bluuebunny/crossref_metadata_2025 huggingface dataset:
Hospital and Emergency Services in Rural Areas
Authors: Côté Murray J. , Shrestha Aakriti
Published: November 2024

Rural America continues to face significant challenges in accessing hospital and emergency services. Through various combinations of policy and technology, considerable progress has been made in the breadth and delivery of services in rural communities. Ironically, the barriers that persist are consequences of being associated with rural regions. The pursuit of improving rural-based hospital and emergency services is made more difficult by limited healthcare resources, low population density, and residents with limited or no health insurance who also tend to have generally poorer health status relative to those in other, primarily urban, geographic areas. Optimistically, the growing and persistent attention being paid to rural America may ultimately lead to lower disparities and fewer challenges. The recognition of the rural-urban gaps coupled with innovations in delivery, such as REHs and telehealth, represent important and significant progress.
Rural Healthcare Access and Quality
Authors: Callaghan Timothy H. , Lunz Trujillo Kristin , Lockman Alee , Falia Gogoal
Published: November 2024

In the past decade, healthcare access and quality in the U.S. have improved significantly, largely due to the Affordable Care Act (ACA), which enabled millions to obtain affordable health insurance. This has facilitated increased access to healthcare services and reduced the burden of uncompensated care. Technological advancements have further enhanced access through telehealth, allowing more Americans to receive timely care. However, disparities in healthcare access and quality persist, particularly in rural areas. Rural Americans often lack health insurance, face travel barriers to care, experience health professional shortages, and are affected by hospital closures. Additionally, inadequate internet and device access limits telehealth's potential. Similar challenges affect minority groups and those in states without Medicaid expansion. To bridge these gaps, policy changes are essential. Expanding Medicaid, improving internet coverage for telehealth, addressing health professional shortages, supporting rural hospitals, and reducing prescription drug costs are critical steps. Policies like the Inflation Reduction Act are underway, and their impact on rural health must be monitored over the coming decade.
Rural Substance Misuse Trends in America
Authors: Montemayor Benjamin N. , Woodland Gracie , Barry Adam E.
Published: November 2024

Alcohol is the most commonly used substance among American school-aged youth. It is often the initial substance adolescents try, and its use is linked to subsequent illicit substance use later in life. Alcohol use is associated with poorer academic performance and engagement in risky behaviors, potentially affecting future work and educational opportunities. Rather than substance-specific interventions, policies and strategies should focus on enhancing prevention and treatment infrastructure. Rural areas consistently show higher rates of hazardous alcohol use or alcohol-related harm. Public health strategies tailored to rural communities' unique needs are essential. In-depth assessments of individual, community, and familial factors (e.g., religiosity, social norms, family relationships) should be conducted to inform targeted intervention and prevention efforts. Addressing alcohol-related challenges in rural communities requires tailored approaches that consider local context and individual factor.
Nutrition and Healthy Eating in Rural America
Authors: Seguin-Fowler Rebecca A. , Jilcott Pitts Stephanie B. , Shanks Carmen Byker , Babatunde Oyinlola T. , Maddock Jay E.
Published: November 2024

Rural adults and youth consume fewer fruits and vegetables but more sugar-sweetened beverages than their urban counterparts. Food insecurity rates remain higher in rural areas, impacting physical and mental health. Food insecurity rates are elevated in the South, particularly among Black and Native American residents. Obesity-associated chronic diseases are also more prevalent in these regions. Poverty, limited access to healthy food, and higher food costs hinder healthy eating in rural areas. Longer travel times and lack of reliable transportation further exacerbate the issue. Successful strategies include incentives, produce prescription programs, mobile markets, and improved access to summer meals. Awareness campaigns, tailored labels, telehealth, and school-based programs have also shown promise. Research on rural-specific measurement tools and technologies is needed. Assumptions about nutrition, obesity, and health must be reconsidered for diverse populations. Innovations like online shopping, drone delivery, and mobile markets can enhance rural food access and healthy eating. Addressing rural disparities requires increased funding for sustainable projects and interventions tailored to local needs.
EFFECT OF TECHNOLOGY INTEGRATION AND STUDENTS` PERFORMANCE IN ENGLISH IN PUBLIC DAY SECONDARY SCHOOLS IN RWANDAA CASE OF RUTSIRO DISTRICT
Authors:   MED Student, School Of Education, Mount Kenya University, Rwanda., Marie Claire Nyirarukundo , Opiyo Andala PhD Hesbon ,   Senior Lecturer, School of Education, Mount Kenya University, Rwanda.
Published: November 2024

