bluuebunny/crossref_metadata_2025 huggingface dataset:
Una consulta del Consejo de Castilla de 1825 sobre abolición de la esclavitud en España
Authors: Puyol José Mª
Published: December 2024

Este artículo estudia una iniciativa del rey de España Fernando VII del año 1825, para que el Consejo de Castilla consultase sobre la conveniencia de que la esclavitud fuera abolida en todos o parte de sus dominios. Repasa algunos antecedentes del reinado de Fernando VII en relación con la abolición de la esclavitud y las circunstancias del momento, para conocer mejor el marco histórico de la propuesta real y comprender algunos motivos de tal iniciativa. Seguidamente, el artículo analiza el dictamen que prepararon los fiscales del Consejo de Castilla para el Consejo pleno y, a continuación, la consulta final que el Consejo pleno elevó al rey de España. El monarca, de acuerdo con su Consejo, resolvió no alterar por el momento la situación legal de la esclavitud, tanto en los territorios españoles de la Península como en los de Ultramar, por las consecuencias que ello pudiera acarrear a la estabilidad y control de aquellos territorios que, como Cuba y Puerto Rico, tenían una muy elevada población de esclavos. Como consecuencia de esta decisión real la esclavitud continuó vigente en España muchos años más y España fue uno de los últimos países en abolir la esclavitud. El artículo se apoya fundamentalmente en la consulta de documentación conservada en el Archivo Histórico Nacional de Madrid, en su mayor parte inédita.
La «esencia» del hombre Meiji: un acercamiento a Kokoro de Natsume Sōseki
Authors: López Angelini Martín Ricardo
Published: December 2024

Teniendo en cuenta el contexto propio de la era Meiji (1868-1912) y los cambios que este produjo en la sociedad japonesa de aquel entonces, el presente artículo busca abordar la novela Kokoro (こころ, 1914) de Natsume Sōseki (夏目漱石, 1867-1916) con el objetivo de demostrar, en primer lugar, cuál es aquel kokoro que la obra busca develar ante los ojos de sus lectores y que en este trabajo identificamos con la «esencia» del hombre Meiji; en segundo lugar, buscamos identificar el mecanismo utilizado en el texto para llegar a elucidarlo y cuya clave se encuentra en una serie de relaciones especulares entre los principales personajes de la obra. Sostenemos que este proceso finaliza con una potencial instancia extratextual dependiendo del abordaje que cada lector efectúe de la novela y cuya finalidad última es establecer un diálogo y poner en duda los ideales de su propio tiempo.
El Monumento del Empalme Japón-España-México: un punto de encuentro para la memoria y la amistad
Authors: Uscanga Carlos
Published: December 2024

El Obelisco Conmemorativo Japón-España-México es un punto de confluencia de los nexos de amistad internacional entre Japón e Iberoamérica. Los habitantes y las autoridades locales de Onjuku se han esforzado para mantener en la memoria colectiva los sucesos del 30 de septiembre de 1609, caracterizados por la llegada de la embarcación de Rodrigo de Vivero y Aberruza a las costas de Iwawada, momento que se volvería crucial para las relaciones entre los tres países. A las diversas actividades de intercambio internacional se sumaría la iniciativa de edificación de dicho monumento, incorporado en la narrativa diplomática de los tres países como una forma para justificar una amistad de larga data.
Considerando la importancia que ha representado este monumento en las relaciones de intercambio amistoso entre estos tres países, el presente artículo tiene como objetivo analizar el proceso llevado a cabo para su construcción desde una perspectiva histórico-descriptiva. Lo anterior se realiza mediante la información contenida en fuentes mexicanas del Archivo Histórico Diplomático Genaro Estrada, algunas referencias del Archivo Histórico Diplomático del Ministerio de Asuntos Exteriores de Japón y otras fuentes hemerográficas de esa época, así como notas y documentos cibergráficos de utilidad para la investigación.
Asimismo, se identificará el proceso de gestión realizada por la Sociedad de Erección del Monumento Conmemorativo del origen de las relaciones hispano-japonesas para reunir los fondos necesarios para su construcción. Esto permitirá reflexionar sobre su significado y peso actual en la construcción de puentes de comunicación y entendimiento entre Japón con España y México.
Paisajes con el monte Fuji y el Popocatepetl en el Museo Kaluz de Ciudad de México: «Casi oro, casi ámbar, casi luz. Bienvenida del paisaje mexicano al paisaje japonés»
Authors: Almazán Tomás David
Published: December 2024

El texto recoge la reseña crítica sobre la exposición «Casi oro, casi ámbar, casi luz. Bienvenida del paisaje mexicano al paisaje japonés»celebrada en 2023 en el Museo Kaluz de Ciudad de México. La exposición, realizada por un equipo curatorial especializado en arte mexicano y en arte japonés presentan un diálogo a través del género del paisaje de México y de Japón. La parte japonesa procede de la donación del norteamericano Terry Welch poseedor de una de las mejores colecciones de pintura nipona de los siglo XIX y XX en Hispanoamérica.
Génesis del hispanismo en Japón: de las Filipinas e Hispanoamérica a Vicente Blasco Ibáñez y las primeras traducciones directas
Authors: Taranco David
Published: December 2024

