bluuebunny/crossref_metadata_2025 huggingface dataset:
We Are: Giving citizens control over their data.
Authors: Lambrechts Nathalie , Goesaert Elfi , Buelens Bart , Laes Erik , Raeymaekers Peter , Rijne Wil , Neyens Koen , Van Meerbeeck Anne , Tambuyzer Else , Wouters Annet
Published: January 2024

Summary: The We Are platform gives citizens control of their own health data and actively involves them in decisions about the platform that manages the data, thereby guaranteeing them that they can manage and share their data in a safe way as a leverage for personal wellbeing and the common good.

Challenge: Data about citizens, consumers and patients is collected by the government in order to make policies, by companies to develop new products and for marketing and sales, or by hospitals, universities and knowledge institutions for research and innovation. Smart use of data is leading to new insights, valuable innovative processes and even better medicines and health care. Big data will allow us to have a better understanding of who is at risk from specific diseases and who benefits from particular treatments.

This can only happen if the data does not continue to be gathered and stored in separate silos. Bringing together data from a wide variety of sources creates inconceivable opportunities for research and development, but it will also require the data to be handled with extreme care.

Engaging citizens and technology to do something about it: To this end, a Flemish consortium is building a platform providing a personal digital data safe, based for each Flemish citizen. The SOLID technology, a new way of managing data on the web, provides citizens with their own data safe in which they can store their personal data. Citizens manage this safe themselves. They only must enter their data once and can then immediately reuse it for the applications they prefer.

All safes are maintained together by a legal entity like a cooperative society. The cooperative governance structure is socially engaged and, on behalf of citizens, ensures utilisation of personal data for innovations aimed at a sustainable health system.

What are the next steps, what is the impact: Hence, the combination of personal health data types of all citizens, ranging from lifestyle to wellbeing, curated by themselves, is an unprecedented resource for sustainable innovation & growth, provided the access is arranged, by design, in an ethical way and compliant with legislation. It provides a way to enrich personal health data in a natural way and to collect citizen generated data which is currently often lost or scattered.

The realisation of this system innovation requires various activities in which all possible stakeholders (government, companies, research community, civil society and citizens, cf. the quadruple helix) have an important role to play. Doing so, we believe citizen-centered data management will contribute to the empowerment of the patient as a pilot in integrated care
Parkinson AKTIV - Non-pharmacological Treatments in an Innovative Parkinson's Network
Authors: Huchtemann Tessa , Achtert Katharina , Warnecke Tobias
Published: January 2024

Introduction: Chronic progressive neurodegenerative diseases severely impact the quality of life of affected patients. Due to the progressive nature of Parkinson’s disease as well as the complex motor- und non-motor symptoms, individual treatment plans need to be adjusted frequently. This requires mutual communication between various health care providers that also takes into account the growing evidence-based expertise, especially on non-pharmacological treatment options. In order to facilitate regular interdisciplinary communication multiple Parkinson’s disease networks were established in various regions. Here we describe the development, implementation and evaluation of a digital platform that allows easy and quick exchange of standardised treatment recommendations between health care providers.

Methods: In this quasi-experimental study with control group, 185 patients are recruited in both groups. Patients in the intervention group are enrolled from the Westphalian region Münsterland, whereby the control group consists of patients outside this region and receive treatment as usual and as prescribed by their neurologists. For the intervention group participating health care providers are recruited in our region and received 4 hours of specialised training. The patients receive therapies planned and coordinated through the digital platform for 12 months. The evaluation is conducted in a mixed-methods approach. Primary outcome for the effectiveness evaluation is quality of life (PDQ-39), further outcomes are UPDRS, H&Y as well as Schwab & England. The process evaluation consists of a social network analysis and team effectiveness analysis to assess the degree of networking between healthcare providers. Further, an economic evaluation is conducted.

Conclusion: So far, 26 neurologists, 42 physical therapists, 47 occupational therapists and 31 speech therapists and 120 patients could be included in the study. Recruitment will continue until March 2023 and we expect first results in February/March 2023. We expect the intervention to have a significant impact on improving disease-related symptoms and communication between practitioners.
Potential barriers to public awareness of integrated healthcare
Authors: Araja Diana , Berkis Uldis , Murovska Modra
Published: January 2024