Through the Ministry of Education, the Rwandan government seeks to improve the quality of education by emphasizing science, technology, and innovation. This study looks into how technology integration affects English language proficiency among students in public day secondary schools, particularly in the Rutsiro District. The Research aimed at evaluating the effects of technology integration on students English performance in public day secondary schools across Rwanda, with a focus on Rutsiro District. Georges Siemens 2005 idea of connectivism serves as the foundation for the theoretical framework of this investigation. Prior studies have demonstrated a favourable relationship between students proficiency in English and the integration of technology. The researcher used the Yamane method to pick 122 respondents as a sample from the population of 542 informants who were the focus of this study. Data were collected for the study through the use of questionnaires, guided interviews, and educational material analysis. Both descriptive and correlational design were applied. The analysis of quantitative data was conducted with SPSS software, version 25. In this case, regression, correlation and descriptive analysis were established. Qualitative findings were analyzed using thematic analysis and lastly the data were presented and discussed thereafter. The findings indicate that 47.8% and 43.4% agreed and strongly agreed respective that computers, smartphones, audio files, sound recorder and projectors have a positive effect on students English communication skills, participation in class, school progress-completion, ICT usage and academic performance. The mean for all variables were approximately 4 with standard deviation of 1 approximately. The beta coefficients for technology tools being integrated, smart phones, computers and audio files were 60.5%, 5.1% and 21.9% corresponding with p value 0.000, 0.581 and 0.002. The study concluded that the integration of technology, including smartphones, computers, and audio files, positively impacts students performance in English at public day secondary schools in Rwanda. Recommendations were provided to stakeholders, including teachers, head teachers, and students, regarding the importance of digital skills in 21st-century education. Additionally, suggestions for areas for future research were presented.
ASSESSMENT OF PREVALENCE OF MYTHS REGARDING ORAL CANCER - A HOSPITAL BASED STUDY
Authors:   Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India, Das Saptarshi , Shah Neha ,   Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India, Pal Mousumi ,   Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India, Chatterjee Arunit ,   Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India, Pervin Rojina ,   Department of Oral and Maxillofacial Pathology, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India, Mukherji Ishan ,   . Department of Public Health Dentistry, Guru Nanak Institute of Dental Sciences and Research, Kolkata, India.
Published: November 2024

Objective: Evaluation ofthe prevalence of myths associated with oral cancer among general population. Methods:The study was conducted in the Department of Oral and Maxillofacial Pathology and Department of Oral Medicine and Radiology, of Guru Nanak Institute of Dental Sciences and Research (GNIDSR), Panihati, Kolkata during the period of June 2023-May 2024 among 250 individuals. A self-administered, pre-tested, validated questionnaire comprising of 13 close ended questions, was given to the study subjects to assess the prevalence of myths regarding oral cancer. The collected data were statistically analysed. Result:This study revealed that few of the individuals attending the Out Patient Department (OPD) OF GNIDSR still believed in the myths regarding oral cancer. Conclusion:The results of this study show that still some people believes in various myths associated with oral cancer which results in increased numbers of new case as well as the mortality rate which might be due to lack of knowledge and awareness about various facts regarding oral cancer.
SACROCOCCYGEALTERATOMA
Authors:   Post GraduateSSIMS AND RC., M.V Anusha , Kalappanavar N.K ,   Post GraduateSSIMS AND RC., L Manjunath ,   Post GraduateSSIMS AND RC.
Published: November 2024

INTRODUCTION Sacrococcygeal teratomas are the most common of all the GCTs in pediatric age group that originate from the totipotent cells from Hansen\\\'s node or primitive germ cells.(1) incidence is approximately 1 in 40,000 live births with a male to female ratio of 1:3–1:4.Huge and highly vascular SCTs,may result in massive hemorrhagic complications. CASE REPORT A 5 day old male baby delivered via LSCS at 36 WOG was admitted to NICU due to large sacrococcygeal teratoma (20X15cms). The neonate had no other congenital abnormality. Total weight of neonate was 2.7kgs of which tumor was approximately 700gm. Ct Abdomen and pelvis Revealed Type 2 Mature sacrococcygeal teratoma with intrapelvic and large extrapelvic component with Spina bifida occulta and surgical removal of tumour was performed DISCUSSION: Sacrococcygeal tumors can be diagnosed antinatally,the cases with antenatal diagnosis are at a high risk of perinatal complications and fetal death from high output cardiac failure. Early surgical Management in above case and Good postoperative care, minimal blood loss during procedure resulted in Good outcome (2) CONCLUSION Mature sacrococcygeal teratoma appear to be benign in nature and complete surgical resection is main stay of treatment REFERENCES 1)Yadav DK, Acharya SK, Bagga D, Jain V, Dhua A, Goel P. Sacrococcygeal Teratoma: Clinical Characteristics, Management, and Long-term Outcomes in a Prospective Study from a Tertiary Care Center. J Indian Assoc Pediatr Surg. 2020 Jan-Feb;25(1):15-21. 2) Shrestha HK, Shrestha RG. Sacrococcygeal Teratoma: A Case Report. JNMA J Nepal Med Assoc. 2020 Jul 31;58(227):508-511
OSCE RELATED ANXIETY IN ASSOCIATION WITH PERCEIVED VS ACTUAL PERFORMANCE
Authors:   Department of Pediatrics, College of Medicine, Taif University, Taif, Saudi Arabia., Alzahrani Ahmad
Published: November 2024

