Digital Commons Network^™

Singapore Convention: Should Indonesia Ratify It?, Ahmad Rifa'i, Dimas Ramadhansyah

Indonesian Journal of International Law

As cross-border trading develops, there is an increasing need for an effective dispute resolution system to solve disputes on business transactions. Mediation is a well-established method of efficient alternative dispute resolution that was recently internationally recognized under a specific treaty. The United Nations General Assembly took a resolution to adopt the United Nations Convention on International Settlement Resulting from Mediation (“Singapore Convention”). The Indonesian government has tried to boost foreign investment, but such efforts have been delayed due to a legal enforcement issue, which requires a legal reform to provide certainty for investors by providing a seamless and internationally recognized …

Implementation Of Iso 14001 Standard By World Trade Organization (Wto) Based On Technical Barriers To Trade (Tbt) Agreement And Its Practices In Indonesia, Ferdi Ferdi

Indonesian Journal of International Law

The implementation of the ISO 14001 standard by the World Trade Organization (WTO) has been regulated in the Technical Barriers to Trade (TBT) Agreement (Annex 1A WTO). ISO 14001 is an Environmental Management Standard (EMS) issued by the International Organization for Standardization (ISO). ISO is one of the organizations that determine the international standard. The standard set by ISO has been utilized to equalize the standard of the WTO members in world trade (Preamble TBT Agreement). The WTO is an international organization regulating world trade to ensure it flows smoothly. TBT oversees that the technical regulations and standards, including packaging, …

Chromium And Cobalt In Leather: A Danish Market Survey, Mikkel Bak Jensen, Farzad Seyed-Alinaghi, Ivan Chen, Jonas F. Hedberg, Yolanda S. Hedberg, Claus Zachariae, Jeanne Duus Johansen

Chemistry Publications

Introduction

Leather has been a significant source of chromium (Cr) allergy in Denmark since the 1990s. More recently, cobalt (Co) allergy has been identified in leather as a source of allergic contact dermatitis.

Objectives

To measure Cr and Co levels in Danish leather goods.

Methods

A total of 87 leather samples were collected, all tanned in Europe. Handheld X-ray fluorescence (XRF) device was used to screen for the presence of Cr and Co. The 20 leather samples with the highest concentrations of Co and Co were tested using International Organization for Standardization (ISO)-standards.

Results

XRF analysis showed Cr in 78/87 …

Development And Implementation Of An Emergency Preparedness Policy And Procedure, Educational Intervention, And In-Situ Simulation In A Pediatric Primary Care Office: A Quality Improvement Project, Kaitlin Patel

Doctor of Nursing Practice Scholarly Projects

Background. Pediatric primary care offices are frequently unprepared to respond to clinical emergencies that may present to or occur at their site. The purpose of this project was to improve office emergency preparedness at a pediatric primary care office to align with the American Academy of Pediatrics policy statement for pediatric office emergency preparedness.

Methods. A PRISMA-guided literature review found support for both educational interventions and in-situ simulation to improve aspects of emergency preparedness. The aim of this project was to develop a practice-specific emergency preparedness policy and procedure and implement a training and in-situ simulation to increase medical and …

Development And Validity Of The 'Modified Mediterranean Prime Screen' To Assess Dietary Intake Among Women Of Reproductive Age In Lebanon, Mariam Assaad, Sara Ajjour, Maya Rahme, Laila Al-Shaar, May Sakr, Hala Ghattas Ph.D., Ghada El-Hajj Fuleihan, Jana Jabbour

Faculty Publications

The Mediterranean Region registers an increasing prevalence of obesity. The region lacks a diet screener to assess obesogenic nutrients. This study aimed to evaluate the reproducibility and validity of the Modified Mediterranean Prime Screen (MMPS) in estimating obesogenic nutrients' intake among women of reproductive age, as compared with a culturally validated Food Frequency Questionnaire (FFQ), in Lebanon. We developed the MMPS consisting of thirty-two food/beverage items specific to the Lebanese Mediterranean culture. The MMPS and FFQ were administered in two visits (2 weeks-6 months apart), face to face and via telephone during the coronavirus disease 2019 pandemic. The reproducibility and …

A Comparison Between Inverse-Planning Imrt Versus Forward-Planning Imrt For Left-Sided Breast Cancer With Breath Hold Technique, Dien Tran

Masters Projects

Abstract

Introduction:

Radiation therapy using tangential fields is a common treatment for breast cancer, targeting the tumor while reducing radiation exposure to surrounding healthy tissues such as the heart and lungs. Forward-planned "field-in-field" IMRT (FP-IMRT) is widely used for its ability to provide uniform dose distribution and spare normal tissue, despite requiring high planning skill and time. Inverse-planning IMRT (IP-IMRT) offers better conformal dose to targets with reduced planning variability and time. This study compares FP-IMRT and IP-IMRT in left-sided breast cancer patients using the deep inspiration breath hold (DIBH) technique.

