bluuebunny/crossref_metadata_2025 huggingface dataset:
Surveying Waterfowl Broods in Wetlands Using Aerial Drones
Authors:   US Geological Survey Western Ecological Research Center, Mackell Desmond , Casazza Michael ,   US Geological Survey Western Ecological Research Center, Overton Cory ,   US Geological Survey Western Ecological Research Center, Buffington Kevin ,   US Geological Survey Western Ecological Research Center, Freeman Chase ,   US Geological Survey Western Ecological Research Center, Ackerman Joshua ,   US Geological Survey Western Ecological Research Center, Thorne Karen ,   US Geological Survey Western Ecological Research Center
Published: September 2024

Effective waterfowl management relies on the collection of relevant demographic data to inform land-management decisions; however, some types of data are difficult to obtain. For waterfowl, brood surveys are difficult to conduct because wetland habitats often obscure ducklings from being visually assessed. Here, we used Unoccupied Aerial Systems (UAS) to assess what wetland habitat characteristics influenced brood abundance in Suisun Marsh, California, USA. Using a thermal-imaging camera, we surveyed 17 wetland units that encompassed 332 ha of flooded area on the premises of seven waterfowl hunting clubs during the waterfowl breeding season. Additionally, using a combination of multi-spectral imagery collected from the UAS flights and LiDAR data from the previous year, we mapped habitat composition within each unit to relate to brood observation counts. From June 3–7, 2019, we identified 113 individual broods comprising 827 ducklings. We found a positive relationship between the number of broods observed and the proportion of the unit that was flooded. We also found a positive relationship between the number of broods observed and the area of effective habitat—a metric of flooded habitat within two times the 95th-percentile Euclidean distance that all broods were observed from any vegetated cover. Brood surveys using UAS could complement the traditional Breeding Population Survey and provide local managers with fine-scale and timely information about shifts in brood abundance in the region.
The Discipline of Agonistic Democratic Education in a Polarized World
Authors: Varsori Enrickson , Teixeira dos Santos Fábio , Guilherme Alexandre , Sérgio Fonseca de Carvalho José
Published: September 2024

This article presents an interview with Professor Claudia W. Ruitenberg on agonistic democratic education. Based on her seminar presented at the VI International Conference on Philosophy of Education and Critical Pedagogy, held in November 2023 in Porto Alegre, Brazil, her lecture entitled The Discipline of Agonistic Democratic Education in a Polarized World serves as the basis for an interview focused on the dimensions of agonistic discipline. A set of eight questions was presented with the aim of understanding in detail her contribution to agonistic models in times of social and political polarization.
Alvászavarok kora gyermekkorban krónikus szomatikus állapotok és atipikus fejlődés esetén – különös tekintettel a Down-szindrómára
Authors: Napravszky Noémi , Gulácsi Ágnes , Alkonyi Mária , Danis Ildikó
Published: September 2024

A szakirodalmi adatok és szülők beszámolói alapján a krónikus betegséggel élő,
illetve fogyatékosságban érintett – és különösen az idegrendszer fejlődési
zavarával diagnosztizált – kisgyermekek körében jelentősen nagyobb az
alvásproblémák előfordulásának gyakorisága, hasonló korú, tipikus fejlődésmenetű
gyermekcsoportokkal összehasonlítva. A tünetek az esetek többségében
multifaktoriális etiológia talaján bontakoznak ki, megjelenésüket a gyermek
szomatikus állapota, a társuló neurológiai és pszichiátriai zavarok, valamint a
kapcsolati jellemzők és a környezeti körülmények együttesen befolyásolják.
Krónikus betegséggel küzdő, atipikus fejlődésmenetű, sajátos idegrendszeri
működéssel és viselkedési fenotípussal jellemezhető gyermekcsoportokban az
alvászavar aluldiagnosztizált jelenség, mivel a komplex tüneti képben nehezen
különíthető el a gyermek állapotának, valamint az alvástünetek
jellegzetességeinek és következményeinek megjelenése. A krónikus betegséggel élő
vagy fogyatékosságban érintett gyermeket nevelő családok esetében a fokozott
kihívást jelentő élethelyzetekhez való alkalmazkodást tovább nehezítheti az
alvászavarok megjelenése, melyek jelentős hatást gyakorolhatnak a családtagok
jóllétére és életminőségére. A Down-szindrómában érintett gyermekek a
tanulmányunk fókuszában álló speciális szükségletű gyermekcsoportok kihívásaival
egyszerre találkoznak, esetükben az egyes szindrómaspecifikus jellemzők, a
krónikus szomatikus állapotok, valamint az idegrendszer strukturális és
funkcionális elváltozásai komplex módon járulnak hozzá az alvással összefüggő
problémák gyakoribb előfordulásához. A gyakorlatban alkalmazott prevenciós és
intervenciós szemléletű kezdeményezések az alvásproblémák korai azonosítása
mellett számos rövid és hosszú távú negatív fejlődési, illetve viselkedési
következmény megelőzését és kezelését, enyhítését teszik lehetővé, hozzájárulva
az érintett gyermekek és családtagjaik kapcsolati jellemzőinek és
életminőségének javításához. Orv Hetil. 2024; 165(36): 1411–1422.
Meddőségi kezelésben részt vevő nők és férfiak életviteli szokásainak felmérése
Authors: Máté Gábor , Balló András , Szántó Árpád , Kopa Zsolt , Török Attila
Published: September 2024

