bluuebunny/crossref_metadata_2025_split huggingface dataset:
Factors influencing choice of healthcare facilities utilisation by rural households in Ogun State, Nigeria
Authors: Aboaba Kazeem Oriyomi , Akamo Akeem Adesina , Obalola Tohib Oyeyode , Bankole Omolola Abisola , Oladele Aisha Oyindamola , Yussuf Olanrewaju Gazal 
Published: September 2023

Abstract
Understanding the choice of healthcare facility utilisation is essential to the provision of need-based healthcare services to the population. This study was carried out to estimate factors influencing the choice of healthcare facilities utilised by rural households. A multistage sampling procedure was used to select 240 rural households comprising 1440 persons. Data were collected with the use of a structured questionnaire and analysed with descriptive techniques and a multivariate probit (MVP) model. The MVP result showed that households supplement public healthcare facilities with private clinics, support traditional medical treatment with self-medication, and replace self-medication with public healthcare facilities and private clinics. Similarly, age, gender, household size, cost of drugs, distance to public healthcare facilities, travelling cost, contact with community health workers, total income, awareness of public health facilities, quality of health facilities, and terrain of health facilities influence the choice of healthcare facilities utilised. The study concluded that increased total income, contact with community health extension workers, awareness of health facilities, and perceived quality of services rendered positively influence the choice of healthcare facilities sorted after while the increase in the cost of drugs, distance to health facilities, travelling cost and difficult terrain of health facilities negatively impact the choice of healthcare facilities utilised. The study recommended that public healthcare facilities should be located within the reach of the people and equipped with essential drugs at a reduced cost. Households should also engage in activities that will increase their income so that they can use better healthcare facilities.
Stability properties of a Cournot-type oligopoly model with time delay
Authors: Culda Loredana Camelia 
Published: September 2023

Abstract
The paper studies a Cournot game involving n private firms, where the firms’ interactions are analyzed in a discrete-time setting with time delay. The past production levels of other private firms have an impact on the production levels of each private firm. We performed a local stability analysis on the nonlinear system associated with the model and found that it has only one equilibrium point, which is asymptotically stable if and only if some conditions involving the number of firms, the degree of product di erentiation and the time delay are fulfilled. In addition, numerical examples are presented in this paper, which illustrate the theoretical results obtained.
Effects of local and whole-body cryotherapy on hip pain and general activity in the course of coxarthrosis
Authors: Widłak Patrycja , Kaczmarek Sylwia , Klimkiewicz Paulina , Łopuszańska-Dawid Monika 
Published: September 2023

Abstract

Study aim: The purpose of this study was to compare the effects of whole-body and local cryotherapy on pain and function of the osteoarthritic hip.

Material and methods: The study included 40 patients (26 women and 14 men) aged 36 to 85 years with confirmed hip osteoarthritis. Twenty participants received whole-body cryotherapy whereas twenty received local cryotherapy in the hip region. A visual analog scale (VAS) was used to assess the effects of therapy.

Results: Based on the examinations, improvements in both reported pain and general functional status of the participants were observed in both groups. Slightly greater improvement regarding reported pain was found in the group of participants undergoing local cryotherapy treatments.

Conclusion: The results showed that the analgesic effect of both whole-body and local cryotherapy noticeably increased the ability of the participants to engage in activities of daily living.
Are NLR, PLR, and Elevated Uric Acid Levels Predictive of Preeclampsia?
Authors: Corduneanu Alina-Georgiana , Căpîlna Mihai Emil 
Published: September 2023

Abstract

Background
It is estimated that 2 to 8% of pregnancies are complicated by gestational hypertension and preeclampsia, the latter being considered a major cardiovascular emergency due to its possible progression to severe eclampsia and HELLP syndrome. New inflammatory biomarkers, such as the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR), may predict the progression of gestational hypertension.

Aim of the study
The aim of this study was to assess whether NLR, PLR, and uric acid play a role in predicting preeclampsia and its severe forms.

Methods
This prospective, single-center cohort study, conducted between January 1, 2020 and December 31, 2022, included 107 pregnant women with gestational hypertension, preeclampsia and its severe forms, HELLP syndrome and eclampsia. Patients were divided into two groups: the first group included 88 patients with gestational hypertension (GH group), and the second group included 19 patients with preeclampsia and its severe forms (PE group). We compared demographic, clinical and biochemistry data between the two groups.