El objetivo de este estudio es presentar los orígenes y el desarrollo del hispanismo en Japón desde la aparición de la primera clase de español en la enseñanza superior, a finales del siglo xix, hasta la publicación de las primeras traducciones directas de literatura española, en la década de 1920. Este trabajo permitirá visualizar la importancia de las Filipinas e Hispanoamérica –México y Perú especialmente– como catalizadores de la demanda inicial de cursos de español, así como el papel inestimable del escritor Vicente Blasco Ibáñez como impulsor de las traducciones directas.
Barlés Báguena, Elena y Muriel Gómez Pradas (eds.). Japón en español. La difusión de la cultura japonesa a través de los libros (1868-1945). Madrid: Ediciones de la Universidad Autónoma de Madrid (Colección Japón), 2022. 259 pp. ISBN: 9-788483-448625
Authors: Garcés García Pilar
Published: December 2024

La investigación que aborda esta obra colectiva pone de manifiesto cómo en España, durante el periodo comprendido entre 1868 y 1945, hubo posibilidades reales de poder alcanzar un notable grado de conocimiento sobre Japón. Una propuesta transversal que analiza una selección de textos fundamentales.
Gil Alares, Fabiola. Mokuhanga. Manual ilustrado de xilografía japonesa. Zaragoza: Prensas de la Universidad de Zaragoza, 2023. 234 pp. ISBN: ‎ 978-8413407265
Authors: Sanz Guillén Alejandro M.
Published: December 2024

Prensas de la Universidad de Zaragoza edita el primer manual de grabado en madera japonés en castellano, escrito por la artista y docente Fabiola Gil Alares. Esta obra se articula en varias secciones, partiendo de una introducción histórico-artística sobre la estampa japonesa, efectuada por el profesor David Almazán, seguida de varios bloques que describen los procesos, desde la preparación del diseño y la talla de la madera hasta la estampación de la matriz, e introducen nuevos consejos y recursos nunca antes descritos. El libro se complementa con ilustraciones creadas por la autora, que ayudan a la comprensión de las explicaciones, así como materiales audiovisuales complementarios.
Comportamentos de risco preditores da obesidade em adolescentes: reflexões sob o prisma conceitual de Alfred Schutz
Authors: Oliveira Vinícius Rodrigues de , Sousa Joab Gomes da Silva , Silva Heloiza Talita Adriano da , Oliveira Jonas Sami Albuquerque de
Published: December 2024

Objetivo: refletir acerca dos comportamentos de risco preditores da obesidade sob o prisma conceitual do filósofo Alfred Schutz. Métodos: reflexão teórica organizada em duas categorias centrais: I. Caracterização do filósofo e suas referências; II. Comportamentos de risco preditores da obesidade em adolescentes sob as concepções de Schutz. Resultados: foi retratada a biografia pessoal e acadêmica de Schutz e o referencial que embasou sua filosofia. Discutiu-se sobre o “mundo da vida” dos adolescentes e foram tecidas reflexões que associam os postulados de Schultz como as motivações, representadas pelos “motivos por que” e “motivos para”, aos principais comportamentos que desencadeiam a obesidade em adolescentes. Considerações finais: por meio das asserções feitas pelo filósofo em pauta, é possível identificar temas presentes no universo de adolescentes com obesidade que são relevantes para compreensão do fenômeno e para traçar possíveis intervenções nos eixos de prevenção e controle da obesidade.
Protolithic age and time of metamorphism of amphibolites from Slasten lithotectonic unit (Southern Pirin Mountains)
Authors: Macheva Lyubomirka , Machev Philip , Peytcheva Irena , Plotkina Julia , Salnikova Ekaterina , Stifeeva Maria
Published: December 2024

The investigated amphibolites from the Slasten lithotectonic unit are found as a strongly elongated body trending north-south at the eastern slope of the Pirin Mountain, near the village of Ilinden. These rocks are hosted by biotite and biotite-amphibole gneisses, some partially migmatized and containing thin intercalations of marble. The mineral composition is amphibole, plagioclase, epidote, quartz, garnet, pyroxene, titanite, and calcite. P-T conditions of metamorphism are in the range 691–724°C and 0.74–0.86 GPa. LA-ICP-MS analyses of zircons yield a Middle Triassic (246.4±3.2 Ma) age of formation of these amphibolites.
Mercury contents in Pernik coals and disposal pond waste products
Authors: Yossifova Mariana , Dimitrova Dimitrina , Bidzhova Lora , Veleva Olga , Georgiev Svetoslav V.
Published: December 2024

Mercury contents in two types of Pernik coals and in mixed waste from coal preparation and combustion from a disposal pond were measured using direct mercury analyzer. Pearson correlation coefficients between Hg concentrations and ash content among different types of samples are statistically insignificant, suggesting predominantly organic affinity of Hg. The Hg content of 150 ppb in the fuel for the thermoelectric power station (low grade coal) slightly exceeds the world average for brown coals (100 ppb). Mercury concentrations in the mixed waste are twice lower than those in low grade coal, suggesting that Hg is released into the atmosphere during coal processing. However, coal for indoor heating (high grade coal) is significantly enriched in Hg (average of 392 ppb) and, therefore, its residential use as fuel may release larger amounts of Hg to the atmosphere. Newly formed gypsum from the disposal pond concentrates Hg (221 ppb).
A Comparative Study of Soft Tissue Release and Stretching in Treating Axillary Web Syndrome After Breast Cancer Surgery
Authors: Alphonso Steffi , Yagnik Hiral Jayeshbabu
Published: December 2024

