bluuebunny/crossref_metadata_2025 huggingface dataset:
separación en regresión logística, una solución y aplicación
Authors: Correa M. Juan C. , Valencia C. Marisol
Published: July 2024

La regresión logística es una de las técnicas estadísticas más aplicadas cuando se busca explicar el comportamiento probabilístico de algún fenómeno. Un problema que aparece con frecuencia en estos modelos es la separación en los datos, mostrando los grupos de éxitos separados de los fracasos, lo que impide hallar los estimadores de máxima verosimilitud. Objetivo: Presentar una revisión y solución del problema, comparando con otras existentes. Metodología: Simulación del modelo logístico y estimación del sesgo de los parámetros, usando la solución propuesta con el método clásico. Bayesiano y observaciones ficticias y con el método de Firth. Resultados: Los sesgos encontrados son menores al generar el par de observaciones ficticias con el método Bayesiano. Se muestra un ejemplo sobre la edad de la menarquia. Discusión: Se aporta una solución adecuada al problema de la separación usando simulación en un esquema de modelo logístico sencillo. Conclusiones: la generación de observaciones ficticias se recomienda dentro de la región de separación y el mejor método de solución está basado en la teoría bayesiana, donde se logra una convergencia en los parámetros del modelo logístico.
metodología de series de tiempo para el área de la salud; caso práctico
Authors: Bello León D. , Martínez Sandra
Published: July 2024

En los últimos años, las series de tiempo han tenido desarrollos y aplicaciones importantes en el área de la salud; por ello, el presente artículo muestra una metodología ensayada en estudios anteriores, en que se esbozan los pasos en el análisis de series de tiempo para un enfoque clásico. El objetivo permite identificar un buen modelo de pronóstico usando técnicas de suavización: exponencial, simple, Holt y Winter. Además, se realiza la validación de los supuestos de los residuales, dando confiabilidad a los resultados del modelo encontrado. Para aplicar el procedimiento se utilizaron los datos del número de consultas externas realizadas en la IPS de la Universidad de Antioquia durante abril del 2001 y septiembre del 2005.
Demografía de lo otro: biografías sexuales y trayectorias de emparejamiento entre varones en la Ciudad de México
Authors: Silva A. Adriana C.
Published: July 2024

Este texto realiza la construcción socio-histórica de la sexualidad y el homoerotismo, así como contribuye a deconstruir teórica e ideológicamente algunas de las nociones tradicionales acerca de la familia, el matrimonio, el parentesco y la filiación.
VI Congreso Iberoamericano de Investigación Cualitativa en Salud
Authors: Molina Marín Gloria , Peñaranda Correa Fernando
Published: July 2024

El VI Congreso Iberoamericano de Investigación Cualitativa en Salud fue organizado por la Facultad Nacional de Salud Pública de la Universidad de Antioquia y se desarrolló del 15 al 17 de octubre del 2014 en el Hotel Intercontinental de Medellín. Para la organización se conformó una comisión académica internacional compuesta por investigadores de México, Brasil, España, Portugal y Colombia y una comisión organizadora local compuesta por investigadores de la Facultad Nacional de Salud Pública y las facultades de medicina y de enfermería de la Universidad de Antioquia, además de un investigador de la Universidad CES y dos investigadores de la Secretaria de Salud de Medellín.
Hilos y tejido, palabras y narración en salud
Authors: Gaviria L. Martha B.
Published: July 2024

Presento los fundamentos gnoseológicos, ontológicos, epistemológicos y metodológicos de una aproximación de investigación narrativa de tipo autobiográfico (INA) erigido sobre la fenomenología hermenéutica de Paul Ricoeur. Esta es una propuesta novedosa para el campo de investigación narrativa en salud que se caracteriza por los siguientes rasgos distintivos: 1) la entrevista conversacional representa una ruta idónea para la construcción de “buenos relatos”, preservando un ejercicio justo de la memoria; 2) la autobiografía es el resultado de la memoria singular de recuerdos, silencios y olvidos, entretejida con otras memorias de contemporáneos, predecesores y sucesores; 3) la interpretación, que se despliega en el arco hermenéutico se efectúa mediante los tres momentos miméticos del relato, a saber: mímesis 1 o prefiguración, que provee la precomprensión de las acciones narradas; mímesis 2 o configuración, que explica la manera como fue construido el relato y responde a la pregunta ¿qué dice esta historia?; y mímesis 3 o refiguración, que precisa hacia dónde apunta esta narración: ¿qué nuevo mundo abre?; y 4) el relato revela la identidad del narrador, aparece ante los demás como un ser en movimiento, único y singular; y provee, desde la sabiduría práctica y el juicio moral en situación, una racionalidad narrativa que se encuentra más allá del uso teórico de la razón y de la ciencia. Como una apuesta ética y política, la INA aporta nuevo conocimiento y pensamiento desde las propias voces de los narradores mediante la comprensión de significados de experiencias vinculadas a fenómenos de la salud y la vida.
ECONOMIC DIPLOMACY OF UKRAINE IN THE SOUTHEAST ASIA SUBREGION
Authors: Krupenya Iryna ,   Sumy State Pedagogical University named after A.S. Makarenko, Sumy, Ukraine
Published: July 2024

