bluuebunny/crossref_metadata_2025 huggingface dataset:
Constructing and Validating Iranians’ COVID-19-related Stressors (ICRS) and Its Relation with Mental Health
Authors: Abed Nazanin , Shahyad Shima , Saadat Seyed Hassan
Published: July 2023

Background: The outbreak of coronavirus disease 2019 (COVID-19) has caused stress and anxiety for various parts of society all over the world. This concern and stress are not limited to being affected by COVID-19 because this condition has also caused changes in people’s lifestyles. Objectives: The purpose of this study was to design and evaluate the validity and reliability of the COVID-19-related stressors questionnaire and determine the contribution of each of the stressors to the prediction of mental health in the Iranian population. Methods: This descriptive-analytical and correlational study was performed on 301 volunteers living in Tehran, Iran. Due to the prevalence of COVID-19, questionnaires were distributed by convenience sampling method and online conduction. The instruments used in the present study were the researcher-made questionnaire on Iranians’ COVID-19-related stressors (ICRS) and the general health questionnaire (GHQ-12). Content validity (qualitative and quantitative), face validity, structural validity (exploratory factor analysis), Cronbach’s alpha, and logistic regression were used to analyze the data. Statistical analysis was performed by SPSS version 24 and AMOS24 software. Results: In exploratory factor analysis, the final 25 items were obtained in seven factors with an explanation of 66.25% variance. The results of logistic regression analysis showed that worrying about changing economic status, getting COVID-19 and change in lifestyle increased the chance of developing mental health disorder up to 1.29 (OR = 1.29), 1.28 (OR = 1.28), and 1.18 times (OR = 1.18), respectively. The variable of changing family interactions reduces the chance of developing a mental health disorder by 0.85 times (OR = 0.85). Conclusions: The COVID-19-related stressors questionnaire is valid and can be used in future research. Identifying the most important stressors associated with the COVID-19 pandemic and determining each contribution to mental health prediction will help health policymakers to make better decisions.
A Medication Assessment Tool to Evaluate Prescribers’ Adherence to Practice Guidelines in Bipolar Disorder: Development and Psychometric Properties
Authors: Yousefi Mazhin Ehsan , Akbari Atefeh , Sharif Nia Hamid , Zarghami Mehran , Hendouei Fatemeh , Abbaspour Kasgari Hamideh , Hendouei Narjes
Published: July 2023

Background: In the last decades, bipolar disorder treatments have undergone a gradual shift away from relying on clinical expertise to adopting evidence-based practice guidelines and expert consensus, leading to an improvement in medical care safety, patient performance, and quality of life. Nonetheless, suboptimal prescribing has remained an issue, and there is an excellent opportunity for improving the care standards to reduce symptoms’ recurrence, frequent hospitalizations, and costs. Objectives: This study aimed to develop and validate a medication assessment tool for evaluating prescribers’ adherence to pharmacotherapy recommendations outlined in practice guidelines during the acute phase of bipolar disorder in Iran (MATAPBD). Methods: This mixed-method study was conducted from August 2021 to May 2022. A 54-item pool was developed based on the results from the literature review and research group discussion. The validity (i.e., face, content, and construct) and reliability (i.e., stability and internal consistency) of the tool were evaluated. Results: Four items were rewritten in qualitative content validity. Then, eleven and five items were excluded from the scale in terms of having low content validity ratios and corrected item-total correlation, respectively. The construct validity of the MATAPBD was assessed by adopting the maximum-likelihood exploratory factor analysis method and Promax rotation. The number of latent factors was calculated by performing Horn’s parallel analysis. In exploratory factor analysis, the remaining 17 items were categorized into four factors which explained 57.97% of the total extracted variance. Cronbach’s alpha and McDonald’s omega of all factors were > 0.7, and the intraclass correlation coefficient was 0.914 revealing the strong reliability of MATAPBD. Conclusions: The MATAPBD had good psychometric properties and may have been a valuable tool to evaluate prescribers’ adherence to practice guideline recommendations during the acute phase of bipolar disorder.
The Essential Points Regarding Laboratory Biosafety to Prevent the Spread of SARS-CoV-2
Authors: Mafi Shirin , Fouladi Ghareshiran Nima , Hamidi Hediyeh , Mohyeddin Kazemeini Seyed Mohammad , Davoodi Poorya , Mozayani Farnaz , Nowruzi Bahareh , Fanoodi Ali
Published: July 2023

: A current biosafety and biosecurity crisis, SARS-CoV-2/COVID-19, threatens public health, making it crucial to assess and follow optimal laboratory conditions to prevent any contamination and spread of the lethal virus. Much medical staff have been lost to the COVID-19 pandemic. The dimensions of laboratory biosafety were examined in this study to reduce risks associated with COVID-19 treatment. In addition, this research primarily focuses on assessing laboratory biosafety regarding emerging coronaviruses. This research will determine which aspects need to be addressed to address the risks and implement them in the correct order and at the right time to be as educational as possible.
Artificial intelligence and architectural design : an introduction
Authors: Muntañola Thornberg José , Saura Carulla Magdalena , Cocho Ana , Beltran Borràs Júlia , Navarro Diego , Vogiatzaki Maria , Spiridonidis Constantin , Foroughi Mahda , Andrade Bruno de , Roders Ana Pereira
Published: July 2023

