bluuebunny/crossref_metadata_2025 huggingface dataset:
O BURNOUT NA MEDICINA: PERSPECTIVAS INTERDISCIPLINARES PARA PREVENÇÃO E TRATAMENTO
Authors: Luz Adinoely Oliveira Coelho da , Luz Gabriela Oliveira Coelho da
Published: January 2025

O burnout é uma síndrome psicológica caracterizada por exaustão física, emocional e mental, resultante da exposição prolongada a estressores no ambiente de trabalho. Na medicina, essa condição afeta não apenas o bem-estar dos profissionais, mas também a qualidade do atendimento prestado aos pacientes. Este estudo tem como objetivo explorar estratégias interdisciplinares para prevenir e tratar o burnout em médicos. A pesquisa foi baseada em uma revisão sistemática da literatura, com dados coletados nas bases PubMed e Scielo, utilizando os termos "Burnout", "Médicos" e "Saúde Ocupacional", combinados pelo operador booleano "AND". Concluiu-se que o burnout é um problema crescente entre médicos, amplificado pelas longas jornadas de trabalho, demandas emocionais intensas e alta pressão no desempenho profissional. A literatura analisada indica que o burnout compromete a saúde física e mental dos médicos e afeta diretamente a segurança e a qualidade do cuidado ao paciente, gerando maior incidência de erros médicos e afastamentos profissionais. Para enfrentar essa problemática, é essencial adotar intervenções que incluam suporte psicológico, mudanças na organização do trabalho e políticas institucionais voltadas ao bem-estar dos profissionais de saúde. As estratégias interdisciplinares surgem como ferramentas indispensáveis para abordar o burnout de forma integrada, englobando desde o fortalecimento da saúde mental até a reestruturação dos ambientes de trabalho. A implementação de programas que priorizem a promoção da saúde, a gestão do estresse e a educação contínua é fundamental para criar uma cultura organizacional mais saudável. Essas iniciativas, quando realizadas de forma coordenada, podem proporcionar melhorias significativas na qualidade de vida dos médicos e, consequentemente, no atendimento ao paciente.
Équation radar à ondes complètes pour la propagation des ondes dans les milieux multicouches et ses applications
Authors: LAMBOT Sébastien , WU Kaijun , SLUŸTERS Arthur , VANDERDONCKT Jean
Published: January 2025

Ce chapitre présente les formulations en champ lointain et proche pour la modélisation des données radar en ondes complètes. Il explique les différences entre ces approches et leur application dans des milieux multicouches. Le texte illustre l'utilisation de ces modèles pour la cartographie de l'humidité du sol et la reconnaissance des gestes. Les auteurs soulignent le besoin d'approfondir l'analyse de l'approche en champ proche, notamment pour la calibration.
Assessment and comparison of thermal stabilisation measures at an Alpine permafrost site, Switzerland
Authors: Sharaborova Elizaveta , Lehning Michael , Wever Nander , Phillips Marcia , Huwald Hendrik
Published: January 2025

Abstract. Global warming provokes permafrost thawing, which leads to landscape changes and infrastructure damage, problems that have intensified worldwide in all permafrost regions. This study numerically investigates the impact of different thermal stabilization methods to prevent or delay permafrost thawing. To test different technical methods, an alpine mountain permafrost site with nearby infrastructure prone to damage is investigated. Model simulations represent the one-dimensional effect of heat fluxes across the complex system of snow-ice-permafrost layers, and the impact of passive and active cooling, including engineered energy flux dynamics at the surface. Results show the efficiency of different passive, active, and combined thermal stabilisation methods, in influencing heat transfer, temperature distribution, and the seasonal active layer thickness. Investigating each component of thermal stabilization helps quantify the efficiency of each method and determine their optimal combination. Passive methods despite provide efficient cooling in winter, due to heat transfer to the atmosphere, are less efficient as the active layer thickness remains over 1 m. Conductive heat flux regulation alone takes several years to form a stable frozen layer. Active, when powered with solar energy, cooling decreases the active layer thickness to a few decimetres. The combination of active and passive cooling, together with conductive heat flux regulation, performs best and allows excess energy to be fed into the local grid. Findings of this study show ground temperature and permafrost evolution at a representative alpine site under natural and thermally stabilized conditions, contributing to understanding potential and limitations of stabilization systems and formulate recommendations for optimal application.
دور التحليل المالي في تقييم الأداء المالي للمصارف التجارية الخاصة في ليبيا: دراسة حالة لمصرف الأمان للتجارة والاستثمار خلال الفترة (2019 – 2023)
Authors: الشاملي محمد , قريره الشريف
Published: January 2025

هدفت الدراسة إلى بيان دور التحليل المالي باستخدام المؤشرات المالية في تقييم الأداء المالي للمصارف التجارية الخاصة في ليبيا، ولتحقيق هذا الهدف تم اختيار مصرف الأمان للتجارة والاستثمار كدراسة حالة، وذلك باتباع المنهج الوصفي التحليلي بالاعتماد على بيانات القوائم المالية بالقيام بتحليل مالي جزئي باستخدام مؤشرات الربحية والمديونية خلال قترة الدراسة الممتدة من 2019 – 2023، وقد توصلت الدراسة إلى العديد من النتائج منها: تبين من خلال استخدام مؤشرات الربحية أنها كانت موجبة، وأن إدارة المصرف حققت أرباحا خلال فترة الدارسة وهذا يدل على أداء وكفاءة الإدارة في توظيف أصولها وتوليد الأرباح، وأوضحت مؤشرات المديونية اعتماد إدارة المصرف على التمويل الخارجي بشكل كبير ولا يوجد توازن بينها وبين التمويل الداخلي، ويدل على عدم وجود استقلالية مالية للمصرف، وهذا يعد مؤشرا خطيرا لما ينتج عنه من مخاطر وهذا يعكس أداء ضعيفا وسيئا لإدارة المصرف.
The Role of E-Wom, Brand Image, Brand Experience, and Brand Trust in Shaping Repurchase Intention on Healthy Instant Noodle Products
Authors: Puteri Amanda Safira , Suhud Usep , Krissanya Nofriska
Published: January 2025

