bluuebunny/crossref_metadata_2025 huggingface dataset:
THE ANCIENT CHURCH AND THE ORIGINS OF THE MEDICAL ASSISTANCE SYSTEM
Authors:   ", Leontin POPESCU ,   Dunărea de Jos",   University of Galați, ROMANIA
Published: October 2024

The writings of the Holy Fathers reveal a variety of attitudes towards medicine, ranging from acknowledging it and displaying extreme trust in doctors' prescriptions to reasons for distrust; however, there is almost always a Christian concern to legitimize medicine as a useful tool for healing, but at the same time to consider it a gift of God who instituted it. Numerous testimonies also convey the metaphor of Christ "medicus", variously described and circulated in both East and West. The combination of Christian care and professional medicine gave rise to the first hospitals, also inspired by the Christian hospitality and philanthropy available in various establishments in both East and West. The new structures were established as centres of treatment and effectively assumed a monopoly on universal medical practice
The Dream Island
Authors:   , McCully Ryan
Published: October 2024

This thesis investigates architectural place identity and architecture and architectural drawings ability to represent people, community, culture, heritage and place. The research site for this design-led investigation is Christchurch and the post-disaster city centre that has lost much of its heritage architecture and ultimately its identity. The investigation examines the importance of the experiences created by heritage architecture not as essential artefacts but as functional and experiential physical spaces; these experiences define the collective memory of Christchurch and ultimately its cultural and heritage identity. It proposes that the concept of a dreamscape as a speculative tool to help keep the collective memory of Christchurch alive, allowing us to see and engage with Christchurch for the first time once again. In the wake of the 2011 February 22nd earthquake, damaged historic buildings were seen as dangerous, when in fact only 44 deaths out of 185 were due to unreinforced masonry buildings (Ansley, 2011).

The majority of deaths were attributed to buildings of modern construction. The proposition of this investigation is that this oversimplification, labelling Christchurch heritage buildings as killers, was not a constructive response. Evidence of the destruction and trauma has been erased, but in doing so Christchurch’s collective memories of its historical past have been eroded; thus the remaining heritage sites have become even more valuable.

Christchurch’s most important broken architectural heritage elements are currently stored in an archive repository, lost to view. This investigation proposes to give them back to the city, turning the city centre into a unique urban repository of archive elements. At the same time, it uses architectural drawing and collage to present the collective memories of Christchurch as a dreamscape that invites new ideas for Christchurch’s preservation and resurrection – restoring its cultural and heritage identities in new and compelling ways that add value to the rebuild. The drawings also allow viewers to recognise for the first time some of the lost and hidden identities that may no longer exist; if these hidden identities can be preserved through architectural drawing, then they have a viable chance to give back to Christchurch during the process of its evolution as it moves forward. All cities move forward but it is the recognition and realisation of their history that defines their identity. And the biggest problem caused by so much of Christchurch being lost is that it has now lost so much of its identity that only past generations can salvage the identity, remember it, and safeguard it before it is lost forever. This investigation invites people to dream; and in dreaming to use their imagination, allowing the next generation to also remember even within the context of the new.
Comparative Effect of Sodium Butyrate and Sodium Propionate on Proliferation, Cell Cycle and Apoptosis in Ovarian Cancer Cells
Authors:   ,   Lebanese American University -- Chouran Beirut, Danaf Daniella
Published: October 2024

Short-chain fatty acids (SCFAs) are ubiquitous lipids produced by the gut microbiome through the fermentation of dietary fibers and non-digestible carbohydrates. Over the years, SCFAs have received considerable interest as possible regulators of many types of cancer, mainly colorectal cancer. However, their role and underlying mechanisms in ovarian cancer are yet to be elucidated. This study aimed to investigate and compare the anti-tumor effects of NaB and NaP in two distinctive ovarian cancer cell lines, SKOV-3 and PA-1. The effect of NaB and NaP on proliferation was assessed in 2D and 3D through MTT assay, colony formation assay, and spheroid hanging drop method. Alterations in the cell cycle were evaluated by Propidium Iodide (P.I) staining with flow cytometry, followed by evaluation of cyclin A2, B1, D2, and E2 expression by RT-qPCR. The mechanism of cell death induced by NaB and NaP was assessed using Annexin V/P. I and western blot analysis of proteins that regulate and initiate apoptosis, namely PARP1, Caspase 3, Bcl-2, and Bax. Our results revealed that NaB and NaP inhibit proliferation and impaired spheroid formation of SKOV-3 and PA-1 cells in a dose- and time-dependent manner. Moreover, both NaB and NaP induced cell cycle arrest at the G2/M phase, which was further supported by the downregulation of cyclin A2 and B1. Finally, the mode of cell death exerted by NaB and NaP was through apoptosis, as seen by the increased percentage of early/late apoptotic cells and the elevation of Bax/Bcl-2 ratio in treated cells. When compared to NaP, NaB showed a lower IC50 and a significantly greater apoptotic activity, indicating that NaB has a more potent anti-tumor effect than NaP. In conclusion, our findings underline the inhibitory effect of NaB and NaP in different subtypes of ovarian cancer, thus highlighting their therapeutic potential in cancer.
Fathers and Reproductive Labor: Redefining Roles in the Modern Family
Authors:   ,   Lebanese American University -- Chouran Beirut, El Hakim Diana
Published: October 2024

