bluuebunny/crossref_metadata_2025 huggingface dataset:
Járóbeteg-irányítási rendszerben történő időpont előjegyzés mérföldköveinek bemutatása a digitális egészségügyet befolyásoló tényezők tükrében
Authors: Kelen Andrea , Kovács Erika
Published: May 2024

A digitális fejlődés és applikációk fejlesztése az egészségügyben is megjelent, mint a hétköznapi élet egyéb területein. Az egészségügy területe azonban a különleges adatok, a különböző egészségi állapotok, és a speciális igények miatt különösen nagy figyelmet igényel. A különböző fejlesztések kidolgozása és bevezetése elött kiemelt jelentőséggel bír a páciensek igényeinek, technikai felkészültségüknek, pozitív és negatív szemléletének felmérése és megértése. A hatékonyan működő és teret hódító digitális felületek egyik legfontosabb pillére az említett szempontok mentén történő fejlesztés. Az internet és az elektronikai eszközök rohamos terjedésével párhuzamosan az élet minden területén törekszenek a digitális fejlődésre és az online tér nyújtotta lehetőségek kihasználására. A digitális egészségügyi fejlesztések külföldi bevezetésének elterjedésének sikereit és kudarcait vizsgálva, számos tényező azonosítható, mely az implementációban szerepet játszik.
Magyarországon Kormányhatározat született a járóbeteg irányítási rendszer korszerűsítésére, mellyel a betegek egyik alapvető jogát, az ellátáshoz való hozzáférést igyekeznek támogatni mind amellett, hogy az egyre erősödő munkaerőhiánnyal küzdő egészségügyről az előjegyzés rendszerének átalakításával terhet vesznek le, hogy az így felszabaduló kapacitás a betegellátásra legyen fordítható. A cikk a járóbeteg irányítás fejlesztésére irányuló kutatás részeként a fent leírt tényezők jelentőségét vizsgálja a digitális előjegyzési rendszer bevezetésekor, és az operatív lépésekre tesz javaslatot a siker érdekében.
Privacy in an Age of Cybersurveillance
Authors: Weaver Russell L.
Published: May 2024

This article provides an update en events since Edward Snowden, an employee of a National Security Agency (NSA) contractor, stole and released thousands of classified documents in 2013, revealing that the U.S. government was engaged in a massive secret cybersurveilance operation that was amassing information about people all over the world, including U.S. citizens. In the U.S., Snowden’s revelations sparked a spirited debate regarding privacy rights, and in particular whether the U.S. cybersurveillance operation was appropriate in a democratic system. This article describes the scope of the cybersuveillance program, and examines how the courts and Congress responded to the Snowden revelations, and (in particular) how U.S. society evolved in the following years.
Addressing metallosis in knee arthroplasty: From diagnostic challenges to innovative treatments
Authors: Bogdonoff Yvon Maurice , Amirouche Farid
Published: May 2024

In this editorial, we comment on the article by Toro et al published in the recent issue of World Journal of Orthopedics . This editorial review provides a comprehensive exploration of the landscape surrounding knee arthroplasty metallosis, focusing on key aspects ranging from the mechanisms influencing susceptibility to clinical implications and advanced treatment strategies. We elucidate the complex interplay of implant design, patient-specific variables, and wear-related processes contributing to metallosis. Furthermore, we seek to shed light on diagnostic challenges, the necessity of a multidisciplinary approach, and the imperative for vigilant implant surveillance. Uni-on-uni revision, as a targeted treatment modality, is discussed, highlighting its potential to address metallosis in unicompartmental knee arthroplasty (UKA). There is a need for heightened awareness among clinicians regarding the subtle presentations of metallosis, coupled with the limitations of traditional imaging techniques. Addressing metallosis requires a collaborative, multidisciplinary approach to effectively navigate the complexities associated with this complication. Furthermore, the review emphasizes the evolving paradigm of personalized care, with uni-on-uni revision emerging as a promising surgical solution. In conclusion, the editorial outlines the dynamic nature of knee arthroplasty metallosis and its multifaceted impact on clinical practice. It calls for ongoing collaboration, education, and integration of innovative solutions to enhance diagnostic accuracy, proactive management, and overall patient outcomes in the realm of UKA.
Unicompartmental knee arthroplasty vs high tibial osteotomy for knee osteoarthritis: A comparison of clinical and radiological outcomes
Authors: Wyatt Frederick William , Al-Dadah Oday
Published: May 2024

BACKGROUND

Unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) are well-established operative interventions in the treatment of knee osteoarthritis. However, which intervention is more beneficial to patients with knee osteoarthritis remains unknown and a topic of much debate. Simultaneously, there is a paucity of research assessing the relationship between radiographic parameters of knee joint alignment and patient-reported clinical outcomes, preoperatively and following HTO or UKA.

AIM

To compare UKAs and HTOs as interventions for medial-compartment knee osteoarthritis: Examining differences in clinical outcome and investigating the relationship of joint alignment with respect to this.

METHODS

This longitudinal observational study assessed a total of 42 patients that had undergone UKA (n = 23) and HTO (n = 19) to treat medial compartment knee osteoarthritis. Patient-reported outcome measures (PROMs) were collected to evaluate clinical outcome. These included two disease-specific (Knee Injury and Osteoarthritis Outcome Score, Oxford Knee Score) and two generic (EQ-5D-5L, Short Form-12) PROMs. The radiographic parameters of knee alignment assessed were the: Hip-knee-ankle angle, mechanical axis deviation and angle of Mikulicz line.

