bluuebunny/crossref_metadata_2025 huggingface dataset:
A Review for Melanoma Risk Factors
Authors:   IMSS Hospital General de Zona No. 5, Nogales, Sonora., Revilla Apodaca José María , Garza Zamora Ángel Ignacio ,   IMSS Hospital General de Zona No. 5, Nogales, Sonora., Contreras Diego Mendoza ,   IMSS Hospital General de Zona No. 5, Nogales, Sonora.
Published: December 2023

Melanoma, the most common cutaneous sarcoma, poses a significant health threat due to its metastatic potential. This review explores the causes, risk factors, and associations of melanoma, emphasizing its diverse presentations and diagnostic considerations. UV light exposure, genetic predisposition, and somatic mutations contribute to melanoma development. The disease affects individuals of all races, with varied clinical manifestations. Prevention strategies involve sun protection behaviors, and early detection through surveillance is crucial for optimal outcomes. Treatment modalities, including surgical excision and adjuvant therapies, are contingent on disease stage. Ongoing monitoring and counseling play key roles in comprehensive care. This review aims to enhance understanding of melanoma, guiding efforts toward prevention, early detection, and effective management.
Legal Protection Performed by Disnakertrans Diy at Outsourcing Company Pt. Media Sleman
Authors:   University of Proklamasi 45 Yogyakarta, S.H., M.H. Ana Riana,
Published: December 2023

Work agreements in positive law are regulated in Law no. 13 of 2003 concerning Manpower and Decree of the Minister of Manpower and Transmigration No. 100/MEN/IV/2004. Work agreements are divided into 2 (two) types, namely Work Agreements for an Unspecified Time (PKWTT) and Agreements for a Specific Time (PKWT). In this case, the author conducted research on legal protection carried out by the DIY Oversight Office of Manpower and Transmigration for Workers in the outsourcing company PT MEDIA, Sleman Regency. Outsourcing company PT MEDIA Sleman Regency in practice uses PKWTT and PKWT, but what is widely used is PKWT. The implementation of PKWTT is quite good with the fulfillment of workers' rights in accordance with labor laws. However, the implementation of this PKWT is a problem, because workers are not given their rights in accordance with applicable law. To anticipate discrepancies in the regulations contained in the manpower law and their implementation and to provide legal protection for workers/laborers as well as companies/employers, the government guarantees by providing supervision through the government, in this case represented by the local Manpower and Transmigration Office.
A Structural Equation Modelling Approach in determining the influence of assessment conception on formative assessment practices
Authors:   Faculty of Human Development, Universiti Pendidikan Sultan Idris, Zaini Syaza Hazwani , Ghazali Nor Hasnida Md ,   Faculty of Human Development, Universiti Pendidikan Sultan Idris, Hamzah Mahizer ,   Faculty of Human Development, Universiti Pendidikan Sultan Idris
Published: December 2023

This study was carried out to determine the influence of assessment conception on formative assessment practices. The study used a quantitative approach and involved 450 respondents from some universities in Malaysia. Data was collected using multistage sampling technique. The questionnaire used in this study has been adapted from previous studies. The data has been analyzed descriptively statistically using the Statistical Package for the Social Sciences (SPSS) version 26 software while the structural process and the suitability test of the structured equation model were carried out using the IBM SPSS AMOS version 24 software. The result of the study shows that the assessment conception of respondents influences their formative assessment practices with a contribution of 35% of the amount of variation explained by the assessment conception. The results of the study could be used as a guidance in optimizing formative assessment implementation by upgrading the conception of assessment of lecturers.
Social-Cultural Factors and Performance of Roads Construction Projects in Nairobi City County, Kenya
Authors:   Doctor of Philosophy in Business (Project Management) of Kenyatta University, Kamarkor Akuto Musaeh BP , Sang (PhD) Dr. Paul K. ,   Department of Management Science, School of Business, Economics and Tourism, Kenyatta University, Nzuki (PhD) Dr. David ,   Department of Management Science, School of Business, Economics and Tourism, Kenyatta University
Published: December 2023

The Kenyan Government is on the spot over stalled and poorly done roads construction projects especially in the Nairobi City County. Successful road construction is an impetus to economic development for Kenya as enumerated in the Kenya Vision 2030. However, there has been need for these road construction projects to update their systems due to the ever changing environment factors. Thisstudy therefore sought to determine the relationship between social-cultural factors and the performance of roads construction projectsin Nairobi City County, Kenya. The underpinning theory was the open system theory. Thisstudy used a positivist research philosophy. This study used the descriptive and explanatory research design. In this study, Nairobi City County refers to the five counties in the Nairobi Metropolitan Area namely, Nairobi County, Kiambu County, Kajiado County, Machakos County and Murang'a County. The target population of this research was the 176 completed roads construction projects in Nairobi City County by Kenya Rural Roads Authority (KERRA). The unit of observation was the road engineers, project planners and directors (KERRA), road supervisors, road inspectors, road surveyors, contractors, and project implementation teams’ members (KERRA). The unit of analysis wasthe completed roads construction projectsinNairobi City County. Proportional stratified sampling was used to derive a sample size of 253 respondents. A structured questionnaire was used to collect primary data. Data that was collected from the field was filtered, sorted and cleaned in line with research objectives. This study adopted both descriptive and inferential statistics. Descriptive statisticsincluding frequencies, percentages, mean scores, and standard deviation was produced for all the quantitative data. The results were presented using tables. Inferential statistics were done using the multiple linear regression. The study established a positive significant relationship between socio-cultural factors (t=2.417, p < 0.05) and project performance. The study concludes that human relationship influences project performance since projects operate within the society. Project culture is developed by communicating priority, status, and the alignment of official and operational rules. The study recommends that project leaders should be sensitive and aware of multicultural preferences guided by individual identity and role within the project versus family of origin and community, verbal and emotional expressiveness, relationship expectations, style of communication, language, personal priorities, values, and beliefs and time orientation.
Electronic Payment Systems and Money Deposit Banks’ Deposits Mobilisations in Nigeria
Authors:   Department Of Banking and Finance, Faculty of Management Sciences, Ekiti State University, Ado Ekiti, M. O. DR. OKE, , A. C. OLAIYA, ,   Department Of Banking And Finance, School Of Business Studies, The Federal Polytechnic, Ado Ekiti, Ekiti State.
Published: December 2023

