bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan Teknik Self Management Untuk Meningkatkan Kontrol Diri Pecandu Narkoba (Studi Kasus Pada Klien “Y” Di Yayasan Pusat Rehabilitas Narkoba Ar Rahman Palembang)
Authors: Ayu Putri , Razzaq Abdur , Noviza Neni
Published: January 2025

This research is entitled "Application of Self Management Techniques to Improve Self Control of Drug Addicts (Case Study on Client "Y" at the Ar Rahman Drug Rehabilitation Center Foundation Palembang. The purpose of this research is to find out the description of the client's self-control "Y" and to find out how the application of self management techniques to improve self-control for client "Y". This type of research is field research using a qualitative approach and case study method. Data collection tools in this study are observation, interviews and documents. The data analysis methods in this study are pattern matching, data annotation, and time series analysis. The subjects of this research are client "Y" and the counselor of client "Y". The results of this study that the description of self-control in client "Y" includes four aspects of the first angry emotion including facial features, tongue features, limb features, and heart features. And this description of self-control can also be seen from three aspects of self-control, namely: behavior control, namely client "Y" is sometimes unable to regulate his behavior, especially in his emotional control, cognitive control (cognitive control) in cognitive control is quite good, it's just hard to control his emotions, client "Y" is sometimes a little difficult to get information well, and finally control satisfaction (decisional control) in controlling satisfaction is quite good, client "Y" is quite aware of how to control satisfaction from himself. not good, because it is still difficult to control his emotions. The steps in applying self management techniques are the first stage of self-monitoring or self-observation, the counselor knows that client "Y" has observed his own behavior. In the second stage of the self-assessment process, the counselor observes the client comparing behaviors. The third stage is eradication or punishment (self-reinforcing), the client has never punished himself. And then the last stage of target behavior, the client has assessed changes in his own behavior. The result of the application of self management techniques is that client "Y" in his self-control is getting better, client "Y" is now able to control his emotions.
Analisis Teoritis Kasus Bullying: Telaah Kontrol Emosi Mario Dandy Dengan Pendekatan Teori Pengendalian Diri Hurlock
Authors: Himmah Elok Rofiqotul , Susanti Maulani , Rofiqi Ahmad Nailur , Fitriana Ani Qotuz Zuhro’
Published: January 2025

Adolescents as individuals are in the process of developing or becoming, namely developing towards maturity or independence. Teenagers need guidance because they still lack understanding or insight about themselves and environment and experience in determining the direction of his life to reach maturity. Therefore, adolescents are expected to be able to anticipate the consequences that lead to deviant behavior. In this study aims to determine the beginning of the conflict. This study uses a qualitative approach theory-driven case study. Researchers collected data by reading several journal articles and re-reading the literature. The results of this study aim to examine cases of bullying as well as Mario's emotional control and self-control. Bullying in Indonesian is known as "oppression/risak" is any form of oppression or violence that is carried out intentionally by one person or group of people who are stronger or more powerful against another person, with the aim of hurting and doing it continuously. Emotions are defined as complex reaction patterns involving experience, behavior, and physiology, which are used to deal with important problems or events experienced by individuals. Meanwhile, self-control or self-control is an ability and effort to regulate, guide, and direct all forms of internal action towards positive action, in other words, forming emotional control within the individual.
Gaya Manajemen Konflik Dalam Keluarga Pada Pasangan Suami Istri Yang Bekerja Di Kabupaten Lumajang
Authors: Mahmudah Annisa’ul , Ridho Muhammad Iqbal , Muksinin Imam , Fitriana Ani Qotuz Zuhro’
Published: January 2025

In a family, communication between husband and wife is very important to resolve various conflicts that occur in the family. Disturbance in the family, namely the presence of conflict when a wife has multiple roles. This study aims to determine the style of conflict management in the family of married couples working in Lumajang district. This research uses descriptive qualitative research methods with observational data collection techniques for married couples who work . The sampling technique in this study used a random sampling technique/probability sampling. Subjects who became a research sample with criteria were married couples, especially wives who work and live in Lumajang Regency. The results of this study are conflict management styles in the household in married couples who work in Lumajang Regency have various styles of conflict management.
Pemberdayaan Masyarakat Dalam Penanggulangan Stunting Di Kecamatan Banyuasin III Kabupaten Banyuasin
Authors: Vadia Rani , Suryati Suryati , Muzaiyanah Muzaiyanah
Published: January 2025

Community empowerment in tackling stunting in Banyuasin III District, Banyuasin Regency is an activity carried out by the sub-district government and village midwives for stunting sufferers with the aim that the community can be empowered and stunting sufferers can be reduced so that there are no more stunting sufferers in the sub-district. This research is focused on the background, namely the first What is the community's strategy in overcoming stunting in Banyuasin III District. Second, what are the obstacles to community empowerment in overcoming stunting in Banyuasin III District. The purpose of this study is to find out the stages of community empowerment in overcoming stunting in Banyuasin III District, Banyuasin Regency. This study used a qualitative method of field research. The subjects of this study were three stunting sufferers and two village midwives. The data collection techniques used by researchers are observation methods, interview methods and documentation methods. The data analysis technique is using data reduction, data presentation and conclusion drawing. The results of the study show that community empowerment in tackling stunting in Banyuasin III District, Banyuasin Regency through two stages. First, the Awareness Stage, namely by socialization, and the Intellectual Capability Improvement Stage, skills and skills so that initiatives and innovative abilities are formed to deliver a pattern of independence, an independent society. cannot be left alone, the community still needs protection as monitored by posyandu. Community empowerment in tackling stunting is said to be successful, because with this program the stunting rate can be reduced in the coming year, and the community already understands a clean and healthy lifestyle.
Peran Lingkungan Teman Dalam Menangani Kenakalan Siswa Di SMA Negeri 1 Muncar
Authors: Maghfiroh Khusnul , Febiyanti Olivia Dwi , Fitriana Ani Qotuz Zuhro’
Published: January 2025