RESULTS

Statistical analyses demonstrated significant (P < 0.001), preoperative to postoperative, improvements in the PROM scores of both groups. There were, however, no significant inter-group differences in the postoperative PROM scores of the UKA and HTO group. Several significant correlations associated a more distolaterally angled Mikulicz line with worse knee function and overall health preoperatively (P < 0.05). Postoperatively, two clusters of significant correlations were observed between the disease-specific PROM scores and knee joint alignment parameters (hip-knee-ankle angle, mechanical axis deviation) within the HTO group; yet no such associations were observed within the UKA group.

CONCLUSION

UKAs and HTOs are both efficacious operations that provide a comparable degree of clinical benefit to patients with medial compartment knee osteoarthritis. Clinical outcome has a limited association with radiographic parameters of knee joint alignment postoperatively; however, a more distolaterally angled Mikulicz line appears associated with worse knee function/health-related quality of life preoperatively.
The fulfilment of patients’ rights in the provision of teleconsultations during the COVID-19 epidemic state from the viewpoint of administrative decisions in proceedings in case of practices violating collective patient’s rights
Authors: Zoń Katarzyna Maria
Published: May 2024

W artykule objęto analizą problematykę realizacji praw pacjenta przy udzielaniu teleporad w podstawowej opiece zdrowotnej w dobie stanu epidemii COVID-19 z perspektywy publicznoprawnego instrumentu ochrony praw pacjentów, jakim jest instytucja praktyk naruszających zbiorowe prawa pacjentów. Celem pracy było wskazanie zachowań podmiotów leczniczych związanych z realizacją tego rodzaju świadczeń zdrowotnych, które Rzecznik Praw Pacjenta weryfikował w postępowaniach w sprawach praktyk naruszających zbiorowe prawa pacjentów. Ponadto prowadzone rozważania zmierzały do zidentyfikowania konkretnych przejawów naruszeń zbiorowych praw pacjentów. Z przeprowadzonej analizy wynika, że przedmiotem tych postępowań były zasadniczo dwie kategorie zachowań podmiotów leczniczych. Pierwszą z nich stanowiło ograniczenie lub niezapewnienie pacjentom faktycznej możliwości rejestracji w celu uzyskania świadczeń opieki zdrowotnej finansowanych ze środków publicznych w podstawowej opiece zdrowotnej. W tym zakresie praktyki te przejawiały się przykładowo w nieodbieraniu czy odrzucaniu połączeń pacjentów oraz w zbyt długim czasie oczekiwania pacjenta na odebranie połączenia. Druga grupa zachowań obejmowała natomiast nieudostępnienie na oficjalnej stronie internetowej czy w siedzibie podmiotu leczniczego pełnej informacji
o warunkach realizacji teleporady w podstawowej opiece zdrowotnej zgodnie z treścią standardu organizacyjnego, co wyrażało się między innymi w braku umieszczenia jednego, kilku czy wszystkich wymaganych elementów. Mając to na uwadze, należy podkreślić, że kompetencja Rzecznika Praw Pacjenta w zakresie prowadzenia postępowań w sprawach praktyk naruszających zbiorowe prawa pacjentów realnie wpływa na ochronę praw pacjentów w ujęciu systemowym.
Mehr Freude an Mathematik durch Englisch – mit CLIL
Authors: Sperk Sabine
Published: May 2024

Mit dem neuen Lehrplan der Volksschule (2023) haben sich wesentliche Rahmenbedingungen für die Vermittlung einer lebenden Fremdsprache geändert – in Österreich bedeutet dies in den allermeisten Fällen, dass es dabei um die englische Sprache geht. Lehrkräfte sehen sich mit der Aufgabe konfrontiert, die vier zentralen Sprachkompetenzen – Hören, Sprechen, Lesen und Schreiben – innerhalb einer begrenzten Unterrichtszeit effektiv zu fördern. Als eine Strategie zur Bewältigung dieser Herausforderung bietet sich CLIL (Content and Language Integrated Learning) an – ein Ansatz, der auf das integrierte Erlernen von Inhalten und Sprachen abzielt. Hierbei werden Unterrichtsinhalte in der Fremdsprache vermittelt, unterstützt durch spezifische Fördermaßnahmen. Obwohl der Einsatz von CLIL für die fremdsprachliche Behandlung von Sachunterrichtsthemen in der Theorie gut beschrieben ist, trifft dies auf den sprachintegrierten Mathematikunterricht weniger zu. Dennoch kann Englisch effektiv als Kommunikationsmittel im Mathematikunterricht der Volksschulen genutzt werden, wobei die Themenwahl entscheidend ist. Insbesondere eignen sich Bereiche wie Zahlen und Zählen, einfache Rechenoperationen, Formen und Körper, Größen, Rechnen mit Geld sowie der Umgang mit Brüchen. Lehrkräfte sollten innerhalb dieser Bereiche gezielte Fördermaßnahmen ergreifen, etwa durch den Einsatz interaktiver, visueller und kommunikationsintensiver Übungen. Solche Methoden werden beispielhaft für das Thema Formen („Shapes“) illustriert.
Tinkercad
Authors: Linzer-Sommer Isabella
Published: May 2024

