bluuebunny/crossref_metadata_2025 huggingface dataset:
The spectrum of clinical, hormonal findings in children with congenital adrenal hyperplasia in Isfahan province; a 20-year review
Authors: Hashemipour Mahin , Saleh Rana
Published: August 2024

Objectives

Congenital adrenal hyperplasia is an autosomal recessive disorder caused by complete or partial defects in one of the several steroidogenic enzymes involved in synthesizing of cortisol from cholesterol in the adrenal gland. Prompt and proper treatment of the disease would reduce symptoms and the level of androgens in patients. The present study aimed to evaluate the demographic characteristics and clinical findings of these patients.

Methods

This retrospective investigation was conducted in 146 patients with congenital adrenal hyperplasia participated. Their clinical and paraclinical findings were accurately recorded in the file and extracted from the records.

Results

Among all 146 patients, 119(81.5 %) was 21-OH Deficiency type;11-OH Deficiency type was 13(8.9 %), 10(6.8 %) was 3β-HSD type, StAR was 2(1.4 %) and 17 alpha(α)-hydroxylase Deficiency was 2(1.4 %). The mean age of disease onset in these patients was 2.45 ± 1.16 years. Macropenis was the most frequent clinical finding in 39 cases of 64 boys (60.9 %), and Clitoromgaly was the most clinical presentation in 40 cases of 82 girls (48.7 %). The levels of testosterone, dehydroepiandrosterone sulfate, and 17-OHP significantly decreased in the last visit compared to the initial diagnosis.

Conclusions

Based on the clinical findings in every infant or child with ambiguous genitalia, macropenis, clitoromegaly, hirsutism, and premature pubarche, we should consider congenital adrenal hyperplasia. Prompt and proper treatment and disease control would reduce symptoms and the level of androgens in patients.
Foot and ankle fellowship-trained osteopathic orthopaedic surgeons: a review, analysis, and understanding of current trends
Authors: Henry James P. , Partan Matthew J. , Chen Katharine M. , Cohn Randy M. , Bitterman Adam D.
Published: August 2024

Context

Over the past several decades, orthopedic surgery has seen a substantial increase in the number of surgeons completing fellowship training. Doctors of Osteopathic Medicine (DOs) continue to advance their orthopedic education through subspecialty fellowship training. DOs have represented between approximately 6 % and 15 % of American Orthopaedic Foot and Ankle Society (AOFAS) fellows. Although historical representation has been considered strong, the fellowship match years 2020 and 2021 have seen a decline in osteopathic orthopedic surgeons participating in foot and ankle fellowships. This deviates from the recent trends of increasing participation across orthopedic subspecialities.

Objectives

To investigate and review the trends of orthopedic foot and ankle fellowship training.

Methods

Data was reviewed from the AOFAS regarding number of fellows matched and degree obtained. Data from the Federation of State Medical Boards (FSMB), American Orthopaedic Foot and Ankle Society (AOFAS) and Association of American Medical Colleges (AAMC) were reviewed for physician trends and match statistics.

Results

Fellowship match years 2020 and 2021 have seen a decline in osteopathic orthopedic surgeons participating in foot and ankle fellowships, with only roughly 3% of AOFAS fellows being osteopathic trained.

Conclusions

Orthopedic surgery has the highest rate of subspecialty training of all surgical specialties. Although there is hope for an increasing osteopathic presence in orthopedic surgery, recent literature has pointed to potential for continued bias in opportunities for osteopathic students. We hope that increased participation of osteopathic graduates in orthopedic surgery training programs will result in the continued expansion of osteopathic orthopedic surgeons completing fellowship training, including in foot and ankle surgery.
Physical fitness and blood parameters outcomes of breast cancer survivor in a low-intensity circuit resistance exercise program
Authors: An Keun-Ok , Lee Kwang-Jin
Published: August 2024

There is limited evidence regarding the effect of circuit-type low-intensity resistance exercise on physical fitness and blood parameters in breast cancer survivors (BCSs). Therefore, this study aimed to investigate the effect of low-intensity circuit resistance exercise on changes in physical fitness and blood parameters in BCSs. A total of 16 BCSs participated in a low-intensity circuit resistance exercise group (LCREG). The exercise program in the LCREG consisted of 50–60% of one repetition maximum, two to three times weekly, for 24 weeks. The control group (CG) did not receive any interventions. All participants were measured for physical fitness and blood parameters before and after the exercise intervention. The results showed that LCREG significantly improved body mass index (BMI) (p = 0.012), grip strength (p = 0.017), back strength (p = 0.042), plank (p = 0.036), balance (p = 0.030), low-density lipoproteins (LDL) (p = 0.050), total cholesterol (p = 0.017), and natural killer cell activity (NKCA) (p = 0.035) after exercise compared to before exercise. The LCREG also significantly improved BMI (p = 0.001), grip strength (p = 0.014), plank (p = 0.018), balance (p = 0.012), LDL (p = 0.024), total cholesterol (p = 0.012), and NKCA (p = 0.036) compared to the CG. These findings suggest that low-intensity circuit resistance exercise can increase physical fitness levels and improve the blood index in BCSs.
The crystal structure of (E)-6-bromo-3,5-dimethyl-2-(1-phenylprop-1-en-2-yl)-3Himidazo[4,5b]pyridine, C17H16BrN3
Authors: Bogdanov Ivan P. , Stammler Hans-Georg , Tzvetkov Nikolay T.
Published: August 2024

