bluuebunny/crossref_metadata_2025 huggingface dataset:
PRODUÇÕES CIENTÍFICAS SOBRE RACISMO, PERSONALIDADE NEGRA E A LEI 10639/2003: Uma revisão de narrativas
Authors: Baia Daniel Sousa , Costa Daniel Rodrigues Da , Veiga Keven Das Neves , Costa Junior Noel , Souza Filho Raul Francisco P. de , Fernandes Lucas Carvalho , Miranda Cayo Wendel Araújo , Magno Dinalva Sacramento
Published: February 2024

Este estudo tem como objetivo correlacionar produções científicas sobre o racismo, personalidade negra e a Lei 10639/2003, que trata da inclusão da história e cultura afro-brasileira e africana no currículo escolar. O estudo possui uma abordagem qualitativa como nível de pesquisa exploratório. A base de dados adotada foi o Google acadêmico. Os descritores definidos foi: “Racismo”; “Lei 10639/2003”; “Negro” e “Negritude”. A pesquisa consistiu em uma revisão sistemática da literatura, analisando periódicos e artigos científicos publicados nos últimos 10 anos. Os resultados revelaram uma crescente quantidade de estudos abordando essas temáticas ao longo do tempo, evidenciando um maior interesse acadêmico nessas questões. As produções científicas destacaram a importância da Lei 10639 para promover a inclusão da história e cultura afro-brasileira e africana no currículo escolar, combatendo o racismo estrutural e contribuindo para uma sociedade mais justa e igualitária. Além disso, ressaltaram a necessidade de aprofundar as discussões sobre a personalidade negra, incluindo questões como identidade, autoestima e representatividade, a fim de promover uma compreensão mais abrangente da diversidade étnico-racial. Em síntese, este estudo fornece uma visão abrangente das produções científicas sobre o racismo, personalidade negra e a Lei 10639, contribuindo para o avanço do conhecimento nessa área e subsidiando a implementação de políticas e práticas educacionais mais inclusivas e antirracistas.
INFLUÊNCIA DE PALESTRAS NAS PERCEPÇÕES ANTIRRACISTAS DOS ALUNOS DO 9º ANO EM UMA INSTITUIÇÃO PÚBLICA ESTADUAL
Authors: Machado Daniela da Silva , Gonçalves Erik Silva , Silva Franciane Estumano da , Ribeiro Marcos Vinicius Mendes , Nazaré Rafael Santos de
Published: February 2024

A pesquisa investigou a influência de palestras sobre o racismo na percepção dos alunos do 9º ano em uma escola pública. A metodologia desse estudo é de abordagem quantitativa. Foi realizada um relato de experiência por meio de observações e aplicação de um questionário, para compreender a percepção dos alunos sobre o racismo e a importância das práticas antirracistas. Conclusão: As pesquisas contribuíram para uma maior conscientização sobre o racismo e incentivaram a adoção de práticas antirracistas entre os alunos do 9º ano da escola pública, criando um ambiente mais inclusivo e igualitário, promovendo a construção de uma sociedade mais justa.
Diseño de un prototipo de alarma autónoma alimentada por módulos fotovoltaicos para la alerta de inundaciones
Authors: Centeno Alcivar Jefferson Rafael
Published: February 2024

Este articulo describe de forma clara el desarrollo de un sistema de alarma que funciona de forma autónoma alimentado por módulos fotovoltaicos, la finalidad del mismo se centra en alertar con anticipación las posibles catástrofes relacionadas con el fenómeno del niño como son las inundaciones que se puedan presentar en los sectores cercanos a las riberas del rio Teaone de la ciudad de Esmeraldas, Ecuador, sin embargo, este proyecto queda como una propuesta de implementación en la región a mediano plazo, además, mediante el método experimental y cuantitativo se mostró la eficacia del prototipo, gracias a la sistematización del diseño del sistema elaborado en la plataforma TinkerCad, la programación del código en el software Arduino Ide, el modelamiento y simulación del sistema de alarma en la herramienta computacional Proteus, dando continuación al desarrollo de los cálculos energéticos, las especificaciones técnicas y a las condiciones de funcionamiento del sistema, el cual, da pie con la culminación y la factibilidad del proyecto propuesto.
Wahlrecht und soziale Schicht: Wie die Position auf dem Arbeitsmarkt über das Wahlrecht entscheidet
Authors: Stögner Diana , Kowall Nikolaus
Published: February 2024

Inwiefern sind das formale Wahlrecht und somit die Möglichkeit der politischen Mitbestimmung in Österreich von der individuellen Position auf dem Arbeitsmarkt abhängig? Um diese Frage zu beantworten, wird eine deskriptive Analyse nichtösterreichischer Staatsbürger:innen entlang beruflicher Statuskategorien (Arbeiter:innen und Angestellte) sowie entlang einer mehrstufigen Berufsgruppenhierachisierung gemäß ICSO-Berufsgruppenklassifikation untersucht. Die dafür herangezogenen Daten stammen aus der Europäischen Arbeitskräfteerhebung sowie den statistischen Daten des Hauptverbandes der österreichischen Sozialversicherungsträger. Die Analyse ergibt, dass mehr als ein Drittel der Arbeiter:innen in Österreich von Wahlen ausgeschlossen sind. Zusätzlich zeigt sich, dass das formale Wahlrecht entlang der Berufsgruppenhierarchie abnimmt, oder anders formuliert: Je geringer der soziale Status, desto höher ist der Anteil der nicht wahlberechtigten Erwerbstätigen.
Degrowth-Kommunismus ohne historischen Materialismus?
Authors: Mokre Patrick
Published: February 2024