Tinkercad ist eine freie Webapplikation von Autodesk für 3D Design, Elektronik und Coding. In kürzester Zeit können in diesem Programm Dateien für den 3D-Druck erstellt werden.
Tinkering wird im SienceCenter Netzwerk als „tüfteln“ oder „technisches basteln“ übersetzt, im engeren Sinne bedeutet tinkering „mit etwas herumspielen“. In diesem Beitrag wird der Frage nachgegangen, inwieweit Tinkercad auch zur Vermittlung von Geometrieinhalten im Rahmen von Unterricht eingesetzt werden kann und das Raumvorstellungsvermögen der Lernenden schult.
Dazu werden zunächst Merkmale formuliert, die ein CAD-Paket aufweisen sollte, um damit Geometrie im schulischen Kontext betreiben zu können. Anschließend werden anhand von Einstiegsbeispielen für CAD-Programme die grundlegenden Funktionen des Programms vorgestellt und auch die Grenzen desselbigen aufgezeigt.
Exploring the Landscape of Type 2 Diabetes Mellitus Research: A Comprehensive Review of 670 Scopus-Enrolled Journal Articles (2003-2022) by Pakistani authors
Authors: Puri Partab , Azam Amjad , Memon Abdul Rauf , Puri Danish , Zakiuddin Syed , Baladi Zameer Hussain
Published: May 2024

Background: Academics develop ideas, technologies, and creative techniques to promote economic, social, and cultural development through interdisciplinary collaborations and cutting-edge research; Scholarly research shapes educational curriculum. Aim: To associate the authors' connection with various institutes and count the availability of institutes in the study; the research intends to provide insights into the contribution of Pakistani scholars and institutions in this specific area of DM type 2 study. Methods: A retrospective method was utilized for this meta-analysis. "Diabetes mellitus type 2" is written down in the Scopus database's menu bar with "Pakistan' in the following search query as affiliation. Results: Comma separated value (CSV) file was downloaded with 861 documents on the term diabetes mellitus type 2. Seven hundred nineteen articles, 85 review articles, 39 letters, 8 editorials, 3 book chapters, 3 conference papers, 3 notes, and 1 erratum were downloaded. Seven hundred nineteen articles were further analyzed, and 670 were selected for meta-analysis for this study. A total of 2794 authors from 1457 institutes participated in writing 670 articles. 55 authors write 588 articles, 117 authors write 45 articles, 238 authors write 17 articles, and 2384 authors write 20 articles. The extensive participation of authors from a diverse range of institutes (1457 in total) underscores the collaborative nature of diabetes mellitus type 2 researches in Pakistan. Practical Implication: This study can help us learn more about the research done by Pakistani authors and institutions on type 2 diabetes. It also shows us where more research and collaboration are potentially needed to improve Pakistan's scientific efforts in this field Conclusion: The results indicate a strong and cooperative research environment for type 2 diabetes in Pakistani institutions. While the involvement of numerous writers demonstrates the comprehensive and multidisciplinary nature of the research, the concentration of papers among particular authors may indicate specialty or leadership in the topic. The distribution of documents among the various author groups points to broad contributions from a bigger pool of researchers and focused efforts from a smaller group of authors. Keywords: Type 2 Diabetes mellitus, landscape, comprehensive review
Relationship between Anterior Cruciate Ligament Injury and Flat-Foot among Volleyball Players of Lahore, Pakistan
Authors: Tauqeer Sana , Adnan Muhammad , Ikram Ammarah , Sapra Ayesha Aslam , Rafique Umer , Javed Assra Noor , Shakeel Hammad
Published: May 2024

Background: A person with flat feet experiences a decrease in their medial arch when they bear weight. Players of volleyball are more vulnerable to ACL problems. Playing volley-ball increases the risk of ACL damage because of the repeated jumping and falling on the ground. Aim: To find relationship between anterior cruciate ligament injury and flat-feet among volleyball players of Lahore, Pakistan Methodology: This cross-sectional study included volley-ball players and was conducted on 158players. Participants were selected by non-probability sampling. Their age was in range between20 to30 years and only males were included. For collection of data KUJALA score (anterior knee pain scale) was used to assess anterior cruciate ligament injury and Clarke’s angle was used to measure flat-foot. Data was collected from training academies in Lahore. Written consent was taken from the participants and the significance of the study were explained before filling the questionnaires. Results: In present study the mean age was 23.14. The mean of KUJALA score and Clarke’s angle for right knee and flat foot was 77.78 and 9.57 respectively. The mean of KUJALA score and Clarke’s angle for left knee and flat foot was 71.90 and 9.09 respectively. The Pearson’s correlation showed negative correlation between KUJALA score and Clarke’s angle. Practical Implications: This research will be very beneficial to society it will help to make a correct and beneficial rehabilitation plan for flat foot patients having ligamentous injury. It will also help athletes to decrease pain management for patients having ACL injury in flat foot patients. Conclusion: The present study concluded that there is negative correlation between anterior cruciate ligament injury and flat foot which means reduction in medial longitudinal arch can increase knee pain followed by anterior cruciate ligament injury. Keywords: Anterior cruciate ligament, Athletes, Flat foot, Volleyball players
Correlation between Antiviral and Steroid Therapies, COVID-19 Severity, and patient Outcomes: A Cross-Sectional Study
Authors: Kayani Urfa Tabassum , Sidhwani Santosh Kumar , Khatoon Ambrina , Kumar Ashok , Mirza Talat
Published: May 2024

