bluuebunny/crossref_metadata_2025 huggingface dataset:
Heart Failure Management: Data from a FADOI Survey among Campanian Internal Medicine Wards
Authors:   UOC Medicina Interna 3, AO Cardarelli, Napoli, Italy, F Gallucci
Published: December 2024

Background and Aims
Heart failure(HF), despite management and therapeutic progress,
still remains a syndrome with high prevalence and negative
prognosis.
Materials and Methods
In June 2024, we sent a questionnaire about HF management to
Campanian FADOI members; 32 of them answered it.
Results
Among hospitalized patients(pts), HF is present in ≤25%(15.6%);
25-50% (68.8%); >50%(15.6%). The most represented HF
is: HFrEF(37.4%); HFmrEF(18.8%); HFpEF(43.8%). Upon
admission, HF therapy is optimized in: <25%(37.4%); 25-
50%(56.3%) ; 51-75%(6.3%); >75%(0%). Pts undergo an
echocardiogram: In the Emergency Department(ED) and ward
(68.8%); only in the ward(31.2%). The chest ultrasound is
performed: only in ED(6.3%); never(12.5%); rarely(53.1%);
only in the ward(21.9%); in ED and ward(6.3%). The QoL
questionnaire is administered: Never(71.3%), rarely(28.1%).
Length of stay: 3-7 days(28.1%), 8-15 days(71.9%). Evaluation
of serum iron concentration is always performed(81.3%); only
occasionally(18.7%). Experience with the most recent drugs
for HF: No(3.1%), little(9.4%), only in monitored pts after
their discharge(31%), already during hospitalization(84.4%).
Residual congestion assessment at discharge is possible:
only clinically(3.1%); even with tools(12.5%); also with
biomarkers(12.5%); all modes(71.9%). Pts are discharched
with resolved congestion: satisfactory manner(96.9%);
unsatisfactory(3.1%). Pts discharged with already optimized
therapy: <25%(3.1%); 25-50%(18.8%); 51-75%(56.2%);
>75%(21.9%).
Conclusions
The survey shows a still uneven situation in the management of HF.
Mitigating Data Quality and Consistency Challenges in Multi-Source Ingestion through Schema Validation and Transformation Techniques
Authors:   USA, Garg Varun
Published: December 2024

Ensuring data quality and consistency across data intake from several sources presents a tremendous challenge for companies running large-scale
data platforms. These challenges are exacerbated by the numerous data forms—structured, semi-structured, unstructured—that come from many
sources—including relational databases, IoT devices, and APIs. Data variances, incompatible schemas, and quality issues cause poor analytics and
downstream decision-making. With an eye toward how schema validation and transformation techniques might assist address problems with data
quality and consistency across the pipeline, this paper looks at the primary challenges related to receiving multi-format data. We analyze schema
validation systems including Apache Avro, JSON Schema, and Protobuf with real-time transformation techniques applied using Apache Kafka,
Apache Spark, and AWS Glue. The limits of these techniques and future directions—such as AI-driven data validation and self-healing data pipelines
are also discussed at the end of this work.
Ebû İshâk el-İsferâyînî’nin Usûl Düşüncesi -Haber, İcmâ, İctihad ve Taklid Örneği-
Authors: Kılıç Halil
Published: December 2024

Ebû İshâk el-İsferâyînî (ö. 418/1027), Horasan Şâfiîliğinin önemli sima-larından olup ashâb-ı vücûhtan bir fakihtir. Irak’ta kelâm, fıkıh, fıkıh usûlü, hadis alanlarında önemli isimlerden eğitim almıştır. Nîsâbûr’a döndükten sonra kendisi adına yaptırılan medresede dersler vermiştir. Sonraki süreçte Şâfiîliğin seyrine etki eden Abdulkâhir el-Bağdâdî (ö. 429/1037-38), Ebü’t-Tayyib et-Taberî (ö. 450/1058), Ebü’l-Kâsım el-İskâf el-İsferâyînî (ö. 452/1060), Ebu’r-Rebî‘ Îlâkî (ö. 465/1073), Ebü’l-Kâsım el-Kuşeyrî (ö. 465/1072) gibi öğrenciler yetiştirmiştir. Önemli bir hadisçi ve Eş‘arî kelâmcı-sı olarak eserler telif etmiştir. Çoğunluğu günümüze ulaşmasa da bu eserler-den yapılan alıntılar sayesinde onun görüşlerini öğrenmekteyiz. Mu‘tezile’den etkilendiğine yönelik eleştirilmesine neden olan ve fıkıh usûlüne yansıyan görüşleri bulunmaktadır. Mütekellim bir usûlcü olmasına rağmen usûlde fukahâ yöntemini benimsemiş olması, onun görüşlerinin önemini daha da arttırmaktadır. Araştırmanın amacı; haber, icmâ, ictihad ve taklid konuları özelinde Ebû İshâk el-İsferâyînî’nin usûl düşüncesini orta-ya koymak ve Şâfiî mezhebi usûlüne yansımalarını tespit etmektir. Ülkemiz-de Ebû İshâk el-İsferâyînî’nin fıkıh usûlü düşüncesine dair müstakil bir ça-lışmanın bulunmaması dolayısıyla araştırmamızın onun hukukçuluğuna yönelik yapılacak çalışmalara katkı sağlayacağı kanaatindeyiz.
Pemanfaatan Plts Hybrid Dan Penguatan Manajemen Usaha Pokdarwis Banyu Biru Desa Gondangwetan, Jatikalen, Nganjuk
Authors: Nurohmah Hidayatul , Muzajjad Ach. , Ulum Miftachul , Cakra Buana Arya Sula , Andini Tarrisma Delvy , Latiana Eka , Ali Machrus
Published: December 2024

