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Prevalence of cervical cancer and associated factors among women attending gynecological clinic outpatient department at tumbi regional referral hospital, Tanzania 坦桑尼亚 Tumbi 地区转诊医院妇科门诊就诊妇女的宫颈癌患病率及相关因素
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1262
William Kulwa Mwebeya
Background: Cervical cancer is the fourth most common cancer among the women. Cervical cancer is preventable primarily through prophylactic Human papilloma virus vaccination and screening for precancerous lesion. About 85% of the case and 90% of the deaths are occurring in developing countries. Therefore, the aim of this study was to assess the prevalence and factors associated with cervical cancer among women attending gynecological clinic outpatient department at Tumbi Regional Referral Hospital, Tanzania. Method: This was a descriptive cross-sectional study conducted from October 01 and December 31, 2023. A total of 246 women attending gynecological clinic were enrolled in this study. Interviews were conducted with 246 sampled women. Results: A total number of 246 women were involved in the study. Most participants (48.8) were aged 30-39 years. Only 6.5 percent screened for cervical cancer. The prevalence of cervical cancer found to be 4%. Conclusion: The prevalence of cervical cancer among women attending gynecological clinic outpatient department at tumbi regional referral hospital was comparatively low, however very few women screened for cervical cancer. There a need to scale up awareness of cervical cancer screening.
背景:宫颈癌是妇女中第四大常见癌症。宫颈癌主要可以通过预防性接种人乳头瘤病毒疫苗和癌前病变筛查来预防。约 85% 的病例和 90% 的死亡发生在发展中国家。因此,本研究旨在评估坦桑尼亚通比地区转诊医院妇科门诊就诊妇女的宫颈癌患病率及相关因素。研究方法这是一项描述性横断面研究,研究时间为 2023 年 10 月 1 日至 12 月 31 日。共有 246 名妇科门诊妇女参与了这项研究。对 246 名抽样妇女进行了访谈。研究结果共有 246 名妇女参与了研究。大多数参与者(48.8%)的年龄在 30-39 岁之间。只有 6.5%的人接受过宫颈癌筛查。宫颈癌的发病率为 4%。结论在通比地区转诊医院妇科门诊就诊的妇女中,宫颈癌的发病率相对较低,但很少有妇女接受宫颈癌筛查。有必要提高对宫颈癌筛查的认识。
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引用次数: 0
Using blockchain technology to maximize supply chain and logistics management in north America 利用区块链技术最大限度地加强北美地区的供应链和物流管理
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1096
Daniel Ikechukwu Ekwunife, OJO TITILAYO PRECIOUS, OLADAPO AZEEZ RASUL, OLUWAGBEMISOLA FAITH AKINLADE, TIMOTHY OGECHUKWU NWOKORO, VICTORY IHEOMA IKPE
This study explores the application of blockchain technology in optimizing supply chain and logistics management within North America. Through qualitative thematic analysis, three key objectives were addressed: identifying benefits, examining implementation challenges, and assessing barriers to adoption. The analysis highlights significant benefits of blockchain adoption, including enhanced trust, transparency, automation, traceability, and data security, supported by findings from various studies. However, implementation challenges such as system design complexity, resistance to change, and inadequate IT staff pose obstacles to adoption. Furthermore, barriers to widespread adoption, such as the absence of a proper legal framework and the capital-intensive nature of blockchain adoption, were identified. These barriers underscore the need for collaborative efforts to address regulatory uncertainties and financial constraints. It was suggested that further studies could explore the long-term impacts of blockchain technology on supply chain resilience and sustainability, as well as investigate strategies to overcome implementation challenges and maximize the technology's potential across diverse industries and regions.
