bluuebunny/crossref_metadata_2025 huggingface dataset:
Hepatites virais de potencial cronicidade
Authors: Meneses Anna Júlia , Carneiro Bottaro de Morais Ana Júlia , Almeida Batista Laura Luiza , Figueiredo Oliveira Camille , Silva Andrade Júlia Vitória , Lima Trugilho Elisa , Silva Martins Aline Aparecida
Published: April 2024

As hepatites representam doenças de grande relevância clínica, causando comprometimento das funções hepáticas, além de acometer muitas populações ao redor de todo o globo. Segundo a Organização Mundial da Saúde, cerca de 354 milhões de pessoas ao redor do mundo vivem com hepatite B ou C, sem acesso a testes ou tratamento. Além disso, os subtipos B e C são responsáveis por 80% das mortes por hepatite. O objetivo do presente artigo foi realizar uma revisão bibliográfica a respeito das hepatites de potencial cronicidade (B, C e D), bem como suas formas de transmissão, diagnóstico laboratorial e tratamentos. Trata-se de uma revisão bibliográfica científica baseada em artigos publicados nas bases eletrônicas Pubmed, Scielo, New England Journal of Medicine, Repositório Institucional Unesp, Google acadêmico, Sage Journals e Brazilian Journal of Development. Foram considerados artigos publicados entre 2008 e 2023. Como critério de inclusão foram selecionados artigos originais, nos idiomas português, inglês e espanhol. Ademais, foram excluídos artigos de trabalho de conclusão de curso e que antecederam o tempo estipulado. Foram incluídos 23 artigos, os quais discute-se principalmente as hepatites, além formas de transmissão, diagnóstico laboratorial e tratamentos. De forma geral, as hepatites são transmitidas por meio de sangue e agulhas infectados, transmissão vertical e contato sexual com parceiro infectado, sendo que para infectar-se com o vírus da hepatite D é necessária infecção concomitante ao vírus da hepatite B. Dessa forma, para diagnóstico laboratorial considera-se uma análise integrada dos marcadores hepáticos inespecíficos, relacionados à saúde do fígado, os testes sorológicos para identificação de antígenos e anticorpos específicos, bem como testes moleculares. O tratamento depende do tipo viral, além do estágio de evolução da doença. De forma geral, são utilizados medicamentos para interferir na replicação viral, buscando evitar o desenvolvimento de formas graves da hepatite.  É essencial o diagnóstico laboratorial preciso para o tratamento precoce e eficaz da doença, com o intuito de prevenir o desenvolvimento de sua forma crônica.
CUIDADOS PREVENTIVOS DA DIABETES MELLITUS NA ATENÇÃO PRIMÁRIA À SAÚDE
Authors: Torres Luciano de Sá Silva , Silva Lívia dos Santos , Silva Lucas Aurélio da , Moraes Gabriel Morellandy Alves de , Silva Laura Manuella Lopes e , Silva Manoel Fellipe Lopes e , Mundim Bruna Beatriz Borba , Damasceno Gabrielle Pereira , Netto José Guimarães , Andrade Jaqueline Nogueira , Silva Jonatas de Oliveira , Júnior João Batista Gomes Mariano , Souza Laiane Angélica Costa , Bezerra Lucas Henrique Bastos , Silva Iolanda Lima dos Santos , Silva Pablo Emanoel Damasceno Alves da , Silva Uilliane Vívia Lopes da , Bezerra Larissa Cristina Bastos
Published: April 2024

Descrever por meio das evidências cientificas acerca dos cuidados preventivos da diabetes mellitus na atenção primária à saúde. Métodos: Trata-se de uma revisão integrativa da literatura de caráter qualitativo. A busca dos trabalhos envolvidos na pesquisa foi realizada nas seguintes bases de dados: SCIELO, LILACS, BDENF e MEDLINE, a partir dos descritores em ciências da saúde: “Atenção primária à saúde”, “Diabetes mellitus” e “Prevenção”. Os critérios de inclusão foram: publicados no período entre 2014 e 2024, cujo acesso ao periódico era livre aos textos completos, artigos em idioma português, inglês e espanhol e relacionados a temática. Critérios de exclusão foram: artigos duplicados, incompletos, resumos, resenhas, debates, artigos publicados em anais de eventos e indisponíveis na íntegra. Resultados: Na APS são realizadas intervenções com enfoque individual e coletivo com o objetivo de atender as demandas mais comuns da comunidade, dentre elas está a DM sendo uma patologia de causas múltiplas e que requerem uma atenção integral e uma abordagem educacional.  Conclusão: Conclui-se que é de grande importância que a APS seja capaz de detectar os fatores de risco da população para o desenvolvimento da diabetes, sendo assim capaz de planejar ações educativas para prevenir a doença.
O PAPEL VITAL DA ENFERMAGEM NO MANEJO DA TUBERCULOSE EM AMBIENTES DE ATENÇÃO BÁSICA
Authors: Fernandes Dalila Moreira , Gomes Mariana Lara Severiano , Santos Wanderson Paiva dos , Mendes Paula Rivele Gomes Sousa , Rodrigues Francisco Danilo , Magalhães Ruan da Silva , Câmara Ana Helena Pequeno , Silva Joélia Resende Pereira da , Vieira Antonio Hecktor Rodrigues , Azevedo Francisca Jaqueline ponte , Cabral Junior Ismael , Teixeira Maria Gabriela da Cruz , Nascimento Camila Martins do
Published: April 2024