Bevezetés: A WHO adatai szerint a felnőttkorúak mintegy 17,5%-a
küzd fertilitási problémákkal, mind a nők, mind a férfiak kb. egyformán
érintettek. Az is megfigyelhető, hogy az elmúlt évtizedek során folyamatos
emelkedés látható a meddőségi kezelésre szorulók számában, s ez a tendencia
sokkal jobban érinti a fejlett/iparosodott országokat. Ezekben az évtizedekben
életkörülményeink is átalakultak, ami több ponton is kapcsolatba hozható a meddő
kapcsolatok számának növekedésével. Célkitűzés: A
szakirodalomból tudjuk, hogy a túlsúly, a dohányzás, az alkoholfogyasztás, a
nagymértékű kezeletlen stressz és akár a túlzott vitaminfogyasztás is képes
negatívan befolyásolni fertilitási esélyeinket. Tanulmányunk célja annak
vizsgálata, hogy a meddőségi kezelésben részt vevő pároknál milyen mértékben
nyilvánulnak meg a szakirodalomból ismert potenciálisan káros életviteli
tényezők. Módszer: Vizsgálatunk során az intézetünkben 2020 és
2021 között in vitro fertilizációs beavatkozásra jelentkező
pároknál mértük fel életviteli szokásaikat, és eredményeinket leíró jelleggel
összehasonlítottuk a hazai statisztikákkal. 200 pár töltötte ki a kérdőívet, a
válaszadó nők életkora 22–46 év, a férfiaké pedig 23–66 év volt.
Eredmények: A válaszadó nők 45%-a, míg a férfiak 79,2%-a
túlsúlyos vagy elhízott. A nők 24%-a fogyaszt legalább heti egyszer alkoholt, a
férfiaknak pedig az 54%-a. Rendszeresen dohányzik minden ötödik nő (19%) és
minden negyedik férfi (26%). Mindezek mellett csak a válaszadók 21,5%-a sportol
legalább heti 3 alkalommal. Felmérésünk kitért pácienseink stresszérzetére is. A
részt vevő nők 27,8%-a és a férfiak 12,5%-a vallotta magát depressziósnak, míg a
nők 41%-a és a férfiak 15%-a feszült a gyermekvállalási nehézségek miatt.
Megbeszélés és következtetés: Felmérésünk szerint a
szakirodalomban részletesen taglalt életviteli kockázati tényezők a mi
pácienseink életében is jellemzőek, s ez jól jelzi az egészségtudatossági,
illetve családtervezési edukáció fontosságát. A fenti tényezők hozzájárulhatnak
az intézetünkben jelentkezők szív- és érrendszeri, valamint diabetológiai
problémáihoz. Az eredmények ismeretében meglepő a betegek körében a nagyarányú
zöldség- és gyümölcsfogyasztás, valamint fontos kiemelni, hogy sokan alkalmaznak
gyakorlatilag minden nap valamilyen vitaminkészítményt. Összességében
elmondható, hogy betegeinknél kedvezőtlen egészségügyi kép tapasztalható, mely
illeszkedik a hazai statisztikák adataiba. Orv Hetil. 2024; 165(36):
1423–1432.
Prevention of complications cesarean section with conservative myomectomy in women with uterine leiomyoma
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Golyanovskiy О.V. , Supruniuk К.V. ,   Shupyk National Healthcare University of Ukraine, Kyiv
Published: September 2024

Aim - to evaluate the effectiveness of the improved technique of cesarean section (CS) with conservative myomectomy (CME) using modern medical and instrumental means іn pregnant women with uterine leiomyoma (LM) type 3-6 by FIGO (International Federation of Gynecology and Obstetrics). Materials and methods. A fragment of a prospective study with a comprehensive examination and selection of optimal delivery tactics for pregnant women with LM at the clinical bases of the Ob/Gyn. Department No. 1 of Shupyk National Healthcare University of Ukraine for the period 2020-2023. The main group (MG, 1) of the study consisted of 37 pregnant women with LM >5 cm type 3-6 according to FIGO, who underwent CS with CME according to an improved technique with the use of modern drugs: tranexamic acid, carbetocin and technical support (argon-plasma coagulation, radio-wave scalpel). The comparison group (CG, 2) included 28 pregnant women with LM >5 cm type 3-6 according to FIGO with CS and CME performed according to the standard method. The control group (KG, 3) was made up of 17 pregnant women without LM, who underwent a planned CS. The reliability of the results was assessed using the Student's t-test. The difference of the obtained indicators was considered to be significant at p<0.05. Results. The improved technique of CS with CME made it possible to reliably reduce the volume of blood loss in MG women compared to CG women (р1,2<0.01) and was statistically insignificant with KG (р1,3>0.05). A decrease in the frequency of complications during surgery and in the postpartum period in the main group was noted: a 2-fold decrease in purulent-inflammatory complications and a faster pace of uterine involution in the first 3 days of the postpartum period (р1,2<0.05). Conclusions. Pregnant women with LM have an increased risk of bleeding, purulent-inflammatory complications, and the frequency of hysterectomies. The improved technique of performing CS with CME makes it possible to reduce the frequency of complications during surgery and postpartum period, preserve the organ in women of reproductive age and helps to avoid repeated surgery in the future for LM. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.
Comparative analysis of the clinical effectiveness and safety of modern methods of early artificial abortions. Cohort study results
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Bodashevska K.D. , Sukhanova A.A. ,   Shupyk National Healthcare University of Ukraine, Kyiv
Published: September 2024