本研究探讨了区块链技术在优化北美地区供应链和物流管理方面的应用。通过定性专题分析,实现了三个关键目标:确定优势、研究实施挑战和评估采用障碍。分析强调了采用区块链的重大优势,包括增强信任、透明度、自动化、可追溯性和数据安全性,并得到了多项研究结果的支持。然而,系统设计复杂性、变革阻力和 IT 人员不足等实施方面的挑战对采用区块链构成了障碍。此外,研究还发现了阻碍广泛采用区块链的障碍,如缺乏适当的法律框架和采用区块链的资本密集型性质。这些障碍突出表明,需要共同努力解决监管不确定性和资金限制问题。有人建议,进一步的研究可以探讨区块链技术对供应链复原力和可持续性的长期影响,并调查克服实施挑战的战略,最大限度地发挥该技术在不同行业和地区的潜力。
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引用次数: 0
Comparison of accuracy of central venous pressure (CVP) estimation in internal jugular vein (IJV) by ultrasound and conventional method (using saline column): An observational study 比较超声和传统方法(使用生理盐水柱)估测颈内静脉中心静脉压(CVP)的准确性:观察研究
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1256
Praveen Kumar Devarajan, Elamurugan Thirthar Palanivelu, Ramkumar Govindarajalou, Kumar Saya, Rajeshwari JOSEPH ALEXIS, Rajendra Kagne, Aishwarya Sampath
Aim & background: Central venous pressure (CVP) is needed in acute resuscitation and in intensive care unit patients to monitor hemodynamics and to guide fluid resuscitation. The primary objective of our study is to compare the ultrasound (USG) guided measurement of CVP with conventional measurement of CVP using saline column. Methods: The study is Prospective observational study. The study was conducted at a tertiary care teaching hospital from February 2020 to December 2021. 245 patients were included in this study using convenient sampling technique. The primary measure in this study is to assess whether the accuracy of USG measurements (non invasive) of CVP is as good as conventional measurements (invasive) of CVP using saline column method. Results: The CVP measurements measured invasively and non invasively were categorized as below normal, normal, and above normal. Using CVP (saline) as the gold standard, for CVP (USG) and CVP (saline) a 3 x 3 contingency table had been made. To compare the diagnostic accuracy between CVP(Saline) and CVP(USG) where the measurements were categorised, Kappa statistics has been used to measure the agreement between the two {CVP (saline) and CVP (USG)}. The Kappa value was found to be around 96.33% and after weightage was 97.96% which was almost perfect agreement. Conclusion: Based on our study, we conclude that the USG guided measurement of CVP is as good as conventional measurement of CVP using saline column.
目的和背景:急性复苏和重症监护室患者需要中心静脉压(CVP)来监测血液动力学并指导液体复苏。我们研究的主要目的是比较超声(USG)引导下的 CVP 测量和使用生理盐水柱的传统 CVP 测量。方法:本研究为前瞻性观察研究。研究于 2020 年 2 月至 2021 年 12 月在一家三级医疗教学医院进行。本研究采用方便抽样技术,共纳入 245 名患者。本研究的主要目的是评估 USG 测量(无创)CVP 的准确性是否与使用生理盐水柱法测量(有创)CVP 的准确性相同。结果:有创和无创测量的 CVP 分为低于正常、正常和高于正常。以 CVP(生理盐水)为金标准,对 CVP(USG)和 CVP(生理盐水)进行了 3 x 3 或然率分析。为了比较 CVP(生理盐水)和 CVP(USG)之间的诊断准确性,在测量结果被分类的情况下,使用了 Kappa 统计法来衡量两者之间 {CVP (生理盐水)和 CVP (USG)} 的一致性。结果发现 Kappa 值约为 96.33%,加权后为 97.96%,几乎完全一致。结论:根据我们的研究,我们得出结论,USG 引导下的 CVP 测量与使用生理盐水柱的传统 CVP 测量一样好。
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引用次数: 0
A discourse model to analyse verbal interaction in Tunisian EFL lesson discourses 分析突尼斯 EFL 课堂话语中言语互动的话语模型
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1305
Saloua Mrabet-Abid
In this article, a discourse model was developed to analyse verbal interactions in 38 Tunisian EFL lessons. This model identifies four elements of exchange structure—INITIATION, RESPONSE, NEGOTIATION, and TERMINATION—and several communicative acts that differ from those proposed by Sinclair and Coulthard (1992). Data analysis underscores the prevalent patterns of verbal interaction within Tunisian EFL lessons and highlights the model's importance in understanding teachers' classroom practices. This research has pedagogical implications for EFL teachers and potential applications in teacher training programs. It offers in-service EFL teachers a descriptive tool to analyse, evaluate, and critically reflect on classroom practices.
