bluuebunny/crossref_metadata_2025 huggingface dataset:
A Pragmatic Study of Speech Acts in Fitzgerald’s ‘Crazy Sunday’ in terms of Searle’s Classification
Authors: Shehab Teeba Khalid
Published: July 2024

By using Scott Fitzgerald's short tale "Crazy Sunday" and Searle's classification of speech acts, this study clarifies speech act theory. The philosopher Searle, classified speech acts into five categories; Declaratives, commissives, representatives, directives and expressives.  Utterances of the above mentioned short story have been analyzed and classified into the categories proposed by Searle to see which category of speech acts is most frequently used in this short story which provide us with a new interpretation and impression about Fitzgerald’s ‘Crazy Sunday’ short story. Also, the style of the author has been overviewed in this paper.
In this study, utterances are evaluated and categorized in accordance with Searle's taxonomy of speech actions, with each category's frequency displayed underneath:-

Declaratives were used 27 times.
Representatives were used 69 times.
Commissives were used 9 times.
Directives were used 49 times.
Expressives were used 31 times.

In this respect, it was clear that the representative of speech acts were the most frequently used in this short story, so we get an impression that the description of stories and events is the most prevailing atmosphere in it.
La contabilidad financiera ambiental. Un análisis desde diferentes contextos
Authors: Pelegrín Mesa Arístides ,   Universidad de Guadalajara, Ortiz Paniagua María Luz , Gámez Adame Luis Carlos , Lamorú Torres Pablo Alián , Herrada Lladó Teresa , Joya Arreola Roberto
Published: July 2024

En la actualidad, la conservación del ambiente es un tema de relevancia a nivel mundial, por la repercusión que tiene en las estrategias de desarrollo y de competitividad, así como en la propia dinámica de los países tendientes a buscar los añorados patrones de sostenibilidad. La presente obra está dedicada a abordar, desde una perspectiva teórica, algunas experiencias que se han obtenido, tanto en México como en Cuba, con el consenso de que sin duda el camino hacia la normatividad contable ambiental es aún incipiente.
Ensino de sentenças com função de tato em crianças com Transtorno do Espectro Autista
Authors: Carvalho de Matos Daniel ,   Universidade CEUMA Instituto Evoluir – Centro de Ensino e Pesquisa em Psicologia, Educação Inclusiva e Saúde Universidade Federal do Maranhão, Ribeiro Rabelo Costa Juliana , de Castro Cutrim Aroucha Jéssica , Galvão Soares de Matos Pollianna ,   Universidade CEUMA Instituto Evoluir – Centro de Ensino e Pesquisa em Psicologia, Educação Inclusiva e Saúde,   Universidade CEUMA,   Universidade CEUMA Instituto Evoluir – Centro de Ensino e Pesquisa em Psicologia, Educação Inclusiva e Saúde Universidade Federal do Maranhão
Published: July 2024

O esvanecimento de roteiros trata-se de um procedimento utilizado em Análise do Comportamento Aplicada e que pode melhorar a comunicação de pessoas com Transtorno do Espectro Autista (TEA). Roteiros podem ser imagens, estímulos textuais ou auditivos e que, sob controle deles, aprendizes podem construir sentenças para comunicação. Os roteiros devem ser esvanecidos pela remoção gradual de suas partes. O objetivo deste estudo foi o de avaliar os efeitos do esvanecimento de roteiros sobre a emissão de sentenças com função de tato em quatro crianças com TEA. Grupos com figuras foram definidos. Para duas crianças (P1 e P2), foram utilizados roteiros textuais para leitura e, para as outras duas (P3 e P4), roteiros ditados para emissão de ecoico. Critérios foram estabelecidos para esvanecimento gradual dos roteiros e estabelecimento do responder na presença das imagens. O procedimento foi eficaz para todas as crianças, pois emitiram sentenças com função de tato sem necessidade de roteiros e foi, também, eficiente para três, pois a aprendizagem foi mais rápida após treino do primeiro grupo de figuras. A manutenção do desempenho correto foi demonstrada um mês depois.
Orientação de pais on-line no tratamento do uso problemático de internet pela criança
Authors: Fortes de Sá Pianovski Mariana ,   Universidade Federal do Paraná (UFPR), Martins da Silveira Jocelaine ,   Universidade Federal do Paraná (UFPR)
Published: July 2024

O uso problemático da internet e a saúde psicossocial apresentam diversas associações. O presente estudo visa avaliar a efetividade de uma orientação on-line de pais na redução de padrões de uso problemático na internet pelos seus filhos. O método consiste em um delineamento A-B, com duas replicações. A condição B consiste na aplicação de uma versão on-line e condensada do programa Promove Pais. O programa foi aplicado individualmente em três mães. Elas responderam instrumentos para medidas de habilidades sociais, “vício” na internet, depressão, ansiedade e estresse. Um aplicativo para monitoramento do tempo de uso foi instalado nos aparelhos utilizados pelas crianças. O uso de videogame foi monitorado em plataforma própria. Os resultados indicam redução estatisticamente significativa para o tempo de uso do celular e do computador, havendo indícios de redução do uso do videogame. Recomenda-se que estudos futuros avaliem a generalidade dos dados encontrados por meio de ensaios clínicos randomizados.
Comportamentos para pais promoverem obediência em crianças com TEA
Authors: Druzian Lopes Victória ,   Universidade Estadual de Londrina, Cristiane Murari Silvia , Kienen Nádia ,   Universidade Estadual de Londrina,   Universidade Estadual de Londrina
Published: July 2024