Background: Axillary Web Syndrome (AWS) is increasingly recognized as a side effect of post-breast cancer treatment. It is one of the primary contributors to discomfort and reduced range of motion following breast cancer surgery. Due to severe pain, patients often experience difficulty moving their arms, particularly with shoulder flexion and abduction, which are the most affected movements. After an axillary lymph node dissection (ALND), cords, webs, or adhesions can be felt and seen in areas such as the axilla, breast, antecubital region, chest wall, hands, and arms. These fibrous bands restrict shoulder movement, especially limiting flexion and abduction.
Methodology: The study was a randomized clinical trial that commenced after receiving approval from the ethical research committee. Data collection took place at HACC Hospital in Ahmedabad, across the In-patient Department, Out-patient Department, and Physiotherapy Department. Thirty patients were contacted two months after their breast cancer surgery. The ST-AWS questionnaire was used to assess the risk of developing axillary web syndrome and to assist patients in determining if they had AWS by completing a self-assessment.
Result: Data analysis and distribution for both groups were conducted using Excel 2016. In the experimental group, the pre-therapy score was 76%, while the post-therapy score dropped to 36%, reflecting a 40% difference between pre-and post-therapy. For the control group, the pre-therapy score was also 76%, with the post-therapy score decreasing to 41%, resulting in a 35% difference between pre-and post-therapy.
Conclusion: The study concludes that both soft tissue mobilization and stretching are effective treatments for patients with AWS. However, soft tissue mobilization proves to be more effective than stretching. Furthermore, prehabilitation can also play an important role in reducing the risk of axillary web syndrome.

Keywords: Axillary web syndrome, post breast cancer surgery, soft tissue release, stretching, exercise therapy
Clinical Profile and Pediatric Patterns in Predicting Sepsis Among Febrile Inpatients at an Indian Hospital: A Prospective Observational Study
Authors: Biju Joel , K Moncy Sherin , Mathew Asha , M Darshan , Mounika Jammula
Published: December 2024

Background: Sepsis is a global perpetrator of pediatric morbidity and mortality. This research aims to analyze the clinical profile of febrile pediatric patients with a risk of sepsis to study underlying patterns involved and understand clinician perspectives to ensure diagnostic accuracy and assess the management and outcomes.
Methods: In this prospective cross sectional descriptive study 300 febrile inpatients of 1 month to 13 years of age with one or more sepsis warning signs were examined. Patient factors affecting progression towards sepsis were analyzed, along with age-related patterns of tachycardia and tachypnea. Risk of developing sepsis was compared with degree of elevation in TLC, patient admission and outcome on discharge. The study also extended towards segregating most relied markers of sepsis by comparing prevalence among various risk groups.
Results: Factors such as male gender, infancy, and incomplete vaccination status were found to increase the chances of developing sepsis. Diverse diagnoses heightened sepsis likelihood to varying extents. Tachycardia and tachypnea followed a pattern of manifesting most among infants. The study demonstrated a direct link between rising sepsis risk and elevating TLC levels. Quantification of PS6 interventions demonstrated that adrenaline was the most commonly used ionotrope and IVF DNS was the most used isotonic fluid.
Conclusion: The unpredictable nature of pediatric sepsis can be tackled by an effective understanding of the patterns by which it manifests. Early detection of sepsis relies on pediatric patterns and established symptomatology approved commonly among clinicians which demands constant evaluation to ensure appropriateness and diagnostic consistency.

Keywords: Biomarkers, Acute febrile illness, Pediatric Intensive care Unit (PICU), Neonatal intensive care unit (NICU), SIRS
Articulate storyline: Inovasi pembelajaran sains yang menarik dan interaktif
Authors: Miftahurrahman Ujang , Zulfitria Zulfitria , Amirullah Febry
Published: December 2024

Penelitian ini bertujuan mengkaji media berbasis articulate storyline dalam pembelajaran IPA sebagai upaya menghadirkan pembelajaran yang menarik dan interaktif. Penelitian ini menggunakan library research dengan fokus pada analisis dan kajian berbagai artikel dengan tema articulate storyline pada pembelajaran IPA. Pengumpulan informasi dilakukan dengan cara menganalisis isi artikel dan menuangkan dalam struktur temuan penelitian. Hasil library research menunjukkan bahwa articluate storyline merupakan salah satu platform yang dapat membantu dalam mengembangkan media yang lebih interaktif untuk pembelajaran IPA. Pada proses pembelajaran IPA dengan media berbasis articulate storyline dapat diintegrasikan dalam berbagai strategi pembelajaran IPA, seperti model discovery learning dan pendekatan STEM. Selain itu, media pembelajaran berbasis articulate storyline juga dapat dikemas dalam bentuk media langsung yang digunakan dalam pembelajaran maupun dikemas dalam bentuk website yang dapat diakses secara fleksible. Media pembelajaran berbasis articulate storyline memiliki dampak pada kualitas pembelajaran, seperti menhadirkan pembelajaran yang interaktif dan meningkatkan keterlibatan peserta didik. Lebih lanjut, media pembelajaran berbasis articulate storyline juga berdampak pada peningkatan hasil belajar dan kemampuan komunikasi peserta didik
Upaya peningkatan kompetensi guru dalam meningkatkan literasi sains siswa
Authors: Sukisnawati Sukisnawati , Zulfitria Zulfitria , Muharawati Dasa Agtiani
Published: December 2024