Introdução: A Tuberculose (TB) é um enorme desafio para a saúde pública mundial, sendo uma das principais causas de morte entre doenças transmissíveis. A luta contra essa doença inclui estratégias que promovem a adesão ao tratamento, assegurado por políticas públicas e disponibilizado na Atenção Primária à Saúde (APS). Nesse contexto, no combate à tuberculose, os enfermeiros são essenciais, liderando as ações de saúde pública e sendo fundamentais na aplicação e monitoramento do tratamento. Objetiva-se, evidenciar o papel vital da enfermagem no manejo da tuberculose em ambientes de atenção básica. Metodologia: Foi realizada uma revisão de literatura do tipo narrativa, em que as buscas ocorreram nos bancos de dados: SCIELO, e PubMed, os termos selecionados para a pesquisa foram: ‘Atenção Primária à Saúde’, ‘Tuberculose’, ‘Cuidados de Enfermagem’, ‘Atenção Básica’ e ‘Manejo da Tuberculose’.Resultados e Discussão: Inicialmente, 598 artigos foram encontrados, mas após aplicar critérios de seleção, 454 foram excluídos. Dos 144 restantes, uma revisão de títulos e resumos resultou na escolha de 8 estudos para a análise final. Destacou-se na pesquisa que, a tuberculose mantém uma alta taxa de incidência mundialmente, sendo uma patologia altamente transmissível e infecciosa. Isso impõe desafios significativos ao sistema de saúde, especialmente ao sistema único de saúde, devido ao alto custo e complexidade do tratamento e prevenção. É crucial destacar o papel dos enfermeiros, que não apenas administram o tratamento, mas também desempenham um papel vital na educação e conscientização da população. Eles fornecem informações essenciais, orientações e promovem a conscientização sobre as práticas preventivas contra a tuberculose, contribuindo assim para a redução da propagação da doença. Considerações finais: Foi possível evidenciar, que os enfermeiros desempenham um papel essencial na atenção básica à tuberculose, com foco no diagnóstico precoce e cuidado integral. Eles monitoram o tratamento, consideram o bem-estar social e emocional do paciente e utilizam a Sistematização da Assistência de Enfermagem- SAE para melhorar o atendimento e controlar a doença.
Biomarkers in neurodegenerative diseases: a broad overview
Authors: Selvam Sathish , Ayyavoo Velpandi
Published: April 2024

Degeneration and dysfunction of neurons in the brain are hallmarks of neurodegenerative diseases. Over the past decades, significant efforts have been devoted to the development and validation of biomarkers for neurodegenerative diseases. The range and diversity of biomarkers for central nervous system (CNS) diseases has continued to expand, encompassing biofluid-based sources such as blood or cerebrospinal fluid (CSF), nucleic acids, tissues, and imaging. While imaging and tissue biopsy-based markers are continually being identified and their applications expanding, they do have limitations compared with RNA and protein biomarkers. This review comprehensively summarizes various biomarkers, including microRNA (miRNA), long noncoding RNA (lncRNA), circulating miRNA (cimiRNA), and proteins, in the context of CNS disorders. In addition, the review emphasizes the existing limitations and challenges associated with the use of biomarkers in both clinical practice and research on neurodegenerative diseases. In conclusion, this review provides an insightful overview of the identified biomarkers for neurodegenerative diseases, underscoring the crucial role of biomarker research in combating these debilitating conditions. The article also highlights future challenges related to the implementation of novel biomarkers in clinical practice and trials, thereby contributing to the ongoing efforts to advance the understanding and management of neurodegenerative diseases.
Molecular characteristics of non-small cell lung cancer tissue based on quantitative indicators of progesterone receptors expression
Authors: Romanov I. P. , Bogush T. A. , Scherbakov A. M. , Alimov A. A. , Bogush E. A. , Ravcheeva A.  B. , Lee A. , Kosorukov V. S.
Published: April 2024

Background. Progesterone receptors (PR) are regulators of cell proliferation and therefore can be considered as an aim for targeted medications in the treatment of oncological diseases. At the same time, a quantitative assessment of PR expression in the tissue of non-small cell lung cancer (NSCLC), which has not yet been carried out in other studies, will determine the possibility of using PR modulators for the treatment of this disease and identify the potential category of patients most susceptible to these drugs.

Purpose. To characterize NSCLC by quantitative indicators of PR expression and to determine the correlation of clinically significant characteristics of patients and clinical and morphological parameters of a NSCLC tumor with the PR expression to assess the possibility of using PR modulators in the treatment of this disease.

Methods. The PR expression in 130 surgical samples of NSCLC was quantified using an immunofluorescence method associated with flow cytometry. Primary antibodies to PR (NBP2-46388) and secondary antibodies conjugated with DyLight650 (ab98729) were used.

Results. The expression of progesterone receptors was detected in all the studied tumors; an abnormal distribution of the marker expression level was noted (P=0.01). The mean expression level was 55.3±16.2%, and the median was 57% with a range of 70%, which indicates heterogeneity of PR expression in tumors of different patients. There were no statistically significant differences in the level of PR expression depending on the histotype and stage of NSCLC, as well as on the sex of patients. At the same time, the level of expression and the frequency of overexpression of PR (>67%) in tumors in non-smoking patients are higher than in smokers (P⩽0.02).

