bluuebunny/crossref_metadata_2025 huggingface dataset:
PEDAGOGICAL CONDITIONS OF GAME MODELING IN THE MILITARY EDUCATION PROCESS OF HIGHER MILITARY EDUCATION INSTITUTIONS
Authors: Muxitdinovich Xushvaktov Babur ,   Deputy head of the General Directorate of Personnel of the Ministry of Defense of the Republic of Uzbekistan
Published: July 2024

This article aims to highlight the pedagogical conditions for modeling the game in the process of military education and training in the preparation of cadets of higher military educational institutions for future professional activities. Including the fact that this article is currently carrying out modernization work aimed at improving the quality of education in the educational system of our republic and establishing a new approach to its organization, religious tolerance and interethnic harmony in the cadres of the new generation, spiritual perfection, spiritual and intellectual, independent thinking, has a strict life position, has a deep understanding of democratic reforms and, the effectiveness of the implementation of the model of training cadets of a higher military educational institution has been cited such as providing a combination of pedagogical conditions, the formation of educational and cognitive activity of cadets through the use of Game modeling, the introduction of the process of development of knowledge, training using game modeling.
EXPLORING THE SIMILARITIES AND DIFFERENCES IN THE LACUNAE OF KHALID HOSSEINI'S WORKS
Authors: Ayjamal Matenova ,   PhD student, National university of Uzbekistan
Published: July 2024

This article explores the similarities and differences in the lacunae present in the works of acclaimed author Khalid Hosseini, focusing on his novels "The Kite Runner" and "A Thousand Splendid Suns." Through a thematic analysis of memory and identity, silence and voice, and love and redemption, common threads and distinct elements in the lacunae of his narratives are identified. The examination reveals that both novels delve deep into themes of memory and identity, highlighting the universal struggle for self-discovery and redemption. Additionally, the exploration of silence and voice underscores the power dynamics within relationships and societies, while the themes of love and redemption illuminate the transformative potential of human connections. By juxtaposing the similarities and differences in the lacunae of Hosseini's works, this study provides insights into the thematic richness and narrative complexity of his storytelling, offering a poignant reflection on the enduring quest for meaning, connection, and hope in the face of personal and societal challenges.
SANITATION-SAFETY- PLANNING (SSP), THE NEXUS FOR CLIMATE RESILENCE, SANITION AND HEALTH IN BAYELSA STATE
Authors: Oyibo Charles ,   Department of Environmental Management, Niger Delta University, Wilberforce Island, Bayelsa State-Nigeria, Paminola Walson , Ere Wakedei , Osoru-Jenkins Mary ,   Environmental Health Essentials, Yenagoa, Bayelsa State – Nigeria,   Department of Climate Change, Ministry of Environment, Bayesla State -Nigeria,   Department of Environmental Management, Niger Delta University, Wilberforce Island, Bayelsa State-Nigeria
Published: July 2024

In recorded human history, climate-related hazardous events have always existed; however, climate change has proved to have the potential to increase their severity and the likelihood of creating public health risks. In Bayelsa State, a sizable portion of the population has been reported to be suffering from gastrointestinal disorders particularly diarrhea and a number of children have been diagnosed of gastroenteritis and helminthes infections in the year 2021. Again, preventing exposure and contact to human waste, especially in dense urban settings requires the safe management of the entire sanitation service chain involving multiple actors and exposed groups in the collection, transport, treatment, disposal and end use of sanitation waste. To that end, a review of scientific literature, particularly the Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report (IPCC, 2014), the WHO discussion Paper on Climate, Sanitation and Health (WHO, 2019) and the Bayelsa State SSP zero draft of 2021, is undertaken to ensure that climate change outcomes are considered within the Sanitation Safety Planning (SSP) risk assessment, planning and management processes. The SSP is a WHO risk based management tool for the safe use and disposal of grey water, wastewater and excreta developed in 2006 because in 2018 the WHO concluded that sanitation interventions have shown lower than expected health outcomes. Evidently therefore, the Bayelsa State SSP zero draft of 2021 reports that between March and April 2021, over 200 cases were reported from over 30 communities arising from the outbreak of acute-gastroenteritis suspected to be of cholera, and casualty figures were over 26. Hopefully, the first comprehensive Guidelines on Sanitation and Health which aim to provide evidence-based recommendations and offer guidance to ensure international, national and local sanitation policies and programmes that effectively protect public health, was launched by the WHO in 2018. It is a step-by-step risk based approach to implementing local level risks assessment and a management tool for the entire sanitation service chain covering containment, conveyance, treatment and end use of disposal. Consequently, the SSP is hereby recommended for adoption in Bayelsa State and Niger Delta Region.
Baş Boyun Kanserlerinde Patolojik Tanıdan Tedaviye Güncel Yaklaşım
Authors: Orhan Kubat Gözde , Tulacı Tuğba , Tulacı Kamil Gökçe , Tüysüz Ozan , Akıner Umur , Yıldız Erkan , Şevik Eliçora Sultan , Çufalı Ömer Faruk , Yağmur Ali Rıza , Selçuk Ömer Tarık , Gündoğdu Yavuz , Aydın Şükrü , Sevil Ergün , Kar Murat , Günizi Hüseyin , Günizi Özlem Ceren , Karataş Duran , Aydın Savaş Seçkin , Demir İsmail , Arslan Seda , İlhan Ethem , Tekin Ahmet Mahmut , Tulğar Meltem , Gündüz Öznur , Akbal Çufalı Şeyda , Çelik Turgut , Güllüev Mustafa , Kumbul Yusuf Çağdaş , Sizer Bilal , Cebeci Derya , Akyol Şen Elif , Kavaz Uştu Esra , Kınar Abdullah , Yücedağ Fatih , Sungur Ali Can , Çeçen Ayşe , Ünal Asude
Published: July 2024