Aim: To investigate the relationship between the severity of COVID-19 and the impact of antiviral medications, specifically Remdesivir, and steroid treatments on disease outcomes. Study design and setting: A cross-sectional study involving 103 COVID-19 patients was conducted at Ziauddin University's outpatient departments (OPDs), inpatient facilities and intensive care units (ICUs) during the years 2021 and 2022. Methodology: Patients who tested positive for COVID-19 through PCR testing were included in the study. SARS-CoV-2 RNA was detected through qualitative RT-PCR, and data were retrieved from medical records, encompassing demographic, clinical, and laboratory details. The impact of antiviral and steroid treatments on disease severity and outcomes was analyzed using SPSS for statistical analysis. Ethical considerations were paramount, with measures including obtaining informed consent and securing approval from the Ethical Review Committee (ERC). Results: Remdesivir use correlated with lower severity and higher discharge rates (p < 0.001); steroids were associated with improved discharge rates (p = 0.037). Younger age (≤50 years) related to milder cases (p = 0.003), and dyspnea indicated increased severity (p = 0.001). Comorbidities were associated with a higher likelihood of severe outcomes (p = 0.009). Fever and cough, common symptoms, were not significant predictors. Various lab markers showed no significant associations with COVID-19 severity. Conclusion: Antiviral and steroid therapies, especially Remdesivir, show promise in mitigating COVID-19 severity and improving outcomes. Larger prospective studies are needed for validation in this ongoing global health emergency. Keywords: Antiviral, Remdesivir, RT-PCR, SARS-CoV-2, Steroid.
Post-Operative Outcomes of Coronary Artery Bypass Surgery in Young Adults
Authors: Tariq Muhammad , Malik Waqar Masud , Ullah Kifayat , Jamal Kiran , Khan Attiya Hameed , Nasir Abdul , Shah Syed Shahkar Ali
Published: May 2024

Background: CABG is extensively studied surgical procedure but the data shows little about younger population. The gold standard for treating TVCAD is coronary bypass surgery with better long-term outcomes and lesser reintervention. Young adults who have coronary arteries revascularized are a specific category of sufferers, with research on cardiovascular proceedings. Aim: To identify the risk factors and to determine the postoperative outcomes in young patients encountering CABG. Methodology: This retrospective empirical groundwork was carried out at Peshawar institute of cardiology, included (n=95) adults, who were diagnosed with coronary artery disease and underwent CABG surgery. Data was extracted from electronic medical record (EMR) and by using SPSS version 26.0, the data was analyzed. Results: Mean age of the patients (43.24±3.940), mean BMI (27.8249±4.32135), mean pulse rate (80.79±13.808), mean systolic BP (134.40±19.168), mean diastolic BP (83.86±13.901). Major risk factors observed were both DM and HTN 33.7%, use of tobacco and HTN20%. Correlation of age showed significant linear relationship with ventilation time, ICU stay, CCS class with NYHA at P<0.01. Similarly, previously diagnosed STEMI patients showed significant linear relationship with mortality at P<0.05. Conclusion: According to the consequences of the study it is presumed that in young patient’s lower rates of morbidity and in hospital mortality was observed as compared to older counterparts. Furthermore, detailed multicenter study in this area is needed with higher sample size and long-term effects for extended periods of time to confirm better results. Keywords: Coronary artery disease,Percutaneous coronary intervention, Cardiopulmonary bypass
Comparison between Diclofenac Sodium and Ketorolac in the Management of Post-Appendectomy Pain
Authors: Jahan Nuzhat , Malik Muhammad Jalil , Imran Muhammad , Anwar Muhammad Waseem , Munir Shahid , Gondal Ibrahim Zafar
Published: May 2024

Aim: To compare the Diclofenac Sodium and ketorolac in the management of post-appendectomy pain. Study design: Single blinded analytical comparative trial Place and duration of study: Tertiary Care Hospital, Lahore from 01-03-2022 to 30-11-2022. Methodology: One hundred and twenty three patients within 8-48 years who were suffering from acute appendicitis and required appendectomy were randomly selected. They were randomly divided into two groups. One was Diclofenac sodium group which had 61 cases in it and was selected to receive Diclofenac Sodium post-surgery. The other group having 62 patients was ketorolac group receiving ketorolac for pain relief. The patients received the pain killer post 30 and then 60 minutes after their surgery. The comparative results and efficacy of each pain killer was analyzed and assessed through faces pain scale. Results: The mean age of the patients was 20.5±5.5 in diclofenac sodium and 21.3±6.1 in Ketorolac group. There were 75.4% males in former group while 62.9% in later group. The mean value of BMI was within normal range in both groups. The pain score recorded highest number of cases in Diclofenac Sodium and ketorolac group at score 02 within 30 minutes after surgery while the pain score significantly dropped in ketorolac group in 60 minutes to score 00 while it persisted highest in score 02 among patients given Diclofenac Sodium. Conclusion: Intravenous ketorolac has advanced analgesic effect than Diclofenac Sodium with a substantial low risk involved in cases of appendectomy. Key Words: Appendicitis, NSAIDS, Ketorolac, Diclofenac, Management.
Frequency of Osteomalacia and Vitamin D Deficiency in Elderly Patient Presenting at a Tertiary Care Hospital
Authors: Khan Jamal Ahmad , . Sana , Babar Bakht , Khan Azmat Ali , Khan Zakirullah
Published: May 2024

