bluuebunny/crossref_metadata_2025 huggingface dataset:
Pattern and short-term outcome of pediatric kidney disease at national referral hospital in Bhutan: an observational study
Authors: Sonam  , Tenzin Lhadon  , Tashi Choden  , Dorey A. Glenn
Published: June 2022

Introduction: The epidemiology of kidney diseases in children can vary widely across geographic regions. The main purpose of this study was to determine the pattern and short-term outcome of kidney disease among children hospitalized at the national referral hospital in Bhutan.
Methods: All admitted children aged one month to 12 years with kidney disease, from January to December 2018, were included in the study. Diagnostic criteria were applied to all the patients on admission to determine study eligibility and subsequent demographic and clinical data were collected using a structured interviewer administered pro forma.
Results: A total of 128 (7.8%) children met diagnostic criteria for kidney disease among 1648 hospitalized children during the study period. The median age at presentation was 2.5 years (interquartile range 0 to 8). The commonest disease was acute kidney injury (48, 37.5%) followed by acute glomerulonephritis (37, 28.9%), urinary tract infection (37, 28.9%), congenital anomalies of kidney and urinary tract (11, 8.6%) and nephrotic syndrome (11, 8.6%). Median duration of hospital stay was 8 days (IQR 4 to 14.8). Four (3.1%) patients were referred to India for specialist care, 5 (3.9%) underwent dialysis and 28 (21.9%) died. Of the 28 patients who died, 26 (92.9%) had acute kidney injury and 2 (7.1%) had chronic kidney disease.
Conclusions: Pediatric kidney diseases comprise a significant proportion of disease burden at the national referral hospital. Education of primary healthcare providers about the epidemiologic burden of pediatric kidney diseases is needed to reduce kidney-related morbidity and mortality.
The histopathological characteristics of gastric carcinoma in Bhutanese population: a Retrospective study
Authors: Sonam Choden  , Chimi Wangmo
Published: June 2022

Introduction: Gastric cancer is not only the most common cancer, but also the cancer with the highest mortality in Bhutan. The baseline data on the histological phenotype of gastric cancer in Bhutan is not established. Different histological phenotypes have distinct etiology, clinical features, and prognosis. We aimed to assess the histological phenotypes of gastric carcinoma, evaluate the grading, staging, and the association of depth of invasion with the clinicopathological findings.
Methods: We conducted a retrospective study, involving 494 cases diagnosed with gastric carcinoma from January 2018 to June 2021. The histopathological characteristics of the patients were presented in frequency, percentage, and mean ± standard deviation.
Results: Gastric carcinoma was most prevalent in males (60.7%) and predominantly diagnosed in patients more than 60 years of age (67.6%). Antrum (76.5%) was the most common location for gastric carcinoma, and tubular adenocarcinoma (81.6%) was the most common histological phenotype in this study followed by poorly cohesive carcinoma, signet-ring-cell type (12.8%). Most of the patients were at an advanced stage (pT4) at the time of diagnosis (32.7%).
Conclusions: The histopathological characteristics of gastric carcinoma in the Bhutanese population were similar to regions with high gastric cancer incidence with the preponderance of distal location of the tumor and tubular adenocarcinoma being the most common subtype. As established in other regions, gastric carcinomas were more prevalent among males and patients over 60 years in Bhutan.
THE EFFECTIVENESS OF THE COGNITIVE PRAGMATIC AND ITS MECHANISIM IN MR. OBAMA'S FAREWELL SPEECH
Authors: ALNAJJAR Ashwaq Muhammed Ismaiel
Published: June 2022

This research aims to study Obama's farewell speech when he consigned to the White House a deliberative study through multiple mechanisms. Perhaps the perceptive deliberative approach is the best method for analyzing political discourse, as it can reveal the elements of political discourse, so that other language approaches do not work, and from this concept he saw Research marked by (the efficacy of deliberative perception and mechanism in Obama's farewell speech) explored the deliberative principles and deduced them in Obama's speech. Therefore, this research may seek to study phenomena that have cognitive effectiveness deliberative process, including the efficacy of perceiving implicit (indirect) meanings, the effectiveness of perceiving linguistic circulating signals in their four classes, such as personal signs, spatial signs, temporal signs, social signs, the effectiveness of perceiving pre-assumption, the effectiveness of perceptive dialogue comprehension, and the effectiveness of recognizing the theory of speech actions according to the classification of each of Austin Searle, the effectiveness of the awareness of the principles of speech, and the effectiveness of the awareness of the theory of relevance. The research found that Obama's speech is a good application model for establishing deliberative elements and realizing their effectiveness in it, since it belongs to the field of political discourse, with evidence that his speech is based on multiple cognitive deliberative mechanisms and mechanisms, so that his speech is not without deliberative principles, as the recipient can perceive in his speech. The effectiveness of the realization of implicit meanings, despite its heavy reliance on direct, explicit method and meanings, as well as the presence of linguistic references such as personal references that in his speech overshadowed the use of pronouns denoting the group of speakers (Na) with its two coloring related pronouns and separate pronouns, besides seeking help The limited pre-assumption, and Alastelzam talk show, and the theory of acts of speech, has been taken into account in his speech, the principles of conversational speech as a principle quantity, and the principle of how, and the principle of relevance, the principle of the party, and the principle of politeness, with the violation of every principle of these principles.
NIHILISM AND IMAGES OF REBELLION: A CRITICAL STUDY OF RICHARD WRIGHT'S NATIVE SON
Authors: ABDULBAQI Mohammed Sabbar , AL-HALBOSY Alaa Mohammed Khalaf
Published: June 2022