Objectives: The study investigates the impact of anxiety on medical students performance in Objective Structured Clinical Examinations (OSCEs), focusing on the relationship between self-perceived and actual performance. Methods: Conducted among 5th-year medical students at Taif University, the study used an online questionnaire with the PHQ-4 scale to measure anxiety and depression. The aim was to correlate these levels with students self-assessment and actual performance in OSCEs. Results: The study analyzed responses from 62 students. The average self-reported anxiety level was 8.95 Â± 1.348 on a 10-point scale, with 64.5% of students reporting severe anxiety and depression. No significant gender differences in anxiety and depression severity were noted (p=0.308). Higher levels of anxiety and depression were reported by students who perceived their grades as lower, although this was not statistically significant (p=0.431). There was no statistically significant correlation between anxiety/depression severity and actual grades (p=0.280). Conclusions: The study underscores the prevalent issue of anxiety among medical students and its potential influence on their self-perceived performance in critical evaluations like OSCEs. It suggests the necessity for targeted interventions to manage student anxiety, which could enhance self-assessment accuracy and overall performance.
EVENING PRIMROSE OIL AS A DIETARY THERAPY AT DIFFERENT STAGES OF A WOMANS REPRODUCTIVE AGE
Authors: Martinez Valeria Peralta , Vera Maria Samantha Vargas , Ortega Jose Alberto Ariza , Olivares Luis Delgado
Published: November 2024

Introduction: Primrose or evening primrose, scientifically known as Oenothera biennis L, this small yellow flower has brown seeds from which an oil rich in essential fatty acids is extracted, in particular linoleic acid and y-linoleic acid. These are the reason for the use of evening primrose oil, as they have benefits in cellular structure, skin, metabolism, reproductive system, among others. Objective: To evaluate evening primrose oil as diet therapy in different stages of the reproductive age of women to determine its efficacy. Methodology: The search was based on a literature review and were examined for eligibility according to the inclusion criteria. Results: Essential fatty acids can be depleted during the menstrual cycle, leading to hormonal imbalance that causes most premenstrual symptoms. According to the benefits found in cervical preparation in pregnancy, they are related to the effects of misoprostol and evening primrose oil on prostaglandins. The last article found in this research deals with the relationship between the consumption of evening primrose oil and its possible benefits in the psychological symptoms that may appear in the climacteric syndrome (menopause). Discussion: According to the results obtained, further research is necessary to be sure of a probable alternative treatment with evening primrose oil.
KNOWLEDGE AND BEHAVIOR OF HATTA HOSPITAL HEALTH CARE PROFESSIONALS REGARDING COVID-19 INFECTION PREVENTION AND CONTROL
Authors:   Emergency Medicine Departement, Hatta Hospital, Dubai Health., Mohamed Abdelhamied , MD Naglaa , S. Weinstein, MDMScDM Eric ,   Emergency Medicine Departement, Hatta Hospital, Dubai Health., Yusufali, MD; MMed; FRCP Afzalhussein ,   Emergency Medicine Departement, Hatta Hospital, Dubai Health., M. Farghaly , MD. Rasha ,   Emergency Medicine Departement, Hatta Hospital, Dubai Health.
Published: November 2024

Healthcare-associated infection represents a public health problem in all countries. COVID-19 patients can rapidly overwhelm the capacities of healthcare systems. As more patients are hospitalized, healthcare workers (HCW) at the frontline of care are at the greatest risk of infection. This study aimed to assess the knowledge and self-reported behavior of healthcare professionals in Hatta Hospital regarding COVID-19 infection prevention and control (IPC) during this emerging infectious disease pandemic. A descriptive cross-sectional study was conducted in Hatta hospital, United Arab Emirates (UAE) among one hundred HCWs using a self-administered questionnaire based on UAE National and World Health Organization (WHO) IPC guidelines. Of the study participants, 66% received COVID-19 IPC training inside Hatta hospital. The mean knowledge and behavior scores were 75.7% Ã‚Â± 9.4 and 87.6% Ã‚Â± 5.9, respectively. Knowledge score and behavior score were not related to gender (p= 0.232, 0.091, respectively ) and to work position (p= 0.882, 0.994, respectively), however, they were related to the previous contact with COVID -19 patients (p= 001, 0.011, respectively ). Nonetheless, gaps in IPC knowledge and behavior have been identified and need improvement. This includes donning and doffing of PPE and optimal use of protective measures especially respirators (N95 or FFP2).
CLINICAL STUDY OF EFFICACY OF SHASHANKHLEKHADI CHOORNA IN KUSHTHA (CHAKRADATTA)
Authors:   M.D.Kayachikitsa, Department of Kayachikitsa, A.P.M. Ayurved Mahavidyalaya Sion, Mumbai-400022., Varsha Gore , Swapnil Marathe ,   M.D.Kayachikitsa, Department of Kayachikitsa, A.P.M. Ayurved Mahavidyalaya Sion, Mumbai-400022., Anaya Pathrikar ,   H.O.D. and Professor, Department of Kayachikitsa, A.P.M. Ayurved Mahavidyalaya Sion, Mumbai-400022.
Published: November 2024

Present study deals with evaluation of efficacy of ShashanklekhadiChoorna in the management of DadruKushtha. Study was done in 30 patients who were suffering from DadruKushtha. Drug ShashankhlekhadiChoorna was given to patients in dose of 3 gms twice a day inPragbhakta with Tiltail as Anupana. Study period was of 28 days. The patients were assessed on the basis of subjective parameters i.e.Kandu (Itching), Daha (Burning sensation), Raga (Colour changes), Pidaka (Eruptions) and objective parameters i.e. Size of Lesions and No. of Lesions. Medicine proved to be effective for Dadru.
CASE REPORT: A 42-YEAR-OLD FEMALE WITH SERONEGATIVE AUTOIMMUNE HEPATITIS
Authors:   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Mahmoud Ibrahim Mohamed Mohamed , Fawzy Kewan Hesham ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Abdelmonem Omar Mohamad ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Khaled Abou El Foul Rami ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Abdulmola Albawab Amer ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Ramadan Ahmed ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Mohammed Ahmed Eslam ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Mustafa Quraishy Nael ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Syed Rezzek Manal ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates.
Published: November 2024

