bluuebunny/crossref_metadata_2025 huggingface dataset:
Compilation of a database of Holocene nearshore marine mollusk shell geochemistry from the California Current System
Authors: Palmer Hannah M. , Padilla Vriesman Veronica , Banker Roxanne M. W. , Bean Jessica R.
Published: April 2022

Abstract. The shells of marine invertebrates can serve as high-resolution records of
oceanographic and atmospheric change through time. In particular, oxygen and
carbon isotope analyses of nearshore marine calcifiers that grow by
accretion over their lifespans provide seasonal records of environmental and
oceanographic conditions. Archaeological shell middens generated by
Indigenous communities along the northwest coast of North America contain
shells harvested over multiple seasons for millennia. These shell middens,
as well as analyses of archival and modern shells, have the potential to
provide multi-site, seasonal archives of nearshore conditions throughout the
Holocene. A significant volume of oxygen and carbon isotope data from
archaeological shells exist, yet they are separately published in archaeological,
geochemical, and paleoceanographic journals and have not been comprehensively
analyzed to examine oceanographic change over time. Here, we compiled a
database of previously published oxygen and carbon isotope data from
archaeological, archival, and modern marine mollusks from the California
Current System (North American coast of the northeast Pacific, 32 to
55∘ N). This database includes oxygen and carbon isotope data from 598
modern, archaeological, and sub-fossil shells from 8880 years before present
(BP) to the present, from which there are 4917 total δ13C and
7366 total δ18O measurements. Shell dating and sampling
strategies vary among studies (1–345 samples per shell, mean 44.7 samples
per shell) and vary significantly by journal discipline. Data are from
various bivalves and gastropod species, with Mytilus spp. being the most commonly
analyzed taxon. This novel database can be used to investigate changes in
nearshore sea surface conditions including warm–cool oscillations, heat
waves, and upwelling intensity, and it provides nearshore calcium carbonate
δ13C and δ18O values that can be compared to the
vast collections of offshore foraminiferal calcium carbonate δ13C and δ18O data from marine sediment cores. By
utilizing previously published geochemical data from midden and museum
shells rather than sampling new specimens, future scientific research can
reduce or omit the alteration or destruction of culturally valued specimens
and sites. The dataset is publicly available through PANGAEA at
https://doi.org/10.1594/PANGAEA.941373 (Palmer et al.,
2021).
A combined use of in situ and satellite-derived observations to characterize surface hydrology and its variability in the Congo River basin
Authors: Kitambo Benjamin , Papa Fabrice , Paris Adrien , Tshimanga Raphael M. , Calmant Stephane , Fleischmann Ayan Santos , Frappart Frederic , Becker Melanie , Tourian Mohammad J. , Prigent Catherine , Andriambeloson Johary
Published: April 2022

Abstract. The Congo River basin (CRB) is the second largest river system in the world, but its hydroclimatic characteristics remain relatively poorly known. Here, we jointly analyse a large record of in situ and satellite-derived observations, including a long-term time series of surface water height (SWH) from radar altimetry (a total of 2311 virtual stations) and surface water extent (SWE) from a multi-satellite technique, to characterize the CRB surface hydrology and its variability. First, we show that SWH from altimetry multi-missions agrees well with in situ water stage at various locations, with the root mean square deviation varying from 10 cm (with Sentinel-3A) to 75 cm (with European Remote Sensing satellite-2). SWE variability from multi-satellite observations also shows a plausible behaviour over a ∼25-year period when evaluated against in situ observations from the subbasin to basin scale. Both datasets help to better characterize the large spatial and temporal variability in hydrological patterns across the basin, with SWH exhibiting an annual amplitude of more than 5 m in the northern subbasins, while the Congo River main stream and Cuvette Centrale tributaries vary in smaller proportions (1.5 to 4.5 m). Furthermore, SWH and SWE help illustrate the spatial distribution and different timings of the CRB annual flood dynamic and how each subbasin and tributary contribute to the hydrological regime at the outlet of the basin (the Brazzaville/Kinshasa station), including its peculiar bimodal pattern. Across the basin, we estimate the time lag and water travel time to reach the Brazzaville/Kinshasa station to range from 0–1 month in its vicinity in downstream parts of the basin and up to 3 months in remote areas and small tributaries. Northern subbasins and the central Congo region contribute highly to the large peak in December–January, while the southern part of the basin supplies water to both hydrological peaks, in particular to the moderate one in April–May. The results are supported using in situ observations at several locations in the basin. Our results contribute to a better characterization of the hydrological variability in the CRB and represent an unprecedented source of information for hydrological modelling and to study hydrological processes over the region.
Estimating soil moisture conditions for drought monitoring with random forests and a simple soil moisture accounting scheme
Authors: Tramblay Yves , Quintana Seguí Pere
Published: April 2022

