bluuebunny/crossref_metadata_2025 huggingface dataset:
NEMISCHA FRAZEOLOGIZMLARNING STRUKTUR-SEMANTIK TAHLILI (INSON INTELLEKTUAL SALOHIYATINI IFODALOVCHI IBORALAR MISOLIDA)
Authors: Ergasheva Gulshan
Published: October 2024

Ushbu maqolada nemis tilshunosligida frazeologiya sohasining o‘rni, ahamiyati, turli tilshunos olimlarning frazeologiya sohasidagi ilmiy qarashlari, nemis tilida insonning intellektual salohiyatini anglatuvchi frazeologizmlar, ularning struktur va semantik xususiyatlari,  o‘zbek tilida anglashgan ma’nolari tahlil etiladi.
DIFFICULTIES CLASSIFYING PARALINGUISTIC MEANS IN A LITERARY TEXT
Authors: Masharipova Valentina
Published: October 2024

Paralinguistic means of communication—that is, gestures, facial expressions, and vocal tones—define meaning in great part. Still, categorizing these elements from literary works presents different difficulties. This study investigates the several types of nonverbal communication, their reliance on context, cultural differences, the subjective character of interpretation, their interaction with written text, and the absence of standard classification systems.
“COMITAS GENTIUM” ДОКТРИНАСИНИНГ ХОРИЖИЙ ДАВЛАТ СУД ҚАРОРЛАРИНИ ТАН ОЛИШ ВА ИЖРО ЭТИШГА ТАЪСИРИ
Authors: Халиқулов Комолиддин
Published: October 2024

Ушбу мақолада “comitas gentium” доктринасининг хорижий давлат суд қарорларини тан олиш ва ижро этишдаги аҳамиятига таъсири ўрганилган. Ушбу доктринанинг шаклланиш тарихи, ҳуқуқий моҳияти ва суд амалиётида қўлланилиши ўрганилган. Мақолада “comitas gentium” доктринаси асосида шаклланган хушмуомалалик (comitas) принципини jus cogens (императив) нормалари қаторига киритиб бўлмаслигини ва давлатларга мажбурият юкламаслиги таҳлил қилинган.
BOSHLANG‘ICH SINF O‘QUVCHILARINING ADABIY-NUTQIY KOMPETENSIYALARINI SHAKLLANTIRISH VA TASHXISLASHNING ASOSIY MEZONLARINI ANIQLASH
Authors: O‘SMANOVA DILOROMXON
Published: October 2024

O‘zbekistonda davlat hamda jamiyat ahamiyatiga molik dolzarb masalalar bilan bir qatorda, taʼlim sifatini oshirish va xalqaro baholash jarayonlariga munosib tayyorgarlik koʻrish masalasiga alohida eʼtibor qaratib kelinmoqda. O‘quvchilarining adabiy-nutqiy kompetensiyalarini shakllantirish, uni tarkib toptirish, kengaytirish va rivojlantirish muhim jarayonga aylandi. Shu bilan birga uni qay darajada ekanini aniqlagan holda o‘quvchilarning bilim darajasini baholash, sinovlarga tayyorlash va monitoring qilishning “Milliy dasturi”ni yaratish hozirgi kun talabiga mos keladi. Ushbu maqolada shu haqida so‘z yuritiladi.
Neuropsychiatry: psychoses that should not always be treated with antipsychotics
Authors:   Patrice Lumumba Peoples’ Friendship University of Russia, Moscow, Russia, Sivolap Yury P. , Portnova Anna A. ,   Patrice Lumumba Peoples’ Friendship University of Russia, Moscow, Russia
Published: October 2024

Disorders manifested by both neurological and mental disorders belong to the neuropsychiatric diseases. This category includes Alzheimer's disease, Parkinson's disease, Wernicke–Korsakoff syndrome, delirium tremens, catatonia and anti-NMDA receptor encephalitis. The etiology of psychotic disorders in neuropsychiatric diseases probably differs from that in schizophrenia and other psychoses, which causes both inefficiency and adverse events when using antipsychotics in neuropsychiatry. In the absence of a therapeutic alternative, antipsychotics can be prescribed with caution for neurodegenerative disorders, whereas catatonia is a relative, and anti-NMDA receptor encephalitis is an absolute contraindication to their use.
Isolated trochlear nerve palsy: case report and modern considerations
Authors:   Privolzhsky Research Medical University, Nizhny Novgorod, Russia, Belova Anna N. , Sheiko Gennadii E. ,   Privolzhsky Research Medical University, Nizhny Novgorod, Russia, Grigoryeva Vera N. ,   Privolzhsky Research Medical University, Nizhny Novgorod, Russia, Kliuev Evgenij A. ,   Privolzhsky Research Medical University, Nizhny Novgorod, Russia, Rasteryaeva Marina V. ,   Privolzhsky Research Medical University, Nizhny Novgorod, Russia
Published: October 2024

Neurologically isolated trochlear nerve (TN) injury is uncommon. We describe the case of acute vertical diplopia development in a 64-year-old man who considered himself healthy. The cause of diplopia was neuropathy of TN. The diagnostic search gave reason to assume that TN damage was associated with microangiopathy caused by arterial hypertension and dyslipidemia newly diagnosed in the patient. A diagnostic algorithm for acute vertical diplopia and the range of diseases for differentiation with isolated TN neuropathy are discussed, as well as the prognosis and patient’s management. The association of isolated TN neuropathy with migraine and the risk of ischemic stroke is considered.
Indicators of quality of life in men with chronic ischemic heart disease with comorbid association with metabolic syndrome
Authors:   Research Institute of Medical Problems of the North – a separate division of Federal Research Center ", Moskalenko Olga L. ,   Krasnoyarsk Scientific Center of the Siber- ian Branch of the Russian Academy of Sciences",   , Krasnoyarsk, Russia, Yaskevich Roman A. ,   Research Institute of Medical Problems of the North – a separate division of Federal Research Center "Krasnoyarsk Scientific Center of the Siber- ian Branch of the Russian Academy of Sciences", Krasnoyarsk, Russia; Voino-Yasenetsky Krasnoyarsk State Medic, Davydov Evgeny L. ,   Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia
Published: October 2024