Kulak Burun Boğaz bölgesi kanser olarak yaygın ve geniş bir alan olup multidisipliner yaklaşım ve tedavi gerektirmektedir. Eserimizde Baş boyun bölgesi kanserlerine güncel bir yaklaşım ile sınıflamadan tedaviye düzensel bir yaklaşım içinde oluşturmayı hedefledik. Başta Türk Kulak Burun Boğaz hastalıkları camiasına ve Türk tıp dünyasına bu kitabın kazandırılmasından ve faydalı olmasını umuyoruz.
Nazofarenks Kanserine Yaklaşım
Gözde ORHAN KUBAT
Paranazal Sinüs Malignitelerine Yaklaşım
Tuğba TULACI
Kamil Gökçe TULACI
Nazal Kavite Tümörleri
Ozan TÜYSÜZ
İnverted Papillom
Caner ŞAHİN
Olfaktör Nöroblastom (ESTHESIONEUROBLASTOM) Yaklaşım
Umur AKINER
Jüvenil Anjiofibroma Yaklaşımı
Erkan YILDIZ
Dudak Kanserleri Yaklaşım
Sultan ŞEVİK ELİÇORA
Oral Kavite Kanserlerine Yaklaşım
Ömer Faruk ÇUFALI Ali Rıza YAĞMUR
Orofaringeal Kanserler
Ömer Tarık SELÇUK
Larenks Bölgesi Tümörlerinin Patolojik Özellikleri
Yavuz GÜNDOĞDU
Hipofarinks Kanserlerine Yaklaşım
Şükrü AYDIN
Supraglottik Larenks Kanserleri Yaklaşımı
Ergün SEVİL
Glottik Kanserlere Yaklaşım
Murat KAR
Subglottik Larenks Kanserleri ve Tedavi Yaklaşımları
Hüseyin GÜNİZİ
Özlem Ceren GÜNİZİ
Özofagus Kanserleri
Duran KARATAŞ
Kutanöz Malign Melanoma Yaklaşım
Seçkin AYDIN SAVAŞ
Mukozal Melanom
Caner ŞAHİN
Baş Boyun Lenfomalarına Yaklaşım
İsmail DEMİR
Benign Tükürük Bezi Tümörlerine Yaklaşım
Seda ARSLAN
Tükrük Bezi Malign Neoplazmları
 Ethem İLHAN
Vestibüler Schwannom Yaklaşım
Ahmet Mahmut TEKİN
Dış Kulak Tümörleri
Meltem TULĞAR
Baş Boyun Cildi Melanom Dışı Kanserleri
Öznur GÜNDÜZ
Şeyda AKBAL ÇUFALI
Baş Boyun Paragangliomalarında Tedavi Yaklaşımı
Turgut ÇELİK
Baş-Boyun Yumuşak Doku Sarkomları
Mustafa GÜLLÜEV
Baş-Boyun Kemik Sarkomları
Yusuf Çağdaş KUMBUL
Tiroid Diferansiye Tümörleri Yaklaşımı
Bilal SİZER
Medüller Tiroid Kanserine Yaklaşım
Derya CEBECİ
Anaplastik Tiroid Kanseri
Elif AKYOL ŞEN
Boynun Primeri Bilinmeyen Metastatik Kanserleri
Esra KAVAZ UŞTU
Parafarengeal Alan Kitleleri
Abdullah KINAR
Temporal Kemik Tümörlerine Yaklaşım
Fatih YÜCEDAĞ
Baş Boyun Kanserlerinde Boyuna Yaklaşım
Ali Can SUNGUR
Baş Boyun Tümörlerinde Genel Radyoterapi İlkeleri ve Güncel Yaklaşımlar
Ayşe ÇEÇEN
Baş Boyun Tümörlerinde Genel Kemoterapi İlkeleri
Asude ÜNAL
Makine Elemanları
Authors: Filiz İ. Hüseyin
Published: July 2024

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New triazinephosphonate dopants for Nafion proton exchange membranes (PEM)
Authors: Teixeira Fátima C , Teixeira António P S , Rangel C M
Published: July 2024

A new paradigm for energy is underway demanding decarbonized energy systems. Some of them rely on emerging electrochemical devices, crucial in hydrogen technologies, including fuel cells, CO2 and water electrolysers, whose applications and performances depend on key components such as their separators/ion-exchange membranes. The most studied and already commercialized Nafion membrane shows great chemical stability, but its water content limits its high proton conduction to a limited range of operating temperatures. Here, we report the synthesis of a new series of triazinephosphonate derivatives and their use as dopants in the preparation of new modified Nafion membranes. The triazinephosphonate derivatives were prepared by substitution of chlorine atoms in cyanuric chloride. Diverse conditions were used to obtain the trisubstituted (4-hydroxyphenyl)triazinephosphonate derivatives and the (4-aminophenyl)triazinephosphonate derivatives, but with these amino counterparts, only the disubstituted compounds were obtained. The new modified Nafion membranes were prepared by casting incorporation of the synthesized 1,3,5-triazinephosphonate (TPs) derivatives. The evaluation of the proton conduction properties of the new membranes and relative humidity (RH) conditions and at 60 °C, showed that they present higher proton conductivities than the prepared Nafion membrane and similar or better proton conductivities than commercial Nafion N115, in the same experimental conditions. The Nafion-doped membrane with compound TP2 with a 1.0 wt % loading showed the highest proton conductivity with 84 mS·cm−1.
Polymer degrading marine Microbulbifer bacteria: an un(der)utilized source of chemical and biocatalytic novelty
Authors: Zhong Weimao , Agarwal Vinayak
Published: July 2024

