bluuebunny/crossref_metadata_2025 huggingface dataset:
Magnitude of intrauterine contraceptive use and its associated factor among women attending family planning service, Cross sectional study
Authors: Desalegn Mitiku , Basaznew Alemseged , Bayissa Dereje , Shitemaw Tewoderos
Published: October 2022

Background: From the different Family planning methods available an intrauterine contraceptive device, IUCD is widely available and is highly effective in terms of safety and effectiveness. Despite this fact, there is low utilization of IUCD in Ethiopia. Objectives: The aim of this study was to determine the magnitude of intrauterine contraceptive device use and associated factors among women attending family planning services in selected public health centers in Kolfe Keraniyo Sub-City, Addis Ababa, Ethiopia 2021. Method: This facility based cross- sectional study was conducted among 399 women attending the FP clinics of randomly selected health centers in Kolfe Keraniyo Sub City, from June 15 to July 20, 2021.The data were collected with pretested questionnaire and entered to Epi-info version 7.2 and analyzed by using SPSS statistical software version 25. Descriptive analysis was done to describe the variables in frequencies, percentages, and mean with the standard deviation. Logistic regression analysis was also used to identify the presence of association between dependent and independent variables. 95% CI and P-value <0.05 were used to indicate the significance level. Result: A total of 399 women were included in the study (with response rate of 100%). The mean age of the participants was 29.8(SD±8.2). This study determined IUCD utilization among participants to be 14.8%. Factors associated with IUCD utilization among women attending family planning service were: Maternal age (AOR=3.1; 95%CI(2.07-7.36), Educational status of no formal education (AOR=0.35; 95%CI (0.01-0.40), future plan of fertility to limit birth (AOR=5.87, 95% CI :2.33-14.87), monthly income ≤600ETB (AOR=0.06; 95%CI(0.01-0.25), number of children alive (AOR=0.13; 95%CI(0.03-0.52) and wanting any more children (AOR=0.10; 95%CI(0.01-0.70) were significantly associated with IUCD utilization. Conclusion and recommendation: Age of the women, income and educational status were identified as factors increasing the likelihood of IUCD utilization. Therefore, to scale up the utilization of IUCD, empowering women, FP counseling and expanding female education should be undertaken.
Cost-effectiveness of the safe childbirth checklist program to improve birth outcomes in India
Authors: Varghese Beena , Saha Somen
Published: October 2022

The WHO endorsed safe childbirth checklist (SCC) intervention was implemented in Rajasthan state of India to support delivery of essential maternal and newborn care practices. As part of the evaluation study we assessed the cost-effectiveness of the SCC program in reducing facility-based stillbirths (SBs) and very early neonatal deaths (vENDs, deaths within three-days after birth) and assessed the cost per life-years saved (LYS). For a cohort of 100,000 births, the incremental provider cost of the SCC intervention was US $ 1.03 million and the intervention would avert 274 deaths and will save 16,456 life years (assuming a life expectancy of 60 years). This translates to a unit cost of USD 3,783 per death averted or US $63 per LYS. This is a highly cost-effective intervention in averting facility-based stillbirths and very early neonatal deaths.
Exploring the enablers of teenage pregnancy in SubSaharan Africa (SSA): A scoping literature review
Authors: rean niza Simwanza , Kalungwe Mwamba , Thamary Karonga , Mandu S Ekpenyong , Mathew Nyashanu
Published: October 2022

Evidence from sub-Saharan Africa indicates that 35 percent of pregnancies among 15-19-year (s)-olds were unplanned, unwanted, or untimed and that the teenagers’ relationships were unstable. Teenage pregnancy is a global problem especially in developing countries. Teenage pregnancy is associated with several social issues: poverty, low education levels, and the lack of awareness about sex and pregnancy prevention. The contributing factors for teenage pregnancy are multiple and complex categorised as socio-demographic, familial, cultural, and reproductive behaviour. Different literature reported that factors associated with teenage pregnancy include living in rural areas, not attending school, early marriage, lack of communication between parents and adolescents about sexual and reproductive health (SRH) issues, educational level of the teenagers and family history of teenage pregnancy. A scoping review was conducted from February 2021 to August 2021 using the following specific subject databases: Google scholar, PubMed, EBSCOhost, and research gate. Special attention was paid to keywords during navigation to ensure consistency of searches in each database. English language, studies conducted in sub-Sahara Africa and articles published in the last 10 years (2011–2021), were the three limiters applied in the four databases. The researchers identified eight themes for inclusion in the findings. The themes fell into three major categories: individual related factors, family related factors and external factors. These themes reflect factors associated with teenage pregnancy. The review revealed that there are several risk factors that lead to teenage pregnancy. Therefore, there is urgency for strategic interventions aimed at improving teenage pregnancy through female education and sexual and reproductive health education must also be introduced or reinforced in schools. Policy makers, community leaders and school curriculum can act towards raising the age for marriage to after 20 years and make the methods of contraception accessible to teenagers. Qualitative techniques like focus group discussions in communities could be helpful in reflecting on the root cause of the problem.
Motivation of physical education activities/fitness for representatives of various social groups
Authors: Olga Aftimichuk
Published: October 2022