This study examined the effect of electronic payment systems on money deposits banks’ deposits mobilizations in Nigeria. The study modelled deposits mobilizations of banks in Nigeria as a function of two key variables; money supply (M2) and Remita payment transaction value, with payment transaction values of NIBSS (Nigeria Inter-Bank Settlement System) instant payments (NIP) and National Electronic Fund Transfer (NEFT) as control variables. Secondary data were sourced from Central Bank of Nigeria (CBN) Statistical Bulletin. The study employed ordinary least square (OLS) regression method to analyze the data. Findings from the study revealed that Remita payment transaction value is not good predictor of deposits of banks Nigeria with p-values = 0.3732 >0.05 critical value as it had a negative linear relationship with money deposit banks’ deposits mobilizations. NEFT payment transaction value is not good predictor of deposits of banks Nigeria with p-values = 0.4434 >0.05 critical value as it had a negative linear relationship with money deposits banks’ deposits mobilizations. However both money supply and National Instant Payment (NIP) recorded positive linear relationship with deposits of banks in Nigeria. Furthermore, the findings from the causality test indicated no directional causality between money supply, NEFT, NIP and deposits of banks in Nigeria but causality runs from Remita payment transaction value to deposit of banks in Nigeria. Consequently, the study concluded that, there is no significant linear relationship between electronic payment systems and deposits mobilizations of deposits money banks in Nigeria. Thus, the study recommended that Federal Government of Nigeria as part of her current modifications in monetary and fiscal policies should mandate all states and local governments to adopt Treasury Single Account (TSA) policy and subsequently patronize Remita payment channel as done by the Federal Government of Nigeria.
Microfinance Led Strategic Action Plan for Human Capital Formation to Achieve Sustainable Development Goals
Authors:   Professor, Dayalbagh Educational Institute (Deemed to be University) Dayalbagh, Agra-282005, Satsangi Prof. Rupali , Anand Dr. Namrata ,   Assistant Professor, Dayalbagh Educational Institute (Deemed to be University) Dayalbagh, Agra-282005
Published: December 2023

Creating inclusive financial systems provides a way out of the persistent poverty, limited economic prospects, and subpar health and education systems. Through improved access to effective and efficient financial services, people, especially the underprivileged and women, can become more economically and socially independent, enhancing their ability to participate more fully in the economy and contribute to its expansion. Because of inadequate infrastructure, restrictive regulatory and legal environments, a lack of understanding and awareness of financial services, and perceptions among others that lending to or insuring them is risky and commercially unviable, many poor people are unable to access finance (save, borrow, or insure), which limits their ability to escape poverty. In 1974, Dr. Yunus take initiative to empower Bangladeshi women by disbursing the microloans. Women started small-scale industries and generated income to repay the loan amount with interest. The study creates linkages between microfinance and human capital revealing that there is a positive relation between them. The human capital generated through microfinance not only empowers the beneficiaries but enhances their self-esteem, self-respect, self-confidence, trust, and attitudes. The primary data was collected by applying the Wilcoxon-signed Rank Test Method on the microfinance beneficiaries of Agra District. The research suggests a microfinance-led strategic action plan to enhance human capital formation for achieving the United Nations Sustainable Development Goals.
SURİYELİ ÖĞRENCİLERİN BULUNDUKLARI SINIFLARDA YÜRÜTÜLEN EĞİTİMİN NİTELİĞİNİN ÖĞRETMEN VE ÖĞRENCİ GÖRÜŞLERİNE GÖRE DEĞERLENDİRİLMESİ
Authors: GÖÇER Ali , ŞAHİN Kadir
Published: December 2023

Bu araştırmanın amacı, Türk eğitim sistemine dâhil edilen Suriyeli öğrencilerin bulundukları karma sınıflardaki eğitimin niteliğine olan etkisini öğretmen ve öğrenci görüşüne dayalı olarak ortaya koymaktır. Nitel araştırma yaklaşımı çerçevesinde olgubilim deseninde gerçekleştirilen araştırmada, katılımcı olarak Kayseri’ de iki farklı okuldaki 12 öğretmen ve 9 öğrenci yer almaktadır. Veri toplama aracı olarak araştırmacılar tarafından geliştirilen öğretmen ve öğrenciler için ayrı ayrı oluşturulmuş görüşme formu kullanılmıştır. Elde edilen veriler içerik analizi yoluyla incelenmiştir. Analiz sonucunda veriler 31 kod 9 tema altında sınıflandırılmıştır. Elde edilen veriler sonucunda Suriyeli öğrencilerin katılmasıyla oluşan karma sınıflardaki eğitimin niteliğinin öğretmen, öğrenci ve dersin kalitesi bakımından olumsuz etkilendiği tespit edilmiştir.
The role of NETosis in the pathogenesis of immunoinflammatory rheumatic diseases
Authors: Nasonov E. L. , Avdeeva A. S. , Reshetnyak T. M. , Aleksankin A. P. , Rubtsov Yu. P.
Published: December 2023