Manajemen Startegi bisnis, pembuatan dan realisasi Standar Operasional Prosedur (SOP), dan Inovasi Teknologi yang lebih efektif dan efisien sangat diperlukan untuk pembangunan masyarakat berkelanjutan. Pemandian Air Panas Alami Banyu Biru termasuk wisata religi denga rata-rata pengunjung 50-100 orang tiap hari Adanya Kelompok Sadar Wisata (Pokdarwis), Antusias warga terhadap perkembangan teknologi dan inovasi, dimungkinkan untuk pelatihan dan pendampingan. Pelatihan dan pendampingan sangat dimintai oleh peserta, ditunjukkan dengan antusiasnya peserta untuk langsung mempraktikan bahkan sampai menjelang malam hari setelah istirahat. Dari hasil pelatihan dan pendampingan, terjadi peningkatan 18,2% dibidang strategi bisnis, 21,8% dibidang pembuatan SOP, dan peningktan sebesar 31,5% dibidang rancang bangun PLTS. Unit usaha desawisata ini masih dalam tahap pengembangan dan perlu beberapa sentuhan pengetahuan dan teknologi untuk meningkatkan kinerja pengelola unit usaha ini
The Project LANGVET – IA: Conceiving Linguistic and Pedagogical Content with the Help of Artificial Intelligence Tools in the Field of Veterinary Medicine
Authors: VELESCU Elena , COGEANU-HARAGA Oana
Published: December 2024

The presentation of the ongoing project “Conceiving linguistic and pedagogical content using
artificial intelligence (AI) tools in the field of veterinary medicine”, funded by the Agence
Universitaire de la Francophonie and implemented by the University of Life Sciences “Ion
Ionescu de la Brad” in Iași, Romania, highlights the background, objectives, main strategies
and key objectives of an interdisciplinary international collaboration that strives to advance
foreign language education by developing AI-enabled content and tools for both teachers and
students.
Absenteeism of Supermarket Employees in Dapitan City
Authors: Maghinay Leonila C. , Bendanio Marie Lou S. , Bulagao Angel T. , Cal Analie E. , Mendoza Haidemy L.
Published: December 2024

This study aimed to look into the factors contributing to absenteeism and the absenteeism rate of employees among supermarket stores in Dapitan City during the calendar year of 2023–2024. The respondents of this study are the employees of the two selected supermarket stores in Dapitan City – a total of ten (10) respondents. More specifically, this study focused solely on the prominent supermarket stores in the aforementioned place with a population of not less than twenty (20) employees but not more than 60 employees. Moreover, this study has small number of respondents in compliance to the respondent’s right for voluntary participation. This study employed a mixed method approach, combining both quantitative and qualitative approaches, which utilized interviews supplemented by questionnaires with open-ended questions to explore the underlying factors influencing absenteeism. A quantitative approach was used to ascertain the respondents’ profile and in computing the absenteeism rates. Furthermore, a qualitative approach was used to gather information and insights into the factors contributing to absenteeism through interview. The study revealed that the majority of the surveyed supermarket employees fell within the age bracket of 23 to 27 years old, where most of them are female, already married, and classified as regular workers. When delving into the realm of absenteeism, it became evident that personal adversities emerged as the pervasive theme among the surveyed employees. These adversities encompassed health-related issues such as fever, tooth extraction, dysmenorrhea, and anxiety; crisis situations that includes childcare responsibilities, important things, emergency matters, personal problem and heavy rain or bad weather condition; and also, significant life events such as birthdays and burials. The study identified the highest absenteeism rate among the ten respondents to be 38.46%. This rate corresponded to an individual who had accumulated thirty absences out of seventy-eight scheduled working days. Additionally, upon categorizing respondents based on their number of scheduled working days, four out of the ten respondents exhibited the highest absenteeism rate of 5.13%. The study concluded that employees with fewer working days are more likely to have a higher absenteeism rate compared to those with more scheduled working days.
Sanitation and Safety in Food Vending Machines in a Public University: A Preliminary Study of Standards and Practices
Authors: Majid Ain Fatini , Ab Mulup Nor Amalina , Mohammed Farhanna , Baharuddin Azan Azuwan , Misebah Fatimah Azzahra' , Halim-Lim Sarina Abdul
Published: December 2024

The demand for vending machines has significantly increased in a current modern lifestyle with a tight schedule and limited time. However, there is a critical concern to guarantee buyers about the safety of foods and drinks sold in vending machines. Therefore, this research aimed to identify the level of quality and safety parameters of food and drink products sold in the vending machines with the application on mixed methodology. For the quantitative data, structured observations were conducted on 15 food-handlers of the vending machine located in a tertiary educational institution in Selangor, Malaysia. The key results showed that the awareness of food handlers regarding the safety and quality of vending machines in the institution is poor due to the lack of training in food safety and hygiene. Currently, the food handlers are usually based on their experience, logic and common sense because they did not have any Standard Operation Procedure (SOP) towards the vending machine. The critical criteria for vending machines, safety and quality are the cleanliness of the machine and the surroundings, the equipment used, the products, the replenishing staff, the vehicles and transportation and the location of the machine. This study shed light by providing information about food safety and quality of food handlers towards the vending machine. The study has provided information on practice and the knowledge of the food handlers and increases awareness of the critical practice required to be implemented. This study able to critically improve the current assessment form used by the government and offer a self-assessment tool for industry in order to develop a strategic plan for their food quality and safety program.
Analisis Optimasi Batas Usia Kerja Pada Kinerja Karyawan Produksi PT. SIMNU
Authors: Fitri Ria Nur , Arr Tryiis
Published: December 2024