The aim of this book on artificial intelligence for architects and designers is to guide future designers, in general, and architects, in particular, to support the social and cultural wellbeing of the humanity in a digital and global environment. This objective is today essential but also extremely large, interdisciplinary and interartistic, so we have done just a brief introduction of the subject. We will start with the argument fixed by the Professor Jonas Langer in his web some years ago, that we have defined as: “The Langer’s Tree”.
Arquitectura en Portugal
Authors: Domínguez Moreno Lluis Angel , Neves Víctor , Zuquete Ricardo , Louçao Maria Dulce , Rodeia Joao Belo
Published: July 2023

¿Por qué Arquitectura en Portugal?. La rápida evolución en los últimos años, desde la diversidad de culturas locales, hacia prototipos globales de referentes epistemológicos metabólicos, hace prever importantes cambios que ya se dejan notar en la arquitectura. Portugal, por su dimensión y su peculiar repertorio de características culturales, políticas y geográficas, constituye un referente de gran valor paradigmático en la mutación de la arquitectura del siglo XXI.
Arquitectura y transhumanismo
Authors: Muntañola Thornberg José , Domínguez Moreno Lluis Angel , Gómez Pin Víctor , Mul Jos de , Puente Martorell José Manuel de la
Published: July 2023

¿Por qué el transhumanismo? El nexo entre el transhumanismo y el uso de ordenadores en el diseño arquitectónico es, posiblemente, menos obvio para el público general que para los autores de la siguiente selección de artículos. Sin embargo, es un tema muy serio: los arqutectos, sin saberlo, actúan como filósofos transhumanistas, sociólogos o biotecnólogos. Ya es hora de evaluar las consecuencias tanto de la simulación, concepción y representación virtual como del diseño por ordenador en la arquitectura. Aquí les ofrecemos unas perspectivas muy diferentes de esta significativa conexión.
La Enseñanza de la arquitectura como poética
Authors: Linares Soler Alfredo
Published: July 2023

Preguntarse sobre la especificidad del aprendizaje de la arquitectura, desde el punto de vista de la invención, es fácil. Hallar respuestas que vayan a la raíz del problema de la enseñanza de la arquitectura en particular, y de las disciplinas que tengan que ver con la artisticidad en general, es sin duda más difícil. Este trabajo pretende definir el campo de juego teórico a partir del cual podamos comprender mejor el complejo entramado de factores de todo tipo que intervienen en los procesos del aprendizaje de la arquitectura. El valor institucional de la arquitectura, definida por analogía a la institución del lenguaje, permite establecer un marco teórico abierto a partir del cual podemos constatar el valor poético que tiene en sí la enseñanza de la arquitectura. Poético ha de significar aquí "inventivo". Podemos afirmar así que la enseñanza de la arquitectura es una tarea específica, diferente de proyectar y creativa en sí misma.
Programación y participación en el diseño arquitectónico : Programming and participation in architectural design
Authors: Sanoff Henry
Published: July 2023

Este libro trata de establecer conexiones que puedan guiarnos hacia un nuevo profesionalismo, teniendo en cuenta que las décadas anteriores vieron nacer nuevos tipos de especialistas, principalmente en las áreas de programación, evaluación y participación. Las implicaciones de tal integración son de largo alcance y podrán tener, en el futuro, efectos muy significativos en el entorno físico, la profesión del arquitecto y la formación de los futuros arquitectos.
This book is about making connections that may lead towards a new professionalism, since the past decades have given rise mainly to new kinds of specialists in the areas of programming, evaluation, and participation. The implications for such integration are far reaching, with profound future effects on the physical environment, the architectural profession, and the education of architects.
Mente, territorio y sociedad : mind, land & society
Authors: Muntañola Thornberg José , Rapoport Amos , Zerubavel Eviatar , Salmona Rogelio , Heikkinen Miko , Leiviskä Juda
Published: July 2023

Inauguramos una nueva serie <> en Arquitectonics titulada Teorías y prácticas avanzadas, en la investigación sobre arquitectura y urbanismo, con un volumen introductorio al tema de las relaciones entre mente, sociedad y territorio. Ello ha sido posible gracias a una red de coedición entre diversas universidades y a un nuevo comité científico internacional de altísimo nivel.
Este número incluye conferencias realizadas en el congreso internacional sobre Arquitectonics llevado a cabo en Barcelona en el año 2004, y resume además tres conferencias de arquitectos en este mismo congreso con una <> práctica, manteniendo los textos en su versión <>, como si fuera un nivel <> más, aunque ello conlleve un cierto desorden en los escritos.
Scandinavian Regional Model:
Authors: Torfing Jacob , Lidström Anders , Røiseland Asbjørn
Published: July 2023