Microbulbifer is a genus of halophilic bacteria that are commonly detected in the commensal marine microbiomes. These bacteria have been recognized for their ability to degrade polysaccharides and other polymeric materials. Increasingly, Microbulbifer genomes indicate these bacteria to be an untapped reservoir for novel natural product discovery and biosynthetic novelty. In this review, we summarize the distribution of Microbulbifer bacteria, activities of the various polymer degrading enzymes that these bacteria produce, and an up-to-date summary of the natural products that have been isolated from Microbulbifer strains. We argue that these bacteria have been hiding in plain sight, and contemporary efforts into their genome and metabolome mining are going to lead to a proliferation of Microbulbifer-derived natural products in the future. We also describe, where possible, the ecological interactions of these bacteria in marine microbiomes.
The Influence Of Experience, Satisfaction And Service Quality On Word Of Mouth Intentions And Customer Loyalty
Authors: Sutriani Sutriani , Muslim Muslim , Ramli Abdul Haeba
Published: July 2024

Customer satisfaction is very important for business because high customer satisfaction will increase company profits. The aim of this research is to examine service quality, where positive service quality has major implications for customer assessment, has an impact on customer satisfaction and customer satisfaction itself has an influence on customer loyalty and word of mouth intentions. This research used a purposive sampling method involving 150 non-local fashion brand customers from Tangerang and Jakarta. Data analysis uses Structural Equation Modeling (SEM). This research produces findings including that customer experience has a negative effect on customer loyalty, service quality has a positive effect on customer satisfaction which ultimately has a positive effect on customer loyalty and word of mouth intentions. There are several limitations to this research, including only using one industry as the research object, an online questionnaire distribution system and the need to add other variables to expand the findings so that it is hoped that future researchers can fill these gaps.
Keywords: Customer Satisfaction, Customer Experience, Service Quality, Customer loyalty, Word Of Mouth (WOM)
Developing an Integrated Smart Model to Enhance the Efficacy of Stock Market Prediction by Leveraging XGBoost and Long Short-Term Memory Networks
Authors: Goen Arnav
Published: July 2024

A well-known economic tactic, the stock exchange has emerged as a crucial testing ground for the rapidly developing science of machine learning (ML). Stock prices can be predicted by using machine learning (ML) to analyse several aspects of the behaviour of the stock market. Given that stock prices are dynamic and influenced by real-time events, they cannot be predicted. However, deep learning algorithms can easily handle intricate data given in different patterns of stock prices.
Plano de pós-parto para gestantes e puérperas: produção de material educativo
Authors: Silva Isabelle Wengler , Silva Carla Marins , Lettiere-Viana Angelina , Brito Ana Paula Almeida , Cirico Michelli Oliveira Vani , Glavina Wellery Stefany Nunes , Ferreira Fernanda Marçal , Tomaz Raquel Gomes de Oliveira
Published: July 2024

Resumo Objetivo Desenvolver e validar material educativo para a construção de um plano de pós-parto pela mulher no ciclo gravídico-puerperal, com ou não profissionais da saúde. Métodos Estudo metodológico, organizado em três etapas. 1) Análise e seleção de conteúdo, elaboração teórica do projeto e adaptação na linguagem; 2) Produção do material, com elaboração do design gráfico e projeto ilustrativo; 3) Validação com sete juízes nas áreas de saúde da mulher e educação em saúde. A coleta de dados foi executada com a aplicação de um questionário de caracterização e o Suitability Assessment of Materials for evaluation of health-related information for adults (SAM). A análise se deu por estatística descritiva e Índice de Validade de Conteúdo, sendo considerados aprovados os itens que apresentassem valor igual ou superior a 0,80. Resultados O plano de cuidado intitulado “Meu plano de pós-parto” apresentou ótima aceitação e confiabilidade, evidenciado por um Índice de Validade de Conteúdo global de 0,98. As principais sugestões apresentadas foram a respeito da adaptação da escrita para uma linguagem mais simples e acessível, sendo estas aceitas pelas autoras. Os especialistas apontaram a importância e relevância do plano de pós-parto para o público-alvo. Conclusão O material demonstrou ser um instrumento válido e confiável para a utilização das mulheres durante o ciclo gravídico puerperal, favorecendo uma reflexão sobre os cuidados e preparo precoce para enfrentamento deste período.
Estratégias de gestores no cuidado com idosos dependentes em domicílio no Brasil
Authors: Gonçalves Jonas Loiola , Silva Raimunda Magalhães da , Minayo Maria Cecilia de Sousa , Vieira Luiza Jane Eyre de Souza , Bezerra Indara Cavalcante , Brasil Christina César Praça , Saintrain Maria Vieira Lima , Guimarães José Maria Ximenes
Published: July 2024

Resumo Objetivo Investigar as estratégias utilizadas por gestores da saúde no Brasil para o cuidado com o idoso dependente atendido no domicílio. Métodos Pesquisa qualitativa, com aporte na hermenêutica, numa perspectiva compreensiva acerca do cuidado com o idoso em domicílio. Participaram 16 gestores atuantes na Atenção Primária à Saúde e programas específicos da saúde do idoso das cinco regiões brasileiras. A coleta de dados ocorreu entre junho e setembro de 2019, com entrevistas semiestruturadas, e os dados foram sistematizados e consolidados em duas temáticas, à luz da hermenêutica. Resultados Para a consolidação e a melhoria do cuidado domiciliar com os idosos, os gestores articularam práticas de educação em saúde; mapearam as vulnerabilidades; implantaram fluxos e protocolos de atenção e realizaram grupos de apoio comunitários e de promoção à saúde, além de práticas integrativas e complementares. Conclusão Destacam-se múltiplas estratégias no cuidado com o idoso dependente em domicílio, como ações de educação em saúde, individuais e coletivas, tais como processos gerenciais do trabalho, em que o gestor desempenha papel fundamental no desenvolvimento das ofertas à população idosa.
Postpartum plan for pregnant and postpartum women: production of educational material
Authors: Silva Isabelle Wengler , Silva Carla Marins , Lettiere-Viana Angelina , Brito Ana Paula Almeida , Cirico Michelli Oliveira Vani , Glavina Wellery Stefany Nunes , Ferreira Fernanda Marçal , Tomaz Raquel Gomes de Oliveira
Published: July 2024

