bluuebunny/crossref_metadata_2025 huggingface dataset:
Rise of the Virtual Nurse
Authors: Tibbe Mary , Arneson Sandy , Welsh Cindy
Published: November 2023

As the process of providing health care becomes increasingly complex and the foundation of the nursing profession changes, nursing leaders will need to think differently about how to support their colleagues more efficiently and effectively. The role of the virtual nurse is expanding as part of the effort to address these complexities and develop innovative solutions. Although more work is necessary to define best practices in the variations of virtual nursing, current examples have had a positive impact on nursing and patient care. This article describes the ways in which virtual nursing has grown over the years and how it continues to adapt to support the nursing profession.
Booklet preventing stunting based Android application (Bocesting) as a tool to enhance maternal nutritional behaviour and nutritional status
Authors: Mukodri Dewi Mey Lestanti , Safitri Tiyara , Ridayani Rita , Elba Fardila , Siregar Neny San Agustina
Published: November 2023

The most common health problem was the lack of nutrition, known as stunting. One approach to addressing nutritional issues in young children was through health education using the android method. The study aimed to analyze the differences in the influence of stunting prevention education using booklet media and an Android-based application on maternal nutritional behavior and nutritional status, with the ultimate goal of preventing stunting cases. The research design employed a quantitative approach, specifically a Quasi-Experiment. Measurement tools included questionnaires assessing maternal nutrition behavior, with the samples divided into three intervention groups and one control group (n=51). Data analysis involved statistical tests, including Wilcoxon, Mann Whitney U, and Kruskall Wallis H. The results indicated that educational media using booklets significantly improved maternal nutrition behavior after the intervention (p<0.05). However, there was no significant increase in the nutritional status of children (p=0.317). Similarly, the Android application intervention group exhibited a significant improvement in maternal nutrition behavior (p<0.05), while the nutritional status of the children did not significantly change (p=0.193). A significant difference was observed in the impact of the media interventions between the booklet and Android application intervention groups and the control group regarding the enhancement of maternal nutritional behavior (p<0.05) and children's nutritional status (p>0.005). In conclusion, educational media in the form of booklets and Android applications can influence maternal nutrition behavior and children's nutritional status in the context of stunting prevention education.
The genus Ctenorillo Verhoeff, 1942 (Oniscidea, Armadillidae) from Colombia: new records, new species, and conservation comments
Authors: Carpio-Díaz Yesenia M. , López-Orozco Carlos Mario , Borja-Arrieta Ricardo , Gutierrez-Estrada Miguel , Campos-Filho Ivanklin Soares , Sfenthourakis Spyros , Taiti Stefano , Neita Moreno Jhon Cesar , Bermúdez Adriana , Navas S. Gabriel R. , Bichuette Maria Elina
Published: November 2023

The Armadillidae are the most diverse family within the Oniscidea, widely distributed around the world. To date, only seven species of the family are known from Colombia. After the examination of a collection from the Colombian departments of Atlántico, Bolívar, Cesar, Magdalena, Risaralda, Santander, and Sucre, eight species were recognized as belonging to the genus Ctenorillo, of which six are considered to be new to Science: C. binomio n. sp., C. humboldti n. sp., C. mincaensis n. sp., C. orientalis n. sp., C. papagayoensis n. sp., and C. tayrona n. sp. Moreover, the distribution knowledge of C. dazai and C. tuberosus has expanded. Ctenorillo species in Colombia are predominantly distributed in Tropical Dry Forest areas, which is one of the most endangered ecosystems in the world. Considering the new taxa presented here, allied with other Oniscidea groups, there is an urgent need to raise the awareness level regarding the conservation status of this ecosystem in the country.
Venous air emboli during esophagoscopy confirmed by computed tomographic pulmonary angiography -a case report-
Authors: Tantisarasart Thadakorn , Tantichamnankul Thara , Kitsiripant Chanatthee , Choochuen Panjai
Published: November 2023

Background: Esophagogastroduodenoscopy (EGD) is vital for the diagnosis and treatment of various gastrointestinal conditions but carries a low risk of venous air embolism (VAE). We report a case of VAE during EGD, confirmed by computed tomographic pulmonary angiography (CTPA). Case: A 56-year-old male with a history of hypopharyngeal cancer underwent EGD for dysphagia-related esophageal dilation. Signs of VAE were noted, prompting swift interventions, including oxygen therapy, positional changes, and CTPA. CTPA revealed the Mercedes-Benz sign, pneumomediastinum, and a minimal pneumothorax. The patient’s oxygen saturation improved within 30 min before undergoing CTPA, and he was discharged on postoperative day 4. Conclusions: Timely recognition of VAE, resulting in appropriate interventions supported by CTPA, resulted in favorable patient outcomes.
Optimal rehabilitation strategies for early postacute stroke recovery: An ongoing inquiry
Authors: Tong Yanna , Ding Yuchuan , Han Zhenzhen , Duan Honglian , Geng Xiaokun
Published: November 2023