Penelitian ini bertujuan untuk mengeksplor mengenai upaya peningkatan kompetensi guru dalam rangka meningkatkan literasi sains siswa. penelitian ini menggunakan pendekatan studi literatur dengan mengkaji berbagai artikel yang telah diterbitkan pada berbagai jurnal dengan fokus kajian tentang kompetensi guru dan literasi sains. Hasil studi literatur menunjukkan bahwa upaya pengembangan kompetensi guru dalam meningkatkan literasi sains siswa dapat dilaksanakan melalui berbagai cara, baik yang bersifat insidental maupun berkelanjutan. Upaya yang dapat dilaksanakan diantaranya pengembangan kompetensi pedagogi dan konten pada guru melalui workshop dan pelatihan dengan tema serta fokus pada menghadirkan pembelajaran berbasis literasi sains. Selain itu, pengembangan kompetensi guru juga dapat dilaksanakan dengan program kelas yang mengarahkan pada pelatihan menciptkan lingkungan belajar yang inovatif, interaktif, dan mengarah pada literasi sains siswa. Lebih lanjut, upaya pengembangan kompetensi lain yang bisa dilakukan yaitu pengembangan kompetensi guru dalam penguasaan teknologi. Dengan menguasai teknologi yang baik, maka guru dapat menghadirkan e-modul dan mutlimedia interaktif yang khusus untuk literasi sains
Analisis Pendapatan Petani Kentang Atlantik Melalui Kemitraan dengan PT. Indofood di Desa Sindangsari Kecamatan Cigedug Kabupaten Garut
Authors: Saptaji Bagus , Febrianti Tintin , Adinasa Muhamad Nu'man
Published: December 2024

Kecamatan Cigedug tercatat sebagai wilayah utama produksi tanaman kentang atlantik di Jawa Barat, terutama dalam lingkup Kabupaten Garut. Untuk memitigasi risiko fluktuasi harga yang sering terjadi dan mengurangi ketidakpastian, kemitraan antara kelompok tani Sebartani dengan PT Indofood telah terjalin. Melalui kemitraan ini, harga jual produk kentang atlantik dapat dijamin, sehingga petani dapat mengurangi risiko penurunan pendapatan. Selain itu, penggunaan bibit berkualitas dari PT Indofood juga dapat mengurangi risiko gagal panen dan investasi modal yang besar.  Petani non-mitra cenderung menghadapi tantangan yang lebih besar terkait fluktuasi harga jual, terutama saat memasuki musim panen yang berlimpah. Penggunaan bibit lokal oleh petani non-mitra dapat meningkatkan risiko penurunan hasil panen. Oleh karena itu, penelitian ini bertujuan untuk melakukan analisis mendalam terhadap pendapatan dan kelayakan usaha pertanian kentang atlantik bagi petani yang menjalin kemitraan dengan PT Indofood.  Metode yang digunakan dalam penelitian ini adalah kuantitatif deskriptif, yang bertujuan untuk memberikan gambaran menyeluruh mengenai usaha pertanian kentang atlantik dengan pola kemitraan. Analisis mencakup pengeluaran biaya usaha pertanian, termasuk biaya produksi, serta penerimaan dan pendapatan yang diperoleh.  Sampel penelitian diambil dengan pendekatan non probability sampling, dengan melibatkan semua kelompok tani Sebartani yang menjalin kemitraan dengan PT Indofood. Hasil penelitian menunjukkan bahwa total biaya produksi untuk satu musim tanam kentang atlantik pada luas lahan satu hektar adalah sebesar Rp. 105.871.657. Namun, pendapatan yang diterima mencapai Rp. 180.000.000, sehingga total keuntungan yang diperoleh petani mitra sebesar Rp. 74.128.343. Berdasarkan hasil ini, dapat disimpulkan bahwa usaha pertanian kentang atlantik bagi petani mitra layak untuk dijalankan, dengan tingkat risiko yang lebih rendah dibandingkan dengan petani non-mitra.
Marco teórico sobre agronegocios, ruralidad y desarrollo rural sostenible
Authors: Morales Zamorano Luis Alberto , Cuevas Merecías Imelda , Soriano Suárez del Real José Felipe
Published: December 2024

Este primer capítulo tiene como propósito introducir al lector en algunos de los conceptos más utilizados en el trabajo con los agronegocios, o que forman parte de la temática central de todo el libro. El primer concepto desarrollado es el de ‘agronegocios’, el cual forma la parte central de todo el documento, se analiza desde una perspectiva temporal, desde su origen y se interpreta su transformación a lo largo del tiempo. Posteriormente, se describe el concepto de ‘cadenas de valor en los agronegocios’, pasando por el constructo de ‘administración de agronegocios’. Finalmente es abordado el análisis conceptual de lo rural y la nueva ruralidad. Se termina describiendo y cuestionando de manera superficial el significado real del concepto de ‘desarrollo rural sostenible’. Se cierra el capítulo relacionando los conceptos previamente descritos con algunos ejemplos de oportunidades que representan los emprendimientos rurales, necesarios de hacerse realidad, en las actividades agrícolas y pecuarias. Este análisis introductorio de conceptos finaliza con un glosario y un amplio soporte bibliográfico de todo el material citado en este primer apartado del libro.
Oportunidades de negocios con el uso sostenible del agua en zonas rurales
Authors: Velasco Aulcy Lizzette , De la O Burrola Verónica , Lizárraga Benítez Román III , Delhumeau Rivera Sheila
Published: December 2024