This article presents sociological researches conducted among representatives of various social groups, which have established the basic motives of physical culture at the present stage of development of society.
Kinematic and kinetic variable determinants on vertical jump performance: a review
Authors: Macedo Alfano Moura Túlio Bernardo , Alves Okazaki Victor Hugo
Published: October 2022

The vertical jump is a task performed in various sports modalities and is considered a lower limb power test, that may provide information about the efficacy of several training programs. Although of the various types of jumps, two have been more used: the Squat Jump and the Countermovement Jump. Kinematics and kinetics variables are presented to describe the Squat Jump and Countermovement Jump, however, little is known about which variables are intrinsic in vertical jump performance. Thus, this review has two objectives: 1- Identify the kinetic and kinematic variables of jump analysis and 2- Describe the intervening variables in VJ performance. For the search, the following terms were used “Vertical Jump and Kinetic”, “Vertical Jump and Kinematic”, and “Vertical Jump and Fatigue”. The search was performed between June and July of 2019. The articles of this review were searched in two online databases: PubMed (MEDLINE) and EBSCO (EBSCO Industries Inc.). After the analysis of titles, abstracts and papers, were chosen 70 articles for this review. Although necessary in various motor skills, the maximal force does not predict the vertical jump performance. In contrast, kinetic variables related to power may interfere to performance. For kinematic analysis, the peak angular velocity seems to differentiate performance levels. Few studies defined the predictor variables of this task. Therefore, we suggest the realization of studies with predictive statistics to identify the predict variables of vertical jump and adopting other biomechanical variables, such as the continuous relative phase and temporal and force characteristics during the eccentric and concentric jump phase.
Semimetal transition in curved MoS2/MoSe2 Van der Waals heterojunction by dispersion-corrected density functional theory
Authors: López-Galán Oscar A. , Ramos Manuel
Published: October 2022

We present a theoretical study for MoS2/MoSe2 Van der Waals heterojunction in the armchair direction, and periodicity in the y-direction, under the mechanical deformation process to explore electronic structure vs. curvature angle. Our findings reveal that the heterojunction maintains chemical stability, even under high deformation, and the bandgap of the heterojunction is inversely proportional to curvature angle; the shift from semiconductor—with a bandgap of 0.8 eV—to semimetal occurs at deformation angles as low as 5°, having a gapless material. The mentioned transition corresponds mainly to distortion of half-filled molybdenum d-orbitals and chalcogen–chalcogen p-orbitals overlapping near the Fermi level.

Graphical abstract
The Political Economy of Sharia Regional Regulation on Halal Tourism Policy in Lombok, Indonesia
Authors: M. Syamsurrijal M. Syamsurrijal , Nurmandi Achmad , Jubba Hasse , Hidayati Mega
Published: October 2022

This study analyzes the political economy in implementing halal tourism policies in Lombok, West Nusa Tenggara. The concept of political economy is used to find and analyze the implementation of halal tourism policies on social, economic and political life in Lombok, West Nusa Tenggara. The data in this study were collected through interviews, documentation and literature review. The data source comes from primary data collected using interviews conducted with policymakers about halal tourism. In comparison, the secondary sources in this study came from the Central Statistics Agency, journals, and seeds that are considered relevant to this research. Data analysis was carried out in three stages, first, data reduction; second, data verification and third, withdrawal. The results of this study found three important things in the implementation of halal tourism. First, halal tourism is the government's strategy to introduce Lombok to the international world. Second, Halal tourism is the government's strategy to grow the community's economic sector. Third, Halal tourism is the government's political economy strategy to strengthen the legitimacy of political power among the community and strengthen the relationship between local governments and the central government as a form of loyalty from regional heads to the central government.
De Abjeta à Anômala: Masculinidade Feminina e Devir-Sapatão em Godless
Authors: Batista Daniela Conegatti
Published: October 2022

Resumo: Neste artigo, discuto masculinidade em mulheres por meio da análise de uma personagem oriunda de uma série de Video On Demand. Com base no conceito de anômalo de Deleuze e Guattari e na teoria performativa de Butler, a personagem Maggie, da série Godless, foi aqui investigada. A partir do exercício analítico operado, dois eixos teórico-analíticos foram concebidos. O primeiro, voltado para a relação entre abjeção e anômalo, o segundo, a partir da desterritorialização de Maggie, que a constituiu enquanto fenômeno de borda. Como efeito, Maggie colocou em questão a própria abjeção enquanto efeito inevitável no processo de constituição do corpo ambíguo, de modo a compor o que nomeei, com base na teoria deleuzo-guattariana, devir-sapatão.
Un laboratorio de varones para la nación
Authors: Perera Verónica
Published: October 2022

Resumen: Las violaciones a los derechos humanos durante la guerra de Malvinas de 1982 suelen ser pensadas como una continuidad de la lógica político-represiva de la última dictadura cívico-militar argentina (1976-1983). Pero las memorias de algunos protagonistas de la guerra sugieren historias de más larga duración. Desde una escucha feminista sensible al cuerpo, el artículo analiza diez testimonios de ex combatientes argentinos alojados en el Archivo Oral de Memoria Abierta, prestándole atención a ciertas prácticas disciplinarias y modos de gestión de la tropa. En esas continuidades entre la conscripción - que comenzó a principios del siglo XX - y la guerra de 1982, se advierten usinas de formación de la masculinidad hegemónica en Argentina; laboratorios donde se modelaban los cuerpos de los varones y las formas más tóxicas del heteropatriarcado.
Avaliações histológica e imunoistoquímica da medula óssea do fêmur e do manúbrio esternal de cães reagentes para leishmaniose aos testes DPP® e ELISA
Authors: Magalhães Aline Oliveira de , Bezerra Lucilandia Maria , Araújo Diego Pereira , Lima Bruna Siqueira Gomes de , Assunção Leandro do Prado , Menezes Rodrigo Caldas , Moura Veridiana Maria Brianezi Dignani de
Published: October 2022