Method:

A retrospective analysis was conducted on 10 patients …

Real-World Effectiveness And Tolerability Of Interferon-Free Direct-Acting Antiviral For 15,849 Patients With Chronic Hepatitis C: A Multinational Cohort Study, Fanpu Ji, Sally Tran, Eiichi Ogawa, Chung-Feng Huang, Takanori Suzuki, Yu Jun Wong, Hidenori Toyoda, Dae Won Jun, Liu Li, Haruki Uojima, Akito Nozaki, Makoto Chuma, Cheng-Hao Tseng, Yao-Chun Hsu, Masatoshi Ishigami, Takashi Honda, Masanori Atsukawa, Hiroaki Haga, Masaru Enomoto, Huy Trinh, Carmen Monica Preda, Phillip Vutien, Charles Landis, Dong Hyun Lee, Tsunamasa Watanabe, Hirokazu Takahashi, Hiroshi Abe, Akira Asai, Yuichiro Eguchi, Jie Li, Xiaozhong Wang, Jia Li, Junping Liu, Jing Liang, Carla Pui-Mei Lam, Rui Huang, Qing Ye, Hongying Pan, Jiajie Zhang, Dachuan Cai, Qi Wang, Daniel Q Huang, Grace Wong, Vincent Wai-Sun Wong, Junyi Li, Son Do, Norihiro Furusyo, Makoto Nakamuta, Hideyuki Nomura, Eiji Kajiwara, Eileen L Yoon, Sang Bong Ahn, Koichi Azuma, Kazufumi Dohmen, Jihyun An, Do Seon Song, Hyun Chin Cho, Akira Kawano, Toshimasa Koyanagi, Aritsune Ooho, Takeaki Satoh, Kazuhiro Takahashi, Ming-Lun Yeh, Pei-Chien Tsai, Satoshi Yasuda, Yunyu Zhao, Yishan Liu, Tomomi Okubo, Norio Itokawa, Mi Jung Jun, Toru Ishikawa, Koichi Takaguchi, Tomonori Senoh, Mingyuan Zhang, Changqing Zhao, Raluca Ioana Alecu, Wei Xuan Tay, Pooja Devan, Joanne Kimiko Liu, Ritsuzo Kozuka, Elena Vargas-Accarino, Ai-Thien Do, Mayumi Maeda, Wan-Long Chuang, Jee-Fu Huang, Chia-Yen Dai, Ramsey Cheung, Maria Buti, Junqi Niu, Wen Xie, Hong Ren, Seng Gee Lim, Chao Wu, Man-Fung Yuen, Jia Shang, Qiang Zhu, Yoshiyuki Ueno, Yasuhito Tanaka, Jun Hayashi, Ming-Lung Yu, Mindie H Nguyen

Faculty, Staff and Student Publications

BACKGROUND AND AIMS: As practice patterns and hepatitis C virus (HCV) genotypes (GT) vary geographically, a global real-world study from both East and West covering all GTs can help inform practice policy toward the 2030 HCV elimination goal. This study aimed to assess the effectiveness and tolerability of DAA treatment in routine clinical practice in a multinational cohort for patients infected with all HCV GTs, focusing on GT3 and GT6.