Conclusion. The high frequency of occurrence and level of PR expression in NSCLC indicate the possible effectiveness of the use of their modulators in the treatment of this disease, especially in non-smoking patients.
Features Of Conducting The Swot Analysis Of The Strategy For Reforming Public Administration In Ukraine (2022–2025)
Authors: SHPYHA Petro , KACHMARSKYI Yevhenii , KARPENKO Yuliia
Published: April 2024

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Nurses’ Knowledge of Hypertension in Sudan Heart Center, Khartoum (2021): A Cross-Sectional Study
Authors: Saddam Ahmed Al-Ahdal  , Mokhtar Abdu almoliky  , Abdulnasser Ahmed Mohammed Hazaa  , Marzoq Ali Odhah  , Fatima S. O. Ashmieg
Published: April 2024

Background: Hypertension is a prevalent chronic health issue associated with significant health hazards, ranking as a major contributor to mortality in both developed and developing nations.Aim of the Study: To study Nurses’ Knowledge of Hypertension in Sudan Heart Center, Khartoum, 2021.Method: A hospital-based study with a descriptive cross-sectional design was carried out at Sudan Heart Center between January and May 2021. It involved 40 nurses; the information was gathered through the administration of a structured questionnaire. The data was processed using the SPSS program version (23).Results: The socio-demographic characteristics of the respondents indicated that 60.0% were between 20-25 years old, 35.0% were between 26-30 years old, 5.0% were over 30 years old, while the information indicated that 70.0% were female and 30.0% were male, out of the participants, 90.0% had obtained a bachelor’s degree, while 10.0% had achieved a master’s degree in terms of their educational level, 45.0% had less than one-year’ experience, 10.0% had more than 5 years’ experience, the total knowledge of hypertension is 45.0% of the respondents have poor knowledge, 37.0% of them have fair knowledge, and(17.0%) have good knowledge.Conclusions: The study reflect clear outlook about nurse’s knowledge regarding hypertension the overall nurses examine by questionnaire the result show good level of knowledge(17.5%), poor level of knowledge(45.0%), and fair knowledge is(37.5%).
Nursing Faculty’s Perceived Value of Certified Nurse Educator (CNE®)/ Certified Nurse Educator Novice (CNE®n) Credentialing
Authors: Cassandra M. Godzik  , C. Andrew Martin  , Nicole C. Walters
Published: April 2024

Aim This study sought to measure nursing faculty’s perceptions regarding the value of obtaining the CNE®/ CNE®n specialty certification. There is limited research surrounding efforts to improve perceived extrinsic and intrinsic values of certification and even less documentation on identifying a link between student learning outcomes and instruction by CNE®/CNE®n faculty.Methods Participants were recruited from a private college located in X, where only 16% of the 58 full and part- time academic nurse educators possess the Certified Nurse Educator® (CNE®)/Certified Nurse Educator® Novice (CNE®n) specialty certification. An online PVCT-12 survey was conducted pre- and post-CNE preparatory course to investigate changes in extrinsic and intrinsic perceived values of obtaining certification. Participants were also surveyed post-prep course to determine intent and timeframe for testing.Results: The study increased the number of full and part time academic nurse faculty with the CNE®/ CNE®n certification from 16% to 24%. There was also an increase in the perceived value of the certification, more notably in the extrinsic value category.Conclusion: Understanding these perceptions and motivators for certification can guide institutions in supporting faculty to increase their credentialed nurse educators. This study should be repeated with a larger population of nursing faculty across multiple academic institutions to produce more generalizable results. Future research should focus on identifying a link between improved student learning outcomes and instruction by CNE®/CNE®n faculty to further increase the extrinsic value of certification.
Vitamin D and Geriatric Assessment: A Cross-Sectional Study on the Cohort of Centenarians in the Central Region of Russian Federation
Authors: Machekhina L. V. , Balashova A. V. , Tkacheva O. N. , Mamchur A. A. , Erema V. V. , Ivanov M. V. , Kashtanova D. A. , Shelley E. M. , Eruslanova K. A. , Ilyushchenko A. K. , Rumyantseva A. M. , Yudin V. S. , Makarov V. V. , Keskinov A. A. , Yudin S. M. , Strazhesko I. D.
Published: April 2024

Background. The trend towards aging of  the population is  global, which makes the study of  etiology, prevention and treatment of  age-related disorders relevant. Increasing number of  studies highlights the influence of  25-hydroxyvitamin D deficiency on health state in older people, as well as its correlation with geriatric syndromes prevalence. However, at the moment it is not known whether these patterns persist in patients older than 90 due to the limited number of studies on this population.

Aim. To assess the prevalence of vitamin D deficiency in a cohort of centenarians in the central region of Russian Federation and to study its relationship with the presence of geriatric syndromes.

Materials and methods. The study was carried out by Russian Gerontology Research and Clinical Centre of  Pirogov Russian National Research Medical University and Center for Strategic Planning and Management of  Medical and Biological Health Risks. It was a cross-sectional study on the cohort of centenarians (90 years and older). Complex geriatric assessment was performed. Complex geriatric assessment included past medical history, geriatric scales and questionnaires (MMSE, SARC-F, MNA scores). Blood samples were taken to assess the 25-OH vitamin D levels using chemiluminescence method. The study is  reviewed by  the ethics committee (№ 30 24.12.2019). The statistical analysis was performed using Python version 3.9 and R version 4.1.3.

Results. The study included 3,235 people aged 90 to 107 years. Median level of 25-hydroxyvitamin D was 9 ng/ml, 86.7% of participants were found to be 25(OH)D deficient, and in 8.3% insufficiency 25(OH)D was detected. Using the intergroup analysis, the association between 25-OH vitamin D levels and some geriatric syndromes, such as malnutrition, sarcopenia and cognitive impairment was observed. However, after adjusting to physical activity and nutrition statistically significant association was demonstrated only for cognitive impairment.

