bluuebunny/crossref_metadata_2025 huggingface dataset:
A Narrative Literature Review of Internet-Based Cognitive Behavioral Therapy in comparison to In-Person Cognitive Behavioral Therapy on Obsessive Compulsive Disorder
Authors:   Student, MSc Clinical Psychology, SRM College, Chennai., Bisarya Dr. Sarika
Published: January 2025

Traditionally intervention for Obsessive-Compulsive Disorder (OCD) has been Cognitive Behavioural Therapy (CBT), including specifically Exposure and Response Prevention (ERP), however with growing need for larger access to therapy, in-person therapy has been limited to geographical and logistical barriers. Internet – Based Cognitive Behavioural Therapy (ICBT) addresses these concerns therefore offering a more affordable and accessible option. In the last two decades, there have been pilot studies and randomized control trials to see the efficacy of ICBT. The studies have either focused mainly on Anxiety or Depression disorders, and not much on Obsessive Compulsive disorders. The aim of this research is to evaluate the available literature that assess the efficacy of Internet - Based Cognitive Behavioural Therapy (ICBT) on Obsessive- Compulsive Disorders. Research studies from recognized databases and related psychological research journals were selected specifically from the last decade. The overall result of the review states that ICBT has satisfactory efficacy as an intervention for OCD, when studied against in-person therapy. While, ICBT has seen randomized control trials and pilot trials, there is a need for studies with larger sample sizes. Special focus should be given to specific populations with differing demographic identities such as elder adults, co-morbid population. There is an increasing demand for research on the efficacy of ICBT for Obsessive-Compulsive Related Disorders (OCRD), share many overlapping features with OCD but also possess distinct diagnostic criteria and therapeutic needs that warrant their own directed research.

Keywords: Obsessive Compulsive Disorders, Internet – Based Cognitive Behavioral Therapy (ICBT), Compulsions, Obsessions, Systematic Literature Review, Literature Review, Analysis, Behavioral Therapy, Randomized Control Trials
A Systematic Review of Floating Photovoltaic Plant Environmental Impacts
Authors: Goncalves Larissa de Andrade , Faria Larissa , Mannich Michael , Coelho Marcelo , Rigotti Jucimara Andreza , Bleninger Tobias , Vitule Jean Ricardo Simoes
Published: January 2025

Solar photovoltaic installations are growing fast worldwide as a renewable alternative for power generation, although, there are some disadvantages of the conventional land-based solar power plants, such as the need of a large land area. Thus, floating photovoltaic power plants (FPV) have emerged as a new solution in solar energy; however, the environmental impacts of such installations are still being investigated. Here, we performed a systematic review to compile reported environmental impacts of FPV installations on water bodies. Twenty-nine papers were retrieved and had data related to environmental impacts of FPV extracted. We looked for any physical, chemical, and biotic parameters that were quantified to evaluate FPV effects (FPV versus a control without FPV). Alterations in parameters were classified as positive or negative impacts according to each study. We found very few studies with primary quantitative data, which does not allow us to draw a general pattern of impacts. The most reported alterations were decreased temperature and evaporation from the water body after FPV installation (~35% of the studies). We found 17 alterations classified as a negative impact, and only six as positive. As FPVs are an emergent energy alternative more investments are needed in studies directly focused on assessing its environmental impacts, particularly making an explicit comparison of FPV installation and a control to disentangle their effects on water quality, phytoplankton and the biota.
Analiza conceptului operații multi-domeniu și rolul tehnologiilor avansate emergente și disruptive pentru operaționalizarea acestuia
Authors:   Universitatea Națională de Apărare „Carol I”, București, CĂLUGĂRU Ionuț-Iulian
Published: January 2025

In the current context of war, adaptation to the ever-changing situation is very important. Mobility in the battlefield is one of the main factors that make the difference. This article aims to highlight the advantages of mountain troops air deployment, hence the need to develop this capability for Romanian mountain troops.
In this regard, the article addresses the mountain troops air deployment as an additional capability necessary for mountain troops to successfully conduct military actions in mountainous-wooded terrain. Resorting to a qualitative type of research, the author presents a series of advantages arising from the establishment, within the mountain troops structures, of the structures capable of being deployed or parachuted into areas of operations that are difficult to access, as they exist in countries with tradition in this military specialty (Italy, Germany).
Impactul capabilităților spațiale asupra echilibrului global de putere, în contextul evoluțiilor recente în plan tehnologic și militar
Authors:   Centrul de Cercetare a Istoriei Relațiilor Internaționale și Studii Culturale „Grigore Gafencu”, Universitatea „Valahia” din Târgoviște, CERNAT Romică
Published: January 2025

In today’s world, where globalization has led to the emergence of various state and non-state actors, including sub-national ones, with differing interests and motivations that often conflict with one another, the provision of essential services such as transportation, electricity, drinking water, medical and digital services, and others is of critical importance to contemporary society. About half a decade ago, when the critical infrastructures that provide these services were built, threats to them, such as terrorism, organized crime, asymmetrical or hybrid ones, were almost non-existent and not as much of a concern to the critical entities responsible for protecting them. The present research is intended to carry out an analysis of two threats to critical infrastructures – terrorism and organized crime, with the aim of identifying their typology, the effects they produce, the method of operation employed by the non-state actors that conduct such activities. The article’s findings have demonstrated that ideological, political, and religious motivations of terrorist organizations, as well as the financial motivations of organized crime hold special significance as they yield effects in the modus operandi of these entities and also shape the response of law enforcement authorities.
The Role of Heavy Armour in Modern Warfare
Authors:   Command and Staff Faculty, “Carol I” National Defence University, Bucharest, NISTORESCU Claudiu Valer
Published: January 2025