Delinquency committed by teenagers is behavior that is detrimental to themselves and to others. Juvenile delinquency for malicious behavior or juvenile delinquency is a socially pathological term that refers to a wide range, from socially unacceptable behavior to status violations to criminal acts. this is due to the influence of peers, because the influence of the school environment is very easy to influence the development of students, who are initially curious, then want to try and in the end are addicted to truancy, smoking or consuming liquor. The role of friends is needed in helping to deal with juvenile delinquency which can disturb the school environment. The purpose of providing motivation is so that teenagers who often commit deviant acts can change and become better individuals. From the results of our research, we conducted research on juvenile delinquency cases at SMA NEGERI 1 MUNCAR, namely students who skipped school hours and during Duha prayers, smoked, and consumed alcohol.
Strategi Pedagang Sayur dalam Pengembangan Usaha di Pasar Pagi Kecamatan Gelumbang Kabupaten Muara Enim
Authors: Lestari Sinta Ayu , Murdiati Eni , Muzaiyanah Muzaiyanah
Published: January 2025

Pasar adalah tempat bertemunya pembeli dan penjual untuk melakukan transaksi jual beli dan jasa serta merupakan tempat yang menyediakan barang atau produk yang dijual sehingga memudahkan masyarakat untuk berbelanja kebutuhannya. Penelitian ini difokuskan pada latar belakang yaitu yang pertama : Bagaimana Strategi Pedagang Sayur untuk tetap melanjutkan kegiatan berjualan di Pasar Pagi Kecamatan Gelumbang Kabupaten Muara Enim. Kedua adalah bagaimana mengembangkan usaha pedagang sayur di Pasar Pagi Kecamatan Gelumbang Kabupaten Muara Enim. Tujuan dari penelitian ini adalah yang pertama untuk mengetahui strategi pedagang sayur dalam melanjutkan aktivitas berjualan di pasar pagi di Kecamatan Gelumbang Kabupaten Muara Enim dan yang kedua untuk mengetahui perkembangan usaha pedagang sayur di pasar pagi di Kecamatan Gelumbang , Kabupaten Muara Enim. Teknik pengumpulan data yang digunakan peneliti adalah Metode Observasi, Metode Wawancara, dan Metode Dokumentasi. Teknik analisis data yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil analisis yang telah dilakukan menunjukkan bahwa Strategi Pedagang Sayur dalam Pengembangan Usaha Pasar Pagi Kecamatan Gelumbang Kabupaten Muara Enim
Analisis Penerapan Restorative Justice sebagai Alternatif Penyelesaian Perkara terhadap Tindak Pidana Pemerkosaan yang dilakukan Anggota Kepolisian
Authors: Anes Sefta Asmita
Published: January 2025

Restorative Justice is an alternative dispute resolution outside of criminal penalties, in other words, it is resolved through familial means and also aims to repair the relationship between the perpetrator and the victim. Recently, the application of restorative justice has been found in the field, which has become the main basis for resolving criminal cases of rape committed by police officers by filing an appeal in the appellate court, so that the police officer who is the perpetrator of the rape, named Bripda Fauzan (FA), who was previously subjected to the sanction of dishonorable dismissal (PTDH) in the Police Ethics Code Commission session, was not dismissed on the grounds that the rape case was considered resolved after the perpetrator married the victim. However, some time after the appeal decision, the perpetrator was reported again for allegedly neglecting his wife, who is the victim of the rape he married, which will be further examined in this research regarding the cause of Bripda Fauzan (FA) leaving his wife. This study aims to provide a real view of the application of restorative justice as the main basis for resolving rape cases, the method used in this journal is a normative juridical research method with literature studies and looking at empirical facts in the field through news circulating on the Internet media regarding rape cases by police members who are considered to have been completed after marrying the victim. The settlement of rape cases carried out by police members with restorative justice has tarnished the credibility of police institutions that do not seem to understand the fatality of sexual violence cases with the application of restorative justice in cases that have a major impact.
Adversarial Attacks and Fraud Defenses: Leveraging Data Engineering to Secure AI Models in the Digital Age
Authors: Gupta Medha , Jain Jitender , Agarwal Giriraj , Modake Rajkumar , Tanikonda Ajay
Published: January 2025