Kohei Saitos „Marx in the Anthropocene“ diskutiert eine marxistische Analyse der ökologischen Katastrophe, den metabolischen Riss, und als marxistischen Handlungsvorschlag, um diese rückgängig zu machen, den Degrowth-Kommunismus. Der Autor stellt zwei provokante Thesen auf, nämlich dass die politische Zielsetzung des Marxismus nur durch Degrowth erreicht werden könne und dass der „späteste“ Marx zur Einsicht gekommen sei, dafür den historischen Materialismus zu verwerfen. Saitos systematische Aufarbeitung der marxistischen Literatur – sowohl der Quellen, auf die er sich bezieht, als auch der Autor:innen, von denen er sich abgrenzt – erlaubt einen klaren Blick auf die Vision eines Postkapitalismus, der den Widerspruch zwischen Produktion und Ökologie auflöst.
Synthetic and characterization of Al-PTFE functionally graded material using powder metallurgy technique
Authors: Omran Ghufran , Radhi Nabaa , Abass Basim
Published: February 2024

The current work involves producing the functionally graded material (Al-PTFE) utilizing the powder metallurgy technique. The proposed graded materials include three, four, and five layers. Each layer consists of PTFE and Al particles with an average diameter of 200nm and 25 micrometers, respectively. The powders were blended, formed into cylindrical shapes, and then sintered in an inert environment furnace. The microstructural and morphological properties of the graded materials are studied using XRD and SEM images. The prepared graded materials' porosity density and hardness are measured experimentally. The results of XRD and SEM images reveal that the FGMs are successfully developed without any separation or crack formation and that PTFE was uniformly dispersed throughout the layers with particle concentrations of 25 and 50 wt%. Al. The obtained results also reveal that the density of various FGMs was comparable to that of PTFE.
Vertical wind speed extrapolation using statistical approaches
Authors: Nuha Hilal , Balghonaim Adil , Pahlevi Rizka , Rehman S. , Mohandes M.
Published: February 2024

The wind power industry has experienced a significant increase and popularity in recent times, and the latest statistics indicate that this sector is still thriving. However, one of the essential steps in developing wind energy projects is finding suitable sites for wind farms, which involves understanding the nature of wind speed, wind direction, terrain, and environmental impacts. To predict the wind energy production over the expected lifespan of a wind farm, vertical wind speed extrapolation to the hub height of the wind turbine is necessary. Therefore, this study presents a comprehensive evaluation of seven statistical approaches for vertical wind speed extrapolation, including Generalized Linear Models (GLM), Linear Regression (LR), Support Vector Machines (SVM), Generalized Additive Models (GAM), Gaussian Process Regression (GPR), Regression Tree (RT), and Ensemble Regression (ER). The accuracy of these methods is assessed using performance metrics such as Mean Squared Error (MSE), Root Mean Squared Error (RMSE), Normalized RMSE (NRMSE), Normalized MSE (NMSE), Mean Bias Error (MBE), Mean Absolute Error (MAE), Mean Percentage Error (MPE), Mean Absolute Percentage Error (MAPE), Symmetric Mean Absolute Percentage Error (SMAPE), and R-squared (R2). The study concludes that, on average, GLM performs the best out of all seven statistical methods.
The influence of temperature gradient on thin plates bending
Authors: Milošević-Mitić Vesna , Petrović Ana , Anđelić Nina , Jovanović Miloš
Published: February 2024

Within the theory of thermo-elasticity, the temperature field of thin plates is commonly defined via two parameters: temperature in the mid-plane and linear temperature gradient normal to the mid-plane. First, the paper analytically proves the justification of that assumption in machine structures. Then, in an analytical closed form, applying the integral transformation method, the thin plate deflection caused by a constant temperature gradient is defined. It is shown that, in that case, the plate deflection does not depend on its thickness but only on the plate dimensions in the mid-plane. Analytically defined values are compared to corresponding values obtained by applying the thin plate finite element, where the temperature field is described using the two mentioned parameters. This finite element is defined and programmed within the Komips program package. The influence of the temperature gradient on the behavior of constructions mostly depends on the type of material. That is why the behavior of some structural elements made of brass, steel, and concrete is analyzed in this paper.
History of ideas and intellectual history: Between marginalisation and innovative transdisciplinary field
Authors: Antolović Mihael
Published: February 2024

This paper analyses the emergence of the history of ideas and intellectual history as two influential approaches in contemporary humanities. The origin and development of these disciplines, their similarities and differences, the theoretical-methodological characteristics of several schools that appeared during the 20th century, their most influential representatives, as well as their most significant results are presented. There was a renewal of interest in the history of ideas and particularly in intellectual history at the beginning of the 21st century, characterized by subject ambiguity, theoretical and methodological eclecticism and striking trans-disciplinarity. At the same time, these features represent the greatest advantage of the history of ideas and intellectual history, providing them with perspectives for transdisciplinary synthesis, which is especially important in light of an increasingly pronounced fragmentation of scholarly knowledge.
Public and applied history
Authors: Janković Branimir
Published: February 2024