This article maps how the sub-national regional levels of governance in Denmark, Norway and Sweden have changed from a high degree of institutional convergence to a pattern of institutional divergence. It analyses the similarities and differences in the changes in regional governance and discusses how these changes can be understood. Our supposition is that the more or less rational explanations of change found in main strands of the new institutionalism fail to explain the recent reforms of regional governance. Consequently, we ourselves have to contend with explanations in which rational action plays a limited role and contingent articulations of political and institutional conditions, together with spillover effects from reforms of local governance structures, are central to understanding the reforms that have produced the increasingly divergent patterns of regional governance in Scandinavia.
Collaborative innovation as a tool for environmental, economic and social sustainability in regional governance
Authors: Hofstad Hege , Torfing Jacob
Published: July 2023

In the Scandinavian countries, the regional level of governance is neither the locus of large-scale policy reforms nor a significant provider of welfare to citizens. Nevertheless, it has some important policy tasks in the area of environmental, economic, and social sustainability. These policy areas are rife with wicked and unruly problems that combine cognitive uncertainties with the risk of political conflict and stalemate. Dealing with these problems requires the construction of network arenas in which a range of public and private actors can collaborate in order to find innovative solutions to common problems. The paper analyses the efforts of Norwegian regions to enhance collaborative innovation through the formation of interactive governance arenas. It compares three different policy areas in order to better understand how different forms of interactive governance enhance collaborative innovation for economic, social and environmental sustainability. The ultimate goal is to assess the ability and potential of Norwegian regions to solve wicked and unruly problems through collaborative innovation.
Responding to institutional complexity:
Authors: Frandsen Finn , Johansen Winni , Houlberg Salomonsen Heidi
Published: July 2023

This article investigates how and provides tentative explanations of why reputation and crisis management—defined as two different yet not incompatible sets of ideas stemming from the same institutional logic—have been institutionalized in the public sector in Denmark. More specifically, we examine whether reputation and crisis management become integrated (coupling) or not (decoupling) as disciplines after having being introduced to the individual organizations. The empirical context is the organizational field of Danish municipalities. Based on both quantitative and qualitative data, including, an elite survey conducted among administrative actors from the municipalities and communication plans, the analysis found that although reputation and crisis management per se are widely disseminated within the field, they are neither entirely institutionalized nor strongly coupled.
Rethinking the Branding Context for Municipalities
Authors: Källström Lisa
Published: July 2023

The increased global connectivity and mobility of both humans and capital has created competition between municipalities in attracting the resources needed to achieve their developmental goals. A call for papers focusing on reputation and brand management in Scandinavian municipalities has been announced. Today, it is absolutely necessary to be an attractive place and municipality, and brand management can be a tool in both achieving and communicating this. For branding to be effective, it is critical to have a good understanding of the branding context, and this conceptual paper explores the branding context for municipalities by analysing it—firstly, based on a product-oriented paradigm and, secondly, on service-based logics. It is argued that much of current place management and place branding research rests on belief in the product-oriented paradigm and thus focuses largely on the provider. In contrast, using service-based logics as a starting point places value creation at the center and shifts the focus to the resident. This has several theoretical and methodological consequences as well as practical implications for Scandinavian municipalities, and these will be discussed in the paper.
City brands in the mediatised world
Authors: Anttiroiko Ari-Veikko
Published: July 2023

This article provides an overview of the images of Stockholm, Copenhagen, Oslo and Helsinki on the basis of international city rankings. City rankings are conceptualised as intermediary-generated ‘aggregate images’, which through their impact on investors and other stakeholders tend to intensify intercity competition. They reflect increased mediatisation, which brings a special kind of uncontrollable element into city branding. The empirical analysis of economic profiles of Nordic capitals leads to the conclusion that Stockholm stands out as the major Scandinavian producer city with highest rankings in business, high-tech, finance and knowledge. Copenhagen dominates the categories of culture, tourism, conferences and logistics. Concerning the other two, Oslo has strengths in finance and logistics, whereas Helsinki is profiled primarily as a high-tech city. All Nordic capitals utilise rankings in their brand communication. Yet it seems that only Stockholm has been able to integrate rankings effectively into its branding and to reap significant benefits from brand-related symbolic capital in its economic development policy.
Promoting and protecting values through leadership agency
Authors: Andersen Ole Johan , Torsteinsen Harald
Published: July 2023

The disaggregation and autonomisation of public service procurement have been at the leading edge for the last two to three decades, not least due to the importance which New Public Management (NPM)-inspired reform programs have acquired. Rather than rejecting such organisational tools, we attempt to revea lthe complexity of the transformation of a municipal service-providing organisation with relatively delimited, clear-cut aims. Not only do we address issues related to how the transformation proceeded, but also more analytically challenging questions of why it was feasible to accomplish such a complex process in a relatively short period. Our focus on how  and why issues favours a single case study design, and we have chosen a waste collecting and processing organisation that was devolved step-by-step from the municipal political-hierarchical system of governance. When approaching the how issues we draw on the analytic framework laid down by Ibarra et al. (2010). However, regarding the important why issues we find Selznick’s (1957/1984) notion of institutional leadership to offer useful clarification.
"The Patient comes First"!
Authors: Beckerman Carina
Published: July 2023