The end of the Cold War called an at least temporary halt to the idea of a conventional armed confrontation between two or more states with relatively equal capabilities. The need to manage unconventional and asymmetrical conflicts has led to a recalibration of military capabilities to respond effectively to new challenges. Western militaries have thus focused their efforts on achieving flexible and versatile capabilities. This new reality has naturally led to the constant neglect of heavy armoured forces. It is due to their relatively low utility in stability operations. However, recent conflicts, such as those in Nagorno-Karabakh and Ukraine, are bringing the need and desirability of using heavy armour in ground operations back to the forefront. Against this background, and with the unprecedented development of multispectral sensors, long-range, high-precision weapons and various unmanned platforms, the question arises as to whether heavy armoured capabilities still have a place in today’s conflicts. The meticulous analysis of the current military phenomenon, in particular the Russian-Ukrainian conflict, has made it possible to obtain relevant results regarding the future and the possibilities for their development. The results are valuable in view of the initiatives taken by the Romanian Armed Forces to strengthen the armoured capabilities, in particular the steps taken to acquire new tanks, infantry fighting machines and selfpropelled artillery.
A Perspective regarding the Adaptation of Romanian Joint Command Master’s Programmes to the Current Challenges of the Operating Environment
Authors:   “Carol I” National Defence University, Bucharest, TOROI George-Ion
Published: January 2025

This year marks the 135th anniversary of the establishment of the Higher War College, whose tradition is continued by “Carol I” National Defence University. Over the years, this school has trained many renowned commanders of the Romanian Armed Forces, the relevance of the study programme being ensured by the continuous improvement of the educational process in line with the philosophies of combat and the specificities of armed conflicts. Today, we are witnessing a profound transformation of our society, which has a direct impact on the way armed forces operate. In an information and digital age that has fundamentally transformed the way of communication, in which the main function of information has changed from knowledge to influence, in an environment where new technologies shape our current way of life and autonomous systems are increasingly present in armed conflicts, military education cannot but keep pace and adapt to these requirements in order to maintain its societal relevance and ensure the timely preparation of the future commanders of the Romanian Armed Forces. These are the reasons why the article draws the attention of the Romanian military leadership to the need to transform the main university degree
programme of its armed forces in order to effectively fulfil the main function for which it was designed, to prepare and provide highly trained personnel capable of assuming leadership positions and actively contributing to the enhancement of the combat power of the Romanian Armed Forces. This study also proposes some directions to be followed in order to increase the relevance of the curriculum in the current operating environment.
The Impact of Government Efficiency on Entrepreneurship Development: The Mediating Role of Transparency, Accountability and Corruption Control
Authors: Ameri Mohammad Kazim , Mohammadi Abeda , Amiri Khudadad
Published: January 2025

This study investigates the impact of government efficiency on entrepreneurship development, with a particular focus on the mediating roles of transparency, accountability, and corruption control in Afghanistan. The primary objective is to elucidate how government efficiency can enhance entrepreneurial opportunities while simultaneously introducing unintended bureaucratic challenges that affect the overall entrepreneurial landscape.
Utilizing a quantitative approach, this research analyzes secondary data, encompassing key indicators related to government efficiency, corruption control, transparency, accountability, and entrepreneurship. The findings indicate that while improved government efficiency positively influences entrepreneurial opportunities, it also brings forth bureaucratic complexities that can hinder the entrepreneurial environment, particularly for women entrepreneurs.
This research underscores the necessity for effective governance that not only mitigates corruption but also simplifies regulatory frameworks for all entrepreneurs. By emphasizing mechanisms of transparency and accountability, policymakers can foster a supportive environment for entrepreneurship. Ultimately, this study aims to contribute to a more inclusive entrepreneurial ecosystem that promotes sustainable economic growth in Afghanistan, focusing on the broader conditions that encourage innovation and growth rather than imposing stringent regulations.
Agaricus Bisporus Produced by Using Liquid Fertilizer Bacillus sp and Estimation of Protein
Authors:   Rifai, Hussein Falah abdulhassan ,   unversity of Sumer, medicine collage Iraq ORCID: 0009-0005-7289-0086
Published: January 2025

The present study aimed evaluation of Bacillus sp to increased produce Agaricus bisporus and estimation of protein .The best production of fruiting bodies achieved 440.83 g/5 kg with the compost of palm frond waste after 21 days of harvest, compared with371.17 g/5 kg from wheat straw, while the use of the Bacillus sp led to increased production rate of 430.00 g/5 kg (P> 0.05) compared to the without the use of vaccine 376.94 g/5 kg, and that the best biological efficiency of 26.5% achieved with the palm frond waste compost, followed by an average of wheat straw The best protein content of 20.68% with fruit bodies from the compost of the mixture, compared with 18.27% on fruit bodies from wheat straw, while the use of the vaccine led to an increase in this content by 19.82% compared with 17.64% without the use of the inoculum.
المسؤولية المدنية الناجمة عن الإخلال بالواجب التشريعي في القانون الإنكليزي دراسة تحليلية مقارنة بالقانون المدني العراقي
Authors: صلاح الدين علي يونس
Published: January 2025