Richard Wright (1908-1960) is one of the notable novelists of African-American literature. Native Son (1940) is one of his outstanding novels which received as a unique literary work of his time and still. Most of his writings call for liberation from the racial discrimination that African Americans experienced during the Great Depression (1929-1933) and beyond, notably in his novel of Native Son. This novel chronicles the poverty of a twenty year old black man called Bigger Thomas. It implicitly traces the gradual aspirations of Bigger to rebel against white prejudice. In this study, Nihilism is the scope of debate and Bigger with his surrounding is the range for that view of negation. Bigger exemplifies the revolted figure of his peers against marginality and nothingness. The present research is a critique to elaborate some of the tangible and intangible trajectories of rebellion pursued by Bigger Thomas. This treatise aims to reveal a sort of condemnation against apartheid and to cast the light on the resentment of Blacks for their nihilism. The images of rebellion shown in this research are to explain some of the psychological reactions when one is destined to be a subaltern. Consequently, rebellion identifies the hope of Blacks for which a release from the chains of being peripheral might be obtained. However, some images, as violence, are reversibly perceived to maintain rebellion out of a quagmire of nihilism. Key words: Bigger Thomas, Blacks, Identity, Liberation, Nihilism, Rebellion.
HUMANITARIAN RESPONSIBILITY IN THE JORDANIAN MEDIA
Authors: ALZOUBAI Adnan
Published: June 2022

The applications of traditional mass communication theories are no longer in line with the changes of the age and modern technology, especially after the emergence of the model of communication and multimedia networks, which mainly explains the phenomenon of modern communication from the perspective of human relations between individuals and societies; These new phenomena made it imperative for media scholars to take into account the concept of human responsibility in the contents of its messages, and to reconsider the media rules that need to be reconfigured, to be in harmony with the new media reality and its development, through the media bearing its responsibility towards the world and its members and framing its policies with humanitarian responsibility in its intellectual value framework. This calls media experts and practitioners to question. Do we really need a media theory of human responsibility?? It protects the human being from value penetrations, changing behaviors, and influencing the opinions and ideas of the recipients, along with social, health and psychological influences. The development of communication technology has opened up the global space and limited the ability of systems and governments to restrict the freedom of information transfer, expression of opinion, or openness to others?. Keywords: The Media, The Jordanian Media, Humanitarian Responsibility.
THE JUDGE ABDUL JABBAR HAMATHANI (415 A.H. /1024 A.D.) AND HIS EFFORTS IN PROPHETIC BIOGRAPHY THROUGH HIS BOOK " PROPHECY EVIDENCE STABILIZATION"
Authors: MAHMOOD Munther Dawood
Published: June 2022

This study paper will address important aspects of the prophetic biography presented by Judge Abdul-Jabbar in his book Confirmation of Prophecies; He was devoted to report the validity of the Prophet's prophecy through his real-sense miracles and invisible distinctive features about the absentee, as they stated in the Holy Quran or the Prophet's hadith that he followed to show its credibility of historicity. In his book, Judge Abdul-Jabbar has a well-versed culture and an erudite knowledge that he quoted selective contexts from the prophetic biography. Remarkably, all of these contexts did not mention in preceding books written in this manner as a result He has saved them from loss. As well as, he has enriched the biographical preexisting traditions with unprecedented superseding information. The book's themes included an important inspection of the prophetic biography of both the Makki and Madani Era. Keywords: Biography, Prophecy, Miracle, Narration, Makki Era, Madani Era.
THE ROLE OF SOCIAL NETWORK IN STOPPING THE SCHOOL DROPOUT: A SOCIOEDUCATIONAL STUDY IN ONE OF THE SECONDARY SCHOOLS IN THE STATE OF M'SILA AS A MODEL
Authors: BOUSSAG Hadjira , BOUNIF Hanane
Published: June 2022

This research paper aims at identifying the objective of social network in stopping the phenomenon of school dropout in Algeria, which is considered as one of the obstacles that faces educational process, especially during the Covid 19 Pandemic, and to identify its role in supporting the educational process. Therefore, we have applied a descriptive approach by distributing a questionnaire form to a sample of secondary school students, at Fayed Al-Saeed High School, the municipality of Hammam Al-Dhala, Msila. the study came to the conclusion that social networking sites have an effective role in reducing the phenomenon of school dropout. Keywords: Problems, Distance Education, Corona Pandemic, Arab Schools.
THE PHENOMENON OF SUBSTITUTION BETWEEN THE LETTERS AL-AIN AND NOUN- AN ANALYTICAL STUDY
Authors: AL HAMDANI Khadija Zubbar
Published: June 2022

The phenomenon of substitution between the eye and the noon, is considered a dialectical phenomenon between certain tribes, it is the substitution of the static eye with nun if it is adjacent to the ta and was rudahl in the verb (give - entailed), although there is no convergence in the exit between the two sounds (the eye and the noon) as each of them has An exit, as the eye exits from the middle of the throat, and the nun is from the tip of the tongue and between the folds of the folds. However, we found some common phonetic characteristics between these two letters, making one of them replace the other, as they are among the loud and medium sounds between intensity and softness. The other thing is that the verb (to give) came in the dictionaries under two linguistic roots, which are (atta and nata) and the meaning is one of handling. Keywords: Substitutions, Dialects, Vocalization, Sounds.
LEGISLATIVE PHILOSOPHY IN CHOOSING ATTRIBUTION CONTROLS IN PERSONAL STATUS MATTERS- MARRIAGE CONTRACT AS A MODEL - COMPARATIVE ANALYTICAL STUDY
Authors: AL DULAIMI Rana Sadiq Shehab
Published: June 2022

After studying the attribution controls related to the marriage contract in all its stages and its effects, it is clear that there are recent trends in comparative legislation that are produced by political, social, economic, variables, which necessitated legislative intervention that modifies what is already pre-existing and regulates new issues, which leads to the need to adopt optional attribution controls as well as Resorting to the will officer as one of the forms of attribution controls that aim to respond to recent developments within the framework of the general theory of private international law as one of the means that seeks to achieve a specific and specific interest for one or both of the parties to the relationship. Keywords: Marriage, Attribution Officer, Nationality, Domicile, Legislative Philosophy, Convenience, Simple Reference Officerdiscretionary Support Officer.
THE AESTHETIC AND DRAMATIC EMPLOYMENT OF GROTESQUES IN FANTASY FILMS
Authors: IBRAHIM Mowaffaq Majid , AL-BAIDANI Hikmat
Published: June 2022