WHO experts have determined that medical abortion and vacuum aspiration are currently safe methods of terminating an unintended pregnancy in the first trimester. Aim - to conduct a comparative analysis of the clinical effectiveness and safety of modern methods of early artificial abortions. Materials and methods. An analysis of early and late complications of early abortion was carried out in 54 women with medical abortion using mifepristone and misoprostol (group I) and 65 respondents after abortion by vacuum aspiration (group II). Statistical data processing was carried out using the SPSS 21 program. Results. The frequency of fetal egg retention, pregnancy progression, abnormal uterine bleeding, and endometrial polyps was significantly higher after medical abortion, and endometritis - after vacuum aspiration. Women who underwent medical abortion compared to termination of pregnancy by vacuum aspiration have a 2.3 and 3.6 times lower risk of placental complications and the threat of termination of future pregnancy (odds ratio (OR): 0.28; 95% confidence interval (95% CI): 0.12-0.64 and OR: 0.24; 95% CI: 0.06-0.88), as well as cesarean delivery (OR: 0.34; 95% CI: 0.14-0.84). Conclusions. The effectiveness of the medical method of early termination of pregnancy was 90.7%, vacuum aspiration - 98.5%, which is a relatively safe alternative to surgical abortion. This study did not involve any experiments on animals or humans. No conflict of interests was declared by the authors.
Determination of the psychological profile of pregnant women who wish to choose an alternative childbirth option
Authors:   Bogomolets National Medical University, Kyiv, Ukraine, Beniuk V.O. , Fursa-Sovhyra T.M. ,   Bogomolets National Medical University, Kyiv, Ukraine
Published: September 2024

One of the main indicators of the country's development is the health of women and children. Today in Ukraine, there is a significant decrease in the level of physical and moral health among young people, which negatively affects the course of pregnancy and childbirth. At the same time, the term “childbirth experience” is spreading in the obstetric community, which reflects the peculiarities of a woman's own feeling of the process of giving birth to a child, along with the spread of “non-traditional” methods of childbirth, such as vertical childbirth, childbirth in the knee-elbow position, childbirth in water, which aimed precisely at obtaining a positive birth experience. However, in the literature reviewed by us, we found only isolated information about the criteria for selecting patients to be involved in the attempt of alternative birth options. Aim - determine the psychological profile of pregnant women who wish to choose an alternative option for childbirth. Materials and methods. Surveyed 274 pregnant women at 11-12 and 36-37 weeks of pregnancy using a Google form containing 16 questions to determine the psycho-emotional state, mood, plans and fears about future childbirth. Results. The obtained results at 11-12 weeks outlined the psychological profile of pregnant women as a state of pleasure combined with insufficient knowledge about the course of childbirth. The results of the questionnaire at 36-37 weeks show a change in the psychological state in the direction of the development of fatigue with a significant increase in the number of women who are worried about the course of the upcoming childbirth, the pain associated with it, and want to involve close relatives/husband or an outside helper in childbirth. The majority of women have been found to have fear and uncertainty about their own condition during and after childbirth, which is the basis for an in-depth study of the psycho-emotional sphere. It was found that significantly more women want to try an alternative method of childbirth - water birth - 122 (44.5%). Conclusions. The psychological profile of pregnant women who wish to choose an alternative method of childbirth, including water birth, is characterized by a feeling of fear and anxiety before the upcoming birth, fears about the use of pharmacological methods of analgesia, as well as about possible aggression on the part of medical stuff. No conflict of interests was declared by the authors.
Isolated hypoplasia of the right ventricle: diagnosis, treatment and observation experience of pediatric patients
Authors:   SI ", Stogova O.V. ,   Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine",   , Kyiv, Mykhaylovska A.O. ,   SI "Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine", Kyiv, Stychinsky O.S. ,   SI "Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine", Kyiv
Published: September 2024

Isolated hypoplasia of the right ventricle (IHRV) is a rare congenital heart defect characterized by a reduction of the right ventricular cavity due to hypoplasia of its trabecular part. Aim - to analyze the anatomical variants of IHRV and their influence on the choice of treatment tactics based on the experience of observing pediatric patients. Materials and methods. This retrospective study included 11 consecutive patients diagnosed with IHRV from 2012 to 2024. Patients were divided into 3 groups based on the ratio of RV to left ventricle (LV) length. The Group I (n=4): mild IHRV (RV/LV length ratio >0.8). The Group II (n=4): moderate IHRV (RV/LV length ratio = 0.7-0.8). The Group III (n=3): severe IHRV (RV/LV ventricle length ratio <0.67). Results. From the Group I (n=4), one patient required medication therapy with beta-blockers and others did not require any treatment. From the Group II (n=4), one patient underwent Glenn shunt and patent foramen ovale (PFO) closure, another - Glenn shunt and PFO closure with fenestration. Two patients have stable clinical conditions. Patients from the Group III (n=3) had duct-dependent pulmonary blood flow in the neonatal period. One patient received treatment with beta-blockers; the second patient underwent patent ductus arteriosus stenting; and the third - systemic-to-pulmonary shunt. Conclusions. Patients with severe IHRV may have critical hemodynamic disturbances requiring urgent cardiac surgical interventions, whereas patients with mild and moderate hypoplasia may require medical treatment with possible surgical intervention at a later age. Long-term follow-up in this defect reveals a slow progressive growth of the right heart chambers. The research was carried out in accordance with the principles of the Declaration of Helsinki. Informed consent of the child and child's parents was obtained for the research. The authors declare no conflict of interest.
Advanced minimally invasive retromuscular alloplasty in patients with diastasis recti abdominis
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Feleshtynsky Ya.P. , Koval O.M. ,   Shupyk National Healthcare University of Ukraine, Kyiv, Vatamaniuk V.F. ,   Shupyk National Healthcare University of Ukraine, Kyiv
Published: September 2024