This thesis explores the changes that are taking place in modern family structures after women entered the labor market and the rise of feminist voices, with a particular emphasis on the changing responsibilities that fathers play in the context of reproductive labor in urban areas in Lebanon. The objective of this study is to offer a discussion of the factors influencing the reinterpretation of fatherhood by investigating cultural transformations, and the effects of changing gender roles. The traditional limits defining men's engagement in caregiving and domestic responsibilities are evolving due to significant in societal, economic, and cultural changes. This study employed a qualitative methodology, using semi-structured interviews with couples, each partner independently, to examine the various aspects that impact the evolving context of fathers' roles in reproductive labor. Using thematic analysis, six themes emerged, centering around 1) Transformed Perceptions about Father’s Duties, 2) Normalizing the Availability of Fathers Through Reproductive Labor, 3) From Binary Gender Roles to Partnership Relationship, 4) The Impact of Economic Needs and Women’s Work on Fathers’ Roles, 5) Increase in Women’s Fight for Their Rights, 6) The Impact of Father’s Involvement in Reproductive Labor on Family and Child Development. The findings contribute to a broader discourse on gender equality and family studies, offering insights into how contemporary fathers navigate and negotiate their roles in the complicated web of reproductive labor.
Classical surgical treatment of acute pleural empyema
Authors: Boyko V. V. , Tkachenko V. V. , Sochneva A. L. , Kritzak V. V. , Korzh P. I. , Minukhin D. V. , Serenko A. A. , Yevtushenko D. O. , Tkachenko V. I.
Published: October 2024

Objective. To determine the need for open surgical treatment in patients with acute pleural empyema with and without the use of video thoracoscopic rehabilitation interventions.
Materials and methods. We analyzed the results of treatment of 426 patients with acute pleural empyema in the period 2008–2022, of whom 109 (25.6%) required open surgery after pleural cavity rehabilitation.
Results. This study allowed us to form an idea of the need for open surgery at different periods from the beginning of complex treatment of acute pleural empyema, the nature and extent of surgical interventions, complications and their consequences.
Conclusions. The need for operations such as pneumonectomy and pleuropneumonectomy after the rehabilitation of the pleural cavity in acute pleural empyema remains at the level of 3.6–6.9%.
New linear stapled semimechanical esophagogastric anastomosis with invagination
Authors: Usenko O. Yu. , Sidiuk A. V. , Savenko G. Yu. , Klimas A. S. , Teslia O. T.
Published: October 2024

Objective. Development and implementation esophagogastric linear stapled semimechanical anastomosis with invagination.
Material and methods. Seromuscular stitches are applied over 4 cm on both sides to the lateral surfaces of the esophagus posterior wall and gastric graft posterior wall, towards their edges. The posterior wall of the anastomosis is sutured and cutted with a linear stapler on 30–40 mm deep. The anterior wall sutured with a linear stapler. The next layer of sutures on the anastomosis anterior wall invaginates the anastomos and the esophageal stump into the gastric graft.
Results. There was no early postoperative mortality. Average I. Lewis minimally invasive esophagectomy time was 353 minutes (245–470 minutes). The average volume of blood loss was 114 mL (50–200 mL). No patient faced an anastomotic leak. Anastomotic stricture occurred in 5 patients (19.2%) during 21 days to 6 months of follow-up. There were no anastomosis-related complications above Clavien-Dindo grade II.
Conclusions. Linear stapled semimechanical anastomosis with invagination has proven both clinical and technical advantages of its use.
Etiopathogenesis of oblique inguinal hernia, new concept of its surgical treatment, postoperative complications and their correction
Authors: Gonchar M. , Shkvarkovskyi I. , Moskaliuk O.
Published: October 2024

Objective. To study the results of applying a new conceptual approach to the surgical treatment of oblique inguinal hernia in order to reduce the frequency of its recurrence and preserve the function of the male reproductive system.
Materials and methods. The study is based on the results of topographic and anatomical examination of 50 unfixed male cadavers on the 1st day after death. As clinical material, 144 patients who were inpatients in the surgical department were involved in the study.
Results. Patients of the main group (n=71) underwent hernioplasty according to the developed method. The control group included 73 patients operated on by the Lichtenstein method. The etiopathogenetic basis of oblique inguinal hernia and the causes of its recurrence, the frequency of which after open and laparoscopic use of mesh implants is 5 – 15%, were studied. It is after the use of these implants in the Lichtenstein operation that a complication no less important than recurrence occurs, which is a decrease or even loss of male reproductive function. Conceptually, the new approach is to eliminate the deep inguinal ring, move the spermatic cord under the transverse fascia, and create a new inguinal ring.
Conclusions. The proposed method of hernioplasty has significant advantages over the Lichtenstein method of surgery, which are to prevent recurrence of the disease and preserve male reproductive function.
Epidural analgesia in the perioperative period and mean arterial pressure as risk factors for postoperative complications after pancreaticoduodenectomy
Authors: Usenko O. Yu. , Simonov O. M. , Gurin P. V. , Skums A. A.
Published: October 2024

