade, tendo em vista a constituição do sujeito. Como recorte para análises, foram selecionados três poemas, cada qual de um livro do escritor brasileiro Manoel de Barros. No que concerne ao suporte teórico-metodológico, amparamo-nos nas formulações de Foucault, teórico que é tomado por linguistas para fins de método de análise de discurso. Nessa perspectiva, os conceitos de sujeito, transgressão e prática de liberdade foram a direção para nosso percurso analítico. Pelas análises, é possível detectar uma ordem discursiva, pela criação poética, que foge da linguagem funcional do cotidiano, direciona-se para a transgressão, cujo sujeito possui liberdade de criação nesse processo de cuidado de si, dado por uma ética e uma estética da existência.
Sentidos sobre aprender e avaliar no ensino remoto emergencial
Authors: Pereira Martins Maria Niedja
Published: February 2024

Este texto apresenta reflexões sobre os sentidos de aprender e avaliar que foram construídos por estudantes de vários cursos de licenciatura no contexto de Ensino Remoto Emergencial, na disciplina de Avaliação da Aprendizagem na Universidade Federal de Pernambuco no ano de 2021. Para esse estudo, optou-se por uma análise de dados temático-categorial de Bardin. Os resultados sugerem que os alunos construíram novos significados em torno do Ensino Remoto Emergencial, a partir de experiências proveitosas de aprendizagens associadas a práticas docentes empáticas e horizontais e baseadas em conhecimentos técnicos e teóricos sobre o ensinar por meio de tecnologias. As análises dos dados indicaram que é importante que os alunos estejam abertos a vivenciar novas experiências, partilhar suas impressões e assumir verdadeiramente responsabilidades sobre o seu processo de aprendizagem. A partir do desenvolvimento da disciplina de Avaliação da Aprendizagem, os estudantes também puderam ampliar suas formas de pensar sobre avaliação, estabelecendo relações com as dimensões políticas, humanas, pedagógicas e técnicas.
MULTICONTEXTOS E COGNIÇÃO
Authors: De Oliveira de Sousa Nádson
Published: February 2024

Esta pesquisa tem por objetivo compreender as influências que os multicontextos têm no processo de desenvolvimento cognitivo de indivíduos. A mesma tem uma abordagem qualitativa e configura-se como uma pesquisa de campo. A coleta de dados ocorreu por meio de entrevistas informais, momentos de conversas e observações, tendo em vista que os sujeitos pesquisados foram crianças que vivem em diferentes multicontextos. O conceito de multicontextos aqui apresentado se refere aos contextos de vida nas esferas social, financeira, cultural e familiar. O desenvolvimento cognitivo de um indivíduo está relacionado a diversos aspectos de sua vida, desde questões neurobiológicas e hereditárias até o ambiente em que vive. Isso acontece devido à plasticidade, que pode ser entendido como um termo amplo que envolve o processo de modificação e adaptação do sistema nervoso. Evidenciou-se, por meio da análise de dados, que os multicontextos presentes na vida do indivíduo influenciam diretamente em aspectos do seu desenvolvimento cognitivo e até do seu desenvolvimento global. Também se viu que diversos fatores multicontextuais podem afetar no desenvolvimento cognitivo, como fatores familiares, financeiros, sociais, culturais e emocionais. Percebeu-se que os sujeitos com contextos mais favoráveis demostraram aspectos cognitivos mais desenvolvidos se comparados com os sujeitos de contextos desfavoráveis.
Seed priming with various chemical agents stimulates the germination and growth attributes synergistically in wheat (Triticum aestivum L.) varieties
Authors: Ghimire Netra Prasad , Mehata Dipesh Kumar , Yadav Shubh Pravat Singh , Shrestha Samaz , Paudel Pragya , Shah Preeti , Prasai Goma , Bhujel Sangita
Published: February 2024

Seed priming is a pre-sowing technique that involves the soaking of seeds in water or other solutions to initiate germination and early growth. This study explores the impact of different seed priming solutions on both the germinate on rate and overall performance of the wheat varieties Banganga and Bijaya. The seeds were subjected to different treatments, including polyethylene glycol (PEG) (10 %), boric acid (0.1 %), urea (2 %), polyethylene glycol (PEG) (5 %), ZnSO4 (2 %), MoP (2 %), DAP (2 %), CaCO3 (2 %), and with untreated seeds serving as the control. There was significant variation among the seed priming agents and that they also had a significant effect on the germination percentage, speed of germination, and seedling growth of wheat. CaCO3 (2 %), DAP (2 %), and untreated seeds were found to be the most effective priming solutions, showing superiority in all parameters measured, including shoot length, root length, and fresh weight. Furthermore, Bijaya exhibited higher germination parameters, while Banganga displayed better growth parameters. In conclusion, the findings suggest that using Bijaya with DAP (2 %) or CaCO3 (2 %) as seed priming agents can significantly improve the germination and growth parameters of wheat seedlings. This research sheds light on the potential of various chemical agents applied during seed priming to enhance the germination and growth of two different varieties of wheat.
DHFS-ECM: Design of a Dual Heuristic Feature Selection-based Ensemble
Classification Model for the Identification of Bamboo Species from
Genomic Sequences
Authors: Durge Aditi R. , Shrimankar Deepti D.
Published: February 2024