Introduction: Vitamin D deficiency leads to the bone hypomineralization condition known as osteomalacia in peoples and is linked to other non-skeletal diseases. Objectives: To determine the frequency of osteomalacia and vitamin d deficiency in elderly patient presenting at a tertiary care hospital. Study Design: Cross sectional study Settings: Department of Diabetes and endocrinology Hayatabad medical complex Peshawar Materials & Methods: Total 140 patients aged 50 years and above presenting with body pain and weakness who required medical treatment at hospital for various health concerns. Patients with known metabolic bone disorders other than osteomalacia, patients receiving vitamin D supplementation or specific treatments for bone disorders were excluded. Participants underwent a thorough clinical assessment, including medical history review, physical examination, and assessment of musculoskeletal symptoms associated with osteomalacia. Blood samples were collected to measure serum levels of 25-hydroxyvitamin D [25(OH)D], the biomarker for vitamin D status. Additional biochemical markers, such as alkaline phosphatase and parathyroid hormone levels, were also assessed to aid in the diagnosis of osteomalacia. Collected data of study variables were analyzed using statistical software (SPSS version 25). Results: Regarding gender, a total of 60 patients were male, constituting 42.85% of the population, while 80 patients were female, representing 57.14%. Musculoskeletal pain was reported in 80 individuals, representing 57.1% of the population. Proximal muscle weakness was observed in 50 patients, accounting for 35.7%. Additionally, 40 patients (28.6%) had a history of fractures. Vitamin D deficiency was identified in 68(48.57%), while osteomalacia was in 11(7.85%) patients. Practical Implication: Understanding the interplay between thyroid disorders and bone health can guide more comprehensive management strategies in this vulnerable population at tertiary care hospitals. Conclusion: In conclusion, our study reveals a relatively high prevalence of biochemical osteomalacia 7.85% among Pakistani old age patients challenging previous estimates in other populations Keywords: Association, Bone Hypomineralization, Non-skeletal Disorders, Osteomalacia, Vitamin D Deficienc
Infrared Thermography as a Non-Invasive Tool to Assess Health Bio-Marks in University Students
Authors: Khalid Muhammad , Ibrahim Muhammad Khurum , Zafar Zeenat , Maqbool Mudassar , Idris Muhammad Musadiq , Azam Sheikh Muhammad , Ahmad Shakeel , Hassan Shoaib , Bibi Shazia , Mustafa Ghulam , Fatima Khadija , Mehmood Yasir , Imran Muhammad , Abdullah Shaikh Muhammad , Javed Hassan Raza , Raza Qasim , Ali Ahmad
Published: May 2024

Aim: To evaluate the relationship between cortisol concentrations (ng/ml) with body temperature, digital thermometer and thermal infrared gun (˚C). Infrared Thermography is a new and revolutionary way of measuring body temperature. Methodology: In this study data is collected about 65 individuals and extract blood samples from 50 students (25 males and 25 females). Results: Non-significant negative correlation was observed between cortisol concentrations (ng/ml) with body temperature of IRT of right eye-maximum (CC = -0.100; P = 0.490). Non-significant negative correlation was observed between cortisol concentrations (ng/ml) with body temperature of IRT of left eye-maximum (CC= -0.099; P = 0.495). Non-significant negative correlation was observed between cortisol concentrations (ng/ml) with body temperature of IRT of forehead-maximum (CC = -0.124; P = 0.413). A non-significant negative correlation is also observed between cortisol concentration (ng/ml) with body temperature of IRT of mean of left eye, thermal infrared gun and digital thermometer (˚C). Conclusion: Overall non-significant negative correlation is also observed between various concentrations with body temperature. Keywords: IRT, Cortisol, Body temperature, Digital thermal temperature, Infrared gun temperature
Various Malignancies Amongst Children Presenting to Pediatric Unit of Tertiary Care Center
Authors: Zia Aneeka , Raza Afsheen Batool , Khalid Novera
Published: May 2024

Childhood malignancies are slowly rising critical medical issue with low rate of survival. Despite of its variability in frequency and distribution with respect to its types, very few studies have addressed this aspect in Pakistan. In order to understand the factors to help in management and increase success rate of treatment, frequency and patterns of different types of malignancies in our settings should be understood well. Aim and Objective: To find out the frequency of various malignancies amongst children presenting to pediatric unit of tertiary care center. Materials and Methods: This descriptive cross sectional study was conducted in pediatric unit of Jinnah Hospital, Lahore, between 08-04-2021 to 08-04-2022 on 240 children. The data was collected using non-probability consecutive sampling after taking consent from the parent/guardian of the patient. Socio-demographic and clinical data was collected on a semi-structured proforma and was analyzed using SPSS v.17. Mean, Standard deviation, frequency and percentages were given for quantitative and qualitative data respectively while Chi Square test was used to find association of types of cancers with age and gender keeping a p-value<0.05 as significant. Results: The mean age of children was 8.05 ± 4.077 years with 53.8% males. Acute leukemia (20.8%) was the commonest type of malignancy among other including Burkitt lymphoma in 18.8%, Rhabdomyosarcoma in 18.3, Non Hodgkin lymphoma in 9.2%,Hodgkin lymphoma in 7.1%,Wilms tumor in 14.2%,Neuroblastoma in 5%, Retinoblastoma in 3.3% and Yolk sac tumor in 3.3% children. Only Rhabdomyosarcoma and Acute leukemia had significant association with age groups (p-values= 0.043 & 0.014 respectively). Conclusion: This study concludes that acute leukemia was commonest observed type of childhood malignancy (20.8%), whereas Retinoblastoma and Yolk sac tumor were the least observed ones. Only age was associated with Rhabdomyosarcoma and Acute leukemia among all types of malignancies. Keywords: Childhood malignancies, Age group, Acute leukemia, Rhabdomyosarcoma, Retinoblastoma.
Do Religious Beliefs Barrier the Coping Mechanisms for Parents of Children with Autism Spectrum Disorder?
Authors: Çaksen Hüseyin
Published: May 2024