Objective. To study the influence of epidural analgesia and mean arterial pressure as risk factors for the development of postoperative pancreatic fistula, delayed evacuation of gastric contents and postpancreatic bleeding after pancreaticoduodenectomy.
Materials and Methods. The retrospective study included 234 patients who underwent pancreaticoduodenectomy at the National Research Center of Surgery and Transplantation named after O. O. Shalimov from January 2022 to November 2023. The surgical intervention included a standard pancreaticoduodenectomy according to the modified Child's technique. The objective was to evaluate the optimal approach to anesthesia and blood pressure management to minimize the risk of postoperative complications. Data were collected on the type of anesthesia (general anesthesia or a combination of general anesthesia and epidural analgesia), mean arterial pressure, use of vasopressors, and the incidence of postoperative complications. The analysis was performed using logistic–binomial regression to assess the risk of complications depending on the level of blood pressure and the use of epidural analgesia.
Results. The combined use of epidural analgesia and general anesthesia was associated with a decrease in the incidence of clinically significant postoperative pancreatic fistula, delayed evacuation of gastric contents, and other complications. Epidural analgesia, although associated with an increased risk of hemodynamic instability, contributed to better pain control and a reduction in the incidence of postoperative complications. A decrease in mean arterial pressure by each 1 mm Hg increases the risk of postoperative pancreatic fistula by 15.8%, which confirms the importance of maintaining an adequate level of pressure to ensure optimal tissue perfusion. Despite the hypothesis of a possible negative effect of vasopressors, their use did not show a statistically significant association with the incidence of postoperative pancreatic fistula. Thus, further studies are needed to clarify the optimal parameters of patient management after pancreaticoduodenectomy.
Bouvereau syndrome
Authors: Shkarban V. P. , Bulyk I. I. , Savytskyi A. O. , Chychula V. I.
Published: October 2024

Bouvereau syndrome
Replacement of an infected stent graft of the iliofemoral segment with an autovenous stent
Authors: Nikulnikov P. I. , Liksunov O. V. , Ratushniuk A. V. , Liksunov D. O. , Severin V. L. , Beecher A. G.
Published: October 2024

Replacement of an infected stent graft of the iliofemoral segment with an autovenous stent
University student suicides in Türkiye: Insights from two decades of media reports
Authors: Yıldırım Mahmut Şerif , Akçan Ramazan , Aksu Gül Nisa Nur
Published: October 2024

University student suicides have emerged as a significant societal concern, reflecting challenges inherent in the transition to adulthood and academic pressures. This study aims to analyze two decades of national media coverage on university student suicides in Türkiye, examining demographic trends, suicide methods, and social factors implicated in these tragic incidents. A comprehensive scan of Turkish national media archives from January 1, 2004, to December 31, 2023, identified 213 unique reports of university student suicides. Data extracted included age, sex, year of incident, prior suicide attempts, geographic distribution, housing status, academic major, psychiatric history, social background, suicide method, and presence of suicide notes or social media posts. Statistical analyses utilized Fisher's Exact Test and Pearson's Chi-square to examine categorical data. Male students accounted for 61.6% (n=125) of reported suicides, with a mean age of 22.2 years (SD=3.05). The most common suicide method was jumping from height, differing by sex, with hanging prevalent among males and jumping more frequent among females. Mobbing emerged as a predominant social stressor implicated in suicide incidents, surpassing other factors reported in the literature. The findings highlight an alarming increase in media-reported university student suicides, predominantly affecting males and characterized by distinct suicide methods. The pervasive impact of mobbing underscores the urgent need for targeted interventions addressing social stressors, alongside comprehensive medical, psychological, social, and economic support systems within academic settings. Efforts should prioritize proactive mental health initiatives, policy reforms, and community-based interventions to mitigate suicide risks among university students.
The relationship between uropathogens and clinical characteristics of children with urinary tract infection
Authors: Leventoğlu Emre , Soran Mustafa , Tüter Öz Şadiye Kübra , Böncüoğlu Elif , Bağcı Zafer
Published: October 2024

Urinary tract infections (UTI) are common bacterial infections in children. This study aimed to examine the relationships between different microorganisms and both clinical and laboratory findings in pediatric patients with UTIs. We conducted a retrospective evaluation of children with UTI between 2019 and 2024. Patients were divided into four main groups as normal anatomy, vesicoureteral reflux (VUR), ureteropelvic junction obstruction (UPJO), and neurogenic bladder (NB). Information on clean intermittent catheterization (CIC) and prophylactic antibiotic use was recorded. Laboratory results were compared across these patient groups. The study included 266 patients, with a female predominance (female/male ratio: 7.33). NB was the most common urinary tract condition (43.3%), followed by VUR (10.9%) and UPJO (9%). Prophylactic antibiotics were used by 9% of the patients. Acute phase reactants in patients with CIC were significantly higher (p=0.023 for white blood cell (WBC) and p=0.002 for C-reactive protein (CRP) levels). They were also higher in patients with prophylactic antibiotics compared to those without (p=0.001 for both). The most frequently detected bacteria in urine cultures were E. coli (65%), followed by Klebsiella spp. (18.8%), Pseudomonas spp. (7.5%), and Proteus spp. (4.9%). Klebsiella spp., Enterococcus spp., and Morganella spp. were not isolated from patients receiving prophylaxis (p=0.022). Risk factors for UTIs need to be carefully assessed for every patient, and treatment should be customized according to clinical and laboratory results. Individual patient factors should guide drug selection, and treatment plans should account for potential resistance patterns.
ENTREPRENEURSHIP AND A NEW DEVELOPMENT MODEL THE RUSSIAN ARCTIC
Authors: Tkach Nina
Published: October 2024

