bluuebunny/crossref_metadata_2025 huggingface dataset:
Daily Activities of Elder Adults Using Optimized Deep Learning Model in China
Authors: Yang Yun , Rosni Nur Aulia , Binti Zainol Rosilawati , Yang Xiaohan , Hu Hang , Wang Ting
Published: January 2024

The health and happiness of seniors can be influenced by the design of public spaces and buildings. Planning for age-friendly communities requires taking into account the wide variety of daily activities and public facility consumption among older persons. Yet, conventional approaches fall short when it comes to providing comprehensive, objective measures of the actions of the elderly. This research proposes an attention-based recognition approach by decomposing neural network outputs into class-dependent features using dictionary learning to improve discrimination performance. This research aimed to develop an empirical typology of activity of daily living (ADL) and its connection to health in China's ageing population. A deep learning-based model was rummaged to categorise the contributors in the Chinese Longitudinal Healthy Longevity Study (CLHLS) into subgroups based on their abilities with ADL. To be more precise, the study trains a category-based recognition network (CRN) by superimposing a basic but effective specific recognition encoding (SRE) unit on top of convolutional layers. In order to encode attention maps for each class, the SRE module uses the feature maps produced by the Convolutional Neural Networks (CNN) to learn a class-specific vocabulary. Class-wise adaptive feature refining is achieved by multiplying these attention maps by the input features. In this case, a gazelle optimization algorithm (GOA) handles the hyper-parameter tuning process of the proposed model. This case study is the first of its kind in a dense metropolitan region, and it uses objective measurements to evaluate the activity spaces of the elderly. This research provides empirical data for the promotion of healthy ageing in urban areas.
The Seismicity Rate Model for the 2022 Aotearoa New Zealand National Seismic Hazard Model
Authors: Gerstenberger Matthew C. , Van Dissen Russ , Rollins Chris , DiCaprio Chris , Thingbaijim Kiran K. S. , Bora Sanjay , Chamberlain Chris , Christophersen Annemarie , Coffey Genevieve L. , Ellis Susan M. , Iturrieta Pablo , Johnson Kaj M. , Litchfield Nicola J. , Nicol Andy , Milner Kevin R. , Rastin Sepi J. , Rhoades David , Seebeck Hannu , Shaw Bruce E. , Stirling Mark W. , Wallace Laura , Allen Trevor I. , Bradley Brendon A. , Charlton Danielle , Clark Kate J. , Fraser Jeff , Griffin Jonathan , Hamling Ian J. , Howell Andy , Hudson-Doyle Emma , Hulsey Anne , Jurgens V. Oakley , Kaiser Anna E. , Kirkman Rachel , Langridge Rob M. , Maurer Jeremy , Rattenbury Mark S. , Ristau John , Schorlemmer Danijel , Townend John , Villamor Pilar , Williams Charles
Published: January 2024

A seismicity rate model (SRM) has been developed as part of the 2022 Aotearoa New Zealand National Seismic Hazard Model revision. The SRM consists of many component models, each of which falls into one of two classes: (1) inversion fault model (IFM); or (2) distributed seismicity model (DSM). Here we provide an overview of the SRM and a brief description of each of the component models. The upper plate IFM forecasts the occurrence rate for hundreds of thousands of potential ruptures derived from the New Zealand Community Fault Model version 1.0 and utilizing either geologic- or geodetic-based fault-slip rates. These ruptures are typically less than a couple of hundred kilometers long, but can exceed 1500 km and extend along most of the length of the country (albeit with very low probabilities of exceedance [PoE]). We have also applied the IFM method to the two subduction zones of New Zealand and forecast earthquake magnitudes of up to ∼Mw 9.4, again with very low PoE. The DSM combines a hybrid model developed using multiple datasets with a non-Poisson uniform rate zone model for lower seismicity regions of New Zealand. Forecasts for 100 yr are derived that account for overdispersion of the rate variability when compared with Poisson. Finally, the epistemic uncertainty has been modeled via the range of models and parameters implemented in an SRM logic tree. Results are presented, which indicate the sensitivity of hazard results to the logic tree branches and that were used to reduce the overall complexity of the logic tree.
El teatro simbolista de Emilia Pardo Bazán y Valle-Inclán. La suerte y Tragedia de ensueño
Authors: Callejón García José Antonio
Published: January 2024

El presente artículo analiza el valor didáctico y fascinante de los textos dramáticos La suerte (1904) y Tragedia de ensueño (1901) de Emilia Pardo Bazán y de Ramón María del Valle-Inclán respectivamente, quienes exploran a comienzos del siglo XX, a la búsqueda de la renovación del teatro en España, el poder sugestivo del simbolismo por proporcionar una nueva dimensión artística y provocar una interiorización humanista en el lector-espectador.
El tratamiento de la salud mental desde una educación literaria inclusiva
Authors: Martínez León Patricia
Published: January 2024