I read with great interest the paper titled “pilgrimage for an autism diagnosis: a study of Venezuelan parents' experiences” by Montiel-Nava et al1. The authors reported that Venezuelan parents mentioned a generalized lack of autism awareness, an unsupportive school system, and judgment from their extended family. Most of the parents understandably attached spiritual meaning to having an autistic child and used their spiritual and religious beliefs to deal with negative emotions. The parents also thought that praying to Allah would help their child could overcome their problem. The authors suggested that cultural values and spiritual and religious beliefs will serve as both coping mechanisms and barriers to accessing services for Venezuelan parents of children with autism spectrum disorder (ASD). However, there are several studies performed in different societies in the literature showing parents’ religious beliefs helped them to overcome difficulties at the time of diagnosis and during therapy of autism
Rezension von: Dankert, Harald, Sportsprache und Kommunikation
Authors: Hampele Walter , Dankert Harald
Published: May 2024

Harald Dankert: Sportsprache und Kommunikation. Untersuchungen zur Struktur der Fußballsprache und zum Stil der Sportberichterstattung. (Volksleben Bd. 25.) Tübingen 1969. 175 S. DM 15,40
Rezension von: Harmening, Dieter u.a. (Hrsg.), Volkskultur und Geschichte
Authors: Hampele Walter , Harmening Dieter
Published: May 2024

Volkskultur und Geschichte. Festgabe für Josef Dünninger zum 65. Geburtstag. Hrsg. von Dieter Harmening, Gerhard Lutz, Bernhard Schemmel, Erich Wimmer. Berlin: Erich Schmidt 1970. 694 S.
Rezension von: Goy, Barbara, Aufklärung und Volksfrömmigkeit in den Bistümern Würzburg und Bamberg
Authors: Hampele Walter , Möckershoff-Goy Barbara
Published: May 2024

Barbara Goy: Aufklärung und Volksfrömmigkeit in den Bistümern Würzburg und Bamberg. (Quellen und Forschungen zur Geschichte des Bistums und Hochstifts Würzburg XXI.) Würzburg: Schöningh 1969. 320 S., 1 Karte. DM 30,-.
Rezension von: Spindler, Max (Begr.), Franken, Schwaben, Oberpfalz bis zum Ausgang des 18. Jahrhunderts 1+2
Authors: Wunder Gerd , Spindler Max
Published: May 2024

Handbuch der bayerischen Geschichte. Hrsg. von Max Spindler Band III. Erster Teilband: Franken. - Zweiter Teilband: Schwaben, Oberpfalz. München: Beck 1971. 1622 S. DM 148,—
Rezension von: Staatliche Archivverwaltung Baden-Württemberg (Hrsg.), Nordwürttemberg
Authors: Ulshöfer Kuno , Baden-Württemberg. Archiv-Verwaltung
Published: May 2024

Das Land Baden-Württemberg. Amtliche Beschreibung nach Kreisen und Gemeinden. Band II Nordwürttemberg Teil 1. Hrsg. von der Staatlichen Archivverwaltung Baden-Württemberg. Stuttgart: Kohlhammer 1971. 979 S. Ill. DM 45,-.
Rezension von: Mühlberger, Josef, Die Staufer
Authors: Wunder Gerd , Mühlberger Josef
Published: May 2024

Josef Mühlberger: Die Staufer. Aufstieg, Höhe und Ende. Stationen eines Weges von Namenlosen in die Weltgeschichte. Rottweil: Banholzer 1966. 168 S. (von S. 111 ab Bildtafeln).
Rezension von: Angerbauer, Wolfram, Das Kanzleramt an der Universität Tübingen und seine Inhaber
Authors: Wunder Gerd , Angerbauer Wolfram
Published: May 2024

Wolfram Angerbauer: Das Kanzleramt an der Universität Tübingen und seine Inhaber 1590-1817. (Contubernium Bd. 4) Tübingen: J. C. B. Mohr 1972. 166 S. 18 Tafeln. DM 21,-
Rezension von: Endres, Rudolf, Die Nürnberg-Nördlinger Wirtschaftsbeziehungen im Mittelalter bis zur Schlacht von Nördlingen
Authors: Wunder Gerd , Endres Rudolf
Published: May 2024

Rudolf Endres : Die Nürnberg-Nördlinger Wirtschaftsbeziehungen im Mittelalter bis zur Schlacht von Nördlingen. (Schriften des Instituts für fränkische Landesforschung Erlangen-Nürnberg Bd. 11) Neustadt a. A. o. J. 220 S.
Rezension von: Dudík, B., Des Hohen Deutschen Ritterordens Münz-Sammlung in Wien
Authors: Ulshöfer Kuno , Dudík B.
Published: May 2024

B. Dudik : Des Hohen Deutschen Ritterordens Münz-Sammlung in Wien. Nachdruck der Ausgabe 1858 (= Quellen und Studien zur Geschichte des Deutschen Ordens, 6, 1966) 267 S., XXII Taf.
Rezension von: Kistner, Hugo, Klingen, ein Dorf an der Romantischen Straße
Authors: Wunder Gerd , Kistner Hugo
Published: May 2024

Hugo Kistner : Klingen, ein Dorf an der romantischen Straße. Niederstetten: 1971. 127 S. Ill.
Rezension von: Pörnbacher, Hans (Hrsg.), Christoph von Schmid und seine Zeit
Authors: Wunder Gerd , Pörnbacher Hans
Published: May 2024

Christoph von Schmid und seine Zeit. Herausgegeben von Hans Pörnbcher. Weißenhorn: Konrad 1968. 206 S. Ill.
Rezension von: Keppler, Uta, Botschaft eines trunkenen Lebens
Authors: Wunder Gerd , Keppler Utta
Published: May 2024

Uta Keppler: Botschaft eines trunkenen Lebens. Stuttgart: Steinkopf 1972. 236 S. DM 19.80
Willingness to Pay for Online Courses during the Pandemic
Authors: Ryan Michael , Han Yongseung , Manley Kelly
Published: May 2024