C17H16BrN3, monoclinic, P21/c (no. 14), a = 6.91863(13) Å, b = 7.17190(11) Å, c = 29.6309(5) Å, β = 93.9228(15)∘, V = 1466.83(4) Å3, Z = 4, R

gt
(F) = 0.0201, wR

ref
(F
2) = 0.0392, T = 100.0(1) K.
The crystal structure of (E)-4-(2-(pyridin-4-ylmethylene)hydrazine-1-carbonyl)pyridin-1-ium-2-olate dihydrate, C12H14N4O4
Authors: Zeng-Bing Zhao , Lan-Xing Cheng , Shu-Cheng Yang , Yong-Li Chai , Xi-Shi Tai
Published: August 2024

C12H14N4O4, triclinic,

P

1
‾

$P\overline{1}$

(no. 2), a = 6.79127(19) Å, b = 10.0328(3) Å, c = 10.0542(2) Å, α = 90.027(2)°, β = 97.124(2)°, γ = 101.983(3)°, V = 664.71(3) Å3, Z = 2, Rgt
(F) = 0.0539, wRref
(F
2) = 0.1580, T = 292 K.
The crystal structure of catena-poly[aqua-nitrato-κ3
O,O:O′′-(1,10-phenanthroline-κ2
N,N
′)sodium(I)], C24H18N6O7Na2
Authors: Zeng-Bing Zhao , Shu-Cheng Yang , Bing-Qi Yang , Lan-Xing Cheng , Xi-Shi Tai
Published: August 2024

C24H18N6O7Na2, monoclinic, I2/a (no. 15), a = 9.9773(6) Å, b = 18.2319(14) Å, c = 14.2858(9) Å, β = 108.686(7)°, V = 2461.7(3) Å3, Z = 4, R

gt
(F) = 0.0337, wR

ref
(F
2) = 0.0939, T = 200 K.
True Grit: Exploring Nonprofit Sector Resilience Following Economic Recessions
Authors: Chen Xintong , Kuenzi Kerry , Evans Lindsey , Stewart Amanda
Published: August 2024

The nonprofit sector has been portrayed as resilient, describing a sector that persists despite challenges. We investigate nonprofit resiliency by examining how organizational characteristics, strategies, and community factors equipped organizations to recover following economic recessions. Utilizing a fixed effects panel regression model, our study covers a period of 29 years (1989–2018), encompassing three economic crises in the United States. The primary focus is examining the sector’s financial health and the resilience of the constituent organizations. Our findings describe a sector buoyed by the resilience of larger and older organizations, earned revenue, and contribution revenue, as well as the role of community factors in influencing the sector’s resilience. This study examines a wider timeframe and employs a more expansive sampling approach compared to previous studies on nonprofit resilience. In doing so, it contributes valuable insights to our understanding of the resilient sector.
The Mortar Wreck: a mid-thirteenth-century ship, wrecked off Studland Bay, Dorset, carrying a cargo of Purbeck stone
Authors: Cousins Tom
Published: August 2024

Throughout the medieval period, thousands of ships plied their trade around England's coasts. History documents numerous lost ships, and more would have sunk without record, yet very few wrecks dating between the tenth and fifteenth centuries AD have previously been discovered in English waters. The author reports on one of the first of such finds—the wreck of a clinker-built sailing vessel, dated to c. AD 1250, that was carrying a cargo of Purbeck stone. Examination of the ship and its cargo reveals new insights into shipping and the Purbeck stone trade in the thirteenth century.
High levels of consanguinity in a child from Paquimé, Chihuahua, Mexico
Authors: Sedig Jakob , Snow Meradeth , Searcy Michael , Punzo Diaz José Luis , LeBlanc Steven , Ramos Frank , Eccles Laurie , Reich David
Published: August 2024

Paquimé (also known as Casas Grandes), situated in northern Chihuahua between Mesoamerican and Ancestral Puebloan groups, was a vibrant multicultural centre during the thirteenth and fourteenth centuries AD. Substantial debate surrounds the social organisation of Paquimé's inhabitants. Here, the authors report on the analysis of ancient DNA from a unique child burial beneath a central support post of a room in the House of the Well. They argue that the close genetic relationship of the child's parents, revealed through this analysis, and the special depositional context of the burial reflect one family's attempts to consolidate and legitimise their social standing in this ancient community.
Peer-led online depression support groups: Potentially healthy and unhealthy associated behaviors
Authors: Kamicar Molly , Abitante George , Lovette Abbegail , Wilson Rachel A. , Gao Jenny , Cole David A.
Published: August 2024

Introduction: Since the COVID-19 pandemic, many individuals have turned to peer-led online depression support groups (DSGs) to cope with depressive symptoms. However, relatively little research has articulated how use of DSGs may relate to specific behaviors associated with depression. This study assessed healthy behaviors (healthy support-seeking, healthy normalization, problem-solving) and unhealthy behaviors (unhealthy support-seeking, adverse normalization, co-rumination) associated with the use of peer-led DSGs. Method: Participants (N = 525) were recruited through the Qualtrics platform, and measures of depressive symptoms, self-reported social media use, DSG use, and healthy/unhealthy DSG behaviors were administered online. Path analysis estimated the relations of DSG use to each of the six behaviors. Results: Results showed that all six DSG behaviors were positively associated with DSG use (ps < .001). Standardized coefficients ranged from 0.18 to 0.49 for healthy outcomes and from 0.28 to 0.36 for the unhealthy outcomes. Greater use of DSGs was associated with higher levels of all healthy and unhealthy behaviors. Education level moderated the relation of DSG use to the three unhealthy behaviors, with higher education leading to stronger relations between DSG use and all three unhealthy behaviors. Discussion: These findings suggest that DSGs may be associated with both healthy and unhealthy effects on their users.
Resenhas
Authors: Henrique Touguinha de Almeida Luiz , Amaral Martins Sabrine
Published: August 2024