The leading position in the structure of causes of death from cardiovascular diseases is occupied by coronary heart disease, which is the most serious problem of modern cardiology and medicine in general. Mortality rates from coronary heart disease are now on the decline, thanks to advances in diagnosis, treatment, and risk factor management. Chronic diseases have an important and adverse effect on the quality of life, and it is well known that its improvement is the ultimate and important goal of modern medicine. Aim. The study of quality of life indicators and factors influencing its decline in men with chronic coronary heart disease, with comorbid association with metabolic syndrome. Materials and methods. 115 men with chronic ischemic heart disease were examined, of which 67 had metabolic syndrome. Metabolic syndrome was diagnosed based on the criteria of clinical recommendations of the All-Russian Scientific Society of Cardiology in 2009. The quality of life and the degree of its decline were determined using the methodology developed by A.G. Gladkov et al. (1982) adapted by T.A. Ayvazyan et al. (1989). Results. Among the surveyed men with chronic coronary heart disease and metabolic syndrome, quality of life indicators of varying degrees of decline were found in more than 70% of the surveyed. A decrease in quality of life in men with chronic coronary heart disease with metabolic syndrome was more often observed in individuals with a five-component combination of metabolic syndrome. The most frequent metabolic syndrome clusters among men with different levels of quality of life decline were three- and four-component combinations, including abdominal obesity, arterial hypertension and dyslipidemia disorders. Conclusion. It was found that in men with chronic coronary heart disease, the decrease in quality of life was largely due to the presence of the metabolic syndrome.
Reseña del libro Turismo, patrimonio e innovación en el contexto actual
Authors:   Universidad de Colima, Irma Leticia Bermúdez Aceves
Published: October 2024

Reseña del libro Zavala, M. y Ferro, L. (Coords.). (2023).Turismo, patrimonio e innovación en el contexto actual. Universidad de Colima. https://doi.org/10.53897/LI.2023.0003.UCOL
The Role of Ethics and Civilization Course in Nurturing a Madani Generation
Authors: Hashim Siti Nurul Izza , Abdul Hamid Mohammad Fahmi , Hamid Norafifah Ab , Wahab Nor Azlina Abd , Meerangani Khairul Azhar
Published: October 2024

The development of a Madani generation involves more than just material advancement; it necessitates meticulous thought and the cultivation of ethical values. The 10th Prime Minister of Malaysia, Datuk Seri Anwar Ibrahim, conceived the slogan “Malaysia MADANI,” paving the way for Malaysia and its diverse population of races, religions, and cultures to progress. Therefore, this study aims to examine the role of ethics and civilization appreciation courses in fostering a Madani generation. The six main pillars contained in the idea of a civilized Malaysia, including sustainability, well-being, creativity, respect, confidence, and courtesy, were also debated to foster a generation that is advanced in terms of thought, spirituality, and materiality. The entire study employs qualitative methods to analyze primary and secondary sources. A document analysis study was also carried out to ensure the validity of each piece of information presented and evaluate the available facts. The study’s results revealed that the ethics and civilization appreciation course significantly contributed to the understanding of the six core pillars that shape a Malaysian generation MADANI, thereby enhancing critical and analytical thinking skills to navigate a more challenging life. The study’s implications demonstrate that ethics and civilization appreciation courses significantly contribute to the development of the most Madani generation, thereby contributing to the progress of the nation.
Relationship of Body Image and Emotion Regulation Strategies among Male University Students
Authors: Franky Natassa Anak , Mohd Sanif Siti Nurr Atika binti , Sullah Abbylolita
Published: October 2024

This study attempted to determine the relationship between body image and emotion regulation strategies. Employing the descriptive (survey) method by random technique sampling with the aid of body image questionnaire (BESA) and emotion regulation strategies questionnaire (CERQ), the current study collected data from 305 male undergrad students enrolled for the diploma and degree of the year 2021 to 2024 at Universiti Teknologi MARA, Samarahan Campus, Sarawak (UiTM). The questionnaire culled background information, then requested respondents to rate their body image and emotion regulation strategies, and rate all on a five-point scale. To test consistency, Cronbach’s alpha (a) was used, while Pearson product-moment correlation coefficient (Pearson r) was used to measure the correlation among the variables. The reliability of the body image and emotion regulation strategies that were tested using Cronbach alpha obtained a coefficient of 0.742 and 0.841 respectively, indicating a good level of reliability. The results revealed that body image and emotion regulation strategies have a significant positive correlation with r=0.406, n=305, and p<0.001 with moderate strength. The relationship between body image and emotion regulation strategies depicted not harmful to mental and physical health. This finding shows that adolescent male tends to have high body appreciation, and this body compassion is associated with mental activities and self-care behaviors that foster rational self-talk and acceptance of one’s experiences. Future research can focus on different age (male adult) and economical status as these factors might have an impact on their wellbeing.
Analysis of Language Used in Social Media and its Impact on Students’ Writing: A Case Study of Seventh Day Adventist College of Education, Asokore-Koforidua, Ghana
Authors: Akosua Kayi Stella , Quarcoopome Sackey Derrick Nii , Ankoma-Yeboah Beatrice , Osei-Boateng Evelyn , Ganu Sitsofe
Published: October 2024