Early rehabilitation is crucial in reducing stroke-related disability, but the optimal training model remains unclear. We conducted a trial comparing different initiation timings and intensities of mobilization strategies after stroke. Results showed that early intensive mobilization had favorable outcomes at 3 months post-stroke, while very early intensive mobilization had poorer chances of favorable outcomes. Our investigation into brain injury mechanisms induced by very early exercise within 24 hours of stroke onset aligned with guidelines advising against high-dose very early mobilization. Additionally, we are studying the effects of various exercise intensities and frequencies on early stroke rehabilitation. Integrated rehabilitation models, such as combining remote ischemic conditioning (RIC) with exercise (RICE), hold promise. Our study found RICE to be safe and feasible for early rehabilitation of acute ischemic stroke patients, and further research is underway to determine its efficacy in a larger sample size. Despite extensive research, identifying the most effective early recovery strategies remains a complex challenge, necessitating ongoing work in the field of early rehabilitation after stroke.
Evaluation of markers of cerebral oxygenation and metabolism in patients undergoing clipping of cerebral aneurysm under total intravenous anesthesia versus inhalational anesthesia: A prospective randomized trial (COM-IVIN trial)
Authors: Arumadi Ashitha , Hrishi Ajay Prasad , Prathapadas Unnikrishnan , Sethuraman Manikandan , Venket Easwer Hari
Published: November 2023

INTRODUCTION:

Anesthetic goals in patients undergoing clipping of cerebral aneurysm include maintenance of cerebral blood flow, oxygenation, and metabolism to avoid cerebral ischemia and maintenance of hemodynamic stability. We intend to study the influence of anesthetic agents on the outcome of aneurysmal subarachnoid hemorrhage (SAH).

MATERIALS AND METHODS:

This is a prospective, randomized, parallel, single-center pilot trial approved by the Institutional Ethics Committee and is prospectively registered with the Clinical Trial Registry of India. Patients with aneurysmal SAH (aSAH) admitted to our institution for surgical clipping, fulfilling the trial inclusion criteria, will be randomized in a 1:1 allocation ratio utilizing a computerized random allocation sequence to receive either total intravenous anesthesia (n = 25) or inhalational anesthesia (n = 25). Our primary objective is to study the effects of these anesthetic techniques on cerebral oxygenation and metabolism in patients with aSAH. Our secondary objective is to evaluate the impact of these anesthetic techniques on the incidence of delayed cerebral ischemia and long-term patient outcomes in patients with aSAH. The Modified Rankin Score and Glasgow Outcome Scale (GOS) at discharge and 3 months following hospital discharge will be evaluated. An observer blinded to the study intervention will assess the outcome measures.

DISCUSSION:

This study will provide more insight as to which is the ideal anesthetic agent that offers a better neurophysiological profile regarding intraoperative cerebral oxygenation and metabolism, thereby contributing to better postoperative outcomes in aSAH patients.
Knowledge of Osteoporosis among Health Worker Women in the Al-Fallujah Teaching Hospital
Authors: Al-Faluji Abdul Wahab , Latef Kefah Abdul , Nida Ayad Hussein
Published: November 2023

Background:

Osteoporosis is being reported as a major cause of morbidity among elderly individuals worldwide. Health professionals are the key link in the chain of multidisciplinary approach to the management of this potentially preventable disease and educating patients about the various aspects of its evaluation and management.

Objective:

The objective of this study was to assess the level of knowledge among women working at the AL-Fallujah Teaching Hospital regarding osteoporosis.

Methods:

This was a descriptive cross-sectional study that included 359 women working at the Al-Fallujah Teaching Hospital using a self-administered questionnaire as well as Fact on Osteoporosis Quiz (FOOQ). All participants were asked to answer the questionnaire without disclosing their identity after their approval to participate in this study. Demographics data and the mean score on the FOOQ were summarized using a descriptive measure.

Results:

A total of 214 out of 359 women returned the questionnaires (response rate was 60%). The overall mean score in general among the studied group was 13.47 out of 20. The study showed that the health workers have good–moderate in general knowledge as well as for preventive measures; however, they have acceptable-poor knowledge regarding risk factors and treatment.

Conclusion:

This study highlights the fact that knowledge about osteoporosis among health workers in the Al-Fallujah Teaching Hospital was insufficient.
A rare case of superficial vulvar angiomyxoma
Authors: Sharmila Patil , Nitin Nadkarni , Mahadik Anushka Y , Parag Chaudhari
Published: November 2023

Angiomyxoma is a rare, slow growing mesenchymal neoplasm that occurs almost exclusively in the genital, perineal and pelvic regions of adult women of reproductive age. We present the case of a 52-year-old female with asymptomatic lesion over the vulva since 6 months which gradually increased in size. On examination single, well circumscribed, erythematous to skin coloured, pedunculated mass was seen over the right side of the vulva measuring approximately 10 x 5cms. On palpation it was mobile, soft to firm in consistency with a smooth surface. Complete Excision under aseptic precaution was done and sent for histopathological examination which showed features suggestive of Angiomyxoma, a very rare gynaecologic tumour and classified as “tumors of uncertain differentiation “with estrogen and progesterone receptors. We present this case to highlight the importance of Histopathology in dermatology to diagnose rare cases and improve patient care.
Malignant proliferating trichilemmal tumor in male: A rare case entity with diagnostic dilemma
Authors: Yadav Gulab D , Shanker Prem , Singh Shubham , Koley Avishek
Published: November 2023