Conclusion. The results obtained on the association between low levels of 25-OH vitamin D and cognitive impairment among centenarians confirm the importance of  vitamin D  deficiency prevention and might be  starting point for future studies.
Risk factors and adverse outcomes of hypoglycemia in older patients with type 2 diabetes mellitus (review)
Authors: Bulgakova S. V. , Merzlova P. Ya. , Kurmaev D. P. , Treneva E. V.
Published: April 2024

Currently, the world is experiencing a steady increase in the number of patients with type 2 diabetes mellitus (T2DM); this disease is recognized as a global medical and social problem of the 21st century. There is also a trend towards increasing life expectancy and, as a result, an aging population. Accordingly, the number of older patients with T2DM is increasing. Hypoglycemia, a  serious complication of  T2DM, is  quite common among this category of  patients. Hypoglycemia leads to worsening glycemic control, cognitive deficits, and an increased risk of adverse cardiovascular outcomes in older patients. This review examines the risk factors for hypoglycemic conditions that must be  taken into account when prescribing glucose-lowering therapy to  older patients and their prognostic significance in  assessing the risk of  hypoglycemia. The possible negative consequences of hypoglycemia are described and the importance of individual goals for glycemic control in older patients is emphasized.
Age-Dependent Cerebral Microangiopathy Associated with Vascular Risk Factors: How to Recognize the Signs?
Authors: Mkhitaryan E. A. , Fateeva V. V.
Published: April 2024

The focus of  this article is  on  cerebral  microangiopathy (CMA), also known as  cerebral small vessel disease, which is commonly linked to age and vascular risk factors. It is a major contributor to both vascular and mixed cognitive decline in  older individuals. The leading causes of  vascular cognitive impairment and dementia include hypertension, high cholesterol, type 2 diabetes mellitus, smoking, and atrial fibrillation. The main manifestations of CMA in patients over 60 are outlined in this article, with supporting evidence from both domestic and foreign studies. By examining a specific clinical case, the characteristics, diagnosis, and treatment of cognitive impairment caused by CMA and vascular risk factors in an older patient were analyzed.
Ortaokul Öğrencilerinin Eleştirel Düşünme Eğilimleri İle Okuma Becerileri Arasındaki İlişki
Authors: Yıldırım Döner Seyhan , Demir Sezgin
Published: April 2024

Eleştirel düşünme eğilimi, sorgulayıcı bir şekilde değerlendirmeye dayanan düşünme eylemine olan yatkınlıktır. Bireylerin yazıları anlamlandırmasına yönelik bir dil becerisi olan okuma becerisi, içerisinde eleştirel düşünmeyi de barındırır. Bu araştırmanın amacı, ortaokul öğrencilerinin eleştirel düşünme eğilimleri ile okuma becerileri arasındaki ilişkiyi ortaya koymaktır. Araştırma nicel türde, ilişkisel tarama modelinde gerçekleştirilmiştir. Araştırmanın örneklemini; tabakalı amaçsal yöntemle belirlenen, Tokat ili devlet okullarında öğrenim gören 1165 ortaokul öğrencisi oluşturmuştur. Veri toplama araçları, araştırmacılar tarafından geliştirilen Ortaokul Öğrencileri İçin Eleştirel Düşünme Eğilimi Ölçeği ve PISA Okuma Becerileri Başarı Testi’dir. Veri analizinde T testi ve Anova; her iki değişken arasındaki ilişkiyi belirlemek için pearson korelasyon katsayısı; yordama düzeyini belirlemek için ise basit doğrusal regresyon analizi kullanılmıştır. Araştırmada ortaokul öğrencilerinin eleştirel düşünme eğilimleri ile okuma becerileri arasında pozitif yönlü ilişki olduğu ve eleştirel düşünme eğilimlerinin okuma becerilerini %3 oranında yordadığı bulgusuna ulaşılmıştır.
Çocuk Rutinleri Ölçeği: Ölçek Uyarlama Çalışması
Authors: Dakak Songül , Gözün Kahraman Özlem
Published: April 2024

Çocuk rutinleri, çocuğu gelişimsel ve akademik olarak desteklemesi bakımından önemlidir. Bu çalışmada Sytsma, Kelley and Wymer (2001) tarafından geliştirilen ve özgün adı “Child Routines Inventory” olan Çocuk Rutinleri Ölçeğinin Türkçeye uyarlanması amaçlanmıştır. Araştırma deseni olarak betimsel tarama modeli kullanılmıştır. Çalışma kapsamında 5-12 yaş arası çocuğu olan 960 anneye ulaşılmıştır. Eksik doldurulan 36 form çıkartılmış ve 924 form üzerinden geçerlik ve güvenilirlik analizleri yapılmıştır. Ölçeğin geçerliliğini belirlemek için Doğrusal Faktör Analizi (DFA) uygulanmıştır. DFA sonucunda uyum indeksleri χ2/sd 3.8; RMSEA=0.055; SRMR=0.553; NNFI=0.825 kabul edilebilir değer ile normal değer aralığında; RMR=0.050 normal değerinde bulunmuştur. Madde faktör yükleri 0,339 ile 0,885 arasında bulunmuştur. Ölçeğin güvenirliğini belirlemek için hesaplanan Cronbach Alpha katsayısı, ölçek toplam puanları için 0,91 bulunmuştur. Araştırmadan elde edilen sonuçlar doğrultusunda uyarlanan ölçeğin 36 madde 4 boyut (Günlük yaşam rutinleri, ev içi sorumluluklar, disiplin rutinleri ve ev ödevi rutinleri) olarak Türkiye’de kullanılmasının uygun olduğu sonucuna ulaşılmıştır.
The Metaverse – The Next Big Thing in Education: A Systematic Literature Review
Authors: Tınmaz Hasan , Fanea-ıvanovici Mina
Published: April 2024