The contribution of this paper is a discussion about how the concept the patient is constructed and used by employees for different purposes, enabling or disabling change. The perspective taken is that the health-care employees belong to a collective that is characterized by a special thought style. How they talk about the patient is part of a unique language and an identity which allows these group members to learn who knows what, what is accepted behaviour and coordinate their activities. The results presented in this paper are based on a three years interpretative case study of how a patient record was constructed and reconstructed and then computerized. The questions asked are: How is the patient constructed? Why is the patient constructed like she is? When is the patient constructed like she is? Data has been collected using interviews and then analyzed within a framework consisting of theories about interpretative schemes, cultural knowledge and communication as institutional talk. The findings indicate that the core expression in a practice such as “the patient comes first” has implications for how management of change-projects are conducted and a patient record reconstructed in a hospital. It might be used for not doing things that might have been in the interest of the patient. This paper is meant to be thoughtprovoking and directs itself towards people in health-care involved in different development-and changeprojects.
Do you have a complaint?
Authors: Carlbaum Sara
Published: July 2023

In this paper, I explore and discuss potential changes in the constructions of citizenship and state-individual relationships in Sweden in reference to increased regulation and the use of formally filed complaints in the Swedish education system. While several studies have examined issues associated with school choice and student influence, few have considered complaints as an aspect of the ‘will to empower’ and the construction of an active citizenship. In this paper, I discuss the motivations behind providing complaint systems via an analysis of official government documents, laws, statutes, reports and web materials. Drawing from citizenship literature and exit/voice theories, the analysis shows that complaints have continuously been reinforced through legislation, regulation and the introduction of Child and School Student Representative (CSSR) for equal rights and Swedish Schools Inspectorate (SSI) via student rights arguments and rule of law mechanisms. Legal discourse, the expansion of law and an increased use of complaints indicate a juridification of politics. This juridification could reinforce individualised perceptions of citizenship and education as a private good that is inherent in school choice and marketisation. An emphasis on student rights and complaints tends to result in contract relationships between the individual and state that risk de-politicising education and motivations for and participation in collective action for a common good.
User Choice – Blessing or Curse?
Authors: Røiseland Asbjørn
Published: July 2023

Based in an analysis of elderly care and primary school, the article discusses and explores marketization and especially user choice as a type of democratic participation in Swedish and Norwegian local government. Empirical data include surveys among Swedish and Norwegian citizens and case studies in four municipalities. The analysis shows that having a choice regarding service delivery is considered a significant means of influencing policies among the citizens in the two countries. Comparing the two policy sectors leads to a conclusion that user choice is developing as a means of influence in both sectors, but most important in primary school, and more developed in Sweden compared to Norway. The case studies aim to explore and illustrate the reasoning about choice and democracy among local leaders. This analysis clearly illustrates how the conceptual relation between marketization and democracy varies to an almost extreme extent among local government leaders in Sweden and Norway.
Support to Women Entrepreneurs – of Many Kinds and for Many Reasons
Authors: Sundin Elisabeth
Published: July 2023

“Entrepreneurship “ has a positive connotation. The concept of “entrepreneurship” is, however, hard to define, and consequently the  “ hunt for Entrepreneurs” takes place in a haze (Berglund, 2007).  There is no  consensus in research on what constitutes entrepreneurs and entrepreneurship. Examples of different points of view, include whether or not entrepreneurship is a process or if it is connected to an individual or maybe a collective rather than to one person (Steyart & Landström, 2011).   Often, in practice as well as in research, small firm owners and the self-employed are equated with entrepreneurship and consequently, small, new firms are supposed to be more innovative than big, old ones (Blackburn & Kovalainen, 2008). In practice, we know that far from all small firms and small firm owners are entrepreneurial in the established research-definitions of the concept, and that on the other hand, entrepreneurs and entrepreneurship can be found in all kinds of organizations (Hjorth, 2012; Kovalainen & Sundin,  2012). In this article the terms entrepreneurs and small-firm-owners/self-employed/owner-managers will be used  as synonyms, as that is how they are used in the empirical material.
Ambiguities of Accountability and Attention –
Authors: Christensen Tom , Lægreid Per , Rykkja Lise H.
Published: July 2023

The article examines the failed implementation of a Security Project initiated by the Norwegian government prior to the terrorist attacks in 2011. It analyzes interviews with central government actors and uses two perspectives from organization theory to explain why the project failed. From an instrumental perspective, the failure might be explained by a conscious lack of attention or commitment. From a ‘garbage can’ perspective, the failure might be explained by a lack of collective instrumental rationality. Taking both perspectives into account, inherent ambiguities in horizontal and vertical accountability and a lack of attention influenced both by formal rules and informal practices are the main explanations. The prevalence of local democratic values, a lack of central political involvement and a generally slow administrative process contributed considerably to this.
Overdetermination, Ambivalence, Contradiction
Authors: Wolfson Alexander ,   DePaul University
Published: July 2023