Abstract. Soil moisture is a key variable for drought monitoring, but soil moisture
measurements networks are very scarce. Land-surface models can provide a
valuable alternative for simulating soil moisture dynamics, but only a few
countries have such modelling schemes implemented for monitoring soil
moisture at high spatial resolution. In this study, a soil moisture accounting model (SMA) was regionalized over the Iberian Peninsula, taking
as a reference the soil moisture simulated by a high-resolution land-surface model. To estimate the soil water holding capacity, the sole parameter required to run the SMA model, two approaches were compared: the direct estimation from European soil maps using pedotransfer functions or an indirect estimation by a machine learning approach, random forests, using as predictors altitude, temperature, precipitation, potential evapotranspiration and land use. Results showed that the random forest model estimates are more robust, especially for estimating low soil moisture levels. Consequently, the proposed approach can provide an efficient way to simulate daily soil moisture and therefore monitor soil moisture droughts, in contexts where high-resolution soil maps are not available, as it relies on a set of covariates that can be reliably estimated from global databases.
Challenges in Menstrual Hygiene Practices among Urban and Rural Women (Aged 15-45 Years) of District Pali in Western Rajasthan
Authors: Sinha Latika Nath , Choudhary Sanjay , Bhati Bal Gopal , Mewara Rakesh , Semwal Amandeep
Published: April 2022

Introduction: In India, even today regressive socio-cultural norms pertaining to menstruation continue to thrive in many parts. The government in Rajasthan has been distributing sanitary napkins to girls in the age group 10-19 years through the Education & ICDS department since 2018. This study assesses utilization and acceptance of the sanitary pads distributed frees of cost among adolescents and at a nominal rate to women and identifies the challenges in observing menstrual hygiene practices in semi arid areas. Method: A cross-sectional study was conducted among women aged 15-45 years in six urban wards and six sub- centre villages under the Rural Health and training Centre(RHTC) Gundoj. Keeping power of study at 80% adding the 10% non-response, 50% prevalence for hygienic menstrual practices, a sample size of 384 participants was taken, 192 each from rural and urban areas with 50% of the participants being school going girls. Results: Among school going participants 184 ( 95.8%) in urban areas and 169(88%) were utilizing the free sanitary pads distributed in schools, rest used locally purchased “red cloth”. Average level of hygiene practices was comparatively more among urban participants 173(90%) than rural women 77(40.1%) (p value<0.05).During menstruation performing religious activities, doing idol worship, eating and drinking water with family was taboo among 92% of both urban and rural respondents. Conclusion: Distribution of sanitary pads in schools is a successful intervention in Pali District. However, knowledge of healthy menstrual hygiene practices was low (23%) among rural women. Disposal of used pads and attitude towards social taboos need to be addressed in the rural areas of the district with better convergence between Education, ICDS and Health department for advocacy of healthy menstrual hygiene practices.
An Epidemiological Investigation of the Diphtheria Outbreaks Reported in a District of Gujarat
Authors: Shah Harsh , Patel Jay , Rana Aniket , Sinha Anish , Fancy Manish
Published: April 2022

Introduction: Mortality and morbidity due to infectious disease have got reduced in the last couple of decades. Diphtheria is one of the infectious diseases which can be preventable with a complete immunization. Objective: To understand trends and identify factors affecting the outbreak of diphtheria in Banaskantha district of Gujarat. Method: A retrospective study based on the available case records for the years 2019, 2020 and 2021(till June). The study was conducted after the reported diphtheria cases in a district. The study was a public health response and intended to provide specific geographical recommendations to the district. The data was recorded from the reported case record and immunization registers. The data were analyzed for defined variables. Results: Out of the 366 cases identified during years 2019-2021.Almost 74% cases have occurred during 2019, with a 7.7% mortality rate. Total 48% of cases were among the age group of 5-10 years, with an increasing number of cases during August-December with specific geographical distribution. Among all the cases, 164 (44.5%) have never taken any vaccine in their lifetime or are unaware of the vaccination status, and 87.9% of cases have not taken third dose of DPT or Pentavalent Vaccine, which is associated statistically with the mortality. Conclusion: The prevalence of diphtheria cases was high in children who have not taken all three doses of DPT or Pentavalent vaccine. These have shown an essential role of immunization, focusing on the vaccine for all doses and need to create a customized awareness communication plan.
Поняття «стейкхолдер» та їх роль у роботі сучасного університету
Authors: Коваленко Оксана
Published: April 2022

Створення єдиного освітнього простору обумовлюється роботою зацікавлених осіб або груп осіб, які безпосередньо зацікавлені в роботі університету. Роль кожного із стейкхолдерів обумовлена роботою університету. Адміністрація університету виконує, як правило, роль арбітра. Вона регулює відносини між науковими працівниками та студентами, між студентами та роботодавцями (через укладання договорів з останніми про надання кваліфікованих працівників у тій чи іншій сфері). Стейкхолдери – зацікавлені сторони, також зацікавлені особи (від англ. stakeholders) – фізичні та юридичні особи, які мають легітимний інтерес у діяльності університету, тобто певною мірою залежать від неї або можуть впливати на діяльність. «Стей кхолдер-менеджмент в університеті» (Stakeholder Management) – управління групами осіб, які працюють, навчаються або іншим чином дотичні до роботи університету, оскільки провідними закладами вищої освіти є саме ті, що відповідать європейським стандартам вищої освіти.
AMERİKAN SİYASİ TARİHİNDE BAŞKANLARIN IMPEACHMENT USULÜ İLE SUÇLANDIRILMASI: JOHNSON, NIXON, CLINTON VE TRUMP ÖRNEKLERİ ÜZERİNDEN ANAYASAL BİR İNCELEME
Authors: ERTAŞ Türker
Published: April 2022