Diastasis recti abdominis contributes to the occurrence of defects with the formation of hernias of the white line. The recurrence of diastasis after alloplasty may also be associated with the presence of thinned posterior aponeurotic walls of the rectus abdominis muscles. Aim - to іncrease the effectiveness of surgical treatment of diastasis recti abdominis by using minimally invasive retromuscular techniques. Materials and methods. An analysis of surgical treatment of patients with diastasis recti abdominis was conducted in 126 patients. Average age - 51±1.2 years old. Diastasis width from 3 to 10 cm. In the I (main) group (n=64) surgical treatment it was performed according to the mini-invasive method we improved retromuscular technique. In the II group (comparison) (n=62) surgical treatment was performed according to the traditional «onlay» technique. In the postoperative period in patients of the I and II groups evaluated term stay of a patient in a hospital, direct and remote results. The methods of variational statistics were used: the averages for each studied feature, the errors of the arithmetic mean. Results. Term stay in a hospital patients of the I group was 2.1 days, the II group - 6.2 days. Among complications and on the side of the surgical wound in patients of the I group, a hematoma was observed in 2 (3.1%), seroma - in 4 (6.2%), wound infection was not observed, while in patients of the II group a hematoma was observed in 6 (9.7%), seroma - in 10 (16.1%), wound infection - in 3 (4.8%). Distant the results in terms of 2 to 36 months showed that among 35 patients of the II group, chronic postoperative pain was relapses were diagnosed in 2 (3.1%). diastasis direct muscles occurred in 7 (11.3%), and among 34 patients of the I group chronic postoperative pain diagnosed in 6 (9.7%) and relapse only in 1 (1.5%). Conclusions. Advanced mini-invasive retromuscular alloplasty is more effective, which is confirmed by a decrease in hospital stay and a decrease in postoperative complications. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the specified institution. Informed consent of the patients was obtained for the research. The authors declare no conflict of interest.
Optimization of surgical treatment of congenital anal and rectal stenosis in children
Authors:   Center for neonatal surgery for malformations and their rehabilitation SI «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova of the NAMS of Ukraine», Kyiv, Dzham O.Р.
Published: September 2024

Congenital anal (CAS) and rectal stenosis (CRS) are variants of anorectal malformations (ARM) in children. Aim - to evaluate the results of surgical correction of CAS and CRS, based on this, to develop the main tactical requirements for the treatment of this complex pathology in children. Materials and methods. The study included 18 children with congenital anorectal stenosis: 7 (38.9%) - with CAS, 11 (61.1%) - with CRS, which accounted for 11.7% of all treated anorectal anomalies (n=154). The ratio of boys to girls was 5:1. After complex diagnostics, in 44.4% (n=8) of children were found to have associated malformations: 42.9% (n=3) of patients with CAS and 45.5% (n=5) - with CRS. Results. All (n=7) patients with CAS underwent one-stage surgical correction, without complications. In 90.9% (n=10) of children with CRS staged surgical treatment was performed, and one-stage in 9.1% (n=1). At the stages of primary correction of CRS postoperative complications occurred in 18.2% (n=2): stoma stenosis (n=1); urethro-perineal fistula (n=1), which were surgically corrected. After the primary correction of CRS was completed, persistent constipation was noted in 2 (18.2%) children. Repeated staged reconstructive operations were performed on these patients. Conclusions. The use of the diagnostic, treatment and rehabilitation algorithm for CRS, developed in the clinic, made it possible to obtain good results in the long postoperative period in 63.6% (n=7) of children, and satisfactory results in 36.4% (n=4). The improved technique of surgical treatment of CAS made it possible to carry out primary correction of the defect with a good functional result in 71.4% (n=5) and satisfactory results in 28.6% (n=2) of children. The research was conducted in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the patients was obtained for the research. The authors declare no conflict of interest.
Wunderlich syndrome – report of a rare case with comments on clinical implications
Authors:   Student’s Anatomical Scientific Club, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland, Krowiak Karolina , Krowiak Anita ,   Student’s Anatomical Scientific Club, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland, Rajda Sebastian ,   Frederic Chopin University Clinical Hospital, Rzeszow, Poland, Palak Artur ,   Frederic Chopin University Clinical Hospital, Rzeszow, Poland, Balawender Krzysztof ,   Department of Normal and Clinical Anatomy, Institute of Medical Sciences, College of Medical Sciences, University of Rzeszow, Rzeszow, Poland,   Clinical Department of Urology and Urological Oncology, Municipal Hospital in Rzeszow, Rzeszow, Poland
Published: September 2024