Resumo Como a medula óssea é um dos órgãos mais acometidos pela leishmaniose visceral canina (LVC), amostras desta são frequentemente colhidas para exames parasitológicos, sendo possível a ocorrência de alterações mielodisplásicas, com consequente anemia, leucopenia e trombocitopenia. Assim, este estudo teve como objetivo investigar alterações histológicas e imunoistoquímicas na medula óssea do fêmur e manúbrio esternal de cães reativos para leishmaniose aos testes DPP® e ELISA. Para isso, 13 caninos da rotina epidemiológica para LVC realizada pela Diretoria de Vigilância de Zoonoses de Goiânia (DVZ), GO, Brasil, foram submetidos ao exame anatomopatológico. 46,2% e 53,9% das amostras de medula óssea do fêmur e do manúbrio esternal apresentaram maior proporção da série vermelha, respectivamente. Além disso, havia variados graus de hiperplasia macrofágica, hemossiderose e emperipolese megacariocítica. Formas amastigotas de Leishmania spp. na medula óssea do fêmur e do manúbrio esternal às avaliações histopatológicas e imunoistoquímicas foram observadas, com boa concordância entre essas, mas sem diferença na intensidade parasitária entre a medula óssea desses sítios anatômicos. Conclui-se que a medula óssea do fêmur e do manúbrio esternal de cães reativos para leishmaniose aos testes DPP® e ELISA apresenta alterações histológicas decorrentes da doença, independente da presença ou intensidade do parasito, sendo hiperplasia de macrófagos, hemossiderose e emperipolese as principais alterações medulares nesses animais. Além disso, a medula óssea do fêmur e do manúbrio esternal compreendem sítios anatômicos úteis ao diagnóstico de LVC por métodos diretos.
Percepção de consumidores sobre doenças veiculadas por alimentos
Authors: Kissmann Kristian Emanuel , Gottardo Franciele Maria , Silva Rogério , Daroit Luciane , Santos Luciana Ruschel dos , Rodrigues Laura Beatriz
Published: October 2022

Resumo O objetivo deste estudo foi avaliar, por meio de um questionário, a percepção dos consumidores que se alimentam fora de casa acerca dos perigos de doenças veiculadas por alimentos (DVAs). Obtiveram-se 1.515 respostas, com a maioria dos consumidores assim caracterizados: Ensino Médio (27,3%) ou superior (29,5%), idade entre 18 e 29 anos (52,3%) e solteiros (57,8%). Em uma verificação mais específica, identificou-se que os consumidores utilizam restaurantes (64,5%) e elegem o estabelecimento principalmente em função da limpeza e atendimento (95,1%). A maioria consome carne (96,7%), com destaque para a bovina (30,1%), embora os consumidores considerem o pescado mais saudável (58,5%). No entendimento sobre as DVAs, 91,1% dos consumidores acreditam que as carnes podem veicular doenças, com destaque para a carne suína, com 89% das associações. Entretanto, também consideram as verduras e/ou os legumes (89%), a água (85,7%) e alimentos orgânicos (71,4%) como possíveis transmissores de doenças. A salmonelose (90,5%) é considerada a DVA mais importante e 99,1% dos respondentes entendem que o alimento pode ser contaminado pelo manipulador. Os entrevistados acreditam também que verduras e frutas possam conter agrotóxicos (98,7%), enquanto alimentos de origem animal possam ter resíduos de antibióticos (86,1%). Concluímos que existe a necessidade da criação de um plano estratégico educacional para o melhor entendimento dos consumidores sobre alimentação fora do ambiente domiciliar.
Arterial hypertension in kidney transplantation: huge importance, but few answers
Authors: Rebelo Rafael Naufel de Sá , Rodrigues Cibele Isaac Saad
Published: October 2022

Abstract Arterial hypertension (AH) after renal transplantation (RTX) is correlated with worse cardiovascular and renal outcomes, with loss of renal function, decreased graft survival and higher mortality. RTX recipients have discrepant blood pressure (BP) values when measured in the office or by systematic methodologies, such as Ambulatory Blood Pressure Monitoring (ABPM), with significant prevalence of no nocturnal dipping or nocturnal hypertension, white coat hypertension and masked hypertension. The aim of the present study was to review the issue of hypertension in RTX, addressing its multifactorial pathophysiology and demonstrating the importance of ABPM as a tool for monitoring BP in these patients. Treatment is based on lifestyle changes and antihypertensive drugs, with calcium channel blockers considered first-line treatment. The best blood pressure target and treatment with more favorable outcomes in RTX are yet to be determined, through well-conducted scientific studies, that is, in terms of AH in RTX, we currently have more questions to answer than answers to give.
The Songs of Black Experiences: consonances and dissonances in the path between Grotowski and the Workcenter
Authors: Jesus Luciano Mendes de , Pereira Sayonara Sousa
Published: October 2022