It was established that according to the ASEAN Charter there are 3 types of cooperation: Dialogue Partnerships, Sectoral Dialogue Partnerships, Development Partnerships, and there are separate observer and guest statuses. The possibility of non-Southeast Asian countries the Treaty of Amity and Cooperation in Southeast Asia was studied, and Ukraine’s experience of joining the Treaty since 2017 was analyzed. It was emphasized that although the Treaty of Amity and Cooperation in Southeast Asia was a symbol of good-neighborly relations between ASEAN countries, it was also considered as a contractual basis for regional cooperation and as a necessary condition for joining ASEAN. A list of appropriate measures to improve the development of economic relations between Ukraine and the ASEAN countries is recommended.
Public Management Discretion and Public Management Decision to Engineering, Testing and Application of Legal Innovations
Authors: Degtyarev M. V.
Published: July 2024

The article is devoted to the topic of the significance and complexity of the managerial decision on the engineering, testing and application of legal innovations. In the author’s opinion, many problems of legal and legal-digital innovation are reduced to the ambiguity of their functional-target load and very high difficulty of confirming that they are really needed, to the extreme difficulty of predicting their implementation. And it is this that complicates the adoption of an appropriate managerial decision. Managerial decision on legal innovations, due to the crystallization of the substrate of managerial discretion in it, always entails a high responsibility for its adoption. The author points out that there are no unified generally recognized ways of operating activities in the field of legal innovation and management of the corresponding innovation process. But there are some general management principles and requirements that are quite transferable to this sphere. The author substantiates that with all the significant differences between the private market legal sector and the public administration sector, in making a decision on the development, testing and implementation of legal and securing legal and digital innovations, both managers — the head of a public authority and the head of a commercial firm — are placed in similar conditions. The author in his article articulates the problem of time resource, objectively required for what is presented as a “legal innovation” to really become a legal innovation and a good legal innovation. According to the author, legal innovation is not a quick process, and it is not a one-time phenomenon, but a responsible discretion in making the appropriate managerial decision — it is always objectively time-consuming. The author raises the question that any innovation, and legal innovation in particular, has its own life cycle, at the end of which it outlives itself, exhausts its potential for innovation. Although there are legal innovations that have transformed into legal axiomatics and traditional legal everyday tools. But in any case, we talk about legal innovations without disconnecting from time, from its flow, from the notches on its scale. The author declares the article as posing a scientific problem, but at the same time the author offers a conceptual answer to some of such questions.
The stable relevance of the study of the administrative
Authors: Trufanov M. Е.
Published: July 2024

The article analyzes the problem of the content of the legal defi- nition of “administrative law enforcement act”. Based on the conducted re- search, the author substantiates that an administrative law enforcement act is a qualified act of a competent entity based on the law, affecting the state of administrative and legal relations, aiming to cause certain legal consequences and expressed in a documented specific legally authoritative command. The author notes that the study of a significant amount of legal literature indicates the absence of a unified approach among scientists on quantitative and qualitative criteria of administrative law enforcement acts. The trend of modern administrative and legal relations and the change of priorities in legal regulation certainly affect the complex of functions of an administrative law enforcement act, which can only be conditionally called a system, which certainly preserves the inter
The role of umbilical-portal venous hemodynamics in fetal macrosomia pathogenesis in pregnancy complicated by diabetes mellitus
Authors: Shelaeva Elizaveta V. , Kopteeva Ekaterina V. , Alekseenkova Elena N. , Kapustin Roman V. , Kogan Igor Yu.
Published: July 2024

BACKGROUND: During pregnancy complicated by diabetes mellitus, the risks of developing fetal macrosomia and other perinatal complications increase. Redistribution of blood flow in the fetal umbilical-portal venous system may be an important but poorly understood compensatory mechanism that affects macrosomic fetal growth.
AIM: The aim of this study was to determine the features of the fetal umbilical-portal venous hemodynamics in pregnant women with various types of diabetes mellitus and the absence of carbohydrate metabolism disorders, taking into account the gestational age and the macrosomic fetal growth.
MATERIALS AND METHODS: In this prospective cohort study, 86 pregnant women with pregestational diabetes mellitus, 44 pregnant women with gestational diabetes mellitus and 58 patients without carbohydrate metabolism disorders underwent ultrasound examinations from 30+0 to 41+3 weeks of gestation. During ultrasound, we performed Doppler assessment of venous hemodynamic parameters in the vessels of the umbilical-portal venous system, with volumetric blood flow calculated for each vessel. Additionally, the total liver volumetric blood flow and ductus venosus shunt fraction were calculated.
RESULTS: The presence of fetal macrosomia in patients from the pregestational diabetes mellitus group is associated with an increase in the volumetric blood flow of the umbilical vein by 89.5 ml/min (p = 0.003) and the left portal vein by 33.3 ml/min (p = 0.008), as well as the total volumetric blood flow of the fetal liver by 95.7 ml/min (p = 0.001) compared with normal-weight fetuses. At the same time, the ductus venosus shunt fraction decreased in macrosomic fetuses by 3.83% (p = 0.001). In the gestational diabetes mellitus and control groups, despite the tendency for these parameters to increase in fetuses with macrosomia, the differences did not reach statistical significance. With a left portal vein volume flow threshold of 94.51 ml/min, the sensitivity and specificity for predicting large births were 84.46 and 72.09%, respectively.
CONCLUSIONS: Pregestational diabetes mellitus in the mother is associated with a priority redistribution of blood flow to the fetal liver and is accompanied by a decrease in the ductus venosus shunt fraction. The severity of these hemodynamic changes increases in the presence of fetal macrosomia, which confirms the role of liver perfusion in the regulation of fetal growth in uncomplicated pregnancy and maternal diabetes mellitus.
Breath assessment at with post-tuberculosis patients suffered new coronavirus infection
Authors: Balasaniants Goar S. , Abdrakhmanova Sumbul Z. , Gilmutdinova Lira  T. , Farkhshatov Ildus R.
Published: July 2024