Results
PLR was significantly lower in women with preeclampsia (85.47 ± 7.91 vs. 115.90 ± 4.63, p = 0.005). The mean serum uric acid level in the PE group was significantly higher than in the GH group (6.71 ± 0.44 mg/dL vs. 4.59 ± 0.12 mg/dL, p <0.0001).

Conclusion
In this study, low-cost biomarkers PLR and serum uric acid were associated with a higher risk of PE and its severe forms and may be used to predict the progression of gestational hypertension.
COVID Infection and Spontaneous Coronary Dissection in a Pregnant Woman — a Therapeutic Challenge
Authors: Tolescu Constantin , Masca Violeta , Bajka Balazs , Benedek Imre 
Published: September 2023

Abstract
The link between COVID-19 and cardiovascular diseases, specifically myocardial infarction, has been well documented, but the interactions between these comorbidities in the context of pregnancy has not been elucidated so far. We report an intriguing case of a 35-year-old woman in her 35th week of pregnancy, with SARS-CoV-2 infection, who developed an acute coronary syndrome caused by a spontaneous coronary dissection. To our knowledge, this paper presents one of the first cases reported in the literature of acute coronary syndrome and COVID-19 infection in a pregnant patient.
Three-dimensional Echocardiography for the Early Detection of Cardiac Dysfunction in Patients with Rheumatoid Arthritis
Authors: Setouhi Amr , Hamdy Ahmed , Ibrahim Alaa Mohamed , El-Sayed Ahmed , Asklany Hany T 
Published: September 2023

Abstract

Background
Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease. Left atrial (LA) dysfunction is strongly linked to cardiovascular diseases, and the early detection of LA function in patients with RA is vital. Real-time three-dimensional echocardiography (RT-3DE) offers a noninvasive method to assess the structure and function of the LA.

Aim of the study
To assess LA volumes and phasic function in patients with RA using 3D transthoracic echocardiography.

Materials and Methods
This prospective case-control study included 162 subjects classified into two groups: Group 1 included 82 patients with RA, subdivided into an active RA group (n = 40) and an inactive RA group (n = 42), and Group 2 included 80 healthy matched controls. All study participants were examined using 2D and 3D transthoracic echo-cardiography.

Results
Diastolic dysfunction was significantly greater in patients with moderate and severe disease activity than in patients with mild disease activity. RT-3DE analysis of RA groups showed significantly higher maximum, minimum, and pre-atrial LA volumes compared to controls (p <0.01), and these volumes were significantly higher in the active RA group than in the inactive RA group (p <0.01). We also found significantly lower LA passive ejection fraction (EF) and active EF in both RA groups than the control group (p <0.01), and significantly lower total EF in the active RA group than the inactive RA group (p <0.01).

Conclusion
Patients with RA had increased 3D LA volumes and impaired mechanical function, especially in active RA. RT-3DE provides an accurate measurement of LA volumes and function, being a feasible and reproducible method in clinical applications.
Single and Multi-Point Non-Orthogonal Multiple Access based Power Adaptive Design for Improving Bit Error Ratio
Authors: Kavitha G. , Deny J. 
Published: September 2023

Abstract
In the framework of next-generation communication systems, Non-Orthogonal Multiple Access (NOMA) has attracted considerable interest. The fundamental advantage is that it has greater spectrum utilization than its orthogonal equivalents. This proposed work integrates Single-Input Single-Output NOMA (SISO) with Coordinated Multi-Point (CoMP). It uses both systems based on Quadrature Phase-Shift Keying (QPSK). A power-tolerant NOMA reduces the system’s vulnerability to erroneous power allocation by adaptively modifying each user’s signal power. The transmitted data is used to modify the power in the Power-Adaptive NOMA (PANOMA). PANOMA helps improve the Bit Error ratio and also improves the computational complexity. The Bit Error Rate (BER) and the lower limit capacity efficiency across Rayleigh fading channels are determined in precise closure representations of more than two consumer situations to measure its capability. The proposed method PA-CoMP-NOMA improves the Bit Error ratio in both systems. It improves the average BER among all users. Compared to its orthogonal cousin, NOMA has higher spectral efficiency. Nevertheless, our proposed method retains this feature as well as superior BER performance, although its spectral effectiveness is lower than that of the classic sum-rate based power NOMA.
MEB DERS KİTAPLARINDA YER ALAN ÂŞIK VEYSEL ŞATIROĞLU’NA AİT METİNLER ÜZERİNE BİR İNCELEME
Authors: ERDAL Kelime 
Published: September 2023