ABSTRACT It is proposed in the paper to observe the role of African-diasporic songs in the work of Jerzy Grotowski and in the context of continued research at the Workcenter of Jerzy Grotowski and Thomas Richards. We reflect on the songs from their epistemological and political potencies and as fundamental elements for an ethnic-racial discursivity in studies of this important work in the field of performing arts. The notion of songs of black experiences proposes the understanding of the term tradition songs, central in Grotowski’s work, as means of communication of diasporic and Afro-descendant experiences, contrary to the solely instrumental and uncritical use of these performative technologies.
Knowledge and skills required to set up and operate clean energy communities
Authors: Golob Urša , Kamin Tanja , Barnes Jake
Published: October 2022

An appropriate set of skills and knowledge is required to establish and operate clean energy communities (ECs). In most cases, building an EC is a team effort and it is very important not to neglect or undervalue the skills of the people involved. This paper identifies the knowledge and skills required to create and operate an EC. To this end, ten case studies of clean energy communities in six European countries are examined. The study concludes that skills can be divided into two categories: technical (hard skills) and non-technical (mainly soft skills). Pre-existing technical skills are necessary but not sufficient to create and operate ECs. The study also focuses on learning and knowledge management and sharing within and outside communities, with an emphasis on learning by doing.
Influence of shearing strain rate on the mechanical behaviour of three structured clays
Authors: Le Truong , Airey David , Standing Jamie R.
Published: October 2022

This paper presents the stress–strain behaviour of three structured clays subjected to a number of stepwise changes in strain rate during shearing in a triaxial apparatus. Undrained compression tests were performed on clay specimens in both undisturbed and reconstituted states. As a result, it has been possible to identify the influence of structure on the rate-dependent response of the clays. Step changes in applied shearing strain rates for all tests resulted in predominately isotache-type behaviour within the range of strains from very small strains to large strains at failure. At very small strains, evidence of a limiting elastic modulus was established for both the stiff sedimentary and artificially cemented soil, which is consistent with published literature on other structured geomaterials. The stress–strain behaviour of all three materials was affected by both the degradation of structure with increasing strain and applied strain rate. The influence of structure on the time-dependent behaviour of the clays is discussed by comparing the response of undisturbed and reconstituted specimens and following normalisation by the equivalent pressure. Results indicate that the rate sensitivity evolves with increasing strains and reaches a maximum at strain levels associated with peak shearing resistance.
First Do No Harm: Legal Principles Regulating the Future of Artificial Intelligence in Health Care in South Africa
Authors: Donnelly Dusty-Lee
Published: October 2022

What sets AI systems and AI-powered medical robots apart from all other forms of advanced medical technology is their ability to operate at least to some degree autonomously from the human health care practitioner and to use machine-learning to generate new, often unforeseen, analysis and predictions. This poses challenges under the current framework of laws, regulations, and ethical guidelines applicable to health care in South Africa. The article outlines these challenges and sets out guiding principles for a normative framework to regulate the use of AI in health care. The article examines three key areas for legal reform in relation to AI in health care. First, it proposes that the regulatory framework for the oversight of software as a medical device needs to be updated to develop frameworks for adequately regulating the use of such new technologies. Secondly, it argues that the present HPCSA guidelines for health care practitioners in South Africa adopt an unduly restrictive approach centred in the outmoded semantics of telemedicine. This may discourage technological innovation that could improve access to health care for all, and as such the guidelines are inconsistent with the national digital health strategy. Thirdly, it examines the common law principles of fault-based liability for medical negligence, which could prove inadequate to provide patients and users of new technologies with redress for harm where fault cannot clearly be attributed to the healthcare practitioner. It argues that consideration should be given to developing a statutory scheme for strict liability, together with mandatory insurance, and appropriate reform of product liability pertaining to technology developers and manufacturers. These legal reforms should not be undertaken without also developing a coherent, human-rights centred policy framework for the ethical use of AI, robotics, and related technologies in health care in South Africa.
Synthesis of optically pure calix[4]arenes derived from Evans oxazolidinone and/or pyranose
Authors: Claude Bauder , David Sémeril
Published: October 2022

Eight new optically pure calixarene derivatives, in which their lower rims were substituted with Evans oxazolidinone or pyranose moieties, are described. All macrocycles were fully characterized by NMR spectroscopy, optical rotation, and elemental analysis. The introduction of chiral auxiliaries reduced the symmetry of the macrocycle as observed by NMR. Stereospecific alkylation on the Evans oxazolidinone moiety allowed the asymmetric introduction of a methyl substituent near a phenolic position of the macrocycle.
Family Quality of Life during Covid-19 Pandemic v1
Authors: Setiawan Tery
Published: October 2022

This protocol describes survey procedures taken in our investigation on the relation between Covid-19 economic impact and parental stress on one hand, and the family quality of life on the other. We also tested the potential buffering effect of family resilience in moderating the relation of interest. Specifically, we conducted an online study in Indonesia in 2021 using a purposive sampling. This was done by recruiting local enumerators through our university contacts. We successfully obtained participants across the archipelago, although the size is not balanced. Further, we ran confirmatory factor analysis to test the measures' validity.
Protocol of An Indirect Comparison of Efficacy including Histologic Assessment and Safety in Biologic Agents in Ulcerative Colitis: Systematic Review and Network Meta-analysis v2
Authors: not provided ksun.chae
Published: October 2022