The monograph reveals the role of entrepreneurship in socio-economic development and ensuring national security in the territory of the Russian Arctic, and also provides an analysis of the current situation with entrepreneurship in the Nenets Autonomous District. The specific features of the conditions in which entrepreneurs have to work, interact with big business and regional authorities in the development of exploration and construction of mineral resource centers are noted. The author's view on improving the organization of SME operations in the oil and gas industry is presented, foreign approaches to the formation and implementation of state policy implemented in relation to Arctic entrepreneurs are analyzed. The book is intended for RANEPA masters studying under the program "Management of the development of the Russian North", graduate students and entrepreneurs operating in the Russian Arctic.
Community-based distribution program's response to increased contraceptive demand in the Democratic Republic of Congo during COVID-19
Authors: Bapura Jacquie , Fataki Joseph M , Ibrahimi Sahra , Hazerjian Jack , Kabulepa Marie-Claude M. , William Anna , Embeke Narcisse N. , Kasereka Modeste N. , Ngo Willy , Diarra Houleymata , Mbuy Alice , Brunner Bettina
Published: October 2024

In the Democratic Republic of Congo (DRC), the United States Agency for International Development (USAID) Integrated Health Program supports the Ministry of Health to strengthen family planning (FP) services through a Community-Based Distribution (CBD) program. As a part of this project, we investigated whether the CBD program responded to the increased need for contraceptives in nine provinces of the DRC during COVID-19 pandemic. Analysis compared distribution rates of contraception methods, uptake by new users, and renewal rates among women before and during the pandemic. Data sourced from women of childbearing age using modern contraceptives through CBD across 179 health zones were analyzed using chi-square tests in MedCalc software to examine proportion differences pre-COVID-19 versus during COVID-19. The CBD program distributed about 348,958 contraceptives during the pandemic, with 18.3% being new users, significantly higher than pre-pandemic levels (14.5%; P < 0.0001). Renewal rates were higher pre-pandemic overall (26.3% vs. 24.6%; P < 0.0001), but urban areas saw increased renewals during COVID-19 compared to before (34.8% vs. 24.1%; P < 0.0001). Despite pandemic-induced healthcare challenges, the CBD program effectively met escalated contraceptive demands. These findings underscore CBD's efficacy in crisis response, offering insights for governments on optimizing CBD services during health emergencies
Effects of agricultural carbon footprints and malnutrition on life expectancy in China
Authors: Wu Junyu , Hao Huifen
Published: October 2024

This study explored the impact of carbon footprints and malnutrition on life expectancy in China over the periods of 2000 and 2021. Data from the World Bank Indicators database was utilized, and Dynamic Ordinary Least Squares (DOLS) was employed to analyse the extracted data. The results show that over the periods of 2000 and 2021, agricultural carbon footprints in China experienced a first sharp decline in 2015. In contrast, per capita food production in China rose from 88.29% in 2011 to over 108% in 2021. Within a space of a decade, the undernourished population in China was reduced by 78.8%. Moreover, per capita food production had a positive impact on life expectancy in China. Conversely, malnutrition exerted a negative and significant influence on life expectancy. Agricultural carbon footprints contributed a positive but insignificant impact on life expectancy, and GDP per capita growth increased life expectancy significantly in the country. We conclude that policymakers in China are should ensure that all citizens have access to food necessary to improve life span of the country`s population.
Impact of comprehensive nursing on hand-foot syndrome caused by oral capecitabine in breast cancer patients
Authors: He Shanshan , Wang Mi , Zhang Liuliu , Zhu Ping , Zhou Jianmei , Fang Zhiping , Shi Lingyun
Published: October 2024

This study examines the effects of comprehensive nursing care on hand-foot syndrome (HFS) in breast cancer patients treated with capecitabine. A retrospective analysis was conducted on 71 patients, divided into a study group receiving comprehensive care and a control group receiving conventional care. Results showed that the study group experienced significant improvements in skin symptoms, self-efficacy, quality of life, and lower anxiety and depression levels compared to the control group. Additionally, patients who were compliant with medications were notably better in the study group. Comprehensive care effectively alleviates the symptoms of hand-foot syndrome in breast cancer patients treated with capecitabine and enhances patient well-being.
Effect of easy cupping combined with pelvic floor electrical stimulation and Kegel exercise and pelvic floor muscle surface electromyography on symptoms improvement in women with stress urinary incontinence
Authors: Zhang Jingfen , Wu Leijuan , Lou Lihua
Published: October 2024

This study aimed to evaluate the effectiveness of easy cupping combined with pelvic floor electrical stimulation and Kegel exercises in treating female patients with stress urinary incontinence (SUI). Ninety SUI patients were randomly assigned to two groups: the control group (pelvic floor electrical stimulation + Kegel exercises) and the experimental group (easy cupping + pelvic floor electrical stimulation + Kegel exercises). Outcomes assessed included pelvic floor muscle strength, urinary incontinence, urinary leakage, pelvic floor muscle surface electromyography, adverse effects, and patient satisfaction before and after treatment. Results showed significant improvements in pelvic floor muscle strength, International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICI-Q-SF) scores, and urinary leakage in both groups, with the experimental group showing greater improvements (P < 0.05). The experimental group also had higher pelvic floor muscle potential values and a greater total effective rate (P < 0.05). No significant differences in adverse effects were noted between groups, and patient satisfaction was higher in the experimental group (P < 0.05). In conclusion, the combination of easy cupping with pelvic floor electrical stimulation and Kegel exercises effectively enhances pelvic floor muscle strength, reduces urinary leakage, and improves patient satisfaction in women with stress urinary incontinence.
Association between genetic polymorphisms in chromosome region 9q21 and pelvic organ prolapse in Northwestern Chinese women
Authors: Wang Jian , Wei Ying , Mao Baohong , Xu Wenjing , Liu Xiyun , Tao Chengbing , Lu Yongli , Sheng Yannan , Liu Qing
Published: October 2024