The issue about the impact of social media language on the formal academic writings of students of Colleges of Education in Ghana seems unending. While some researchers report a positive impact of social media language on students’ academic performance, other researchers report otherwise. Therefore, the objectives of this study are to examine the most prevalent type of social media English found in teacher-trainees’ formal writing and its effect on academic performances of teacher-trainees at SDA College of Education, Asokore-Koforidua, Ghana. The study used the mixed methods research design. The researchers sampled 313 teacher-trainees from the SDA College of Education, Asokore-Koforidua using the stratified random sampling approach. The researchers used a close-ended questionnaire, semi-structured interview guide, and observation checklist to gather data for the study. The data gathered where analysed using descriptive statistics and inferential statistics. Based on the findings of the study, it was concluded that teacher-trainees at SDA College of Education, Asokore Koforidua, Ghana are addicted to social media and their academic writings of are full of unconventional abbreviations, punctuation and spelling errors. Also, the study concluded that social media English has very little effect on the academic performances of the teacher-trainees. Based on the conclusions of the study, it was recommended that lecturers who teach Communication Skills in the Department of Languages in the college need to up their game, and help teacher-trainees to appreciate the need to use formal writing styles in their academic writings.
Revisiting the Causes and Effects of Recurrent Floods in the Haor Region of Sunamganj, Bangladesh: Evidence from the 2022 Flash Flood
Authors: Bhuiyan Mohammad Shakil , Paul Showrav , Abdussabur Md.
Published: October 2024

Bangladesh, particularly the Haor region, is well-known for its susceptibility to natural disasters. Haor locals suffer more from floods than other regional individuals. Sunamganj district, predominantly a Haor region adjacent to India’s Meghalaya, was devastated by the 2022 flood. This unprecedented and catastrophic flood has broken nearly all previous flash flood records. The prime objective of this study is to explore the underlying factors and effects of recurrent flash floods in the Haor region, with a specific focus on Sunamganj, by examining the 2022 flash flood. The study employed a descriptive qualitative research approach to meet its objectives. Data was collected from 30 target individuals from diverse stakeholders based on specific inclusion criteria. An open-ended, non-structured questionnaire is used to conduct interviews with selected respondents. Riverbed siltation, heavy rainfalls, excessive water flow from upstream, and mismanagement of River and Haor, among others, are revealed as significant causes of the 2022 flash flood. On the other hand, the consequences of the flood include loss of life and property, damage to infrastructure, and adverse effects on education and social life. The study concluded by making some proposals that policymakers could consider while developing strategies to reduce losses and safeguard the Haor region from future flash floods.
A Guideline for Local Elderly Policy Development in Thailand
Authors: Siriwan Laksana
Published: October 2024

In previous local elder policy research, most studies were fragmented with only some subjects or some steps in the policy process and attention to the local policy process not included explicitly. This article aims to analyze Thai local elderly policy formulation, implementation and evaluation and to propose guidelines for Thai local elderly policy development.  This was a qualitative study. Data were collected using in-depth interviews with 40 key informants from 5 local case studies and 8 national organizations, as well as observations and documentary studies. Data were analyzed using thematic analysis and analytic induction.
For the policy content dimensions, the guidelines of policy content development of the case studies aim to make senior citizens happy, self-sufficient, and physically and mentally healthy. The means to achieve this are comprised of the following:1) an economic, career, and income stability dimension; 2) a health dimension; and 3) a social dimension. For the policy process dimensions, the guideline of policy formulation comprises of the following: the related national policy dimension, including developing the mindset of policy actors, developing the content of policies with clarity that is up-to-date and congruent with key agreements or related principles, and developing a participation process and communication of the policy. The local policy dimension is locally aged society strategic planning based on strategic management and objectives and key results (OKRs) derived from the results of data analysis, integration of public policy theory, resource-based view in strategic management theory, and objective and key results to reduce the limitations of the public policy theory and model. This comprises developing policy actors’ mindsets, competencies, and motivations, collecting information, creating participation for analyzing and formulating direction, and making local elderly society strategic plans. The guidelines of policy implementation comprise the following: creating knowledge and understanding, organizing a central organization, implementing a strategic plan, formulating strategies for implementing and integrating amicable coordination of networks, seeking and allocating tangible and intangible resources, developing competencies of local government personnel, network partners, and target groups, creating and developing a culture supporting the aged society, and creating internal and external motivation. The guidelines of policy evaluation comprise the following: the development of the evaluation competency, the growth and ethical mindset, and the development of a participatory local policy evaluation system. Based on the results of this study, the guidelines focus on the intangible resources, the internal motivation, the mindset of policy actors, the coordination and strength of networks, and the upper-level policy factors.
Y/N and OOMFs: Development, Maintenance, and Consequences of Parasocial Relationships on Stan Twitter
Authors: Bilang Hezekiah , Briones Alex , Calapine Arizzandra , Durano Alyssa Nicole , Ochangco Eda Lou , Vidal Trishia Mae
Published: October 2024