Peran penting kondisi fisik prima dalam lingkungan kerja divisi produksi, yang sangat bergantung pada kemampuan fisik individu serta faktor usia dan pengalaman kerja dalam mempengaruhi produktivitas. Penelitian ini menggunakan pendekatan kualitataif dengan wawancara mendalam dan observasi langsung untuk mengeksplorasi dampak usia terhadap kinerja karyawan. Hasilnya menunjukan bahwa karyawan yang lebih tua cenderung mengalami penurunan produktivitas karena tantangan fisik dan tuntutanpekerjaan stabil. Namun, manajemen penempatan yang bijaksana, yang mempertimbangkan baik kemampuan individu maupun usia mereka, dapat mengatasi hambatan ini. Pendekatan manajemen yang tepat juga dapat membantu meningkatkan efisensi dan kinerja divisi produksi dengan menyeimbangkan distribusi tenaga kerja bedasarkan keterampilam dan kebutuhan fisik. Temuan ini memberikan wawasan berharga bagi manajemen sumber daya manusia dalam mengelola tenaga kerja yang beragam usia dan keterampilan, dengan fokus pada pengembangan kebijakan yang inklusif dan efektif untuk meningkatkan produktivitas kerja.
Analisis Komentar Pembeli Tentang Pelayanan Penjualan Material Bangunan Menggunakan Metode Naïve Bayes Pada PT. Bumi Indah
Authors: Tema Agustinus , Pati Gregorius Kopong , Sanga Felysitas Ema Ose
Published: December 2024

Analisis komentar adalah suatu teknik mengekstrak data teks untuk mendapatkan informasi tentang sentimen bernilai positif, netral maupun negatif. Tujuan analisis komentar diberikan oleh pengguna internet pada media sosial untuk memberikan suatu penilaian atau opini pribadi. PT. Bumi Indah  yang sering mendapatkan sentimen pengguna melalui media sosial adalah PT. Bumi Indah  . Adanya sentimen opini dari konsumen tentang Toko Paga Lewu dapat dianalisis dan dimanfaatkan untuk mendapatkan informasi yang berguna bagi pelanggan lain maupun pihak toko Toko Paga Lewu. Dengan menggunakan teknik Text Mining metode klasifikasi, akan diketahui suatu sentimen bernilai positif, netral atau negatif. Salah satu algoritme yang banyak digunakan dalam analisis sentimen adalah metode klasifikasi Naïve Bayes. Penelitian ini menggunakan metode Naïve Bayes Classifier (NBC) dengan pembobotan tf-idf disertai penambahan fitur konversi ikon emosi (emoticon) untuk mengetahui kelas sentimen yang ada dari tweet tentang toko PT. Bumi Indah  . Hasil penelitian menunjukkan bahwa metode Naïve Bayes tanpa penambahan fitur mampu mengklasifikasi sentimen dengan nilai akurasi sebesar 96,44%, sementara jika ditambahkan fitur pembobotan tf-idf disertai konversi ikon emosi mampu meningkatkan nilai akurasi menjadi 98%.
Evaluación de la depresión en niños y adolescentes oncológicos, Hospital del Niño Manuel Ascencio Villarroel de Cochabamba, Bolivia
Authors: Guardia Peredo Ana Brenda , Bejarano Forgueras Haldrin Antonio , Ortega Martinez Rommer Alex
Published: December 2024

El cáncer y la depresión son enfermedades prevalentes, con una incidencia creciente en los últimos años; la asociación entre la depresión y el curso clínico de la enfermedad oncológica en niños y adolescentes es un desafío; ya que el hallazgo de esta enfermedad influye en el desempeño, abandono, fracaso y recaída al tratamiento. Métodos: estudio analítico y longitudinal, aplicado al momento del diagnóstico y a la edad actual en menores entre siete a diez y ocho años; se utilizó el índice de Beck para la valoración del estado de depresión y la escala de Graffar modificado para el nivel socioeconómico familiar. Resultados: cincuenta y cuatro pacientes fueron incluidos en el estudio; la mediana de edad actual fue de doce años, más del 39 % provienen de Cercado; la leucemia linfoblástica se presentó en un 57 %; el estadio de la enfermedad está en relación con el nivel de depresión, que es moderada en la recaída y mínima en la etapa de vigilancia; se identificó una relación entre el nivel de depresión con la percepción de la depresión, el estadio de la enfermedad y el empleo de la terapia quirúrgica (p<0,05); mediante un análisis para las 3 variables, se encuentra relacionadas con el nivel de depresión y es principalmente moderado (V de Cramer: 0,6). Conclusión: los pacientes presentan depresión en grados leve a moderado, destacando una relación causal entre la ansiedad por separación y el grado de depresión, así mismo con el procedimiento quirúrgico y el estadio de la enfermedad.
AL amyloidosis revealed during the exploration of hypertrophic cardiomyopathy in a dialysis patient whose initial nephropathy is an unexplored chronic glomerulonephritis
Authors: Bouhentalla Mohamed Houssem
Published: December 2024