This report details the case of a 42-year-old woman who was admitted to the hospital with symptoms of fatigue, body aches, jaundice, and dark urine. Additionally, she experienced discomfort in the right upper quadrant and urinary symptoms. Despite negative autoimmune tests, a liver biopsy confirmed the diagnosis of seronegative autoimmune hepatitis. This case underscores the diagnostic complexities associated with this condition and highlights the necessity of histological assessment.
CASE REPORT: AUTOIMMUNE HEPATITIS IN A 29-YEAR-OLD FEMALE WITH RECURRENT PREGNANCY LOSS
Authors:   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Mahmoud Ibrahim Mohamed Mohamed , Fawzy Kewan Hesham ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Abdelmonem Omar Mohamad ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Khaled Abou El Foul Rami ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Abdulmola Albawab Amer ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Ramadan Ahmed ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Mohammed Ahmed Eslam ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Mustafa Quraishy Nael ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Syed Rezzek Manal ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates.
Published: November 2024

Autoimmune hepatitis (AIH) is a rare chronic liver disease characterized by a wide spectrum of symptoms ranging from asymptomatic to jaundice, which can be confusing in diagnosis because of their non-specificity and the presence of laboratory changes. This case report presents a 29-year-old woman with AIH and past history of repetitive pregnancy losses. She has been diagnosed with various problems such as two rounds of failed in vitro fertilization, five miscarriages and secondary amenorrhea. A liver biopsy proved AIH, and appropriate prednisolone and azathioprine therapy resulted in a positive change in her liver status. Early diagnosis and right management of AIHresulted in significant clinicalimprovement and normalization of liver function tests.
EVIDENCE FOR REINFECTION WITH SARS-COV-2: A CASE SERIES STUDY
Authors:   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Mahmoud Ibrahim Mohamed Mohamed , Khaled Abou El Foul Rami ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Abdulmola Albawab Amer ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Fawzy Kewan Hesham ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates., Abdelmonem Omar Mohamad ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Mohammed Ahmed Eslam ,   Intensive Care Department, Hatta Hospital, Dubai, United Arab Emirates., Mustafa Quraishy Nael ,   Orthopedic Department, Hatta Hospital, Dubai, United Arab Emirates., Syed Rezzek Manal ,   Internal Medicine Unit/Gastroenterology, Hatta Hospital, Dubai, United Arab Emirates.
Published: November 2024

Protective immunity conferred by COVID-19 (severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is unknown and reinfection with SARS-CoV-2 is not studied well. There are few case reports for reinfection with COVID- 19 which put a question marks on long lasting immunity after COVID- 19 infection. We present five cases with reinfection with SARS-CoV-2.Their age range 25-37years-old, all are united Arab Emirates ( UAE) resident with no travel history for the previous year tested positive for SARS-CoV-2 during a community screen campaign.All tests were done by qualitative PCR test for SARS-CoV-2 RNA through Nasopharyngeal swabs obtained from the patients. The course of disease in the three patientsranging from mild symptoms to asymptomatic. They had multiple SARS-CoV-2 negative test result between April 2020 to October 2020 before reinfection.Thedurations between first and second infections ranging from three to six months.Hence, we suggested that individuals with the previous infection with SARS-CoV-2 dont have long3lasting immunity against reinfections and general precautions are advised for individuals with previous SARS-CoV-2 infections.
Interfaces do agroturismo com o enfoque da cesta de bens e serviços territoriais
Authors: Guzzatti Thaise Costa , Gelbcke Daniele Lima , Cazella Ademir Antônio
Published: November 2024

O presente artigo tem por objetivo analisar a relação entre o agroturismo e a valorização de recursos territoriais específicos, na perspectiva do enfoque teórico-metodológico da Cesta de Bens e Serviços Territoriais (CBST). Por meio de um estudo de caso realizado no município de Urubici, na região da serra catarinense, o trabalho evidenciou as contribuições da Associação de Agroturismo Acolhida na Colônia na construção de uma oferta heterogênea e combinada de produtos e serviços territoriais de qualidade, alinhada com o modelo de desenvolvimento territorial sustentável. Esse modelo não hegemônico de desenvolvimento enfrenta diversos entraves para ganhar maior relevância sociopolítica e econômica, em especial pelo crescimento econômico do turismo rural no território, que conta com a participação expressiva de empreendedores externos. O fortalecimento do projeto de desenvolvimento defendido pela Acolhida na Colônia depende de uma maior articulação de iniciativas territoriais que coexistem, mas cujas conexões são ainda frágeis.
Governança territorial e comuns: nova perspectiva para uma governança colaborativa
Authors: Piraux Marc
Published: November 2024