Uncontrolled activation of neutrophils is considered an important mechanism of thromboinflammation and fibrosis in immunemediated rheumatic diseases (IMRD), malignant neoplasms, atherosclerosis, COVID-19 and many other acute and chronic inflammatory diseases of humans. Particular attention has been drawn to the ability of neutrophils to form “network” (web-like) structures, called “neutrophil extracellular traps” NETs. The process associated with the formation of NETs and the weakening of their degradation is called “NETosis”. The publication summarizes data on the role of NETosis in the pathogenesis of IMRD and discusses the prospects for pharmacotherapy aimed at preventing the formation and destruction of NETs.
The prevalence and factors associated with coronary heart disease in patients with gout
Authors: Markelova E. I. , Eliseev M. S. , Ilinykh E. V. , Karateev D. E. , Gluhova S. I. , Nasonov E. L.
Published: December 2023

Background. Gout is associated with increased risk of cardiovascular disease (CVD) morbidity and mortality. Therefore, an association between coronary heart disease (CHD) and gout deserves careful examination. The aim of this study was to determine the prevalence of CHD and factors associated with CHD in patients (pts) with gout. Methods. 286 male patients with gout were included; age – 51.2 [42.8; 59.4] years (ys), disease duration – 6.2 [3.8; 12.1] ys. All patients underwent standard clinical examination, screening traditional risk factors (TRF) of CVD. We estimated the adjusted odds ratio (OR) and 95% confidence interval (95% CI). Results. CHD was found in 111 out of the 286 pts (38.8%), MI had a history in 29.7%. Compared to individuals with CHD, participants without CHD were older (56.7 [52.1; 61.1] vs 46.2 [40.6; 53.4] ys), had longer duration of gout (9.3 [4.7; 15.1] vs 5.6 [3.3; 9.7] ys) (for all p<0.05). Abdominal obesity (OR=3.6; 95% CI: 1.2–10.9), family history of CHD (OR=2.2; 95% CI: 1.3–5.4), disease duration of gout more 10 ys (OR=2.8; 95% CI: 1.6–4.7), age of gout onset <35 ys (OR=5.5; 95% CI: 2.6–11.7), intraosseous tophi (OR=3.03; 95% CI: 1.8–5.01), nephrolithiasis (OR=1.7; 95% CI: 1.04–3.04), renal failure (OR=5.6; 95% CI: 2.7–11.4), serum total cholesterol (TC) (OR=1.6; 95% CI: 1.0–2.8), serum creatinine (OR=2.5; 95% CI: 1.2–5.1), increased the risk for CHD in patients with a gout. Conclusions. The prevalence of CHD was 38.8% among individuals with gout (third of patients had a history of MI 29.7%). Our study showed that both TRFs of CVD and the severity of gout and a history of renal failure contribute to the development of CHD in patients with gout.
Clinical manifestations of damage to the cardiovascular system and predictors of poor prognosis of Takayasu arteritis in Kyrgyz patients
Authors: Koilubaeva G. M. , Bolotbekova A. M. , Beishenkulov M. T. , Egorova O. N. , Tarasova G. M. , Lila A. M. , Suiunbay kyzy G. , Turatbekova A. T. , Okunova A. A. , Chukubaev M. A. , Turdukulov Z. E. , Usupbaeva D. A.
Published: December 2023

Damage to the cardiovascular system (CVS) in Takayasu arteritis (AT) is characterized by a wide range of clinical manifestations and an unfavorable prognosis of the disease. Objectives: determine the characteristics of clinical manifestations of damage to the CVS and predictors of unfavorable prognosis in Kyrgyz patients with АТ. Methods: The study included 135 patients with a reliable diagnosis of AT, verified according to the classification criteria of the American College of Rheumatology/The European Alliance of Rheumatology Associations (ACR/EULAR, American College of Rheumatology/European Alliance of Associations for Rheumatology). All patients underwent clinical and standard laboratory and instrumental examination. Results: CVC lesion was observed in 84.4% of patients with AT and was manifested mainly by secondary arterial hypertension (AH) and aortic regurgitation (AR) – 52.8% and 27.8% of cases, respectively. The main cause of secondary hypertension was renovascular hypertension (63.4%). Myocarditis (8.5%) and coronary syndrome (3.8%) were significantly less frequently diagnosed. Among the cardiovascular complications (CVc) that developed in 32.5% of patients, decompensated chronic heart failure (DCHF) (48.7%) and acute cerebrovascular accident (ACVA) were the most common (40,5%). The immediate cause of death in the observed cohort was DCHF (66.7%) due to severe AR (83.3%) and ischemic cardiomyopathy (16.7%). Predictors of the development of CVc were the V anatomical type of vascular lesion, high activity of the pathological process, severity of stenotic changes, serious clinical complications (CC) and severe AR (p<0.05). Conclusion: 1. CVS lesion was observed in 84.4% of Kyrgyz patients with AT. 2. The most frequent variant of cardiovascular pathology was secondary hypertension (52.8%) caused by vasorenal (63.4%), coarctation (33%) and aortic (3.6%) changes. The second most common was pathology of the aortic valve (27.8%) with a predominance of minor AR (45.8%). 3. CVc was observed in one third of patients (32.5%) and in most cases were presented with DCHF (48.7%) and ACVA (40.5%). 4. Unfavorable factors associated with an increased risk of CVc in the observed patients were V anatomical type of vascular lesion, high activity, pronounced stenotic changes, severe CC and severe AR (p<0.05).
Prognostic factors associated with non-remission and low disease activity status af ter one year of psoriatic arthritis patients treatment in real practice
Authors: Loginova E. Yu. , Korotaeva T. V. , Gubar E. E. , Korsakova Yu. L. , Glukhova S. I. , Nasonov E. L.
Published: December 2023