The aim of this abstract is to focus on aspects of the regulatory framework that could potentially hinder the implementation of integrated healthcare when seen in the context of vertical integration. Integrated healthcare has been advocated in concept for a long time. International organisations, including the World Health Organisation, are promoting initiatives such as Integrated Delivery Networks, and the European Framework for Action on Integrated Health Services Delivery, which aim to support integrative approaches and reduce fragmentation of care. Within the European Union, the integrative approach is also supported by a number of initiatives and projects. At the same time, it should be borne in mind that healthcare is a multidisciplinary system in which the pharmaceutical industry also plays an important role. Moreover, the pharmaceutical sector is a highly competitive and regulated field, which is also subject to several constraints. Among them, the European Commission in its report "Competition enforcement in the pharmaceutical sector (2009-2017)" (Brussels, 28.1.2019) had reported on breaches of competition law found by national authorities related, inter alia, to vertical agreements. Vertical integration in the pharmaceutical business is seen in many countries as a competition-threatening factor when medical institutions and laboratories become owned by the pharmaceutical industry. Consequently, it can be assumed that there is a partial conceptual reluctance in society toward the introduction of "integrated healthcare". This aspect should be taken into account when working on the motivating and inhibiting factors for the introduction of integrated healthcare. This is an example of how influencing factors can be related not only to administrative issues and the involvement of doctors and patients in the implementation of integrated healthcare, but also to the public acceptance of a particular concept when there are different contextual interpretations. Thus, a clear and coherent explanation of the concept of integrated healthcare would be supportive of policymakers and the public and would facilitate the implementation of the integrated approach.
Sexual Health and Sexual Expression in Women Transitioning to Long Term Residential Settings: Challenges and Individual Rights
Authors: Parejo Valeria
Published: January 2024

Sexual health and sexual expression can be controversial topics at any age. Ageism in Western society makes this discussion, as it pertains to the elderly, even more taboo because sexual health is not usually a focus for healthcare providers serving the geriatric population (Bauer et al., 2015). However, sexual rights are human rights fully acknowledged by the World Health Organization, through its Department of Sexual and Reproductive Health (2021). The ability to fully express one’s sexuality is part of the human experience across the lifespan and any barrier to this expression will have an impact in one’s quality of life.

Considering this, how do elderly women transitioning to long-term residential facilities (assisted living or nursing homes) rate their sexual health and their opportunities to express their sexuality? This presentation will describe the current state of affairs in these facilities as it pertains to services and supports related to sexual health, how residents rate the current sexual health related services and support, and current barriers to services that are more person-centered, dignified, and respectful of older people’s sexual expression, with specific emphasis on the LGBTQIA+ aging population.
Amplifying the perspectives and insights of Lived Experience – Learning from ALLIANCE lived experience networks.
Authors: Ritchie Kerry , Andrew Mandy
Published: January 2024

Introduction: Person centred care is vital to ensure we improve access to the right care, treatment and support for all people. Meaningful engagement with people with lived experience is essential in the design of this and can also have direct benefits for people as a consequence.

The ALLIANCE  coordinates a number of  networks for people with lived experience This includes a heart disease network that has been established to directly influence the Scottish Government’s Heart Disease Action Plan to ensure we can improve access to the right care, treatment, and support, and minimise preventable heart disease.

This interactive workshop we will share insights we have gathered and the learning to date as well as the methods we have embedded to ensure structures are in place to allow people to share their experience, and turn these experiences into meaningful action through our direct link into policy.

This session will be useful for all health and social care stakeholders as through this discussion we will explore the importance of ensuring lived experience is at the heart of planning and decision making

Purpose: To share learning, insights and generate discussion on how we can amplify the perspectives and insights a of lived experience

Outcomes:

Participants will feel more knowledgeable having reflected on the the session’s learning through discussion and presentation and potential to translate this into actions.

Participants will build connections and relationships across countries based on a shared goal.

Participants are more likely to incorporate the voice of lived experience through their own practice.

Session Plan:

Welcome and introduction the session highlighting the purpose asking participant’s if they can commit to the purpose of the session.

Icebreaker – what/who inspires you most to do what you do?

 

Presentation by the ALLIANCE sharing the learning from our lived experience networking, focusing on the Heart Disease Networking as a case study.

Feedback, questions and reflections on what has been shared

Facilitated small group discussions on individual learning

oWhen people with lived experience are active and equal partners, what does that look like?

oHow do we incorporate the principles of person centre care into our own practice

Feedback from each group with key themes being captured live through flipchart

At the end of the session we will capture the key themes to develop a summary report of the discussion that can be shared with all participants taking part in the conference and promoted via the ALLIANCE website, newsletter and bulletins.
Integrating health promotion and palliative care: improving determinants of health and well-being in the context of serious illness and the end of life
Authors: Matthys Marjolein , Scherrens Anne-Lore , Van Brussel Leen
Published: January 2024

Background:  Growing evidence shows that using a health promotion approach in palliative care can have a positive impact on health outcomes in patients, their families and communities, yet, the relevance and importance of stimulating health and well-being in the context of serious illness and the end of life is often still not understood or recognized.

Objectives: With this workshop we aim to 1) provide more knowledge on the integrated approach of health promotion and palliative care, focusing on its practical applications and the partnerships it entails, 2) reflect with the participants about the added value of this integration throughout individual life courses, within communities and society as a whole, 3) discuss if and how this approach could be applied in the work or organization of the participants.