METHODS: We analyzed the sustained virological response (SVR12) of 15,849 chronic hepatitis C patients from 39 Real-World Evidence from the Asia Liver Consortium for HCV clinical sites in Asia Pacific, …

Metal Pneumonitis From “Non-Toxic” Decorative Cake Dust Aspiration: A Case Report, Taylor Sanders, Mitchell Hymowitz, Christine Murphy

School of Medicine Faculty Publications

Introduction: Metallic luster dusts are decorative agents for cakes and other confections. While some powders are labeled “non-edible,” they are also marketed as “non-toxic.” We present a case of a child who developed acute metal pneumonitis after accidental aspiration of metallic luster dust. Case Report: A four-year-old presented to the emergency department (ED) in respiratory distress after attempting to ingest gold decorative metallic luster dust. In the ED she was placed on supplemental oxygen. Her initial chest radiograph (CXR) was unremarkable. Her condition worsened despite high-flow nasal cannula oxygen, and she was intubated. A repeat CXR revealed patchy perihilar and …

Using Item Response Theory To Identify Key Symptoms Of Insomnia In A Sample Of University Students With Probable Eating Disorders, Kara A. Christensen Pacella, Brianne N. Richson, Nicole A. Short, Angeline R. Bottera, Leah A. Irish, Victoria L. Perko, Kelsie T. Forbush

Psychology Faculty Research

Purpose

Researchers have theorized that interactions between appetitive and circadian disruptions result in increased eating disorder (ED) symptoms and insomnia. However, it is unclear how specific insomnia symptoms present among people with EDs and if the latent structure of insomnia in this population is similar to that of people with insomnia disorder.

Methods

We conducted a secondary analysis of data collected on ED and insomnia symptoms using a subset of students with probable EDs at a large Midwestern American university. Item response theory (IRT) for polytomous items was performed to identify item difficulty, discrimination, and information parameters for the Insomnia …

Penetapan Pengampuan Berdasarkan Putusan Mk No. 93/Puu-Xx/2022 Dan Uu No. 17 Tahun 2023 Tentang Kesehatan, Sisilya -, Lauditta Humaira, Iffah Karimah

Lex Patrimonium

Curatele is a legal determination applied to individuals unable to manage their own needs and interests, designates them as legally incompetent. Despite its intent, the curatele system faces challenges due to misuse, resulting in violations of the rights of those placed under curatele. Governed by Article 433 of the Civil Code, curatele underwent significant changes following Constitutional Court Decision No. 93/PUU-XX/2022. This decision rendered curatele is now no longer a necessity, but rather can be, for individuals with conditions such as dungu, sakit otak, and mata gelap, provided these conditions aren't interpreted as indicative of mental or …

Integrated Multi-Omics Analysis Of Cerebrospinal Fluid In Postoperative Delirium, Bridget A. Tripp, Simon T. Dillon, Min Yuan, John M. Asara, Sarinnapha M. Vasunilashorn, Tamara G. Fong, Sharon K. Inouye, Long H. Ngo, Edward R. Marcantonio, Zhongcong Xie, Towia A. Libermann, Hasan H. Otu

Department of Electrical and Computer Engineering: Faculty Publications

Preoperative risk biomarkers for delirium may aid in identifying high-risk patients and developing intervention therapies, which would minimize the health and economic burden of postoperative delirium. Previous studies have typically used single omics approaches to identify such biomarkers. Preoperative cerebrospinal fluid (CSF) from the Healthier Postoperative Recovery study of adults ≥ 63 years old undergoing elective major orthopedic surgery was used in a matched pair delirium case–no delirium control design. We performed metabolomics and lipidomics, which were combined with our previously reported proteomics results on the same samples. Differential expression, clustering, classification, and systems biology analyses were applied to individual …

Obstetric Education For Critical Care Nurses, Anna Forberg

DNP Projects

Background The purpose of this study was to educate ICU nurses on the care of obstetric women in critical care through the use of a toolkit with intentions to increase knowledge and confidence.

Method The toolkit was created via the platform WordPress™ and topics were chosen based on the most common admission diagnoses found during the literature review. Data were collected via forms manager and voluntary participation among ICU nursing staff was obtained.

Results Mean scores from the pretest to the post-test showed improvement from 7.08 to 8.50 and the minimum and maximum scores increased from pretest to post-test supporting …

A Theory Of Innovation Diffusion: A Simulation Study, Chiquan Guo, Sudipto Sarkar, Sergio Garcia, Russell Adams

Marketing Faculty Publications

This study uses the agent-based modeling technique to discover propositions on innovation diffusion that are empirically testable. It finds the adoption rate is positively related to (1) the size of the population, (2) the degree of heterogeneity in consumer learning in the population, (3) the degree of heterogeneity in consumer innovativeness in the population, and (4) the fit-in- desire in the population for innovation. This research adds insights to the innovation diffusion literature and lays the groundwork for future empirical research.