This study aims to determine the effect of electronic word of mouth, brand image¸ brand experience, and brand trust on repurchase intention on healthy instant noodle products. The research method used in this research is quantitative method by distributing questionnaires. Sampling using purposive sampling technique by obtaining 341 respondents as samples. The population in this study are consumers of healthy instant noodle products who live in the DKI Jakarta area and have consumed at least one healthy instant noodle product in the last six months. This research was processed using SPSS version 26.0 software and SEM (Structural Equation Model) through AMOS to analyze and generate data from this study. The results of this study indicate that: First, electronic word of mouth, brand image¸ brand experience have a positive and significant influence on brand trust. Second, electronic word of mouth, brand image¸ brand experience, and brand trust have a positive and significant influence on repurchase intention.
The Impact of Microfinance Institutions on the Growth of Umkm: a Case Study of Baitul Maal Wa Tamwil (BMT) at Al-Amin Mosque, Deli Serdang
Authors: Hani Fildzah , Syahputri Salsabila , Ritonga Dendi Dwi Putra , Hayati Fitri
Published: January 2025

This study aims to analyze the impact of Baitul Maal wa Tamwil (BMT) at Al-Amin Mosque, Deli Serdang, on the growth of Micro, Small, and Medium Enterprises (MSMEs). Using a mixed-method approach through quantitative surveys and qualitative interviews, this study examines changes in indicators of turnover, business assets, workforce, and profitability of MSMEs before and after receiving financing from BMT. The results of the study indicate that BMT financing services have a positive impact on MSME growth. Average turnover increased by 60%, business assets increased, and 40% of respondents were able to employ additional workers. In addition, business profitability also increased significantly. However, this study also found several obstacles, such as low financial management capabilities and limited market access. This indicates the need to strengthen technology-based service innovation and coaching programs to support the sustainability of MSMEs. This study concludes that BMTs play a strategic role in empowering the local economy through sharia-based microfinance services. The results of this study provide recommendations for the development of similar MFIs to support MSME growth more effectively and inclusively.
A REGULAÇÃO NORMATIVA DA ENERGIA SOLAR NO BRASIL E SUA APLICABILIDADE EM GOIÁS
Authors: Chaveiro da Silva Fernanda , Borges de Souza Cleonice
Published: January 2025

O artigo tem como finalidade a análise evolutiva das normas pertencentes ao setor de energia elétrica fotovoltaica brasileiro, destacando-se o levantamento do balanço energético no Brasil, em Goiás e no município de Morrinhos. Através da metodologia empregada, foi possível demostrar o valor do investimento com a implementação do sistema fotovoltaico; o retorno da instalação (payback) e a quantidade de CO2 produzida pela matriz elétrica antes e depois de inserida a energia solar. Verificou-se que a legislação apresenta num primeiro momento, a busca pela eficiência na produção elétrica e consumo sem desperdício, em resposta a crise de abastecimento energético enfrentada pelo Brasil, com pouco destaque às fontes alternativas de geração. Já num momento posterior, apresenta a busca pela sustentabilidade no âmbito do setor elétrico, em virtude das questões ambientais, em debate, efeito estufa, crise hídrica e impactos socioambientais. Os benefícios ambientais, provenientes da utilização do arranjo fotovoltaico na produção energética brasileira mostram resultados positivos.
O DIREITO FUNDAMENTAL À MORADIA E DIREITO AO MEIO AMBIENTE ECOLOGICAMENTE EQUILIBRADO
Authors: Jaques La Flor Martiane
Published: January 2025

O tema central desta pesquisa se assenta no debate sobre o direito fundamental à moradia frente ao direito ao meio ambiente ecologicamente equilibrado. Amparados constitucionalmente, não podem colidir, mas sim, serem efetivados de forma harmônica, sendo as políticas públicas um dos principais meios para a sua materialização. Compreende-se que o direito ao meio ambiente ecologicamente equilibrado se efetiva na mesma medida em que o direito à moradia é sustentável. Identifica-se, portanto, um problema em institutos como o REURB e o More Legal, substitutivos da Lei de Parcelamento do Solo Urbano, uma vez que o teor legal flexibiliza obrigações ambientais. Questiona-se se dessa forma o Brasil não estaria equivocadamente tratando de direito à moradia, porém, diminuindo a proteção e efetivação do direito ao meio ambiente ecologicamente equilibrado. O objetivo é analisar e confrontar tais temas chaves para averiguar a questão. O método de pesquisa utilizado é o dedutivo e o artigo é estruturado dividindo-se entre a exposição dos fundamentos gerais sobre os temas em questão e o aprofundamento na problematização da flexibilização sobre questões ambientais promovidas pela referida Lei.
PRÁTICAS E SENTIDOS DE JUSTIÇA EM CONFLITOS PELA TERRA ENVOLVENDO INDÍGENAS E QUILOMBOLAS: USOS E MOBILIZAÇÕES DOS LAUDOS ANTROPOLÓGICOS EM PROCESSOS JUDICIAIS
Authors: Martins Lemes João Vitor
Published: January 2025