本文建立了一个话语模型,用于分析 38 节突尼斯 EFL 课程中的言语互动。该模型确定了交流结构的四个要素--启动、回应、协商和终止--以及与 Sinclair 和 Coulthard(1992 年)提出的不同的几种交际行为。数据分析强调了突尼斯 EFL 课程中普遍存在的语言互动模式,并突出了该模式在理解教师课堂实践方面的重要性。这项研究对 EFL 教师具有教学意义,并有可能应用于教师培训项目。它为在职 EFL 教师提供了分析、评估和批判性反思课堂实践的描述性工具。
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引用次数: 0
Comparative analysis of water quality in two Wetlands of Berhampore, Murshidabad, West Bengal 西孟加拉邦穆尔希达巴德 Berhampore 两个湿地的水质对比分析
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1230
Bhaskar Mahanayak
This study provides a comparative analysis of the water quality in two wetlands, Chaltia Beel and Bishnupur Beel, located in Berhampore, Murshidabad, West Bengal. Water samples were analyzed for microbiological and chemical parameters, including Total Coliform, pH, Temperature, Total Dissolved Solids (TDS), Turbidity, Dissolved Oxygen (DO), Nitrate, Phosphate, Ammoniacal Nitrogen, and Total Alkalinity. The results indicated significant differences between the two wetlands. Chaltia Beel exhibited higher levels of microbial contamination and phosphate, while Bishnupur Beel had better dissolved oxygen levels and lower total coliform counts. These findings highlight the varying impacts of anthropogenic activities on the water quality of the two wetlands. Continuous monitoring and management efforts are essential to preserve their ecological health.
本研究对位于西孟加拉邦穆尔希达巴德 Berhampore 的 Chaltia Beel 和 Bishnupur Beel 两处湿地的水质进行了比较分析。对水样进行了微生物和化学参数分析,包括总大肠菌群、pH 值、温度、总溶解固体 (TDS)、浊度、溶解氧 (DO)、硝酸盐、磷酸盐、氨氮和总碱度。结果表明,两个湿地之间存在明显差异。Chaltia Beel 的微生物污染和磷酸盐含量较高,而 Bishnupur Beel 的溶解氧含量较高,大肠菌群总数较低。这些发现凸显了人为活动对这两个湿地水质的不同影响。持续的监测和管理工作对保护它们的生态健康至关重要。
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引用次数: 0
Cyber threat and information shortage: The immediate risk of supply chain technology and how to tackle them 网络威胁和信息短缺:供应链技术的直接风险及应对方法
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1098
Daniel Ikechukwu Ekwunife, OJO TITILAYO PRECIOUS, OLADAPO AZEEZ RASUL, OLUWAGBEMISOLA FAITH AKINLADE, TIMOTHY OGECHUKWU NWOKORO, VICTORY IHUOMA IKPE
In the interconnected network of contemporary supply chains, the integration of technology has brought forth both prospects and susceptibilities. This research investigates the convergence of cyber threats and information scarcity within supply chain technology, accentuating the immediate hazards they entail. Commencing with an outline of supply chain technology and the pivotal role of cybersecurity, the examination delves into the repercussions of information scarcity on supply chain security, encompassing its facilitation of cyber threats. To counteract these risks, an array of approaches is delineated, spanning from augmenting cybersecurity measures to promoting information exchange and harnessing emergent technologies. The efficacy of these approaches is illustrated through case studies exemplifying successful methods for combatting cyber threats and information scarcity. Ultimately, the research culminates with a synthesis of key insights, a discourse on confronting evolving threats, and contemplation on ensuring robustness in supply chain security.
在当代供应链的互连网络中,技术的整合既带来了前景,也带来了风险。本研究调查了供应链技术中网络威胁和信息稀缺的融合,强调了它们带来的直接危害。研究首先概述了供应链技术和网络安全的关键作用,然后深入探讨了信息稀缺对供应链安全的影响,包括其对网络威胁的促进作用。为抵御这些风险,我们提出了一系列方法,包括加强网络安全措施、促进信息交流和利用新兴技术。这些方法的功效将通过案例研究来说明,案例研究体现了应对网络威胁和信息匮乏的成功方法。最后,本研究综述了主要观点,讨论了如何应对不断变化的威胁,并思考了如何确保供应链安全的稳健性。
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引用次数: 0
Effect of meditation on emotion and behavior of differently abled adolescent 冥想对不同能力青少年的情绪和行为的影响
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1188
Bindhu P
Background: Deaf and dumb adolescents navigate a distinct set of challenges compared to their peers with typical hearing and speech abilities. Communication barriers and potential social isolation may contribute to heightened emotional stress, impacting their overall mental health. The potential benefits of meditation, which include stress reduction, improved emotional regulation, and increased mindfulness, offer a promising avenue for supporting the well-being of these adolescents. In the realm of psychological and emotional well-being, the study of meditation has gained increasing attention for its potential to enhance various aspects of mental health. This study aims to address this gap by investigating the influence of meditation on the emotional and behavioral dimensions of these differently abled adolescents. Materials and Methods: In this pre-experimental one group pretest and posttest design, 30 differently abled belonging to age 11-18 years with complete hearing loss were selected by consecutive sampling. The Child Behavior Checklist was used to collect data using interview technique. Intervention was provided in terms of 3 sessions. Results: In pretest 17% of them were found with borderline emotional and behavioral problems whereas in posttest only 13%of them showed borderline emotional and behavioral problems. There is significant difference in the level of emotion and behavior among differently abled adolescents before and after meditation (p<0.001).There was significant association between level of emotion and behavior of differently abled adolescents and selected demographic variables like gender and their hobbies. Conclusion: There is an immense need for promoting meditation practice regularly in the school and residential areas to promote emotional and behavioral wellbeing.