BACKGROUND: The possibility of mutual aggravation of post-tuberculosis and post-COVID respiratory pathologies requires additional consideration.
AIM: To study some subjective breathing parameters at patients with post-tuberculosis pulmonary residual changes after a new coronavirus infection recovering.
MATERIALS AND METHODS: The study included two groups: the main group — 14 patients with cured pulmonary tuberculosis, who had recovered from a new coronavirus infection, a comparison group — 52 patients with post-tuberculosis changes non-sick new coronavirus infection who were admitted to the tuberculosis sanatorium “Glukhovskaya” in 2020–2021. The severity of shortness of breath using the Modified Medical Research Council (mMRC) and Borg scales was assessed upon admission to the sanatorium and a month later.
Results: The mMRC scale was 1.5 ± 1.4 and 2.1 ± 0.2 and the Borg scale was 1.5 ± 1.4 and 2.9 ± 0.2 before treatment respectively in the main group and the comparison group. According to the mMRC scale initially 14.3 and 11.5% of patients with pulmonary tuberculosis and the comparison group did not complain of shortness of breath and 50% of pulmonary tuberculosis patients and 42.4% of the comparison group defined it as severe. After a month there were 3 or 4 points on the mMRC scale among pulmonary tuberculosis patients. In the comparison group 3-point shortness of breath decreased by 11.2 times most often indicated shortness of breath with 2 score. According to the Borg scale dyspnea was initially assessed as 3 points at 71.5% pulmonary tuberculosis patients. In the comparison group 67.3% patients had grade 3 dyspnea and 11.5% noted 4–6 grade shortness of breath. After a month the proportion of patients with mild shortness of breath at the pulmonary tuberculosis and comparison groups increased by 4.5 and 3.3 times, respectively, and the frequency of 3-grade shortness of breath decreased by 5 and 3.9 times.
CONCLUSIONS: Major post-tuberculosis changes, smoking and chronic obstructive pulmonary disease determine the severity of breathing discomfort to a greater extent than the experience of new coronavirus infection but rehabilitation treatment are leveled out these differences. It is advisable to study the state of the respiratory system at patients cured of pulmonary tuberculosis.
Thermal non‐destructive testing and evaluation for inspection of carbon fibre‐reinforced polymers
Authors: Arora V , Mulaveesala R , Bhambhu S K , Sharma S , Singh I , Das P , Sharma A , Dua G
Published: July 2024

Thermal non‐destructive testing and evaluation (NDT&E) is crucial in ensuring the quality and safety of industrial materials, components and structures. It serves as a key tool for assessing their operational reliability, thus enhancing safety in a wide range of industries.
There is a growing demand for dependable, swift, remote and secure inspection and assessment techniques to detect hidden flaws, especially for sustainable solutions, which prompts adjustments in design and manufacturing standards. Hidden defects often emerge during the service life of these
materials and structures due to various stress factors, potentially resulting in catastrophic failures. This study delves into an optimal and dependable experimental method for conducting fast, remote and secure inspections and assessments of carbon fibre‐reinforced polymer (CFRP) materials
using infrared imaging (IRI) as part of thermal non‐destructive testing and evaluation (TNDT&E). Additionally, it examines the post-processing approach associated with this technique. This perspective also sheds light on the current state-of-the-art of infrared imaging methods employed
in TNDT&E, emphasising the strengths and weaknesses in their ability to detect subsurface defects present within the material. Most of the methods discussed in previous research primarily focus on the thermal differences in specific areas of a sample using processed thermal images, even
though these images come from analysing a series of images captured over time. This study highlights the latest research in thermal/infrared non‐destructive testing and evaluation, along with related post-processing techniques. It not only aims to show hidden subsurface defects
through thermal differences but also provides information about how these defects change over time.
EĞİTİCİ ROBOT SETLERİNİN ETKİLİLİĞİ: 2010-2021 YILLARINI KAPSAYAN BİR META ANALİZ ÇALIŞMASI
Authors: Saltan Yasemin , Korkmaz Özgen
Published: July 2024