As identidades e territorialidades dos povos e comunidades tradicionais são garantias recentes no Brasil. Somente com a Constituição democrática 1988 iniciam-se movimentos substantivos para reparação dos processos de subjugação/exclusão/marginalização aos quais foram submetidos esses sujeitos. Outrossim, apesar de claramente garantidas no ordenamento jurídico pós-88, no plano material essas identidades e territorialidades não são efetivamente asseguradas, em razão da dificuldade do Estado em compreender e internalizar as categorias sob as quais assentam as vidas desses grupos, sobretudo no contexto dos conflitos pela terra que os processos de desenvolvimento impõem, cotidianamente, e que impactam diretamente nos modos de fazer, viver e criar desses grupos. Levando em consideração o descompasso gerado pela não compreensão das diversidades culturais nos processos políticos e jurídicos estatais e partindo do pressuposto que as contribuições dos laudos antropológicos nos processos judiciais apontam novas possibilidades no sentido de superação dos obstáculos impostos pelo direito moderno à garantia dos direitos fundamentados nas diversidades, o presente trabalho, homônimo à tese defendida pelo autor, propõe-se refletir de que forma os laudos antropológicos contribuem para a legitimação dos direitos desses sujeitos a partir da inserção de subsídios para que decisões jurídicas sobre as vidas desses grupos humanos respeitem ao máximo suas dinâmicas socioculturais.
Prosa com Gleudson Passos
Authors: Batista de Araújo Lima Beatriz , Fernandes Maia Jardênia , Vito Maria das Candeias , Oliveira Moreira Clara Beatriz , Menezes da Silva Sabrina , Centurias Equipe Editorial
Published: January 2025

Gleudson Passos Cardoso é mestre em História Social pela Pontifícia Universidade Católica PUC-SP (2000), doutor em História Social pela Universidade Federal Fluminense PPGH/UFF (2009) e pós Doutor em História Medieval pela Universidade do Minho/UMINHO (2017). Atualmente, é Professor Associado da Universidade Estadual do Ceará (UECE), no Curso de História, no Mestrado Acadêmico em História/MAHIS (2009 - 2016) e no Programa de Pós Graduação em História, Culturas e Espacialidades (PPGHCE). Possui trabalhos nas áreas de Cultura e Poder, Cultura e Cidade, Literatura Medieval, Turismo Cultural e Patrimônio Cultural.
ПРАКТИКА ЭТАПНОГО ЛЕЧЕНИЯ ОРТОДОНТИЧЕСКИХ ПАЦИЕНТОВ В ОТОЛАРИНГОЛОГИИ
Authors: РАКОВСКИЙ А. В. , БАГДАЕВА С. Ш.
Published: January 2025

В настоящее время наблюдается увеличение количества пациентов, направленных на консультацию челюстно-лицевыми хирургами и стоматологами. Рутинным методом исследования в данном случае является компьютерная томография челюстно-лицевой области, по результатам которой стоматологи нередко сталкиваются с различными патологическими изменениями в верхнечелюстной пазухе: кистоподобные образования, инородные тела (пломбировочный материал, мицетома, зуб и т. п.), полипозно-измененная слизистая, новообразования, хронический верхнечелюстной синусит, одонтогенный верхнечелюстной синусит, препятствующие дальнейшему проведению синус-лифтинга и дентальной имплантации. Междисциплинарный подход между стоматологами и оториноларингологами является ключевым моментом, определяющим дальнейший успех в лечении данных пациентов, так как данные области неразрывно связаны между собой.
КОМУ И ПОЧЕМУ НУЖНА ДОПОЛНИТЕЛЬНАЯ КАРДИОПРОТЕКЦИЯ ПРИ ЧРЕСКОЖНЫХ КОРОНАРНЫХ ВМЕШАТЕЛЬСТВАХ? СМЕНА ПАРАДИГМЫ КЛИНИЧЕСКИХ ИССЛЕДОВАНИЙ
Authors: СЕМИГОЛОВСКИЙ Н. Ю. , БАЛЛЮЗЕК М. Ф. , ГУСЛЕВ А. Б. , КОЗАЕВ А. В. , СЕМЕНОВА И. Г. , БЕРДИКУЛОВА Т. Т.
Published: January 2025

Ишемическая болезнь сердца - основная причина заболеваемости и смертности во всем мире. Чрескожные коронарные вмешательства (ЧКВ) стали ныне широко доступными и более своевременными, однако это существенно не снизило летальность и частоту развития хронической сердечной недостаточности (ХСН) у пациентов высокого риска. Восстановление кровотока при ЧКВ может сопровождаться ишемическим/реперфузионным повреждением, влияющим на прогноз и требующим дополнительной кардиопротекции, способной снизить летальность и предотвратить развитие ХСН.
Spatial Capability Classification and Land Evaluation Studies for Rice Production on Selected Wetland Soils in Ekiti State, Nigeria
Authors: S. O. Ajayi, , S. A. Fasina, , T. S. Babalola, , A. O. Ilori, , B. M. Fakorede,
Published: January 2025