Format: The speakers will first give a brief overview of the conceptual overlap between health promotion and palliative care, their integration and the professional developments that have resulted from this. After, three short presentations on concrete examples of this integration in practice will be given with an emphasis on the different types of partnerships involved. To stimulate the group discussion on the added value of integrating health promotion and palliative care, we follow with a fictional life story of a person who at different times of her life is confronted with serious illness, loss and the end of life. Afterwards, participants are invited to reflect and debate on the relevance and potential of this approach in their own line of work. We end with a short summary of key messages and offering participants the chance to give final reflections and feedback on the subject as well as structure of the workshop.

For whom?: Anyone active in the policy, practice, advocacy or research surrounding palliative and end-of-life care and/or health promotion.

Time schedule (90’ duration):

- part 1 (5'): 'Introduction' by Anne-Lore Scherrens

- part 2 (5'): 'Integrating health promotion and palliative care: from conceptual overlap towards new partnerships and promising applications in practice' by Marjolein Matthys

- part 3 (15'): 'Three short (3x5’) presentations offering concrete examples (the Belgian ‘My Care My Voice’ intervention, the Swedish DöBra cards and the development of a public awareness campaign on palliative care in Flanders, Belgium)' by Anne-Lore Scherrens, Marjolein Matthys and Leen Van Brussel

- part 4 (25'): Departing from a fictional life story and applying a socio-ecological lens, group discussion on the added value of the integrated approach of health promotion and palliative care

- part 5 (25'): Group discussion on the relevance and potential of the integrated approach in the context of the participants’ work

- part 6 (10’): Closing reflections (participants and speakers)

(5' extra)
How do I roll out a digital collaboration tool?
Authors: Taelman Bert
Published: January 2024

In 2023, the Flemish government will start developing a digital care and support plan. With this shared support plan, we want care providers, informal caregivers and citizens to collaborate digitally in a goal-oriented care plan. 

The digital care and support plan is being built by an external IT partner in co-creation with stakeholders and citizens. In a first test version, 5 modules are offered: 

* Communication 

* Life goals 

* Care and support goals 

* Care and support tasks 

* Care team 

After a test phase at the end of 2023 this digital collaboration tool will be rolled out across Flanders in two pilot projects. 

The rollout will be planned on 3 axes (possibly in parallel): 

* geographical extension: step by step connecting a number of new zones

* multidisciplinary expansion: integrate new sectors step by step 

* substantive expansion: develop additional modules 

In this workshop we will bring policy makers and network organizations from different regions together to share best practices. 

* What good practices are available? 

* What is needed to successfully address the 3 axes? 

* What are the pros and cons of expanding on any of the 3 axes? 

* What is the impact of each extension on the success of the full rollout? 

* What is the impact on support and adoption in the field?  

This session primarily aims to share experiences and bring together knowledge. 

 

 

The workshop will be composed of: 

* 15 minutes introduction and context 

* 3 x 10 minutes working around 3 different axes and their impact (sharing experiences and good practices). Naming pros and cons of each axis.  

* 15 minutes: Distill best approach per group - what order, possibly parallel rollout is preferable? 

* 15 minutes: combine results into a global best practice
Workshop: Research on integrated and personalized care, sharing values and perspectives; a world café method
Authors: Pluck Ferdy , Van Kerkvoorden Dennis , Ettema Roelof , Van Zelm Ruben
Published: January 2024

Introduction/Background: PhD research is one of the directions to contribute to the development of integrated care and contribute to international conferences such as ICIC in. Contributions are made towards the nine pillars of integrated care. Results are added, mostly as part of an individual PhD study, in a wide array of subjects which fits the nine pillars of integrated care. Doing PhD research brings difficulties but also successes. This also applies to PhD researchers and lecturers of the research and education group PIC’T&Re Personalized Integrated Care Teaching & Research of the University of Applied Sciences Utrecht in the Netherlands. The research group aims to contribute to integration knowledge which can facilitate changes towards the customization of integrated healthcare service delivery in the Netherlands on micro, meso and macro level of health and social care.

Why a workshop? Using a workshop as a method to share values and perspectives in doing PhD research amongst the diversity of PhD researchers within the integrated care community. Also, to exchange experiences which are of value to all researchers in integrated care. Exchange of knowledge, expertise and experiences of all attendees is central in this workshop.

Who is it for? The target audience for this workshop consists of (PhD) students, researchers, educators and professionals in integrated health and social care.