Cinematic art has always sought to produce life according to visions and connotations that go beyond what is direct and familiar from a number of concepts, foremost of which are beauty and ugliness through its various narratives. There is a lot of beauty, even if it is built on an ugly foundation and composition through extrinsic treatments that varied in its forms and contents, as everything that is exotic and fantastic, whether it is at the level of actions or forms, places and accessories, which collectively formed the term grotesque, the first chapter of which came under the title (the methodological framework) The research included the research problem, its importance, and the objectives that the researcher sought to achieve, as well as the limits of the research that were relied upon in choosing the intentional sample within the reasons mentioned by the researcher in the body of the research. As for the second chapter (theoretical framework and previous studies), the researcher divided it into two sections: The first was titled (Conceptual Levels of Grotsk), in which the historical development of this term and how it was dealt with in various types of arts was discussed. As for the second topic, it was titled (Aesthetics of Grotsk in a of the fantasy film) and in dealing with the mechanisms on which the fantasy film depends, depending on the technical development in the production of these films. Through the two sections of the theoretical framework, the researcher extracted a set of indicators that were mentioned at the end of the chapter, and they were relied upon in determining the research tool for the purpose of analyzing the sample. As for the third chapter (research procedures), it dealt with the research method, the research community, the research tool, the unit of analysis, the validity of the tool, the steps of analysis and then the analysis of the selected sample, which was the movie (Avengers Edgame), and the fourth chapter, which was titled ( Results and conclusions) in which the researcher dealt with the findings, conclusions, recommendations and suggestions. Keywords: Recruitment, Aesthetic, Dramatic, Grotesque.
ENALLAGE AND INFLUENCE IN EXPANSION AND HIDDEN – DEEP MEANING EXPLAIN IN SPEECH OF QURAN AT THE JUDGE ABDUL- JABBAR ALMUTAZLY
Authors: KHAMEES Layla Abbas
Published: June 2022

Enallage it is a phenomenon of phenomena of Arabic language it is interferer meaning of things in another meaning of thing and the search based on study enallage diction at the Judge Abdul Jabbar Almutazly, especially the similar Quran verses he is connected between enallage and figure of speech and reality he is declared the indication alternate it is occur in vocabulary and the enallage at the Judge Abdul Jabbar al mutazley depend on mental proof and the enallage Enallage is directing verses of Quran and for this a big influence in declare and wiped off and deep mental expansion in speech of language. Keywords: The Enalage, Expansion, Deep and Hidden Meaning.
Från chiffer till klartext?
Authors: Snickars Pelle
Published: June 2022

Denna artikel innehåller en analys av samtliga rapporter från Statens offentliga utredningar (SOU), 1945-89. Analysen applicerar metoder inom digital humaniora och inkluderar forskning gjort i en Jupyterlabbmiljö som utvecklats på Humlab på Umeå universitet. Artikeln är ett resultat av forskningsprojektet Välfärdsstaten analyserad, som ämnar att digitalisera litteratur, arbetar med datasäkring av redan digitaliserade samlingar, med mera.

Dataset: https://zenodo.org/record/4542733#.YCt_OuYo9QJDigitala illustrationer: https://zenodo.org/record/4882639#.YLSx_pOA63I
On mythical Dewaruci, Manunggaling kawula-Gusti and other non-trivial Javanese logic
Authors: Christianto Victor , Smarandache Florentin , Simbolon Sori Tjandrah
Published: June 2022

Discourses on logic have been for a long time predominated by Aristotelian logic, especially that is the case in the West. Although since early 20th century there are new development towards many-valued logic, for instance by Lukasiewicz etc, and also fuzzy logic theory by Lotfi Zadeh; and also in recent years there is development by one of us (FS) on Neutrosophic Logic, Plithogenic Logic etc. But still the general public usually are only accustomed to Aristotelian way. More recently, there are growing interests to consider African, Asian and also Native American logic. Nonetheless there is very rare discussion on Javanese logic, except perhaps a report by P. Stange. This article will consider some variations of logic which may show non-triviality of Javanese logic. Hopefully more readers are interested to consider this theme further.
Güncellenmiş ya da İcat Edilmiş Ramazan Gelenekleri Üzerine Değerlendirmeler
Authors: PEKER Selçuk , UYSAL Ayşe
Published: June 2022