This study aimed to explore the association between genetic polymorphisms in the chromosome region 9q21 and the risk of pelvic organ prolapse (POP) in Northwestern Chinese women. A case-control study was conducted with 241 POP patients and 268 healthy controls, analyzing ten single nucleotide polymorphisms (SNPs) across five genes using PCR amplification and Sequenom MassArray. The results revealed significant associations between three SNPs—rs2297002 in GOLM1, rs7450 in MAK10, and rs3814535 in TLE1—and POP. Specifically, the TC genotype of rs2297002, the GA genotype of rs7450, and the AA genotype of rs3814535 were linked to an increased or decreased risk of POP. The study suggests that these genetic variants might contribute to the pathogenesis of POP in this population, offering potential markers for early diagnosis and further investigation into the molecular mechanisms underlying POP.
Circumstances leading to home childbirths among women living in Winterveldt, Tshwane Municipality of South Africa
Authors: Makau Rebecca T. , Rammopo Modikwe E. , Habedi Debbie S.K.
Published: October 2024

Childbirth complications, which may include maternal and perinatal mortality are common among women giving birth at home compared to those giving birth at health care facilities. Increasing access to childbirth in health care facilities improves the maternal and perinatal health outcomes for both the mother and child. There are however reported cases of home childbirth and decreasing numbers of health care facilities’ births in developing countries. The researchers identified an increase in number of babies born before arrival in several health care facilities and therefore explored this phenomenon in order to understand circumstances leading to this practice. The findings of the study have a potential to inform interventions and strategies to strengthen community health education and engagement on maternal and child health issues. Information gathered through this study will also be important in informing decision making on prioritization of key interventions to incorporate Traditional Birth Attendants (TBAs) services in reproductive health care. An exploratory descriptive qualitative study was used to conduct in-depth interviews amongst women of childbearing age living in a semi urban area of the Tshwane municipality in South Africa. The sample of this study was made of 21 purposively selected women who had experienced home childbirth. Thematic content analysis was used for data analysis. Many women made a choice to give birth at home due to religious and cultural beliefs. However, some women wished to give birth in a health care facility but due to unintentional factors such as lack of transport, failure to identify labour pains, and fast labour; they ended up giving birth at home. Some of the women indicated harsh treatment in health care facilities compared to the pleasant birthing experience at home as reasons for opting for home childbirth.
Exploring perceptions and attitudes towards pregnancy danger signs among childbearing age women in the Al-Baha Region, Saudi Arabia
Authors: Elbashir Amira E.E. , Alghamdi Ghadi S. , Alzahrani Shatha A.J. , Alghamdi Hanin J.H. , Zahrani Shaima K.A. , Alghamdi Ghayda A. , Alowaid Ghaidaa S. , Alghamdi Nada A.M. , Fadlalmola Hammad A.
Published: October 2024

The World Health Organization (WHO) estimates that complications related to pregnancy and childbirth affect approximately 300 million women in developing countries, causing both acute and chronic illnesses. Direct obstetric complications such as hemorrhage, sepsis, hypertensive disorders during pregnancy, obstructed and prolonged labor, and unsafe abortion account for approximately 75% of maternal deaths. This study aimed to assess the perceptions and attitudes towards pregnancy danger signs among women of childbearing age in the Al-Baha Region, Saudi Arabia. A descriptive cross-sectional hospital-based study was conducted using simple random sampling to select 446 pregnant women. After outlining the study's goal and ensuring confidentiality, data were gathered through a pre-tested, well-designed questionnaire. Data were analyzed using Excel and SPSS version 28. The assessment of the study participants about perceptions of pregnancy danger signs revealed that many were aware of signs such as bleeding, abdominal pain, and lack of fetal movement, indicating a comprehensive understanding of potential pregnancy complications. The study participants exhibited good knowledge and relatively positive attitudes towards pregnancy danger signs. However, a significant fraction showed negative attitudes and insufficient knowledge, suggesting room for improvement in maternal health literacy. The study also found a significant relationship between sociodemographic characteristics and knowledge.Most participants had good knowledge and perceptions about pregnancy danger signs, and their attitudes were relatively positive. However, there is a need to increase awareness and improve attitudes towards pregnancy danger signs among women in the Al-Baha Region.
Health-safety inspection and organisational performance of female-owned enterprises in China
Authors: Bai Tiancheng , Yuan Gang , Chen Yanjun
Published: October 2024

This study examines the impact of health and safety inspections on the organizational performance of female-owned enterprises in China, utilizing data from the "Health Safety and Inspection - China - 2023" dataset. The research addresses three key objectives: assessing the prevalence and outcomes of health and safety inspections among female-owned firms, analysing the average performance and sales growth, and evaluating the performance differences between inspected and non-inspected firms. The study applied descriptive analysis comprising graphs. Findings reveal that a significant majority (94.5%) of female-owned firms undergo inspections, with over half receiving formal reports. The analysis shows variable short-term performance with an average annual sales figure of 31,600,000 Chinese yuan (¥), but a positive long-term growth trend of 3% over three years. Firms subjected to health and safety inspections demonstrate better performance compared to non-inspected counterparts, with increasingly pronounced benefits over time. The study concludes that health and safety inspections positively impact long-term organizational performance. We recommend policies for increasing the frequency and quality of inspections, providing targeted support for female entrepreneurs, and conducting longitudinal and sector-specific studies to further understand the sustained effects of inspections.
Steroid response in a rare case of vertebrae butterfly with spinal cord compression caused by chronic subdural hematoma
Authors: AMRAN MUHAMMAD YUNUS , Soraya Gita Vita , Nur Haris
Published: October 2024

Introduction

Spinal subdural hematoma (SSH) is a rare entity. Clinical symptoms include motor, sensory and/or autonomic dysfunction due to compression of the spinal cord. There is no standard consensus in the management of SSH. Here, we report a rare case of SSH of sudden onset following trauma, successfully treated with conservative therapy.