Background:

Analyzing genomic sequences plays a crucial role in understanding biological
diversity and classifying Bamboo species. Existing methods for genomic sequence analysis suffer
from limitations such as complexity, low accuracy, and the need for constant reconfiguration in
response to evolving genomic datasets

Aim:

This study addresses these limitations by introducing a novel Dual Heuristic Feature Selection-
based Ensemble Classification Model (DHFS-ECM) for the precise identification of Bamboo
species from genomic sequences.

Methods:

The proposed DHFS-ECM method employs a Genetic Algorithm to perform dual heuristic
feature selection. This process maximizes inter-class variance, leading to the selection of informative
N-gram feature sets. Subsequently, intra-class variance levels are used to create optimal
training and validation sets, ensuring comprehensive coverage of class-specific features. The selected
features are then processed through an ensemble classification layer, combining multiple stratification
models for species-specific categorization.

Results:

Comparative analysis with state-of-the-art methods demonstrate that DHFS-ECM achieves
remarkable improvements in accuracy (9.5%), precision (5.9%), recall (8.5%), and AUC performance
(4.5%). Importantly, the model maintains its performance even with an increased number of
species classes due to the continuous learning facilitated by the Dual Heuristic Genetic Algorithm
Model.

Conclusion:

DHFS-ECM offers several key advantages, including efficient feature extraction, reduced
model complexity, enhanced interpretability, and increased robustness and accuracy through
the ensemble classification layer. These attributes make DHFS-ECM a promising tool for real-time
clinical applications and a valuable contribution to the field of genomic sequence analysis.
A Novel Approach to the Technique of Lung Region Segmentation Based on a
Deep Learning Model to Diagnose COVID-19 X-ray Images
Authors: Ding Xuejie , Zhou Qi , Liu Zifan , Hammad Kowah Jamal Alzobair , Wang Lisheng , Huang Xialing , Liu Xu
Published: February 2024

Background::

The novel coronavirus pandemic has caused a global health crisis, placing immense strain on healthcare systems worldwide. Chest X-ray
technology has emerged as a critical tool for the diagnosis and treatment of COVID-19. However, the manual interpretation of chest X-ray films
has proven to be inefficient and time-consuming, necessitating the development of an automated classification system.

Objective::

In response to the challenges posed by the COVID-19 pandemic, we aimed to develop a deep learning model that accurately classifies chest X-ray
images, specifically focusing on lung regions, to enhance the efficiency and accuracy of COVID-19 and pneumonia diagnosis.

Methods::

We have proposed a novel deep network called FocusNet for precise segmentation of lung regions in chest radiographs. This segmentation
allows for the accurate extraction of lung contours from chest X-ray images, which are then input into the classification network, ResNet18. By
training the model on these segmented lung datasets, we sought to improve the accuracy of classification.

Results::

The performance of our proposed system was evaluated on three types of lung regions in normal individuals, COVID-19 patients, and those with
pneumonia. The average accuracy of the segmentation model (FocusNet) in segmenting lung regions was found to be above 90%. After reclassification
of the segmented lung images, the specificities and sensitivities for normal, COVID-19, and pneumonia were excellent, with values
of 98.00%, 99.00%, 99.50%, and 98.50%, 100.00%, and 99.00%, respectively. ResNet18 achieved impressive area under the curve (AUC) values
of 0.99, 1.00, and 0.99 for classifying normal, COVID-19, and pneumonia, respectively, on the segmented lung datasets. Moreover, the AUC
values of the three groups increased by 0.02, 0.02, and 0.06, respectively, when compared to the direct classification of unsegmented original
images. Overall, the accuracy of lung region classification after processing the datasets was 99.3%.

Conclusion::

Our deep learning-based automated chest X-ray classification system, incorporating lung region segmentation using FocusNet and subsequent
classification with ResNet18, has significantly improved the accuracy of diagnosing respiratory lung diseases, including COVID-19. The proposed
approach has great potential to revolutionize the diagnosis of COVID-19 and other respiratory lung diseases, offering a valuable tool to support
healthcare professionals during health crises.