Hoje, tanto no Norte quanto no Sul o território parece que é o conceito muito usado para enfrentar os desafios do desenvolvimento sustentável. Vários países, especialmente o Brasil, entre 2003 e 2016, estão referindo-se ao território para renovar sua ação pública. Os mecanismos de governança territorial desempenham um papel importante na organização da ação coletiva entre uma ampla gama de partes interessadas, mas a forma como operam apresenta problemas e levanta muitas questões. Este estudo, baseado em pesquisa-ações realizadas no Brasil nos últimos 15 anos, analisa como os mecanismos de governança territorial colaborativa, que se baseiam na noção de acompanhamento e comum, podem contribuir para resolver essas dificuldades. Esses elementos incluem a coconstrução de uma missão compartilhada e regras para o uso do comum, a inteligência emocional e o conflito, o papel dos mediadores na governança em vários níveis, a experimentação social e a institucionalização gradual. Utilizou-se essas percepções para sugerir maneiras de renovar a ação pública.
Metodologia participativa para construção de uma cesta de bens e serviços territoriais
Authors: Rebollar Paola Beatriz May , Nogueira Luiz Felipe Rodrigues , Cazella Ademir Antonio , Andrade Isabela Tsutiya , Lapa Flavia Simão
Published: November 2024

Este artigo empregou procedimentos metodológicos participativos de inventário e qualificação de recursos territoriais específicos em um estudo piloto no município de Paulo Lopes (Santa Catarina) a fim de embasar a construção de uma Cesta de Bens e Serviços Territoriais (CBST). A CBST identifica recursos e ativos que possam constituir uma oferta composta e sinérgica de produtos e serviços territoriais a partir da ação coletiva e se constitui em uma estratégia para inovação social e ambiental. As etapas metodológicas foram: i) inventário participativo dos recursos territoriais; ii) caracterização dos recursos inventariados; iii) diagnóstico dos graus de valorização e ativação dos recursos. O estudo foi realizado a partir de um projeto-piloto no município de Paulo Lopes, localizado no litoral centro sul de Santa Catarina, que possui 60% do território dentro do Parque Estadual da Serra do Tabuleiro, maior Unidade de Conservação do Estado, e abriga iniciativas estabelecidas e reconhecidas de produção agrícola familiar agroecológica, mas enfrenta êxodo, especialmente de jovens, em razão da atratividade das áreas urbanas do entorno. O resultado foi a definição de três ferramentas que podem ser adaptadas a diferentes condições socioeconômicas brasileiras capazes de identificar recursos territoriais passíveis de agregação de valor e que podem compor uma oferta turística de base comunitária como uma forma de trabalho não agrícola e que está baseada na organização para ação coletiva que dá espaço às mulheres, jovens e grupos étnicos com potencial para dinamizar economias periféricas e gerar oportunidades de emprego e renda de qualidade territorial.
Proposta metodológica para avaliação de eventos criativos em municípios como recurso de desenvolvimento local
Authors: Carniello Monica Franchi , Velloso Viviane Fushimi , Assis Rebeca Oliveira , De Oliveira Márcia Regina , Enari Eduardo Hidenori
Published: November 2024

A dimensão cultural dos territórios tem sido compreendida como uma potencialidade para o desenvolvimento local e regional por meio da economia criativa. A identificação das especificidades culturais que distinguem o território associada à estruturação de políticas públicas de fomento a produtos culturais potencialmente pode ser uma maneira de gerar emprego e renda para a população, com base na identidade territorial. Uma dificuldade dos municípios é mensurar os resultados das ações da economia criativa, devido às diferenças de maturidade de capacidade institucional. Este artigo tem como objetivo propor um modelo metodológico para verificar o impacto da realização de eventos criativos na dinâmica social e econômica do município. O método proposto é passível de ser testado em municípios de quaisquer portes e para todos os tipos de eventos. Foi realizada uma aplicação da pesquisa em um evento criativo em município de médio porte, o que permitiu validar e aprimorar o instrumento de coleta de dados. Conclui-se que o modelo de pesquisa proposto é viável e reprodutível em eventos de municípios de qualquer porte, o que contribui para gerar visibilidade para as ações de economia criativa e seu papel nos processos de desenvolvimento de um território.
A construção do mundo urbano biorregional: a abordagem territorialista para o planejamento e design biorregional
Authors: Poli Daniela , Luciani Giulia
Published: November 2024

Uma abordagem territorialista para o planejamento urbano e regional, baseada no conceito de biorregião urbana, pode ser essencial para combater os atuais padrões de maldesenvolvimento territorial, oferecendo uma alternativa viável. Ao ilustrar seus princípios teóricos e operacionais com a ajuda de estudos de caso da área metropolitana de Florença, Itália, o artigo busca apresentar a metodologia territorialista para reorganizar os domínios urbano e rural, considerados como um todo, em direção a um modelo de biorregião urbana. Essa abordagem baseia-se na patrimonialização proativa do patrimônio territorial por meio de processos de tomada de decisão democrática em âmbito local, com o objetivo de um desenvolvimento local autossustentável. Redesenhar o território seguindo o modelo de biorregião urbana envolve transformar a metrópole em um sistema policêntrico conectado à rede ecoterritorial biorregional, redesenhando a borda urbana para limitar a urbanização e facilitar interações localizadas com o agroflorestal, além de revitalizar as regiões rurais e montanhosas para valorizar sua importância ecológica e promover novas oportunidades de renascimento cultural e econômico.
SYNTHESIS OF Zn-Fe BIMETALLIC ZIFs AND STUDY OF THE PHOTOCATALYTIC NITROGEN FIXATION PERFORMANCE
Authors: Cao Fuchen , Li Feilong , He Tianping
Published: November 2024