Esta seção contém duas resenhas de livros.
Aula: um acontecimento construído por múltiplas ações de linguagem
Authors: Vieira Barbosa Marinalva
Published: August 2024

Este trabalho tem como tema as interações em sala de aula.  O estudo é feito com base em discursos produzidos por professores e alunos de dois níveis de escolarização: Fundamental e Universitário. O objetivo central é refletir sobre as múltiplas ações de linguagem a que professores e alunos recorrem na construção do processo de ensino-aprendizagem. Com base numa concepção dialógica de sujeito e de linguagem (Bakhtin, 1929, 1979), demonstro que, em qualquer nível de escolarização, a aula define-se muito mais pela pluralidade de posicionamentos do que pela unicidade. O modo como professores e alunos interpretam (o que inclui a aceitação ou a refutação) suas posições institucionais, os conteúdos de ensino, as ações linguageiras dos interlocutores faz com que a aula seja um espaço de emergência de gestos e ações próprias de cada sujeito. Pequenos acontecimentos a constituem e a transformam em um evento com garantias sobre como começar, mas não acerca de como terminar. Esse dinamismo faz da aula um sistema aberto e complexo.
Ensino-aprendizagem de língua inglesa em anos iniciais do ensino fundamental: do planejamento ao alcance dos objetivos propostos
Authors: Santos Leandra Ines Seganfredo
Published: August 2024

Este artigo apresenta resultados de uma investigação sobre o ensino-aprendizagem de Língua Inglesa para crianças que frequentam anos iniciais do Ensino Fundamental em escolas públicas municipais. Com base em Cameron (2001), Phillips (2003), Pinter (2006), Rocha (2008), dentre outros estudiosos da área, discuto habilidades a serem desenvolvidas com este ensino, organização da sala de aula e possíveis ofertas de atividades. A importância da ação do professor no planejamento em Língua Estrangeira para crianças também é foco de discussão, na tentativa de se delinear e alcançar objetivos que visem uma formação significativa, de acordo com pressupostos vygotskianos (2001). As análises de dados de entrevistas, sessões reflexivas e acompanhamento sistemático à prática pedagógica de um grupo de docentes revelam que estes utilizam diferentes metodologias e materiais na prática pedagógica e procuram relacionar os conteúdos escolares com o contexto em que os alunos vivem. Os dados também revelam a predominância pelo desenvolvimento da habilidade escrita, ainda que no primeiro ano e pouco uso da Língua Inglesa, além do conteúdo proposto.
O impacto do planejamento individual e em pares no desempenho oral de aprendizes de nível avançado de inglês como língua estrangeira
Authors: Cristina Puntel Xhafaj Donesca , Eliane Muck Kátia , Carolina de Souza Ferraz D’Ely Raquel
Published: August 2024

Tendo em mente que a pesquisa sobre o planejamento em uma abordagem baseada em tarefas tornou-se um nicho de pesquisa que se sustenta, o presente estudo comparou o desempenho oral em língua estrangeira de 16 aprendizes cursando a 7º fase de um curso de Letras-Inglês em uma tarefa monológica na condição de planejamento individual ou em pares. O desempenho dos aprendizes foi analisado em termos de fluência, acurácia e complexidade, porém não houve diferenças estatísticas significativas entre os grupos. Além disso, questionários pós-tarefa foram administrados para verificar as impressões dos aprendizes acerca dos processos em que eles embarcaram ao planejar e sua opinião sobre as condições nas quais eles planejaram. Em termos gerais, os participantes reportaram que embarcaram em processos de organização e formulação da mensagem e perceberam as condições de planejamento, sejam elas individual ou colaborativa, como benéficas.
O português não-padrão em livros didáticos: posições discursivas
Authors: Inês Pagliarini Cox Maria , Renata Rodrigues Sonia
Published: August 2024

Este artigo apresenta resultados de uma pesquisa de arquivo que teve por objetivo investigar os gestos de interpretação de dois livros didáticos de Língua Portuguesa destinados ao Ensino Médio no que concerne a usos linguísticos outros que não os da norma-padrão. Os dados foram coletados através de recortes de enunciados presentes nessas obras. O estudo teve como base teórica a Análise de Discurso francesa, sob a perspectiva de Dominique Maingueneau. Numa das obras, o Mesmo é o discurso gramatical que mantém uma espécie de namoro infiel com o Outro, o discurso linguístico. Na outra, o Mesmo é o discurso linguístico, enredado numa espécie de separação litigiosa do Outro, o discurso gramatical.
Análise Crítica de Gênero: organização retórica de notícias de popularização científica na revista Ciência Hoje On-line
Authors: Dos Santos Lovato Cristina
Published: August 2024

O objetivo deste estudo é identificar e interpretar a organização retórica de notícias de popularização científica, publicadas na revista Ciência Hoje On-line, oferecendo uma descrição dessa organização e uma interpretação por meio de um levantamento de aspectos relacionados aos contextos de distribuição e de produção das notícias. Os resultados indicam uma organização retórica em cinco movimentos, com dois elementos recursivos ao longo do texto. A presença exclusiva da voz do pesquisador responsável pela pesquisa mostra que, nas notícias analisadas, prevalece a visão dominante da ciência (Hilgartner, 1990). Essa prevalência confere caráter monológico às notícias (Motta-Roth, Lovato, 2009), visto que somente o pesquisador avalia o estudo científico noticiado. Desse modo, mantém-se o poder hegemônico da ciência no discurso de popularização.
ELP1, the Gene Mutated in Familial Dysautonomia, Is Required for Normal Enteric Nervous System Development and Maintenance and for Gut Epithelium Homeostasis
Authors: Chaverra Marta , Cheney Alexandra M. , Scheel Alpha , Miller Alessa , George Lynn , Schultz Anastasia , Henningsen Katelyn , Kominsky Douglas , Walk Heather , Kennedy William R. , Kaufmann Horacio , Walk Seth , Copié Valérie , Lefcort Frances
Published: August 2024