Trichilemmal tumor is a rare hair follicle tumor that is, thought to occur from a malignant transformation of a benign trichilemmoma. The tumor develops from the outer root sheath of the hair follicle. The patient underwent a wide local excision with 1 cm clear margin. The defect was covered by split thick skin graft harvested from ipsilateral thigh after consulting the plastic surgery department. Trichilemmal cyst can be misdiagnosed as other cutaneous lesions. Like in our case, initial FNAC was suggestive of a epidermoid cyst but post excision Histopathological examination gave us the real picture of a trichilemmal tumor. Recurrent tumors are very rare and can get misdiagnosed as squamous cell carcinoma. Malignant proliferating trichilemmal tumors are rare cutaneous tumors that are very rare in males. These tumors can be misdiagnosed as squamous cell carcinoma and require external stimuli for malignant conversion from benign counterparts. Wide local excision is sufficient for treatment.
Content analysis of family physician plan using social marketing approach: Qualitative- document analysis
Authors: Vaseghi Fatemeh , Rarani Mostafa Amini , Raeisi Ahmad Reza , Moravveji Alireza
Published: November 2023

BACKGROUND:

The family physician plan formed at the heart of the health system can play a vital role in the results and the optimal cost of resources. Social marketing is a process that uses the basics and principles of commercial marketing in the field of health to develop and implement a health plan. This study seeks to analyze the documents related to the program from the perspective of social marketing components.

MATERIALS AND METHODS:

This qualitative document analysis study was conducted in 2021 by reviewing the documents and content of the texts related to family physician plan. The obtained data were analyzed by the directed content analysis method after extraction and collection.

RESULTS:

The results showed the identification of social marketing components in the family physician plan. However, the two most essential parts of “insight” and “behavior theory,” which address the underlying issues in an intervention, were not found in the analyzed documents and texts.

CONCLUSION:

It is necessary to use a coherent and appropriate approach to revise and develop the family physician plan. To resolve the current challenges and problems of the family physician plan, the application of components and the social marketing approach that addresses all the required aspects of a health plan is a suitable model and approach.
Family-based interventions in youth to prevent HIV/AIDS: A systematic review
Authors: Eslami Ahmad Ali , Ebrahimi Zahra , Rahimi Majid , Fathian-Dastjerdi Zohre , Bagherikholenjani Fahimeh
Published: November 2023

Parents are primary sex educators of their teenagers and also function as resources for advice and information about sexual decision-making and partner selection. So far, various family-based programs were carried out to prevent HIV infection in young people; however, their findings are contradictory and inconclusive. Therefore, we carried out the current systematic review to critically review the available literature regarding the role of family-based interventions among young people to prevent HIV infection. The available online databases including ISI Web of Science, Scopus, and PubMed were searched systematically up to November 2022. The risk of bias in the eligible studies was examined by two independent authors using the Cochrane Collaboration Risk of Bias tool. A total of 7 studies including 4952 participants were enrolled in the current study. They were conducted between 2006 and 2020. On the basis of the available literature, family-based HIV prevention interventions seem to be effective in terms of improving HIV/AIDS knowledge and also parent–youth communication. It seems that family-based interventions in youth to prevent HIV/AIDS are effective; however, further well-designed studies are needed to help the researchers reach a firm conclusion on this issue. The current systematic review may be used by investigators for future studies in terms of settings and the selection of educational approaches. Moreover, it strongly suggested that further studies investigating the role of family-based education in the prevention of HIV/AIDS utilize more sample size and also a more robust educational framework.
Mind mapping in recalling and retrieving core contents in anesthesia technology students
Authors: Sajadi Atiyeh S. , Majd Parisa Moradi , Maroufi Shahnam Sedigh , Abolghasemi Jamileh
Published: November 2023

BACKGROUND:

Human memory represents the ability to recall and retrieve information. Learning methods have a great impact on remembering and retrieving material. This study was conducted to investigate the effect of the mind map learning method on the amount of recall and retrieval of the core contents of anesthesia technology students.

MATERIALS AND METHODS:

In this quasi-experimental study, 55 undergraduate students of anesthesia technology were included in the study by census method. In both groups, teaching was done in the same way (lecture method) by a single professor. The intervention group was randomly divided into six groups. After training to work with a mind map in this group, the teaching of lessons started with the lecture method, and then the mind map was drawn by the group members. In the control group, the students followed the lecture method and note-taking. Finally, three tests were taken. Test 1 (before the start of the training), test 2 (immediately after the training (scheduled test)), and test 3 (after 2 weeks (surprise test)).

RESULTS:

The data obtained from the test scores were analyzed by pairedt-test, independentt-test, and analysis of covariance. The analysis showed that the mind map method significantly improved the short-term (P< 0.001) and long-term memory of anesthesia technology students (P< 0.001) compared to the traditional method. Examining the effect of gender on long-term memory showed that in the intervention group, female samples had an average score of 1 more than male samples (P= 0.044).