Abstract Objective To develop and validate an educational material for the construction of a postpartum plan by women in the pregnancy-puerperal cycle, with or without health professionals. Methods Methodological study, organized in three stages. 1) Content analysis and selection, theoretical elaboration of the project and language adaptation; 2) Production of material, with preparation of graphic design and illustrative project; 3) Validation with seven judges in the areas of women’s health and health education. Data collection was carried out using a characterization questionnaire and the Suitability Assessment of Materials for evaluation of health-related information for adults (SAM). The analysis was carried out using descriptive statistics and Content Validity Index, with items that presented a value equal to or greater than 0.80 being considered approved. Results The care plan entitled “My postpartum plan” showed excellent acceptance and reliability, evidenced by an overall Content Validity Index of 0.98. The main suggestions presented were about adapting the writing to a simpler and more accessible language, which were accepted by the authors. Experts highlighted the importance and relevance of the postpartum plan for the target audience. Conclusion The material proved to be a valid and reliable instrument for use by women during the pregnancy and puerperal cycle, encouraging reflection on care and early preparation to face this period.
Impacto de un Programa de Intervención Lectora en Niños de Educación Básica de Escuelas Públicas
Authors: Tixi Sotamba Javier Patricio , Piedra Martinez Elisa
Published: July 2024

La lectura es una habilidad fundamental para el aprendizaje y el desarrollo integral de los niños. Las dificultades lectoras pueden tener consecuencias negativas en su trayectoria académica y personal, por lo que es importante identificarlas y brindar intervención temprana. El objetivo de este estudio es analizar el rendimiento lector después de la aplicación de un programa de intervención. La muestra estuvo compuesta por 52 niños de educación básica, que acuden a escuelas fiscales rurales, pertenecientes a zonas socioeconómicas media baja, sin déficit intelectual, físico, psíquico o sensorial. El programa constó de 40 sesiones de 60 minutos de duración cada una, con una evaluación pre y post intervención realizada con el PROLEC-R. Los resultados indican que en los diferentes índices lectores existieron ganancias significativas pre -post intervención (p < .05) y con tamaños del efecto (d) entre altos y moderados en la mayoría de las variables.  En conclusión, los resultados de este estudio indican la eficacia de la intervención basada en la instrucción sistemática en conciencia fonológica, el conocimiento alfabético, el vocabulario, la fluidez y la comprensión lectora
Necesidad de una Cultura Ambiental y la Posibilidad de Fortalecerla desde el Ámbito Escolar
Authors: Leal Orduña Luz Dary
Published: July 2024

El siguiente artículo es producto de la reflexión consiente de la problemática ambiental que enfrenta nuestro planeta y la posibilidad transformadora que tiene la educación para asumirla y generar cambios significativos en el presente y futuro inmediato. Inicialmente se describe la crisis ambiental desde la perspectiva de la acción y responsabilidad del ser humano, como el principal de explotador de la naturaleza.  Se reconoce la labor de diversos grupos y organizaciones por proteger la naturaleza y sus recursos para el presente y futuras generaciones, haciendo énfasis en que estos esfuerzos no son suficientes o no se les ha prestado la atención que merecen. El articulo sostiene que para generar cambios y transformaciones reales es necesario replantear las metodologías de enseñanza y aprendizaje. En este sentido, se destaca el papel crucial que tiene la educación para generar una cultura ambiental consciente y profunda que desencadene en jóvenes capaces de promover estilos de vida sostenibles y ejercer una influencia positiva en sus familias y comunidades.
The effect of the distance between the trunks of horizontal oil wells on their productivity
Authors: Serikbayev Ye.A. ,   Korkyt Ata Kyzylorda University, Seitzhanov S.S. , Suleymanov N.S. , Tanzharikov P.A. , Abildaev N.A. ,   Korkyt Ata Kyzylorda University,   Korkyt Ata Kyzylorda University,   Korkyt Ata Kyzylorda University,   Korkyt Ata Kyzylorda University
Published: July 2024

The article deals with a uniform fan arrangement on a circular formation with different distances from its center to the entrance to the formation of the initial section of horizontal trunks. This problem was solved by creating a geological and mathematical model of a circular formation drained by horizontal wells of different lengths and working with the same depression on the formation. When horizontal wells are fanned out on a circular formation, their productivity is significantly affected by the distance from the center of the circle to the entrance of the trunk into the productive formation. The degree of influence of the distance from the center of the circle to the entrance of the horizontal shaft into the formation depends on: the capacitive and filtration properties of the productive formation; the magnitude of depressions created in wells; the design of the horizontal section; the heterogeneity of the formation in thickness and area; the radius and angle of the sector drained by wells and the completeness of the sector opening.
Analysis of carbon dioxide disposal methods to reduce greenhouse gases
Authors: Khusain B. ,   JSC “Kazakh Institute of Oil and Gas”, Kenessary A. , Narimanov Y. , Ismailova J. , Delikesheva D. ,   JSC “Kazakh Institute of Oil and Gas”,   JSC “Kazakh Institute of Oil and Gas”,   Satbayev University,   Satbayev University
Published: July 2024