Today, in the accelerating pace of cyber threats, new approaches and adaptive protection are required, specifically on risk analysis and fraud. Therefore, Adversarial Machine Learning with Artificial Intelligence provides a complete framework for fast-in-time cybersecurity threats assessment and advanced fraud detection capability. AML techniques would be critical for representing potential online attacks, ensuring AI-enabled defense systems are stronger and more resilient, and ultimately mitigating an adversarial attack. The fact that AML has both defensive and attacking uses shows that it's the requirement for developing models resistant to adversaries that is being made with a proper defense against emerging cyber threats. It introduces an adaptive risk identification framework, using predictive modeling, machine learning algorithms, and real-time data analysis for detecting, ranking, and mitigating risks dynamically. This is the method that keeps security protocols one step ahead of possible threats-they make this happen through a continuous evolution in their capacities to keep up with the speed of the digital world. Examples of using AI as one of the impressive tools in analyzing and owning huge datasets to detect anomalies and discover patterns of fraudulent behavior are, among others, the use of AI to do online fraud detection. It shows practical use of AI for fraud detection, from secure online authentication to preventing financial fraud. Evidence from real life helps demonstrate how AI-driven solutions can improve current risk assessment methodologies and fraud detection systems in response to increasingly complex cyber threats. The results provide a holistic view of how AML and AI techniques strengthen cyber defenses while contributing to effective cybersecurity practices. The demand for AI to take up mobility in AML has, however, begun to be very pertinent regarding the safety of digital assets, integrity of online systems, and the walls of defense erected against increasingly sophisticated cyber threats in a highly connected digital terrain. This study reflects the critical adoption of intelligent and adaptive solutions in meeting the demands posed by modern cybersecurity.
Extra-organ metastatic retroperitoneal tumor of the right iliac region in a 26-year-old female patient. Problem: unclassifiable tumor
Authors: Nechaeva M. N. , Molnar S. M , Rakhmankulova G. G. , Ruzhnikova A. А. , Zhukova I. V. , Agaeva A. V.
Published: January 2025

The basis of current oncology is the verification of the disease. Only after the pathomorphological establishment of a clinical diagnosis, the treatment tactics of a particular patient are collectively selected. Now, in most cases, only pathomorphological diagnostics is not enough, it is necessary to conduct immunohistochemical and even molecular genetic researches, some of which are possible only in large federal referral centers. However, despite the existence of wide possibilities and detailed pathohistological classifications of neoplasms, with the development of modern diagnostic technologies, the medical community began to understand that some pathological processes go beyond the developed methods of diagnosis and cannot be verified within existing classifications. This way, patients with unclassifiable tumors currently do not have the opportunity to receive antitumor treatment based on evidence-based medicine, due to the lack of large-scale researches and clinical recommendations for the treatment of these types of tumors. The main purpose of the article is to once again draw the attention of the oncological community to the existence of unclassifiable tumors, in order to continue collecting information and jointly develop tactics for the diagnosis and treatment of these rare tumors.
HEAT EXCHANGE DURING CONDENSATION OF PURE OZONE-FRIENDLY REFRIGERANT R404A ON LONGITUDINALLY FINNERED HORIZONTAL PIPES
Authors:   Sukhoi State Technical University of Gomel, the Republic of Belarus, ОVSYANNIK А. V. , KLUCHINSKIY V. P. ,   Sukhoi State Technical University of Gomel, the Republic of Belarus
Published: January 2025

A method for conducting an experimental study of freon (R404A, etc.) condensation and their oil-freon mixtures on smooth and developed horizontal surfaces has been developed. A smooth and longitudinally finned surface with a trapezoidal fin shape is presented as the heat transfer surface under study. As a result of the conducted experimental studies of the condensation process of ozone-safe pure mixed refrigerant R404A on a longitudinally finned horizontal pipe with short fins in height, the hydrodynamic characteristics of the condensate (condensate film thickness along the fin height, film velocity and condensate flow rate, heat flux density and heat exchange process intensity) of the condensate film gravitationally flowing down the elements of the finned surface have been experimentally established.
The dependencies obtained during the experimental studies (heat transfer coefficient on heat flux den-sity; film thickness on heat flux density; film thickness on temperature difference; heat transfer coefficient on temperature difference) show that the experimental data on heat transfer coefficients and condensate film thickness match with the data, calculated using the Nusselt formula.
OPTIMIZATION OF INDIVIDUAL HEAT SUPPLY SYSTEM WITH AN ELECTRIC BOILER
Authors:   Sukhoi State Technical University of Gomel, the Republic of Belarus, KISELEVICH V. V.
Published: January 2025

The article presents a diagram of an individual heat supply system with an electric boiler, in the heat-ing and hot water supply circuits with heat-accumulating devices included. An improvement in the design of the heat accumulator is proposed, which increases the uniformity of the heat exchange surface distribution over the working volume of the device and allows to optimize the process of its heat charging due to the installation of tubular electric heating elements. The proposed design of the individual heat supply system ensures an increase in the energy efficiency of its operation. The specified effect is achieved due to a decrease in the total consumption of electric energy for heating and hot water supply needs due to the use of heat stored in the accumulators. The paper presents thermophysical characteristics of promising heat-accumulating materials, which allow increasing the duration of maintaining the optimal temperature regime in the heating and hot water supply circuits.
Principles of specific treatment and palliative care in advanced head and neck cancer
Authors: Rahnea-Nita Roxana-Andreea , Toma Radu-Valeriu , Grigorean Valentin-Titus , Anghel Rodica-Maricela , Rebegea Laura Florentina , Corobcean Nadejda , Stoian Alexandru-Rares , Ciuhu Anda-Natalia , Badiu Dumitru-Cristinel
Published: January 2025