Background. Remission/low disease activity (LDA) are acceptable goal of psoriatic arthritis (PsA) treatment. Prognostic factors for non-remission/LDA hasn’t been fully studied yet and data is limited. The aim – to determine the prognostic factors associated with non-remission/LDA status within 1 year of treatment in PsA pts in real practice. Methods. 292 pts (M/F=122/170) with active PsA fulfilling the CASPAR criteria were included. Mean age 46.1±12.5 years (yrs), PsA duration 10.4±7.1 months (mos), psoriasis (Ps) duration 19.32±12.08 mos, body mass index (BMI) 27.7±5.6 kg/m2 , median (Me) of DAPSA – 23.8 [14.7; 37.4]. 182 pts was given therapy with synthetic (s) DMARDs predominantly methotrexate (MTX), 110 pts – bDMARDs as monotherapy or with combination with MTX or other sDMARDs. At baseline (BL) and at 1 year of therapy PsA activity by tender/swelling joint count (TJC)/68, (SJC)/66, pain (VAS), Patient global assessment disease activity (PtGA, VAS), CRP (mg/l), dactylitis, enthesitis by LEI and plantar fascia, BSA (%), HAQ, DAPSA were evaluated. DAPSA>28 indicate high disease activity (HDA), DAPSA=15–28 – moderate activity (MoDA), DAPSA=5–14 – LDA, DAPSA≤4 – remission. By 1 year of therapy the proportion of pts who had not reached remission or LDA were calculated. The one-factor model of logistic regression was used to identify a group of features that are associated with remission or LDA  nonachievement. M±SD, Me [Q25; Q75], Min–Max, %, t-test, Peаrson χ2 , Mann – Whitney tests, ORs with 95% CI were performed. All p<0.05, were considered to indicate statistical significance. Results. At 1 year of therapy 116 pts of 292 (40%) have HDA/MoDA by DAPSA. Remission/LDA was reached in 176 (60%) pts, 110 of them (62.5%) were treated with bDMARDs. Comparative analysis in both groups and one-factor model of logistic regression showed the following features at BL were associated with non-remission/LDA status: TJC>5 (p<0.001), SJC>3 (p<0.001), CRP>10 mg/l (p<0.001), HAQ>0.5 (p<0.001), presence of enthesitis (p<0.001), dactylitis (p<0.001), BMI>30 (p<0.002) and had to be treated with sDMARDs. PsA pts with combination of these clinical features at first visit have a higher risk of not achieving remission/LDA status in comparison to PsA pts without them, OR with 95% CI. Conclusion. In real practice remission/LDA cannot achieve 40% PsA pts despite going through therapy. It is a combination of clinical fea tures at BL – TJC>3, SJC>5, CRP>10 mg/l, HAQ>0.5, presence of enthesitis, dactylitis, BMI>30 kg/m2 and sDMARDs monotherapy – that constitutesa prognostic factor with negative impact on achievement remission/LDA after 1 year of treatment.
Portable Cloud-Based Data Storage Security Using Dual Encryption
Authors:   Security Engineer, Smile Direct Club, USA, Pulyala Srinivas Reddy , Makan Sai Teja ,   Senior Manager-DevOps, Spotter INC, USA
Published: December 2023

Secure data transfer is a must for all cloud-based structures. Cloud infrastructure is used by many networks, including those for e-commerce, online banking, and even software programs, to move enormous amounts of important data every day. This paper primarily addresses risk factors, which are security concerns encountered when managing cloud data. This research focuses on a hybrid encryption solution for cloud privacy and security. Elliptic Curve Cryptosystem (ECC) and Advanced Encryption Standard (AES) are the two best asymmetric encryption methods and symmetric encryption technology, respectively. The AES-ECC hybrid cryptosystem combines the advantages of the AES algorithm for faster data encryption with the ECC method for symmetrical session key exchange. The proposed solution minimizes the delay factor and is computationally efficient, robust, and secure
Integrating AI and Environmental Analytics for Enhanced Productivity and Safety
Authors:   Amazon, USA, Manikam Karthikeyan
Published: December 2023

In the modern workplace, managing outdoor work schedules has become increasingly challenging due to unpredictable weather conditions. This paper presents an innovative solution that combines real-time weather forecasts with Artificial Intelligence (AI) to create adaptive work schedules. By integrating data from reliable weather sources and analyzing it using machine learning models, we can predict the optimal times for outdoor work, reducing health risks and enhancing productivity. Additionally, we explore the use of the Wet Bulb Globe Temperature (WBGT) index to assess the risk of heat stress and adjust work hours accordingly. Our approach incorporates a dynamic scheduling algorithm that considers factors such as legal work hour limits and the intensity of physical labor. The result is a flexible, AI-powered system that not only ensures worker safety in the face of heat stress but also helps organizations navigate the complexities of climate impact on workforce management. Through this study, our goal is to demonstrate how technology can be leveraged to support a safer and more efficient working environment.
Advanced AI Applications in Gaming with Cloud-Powered Media and Entertainment Experiences
Authors:   Ankur Tak, USA, Tak Ankur
Published: December 2023