El problema del agua es reconocido a nivel mundial; las naciones deben enfrentarlo y buscar alternativas que contribuyan en un mayor aprovechamiento de los escasos recursos. El capítulo presenta propuestas de diversas alternativas de negocios que involucran el uso sostenible del agua en zonas rurales, como oportunidades que propicien el desarrollo regional y nacional del país. Cabe destacar que dentro de las diversas opciones presentadas, las de almacenamiento y desalación de agua han sido ampliamente desarrolladas en zonas rurales en Baja California, incluyendo innovaciones tecnológicas que incrementan la productividad de las cadenas productivas.
Emprendimiento en zonas rurales: Oportunidades de emprendimiento y medios de vida necesarios para su consolidación
Authors: Londoño Pineda Abraham Allec , Arias Vargas Francisco Javier , Marino López Paul Andrés
Published: December 2024

El objetivo de este capítulo es dar a conocer oportunidades de emprendimiento rural desde un marco de medios de vida sostenible, el cual considera la identificación de distintos tipos de capital, los cuales soportan los emprendimientos en zonas rurales. Estos son el capital financiero, el capital físico, el capital humano, el capital social y el capital natural. De su interacción y de la detección de aquellos tipos de capital en los cuales hay deficiencias, depende en buena medida el desempeño de los emprendimientos rurales. Para la comprensión práctica del marco en mención se presentan dos casos. El primero está relacionado con una forma de emprendimiento pluriactivo, el cual se basa en experiencias de turismo agrícola; el segundo se refiere a un tipo de emprendimiento que se ha presentado, principalmente, en lo urbano, pero tiene potencial para ser replicado en zonas rurales, como lo es el emprendimiento de eventos culturales y gastronómicos. En ambos casos se identifican los tipos de capital más relevantes para el adecuado despliegue del negocio, aunque se destaca que, al ser el emprendimiento una actividad dinámica, se requiere de la integración de los distintos tipos de capital.
On Locally Projectively Flat Finsler Space of a Special Exponential Metric with Constant Flag Curvature
Authors: Tripathi Brijesh Kumar , Khan Sadika
Published: December 2024

From the point of view of Hilbert's fourth problem, Finsler metrics on an open subset of $\mathbb{R}^n$ with positive geodesics that are straight lines are known as locally projectively flat Finsler metrics. In this article, we have studied such projectively flat $(\alpha,\beta)$-metrics in the form of the special exponential Finsler metric, where $\alpha$ is a Riemannian metric and $\beta$ is a differential 1-form. We found that the special exponential metric is locally projectively flat if and only if $\alpha$ is locally projectively flat and $\beta$ is parallel with respect to $\alpha$. Furthermore, we obtained the flag curvature and proved that the special exponential metric is locally Minkowskian.
Hand in glove appearance
Authors:   Department of Pulmonary Medicine, Institute of Medical Education and Research (PGIMER), Chandigarh, India., Malegaonkar Srikant
Published: December 2024

40-year-old man presented to our pulmonology clinic with complaints of persistent cough with expectoration and breathlessness since past 2 months. Elucidation of medical history revealed patient to be an asthmatic with use of inhaled bronchodilators through Metered Dose Inhaler (MDI)
Long Term Management of Obesity with Once Weekly Semaglutide Efficacy and Safety in Clinical Trials
Authors:   Texas Health Resources 300 E Round Grove rd Apt 422 Lewisville TX 75067 USA, Javed Malik Saad
Published: December 2024

Over 800 million people globally are categorized as obese defined as having a Body Mass Index BMI of 30 or more About 42 of adults in the US suffer from obesity 1 and the yearly cost of obesity-related medical costs is projected to be 173 billion
Effects of Stress Induced Neuroendocrine Immune Interaction on Periodontium A Review
Authors:   Department of Periodontics Dr R Ahmed Dental College and Hospital 114 AJC Bose Road Kolkata West Bengal Pin 700014 India, Mistry Surajit
Published: December 2024

This review discusses recent advances in our understanding of the relationships between psychological stress neuroendocrine immune system and periodontitis including how host stress responses affect immune function alter the oral microbiome and biofilm formation and promote disease progression
Character Meets Anatomy Ten Times Typical DCIs Case Report
Authors:   Research Group Experimental Surgery University Hospital Düsseldorf Germany, D Schipke Jochen
Published: December 2024

An open Persistent Foramen Ovale PFO is a known risk factor for the development of Decompression Illnes DCI in the context of scuba diving
Assessment of Aspirin and Periodontal Issues
Authors:   Oral Medicine and Oral Surgery Department Faculty of Dentistry MedOralRes Group University of Santiago de Compostela Spain, Kharib AM Mohamad
Published: December 2024

An infection of the tissues that support teeth is known as periodontitis Numerous systemic disorders can affect the periodontium in the same way that periodontitis can affect systemic health
Success of Occipital Neurostimulation Therapy for Persistent Occipital Neuralgia after Anterior Cervical Discectomy and Fusion A Case Study
Authors:   Allegheney Health Network Department of Pain Medicine Pittsburgh PA USA, Ampomah Kwasi
Published: December 2024

This case report details diagnostic and therapeutic processes in managing a 52 year old female with chronic cervical pain and myeloradiculopathy resulting from a C6 C7 herniated nucleus pulposus and cervical spinal canal stenosis
Polymicrobial Infective Endocarditis with Stroke in a Patient with Metastatic Colorectal Cancer
Authors:   Brookdale University Hospital Medical Center Brooklyn NY USA, Ukenenye Emmanuel
Published: December 2024