Tarihsel süreçte Johnson, Nixon, Clinton ve Trump suçlandırmalarını incelediğimizde, impeachment ile ilgili anayasal hükümlerin özgün anlamlarının ne olduğu bağlamında gerek akademik görüş gerekse Hamiltoncı anlayıştan ayrıldığını görmekteyiz. Esasen yetkilerini kötüye kullanan federal görevlerinin Kongre bünyesinde suçlandırılıp mahkûm olmaları suretiyle görevden alınmalarını sağlayan siyasi ve anayasal bir denge ve denetleme mekanizması olarak tasarlanmasına rağmen impeachment usulü, bölünmüş ve yarı-bölünmüş yönetim dönemlerinde Kongre’nin Başkana karşı kullandığı siyasi bir silah hüviyetine bürünmüştür. Impeachment mekanizması ile Kurucuların esas niyeti olan siyasal düzenin başkanın keyfi işlemlerine karşı korunması ve anayasal düzenin muhafaza edilmesi işlevi, zaman içerisinde yerini başkanların sadece Kongre’nin kendisine muhalif parti tarafından kontrol edildiği dönemlerde suçlandırıldığı partizan merkezli bir uygulamaya bırakmıştır. Nitekim suçlandırmanın anayasal dayanağı olan ağır suçlar ve kabahatler ifadesinin anlamı belirsizliğini koruyarak partizan çekişmenin merkezinde olmanın yanında Johnson, Nixon, Clinton ve Trump’a ilişkin suçlandırma süreçlerinin her birinde az ya da çok politik saik göze çarpmaktadır. Söz konusu politik saik sadece sadece suçlandırmayı yapan Kongre üyeleri değil, suçlandırılan Başkanın partisine mensup Kongre üyelerinde de görünmektedir. Mevcut olayda ağır suç veya kabahatin işlenip işlenmediğini takdir etme yetkisinin tamamen Temsilciler Meclisi’nde olması impeachment sürecini politik bir mahiyete büründürmektedir. Yine de impeachment mekanizması, kamu yararına aykırı bir şekilde yetkilerini kötüye kullanan başkanı görevden almanın tek yolu olarak anayasal önemini muhafaza etmektedir.
ЭКСПЕРИМЕНТАЛЬНОЕ ИССЛЕДОВАНИЕ РАБОТЫ ДОЖДЕВАЛЬНОГО УСТРОЙСТВА
Authors: Ashchiyants E.P.
Published: April 2022

The article considers the results of experimental research related to the study of operational peculiarities of water-sprinkler device developed by our research group. The device is distinguished by its simple design and reliable operation. Throughout the investigations the numerical values of inclination angle to the horizon of device hoses have been estimated at which the maximum radius of irrigation area capture and the best sprinkling degree along the irrigated area are ensured. Some technical dependencies have been derived, that characterize the operation of water-sprinkler device
with water pressure of less than 15 m.
EPIDEMIOLOGICAL ASPECTS OF COLORECTAL CANCER
IN THE REPUBLIC OF KAZAKHSTAN
Authors: Khozhayev А. , Kaidarova D. , Sadykova T. , Rubanova A.
Published: April 2022

Relevance: Colorectal cancer is one of today’s most critical health issues globally and in the Republic of Kazakhstan. Taking leading positions
in the general structure of oncopathology, this nosological form of tumors forces clinicians to develop ways to improve statistical indicators.
ЭПИДЕМИОЛОГИЯ
Онкология и радиология Казахстана, №1 (63) 2022 31
Purpose of the article – to review the epidemiological aspects of colorectal cancer in the Republic of Kazakhstan in 2011-2020.
Results: We revealed an increase in the share of early (I-II) stage colon and rectal cancer cases. The share of early stages of rectal cancer was
61.5% in 2011 compared to 68.5% in 2020; in colon cancer, it was 36.5% and 53.1%, respectively.
The share of advanced (locally advanced) stage III cases of visually accessible rectal cancer has decreased from 25.2% in 2011 to 18.3% in
2020. The overall 5-year survival in 2020 amounted to 50.7% for colon cancer and 46.0% for rectal cancer, and these were the best rates in the
entire decade. We also found territorial specifics in this pathology incidence.
The one-year and overall mortality from these diseases have decreased, amounting to 29.2 in 2011 and 18.8 in 2020 for rectal cancer, 31.9 and
19.8 for colon cancer, 4.5 and 3.9 in rectal cancer, 4.8 and 4.1 in colon cancer, respectively.
Conclusions: An analytical assessment of the statistical indicators of colorectal cancer over the decade showed that there are regions that
excel in incidence rates from year to year. At the same time, indicators of early diagnosis and overall 5-year survival have improved, and one-year
and overall mortality has decreased.
DYNAMICS OF MORBIDITY AND MORTALITY IN MALIGNANT NEOPLASMS
OF THE HEAD AND NECK IN THE WORLD AND THE REPUBLIC OF UZBEKISTAN
Authors: Alimov J. , Karimova N.
Published: April 2022