During the pandemic in fall 2020, we surveyed students to assess determinants of and willingness to pay for online courses. We found some changes in student perception of online courses as well as the determinants of taking online courses. That is, better grades became less important while convenience of scheduling became more important in student perception as well as in the choice of online courses. In addition to this perceptional factor, degree level, e.g., bachelor’s or associate’s, became an important determinant to the number of online courses as well as to the amount willing to pay for an online course. We also found that students were willing to pay less than the actual tuition rates for online classes. Our constructed demand analysis indicates that the revenue-maximizing tuition rate should be higher than what students are willing to pay.
The Causal Nexus between Corruption and FDI Inflows: Evidence from Five Latin American Countries
Authors: Darrat Mohamad A. , Darrat Mahmoud A. , Darrat Aadel A. , Koksal Ahmet
Published: May 2024

This paper explores the nature of causality between corruption and FDI inflows in five Latin American countries. Unlike prior empirical studies that use correlation-based standard regressions, we employ dynamic cointegrated error-correction models to uncover the directions of Granger-causality between corruption and FDI inflows. The evidence is overwhelmingly supportive of causality that is either unidirectional running from corruption to FDI inflows without feedback, or bidirectional between the two variables. In addition, the results imply some challenges for policy-makers. Their attempts to control corruption as causality patterns between corruption and FDI inflows sometimes prove dynamic, i.e., changing their nature between the short- and the long-runs. Moreover, the presence of long lags in the causal effect of corruption on FDI inflows carries the risk that policymakers (given their usual short-run policy horizon) may mistakenly infer that corruption is not harmful and fighting it is rather futile.
Ethics of Studying Illiberalism in a Hyperconnected, Polycrisis-defined Era: An Introduction to the Special Issue
Authors: Sibgatullina Gulnaz
Published: May 2024

As of April 2024, at the time of composing this introductory note, research on the challenges faced by liberal democracies—whether established or aspiring—appears to be in continuously high demand. One needs only to focus on a small domain, election results, to realize the scope and intensity of those threats to the existing order. While elections of last year in Poland brought some hope for the pro-EU, left-wing opposition in Europe, populist far-right parties have secured a victory in the Netherlands, further fueling fears of a significant shift to the right in the upcoming European Parliament elections. The recent casting-of-ballots in Russia has ensured incumbent Vladimir Putin's presidency for another six years, while the fall 2024 elections in the US, with Donald Trump as the primary Republican candidate, promise to be a tough race for the Democrats. In India, Hindu nationalist Narendra Modi will run for a third term, competing against a broad alliance of opposition parties that are struggling to catch up.
Wrestling with Ethical Issues in Studying Illiberalism: Some Remarks from the U.S. Context
Authors: Laruelle Marlene
Published: May 2024

Knowledge production has always been intrinsically correlated to politics and power hierarchy. In the U.S. academic system, producing scholarship on highly polarizing topics such as illiberalism faces specific challenges. Classic ethical and epistemological issues are more difficult to address in a neoliberal framework that pushes for interaction with the policy world and for external fundraising. Moreover, both institutionalized and peer pressures on a normative definition of “liberalism” and its “enemies,” which often does not allow for both conservative and leftist interpretations of liberalism, reduces the space for discussion and may push for some spirals of silence to take form. This paper reflects on these challenges on the basis of more than a decade spent at the George Washington University in Washington, D.C.
The Interaction Between Supply Chain Relationships And Management Accounting: A Literature Review
Authors: El Sayad Samar
Published: May 2024

This study explores whether and how supply chain relationships have developed ‘matters of concern’ among researchers regarding the relevance of management accounting practices. A literature review of accounting, operations, and management literature was conducted to identify the ‘matters of concern’ among researchers. ‘Matters of concern’, one of the notions of Actor-Network Theory, was employed as a theoretical framework in this study. The findings of this study highlight the inadequacy of the conventional wisdom of management accounting in managing and supporting supply chain relationships. It shows how researchers focus not only on the issues within management accounting per se but also on the complexities that prevail in managing supply chain relationships and the reciprocal effects between management accounting and such complexities. This study paves the way for researchers to empirically investigate the ‘matters of concern’ and find ways to drive ‘matters of facts’ in the context of management accounting and supply chains.
Teaching in vocational training – the connection between mental health and the COVID-19 pandemic: an experience report
Authors: Souza Odilon Adolfo Branco de , Tavares Claudia Mara de Melo
Published: May 2024

This paper deals with the importance of valuing the teaching-learning process. The active participation of the learner enables the production of reflective exchanges, together with the teacher, generating knowledge. The connection between the themes of Mental Health and Pandemic and their interfaces was the starting point for the development of lesson planning, linked to the training process. The aim of the study was to describe a teaching internship experience in the context of a doctorate, with undergraduate nursing students in their 6th term, in the subject of Mental Health Promotion. The methodology applied was the construction of a dialogued lecture, with the aim of implementing the stages of the proposed activities. The active listening and experience that the students witnessed during the pandemic and their perceptions of mental health were linked to the training process. As a result, it can be identified that the development of the "teaching" stages was assertive, promoting the development of critical-reflective thinking on thematic connectivity and the construction of a process of interaction between teacher and learner, enabling the transformation of both.
Mucopolysaccharidoses from the perspective of patients and family members
Authors: Cursino Marina Vasconcelos , Albuquerque Eliane Nóbrega , Oliveira Júlia Bresani Victor de , Carneiro Leão Luana Mafra , Osório Mônica de Oliveira , Accioly Cybelle Cavalcanti
Published: May 2024