Facilitators / speakers

Dennis van Kerkvoorden MSc, PhD candidate

Ferdy Pluck RN MSc, PhD candidate

Dr Roelof Ettema, co-supervisor

Dr Ruben van Zelm, co-supervisor

What are we going to do? – Workshop 90’

a.Introduction and background of the world café method and themes – (15’)

b.World cafe: in three rounds of discussion and 5 table discussions based on the themes of the 2023 conference on Integrated care – (3 x 20’):

1.Change management implementation: macro, meso and micro level

2.Person-centered care: focus on integration of goals and needs

3.Collaboration: factor for successful implementation of integrated care

4.Engaging everybody: caring neighborhoods and compassionate communities

5.Population health approach: leverage for integrated care

c.Pitches and Conclusions and general reflections (15’)

How are you going to engage with the audience? Everybody is an expert in her or his own research, education or practice. In small groups of 5-10 persons, we will discuss one of the five themes mentioned above. We challenge everyone to share their own experiences and ideas.

How are you going to summarize the take home messages? All collected results will be summarized by the organizing committee of this workshop. These results will be shared with the participants and IFIC Academy with the intension of a yearly follow-up.

Keywords: research, integrated and personalized care, world café
What is the Role of the Third Sector in Integrated Care - Provider, Partner or Both?
Authors: Nelson Michelle , Saragosa Marianne , Miller Robin , Lewanczuk Richard
Published: January 2024

To date, much of the integrated care literature and discourse regarding the Third Sector (e.g. community based nongovernmental, charitable, or voluntary agencies) have positioned the sector as service providers and/or system partners. We would argue that while these organizations are undoubtedly equipped to effectively respond to community’s needs, the sector and these agencies are often been characterized as lesser partners and viewed as 'nice to have' rather than core players within integrated health systems.

Optimizing their engagement requires a more nuanced understanding of the nature, feasibility, and high value models of collaboration between public and third sectors in order to to design and deliver integrated care systems. The purpose of this interactive workshop is to discuss the current role of third sector organizations in integrated care and debate the merit and/or limitations of being seen as a system partner or a service provider; is there a value proposition for both positions? The session will be structured to enable both large and small group structured conversations through deliberative dialogue and table debates.  Attendees can expect to be engaged in a provocative dialogue that aims to push our understanding of how we can achieve truly integrated health care with local voluntary and community organizations. Our exchange will likely produce diverse opinions that will be synthesized according to common themes across and within the group and serve as the basis of potential future SIG activities and academic research.

This 90 minute session is designed for any academic, policy maker or practitioner interested in intersectoral partnerships and integration across health, social and voluntary sectors.

Format:

The time will be divided between an introductory overview, a teams of thought leaders will identify and raise key topic concepts followed by a series of table discussions, debates with time to share and synthesize.
Holding still, together - Parkinson's care Portrayed
Authors: Stap Thieme , Grol Richard , Laan Roland , Munneke Marten , Bloem Bastiaan R. , Koskma Jur
Published: January 2024

Complexity within the healthcare setting grows rapidly, and person-centered care takes on center stage. This begs for a mind- and skillset change in health professionals, because most current education equips them poorly to deal with this. Last year at ICIC22, we presented our innovative arts-based research project, focusing on a combination of narrative accounts and photographs of 21 people with Parkinson’s and 22 different practitioners. The research project was co-developed with people with Parkinson’s and professionals. Now, this project has evolved into an workshop that aims to develop healthcare practitioners in becoming reflective practitioners. Reflecting on deeper beliefs and observation skills are vital for future healthcare professionals in a complex world.

This workshop aspires to develop these skills and has been piloted three times in the last year with different target groups: people with Parkinson’s, nurse practitioners, and university - & art academy students. The workshop itself holds three phases. First, the workshop intents to put participants in a beginner’s frame of mind. The focus of the first exercises lie with judgement free observations. Secondly, the workshop focuses on judgment: what do you think you see, and what words will you give the description? Thirdly, we delve deeper in those judgements. Helping participants search effectively for often latent, but crucial normative convictions. All in all, the workshop is about slowing down and providing space and tools for a mindset evaluation.
What do healthcare providers and organizations need to enable integrated care - palliative care as a case study.
Authors: Craps Anneleen
Published: January 2024

When we talk about integrated care, it refers to all facets of care and support, from birth to death. The central question for this workshop is: What do care providers and organizations need to help enable this integrated care?

A palliative care reform project is currently being developed in Flanders, therefore we will use palliative care as an example during the workshop. However, it is much broader than palliative care because the same questions and challenges arise, for example, in the area of well-being and prevention.

In the palliative care reform process, we are working very closely with the sector and together with them we are defining a vision for the future of palliative care. Based on this shared vision, an action- and transition plan will be developed by mid-2023. The transition plan can look very technical: how do we go from as-is to to-be? But, that is not what the Flemish Government is aiming for; we want to know what is needed to make goal-oriented palliative care a fully-fledged part of the people’s care and support plan.