Metaverse utilization in education is an area with a huge potential of development during the current age of technology innovation. Using a PRISMA-adapted methodology, we performed a qualitative systematic literature review of the main scientific production related to metaverse in education. We analyzed 48 academic papers and formulate six research questions. We discovered that, despite fertile, the research area is in its early stages of development and there is a need for more quantitative analyses. We grouped the paper keywords into five categories, which are virtualization, education, technology, library, research and others, and identified seven major themes from the findings of the papers: (i) the place of the metaverse in education in general, (ii) the possible implementations of the metaverse into different courses, (iii) the direct instructional support of the metaverse in education, (iv) the indirect instructional support of the metaverse in education, (v) the variables/conditions of a successful metaverse implementation in education, (vi) the possible challenges of metaverse in education, (vii) encouraging research regarding metaverse in education. Finally, we proposed a more comprehensive definition for the metaverse, discussed potential extensions of metaverse in education and possible threats, and presented the main implications from research, policy and practical perspectives.
Diaspora Communication Patterns and Plurality of Tolerance in Barcelona, Spain
Authors: Dalimunthe Ernanda , Ayuningtyas Fitria
Published: April 2024

The Indonesian Diaspora includes all Indonesian people who are abroad. Diaspora and migration are phenomena that are often encountered in the history of nations in the world. Barcelona is a multicultural city with people of diverse backgrounds, a lot of Indonesians are interested in living there as a diaspora with several motivations. The education system, cultures, diversity, and inclusivity that Barcelona has to offer are tremendously accommodating, which can be translated as a good destination for Indonesian diasporas to pursue a better life. This research focuses on using Indonesian diasporas in Barcelona as the research subject, finding out the communication pattern they use daily, specifically within their tolerance level for minority groups. This research uses a qualitative method with a phenomenological approach to discover the adaptation process of each subject and how the changes in their level of tolerance affect their communication pattern and the approach to those whom they deem tolerable. From this research, the author concluded that the diasporas’ communication pattern has changed from a high-context culture which they used to implement in Indonesia to a low-context culture due to the multiculturalism and its daily adaptation in Barcelona by the citizens. This is indicated by the increase of their tolerance level because of the exposure to diverse groups in Barcelona which the diaspora learned from and adapted as part of their life.
Exploring Inflation Dynamics with the Phillips Curve in Türkiye: Evidence from the Markov Regime Switching Model
Authors: İlhan Ali
Published: April 2024

Unlike in many advanced and emerging market economies, inflation was already a problem for the Turkish economy before the COVID-19 pandemic. During the 1990s, Türkiye experienced severe inflation, which reached three digits in some months. Although inflation was reduced to single digits in the 2000s through a successful disinflation program under an implicit inflation targeting framework with a flexible exchange rate regime, price stability became a problem again after the global financial crisis. Inflation gradually increased during the 2010s and became out of control after late 2021. This study aims to explore inflation dynamics in Türkiye using the Phillips curve framework for different inflation environments. To this end, the Phillips curve equation, augmented with the exchange rate and oil prices, is estimated using the Markov regime switching model between January 2006 and September 2023. Two regimes are identified in the sample, namely low- and high-inflation regimes. According to the estimation results, the Phillips curve is invalid in both regimes. The unemployment gap is statistically insignificant despite its negative impact on current inflation. The increasing coefficient of backward inflation in the high regime reflects the resurgent indexation behavior, which was dominant before inflation targeting was introduced in Türkiye. The positive impact of oil prices is only statistically significant in the low regime. While an increase in the exchange rate significantly raises inflation in both regimes, the effect is greater in the high-inflation regime. These empirical findings indicate that the primary issues for controlling inflation in Türkiye are inflation inertia and exchange rate stability.
Cenizate, paisaje, historia y sus gentes
Authors: Selva Iniesta Antonio , González Gómez Jacinto
Published: April 2024

Las características del medio físico que ocupa el término municipal de Cenizate no se pueden entender sin enmarcarlas en una unidad de ámbito mayor que es La Manchuela. Cenizate reúne en su municipio las principales características de esta unidad comarcal e interprovincial (Cuenca y Albacete). La Manchuela es una comarca que está marcada por la presencia de los ríos Júcar y Cabriel, entre el sur de la provincia de Cuenca y el norte de la de Albacete, llegando hasta el límite con la provincia de Valencia, con paisajes naturales llenos de contrastes entre la llanura y los valles de los ríos.
The Use of Integrative Approaches in Lesson Planning in Mathematics
Authors: Aladino B. Bonavente,
Published: April 2024