The study examines Stan Twitter users’ sense of belonging and their likelihood of creating PSRs as a substitute for real-life connections lost due to the COVID-19 pandemic. A convergent mixed-method design: specifically, the parallel databases variant was used to test the hypothesis and explore research questions. Conducted in January 2022, the study involved online interviews via Zoom with participants from the Philippines. Participants included Stan Twitter users (N = 126) and non-Stan Twitter users (N = 111), all at least 18 years old. Additionally, qualitative interviews were conducted with Stan Twitter users (N = 12) to explore PSRs in depth. Quantitative results (t = 0.548; p = 0.584) indicate no significant difference in the need to belong between the samples; Pandemic (i.e., period) and generational (i.e., Gen Z) effects are seen as contributors. Qualitative results show that PSRs develop due to fulfillment of belongingness needs and other factors, are maintained through parasocial interactions and fandom activities, and have both negative and positive implications for stans’ relationships, fandom behavior, personal growth, and well-being. The findings suggest reinforcing cybersecurity measures and potentially redefining PSRs due to their perceived reciprocation.
Prevention Behavior and Awareness of COVID-19 Pandemic of People in Thai-Myanmar Border Area, Mae Hong Son Province, Thailand
Authors: Thongsrikate Ittipong , Rugchat Jirawat , Saramad Pasunit
Published: October 2024

Due to the emergence of the COVID-19 pandemic, affords have been made to block the movement of people and goods.  It believed to stop the spread of germs from people and goods in the border area. Nevertheless, the people and goods there do not stand still as specified. This study employed quantitative research to investigate prevention behavior and awareness of the COVID-19 pandemic of people in the Thai-Myanmar border area, Mae Hong Son province, Thailand. A set of questionnaires was used for data collection and administered to a sample group of 406 people living near the border trade relief of Mae Hong Son province. Obtained data were analyzed using descriptive statistics, mean, and standard deviation. Based on behavior and awareness of the prevention of the COVID-19 pandemic, it was found that, as a whole, the respondents had the highest level of COVID-19 prevention behavior (x̅ = 4.24). This included the following instructions for public health personnel: social distancing, wearing a hygienic mask, hand washing, and temperature measurement. For the awareness of the prevention of the COVID-19 pandemic, it was also found at the highest level (x̅ =4.28). This included all people’s participation, communication within the household/community to prevent the COVID-19 pandemic, and strict compliance with the community’s regulations to prevent the disease. The border is a fragile area. There is a chance of transmission of pathogens caused by the movement of people and goods in border areas. The prevention of the COVID-19 pandemic of people in the Thai-Myanmar border area under behavior and awareness of disease prevention. Meanwhile, people worldwide are taking measures to reduce the risk of contracting COVID-19.
Integrating Academic Service Activities into Business English Translation Class Through Project-Based Learning of Business Administration Undergraduates
Authors: Chitprarop Acharin
Published: October 2024

The purposes of this study were (1) to compare the translation scores of Business English students before and after participating in academic service activities in the course “Business English Translation” using project-based learning and (2) to compare the attitudes of students before and after participating in the academic service activities through project-based learning. The participants consisted of 73 third-year students majoring in Business English who were enrolled in the Business English Translation course. The research employed two types of research instruments: (1) experimental tools, encompassing a lesson plan that integrated community service activities through project-based learning in the Business English Translation course, and (2) data collection instruments, including a pre-and post-test to assess proficiency in English translation, and a questionnaire to measure students’ attitudes towards community service activities through project-based learning. These research instruments underwent validation by three experts and exhibited a reliability coefficient of .93. The research findings revealed that the average scores for advertisement translation from Thai to English after engaging in community service activities through project-based learning were significantly higher than the scores prior to the activity participation. Furthermore, a statistically significant difference was observed in the average scores of students’ attitudes towards participating in community service activities through project-based learning, with a significance level of .05.
Strategic Orientations, Access to Finance, and SMEs Performance in Thailand: Data Screening and Preliminary Analysis
Authors: Raden Ahmad Nifaosan , Mohd Shariff Mohd Noor , Hafeez Mohammad Haroon , Cherdchom Napitchya
Published: October 2024

This study aimed to conduct a data screening and preliminary analysis about the effect of strategic orientations towards SMEs performance and the moderating effect of access to finance in Thailand’s gem and jewelry industry. Samples of 310 were selected from the population of 1,601 SMEs operating in Thailand’s gem and jewelry business using a systematic sampling technique to collect the data. In addition, data diagnostics were performed to meet the preliminary assumptions for further multivariate analysis, particularly an advanced Partial Least Squares Structural Equation Modeling (PLS-SEM) analysis. Thus, the study carried out response rate, missing data analysis, non-response bias test, normality test, assessment of outliers, common method bias test, and multicollinearity test. Likewise, all the assessments were conducted through the IBM SPSS 20, G*Power 3.1, and SmartPLS 3.2.8 software. Conclusively, the data met the requirements for further multivariate analysis, but the normality test still needed to be met. Although, the normality assumption was not met, the non-normally distributed samples can be analyzed further since PLS-SEM works well with non-normal data distributions. This study contributes to the current literature as it will steer other researchers in conducting data screening and preliminary analysis.
Terrorism and extremism are a threat to Russian statehood
Authors: Bobrova O. , Lebedev V.
Published: October 2024

The article provides a statistical and legal analysis of the state of delinquency of the most dangerous manifestations aimed at undermining state sovereignty from the perspective of national legislation.
Ensuring security in the Arctic zone during the Soviet period (1920–1991)
Authors: Shtol M.
Published: October 2024

The author examines the activities of the USSR to ensure national security in the Arctic zone and concludes that the approach to military construction in the Soviet Arctic was comprehensive.
Tchibo strukturiert Handelsgeschäft neu
Authors: Stockburger Manfred , Sachsenröder Delphine
Published: October 2024

Tchibo sortiert sich nach dem Abgang von Andreas von der Heydt neu. Nachfolger Felix Albrecht übernimmt ein anders zugeschnittenes Ressort, in dem Filialen, Depots und Online-Geschäft zusammengefasst sind.
Dennree will in der Frische aufholen
Authors: Stockburger Manfred , Wilhelm Jana
Published: October 2024