In the workshop we want to engage a dialogue with policy makers, coordinators of organizations in care and welfare, researchers and care providers who are daily involved in the care and support of a person (linked with or independently of the palliative sector) in order to formulate an answer to the following challenges:

   - Incentives: What is needed for health care providers, organizations and structures in both care and well-being to effectively do their part to provide integrated care.

   - Change-management: How do we get current organizations active in (palliative) care to disengage from their current organization, funding, missions,.... in function of integrated care.

   - Shared ownership: How to make palliative care more prominent in a person's care and support.

The session will be structured as follows:

- 10 minutes presentation reform process + interim results vision and action plan

- 30 minutes: the audience is divided into 3 groups. Each group indicates what is needed around the 3 central challenges (incentives; change management; shared ownership)

- 3x5 minutes plenary feedback from the 3 groups - 5 minutes summary and conclusion
What is a Rhythm for the Brain? The Impact of Contextual Temporal Variability on Auditory Perception
Authors: Bonnet Pierre , Bonnefond Mathilde , Kösem Anne
Published: January 2024

Temporal predictions can be formed and impact perception when sensory timing is fully predictable: for instance, the discrimination of a target sound is enhanced if it is presented on the beat of an isochronous rhythm. However, natural sensory stimuli, like speech or music, are not entirely predictable, but still possess statistical temporal regularities. We investigated whether temporal expectations can be formed in non-fully predictable contexts, and how the temporal variability of sensory contexts affects auditory perception. Specifically, we asked how “rhythmic” an auditory stimulation needs to be in order to observe temporal predictions effects on auditory discrimination performances. In this behavioral auditory oddball experiment, participants listened to auditory sound sequences where the temporal interval between each sound was drawn from gaussian distributions with distinct standard deviations. Participants were asked to discriminate sounds with a deviant pitch in the sequences. Auditory discrimination performances, as measured with deviant sound discrimination accuracy and response times, progressively declined as the temporal variability of the sound sequence increased. Moreover, both global and local temporal statistics impacted auditory perception, suggesting that temporal statistics are promptly integrated to optimize perception. Altogether, these results suggests that temporal predictions can be set up quickly based on the temporal statistics of past sensory events and are robust to a certain amount of temporal variability. Therefore, temporal predictions can be built on sensory stimulations that are not purely periodic nor temporally deterministic.
Artificial neural networks for productivity modeling in high viscosity oilfields about application
Authors:   «OilGasScientificResearchProject» Institute, SOCAR, Baku, Azerbaijan, Suleymanova V. M. , Jabizadeh N. I. ,   «Azneft» PU, SOCAR, SOCAR, Baku, Azerbaijan
Published: January 2024

Neural networks are also used to solve various classification and prediction problems. In the presented study, the modeling of oil productivity in Azerbaijan's high-viscosity oil fields was considered by applying this method. A 3-layer network is built in a multi-layer perceptron neural network. all parameters involved in the study are reflected in neurons with a certain weighting factor. The resulting oil production model has better prediction and higher accuracy. Keywords: Artificial neural network; Oil field; Viscosity; Oil production model.
Perfil territorial de notificações de HIV no Brasil: análise temporal 2013-2023
Authors: Sousa Bruna da Silva , Cavalcante Fabrício Vieira , Silva Rafaella Carvalho da , Marães Vera Regina Fernandes da Silva
Published: January 2024

Introdução: O vírus da Imunodeficiência Humana (HIV) apesar de descoberto há 40 anos, ainda permanece latente na sociedade, com característica sociais e territoriais de infecção e óbitos no Brasil. Objetivo: Descrever as características de notificações de diagnóstico de HIV no Brasil nos últimos 10 anos debatendo a respeito das disparidades territoriais de notificação no Brasil. Metodologia: Estudo descritivo de dados obtidos por meio do Sistema de Notificação do Sistema Único de Saúde (DataSUS) e do Painel de Monitoramento de HIV/AIDS de Munícipios do Brasil. Resultados: Nota-se uma redução com o passar dos anos do número de notificações de diagnósticos de HIV/AIDS, entretanto, após a pandemia por Covid-19, teve-se um aumento no número de notificações registradas no Sistema de Informação de Agravos e Notificações (SINAN) e um aumento de óbitos declarados no Sistema de Informação de Mortalidade (SIM) quando comparado com anos anteriores. Em relação as características regionais, as Regiões Sudeste e Nordeste, respectivamente, apresentam maiores notificações de casos em comparação as demais Regiões do Brasil, com predominância de infecção por meio das relações sexuais sem uso de preservativo.
Geriatrics studies in Nigeria: systematic review and quality assessment protocol
Authors: Adekunle Adebusoye Lawrence , Olubukola Cadmus Eniola , Oluwasekemi Ojumoola Joy , Oyinlola Oluwagbemiga
Published: January 2024