Currently, treatment targets of ulcerative colitis (UC) are defined as clinical remission and endoscopic improvement. However, there is debate over whether histologic target should also be considered as an additional treatment target. Multiple studies indicate histologic target as an important prognostic factor andsupport the inclusion of histologic target as treatment target. In addition, the U.S Food and Drug Administration (FDA) recommended histologic response and remission as the exploratory endpoints in clinical trials for drugs being developed for treating UC in April 2022. Except for only 1 head-to-head VARSITY trial, there is no randomized controlled trial studies to compare in terms of histologic remission between FDA-approved biologics for UC, although the importance of histologic remission as a treatment target of UC continues to grow bigger. The aim of the study is to compare biologic therapy for UC in terms of efficacy including histologic remission and safety to present a confident evidence that can be considered when selecting biologics with a therapeutic target for histologic remission through systematic literature search and newtwork meta-analysis.
TENSOR PRODUCT OF UU ALGEBRAS
Authors: Alsharif Maha , Alghamdi Ahmad M.
Published: October 2022

In this work, we recall some properties of tensor product of two algebras. Then, we study the so-called UU algebras. Our main result is to show that the tensor product of two UU algebras is again a UU algebra. We make the tensor over an algebraically closed field and explain why the result does not hold for a field which is not algebraically closed. We illustrate our result with examples and remarks.
SYMMETRIC GENERALIZED REVERSE (α, 1)-BIDERIVATIONS IN RINGS
Authors: Haseena Sk. , Reddy C. Jaya Subba
Published: October 2022

Let R be a ring and α be an endomorphism of R. Then, we introduce the notions of generalized reverse (α, 1)-derivation and that of symmetric generalized reverse (α, 1)-biderivation. It is shown that if a semiprime ring admits a generalized reverse (α, 1)-derivation with an associated reverse (α, 1)-derivation d, then d maps R into Z(R) and also that if a non-commutative prime ring admits a generalized reverse (α, 1)-derivation F with an associated reverse (α, 1)-derivation d, then F is reverse left α-multiplier on R. Analogous results have been proved for a symmetric generalized reverse (α, 1)-biderivation.
Analysis of cell immune regulation features in recurrent ovarian endometriosis
Authors: Petrovskaia Nikol N. , Pechenikova Victoria A.
Published: October 2022

BACKGROUND: The prevalence of endometriosis among women of reproductive age and the complexity of choosing the methods for its effective treatment necessitate the study of the clinical and morphological features of ovarian endometriosis in its recurrent course, as well as the search for available informative diagnostic and prognostic markers which allow identifying risk groups for relapse and form prevention methods. Endometriomas have a recurrence rate of 5055 % after treatment.
AIM: The aim of this study was to conduct a comparative analysis of cell immune regulation features in recurrent ovarian endometriosis.
MATERIALS AND METHODS: We studied clinical data, the value of peripheral immunocompetent blood cells, as well as morphological and immunohistochemical data of 196 patients operated on for endometrioid ovarian cysts, including 45 patients with a recurrent course of the disease and 151 women without relapse. Monoclonal mouse antibodies to T helpers (CD4), T killers (CD8), B lymphocytes (CD20), and macrophages (CD68) were used for immunohistochemical examination of the surgical material. Immunological examination of peripheral blood was performed by flow cytometry with the assessment of helper T lymphocyte, killer T lymphocyte and B lymphocyte subpopulations and their ratios.
RESULTS: The recurrence rate of endometrioid ovarian cysts was 22.96%. Most patients (48.87%) relapsed 34 years after the first operation. In patients with recurrent endometrioma, we more often detected complaints of dyspareunia, dysmenorrhea, primary infertility and a history of operations on the uterine appendages unrelated to endometriosis in anamnesis, as well as the third degree of the pathological process. During morphological examination, the glandular-cystic variant and morphologically active lesions were detected more often in recurrent endometriosis compared to the relapse-free course. Cytotoxic T killers (CD8) and macrophages (CD68) were shown to be the predominant subpopulation of cells found in the inflammatory infiltrate of cytogenic stroma and endometrioid cyst capsule. More of them were detected in recurrent endometrioid cysts in the surgical material of both the first and second operations compared to the relapse-free course. B lymphocyte count was significantly higher in the cyst capsule with recurrent endometriosis than in cases of the relapse-free course. T helpers (CD4) were found only in the surgical material of an already diagnosed recurrence. Immunological examination of peripheral blood of patients with recurrent endometrioma revealed an increase in the total population of T lymphocytes due to a subpopulation of T helpers, the number of which per microliter exceeded the reference values.
CONCLUSIONS: An increase in the number of free stromal cells in the foci of endometriosis with its recurrent course indicates the importance of hyperreactivity and the autoimmune mechanism in the chronization and progression of the disease.
Evaluation of the effectiveness of modified CRD tests in the diagnosis of preeclampsia
Authors: Fedotov Sergey A. , Gerasimova Elizaveta M. , Vashukova Elena S. , Pakin Vladimir S. , Kapustin Roman V. , Pachuliya Olga V. , Glotov Andrey S. , Kulichikhin Konstantin Yu. , Chernoff Yury O. , Rubel Aleksandr A.
Published: October 2022