Aim

This case highlights butterfly vertebrae as an incidental imaging finding before SSH diagnosis.

Case study

A 30-year-old female presented with weakness in the lower extremities after trauma, accompanied by paresthesia, urinary retention, and impaired defecating function. The thermoregulatory sweat exam revealed sudomotor dysfunction. Multiple slice computed tomography (MSCT) examination of the whole spine revealed wedge deformity of vertebral corpus (VC) L4 on the right lateral side, and VC L5 butterfly vertebrae. Spine magnetic resonance imaging (MRI) revealed an extramedullary intradural lesion at the T7 to T10 level suggestive of subdural hematoma.

Results and discussion

The administration of methylprednisolone pulse therapy, combined with physical rehabilitation, led to a rapid and significant improvement in the patient's motor function. The absence of the spinal pain possibly indicated that there was no more extension of the hematoma; motor recovery, even if slight, should be a predictor of successful conservative therapy, and physical rehabilitation.

Conclusions

SSH is an uncommon condition, with varying clinical presentation, and progression. This case report highlights significant improvement following conservative steroid treatment of a SSH. It also highlights a unique incidental finding of butterfly vertebra in a patient with paraparesis following trauma.
The Classification Method is Used for Sentiment Analysis in My Telkomsel
Authors: Hardiansyah Deni , Aziz RZ Abdul , Hasibuan Muhammad Said
Published: October 2024

User reviews significantly impact how mobile apps are perceived and provide developers with valuable insights into improving the functionality and quality of their products. Sentiment analysis of these evaluations helps identify the main issues faced by consumers, such as technical difficulties, costs, and service levels. The main objective of this study is to classify user sentiment into positive and negative categories, focusing on the MyTelkomsel app. With the use of Google Play Scraper, 39,493 reviews on various app versions and user experiences were collected. This data was analyzed using multiple machine learning models, including Support Vector Machines (SVM), Naive Bayes, Random Forest, and Gradient Boosting, alongside the Natural Language Processing (NLP) approach. The results show that 39.2% of the reviews are positive, while 60.8% reflect negative sentiment. Among the models, SVM showed the highest accuracy in sentiment classification with a value of (0.854792), while Naive Bayes (0.775541), Random Forest (0.829725), and Gradient Boosting (0.819344) also performed well in sentiment classification. These findings suggest that developers can leverage the insights gained from this analysis to proactively improve the performance and user experience of the MyTelkomsel app, by addressing technical and service-related issues identified in user reviews.
Cultural Change of Mathematics Teachers' Views on Technology: Navigating the Artificial Intelligence Revolution
Authors: Utami Niken Wahyu , Sagita Laela , Rahmawati Rina Dyah , Nurdianto Heri
Published: October 2024

The development of technology related to Artificial Intelligence is growing rapidly, and one of its implications is the teaching of mathematics in the classroom. Therefore, it is necessary to conduct research on the perspective of mathematics teachers in addressing the development of artificial intelligence (AI) used in mathematics learning. This study examines the role of AI technology in facilitating pedagogical reform in mathematics education from the perspective of teachers. Through a questionnaire distributed to mathematics teachers, this paper identifies teachers' perspectives on the development of AI and its use in their classrooms. A total of 56 mathematics teachers participated in this study. In addition to the five-item questionnaire, an open-ended questionnaire was also provided. A number of AI that teachers use in their teaching are also mentioned in this paper. The paper also discusses the challenges that mathematics teachers face when using AI in mathematics lesson planning in their classrooms. It concludes that mathematics learning using AI has significant potential to improve students' competencies by equipping them with essential skills for the digital age
DISCOURSING TRANSNATION SPACE AND LOCATING SUBJECT POSITION IN JM COETZEE’S ELIZABETH COSTELLO AND SLOW MAN: DAVID MALOUF IN CONTEXT
Authors: Reza Samim
Published: October 2024

In the Neustadt Prize acceptance lecture (2000), David Malouf had exuded due pride as an Australian and argued that the “power of language” enables one to remap the world “so that wherever you happen to be is the center” (Le, 2019). Malouf’s statement, it is argued, embraces a conspicuous turn from cosmopolitan to transnational. Although, the transnational turn yields certain benefits which are not served in being a cosmopolitan, however, according to Bill Ashcroft, it still fails to fix a definite “subject position”. Ashcroft argues that a definable subject position can be achieved not through embracing transnational turn but being within the space which he calls “Transnation”. This article interrogates the case of JM Coetzee, the South African born Nobel Laureate (2003) who happens to be an immigrant to Australia (therefore, bearing a hyphenated identity), and also contextualizes Elizabeth Costello, a fictional character in two of Coetzee’s Australian novels, in order to discourse the transnation space and locate Costello’s subject position.
Honour, Fear, and Benefit—In That Order: The Interpolation Of Τιμή in 1.75.3 of Thucydides’ Speech of the Athenians at Sparta
Authors: Rusten Jeffrey S.
Published: October 2024