Introduction: Geriatrics, a specialized medical branch focusing on the health and well-being of older individuals, has gained increasing attention due to the global demographic shift towards an aging population. Despite the significant growth of the older adult population in Nigeria, limited empirical studies hinder the translation of research findings into health and well-being improvements for older adults in the region. Objective: This systematic review will synthesize geriatrics research conducted in Nigeria over the past 6 decades, identifying temporal patterns and research priorities. Methods: Four electronic databases will be searched to identify studies from published and grey literature on geriatrics in Nigeria between 1960 and 2023 and will be reviewed from inception to 2023: PubMed, MEDLINE, Google Scholar, and African Journal Online. The population of interest is older adults aged ≥60 years. The review team comprises primary investigators, content experts, and a subject librarian. Data extraction and analysis will be conducted independently by review authors, and statistical analysis will be performed by experts. Expected results: Depending on the results, we anticipate that this systematic review will help clarify the state of geriatrics studies and services in Nigeria. Relevance: The review will fill research gaps to inform policy directives and interventions in geriatric care by developing evidence-based clinical and policy documents to improve the health and well-being of older adults in Nigeria.
As políticas públicas em educação no contexto do Estado Social-Liberal
Authors: Da Silva Neto Raimundo Beserra , Feitosa Aryadynna Santos , Ferreira Antônio Vinícius Oliveira , Sá Helâny Beatriz de Moura , Araújo Michel Zahn , Machado Herus Orsano , De Sousa Elisângela Alves
Published: January 2024

Este artigo foi produzido com o escopo de analisar e refletir sobre as políticas públicas e investimentos na área da educação pública no contexto do regime político do modelo de Estado Social-Liberal, implantado no Brasil a partir década de 1990. A origem da discussão tem como ponto de partida a transição do Estado de Bem Estar Social para o formato Social-Liberal, e as instabilidades políticas e econômicas que afetaram diretamente a oferta e qualidade de serviços públicos, notadamente na área da educação, apesar das garantias constitucionais e da elaboração de um arcabouço legislativo, que contempla o que há de mais atual para o desenvolvimento dos cidadãos. Nesse contexto, faz-se necessário analisar também o direcionamento econômico que o país adotou com a implantação do novo regime político e as exigências deste no campo educacional, sobretudo para formação de mão de obra qualificada, fato que requer do Estado assumir uma obrigação e superar o assistencialismo educacional. A fim de construir uma argumentação consistente, este artigo foi concebido com base em pesquisa exploratória de tipo bibliográfica; partindo da revisão bibliográfica, buscou-se estabelecer um diálogo com os referenciais teóricos, no intuito de situar historicamente as ações do Estado brasileiro acerca do modelo político utilizado parcialmente ou em sua totalidade e seus resultados para a sociedade, tanto na economia, quanto no aspecto social e educacional. Com o resultado alcançado a partir da comunicação feita com os referencias teóricos, conclui-se que as disputas políticas causadas por agentes internos, a interferência da classe dominante, aliada a uma indefinição sobre qual caminho econômico deve seguir, se a produção ou especulação, prejudicam substancialmente o desenvolvimento educacional; nos cenários de crises, os receios de levantes sociais em determinados momentos implicam em avanços, cujos ciclos não se completam ou são interrompidos abruptamente, não há assim uma continuidade, e novos ciclos se iniciam sem nenhuma correlação com o anterior.
Estranhezas e familiaridades em fricção no sertão nordestino: uma reflexão psicanalítica sobre alteridade
Authors: De Freitas Renato Nogueira , Macêdo Jefferson Alves
Published: January 2024

O ego (Eu) do sujeito atravessa um processo gradativo de desenvolvimento por meio do seu contraste com objetos externos a si, que, muitas vezes, são considerados estranhos, havendo nisso uma importante dimensão de alteridade. O objetivo deste estudo foi desenvolver uma reflexão psicanalítica sobre o conceito de alteridade a partir do seguinte questionamento: “como compreender os desafios e potencialidades presentes na fricção entre estranhezas e familiaridades no meio do sertão nordestino?”. O método de pesquisa utilizado neste estudo foi o de Análise do Discurso (AD), fundado por Michel Pêcheux, tendo como pretensão indagar os sentidos presentes nas diferentes formas de produção, sejam elas verbais ou não-verbais, construindo interpretações de processos discursivos que se interligam com elementos contextuais, como ideologia, história, linguagem e singularidade. Nos resultados e discussões, abordou-se que o Eu se constitui através de uma matriz imaginária de aspectos culturais, atuando como agente articulador das experiências psíquicas, enquanto se movimenta pelo mundo de modo histórico e político, podendo inaugurar uma sexualidade ampliada, que não se reduz à genitalidade, mas que carrega em si a potencialidade de ser atravessada pela diferença existente na alteridade. Portanto, constata-se que os processos friccionais entre estranhezas e familiaridades, que acontecem aqui, no meio do sertão nordestino, são fundamentais para a constituição do sujeito, que se desenvolve continuamente nas trocas de experiências com a alteridade, levando-o ao enfrentamento dos mais diversos desafios e dificuldades, mas também à realização de suas próprias potencialidades.
PREVALENCE, SEVERITY AND ASSOCIATED FACTORS OF URINARY INCONTINENCE IN WOMEN IN RURAL PAKISTAN
Authors: ISMAIL A
Published: January 2024