Mit verbessertem Frischeangebot will die Dennree-Gruppe in ihren Verbund-Märkten der konventionellen Konkurrenz Paroli bieten. Dafür wird auch die digitale Infrastruktur ausgebaut.
Barilla setzt auf faires Gehalt
Authors: Wittenhagen Julia
Published: October 2024

Erst wenige Unternehmen glänzen in Deutschland mit nachweislich gleicher Bezahlung von Männern und Frauen. BMW gehört dazu, Vodafone, und: Barilla. Warum der italienische Pasta-Konzern aktiv wurde, bevor es Pflicht wird, erklärt HR-Direktorin Emilia Danz.
Mehrweg ist der Weg
Authors: Haubenreißer Matthias
Published: October 2024

Bisher findet die GS1 Smart-Box vor allem Anwendung in der Drogerie. Dieser Branchenfokus wird sich in den kommenden Jahren durch verschiedene Treiber wie den EU „Green Deal“ auflösen.
Digitalisierung bildet Fundament für Logistik
Authors: Stanislawski Niklas
Published: October 2024

Die Handelslogistik befindet sich in einem tiefgreifenden Wandel, der durch technologischen Fortschritt und steigende Anforderungen an Effizienz getrieben wird.
Neue Technologie präzisiert Bestände
Authors: Glock Christoph
Published: October 2024

Fehler im Bestandsmanagement können zu massiven Umsatzeinbußen führen. Allerdings gibt es gute Methoden, sie zu vermeiden oder sie zumindest schnell zu beheben.
Handel und Industrie müssen Scope-3-Emissionen gemeinschaftlich senken
Authors: Wisotzky Dustin , Pantusenko Valeria
Published: October 2024

Die Herausforderungen der Dekarbonisierung im europäischen Einzelhandel sind enorm. Sie kann am besten in Kooperation mit der Industrie gelingen.
Belorta steht vor Herausforderungen
Authors: Heimig Dieter
Published: October 2024

Nach der Übernahme von Belgische Fruitveiling ist die Genossenschaft Belorta noch breiter aufgestellt. Das Exportgeschäft spielt für das Unternehmen eine wichtige Rolle.
Genossen punkten mit Gemüse
Authors: Heimig Dieter
Published: October 2024

Die Genossenschaft REO Veiling vermarktet hauptsächlich Gemüse, das auch im Ausland gefragt ist. Frankreich ist aufgrund der geografischen Nähe der wichtigste Exportmarkt.
Motor und Getriebe in einer Einheit: Aktive Mobilität weitergedacht
Authors:   Wolfgang Zosel
Published: October 2024

Die Motor-Gearbox-Unit von Pinion wurde als Winner beim Design & InnovationAward 2024 geehrt – dem Oscar der Bike- und Outdoor-Industrie. In der Begründungder Jury heißt es, die Innovation revolutioniere das E-Bike-Erlebnis mit ihrer Integration von Getriebe-Gangschaltung und Motor in einer Einheit. Die All-in-OneAntriebslösung ist wartungsarm und praktisch verschleißfrei
„Wir müssen das CO2 wieder aus der Luft holen“
Authors: Wille Joachim
Published: October 2024

Der Energieexperte Detlef Stolten erwartet, dass die CCS-Technologie schon ab 2035 eingesetzt werden kann, um CO2-Emissionen etwa aus dem Luftverkehr auszugleichen. Die Dichtheit der CO2-Endlager müsse aber dauerhaft überprüft werden.
Wärmenetzplanung in Berlin auch mit Abwasserwärme
Authors: Manzke Uwe
Published: October 2024

Die Abwasserwärme könnte in Berlin mit 100–270 MW Entzugsleistung einen Anteil von fünf Prozent an der gesamtstädtischen Wärmeplanung beisteuern. Dieses Fazit zieht der Berliner Senat in seinem Entwurf für eine kommunale Wärmenetzplanung.
Impact of Transportation Methods and Injury Severity in Trauma Victims: Insights from Federal Tertiary Hospitals in Nigeria.
Authors: Benard J.O. , Olarenwaju S.O. , Sirisena U.A.I.
Published: October 2024

Introduction: Trauma remains a leading cause of morbidity and mortality among young populations globally, with Nigeria being no exception. This study examines the relationship between transportation methods and injury severity among trauma victims. Materials and Methods: This study was carried out using the data obtained from 24 Federal Tertiary Hospitals across three geopolitical zones in Nigeria. Results: Among the 4,851 trauma cases analyzed, public taxis and private cars emerged as the most common means of transportation to healthcare facilities. However, the data revealed a concerning trend: patients transported by ambulance were associated with more severe injury outcomes. Logistic regression analysis further confirmed that those conveyed by ambulance had significantly higher odds of experiencing severe injuries. This counterintuitive finding underscores the urgent need to rethink and improve pre-hospital care in Nigeria. Conclusion: The study advocates for the development of a robust and well-coordinated Emergency Medical Services (EMS) infrastructure that can better serve trauma victims and potentially alter these severe outcomes. By shedding light on these critical issues, the findings aim to inform policy development and strengthen trauma care systems, particularly in low- and middle-income countries (LMICs) where such improvements are most needed.
Función política del ejército salvadoreño en el presente siglo ; Teorías y métodos en la ciencia de la educación ; Crítica a la razón utópica ; Estudios sobre el Nuevo Testamento ; Sacramentos y vida del hombre. Celebrar las tensiones y los gozos de la existencia ; El Espíritu Santo
Authors: C. A. M.  , B. S.  , S. J.  , E. H.  , R. C.
Published: October 2024

No abstract available.