Introduction and aim. Spontaneous renal hemorrhage, known as Wunderlich syndrome, is a rare clinical condition that occurs without any history of trauma. The most common causes of this syndrome are both benign and malignant renal tumors. The treatment strategy is determined based on the patient’s hemodynamic stability. Description of the case. We report a case where a patient was admitted to the emergency department experiencing persistent pain in the right flank for three days. A diagnosis of spontaneous renal hemorrhage, secondary to an angiomyolipoma, was established through CT imaging. In this case study, we detail the diagnostic process and management of a patient who, due to the absence of hemodynamic instability, did not require surgical intervention. Instead, the patient was monitored and managed with conservative treatment. Conclusion. This case highlights the importance of prompt diagnosis, implementation of appropriate treatment, and the relevance of active follow-up in hemodynamically stable patients receiving conservative treatment.
Acne vulgaris during pregnancy – management ensuring both maternal and fetal safety
Authors:   Poznan University of Medical Sciences, Poznań, Poland, Kurzeja Jacek , Maciejewska Danuta ,   Poznan University of Medical Sciences, Poznań, Poland, Bartczak Magdalena ,   Poznan University of Medical Sciences, Poznań, Poland, Guderska Urszula ,   University Clinical Hospital in Poznań, Poznań, Poland, Urbanek Agnieszka ,   Nowy Targ Hospital, Nowy Targ, Poland, Rasmus-Czternasta Adrianna ,   Adam Mickiewicz University in Poznań, Poznań, Poland, Czternasty Filip ,   Independent Public Health Care in Kościan, Kościan, Poland
Published: September 2024

Introduction and aim. Acne vulgaris represents a condition commonly encountered by women during pregnancy. However, its treatment becomes particularly demanding when occurring during gestation. The aim of this review is to present multiple strategies for management of acne in pregnant women, prioritizing both maternal and fetal safety. Material and methods. Review and analysis of the scientific literature available in November and December 2023. Analysis of literature. The study describes commonly used topical treatments and oral medications emphasizing difficulty and responsibility of assessing the safety of drug use during pregnancy. Apart from that, the importance of skin care is stressed with a focus on usage appropriate to the condition and pregnancy-safe cosmetics. The influence of diet and physical activity on acne development is also underlined, as well as the significant association between acne and mental health. Conclusion. Dealing with acne during pregnancy might be difficult; however, there are effective and safe acne treatments suitable for pregnant women, along with various supportive approaches. Considering above, the authors highlight a holistic nature of acne management that includes not just medication but also procedural interventions, skin care practices, diet, physical activity, and psychological support.
Benign endotracheal tumor (hamartoma) mimicking bronchial asthma
Authors:   Clinic of Pulmonology and Allergology of University Clinical Hospital in Rzeszów, Rzeszów, Poland, Kaziród Tomasz , Tokarski Sławomir ,   Clinic of Pulmonology and Allergology of University Clinical Hospital in Rzeszów, Rzeszów, Poland, Kaznowska Ewa ,   Department of Pathology of University Clinical Hospital in Rzeszów, Rzeszów, Poland, Rzeszutko-Grabowska Magdalena ,   Clinic of Pulmonology and Allergology of University Clinical Hospital in Rzeszów, Rzeszów, Poland
Published: September 2024

Introduction and aim. The most common benign tumor of the lung is hamartoma. In many cases, it is a spherical tumor, located peripherally, often without clinical symptoms. Predominantly it is found accidentally during radiological examination. In some cases the tumor reaches a significant size in the lung parenchyma or in the lumen of the bronchi or trachea. Then, symptoms such as cough, dyspnea, wheezing, less commonly hemoptysis, and chest pain may occur. In addition, tumors located endobronchial or endotracheal may cause recurrent pneumonia or mimic obstructive diseases of the lower respiratory tract such as chronic obstructive pulmonary disease, or bronchial asthma. We present the case of a patient with an endotracheal tumor mimicking bronchial asthma. Description of the case. A 53-year-old male was taking bronchodilators and inhaled steroids for several months. The baseline chest radiograph showed no abnormalities. Spirometry suggested an obstruction of respiratory flow in the central or upper airways. The lack of improvement after asthma treatment required an extension of the diagnosis. Computed tomography allowed accurate visualization of the tumor lesion of the trachea, which was significantly obstructing its lumen, and resection was carried out. Conclusion. Our case demonstrates that tracheal tumors can present symptoms similar to respiratory tract diseases. In unresolved cases, spirometry and computed tomography are helpful in proper diagnosis.
Developing a neuro-flexible mechanism of bankruptcy risk estimation based on conditional parameters
Authors: Sinkovskyi Artem , Shulakov Volodymyr
Published: September 2024

The object of the study is the estimation of the risk of enterprise bankruptcy. The work is aimed at developing a new model for estimating the risk of enterprise bankruptcy. Estimating the risk of bankruptcy is critical to assessing a company’s financial health. It serves as a key indicator that enables management teams to proactively mitigate potential risks and develop strategies to strengthen the company’s financial position over time. It is possible to enhance our prior bankruptcy prediction model by eliminating the Neural Arithmetic Logic Unit (NALU) block and refining the fuzzifier block to assess if the new architecture can effectively simulate approximate arithmetic for discovering complex financial ratios and relationships. The new model uses our bespoke «neuro-flexible» mechanism that incorporates a fuzzifier block as its initial layer, transforming each financial parameter into a fuzzy representation without any NALU blocks down the line. This approach allows the model to process undefined or missing inputs, enhancing its robustness in varied financial scenarios. The fuzzified values are then processed through linear layers with Mish activation, known for superior generalization performance. Key improvements include optimal categorization of raw numbers through embedding vectors and significant acceleration in learning speed. Experiments conducted using PyTorch on an Apple M1 processor demonstrated a substantial average prediction performance of 72 %, indicating the efficacy of the proposed enhancements in bankruptcy estimation. Bankruptcy risk is important for assessing a company’s financial health. It helps management teams reduce risks and strengthen the company’s finances. By predicting bankruptcy risk, companies can take steps to avoid financial problems and stay in business.
Teaching literatures in secondary schools in Wales: diversity in Welsh, English and International Languages
Authors: Olive Sarah , Maelor Gwawr , Davies Mary
Published: September 2024