Los problemas de salud mental se han incrementado y han obtenido una mayor visibilidad tras los años de pandemia, y la población adolescente no es ajena a los mismos. En una investigación anterior, que versaba sobre los referentes literarios y cinematográficos de una muestra de estudiantes de Educación Secundaria Obligatoria, obtuvimos que los propios alumnos citaban la normalización de enfermedades mentales entre los motivos por los que situaban un conjunto de ficciones entre sus preferencias. Ello nos animó a investigar en torno a la representación de dichas enfermedades en el cine y en la literatura, a abordar las percepciones y actitudes juveniles a este respecto y a reflexionar sobre el estigma social y la discriminación que a menudo rodean a la salud mental por medio de la discusión de un par de títulos de calidad estética en torno a la temática (la novela El baile de las locas de Victoria Mas y la película Locas de alegría de Paolo Virzi). Así, tras una breve introducción teórica en torno a las representaciones sociales, literarias y cinematográficas de la salud mental y sus consecuencias y sobre el concepto de educación literaria inclusiva, presentamos una propuesta didáctica dirigida a estudiantes de cuarto de ESO a partir de las obras mencionadas, con el objeto de promover el disfrute lector y el pensamiento crítico, al tiempo que contribuir a la disminución de la discriminación y el estigma en torno a las enfermedades mentales.
Creaciones poéticas visuales en la enseñanza de español como LE/L2: análisis y resultados de una experiencia didáctica
Authors: De la Torre Sánchez Ángel
Published: January 2024

El presente artículo recoge una investigación realizada en la Università degli Studi di Urbino “Carlo Bo” (Italia) con estudiantes de Grado pertenecientes a la rama de Lenguas y Culturas Modernas. El objetivo de la investigación es analizar los resultados de una experiencia didáctica basada en las creaciones poéticas visuales, en particular el haiku ilustrado digitalmente. El haiku es un género que goza de gran tradición en lengua española y presenta cierta popularidad en las publicaciones poéticas contemporáneas en español, ya que las primeras publicaciones relativas al haiku en lengua española se remontan a principios del s. XX. Considerando lo anterior, en el presente trabajo se integran competencias lingüísticas y literarias, complementadas con competencias digitales y creatividad. Concretamente, en el artículo se muestra tanto la experiencia didáctica como algunos ejemplos de composiciones digitales multimodales (DMC) producidas por las estudiantes. Finalmente, se presenta una propuesta de evaluación en la que se abordan los desafíos de evaluar textos personales y subjetivos, proponiendo criterios de evaluación que incluyen creatividad, originalidad, imágenes, fluidez, estilo y complejidad del pensamiento. Los resultados de la evaluación destacan el positivo desempeño de los estudiantes en la expresión personal, el cumplimiento de las convenciones del haiku y el uso adecuado de convenciones lingüísticas en L2, así como su capacidad para generar textos con múltiples interpretaciones posibles. Sin embargo, se observa escasa variabilidad en la relación entre imágenes y texto, lo que sugiere oportunidades de mejora en las habilidades digitales y multimodales de los estudiantes para futuras propuestas.
La mozarterapia (Traducción del capítulo 10 del libro Pourquoi Mozart? de A. Tomatis)
Authors: Rodríguez López-Vázquez Alfredo
Published: January 2024

Se recupera en este artículo un importante capítulo del libro Pourquoi Mozart? de A. Tomatis, teórico y fundador de la Audiopsicofonología, en donde se explican de forma clara los fundamentos de esta disciplina en la que confluyen música, lingüística y psicología.
Fuentes documentales para trabajar la Historia Social en el aula. Las posibilidades didácticas del Catastro de Ensenada
Authors: Suárez Álvarez Patricia , Medina Quintana Silvia
Published: January 2024

Las fuentes históricas son un recurso didáctico de primer nivel, como demuestra la investigación desarrollada desde la Didáctica de las Ciencias Sociales desde hace décadas. En concreto, durante la Educación Secundaria permiten adquirir unos conocimientos específicos y desarrollar competencias esenciales en la formación de los jóvenes. En la presente propuesta se aborda una fuente primaria, el Catastro de Ensenada, como herramienta didáctica para trabajar la historia social en las aulas de la etapa secundaria. Se estructura en cuatro etapas con actividades de iniciación y de consolidación, así como acciones para desarrollar tanto dentro como fuera del centro. La propuesta se centra, en primera instancia, en la familia como unidad social básica, para luego analizar, a partir de esta misma fuente, el papel de las mujeres en las estructuras económicas de la época, así como las huellas visibles que podemos observar en el territorio en forma de patrimonio tangible e intangible.

De esta forma, se propiciará que el alumnado reflexione sobre el papel de las mujeres en las sociedades del pasado y en la actualidad, trabajando competencias específicas curriculares, la conciencia ecosocial y los objetivos de desarrollo sostenible relacionados con la educación de calidad y la igualdad de género.

De esta forma, se propiciará que el alumnado reflexione sobre el papel de las mujeres en las sociedades del pasado y en la actualidad, trabajando competencias específicas curriculares, la conciencia ecosocial y los objetivos de desarrollo sostenible relacionados con la educación de calidad y la igualdad de género.
A desafección do galego no alumnado de Educación Infantil e Primaria do contexto urbano
Authors: Iglesias Álvarez Ana María , Zorelle Pinto Miriam
Published: January 2024

A través dun estudo lonxitudinal a oito suxeitos, desde os tres aos dez anos de idade, analizamos a influencia dos diferentes axentes de socialización nos procesos de adquisición e uso do galego. Con este fin, realizamos entrevistas semi-estruturadas ás familias e docentes, así como probas de competencia ao propio alumnado. Isto permítenos realizar unha primeira valoración das consecuencias do Decreto do plurilingüismo (79/2010). Os resultados indican un claro retroceso no camiño da normalización lingüística, polo menos no contexto urbano analizado, cun predominio da competencia produtiva en castelán sobre o galego, especialmente na oralidade. Ademais, as crianzas pertencentes a familias galegofalantes acaban restrinxindo o uso do galego a este ámbito, mentres que os de familias castelanfalantes non introducen o galego no seu repertorio lingüístico, nin sequera nas materias impartidas nesta lingua. Polo tanto, non se acada un nivel de bilingüismo mínimo, nin a nivel de competencia nin de uso.
O Dicionário Sotelo Blanco da Língua Galega (1995): uma aproximação crítica
Authors: Arias Arias Iván
Published: January 2024

