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Outcomes of antibiotic therapy and transvaginal ultrasound-guided efficacy of transvaginal ultrasound-guided drainage in treating tubo-ovarian abscesses: Three case reports
No full textBackground: To introduce minimally invasive methods for the successful treatment of tubo-ovarian abscesses (TOAs), an antibiotic regimen was considered the first line of treatment. However, in some cases, this approach fails, and another intervention (laparotomy or minimally guidance drainage) is required.
Case Presentations: 3 women with a history of long-time infertility, all of them were candidates for in vitro fertilization referred to the obstetrics and gynecology department with similar manifestations. For these 3 cases (30–40 yr) the first approach was a broad-spectrum antibiotic therapy. In 2 cases the last step in treatment was transvaginal ultrasound guidance drainage, and in one case laparotomy was done after antibiotic regimen failure; however, in all of 3 cases the best results were seen in transvaginal ultrasound guidance drainage.
Conclusion: Patients who have ovarian endometrioma and undergo an assisted reproductive technology cycle, as well as ovum pick up, increase the possibility of TOA occurrence in them. The use of transvaginal ultrasound guidance drainage approach for the treatment of TOA in selective cases, in addition to broad-spectrum antibiotics in patients might reduce their need for invasive treatment with laparotomy
Assessing psychological health and reproductive function: Depression, anxiety, and stress in infertile men compared to controls: A case-control study
No full textBackground: With the increasing prevalence of infertility and its links to depression, anxiety, and stress, it is essential to compare these mental health levels between infertile men and a control group.Objective: This study aimed to compare depression, anxiety, and stress among infertile and fertile men. Also, assessing demographic factors affecting these challenges among both groups.Materials and Methods: This case-control study was conducted on 120 men at Milad Infertility Research Center, Mashhad, Iran from January 2023 to February 2023. Participants were divided into 2 groups: 60 infertile men and 60 healthy men who did not have fertility problems. Demographic information such as age, education, occupation, duration of the marriage, and duration of infertility was collected from their medical records, and they also completed the depression, anxiety, and stress scale 21 questionnaire through a telephonic interview. Finally, the findings were statistically analyzed.Results: Severe and very severe depression, anxiety, and stress were observed in 65%, 60%, and 43.4% of infertile men and 16.7%, 23.3%, and 11.7% of fertile men, respectively. Which was significantly more than the fertile group, and there was a significant relationship between depression (p ≤ 0.001), anxiety (p = 0.001), stress (p ≤ 0.001), and infertility. Also, a significant relationship was observed between the duration of infertility and depression (p = 0.031).
Conclusion: Our study found infertile men had higher stress, anxiety, and depression than the control group. Limitations included phone-based data collection and the depression, anxiety, and stress scale 21 questionnaire’s screening nature. Future studies should involve larger populations and consider economic status as a variable related to mental health
Corrigendum to “For Love, Money and Status, or Personal Growth? A Survey of Young Emirati Women’s Educational Aspirations” [GESPR 1(1) (2020) 73–90]
No full textThis is a Corrigendum and does not have an abstract. Please download the PDF or view the article in HTML
Mechanism of Goods and Services Procurement Implementation from the Perspective of Legal Certainty in Natuna Police Station
No full textThe procurement of government goods and services is an integral part of state financial management, which must be carried out in a transparent, efficient, and accountable manner to support the performance of public services. In the context of law enforcement agencies, such as the National Police, procurement plays an important role in supporting institutional operations, especially in strategic areas such as the Natuna Police in border areas. However, in practice, procurement implementation often faces various administrative, technical, and structural obstacles that have implications for legal certainty. This research aims to analyze the mechanism for implementing the procurement of goods and services at the Natuna Police Station from the perspective of legal certainty, as well as identify inhibiting factors and efforts to strengthen them. This study uses an empirical juridical approach using a qualitative method. The approach used includes a statute approach to analyze applicable regulations, a case approach to procurement practices at the Natuna Police Station, and a conceptual approach to understanding relevant legal principles. Data were obtained through interviews, observations, and the study of documents and regulations related to the implementation of procurement. The theories used as knives for analysis are Sudikno Mertokusumo’s Legal Certainty Theory and Lawrence M. Friedman’s Legal System Theory. The results show that although the Natuna Police has referred to Presidential Regulation No. 16/2018 and internal police regulations, there are still structural constraints, unsynchronized regulatory substances, and a weak culture of legal compliance. Therefore, strengthening the supervisory system, digitizing procurement, and increasing the capacity of human resources are important steps in ensuring legal certainty in the implementation of procurement