This paper employs a psychoanalytic framework of the concept of contradiction to engage the methodological self-assuredness in which the philosophical concept of contradiction, as developed by Goldschmidt, is mapped onto a historical framework. Through readings of passages by both Freud and Goldschmidt it questions if, unlike the concept of contradiction found within Western metaphysics, “psychoanalytic contradiction” retains a capacity to call into account its own conceptual articulation.
The application and evaluation of an augmented-reality-based physical and cognitive stimulation programme for older adults
Authors:   University of Murcia, Murcia, Spain, Avilés-Martínez Pablo , García-Collado María del Carmen
Published: July 2023

The aim of this paper is to present the results of research analysing the incorporation of virtual or augmented reality into a programme based on physical and cognitive stimulation in older adults and to evaluate its effects following its application. The specific objectives were to verify whether the intervention had a positive effect on the cognitive deterioration of older adults as far as their mobility and fall risk were concerned and whether it was possible to observe any significant differences. A total of 18 people over the age of 65, all of whom were users of a day centre for the elderly, participated in this research. In terms of methodology, the study employed a quasi-experimental approach with two groups and both a pretest and a posttest to analyse the data quantitatively and descriptively. Three scales adapted to a Spanish population were used to measure cognitive deterioration, mobility and fall risk and to evaluate mental disorders in old age. As far as the results are concerned, although no statistically significant data have been found, it has been possible to appreciate slight improvements which suggest that virtual or augmented reality is a tool which can be used to complement physical and cognitive intervention programmes and activities in day centres for the elderly, incorporating aspects of an interactive nature which allow people to exercise and recover basic abilities in their everyday life, particularly in the area of cognition.
The Impact of First Aid Training Program on School Health Staff Knowledge, Attitude and Practice at National Guard Girl Schools in Riyadh-Saudi Arabia
Authors:   College of Nursing, King Saud Bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia,   King Abdullah International Medical Research Center(KAIMRC), Riyadh, Ministry of National Guard Health Affairs, Saudi Arabia., Al- Fozan Haya , Al-Ghadeer Hend M. , Al-Shutwi Sitah , Elazazey Hend , Al-Nasser Zahra , Alharbi Aouhood , Alangari Abdullah
Published: July 2023

Aim of the study was to evaluate the impact of the first aid training program on school health staff knowledge, attitude, and practice at the National Guard girl schools, Riyadh-Saudi Arabia. Materials and Methods: Quasi-experimental design was used. A purposive sample was conducted to enroll the study participants, the total number was 103 school health staff. A structured self-administered questionnaire was designed. Results: The findings pointed out the mean age of the participants was (38.32 + 5.08). Sixty percent of the participants had less than 5 years of experience as school health staff and only 11.7% of them had received prior first aid training. There was a statistically significant difference between the total mean scores of the participants’ knowledge and practice in pre/post-test. There was a substantial shift in participants’ positive attitudes towards the training program in the post-test compared to the pretest. Conclusion: Based on the results of the present investigation, there was an improvement in school health staff (advisors) knowledge, practices, and attitude towards first aid after application of the program. Recommendation: A national initiative is highly recommended to make all schools in Saudi Arabia a safer environment through the provision of a national first aid program for school health advisors (staff).
Complications Emerge in Breast Surgery by using dye methylene blue
Authors:   Oncologist and General surgeon at Shapoor parla Hospital Researcher and consultant at Future care Foundation, Karada, Iraq.
Published: July 2023

Introduction: Methylene blue color has been utilized around the world effectively with few complications in breast surgery. We display two diverse complications including methylene blue: 1) skin and parenchymal rot when color was infused in a subdermal mold and 2) Mycoplasma infection caused by sullied methylene blue in breast lessening surgery. Methods: We show two cases seen at the College of Arizona amid 2008 and alluded to a breast specialist for administration. We assessed and overseen complications of methylene blue color infused by 2 referring surgeons for different indications. A review of the literature was performed. Results: The primary case could be a 67-year ancient female analyzed with invading ductal carcinoma of the left breast for which she was treated by her beginning specialist with cleared out segmental mastectomy and sentinel hub biopsy. The working specialist infused methylene blue in a subareolar subdermal design (removed from the essential tumor); tragically the understanding endured skin and breast corruption requiring multiple surgical debridements and at last accomplishing delayed primary closure. The moment case may be a 45-year ancient female with invading lobular carcinoma with a history of Mycoplasma disease auxiliary to methylene blue infused for breast lessening surgery. She required numerous debridements and had granulomas disguising as cancer on MRI that perplexed her degree of malady. Conclusion: The utilize of methylene blue color in breast surgery isn't without hazard. In both cases methylene blue was mindful for complications requiring surgical debridement for local wound issues. In each case extreme corruption and disease were show. Methylene blue may cause not as it were noteworthy dismalness, but may moreover deliver cosmetically unsatisfactory results.
Hyperhomocysteinemia and pregnancy: about a case and literature review
Authors:   Department of Gynecology and Obstetrics. Mohamed V. Rabat Military Training Hospital. Morocco, Balde Mamadou Alpha , Babahabib Abdellah , Elhassani Moulay El Mehdi , Kouach Jaouad
Published: July 2023