Familial dysautonomia (FD) is a rare sensory and autonomic neuropathy that results from a mutation in theELP1gene. Virtually all patients report gastrointestinal (GI) dysfunction and we have recently shown that FD patients have a dysbiotic gut microbiome and altered metabolome. These findings were recapitulated in an FD mouse model and moreover, the FD mice had reduced intestinal motility, as did patients. To understand the cellular basis for impaired GI function in FD, the enteric nervous system (ENS; both female and male mice) from FD mouse models was analyzed during embryonic development and adulthood. We show here that not only isElp1required for the normal formation of the ENS, but it is also required in adulthood for the regulation of both neuronal and non-neuronal cells and for target innervation in both the mucosa and in intestinal smooth muscle. In particular, CGRP innervation was significantly reduced as was the number of dopaminergic neurons. Examination of an FD patient's gastric biopsy also revealed reduced and disoriented axons in the mucosa. Finally, using an FD mouse model in whichElp1was deleted exclusively from neurons, we found significant changes to the colon epithelium including reduced E-cadherin expression, perturbed mucus layer organization, and infiltration of bacteria into the mucosa. The fact that deletion ofElp1exclusively in neurons is sufficient to alter the intestinal epithelium and perturb the intestinal epithelial barrier highlights a critical role for neurons in regulating GI epithelium homeostasis.
Uwagi dotyczące miejsc kultu w okresie starożytności chrześcijańskiej
Authors:   Papieski Uniwersytet św. Tomasza z Akwinu w Rzymie, Degórski Bazyli
Published: August 2024

The Church Fathers’ view of Christian temples is linked to their Christocentric worldview, which was reflected in patristic biblical exegesis. The most important symbol is the cross of Christ. The Church Fathers refer to the cross and the quadrangle in connection with the four rivers that flow out of paradise and irrigate the church and the mountain. Noah’s Ark in the NT is a figure of the Church because it was formed from a square. Another ideal of a Christian temple is the Heavenly Jerusalem, whose length is equal to its width and which is a square. The plan of the early Christian Basilica often reflected the shape of the cross, which was placed in the geometric figure of a rectangle or square. A completely new element in such a plan was the T-shaped transept, which intersected the nave, or the always odd number of longitudinal aisles. Thus, the cross inscribed in a square, reflects the concept according to which the world is created for man, and man is born to sing God’s glory: outstretched arms (horizontal line) and straight body (vertical line) form a square. Numerous forms of circular cult buildings were also known. They were connected with the figure of the octagon and the symbolism of the numbers 8 and 100. The number 100 was a symbol of the highest perfection, as well as a symbol of the glory achieved by martyrs and virgins. This was reflected in the application of the principle of modus, species, ordo. In Christianity, geometric figures combine to create symbolism relating to Christ and the cross. It can be said that the thought of the Church Fathers had not only symbolic, but also practical significance for sacral structures.
Przygotowanie pierwszokomunijne w dokumencie „Wskazania duszpastersko-katechetyczne Arcybiskupa Metropolity Białostockiego”
Authors:   Uniwersytet w Białymstoku, Jakoniuk Leszek Marius
Published: August 2024

The Eucharist, as “the source and summit of the whole Christian life” demands solid parish catechesis that refers to the catechumenal model, allowing children to effectively prepare for full and conscious participation in the sacramental life of the Church. The “Pastoral and Catechetical Guidelines of the Archbishop of Białystok for Preparing Children for the Sacrament of Penance and Reconciliation and First Holy Communion in the Archdiocese of Białystok” present a diocesan formation program entitled “To Meet with the Lord Jesus.” The article will present the program for preparing children for the sacrament of penance and reconciliation and First Holy Communion, which is the main subject of the document. The discussed document outlines all actions aimed at leading children to a personal encounter with Christ in the sacrament of the Eucharist. This goal can be achieved through a program divided into four stages: remote preparation (religious upbringing in the family and parish), proximate preparation (school and parish catechesis), immediate preparation (intensive catechesis), and mystagogical deepening (sacramental formation). The document emphasizes the active participation of parents, the role of the parish priest and catechists, and the integration of children into the life of the parish community. The aim of these activities is to ensure that children have a profound and conscious experience of the sacraments and to foster their spiritual growth.
The First Reference of a Bibliographer
Authors: Janonis Osvaldas
Published: August 2024

-
O poeta plugado
Authors: Ferreira de Aquino Passos Rafael , Pereira Costa Ben-Hur Bernard
Published: August 2024