This article shares findings on what literatures are taught in secondary schools in Wales, and why, from a survey of forty-seven teachers across Wales in 2022. Our participants taught literatures in Welsh, English, drama, French and Spanish. This represents a cross-disciplinary and plurilingual approach to literatures in schools in Wales that distinguishes this research from previous studies. The research is closely concerned with the gender and ethnic diversity of authors in terms of meeting Welsh Government objectives for education and society. The results show that women continue to be under-represented as authors of poems, plays, and – to a slightly lesser extent – novels. They are somewhat better represented in Welsh-language literary studies than English-language ones. Only a handful of Authors of Colour were taught: they are located exclusively among the English- and French-language texts. No Authors of Colour of Welsh-language texts were taught. Our discussion contextualises an overall lack of diversity in teaching literatures in Wales – which jeopardises Welsh Government ambitions for Anti-racist Wales 2030 and the teaching of BAME histories and experiences – through comparisons with international research. It concludes by outlining recommendations for government, publishing, schools and teachers in terms of training, resources, and curriculum design, as well as areas for future research.
Saint-Michel déploie ses ailes
Authors: DE VEYRINAS G. , ROUFFILANGE L. , BECHEAU A. , DEMONT G. , SABATE-FERRIS A. , MONTAGNON R.
Published: September 2024

Histoire de la maladie : un militaire parachutiste de 21 ans, droitier, en cours de formation initiale consulte pour une impotence douloureuse de l’épaule gauche. L’examen clinique retrouve une scapula alata dynamique. L’éléctroneuromyogramme (ENMG) confirme une lésion du nerf thoracique long. Ce cas clinique traite de la « Scapula alata » qui est un type de dyskinésie scapulaire. Ses étiologies principales sont l’atteinte du nerf thoracique long et l’atteinte du nerf accessoire. L’examen clinique repose sur un examen rigoureux de l’articulation de l’épaule et peut être complété par des testings plus spécifiques. Le bilan paraclinique repose sur l’ENMG ainsi que l’IRM ou la radiographie pour éliminer les diagnostics différentiels. Le traitement repose sur une prise en charge fonctionnelle complétée éventuellement d’une prise en charge chirurgicale. Devant ce tableau, le syndrome du Havresac ou du défilé cervico-thoraco-brachial doit être évoqué. Décision médico-militaire : dans le cas de ce patient, la détermination du profil médical d’aptitude repose sur la notion de neuropathie périphérique. Le militaire sera alors classé G ou S de 3 à 6. Selon que l’atteinte date de moins ou de plus de six mois, le coefficient attribué aux sigles G ou S sera affecté ou non de la lettre T.
Reflexões sobre a importância dos espaços livres urbanos e de sua apropriação pela população: estudo na cidade de Teresina, Piauí
Authors: Lopes Wilza Gomes Reis , Matos Karenina Cardoso , Mesquita Larissa de Fátima Ribeiro
Published: September 2024

Population distribution in Brazil is mostly urban and the number of people seeking urban centers keeps on growing. Therefore, the demand for areas designed to meet the basic needs of this human contingent also grows, like the case of spaces built for housing, commercial, industrial and service activities, as well as unbuilt open spaces accountable for articulating the spaces forming the urban fabric. Open spaces are highly accountable for shaping cities’ cultural identity, besides being important environmental improvement elements, in addition to being leisure places for the population. The current article provides an analysis of open spaces’ distribution in some city areas and the appropriation of an urban square. Southern Teresina City, Piauí State, Brazil, is the present object of study. A survey was carried out to quantify and map the existing squares in this site. Graphic records, photographic documentation and visual assessment were made to analyze the current situation of the existing equipment in the selected square. The space’s perceptual analysis was carried out and it focused on how the population uses this space. Neighborhoods Saci, Parque Piauí, Bela Vista and Promorar presented a larger number of squares due to the implementation of older and more consolidated housing complexes. Yet, Praça da Integração is widely used by the surrounding populations, although its equipment is not subjected to proper maintenance.
Exploring Merdeka Curriculum Implementation in Diverse Preschools Settings: A Comparative Analysis of Principal Perceptions in Public and Private Schools with Varied Accreditation Levels
Authors: Yafie Evania , Setyaningsih Diana , Lestariningrum Anik , Saodi Syamsuardi , Herlina Herlina , Wiranata I Gusti Lanang Agung
Published: September 2024