Homocysteine ​​(Hct) is a substance produced in the metabolism of methionine that can be found in our daily diet. Mutation of the methylenetetrahydrofolate reductase (MTHFR) gene, especially in women with low folate intake. Hyperhomocysteinemia (HHct) can be caused by several factors, such as lack of folic acid, vitamin B6 and B12 deficiency, hypothyroidism, medications, genetic abnormalities, aging and kidney dysfunction. Increased homocysteine ​​in peripheral blood can lead to vascular disease, coronary artery dysfunction, atherosclerotic changes, and embolic disease. Thus, upstream of the trophoblastic plugs, any increase in the thrombogenic power of pregnant women will lead to the formation of a clot and the termination of pregnancy. Recent studies have reported that hyperhomocysteinemia is associated with numerous pregnancy complications, including abortion disease, preeclampsia, preterm birth, hematoma placentae, fetal growth restriction, and gestational diabetes. To avoid thrombosis, the treatment will therefore be based on anticoagulants, sometimes combined with low-dose aspirin because of the anti-aggregating action of the latter. In this article, we report the case of a patient with a history of abortive disease on hyperhomocysteinemia who carried a pregnancy to term, while recalling the metabolism of homocysteine, its impact on pregnancy, and the interest of supplementation folic acid to prevent complications due to hyperhomocysteinemia.
Intra Oral Plasma Cell Neoplasm: A Case Report
Authors:   House # IH 130, street # 19, PAF Falcon Complex, Rawalpindi, Pakistan, Ghayas Sidra , Zaib Nadia , Meraj Fakeha
Published: July 2023

Plasmacytomas are rare solitary soft tissue tumors that arise from proliferations of malignant transformed monoclonal plasma cells and can be diagnosed through biopsy and histopathologic examination. These lesions are closely associated with multiple myelomas, which should be ruled out in all these cases by necessary laboratory and radiographic examinations. A 41yrs old female came to surgery department with a complaint of slow-growing painless mass of 1.0 x0.5 x0.5cm at angle of the mandible. A diagnosis of solitary plasmacytoma was made on the basis of clinical, radiographic, and histopathological findings. Early diagnosis of plasmacytomas is of great importance. Radiotherapy is the common modality of treatment with or without adjuvant chemotherapy. Progression to plasma cell lesion is possible; thus, close follow-up of the patient is essential after the completion of the therapeutic procedure.
Huge Rare Vaginal Fibromatosis in Postmenopausal Woman, Case Report and Literature Review, 2022
Authors:   MD, Obstetrics and Gynecology, Post-Graduate, Orotta College of Medicine and Health Science, Ministry of Health, Asmara, Eritrea., Frezgi Okbu , Abraham Saron ,   MD, Obstetrics and Gynecology, Post-Graduate, Orotta College of Medicine and Health Science, Ministry of Health, Asmara, Eritrea., Birara Malede ,   MD, MPH, Obstetrician and Gynecologist, Associate Professor, Orotta College of Medicine and Health Science, Post-Graduate, Orotta National Referral Maternity Hospital, Ministry of Health, Asmara, Eritrea., Gebremariam Hailemichael ,   MD, Dekemhare Hospital, Zoba Debub, Ministry of Health, Eritrea.
Published: July 2023

Background: Pelvic fibromatosis or desmoids tumor is an uncommon benign mesenchymal tumor that usually involves the vulvo-vaginal area in women of reproductive age, which are slow growing and painless mass. Case Report: A 70-year post-menopausal woman from Asmara presented with genital swelling which grows gradually over 15 years. She had history of trans-abdominal hysterectomy for abnormal uterine bleeding before 20 years. She had also history of right sided body weakness due to cerebro-vascular accident for the last10 years. She had no known chronic diseases such as hypertension or diabetes mellitus. On physical examination, she is a wheelchair patient with right sided hemiplegia and old midline abdominal scar. On genitourinary examination, patient had a large, about 20x18cm, non-tender, irregular, nodular mass, that hangs from the right side of the labia majora to the level of one third of upper thigh. She had also multiple nodular lesions around the ano-genital area. Different laboratory baseline investigations revealed normal finding. She was operated on 30/10/2022 and a 4kg vulvar mass was resected with right partial hemi-vulvoctomy and sample was sent for pathology which revealed fibromatosis. She was discharged with full improvement and currently on follow-up for possible recurrence. Conclusion: This is reported for its rarity and its enormously large size, slow growing and non-invasive nature. Besides, this was atypical being in a postmenopausal woman, and it’s important to highlight that desmoids tumors should be included in the differential diagnosis of any vulvar mass. She was managed with surgical intervention as it was extremely big. Enhancing community and health professionals’ awareness on similar health problems is crucial for early intervention of similar r conditions.
Pediatric Stomas: A Study in a Teaching Hospital, Our Experience
Authors:   Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria., Nkiruka Okoloagu , Unebike Eneh Willis ,   Department of Ophthalmology, Enugu State University Teaching Hospital, Enugu, Nigeria.
Published: July 2023