تعد المسؤولية الناجمة عن الإخلال بالواجب التشريعي إحدى أنواع المسؤولية المدنية الناجمة عن الخطأ المدني التي تضمنها قانون الأحكام العام الإنكليزي غير المكتوب ذي الأصل العرفي, والمبني على السوابق القضائية للمحاكم الانكليزية. وتمثل الجزاء المترتب على الإخلال بالواجبات التي يفرضها التشريع, وتعطي الحق للمتضرر في إقامة دعوى التعويض. وتقوم من حيث الأصل على أساس خطأ مدني يعرف بخطأ الإخلال بالواجب التشريعي, إلا أنها يمكن أن تتمثل إستثناءً بالمسؤولية الموضوعية أو المطلقة. وقد شاع تطبيق هذا النوع من المسؤولية في بعض القطاعات والأنشطة الخاصة, التي إتجهت فيها نية المشرع الانكليزي إلى التيسير على المدعي المتضرر من عبء إثبات خطأ الإهمال التقصيري. لا بل إلى حد يصل إلى إعفائه من عبء إثبات ذلك الخطأ في بعض الأحيان. أما بالنسبة إلى موقف القانون المدني العراقي رقم (40) لسنة 1951 من هذا النوع من المسؤولية المدنية. فقد وضع قاعدة عامة أقام فيها المسؤولية المدنية عن العمل غير المشروع على أساس التعدي, ولم يقمها على فكرة الخطأ. على الرغم من وجود بعض أوجه الشبه بين هذا النوع من المسؤولية, وبين المسؤولية القائمة على الخطأ المفترض في القانون المدني العراقي.
Redução da complexidade na classificação de LULC para uma melhor transferibilidade metodológica
Authors: Casaroti Carla , Centeno Jorge , Hilgert Stephan
Published: January 2025

Many studies have been made in order to shorten the distance between satellite imagery processing and water resources management as regards land use/land cover classes and image classification for environmental physics-based hydrological models. The question raised from these studies was how to relate the models’ curve numbers and CP factors into a semantic hierarchical network, including the most used and relevant land cover classes, and then classify them. To achieve the creation and classification of the semantic hierarchical network, a dense review of and comparison between land use/ land cover classes used for environmental physics-based models were made as a first step. Then, a wrapper model for feature selection and the object-based image analysis (OBIA) approach were applied to classify the two high-spatial-resolution mosaic images of the Vossoroca basin study area. The findings showed the almost direct relation between the curve numbers or CP factors and the land use/ land cover classes already developed by relevant international agencies such as CORINE and LCCS. In addition, a satisfactory overall image classification accuracy larger than 88% was revealed when using the developed feature selection method along with the OBIA approach using the nearest neighbor as classifier.
La demanda del mezcal y el modelo de negocios en Santiago Matatlán: perspectivas globales y locales
Authors: Fuentes Armando Luna , Torres Xóchitl Berenise Gonzáles , Ávila Maria Julieta Aguilar
Published: January 2025

La presente investigación es un análisis en el modelo de negocios que predomina en los productores de mezcal en el municipio de Santiago Matatlán, así como el comportamiento de la demanda de esta bebida tanto en el mercado nacional como en el internacional. En un contexto de globalización y capitalismo competitivo, se identificaron los factores clave que determinan la calidad y competitividad del mezcal, incluyendo la importancia de la materia prima, los procesos artesanales y las estrategias de comercialización. La metodología empleada fue cualitativa- no experimental, utilizando observación no participante y entrevistas semiestructuradas con una muestra de diez productores seleccionados mediante la técnica de bola de nieve. Los hallazgos muestran que la producción artesanal, combinada con estrategias de cooperación horizontal y programas gubernamentales, puede fortalecer la competitividad del sector. Además, se destaca la necesidad de innovación, capacitación empresarial y sostenibilidad ambiental para enfrentar los retos actuales, como la escasez de maguey y la competencia en mercados globales. Se concluye que el fortalecimiento de la cooperación entre productores, la adopción de tecnologías y el respeto por las tradiciones culturales son elementos trascendentales para el aseguramiento de un desarrollo más sostenible del sector mezcalero en Santiago Matatlán.
Colestáse intra-hepática gestacional: avaliando a correlação entre o prurido e a elevação de ácidos biliares cuidado de enfermagem no acompanhamento gestacional de baixo risco
Authors: Rocha Adriano de Oliveira
Published: January 2025

Introdução: A introdução ao tema das doenças hepáticas gestacionais visa oferecer uma visão panorâmica sobre a importância e relevância clínica dessas condições durante a gravidez, em especial a Colestase Intra Hepática Gestacional, que ocorre com aparecimento de prurido a partir da 14ª semana de gestação, pode ser considerado o prognostico para CIHG, independente de avaliação laboratorial. Objetivos: Os objetivos desta revisão incluem a compilação e análise crítica das evidências científicas disponíveis, visando oferecer uma síntese atualizada sobre o tema. Buscando é fornecer informações atualizadas e embasadas para profissionais de saúde e pesquisadores, contribuindo para a melhor compreensão, diagnóstico e manejo clínico da CIHG e seu desfecho favorável. Metodologia: A revisão sistemática foi realizada de acordo com as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses.. A pesquisa foi conduzida e delimitada pela questão norteadora: Quais os agravos da CIHG nos desfechos de prurido intenso através da avaliação de níveis séricos de ácidos biliares? Conclusão: O Prurido é um sintoma que não têm a devida importância, tendo em vista que é subjetivo, inerente a resistência de cada pessoa. Entretanto cabe ressaltar que a avaliação criteriosa na coleta de dados durante a consulta pré-natal, pode se identificar a intensidade dos ciclos de ocorrência destes episódios, os quais identificados precocemente na avaliação da gravidez de baixo risco, melhoram a sobrevida da mulher.
Educação, valores e natureza: a literatura como recurso no ensino de ciências
Authors: Viana Kandice Carneiro de Oliveira , Darius Rebeca Pizza Pancotte
Published: January 2025