Neste trabalho pretende-se mostrar em que medida o Dicionário Sotelo Blanco da Língua Galega (Estraviz, 1995) oferece informação que permita a codificação na língua-alvo da descrição lexicográfica, sem considerar se se trata de utilizadores do dicionário que têm o galego como língua materna, língua estrangeira ou língua segunda. Relativamente a estes fundamentos linguísticos, apresentar-se-á uma linha de trabalho claramente delimitada no enquadramento teórico do presente estudo. Pretende-se, para alcançar o objetivo acima referido, analisar a informação fornecida no dicionário de um ponto de vista quantitativo e qualitativo, de modo a poder retirar conclusões objetivas. As conclusões desta análise prendem-se principalmente com o facto de o Sotelo Blanco poder auxiliar a função codificadora em língua galega, uma vez que apresenta de forma relativamente constante informações sobre a combinatória lexical ou exemplos de uso.
Profesora Dra. María Lucía Iglesias da Cunha
Authors: Caride Gómez José Antonio , Costa Rico Antón
Published: January 2024

"In memoriam de Lucía Iglesias da Cunha, recoñecendo e lembrando para sempre o seu quefacer científico, académico e humano a prol da Educación Social en Galicia".
En los Colegios de Anceis, la Guardia y Vigo
Authors: Malheiro Gutiérrez Xosé Manuel
Published: January 2024

En los Colegios de Anceis, la Guardia y Vigo é un libro conmemorativo elaborado por dous ex-alumnos seus, Xavier Ozores Pedrosa e Juan Moreno Oterino, publicado en 1925 con motivo das vodas de ouro do colexio xesuíta Apóstol Santiago (1872-1922) fundado pola Compañía en Galicia, que recolle “una colección de fotografías, y una conversación de dos antiguos alumnos, que dirán lo que vosotros habéis dicho en cien conversaciones, haciendo ésta, por lo tanto el número ciento uno”. A través de 331 páxinas, este documento reflicte en diferentes apartados aspectos sobre a vida académica desta senlleira institución desde os seus inicios no pazo de Anceis (A Coru-ña, 1872-1875) berce familiar dun dos autores, pasando pola Pasaxe de Camposancos (A Guarda, 1875-1916) ata o seu traslado definitivo a Bella Vista (Vigo) en 1916.
A dimensión educativa das Irmandades da Fala. Algunhas propostas e realizacións
Authors: De Gabriel Narciso
Published: January 2024

As Irmandades da Fala estaban persuadidas de que o seu proxecto político e cultural requiría unha educación que transmitise coñecementos e valores orientados á galeguización da sociedade. Esta educación debía canalizarse a través de diversos medios, como a prensa, as conferencias ou a literatura, e tamén a través da escola.
HOFSTETTER, R., & ÉRHISE (Edit)( 2021). Le Bureau International d’Éducation, matrice de l’internationalisme éducatif (premier 20e siècle): Pour une charte des aspirations mondiales en matière éducative. 706 p. ISBN: 9782807619197
Authors: Pintassilgo Joaquim
Published: January 2024

A obra aqui recenseada analisa a trajetória histórica do Bureau International d’Éducation (BIE) desde a sua criação, em 1925, até 1952 (momento em que assina uma convenção com a recém-criada Unesco). O BIE transformou-se, a partir de 1929, sob a direção de Jean Piaget, na primeira instância intergovernamental dedicada à educação assumindo o papel de “emblema” ou “matriz” do internacionalismo educativo.
MADEIRA, Ana Isabel; CABELEIRA, Helena; MAGALHÃES, Justino (org.) (2022): Memórias Resgatadas, identidades (re) construídas: experiências de escolarização, património e dinâmicas educativas locais. 471 p. Ebook
Authors: Marques Alves Luís Alberto
Published: January 2024

Esta obra é o resultado de uma investigação profunda e sustentada que busca resgatar o passado; ressuscitar vivências pessoais sobre tempos significativos da vida remetendo-as a uma memória coletiva; dar significado a fontes escondidas ou ignoradas; compartilhar com a comunidade resultados que reforçam a identidade local e enriquecem o coletivo acadêmico e científico pela pluralidade de contribuições que apresenta.
Posterior Reversible Encephalopathy Syndrome in Renal Disease
Authors: Ganesh Kartik , GS Aneesh , Kumar Jithin , Abraham M Abi
Published: January 2024