Bu çalışmanın amacı eğitsel robot setlerin öğrencinin problem çözme, akademik başarı ve bilimsel süreç becerilerine olan genel etkisinin incelenmesidir Çalışmada, literatür taraması yaklaşımlarından biri olan meta-analiz yöntemi uygulanmıştır. Bu araştırmada çalışmaya dâhil edilme kriterleri olarak belirlenmiş ölçütler şunlardır: Çalışmanın 2010-2021 yılları arasında olması, Türkçe dilinde yazılmış yüksek lisans tezi ve doktora tezi olması, eğitim alanında robot setlerin kullanılmış olması, çalışmanın deneysel-yarı deneysel olması. Verileri analizinde etki büyüklükleri hesaplanmıştır. Dâhil edilme kriterlerine göre araştırmaya 6 adet doktora tezi, 26 adet yüksek lisans tezi olmak üzere toplam 32 adet çalışma dâhil edilmiştir. Veriler incelendiğinde, araştırmaya dâhil edilen çalışmaların %48.8 oranında akademik başarıyı, %19.5 oranında bilimsel süreç becerileri ve %31.7 oranında problem çözme becerilerinin ele alındığı görülmektedir. Akademik başarı bağlamında Cohen etki düzeyleri sınıflandırmasına göre dâhil edilen çalışmaların %0 oranında zayıf , %30 oranında küçük, %25 oranında orta ve %45 oranında güçlü düzeyde etki büyülüklerinin olduğu saptanmıştır. Öte yandan bilimsel süreç becerilerine olan etki incelendiğinde çalışmaların %12,5 oranında zayıf, %37,5 oranında küçük, %12,5 oranında orta ve %37,5 oranında güçlü düzeyde etki büyülüklerinin olduğunu görülmektedir. Problem çözme becerilerine olan etki incelendiğinde çalışmaların %7,69 oranında zayıf , %7,69 oranında küçük, %38,46 oranında orta ve %46,15 oranında güçlü düzeyde etki büyülüklerinin olduğu görülmüştür.
Epidemiology, the Impact of COVID-19, and the
Mycological Approach in Invasive Mold Infection
Authors: Kim Jayoung , Lee Hyeyoung , Sung Gi-Ho
Published: July 2024

Invasive fungal infections are a significant health challenge worldwide. Although invasive yeast infections are more prevalent, invasive mold infections (IMIs), such as Aspergillus spp., Mucorales, and Fusarium spp., are rising. The increase in IMIs is attributed to various factors, such as transplantation, aggressive treatments, invasive medical devices, and the emergence of new at-risk populations, such as patients with influenza and SARS-CoV-2-associated aspergillosis. The European Organization for Research and Treatment of Cancer and the Mycosis Study Group initially provided definitions based on host and clinical factors, including radiological findings and mycological evidence. The recent 2020 updates of the definitions state that a case confirmed by microscopy, histopathology, and culture from a sterile site is "proven"; however, regarding mycological criteria, this guideline introduced revised thresholds for the galactomannan assay based on sample types, excluded the 1,3-β-D-glucan detection assay, and acknowledged positive Aspergillus polymerase chain reaction tests from serum, plasma, or bronchoalveolar lavage fluid. The current diagnostic approach improves the accuracy and timeliness of diagnosing fungal infections
and facilitates more effective patient management.
The Role of Neutrophil-to-Lymphocyte Ratio as
A Potential Biomarker of Erythema Nodosum
Leprosum Disease Severity: A Retrospective Study
Authors: Misalina Kartika , Listiawan Muhammad Yulianto , Rahmadewi  , Murtiastutik Dwi , Prakoeswa Cita Rosita Sigit , Hidayati Afif Nurul , Utomo Budi
Published: July 2024

Background: Erythema nodosum leprosum (ENL) is an acute immunologic complication of multibacillary leprosy (MB) that causes systemic inflammation in various organs. It is a major factor contributing to morbidity, mortality, and financial hardship. ENL is diagnosed clinically, and objective indicators for severe conditions remain unexplored.
Simple blood biomarkers that differentiate between different ENL disease severity levels are required. Neutrophilto-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) have been widely studied as severity biomarkers of numerous neoplastic and inflammatory disorders.
Objective: We examined NLR and PLR values at various ENL severities and their role as severe disease indicators for ENL.
Methods: This cross-sectional retrospective study examined 246 patients with multibacillary leprosy—with and without ENL reactions and aged 18 and above—and calculated their NLR and PLR values. Then, we compared patients with mild and severe disease states to those without ENL. The severity classification was based on the
ENLIST ENL Severity Score (EESS). To determine the NLR and PLR cutoff points of mild and severe ENL, a receiver operating characteristic (ROC) curve was constructed.
Results: The NLR value for severe ENL was significantly higher than that for mild ENL (p < 0.05), with a severe disease cutoff point of 5.71 (95.7% sensitivity, 68.7% specificity). No significant differences were found in PLR between patients with mild and severe ENL.
Conclusion: While PLR is not an effective assay for evaluating ENL severity, NLR is a potential biomarker for severe ENL reactions in patients with multibacillary leprosy.
STUDENTS’ PREFERENCE OF DIGITAL OR PRINTED BOOKS/READING MATERIALS
Authors: Kharisma Alfiah , Wulyani Anik Nunuk , Astuti Utari Praba
Published: July 2024

This survey study aims to obtain information associated with the 7th graders' preference for reading digital/online and printed books. The data was obtained from an online questionnaire which was distributed to the 7th graders of one state junior high school in Lumajang Regency. The findings of this study shows that the majority of the students prefer to read printed books/reading materials rather than the digital books. This indicates that it is important for both teachers and students to understand what types of books are appropriate to improve students’ knowledge in the learning process.
INTERACTIONAL PATTERNS IN SYNCHRONOUS ONLINE TEACHING MODE AT THE THIRD SEMESTER OF ENGLISH EDUCATION STUDY PROGRAM OF UNIVERSITY OF BENGKULU
Authors: Prastiningrum Hesty , Azwandi Azwandi , Hati Gita Mutiara
Published: July 2024