Este artigo investiga o uso da literatura infantojuvenil como ferramenta pedagógica no ensino de Ciências nos anos iniciais do Ensino Fundamental a partir da BNCC e alguns pressupostos da filosofia da educação adventista. O objetivo é explorar como os livros de literatura infantojuvenil selecionados abordam valores de responsabilidade ambiental, empatia, respeito à diversidade e ética. Essas obras foram analisadas a partir dos temas mencionados, por serem valores presentes na Base Nacional Comum Curricular (BNCC) e na filosofia adventista de educação, que destaca a interação das pessoas entre si e com o ambiente, especialmente os elementos da natureza. A metodologia adotada possui uma abordagem qualitativa, envolvendo a interpretação e análise de sete obras literárias destinadas ao público infantojuvenil. As obras foram escolhidas porque fizeram parte de um projeto literário de um dos colégios da referida rede de educação. A problemática busca responder de que maneira a literatura infantojuvenil contribui para a formação de valores éticos e morais sobre a natureza e a responsabilidade ambiental nos anos iniciais do ensino fundamental. Os resultados indicam que as obras literárias têm potencial para contribuir com o ensino de Ciências e a valorização da natureza por evidenciarem personagens e espaços que instigam à reflexão e ao aprendizado de conceitos e atitudes.
O potencial impacto do diagnóstico precoce no manejo do delirium: uma revisão integrativa
Authors: Fabiano Ana Luiza de Carvalho , Costa Caroline Vallini , Labanca Eduardo Gindro , Zocchio Gabriela Ruiz , Rodrigues Lorrana Rocha Lima , Barros Manuela Leite de , Fagundes Mariana Rodrigues , Carvalho Marina Mitne
Published: January 2025

O delirium é uma síndrome neuropsiquiátrica aguda, subdiagnosticada em muitos casos, caracterizada por alterações na atenção, cognição e nível de consciência. É particularmente prevalente em pacientes hospitalizados, sobretudo entre idosos, estando associado a desfechos negativos, como aumento da mortalidade, declínio funcional e maior risco de desenvolver demência. Este artigo apresenta uma revisão da literatura sobre estratégias para o reconhecimento precoce do delirium e suas implicações clínicas. Estudos indicam que a utilização de protocolos de triagem estruturados e intervenções preventivas não farmacológicas contribuem para a redução de complicações e melhoram o prognóstico. Além disso, o manejo interdisciplinar, envolvendo médicos, enfermeiros e terapeutas, combinado com educação continuada para profissionais de saúde, destaca-se como abordagem fundamental para mitigar os impactos dessa condição. A análise reforça a necessidade de maior conscientização e implementação de medidas para diagnóstico precoce e manejo adequado, visando aprimorar a qualidade dos cuidados hospitalares e promover melhores desfechos e qualidade de vida para os pacientes afetados
Análise bibliométrica das publicações de psicanálise na América Latina
Authors: Silveira Rodrigo Euripedes da , Santos Álvaro da Silva , Garcia Luan Augusto Alves , Breviglieri Henrique , Alves Ana Flávia Machado de Oliveira , Oliveira Danielle Provazi Cunha , Henriques Patricia Jácome
Published: January 2025

Trata-se de uma análise bibliométrica com o objetivo de mapear a produção de publicações em psicanálise em periódicos científicos da América Latina, baseada na listagem inclusiva de duas fontes de dados das publicações em Psicanálise:  Periódicos da Biblioteca Virtual de Psicanálise e Periódicos psicanalíticos avaliados pela CAPES. Entre as 70 revistas avaliadas, o estrato que apresenta maior representatividade é o B1 (18,6%), seguido de B2 (12,85%). A maioria está sendo publicada no Brasil (77,1%). O acesso às revistas é de forma híbrida (47,1%) ou exclusivamente digital (42,9%). A maioria das revistas está na Base LILACS (51,4%). Quanto às categorias temáticas de conhecimento, revistas que pertencem à área de Psicologia são maioria (91,1%). Cabe pontuar ainda a necessidade de um olhar diferenciado sobre os periódicos em psicanálise, pois ser científico não exclui a possibilidade de manter o foco da área psicanalítica. Destaca-se ainda a necessidade de futuras investigações acerca da temática para contribuir com o estado da arte das publicações de Psicanálise na América Latina.
O papel do professor universitário na formação do jurista: formador ou informador?
Authors: Costa José Victor Nogueira
Published: January 2025

O artigo aborda o papel do professor universitário na formação do jurista, questionando se sua função se limita à transmissão de conhecimento técnico ou se deve ir além, promovendo uma formação crítica e ética dos futuros profissionais do direito. Considerando as rápidas transformações sociais e tecnológicas, o autor critica o modelo educacional tradicional, que prioriza a memorização e o dogmatismo, e propõe a necessidade de uma educação jurídica que estimule habilidades críticas, responsabilidade ética e sensibilidade social. A formação integral do jurista é enfatizada, com a defesa de metodologias ativas e uma abordagem interdisciplinar que permita ao professor não apenas informar, mas também formar profissionais capazes de enfrentar dilemas contemporâneos. O autor sustenta que a atuação do professor deve ser voltada para a construção de uma sociedade mais justa e equitativa, preparando os juristas para lidar com as complexidades da prática jurídica e os desafios éticos do mundo moderno.
AN ANALYSIS OF AWARENESS LEVELS TOWARDS GOVERNMENT SCHEMES FOR WOMEN ENTREPRENEURS IN THOOTHUKUDI DISTRICT
Authors: Muthusamy Selladurai
Published: January 2025