背景:与具有典型听力和语言能力的同龄人相比,聋哑青少年面临着一系列独特的挑战。沟通障碍和潜在的社会隔离可能会导致情绪压力增大,影响他们的整体心理健康。冥想的潜在益处包括减轻压力、改善情绪调节和提高正念,这为支持这些青少年的健康成长提供了一个前景广阔的途径。在心理和情绪健康领域,冥想研究因其增强心理健康各个方面的潜力而日益受到关注。本研究旨在通过调查冥想对这些能力不同的青少年的情绪和行为方面的影响来填补这一空白。材料和方法:本研究采用实验前一组前测和后测的设计,通过连续抽样选取了 30 名完全听力损失的 11-18 岁残疾青少年。采用儿童行为检查表和访谈技术收集数据。干预分为三个阶段。结果在前测中,17%的儿童有边缘情绪和行为问题,而在后测中,只有 13%的儿童有边缘情绪和行为问题。不同障碍青少年的情绪和行为水平在冥想前后存在明显差异(P<0.001)。不同障碍青少年的情绪和行为水平与选定的人口统计学变量(如性别和爱好)之间存在明显关联。结论在学校和居民区定期推广冥想练习,以促进情绪和行为的健康发展,是非常有必要的。
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引用次数: 0
Predicators of parenting stress among mothers raising children with autism spectrum disorder (ASD) in the sultanate of Oman: A cross-sectional study 阿曼苏丹国抚养自闭症谱系障碍(ASD)儿童的母亲养育压力的预测因素:横断面研究
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1011
Maiyasa Ghabish
Background: Several studies among parents of children afflicted with ASD reported higher levels of parenting stress compared to parents of other children with intellectual disabilities (ID) or typically developing (TD) children (Miranda et al., 2019). Also, Omani literature postulates that Omani parents of children with ASD endure a higher parental burden, clinically significant stress levels, anxiety, depression, and an increased public stigma compared to parents of TD children. However, relatively little is known about parental stress constructs in the Omani literature. Research Design: A cross-sectional design was used to test a predictive model of parental stress in mothers raising children diagnosed with ASD in the Sultanate of Oman. Aims: This study examined mental health, parental burden, and affiliate stigma as predictors of parenting stress. It also examined the mediating role of self-compassion and the moderating role of coping strategies and social support between these potential predictors and parenting stress. Results: Results showed that affiliate stigma and parental burden were significant predictors of parenting stress. Self-compassion partially moderated the relationship between mental health, parental burden, and parenting stress. Implications are discussed in light of supporting programs and interventions to help these mothers cope and ultimately improve the quality of life in families of children with ASD. Conclusion: The findings highlight the importance of addressing parental burden and stigma in supporting parents and promoting family well-being
背景:对患有 ASD 儿童的父母进行的多项研究表明,与其他智障(ID)儿童或发育正常(TD)儿童的父母相比,ASD 儿童的父母承受着更大的养育压力(Miranda 等人,2019 年)。此外,阿曼文献推测,与 TD 儿童的父母相比,阿曼 ASD 儿童的父母承受着更大的养育负担、临床上显著的压力水平、焦虑、抑郁以及更多的公众羞辱。然而,阿曼文献中关于父母压力结构的内容却相对较少。研究设计:采用横断面设计,对阿曼苏丹国抚养被诊断为 ASD 儿童的母亲的父母压力预测模型进行测试。研究目的:本研究探讨了心理健康、父母负担和附属机构污名对养育压力的预测作用。研究还考察了自我同情的中介作用以及应对策略和社会支持在这些潜在预测因素和养育压力之间的调节作用。结果显示结果显示,附属机构污名化和父母负担是父母养育压力的重要预测因素。自我同情部分调节了心理健康、父母负担和养育压力之间的关系。讨论的意义在于支持计划和干预措施,以帮助这些母亲应对压力,并最终改善 ASD 儿童家庭的生活质量。结论:研究结果强调了解决父母的负担和耻辱感对支持父母和促进家庭幸福的重要性。
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引用次数: 0