BACKGROUND: Preeclampsia is a multisystem complication of pregnancy associated with an increased risk of maternal / perinatal morbidity and mortality. In this regard, the development and following improvement of low-cost and convenient methods for diagnosis of preeclampsia is essential for accurate prediction, quick confirmation of the diagnosis and convenient monitoring of the pathology.
AIM: The aim of this study was to optimize a preeclampsia diagnosis test system based on the binding of proteins to the Congo red dye (CRD test).
MATERIALS AND METHODS: The study used 70 urine samples obtained from patients diagnosed with preeclampsia (n = 25) and from non-preeclampsia pregnant women (n = 45). The samples were stained with Congo red and the dye retention in the sample on the membrane after washing was calculated. Before staining, protein concentrations in the urine samples were equalized using centrifugal concentrators or the samples were used with the original protein concentrations. To wash the samples from the unbound dye, either methanol or ethanol was used. To compare the effectiveness of four CRD test variants differing in sample preparation, staining, and washing, ROC analysis was performed (IBM SPSS Statistics 20 software).
RESULTS: The express CRD test was designed as an optimization of the conventional CRD test. The effectiveness of the express test (the area under the ROC curve being 0.9) was higher than that of the other three test options (the area under the ROC curve ranges from 0.67 to 0.82). The developed express CRD test can provide 95% specificity and 73% sensitivity, which indicates the promise of using this method in clinical diagnostics for the specific detection of preeclampsia patients.
CONCLUSIONS: Optimization of the CRD test has provided more effective protocols for diagnosis of preeclampsia from urine samples using Congo red (express CRD test) and has simplified the routine application of this test in clinical practice.
The Effect of External Debt, Unemployment Rate, and Inflation on Economic Growth in Ghana
Authors: Evans Yeboah
Published: October 2022

Inflation and unemployment rates are part of the macroeconomic factors affecting growth within Ghana's economy over the years. The continued rise in the country's gross domestic product and a high dependency on external debt for development projects have sparked a lot of controversies. This study investigates whether external debt, inflation, and unemployment rate stimulate economic development, intending to determine the causal relationship between the variables to serve as an important factor for policymakers. The econometrics methods include the stationarity test, Johansen cointegration test, and regression (ordinary least squares). The data used was from the World Bank from 1991-2021. The stationarity test showed that external debt, GDP, and unemployment were non-stationarity and integrated at the first-order difference, whereas inflation was stationary at the level. The Johansen cointegration test found a long-run relationship between selected variables, but only external debt positively impacted economic growth in the long term. In contrast, inflation and unemployment had a negative impact. The regression results found external debt to be positively correlated to growth in Ghana, but inflation and unemployment harm it with GDP as the explained variable. The findings also indicate that external debt increased inflation, whereas GDP reduced inflation, but unemployment did not influence inflation. The outcome further proves that external debt positively impacted the unemployment rate, and GDP negatively influenced it.
Identification of First Patient With Rh Null Phenotype in Southeast Iran
Authors: Bahramian Hassan , Hashemzehi Jasem , Nayebzadeh Mahmood , Khosravi Sohaila
Published: October 2022

Background and Aims: Rhnull, with an estimated incidence of one per 6,000,000 individuals, is an extremely rare disorder with an autosomal recessive pattern of inheritance that is more common in societies with a high rate of consanguinity.
Materials and Methods: In this study, we report the first case with Rhnull, a blood group phenotype in southeast Iran, which was diagnosed during pretransfusion testing.
Results and Conclusions: A 21-year-old woman with a positive parents' consanguineous marriage was found to have an unusual reaction with all packed red blood cell units during routine pretransfusion cross-match testing in the hospital. The patient's serum was reacted with all screening and identification panel cells, suspected to have an alloantibody against a common antigen or multiple alloantibodies against her absence antigens. Further studies revealed negative results for C, c, E, and e, which are highly suspected of Rhnull phenotype. Confirmatory assessments were performed, including adsorption and elution studies and Rh phenotyping of patients, along with known positive and negative controls. Due to the blood requirement of the patient, we performed serological studies on the patient's family members and found that her sister also has a Rhnull phenotype. Blood transfusion from her sister's donated units was performed, and the pregnancy was ended without any complications. Finally, due to the rarity of the Rhnull phenotype, early identification of individuals and autologous or compatible allogeneic blood transfusion should be planned prior to selective or emergency surgeries.
The effect of ifosfamide and mesna in the treatment of children with various types of cancer
Authors: Hashemi Azam Sadat , Sheikhpour Elnaz , Ghanizadeh Fatemeh , Bahrami Mahshid
Published: October 2022