ECA Estudios Centroamericanos, Vol. 39, No. 428, 1984: 447-453.
CELERIDADE DO PROCESSO ELETRÔNICO NA GESTÃO PÚBLICA
Authors: Dos Santos Maria de Jesus Neves , Pinheiro Tainá Trindade
Published: October 2024

The public sector faces a wide range of accumulated documents and processes, which makesit essential to implement changes and innovations to improve services and increase theefficiency of both the organization and the professionals involved. This article presents astudy on the speed of the electronic information process in public management, a technologythat facilitates communication and information in a dynamic and flexible way. The research aims to evaluate the system's performance based on the experience of different bodies, as wellas analyzing critical points. The methodology applied was qualitative in nature through theinterpretation of existing texts, theories and concepts on the topic, through a bibliographicreview. It is concluded that despite there being some cases of resistance on the part ofemployees during the system implementation process, the results are positive in the use ofelectronic information processes, demonstrating that the technology brings benefits andefficiency to the public sector.
Characteristics of smear-positive pulmonary tuberculosis with normal chest radiographic findings during a tuberculosis outbreak in northeast Malaysia: A cross-sectional study
Authors: Mohd Redhuan Abdul Muin , Abu Bakar Mohd.Yusof , Mohd Shahriman Ahmad Fuat , Nur Syafiqa Amri , Noor Faizah Amirudin , Wan Wahida Wan Mohd Zohdi , Idora Ibrahim , Arfah Ahmad , Irham Nordeena Muhammad , Abdul Jalil Ahmad , Jasmaniah Abdul Majid , Mohd Zukri Ibrahim
Published: October 2024

Introduction: Tuberculosis (TB) remains a highly prevalent disease in Malaysia. Early identification using cost-effective methods such as chest radiography can reduce the health burden of a TB epidemic. However, normal chest radiographic findings are common. This study aimed to evaluate the characteristics of smear-positive pulmonary TB with normal chest radiographic findings during an outbreak.
Methods: A cross-sectional study was conducted by reviewing the medical records of 56 pulmonary TB cases registered at Kodiang Health Clinic from April to October 2022. Smear-negative and extrapulmonary TB cases were excluded. Relevant information was extracted from the medical records and recorded in a case report form for data management and analysis.
Results: Approximately 60.7% of the cases had symptoms lasting >2 weeks, and 89.3% showed abnormal findings upon clinical examination. Additionally, 73.2% had sputum acid-fast bacilli counts of ≥1+, and the sputum Mycobacterium tuberculosis culture and sensitivity test findings were positive in 82.1% of the cases. The proportion of smear-positive pulmonary TB with normal chest radiographic findings was 42.9%. The factors associated with smear-positive pulmonary TB with normal chest radiographic findings included being under 18 years old (P=0.021), being a student (P=0.010), being single (P=0.012) and being asymptomatic (P=0.04).
Conclusion: Normal chest radiographic findings may lead to a misdiagnosis of smear-positive pulmonary TB, especially during an outbreak. Therefore, active case detection among close contacts with risk factors for normal radiographic findings should consider additional supportive tests.
Determinants of Willingness to Pay for Community-Based Health Insurance in Ethiopia: National Household Survey
Authors: Mirach Tsega Hagos , Berhanu Negalign , Dessie Ermias , Medhin Girmay , Alemayehu Yibeltal Kiflie , Assebe Lelisa Fekadu , Mirutse Mizan Kiros , Fentaye Fasil , Dadi Tegene Legese , Tigabu Setegn , Tadesse Daniel , Demissie Mekdes , Abebe Frehiwot , Abebe Gudeta , Argaw Muluken , Tiruneh Getachew , Reshad Abduljelil , Jemal Seid , Abdella Zemecha , Haile Hagos , Tesfaye Kiflu , Habte Tigistu , Berhanu Damtew , Kidane Samuel Zemenefeskudus , Teklu Alula M.
Published: October 2024

The existing evidence on households' participation in Ethiopia's community-based health insurance (CBHI) scheme is limited, lacks representativeness, and lacks disaggregation. Thus, this study aims to assess households' willingness to pay (WTP) for CBHI membership and identify the factors that influence their decision to enroll. From February to May 2020, a nationwide cross-sectional household survey was conducted involving CBHI member and non-member households. The primary theories that informed this study were utility theory, social capital theory, and the health belief model. Sample included 5,976 households from 166 EAs—118 in CBHI regions and 48 in non-CBHI regions. A two-stage stratified cluster sampling used to select enumeration areas (EAs) and households from within these areas. The maximum amount of money at which participants responded "yes" in the bidding game exercise was used to measure WTP. Data were analyzed using STATA Version 16. Household expenditure was adjusted for key factors. Analyses explored WTP for CBHI by region, membership, and livelihood, with WTP based on mean maximum values. Linear regression identified influencing factors. The findings reveal that 30.9% of participants were active CBHI members. The average WTP increased with each additional family member, both in rural (AMD = 9.3 [6.8, 11.9]) and urban areas (AMD = 7.2 [1.0, 13.4]). In urban areas, WTP was also positively associated with the ability to pay (ATP) for CBHI (AMD = 64.1 [6.3, 121.8]). Male respondents and those who were literate in urban areas had higher mean WTP values of AMD = 39.8 [13.1, 66.4] and AMD = 56.8 [26.1, 87.4], respectively. Additionally, holding leadership positions in health and women's development initiatives positively influenced WTP. The study found that 30.9% of participants were active CBHI members. WTP for CBHI was higher among larger families. In urban areas, WTP was positively associated with the ability to pay (ATP) for CBHI, particularly among male and literate respondents. Community leadership roles in health and women's development also positively influenced WTP.  To improve the CBHI scheme, adjustments should be made to premiums based on households' ability to pay. Community engagement should be strengthened, service quality enhanced, regional disparities addressed, and performance regularly monitored.
CONJUNTIVITE BACTERIANA NA INFÂNCIA: DIAGNÓSTICO E TRATAMENTO CLÍNICO
Authors: Farias Thiago Formiga , Lima Laura Barbosa , Gomes Larissa Duarte Costa , Marciano João Vitor Silveira
Published: October 2024