This research is aimed at finding out the interactional patterns in the synchronous online teaching mode at the third semester of English Department at University of Bengkulu. This research employed a descriptive quantitative research. The subjects of this research were class C of third semester of English Department consisting of 36 students and one lecturer who teaching online by using Google Meet as the synchronous platform. The data of this research were three audiovisual records which were recorded by the lecturer. The data were identified by using the identification table of IRF pattern of interaction based on Coulthard (2002) and analyzed based on the IRF model of Sinclair and Coulthard (1975) as the ideal pattern. The first finding showed that the most occurred pattern employed by the lecturer is IRF pattern as complete pattern, and there are also IR pattern as semi complete pattern, and IF as incomplete pattern. The second finding showed that the elicitation act is the most frequently occurred act in the classroom interaction. It could be concluded this classroom can be stated as a good interaction because the lecturer gave the same opportunities to the students to initiate in the discussion, so the students were active giving initiations.
USING ILLNESS NARRATIVES AS AN EMPATHETIC CONNECTION TO REPRESENT FEMALES’ SUBJECTIVE CONSCIOUSNESS: AN ANALYSIS OF “THE YELLOW WALLPAPER"
Authors: Liao Hung-Chang , Wang Ya-huei
Published: July 2024

This study intended to use “The Yellow Wallpaper” as a case study to demonstrate how illness narratives can be used to form an empathetic connection with respect to patients’ anxiety, predicaments, trauma, or other health problems and, further, to reach self-identification and justification. To achieve the research objectives, the study used Charon’s illness narratives regarding attention → representation → affiliation and Engel, Zarconi, Pethel, et al.’s six narrative skills as a framework to examine how the nameless female narrator struggles to reach her own female identification and subjectivity in a gender-discriminated patriarchal hegemony, but gradually becomes hysterical, losing her mind, and finally, going insane.
ELT STUDENTS’ PERCEPTIONS TOWARDS WHATSAPP FOR LEARNING ENGLISH DURING THE COVID-19 PANDEMIC
Authors: Karimah Imroatul , Tresnadewi Sintha , Masduqi Harits
Published: July 2024

The research was conducted to find out the perceptions of ELT students towards the use of WhatsApp as a Mobile-Assisted Language Learning (MALL) device for learning English during the COVID-19 pandemic. The researcher distributed a survey which was filled out by 225 English Language Teaching (ELT) students of Universitas Negeri Malang, Indonesia. The data analysis results show that the students find WhatsApp convenient features due to its connectivity, instant, portability, spontaneity, personalized, and ubiquity. They think that the app is useful for bite-size learning, blended learning, collaborative learning, various learning strategies, learning autonomy, task-based learning, asynchronous and synchronous learning, facilitating interactivity, and for mediating learning. They are also content to use WhatsApp for self-study and improving learning motivation.
THIRST TWEETS: WOMEN’S LANGUAGE USED TO SEXUALLY OBJECTIFY MEN
Authors: Sukma Danti Permata , Anugerahwati Mirjam , Yannuar Nurenzia
Published: July 2024

This study explores thirst tweets as sexual objectification with women as the writers and men as the targets, and the reason this phenomenon is allowed by society. As a new trend by BuzzFeed, thirst tweets are a set of tweets where mostly women compliment celebrities’ bodies. The data were gathered from a playlist video under the account BuzzFeed Celeb on YouTube. Firstly, Fairclough’s (2013) CDA and Langton’s (2009) Sexual Objectification theories were used to analyze the social relations of thirst tweets with sexual objectification. Secondly, watching the celebs’ reactions and comparing it to Berdahl et al. (1996) answered public’s tolerance in objectifying men. The results show that the construction of thirst tweets is in the form of reducing to the body and appearance, using violent language, and calling the celebs ‘daddy’. Also, the celebrities’ reactions and power play an important part in that the objectification is justifiable. While few felt uncomfortable, the male celebs still act polite by thanking the writers. Writers, as the consumers in a fandom, felt they are entitled to objectify these celebrities.
Bibliometric Analysis in the Development of Public Sector Digitalization
Authors: Prabawa Windhi Gita , Mutiarin Dyah , Purnomo Eko Priyo , Roengtam Sataporn
Published: July 2024

Public sector modernization has long been on the political agenda of governments around the world. This study aims to provide an overview of the development of scientific research with the theme of public sector digitalization in the last ten years, from 2014 to 2023. The researcher used the qualitative method with a literature approach. The data source was obtained by accessing journals in the Scopus database with high citation counts. The data obtained was then analyzed using VOSviewer. The results showed that 417 journals studied public sector digitalization from 2014 to 2023. It is widely assumed that the United Kingdom and the United States are the most influential countries in digitalization research in the public sector. The results showed a significant difference in research topics between the UK and the US. Even though this study provides information about public sector digitalization, it has its limitations. The main limitation is that the articles only come from the Scopus database, with no other comparative data. Future research should continue to use data from other databases to contribute more comprehensive knowledge.
Role of vildagliptin and its combination in type 2 diabetes mellitus management: a knowledge, attitude, and practice survey among Indian healthcare professionals
Authors: Kalra Pramila , Dharmalingam Mala , Kubba Samir , Bhojwani Heena , Jain Sanjay
Published: July 2024