İslam dünyası için kutsal bir ay olan ramazan, Müslüman milletlerin kendilerine has yorumları ile yaşadıkları; yalnız dinî değil aynı zamanda büyük sosyal önem taşıyan bir zaman dilimidir. Dünya üzerinde geniş bir coğrafyaya yayılmış olan Türkler ramazanı kendilerine has birtakım geleneksel uygulamalarla icra ederler. Tıpkı insanlar ve diller gibi gelenekler de canlılık özelliğine sahiptir. Bu özellikleri dolayısıyla sosyolojideki ve teknolojideki gelişmelere bağlı olarak kimi zaman yok olur, kimi zaman değişim göstererek güncellenirler. Bazen de yeni bir uygulama, geleneğin bir parçasıymışçasına sunulur ve aslında yeni bir gelenek icat edilir. Ülkemizde ramazan ayında gerçekleştirilen ritüellerin bazılarının asırlar öncesine dayanan bir geçmişi vardır. Türk toplum hayatında “diş kirası”, “huzur dersleri”, “cerre çıkmak”, hırka-i saadet ziyareti, sakal-ı şerif ziyareti, Kadir Gecesi padişahın camiye gideceği yollarda kadir alayları düzenlenmesi, ramazan ayına özel seyir alanları oluşturulması, kıraathanelerde toplanılması gibi uygulamalar Cumhuriyet öncesinde şekillenen sosyal merasimlerden bazılarıdır. Söz konusu uygulamaların bir kısmı zaman içerisinde terk edilmiş, bir kısmı da bazı değişikliklere uğrayarak yaşamaya devam etmiştir. Sosyal hayattaki değişikliklere ve teknolojiye paralel olarak sonradan ortaya çıkan uygulamalar da olmuştur. Bir başka ifadeyle gelenek, canlılık özelliğinin bir sonucu olarak kendini güncellemiş veya icat edilmiştir. Bu güncelleme veya icatların ağırlıklı olarak dört ortamda (iftar sofralarında, ev içinde, ev dışında, ekranlarda) gerçekleştiği görülür. Bu çalışmada, günümüze kadar gelen ramazan ayı uygulamalarının özellikle 2000’ler sonrasında yaşadığı güncellenmeler ve son çeyrek asırda ortaya çıkan icat edilmiş gelenekler tespit edilmiş ve bunlar üzerine değerlendirmeler yapılmıştır.
Phẫu thuật cắt thùy phổi nội soi điều trị dị dạng phổi bẩm sinh trẻ em
Authors: Tánh Nguyễn Trần Việt , Phong Lê Sĩ , Ngọc Lê Thị Duyên , Nguyên Phan Thảo , Thạch Phạm Ngọc , Nhân Vũ Trường
Published: June 2022

Mục tiêu: Đánh giá sự an toàn và khả thi của phẫu thuật cắt thùy phổi nội soi ở những trẻ bị dị dạng phổi bẩm sinh.

Phương pháp: Thiết kế mô tả hồi cứu tất cả các trường hợp dị dạng phổi bẩm sinh được phẫu thuật nội soi cắt thùy phổi tại Bệnh viện Nhi đồng 2 từ tháng 12/2017 đến tháng 08/2020.

Kết quả: Có 38 bệnh nhi từ 1 tháng đến 12 tuổi được phẫu thuật nội soi cắt thùy phổi điều trị dị dạng phổi bẩm sinh. Cân nặng từ 3.8 đến 51 kg. Chẩn đoán trước mổ gồm phổi biệt trí (n=11), dị dạng nang tuyến phổi bẩm sinh (n=26) và khí phế thũng thùy phổi bẩm sinh (n=1). Tất cả các trường hợp đều mổ nội soi thành công, dù thông khí 1 phổi không thể thực hiện ở 10 trường hợp. Thời gian phẫu thuật từ 80 đến 200 phút. Có 11 trường hợp cắt thùy trên, 3 thùy giữa, 21 thùy dưới và 3 trường hợp phổi biệt trí ngoài thùy. Không có biến chứng liên quan đến phẫu thuật trong mổ và sau mổ được ghi nhận. Ống dẫn lưu được đặt ở tất cả bệnh nhân từ 1 đến 3 ngày. Thời gian nằm viện kéo dài từ 4 đến 30 ngày. Nguyên nhân nằm viện kéo dài đều do biến chứng viêm phổi trước hoặc sau mổ.

Kết luận: Phẫu thuật nội soi cắt thùy phổi ở trẻ bị dị dạng phổi bẩm sinh là an toàn và khả thi, mặc dù thông khí 1 phổi không phải lúc nào cũng thực hiện được.
Hiệu quả của Phẫu thuật Meso-Rex bypass trong điều trị tắc nghẽn tĩnh mạch cửa ngoài gan ở trẻ em
Authors: Thơi Ngô Kim , Tùng Phạm Quốc , Linh Trương Ánh , Chí Nguyễn Hữu , Hiếu Đào Trung
Published: June 2022

Đặt vấn đề: Tăng áp lực tĩnh mạch cửa (TALTMC) được định nghĩa là sự gia tăng bệnh lý của áp lực tĩnh mạch cửa (TMC) hoặc sự chênh lệch giữa áp lực TMC và tĩnh mạch chủ dưới. Tăng áp lực tĩnh mạch cửa do tắc nghẽn TMC ngoài gan có liên quan đến huyết khối và biến dạng thể hang của TMC là nguyên nhân thường gặp nhất ở trẻ em. Bệnh có thể dẫn đến xuất huyết tiêu hóa do vỡ dãn tĩnh mạch thực quản và dạ dày, báng bụng, vàng da, bệnh não gan, các rối loạn đông máu và giảm tiểu cầu do cường lách. Meso-Rex bypass là phẫu thuật phục hồi lưu lượng máu TMC đến gan bằng cách sử dụng mảnh ghép để nối tĩnh mạch mạc treo tràng trên và TMC trái trong phần khe Rex, đồng thời có thể làm giảm xuất huyết tiêu hóa và các biến chứng khác liên quan đến tắc nghẽn TMC trước gan. Meso-Rex bypass được xem là phương pháp điều trị tối ưu và có kết quả tốt.

Mục tiêu: Đánh giá kết quả phẫu thuật Meso-Rex bypass trong điều trị TALTMC do tắc nghẽn TMC ngoài gan ở trẻ em.

Phương pháp: Nghiên cứu mô tả hàng loạt trường hợp bệnh được thực hiện trên những bệnh nhi TALTMC do tắc nghẽn TMC ngoài gan được phẫu thuật Meso-Rex bypass tại bệnh viện Nhi Đồng 1 từ tháng 1/2020 đến tháng 12/2020. Bệnh nhi được đánh giá trước mổ bằng siêu âm Doppler, chụp cắt lớp vi tính mạch máu, chụp TMC qua tĩnh mạch gan bít để khảo sát giải phẫu TMC, tĩnh mạch mạc treo tràng trên và tĩnh mạch cảnh trong. Các đặc điểm về nhân khẩu học, đặc điểm lâm sàng và cận lâm sàng trước phẫu thuật được thu thập. Siêu âm Doppler được thực hiện lặp lại nhiều lần sau phẫu thuật để theo dõi hoạt động của thông nối mạch máu.