AL amyloidosis is a rare disease linked to the precipitation in the intercellular tissues of monoclonal light chains of immunoglobulin in the form of fibrils, kidney damage is frequent characterized by a nephrotic syndrome, cardiac damage and it involves the vital prognosis via restrictive heart disease. In this article, we report a case of a patient who presented an unexplored nephrotic syndrome whose evolution was end-stage chronic renal failure, and who subsequently presented hypertrophic cardiomyopathy whose exploration revealed AL amyloidosis and the patient was referred to hematology in order to start chemotherapy.
Antibiofilmogram of biofilm-producing urinary Enterobacterales
Authors: Benammar Sonia
Published: December 2024

Background. The organization of uropathogens into biofilm is responsible for their
escape from immune defenses and the action of antibiotics (tolerance), as well as
bacterial persistence causing chronic and recurrent infections. The objectives of our
work were to identify, in a panel of urinary Enterobacterales: the formation of biofilm,
its influence on the level of minimum inhibitory concentrations (MIC), as well as the
antibiotics favoring or inhibiting its production, using the antibiofilmogram test. Material
and Methods. The antibiofilmogram adapted from the Bio Film Ring (BRT) was used for 12 Enterobacterales isolated mainly from chronic or recurrent urinary tract infections, consulting on an outpatient basis or hospitalized at the University Hospital Center of Batna (Algeria). The test was performed according to the manufacturer's recommendations (BioFilm Control) on a 96-well microplate containing several concentrations of the following antibiotics: amikacin, amoxicillin, amoxicillin + clavulanic acid, ceftriaxone, ciprofloxacin, cotrimoxazole, fosfomycin, gentamicin, imipenem and ofloxacin. For each strain, a bacterial suspension associated with magnetizable particles, and various controls was deposited in the wells of the plates, which were incubated at 37oC. Results were read after 4 and 8 hours. Results. The
biofilm was formed in 7 strains (58.3%), but its production was variable in intensity and time of appearance, among bacteria. It was formed in contact with the urinary catheter, but also in its absence in patients with recurrent or chronic urinary tract infections. The MICs of the isolates in sessile life (MICb) were significantly higher than the MICs of the standard antibiogram in planktonic mode (CMIs) for almost all the antibiotics tested. Molecules inhibiting biofilm formation were aminoglycosides at high doses. On
the other hand, other antibiotics were able to induce its production, in particular imipenem and fluoroquinolones at sub-inhibitory concentrations. Conclusion. The antibiofilmogram is used to study the ability of bacteria to produce or not produce a biofilm in the presence of defined concentrations of antibiotics. It enables us to better prevent therapeutic failures, particularly in high-risk infections, and to choose the right antibiotics to use.
Predictive factors of mortality in severely traumatized children
Authors: Bouyarmane Fatima
Published: December 2024

Context. We conducted this study with the aim of describing the epidemiological profile of severe trauma in children, and analyzing the main prognostic and evolutionary elements. Methods. We conducted a retrospective observational study, involving all patients under the age of 16, hospitalized in the pediatric intensive care unit for severe trauma, between January 2012 and December 2021. Results. In this study, 126 patients were identified, of which 102 were eligible for statistical analysis.
Average age was 8.25 years. The etiology was dominated by road accidents (63.7%). The initial evaluation showed 82.4% of patients with impaired consciousness on admission, the mean pediatric trauma score (PTS) was 7.67 (-2; 12). Post-traumatic injuries were dominated by thoracic injuries (84.3%), followed by brain injuries (79.4%), abdominal injuries (69.6%), then limb fractures (41.2%). Complications were dominated by healthcare-related infections in 33.3% of cases. Hospital mortality was 23.5%, and its causes were dominated by severe ICHH (8.8%), infection (7.8%), and multiple organ failure (6.9%). In multivariate analysis, head trauma [OR=10.11; p=0.05] came out as a factor strongly related to mortality. Conclusion. the prognosis
of a severely traumatized child is conditioned by the presence or not of an associated head trauma.
Resistive index and kidney biopsy: what correlation in chronic kidney disease?
Authors: BENDJEDDOU Djahid
Published: December 2024