In recent years, in-depth studies of zeolitic imidazolate framework-8 (ZIF-8) materials have revealed that they have many unique properties and uses. Zn-Fe bimetallic ZIFs with bimetallic active centers can be designed and fabricated based on ZIF-8 with good water resistance. The structure, composition, and photoelectrochemical properties of the Zn-Fe bimetallic ZIFs were systematically analyzed by field emission scanning electron microscopy (FESEM), mapping, X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FT-IR), X-ray photoelectron spectroscopy (XPS), ultraviolet-visible diffuse reflectance spectroscopy (UV-Vis DRS), and photoluminescence (PL). The bimetallic Zn-Fe ZIFs exhibited strong light absorption properties in the visible region at 390 nm, and the forbidden bandwidths were greatly reduced compared to those of ZIF-8. The photoelectrochemical properties of bimetallic Zn-Fe ZIFs and the separation and migration efficiency of photogenerated charge carriers can be optimized by adjusting the amount of metal introduced. The highest average photocatalytic rate of 1363.53 μmol L-1 g-1 h-1 was observed for bimetallic Zn-Fe ZIFs when Zn:Fe = 1:0.3. Finally, the photocatalytic nitrogen fixation performance of Zn-Fe bimetallic ZIFs is discussed.
Zambia's battle against cholera outbreaks and the path to public health resilience: a narrative review
Authors: Gulumbe Bashar Haruna , Chishimba Kennedy , Shehu Aminu , Chibwe Mary
Published: November 2024

In Zambia, cholera has been a persistent public health concern for decades, mainly attributed to inadequate sanitation and restricted access to clean water in some parts of the country. The literature was collected from PubMed, Google Scholar, and public health organization websites, focusing on cholera outbreaks in Zambia since 2000. Key search terms included ‘cholera prevention’ and ‘Zambia outbreaks.’ A total of 30 articles were analyzed to assess public health strategies and identify gaps for future planning. Periodic outbreaks of cholera have characterized Zambia's history by significant fluctuations in case numbers and fatalities since 1977. Notably, the years 1993, 1999, 2003/2004, 2005/2006, 2010, 2017/2018, and the most recent outbreak from October 2023 to February 2024 have marked significant episodes in the country's struggle against this waterborne disease. This narrative review examines the recurrent outbreaks of cholera in Zambia to understand the recent outbreak's extraordinary spread and severity in the context of public health resilience. The most recent outbreak with a staggering 19,719 cases and 682 deaths highlights the unprecedented scale and severity of the current public health emergency. The findings highlight the need for a holistic public health approach that prioritizes resilience in disease prevention.
POSSIBILIDADE DE DERROGAÇÃO DE DIREITOS HUMANOS NO SISTEMA INTERAMERICANO
Authors: Mageste Castelar Campos Bernardo
Published: November 2024

O presente artigo analisa a possibilidade da suspensão temporária de direitos humanos em situações de emergência admitida pela Convenção Americana sobre Direitos Humanos. Em especial, são analisadas as três hipóteses nas quais a Convenção admite a derrogação de algumas das garantias fundamentais nela previstas: os casos de “guerra”, de “perigo público” e de “outra emergência que ameace a independência ou segurança do Estado Parte”. A análise é feita através do exame do texto da Convenção e de seus trabalhos preparatórios, da comparação com outros instrumentos de direitos humanos e dos entendimentos da Comissão e da Corte Interamericana de Direitos Humanos a respeito do tema. O artigo observa que os órgãos do Sistema Interamericano de Direitos Humanos consideram a observância do sistema democrático como um requisito adicional para se determinar a legalidade da suspensão de garantias da Convenção, concluindo que este requisito busca evitar abusos na utilização do instrumento pelos países da América Latina.
CARÁTER (NÃO) ETERNO DAS OBRIGAÇÕES DO BRASIL JUNTO AO TRIBUNAL PENAL INTERNACIONAL
Authors: Xavier Fernando César Costa
Published: November 2024

A possibilidade de visitação do presidente russo Vladimir Putin ao Brasil, no segundo semestre de 2024, desafiando um mandado de prisão emitido pelo Tribunal Penal Internacional, abriu espaço para debates entre juristas brasileiros. Esses debates podem ser resumidos em dois mais importantes: (i) O governo brasileiro estaria obrigado a prender e entregar ao TPI o mandatário russo se ele aportasse em seu território? (ii) Essa obrigação valeria indeterminadamente, para este caso ou qualquer outro no futuro, por se tratar de uma cláusula pétrea? Este artigo se concentra neste segundo debate, defendendo, a propósito, que se trata de uma discussão própria do direito constitucional, e não do direito internacional. O argumento central é que o “caso Putin” serve para mostrar que qualquer tendência de “petrificação generalizada” da Constituição Federal, que alcance normas que dispõem sobre a relação entre o Estado brasileiro e organismos internacionais (inclusive e principalmente o Tribunal Penal Internacional) pode criar, ou de fato cria, inconvenientes graves para a soberania.
PAPEL DA CONSTITUIÇÃO BRASILEIRA DE 1988 NA REGULAMENTAÇÃO DA ORDEM ECONÔMICA E DAS RELAÇÕES DE CONSUMO
Authors: NEVES NAZARE RIOS BRITO DEISE , LOPES RODRIGUES ALEXANDRE MANUEL , BATISTA DA COSTA JUNIOR PAULO ROBERTO
Published: November 2024