Âşık Veysel Şatıroğlu, okumayı çok istemesine rağmen gözleri görmediği için okula gidememiştir. Okuma aşkı onun içinde hep bir ukde olarak kalmıştır. Ömrü boyunca okumak şöyle dursun, bir tek harf yüzü bile görmeyen Âşık Veysel, eserlerinde hep okumayı ve öğrenmeyi tavsiye etmiştir. Onun şiirlerinde eğitim, okuma, ilim sahibi olma övülür; cahillik, bilgisizlik ve kendini geliştirmeme ise yerilir. Âşık Veysel, eserlerinde ilim ve okul gibi eğitim unsurlarına sıklıkla yer vermiştir. Âşık Veysel, ülke kalkınması için çalışmanın gereğine inanır. Türkiye’nin çağdaş medeniyet seviyesine ulaşabilmesi ve teknolojide, tarımda, sanayide atılım yapabilmesi için ülke insanının gaflet uykusundan uyanmasını, birlik içinde olmasını, cehaletten kurtulmasını, bunun için de okumaya ve okutmaya, eğitime önem verilmesini ister. Çünkü gelişen toplumlar karşısında geri kalmış bir toplum yok olmaya mahkûmdur. Halka, “Uyan Bu Gafletten Uyuma Yurttaş” diye seslenen Âşık Veysel, dünyayı anlamanın, büyüyüp gelişmenin de okuma ile olacağını vurgular. Âşık Veysel Şatıroğlu’na göre toplum olarak ilerlemenin en önemli şartı, eğitime önem verilmesidir. Şatıroğlu, özellikle köylerde yaşayan vatandaşlara seslenerek her köye okul yapılmasını ve tüm çocukların mutlaka okutulmasını ister.
Bu çalışmada, eğitim ve okulla bu derece yakından ilgili olan halk ozanı Âşık Veysel Şatıroğlu’nun, MEB yayınlarından çıkan ortaokul ve lise ders kitaplarında yer alan metinleri incelenmiş, elde edilen bulgular doğrultusunda sonuçlara ulaşılmış ve öneriler sunulmuştur. Araştırma kapsamında, MEB yayınlarından çıkan ortaokul 5, 6, 7, 8 ve lise 9, 10, 11 ve 12. sınıf ders kitapları nitel araştırma yöntemlerinden doküman analizi yöntemi ile incelenmiştir.
Régimen alimentario y agricultura familiar. Elementos para la soberanía alimentaria
Authors: Ramírez-Juárez Javier 
Published: September 2023

Los sistemas alimentarios se están industrializado y mercantilizando crecientemente, provocando el distanciamiento entre la producción de alimentos y los consumidores; proceso que afecta la seguridad alimentaria de amplios sectores de la población. El objetivo del ensayo fue analizar el papel de las actividades agrarias y las relaciones de mercado de la agricultura familiar, en el contexto del régimen alimentario neoliberal, para proponer sistemas alimentarios de base territorial que contribuyan a la soberanía alimentaria. Se elaboró un marco analítico sistémico en tres niveles: régimen alimentario neoliberal, sistema alimentario y mercado, el estudio se elaboró en 2023 para el caso de México. De acuerdo con el análisis, las actividades agrarias de la agricultura familiar permanecen en el régimen alimentario neoliberal y son relevantes por los ingresos y producción de alimentos que generan, empero establece relaciones de mercado asimétricas con los intermediarios que limitan su viabilidad económica y social. La relación de la agricultura familiar con su entorno territorial presenta oportunidades para conectar la producción con los consumidores, favorecida por la diversificación de la economía rural y el estrechamiento del vínculo rural-urbano. Se concluyó que la agricultura familiar puede contribuir a la formación de sistemas alimentarios territoriales y la construcción social de mercados, que favorezcan la superación de las relaciones asimétricas en el mercado y la soberanía alimentaria. En la anterior dirección es fundamental incorporar la dinámica alimentaria territorial de la agricultura familiar y mercados en la definición de política pública.
Global health partnerships in the time of COVID-19: redefining the way we work
Authors: Giachino Marina , Chappuis François , Beran David 
Published: September 2023