The study investigate how cutting-edge AI technologies and cloud-based media are converging to revolutionize the gaming business. The use of AI algorithms has completely changed the game industry, improving realism, customization, and player interaction. Gameplay has been revolutionized by AI, which now allows for more nuanced NPCs, more dynamic stories, and the ability to predict player actions. Combining these developments with cloud computing allows for more scalability, accessibility, and opportunities for cooperative gaming. In this article, we look at how AI has changed the gaming industry, focusing on how it has helped to make games more interactive and enjoyable for individual players. Future interactive experiences and the limits of traditional gaming are being shaped by the confluence of AI and media in cloud-powered gaming
Towards Intelligent Aviation: The Integration of Voice Assistants in Autonomous Aircraft
Authors:   USA, Devi Ramona
Published: December 2023

This paper explores the integration of a virtual assistant into an autonomous aircraft, focusing on the utilization of cutting-edge technologies for automatic speech recognition, speech synthesis, and natural language processing. By leveraging the power of Edge AI, particularly NVIDIA Jetson devices, we demonstrate how this amalgamation of technologies creates a lightweight, mobile, and efficient voice assistant system. We introduce a novel approach to enhance the operational capabilities of autonomous aircraft, facilitating human-machine interaction and enhancing overall user experience. This research paves the way for the application of edge-based voice assistants in autonomous vehicles, offering a glimpse into the future of intelligent and responsive in-flight systems.
Banking Governance: An Internal Mechanism Approach
Authors:   Faculty of Economics and Management of Mahdia, Tunisia, Belhadj Mohamed Akram
Published: December 2023

The banking governance is determined by a set of mechanisms which get at once the external level which that interns to the organization. These mechanisms conjugate to guide the behavior and the decisions of the leader so that he works in interest of stockholders as well as that of the organization. We suggest in this article focusing on the internal mechanisms of the governance through a presentation of the main works which treat with this subject and in case those who approach the systems of control and incitement of the leader set up by the board of directors within banks.
Factors of Personal Values Influencing the Purchase Intent of Feng Shui Jewelry among Generation Z Youths in Hanoi City
Authors:   University of Labor and Social Affairs, Vietnam, Thanh Tung Hoang , Nhat Quang Vu ,   Doan Thi Diem High School, Vietnam
Published: December 2023

To examine the personal value factors influencing the purchase intent of Feng Shui jewelry among Generation Z youths in Hanoi City, this research employs a quantitative research method based on data collected from a survey of 277 participants. Among them, 164 individuals have previously purchased or used Feng Shui jewelry and expressed the intention to continue, while the remaining participants, who have not yet made a purchase, indicated an intention to do so in the near future. The collected data was cleaned and processed using SMARTPLS software. The research results indicate that, among the four considered factors, "Quality of Happy Life" (HP) has the strongest impact on the purchase intent of Feng Shui jewelry among Generation Z youths in Hanoi City, with an impact level of 0.506. Following closely is the factor "Social Recognition Value" (CN) with an impact level of 0.256. Based on the analysis results, the research team provides insights to enhance the convenience of Feng Shui jewelry consumption while optimizing personal value for customers.
Optimizing Physician Lifecycle Management: Streamlining Processes with BPM Tools in Healthcare
Authors:   USA, Annaram Ashok Reddy
Published: December 2023

This article explores the integration of physician contracting, onboarding, and termination processes with Business Process Management (BPM) tools in the healthcare industry. Physician lifecycle management, from contracting to termination, involves intricate workflows, numerous stakeholders, and stringent regulatory compliance. BPM tools provide a comprehensive solution for automating and optimizing these processes, ensuring efficiency, transparency, and compliance throughout the physician’s tenure. By integrating physician lifecycle management with BPM tools, healthcare organizations can streamline operations, reduce administrative burdens, and enhance the overall experience for physicians and staff. This article provides detailed insights into the benefits, challenges, best practices, and real-world applications of integrating physician contracting, onboarding, and termination with BPM tools, highlighting their transformative impact on healthcare delivery and organizational performance.
Effect of a Home-Based Exercise Program on Functional Mobility and Quality of Life in Elderly People
Authors:   Physical Therapist Neighborhood Physical Therapy PC Brooklyn, NY, USA, Baladaniya Mahesh Kumar , Vasava Rajesh S ,   Assistant professor School of Physiotherapy, RK University Rajkot, India
Published: December 2023

Falls in the elderly population pose a significant public health concern, leading to injuries, disabilities, and substantial healthcare costs. This study investigates the impact of a semi-supervised, home-based exercise program on the functional mobility and quality of life (QoL) of sedentary elderly individuals in the community. Building upon previous research, this study aims to fill the gap in scientific evidence regarding the benefits of home-based exercise programs without continuous supervision. The program, following American College of Sports Medicine guidelines, encompasses strengthening, motor coordination aerobic exercises, balance training, and flexibility. Participants perform these exercises in their homes, with periodic visits to provide guidance and encouragement. Our hypothesis is grounded in the potential for home-based exercise to improve adherence, satisfaction, and, ultimately, functional mobility and QoL. In this double-blind, randomized controlled clinical trial, elderly participants are allocated to either an Intervention Group (IG) or a Control Group (CG). Both groups receive consistent guidance on healthy lifestyle habits, differentiating primarily in their exercise practices. We anticipate that the study will demonstrate the effectiveness of a well-structured, home-based exercise program in enhancing functional mobility and QoL in sedentary elderly individuals, even without continuous supervision. The study addresses a pressing issue, as falls among the elderly have far-reaching consequences, affecting millions annually and incurring substantial healthcare costs. This research can shed light on an innovative approach to reduce fall-related injuries and associated healthcare expenditures.
Motion for Wellness: Integrating Physical Therapy in Parkinson’s Disease Management
Authors:   Physical Therapist Neighborhood Physical therapy PC Brooklyn, NY, USA, Baladaniya Maheshkumar , Baldania Shraddha ,   Exercise Physiologist, Enjoy Rehab PT, PC. Woodbury, NY, USA
Published: December 2023