This study determined the integrative approaches used in the Daily Lesson Plans (DLPs) in Mathematics. Specifically, it answered the following sub- problems: 1. What are the integrative approaches used in the Daily Lesson Plans (DLPs) in Mathematics? 2. What is the level of usage of the integrative approaches along: activity, analysis, application, abstraction, and assignment? 3. Is there a significant difference on the level of usage of the integrative approaches between the Junior High School and Senior High School along the different parts of the lesson plan? 4. What are the problems encountered by the teachers on the use of integrative approaches? and 5. What lesson exemplar as model on the use of integrative approaches may be developed? The researcher employed the survey-comparative type of research. The integrative approaches used in the Daily Lesson Plans (DLPs) in Mathematics were identified and the level of usage to the different parts of the lesson. The hypothesis that there is no significant difference on the level of usage of the integrative approaches between the Junior High School and Senior High School along the different parts of the lesson plan were also tested. Likewise, the problems encountered by the teachers on the use of the integrative approaches determined and lesson exemplar was developed as model on the use of integrative approaches. The study has a total of 126 respondents but only 118 responses were retrieved or 94 percent retrieval rate. The data on the integrative approaches used in the Daily Lesson Plans (DLPs) in Mathematics was treated using frequency count and percentage. However, on the level of usage of the approaches in the lesson, frequency count and weighted mean were used. Frequency count and ranking were utilized to identify the problems encountered by the teachers.
Study the Relationship between Financial Ratios and Profitability to Market Value of Companies Listed on the Stock Exchange of Thailand. Resource Industry Group Energy and Utilities Category
Authors: Sanpakaew Supannika , Thonsrichailert Nuttanan , Pantakiatpaisan Nattawong
Published: April 2024

This research aims to study financial ratios. Profitability and market value, to study financial ratios that are related to profitability, to study financial ratios that are related to market value and to study the profitability that is related to the market value of companies listed on the Stock Exchange of Thailand. Resource Industry Group Energy and Utilities Category The sample group for this research was companies listed on the Stock Exchange of Thailand. Resource Industry Group Energy and utilities category from 2020 to 2022, including 3 accounting periods, 57 companies, total sample size 163, including data from financial statements. Annual report and Form 56-1. The received data is analyzed statistically according to the research objectives with a ready-made program. The statistics used to analyze the data are descriptive statistics, consisting of mean, standard deviation, minimum, maximum, quantitative statistics, such as analysis of the Pearson Correlation coefficient. and Multiple Regression Analysis. Major Findings: Financial ratios that are related to profitability, it is found that the working capital ratio (CR) and the quick working capital ratio (QR) are related in the opposite direction to the return on equity (ROE). Significant at the 0.05 level, Debt Ratio (DR) has a relationship in the opposite direction with Net Profit Rate (NPM), significant at the 0.05 level. Financial ratios that have a relationship with market value found that Debt Ratio (DR) has The relationship is in the same direction with earnings per share (ESP). The debt-to-equity ratio (DE) is related in the opposite direction to earnings per share (ESP) significantly at the 0.05 level and the ability to do Profit that is related to market value. It was found that return on equity (ROE) has a relationship in the same direction as price to book value (PBV) at a significant level of 0.05.
Design and Development of Controller for Electric Vehicle
Authors: U. Yadav Yash , B. Kolhatkar Nikhil , D. Dakawale Abhishek , Deokar T. V.
Published: April 2024

In this paper, we designing and developing controller and converter for the electric vehicles. In the electric vehicle battery is used as the energy source, by using of this battery operating electric motor. If we connect this battery direct to motor without any control device then it causes some unwanted problems in EV’s. Because of the output voltage of battery is not suitable to operating Electric vehicles. Which means without any control mechanism the output voltage cannot be controlled and it will give divergence in output voltage in terms of error signal. Its result battery output power will reduce and therefore the performance of electric vehicle is go down in terms of power torque to drive vehicle. So in electric vehicle use of control mechanism is mandatory to control the output voltage of battery and that can achieve proper power and torque by a proper feedback control system. But price of the EV’s are to much high higher the electric vehicle because of battery, motor and EV Controller.
Development and Construction of an Autonomous Firefighting Robot
Authors: Chandrasekhar S. , PrasanthReddy C. , UdayKumar T. , Vinay KumarReddy V. , Harsha Vardhan P. , Soma Shekhar V.
Published: April 2024

Mechanical technology has ended up being fixing over which people groups shown their advantage. Mechanical technology has acquired prevalence because of progression of numerous innovations of registering and nanotechnologies. So we chose to put forth human existence more straightforward and diminish the attempts taken by them. Our audit is to make completely mechanized firefighting robot which manages the fire issues in family, research centers, limited scope enterprises. This robot follows the predefined way and plays out the different assignments. We can utilize this robot to play out those assignments that might be hurtful and hazardous to human. The Fire sensors prepared fixed in the rooms where there will be plausible of fire is to be happened. At the point when it detects fire the location of area got by robot and as needs be it will reach to the objective and stifle fire right away.
A Canvas of Air and Signs: Integrating Voice Activated Hand Sign Recognition and Air Canvas for Hearing Impaired and Non-Verbal People
Authors: Kumar Pratham , Sharma Rishav , . Shruti , Shree Jaya , Tiwari Virat , Mishra Varun , Upadhyay Soumya
Published: April 2024