The Role of Social Capital in the Sustainability of Tourism Villages: A Case Study of Cibuntu Village
No full textThis study aims to understand the role of social capital in supporting the Cibuntu Tourism Village in Purwakarta, West Java. A qualitative approach, employing a case study method, was used to explore the social, cultural, and economic dynamics within the tourism village. Data were collected through semi-structured interviews with 12 key informants, participant observation, and documentary studies, and then analyzed using thematic analysis techniques. The study’s results revealed three main themes: the practice of cooperation as a collective mechanism for managing tourism villages, trust as a pillar of transparent and participatory governance, and the erosion of social capital that weakens identity and undermines local culture. This social capital allows communities to manage local resources independently and survive challenges, including the COVID-19 pandemic. In addition, social capital serves as a tool of resistance to external interventions that are not in line with the village’s values and character. In conclusion, social capital is an essential foundation for the aspirations of Cibuntu Tourism Village. It is recommended that strengthening social capital be achieved through community capacity training, transparency in governance, partnership development, and preservation of culture and the environment, so that this tourism village can continue to develop sustainably
Rural Tourism Development Through Entrepreneurial Training: Lessons from the Bidayuh Indigenous Community
No full textThis study explores the training needs of rural tourism entrepreneurs within the Bidayuh indigenous community in Serian, Malaysia. While rural tourism provides a valuable platform for indigenous communities to engage in sustainable development and cultural preservation, participation remains constrained by limited entrepreneurial capacity and contextual training opportunities. Grounded in Kolb’s Experiential Learning Theory and Entrepreneurial Learning Theory, this research investigates how training experiences influence rural entrepreneurship and tourism practices among the Bidayuh. A qualitative multiple case study approach was employed, involving focus group discussions across five villages. Participants were selected based on their active involvement in homestays, eco-tourism, and cultural tourism initiatives. Findings reveal that while participants benefited from training in hospitality, safety, and tourism management, challenges such as low literacy, digital access barriers, and language difficulties hindered full application. Motivations for training participation included economic advancement, service quality improvement, and regulatory compliance. However, current training programs often fail to consider local realities, cultural values, and experiential learning preferences. Participants emphasized the importance of hands-on learning, peer mentoring, and culturally relevant content. This study recommends community-driven, context-sensitive training that integrates mentorship and ongoing support networks. It also calls for inclusive strategies targeting women and youth and aligning training initiatives with local knowledge systems. The research contributes practical and theoretical insights to help policymakers, educators, and development agencies design more effective capacity-building programs. Ultimately, this work supports a more inclusive and sustainable rural tourism model that empowers indigenous communities economically and culturally
Managing Fear of Missing Out (FOMO) in Tourism Promotion: Digital Marketing Practices on Instagram @visitbangkabelitung_
No full textThis study aims to analyze the fear of missing out (FOMO)-based digital marketing strategy implemented by the official Instagram account (@visitbangkabelitung_) in promoting Bangka Belitung tourism. Using a qualitative case study approach, data were collected through semi-structured interviews with account managers, tourism office staff, and local practitioners, as well as observation of digital interactions and documentation of content. Thematic analysis was employed to identify narrative patterns, content strategies, and the relationship between FOMO and digital engagement. The findings reveal three main themes: the dominance of Reels as the primary content format, collaboration based on user-generated content (UGC) that enhances authenticity and audience reach, and visual narratives that emphasize the urgency and exclusivity of the