The evaluation of wetland soils is essential for understanding their suitability for various agricultural practices, particularly in regions where soil properties significantly influence land management decisions. This study focuses on the spatial capability classification and land evaluation of selected wetland soils in Ekiti State, Nigeria, with a particular emphasis on rice production. Wetland soils in this region are characterized by distinct physical and chemical properties that affect their agricultural potential. The use of both parametric and non-parametric approaches in land suitability assessment allowed for a comprehensive analysis of the land's potential, factoring in both inherent soil qualities and the potential for improvement through human intervention. The research utilized a combination of Land Capability Classification (LCC) and Land Suitability Classification (LSC) methods to assess soil characteristics such as texture, organic matter content, drainage capacity, and nutrient availability. These evaluations were further supported by the Geographic Information System (GIS) and remote sensing technologies, which provided spatial data and generated suitability maps. The results indicate a range of soil suitability classes, from highly suitable (Class I) to unsuitable (Class VIII) for rice cultivation, although the drainage condition which is essential for effective water management indicated moderate suitability (S2) in all the locations. Notably, sites such as Ise, Isan, and Ikole demonstrated highly suitable conditions (S1) for rice production, characterized by optimal soil textures. In contrast, Ifaki exhibited marginal suitability (S3) due to lower pH levels and cation exchange capacity (CEC), highlighting potential challenges in nutrient retention that could adversely impact crop yield. The results of this study offer valuable insights for land use planning and agricultural development, contributing to sustainable land management practices and mitigating erosion risks, especially in regions identified as having moderate to severe erosion hazards and also enhanced food security in the region. Additionally, it emphasizes the need for continuous soil assessments to monitor changes in soil properties and adapt agricultural strategies accordingly.
Anterior cruciate ligament reconstruction with semitendinosus graft, comparative study of two tibial fixation devices
Authors: DEBARRE L , DAXHELET J , DE LAVIGNE C , PARMENTIER C
Published: January 2025

Many options are available concerning the graft fixation in ACL reconstruction, one of them being a suspensory device. Our study aimed to compare the strength of two different devices of fixation (suspensory device vs screw) on the tibia. We enrolled 80 patients older than 18 years with an isolated ACL tear confirmed at the MRI, divided into two comparative groups for a prospective study. The only factor which changed was the tibial fixation.

The surgical treatment, performed by a unique surgeon, used the same inside-out technique for the two groups, with a ST4-strand graft.

Various intraoperative parameters were studied like the time of the tourniquet, the diameter of the graft or an associated meniscus tear.

The AP knee laxity was evaluated at 6 months and 1 year after the surgery by a TELOS test. We also compared the two groups with subjective and objective surveys.

We can conclude that the suspensory device can offer the same strengthening.
The Unrecognized Orthopedic Burden of COVID-19: Heterotopic Ossification of the Hip Joint
Authors: JELSMA J , CRUTSEN J.R.W. , JESSURUN R.Y. , TEN BROEKE R
Published: January 2025

COVID-19 has extensively affected the health-care organization with varying impact on different medical specialties. Long term ICU admission is associated with a less familiar complication: the formation of heterotopic ossifications (HO). In this case report we would like to emphasize the unrecognized burden of the coronavirus pandemic in patient care from the perspective of the orthopedic surgeon. We describe two patients with major HOs around their hip joints after COVID-19. Current literature underlines the increased prevalence of HO formation in COVID-19 patients requiring long-lasting mechanical ventilation and ICU admission including prone positioning. Preventing HO formation remains a difficult undertaking without obvious evidence supporting a golden standard treatment. We advice early passive mobilization during ICU stay, also during prone positioning, serum ALP follow-up during admission, NSAID administration if possible and a low threshold in the use of radiotherapy of joints with a limited range of motion.
Translation of a Dutch Version of the Total Shoulder Arthroplasty Postoperative Satisfaction Questionnaire
Authors: CLAES Anke , BOON Cato , VERHAEGEN Simon , BOSMANS Femke , STRUYF Filip , VERBORGT Olivier
Published: January 2025

To our knowledge, no Dutch questionnaires exist to administer patient satisfaction after total shoulder arthroplasty. The goal of this study is to develop a Dutch translation of the satisfaction questionnaire used by Swarup et al. (2017)1, into Dutch. This ensures the suitability for clinical application an application in research in all Dutch-speaking regions worldwide. A forward-backward translation approach was used. The clarity of the pre-final version was tested on 8-35 post-operative total shoulder arthroplasty patients. The responses of the patients were studied at one single time point. The Dutch translation of the satisfaction questionnaire proposed by Swarup et al. (2017)1 was considered clear to more than 80% of patients, which was set as norm value where the questionnaire can be assumed clear and understable. The Dutch translation of the postoperative satisfaction questionnaire by Swarup et al. (2017)1 met the 80% clarity criterion and can be considered clear. This study provides a base for future research assessing the psychometric properties of this questionnaire.
Advances in Topological Methods for Solving Nonlinear Partial Differential Equations
Authors: K.S. Krishnamohan
Published: January 2025

Higher order nonlinear partial differential equations (PDEs) are very difficult to compare or analyze and therefore there is restriction towards analytical or numerical appraisal. The following research aims at solving the problem of the solutions of Nonlinear PDEs through the application of topological fixed-point theory and degree theory, as well as the application of variational methods towards improving the existence, uniqueness, and stability of solutions to PDEs under all possible boundary conditions. The purpose of the study is to investigate the effectiveness of these methods in multifaceted and multi-grained systems. We used both fixed-point analyses to check the convergence of solutions and degree-theoretic methods for checking multiplicity of solutions, and variational structure for critical points of solutions. Newton-Raphson and finite element techniques were used in solving solutions with much ease for increased efficiency. A selection of findings shows that topological techniques are an efficient means of handling nonlinearity in PDEs; degree theory uncovers the multiplicity of solutions while variational techniques unveil the stability characteristics. This research advances the field of nonlinear analysis beyond the prior art by broadening the scope of topology in new domains and providing enhanced methods of computation of PDEs where it matters most: where traditional linear methods fail to apply. In the context of physics, engineering, and environmental studies nonlinear modeling is vital and the practical implication highlighted herein is useful for all. Possible future work might apply these methods to more general boundary conditions as well as combined analytical-numerical approaches.
ANALYSE PSYCHOPÉDAGOGIQUE ET MÉTHODOLOGIQUE DE LA FORMATION PROFESSIONNELLE CONTINUE :
VERS UNE OPTIMISATION DES PRATIQUES DIDACTIQUES EN SCIENCES DE L’ÉDUCATION/PSYCHOPEDAGOGICAL AND METHODOLOGICAL ANALYSIS OF CONTINUING PROFESSIONAL TRAINING:
TOWARDS AN OPTIMIZATION OF DIDACTIC PRACTICES IN EDUCATIONAL SCIENCES
Authors:   University of Sousse: Faculty of Letters and Human Sciences of Sousse (FLSHS) – Tunisia, Ala Eddine BAKHOUCH
Published: January 2025