Aims and Objectives: To identify the prevalence of posterior reversible encephalopathy syndrome in patients with renal disease at a single center over a two year duration and to analyse their clinical profile. Materials and methods: A retrospective analysis of all patients admitted in the ICU under the department of Nephrology in the past 2 years at VPS Lakeshore Hospital and Research Centre, Kochi was done to look for patients with posterior reversible encephalopathy syndrome (PRES). Their presenting symptoms, degree of hypertension, immunosuppression status, recurrence rates, findings on imaging and prognosis after treatment was evaluated. Results: In 636 intensive care unit (ICU) admissions under Nephrology, there were 6 cases of PRES. 4 were females and 2 were males. The median age was 27.6 years. 4 patients were cases of chronic kidney disease stage V on maintenance hemodialysis, one case was a case of CKD on conservative management and one patient had just undergone living donor kidney transplantation. 1 patient was on calcineurin inhibitors. Three patients (50%) had IgA Nephropathy, one (16.6%) had lupus nephritis, one (16.6%) had membranous nephropathy and one (16.6%) had chronic glomerulonephritis. Clinical features were seizures (50%) and confusion with depressed consciousness (50%). One patient had recurrence of PRES. Three patients (50%) had typical locations of radiological findings whereas three patients (50%) had findings in unusual areas. 5 patients (83.3%) had severe hypertension (BP>180/ 100mm Hg). All patients recovered completely and there was no mortality Conclusions: posterior reversible encephalopathy syndrome can be seen in association with kidney disease in various scenarios with many atypical features such as atypical radiological distribution and absence of hypertension. It is an under-represented entity and merits further studies.
Food Insecurity in the Rural South in the Wake of the COVID-19 Pandemic
Authors: Taylor Lorraine
Published: January 2024

Food insecurity in rural communities in the Southern US continues to grow, especially in the wake of the COVID-19 pandemic. Therefore, understanding population characteristics and varying community needs is critical to ensure that communities have sufficient access to stable food stocks needed to maintain health. Data are presented from a food insecurity survey administered in six counties in North Carolina, a state found in the southern United States. These data provide important information on the complexity of this serious health disparity issue. Eliminating food insecurity is an important strategy for reducing risk for chronic illnesses, mental health concerns, and other health problems among rural populations, particularly for Black and low-income rural communities which are more likely to be food insecure. Results indicate the need for family financial support to buy healthy foods as the key strategy for addressing food insecurity in these counties. Additional recommendations are discussed.
A Review of Racial and Ethnic Disparities in Obesity Treatment
Authors: Bailony Mohammed
Published: January 2024

The COVID-19 pandemic has highlighted existing U.S. healthcare disparities, prompting numerous policy initiatives to address these inequities. Despite the significant impact of obesity on COVID-19 outcomes and its association with racial and ethnic disparities, national and local efforts to combat health inequity have largely overlooked obesity. This paper examines disparities in obesity treatment and their implications for health equity. A comprehensive literature review was performed using Pubmed, Medline, and Google Scholar to identify studies examining obesity treatment options that reported data on African Americans, Asians, Hispanics, and Caucasians. These studies, published from 2000 to 2022, revealed disparities in behavioral/lifestyle, surgical, and pharmacological interventions for obesity. While a majority of behavioral/lifestyle and surgical treatment studies found disparities in weight loss and clinical outcomes, pharmacological studies found minimal to no evidence of disparities or favorable outcomes for racial and ethnic minorities for weight and cardiometabolic outcomes. All treatment pathways showed disparities in referral rates, access, and engagement/retention. These findings underscore the urgent need to incorporate obesity treatment as a central component in strategies addressing health inequities. By understanding and addressing these disparities, healthcare equity can be improved, ensuring a more inclusive approach to obesity management.
Molecularly Targeted Therapy for Urothelial Cancers
Authors: Jana Bagi , Rischall Ariel , Gibson Derrick
Published: January 2024

Urothelial carcinoma therapy is a rapidly evolving and expanding field. Traditional cytotoxic chemotherapy regimens have not produced optimal long-term outcomes, and many urothelial cancer patients have comorbidities that disqualify them as chemotherapy candidates. In recent years, a plethora of novel therapeutic agents that target diverse molecular pathways has emerged as alternative treatment modalities for not only metastatic urothelial carcinoma, but also for muscle-invasive bladder cancer and non-muscle invasive bladder cancer in adjuvant and definitive settings. This review paper aims to discuss the various categories of therapeutic agents for these different types of urothelial cancer, discussing immunotherapy, antibody-drug conjugates, kinase inhibitors, CAR-T cell therapy, peptide vaccination, and other drugs targeting pathways such as angiogenesis, DNA synthesis, mTOR/PI3K/AKT, and EGFR/HER-2.
Serum levels of Nitric Oxide metabolites in relation to Body Mass Index and Arterial stiffness in young individuals
Authors: GANJI VIDYA , TARANIKANTI MADHURI , KARRE MADHULATHA , M KALPANA , JOHN NITIN , U MADHUSUDHAN , GAUR ARCHANA
Published: January 2024

Introduction: Obesity is a multi-factorial disorder defined as abnormally high levels of body fat accumulation. It is a major emerging pandemic of this century which can be attributed to alterations in eating habits, lifestyle choices and rise in sedentary behaviour. The activation of pro-inflammatory signalling pathways linked to obesity can result in vascular endothelial dysfunction and changed levels of Nitric oxide (NO). Hyperlipidaemia may exacerbate arterial stiffness which is a precursor to atherosclerosis. In this study, we tried to evaluate the changes in levels of nitric oxide in obese individuals and its association with arterial stiffness. Objectives: To identify the association of serum levels of Nitric oxide metabolites with Body Mass Index (BMI) in apparently healthy subjects. To evaluate any correlation between serum nitric oxide metabolites, BMI and arterial stiffness in obese individuals. Result: The results showed a significant increase in systolic blood pressure (p<0.001) and no change in diastolic blood pressure and significant increase in pulse pressure(p<0.001) with increase in visceral adiposity (Waist Circumference) more than BMI. Results of Pearson correlation indicated that there is a significant small negative relationship between BMI and Serum NO levels, (r =- 0.534, p <.001). There was significant increase in Brachial ankle Pulse Wave Velocity (Ba PWV) (p=0.001) and Carotid Femoral Pulse Wave Velocity (CF PWV) (p=0.01) in obese subjects when compared to controls. Conclusion: Our study results showed that abdominal obesity more than overall obesity is more strongly associated with decreased serum NO levels and increased arterial stiffness. In obese individuals, increased arterial stiffness as reflected by increased pulse wave velocity may contribute to predicting cardiovascular disease in both genders in addition to development of hypertension.
Invited Perspective. Per- and Polyfluoroalkyl Substances, Hepatotoxicity, and Liver Disease: Evidence and Clinical Responses
Authors: Ducatman Alan , Chatzi Lida
Published: January 2024