Relevance: According to GLOBOCAN 2020, the number of newly reported cases of head and neck tumors worldwide, without division by
sex and age, was 369,980 cases, with the number of deaths – 367,285 people. The incidence of malignant neoplasms (MN) of the head and neck
is growing steadily in the Republic of Uzbekistan and worldwide. In the Republic of Uzbekistan, the head and neck MN prevalence increased in
natural figures from 2,906 cases in 2016 to 2,951 cases in 2020, with a growth by 45 cases compared to 2016.
The study aimed to assess the epidemiological trends of head and neck tumors in the world and the Republic of Uzbekistan in 2015-2020.
Materials and Methods: The global situation with head and neck tumors was analyzed based on GLOBOCAN data. The object of the study was
statistical data on all cases of head and neck malignancies in the Republic of Uzbekistan according to the reported data provided by oncological institutions, according to the adopted state form of accounting and reporting documentation Ministry of Health of the Republic of Uzbekistan No. 7ССВ
“Information on diseases of malignant neoplasms.” In the Republic of Uzbekistan, an assessment of the incidence, prevalence, and mortality from MN
of the head and neck was carried out with the definition of trends and the average annual average age of patients with head and neck tumors.
Results: World trends in morbidity and mortality from head and neck malignancies show differences depending on the territories and the level
of economic development. In 2020, 13,552 deaths from head and neck malignancies were recorded in Uzbekistan (including 6323 and 7229 in male
and female patients, respectively). The mortality rate from head and neck malfunctions per 100,000 population of the Republic of Uzbekistan was
40.0‱₀, which is 0.35% higher than in 2019 and 28.7% higher than in 2009.
Conclusion: Analysis of the epidemiological situation in terms of head and neck malignancies in the Republic of Uzbekistan showed a tendency
towards an increase in this disease. This determines the need for further research on the diagnostics of head and neck malignancies.
PRINCIPLES OF TREATMENT OF PREGNANCY-ASSOCIATED MALIGNANT DISEASES :
A LITERATURE REVIEW
Authors: Chichua N. , Bainazarova A. , Dmitrenko M. , Smagulova K. , Abdrahmanov R. , Kemelzhanov A.
Published: April 2022

Relevance: Cancer during pregnancy is uncommon and found in 1/1000 pregnant women. An increasing number of women worldwide plan childbearing at 30 years when the risk of malignant diseases increases. During pregnancy, cancers inherent with the reproductive period in women are
more likely. These cancers include breast cancer and cervix cancer. This article reviews the principles of treating pregnant women with these cancers.
ОБЗОР ЛИТЕРАТУРЫ
Онкология и радиология Казахстана, №1 (63) 2022 69
The study aimed to systematize relevant literature reviews for the past decade to efficiently choose diagnostic and treatment tactics for pregnant women with breast cancer and cervix cancer without harming the fetus and gravid.
Results: The value and the adequacy of different diagnostic methods of research that have no threat to gravid and fetus and are recommended
for pregnant patients were established. Considering a patient’s condition, gestation, and stage of the disease, the best treatment options for those
cancer types were identified. Possibilities were studied on preserving patients’ fertility after treatment of these cancers.
Conclusion: Malignant tumors of the reproductive system alternating with pregnancy are statistically rare. However, medical oncologists have
to solve the problem of the diagnosis and treatment of pregnant patients. The choice of the diagnostic methods and the type of treatment must be
individual. Having appropriate examinations and the staging done, Multidisciplinary Tumor Board approves the patient management plan. Practitioners face the problematic issue of choosing optimal diagnostic and treatment measures, and this situation requires further investigations and
methodological developments in pregnancy management complicated with oncological disease.
ADVANTAGES AND PROSPECTS OF TARGETED THERAPY IN ONCOLOGICAL PRACTICE:
A literature review
Authors: Murina A. , Uaisova А. , Ergalieva A.
Published: April 2022

Relevance: Cancer is the second leading cause of death globally and is expected to be responsible for approximately 19.3 million new cases
and 10 million deaths in 2021. With an unprecedented understanding of the molecular pathways that drive the development and progression of
human cancers, novel targeted therapies have become an exciting new development for anti-cancer medicine. These targeted therapies, also known
as biologic therapies, have become a primary treatment modality by blocking the growth of cancer cells by specifically targeting molecules required
for cell growth and tumorigenesis. Due to their specificity, these new therapies are expected to have better efficacy and limited adverse side effects
compared to other treatment options, including hormonal and cytotoxic therapies.
The study aimed to provide a detailed overview of the advantages and prospects of using targeted therapy in oncological practice.
Мethods: The search was carried out in the following databases: Scopus, Medline, Cochrane, PubMed, ScienceDirect for 2016-2021. Sources
were searched for the following keywords: clinical trials, immunotherapy, monoclonal antibodies, small molecular weight inhibitors, targeted therapy.
Results: This review explores the clinical development, successes, and challenges facing targeted anti-cancer therapies, including both small
molecule inhibitors and antibody-targeted therapies. The authors describe targeted therapies to epidermal growth factor receptor, vascular endothelial growth factor, human epidermal growth factor receptor 2, anaplastic lymphoma kinase, BRAF, T-cell mediated immune response inhibitors,
cytotoxic T-lymphocyte-associated protein 4, and programmed cell death protein-1/PD-1 ligand.
Conclusion: Over the past decade, there have been significant changes in cancer treatment, including targeted therapy, which has become
more common. However, in monotherapy, targeted drugs show low activity. In addition, the selection of patients for targeted therapy remains a
difficult task since there are not enough reliable biomarkers to predict the action of most targeted agents. This requires a deeper study of molecular
biology, namely signaling pathways that determine the pathogenesis of oncological diseases.
PROCALCITONIN DETERMINATION IN ONCOLOGY – RESULTS AND PROSPECTS:
A LITERATURE REVIEW
Authors: Sadykova T. , Kuzikeev M. , Sarsembaev B. , Orazbek E.
Published: April 2022