A rare instance of infective endocarditis by Streptococcus viridans and Lactobacillus spp in an elderly patient with advanced colorectal cancer leading to an aortic valve abscess infectious emboli and stroke Our hypothesis is the gastrointestinal tract served as the probable entry route for the bacteria
Long Context RAG: Unlocking the Potential of Large Language Models for Complex Queries
Authors: Valentina Porcu
Published: December 2024

Retrieval-augmented generation (RAG) is a breakthrough in AI and has extended the capability to answer complex, knowledge-based questions. As a result of integrating functionalities of retrieval systems with generative large language models (LLMs), RAG systems offer the flexibility of complex responses to queries that demand integration of multiple sources. The traditional RAG systems perform well for open domain question answering and knowledge-base QA tasks. Still, the performance degrades for the long context queries requiring the model to understand it in terms of several domains and interconnect with each other.
This paper discusses whether deeper contextual processing of the referred advanced LLMs can help enrich the existing RAG paradigm. Consequently, key contributions involve formulating current deficiencies in processing contextually extensive questions, exploring various ways of context retention integration, and assessing the superiority of refined RAG systems in actual-world domains. Based on a thorough assessment of the applicability of the proposed context-aware RAG system, this paper discusses the ability of the technology to bring about nothing short of a disruptive shift in industries including healthcare LegalTech, as well as academic scholarship. Pausing the conclusions deriving from the presented study are that while the fine-tuned RAG systems significantly help to upgrade the scales of responses’ relevancy and pushing the answers with more accurate approaches to queries, they provide the solutions to the society’s growing requirement for the management of the complex inquiries.
Past vs. Present: Key Differences Between Conventional Machine Learning and Transformer Architectures
Authors: Valentina Porcu
Published: December 2024

The evolution of machine learning (ML) has transformed the way data is analyzed and predictions are made, progressing from conventional algorithms to advanced neural network architectures. Early ML models, including decision trees, support vector machines (SVMs), and basic neural networks, were primarily designed for structured data and required extensive feature engineering to achieve optimal performance. These traditional models, though effective in certain applications, often struggle with complex, unstructured data and the need for nuanced contextual understanding. In contrast, transformer architectures, which emerged with innovations such as the self-attention mechanism, are capable of handling vast and unstructured data like natural language and high- dimensional images. By leveraging self-attention, transformers capture both local and global dependencies within data, reducing the need for manual feature engineering and enabling robust performance in fields like natural language processing (NLP), computer vision, and time-series forecasting.
This paper offers a comprehensive comparison between conventional ML models and transformer architectures, examining the key differences in data handling, scalability, computational efficiency, and the types of tasks each approach is best suited for. Furthermore, the paper explores the impact of these architectural distinctions on model interpretability, adaptability, and resource requirements, shedding light on the unique benefits and challenges that transformers bring to modern AI applications. Through this analysis, we aim to provide insights into the future trajectory of ML development and the critical factors that will shape the application of transformers and traditional ML models in solving complex, real-world problems.
Typology of Forward-Looking Direct Marketing Farms – an Empirical Analysis in Germany
Authors: Wille Stefan-Clemens , Von Meyer-Höfer Marie , Spiller Achim
Published: December 2024

Direct marketing of food may enable farmers to generate higher incomes. Originally, direct marketing comprised on farm sales and weekly markets, but it has recently developed into a professionalized marketing approach of various forms. Hereby, the direct marketers differ by marketing channel, the range of products or the number of labour used. Although direct marketing is an important source of income for some farms, only a few studies have addressed a detailed description of direct marketers so far. This research gap is tackled with by an empirical study of 39 direct marketers. A cluster analysis identified 4 types of direct marketers. Some direct marketers try to offer a full range of products, similar to a retail strategy. Others are specialized in selling to specific actors in the value chain, e.g. the retail. Also the results confirm the classic on farm shop to sell mainly its own produce. The typology may provide a useful guidance for direct marketers or regular farmers when structuring their future farm business.
Профориентационная деятельность как фактор повышения значимости созидательного труда в системе ценностных ориентиров школьников
Authors: Фроленкова И.Ю. , Кузнецов К.Г. , Ермолаева А.В.
Published: December 2024

Введение. Современные экономические и социальные вызовы обусловили повышенное внимание к факторам, влияющим на формирование ценностных ориентиров, в частности на ценность созидательного труда, в содержании профориентационных программ. Цель. Определить условия, способствующие повышению значимости ценности созидательного труда у обучающихся общеобразовательных школ в процессе профориентационной работы. Методы. Использованы методы сравнительного и обобщающего анализа научных публикаций по теме исследования. Для обработки результатов тестирования применены методы корреляционного и факторного анализа. Результаты. Исследование показало, что участие в  профориентационных программах, включающих профессиональные пробы, экскурсии, внеурочные занятия и профориентационную диагностику, повышает значимость созидательного труда в восприятии учащихся, создавая предпосылки для ценностно-целевого единства профориентационной деятельности. Научная новизна. Установлена связь между ценностью труда в  обществе и  его уровнем благосостояния: общества с более высокой значимостью созидательного труда показывают более высокие экономические результаты. Практическая значимость. Результаты исследования могут быть использованы для организации профориентационной и воспитательной работы в общеобразовательных школах.