The article presents key elements of public history. Firstly, it indicates the changes in contemporary historiography that enabled the emergence of public history, as well as its affirmation as a new historical sub-discipline and consequently its inclusion in university programmes. Secondly, it describes institutional development of public history from the 1970s onwards, and contemplates the still open question of its definition. In addition, the article presents the main highlights of applied history. Although applied history is often mentioned as an integral part of public history, it is worth talking about it separately, in order to highlight the practical dimension of history. This refers to history in practice and the possibilities of historians' work outside the academia and education. The article also presents controversies and criticisms provoked by public history and applied history and offers answers to them. The author argues that public and applied history can be a framework that enables historians to reconcile the professional needs and the audience's interests. He points out that it is important to take into account the relationship between academic historiography and the public. Lastly, the author discusses future perspectives of public and applied history, with an emphasis on local academic historiography. Considering the students' interest as well as that of a significant part of local historians, the author encourages discussion about a possible graduate studies in public history. Besides being an important challenge for academic historiography, the author concludes that public and applied history can also offer a great deal of practical skills to professional historians.
Debates with mnemosyne: A review of important issues in memory studies
Authors: Zorić Vukašin
Published: February 2024

This paper presents an overview of the most important European approaches to the study of collective memory. It will first discuss the theses of the founder of the discipline, the French sociologist Maurice Albvachs. After that, the paper will present the most important ideas and concepts of other classics of memory studies, such as those of the French historian Pierre Nora and the German professors Jan and Aleida Assmann. Alongside their concepts, contemporary academic criticism of their work will also be presented. Finally, attention will be paid to contemporary approaches to memory studies - transnational memory and media studies of collective memory. The paper will include a proposal for a systematic Serbian translation of several key concepts of memory studies.
Social networks and the digital divide
Authors: Zabunov Una
Published: February 2024

The paper analyses the digital divide created by social networks today and how it affects society. The rise of social networks has led to a new form of digital divide, so equal access to the Internet is no longer the only factor that creates a barrier to connectivity. Today, people face challenges in using social networks due to their lack of skills and the influence of social capital. Therefore, the effects of the digital divide on social networks are reflected in social relations and communication, economic progress and participation in political life. Today, the Internet users have at their disposal a multitude of conceptually different social networks, such as Twitter, Instagram or YouTube. Each of them, in accordance with its specifics, incites the deepening of the digital divide. However, social networks should not be viewed unilaterally and solely as platforms that fuel the digital divide. Social networks can really help reduce the digital divide by helping users in education, searching for jobs or information.
The kindergarten as a space of heterotopia
Authors: Lazarević Milijana
Published: February 2024

The space of the kindergarten is an integral part of the pre-school education programme, in view of the fact that the manner in which the space is structured and used, also reflects the conceptional fundaments of the programme. In this paper, we have strived to explore the relations of power that shape the physical environment of the kindergarten, being also visible in the structure of the kindergarten and the way its communal spaces (halls and corridors) are used. In our research, we have proceeded from Foucault's concept of heterotopia, in order to gain a profound understanding of the contradictions and the tension existing in the practice of the kindergarten, which are manifested in the space physically. The research was conducted in a public kindergarten in Belgrade, with the participation of a nurse-educator and an expert associate-pedagogue in the process of analyzing the space, which was performed by a walk-along interview tour of the kindergarten. The experience of the participants in the research indicates that heterotopias within the kindergarten emerge from the attempt to transform the practice from the one based on hierarchical relations of power, to a practice based on the sharing of power, as well as highlighting that creating 'other places' in the kindergarten contributes to changing the way the educators, the children, and their families are involved in the utilisation of the communal spaces within the kindergarten. kindergarten space, Michel Foucault, heterotopia, relations of power, walk-along interview.
Conceptualizing Homo Sensus Academicus Mobilis: Towards a paradigm shift in understanding contemporary global academic mobility
Authors: Lero Nikola
Published: February 2024

Academic mobility is a historical practice that has morphed into a Westernized emblem of our times in the mixture of post-modernity and neoliberal capitalism. Higher education institutions, now bastions of internationalization, have seen exponential growth in academic mobility beyond national and regional limits. This paper challenges and examines the prevalent theoretical views on the subject through a semi-structured literature review and a critical comparative theoretical analysis of current paradigms of academic mobility. It argues their reductionist approaches, which largely disregard academic mobility's emotional, cultural, socio-economic, and neoliberal aspects. As a response, this paper proposes Homo Sensus Academicus Mobilis, a novel tripartite conceptual assemblage of Homo Academicus, Academic Capitalism, and Emotions on the Move. This experimental framework situates the participants of academic mobility at its core, mapping main elements that shape their lived experience of academic mobility, from micro to macro level. Homo Sensus Academicus Mobilis's contribution lies in broadening the interdisciplinary vista, embracing a cosmopolitan perspective, and acknowledging emotional work in academic structures and power hierarchies.
Improving the preparation of the investigative interviewing of suspects: A multidisciplinary perspective
Authors: Luknar Ivana , Bull Ray , Stanojević Petar
Published: February 2024