This article focuses on the methodological and psychopedagogical dynamics underlying teachers' continuing professional training, emphasizing the integration of innovative approaches in educational practices. Based on an analytical review of psychological theories applied to lifelong learning, this study explores the interaction between advanced pedagogical strategies and their application contexts. This contribution aims to propose an updated theoretical framework that can enrich pedagogical practices, validating various intervention models while providing methodological guidelines tailored to the contemporary demands of lifelong training. An empirical and qualitative methodology, based on descriptive analysis of case studies and teacher groups, highlights current trends and optimal improvement methods.
Grounded Theory constructivista: investigación sobre prácticas con tecnologías digitales en educación superior
Authors: Córdoba-Mercado Marciana María , de Lima Claudia Maria , Pérez-Córdoba Alder Luis
Published: January 2025

Dentro del paradigma cualitativo, la teoría fundamentada (Grounded Theory) se erige como un método de investigación sólido, sumamente productivo cuando el objeto de investigación es desconocido, poco explorado, dinámico o “confuso”, lo que facilita análisis originales a partir de comparaciones reiterativas de los datos, de los que emerge una teoría sustantiva “fundamentada”. Sin embargo, como un método que se ha venido mejorando y ajustando a lo largo de seis décadas, la teoría fundamentada presenta varias perspectivas: clásica, straussiana, constructivista y situacional. El propósito de este artículo es mostrar el método de la teoría fundamentada constructivista en un estudio sobre prácticas de enseñanza innovadoras (con tecnologías digitales) de profesores de educación superior pública de Brasil, ejemplificando diferentes etapas de la metodología y del proceso de análisis de datos con dicha investigación. Además, la construcción de la teorización sustantiva se ilustra en la praxis, al ser la teoría emergente lo activo, protagónico y colaborativo que deriva del estudio en cuestión, lo que muestra las bondades de aplicar el método en la investigación. Finalmente, el artículo hace aportes importantes a los investigadores noveles que desean viajar con sus datos, apoyados en las herramientas de análisis de la teoría fundamentada constructivista y a todos los que quieran explorar ese sólido método cualitativo.
Return to work after proximal humeral fractures: a single center study comparing conservative versus operative treatment
Authors: Hameleers Amber , Most Jasper , Schotanus Martijn , Wijnands Nina , Dremmen Martijn , van Vugt Raoul , Boonen Bert
Published: January 2025

Background

Adequate treatment of proximal humeral fractures (PHF) is essential for restoring shoulder function and expediting return-to-work (RTW). This study aims to assess the impact of conservative and operative treatments on RTW and PHF recovery.

Objective & Methods

In a retrospective case-control study, 858 patients (aged 18-68) treated for PHF between 2018 and 2021 were included. Questionnaires were sent to 342 operatively treated patients (Operative group (OG)) and 191 conservatively treated matched controls (Conservative group (CG)). Assessments covered RTW, functional outcomes (DASH, ASES), and quality of life (EQ-5D). A Kaplan-Meier analysis explored RTW in weeks.

Results

With a 61% response rate, 73 eligible participants (40 OG, 33 CG) contributed. Of respondents, 67.1% were female, and 60% were employed pre-trauma. Almost 70% of employed patients RTW, with no significant difference between groups (log rank, p=0.36). Among those returning to work, OG tended to resume 4 weeks later than CG (OG 10.5, IQR 22 vs. CG 6.00, IQR 8 weeks, p=0.07). DASH, ASES, and quality of life VAS scores showed no statistical difference between groups (p=0.542, p=0.257, p=0.530, respectively).

Conclusion

The RTW proportion did not differ between operatively and conservatively treated PHF patients, though the former tended to return 4 weeks later. Functional outcomes demonstrated no significant differences. Further adequately powered studies are necessary to establish a standardized aftercare protocol for PHF, enhancing patient care and minimizing work disability.
La pagina gialla
Authors: Lega Sara
Published: January 2025

Dolori addominali, diete e rischio di disturbo della condotta alimentare I benefici che un bambino trae dalle relazioni sociali Il punto su il disturbo ossessivo compulsivo (DOC) La rivoluzione tecnologica nella gestione del diabete La gestione del bambino con celiachia “potenziale” La storia naturale (favorevole) dei bambini con MIS-C
Infezione congenita da citomegalovirus
Authors: Rubino Carlotta , Spadavecchia Alessia , Neirotti Alessandro , Leone Agata , Coscia Alessandra
Published: January 2025