Parkinson’s disease (PD) is a prevalent neurological condition in older adults that causes motor and non-motor symptoms as well as effects. Impulse control disorders (ICDs) such as pathological gambling, compulsive shopping, compulsive sexual behaviors (hyper-sexuality), and binge eating disorder impact 13.6% of the Parkinson’s disease (PD) population. The discovery that dopamine deficiency is the primary pathogenic characteristic of Parkinson’s disease (PD) and the subsequent development of levodopa have transformed the area of PD therapies. This review will discuss the significant progress that landmark discovery in the 1960s, tremendous progress has been achieved in developing new pharmaceutical and surgical methods to treat PD motor symptoms. However, we will also highlight some of the difficulties that the area of Parkinson’s disease therapies has faced over the years.
Post-Operative Admissions to the Intensive Care Unit at Windhoek Central Hospital: A Prospective Study of Factors that Influence Indications and Outcome
Authors:   School of Medicine, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, R. Schroeder Morika , Saad Youseef ,   Department of Surgical Sciences, Division of Anaesthesiology, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, O Adesiyan Aderonke ,   Division of Anaesthesiology, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, Ufuoma Tobi Kingsley ,   Department of Surgical Sciences, Division of Anaesthesiology, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek
Published: December 2023

Background: Indications for postoperative admissions to the intensive care unit are multifactorial and could be due to patient preoperative status, surgical or anaesthetic adverse events. In addition, admission to the ICU could be planned or unplanned. The aim of the study was, therefore, to assess and determine indications and outcomes following postoperative admissions to ICU in Windhoek central hospital, Namibia.
High Prevalence of High-Risk Human Papillomavirus Genotypes Other Than Hpv-16 and Hpv-18 in Congolese Women Living With HIV: Implication for Cervical Cancer Prevention in a Resource Limited Setting
Authors:   Marien Ngouabi University Faculty of health Sciences, Brazzaville, Congo, N Akolbout Manguilla Maryse , Kombo Bayonne Edith-Sophie ,   Marien Ngouabi University Faculty of health Sciences, Brazzaville, Congo, Mboumba Bouassa Ralph-Sydney ,   Central African Regional Doctoral School (EDR) in Tropical Infectious Diseases Franceville, Gabon, Makela Norcely ,   Outpatient Treatment Center; Brazzaville, Congo, Miegakanda Valchy ,   National Public Health Laboratory; Brazzaville, Congo
Published: December 2023

Background: Despite the undeniable benefits provided by antiretroviral therapy (ART) in drastically reducing AIDS-related mortality, women living with HIV (WLWH) are disproportionately affected by high-risk Human Papillomavirus (HR-HPV) infection and cervical cancer. We herein assessed the distribution of HR-HPV genotypes according to HIV immunovirological prognostic parameters and their implications for the prevention of cervical cancer.
Motivation and Obesity Care
Authors: Sanjay Kalra  , Komal Chawla  , Nitin Kapoor
Published: December 2023

Motivation is essential to maintain achieved targets in the long-term management of chronic diseases like obesity. Moreover, the role of motivation becomes even more important when the physiological set point tries to act against the achieved targets. In this brief communication the authors propose a rubric that should assist health care professionals in enhancing the quality of their communication skills, improving the delivery of obesity management, and optimizing therapeutic outcomes by helping their patients with obesity to manage their motivation drive.

Keywords: Motivation, Obesity setpoint, weight maintenance, Intensive behavioural therapy.
“İslam Medeniyeti” Kavramının Doğuşu ve Şemseddin Sami’de “İslam -Avrupa Medeniyetleri” Karşılaştırması
Authors: VATANDAŞ Saniye , VATANDAŞ Celalettin
Published: December 2023

Fransız aydınlarının, 18. yüzyılın ortalarında icat edip, kendilerine isim olarak seçtikleri “civilisation” kelimesi kısa sürede diğer Avrupa toplumları tarafından da benimsendi. Bu isim onların tüm diğer toplumlardan farklı ve üstün oldukları anlamını ifade ediyordu. Osmanlı bürokrat ve yazarları “civilisation” kelimesini “medeniyet” olarak Türkçeleştirdiler. Halbuki İslami geleneğin önemli kavramlarından birisi olan “medeniyet”, civilisation ile kastedilen zihniyet ve hayat tarzını ifade etmekten çok uzaktı. “Civilisation” anlayışı mevcut şartlarda Avrupa’ya özgü olup, Avrupa’nın biricik ve üstün olduğu anlayışını ifade ediyordu. Aynı zamanda başta İngiltere ve Fransa olmak üzere bazı Avrupa devletlerinin, Avrupa dışı ülkeleri işgal etmelerini ve sömürmelerini meşrulaştıran bir anlayışı temsil ediyordu. Avrupalılar, işgal ve sömürülerinin mağduru olan toplumlardaki tepkileri azaltmak ve Avrupaî olmayı idealize etmek için tarihte başka “medeniyetlerin” de mevcut olduğunu dillendirdiler. “İslam medeniyeti” kavramı bu şartlarda doğdu. “İslam medeniyeti” isimli ilk kitabı 1879’da yazan Şemseddin Sami, tarihte Müslümanların “medeniyet” sahibi olduklarını ve bu “medeniyet”in Avrupa’dakinin oluşumuna katkı sağladığı tezini savundu. Fakat bir süre sonra bu görüşünde önemli oranda değişikliğe giderek “İslam medeniyeti”nin tamamıyla tarihte kaldığını, “Avrupa medeniyeti”nin ise mevcut dünyada tek ve en üstün “medeniyet” olduğunu savundu. Bu araştırma “medeniyet” kelimesinin kavramlaşma sürecini ve özellikle de Şemseddin Sami’nin “medeniyetler” karşılaştırmasını söz konusu süreç ekseninde ele alma amacındadır. Dönemin yazılı metinlerinden ve “civilisation”a ilişkin güncel çalışmalardan hareketle konu incelenecektir.
Sınıf Öğretmenlerinin Geri Bildirim Kullanım Durumlarının İncelenmesi
Authors: BAŞAR Begüm , DEMİR Mehmet Kaan
Published: December 2023