Introdução: A conjuntivite bacteriana na infância é uma condição comum que afeta a mucosa conjuntival, resultando em sintomas como vermelhidão, secreção purulenta e desconforto ocular. Essa infecção, frequentemente causada por bactérias como *Staphylococcus aureus* e *Streptococcus pneumoniae*, pode impactar significativamente a qualidade de vida da criança, interferindo nas atividades diárias e na interação social. O diagnóstico precoce e o tratamento adequado são fundamentais para evitar complicações e a transmissão da infecção a outros indivíduos. Em um contexto pediátrico, a abordagem clínica deve ser cuidadosa, considerando a vulnerabilidade das crianças e a necessidade de terapias seguras e eficazes. Objetivo: Analisar as evidências disponíveis sobre o diagnóstico e tratamento da conjuntivite bacteriana em crianças, com foco na identificação de práticas clínicas recomendadas e eficácia dos tratamentos utilizados. Metodologia: A metodologia adotou o checklist PRISMA para a condução da revisão, utilizando as bases de dados PubMed, Scielo e Web of Science. Foram empregados cinco descritores: “conjuntivite bacteriana”, “infância”, “diagnóstico”, “tratamento clínico” e “pediatria”. Os critérios de inclusão consistiram em artigos publicados nos últimos dez anos, estudos clínicos randomizados e revisões sistemáticas. Os critérios de exclusão englobaram artigos que abordavam apenas conjuntivite viral, estudos não relacionados à população pediátrica e publicações que não apresentavam dados sobre tratamento. Resultados: Os resultados indicaram que a conjuntivite bacteriana é frequentemente subdiagnosticada, levando a um manejo inadequado. As intervenções mais eficazes incluíram o uso de antibióticos tópicos, com ênfase na segurança e na redução do tempo de recuperação. Além disso, a educação dos pais e cuidadores sobre sinais e sintomas teve um papel crucial na identificação precoce da condição. A revisão destacou a importância da higiene ocular e das medidas preventivas na redução da incidência de novos casos. Conclusão: A conjuntivite bacteriana na infância, embora prevalente, pode ser gerenciada efetivamente com diagnósticos precisos e intervenções clínicas adequadas. A combinação de tratamentos antimicrobianos com estratégias educacionais mostrou-se essencial para o controle da infecção e a melhoria do bem-estar das crianças afetadas. A revisão enfatizou a necessidade de continuar a pesquisa nessa área, visando aprimorar protocolos de tratamento e estratégias preventivas.
USO DE ANTICOAGULANTES EM PACIENTES COM FIBRILAÇÃO ATRIAL: UMA REVISÃO INTEGRATIVA DAS DIRETRIZES CLÍNICAS
Authors: Sousa Luidi Volpi de , Cordeiro Pedro Henrique de Oliveira , Campos Virgínia de Almeida Reis , Rodrigues Sander Salmem Campos
Published: October 2024

Introdução: A fibrilação atrial (FA) é a arritmia cardíaca mais comum e está associada a um risco aumentado de acidente vascular cerebral (AVC) e complicações tromboembólicas. O uso de anticoagulantes é amplamente recomendado para prevenir esses eventos, mas as diretrizes clínicas têm evoluído ao longo do tempo, especialmente com a introdução dos novos anticoagulantes orais (NOACs). Objetivo: O objetivo desta revisão integrativa é analisar e comparar as diretrizes clínicas mais recentes sobre o uso de anticoagulantes em pacientes com fibrilação atrial, considerando a eficácia, segurança e recomendações para anticoagulantes tradicionais e novos. Metodologia: Foi realizada uma busca nas bases de dados PubMed, Scopus e Cochrane para identificar diretrizes publicadas entre 2015 e 2023 que tratam do manejo de anticoagulação em pacientes com FA. Foram incluídas diretrizes de sociedades como a American Heart Association (AHA), European Society of Cardiology (ESC) e outras relevantes. A análise foi conduzida comparando recomendações sobre o uso de antagonistas da vitamina K (como varfarina) e NOACs, além de critérios de escolha de terapia, como o escore CHA2DS2-VASc. Resultados e Discussão: A revisão incluiu seis diretrizes principais, que destacam a superioridade dos NOACs em termos de redução de eventos tromboembólicos e menor risco de hemorragias graves em comparação aos antagonistas da vitamina K. As diretrizes da ESC e AHA sugerem que NOACs sejam a primeira escolha para a maioria dos pacientes com FA não valvular, especialmente aqueles com risco moderado a alto de AVC. A varfarina ainda é recomendada em pacientes com valvopatias e próteses mecânicas. Além disso, as diretrizes ressaltam a importância de individualizar a terapia com base em fatores como idade, função renal e risco de sangramento, utilizando ferramentas como o escore HAS-BLED. Conclusão: As diretrizes clínicas mais recentes favorecem o uso de NOACs como tratamento padrão em pacientes com fibrilação atrial devido à sua eficácia e perfil de segurança superior. A escolha do anticoagulante deve ser individualizada, considerando as comorbidades e os riscos de cada paciente. A adoção de diretrizes baseadas em evidências é essencial para melhorar os desfechos clínicos e reduzir complicações associadas à FA.
TRATAMENTO CIRÚRGICO DE CATARATA CONGÊNITA EM CRIANÇAS COM SÍNDROME DE DOWN: DESAFIOS OFTALMOLÓGICOS E NEUROLÓGICOS
Authors: Silva Arthur Handerson Gomes , Cunha Ana Carolina Botrel , Tomaz Maria Clara Alves , Couto Luanna Dornelas Rodrigues
Published: October 2024