The practice of capturing, storing and utilizing CO2 is becoming key to developing sustainable energy and industrial solutions. The technology promotes the use of fossil fuels, which remain the predominant source of energy worldwide. The effectiveness of the technology is evident in the reduction of CO2 levels in the atmosphere, a significant contribution to the reduction of global greenhouse gas (GHG) emissions and the fight against climate change. However, a notable concern in the realm of geological storage revolves around the potential leakage of CO2 from storage reservoirs. Carbon dioxide has the capability to migrate from the storage site, reaching both the surface and underground formations. Surface leakage presents health risks to humans, animals, and plants. The solution to this problem requires a detailed approach and should be solved through an inverse problem, in which pressure measurements in monitoring wells will be performed frequently to obtain information about the reservoir and possible leaks. Additionally, there are a number of issues with carbon dioxide leakage during oil and gas extraction, as well as various operations at fields. Emphasizing the monitoring of CO2 leakage, this paper underscores the importance of developing an algorithm designed to proactively prevent CO2 leakage in aquifers and depleted reservoirs. Such an initiative is pivotal in the broader context of mitigating greenhouse gas emissions. The paper offers an overview of methodologies for effective monitoring, management and modeling of CO2 leakage and practical approaches to calculation and assessment, contributing to a more complete understanding of the challenges associated with CO2 storage.
Brachial - ankle pulse wave velocity in patients with rheumatoid arthritis
Authors: Van Nguyen Hoang Thanh ,   Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam, Trai Pham Minh , Linh Pham Thi Ngoc , Tien Hoang Anh ,   Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam,   Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam,   Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue City, Vietnam
Published: July 2024

Objective. To evaluate brachial-ankle pulse wave velocity (baPWV) in patients with rheumatoid arthritis (RA); and find out the relationship between baPWV and risk factors, disease-related factors, some echocardiographic indicators. Methods. A cross-sectional study was conducted on 47 patients with RA who were admitted to the Hue University Hospital Department of Cardiology. A control group that included 34 patients without RA who agreed to participate in the investigation was enrolled. Results. The average baPWV of the RA group was 1736.6±436.8 cm/s and was higher than that of the control group (1275.8±224.2 cm/s), p<0.001. There were moderate correlations between baPWV and the SCORE index (r=0.583, p<0.001). With the same risk factors such as age, gender, obesity, hypertension, and smoking, the baPWV of the RA group was higher than the control group. There were moderate correlations between baPWV and velocity A (r=0.562, p<0.001), E/e’ ratio (r=0.394, p=0.006), E/A ratio (r= -0.449, p=0.002), septal e’(r = -0.488, p<0.001), lateral e’(r= -0.397, p= 0.006). Conclusion. RA is associated with increased arterial stiffness compared to subjects without RA.
A case report on overlap syndrome: diagnostic and management challenges
Authors: Simon Jibin ,   Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India, Saranya C , Indhumati E , Ananthakumar PK , Sivasamy Manoj , Bose Sharan ,   Department of Rheumatology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,   Department of Nephrology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,   Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,   Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India,   Department of General Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
Published: July 2024

Overlap syndromes are inflammatory rheumatic conditions in which patients show clinical manifestations suggestive of multiple distinct immune diseases. This case report discusses a complex instance involving Sjögren’s disease, rheumatoid arthritis (RA), and systemic lupus erythematosus (SLE) in a woman in her 30s. Lupus nephritis, a severe kidney inflammation associated with SLE, and diffuse alveolar hemorrhage (DAH), a life-threatening lung complication characterized by bleeding into the alveolar spaces, further complicated her clinical course. Initially presenting with acute lower limb pain, swelling, and rash, suggesting systemic involvement beyond RA, laboratory findings of hypocomplementemia and renal involvement raised suspicion of SLE. The subsequent development of polyserositis, mesenteric vasculitis, and DAH underscored the complexity of her condition. This case highlights the importance of a holistic approach that integrates clinical expertise, advanced diagnostics, and tailored therapeutic interventions to optimize patient outcomes. Early recognition and prompt management of complications are crucial in mitigating morbidity and improving prognosis, emphasizing the need for vigilant monitoring and interdisciplinary collaboration in the management of connective tissue diseases.
Temporal dynamics of Th17 responses to Candida albicans in rheumatoid arthritis: Implications for immunity and treatment
Authors: Handayani Sri ,   Departement of Midwifery of Aisyiyah Surakarta University, Indonesia, Mustofa Mustofa ,   Integrated Education Building, Faculty of Medicine, Brawijaya University, Saiful Anwar Academic General Hospital, Malang, Indonesia,   Departement of Midwifery of Aisyiyah Surakarta University, Indonesia
Published: July 2024

Rheumatoid arthritis (RA) is a chronic autoimmune disorder characterized by symmetrical polyarthritis and systemic inflammation. Recent studies have highlighted the critical role of the Th17/IL-17 axis in RA pathogenesis, with elevated Th17 cell frequencies and IL-17 production contributing to disease progression. Candida albicans, a commensal fungus residing in mucocutaneous surfaces, relies on Th17-mediated immunity for protection against mucocutaneous candidiasis. However, RA patients exhibit impaired Th17 responses, increasing their susceptibility to C. albicans infections. This review examines the temporal dynamics of Th17 responses to C. albicans in RA patients, analyzing the expression trends of Th17 and regulatory T cells (Tregs) over 12, 24, and 48 hours. Findings indicate that RA patients have a diminished initial Th17 response, inadequate IL-17 production at peak activity, and sustained immune dysfunction, leading to compromised fungal clearance. Additionally, biologic therapies targeting the Th17/IL-17 pathway, while effective for RA symptom management, may exacerbate infection risks. Understanding these dynamics is crucial for developing strategies that enhance antifungal immunity without aggravating RA symptoms. Further research is essential to optimize treatment protocols that balance antifungal defenses and autoimmune regulation.
Impact of Sharia Kur financing on performance of MSMEs financing of Indoensian Syariah Banking
Authors: Hsb Sarmania , Syahbudi Muhammad , Yanti Nursantri
Published: July 2024