Background: A stoma is a purposeful surgical connection of a segment of a hollow viscus (intestine, ureter) to the anterior abdominal wall and can be a life-saving procedure. The aim of this study was to evaluate our experience in respect of stomas (ileostomies, colostomies, ureterostomies) performed in children. Materials and Methods: This was a retrospective study of children who had stoma created at the pediatric surgery unit of a teaching hospital in Enugu, Nigeria. Children who had intestinal or urinary tract stomas were included in the study and covered a 10-year period. The information analyzed included the patients’ age, gender, diagnosis, indications for the stoma creation, type of stoma (colostomy, ileostomy and ureterostomy), post-operative complications and treatment outcome. Results: A total of 112 stomas were created in children during the 10-year study period. There were 80 (71.4%) males and 32 (28.6%) females. Hirschsprung’s disease and typhoid intestinal perforation were the first and second most common indications for stoma creation. Colostomy creation and peristomal skin excoriations were the most performed stoma and most common post-operative complication respectively. Eleven (9.8%) patients expired due to respiratory failure and uncontrollable sepsis. Conclusion: Stoma creation may form an essential component for the treatment of surgical conditions in children and it can be life-saving. Stomas can be created for disorders of the intestinal and urinary tracts. There may be stoma complications accounting for morbidity experienced in these patients.
Biomathematical analysis on mechanical engineering during COVID-19 pandemic
Authors:   School of Science,Hubei University of Technology, Wuhan,Hubei, China., Jiang Xia ,   Hospital, Hubei University of Technology, Wuhan, Hubei, China.
Published: July 2023

In mechanical engineering research and design process will involve a large number of mathematical applications. In order to analyze the significance and application of mathematics in the research and design of mechanical engineering, this paper lists and analyzes the basic mathematical equations, mathematical models and finite element related problems in some fields of learning. The results show that the application of mathematics in mechanical engineering is not limited to higher mathematics, but also covers the related knowledgeof numerical processing, matrix theory and other coursesduring COVID-19 pandemic.
Hyperventilation Syndrome: Commonly Encountered, But Regularly Overlooked
Authors: E Tavel Morton
Published: July 2023

Hyperventilation syndrome is far more common than generally believed, and thus usually unrecognized. It often produces misleading complaints that include alterations of consciousness, inexplicable sensory and motor sensations, and it is often masked by coexisting somatic symptoms. Obscuring recognition further, symptoms attributed to the panic disorder are often, in reality, those of hyperventilation. Proper diagnosis of this breathing disorder depends upon a heightened awareness of its various manifestations, which can then lead to effective means of diagnosis and management.
Effectiveness Dose of injection acetaminophen for Control of Shivering after general Anesthesia in inguinal hernia Surgery
Authors:   Epidemiologist and Faculty Member of Department of Surgical Technologist, School of Paramedical Sciences, Qazvin University of Medical Sciences.Iran, karbord Asghar , Sadra Nazari Mohammad , Mohammad zade Ali Reza
Published: July 2023

Inguinal hernia is the most common type of abdominal hernia which is 7 times more common in men than women. Surgical treatment is performed under general anesthesia. about 40 to 60 percent of patients of post-surgery are experiencing tremor. these patients after anesthesia, shivering is very undesirable and from the physiological aspect is very stressful, mild tremor increases the oxygen consumption like a light physical activity and judder increases the metabolic rate and oxygen consumption up to 600%. injection acetaminophen is a safe drug, in recent study determines of Effectiveness dose for control of shivering after anesthesia in surgeries. Aim: The aim of this study was to determine the effect of injection acetaminophen on the quality and timing of the Shivering after on the inguinal herniation surgery. Materials and Methods: This is a randomized double-blind study, that the statistical population was patients that were candidates for general surgery, that were referred to hospitals of Qazvin University of Medical Sciences for treatment. The patient’s undergone surgery with general anesthesia with number 1 and 2 anesthetic Class based on anesthesiologist detection. From 80 patients that were randomly selected, 40 people were selected for experimenting group with injection acetaminophen with IM injection of 0.5 mg/kg and 40 people were selected for the placebo control group (routine order) Results: The shivering in the experimenting group was decreased than the control group and was statistically significant. Tremor intensity in the experimental group was lower than the control group in all three measures (1, 2) which was also significant for comparing the linear regression, relative risk (RR) was 8in two groups according to the normal distribution of the data, in the age group between 20to 40 years the minimum range of tremor was observed and in the age group that were younger than 20 years range of tremor was observed. Conclusion: injection acetaminophen (IM) after general anesthesia can reduce the amount and severity of shivering at post-surgery and can be an effective choice drug in the post-surgery in patients with inguinal herniation surgery.
Heart Rate Variability Biofeedback and Hypertension: Searching for A Correlated Stance
Authors:   MPA, MD, Saybrook University, St.Hilaire Clarence , Smith Reynaldo Pezzotti , Alcin Aneila
Published: July 2023