Relevance: Modern requirements for laboratory diagnostics of complicated courses of diseases provide for using highly specific and high-tech
research methods like determining the level of procalcitonin (PCT). The PCT level increases only with the generalization of a bacterial infection
and reflects the degree of generalization. Of practical value are an increase in the PCT level and the degree of such increase, a progressive increase,
or a long-term (more than 3-5 days) high level. The assessment of this data over time, in combination with the changes in other clinical and laboratory parameters, allows for timely diagnosis and prediction of the outcome of the disease.
The study aimed to assess the feasibility of the PCT level dynamic control for timely diagnosis of the overlay or generalization of an infectious
process in the form of septic complications in cancer patients.
Methods: A thematic search was carried out by keywords in the journal Malignant Tumors and Cochrane, PubMed, Oncology.ru, elibrary.ru,
Medscape, and NCBI databases and libraries.
We analyzed the results of studies of changes in PCT dynamics in oncological patients who developed and generalized a nonspecific infectious
process that proceeded in the form of septic complications.
Results: The need to determine the PCT level and its inclusion in the diagnostic algorithms has been confirmed in various research papers. The
reliability and significance of these studies correspond to the highest levels of evidence-based medicine.
PCT shows its high specificity in identifying the infectious component compared to other less informative indicators in oncological pathologies,
such as the level of leukocytosis, CRP, and others.
In some tumor processes, the initial level of PCT may be higher than the average (0.5 ng/l), but dynamic control will show the effectiveness of
the therapeutic measures taken and the direction of development of the infectious process.
The frequency and intervals of determining the PCT level are of particular importance. In some instances, if an infectious component is suspected in risk groups, the PCT level determination could be included in the initial examination algorithm.
Conclusion: Despite the ambiguity of the PCT study results in oncological practice, the determination of systemic inflammation biomarkers in
complex antitumor therapy will allow timely setting of indications for prescribing or intensifying antibiotic therapy, predicting the duration, and
monitoring its effectiveness in oncological patients.
Collaborative Learning with CCC Members in Learning 21st Century Skills and Worldviews During the COVID-19
Authors:   Aoyama Gakuin University, Obari Hiroyuki
Published: April 2022

Abstract This study examines the effects of dialogue with CCC (Campus Crusade for Christ) members (1 CCC vs. 3 students) on Japanese English learners' attitudes toward speaking English. The authors focus on how students feel about speaking English and explore the effects of presentations and frequent interactions with CCC members by analyzing their statements in questionnaires and pre-post Speaking Tests. To help prepare for the digitized society, the participants (n=17 Japanese university students) studied English and presentation skills from April 2021 to January 2022 on topics derived from epistemology and ontology. The pedagogical training focused on helping students find solutions to humanity's many crucial issues in the 21st century. Throughout the 30-week online program, training in higher-order thinking skills and integrating ICT and human dialogue with young overseas people was emphasized. The learning procedures were as follows: 1) Flipped and TBL lessons were conducted throughout 30 weeks, actively engaged in presentations with slides and discussions with MP4 videos uploaded on Facebook after the presentation. 2) All students (n=17) had their English lessons using real-time virtual interaction with Zoom. In addition, students interacted with the CCC members every three weeks during the first term and every other week during the second term. This interaction aimed to improve cross-cultural communication skills with some feedback about their presentations. Furthermore, in May 2021, the students took an Oral Proficiency Interview-computer speaking pre-test and post-test in January 2022. The students' mean score level improved from CEFR B1.1 to B1.2. Finally, pre-questionnaires and post- questionnaires are compared to examine their progress of oral proficiency and cross- cultural sensitiveness. By observing the lessons over two semesters, it was found that the activities impacted the students' perspectives on studying cross-cultural communication skills and different worldviews. In addition, they provided contextualization and socialization to the learning through the interactive and meaningful context of the training. Keywords: ontology, epistemology, worldviews, TBL, flipped learning, integration of human interaction, ICT/AI
User Perceptions of Serious Games and Their Features
Authors:   American University of Cyprus (AUCY), Eleftheriou Anastasia ,   T.R.I. Technologos Research and Innovation Services ltd, Cyprus, Koulloufidou Kalli ,   T.R.I. Technologos Research and Innovation Services ltd, Cyprus, Petropoulos Alexandros ,   T.R.I. Technologos Research and Innovation Services ltd, Cyprus, Kouvaris Kostas ,   T.R.I. Technologos Research and Innovation Services ltd, Cyprus
Published: April 2022

Abstract. Two-way, interactive and tailored education is a more promising form of education compared to traditional one-way passive education, as early literature evidence suggests. However, building a serious game that can engage users in the same way as an entertainment game, while incorporating both learning and gamification elements can be quite complicated. That is why the game concept, technology and features need to be designed carefully, in a user driven way. The authoring team makes use of their expertise in serious games in order to include engaging learning activities for the participants of the study. In particular, this study explores how users perceive the different elements, features and design of a collection of serious games on sex education. It shows which elements are of more importance to the users, what gives them a good experience, and what facilitates their learning. Findings are presented along with current research in this area, to conclude on the key elements for designing an effective and engaging serious game, based on user feedback. This study will be a step toward the design of tailored and relevant education interventions that will promote active learning, rather than passive one-way learning. Keywords: serious games, features, digital interventions, user perceptions, sex education
Shedding Light on a Forbidden Topic: The Need for Mental Health Professionals to Accommodate the Faith-Based Practices of Immigrant Clients
Authors:   University of Lethbridge, Canada, Dixon Sandra , Bell Juliane ,   University of Lethbridge, Canada
Published: April 2022