destination. These approaches effectively enhanced engagement, stimulated visitation intention, and strengthened Bangka Belitung’s image as an exclusive destination. However, challenges emerged, including dependency on external collaborators, high resource demands for intensive posting, and risks of audience fatigue or oversaturation. Additionally, sustainability and cultural values were underrepresented in comparison to aesthetic appeal. The study contributes theoretically by extending the understanding of FOMO as a strategically curated mechanism in tourism marketing, while practically offering insights for integrating cultural and ecological narratives into FOMO-driven strategies. Policy implications underscore the need for tourism authorities to strike a balance between visual appeal and cultural and environmental education, ensuring that FOMO strategies not only prompt short-term visits but also cultivate long-term awareness and promote responsible tourism
Tuberculosis in Families: A Portrait of Family Resilience in Palembang City
No full textTuberculosis is a chronic infectious disease that not only impacts individuals but also places significant social, economic, and psychological pressure on family resilience. This study aims to understand the forms of resilience among families in Palembang City who have a family member with tuberculosis. Using a qualitative approach with a case study method, data were collected from two key informants, nine primary informants, and two supporting informants. The data were gathered through in-depth interviews, observation, and documentation. These results suggest that family resilience is formed through a gradual process, often beginning with conflict and pressure. In terms of their belief system, families initially faced internal conflicts such as shame and fear of stigma. However, they slowly developed a positive meaning for the disease, viewing it as a test of life, which was accompanied by optimism and strengthening spiritual beliefs. Regarding organizational patterns, families demonstrated flexibility in their roles despite limitations, maintained emotional connections even while practicing physical distancing, and adaptively utilized social and economic resources. Furthermore, in the communication process, families built clear and open communication, expressed emotions without assigning blame, and resolved problems through collective efforts. These findings are expected to serve as a reference for formulating policies and developing family-based intervention programs for managing tuberculosis in the community
How Accreditation Policies Can Contribute to Improving the Quality of Education: A Critical Discourse Analysis
No full textThis study aims to analyze the discourse on improving the quality of education through school accreditation policies from early childhood education (ECE) to higher education. This research is motivated by the discourse on the Sustainable Development Goals (SDGs) presented by the United Nations, with one of the areas of focus being the improvement of education quality. This study uses a qualitative approach with critical discourse analysis to examine the relationship between accreditation policies and political will within them. The study involves three educational institutions and accreditation policy documents that are analyzed using social justice theory. The results of this study indicate that accreditation policies aim to improve quality based on the scores obtained by educational institutions. The final results are used as guidelines to meet standards without considering other aspects that influence the assessment. The existence of accreditation policies can lead to social inequality due to the dominance of power that influences the implementation of accreditation in educational institutions
Interactions Between Education and Lifestyle in Diabetes Prevention in the United States
No full textEducational attainment is often associated with improved health outcomes. The purpose of this research is to explore whether lifestyle characteristics function as an intermediary mechanism that connects educational attainment with the likelihood of diabetes across the United States. The analysis relied on the 2015 Behavioral Risk Factor Surveillance System (BRFSS) dataset, which included 70,692 respondents as the primary source of information. Logistic regression analysis was applied to examine how education and lifestyle behaviors relate to diabetes prevalence. The results indicate that individuals with greater educational attainment generally exhibited lower rates of diabetes. Lifestyle factors were found to partially mediate this relationship, as individuals with more education showed a greater likelihood of engaging in health-promoting behaviors that decrease diabetes risk. These results underscore the significance of education as a crucial social factor influencing health outcomes. Public health approaches that combine education-based programs with practical lifestyle interventions may help lower diabetes risk nationwide. Further studies are needed to explore long-term impacts and to adapt interventions for at-risk groups