Pesquisas têm investigado a eficácia de treinamentos de pais ou cuidadores de crianças com Transtorno do Espectro Autista (TEA) para maximizar os efeitos das intervenções em Análise do Comportamento Aplicada. Contudo, nota-se a ausência de identificação clara dos comportamentos que pais ou cuidadores devem aprender no treinamento. O objetivo deste estudo foi identificar as classes de comportamentos a serem ensinadas aos pais de crianças com TEA, para que eles promovam a aprendizagem de comportamentos de obediência nessas crianças. O método foi adaptado da Programação de Condições para o Desenvolvimento de Comportamentos (PCDC). Foram selecionadas, como fontes de informação, pesquisas relacionadas com o tema e, nessas fontes, foram identificados e derivados comportamentos que compõem a classe geral “promover a aprendizagem de comportamentos de obediência em crianças com TEA”. Foi realizada a decomposição de comportamentos em classes intermediárias. Como resultados, foram identificados 312 comportamentos constituintes da classe geral, distribuídos em quatro subclasses gerais: analisar os comportamentos da criança, planejar a intervenção, implementar a intervenção e avaliar os efeitos da intervenção sobre o repertório comportamental da criança. Em futuros treinamentos de pais, ensiná-los tais classes de comportamentos pode favorecer a efetividade dos treinamentos.
Establecimiento de Criterios Circunstanciales de Manera Integral, Progresiva y Aislada sobre una Tarea de Aprendizaje Musical
Authors: Gutiérrez Guevara Darwin ,   Universidad Veracruzana, Ibáñez Bernal Carlos ,   Universidad Veracruzana
Published: July 2024

Aprender una competencia implica un proceso de ajuste del desempeño a criterios circunstanciales de modo, tiempo o lugar como requisito para la identificación del logro. Cada criterio circunstancial es una dimensión lograble o “aprendible” por el individuo, esto es, un modo de aprender, que en el habla cotidiana identificamos como el “aprender qué”, “aprender cómo”, “aprender cuándo”, “aprender dónde”. En la presente investigación se planteó la pregunta: ¿cuáles son los efectos de establecer criterios de modo, tiempo y lugar sobre el desempeño ante un teclado computacional modificado en relación con señales e imágenes presentadas en el monitor relativas a cada criterio? El experimento constó de cinco sesiones: aproximación al teclado y pre-prueba, tres experimentales y post-prueba. Se contó con 12 participantes distribuidos en tres grupos definidos según la presentación de los criterios circunstanciales en las sesiones experimentales: Grupo-Aislado (un criterio por sesión en este orden: tiempo, modo, lugar), Grupo-Progresivo (tiempo, tiempo-modo, tiempo-modo-lugar) y Grupo-Integral (los tres criterios juntos). Los participantes del Grupo-Integral tuvieron un mejor desempeño. El análisis individual del desempeño de los participantes permitió identificar que un alto porcentaje de aciertos no necesariamente coincidió con el cumplimiento del criterio de logro. Se discuten los resultados a partir de sus implicaciones inter y multidisciplinarias en el campo de la educación.
Advancing the health literacy of migrants in second-language courses: Realist review
Authors: Harsch Stefanie , Bittlingmayer Uwe
Published: July 2024

Background: Migrants and refugees are high-risk populations with often limited health literacy (HL). It is crucial to improve their HL early after arrival. One promising approach is to combine language and HL learning in second-language courses. Objectives: This study reviewed empirical evidence on the promotion of migrants’ HL in second-language courses and developed a theory of change to inform innovative projects. Methodology: We conducted a systematic realist review of HL in second language courses in seven scientific databases and a grey literature search. After screening titles, abstracts, and full texts, we identified 21 eligible publications from 13 programs. We systematically analyzed program context and characteristics, evaluation design, and outcomes and developed a theory of change based on the findings. Results: Programs promoting HL in second language courses are diverse in terms of contextual factors, formats, study designs, measures of HL, language improvements, effectiveness, relevant outcomes, and enabling factors. All studies reported improved HL after the program, but to varying degrees. The findings regarding second language improvement are mixed. Seven core components of HL as a social practice emerged. Numerous factors influencing course implementation, outcomes, and sustainability were described in detail. We conceptualized a theory of change for the HL promotion in second language courses. Conclusion: This realist review presents ample empirical evidence that second language courses can promote HL in various ways. However, these courses are complex, heterogeneous, and dependent on multiple factors. Despite these limitations, second language courses show promise as innovative and effective approaches that reach many migrants. Therefore, health promoters, medical professionals, adult educators, and policymakers should collaborate nationally and internationally to leverage this unique opportunity. The theory of change can serve as a blueprint for discussing existing programs thoroughly and developing promising, effective, and sustainable programs.
Integration trends of internationally educated nurses in Canada and Australia: A scoping review
Authors: Alostaz Nasrin , Walton-Roberts Margaret , Chen Ruth , Pratt Maria , Wahoush Olive
Published: July 2024

Background: Canada is less successful in integrating internationally educated nurses (IENs) into the nursing workforce than other developed countries like Australia. Objective & Design: This scoping review compares the integration trends of internationally educated nurses in Canada with those in Australia. Data Sources & Methods: Nine online databases were searched for English-language studies on the integration pathways of IENs in Canada or Australia. Results: Twenty-seven articles included in the review were completed in Canada (62.96%, n=17) and Australia (37%, n=10). The articles reported on internationally educated nurse integration in the workforce (18.5%, n=5) and workplace (66.7%, n=18), and four studies (14.8%) examined both workforce and workplace integration. This review highlighted the difficulties IENs encounter during their integration in Canada and Australia. Collaboration among stakeholders in Australia resulted in better integration of IENs. Conclusion: This review suggests Canadian ministries collaborate and align their policies to support better integration of internationally educated nurses into the Canadian health system.
ZORUNLULUK HALİNİN HUKUKİ NİTELİĞİ
Authors: Boz Burak
Published: July 2024