Introdução: O tratamento cirúrgico da catarata congênita em crianças com síndrome de Down apresenta desafios únicos, considerando não apenas as questões oftalmológicas, mas também as neurológicas. Essas crianças frequentemente enfrentam dificuldades de desenvolvimento e problemas de saúde concomitantes, que podem impactar a eficácia da cirurgia e a recuperação pós-operatória. A catarata, quando não tratada, pode levar a déficits visuais significativos, afetando o desenvolvimento cognitivo e social. O entendimento dos aspectos clínicos e comportamentais relacionados a essa condição é essencial para um manejo eficaz. Objetivo: Explorar os desafios oftalmológicos e neurológicos envolvidos no tratamento cirúrgico da catarata congênita em crianças com síndrome de Down, ressaltando a importância de um enfoque multidisciplinar. Metodologia: A pesquisa foi realizada utilizando o checklist PRISMA, com artigos publicados nos últimos dez anos nas bases de dados PubMed, Scielo e Web of Science. Foram utilizados cinco descritores: Oftalmologista, Neurologista, Cirurgia ocular, Lente intraocular e Intervenção precoce. Os critérios de inclusão foram: estudos que abordaram a catarata congênita em crianças com síndrome de Down, artigos revisados por pares e publicações em inglês ou português. Os critérios de exclusão foram: estudos com foco em adultos, publicações que não envolviam cirurgia e artigos com amostras muito pequenas. Resultados: Os principais tópicos encontrados incluíram a alta prevalência de catarata em crianças com síndrome de Down e as complicações oftalmológicas que podem surgir, como o estrabismo. Além disso, evidenciou-se a necessidade de intervenções precoces para evitar danos ao desenvolvimento visual. Desafios neurológicos, como dificuldades de aprendizado e questões comportamentais, foram frequentemente mencionados como fatores complicadores na recuperação pós-cirúrgica. Conclusão: A catarata congênita em crianças com síndrome de Down requer um cuidado especial que considere tanto as questões oftalmológicas quanto as neurológicas. O tratamento deve ser individualizado, envolvendo uma equipe multidisciplinar, para maximizar os resultados e promover uma melhor qualidade de vida para essas crianças, muitas vezes, com a presença predominante de mulheres em estudos clínicos.
ABORDAGEM CIRÚRGICA E DERMATOLÓGICA NO TRATAMENTO DE ÚLCERAS VENOSAS CRÔNICAS ASSOCIADAS À INSUFICIÊNCIA VENOSA PROFUNDA
Authors: Silva Arthur Handerson Gomes , Cunha Ana Carolina Botrel , Tomaz Maria Clara Alves , Couto Luanna Dornelas Rodrigues
Published: October 2024

Introdução: As úlceras venosas crônicas, frequentemente associadas à insuficiência venosa profunda, representam um desafio significativo na prática clínica, afetando a qualidade de vida dos pacientes, especialmente das mulheres. Essas úlceras resultam de uma combinação de fatores, incluindo hiperinflamação, comprometimento da cicatrização e alterações na microcirculação. O tratamento envolve abordagens cirúrgicas e dermatológicas, visando não apenas a cicatrização das lesões, mas também a prevenção de recorrências. A complexidade da condição requer uma estratégia multifacetada, incluindo a gestão dos fatores de risco, como obesidade e histórico familiar, que são particularmente relevantes em mulheres. Objetivo: Explorar as abordagens cirúrgicas e dermatológicas no tratamento de úlceras venosas crônicas associadas à insuficiência venosa profunda, destacando sua eficácia e implicações clínicas. Metodologia: A metodologia adotou o checklist PRISMA para garantir rigor na seleção dos estudos. As bases de dados consultadas foram PubMed, Scielo e Web of Science, utilizando os descritores Medicamentos tópicos, Crescimento celular, Angiogênese, Fatores de crescimento e Qualidade de vida. Os critérios de inclusão foram: estudos que abordassem a relação entre tratamento cirúrgico e dermatológico em úlceras venosas, publicações dos últimos 10 anos e que incluíssem amostras representativas de mulheres. Excluíram-se artigos que não tratassem diretamente de úlceras venosas, revisões de literatura e estudos em modelos animais. Resultados: Os resultados demonstraram que a combinação de intervenções cirúrgicas, como a remoção de veias insuficientes, e cuidados dermatológicos, incluindo o uso de curativos avançados, melhoraram significativamente as taxas de cicatrização. Observou-se que a abordagem integrada não apenas promoveu a cura das úlceras, mas também reduziu a incidência de recidivas, especialmente em mulheres, que se beneficiaram de um manejo centrado em suas necessidades específicas. Conclusão: A abordagem cirúrgica e dermatológica no tratamento de úlceras venosas crônicas associadas à insuficiência venosa profunda mostrou-se eficaz, ressaltando a importância de estratégias integradas para promover a cicatrização e a qualidade de vida dos pacientes. A literatura destacou a relevância de considerar as características específicas das mulheres, para garantir resultados otimizados no manejo dessa condição desafiadora.