Background: Type 2 diabetes mellitus (T2DM) is a prevalent condition, with a significant burden in India, affecting approximately 74.2 million individuals. Vildagliptin, a selective dipeptidyl peptidase 4 (DPP-4) inhibitor, is approved globally for monotherapy and combination therapy. Recently, it became available as a generic product, which increased its accessibility to patients. This study aimed to assess the knowledge, attitude, and practice (KAP) regarding vildagliptin and its combination in T2DM management.
Methods: A pan-India cross-sectional KAP survey was conducted from February 2022 to March 2023. The survey utilized a specially designed questionnaire focusing on various aspects of vildagliptin treatment. A total of 1,440 healthcare professionals (HCPs) with recognized qualifications and experience in diabetes management participated. Descriptive statistics were employed for data analysis.
Results: HCPs reported initiating Vildagliptin monotherapy at an HbA1c 6.5-7.5%, while combination therapy with vildagliptin and metformin at HbA1c 7-8%. Vildagliptin was primarily preferred as an add-on to metformin. Inadequate HbA1c control with existing therapy emerged as the primary trigger for switching to vildagliptin and metformin combination. Treatment-naïve T2DM patients with HbA1c 1.5% above target and those uncontrolled on metformin monotherapy or dual therapy were reported to benefit most from combination therapy. Combination therapy was reported to result in a glycemic reduction of 1.0-1.5%. HCPs perceived vildagliptin better than other DPP4 inhibitors due to its efficacy in reducing HbA1c and a lower risk of hypoglycemia.
Conclusions: The KAP survey highlights the value Indian HCPs place on the effectiveness and tolerability of vildagliptin and their attitudes and practices in its use, highlighting its clinical utility in routine practice.
Impact of gender on outcome of adult cardiac surgery
Authors: Alghawanmeh Suhaib S. , Aladwan Hayel T. , Alshoubaki Wael I. , Aladwan Deema H. , Mohd Ashraf F. , Al-Aqqad Nisrein M.
Published: July 2024

Background: Objective of the study was to identify differences in preoperative, intraoperative, and postoperative parameters between female and male cardiac surgical patients.
Methods: This is a prospective observational analysis of adult cardiac surgical patients presenting for cardiac surgery at Queen Alia Heart Institute in the period between September 2023 and January 2024. Patients’ demographics, type of surgery (cardiac pathology), comorbidities, and perioperative, parameters were recorded and analysed. Males and females were compared according to their age at time of surgery, operative time, intensive care unit (ICU) stay, hospitalisation time and mortality. Male and female patients undergoing coronary surgery were compared.
Results: Data from 166 adult cardiac surgical patients was analysed. They constituted 135 males and 31 females. Male to female ratio was 4.4:1. When considering all types of cardiac surgery, female patients had longer duration of hospitalisation (13.1 days) than males (11.5 days). Moreover, mortality was higher in the female subpopulation (12.9%) than the male subpopulation (8.1%). Only 14% of coronary artery bypass grafting (CABG) patients were females and they had higher in-hospital mortality (20%) versus 7.4% in males.
Conclusions: Female patients present for CABG less commonly than males and at more advanced age. Mortality rates are higher in females and hospitalisation time is longer.
Innovative approaches to microbial identification enhancing accuracy and speed in infectious disease diagnostics
Authors: Algrooni Khalid Suliman , Alhaidan Hanan Mushabab , Hamzah Huda Abbas , Almarzouqi Maram Fahad , Hamad Albatol Mohammed
Published: July 2024

The rapid and accurate identification of microbial pathogens is crucial for effective management of infectious diseases. Traditional methods, though reliable, are often time-consuming. Recent advancements in molecular diagnostics, mass spectrometry, and next-generation sequencing (NGS) have revolutionized the field by enhancing both the speed and accuracy of microbial identification. Polymerase chain reaction (PCR) and its derivatives, such as real-time PCR, enable rapid amplification of genetic material, significantly reducing diagnostic times. Techniques like nucleic acid sequence-based amplification (NASBA) and loop-mediated isothermal amplification (LAMP) further extend these capabilities to resource-limited settings by operating at constant temperatures. Mass spectrometry, particularly matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF), provides rapid and accurate microbial identification by analyzing protein profiles. This method has high throughput, is cost-effective, and offers the ability to detect antimicrobial resistance, significantly impacting clinical decision-making and patient management. NGS technologies offer comprehensive pathogen detection by sequencing entire microbial genomes. This approach is invaluable in diagnosing complex infections, tracking outbreaks, and identifying antibiotic resistance genes, though its high cost and complexity limit widespread use. The integration of these innovative technologies into clinical practice enhances the ability to diagnose and manage infectious diseases effectively. Molecular diagnostics, mass spectrometry, and NGS each bring unique strengths, from rapid and precise pathogen detection to comprehensive genetic analysis and resistance profiling. These advancements contribute to improved patient outcomes and more effective public health strategies. The continued development and implementation of these technologies are essential to address the evolving challenges in microbial diagnostics, paving the way for more precise and personalized approaches in infectious disease management.
INNOVATION CULTURE AS A FACTOR OF COMPETITIVENESS IN A PUBLIC COMPANY OF ENERGY SOLUTIONS: A CASE STUDY AT CEMIG SIM
Authors: Giffoni de Carvalho Dutra Frederico , Gomes Almeida Fernanda , Corrêa Fábio , Suely de Araújo Nery Ribeiro Jurema
Published: July 2024