Bu çalışma, Türk ceza hukukunda zorunluluk hâlinin hukukî niteliğini incelemekte ve zorunluluk hâlinin kusuru kaldıran bir mazeret veya bir hukuka uygunluk sebebi olarak oynadığı role odaklanmaktadır. Bu soruya verilecek cevap pek çok münferit sorunun da çözümü bakımından belirleyici olacaktır. Türk Ceza Kanunu zorunluluk hâlini yalnızca suç işlemekten sorumlu olanları mazur göstermenin bir yolu olarak ele almaktadır, ancak haksız fiil hukuku da zorunluluk kavramını hukuka uygunluk sebebi olarak düzenleyen hükümler içermektedir.
Belirtilmelidir ki Türk Ceza Kanunu'nda zorunluluk hâlinin yalnızca kusuru kaldıran bir sebep olarak düzenlenmesine rağmen, esasen zorunluluk hâlinin ikili bir hukuki niteliğe ve iki farklı kimliğe sahip olduğunu söylemek çelişkili değildir. Çünkü tüm hukuka uygunluk sebeplerinin ceza kanunda yazması gerekmez.
Türk mevzuatında suçu mazur gösteren zorunluluk kuralı ile bir suç tipine uyan eylemleri haklı gösteren zorunluluk kuralı arasında ayrım yapan özel bir hüküm bulunmamaktadır. Bu nedenle bu ikisi arasında net bir ayrım yapmak önemli bir zorluktur. Karşılaştırmalı hukuk düzenlemeleri bu sorunun ele alınmasına yardımcı olabilir, ancak yabancı bir devletin hukukunun, Türk yasal sınırları içinde teorik bir gerekçe oluşturmadan doğrudan Türk ceza hukukuna uygulanamayacağını kabul etmek gerekir. Örneğin Alman hukukunda, Alman Ceza Kanunu §34 ve §35, farklı menfaatlerin çatıştığı noktada söz konusu olan hakların ağırlığını kıyaslamaya dayanan bir ölçütü esas almaktadır. Zorunluluk hâli bir çatışma durumundan ileri gelir. Bu çatışmada, esasen, menfaatler karşı kaşıya gelmektedir. Ancak Alman hukuku örneğinde olduğu gibi pek çok ülkede kıyaslama menfaatler arasında değil bu menfaatlerin ilgili oldukları hak arasında yapılması gerektiği kabul edilmektedir. Fakat Türk hukuku, böyle bir kriteri esas almak için açık bir temel sunmamaktadır. Sonuç olarak, kanaatimizce, Türk hukukunda zorunluluk hâlinin farklı nitelikleri arasındaki ayrım, eylemin muhatabının buna katlanma yükümlüğünün bulunmasına dayandırılmalıdır.
Computer-Assisted Histopathological Calculation Analysis of the Sciatic Nerve of Diabetic Neuropathy Rat Model
Authors: Lestari Indah Tri , Anggadiredja Kusnandar , Garmana Afrillia Nuryanti , Nurafni Sevi
Published: July 2024

Histopathology is the science that studies the signs of disease by studying the structural and functional changes that occur in cells using certain types of dyes such as hematoxylin and eosin (H&E). Traditionally histopathological testing is carried out using semi-quantitative methods. A more advanced method is done by taking photos digitally, and then digital photos are quantified with the help of software such as ImageJ using plug-in tools. Recent advances in digital pathology require the development of more efficient computerized image analysis such as the Gaussian adaptive threshold method. This research aims to compare the calculation results of computer-assisted digitalization of histopathology using the ImageJ plugin manual method with automatic calculations using Gaussian adaptive threshold to quantify the amount of sciatic nerve cell damage in the Diabetic peripheral neuropathy (DPN) rat model. In this study, two image analysis methods were used to test their ability to measure the amount of cell damage in the sciatic nerve of normal rats using a model of diabetic neuropathy. The first method uses the ImageJ plugin manual. The second method is the Gaussian adaptive threshold method. The ImageJ plugin manual method obtained a cell abnormality value of 213 cells. Meanwhile, with the Gaussian adaptive threshold method, a value of 204 cells was obtained. The calculation results of the two methods show an insignificant difference between the methods p >0.05. This study presents a computerized morphometric image analysis method with the potential for pathology digitalization applications.
İklim Değişikliğinin Pamuk Yetiştiriciliğine Etkisinin Modellenmesi
Authors: Deveci Huzur
Published: July 2024