DISCUSSION:

It seems that mind mapping improves short-term and long-term memory in anesthesia technology students who play a critical role in saving the lives of patients and this issue improves the quality of services in the field of health.
A study of factors affecting the length of hospital stay (LOS) of COVID-19 patients: A qualitative evidence in Iranian hospital
Authors: Zaboli Rouhollah , Bahadori Mohammadkarim , Jafari Hamid , Mousavi Seyed Masood , Bahariniya Sajjad , Mehdizadeh Parisa , Delavari Abdoreza
Published: November 2023

BACKGROUND:

The present study aimed to identify the administrators' and physicians' experiences and viewpoints about the factors affecting the length of stay (LOS) of COVID-19 patients and provide valid operational evidence.

MATERIALS AND METHODS:

The current study was carried out qualitatively and phenomenologically on experts, officials, and administrators of hospitals in 2021. Purposeful sampling was performed with the maximum diversity. To achieve a comprehensive view, snowball sampling was conducted. Twenty-one experts in the field of healthcare and emerging diseases participated in this study. Semi-structured interviews were used to collect the data. The study sites were universities of medical sciences and hospitals of the Ministry of Health of Iran. The interview questions included questions about the factors affecting the LOS and strategies for controlling the LOS of COVID-19 patients in infectious units. Text analysis was performed through the content analysis method in MAXQDA-10 software.

RESULTS:

Based on the experts' viewpoints, several factors affected the LOS in COVID-19 patients. These factors were divided into five clinical, preclinical, economic, social, and management subcategories. The proposed solutions included policy solutions (supportive policies, development of home care services, training and culture building, and establishment of clinical guidelines) and operational solutions (drug management, promotion of equipment and facilities, telehealth or telemedicine services, and promotion of clinical and support processes).

CONCLUSION:

One of the main tasks of hospital administrators is identifying the factors affecting the reduction of LOS. Among these factors, clinical and management factors in the hospital are more important and need more planning and attention by hospital officials.
How public hospitals manage epidemic crises? Lessons from Iranian public hospitals
Authors: Tahmasebi Ali , Asl Iravan Masoudi , Aryankhesal Aidin , Vatankhah Soudabeh , Masoumi Gholamreza
Published: November 2023

BACKGROUND:

The public hospital preparedness is essential for epidemic disaster like COVID-19 pandemic. This study was conducted to present a hospital management preparedness model of Iran's public hospitals for the epidemic.

MATERIALS AND METHODS:

The method of this study was an exploratory sequential mix method study (qualitative–quantitative). In this study, qualitative and quantitative methods were used in four stages. (1) Interviews with hospital managers to identify hospital management experiences during the COVID-19 epidemic and categorize the results in themes and subthemes, (2) assessing the performance of public hospitals in managing the coronavirus epidemic in a quantitative method, (3) present the initial hospital management model for a public hospital in epidemic conditions using an expert panel, and (4) validation of the model using the Delphi method.

RESULTS:

Experiences of hospital managers and specialists were categorized into eight themes: information gathering and environmental analysis, general and operational planning, provision of equipment and physical and financial resources, training and empowerment of human resources, a compilation of instructions and job descriptions, review and ensuring maximum readiness, monitoring and follow-up of service provision and existing problems, evaluation and feedback of performance problems and level of preparation and 51 sub-themes. The quantitative study indicated that all the investigated indicators had a significant decrease in the first month and an increase in the epidemic's continuation. The results were categorized in nine themes and 59 sub-themes, and finally, the model was validated in one round by the Delphi method.

CONCLUSION:

In Iran, managers have valuable experiences in COVID-19 epidemy management, but these experiences are scattered and not organized. In this study, by a qualitative–quantitative, a model was presented that contains essential points obtained from the experience of hospital managers and experts in actual disaster conditions and is appropriate and fits hospital structure and infrastructure of the health system in Iran.
Single Anesthesia ERCP and Laparoscopic Cholecystectomy for Management of Common Bile Duct Stones
Authors: Tarway N. K. , Sharma S. P. , Gupta Tarun , Kanyal V. S. , Kumar Brajesh , Nair R. K.
Published: November 2023

Management of choledocho-cholelithiasis requires a multi-disciplinary approach. It involves clearance of common bile duct stones (CBDS) on the one hand and addressing gallstone disease (GSD) on the other hand. With technological advancements and growing expertise in the fields of endoscopy and laparoscopy, endoscopic retrograde (or radiological) cholangiopancreatography (ERCP) and laparoscopy cholecystectomy (LC) have become modalities of choice for CBDS and GSD, respectively. Conventionally, in patients with choledocho-cholelithiasis, ERCP is performed first followed by LC after an interval of 4–6 weeks. This approach requires two separate admissions involving anesthesia twice, thus increasing the risk related to multiple general anesthesia, higher cost of care, and greater loss of man hours. These issues can be mitigated by the novel approach of single anesthesia ERCP and laparoscopic cholecystectomy (SERLAC). At our center, we follow both approaches, depending on the availability of resources and patient characteristics.

Aim:

This study aims to evaluate the safety of SERLAC.