The triad of motives for Athenian action in 1.76.2 is preceded at 1.75.3 by the much-quoted listing of the same three items, in a different order and with too many list-markers, both sequential and preferential. Thucydides’ consistent usage of these markers reveals καὶ τιμῆς and μάλιστα μέν to be insertions. The motive for the interpolation of τιμή (to make the first list match the second) is easy to understand, μάλιστα μέν being added to ‘clarify’ the interpolation on the mistaken analogy of 1.32.1. The restored text eliminates the need to locate ‘fear’ in 75.3, since security and benefit are first introduced in 75.4–5 (after ‘honour’ has been highlighted in the Persian war). The final, full list in 1.76.2 reaches back to 1.73.4 to sum up the whole sequence of allegedly exculpatory human motivations—honour, fear, and benefit—behind Athens’ actions.
Mapping the Cost of Illness Publications in Five Decades: A Bibliometric Analysis and Publications Landscape
Authors: Öztürk Nazife
Published: October 2024

The study aims to map the "cost-of-illness" publications over five decades, identify research areas and conduct a bibliometric analysis of publications on the cost of illness. Study data was obtained from Web of Science database in April 2024. The basic information such as the number of citations, and yearly distribution of publications was extracted with Microsoft Excel, and the VOSviewer version 1.6.15 software program was used for maps. The publications were published between 1975 and 2024; total 879 publications were published from 2015 to 2024 April. A total of 7601 authors have contributed to advancing the literature on cost of illness. A total of 36369 citations have been cited by authors; 2022 was most cited year with 3032 citations; Boncz I. is the prominent author based on publications and total link strength and Leigh, JP is the most cited author; followed by Sebestyen, A. and Koenig, H.H. The top 10 publications have a total of 5352 citations. There has been significant increase in publications and citations related to the cost of the disease in the last five decades. Understanding the context of these publications is essential for researchers who want to work in this field.
FLUKTUASI TINGKAT BUNGA, HUBUNGANNYA DENGAN TINGKAT INVESTASI DAN PERTUMBUHAN EKONOMI
Authors: Kurniawan Restu Agus Dwi , Rosyida
Published: October 2024

Penelitian ini bertujuan untuk mempelajari dinamika tingkat bunga yang fluktuatif. Fluktuasi tingkat suku bunga acuan di Indonesia tidak dapat dipisahkan dari adanya pergerakan suku bunga yang diberlakukan di luar negeri. Kaitannya dengan ekonomi makro, tingkat suku bunga yang fluktuatif bisa memberikan efek yang besar terhadap pasar modal, inflasi, dan ekonomi secara keseluruhan. Studi ini menggunakan data sekunder yang didapatkan melalui publikasi resmi Bank Indonesia dan Badan Pusat Statistik dengan periode tahun 2017-2022. Pendekatan yang digunakan dalam penelitian ini adalah kualitatif dengan sistematic literature review. Hasil penelitian ini menyebutkan bahwa fluktuasi suku bunga acuan yang terjadi berkaitan erat dengan tingkat investasi. Dengan kenaikan suku bunga acuan mengakibatkan suku bunga kredit mengalami kenaikan yang sama. Sehingga permintaan akan kredit akan mengalami penurunan yang pada gilirannya akan menurunkan investasi dan lebih lanjut pada tingkat pertumbuhan ekonomi.
A PROSTITUIÇÃO FEMININA EM BEIRA RIO, BEIRA VIDA E EM JULIETA, COISA E TAL: A PROJEÇÃO DE UM OLHAR MASCULINO
Authors: Assunção Rita de Cássia Barros
Published: October 2024

RESUMO: Esta análise tem como foco a prostituição feminina sob a égide do olhar masculino nas obras Beira rio beira vida de Assis Brasil, escritor piauiense, e Julieta, coisa e tal de Rodrigues Marques, romancista caxiense. As obras literárias retratam a prostituição feminina ambientadas na cidade de Parnaíba-PI e na cidade de Caxias-MA respectivamente. O estudo dos romances foi realizado através do método comparativo de Erich Auerbach por serem obras horizontais (independentes) e verticalmente enleadas pela temática que lhes dão sustentação. A análise da temática respaldou-se nas concepções da Teoria das Representações Sociais, da Genealogia do Poder e dos Estudos Culturais da identidade no intuito de demonstrar, no cerne das relações sociais, como as categorias eu/outro são subsidiadas e mediadas pelo poder, mormente quando nessa relação binária está imbricado o processo de construção da identidade de um sujeito. Assim, compreende-se nas obras, as construções de identidades estereotipadas impelidas às prostitutas na sociedade figurada assim como as estratégias implementadas por elas para resistir ao estigma.
Palavras-chave: Beira rio, beira vida; Julieta, coisa e tal; Assis Brasil; Rodrigues Marques; prostituição feminina.
CHICO BUARQUE E MACHADO DE ASSIS: A DISTÂNCIA QUE APROXIMA
Authors: Santos Hádrya Jacqueline da Silva
Published: October 2024