Günümüzde iklim değişikliği göz ardı edilemeyen bir durumdur. Pamuk, Türkiye’de yetiştirilen önemli bir endüstri bitkisidir. Dolayısı ile iklim değişikliğinden tarım sektöründe önemli bir yer tutan pamuğun nasıl etkileneceğini belirleyebilmek, gelecekte yetiştirilme alanlarının nasıl değişeceğini doğru bir şekilde tahmin edebilmek çok önemlidir. Bu çalışmanın amacı, iklim değişikliğinin Türkiye’de yetiştiriciliği yapılan pamuk bitkisinin coğrafi dağılımının gelecekte nasıl değişeceğini, bitki uygunluk modeli kullanarak tahmin etmektir. Bu amaçla, Türkiye’de referans (1950-2000) ve gelecek dönem (2050-2059) HADGEM2_ES model RCP4.5 ve RCP8.5 senaryo sonuçları doğrultusunda DIVA-GIS programı içinde yer alan Ecocrop modülü kullanılarak pamukta uygunluk tahmini yapılmıştır. Sonuç olarak iklim değişikliği karşısında Türkiye’de pamuk yetiştirilen alanlar referans dönemle gelecek dönem HadGEM2_ES iklim modeli RCP4.5 ve RCP8.5 senaryo sonuçları karşılaştırıldığında, RCP8.5 senaryosunda RCP4.5’e göre pamuk yetiştiriciliğinde uygun alanların daha da artacağı ve genişleyeceği aynı zamanda her iki senaryoda da olumlu etkileneceği tahmin edilmiştir. Bölgesel bazda değerlendirildiğinde ise Güneydoğu Anadolu Bölgesi, Akdeniz Bölgesi ve Ege Bölgesi olmak üzere üç bölgede yapılabilen pamuk yetiştiriciliğinin 2050’lerde bu bölgelere ilave olarak Marmara Bölgesi’nin tamamı ve Karadeniz Bölgesi’nin kıyı kesimlerinin de eklenebileceği öngörülmüştür. Ayrıca referans dönem iklimsel uygunluk haritalarında mükemmel olarak sınıflandırılan ve yoğun olarak Adana ve Mersin’de yetiştiriciliği yapılan pamuğun 2050’lerde Adana ve Mersin’in kesişimindeki bölgede RCP4.5’te çok uygun, uygun olarak sınıflandırılmışken RCP8.5’te bunlara ek olarak marjinal alanlara dönüşeceği pamuk yetiştiriciliği için uygunluğun azalacağı belirlenmiştir. Bu çalışmada referans döneme göre, gelecek dönem için elde edilen sonuçların RCP.8.5’ta RCP4.5’e göre daha fazla oluşacağı tahmin edilmiştir. Karar vericilerin ve üreticilerin planlamalarını yaparken bu tahminler doğrultusunda hazırlık yapmaları önerilmektedir.
La importancia de la química forense en la detección de sustancias ilícitas en muestras biológicas
Authors: Moncayo Hurtado Jazmín Rocío , Huacho Chalán Ángela Del Roció , Núñez León José Luis , Satán De Secaira Sandra Elizabeth
Published: July 2024

Introducción: La detección de sustancias ilícitas en muestras biológicas es fundamental en el ámbito forense, con implicaciones significativas en investigaciones criminales, procesos judiciales. La química forense desempeña un papel crucial en este contexto, al brindar técnicas analíticas avanzadas para la identificación y cuantificación de estas sustancias. Objetivo: El presente estudio tiene como objetivo resaltar el papel crucial que desempeña la química forense en la identificación y cuantificación de drogas en muestras biológicas.  Se informará al lector sobre las técnicas y herramientas analíticas que utiliza la química forense para detectar sustancias en muestras biológicas como sangre, orina, órganos y tejido. Metodología:  Se utilizó el método de investigación cualitativa de revisión bibliografica que promovió la interacción entre los participantes del proceso, permitiendo el intercambio de experiencias. Se realizó la revisión y recolección de datos en la Biblioteca Científica Electrónicas entre ellos la búsqueda de artículos científicos en Google académico, Redalyc, PubMed y Elzevir se siguió un orden de lectura de los resúmenes y palabras clave. Resultados: En una búsqueda de 30 artículos y 1 libro. Se desarrolló el análisis de la importancia, las técnicas actualizadas para el análisis y las muestras biológicas a considerarse. Conclusiones: Finalmente podemos concluir el amplio alcance que tiene la química forense en todas las áreas de la investigación criminal. Área de estudio general: Criminalística y Ciencias forenses. Área de estudio específica: Técnicas Forenses. Tipo de estudio:  Artículo original
Management of Retrograde Ejaculation
Authors: Faisal Mirza MH
Published: July 2024

Abstract Not Available
Bangladesh Journal of Urology, Vol. 20, No. 1, January 2017 p.1
Effect of Varicocele on Spermatogenesis
Authors: Alam Md Jahangir , Islam Amirul , Hossain Mohammed Aulad , Islam Md Nazrul , Ahmed Maruf
Published: July 2024

Objective: To evaluate the effects of varicocele on spermatogenesisand determine its association with oligospermia or azoospermia.
Methods: This observational study was conducted from January 2010 to December 2011, in the Department of urology & surgery of DMCH on 100 adolescents & adults with unilateral or bilateral varicocele of grade I to III. Patients with cryptorchidism, testicular trauma, surgery of the urogenital tract and secondary varicoceles were excluded. Detailed history was taken and physical examination was done to diagnose varicocele with its grading and was reconfirmed by ultrasonogram with Color Doppler. Semen was collected accordingly and was examined within 90 minutes of collection. Chi-square (c2) Test and unpaired t- Test was used for qualitative for quantitative variables respectively andp <0.05 was considered significant.
Results: Mean patients age 22.45± 4.3 years. Most of item have (94%) had inguinoscrotal swelling. Four (4.3%) had grade-I swelling, 27.6% grade-II and 68.1% grade-III swelling. Seventy eight percent was left-sided and 22% was bilateral varicocele, A may item 34% cases were infertile. Abnormal sperm morphology was present 18% cases. Oligospermia was present in 28% cases and 6% hada zoospermia. No significant association was observed between age of the patients and sperm count (p-0.437) and also between oligospermia or azoospermia with side of varicocele (p-0.076). Long-standing varicocele (> 10 yrs.) patients were 2.7 times more likely to be oligospermic or azoospermic than those with shorter duration (p-0.020). Over 80% of the oligo or azoospermic patients belonged to grade III varicocele compared to 53.1% with normal sperm count (p-0.006).
Conclusion: Men with varicocele tend to be infertile and there is an increasing chance of being infertile with longer duration and higher grade (grade-III) of the disease. The age of the patients or side of varicocele were not found to be associated with oligo or azoospermia.
Bangladesh Journal of Urology, Vol. 20, No. 1, January 2017 p.3-7
Comparison Between Laser Lithotripsy and in Situ Eswl for Management of Lower Ureteral Calculus
Authors: WasimuddinKabir Sharif Mohammad , Shameem Isteaq Ahmed , Chowdhury Md Golam Mowla , Alam Mohammad Saruar , Alam SM Mahbub
Published: July 2024