Introduction. Chronic kidney disease (CKD) represents a global public health
problem. Its progression to the end stage is based on the existence and severity of histological lesions, especially interstitial fibrosis and vascular lesions, and exposes a high risk of mortality and cardiovascular events. Renal biopsy remains the reference examination allowing an accurate evaluation of the importance of fibrosis and remains an invasive and risky examination. The assessment of the risk of progression of CKD by a non-invasive examination would be of capital interest to the nephrologist in order to reinforce nephroprotection measures to delay the progression of renal disease and
reduce the risk of cardiovascular events, which represents the first cause of mortality in this population. The value of the resistive index (RI), measured by an echo-doppler, seems to be important. The primary objective of this work was to evaluate the correlation between the value of the RI and the severity of the histological lesions. Secondary objectives were to evaluate the correlation of RI with CKD progression, cardiovascular mortality, and to define a prognostic threshold for progression. Material and method. This is a prospective monocentric study including 104 patients hospitalized in the nephrology department of the regional military university hospital of
Constantine during the period April 2014-January 2019, presenting with CKD and scheduled for a renal biopsy for diagnostic purposes. RI measurement was performed 24-48 hours before this procedure. Results. We showed that there is a positive and statistically significant correlation of RI with age (r=0.38, p < 103), the number of cardiovascular risk factors (r=0.39, p < 103),systolic blood pressure (r=0.39 , p < 103) and pulse pressure ( r=0.51 , p < 103), percentage of glomerulosclerosis (r=0.51, p < 103), percentage of interstitial fibrosis ( r=0.43 , p < 103) and vascular damage (p < 103). While there is a negative correlation with initial eGFR (r= -0.52 , p < 103) and to a lesser degree with the combined size of the two kidneys (r= -0.26 , p < 103), no correlation was observed with diastolic blood pressure, proteinuria (proteinuria / creatinuria ratio) and the use of antiproteinuric treatment. Switching to renal replacement therapy (RRT) and cardiovascular mortality were associated with the highest RI. Beyond a threshold value of 0.65, histological lesions are more pronounced with a worse evolution of CKD. Conclusion. This study underlines that RI is a non invasive marker of progression and the interest to propose it as a prognostic criterion
in the management of chronic kidney disease.
Allergological profile of asthmatic patients in Batna
Authors: Djebaili Rachida
Published: December 2024

Asthma is a real public health problem. Allergic asthma is the most common type of asthma, that’s why allergy is often researched in asthma patients. The aim of our study is to determine the prevalence of allergy and to research the allergic profile of asthma patients in our town. Patients and Methods. Patients with stable asthma were recruited at the pneumophtisiology department of EPH Batna (Algeria) and were asked about their asthma history as well as their familial atopy history and allergic symptoms. Skin prick tests were also performed on all these asthma patients (Dust mites (DPT, DF), Cockroaches, 5 grasses, Olive tree, Cypress, Parietary, Cat’s hair, Dog’s hair, Alternaria) to test their allergy. Results. 93 asthmatics were recruited (average age: 43.3 years, age extremes: 18 - 65 years,1M/3F). The type of housing was urban in
80.62% of cases, 2% of patients were smokers and 11% reported a passive smoking. familial atopy was noted in 58% of asthmatics. 86.2% of asthmatics had allergy symptoms. Medication allergies were founded to aspirin and nonsteroidal antiinflammatory drugs in 11.82% and 6.45% of cases respectively. The asthma control test (ACT) objectified that asthma was uncontrolled in 52%, partially controlled in 31% and well controlled in 17% of patients. Skin prick tests were positive in 78% of asthma patients, allergy to dust mites (DPT and DF) predominates in 82% of cases followed
by cat’s hair (30.13%) and cockroaches (24.65%). While regarding pollen’s allergy the olive tree was found in 28.76% and the 5 grasses in 27.36% of cases. Conclusion. Allergy is the most common factor of asthma, so the allergy testing constitutes an essential assessment in asthma patients, for better disease control.
Factors and determinants associated with vaccine hesitancy against COVID-19 in the general population; Algeria
Authors: Baziz Fatima
Published: December 2024

Introduction. Ending the pandemic and successfully vaccinating against COVID-19 requires knowledge for each region of the potential factors and determinants of vaccine hesitancy. Our objective was to determine the factors and determinants of vaccine hesitancy against COVID-19 in the general population in Batna – Algeria, in 2022. Material and Method. A cross-sectional descriptive study was carried out through an interview questionnaire. The determinants of hesitation were analyzed based on the
responses of so-called “vaccine hesitant” participants. Logistic regression was used for multivariable analysis between hesitation status and sociodemographic and anamnestic variables with a risk of error equal to 5%. The used software was Epi info 7. Results. 200 people were interviewed, 86% of whom were "vaccine hesitant", these were mainly influenced by fear of adverse effects (78.5%) and exposure to negative information about anti-COVID-19 vaccines (75%). The main sources of information for COVID-19 were mass and social media (84%) which impacted the decision of our
participants to be vaccinated. Women (ORa=6.9, 95% CI: 2.4-19.5), subjects without comorbidities (ORa =2.8, 95% CI: 1.1-6.9) and those not related to a healthcare professional (ORa=2.7, 95% CI: 1.02-7.2) had a significantly higher probability of being “vaccine hesitant”. Conclusion. In order to control the pandemic, it is crucial to fight the infodemic by disseminating, through the media and social networks, messages based on evidence, adapted to the concerns and values of our population by targeting the risk groups.
The Impact of Specific Training on Postoperative Acute Pain in the Orthopedic-Trauma Surgery Department of Batna University Hospital
Authors: GUERZA Ouarda
Published: December 2024