Kết quả: Từ tháng 1/2020 đến tháng 12/2020 có 16 bệnh nhi TALTMC được phẫu thuật Meso-Rex bypass thỏa tiêu chuẩn chọn mẫu được đưa vào nghiên cứu. Tuổi trung bình của bệnh nhi là 5,9 ± 3,0 (1 – 11 tuổi). Teo tĩnh mạch cửa, huyết khối và màng ngăn TMC là các nguyên nhân gây tăng áp lực TMC được ghi nhận. Xuất huyết tiêu hóa trước phẫu thuật được ghi nhận ở 9 (56,3%) trường hợp. Thời gian phẫu thuật trung bình là 285,6 ± 51,5 phút (220 – 370 phút). Thời gian nằm viện sau mổ là 20,1 ± 3,7 ngày (15 – 26 ngày). Trong thời gian theo dõi, 15 (93,8%) trường hợp thông nối hoạt động với đường kính trung bình là 7,6 ± 1,7 mm (6,3 – 9,6 mm), 1 (6,2%) trường hợp thông nối bị tắt do huyết khối. Sau phẫu thuật, không có trường hợp xuất huyết tiêu hóa tái phát nào được ghi nhận ở những bệnh nhi có thông nối hoạt động. Tình trạng giảm tiểu cầu được cải thiện đáng kể (142,2 ± 24,2 vs 267,1 ± 44,4, p = 0,003). Kích thước lách trung bình sau phẫu thuật (102,0 ± 4,5 mm) thấp hơn so với trước phẫu thuật (120,0 ± 7,8 mm), sự khác biệt có ý nghĩa thống kê (p=0,006).

Kết luận: Phẫu thuật Meso-Rex bypass phục hồi lưu lượng máu đến gan, giảm tỉ lệ xuất huyết tiêu hóa tái phát, cải thiện số lượng tiểu cầu và làm giảm kích thước lách.
Moderating Effect of Country of Residence in Predicting Adherence to Treatment Among Black Adults Diagnosed with Hypertension
Authors:   Adelphi, University, College of Nursing and Public Health, Garden City, NY, USA, Madu Ednah , Nwajiuba Chinyere ,   Alex Ekwueme Federal University, NdufuAlike, Abakaliki, Ebonyi State, Nigeria, Madu Chiamaka ,   American University of Antigua, College of Medicine, Antigua, Nweze Tina ,   Ebonyi State University, Abakaliki, Ebonyi State, Nigeria
Published: June 2022

Background: Uncontrolled hypertension (HTN) is the major global risk factor for cardiovascular diseases (CVD). Black individuals have worse cardiovascular health outcomes than their racial counterparts. High incidences of HTN-related strokes, heart failure, and chronic kidney diseases are prevalent in Black communities. Long-term adherence to HTN treatment is efficacious in hypertension control but challenged by psychosocial factors and the asymptomatic nature of HTN. Purpose: This research aims to assess if the country of residence moderates the relationship between adherence and each of its potential predictors in Black adults with HTN residing in the United States and Nigeria. Methodology: This is a secondary data analysis of two studies conducted in New York and southeast Nigeria (n=226). Data were analyzed using SPSS Statistical software Version 27. Descriptive differences in adherence and predicting variables, bivariate analyses for significant predicting variables within each sample, and general linear model analyses with plots for country of residence interaction effects were conducted. Results: The mean ages of the US and Nigerian samples were 57.3 ± 11.9 years (70.9% female) and 46.6 ± 8.9 years (67.1% female), respectively. Significant differences (p <.05) were noted between levels of adherence, age, self–efficacy, illness perception, annual income, and herbal use. Adherence was significantly associated (p < .05) with social support, self-efficacy, provider-patient communication, depressive symptoms, herbal use, employment, and income status within the Nigerian sample. Adherence was significantly associated with depressive symptoms and income status within the US sample. The interaction of country of residence with illness perception, social support, self-efficacy, and provider-patient communication significantly predicted adherence but not for the other variables. Interestingly, there was an opposite relationship between illness perception and adherence between the two samples. Conclusions: The country of residence moderated the relationship between adherence and illness perception, social support, self-efficacy, and provider-patient communication. These findings have clinical, cultural, and policy implications. Understanding the similarities and differences between the US and Nigeria will help clinicians working with Black patients and tailor interventions to meet the unique needs of this population. Future studies and culturally relevant strategies to improve HTN treatment adherence could target factors unique to hypertensive patients’ country of residence.
Evaluation of Cup Profile for Post-Harvest in Coffee Variety Castillo from Cauca Department
Authors: Anacona Carlos Andres , Bonilla Bibiana Patricia Montoya , Cabrera Efren Venancio Ramos , Pino Andrés Felipe Solis
Published: June 2022

The post-harvest processes of coffee are widely accepted as key factors in determining the quality of the product. In the Cauca department, Southwestern Colombia, this stage is carried out empirically by farmers in the region, using old methods that do not assure consistent quality. This study proposes to determine the best post-harvest temperature and time conditions for coffee produced in the region. For this purpose, we carried the fermentation and honey process out on different coffee samples of the Coffea Arabica species of the Castillo variety. Subsequently, the cup profile quality of the coffee samples was determined by a sensory evaluation by experts. Finally, we applied descriptive statistical techniques to the resulting data and principal component analysis and hierarchical cluster analysis to find similarities between the samples. The results suggest that the honey process gets better evaluations in the cup profile over any condition of temperature and fermentation time.