Entrepreneurs play a crucial role in economic growth, acting as the engine that drives innovation, job creation and overall prosperity. A rising percentage of women are following their goals to become entrepreneurs and be successful in their business endeavours as the Indian start-up industry grows. Women's entrepreneurship is essential to society's advancement and growth in the economy. Significant business and economic growth in the nation has resulted from the growing number of women pursuing business ownership. The Government worldwide implements various schemes to support and empower women in starting and scaling businesses. The Indian government carries out a number of programs to help achieve this goal. For women entrepreneurs many government and non-government organizations they are providing training, economic development, merchandising and loan disbursement. According to the last NSS survey in India we have 60.84 million Micro Small and Medium Enterprises (MSME’s) out of them only 20.37% MSMEs were owned by women. This paper focused to make a clear study on the awareness level amongst women entrepreneurs under numerous government schemes which are readily available to encourage and empower the women community in their entrepreneurial activities. With the assistance taken from both quantitative surveys and qualitative interviews, the research compiled with various advanced statistical tools and techniques to gather the data from the wide range of women respondents in Thoothukudi regional area. The findings will contribute valuable insights into the current state of awareness among women entrepreneurs in Thoothukudi regarding government schemes.
SLAVIC PHILOLOGY
AT THE IMPERIAL MOSCOW UNIVERSITY
Authors: Izotov Andrey I.
Published: January 2025

The article presents a brief history of the study and teaching of Slavic
philology at the Imperial Moscow University over a century and a half — from the
founding of the university in 1755 to the fall of the Russian Empire in 1917. The
activity of the leading Slavists of Moscow University, primarily the activity of professors M.T. Kachenovsky, O.M. Bodyansky, A.L. Duvernois, R.F. Brandt, V.N. Shchepkin, is characterized.
DEPARTMENT OF HISTORY OF FOREIGN LITERATURE:
HISTORY AND MODERNITY (NOTES TO THE 270th
ANNIVERSARY OF MOSCOW UNIVERSITY)
Authors: Tolmatchof V.M.
Published: January 2025

The article raises the question about the uniqueness of Department of
History of Foreign Literature at Moscow University. In support of this thesis, the
author offers his understanding of the specificity of the humanities as “sciences about
spirit”, the importance of professional reading of the artistic text and that consistently historical approach to the study and teaching of literature, which is synthetic
in its set of methods, considers both the individuality, unpredictability of creativity
and the diversity of its contexts, the integrity of world literature. The author explains
in detail how the historicism of the subject vision, instilled by the department, is
realised in the system of courses taught by the departmental professors on all levels
(undergraduate, graduate, postgraduate). The article presents the principle of teaching the major literatures of Western Europe and America, combining general comparative courses from the Middle Ages to the beginning of the 21st century with a
detailed three-year study of a specific national literature. The two-year departmental MA programme is also outlined in the article. To justify the importance of
the historical approach, the author polemises with the postmodernist denial of the
“canon”, the shortcomings of modern education, and refers to the experience of
outstanding departmental literary historians of different generations (M.N. Rozanov,
G.K. Kosikov) and its modern professors (N.T. Pakhsaryan, O.Yu. Panova, E.V. Ogneva, A.Yu. Zinovieva, V.M. Tolmachoff), and also gives examples of highly qualified
departmental scholars (N.K. Polosina, K.R. Ibragimova).
Életvégi döntések
Authors: Barcsi Tamás , Kőmüves Sándor , Nemes László
Published: January 2025

Az utóbbi években magyar nyelven is számos könyv és egyéb kiadvány jelent meg az életvégi kérdésekről. Elsősorban pszichológiai munkák a haldoklás és a gyász témakörében, valamint jogi tanulmányok, a hazai és a nemzetközi szabályozások egy-egy aspektusára is kitérve. Jelen kötet annyiban más, hogy az életvégi helyzet és az életvégi döntések kérdéseit főként filozófiai és etikai szempontból közelíti meg.
Artificial Intelligence-Driven Inventory Management: Optimizing Stock Levels and Reducing Costs Through Advanced Machine Learning Techniques
Authors: Çaylı Osman , Oralhan Zeki
Published: January 2025

This study investigates the implementation of artificial intelligence (AI) algorithms to enhance inventory management processes in small and medium-sized enterprises (SMEs) within the retail sector. Accurate inventory level determination is a critical factor in improving organizational performance. Inventory levels are subject to a wide range of influences, including seasonal fluctuations, promotional campaigns, and macroeconomic conditions, which introduce significant complexity and variability. Such complexities often render manual management approaches inefficient. This research focuses on addressing these challenges through AI-based methodologies, particularly by employing machine learning and data analytics techniques to optimize inventory control. The findings of the study contribute to the literature by highlighting the potential of AI-driven approaches in reducing inventory costs and improving supply chain efficiency.
The study of frontal recess configurations based on computed tomography data and their association with frontal sinusitis
Authors: Loburets Andriy , Loburets Valeriy , Bezega Mykhailo , Gasiuk Iuriy
Published: January 2025