Materials and Methods:

In this retrospective, descriptive study, we analyzed data of patients undergoing SERLAC for outcome, complications, benefits, and constraints.

Results:

Of the 36 patients who underwent ERCP before LC for choledocho-cholelithiasis, 10 opted for SERLAC. Despite relatively prolonged anesthesia time (mean 85.3 min), owing to both ERCP and LC being performed in the same sitting, no anesthesia-related adverse event was noted. SERLAC was preferred in two cases to avoid exposure to second general anesthesia due to comorbidities such as old age with polytrauma and use of oral anticoagulant related to a prosthetic cardiac valve. Hospital stay was significantly lower (mean 4.3 days) in patients opting for SERLAC and it provided a definite cure for 8 out of 10 patients. The major constraint noted was logistical, in terms of ensuring the availability of the operating room (OR) and teams for both procedures besides setting up the ERCP and laparoscopy workstations in the same OR in quick succession. Our study shows that SERLAC is a safe approach and further studies are required to build consensus.

Conclusion:

This study has proven that SERLAC is safe and comparable to interval ERCP and LC. It offers a definite cure with a single admission, single anaesthesia, and significantly shorter hospital stay and thus results in much greater patient satisfaction in expert hands.
Translation and linguistic validation of Recovering Quality of Life Scale in Indian languages: A review of the process and challenges
Authors: Kar Nilamadhab ,   ReQoL Translation India Team
Published: November 2023

Quality of life (QOL) is affected by various factors including mental health. This is now commonly used in clinical assessments and as an outcome measure in research. However, there is a dearth of QOL scales in local languages in India for specific use in mental health settings. It was intended to review the translation process of the recovering QOL (ReQoL) scale in major Indian languages, the linguistic and cultural challenges in the translation process and to reflect on the findings on clinical usability of the scale. A review of the data and literature available on the translation of ReQoL was conducted. The relevant literature was searched using electronic databases such as Medline, Google Scholar, and ScienceDirect. The brief 10-item ReQoL has been translated into various Indian languages: Bengali, Gujarati, Hindi, Kannada, Malayalam, Marathi, Odia, Punjabi, Tamil, and Telugu. The translation process has followed a structured method supported by clinicians, patients, and language experts. Specific focus was given to education level such that patients with primary or no formal education could comprehend the wordings. Cultural nuances and variations of expression were also looked into. There were a few words that needed extensive discussion and revision. The involvement of the patients and the incorporation of their feedback have improved the acceptability of the language versions. While there is a need for further clinical validation studies, the Indian language versions of the ReQoL scale appear suitable for clinical psychiatric practices and research.
Machine Learning Models in the large-scale prediction of parking space availability for sustainable cities
Authors: Hamidou Soumana Abdoul Nasser , Ben Salah Mohamed , Idbraim Soufiane , Boulouz Abdellah
Published: November 2023

The search for effective solutions to address traffic congestion presents a significant challenge for large urban cities. Analysis of urban traffic congestion has revealed that more than 70% of it can be attributed to prolonged searches for parking spaces. Consequently, accurate prediction of parking space availability in advance can play a vital role in assisting drivers to find vacant parking spaces quickly. Such solutions hold the potential to reduce traffic congestion and mitigate its detrimental impacts on the environment, economy, and public health. Machine learning algorithms have emerged as promising approaches for predicting parking space availability. However, comparative studies on those machine learning models to evaluate the best suited for a large-scale prediction and within a given prediction time period are missing.In this study, we compared nine machine learning algorithms to assess their efficiency in predicting long-term, large-scale parking space availability. Our comparison was based on two approaches: using on-street parking data alone and 2) incorporating data from external sources (such as weather data). We used automatic machine learning models to compare the performance of different algorithms according to the prediction efficiency and execution time. Our results indicated that the automated machine learning models implemented were well fitted to our data. Notably, the Extra Tree and Random Forest algorithms demonstrated the highest efficiency among the models tested. Moreover, we observed that the Random Forest algorithm exhibited less computational demand than the Extra Tree algorithm, making it particularly advantageous in terms of execution time. Therefore, this work suggests that the Random Forest algorithm is the most suitable machine learning model in terms of efficiency and execution time for accurately predicting large-scale, long-term parking space availability.
Long-term Outcomes of Protocol-Based Treatment for Newly Diagnosed Medulloblastoma
Authors: Ahn Won Kee , Hahn Seung Min , Yoon Hong In , Lee Jeongshim , Park Eun Kyung , Shim Kyu Won , Kim Dong Seok , Suh Chang-Ok , Kim Se Hoon , Lyu Chuhl Joo , Han Jung Woo
Published: November 2023