Introduction and Objectives. Effective pain management is a crucial concern for healthcare professionals. Training and delivering care are two inseparable aspects of our commitment to patients. In this study, we conducted a survey to evaluate the impact of medical and paramedical personnel training on the management of acute postoperative pain (APO) within the Orthopedic and Trauma Surgery Department at CHU Batna in 2017. Materials and Methods. The evaluative study was conducted in three distinct phases to improve the management of postoperative pain. An initial assessment of the situation (EPP) was carried out in 2015 to provide a baseline understanding. This was followed by an analysis and implementation phase, which included theoretical and practical training on the management of acute postoperative pain (DPO). A control audit (EPP) was conducted in 2017 to evaluate the achieved results after implementing corrective actions. Various qualitative and quantitative
parameters were studied, and data analysis was performed using SPSS software. The goal was to enhance patient care for those undergoing surgery by identifying challenges and implementing appropriate solutions. Results. The survey involved the participation of 5 physicians and 37 caregivers. The reassessment audit revealed a significant improvement in the proportion of practitioners who received specific continuous training in pain management. Among physicians, 3 out of 5 (60%) and 86.6% of nurses underwent this training. These results demonstrate a notable progression in raising awareness and developing skills related to pain management among the surveyed healthcare professionals. Conclusion. In the field of healthcare,
continuous training of healthcare personnel, whether medical or non-medical, holds paramount importance in any endeavor aimed at improving the quality of care. The objective of this training is to enhance knowledge and develop the necessary skills. The efforts undertaken in this study constitute a crucial step towards establishing a pain management culture. It is essential for all stakeholders involved to actively engage in this process to ensure optimal care for patients experiencing pain.
Place of intravenous lidocaine in major abdominopelvian surgery
Authors: MAIZA Mohamed Redha
Published: December 2024

Background. For several years, epidural analgesia has become essential in the
management of patients undergoing heavy digestive surgery and the lidocaine intravenous infusion has started to occupy an increasing place in this area in recent times. The objective of this prospective study is to compare these two techniques in patients scheduled for major abdominopelvic surgery. Material and methods. After informed consent, one hundred
(100) patients were randomized and divided into two groups: group I (Gr APD) for patients receiving epidural analgesia and group II (Gr Lido) for patients receiving intravenous lidocaine. Pain scores, consumption of morphine during the first 48 hours postoperatively, consumption of morphine drugs intraoperatively, duration of ileus, incidence of adverse effects and length of stay were recorded and compared between the two groups. Results.
Pain scores in particular on day 0 (D0) and day 1 (D1) postoperatively as well as the consumption of morphine over the 48 hours tend to reveal more effective analgesia in group 1 (Gr APD). However, the side effects induced by epidural analgesia are more important than those of intravenous lidocaine. Epidural analgesia often leads to an increase in fluid administration (due to low blood pressure), a later resumption of transit and a higher incidence of acute retention of urine and postoperative nausea and vomiting compared to
intravenous lidocaine. Conclusion. The beneficial effects of intravenous lidocaine, its safety of use, the speed of its initiation and its low cost constitute enough elements to propose it as a first alternative to epidural analgesia, in particular in the event of difficulty in setting catheter location or contraindication; in addition, the idea of reinforcing analgesia during the first 24 hours for patients benefiting from a lidocaine infusion could be interesting.
Macrophage activation syndrome in renal transplantation. Report of 9 cases
Authors: Missoum Soumia
Published: December 2024

Macrophage activation syndrome (MAS) associates febrile hepatosplenomegaly, pancytopenia, hypofibrinemia and hepatic cytolysis. It is characterized by the infiltration of the bone marrow and lymphoid organs by activated macrophages phagocytizing formed elements of the blood. The triggering phenomenon is either an infectious or neoplastic disease. MAS is extremely rare in kidney transplant recipients. We retrospectively analyzed
9 cases of MAS after renal transplantation from related living donors (7 men and 2 women). The average time between the transplant and the first symptom was 41.8 days. Six patients (66.6%) had received heavy immunosuppressive therapy for treatment of acute humoral rejection within 3 months prior to presentation. Hepatosplenomegaly in a febrile context
was the most common clinical presentation. Biologically, anemia, thrombocytopenia, hyperferritinemia and hypo fibrinogenemia were constant. Hepatic cytolysis and leukopenia were associated with a poor prognosis. MAS was linked to infection in 8 patients (cytomegalovirus, Pneumocystis carinii pneumoniae, tuberculosis) and post-transplant lymphoproliferative disease in one patient. Despite rapid etiological treatment and reduced
immunosuppression, death occurred in 6 patients (66.6%). Here we report the largest series of MAS after kidney transplantation from living related donors. This rare disease is usually secondary to infections in immunocompromised patients. Despite early diagnosis, prognosis remains poor.
Obstructive Sleep Apnea Hypopnea Syndrome and Metabolic disorders
Authors: Chaouki Feryel
Published: December 2024

The negative impact of metabolic disturbances on respiratory function is established. The increase in the prevalence of Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS) and its severity are correlated with the gravity of these dysfunctions. The deleterious effects of chronic intermittent hypoxemia and fragmentation and/or sleep deprivation are demonstrated. Overweight is frequently the common and proven denominator to these
pathologies. These disorders can lead to events related to the sympathetic stimulation and hypersecretion of proinflammatory cytokines. The bidirectional relationships between OSAHS and metabolic abnormalities directly affect the prognosis of OSAHS. The resulting sleep disorders contribute to the perpetuation of the metabolic syndrome, the occurrence
and/or exacerbation of other pre-existing comorbidities.
Management of localized breast cancer, the role of neoadjuvant treatment
Authors: KOUADRI Nassima
Published: December 2024