Financing for Micro, Small and Medium Enterprises (UMKM) has an important role in the local economy, especially in rural areas such as Gunung Tua, North Padang Lawas. Bank Syariah Indonesia (BSI) Gunung Tua Sub-Branch Office (KCP) provides Sharia People's Business Credit (KUR) financing to support MSMEs in increasing working capital and investment. This research aims to examine the impact of KUR Syariah financing on the Performing Financing of UMKM under the guidance of BSI KCP Gunung Tua. The research method used is mix method with a case study approach. Data was collected through in-depth interviews with KUR Syariah BSI KCP Gunung Tua managers and UMKM owners who received financing, as well as through direct observation and analysis of related documents. The research results show that KUR Syariah financing from BSI KCP Gunung Tua has a positive impact on increasing UMKM Financing Performance. The socialization and information dissemination strategy carried out by BSI KCP Gunung Tua has succeeded in increasing UMKM awareness and interest in KUR Syariah financing. An easy and transparent financing process and the implementation of a strict monitoring system also support the effectiveness of this financing. KUR Syariah financing from BSI KCP Gunung Tua not only provides the capital needed by UMKM, but also plays an important role in the economic empowerment of UMKM and local communities. By continuing to improve marketing and service strategies, BSI can continue to be a reliable partner for UMKM in developing their businesses.
Processos tecnológicos
Authors: Paiva Valnice de Sousa , Junior Arnaud  Soares de Lima
Published: July 2024

Este estudo examina o papel fundamental do brincar livre na infância, considerando seus desafios contemporâneos face ao avanço tecnológico e mudanças culturais. Destaca como jogos, brinquedos e brincadeiras tradicionais estão sendo impactados pela redução de espaços públicos seguros para a atividade infantil e pela ascensão de Tecnologias Digitais da Informação e Comunicação (TDIC). Assim, a pesquisa-ação participativa apresentada objetiva promover o brincar livre, sobretudo em espaços públicos, com vistas à conscientização dos envolvidos sobre a importância e potencial das brincadeiras tradicionais para o protagonismo infantil e desenvolvimento humano. Ao enfatizar o brincar livre como um direito da criança, essencial para seu desenvolvimento físico, mental, cognitivo e emocional, também sublinha como brincadeiras tradicionais podem promover a educação socioambiental e cidadã, e combater o consumismo desde a infância. No âmbito dos processos tecnológicos, a pesquisa destaca sua natureza criativa e transformadora, não se limitando a instrumentos materiais, adaptando-os a diferentes contextos sociais e humanos. O estudo também aborda a natureza comunicativa das TDIC, destacando a importância do diálogo entre assuntos enunciativos e a multiplicidade de sentidos no processo comunicativo.
Texto para Discussão 2928
Authors: Ogino Cristiane Mitie , Gasques José Garcia , Vieira Filho José Eustáquio Ribeiro
Published: July 2024

Em 2022, os preços internacionais de fertilizantes minerais atingiram patamares elevados, causando preocupação no mercado agrícola. Diante desse contexto, o objetivo foi analisar o comportamento do mercado de fertilizantes minerais na produção agrícola brasileira. Por meio do modelo autorregressivo vetorial estrutural (SVAR), examinou-se a relação entre preço de importação dos fertilizantes minerais, quantidade entregue de fertilizantes minerais, atratividade de exportação das commodities, área plantada e quantidade agrícola produzida. A análise da função impulso-resposta indicou que um choque no preço de importação de fertilizantes impacta negativamente a quantidade entregue do insumo. Ademais, encontrou-se que um choque na quantidade entregue desse material impacta positivamente a quantidade agrícola produzida. Os resultados evidenciaram a importância de planos estratégicos no setor de fertilizantes para o amparo da segurança alimentar no Brasil.
Texto para Discussão 2930
Authors: Carvalho Carlos Henrique Ribeiro de
Published: July 2024

Este trabalho procurou identificar as variáveis socioeconômicas, urbanísticas e de mobilidade que explicam a maior ocorrência relativa de viagens por transporte público coletivo urbano (TPU), transporte individual motorizado (TI) e transporte não motorizado (TNM) em São Paulo (SP). As evidências foram trabalhadas a partir dos dados da pesquisa Origem e Destino de SP. Observou-se que bairros mais densos e com maior diversidade de empregos e matrículas favorecem o uso do transporte público e do TNM. Locais com maior proporção de empregos formais também apresentam maior uso do TPU. Por sua vez, a renda é um fator importante para definição da matriz modal, com favorecimento do TI nas regiões mais ricas. Nas regiões-dormitório, predominantemente residenciais, ainda prevalece o TPU, mas, com o aumento da taxa de motorização e o processo de gentrificação dos bairros, há impacto forte a favor do TI. Há algumas indicações de políticas públicas no âmbito urbanístico e econômico no sentido de priorizar o TPU e o TNM a fim de chegar a políticas de mobilidade sustentáveis.
Texto para Discussão 2933
Authors: Policarpo Mariana Aquilante , Sambuichi Regina Helena Rosa , Alves Fábio , Gualdani Carla , Pacífico Daniela Aparecida
Published: July 2024