The article discusses the culture of innovation as a factor to stimulate competitiveness in an energy solutions company. The research, of an exploratory, descriptive and qualitative approach, aimed to identify, from the structured interview and the documentary research, which are the elements to stimulate the culture of innovation adopted by Cemig Sim, subsidiary of energy solutions of Companhia Energética de Minas Gerais. The script of questions consisted of 22 questions, being applied to the Marketing, Culture and Customer Success Manager. After data collection, the guidelines to encourage innovation adopted by Cemig Sim were compared with the model proposed by Dutra e Almeida, from 2018, in order to analyze the practices carried out by the company and point out the highlights and possible opportunities for improvement. It was found that of the 33 variables proposed by the aforementioned model, Cemig Sim fully fulfills 26 categories, representing 78.7% of completeness. Initiatives such as error tolerance; learning organizations; cross-functional teamwork; processes and tools for generating new ideas; meet current and potential customers/search for ideas outside the organization; explicit top management support for innovation; creating and maintaining a flexible organizational structure and employee autonomy. However, the company fails to adopt important initiatives for the innovation management process, such as establishing reward and recognition mechanisms for creative behavior; job rotation and; innovation metrics. It is suggested the development of practices that contemplate and encourage such activities in the company.
Partial Atrioventricular Septal Defect in a Case of Bardet-Biedl Syndrome: A Rare Association
Authors: Behjati Mohaddeseh , Tohidi Fatemeh , Karimian Mohammad
Published: July 2024

Bardet-Biedl syndrome (BBS) (MIM 209900) is a genetic disorder with a wide spectrum of clinical manifestations including retinal dystrophy, hypogenitalism, polydactyly, obesity, renal abnormalities and mental retardation. We describe a 13-year-old girl, a known case of Bardet-Biedl syndrome, who was going to undergo hysterectomy due to hydrometrocolpous. She was homozygous autosomal recessive for gene BS57. She was obese and had impaired vision, renal abnormality, borderline intelligence, recurrent urinary tract infection, menstrual problems, normal secondary sex chrematistics and corrected polydactylies. She had also big nose, thin upper lip, slightly everted lower lip, small mouth and retrognathia. Her electrocardiography showed incomplete right bundle branch block. We identified atrioventricular septal defect (AVSD). In conclusion, physicians who deal with cases who suffered from Bardet-Biedl syndrome, should be vigilant about seeking for identification of cardiac anomalies such as partial AVSD. This leads to earlier identification of the existing cardiovascular disease which facilitates appliance of curative measures.
The Effect of Coronavirus (COVID-19) on Job Satisfaction, Work Stress and Burnout of Healthcare Workers: A Systematic Review and Meta-Analysis
Authors: Çivilidağ Aydın , Durmaz Şerife , Uslu Berk
Published: July 2024

Background: We aimed to examine the job satisfaction (JS), work stress (WS) and burnout (B) levels of healthcare workers (HCWs), who are at the forefront of the fight against the coronavirus (COVID-19) epidemic process, which negatively affects the whole world, by meta-analysis.
Methods: Articles, theses and papers in the literature before the COVID-19 (2014-2019) and during COVID-19 (2020-2022) were systematically reviewed. The sample size of 54 studies conducted from 13 countries was 49.139. Data analysis was performed with the Comprehensive Meta-analysis (CMA) 3.0 Version program.
Results: According to the random effect model analysis result, a negative, significant and low-level relationship was found between WS and JS, before and during COVID-19. There was a negative, significant and medium level relationship between JS and B. It was found positive, significant and high-level relationship between WS and B. Human development level (HDL) has a moderating effect on WS and B. In addition, sample size has moderating effect on WS and JS.
Conclusion: During the prolonged COVID-19 pandemic, HCWs have experienced more burnout due to strict isolation, working conditions requiring overtime, fatigue, insomnia and concerns about virus transmission. Intense work tempo, inadequate health equipment, patient deaths, and low wages are the factors that decrease JS and increase WS and B. It is recommended to improve working conditions globally and provide financial support and mental health protection for HCWs.
Environmental Health Risk of Microplastics Due to Consumption of Fish and Shellfish in the Coastal Area
Authors: Daud Anwar , Ishak Hasanuddin , Ibrahim Erniwati , Basir Basir , Birawida Agus Bintara , Syam Rizky Chaeraty , Arundana Andi Imam , Gafur Abdul
Published: July 2024

Background: The increasing accumulation of plastic waste is the most serious threat to the marine ecosystem. People who still have the habit of disposing of solid waste, especially plastic-type waste, in the marine environment have led to the discovery of microplastic content in various marine biota such as fish and shellfish. We aimed to assess the environmental health risks of microplastics due to consumption of marine life in the coastal area.
Methods: We used an observational method with the Environmental Health Risk Assessment (EHRA) design to analyze the health risks of humans consuming fish and shellfish containing microplastics. This research was conducted in the coastal area of ​​Takalar Regency, Indonesia in 2022. The samples used consisted of human (n = 30) and marine biota (fish, n=20; shellfish, n=20) samples. The data were obtained from observations, physical measurements of biota, laboratory tests, polymer type identification by Fourier Transform Infrared (FTIR) spectroscopy, and microscopy.
Results: The average concentration of microplastics containing styrene compounds in shellfish was 2.01 mg/kg. The abundance of MPs in the fish and shellfish samples was 0.01 particles/g or 10 particles/kg in fish and 7 particles/individual in shellfish. The MPs were found in line, fragment, film, and pellet forms, with different size and color variations. The average MPs exposure risk level (RQ value) for both fish and shellfish was 0.02.
Conclusion: All samples had RQ values < 1, which means that the microplastic-containing tofu shellfish were still safe for consumption by people living in the Takalar coastal area.
Tracking of Infectious Diseases and Deadly Injuries through Signs Observed in Excavated Human Skeletons of 2000 BC/Iron Age in Iran
Authors: Farhud Dariush D. , Azari Mahsa , Rahbar Mehdi
Published: July 2024