Background: This perspective concerning hepatoxicity of per- and polyfluoroalkyl substances (PFAS) aims to provide a current understanding of the damage and reasonable clinician responses to the needs of concerned patients and affected communities. Methods: Search strategy included PFAS and the following: human liver toxicity/disease; relevant biomarkers including transaminases, lipids, uric acid; predictive equations (for liver disease), liver imaging modalities, and histologic findings. Experimental data concerning liver outcomes and disrupted hepatic metabolic pathways was also reviewed. Recommended clinical approaches to patients and communities was sought in both the National Library of Medicine and relevant organizational websites. Results: Several PFAS reliably cause adverse changes in human liver biomarkers, with strong consistency between human and experimental data. Adverse population changes include human transaminases, cholesterol and LDL cholesterol, and uric acid. This biomarker triad suggests that mechanisms and outcomes are or resemble metabolic associated steatotic liver disease, which is found across species following experimental PFAS exposure. Human imaging studies and sparse human histologic studies mostly support the inference that the toxicant damage is or resembles a pathway that can lead from steatosis to more serious stages of liver disease due to disrupted liver metabolism of fatty acids. Advice to patients and clinicians was reviewed from various agencies and nonprofits organizations including a committee of the US National Academies of Sciences, Engineering, and Medicine, and the nonprofit/university collaboration PFAS REACH. Discussion: Converging lines of evidence indict PFAS as human (and trans-species) hepatotoxins and mostly support a metabolic associated steatotic liver disease continuum as the nature of the injury. Increases in abnormal transaminases and sparser imaging and biopsy findings support that the damage is clinically important and a contributing cause of a public health problem. It is still challenging to decide which of many definitively disrupted metabolic pathways is/are most important to the injury. Many PFAS in use remain virtually unstudied, a research and public health emergency. Simple clinical responses to the concerns of the most heavily contaminated patients and communities, which are within the capabilities of most clinical offices, are reviewed.
A CASE OF DILATED CARDIOMYOPATHY CAUSED BY TNNT2 MUTATION
Authors: Phan Hao
Published: January 2024

Dilated cardiomyopathy is one of the leading causes of heart failure with high morbidity and mortality. Although more than 40 genes have been reported to cause dilated cardiomyopathy, the role of genetic testing in clinical practice is not well defined. Mutations in the troponin T (TNNT2) gene represent an important subset of known disease-causing mutations associated with dilated cardiomyopathy. Mutations in TNNT2, encoding cardiac troponin T, commonly shows early onset, aggressive dilated cardiomyopathy. This observation may influence the decision of whether to undertake clinical genetic testing for TNNT2 in later onset dilated cardiomyopathy. Further, the trigger for late onset dilated cardiomyopathy remains enigmatic. Here, we presented a case of dilated cardiomyopathy caused by TNNT2 mutation in 59-year-old male.
Excess Deaths and Excess Covid Booster Vaccine Doses – are they related?
Authors: Allen David
Published: January 2024

This paper features an analysis of Organisation for Economic Co-operation and Development (OECD) country level data generated by the COVID-19 pandemic as revealed in data related to booster vaccinations, excess deaths, populations, infections, recovered cases, and tests, for a sample of 38 countries, plus measures of their policy responsiveness and relative preparedness, including various other indicators of trust, stringency and Gross Domestic Product (GDP) per capita. The paper uses OECD weekly data on excess deaths. The data on COVID-19 vaccine boosters administered was obtained from ourworldindata.org, the assessment includes measures of GDP per capita, and indices of country specific trust levels, the cumulative data set is taken from the Worldometer data source. The Global Health Security (GHS) Index and Oxford Stringency Index (STR) are used as policy benchmarks. Other indicators used include GDP/capita, Trust, and Personal Trust Indices from the OECD. Cross sectional regression analyses suggest that COVID-19 booster vaccines explain between 69 and 79 per cent of the variation in excess deaths in OECD countries as captured by excess deaths in the first week or averaged across the first three months of 2023. An adaptive lasso technique was used to screen the explanatory variables in multivariate regression analysis. This analysis suggested the addition of either the GHS or Stringency indexes, plus a version of the Trust Indices, but none of these added much to the explanatory power of the regressions which were dominated by the contribution of the measure of vaccine boosters. The results suggest a strong association between excess deaths and booster vaccinations across this sample of OECD countries.
A Case Report of Spontaneous Regression of grade 3 Clear Cell Endometrial Cancer
Authors: Yin Chang
Published: January 2024