Aim of the study: Most head and neck cancers are diagnosed in advanced stages, when the curative interventions are no longer possible. The assessment and the multidisciplinary therapeutic approach of the locally advanced cases are difficult since the onset of the disease becomes a significant challenge for the whole attending team (including both the patient and his family) because they have to deal with to an extensive symptomatology (abundant secretions, refractory pain, mutilations predominantly in the cephalic area), with the cure of stomas (tracheostomy, gastrostomy) and with various post-therapeutic sequelae. Materials and methods: The head and neck cancer cases are managed by the multidisciplinary committees. We give an example of 54-year-old patient diagnosed with pharyngolaryngeal neoplasm presented to “St. Luca” Chronic Disease Hospital, the Oncology-Palliative Care Department. Results: The present paper reflects the impact of late diagnosis, the complexity of the multimodal specific oncological treatment (chemotherapy, radiotherapy, immunotherapy, palliative and terminal treatment), the adaptation of medical care to the psycho-emotional structure. Conclusions: In patients with locally advanced head and neck cancers, besides the specifically oncological therapeutic decisions, the empathic-emotional connection between the medical team with the patient and his family plays a key role in the therapeutic conduct.
ROMANIAN CHILDREN'S PERCEPTION OF DENTAL CAVITIES AND GINGIVAL BLEEDING IN CORRELATION WITH PERSONAL ORAL BEHAVIOURS – A CROSS SECTIONAL STUDY
Authors: Popa Stefana , Dimitriu Bogdan Alexandru , Giurgiu Marina-Cristina , Dumitriu Anca Silvia , Păunică Stana , Mocanu Brîndușa Florina , Colbu Ștefania-Cristiana , Didilescu Andreea Cristiana
Published: January 2025

Aim of the study. The aim of the study was to evaluate the Romanian children's perception regarding 2 of the most common oral pathologies, dental caries and gingivitis in correlation with oral health behaviours. Methods. This was a cross-sectional study. The answers to 2 questionnaires distributed to children 12-15 years old from 2 schools in Bucharest, Romania were analyzed. One questionnaire included questions related to oral pathology, and the other to oral health maintenance behaviour. In our dental research study we made use of descriptive statistics in order to summarize continuous and categorical variables. The test used to examine relationship between children’s perceptions and their behaviours was Roa-Scott chi-square test Results. All 137 children who participated in the study completed both questionnaires. Among them, 62% considered that a broken tooth is not a form of disease, but still 94.8% of them would go to the dentist. Regarding gingival bleeding, even if its presence as a sign of illness was not conclusive, most children (78.8%) considered that this sign requires medical attention. The frequency of sugar consumption in our study was low in 80.3% of children, and the frequency of brushing was more than once a day for 77.4% of subjects. Conclusions. Although most children perceived dental cavity as a disease and, gingival bleeding as not a sign of illness., there was a consensus regarding both conditions, that is, the necessity of dental treatment. Awareness of the need for dental treatment in case of signs for these two diseases is very important for promoting preventive dental programs for children.
CLINICAL PERFORMANCE OF RESIN COMPOSITE RESTORATIONS IN POSTERIOR TEETH: A REVIEW
Authors: Pancu Galina , Tofan Nicoleta , Georgescu Andrei , Iovan Gianina , Ghiorghe Angela , Stoleriu Simona , Nica Irina , Andrian Sorin , Topoliceanu Claudiu
Published: January 2025

Resin composites are the first choice for direct restoration of posterior teeth in the treatment of dental caries. This article reviews factors that influence the clinical performance of composite restorations and the results of clinical trials assessing longevity of posterior resin composite restorations. Materials and method. PubMed, and Web of Science electronic databases were searched for articles investigating the clinical performance of direct resin composite restorations placed in posterior teeth. Results and discussions. Factors with significant influence on longevity of posterior composite restorations include patient-related factors (age, carious risk, periodontal disease, bruxism), dental group, cavity size and volume, cervical margin extension, root-filled teeth, oclusal stress. Conclusions. Dental resin composites are material of choice for use in direct minimal interventions in posterior teeth. For patients without bruxism, in medium size cavities, direct composite resins demonstrate similar clinical performance with amalgam restorations. The clinical performance of restorations depends on a number of factors including variables related to the restored tooth, the materials and techniques employed, the patient’s risks, and professional clinical decisions.
SHORT-TERM AESTHETIC REHABILITATION WITH 3D PRINTED SNAP-ON SMILE DEVICES - LITERATURE REVIEW AND A CASE REPORT
Authors: Burde Alexandru-Victor , Frățilă Codruta , Varvară Elena Bianca , Varvară Adrian Mihai
Published: January 2025