Building and improving investigative interviewing standards is an important topic for police, citizens and finally society. This paper attempts to improve police interviewing of suspects. We further develop the concept of investigative interviewing by linking it to important insights by social movement scholars. Differences in theories reflect different approaches to the interviewing of suspects. In this article, we explore a variety of theories that may improve preparation for the interviewing of suspects. We provide a multidimensional quality and import theories from sociology, psychology and behavioural studies, modifying these to better fit the investigative interviewing of suspects. The main method applied in the paper is content analysis. The article and its conclusions also address the broader implications of understanding the importance of planning for the investigative interviewing of suspects. Results of the study indicate need for actively seeking of best practices of the investigative interviewing of suspects. Understanding what motivates person to commit a crime is also a crucial aspect of police investigation. Findings of the study may serve as impulse for evaluation and improvement of existing practices of interviewing of suspects and contribute to the broader knowledge in this area. The aforementioned represents a good basis for the development of simulation models for the training of investigators.
Đánh giá thực nghiệm biến dạng co ngót bê tông trong điều kiện khí hậu nhiệt đới
Authors: Trần Ngọc Long , Phan Đình Quốc , Phan Xuân Thục , Phan Văn Phúc , Trương Văn Bé
Published: February 2024

Shrinkage of concrete is one of the main reasons affecting damage of structures. Shrinkage is the result of cement hydration, the evaporation of water during concrete hardens. It occurs mainly at the first stage of concrete hardening. Moreover, shrinkage is indirectly influenced by various factors such as environmental conditions, aggregate sizes, structure types, and water-cement ratio. Understanding the environmental factors is the key to accurately predicting shrinkage of concrete. Among environmental factors, wind is known as an important factor that significantly affects shrinkage of concrete. This study designs an experiment that considers the effects of tropical winds on shrinkage of concrete in Nghe An, Vietnam. Additionally, the result of this study is then analyzed and compared with that of published studies in Southeast Asia. Experimental results show that shrinkage in the tropical climate occurs according to existing rules. Moreover, the shrinkage strain develops rapidly at the early stage, and the value of shrinkage quickly reaches an asymptotic value.
Influence of Financial Performance, Company Size and Company Age on Disclosure of Sustainability Reports in Non-Financial Companies on IDX 2019-2021
Authors: Adhania Lathanza , Nurdiana Diah
Published: February 2024

Most companies prioritize the interests of shareholders, while other parties do not receive special attention. In these conditions, many business world phenomena often ignore environmental and social problems. To support this problem, a concept is needed. This concept is called a sustainability report. The aims of this research is to analyze the influence of financial performances, firm size, and company age on the disclosure of non-financial companies' sustainability reports. This research uses a quantitative data in the form of secondary data: financial reports of companies obtained from the IDX. The sample was selected using purposive sampling method and the sample for this research includes 10 companies. This hypothesis testing uses multiple linear regression tests using SPSS version 26 software. The partial test results show that profitability has an influence on sustainability report disclosure, while firm size and company age do not influence sustainability report disclosure.
Effectiveness of Infographics in the Learning of Mathematics at Elementary Level
Authors: S Dr. Sindhu
Published: February 2024

The present study is to find out the Effectiveness of Infographics in the Learning of Mathematics at Elementary Level. This is an experimental study with pre test post test non equivalent group design. An interest inventory was used to find out students’ interest in learning mathematics. From the findings of the study it is clear that infographic is effective in the learning of mathematics at elementary level and the students interest in learning mathematics is increased after the experimentation. The sample was selected randomly and divided into two groups- Experimental and Control. It can be concluded that the infographics is an effective tool in the learning of mathematics at elementary level.
Impact of Artificial Intelligence (AI) on Selected Human Resource Management (HRM) Functions in Pharmaceutical Industry in India
Authors: Rajni Dr. , Jaiswal Dr. Rani , Rajvanshi Dr. Anshika , Shaikh Dr. Mohsin , Tiwari Vikas , Alaskar Dr. Kamal
Published: February 2024

The study aims to assess artificial intelligence's effects on select HRM functions and to validate the proposed conceptual framework through empirical analysis showing the connection between HRM function as well as artificial intelligence. Questionnaire consisting of closed-ended questionnaires were distributed in order to achieve these goals. The reliability, validity, and correlation analysis were used to assess the factors that make up the suggested model. The hypothesis was further tested and the suggested model was validated using regression analysis. Findings show that all variables account for 89% of HRM explanation, with a R square (R2) of 0.890. The ANOVA values for the regression model, indicate validation at a 95% confidence level. The beta (β) values of all factors are 0.902 and 0.545 in the coefficient summary, which is a reasonable representation of their influence on HRM. These strong AI-based HR apps are a valuable tool for any type of business, even though they lack cognitive capacities of humans. This study will help most businesses to successfully integrate AI-related techniques into hiring, according to our research, as AI will permeate every aspect of HR in the near future and should be seen as a good thing since it makes life better.
Evaluating Artificial Intelligence's Effect On Accounting Information Systems For Small And Medium-Sized Enterprises
Authors: Haridasan Dr. Vani , Muthukumaran Dr.Kavitha , Usha Dr. K. , Vasu Dr. S. Bharathi , Jhansi V.
Published: February 2024

The purpose of the study is to determine how artificial intelligence affects small and medium-sized businesses' use of accounting information systems. Regression analysis was employed to verify the suggested model and test the hypothesis. Thus, it was determined that AI offers small enterprises new opportunities. With the aid of this study, the use of AI in accounting systems will increase in the future. Small and medium-sized firms (SMEs) are using artificial intelligence (AI) to improve many aspects of their operations and gain a competitive advantage.
Pedagogy of Communicative and Technical English for Engineering Students at Tertiary Level: A Case Study in Bangladesh
Authors: Rami Zawad , Hassan Dr. Mohammad Kamrul , Shatnawi Hosam
Published: February 2024