A Constituição Federal de 1988 desempenha um papel fundamental na estruturação da ordem econômica brasileira e na proteção dos direitos dos consumidores, representando um marco histórico que reflete a preocupação do Estado em promover um ambiente justo e equitativo para as relações de consumo. O presente estudo tem como objetivo analisar como a Constituição Federal de 1988 influenciou a estruturação da ordem econômica brasileira e a proteção dos direitos dos consumidores. Para tal, utilizou-se metodologia de pesquisa bibliográfica e documental, de natureza descritiva, com abordagem dedutiva com procedimento comparativo, tendo como fonte de pesquisa primária a própria lei e, secundárias, doutrinas e artigos. Diante do exposto, é inegável que as garantias constitucionais conferidas ao consumidor no Brasil representam um avanço significativo na salvaguarda de seus direitos fundamentais. Essas garantias conferem ao consumidor uma posição mais fortalecida perante as relações de consumo, proporcionando maior equilíbrio e proteção contra práticas abusivas. A Constituição de 1988 e o Código de Defesa do Consumidor não apenas estabeleceram um arcabouço jurídico robusto, mas também promoveram uma mudança cultural ao reconhecerem o consumidor como parte essencial das relações de consumo. A constante adaptação às novas realidades econômicas e tecnológicas demonstra a vitalidade dessas normas na defesa da dignidade, segurança e equidade nas transações comerciais, através de interpretações atualizadas e aplicação flexível, posto que essas normas buscam acompanhar as transformações do mercado e garantir a proteção dos consumidores em diferentes contextos, reafirmando o compromisso do Estado em garantir um ambiente justo e equilibrado para os consumidores brasileiros.
CONCILIAÇÃO JUDICIAL ENTRE LITIGANTES EVENTUAIS E REPETITIVOS NAS RELAÇÕES DE CONSUMO
Authors: Massarutti Cremonezi Anna Luiza , Ayub da Costa Patricia , Ferreira Nunes Rodrigues Amanda
Published: November 2024

A pesquisa analisa a eficácia da conciliação judicial em conflitos de consumo, com foco em litígios entre grandes corporações e consumidores considerados eventuais litigantes. O problema central investigado é se a conciliação pode ser um meio justo e eficiente para resolver tais disputas, dado o desequilíbrio de poder entre as partes. O estudo tem como objetivo identificar as barreiras enfrentadas por consumidores vulneráveis e avaliar a eficácia da conciliação em garantir resoluções justas. A justificativa do estudo reside na necessidade de avaliar a capacidade da conciliação de nivelar essas disparidades, contribuindo para um sistema de justiça mais equitativo. A metodologia adotada inclui análise qualitativa e quantitativa de dados de relatórios institucionais, revisões legislativas e estudos de caso, com enfoque nas dificuldades enfrentadas por litigantes eventuais. Os resultados indicam que, embora a conciliação ofereça vantagens em termos de custo e tempo, sua eficácia depende de medidas que abordem as vulnerabilidades dos consumidores, incluindo representação legal adequada e políticas que assegurem transparência no processo. A pesquisa sugere que, sem essas salvaguardas, a conciliação pode não ser suficiente para garantir justiça equitativa em relações de consumo desequilibradas.
Accurate Acupoint Localization in 2D Hand Images: Evaluating HRNet and ResNet Architectures for Enhanced Detection Performance
Authors: Seo Seon-Deok , Madusanka Nuwan , Malekroodi Hadi Sedigh , Na Chang-Soo , Yi Myunggi , Lee Byeong-il
Published: November 2024

Introduction:

This research assesses HRNet and ResNet architectures for their precision in localizing hand acupoints on 2D images, which is integral to
automated acupuncture therapy.

Objectives:

The primary objective was to advance the accuracy of acupoint detection in traditional Korean medicine through the application of these advanced
deep-learning models, aiming to improve treatment efficacy.

Background:

Acupoint localization in traditional Korean medicine is crucial for effective treatment, and the study aims to enhance this process using advanced
deep-learning models.

Methods:

The study employs YOLOv3, YOLOF, and YOLOX-s for object detection within a top-down framework, comparing HRNet and ResNet
architectures. These models were trained and tested using datasets annotated by technicians and their mean values, with performance evaluated
based on Average Precision at two IoU thresholds.

Results:

HRNet consistently demonstrated lower mean distance errors across various acupoints compared to ResNet, particularly at a 256x256 pixel
resolution. Notably, the HRNet-w48 model surpassed human annotators, including medical experts, in localization accuracy.