Objective: To compare the effectiveness of the in situ ESWL and LASER lithotripsy in the treatment of lower-ureteral calculus.
Method: The study was conducted from November 2013 to October 2014 in the departments of urology, BSMMU and Dhaka Medical College Hospital. Forty four patients were selected using purposive sampling method. From selected patients 22 patients grouped as ESWL group and 22 patients grouped as LASER group. For ESWL group, patient is in supine position, stone was visualized with fluoroscopy and coupling was done. Level of shockwave energy was progressively stepped up (2000 to 2500 shocks at a frequency of 80 shocks per minute) till satisfactory stone fragmentation within patient’s comfort. On the other hand cystoscopy followed by ureteroscopy with the help of guide wire was done and stone fragmentation was achieved by LASER lithotripsy for LASER group. The follow up was done after 1 week, 1month and after 3 months. Data of the variables of interest were collected using a structured data collection format.
Results: Immediate stone clearance was much higher in LASER group (90.91%) than that of ESWL group (63.63%). After one month and three months LASER group showed 95.45% stone clearance and ESWL group showed 86.36% and 90.90% stone clearance respectively. Some immediate complications found in this study were considerably higher in ESWL group than those of LASER group. Haematuria in ESWL group was 31.81% and 9.09% in LASER group. Fever was observed in 40.90% cases in ESWL group compared to 13.63% cases in LASER group. Ureteral injury was observed in 4.54% cases in LASER group compared to none in ESWL group. The complication rate was lower in LASER group (31.82%) than that in ESWL group (45.45%) but the difference was not statistically significant (P >0.05). The entire outcomes suggest that LASER lithotripsy is a better treatment option than in situ ESWL for the management of lower ureteral calculus on the basis of much higher immediate stone clearance and insignificant post operative complications.
Conclusion: For treatment of lower ureteral calculus Ureteroscopic LASER lithotripsy provided significantly higher immediate stone free rate compared with in situ extra corporeal shock wave lithotripsy.
Bangladesh Journal of Urology, Vol. 20, No. 1, January 2017 p.31-35
Healthy Diet Trends in Recent Years
Authors: Nahar Mahibun
Published: July 2024

Abstract not available
Mugda Med Coll J. 2024; 7(1): 1-3
Evaluation of Neutrophil-Lymphocyte Ratio as Inflammatory Marker in Chronic Kidney Disease Stage 3 and 4
Authors: Islam Sumon Md Aminul , Islam Md Nazrul , Chowdhury Md Farhad Hasan , Deb nath Palash Kumar , Ahsan Rana Muhammad Saiful , Saha Jyoti Vaskar , Jannat Gul , Hoseen Sheikh Imran , Naher Mst Nazmun
Published: July 2024

Chronic kidney disease (CKD) is a worldwide health problem because of the significant morbidity and mortality which is mostly due to chronic inflammation and proteinuria. Early detection of inflammation and its proper management can prevent further CKD progression and complications. This study aims to observe the association of neutrophil-lymphocyte ratio (NLR) with inflammatory markers in chronic kidney disease stage 3 and 4. In this study, a total of 100 adult patients of CKD stage-3 and 4 were included as study subjects and patient with acute illness, known case of malignancy, cardiovascular and cerebrovascular disease were excluded from the study. From each patient all the relevant history, clinical and laboratory findings were recorded in the data collection sheet. Study subjects were divided into two groups according to NLR value; those who have NLR 0- 3 were in group normal NLR and subjects with NLR >3 in group high NLR. Then markers of inflammation ESR, CRP and serum albumin were compared between these groups. Statistical analysis was done by Statistical Package for Social Science (SPSS) version 22.0. The mean ESR of male and female patients was higher in high NLR subjects than normal NLR subjects. The mean CRP was higher in high NLR subjects than normal NLR subjects. The mean serum albumin was lower in high NLR subjects than normal NLR subjects. The difference of mean ESR, CRP was statistically significant between high NLR and normal NLR subjects but difference of mean serum albumin was not statistically significant. The study findings suggest that high NLR is significantly associated with of inflammatory markers-ESR, CRP. Hence, it can be concluded that NLR could be used as an indicator of inflammation in CKD.
Mugda Med Coll J. 2024; 7(1): 4-8
A Comparison of Functional Endothelial Changes between Phacoemulsification with PCIOL and Manual Small Incision Cataract Surgery with PCIOL
Authors: Hasan Mohammad Mahbubul , Kajmina Natasha , Begum Hasiba
Published: July 2024

Intraocular surgery e.g., cataract surgery with PCIOL implantation is one of the leading causes of corneal endothelial injury and change in the functionality of the cornea. This observational study was conducted in the Department of Ophthalmology of Combined Military Hospital (CMH), Dhaka Cantonment, Dhaka, Bangladesh, between January and July of 2016, to assess and compare functional changes in cornea (i.e., endothelial thickness) after phacoemulsification with posterior chamber intraocular lens (PCIOL) implantation and manual small incision cataract surgery (MSICS) with PCIOL implantation. A total of 80 patients of age-related cataract were randomly selected based on inclusion and exclusion criteria. All patients underwent complete ophthalmic evaluation pre- and post-operatively (at day 1, after 1 week and 3 months) specifically for observation of the endothelial changes in cornea. Specular microscopy was done to assess corneal endothelial change. The mean central corneal thickness was increased at day 1 (564.71±22.45μ vs. 555.10±40.57μ), after 1 week (539.43±22.16μ vs. 535.08±38.87μ) and 3 months (523.49±21.29μ vs. 520.05±33.68μ) after phacoemulsification and MSICS from their preoperative value (508.72±23.96μ vs. 503.62±32.06μ) respectively. However, the differences were not statistically significant between two groups (P>0.05). The mean percentage of central corneal thickness change at day1, after 1 week and after 3 months following cataract surgery were found 11.01±6.30% and 10.22±26.54% at day 1, 6.04±7.52% and 6.25±21.24% after 1 week, 2.90±11.14% and 3.26±5.05% after 3 months in phacoemulsification and MSICS cases respectively. However, no statistically significant difference was observed in percentage of central corneal thickness change of both groups (P>0.05). To summarize, an increased central corneal thickness was observed after phacoemulsification and SICS from their preoperative values.
Mugda Med Coll J. 2024; 7(1): 14-18
Ophthalmic Manifestations of Leukemia and Their Management
Authors: Chakroborty Kripadhan , Hasan Mohammad Mahbubul , Hasanuzzaman Md , Sultana Zakia , Khaleque Sajed Abdul
Published: July 2024