Spontaneous remission of cancer (SR) is a rare, defined as a complete or partial, temporary, or permanent disappearance of all or at least some relevant parameters of a soundly diagnosed malignant disease without any medical treatment or with treatment that is considered inadequate to produce the resulting regression. We present the case of a 43-year-old woman who initially received a diagnosis of high- grade squamous intraepithelial lesion (HSIL) on a Pap smear, further examination and MVA (Manual Vacuum Aspiration) curettage biopsy revealing poorly differentiated clear cell adenocarcinoma of the endometrium, stage 1a3 and subclinical hypothyroidism. The patient was prescribed thyroid tablet replacement but chose not to pursue any cancer treatment. Following two consecutive MVA curettage procedures, she returned for a hysteroscopic examination and the third MVA curettage biopsy, the histological report indicated the absence of any malignancy. Throughout the course of her illness, the patient underwent a total of ten sessions of MVA endometrial curettage and received thyroid replacement therapy for her subclinical hypothyroidism. Despite our initial reservations, we continue to provide care and support to her throughout whole course of this illness. We demonstrated that a patient's autonomy in refusing medical treatment is a fundamental ethical and legal principle in healthcare. Conclusion: We report the 8 cases of spontaneous remission (SR) in endometrial cancer. Given the infrequent occurrence of such cases, it is imperative to involve in a comprehensive and in-depth discussion.
A literature review on various diagnostic modalities and treatment options for the treatment of the osteomyelitis of the jaw
Authors: Kaur Harsimran , Jyoti  , Kaur Gursharan , Kaur Parminder
Published: January 2024

Osteomyelitis of the jaw is found to be the most common disease affecting the maxillofacial region. Osteomyelitis is found to be true bacterial infection affecting the jaw bone. Different types of osteomyelitis which are distinguishable are acute osteomyelitis, primary chronic osteomyelitis and secondary chronic osteomyelitis of the jaw. The main characteristic features of the osteomyelitis of the jaw are, formation of the fistula, suppuration, and sequestration of the jaw bone. Different treatment modalities of the osteomyelitis of the jaw include surgery, debridement of the lesion superficially and curettage and in non surgical approach it includes usage of proper antibiotics, usage of topical agents, usage of hyperbaric oxygen, local anesthetic solution.
Advancing dental diagnostics: The significance of cone-beam computed tomography (CBCT) in modern dentistry
Authors: Nasti Shahzaib , Khan Furkan Ahmed , Srivastava Tanmay , Rama Nalini M. , Zameer Ahmed CM , Tiwari Himani
Published: January 2024

Dental radiology has historically relied on 2-dimensional (2D) imaging, but recent advancements in Cone-Beam Computed Tomography (CBCT) have revolutionized maxillofacial imaging. This review explores the applications of CBCT, emphasizing its advantages in dental specialties such as implant dentistry, endodontics, orthodontics, and temporomandibular joint evaluation. CBCT offers unparalleled diagnostic accuracy while minimizing radiation exposure, making it a valuable tool in dental practice. The integration of artificial intelligence (AI) and machine learning into CBCT technology presents exciting possibilities for automated image analysis, pathology detection, treatment planning, radiation dose reduction, image enhancement, workflow optimization, predictive analytics, customized treatment plans, teledentistry, and dental education. AI's role in dentistry is poised to enhance diagnostic and treatment capabilities while optimizing CBCT scans, ultimately improving patient care.
Immediate implants” an elegance in anterior maxilla: Case report
Authors: Shakuntala Soujanya V. , Prabhakar Rao P , Vinuthna M , Dilip  , Abhishek Reddy N , Kranthi K.
Published: January 2024

Esthetics and psychological distress are the propounding factors which comes into effect when somebody losses the anterior teeth. The compensation of it is of long-drawn-out and demands for an immediate regimen. In these circumstances, it’s the immediate implants placement which offers a simple choice for replacing the lost tooth immediately and hence it is currently considered as a golden treatment modality for replacing a missing tooth. The added benefits of it are less time consuming, involves few steps of surgical procedures and minimal bone resorption as it helps in preserving the vitality of bone receptors immediately after extraction thereby helps in gaining high rates of success of dental implants placed. Here in this article, we are reporting a successful case of immediate implant placed at maxillary anterior canine region which rendered a complete satisfaction to the patient and as well as professionally.
Inequality in the Early Years in LAC: A Comparative Study of Size, Persistence, and Policies
Authors: Attanasio Orazio P. , Lopez Boo Florencia , Perez-Lopez Diana , Reynolds Sarah Anne
Published: January 2024

Gaps in child development by socioeconomic status (SES) start early in life, are large and can increase inequalities later in life. We use recent national-level, cross-sectional and longitudinal data to examine inequalities in child development (namely, language, cognition, and socio-emotional skills) of children 0-5 in five Latin American countries (Chile, Colombia, Mexico, Peru and Uruguay). In the cross-section analysis, we find statistically significant gaps with inequality patterns that widely differ across countries. For instance, gaps in language and cognition for Uruguay and Chile are much smaller than those for Colombia and Peru. When turning to the longitudinal data, average SES gaps are similar to those of the cross-section in language but differ substantially in cognition, mainly in Uruguay where they emerge as more unequal when cohort effects do not operate. Importantly, we also find that the ECD gaps found at early ages (0-5), still manifest 6-12 years later in almost all locations and realms in which we have measures of early child development, but they do not increase with age. Results are robust to using different measures of inequality (income and maternal education). Gaps are smaller but generally remain when adjusting for possible explanatory factors (e.g., family structure, parental education, geographic fixed effects). To reduce ECD inequality and promote equality in later life outcomes, policymakers should look to implementing evidence-based interventions at scale to improve developmental outcomes of the most disadvantaged children in society.
Rollover and Interest-Rate Risks in Self-Fulfilling Debt Models
Authors: Ayres João , Paluszynski Radoslaw
Published: January 2024