Introduction: The anatomy of the frontal sinus (FS) is challenging for both radiologists and ENT surgeons. The IFAC (International Frontal Sinus Anatomy Classification) aims to simplify the classification of anatomical variations of the frontoethmoidal complex.Aim: The purpose of this study was to analyze, based on computed tomography (CT) data of the paranasal sinuses, the prevalence of frontal recess cells according to the IFAC classification in patients with chronic frontal sinusitis and those without signs of FS inflammation, as well as to determine the relationship between the configuration of frontal recess cells and FS inflammation.Materials and methods: An analysis of CT scans of the paranasal sinuses from 120 patients (233 sides) who were treated at the M.V. Sklifosovsky Poltava Regional Clinical Hospital between 2023 and 2024, was conducted. The prevalence of various types of frontoethmoidal cells (FEC) was studied according to the IFAC classification. A correlational analysis was performed between the presence of FS opacification and the configuration of FEC.Results: The prevalence of agger nasi cells was 97.42%, supra agger cells 48.07%, supra agger frontal cells 27.61%, supra bulla cells 81.97%, supra bulla frontal cells 22.75%, supraorbital ethmoidal cells 18.03%, and frontal septal cells 28.76%. The largest differences in the prevalence of FEC between patients with and without FS inflammation were observed in the presence of supraorbital ethmoidal cells (26.92% and 15.47%, respectively) and frontal septal cells (21.15% and 30.94%, respectively). However, these differences were not statistically significant. In 157 (67.38%) of the studied sides, we identified cells with pneumatization extending into the FS, while in the remaining cases, the FEC were located below the FS ostium.Conclusions: The structure of the frontal cranium varies widely, as confirmed by CT analysis. The most common cell in our and other studies was the agger nasi cell (ANC), followed by the supra bulla cell (SBC), and the least common was the supraorbital ethmoid cel (SOEC). There was no clear relationship between the presence of a FEC and FS. There is a wide discrepancy in the literature in assessing the prevalence of FS penetrating cells. The IFAC classification is convenient and easy to use and helps to describe the frontal-site area in detail. The present results indicate the need for a more thorough study of the anatomical variations of the frontal sinuses, especially in the context of surgical planning and treatment of chronic nasal sinus diseases.
Rehabilitation of patients after laryngectomy – an area of collaboration between the otolaryngologist, physiotherapist, and oncologist-speech therapist
Authors: Sojat Jakub , Gromek-Zabawska Barbara , Likus Wirginia , Markowski Jarosław
Published: January 2025

Introduction: The rehabilitation of patients following the treatment for head and neck cancers (HNCs), particularly laryngeal cancer, represents a critical component of comprehensive care. Advanced surgical techniques and radiochemotherapy enable the radical treatment of the primary disease; however, restoration of full functional capacity in patients remains a significant challenge, especially in relation to speech, swallowing, and stomatognathic system functions. A multidisciplinary approach to treatment and rehabilitation is increasingly recognized as the gold standard. Nevertheless, there is a paucity of literature addressing the collaboration between otorhinolaryngologists, physiotherapists, and speech therapists specializing in oncology.Aim: The objective of this study is to review the standards of collaboration between healthcare specialists and the benefits derived from interdisciplinary therapy for patients following laryngeal cancer treatment, drawing on the experiences of the team of the Department of Laryngology, Medical University of Silesia in Katowice.Case study: Patient A had undergone total laryngectomy with primary implantation of a voice prosthesis. The rehabilitation process involved hospital physiotherapy, starting with the diagnosis and treatment of cervical spine and muscle dysfunction, as well as speech therapy focused on learning to use the voice prosthesis. Later stages included myofascial and anti-edema techniques, and the patient mastered using the Provox system. Patient B had undergone laryngectomy and radiotherapy and was directed to learn esophageal speech or use an electrolarynx. Physiotherapy techniques aimed at improving tissue flexibility in the neck region allowed more efficient use of the electrolarynx. In both cases, pain in the head and neck area was reduced.Results: A review of the literature and case reports demonstrates significant benefits of interdisciplinary collaboration in the rehabilitation of patients after HNC treatment. This collaboration positively impacts patient function and improves their quality of life.Conclusions: Forming interdisciplinary teams is essential for further advancing the treatment process for patients after oncological treatment of HNCs, particularly laryngeal cancer. Such an approach facilitates comprehensive rehabilitation, contributing to better therapeutic outcomes and improved patient reintegration into normal life.
A retrospective cohort study on factors influencing the initiation of lipid-lowering therapy in hospitalized patients following a cardio-cerebrovascular event
Authors: Olmastroni Elena , Scotti Stefano , Galimberti Federica , Alieva Asiiat , Xie Sining , Catapano Alberico L. , Casula Manuela
Published: January 2025

Introduction: Current European guidelines on cardiovascular prevention recommend lipid-lowering therapies for patients who have experienced an atherosclerotic cardiovascular disease (ASCVD) event. Objectives: This study aims to provide updated data on the prescription of lipid-lowering therapies in patients discharged after an ASCVD event and to investigate the characteristics associated with a higher likelihood of receiving such therapy following the event. Methods: Using administrative data from the Lombardy region, individuals of both sexes aged ≥40 years hospitalized for an incident ASCVD event during the first nine months of 2019 were identified. The prevalence of those receiving a prescription for lipid-lowering therapy within 90 days of the event was assessed. A multivariable logistic regression model was applied to evaluate the impact of various factors on the likelihood of initiating treatment (odds ratio [OR] and 95% confidence intervals [95%CI]). Results: In a cohort of 18,370 individuals with an incident ASCVD event, 50.70% did not receive a prescription for any lipid-lowering therapy. The likelihood of initiating therapy was higher in individuals who experienced a cardiovascular event compared to a cerebrovascular event (OR 2.94, 95%CI 2.74-3.14), in patients aged 51-60 years (OR 1.22, 95%CI 1.10-1.36, compared to 61-70 years), and in those receiving antidiabetic (OR 1.42, 95%CI 1.25-1.61) or antihypertensive therapy (OR 1.77, 95%CI 1.64-1.92). Conversely, older age (71-80 years: OR 0.70, 95%CI 0.64-0.77; >80 years: OR 0.38, 95%CI 0.35-0.42), female sex (OR 0.81, 95%CI 0.75–0.87), prior exposure to antithrombotic medication (OR 0.67, 95%CI 0.60-0.73), and excessive polypharmacy (OR 0.57, 95%CI 0.49-0.66 for ≥10 medications) were associated with a lower likelihood of initiating treatment after the event. Conclusions: The study highlights a suboptimal initiation of lipid-lowering therapy in patients discharged after an ASCVD event. Additionally, the results emphasize the importance of understanding influencing factors to improve patient management in secondary prevention.
PROGRAM PENINGKATAN PENGELOLAAN USAHA DENGAN PELATIHAN DAN WORKSHOP PENGHITUNGAN HPP DAN PENYULUHAN TENTANG KESEHATAN DAN KEBUGARAN PELAKU UKM KUMPULAN ORANG ORANG DEPOK (KOOD) BERBUDAYA, KOTA DEPOK
Authors: Utomo Joko , Rina Sugiarti  , Sri Nawangsari  , Ade Rahmawati  , Aris Budi Setyawan  , Ditiya Himawati  , Lasminiasih  , Rachmi Ridho  , Wardoyo  , Haryono  , Aji Sukarno  , Budi Santosa  , Bagus Nurcahyo  , Hani Harlan  , Stanty Aufia Rahmat  , Tertio Kunto Dewo  , Prihandoko
Published: January 2025