Pedagogy refers to the manner and exercise of teaching, emphasizing an academic subject or theoretical concept. This paper explored the Pedagogy of Communicative and Technical English for Engineering Students at the Tertiary Level in Bangladesh. Furthermore, this paper investigated to demonstrate the holes between students’ existing level of competence and intended needs. This study imitated the quantitative approach to collect data using questionnaires. Beneath the simple stratified sampling method, the study collected data from 52 undergraduate and graduate engineering students and 12 ESL/EFL instructors from several government engineering universities in Bangladesh. This study’s findings disclosed a deficiency of practical communicative skills in engineering students. The findings also addressed the lack of engineering students in Technical English. In addition, the offered courses were not satisfactorily meeting the students’ demands. Furthermore, the class conducting approaches were inadequate to correspond to engineering students' needs. Considering the findings, this study formed a few suggestions to diminish the holes in the engineering students’ existing and target needs of communicative and Technical English.
A training program for obstetrics point-of-care ultrasound to rural health care providers in Kenya
Authors: Matheka Duncan , Wachira James , Masheti Sheila , Githemo Grace , Shah Sachita , Haldeman Matthew , Ramos Mena , Bergman Kevin
Published: February 2024

Background: Ultrasound is a crucial and effective diagnostic tool in medicine. Recent advancements in technology have led to the increased use of point-of-care ultrasound (POCUS). Access to ultrasound equipment and training programs in low- and middle-income countries (LMICs) is limited. Despite the World Health Organization’s (WHO) recommendations for universal antenatal ultrasounds, POCUS for reproductive health has not been widely used in LMICs. We describe the implementation of obstetrics POCUS training for high-risk conditions in rural public health care facilities in Kenya. 
Methods: As part of the initiation of a large-scale implementation study of obstetrics-POCUS, clinician trainees were recruited from rural Kenyan hospitals to participate in a series of five-day POCUS workshops. Trainers provided brief didactic lessons followed by hands-on training with live models and at regional clinical sites for five obstetrics POCUS applications. Instructor-observed assessments of students’ scanning and image interpretation were performed during the training period. Assessment of knowledge and confidence was performed via an online pretest and posttest and objective structured clinical examinations. 
Results: 514 midlevel health care providers were trained over three months, with a trainer: trainee ratio of 1:5. Of the 514 trained HCPs, 468 were from 8 rural counties with poor maternal and neonatal outcomes, while the remaining 46 were from nearby facilities. Obstetrics POCUS topics covered included malpresentation, multiple gestation, fetal cardiac activity, placenta, and amniotic fluid volume. There was a marked improvement in the posttraining test scores. 
Conclusion: Our implementation description serves as a guide for the successful rapid dissemination of obstetrics POCUS training for midlevel providers. Our experience demonstrates the feasibility of a short intensive POCUS training to rapidly establish specific POCUS skills in efforts to rapidly scale POCUS access and services. There is a widespread need for expanding access to ultrasound during pregnancy through accessible obstetrics POCUS training programs.
Perception of health care providers on the quality of oxytocin across six E-MOTIVE Trial sites in Kenya
Authors: Oyoo Polycarp , Zahida Qureshi  , Alfred Osoti  , George osoti  , Joan Mwende  , Jennifer Okore
Published: February 2024

Background: According to the WHO, in 2020, almost 800 women died daily from preventable causes related to pregnancy and childbirth. An estimated 95% of these deaths were in low- and middle-income countries (LMICs). Postpartum hemorrhage (PPH), excessive bleeding after childbirth, is a leading cause of maternal death globally. Of the estimated 95% of maternal deaths in LMIC, an unacceptable 95% were due to PPH. A significant barrier to women receiving PPH treatment is access to quality PPH medicines, which is the basis for reducing maternal mortality. The E-MOTIVE Trial Kenyan hub conducted an online survey on September after the E-MOTIVE trial findings were released. This survey assessed the perception of health care providers’ (HCPs) of the quality of oxytocin in Augmentation of Labour, Active Management of third Third Stage of Labor (AMSTL), including PPH management. 
Methods: An online survey was conducted using the Survey Monkey platform in Gatundu level 4 hospital, Makindu subcounty hospital, and Vihiga, Embu, Nyeri, and Kakamega county referral hospitals. The survey targeted HCPs working within the respective maternity units. The results were analyzed in Excel. 
Results: 56 HCPs across the 6 health facilities participated in the survey. On augmentation of labor, Oxymed Medisel and Oxytocin Umedical were perceived to be more effective, while a score of 100% with Curtocin and Oxyt Kilitch were perceived to be very ineffective. On AMSTL, Oxymed Medisel, Syntocinin Norvatis, and Oxytocin Laborate were perceived to be very effective, whereas Curtocin and Oxyt Kilitch were perceived to be very ineffective. On PPH management, Oxytocin Umedical, Syntocinon Norvatis, and Oxytocin Laborate were perceived to be very effective, whereas Curtocin and Oxyt Kilitch were perceived to be very ineffective. Oxytocin Laborate was available across the health facilities, with other brands lacking in some facilities.
Conclusion: Access to and availability of quality PPH medicines are key to effectively managing PPH and reducing maternal mortality.
Bladder endometriosis – diagnostic and management challenges: A case report
Authors: Wambugu Justus , Achila Bob
Published: February 2024