GRAPHICAL ABSTRACT
Callistemon viminalis Leaf Extract Mediated Biosynthesis of Ag, rGO-Ag-ZnO Nanomaterials for Catalytic PEM Fuel Cell Application
Authors: Jha Pankaj Kumar , Chawengkijwanich Chamorn , Techato Kuaanan , Limbut Warakorn , Luengchavanon Montri
Published: June 2022

Cost-effective manufacture of hydrogen proton exchange membrane fuel cells (PEM-fuel cells) is of much interest to concerned researchers. Platinum metal has already shown good performance in the PEM fuel cell, yet its high cost means that it is not affordable to all nations. This paper identifies ways to reduce the cost by replacing platinum-based PEM fuel cells with synthesised eco-friendly silver (Ag) nanoparticles and reducing graphene oxide coated silver composited zinc oxide (rGO/Ag-ZnO) nanomaterials. Ag nanoparticles and reduced graphene oxide coated silver composited zinc oxide nanomaterials were synthesised using Callistemon viminalis leaf extract. PEM fuel cell modification was achieved using newly biosynthesised nanomaterials, while power density was compared with commercial platinum metal-based PEM fuel cells. The present study shows that modified PEM fuel cells can replace commercial platinum-based PEM fuel cells for cost-effective hydrogen proton exchange membrane fuel cells.
HIGHLIGHTS

Reduced graphene oxide coated Ag-ZnO nanomaterials formed by Callistemon viminalis, low-cost PEM fuel cell which uses rGO-Ag-ZnO nanoparticle.

GRAPHICAL ABSTRACT
Obesity in adolescents associated with vascular aging – a study using ultra-high-resolution ultrasound
Authors: Naessen Tord , Bergsten Peter , Lundmark Tobias , Forslund Anders
Published: June 2022

Background: Obesity in adolescents is increasing worldwide and associated with an elevated cardiovascular risk later in life. In a group-comparative study, we investigated the association between adiposity in adolescents and signs of vascular aging and inflammation.
Methods: Thirty-nine adolescents (10–18 years old), 19 with obesity and 20 with normal weight, were enrolled. The intima thickness and intima/media thickness ratio (I/M) were assessed using high-resolution ultrasound in the common carotid artery (center frequency 22 MHz) and the distal radial artery (RA; 50 MHz). Increased intima and high I/M are signs of vascular aging. Body characteristics, high-sensitivity C-reactive protein (hs-CRP), plasma lipids, and glycemic parameters were measured.
Results: Adolescents with obesity, compared to normal-weight peers, had elevated plasma lipid, insulin c-peptide, and hs-CRP levels, the latter increasing exponentially with increasing adiposity. Obese adolescents had a thicker RA intima layer [0.005 mm; 95% confidence intervals (0.000, 0.009); P = 0.043] and a higher RA I/M [0.10; (0.040, 0.147); P < 0.0007]. Group differences for the RA I/M remained significant after adjustment for age, sex, fasting plasma insulin, and body mass index, both separately and together (P = 0.032). The RA I/M was correlated with hs-CRP, and both were correlated with the analyzed cardiovascular risk factors. Receiver operating curve c-values for RA I/M (0.86) and hs-CRP (0.90) strongly indicated correct placement in the obese or non-obese group.
Conclusions: Adolescents with obesity had significantly more extensive vascular aging in the muscular RA, than normal-weight peers. The findings support an inflammatory link between obesity and vascular aging in adolescents.
Principios constitucionales de la Administración Pública: Oportunidades para la ciudad-puerto post pandemia
Authors:   Universidad Técnica de Machala, Correa Calderón José Eduardo
Published: June 2022

La llegada de la pandemia, ocasionada por la COVID-19, profundizó e hizo visibles muchas deficiencias existentes en las ciudades pequeñas de Latinoamérica, tales como: desigualdades en el sistema sanitario en la relación de ciudades grandes con las pequeñas, comercio informal en condiciones de insalubridad, costos altos versus la deficiente provisión de servicios básicos, entre otros. En Machala, estas deficiencias fueron muy notorias y le tenemos que agregar las dificultades administrativas por la concentración del poder según el modelo de organización de la Administración Pública que mantiene vigente la Función Ejecutiva.
Corpo, sociedade, princípio do rendimento: ilimitado esporte paralímpico
Authors: Torri Danielle , Vaz Alexandre Fernandez
Published: June 2022

O artigo analisa o fenômeno esportivo compreendendo-o como parte da sociedade capitalista que reforça o princípio do desempenho (Marcuse) e o expande para além das pistas e das quadras. Para tal, este texto foca em três aspectos: 1) a suposta igualdade formal de chances; 2) a incorporação técnica, que transforma o corpo em objeto treinável; e 3) a relação do sujeito com seu corpo, em que é necessária a superação da dor para obtenção do rendimento. Sintetizam nossos escritos a trajetória de um atleta paralímpico investigado durante a preparação para os Jogos de 2016 e sua participação na competição. Nossos resultados confirmam que, para o sistema esportivo, vale sempre a eficiência, de maneira que tornar eficiente um corpo classificado como deficiente é a radicalização máxima do princípio de desempenho. Assim, concordamos com a assertiva de Theodor W. Adorno quando afirma que a sociedade sofre uma esportivização a partir do ideário do fenômeno, exportando recordes, índices, números, progresso infinito, etc. e colocando-se como estrutura modelar para os corpos contemporâneos.
PERFIL EPIDEMIOLÓGICO DE HANSENÍASE NO MUNÍCIPIO DE TERESINA, ESTADO DO PIAUÍ, BRASIL
Authors: Leite Therezza Inácia Martins Gomes , SILVA DIEGO AGRIPINHO CHAGAS , LEMOS MATHEUS SAM DOS SANTOS , SOUZA RÔMULO LUIZ MENDES , PAZ WILKA MARIA MOREIRA DA
Published: June 2022