Background The emergence of COVID-19 disrupted several global health partnerships, with people unable to travel, meetings and conferences cancelled, and many forced to work remotely. The aim of this study was to explore the impact of COVID-19 on global health partnerships learning from the activities of the Division of Tropical and Humanitarian Medicine (DTHM) at the Geneva University Hospitals (HUG). Methods Five members of the DTHM team as well as five local partners from ongoing projects within the DTHM in Bosnia-Herzegovina, Kyrgyzstan, Nepal, Peru and Ukraine were interviewed. A qualitative approach was chosen employing an interpretive approach using Grounded Theory involving the application of inductive reasoning for the analysis. Results Interviewees describe both positive and negative impacts of COVID-19 for the existing partnerships. The use of on-site visits was disrupted and replaced by extra remote monitoring. Digital tools enabled the continuity of interactions ensuring that the partnership could continue to operate. Online tools allowed access to a wider audience and advantages with regards to time, cost and the environment. However, going online was unable to fully replace human interactions and exchanges which are core components of any partnership. Conclusions COVID-19 resulted in the DTHM and its partners needing to redefine and improve how partnerships were established and maintained. This change in how partnerships operated and adapted during the pandemic will require ongoing assessment to see the long-term impact of these changes in the ways partnerships function in a post-COVID-19 environment.
Professores e contextos da disciplina e indisciplina nas aulas de matemática
Authors: Hochmann Edília , Evangelista Celma Ramos 
Published: September 2023

Esta pesquisa de Trabalho de Conclusão de Curso tem como objeto de estudo a Indisciplina em sala de aula. Neste sentido fizemos o seguinte questionamento: Como os professores do Ensino Fundamental concebem e lidam com a indisciplina no processo de ensino-aprendizagem da matemática? Para encontrarmos as respostas desejadas elencamos os seguintes objetivos: Identificar quais os comportamentos considerados como ‘indisciplinados’ pelos professores; Constatar quais são as formas de lidar com a indisciplina e verificar quais as dificuldades apresentadas pelos professores para lidar com a indisciplina no contexto da sala de aula de matemática; Enumerar as possíveis causas da indisciplina apontadas pelos regentes em questão e se eles as consideram importantes para lidar com a mesma. Adotamos a pesquisa de cunho qualitativa, em particular, o estudo de caso. Os instrumentos de coleta de dados foram observações em sala de aula dos professores e entrevistas semi-estruturadas. Para compreender os conceitos de (in)disciplina, abordadas por estudiosos do tema, recorremos aos seguintes autores: Celso dos Santos Vasconcellos, Julio Groppa Aquino e Rita Melissa Lepre. A partir dos dados coletados e da revisão da literatura realizada podemos dizer que independente da disciplina lecionada os alunos apresentaram comportamento indisciplinado e que os professores devem estar preparados para lidar com essas dificuldades, pois a indisciplina se manifesta com freqüência em sala de aula.Palavras-chave: matemática; educação matemática; professores; disciplina; indisciplina.
Estratégia formativa a partir da abordagem por competências em educação de infância: uma experiência no Grupo Projeto Creche
Authors: Dias Maria Isabel Pinto Simões , Kowalski Maria Isabel Fonseca Coelho Pereira 
Published: September 2023

Este estudo surgiu no Grupo Projeto Creche - Portugal e procurou equacionar uma estratégia formativa a partir da análise de quatro narrativas de situações educativas em creche (20015/2016). Seguindo uma metodologia qualitativa, os resultados confirmaram ser possível construir um processo formativo a partir de uma abordagem por competências em educação de infância. Esta estratégia i) facilitou o empenhamento na autoformação a partir das experiências educativas narradas e analisadas, ii) contribuiu para a identificação de referentes para a ação educativa, iii) clarificou o papel de uma abordagem por competências na educação de infância. Palavras-chave: estratégia formativa; educação de infância; abordagem por competências.
Land, Private Property, and the Universal Destination of Goods: A Catholic Perspective on Economic Inequality in Latin America
Authors: Bailey James 
Published: September 2023