Patients with leukemia often have ophthalmic manifestations. These occur either from direct infiltrations of neoplastic cells or from indirect or secondary causes. Nearly all ocular structures can be affected by leukemia. Sometimes, ophthalmic involvement can be the first sign of disease relapse. This review article aims to highlight different ocular manifestations of leukemia along with treatment. It involves studying the available material in textbooks, printed and online journals. As there is high prevalence of ocular findings in leukemia, it can be a standard practice that all leukemic patients should have screening by ocular examination. Awareness of the clinical spectrum of leukemic infiltration of ocular region is essential for rapid diagnosis, prompt initiation of treatment and better outcome. If prompt diagnosis and treatment can be done, worsening of vision may be minimized or prevented.
Mugda Med Coll J. 2024; 7(1): 36-41
Ramsay Hunt Syndrome: A Rare Disease of Multiple Cranial Nerve Involvement
Authors: Al Mamun Md Abdullah , Islam Md Rabiul , Majumder Riashat Azim , Mondal Mowpiya , Moniruzzama Md , Mahbub Md Rashid E , Ashaduzzaman Mohammad
Published: July 2024

Ramsay Hunt Syndrome (RHS) also known as herpes zoster oticus is a viral disease, a member of the human herpes virus family, is a late complication of varicella-zoster virus infection that results in inflammation of the geniculate ganglion of cranial nerve VII. Ramsay Hunt is a clinical diagnosis. The hallmark of the condition is multiple unilateral erythematous vesicles, which are distributed over the auricle and preceded by severe otalgia. If these symptoms are associated with facial nerve palsy, the condition is called RHS which is usually accompanied by vestibulocochlear abnormalities. Diagnosis is often missed or delayed, which can lead to an increased incidence of long-term complications. The condition is self-limiting, but treatment is targeted at decreasing the total duration of the illness as well as providing analgesia and preventing the complications that can occur. This activity reviews the role of the inter professional team in the diagnosis and treatment of RHS.
Mugda Med Coll J. 2024; 7(1): 48-52
Correlation of weather parameters on the seasonal incidence of Helicoverpa armigera infesting Cicer arietinum
Authors: Purabiya P.N. , Patel P.B. , Jena M.K.
Published: July 2024

Investigation taken up on the seasonal occurrence of Helicoverpa armigera, on Cicer arietinum L., revealed the presence of H. armigera from the 51st to 12th Standard Meteorological Week (SMW). Number of larvae found per plant ranged from 0.14 to 4.28. The larval population began to appear during the 51st SMW, with a mean of 0.66 larvae per plant and steadily increased until reaching its peak during the 6th SMW with a mean of 4.28 larvae per plant. Subsequently, the population declined, reaching a mean of 0.14 larvae per plant by the 12th SMW. The larval population of H. armigera displayed a highly significant negative correlation with both the maximum (r = -0.670**) and the minimum temperature (r = - 0.665**).
First record of Canthesancus gulo Stal, 1863 (Reduviidae, Stenopodainae) from Maharashtra, India
Authors: More S. V. , Gadekar V. S. , Nikam K. N.
Published: July 2024

The brownish castaneous spot assassin bug Canthesancus gulo Stal, 1863 is reported from Maharashtra for the first time, as the first species of this genus in the Maharashtra state. The diagnostic characters, colour images, and current geographical distribution of species are given.
A new record of Rhoenanthus (Potamanthindus) sapa Nguyen and Bae, 2004 (Ephemeroptera, Potamanthidae) from India
Authors: Vasanth M. , Selvakumar C. , Kubendran T. , Subramanian K. A.
Published: July 2024

As part of ongoing exploration of the mayflies in the hill streams of northeast India, Rhoenanthus (Potamanthindus) sapa Nguyen and Bae 2004 was reported as a new record based on larval collections from Meghalaya, India.
Occurrence of Antonina pretiosa (Ferris) (Homoptera, Pseudococcidae) on the inflorescence of Bambusa bambos (L.) Voss in Assam, India
Authors: Mehmud Selim , Ghosh Sasanka Sekhar , Chetia Twinkle , Haloi Dip Jyoti , Roy Himu , Bujarbarua Pranab
Published: July 2024

Antonina pretiosa (Ferris) was reported for the first-time on the inflorescence of Bambusa bambos (L.) Voss during its sporadic flowering in Kamrup Rural district of the state of Assam. Egg cases, nymphs and adults of A. pretiosa were found in the inflorescence. They were attended by the black ants Technomyrmex albipes.
PENGARUH MEDIA PEMBELAJARAN EDUCANDY TERHADAP MOTIVASI BELAJAR SISWA KELAS IV PADA MATA PELAJARAN PENDIDIKAN PANCASILA DI SD NEGERI 1 WONOBOYO
Authors: Lestari Ayu , Rispatiningsih Dwi Maryani , Darma Widia
Published: July 2024