Urinary incontinence (UI) stands as a prevalent and multifaceted health concern affecting a substantial population of women globally. The basic aim of the study is to find the prevalence, severity and associated factors of urinary incontinence in women in rural Pakistan. This cross-sectional study was conducted in Catchment areas of Rural Health Centres Kangra and Kot Najibullah, District Haripur, Pakistan, from 1st November 2022 to 31st November 2023. Data was collected from 3064 women by using a random sampling technique. Detailed information was retrieved, encompassing demographics (such as age, gender distribution, and menopausal status), medical history (including comorbidities), lifestyle factors (like smoking status and body mass index), and specific UI-related data (including severity, frequency, and associated factors). Data were collected from 3064 female patients suffering from UI. Age, considered as a significant factor, shows a notable increase in UI occurrence with advancing age: 15.7% in the 18-39 age group, 21.3% among those aged 40-59, and a higher prevalence of 32.1% in women aged 60 and above. It is concluded that this study provides significant insights into the prevalence and sociodemographic associations of urinary incontinence (UI) among local women in Pakistan. The findings highlight the complex nature of UI, explaining its varying prevalence across different age groups, educational levels, marital ages, and parity statuses.
THE ROLE OF MICRONIZED PROGESTERONE IN THE PREVENTION OF PRETERM BIRTH IN WOMEN WITH CERVICAL LENGTH GREATER THAN 2.5 CM
Authors: AKHTAR T , REHMAN T , MANSOOR A
Published: January 2024

Preterm birth, defined as the delivery of a baby before 37 weeks of gestation, remains a significant public health concern globally due to its association with adverse neonatal outcomes and long-term health implications. The study's main objective is to find the role of Micronized progesterone in preventing preterm birth in women with cervical length greater than 2.5 cm. This prospective study was conducted in DHQ Teaching Hospital Gujranwala in 2023. Data was collected from 120 female patients. The study population comprises pregnant women with a singleton gestation, cervical length greater than 2.5 cm, and no history of preterm birth. Informed consent is obtained from all participants, and ethical approval is secured from relevant institutional review boards. Micronized progesterone demonstrated a 5% preterm birth rate compared to 10% in the control group (p=0.03). Adherence was high (92%), and adverse events were mild. Birth weight increased in the intervention group. Subgroup analysis revealed consistent preventive effects across various cervical length strata. It is concluded that micronized progesterone supplementation among women with cervical length > 2.5 cm shows promise in reducing preterm birth rates. The safety profile and adherence support its feasibility in routine prenatal care.
Peran Pendidikan Agama Kristen dalam Mengatasi Dampak Penggunaan Teknologi bagi Remaja di era Digital
Authors: Nababan Samuel , Sianturi Emma , Rantung Dyoys Anneke , Naibaho Lamhot , Boiliu Esti Regina
Published: January 2024

This article discusses the significant role of Christian Religious Education in responding to the negative impacts of technology use on adolescents in the digital era. The research focuses on how religious principles, including inner peace, self-control, and meaningful goal-setting, provide a strong foundation for adolescents to confront technological challenges. The research methods involve analyzing the content of Christian religious teachings and case studies to comprehend the concrete impacts on adolescents. The findings affirm that Christian Religious Education can shape adolescent character, guide wise technology use, and provide moral foundations to address digital pressures. The discussion highlights the integration of religious values into adolescent life, the development of critical thinking skills towards digital information, and the strengthening of interpersonal relationships. The conclusion emphasizes the urgency of Christian Religious Education as a holistic solution, enabling adolescent growth in spiritual, moral, and emotional aspects amid the complexities of the digital era. Shaping character, guiding prudent technology use, and instilling moral values make Christian Religious Education key to assisting adolescents in navigating digital challenges with overall balance.
Impact of RMB Exchange Rate Fluctuations on the Performance of Cross-Border Mergers and Acquisitions of High-Tech Enterprises: A Moderated Mediation Model Based on Innovation Input
Authors: Xie Xiaofan
Published: January 2024

Cross-border mergers and acquisitions (M&A) serve as a crucial pathway for the international development of high-tech enterprises. However, currency exchange and foreign exchange transactions are frequent occurrences during cross-border M&A processes, making exchange rate fluctuations significantly influential on the success rate and performance of such endeavors. By analyzing the impact of exchange rate volatility on high-tech enterprises, this study introduces innovation input as a moderating mediating variable. The findings reveal that greater exchange rate fluctuations lead to poorer M&A performance. Moreover, innovation input acts as a mediating variable in the relationship between exchange rate volatility and M&A performance. The study contributes to strategic insights for the international M&A activities of enterprises.
User-Generated Content and Copyright Liability: Assessing the Role of User in Copyright Infringement Detection
Authors: Hu Han
Published: January 2024