Learning in the independent curriculum, children are invited to learn as freely as possible calmly and happily without being burdened and certain pressures by paying attention to their desires and what the child has mastered in a field of knowledge, so that each has a portfolio that matches the passion of each child at school. The independent curriculum also emphasizes learning on the exploration of children's interests and talents at the kindergarten level This research method uses qualitative methods. The purpose of this research is to analyze and compare the implementation of the independent curriculum at the public and private kindergarten levels with different accreditation levels. The method of this research used observation and interviews to collect data from the principals. Sampling in this study used purposive sampling technique with interviews and questionnaires to school principals. Data analysis used descriptive analysis. Miller Huberman Interactive Analysis was conducted to gain a deeper understanding of how the independent curriculum is implemented. The research findings show social change in kindergarten through intracurricular activities, the Pancasila student profile strengthening project, and extracurricular activities. Implementation of Merdeka Curriculum in intracurricular activities involves lesson planning and analyzing student needs. The Pancasila Student Profile Strengthening Project requires special attention to learning activities, and evaluation. The extracurricular component of the Merdeka Curriculum involves lesson planning, syllabus, learning activities, and evaluation. Implementation of Merdeka Curriculum in kindergarten, it is recommended to expand the sample, use in-depth analysis methods, and involve the perspectives of teachers and parents. Comparative analysis between public and private schools needs to be deepened with a focus on identifying challenges and solutions. Further understanding of social aspects and parental involvement is also important. Exploration of longitudinal studies can provide comprehensive insights.
Digital Transformation in Education: Multidimensional Effects of Artificial Intelligence Supported Learning Management Systems
Authors: Şahin Kölemen Cansu
Published: September 2024

The aim of this study is digital transformation in education: multidimensional effects of artificial intelligence supported learning management systems. The impact of artificial intelligence applications in education has been examined through four basic dimensions. These are (1) student performance, (2) teacher adaptation, (3) educational materials and methods, and (4) measurement and evaluation. Among the qualitative research methods, the phenomenological approach was preferred. The phenomenon of this study is the use of artificial intelligence applications in education in the context of digital transformation. This phenomenon covers especially the integration of artificial intelligence supported learning management systems (LMS) into educational processes and the effects of this integration on digital transformation. The study group consists of students, teachers, administrators and educational technology experts at a private school using an artificial intelligence-based learning platform. To examine the impact of digital transformation in education, detailed data was collected by collecting data from different target audiences. The data obtained through observations and interviews were presented by content analysis. As a result of the study, systemically supportive reflections on students' academic performance, supportive reflections and negative reflections in terms of the learning process; reflections on the learning process regarding teacher adaptation and adaptation in the transformation process in education; In terms of teachers and students regarding the impact of educational materials and teaching methods; Regarding the measurement and evaluation processes, themes of reflections on the measurement and evaluation processes were created.
An Exploration of the Landscape of Instructional Design: Understanding Changes and Pandemic Effects (2017-2022)
Authors: Bardakcı Salih , Akkoyunlu Buket , Yelbay Yılmaz Yasemin
Published: September 2024

The purpose of this study is to examine the scope of the field of instructional design and technology, along with the working area (desk) of the expert in this field, in the context of the effects of the pandemic. The study is a bibliographic mapping research. The data set includes bibliographic records of 2.397 scientific texts retrieved from the WOS Core Collection within the time range of 2017-2022 using search terms instructional design or instructional designer. Co-occurrence analyses encompassing author keywords were conducted on the data. As a result, maps and related outputs were obtained that reveal the concepts that the field focused on before and after the pandemic, as well as the relationships between these. Additionally, attempts were made to identify emerging concepts for both periods based on the outputs. According to the results, there has been a significant expansion in the concepts falling within the scope of instructional design and technology, and consequently in the roles and responsibilities of designers, in conjunction with the 2020s and the Covid-19 pandemic. Design concepts and variables, context, human factors, and research methodology are enriched within this expansion. This enrichment shifts the design process from a micro perspective focusing on learning environment and environmental variables to a macro perspective that emphasizes instructors, educational institutions, and culture. Within this perspective, while the weight of real instructional problems increases, the emphasis on theory, approach, and models significantly decreases.
Molecular biomarkers involved in the progression of gallbladder inflammatory lesions to invasive cancer: A proteomic approach
Authors: Rawal Neetu , Hariprasad Gururao , Bandyopadhyay Sabyasachi , Ranjan Dash Nihar , Kumar Sunil , Das Prasenjit , Dey Sharmistha , Ahmad Khan Maroof , Ranjan Amar , Chopra Anita , Saluja Sundeep , Hussain Showket , Rath G.K. , Kaur Tanvir , Tanwar Pranay
Published: September 2024

The progression of gallbladder inflammatory lesions to invasive cancer remains poorly understood, necessitating research on biomarkers involved in this transition. This study aims to identify and validate proteins associated with this progression, offering insights into potential diagnostic biomarkers for gallbladder cancer (GBC). Label-free liquid chromatography-assisted tandem mass spectrometry (LC-MS/MS) proteomics was performed on samples from ten cases each of GBC and inflammatory lesions, with technical duplicates. Validation was conducted through the enzyme-linked immunosorbent assay (ELISA) using 80 samples (40 GBC and 40 inflammatory lesions). Bioinformatics tools analyzed protein–protein interaction (PPI) networks and pathways. Statistical correlations with clinicopathological variables were assessed. Prognostic evaluation utilized Kaplan–Meier survival analysis and Cox regression analyses. mRNA expressions were studied using real-time-polymerase chain reaction (RT-PCR). Out of 5714 proteins analyzed, 621 were differentially expressed. Three upregulated (the S100 calcium-binding protein P [S100P], polymeric immunoglobulin receptor [PIGR], and complement C1q-binding protein [C1QBP]) and two downregulated (transgelin [TAGLN] and calponin 1 [CNN1]) proteins showed significant expression. Pathway analysis implicated involvement of proteoglycans in cancer and glycosaminoglycan metabolism. Significant correlations were observed between protein concentrations and clinicopathological variables. Prognostic factors, such as tumor size, lymph node metastasis, and preoperative bilirubin levels were associated with overall survival (OS). Protein-based assays demonstrated higher resolution compared to mRNA analysis, suggesting their utility in GBC risk stratification. S100P, PIGR, C1QBP, TAGLN, and CNN1 emerge as potential protein-based biomarkers involved in the progression from gallbladder inflammatory lesions to invasive cancer. These findings hold promise for improved diagnostic and prognostic strategies in GBC management.
Теория нелинейных волн
Authors: Камчатнов Анатолий
Published: September 2024