Aim of the study The main objective of this paper is to perform an up-to-date literature review of the application and implications of using Snap-On Smile devices for short-term aesthetic rehabilitation, as well as to showcase the 3D printing workflow in manufacturing these devices through a case study. Materials and methods The present systematic study was conducted following the PRISMA-P structure of a systematic review, by using three electronic databases (PubMed, Google Scholar, and EMBASE) to perform a literature search from 2000 to 2024 using the following MESH terms: snap on smile, aesthetic, removable, device. After discarding duplicates, out of 81 results, a total of 6 articles were eligible and included in the review. Results Constructed from durable materials like crystallized acetyl resin or PMMA, the Snap-On Smile offers up to five years of use. Manufactured through advanced techniques such as injection moulding, CAD/CAM milling, or 3D printing, it provides an aesthetic solution without necessitating tooth preparation. The case study of a 59-year-old female illustrates its efficacy in providing immediate aesthetic enhancement for a significant social event. Conclusions The Snap-On Smile has emerged as a significant advancement in aesthetic dentistry, balancing the desire for improved dental aesthetics with the need to preserve natural tooth structures. Its ease of application and non-invasive nature make it a suitable option for many patients, though its limitations necessitate careful consideration in complex cases.
EVALUATION OF THE REMINERALIZATION CAPACITY OF SALIVA (IMK) IN PATIENTS WITH SJÖGREN SYNDROME
Authors: Tofan Nicoleta , Andrian Sorin , Iovan Gianina , Nica Irina , Topoliceanu Claudiu , Moldovanu Antonia , Georgescu Andrei , Macovei Georgiana , Pancu Galina
Published: January 2025

Sjögren's syndrome is an autoimmune disease that is associated with inflammatory changes, reduced salivary flow, and altered saliva composition. The effects of medications and injuries to the salivary ducts can contribute to the increased salivary viscosity with serious consequences for the teeth and soft tissues. The remineralization capacity of saliva is based on its ability to provide the necessary minerals, maintain a favorable pH balance, and support the natural mechanisms implied in the repair processes of the tooth structure. The aim of this study is to evaluate the impact of salivary pathology in Sjögren's Syndrome, and the correlations on certain cariogenic risk parameters. Materials and method: The study was conducted on 30 patients: Study group (15 patients) with primary Sjögren's Syndrome; Control group (15 patients) - without associated general pathology. The evaluation focused on the analysis of DMFT and the following salivary parameters: resting salivary flow (RSF), stimulated salivary flow (SSF), buffering capacity (BC), saliva viscosity (SV), and the index of salivary microcrystallization (IMK). The evaluated results demonstrate that the effects of Sjögren's syndrome on the selected indicators (DMFT, RFR, RFS, CT, SV, IMK) are significantly different compared to the control group, indicating the Sjögren syndrome's impact on the dental and salivary status of affected patients. Conclusions: There is a correlation between dental caries, saliva, and Sjögren's syndrome. Reduced saliva production in Sjögren's syndrome can lead to xerostomia-associated phenomena, disturb the balance between demineralization and remineralization processes, and may contribute to an increased risk of caries.
DO THE UNTREATED SURFACES OF ORTHODONTIC MINI-IMPLANTS HAVE OSSEOINTEGRATION?
Authors: Jiman (Țermure) Paula , Băciuț Mihaela , Bran Simion , Muntean Alexandrina , Porumb Ioana , Pop Andreea Simona , Dinu Cristian , Barbu-Tudoran Lucian , Băciuț Grigore
Published: January 2025

Aim of study: This study aimed to use EDS (Energy Dispersive X-ray Spectrometry) in order to quantitatively and qualitatively assess secondary retention (osseointegration) by evaluating the elemental composition of the mini-implants (MIs) surface after their use as anchorage in orthodontic treatment, which could highlight possible osseointegration. Materials and methods: A total of 30 Infinitas™ mini-implants obtained from patients with an average age of 21.93 years, were analyzed using EDS. Scanning electron microscopy (SEM) was also performed to asses the mini-implants. Results: In all groups, new bone formation occurred between the threads of the MIs and the bone surface, partially extending along the thread. Fibroblast-like structures were observed using SEM. The Pearson correlation coefficient indicates that there is no significant correlation between %Ca and duration (coefficient = -0.085; p-value = 0.655). The atomic percentages of the elements on the MI surface, revealed from EDS analysis and also present in bone composition, are comparable to the percentages of elements in the alveolar bone from the study, according to Dunn’s Multiple Comparison test.
Conclusions: The results suggest the presence of newly formed bone on the MIs surface.
THE AESTHETIC NEEDS OF PATIENTS IN THE DEPARTMENT OF REMOVABLE PROSTHESIS FROM THE CHU-CNOS OF BAMAKO
Authors: Ba Ahmed , Vasoumana Kouyate , Sidibe Ibrahim Hamaciré , Abdoulaye Kassambara , Alphousseiny Touré , Koita Hapsa , Ba Boubacar , Ben Yahya Ihsane
Published: January 2025

The management of the aesthetic parameter represents an important factor in the integration of removable prostheses. The current major social interest in beauty has made patients more and more demanding with regard to their appearance. [1]
The main objective of this study was to assess the aesthetic expectations of patients with removable prostheses at the CHU-CNOS in Bamako.
Our prospective and descriptive study having collected 78 patients was carried out over a period from March 2, 2019 to March 9, 2020 at the removable prosthesis department of the CHU-CNOS in Bamako.
The female sex represented 55.1% with a sex ratio of 0.65.
Removable prosthetic rehabilitation mainly concerned young adults aged 21-41 (41%)
Aesthetics was the main reason for rehabilitation most represented with 60.3% of cases.
The white tooth was the most requested dental shade with 70.5% of cases
Bonded teeth were the most represented in our patients with 71.79% of cases.
Pink gum was the shade most requested by our patients with 43.6% of cases.
Obtaining a personalized prosthesis in harmony with the facial framework, giving the illusion of naturalness and restoring the smile to patients is the objective to be achieved.
QUALITATIVE STUDY ON THE RESILIENCE OF MEDICAL STAFF IN EMERGENCY UNITS IN THE COVID-19 PANDEMIC
Authors: Kantor Cristina , Nedelea Paul Lucian , Hauta Alexandra , Cimpoeșu Carmen Diana
Published: January 2025