Purpose The Korean Society of Pediatric Neuro-Oncology (KSPNO) conducted treatment strategies for children with medulloblastoma (MB) by using alkylating agents for maintenance chemotherapy or tandem high-dose chemotherapy (HDC) with autologous stem cell rescue (ASCR) according to the risk stratification. The purpose of the study was to assess treatment outcomes and complications based on risk-adapted treatment and HDC.Materials and Methods Fifty-nine patients diagnosed with MB were enrolled in this study. Patients in the standard-risk (SR) group received radiotherapy (RT) after surgery and chemotherapy using the KSPNO M051 regimen. Patients in the high-risk (HR) group received two and four chemotherapy cycles according to the KSPNO S081 protocol before and after reduced RT for age following surgery and two cycles of tandem HDC with ASCR consolidation treatment.Results In the SR group, 24 patients showed 5-year event-free survival (EFS) and overall survival (OS) estimates of 86.7% (95% confidence interval [CI], 73.6 to 100) and 95.8% (95% CI, 88.2 to 100), respectively. In the HR group, more infectious complications and mortality occurred during the second HDC than during the first. In the HR group, the 5-year EFS and OS estimates were 65.5% (95% CI, 51.4 to 83.4) and 72.3% (95% CI, 58.4 to 89.6), respectively.Conclusion High intensity of alkylating agents for SR resulted in similar outcomes but with a high incidence of hematologic toxicity. Tandem HDC with ASCR for HR induced favorable EFS and OS estimates compared to those reported previously. However, infectious complications and treatment-related mortalities suggest that a reduced chemotherapy dose is necessary, especially for the second HDC.
On virtual indicability and property (T) for outer automorphism groups of RAAGs
Authors: Sale Andrew
Published: November 2023

We give a condition on the defining graph of a right-angled Artin group, which implies that its automorphism group is virtually indicable, that is, it has a finite index subgroup that admits a homomorphism onto

\mathbb{Z}

. We use this as a part of a criterion that determines precisely when the outer automorphism group of a right-angled Artin group defined on a graph with no separating intersection of links has property (T). As a consequence, we also obtain a similar criterion for graphs in which each equivalence class under the domination relation of Servatius generates an abelian group.
Steer-by-Wire: Universal Calculation of Production-Dependent, Strongly Fluctuating Friction in Steering
Authors: Schäfer Johannes , Leidhold Roberto , Achilles Frederik
Published: November 2023

In steer-by-wire (SbW) vehicles, understanding the steering rack force is essential to replicate a realistic steering feel, allowing conclusions to be drawn about road surface conditions by the decoupled manual actuator. Since internal friction varies with each steering system manufactured and installed, these models differ greatly in accuracy. This paper presents a concept for continuously calculating fluctuating friction based on the internal steering variables to avoid additional and complex individual measurements. An SbW system offers the right approach by adjusting the driver’s desired steering angle and the required motor control. The underlying steering clearance and the Kalman filter are used to calculate the steering rack force. The validity of the proposed concept is shown in drive tests according to ISO 13674 and ISO 7401 to gauge high and low friction values in different speed ranges.
Knjižna ilustracija na Slovenskem med letoma 1890 in 1920
Authors: Simončič Alenka
Published: November 2023

The form of a book also reflects its time, and the transition from stereotyped to original illustrations was gradual. Art Noveau paid special attention to the appearance of books, and so did Slovene publishers of the era, particularly Lavoslav Schwentner, who began to invite native artists to collaborate on their production. Such books received original illustrations to complement the contents of the texts. The artists of the Vesna Art Club, who also worked in the media of drawing and printmaking, were in great demand as illustrators. They worked on a number of domestic books as well as some written by foreign authors, and thus they entered the awareness of Slovenes with their illustrations.
Intertekstualne in intervizualne navezave v delu Ele Peroci in Marlenke Stupica Pravljice žive v velikem starem mestu
Authors: Haramija Dragica , Batič Janja
Published: November 2023

This article presents a lesser-known picture book by Ela Peroci and Marlenka Stupica called Fairytales Live in the Big Old City. First, we performed a multimodal analysis of the chosen picture book, then compared three editions of the work: the edition from 2022 was our point of reference for the comparison to the privately published edition from 1969 and the first edition from 1966, which bears a different title, Bees (Čebelice), so the direct connection is less obvious. The analysis of the original text by Ela Peroci called Bees (1966) shows that it is the 100th picture book in the Bee (Čebelca) collection. The comparison method shows intertextual as well as intervisual connections to sixteen picture books which were published in the Bee collection prior to 1966. At the same time, it becomes clear that knowing that these texts and illustrations belong to the literary canon is crucial for understanding the focal picture book.
Vloga odnosnice v slovenski podredno zloženi povedi
Authors: Gabrovšek Dejan
Published: November 2023

The article presents the properties of the correlative in a Slovene subordinate sentence. A correlative is a pronoun, noun or adverb that stands in the matrix clause, expresses the function of the dependent clause and acts as a bridge between the matrix clause and the dependent one, and is a mandatory component of a subordinate sentence. Its importance varies according to the relation it introduces: it is the most important and most frequently expressed in a relative dependent sentence, while in a causative dependent sentence its role is the least important. In addition to establishing a subordinate relationship, the correlative can also specify the content of the dependent clause.
Drugačnost in identiteta v sodobni slovenski slikanici
Authors: Pezdirc Bartol Mateja
Published: November 2023