This paper proposes a model of sovereign default that features interest rate multiplicity driven by rollover risk. Our core mechanism shows that the possibility of a rollover crisis by itself can lead to high interest rates, which in turn reinforces the rollover risk. By exploiting complementarity between the traditional notions of slow- and fast-moving crises, our model generates a rich simulated dynamics that features frequent defaults and a volatile bond spread even in the absence of shocks to fundamentals. In the presence of risky income, our mechanism amplifies the dynamics of debt and spreads relative to model benchmarks where equilibrium multiplicity relies on the underlying shocks to income.
Escuelas verdes: lineamientos para el diseño de infraestructura escolar sostenible, baja en carbono y resiliente
Authors: Fischel Eric , Alvear Alexandra , Minoja Livia , Schwartz Liora , Bos María Soledad
Published: January 2024

La infraestructura escolar es un factor relevante para el aprendizaje de los estudiantes: la calidad de la infraestructura escolar puede generar aumentos en las tasas de asistencia estudiantil; las buenas condiciones de confort tienen un efecto positivo en los resultados académicos de los estudiantes; y el diseño resiliente asegura la continuidad del servicio educativo frente a eventos climáticos extremos agravados por el cambio climático. La publicación “ESCUELAS VERDES. Lineamientos para el diseño de infraestructura escolar sostenible, baja en carbono y resiliente” propone una serie de medidas para el diseño de infraestructura escolar sostenible y resiliente, mediante el uso de estrategias de diseño sostenible diferenciadas por las zonas climáticas de América Latina y el Caribe y estrategias de diseño resiliente por tipo de amenaza. La aplicación integral de las estrategias propuestas no solo aspira a la creación de infraestructura escolar bajas o nulas en energía, sino que a aportar al cumplimiento de las metas y trayectorias globales hacia la carbono-neutralidad para el año 2050. Además, para promover escuelas sostenibles a largo plazo, la guía incluye buenas prácticas para la fase de construcción y mantenimiento, consolidando así un enfoque integral que abarca todo el ciclo de vida de la infraestructura escolar. Esta guía busca ser una herramienta de planeación dirigida a los diferentes actores públicos y privados, y a su vez convertirse en una herramienta de difusión y formación educativa que facilite el desarrollo de las habilidades necesarias para preservar los recursos naturales y fomentar experiencias de aprendizaje activo más allá de las aulas.
Estrategia Nacional de Inclusión Financiera y su atención a las brechas de género en Centroamérica, Haití, Panamá y República Dominicana
Authors: Graf Juan Pablo , Novoa Gabriela , Santoyo Yazmín , López Arnoldo
Published: January 2024

La implementación de una Estrategia Nacional de Inclusión Financiera se ha generalizado en los países emergentes como mecanismo para acelerar su paso en este tema. A partir de estudiar los lineamientos de distintos organismos internacionales para diseñar e implementar dichas estrategias y la experiencia de distintos países en su implementación, se presenta una guía para el desarrollo e implementación de una estrategia de este tipo que incorpora las lecciones aprendidas más recientes a nivel internacional. Ente ellas la atención a las brechas de género. En base a esta guía, y con el fin de identificar lecciones adicionales y contar con información para fortalecer un potencial relanzamiento de sus Estrategias, estudiamos los países de Centroamérica, Haití, Panamá y República Dominicana.
Inversionistas BIS en Colombia: estudio sobre la experiencia de los inversionistas en el marco del Programa de Bonos de Impacto Social de Colombia
Authors: Vélez-Valencia Cristina , Herrera-Cano Carolina , Alvarez Pilar , Vergara Garavito Judith , González-Perez María Alejandra
Published: January 2024

El informe se centra en los inversionistas de Bonos de Impacto Social (BIS) en Colombia, un grupo de organizaciones comprometidas con la incidencia social. Estas entidades se han asociado con un innovador instrumento de gestión pública y financiamiento privado para fomentar la creación de empleo. A pesar de las diferencias operativas, comparten características fundamentales como la alineación de sus negocios con los propósitos de impacto social de los BIS, así como estrategias adaptativas y gestión de riesgos. Las motivaciones de estos inversionistas reflejan estudios similares en otras regiones y abarcan el aprendizaje organizacional, la movilización de recursos con instrumentos financieros innovadores, el aumento de la incidencia social y el fortalecimiento de redes en el ecosistema de impacto. Se identifican dos grupos de inversionistas en función de sus expectativas: aquellos que ven en los BIS una forma innovadora de respaldar proyectos y aquellos cuyas expectativas se centran en el impacto social, buscando optimizar beneficios sociales y económicos. La investigación se basa en 14 entrevistas a inversionistas de BIS en Colombia, dos grupos focales y la exploración de otros grupos de interés clave. El trabajo de campo se realizó entre noviembre de 2022 y febrero de 2023. El informe destaca hallazgos obtenidos mediante entrevistas en profundidad y grupos focales, utilizando técnicas cualitativas de codificación. Se señalan lecciones aprendidas por los inversionistas BIS en relación con los contratos de pago por resultados en Colombia, resaltando desafíos en la ejecución de proyectos y la necesidad de involucrar más actores, especialmente del sector privado, en la financiación de los BIS. Además, se proponen recomendaciones para la escalabilidad de estos instrumentos, con el objetivo de abordar los desafíos del desarrollo, fomentar la innovación financiera y la gestión pública, y generar capacidades, fortalecer redes y promover la innovación con impacto social en un nuevo ecosistema.
Trade Openness and Exchange Rate Management
Authors: Parrado Eric , Heresi Rodrigo
Published: January 2024