Neoadjuvant treatment has gained more and more space in the management of
localized breast cancer in recent years. This treatment offers multiple advantages on local management and long-term prognosis, mainly related to the pathological response, in particular the complete response (pCR), considering the primary tumor as the reflection of micro-metastases. Faced with tumor heterogeneity, and with the aim of obtaining the best histological response in each group, many studies have been conducted over the last decade and have resulted in changes in practice. The mainstay of neoadjuvant treatment was chemotherapy with anthracyclines and
taxanes. These molecules still retain an important place, but improvements are made to each group with a view to personalizing neoadjuvant treatment. In the triple negative group, platinum salts, which are very accessible, offer a considerable improvement in pCR rates and long-term prognosis. More recently, immunotherapy has become a therapeutic standard in the localized stage. The role of PARP inhibitors remains to be confirmed. In Her2-positive tumors, the use of anti-Her2 has been essential for several years. The double blockade considerably improves the results and imposes itself as a
therapeutic standard. In luminal tumors, neoadjuvant endocrine therapy, long reserved for frail patients, is gaining ground and is presented as an alternative to chemotherapy on the basis of response predictive factors. The role of CDK 4/6 inhibitors needs to be confirmed. The other advantage of the neoadjuvant treatment is the adaptation of the systemic treatment to the results of the histological response. According to the molecular group, capecitabine and continuation of pembrolizumab are two validated treatment options. The role of PARP inhibitors is confirmed in mutated gBRCA tumors. In Her2-positive tumors the major approach is the anti-Her2 switch in the presence of
tumor residue.
Exploring Spatiotemporal Patterns of Cardiovascular Disease in Greece: Insights from the ATTICA Study (2002-2022)
Authors:   Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece, Faka Antigoni , Chalkias Christos ,   Department of Geography, School of Environment, Geography and Applied Economics, Harokopio University, Athens, Greece, Damigou Evangelia ,   Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece, Chrysohoou Christina ,   First Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece;, Barkas Fotios ,   Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece, Dalmyras Dimitris ,   Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece, Kyrilli Konstantina ,   Department of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece, Pitsavos Christos ,   First Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece;, Liberopoulos Evangelos ,   First Department of Propaedeutic Internal Medicine, Medical School, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece, Tsioufis Costas ,   First Cardiology Clinic, Medical School, National and Kapodistrian University of Athens, Hippokration Hospital, Athens, Greece;, Sfikakis Petros P. ,   First Department of Propaedeutic Internal Medicine, Medical School, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece, Panagiotakos Demosthenes B. ,   Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece
Published: December 2024

The objective of this study was to investigate spatiotemporal variability of cardiovascular disease (CVD) occurrence and identify spatial clusters on Attica region (Greece), over a 20-year period (2002-2022). The 10- and 20-year occurrence of fatal and non-fatal cardiovascular disease was obtained from the ATTICA study, which was conducted between 2002 and 2022. The sample used in this analysis included 1,935 (49,8% males) and 1,902 participants (49.5% males), respectively. CVD occurrence rate at the municipality level were mapped, and spatial autocorrelation analysis was performed to identify statistically significant clusters and outliers in the Attica region. The mapping of CVD occurrence rates revealed an observable increase in most municipalities during the observation period. In addition, a statistically significant clustering of high CVD occurrence rates was found in the most urbanized municipalities of the study area over the period under study. These findings underscore the need for targeted interventions, focusing on urban populations, to effectively address this trend.
Cerrando el verano, abriendo la ciudad
Authors: Suarez Pablo
Published: December 2024

El artículo analiza el impacto que en la trama social y material de la ciudad de Rosario tuvo un violento temporal ocurrido en marzo de 1878. En diálogo con la teoría de la Construcción social del riesgo y de la vulnerabilidad, se recuperan los discursos vertidos en los debates públicos y se señalan las acciones sociales con las que la sociedad respondió ante la tragedia de las personas afectadas: los distintos tipos de solidaridad espontánea e informal, como las ayudas institucionales y la presión sobre las autoridades locales para larealización de obras e intervenciones que mejoren las condiciones de habitabilidad de la ciudad, en función de algunos riesgos claramente identificados como lo fueron los daños en los hogares como fruto de la creciente del río y los anegamientos de calles y desborde de lagunas y las enfermedades ocasionadas por la acumulación de basura y las aguas estancadas.
“Vete, no para ti es mi verde atavío”
Authors: Brito Valentín
Published: December 2024

En el presente trabajo serán abordados de manera comparada los poemas “Hoja de roble” (1841) de Mijaíl Lérmontov y “XXXV. Imitación” (1835) de Giacomo Leopardi. En primera instancia, ambos poemas serán comparados en su estructura tanto temática como formal junto al poema “La feuille” (1816) de Vincent Antoine Arnault, y se trazará una serie de paralelismos, diferencias y similitudes entre los tres poemas. En segunda instancia, se analizará la construcción de la naturaleza en los poemas de Leopardi yLérmontov a partir de los conceptos de “naturaleza malvada”, “naturaleza madrastra” y de la concepción de la voluntad rectora del mundo de Arthur Schopenhauer en El mundo como voluntad y representación (1818) y La voluntad en la naturaleza (1836). De dicho análisis, intentaremos comprobar la siguiente hipótesis: los poemas de Lérmontov y Leopardi construyen una naturaleza violenta y destructiva con todos sus integrantes (animales, plantas, humanos) que definiremos oportunamente como “naturaleza depredadora”. En ese sentido, ambos poemas anticipan las propuestas schopenhauerianas de la voluntad de vivir, pero en clave poética.
Katrülaf y Cañicul
Authors: Spíndola Jorge , Stocco Melisa
Published: December 2024