Introduction. Current challenges, both economic and social, highlight the factors that influence the formation of  value orientations, particularly the value of  creative labor in the content of career guidance programmes. Aim. To determine the factors that contribute to the increased value placed on creative labour by students in comprehensive schools during career guidance programmes. Methods. This study used comparative and generalised analyses of existing scientific publications on the topic of the research. The methods of correlation and factor analysis were used to process the test results. Results. Research data indicates that students’ perception of the importance of creative labor is enhanced through participation in career guidance programmes that systematically incorporate professional tryouts, guided tours, extracurricular activities, and career guidance diagnostics. This creates the conditions for a value-based unity within career guidance activities. Scientific novelty. The research identified a correlation between the value of labour in a society and its level of  prosperity. Societies and communities where members highly value creative labour demonstrate superior economic performance. Practical significance. The results of the study can be used for organising career guidance and educational work in comprehensive schools.
Critiquing Faith Development Theory and Its Measurements from An Islamic Perspective
Authors: Ok Üzeyir , Gennerich Carsten
Published: December 2024

The Faith Development Theory (FDT), primarily grounded in cognitive development models, has made significant contributions to the understanding of religiosity and has explained the role of the human factor in the developmental trajectories of religion and spirituality. After James Fowler's original study, the theory was extended and revised by subsequent international researchers in terms of its theoretical framework, research instruments, and empirical findings. However, it has seldom been critiqued from an intercultural perspective. This study aims to critically evaluate both the conceptualization of FDT and the instruments used to measure it. An iterative, reflective critical review of related literature was employed as the research method in this theoretical study. The findings from the literature review suggest that the use of terms like “faith” or “religiosity” within FDT can be misleading and may create tensions between theology and psychology. It is argued that dimensions such as indifference to religion, doubt, and forms of conjunctive faith in religious contexts should be integrated into the theory. Furthermore, FDT's focus on cognitive structural development has led to the neglect of the interior dimensions of religiosity, including levels of commitment and emotional aspects. Additionally, FDT appears less relevant for analysing Muslim contexts. Finally, the theory promotes a secular approach to religious development, with “developed” stages predominantly reflecting a Eurocentric, Enlightenment-oriented perspective on religiosity.
Utilization of artificial intelligence in the diagnosis of pes planus and pes cavus with a smartphone camera
Authors: Ghandour Samir , Lebedev Anton , Tung Wei-Shao , Semianov Konstantin , Semjanow Artem , DiGiovanni Christopher W , Ashkani-Esfahani Soheil , Pineda Lorena Bejarano
Published: December 2024

BACKGROUND

Pes planus (flatfoot) and pes cavus (high arch foot) are common foot deformities, often requiring clinical and radiographic assessment for diagnosis and potential subsequent management. Traditional diagnostic methods, while effective, pose limitations such as cost, radiation exposure, and accessibility, particularly in underserved areas.

AIM

To develop deep learning algorithms that detect and classify such deformities using smartphone cameras.

METHODS

An algorithm that integrated a deep convolutional neural network (CNN) into a smartphone camera was utilized to detect pes planus and pes cavus deformities. This case control study was conducted at a tertiary hospital with participants recruited from two orthopaedic foot and ankle clinics. The CNN was trained and tested using photographs of the medial aspect of participants’ feet, taken under standardized conditions. Participants included subjects with standard foot alignment, pes planus, or pes cavus determined by an expert clinician using the foot posture index. The model’s performance was assessed in comparison to clinical assessment and radiographic measurements, specifically lateral tarsal-first metatarsal angle and calcaneal inclination angle.

RESULTS

The CNN model demonstrated high accuracy in diagnosing both pes planus and pes cavus, with an optimized area under the curve of 0.90 for pes planus and 0.90 for pes cavus. It showed a specificity and sensitivity of 84% and 87% for pes planus detection, respectively; and 97% and 70% for pes cavus, respectively. The model’s prediction correlated moderately with radiographic lateral Meary’s angle measurements, indicating the model’s excellent reliability in assessing food arch deformity (P < 0.05).

CONCLUSION

This study highlights the potential of using a smartphone-based CNN model as a screening tool that is reliable and accessible for the detection of pes planus and pes cavus deformities, which is especially beneficial for underserved communities and patients with pain generated by subtle foot arch deformities.
Construction and validation of a risk prediction model for depressive symptoms in a middle-aged and elderly arthritis population
Authors: Shi Jun-Wei , Kang Wei , Wang Xin-Hao , Zheng Jin-Long , Xu Wei
Published: December 2024

BACKGROUND

Arthritis is a prevalent and debilitating condition that affects a significant proportion of middle-aged and older adults worldwide. Characterized by chronic pain, inflammation, and joint dysfunction, arthritis can severely impact physical function, quality of life, and mental health. The overall burden of arthritis is further compounded in this population due to its frequent association with depression. As the global population both the prevalence and severity of arthritis are anticipated to increase.

AIM

To investigate depressive symptoms in the middle-aged and elderly arthritic population in China, a risk prediction model was constructed, and its effectiveness was validated.

METHODS

Using the China Health and Retirement Longitudinal Study 2018 data on middle-aged and elderly arthritic individuals, the population was randomly divided into a training set (n = 4349) and a validation set (n = 1862) at a 7:3 ratio. Based on 10-fold cross-validation, least absolute shrinkage and selection regression was used to screen the model for the best predictor variables. Logistic regression was used to construct the nomogram model. Subject receiver operating characteristic and calibration curves were used to determine model differentiation and accuracy. Decision curve analysis was used to assess the net clinical benefit.