В монографии излагаются как основы теории нелинейных волн, так и её разделы, находящиеся на переднем крае науки. Особое внимание уделено теории дисперсионных ударных волн, мало отражённой в существующей монографической литературе. В частности, детально изложен подход Гуревича–Питаевского, основанный на модуляционной теории Уизема. Для освоения книги достаточно знания стандартных курсов физики и математики, преподаваемых в технических университетах. Используемый математический аппарат ориентирован на приложения теории к типичным физическим задачам. Книга предназначена как для специалистов, работающих в области теории нелинейных волн, так и для студентов и аспирантов, изучающих эту область науки.
ÇALIŞANLARIN DEPRESYON VE ANKSİYETE DÜZEYİNİN ABSENTEİSM VE PRESENTEİSM ÜZERİNE ETKİSİ: BEYAZ VE MAVİ YAKA ÇALIŞANLARDA BİR KARŞILAŞTIRMA
Authors: BALSAK Habip , ÖZCAN Kübra
Published: September 2024

Amaç: Bu çalışmada aynı kurumda çalışan beyaz ve mavi yaka çalışanların depresyon ve anksiyete düzeylerinin absenteeism ve presenteeism ile ilişkisinin değerlendirilmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve kesitsel türdeki çalışma bir belediye binasında çalışan beyaz ve mavi yaka çalışanlar üzerinde gerçekleştirilmiştir. Çalışanların anksiyete ve depresyon düzeylerini belirlemek amacı ile Hasta Sağlık Anketi - 4 (HSA-4), Absenteeism ve presenteeism düzeylerini belirlemek için Sağlık ve İş Performans Ölçeği (SİP) kullanılmıştır. Bulgular: Beyaz yakalı çalışanlarda kesin ve bağıl absenteeism ile marjinal presenteeism mavi yakalılara göre daha yüksektir. Mavi yakalılarda ise mutlak presenteeism beyaz yakalılara göre daha yüksek çıkmıştır. Çalışma kapsamına alınan beyaz-mavi yaka çalışanlar benzer depresyon düzeyine sahiptirler. Bu duruma karşılık mavi yakalı çalışanlarda depresyon düzeyi absenteeism ile pozitif ilişkili iken, beyaz yakalı çalışanlarda depresyon düzeyi ile absenteeism arasında bir ilişki bulunmamıştır. Yaşın artması mavi yakalı çalışanlarda hem mutlak hem de bağıl absenteisimi arttırmaktadır. Beyaz yaka çalışanlarda ise yaş arttıkça bağıl presenteeism azalmaktadır. Sonuç: Yapılan işin özelliğine göre alınacak tedbirlerin absenteeismin önlenmesi ve performansın arttırılması açısından önemli olduğunu göstermektedir.
AROMATERAPİDE KULLANILAN BAZI UÇUCU YAĞLARIN KALİTE KONTROLÜ VE ICP-MS YÖNTEMİ İLE AĞIR METAL ANALİZİ
Authors: DELİORMAN ORHAN Didem , ACAR Yunus , ALP Orkun
Published: September 2024

Amaç: Bu çalışmada, piyasada aromaterapi uygulamalarında kullanılan 21 uçucu yağın (tatlı portakal, kekik, nane, gül, biberiye, lavanta, ylang-ylang, melisa ve defne) ağır metaller ve tağşiş açısından analiz edilmeleri amaçlanmıştır. Yöntem: ICP-MS yöntemi ile Cd, Hg ve Pb içerikleri analiz edilmiş; ayrıca çözünürlük ve leke kontrol testleri ile tağşiş edilip edilmedikleri kontrol edilmiştir. Analiz sonuçlarının değerlendirilmesinde Avrupa Farmakopesi 10.0 kriterleri kullanılmıştır. Bulgular: Çalışmada tüm örneklerin ağır metal içeriklerinin belirlenen limitlerin altında olduğu tespit edilmiştir. Ancak beş örnek dışında tüm örneklerin ambalaj bilgilerinde organik sertifikalarının ve/veya kemotip bilgilerinin bulunmadığı görülmüştür. Bir örnekte (gül yağı) tağşişat tespit edilmiştir. Sonuç: Piyasada aromaterapötik amaçlı satın alınacak uçucu yağların çoğunun organiklik şartını sağlamadığı, tağşiş edilmiş olduğu ve ambalaj bilgileri açısından eksiklikler taşıdığı tespit edilmiştir. Bu yağların Farmakope veya ISO standartlarına uygun olmasının halk sağlığı açısından elzem olduğu ve Sağlık Bakanlığı'nın gerekli düzenlemeleri yapması gerektiği sonucuna varılmıştır.