Background: Urinary tract endometriosis (UTE) is the presence of endometriotic implants in the bladder,ureter, kidneys, or urethra. It affects ~1% of women with endometriosis and occurs more commonlyamong those with deep infiltrative endometriosis. Bladder endometriosis is the most commonpresentation, comprising 85% of cases. Concomitant involvement of the bladder and ureter is rare,comprising 1.4% of all cases. The clinical presentation involves lower urinary tract symptoms, thatworsen during menses. Timely diagnosis and treatment are crucial in ameliorating symptoms andpreventing complications, such as obstructive nephropathy. This is a case of bladder endometriosis withureteral involvement, outlining management challenges, reviewing evidence on managementapproaches, and highlighting the experience gained from this case in managing complex UTE.Case presentation: A 38-year-old female presented with a longstanding history of pelvic pain, dysuria,and new-onset voiding difficulty. She had undergone two prior surgical procedures for endometriosis,including a total abdominal hysterectomy. Her physical examination was normal. Ultrasound revealed a3-cm intracavitary bladder mass, which was described as likely endometriosis on magnetic resonanceimaging. On cystoscopy the mass was noted to be larger, encasing the left ureteric meatus. Alaparoscopic cystostomy was performed, with partial resection of the mass and placement of a temporaryureteric stent. After three months of medical treatment with dienogest, cystoscopy revealed a significantreduction in size with sub-centimeter residual avascular tissue. This was resected avoiding the ureter andureteric meatus. A new ureteric stent was placed. A repeat cystoscopy three months later revealed goodhealing with no residual endometriosis. The stent was removed, and a retrograde pyelogram confirmedno meatal stenosis or ureteric obstruction. She has remained symptom-free.Conclusion: Medical and surgical options are available for bladder endometriosis, with partialcystectomy being the gold standard. The initial approach is dependent on the size of the lesion and theextent of ureteric involvement. A staged approach that combines medical or surgical management canensure optimal outcomes while reducing surgery-associated morbidity in complex cases.
Bridging the gap: Implementation science, knowledge translation, and innovation for advancing maternal health sustainable development goals
Authors: Lubano Kizito
Published: February 2024

Background: Maternal health remains a critical global concern, with sustainable development goal 3 aiming to reduce the maternal mortality ratio and ensure universal access to reproductive healthcare by 2030. According to a 2023 report, a woman dies from preventable causes related to pregnancy and childbirth every 2 minutes, and almost 70% of maternal deaths occur in sub-Saharan Africa. The reduction of maternal mortality and promotion of maternal health and well-being are complex tasks. 
Objective: To understand how a synergistic approach integrating complex interventions’ research, implementation science principles, knowledge translation, and innovative solutions can be leveraged to achieve sustainable improvements in maternal health outcomes in different contexts.
Methods: This study employed sequential and iterative critical interpretive synthesis (CIS), integrative literature (ILR) review with multiscale analysis of extant literature on maternal health starting with the landmark Lancet series on “Maternal Survival” 2006 (5 papers); 2016 “Maternal Health” series (6 papers); the 2023 Series – “Maternal health in Perinatal period and Beyond” (4 papers); and health sector strategic plans. 
Results: Despite knowledge that healthcare is a complex adaptive system (CAS), whereas interventions for maternal health are considered complex interventions, the predominant implementation approaches assume a linear cause-effect approach, leading to the observed stagnation in maternal health. 
Conclusion: The effectiveness of complex interventions and their success in reaching relevant populations is critically influenced by their implementation in each context.  A linear understanding of evidence translation, from ‘bench to bedside’, is naïve. This is because those who deliver, manage, and receive healthcare, negotiate multiple forms and sources of evidence, which complement and compete within a complex system of institutional logics.
Use of maternity open days initiative to increase access to comprehensive maternal and neonatal health services at the Lwala Community Health Centre
Authors: Siele Carren Cheronoh
Published: February 2024

Background: Maternity open day (MOD) is an event in which a health facility opens its doors to the community and provides a specific opportunity for pregnant women and their birth companions to interact freely with health care providers and receive antenatal care services, including obstetric ultrasound, and tour maternity units.   
Objective: To increase access and utilization of MNH services, improve knowledge, promote transparency, familiarize with the environment, procedures, and maternity staff, and increase the client's knowledge and confidence on what to expect during labor and delivery.
Results: It ensured an increase in the number of women seeking comprehensive antenatal care (ANC), including ANC profile care at both first and fourth ANC visits, and skilled birth attendants. The (MODs) provided a platform to expand access to affordable maternity care through client enrollment in Linda Mama services. Over 99% of pregnant women who attended MODs embraced hospital deliveries and 99% skilled births. A total of 1060 women attended MOD, and 3,903 women underwent obstetric ultrasound, with zero maternal deaths and one neonatal death recorded between 2022 and 2023.
Conclusion: Maternity open day provides a platform for increasing access to comprehensive antenatal care and affordable maternity care through Linda Mama. It improved the quality of maternal and child health services, reduced defaulters in the ANC clinics, and increased access to MNH services for continuum care and built trust between women and healthcare providers.
Responding to preventable causes of maternal and perinatal deaths in Homabay County
Authors: Erick Odipo , Nyawanga Hassan , Odila Paul , Ndombi Salome , Deborah Siitrin
Published: February 2024