Aim of the study This qualitative study explores the resilience of medical staff working in emergency units during the COVID-19 pandemic. Through in-depth interviews and thematic analysis, the research investigates how frontline healthcare workers coped with unprecedented challenges. Key themes identified include professional commitment, teamwork, and adaptability, which were crucial in navigating the crisis. Materials and methods: In order to assess the resilience of the medical staff in the COVID-19 pandemic between March 1, 2022 and March 31, 2021, a study was conducted in three emergency units in Romania: County Hospital of Emergency „Saint Spiridon” Iassy, Emergency University Hospital Bucharest and County Hospital of Emergency "Saint John the New" Suceava. Results: The study highlights the significant emotional and psychological toll on medical staff and underscores the importance of institutional support systems. Findings suggest that enhancing resilience through training, mental health resources, and robust communication channels is essential for future preparedness. Conclusions: This research provides valuable insights into the experiences of healthcare workers and emphasizes the need for sustained support to ensure the well-being and efficacy of medical personnel in emergency settings
Delirium : focusing on residents in nursing homes
Authors:   , Sabbe Kelly
Published: January 2025

Delirium is a common yet underrecognized neurocognitive complication in nursing homes, often mistaken for general confusion. This oversight hampers effective prevention and management. Older adults in nursing homes are particularly vulnerable due to age, cognitive impairments, polypharmacy, and severe illnesses. Addressing delirium requires systematic screening, early detection, and risk factor modification. Certified nurse assistants (CNAs) play a key role in managing delirium because of their close interactions with residents. Despite efforts to improve delirium care, it remains poorly recognized. This dissertation examines three aspects: 1) screening, 2) prevalence and risk factors, and 3) education for healthcare professionals. Delirium is frequently misclassified as "acute confusion," a term lacking precise definition. Medical standards like the DSM-5-R and ICD-11 provide clear diagnostic criteria, unlike nursing guidelines such as NANDA-I. Aligning nursing and medical diagnoses is critical for effective care. Objective tools, such as the Delirium Observation Screening Scale (DOSS), improve early detection by allowing routine bedside use without specialized training. Integrating DOSS into broader protocols, like BelRAI, could enhance care practices. Delirium prevalence in nursing homes is about 14%, often underestimated due to undetected cases. Major risk factors include advanced age, dementia, comorbidities, antipsychotic use, and illnesses like pneumonia. Mismanagement, such as lack of engagement in activities, increases risks. Additionally, high workload, emotional strain, and staffing shortages exacerbate challenges in care delivery. Knowledge gaps among nurses and CNAs highlight the need for focused training. Blended learning strategies combining e-learning, group sessions, and reinforcement effectively improve delirium knowledge, particularly among CNAs. While this approach does not significantly reduce subjective care strain, it enhances competency and care quality. Ensuring adherence to training components and addressing barriers like workload and staffing is crucial. Prevention is critical in both nursing homes and home care settings. Early recognition, risk management, and collaboration among caregivers, healthcare professionals, and general practitioners are essential. Educational initiatives should include advanced practice nurses specializing in delirium to address challenges and enhance learning. Delirium can serve as a quality indicator for nursing homes. Implementing and evaluating educational interventions through cluster randomized trials and qualitative methods will provide insights into their real-world effectiveness. Further research should explore predictors of care strain and link education with improved resident outcomes, ensuring comprehensive and practical strategies for delirium care.
An Innovative Method of Singular Spectrum Analysis to Conduct Gap-filling and Denoising on Time Series Data
Authors: Yang James J. , Buu Anne
Published: January 2025

Heart rate data collected from wearable devices – one type of time series data – could provide insights into activities, stress levels, and health. Yet, consecutive missing segments (i.e., gaps) that commonly occur due to improper device placement or device malfunction could distort the temporal patterns inherent in the data and undermine the validity of downstream analyses. This study proposes an innovative iterative procedure to fill gaps in time series data that capitalizes on the denoising capability of Singular Spectrum Analysis (SSA) and eliminates SSA’s requirement of pre-specifying the window length and number of groups. The results of simulations demonstrate that the performance of SSA-based gap-filling methods depends on the choice of window length, number of groups, and the percentage of missing values. In contrast, the proposed method consistently achieves the lowest rates of reconstruction error and gap-filling error across a variety of combinations of the factors manipulated in the simulations. The simulation findings also highlight that the commonly recommended long window length – half of the time series length – may not apply to time series with varying frequencies such as heart rate data. The initialization step of the proposed method that involves a large window length and the first four singular values in the iterative singular value decomposition process not only avoids convergence issues but also facilitates imputation accuracy in subsequent iterations. The proposed method provides the flexibility for researchers to conduct gap-filling solely or in combination with denoising on time series data and thus widens the applications.
Development of Student Government E-Voting Application
Authors: Tabanao Eden Grace , Cece Jed Christian
Published: January 2025