Conclusion:

HRNet's superior performance in acupoint localization suggests its potential to improve the precision and efficacy of acupuncture treatments. The
study highlights the promising role of machine learning in enhancing traditional medical practices and underscores the importance of accurate
acupoint localization in clinical acupuncture.
Sectoral value addition and its impact on economic growth in Saudi Arabia: An ARDL approach
Authors:   College of Business, Effat University, Jeddah, Saudi Arabia, Alghanmi Marwan , Shaheen Rozina ,   College of Business, Effat University, Jeddah, Saudi Arabia
Published: November 2024

Saudi Arabia is working to reduce its reliance on oil by diversifying its economy, making it important to understand how different sectors contribute to GDP growth. This research explores the connection between sectoral value addition and economic growth in Saudi Arabia, using data from 1980 to 2022. The aim is to identify which sectors can support long-term economic growth in line with the goals of Vision 2030. The study uses the autoregressive distributed lags (ARDL) model to analyze the yearly growth rates of value addition in different sectors and their impact on GDP growth. The results show that the construction, mining, services, and financial sectors have a positive and significant effect on economic growth. These findings highlight key sectors that influence GDP growth, suggesting that targeted investments and policy measures in these areas could strengthen economic stability and sustainability. The study emphasizes the need to promote growth in a variety of sectors to meet the broader economic aims of Vision 2030.
Exploring the Theme of Motherhood as portrayed in Top Girls and Fen by Caryl Churchill
Authors: Hassan Mahmoud Fakhry Osman
Published: November 2024

This paper examines the theme of motherhood as portrayed in Caryl Churchill's plays: Top Girls(1982) and Fen (1983). By delving into the nuanced exploration of motherhood within these works, this paper aims to shed light on the complex and multifaceted nature of maternal experiences, while also analyzing the social, cultural, and political contexts that shape these representations. Through a close reading of the plays, this paper elucidates the diverse perspectives on motherhood presented by Churchill. Moreover, this paper situates Churchill's exploration of motherhood within the broader socio-political landscape of the time. It considers the feminist movements and debates surrounding reproductive rights and motherhood in the late 20th century, as well as the socio-economic realities that shaped women's experiences. By contextualizing the plays, this research paper provides a comprehensive understanding of how Churchill's works engage with the theme of motherhood as a lens to comment on the complexities of gender, power, and social expectations.
Animated Web Application
Authors: Kumar Gurchetan
Published: November 2024

This project will attempt to develop animated web applications using both HTML, CSS, JavaScript, Three.js, and React at the same time as approaches that make user experiences immersive and interactive using the capabilities of the technologies in question. Thus, HTML provides the structural backbone, while CSS adds the visuals and makes it more responsive. The JavaScript core programming language enables dynamic behavior and interactivity. The library Three.js was used in order to include 3D graphics to create stunning visualizations and animations that appeal to a user on a deeper level. React will be used to handle the state and the structure of an application, hence the effective rendering to and smooth experience for the user. The use of animations and 3D elements used in this project brings into view the further possibilities modern web technologies can produce in creating applications that break the limits set by conventional web-based design. Therefore, this final product is to exemplify the best practices of optimization in terms of performance, user engagement, and responsive design.
StegaCrypt Integrating Hybrid Cryptography and Image Steganography
Authors: Singh Sumer
Published: November 2024

This paper discusses the combination of cryptography and steganography for digital data security. Cryptography and steganography are two of the most significant techniques in information security, to be used differently: data is secured against unauthorized use and ensured integrity by way of transforming it into some unreadable format, whilst steganography hides a file inside another file. The project aim is to synthesize the techniques for a robust system to protect secure communication and data. We use RSA cryptography for the encryption, which is the asymmetric algorithm of high-level security, and image-based steganography to place the encrypted data within a digital image. The processes of cryptography will ensure decrypting the data only in the hands of authorized recipient parties, and steganography provides additional protection on the data invisibility front. This project shows that this integration of two technologies will safeguard sensitive information from all types of threats. In view of various methods to combine cryptography and steganography, this project puts forward the significance of incorporating multi-layer security to combat different types of cyber-attacks. The implementation also includes an elaborated coding using algorithms and development of a GUI to facilitate user interaction with the system. This further ensures that it is not only technically sound but also user-friendly. The last system is to send confidential data toward the broader field of secure communications and information protection, efficiently, securely, and in a user-friendly way
Convolutional Neural Networks for Sentiment Analysis
Authors: Sharma Pankaj
Published: November 2024

Dedicated Identifying aimed at discerning subjective information by analyzing the polarity of opinions conveyed in text. Traditionally, recurrent neural networks (RNNs) have been the dominant approach for this type of analysis because of their ability to process sequential data. However, sentiment analysis has experienced a significant transformation with the introduction of convolutional neural networks (CNNs). Originally developed for image analysis, processing text due to their efficient mechanisms for extracting local features.. This paper explores the role of CNNs in sentiment analysis, evaluating their architecture, methodology, and comparative effectiveness against RNN-based models. We propose a comprehensive CNN-based model for sentiment analysis and examine its potential for sentiment classification tasks across multiple datasets.
Efektivitas dan Kontribusi Pajak Hotel, Pajak Mineral Bukan Logam dan Batuan, dan Pajak Air Bawah Tanah Terhadap Pendapatan Asli Daerah Kabupaten Bojonegoro Tahun 2017-2019
Authors: Bagaskoro Agung , Muslikhati Muslikhati , Amalia Rahmi
Published: November 2024

This study aims to analyze the effectiveness and contribution of Hotel Tax, Non-Metal Minerals, Rock Tax, and Underground Water Tax on Local Revenue. The data used is time eries data for 2017-2019. This study uses a descriptive analysis methot using indicators of value classification of effectiveness and contribution criteria. The results of this study indicate the highest level of effectiveness, namely groundwater tax with very effective criteria. While the lowest level of effectiveness is the tax on non-metallic minerals and rocks with effective criteria. The biggest contribution level is hotel tax with very low criteria. While the smallest contribution level is groundwater tax with very low criteria