RESUMO: Este artigo pretende realizar aproximações do romance Leite Derramado, de Chico Buarque, com a obra literária Dom Casmurro, de Machado de Assis, levando em conta, principalmente, as características semelhantes entre os narradores e temáticas de ambas as obras. Tanto Eulálio quanto Bentinho narram as suas histórias a partir de perspectivas únicas, sendo eles, personagens dessas narrativas. Interessa-nos, também, realizar um levantamento teórico acerca da importância e da evolução dos estudos comparados, para que, deste modo, a teoria ganhe espaço nas discussões, uma vez que as relações inseridas no âmbito literário são extremamente variadas e complexas. Assim, para embasar as análises, apoiamo-nos nos empreendimentos teóricos de autores como Carvalhal (1986), Candido (1988) e Schwarz (2009), com a intenção de enfatizar as relações propostas pela Literatura Comparada e pela crítica literária, contribuindo para destacar a relevância de estudos do tipo e mostrar a possibilidade de diálogo entre obras produzidas em épocas distantes.
Palavras-chave: Chico Buarque; literatura comparada; Machado de Assis.
DOS BENEFÍCIOS E DAS FORMAS DE UTILIZAÇÃO DO CORDEL NO ESPAÇO ESCOLAR
Authors: Lima Stélio Torquato , Oliveira Arusha Kelly Carvalho de
Published: October 2024

RESUMO: Este trabalho analisa como o cordel, mesmo com o tradicional desdém sofrido por parte das instituições de ensino, exerceu um papel de relevo na alfabetização das massas sertanejas nordestinas. A partir desse entendimento, discorre sobre os benefícios do uso do cordel em sala de aula e propõe estratégias para uma exploração eficaz das potencialidades didático-pedagógicos do gênero junto aos alunos.
Palavras-chave: cordel; escola; ensino-aprendizagem; sugestões
metodológicas.
LITERATURA DE AUTORIA NEGRA: ANÁLISE DA OBRA QUARTO DE DESPEJO: DIÁRIO DE UMA FAVELADA DE CAROLINA MARIA DE JESUS APLICADA AOS ALUNOS DO 2o ANO DO ENSINO MÉDIO NO COLÉGIO SÃO FRANCISCO DE ASSIS
Authors: Farias Madnólia da Silva , Farias Ednólia da Silva
Published: October 2024

RESUMO: Este artigo tem como objetivo proporcionar o conhecimento da literatura de autoria negra através da obra Quarto de Despejo: diário de uma favelada (2020) de Carolina Maria de Jesus. Busca-se efetivar a valorização do negro e a integração com os problemas sociais e auxiliar no desenvolvimento das habilidades de leitura e escrita dentro de uma perspectiva interdisciplinar aplicada aos alunos do 2o ano do Ensino Médio do Colégio São Francisco de Assis de Lago da Pedra Maranhão. Usa-se a pesquisa-ação e a bibliográfica de cunho qualitativo e busca-se suporte na produção científica de Dalcastagnè (2012) com a Teoria Literária e os estudos literários na contemporaneidade, Zilberman (2012) e sua contribuição sobre a leitura e o ensino da literatura, Davis (2016) e a visão histórica da mulher negra, entre outros. A literatura trabalhada nas escolas não abre espaço para a produção feminina, tampouco para as escritoras pretas. Assim, desenvolveu-se algumas atividades com esses alunos que se apresentam por meio de uma sequência didática, a qual aponta caminhos para se trabalhar com essa temática em sala
de aula.
Palavras-chave: literatura negra feminina; escola; Carolina Maria de Jesus.
MEDIAÇÃO ESCOLAR NA EDUCAÇÃO INCLUSIVA: IMPORTÂNCIA, DESAFIOS E PERSPECTIVAS NA VISÃO DE CUIDADORES
Authors: Filha Francidalma Soares Sousa Carvalho , Alves Luziane Bezerra Moreira
Published: October 2024

RESUMO: Trata-se de um estudo exploratório, com abordagem qualitativa, realizado em Caxias-MA. Participaram da pesquisa 45 cuidadores, responsáveis pela mediação junto a estudantes público alvo da educação especial, matriculados em salas regulares de escolas públicas municipais; cujo objetivo foi analisar a importância das ações desenvolvidas, bem como os desafios enfrentados por cuidadores em salas de aulas regulares e as perspectivas desse trabalho para o processo de inclusão educacional de estudantes com deficiência, transtornos globais do desenvolvimento e altas habilidades/superdotação. Os resultados foram organizados em três categorias, sendo que a primeira abordou a importância da mediação escolar na educação inclusiva, destacando-se os relatos de que atividade promove a interlocução entre estudante, escola e família, auxiliando no processo de autonomia. A segunda tratou das principais ações desenvolvidas durante o cuidado, acentuando-se a participação na rotina diária do estudante e no suporte aos professores durante as aulas. E na terceira, sobre os desafios no processo de cuidado/mediação em educação especial/inclusiva, apontaram a participação e o apoio da família no acompanhamento dos filhos, a falta de formação específica dos professores sobre as necessidades das crianças e a falta de organização referente à regulamentação da profissão de mediador(a), como os principais empecilhos. Assim, pode-se afirmar que apesar da comprovada importância do trabalho dos cuidadores, a complexa situação trabalhista e as diferentes configurações em termos de nomenclaturas e de formação acadêmica no país, urge a necessidade de se realizar mais estudos sobre esta temática a fim de estimular, além da regulamentação da profissão, benefícios e ganhos para cuidadores, escolas e estudantes.
Palavras-chave: educação especial e inclusiva; mediação escolar; inclusão educacional.