Background: Given that various types of cancer are major causes of death among children and there is no comprehensive study investigating the simultaneous effect of ifosfamide and mesna in the treatment of patients with various types of cancer in our country, this study aimed to assess the effect of ifosfamide and mesna in the treatment of children with various types of cancer.
Materials and Methods: In the retrospective study, 46 patients with cancer were divided into two groups. In the first group, patients were treated with ifosfamide (800 mg-1g/m2/day) with 500 cc of normal saline and mesna (equivalent to the amount of ifosfamide) in the serum. In the second group, the patient received ifosfamide through serum and mesna at 0, 4, 8, and 16 hours after the ifosfamide injection. This injection continued for three days. Then blood count, hemoglobin, and kidney tests in both groups were examined.
Results: White blood cells in both methods decreased significantly (P<0.01). In the second group, there was a significant difference before and after intervention, regarding hemoglobin level (P<0.01). In addition, more people in the second group showed gastrointestinal complications (P<0.01). There was no significant difference before and after intervention in the the two groups, regarding creatinine and urea levels (P>0.05).
Conclusion: In both groups, a decrease in white blood cells was observed, while kidney toxicity was not observed in any group. The decrease in hemoglobin in the second group was more than in the first group.
Hemophagocytic lymphohistiocytosis secondary to T-cell Acute Lymphoblastic Leukemia with membranous tonsillitis
Authors: Singh Priyanka , Sharma Kusha , Maheshwari Anu , Sharma Sunita
Published: October 2022

Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening syndrome of excessive immune activation, which is characterized by fever, hepatosplenomegaly, cytopenias, hyperferritinemia, hypertriglyceridemia, and/or hypofibrinogenemia, and evidence of hemophagocytosis. Secondary HLH is often seen in adults and categorized based on autoimmune, infections-related, and malignancy-associated etiologies such as A-HLH, I-HLH, and M-HLH, respectively. This study presented a rare case of HLH developing concurrently at the time of diagnosis of T-cell Acute Lymphoblastic Leukemia (T- ALL) with a unique presentation of membranous tonsillitis in a 10-year-old boy. In all of the cases of T-ALL reported in the pediatric age group, HLH develops post-therapy or at the relapse. The first presentation of leukemia as membranous tonsillitis and concurrent clinic laboratory findings of HLH is rare and can mislead the diagnosis. Therefore, prompt diagnosis is the mainstay of therapy and can considerably improve the prognosis.
Nihil novi sub sole: law from the perspective of political accelerationism
Authors: Dudek Michał
Published: October 2022

This article focuses on political accelerationism—an idea that proposes to use capitalism against itself either by making it as a whole go even faster, pushing it to its limits and beyond until it collapses, or by appropriating some of its elements or tendencies for alternative, emancipatory purposes. It analyses two significant versions of this idea—that of Benjamin Noys and that of Nick Srnicek and Alex Williams—from the perspective of the following question: Is political accelerationism similar to certain previous developments in left critical thought in that it offers a new approach to law or, if it does not contain any explicitly expressed original take on law, enables a novel and fresh conceptualisation of law to be drawn from it? The article concludes that so far political accelerationism does not offer an original approach to law and that any perspectives on law that can be drawn from this idea are reminiscent of basic Marxist approaches to law.
Wittgenstein o rozjaśnianiu myśli. Wstęp do lektury „Traktatu logiczno-filozoficznego”
Authors: Bogucki Krystian
Published: October 2022

In this article I examine some remarks from Wittgenstein‘s Tractatus logico-philosophicus about the point and the method of his work. First part of the article concern relationships between Frege‘s conception of elucidation and Wittgenstein‘s conception of philosophy. Second part of the article is about Wittgenstein‘s attitude to science and the role of science in philosophy. Third part of my article concern the ethical purpose of Wittgenstein‘s Tractatus logico-philosophicus.
Jaką rolę w zielonym ładzie ma do odegrania konsumpcja?
Authors: Szubska-Włodarczyk Natalia
Published: October 2022

Rozdział dotyczy zazielenia konsumpcji. Rozważania obejmują krytyczną analizę literatury, prezentację studiów przypadków oraz nowych trendów, które czynią konsumpcję bardziej zieloną. W Europejskim Zielonym Ładzie kwestie dotyczące konsumpcji zostały poruszone wielokrotnie i odnoszą się do różnych sfer aktywności nabywczej gospodarstw domowych, takich jak przechodzenie na czystą energię, zaangażowanie w GOZ, działania przewidziane w strategii „Od pola do stołu”. Sukces w zazielenianiu konsumpcji wymaga odpowiedniej edukacji oraz wsparcia od strony instytucjonalnej.
Czy wzrost PKB zawsze jest miarą sukcesu?
Authors: Burchard-Dziubińska Małgorzata
Published: October 2022

Rozdział zawiera krytyczną analizę ujmowania kwestii wykorzystywania środowiska naturalnego i jego ochrony w liczeniu PKB. Zarówno eksploatacja zasobów naturalnych, jak i szeroko rozumiany przemysł ochrony środowiska przyczyniają się do wzrostu PKB niezależnie od ich zasobochłonnego charakteru. W bogatych w surowce krajach rozwijających się wyzwaniem pozostaje również właściwe szacowanie renty surowcowej i zarządzanie jej wykorzystaniem z pożytkiem dla lokalnych społeczności. Dotychczasowe próby zazieleniania wzrostu gospodarczego i rachunków narodowych, choć przyniosły pewien ferment intelektualny, nadal nie uwolniły nas od problemów wynikających z traktowania aktywności gospodarczej związanej z eksploatacją i degradacją środowiska jako dochodotwórczej. Konieczność energetycznego wspierania procesów wytwórczych generuje kolejny problem, jakim dla ludzkości stał się odbity w kierunku Ziemi nadmiar energii, przyczyniający się do zmiany klimatu. Ponieważ każda aktywność odnotowana in plus w PKB zostawia swój ślad węglowy, znaleźliśmy się w pułapce. Pozostając niewolnikami wzrostu gospodarczego, możemy uczynić Ziemię miejscem nienadającym się do życia, jakie znamy.
W jaki sposób banki mogą wspierać transformację gospodarki w kierunku modelu zrównoważonego?
Authors: Kulińska-Sadłocha Ewa
Published: October 2022