Moving hands in air and watching your screen writes for you and at the same time making different Signs with hands and the system displays it as well as speak what Sign you are making.This seems to be very futuristic approach towards the realm of Image Processing and Gesture Recognition . In this paper, we present a very interesting and a novel approach towards an interactive learning platform where one can draw the content on screen while moving their hand in air and can also use hand sign language to communicate with an ease with the Hearing Impaired and Dumb Community. Our system combines both technologies to create a smooth and engaging experience for users. It can be used in interactive art setups or virtual reality setups. Air canvas enables users to draw and manipulate digital content in mid-air with object tracking using Computer Vision and Mediapipe framework, while hand gesture recognition allows for real-time interpretation of Hand Signs to perform actions or commands within the system. This Model not only recognizes the sign but also speaks it loud using pyttsx3 a text-to-speech conversion Library, ensuring a good communication between a normal human and people with Non-Verbal and Hearing Impaired disability. To enhance the performance of the model We validate the model with a real dataset trained by us. This training was essential for refining the accuracy and efficiency of the model.
Late Presentation of Pulmonary Hypertension Crisis Concurrent with Atrial Arrhythmia after Atrial Septal Defect Device Closure
Authors: Bachmid Zulkifli , Alief Utama Armyn Andi , Patimang Yulius , Amir Muzakkir
Published: April 2024

Background: ASD occurs when there is a septal defect between the right and left atria, resulting in a left-to-right shunt that increases the volume of the right heart and pulmonary circulation. Increased pulmonary resistance can lead to pulmonary hypertension (PH), resulting in progressive deterioration of right ventricular function, leading to right heart failure and death. Prolonged elevation of atrial pressure induces progressive atrial dilatation and electrophysiological remodelling. Together with autonomic modulation, this leads to atrial arrhythmias (AAs). Patients with significant shunts leading to ventricular volume overload are considered for ASD closure. However, in some cases, PH occurs after ASD closure.  Case Presentation: We report a 21 yo man diagnosed with ASD Secundum Post Closure with Device (September 1th, 2023) and Pulmonary Hypertension Crisis. The left atria (LA), right atria (RA) and right ventricle (RV) were dilated. We also found moderate mitral regurgitation, severe tricuspid regurgitation, and mild to moderate pulmonary regurgitation. There was a decline in systolic function in the right ventricle, and grade III diastolic dysfunction in left ventricle. There was a well-seated device with no residual shunt on interatrial septal. The pulmonary arteries were confluence and dilated. From ECG we found atrial flutter with variable conduction. This patient was transferred to HCU. This patient treated with digoxin, furosemide, milrinon, ceftriaxone, miniaspi, sildenafil, electrophysiology, and 3D ablation.  Conclusion: Pulmonary hypertension can occur in cases of congenital heart defects, such as ASD. The operative management of ASD is closure of the ASD, but in some unique groups, this can lead to pulmonary hypertensive crisis after its closure.
Customer Churn Prediction
Authors: Anand Parulekar Lavina , Shriram Jamsandekar Prajkta , Sanjay Parkar Sampada , S.P Sawant
Published: April 2024

In today’s highly competitive business landscape, customer retention revenue preservation, customer experience improvement, and marketing optimisation are critical factors for sustained growth and profitability. Customer churn predictionis discontinuing their services or purchases, which presents asignificant challenge for businesses across various industries. This project focuses on developing a predictive model to expect customer churn in the banking sector using machine learning techniques. The project involves the collection and analysis of historical customer data, confined account activity, transaction history, demographic information, and customer service interactions. By extracting the right features from this data, a machine learning model is trained to forecast which bank customers are at the highest risk of churning. A critical step in this study was the selection of relevant features that influence customerchurn. Feature selection was guided by domain knowledge and feature importance analysis. The different classifiers were used and then trained on the training dataset further ensuringthe model’s optimal performance. The model’s performance is assessed through various evaluation metrics, including accuracy, precision, and recall. Additionally, the project explores a model illustration to uncover the influential factors contributing to customer churn within the banking context. This project’s outcomes can empower banks to take proactive measures in retaining customers, enhancing their overall experience, and thereby preserving revenue streams. By addressing customer churn, banks can foster long-term relationships, reduce customer acquisition costs, and boost their competitiveness in the financial industry. The results of this project are expected to assist businesses in proactively retaining customers by targeting those at the highest risk of churning. Ultimately, reducing customer churn can lead to increased customer satisfaction, revenue, and long-term business sustainability.
Survival Strategies of Non-Working Individuals in ASIA Cost Effective Service Oriented Model for Recruitment
Authors: Limrat Apichart , Karawek Sirachaya , Yoosomboon Monthana , Jirapongsananuruk Ariya
Published: April 2024

The research aim to study on survival strategies for out-of-work individuals in Asia, a cost- effective service model for recruitment, has set key objectives as follows. First to study the survival strategies of people who are not working in Asia. Second to study the format of employment recruitment services. in the Asian region and final to study the labor market in Asia and current trends. This research study on survival strategies for out-of-work individuals in Asia, a cost- effective service model for recruitment, has set key objectives as follows. First to study the survival strategies of people who are not working in Asia. Second to study the format of employment recruitment services. in the Asian region the last to study the labor market in Asia and current trends. The researcher has qualitative research. Focus on education Survival strategies for non- working individuals in Asia Job recruitment service format in the Asian region and study the labor market in Asia and current trends By collecting data from labor news in the Asian region. and human resource management experts and analyze the obtained data to study Labor market guidelines in Asia and current trends. The results showed the Thai labor drive has awesome associations with co-workers They can moreover express their conclusions and be themselves. Counting being acknowledged by the boss. This is often apparent from the comes about of the study on acknowledgment and ability to be true to yourself within the workplace. which Thailand is treated more similarly and reasonably than within the Asia-Pacific locale (70% of Thailand vs. 52% of Asia-Pacific and 71% of Thailand vs. 53% of Asia-Pacific, separately).The Thai labor force sees the work they do as connected to organizational goals and personal goals. Make them feel that the work they do is valuable and meaningful, with 71% of survey respondents saying Their work can fill the mind. Higher than Asia Pacific at 51% .The Thai labor force sees progress and learning opportunities to grow their careers and develop themselves in the workplace. which matches the characteristics of Gen Y and Gen Z who like to learn. and try new things.
Changes of the Vagina After Concurrent Radiochemotherapy and Brachytherapy in Cervical Cancer Anatomical and Physiological Changes
Authors: Hamdan A. , Eddarif O. , El Baz S. , Nouni K. , Lachgar A. , El Kacemi H. , Kebdani T. , Hassouni K.
Published: April 2024