Singapore's unique monetary policy consists of a managed exchange rate framework that can be characterized as a Taylor-like reaction function with the nominal devaluation rate instead of the nominal interest rate as the main policy instrument. We build a small open economy New Keynesian model to estimate and characterize such a monetary rule from a welfare perspective. Welfare gains under an exchange rate rule (ERR) relative to the more standard interest rate-based Taylor rule (IRR) are unambiguously increasing in the degree of trade openness (defined as exports plus imports as a share of GDP). For Singapore, where trade openness is 280% of GDP, we estimate welfare gains of 1.48% of permanent consumption under an ERR. In a counterfactual thought experiment, we find that Chile, an established inflation-targeting economy using an IRR, would be better off under an ERR for any degree of openness above 100% (currently at 70%).
An Exchange Rate Policy Rule
Authors: Parrado Eric
Published: January 2024

This paper introduces a novel monetary policy framework where the exchange rate becomes the central instrument. Using Singapore as a case study, it explores the Monetary Authority's adoption of the exchange rate as the primary tool since 1981, diverging from conventional approaches centered on interest rates or monetary aggregates. The estimated exchange rate reaction function aligns well with actual deviations, supporting the hypothesis that Singapore's forward-looking policy rule effectively responds to inflation and output volatility, especially during economic crises. This framework offers a promising alternative for countries with open economies and challenges in implementing traditional interest rate instruments.
De las infracciones ambientales en la Ley 1333 de 2009: crítica a la Sentencia C-219 de 2017 de la Corte Constitucional de Colombia
Authors: Luna Salas Fernando , Pereira Blanco Milton José , Cubides Cárdenas Jaime
Published: January 2024

Este artículo trata de una investigación eminentemente jurídica, de tipo analítico, documental, de carácter cualitativo, que se desarrolla a nivel teórico, y que pretende abordar el tratamiento normativo de las infracciones ambientales en el régimen ambiental colombiano. Asimismo, se analizará el alcance del principio de tipicidad de las faltas en materia ambiental según la jurisprudencia constitucional, en especial la posición de la Corte Constitucional de Colombia adoptada en la sentencia C-219 de 2017. Se sostendrá como tesis central que el artículo 5 de la Ley 1333 de 2009 desconoce el principio de reserva de ley, de que trata el contenido en el inciso segundo del artículo 29 constitucional, por cuanto creó un tipo sancionatorio administrativo en el que las conductas sancionables no tienen origen legal, sino en conductas sancionables fijadas por la autoridad administrativa con ocasión a las atribuciones legales, de manera que la definición de la conducta sancionable como componente del principio de legalidad se delegó en una autoridad distinta del legislador. Además, dicha norma desconoce el principio de tipicidad y reserva de ley de las infracciones, de que trata el contenido en el inciso segundo del artículo 29 constitucional, pues tipifica como infracción toda acción u omisión que constituya violación a los actos administrativos emanados de la autoridad ambiental competente sin delimitar la conducta sancionable, lo cual implica que el tipo administrativo carezca de certeza, claridad y determinación.
Acessibilidade para Surdos no Lazer Turístico: Experiências de um Casal de Turistas Surdos
Authors: Souza da Silva Alexandre , Tomé Marcello , Pessôa Luís Alexandre
Published: January 2024

A surdez encarada sob um olhar clínico–terapêutico é apontada como uma deficiência em relação aos parâmetros sensoriais considerados de normalidade. Entretanto, a perspectiva socioantropológica a descreve como uma diferença cultural e linguística, interferindo na percepção e na interação do indivíduo surdo com o mundo que o cerca a partir da comunicação, moldando suas práticas culturais. O lazer turístico se realiza por meio de serviços de hospitalidade envolvendo alto grau de comunicação linguística entre prestadores e turistas. A principal barreira enfrentada pelos surdos no contato com pessoas não surdas é a barreira comunicacional. Este trabalho analisou narrativas de histórias de vida de um casal surdo sobre acessibilidade no lazer turístico, buscando identificar vivências inclusivas e as barreiras e limitações encontradas. Foram realizadas entrevistas em profundidade semiestruturadas nas quais os sujeitos de pesquisa narraram experiências turísticas por meio de suas histórias de vida. A discussão aponta para a percepção da exclusão pelos informantes devido à barreira comunicacional e à falta de formação que reflete na atitude excludente.
Interpretação Patrimonial Turística: potencial das ruas e avenidas do entorno do Paço da Liberdade Manaus – AM
Authors: Bruce Gabriely De Souza , Guimarães Marcia Raquel Calvante , Teixeira Maria Adriana Sena Bezerra
Published: January 2024

O presente estudo tem como objetivo identificar as possibilidades de aproveitamento turístico das ruas e avenidas do entorno do Paço da Liberdade sob a perspectiva de conjunto arquitetônico dentro de parâmetros interpretativos. Metodologicamente é uma pesquisa de campo de natureza qualitativa, descritiva com levantamento bibliográfico, documental e observação in loco das ruas selecionadas valendo-se do fundamento teórico-metodológico das 4 dimensões proposta por Guimarães (2021): D1- dimensão normativa; D2- dimensão morfológica de conjunto; D3- dimensão interpretativa patrimonial e D4- dimensão turística. Os resultados obtidos foram 15 logradouros selecionados e classificados nas dimensões D1 e D2. Assim, a compreensão do patrimônio edificado em conjunto com os logradouros proporciona a valorização cultural e memória histórica do lugar bem como da atratividade para o turismo na cidade Manaus.