Program Pengabdian kepada Masyarakat (Abdimas) di Kumpulan Orang Orang Depok (KOOD) Berbudaya ini bertujuan untuk peningkatan kapasitas masyarakat yang tergabung dalam KOOD di Kota Depok, Khususnya para pelaku usaha (UKM).
Kegiatan Pengabdian kepada Masyarakat di KOOD ditujukan untuk melakukan kegiatan pelatihan / workshop dan penyuluhan pada para pelaku usaha dalam hal peningkatan pengelolaan usaha melalui pelatihan /workshop Penghitungan HPP dan Penyuluhan Kesehatan dan Kebugaran.
Dari kegiatan Pengabdian kepada Masyarakat yang telah dilaksanakan ini telah menghasilkan dan mendorong para pelaku UKM untuk meningkatkan pengelolaan usaha dengan mulai melakukan penghitungan biaya produksi dan operasional dari usaha mereka secara teratur dan sistematis sehingga dapat diketahui harga jual yang sesuai dan lebih realistis sehingga diharapkan dapat meningkatkan daya saing, selain itu telah dilaksanakan pula kegiatan penyuluhan kesehatan dan kebugaran yang bertujuan dapat meningkatkan performa dari para pelaku UKM dalam kegiatan usahanya.
Untuk tahapan selanjutnya kegiatan Pengabdian kepada Masyarakat di Kumpulan Orang Orang Depok (KOOD) akan melakukan kegiatan pendampingan bagi para pelaku UKM tentang Penghitungan HPP pada tingkatan yang lebih jauh sampai pada tahapan dapat menghitung dan menentukan harga jual dari produk yang dihasilkan., sebagai keberlanjutan dari kegiatan yang sudah dilakukan.
CIDADES INTELIGENTES NO CONTEXTO DA PRECARIEDADE SOCIAL: UMA ANÁLISE À LUZ DA PIRÂMIDE DE MASLOW E DA OBRA EMPÍRICA “QUARTO DE DESPEJO: DIÁRIO DE UMA FAVELADA”.
Authors: De Carvalho Yasmin , Nunes Suzana , De Araujo Humberto
Published: January 2025

This article analyzes and correlates three strands: Smart Cities, Maslow's Pyramid and the work "Quarto de Despejo: diário de uma favelada.  The research explores the relationship between Maslow's Pyramid, which describes human needs at hierarchical levels, and the development of smart cities in Brazil. It also dialogues about the relationship between the concepts of Smart Cities and the work "Quarto de Despejo" by Carolina Maria de Jesus, analyzing the limitations and challenges of social inclusion in the context of Brazilian cities. Through a critical analysis, this study also seeks to analyze the Loss of Quality of Life index in Brazil – IPQV, and understand how smart cities can offer real solutions to structural problems, instead of just promoting technological advances disconnected from social needs.
ACHADOS E CLÍNICOS E ALTERAÇÕES AUDITIVAS EM PESSOAS COM ANEMIA FALCIFORME
Authors: Arruda João Sigefredo , Cipolotti Rosana , Rosa Bárbara Cristina da Silva , Dória Yasmin Amaro , de Araújo Vinícius Nunes , Monteiro Netto José Fernando Araújo
Published: January 2025