A série de poemas denominada tvgrama, elaborada pelo poeta Augusto de Campos, indicia um horizonte criativo em atrito crítico com o universo digital, lido por nós a partir da noção de hibridização (CANCLINI, 2001). Neste estudo, refletimos acerca da postura performática de Campos nas versões dos poemas que compõem a série – englobando, inclusive, as adaptações para vídeo das obras, efetivadas pelo próprio artista e pela documentarista Cristina Fonseca – sob amplo cerco teórico, desde a antropologia, a semiótica de linhagem peirceana, a crítica literária, a filosofia e a teoria da comunicação, no sentido de dinamizar os jogos de forças antitéticos propostos pelas concepções modernas, resultando em uma análise terrana (LATOUR, 2014) da incursão do autor nos domínios da tecnocultura (VIRILIO, 1999). Concluímos, então, que o corpo de Campos adere ao paradigma ciborgue em postura experimental: trata-se da apropriação das técnicas das ferramentas tecnológicas precisamente para tramar um embate acerca da linguagem, em contínua condição de contrariedade no que diz respeito a um código único e universal. Nesse sentido, valer-nos-emos da categorização de Lucia Santaella (2003) para amparar criticamente a inserção do criador no contexto ciber: o corpo plugado de Augusto de Campos, na esteira do mal-estar que a era-limite do Antropoceno (HARAWAY, 2009) nos impõe, parece estabelecer uma relação entre arte e tecnologia em que ética e estética são plasmadas, redimensionando o estatuto de objetividade construtivista contrária à expressão subjetiva e hedonística que a ortodoxia concretista promoveu, tutelado pelo manifesto Plano-Piloto para Poesia Concreta, e do próprio modernismo brasileiro. Campos, nessa mirada de pesquisa, desconcretiza-se.
Opinion on “A suggestion on Public Health and Family Medicine specialization training rotations”
Authors: Ünlüoğlu İlhami
Published: August 2024

The Journal of Turkish Family Physician’ın 2023;14(1):49-52. sayfalarında yer alan; Yılmaz M. ve arkadaşlarının yazdıkları editöre mektubu ilgi ile okudum.(1) Aile Hekimliği ve Halk Sağlığı uzmanlık eğitimlerinin geliştirilmesine yönelik paylaştıkları görüşlerinden dolayı yazarları kutluyorum.
Sleep quality level and sleep hygiene in medical students
Authors: Sarısaltık Alican , Girgin Şevket
Published: August 2024

Introduction and Aim: Sleep quality is an important determinant of general health and daily functionality and is affected by many factors, including sleep hygiene. Sleep hygiene, on the other hand, is the collection of environmental factors, habits, and practices conductive to the person’s sleep for the right amount of time and quality. This study aimed to evaluate sleep quality and its determinants in medical students. Methods: The data of this descriptive study were collected at Marmara University Faculty of Medicine in January-February 2020. Medical students from Term 2 and Term 5 were included in the study. The data collection form consisted of 37 questions about individual characteristics, behaviors affecting sleep hygiene and sleep quality. The sleep quality level of the participants was evaluated with the Pittsburgh Sleep Quality Index (PSQI). The chi-square test, Fisher’s exact test, and Spearman’s rank correlation coefficient were used in data analysis. Results: Of the participants, 66.9% (n=107) had poor sleep quality. Among the behaviors that negatively affect sleep hygiene, the most common ones were ‘using a mobile phone/tablet computer in bed’ (‘always’ 26.3%, ‘often’ 46.3%), ‘thinking about daily problems and anxious situations in bed’ (‘always’ 13.1%, ‘often’ %30.0%), and ‘sleeping and waking up at different times during the week’ (‘always’ 8.1%, ‘often’ 31.9%). Statistically significant correlations were found between PSQI total score and ‘thinking about daily problems and anxious situations in bed’, ‘sleeping and waking up at different times during the week’, ‘consuming caffeine within four hours before going to bed’, and ‘using a mobile phone/tablet computer in bed’ (rho=0.404, rho=0.334, rho=0.180, and rho=0.169 respectively; p<0.05 for all). Conclusion: It was observed that the frequency of poor sleep quality is high among students, and behaviors that negatively affected sleep hygiene decreased the level of sleep quality. Effective guidance practices that will create lifestyle changes to increase sleep quality and improve sleep hygiene in university students are required.
Current problems in family medicine and scientific research
Authors: Yalçın Bektaş Murat
Published: August 2024

Aile hekimliği uzmanlığı diğer disiplinlerden farklı olarak bünyesinde özgül sorun çözme beceri- leri, kapsamlı yaklaşım, kişi merkezli bakım, bütün- cül yaklaşım, toplum yönelimli olması gibi farklı bir klinik içerik ve yaklaşım felsefesine sahiptir. Temel olarak Aile Hekimliği Uzmanlığı branşında üretilen bilimsel yayınlar bu ilkelerin imbiğinden geçmeli ve damıtılmalıdır. Yüzeysel bir epistemolojik bakış açısı ile bilimsel bir eser oluşturmanın ana amacının, araş- tırmacının kendi uzmanlık alanına bilimsel bir katkı yaparak var olan bilgi düzeyini daha ileriye taşıması olduğu öne sürülebilir.
Project Spotlight: Fort Carson DHQ earns LEED gold
Authors: Fister Gale Sarah
Published: August 2024

The Fort Carson Brigade and Battalion Headquarters project in Colorado Springs, Colo., is helping to dispel the misperception that cement manufacture is not a green design choice. In fact, the project demonstrates that precast concrete can actually increase the sustainability of a building and help achieve LEED certification points. The precast concrete used in the project reduced the weight of materials—thus lessening greenhouse gas emissions related to shipping—and dramatically reduced waste and debris on the site. EnCon United was the precaster on the project.
Project Spotlight: Forest House project a concrete garden
Authors: Fister Gale Sarah
Published: August 2024