The aim of this study was to understand the impacts of mucopolysaccharidoses (MPS), a group of hereditary metabolic diseases with a chronic and progressive course, on children diagnosed with this condition and their family members. It is a qualitative research conducted with six children and five accompanying family members who attend the Reference Center for Inborn Errors of Metabolism (CETREIM). Data collection occurred through sociodemographic questionnaires and semi-structured individual interviews, recorded in audio and subsequently submitted to Content Analysis technique. The results indicate the presence of three main thematic axes: 1) Discovery and understanding of the diagnosis; 2) Repercussions and consequences of illness; 3) Coping strategies. The results highlight the ways in which children and family members define, interpret, and take positions regarding this diagnosis, indicating reverberations in the social and psychological spheres of different orders in these two groups, emphasizing that the rupture with normality permeates the condition of subject and identity, being marked by the repercussions of the disease and diagnosis.
Influences of testosterone undecylate on serological parameters of obese and non-obese rats
Authors: Graneli Soares Trayse , Elias Ferreira da Silva Priscilla , Perinotto Picelli Julia , Da Silva Cruvinel Carolina , Rodrigues Rosado Isabel , Martin Ian , Cazarini Madeira Marina , Resende Bittar Eustáquio , Ferreira Figueiredo Bittar Joely , Gabellini Leonel Alves Endrigo
Published: May 2024

This study aimed to assess the impact of testosterone undecylate on renal and hepatic functions by examining serum markers in obese and non-obese rats. The methodology involved treating these animals with testosterone undecylate or a control solution over a period of 28 days and analyzing serum samples for markers such as urea, creatinine, and liver enzymes. The results demonstrated no significant differences in creatinine, AST, ALT, GGT, ALP, and CK levels between the treated and control groups, suggesting that testosterone undecylate does not adversely affect renal or hepatic functions in the conditions tested. The study concludes that testosterone undecylate, within the administered doses, appears safe, presenting a favorable safety profile and good tolerability, making it a viable option for hormonal therapy in clinical and scientific settings.
Analyzing the Effect of Liquidity on Financial Stability: Evidence from Kenyan Deposit-Taking Savings and Credit Cooperative Societies
Authors:   Kenyatta University, Birisi Hesborn Birisi
Published: May 2024

Non-performing loans have been on the rise among DT SACCOs in Kenya over the past five years as evidenced by the increase in percentage of NPLs to gross loans in SACCO regulatory authority report of 2020. Consequently, if this trend is allowed to continue then this sector’s contribution to financial intermediation through provision of financial services will be negatively affected. In view of the above this study sought to investigate the effect of firm characteristics and financial stability of deposit taking savings and credit cooperative societies in Kenya. In view of the above this study sought to assess the effect of liquidity on financial stability of deposit taking savings and credit and cooperative societies in Kenya. The study was anchored on agency theory. Positivist research philosophy was adopted in this study. The study adopted explanatory research design. The target population for the study comprised 160 DT SACCOs which were fully operational in the period. A census approach was used for the study. This study utilized quantitative secondary data which was obtained from the society’s financial statements and supervision reports from the savings and credit cooperatives regulatory authority. The study utilized annual panel data for the period of 2017 to 2021. Multicollinearity test, normality tests, autocorrelation test, homoscedasticity, stationarity test and model specification test were carried out prior to panel data analysis. Data was analyzed using descriptive statistics, Pearson’s correlation analysis and panel regression analysis. STATA software was used for the analysis. The findings showed that liquidity had a strong, positive effect on NPLs ratio (β = 0.410056, p=0.003<0.05). In view of the findings, the study recommends that DT SACCOs with high liquidity levels should consider implementing rigorous lending practices to ensure that loans are extended to creditworthy borrowers. Additionally, effective credit risk assessment and continuous monitoring of borrower repayment behavior are essential to minimize NPLs. DT SACCOs should focus on improving management efficiency by implementing cost-effective operational processes. Keywords: Liquidity, Liquidity Ratio, Financial stability, Deposit-taking, Savings and Credit Cooperative Societies (SACCOs), Kenya.
Enhancing Efficiency and Security in MTC Environments: A Novel Strategy for Dynamic Grouping and Streamlined Management
Authors: Bhavsingh Maloth , Samunnisa K , Mallareddy A
Published: May 2024

This study presents a new strategy to improve security and efficiency in Machine-Type Communication (MTC) networks, addressing the drawbacks of the existing Adaptive Hierarchical Group-based Mutual Authentication and Key Agreement (AHGMAKA) protocol. The AHGMAKA protocol, crucial for securing communication within groups of devices with limited resources, has been found to cause significant operational delays and inefficiencies. Our proposed solution integrates advanced cryptographic methods, including an optimized Authenticated Message Authentication Code (AMAC) and lightweight encryption, sophisticated optimization algorithms for dynamic grouping, and an efficient, lightweight group management protocol. It also introduces adaptive network management strategies to customize performance according to the needs of MTC networks. The effectiveness of this approach has been validated through empirical analysis, showing considerable improvements in operational performance and energy efficiency. These improvements mark a significant step toward achieving an optimal balance between efficiency and security for MTC networks. However, the research acknowledges ongoing challenges, including the trade-off between security and efficiency and the issue of compatibility with older devices, suggesting these as areas for future study. The paper outlines potential research paths, including using machine learning for better group management, adopting post-quantum cryptographic methods, applying hardware acceleration, and pushing to standardize these technologies. This work significantly advances the field of secure and efficient communication in MTC, a critical component of the growing Internet of Things (IoT) landscape, setting the stage for future breakthroughs.