Introdução: A hanseníase ou doença de Hansen é uma doença infectocontagiosa causada pelo Mycobacterium leprae. É um problema de saúde pública que pode levar a dificuldades psicológicas, sociais – associadas ao estigma histórico da doença - e, também, a incapacidade física. O Brasil ocupa mundialmente o topo do ranking devido à elevada incidência, sendo importante traçar um perfil epidemiológico a fim de encontrar uma ação resolutiva para problemática. Objetivo: Descrever perfil epidemiológico da hanseníase na microrregião de Teresina-PI. Metodologia: O presente estudo trata-se de uma pesquisa quantitativa, observacional e retrospectiva no período de 2018 a 2021. Foram coletados dados no dia 25/03/2022 disponíveis no DATASUS, exportados para o Excel onde foram cruzados e analisados a fim de encontrar um perfil epidemiológico. As informações contidas no DATASUS são de domínio público e acessíveis ao grande público por meio da internet e por tanto são dispensadas da submissão ao Comitê de Ética em Pesquisa de acordo com a Resolução CNS 466/12. Resultados: As análises dos casos de Hanseníase na Microrregião de Teresina indicam a existência de um grupo mais afetado pela doença. Foram revelados que homens representaram cerca de 57% dos casos totais, sendo a baixa escolaridade, com analfabetos e ensino fundamental incompleto, outra variável que se destaca, representando um total de cerca de 55% dos afetados. Outrossim, é a incidência bastante expressiva que está na população entre 40 a 59 anos, revelando que 37% dos casos se inserem nessa faixa etária. Dessa forma, homens entre 40 e 59 anos, com baixa escolaridade representam a população mais suscetível à doença. Conclusão: Os dados denotam uma população mais vulnerável à Hanseníase, isso expõe que as ações destinadas a esse público estão sendo ineficazes. Faz-se necessário estratégias mais assertivas com intuito de diminuir a prevalência na população supracitada.
Inmigración internacional en Chile: El caso de Venezuela
Authors: Barahona Urbina Planck Manuel , Gonzalez Juan Pablo , Ferrer Ernesto Veres
Published: June 2022

El trabajo de investigación que aquí se presenta tiene por objetivo determinar las variables asociadas a la migración venezolana en Chile para el período 2010-2020. Como variable proxy del flujo migratorio se han utilizado las Visas de Permanencias Definitiva, y como variables explicativas de carácter macroeconómicas del país emisor, la tasa de inflación, tasa desempleo, el PIB per cápita en Poder de Paridad de Compra, el salario mínimo en Poder de Paridad de Compra, el Índice de Desarrollo Humano y el Índice de gobernanza Estado de Derecho. El método econométrico propuesto es una regresión múltiple con series temporales. En un primer análisis descriptivo, los resultados pusieron de manifiesto que predomina la población migrante con estudios medios seguidos de universitarios con un grupo etario de 25 a 34 años. El resultado del modelo econométrico es consistente con la evidencia internacional, es decir, todo parece indicar que un aumento del desempleo y la inflación en el país emisor son dos elementos que incentivan la migración al país.
GIS Integrated Teaching for Underachieving Geography Students
Authors:   Universiti Malaysia Sabah, A/L Bikar Singh Soon Singh
Published: June 2022

Recent studies show that the number of students who select to study Geography in Malaysian secondary schools, and their level of achievement in the subject, has decreased. The main factor is lack of motivation. Over multiple decades, a large and growing body of literature has indicated that ICT enhances students’ motivation to learn and their learning outcome. The studies demonstrate that the use of ICT in teaching activities provides more fun in an authentic learning environment, and increases learning autonomy, interaction, and collaboration. It is, therefore, a rich opportunity for motivating students to study. In addition, despite an increased interest among scholars to investigate the impact of ICT integrated Geography teaching on students’ motivation and achievement, none have investigated the effects of GIS as a new technological teaching tool on students’ Geography learning goals and their learning outcomes. The idea for this book originated from the author’s PhD study to examine the effects of GIS-based instruction on secondary school student Geography learning goals and their learning outcomes. This book is highly beneficial for Geography teachers to use multiple teaching methods and pedagogies in a GIS integrated teaching environment to cultivate underachieving students’ mastery goal, performance-approach goal and learning, and to decrease avoidance behaviour in learning the subject. Although GIS is widely used in Malaysia, it has not been embraced by the Malaysian education system and is absent from the Geography curriculums in the primary and secondary school contexts. Hence, writing of this book will also help the Curriculum Development Centre and Ministry of Education Malaysia develop a GIS-based teaching module to enhance the learning motivation of Geography and improve the student level of achievement.
Islamic Banking: An Introduction to Islamic Accounting
Authors:   Universiti Malaysia Sabah, Amin Hanudin , Abdul Rahman Abdul Rahim
Published: June 2022

Islamic Banking: An Introduction to Islamic Accounting is written with the purpose of sensitizing readers to the need of accounting according to the al-Quran and Sunnah, Islamic accounting concepts, and accounting for Islamic financial transactions. The knowledge and skills gained from the course is able to add value to the students in order to prepare themselves for their career advancement. It is expected that, this topic of Islamic accounting will pave the way of disseminating the complete Islamic finance discipline to those students. Objectively, the book plans to communicate the pivotal contents of Islamic accounting both theoretically and practically. With these skills, the students are hoped to apply them into the real world once they have graduated. The book provides comprehensive coverage of Islamic accounting ranging from introduction, salam accounting to zakat accounting which are interesting to learn. The intended audience of the book are undergraduate and postgraduate students who love to learn Islamic banking not only from its concepts but also towards the applications of the concepts.
Lovetide: It Doesn't Have to Be Complicated
Authors:   Universiti Malaysia Sabah, JIA LONG TEOH , @ BAHARI MUHAMMAD IDRIS BULLARE ,   Universiti Malaysia Sabah
Published: June 2022

This book aims to provide some general understandings towards persons with visual disability as well as provide some contextual insights of their marriage, focusing on the phenomena of happiness. A common stigma surrounding persons with visual disability is that their lives might be filled with challenges, and thus facing difficulties in managing familial institution. The authors would like to provide a different perspective, focusing on the positive aspects of the lives of persons with visual disabilities, hence highlighting that such population is equal to the non-disabled. This book is divided into six chapters, which encompasses topics such as the theoretical viewpoints of happiness, the phenomena of marital happiness illustrated through three cases which include the dimensions and sources of marital happiness, as well as the strategies applied to improve or maintain marital happiness.
Hightech für Soundqualität
Authors: Schumacher Jörn
Published: June 2022