Identity develops through periods of growth and growing up. Since picture books are the first books children get to know, in this paper I examine to what degree questions of identity and otherness are reflected in picture-book form. I present selected contemporary Slovene picture books by means of a typology in which the overarching concept is the distinction between personal and social identity. I am also interested in the question of the quality of picture books with such themes, as well as in their ethical dimension, for picture books with text and illustrations of good quality help young readers to get acquainted with social diversity and can thus contribute to the development of more tolerant and sympathetic children.
Anti-cancer Schiff bases as photostabilizer for poly(vinyl chloride)
Authors: Alwan Farhan Mohammed , Baqir Ali Wassan , Amer Ibrahim Wijdan , H. Mahmoud Zaid
Published: November 2023

To prevent or reduce the drawback effect and prolong the life of PVC and preserve its composition and efficiency, compounds are incorporated with PVC. In this work, three highly aromatic anti-cancer Schiff base compounds in symbol (C2, C3 and C5) were applied to photostabilize of PVC against photodegradation, by added it to the polymer in the form of Schiff bases, to increase the stability of polymer when irradiated with ultraviolet (UV) light, (λmax = 365 nm) at 30 ºC, with the intensity of the light wavelength at 1920 lux for a long duration. The PVC was blended with Schiff's base in concentration (0.5 %wt.), with thickness films (40 μm) were made from the blended materials. Several methods were used, including infrared spectroscopy, surface examination of irradiated films to know the effect of additives on PVC photostabilization and conductivity of films were measured by LCR meter. The results showed that the additives significantly reduced the photodegradation of PVC. C2 compound as additive, stabilize PVC more than other additives, it can absorb harmful radiation, deactivate hydrogen chloride, and scavenge high-energy species such as peroxides. Several mechanisms of photostabilization for C2 compound have been suggested. Therefore it is acting as stabilizers for PVC.

KEY WORDS: PVC, Photostabilizer, UV radiation, AFM, FESEM, LCR-meter

Bull. Chem. Soc. Ethiop. 2024, 38(1), 135-146. DOI: https://dx.doi.org/10.4314/bcse.v38i1.11
The long lost Ebionites. A relook at the Ibo region of West Africa
Authors: Okwuobi Charles
Published: November 2023

The Ebionites were a Jewish sect that knew Jesus intimately; had their own Nazarene Gospel; but held immovable beliefs that challenged key tenets of Christianity. They disappeared in the fourth century leaving a vacuum physically and ideologically. About a millennium later, the Portuguese reported of a people in West Africa with a Pope and Papacy similar in structure and veneration as the Roman Catholic Pope. Towards the end of the nineteenth century, missionaries and anthropologists scouring the region confirmed those reports, as well as the presence of other Levitical influences amongst the Igbos of Nigeria. This paper researches those similarities with a focus on the religious cosmology of the Ibo people of Asaba. It applies ethnographic qualitative research, then places the findings over the tenets of Catholicism with respect to their organizational structure; sacraments; rites; and steps to becoming sons of God. The results show that the ideologies of the Ibo and the Romans were deeply intertwined in every area of the study. The paper posits that the only way the religious ideologies of the Romans and the Ibos could have so closely mirrored each other, is if they were both in the same place at the same time. Thus, concludes that the Ibos [Eboe, Igbo] are the Ebionites. The paper offers hypotheses to explain the role of the ego in creating the core tenet of this unifying cosmology, and possibly how the convergence occurred. The paper could form the basis for renewed research in Hebraic-African studies; Black-American dispersion; Mary Magdalene; Jesus’ crown of thorns; the sequence of biblical gospel events; and even a template for future religion in this ego-driven civilization.
Management of inactive records by cooperatives in Lake Zone, Tanzania
Authors: Iwata John Jackson
Published: November 2023

Cooperatives in Tanzania’s Lake Zone generate many records that have archival value, but they face challenges in managing them when they become inactive. This study aimed to assess the status and experiences of managing inactive records by cooperatives in Lake Zone and the prospects for improving their management. A mixed methods approach with cross-sectional research design were employed in which data were collected from board members of eight cooperatives through focus group discussions, face-to-face interviews, observation, and document review. Thematic content analysis was used to analyse the data. The study revealed that Tanzania has a rich collection of inactive cooperative records, but they are scattered in various cooperative societies across the country without proper management. Consequently, most of inactive records were dumped in rooms and wet places with insects that were inaccessible to users. The board members did not recognise the importance of the generated records in the cooperative movement. In addition, they were unaware of the availability of Records and Archives Management Policy as a guiding tool to ensure proper management of the generated cooperative records. This study established that the Records and Archives Management Policy was silent about managing cooperative records. The study concluded that cooperatives need to develop legal frameworks for cooperative records keeping, provide resources and training for records management, and create awareness of the value of archival records among cooperative members.
Diversity and distribution of vascular cryptogams in relation to elevation gradient in Osomba range of the Cross River National Park, Cross River State, Nigeria
Authors: Bassey M.E. , Anwana E.D. , Mbong E.O. , Umoh O.T.
Published: November 2023