This article explores the role of heart rate variability biofeedback (HRVBF), a mind-body medicine modality, essential for the comprehension, development, analysis of hypertension (HTN), and the management of chronic disorders. The topic is rooted in a quest for awareness of heart rate variability (HRV), HRV biofeedback (HRVBF), preventive approaches to hypertension (HTN), and efforts to decipher a correlated stance between HRVBF and hypertension. Biofeedback is a non-surgical therapeutic method with negligible side effects seeking to maintain a homeostatic balance in the human body, with the individual in control of positive life-changing therapeutic interventions such as heart rate, breathing, and mechanisms for blood pressure. This article considers a systematic review of sixty-three articles, from which fifty-two were read and analyzed, and eleven appraised. The reviews helped explore the various theories about HRV biofeedback (HRVBF) as an essential tool to assess cardiac autonomic function considering the onset of hypertension. The current evidence shows that HRVBF, HRV, and HTN warrant a significant look at how crucial it is in the involvement of the neuro-cardiovascular system. For a clear interpretation of the mechanisms involved, this article uses the lenses of HRVBF, HRV, HTN, and presents an outlook assessment of heart rate variability biofeedback efficacy, and challenging explanations of HRV. Three primary questions enunciated to ascertain if a correlation exists between HRVBF, and hypertension (HTN) are: Is HRV biofeedback (HRVBF) important in detecting individuals with a higher risk of hypertension? What is the association between HRV biofeedback (HRVBF) and hypertension? Do people with decreased HRV biofeedback have a higher propensity for hypertension?
Highs and Lows of Food Irradiation in Nigeria
Authors:   Department of Physics, Benue State University, Nigeria., Omenka Ode Samuel , Terngu Bem Timothy ,   Department of Physics, Benue State University, Nigeria.
Published: July 2023

In Nigeria, one of the less developed countries, it was estimated that about 25% of the total food produced annually is lose due to wastage and spoilage between harvest and consumption (post-harvest/storage) especially for the highly perishable food substances such as vegetable, fish, fruits and dietary stables like cassava, yam, maize, millet etc. and sorghums. Amazingly, increasing food production receives more attention than exertions to salvage food losses. Population-Food imbalance crises caused by food wastage and spoilage are common in most developing nations of the world including Nigeria. One of the common objectives of the Food and Agriculture Organization of the United Nations and the World Health Organization is to assist the efforts of member states throughout the world to provide safe and nutritious food supplies locally and globally. There are no exact data on how much of the world's food supply is spoiled, but losses are enormous, especially in developing countries where a warm climate favours the growth of spoilage organisms and hastens the deterioration of stored food. In such countries, the estimated storage loss of cereal grains and legumes is overwhelming high. This review brings in a lateral measure, assessment of impart of food irradiation, advancement and knocks, crises and windfalls with its practices in Nigeria, dissecting for the best global irradiation practices in Nigeria for food security and safety.
Effects of Plantago major leaf aqueous extracts against Pseudomonas aeruginosa isolated from wound infections
Authors:   College of Nursing, University of Duhok, Kurdistan Region-Iraq, Monawer Alaa’T.
Published: July 2023

Background: The use of herbal extracts is becoming more popular as a result of the rise in bacterial resistanceto conventional antibiotics. Plantago major is a commonherbal plant used in conventional medicine. It was well known to have a number of medicinal benefits. Aim: The currentstudy aimed to evaluate the antibacterial activityof aqueous extractof P. major leaves against Pseudomonas aeruginosa isolated from burn infections. Materials and Methods: One hundred and thirty five of P. aeruginosa were collected from hospitalized patients in Emergency hospital in Duhok city. The isolates were identified by routine methods. P. major leaves antibacterial activity were performed by using aqueous extract in serial dilutions with the concentrations of (100, 75, 50, 25, and 10 %) by agar well diffusion assay, also antibiotics susceptibility test were done by the disc diffusion method using Muller-Hinton agar medium. Results: Varied aqueous extractof P. major leaves concentrations showed differentinhibitory zones of P. aeruginosa. The inhibitory zone measured by the efficacy of the aqueous extract of P. major leaves on P. aeruginosa ranges fro m [6.8-16.4] mm in diameter.The zone of inhibition grew as extract concentration increased; P. aeruginosa was most inhibited by an extract conc entration of [100%] ethanolic extract, which exhibited a [16.4 mm] inhibition zone. Additionaly, the bacteria display ed a high level of resistance to the utilized antibiotics. Conclusion: The results of this study show that the replacement of chemical drugs with herbal extract could be effective in the elimination of bacterial growth.
Educational Perspectives for Nursery
Authors:   School of Life Sciences, Shanghai University, Shanghai200444, PRC, Lu Da-Yong , Chen Yu-Zheng , Lu Da-Feng ,   The Second Hospital of Neijiang District, Sichuan Province, PRC
Published: July 2023

To promote the quality of nursery, continuing education is indispensable. Broadening and continuing education for nurses should be top priority. The different backgrounds and educational status of nurses could be all emphasized in the clinic. This editorial outline these topics of nursery disciplines worldwide.