Background: Throughout history, many wars have occurred for various reasons, and many empires and kings have fallen or many people killed by wars. Wars were not always due to the conquest of the country. in the Iron Age, societies were governed by tribes at the head of the tribe, and war was only for to seize property, slaves, and food. Our research area is the same period as the Medes Kingdom, which included the union of small, large tribes, wars between tribes existed in that period, and their signs can be seen on the remains of the people of that period.
Methods: Our research is related to human remains from Sagezabad cemetery, Qazvin plain, which dates back to 2000 BC (Iron Age 2 and 3) in Iran.
Results: The blows on the remains were very serious and caused death. We have discussed how to kill by “considering the injured body”.
Conclusion: Our investigation of how people were killed in war based on injury marks and bullet holes in bones, and simulating those injuries to body tissues and organs also, people who had bone cuts from the war and survived and had bone repair and died due to lack of nutrients and infection were also discussed.
Bridging Tradition and Innovation: The Hippocratic Oath and ChatGPT in Modern Healthcare
Authors: Kaneda Yudai
Published: July 2024

The Article Abstract is not available.
The Effectiveness of Future Perspective Education on Academic Hope and Goal Orientation in 11th Grade Students
Authors: Norouzi Naser , Yakhchali Alireza Haji , Yeilagh Manijeh Shehni , Omidian Morteza
Published: July 2024

Aim: The present study was conducted with the aim of determining the effectiveness of future perspective education on goal orientation and academic hope in 11th grade male students of Baghmalek city (Iran). Methods: The current experimental research design included a pre-test and post-test experiment with a control group. The population of this research included all 11th grade male students in Baghmalek city in the academic year of 1400-1401 (persian calendar). Among these individuals, 48 ​​persons who met the criteria for entering the research were selected through multi-stage random sampling method and were placed in two experimental (n=24) and control (n=24) groups. In this research, Goal Orientation Questionnaire and Education Hope Questionnaire were used. After the pre-test, the experimental group received the educational perspective of the future vision during nine 60 to 90 minutes sessions. Then a post-test was taken from both groups. Findings: The results of multivariate and univariate covariance analysis showed that future perspective education had a significant effect on the dimensions of goal orientation (dominant, dominant-avoidant, performance-oriented and performance-avoidant) and academic hope in 11th grade male students (p > 0.005). Conclusion: In general, the results of this research showed that teaching the future perspective is effective on goal orientation and educational hope and can be used to improve the academic hope and goal orientation of 11th grade male students.
Examining the Relationship between Cultural Globalization and Marriage Spaces: The Mediating Role of Modern Identity
Authors: Mirzaei Ezatalah , Moghadam Elham Keshavarz , Asgari Ehsan , Mirzaei Mahdi
Published: July 2024

Aim: The purpose of writing this article was to investigate the relationship between cultural globalization and marriage spaces, relying on the mediating role of modern identity. Methods: The research type was descriptive and survey methodology was used. The total sample size consisted of 271 students of Al-Zahra University (S) who were married between the years 2020 and 2023, and this number was able to fill out the Mirzaei’s (2021) Cultural Globalization  and the Kianpour et al. (2015) and Afsharian (2021) Modern Identity Questionnaire.  The collected data were analyzed and interpreted using SPSS and AMOS softwares. Results: In terms of effecting the dimensions of the dependent variable (spouse selection spaces), the highest rate was related to the relationship between individualism and the unsupervised spousal selection space (0.77); this means that the higher the level of individualism, the higher the number of unsupervised marriages and vice versa. The lowest level of correlation was also seen between the variables of using Iranian music and the atmosphere of passive supervision in choosing a spouse (0.16). Also, relying on the Sobel test, it was determined that the value of this statistic in all variables is greater than ±1.96, and this means that the modern identity variable has played a significant mediating role in the relationship between cultural globalization and spouse selection spaces. Conclusion: Considering the limitless expansion of communication and the internet and virtual space that is accessible to everyone, the religious-traditional fabric of Iranian society, as well as the decrease in the marriage rate and the increase in the divorce rate in the current era, it seems that the authorities should adopt appropriate policies and providing basic and important schemas by experts and university professors is more and more able to return the atmosphere of marriage and choosing a spouse to the past and its traditional state and also to overcome such alarming statistics related to the categories of marriage and divorce. In other words, it is necessary to think of measures to pay attention to the rich traditional culture so that the identity of Iranians does not suffer from contradictions and conflicts.
La Educación desde una visión emancipadora de los Derechos Humanos orientada a niñas y niños de padres en prisión: Una experiencia educativa de Apoyo Escolar del Programa “Mi otra casa”
Authors: Vásquez Piedad
Published: July 2024

Educación emancipadora desde un enfoque de derechos humanos contexualizados, es decir, integrales y relacionales, trabajado con población infantil de hijos e hijas de personas en situación de prisión. Con un marco pedagógico y metodológico ético-crítico-político basado en el pensamiento de Freire y otros pensadores latinoamericanos. Una metodología relacional. Constituye una experiencia humanizadora no solo para los niños, niños y sus familias sino para todas y todos los involucrados en ese proyecto