This study aims to determine whether there is an effect of Educandy learning media on the learning motivation of fourth grade students in Pancasila Education subjects at SD Negeri 1 Wonoboyo. This research is a quasi-experimental quantitative research, namely Non-Equivalent Control Group Design, which has two groups of subjects for the experimental class and the control class. Involving as many as 36 students. Data collection techniques were observation, questionnaires, interviews, and documentation. Data analysis is normality test, homogeneity test, and independent sample t-test. The use of learning motivation questionnaires to determine student learning motivation at the beginning and end. The results of the initial motivation questionnaire for the control and experimental classes respectively obtained an average value of 68.33 and 66.44, while the results of the final motivation questionnaire were 61.11 and 72.78. The hypothesis test conducted was obtained when the significance value (2-tailed) was 0.000. The conclusion obtained is if there is an effect of Educandy learning media on the learning motivation of SD Negeri 1 Wonoboyo students.
Effect of Self-Differentiation on Trait Anxiety and Authenticity of University Students
Authors: Mert Abdullah
Published: July 2024

The aim of this study is to analyze the effect of self-differentiation on trait anxiety and authenticity in university students. The sample consists of a total of 333 university students (244 female and 89 male) studying in various departments of a state university who volunteered to participate in the study. Differentiation of Self Inventory—Short Form (DSI-SF) was used to measure self-differentiation levels; “Trait Anxiety Scale” was used to measure trait anxiety levels; and “Authenticity Scale” was used to measure the authenticity levels of university students. The results obtained were analyzed both with SPSS and AMOS programs. The correlation between variables was observed with SPSS analysis. The analyses were tested at .05 and .01 significance levels using SPSS 25.0 package programme. The PROCESS (Model 4) Macro was used in SPSS to examine the mediating effect of anxiety in the relationship between self-differentiation and authenticity. The findings of the research indicated that the relationship between self-differentiation and authenticity in university students was partially mediated. The study also demonstrated the positive predictive value of self-differentiation at the level of authenticity in university students. The findings were then discussed in relation to the existing literature, with some suggestions for future research made.
Optimization of the control of the disease in a child with bronchial asthma
Authors: Tarasevich V.Yu. ,   Postgraduate Institute for Public Health Workers of the Ministry of Health of the Khabarovsk Krai, Khabarovsk, Russia
Published: July 2024

The achievement of good control of bronchial asthma in pediatric patients is the cornerstone of the treatment of this disease. The analysis of certain factors of partial and uncontrolled course of bronchial asthma in children is presented. As a result of the analysis, it was revealed that the reason that prevents the achievement of control in bronchial asthma in children is food sensitization, as well as a violation of the technique of inhalation of drugs. The analysis of the practical errors presented in the article will contribute to timely and competent therapy, and in general – an improvement in the quality of life of the patient.
Problematic issues of the legal status of a medical worker of ambulance service in the Republic of Kazakhstan
Authors: Kudaibergenov M.V. ,   K. Sagadiyev University of International Business, Almaty, Kazakhstan, Musayev A.T. , Nuftiyeva A.L. , Ormakhanova Z. I. , Arubayeva G. B. , Shametova A. N. ,   S. D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan,   K. Sagadiyev University of International Business, Almaty, Kazakhstan,   Center of Heart Shymkent, Shymkent, Kazakhstan,   City Cardiology Center, Almaty, Kazakhstan,   S. D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
Published: July 2024

The article is devoted to the consideration of some current situations regarding the legal status of an ambulance medical worker in Kazakhstan. Some problematic issues of a socio-legal nature are raised, the solutions for the issues, according to the authors, will help to improve the status and increase the efficiency of the ambulance service in Kazakhstan.
ANTIMICROBIAL AND ANTIBIOFILM ACTIVITIES OF VARIOUS VEGETABLE OILS AGAINST HELICOBACTER PYLORI
Authors: Aydın Elif
Published: July 2024

Objective: Vegetable oils have various biologically active components, including antibacterial, antioxidant, and anti-inflammatory properties. These oils help control nausea, vomiting, coughing and gas, as well as diarrhea and dyspepsia. It also helps to reduce stomach bloating and intestinal spasm pain. To sum up, the objective of this investigation was to assess the antibacterial and antibiofilm properties of twelve different vegetable oils against the reference strain of Helicobacter pylori, NTCC 11637.
Material and Method: For antibacterial activity, the minimum inhibitory concentration and the agar-well diffusion method were employed, and for antibiofilm activity, the microplate method.
Result and Discussion: Vegetable oils showed antimicrobial activity at concentrations of 62.5-15.625 μg/ml and antibiofilm activity at concentrations of 250-15.625 μg/ml. According to our findings, the vegetable oils we utilized may have the ability to form a novel class of Helicobacter pylori inhibitors with anti-H. pylori properties.
Exploring intertidal sea anemones Actinia equina as natural eDNA samplers for coastal biodiversity assessment
Authors: Cunnington AV , Shum P , Wilding CS , Mariani S
Published: July 2024

Biodiversity in coastal marine environments is under unprecedented threat from anthropogenic impacts, which highlights a need for cost-effective and expedient survey methods. The analysis of environmental DNA (eDNA)—typically obtained through artificially filtered water samples—can paint a detailed picture of fish diversity in marine coastal environments. More recently, the analysis of natural sampler DNA (nsDNA, based on filter-feeding invertebrates that naturally trap eDNA in their tissues) has emerged as a potential alternative to water filtering. In this study, we investigate the widely distributed beadlet anemone Actinia equina as a potential natural eDNA sampler. Anemone samples were collected from 2 coastal locations in the UK: Rhosneigr (Anglesey, North Wales) and New Brighton (Wirral, north-western England). Sampling took place over 2 different months, and samples were compared to concomitantly sampled water. DNA metabarcoding via 12S Tele02 fish-specific primers revealed successful detection of a range of fish and other vertebrate species. We observed differences in species detected between conventional eDNA and sea anemone nsDNA samples, as well as a significant difference in seasonality detected through nsDNA. Our results indicate that the beadlet anemone can be a successful natural eDNA sampler, but that its value is more likely to reside in its complementarity alongside established eDNA methods.
Drawing-out Deleuze and Guattari’s assemblage: new insights for geography
Authors: Abrahams Gareth
Published: July 2024