Rapid Response Team Debrief Restructure And Pause: A Quality Improvement Pilot Project, Yannick Odiete

All Publications

No abstract provided.

Implementing Evidence-Based Practices In Nursing: A Focus On Bedside Shift Reporting, Lourdes Castaneda, Diane Kramer, Shelli Chernesky, Lisette Hurtado, Catherina Chang Martinez, Harold Girado, Yessenia Muniz

All Publications

No abstract provided.

Nucleolytic Processing Of Abasic Sites Underlies Parp Inhibitor Hypersensitivity In Alc1-Deficient Brca Mutant Cancer Cells, Natasha Ramakrishnan, Tyler M Weaver, Lindsey N Aubuchon, Ayda Woldegerima, Taylor Just, Kevin Song, Alessandro Vindigni, Bret D Freudenthal, Priyanka Verma

2020-Current year OA Pubs

Clinical success with poly (ADP-ribose) polymerase inhibitors (PARPi) is impeded by inevitable resistance and associated cytotoxicity. Depletion of Amplified in Liver Cancer 1 (ALC1), a chromatin-remodeling enzyme, can overcome these limitations by hypersensitizing BReast CAncer genes 1/2 (BRCA1/2) mutant cells to PARPi. Here, we demonstrate that PARPi hypersensitivity upon ALC1 loss is reliant on its role in promoting the repair of chromatin buried abasic sites. We show that ALC1 enhances the ability of the abasic site processing enzyme, Apurinic/Apyrimidinic endonuclease 1 (APE1) to cleave nucleosome-occluded abasic sites. However, unrepaired abasic sites in ALC1-deficient cells are readily accessed by APE1 at …

Dna Methylation Patterns In Umbilical Cord Blood From Infants Of Methadone Maintained Opioid Dependent Mothers, Oluwatobi Adegboyega, Suhita Gayen Nee' Betal, Pedro Urday, Rachel Huang, Katherine Bodycot, Huda Al-Kouatly, Kolawole Solarin, Joanna Chan, Sankar Addya, Rupsa Boelig, Zubair Aghai

Department of Pediatrics Faculty Papers

Methadone maintenance treatment for opioid dependent mothers is standard of care. Infants of methadone maintained opioid dependent (MMOD) mothers have better outcomes compared to infants of opioid dependent mothers without treatment. However, when compared to non-exposed infants, infants of MMOD mothers are associated with worse outcomes. We conducted a pilot study to examine genome wide differential DNA methylation using cord blood samples from sixteen term and near-term infants of MMOD and opioid naïve mothers, excluding Infants with chorioamnionitis. A total of 152 differentially methylated loci were identified at a difference >  + 2, < - 2 and p-value < 0.05. There were 90 hypermethylated loci (59 annotated genes) and 62 hypomethylated loci (38 annotated genes) observed. The hypermethylated and hypomethylated DNA changes involved multiple genes, pathways and networks that may explain some of the changes seen in infants of MMOD mothers. Top hypermethylated and hypomethylated genes involved areas of cell growth, neurodevelopment, vision and xenobiotic metabolism functions. Our data may explain the role of key pathways and genes relevant to neonatal outcomes seen from methadone exposure in pregnancy. Functional studies on the identified pathways and genes could lead to improved understanding of the mechanisms and identify areas for intervention.

Arlener Golphin

African American Funeral Programs

No abstract provided.

Demystifying The Virtualization Process: A Call For Standard Reporting Of Virtual Modifications To Evidence-Based Psychotherapies, Using The Frame Model, Derrecka M Boykin, Tracey L Smith, Barbara Rakel, Merlyn Rodrigues, Jennie Embree, Ken Woods, Angelic D Chaison, Lilian Dindo

Faculty, Staff and Students Publications

The sudden onset of the coronavirus disease led to a rapid expansion of video telehealth to deliver mental healthcare. Although video telehealth was not a new clinical practice, there was limited guidance on how best to modify evidence-based psychotherapies (EBPs) for virtual delivery (a process also referred to as virtualization). The virtualization process for EBPs remains unclear as newly emerging reports on this topic do not consistently report modification decisions. This commentary calls attention to the need to improve documentation practices to allow a greater understanding of modifications needed to maximize the positive effects of EBPs transported to a virtual …