The effect of text genre multiliteracy learning models and learning motivation on inspirational story writing learning outcomes of ninth graders at SMP negeri 1 Kwandang 文本体裁多元识字学习模式和学习动机对SMP negeri 1 Kwandang九年级学生励志故事写作学习成果的影响
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1337
Pertiwi Salama, Asna Ntelu, Herson Kadir
This research is aimed at analyzing (1) different effects of the uses of text genre multiliteracy and conventional learning models on inspirational story writing learning outcomes of ninth graders SMP Negeri 1 Kwandang and (2) the effect of interaction between the text genre multiliteracy learning model and learning motivation on inspirational story writing learning outcomes of ninth graders SMP Negeri 1 Kwandang. This experimental research used a 2 × 2 factorial design. Instruments to measure motivation and learning outcomes were questionnaires and a competency test, respectively. The data analysis technique was two-way ANOVA. Results demonstrated (1) significantly different effects between text genre multiliteracy and conventional learning models on inspirational story writing learning outcomes at a p-value of 0.000 < 0.05. The group using the text genre multiliteracy learning model scored higher (better) compared to that using a conventional one at a mean difference of 10.7 and (2) a significant effect of interaction between the text genre multiliteracy learning model and learning motivation on inspirational story writing learning outcomes at a p-value of 0.014 < 0.05.
本研究旨在分析(1)使用文本体裁多元识字学习模式和传统学习模式对九年级SMP Negeri 1 Kwandang学生励志故事写作学习成果的不同影响,以及(2)文本体裁多元识字学习模式和学习动机之间的交互作用对九年级SMP Negeri 1 Kwandang学生励志故事写作学习成果的影响。本实验研究采用 2 × 2 因式设计。测量学习动机和学习成果的工具分别是调查问卷和能力测试。数据分析采用双向方差分析。结果表明:(1) 文本体裁多元素养学习模式和传统学习模式对励志故事写作学习效果的影响存在明显差异,P 值为 0.000 < 0.05。使用文本体裁多元识字学习模式的小组与使用传统学习模式的小组相比得分更高(更好),平均相差 10.7 分;(2) 文本体裁多元识字学习模式与学习动机之间的交互作用对励志故事写作学习效果有显著影响,P 值为 0.014 < 0.05。
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引用次数: 0
Bilateral aural myiasis in a 3-month-old infant in Pwani region, Tanzania: A case report 坦桑尼亚普瓦尼地区一名 3 个月大婴儿的双侧耳廓肌炎:病例报告
Pub Date : 2024-07-30 DOI: 10.30574/ijsra.2024.12.2.1190
Jane John Bazilio, Umar Ayoub Said, Joseph Dutuy Deus
Myiasis is a rare clinical condition caused by the larvae of Diptera. It is commonly seen in tropical and sub-tropical zones. The infestation of nose and ears can be extremely dangerous if the larvae destroy the bone and penetrate into the brain affecting the central nervous system. The objective is to report the case of a 3-month infant who was diagnosed to have bilateral aural myiasis at Tumbi Referral Regional Hospital in Tanzania, two maggots were removed one from each ear and the patient was treated with appropriate antibiotics.
蝇蛆病是由双翅目幼虫引起的一种罕见的临床疾病。它常见于热带和亚热带地区。如果幼虫破坏骨骼并侵入大脑,影响中枢神经系统,那么鼻腔和耳朵的感染就会非常危险。本研究旨在报告坦桑尼亚通比地区转诊医院的一例病例,一名 3 个月大的婴儿被诊断患有双侧耳廓蕈蚊病,医生从两只耳朵中各取出一只蛆虫,并用适当的抗生素对患者进行了治疗。
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引用次数: 0
期刊
International Journal of Science and Research Archive
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