Bu çalışma ile sınıf öğretmenlerinin geri bildirim kullanım durumlarının incelenmesi amaçlanmıştır. Araştırma, nitel araştırma yöntemlerinden olgubilim deseni ile tasarlanmıştır. Araştırma verilerinin toplanması için araştırmacılar tarafından hazırlanan yarı yapılandırılmış görüşme formu kullanılmıştır. Katılımcılar Amasya ili Merzifon ilçesinde görev yapan ve gönüllülük esasına göre belirlenen 29 sınıf öğretmeninden oluşmaktadır. Görüşmeler online ortamda gerçekleştirilmiştir. Katılımcıların onayı alınarak görüşmelerde ses kaydı yapılmış ve daha sonra bu ses kayıtları transkript edilmiştir. Elde edilen veriler içerik analizi yöntemiyle kodlanmış ve analiz edilmiştir. Veriler Nvivo programıyla modellenmiştir. Araştırma sonuçlarına göre sınıf öğretmenlerinin geri bildirim kavramını öğrenci geri bildiriminden yola çıkarak tanımladıkları, geri bildirimleri derslerde sık sık kullandıkları, bu konuda kendilerini yeterli hissettikleri görülmüştür. Dersler bazında incelendiğinde sınıf öğretmenlerinin geri bildirimleri en çok matematik dersinde kullandıkları, en az kullanımın ise hayat bilgisi dersinde olduğu tespit edilmiştir. Ayrıca geri bildirimlerin olumlu, olumsuz, sözlü, sözlü olmayan ve yazılı olarak en çok kullanılan türleri belirlenmeye çalışılmıştır.
Towards AI-Based Condition Monitoring and Predictive Maintenance for Water Smart Pipes: The SANDMAN Approach
Authors: Rebahi Yacine , Hilliger Benjamin , Lowin Patrick , Zheng Bowen , Da Bormida Giorgio , Ladjeri Karim
Published: December 2023

Pipes age and corrosion are the main factors of leakage in water distribution networks. According to theWorld Resources Institute, European countries will face water problems by 2040. If we take Italy as an example, more than 40% of drinking water was lost in 2020 due to leaky aqueducts. Decrepit pipes can lead to environmental concerns, economical losses, and potential public health problems if water gets contaminated. Localizing leakage positions in an accurate way is often a big challenge. On the other side, replacing decrepit pipes is not an easy task and usually costly. An optimal solution to deal with water leakage is to use smart pipes where appropriate sensors monitoring the conditions of the pipes are incorporated in. Digitalization plays a crucial role here. By providing accurate information about the pipes and using artificial intelligence techniques for data analysis, potential leakages and their corresponding positions can be detected in time, which allows to schedule a maintenance task as soon as possible. The current paper discusses the use of smart pipes combined with predictive maintenance and shows how this combination improves water leakage detection, hence minimizing water waste and protecting the environment. The solution was validated in an experimental setup put in place by the Italian company EKSO S.R.L in its factory facilities in Rozallo, Italy. The obtained results show the feasibility of the solution and the relevance of using artificial intelligence techniques for predicting degradation in smart pipes.
 
Received: 14 August 2023 | Revised: 12 December 2023 | Accepted: 14 December 2023
 
Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.
 
Data Availability Statement
Data available on request from the corresponding author upon reasonable request.
Efectos de la estimulación no invasiva de la corteza motora en las pruebas sensoriales cuantitativas en sujetos sanos y con dolor crónico: una revisión sistemática y metaanálisis.
Authors: Giannoni-Luza Stefano , Pacheco-Barrios Kevin , Cardenas-Rojas Alejandra , Mejia-Pando Piero F. , Luna-Cuadros Maria A. , Barouh Judah L. , Gnoatto-Medeiros Marina , Candido-Santos Ludmilla , Barra Alice , Caumo Wolnei , Fregni Felipe
Published: December 2023