Vascular cryptogams also known as Pteridophytes have been found to colonize the lower altitudes of world’s tropical forest regions. Hence, a study to establish the relationship existing between elevation gradient and Pteridophytes heterogeneity and distribution within Osomba Range, Cross River State, Nigeria was carried out. In this study, we  delineated four elevation  classes and enumerated the vascular cryptogam communities found at each level within the  range using standard scientific protocol. Shannon-Wiener's (3.434 and 2.833) and Simpson’s indices of diversity (0.968  and 0.941) as well as Taxa (31 and 17) assumed a dump bell pattern with peak values associated with the mid-elevation classes (178 -205m and 232 – 240m) respectively. On the contrary, dominance followed an inverted dump bell distribution with its optimum (0.1667 and 0.2500) skewed towards the extreme elevation classes (297 – 295 m and 347- 405 m). Correlation analysis imprinted a significant (P<0.05) positive relationship between altitude and dominance (0.867*) but an inverse relationship between elevation and Simpson diversity (-0.867*). 178- 205 m and 232-240 m elevation classes were more comparable with lesser species heterogeneity judging from Bray and Curtis (0.458), Simpson (0.647) and Jaccard (0.297) similarity indices respectively. Conclusively, forty-nine (49) species of vascular cryptogams were identified and their occurrence seemed patchy in distribution along the gradient. This is an indication that elevation is an important factor amongst the suite of ecological drivers which determine the diversity of this critical group of plants. Further investigation on individual species response to ecological gradient is recommended as this will enhance the conservation of these vascular cryptogams within and outside the study area.
Les ordres mendiants et l’eau: Deux facteurs liés dans la croissance des villes de Savoie du nord (XIIIe-XVIIIe siècles)
Authors: Roger Amélie
Published: November 2023

Cet article propose un aperçu du lien unissant ordres mendiants (dominicains, franciscains, carmes et augustins) et gestion de l'eau dans les principales villes de l'ancien diocèse de Genève au cours du bas Moyen Âge et de l'époque moderne. Tributaires de cet élément lors des implantations et du développement de leurs établissements, ils ont également su le maîtriser et contribuer ainsi à modifier, plus ou moins en profondeur, les différents faciès urbains les environnant.
Assessment of Potential Adverse Drug Reactions Associated with Cardiovascular Medicines
Authors: Alugubelly Nikhitha , Bayyapu Lokesh , Aregudem Keerthi Priya , Challapally Jashwanthini
Published: November 2023

Background: Every drug has the potential to cause ADRs. Cardiovascular medications are a major problem in drug therapy as they can result in several consequences, ranging from allergic reactions to permanent harm. We have undertaken a meta-analytic review of various types of studies performed in different hospital settings to understand the importance of ADRs in CVD patients and how ADRs might be better detected, evaluated, and avoided. Objectives: To study various factors and assess the incidence, causality, severity, and preventability of ADRs associated with cardiovascular drugs. Methods: Meta-analytic study conducted over 6 months by reviewing 24 articles finalized from 58 articles collected from various data sources like Clin Med, Pubmed, and Medline. Information related to ADRs was analyzed by using demographic data through various questionnaires and scales in articles. Results: A total of 4421 ADRs were reported among 9759 patients. 8/24 of the studies performed causality assessment by using the Naranjo scale and 12/24 used the WHO-UMC scale. 9/24 studies assessed severity and 5/24 studies performed preventability assessments. The incidence of ADRs was high in the 40-80 age range (94.69%). Commonly prescribed drugs were calcium-channel blockers and beta-blockers in CVD patients. Organ systems like the cardiovascular, central nervous and respiratory systems were commonly affected. Most ADRs were mild and possible. Females experienced more ADRs compared to males. Conclusion: Although this study provides estimates of the incidence, severity, and preventability of ADRs in different settings, further studies are needed for monitoring ADRs in patients using CVD drugs to address how such ADRs will be prevented.
Vocal Demand Response to the Educational Setting Based Communication Scenarios: A Single Subject Study
Authors: Trinīte Baiba
Published: November 2023

Objectives. This was a single-subject study, aimed to demonstrate different vocal demand situations that are typical for primary school and teacher's vocal demand response under two acoustical conditions, with and without voice amplification, during five working days.
Methods. The long-term voice dosimetry with Vocal Holter Med (PR.O. Voice Srl) was carried out on a 49-year-old female teacher with voice disorders during daily teaching activities. A sound field amplification system (SFAS) PentaClass Runa was installed in the classroom. Voice dosimetry was provided under two different acoustical conditions: without SFAS (2 days) and with SFAS (3 days).
Results. Phonation time percentage, sound pressure level (SPL), SPL SD, fundamental frequency (F0), F0 SD, cycle, and distance doses were investigated in seven communication scenarios (lessons, group/individual classes, sports lessons in the gym and schoolyard, breaks, lunch breaks, and other activities). The median scores of all voice parameters differed significantly between different vocal demand contexts. The significant statistical difference in the vocal demand response was in the communication situations with and without SFAS. In addition, the number of children, reverberation time, and ambient air relative humidity impacted voice SPL and the cycle dose.
Conclusions. Lessons, sports lessons held in the gym or schoolyard, breaks, and lunch breaks were considered as high vocal demand communication situations requiring higher voice intensity and fundamental frequency, higher phonation time percentage, cycle, and distance doses. Group/individual work and other teacher activities during the day, unrelated to direct work with students, were categorized as low vocal demand communication scenarios.