Congenital cytomegalovirus is the leading cause of congenital infection in developed countries and is increasingly recognized in paediatrics due to its significant impact on hearing loss and neurodevelopmental outcomes in children. Recent advances have been made in managing this condition, notably with the approval of an antiviral therapy for pregnant women, which has shown to effectively reduce vertical transmission, especially in cases of primary maternal infection during the first trimester. Despite these advancements, ongoing research continues to refine strategies and improve clinical management of cCMV, high-lighting the need for continuous updates and awareness in paediatric practice.
Analytical Engine: Computers, Prophecy, and the Paradox of Fate in Walid Ikhlasi’s Oedipus
Authors: Zapkin Phillip Louis
Published: January 2025

This article analyzes concerns about how much control computers have over our lives, which is at the heart of Syrian dramatist Walid Ikhlasi’s 1978 play Oedipus, a modernized adaptation from Sophocles. Ikhlasi’s play poses crucial questions about humanity’s interactions with computers, particularly questions about control and (in)dependence in a digital age. Ikhlasi’s Oedipus-figure transforms from a techno-skeptic to believing that technology is some kind of all-powerful force threatening to overwrite human destiny because computers have so much more access to information than any individual human. These fears, and the play’s thematic implications for society, are detailed in this article.
Enhancing cybersecurity risk management in fintech through advanced analytics and machine learning
Authors: Eseoghene Kokogho  , Richard Okon  , Bamidele Michael Omowole  , Chikezie Paul-Mikki Ewim  , Obianuju Clement Onwuzulike
Published: January 2025

The rapid growth of the fintech sector has amplified the need for robust cybersecurity risk management frameworks to safeguard sensitive financial data and ensure operational continuity. This abstract explores the transformative role of advanced analytics and machine learning (ML) in enhancing cybersecurity for fintech companies. By leveraging these technologies, organizations can build proactive defenses, improve threat detection accuracy, and reduce response times to cyber incidents. Advanced analytics enable fintech companies to process large volumes of real-time data, identifying anomalies and potential vulnerabilities with unparalleled precision. Techniques such as predictive modeling and behavior analysis allow for the early detection of sophisticated threats, including phishing, ransomware, and advanced persistent attacks. Machine learning algorithms enhance these capabilities by continuously learning from evolving cyber threats, adapting to new attack vectors, and optimizing detection mechanisms. Incorporating machine learning into cybersecurity risk management frameworks also facilitates automated responses to identified threats. AI-powered systems can assess the severity of attacks, prioritize remediation efforts, and deploy countermeasures with minimal human intervention, significantly reducing downtime and potential financial losses. Additionally, these systems can generate actionable insights, enabling fintech organizations to strengthen their cybersecurity posture and comply with regulatory requirements. Despite its benefits, implementing advanced analytics and ML in cybersecurity presents challenges, such as the risk of algorithmic biases, high resource demands, and the complexity of integrating these tools into existing systems. Addressing these barriers requires a strategic approach, including robust training datasets, investment in scalable technologies, and collaboration between fintech firms and cybersecurity experts. This investigation underscores the critical role of advanced analytics and machine learning in shaping the future of cybersecurity risk management within the fintech ecosystem. By adopting these technologies, fintech companies can enhance their resilience against cyber threats, protect customer trust, and drive sustainable growth in a rapidly digitizing financial landscape.
Spam and Phishing Whatsapp Message Filtering Application Using TF - IDF and Machine Learning Methods
Authors: Manurung Ferdinand Aprillian , Munawir  , Pradeka Deden
Published: January 2025

The rapid development of communication technology has led to an increase in the number of unwanted messages, such as spam and phishing attempts. However, this progress has not been accompanied by sufficient user awareness of the basics of technology use. Additionally, the enforcement of laws regarding internet-based crimes remains unclear, further increasing the risk for users of internet technology to fall victim to such crimes. As one of the media prone to spam and phishing, WhatsApp is the focus of this research, which aims to develop an application capable of filtering spam and phishing messages. The application employs the TF-IDF (Term Frequency-Inverse Document Frequency) method and machine learning using the Random Forest model. It is developed using the MVVM (Model-View-ViewModel) architecture, enabling the separation of business logic from the user interface, thereby improving development and maintenance efficiency. The research findings demonstrate that the combination of TF-IDF and Random Forest achieves high accuracy in classifying spam and phishing messages. Performance evaluation using a confusion matrix reveals an accuracy rate of 92%. For the safe message class, the precision, recall, and F1 scores are 89%, 95%, and 92%, respectively, while for the dangerous message class, the scores are 95%, 88%, and 92%, respectively. Furthermore, the integration of the model and application performed exceptionally well, as evidenced by black-box testing results. All test scenarios were met, successfully detecting test messages with 98% accuracy. Therefore, the developed application provides enhanced protection for WhatsApp users against digital threats.
The Influence of Brand Ambassador Red Velvet on Purchase Decision of BNI Tapcash
Authors: Priyambodo Anggito , Putri Kinkin Yuliaty Subarsa Putri , Sutjipto Vera Wijayanti
Published: January 2025