Abstract There is much to learn about how immigrants describe their experiences of faith in the counselling context while negotiating meaningful relationships with mental health professionals (MHPs). Here, MHPs refer to individuals in the helping profession who provide services to immigrant clients such as social workers, psychologists, clinicians, practitioners, and counsellors. For the purpose of this presentation, immigrants are viewed as persons relocating to a host country for the purpose of resettlement for a better life (Perruchoud & Redpath-Cross, 2011). In this context, faith describes one’s committed spiritual and religious belief system. Although, it is important to the wellbeing of many immigrant clients, some MHPs struggle to integrate religious faith into the counselling process. According to Plumb (2011), these challenges might be a result of limited training in the area of faith as well as lack of confidence, competence, and comfort related to faith-based practices (Plumb, 2011). These professionals also appear to lack the knowledge and skill set needed to adapt culturally appropriate faith-based interventions in their work with immigrant clients (Dixon, 2015). Many immigrants rely on such faith-based interventions as a source of internal strength and comfort to manage social inequities like racism and discrimination. As such, MHPs have a responsibility to accommodate, recognize, and consider the importance of faith-based practices and interventions when providing counselling services to diverse immigrant client populations. Therefore, the aim of this live virtual presentation session is to engage in reflective discussions with attendees that highlight the role of faith within the therapeutic relationship. The co-presenters will provide useful faith-based interventions for attendees to consider when working with immigrant clients. We will also create a culturally safe environment for attendees to discuss practical ways that they have incorporated faith-based interventions in their counselling practices. Key words: Immigrants, Faith, Faith-Based Interventions, Mental Health Professionals
Spirituality, Illness Beliefs and Illness Suffering: Clinical Ideas for Loving and Healing Conversations
Authors:   University of Calgary, Canada, Wright Lorraine M
Published: April 2022

ABSTRACT Health care has become influenced by societal beliefs that overly values happiness and is unable to acknowledge and witness illness suffering. This has led our language with patients and families to change from inquiring and empathizing about suffering to adopting more upbeat language like ‘coping’, ‘adapting’, and ‘adjusting’. Even harsher expectations of dealing with illness suffering such as “it is what it is”; and “you need to accept your illness” have crept into our conversations when caring for patients/families. Language can inadvertently trigger spiritual suffering. Language changes have been coupled with unhelpful interventions in our caring of patients/ families. This change in our professional language does not reflect our patients/families experience with illness suffering and particularly their spiritual suffering. It also interferes with potential healing conversations. This presentation will encourage us to reflect and consider (re)embracing conversations of illness suffering with our patients/families that will open space to spiritual healing. From research and clinical practice, it has been determined that when suffering is softened, spiritual healing can most often occur. Healing conversations need to include: illness suffering being acknowledged, social support is available, constraining beliefs are challenged; being in the present moment is encouraged; offering curious compassion and hope. Specific relational practices will be suggested that enable patients/families to move from a place of illness suffering to spiritual healing. Specifically, love needs to be the foundation of all therapeutic conversations with individuals, couples, and families in our care. Keywords: Spirituality, healing conversations, illness suffering, illness beliefs
Trust, Mystery, Love and The Search for Wholeness Stories of Transference and Countertransference in The Gospels
Authors: Porcu Daniela
Published: April 2022

Abstract The purpose of this presentation is to contribute to the archetypal aspects of the transference and the countertransference through an exploration of the Christian imagery, strengthening the relationship between religion and analytical psychology. C.G. Jung thought that the transference had a key role in the healing process, allowing the doctor to take over the patient’s suffering, so it can be shared, explored creatively, and integrated into consciousness. He believed that this type of relationship could also have archetypal aspects beside personal ones, triggering projections such as the saviour complex on the side of the patient and identifications with the wounded-healer on the side of the therapist. Building on Jung’s and the post-Jungians’ insightful remarks, this presentation will investigate the transference dynamics in the stories of the Gospel, drawing parallels between the analytic couple on the one hand and Christ and his community on the other. In particular, it will focus on aspects such as trust and mystery, love that heals and the endless search for wholeness, considering both episodes of healing and spiritual rebirth, like The Bleeding Woman, and of preaching and revelation, like The Road to Emmaus. KEYWORDS: gospel, transference, analytical psychology
Brazilian Women: A Struggle to be Heard
Authors:   IFFar - Instituto Federal de Educação Ciência e Tecnologia Farroupilha, Brazil, Schallemberger Rafaelly Andressa
Published: April 2022