Celem rozdziału jest ocena możliwości i sposobów wpływu banków na transformację gospodarki w kierunku modelu zrównoważonego. Banki z uwagi na specyfikę działalności należą do instytucji o znacznych możliwościach oddziaływania na otoczenie, w tym na efektywną zmianę struktury finansowania z działań szkodliwych dla środowiska naturalnego i społeczeństwa na działania zgodne z koncepcją zrównoważonego rozwoju. Mogą tego dokonać poprzez zarządzanie ryzykiem finansowym obejmującym ryzyko ESG, a także oferowanie zrównoważonych usług i produktów bankowych.
Jak wygląda społeczny wymiar Europejskiego Zielonego Ładu?
Authors: Kruszyński Kamil
Published: October 2022

Rozdział przedstawia uwarunkowania społeczne EZŁ: zasięg ubóstwa i wykluczenia społecznego oraz utrzymujące się nierówności społeczne w UE, które pozostają niezauważone w strategii. Społeczny aspekt EZL wyraża koncepcja „sprawiedliwej transformacji”, wskazującej na okoliczności sprzyjające jej przeprowadzenia, jak i na łagodzenie skutków, dotyczących ubóstwa energetycznego. Zaprezentowany jest także Mechanizm wspierania sprawiedliwej transformacji w Unii Europejskiej.
Gestión operativa; clima laboral de los usuarios internos
Authors: Arteaga Loor Vivianna Del Rocio , Moncayo Carreño Oscar Fabián
Published: October 2022

La gestión operativa en el tratamiento de los usuarios internos de la Dirección de Gestión de Desarrollo Social del Gobierno Autónomo Descentralizado Municipal de Quevedo, en su proceso actual, deja algunas observaciones que deben ser mejoradas, tales como: los procesos en que se desarrollan las actividades de los funcionarios y en las diversas dimensiones de clima laboral citadas en el documento. Para realizar la investigación se utilizan métodos como la encuesta, insumo que permite conocer las cualidades y defectos que posee la Gestión Operativa a partir de los métodos deductivo e inductivo, así como la observación, y sobre esta base proponer correctivos y decisiones al interior de la Dirección, para el desarrollo perspectivo de una propuesta alternativa: un Plan de Mejoramiento de Clima Laboral, que permitirá mejorar los procedimientos de atención a los usuarios internos. La metodología utilizada basa su enfoque de forma descriptiva y cuali-cuantitativa tendiente sobre la base de los resultados alcanzados, a lograr una gestión operativa adecuada y que se logren objetivos esperados por el departamento, al implementar estrategias eficaces para un correcto desarrollo del clima laboral de este
Contribuições teórico-metodológicas do esquema polemológico de Michel de Certeau para a análise sócio-espacial das práticas cotidianas
Authors: Nathan Carvalho Gregório Maycow , Giorgiano Isabela
Published: October 2022

Este trabalho faz parte de uma pesquisa mais ampla de caráter exploratório, delineada por meio de estudo bibliográfico e sob consulta de fontes secundárias, acerca das contribuições teórico-metodológicas de autores, críticos e teóricos da vida cotidiana, no que se refere às leituras e apreensões da produção-reprodução sócio-espacial e cotidiana nas cidades. Neste sentido, o objetivo é compreender o modo como Michel de Certeau apreende a produção-reprodução do homem cotidiano (como fonte de revelação do social e do espacial), buscando-se sistematizar as principais categorias, esquemas conceituais, princípios operatórios e fundamentos teórico-metodológicos acerca do seu esquema polemológico das práticas sócio-espaciais cotidianas. As reflexões críticas incidem sobre como o uso e apropriação, realizados e fabricados por meio das práticas cotidianas, afetam e modificam (com astúcia) a reprodução e a produção das relações sociais e dos modos de vida no interior de um espaço social, cultural, habitado, praticado e/ou vivido.
Modelling job burnout based on job exhaustion and personality traits among the employees of the Bastak County Department of Education
Authors: Ferdosipour Atefeh , Mojaveri Maryam
Published: October 2022

This study aims to model job burnout based on job exhaustion and personality traits among the employees. Burnout is a problem caused by workplace tensions. The present research was conducted on 100 employees. The statistical population of the research consisted of all the employees. For field data collection, the Maslach Burnout Inventory, developed by Maslach and Jackson, and NEO personality inventory were used. For data analysis, descriptive statistics (mean and standard deviation) and inferential statistics (correlation and regression) along with SPSS software were employed. The present research hypothesises that there is a significant relationship between job burnout based on job performance, job exhaustion and personality traits among the employees. According to findings, mental exercise, improving psychological satisfaction and experiential freshness can increase conscientiousness and agreeability and decrease neuroticism, which eventually leads to lower burnout.
 
Keywords: Job burnout, job exhaustion, personality characteristics;