Alles für den Hörgenuss: Die Übertragung von Musik oder Sprache erreicht immer neue Qualitätsstufen und suggeriert dem Hörer, „mittendrin zu sein, statt nur dabei“. Was der aktuelle Stand der Technik zu leisten vermag, zeigt unsere Übersicht. Von Jörn Schumacher
PRÁTICAS INTEGRATIVAS NO TRATAMENTO DE ÚLCERAS POR PRESSÃO
Authors: Costa Duarte Tamires , Almeida de Souza Cicera Eduarda , Araújo Henrique Giuliano , Ferreira de Miranda Izabel , de Carvalho Alves Winícius , de Mello Rocha Letícia , de Lima Gonçalves Ana Luíza , da Costa Araújo Paulo , Felipe da Costa Macena Luiz , Mayara Gabriel da Silva Francisca , Denilson Aurélio Soares Cicero , Mikaela Moreira de Oliveira Ingrid
Published: June 2022

Pressão. Método: Trata-se de uma revisão integrativa da literatura, de abordagem descritiva e exploratória, realizada nas bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de Dados de Enfermagem (BDENF) e Scientific Eletronic Online Library (SCIELO), tendo 7 estudos selecionados para análise dos resultados. Resultados e Discussões: As Úlceras por Pressão, ainda são consideradas um desafio enfrentado pelos profissionais de saúde, no que se refere a assistência e o cuidado. O surgimento de lesões em qualquer região do corpo do paciente causam dor, deformidades e desconforto. Os tratamentos para tal patologia, são prolongados e necessitam de cuidados específicos, para uma cicatrização bem sucedida. Para tanto, uma das técnicas de tratamentos se destaca a realização do desbridamento, que deve ser feito quando indicado para a remoção de material necrótico. Também foi constatado que a utilização da eletroestimulação, atua na aceleração do processo cicatricial, reduz a área comprometida, a largura e o volume, promove efeito anti-infeccioso e anti-inflamatório, melhora o processo de dor e de desconfortos. De forma sucinta, a eletroestimulação proporciona melhor qualidade de vida ao paciente. Conclusão: Dessa forma, este estudo foi realizado pelo fato de ainda existirem diversas dificuldades e lacunas acerca do conhecimento sobre as alternativas de tratamento de Úlceras por Pressão. O objetivo do presente estudo foi alcançado, permitindo evidenciar que as medidas de tratamento alternativos existem, embora devem ser realizadas de acordo com as necessidades de cada paciente.
SISTEM INFORMASI PEMBELAJARAN ONLINE BERBASIS WEB DI SMK N 1 DEPOK
Authors: Fahri Rusliyadi  , Linda Sari Dewi
Published: June 2022

Although the use of Google Classroom has more or less facilitated learning activities between students and teachers at SMK N 1 Depok, there are still shortcomings and limitations. Attendance performed manually is ineffective and prone to errors during the recap process. Information and announcements related to learning only done through WhatsApp Groups are also not effective because they are often missed by students. Therefore, online learning media is needed using e-learning which is equipped with attendance and announcement features so that teaching and learning activities can be carried out more effectively and efficiently. This e-learning is made in the form of a website using the waterfall method, whose system development uses the PHP programming language and MySQL database. Web development also uses the Laravel and Vue.js frameworks to make the process faster and easier. With this e-learning, teaching and learning activities can be easier because it can be accessed at any time and makes it easier for students and teachers to see announcements and the attendance process and attendance recap no longer need to be done manually.
PENERAPAN FRAMEWORK COBIT 5 DALAM ANALISIS KEAMANAN WEBSITE DESA UMA BERINGIN DENGAN METODE CAPABILITY MATURITY MODEL INTEGRATION (CMMI)
Authors: W Yunanri , Rodianto  , Zulkarnaen
Published: June 2022

Website merupakan salah satu layanan media informasi yang berfungsi sebagai sarana interaksi antar sesama. Website yang baik adalah website yang dapat dinilai tingkat keamanannya, sehingga mampu memberikan kenyamanan bagi penggunanya. Kantor Desa Uma Beringin mempunyai website yang digunakan sebagai layanan informasi. Namun dalam proses berjalannya, website memiliki terdapat gangguan seperti ditemukan bug dan tidak adanya standar keamanan yang diterapkan pada website tersebut. Tujuan dari penelitian adalah menemukan alers supaya teridentifikasinya bug dan untuk mengetahui tingkat keamanan yang diterapkan pada website serta memberikan rekomendasi sebagai bahan pertimbangan dalam memperbaiki kekurangan. Kombinasi antara metode CMMI dengan COBIT 5 sebagai standar kontrol dalam mengetahui tingkat keamanan sistem informasi. Hasil yang didapat dari semua proses aktivitas mendapatkan nilai maturity level 2.495 atau pada level Repeatable But Invinitve. Kantor Desa Uma Beringin sudah berada di level cukup baik dalam proses pengembangan website dan pemantauan ulang serta inovasi yang dapat membantu kelangsungan sebagai fungsinya serta penanganan ancaman keamanan yang mengikuti standar operasional prosedur (SOP).
An investigation into the inter-examiner reliability of motion palpation of the patella in patellofemoral pain syndrome and osteoarthritis
Authors:   , Vaghmaria Janita
Published: June 2022

The aim of this study was to assess the inter-examiner reliability of motion palpation of the patella, in both pathological (osteoarthritis) as well as functional (patellofemoral pain syndrome) conditions, in order to assess the validity of this assessment tool, which is commonly used as a method in identifying restricted patella motion.