The Forest House apartment project in the Bronx, N.Y., did more than deliver affordable housing. Thanks to the use of precast concrete, the building demonstrates how designers can create durable, beautiful structures that meet LEED certification standards, all within an affordable housing budget. Blue Sea Development, working with abs Architects and Danois Architects, built the eight-story, 124-unit, affordable multifamily residential complex in a low-income neighborhood in the Bronx using a total-precast concrete solution. Oldcastle Building Systems was the precaster on the project.
Project Spotlight: Old slabs get a new life: The Volmer and Johnson Creek bridge project
Authors: Fister Gale Sarah
Published: August 2024

In 1999, precasters Knife River Corp.—Northwest produced one hundred 21 in. × 4 ft (530 mm × 1.2 m) wide precast concrete slabs for an emergency detour bridge over Spencer Creek on Highway 101 in Oregon. When the new bridge was finally completed in 2008, the detour came down, and its owner, the Oregon Department of Transportation (ODOT), put the slabs into storage. Precast concrete slabs may be built to last for decades, but when bridges are dismantled, it is often the end of the line for these valuable structural elements. In the case of the Spencer Creek slabs, the stars aligned. In 2011, 16 of the 100 slabs got a new life as part of the Volmer and Johnson Creek bridges project on US Route 26 between Portland, Ore., and the coast.
Mind matters: decoding mental health in medical students
Authors: Makieła Michalina , Marcinowicz Piotr , Więdłocha Magdalena , Szulc Agata
Published: August 2024

This review synthesises current research on the prevalence and determinants of depressive and anxiety symptoms among medical students. It highlights significant mental health challenges faced by this group, emphasising the influence of various factors such as academic pressures, personality traits, and reluctance to seek professional help. The analysis also delves into the roles of gender and geographical variation, revealing how these factors contribute to differing rates of mental health issues among medical students globally. The findings reveal a concerning prevalence of depression and anxiety, with variation observed across different regions and genders, indicating the influence of cultural and societal norms on mental health. This review underscores the urgent need for enhanced mental health support and intervention strategies within medical education systems. The importance of incorporating psychological support programmes and mental health education into curricula is highlighted. By addressing these issues, there is a potential to significantly improve the well-being and academic success of medical students, ultimately contributing to their overall mental health and resilience in their future professional lives. The paper advocates for a multifaceted approach in tackling these challenges, suggesting that medical institutions should not only focus on academic excellence but also prioritise the mental health of their students, ensuring a more supportive and nurturing educational environment.
Prediction of electricity-consumption and residential bills based on artificial neural network
Authors: Hasan Maha Yousif , Kadhim Dheyaa Jasim , Humaidi Amjad J.
Published: August 2024

Nowadays, predicting the value of electrical usage has made it easier for electricity consumers to reduce their residential bills. This is done by introducing a new prediction method based on the design and foundation of artificial neural network (P-EANN) technology, which is a branch of intelligent machine learning (ML) technology. The P-EANN method is based on actual data of actual power quantities that can be measured by electricity meters for the electrical model and is compared with training data that is predicted and set to the electrical usage for comparison with the reading needed to reduce residential bills. From the root mean square error (RMSE), we can find the accuracy of the residential bills ($) in the P-EANN method, which is equal to 35.69%, and the accuracy of the residential bills ($) in the standard method, which is equal to 0.00%. then the results of the MATLAB simulation for the P-EANN method enhance and reduce the residential bills from 0.5 to 4.5 dollars per day. Thus, the problem of excessive electrical usage is solved, and consumers know how to consume energy well in any place.
Overexposed other-initiated repair in Mandarin conversation
Authors: Yu Guodong , Zhang Yaomin
Published: August 2024

When the non-trouble-source speaker initiates and even repairs the repairable, s/he might extend the other-initiation or other-correction segment by rejecting or commenting on the trouble source, thus overexposing the trouble source. This study investigates the overexposed other-initiated repair in Mandarin talk-in-interaction. Overexposed other-initiated repairs in Mandarin are executed in a boldfaced manner for a certain interactional reason, which the current research explores from the conversation analytic perspective. Repairables in the current study fall into either error-based or non-error-based ones. Furthermore, the repairables are taken by the interactants as either a common-sense blunder or a moral blunder. In addition, other overexposures reveal the nuanced relation between interactants and their respective epistemic stance in the local interactional environment
Sensory Incongruity in the Food and Beverage Sector
Authors: Piqueras-Fiszman Betina , Spence Charles
Published: August 2024

This paper looks at possible reasons for the intentional (or, on occasion, accidental) use of sensory incongruity (confounded expectations) which has become increasingly common in the food and beverage sectors in recent years.
RESEARCHING WAYS TO INCREASE THE RESOURCE CHARACTERISTICS OF RADIAL TURBOMACHINES BY MISTUNING OF GEOMETRIC AND MECHANICAL PARAMETERS
Authors:   Irkutsk State Agrarian University, Repetckii Oleg , Cuong Hoang Dinh ,   Irkutsk State Agrarian University
Published: August 2024