Abstract Outsiders may wonder what Brazilian women’s lives are like here and who the women activists influencing human rights, female empowerment, and social change are. As in other countries, during the past few decades Brazilian women have revolted against patriarchy by raising their voices and creating social impact. This qualitative study, using secondary research, identifies Marielle Franco, Zilda Arns, Maria da Penha, Marta Vieira da Silva, and Dilma Rousseff as five empowered Brazilian women. Most came from humble origins - families that were examples of charity and struggled for rights, but all obtained degrees either in higher education or in their specialization. However, their origins did not determine social action. The driving force was their suffering from discrimination, specifically because they were women and, furthermore, because they occupied places that were previously reserved for white men. Almost all were persecuted, while others also suffered discrimination because of their skin color and ethnicity. Even so, being wives and mothers, all were excellent professionals, searching for success and achieving progress in their dedicated areas by creating social changes, especially in human rights for children and women. Those who are still alive continue the battle against the entrenched patriarchy in a predominantly macho society as they continue their strife for more progress. Finally, those committed to building an evolved, modern, inclusive, and respectful Brazilian society perceive the macho practices that prevail as inadequate and detrimental to women. As more and more women carry on in the fight for human rights, society will evolve. Keywords: Brazilian women, human rights, discrimination, women’s rights
Dual-harvester energy (type3)
Authors: Mohammed Alaa Alwafaie  , Béla Kovács
Published: April 2022

In this paper, we describe a multifunctional energy harvesting device that uses both magneto electric and piezoelectric processes in order to harvest energy from stray magnetic and mechanical fields. The device consists of a magneto electric laminate attached to the center of a with a mass at the tip. It was discovered that the system generated output voltage of Vp.p. also manuscript shows that both mechanical and magnetic energies can be summed up using an equivalent circuit model.
Comparative study of different heart rates in diabetic individuals of variable levels of disease severity and complications
Authors: Mahmood Faheem , Ali Mudassar , Mudassar Sahar , Islam Sadia , Ahmed Shoaib , , Mubeen Amna , Shaukat Amal
Published: April 2022

Background: T2DM patients' cardiac autonomic function is different. Heart rate variability is diminished (HRV). Reduced HRV causes cardiac autonomic neuropathy and increased risk of SCD. Identifying high-risk T2DM patients can help avoid or postpone T2DM consequences. The Diabetes Risk Score questionnaire was created to analyze the patients. Aim: To study studied HRV in persons with different T2DM risk. Methods: Physiology Department conducted this experiment. It is a cross-sectional study involving 60 Patients. The RDS questionnaire will be completed by all participants. The RDS score puts them into Groups A, B, and C. 5 min short-term HRV will be measured in all three groups. The data were analysed using SPSS 23.0. ANOVA was used to compare the groups statistically. The variables were connected using the Pearson correlation test. Results: The post hoc (Dunn's) test demonstrated that HRV levels were considerably lower in high and moderate risk groups compared to mild risk groups. Conclusion: HRV levels declined with increased diabetes risk, showing a negative connection. Keywords: Autonomic Dysfunction Heart Rate Variability; Type 2 Diabetes mellitus
Limberg Flap Versus Open Procedure in Treatment of Chronic Pilonidal Sinus
Authors: Ghaffar Naeem , Farooq Nadia , Hussain Muhammad Shahid
Published: April 2022

Objective: The main purpose of the study is to compare the outcomes of Limberg flap and open procedure to treat the chronic pilonidal sinus. Pilonidal sinus is a disorder of the sacrococcygeal region mostly found in younger folk. Its treatment consists of several methods but in this study, we will go through Limberg flap and open procedure to compare the outcomes of both methods. Study design: Comparative study. Material & Methods: This study was conducted from January 2020 to December 2022. 84 patients included 59 males and 25 females having age between 18 to 40 years were part of the study. All the selected patients were diagnosed with chronic pilonidal sinus and recommended for surgery at sugery Unit1 sir ganga ram hospital Lahore, Pakistan. A total of 84 patients were divided into two groups, group1 consists of 42 patients treated for the Limberg flap technique. Group 2 also contains 42 patients treated for an open procedure. The patients who were suffering from the chronic pilonidal sinus were part of the study while patients who had acute inflammation of the sinus, history of previous treatment of pilonidal sinus were omitted from the study. Results: Out of 84 patients 42 were part of group 1 and the remaining 42 were in group 2. In group1, the mean ±SD age of patients was 26 ± 2.00, 30 (71.4%) males and 12 (28.5%) females. While in group2 the mean ±SD age was 25 ± 3.00, 29 (69%) were males and 13 (30.9%) females were part of this group. The measured p-value for both groups was <0.05. General characteristics of patients show that high percentage of males was affected from pilonidal sinus disease. In group1 patients who had a 2 days stay at the hospital, recurrence was reported in 10 (23.8%) patients with P-value >0.05, irregular scar formation was observed in 16 (38%) patients, the pain was reported in 18 (42.8%) patients, and wound healing after 2 weeks was noted in 20 (47%) patients. In group 2, patients had 6 days stay at the hospital, recurrence was reported in 13 (30.9%) patients with value >0.05, irregular scar formation was observed in 26 (61%) patients, the pain was reported in 34 (80%) patients and wound healing after 2 weeks was noted in 12 (28.57%) patients. p-value was measured <0.05 for all the parameters. Conclusion: Eventually, we concluded significant results of the Limberg flap than the open procedure. A high percentage of complications were measured in patients treated with the open procedure in comparison to the Limberg flap. Keywords: Chronic pilonidal sinus, Limberg flap, open procedure.
Diagnostic Accuracy of Multi-Detector CT for Evaluation of Renal Masses
Authors: Siddiqui Mustafa Ali , Ali Amjad , Khalid Kanwal , Rabbani Muhammad Ali , Syed Fareeha Naseer , Andrabi Syed Atif Hussain
Published: April 2022