The objective of the study: The aim of our study was to highlight the anatomical and physiological changes of the vagina after external radiotherapy and brachytherapy in cervical cancer. Materials and Methods: This was a prospective descriptive study conducted over a period of 6 months, from March to August 2022. A total of 123 women with cervical cancer, treated with concurrent radiochemotherapy and uterovaginal brachytherapy, who reported having had sexual intercourse in the six months prior, were included in the study. Patients were interviewed and examined during post-therapeutic follow-up consultations. Results and Statistical Analysis: The age of the patients (n=123) ranged from 33 to 67 years, with a mean of 49.35 ± 9.84 years. The post-therapeutic follow-up duration ranged from 6 months to 7 years. The most common histological type was squamous cell carcinoma, and the most common FIGO stage was stage II. Treatment consisted of concurrent radiochemotherapy and uterovaginal brachytherapy. Interviews revealed several changes related to the vagina after treatment. More than 65% of patients (n=81) reported the onset or worsening of vaginal dryness, over 50% (n=63) reported the onset or worsening of dyspareunia. Nearly 70% (n=83) reported a decrease in sexual desire frequency or dissatisfaction, and over 60% (n=78) became indifferent to sexual life. Gynecological examination revealed a vaginal length ranging from 2 to 10 cm with a mean of 5.66 ± 2.09 cm, the presence of synechiae and/or stenosis in nearly 43% (n=53), and bleeding in nearly 40% (n=47). In univariate analysis, vaginal dryness and dyspareunia significantly increased with age. Resumption of sexual activity was slower in younger and older women. Among patients followed for two years or less, there was a significant increase in synechiae or stenosis, as well as bleeding. Conversely, the prevalence of vaginal dryness and dyspareunia increased with follow-up duration, especially in those exceeding two years. In groups with vaginal dryness or dyspareunia, a large proportion of patients reported a decrease in sexual desire and indifference to their sexual life. Conclusion: This study revealed that patients with cervical cancer experienced significant anatomical and physiological changes in the vagina after treatment with concurrent radiochemotherapy and uterovaginal brachytherapy, leading to chronic sequelae and sexual disorders. It is therefore essential to implement measures to prevent or limit certain side effects associated with these treatments.
Characterizing Microplastic Pollution and Microbial Community Status in Rice Paddy Soils Across Varied Environmental Settings in Songjiang, Shanghai: An Analysis of Morpho-Chemical Characteristics
Authors: Rifhat Rukaiya , Gao Pin
Published: April 2024

Microplastic (MP) pollution poses a huge threat to rice fields, but the distribution characteristics of MPs in farmlands of different types of areas are still uncertain. In this work, 24 samples from 12 rice fields of four different land-use types (Factory, highway, greenhouse/mulching and normal fields) were collected from Songjiang, Shanghai. From our selected sites, it was found that MP abundances were in the range of 233.33- 173.33 particles/kg in rhizosphere and bulk soil. MP distribution results showed that over 40% of particles were less than 1 mm and MP sizes ranging between 1 and 5 mm represented the greatest proportion. According to our study, MP in rhizosphere soil has the highest abundance (233.33 ± 57.73 particles/kg) than bulk soil. The particle shape classified as fragment (with edges and angular) was the most frequent shape found near factory areas, with an abundance of approximately 37.10%. Copolymers of polypropylene- polyethylene (PP/PE) at 24.30% were the most abundant polymers in rice lands in both bulk and rhizosphere soils; following is polystyrene (PS) at 21.40%, respectively. Most of the particles found in soils were white. Statistical analyses showed that fields near factories and fields where plastic mulching (mulch film and greenhouse crops) was used had a significantly higher particle abundance for bulk and rhizosphere soils, hence identifying plastic mulching as a major contributor to MP pollution in paddy soils. In industrial areas, MP can also be generated by released waste or by air. Microbial studies in rice roots, rhizosphere soil, and bulk soil show variation in the abundance of different species and genera. The dominant bacterial phyla in rice roots are Proteobacteria, Actinobacteriota, Firmicutes, and Bacteroidota. These microbes have been observed and can be impacted by the presence of MPs. Rhizosphere soil and bulk soil have an abundance of Chloroflexi, Actinobacteriota, Proteobacteria, Firmicutes, and Acidobacteriota. The specific effects on the microbial community structure depend on factors like MP type, concentration, and exposure duration. As our study was field-based, the significant effect of a specific type or concentration of MP was difficult to identify. Variation analyses of MP characteristics revealed that paddy lands were more likely to contain fragment shapes and large MP particles (1-5 mm). Also, rhizosphere soils were likely to contain fragment shapes and pony-size MPs (0.02-0.2 mm). Differences among rice fields may depend on various reasons, such as using slow- release fertilizers, mulching plastic application, irrigation, atmospheric fallout, etc. This study provides some proper evidence about the characteristics of MP pollution in rice fields of Songjiang and explores some probable conditions and predominant MP sources in rice fields.