At present computer prediction of the actual resource and evaluation of the strength rotor constructions are one of the main direction of research in world science in the creation of new turbomachines. The complexity of assessing the strength and operational reliability of radial rotors turbomachines is associated with the presence of highly loaded elements in them and the variety of their geometric shapes. But in many scientific papers, both in Russia and in other countries, it is noted that there is practically no analysis of the sensitivity vibrations of turbomachine rotors, taking into account rotation and temperature. In this regard, the development of mathematical models for the study vibration sensitivity of the rotors power turbomachines, taking into account rotation and temperature is an urgent scientific task that requires its solution. In practice, the variety of geometric shapes of blades always arise in structures due to manufacturing technology, wear during operation and other factors. All these small differences between the blades are called parameter mistuning. Parameter mistuning can be either accidental or intentional. Studies by various authors have shown that intentional mistuning is the way to improve strength characteristics of energy and transport turbomachines. Intentional mistuning may consist in the special intentional disturbance parameters of an ideal cyclic symmetrical construction according to certain laws of the arrangement of blades in a block model. This approach takes into account the negative impact of the existing random mistuning on the forced reaction of the radial rotors turbomachines. Therefore, in this paper study the constructive imbalances of radial rotors turbomachines in the form of different geometric and mechanical properties of the blades to minimize the phenomena of imbalance, reduce dynamic load and optimize their resource from random mistuning parameters.
HIGH-SPEED POWER TRANSFER UNIT WITH HYDROMECHANICAL COMPENSATOR
Authors:   JSC “Technodinamika”, Kuderko Dmitry , Polyakov Nikolai ,   JSC “Technodinamika”, Frolov Grigory ,   Ufa University of Science and Technology, Tselishchev Vladimir ,   Ufa University of Science and Technology
Published: August 2024

The emergency system of a mainline aircraft with a power transmission unit is considered. The power transmission unit usually contains a mechanically coupled unregulated pump and a hydraulic motor, an analysis of the transition to high-speed pumps in aviation has been carried out. The possibility of using high-speed hydraulic machines in the power transmission unit is shown. The main problems of the transition of the operation of axial plunger hydraulic machines at high speeds and methods of overcoming them are presented. It is indicated that research is needed in the field of cavitation suppression, reduction of friction forces and moments acting on the cylinder block, reduction of pressure and flow pulsations behind the pump, noise, increase in service life and reduction of heat losses. To compensate for the influence of random and predictable loads on the executive hydraulic motors of the chassis, hydromechanical regulators of hydraulic machines are presented. The feedbacks of the pressure drop and the derivative of the pressure drop, their effect on the characteristics of the power transmission unit, are considered. A possible option for improving the characteristics of a hydromechanical regulator for high-speed power transmission units is proposed. A mathematical model of a high-speed power transmission unit with differential pressure feedback has been developed, calculated and analyzed. The mathematical model includes the equations of pressure build-up behind the pump, the rate of pressure build-up in front of the hydraulic motor, the equations of flow balance of hydraulic machines, the equation of torque balance of the hydraulic motor, the equations of fluid flow through the throttles and distributors of the hydraulic motor performance regulator. The results of modeling the operation of the power transmission side with a random stepwise change in the external load are presented. It is shown that the creation of an emergency drive with additional feedbacks can contribute to improving the efficiency of developing promising power transmission unit circuits.
CALCULATION OF TRANSFER COEFFICIENTS AT MODELING OF ALUMINUM PARTICLES COMBUSTION IN MIXTURES «Ar+O2» AND «N2+O2»
Authors:   Perm National Research Polytechnic University, Kryukov Aleksey , Malinin Vladimir ,   Perm National Research Polytechnic University
Published: August 2024

Thermodynamic calculations of transfer coefficients (namely of coefficients of atomic and molecular oxygen diffusion and coefficient of heat conductivity) are implemented for aluminum particles combustion in medium «Ar+O2» and «N2+O2». For preflame region (zone of oxygen dissociation) the transfer coefficients are established to depend on both oxidant concentration (on ratio of oxidative components pressure pox to ambient media pressure p) and media temperature. Practically coefficients of atomic oxygen diffusion do not depend on oxidative components concentration. Coefficient of heat conductivity depends on oxidative components concentration little for medium «Ar+O2». And for medium «N2+O2» the coefficient does not depend on oxidative components concentration practically. Dependencies of transfer coefficients on oxidant concentration are obtained at medium temperature 1300–3250 K. In flame region dependencies of transfer coefficients on excess oxidant coefficient  are obtained at temperature higher than 3250 K. In preflame region temperature and oxidant concentration influence on transfer coefficients independently of one another in wide range of pox/p variation. In flame region temperature and excess oxidant coefficient influence on transfer coefficients independently of one another in range of 0.15 <  < 1.50. Capability of joint taking into account of dependencies of transfer coefficients on two mentioned factors is founded when calculation of thermodynamic parameters. Specific forms of mathematical description of transfer coefficients as functions of appropriate thermodynamic parameters of medium «Ar+O2» and «N2+O2» are developed.
THE METHOD OF CALCULATING SPLINT-TYPE PARTS FOR STRENGTH BASED ON THE FINITE ELEMENЕNT METHOD AND SOLVING THE CONTACT PROBLEM OF DEFORMED SOLID MECHANICS
Authors:   Yakovlev Corporation, Ryzhkov Mikhail , Pykhalov Anatoly ,   Irkutsk National Research Technical University, Yakhnenko Mikhail ,   Yakovlev Corporation
Published: August 2024