Social Marketing And The Challenges Of Participant Recruitment, Tom Baranowski, Teresia M O'Connor, John A Jimenez-Garcia, Kavita Radhakrishnan, Elva M Arrendondo, Debbe Thompson

Children’s Nutrition Research Center Staff Publications

Recruitment of research participants often has not obtained a desired sample size, thereby becoming a major problem inhibiting investigators' ability to adequately test the specified hypotheses. Social marketing with its four Ps, originally developed by the business world to sell products and adapted for public health initiatives, is proposed as a dynamic comprehensive conceptual framework to apply marketing principles and practices to enhance participant recruitment. Applying a social marketing approach to research recruitment would require initial investigation to understand the motivations of the target audience in regard to research participation, and continued research throughout the main project to adapt the …

Using Real Patients In Physical Therapy Didactic Education: A Mixed-Methods Investigation, Stacia Hall Thompson, Mary Shotwell, Hina Garg, Michelle Webb

Internet Journal of Allied Health Sciences and Practice

Purpose: Physical therapy educators use various strategies to promote student learning. One such way is to use real patients (RP) in the classroom to learn course material during simulation-based learning experiences (SLE). This study aimed to identify student physical therapist (SPT) perceptions regarding value, satisfaction, and confidence with SLE using RP, explore SPT perceptions and lived experiences regarding RP use in SLE during didactic physical therapy education, and determine differences in value, satisfaction, and confidence in cognitive, affective, and psychomotor learning domains based on demographic variables. Methods: The study used a convergent parallel mixed-methods design to simultaneously gather quantitative (survey) …

Monkeypox Presenting As Periorbital Cellulitis: A Case Report, Unaiza Batool, Fahad S. Siddiqui, Jessika Sanz, Shoaib Siddiqui

GME Publications

Monkeypox, a viral disease caused by the monkeypox virus is well known for its characteristic rash with macular, papular, and vesicular stages. Although the skin is one of the most affected organs by monkeypox, the virus can also impact the respiratory, ophthalmologic, genitourinary, and gastrointestinal systems, among others. It is extremely common for the disease to begin with flu-like symptoms in the prodromal phase before cutaneous manifestations emerge. Here, we describe a unique case of monkeypox infection in which a patient first presented with periorbital cellulitis before any characteristic skin findings appeared. The source of the infection was unknown and …

Workplace Violence: Clinical Nurse Impacts Feeling Safe Through Evidence-Based Practice, Kristy Perez

All Publications

No abstract provided.

Phase Ii Basket Trial Of Dual Anti-Ctla-4 And Anti-Pd-1 Blockade In Rare Tumors (Dart) Swog S1609: Adrenocortical Carcinoma Cohort, Sandip P Patel, Megan Othus, Young Kwang Chae, Tridu Huynh, Benjamin Tan, Timothy Kuzel, Christine Mcleod, Gabby Lopez, Helen X Chen, Elad Sharon, Howard Streicher, Christopher W Ryan, Charles Blanke, Razelle Kurzrock

2020-Current year OA Pubs

OBJECTIVES: Multiple common cancers benefit from immunotherapy; however, less is known about efficacy in rare tumors. We report the results of the adrenocortical carcinoma cohort of NCI/SWOG S1609 Dual Anti-CTLA-4 and Anti-PD-1 blockade in Rare Tumors.

DESIGN/SETTING: A prospective, phase 2 clinical trial of ipilimumab plus nivolumab was conducted by the SWOG Early Therapeutics and Rare Cancers Committee for multiple rare tumor cohorts across >1,000 National Clinical Trial Network sites.

PARTICIPANTS: 21 eligible patients were registered. Median age was 53 years (range 26-69); 16 (76%) were women.

INTERVENTIONS: Ipilimumab 1 mg/kg intravenously every 6 weeks with nivolumab 240 mg intravenously …

Demystifying The Virtualization Process: A Call For Standard Reporting Of Virtual Modifications To Evidence-Based Psychotherapies, Using The Frame Model, Derrecka M Boykin, Tracey L Smith, Barbara Rakel, Merlyn Rodrigues, Jennie Embree, Ken Woods, Angelic D Chaison, Lilian Dindo

Faculty, Staff and Students Publications

The sudden onset of the coronavirus disease led to a rapid expansion of video telehealth to deliver mental healthcare. Although video telehealth was not a new clinical practice, there was limited guidance on how best to modify evidence-based psychotherapies (EBPs) for virtual delivery (a process also referred to as virtualization). The virtualization process for EBPs remains unclear as newly emerging reports on this topic do not consistently report modification decisions. This commentary calls attention to the need to improve documentation practices to allow a greater understanding of modifications needed to maximize the positive effects of EBPs transported to a virtual …

An Executive Summary On The Global Conceptual Definition Of Sarcopenia, Ben Kirk, Ellen F Binder, Et Al.