RESULTS

The prevalence of depressive symptoms in the middle-aged and elderly arthritis population in China was 47.1%, multifactorial logistic regression analyses revealed that gender, age, number of chronic diseases, number of pain sites, nighttime sleep time, education, audiological status, health status, and place of residence were all predictors of depressive symptoms. The area under the curve values for the training and validation sets were 0.740 (95% confidence interval: 0.726-0.755) and 0.731 (95% confidence interval: 0.709-0.754), respectively, indicating good model differentiation. The calibration curves demonstrated good prediction accuracy, and the decision curve analysis curves demonstrated good clinical utility.

CONCLUSION

The risk prediction model developed in this study has strong predictive performance and is useful for screening and assessing depression symptoms in middle-aged and elderly arthritis patients.
Femoral nerve palsy following Girdlestone resection arthroplasty: An observational cadaveric study
Authors: Spuehler Dominik , Kuster Lukas , Ullrich Oliver , Grob Karl
Published: December 2024

BACKGROUND

When patients with a failed hip arthroplasty are unsuitable for reimplantation, Girdlestone resection arthroplasty (GRA) is a viable treatment option. We report on a patient who was treated with a GRA due to a periprosthetic infection. We discovered partial paralysis of the quadriceps muscle in this patient. We investigated the femoral nerve anatomy, particularly the nerve entry points, to better understand this phenomenon.

AIM

To reveal the femoral nerve anatomy with respect to severe proximal migration after GRA.

METHODS

Eight cadaveric hemipelves were investigated. The branches of the femoral nerve were dissected and traced distally. The GRA was performed by the direct anterior approach. Axial stress to the lower extremity was applied, and the relative movement of the femur was recorded. The femoral nerve and its entry points were assessed.

RESULTS

GRA led to a 3.8 cm shift of the femur in vertical direction, a 1.8 cm shift in the dorsal direction, and a 2.3 cm shift in the lateral direction. A 36.5° external shift was observed. This caused stress to the lateral division of the femoral nerve. We observed migration of the femoral nerve entry point at the following locations: (1) Vastus medialis (5.3 mm); (2) The medial part of the vastus intermedius (5.4 mm); (3) The lateral part of the vastus intermedius (16.3 mm); (4) Rectus femoris (23.1 mm); (5) Tensor vastus intermedius (30.8 mm); and (6) Vastus lateralis (28.8 mm).

CONCLUSION

Migration of the femur after GRA altered the anatomy of the femoral nerve. Stress occurred at the lateral nerve division leading to poor functional results.
Assessing clinical and patient reported outcomes of Sironix suture anchors in rotator cuff and Bankart repair surgeries
Authors: Kumar Puthumanapully Vinod , Sugath Subin , Mohan Vijay , Moharana Ashok Kumar , Angrish Sachin , TS Deepak
Published: December 2024

BACKGROUND

Rotator cuff tears and Bankart lesions significantly affect shoulder function and quality of life. Arthroscopic rotator cuff repair and Bankart repair has become the standard treatment for restoring function and reducing pain. Recent advancements include new suture anchor technologies, such as the Sironix suture anchor known for its biomechanical strength and promising outcomes. However, there are limited real-world data on its effectiveness and safety, particularly in the Indian population.

AIM

To evaluate the effectiveness and safety of Sironix suture anchors in rotator cuff and Bankart repair surgeries.

METHODS

Sixty participants underwent surgery between January 2021 and December 2022, and demographic data and postoperative outcomes were collected through retrospective reviews and telephonic interviews. Validated scales, including the PENN Shoulder Score (PSS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Single Assessment Numeric Evaluation (SANE), were utilized for assessment.

RESULTS

Treatment with Sironix suture anchor devices, including Ceptre Knotted UHMWPE Suture Titanium Anchor, Spyke Knotted UHMWPE Suture Peek Anchor, Stativ Knotted UHMWPE Suture Anchor, and Viplok Knotless Peek Screw Anchor with Titanium Tip, revealed no repair failures. Participants demonstrated high satisfaction and functional improvement, as evidenced by the mean Quick DASH score (32.01) and PSS (71.65) and the satisfactory SANE scores for both injured joints (74.33) and non-injured (83.67) shoulder joints.

CONCLUSION

The study yielded favorable outcomes for rotator cuff tear repair and Bankart repair. No repair failures were observed, supporting the safety and efficacy of these devices in shoulder injury management.
XXXVII Confronti in Pediatria: Le regole della buona pratica: punti fermi e nuove sfide nella società che cambia
Authors:   Medico e bambino
Published: December 2024

Confronti in Pediatria 2024 - raccolta abstract
Managing a symptomatic large nasopalatine duct cyst – a case report
Authors: Öçbe Melisa , Arçağ Aziz Nasır , Olgaç Vakur
Published: December 2024

Nasopalatine duct cysts (NPDCs) are the most common non-odontogenic cysts of the maxilla, originating from the remnants of the nasopalatine duct. Typically asymptomatic, these cysts can cause swelling, pain, and discomfort when they enlarge, often affecting the anterior maxillary region. NPDCs are usually detected incidentally on radiographic examinations, but larger cysts may present with symptoms requiring intervention. This case report presents a 38-year-old male with no systemic diseases who visited XXX University, Faculty of Dentistry with severe pain and swelling in the anterior maxillary region. Clinical examination revealed fluctuation in the palatal mucosa, while CBCT imaging showed a homogenous hypodense lesion with sclerotic borders, adjacent to the nasal cavity floor with evidence of bone destruction and perforation of the palatal cortex. The patient underwent an excisional biopsy, and histopathological examination confirmed the diagnosis of a NPDC. This case is distinctive due to the unusually large size and symptomatic presentation. Notably, pain is a rare occurrence in NPDCs.