This study underscores the transformative potential of an e-voting mobile application in enhancing the election process at NORSU-Guihulngan Campus by improving efficiency, reliability, and transparency. This innovative solution ensures a streamlined, fair, and secure electoral process by addressing the limitations of traditional manual voting systems. The descriptive-developmental method employed included planning, prototyping, testing, and data gathering. A survey was distributed to 106 respondents, including students and IT experts, to evaluate the manual voting system and assess the e-voting application’s functionality. Pilot tests were conducted with criteria focusing on user interface, security, accessibility, transparency, and reliability, supported by statistical analysis. The e-voting application exhibited exceptional performance across all evaluated aspects. The user interface and security scored an average of 4.39, reflecting excellent design and robust data protection. Accessibility achieved the highest rating at 4.46, ensuring seamless usability for diverse users. Transparency and reliability were rated at 4.31 and 4.41, respectively, underscoring the system’s openness and consistent functionality. Overall, the application achieved a total average rating of 4.39, confirming its effectiveness as a voting solution. The application’s usefulness was evaluated across six key features: accessibility, time and cost efficiency, real-time results, enhanced accuracy, increased security, and audit trail transparency. Accessibility and real-time results received scores of 3.50, while time and cost efficiency achieved 3.60. Enhanced accuracy and security also scored 3.50, minimizing errors and fostering trust. Audit trail transparency, rated at 3.40, emphasized the system’s accountability. These findings validate the application’s ability to revolutionize student elections at NORSU-Guihulngan and provide a scalable model for similar institutional contexts. The study highlights the importance of integrating modern technology into election systems, paving the way for broader adoption in academic and institutional settings to ensure reliable and transparent processes.
Propuesta de creación del Área de Conservación Ambiental "La Laguna" en la Coipa, San Ignacio, Cajamarca, Perú
Authors: Sánchez Tello Segundo , Núñez Figueroa Mariela , Romero Rojas José Alejandro , Tineo Guevara Diana Lisbeth
Published: January 2025

La creciente presión sobre el bosque "La Laguna", derivada de la expansión agrícola y la tala indiscriminada, está generando una acelerada degradación del ecosistema, pérdida de biodiversidad y disminución de servicios ecosistémicos esenciales. Este trabajo tuvo como objetivo evaluar la biodiversidad y los servicios ambientales del bosque, así como desarrollar una propuesta técnica para su conservación bajo la categoría de Área de Conservación Ambiental (ACA). Se llevaron a cabo inventarios de flora y fauna en un área de 5.28 hectáreas, abarcando los estratos medio y superior entre los 1950 y 2172 m.s.n.m., mediante observación directa y encuestas a la población local. Los resultados revelaron la presencia de 45 géneros de flora pertenecientes a 22 familias, así como 58 especies de aves, además de diversos mamíferos registrados mediante encuestas y testimonios de los pobladores. A partir de estos hallazgos, se elaboró un expediente técnico cumpliendo los lineamientos establecidos por el Servicio Nacional de Áreas Naturales Protegidas por el Estado (SERNANP) y las normas municipales para el establecimiento de Áreas de conservación ambiental
OGʻZAKI DISKURSNING FUNKSIONAL-FORMAL XUSUSIYATLARI
Authors: Raximova Laylo
Published: January 2025

This articlе еxplorеs thе functional-formal charactеristics of oral discoursе, that is, thе structural and formal aspеcts that occur in thе oral form of languagе and еnsurе its social and communicativе functions. Thе articlе also rеflеcts thе rеsеarch conductеd by linguists in this rеgard, еspеcially thosе focusеd on thе in-dеpth analysis of thе dynamic and intеractivе fеaturеs of languagе.
How to evolve towards Organizational Ambidexterity: Lessons from Basque Small and Medium Enterprises in Customer-based Innovation Contexts
Authors:   Universidad de Deusto, Aragón Amonarriz Cristina , Iturrioz Landart Cristina ,   Universidad de Deusto, Alcalde Heras Henar Alcalde Heras ,   Universidad de Deusto
Published: January 2025

Customer-based innovation (CBI) contexts can facilitate the journey from exploitation to exploration in SMEs in order to evolve towards organizational ambidexterity. However, the transition towards ambidexterity is not an easy journey and managers deal with different tensions regarding the balance between explorative and exploitative processes. The paper presents an inductive research, based on the in-depth analysis of four Basque innovative SMEs that have been able to develop an organizational ambidexterity strategy in CBI contexts. In this attempt, first, we contribute to the theory identifying the specific risks associated with the transition towards ambidexterity in SMEs. Second, we provide a qualitative study to understand how exploitation transit through ambidexterity can be done successfully and finally, we propose some lessons to help SMEs in this transition period.
ESTRATÉGIAS DE MANEJO DA DOR NA UNIDADE DE TERAPIA INTENSIVA ADULTA: REVISÃO INTEGRATIVA
Authors: Farias Henrique Carvalho Lima , Silva Stephanie Wilkes da
Published: January 2025