Background: The Kenya population and housing census (2019) ranked Homabay County among the 15 counties with the highest maternal mortality rate (MMR) of 516 deaths in 100,000 livebirths and neonatal mortality rate (NMR) of 26 in 1,000 livebirths. Baseline assessment reported gaps including dysfunctional maternal and perinatal death surveillance and response  system, and untimely perinatal deaths  audited. Other challenges contributing to near misses and mortality include erratic availability of blood/blood products, staff shortages affecting the offering of CEmONC services, interfacility referral challenges, not exploiting partnerships with private and faith-based health facilities in the county, and HCW knowledge and skills deficit, especially in management of common causes of death, such as postpartum hemorrhage and eclampsia
Methods: MCGL’s objective was to work with the County’s leadership to revitalize the MPDSR system and work toward responding to the causes and avoidable factors contributing to the high burden of maternal and perinatal deaths in the County.  MCGL  trained HCWs on harvesting and handling of blood products, management of PPH and eclampsia,  development  of county referral strategy, linkage to  private and faith-based HFs, capabilities,  support weekly MPDSR committee meetings, develop, and roll out MPDSR of weekly monitoring tool,  formation of QI teams, and support for social accountability  activities.
Results: Improved implementation of MPDSR action points included increased number of CEmONC health facilities, availability and access to blood during PPH emergencies, and point-of-care ultrasound machines in 13 health facilities. There was notable improvement of timely  perinatal deaths of audits 47% (70/152).
Conclusions: Deliberate and collective effort by the leadership with close follow-up can improve timely auditing  and  response , which  improves the quality of care for mothers and newborns receiving HFs.
Ein Brief aus der Stabi
Authors: Steinbeis Maximilian
Published: February 2024

Drinnen sitzen, während draußen die Hölle los ist
Evaluación de la calidad de la leche en vacas Holstein, al sustituir avena (Avena sativa) por triticale (X triticosecalewittmack)
Authors: Fuentes-Rodríguez Jesús Manuel , Muñoz-Martínez José Gilberto , Charles-Rodríguez Ana Verónica , Morales-Nuñez Fabio , Ruiz-Zarate Fernando
Published: February 2024

Se compararon dos forrajes diferentes (triticale en sustitución de avena) en la alimentación de vacas lecheras Holstein, con la finalidad de evaluar la calidad de su leche. Se alimentaron tres grupos de cinco vacas entre primera y cuarta lactancia, a las que se le suministró una dieta completa y tres tratamientos diferentes: T1=0% triticale y 100% avena; T2=50% triticale y 50% avena; T3=100% triticale y 0% avena. Se evaluó la composición nutritiva de la leche: grasa, lactosa y proteína mediante el análisis bromatológico (aoac, 1980). Al realizar el análisis bromatológico de las raciones, el contenido de materia seca (MS) de los tres tratamientos fue igual: en el de materia orgánica y en fibra detergente neutra (FDN) no hubo diferencia (P<0.05) entre los tratamientos, mientras que la fibra detergente ácida (FDA) fue mayor para el T1 y menor para el T2. En cuanto a la calidad de la leche, el contenido de proteína fue mayor para los tratamientos uno y dos, los cuales no mostraron diferencias (P<0.05) entre sí; el contenido de grasa y lactosa entre los tratamientos no fue diferente (P<0.05). Las vacas alimentadas con el heno de triticale utilizado, no tuvieron diferencia en la calidad de la leche en cuanto al contenido de grasa y lactosa, en tanto que en el contenido de proteína en la leche tuvieron muy poca diferencia. En T3, con 100% de triticale como forraje, el contenido de proteína de la leche fue menor. El consumo de alimento no fue diferente (P<0.05) entre los tratamientos. El heno de triticale, a pesar de ser de baja calidad y de un ciclo anterior, compitió con heno de avena nuevo y de alta calidad, lo cual indica que, en las dietas para vacas lecheras, se puede sustituir el forraje de avena por el de triticale sin afectar la calidad de la leche.
Trombocitopenia imune: diagnóstico e evolução de pacientes acompanhados em serviço de referência do Estado de São Paulo
Authors: Augusto Géssica , Vicari Perla
Published: February 2024