Uno de los posibles mecanismos de la modulación del dolor por estimulación de la corteza motora, empleando técnicas de Estimulación Cerebral no Invasiva (NIBS, por sus siglas en inglés), es a través de la restauración de las vías inhibitorias del dolor endógeno que se encuentran defectuosas. Sin embargo, todavía hay datos limitados en las Pruebas Sensoriales Cuantitativas (QST, por sus siglas en inglés), incluida la Modulación del Dolor Condicionado (CPM, por sus siglas en inglés) que respalden este mecanismo. Esta revisión sistemática y metanálisis tuvo como objetivo evaluar los efectos de la estimulación cerebral no invasiva de la corteza motora sobre la percepción del dolor, de acuerdo a lo registrado por los cambios en los resultados de las QST. Con esta finalidad, se realizaron búsquedas en bases de datos -hasta julio de 2019- que incluyeron ensayos controlados aleatorios donde realizaron NIBS en la corteza motora, tanto en poblaciones sanas (controles con estimulación simulada) y / o con dolor; los resultados fueron evaluados con QST incluyendo la CPM. La calidad de los estudios se evaluó mediante la herramienta Cochrane. Calculamos el Tamaño de Efecto de Hedge de los resultados de QST y CPM, sus intervalos de confianza del 95% (IC del 95%) y realizamos metaanálisis de efectos aleatorios. Se incluyeron 38 estudios (1178 participantes). Encontramos aumentos significativos del umbral del dolor en sujetos sanos (ES = 0,16, IC del 95% = 0,02 a 0,31, I2 = 22,2%) y población con dolor (ES = 0,48, 95% IC = 0,15 a 0,80, I2 = 68,8%) y resultados de CPM homogéneos y más altos (reducción de las calificaciones del dolor) en sujetos sanos (ES = -0,39, IC del 95% = -0,64 a -0,14, I2 = 17%) y población con dolor (ES = -0,35, IC del 95% = -0,60 a -0,11, I2 = 0%) en el grupo NIBS activo comparado con el de estimulación simulada. Estos resultados apoyan la idea de la modulación descendente de las vías endógenas del dolor mediante la estimulación de la corteza motora; lo cual podría constituir uno de los principales mecanismos de reducción del dolor evaluados por las QST. Este hallazgo podría ser un biomarcador predictivo y herramienta útil para el tratamiento personalizado del dolor crónico con NIBS.
THE INFLUENCE OF GLOBALIZATION AND MODERN INFORMATION TECHNOLOGIES ON THE DIALOGUE OF CULTURES
Authors:   Al-Farabi Kazakh National University, Imanbayeva Zhuldyz , Altayev Jakipbek ,   Al-Farabi Kazakh National University, Zhiyenbekova Ainur ,   Mukhtar Auezov South Kazakhstan University
Published: December 2023

The purpose of this article is to analyze the development prospects of the dialogue of cultures in the modern globalizing world. The interrelation of globalization with information technologies that have transformed the social and communicative space is presented. The article shows the necessity of rethinking the concepts of space and community in the conditions of the information society. The authors, designating virtual space as a new basis for social community, demonstrate its positive and negative sides in the context of development for the dialogue of cultures.
ON THE PROBLEM OF FORMATION OF ECOLOGICAL CONSCIOUSNESS IN POST-NORMAL TIMES: THE EXPERIENCE OF DISCOURSE ANALYSIS
Authors:   Mirzo Ulugbek National University of Uzbekistan, Shakenov Dias
Published: December 2023

Human loves comfort. Throughout the history of his existence, he transforms the environment for his comfort. As a result, we live in the Anthropocene epoch, in which Homo sapience impacts the planet's geological processes. Maintaining an ecological balance is vital for the human race’s survival. One of the ways to organize a well-balanced urban environment is to analyze the way how the public communicates this problem, paying attention to the specific circumstances of a particular place. The methodology of the electronic sociological survey was used, as well as work with Google Trends to analyze the popularity of search queries on environmental issues in Almaty. This article, on the basis of an interdisciplinary study, analyzed the formation and development of the mass media discourse on urban ecologization in Almaty. The paper concludes that the ecological discourse form not only the main vector of the media content but also ecological consciousness since the greening of cities is impossible without the development of the ecology culture and ecology thinking.
POLITICAL AND AXIOLOGICAL APPROACHES AND FEATURES OF THE ANALYSIS OF ETHNIC IDENTIFICATION
Authors:   Kyzylorda Bolashak University, Nassimov Murat , Sabitov Almas ,   International IT University
Published: December 2023

This research paper explores the concept of ethnic identification and its complex nature influenced by various factors such as heritage, self-awareness, social structure, fluidity, complexity, intersectionality, importance, and influence. The study aims to understand the purpose and objectives related to ethnic identification by examining political and axiological approaches. The political approaches focus on power dynamics, nationalism, and minority group rights, while axiological approaches emphasize values, identity formation, and ethical notions associated with ethnic identification. The research utilizes a qualitative analysis employing the bibliometric method to review the literature in the field of political science. Data collection, bibliometric visualization, and analysis were performed to identify trends and patterns. The analysis reveals a significant interest in the topic of ethnic identification, with a growing number of articles published over the years. The article provides a comprehensive overview of studies published between 2019 and 2023, highlighting their key findings and contributions. The research underscores the relevance of understanding ethnic identification for building a just society and suggests that political and axiological approaches offer valuable insights into its complexity and implications.
Use of three housing constellations to innovate within the drawing classroom
Authors: Navarro Jover Luis , Juan Gutiérrez Pablo J. , López Ujaque Jose Manuel
Published: December 2023

This text presents the findings resulting from a teaching innovation experience that begins in the 2021-2022 academic year, continues in 2022-2023 and extends in 2023-2024. The experiment, carried out during the fourth semester of the degree in fundamentals of architecture at the University of Alicante and through an architectural drawing subject, consists of blurring the boundaries between the profession and the academic world through the collaboration of the intervening agents, namely students, teachers and Spanish architects of recognized prestige. Thus, starting from a series of meetings and interactive intersections in the form of conferences, round tables and interviews, a working methodology is proposed in which the student, aware of his active role in understanding and interpreting the graphic, has the opportunity to synthesize the skills and abilities acquired in a format that, although exclusively graphic, in most cases exceeds the starting content. Three housing constellations, one per academic year, will be the vehicle to put into play constant self-evaluation, active participation, the search for radicality or conscious innovation by the aforementioned agents. Always around an element common to all contexts: the image.