Objective: To determine the accuracy of multi-detector computed tomography (MDCT) in differentiation of renal masses taking histopathology as gold standard. Methods: This cross-validation study was conducted from March 2021 to August 2021 at Al Hussain Diagnostic & Medical center Nishtar Road Multan. We included 100 patients presenting with renal masses on clinical and ultrasonography. All patients underwent MDCT for evaluation of renal masses. After MDCT, biopsy specimens were obtained for histopathological diagnosis of renal masses. The MDCT findings were correlated with histopathology diagnosis to determine the accuracy of MDCT. Results: Mean age was 45.8±12.36 years, 67% patients were male and 33% were female. Malignancy was diagnosed in 83% patients and remaining 17% patients were diagnosed of having benign lesions. Out of malignant lesions, 65% patients had RCC, 07% Wilm’s tumor, 6% lymphoma, meta-stasis was diagnosed 04% patients and 01% renal pelvic TCC. Among the benign lesions 11% patients had Angiomyolipoma and oncocytoma was diagnosed in 6.0% patients. The overall sensitivity of CT scan was 97.6%, specificity was 100%, PPV was 100% and NPV was 89.5%. Conclusion: MDCT can be used as the imaging method of choice for initial evaluation and diagnosis of RCC as it is associated with high sensitivity and specificity for differentiating malignant from benign lesions. Keywords: Diagnostic Accuracy, Histopathology, Multi detector CT, Renal Masses
Frequency of Pregnancy Induced Hypertension in Teenage Pregnancy, Presenting in a Tertiary Care Hospital
Authors: Bibi Fatima , Sayyed Bushra , Rana Mehreen Yousaf , Bano Erum , Amjad Zahra , Zafar Faryal
Published: April 2022

Objective: To determine the frequency of pregnancy induced hypertension in teenage pregnancy, presenting in a tertiary care hospital. Design of the Study: It’s a descriptive case series Study Settings: This study was done at Department of Gynaecology & Obstetrics, Ziauddin Hospital, Karachi from January 2021 to June 2021. Material and Methods: Total 163 women with gestational age 20 and more weeks, age 10 to 19 years, singleton pregnancy, and with any parity were included in the study. On the basis of clinical examination, pregnancy comprised hypertension was diagnosed. If any patient had BP equal or more than 140/90 on more than two separate occasions, then it was considered as hypertensive. Patients were followed at 24, 28, 34, 36, and 38 weeks till delivery to look for development of Pregnancy induced hypertension. If patient developed any complications, was admitted and managed accordingly. By using computer program SPSS-17, data was entered and analyzed. For post stratification Chi-square test was applied and p-value ≤0.05 was considered as significant. Results of the Study: The average maternal age was 16.53±1.94 years. The mean parity was 3.03±1.44 and mean gravidity was 2.80±1.44. The mean gestational age was 31.17±3.52 weeks, with range 16(21–37) weeks. Age of 49 women was ≤15 years and age of rest of the 114 women patients was >15 years. The parity of gravidity of 113 women was ≤3 and it was >3 in 50 women. The parity of 131 women was ≤3 and in the 32 women it was >3. The gestational age of 73 women was ≤30 weeks and gestational age of 90 women was >30 weeks. The pregnancy induced hypertension was found in 24(14.7%) females who are expecting involved in the research. Among women with PIH the mean age was 16.46±2.14 years and mean gestational age was 30.83±3.26 weeks. The results showed no statistically significant association of maternal age, gravidity, parity, and gestational age with pregnancy induced hypertension. Conclusion: For higher incidence of pregnancy induced hypertension, the younger maternal age is a significant risk factor. Keywords: Pregnancy Induced Hypertension, Teenage Pregnancy, Frequency
Esophageal Dilatation in Patients with Esophageal Stricture Formation due to Corrosive Intake - Clinical Experience of Thoracic Surgery Department at A Tertiary Care Center
Authors: Ahmed Sultan , Kiran Tayyeba , Rabbani Asia , Sadiq Rizwan , Zafar Muhammad Abbas , Zafar Usama
Published: April 2022

Objective: Assessment of the outcome of esophageal dilatation in patients with esophageal stricture formation due to corrosive intake experienced at a tertiary healthcare facility in order to devise a better management plan for such patients. Study design: Retrospective Study Study setting: Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. Study duration: January 2018-June 2021 Methodology: A total of 19 subjects who presented with esophageal stricture formation due to corrosive intake were taken as study subjects. The location of involved mucosa, number of dilatation sessions done, level of symptomatic relief and recurrence rates were assessed for these study subjects. Then the data was gathered and analyzed with the help of SPSS Version. 21. Results: This study comprising of 19 patients who had esophageal stricture formed due to corrosive intake and they underwent esophageal dilatation for it. The age range for the subjects came out to be 5-40 years (Mean= 2.89±8.81). Male to female ratio came out to be 7(36.8%) vs 12(63.2%) respectively. Among these study subjects, 15(78.9%) subjects gave history of an acid ingestion while only 4(21.1%) had a history of alkali ingestion. Majority of them showed relief in response to esophageal dilatation and with low recurrence rates. Conclusion: Esophageal dilatation with bougies is one of the safest, less invasive, and efficient method for the effective management of esophageal stenosis/ stricture formation after corrosive intake that needs to be emphasized specially in healthcare centers which lack specialized departments dealing with more invasive surgical procedure and facilities. Keywords: Esophagus, Dilatation, Corrosive, Stricture, Acid, Alkali