Introdução: A púrpura trombocitopênica idiopática, é uma doença hematológica benigna caracterizada por trombocitopenia. É doença adquirida, cuja etiologia está relacionada à produção de autoanticorpo que age contra a membrana da plaqueta acarretando sua destruição. O sintoma clínico mais comum é o sangramento cutâneo mucoso, na forma de petéquias, equimoses, epistaxe e gengivorragia. Sangramentos mais graves, como o de sistema nervoso central, são menos comuns. O diagnóstico é realizado quando a plaquetometria é menor que 100.000/mm³, sem outras citopenias associadas, e após exclusão de outras causas de plaquetopenia. O tratamento é realizado por meio da imunossupressão do paciente e tem como objetivo manter uma contagem de plaquetas adequada para que não haja prejuízo à hemostasia primária. Objetivos: Este trabalho visa traçar o perfil de pacientes com púrpura trombocitopênica idiopática acompanhados em serviço único de referência e correlacionar os dados encontrados quanto ao diagnóstico, evolução e tratamentos que foram realizados com o que é descrito em literatura. Métodos: Estudo analítico observacional retrospectivo sobre o perfil dos pacientes portadores de púrpura trombocitopênica idiopática realizado no período de fevereiro a novembro de 2022, a partir de registros contidos no prontuário eletrônico do Hospital do Servidor Público Estadual “Francisco Morato de Oliveira” - HSPE - FMO de São Paulo. Resultados: Foram avaliados 100 pacientes (78% mulheres: 22% homens), idade mediana 58 (11 - 84) anos, a média de plaquetas ao diagnóstico 33.801,04 (DP ± 30.382)/mm³. Dos pacientes analisados, 22% foram mantidos com tratamento conservador, 69% submetidos à 1ª linha com corticoterapia, 7% corticoterapia +imunoglobulina (Ig) e 2% esplenectomia. Dos pacientes 1ª linha, 56,5% tiveram resposta completa (RC): PLQ ≥100.000/mm³, 28,9% apresentaram resposta parcial (RP): PLQ>30.000/mm³ ou duas vezes maior que a contagem inicial, e 14,4% sem resposta: PLQ<30.000/mm³ ou inferior a duas vezes o valor inicial. Dentre os que receberam 1ª linha, associada ou não à Ig, 64,4% precisaram de 2ª linha em 30,6 meses. Conclusão: Os achados encontrados foram condizentes com a literatura e reforçam que o acompanhamento regular associado às propostas terapêuticas são fundamentais para o sucesso do tratamento desta doença.
Via aérea difícil: abordagem pela técnica de intubação acordado
Authors: De Oliveira Sampaio Tais , Silva Júnior João Manoel
Published: February 2024

A abordagem da via aérea é uma das competências centrais da atividade dos médicos anestesiologistas, embora também praticada por médicos de outras especialidades. Para a Sociedade Americana de Anestesiologia, a via aérea difícil é definida como a situação clínica em que um anestesiologista treinado experimenta dificuldades com ventilação sob máscara facial, intubação traqueal ou ambos. As situações de via aérea difícil constituem-se como as principais causas de morbilidade e mortalidade relativas a procedimentos anestésicos. Assim, é essencial que se antecipem as potenciais dificuldades e que se adotem e treinem algoritmos de atuação face a situaçoes de via aérea difícil previsível e não previsível.
Associação entre necrose de língua e maculopatia na arterite de células gigantes
Authors: Stéphanie Meneguette Nathalie , Silva de Castro Weldon , Nocetti Botini Lucas , Pinheiro de Andrade Eric
Published: February 2024

Introdução: A arterite de células gigantes é uma vasculite crônica e sistêmica de vasos de grande e médio calibre que geralmente afeta a faixa etária acima de 50 anos, com maior incidência em países escandinavos e descendentes do norte da Europa. O objetivo deste artigo é apresentar um caso de necrose de língua seguido de maculopatia média aguda paracentral associadas a arterite de células gigantes e mostrar a importância da análise multimodal para o diagnóstico. Relato do caso: Mulher, 73 anos de idade, com baixa da acuidade visual em ambos os olhos após 15 dias de evolução de necrose de língua, parcial e dolorosa. O exame do fundo do olho e tomografia de coerência óptica evidenciaram múltiplas lesões hiper-reflexivas em forma de banda limitadas ao nível da camada nuclear interna, com lesões cinzentas na posição parafoveal. Discussão: A literatura evidencia a associação de necrose de língua e arterite de células gigantes em mulheres idosas com incidência de 12 mulheres para um homem. Esse relato apresenta alterações fundoscópicas e da tomografia de coerência óptica de maculopatia média aguda paracentral, sendo sua etiologia diretamente relacionada à isquemia do plexo capilar profundo na arterite de células gigantes. Embora a necrose de língua e maculopatia média aguda paracentral sejam manifestações iniciais incomuns, elas são “sinais de alerta” para o diagnóstico precoce e tratamento da arterite de células gigantes.
Are Advance Medical Directives Legal in India?
Authors: IJCP
Published: February 2024

MEDICOLEGAL
Capítulo 12: Innovación Educativa mediante un MOOC para estadística descriptiva en la Universidad Popular del Cesar - Colombia
Authors:   Universidad Popular del Cesar, Palmera Quintero Luis Manuel , Mejía Rodríguez Carlos Alberto ,   Universidad Popular del Cesar, Muñoz Morales Luis Alfonso ,   Universidad Popular del Cesar, Guerrero Sumalave Didier Fernando ,   Universidad Popular del Cesar, Ramírez Orellano Luis Octavio ,   Universidad Popular del Cesar, Ríos Barona Danny Jhoan ,   Universidad Popular del Cesar
Published: February 2024

Este capítulo presenta una investigación cuyo propósito es desarrollar un Massive Open Online Course (MOOC) destinado a mejorar la enseñanza de Estadística Descriptiva en la Universidad Popular del Cesar, seccional Aguachica. El proyecto respalda la combinación de innovación y avances tecnológicos para revolucionar el sistema educativo, persiguiendo el fin de preparar a los estudiantes sobre el pensamiento estadístico mediante el aprendizaje en línea. Los objetivos de la investigación incluyen la caracterización de las necesidades formativas de los estudiantes, la creación del MOOC con recursos esenciales para respaldar la enseñanza de Estadística Descriptiva, su implementación en la plataforma Moodle de la Universidad Popular del Cesar, seccional Aguachica, y pruebas para validar los resultados. Este proyecto se alinea con la visión de mejorar la calidad de la educación y equipar a los estudiantes con las herramientas necesarias para comprender y aplicar la estadística descriptiva en su formación académica y en la sociedad en general.