A Política Nacional de Agroecologia e Produção Orgânica (PNAPO) foi criada em 2012 com o objetivo principal de integrar, articular e adequar as ações governamentais que visam à promoção da agroecologia e da produção orgânica no Brasil. O Programa Nacional de Bioinsumos (PNB) foi instituído em 2020 a fim de ampliar e fortalecer a utilização de bioinsumos no país. A necessidade de criação do PNB foi levantada durante as discussões promovidas ao longo da implementação da PNAPO, sendo que a criação desse programa foi incluída entre as ações previstas para esta política. Este trabalho resgata o contexto de surgimento do PNB no âmbito das estratégias da PNAPO e os principais resultados dos seus primeiros anos de implementação para compreender até que ponto os rumos tomados pelo programa, após a sua instituição, estão contribuindo ou não para os objetivos desta política. Além disso, o estudo propõe identificar oportunidades para que o PNB possa efetivamente contribuir com a PNAPO, maximizando seus benefícios para o desenvolvimento e fortalecimento da agricultura orgânica e agroecológica do Brasil. A metodologia utilizada baseou-se em revisão de literatura, análise documental e levantamento de dados primários e secundários. Como resultado, observou-se que o enfraquecimento da PNAPO e a desestruturação dos seus mecanismos de execução, principalmente a partir da extinção das suas instâncias de gestão em 2019, resultaram em mudanças no desenho e enfoque do PNB em relação ao que havia sido pensado em sua concepção original. Assim, o escopo do programa expandiu-se para incluir também a agricultura convencional, especialmente culturas voltadas ao agronegócio. Isso levou a um desvio do objetivo central do PNB, que era inicialmente ampliar o acesso a bioinsumos para fortalecer a produção orgânica e agroecológica, passando a não priorizar o investimento em ações voltadas a essa finalidade e limitando o potencial de contribuição desse programa à política. Portanto, para que o PNB alcance o objetivo principal para o qual foi originalmente concebido, e considerando que os bioinsumos são ferramentas importantes para viabilizar esses sistemas de produção, é essencial restaurar as instâncias de diálogo entre os órgãos do governo e a sociedade civil para garantir o controle social e a participação nos planos e ações do PNB, bem como a alocação adequada de recursos orçamentários. Além disso, é fundamental promover uma maior articulação entre as instâncias de gestão da PNAPO e do PNB, alinhando as políticas públicas às demandas do setor, de forma que a implementação do programa esteja alinhada aos objetivos da PNAPO.
Self-Concept in Relation Sports Amotivation among Learners in Davao Central District, Davao City
Authors: Dimangadap Liezl P.
Published: July 2024

The current study delves into exploring the influence of self-concept on the sports motivation of learners. In this study, the researcher selected the 192 elementary school learners in Davao Central District, Davao City as the respondents of the study. Stratified random sampling technique was utilized in the selection of the respondents. Non-experimental quantitative research design using descriptive-correlational method was employed. The data collected were subjected on the following statistical tools: Mean, Pearson Moment Product Correlation and multiple linear regression analysis. Findings revealed that self-concept and sports motivation of learners in Davao Central District in Davao City were described as extensive. Further, correlation analysis demonstrated that there is a significant relationship between self-concept and sports motivation of learners in Davao Central District in Davao City. Evidently, regression analysis proved that self-concept in terms of academic self-concept, emotional self-concept, family self-concept, and physical self-concept were significant predictors of sports motivation of learners in Davao Central District in Davao City. In other words, self-concept has influence on the process in sports motivation of learners in Davao Central District in Davao City.
Assessment on Mental Health among Males Age Group 18-23 Years: A Study from Tamilnadu, India
Authors: Anusha R. , Priya P. , Christuraj P.Allwin , Jebakumar A. , Vijay N.
Published: July 2024

Mental illnesses change a person's thoughts, perceptions, and consciousness about themselves, other people, and the outside world through a variety of experiences and occurrences of differing intensities. The core components of human identity are emotion, perception, cognition, and action, and these are the key areas that are affected by mental illnesses. At Sree Ramakrishna Medical College of Naturopathy and Yogic Sciences and Hospital kulasekharam, Tamil Nadu, India, this study was carried out. Male participants in the study range in age from 18 to 23. Verbal consent was obtained when the study's purpose was explained. This questionnaire had thirty responses. There were thirty questions in the survey. The elements of the questionnaire addressed exercise, sleep, thoughts, eating habits, gadget use, and addictions. The male volunteers were excluded from the study due to their unwillingness or lack of cooperation. According to our research, they need greater knowledge on eating a good diet, getting enough sleep, and drinking enough water, as well as about the harmful impacts of emotions and the problems they can bring. More guidance on mental health and mental strengthening exercises is required.
A terhelti vallomás mint személyi bizonyíték a nyomozásban
Authors: Háger Tamás
Published: July 2024

The author provides a theoretical and practice-oriented overview of the role and procedures concerning confession in the course of investigations.
Penerapan Strategi Digital Untuk Pemberdayaan Masyarakat Desa
Authors: Herru Soerjono  , Zen Munawar  , Dedi Karmana  , Mira Ismirani Fudsyi  , Novianti Indah Putri  , Hernawati
Published: July 2024