User-generated content (UGC) exists in various formats on digital platforms, including images, audio, and videos. The capital market has turned UGC into profitable products, benefiting content creators and game companies. This reciprocal relationship presents opportunities in the digital market. However, due to current legislation and public sentiment, UGCs lack sufficient protection under intellectual property laws. This research aims to investigate the copyrightability of user-generated videos in the game industry. Specifically, it seeks to justify the copyright protection of user-generated game videos and propose potential solutions. Furthermore, this paper acknowledges live streaming recordings as a distinct type of game video. The entertainment industry's exponential growth, especially in video games, has sparked a surge in game live streams and videos among gamers. However, this has also led to copyright infringement issues, particularly with fair use defenses. The Copyright Act of 1976 grants exclusive rights, and game videos and live streams infringe on reproduction, display, public performance, and distribution rights. While recognizing the social value, the current statutory framework, like the DMCA, is ineffective. Implementing improvements like a new compulsory license would address copyright issues and foster creativity. A flexible legal standard allowing commercial and fair use would promote economic development, social harmony, and cultural enrichment, while failure to do so could hinder freedom of expression and innovation.
Sustainability Management: A Review of ESG Principles and Policies in Investment
Authors: Lo Sing On
Published: January 2024

Since numerous nations commit to achieving carbon neutrality by 2050, there is a need to examine the implications of Environmental, Social, and Governance (ESG) principles on investment decisions. This research emphases on the violation of investment principles regarding ESG factors, specifically in relation to the maximisation of shareholders' wealth. Additionally, this paper explores the reasons behind banks considering the cessation of investments in corporations that have pledged to cut carbon emissions, despite the evidence of a positive correlation between sustainable management and stock performance. Moreover, there are concerns among many that ESG practises may be fraudulent and merely a form of greenwashing, lacking the ability to convince shareholders to consider sustainability. In this study, the primary challenges that arise in relation to ESG factors are considered, and the author also assesses the insufficient outcomes in this field that necessitate additional investigation into the actual effectiveness of ESG in promoting sustainability. ESG framework offers long-term benefits to both shareholders and stakeholders, as opposed to focusing on short-term outcomes and results. It is essential to demonstrate the significance of ESG practises and results in order to prove their value to investors. While ESG firms are more likely to withstand challenging circumstances, they may not necessarily outperform other stocks in a thriving macroeconomy.
The Influence of Artificial Intelligence on Retail Marketing
Authors: Wang Zexuan
Published: January 2024

The incorporation of Artificial Intelligence (AI) into the realm of retail marketing signifies a significant and transformative change within the sector. This paper provides a thorough examination of the rising role of AI in the field of retail marketing, highlighting its transformative impact on customer engagement and operational effectiveness. Through a methodical examination of research articles and industry reports, the paper has discovered the diverse impact of AI on various aspects of the retail business. These include data-driven decision-making, insights into customer behavior, the enhancement of omnichannel experiences, as well as the optimization of inventory and pricing strategies. Furthermore, the paper examines the significant obstacles that AI implementation in the retail industry encounters, encompassing concerns related to data protection, financial constraints, and the ever-changing legal and ethical environment. The continuous progress of AI technology is leading to a growing recognition of its capacity to revolutionize retail marketing. This trend highlights the significance of integrating AI into retail operations, as it is no longer merely a strategic option but a necessary requirement for achieving success and maintaining a competitive edge in the industry.
WTO E-commerce Negotiations: A Path to the Multilateral Digital Trade Rules
Authors: Kang Shurui
Published: January 2024

A sustainable digital market hinges on digital trade rules. Yet, these rules, currently dispersed across various Regional Trade Agreements, and the conventional trade agreements of the WTO can barely align with the rapid growth of digital trade. In 2019, the WTO Plurilateral negotiation on E-commerce opened a new avenue for a multilateral digital trade agreement. This study compares three typical templates of digital trade rule within RTAs and analyzes proposals from developed and developing economies in WTO e-commerce negotiation. It seeks to reveal and resolve critical challenges in forming multilateral digital trade agreements, including concept confusion, the digital divide, and differences in regulatory requirements of data. With the opportunities presented by the WTO's E-commerce negotiations, each party shall focus on defining related concepts of digital trade to ensure clarity, incorporate discussions on technical assistance for LDCs to guarantee digital equality, engage proactively in plurilateral negotiations on data flow security and personal information protection, to formulate digital trade rules that address the regulatory concerns of all parties.