This research examines the influence of Red Velvet as a brand ambassador on consumer purchasing decisions for BNI’s Tapcash, an electronic payment card. Following the rise of cashless transactions post-COVID-19 and the National Cashless Movement (GNNT), BNI's collaboration with K-pop groups such as NCT 127 led to significant growth in Tapcash transactions. Building on this success, BNI launched a special edition Tapcash featuring Red Velvet to further promote its usage. The study focuses on the effectiveness of celebrity endorsements within K-pop fan culture, where fans often support idols by purchasing merchandise. Using a quantitative approach, the research surveyed the K-pop fanbase in Indonesia, specifically members of active social media communities, with 95 respondents selected through purposive sampling. The survey examined how Red Velvet’s role as a brand ambassador influenced purchasing decisions, particularly by assessing the credibility, attractiveness, and power of the brand ambassador on sales. Data analysis, conducted through validity, reliability, and simple linear regression tests, demonstrated a significant relationship between the brand ambassador and purchasing decisions. The F-value of 10.204 exceeded the F-table value of 1.989, confirming the positive effect of Red Velvet’s endorsement. Coefficient analysis indicated that a 1% increase in the Brand Ambassador variable corresponds to a 73.7% increase in purchasing decisions. This study highlights the significant role of celebrity endorsements in shaping consumer behavior, particularly within the context of the K-pop fanbase.
Starting a Rogue Scholar monthly newsletter and Slack Community
Authors: Fenner Martin
Published: January 2025

The Rogue Scholar science blog archive continues to grow, with seven new blogs added this month and more than 24,000 archived blog posts. Luckily, onboarding new blogs is mostly automated, with the Rogue Scholar API handling the blog setup and blog post ingestion from RSS feeds. Some questions frequently come up and I try to improve the Rogue Scholar documentation to address them.
Silicotuberculosis en manipulador de mármol
Authors: Laínez Márquez William Eduardo
Published: January 2025

Presentación del caso. El caso se refiere a un hombre de 58 años, con antecedentes médicos de hipertiroidismo y consumo de cannabis de aproximadamente 25 años. Presentó un cuadro clínico de alrededor de dos años de evolución con sintomatología respiratoria, caracterizada por episodios de tos y disnea, además de síntomas de descompensación tiroidea. Los síntomas del paciente se exacerbaron en los dos meses previos a su consulta inicial, se acompañaron de pérdida de peso y episodios febriles no cuantificados. El paciente posee 25 años de historia laboral de manipulación de mármol. Intervención terapéutica. Las intervenciones se centraron en realizar un diagnóstico integral. Se realizó una broncoscopía con lavado broncoalveolar que reportó la presencia de Mycobacterium tuberculosis y se tomó una biopsia transbronquial que identificó «parénquima pulmonar con nódulos constituidos por haces de colágeno hialinizados y rodeados por macrófagos con pigmentos pardos; además, presentó la mucosa bronquial con inflamación crónica». Se brindó tratamiento acortado estrictamente supervisado con antifímicos, un betabloqueador adrenérgico por vía oral, tionamidas y consejería para el control de adicciones y cese de la exposición al mármol. Evolución clínica. Se evidenció mejoría clínica respiratoria y metabólica. Se brindó seguimiento con telemedicina al mes del alta médica.
Caracterización de pacientes con síntomas sugestivos a reacciones adversas a fármacos antituberculosis
Authors: Morán de Barrera Mirna
Published: January 2025

Introducción. La aparición de reacciones adversas a medicamentos antituberculosis puede condicionar al paciente a requerir ajustes de dosis y modificaciones en los horarios de administración, esto representa un riesgo para la adherencia al tratamiento, lo que podría conducir a su suspensión y, en consecuencia, retrasar tanto la curación como la finalización del mismo. Además, estas reacciones pueden requerir atención hospitalaria, incrementando el gasto en salud para la atención de los pacientes. Objetivo. Caracterizar a los pacientes con síntomas sugestivos de reacciones adversas a fármacos antituberculosis. Metodología. Se desarrolló un estudio descriptivo transversal en una población de 89 pacientes. Se orientó a identificar las características como edad, sexo, ocupación, comorbilidades y síntomas sugestivos de reacciones adversas a fármacos antituberculosis en los pacientes que recibieron dichos medicamentos. Se utilizaron técnicas cuantitativas, obteniendo resultados a partir de la revisión de expedientes. Resultados. El rango de edad más frecuente durante el estudio correspondió a personas entre los 18 y los 41 años. El 59,6 % de la población estudiada fue de sexo masculino y los síntomas más frecuentes en personas con reacciones adversas a medicamentos fueron la anorexia y la epigastralgia, representando un 26,9 % de las reacciones reportadas. La población proveniente del área rural fue la más afectada. Conclusión. Los síntomas mas frecuentes en personas con reacciones adversas a fármacos antituberculosis fueron principalmente gastrointestinales. Dentro de los pacientes con tuberculosis, la diabetes mellitus fue la comorbilidad más frecuente.
Epidemiología de las mordeduras por serpientes venenosas en El Salvador, 2011-2022
Authors: Chirino Molina Wendy Yasmara , Mendoza Elmer Wilfredo , Gavidia Leiva César Mateo
Published: January 2025

Introducción. Las mordeduras de serpiente ocasionan alrededor de 81 000 a 138 000 muertes al año a nivel mundial según la Organización Mundial de Salud, así como amputaciones y discapacidades permanentes. En El Salvador en los últimos doce años se notificaron 1472 casos. Objetivo. Caracterizar las tendencias epidemiológicas de las mordeduras por serpientes venenosas en El Salvador, durante el periodo 2011 al 2022. Metodología. Este estudio descriptivo de corte transversal analizó los registros de mordeduras por serpiente entre 2011 y 2022 del Sistema Nacional de Vigilancia Epidemiológica de El Salvador. La base de datos fue revisada y se trabajaron tablas dinámicas para calcular frecuencias. Las variables cuantitativas continuas se evaluaron con la prueba de normalidad de Anderson-Darling y se utilizaron medidas de tendencia central y dispersión. También se construyeron mapas de tonalidades progresivas. Resultados. Durante el periodo de estudio, se registraron 1472 casos de mordeduras por serpiente venenosa en El Salvador. El 61,1 % de los casos correspondieron a los hombres, con una razón de masculinidad de 2:1; más del 83 % de las mordeduras ocurrieron en zonas rurales. Los casos se distribuyeron a lo largo de todo el año, concentrándose entre mayo y septiembre, coincidiendo con la época de lluvias. La mayor incidencia se observó en el grupo de edad de 30 a 39 años. Conclusión. La mayoría de las mordeduras de serpientes venenosas ocurre entre mayo y octubre, afectando principalmente a hombres jóvenes en áreas rurales, especialmente en el grupo de 30 a 39 años, con mayor incidencia en la zona occidental del país.
Taquicardia ventricular como manifestación de un infarto agudo de miocardio
Authors: Linares Rosales César Steven , Arévalo Mojica Ivania Cristina , Luna Morales José Alejandro , Barrera Rodríguez Alejandro José
Published: January 2025