Of all the concepts from Deleuze and Guattari’s corpus, it is the assemblage that has best captured the imagination of theorists working within and outside of Deleuze and Guattarian scholarship. Whilst the concept has been used extensively in geography, such studies do not explain this concept with any depth or precision and rarely connect the assemblage with other concepts like the milieus, territory, machines and the plane of consistency. Geography’s partial engagement with Deleuze and Guattari’s corpus means that some of the most pressing questions in assemblage thinking are still unanswered, and opportunities for new directions in geography are being missed. This paper responds to this gap in knowledge by presenting a novel exegesis of one of the most important yet often overlooked chapters of a Thousand Plateaus. In doing so, it provides new insights into the formation, re-formation and dissipation of assemblages. It shows how these states might inform a more nuanced geography of assemblages and how this geography might link to other geographies found in their work: a geography of milieus, a geography of machines and a refrain geography.
A hypertoniaszűrés és -gondozás új lehetőségei a háziorvosi praxisban
Authors: Dózsa Katalin , Tóth Tamás , Galvács Henrietta , Mongel Istvánné Böcskei Gizella , Joó Tamás , Pollner Péter
Published: July 2024

Célkitűzés: A vizsgálat célja az volt, hogy megtudjuk, hogy a korábban hagyományos módon (egy orvossal és egy OKJ-s ápolóval) működtetett háziorvosi praxis átszervezésével, magasan képzett szakdolgozók bevonásával és a hozzáférés növelésével, hogyan változott a hypertonia diagnosztizálása, a hatóanyagok felírása és a komorbiditások felismerése és kezelése az érintett praxisban. Módszer: A praxis betegforgalmi és gyógyszerfelírási adatait a 2010–2022 közötti időtartam lekérdezésével vizsgáltuk, az incidencia, a prevalencia és a preventív gondozási szolgáltatások leíró statisztikai értékelését végeztük el az intervenció előtti és alatti időszak összehasonlításával (2018.03.01.–2020.02.28. vs. 2021.03.01.–2023.02.28.). Eredmény: A háziorvosi praxisban a hypertonia prevalenciája magas volt és nem változott szignifikáns módon (41,4% vs. 41,7%), de az incidencia és a kezelt betegek aránya is nőtt 35 éves életkortól. Szignifikánsan nőtt az újonnan diagnosztizált komorbiditások előfordulása és a preventív szolgáltatások száma (p-érték=0,03), vagyis a hypertonia, a dyslipidaemia, a dohányzás, a praediabetes, a diabetes, a pitvarfibrilláció, krónikus vesebetegség, perifériás verőérbetegség incidenciája, valamint a vérnyomásmérés (489 mérés/393 beteg vs. 1449 mérés/875 beteg), a dokumentált EKG-vizsgálat (68 vs. 616 eset) a doppleres boka-kar index vizsgálat (0 vs. 261) és az ABPM-vizsgálat (0 vs. 98 db). Szignifikánsan nőtt a kombinált ACE-gátló terápiák, a kalciumantagonisták, az angiotenzinreceptor-blokkoló készítmények és a dyslipidaemia miatti terápia felírása is (p=0,000). Konklúziók: A hagyományos praxisműködés nem képes megfelelni a kor minőségi és betegforgalmi kihívásainak. Az elért eredmények azt mutatják, hogy a háziorvosi ellátásban jelenleg nem a hypertonia felismerése, hanem annak rendszeres, minőségi gondozása jelenti a valódi kihívást a komorbiditások diagnosztizálása és a szövődmények tudatos megelőzése mellett. Több helyiségben, megnövelt hozzáférési idővel, kiterjesztett hatáskörű MSc-ápolók (APN-ek) bevonásával áttörő változás érhető el a háziorvosi ellátás teljesítményében és minőségében.
Exploring Atheism: A Rational Perspective
Authors: Pathak Amrit
Published: July 2024

This study delves into the multifaceted realm of atheism, probing its philosophical, moral, and societal dimensions in cutting-edge discourse. By analysing atheism through rational inquiries and ethical issues, it navigates its foundations, reviews, and societal implications. Starting with an interrogation of atheistic arguments against the existence of God, it dissects rationalist and medical views, as well as critiquing conventional theistic doctrines. Moving ahead, the paper elucidates the philosophical underpinnings of atheism, highlighting the interplay of rationalism, scepticism, and medical naturalism. It explores existentialist philosophies, accentuating human autonomy, duty, and the pursuit of which means in a godless universe. Moral concerns grow to be a pivotal aspect because the rejection of religious morality activates an exploration of secular ethics. Atheism's function in fostering social justice, compassion, and inclusivity is to interrogate difficult traditional religious norms and advocate for ethical autonomy. Furthermore, by advocating for the separation of church and state, atheism fosters a lifestyle of pluralism, human rights, and equality. Addressing not unusual criticisms and misconceptions, the paper gives rebuttals to objections towards atheism, clarifying its rational and moral foundations. It contends that atheism encourages individuals to forge that means and cause through rational inquiry, moral deliberation, and societal engagement. In the end, this research paper synthesizes diverse perspectives on atheism, elucidating its philosophical profundity, moral imperatives, and societal virtues. Through essential analysis and reflective inquiry, it invites further exploration and dialogue, fostering a nuanced understanding of atheism in modern discourse.