Pain in critically ill patients admitted to intensive care units (ICUs) is a frequent and complex experience that can have negative impacts on patient recovery and well-being. Effective pain management through multimodal approaches is essential to ensure quality and humanized care. This study aimed to identify effective pain management strategies for adults in ICUs. This is an integrative review, including studies that addressed pain management strategies in critically ill patients. The search was conducted in the National Library of Medicine (PubMed), Web of Science (WOS), Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Latin American and Caribbean Literature in Health Sciences (LILACS) databases, via the Virtual Health Library (VHL). The selection resulted in 1266 studies, of which 9 met the inclusion criteria, among them, revisional studies, including systematic reviews, meta-analysis and integrative reviews, as well as clinical trials and cohort studies. It is concluded that this review reinforces the importance of a multidisciplinary approach in this management, where the combination of drugs and non-pharmacological techniques proves to be fundamental to meet the individualized needs of each patient and promote effective pain control.
MIOCARDITE EM CÃO COM LEPTOSPIROSE INFECTADO PELO SOROVAR PYROGENES EM LONDRINA - PARANÁ
Authors: Huber Alessandra Mey , Polizelli Isadora Gomes , Silva Kelly Cristina de Andrade
Published: January 2025

A leptospirose é uma doença zoonótica de distribuição mundial, sendo os cães e os ratos os reservatórios mais importantes no Brasil. A transmissão ocorre geralmente através da bactéria eliminada pela urina, seja diretamente ou indiretamente através do ambiente contaminado. A infecção cursa comumente com lesão renal e hepática, porém a miocardite também pode ser encontrada. Um canino, macho, SRD de 4 anos apresentou icterícia, anorexia, vômito, apatia, lesão renal, hepática e critérios diagnósticos para miocardite, tendo sido diagnosticado com leptospirose pelo sorovar pyrogenes. Após o tratamento houve plena recuperação em 7 dias. Embora dentre todas as causas de miocardite a leptospirose não apresente alta casuística, é comum dentre os pacientes com leptospirose a alteração em troponina I, mostrando que a miocardite deve ser pesquisada nestes cães. Ainda, é possível que o sorovar pyrogenes seja endêmico na região onde ocorreu este diagnóstico, o que carece de maiores pesquisas devido às limitações do método diagnóstico.
Innovative Technologies in Supply Chain Management for Bangladesh’s Readymade Garments Sector – A Comprehensive Review
Authors: Shuvo Tamim Forhad , Md. Mohin Habib  , Raisa Rodoshi
Published: January 2025

Ready-Made Garments (RMG) sector is crucial to Bangladesh's economy, significantly contributing to GDP, employment, and exports. However, supply chain management (SCM) inefficiencies, such as poor demand forecasting, inventory management, logistics, and quality control, pose persistent challenges. This study investigates the potential of integrating advanced technologies like AI, IoT, blockchain, Big Data Analytics, and automation to improve SCM in the Bangladeshi RMG sector. Through a review of literature, industry reports, and case studies, the study assesses the benefits and challenges of technology adoption in the sector. Advanced technologies can enhance visibility, efficiency, quality control, decision-making, and sustainability in SCM. However, challenges such as high costs, data privacy, technical complexity, and resistance to change require strategic planning to overcome. Adopting these technologies can significantly improve the RMG sector's efficiency and global competitiveness, requiring collaboration between policymakers and industry leaders. This study provides a concise analysis of technology integration in Bangladeshi RMG SCM, offering balanced insights to guide future research and industry practices.
The Example of Çankırı Province in Combating Brucellosis in Cattle
Authors: ÇAKIR Şahin , KARATAŞ YENİ Derya
Published: January 2025

Brucellosis in bovines is an infectious disease that leads to significant health, productivity, and economic losses. It is also a zoonotic disease, posing a serious threat to public health. This disease is widespread in Türkiye as well as globally. Vaccination is a crucial and cost-effective measure, with the most commonly utilized vaccine strains worldwide for bovine brucellosis control being B. abortus S19 and RB51. In this study, the results of the intensive efforts to combat bovine brucellosis between 2011 and 2015 in Çankırı province, as well as the results of the mass B. abortus S19 conjunctival vaccination campaigns carried out within the scope of the Ministry project in 2012-2013, are evaluated. Within the scope of the research, retrospective data obtained from various public institutions affiliated with the ministry were evaluated. The results of disease control, eradication and vaccination studies carried out in the field were evaluated epidemiologically within the framework of legal regulations. As a result of close monitoring of bovine brucellosis outbreaks and mass conjunctival vaccination in Çankırı province, the number of outbreaks has decreased more than four times compared to the average in Türkiye. Additionally, there is a 95-fold reduction in the number of animals compensated for the disease and a more than 200-fold decrease in the total amount of compensation paid. This study examines the efforts to control bovine brucellosis in Çankırı province, particularly focusing on mass conjunctival vaccination campaigns using the B. abortus S19 vaccine strain. Given the conditions in Türkiye, the B. abortus S19 vaccine strain is currently deemed the most effective for preventing brucellosis in bovines. Ultimately, to attain the planned objectives in bovine brucellosis control in Türkiye, the study concludes that vaccination during a suitable period, which does not pose a risk to pregnancy and ensures robust herd immunity, is the optimal approach.