Pengabdian kepada masyarakat dapat dilakukan dengan pembahasan bahwa strategi digital dapat dikembangkan di masyarakat desa, sehingga  dapat memberikan manfaat bagi pedesaan. Hal ini didasarkan pada pekerjaan yang dilakukan sebagai bentuk dari tugas dan tanggung jawab dosen dalam melaksanakan Tri Dharma Perguruan Tinggi. Pembetukan Kelompok Desa Cerdas adalah tempat dimana masyarakat pedesaan diberdayakan dan mengambil inisiatif untuk mencari solusi terhadap tantangan yang mereka hadapi. Untuk melakukan pengembangan yang berbasis teknologi informasi dan komunikasi di desa dapat dilakukan dengan digitalisasi karena digitalisasi sebagai kekuatan untuk perubahan dengan penyesuaian yang sesuai kultur dan budaya yang ada di desa serta melibatkan semua pemangku kepentingan yang ada. Desa cerdas sebagai tonggak untuk melaksanakan kebijakan dalam melaksanakan pengembangan desa perlu didukung dengan kebijakan pemerintah dan aparat desa, dengan desa cerdas dapat turut memperkenalkan kemajuan desa dan bisa dilakukan dengan beragam inovasi yang bermanfaat sebagai nilai tambah bagi seluruh masyarakat yang ada di desa. Cara yang paling tepat untuk mempersiapkan desa cerdas yaitu dengan membuat rencana strategis digital dengan memanfaat teknologi yang ada. Digitalisasi di bidang pertanian sangat tepat dilakukan dengan terlebih dahulu di berikan penyuluhan kepada kelompok tani yang ada di desa.
Efek Risiko Bisnis, Risiko Keuangan Dan Growth Opportunity Pada Struktur Modal Perusahaan Manufaktur Food And Beverage
Authors: Makarima Naeli , Cahya Bayu Tri , Affandi Johan  , Arifah Tri Hanum , Hanifah Umi
Published: July 2024

This research is research that aims to analyze the influence of business risk, financial risk, and growth opportunity on the capital structure of food and beverage manufacturing companies listed on the Indonesian Sharia Stock Index (ISSI) for the 2020-2022 period. The background to this research is the occurrence of fluctuations which tend to decrease the company's capital structure. This type of research is associative research. The kind of approach used is a quantitative approach. Sampling in this research used the purposive sampling method. Purposive sampling is a technique for determining samples based on special considerations so that they are worthy of being used as samples. The sample in this study consisted of 14 food and beverage manufacturing companies listed on the Indonesian Sharia Stock Index. The data used in the research is secondary data obtained from the official website of each relevant company. The research results show that partial financial risk has a positive effect on capital structure. Meanwhile, business risk and growth opportunity do not affect capital structure.
ALEGORÍA Y PERSPECTIVISMO EN LA NOVELÍSTICA DE JOSÉ LUIS GONZÁLEZ: UN REPASO DE
BALADA DE OTRO TIEMPO
Y
LA LLEGADA
Authors: Carpio Alejandro
Published: July 2024

En su ensayo de 1980 “El país de cuatro pisos”, José Luis González obligó a la intelectualidad puertorriqueña a replantearse la historia e identidad cultural de su isla mediante un ejercicio de perspectiva. En este artículo quiero reflexionar sobre la forma sencilla y pedagógica en que González transforma grupos sociales en personajes ficticios y sucesos dramáticos en eventos históricos dentro de su novelística. Aunque los recursos narrativos que emplea González tengan parangón en los juegos literarios del Boom, la necesidad de ajustarse a un discurso histórico con claros horizontes políticos provoca que el narrador privilegie la alegoría como instrumento instructivo.
LA VIOLENCIA EN LOS CUENTOS DE PILAR DUGHI: TENSIONES MACRO- Y MICROPOLÍTICAS
Authors: DE VIVANCO LUCERO
Published: July 2024

Este trabajo aborda los cuentos que Pilar Dughi escribió sobre la violencia política en Perú y las ideas revolucionarias de la década de los setenta, posicionándola dentro de la narrativa peruana referida a este periodo de la historia. Se argumenta que los cuentos exponen trayectorias de vida tensionadas por modelos de acción macro- y micropolíticos, lo que incide en la producción y reproducción de la violencia. Desde este punto de vista, se constata que la violencia se expresa en una serie de microderrotas, como la pérdida de la confianza en lo colectivo o el quiebre en la comunicación transgeneracional.
Surface Brightness Fluctuations in Two SPT Clusters: A Pilot Study
Authors: Romero Charles E. , Gaspari Massimo , Schellenberger Gerrit , Benson Bradford A. , Bleem Lindsey E. , Bulbul Esra , Klein Matthias , Kraft Ralph , Nulsen Paul , Reichardt Christian L. , Salvati Laura , Somboonpanyakul Taweewat , Su Yuanyuan
Published: July 2024

Studies of surface brightness fluctuations in the intracluster medium present an indirect probe of turbulent properties such as the turbulent velocities, injection scales, and the slope of the power spectrum of fluctuations toward smaller scales. With the advancement of Sunyaev–Zel’dovich (SZ) studies and surveys relative to X-ray observations, we seek to investigate surface brightness fluctuations in a sample of South Pole Telescope (SPT)-SZ clusters which also have archival XMM-Newton data. Here we present a pilot study of two typical clusters in that sample: SPT-CLJ0232-4421 and SPT-CLJ0638-5358. We infer injection scales larger than 500 kpc in both clusters and Mach numbers ≈ 0.5 in SPT-CLJ0232-4421 and Mach numbers ≈ 0.6–1.6 in SPT-CLJ0638-5358, which has a known shock. We find hydrostatic bias values for M
500 less than 0.2 for SPT-CLJ0232-4421 and less than 0.1 for SPT-CLJ0638-5358. These results show the importance to assess quantitative values via a detailed multiwavelength approach and suggest that the drivers of turbulence may occur at quite large scales.