Abstract
Latin America is plagued by extreme wealth inequality, much of which results from sharp disparities in land ownership. In addition to limiting access of basic goods to millions of Latin Americans, concentrations in land ownership harm the common good. Extreme disparities correlate to sluggish economic growth, inefficient agricultural practices, weakened public institutions, income disparities, and sharp increases in environmental degradation. A related concern is the destruction of indigenous peoples’ land in the Amazon and denial of access to land that is rightfully theirs. This paper examines how resources from Catholic Social Teaching help us reflect critically upon and respond to these injustices. It analyzes in particular how Pope Francis and the Amazonian bishops apply the tradition in markedly new ways, ways that are shaped by and directed to this diverse, abundant and unique socio-geographical region. Attention is paid not only to what Catholic Social Teaching can bring to local justice issues, but also lessons indigenous peoples can teach the broader Church.
Development of Instructional Materials for Introduction to Algebraic Structures: Ring Theory with Guided Discovery
Authors: Kurniawan Prihadi , Yulianto Agus Wayan 
Published: September 2023

This study presents the development of Teaching Materials for Introduction to Algebraic Structures: Ring Theory with Guided Discovery, addressing the need for comprehensive instructional resources in abstract algebra courses. Following the ADDIE development model (Analysis, Design, Development, Implementation, Evaluation), the research systematically creates and refines the Teaching Materials. The resulting resource includes a title page, carefully crafted learning objectives aligned with the desired Student Learning Outcomes (SLP), and well-organized content arranged into 12 chapters. Each chapter incorporates student learning guides and engaging activities, encouraging active participation and independent exploration. The Teaching Materials undergo rigorous validation, with results indicating a validity level of 88%, meeting the necessary criteria for instructional effectiveness. Based on the evaluation conducted at the final stage of the study, the Teaching Materials demonstrate high practicality, scoring 87%, and are deemed effective with a quality rating of 66%. This study contributes significantly to the field of mathematics education by addressing the need for effective lecture companions in introductory algebraic structures courses. By incorporating guided discovery techniques, the developed Teaching Materials foster increased student activity and knowledge construction. The utilization of the ADDIE development model ensures a systematic and well-structured approach to material creation. The comprehensive organization of content, along with the inclusion of student learning guides and activities, provides a cohesive and interactive learning experience for students. The validation and evaluation results further underscore the efficacy of the Teaching Materials, affirming their validity and practicality in promoting enhanced student learning outcomes. These findings highlight the potential of the Teaching Materials for Introduction to Algebraic Structures: Ring Theory with Guided Discovery to positively impact algebraic structures education and contribute to the pedagogical advancement in mathematics instruction.
Keywords: guided discovery, teaching material development, ring theory.
Mathematical Representation Ability of Students on Linear Program Material in Terms of Learning Interests in Problem Based Learning
Authors: Hilsania Safa Agrita , Masrukan Masrukan 
Published: September 2023

This study aims to determine the completeness of the implementation of Problem-Based Learning (PBL) to the achievement of students' mathematical representation skills, determine the influence of learning interest on the mathematical representation ability of students in PBL, and describe the mathematical representation skills of students in terms of learning interest. The research method used is a mixed method with a concurrent embedded strategy. The results showed that PBL did not complete the mathematical representation ability of students. This is due to several factors including (1) the difficulties experienced by students in online learning, (2) the time gap between the last meeting of PBL and the mathematical representation ability tests, (3) the weakness of PBL learning that takes a long time, (4) the number of students who are the subject is too little, and (5) the problem of mathematical representation ability test instrument is difficult. Furthermore, there is an influence of learning interest in the mathematical representation ability of students in PBL by 56.2%. Then, the mathematical representation ability of subjects with high and medium categories of learning interest tends to be able to meet the three indicators of mathematical representation ability, while subjects with low categories of learning interest are not able to meet the three indicators of mathematical representation ability. The three indicators of mathematical representation ability are visual representation, Representation of Mathematical Equations or Expressions Ability, and representation of words or written text.
Keywords: mathematical representation ability, learning interest, problem-based learning.