Presentación del caso. Se presenta el caso de un paciente masculino de 47 años, con antecedentes médicos de hipertensión arterial crónica y diabetes mellitus tipo 2, quien consultó con cuadro de palpitaciones progresivas en frecuencia y duración, acompañadas de disnea no relacionada a los esfuerzos. En el hospital se diagnosticó taquicardia ventricular paroxística como manifestación de un infarto agudo de miocardio sin elevación del segmento ST. Intervención terapéutica. El manejo hospitalario se basó fundamentalmente en los hallazgos de gabinete y laboratorio, se brindó tratamiento farmacológico con amiodarona y dobutamina por evidenciar signos de bajo gasto cardiaco, además de estatinas y acido acetil salicílico como prevención secundaria, así como intervención coronaria percutánea, con colocación de stent en la arteria descendente anterior. Evolución clínica. Posterior a la intervención coronaria y con el manejo farmacológico, el paciente presentó una notable mejoría clínica, sin palpitaciones y sin disnea.
Implementation of Diversion in the Juvenile Criminal Justice System in Indonesia: Analysis of Obstacles and Juvenile Punishment Based on Law Number 11 of 2012
Authors: Herianto Herianto , Ilyas Amir , Karim Said , Haeranah Haeranah
Published: January 2025

This study aims to examine the concept of punishment for children as perpetrators of crimes in Indonesia. This study uses normative legal research with a statutory and conceptual approach. The legal materials are sourced from primary and secondary legal materials. The legal material collection technique is through literature studies and interviews. The legal materials are analyzed using qualitative methods. The results of this study indicate that The juvenile criminal justice system or Diversion has been implemented in various countries with different characteristics. International Law has recognized that children must be treated differently from adults. In Indonesia, the juvenile criminal justice system applies, which refers to Law Number 11 of 2012. However, the large number of cases of children sentenced to prison shows that Diversion has not been implemented optimally in Indonesia. The causes range from the inadequate capabilities of law enforcement officers, victims and/or victims' families who refuse to make peace, and diversion requirements that limit diversion efforts. Therefore, improvements are needed in the implementation of Diversion to ensure better protection for children as perpetrators of criminal acts in Indonesia.
Online-Shopping of Muslim Customers: Mapping Potential and Examining the Effects of Islamic Consumer Behavior
Authors: Puteri Hesi Eka , Parsaulian Baginda , Mulyana Cahya Agung , Arinda Niyara
Published: January 2025

This study aims to map the online shopping potential of Muslim customers and estimate the effect of Islamic consumers’ behavior on the level of that potential. This study also proves further about what are the driving factors of Muslim customers in doing online shopping in Islamic perspective. This research is quantitative with cross-sectional data based on a survey of 977 Muslims in Indonesia who actively shopped online in 2023. The findings found that 54.66% of respondents in this study were in the high-potential category. Personal and social aspects are strong predictors for the online shopping potential of Muslim customers. The increase in personal and social aspects causes the tendency of Muslim customers to be in the high potential group in online shopping by 0.522 times and 0.670 times than the customer group in the low potential group. This study highlights the significance of Islamic religiosity choosing online shopping by Muslims, whose conviction values are coordinated into their behavioral dimensions. Practically, this study contributes to e-commerce development policies particularly, for regulators, digital businesses, and also financial practices in planning market-driving strategies for digital business.
Metaphoric Representations of Spirituality in Ebenezer Obey’s Music
Authors: Olayiwola Mopelola Rachael , Olaniyan Solomon Olusayo
Published: January 2025

This paper investigates the synergy that exists between metaphor and spirituality within the Yoruba cosmology as exemplified in the music of Ebenezer Obey.  The study underscores the authenticating role metaphor plays in the concretisation of Yoruba beliefs in the existence of a supernatural world. The existing variations of independent studies on both concepts attest to the rich cognitive influence both ideologies evoke within the academia. However, most of the extant studies carried out on these concepts have mainly honed their distinctive strengths. The corpus of research on metaphor relates its relevance mainly to the academic sphere where it acts as diagnostic tool for the analysis of literary terms and by extension to specified human experiences and restricts its versatile application to the significant influence metaphor has on spirituality, thus, de-emphasising the strengthening potency the connection between both ideologies can have on the social and economic lives of people. This notion of irreconcilable difference has resulted in undermining the veritable possibility of an alignment between metaphor and spirituality. This is against the backdrop of paucity of scholarship on this creative hybridisation. This study, therefore, foregrounds the essence of this metaphorical appropriation on the Yoruba ability to re-interpret their disillusioned post-independence realities. Conceptual metaphor theory is deployed as a tool by which underlying metaphor of spirituality is pointed out in the selected music texts of Ebenezer Obey.