2020-Current year OA Pubs

No abstract provided.

Human Capital Development And Industrial Sector Growth In Sub Saharan African Countries. An Augmented Pooled Mean Group Estimator, Enongene Betrand Ewane, Etah Ivo Ewane

Arab Economic and Business Journal

Human capital is considered a vital catalyst for industrial sector growth. However, the lack of relevant skills and technical expertise can be a great setback to industrial growth. Thus, this study aimed to examine the effect of human capital development on industrial sector growth in Sub Saharan African (SSA) countries. The study makes use of World Bank data from 1972 to 2021 using a heterogeneous dynamic panel modeling. Due to cross-sectional dependence, both the first and second-generation unit root tests were examined in the study showing evidence of mixed order of integration. The study employed other econometric methods in the …

Motivation In Entrepreneurship: A Guarantee Of Entrepreneurial Success, Mayela Del Rayo Lechuga-Nevárez

Arab Economic and Business Journal

Amid the complex social and economic environment, motivation in entrepreneurs is vital. Thus, this study aims to analyze motivation as an essential element in entrepreneurship in the city of Victoria de Durango, Dgo. A quantitative method with a cross-sectional scope and a questionnaire were used. The study employed a non-probabilistic convenience sampling, considering the characteristics of the sample, which was determined following the inclusion criterion which is entrepreneurship from the city of Victoria de Durango. A total of 100 entrepreneurs from a population of 134 were studied. The findings of the study showed that motivation has a significant impact on …

Factors Affecting Adoption Of Cooking Gas In Ilorin Metropolis, Nigeria, Muhammad-Bashir Owolabi Yusuf, Ridwan Olabisi Yusuff, Dauda Ishola Jimoh

Arab Economic and Business Journal

This research delved into the influencing factors behind the adoption of cooking gas in the Ilorin metropolis. The primary aim was to investigate the growing trend of adopting cooking gas in this area. The study utilized Binary Logistic Regression as its analytical method to assess the relationships between various variables. The findings unveiled several key insights. Firstly, there exists a noteworthy negative correlation between the age of households and their inclination toward adopting cooking gas (0.641, p < 0.05). On the other hand, the level of education displayed a positive but insignificant association with gas adoption. Factors like Family Size, Occupation, Safety, and the Availability of other energy sources demonstrated a positive yet insignificant correlation with the adoption of cooking gas. Notably, household income exhibited a statistically significant positive relationship with cooking gas adoption (1.547, p < 0.05). Conversely, the presence of gas shops showed an insignificant positive relationship with households' decisions to adopt cooking gas. Moreover, the level of awareness and social influence exhibited insignificant negative associations with households' decisions to adopt cooking gas. Aligned with these findings, the study proposes recommendations for action. It suggests that the Nigerian government should focus on elevating educational standards and promoting an improved quality of life to incentivize fuel substitution. This shift can lead to more efficient energy usage and mitigate adverse environmental, social, and health impacts. This approach can significantly reduce wood energy consumption, subsequently relieving pressure on wood resources and aiding in the effort to combat deforestation.

“Ain’T Nuthin Wrong With Being A Trojan Man”: Discourse On Safe-Sex In Rap Music, 1985-1995, Christopher D. Rounds, Kareem R. Muhammad

Journal of Hip Hop Studies

This essay methodically tracks references to safe-sex in rap music and analyzes their implications. Reviewing over 3,000 songs from 1985 to 1995, the authors found that the tone and messages of these references differed substantially. While many artists celebrated risky and indiscriminate sexual behavior– their work marred by a misogny and homophobia that often stigmatized persons living with sexually transmitted diseases (STDs)– many other artists portrayed safe-sex in a positive light, either as a responsible approach to sexual behavior, or as a pragmatic tool of urban survival. These songs normalized the use of condoms, and educated listeners by raising awareness …