Modern aircraft, their engines and assemblies, are prefabricated structures that accept alternating loads, as well as inertial and thermal effects. In these conditions, the guaranteed locking of parts from involuntary unwinding or longitudinal displacement is relevant. Splints are often used for these purposes, the advantages of which are ease of installation, ease of operation and reliability in comparison with other types of fixation. Most of the cotter pins are standardized, which allows you to quickly select the required size for a given fixing diameter. During the work on import substitution of foreign components, it was decided to design its own cotter pin, but smaller, which would allow it to be installed in hard-to-reach places. The problem, in this case, is related to the lack of a methodology for calculating the design of the cotter pin, which complicates the design process of this product. The presented work shows a variant of the calculation method of the cotter pin. The main idea of the study was to carry out calculations using the finite element method and solve the contact problem of the theory of a deformed solid, taking into account the influence of the friction force. The stress-strain state of the cotter pin in two states is considered – after the first and second putting on the clip, validation with a real design was carried out to determine the force of removing the cotter pin. The use of this method made it possible to identify a dangerous place in the structure, modify it to ensure safe operation by adding a coil of spring. As a result, the optimal design of the cotter pin was obtained.
Tasawuf Falsafi Ibnu Arabi; Telaah Kitab Hakikat Al-Ibadah Karam Amin Abu Bakr
Authors: MZ Ahmad Murtaza , Mutawakkil Moch Ali , Khoirurroziqin Khoirurroziqin
Published: August 2024

Ibnu Arabi adalah sebagai pelopor tasawuf falsafi yang terkenal dengan pemikirannya yang menyelaraskan antara teks agama dan logika. Wahdatul Wujud dan Insan Kamil adalah salah satu gagasan Ibnu Arabi yang dapat beradaptasi setiap zaman yang datang dan terus menjadi pembahasan yang menarik. Konsep ketuhanan Ibnu Arabi berkisar pada puncak bernama  Tajalliyat, Musyahadah, Kasyf  dan Wahdah (kesatuan). Konsep-konsep tasawufnya semuanya bersumber dari pengalaman–pengalaman yang ia alami atau dalam bahasa lain Dzauqiyah (bangsa rasa). Selain konsep-konsep itu urusan teologi, ‘ubudiyah, hingga permasalahan-permasalahan kemasyarakatan lainnya dibahas didalam karya-karya Ibnu  Arabi  berdasar  pandangan  tasawuf  falsafi. Keberbedaan pandangan  Ibnu Arabi dari sufi-sufi yang lain menempatkan pada posisi yang sedikit tidak aman, walaupun  demikian  Ibnu  Arabi  adalah  termasuk  orang  yang  membuat  Islam dibaca oleh dunia, selain adanya dukungan dari beberapa pandangan setelahnya.
Knowledge and practice of preconception care among women in southeastern Mexico
Authors:   Universidad Autónoma de Nuevo León, México, Hernández Martínez Nora , Pérez Chablé Andrea Paola ,   Universidad Autónoma del Campeche, Cárdenas Villarreal Velia Margarita ,   Universidad Autónoma de Nuevo León, México, Cruz Chávez Norma Edith ,   Universidad Autónoma de Nuevo León, México, Santos Flores Jesús Melchor ,   Universidad Autónoma de Nuevo León, México
Published: August 2024

Introduction: Preconception care is intended to increase the chances of a favorable perinatal outcome; little is known about it in low- and middle-income countries in Latin America. Objective: To evaluate the knowledge and practices of PCC and its relationship with sociodemographic and obstetric characteristics in women of childbearing age in southeastern Mexico. Materials and Methods: A cross-sectional study was conducted with 138 women attending health care centers. Consecutive sampling was used, and data were collected with a structured questionnaire. Data analysis involved the calculation of frequencies, percentages, and inferential tests. Results: Women's APC knowledge score obtained a mean of 13.3 ± 3.24 and for practices a mean of 8.13 ± 3.44 scores considered low for both. Knowledge of APC obtained a relationship with schooling (rs.460, p < .05), monthly economic income (rs =.334, p < .05). In addition, a positive and significant relationship was obtained between knowledge and practice of CPA (rs=.267, p < .05). Discussion: These findings are consistent with results reported in studies conducted in low- and middle-income countries. Conclusions: There is a relatively low level of knowledge and adoption of CPA practices in women of childbearing age in southern Mexico, and it is related to education and socioeconomic income, which places them in a population group at high risk for maternal and child health problems.
Effectiveness of information and communication technologies to improve the knowledge of hospitalized patients: systematic review
Authors:   Universidade Federal do Ceará, Fortaleza - CE, Brazil, Moreira Ximenes Maria Aline , Oliveira Fontenele Natália Ângela , Sousa Albuquerque Brandão Maria Girlane , Teixeira Lima Francisca Elizângela , Gomes Ribeiro Samila , de Almeida Rebouças Cristiana Brasil , Moreira Barros Lívia , Áfio Caetano Joselany
Published: August 2024

Introduction: Hospitals serve as important settings for health education initiatives facilitated by technology. Utilizing these resources, healthcare professionals can enhance patient care practices. Objective: This study aims to assess the efficacy of information and communication technologies in enhancing the knowledge of hospitalized patients. Materials and Methods: A systematic review was conducted to address the research question: "Which information and communication technologies effectively improve the knowledge of hospitalized patients?" The search encompassed electronic databases such as Scopus, the National Library of Medicine, Web of Science, Cumulative Index of Nursing and Allied Health Literature, Scientific Electronic Library Online, Cochrane, and Excerpta Medica Database. Gray literature was sourced through Google Scholar. The exposure factor was educational interventions employing information and communication technologies, with the outcome measured as improved knowledge. Only randomized clinical trials in any language were included. Results: A total of 1,153 articles were initially identified, from which four were deemed eligible for inclusion. These studies demonstrated effectiveness in enhancing knowledge through educational interventions utilizing technologies such as video, applications, and concept maps. Discussion: Information and communication technologies have been shown to enhance patient knowledge. Nonetheless, there is a paucity of research exploring hospitals as platforms for technology-mediated educational interventions. Conclusion: Educational interventions employing information and communication technologies in hospital settings effectively enhance patient knowledge.