Este trabajo presenta una definición de la matriz racial-biopolítica del estado-nación liberal argentino surgido en el siglo XIX y sus persistencias neoliberales en el presente para luego exponer nuestro concepto de biopoética, noción que se enmarca dentro de una perspectiva descolonizadora y de comparatismo imparativo, para pensar, en relatos de archivos historiográficos y textos literarios contemporáneos, las resistencias y divergencias políticas, corporales y culturales que confrontan el biopoder estatal liberal y sus consecuencias. Finalmente, se realiza un acercamiento a los testimonios-memorias de Katrülaf, sobreviviente del genocidio mapuche-tewelche en Wallmapu, y a la poesía de Maitén Cañicul Quilaleo, poeta mapuche contemporánea, en tanto reivindicación de la memoria social y los modos de vida del pueblo mapuche.
Applying the Ayurvedic Concept of Nidanarthakara Roga for Strategic Disease Prevention and Public Health Integration: A Review
Authors: Dr. Shweta Chavan  , Dr. Mamta Talmale
Published: December 2024

The concept of Nidanarthakara Roga, a cornerstone of Ayurvedic medicine, emphasizes the progression of primary diseases into secondary complications, underscoring the interconnected nature of illnesses. This review explores the relevance of Nidanarthakara Roga in preventive healthcare, highlighting its alignment with modern public health principles. Through a conceptual analysis of classical Ayurvedic texts and contemporary literature, the study underscores the importance of early diagnosis and comprehensive management of primary diseases to mitigate secondary complications. The review also examines the preventive strategies advocated by Ayurveda, including Nidana Parivarjana (eliminating causative factors) and lifestyle modifications, to reduce disease burden and enhance health outcomes. Challenges such as complex nidanas, societal resistance to lifestyle changes, and integration with modern medical practices are discussed. By bridging ancient Ayurvedic principles with contemporary preventive approaches, Nidanarthakara Roga offers a robust framework for advancing holistic healthcare and addressing current global health challenges
Business Intelligence and Data Warehouse Applications in the Education Sector
Authors: B. Umamaheswari  , Vijeta Kumawat
Published: December 2024

India's higher education industry is rapidly evolving and progressing in its use of technology. Educational institutions can strategically improve their overall performance and decision-making processes by integrating data warehousing and business intelligence tools. The purpose of this research paper is to examine higher education operations in greater detail about the advantages provided by data warehousing and business intelligence applications. We aim to clarify how these technology tools and pedagogical practices work in concert to improve institutional effectiveness, academic quality, and administrative efficiency. This study aims to shed light on the transformative potential of data-driven decision-making in the context of higher education in India through empirical analysis and case studies. The study's conclusions ultimately seek to provide useful recommendations for instructors, administrators, legislators, and other interested parties committed to enhancing the higher education environment
АНАЛИЗ ВОЗДЕЙСТВИЯ УГОЛЬНОГО МЕСТОРОЖДЕНИЯ АГУЛАК НА СОСТОЯНИЕ ОКРУЖАЮЩЕЙ СРЕДЫ
Authors: Х. Болатхан , Д.А. Бейшенкулова , Е.А. Цешковская , Н.К. Цой
Published: December 2024

В статье приведены актуальные проблемы, касающиеся решения задач охраны окружающей среды, улучшение экологической ситуации угольного месторождения Агулак, на котором осуществляется добыча угля открытым способом. Основными технологическими процессами в карьере являются буровзрывные, погрузочно-разгрузочные работы, экскавация, транспортировка горной массы и движение автотранспорта, которые являются источниками интенсивного пылеобразования и выделения токсичных газов. Удаление растительного покрова, проведение мероприятий, связанных со строительством дорог, перевозкой, хранением верхнего слоя почвы приводят к увеличению большого количества пыли вокруг горных работ. Работы по снижению пыления от карьера являются актуальными для мест ведения горных работ. В данной работе предлагается химический метод пылеподавления – применение ПВЭ «Эквипол (ТМ)»

Мақалада қоршаған ортаны қорғау міндеттерін шешуге, ашық тәсілмен көмір өндіру жүзеге асырылатын Агулак көмір кен орнының экологиялық жағдайын жақсартуға қатысты өзекті мәселелер келтірілген. Карьердегі негізгі технологиялық процестер бұрғылау-жару, тиеу-түсіру жұмыстары, экскавация, тау-кен массасын тасымалдау және көлік қозғалысы болып табылады, олар қарқынды шаң мен улы газдардың бөліну көздері болып табылады. Өсімдік жамылғысын алып тастау, жол салуға, тасымалдауға, топырақтың жоғарғы қабатын сақтауға байланысты іс-шаралар жүргізу тау-кен жұмыстарының айналасында шаңның көп болуына әкеледі. Карьерден шаңды азайту жөніндегі жұмыстар тау-кен жұмыстарын жүргізу орындары үшін өзекті болып табылады. Бұл жұмыста шаңды басудың химиялық әдісі ұсынылады: «Эквипол (ТМ)» ПВЭ қолдану

The article presents current problems related to solving problems of environmental protection, improving the environmental situation of the Agulak coal deposit, where open-pit coal mining is carried out. The main technological processes in the quarry are drilling and blasting, loading and unloading operations, excavation, transportation of rock mass and vehicle traffic, which are sources of intense dust formation and the release of toxic gases. Removal of vegetation cover, activities related to road construction, transportation, and storage of topsoil lead to an increase in large amounts of dust around mining operations. Work to reduce dust from the quarry is relevant for mining sites. This work proposes a chemical method of dust suppression: the use of Equipol (TM) RWE