Introdução: Na abrangência das variações genéticas englobadas pela Doença Falciforme, a Anemia Falciforme se destaca como a forma mais grave. Nessa patologia, a deformidade das hemácias leva a crises vaso-oclusivas que podem resultar em isquemia na região da cóclea, com consequente deterioração progressiva da audição. Objetivos: Caracterizar grau e tipo de Perda Auditiva; Identificar as principais Queixas Auditivas; Analisar a relação entre ter Queixa Auditiva e ter Perda Auditiva; Verificar a associação entre achados clínicos e Perda Auditiva. Método: Trata-se de um estudo transversal, comparativo e analítico formado por dois grupos: Grupo Caso (G1) e Grupo Controle (G2), compostos por pacientes do Ambulatório de Hematologia do Hospital Universitário da Universidade Federal de Sergipe. Foram admitidos no estudo 212 participantes, sendo 106 de cada grupo. Todos, responderam à Anamnese Fonoaudiológica e foram submetidos à Meatoscopia, as Audiometrias Tonal e Vocal e o G1 ainda respondeu a Escala Visual Analógica. Resultados: O G1 apresentou maior percentual de Perda Auditiva em comparação ao G2, com predominância de Perda Auditiva Neurossensorial, bilateral de grau leve e, além disso, o G1 teve Razão de Chances significativamente maior para ter Perda Auditiva em comparação aos indivíduos sem Anemia Falciforme; Houve correlação ter Queixa Auditiva e a presença de Perda Auditiva no G1. As Queixas Auditivas mencionadas foram: dificuldade de compreensão da fala, zumbido e hipoacusia. A maioria dos pacientes do G1 fazia tratamento com Hidroxiureia; Foi identificada a presença de Pneumonia, Acidente Vascular Cerebral e Hipertensão Arterial Sistêmica. Conclusão: Os pacientes com Anemia Falciforme são mais propensos a ter Perda Auditiva. Esses indivíduos também apresentaram uma frequência mais elevada de queixas auditivas, principalmente de Dificuldade de compreensão da Fala. Verificou-se também que quanto mais tardio o Diagnóstico da Anemia Falciforme, maior a possibilidade de ocorrência de Perda Auditiva. Evidenciou-se que presença de comorbidades e crises vaso-oclusivas não se associaram à ocorrência de Perda Auditiva nos pacientes avaliados. Ao final, não se encontrou evidências que descartem o uso da Hidroxiureia como fator de proteção a audição dos falcêmicos.
“SMART CITY” & TERRITÓRIOS LUMINOSOS E OPACOS EM SALVADOR
Authors: Santos Luis Claudio Rios , de Carvalho Silvana Sá
Published: January 2025

Este estudo buscou analisar à luz das contribuições de Milton Santos como as geotecnologias podem contribuir para o conhecimento da dinâmica geográfica da cidade de Salvador-BA e de seus Territórios Opacos, alvos para realização de investimentos por meio de construção de políticas públicas baseadas no uso de Tecnologias da Informação e Comunicação - TICs, também se buscou uma reflexão sobre como essas tecnologias podem contribuir para a territorialização em cidades que decidem ingressar no processo de transformação rumo à condição de “Smart City”.
PEDAGOGIA CRÍTICA: A EDUCAÇÃO HUMANIZADORA FREIREANA E O EXERCÍCIO DA CIDADANIA
Authors: Gomes Walmir Marcolino , Da Costa Carlos Odilon , Müller Antônio José
Published: January 2025

Este texto discute a relação entre educação humanizadora Freireana e a cidadania por meio dos direitos humanos em bases teóricas. Objetiva apresentar as potencialidades e os desafios da Educação Freireana enquanto concepção de construção de conhecimento e método de trabalho na relação educação e cidadania. Utiliza abordagem metodológica de natureza documental e bibliográfica. Os direitos humanos são frutos de lutas pelo reconhecimento e garantia da dignidade humana, que resultam na Declaração Universal dos Direitos Humanos em 1948. A criança como sujeito de direitos e parte integrante da sociedade deve ser preparada para o exercício dos seus direitos e para o exercício da cidadania. A educação não pode ser entendida somente como transmissão de conteúdos, mas dentro de um contexto de educação integral que deve preparar os futuros cidadãos, protagonistas de uma sociedade pluralista e que requer o respeito, a solidariedade, a alteridade, entre outros valores. Além de formar as crianças e adolescentes pautada em valores, ela os prepara para o exercício da cidadania como um direito de todos no convívio social. A educação é, antes de tudo, compromisso com o outro, com a pessoa, com o ser humano desempenhando um papel fundamental para a consciência e importância da cidadania. Concluímos que se evidencia a partir dos referencias teóricos educativos os limites e possibilidades de construir conhecimentos que possam atender a demanda dos sujeitos e superar visões excludentes e ingênuas presentes na sociedade, herança de perspectivas e educacionais que silenciaram outras vertentes de produção de conhecimento, ensino e aprendizagem.
A SAÚDE SUPLEMENTAR E A DEFESA DA PESSOA CONSUMIDORA: O SUPERIOR TRIBUNAL DE JUSTIÇA COMO PLAYER NA CONSTRUÇÃO DE POLÍTICAS PÚBLICAS
Authors: Coletti Luis Renan
Published: January 2025

O presente trabalho tem como objeto examinar as principais controvérsias enfrentadas e precedentes formados pelo Superior Tribunal de Justiça, nos últimos anos, a respeito do tema de contratos de plano ou de seguro de assistência à saúde. Para tanto, analisou-se, neste trabalho, 9 (nove) decisões jurisdicionais a respeito de obrigações envolvendo planos de saúde, proferidas pelo STJ entre os anos de 2023 e 2024, e que foram destacadas em informativos de jurisprudência publicados pela Corte. Examinou-se, no estudo, o entendimento do STJ a respeito dos seguintes assuntos relacionados ao tema objeto de pesquisa: práticas abusivas na promoção de reajustes no contrato de plano de saúde; obrigação de fornecimento de medicamentos em consideração ao rol de procedimentos e eventos da Agência Nacional de Saúde Suplementar (ANS); obrigação de fornecimento de medicamentos para tratamento domiciliar; cobertura assistencial ao recém-nascido; e obrigação de custear a criopreservação de óvulos para prevenção de infertilidade decorrente de tratamento oncológico. Ao final, concluiu-se que o Poder Judiciário, e em especial o STJ, tem relevante papel como player na arena política para construção de políticas públicas de regulação dos planos de saúde no Brasil, delimitando o alcance e os limites dos marcos normativos a respeito desta modalidade de relação de consumo que constantemente coloca em rota de colisão os direitos do consumidor e os interesses das empresas mantenedoras de planos de saúde.